Issuu on Google+

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

Brand name listed below and for reference only and do not signify the product dispensed.

BRAND NAME Abilify Accu-check Avivia Accu-check Avivia Actifed Actifed Actonel Actos Acular Adalat CC Adderal Adderall SR Adderal XR Absorbase Advair Diskus Advair HFA Aggrenox SR Aerochamber w/mask Afrin Alcohol Swabs Aldactazide Aldactone Aldara Aldomet Alesse Allegra Alomide Alphagan P Alupent Alupent Amaryl Ambien Amino-Cerv Amitiza Amoxil Amoxil Amoxil Androgel Antabuse Antivert Anusol-HC Anusol-HC Apresoline Aralen Aricept Aristocort Artane Asmanex Aspirin Aspirin EC Astelin NS Atacand Atacand HCT Atarax Atarax Ativan Atrovent Atrovent NS Atrovent HFA Augmentin Augmentin Augmentin ES Augmentin XR Auralgan Avandia Avandamet Avelox Aygestin Azulfidine EN B Bacitracin Bacitracin Opth Septra DS Bactrim/Septra Bactroban Bactroban Bellergal-S Benadryl Benadryl

STRENGTH A 1,5,10,20 & 30mg

1.25mg & 30mg 2.5mg/60mg 35, 75 & 150mg 15, 30 and 45mg 0.5% & LS 0.4% 30, 60 & 90mg 5, 10mg 20mg 10,20,25,30mg

FORM Tabs Monitor Test Strips Syrup Tabs Tabs Tabs Sol Tabs Tabs

2.50% 10,25mg 500mg 5mg and 10mg 0.1% & 0.5% 2mg 110 & 220 mcg 81& 325mg 81& 325mg 137MCG All Strengths All Strengths 10mg, 25mg & 50mg 10mg/5ml 0.5mg, 1mg & 2mg 0.02% 0.06% 18mcg 200/5 & 400/5 500mg & 875mg 600mg/5ml 1000mg Otic 2, 4 and 8mg All Strengths 400mg 5mg 500mg

Caps Oint Diskus Spray Caps Spacer Spray Swabs Tabs Tabs Cream Tabs Compact Tabs Sol Sol Liquid Tabs Tabs Tabs Cream Caps Susp Caps Tabs Gel Tabs Tabs Supp Cream Tabs Tabs Tabs Cream Tabs Inh Tabs Tabs Spray Tabs Tabs Tabs Syrup Tabs Inhalant Soln Sol Inhaler Susp Tabs Susp Tabs Soln Tabs Tabs Tabs Tabs Tabs

500 units/gm 500u/gm 800mg/160mg 200/40 in 5ml 2% 2% 0.2/40/0.6 12.5mg/5ml 25mg

Oint Oint Tabs Susp Cream Oint Tabs Elixir Caps

100,250,500 115 & 230 mcg 25/200 small & adult 0.05% 25mg/25mg 25 & 50mg 250mg 0.1mg/20mcg 180mg 0.10% 0.15% & 0.1% 10mg/5ml 20mg 1,2,4mg 5mg & 10mg 24mcg 125/5 & 250/5 250, 500mg 875mg 1% 250mg 25mg

LEGEND

BRAND NAME Benemid Bentyl Bentyl Bentyl Betoptic S Betapace Biaxin Biaxin Biaxin XL Boniva Brethine Bumex Buspar Byetta C Calamine Calan Calan SR Calciferol Caltrate D Capoten Carafate Cardizem Cardura Carmol Catapres Catapress TTS Ceclor Ceftin Cefzil Celebrex Celexa Centrum Silver Cephulac Chlor-Trimeton Chlor-Trimeton Ciloxan Ciloxan Cipro Ciprodex Claritin Claritin Cleocin Cleocin T Cleocin Vaginal Clomid Cogentin Colace Colchicine Colestid Coly-Mycin S Colyte Combigan Combivent Compazine Concerta Cordarone Cordran Coreg Coreg CR Cortef Cort-Enema Cortisporin Cosopt Coumadin Coumadin Coumadin Coumadin Cozaar Crolom Cyanocobalamin Cyclocort Cyclocort D Darvocet N DDAVP Decadron Deconamine SR Demerol HCL

STRENGTH 500mg 10mg 10mg/5ml 20mg 0.25% 80mg 250/5 & 125/5 250mg & 500mg 500mg & Pac 150mg 5mg 0.5, 1 & 2mg 5,10 & 15mg 5 & 10mcg per dose

FORM Tabs Caps Syrup Tabs Sol Tabs Susp Tabs Tabs Tabs Tabs Tabs Tabs Pen

Lotion 80mg Tabs 180 & 240mg Tabs 50,000 units Caps Tabs 12.5mg, 25mg & 50mg Tabs 1gm Tabs 60mg Tabs 2, 4 and 8mg Tabs 20% Cream 0.1,0.2,0.3mg Tabs 0.1mg-24hr, 0.2mg/24hr & 0.3mg/hr Patch 250mg Caps 250 & 500mg Tabs 250/5 & 125/5 Susp 100,200,400mg Caps 10mg, 20mg & 40mg Tabs Tabs 10mg/15ml Syrup 2mg/5ml Syrup 4mg Tabs 0.30% Sol 0.30% Oint 250,500mg Tabs 0.30% Susp 10mg Tabs 5mg/5ml Syrup 150mg Caps 1% Soln Cream 50mg Tabs 2mg Tabs 100mg Caps 0.6mg Tabs 1 gram Tabs Otic Susp Powder Ophthalmic Sol 18mcg/103mcg Inh 5mg Tabs 18, 27, 36 & 54mg Tabs ER 200mg Tabs 0.10% Tape 3.125,6.25,12.5 & 25mg Tabs 10, 20, 40 & 80mg Caps 5mg & 20mg Tabs 100mg/60ml Enema Otic Susp Ophthalmic Soln 10mg Tabs 1, 2, 2.5 & 3mg Tabs 4mg & 6mg Tabs 5mg & 7.5mg Tabs 25,50,100mg Tabs 4% Sol 1mg/ml Inj 0.10% Cream 0.10% Oint 650/100 0.1,0.2mg 0.75mg & 4mg 4mg/60mg 50mg

Tabs Tabs Tabs Caps Tabs

BRAND NAME Demulen Depakote Depakote ER Depakote Sprinkles Depo-Provera Detrol LA Depo-Testosterone Desyrel Desonide Desonide Desogen Desquam Desquam Detrol LA Dexadrine Spans Dexadrine Diabenese Diamox Diaphragm Kit Dibucaine Didronel Diflucan Differin Dilantin Dilantin Dilantin Dilaudid Disalcid Ditropan Ditropan XL Domeboro Domeboro Donnatal Donnatal Doxycycline Drysol Duac CS Dulcolax Dulcolax Duofilm Duoneb Dynapen E Econopred Plus Ecotrin EES EES Effexor XR Efudex Elavil Elidel Elimite Elocon Enablex SR Epi-Pen Epi-Pen Jr. Erythromycin BASE Estrace vag Estraderm Estratest Estratest HS Esidrex Eskalith Estrace Eucerin Eulexin Evista F Feldene FemHRT Fenoglide Ferro-Sequels Ferrous Sulfate Ferrous Sulfate Fioricet Tabs Flagyl Fleet Enema Flexeril Foradil

STRENGTH 1mg/35mcg 250mg and 500mg 250,500mg 125mg 150mg/dose 2mg & 4mg 200mg/ml 50, 100 & 150mg 0.05% 0.05% 0.15mg/30mcg 5% and 10% 5% 2,4mg 5 & 10mg 5mg 250mg 250mg all sizes Diaphragm 1% 200mg 100,150 & 200mg 0.1% 100mg 125mg/5ml 50mg 2mg 500mg & 750mg 5mg 5,10,15mg Effervescent Otic

100mg 20% Kit 10mg 5mg 17% 250mg 1% 81mg & 325mg 200mg/5ml 400mg 37.5,75,150mg 5% 10mg and 25mg 1% 2% 0.1% 7.5mg &15mg 0.3mg & Duo Pak 0.15mg & Duopak 250mg

FORM Compact Tabs Tabs Caps Vial Caps Inj Tabs Crm Oint Compact Gel Wash Caps Spansule Tabs Tabs Tabs Oint Tabs Tabs Cr/Gel Caps Susp Chew Tabs Tabs Tabs Tabs Tabs Packets Sol Elixir Tabs Tabs Soln Gel Supp Tabs Sol Vial Caps

125mg 60mg

Sol EC Tabs Susp Tabs Caps Cream Tabs Cream Cream Cream Tabs Inj Pen Inj Pen Tabs Cream Patch Tabs Tabs Tabs Caps Tabs Oint Caps Tabs

10mg & 20mg Single and Compact All Strengths 50mg of Fe 325mg 75mg/0.6ml 50/40/325 250mg & 500mg Adult 10mg 12mcg

Caps Tabs Tabs Caps Tabs Sol Tabs Tabs Enema Tabs Inhaler

0.05mg & 0.1mg 1.25/2.5mg 0.625/1.25mg 25mg & 50mg 300mg 05, 1 and 2mg

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

BRAND NAME Flonase Florinef Flovent HFA Floxin Otic Fluoride Sodium FML Folic Acid Foltx Fosamax Fosamax Fosamax Plus D Fosamax Liq Furadantin G Gabitril Gantrisin Garamycin Opth Gaviscon Geodon Glucagon Kit Glucophage Glucophage XR Glucotrol Glucotrol XL Glucovance Glynase Gris-Peg Gris-Peg Gyne-Lotrimin H Haldol Halflytely HCTZ Humulin L Hydergine Hydrea Hygroton Hytone Hytrin Hyzaar I Ilotycin Imdur Imitrex Imitrex Mephyton Imodium Imuran Inderal Inderal LA Indocin Inspirease Kit Intal Intal Ipecac Isoniazid Isoniazid Isordil Isordil SL Isordil SR J Januvia Janumet K K-Dur Keflex Keflex Kenalog Kenalog Kenalog Kenalog Kenalog in Orabase Keppra Klonopin L Lac-Hydrin Lac-Hydrin Lacri-Lube Lactulose

