WHITEMAN AIR FORCE BASE OUTPATIENT FORMULARY
Alphabetical Listing by Name
This document is current as of January 30, 2017.
The availability of formulary items is subject to change.
1
ACETAMINOPHEN
Acetaminophen
Aluminum Chloride Hexahydrate
Outpatient Dosage Forms
Outpatient Dosage Forms
Liquid, Oral:
Generic: 160 mg/5 mL (120 mL)
Suppository, Rectal:
Generic: 120 mg (12s); 325 mg (12s); 650 mg (12s)
Tablet, Oral:
Generic: 325 mg
Solution, External:
Drysol: 20% (35 mL) [contains ethanol 93%]
Amantadine
Outpatient Dosage Forms
Capsule, Oral, as hydrochloride:
Generic: 100 mg [BCF]
Acetaminophen and Codeine
Amiodarone
Outpatient Dosage Forms
Outpatient Dosage Forms
Solution, Oral [C-V]:
Generic: Acetaminophen 120 mg and codeine phosphate 12 mg per 5 mL (118
mL) [BCF]
Tablet, Oral [C-III]:
Generic: Acetaminophen 300 mg and codeine phosphate 30 mg [BCF]
Tablet, Oral, as hydrochloride:
Generic: 200 mg [BCF]
Amitriptyline
Outpatient Dosage Forms
AcetaZOLAMIDE
Tablet, Oral, as hydrochloride:
Generic: 10 mg [BCF], 25 mg [BCF], 50 mg [BCF]
Outpatient Dosage Forms
Tablet, Oral:
Generic: 250 mg
AmLODIPine
Outpatient Dosage Forms
Acetic Acid and Hydrocortisone
Tablet, Oral:
Generic: 2.5 mg [BCF], 5 mg [BCF], 10 mg [BCF]
Outpatient Dosage Forms
Solution, Otic [drops]:
Generic: Acetic acid 2% and hydrocortisone 1% (10 mL)
Amlodipine and Benazepril
Outpatient Dosage Forms
Acyclovir (Systemic)
Capsule, 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]
Outpatient Dosage Forms
Capsule, Oral:
Generic: 200 mg [BCF]
Tablet, Oral:
Generic: 800 mg [BCF]
Adalimumab
Amoxicillin
Outpatient Dosage Forms
Kit, Subcutaneous [preservative free]:
Humira: 20 mg/0.4 mL, 40 mg/0.8 mL [contains polysorbate 80] [BCF]
Humira Pen: 40 mg/0.8 mL [contains polysorbate 80] [BCF]
Prefilled Syringe Kit, Subcutaneous [preservative free]:
Humira: 10 mg/0.2 mL (1 ea) [contains polysorbate 80] [BCF]
Outpatient Dosage Forms
Capsule, Oral:
Generic: 250 mg [BCF], 500 mg [BCF]
Suspension Reconstituted, Oral:
Generic: 250 mg/5 mL (150 mL) [BCF]; 400 mg/5 mL (100 mL) [BCF]
Tablet, Oral:
Generic: 875 mg
Adapalene
Outpatient Dosage Forms
Cream, External:
Generic: 0.1% (45 g)
Gel, External:
Generic: 0.1% (45 g)
Amoxicillin and Clavulanate
Outpatient Dosage Forms
Powder for Suspension, Oral:
Generic: 400: Amoxicillin 400 mg and clavulanate potassium 57 mg per 5 mL
(100 mL) [BCF]
Generic: 600: Amoxicillin 600 mg and clavulanate potassium 42.9 mg per 5 mL
(125 mL) [BCF]
Tablet, Oral:
Generic: 250: Amoxicillin 250 mg and clavulanate potassium 125 mg [BCF]
Generic: 500: Amoxicillin 500 mg and clavulanate potassium 125 mg [BCF]
Generic: 875: Amoxicillin 875 mg and clavulanate potassium 125 mg [BCF]
Adapalene and Benzoyl Peroxide
Outpatient Dosage Forms
Gel, External:
Epiduo: Adapalene 0.1% and benzoyl peroxide 2.5% (45 g)
Albiglutide
Outpatient Dosage Forms
Pen-injector, Subcutaneous [preservative free]:
Tanzeum: 30 mg (1 ea); 50 mg (1 ea) [contains polysorbate 80]
Antipyrine and Benzocaine
Outpatient Dosage Forms
Albuterol
Solution, Otic [drops]:
Generic: Antipyrine 5.4% and benzocaine 1.4% (10 mL, 15 mL) [BCF]
Outpatient Dosage Forms
Aerosol Solution, Inhalation:
ProAir HFA: 108 (90 Base) mcg/actuation (8.5 g) [BCF]
Nebulization Solution, Inhalation:
Generic: 0.083% [2.5 mg/3 mL] (60s) [BCF]; 0.5% [100 mg/20 mL] (1s)
Syrup, Oral
Generic: 2 mg/5 mL (473 mL)
Apixaban
Outpatient Dosage Forms
Tablet, Oral:
Eliquis: 2.5 mg, 5 mg
ARIPiprazole
Outpatient Dosage Forms
Alendronate
Tablet, Oral:
Abilify: 2 mg, 5 mg, 10 mg, 20 mg, 30 mg
Outpatient Dosage Forms
Tablet, Oral:
Generic: 5 mg [BCF], 10 mg [BCF], 35 mg [BCF], 70 mg [BCF]
Artificial Tears
Alfuzosin
Outpatient Dosage Forms
Solution, Ophthalmic:
FreshKote: Polyvinyl pyrrolidone 2% and polyvinyl alcohol 2.7% (15 mL)
Generic: 15 mL
Outpatient Dosage Forms
Tablet Extended Release 24 Hour, Oral, as hydrochloride:
Generic: 10 mg [BCF]
Aspirin
Allopurinol
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, Enteric Coated, Oral:
Generic: 81 mg
Tablet, Oral, as sodium:
Generic: 100 mg [BCF], 300 mg [BCF]
Atenolol
ALPRAZolam
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, Oral:
Generic: 25 mg [BCF], 50 mg [BCF]
Tablet, Oral:
Generic: 0.25 mg, 0.5 mg, 1 mg
2
CARBAMAZEPINE
AtoMOXetine
Betaxolol (Ophthalmic)
Outpatient Dosage Forms
Outpatient Dosage Forms
Suspension, Ophthalmic:
Betoptic-S: 0.25% (10 mL)
Capsule, Oral:
Strattera: 18 mg, 25 mg, 40 mg, 60 mg
Bimatoprost
AtorvaSTATin
Outpatient Dosage Forms
Outpatient Dosage Forms
Solution, Ophthalmic:
Lumigan: 0.01% (5 mL) [contains benzalkonium chloride]
Tablet, Oral:
Generic: 10 mg [BCF], 20 mg [BCF], 40 mg [BCF], 80 mg [BCF]
Bisacodyl
Atovaquone and Proguanil
Outpatient Dosage Forms
Outpatient Dosage Forms
Suppository, Rectal:
Generic: 10 mg (12s)
Tablet, Oral:
Generic: 5 mg
Tablet, Oral:
Generic: Atovaquone 250 mg and proguanil hydrochloride 100 mg
Atropine (Ophthalmic)
Outpatient Dosage Forms
Bismuth Subsalicylate
Solution, Ophthalmic, as sulfate:
Generic: 1% (5 mL)
Outpatient Dosage Forms
Tablet Chewable, Oral, as subsalicylate:
Generic: 262 mg
AzaTHIOprine
Outpatient Dosage Forms
Brimonidine and Timolol
Tablet, Oral:
Generic: 50 mg
Outpatient Dosage Forms
Solution, Ophthalmic:
Combigan: Brimonidine tartrate 0.2% and timolol 0.5% [contains benzalkonium
chloride]
Azithromycin (Systemic)
Outpatient Dosage Forms
Brimonidine (Ophthalmic)
Packet, Oral, as dihydrate [strength expressed as base]:
Generic: 1 g [BCF]
Suspension Reconstituted, Oral [strength expressed as base]:
Generic: 100 mg/5 mL (15 mL) [BCF]; 200 mg/5 mL (22 mL)
Tablet, Oral [strength expressed as base]:
Generic: 250 mg [BCF], 500 mg [BCF]
Tablet, Oral, as dihydrate [strength expressed as base]:
Generic: 250 mg (6 tablet z-pack) [BCF], 500 mg (tri-pack) [BCF]
Outpatient Dosage Forms
Solution, Ophthalmic, as tartrate:
Generic: 0.1% (5 mL); 0.15% (10 mL) [BCF]
Bromocriptine
Outpatient Dosage Forms
Tablet, Oral:
Generic: 2.5 mg
Bacitracin and Polymyxin B (Ophthalmic)
Brompheniramine and Pseudoephedrine
Outpatient Dosage Forms
Outpatient Dosage Forms
Ointment, Ophthalmic:
Generic: Bacitracin 500 units and polymyxin B 10,000 units per g (3.5 g)
Syrup, Oral:
Generic: Brompheniramine [as maleate] 1 mg/5 mL and pseudoephedrine [as
hydrochloride] 15 mg/5 mL (118 mL) [grape flavor]
Bacitracin, Neomycin, and Polymyxin B (Ophthalmic)
Outpatient Dosage Forms
Budesonide (Oral Inhalation)
Ointment, Ophthalmic:
Generic: Bacitracin 400 units, neomycin 5 mg, and polymyxin B 10,000 units
per g (3.5 g) [BCF]
Outpatient Dosage Forms
Suspension, Inhalation:
Generic: 0.25 mg/2 mL (2 mL); 0.5 mg/2 mL (2 mL)
Bacitracin, Neomycin, Polymyxin B, and Hydrocortisone
(Ophthalmic)
BuPROPion
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, Oral, as hydrochloride:
Generic: 100 mg [BCF]
Tablet Extended Release 12 Hour, Oral, as hydrochloride:
Generic: 100 mg [BCF], 150 mg [BCF]
Tablet Extended Release 24 Hour, Oral, as hydrochloride:
Generic: 150 mg [BCF], 300 mg [BCF]
Ointment, Ophthalmic:
