Customer_ID|Client_ID|Prior_Authorization_Required|Step_Therapy_Required|Quantity_Limit_Required|Plan_Id|Drug_Tier|RxCUI_Descr|Member_Benefit_Group
632|1001|N|N|N||Preferred Generic|308891-CalciumCarbonate250MG/MLOralSuspension|ADULT 2020
632|1001|N|N|N||Preferred Brand|1250090-Nonoxynol-90.03MG/MGVaginalGel[GynolII]|ADULT 2020
632|1001|N|N|N||Preferred Generic|1020477-DiphenhydramineHydrochloride50MGOralCapsule|ADULT 2020
632|1001|N|N|N||Preferred Generic|311955-Niacin250MGExtendedReleaseOralTablet|ADULT 2020
632|1001|N|N|N||Preferred Brand|198467-Aspirin325MGDelayedReleaseOralTablet|ADULT 2020
632|1001|N|N|N||Preferred Generic|1098134-24HRNiacin1000MGExtendedReleaseOralTablet|ADULT 2020
632|1001|N|N|N||Preferred Generic|308696-BenzoylPeroxide50MG/MLMedicatedLiquidSoap|ADULT 2020
632|1001|N|N|N||Preferred Generic|847121-CalciumCitrate1500MG/Cholecalciferol250UNTOralTablet|ADULT 2020
632|1001|N|N|N||Preferred Generic|307675-Acetaminophen32MG/MLOralSolution|ADULT 2020
632|1001|N|N|N||Preferred Generic|203105-Hydrocortisone0.01MG/MGTopicalOintment|ADULT 2020
632|1001|N|N|N||Preferred Generic|311960-Niacin500MGExtendedReleaseOralTablet|ADULT 2020
632|1001|N|N|N||Preferred Brand|211633-AluminumHydroxide200MG/MagnesiumHydroxide200MG/Simethicone25MGChewableTablet[Gelusil]|ADULT 2020
632|1001|N|N|N||Preferred Generic|198707-Hydrocortisone5MG/MLTopicalCream|ADULT 2020
632|1001|N|N|N||Preferred Generic|106258-Hydrocortisone10MG/MLTopicalCream|ADULT 2020
632|1001|N|N|N||Preferred Generic|1293942-Acetaminophen500MGOralTablet[Pharbetol]|ADULT 2020
632|1001|N|N|N||Preferred Brand|707333-SodiumChloride0.111MEQ/MLNasalSolution[AyrSalineNasal]|ADULT 2020
632|1001|N|N|N||Preferred Generic|308512-Bacitracin0.5UNT/MG/PolymyxinB10UNT/MGTopicalOintment|ADULT 2020
632|1001|N|N|N||Preferred Generic|308689-BenzoylPeroxide0.025MG/MGTopicalGel|ADULT 2020
632|1001|N|N|N||Preferred Generic|282465-CalciumCarbonate1250MGOralTablet|ADULT 2020
632|1001|N|N|N||Preferred Generic|310273-Famotidine20MGOralTablet|ADULT 2020
632|1001|N|N|N||Preferred Generic|240029-Cholecalciferol0.125MGOralCapsule|ADULT 2020
632|1001|N|N|N||Preferred Generic|311959-Niacin500MGExtendedReleaseOralCapsule|ADULT 2020
632|1001|N|N|N||Preferred Brand|1043063-Hydrocortisone10MG/MLTopicalLotion[AquanilHC]|ADULT 2020
632|1001|N|N|N||Preferred Generic|313092-Sorbitol700MG/MLOralSolution|ADULT 2020
632|1001|N|N|N||Preferred Generic|198861-SodiumBicarbonate650MGOralTablet|ADULT 2020
632|1001|N|N|N||Preferred Generic|311372-Loratadine10MGOralTablet|ADULT 2020
632|1001|N|N|N||Preferred Generic|992775-{1(MiconazoleNitrate1200MGVaginalInsert)/1(9000MG)(MiconazoleNitrate20MG/MLVaginalCream)}Pack|ADULT 2020
632|1001|N|N|N||Preferred Generic|1366116-bacitracinzinc0.5UNT/MGTopicalOintment|ADULT 2020
632|1001|N|N|N||Preferred Generic|1115005-DocusateSodium100MGOralCapsule|ADULT 2020
632|1001|N|N|N||Preferred Generic|309594-vitaminB121MG/MLInjectableSolution|ADULT 2020
632|1001|N|N|N||Preferred Generic|103951-Tolnaftate10MG/MLTopicalCream|ADULT 2020
632|1001|N|N|N||Preferred Generic|1860100-ferroussulfate324MGDelayedReleaseOralTablet|ADULT 2020
632|1001|N|N|N||Preferred Generic|1100457-PyridoxineHydrochloride25MGOralTablet|ADULT 2020
632|1001|N|N|N||Preferred Generic|1052760-magnesiumcitrate58.2MG/MLOralSolution|ADULT 2020
632|1001|N|N|N||Preferred Generic|1049167-PseudoephedrineHydrochloride60MGOralTablet|ADULT 2020
632|1001|N|N|N||Preferred Brand|209360-Acetaminophen325MGRectalSuppository[Acephen]|ADULT 2020
632|1001|N|N|N||Preferred Generic|308416-Aspirin81MGDelayedReleaseOralTablet|ADULT 2020
632|1001|N|N|N||Preferred Generic|310604-Guaifenesin20MG/MLOralSolution|ADULT 2020
632|1001|N|N|N||Preferred Generic|142034-BenzoylPeroxide100MG/MLMedicatedLiquidSoap|ADULT 2020
632|1001|N|N|N||Preferred Generic|832909-CalciumCarbonate1250MG/Cholecalciferol100UNTChewableTablet|ADULT 2020
632|1001|N|N|N||Preferred Generic|702249-ferroussulfate44MG/MLOralSolution|ADULT 2020
632|1001|N|N|N||Preferred Generic|992432-PromethazineHydrochloride1.25MG/MLOralSolution|ADULT 2020
632|1001|N|N|N||Preferred Generic|577040-CalciumCarbonate648MGOralTablet|ADULT 2020
632|1001|N|N|N||Preferred Generic|1014678-cetirizinehydrochloride10MGOralTablet|ADULT 2020
632|1001|N|N|N||Preferred Generic|198759-Niacin100MGOralTablet|ADULT 2020
632|1001|N|N|N||Preferred Generic|237723-Ergocalciferol0.2MG/MLOralSolution|ADULT 2020
632|1001|N|N|N||Preferred Generic|1440184-hydrocortisoneacetate0.01MG/MGTopicalOintment|ADULT 2020
632|1001|N|N|N||Preferred Generic|198741-MagnesiumOxide400MGOralTablet|ADULT 2020
632|1001|N|N|N||Preferred Generic|198630-ferrousgluconate324MGOralTablet|ADULT 2020
632|1001|N|N|N||Preferred Generic|310324-ferroussulfate325MGDelayedReleaseOralTablet|ADULT 2020
632|1001|N|N|N||Preferred Generic|310965-Ibuprofen200MGOralTablet|ADULT 2020
632|1001|N|N|N||Preferred Generic|1291101-hydrocortisoneacetate25MGRectalSuppository[Anucort-HC]|ADULT 2020
632|1001|N|N|N||Preferred Generic|198546-CalciumGluconate500MGOralTablet|ADULT 2020
632|1001|N|N|N||Preferred Generic|198024-Niacin500MGOralTablet|ADULT 2020
632|1001|N|N|N||Preferred Generic|310325-ferroussulfate325MGOralTablet|ADULT 2020
632|1001|N|N|N||Preferred Generic|199143-Niacin250MGOralTablet|ADULT 2020
632|1001|N|N|N||Preferred Generic|103403-Hydrocortisone10MG/MLTopicalLotion|ADULT 2020
632|1001|N|N|N||Preferred Generic|359601-Guaifenesin400MGOralTablet|ADULT 2020
632|1001|N|N|N||Preferred Generic|198911-ZincOxide0.2MG/MGTopicalOintment|ADULT 2020
632|1001|N|N|N||Preferred Generic|318272-Aspirin81MGChewableTablet|ADULT 2020
632|1001|N|N|N||Preferred Generic|486131-BenzoylPeroxide0.1MG/MGTopicalGel|ADULT 2020
632|1001|N|N|N||Preferred Generic|978006-LoperamideHydrochloride2MGOralCapsule|ADULT 2020
632|1001|N|N|N||Preferred Generic|1095536-Psyllium6000MGPowderforOralSuspension[Konsyl]|ADULT 2020
632|1001|N|N|N||Preferred Generic|199047-Famotidine10MGOralTablet|ADULT 2020
632|1001|N|N|N||Preferred Generic|1049630-DiphenhydramineHydrochloride25MGOralTablet|ADULT 2020
632|1001|N|N|N||Preferred Generic|197741-Guaifenesin200MGOralTablet|ADULT 2020
632|1001|N|N|Y||Preferred Brand|351429-24HRNicotine0.875MG/HRTransdermalSystem[NicodermC-Q]|ADULT 2020
632|1001|N|N|N||Preferred Generic|992780-MiconazoleNitrate100MGVaginalInsert|ADULT 2020
632|1001|N|N|Y||Preferred Generic|359818-Nicotine4MGOralLozenge|ADULT 2020
632|1001|N|N|Y||Preferred Generic|359817-Nicotine2MGOralLozenge|ADULT 2020
632|1001|N|N|Y||Preferred Brand|351427-24HRNicotine0.583MG/HRTransdermalSystem[NicodermC-Q]|ADULT 2020
632|1001|N|N|Y||Preferred Brand|351433-24HRNicotine0.292MG/HRTransdermalSystem[NicodermC-Q]|ADULT 2020
632|1001|N|N|Y||Preferred Generic|1250490-hydrocortisoneacetate5MG/MLTopicalCream|ADULT 2020
632|1001|N|N|Y||Preferred Generic|311975-Nicotine4MGChewingGum|ADULT 2020
632|1001|N|N|N||Preferred Generic|996520-DextromethorphanHydrobromide2MG/ML/Guaifenesin20MG/MLOralSolution|ADULT 2020
632|1001|N|N|Y||Preferred Generic|310891-Hydrocortisone25MG/MLTopicalCream|ADULT 2020
632|1001|N|N|Y||Preferred Brand|1369756-24HRLoratadine10MG/Pseudoephedrinesulfate240MGExtendedReleaseOralTablet[Allerclear]|ADULT 2020
632|1001|N|N|Y||Preferred Generic|991486-CodeinePhosphate2MG/ML/PromethazineHydrochloride1.25MG/MLOralSolution|ADULT 2020
632|1001|N|N|Y||Preferred Generic|995868-CodeinePhosphate2MG/ML/Guaifenesin20MG/MLOralSolution|ADULT 2020
632|1001|N|N|Y||Preferred Generic|991528-DextromethorphanHydrobromide3MG/ML/PromethazineHydrochloride1.25MG/MLOralSolution|ADULT 2020
632|1001|N|N|Y||Preferred Brand|351433-24HRNicotine0.292MG/HRTransdermalSystem[NicodermC-Q]|CHILD 2020
632|1001|N|N|Y||Preferred Generic|310891-Hydrocortisone25MG/MLTopicalCream|CHILD 2020
632|1001|N|N|Y||Preferred Generic|311975-Nicotine4MGChewingGum|CHILD 2020
632|1001|N|N|Y||Preferred Generic|359818-Nicotine4MGOralLozenge|CHILD 2020
632|1001|N|N|N||Preferred Generic|992780-MiconazoleNitrate100MGVaginalInsert|CHILD 2020
632|1001|N|N|Y||Preferred Generic|1250490-hydrocortisoneacetate5MG/MLTopicalCream|CHILD 2020
632|1001|N|N|Y||Preferred Brand|351429-24HRNicotine0.875MG/HRTransdermalSystem[NicodermC-Q]|CHILD 2020
632|1001|N|N|Y||Preferred Generic|991486-CodeinePhosphate2MG/ML/PromethazineHydrochloride1.25MG/MLOralSolution|CHILD 2020
632|1001|N|N|Y||Preferred Brand|1369756-24HRLoratadine10MG/Pseudoephedrinesulfate240MGExtendedReleaseOralTablet[Allerclear]|CHILD 2020
632|1001|N|N|N||Preferred Generic|996520-DextromethorphanHydrobromide2MG/ML/Guaifenesin20MG/MLOralSolution|CHILD 2020
632|1001|N|N|Y||Preferred Brand|351427-24HRNicotine0.583MG/HRTransdermalSystem[NicodermC-Q]|CHILD 2020
632|1001|N|N|Y||Preferred Generic|359817-Nicotine2MGOralLozenge|CHILD 2020
632|1001|N|N|Y||Preferred Generic|991528-DextromethorphanHydrobromide3MG/ML/PromethazineHydrochloride1.25MG/MLOralSolution|CHILD 2020
632|1001|N|N|Y||Preferred Generic|995868-CodeinePhosphate2MG/ML/Guaifenesin20MG/MLOralSolution|CHILD 2020
632|1001|N|N|N||Preferred Generic|318272-Aspirin81MGChewableTablet|CHILD 2020
632|1001|N|N|N||Preferred Generic|198759-Niacin100MGOralTablet|CHILD 2020
632|1001|N|N|N||Preferred Generic|311372-Loratadine10MGOralTablet|CHILD 2020
632|1001|N|N|N||Preferred Generic|1095536-Psyllium6000MGPowderforOralSuspension[Konsyl]|CHILD 2020
632|1001|N|N|N||Preferred Generic|311959-Niacin500MGExtendedReleaseOralCapsule|CHILD 2020
632|1001|N|N|N||Preferred Generic|198707-Hydrocortisone5MG/MLTopicalCream|CHILD 2020
632|1001|N|N|N||Preferred Generic|313092-Sorbitol700MG/MLOralSolution|CHILD 2020
632|1001|N|N|N||Preferred Generic|311960-Niacin500MGExtendedReleaseOralTablet|CHILD 2020
632|1001|N|N|N||Preferred Generic|106258-Hydrocortisone10MG/MLTopicalCream|CHILD 2020
