reynolds army community hospital outpatient formulary … · 2014. 8. 21. · acetaminophen and...

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Reynolds Army Community Hospital

Alphabetical Listing by Name

This document is current as of The availability of formulary items is subject to change

Outpatient Formulary

/148/21

AcamprosateOutpatient Dosage FormsTablet Delayed Release, Oral, as calcium:Campral: 333 mg

AcetaminophenOutpatient Dosage FormsSolution, Oral:Generic: 160 mg/5 mL (10.15 mL)

Suppository, Rectal:Acephen: 650 mg (12 ea)Generic: 120 mg (12s)

Suspension, Oral:Tylenol Childrens: 160 mg/5 mL (100 mL) [alcohol free, aspirin free, ibuprofenfree; contains brilliant blue fcf (fd&c blue #1), butylparaben, propylene glycol,sodium benzoate; grape flavor]

Tablet, Oral:Mapap: 325 mg

Tablet Chewable, Oral:Mapap: 80 mg

Acetaminophen and CodeineOutpatient Dosage FormsSolution, Oral:Generic: Acetaminophen 120 mg and codeine phosphate 12 mg per 5 mL (473mL) [BCF]

Tablet, Oral:Generic: Acetaminophen 300 mg and codeine phosphate 30 mg [BCF]

Acetaminophen and TramadolOutpatient Dosage FormsTablet, Oral:Generic: Acetaminophen 325 mg and tramadol hydrochloride 37.5 mg

Acetaminophen, Isometheptene, and DichloralphenazoneOutpatient Dosage FormsCapsule, Oral:Generic: Acetaminophen 325 mg, isometheptene mucate 65 mg, and dichlor-alphenazone 100 mg

AcetaZOLAMIDEOutpatient Dosage FormsCapsule Extended Release 12 Hour, Oral:Generic: 500 mg

Tablet, Oral:Generic: 250 mg

Acetic AcidOutpatient Dosage FormsSolution, Otic:Generic: 2% (60 mL)

AcetylcholineOutpatient Dosage FormsSolution Reconstituted, Intraocular, as chloride:Miochol-E: 20 mg (1 ea) [contains mannitol]

AclidiniumOutpatient Dosage FormsAerosol Powder Breath Activated, Inhalation, as bromide:Tudorza Pressair: 400 mcg/actuation (1 ea) [contains milk protein]

Acyclovir (Systemic)Outpatient Dosage FormsSuspension, Oral:Generic: 200 mg/5 mL (473 mL) [BCF]

Tablet, Oral:Generic: 400 mg [BCF]

Acyclovir (Topical)Outpatient Dosage FormsCream, External:Zovirax: 5% (5 g) [contains cetostearyl alcohol, propylene glycol]

Ointment, External:Zovirax: 5% (30 g)

AdalimumabOutpatient Dosage FormsKit, Subcutaneous [preservative free]:Humira: 40 mg/0.8 mL (0.8 mL) [contains polysorbate 80] [ECF]Humira Pen: 40 mg/0.8 mL (0.8 mL) [contains polysorbate 80] [ECF]

AdapaleneOutpatient Dosage FormsGel, External:Generic: 0.1% (45 g)

AlbendazoleOutpatient Dosage FormsTablet, Oral:Albenza: 200 mg [contains saccharin sodium]

AlbuterolOutpatient Dosage FormsAerosol Solution, Inhalation:ProAir HFA: 108 (90 Base) mcg/actuation (8.5 g) [BCF]

Nebulization Solution, Inhalation:Generic: 0.083% [2.5 mg/3 mL] (3 mL) [BCF]; 0.5% [5 mg/mL] (20 mL)

Syrup, Oral:Generic: 2 mg/5 mL (473 mL)

Tablet Extended Release 12 Hour, Oral:Generic: 4 mg

Alcohol (Isopropyl)Outpatient Dosage FormsPad, External:Generic: 70% (200/box)

AlendronateOutpatient Dosage FormsTablet, Oral:Generic: 5 mg [BCF], 10 mg [BCF], 35 mg [BCF], 70 mg [BCF]

Alendronate and CholecalciferolOutpatient Dosage FormsTablet, Oral:Fosamax Plus D: 70/5600: Alendronate 70 mg and cholecalciferol 5600 int.units [BCF]

AlfuzosinOutpatient Dosage FormsTablet Extended Release 24 Hour, Oral, as hydrochloride:Uroxatral: 10 mg [BCF]

AliskirenOutpatient Dosage FormsTablet, Oral:Tekturna: 150 mg, 300 mg

AllopurinolOutpatient Dosage FormsTablet, Oral, as sodium:Generic: 100 mg [BCF], 300 mg [BCF]

ALPRAZolamOutpatient Dosage FormsTablet, Oral:Generic: 0.25 mg, 0.5 mg, 1 mg, 2 mg

AlprostadilOutpatient Dosage FormsKit, Intracavernosal:Edex: 10 mcg, 20 mcg

Pellet, Urethral:Muse: 500 mcg (6 ea); 1000 mcg (6 ea)

Aluminum Chloride HexahydrateOutpatient Dosage FormsSolution, External:Hypercare: 20% (37.5 mL)

Aluminum Sulfate and Calcium AcetateOutpatient Dosage FormsPacket, External:Generic: 12 packets/box

AmantadineOutpatient Dosage FormsCapsule, Oral, as hydrochloride:Generic: 100 mg [BCF]

Aminolevulinic AcidOutpatient Dosage FormsSolution Reconstituted, External, as hydrochloride:Levulan Kerastick: 20% (1 ea) [contains alcohol, usp, isopropyl alcohol,laureth, polyethylene glycol]

AmiodaroneOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 200 mg [BCF]

AmitriptylineOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 10 mg [BCF], 25 mg [BCF], 100 mg

ACAMPROSATE

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AmLODIPineOutpatient Dosage FormsTablet, Oral:Generic: 2.5 mg [BCF], 5 mg [BCF], 10 mg [BCF]

Amlodipine and BenazeprilOutpatient Dosage FormsCapsule, Oral:Generic: 2.5/10: Amlodipine 2.5 mg and benazepril hydrochloride 10 mg [BCF]Generic: 5/10: Amlodipine 5 mg and benazepril hydrochloride 10 mg [BCF]Generic: 5/20: Amlodipine 5 mg and benazepril hydrochloride 20 mg [BCF]Generic: 5/40: Amlodipine 5 mg and benazepril hydrochloride 40 mg [BCF]Generic: 10/20: Amlodipine 10 mg and benazepril hydrochloride 20 mg [BCF]Generic: 10/40: Amlodipine 10 mg and benazepril hydrochloride 40 mg [BCF]

AmoxicillinOutpatient Dosage FormsCapsule, Oral:Generic: 250 mg [BCF], 500 mg [BCF]

Suspension Reconstituted, Oral:Generic: 125 mg/5 mL (150 mL); 250 mg/5 mL (150 mL) [BCF]; 400 mg/5 mL(50 mL, 75 mL, 100 mL) [BCF]

Amoxicillin and ClavulanateOutpatient Dosage FormsPowder for Suspension, Oral:Generic: 200: Amoxicillin 200 mg and clavulanate potassium 28.5 mg per 5 mL(50 mL, 75 mL, 100 mL) [BCF]

Generic: 400: Amoxicillin 400 mg and clavulanate potassium 57 mg per 5 mL(50 mL, 75 mL, 100 mL) [BCF]

Generic: 600: Amoxicillin 600 mg and clavulanate potassium 42.9 mg per 5 mL(75 mL, 125 mL, 200 mL) [BCF]

Tablet, Oral:Generic: 250: Amoxicillin 250 mg and clavulanate potassium 125 mg [BCF]Generic: 875: Amoxicillin 875 mg and clavulanate potassium 125 mg [BCF]

Tablet Chewable, Oral:Generic: 400: Amoxicillin 400 mg and clavulanate potassium 57 mg [containsphenylalanine]

AnastrozoleOutpatient Dosage FormsTablet, Oral:Generic: 1 mg

Antipyrine and BenzocaineOutpatient Dosage FormsSolution, Otic [drops]:Generic: Antipyrine 5.4% and benzocaine 1.4% (15 mL) [BCF]

AprepitantOutpatient Dosage FormsCapsule, Oral:Emend: 80 mg and 125 mg

ARIPiprazoleOutpatient Dosage FormsTablet, Oral:Abilify: 2 mg, 5 mg, 10 mg, 15 mg, 20 mg, 30 mg

Artificial TearsOutpatient Dosage FormsSolution, Ophthalmic:Akwa Tears: 1.4% (15 mL) [contains benzalkonium chloride, disodium edta]

AspirinOutpatient Dosage FormsTablet, Oral:Generic: 325 mg

Tablet, Oral [buffered]:Bayer Plus: 500 mg

Tablet Delayed Release, Oral:Aspirin EC Low Dose: 81 mg [contains fd&c yellow #10 (quinoline yellow)]Generic: 325 mg

Aspirin and DipyridamoleOutpatient Dosage FormsCapsule Extended Release 12 Hour, Oral:Aggrenox: Aspirin 25 mg [immediate release] and dipyridamole 200 mg[extended release] [contains lactose, sucrose]

AtenololOutpatient Dosage FormsTablet, Oral:Generic: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF]

AtoMOXetineOutpatient Dosage FormsCapsule, Oral:Strattera: 10 mg, 18 mg, 25 mg, 40 mg, 60 mg, 80 mg, 100 mg

AtorvaSTATinOutpatient Dosage FormsTablet, Oral:Generic: 10 mg [BCF], 20 mg [BCF], 40 mg [BCF], 80 mg [BCF]

Atovaquone and ProguanilOutpatient Dosage FormsTablet, Oral:Malarone: Atovaquone 250 mg and proguanil hydrochloride 100 mg

AtropineOutpatient Dosage FormsOintment, Ophthalmic, as sulfate:Generic: 1% (3.5 g)

Solution, Ophthalmic, as sulfate:Generic: 1% (5 mL)

AzaTHIOprineOutpatient Dosage FormsTablet, Oral:Generic: 50 mg

Azelaic AcidOutpatient Dosage FormsCream, External:Azelex: 20% (30 g)

Azelastine (Nasal)Outpatient Dosage FormsSolution, Nasal, as hydrochloride:Astelin: 137 mcg/spray (30 mL) [contains benzalkonium chloride, edetatedisodium]

Azelastine (Ophthalmic)Outpatient Dosage FormsSolution, Ophthalmic, as hydrochloride:Optivar: 0.05% (6 mL) [contains benzalkonium chloride]

Azithromycin (Systemic)Outpatient Dosage FormsSuspension Reconstituted, Oral, as dihydrate [strength expressed as base]:Zithromax: 200 mg/5 mL (15 mL) [cherry flavor]Generic: 100 mg/5 mL (15 mL) [BCF]; 200 mg/5 mL (30 mL)

Suspension Reconstituted, Oral, as monohydrate [strength expressed as base]:Generic: 200 mg/5 mL (22.5 mL)

Tablet, Oral, as monohydrate [strength expressed as base]:Generic: 250 mg [BCF]

BacitracinOutpatient Dosage FormsOintment, External:Generic: 500 units/g (14 g)

Ointment, Ophthalmic:Generic: 500 units/g (3.5 g)

Bacitracin, Neomycin, and Polymyxin BOutpatient Dosage FormsOintment, External:Generic: Bacitracin 400 units, neomycin 5 mg, and polymyxin B 5000 units perg (14 g)

Ointment, Ophthalmic:Generic: Bacitracin 400 units, neomycin 5 mg, and polymyxin B 10,000 unitsper g (3.5 g) [BCF]

BaclofenOutpatient Dosage FormsTablet, Oral:Generic: 10 mg

Balanced Salt SolutionOutpatient Dosage FormsSolution, Intraocular:BSS: 15 mL

BenzocaineOutpatient Dosage FormsGel, Mouth/Throat:Hurricaine: 20% (30 g) [contains polyethylene glycol, saccharin sodium; wildcherry flavor]

Lozenge, Mouth/Throat:Generic: 15 mg [contains menthol 3.6 mg] (18 ea)

BenzonatateOutpatient Dosage FormsCapsule, Oral:Generic: 100 mg

BENZONATATE

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Benzoyl PeroxideOutpatient Dosage FormsGel, External:Acne Medication 5: 5% (42.5 g) [contains edetate disodium]

BenztropineOutpatient Dosage FormsTablet, Oral, as mesylate:Generic: 0.5 mg [BCF], 2 mg [BCF]

BepotastineOutpatient Dosage FormsSolution, Ophthalmic, as besilate:Bepreve: 1.5% (10 mL) [contains benzalkonium chloride]

Betamethasone and ClotrimazoleOutpatient Dosage FormsCream, External:Generic: Betamethasone dipropionate 0.05% (base) and clotrimazole1% (45 g)

Betamethasone (Topical)Outpatient Dosage FormsCream, External, as valerate [strength expressed as base]:Generic: 0.1% (15 g)

Ointment, External, as valerate [strength expressed as base]:Generic: 0.1% (45 g)

Betaxolol (Ophthalmic)Outpatient Dosage FormsSuspension, Ophthalmic:Betoptic-S: 0.25% (10 mL)

BicalutamideOutpatient Dosage FormsTablet, Oral:Generic: 50 mg

BimatoprostOutpatient Dosage FormsSolution, Ophthalmic:Lumigan: 0.01% (2.5 mL) [contains benzalkonium chloride]

BisacodylOutpatient Dosage FormsTablet Delayed Release, Oral:Bisacodyl EC: 5 mg

BismuthOutpatient Dosage FormsTablet Chewable, Oral, as subsalicylate:Pink Bismuth: 262 mg

Brimonidine and TimololOutpatient Dosage FormsSolution, Ophthalmic:Combigan: Brimonidine tartrate 0.2% and timolol 0.5% (5 mL) [containsbenzalkonium chloride]

Brimonidine (Ophthalmic)Outpatient Dosage FormsSolution, Ophthalmic, as tartrate:Alphagan P: 0.1% (5 mL) [contains carboxymethylcellulose sodium]Generic: 0.15% (10 mL) [BCF]; 0.2% (5 mL) [BCF]

BromocriptineOutpatient Dosage FormsTablet, Oral:Generic: 2.5 mg

Budesonide (Systemic, Oral Inhalation)Outpatient Dosage FormsCapsule Extended Release 24 Hour, Oral:Generic: 3 mg

Suspension, Inhalation:Pulmicort: 0.25 mg/2 mL (2 mL); 0.5 mg/2 mL (2 mL) [contains disodium edta,polysorbate 80]

BuprenorphineOutpatient Dosage FormsPatch Weekly, Transdermal:Butrans: 5 mcg/hr (4 ea); 10 mcg/hr (4 ea); 20 mcg/hr (4 ea)

Buprenorphine and NaloxoneOutpatient Dosage FormsTablet Sublingual:Generic: Buprenorphine 8 mg and naloxone 2 mg

BuPROPionOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 75 mg [BCF], 100 mg [BCF]

Tablet Extended Release 12 Hour, Oral, as hydrochloride:Generic: 100 mg [BCF], 150 mg [BCF]


BusPIRoneOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 5 mg [BCF], 7.5 mg, 10 mg [BCF], 15 mg [BCF]

Butalbital, Acetaminophen, and CaffeineOutpatient Dosage FormsTablet, Oral:Generic: Butalbital 50 mg, acetaminophen 325 mg, and caffeine 40 mg [BCF]

Butalbital, Aspirin, and CaffeineOutpatient Dosage FormsCapsule, Oral:Generic: Butalbital 50 mg, aspirin 325 mg, and caffeine 40 mg

CalamineOutpatient Dosage FormsLotion, External:Generic: 8 % (118 mL)

CalcipotrieneOutpatient Dosage FormsCream, External:Generic: 0.005% (60 g, 120 g)

Solution, External:Generic: 0.005% (60 mL)

CalcitoninOutpatient Dosage FormsSolution, Nasal:Fortical: 200 units/actuation (3.7 mL)

CalcitriolOutpatient Dosage FormsCapsule, Oral:Generic: 0.25 mcg

Calcium and Vitamin DOutpatient Dosage FormsTablet, Oral:Generic: Calcium 500 mg and vitamin D 200 units

Camphor and MentholOutpatient Dosage FormsLotion, External:Men-Phor: Camphor 0.5% and menthol 0.5% (222 mL) [steroid free]

CapecitabineOutpatient Dosage FormsTablet, Oral:Xeloda: 150 mg, 500 mg

CaptoprilOutpatient Dosage FormsTablet, Oral:Generic: 12.5 mg [BCF], 25 mg [BCF], 50 mg [BCF], 100 mg [BCF]

CarBAMazepineOutpatient Dosage FormsTablet, Oral:Generic: 200 mg [BCF]

Tablet Chewable, Oral:Generic: 100 mg [BCF]

Carbidopa and LevodopaOutpatient Dosage FormsTablet, Oral:Generic: 10/100: Carbidopa 10 mg and levodopa 100 mg [scored] [BCF]Generic: 25/100: Carbidopa 25 mg and levodopa 100 mg [scored] [BCF]Generic: 25/250: Carbidopa 25 mg and levodopa 250 mg [scored] [BCF]

CarboxymethylcelluloseOutpatient Dosage FormsSolution, Ophthalmic, as sodium:Refresh Plus: 0.5% (30 ea)Theratears: 0.25% (15 mL) [contains calcium chloride dihydrate, magnesiumchloride, potassium chloride, sodium bicarbonate, sodium chloride, sodiumphosphate, monobasic monohydrate]

BENZOYL PEROXIDE

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CarvedilolOutpatient Dosage FormsCapsule Extended Release 24 Hour, Oral, as phosphate:Coreg CR: 10 mg, 20 mg, 40 mg, 80 mg

Tablet, Oral:Generic: 3.125 mg [BCF], 6.25 mg [BCF], 12.5 mg [BCF], 25 mg [BCF]

CefdinirOutpatient Dosage FormsCapsule, Oral:Generic: 300 mg

Suspension Reconstituted, Oral:Generic: 250 mg/5 mL (60 mL)

CefiximeOutpatient Dosage FormsTablet, Oral, as trihydrate:Suprax: 400 mg [scored]

CefprozilOutpatient Dosage FormsSuspension Reconstituted, Oral:Generic: 125 mg/5 mL (100 mL); 250 mg/5 mL (50 mL)

CefuroximeOutpatient Dosage FormsTablet, Oral, as axetil [strength expressed as base]:Ceftin: 250 mg, 500 mgGeneric: 250 mg, 500 mg

CelecoxibOutpatient Dosage FormsCapsule, Oral:CeleBREX: 100 mg, 200 mg

CephalexinOutpatient Dosage FormsCapsule, Oral:Generic: 250 mg [BCF], 500 mg [BCF]

Suspension Reconstituted, Oral:Generic: 250 mg/5 mL (200 mL) [BCF]

CetirizineOutpatient Dosage FormsSyrup, Oral, as hydrochloride:Generic: 1 mg/mL (120 mL)

Tablet, Oral, as hydrochloride:Generic: 10 mg

ChlorambucilOutpatient Dosage FormsTablet, Oral:Leukeran: 2 mg

ChlordiazePOXIDEOutpatient Dosage FormsCapsule, Oral, as hydrochloride:Generic: 10 mg, 25 mg

Chlorhexidine GluconateOutpatient Dosage FormsLiquid, External:Betasept Surgical Scrub: 4% (118 mL)Generic: 4% (118 mL)

Solution, Mouth/Throat:PerioGard: 0.12% (473 mL) [mint flavor] [BCF]Generic: 0.12% (473 mL) [BCF]

ChloroquineOutpatient Dosage FormsTablet, Oral, as phosphate:Generic: 500 mg [equivalent to chloroquine base 300 mg]

ChlorproMAZINEOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 100 mg

ChlorproPAMIDEOutpatient Dosage FormsTablet, Oral:Generic: 250 mg

ChlorthalidoneOutpatient Dosage FormsTablet, Oral:Generic: 25 mg [BCF]

CilostazolOutpatient Dosage FormsTablet, Oral:Generic: 100 mg

Ciprofloxacin and DexamethasoneOutpatient Dosage FormsSuspension, Otic:Ciprodex: Ciprofloxacin 0.3% and dexamethasone 0.1% (7.5 mL) [containsbenzalkonium chloride, edetate disodium, tyloxapol]

Ciprofloxacin (Systemic)Outpatient Dosage FormsTablet, Oral, as hydrochloride [strength expressed as base]:Generic: 250 mg [BCF], 500 mg [BCF], 750 mg [BCF]

CitalopramOutpatient Dosage FormsTablet, Oral:Generic: 10 mg [BCF], 20 mg [BCF], 40 mg [BCF]

ClarithromycinOutpatient Dosage FormsTablet, Oral:Generic: 250 mg, 500 mg

Clidinium and ChlordiazepoxideOutpatient Dosage FormsCapsule, Oral:Generic: Clidinium bromide 2.5 mg and chlordiazepoxide hydrochloride 5 mg

Clindamycin and Benzoyl PeroxideOutpatient Dosage FormsGel, External:Duac: Clindamycin phosphate 1.2% and benzoyl peroxide 5% (45 g) [containsedetate disodium, methylparaben]

