DRUG NAME DRUG NAME - Southern Scripts, LLC

1 Specialty drug List 1 *LDD-Limited distribution drug that must be filled at a specified pharmacy. ver10262017 drug name drug name Abacavir Sulfate TABS Anastrozole TABS Abacavir Sulfate-Lamivudine TABS Anastrozole POWD Abacavir-Lamivudine-Zidovudine TABS Angiomax SOLR Abilify Maintena SUSR Anzemet TABS Abraxane SUSR Anzemet SOLN Absorica CAPS Aplenzin TB24 Actemra SOLN *LDD Apokyn SOCT *LDD Actemra SOSY *LDD Aprepitant CAPS ActHIB SOLR Aptivus CAPS Acthrel SOLR Aptivus SOLN Actimmune SOLN *LDD Aralast NP SOLR *LDD Activase SOLR Aranesp (Albumin Free) SOLN Adagen SOLN *LDD Aranesp (Albumin Free) SOSY Adcetris SOLR Arcalyst SOLR *LDD Adcirca TABS Arestin MISC *LDD Adefovir Dipivoxil TABS Argatroban SOLN Adriamycin SOLN Argatroban in Sodium Chloride SOLN Adriamycin SOLR Arimidex TABS Adrucil SOLN Aristada PRSY Advate SOLR Arixtra SOLN Adynovate SOLR *LDD Aromasin TABS Afinitor TABS Arranon SOLN Afinitor Disperz TBSO Arzerra CONC *LDD Afstyla KIT Asacol TBEC Albenza TABS Asacol HD TBEC Albuked 25 SOLN Astagraf XL CP24 Albuked 5 SOLN Atgam INJ Aldurazyme SOLN *LDD Atripla TABS Alecensa CAPS *LDD Aubagio TABS Alferon N SOLN Avastin SOLN Alimta SOLR Aveed SOLN Alkeran SOLR Avonex KIT *LDD Alkeran TABS Avonex Pen AJKT *LDD Aloxi SOLN Avonex Prefilled PSKT *LDD Alphanate/VWF Complex/Human SOLR AzaCITIDine SUSR AlphaNine SD SOLR Azasan TABS Alprolix SOLR AzaTHIO prine POWD Alsuma SOAJ AzaTHIO prine Sodium SOLR Alunbrig TABS *LDD Banzel TABS Amevive SOLR Banzel SUSP Amifostine SOLR Baraclude TABS Amnesteem CAPS Baraclude SOLN Ampyra TB12 *LDD Bebulin SOLR *LDD Amvisc SOLN Bebulin VH

2 SOLR *LDD Amvisc Plus SOLN Beleodaq SOLR *LDD Amyvid SOLN Bendeka SOLN *LDD Specialty drug List 2 *LDD-Limited distribution drug that must be filled at a specified pharmacy. ver10262017 drug name drug name BeneFIX KIT *LDD Cidofovir SOLN Benlysta SOLR Cimzia KIT *LDD Berinert KIT *LDD Cimzia Prefilled KIT *LDD Betaseron KIT *LDD Cimzia Starter Kit KIT *LDD Bethkis NEBU Cinqair SOLN Bexarotene CAPS Cinryze SOLR *LDD Bexxar CONC CISplatin SOLN Bexxar 131 Iodine INJ Cladribine SOLN Bicalutamide TABS Claravis CAPS BiCNU SOLR Clolar SOLN Bivalirudin SOLR Clomid TABS Bivigam SOLN ClomiPHENE Citrate TABS Bleomycin Sulfate SOLR Coagadex SOLR Blincyto SOLR Combivir TABS Bosulif TABS *LDD Cometriq (100 mg Daily Dose) KIT *LDD Botox SOLR Cometriq (140 mg Daily Dose) KIT *LDD Botox Cosmetic SOLR Cometriq (60 mg Daily Dose) KIT *LDD Bravelle SOLR Complera TABS Busulfex SOLN Comvax SUSP Bydureon SUSR Copaxone SOSY *LDD Bydureon PEN Copegus TABS Bydureon