STRENGTH 0.05% 0.1mg 44, 110, 220mcg 0.3mg 2.2mg 0.10% 1mg 5, 10, 35, 70mg 70mg All Strengths 70mg/75ml 25mg/5ml 2mg, 4mg &12mg 500mg/5ml 0.30% 80mg All Strengths

FORM Inhaler Tabs Inhaler Drops Tabs Susp Tabs Tabs Tabs Liquid Tabs Sol Susp

500,850,1000mg 500 & 750mg 5mg and 10mg 2.5, 5, and 10mg 1.25/250, 2.5/500 and 5/500mg 1.5, 3 & 6mg 125mg 125mg/5ml 1%

Tabs Susp Oint Tabs Caps Kit Tabs Tabs Tabs Tabs Tabs Tabs Tabs Susp Cream

2mg and 5mg Bowel prep kit 12.5, 25 & 50mg Lente 1mg 500mg 25mg 0.5 and 1% 1, 2, 5, & 10mg 50/12.5, 100/12.5 & 100/25

Tabs Powder Tabs Inj Tabs Caps Tabs Cream Caps Tabs

5% 30,60mg All Strengths 6mg/0.5ml 5mg 2mg 50mg 10, 20 & 40mg 60, 80 & 120mg 25mg

300mg 50mg/5ml 10mg 5mg 40mg

Oint Tabs Tabs Syringe Tabs Caps Tabs Tabs Caps Caps 3 bags Inhalant Soln Inhaler Syrup Tabs Syrup Tabs Tabs Tabs

25, 50 & 100mg 5/500 & 5/1000mg

Tabs Caps

8,10,20mEq 250mg/5ml 250 & 500mg 0.10% 0.1% & 0.5% 0.025% 0.10%

Tabs Susp Caps Oint Cream Lotion Spray Dental Paste Tabs Tabs

20mg/amp 800mcg

250, 500, 750 & 1000mg 0.5mg & 1mg 12% 12% 10mg/15ml

Cream Lotion Oint Syrup

BRAND NAME Lamictal Lamisil ² Lancets Lanoxin Lanoxin Lantus Insulin Lantus SoloStar Lariam Lasix Lasix Leukeran Levaquin Levemir Levemir Levlen Levitra¹ Librium Lidex Lidex-E Lidocaine Lidocaine Oral Lidoderm Lopid Lioresal Lipitor Liquifilm Tears Lo/Ovral Loestrin Fe Lomotil Lopressor Lortab Elixir Lortab Lotemax Lotensin HCT Lotrel Lotrimin Lotrimin Lotrisone Lotrisone Lovenox Lumigan Lunesta * Luride M Macrobid Macrodantin Maxalt Maxalt MLT Maxitrol Maxitrol Maxzide Medrol Megace Megace Mellaril Mepergan Fortis Mestinon Methergine Methotrexate Methotrexate Metrocream Metrogel Top Metrogel VAGINAL Miacalcin Micardis Micardis HCT Micronase Micronor Midrin Minipress Miralax Mirapex Minocin Mobic Monopril Morphine Sulfate Motrin Motrin MS Contin

STRENGTH 2, 25, 100, 150 & 200mg 250mg 0.125 & 0.25mg 0.5mg/ml

250mg 10mg/ml 20 & 40mg 2mg 250,500,750mg Flexpen 5,10,20 mg 10mg 0.05% 0.05% 0.50% 0.40% 5.00% 600mg 10mg All Strengths 0.3mg/30mcg 1.5/30 & 1/20 2.5mg 25, 50 & 100mg 2.5mg/5ml 2.5/500, 5/500 & 7.5/500 0.5% All Strengths All Strengths 1% 1%

All Strengths 5ml 1, 2 & 3mg 1.1mg/ml 100mg 50mg 5 & 10mg 5 & 10mg

25/37.5 & 50/75mg Dosepak & 4mg 40mg 40mg/5ml 10mg,25mg,100mg 50mg/25mg 60,180mg 200mcg 2.5mg 25mg/ml 0.75% 1% 0.75% 20,40,80mg All Strengths 5mg 0.35mcg 65/100/325 1,2,5mg 255 & 527 gram 0.125,0.25,1 & 1.5mg 50,100mg 7.5,15mg 10, 20 & 40mg 10mg/5ml 100mg/5ml 400,600,800mg 15,30,60,100,200mg

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien

FORM Tabs Tabs Lancets Tabs Liquid Inject Pen Tabs Sol Tabs Tabs Tabs Sol Sol Tabs Tabs Caps Cream Cream Oint Gel Patches Tabs Tabs Tabs Sol Compact Compact Tabs Tabs Elixir Tabs Soln Tabs Caps Cream Sol Cream Lotion Syringe Soln Tabs Drops Caps Caps Tabs Tabs Sol Oint Tabs Tabs Tabs Susp Tabs Tabs Caps Tabs Tabs Inj Cream Cream Gel Spray Tabs Tabs Tabs Compact Caps Caps Powder Tabs Caps Tabs Tabs Sol Susp Tabs Tabs


Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

Brand name listed below and for reference only and do not signify the product dispensed.

BRAND NAME Muro-128 Muro-128 Mucinex Mucinex D Myambutol Mycelex Mycelex Mycelex-7 Vaginal Mycolog Mycostatin Mylanta II Mylicon Mylicon Mysoline Naftin Namenda Naprosyn Nasarel NS Nasonex NS Navane Neosporin Neosporin Neurontin Nexium Niacin Niaspan Nitro-Dur Nitrol Nitrospray Nitrostat SL Nix Nizoral Nizoral Nizoral Nolvadex Nordette Norgesic Forte Normodyne Norpace Norpace CR Norpramin Norvasc Novolin Novolin Novolin Novolog Novolog Nuvaring Nystatin Nystatin Nystatin Nystatin Vaginal Ocufen Omnicef OptiPranolol Ortho-Evra Ortho-Cyclen Ortho Tri-Cyclen Ortho-Novum OsmoPrep Ovral Oxy IR Pamelor Parlodel Patanol Paxil Pediapred Pediazole Pen VK Pen VK Pepto Bismol Percocet Periactin Peridex Periostat Persantine

STRENGTH 5% 5%

400mg 1% 1%

100,000 units 400/400 40mg/0.6ml 80mg 50mg & 250mg N 1% 5, 10 mg & Titration 375,500mg 50mcg 1,5mg Ophthalmic Ophthalmic 100,300,400,600,800mg All Strengths 100mg 500,750,1000mg 0.2,0.4,0.6mg 2% 400mcg 0.4mg 2% 2% 2% 200mg 10,20mg 50/770/60 200mg 100,150mg 100,150mg 25mg All Strengths 70/30 NPH Regular All Strengths Reglular and 70/30 100,000u/ml 100,000u/gm 100,000 units 100,000u/tab O 0.03% 125mg/5ml 0.30%

Regular & Lo 1/35,1/50,7/7/7 0.5mg/50mcg 5mg P 10,25,75mg 2.5mg 0.10% 10, 20, 30 & 40mg 6.7mg/5ml 200mg 250mg & 500mg 250mg/5ml 262mg

FORM Oint Sol Tabs Tabs Tabs Cream Sol Cream Cream Susp Susp Drops Tabs Tabs Cream Tabs Tabs Sol Sol Caps Oint Sol Caps Caps Tabs Tabs Patches Oint Spray Tabs Cream Cream Shampoo Tabs Tabs Tabs Tabs Tabs Caps Caps Tabs Tabs Vials Vials Vials Vials FlexPen Susp Oint Powder Tabs Sol Susp Sol Patch Compact Compact Compact Kit Compact Tabs

Caps Tabs Soln Tabs Liquid Susp Tabs Susp Tabs 2.5/325,5/325,7/500, 10/325 & 10/650 Tabs 4mg Tabs 0.12% Mouth Rinse 20mg% Tabs 25mg & 75mg Tabs

LEGEND

BRAND NAME Phenergan Phenergan Phenobarbital Phenobarbital Pilocarpine Pilocarpine Plaquenil Plavix Plendil Pletal Polysporin Polytrim Poly-Vi-Sol Pravachol Precision XTRA Precision XTRA Pred Forte Pred Mild Prednisone Prelone Premarin Premarin Premarin Vaginal Premphase Prempro Prempro Prempro Prenatals Prevident Plus Prevident Prilosec Primaquine Phosphate Prinivil Probanthine Proctofoam-HC Propine Propylthiouracil Proscar Proventil Proventil Proventil Proventil Proventil HFA Provera Provigil 続 Prozac Psorcon E Pulmicort Respules Purinethol Pyrazinamide Pyridium Pyridoxine Q Questran Light Quinaglute R Razadyne Razadyne ER Refresh Liquigel Refresh Plus Relafen Reglan Reglan Remeron Reminyl Requip Restasis Restoril Retin-A Retin-A Rifampin Risperdal Ritalin Ritalin-SR Robaxin Robistussin AC Robitussin Rocaltrol

STRENGTH 12.5 and 25mg 25mg 15mg & 30mg 20mg/5ml 4% 1, 2, and 4% 200mg 75mg 2.5, 5 & 10mg 50 & 100mg 10,000u/500u 10,000u/1mg

FORM Supp Tabs Tabs Elixir Gel Sol Tabs Tabs Tabs Tabs Oint Sol Drops

10,20,40 & 80mg 100/box 1% 0.125% 1,5,10,20mg 15mg/5ml 0.3mg and 0.625mg .45,.625,.9,1.25mg 0.625mg/gm 0.625mg/5mg 0.625mg/2.5mg 0.625mg/5mg 0.5/1.5mg 1mg of Folic Acid 1.10% 1.1% & Booster 20mg 26.3mg 5, 10, 20 & 40mg 15mg 0.10% 50mg 5mg 2mg/5ml 4mg 0.50% 0.083mg/ml amps 90mcg 2.5, 5 & 10mg 100 & 200mg 10mg and 20mg 0.25/2 & 0.5/2 50mg 500mg 100 & 200mg 50mg