Clindamycin (Systemic)Outpatient Dosage FormsCapsule, Oral, as hydrochloride [strength expressed as base]:Generic: 150 mg [BCF], 300 mg

Solution Reconstituted, Oral, as palmitate hydrochloride [strength expressed asbase]:Generic: 75 mg/5 mL (100 mL)

Clindamycin (Topical)Outpatient Dosage FormsCream, Vaginal, as phosphate [strength expressed as base]:Generic: 2% (40 g) [BCF]

Lotion, External, as phosphate [strength expressed as base]:Generic: 1% (60 mL)

ClobetasolOutpatient Dosage FormsCream, External, as propionate:Clobetasol Propionate E: 0.05% (30 g) [contains propylene glycol]

Ointment, External, as propionate:Generic: 0.05% (30 g)

ClomiPHENEOutpatient Dosage FormsTablet, Oral, as citrate:Generic: 50 mg

ClonazePAMOutpatient Dosage FormsTablet, Oral:Generic: 0.5 mg [BCF], 1 mg

CloNIDineOutpatient Dosage FormsPatch Weekly, Transdermal:Catapres-TTS-1: 0.1 mg/24 hr (4 ea)Catapres-TTS-2: 0.2 mg/24 hr (4 ea)Catapres-TTS-3: 0.3 mg/24 hr (4 ea)Generic: 0.1 mg/24 hr (4 ea); 0.2 mg/24 hr (4 ea); 0.3 mg/24 hr (4 ea)

Tablet, Oral, as hydrochloride:Generic: 0.1 mg [BCF], 0.2 mg [BCF], 0.3 mg [BCF]

ClopidogrelOutpatient Dosage FormsTablet, Oral:Generic: 75 mg [BCF]

Clotrimazole (Oral)Outpatient Dosage FormsLozenge, Mouth/Throat:Generic: 10 mg (70 ea)

CLOTRIMAZOLE (ORAL)

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Clotrimazole (Topical)Outpatient Dosage FormsCream, External:Clotrimazole Anti-Fungal: 1% (28.35 g) [contains benzyl alcohol]

Cream, Vaginal:Generic: 1% (45 g)

Solution, External:Generic: 1% (10 mL, 30 mL) [BCF]

CodeineOutpatient Dosage FormsTablet, Oral, as sulfate:Generic: 30 mg

ColchicineOutpatient Dosage FormsTablet, Oral:Colcrys: 0.6 mg [scored; contains fd&c blue #2 (indigotine), fd&c red #40]

ColestipolOutpatient Dosage FormsGranules, Oral, as hydrochloride:Colestid: 5 g (300 g) [unflavored flavor]

Tablet, Oral, as hydrochloride:Micronized Colestipol HCl: 1 g

Collagenase (Topical)Outpatient Dosage FormsOintment, External:Santyl: 250 units/g (30 g)

Collodion, FlexibleOutpatient Dosage FormsLiquid, External:Generic: 150 mL

Cromolyn (Ophthalmic)Outpatient Dosage FormsSolution, Ophthalmic, as sodium:Generic: 4% (10 mL)

CyanocobalaminOutpatient Dosage FormsTablet, Oral [preservative free]:Generic: 1000 mcg

CyclobenzaprineOutpatient Dosage FormsCapsule Extended Release 24 Hour, Oral, as hydrochloride:Amrix: 15 mg

Tablet, Oral, as hydrochloride:Generic: 10 mg [BCF]

CyclopentolateOutpatient Dosage FormsSolution, Ophthalmic, as hydrochloride:Cyclogyl: 1% (15 mL)

CyclophosphamideOutpatient Dosage FormsTablet, Oral:Generic: 50 mg

CycloSPORINE (Ophthalmic)Outpatient Dosage FormsEmulsion, Ophthalmic [preservative free]:Restasis: 0.05% (1 ea) [contains polysorbate 80]

CyproheptadineOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 4 mg [BCF]

Dabigatran EtexilateOutpatient Dosage FormsCapsule, Oral:Pradaxa: 75 mg [contains fd&c yellow #6 (sunset yellow)]Pradaxa: 150 mg [contains fd&c blue #2 (indigotine), fd&c yellow #6 (sunsetyellow)]

DanazolOutpatient Dosage FormsCapsule, Oral:Generic: 200 mg

DantroleneOutpatient Dosage FormsCapsule, Oral, as sodium:Dantrium: 25 mg [contains fd&c yellow #6 (sunset yellow)]

Dapsone (Systemic)Outpatient Dosage FormsTablet, Oral:Generic: 25 mg, 100 mg

DasatinibOutpatient Dosage FormsTablet, Oral:Sprycel: 20 mg, 50 mg, 70 mg, 100 mg, 140 mg

DesmopressinOutpatient Dosage FormsTablet, Oral, as acetate:Generic: 0.2 mg

DesonideOutpatient Dosage FormsCream, External:Generic: 0.05% (15 g)

Ointment, External:Generic: 0.05% (15 g)

Dexamethasone (Systemic)Outpatient Dosage FormsElixir, Oral:Generic: 0.5 mg/5 mL (237 mL)

Tablet, Oral:Generic: 0.5 mg, 0.75 mg, 4 mg

DextroamphetamineOutpatient Dosage FormsCapsule Extended Release 24 Hour, Oral, as sulfate:Dexedrine: 10 mg [contains brilliant blue fcf (fd&c blue #1), fd&c blue #1aluminum lake, fd&c red #40, fd&c yellow #10 (quinoline yellow), fd&c yellow#6 (sunset yellow)]

Generic: 5 mgTablet, Oral, as sulfate:Generic: 5 mg

Dextroamphetamine and AmphetamineOutpatient Dosage FormsCapsule Extended Release 24 Hour, Oral:Generic: 5 mg [dextroamphetamine sulfate 1.25 mg, dextroamphetamine sac-charate 1.25 mg, amphetamine aspartate monohydrate 1.25 mg, amphet-amine sulfate 1.25 mg (equivalent to amphetamine base 3.1 mg)] [BCF]

Generic: 10 mg [dextroamphetamine sulfate 2.5 mg, dextroamphetamine sac-charate 2.5 mg, amphetamine aspartate monohydrate 2.5 mg, amphetaminesulfate 2.5 mg (equivalent to amphetamine base 6.3 mg)] [BCF]

Generic: 15 mg [dextroamphetamine sulfate 3.75 mg, dextroamphetaminesaccharate 3.75 mg, amphetamine aspartate monohydrate 3.75 mg, amphet-amine sulfate 3.75 mg (equivalent to amphetamine base 9.4 mg)] [BCF]

Generic: 20 mg [dextroamphetamine sulfate 5 mg, dextroamphetamine sac-charate 5 mg, amphetamine aspartate monohydrate 5 mg, amphetaminesulfate 5 mg (equivalent to amphetamine base 12.5 mg)] [BCF]

Generic: 25 mg [dextroamphetamine sulfate 6.25 mg, dextroamphetaminesaccharate 6.25 mg, amphetamine aspartate monohydrate 6.25 mg, amphet-amine sulfate 6.25 mg (equivalent to amphetamine base 15.6 mg)] [BCF]

Generic: 30 mg [dextroamphetamine sulfate 7.5 mg, dextroamphetamine sac-charate 7.5 mg, amphetamine aspartate monohydrate 7.5 mg, amphetaminesulfate 7.5 mg (equivalent to amphetamine base 18.8 mg)] [BCF]

Tablet, Oral:5 mg [dextroamphetamine sulfate 1.25 mg, dextroamphetamine saccharate1.25 mg, amphetamine aspartate monohydrate 1.25 mg, amphetamine sul-fate 1.25 mg (equivalent to amphetamine base 3.13 mg)]

10 mg [dextroamphetamine sulfate 2.5 mg, dextroamphetamine saccharate2.5 mg, amphetamine aspartate monohydrate 2.5 mg, amphetamine sulfate2.5 mg (equivalent to amphetamine base 6.3 mg)]

20 mg [dextroamphetamine sulfate 5 mg, dextroamphetamine saccharate5 mg, amphetamine aspartate monohydrate 5 mg, amphetamine sulfate5 mg (equivalent to amphetamine base 12.6 mg)]

30 mg [dextroamphetamine sulfate 7.5 mg, dextroamphetamine saccharate7.5 mg, amphetamine aspartate monohydrate 7.5 mg, amphetamine sulfate7.5 mg (equivalent to amphetamine base 18.8 mg)]

Diabetic SuppliesOutpatient Dosage FormsGlucose meter:FreeStyle Freedom Lite Glucose Meter

Lancet:FreeStyle: 100/box

Lancet device:Generic: 1 ea

CLOTRIMAZOLE (TOPICAL)

6

Syringe and needle:BD Insulin Syringe Ultrafine: 31 gauge x 5/16" (0.3 mL)BD Insulin Syringe Ultrafine II: 31 gauge x 5/16" (1 mL)BD Insulin Syringe Ultrafine II: 31 gauge x 5/16" (0.5 mL)NovoFine: 30 gauge x 8 mm

Test strips:Precision Xtra Blood Glucose In Vitro Strip: 50/box [BCF]FreeStyle Lite Blood Glucose In Vitro Strip: 50/box [BCF]

DiazepamOutpatient Dosage FormsTablet, Oral:Generic: 5 mg [BCF], 10 mg

DibucaineOutpatient Dosage FormsOintment, Rectal:Generic: 1% (28 g)

Diclofenac (Ophthalmic)Outpatient Dosage FormsSolution, Ophthalmic, as sodium:Generic: 0.1% (5 mL)

Diclofenac (Topical)Outpatient Dosage FormsGel, Transdermal, as sodium:Voltaren: 1% (100 g) [contains isopropyl alcohol, propylene glycol]

DicloxacillinOutpatient Dosage FormsCapsule, Oral:Generic: 250 mg [BCF]

DicyclomineOutpatient Dosage FormsSolution, Oral, as hydrochloride:Generic: 10 mg/5 mL (473 mL) [BCF]


DifluprednateOutpatient Dosage FormsEmulsion, Ophthalmic:Durezol: 0.05% (5 mL) [contains edetate sodium (tetrasodium), polysorbate 80]

DigoxinOutpatient Dosage FormsSolution, Oral:Generic: 0.05 mg/mL (60 mL)

Tablet, Oral:Lanoxin: 0.125 mg [BCF], 0.25 mg [BCF] [scored]

DiltiazemOutpatient Dosage FormsCapsule Extended Release 24 Hour, Oral, as hydrochloride:Generic: 120 mg [BCF], 180 mg [BCF], 240 mg [BCF], 360 mg [BCF]


DimenhyDRINATEOutpatient Dosage FormsTablet, Oral:Generic: 50 mg

Dimethyl FumarateOutpatient Dosage FormsCapsule Delayed Release, Oral:Tecfidera: 120 mg, 240 mg

DinoprostoneOutpatient Dosage FormsInsert, Vaginal:Cervidil: 10 mg (1 ea)

Suppository, Vaginal:Prostin E2: 20 mg (5 ea)

DiphenhydrAMINE (Systemic)Outpatient Dosage FormsCapsule, Oral, as hydrochloride:Generic: 25 mg, 50 mg

Elixir, Oral, as hydrochloride:Generic: 12.5 mg/5 mL (5 mL)

Liquid, Oral, as hydrochloride:Banophen: 12.5 mg/5 mL (118 mL) [alcohol free; cherry flavor]

Diphenoxylate and AtropineOutpatient Dosage FormsTablet, Oral:Generic: Diphenoxylate hydrochloride 2.5 mg and atropine sulfate 0.025 mg

DisopyramideOutpatient Dosage FormsCapsule, Oral:Generic: 150 mg

DisulfiramOutpatient Dosage FormsTablet, Oral:Antabuse: 250 mg

DocusateOutpatient Dosage FormsCapsule, Oral, as sodium:DOK: 100 mg

DonepezilOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 5 mg, 10 mg

DorzolamideOutpatient Dosage FormsSolution, Ophthalmic:Generic: 2% (10 mL)

Dorzolamide and TimololOutpatient Dosage FormsSolution, Ophthalmic:Generic: Dorzolamide 2% and timolol 0.5% (10 mL)

DoxazosinOutpatient Dosage FormsTablet, Oral:Generic: 2 mg, 4 mg, 8 mg

Doxepin (Systemic)Outpatient Dosage FormsCapsule, Oral:Generic: 10 mg [BCF], 25 mg [BCF]

DoxycyclineOutpatient Dosage FormsCapsule, Oral, as hyclate [strength expressed as base]:Generic: 100 mg [BCF]

Tablet, Oral, as hyclate [strength expressed as base]:Generic: 100 mg [BCF]

Efavirenz, Emtricitabine, and TenofovirOutpatient Dosage FormsTablet, Oral:Atripla: Efavirenz 600 mg, emtricitabine 200 mg, and tenofovir disoproxilfumarate 300 mg

EletriptanOutpatient Dosage FormsTablet, Oral:Relpax: 20 mg, 40 mg

EmollientsOutpatient Dosage FormsCream, External:Hydrocerin: 113 g

Emtricitabine and TenofovirOutpatient Dosage FormsTablet, Oral:Truvada: Emtricitabine 200 mg and tenofovir disoproxil fumarate 300 mg

EnalaprilOutpatient Dosage FormsTablet, Oral, as maleate:Generic: 5 mg, 10 mg, 20 mg

EnoxaparinOutpatient Dosage FormsSolution, Subcutaneous, as sodium [preservative free]:Generic: 30 mg/0.3 mL (0.3 mL) [BCF]; 40 mg/0.4 mL (0.4 mL) [BCF]; 60 mg/0.6 mL (0.6 mL) [BCF]; 80 mg/0.8 mL (0.8 mL) [BCF]; 100 mg/mL (1 mL)[BCF]; 120 mg/0.8 mL (0.8 mL) [BCF]; 150 mg/mL (1 mL) [BCF]

EPINEPHrine (Systemic, Oral Inhalation)Outpatient Dosage FormsDevice, Injection:EpiPen 2-Pak: 0.3 mg/0.3 mL (2 ea) [latex free; contains sodium metabisulfite]EpiPen Jr 2-Pak: 0.15 mg/0.3 mL (2 ea) [contains sodium metabisulfite]

ErgocalciferolOutpatient Dosage FormsCapsule, Oral:Generic: 50,000 units

ERGOCALCIFEROL

7

Ergotamine and CaffeineOutpatient Dosage FormsSuppository, Rectal:Migergot: Ergotamine tartrate 2 mg and caffeine 100 mg (12 ea)

ErlotinibOutpatient Dosage FormsTablet, Oral:Tarceva: 100 mg, 150 mg

Erythromycin and Benzoyl PeroxideOutpatient Dosage FormsGel, External:Generic: Erythromycin 30 mg and benzoyl peroxide 50 mg per g (46.6 g)

Erythromycin (Ophthalmic)Outpatient Dosage FormsOintment, Ophthalmic:Generic: 5 mg/g (1 g, 3.5 g) [BCF]

Erythromycin (Systemic)Outpatient Dosage FormsSuspension Reconstituted, Oral, as ethylsuccinate:E.E.S.: 200 mg/5 mL (200 mL) [contains sodium 25.9 mg (1.1 mEq)/5 mL;cherry flavor] [BCF]

Tablet Delayed Release, Oral, as base:Ery-Tab: 250 mg [contains sodium 8.3 mg (0.4 mEq)/tablet] [BCF]

Erythromycin (Topical)Outpatient Dosage FormsGel, External:Generic: 2% (30 g) [BCF]

Solution, External:Generic: 2% (60 mL) [BCF]

EscitalopramOutpatient Dosage FormsTablet, Oral:Lexapro: 10 mg, 20 mg [scored]Generic: 10 mg, 20 mg

EsomeprazoleOutpatient Dosage FormsCapsule Delayed Release, Oral, as magnesium [strength expressed as base]:NexIUM: 20 mg [BCF], 40 mg [BCF]

Estradiol (Systemic)Outpatient Dosage FormsPatch Weekly, Transdermal:Generic: 0.025 mg/24 hours (4s) [BCF]; 0.0375 mg/24 hours (4s) [BCF];0.05 mg/24 hours (4s) [BCF]; 0.06 mg/24 hours (4s) [BCF]; 0.075 mg/24hours (4s) [BCF]; 0.1 mg/24 hours (4s) [BCF]

Tablet, Oral:Generic: 0.5 mg, 1 mg, 2 mg

Estradiol (Topical)Outpatient Dosage FormsCream, Vaginal:Estrace: 0.1 mg/g (42.5 g)

Estrogens (Conjugated/Equine) and MedroxyprogesteroneOutpatient Dosage FormsTablet, Oral:Premphase [therapy pack contains 2 separate tablet formulations]: Conjugatedestrogens 0.625 mg [14 maroon tablets] and conjugated estrogen0.625 mg/medroxyprogesterone acetate 5 mg [14 light blue tablets] (28s)

Prempro: 0.3/1.5: Conjugated estrogens 0.3 mg and medroxyprogesteroneacetate 1.5 mg [BCF]

Prempro: 0.45/1.5: Conjugated estrogens 0.45 mg and medroxyprogesteroneacetate 1.5 mg [BCF]

Prempro: 0.625/2.5: Conjugated estrogens 0.625 mg and medroxyprogester-one acetate 2.5 mg [BCF]

Prempro: 0.625/5: Conjugated estrogens 0.625 mg and medroxyprogesteroneacetate 5 mg [BCF]

Estrogens (Conjugated/Equine, Systemic)Outpatient Dosage FormsTablet, Oral:Premarin: 0.3 mg [BCF], 0.45 mg [BCF], 0.625 mg [BCF], 1.25 mg [BCF]

Estrogens (Conjugated/Equine, Topical)Outpatient Dosage FormsCream, Vaginal:Premarin: 0.625 mg/g (30 g) [contains benzyl alcohol, cetyl alcohol, propyleneglycol monostearate] [BCF]

EszopicloneOutpatient Dosage FormsTablet, Oral:Lunesta: 1 mg, 2 mg, 3 mg

EthambutolOutpatient Dosage FormsTablet, Oral, as hydrochloride:Myambutol: 100 mg [BCF]Myambutol: 400 mg [scored] [BCF]

Ethinyl Estradiol and DesogestrelOutpatient Dosage FormsTablet, Oral [low dose formulation]:Azurette:Day 1-21: Ethinyl estradiol 0.02 mg and desogestrel 0.15 mg [21 whitetablets]

Day 22-23: 2 inactive green tabletsDay 24-28: Ethinyl estradiol 0.01 mg [5 blue tablets] (28s)

Tablet, Oral [monophasic formulation]:Ortho-Cept 28: Ethinyl estradiol 0.03 mg and desogestrel 0.15 mg [21 lightorange tablets and 7 green inactive tablets] (28s)

Ethinyl Estradiol and DrospirenoneOutpatient Dosage FormsTablet, Oral:Gianvi: Ethinyl estradiol 0.02 mg and drospirenone 3 mg [24 light pink activetablets and 4 white inactive tablets] (28s) [BCF]

Ocella: Ethinyl estradiol 0.03 mg and drospirenone 3 mg [21 yellow activetablets and 7 white inactive tablets] (28s) [BCF]

Yasmin: Ethinyl estradiol 0.03 mg and drospirenone 3 mg [21 yellow activetablets and 7 white inactive tablets] (28s) [BCF]

Ethinyl Estradiol and Ethynodiol DiacetateOutpatient Dosage FormsTablet, Oral:Zovia 1/35-28: Ethinyl estradiol 0.035 mg and ethynodiol diacetate 1 mg [21light pink tablets and 7 white inactive tablets] (28s)

Ethinyl Estradiol and EtonogestrelOutpatient Dosage FormsRing, Vaginal:NuvaRing: Ethinyl estradiol 0.015 mg/day and etonogestrel 0.12 mg/day (3s)[3-week duration]

Ethinyl Estradiol and LevonorgestrelOutpatient Dosage FormsTablet, Oral [extended cycle regimen]:Jolessa: Ethinyl estradiol 0.03 mg and levonorgestrel 0.15 mg (91s) [84 pinktablets and 7 white inactive tablets] [BCF]

Tablet, Oral [low dose formulation]:Lutera: Ethinyl estradiol 0.02 mg and levonorgestrel 0.1 mg (28s) [21 whitetablets and 7 peach inactive tablets] [BCF]

Tablet, Oral [monophasic formulation]:Levora: Ethinyl estradiol 0.03 mg and levonorgestrel 0.15 mg (28s) [21 whitetablets and 7 peach inactive tablets] [BCF]

Tablet, Oral [triphasic formulation]:Enpresse:Day 1-6: Ethinyl estradiol 0.03 mg and levonorgestrel 0.05 mg [6 pink tablets]Day 7-11: Ethinyl estradiol 0.04 mg and levonorgestrel 0.075 mg [5 whitetablets]

Day 12-21: Ethinyl estradiol 0.03 mg and levonorgestrel 0.125 mg [10 orangetablets]

Day 22-28: 7 light green inactive tablets (28s)