SRER Corifact KIT Byetta SOPN Corlopam SOLN Cabometyx TABS *LDD Cortrosyn SOLR Calcium Folinate SOLN Cosentyx SOSY Campath SOLN Cosentyx Sensoready Pen SOAJ Camptosar SOLN Cosmegen SOLR Capecitabine TABS Cosyntropin SOLN Caprelsa TABS *LDD Cosyntropin SOLR Carbaglu TABS *LDD Cotellic TABS *LDD CARBO platin SOLN Creon CPEP Carimune NF SOLR Crinone GEL Casodex TABS Crixivan CAPS *LDD Cathflo Activase SOLR Cuprimine CAPS *LDD Cayston SOLR *LDD Cuvitru SOLN CeeNU CAPS Cyclophosphamide SOLR CellCept CAPS CycloSPORINE CAPS CellCept TABS CycloSPORINE SOLN CellCept SUSR CycloSPORINE Modified CAPS CellCept Intravenous SOLR CycloSPORINE Modified SOLN Ceprotin SOLR Cyklokapron SOLN Cerezyme SOLR *LDD Cyramza SOLN Cetrotide KIT Cystadane POWD Chemet CAPS Cystagon CAPS *LDD Chenodal TABS Cystaran SOLN Chorionic Gonadotropin SOLR Cytarabine SOLN Specialty drug List 3

3 *LDD-Limited distribution drug that must be filled at a specified pharmacy. ver10262017 drug name drug name Cytarabine SOLR Eligard KIT Cytarabine (PF) SOLN Elitek SOLR Cytogam INJ Ellence SOLN Cytovene SOLR *LDD Eloctate SOLR 45 SOLNE loxatin SOLN Dacarbazine SOLRE lspar SOLR Dacogen SOLR *LDDE mcyt CAPS Daklinza TABSE mend CAPS Dalvance SOLRE mend SOLR Darzalex SOLNE mpliciti SOLR DAUNO rubicin HCl INJE mtriva CAPS DaunoXome INJE mtriva SOLN Decitabine SOLRE mverm CHEW Deferoxamine Mesylate SOLRE nbrel KIT Delestrogen OILE nbrel SOSY Depen Titratabs TABSE nbrel SureClick SOAJ DepoCyt SUSPE ndometrin INST Descovy TABSE noxaparin Sodium SOLN Desferal SOLRE ntecavir TABS Dexrazoxane SOLRE ntyvio SOLR *LDD Dibenzyline CAPS *LDDE nvarsus XR TB24 Didanosine CPDRE pclusa TABS Dificid TABSEpiRUBicin HCl SOLN Dihydroergotamine Mesylate SOLNEpiRUBicin HCl SOLR Docefrez SOLRE pivir TABS DOCE taxel CONCE pivir SOLN DOCE taxel SOLNE pivir HBV TABS DOCE taxel (Non-Alcohol) SOLNE pivir HBV SOLN Doxercalciferol CAPSE pogen SOLN Doxercalciferol SOLNE poprostenol Sodium SOLR *LDD Doxil INJE pzicom TABS DOXO rubicin HCl SOLNE rbitux SOLN DOXO rubicin HCl SOLRE rivedge CAPS *LDD DOXO rubicin HCl Liposomal INJE rwinaze SOLR Dronabinol CAPSE sbriet CAPS *LDD DuoDote SOAJE sbriet TABS *LDD Duopa SUSPE stradiol Valerate OIL Dupixent SOSY *LDDE thacrynate Sodium SOLR Dysport SOLR *LDDE thacrynic Acid TABS Dysport (Glabellar Lines) SOLR *LDDE thyol SOLR Edecrin TABSE topophos SOLR Edurant TABSE toposide CAPS Efudex CREAE toposide SOLN Egrifta SOLR *LDDE uflexxa SOSY *LDD Elaprase SOLN *LDDE vomela SOLR Elelyso SOLRE votaz TABS Specialty drug List 4 *LDD-Limited distribution drug that must be filled at a specified pharmacy.