Generic: Bacitracin 400 units, neomycin 3.5 mg, polymyxin B 10,000 units, and
hydrocortisone 10 mg per g (3.5 g)
Bacitracin (Topical)
Outpatient Dosage Forms
BusPIRone
Ointment, External, as zinc [strength expressed as base]:
Generic: 500 units/g (15 g)
Outpatient Dosage Forms
Tablet, Oral, as hydrochloride:
Generic: 10 mg [BCF], 15 mg [BCF]
Baclofen
Outpatient Dosage Forms
Butalbital, Acetaminophen, and Caffeine
Tablet, Oral:
Generic: 10 mg
Outpatient Dosage Forms
Tablet, Oral:
Generic: Butalbital 50 mg, acetaminophen 325 mg, and caffeine 40 mg [BCF]
Benzonatate
Outpatient Dosage Forms
Butalbital, Aspirin, and Caffeine
Capsule, Oral:
Generic: 100 mg
Outpatient Dosage Forms
Capsule, Oral:
Generic: Butalbital 50 mg, aspirin 325 mg, and caffeine 40 mg
Benzoyl Peroxide
Outpatient Dosage Forms
Calcium and Vitamin D
Gel, External:
Generic: 10% (42.5 g)
Liquid, External:
PanOxyl-4 Creamy Wash: 4% (170.1 g) [contains cetearyl alcohol, methylparaben]
Outpatient Dosage Forms
Tablet, Oral:
Generic: Calcium 500 mg and vitamin D 200 units
Captopril
Outpatient Dosage Forms
Benztropine
Tablet, Oral:
Generic: 25 mg [BCF], 50 mg [BCF]
Outpatient Dosage Forms
Tablet, Oral, as mesylate:
Generic: 0.5 mg [BCF], 2 mg [BCF]
CarBAMazepine
Outpatient Dosage Forms
Betamethasone and Clotrimazole
Tablet, Oral:
Generic: 200 mg [BCF]
Tablet, Chewable, Oral:
Generic: 100 mg [BCF]
Outpatient Dosage Forms
Cream, External:
Generic: Betamethasone dipropionate 0.05% (base) and clotrimazole 1%
3
CARBAMIDE PEROXIDE
Carbamide Peroxide
ChlorproMAZINE
Outpatient Dosage Forms
Outpatient Dosage Forms
Solution, Otic:
Generic: 6.5% (15 mL)
Tablet, Oral, as hydrochloride:
Generic: 25 mg
Carbidopa and Levodopa
Chlorthalidone
Outpatient Dosage Forms
Tablet, Oral:
Generic: 10/100: Carbidopa 10 mg
Generic: 25/100: Carbidopa 25 mg
Generic: 25/250: Carbidopa 25 mg
Tablet, Sustained Release, Oral:
Generic: 25/100: Carbidopa 25 mg
Generic: 50/200: Carbidopa 50 mg
Outpatient Dosage Forms
Tablet, Oral:
Generic: 25 mg [BCF], 50 mg [BCF]
and levodopa 100 mg [scored] [BCF]
and levodopa 100 mg [scored] [BCF]
and levodopa 250 mg [scored] [BCF]
Chlorzoxazone
Outpatient Dosage Forms
Tablet, Oral:
Generic: 500 mg
and levodopa 100 mg
and levodopa 200 mg
Cholecalciferol
Carboxymethylcellulose
Outpatient Dosage Forms
Outpatient Dosage Forms
Capsule, Oral:
Generic: 50,000 units
Solution, Ophthalmic, as sodium [preservative free]:
Refresh Celluvisc: 1% (30 ea)
Refresh Plus: 0.5% (30 ea)
Ciprofloxacin and Dexamethasone
Carvedilol
Outpatient Dosage Forms
Outpatient Dosage Forms
Suspension, Otic:
Ciprodex: Ciprofloxacin 0.3% and dexamethasone 0.1% (7.5 mL) [contains
benzalkonium chloride]
Capsule 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], 25 mg [BCF]
Ciprofloxacin (Ophthalmic)
Outpatient Dosage Forms
Cefadroxil
Solution, Ophthalmic, as hydrochloride:
Generic: 0.3% (5 mL)
Outpatient Dosage Forms
Suspension Reconstituted, Oral, as monohydrate [strength expressed as base]:
Generic: 250 mg/5 mL (100 mL)
Ciprofloxacin (Systemic)
Outpatient Dosage Forms
Cefdinir
Tablet, Oral, as hydrochloride [strength expressed as base]:
Generic: 250 mg [BCF], 500 mg [BCF], 750 mg [BCF]
Outpatient Dosage Forms
Capsule, Oral:
Generic: 300 mg
Suspension Reconstituted, Oral:
Generic: 125 mg/5 mL (60 mL, 100 mL); 250 mg/5 mL (60 mL, 100 mL)
Citalopram
Outpatient Dosage Forms
Tablet, Oral:
Generic: 10 mg [BCF], 20 mg [BCF], 40 mg [BCF]
Cefprozil
Clarithromycin
Outpatient Dosage Forms
Suspension Reconstituted, Oral:
Generic: 250 mg/5 mL (75 mL, 100 mL)
Outpatient Dosage Forms
Tablet, Oral:
Generic: 500 mg
Cefuroxime
Clidinium and Chlordiazepoxide
Outpatient Dosage Forms
Tablet, Oral:
Generic: 250 mg
Outpatient Dosage Forms
Capsule, Oral:
Generic: Clidinium bromide 2.5 mg and chlordiazepoxide hydrochloride 5 mg
Celecoxib
Clindamycin and Benzoyl Peroxide
Outpatient Dosage Forms
Capsule, Oral:
CeleBREX: 100 mg, 200 mg
Outpatient Dosage Forms
Gel, External:
BenzaClin: Clindamycin 1% and benzoyl peroxide 5% (25 g)
Generic: Clindamycin 1% and benzoyl peroxide 5% (25 g)
Cephalexin
Outpatient Dosage Forms
Clindamycin (Systemic)
Capsule, Oral:
Generic: 250 mg [BCF], 500 mg [BCF]
Suspension Reconstituted, Oral:
Generic: 250 mg/5 mL (100 mL) [BCF]
Outpatient Dosage Forms
Capsule, Oral, as hydrochloride [strength expressed as base]:
Generic: 150 mg [BCF]
Solution Reconstituted, Oral, as palmitate hydrochloride [strength expressed as
base]:
Generic: 75 mg/5 mL (100 mL)
Cetirizine
Outpatient Dosage Forms
Syrup, Oral, as hydrochloride:
Generic: 5 mg/5 mL (118 mL)
Tablet, Oral, as hydrochloride:
Generic: 10 mg
Clindamycin (Topical)
Outpatient Dosage Forms
Cream, Vaginal, as phosphate [strength expressed as base]:
Generic: 2% (40 g) [BCF]
Gel, External, as phosphate [strength expressed as base]:
Generic: 1% (30 g, 60 g)
Lotion, External, as phosphate [strength expressed as base]:
Generic: 1% (60 mL)
Solution, External, as phosphate [strength expressed as base]:
Generic: 1% (60 mL) [BCF]
ChlordiazePOXIDE
Outpatient Dosage Forms
Capsule, Oral, as hydrochloride:
Generic: 10 mg
Chlorhexidine Gluconate
Outpatient Dosage Forms
Solution, Mouth/Throat:
Generic: 0.12% (473 mL) [BCF]
Clobetasol
Outpatient Dosage Forms
Chloroquine
Cream, External, as propionate:
Generic: 0.05% (15 g) [BCF]
Ointment, External, as propionate:
Generic: 0.05% (15 g) [BCF]
Outpatient Dosage Forms
Tablet, Oral, as phosphate:
Generic: 500 mg [equivalent to chloroquine base 300 mg]
ClomiPHENE
Chlorpheniramine
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, Oral, as citrate:
Generic: 50 mg
Tablet, Oral, as maleate:
Generic: 4 mg
4
DICLOFENAC (TOPICAL)
ClonazePAM
Dexamethasone (Systemic)
Outpatient Dosage Forms
Outpatient Dosage Forms
Concentrate, Oral:
Dexamethasone Intensol: 1 mg/mL (30 mL) [contains alcohol, usp; unflavored
flavor]
Tablet, Oral:
Generic: 0.5 mg, 4 mg
Tablet, Oral:
Generic: 0.5 mg [BCF], 1 mg
CloNIDine
Outpatient Dosage Forms
Tablet, Oral, as hydrochloride:
Generic: 0.1 mg [BCF], 0.2 mg [BCF]
Dextroamphetamine
Outpatient Dosage Forms
Clopidogrel
Capsule Extended Release 24 Hour, Oral, as sulfate:
Generic: 10 mg
Tablet, Oral, as sulfate:
Generic: 5 mg
Outpatient Dosage Forms
Tablet, Oral:
Generic: 75 mg [BCF]
Clotrimazole (Topical)
Dextroamphetamine and Amphetamine
Outpatient Dosage Forms
Outpatient Dosage Forms
Cream, External:
Generic: 1% (30 g)
Cream, Vaginal:
Generic: 1% (45 g)
Capsule, Extended release, Oral:
Generic: 5 mg [dextroamphetamine sulfate 1.25 mg, dextroamphetamine saccharate 1.25 mg, amphetamine aspartate monohydrate 1.25 mg, amphetamine sulfate 1.25 mg (equivalent to amphetamine base 3.1 mg)] [BCF]
Generic: 10 mg [dextroamphetamine sulfate 2.5 mg, dextroamphetamine saccharate 2.5 mg, amphetamine aspartate monohydrate 2.5 mg, amphetamine
sulfate 2.5 mg (equivalent to amphetamine base 6.3 mg)] [BCF]
Generic: 15 mg [dextroamphetamine sulfate 3.75 mg, dextroamphetamine
saccharate 3.75 mg, amphetamine aspartate monohydrate 3.75 mg, amphetamine sulfate 3.75 mg (equivalent to amphetamine base 9.4 mg)] [BCF]