632|1001|N|N|N||Preferred Generic|198546-CalciumGluconate500MGOralTablet|CHILD 2020
632|1001|N|N|N||Preferred Generic|1098134-24HRNiacin1000MGExtendedReleaseOralTablet|CHILD 2020
632|1001|N|N|N||Preferred Generic|311955-Niacin250MGExtendedReleaseOralTablet|CHILD 2020
632|1001|N|N|N||Preferred Generic|1014678-cetirizinehydrochloride10MGOralTablet|CHILD 2020
632|1001|N|N|N||Preferred Generic|198024-Niacin500MGOralTablet|CHILD 2020
632|1001|N|N|N||Preferred Generic|310965-Ibuprofen200MGOralTablet|CHILD 2020
632|1001|N|N|N||Preferred Generic|1052760-magnesiumcitrate58.2MG/MLOralSolution|CHILD 2020
632|1001|N|N|N||Preferred Generic|197741-Guaifenesin200MGOralTablet|CHILD 2020
632|1001|N|N|N||Preferred Generic|198741-MagnesiumOxide400MGOralTablet|CHILD 2020
632|1001|N|N|N||Preferred Generic|310325-ferroussulfate325MGOralTablet|CHILD 2020
632|1001|N|N|N||Preferred Generic|359601-Guaifenesin400MGOralTablet|CHILD 2020
632|1001|N|N|N||Preferred Brand|1250090-Nonoxynol-90.03MG/MGVaginalGel[GynolII]|CHILD 2020
632|1001|N|N|N||Preferred Generic|1860100-ferroussulfate324MGDelayedReleaseOralTablet|CHILD 2020
632|1001|N|N|N||Preferred Generic|1020477-DiphenhydramineHydrochloride50MGOralCapsule|CHILD 2020
632|1001|N|N|N||Preferred Generic|310273-Famotidine20MGOralTablet|CHILD 2020
632|1001|N|N|N||Preferred Generic|1049630-DiphenhydramineHydrochloride25MGOralTablet|CHILD 2020
632|1001|N|N|N||Preferred Generic|1440184-hydrocortisoneacetate0.01MG/MGTopicalOintment|CHILD 2020
632|1001|N|N|N||Preferred Generic|308891-CalciumCarbonate250MG/MLOralSuspension|CHILD 2020
632|1001|N|N|N||Preferred Brand|707333-SodiumChloride0.111MEQ/MLNasalSolution[AyrSalineNasal]|CHILD 2020
632|1001|N|N|N||Preferred Generic|310604-Guaifenesin20MG/MLOralSolution|CHILD 2020
632|1001|N|N|N||Preferred Generic|308696-BenzoylPeroxide50MG/MLMedicatedLiquidSoap|CHILD 2020
632|1001|N|N|N||Preferred Generic|702249-ferroussulfate44MG/MLOralSolution|CHILD 2020
632|1001|N|N|N||Preferred Generic|142034-BenzoylPeroxide100MG/MLMedicatedLiquidSoap|CHILD 2020
632|1001|N|N|N||Preferred Generic|308689-BenzoylPeroxide0.025MG/MGTopicalGel|CHILD 2020
632|1001|N|N|N||Preferred Generic|1049167-PseudoephedrineHydrochloride60MGOralTablet|CHILD 2020
632|1001|N|N|N||Preferred Generic|577040-CalciumCarbonate648MGOralTablet|CHILD 2020
632|1001|N|N|N||Preferred Generic|308512-Bacitracin0.5UNT/MG/PolymyxinB10UNT/MGTopicalOintment|CHILD 2020
632|1001|N|N|N||Preferred Generic|1366116-bacitracinzinc0.5UNT/MGTopicalOintment|CHILD 2020
632|1001|N|N|N||Preferred Generic|832909-CalciumCarbonate1250MG/Cholecalciferol100UNTChewableTablet|CHILD 2020
632|1001|N|N|N||Preferred Generic|308416-Aspirin81MGDelayedReleaseOralTablet|CHILD 2020
632|1001|N|N|N||Preferred Brand|198467-Aspirin325MGDelayedReleaseOralTablet|CHILD 2020
632|1001|N|N|N||Preferred Generic|307675-Acetaminophen32MG/MLOralSolution|CHILD 2020
632|1001|N|N|N||Preferred Generic|847121-CalciumCitrate1500MG/Cholecalciferol250UNTOralTablet|CHILD 2020
632|1001|N|N|N||Preferred Generic|1293942-Acetaminophen500MGOralTablet[Pharbetol]|CHILD 2020
632|1001|N|N|N||Preferred Generic|282465-CalciumCarbonate1250MGOralTablet|CHILD 2020
632|1001|N|N|N||Preferred Generic|309594-vitaminB121MG/MLInjectableSolution|CHILD 2020
632|1001|N|N|N||Preferred Generic|486131-BenzoylPeroxide0.1MG/MGTopicalGel|CHILD 2020
632|1001|N|N|N||Preferred Generic|103951-Tolnaftate10MG/MLTopicalCream|CHILD 2020
632|1001|N|N|N||Preferred Generic|240029-Cholecalciferol0.125MGOralCapsule|CHILD 2020
632|1001|N|N|N||Preferred Generic|1291101-hydrocortisoneacetate25MGRectalSuppository[Anucort-HC]|CHILD 2020
632|1001|N|N|N||Preferred Generic|978006-LoperamideHydrochloride2MGOralCapsule|CHILD 2020
632|1001|N|N|N||Preferred Generic|237723-Ergocalciferol0.2MG/MLOralSolution|CHILD 2020
632|1001|N|N|N||Preferred Generic|198861-SodiumBicarbonate650MGOralTablet|CHILD 2020
632|1001|N|N|N||Preferred Brand|211633-AluminumHydroxide200MG/MagnesiumHydroxide200MG/Simethicone25MGChewableTablet[Gelusil]|CHILD 2020
632|1001|N|N|N||Preferred Generic|203105-Hydrocortisone0.01MG/MGTopicalOintment|CHILD 2020
632|1001|N|N|N||Preferred Brand|209360-Acetaminophen325MGRectalSuppository[Acephen]|CHILD 2020
632|1001|N|N|N||Preferred Generic|1115005-DocusateSodium100MGOralCapsule|CHILD 2020
632|1001|N|N|N||Preferred Generic|310324-ferroussulfate325MGDelayedReleaseOralTablet|CHILD 2020
632|1001|N|N|N||Preferred Generic|199143-Niacin250MGOralTablet|CHILD 2020
632|1001|N|N|N||Preferred Generic|103403-Hydrocortisone10MG/MLTopicalLotion|CHILD 2020
632|1001|N|N|N||Preferred Generic|199047-Famotidine10MGOralTablet|CHILD 2020
632|1001|N|N|N||Preferred Generic|1100457-PyridoxineHydrochloride25MGOralTablet|CHILD 2020
632|1001|N|N|N||Preferred Generic|198911-ZincOxide0.2MG/MGTopicalOintment|CHILD 2020
632|1001|N|N|N||Preferred Generic|992432-PromethazineHydrochloride1.25MG/MLOralSolution|CHILD 2020
632|1001|N|N|N||Preferred Generic|198630-ferrousgluconate324MGOralTablet|CHILD 2020
632|1001|N|N|N||Preferred Generic|992775-{1(MiconazoleNitrate1200MGVaginalInsert)/1(9000MG)(MiconazoleNitrate20MG/MLVaginalCream)}Pack|CHILD 2020
632|1001|N|N|N||Preferred Brand|1043063-Hydrocortisone10MG/MLTopicalLotion[AquanilHC]|CHILD 2020
632|1001|N|N|N||Preferred Generic|978006-LoperamideHydrochloride2MGOralCapsule|EXPANSION
632|1001|N|N|N||Preferred Generic|1098134-24HRNiacin1000MGExtendedReleaseOralTablet|EXPANSION
632|1001|N|N|N||Preferred Generic|847121-CalciumCitrate1500MG/Cholecalciferol250UNTOralTablet|EXPANSION
632|1001|N|N|N||Preferred Generic|1020477-DiphenhydramineHydrochloride50MGOralCapsule|EXPANSION
632|1001|N|N|N||Preferred Generic|198024-Niacin500MGOralTablet|EXPANSION
632|1001|N|N|N||Preferred Generic|832909-CalciumCarbonate1250MG/Cholecalciferol100UNTChewableTablet|EXPANSION
632|1001|N|N|N||Preferred Generic|702249-ferroussulfate44MG/MLOralSolution|EXPANSION
632|1001|N|N|N||Preferred Brand|209360-Acetaminophen325MGRectalSuppository[Acephen]|EXPANSION
632|1001|N|N|N||Preferred Generic|577040-CalciumCarbonate648MGOralTablet|EXPANSION
632|1001|N|N|N||Preferred Generic|1095536-Psyllium6000MGPowderforOralSuspension[Konsyl]|EXPANSION
632|1001|N|N|N||Preferred Generic|486131-BenzoylPeroxide0.1MG/MGTopicalGel|EXPANSION
632|1001|N|N|N||Preferred Generic|359601-Guaifenesin400MGOralTablet|EXPANSION
632|1001|N|N|N||Preferred Generic|318272-Aspirin81MGChewableTablet|EXPANSION
632|1001|N|N|N||Preferred Brand|1250090-Nonoxynol-90.03MG/MGVaginalGel[GynolII]|EXPANSION
632|1001|N|N|N||Preferred Generic|313092-Sorbitol700MG/MLOralSolution|EXPANSION
632|1001|N|N|N||Preferred Generic|106258-Hydrocortisone10MG/MLTopicalCream|EXPANSION
632|1001|N|N|N||Preferred Generic|311960-Niacin500MGExtendedReleaseOralTablet|EXPANSION
632|1001|N|N|N||Preferred Generic|1014678-cetirizinehydrochloride10MGOralTablet|EXPANSION
632|1001|N|N|N||Preferred Generic|198546-CalciumGluconate500MGOralTablet|EXPANSION
632|1001|N|N|N||Preferred Generic|311959-Niacin500MGExtendedReleaseOralCapsule|EXPANSION
632|1001|N|N|N||Preferred Generic|198630-ferrousgluconate324MGOralTablet|EXPANSION
632|1001|N|N|N||Preferred Generic|311955-Niacin250MGExtendedReleaseOralTablet|EXPANSION
632|1001|N|N|N||Preferred Generic|311372-Loratadine10MGOralTablet|EXPANSION
632|1001|N|N|N||Preferred Generic|1052760-magnesiumcitrate58.2MG/MLOralSolution|EXPANSION
632|1001|N|N|N||Preferred Generic|310965-Ibuprofen200MGOralTablet|EXPANSION
632|1001|N|N|N||Preferred Generic|197741-Guaifenesin200MGOralTablet|EXPANSION
632|1001|N|N|N||Preferred Generic|310604-Guaifenesin20MG/MLOralSolution|EXPANSION
632|1001|N|N|N||Preferred Generic|310325-ferroussulfate325MGOralTablet|EXPANSION
632|1001|N|N|N||Preferred Brand|1043063-Hydrocortisone10MG/MLTopicalLotion[AquanilHC]|EXPANSION
632|1001|N|N|N||Preferred Generic|310324-ferroussulfate325MGDelayedReleaseOralTablet|EXPANSION
632|1001|N|N|N||Preferred Generic|1049630-DiphenhydramineHydrochloride25MGOralTablet|EXPANSION
632|1001|N|N|N||Preferred Generic|310273-Famotidine20MGOralTablet|EXPANSION
632|1001|N|N|N||Preferred Brand|707333-SodiumChloride0.111MEQ/MLNasalSolution[AyrSalineNasal]|EXPANSION
632|1001|N|N|N||Preferred Generic|1440184-hydrocortisoneacetate0.01MG/MGTopicalOintment|EXPANSION
632|1001|N|N|N||Preferred Generic|309594-vitaminB121MG/MLInjectableSolution|EXPANSION
632|1001|N|N|N||Preferred Generic|308891-CalciumCarbonate250MG/MLOralSuspension|EXPANSION
632|1001|N|N|N||Preferred Generic|198741-MagnesiumOxide400MGOralTablet|EXPANSION
632|1001|N|N|N||Preferred Brand|198467-Aspirin325MGDelayedReleaseOralTablet|EXPANSION
632|1001|N|N|N||Preferred Generic|142034-BenzoylPeroxide100MG/MLMedicatedLiquidSoap|EXPANSION
632|1001|N|N|N||Preferred Generic|308696-BenzoylPeroxide50MG/MLMedicatedLiquidSoap|EXPANSION
632|1001|N|N|N||Preferred Generic|1049167-PseudoephedrineHydrochloride60MGOralTablet|EXPANSION
632|1001|N|N|N||Preferred Generic|308689-BenzoylPeroxide0.025MG/MGTopicalGel|EXPANSION
632|1001|N|N|N||Preferred Generic|1366116-bacitracinzinc0.5UNT/MGTopicalOintment|EXPANSION
632|1001|N|N|N||Preferred Generic|308512-Bacitracin0.5UNT/MG/PolymyxinB10UNT/MGTopicalOintment|EXPANSION
632|1001|N|N|N||Preferred Generic|308416-Aspirin81MGDelayedReleaseOralTablet|EXPANSION
632|1001|N|N|N||Preferred Generic|1293942-Acetaminophen500MGOralTablet[Pharbetol]|EXPANSION
632|1001|N|N|N||Preferred Generic|307675-Acetaminophen32MG/MLOralSolution|EXPANSION
632|1001|N|N|N||Preferred Generic|103951-Tolnaftate10MG/MLTopicalCream|EXPANSION
632|1001|N|N|N||Preferred Generic|282465-CalciumCarbonate1250MGOralTablet|EXPANSION
632|1001|N|N|N||Preferred Brand|211633-AluminumHydroxide200MG/MagnesiumHydroxide200MG/Simethicone25MGChewableTablet[Gelusil]|EXPANSION
632|1001|N|N|N||Preferred Generic|1291101-hydrocortisoneacetate25MGRectalSuppository[Anucort-HC]|EXPANSION
