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Medication Name Date Started (mm/dd/yyyy) Use Abilify Accutane Actiq Actonel Acular Adderall Adipex Advair AK-Con-A Akten Alamast Alimta Allegra Alli Alphagan Alprazolam Alrex Ambien Amitiza Aricept Avandia Avodart AzaSite Betaxon Boniva Botox Byetta Caduet Celebrex Celexa Chantix Cialis Claritin Clonazepam Concerta Cosopt Coumadin Crestor Cyclobenzaprine Cymbalta Depakote Dexadrine Diazepam Diovan Durezol Effexor Emend Enbrel Ephedrine Femara Flomax Fluoxetine Focalin Fosamax gabapentin Gardasil Geodon Hoodia Humira hydrocodone Insulin Juvederm Keppra Klonopin Lamictal Lasix Levaquin Levitra Lexapro Lipitor Lisinopril Lithium Lorazepam Lotemax Lotrel Lucentis Lumigan Lunesta Lyrica Macugen Melatonin Metformin Methadone Methotrexate Mirapex Mirena Namenda Naproxen Nasonex Neurontin Nexium Niacin Norco Norvasc Ocuflox OcuHist omeprazole Orencia Ortho Evra oseltamivir oxycodone Oxycontin Paxil Percocet Phentermine Plavix prednisone Prevacid Prilosec Pristiq Promethazine Propecia Protonix Provigil Prozac Quixin Rescula Restasis Restylane Risperdal Ritalin Rogaine Seroquel Sertraline Simvastatin Singulair Soma Spiriva Suboxone Synvisc Tamiflu Tamoxifen Taxol Tenex Testosterone Topamax Tramadol Travatan Trazodone Ultram Valcyte Valtrex Viagra Vicodin Vioxx Viroptic Vytorin Wellbutrin Xalatan Xanax Xenical Yasmin Yaz Zelnorm Zetia Zocor Zoloft Zolpidem Zyprexa Zyrtec Or Other //MM/DD/YYYY Acne ADHD (non-stim) Allergies Alzheimers Analgesic Anemia Anesthetic Antialcohol Antibiotic Anticholinergic Anticoagulant Anticonvulsant Antidepressant Antidiarrheal Antidote Antiemetic Antifungal Antiinflammatry Antilipemic Antiparasitic Antipsychotic Antitussive Antiviral Anxiety Appetite Supp Asthma/COPD Astringent Benzodiazepine Calcimimetic Cardiovascular Cholinergic Ag CL Products Cold Prep Decongestant Depigment Diabetes Diuretic Ergot Eyelid Scrub Gallstone GI Glaucoma Gold Compound Gout Hirsutism Hormonal Hypnotic Immunologic Impotence Irrigant Keratolytic Laxative Lubricant Migraine Muscle Relaxant Myasthenia Grav NSAID Ocular Lubricnt Osteoporosis Parkinsons Phosphate Bindr Prostate Protectant Pruritis Psoralen Sleep Aid Smoking Cess Steroid Stimulant Thyroid Urinary Vasoconstrictor Vit D Analog Vitamin/Mineral Withdrawal Wound Care Or Other

Abilify Accutane Actiq Actonel Acular Adderall Adipex Advair AK-Con-A Akten Alamast Alimta Allegra Alli Alphagan Alprazolam Alrex Ambien Amitiza Aricept Avandia Avodart AzaSite Betaxon Boniva Botox Byetta Caduet Celebrex Celexa Chantix Cialis Claritin Clonazepam Concerta Cosopt Coumadin Crestor Cyclobenzaprine Cymbalta Depakote Dexadrine Diazepam Diovan Durezol Effexor Emend Enbrel Ephedrine Femara Flomax Fluoxetine Focalin Fosamax gabapentin Gardasil Geodon Hoodia Humira hydrocodone Insulin Juvederm Keppra Klonopin Lamictal Lasix Levaquin Levitra Lexapro Lipitor Lisinopril Lithium Lorazepam Lotemax Lotrel Lucentis Lumigan Lunesta Lyrica Macugen Melatonin Metformin Methadone Methotrexate Mirapex Mirena Namenda Naproxen Nasonex Neurontin Nexium Niacin Norco Norvasc Ocuflox OcuHist omeprazole Orencia Ortho Evra oseltamivir oxycodone Oxycontin Paxil Percocet Phentermine