Generic: 20 mg [dextroamphetamine sulfate 5 mg, dextroamphetamine saccharate 5 mg, amphetamine aspartate monohydrate 5 mg, amphetamine
sulfate 5 mg (equivalent to amphetamine base 12.5 mg)] [BCF]
Generic: 25 mg [dextroamphetamine sulfate 6.25 mg, dextroamphetamine
saccharate 6.25 mg, amphetamine aspartate monohydrate 6.25 mg, amphetamine sulfate 6.25 mg (equivalent to amphetamine base 15.6 mg)] [BCF]
Generic: 30 mg [dextroamphetamine sulfate 7.5 mg, dextroamphetamine saccharate 7.5 mg, amphetamine aspartate monohydrate 7.5 mg, amphetamine
sulfate 7.5 mg (equivalent to amphetamine base 18.8 mg)] [BCF]
Tablet, oral:
Generic: 5 mg [dextroamphetamine sulfate 1.25 mg, dextroamphetamine saccharate 1.25 mg, amphetamine aspartate monohydrate 1.25 mg, amphetamine sulfate 1.25 mg (equivalent to amphetamine base 3.13 mg)]
Generic: 10 mg [dextroamphetamine sulfate 2.5 mg, dextroamphetamine saccharate 2.5 mg, amphetamine aspartate monohydrate 2.5 mg, amphetamine
sulfate 2.5 mg (equivalent to amphetamine base 6.3 mg)]
Generic: 15 mg [dextroamphetamine sulfate 3.75 mg, dextroamphetamine
saccharate 3.75 mg, amphetamine aspartate monohydrate 3.75 mg, amphetamine sulfate 3.75 mg (equivalent to amphetamine base 9.4 mg)]
Generic: 20 mg [dextroamphetamine sulfate 5 mg, dextroamphetamine saccharate 5 mg, amphetamine aspartate monohydrate 5 mg, amphetamine
sulfate 5 mg (equivalent to amphetamine base 12.6 mg)]
Codeine
Outpatient Dosage Forms
Tablet, Oral, as sulfate:
Generic: 30 mg
Colchicine
Outpatient Dosage Forms
Tablet, Oral:
Colcrys: 0.6 mg [scored]
Colestipol
Outpatient Dosage Forms
Tablet, Oral, as hydrochloride:
Generic: 1 g
Cromolyn (Oral Inhalation)
Outpatient Dosage Forms
Nebulization Solution, Inhalation, as sodium:
Generic: 20 mg/2 mL (2 mL)
Cyanocobalamin
Outpatient Dosage Forms
Solution, Injection:
Generic: 1000 mcg/mL (1 mL)
Cyclobenzaprine
Outpatient Dosage Forms
Tablet, Oral, as hydrochloride:
Generic: 5 mg, 10 mg [BCF]
Diabetic Supplies
Cyclopentolate
Outpatient Dosage Forms
Glucose Meter:
FreeStyle Freedom Lite Blood Glucose Monitoring System
Lancet:
Generic: 100/box
Syringe and needle:
BD™ Syringe 0.5 mL
BD™ Syringe 1 mL
NovoFine Pen Needle (30 gauge - 8 mm)
Test Strips:
FreeStyle Lite Test Strips: 50/box [BCF]
Precision Xtra: 50/box [carried only until manufacturer stops making them]
Outpatient Dosage Forms
Solution, Ophthalmic, as hydrochloride:
Generic: 1% (15 mL)
CycloSPORINE (Ophthalmic)
Outpatient Dosage Forms
Emulsion, Ophthalmic [preservative free]:
Restasis: 0.05% (1 ea) [contains polysorbate 80]
Cyproheptadine
Outpatient Dosage Forms
Tablet, Oral, as hydrochloride:
Generic: 4 mg [BCF]
DiazePAM
Outpatient Dosage Forms
Dabigatran Etexilate
Gel, Rectal [kit]:
Generic: 10 mg (1 ea)
Tablet, Oral:
Generic: 5 mg [BCF]
Outpatient Dosage Forms
Capsule, Oral:
Pradaxa: 75 mg, 150 mg
Desmopressin
Diclofenac (Ophthalmic)
Outpatient Dosage Forms
Outpatient Dosage Forms
Solution, Nasal, as acetate:
Generic: 0.01% (5 mL)
Solution, Ophthalmic, as sodium:
Generic: 0.1% (5 mL)
Desonide
Diclofenac (Systemic)
Outpatient Dosage Forms
Outpatient Dosage Forms
Cream, External:
Generic: 0.05% (60 g)
Ointment, External:
Generic: 0.05% (60 g)
Tablet, Oral, as potassium:
Generic: 50 mg
Tablet Delayed Release, Oral, as sodium:
Generic: 75 mg
Dexamethasone (Ophthalmic)
Diclofenac (Topical)
Outpatient Dosage Forms
Outpatient Dosage Forms
Solution, Ophthalmic, as phosphate:
Generic: 0.1% (5 mL)
Gel, Transdermal, as sodium:
Voltaren: 1% (100 g) [contains isopropyl alcohol, propylene glycol]
5
DICLOXACILLIN
Dicloxacillin
Emollients
Outpatient Dosage Forms
Outpatient Dosage Forms
Capsule, Oral:
Generic: 250 mg [BCF]
Ointment, External:
Absorbase: (114 g, 454 g)
Dicyclomine
Enalapril
Outpatient Dosage Forms
Outpatient Dosage Forms
Capsule, Oral, as hydrochloride:
Generic: 10 mg [BCF]
Tablet, Oral, as hydrochloride:
Generic: 20 mg [BCF]
Tablet, Oral, as maleate:
Generic: 2.5 mg, 5 mg, 10 mg, 20 mg
Enoxaparin
Outpatient Dosage Forms
Difluprednate
Solution, 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]
Outpatient Dosage Forms
Emulsion, Ophthalmic:
Durezol: 0.05% (5 mL) [contains edetate sodium (tetrasodium), polysorbate 80]
Digoxin
EPINEPHrine (Systemic)
Outpatient Dosage Forms
Outpatient Dosage Forms
Solution, Oral:
Generic: 0.05 mg/mL (60 mL)
Tablet, Oral:
Generic: 0.125 mg [BCF], 0.25 mg [BCF]
Device, 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]
Generic: 0.3 mg/0.3 mL (1 ea)
DilTIAZem
Ergocalciferol
Outpatient Dosage Forms
Outpatient Dosage Forms
Capsule Extended Release 24 Hour, Oral, as hydrochloride:
Generic: 120 mg [BCF], 180 mg [BCF], 240 mg [BCF], 300 mg [BCF],
360 mg [BCF]
Tablet, Oral, as hydrochloride:
Generic: 60 mg
Capsule, Oral:
Generic: 50,000 units
Erythromycin (Ophthalmic)
Outpatient Dosage Forms
DiphenhydrAMINE (Systemic)
Ointment, Ophthalmic:
Generic: 5 mg/g (1 g, 3.5 g) [BCF]
Outpatient Dosage Forms
Capsule, Oral, as hydrochloride:
Generic: 25 mg
Solution, Oral, as hydrochloride:
Generic: 12.5 mg/5 mL (118 mL)
Erythromycin (Systemic)
Outpatient Dosage Forms
Powder for suspension, oral, as ethylsuccinate:
EryPed®: 200 mg/5 mL (100 mL) [contains sodium 117.5 mg (5.1 mEq)/5 mL;
fruit flavor] [BCF]
Tablet, Oral, as base:
Generic: 250 mg
Tablet, Oral, as ethylsuccinate:
Generic: Erythromycin activity 400 mg
Diphenoxylate and Atropine
Outpatient Dosage Forms
Tablet, Oral
Generic: Diphenoxylate hydrochloride 2.5 mg and atropine sulfate 0.025 mg
Dipyridamole
Outpatient Dosage Forms
Escitalopram
Tablet, Oral:
Generic: 25 mg, 75 mg
Outpatient Dosage Forms
Tablet, Oral:
Generic: 10 mg, 20 mg
Docosanol
Outpatient Dosage Forms
Esomeprazole
Cream, External:
Abreva: 10% (2 g) [contains benzyl alcohol]
Outpatient Dosage Forms
Capsule Delayed Release, Oral, as magnesium [strength expressed as base]:
NexIUM: 20 mg [BCF], 40 mg [BCF]
Docusate
Outpatient Dosage Forms
Estradiol (Systemic)
Capsule, Oral, as sodium:
Generic: 100 mg
Outpatient Dosage Forms
Patch Weekly, Transdermal:
Generic: 0.025 mg/24 hours (4 ea) [BCF]; 0.0375 mg/24 hours (4 ea) [BCF];
0.05 mg/24 hours (4 ea) [BCF]; 0.1 mg/24 hours (4 ea) [BCF]
Tablet, Oral:
Generic: 1 mg
Donepezil
Outpatient Dosage Forms
Tablet, Oral, as hydrochloride:
Generic: 5 mg, 10 mg
Dorzolamide
Estradiol (Topical)
Outpatient Dosage Forms
Outpatient Dosage Forms
Solution, Ophthalmic:
Generic: 2% (10 mL)
Cream, Vaginal:
Estrace: 0.1 mg/g (42.5 g)
Tablet, Vaginal, as base:
Vagifem: 10 mcg
Dorzolamide and Timolol
Outpatient Dosage Forms
Solution, Ophthalmic [drops]:
Generic: Dorzolamide 2% and timolol 0.5% (10 mL)
Estrogens (Conjugated/Equine) and Medroxyprogesterone
Outpatient Dosage Forms
Doxepin (Systemic)
Tablet, Oral:
Prempro: 0.3/1.5: Conjugated estrogens 0.3 mg and medroxyprogesterone
acetate 1.5 mg [BCF]
Prempro: 0.45/1.5: Conjugated estrogens 0.45 mg and medroxyprogesterone
acetate 1.5 mg [BCF]
Prempro: 0.625/2.5: Conjugated estrogens 0.625 mg and medroxyprogesterone acetate 2.5 mg [BCF]
Prempro: 0.625/5: Conjugated estrogens 0.625 mg and medroxyprogesterone
acetate 5 mg [BCF]
Outpatient Dosage Forms