632|1001|N|N|N||Preferred Generic|240029-Cholecalciferol0.125MGOralCapsule|EXPANSION
632|1001|N|N|N||Preferred Generic|237723-Ergocalciferol0.2MG/MLOralSolution|EXPANSION
632|1001|N|N|N||Preferred Generic|1860100-ferroussulfate324MGDelayedReleaseOralTablet|EXPANSION
632|1001|N|N|N||Preferred Generic|1115005-DocusateSodium100MGOralCapsule|EXPANSION
632|1001|N|N|N||Preferred Generic|203105-Hydrocortisone0.01MG/MGTopicalOintment|EXPANSION
632|1001|N|N|N||Preferred Generic|103403-Hydrocortisone10MG/MLTopicalLotion|EXPANSION
632|1001|N|N|N||Preferred Generic|199143-Niacin250MGOralTablet|EXPANSION
632|1001|N|N|N||Preferred Generic|1100457-PyridoxineHydrochloride25MGOralTablet|EXPANSION
632|1001|N|N|N||Preferred Generic|199047-Famotidine10MGOralTablet|EXPANSION
632|1001|N|N|N||Preferred Generic|198707-Hydrocortisone5MG/MLTopicalCream|EXPANSION
632|1001|N|N|N||Preferred Generic|198759-Niacin100MGOralTablet|EXPANSION
632|1001|N|N|N||Preferred Generic|198861-SodiumBicarbonate650MGOralTablet|EXPANSION
632|1001|N|N|N||Preferred Generic|198911-ZincOxide0.2MG/MGTopicalOintment|EXPANSION
632|1001|N|N|N||Preferred Generic|992775-{1(MiconazoleNitrate1200MGVaginalInsert)/1(9000MG)(MiconazoleNitrate20MG/MLVaginalCream)}Pack|EXPANSION
632|1001|N|N|N||Preferred Generic|992432-PromethazineHydrochloride1.25MG/MLOralSolution|EXPANSION
632|1001|N|N|Y||Preferred Brand|1369756-24HRLoratadine10MG/Pseudoephedrinesulfate240MGExtendedReleaseOralTablet[Allerclear]|EXPANSION
632|1001|N|N|N||Preferred Generic|992780-MiconazoleNitrate100MGVaginalInsert|EXPANSION
632|1001|N|N|Y||Preferred Generic|310891-Hydrocortisone25MG/MLTopicalCream|EXPANSION
632|1001|N|N|Y||Preferred Generic|359817-Nicotine2MGOralLozenge|EXPANSION
632|1001|N|N|Y||Preferred Generic|995868-CodeinePhosphate2MG/ML/Guaifenesin20MG/MLOralSolution|EXPANSION
632|1001|N|N|Y||Preferred Generic|991486-CodeinePhosphate2MG/ML/PromethazineHydrochloride1.25MG/MLOralSolution|EXPANSION
632|1001|N|N|Y||Preferred Generic|311975-Nicotine4MGChewingGum|EXPANSION
632|1001|N|N|Y||Preferred Generic|991528-DextromethorphanHydrobromide3MG/ML/PromethazineHydrochloride1.25MG/MLOralSolution|EXPANSION
632|1001|N|N|Y||Preferred Brand|351429-24HRNicotine0.875MG/HRTransdermalSystem[NicodermC-Q]|EXPANSION
632|1001|N|N|Y||Preferred Brand|351427-24HRNicotine0.583MG/HRTransdermalSystem[NicodermC-Q]|EXPANSION
632|1001|N|N|Y||Preferred Brand|351433-24HRNicotine0.292MG/HRTransdermalSystem[NicodermC-Q]|EXPANSION
632|1001|N|N|N||Preferred Generic|996520-DextromethorphanHydrobromide2MG/ML/Guaifenesin20MG/MLOralSolution|EXPANSION
632|1001|N|N|Y||Preferred Generic|1250490-hydrocortisoneacetate5MG/MLTopicalCream|EXPANSION
632|1001|N|N|Y||Preferred Generic|359818-Nicotine4MGOralLozenge|EXPANSION
632|1001|N|N|Y||Preferred Generic|995868-CodeinePhosphate2MG/ML/Guaifenesin20MG/MLOralSolution|SPD
632|1001|N|N|Y||Preferred Brand|351427-24HRNicotine0.583MG/HRTransdermalSystem[NicodermC-Q]|SPD
632|1001|N|N|Y||Preferred Generic|991528-DextromethorphanHydrobromide3MG/ML/PromethazineHydrochloride1.25MG/MLOralSolution|SPD
632|1001|N|N|N||Preferred Generic|992780-MiconazoleNitrate100MGVaginalInsert|SPD
632|1001|N|N|Y||Preferred Generic|359817-Nicotine2MGOralLozenge|SPD
632|1001|N|N|Y||Preferred Generic|359818-Nicotine4MGOralLozenge|SPD
632|1001|N|N|Y||Preferred Generic|311975-Nicotine4MGChewingGum|SPD
632|1001|N|N|Y||Preferred Generic|991486-CodeinePhosphate2MG/ML/PromethazineHydrochloride1.25MG/MLOralSolution|SPD
632|1001|N|N|Y||Preferred Generic|1250490-hydrocortisoneacetate5MG/MLTopicalCream|SPD
632|1001|N|N|N||Preferred Generic|996520-DextromethorphanHydrobromide2MG/ML/Guaifenesin20MG/MLOralSolution|SPD
632|1001|N|N|Y||Preferred Brand|1369756-24HRLoratadine10MG/Pseudoephedrinesulfate240MGExtendedReleaseOralTablet[Allerclear]|SPD
632|1001|N|N|Y||Preferred Brand|351433-24HRNicotine0.292MG/HRTransdermalSystem[NicodermC-Q]|SPD
632|1001|N|N|Y||Preferred Generic|310891-Hydrocortisone25MG/MLTopicalCream|SPD
632|1001|N|N|Y||Preferred Brand|351429-24HRNicotine0.875MG/HRTransdermalSystem[NicodermC-Q]|SPD
632|1001|N|N|N||Preferred Generic|847121-CalciumCitrate1500MG/Cholecalciferol250UNTOralTablet|SPD
632|1001|N|N|N||Preferred Generic|198759-Niacin100MGOralTablet|SPD
632|1001|N|N|N||Preferred Generic|832909-CalciumCarbonate1250MG/Cholecalciferol100UNTChewableTablet|SPD
632|1001|N|N|N||Preferred Generic|702249-ferroussulfate44MG/MLOralSolution|SPD
632|1001|N|N|N||Preferred Generic|1095536-Psyllium6000MGPowderforOralSuspension[Konsyl]|SPD
632|1001|N|N|N||Preferred Generic|198741-MagnesiumOxide400MGOralTablet|SPD
632|1001|N|N|N||Preferred Generic|577040-CalciumCarbonate648MGOralTablet|SPD
632|1001|N|N|N||Preferred Generic|486131-BenzoylPeroxide0.1MG/MGTopicalGel|SPD
632|1001|N|N|N||Preferred Generic|198707-Hydrocortisone5MG/MLTopicalCream|SPD
632|1001|N|N|N||Preferred Generic|359601-Guaifenesin400MGOralTablet|SPD
632|1001|N|N|N||Preferred Generic|318272-Aspirin81MGChewableTablet|SPD
632|1001|N|N|N||Preferred Generic|1014678-cetirizinehydrochloride10MGOralTablet|SPD
632|1001|N|N|N||Preferred Generic|106258-Hydrocortisone10MG/MLTopicalCream|SPD
632|1001|N|N|N||Preferred Generic|198630-ferrousgluconate324MGOralTablet|SPD
632|1001|N|N|N||Preferred Generic|313092-Sorbitol700MG/MLOralSolution|SPD
632|1001|N|N|N||Preferred Generic|311960-Niacin500MGExtendedReleaseOralTablet|SPD
632|1001|N|N|N||Preferred Generic|198546-CalciumGluconate500MGOralTablet|SPD
632|1001|N|N|N||Preferred Generic|311959-Niacin500MGExtendedReleaseOralCapsule|SPD
632|1001|N|N|N||Preferred Generic|311955-Niacin250MGExtendedReleaseOralTablet|SPD
632|1001|N|N|N||Preferred Generic|1052760-magnesiumcitrate58.2MG/MLOralSolution|SPD
632|1001|N|N|N||Preferred Generic|198024-Niacin500MGOralTablet|SPD
632|1001|N|N|N||Preferred Generic|311372-Loratadine10MGOralTablet|SPD
632|1001|N|N|N||Preferred Generic|310965-Ibuprofen200MGOralTablet|SPD
632|1001|N|N|N||Preferred Generic|197741-Guaifenesin200MGOralTablet|SPD
632|1001|N|N|N||Preferred Generic|310604-Guaifenesin20MG/MLOralSolution|SPD
632|1001|N|N|N||Preferred Generic|310325-ferroussulfate325MGOralTablet|SPD
632|1001|N|N|N||Preferred Brand|198467-Aspirin325MGDelayedReleaseOralTablet|SPD
632|1001|N|N|N||Preferred Brand|707333-SodiumChloride0.111MEQ/MLNasalSolution[AyrSalineNasal]|SPD
632|1001|N|N|N||Preferred Generic|1049630-DiphenhydramineHydrochloride25MGOralTablet|SPD
632|1001|N|N|N||Preferred Generic|1860100-ferroussulfate324MGDelayedReleaseOralTablet|SPD
632|1001|N|N|N||Preferred Generic|310324-ferroussulfate325MGDelayedReleaseOralTablet|SPD
632|1001|N|N|N||Preferred Generic|310273-Famotidine20MGOralTablet|SPD
632|1001|N|N|N||Preferred Generic|1440184-hydrocortisoneacetate0.01MG/MGTopicalOintment|SPD
632|1001|N|N|N||Preferred Generic|309594-vitaminB121MG/MLInjectableSolution|SPD
632|1001|N|N|N||Preferred Generic|308891-CalciumCarbonate250MG/MLOralSuspension|SPD
632|1001|N|N|N||Preferred Generic|1049167-PseudoephedrineHydrochloride60MGOralTablet|SPD
632|1001|N|N|N||Preferred Generic|142034-BenzoylPeroxide100MG/MLMedicatedLiquidSoap|SPD
632|1001|N|N|N||Preferred Generic|308696-BenzoylPeroxide50MG/MLMedicatedLiquidSoap|SPD
632|1001|N|N|N||Preferred Generic|308689-BenzoylPeroxide0.025MG/MGTopicalGel|SPD
632|1001|N|N|N||Preferred Generic|1366116-bacitracinzinc0.5UNT/MGTopicalOintment|SPD
632|1001|N|N|N||Preferred Generic|308512-Bacitracin0.5UNT/MG/PolymyxinB10UNT/MGTopicalOintment|SPD
632|1001|N|N|N||Preferred Generic|308416-Aspirin81MGDelayedReleaseOralTablet|SPD
632|1001|N|N|N||Preferred Brand|211633-AluminumHydroxide200MG/MagnesiumHydroxide200MG/Simethicone25MGChewableTablet[Gelusil]|SPD
632|1001|N|N|N||Preferred Generic|103951-Tolnaftate10MG/MLTopicalCream|SPD
632|1001|N|N|N||Preferred Generic|1293942-Acetaminophen500MGOralTablet[Pharbetol]|SPD
632|1001|N|N|N||Preferred Generic|307675-Acetaminophen32MG/MLOralSolution|SPD
632|1001|N|N|N||Preferred Generic|282465-CalciumCarbonate1250MGOralTablet|SPD
632|1001|N|N|N||Preferred Generic|1291101-hydrocortisoneacetate25MGRectalSuppository[Anucort-HC]|SPD
632|1001|N|N|N||Preferred Generic|240029-Cholecalciferol0.125MGOralCapsule|SPD
632|1001|N|N|N||Preferred Generic|237723-Ergocalciferol0.2MG/MLOralSolution|SPD
632|1001|N|N|N||Preferred Generic|103403-Hydrocortisone10MG/MLTopicalLotion|SPD
632|1001|N|N|N||Preferred Generic|1115005-DocusateSodium100MGOralCapsule|SPD
632|1001|N|N|N||Preferred Generic|203105-Hydrocortisone0.01MG/MGTopicalOintment|SPD
632|1001|N|N|N||Preferred Generic|199143-Niacin250MGOralTablet|SPD
632|1001|N|N|N||Preferred Generic|1100457-PyridoxineHydrochloride25MGOralTablet|SPD
632|1001|N|N|N||Preferred Generic|199047-Famotidine10MGOralTablet|SPD
632|1001|N|N|N||Preferred Generic|198911-ZincOxide0.2MG/MGTopicalOintment|SPD
632|1001|N|N|N||Preferred Generic|992775-{1(MiconazoleNitrate1200MGVaginalInsert)/1(9000MG)(MiconazoleNitrate20MG/MLVaginalCream)}Pack|SPD
632|1001|N|N|N||Preferred Generic|992432-PromethazineHydrochloride1.25MG/MLOralSolution|SPD
632|1001|N|N|N||Preferred Brand|1043063-Hydrocortisone10MG/MLTopicalLotion[AquanilHC]|SPD
632|1001|N|N|N||Preferred Brand|1250090-Nonoxynol-90.03MG/MGVaginalGel[GynolII]|SPD
632|1001|N|N|N||Preferred Brand|209360-Acetaminophen325MGRectalSuppository[Acephen]|SPD
632|1001|N|N|N||Preferred Generic|1020477-DiphenhydramineHydrochloride50MGOralCapsule|SPD
632|1001|N|N|N||Preferred Generic|1098134-24HRNiacin1000MGExtendedReleaseOralTablet|SPD
632|1001|N|N|N||Preferred Generic|198861-SodiumBicarbonate650MGOralTablet|SPD
632|1001|N|N|N||Preferred Generic|978006-LoperamideHydrochloride2MGOralCapsule|SPD