4 Ver10262017 drug name drug name Evzio SOAJ Gammagard S/D Less IgA SOLR Exemestane TABS Gammaked SOLN Exjade TBSO *LDD Gammaplex SOLN *LDD Exondys 51 SOLN Gamunex-C SOLN *LDD Extavia KIT *LDD Ganciclovir Sodium SOLR Eylea SOLN *LDD Ganirelix Acetate SOLN Fabrazyme SOLR Gattex KIT Fabrazyme SOLR *LDD Gazyva SOLN Fareston TABS Gel-One PRSY Farydak CAPS *LDD Gelsyn-3 SOSY Faslodex SOLN Gemcitabine HCl SOLN Feiba SOLR *LDD Gemcitabine HCl SOLR Feiba NF SOLR *LDD Gemzar SOLR Femara TABS Gengraf CAPS Fenoldopam Mesylate SOLN Gengraf SOLN Ferrlecit SOLN Genotropin SOLR Firazyr SOLN *LDD Genotropin MiniQuick SOLR Firmagon SOLR GenVisc 850 SOSY First-Progesterone VGS 100 SUPP Genvoya TABS First-Progesterone VGS 200 SUPP Gilenya CAPS *LDD First-Progesterone VGS 25 SUPP Gilotrif TABS *LDD First-Progesterone VGS 400 SUPP Glassia SOLN *LDD First-Progesterone VGS 50 SUPP Glatopa SOSY *LDD Flebogamma DIF SOLN Gleevec TABS Flolan SOLR Gleostine CAPS Floxuridine SOLR Gliadel Wafer WAFR Fludara SOLR Glumetza TB24 Fludarabine Phosphate SOLN Gonal-f SOLR *LDD Fludarabine Phosphate SOLR Gonal-f RFF SOLR *LDD Fluoroplex CREA Gonal-f RFF Pen SOLN *LDD Fluorouracil SOLN Gonal-f RFF Rediject SOLN *LDD Fluorouracil CREA Gralise TABS Flutamide CAPS Gralise Starter MISC Follistim AQ SOLN Granisetron HCl TABS Folotyn SOLN Granisetron HCl SOLN Fondaparinux Sodium SOLN Granisol SOLN Forteo SOLN Granix SOSY Foscavir SOLN Grastek SUBL Fragmin SOLN Halaven SOLN Fusilev SOLR *LDD Harvoni TABS Fuzeon SOLR Healon SOLN Fuzeon KIT Healon GV SOLN Gablofen SOSY Healon5 SOLN GamaSTAN S/D INJ Hecoria CAPS Gammagard SOLN Hectorol CAPS Gammagard S/D SOLR Hectorol SOLN Specialty drug List 5 *LDD-Limited distribution drug that must be filled at a specified pharmacy.