Capsule, Oral:
Generic: 25 mg [BCF]
Doxycycline
Outpatient Dosage Forms
Capsule, Oral, as hyclate [strength expressed as base]:
Generic: 50 mg
Tablet, Oral, as hyclate [strength expressed as base]:
Generic: 100 mg [BCF]
Estrogens (Conjugated/Equine, Systemic)
DULoxetine
Outpatient Dosage Forms
Tablet, Oral:
Premarin: 0.3 mg [BCF], 0.45 mg [BCF], 0.625 mg [BCF], 0.9 mg,
1.25 mg [BCF]
Outpatient Dosage Forms
Capsule Delayed Release Particles, Oral:
Generic: 20 mg, 30 mg, 60 mg
6
FLUOCINOLONE (TOPICAL)
Tablet, Oral [triphasic formulation]:
Ortho-Novum® 7/7/7:
Day 1-7: Ethinyl estradiol 0.035 mg and norethindrone 0.5 mg [7 white
tablets]
Day 8-14: Ethinyl estradiol 0.035 mg and norethindrone 0.75 mg [7 light
peach tablets]
Day 15-21: Ethinyl estradiol 0.035 mg and norethindrone 1 mg [7 peach
tablets]
Day 22-28: 7 green inactive tablets (28s)
Estrogens (Conjugated/Equine, Topical)
Outpatient Dosage Forms
Cream, Vaginal:
Premarin: 0.625 mg/g (30 g) [BCF]
Estrogens (Esterified) and Methyltestosterone
Outpatient Dosage Forms
Tablet, Oral:
Generic: Esterified estrogen 0.625 mg and methyltestosterone 1.25 mg
Eszopiclone
Ethinyl Estradiol and Norgestimate
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, Oral:
Lunesta: 1 mg, 2 mg, 3 mg
Tablet, Oral [monophasic formulation]:
Ortho-Cyclen: Ethinyl estradiol 0.035 mg and norgestimate 0.25 mg [21 blue
tablets and 7 dark green inactive tablets] (28s) [BCF]
Tablet, Oral [triphasic formulation]:
Ortho Tri-Cyclen [BCF]:
Day 1-7: Ethinyl estradiol 0.035 mg and norgestimate 0.18 mg [7 white
tablets]
Day 8-14: Ethinyl estradiol 0.035 mg and norgestimate 0.215 mg [7 light blue
tablets]
Day 15-21: Ethinyl estradiol 0.035 mg and norgestimate 0.25 mg [7 blue
tablets]
Day 22-28: 7 dark green inactive tablets (28s)
Ortho Tri-Cyclen Lo [BCF]:
Day 1-7: Ethinyl estradiol 0.025 mg and norgestimate 0.18 mg [7 white
tablets]
Day 8-14: Ethinyl estradiol 0.025 mg and norgestimate 0.215 mg [7 light blue
tablets]
Day 15-21: Ethinyl estradiol 0.025 mg and norgestimate 0.25 mg [7 dark blue
tablets]
Day 22-28: 7 dark green inactive tablets
Ethambutol
Outpatient Dosage Forms
Tablet, Oral, as hydrochloride:
Generic: 400 mg [BCF]
Ethinyl Estradiol and Desogestrel
Outpatient Dosage Forms
Tablet, Oral [low dose formulation]:
Azurette:
Day 1-21: Ethinyl estradiol 0.02 mg and desogestrel 0.15 mg [21 white
tablets]
Day 22-23: 2 inactive green tablets
Day 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 light
orange tablets and 7 green inactive tablets] (28s)
Ethinyl Estradiol and Drospirenone
Outpatient Dosage Forms
Tablet, Oral:
Ocella: Ethinyl estradiol 0.03 mg and drospirenone 3 mg [21 yellow active
tablets and 7 white inactive tablets] (28s) [BCF]
Yasmin: Ethinyl estradiol 0.03 mg and drospirenone 3 mg [21 yellow active
tablets and 7 white inactive tablets] (28s) [BCF]
Yaz: Ethinyl estradiol 0.02 mg and drospirenone 3 mg [24 light pink active
tablets and 4 white inactive tablets] (28s) [BCF]
Ethinyl Estradiol and Norgestrel
Outpatient Dosage Forms
Tablet, Oral [monophasic formulation]:
Generic: Ethinyl estradiol 0.03 mg and norgestrel 0.3 mg [21 tablets and 7
inactive tablets] (28s)
Ezetimibe
Ethinyl Estradiol and Ethynodiol Diacetate
Outpatient Dosage Forms
Tablet, Oral:
Zetia: 10 mg
Outpatient Dosage Forms
Tablet, Oral [monophasic formulation]:
Kelnor 1/35: Ethinyl estradiol 0.035 mg and ethynodiol diacetate 1 mg [21 light
yellow tablets and 7 white inactive tablets] (28s)
Zovia 1/35-28: Ethinyl estradiol 0.035 mg and ethynodiol diacetate 1 mg [21
light pink tablets and 7 white inactive tablets] (28s)
Felodipine
Outpatient Dosage Forms
Tablet Extended Release 24 Hour, Oral:
Generic: 2.5 mg, 5 mg, 10 mg
Ethinyl Estradiol and Etonogestrel
Fenofibrate and Derivatives
Outpatient Dosage Forms
Ring, Vaginal:
NuvaRing: Ethinyl estradiol 0.015 mg/day and etonogestrel 0.12 mg/day (3s)
[3-week duration]
Outpatient Dosage Forms
Tablet, Oral, as fenofibrate:
Generic: 48 mg [BCF], 145 mg [BCF]
Ethinyl Estradiol and Levonorgestrel
Ferrous Sulfate
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, Oral [extended cycle regimen]:
Alesse: Ethinyl estradiol 0.02 mg and levonorgestrel 0.1 mg
Jolessa: Ethinyl estradiol 0.03 mg and levonorgestrel 0.15 mg (91s) [84 pink
tablets and 7 white inactive tablets] [BCF]
Tablet, Oral [triphasic formulation]:
Trivora:
Day 1-6: Ethinyl estradiol 0.03 mg and levonorgestrel 0.05 mg [6 blue tablets]
Day 7-11: Ethinyl estradiol 0.04 mg and levonorgestrel 0.075 mg [5 white
tablets]
Day 12-21: Ethinyl estradiol 0.03 mg and levonorgestrel 0.125 mg [10 pink
tablets]
Day 22-28: 7 peach inactive tablets (28s)
Solution, Oral:
Generic: 75 mg/0.6 mL (50 mL) [elemental iron 15 mg/0.6 mL]
Tablet, Oral:
Generic: 325 mg [elemental iron 65 mg]
Fexofenadine
Outpatient Dosage Forms
Tablet, Oral, as hydrochloride:
Generic: 60 mg, 180 mg
Finasteride
Outpatient Dosage Forms
Tablet, Oral:
Generic: 5 mg [BCF]
Ethinyl Estradiol and Norelgestromin
Outpatient Dosage Forms
Patch, Transdermal:
Ortho Evra: Ethinyl estradiol 0.75 mg and norelgestromin 6 mg [releases
ethinyl estradiol 20 mcg and norelgestromin 150 mcg per day] (1s, 3s)
Fluconazole
Outpatient Dosage Forms
Suspension Reconstituted, Oral:
Generic: 40 mg/mL (35 mL)
Tablet, Oral:
Generic: 100 mg, 150 mg [BCF], 200 mg
Ethinyl Estradiol and Norethindrone
Outpatient Dosage Forms
Tablet, Oral:
femhrt 0.5/2.5: Ethinyl estradiol 0.0025 mg and norethindrone acetate 0.5 mg
[white tablets] (28s)
Jinteli: Ethinyl estradiol 0.005 mg and norethindrone acetate 1 mg [white
tablets] (90s)
Loestrin Fe 1/20: Ethinyl estradiol 0.02 mg and norethindrone acetate 1 mg [21
light yellow tablets] and ferrous fumarate 75 mg [7 brown tablets] (28s)
Loestrin Fe 1.5/30: Ethinyl estradiol 0.03 mg and norethindrone acetate 1.5 mg
[21 pink tablets] and ferrous fumarate 75 mg [7 brown tablets] (28s)
Norinyl 1+35: Ethinyl estradiol 0.035 mg and norethindrone 1 mg (28s) [21
yellow-green tablets and 7 orange inactive tablets] [BCF]
Fludrocortisone
Outpatient Dosage Forms
Tablet, Oral, as acetate:
Generic: 0.1 mg
Fluocinolone (Topical)
Outpatient Dosage Forms
Solution, External, as acetonide:
Generic: 0.01% (60 mL)
7
FLUOCINONIDE
Fluocinonide
Gabapentin
Outpatient Dosage Forms
Outpatient Dosage Forms
Cream, External:
Generic: 0.05% (15 g) [BCF]
Ointment, External:
Generic: 0.05% (15 g) [BCF]
Capsule, Oral:
Generic: 100 mg [BCF], 300 mg [BCF], 400 mg [BCF]
Tablet, Oral:
Generic: 600 mg [BCF], 800 mg [BCF]
Fluoride
Ganciclovir (Ophthalmic)
Outpatient Dosage Forms
Outpatient Dosage Forms
Cream, Oral, as sodium [toothpaste]:
PreviDent 5000 Plus: 1.1% (51 g) [contains sodium benzoate; equivalent to
fluoride 2.5 mg/dose]
Gel, oral, as sodium [toothpaste]:
PreviDent 5000 Sensitive: 1.1% (100 mL) [mild mint flavor; equivalent to
fluoride 2.5 mg/dose]
Solution, Oral, as sodium [drops]:
Generic: 0.55 mg/drop (24 mL) [equivalent to fluoride 0.25 mg/drop]
Gel, Ophthalmic:
Zirgan: 0.15% (5 g) [contains benzalkonium chloride]
Gemfibrozil
Outpatient Dosage Forms
Tablet, Oral:
Generic: 600 mg [BCF]