632|2002|N|N|Y||Preferred Generic|995868-CodeinePhosphate2MG/ML/Guaifenesin20MG/MLOralSolution|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|197741-Guaifenesin200MGOralTablet|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|1049167-PseudoephedrineHydrochloride60MGOralTablet|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Brand|1043063-Hydrocortisone10MG/MLTopicalLotion[AquanilHC]|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|198861-SodiumBicarbonate650MGOralTablet|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|103403-Hydrocortisone10MG/MLTopicalLotion|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|198024-Niacin500MGOralTablet|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Brand|707333-SodiumChloride0.111MEQ/MLNasalSolution[AyrSalineNasal]|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|1020477-DiphenhydramineHydrochloride50MGOralCapsule|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|1860100-ferroussulfate324MGDelayedReleaseOralTablet|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|103951-Tolnaftate10MG/MLTopicalCream|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|1049630-DiphenhydramineHydrochloride25MGOralTablet|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|1014678-cetirizinehydrochloride10MGOralTablet|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Brand|1250090-Nonoxynol-90.03MG/MGVaginalGel[GynolII]|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|142034-BenzoylPeroxide100MG/MLMedicatedLiquidSoap|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|1366116-bacitracinzinc0.5UNT/MGTopicalOintment|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|198630-ferrousgluconate324MGOralTablet|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Brand|209360-Acetaminophen325MGRectalSuppository[Acephen]|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|1293942-Acetaminophen500MGOralTablet[Pharbetol]|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|1291101-hydrocortisoneacetate25MGRectalSuppository[Anucort-HC]|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Brand|211633-AluminumHydroxide200MG/MagnesiumHydroxide200MG/Simethicone25MGChewableTablet[Gelusil]|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|199047-Famotidine10MGOralTablet|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|1115005-DocusateSodium100MGOralCapsule|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|199143-Niacin250MGOralTablet|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|1100457-PyridoxineHydrochloride25MGOralTablet|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|198546-CalciumGluconate500MGOralTablet|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|198707-Hydrocortisone5MG/MLTopicalCream|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|1098134-24HRNiacin1000MGExtendedReleaseOralTablet|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|198759-Niacin100MGOralTablet|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|1095536-Psyllium6000MGPowderforOralSuspension[Konsyl]|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Brand|198467-Aspirin325MGDelayedReleaseOralTablet|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|198741-MagnesiumOxide400MGOralTablet|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|106258-Hydrocortisone10MG/MLTopicalCream|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|1052760-magnesiumcitrate58.2MG/MLOralSolution|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|1440184-hydrocortisoneacetate0.01MG/MGTopicalOintment|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|198911-ZincOxide0.2MG/MGTopicalOintment|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|310324-ferroussulfate325MGDelayedReleaseOralTablet|ADULT FULL DUALS/PARTIAL
632|2002|N|N|Y||Preferred Brand|351427-24HRNicotine0.583MG/HRTransdermalSystem[NicodermC-Q]|ADULT FULL DUALS/PARTIAL
632|2002|N|N|Y||Preferred Brand|1369756-24HRLoratadine10MG/Pseudoephedrinesulfate240MGExtendedReleaseOralTablet[Allerclear]|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|237723-Ergocalciferol0.2MG/MLOralSolution|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|308689-BenzoylPeroxide0.025MG/MGTopicalGel|ADULT FULL DUALS/PARTIAL
632|2002|N|N|Y||Preferred Generic|310891-Hydrocortisone25MG/MLTopicalCream|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|282465-CalciumCarbonate1250MGOralTablet|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|311960-Niacin500MGExtendedReleaseOralTablet|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|203105-Hydrocortisone0.01MG/MGTopicalOintment|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|311372-Loratadine10MGOralTablet|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|832909-CalciumCarbonate1250MG/Cholecalciferol100UNTChewableTablet|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|311955-Niacin250MGExtendedReleaseOralTablet|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|992780-MiconazoleNitrate100MGVaginalInsert|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|240029-Cholecalciferol0.125MGOralCapsule|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|310965-Ibuprofen200MGOralTablet|ADULT FULL DUALS/PARTIAL
632|2002|N|N|Y||Preferred Generic|311975-Nicotine4MGChewingGum|ADULT FULL DUALS/PARTIAL
632|2002|N|N|Y||Preferred Brand|351433-24HRNicotine0.292MG/HRTransdermalSystem[NicodermC-Q]|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|310604-Guaifenesin20MG/MLOralSolution|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|359601-Guaifenesin400MGOralTablet|ADULT FULL DUALS/PARTIAL
632|2002|N|N|Y||Preferred Generic|991486-CodeinePhosphate2MG/ML/PromethazineHydrochloride1.25MG/MLOralSolution|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|307675-Acetaminophen32MG/MLOralSolution|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|996520-DextromethorphanHydrobromide2MG/ML/Guaifenesin20MG/MLOralSolution|ADULT FULL DUALS/PARTIAL
632|2002|N|N|Y||Preferred Brand|351429-24HRNicotine0.875MG/HRTransdermalSystem[NicodermC-Q]|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|313092-Sorbitol700MG/MLOralSolution|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|310273-Famotidine20MGOralTablet|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|978006-LoperamideHydrochloride2MGOralCapsule|ADULT FULL DUALS/PARTIAL
632|2002|N|N|Y||Preferred Generic|359817-Nicotine2MGOralLozenge|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|847121-CalciumCitrate1500MG/Cholecalciferol250UNTOralTablet|ADULT FULL DUALS/PARTIAL
632|2002|N|N|Y||Preferred Generic|991528-DextromethorphanHydrobromide3MG/ML/PromethazineHydrochloride1.25MG/MLOralSolution|ADULT FULL DUALS/PARTIAL
632|2002|N|N|Y||Preferred Generic|1250490-hydrocortisoneacetate5MG/MLTopicalCream|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|992775-{1(MiconazoleNitrate1200MGVaginalInsert)/1(9000MG)(MiconazoleNitrate20MG/MLVaginalCream)}Pack|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|318272-Aspirin81MGChewableTablet|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|308696-BenzoylPeroxide50MG/MLMedicatedLiquidSoap|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|309594-vitaminB121MG/MLInjectableSolution|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|702249-ferroussulfate44MG/MLOralSolution|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|308416-Aspirin81MGDelayedReleaseOralTablet|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|486131-BenzoylPeroxide0.1MG/MGTopicalGel|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|577040-CalciumCarbonate648MGOralTablet|ADULT FULL DUALS/PARTIAL
632|2002|N|N|Y||Preferred Generic|359818-Nicotine4MGOralLozenge|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|311959-Niacin500MGExtendedReleaseOralCapsule|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|308891-CalciumCarbonate250MG/MLOralSuspension|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|310325-ferroussulfate325MGOralTablet|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|308512-Bacitracin0.5UNT/MG/PolymyxinB10UNT/MGTopicalOintment|ADULT FULL DUALS/PARTIAL
632|2002|N|N|N||Preferred Generic|992432-PromethazineHydrochloride1.25MG/MLOralSolution|ADULT FULL DUALS/PARTIAL
632|2002|N|N|Y||Preferred Generic|310891-Hydrocortisone25MG/MLTopicalCream|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|308689-BenzoylPeroxide0.025MG/MGTopicalGel|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|307675-Acetaminophen32MG/MLOralSolution|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|308416-Aspirin81MGDelayedReleaseOralTablet|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|311959-Niacin500MGExtendedReleaseOralCapsule|AGED FULL DUALS
632|2002|N|N|Y||Preferred Generic|991528-DextromethorphanHydrobromide3MG/ML/PromethazineHydrochloride1.25MG/MLOralSolution|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|996520-DextromethorphanHydrobromide2MG/ML/Guaifenesin20MG/MLOralSolution|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|311372-Loratadine10MGOralTablet|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|978006-LoperamideHydrochloride2MGOralCapsule|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|992432-PromethazineHydrochloride1.25MG/MLOralSolution|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|992780-MiconazoleNitrate100MGVaginalInsert|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|486131-BenzoylPeroxide0.1MG/MGTopicalGel|AGED FULL DUALS
632|2002|N|N|Y||Preferred Generic|1250490-hydrocortisoneacetate5MG/MLTopicalCream|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|310965-Ibuprofen200MGOralTablet|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|203105-Hydrocortisone0.01MG/MGTopicalOintment|AGED FULL DUALS
632|2002|N|N|Y||Preferred Brand|351429-24HRNicotine0.875MG/HRTransdermalSystem[NicodermC-Q]|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|313092-Sorbitol700MG/MLOralSolution|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|310604-Guaifenesin20MG/MLOralSolution|AGED FULL DUALS