Ethinyl Estradiol and NorelgestrominOutpatient Dosage FormsPatch Weekly, Transdermal:Ortho Evra: Ethinyl estradiol 0.75 mg and norelgestromin 6 mg [releasesethinyl estradiol 20 mcg and norelgestromin 150 mcg per day] (3 ea)

Ethinyl Estradiol and NorethindroneOutpatient Dosage FormsTablet, Oral [monophasic formulation]:Microgestin Fe 1/20: Ethinyl estradiol 0.02 mg and norethindrone acetate 1 mg[21 white tablets] and ferrous fumarate 75 mg [7 brown tablets] (28s)

Microgestin Fe 1.5/30: Ethinyl estradiol 0.03 mg and norethindrone acetate1.5 mg [21 green tablets] and ferrous fumarate 75 mg [7 brown tablets] (28s)

Norinyl 1+35: Ethinyl estradiol 0.035 mg and norethindrone 1 mg (28s) [21yellow-green tablets and 7 orange inactive tablets] [BCF]

Tablet, Oral [triphasic formulation]:Necon 7/7/7:Day 1-7: Ethinyl estradiol 0.035 mg and norethindrone 0.5 mg [7 whitetablets]

Day 8-14: Ethinyl estradiol 0.035 mg and norethindrone 0.75 mg [7 lightpeach tablets]

Day 15-21: Ethinyl estradiol 0.035 mg and norethindrone 1 mg [7 peachtablets]

Day 22-28: 7 green inactive tablets (28s)

ERGOTAMINE AND CAFFEINE

8

Ethinyl Estradiol and NorgestimateOutpatient Dosage FormsTablet, Oral [monophasic formulation]:MonoNessa: Ethinyl estradiol 0.035 mg and norgestimate 0.25 mg [21 bluetablets and 7 green inactive tablets] [BCF]

Tablet, oral [triphasic formulation]:Ortho Tri-Cyclen® Lo [BCF]:Day 1-7: Ethinyl estradiol 0.025 mg and norgestimate 0.18 mg [7 whitetablets]

Day 8-14: Ethinyl estradiol 0.025 mg and norgestimate 0.215 mg [7 light bluetablets]

Day 15-21: Ethinyl estradiol 0.025 mg and norgestimate 0.25 mg [7 dark bluetablets]

Day 22-28: 7 dark green inactive tabletsTriNessa [BCF]:Day 1-7: Ethinyl estradiol 0.035 mg and norgestimate 0.18 mg [7 whitetablets]

Day 8-14: Ethinyl estradiol 0.035 mg and norgestimate 0.215 mg [7 light bluetablets]

Day 15-21: Ethinyl estradiol 0.035 mg and norgestimate 0.25 mg [7 bluetablets]

Day 22-28: 7 green inactive tablets

Ethinyl Estradiol and NorgestrelOutpatient Dosage FormsTablet, Oral:Low-Ogestrel: Ethinyl estradiol 0.03 mg and norgestrel 0.3 mg [21 whitetablets and 7 peach inactive tablets] (28s)

EthosuximideOutpatient Dosage FormsCapsule, Oral:Generic: 250 mg

Solution, Oral:Generic: 250 mg/5 mL (473 mL)

EtodolacOutpatient Dosage FormsCapsule, Oral:Generic: 300 mg

Tablet, Oral:Generic: 400 mg, 500 mg

Tablet Extended Release 24 Hour, Oral:Generic: 400 mg

EverolimusOutpatient Dosage FormsTablet, Oral:Afinitor: 5 mg, 10 mg

ExenatideOutpatient Dosage FormsSolution, Subcutaneous:Byetta 10 mcg Pen: 10 mcg/0.04 mL (2.4 mL) [contains metacresol]Byetta 5 mcg Pen: 5 mcg/0.02 mL (1.2 mL) [contains metacresol]

EzetimibeOutpatient Dosage FormsTablet, Oral:Zetia: 10 mg

Fenofibrate and DerivativesOutpatient Dosage FormsTablet, Oral, as fenofibrate:Tricor: 48 mg [BCF], 145 mg [BCF] [contains soybean lecithin]

FentaNYLOutpatient Dosage FormsPatch 72 Hour, Transdermal, as base:Generic: 12 [delivers 12.5 mcg/hr] (5s); 25 [delivers 25 mcg/hr] (5 ea); 50[delivers 50 mcg/hr] (5 ea); 75 [delivers 75 mcg/hr] (5 ea); 100 [delivers 100mcg/hr] (5s)

Ferrous FumarateOutpatient Dosage FormsTablet, Oral:Generic: 324 mg

Tablet, Oral [with folic acid]:Generic: 324 mg [contains folic acid 1 mg]

Ferrous GluconateOutpatient Dosage FormsTablet, Oral:Generic: 324 mg (38 Fe)

Ferrous SulfateOutpatient Dosage FormsSolution, Oral:Fer-Iron: 75 mg/mL (15 Fe) (50 mL) [contains sodium metabisulfite; lemonflavor]

Tablet, Oral:Generic: 325 mg (65 Fe)

FexofenadineOutpatient Dosage FormsSuspension, Oral, as hydrochloride:Allegra Allergy Childrens: 30 mg/5 mL (120 mL) [alcohol free, dye free;contains butylparaben, edetate disodium, propylene glycol, propylparaben;raspberry creme flavor]


FinasterideOutpatient Dosage FormsTablet, Oral:Generic: 5 mg [BCF]

FlavoxATEOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 100 mg

FluconazoleOutpatient Dosage FormsTablet, Oral:Generic: 100 mg, 150 mg [BCF], 200 mg

FludrocortisoneOutpatient Dosage FormsTablet, Oral, as acetate:Generic: 0.1 mg

Fluocinolone (Topical)Outpatient Dosage FormsOil, External, as acetonide:Derma-Smoothe/FS Scalp: 0.01% (118.28 mL) [contains isopropyl alcohol,peanut oil]

Solution, External, as acetonide:Generic: 0.01% (60 mL)

FluocinonideOutpatient Dosage FormsCream, External:Generic: 0.05% (15 g, 60 g) [BCF]

Gel, External:Generic: 0.05% (60 g)

Ointment, External:Generic: 0.05% (15 g, 60 g)

Solution, External:Generic: 0.05% (60 mL)

FluorideOutpatient Dosage FormsCream, Dental, as sodium:PreviDent 5000 Plus: 1.1% (51 g) [fruit flavor]

Gel, Dental, as sodium:PreviDent: 1.1% (56 g) [berry flavor]

FluorometholoneOutpatient Dosage FormsSuspension, Ophthalmic, as base:Generic: 0.1% (5 mL)

Fluorouracil (Topical)Outpatient Dosage FormsCream, External:Generic: 5% (40 g)

FLUoxetineOutpatient Dosage FormsCapsule, Oral:Generic: 10 mg [BCF], 20 mg [BCF]

FluPHENAZineOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 1 mg, 2.5 mg

FlurandrenolideOutpatient Dosage FormsTape, External:Cordran: 4 mcg/cm2 (1 ea)

FLURANDRENOLIDE

9

Flurbiprofen (Ophthalmic)Outpatient Dosage FormsSolution, Ophthalmic, as sodium:Ocufen: 0.03% (2.5 mL) [contains edetate disodium, thimerosal]

FlutamideOutpatient Dosage FormsCapsule, Oral:Generic: 125 mg

Fluticasone and SalmeterolOutpatient Dosage FormsAerosol, Inhalation:Advair HFA: 45/21: Fluticasone propionate 45 mcg and salmeterol 21 mcg perinhalation (12 g) [chlorofluorocarbon free; 120 metered actuations] [BCF]

Advair HFA: 115/21: Fluticasone propionate 115 mcg and salmeterol 21 mcgper inhalation (12 g) [chlorofluorocarbon free; 120 metered actuations] [BCF]

Advair HFA: 230/21: Fluticasone propionate 230 mcg and salmeterol 21 mcgper inhalation (12 g) [chlorofluorocarbon free; 120 metered actuations] [BCF]

Aerosol Powder Breath Activated, Inhalation:Advair Diskus: 100/50: Fluticasone propionate 100 mcg and salmeterol 50 mcg(60s) [contains lactose] [BCF]

Advair Diskus: 250/50: Fluticasone propionate 250 mcg and salmeterol 50 mcg(60s) [contains lactose] [BCF]

Advair Diskus: 500/50: Fluticasone propionate 500 mcg and salmeterol 50 mcg(60s) [contains lactose] [BCF]

Fluticasone (Nasal)Outpatient Dosage FormsSuspension, Nasal, as propionate:Generic: 50 mcg/inhalation (16 g) [BCF]

Fluticasone (Oral Inhalation)Outpatient Dosage FormsAerosol, Inhalation, as propionate:Flovent HFA: 44 mcg/inhalation (10.6 g) [chlorofluorocarbon free; 120 meteredactuations] [BCF]

Flovent HFA: 110 mcg/inhalation (12 g) [chlorofluorocarbon free; 120 meteredactuations] [BCF]

Flovent HFA: 220 mcg/inhalation (12 g) [chlorofluorocarbon free; 120 meteredactuations] [BCF]

Folic AcidOutpatient Dosage FormsTablet, Oral:Generic: 1 mg [BCF]

FosinoprilOutpatient Dosage FormsTablet, Oral, as sodium:Generic: 10 mg

FurosemideOutpatient Dosage FormsSolution, Oral:Generic: 10 mg/mL (60 mL) [BCF]

Tablet, Oral:Generic: 20 mg [BCF], 40 mg [BCF]

GabapentinOutpatient Dosage FormsCapsule, Oral:Generic: 100 mg [BCF], 300 mg [BCF], 400 mg [BCF]


Ganciclovir (Ophthalmic)Outpatient Dosage FormsGel, Ophthalmic:Zirgan: 0.15% (5 g) [contains benzalkonium chloride]

GatifloxacinOutpatient Dosage FormsSolution, Ophthalmic:Zymaxid: 0.5% (2.5 mL) [contains benzalkonium chloride, edetate disodium]

GemfibrozilOutpatient Dosage FormsTablet, Oral:Generic: 600 mg [BCF]

Gentamicin (Ophthalmic)Outpatient Dosage FormsOintment, Ophthalmic:Gentak: 0.3% (3.5 g) [BCF]

Solution, Ophthalmic:Generic: 0.3% (5 mL) [BCF]

Gentamicin (Topical)Outpatient Dosage FormsOintment, External:Generic: 0.1% (15 g, 30 g)

Glatiramer AcetateOutpatient Dosage FormsKit, Subcutaneous:Copaxone: 20 mg/mL [contains mannitol]

GlimepirideOutpatient Dosage FormsTablet, Oral:Generic: 4 mg

GlipiZIDEOutpatient Dosage FormsTablet, Oral:Generic: 5 mg [BCF], 10 mg [BCF]

Tablet Extended Release 24 Hour, Oral:Generic: 2.5 mg, 5 mg, 10 mg

GlucagonOutpatient Dosage FormsKit, Injection:Glucagon Emergency: 1 mg

GlyBURIDEOutpatient Dosage FormsTablet, Oral:Generic: 1.25 mg [BCF], 3 mg [BCF], 5 mg [BCF]

GlycerinOutpatient Dosage FormsSuppository, Rectal:Glycerin (Adult): 2 g (12 ea)Sani-Supp Pediatric: 1.2 g (10 ea)

GoserelinOutpatient Dosage FormsImplant, Subcutaneous:Zoladex®: 3.6 mg (1s) [1 month implant] [BCF]Zoladex®: 10.8 mg (1s) [3 month implant] [BCF]

GriseofulvinOutpatient Dosage FormsSuspension, Oral:Generic: 125 mg/5 mL (118 mL) [BCF]

Tablet, Oral:Gris-PEG: 125 mg [BCF] [scored]

GuaiFENesinOutpatient Dosage FormsSyrup, Oral:Siltussin SA: 100 mg/5 mL (118 mL) [strawberry flavor]

Tablet Extended Release 12 Hour, Oral:Mucinex Maximum Strength: 1200 mg [contains fd&c blue #1 aluminum lake]

Guaifenesin and CodeineOutpatient Dosage FormsSolution, Oral:Generic: Guaifenesin 100 mg and codeine phosphate 10 mg per 5 mL(118 mL)

Guaifenesin and DextromethorphanOutpatient Dosage FormsSyrup, Oral:Q-Tussin DM: Guaifenesin 100 mg and dextromethorphan hydrobromide10 mg per 5 mL (118 mL) [cherry flavor]

Tablet, Extended Release, Oral:Mucinex DM: Guaifenesin 600 mg and dextromethorphan hydrobro-mide 30 mg

Guaifenesin and PseudoephedrineOutpatient Dosage FormsTablet Extended Release 12 Hour, Oral:Mucinex D: Guaifenesin 600 mg and pseudoephedrine hydrochloride 60 mg[contains fd&c yellow #6 aluminum lake]

GuanFACINEOutpatient Dosage FormsTablet, Oral:Generic: 1 mg

Tablet Extended Release 24 Hour, Oral:Intuniv: 1 mg, 2 mg, 3 mg, 4 mg

HaloperidolOutpatient Dosage FormsTablet, Oral:Generic: 1 mg, 5 mg

FLURBIPROFEN (OPHTHALMIC)

10

HeparinOutpatient Dosage FormsSolution, Injection, as sodium:Generic: 10,000 units/mL (1 mL)

HydrALAZINEOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 10 mg [BCF], 25 mg [BCF], 50 mg [BCF], 100 mg

HydrochlorothiazideOutpatient Dosage FormsCapsule, Oral:Generic: 12.5 mg [BCF]


Hydrochlorothiazide and TriamtereneOutpatient Dosage FormsTablet, Oral:Generic: Hydrochlorothiazide 25 mg and triamterene 37.5 mg [BCF]Generic: Hydrochlorothiazide 50 mg and triamterene 75 mg [BCF]

Hydrocodone and AcetaminophenOutpatient Dosage FormsSolution, Oral:Generic: Hydrocodone bitartrate 7.5 mg and acetaminophen 325 mg per 15mL (118 mL, 473 mL)

Tablet, Oral:Generic: Hydrocodone bitartrate 5 mg and acetaminophen 325 mgGeneric: Hydrocodone bitartrate 7.5 mg and acetaminophen 325 mgGeneric: Hydrocodone bitartrate 10 mg and acetaminophen 325 mg

Hydrocodone and ChlorpheniramineOutpatient Dosage FormsSuspension Extended Release, Oral:Generic: Hydrocodone polistirex [equivalent to hydrocodone bitartrate 10 mg]and chlorpheniramine polistirex [equivalent to chlorpheniramine maleate8 mg] per 5 mL (120 mL)

Hydrocortisone (Systemic)Outpatient Dosage FormsTablet, Oral, as base:Generic: 5 mg, 20 mg

Hydrocortisone (Topical)Outpatient Dosage FormsCream, External, as base:Generic: 1% (28 g)

Cream, Rectal, as base:Proctozone-HC: 2.5% (30 g)

Cream, External, as valerate:Generic: 0.2% (15 g)

Enema, Rectal, as base:Cortenema: 100 mg/60 mL (60 mL) [contains methylparaben, polysorbate 80]Generic: 100 mg/60 mL (60 mL)

Suppository, Rectal, as acetate:Generic: 25 mg (12s) [BCF]

HYDROmorphoneOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 2 mg, 4 mg

Tablet ER 24 Hour Abuse-Deterrent, Oral, as hydrochloride:Exalgo: 12 mg, 16 mg [contains sodium metabisulfite]

HydroquinoneOutpatient Dosage FormsCream, External:Melpaque HP: 4% (28.4 g)

HydroxychloroquineOutpatient Dosage FormsTablet, Oral, as sulfate:Generic: 200 mg

Hydroxyprogesterone CaproateOutpatient Dosage FormsOil, Intramuscular:Makena: 250 mg/mL (5 mL) [contains benzyl alcohol]

HydroxyureaOutpatient Dosage FormsCapsule, Oral:Generic: 500 mg

HydrOXYzineOutpatient Dosage FormsSyrup, Oral, as hydrochloride:Generic: 10 mg/5 mL (473 mL) [BCF]

Tablet, Oral, as hydrochloride:Generic: 10 mg [BCF], 25 mg [BCF]

HyoscyamineOutpatient Dosage FormsTablet Extended Release 12 Hour, Oral, as sulfate:Symax-SR: 0.375 mg [scored]

Tablet Sublingual, as sulfate:Symax-SL: 0.125 mg [mint flavor]

Hyoscyamine, Atropine, Scopolamine, and PhenobarbitalOutpatient Dosage FormsElixir, Oral:Donnatal: Hyoscyamine sulfate 0.1037 mg, atropine sulfate 0.0194 mg, sco-polamine hydrobromide 0.0065 mg, and phenobarbital 16.2 mg per 5 mL(120 mL) [contains alcohol, usp, brilliant blue fcf (fd&c blue #1), saccharinsodium; grape flavor]

Tablet, Oral:Donnatal: 16.2 mg

IbandronateOutpatient Dosage FormsTablet, Oral:Boniva: 150 mg [BCF]

IbuprofenOutpatient Dosage FormsSuspension, Oral:Generic: 100 mg/5 mL (120 mL)


ImatinibOutpatient Dosage FormsTablet, Oral:Gleevec: 400 mg [scored]

ImipramineOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 10 mg [BCF], 25 mg [BCF], 50 mg [BCF]

ImiquimodOutpatient Dosage FormsCream, External:Generic: 5% (24 ea)

IndomethacinOutpatient Dosage FormsCapsule, Oral:Generic: 25 mg [BCF]

Inhalation DevicesOutpatient Dosage FormsHolding chamber/spacer:AeroChamber Plus Flo-Vu with Mask: Small [for RAD patients over 18months and less than 4 years old]

AeroChamber Plus Flo-Vu with Mask: Medium [for RAD patients less than 18months]

AeroChamber Plus Flo-Vu Holding Chamber [for RAD patients 4 years toadult]

Insulin AspartOutpatient Dosage FormsSolution, Subcutaneous:NovoLOG: 100 units/mL (10 mL) [vial] [contains metacresol, phenol] [BCF]NovoLOG FlexPen: 100 units/mL (3 mL) [contains metacresol, phenol] [BCF]

Insulin Aspart Protamine and Insulin AspartOutpatient Dosage FormsSuspension, Subcutaneous:NovoLOG Mix 70/30 FlexPen: Insulin aspart protamine suspension 70%[intermediate acting] and insulin aspart solution 30% [rapid-acting]: 100units/mL (3 mL) [contains metacresol, phenol] [BCF]

Insulin DetemirOutpatient Dosage FormsSolution, Subcutaneous:Levemir: 100 units/mL (10 mL) [contains metacresol, phenol]

Insulin GlargineOutpatient Dosage FormsSolution, Subcutaneous:Lantus: 100 units/mL (10 mL) [vial] [contains metacresol] [BCF]Lantus Solostar: 100 units/mL (3 mL) [prefilled pen] [BCF]

INSULIN GLARGINE

11

Insulin NPHOutpatient Dosage FormsSuspension, Subcutaneous:NovoLIN N: 100 units/mL (10 mL) [vial] [contains metacresol, phenol] [BCF]

Insulin NPH and Insulin RegularOutpatient Dosage FormsSuspension, Subcutaneous:NovoLIN 70/30: Insulin NPH suspension 70% [intermediate acting] and insulinregular solution 30% [short acting]: 100 units/mL (10 mL) [vial] [containsmetacresol, phenol] [BCF]

Insulin RegularOutpatient Dosage FormsSolution, Injection:NovoLIN R: 100 units/mL (10 mL) [contains metacresol] [BCF]

Interferon Beta-1aOutpatient Dosage FormsKit, Intramuscular:Avonex Prefilled: 30 mcg/0.5 mL

Kit, Intramuscular [preservative free]:Avonex Pen: 30 mcg/0.5 mL

Solution, Subcutaneous [preservative free]:Rebif: 44 mcg/0.5 mL (0.5 mL) [contains albumin human]

Ipratropium and AlbuterolOutpatient Dosage FormsAerosol Solution, Inhalation:Combivent Respimat: Ipratropium bromide 20 mcg and albuterol (base) 100mcg per inhalation (4 g) [contains benzalkonium chloride, edetate disodium]

Solution, Inhalation:Generic: Ipratropium bromide 0.5 mg and albuterol (base) 2.5 mg per 3 mL (3mL) [BCF]

Ipratropium (Nasal)Outpatient Dosage FormsSolution, Nasal, as bromide:Atrovent: 0.03% (30 mL); 0.06% (15 mL)Generic: 0.03% (30 mL); 0.06% (15 mL)

Ipratropium (Oral Inhalation)Outpatient Dosage FormsAerosol Solution, Inhalation, as bromide:Atrovent HFA: 17 mcg/actuation (12.9 g) [chlorofluorocarbon free; 200 meteredactuations] [BCF]

Solution, Inhalation, as bromide:Generic: 0.02% (2.5 mL)

IsoniazidOutpatient Dosage FormsTablet, Oral:Generic: 300 mg [BCF]

Isosorbide DinitrateOutpatient Dosage FormsTablet, Oral:Generic: 10 mg [BCF]

Tablet Extended Release, Oral:Generic: 40 mg [BCF]