Plavix prednisone Prevacid Prilosec Pristiq Promethazine Propecia Protonix Provigil Prozac Quixin Rescula Restasis Restylane Risperdal Ritalin Rogaine Seroquel Sertraline Simvastatin Singulair Soma Spiriva Suboxone Synvisc Tamiflu Tamoxifen Taxol Tenex Testosterone Topamax Tramadol Travatan Trazodone Ultram Valcyte Valtrex Viagra Vicodin Vioxx Viroptic Vytorin Wellbutrin Xalatan Xanax Xenical Yasmin Yaz Zelnorm Zetia Zocor Zoloft Zolpidem Zyprexa Zyrtec Or Other //MM/DD/YYYY Acne ADHD (non-stim) Allergies Alzheimers Analgesic Anemia Anesthetic Antialcohol Antibiotic Anticholinergic Anticoagulant Anticonvulsant Antidepressant Antidiarrheal Antidote Antiemetic Antifungal Antiinflammatry Antilipemic Antiparasitic Antipsychotic Antitussive Antiviral Anxiety Appetite Supp Asthma/COPD Astringent Benzodiazepine Calcimimetic Cardiovascular Cholinergic Ag CL Products Cold Prep Decongestant Depigment Diabetes Diuretic Ergot Eyelid Scrub Gallstone GI Glaucoma Gold Compound Gout Hirsutism Hormonal Hypnotic Immunologic Impotence Irrigant Keratolytic Laxative Lubricant Migraine Muscle Relaxant Myasthenia Grav NSAID Ocular Lubricnt Osteoporosis Parkinsons Phosphate Bindr Prostate Protectant Pruritis Psoralen Sleep Aid Smoking Cess Steroid Stimulant Thyroid Urinary Vasoconstrictor Vit D Analog Vitamin/Mineral Withdrawal Wound Care Or Other

Abilify Accutane Actiq Actonel Acular Adderall Adipex Advair AK-Con-A Akten Alamast Alimta Allegra Alli Alphagan Alprazolam Alrex Ambien Amitiza Aricept Avandia Avodart AzaSite Betaxon Boniva Botox Byetta Caduet Celebrex Celexa Chantix Cialis Claritin Clonazepam Concerta Cosopt Coumadin Crestor Cyclobenzaprine Cymbalta Depakote Dexadrine Diazepam Diovan Durezol Effexor Emend Enbrel Ephedrine Femara Flomax Fluoxetine Focalin Fosamax gabapentin Gardasil Geodon Hoodia Humira hydrocodone Insulin Juvederm Keppra Klonopin Lamictal Lasix Levaquin Levitra Lexapro Lipitor Lisinopril Lithium Lorazepam Lotemax Lotrel Lucentis Lumigan Lunesta Lyrica Macugen Melatonin Metformin Methadone Methotrexate Mirapex Mirena Namenda Naproxen Nasonex Neurontin Nexium Niacin Norco Norvasc Ocuflox OcuHist omeprazole Orencia Ortho Evra oseltamivir oxycodone Oxycontin Paxil Percocet Phentermine Plavix prednisone Prevacid Prilosec Pristiq Promethazine Propecia Protonix Provigil Prozac Quixin Rescula Restasis Restylane Risperdal Ritalin Rogaine Seroquel Sertraline Simvastatin Singulair Soma Spiriva Suboxone Synvisc Tamiflu Tamoxifen Taxol Tenex Testosterone Topamax Tramadol Travatan Trazodone Ultram Valcyte Valtrex Viagra Vicodin Vioxx Viroptic Vytorin Wellbutrin Xalatan Xanax Xenical Yasmin Yaz Zelnorm Zetia Zocor Zoloft Zolpidem Zyprexa Zyrtec Or Other //MM/DD/YYYY Acne ADHD (non-stim) Allergies Alzheimers Analgesic Anemia Anesthetic Antialcohol Antibiotic Anticholinergic Anticoagulant Anticonvulsant Antidepressant Antidiarrheal Antidote Antiemetic Antifungal Antiinflammatry Antilipemic Antiparasitic Antipsychotic Antitussive Antiviral Anxiety Appetite Supp Asthma/COPD Astringent Benzodiazepine Calcimimetic Cardiovascular Cholinergic Ag CL Products Cold Prep Decongestant Depigment Diabetes Diuretic Ergot Eyelid Scrub Gallstone GI Glaucoma Gold Compound Gout Hirsutism Hormonal Hypnotic Immunologic Impotence Irrigant Keratolytic Laxative Lubricant Migraine Muscle Relaxant Myasthenia Grav NSAID Ocular Lubricnt Osteoporosis Parkinsons Phosphate Bindr Prostate Protectant Pruritis Psoralen Sleep Aid Smoking Cess Steroid Stimulant Thyroid Urinary Vasoconstrictor Vit D Analog Vitamin/Mineral Withdrawal Wound Care Or Other