632|2002|N|N|Y||Preferred Generic|359818-Nicotine4MGOralLozenge|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|310325-ferroussulfate325MGOralTablet|AGED FULL DUALS
632|2002|N|N|Y||Preferred Generic|359817-Nicotine2MGOralLozenge|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|992775-{1(MiconazoleNitrate1200MGVaginalInsert)/1(9000MG)(MiconazoleNitrate20MG/MLVaginalCream)}Pack|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|237723-Ergocalciferol0.2MG/MLOralSolution|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|832909-CalciumCarbonate1250MG/Cholecalciferol100UNTChewableTablet|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|309594-vitaminB121MG/MLInjectableSolution|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|702249-ferroussulfate44MG/MLOralSolution|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|310324-ferroussulfate325MGDelayedReleaseOralTablet|AGED FULL DUALS
632|2002|N|N|Y||Preferred Brand|351427-24HRNicotine0.583MG/HRTransdermalSystem[NicodermC-Q]|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|311960-Niacin500MGExtendedReleaseOralTablet|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|577040-CalciumCarbonate648MGOralTablet|AGED FULL DUALS
632|2002|N|N|Y||Preferred Brand|351433-24HRNicotine0.292MG/HRTransdermalSystem[NicodermC-Q]|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|308696-BenzoylPeroxide50MG/MLMedicatedLiquidSoap|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|311955-Niacin250MGExtendedReleaseOralTablet|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|847121-CalciumCitrate1500MG/Cholecalciferol250UNTOralTablet|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|310273-Famotidine20MGOralTablet|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|308512-Bacitracin0.5UNT/MG/PolymyxinB10UNT/MGTopicalOintment|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|282465-CalciumCarbonate1250MGOralTablet|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|359601-Guaifenesin400MGOralTablet|AGED FULL DUALS
632|2002|N|N|Y||Preferred Brand|1369756-24HRLoratadine10MG/Pseudoephedrinesulfate240MGExtendedReleaseOralTablet[Allerclear]|AGED FULL DUALS
632|2002|N|N|Y||Preferred Generic|311975-Nicotine4MGChewingGum|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|308891-CalciumCarbonate250MG/MLOralSuspension|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|318272-Aspirin81MGChewableTablet|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|240029-Cholecalciferol0.125MGOralCapsule|AGED FULL DUALS
632|2002|N|N|Y||Preferred Generic|991486-CodeinePhosphate2MG/ML/PromethazineHydrochloride1.25MG/MLOralSolution|AGED FULL DUALS
632|2002|N|N|Y||Preferred Generic|995868-CodeinePhosphate2MG/ML/Guaifenesin20MG/MLOralSolution|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|1049167-PseudoephedrineHydrochloride60MGOralTablet|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|1049630-DiphenhydramineHydrochloride25MGOralTablet|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|198759-Niacin100MGOralTablet|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|103951-Tolnaftate10MG/MLTopicalCream|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|198861-SodiumBicarbonate650MGOralTablet|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|103403-Hydrocortisone10MG/MLTopicalLotion|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|198024-Niacin500MGOralTablet|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|198546-CalciumGluconate500MGOralTablet|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|1020477-DiphenhydramineHydrochloride50MGOralCapsule|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|1860100-ferroussulfate324MGDelayedReleaseOralTablet|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|198741-MagnesiumOxide400MGOralTablet|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|1014678-cetirizinehydrochloride10MGOralTablet|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|198630-ferrousgluconate324MGOralTablet|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|1366116-bacitracinzinc0.5UNT/MGTopicalOintment|AGED FULL DUALS
632|2002|N|N|N||Preferred Brand|707333-SodiumChloride0.111MEQ/MLNasalSolution[AyrSalineNasal]|AGED FULL DUALS
632|2002|N|N|N||Preferred Brand|1250090-Nonoxynol-90.03MG/MGVaginalGel[GynolII]|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|1293942-Acetaminophen500MGOralTablet[Pharbetol]|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|198911-ZincOxide0.2MG/MGTopicalOintment|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|1291101-hydrocortisoneacetate25MGRectalSuppository[Anucort-HC]|AGED FULL DUALS
632|2002|N|N|N||Preferred Brand|211633-AluminumHydroxide200MG/MagnesiumHydroxide200MG/Simethicone25MGChewableTablet[Gelusil]|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|1115005-DocusateSodium100MGOralCapsule|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|198707-Hydrocortisone5MG/MLTopicalCream|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|1100457-PyridoxineHydrochloride25MGOralTablet|AGED FULL DUALS
632|2002|N|N|N||Preferred Brand|209360-Acetaminophen325MGRectalSuppository[Acephen]|AGED FULL DUALS
632|2002|N|N|N||Preferred Brand|1043063-Hydrocortisone10MG/MLTopicalLotion[AquanilHC]|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|1098134-24HRNiacin1000MGExtendedReleaseOralTablet|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|1440184-hydrocortisoneacetate0.01MG/MGTopicalOintment|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|199143-Niacin250MGOralTablet|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|197741-Guaifenesin200MGOralTablet|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|1095536-Psyllium6000MGPowderforOralSuspension[Konsyl]|AGED FULL DUALS
632|2002|N|N|N||Preferred Brand|198467-Aspirin325MGDelayedReleaseOralTablet|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|106258-Hydrocortisone10MG/MLTopicalCream|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|142034-BenzoylPeroxide100MG/MLMedicatedLiquidSoap|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|1052760-magnesiumcitrate58.2MG/MLOralSolution|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|199047-Famotidine10MGOralTablet|AGED FULL DUALS
632|2002|N|N|N||Preferred Generic|198911-ZincOxide0.2MG/MGTopicalOintment|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|198861-SodiumBicarbonate650MGOralTablet|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|198759-Niacin100MGOralTablet|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Brand|1043063-Hydrocortisone10MG/MLTopicalLotion[AquanilHC]|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|198741-MagnesiumOxide400MGOralTablet|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|1049167-PseudoephedrineHydrochloride60MGOralTablet|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|103951-Tolnaftate10MG/MLTopicalCream|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|198707-Hydrocortisone5MG/MLTopicalCream|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|198630-ferrousgluconate324MGOralTablet|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|103403-Hydrocortisone10MG/MLTopicalLotion|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|198546-CalciumGluconate500MGOralTablet|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|198024-Niacin500MGOralTablet|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|1020477-DiphenhydramineHydrochloride50MGOralCapsule|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|197741-Guaifenesin200MGOralTablet|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|1860100-ferroussulfate324MGDelayedReleaseOralTablet|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|1440184-hydrocortisoneacetate0.01MG/MGTopicalOintment|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|142034-BenzoylPeroxide100MG/MLMedicatedLiquidSoap|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|1049630-DiphenhydramineHydrochloride25MGOralTablet|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Brand|707333-SodiumChloride0.111MEQ/MLNasalSolution[AyrSalineNasal]|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|1366116-bacitracinzinc0.5UNT/MGTopicalOintment|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|1293942-Acetaminophen500MGOralTablet[Pharbetol]|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Brand|211633-AluminumHydroxide200MG/MagnesiumHydroxide200MG/Simethicone25MGChewableTablet[Gelusil]|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|1291101-hydrocortisoneacetate25MGRectalSuppository[Anucort-HC]|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|1115005-DocusateSodium100MGOralCapsule|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|1014678-cetirizinehydrochloride10MGOralTablet|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Brand|209360-Acetaminophen325MGRectalSuppository[Acephen]|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|1100457-PyridoxineHydrochloride25MGOralTablet|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|1098134-24HRNiacin1000MGExtendedReleaseOralTablet|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Brand|198467-Aspirin325MGDelayedReleaseOralTablet|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|1095536-Psyllium6000MGPowderforOralSuspension[Konsyl]|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|106258-Hydrocortisone10MG/MLTopicalCream|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|1052760-magnesiumcitrate58.2MG/MLOralSolution|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|199143-Niacin250MGOralTablet|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Brand|1250090-Nonoxynol-90.03MG/MGVaginalGel[GynolII]|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|199047-Famotidine10MGOralTablet|DISABLED FULL DUALS