5 Ver10262017 drug name drug name Helixate FS KIT Implanon IMPL Hemangeol SOLN Incivek TABS Hemofil M SOLR Increlex SOLN *LDD HepaGam B SOLN Infergen INJ Hepsera TABS Inflectra SOLR Herceptin SOLR Inlyta TABS *LDD Hetlioz CAPS *LDD Intelence TABS Hexalen CAPS Intron A SOLN Hiberix SOLR Intron A SOLR Hizentra SOLN *LDD Invega TB24 HP Acthar GEL *LDD Invega Sustenna SUSP Humate-P SOLR Invega Trinza SUSP Humatrope SOLR Invirase CAPS Humira PSKT Invirase TABS Humira Pediatric Crohns Start PSKT Iprivask SOLR *LDD Humira Pen PNKT Iressa TABS *LDD Humira Pen-Crohns Starter PNKT Irinotecan HCl SOLN Humira Pen-Psoriasis Starter PNKT Isentress TABS Hyalgan SOSY Isentress CHEW Hyalgan SOLN Isentress PACK Hycamtin SOLR *LDD Istodax SOLR Hycamtin CAPS *LDD Istodax (Overfill) SOLR HYDROXY progesterone Caproate SOLN Ixempra Kit SOLR Hymovis SOSY Ixinity SOLR HyperHEP B S/D SOLN Jadenu TABS HyperRAB S/D INJ Jadenu TABS HyperRHO S/D SOSY Jakafi TABS *LDD HyperTET S/D INJ Jetrea SOLN Hyqvia KIT *LDD Jevtana SOLN Ibrance CAPS *LDD Juxtapid CAPS Iclusig TABS *LDD Kadcyla SOLR Idamycin PFS SOLN Kalbitor SOLN IDArubicin HCl SOLN Kaletra TABS Idelvion SOLR Kaletra SOLN Ifex SOLR Kalydeco TABS Ifosfamide SOLN Kanuma SOLN Ifosfamide SOLR Kepivance SOLR Ifosfamide-Mesna KIT Kevzara SOSY *LDD Ilaris SOLR *LDD Keytruda SOLN Iluvien IMPL Keytruda SOLR *LDD Imbruvica CAPS Kineret SOSY *LDD Imipenem-Cilastatin SOLR Kitabis Pak NEBU Imitrex SOLN Koate SOLR Imitrex STAT dose System SOAJ Koate-DVI SOLR Imlygic SUSP *LDD Kogenate FS KIT Imogam Rabies-HT INJ KogenateFS Bio-Set KIT Specialty drug List 6 *LDD-Limited distribution drug that must be filled at a specified pharmacy.

6 Ver10262017 drug name drug name Kovaltry SOLR *LDD Marinol CAPS Krystexxa SOLN *LDD Marqibo SUSP Kuvan TBSO *LDD Matulane CAPS *LDD Kuvan PACK *LDD Mekinist TABS *LDD Kyleena IUD *LDD Melphalan HCl SOLR Kynamro SOSY Menopur SOLR Kyprolis SOLR Mesalamine TBEC LamiVUDine TABS Mesna SOLN LamiVUDine SOLN Mesnex TABS Lamivudine-Zidovudine TABS Mesnex SOLN Lartruvo SOLN Metformin HCl ER (MOD) TB24 Lemtrada SOLN Methotrexate Sodium SOLN Lenvima CPPK *LDD Methotrexate Sodium SOLR Letairis TABS *LDD Methotrexate Sodium (PF) SOLN Letrozole TABS Miacalcin SOLN Leucovorin Calcium SOLR MICRhoGAM Ultra-Filtered Plus SOSY Leukeran TABS Migranal SOLN Leukine SOLN Mircera SOSY Leukine SOLR Mirena IUD Leuprolide Acetate KIT MitoMYcin SOLR LevoFLOX acin in D5W SOLN MitoXANTRONE HCl CONC LEVO leucovorin Calcium SOLN Moderiba TABS LEVO leucovorin Calcium SOLR Moderiba MISC LEVO leucovorin Calcium PF SOLN Moderiba 1200 Dose Pack TABS Lexiva TABS Moderiba 800 Dose Pack TABS Lexiva SUSP Monoclate-P KIT Lialda TBEC Mononine SOLR Liletta IUD