Isosorbide MononitrateOutpatient Dosage FormsTablet Extended Release 24 Hour, Oral:Generic: 30 mg [BCF], 60 mg [BCF], 120 mg [BCF]

ISOtretinoinOutpatient Dosage FormsCapsule, Oral:Amnesteem: 10 mg, 40 mg [contains soybean oil]Claravis: 30 mgMyorisan: 20 mg [contains soybean oil]

IsoxsuprineOutpatient Dosage FormsTablet, Oral:Generic: 10 mg

Ketoconazole (Systemic)Outpatient Dosage FormsTablet, Oral:Generic: 200 mg

Ketoconazole (Topical)Outpatient Dosage FormsCream, External:Generic: 2% (30 g)

Shampoo, External:Generic: 2% (120 mL)

Ketorolac (Ophthalmic)Outpatient Dosage FormsSolution, Ophthalmic, as tromethamine:Acular LS: 0.4% (5 mL) [contains benzalkonium chloride, edetate disodium]

LabetalolOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 100 mg, 200 mg

LacosamideOutpatient Dosage FormsTablet, Oral:Vimpat: 50 mg, 100 mg, 150 mg

Lactic Acid and Ammonium HydroxideOutpatient Dosage FormsLotion, External:Generic: 12% (225 g)

LactuloseOutpatient Dosage FormsSolution, Oral:Generic: 10 g/15 mL (473 mL) [BCF]

Lamivudine and ZidovudineOutpatient Dosage FormsTablet, Oral:Combivir: Lamivudine 150 mg and zidovudine 300 mg [scored]

LamoTRIgineOutpatient Dosage FormsTablet, Oral:Generic: 25 mg, 100 mg, 150 mg, 200 mg

Tablet Extended Release 24 Hour, Oral:LaMICtal XR: 100 mg [contains polysorbate 80]LaMICtal XR: 200 mg [contains fd&c blue #2 aluminum lake, polysorbate 80]

LatanoprostOutpatient Dosage FormsSolution, Ophthalmic:Generic: 0.005% (2.5 mL) [BCF]

LeflunomideOutpatient Dosage FormsTablet, Oral:Generic: 10 mg [BCF]

LetrozoleOutpatient Dosage FormsTablet, Oral:Generic: 2.5 mg

Leucovorin CalciumOutpatient Dosage FormsTablet, Oral [strength expressed as base]:Generic: 5 mg

LeuprolideOutpatient Dosage FormsKit, Intramuscular, as acetate:Lupron Depot: 7.5 mg [latex free; contains polysorbate 80]

Kit, Intramuscular, as acetate [preservative free]:Lupron Depot: 3.75 mg, 11.25 mg [latex free; contains polysorbate 80]Lupron Depot-Ped: 11.25 mg [latex free; contains polysorbate 80]

LevalbuterolOutpatient Dosage FormsNebulization Solution, Inhalation, as hydrochloride [strength expressed as base]:Xopenex: 0.63 mg/3 mL (3 mL); 1.25 mg/3 mL (3 mL)

LevETIRAcetamOutpatient Dosage FormsSolution, Oral:Generic: 100 mg/mL (473 mL)

Tablet, Oral:Generic: 250 mg, 500 mg, 750 mg

LevobunololOutpatient Dosage FormsSolution, Ophthalmic, as hydrochloride:Generic: 0.5% (5 mL)

Levofloxacin (Systemic)Outpatient Dosage FormsTablet, Oral:Generic: 250 mg [BCF], 500 mg [BCF], 750 mg [BCF]

INSULIN NPH

12

LevonorgestrelOutpatient Dosage FormsTablet, Oral:Plan B One-Step: 1.5 mg [BCF]

LevothyroxineOutpatient Dosage FormsTablet, Oral, as sodium:Synthroid: 25 mcg [BCF], 50 mcg [BCF], 75 mcg [BCF], 88 mcg [BCF], 100mcg [BCF], 112 mcg [BCF], 125 mcg [BCF], 137 mcg [BCF], 150 mcg[BCF], 175 mcg [BCF], 200 mcg [BCF], 300 mcg [BCF]

Lidocaine and PrilocaineOutpatient Dosage FormsCream, External [preservative free]:Generic: Lidocaine 2.5% and prilocaine 2.5% (30 g)

Lidocaine (Topical)Outpatient Dosage FormsGel, External, as hydrochloride:Generic: 2% (30 mL)

Ointment, External, as hydrochloride:Generic: 5% (35.44 g)

Patch, External:Lidoderm: 5% (30 ea) [contains disodium edta, methylparaben, propyleneglycol, propylparaben]

Solution, Mouth/Throat, as hydrochloride:Generic: 2% (100 mL)

LindaneOutpatient Dosage FormsLotion, External:Generic: 1% (60 mL)

Shampoo, External:Generic: 1% (60 mL)

LinezolidOutpatient Dosage FormsSuspension Reconstituted, Oral:Zyvox: 100 mg/5 mL (150 mL) [orange flavor]

Tablet, Oral:Zyvox: 600 mg

LiothyronineOutpatient Dosage FormsTablet, Oral:Cytomel: 25 mcg [scored]

LisinoprilOutpatient Dosage FormsTablet, Oral:Generic: 2.5 mg [BCF], 5 mg [BCF], 10 mg [BCF], 20 mg [BCF], 30 mg[BCF], 40 mg [BCF]

Lisinopril and HydrochlorothiazideOutpatient Dosage FormsTablet, Oral:Generic: 10/12.5: Lisinopril 10 mg and hydrochlorothiazide 12.5 mg [BCF]Generic: 20/12.5: Lisinopril 20 mg and hydrochlorothiazide 12.5 mg [BCF]Generic: 20/25: Lisinopril 20 mg and hydrochlorothiazide 25 mg [BCF]

LithiumOutpatient Dosage FormsCapsule, Oral, as carbonate:Generic: 150 mg [BCF], 300 mg [BCF]

Tablet Extended Release, Oral, as carbonate:Generic: 300 mg [BCF]

LoperamideOutpatient Dosage FormsCapsule, Oral, as hydrochloride:Generic: 2 mg [BCF]

Lopinavir and RitonavirOutpatient Dosage FormsTablet, Oral:Kaletra: Lopinavir 200 mg and ritonavir 50 mg

LoratadineOutpatient Dosage FormsSyrup, Oral:Childrens Loratadine: 5 mg/5 mL (120 mL) [fruit flavor]

Tablet, Oral:Generic: 10 mg

LORazepamOutpatient Dosage FormsTablet, Oral:Generic: 0.5 mg, 1 mg

LosartanOutpatient Dosage FormsTablet, Oral, as potassium:Generic: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF]

Losartan and HydrochlorothiazideOutpatient Dosage FormsTablet, Oral:Generic: 50/12.5: Losartan potassium 50 mg and hydrochlorothiazide12.5 mg [BCF]Generic: 100/12.5: Losartan potassium 100 mg and hydrochlorothiazide12.5 mg [BCF]

Generic: 100/25: Losartan potassium 100 mg and hydrochlorothiazide25 mg [BCF]

LoteprednolOutpatient Dosage FormsOintment, Ophthalmic, as etabonate:Lotemax: 0.5% (3.5 g)

LubiprostoneOutpatient Dosage FormsCapsule, Oral:Amitiza: 24 mcg [contains fd&c red #40, fd&c yellow #10 (quinoline yellow)]

Magnesium CitrateOutpatient Dosage FormsSolution, Oral:Generic: 1.745 g/30 mL (296 mL)

Magnesium OxideOutpatient Dosage FormsTablet, Oral:Generic: 400 mg

MaprotilineOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 25 mg

MeclizineOutpatient Dosage FormsTablet Chewable, Oral, as hydrochloride:Travel Sickness: 25 mg [scored; contains aspartame, fd&c red #40 aluminumlake; raspberry flavor]

Medium Chain TriglyceridesOutpatient Dosage FormsOil, oral:MCT Oil: 14 g/15 mL (960 mL) [gluten free; contains coconut oil; 115 cal/15 mL]

MedroxyPROGESTERoneOutpatient Dosage FormsSuspension, Intramuscular, as acetate:Depo-Provera: 150 mg/mL (1 mL)

Tablet, Oral, as acetate:Provera®: 2.5 mg [BCF], 10 mg [BCF] [scored]Generic: 2.5 mg [BCF], 10 mg [BCF]

MegestrolOutpatient Dosage FormsSuspension, Oral, as acetate:Megace Oral: 40 mg/mL (240 mL) [lemon-lime flavor]

Tablet, Oral, as acetate:Generic: 40 mg

MeloxicamOutpatient Dosage FormsTablet, Oral:Generic: 7.5 mg [BCF], 15 mg [BCF]

MemantineOutpatient Dosage FormsTablet, Oral, as hydrochloride:Namenda: 5 mg, 10 mg

MercaptopurineOutpatient Dosage FormsTablet, Oral:Generic: 50 mg

MesalamineOutpatient Dosage FormsCapsule Delayed Release, Oral:Delzicol: 400 mg

Enema, Rectal:Generic: 4 g (60 mL)

MESALAMINE

13

MetaxaloneOutpatient Dosage FormsTablet, Oral:Skelaxin: 800 mg [scored]

MetFORMINOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 500 mg [BCF], 850 mg [BCF], 1000 mg [BCF]


MethazolamideOutpatient Dosage FormsTablet, Oral:Generic: 50 mg

MethimazoleOutpatient Dosage FormsTablet, Oral:Generic: 5 mg, 10 mg

MethocarbamolOutpatient Dosage FormsTablet, Oral:Generic: 500 mg [BCF]

MethotrexateOutpatient Dosage FormsTablet, Oral:Generic: 2.5 mg [BCF]

Methoxsalen (Systemic)Outpatient Dosage FormsCapsule, Oral:Oxsoralen Ultra: 10 mg

MethyldopaOutpatient Dosage FormsTablet, Oral:Generic: 250 mg

MethylergonovineOutpatient Dosage FormsTablet, Oral, as maleate:Generic: 0.2 mg

MethylphenidateOutpatient Dosage FormsCapsule Extended Release 24 Hour, Oral, as hydrochloride:Ritalin LA: 10 mg [BCF]Generic: 20 mg [BCF], 30 mg [BCF], 40 mg [BCF]

Tablet, Oral, as hydrochloride:Generic: 5 mg [BCF], 10 mg [BCF]

Tablet Extended Release, Oral, as hydrochloride:Concerta: 18 mg [BCF]Generic: 18 mg [BCF], 27 mg [BCF], 36 mg [BCF], 54 mg [BCF]

MethylPREDNISoloneOutpatient Dosage FormsTablet, Oral:Generic: 4 mg

MetoclopramideOutpatient Dosage FormsSolution, Oral:Generic: 5 mg/5 mL (473 mL) [BCF]


MetolazoneOutpatient Dosage FormsTablet, Oral:Generic: 2.5 mg, 5 mg

MetoprololOutpatient Dosage FormsTablet, Oral, as tartrate:Generic: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF]

Tablet Extended Release 24 Hour, Oral, as succinate:Generic: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF], 200 mg [BCF]

MetroNIDAZOLE (Systemic)Outpatient Dosage FormsTablet, Oral:Generic: 250 mg [BCF], 500 mg [BCF]

MetroNIDAZOLE (Topical)Outpatient Dosage FormsGel, External:Metrogel: 1% (60 g) [contains methylparaben, propylparaben]

Gel, Vaginal:Vandazole: 0.75% (70 g) [BCF]

MidazolamOutpatient Dosage FormsSyrup, Oral:Generic: 2 mg/mL (5 mL)

MilnacipranOutpatient Dosage FormsTablet, Oral:Savella: 25 mg

MinocyclineOutpatient Dosage FormsCapsule, Oral:Generic: 50 mg, 100 mg

Minoxidil (Systemic)Outpatient Dosage FormsTablet, Oral:Generic: 10 mg

MirabegronOutpatient Dosage FormsTablet Extended Release 24 Hour, Oral:Myrbetriq: 25 mg, 50 mg

MirtazapineOutpatient Dosage FormsTablet, Oral:Generic: 15 mg, 30 mg, 45 mg

MisoprostolOutpatient Dosage FormsTablet, Oral:Generic: 100 mcg, 200 mcg

MitoMYcin (Ophthalmic)Outpatient Dosage FormsKit, Ophthalmic:Mitosol: 0.2 mg

ModafinilOutpatient Dosage FormsTablet, Oral:Provigil: 100 mg, 200 mg

Mometasone (Nasal)Outpatient Dosage FormsSuspension, Nasal, as furoate:Nasonex: 50 mcg/actuation (17 g) [contains benzalkonium chloride]

Mometasone (Oral Inhalation)Outpatient Dosage FormsAerosol Powder Breath Activated, Inhalation, as furoate:Asmanex 30 Metered Doses: 110 mcg/INH (1 ea) [contains milk protein] [BCF]Asmanex 60 Metered Doses: 220 mcg/INH (1 ea) [contains milk protein] [BCF]

MontelukastOutpatient Dosage FormsPacket, Oral:Singulair®: 4 mg/packet (30s) [BCF]


Tablet Chewable, Oral:Generic: 4 mg [BCF], 5 mg [BCF]

Morphine (Systemic)Outpatient Dosage FormsCapsule Extended Release 24 Hour, Oral, as sulfate:Kadian: 10 mg [contains brilliant blue fcf (fd&c blue #1)]Kadian: 20 mg [contains fd&c yellow #10 (quinoline yellow)]Kadian: 50 mg, 60 mg [contains brilliant blue fcf (fd&c blue #1), fd&c red #40]Kadian: 80 mg [contains brilliant blue fcf (fd&c blue #1), fd&c red #40, fd&cyellow #6 (sunset yellow)]

Generic: 30 mgSolution, Oral, as sulfate:Generic: 10 mg/5 mL (5 mL, 100 mL, 500 mL)

Tablet, Oral, as sulfate:Generic: 15 mg, 30 mg

Tablet Extended Release, Oral, as sulfate:Generic: 15 mg [BCF], 30 mg [BCF], 60 mg [BCF]

METAXALONE

14

Mouthwash BLMOutpatient Dosage FormsSuspension, Mouth/Throat:First-Mouthwash BLM: Diphenhydramine, lidocaine, aluminum hydroxide,magnesium hydroxide, and simethicone (119 mL)

Moxifloxacin (Ophthalmic)Outpatient Dosage FormsSolution, Ophthalmic:Vigamox: 0.5% (3 mL)

MupirocinOutpatient Dosage FormsOintment, External:Generic: 2% (22 g) [BCF]

MycophenolateOutpatient Dosage FormsCapsule, Oral, as mofetil:CellCept: 250 mg [contains fd&c blue #2 (indigotine)]

Tablet, Oral, as mofetil:CellCept: 500 mg [contains fd&c blue #2 aluminum lake]

NaftifineOutpatient Dosage FormsCream, External, as hydrochloride:Naftin: 1% (60 g) [contains benzyl alcohol, cetyl alcohol]

NaltrexoneOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 50 mg

Naphazoline and PheniramineOutpatient Dosage FormsSolution, Ophthalmic:Naphcon-A: Naphazoline hydrochloride 0.025% and pheniramine maleate0.3% (15 mL) [contains benzalkonium chloride]

NaproxenOutpatient Dosage FormsTablet, Oral:Generic: 250 mg [BCF], 500 mg [BCF]

NateglinideOutpatient Dosage FormsTablet, Oral:Starlix: 60 mg, 120 mg

NeomycinOutpatient Dosage FormsTablet, Oral, as sulfate:Generic: 500 mg

Neomycin, Polymyxin B, and DexamethasoneOutpatient Dosage FormsOintment, Ophthalmic:Generic: Neomycin 3.5 mg, polymyxin B sulfate 10,000 units, and dexametha-sone 0.1% per g (3.5 g)

Suspension, Ophthalmic:Generic: Neomycin 3.5 mg, polymyxin B sulfate 10,000 units, and dexametha-sone 0.1% per 1 mL (5 mL)

Neomycin, Polymyxin B, and GramicidinOutpatient Dosage FormsSolution, Ophthalmic:Generic: Neomycin 1.75 mg, polymyxin B 10,000 units, and gramicidin0.025 mg per 1 mL (10 mL) [BCF]

Neomycin, Polymyxin B, and HydrocortisoneOutpatient Dosage FormsSuspension, Otic:Generic: Neomycin 3.5 mg, polymyxin B 10,000 units, and hydrocortisone10 mg per 1 mL (10 mL) [BCF]

NepafenacOutpatient Dosage FormsSuspension, Ophthalmic:Nevanac: 0.1% (3 mL) [contains edentate disodium benzalkonium chloride]

NiacinOutpatient Dosage FormsTablet, Oral:Generic: 50 mg

Tablet Extended Release, Oral:Niaspan: 500 mg [BCF], 750 mg [BCF], 1000 mg [BCF]

NicotineOutpatient Dosage FormsGum, Mouth/Throat, as polacrilex:Nicorelief: 2 mg (50 ea) [BCF]Nicorelief: 4 mg (50 ea) [BCF]

Patch 24 Hour, Transdermal:Nicoderm CQ: 7 mg/24 hr (14 ea); 14 mg/24 hr (14 ea); 21 mg/24 hr (14ea) [BCF]

NIFEdipineOutpatient Dosage FormsCapsule, Oral:Procardia: 10 mg

Tablet Extended Release 24 Hour, Oral:Afeditab CR: 30 mg [BCF]Generic: 30 mg [BCF], 60 mg [BCF], 90 mg [BCF]

NitrofurantoinOutpatient Dosage FormsCapsule, Oral:Generic: 50 mg [BCF]

Capsule Extended Release, Oral:Generic: 100 mg [BCF]

Suspension, Oral:Generic: 25 mg/5 mL (230 mL)

NitroglycerinOutpatient Dosage FormsCapsule Extended Release, Oral:Generic: 2.5 mg, 6.5 mg

Ointment, Transdermal:Nitro-Bid: 2% (30 g, 60 g)

Patch 24 Hour, Transdermal:Nitro-Dur: 0.3 mg/hr (30 ea) [BCF]; 0.8 mg/hr (30 ea) [BCF]Generic: 0.1 mg/hour (30s) [BCF]; 0.2 mg/hour (30s) [BCF]; 0.4 mg/hour (30s)[BCF]; 0.6 mg/hour (30s) [BCF]

Solution, Translingual:Generic: 0.4 mg/spray (12 g)

Tablet, Sublingual:Nitrostat: 0.4 mg [BCF]

NorethindroneOutpatient Dosage FormsTablet, Oral:Nor-QD: 0.35 mg [BCF]

Norethindrone and MestranolOutpatient Dosage FormsTablet, Oral:Norinyl 1+50: Norethindrone 1 mg and mestranol 0.05 mg [21 white tabletsand 7 orange inactive tablets] (28s)

NortriptylineOutpatient Dosage FormsCapsule, Oral:Generic: 10 mg [BCF], 25 mg [BCF]

Nystatin and TriamcinoloneOutpatient Dosage FormsCream, External:Generic: Nystatin 100,000 units and triamcinolone acetonide 0.1% (15 g)

Nystatin (Oral)Outpatient Dosage FormsSuspension, Mouth/Throat:Generic: 100,000 units/mL (60 mL) [BCF]

Nystatin (Topical)Outpatient Dosage FormsCream, External:Generic: 100,000 units/g (15 g) [BCF]

Powder, External:Nystop: 100,000 units/g (30 g)

Ocular LubricantOutpatient Dosage FormsOintment, Ophthalmic:Akwa Tears: 3.5 g

Ofloxacin (Otic)Outpatient Dosage FormsSolution, Otic:Generic: 0.3% (5 mL)

OLANZapineOutpatient Dosage FormsTablet, Oral:Generic: 5 mg, 7.5 mg, 10 mg

OLANZAPINE

15

Olopatadine (Nasal)Outpatient Dosage FormsSolution, Nasal:Patanase: 0.6% (30.5 g) [contains benzalkonium chloride, edetate disodium]

Olopatadine (Ophthalmic)Outpatient Dosage FormsSolution, Ophthalmic:Pataday: 0.2% (2.5 mL) [contains benzalkonium chloride, edetate disodium]Patanol: 0.1% (5 mL) [contains benzalkonium chloride] [BCF]

OmeprazoleOutpatient Dosage FormsCapsule Delayed Release, Oral:Generic: 10 mg [BCF], 20 mg [BCF], 40 mg

OndansetronOutpatient Dosage FormsSolution, Oral:Generic: 4 mg/5 mL (50 mL)

Tablet, Oral:Generic: 4 mg, 8 mg

Tablet Dispersible, Oral:Generic: 4 mg, 8 mg

OrphenadrineOutpatient Dosage FormsTablet Extended Release 12 Hour, Oral, as citrate:Generic: 100 mg

OseltamivirOutpatient Dosage FormsCapsule, Oral, as phosphate:Tamiflu: 75 mg

Suspension Reconstituted, Oral, as base:Tamiflu: 6 mg/mL (60 mL) [contains saccharin sodium, sodium benzoate; tutti-frutti flavor]

