| BQS OBSP Determination: |
| NORETHINDRONE |
| METHOD: 2440 , TESTIDCODE: 67434LCM56 |
| DATES: 05/17/14 - 02/01/18 |
| BQS OBSP Determination: |
| PIPERONYL BUTOXIDE |
| METHOD: 2440 , TESTIDCODE: 67435LCM56 |
| DATES: 04/23/14 - 10/22/17 |
| BQS OBSP Determination: |
| ACETAMINOPHEN |
| METHOD: 2440 , TESTIDCODE: 67436LCM56 |
| DATES: 04/23/14 - 12/16/17 |
| BQS OBSP Determination: |
| ALBUTEROL (SALBUTAMOL) |
| METHOD: 2440 , TESTIDCODE: 67437LCM56 |
| DATES: 04/23/14 - 12/16/17 |
| BQS OBSP Determination: |
| CARBAMAZEPINE |
| METHOD: 2440 , TESTIDCODE: 67441LCM56 |
| DATES: 04/23/14 - 02/03/18 |
| BQS OBSP Determination: |
| DEHYDRONIFEDIPINE |
| METHOD: 2440 , TESTIDCODE: 67445LCM56 |
| DATES: 05/17/14 - 02/02/18 |
| BQS OBSP Determination: |
| 1,7-DIMETHYLXANTHINE (P-XANTHINE) |
| METHOD: 2440 , TESTIDCODE: 67446LCM56 |
| DATES: 04/23/14 - 12/16/17 |
| BQS OBSP Determination: |
| DIPHENHYDRAMINE |
| METHOD: 2440 , TESTIDCODE: 67447LCM56 |
| DATES: 05/17/14 - 02/03/18 |
| BQS OBSP Determination: |
| ERYTHROMYCIN |
| METHOD: 2440 , TESTIDCODE: 67449LCM56 |
| DATES: 05/21/14 - 12/15/17 |
| BQS OBSP Determination: |
| NORFLUOXETINE |
| METHOD: 2440 , TESTIDCODE: 67451LCM56 |
| DATES: 04/23/14 - 02/02/18 |
| BQS OBSP Determination: |
| SULFAMETHOXAZOLE |
| METHOD: 2440 , TESTIDCODE: 67454LCM56 |
| DATES: 05/17/14 - 02/03/18 |
| BQS OBSP Determination: |
| THIABENDAZOLE |
| METHOD: 2440 , TESTIDCODE: 67455LCM56 |
| DATES: 05/30/14 - 12/16/17 |
| BQS OBSP Determination: |
| TRIMETHOPRIM |
| METHOD: 2440 , TESTIDCODE: 67456LCM56 |
| DATES: 05/17/14 - 02/02/18 |
| BQS OBSP Determination: |
| HYDROCORTISONE |
| METHOD: 2440 , TESTIDCODE: 67459LCM56 |
| DATES: 05/17/14 - 02/01/18 |
| BQS OBSP Determination: |
| PSEUDOEPHEDRINE+EPHEDRINE |
| METHOD: 2440 , TESTIDCODE: 67460LCM56 |
| DATES: 05/17/14 - 02/02/18 |
| BQS OBSP Determination: |
| AMPHETAMINE |
| METHOD: 2440 , TESTIDCODE: 67461LCM56 |
| DATES: 05/17/14 - 02/01/18 |
| BQS OBSP Determination: |
| MEPROBAMATE |
| METHOD: 2440 , TESTIDCODE: 67464LCM56 |
| DATES: 05/21/14 - 02/02/18 |
| BQS OBSP Determination: |
| DEXTROMETHORPHAN |
| METHOD: 2440 , TESTIDCODE: 67468LCM56 |
| DATES: 05/21/14 - 02/03/18 |
| BQS OBSP Determination: |
| TRIAMTERENE |
| METHOD: 2440 , TESTIDCODE: 67475LCM56 |
| DATES: 05/21/14 - 02/02/18 |
| BQS OBSP Determination: |
| SULFAMETHIZOLE |
| METHOD: 2440 , TESTIDCODE: 67476LCM56 |
| DATES: 04/23/14 - 02/02/18 |
| BQS OBSP Determination: |
| FLUCONAZOLE |
| METHOD: 2440 , TESTIDCODE: 67478LCM56 |
| DATES: 05/21/14 - 02/03/18 |
| BQS OBSP Determination: |
| PENTOXIFYLLINE |
| METHOD: 2440 , TESTIDCODE: 67480LCM56 |
| DATES: 04/23/14 - 12/16/17 |
| BQS OBSP Determination: |
| IMINOSTILBENE |
| METHOD: 2440 , TESTIDCODE: 67481LCM56 |
| DATES: 05/21/14 - 02/02/18 |
| BQS OBSP Determination: |
| PREDNISOLONE |
| METHOD: 2440 , TESTIDCODE: 67483LCM56 |
| DATES: 04/23/14 - 12/16/17 |
| BQS OBSP Determination: |
| BETAMETHASONE |
| METHOD: 2440 , TESTIDCODE: 67485LCM56 |
| DATES: 05/17/14 - 12/16/17 |
| BQS OBSP Determination: |
| FENOFIBRATE |
| METHOD: 2440 , TESTIDCODE: 67489LCM56 |
| DATES: 05/21/14 - 02/01/18 |
| BQS OBSP Determination: |
| THEOPHYLLINE |
| METHOD: 2440 , TESTIDCODE: 67494LCM56 |
| DATES: 05/21/14 - 12/16/17 |
| BQS OBSP Determination: |
| CHLORPHENIRAMINE |
| METHOD: 2440 , TESTIDCODE: 67497LCM56 |
| DATES: 06/28/14 - 02/01/18 |