632|2002|N|N|Y||Preferred Generic|359818-Nicotine4MGOralLozenge|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|282465-CalciumCarbonate1250MGOralTablet|DISABLED FULL DUALS
632|2002|N|N|Y||Preferred Generic|359817-Nicotine2MGOralLozenge|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|308891-CalciumCarbonate250MG/MLOralSuspension|DISABLED FULL DUALS
632|2002|N|N|Y||Preferred Generic|310891-Hydrocortisone25MG/MLTopicalCream|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|237723-Ergocalciferol0.2MG/MLOralSolution|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|311959-Niacin500MGExtendedReleaseOralCapsule|DISABLED FULL DUALS
632|2002|N|N|Y||Preferred Generic|1250490-hydrocortisoneacetate5MG/MLTopicalCream|DISABLED FULL DUALS
632|2002|N|N|Y||Preferred Brand|351433-24HRNicotine0.292MG/HRTransdermalSystem[NicodermC-Q]|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|310273-Famotidine20MGOralTablet|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|308696-BenzoylPeroxide50MG/MLMedicatedLiquidSoap|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|310965-Ibuprofen200MGOralTablet|DISABLED FULL DUALS
632|2002|N|N|Y||Preferred Brand|351427-24HRNicotine0.583MG/HRTransdermalSystem[NicodermC-Q]|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|307675-Acetaminophen32MG/MLOralSolution|DISABLED FULL DUALS
632|2002|N|N|Y||Preferred Brand|1369756-24HRLoratadine10MG/Pseudoephedrinesulfate240MGExtendedReleaseOralTablet[Allerclear]|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|311960-Niacin500MGExtendedReleaseOralTablet|DISABLED FULL DUALS
632|2002|N|N|Y||Preferred Brand|351429-24HRNicotine0.875MG/HRTransdermalSystem[NicodermC-Q]|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|996520-DextromethorphanHydrobromide2MG/ML/Guaifenesin20MG/MLOralSolution|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|992780-MiconazoleNitrate100MGVaginalInsert|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|308689-BenzoylPeroxide0.025MG/MGTopicalGel|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|992775-{1(MiconazoleNitrate1200MGVaginalInsert)/1(9000MG)(MiconazoleNitrate20MG/MLVaginalCream)}Pack|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|310604-Guaifenesin20MG/MLOralSolution|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|992432-PromethazineHydrochloride1.25MG/MLOralSolution|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|978006-LoperamideHydrochloride2MGOralCapsule|DISABLED FULL DUALS
632|2002|N|N|Y||Preferred Generic|311975-Nicotine4MGChewingGum|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|847121-CalciumCitrate1500MG/Cholecalciferol250UNTOralTablet|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|203105-Hydrocortisone0.01MG/MGTopicalOintment|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|308512-Bacitracin0.5UNT/MG/PolymyxinB10UNT/MGTopicalOintment|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|311372-Loratadine10MGOralTablet|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|832909-CalciumCarbonate1250MG/Cholecalciferol100UNTChewableTablet|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|311955-Niacin250MGExtendedReleaseOralTablet|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|310324-ferroussulfate325MGDelayedReleaseOralTablet|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|702249-ferroussulfate44MG/MLOralSolution|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|310325-ferroussulfate325MGOralTablet|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|313092-Sorbitol700MG/MLOralSolution|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|577040-CalciumCarbonate648MGOralTablet|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|486131-BenzoylPeroxide0.1MG/MGTopicalGel|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|308416-Aspirin81MGDelayedReleaseOralTablet|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|240029-Cholecalciferol0.125MGOralCapsule|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|359601-Guaifenesin400MGOralTablet|DISABLED FULL DUALS
632|2002|N|N|Y||Preferred Generic|991528-DextromethorphanHydrobromide3MG/ML/PromethazineHydrochloride1.25MG/MLOralSolution|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|309594-vitaminB121MG/MLInjectableSolution|DISABLED FULL DUALS
632|2002|N|N|N||Preferred Generic|318272-Aspirin81MGChewableTablet|DISABLED FULL DUALS
632|2002|N|N|Y||Preferred Generic|991486-CodeinePhosphate2MG/ML/PromethazineHydrochloride1.25MG/MLOralSolution|DISABLED FULL DUALS
632|2002|N|N|Y||Preferred Generic|995868-CodeinePhosphate2MG/ML/Guaifenesin20MG/MLOralSolution|DISABLED FULL DUALS
632|2002|N|N|Y||Preferred Generic|995868-CodeinePhosphate2MG/ML/Guaifenesin20MG/MLOralSolution|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|198759-Niacin100MGOralTablet|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|1049167-PseudoephedrineHydrochloride60MGOralTablet|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|198741-MagnesiumOxide400MGOralTablet|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|103951-Tolnaftate10MG/MLTopicalCream|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|198707-Hydrocortisone5MG/MLTopicalCream|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|198630-ferrousgluconate324MGOralTablet|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|198546-CalciumGluconate500MGOralTablet|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|198861-SodiumBicarbonate650MGOralTablet|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|198024-Niacin500MGOralTablet|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|1020477-DiphenhydramineHydrochloride50MGOralCapsule|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|197741-Guaifenesin200MGOralTablet|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Brand|1043063-Hydrocortisone10MG/MLTopicalLotion[AquanilHC]|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|1860100-ferroussulfate324MGDelayedReleaseOralTablet|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|1014678-cetirizinehydrochloride10MGOralTablet|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|1440184-hydrocortisoneacetate0.01MG/MGTopicalOintment|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|1049630-DiphenhydramineHydrochloride25MGOralTablet|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|198911-ZincOxide0.2MG/MGTopicalOintment|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|142034-BenzoylPeroxide100MG/MLMedicatedLiquidSoap|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Brand|707333-SodiumChloride0.111MEQ/MLNasalSolution[AyrSalineNasal]|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|1366116-bacitracinzinc0.5UNT/MGTopicalOintment|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|1293942-Acetaminophen500MGOralTablet[Pharbetol]|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|103403-Hydrocortisone10MG/MLTopicalLotion|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Brand|211633-AluminumHydroxide200MG/MagnesiumHydroxide200MG/Simethicone25MGChewableTablet[Gelusil]|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|1291101-hydrocortisoneacetate25MGRectalSuppository[Anucort-HC]|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|1115005-DocusateSodium100MGOralCapsule|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Brand|209360-Acetaminophen325MGRectalSuppository[Acephen]|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|1100457-PyridoxineHydrochloride25MGOralTablet|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|1098134-24HRNiacin1000MGExtendedReleaseOralTablet|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Brand|198467-Aspirin325MGDelayedReleaseOralTablet|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|1095536-Psyllium6000MGPowderforOralSuspension[Konsyl]|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|106258-Hydrocortisone10MG/MLTopicalCream|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Brand|1250090-Nonoxynol-90.03MG/MGVaginalGel[GynolII]|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|1052760-magnesiumcitrate58.2MG/MLOralSolution|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|199143-Niacin250MGOralTablet|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|199047-Famotidine10MGOralTablet|EXPANSION FULL DUALS
632|2002|N|N|Y||Preferred Generic|311975-Nicotine4MGChewingGum|EXPANSION FULL DUALS
632|2002|N|N|Y||Preferred Generic|310891-Hydrocortisone25MG/MLTopicalCream|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|311959-Niacin500MGExtendedReleaseOralCapsule|EXPANSION FULL DUALS
632|2002|N|N|Y||Preferred Generic|1250490-hydrocortisoneacetate5MG/MLTopicalCream|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|203105-Hydrocortisone0.01MG/MGTopicalOintment|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|308696-BenzoylPeroxide50MG/MLMedicatedLiquidSoap|EXPANSION FULL DUALS
632|2002|N|N|Y||Preferred Brand|351429-24HRNicotine0.875MG/HRTransdermalSystem[NicodermC-Q]|EXPANSION FULL DUALS
632|2002|N|N|Y||Preferred Brand|351427-24HRNicotine0.583MG/HRTransdermalSystem[NicodermC-Q]|EXPANSION FULL DUALS
632|2002|N|N|Y||Preferred Brand|1369756-24HRLoratadine10MG/Pseudoephedrinesulfate240MGExtendedReleaseOralTablet[Allerclear]|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|311960-Niacin500MGExtendedReleaseOralTablet|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|996520-DextromethorphanHydrobromide2MG/ML/Guaifenesin20MG/MLOralSolution|EXPANSION FULL DUALS