Monitor Strips Susp Susp Tabs Syrup Tabs Tabs Cream Tabs Tabs Tabs Tabs Tabs Toothpaste Gel Caps Tabs Tabs Tabs Foam Sol Tabs Tabs Syrup Tabs Inhalant Soln Inhalant Soln Inhaler Tabs Tabs Caps Cream Amps Tabs Tabs Tabs Tabs

4gm/scoop 324mg

Powder Tabs

8,4 & 12mg 8,16 & 24 mg 1% 0.50% 500 & 750mg 10mg 10mg/5ml 15, 30 & 45mg 5,8,12mg All Strengths Ophthalmic 15mg and 30mg 0.100% 0.05% & 0.025% 300mg .25,.5,1.2.3.4mg 5mg & 10mg 20mg 500mg 100/10 in 5ml 100mg/5ml All Strengths

Tabs Caps Gel Sol Tabs Tabs Syrup Tabs Tabs Tabs Liquid Caps Cream Cream Caps Tabs Tabs Tabs Tabs Syrup Syrup Caps

BRAND NAME

Selsun Serax Serevent Serophene Seroquel Silvadene Simcor Sinemet Sinemet Sinemet CR Sinequan Singulair Singulair Skelaxin Slow-K Sodium Chloride Sodium Chloride Soma Spiriva Starlix Stelazine Sterapred DS Pack Sterapred Pack Strattera Sudafed Sudafed Sulfacetamide Sulfacetamide Symbicort Symmetrel Synalar Synthroid Synthroid Synthroid Synthroid Synthroid Syringes Tagamet Tambocor Tears Tears Renewed Tears Renewed Tegretol Tegretol Tegretol Tegretol XR Tekturna Tekturna HCT Temovate Temovate Tenormin Terazol-7 Tessalon Tetracycline Theophylline ER Thiamine Thyroid Tiazac Tiazac Tilade Timoptic Timoptic-XE TobraDex TobraDex Tobrex Tofranil Tolinase Topamax Toprol XL Toradol Trandate Transderm-Scop Trental Triavil Triglide Tri-Norinyl

STRENGTH S 2.50% 15mg 50mcg 50mg 25,100,200 & 300mg 10mg/gm All Strengths 10/100, 25/100 25/250 50/200 & 25/100 10mg & 25mg 10mg 4mg, and 5mg 800mg 8mEq 0.90% 0.90% 350mg 18mcg 60, 120mg 1mg & 5mg 10mg 5mg 10,18,25,40,50mg 30mg 30mg/5ml 10% 10% 80/4.5mcg & 160/4.5mcg 10.2gm

100mg 0.01% 0.025mg & 0.05mg 0.075mg & 0.088mg 0.125mg & 0.175mg 0.15mg & 0.2mg 0.1mg & 0.112mg 0.3cc, 0.5cc & 1cc T 300, 400 & 800mg 50,100 & 150mg

100mg/5ml 200mg 100mg 100,200,400mg 150 & 300mg All Strengths 0.05% 0.05% 25,50 & 100mg 0.40% 100 & 200mg 250mg 200mg &300mg 50mg 32.5,64mg 120, 180 & 240mg 300 & 360 & 420mg 0.25% & 0.5% 0.25% & 0.5% 0.3%/0.1% 0.3%/0.1% 0.30% 10mg and 25mg 250mg 25,100,200mg 25,50,100,200mg 10mg 200mg 1.5mg/72hr 400mg 2mg/25mg 50 & 160mg

FORM

Shampoo Caps Diskus Tabs Tabs Cream Tabs Tabs Tabs Tabs Caps Tabs Chewable Tabs Tabs Irrigation Amps Tabs Inhaler Tabs Tabs Tabs Tabs Caps Tabs Liquid Oint Sol Inhaler Caps Sol Tabs Tabs Tabs Tabs Tabs 100 per box Tabs Tabs Sol Sol Oint Susp Tabs Tabs Tabs Tabs Tabs Cream Oint Tabs Cream Caps Caps Tabs Tabs Tabs Caps Caps Inhaler Sol Gel Oint Sol Sol Tabs Tabs Tabs Tabs

BRAND NAME Tri-phasil Tri-Vi-Flor Trileptal Trusopt Tucks Tylenol Tylenol Tylenol Tylenol Tylenol Tylenol Tylenol No.3 Tylenol w/ Codeine Tylox Ultram* Urecholine Urispas Urocit K Uroxatrol Vagifem Valisone Valium Valtrex Vigamox Vesicare Vasotec Ventolin HFA Vermox Viokase Viroptic Vivelle DOT Vytorin VoSol HC Wellbutrin SR Westcort Westcort Xalatan Xanax Xylitol Xylocaine Viscous Xopenex Xopenex HFA

STRENGTH 0.5mg/ml 150, 300 & 600mg 2% 120 & 325mg 160mg/5ml 325mg 80mg/0.8ml 80mg 500 30/325 120/5 500/5 U 50mg 25mg 100mg 10mg V 25mg 0.10% 5mg 500mg 5mg/ml 5, 10mg 2.5, 5, 10 & 20mg Inhaler 100mg 8 1% All Strengths All Strengths W 100,150,200mg 0.2% All Strengths X 0.005% 0.25, 0.5, 1 & 2mg 90 day 2% 0.31,0.63,1.25mg

FORM Compact Tabs Sol Pads Supp Sol Tabs Drops Chew Caplet Tabs Elixir Caps

STATIN COST PRAVACHOL

$0.09

VYTORIN

$0.57

LIPITOR

$1.10

Due to the cost, please use Lipitor as last resort. Similar LDL reduction can be achieved by using Vytorin instead of Lipitor

Tabs Tabs Tabs Tabs Tabs Tabs Cream Tabs Tabs Sol Tabs Tabs INH Tabs Tabs Sol Patch Tabs Sol Tabs Cream Oint Sol Tabs Kit Liquid Soln Inhaler

Y Yasmin Yaz Xopenex Xopenex HFA Zantac Zestril Zetia Zithromax Zithromax Zithromax Zithromax Zocor Zofran Zofran Zoloft Zovirax Zovirax Zyloprim Zymar Zyprexa Zyrtec Zyrtec

28 Day 24Day

Tabs Tabs

Z All Strengths 150mg 5, 10, 20 & 40mg 10mg 100/5 and 200/5 250mg Z-Pak TriPak All Strengths 4mg & 8mg 4mg ODT All Strengths 5% 200mg 100mg and 300mg 0.30% 2.5,5,10,15,20mg 5,10mg 1mg/ml

Neb Inhaler Tabs Tabs Tabs Susp Tabs Tabs Tabs Tabs Tabs Tabs Tabs Oint Caps Tabs Soln Tabs Tabs Syrup

Tabs Patch Tabs Tabs Tabs Compact

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


Brand name listed below and for reference only and do not signify the product dispensed.

LEGEND

-Shaded Items indicate controlled substances -Bold items indicated changes this year -1 PA Form Required for patients under 50

Patrick AFB Formulary NOV 2009 1-800-615-3354 (321)494-8739 **Formulary Requests ONLY** E-Mail: 45MDGPharmacy@patrick.af.mil

-2 PA Form is required and only 6 or 12 weeks with no refills -3 PA Form Required -* must have tried Ambien


APRIL 2009 Patrick AFB Formulary All items listed by Brand Name SHADED ITEMS INDICATE FEDERALLY CONTROLLED SUBSTANCES BOLD ITEMS INDICATE CHANGES THIS YEAR ¹ INDICATES PRIOR FORM AUTHORIZATION REQUIRED FOR PATIENTS UNDER 50 ² INDICATES PRIOR AUTHORIZATION FORM REQUIRED WITH BLOOD WORK & ONLY 1 TREATMENT WITH NO REFILLS (6 OR 12 WEEKS) ³ INDICATES PRIOR AUTHORIZATION FORM REQUIRED * MUST HAVE TRIED AMBIEN STATIN COST Zocor $0.06 Pravachol $0.09 Vytorin $0.57 Lipitor $1.10 Due to the cost, please use Lipitor only as a last resort. Similar LDL reduction can be achieved by using Vytorin instead of Lipitor

BRAND NAME Abilify Accu-check Avivia Accu-check Avivia Actifed Actifed Actonel Actos Acular

STRENGTH A 1,5,10,20 & 30mg

1.25mg & 30mg 2.5mg/60mg 35, 75 & 150mg 15, 30 and 45mg 0.5% & LS 0.4%

FORM Tabs Monitor Test Strips Syrup Tabs Tabs Tabs Sol


Adalat CC Adderal Adderall SR Adderal XR Absorbase Advair Diskus Advair HFA Aggrenox SR Aerochamber w/mask Afrin Alcohol Swabs Aldactazide Aldactone Aldara Aldomet Alesse Allegra Alomide Alphagan P Alupent Alupent Amaryl Ambien Amino-Cerv Amitiza Amoxil Amoxil Amoxil Androgel

30, 60 & 90mg 5, 10mg 20mg 10,20,25,30mg 100,250,500 115 & 230 mcg 25/200 small & adult 0.05% 25mg/25mg 25 & 50mg 250mg 0.1mg/20mcg 180mg 0.10% 0.15% & 0.1% 10mg/5ml 20mg 1,2,4mg 5mg & 10mg 24mcg 125/5 & 250/5 250, 500mg 875mg 1%

Tabs Tabs Caps Oint Diskus Spray Caps Spacer Spray Swabs Tabs Tabs Cream Tabs Compact Tabs Sol Sol Liquid Tabs Tabs Tabs Cream Caps Susp Caps Tabs Gel


Antabuse Antivert Anusol-HC Anusol-HC Apresoline Aralen Aricept Aristocort Artane Asmanex Aspirin Aspirin EC Astelin NS Atacand Atacand HCT Atarax Atarax Ativan Atrovent Atrovent NS Atrovent HFA Augmentin Augmentin Augmentin ES Augmentin XR Auralgan Avandia Avandamet Avelox