OXcarbazepineOutpatient Dosage FormsSuspension, Oral:Trileptal: 300 mg/5 mL (250 mL) [contains alcohol, usp, methyl hydroxyben-zoate, propyl hydroxybenzoate, propylene glycol, saccharin sodium; lemonflavor]

Tablet, Oral:Generic: 150 mg, 300 mg, 600 mg

OxybutyninOutpatient Dosage FormsSyrup, Oral, as chloride:Generic: 5 mg/5 mL (473 mL)

Tablet, Oral, as chloride:Generic: 5 mg

Tablet Extended Release 24 Hour, Oral, as chloride:Generic: 5 mg [BCF], 10 mg [BCF], 15 mg [BCF]

OxyCODONEOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 5 mg, 10 mg, 15 mg, 30 mg

Tablet ER 12 Hour Abuse-Deterrent, Oral, as hydrochloride:OxyCONTIN: 10 mg, 15 mg, 20 mg, 30 mg, 40 mg, 60 mg, 80 mg

Oxycodone and AcetaminophenOutpatient Dosage FormsSolution, Oral:Roxicet: Oxycodone hydrochloride 5 mg and acetaminophen 325 mg per 5 mL(5 mL, 500 mL) [mint flavor]

Tablet, Oral:Generic: Oxycodone hydrochloride 5 mg and acetaminophen 325 mg [BCF]Generic: Oxycodone hydrochloride 7.5 mg and acetaminophen 325 mgGeneric: Oxycodone hydrochloride 10 mg and acetaminophen 325 mg

Oxymetazoline (Nasal)Outpatient Dosage FormsSolution, Nasal, as hydrochloride:Nasal Decongestant Spray: 0.05% (15 mL) [contains benzalkonium chloride]

OxymorphoneOutpatient Dosage FormsTablet ER 12 Hour Abuse-Deterrent, Oral, as hydrochloride:Opana ER: 5 mg, 10 mg, 20 mg, 30 mg, 40 mg

PancrelipaseOutpatient Dosage FormsCapsule Delayed Release Particles, Oral:Creon: Lipase 3000 USP units, protease 9500 USP units, and amylase 15,000USP units [BCF]

Creon: Lipase 6000 USP units, protease 19,000 USP units, and amylase30,000 USP units [BCF]

Creon: Lipase 12,000 USP units, protease 38,000 USP units, and amylase60,000 USP units [BCF]



Pancreaze: Lipase 4200 units, protease 10,000 units, and amylase 17,500units

Pancreaze: Lipase 10,500 units, protease 25,000 units, and amylase 43,750units



PantoprazoleOutpatient Dosage FormsTablet Delayed Release, Oral:Generic: 20 mg, 40 mg

PARoxetineOutpatient Dosage FormsTablet, Oral, as hydrochloride [strength expressed as base]:Generic: 20 mg

PenicillAMINEOutpatient Dosage FormsCapsule, Oral:Cuprimine: 250 mg [contains fd&c yellow #10 (quinoline yellow)]

Penicillin V PotassiumOutpatient Dosage FormsSolution Reconstituted, Oral:Generic: 250 mg/5 mL (200 mL) [BCF]


Pentazocine and NaloxoneOutpatient Dosage FormsTablet, Oral:Generic: Pentazocine 50 mg and naloxone 0.5 mg

Pentosan Polysulfate SodiumOutpatient Dosage FormsCapsule, Oral:Elmiron: 100 mg [contains fd&c blue #1 aluminum lake, fd&c blue #2 aluminumlake, fd&c red #40 aluminum lake, fd&c yellow #10 aluminum lake]

PentoxifyllineOutpatient Dosage FormsTablet Extended Release, Oral:Generic: 400 mg

PermethrinOutpatient Dosage FormsCream, External:Generic: 5% (60 g) [BCF]

PerphenazineOutpatient Dosage FormsTablet, Oral:Generic: 4 mg

PhenazopyridineOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 200 mg [BCF]

PhenelzineOutpatient Dosage FormsTablet, Oral:Nardil: 15 mg [ECF]

PHENobarbitalOutpatient Dosage FormsElixir, Oral:Generic: 20 mg/5 mL (473 mL) [BCF]

Tablet, Oral:Generic: 16.2 mg, 32.4 mg

PhenoxybenzamineOutpatient Dosage FormsCapsule, Oral, as hydrochloride:Dibenzyline: 10 mg [contains benzyl alcohol]

Phenylephrine (Nasal)Outpatient Dosage FormsSolution, Nasal, as hydrochloride:Neo-Synephrine: 0.25% (15 mL)

OLOPATADINE (NASAL)

16

Phenylephrine (Systemic)Outpatient Dosage FormsTablet, Oral, as hydrochloride:Sudogest PE: 10 mg [contains fd&c red #40]

Phenylephrine (Topical)Outpatient Dosage FormsSuppository, Rectal, as hydrochloride:Hemorrhoidal: 0.25% (12 ea) [contains methylparaben, propylparaben]

PhenytoinOutpatient Dosage FormsCapsule, Oral, as sodium:Generic: 100 mg [BCF]

Suspension, Oral:Generic: 125 mg/5 mL (237 mL) [BCF]

Tablet Chewable, Oral:Dilantin Infatabs: 50 mg [scored] [BCF]

Pill CutterOutpatient Dosage FormsDevice:Generic: 1 ea

Pilocarpine (Ophthalmic)Outpatient Dosage FormsGel, Ophthalmic, as hydrochloride:Pilopine HS: 4% (4 g) [contains benzalkonium chloride, edetate diso-dium] [BCF]

Solution, Ophthalmic, as hydrochloride:Generic: 1% (15 mL) [BCF]; 2% (15 mL) [BCF]

PimecrolimusOutpatient Dosage FormsCream, External:Elidel®: 1% (30 g, 100 g) [BCF] [contains benzyl alcohol]

PioglitazoneOutpatient Dosage FormsTablet, Oral:Generic: 15 mg, 30 mg, 45 mg

PiroxicamOutpatient Dosage FormsCapsule, Oral:Generic: 20 mg

PodofiloxOutpatient Dosage FormsSolution, External:Generic: 0.5% (3.5 mL)

PolycarbophilOutpatient Dosage FormsTablet, Oral [preservative free]:Fiber-Lax: 625 mg [scored; starch free]

Polyethylene Glycol 3350Outpatient Dosage FormsPowder, Oral:Generic: 238 g, 510 g

Polyethylene Glycol-Electrolyte SolutionOutpatient Dosage FormsSolution Reconstituted, Oral:MoviPrep: 100 g (1 ea) [contains aspartame; lemon flavor]Generic: 240 g (4000 mL)

Potassium ChlorideOutpatient Dosage FormsPacket, Oral:Klor-Con: 20 mEq (30 ea) [sugar free; contains fd&c yellow #6 (sunset yellow);fruit flavor] [BCF]

Solution, Oral:Generic: 20 mEq/15 mL (10%) (473 mL) [BCF]

Tablet Extended Release, Oral:Klor-Con: 8 mEq [contains fd&c blue #1 aluminum lake, fd&c blue #2 alumi-num lake]

Klor-Con 10: 10 mEq [contains fd&c yellow #10 aluminum lake, fd&c yellow #6aluminum lake] [BCF]

Generic: 20 mEq

Potassium CitrateOutpatient Dosage FormsTablet Extended Release, Oral:Generic: 10 mEq (1080 mg)

Potassium IodideOutpatient Dosage FormsSolution, Oral:SSKI: 1 g/mL (30 mL)

Potassium PhosphateOutpatient Dosage FormsSolution, Intravenous [preservative free]:Generic: Potassium 4.4 mEq and phosphorus 3 mmol per mL (5 mL)

Potassium Phosphate and Sodium PhosphateOutpatient Dosage FormsTablet, Oral:Phospha 250 Neutral: Monobasic potassium phosphate 155 mg, dibasicsodium phosphate 852 mg, and monobasic sodium phosphate 130 mg[equivalent to elemental phosphorus 250 mg (8 mmol), sodium 298 mg (13mEq), and potassium 45 mg (1.1 mEq)]

Povidone-Iodine (Topical)Outpatient Dosage FormsSolution, External:Betadine: 10% (118 mL)

PramipexoleOutpatient Dosage FormsTablet, Oral, as dihydrochloride monohydrate:Generic: 0.125 mg, 0.25 mg, 0.5 mg

Pramoxine and HydrocortisoneOutpatient Dosage FormsFoam, Rectal:Proctofoam HC: Pramoxine hydrochloride 1% and hydrocortisone acetate 1%(10 g) [contains cetyl alcohol, methylparaben, propylene glycol, propylpar-aben, trolamine (triethanolamine)]

PrasugrelOutpatient Dosage FormsTablet, Oral:Effient: 5 mg, 10 mg

PravastatinOutpatient Dosage FormsTablet, Oral, as sodium:Generic: 10 mg [BCF], 20 mg [BCF], 40 mg [BCF], 80 mg [BCF]

PrazosinOutpatient Dosage FormsCapsule, Oral:Generic: 1 mg, 2 mg, 5 mg

PrednisoLONE (Ophthalmic)Outpatient Dosage FormsSuspension, Ophthalmic, as acetate:Pred Mild: 0.12% (5 mL) [contains benzalkonium chloride, sodium bisul-fite] [BCF]

Generic: 1% (5 mL) [BCF]

PrednisoLONE (Systemic)Outpatient Dosage FormsSolution, Oral, as sodium phosphate [strength expressed as base]:Orapred®: 15 mg/5 mL (20 mL) [dye free; contains ethanol 2%, sodiumbenzoate; grape flavor] [BCF]

Generic: 15 mg/5 mL (237 mL) [BCF]

PredniSONEOutpatient Dosage FormsTablet, Oral:Generic: 1 mg [BCF], 5 mg [BCF], 10 mg [BCF], 20 mg [BCF], 50 mgGeneric: 5 mg [BCF], 10 mg [BCF] [dose pack 21 tablets per pack]

PrimaquineOutpatient Dosage FormsTablet, Oral, as phosphate:Generic: 26.3 mg

PrimidoneOutpatient Dosage FormsTablet, Oral:Generic: 50 mg, 250 mg

ProbenecidOutpatient Dosage FormsTablet, Oral:Generic: 500 mg [BCF]

PROBENECID

17

ProchlorperazineOutpatient Dosage FormsSuppository, Rectal:Compro: 2.5 mg; 25 mg (12 ea)

Tablet, Oral, as maleate [strength expressed as base]:Generic: 5 mg, 10 mg

ProgesteroneOutpatient Dosage FormsSuppository, Vaginal:First-Progesterone VGS 25: 25 mg (30 ea)First-Progesterone VGS 50: 50 mg (30 ea)First-Progesterone VGS 100: 100 mg (30 ea)

PromethazineOutpatient Dosage FormsSolution, Oral, as hydrochloride:Generic: 6.25 mg/5 mL (118 mL) [BCF]

Suppository, Rectal, as hydrochloride:Generic: 12.5 mg (12s) [BCF]; 25 mg (12s) [BCF]


PropranololOutpatient Dosage FormsCapsule Extended Release 24 Hour, Oral, as hydrochloride:Generic: 80 mg, 120 mg, 160 mg

Tablet, Oral, as hydrochloride:Generic: 10 mg, 20 mg, 40 mg

PropylthiouracilOutpatient Dosage FormsTablet, Oral:Generic: 50 mg [BCF]

PseudoephedrineOutpatient Dosage FormsSyrup, Oral, as hydrochloride:Generic: 30 mg/5 mL (118 mL)

Tablet, Oral, as hydrochloride:SudoGest: 30 mg [contains fd&c red #40 aluminum lake, fd&c yellow #6aluminum lake]

SudoGest: 60 mg [scored]

PyrazinamideOutpatient Dosage FormsTablet, Oral:Generic: 500 mg [BCF]

Pyrethrins and Piperonyl ButoxideOutpatient Dosage FormsKit:RID® Maximum Strength: Pyrethrins 0.33% and piperonyl butoxide 4% (60 mL,120 mL, 180 mL, 240 mL) [packaged with nit removal comb, shampoo, gel,and furniture spray]

PyridostigmineOutpatient Dosage FormsTablet, Oral, as bromide:Generic: 60 mg

Tablet Extended Release, Oral, as bromide:Mestinon: 180 mg [scored]

PyridoxineOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 50 mg

QUEtiapineOutpatient Dosage FormsTablet, Oral:Generic: 25 mg [BCF], 100 mg [BCF], 200 mg [BCF], 300 mg [BCF],400 mg [BCF]

Tablet Extended Release 24 Hour, Oral:SEROquel XR: 150 mg [BCF], 200 mg [BCF], 300 mg [BCF], 400 mg [BCF]

QuiNIDineOutpatient Dosage FormsTablet, Oral, as sulfate:Generic: 200 mg

Tablet Extended Release, Oral, as gluconate:Generic: 324 mg

RaloxifeneOutpatient Dosage FormsTablet, Oral, as hydrochloride:Evista: 60 mg [BCF]

RamiprilOutpatient Dosage FormsCapsule, Oral:Generic: 1.25 mg [BCF], 2.5 mg [BCF], 5 mg [BCF], 10 mg [BCF]

RanitidineOutpatient Dosage FormsSyrup, Oral:Generic: 15 mg/mL (473 mL) [BCF]


RanolazineOutpatient Dosage FormsTablet Extended Release 12 Hour, Oral:Ranexa: 500 mg

RifampinOutpatient Dosage FormsCapsule, Oral:Generic: 300 mg [BCF]

RifaximinOutpatient Dosage FormsTablet, Oral:Xifaxan: 200 mg, 550 mg [contains edetate disodium]

RisperiDONEOutpatient Dosage FormsSolution, Oral:Generic: 1 mg/mL (30 mL) [BCF]

Tablet, Oral:Generic: 0.25 mg [BCF], 0.5 mg [BCF], 1 mg [BCF], 2 mg [BCF], 3 mg[BCF], 4 mg [BCF]

RivaroxabanOutpatient Dosage FormsTablet, Oral:Xarelto: 10 mg, 15 mg, 20 mg

RivastigmineOutpatient Dosage FormsPatch 24 Hour, Transdermal:Exelon: 4.6 mg/24 hr (30 ea); 9.5 mg/24 hr (30 ea)

RizatriptanOutpatient Dosage FormsTablet, Oral:Maxalt: 5 mg [BCF], 10 mg [BCF]

Tablet Dispersible, Oral:Maxalt-MLT: 5 mg [contains phenylalanine 1.05 mg/tablet; peppermint fla-vor] [BCF]

Maxalt-MLT: 10 mg [contains phenylalanine 2.1 mg/tablet; peppermint fla-vor] [BCF]

RoflumilastOutpatient Dosage FormsTablet, Oral:Daliresp: 500 mcg

ROPINIRoleOutpatient Dosage FormsTablet, Oral:Generic: 0.25 mg, 0.5 mg, 1 mg, 2 mg

RosuvastatinOutpatient Dosage FormsTablet, Oral:Crestor: 5 mg, 10 mg, 20 mg, 40 mg

Salicylic AcidOutpatient Dosage FormsSolution, External:DuoFilm: 17% (9.8 mL)

SalmeterolOutpatient Dosage FormsAerosol Powder Breath Activated, Inhalation:Serevent Diskus: 50 mcg (60 ea) [contains lactose] [BCF]

SalsalateOutpatient Dosage FormsTablet, Oral:Generic: 500 mg [BCF]

Scopolamine (Systemic)Outpatient Dosage FormsPatch 72 Hour, Transdermal:Transderm-Scop: 1.5 mg (10 ea)

PROCHLORPERAZINE

18

Selenium SulfideOutpatient Dosage FormsLotion, External:Generic: 2.5% (120 mL) [BCF]

SertralineOutpatient Dosage FormsTablet, Oral:Generic: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF]

SevelamerOutpatient Dosage FormsTablet, Oral, as carbonate:Renvela: 800 mg

SildenafilOutpatient Dosage FormsTablet, Oral:Viagra: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF]

Silver NitrateOutpatient Dosage FormsMiscellaneous, External:Arzol Silver Nit Applicators: Silver nitrate 75% and potassium nitrate 25%(100 ea)

Silver SulfadiazineOutpatient Dosage FormsCream, External:Silvadene: 1% (50 g, 85 g) [BCF]

SimvastatinOutpatient Dosage FormsTablet, Oral:Generic: 5 mg [BCF], 10 mg [BCF], 20 mg [BCF], 40 mg [BCF]

SitaGLIPtinOutpatient Dosage FormsTablet, Oral:Januvia: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF]

Sitagliptin and MetforminOutpatient Dosage FormsTablet, Oral:Janumet 50/500: Sitagliptin 50 mg and metformin hydrochloride 500 mg [BCF]Janumet 50/1000: Sitagliptin 50 mg and metformin hydrochloride1000 mg [BCF]

Tablet Extended Release 24 Hour, Oral:Janumet XR: 50/500: Sitagliptin 50 mg and metformin hydrochloride500 mg [BCF]

Janumet XR: 50/1000: Sitagliptin 50 mg and metformin hydrochloride1000 mg [BCF]

Janumet XR: 100/1000: Sitagliptin 100 mg and metformin hydrochloride1000 mg [BCF]

Sodium ChlorideOutpatient Dosage FormsNebulization Solution, Inhalation:Generic: 0.9% (3 mL)

Ointment, Ophthalmic:Muro 128: 5% (3.5 g)

Packet, Nasal [preservative free]:AYR Saline Nasal Rinse: 1.57 g (50 ea) [iodine free]

Solution, Irrigation:Generic: 0.9% (1000 mL)

Solution, Nasal:Deep Sea Nasal Spray: 0.65% (44 mL) [contains benzalkonium chloride]

Solution, Ophthalmic:Generic: 5% (15 mL)

Sodium Citrate and Citric AcidOutpatient Dosage FormsSolution, oral:Generic: Sodium citrate 500 mg and citric acid 334 mg per 5 mL (480 mL)

Sodium Polystyrene SulfonateOutpatient Dosage FormsSuspension, Oral:Generic: 15 g/60 mL (480 mL)

SolifenacinOutpatient Dosage FormsTablet, Oral, as succinate:VESIcare: 5 mg, 10 mg

SpironolactoneOutpatient Dosage FormsTablet, Oral:Generic: 25 mg [BCF]

SucralfateOutpatient Dosage FormsSuspension, Oral:Carafate: 1 g/10 mL (420 mL) [contains fd&c red #40, methylparaben; cherryflavor]

Tablet, Oral:Generic: 1 g

Sulfacetamide and PrednisoloneOutpatient Dosage FormsSuspension, Ophthalmic:Blephamide: Sulfacetamide sodium 10% and prednisolone acetate 0.2%(10 mL)

Sulfacetamide (Ophthalmic)Outpatient Dosage FormsSolution, Ophthalmic, as sodium:Generic: 10% (15 mL) [BCF]

Sulfamethoxazole and TrimethoprimOutpatient Dosage FormsSuspension, Oral:Generic: Sulfamethoxazole 200 mg and trimethoprim 40 mg per 5 mL (473mL) [BCF]

Tablet, Oral:Generic: Sulamethoxazole 800 mg and trimethoprim 160 mg [BCF]

SulfaSALAzineOutpatient Dosage FormsTablet, Oral:Generic: 500 mg [BCF]

SUMAtriptanOutpatient Dosage FormsSolution, Nasal:Imitrex: 20 mg/actuation (1 ea)Generic: 5 mg/actuation (1 ea)

Solution, Subcutaneous, as succinate [strength expressed as base]:Generic: 6 mg/0.5 mL (0.5 mL)

Tablet, Oral, as succinate [strength expressed as base]:Generic: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF]

SyringeOutpatient Dosage FormsSyringe [for use with testosterone injection]:BD Luer-Lok Syringe: 23 gauge x 1" (3 mL)BD Luer-Lok Syringe: 23 gauge x 1-1/2" (3 mL)

Syringe [for use with B12 and progesterone injections]:BD Luer-Lok Syringe: 25 gauge x 1" (3 mL)BD Syringe/Needle: 25 gauge x 5/8" (3 mL)

Tacrolimus (Topical)Outpatient Dosage FormsOintment, External:Protopic: 0.1% (30 g, 100 g)

TamoxifenOutpatient Dosage FormsTablet, Oral:Generic: 10 mg [BCF], 20 mg [BCF]

TamsulosinOutpatient Dosage FormsCapsule, Oral, as hydrochloride:Generic: 0.4 mg [BCF]

TapentadolOutpatient Dosage FormsTablet, Oral:Nucynta: 100 mg

TelmisartanOutpatient Dosage FormsTablet, Oral:Micardis: 20 mg [BCF], 40 mg [BCF], 80 mg [BCF]

Telmisartan and HydrochlorothiazideOutpatient Dosage FormsTablet, Oral:Micardis HCT: 40/12.5: Telmisartan 40 mg and hydrochlorothiazide12.5 mg [BCF]

Micardis HCT: 80/12.5: Telmisartan 80 mg and hydrochlorothiazide12.5 mg [BCF]

Micardis HCT: 80/25: Telmisartan 80 mg and hydrochlorothiazide 25 mg [BCF]

TemazepamOutpatient Dosage FormsCapsule, Oral:Generic: 15 mg [BCF], 30 mg [BCF]