Abilify Accutane Actiq Actonel Acular Adderall Adipex Advair AK-Con-A Akten Alamast Alimta Allegra Alli Alphagan Alprazolam Alrex Ambien Amitiza Aricept Avandia Avodart AzaSite Betaxon Boniva Botox Byetta Caduet Celebrex Celexa Chantix Cialis Claritin Clonazepam Concerta Cosopt Coumadin Crestor Cyclobenzaprine Cymbalta Depakote Dexadrine Diazepam Diovan Durezol Effexor Emend Enbrel Ephedrine Femara Flomax Fluoxetine Focalin Fosamax gabapentin Gardasil Geodon Hoodia Humira hydrocodone Insulin Juvederm Keppra Klonopin Lamictal Lasix Levaquin Levitra Lexapro Lipitor Lisinopril Lithium Lorazepam Lotemax Lotrel Lucentis Lumigan Lunesta Lyrica Macugen Melatonin Metformin Methadone Methotrexate Mirapex Mirena Namenda Naproxen Nasonex Neurontin Nexium Niacin Norco Norvasc Ocuflox OcuHist omeprazole Orencia Ortho Evra oseltamivir oxycodone Oxycontin Paxil Percocet Phentermine Plavix prednisone Prevacid Prilosec Pristiq Promethazine Propecia Protonix Provigil Prozac Quixin Rescula Restasis Restylane Risperdal Ritalin Rogaine Seroquel Sertraline Simvastatin Singulair Soma Spiriva Suboxone Synvisc Tamiflu Tamoxifen Taxol Tenex Testosterone Topamax Tramadol Travatan Trazodone Ultram Valcyte Valtrex Viagra Vicodin Vioxx Viroptic Vytorin Wellbutrin Xalatan Xanax Xenical Yasmin Yaz Zelnorm Zetia Zocor Zoloft Zolpidem Zyprexa Zyrtec Or Other //MM/DD/YYYY Acne ADHD (non-stim) Allergies Alzheimers Analgesic Anemia Anesthetic Antialcohol Antibiotic Anticholinergic Anticoagulant Anticonvulsant Antidepressant Antidiarrheal Antidote Antiemetic Antifungal Antiinflammatry Antilipemic Antiparasitic Antipsychotic Antitussive Antiviral Anxiety Appetite Supp Asthma/COPD Astringent Benzodiazepine Calcimimetic Cardiovascular Cholinergic Ag CL Products Cold Prep Decongestant Depigment Diabetes Diuretic Ergot Eyelid Scrub Gallstone GI Glaucoma Gold Compound Gout Hirsutism Hormonal Hypnotic Immunologic Impotence Irrigant Keratolytic Laxative Lubricant Migraine Muscle Relaxant Myasthenia Grav NSAID Ocular Lubricnt Osteoporosis Parkinsons Phosphate Bindr Prostate Protectant Pruritis Psoralen Sleep Aid Smoking Cess Steroid Stimulant Thyroid Urinary Vasoconstrictor Vit D Analog Vitamin/Mineral Withdrawal Wound Care Or Other

Abilify Accutane Actiq Actonel Acular Adderall Adipex Advair AK-Con-A Akten Alamast Alimta Allegra Alli Alphagan Alprazolam Alrex Ambien Amitiza Aricept Avandia Avodart AzaSite Betaxon Boniva Botox Byetta Caduet Celebrex Celexa Chantix Cialis Claritin Clonazepam Concerta Cosopt Coumadin Crestor Cyclobenzaprine Cymbalta Depakote Dexadrine Diazepam Diovan Durezol Effexor Emend Enbrel Ephedrine Femara Flomax Fluoxetine Focalin Fosamax gabapentin Gardasil Geodon Hoodia Humira hydrocodone Insulin Juvederm Keppra Klonopin Lamictal Lasix Levaquin Levitra Lexapro Lipitor Lisinopril Lithium Lorazepam Lotemax