250mg 25mg 2.50% 10,25mg 500mg 5mg and 10mg 0.1% & 0.5% 2mg 110 & 220 mcg 81& 325mg 81& 325mg 137MCG All Strengths All Strengths 10mg, 25mg & 50mg 10mg/5ml 0.5mg, 1mg & 2mg 0.02% 0.06% 18mcg 200/5 & 400/5 500mg & 875mg 600mg/5ml 1000mg Otic 2, 4 and 8mg All Strengths 400mg

Tabs Tabs Supp Cream Tabs Tabs Tabs Cream Tabs Inh Tabs Tabs Spray Tabs Tabs Tabs Syrup Tabs Inhalant Soln Sol Inhaler Susp Tabs Susp Tabs Soln Tabs Tabs Tabs


Aygestin Azulfidine EN B Bacitracin Bacitracin Opth Septra DS Bactrim/Septra Bactroban Bactroban Bellergal-S Benadryl Benadryl Benemid Bentyl Bentyl Bentyl Betoptic S Betapace Biaxin Biaxin Biaxin XL Boniva Brethine Bumex Buspar Byetta C Calamine Calan

5mg 500mg

Tabs Tabs

500 units/gm 500u/gm 800mg/160mg 200/40 in 5ml 2% 2% 0.2/40/0.6 12.5mg/5ml 25mg 500mg 10mg 10mg/5ml 20mg 0.25% 80mg 250/5 & 125/5 250mg & 500mg 500mg & Pac 150mg 5mg 0.5, 1 & 2mg 5,10 & 15mg 5 & 10mcg per dose

Oint Oint Tabs Susp Cream Oint Tabs Elixir Caps Tabs Caps Syrup Tabs Sol Tabs Susp Tabs Tabs Tabs Tabs Tabs Tabs Pen

80mg

Lotion Tabs


Calan SR Calciferol Caltrate D Capoten Carafate Cardizem Cardura Carmol Catapres Catapress TTS Ceclor Ceftin Cefzil Celebrex Celexa Centrum Silver Cephulac Chlor-Trimeton Chlor-Trimeton Ciloxan Ciloxan Cipro Ciprodex Claritin Claritin Cleocin Cleocin T Cleocin Vaginal Clomid

180 & 240mg 50,000 units 12.5mg, 25mg & 50mg 1gm 60mg 2, 4 and 8mg 20% 0.1,0.2,0.3mg 0.1mg-24hr, 0.2mg/24hr & 0.3mg/hr 250mg 250 & 500mg 250/5 & 125/5 100,200,400mg 10mg, 20mg & 40mg 10mg/15ml 2mg/5ml 4mg 0.30% 0.30% 250,500mg 0.30% 10mg 5mg/5ml 150mg 1% 50mg

Tabs Caps Tabs Tabs Tabs Tabs Tabs Cream Tabs Patch Caps Tabs Susp Caps Tabs Tabs Syrup Syrup Tabs Sol Oint Tabs Susp Tabs Syrup Caps Soln Cream Tabs


Cogentin Colace Colchicine Colestid Coly-Mycin S Colyte Combigan Combivent Compazine Concerta Cordarone Cordran Coreg Coreg CR Cortef Cort-Enema Cortisporin Cosopt Coumadin Coumadin Coumadin Coumadin Cozaar Crolom Cyanocobalamin Cyclocort Cyclocort D Darvocet N

2mg 100mg 0.6mg 1 gram Otic Ophthalmic 18mcg/103mcg 5mg 18, 27, 36 & 54mg 200mg 0.10% 3.125,6.25,12.5 & 25mg 10, 20, 40 & 80mg 5mg & 20mg 100mg/60ml Otic Ophthalmic 10mg 1, 2, 2.5 & 3mg 4mg & 6mg 5mg & 7.5mg 25,50,100mg 4% 1mg/ml 0.10% 0.10%

Tabs Caps Tabs Tabs Susp Powder Sol Inh Tabs Tabs ER Tabs Tape Tabs Caps Tabs Enema Susp Soln Tabs Tabs Tabs Tabs Tabs Sol Inj Cream Oint

650/100

Tabs


DDAVP Decadron Deconamine SR Demerol HCL Demulen Depakote Depakote ER Depakote Sprinkles Depo-Provera Detrol LA Depo-Testosterone Desyrel Desonide Desonide Desogen Desquam Desquam Detrol LA Dexadrine Spans Dexadrine Diabenese Diamox Diaphragm Kit Dibucaine Didronel Diflucan Differin Dilantin Dilantin

0.1,0.2mg 0.75mg & 4mg 4mg/60mg 50mg 1mg/35mcg 250mg and 500mg 250,500mg 125mg 150mg/dose 2mg & 4mg 200mg/ml 50, 100 & 150mg 0.05% 0.05% 0.15mg/30mcg 5% and 10% 5% 2,4mg 5 & 10mg 5mg 250mg 250mg all sizes Diaphragm 1% 200mg 100,150 & 200mg 0.1% 100mg 125mg/5ml

Tabs Tabs Caps Tabs Compact Tabs Tabs Caps Vial Caps Inj Tabs Crm Oint Compact Gel Wash Caps Spansule Tabs Tabs Tabs Oint Tabs Tabs Cr/Gel Caps Susp


Dilantin Dilaudid Disalcid Ditropan Ditropan XL Domeboro Domeboro Donnatal Donnatal Doxycycline Drysol Duac CS Dulcolax Dulcolax Duofilm Duoneb Dynapen E Econopred Plus Ecotrin EES EES Effexor XR Efudex Elavil Elidel Elimite Elocon Enablex SR

50mg 2mg 500mg & 750mg 5mg 5,10,15mg Effervescent Otic

250mg

Chew Tabs Tabs Tabs Tabs Tabs Packets Sol Elixir Tabs Tabs Soln Gel Supp Tabs Sol Vial Caps

1% 81mg & 325mg 200mg/5ml 400mg 37.5,75,150mg 5% 10mg and 25mg 1% 2% 0.1% 7.5mg &15mg

Sol EC Tabs Susp Tabs Caps Cream Tabs Cream Cream Cream Tabs

100mg 20% Kit 10mg 5mg 17%


Epi-Pen Epi-Pen Jr. Erythromycin BASE Estrace vag Estraderm Estratest Estratest HS Esidrex Eskalith Estrace Eucerin Eulexin Evista F Feldene FemHRT Fenoglide Ferro-Sequels Ferrous Sulfate Ferrous Sulfate Fioricet Tabs Flagyl Fleet Enema Flexeril Flonase Florinef Flovent HFA Floxin Otic Fluoride Sodium

0.3mg & Duo Pak 0.15mg & Duopak 250mg

125mg 60mg

Inj Pen Inj Pen Tabs Cream Patch Tabs Tabs Tabs Caps Tabs Oint Caps Tabs

10mg & 20mg Single and Compact All Strengths 50mg of Fe 325mg 75mg/0.6ml 50/40/325 250mg & 500mg Adult 10mg 0.05% 0.1mg 44, 110, 220mcg 0.3mg 2.2mg

Caps Tabs Tabs Caps Tabs Sol Tabs Tabs Enema Tabs Inhaler Tabs Inhaler Drops Tabs

0.05mg & 0.1mg 1.25/2.5mg 0.625/1.25mg 25mg & 50mg 300mg 05, 1 and 2mg


FML Folic Acid Foltx Foradil Fosamax Fosamax Fosamax Plus D Furadantin G Gabitril Gantrisin Garamycin Opth Gaviscon Geodon Glucagon Kit Glucophage Glucophage XR Glucotrol Glucotrol XL Glucovance Glynase Gris-Peg Gris-Peg Gyne-Lotrimin H Haldol Halflytely HCTZ Humulin L

0.10% 1mg 12mcg 5, 10, 35, 70mg 70mg All Strengths 25mg/5ml 2mg, 4mg &12mg 500mg/5ml 0.30% 80mg All Strengths

Susp Tabs Tabs Inhaler Tabs Liquid Tabs Susp

500,850,1000mg 500 & 750mg 5mg and 10mg 2.5, 5, and 10mg 1.25/250, 2.5/500 and 5/500mg 1.5, 3 & 6mg 125mg 125mg/5ml 1%

Tabs Susp Oint Tabs Caps Kit Tabs Tabs Tabs Tabs Tabs Tabs Tabs Susp Cream

2mg and 5mg Bowel prep kit 12.5, 25 & 50mg Lente

Tabs Powder Tabs Inj


Hydergine Hydrea Hygroton Hytone Hytrin Hyzaar

1mg 500mg 25mg 0.5 and 1% 1, 2, 5, & 10mg 50/12.5, 100/12.5 & 100/25

Tabs Caps Tabs Cream Caps Tabs

5% 30,60mg All Strengths 6mg/0.5ml 5mg 2mg 50mg 10, 20 & 40mg 60, 80 & 120mg 25mg

300mg 50mg/5ml 10mg 5mg 40mg

Oint Tabs Tabs Syringe Tabs Caps Tabs Tabs Caps Caps 3 bags Inhalant Soln Inhaler Syrup Tabs Syrup Tabs Tabs Tabs

25, 50 & 100mg 5/500 & 5/1000mg

Tabs Caps

I Ilotycin Imdur Imitrex Imitrex Mephyton Imodium Imuran Inderal Inderal LA Indocin Inspirease Kit Intal Intal Ipecac Isoniazid Isoniazid Isordil Isordil SL Isordil SR J Januvia Janumet

20mg/amp 800mcg


K K-Dur Keflex Keflex Kenalog Kenalog Kenalog Kenalog Kenalog in Orabase Keppra Klonopin L Lac-Hydrin Lac-Hydrin Lacri-Lube Lactulose Lamictal Lamisil ² Lancets Lanoxin Lanoxin Lantus Insulin Lantus SoloStar Lariam Lasix Lasix Leukeran Levaquin Levemir

8,10,20mEq 250mg/5ml 250 & 500mg 0.10% 0.1% & 0.5% 0.025% 0.10% 250, 500, 750 & 1000mg 0.5mg & 1mg 12% 12% 10mg/15ml 2, 25, 100, 150 & 200mg 250mg 0.125 & 0.25mg 0.5mg/ml