Monovisc SOSY Linezolid SOLN Mozobil SOLN *LDD Linezolid TABS MuGard LIQD Linezolid SUSR Mustargen SOLR Lioresal SOLN Myalept SOLR Lipodox INJ Mycophenolate Mofetil CAPS Lipodox 50 INJ Mycophenolate Mofetil TABS Lomustine CAPS Mycophenolate Mofetil SUSR Lonsurf TABS *LDD Mycophenolate Mofetil HCl SOLR Lovenox SOLN Mycophenolic Acid TBEC Lucentis SOLN *LDD Myfortic TBEC Lucentis SOSY *LDD Myleran TABS Lumizyme SOLR *LDD Myobloc SOLN *LDD Lupaneta Pack KIT Myorisan CAPS Lupron Depot

7 KIT Myozyme SOLR Lupron Depot-Ped KIT Na Ferric Gluc Cplx in Sucrose SOLN Lysodren TABS Nabi-HB SOLN Macugen SOLN *LDD Naglazyme SOLN *LDD Makena *LDD Natpara CART Specialty drug List 7 *LDD-Limited distribution drug that must be filled at a specified pharmacy. ver10262017 drug name drug name Navelbine SOLN Odefsey TABS Neoral CAPS Ofev CAPS *LDD Neoral SOLN OLANZ apine SOLR Nerlynx TABS *LDD Olysio CAPS Neulasta SOSY Omnitrope SOLN Neulasta Onpro PSKT Omnitrope SOLR Neumega SOLR Omontys SOLN Neupogen SOSY Oncaspar SOLN Neupogen SOLN Onfi TABS Nevirapine TABS Onfi SUSP Nevirapine SUSP Onivyde INJ Nevirapine ER TB24 Onmel TABS NexAVAR TABS *LDD Opdivo SOLN *LDD NexPlanon IMPL *LDD Opsumit TABS *LDD Nilandron TABS Oralair SUBL Ninlaro CAPS *LDD Oralair Adult Sample Kit SUBL Nipent SOLR Oralair Adult Starter Pack SUBL Nitronal SOLN Oralair Childrens Sample Kit THPK Norditropin FlexPro SOLN Oralair Childrens Starter Pack SUBL Norditropin NordiFlex Pen SOLN Orencia SOLR *LDD Northera CAPS Orencia SOSY *LDD Norvir CAPS Orencia ClickJect SOAJ *LDD Norvir TABS Orfadin CAPS *LDD Norvir SOLN Orfadin SUSP *LDD Novarel SOLR Orkambi TABS *LDD Novoeight SOLR OrthoVisc SOSY NovoSeven RT SOLR Otezla TABS Noxafil TBEC Otezla TBPK Noxafil SUSP Otrexup SOAJ

8 Noxafil SOLN Ovidrel INJ Nplate SOLR *LDD Oxaliplatin SOLN Nucala SOLR Oxaliplatin SOLR Nulojix SOLR Oxsoralen LOTN Nuplazid TABS Ozurdex IMPL Nutropin SOLR *LDD PACL itaxel CONC Nutropin AQ SOLN *LDD Pamidronate Disodium SOLN Nutropin AQ NuSpin 10 SOLN *LDD Pamidronate Disodium SOLR Nutropin AQ NuSpin 20 SOLN *LDD Pancreaze CPEP Nutropin AQ NuSpin 5 SOLN *LDD Pancrelipase (Lip-Prot-Amyl) CPEP Nutropin AQ Pen SOLN *LDD Panretin GEL Nuwiq SOLR Paragard Intrauterine Copper IUD Nuwiq KIT Paricalcitol SOLN Obizur SOLR Peg-Intron KIT Ocaliva TABS *LDD Peg-Intron Redipen KIT Octagam SOLN Peg-Intron Redipen Pak 4 KIT Octreotide Acetate SOLN Pegasys SOLN Specialty drug List 8 *LDD-Limited distribution drug that must be filled at a specified pharmacy. ver10262017 drug name drug name Pegasys KIT Rebetol SOLN Pegasys ProClick SOLN Rebif SOSY *LDD PegIntron KIT Rebif Rebidose SOAJ *LDD Perjeta SOLN Rebif Rebidose Titration Pack SOAJ *LDD Pertzye CPEP