Lotrel Lucentis Lumigan Lunesta Lyrica Macugen Melatonin Metformin Methadone Methotrexate Mirapex Mirena Namenda Naproxen Nasonex Neurontin Nexium Niacin Norco Norvasc Ocuflox OcuHist omeprazole Orencia Ortho Evra oseltamivir oxycodone Oxycontin Paxil Percocet Phentermine Plavix prednisone Prevacid Prilosec Pristiq Promethazine Propecia Protonix Provigil Prozac Quixin Rescula Restasis Restylane Risperdal Ritalin Rogaine Seroquel Sertraline Simvastatin Singulair Soma Spiriva Suboxone Synvisc Tamiflu Tamoxifen Taxol Tenex Testosterone Topamax Tramadol Travatan Trazodone Ultram Valcyte Valtrex Viagra Vicodin Vioxx Viroptic Vytorin Wellbutrin Xalatan Xanax Xenical Yasmin Yaz Zelnorm Zetia Zocor Zoloft Zolpidem Zyprexa Zyrtec Or Other //MM/DD/YYYY Acne ADHD (non-stim) Allergies Alzheimers Analgesic Anemia Anesthetic Antialcohol Antibiotic Anticholinergic Anticoagulant Anticonvulsant Antidepressant Antidiarrheal Antidote Antiemetic Antifungal Antiinflammatry Antilipemic Antiparasitic Antipsychotic Antitussive Antiviral Anxiety Appetite Supp Asthma/COPD Astringent Benzodiazepine Calcimimetic Cardiovascular Cholinergic Ag CL Products Cold Prep Decongestant Depigment Diabetes Diuretic Ergot Eyelid Scrub Gallstone GI Glaucoma Gold Compound Gout Hirsutism Hormonal Hypnotic Immunologic Impotence Irrigant Keratolytic Laxative Lubricant Migraine Muscle Relaxant Myasthenia Grav NSAID Ocular Lubricnt Osteoporosis Parkinsons Phosphate Bindr Prostate Protectant Pruritis Psoralen Sleep Aid Smoking Cess Steroid Stimulant Thyroid Urinary Vasoconstrictor Vit D Analog Vitamin/Mineral Withdrawal Wound Care Or Other

Abilify Accutane Actiq Actonel Acular Adderall Adipex Advair AK-Con-A Akten Alamast Alimta Allegra Alli Alphagan Alprazolam Alrex Ambien Amitiza Aricept Avandia Avodart AzaSite Betaxon Boniva Botox Byetta Caduet Celebrex Celexa Chantix Cialis Claritin Clonazepam Concerta Cosopt Coumadin Crestor Cyclobenzaprine Cymbalta Depakote Dexadrine Diazepam Diovan Durezol Effexor Emend Enbrel Ephedrine Femara Flomax Fluoxetine Focalin Fosamax gabapentin Gardasil Geodon Hoodia Humira hydrocodone Insulin Juvederm Keppra Klonopin Lamictal Lasix Levaquin Levitra Lexapro Lipitor Lisinopril Lithium Lorazepam Lotemax Lotrel Lucentis Lumigan Lunesta Lyrica Macugen Melatonin Metformin Methadone Methotrexate Mirapex Mirena Namenda Naproxen Nasonex Neurontin Nexium Niacin Norco Norvasc Ocuflox OcuHist omeprazole Orencia Ortho Evra oseltamivir oxycodone Oxycontin Paxil Percocet Phentermine Plavix prednisone Prevacid Prilosec Pristiq Promethazine Propecia Protonix Provigil Prozac Quixin Rescula Restasis Restylane Risperdal Ritalin Rogaine Seroquel Sertraline Simvastatin Singulair Soma Spiriva Suboxone Synvisc Tamiflu Tamoxifen Taxol Tenex Testosterone Topamax Tramadol Travatan Trazodone Ultram Valcyte Valtrex Viagra Vicodin Vioxx Viroptic Vytorin Wellbutrin Xalatan Xanax Xenical Yasmin Yaz Zelnorm Zetia Zocor Zoloft Zolpidem Zyprexa Zyrtec Or Other //MM/DD/YYYY Acne ADHD (non-stim) Allergies Alzheimers Analgesic Anemia Anesthetic Antialcohol Antibiotic Anticholinergic Anticoagulant Anticonvulsant Antidepressant Antidiarrheal Antidote Antiemetic Antifungal Antiinflammatry Antilipemic