250mg 10mg/ml 20 & 40mg 2mg 250,500,750mg

Tabs Susp Caps Oint Cream Lotion Spray Dental Paste Tabs Tabs Cream Lotion Oint Syrup Tabs Tabs Lancets Tabs Liquid Inject Pen Tabs Sol Tabs Tabs Tabs Sol


Levemir Levlen Levitraยน Librium Lidex Lidex-E Lidocaine Lidocaine Oral Lidoderm Lopid Lioresal Lipitor Liquifilm Tears Lo/Ovral Loestrin Fe Lomotil Lopressor Lortab Elixir Lortab Lotemax Lotensin HCT Lotrel Lotrimin Lotrimin Lotrisone Lotrisone Lovenox Lumigan Lunesta *

Flexpen 5,10,20 mg 10mg 0.05% 0.05% 0.50% 0.40% 5.00% 600mg 10mg All Strengths 0.3mg/30mcg 1.5/30 & 1/20 2.5mg 25, 50 & 100mg 2.5mg/5ml 2.5/500, 5/500 & 7.5/500 0.5% All Strengths All Strengths 1% 1%

All Strengths 5ml 1, 2 & 3mg

Sol Tabs Tabs Caps Cream Cream Oint Gel Patches Tabs Tabs Tabs Sol Compact Compact Tabs Tabs Elixir Tabs Soln Tabs Caps Cream Sol Cream Lotion Syringe Soln Tabs


Luride

1.1mg/ml

Drops

100mg 50mg 5 & 10mg 5 & 10mg

Caps Caps Tabs Tabs Sol Oint Tabs Tabs Tabs Susp Tabs Tabs Caps Tabs Tabs Inj Cream Cream Gel Spray Tabs Tabs Tabs Compact Caps Caps Powder

M Macrobid Macrodantin Maxalt Maxalt MLT Maxitrol Maxitrol Maxzide Medrol Megace Megace Mellaril Mepergan Fortis Mestinon Methergine Methotrexate Methotrexate Metrocream Metrogel Top Metrogel VAGINAL Miacalcin Micardis Micardis HCT Micronase Micronor Midrin Minipress Miralax

25/37.5 & 50/75mg Dosepak & 4mg 40mg 40mg/5ml 10mg,25mg,100mg 50mg/25mg 60,180mg 200mcg 2.5mg 25mg/ml 0.75% 1% 0.75% 20,40,80mg All Strengths 5mg 0.35mcg 65/100/325 1,2,5mg 255 & 527 gram


Mirapex Minocin Mobic Monopril Morphine Sulfate Motrin Motrin MS Contin Muro-128 Muro-128 Mucinex Mucinex D Myambutol Mycelex Mycelex Mycelex-7 Vaginal Mycolog Mycostatin Mylanta II Mylicon Mylicon Mysoline N Naftin Namenda Naprosyn Nasarel NS Nasonex NS Navane

0.125,0.25,1 & 1.5mg 50,100mg 7.5,15mg 10, 20 & 40mg 10mg/5ml 100mg/5ml 400,600,800mg 15,30,60,100,200mg 5% 5%

400mg 1% 1%

100,000 units 400/400 40mg/0.6ml 80mg 50mg & 250mg 1% 5, 10 mg & Titration 375,500mg 50mcg 1,5mg

Tabs Caps Tabs Tabs Sol Susp Tabs Tabs Oint Sol Tabs Tabs Tabs Cream Sol Cream Cream Susp Susp Drops Tabs Tabs Cream Tabs Tabs Sol Sol Caps


Neosporin Neosporin Neurontin Nexium Niacin Niaspan Nitro-Dur Nitrol Nitrospray Nitrostat SL Nix Nizoral Nizoral Nizoral Nolvadex Nordette Norgesic Forte Normodyne Norpace Norpace CR Norpramin Norvasc Novolin Novolin Novolin Novolog Novolog Nuvaring Nystatin

Ophthalmic Ophthalmic 100,300,400,600,800mg All Strengths 100mg 500,750,1000mg 0.2,0.4,0.6mg 2% 400mcg 0.4mg 2% 2% 2% 200mg 10,20mg 50/770/60 200mg 100,150mg 100,150mg 25mg All Strengths 70/30 NPH Regular All Strengths Reglular and 70/30

Oint Sol Caps Caps Tabs Tabs Patches Oint Spray Tabs Cream Cream Shampoo Tabs Tabs Tabs Tabs Tabs Caps Caps Tabs Tabs Vials Vials Vials Vials FlexPen

100,000u/ml

Susp


Nystatin Nystatin Nystatin Vaginal O Ocufen Omnicef OptiPranolol Ortho-Evra Ortho-Cyclen Ortho Tri-Cyclen Ortho-Novum OsmoPrep Ovral Oxy IR P Pamelor Parlodel Patanol Paxil Pediapred Pediazole Pen VK Pen VK Pepto Bismol Percocet Periactin Peridex Periostat Persantine

100,000u/gm 100,000 units 100,000u/tab

Oint Powder Tabs

0.03% 125mg/5ml 0.30%

0.5mg/50mcg 5mg

Sol Susp Sol Patch Compact Compact Compact Kit Compact Tabs

10,25,75mg 2.5mg 0.10% 10, 20, 30 & 40mg 6.7mg/5ml 200mg 250mg & 500mg 250mg/5ml 262mg 2.5/325,5/325,7/500, 10/325 & 10/650 4mg 0.12% 20mg% 25mg & 75mg

Caps Tabs Soln Tabs Liquid Susp Tabs Susp Tabs Tabs Tabs Mouth Rinse Tabs Tabs

Regular & Lo 1/35,1/50,7/7/7


Phenergan Phenergan Phenobarbital Phenobarbital Pilocarpine Pilocarpine Plaquenil Plavix Plendil Pletal Polysporin Polytrim Poly-Vi-Sol Pravachol Precision XTRA Precision XTRA Pred Forte Pred Mild Prednisone Prelone Premarin Premarin Premarin Vaginal Premphase Prempro Prempro Prempro Prenatals Prevident Plus

12.5 and 25mg 25mg 15mg & 30mg 20mg/5ml 4% 1, 2, and 4% 200mg 75mg 2.5, 5 & 10mg 50 & 100mg 10,000u/500u 10,000u/1mg

Supp Tabs Tabs Elixir Gel Sol Tabs Tabs Tabs Tabs Oint Sol Drops

10,20,40 & 80mg 100/box 1% 0.125% 1,5,10,20mg 15mg/5ml 0.3mg and 0.625mg .45,.625,.9,1.25mg 0.625mg/gm 0.625mg/5mg 0.625mg/2.5mg 0.625mg/5mg 0.5/1.5mg 1mg of Folic Acid 1.10%

Monitor Strips Susp Susp Tabs Syrup Tabs Tabs Cream Tabs Tabs Tabs Tabs Tabs Toothpaste


Prevident Prilosec Primaquine Phosphate Prinivil Probanthine Proctofoam-HC Propine Propylthiouracil Proscar Proventil Proventil Proventil Proventil Proventil HFA Provera Provigil 続 Prozac Psorcon E Pulmicort Respules Purinethol Pyrazinamide Pyridium Pyridoxine Q Questran Light Quinaglute R Razadyne Razadyne ER

1.1% & Booster 20mg 26.3mg 5, 10, 20 & 40mg 15mg

0.25/2 & 0.5/2 50mg 500mg 100 & 200mg 50mg

Gel Caps Tabs Tabs Tabs Foam Sol Tabs Tabs Syrup Tabs Inhalant Soln Inhalant Soln Inhaler Tabs Tabs Caps Cream Amps Tabs Tabs Tabs Tabs

4gm/scoop 324mg

Powder Tabs

8,4 & 12mg 8,16 & 24 mg

Tabs Caps

0.10% 50mg 5mg 2mg/5ml 4mg 0.50% 0.083mg/ml amps 90mcg 2.5, 5 & 10mg 100 & 200mg 10mg and 20mg


Refresh Liquigel Refresh Plus Relafen Reglan Reglan Remeron Reminyl Requip Restasis Restoril Retin-A Retin-A Rifampin Risperdal Ritalin Ritalin-SR Robaxin Robistussin AC Robitussin Robitussin DM Rocaltrol S Selsun Serax Serevent Serophene Seroquel Silvadene Simcor

1% 0.50% 500 & 750mg 10mg 10mg/5ml 15, 30 & 45mg 5,8,12mg All Strengths Ophthalmic 15mg and 30mg 0.100% 0.05% & 0.025% 300mg .25,.5,1.2.3.4mg 5mg & 10mg 20mg 500mg 100/10 in 5ml 100mg/5ml 100/10 in 5ml All Strengths

Gel Sol Tabs Tabs Syrup Tabs Tabs Tabs Liquid Caps Cream Cream Caps Tabs Tabs Tabs Tabs Syrup Syrup Syrup Caps

2.50% 15mg 50mcg 50mg 25,100,200 & 300mg 10mg/gm All Strengths

Shampoo Caps Diskus Tabs Tabs Cream Tabs


Sinemet Sinemet Sinemet CR Sinequan Singulair Singulair Skelaxin Slow-K Sodium Chloride Sodium Chloride Soma Spiriva Starlix Stelazine Sterapred DS Pack Sterapred Pack Strattera Sudafed Sudafed Sulfacetamide Sulfacetamide Symbicort Symmetrel Synalar Synthroid Synthroid Synthroid Synthroid Synthroid

10/100, 25/100 25/250 50/200 & 25/100 10mg & 25mg 10mg 4mg, and 5mg 800mg 8mEq 0.90% 0.90% 350mg 18mcg 60, 120mg 1mg & 5mg 10mg 5mg 10,18,25,40,50mg 30mg 30mg/5ml 10% 10% 80/4.5mcg & 160/4.5mcg 10.2gm 100mg 0.01% 0.025mg & 0.05mg 0.075mg & 0.088mg 0.125mg & 0.175mg 0.15mg & 0.2mg 0.1mg & 0.112mg