| BQS OBSP Determination: |
| CARISOPRODOL |
| METHOD: 2440 , TESTIDCODE: 67498LCM56 |
| DATES: 04/23/14 - 02/02/18 |
| BQS OBSP Determination: |
| DIAZEPAM (VALIUM) |
| METHOD: 2440 , TESTIDCODE: 67499LCM56 |
| DATES: 05/17/14 - 02/01/18 |
| BQS OBSP Determination: |
| METHOCARBAMOL |
| METHOD: 2440 , TESTIDCODE: 67501LCM56 |
| DATES: 04/23/14 - 02/03/18 |
| BQS OBSP Determination: |
| SULFADIMETHOXINE |
| METHOD: 2440 , TESTIDCODE: 67503LCM56 |
| DATES: 05/17/14 - 12/16/17 |
| BQS OBSP Determination: |
| HYDROCODONE |
| METHOD: 2440 , TESTIDCODE: 67506LCM56 |
| DATES: 05/17/14 - 12/16/17 |
| BQS OBSP Determination: |
| VALACYCLOVIR |
| METHOD: 2440 , TESTIDCODE: 67507LCM56 |
| DATES: 05/21/14 - 02/02/18 |
| BQS OBSP Determination: |
| FEXOFENADINE |
| METHOD: 2440 , TESTIDCODE: 67510LCM56 |
| DATES: 04/23/14 - 02/03/18 |
| BQS OBSP Determination: |
| OSELTAMIVIR |
| METHOD: 2440 , TESTIDCODE: 67511LCM56 |
| DATES: 07/20/14 - 02/02/18 |
| BQS OBSP Determination: |
| OMEPRAZOLE + ESOMEPRAZOLE |
| METHOD: 2440 , TESTIDCODE: 67512LCM56 |
| DATES: 07/26/14 - 02/01/18 |
| BQS OBSP Determination: |
| METHYL-1H-BENZOTRIAZOLE |
| METHOD: 2440 , TESTIDCODE: 67514LCM56 |
| DATES: 05/17/14 - 02/03/18 |
| BQS OBSP Determination: |
| PROPRANOLOL |
| METHOD: 2440 , TESTIDCODE: 67516LCM56 |
| DATES: 05/17/14 - 02/03/18 |
| BQS OBSP Determination: |
| FLUVOXAMINE |
| METHOD: 2440 , TESTIDCODE: 67521LCM56 |
| DATES: 04/23/14 - 12/16/17 |
| BQS OBSP Determination: |
| AMITRIPTYLINE |
| METHOD: 2440 , TESTIDCODE: 67522LCM56 |
| DATES: 05/21/14 - 02/02/18 |
| BQS OBSP Determination: |
| PROMETHAZINE |
| METHOD: 2440 , TESTIDCODE: 67524LCM56 |
| DATES: 06/26/15 - 12/15/17 |
| BQS OBSP Determination: |
| METHOTREXATE |
| METHOD: 2440 , TESTIDCODE: 67525LCM56 |
| DATES: 05/17/14 - 02/02/18 |
| BQS OBSP Determination: |
| FLUTICASONE PROPIONATE |
| METHOD: 2440 , TESTIDCODE: 67529LCM56 |
| DATES: 05/17/14 - 12/16/17 |
| BQS OBSP Determination: |
| SITAGLIPTIN |
| METHOD: 2440 , TESTIDCODE: 67531LCM56 |
| DATES: 05/17/14 - 12/16/17 |
| BQS OBSP Determination: |
| NORSERTRALINE |
| METHOD: 2440 , TESTIDCODE: 67532LCM56 |
| DATES: 06/26/15 - 02/02/18 |
| BQS OBSP Determination: |
| VENLAFAXINE |
| METHOD: 2440 , TESTIDCODE: 67534LCM56 |
| DATES: 05/21/14 - 02/02/18 |
| BQS OBSP Determination: |
| 10-HYDROXY-AMITRIPTYLINE |
| METHOD: 2440 , TESTIDCODE: 67995LCM56 |
| DATES: 05/17/14 - 02/02/18 |
| BQS OBSP Determination: |
| BENZTROPINE |
| METHOD: 2440 , TESTIDCODE: 67997LCM56 |
| DATES: 10/11/14 - 02/02/18 |
| BQS OBSP Determination: |
| DESMETHYLDILTIAZEM |
| METHOD: 2440 , TESTIDCODE: 67999LCM56 |
| DATES: 05/17/14 - 02/01/18 |
| BQS OBSP Determination: |
| HYDROXYZINE |
| METHOD: 2440 , TESTIDCODE: 68005LCM56 |
| DATES: 04/23/14 - 02/02/18 |
| BQS OBSP Determination: |
| NORVERAPAMIL |
| METHOD: 2440 , TESTIDCODE: 68007LCM56 |
| DATES: 04/23/14 - 02/01/18 |
| BQS OBSP Determination: |
| PHENAZOPYRIDINE |
| METHOD: 2440 , TESTIDCODE: 68008LCM56 |
| DATES: 04/23/14 - 02/01/18 |
| BQS OBSP Determination: |
| PROPOXYPHENE |
| METHOD: 2440 , TESTIDCODE: 68009LCM56 |
| DATES: 05/17/14 - 12/16/17 |
| BQS OBSP Determination: |
| KETOCONAZOLE |
| METHOD: 2440 , TESTIDCODE: 68014LCM56 |
| DATES: 05/21/14 - 02/01/18 |
| BQS OBSP Determination: |
| PENCICLOVIR |
| METHOD: 2440 , TESTIDCODE: 68021LCM56 |
| DATES: 04/23/14 - 12/16/17 |