632|2002|N|N|Y||Preferred Brand|351433-24HRNicotine0.292MG/HRTransdermalSystem[NicodermC-Q]|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|237723-Ergocalciferol0.2MG/MLOralSolution|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|308689-BenzoylPeroxide0.025MG/MGTopicalGel|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|310965-Ibuprofen200MGOralTablet|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|307675-Acetaminophen32MG/MLOralSolution|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|282465-CalciumCarbonate1250MGOralTablet|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|992780-MiconazoleNitrate100MGVaginalInsert|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|311372-Loratadine10MGOralTablet|EXPANSION FULL DUALS
632|2002|N|N|Y||Preferred Generic|359817-Nicotine2MGOralLozenge|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|992775-{1(MiconazoleNitrate1200MGVaginalInsert)/1(9000MG)(MiconazoleNitrate20MG/MLVaginalCream)}Pack|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|308891-CalciumCarbonate250MG/MLOralSuspension|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|310604-Guaifenesin20MG/MLOralSolution|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|992432-PromethazineHydrochloride1.25MG/MLOralSolution|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|978006-LoperamideHydrochloride2MGOralCapsule|EXPANSION FULL DUALS
632|2002|N|N|Y||Preferred Generic|359818-Nicotine4MGOralLozenge|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|308512-Bacitracin0.5UNT/MG/PolymyxinB10UNT/MGTopicalOintment|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|310325-ferroussulfate325MGOralTablet|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|847121-CalciumCitrate1500MG/Cholecalciferol250UNTOralTablet|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|313092-Sorbitol700MG/MLOralSolution|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|832909-CalciumCarbonate1250MG/Cholecalciferol100UNTChewableTablet|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|310324-ferroussulfate325MGDelayedReleaseOralTablet|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|702249-ferroussulfate44MG/MLOralSolution|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|311955-Niacin250MGExtendedReleaseOralTablet|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|577040-CalciumCarbonate648MGOralTablet|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|308416-Aspirin81MGDelayedReleaseOralTablet|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|310273-Famotidine20MGOralTablet|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|240029-Cholecalciferol0.125MGOralCapsule|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|486131-BenzoylPeroxide0.1MG/MGTopicalGel|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|359601-Guaifenesin400MGOralTablet|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|309594-vitaminB121MG/MLInjectableSolution|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|318272-Aspirin81MGChewableTablet|EXPANSION FULL DUALS
632|2002|N|N|Y||Preferred Generic|991528-DextromethorphanHydrobromide3MG/ML/PromethazineHydrochloride1.25MG/MLOralSolution|EXPANSION FULL DUALS
632|2002|N|N|Y||Preferred Generic|991486-CodeinePhosphate2MG/ML/PromethazineHydrochloride1.25MG/MLOralSolution|EXPANSION FULL DUALS
632|2002|N|N|N||Preferred Generic|313092-Sorbitol700MG/MLOralSolution|EXPANSION PARTIAL DUALS
632|2002|N|N|Y||Preferred Generic|359818-Nicotine4MGOralLozenge|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|307675-Acetaminophen32MG/MLOralSolution|EXPANSION PARTIAL DUALS
632|2002|N|N|Y||Preferred Generic|359817-Nicotine2MGOralLozenge|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|308891-CalciumCarbonate250MG/MLOralSuspension|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|311960-Niacin500MGExtendedReleaseOralTablet|EXPANSION PARTIAL DUALS
632|2002|N|N|Y||Preferred Generic|311975-Nicotine4MGChewingGum|EXPANSION PARTIAL DUALS
632|2002|N|N|Y||Preferred Generic|310891-Hydrocortisone25MG/MLTopicalCream|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|311959-Niacin500MGExtendedReleaseOralCapsule|EXPANSION PARTIAL DUALS
632|2002|N|N|Y||Preferred Generic|1250490-hydrocortisoneacetate5MG/MLTopicalCream|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|203105-Hydrocortisone0.01MG/MGTopicalOintment|EXPANSION PARTIAL DUALS
632|2002|N|N|Y||Preferred Brand|351433-24HRNicotine0.292MG/HRTransdermalSystem[NicodermC-Q]|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|308696-BenzoylPeroxide50MG/MLMedicatedLiquidSoap|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|311955-Niacin250MGExtendedReleaseOralTablet|EXPANSION PARTIAL DUALS
632|2002|N|N|Y||Preferred Brand|351429-24HRNicotine0.875MG/HRTransdermalSystem[NicodermC-Q]|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|237723-Ergocalciferol0.2MG/MLOralSolution|EXPANSION PARTIAL DUALS
632|2002|N|N|Y||Preferred Brand|351427-24HRNicotine0.583MG/HRTransdermalSystem[NicodermC-Q]|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|311372-Loratadine10MGOralTablet|EXPANSION PARTIAL DUALS
632|2002|N|N|Y||Preferred Brand|1369756-24HRLoratadine10MG/Pseudoephedrinesulfate240MGExtendedReleaseOralTablet[Allerclear]|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|282465-CalciumCarbonate1250MGOralTablet|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|996520-DextromethorphanHydrobromide2MG/ML/Guaifenesin20MG/MLOralSolution|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|308689-BenzoylPeroxide0.025MG/MGTopicalGel|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|310965-Ibuprofen200MGOralTablet|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|992780-MiconazoleNitrate100MGVaginalInsert|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|992775-{1(MiconazoleNitrate1200MGVaginalInsert)/1(9000MG)(MiconazoleNitrate20MG/MLVaginalCream)}Pack|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|310604-Guaifenesin20MG/MLOralSolution|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|992432-PromethazineHydrochloride1.25MG/MLOralSolution|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|978006-LoperamideHydrochloride2MGOralCapsule|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|308512-Bacitracin0.5UNT/MG/PolymyxinB10UNT/MGTopicalOintment|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|310325-ferroussulfate325MGOralTablet|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|847121-CalciumCitrate1500MG/Cholecalciferol250UNTOralTablet|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|832909-CalciumCarbonate1250MG/Cholecalciferol100UNTChewableTablet|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|310324-ferroussulfate325MGDelayedReleaseOralTablet|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|702249-ferroussulfate44MG/MLOralSolution|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|240029-Cholecalciferol0.125MGOralCapsule|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|577040-CalciumCarbonate648MGOralTablet|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|308416-Aspirin81MGDelayedReleaseOralTablet|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|310273-Famotidine20MGOralTablet|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|486131-BenzoylPeroxide0.1MG/MGTopicalGel|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|359601-Guaifenesin400MGOralTablet|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|309594-vitaminB121MG/MLInjectableSolution|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|318272-Aspirin81MGChewableTablet|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|199143-Niacin250MGOralTablet|EXPANSION PARTIAL DUALS
632|2002|N|N|Y||Preferred Generic|991486-CodeinePhosphate2MG/ML/PromethazineHydrochloride1.25MG/MLOralSolution|EXPANSION PARTIAL DUALS
632|2002|N|N|Y||Preferred Generic|995868-CodeinePhosphate2MG/ML/Guaifenesin20MG/MLOralSolution|EXPANSION PARTIAL DUALS
632|2002|N|N|Y||Preferred Generic|991528-DextromethorphanHydrobromide3MG/ML/PromethazineHydrochloride1.25MG/MLOralSolution|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|1049630-DiphenhydramineHydrochloride25MGOralTablet|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|198911-ZincOxide0.2MG/MGTopicalOintment|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|198861-SodiumBicarbonate650MGOralTablet|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Brand|1043063-Hydrocortisone10MG/MLTopicalLotion[AquanilHC]|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|1049167-PseudoephedrineHydrochloride60MGOralTablet|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|198759-Niacin100MGOralTablet|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|198741-MagnesiumOxide400MGOralTablet|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|103951-Tolnaftate10MG/MLTopicalCream|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|198707-Hydrocortisone5MG/MLTopicalCream|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|198630-ferrousgluconate324MGOralTablet|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|103403-Hydrocortisone10MG/MLTopicalLotion|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|198546-CalciumGluconate500MGOralTablet|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|198024-Niacin500MGOralTablet|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|1020477-DiphenhydramineHydrochloride50MGOralCapsule|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|197741-Guaifenesin200MGOralTablet|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|1860100-ferroussulfate324MGDelayedReleaseOralTablet|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|1014678-cetirizinehydrochloride10MGOralTablet|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|1440184-hydrocortisoneacetate0.01MG/MGTopicalOintment|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|142034-BenzoylPeroxide100MG/MLMedicatedLiquidSoap|