Tabs Tabs Tabs Caps Tabs Chewable Tabs Tabs Irrigation Amps Tabs Inhaler Tabs Tabs Tabs Tabs Caps Tabs Liquid Oint Sol Inhaler Caps Sol Tabs Tabs Tabs Tabs Tabs


Syringes

0.3cc, 0.5cc & 1cc

100 per box

300, 400 & 800mg 50,100 & 150mg

Tabs Tabs Sol Sol Oint Susp Tabs Tabs Tabs Tabs Tabs Cream Oint Tabs Cream Caps Caps Tabs Tabs Tabs Caps Caps Inhaler Sol Gel Oint Sol

T Tagamet Tambocor Tears Tears Renewed Tears Renewed Tegretol Tegretol Tegretol Tegretol XR Tekturna Tekturna HCT Temovate Temovate Tenormin Terazol-7 Tessalon Tetracycline Theophylline ER Thiamine Thyroid Tiazac Tiazac Tilade Timoptic Timoptic-XE TobraDex TobraDex

100mg/5ml 200mg 100mg 100,200,400mg 150 & 300mg All Strengths 0.05% 0.05% 25,50 & 100mg 0.40% 100 & 200mg 250mg 200mg &300mg 50mg 32.5,64mg 120, 180 & 240mg 300 & 360 & 420mg 0.25% & 0.5% 0.25% & 0.5% 0.3%/0.1% 0.3%/0.1%


Tobrex Tofranil Tolinase Topamax Toprol XL Toradol Trandate Transderm-Scop Trental Triavil Triglide Tri-Norinyl Tri-phasil Tri-Vi-Flor Trileptal Trusopt Tucks Tylenol Tylenol Tylenol Tylenol Tylenol Tylenol Tylenol No.3 Tylenol w/ Codeine Tylox U Ultram* Urecholine

0.30% 10mg and 25mg 250mg 25,100,200mg 25,50,100,200mg 10mg 200mg 1.5mg/72hr 400mg 2mg/25mg 50 & 160mg

0.5mg/ml 150, 300 & 600mg 2%

Sol Tabs Tabs Tabs Tabs Tabs Patch Tabs Tabs Tabs Compact Compact

120 & 325mg 160mg/5ml 325mg 80mg/0.8ml 80mg 500 30/325 120/5 500/5

Tabs Sol Pads Supp Sol Tabs Drops Chew Caplet Tabs Elixir Caps

50mg 25mg

Tabs Tabs


Urispas Urocit K Uroxatrol

100mg 10mg

Tabs Tabs Tabs

V Vagifem Valisone Valium Valtrex Vigamox Vesicare Vasotec Vermox Viokase Viroptic Vivelle DOT Vytorin VoSol HC W Wellbutrin SR Westcort Westcort X Xalatan Xanax Xylitol Xylocaine Viscous Xopenex Xopenex HFA Y

25mg 0.10% 5mg 500mg 5mg/ml 5mg 2.5, 5, 10 & 20mg 100mg 8 1% All Strengths All Strengths

Tabs Cream Tabs Tabs Sol Tabs Tabs Tabs Tabs Sol Patch Tabs Sol

100,150,200mg 0.2% All Strengths

Tabs Cream Oint

0.005% 0.25, 0.5, 1 & 2mg 90 day 2% 0.31,0.63,1.25mg

Sol Tabs Kit Liquid Soln Inhaler


Yasmin Yaz

28 Day 24Day

Tabs Tabs

All Strengths

Neb Inhaler Tabs Tabs Tabs Susp Tabs Tabs Tabs Tabs Tabs Oint Caps Tabs Soln Tabs Tabs Syrup

Z Xopenex Xopenex HFA Zantac Zestril Zetia Zithromax Zithromax Zithromax Zithromax Zocor Zoloft Zovirax Zovirax Zyloprim Zymar Zyprexa Zyrtec Zyrtec

150mg 5, 10, 20 & 40mg 10mg 100/5 and 200/5 250mg Z-Pak TriPak All Strengths All Strengths 5% 200mg 100mg and 300mg 0.30% 2.5,5,10,15,20mg 5,10mg 1mg/ml


BRAND NAME Abilify Accu-check Avivia Accu-check Avivia Actifed Actifed Actonel Actos Acular Adalat CC Adderal Adderall SR Adderal XR Absorbase Advair Diskus Advair HFA Aggrenox SR Aerochamber w/mask Afrin Alcohol Swabs Aldactazide Aldactone Aldara Aldomet Alesse Allegra Alomide Alphagan P Alupent Alupent Amaryl Ambien Amino-Cerv Amitiza Amoxil Amoxil Amoxil Androgel Antabuse Antivert Anusol-HC

STRENGTH A 1,5,10,20 & 30mg

1.25mg & 30mg 2.5mg/60mg 35, 75 & 150mg 15, 30 and 45mg 0.5% & LS 0.4% 30, 60 & 90mg 5, 10mg 20mg 10,20,25,30mg 100,250,500 115 & 230 mcg 25/200 small & adult 0.05% 25mg/25mg 25 & 50mg 250mg 0.1mg/20mcg 180mg 0.10% 0.15% & 0.1% 10mg/5ml 20mg 1,2,4mg 5mg & 10mg 24mcg 125/5 & 250/5 250, 500mg 875mg 1% 250mg 25mg

FORM Tabs Monitor Test Strips Syrup Tabs Tabs Tabs Sol Tabs Tabs Caps Oint Diskus Spray Caps Spacer Spray Swabs Tabs Tabs Cream Tabs Compact Tabs Sol Sol Liquid Tabs Tabs Tabs Cream Caps Susp Caps Tabs Gel Tabs Tabs Supp


Anusol-HC Apresoline Aralen Aricept Aristocort Artane Asmanex Aspirin Aspirin EC Astelin NS Atacand Atacand HCT Atarax Atarax Ativan Atrovent Atrovent NS Atrovent HFA Augmentin Augmentin Augmentin ES Augmentin XR Auralgan Avandia Avandamet Avelox Aygestin Azmacort Azulfidine EN Bacitracin Bacitracin Opth Septra DS Bactrim/Septra Bactroban Bactroban Bellergal-S Benadryl Benadryl Benemid Bentyl Bentyl

2.50% 10,25mg 500mg 5mg and 10mg 0.1% & 0.5% 2mg 110 & 220 mcg 81& 325mg 81& 325mg 137MCG All Strengths All Strengths 10mg, 25mg & 50mg 10mg/5ml 0.5mg, 1mg & 2mg 0.02% 0.06% 18mcg 200/5 & 400/5 500mg & 875mg 600mg/5ml 1000mg Otic 2, 4 and 8mg All Strengths 400mg 5mg 100mcg 500mg B 500 units/gm 500u/gm 800mg/160mg 200/40 in 5ml 2% 2% 0.2/40/0.6 12.5mg/5ml 25mg 500mg 10mg 10mg/5ml

Cream Tabs Tabs Tabs Cream Tabs Inh Tabs Tabs Spray Tabs Tabs Tabs Syrup Tabs Inhalant Soln

Sol Inhaler Susp Tabs Susp Tabs Soln Tabs Tabs Tabs Tabs Inhaler Tabs Oint Oint Tabs Susp Cream Oint Tabs Elixir Caps Tabs Caps Syrup


Bentyl Betoptic S Betapace Biaxin Biaxin Biaxin XL Boniva Brethine Bumex Buspar Byetta Calamine Calan Calan SR Calciferol Caltrate D Capoten Carafate Cardizem Cardura Carmol Catapres Catapress TTS Ceclor Ceftin Cefzil Celebrex Celexa Centrum Silver Cephulac Chlor-Trimeton Chlor-Trimeton Ciloxan Ciloxan Cipro Ciprodex Claritin Claritin Cleocin Cleocin T Cleocin Vaginal

20mg Tabs 0.25% Sol 80mg Tabs 250/5 & 125/5 Susp 250mg & 500mg Tabs 500mg & Pac Tabs 150mg Tabs 5mg Tabs 0.5, 1 & 2mg Tabs 5,10 & 15mg Tabs 5 & 10mcg per dose Pen C Lotion 80mg Tabs 180 & 240mg Tabs 50,000 units Caps Tabs 12.5mg, 25mg & 50mg Tabs 1gm Tabs 60mg Tabs 2, 4 and 8mg Tabs 20% Cream 0.1,0.2,0.3mg Tabs 0.1mg-24hr, 0.2mg/24hr & 0.3mg/hr Patch 250mg Caps 250 & 500mg Tabs 250/5 & 125/5 Susp 100,200,400mg Caps 10mg, 20mg & 40mg Tabs Tabs 10mg/15ml Syrup 2mg/5ml Syrup 4mg Tabs 0.30% Sol 0.30% Oint 250,500mg Tabs 0.30% Susp 10mg Tabs 5mg/5ml Syrup 150mg Caps 1% Soln Cream


Clomid Cogentin Colace Colchicine Colestid Coly-Mycin S Colyte Combigan Combivent Compazine Concerta Cordarone Cordran Coreg Coreg CR Cortef Cort-Enema Cortisporin Cosopt Coumadin Coumadin Coumadin Coumadin Cozaar Crolom Cyanocobalamin Cyclocort Cyclocort Darvocet N DDAVP Decadron Deconamine SR Demerol HCL Demulen Depakote Depakote ER Depakote Sprinkles Depo-Provera Detrol LA Depo-Testosterone Desyrel

50mg 2mg 100mg 0.6mg 1 gram Otic Ophthalmic 18mcg/103mcg 5mg 18, 27, 36 & 54mg 200mg 0.10% 3.125,6.25,12.5 & 25mg 10, 20, 40 & 80mg 5mg & 20mg 100mg/60ml Otic Ophthalmic 10mg 1, 2, 2.5 & 3mg 4mg & 6mg 5mg & 7.5mg 25,50,100mg 4% 1mg/ml 0.10% 0.10% D 650/100 0.1,0.2mg 0.75mg & 4mg 4mg/60mg 50mg 1mg/35mcg 250mg and 500mg 250,500mg 125mg 150mg/dose 2mg & 4mg 200mg/ml 50, 100 & 150mg