Antiparasitic Antipsychotic Antitussive Antiviral Anxiety Appetite Supp Asthma/COPD Astringent Benzodiazepine Calcimimetic Cardiovascular Cholinergic Ag CL Products Cold Prep Decongestant Depigment Diabetes Diuretic Ergot Eyelid Scrub Gallstone GI Glaucoma Gold Compound Gout Hirsutism Hormonal Hypnotic Immunologic Impotence Irrigant Keratolytic Laxative Lubricant Migraine Muscle Relaxant Myasthenia Grav NSAID Ocular Lubricnt Osteoporosis Parkinsons Phosphate Bindr Prostate Protectant Pruritis Psoralen Sleep Aid Smoking Cess Steroid Stimulant Thyroid Urinary Vasoconstrictor Vit D Analog Vitamin/Mineral Withdrawal Wound Care Or Other

Abilify Accutane Actiq Actonel Acular Adderall Adipex Advair AK-Con-A Akten Alamast Alimta Allegra Alli Alphagan Alprazolam Alrex Ambien Amitiza Aricept Avandia Avodart AzaSite Betaxon Boniva Botox Byetta Caduet Celebrex Celexa Chantix Cialis Claritin Clonazepam Concerta Cosopt Coumadin Crestor Cyclobenzaprine Cymbalta Depakote Dexadrine Diazepam Diovan Durezol Effexor Emend Enbrel Ephedrine Femara Flomax Fluoxetine Focalin Fosamax gabapentin Gardasil Geodon Hoodia Humira hydrocodone Insulin Juvederm Keppra Klonopin Lamictal Lasix Levaquin Levitra Lexapro Lipitor Lisinopril Lithium Lorazepam Lotemax Lotrel Lucentis Lumigan Lunesta Lyrica Macugen Melatonin Metformin Methadone Methotrexate Mirapex Mirena Namenda Naproxen Nasonex Neurontin Nexium Niacin Norco Norvasc Ocuflox OcuHist omeprazole Orencia Ortho Evra oseltamivir oxycodone Oxycontin Paxil Percocet Phentermine Plavix prednisone Prevacid Prilosec Pristiq Promethazine Propecia Protonix Provigil Prozac Quixin Rescula Restasis Restylane Risperdal Ritalin Rogaine Seroquel Sertraline Simvastatin Singulair Soma Spiriva Suboxone Synvisc Tamiflu Tamoxifen Taxol Tenex Testosterone Topamax Tramadol Travatan Trazodone Ultram Valcyte Valtrex Viagra Vicodin Vioxx Viroptic Vytorin Wellbutrin Xalatan Xanax Xenical Yasmin Yaz Zelnorm Zetia Zocor Zoloft Zolpidem Zyprexa Zyrtec Or Other //MM/DD/YYYY Acne ADHD (non-stim) Allergies Alzheimers Analgesic Anemia Anesthetic Antialcohol Antibiotic Anticholinergic Anticoagulant Anticonvulsant Antidepressant Antidiarrheal Antidote Antiemetic Antifungal Antiinflammatry Antilipemic Antiparasitic Antipsychotic Antitussive Antiviral Anxiety Appetite Supp Asthma/COPD Astringent Benzodiazepine Calcimimetic Cardiovascular Cholinergic Ag CL Products Cold Prep Decongestant Depigment Diabetes Diuretic Ergot Eyelid Scrub Gallstone GI Glaucoma Gold Compound Gout Hirsutism Hormonal Hypnotic Immunologic Impotence Irrigant Keratolytic Laxative Lubricant Migraine Muscle Relaxant Myasthenia Grav NSAID Ocular Lubricnt Osteoporosis Parkinsons Phosphate Bindr Prostate Protectant Pruritis Psoralen Sleep Aid Smoking Cess Steroid Stimulant Thyroid Urinary Vasoconstrictor Vit D Analog Vitamin/Mineral Withdrawal Wound Care Or Other