Gentamicin (Ophthalmic)
Fluorometholone
Outpatient Dosage Forms
Outpatient Dosage Forms
Ointment, Ophthalmic:
Generic: 0.3% (3.5 g) [BCF]
Solution, Ophthalmic [drops]:
Generic: 0.3% (5 mL) [BCF]
Suspension, Ophthalmic, as acetate:
Flarex: 0.1% (5 mL)
Suspension, Ophthalmic, as base:
Generic: 0.1% (5 mL)
Glimepiride
Fluorouracil (Topical)
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, Oral:
Generic: 1 mg, 2 mg, 4 mg
Cream, External:
Generic: 5% (40 g)
GlipiZIDE
FLUoxetine
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, Oral:
Generic: 5 mg [BCF], 10 mg [BCF]
Tablet Extended Release 24 Hour, Oral:
Generic: 2.5 mg, 5 mg, 10 mg
Capsule, Oral:
Generic: 10 mg [BCF], 20 mg [BCF]
Fluticasone and Salmeterol
Outpatient Dosage Forms
Glucagon
Aerosol, for Oral Inhalation:
Advair HFA: 45/21: Fluticasone propionate 45 mcg and salmeterol 21 mcg per
inhalation (12 g) [chlorofluorocarbon free; 120 metered actuations] [BCF]
Advair HFA: 115/21: Fluticasone propionate 115 mcg and salmeterol 21 mcg
per inhalation (12 g) [chlorofluorocarbon free; 120 metered actuations] [BCF]
Advair HFA: 230/21: Fluticasone propionate 230 mcg and salmeterol 21 mcg
per inhalation (12 g) [chlorofluorocarbon free; 120 metered actuations] [BCF]
Powder, for Oral Inhalation:
Advair Diskus: 100/50: Fluticasone propionate 100 mcg and salmeterol 50 mcg
(14s, 60s) [contains lactose] [BCF]
Advair Diskus: 250/50: Fluticasone propionate 250 mcg and salmeterol 50 mcg
(14s, 60s) [contains lactose] [BCF]
Advair Diskus: 500/50: Fluticasone propionate 500 mcg and salmeterol 50 mcg
(14s, 60s) [contains lactose] [BCF]
Outpatient Dosage Forms
Kit, Injection:
Glucagon Emergency: 1 mg
GlyBURIDE
Outpatient Dosage Forms
Tablet, Oral:
Generic: 2.5 mg [BCF], 3 mg, 5 mg [BCF]
Glyburide and Metformin
Outpatient Dosage Forms
Tablet, Oral:
Generic: 1.25 mg/250 mg: Glyburide 1.25 mg and metformin hydrochloride
250 mg
Generic: 2.5 mg/500 mg: Glyburide 2.5 mg and metformin hydrochloride
500 mg
Generic: 5 mg/500 mg: Glyburide 5 mg and metformin hydrochloride 500 mg
Fluticasone (Nasal)
Outpatient Dosage Forms
Suspension, Nasal, as propionate:
Generic: 50 mcg/inhalation (16 g) [BCF]
Goserelin
Outpatient Dosage Forms
Fluticasone (Oral Inhalation)
Implant, Subcutaneous:
Zoladex: 3.6 mg (1s) [1 month implant] [BCF]
Zoladex: 10.8 mg (1s) [3 month implant] [BCF]
Outpatient Dosage Forms
Aerosol, Inhalation, as propionate:
Flovent HFA: 44 mcg/inhalation (10.6 g) [chlorofluorocarbon free; 120 metered
actuations] [BCF]
Flovent HFA: 110 mcg/inhalation (12 g) [chlorofluorocarbon free; 120 metered
actuations] [BCF]
Flovent HFA: 220 mcg/inhalation (12 g) [chlorofluorocarbon free; 120 metered
actuations] [BCF]
Aerosol Powder Breath Activated, Inhalation, as propionate:
Flovent Diskus: 50 mcg (60s) [contains lactose] [BCF]
Flovent Diskus: 100 mcg (60s) [contains lactose] [BCF]
Flovent Diskus: 250 mcg (60s) [contains lactose] [BCF]
Griseofulvin
Outpatient Dosage Forms
Suspension, Oral:
Generic: 125 mg/5 mL (120 mL) [BCF]
Tablet, Oral:
Generic: 125 mg [BCF]
GuaiFENesin
Outpatient Dosage Forms
Syrup, Oral:
Generic: 100 mg/5 mL (120 mL)
Tablet Extended Release 12 Hour, Oral:
Generic: 600 mg
Folic Acid
Outpatient Dosage Forms
Tablet, Oral:
Generic: 1 mg [BCF]
Guaifenesin and Codeine
Fosinopril
Outpatient Dosage Forms
Outpatient Dosage Forms
Solution, Oral:
Generic: Guaifenesin 100 mg and codeine phosphate 10 mg per 5 mL
(118 mL)
Tablet, Oral, as sodium:
Generic: 10 mg, 20 mg, 40 mg
Furosemide
Guaifenesin and Pseudoephedrine
Outpatient Dosage Forms
Outpatient Dosage Forms
Solution, Oral:
Generic: 10 mg/mL (120 mL) [BCF]
Tablet, Oral:
Generic: 20 mg [BCF], 40 mg [BCF], 80 mg
Tablet, Extended Release, Oral:
Mucinex D: Guaifenesin 600 mg and pseudoephedrine hydrochloride 60 mg
(20 ea)
8
IPRATROPIUM AND ALBUTEROL
Haloperidol
Ibuprofen
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, Oral:
Generic: 1 mg
Suspension, Oral:
Generic: 100 mg/5 mL (120 mL)
Tablet, Oral:
Generic: 400 mg [BCF], 600 mg [BCF], 800 mg [BCF]
Homatropine
Outpatient Dosage Forms
Imipramine
Solution, Ophthalmic, as hydrobromide:
Isopto Homatropine: 2% (5 mL)
Outpatient Dosage Forms
Tablet, Oral, as hydrochloride:
Generic: 10 mg [BCF], 25 mg [BCF]
HydrALAZINE
Outpatient Dosage Forms
Imiquimod
Tablet, Oral, as hydrochloride:
Generic: 10 mg [BCF], 25 mg [BCF], 50 mg [BCF], 100 mg
Outpatient Dosage Forms
Cream, External:
Generic: 5% (24 ea)
HydroCHLOROthiazide
Outpatient Dosage Forms
Indomethacin
Capsule, Oral:
Generic: 12.5 mg [BCF]
Tablet, Oral:
Generic: 25 mg [BCF], 50 mg [BCF]
Outpatient Dosage Forms
Capsule, Oral:
Generic: 25 mg [BCF], 50 mg [BCF]
Hydrochlorothiazide and Spironolactone
Inhalation Devices
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, Oral:
Generic: Hydrochlorothiazide 25 mg and spironolactone 25 mg
Holding chamber without mask:
EasiVent: One size
Mask:
EasiVent: Medium
Hydrochlorothiazide and Triamterene
Outpatient Dosage Forms
Insulin Aspart
Tablet, Oral:
Generic: Hydrochlorothiazide 25 mg and triamterene 37.5 mg [BCF]
Generic: Hydrochlorothiazide 50 mg and triamterene 75 mg [BCF]
Outpatient Dosage Forms
Solution, Subcutaneous:
NovoLOG: 100 units/mL (10 mL) [contains metacresol, phenol] [BCF]
NovoLOG FlexPen: 100 units/mL (3 mL) [contains metacresol, phenol] [BCF]
Hydrocodone and Acetaminophen
Outpatient Dosage Forms
Insulin Aspart Protamine and Insulin Aspart
Tablet, Oral:
Generic: Hydrocodone bitartrate 5 mg and acetaminophen 325 mg
Generic: Hydrocodone bitartrate 7.5 mg and acetaminophen 325 mg
Generic: Hydrocodone bitartrate 10 mg and acetaminophen 325 mg
Outpatient Dosage Forms
Suspension, Subcutaneous:
NovoLOG Mix 70/30 FlexPen: Insulin aspart protamine suspension 70%
[intermediate acting] and insulin aspart solution 30% [rapid-acting]: 100
units/mL (3 mL) [contains metacresol, phenol] [BCF]
Hydrocortisone (Systemic)
Outpatient Dosage Forms
Insulin Detemir
Tablet, Oral, as base:
Generic: 5 mg, 10 mg, 20 mg
Outpatient Dosage Forms
Solution Pen-injector, Subcutaneous:
Levemir FlexTouch: 100 units/mL (3 mL) [contains metacresol, phenol]
Hydrocortisone (Topical)
Outpatient Dosage Forms
Insulin Glargine
Cream, External, as base:
Anusol-HC: 2.5% (30 g) [contains benzyl alcohol] [BCF]
Generic: 1% (28.4 g); 2.5% (30 g) [BCF]
Cream, External, as valerate:
Generic: 0.2% (15 g, 45 g)
Ointment, External, as base:
Generic: 1% (28.4 g); 2.5% (20 g, 28.35 g, 453.6 g, 454 g)
Suppository, Rectal, as acetate:
Generic: 25 mg (12s) [BCF]
Outpatient Dosage Forms
Solution, Subcutaneous:
Lantus: 100 units/mL (10 mL) [contains metacresol] [BCF]
Solution Pen-injector, Subcutaneous:
Lantus SoloStar: 100 units/mL (3 mL) [contains metacresol] [BCF]
Toujeo SoloStar: 300 units/mL (1.5 mL) [contains metacresol]
Insulin Lispro
Outpatient Dosage Forms
Hydroxychloroquine
Solution, Subcutaneous:
HumaLOG KwikPen: 100 units/mL (3 mL) [prefilled pen; contains metacresol,
phenol]
Outpatient Dosage Forms
Tablet, Oral, as sulfate:
Generic: 200 mg
Insulin NPH
Hydroxypropyl Methylcellulose
Outpatient Dosage Forms