Tabs Tabs Caps Tabs Tabs Susp Powder Sol Inh Tabs Tabs ER Tabs Tape Tabs Caps Tabs Enema Susp Soln Tabs Tabs Tabs Tabs Tabs Sol Inj Cream Oint Tabs Tabs Tabs Caps Tabs Compact Tabs Tabs Caps Vial Caps Inj Tabs


Desonide Desonide Desogen Desquam Desquam Detrol LA Dexadrine Spans Dexadrine Diabenese Diamox Diaphragm Kit Dibucaine Didronel Diflucan Differin Dilantin Dilantin Dilantin Dilaudid Disalcid Ditropan Ditropan XL Domeboro Domeboro Donnatal Donnatal Doxycycline Drysol Duac CS Dulcolax Dulcolax Duofilm Duoneb Dynapen Econopred Plus Ecotrin EES EES Effexor XR Efudex Elavil

0.05% 0.05% 0.15mg/30mcg 5% and 10% 5% 2,4mg 5 & 10mg 5mg 250mg 250mg all sizes Diaphragm 1% 200mg 100,150 & 200mg 0.1% 100mg 125mg/5ml 50mg 2mg 500mg & 750mg 5mg 5,10,15mg Effervescent Otic

100mg 20% Kit 10mg 5mg 17% 250mg E 1% 81mg & 325mg 200mg/5ml 400mg 37.5,75,150mg 5% 10mg and 25mg

Crm Oint Compact Gel Wash Caps Spansule Tabs Tabs Tabs Oint Tabs Tabs Cr/Gel Caps Susp Chew Tabs Tabs Tabs Tabs Tabs Packets Sol Elixir Tabs Tabs Soln Gel Supp Tabs Sol Vial Caps Sol EC Tabs Susp Tabs Caps Cream Tabs


Elidel Elimite Elocon Enablex SR Epi-Pen Epi-Pen Jr. Erythromycin BASE Estrace vag Estraderm Estratest Estratest HS Esidrex Eskalith Estrace Eucerin Eulexin Evista Feldene FemHRT Fenoglide Ferro-Sequels Ferrous Sulfate Ferrous Sulfate Fioricet Tabs Flagyl Fleet Enema Flexeril Flonase Florinef Flovent HFA Floxin Otic Fluoride Sodium FML Folic Acid Foltx Foradil Fosamax Fosamax Fosamax Plus D Furadantin

1% 2% 0.1% 7.5mg &15mg 0.3mg & Duo Pak 0.15mg & Duopak 250mg 0.05mg & 0.1mg 1.25/2.5mg 0.625/1.25mg 25mg & 50mg 300mg 05, 1 and 2mg 125mg 60mg F 10mg & 20mg Single and Compact All Strengths 50mg of Fe 325mg 75mg/0.6ml 50/40/325 250mg & 500mg Adult 10mg 0.05% 0.1mg 44, 110, 220mcg 0.3mg 2.2mg 0.10% 1mg 12mcg 5, 10, 35, 70mg 70mg All Strengths 25mg/5ml G

Cream Cream Cream Tabs Inj Pen Inj Pen Tabs Cream Patch Tabs Tabs Tabs Caps Tabs Oint Caps Tabs Caps Tabs Tabs Caps Tabs Sol Tabs Tabs Enema Tabs Inhaler Tabs Inhaler Drops Tabs Susp Tabs Tabs Inhaler Tabs Liquid Tabs Susp


Gabitril Gantrisin Garamycin Opth Gaviscon Geodon Glucagon Kit Glucophage Glucophage XR Glucotrol Glucotrol XL Glucovance Glynase Gris-Peg Gris-Peg Gyne-Lotrimin Haldol Halflytely HCTZ Humulin L Hydergine Hydrea Hygroton Hytone Hytrin Hyzaar Ilotycin Imdur Imitrex Imitrex Mephyton Imodium Imuran Inderal Inderal LA Indocin Inspirease Kit Intal Intal Ipecac Isoniazid

2mg, 4mg &12mg 500mg/5ml 0.30% 80mg All Strengths 500,850,1000mg 500 & 750mg 5mg and 10mg 2.5, 5, and 10mg 1.25/250, 2.5/500 and 5/500mg 1.5, 3 & 6mg 125mg 125mg/5ml 1% H 2mg and 5mg Bowel prep kit 12.5, 25 & 50mg Lente 1mg 500mg 25mg 0.5 and 1% 1, 2, 5, & 10mg 50/12.5, 100/12.5 & 100/25 I 5% 30,60mg All Strengths 6mg/0.5ml 5mg 2mg 50mg 10, 20 & 40mg 60, 80 & 120mg 25mg 20mg/amp 800mcg 300mg

Tabs Susp Oint Tabs Caps Kit Tabs Tabs Tabs Tabs Tabs Tabs Tabs Susp Cream Tabs Powder Tabs Inj Tabs Caps Tabs Cream Caps Tabs Oint Tabs Tabs Syringe Tabs Caps Tabs Tabs Caps Caps 3 bags Inhalant Soln

Inhaler Syrup Tabs


Isoniazid Isordil Isordil SL Isordil SR Januvia Janumet K-Dur Keflex Keflex Kenalog Kenalog Kenalog Kenalog Kenalog in Orabase Keppra Klonopin Lac-Hydrin Lac-Hydrin Lacri-Lube Lactulose Lamictal Lamisil ² Lancets Lanoxin Lanoxin Lantus Insulin Lantus SoloStar Lariam Lasix Lasix Leukeran Levaquin Levemir Levemir Levlen Levitra¹ Librium Lidex Lidex-E

Syrup Tabs Tabs Tabs Tabs Caps Tabs Susp Caps Oint Cream Lotion Spray Tabs Tabs

50mg/5ml 10mg 5mg 40mg J 25, 50 & 100mg 5/500 & 5/1000mg K 8,10,20mEq 250mg/5ml 250 & 500mg 0.10% 0.1% & 0.5% 0.025% 0.10% 250, 500, 750 & 1000mg 0.5mg & 1mg L

Dental Paste

12% 12%

Flexpen

250mg 10mg/ml 20 & 40mg 2mg 250,500,750mg

0.125 & 0.25mg 0.5mg/ml

10mg/15ml 2, 25, 100, 150 & 200mg 250mg

Cream Lotion Oint Syrup Tabs Tabs Lancets Tabs Liquid Inject Pen Tabs Sol Tabs Tabs Tabs Sol Sol Tabs Tabs Caps Cream Cream 5,10,20 mg 10mg 0.05% 0.05%


Lidocaine Lidocaine Oral Lidoderm Lopid Lioresal Lipitor Liquifilm Tears Lo/Ovral Loestrin Fe Lomotil Lopressor Lortab Elixir Lortab Lotemax Lotensin HCT Lotrel Lotrimin Lotrimin Lotrisone Lotrisone Lovenox Lumigan Lunesta * Luride Macrobid Macrodantin Maxalt Maxalt MLT Maxitrol Maxitrol Maxzide Medrol Megace Megace Mellaril Mepergan Fortis Mestinon Methergine Methotrexate Methotrexate Metrocream

0.50% 0.40% 5.00% 600mg 10mg All Strengths 0.3mg/30mcg 1.5/30 & 1/20 2.5mg 25, 50 & 100mg 2.5mg/5ml 2.5/500, 5/500 & 7.5/500 0.5% All Strengths All Strengths 1% 1%

All Strengths 5ml 1, 2 & 3mg 1.1mg/ml M 100mg 50mg 5 & 10mg 5 & 10mg

25/37.5 & 50/75mg Dosepak & 4mg 40mg 40mg/5ml 10mg,25mg,100mg 50mg/25mg 60,180mg 200mcg 2.5mg 25mg/ml 0.75%

Oint Gel Patches Tabs Tabs Tabs Sol Compact Compact Tabs Tabs Elixir Tabs Soln Tabs Caps Cream Sol Cream Lotion Syringe Soln Tabs Drops Caps Caps Tabs Tabs Sol Oint Tabs Tabs Tabs Susp Tabs Tabs Caps Tabs Tabs Inj Cream


Metrogel Top Metrogel VAGINAL Miacalcin Micardis Micardis HCT Micronase Micronor Midrin Minipress Miralax Mirapex Minocin Mobic Monopril Morphine Sulfate Motrin Motrin MS Contin Muro-128 Muro-128 Mucinex Mucinex D Myambutol Mycelex Mycelex Mycelex-7 Vaginal Mycolog Mycostatin Mylanta II Mylicon Mylicon Mysoline Naftin Namenda Naprosyn Nasarel NS Nasonex NS Navane Neosporin Neosporin Neurontin

1% 0.75% 20,40,80mg All Strengths 5mg 0.35mcg 65/100/325 1,2,5mg 255 & 527 gram 0.125,0.25,1 & 1.5mg 50,100mg 7.5,15mg 10, 20 & 40mg 10mg/5ml 100mg/5ml 400,600,800mg 15,30,60,100,200mg 5% 5%

400mg 1% 1%

100,000 units 400/400 40mg/0.6ml 80mg 50mg & 250mg N 1% 5, 10 mg & Titration 375,500mg 50mcg 1,5mg Ophthalmic Ophthalmic 100,300,400,600,800mg

Cream Gel Spray Tabs Tabs Tabs Compact Caps Caps Powder Tabs Caps Tabs Tabs Sol Susp Tabs Tabs Oint Sol Tabs Tabs Tabs Cream Sol Cream Cream Susp Susp Drops Tabs Tabs Cream Tabs Tabs Sol Sol Caps Oint Sol Caps


Nexium Niacin Niaspan Nitro-Dur Nitrol Nitrospray Nitrostat SL Nix Nizoral Nizoral Nizoral Nolvadex Nordette Norgesic Forte Normodyne Norpace Norpace CR Norpramin Norvasc Novolin Novolin Novolin Novolog Novolog Nuvaring Nystatin Nystatin Nystatin Nystatin Vaginal Ocufen Omnicef OptiPranolol Ortho-Evra Ortho-Cyclen Ortho Tri-Cyclen Ortho-Novum OsmoPrep Ovral Oxy IR Pamelor