Abilify Accutane Actiq Actonel Acular Adderall Adipex Advair AK-Con-A Akten Alamast Alimta Allegra Alli Alphagan Alprazolam Alrex Ambien Amitiza Aricept Avandia Avodart AzaSite Betaxon Boniva Botox Byetta Caduet Celebrex Celexa Chantix Cialis Claritin Clonazepam Concerta Cosopt Coumadin Crestor Cyclobenzaprine Cymbalta Depakote Dexadrine Diazepam Diovan Durezol Effexor Emend Enbrel Ephedrine Femara Flomax Fluoxetine Focalin Fosamax gabapentin Gardasil Geodon Hoodia Humira hydrocodone Insulin Juvederm Keppra Klonopin Lamictal Lasix Levaquin Levitra Lexapro Lipitor Lisinopril Lithium Lorazepam Lotemax Lotrel Lucentis Lumigan Lunesta Lyrica Macugen Melatonin Metformin Methadone Methotrexate Mirapex Mirena Namenda Naproxen Nasonex Neurontin Nexium Niacin Norco Norvasc Ocuflox OcuHist omeprazole Orencia Ortho Evra oseltamivir oxycodone Oxycontin Paxil Percocet Phentermine Plavix prednisone Prevacid Prilosec Pristiq Promethazine Propecia Protonix Provigil Prozac Quixin Rescula Restasis Restylane Risperdal Ritalin Rogaine Seroquel Sertraline Simvastatin Singulair Soma Spiriva Suboxone Synvisc Tamiflu Tamoxifen Taxol Tenex Testosterone Topamax Tramadol Travatan Trazodone Ultram Valcyte Valtrex Viagra Vicodin Vioxx Viroptic Vytorin Wellbutrin Xalatan Xanax Xenical Yasmin Yaz Zelnorm Zetia Zocor Zoloft Zolpidem Zyprexa Zyrtec Or Other //MM/DD/YYYY Acne ADHD (non-stim) Allergies Alzheimers Analgesic Anemia Anesthetic Antialcohol Antibiotic Anticholinergic Anticoagulant Anticonvulsant Antidepressant Antidiarrheal Antidote Antiemetic Antifungal Antiinflammatry Antilipemic Antiparasitic Antipsychotic Antitussive Antiviral Anxiety Appetite Supp Asthma/COPD Astringent Benzodiazepine Calcimimetic Cardiovascular Cholinergic Ag CL Products Cold Prep Decongestant Depigment Diabetes Diuretic Ergot Eyelid Scrub Gallstone GI Glaucoma Gold Compound Gout Hirsutism Hormonal Hypnotic Immunologic Impotence Irrigant Keratolytic Laxative Lubricant Migraine Muscle Relaxant Myasthenia Grav NSAID Ocular Lubricnt Osteoporosis Parkinsons Phosphate Bindr Prostate Protectant Pruritis Psoralen Sleep Aid Smoking Cess Steroid Stimulant Thyroid Urinary Vasoconstrictor Vit D Analog Vitamin/Mineral Withdrawal Wound Care Or Other

Abilify Accutane Actiq Actonel Acular Adderall Adipex Advair AK-Con-A Akten Alamast Alimta Allegra Alli Alphagan Alprazolam Alrex Ambien Amitiza Aricept Avandia Avodart AzaSite Betaxon Boniva Botox Byetta Caduet Celebrex Celexa Chantix Cialis Claritin Clonazepam Concerta Cosopt Coumadin Crestor Cyclobenzaprine Cymbalta Depakote Dexadrine Diazepam Diovan Durezol Effexor Emend Enbrel Ephedrine Femara Flomax Fluoxetine Focalin Fosamax gabapentin Gardasil Geodon Hoodia Humira hydrocodone Insulin Juvederm Keppra Klonopin Lamictal Lasix Levaquin Levitra Lexapro Lipitor Lisinopril Lithium Lorazepam Lotemax Lotrel Lucentis Lumigan Lunesta Lyrica Macugen Melatonin Metformin Methadone Methotrexate Mirapex Mirena Namenda Naproxen Nasonex Neurontin Nexium Niacin Norco Norvasc Ocuflox OcuHist omeprazole Orencia Ortho Evra oseltamivir oxycodone Oxycontin Paxil Percocet Phentermine Plavix prednisone Prevacid Prilosec Pristiq Promethazine Propecia Protonix Provigil Prozac Quixin Rescula Restasis Restylane Risperdal Ritalin Rogaine Seroquel Sertraline Simvastatin Singulair Soma Spiriva Suboxone Synvisc Tamiflu Tamoxifen Taxol Tenex Testosterone Topamax Tramadol Travatan Trazodone Ultram Valcyte Valtrex Viagra Vicodin Vioxx Viroptic Vytorin Wellbutrin Xalatan Xanax Xenical Yasmin Yaz Zelnorm Zetia Zocor