TEMAZEPAM

19

TerazosinOutpatient Dosage FormsCapsule, Oral:Generic: 1 mg [BCF], 2 mg [BCF], 5 mg [BCF], 10 mg [BCF]

Terbinafine (Systemic)Outpatient Dosage FormsTablet, Oral:Generic: 250 mg

TerbutalineOutpatient Dosage FormsTablet, Oral, as sulfate:Generic: 5 mg

TerconazoleOutpatient Dosage FormsSuppository, Vaginal:Terazol 3: 80 mg (3 ea)

TeriparatideOutpatient Dosage FormsSolution, Subcutaneous:Forteo: 600 mcg/2.4 mL (2.4 mL) [contains metacresol]

TestosteroneOutpatient Dosage FormsGel, Transdermal:Fortesta: 10 mg/actuation (60 g) [contains ethanol; 0.5 g gel/actuation; 120metered actuations] [BCF]

Oil, Intramuscular, as cypionate:Depo-Testosterone: 200 mg/mL (1 mL) [contains benzyl alcohol, benzyl ben-zoate]

TheophyllineOutpatient Dosage FormsTablet Extended Release 12 Hour, Oral:Generic: 100 mg, 200 mg [BCF], 300 mg [BCF]

ThiamineOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 50 mg

Thyroid, DesiccatedOutpatient Dosage FormsTablet, Oral:Armour Thyroid: 15 mg, 30 mg, 60 mg

Timolol (Ophthalmic)Outpatient Dosage FormsGel Forming Solution, Ophthalmic, as maleate [strength expressed as base]:Generic: 0.25% (5 mL) [BCF]; 0.5% (5 mL) [BCF]

Solution, Ophthalmic, as maleate [strength expressed as base]:Generic: 0.25% (5 mL) [BCF]; 0.5% (10 mL) [BCF]

TinidazoleOutpatient Dosage FormsTablet, Oral:Tindamax: 500 mg [scored; contains fd&c red #40 aluminum lake, fd&c yellow#6 aluminum lake]

TiotropiumOutpatient Dosage FormsCapsule, Inhalation:Spiriva HandiHaler: 18 mcg [contains milk protein] [BCF]

TiZANidineOutpatient Dosage FormsTablet, Oral:Generic: 2 mg, 4 mg

Tobramycin and DexamethasoneOutpatient Dosage FormsOintment, Ophthalmic:TobraDex: Tobramycin 0.3% and dexamethasone 0.1% (3.5 g)

Suspension, Ophthalmic:TobraDex: Tobramycin 0.3% and dexamethasone 0.1% (2.5 mL) [containsbenzalkonium chloride, edetate disodium]

TolmetinOutpatient Dosage FormsCapsule, Oral:Generic: 400 mg

TolterodineOutpatient Dosage FormsCapsule Extended Release 24 Hour, Oral, as tartrate:Detrol LA: 2 mg [BCF], 4 mg [BCF]

TopiramateOutpatient Dosage FormsTablet, Oral:Generic: 25 mg, 50 mg, 100 mg, 200 mg

TorsemideOutpatient Dosage FormsTablet, Oral:Generic: 20 mg, 100 mg

TraMADolOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 50 mg [BCF]

TraZODoneOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 50 mg [BCF], 100 mg [BCF], 150 mg [BCF]

Tretinoin (Topical)Outpatient Dosage FormsCream, External:Avita: 0.025% (20 g)Generic: 0.05% (20 g) [BCF]

Gel, External:Avita: 0.025% (20 g)Retin-A Micro: 0.1% (45 g) [contains benzyl alcohol, disodium edta, propyleneglycol, trolamine (triethanolamine)]

Generic: 0.01% (15 g); 0.025% (15 g)

Triamcinolone (Topical)Outpatient Dosage FormsAerosol Solution, External, as acetonide:Kenalog: (63 g)

Cream, External, as acetonide:Generic: 0.1% (15 g, 80 g) [BCF]

Ointment, External, as acetonide:Generic: 0.1% (15 g, 80 g)

Paste, Mouth/Throat, as acetonide:Generic: 0.1% (5 g)

TriazolamOutpatient Dosage FormsTablet, Oral:Generic: 0.25 mg

TrifluridineOutpatient Dosage FormsSolution, Ophthalmic:Generic: 1% (7.5 mL)

TrihexyphenidylOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 2 mg [BCF], 5 mg

TrimethoprimOutpatient Dosage FormsTablet, Oral:Generic: 100 mg

Trimethoprim and Polymyxin BOutpatient Dosage FormsSolution, Ophthalmic:Generic: Trimethoprim 1 mg and polymyxin B sulfate 10,000 units per 1 mL (10mL) [BCF]

UreaOutpatient Dosage FormsCream, External:Atrac-Tain: 10% (142 g)X-Viate: 40% (28.3 g)Generic: 20% (85 g)

UrsodiolOutpatient Dosage FormsCapsule, Oral:Generic: 300 mg

ValACYclovirOutpatient Dosage FormsTablet, Oral:Generic: 500 mg, 1 g

TERAZOSIN

20

Valproic Acid and DerivativesOutpatient Dosage FormsCapsule Sprinkle, Oral, as divalproex sodium:Depakote Sprinkles: 125 mg [contains brilliant blue fcf (fd&c blue #1)] [BCF]

Syrup, Oral, as valproate sodium:Generic: 250 mg/5 mL (473 mL)

Tablet Delayed Release, Oral, as divalproex sodium:Generic: 125 mg [BCF], 250 mg [BCF]

Tablet Extended Release 24 Hour, Oral, as divalproex sodium:Generic: 250 mg [BCF], 500 mg [BCF]

ValsartanOutpatient Dosage FormsTablet, Oral:Diovan: 40 mg [scored] [BCF], 80 mg [BCF], 160 mg [BCF], 320 mg [BCF]

Valsartan and HydrochlorothiazideOutpatient Dosage FormsTablet, Oral:Diovan HCT: 80 mg/12.5 mg: Valsartan 80 mg and hydrochlorothiazide12.5 mg [BCF]

Diovan HCT: 160 mg/12.5 mg: Valsartan 160 mg and hydrochlorothiazide12.5 mg [BCF]

Diovan HCT: 160 mg/25 mg: Valsartan 160 mg and hydrochlorothiazide25 mg [BCF]

Diovan HCT: 320 mg/12.5 mg: Valsartan 320 mg and hydrochlorothiazide12.5 mg [BCF]

Diovan HCT: 320 mg/25 mg: Valsartan 320 mg and hydrochlorothiazide25 mg [BCF]

VenlafaxineOutpatient Dosage FormsCapsule Extended Release 24 Hour, Oral:Generic: 37.5 mg [BCF], 75 mg [BCF], 150 mg [BCF]


VerapamilOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 80 mg, 120 mg

Tablet Extended Release, Oral, as hydrochloride:Generic: 120 mg [BCF], 180 mg [BCF], 240 mg [BCF]

Vitamin A and Vitamin D (Topical)Outpatient Dosage FormsOintment, External:Generic: 60 g

Vitamins (Multiple/Pediatric)Outpatient Dosage FormsContent varies depending on product used.Solution, Oral:Multi-Vit/Fluoride: 0.25 mg/mL (50 mL) [contains polysorbate 80; fruit flavor]Polyvitamin: 35 mg/mL (50 mL) [alcohol free, sugar free; contains polysorbate80, propylene glycol, sodium benzoate; fruit flavor]

Polyvitamin/Iron: 10 mg/mL (50 mL) [alcohol free, sugar free; contains poly-sorbate 80, propylene glycol, sodium benzoate; fruit flavor]

Tri-Vit/Fluoride/Iron: 0.25-10 mg/mL (50 mL) [alcohol free]

Vitamins (Multiple/Prenatal)Outpatient Dosage FormsContent varies depending on product used.Tablet, Oral:Prenatal: 27-0.8 MG [milk free, no artificial flavor(s), sodium free, soy free,wheat free, yeast free; contains fd&c red #40 aluminum lake, fd&c yellow #6aluminum lake, sodium benzoate]

WarfarinOutpatient Dosage FormsTablet, Oral, as sodium:Generic: 1 mg [BCF], 2 mg [BCF], 2.5 mg [BCF], 3 mg [BCF], 4 mg [BCF],5 mg [BCF], 6 mg [BCF], 7.5 mg [BCF], 10 mg [BCF]

White PetrolatumOutpatient Dosage FormsGel, External:Generic: 28.35 g

ZidovudineOutpatient Dosage FormsCapsule, Oral:Generic: 100 mg

Zinc OxideOutpatient Dosage FormsOintment, External:Boudreauxs Butt Paste: 16% (57 g)Generic: 20% (28.35 g)

ZiprasidoneOutpatient Dosage FormsCapsule, Oral, as hydrochloride:Geodon: 20 mg, 40 mg, 60 mg, 80 mg

ZOLMitriptanOutpatient Dosage FormsTablet, Oral:Generic: 2.5 mg, 5 mg

ZolpidemOutpatient Dosage FormsTablet, Oral, as tartrate:Generic: 5 mg [BCF], 10 mg [BCF]

Tablet Extended Release, Oral, as tartrate:Generic: 6.25 mg, 12.5 mg

ZOLPIDEM

21

Therapeutic Category Index

22

AbortifacientDinoprostone ...............................................................................................7

Acetylcholinesterase InhibitorPyridostigmine .......................................................................................... 18

Acetylcholinesterase Inhibitor (Central)Donepezil .................................................................................................... 7Rivastigmine ............................................................................................. 18

Acne ProductsAdapalene ...................................................................................................2Benzoyl Peroxide ........................................................................................4Clindamycin and Benzoyl Peroxide ........................................................... 5Erythromycin and Benzoyl Peroxide ..........................................................8Erythromycin (Topical) ................................................................................ 8ISOtretinoin ............................................................................................... 12Salicylic Acid .............................................................................................18Tretinoin (Topical) ..................................................................................... 20

Adrenergic Agonist AgentOxymetazoline (Nasal) ............................................................................. 16

Aldehyde Dehydrogenase InhibitorDisulfiram .................................................................................................... 7

Alkalinizing Agent, OralPotassium Citrate ..................................................................................... 17Sodium Citrate and Citric Acid .................................................................19

Alkylamine DerivativeHydrocodone and Chlorpheniramine ....................................................... 11Naphazoline and Pheniramine .................................................................15

Alpha1 AgonistNaphazoline and Pheniramine .................................................................15

Alpha1 BlockerAlfuzosin ......................................................................................................2Doxazosin ................................................................................................... 7Phenoxybenzamine .................................................................................. 16Prazosin .................................................................................................... 17Tamsulosin ................................................................................................ 19Terazosin ...................................................................................................20

Alpha2-Adrenergic AgonistCloNIDine ....................................................................................................5GuanFACINE ............................................................................................ 10Methyldopa ................................................................................................14TiZANidine ................................................................................................ 20

Alpha2 Agonist, OphthalmicBrimonidine and Timolol .............................................................................4Brimonidine (Ophthalmic) ........................................................................... 4

Alpha-Adrenergic AgonistPhenylephrine (Nasal) .............................................................................. 16Phenylephrine (Systemic) .........................................................................17Phenylephrine (Topical) ............................................................................ 17

Alpha/Beta AgonistEPINEPHrine (Systemic, Oral Inhalation) ..................................................7Guaifenesin and Pseudoephedrine ..........................................................10Pseudoephedrine ......................................................................................18

5 Alpha-Reductase InhibitorFinasteride .................................................................................................. 9

AmebicideMetroNIDAZOLE (Systemic) .................................................................... 14Tinidazole ..................................................................................................20

Aminoquinoline (Antimalarial)Chloroquine .................................................................................................5Hydroxychloroquine .................................................................................. 11Primaquine ................................................................................................17

5-Aminosalicylic Acid DerivativeMesalamine ...............................................................................................13SulfaSALAzine ..........................................................................................19

Ammonium DetoxicantLactulose ...................................................................................................12Neomycin .................................................................................................. 15

Analgesic Combination (Opioid)Acetaminophen and Codeine .....................................................................2Acetaminophen and Tramadol ................................................................... 2Hydrocodone and Acetaminophen ...........................................................11Oxycodone and Acetaminophen ..............................................................16

Analgesic, MiscellaneousAcetaminophen ........................................................................................... 2

Acetaminophen and Tramadol ................................................................... 2Acetaminophen, Isometheptene, and Dichloralphenazone .......................2

Analgesic, OpioidAcetaminophen and Codeine .....................................................................2Buprenorphine ............................................................................................ 4Buprenorphine and Naloxone .................................................................... 4Codeine .......................................................................................................6FentaNYL .................................................................................................... 9Hydrocodone and Acetaminophen ...........................................................11Hydrocodone and Chlorpheniramine ....................................................... 11HYDROmorphone ..................................................................................... 11Morphine (Systemic) .................................................................................14OxyCODONE ............................................................................................16Oxycodone and Acetaminophen ..............................................................16Oxymorphone ........................................................................................... 16Pentazocine and Naloxone ...................................................................... 16Tapentadol .................................................................................................19TraMADol .................................................................................................. 20

Analgesic, Opioid Partial AgonistBuprenorphine ............................................................................................ 4Buprenorphine and Naloxone .................................................................... 4Pentazocine and Naloxone ...................................................................... 16

Analgesic, TopicalLidocaine (Topical) ....................................................................................13

Analgesic, UrinaryPentosan Polysulfate Sodium .................................................................. 16Phenazopyridine ....................................................................................... 16

AndrogenDanazol ....................................................................................................... 6Testosterone ............................................................................................. 20

Anesthetic/CorticosteroidPramoxine and Hydrocortisone ................................................................17

Angiotensin II Receptor BlockerLosartan .................................................................................................... 13Losartan and Hydrochlorothiazide ........................................................... 13Telmisartan ................................................................................................19Telmisartan and Hydrochlorothiazide .......................................................19Valsartan ................................................................................................... 21Valsartan and Hydrochlorothiazide .......................................................... 21

Angiotensin-Converting Enzyme (ACE) InhibitorAmlodipine and Benazepril ........................................................................ 3Captopril ......................................................................................................4Enalapril ...................................................................................................... 7Fosinopril ...................................................................................................10Lisinopril .................................................................................................... 13Lisinopril and Hydrochlorothiazide ........................................................... 13Ramipril ..................................................................................................... 18

Anilidopiperidine OpioidFentaNYL .................................................................................................... 9

AnthelminticAlbendazole ................................................................................................ 2

Antianginal AgentAmLODIPine ............................................................................................... 3Amlodipine and Benazepril ........................................................................ 3Atenolol ....................................................................................................... 3Diltiazem ..................................................................................................... 7Isosorbide Dinitrate ...................................................................................12Isosorbide Mononitrate ............................................................................. 12Metoprolol ................................................................................................. 14NIFEdipine ................................................................................................ 15Nitroglycerin .............................................................................................. 15Propranolol ................................................................................................18Ranolazine ................................................................................................ 18Verapamil .................................................................................................. 21

Antianxiety Agent, MiscellaneousBusPIRone ..................................................................................................4

Antiarrhythmic Agent, Class IaDisopyramide .............................................................................................. 7QuiNIDine ..................................................................................................18

Antiarrhythmic Agent, Class IIPropranolol ................................................................................................18

Antiarrhythmic Agent, Class IIIAmiodarone .................................................................................................2

Antiarrhythmic Agent, Class IVDiltiazem ..................................................................................................... 7Verapamil .................................................................................................. 21

ABORTIFACIENT

23

Antiarrhythmic Agent, MiscellaneousDigoxin ........................................................................................................ 7

Antibiotic, AminoglycosideGentamicin (Ophthalmic) ..........................................................................10Gentamicin (Topical) .................................................................................10Neomycin .................................................................................................. 15

Antibiotic, Cephalosporin (First Generation)Cephalexin .................................................................................................. 5

Antibiotic, Cephalosporin (Second Generation)Cefprozil ...................................................................................................... 5Cefuroxime ..................................................................................................5

Antibiotic, Cephalosporin (Third Generation)Cefdinir ........................................................................................................ 5Cefixime ...................................................................................................... 5

Antibiotic/Corticosteroid, OphthalmicNeomycin, Polymyxin B, and Dexamethasone ....................................... 15Neomycin, Polymyxin B, and Hydrocortisone ......................................... 15Sulfacetamide and Prednisolone ............................................................. 19Tobramycin and Dexamethasone ............................................................ 20

Antibiotic/Corticosteroid, OticCiprofloxacin and Dexamethasone ............................................................ 5Neomycin, Polymyxin B, and Hydrocortisone ......................................... 15

Antibiotic/Corticosteroid, TopicalNeomycin, Polymyxin B, and Hydrocortisone ......................................... 15

Antibiotic, FluoroquinoloneCiprofloxacin (Systemic) .............................................................................5Gatifloxacin ............................................................................................... 10Levofloxacin (Systemic) ............................................................................12Moxifloxacin (Ophthalmic) ........................................................................ 15Ofloxacin (Otic) ......................................................................................... 15

Antibiotic, LincosamideClindamycin (Systemic) .............................................................................. 5Clindamycin (Topical) ................................................................................. 5

Antibiotic, MacrolideAzithromycin (Systemic) ............................................................................. 3Clarithromycin ............................................................................................. 5Erythromycin (Ophthalmic) ......................................................................... 8Erythromycin (Systemic) .............................................................................8Erythromycin (Topical) ................................................................................ 8

Antibiotic, MiscellaneousBacitracin .................................................................................................... 3Dapsone (Systemic) ................................................................................... 6MetroNIDAZOLE (Systemic) .................................................................... 14Nitrofurantoin .............................................................................................15Rifampin .................................................................................................... 18Rifaximin ................................................................................................... 18Sulfamethoxazole and Trimethoprim ....................................................... 19Tinidazole ..................................................................................................20Trimethoprim ............................................................................................. 20

Antibiotic, OphthalmicBacitracin .................................................................................................... 3Bacitracin, Neomycin, and Polymyxin B ....................................................3Erythromycin (Ophthalmic) ......................................................................... 8Gatifloxacin ............................................................................................... 10Gentamicin (Ophthalmic) ..........................................................................10Moxifloxacin (Ophthalmic) ........................................................................ 15Neomycin, Polymyxin B, and Gramicidin ................................................ 15Neomycin, Polymyxin B, and Hydrocortisone ......................................... 15Sulfacetamide (Ophthalmic) ..................................................................... 19Trimethoprim and Polymyxin B ................................................................ 20

Antibiotic, Oral RinseChlorhexidine Gluconate ............................................................................ 5

Antibiotic, OticCiprofloxacin and Dexamethasone ............................................................ 5Neomycin, Polymyxin B, and Hydrocortisone ......................................... 15Ofloxacin (Otic) ......................................................................................... 15

Antibiotic, OxazolidinoneLinezolid .................................................................................................... 13

Antibiotic, PenicillinAmoxicillin ................................................................................................... 3Amoxicillin and Clavulanate ....................................................................... 3Dicloxacillin ................................................................................................. 7Penicillin V Potassium ..............................................................................16

Antibiotic, Respiratory FluoroquinoloneLevofloxacin (Systemic) ............................................................................12

Antibiotic, Sulfonamide DerivativeSulfamethoxazole and Trimethoprim ....................................................... 19

Antibiotic, Tetracycline DerivativeDoxycycline .................................................................................................7Minocycline ............................................................................................... 14

Antibiotic, TopicalBacitracin .................................................................................................... 3Bacitracin, Neomycin, and Polymyxin B ....................................................3Chlorhexidine Gluconate ............................................................................ 5Erythromycin (Topical) ................................................................................ 8Gentamicin (Topical) .................................................................................10MetroNIDAZOLE (Topical) ........................................................................14Mupirocin ...................................................................................................15Neomycin .................................................................................................. 15Neomycin, Polymyxin B, and Hydrocortisone ......................................... 15Silver Nitrate ............................................................................................. 19Silver Sulfadiazine .................................................................................... 19

Anticholinergic AgentAclidinium ....................................................................................................2Atropine .......................................................................................................3Benztropine .................................................................................................4Dicyclomine .................................................................................................7Hyoscyamine .............................................................................................11Hyoscyamine, Atropine, Scopolamine, and Phenobarbital ..................... 11Ipratropium and Albuterol ......................................................................... 12Ipratropium (Nasal) ................................................................................... 12Ipratropium (Oral Inhalation) .................................................................... 12Scopolamine (Systemic) ...........................................................................18Solifenacin .................................................................................................19Tiotropium ................................................................................................. 20Tolterodine .................................................................................................20Trihexyphenidyl .........................................................................................20

Anticholinergic Agent, Long-ActingAclidinium ....................................................................................................2Tiotropium ................................................................................................. 20

Anticholinergic Agent, OphthalmicAtropine .......................................................................................................3Cyclopentolate ............................................................................................ 6

AnticoagulantDabigatran Etexilate ................................................................................... 6Enoxaparin ..................................................................................................7Heparin ......................................................................................................11Rivaroxaban ..............................................................................................18Warfarin .....................................................................................................21

Anticoagulant, Direct Thrombin InhibitorDabigatran Etexilate ................................................................................... 6