All Strengths 100mg 500,750,1000mg 0.2,0.4,0.6mg 2% 400mcg 0.4mg 2% 2% 2% 200mg 10,20mg 50/770/60 200mg 100,150mg 100,150mg 25mg All Strengths 70/30 NPH Regular All Strengths Reglular and 70/30 100,000u/ml 100,000u/gm 100,000 units 100,000u/tab O 0.03% 125mg/5ml 0.30%

Regular & Lo 1/35,1/50,7/7/7 0.5mg/50mcg 5mg P 10,25,75mg

Caps Tabs Tabs Patches Oint Spray Tabs Cream Cream Shampoo Tabs Tabs Tabs Tabs Tabs Caps Caps Tabs Tabs Vials Vials Vials Vials FlexPen Susp Oint Powder Tabs Sol Susp Sol Patch Compact Compact Compact Kit Compact Tabs Caps


Parlodel Patanol Paxil Pediapred Pediazole Pen VK Pen VK Pepto Bismol Percocet Periactin Peridex Periostat Persantine Phenergan Phenergan Phenobarbital Phenobarbital Pilocarpine Pilocarpine Plaquenil Plavix Plendil Pletal Polysporin Polytrim Poly-Vi-Sol Pravachol Precision XTRA Precision XTRA Pred Forte Pred Mild Prednisone Prelone Premarin Premarin Premarin Vaginal Premphase Prempro Prempro Prempro Prenatals Prevident Plus Monitor Strips Susp Susp Tabs Syrup Tabs Tabs Cream Tabs Tabs Tabs Tabs Tabs Toothpaste

2.5mg Tabs 0.10% Soln 10, 20, 30 & 40mg Tabs 6.7mg/5ml Liquid 200mg Susp 250mg & 500mg Tabs 250mg/5ml Susp 262mg Tabs 2.5/325,5/325,7/500, 10/325 & 10/650 Tabs 4mg Tabs Mouth Rinse 0.12% 20mg% Tabs 25mg & 75mg Tabs 12.5 and 25mg Supp 25mg Tabs 15mg & 30mg Tabs 20mg/5ml Elixir 4% Gel 1, 2, and 4% Sol 200mg Tabs 75mg Tabs 2.5, 5 & 10mg Tabs 50 & 100mg Tabs 10,000u/500u Oint 10,000u/1mg Sol Drops 10,20,40 & 80mg 100/box 1% 0.125% 1,5,10,20mg 15mg/5ml 0.3mg and 0.625mg .45,.625,.9,1.25mg 0.625mg/gm 0.625mg/5mg 0.625mg/2.5mg 0.625mg/5mg 0.5/1.5mg 1mg of Folic Acid 1.10%


Prevident Prilosec Primaquine Phosphate Prinivil Probanthine Proctofoam-HC Propine Propylthiouracil Proscar Proventil Proventil Proventil Proventil Proventil HFA Provera Provigil 続 Prozac Psorcon E Pulmicort Flexihaler Pulmicort Respules Purinethol Pyrazinamide Pyridium Pyridoxine Questran Light Quinaglute Razadyne Razadyne ER Refresh Liquigel Refresh Plus Relafen Reglan Reglan Remeron Reminyl Requip Restasis Restoril Retin-A Retin-A

1.1% & Booster 20mg 26.3mg 5, 10, 20 & 40mg 15mg 0.10% 50mg 5mg 2mg/5ml 4mg 0.50% 0.083mg/ml amps 90mcg 2.5, 5 & 10mg 100 & 200mg 10mg and 20mg 80 & 160mcg 0.25/2 & 0.5/2 50mg 500mg 100 & 200mg 50mg Q 4gm/scoop 324mg R 8,4 & 12mg 8,16 & 24 mg 1% 0.50% 500 & 750mg 10mg 10mg/5ml 15, 30 & 45mg 5,8,12mg All Strengths Ophthalmic 15mg and 30mg 0.100% 0.05% & 0.025%

Gel Caps Tabs Tabs Tabs Foam Sol Tabs Tabs Syrup Tabs Inhalant Soln Inhalant Soln

Inhaler Tabs Tabs Caps Cream Inhaler Amps Tabs Tabs Tabs Tabs Powder Tabs Tabs Caps Gel Sol Tabs Tabs Syrup Tabs Tabs Tabs Liquid Caps Cream Cream


Rifampin Risperdal Ritalin Ritalin-SR Robaxin Robistussin AC Robitussin Robitussin DM Rocaltrol Selsun Serax Serevent Serophene Seroquel Silvadene Simcor Sinemet Sinemet Sinemet CR Sinequan Singulair Singulair Skelaxin Slow-K Sodium Chloride Sodium Chloride Soma Spiriva Starlix Stelazine Sterapred DS Pack Sterapred Pack Strattera Sudafed Sudafed Sulfacetamide Sulfacetamide Symbicort Symmetrel Synalar Synthroid

300mg Caps .25,.5,1.2.3.4mg Tabs 5mg & 10mg Tabs 20mg Tabs 500mg Tabs 100/10 in 5ml Syrup 100mg/5ml Syrup 100/10 in 5ml Syrup All Strengths Caps S 2.50% Shampoo 15mg Caps 50mcg Diskus 50mg Tabs 25,100,200 & 300mg Tabs 10mg/gm Cream All Strengths Tabs 10/100, 25/100 Tabs 25/250 Tabs 50/200 & 25/100 Tabs 10mg & 25mg Caps 10mg Tabs 4mg, and 5mg Chewable 800mg Tabs 8mEq Tabs 0.90% Irrigation 0.90% Amps 350mg Tabs 18mcg Inhaler 60, 120mg Tabs 1mg & 5mg Tabs 10mg Tabs 5mg Tabs 10,18,25,40,50mg Caps 30mg Tabs 30mg/5ml Liquid 10% Oint 10% Sol 80/4.5mcg & 160/4.5mcg 10.2gm Inhaler Caps Sol Tabs 100mg 0.01% 0.025mg & 0.05mg


Synthroid Synthroid Synthroid Synthroid Syringes Tagamet Tambocor Tears Tears Renewed Tears Renewed Tegretol Tegretol Tegretol Tegretol XR Tekturna Tekturna HCT Temovate Temovate Tenormin Terazol-7 Tessalon Tetracycline Theophylline ER Thiamine Thyroid Tiazac Tiazac Tilade Timoptic Timoptic-XE TobraDex TobraDex Tobrex Tofranil Tolinase Topamax Toprol XL Toradol Trandate Transderm-Scop Trental

0.075mg & 0.088mg 0.125mg & 0.175mg 0.15mg & 0.2mg 0.1mg & 0.112mg 0.3cc, 0.5cc & 1cc T 300, 400 & 800mg 50,100 & 150mg

100mg/5ml 200mg 100mg 100,200,400mg 150 & 300mg All Strengths 0.05% 0.05% 25,50 & 100mg 0.40% 100 & 200mg 250mg 200mg &300mg 50mg 32.5,64mg 120, 180 & 240mg 300 & 360 & 420mg 0.25% & 0.5% 0.25% & 0.5% 0.3%/0.1% 0.3%/0.1% 0.30% 10mg and 25mg 250mg 25,100,200mg 25,50,100,200mg 10mg 200mg 1.5mg/72hr 400mg

Tabs Tabs Tabs Tabs 100 per box Tabs Tabs Sol Sol Oint Susp Tabs Tabs Tabs Tabs Tabs Cream Oint Tabs Cream Caps Caps Tabs Tabs Tabs Caps Caps Inhaler Sol Gel Oint Sol Sol Tabs Tabs Tabs Tabs Tabs Patch Tabs


Triavil Triglide Tri-Norinyl Tri-phasil Tri-Vi-Flor Trileptal Trusopt Tucks Tylenol Tylenol Tylenol Tylenol Tylenol Tylenol Tylenol No.3 Tylenol w/ Codeine Tylox Ultram* Urecholine Urispas Urocit K Uroxatrol Vagifem Valisone Valium Valtrex Vigamox Vesicare Vasotec Vermox Viokase Viroptic Vivelle DOT Vytorin VoSol HC Wellbutrin SR Westcort Westcort

2mg/25mg 50 & 160mg

0.5mg/ml 150, 300 & 600mg 2%

U

120 & 325mg 160mg/5ml 325mg 80mg/0.8ml 80mg 500 30/325 120/5 500/5 50mg 25mg 100mg 10mg V 25mg 0.10% 5mg 500mg 5mg/ml 5mg 2.5, 5, 10 & 20mg 100mg 8 1% All Strengths All Strengths W 100,150,200mg 0.2% All Strengths X

Tabs Tabs Compact Compact Tabs Sol Pads Supp Sol Tabs Drops Chew Caplet Tabs Elixir Caps Tabs Tabs Tabs Tabs Tabs Tabs Cream Tabs Tabs Sol Tabs Tabs Tabs Tabs Sol Patch Tabs Sol Tabs Cream Oint


Xalatan Xanax Xylitol Xylocaine Viscous Xopenex Xopenex HFA Yasmin Yaz Xopenex Xopenex HFA Zantac Zestril Zetia Zithromax Zithromax Zithromax Zithromax Zocor Zoloft Zovirax Zovirax Zyloprim Zymar Zyprexa Zyrtec Zyrtec

0.005% 0.25, 0.5, 1 & 2mg 90 day 2% 0.31,0.63,1.25mg Y 28 Day 24Day Z All Strengths 150mg 5, 10, 20 & 40mg 10mg 100/5 and 200/5 250mg Z-Pak TriPak All Strengths All Strengths 5% 200mg 100mg and 300mg 0.30% 2.5,5,10,15,20mg 5,10mg 1mg/ml

Sol Tabs Kit Liquid Soln Inhaler Tabs Tabs Neb Inhaler Tabs Tabs Tabs Susp Tabs Tabs Tabs Tabs Tabs Oint Caps Tabs Soln Tabs Tabs Syrup


Patrick AFB Formulary