Zoloft Zolpidem Zyprexa Zyrtec Or Other //MM/DD/YYYY Acne ADHD (non-stim) Allergies Alzheimers Analgesic Anemia Anesthetic Antialcohol Antibiotic Anticholinergic Anticoagulant Anticonvulsant Antidepressant Antidiarrheal Antidote Antiemetic Antifungal Antiinflammatry Antilipemic Antiparasitic Antipsychotic Antitussive Antiviral Anxiety Appetite Supp Asthma/COPD Astringent Benzodiazepine Calcimimetic Cardiovascular Cholinergic Ag CL Products Cold Prep Decongestant Depigment Diabetes Diuretic Ergot Eyelid Scrub Gallstone GI Glaucoma Gold Compound Gout Hirsutism Hormonal Hypnotic Immunologic Impotence Irrigant Keratolytic Laxative Lubricant Migraine Muscle Relaxant Myasthenia Grav NSAID Ocular Lubricnt Osteoporosis Parkinsons Phosphate Bindr Prostate Protectant Pruritis Psoralen Sleep Aid Smoking Cess Steroid Stimulant Thyroid Urinary Vasoconstrictor Vit D Analog Vitamin/Mineral Withdrawal Wound Care Or Other

Abilify Accutane Actiq Actonel Acular Adderall Adipex Advair AK-Con-A Akten Alamast Alimta Allegra Alli Alphagan Alprazolam Alrex Ambien Amitiza Aricept Avandia Avodart AzaSite Betaxon Boniva Botox Byetta Caduet Celebrex Celexa Chantix Cialis Claritin Clonazepam Concerta Cosopt Coumadin Crestor Cyclobenzaprine Cymbalta Depakote Dexadrine Diazepam Diovan Durezol Effexor Emend Enbrel Ephedrine Femara Flomax Fluoxetine Focalin Fosamax gabapentin Gardasil Geodon Hoodia Humira hydrocodone Insulin Juvederm Keppra Klonopin Lamictal Lasix Levaquin Levitra Lexapro Lipitor Lisinopril Lithium Lorazepam Lotemax Lotrel Lucentis Lumigan Lunesta Lyrica Macugen Melatonin Metformin Methadone Methotrexate Mirapex Mirena Namenda Naproxen Nasonex Neurontin Nexium Niacin Norco Norvasc Ocuflox OcuHist omeprazole Orencia Ortho Evra oseltamivir oxycodone Oxycontin Paxil Percocet Phentermine Plavix prednisone Prevacid Prilosec Pristiq Promethazine Propecia Protonix Provigil Prozac Quixin Rescula Restasis Restylane Risperdal Ritalin Rogaine Seroquel Sertraline Simvastatin Singulair Soma Spiriva Suboxone Synvisc Tamiflu Tamoxifen Taxol Tenex Testosterone Topamax Tramadol Travatan Trazodone Ultram Valcyte Valtrex Viagra Vicodin Vioxx Viroptic Vytorin Wellbutrin Xalatan Xanax Xenical Yasmin Yaz Zelnorm Zetia Zocor Zoloft Zolpidem Zyprexa Zyrtec Or Other //MM/DD/YYYY Acne ADHD (non-stim) Allergies Alzheimers Analgesic Anemia Anesthetic Antialcohol Antibiotic Anticholinergic Anticoagulant Anticonvulsant Antidepressant Antidiarrheal Antidote Antiemetic Antifungal Antiinflammatry Antilipemic Antiparasitic Antipsychotic Antitussive Antiviral Anxiety Appetite Supp Asthma/COPD Astringent Benzodiazepine Calcimimetic Cardiovascular Cholinergic Ag CL Products Cold Prep Decongestant Depigment Diabetes Diuretic Ergot Eyelid Scrub Gallstone GI Glaucoma Gold Compound Gout Hirsutism Hormonal Hypnotic Immunologic Impotence Irrigant Keratolytic Laxative Lubricant Migraine Muscle Relaxant Myasthenia Grav NSAID Ocular Lubricnt Osteoporosis Parkinsons Phosphate Bindr Prostate Protectant Pruritis Psoralen Sleep Aid Smoking Cess Steroid Stimulant Thyroid Urinary Vasoconstrictor Vit D Analog Vitamin/Mineral Withdrawal Wound Care Or Other

 

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