Anticoagulant, Factor Xa InhibitorRivaroxaban ..............................................................................................18

Anticoagulant, HeparinHeparin ......................................................................................................11

Anticoagulant, Low Molecular Weight HeparinEnoxaparin ..................................................................................................7

Anticoagulant, Vitamin K AntagonistWarfarin .....................................................................................................21

Anticonvulsant, BarbituratePHENobarbital .......................................................................................... 16

Anticonvulsant, HydantoinPhenytoin .................................................................................................. 17

Anticonvulsant, MiscellaneousAcetaZOLAMIDE ........................................................................................ 2CarBAMazepine ..........................................................................................4Gabapentin ................................................................................................10Lacosamide ...............................................................................................12LamoTRIgine ............................................................................................ 12LevETIRAcetam ........................................................................................12OXcarbazepine ......................................................................................... 16Primidone .................................................................................................. 17Topiramate ................................................................................................ 20Valproic Acid and Derivatives .................................................................. 21

Anticonvulsant, SuccinimideEthosuximide .............................................................................................. 9

Antidepressant, Alpha-2 AntagonistMirtazapine ................................................................................................14

Antidepressant, Dopamine-Reuptake InhibitorBuPROPion .................................................................................................4

ANTIDEPRESSANT, DOPAMINE-REUPTAKE INHIBITOR

24

Antidepressant, Monoamine Oxidase InhibitorPhenelzine ................................................................................................ 16

Antidepressant, Selective Serotonin Reuptake InhibitorCitalopram ...................................................................................................5Escitalopram ............................................................................................... 8FLUoxetine ..................................................................................................9PARoxetine ............................................................................................... 16Sertraline ...................................................................................................19

Antidepressant, Serotonin/Norepinephrine Reuptake InhibitorMilnacipran ................................................................................................14Venlafaxine ............................................................................................... 21

Antidepressant, Serotonin Reuptake Inhibitor/AntagonistTraZODone ............................................................................................... 20

Antidepressant, TetracyclicMaprotiline .................................................................................................13

Antidepressant, Tricyclic (Secondary Amine)Nortriptyline ............................................................................................... 15

Antidepressant, Tricyclic (Tertiary Amine)Amitriptyline .................................................................................................2Doxepin (Systemic) .....................................................................................7Imipramine .................................................................................................11

Antidiabetic Agent, BiguanideMetFORMIN ..............................................................................................14Sitagliptin and Metformin ..........................................................................19

Antidiabetic Agent, Dipeptidyl Peptidase IV (DPP-IV) InhibitorSitaGLIPtin ................................................................................................19Sitagliptin and Metformin ..........................................................................19

Antidiabetic Agent, Dopamine AgonistBromocriptine ..............................................................................................4

Antidiabetic Agent, Glucagon-Like Peptide-1 (GLP-1) ReceptorAgonist

Exenatide .................................................................................................... 9

Antidiabetic Agent, Meglitinide DerivativeNateglinide ................................................................................................ 15

Antidiabetic Agent, SulfonylureaChlorproPAMIDE .........................................................................................5Glimepiride ................................................................................................10GlipiZIDE ...................................................................................................10GlyBURIDE ............................................................................................... 10

Antidiabetic Agent, ThiazolidinedionePioglitazone .............................................................................................. 17

AntidiarrhealBismuth ....................................................................................................... 4Diphenoxylate and Atropine ....................................................................... 7Loperamide ............................................................................................... 13Polycarbophil ............................................................................................ 17

AntidoteAtropine .......................................................................................................3Calcitonin .................................................................................................... 4Glucagon ...................................................................................................10Leucovorin Calcium .................................................................................. 12Naltrexone .................................................................................................15Phenoxybenzamine .................................................................................. 16Potassium Iodide ...................................................................................... 17Sodium Polystyrene Sulfonate .................................................................19

Antidote, ExtravasationNitroglycerin .............................................................................................. 15Terbutaline .................................................................................................20

Antidote, HypoglycemiaGlucagon ...................................................................................................10

AntiemeticAprepitant ....................................................................................................3Dexamethasone (Systemic) ....................................................................... 6HydrOXYzine ............................................................................................ 11Meclizine ................................................................................................... 13Metoclopramide ........................................................................................ 14Ondansetron ............................................................................................. 16Perphenazine ............................................................................................16Prochlorperazine .......................................................................................18Promethazine ............................................................................................18

Antifungal Agent, Azole DerivativeTerconazole ...............................................................................................20

Antifungal Agent, Imidazole DerivativeClotrimazole (Oral) ......................................................................................5

Clotrimazole (Topical) ................................................................................. 6Ketoconazole (Systemic) ..........................................................................12Ketoconazole (Topical) ............................................................................. 12

Antifungal Agent, OralFluconazole .................................................................................................9Griseofulvin ............................................................................................... 10Ketoconazole (Systemic) ..........................................................................12Terbinafine (Systemic) .............................................................................. 20

Antifungal Agent, Oral NonabsorbedClotrimazole (Oral) ......................................................................................5Nystatin (Oral) ...........................................................................................15

Antifungal Agent, ParenteralFluconazole .................................................................................................9

Antifungal Agent, TopicalBetamethasone and Clotrimazole ..............................................................4Clotrimazole (Topical) ................................................................................. 6Ketoconazole (Topical) ............................................................................. 12Naftifine ..................................................................................................... 15Nystatin and Triamcinolone ......................................................................15Nystatin (Topical) ...................................................................................... 15

Antifungal Agent, VaginalClotrimazole (Topical) ................................................................................. 6Terconazole ...............................................................................................20

Antigout AgentAllopurinol ................................................................................................... 2Colchicine ....................................................................................................6

Antihemophilic AgentDesmopressin ............................................................................................. 6

Antihemorrhoidal AgentBenzocaine ................................................................................................. 3Dibucaine .................................................................................................... 7Hydrocortisone (Topical) ........................................................................... 11Phenylephrine (Topical) ............................................................................ 17

AntihypertensiveAmLODIPine ............................................................................................... 3Amlodipine and Benazepril ........................................................................ 3Atenolol ....................................................................................................... 3Captopril ......................................................................................................4Carvedilol .................................................................................................... 5Chlorthalidone .............................................................................................5CloNIDine ....................................................................................................5Diltiazem ..................................................................................................... 7Doxazosin ................................................................................................... 7Enalapril ...................................................................................................... 7Fosinopril ...................................................................................................10Furosemide ............................................................................................... 10GuanFACINE ............................................................................................ 10HydrALAZINE ............................................................................................11Hydrochlorothiazide .................................................................................. 11Hydrochlorothiazide and Triamterene ...................................................... 11Labetalol ....................................................................................................12Lisinopril .................................................................................................... 13Lisinopril and Hydrochlorothiazide ........................................................... 13Losartan .................................................................................................... 13Losartan and Hydrochlorothiazide ........................................................... 13Methyldopa ................................................................................................14Metoprolol ................................................................................................. 14Minoxidil (Systemic) ..................................................................................14NIFEdipine ................................................................................................ 15Prazosin .................................................................................................... 17Propranolol ................................................................................................18Ramipril ..................................................................................................... 18Spironolactone .......................................................................................... 19Telmisartan ................................................................................................19Telmisartan and Hydrochlorothiazide .......................................................19Terazosin ...................................................................................................20Torsemide ..................................................................................................20Valsartan ................................................................................................... 21Valsartan and Hydrochlorothiazide .......................................................... 21Verapamil .................................................................................................. 21

Anti-inflammatory AgentDexamethasone (Systemic) ....................................................................... 6

Antilipemic Agent, 2-AzetidinoneEzetimibe .................................................................................................... 9

Antilipemic Agent, Bile Acid SequestrantColestipol .................................................................................................... 6

ANTIDEPRESSANT, MONOAMINE OXIDASE INHIBITOR

25

Antilipemic Agent, Fibric AcidFenofibrate and Derivatives ....................................................................... 9Gemfibrozil ................................................................................................10

Antilipemic Agent, HMG-CoA Reductase InhibitorAtorvaSTATin .............................................................................................. 3Pravastatin ................................................................................................ 17Rosuvastatin ............................................................................................. 18Simvastatin ................................................................................................19

Antilipemic Agent, MiscellaneousNiacin ........................................................................................................ 15

Antimalarial AgentAtovaquone and Proguanil .........................................................................3QuiNIDine ..................................................................................................18

Antimanic AgentChlorproMAZINE .........................................................................................5Lithium .......................................................................................................13OLANZapine ............................................................................................. 15RisperiDONE ............................................................................................ 18Valproic Acid and Derivatives .................................................................. 21

Antimigraine AgentEletriptan ..................................................................................................... 7Ergotamine and Caffeine ............................................................................8Rizatriptan ................................................................................................. 18SUMAtriptan ..............................................................................................19ZOLMitriptan ............................................................................................. 21

Antineoplastic Agent, Alkylating AgentChlorambucil ............................................................................................... 5Cyclophosphamide ..................................................................................... 6

Antineoplastic Agent, Alkylating Agent (Nitrogen Mustard)Chlorambucil ............................................................................................... 5Cyclophosphamide ..................................................................................... 6

Antineoplastic Agent, AntiandrogenBicalutamide ................................................................................................4Flutamide .................................................................................................. 10

Antineoplastic Agent, AntibioticMitoMYcin (Ophthalmic) ........................................................................... 14

Antineoplastic Agent, AntimetaboliteCapecitabine ............................................................................................... 4Fluorouracil (Topical) .................................................................................. 9Mercaptopurine ......................................................................................... 13

Antineoplastic Agent, Antimetabolite (Antifolate)Methotrexate ............................................................................................. 14

Antineoplastic Agent, Antimetabolite (Purine Analog)Mercaptopurine ......................................................................................... 13

Antineoplastic Agent, Antimetabolite (Pyrimidine Analog)Capecitabine ............................................................................................... 4Fluorouracil (Topical) .................................................................................. 9

Antineoplastic Agent, Aromatase InhibitorAnastrozole ................................................................................................. 3Letrozole ................................................................................................... 12

Antineoplastic Agent, BCR-ABL Tyrosine Kinase InhibitorDasatinib ..................................................................................................... 6Imatinib ......................................................................................................11

Antineoplastic Agent, Epidermal Growth Factor Receptor (EGFR)Inhibitor

Erlotinib ....................................................................................................... 8

Antineoplastic Agent, Estrogen Receptor AntagonistTamoxifen ..................................................................................................19

Antineoplastic Agent, Gonadotropin-Releasing Hormone AgonistGoserelin ...................................................................................................10Leuprolide ................................................................................................. 12

Antineoplastic Agent, HormoneMegestrol .................................................................................................. 13

Antineoplastic Agent, MiscellaneousHydroxyurea ..............................................................................................11

Antineoplastic Agent, mTOR Kinase InhibitorEverolimus .................................................................................................. 9

Antineoplastic Agent, Retinoic Acid DerivativeISOtretinoin ............................................................................................... 12

Antineoplastic Agent, Tyrosine Kinase InhibitorDasatinib ..................................................................................................... 6

Erlotinib ....................................................................................................... 8Imatinib ......................................................................................................11

Antiparasitic Agent, TopicalLindane ..................................................................................................... 13Permethrin .................................................................................................16Pyrethrins and Piperonyl Butoxide ...........................................................18

Anti-Parkinson's Agent, AnticholinergicBenztropine .................................................................................................4Trihexyphenidyl .........................................................................................20

Anti-Parkinson's Agent, Decarboxylase InhibitorCarbidopa and Levodopa ...........................................................................4

Anti-Parkinson's Agent, Dopamine AgonistAmantadine .................................................................................................2Bromocriptine ..............................................................................................4Pramipexole .............................................................................................. 17ROPINIRole .............................................................................................. 18

Anti-Parkinson's Agent, Dopamine PrecursorCarbidopa and Levodopa ...........................................................................4

Antiplatelet AgentAspirin ......................................................................................................... 3Aspirin and Dipyridamole ........................................................................... 3Cilostazol .....................................................................................................5Clopidogrel .................................................................................................. 5Prasugrel ...................................................................................................17

Antiplatelet Agent, ThienopyridineClopidogrel .................................................................................................. 5Prasugrel ...................................................................................................17

Antiprotozoal, NitroimidazoleMetroNIDAZOLE (Systemic) .................................................................... 14Tinidazole ..................................................................................................20

Antiretroviral, Protease Inhibitor (Anti-HIV)Lopinavir and Ritonavir .............................................................................13

Antiretroviral, Reverse Transcriptase Inhibitor, Non-nucleoside(Anti-HIV)

Efavirenz, Emtricitabine, and Tenofovir ......................................................7

Antiretroviral, Reverse Transcriptase Inhibitor, Nucleoside (Anti-HIV)

Efavirenz, Emtricitabine, and Tenofovir ......................................................7Emtricitabine and Tenofovir ........................................................................ 7Lamivudine and Zidovudine ..................................................................... 12Zidovudine .................................................................................................21

Antiretroviral, Reverse Transcriptase Inhibitor, Nucleotide (Anti-HIV)

Efavirenz, Emtricitabine, and Tenofovir ......................................................7Emtricitabine and Tenofovir ........................................................................ 7

Antirheumatic, Disease ModifyingAdalimumab ................................................................................................ 2Leflunomide ...............................................................................................12Methotrexate ............................................................................................. 14

Antirheumatic MiscellaneousCyclophosphamide ..................................................................................... 6

Antiseptic, TopicalPovidone-Iodine (Topical) .........................................................................17

Antiseptic, VaginalPovidone-Iodine (Topical) .........................................................................17

Antispasmodic Agent, GastrointestinalAtropine .......................................................................................................3Clidinium and Chlordiazepoxide .................................................................5Hyoscyamine, Atropine, Scopolamine, and Phenobarbital ..................... 11

Antispasmodic Agent, UrinaryFlavoxATE ...................................................................................................9Oxybutynin ................................................................................................ 16

Antithyroid AgentMethimazole ..............................................................................................14Potassium Iodide ...................................................................................... 17Propylthiouracil ......................................................................................... 18

Antitubercular AgentEthambutol .................................................................................................. 8Isoniazid .................................................................................................... 12Pyrazinamide ............................................................................................ 18Rifampin .................................................................................................... 18

AntitussiveBenzonatate ................................................................................................3

ANTITUSSIVE

26

Codeine .......................................................................................................6Guaifenesin and Codeine .........................................................................10Guaifenesin and Dextromethorphan ........................................................ 10Hydrocodone and Chlorpheniramine ....................................................... 11

Antiviral AgentAcyclovir (Systemic) ................................................................................... 2Amantadine .................................................................................................2Oseltamivir ................................................................................................ 16ValACYclovir ............................................................................................. 20

Antiviral Agent, AdamantaneAmantadine .................................................................................................2

Antiviral Agent, OphthalmicGanciclovir (Ophthalmic) .......................................................................... 10Trifluridine ..................................................................................................20

Antiviral Agent, OralValACYclovir ............................................................................................. 20

Antiviral Agent, TopicalAcyclovir (Topical) .......................................................................................2

Appetite StimulantMegestrol .................................................................................................. 13

BarbiturateButalbital, Acetaminophen, and Caffeine ...................................................4Butalbital, Aspirin, and Caffeine .................................................................4PHENobarbital .......................................................................................... 16Primidone .................................................................................................. 17

BenzodiazepineALPRAZolam .............................................................................................. 2ChlordiazePOXIDE ..................................................................................... 5Clidinium and Chlordiazepoxide .................................................................5ClonazePAM ............................................................................................... 5Diazepam .................................................................................................... 7LORazepam ..............................................................................................13Midazolam .................................................................................................14Temazepam .............................................................................................. 19Triazolam ...................................................................................................20

Beta2-Adrenergic AgonistIpratropium and Albuterol ......................................................................... 12

Beta2-Adrenergic Agonist, Long-ActingFluticasone and Salmeterol ......................................................................10Salmeterol ................................................................................................. 18

Beta2 AgonistAlbuterol ...................................................................................................... 2Fluticasone and Salmeterol ......................................................................10Levalbuterol ...............................................................................................12Salmeterol ................................................................................................. 18Terbutaline .................................................................................................20

Beta3 AgonistMirabegron ................................................................................................14

Beta-Adrenergic Blocker, NonselectiveDorzolamide and Timolol ............................................................................7Levobunolol ...............................................................................................12Propranolol ................................................................................................18

Beta-Blocker, Beta-1 SelectiveAtenolol ....................................................................................................... 3Metoprolol ................................................................................................. 14

Beta-Blocker, NonselectiveBrimonidine and Timolol .............................................................................4Timolol (Ophthalmic) .................................................................................20

Beta-Blocker With Alpha-Blocking ActivityCarvedilol .................................................................................................... 5Labetalol ....................................................................................................12

Biological, MiscellaneousGlatiramer Acetate ....................................................................................10

Bisphosphonate DerivativeAlendronate .................................................................................................2Alendronate and Cholecalciferol ................................................................ 2Ibandronate ............................................................................................... 11

Blood Viscosity Reducer AgentPentoxifylline .............................................................................................16

Calcineurin InhibitorCycloSPORINE (Ophthalmic) .....................................................................6Pimecrolimus ............................................................................................ 17Tacrolimus (Topical) ..................................................................................19

Calcium Channel BlockerAmLODIPine ............................................................................................... 3Amlodipine and Benazepril ........................................................................ 3Diltiazem ..................................................................................................... 7NIFEdipine ................................................................................................ 15Verapamil .................................................................................................. 21

Calcium Channel Blocker, DihydropyridineAmLODIPine ............................................................................................... 3Amlodipine and Benazepril ........................................................................ 3NIFEdipine ................................................................................................ 15

Calcium Channel Blocker, NondihydropyridineDiltiazem ..................................................................................................... 7Verapamil .................................................................................................. 21

Calcium SaltCalcium and Vitamin D ...............................................................................4

Carbonic Anhydrase InhibitorAcetaZOLAMIDE ........................................................................................ 2Methazolamide ..........................................................................................14

Carbonic Anhydrase Inhibitor (Ophthalmic)Dorzolamide ................................................................................................7Dorzolamide and Timolol ............................................................................7

Cardiac GlycosideDigoxin ........................................................................................................ 7

Cardiovascular Agent, MiscellaneousRanolazine ................................................................................................ 18

Cauterizing Agent, TopicalSilver Nitrate ............................................................................................. 19

Central Nervous System StimulantDextroamphetamine ....................................................................................6Dextroamphetamine and Amphetamine .................................................... 6Ergotamine and Caffeine ............................................................................8Methylphenidate ........................................................................................14Modafinil ....................................................................................................14

Chelating AgentPenicillAMINE ........................................................................................... 16

Chemotherapy Modulating AgentLeucovorin Calcium .................................................................................. 12

Chloride Channel ActivatorLubiprostone ............................................................................................. 13

Cholinergic AgonistAcetylcholine ...............................................................................................2

ContraceptiveEthinyl Estradiol and Desogestrel ..............................................................8Ethinyl Estradiol and Drospirenone ........................................................... 8Ethinyl Estradiol and Ethynodiol Diacetate ................................................8Ethinyl Estradiol and Etonogestrel .............................................................8Ethinyl Estradiol and Levonorgestrel ......................................................... 8Ethinyl Estradiol and Norelgestromin .........................................................8Ethinyl Estradiol and Norethindrone .......................................................... 8Ethinyl Estradiol and Norgestimate ............................................................9Ethinyl Estradiol and Norgestrel .................................................................9Levonorgestrel .......................................................................................... 13MedroxyPROGESTERone ....................................................................... 13Norethindrone ........................................................................................... 15Norethindrone and Mestranol ...................................................................15

Corticosteroid, Inhalant (Oral)Budesonide (Systemic, Oral Inhalation) .................................................... 4Fluticasone and Salmeterol ......................................................................10Fluticasone (Oral Inhalation) .................................................................... 10Mometasone (Oral Inhalation) ..................................................................14

Corticosteroid, NasalFluticasone (Nasal) ...................................................................................10Mometasone (Nasal) ................................................................................ 14

Corticosteroid, OphthalmicDifluprednate ...............................................................................................7Fluorometholone ......................................................................................... 9Loteprednol ............................................................................................... 13Neomycin, Polymyxin B, and Hydrocortisone ......................................... 15PrednisoLONE (Ophthalmic) ....................................................................17

Corticosteroid, OticCiprofloxacin and Dexamethasone ............................................................ 5Neomycin, Polymyxin B, and Hydrocortisone ......................................... 15

Corticosteroid, RectalHydrocortisone (Topical) ........................................................................... 11

ANTITUSSIVE

27

Corticosteroid, SystemicBudesonide (Systemic, Oral Inhalation) .................................................... 4Dexamethasone (Systemic) ....................................................................... 6Fludrocortisone ........................................................................................... 9Hydrocortisone (Systemic) ........................................................................11MethylPREDNISolone .............................................................................. 14PrednisoLONE (Systemic) ....................................................................... 17PredniSONE ............................................................................................. 17