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Brand|707333-SodiumChloride0.111MEQ/MLNasalSolution[AyrSalineNasal]|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|1366116-bacitracinzinc0.5UNT/MGTopicalOintment|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|1293942-Acetaminophen500MGOralTablet[Pharbetol]|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Brand|211633-AluminumHydroxide200MG/MagnesiumHydroxide200MG/Simethicone25MGChewableTablet[Gelusil]|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|1291101-hydrocortisoneacetate25MGRectalSuppository[Anucort-HC]|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|1115005-DocusateSodium100MGOralCapsule|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Brand|209360-Acetaminophen325MGRectalSuppository[Acephen]|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|1100457-PyridoxineHydrochloride25MGOralTablet|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|1098134-24HRNiacin1000MGExtendedReleaseOralTablet|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Brand|198467-Aspirin325MGDelayedReleaseOralTablet|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|1095536-Psyllium6000MGPowderforOralSuspension[Konsyl]|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|106258-Hydrocortisone10MG/MLTopicalCream|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Brand|1250090-Nonoxynol-90.03MG/MGVaginalGel[GynolII]|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|1052760-magnesiumcitrate58.2MG/MLOralSolution|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|199047-Famotidine10MGOralTablet|EXPANSION PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|198911-ZincOxide0.2MG/MGTopicalOintment|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Brand|1043063-Hydrocortisone10MG/MLTopicalLotion[AquanilHC]|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|198861-SodiumBicarbonate650MGOralTablet|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|1049167-PseudoephedrineHydrochloride60MGOralTablet|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|198759-Niacin100MGOralTablet|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|198741-MagnesiumOxide400MGOralTablet|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|103951-Tolnaftate10MG/MLTopicalCream|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|198707-Hydrocortisone5MG/MLTopicalCream|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|198630-ferrousgluconate324MGOralTablet|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|103403-Hydrocortisone10MG/MLTopicalLotion|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|198546-CalciumGluconate500MGOralTablet|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|198024-Niacin500MGOralTablet|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|1020477-DiphenhydramineHydrochloride50MGOralCapsule|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|197741-Guaifenesin200MGOralTablet|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|1860100-ferroussulfate324MGDelayedReleaseOralTablet|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|1014678-cetirizinehydrochloride10MGOralTablet|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|1440184-hydrocortisoneacetate0.01MG/MGTopicalOintment|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|142034-BenzoylPeroxide100MG/MLMedicatedLiquidSoap|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Brand|707333-SodiumChloride0.111MEQ/MLNasalSolution[AyrSalineNasal]|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|1366116-bacitracinzinc0.5UNT/MGTopicalOintment|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|1293942-Acetaminophen500MGOralTablet[Pharbetol]|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Brand|211633-AluminumHydroxide200MG/MagnesiumHydroxide200MG/Simethicone25MGChewableTablet[Gelusil]|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|1291101-hydrocortisoneacetate25MGRectalSuppository[Anucort-HC]|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|1115005-DocusateSodium100MGOralCapsule|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Brand|209360-Acetaminophen325MGRectalSuppository[Acephen]|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|1100457-PyridoxineHydrochloride25MGOralTablet|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|1098134-24HRNiacin1000MGExtendedReleaseOralTablet|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Brand|198467-Aspirin325MGDelayedReleaseOralTablet|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|1095536-Psyllium6000MGPowderforOralSuspension[Konsyl]|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|106258-Hydrocortisone10MG/MLTopicalCream|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Brand|1250090-Nonoxynol-90.03MG/MGVaginalGel[GynolII]|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|1052760-magnesiumcitrate58.2MG/MLOralSolution|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|199047-Famotidine10MGOralTablet|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|1049630-DiphenhydramineHydrochloride25MGOralTablet|SPD PARTIAL DUALS
632|2002|N|N|Y||Preferred Generic|991528-DextromethorphanHydrobromide3MG/ML/PromethazineHydrochloride1.25MG/MLOralSolution|SPD PARTIAL DUALS
632|2002|N|N|Y||Preferred Generic|995868-CodeinePhosphate2MG/ML/Guaifenesin20MG/MLOralSolution|SPD PARTIAL DUALS
632|2002|N|N|Y||Preferred Generic|359818-Nicotine4MGOralLozenge|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|308891-CalciumCarbonate250MG/MLOralSuspension|SPD PARTIAL DUALS
632|2002|N|N|Y||Preferred Generic|359817-Nicotine2MGOralLozenge|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|311960-Niacin500MGExtendedReleaseOralTablet|SPD PARTIAL DUALS
632|2002|N|N|Y||Preferred Generic|311975-Nicotine4MGChewingGum|SPD PARTIAL DUALS
632|2002|N|N|Y||Preferred Generic|310891-Hydrocortisone25MG/MLTopicalCream|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|311959-Niacin500MGExtendedReleaseOralCapsule|SPD PARTIAL DUALS
632|2002|N|N|Y||Preferred Generic|1250490-hydrocortisoneacetate5MG/MLTopicalCream|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|237723-Ergocalciferol0.2MG/MLOralSolution|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|308696-BenzoylPeroxide50MG/MLMedicatedLiquidSoap|SPD PARTIAL DUALS
632|2002|N|N|Y||Preferred Brand|351433-24HRNicotine0.292MG/HRTransdermalSystem[NicodermC-Q]|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|311955-Niacin250MGExtendedReleaseOralTablet|SPD PARTIAL DUALS
632|2002|N|N|Y||Preferred Brand|351429-24HRNicotine0.875MG/HRTransdermalSystem[NicodermC-Q]|SPD PARTIAL DUALS
632|2002|N|N|Y||Preferred Brand|351427-24HRNicotine0.583MG/HRTransdermalSystem[NicodermC-Q]|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|282465-CalciumCarbonate1250MGOralTablet|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|311372-Loratadine10MGOralTablet|SPD PARTIAL DUALS
632|2002|N|N|Y||Preferred Brand|1369756-24HRLoratadine10MG/Pseudoephedrinesulfate240MGExtendedReleaseOralTablet[Allerclear]|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|308689-BenzoylPeroxide0.025MG/MGTopicalGel|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|996520-DextromethorphanHydrobromide2MG/ML/Guaifenesin20MG/MLOralSolution|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|310965-Ibuprofen200MGOralTablet|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|992780-MiconazoleNitrate100MGVaginalInsert|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|992775-{1(MiconazoleNitrate1200MGVaginalInsert)/1(9000MG)(MiconazoleNitrate20MG/MLVaginalCream)}Pack|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|310604-Guaifenesin20MG/MLOralSolution|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|992432-PromethazineHydrochloride1.25MG/MLOralSolution|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|308512-Bacitracin0.5UNT/MG/PolymyxinB10UNT/MGTopicalOintment|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|978006-LoperamideHydrochloride2MGOralCapsule|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|310325-ferroussulfate325MGOralTablet|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|847121-CalciumCitrate1500MG/Cholecalciferol250UNTOralTablet|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|832909-CalciumCarbonate1250MG/Cholecalciferol100UNTChewableTablet|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|240029-Cholecalciferol0.125MGOralCapsule|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|310324-ferroussulfate325MGDelayedReleaseOralTablet|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|702249-ferroussulfate44MG/MLOralSolution|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|308416-Aspirin81MGDelayedReleaseOralTablet|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|577040-CalciumCarbonate648MGOralTablet|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|310273-Famotidine20MGOralTablet|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|486131-BenzoylPeroxide0.1MG/MGTopicalGel|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|359601-Guaifenesin400MGOralTablet|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|309594-vitaminB121MG/MLInjectableSolution|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|318272-Aspirin81MGChewableTablet|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|199143-Niacin250MGOralTablet|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|203105-Hydrocortisone0.01MG/MGTopicalOintment|SPD PARTIAL DUALS
632|2002|N|N|Y||Preferred Generic|991486-CodeinePhosphate2MG/ML/PromethazineHydrochloride1.25MG/MLOralSolution|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|307675-Acetaminophen32MG/MLOralSolution|SPD PARTIAL DUALS
632|2002|N|N|N||Preferred Generic|313092-Sorbitol700MG/MLOralSolution|SPD PARTIAL DUALS