Outpatient Dosage Forms
Suspension, Subcutaneous:
NovoLIN N: 100 units/mL (10 mL) [contains metacresol, phenol] [BCF]
Gel, Ophthalmic [preservative free]:
GenTeal: 0.3% (10 mL)
Solution, Ophthalmic [drops, preservative free]:
GenTeal: 0.3% (15 mL)
Insulin NPH and Insulin Regular
Outpatient Dosage Forms
Suspension, Subcutaneous:
NovoLIN 70/30: Insulin NPH suspension 70% [intermediate acting] and insulin
regular solution 30% [short acting]: 100 units/mL (10 mL) [contains metacresol, phenol] [BCF]
HydrOXYzine
Outpatient Dosage Forms
Capsule, Oral, as pamoate:
Generic: 25 mg
Syrup, Oral, as hydrochloride:
Generic: 10 mg/5 mL (118 mL) [BCF]
Tablet, Oral, as hydrochloride:
Generic: 10 mg [BCF], 25 mg [BCF]
Insulin Regular
Outpatient Dosage Forms
Solution, Injection:
NovoLIN R: 100 units/mL (10 mL) [contains metacresol] [BCF]
Ipratropium and Albuterol
Hyoscyamine
Outpatient Dosage Forms
Outpatient Dosage Forms
Solution, for Nebulization:
Generic: Ipratropium bromide 0.5 mg and albuterol (base) 2.5 mg per 3 mL
(30s, 60s) [BCF]
Solution, for Oral Inhalation [spray]:
Combivent Respimat: Ipratropium bromide 20 mcg and albuterol (base) 100
mcg per inhalation (4 g) [contains benzalkonium chloride; 120 metered
actuations]
Tablet Sublingual, Oral, as sulfate:
Generic: 0.125 mg
Ibandronate
Outpatient Dosage Forms
Tablet, Oral:
Generic: 150 mg
9
IPRATROPIUM (NASAL)
Ipratropium (Nasal)
Levalbuterol
Outpatient Dosage Forms
Outpatient Dosage Forms
Solution, Nasal, as bromide:
Generic: 0.03% (30 mL); 0.06% (15 mL)
Nebulization Solution, Inhalation, as hydrochloride [strength expressed as base]:
Generic: 0.31 mg/3 mL (3 mL); 0.63 mg/3 mL (3 mL)
Ipratropium (Oral Inhalation)
Levobunolol
Outpatient Dosage Forms
Outpatient Dosage Forms
Aerosol Solution, Inhalation, as bromide:
Atrovent HFA: 17 mcg/actuation (12.9 g) [chlorofluorocarbon free; 200 metered
actuations] [BCF]
Solution, Inhalation, as bromide [preservative free]:
Generic: 0.02% (2.5 mL) [BCF]
Solution, Ophthalmic, as hydrochloride:
Generic: 0.5% (5 mL)
LevoFLOXacin (Systemic)
Outpatient Dosage Forms
Isoniazid
Tablet, Oral:
Generic: 250 mg [BCF], 500 mg [BCF], 750 mg [BCF]
Outpatient Dosage Forms
Tablet, Oral:
Generic: 100 mg [BCF], 300 mg [BCF]
Levonorgestrel (Systemic)
Outpatient Dosage Forms
Isosorbide Dinitrate
Tablet, Oral:
Generic: 1.5 mg
Outpatient Dosage Forms
Tablet, Oral:
Generic: 10 mg [BCF]
Tablet Extended Release, Oral:
Generic: 40 mg [BCF]
Levothyroxine
Outpatient Dosage Forms
Tablet, Oral, as sodium:
Synthroid: 25 mcg [BCF], 50 mcg [BCF], 75 mcg [BCF], 88 mcg [BCF], 100
mcg [BCF], 112 mcg [BCF], 125 mcg [BCF], 137 mcg [BCF], 150 mcg
[BCF], 175 mcg [BCF], 200 mcg [BCF], 300 mcg [BCF]
Isosorbide Mononitrate
Outpatient Dosage Forms
Tablet Extended Release 24 Hour, Oral:
Generic: 30 mg [BCF], 60 mg [BCF]
Lidocaine (Topical)
Ketoconazole (Systemic)
Outpatient Dosage Forms
Outpatient Dosage Forms
Gel, External, as hydrochloride:
Generic: 2% (30 mL)
Ointment, External:
Generic: 5% (30 g)
Patch, External:
Generic: 5% (30 ea)
Solution, Mouth/Throat, as hydrochloride:
Generic: 2% (100 mL)
Tablet, Oral:
Generic: 200 mg
Ketoconazole (Topical)
Outpatient Dosage Forms
Cream, External:
Generic: 2% (30 g)
Shampoo, External:
Generic: 2% (120 mL)
Liothyronine
Ketorolac (Ophthalmic)
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, Oral:
Generic: 25 mcg
Solution, Ophthalmic, as tromethamine:
Generic: 0.5%
Lisinopril
Ketotifen (Ophthalmic)
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, Oral:
Generic: 5 mg [BCF], 10 mg [BCF], 20 mg [BCF], 30 mg [BCF], 40 mg [BCF]
Solution, Ophthalmic:
Generic: 0.025% (5 mL)
Labetalol
Lisinopril and Hydrochlorothiazide
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, Oral, as hydrochloride:
Generic: 100 mg, 200 mg
Tablet, 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]
Lactic Acid and Ammonium Hydroxide
Outpatient Dosage Forms
Lotion, External:
Generic: Lactic acid 12% with ammonium hydroxide (225 g)
Lithium
Outpatient Dosage Forms
Lactulose
Capsule, Oral, as carbonate:
Generic: 300 mg [BCF]
Outpatient Dosage Forms
Solution, Oral:
Generic: 10 g/15 mL (236 mL, 473 mL, 946 mL) [BCF]
Loperamide
Outpatient Dosage Forms
LamoTRIgine
Capsule, Oral, as hydrochloride:
Generic: 2 mg [BCF]
Outpatient Dosage Forms
Tablet, Oral:
Generic: 25 mg, 100 mg, 150 mg, 200 mg
Loratadine
Outpatient Dosage Forms
Latanoprost
Syrup, Oral:
Generic: 5 mg/5 mL (120 mL)
Tablet, Oral:
Generic: 10 mg
Outpatient Dosage Forms
Solution, Ophthalmic:
Generic: 0.005% (2.5 mL) [BCF]
Letrozole
Outpatient Dosage Forms
LORazepam
Tablet, Oral:
Generic: 2.5 mg
Outpatient Dosage Forms
Tablet, Oral:
Generic: 0.5 mg, 1 mg
Leuprolide
Outpatient Dosage Forms
Losartan
Kit, Intramuscular, as acetate:
Lupron Depot: 7.5 mg [latex free; contains polysorbate 80]
Kit, Intramuscular, as acetate [preservative free]:
Lupron Depot: 3.75 mg [latex free; contains polysorbate 80]
Outpatient Dosage Forms
Tablet, Oral, as potassium:
Generic: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF]
10
MOUTHWASH, MAGIC
Methyldopa
Outpatient Dosage Forms
Losartan and Hydrochlorothiazide
Tablet, Oral:
Generic: 250 mg
Outpatient Dosage Forms
Tablet, Oral:
Generic: 50/12.5: Losartan potassium 50 mg and hydrochlorothiazide
12.5 mg [BCF]
Generic: 100/12.5: Losartan potassium 100 mg and hydrochlorothiazide
12.5 mg [BCF]
Generic: 100/25: Losartan potassium 100 mg and hydrochlorothiazide
25 mg [BCF]
Methylphenidate
Outpatient Dosage Forms
Capsule Extended Release 24 Hour, Oral, as hydrochloride:
Ritalin LA: 10 mg [5 mg immediate release, 5 mg extended release] [BCF]
Generic: 20 mg [BCF], 30 mg [BCF], 40 mg [BCF]
Tablet, Oral, as hydrochloride:
Generic: 5 mg [BCF], 10 mg [BCF], 20 mg [BCF]
Tablet Extended Release, Oral, as hydrochloride:
Generic: 18 mg [BCF], 27 mg [BCF], 36 mg [BCF], 54 mg [BCF]
Lubiprostone
Outpatient Dosage Forms
Capsule, Oral:
Amitiza: 8 mcg, 24 mcg
MethylPREDNISolone
Outpatient Dosage Forms
Tablet, Oral:
Medrol (Pak): 4 mg [scored]
Lurasidone
Outpatient Dosage Forms
Tablet, Oral, as hydrochloride:
Latuda: 20 mg, 40 mg, 60 mg
Latuda: 80 mg [contains fd&c blue #2 aluminum lake]
Latuda: 120 mg
Metoclopramide
Outpatient Dosage Forms
Solution, Oral:
Generic: 5 mg/5 mL (473 mL) [BCF]
Tablet, Oral:
Generic: 10 mg [BCF]
Magnesium Citrate
Outpatient Dosage Forms
MetOLazone
Solution, Oral:
Generic: 1.745 g/30 mL (296 mL)
Outpatient Dosage Forms
Tablet, Oral:
Generic: 5 mg, 10 mg
Magnesium Gluconate
Outpatient Dosage Forms
Metoprolol
Tablet, Oral:
Generic: 500 mg
Outpatient Dosage Forms
Tablet, Oral, as tartrate:
Generic: 50 mg [BCF], 100 mg [BCF]
Tablet Extended Release 24 Hour, Oral, as succinate:
Generic: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF]
Magnesium Oxide
Outpatient Dosage Forms
Tablet, Oral:
Generic: 400 mg
MetroNIDAZOLE (Systemic)
Meclizine
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, Oral:
Generic: 250 mg [BCF]
Tablet, Oral, as hydrochloride:
Generic: 25 mg
MetroNIDAZOLE (Topical)
MedroxyPROGESTERone
Outpatient Dosage Forms
Cream, External:
Noritate: 1% (60 g) [contains methylparaben, propylparaben, trolamine (triethanolamine)]
Generic: 0.75% (45 g)
Gel, External:
Generic: 1% (60 g)
Gel, Vaginal:
Generic: 0.75% (70 g) [BCF]
Outpatient Dosage Forms
Suspension, Intramuscular, as acetate:
Depo-Provera: 150 mg/mL (1 mL)
Tablet, Oral, as acetate:
Generic: 2.5 mg [BCF], 5 mg [BCF], 10 mg [BCF]
Mefloquine
Outpatient Dosage Forms
Tablet, Oral, as hydrochloride:
Generic: 250 mg
Minocycline
Outpatient Dosage Forms
Meloxicam
Capsule, Oral:
Generic: 50 mg, 100 mg
Outpatient Dosage Forms
Tablet, Oral:
Generic: 7.5 mg [BCF], 15 mg [BCF]
Mirtazapine
Outpatient Dosage Forms
Tablet, Oral:
Generic: 15 mg
Mesalamine
Outpatient Dosage Forms
Tablet Delayed Release, Oral:
Lialda: 1.2 g [BCF]
Mometasone (Nasal)
Outpatient Dosage Forms
Suspension, Nasal, as furoate:
Nasonex: 50 mcg/actuation (17 g) [contains benzalkonium chloride]
Metaxalone
Outpatient Dosage Forms
Tablet, Oral:
Generic: 800 mg
Montelukast
Outpatient Dosage Forms
Packet, Oral:
Generic: 4 mg/packet [BCF]
Tablet, Oral:
Generic: 10 mg [BCF]
Tablet Chewable, Oral:
Generic: 4 mg [BCF], 5 mg [BCF]
MetFORMIN
Outpatient Dosage Forms
Tablet, Oral, as hydrochloride:
Generic: 500 mg [BCF], 850 mg [BCF], 1000 mg [BCF]
Tablet Extended Release 24 Hour, Oral, as hydrochloride:
Generic: 500 mg [BCF], 750 mg [BCF]
Morphine (Systemic)
Methocarbamol
Outpatient Dosage Forms
Outpatient Dosage Forms
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]
Tablet, Oral:
Generic: 500 mg [BCF]
Methotrexate
Mouthwash, Magic
Outpatient Dosage Forms
Outpatient Dosage Forms Extemporaneously prepared by Pharmacy [con-
Tablet, Oral:
Generic: 2.5 mg [BCF]
tains nystatin]
11
MOXIFLOXACIN (OPHTHALMIC)
Moxifloxacin (Ophthalmic)
Nitrofurantoin
Outpatient Dosage Forms
Outpatient Dosage Forms
Capsule, Oral, as macrocrystals:
Generic: 100 mg [BCF]
Solution, Ophthalmic:
Vigamox: 0.5% (3 mL)
Nitroglycerin
Mupirocin
Outpatient Dosage Forms
Outpatient Dosage Forms
Patch 24 Hour, Transdermal:
Generic: 0.1 mg/hour (30s) [BCF]; 0.2 mg/hour (30s) [BCF]; 0.4 mg/hour
(30s) [BCF]
Solution, Translingual:
Generic: 0.4 mg/spray (12 g) [BCF]
Tablet, Sublingual:
Nitrostat: 0.4 mg [BCF]
Ointment, External:
Generic: 2% (22 g) [BCF]
Cream, External, as calcium [strength expressed as base]:
Bactroban: 2% (22 g) [contains polyethylene glycol] [BCF]
Generic: 2% (30 g)
Naftifine
Outpatient Dosage Forms
Norethindrone
Cream, External, as hydrochloride:
Naftin: 2% (45 g) [contains benzyl alcohol, cetyl alcohol]
Outpatient Dosage Forms
Tablet, Oral:
Generic: 0.35 mg [BCF]
Tablet, Oral, as acetate:
Generic: 5 mg
Naloxone
Outpatient Dosage Forms
Liquid, Nasal:
Narcan: 4 mg/0.1 mL (1 ea) [contains benzalkonium chloride, edetate disodium] [BCF]
Nortriptyline
Outpatient Dosage Forms
Capsule, Oral:
Generic: 10 mg [BCF], 25 mg [BCF]
Naltrexone
Outpatient Dosage Forms
Tablet, Oral, as hydrochloride:
Generic: 50 mg
Nystatin and Triamcinolone
Outpatient Dosage Forms
Cream, External:
Generic: Nystatin 100,000 units and triamcinolone acetonide 0.1% (15 g)
Naphazoline and Pheniramine
Outpatient Dosage Forms
Solution, Ophthalmic:
Generic: Naphazoline hydrochloride 0.025% and pheniramine maleate 0.3%
(15 mL)
Nystatin (Oral)
Outpatient Dosage Forms
Suspension, Mouth/Throat:
Generic: 100,000 units/mL (473 mL) [BCF]
Tablet, Oral:
Generic: 500,000 units
Naproxen
Outpatient Dosage Forms
Suspension, Oral:
Generic: 125 mg/5 mL (500 mL) [BCF]
Tablet, Oral:
Generic: 250 mg [BCF], 500 mg [BCF]
Nystatin (Topical)
Outpatient Dosage Forms
Cream, External:
Generic: 100,000 units/g (30 g) [BCF]
Neomycin
Outpatient Dosage Forms
Ocular Lubricant
Tablet, Oral, as sulfate:
Generic: 500 mg
Outpatient Dosage Forms
Ointment, Ophthalmic:
Refresh Lacri-Lube S.O.P.: 3.5 g
Neomycin, Polymyxin B, and Dexamethasone
Ofloxacin (Ophthalmic)
Outpatient Dosage Forms
Suspension, Ophthalmic:
Generic: Neomycin 3.5 mg, polymyxin B sulfate 10,000 units, and dexamethasone 0.1% per 1 mL (5 mL)
Outpatient Dosage Forms
Solution, Ophthalmic:
Generic: 0.3%
Neomycin, Polymyxin B, and Gramicidin
OLANZapine
Outpatient Dosage Forms
Outpatient Dosage Forms
Solution, Ophthalmic:
Generic: Neomycin 1.75 mg, polymyxin B 10,000 units, and gramicidin
0.025 mg per 1 mL (10 mL) [BCF]
Tablet, Oral:
Generic: 5 mg, 10 mg
Olmesartan
Niacin
Outpatient Dosage Forms
Tablet, Oral, as medoxomil:
Benicar: 5 mg, 20 mg, 40 mg
Outpatient Dosage Forms
Tablet, Oral:
Generic: 500 mg
Tablet Extended Release, Oral:
Generic: 500 mg [BCF], 1000 mg [BCF]
Olmesartan and Hydrochlorothiazide
Outpatient Dosage Forms
Tablet, Oral:
Benicar HCT 20/12.5: Olmesartan medoxomil 20 mg and hydrochlorothiazide
12.5 mg
Benicar HCT 40/12.5: Olmesartan medoxomil 40 mg and hydrochlorothiazide
12.5 mg
Benicar HCT 40/25: Olmesartan medoxomil 40 mg and hydrochlorothiazide 25 mg
Nicotine
Outpatient Dosage Forms
Gum, Mouth/Throat, as polacrilex:
Generic: 2 mg (110 ea); 4 mg (110 ea) [BCF]
Inhaler, Inhalation:
Nicotrol: 10 mg (168 ea) [contains menthol]
Lozenge, Mouth/Throat, as polacrilex:
Nicorette: 2 mg (81 ea)
Nicorette: 4 mg (72 ea)
Patch 24 Hour, Transdermal:
Generic: 7 mg/24 hr (14 ea) [BCF]; 14 mg/24 hr (14 ea) [BCF]; 21 mg/24 hr
(14 ea) [BCF]
Solution, Nasal:
Nicotrol NS: 10 mg/mL (10 mL)
Olopatadine (Ophthalmic)
Outpatient Dosage Forms
Solution, Ophthalmic:
Pataday: 0.2% (2.5 mL) [contains benzalkonium chloride, edetate disodium]
Patanol: 0.1% (5 mL) [contains benzalkonium chloride] [BCF]
Olsalazine
Outpatient Dosage Forms
Capsule, Oral, as sodium:
Dipentum: 250 mg
NIFEdipine
Outpatient Dosage Forms
Omega-3 Fatty Acids
Capsule, Oral:
Generic: 10 mg
Tablet Extended Release 24 Hour, Oral:
Generic: 30 mg [BCF], 60 mg [BCF], 90 mg [BCF]
Outpatient Dosage Forms
Capsule, Liquid Gel, Oral:
Generic: 1g
12
PRAMOXINE AND HYDROCORTISONE
Omeprazole
Phenazopyridine
Outpatient Dosage Forms
Outpatient Dosage Forms
Capsule Delayed Release, Oral:
Generic: 20 mg [BCF]
Tablet, Oral, as hydrochloride:
Generic: 100 mg [BCF]
Ondansetron
Phenelzine
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, Oral:
Generic: 4 mg
Tablet Dispersible, Oral:
Generic: 4 mg
Tablet, Oral:
Generic: 15 mg
PHENobarbital
Outpatient Dosage Forms
Oseltamivir
Elixir, Oral:
Generic: 20 mg/5 mL (473 mL) [BCF]
Tablet, Oral:
Generic: 30 mg [BCF]
Outpatient Dosage Forms
Capsule, Oral, as phosphate:
Tamiflu: 75 mg [10 pack]
Suspension Reconstituted, Oral, as base:
Tamiflu: 6 mg/mL (60 mL) [contains saccharin sodium, sodium benzoate; tuttifrutti flavor]
Phenylephrine (Ophthalmic)
Outpatient Dosage Forms
Solution, Ophthalmic, as hydrochloride:
Mydfrin: 2.5% (5 mL) [contains benzalkonium chloride, edetate disodium]
Oxybutynin
Outpatient Dosage Forms
Tablet Extended Release 24 Hour, Oral, as chloride:
Generic: 5 mg [BCF], 10 mg [BCF], 15 mg [BCF]
Phenytoin
Outpatient Dosage Forms
Capsule, Oral, as sodium:
Generic: 100 mg [BCF]
Tablet Chewable, Oral:
Generic: 50 mg [BCF]
Oxycodone and Acetaminophen
Outpatient Dosage Forms
Tablet, Oral:
Generic: 5/325: Oxycodone hydrochloride 5 mg and acetaminophen
325 mg [BCF]