Corticosteroid, TopicalBetamethasone and Clotrimazole ..............................................................4Betamethasone (Topical) ............................................................................4Clobetasol ................................................................................................... 5Desonide ..................................................................................................... 6Fluocinolone (Topical) .................................................................................9Fluocinonide ................................................................................................9Flurandrenolide ........................................................................................... 9Hydrocortisone (Topical) ........................................................................... 11Neomycin, Polymyxin B, and Hydrocortisone ......................................... 15Nystatin and Triamcinolone ......................................................................15Triamcinolone (Topical) .............................................................................20

Cough PreparationGuaifenesin and Codeine .........................................................................10Guaifenesin and Dextromethorphan ........................................................ 10

DecongestantOxymetazoline (Nasal) ............................................................................. 16Phenylephrine (Nasal) .............................................................................. 16Pseudoephedrine ......................................................................................18

Depigmenting AgentHydroquinone ............................................................................................11

DevicePill Cutter ...................................................................................................17

Diagnostic AgentGlucagon ...................................................................................................10

Diuretic, Carbonic Anhydrase InhibitorAcetaZOLAMIDE ........................................................................................ 2Methazolamide ..........................................................................................14

Diuretic, LoopFurosemide ............................................................................................... 10Torsemide ..................................................................................................20

Diuretic, Potassium-SparingHydrochlorothiazide and Triamterene ...................................................... 11Spironolactone .......................................................................................... 19

Diuretic, ThiazideChlorthalidone .............................................................................................5Hydrochlorothiazide .................................................................................. 11Hydrochlorothiazide and Triamterene ...................................................... 11Lisinopril and Hydrochlorothiazide ........................................................... 13Losartan and Hydrochlorothiazide ........................................................... 13Telmisartan and Hydrochlorothiazide .......................................................19Valsartan and Hydrochlorothiazide .......................................................... 21

Diuretic, Thiazide-RelatedMetolazone ................................................................................................14

Electrolyte Supplement, OralCalcium and Vitamin D ...............................................................................4Magnesium Oxide .....................................................................................13Potassium Chloride .................................................................................. 17Potassium Phosphate and Sodium Phosphate .......................................17

Electrolyte Supplement, ParenteralPotassium Chloride .................................................................................. 17Potassium Phosphate ...............................................................................17Sodium Chloride ....................................................................................... 19

EnzymePancrelipase ............................................................................................. 16

Enzyme, Topical DebridementCollagenase (Topical) ................................................................................. 6

Ergot DerivativeBromocriptine ..............................................................................................4Ergotamine and Caffeine ............................................................................8Methylergonovine ......................................................................................14

Estrogen and Progestin CombinationEstrogens (Conjugated/Equine) and Medroxyprogesterone ..................... 8Ethinyl Estradiol and Desogestrel ..............................................................8Ethinyl Estradiol and Drospirenone ........................................................... 8Ethinyl Estradiol and Ethynodiol Diacetate ................................................8Ethinyl Estradiol and Etonogestrel .............................................................8Ethinyl Estradiol and Levonorgestrel ......................................................... 8

Ethinyl Estradiol and Norelgestromin .........................................................8Ethinyl Estradiol and Norethindrone .......................................................... 8Ethinyl Estradiol and Norgestimate ............................................................9Ethinyl Estradiol and Norgestrel .................................................................9Norethindrone and Mestranol ...................................................................15

Estrogen DerivativeEstradiol (Systemic) ....................................................................................8Estradiol (Topical) ....................................................................................... 8Estrogens (Conjugated/Equine, Systemic) ................................................ 8Estrogens (Conjugated/Equine, Topical) ....................................................8

Ethanolamine DerivativeDimenhyDRINATE ...................................................................................... 7DiphenhydrAMINE (Systemic) ....................................................................7

ExpectorantGuaiFENesin .............................................................................................10Guaifenesin and Codeine .........................................................................10Guaifenesin and Dextromethorphan ........................................................ 10Guaifenesin and Pseudoephedrine ..........................................................10Potassium Iodide ...................................................................................... 17

Fiber SupplementPolycarbophil ............................................................................................ 17

First Generation (Typical) AntipsychoticChlorproMAZINE .........................................................................................5FluPHENAZine ............................................................................................9Haloperidol ................................................................................................10Perphenazine ............................................................................................16Prochlorperazine .......................................................................................18

Fumaric Acid DerivativeDimethyl Fumarate ..................................................................................... 7

GABA Agonist/Glutamate AntagonistAcamprosate ...............................................................................................2

GABA AnalogGabapentin ................................................................................................10

Gallstone Dissolution AgentUrsodiol ..................................................................................................... 20

Gastrointestinal Agent, MiscellaneousAdalimumab ................................................................................................ 2Lubiprostone ............................................................................................. 13Sucralfate .................................................................................................. 19

Gastrointestinal Agent, ProkineticMetoclopramide ........................................................................................ 14

General AnestheticFentaNYL .................................................................................................... 9

Genitourinary IrrigantSodium Chloride ....................................................................................... 19

Gonadotropin Releasing Hormone AgonistGoserelin ...................................................................................................10Leuprolide ................................................................................................. 12

Hemostatic AgentAluminum Chloride Hexahydrate ............................................................... 2Desmopressin ............................................................................................. 6

Histamine H1 AntagonistAzelastine (Nasal) .......................................................................................3Azelastine (Ophthalmic) ............................................................................. 3Bepotastine ................................................................................................. 4Cetirizine ..................................................................................................... 5Cyproheptadine ...........................................................................................6DimenhyDRINATE ...................................................................................... 7DiphenhydrAMINE (Systemic) ....................................................................7Fexofenadine .............................................................................................. 9Hydrocodone and Chlorpheniramine ....................................................... 11HydrOXYzine ............................................................................................ 11Loratadine ................................................................................................. 13Meclizine ................................................................................................... 13Naphazoline and Pheniramine .................................................................15Olopatadine (Nasal) ..................................................................................16Olopatadine (Ophthalmic) .........................................................................16Promethazine ............................................................................................18

Histamine H1 Antagonist, First GenerationCyproheptadine ...........................................................................................6DimenhyDRINATE ...................................................................................... 7DiphenhydrAMINE (Systemic) ....................................................................7Hydrocodone and Chlorpheniramine ....................................................... 11HydrOXYzine ............................................................................................ 11Meclizine ................................................................................................... 13

HISTAMINE H1ANTAGONIST, FIRST GENERATION

28

Naphazoline and Pheniramine .................................................................15Promethazine ............................................................................................18

Histamine H1 Antagonist, Second GenerationAzelastine (Nasal) .......................................................................................3Azelastine (Ophthalmic) ............................................................................. 3Bepotastine ................................................................................................. 4Cetirizine ..................................................................................................... 5Fexofenadine .............................................................................................. 9Loratadine ................................................................................................. 13Olopatadine (Nasal) ..................................................................................16Olopatadine (Ophthalmic) .........................................................................16

Histamine H2 AntagonistRanitidine .................................................................................................. 18

Histone Deacetylase InhibitorValproic Acid and Derivatives .................................................................. 21

HormoneCalcitonin .................................................................................................... 4

Hormone, Posterior PituitaryDesmopressin ............................................................................................. 6

Hypnotic, MiscellaneousEszopiclone .................................................................................................8Zolpidem ................................................................................................... 21

Imidazoline DerivativeNaphazoline and Pheniramine .................................................................15Oxymetazoline (Nasal) ............................................................................. 16

Immunomodulator, SystemicDimethyl Fumarate ..................................................................................... 7

Immunosuppressant AgentAzaTHIOprine ............................................................................................. 3Cyclophosphamide ..................................................................................... 6CycloSPORINE (Ophthalmic) .....................................................................6Everolimus .................................................................................................. 9Mercaptopurine ......................................................................................... 13Methotrexate ............................................................................................. 14Mycophenolate ..........................................................................................15Pimecrolimus ............................................................................................ 17Tacrolimus (Topical) ..................................................................................19

Inhalation, MiscellaneousInhalation Devices .....................................................................................11

Insulin, CombinationInsulin Aspart Protamine and Insulin Aspart ........................................... 11Insulin NPH and Insulin Regular ..............................................................12

Insulin, Intermediate-ActingInsulin NPH ...............................................................................................12

Insulin, Intermediate- to Long-ActingInsulin Detemir .......................................................................................... 11

Insulin, Long-ActingInsulin Glargine ......................................................................................... 11

Insulin, Rapid-ActingInsulin Aspart ............................................................................................ 11

Insulin, Short-ActingInsulin Regular .......................................................................................... 12

InterferonInterferon Beta-1a .....................................................................................12

Iron SaltFerrous Fumarate ....................................................................................... 9Ferrous Gluconate ...................................................................................... 9Ferrous Sulfate ........................................................................................... 9

IrrigantSodium Chloride ....................................................................................... 19

Irrigating SolutionBalanced Salt Solution ............................................................................... 3

Keratolytic AgentPodofilox ................................................................................................... 17Salicylic Acid .............................................................................................18Urea ...........................................................................................................20

Laxative, Bulk-ProducingPolycarbophil ............................................................................................ 17

Laxative, OsmoticGlycerin ..................................................................................................... 10Lactulose ...................................................................................................12

Polyethylene Glycol 3350 .........................................................................17Polyethylene Glycol-Electrolyte Solution ................................................. 17

Laxative, SalineMagnesium Citrate ....................................................................................13

Laxative, StimulantBisacodyl .....................................................................................................4

Leukotriene-Receptor AntagonistMontelukast ...............................................................................................14

Local AnestheticBenzocaine ................................................................................................. 3Dibucaine .................................................................................................... 7Lidocaine and Prilocaine .......................................................................... 13Lidocaine (Topical) ....................................................................................13

Lubricant, OcularSodium Chloride ....................................................................................... 19

Magnesium SaltMagnesium Citrate ....................................................................................13Magnesium Oxide .....................................................................................13

Mast Cell StabilizerBepotastine ................................................................................................. 4Cromolyn (Ophthalmic) ...............................................................................6

Miscellaneous ProductDiabetic Supplies ........................................................................................6Syringe ...................................................................................................... 19

Monoclonal AntibodyAdalimumab ................................................................................................ 2

MouthwashMouthwash BLM .......................................................................................15

mTOR Kinase InhibitorEverolimus .................................................................................................. 9

Neuraminidase InhibitorOseltamivir ................................................................................................ 16

N-Methyl-D-Aspartate Receptor AntagonistMemantine ................................................................................................ 13

Nonsteroidal Anti-inflammatory Drug (NSAID)Diclofenac (Ophthalmic) ............................................................................. 7Diclofenac (Topical) .................................................................................... 7

Nonsteroidal Anti-inflammatory Drug (NSAID), COX-2 SelectiveCelecoxib .................................................................................................... 5

Nonsteroidal Anti-inflammatory Drug (NSAID), OphthalmicDiclofenac (Ophthalmic) ............................................................................. 7Flurbiprofen (Ophthalmic) .........................................................................10Ketorolac (Ophthalmic) .............................................................................12Nepafenac .................................................................................................15

Nonsteroidal Anti-inflammatory Drug (NSAID), OralEtodolac ...................................................................................................... 9Ibuprofen ................................................................................................... 11Indomethacin .............................................................................................11Meloxicam .................................................................................................13Naproxen ...................................................................................................15Piroxicam .................................................................................................. 17Tolmetin .....................................................................................................20

Nonsteroidal Anti-inflammatory Drug (NSAID), ParenteralIbuprofen ................................................................................................... 11Indomethacin .............................................................................................11

Nonsteroidal Anti-inflammatory Drug (NSAID), TopicalDiclofenac (Topical) .................................................................................... 7

Norepinephrine Reuptake Inhibitor, SelectiveAtoMOXetine ...............................................................................................3

Nutritional SupplementFluoride ....................................................................................................... 9Medium Chain Triglycerides .....................................................................13

Ophthalmic Agent, AntiglaucomaAcetaZOLAMIDE ........................................................................................ 2Betaxolol (Ophthalmic) ............................................................................... 4Bimatoprost ................................................................................................. 4Brimonidine and Timolol .............................................................................4Brimonidine (Ophthalmic) ........................................................................... 4Dorzolamide ................................................................................................7Dorzolamide and Timolol ............................................................................7Latanoprost ............................................................................................... 12Levobunolol ...............................................................................................12Methazolamide ..........................................................................................14

HISTAMINE H1ANTAGONIST, FIRST GENERATION

29

Pilocarpine (Ophthalmic) .......................................................................... 17Timolol (Ophthalmic) .................................................................................20

Ophthalmic Agent, MioticAcetylcholine ...............................................................................................2Pilocarpine (Ophthalmic) .......................................................................... 17

Ophthalmic Agent, MiscellaneousArtificial Tears ..............................................................................................3Balanced Salt Solution ............................................................................... 3Carboxymethylcellulose ..............................................................................4MitoMYcin (Ophthalmic) ........................................................................... 14Ocular Lubricant ....................................................................................... 15

Ophthalmic Agent, MydriaticAtropine .......................................................................................................3

Ophthalmic Agent, VasoconstrictorNaphazoline and Pheniramine .................................................................15

Opioid AntagonistNaltrexone .................................................................................................15

Otic Agent, AnalgesicAntipyrine and Benzocaine ........................................................................ 3

Otic Agent, Anti-infectiveAcetic Acid .................................................................................................. 2

Otic Agent, CerumenolyticAntipyrine and Benzocaine ........................................................................ 3

Ovulation StimulatorClomiPHENE .............................................................................................. 5

Parathyroid Hormone AnalogTeriparatide ............................................................................................... 20

PediculocideLindane ..................................................................................................... 13Permethrin .................................................................................................16Pyrethrins and Piperonyl Butoxide ...........................................................18

Pharmaceutical AidAlcohol (Isopropyl) ...................................................................................... 2Collodion, Flexible ...................................................................................... 6White Petrolatum ...................................................................................... 21

Phenothiazine DerivativePromethazine ............................................................................................18

Phosphate BinderSevelamer ................................................................................................. 19

Phosphodiesterase-3 Enzyme InhibitorCilostazol .....................................................................................................5

Phosphodiesterase-4 Enzyme InhibitorRoflumilast ................................................................................................ 18

Phosphodiesterase-5 Enzyme InhibitorSildenafil ....................................................................................................19

Phosphodiesterase Enzyme Inhibitor, NonselectiveTheophylline ..............................................................................................20

Photosensitizing Agent, TopicalAminolevulinic Acid .....................................................................................2

Piperazine DerivativeCetirizine ..................................................................................................... 5HydrOXYzine ............................................................................................ 11Meclizine ................................................................................................... 13

Piperidine DerivativeCyproheptadine ...........................................................................................6Fexofenadine .............................................................................................. 9Loratadine ................................................................................................. 13Olopatadine (Nasal) ..................................................................................16Olopatadine (Ophthalmic) .........................................................................16

ProgestinHydroxyprogesterone Caproate ............................................................... 11Levonorgestrel .......................................................................................... 13MedroxyPROGESTERone ....................................................................... 13Megestrol .................................................................................................. 13Norethindrone ........................................................................................... 15Progesterone ............................................................................................ 18

ProstaglandinAlprostadil ................................................................................................... 2Dinoprostone ...............................................................................................7Misoprostol ................................................................................................14

Prostaglandin, OphthalmicBimatoprost ................................................................................................. 4Latanoprost ............................................................................................... 12

Proton Pump InhibitorEsomeprazole ............................................................................................. 8Omeprazole ...............................................................................................16Pantoprazole .............................................................................................16

PsoralenMethoxsalen (Systemic) ........................................................................... 14

Renin InhibitorAliskiren .......................................................................................................2

Rescue Agent (Chemotherapy)Leucovorin Calcium .................................................................................. 12

Retinoic Acid DerivativeISOtretinoin ............................................................................................... 12Tretinoin (Topical) ..................................................................................... 20

SalicylateAspirin ......................................................................................................... 3Salsalate ................................................................................................... 18

Scabicidal AgentLindane ..................................................................................................... 13Permethrin .................................................................................................16

Second Generation (Atypical) AntipsychoticARIPiprazole ............................................................................................... 3OLANZapine ............................................................................................. 15QUEtiapine ................................................................................................18RisperiDONE ............................................................................................ 18Ziprasidone ............................................................................................... 21

SedativeAcetaminophen, Isometheptene, and Dichloralphenazone .......................2

Selective 5-HT3 Receptor AntagonistOndansetron ............................................................................................. 16

Selective Aldosterone BlockerSpironolactone .......................................................................................... 19

Selective Estrogen Receptor Modulator (SERM)ClomiPHENE .............................................................................................. 5Raloxifene ................................................................................................. 18Tamoxifen ..................................................................................................19

Serotonin 5-HT1B, 1D Receptor AgonistEletriptan ..................................................................................................... 7Rizatriptan ................................................................................................. 18SUMAtriptan ..............................................................................................19ZOLMitriptan ............................................................................................. 21

Shampoo, PediculocidePyrethrins and Piperonyl Butoxide ...........................................................18

Skeletal Muscle RelaxantBaclofen ...................................................................................................... 3Cyclobenzaprine ......................................................................................... 6Dantrolene ...................................................................................................6Metaxalone ................................................................................................14Methocarbamol ......................................................................................... 14Orphenadrine ............................................................................................ 16

Skin and Mucous Membrane AgentImiquimod ..................................................................................................11

Skin and Mucous Membrane Agent, MiscellaneousEmollients ....................................................................................................7

Smoking Cessation AidBuPROPion .................................................................................................4Nicotine ..................................................................................................... 15

Sodium SaltSodium Chloride ....................................................................................... 19

Stool SoftenerDocusate ..................................................................................................... 7

Substance P/Neurokinin 1 Receptor AntagonistAprepitant ....................................................................................................3

Substituted BenzimidazoleEsomeprazole ............................................................................................. 8Omeprazole ...............................................................................................16Pantoprazole .............................................................................................16

SympathomimeticAcetaminophen, Isometheptene, and Dichloralphenazone .......................2

SYMPATHOMIMETIC

30

ThioamideMethimazole ..............................................................................................14Propylthiouracil ......................................................................................... 18

Thyroid ProductLevothyroxine ............................................................................................13Liothyronine ...............................................................................................13Thyroid, Desiccated ..................................................................................20

Topical Skin ProductAcetic Acid .................................................................................................. 2Aluminum Chloride Hexahydrate ............................................................... 2Aluminum Sulfate and Calcium Acetate .................................................... 2Aminolevulinic Acid .....................................................................................2Benzoyl Peroxide ........................................................................................4Calamine ..................................................................................................... 4Calcipotriene ............................................................................................... 4Camphor and Menthol ................................................................................4Clindamycin and Benzoyl Peroxide ........................................................... 5Collodion, Flexible ...................................................................................... 6Emollients ....................................................................................................7Erythromycin (Topical) ................................................................................ 8Fluorouracil (Topical) .................................................................................. 9Imiquimod ..................................................................................................11Lactic Acid and Ammonium Hydroxide ....................................................12Pimecrolimus ............................................................................................ 17Podofilox ................................................................................................... 17Povidone-Iodine (Topical) .........................................................................17Selenium Sulfide .......................................................................................19Tacrolimus (Topical) ..................................................................................19Urea ...........................................................................................................20Vitamin A and Vitamin D (Topical) ...........................................................21White Petrolatum ...................................................................................... 21Zinc Oxide .................................................................................................21

Topical Skin Product, AcneAdapalene ...................................................................................................2Azelaic Acid ................................................................................................ 3Benzoyl Peroxide ........................................................................................4Clindamycin and Benzoyl Peroxide ........................................................... 5Clindamycin (Topical) ................................................................................. 5Erythromycin and Benzoyl Peroxide ..........................................................8Erythromycin (Topical) ................................................................................ 8Salicylic Acid .............................................................................................18Tretinoin (Topical) ..................................................................................... 20

Topical Skin Product, AntibacterialSilver Nitrate ............................................................................................. 19

Tumor Necrosis Factor (TNF) Blocking AgentAdalimumab ................................................................................................ 2

Uricosuric AgentProbenecid ................................................................................................17

VasodilatorAlprostadil ................................................................................................... 2HydrALAZINE ............................................................................................11Isosorbide Dinitrate ...................................................................................12Isosorbide Mononitrate ............................................................................. 12Isoxsuprine ................................................................................................12Nitroglycerin .............................................................................................. 15

Vasodilator, Direct-ActingMinoxidil (Systemic) ..................................................................................14

Vasopressin Analog, SyntheticDesmopressin ............................................................................................. 6

VitaminVitamins (Multiple/Pediatric) ..................................................................... 21Vitamins (Multiple/Prenatal) ......................................................................21

Vitamin D AnalogAlendronate and Cholecalciferol ................................................................ 2Calcipotriene ............................................................................................... 4Calcitriol ...................................................................................................... 4Ergocalciferol .............................................................................................. 7

Vitamin, Fat SolubleCalcium and Vitamin D ...............................................................................4

Vitamin, Water SolubleCyanocobalamin ......................................................................................... 6Folic Acid .................................................................................................. 10Leucovorin Calcium .................................................................................. 12Niacin ........................................................................................................ 15Pyridoxine ................................................................................................. 18Thiamine ................................................................................................... 20

Xanthine Oxidase InhibitorAllopurinol ................................................................................................... 2

THIOAMIDE

31

reynolds army community hospital outpatient formulary … · 2014. 8. 21. · acetaminophen and...

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