Rebif Titration Pack SOSY *LDD Photofrin SOLR Reclast SOLN Picato GEL *LDD Recombinate SOLR Plegridy SOPN *LDD Relistor SOLN Plegridy SOSY *LDD Relistor KIT Plegridy Starter Pack SOPN *LDD Remicade SOLR Plegridy Starter Pack SOSY *LDD Remodulin SOLN Pomalyst CAPS *LDD Repatha SOSY Portrazza SOLN Repatha Pushtronex System SOCT Pralidoxime Chloride SOAJ Repatha Sureclick SOAJ Praluent SOPN *LDD Repronex SOLR Praluent SOSY *LDD Rescriptor TABS Pregnyl SOLR Retisert IMPL Prezcobix TABS Retrovir CAPS Prezista TABS Retrovir SYRP Prezista SUSP Retrovir TABS Prialt SOLN Retrovir SOLN Privigen SOLN Revatio TABS Procrit SOLN Revatio SOLN Profilnine SOLR Revatio SUSR Profilnine SD SOLR Revlimid CAPS *LDD Progesterone OIL Reyataz CAPS Prograf CAPS Reyataz PACK Prograf SOLN RhoGAM Ultra-Filtered Plus

9 SOSY Prolastin SOLR *LDD Rhophylac SOSY Prolastin SUSR *LDD RiaSTAP SOLR *LDD Prolastin-C SOLR *LDD Ribasphere CAPS Proleukin SOLR Ribasphere TABS Prolia SOLN Ribasphere RibaPak TABS Promacta TABS *LDD RibaTab TABS ProThelial PSTE RibaTab MISC Provenge SUSP Ribavirin CAPS Provisc SOLN Ribavirin TABS Pulmozyme SOLN Ribavirin SOLR Purinethol TABS RisperDAL Consta SUSR Qutenza KIT *LDD Rituxan SOLN Qutenza (2 Patch) KIT *LDD Rituxan Hycela SOLN *LDD Ragwitek SUBL Rixubis SOLR Rapamune TABS Ruconest SOLR Rapamune SOLN Ryanodex SUSR Rasuvo SOAJ Sabril TABS *LDD Rebetol CAPS Sabril PACK *LDD Specialty drug List 9 *LDD-Limited distribution drug that must be filled at a specified pharmacy. ver10262017 drug name drug name Saizen SOLR Strensiq SOLN Saizen SOLR Stribild TABS Samsca TABS SUMA triptan SOLN Sancuso PTCH SUMA triptan Succinate SOLN SandIMMUNE SOLN SUMA triptan Succinate SOAJ SandIMMUNE CAPS Supartz SOSY *LDD SandoSTATIN SOLN Supartz FX SOSY *LDD SandoSTATIN LAR Depot KIT Supprelin LA KIT *LDD Sculptra SUSR Sustiva CAPS Selzentry TABS Sustiva TABS Sensipar TABS Sutent CAPS Serophene TABS Sylatron KIT Serostim SOLR Sylvant SOLR *LDD Shellgel SOLN Synagis SOLN *LDD Signifor SOLN Synarel SOLN Signifor LAR SRER Synribo SOLR Sildenafil Citrate TABS Synvisc SOSY *LDD Sildenafil Citrate SOLN Synvisc One SOSY *LDD Siliq SOSY *LDD Syprine CAPS Simponi SOSY *LDD Tacrolimus CAPS Simponi SOAJ *LDD Tacrolimus OINT Simponi Aria SOLN *LDD Tafinlar CAPS *LDD Simulect SOLR Taltz SOAJ Sirolimus TABS Taltz SOSY Sitavig TABS *LDD Tarceva TABS *LDD Sivextro SOLR Targretin CAPS *LDD Skyla IUD Targretin GEL *LDD Sod Hyaluronate-Lidocaine PF SOSY Tasigna CAPS *LDD Sodium Edecrin

10 SOLR Taxotere CONC Solesta GEL *LDD Tecentriq SOLN *LDD Soliris SOLN *LDD Tecfidera CPDR *LDD Somatuline Depot SOLN *LDD Tecfidera MISC *LDD Somavert SOLR *LDD Technivie TABS Sovaldi TABS Temodar CAPS Spinraza SO