Generic: 7.5/325: Oxycodone hydrochloride 7.5 mg and acetaminophen
325 mg
Generic: 10/325: Oxycodone hydrochloride 10 mg and acetaminophen 325 mg
Pilocarpine (Ophthalmic)
Outpatient Dosage Forms
Gel, Ophthalmic, as hydrochloride:
Pilopine HS: 4% (4 g) [contains benzalkonium chloride, edetate disodium] [BCF]
Solution, Ophthalmic, as hydrochloride:
Generic: 1% (15 mL) [BCF]; 2% (15 mL) [BCF]; 4% (15 mL) [BCF]
Oxymetazoline (Nasal)
Outpatient Dosage Forms
Solution, Nasal, as hydrochloride:
Generic: 0.05% (30 mL)
Pimecrolimus
Pancrelipase
Outpatient Dosage Forms
Outpatient Dosage Forms
Cream, External:
Elidel: 1% (30 g) [contains benzyl alcohol, cetyl alcohol, propylene glycol] [BCF]
Capsule, delayed release, enteric coated microspheres, oral [porcine derived]:
Creon: Lipase 3000 USP units, protease 9500 USP units, and amylase 15,000
USP units [BCF]
Creon: Lipase 6000 USP units, protease 19,000 USP units, and amylase
30,000 USP units [BCF]
Creon: Lipase 12,000 USP units, protease 38,000 USP units, and amylase
60,000 USP units [BCF]
Creon: Lipase 24,000 USP units, protease 76,000 USP units, and amylase
120,000 USP units [BCF]
Creon: Lipase 36,000 USP units, protease 114,000 USP units, and amylase
180,000 USP units [BCF]
Capsule, Delayed Release, Enteric Coated Microtablets [porcine derived]:
Pancreaze: Lipase 4200 units, protease 10,000 units, and amylase 17,500
units
Pancreaze: Lipase 10,500 units, protease 25,000 units, and amylase 43,750
units
Pancreaze: Lipase 16,800 units, protease 40,000 units, and amylase 70,000
units
Pancreaze: Lipase 21,000 units, protease 37,000 units, and amylase 61,000
units
Pioglitazone
Outpatient Dosage Forms
Tablet, Oral:
Generic: 15 mg, 30 mg, 45 mg
Piroxicam
Outpatient Dosage Forms
Capsule, Oral:
Generic: 20 mg
Podofilox
Outpatient Dosage Forms
Solution, External:
Generic: 0.5% (3.5 mL)
Polyethylene Glycol 3350
Outpatient Dosage Forms
Powder, Oral:
Generic: 17 g/dose (238 g, 510 g)
Pantoprazole
Outpatient Dosage Forms
Polyethylene Glycol-Electrolyte Solution
Tablet Delayed Release, Oral:
Generic: 20 mg, 40 mg
Outpatient Dosage Forms
Powder, for Solution, Oral:
GoLYTELY: PEG 3350 236 g, sodium sulfate 22.74 g, sodium bicarbonate
6.74 g, sodium chloride 5.86 g, and potassium chloride 2.97 g (4000 mL)
PARoxetine
Outpatient Dosage Forms
Tablet, Oral, as hydrochloride [strength expressed as base]:
Generic: 20 mg, 40 mg
Potassium Chloride
Outpatient Dosage Forms
Penicillin V Potassium
Solution, Oral:
Generic: 20 mEq/15 mL (473 mL) [BCF]
Tablet Extended Release, Oral:
Generic: 8 mEq, 10 mEq [BCF], 20 mEq [BCF]
Outpatient Dosage Forms
Solution Reconstituted, Oral:
Generic: 125 mg/5 mL (100 mL, 200 mL) [BCF]; 250 mg/5 mL (200 mL) [BCF]
Tablet, Oral:
Generic: 250 mg [BCF], 500 mg [BCF]
Potassium Citrate
Outpatient Dosage Forms
Pentoxifylline
Tablet Extended Release, Oral:
Generic: 15 mEq (1620 mg)
Outpatient Dosage Forms
Tablet Extended Release, Oral:
Generic: 400 mg
Pramoxine and Hydrocortisone
Permethrin
Outpatient Dosage Forms
Foam, Aerosol, Rectal:
ProctoFoam HC: Pramoxine hydrochloride 1% and hydrocortisone acetate
1% (10 g)
Outpatient Dosage Forms
Cream, External:
Generic: 5% (60 g) [BCF]
13
PRAVASTATIN
Pravastatin
QUEtiapine
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, Oral, as sodium:
Generic: 10 mg [BCF], 20 mg [BCF], 40 mg [BCF], 80 mg [BCF]
Tablet, Oral:
Generic: 25 mg [BCF], 100 mg [BCF], 300 mg [BCF], 400 mg [BCF]
Tablet Extended Release 24 Hour, Oral:
SEROquel XR: 200 mg [BCF], 300 mg [BCF], 400 mg [BCF]
Prazosin
Outpatient Dosage Forms
Raloxifene
Capsule, Oral:
Generic: 1 mg, 2 mg, 5 mg
Outpatient Dosage Forms
Tablet, Oral, as hydrochloride:
Evista: 60 mg [BCF]
PrednisoLONE (Ophthalmic)
Outpatient Dosage Forms
Suspension, Ophthalmic, as acetate:
Generic: 1% (5 mL) [BCF]
Ramipril
Outpatient Dosage Forms
Capsule, Oral:
Generic: 2.5 mg [BCF], 5 mg [BCF], 10 mg [BCF]
PrednisoLONE (Systemic)
Outpatient Dosage Forms
Solution, Oral, as sodium phosphate [strength expressed as base]:
Generic: 15 mg/5 mL (237 mL) [BCF]
Tablet Dispersible, Oral, as sodium phosphate [strength expressed as base]:
Orapred ODT: 15 mg [grape flavor]
RaNITIdine
Outpatient Dosage Forms
Syrup, Oral:
Generic: 15 mg/mL (473 mL) [BCF]
Tablet, Oral:
Generic: 150 mg [BCF]
PredniSONE
Outpatient Dosage Forms
Tablet, Oral:
Generic: 1 mg [BCF], 5 mg [BCF], 10 mg [BCF], 20 mg [BCF]
RifAMPin
Outpatient Dosage Forms
Primaquine
Capsule, Oral:
Generic: 300 mg [BCF]
Outpatient Dosage Forms
Tablet, Oral, as phosphate:
Generic: 26.3 mg
RisperiDONE
Outpatient Dosage Forms
Primidone
Solution, Oral:
Generic: 1 mg/mL (30 mL) [BCF]
Tablet, Oral:
Generic: 0.5 mg [BCF], 1 mg [BCF], 2 mg [BCF], 3 mg [BCF], 4 mg [BCF]
Outpatient Dosage Forms
Tablet, Oral:
Generic: 50 mg, 250 mg
Probenecid
Rivaroxaban
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, Oral:
Generic: 500 mg [BCF]
Tablet, Oral:
Xarelto: 10 mg, 15 mg, 20 mg
Prochlorperazine
Rizatriptan
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, Oral, as maleate [strength expressed as base]:
Generic: 5 mg
Tablet, Oral:
Generic: 5 mg [BCF], 10 mg [BCF]
Tablet Dispersible, Oral:
Generic: 5 mg [BCF], 10 mg [BCF]
Progesterone
Outpatient Dosage Forms
Capsule, Oral:
Generic: 100 mg, 200 mg
ROPINIRole
Outpatient Dosage Forms
Tablet, Oral:
Generic: 0.25 mg, 0.5 mg, 1 mg, 2 mg, 3 mg, 4 mg, 5 mg
Promethazine
Outpatient Dosage Forms
Suppository, Rectal, as hydrochloride:
Generic: 12.5 mg (12s) [BCF]; 25 mg (12s) [BCF]
Syrup, Oral, as hydrochloride:
Generic: 6.25 mg/5 mL (473 mL) [BCF]
Tablet, Oral, as hydrochloride:
Generic: 25 mg [BCF]
Rosuvastatin
Outpatient Dosage Forms
Tablet, Oral:
Crestor: 5 mg, 10 mg, 20 mg, 40 mg
Salmeterol
Outpatient Dosage Forms
Propranolol
Aerosol Powder Breath Activated, Inhalation:
Serevent Diskus: 50 mcg (60s) [contains lactose] [BCF]
Outpatient Dosage Forms
Capsule Extended Release 24 Hour, Oral, as hydrochloride:
Generic: 60 mg, 80 mg
Tablet, Oral, as hydrochloride:
Generic: 10 mg, 20 mg, 40 mg
Salsalate
Outpatient Dosage Forms
Tablet, Oral:
Generic: 500 mg [BCF]
Propylthiouracil
Outpatient Dosage Forms
Selenium Sulfide
Tablet, Oral:
Generic: 50 mg [BCF]
Outpatient Dosage Forms
Lotion, External:
Generic: 2.5% (120 mL) [BCF]
Pseudoephedrine
Outpatient Dosage Forms
Sertraline
Liquid, Oral, as hydrochloride:
Generic: 30 mg/5 mL (118 mL)
Tablet, Oral, as hydrochloride:
Generic: 30 mg
Outpatient Dosage Forms
Tablet, Oral:
Generic: 50 mg [BCF], 100 mg [BCF]
Sildenafil
Pyrazinamide
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, Oral:
Viagra: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF]
Tablet, Oral:
Generic: 500 mg [BCF]
Silver Sulfadiazine
Pyridoxine
Outpatient Dosage Forms
Outpatient Dosage Forms
Cream, External:
Generic: 1% (50 g, 400 g) [BCF]
Tablet, Oral, as hydrochloride [preservative free]:
Generic: 50 mg
14
THYROID, DESICCATED
Simethicone
SulfaSALAzine
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, Oral:
Generic: 500 mg [BCF]
Tablet Delayed Release, Oral:
Generic: 500 mg [BCF]
Tablet Chewable, Oral:
Generic: 80 mg
Simvastatin
Outpatient Dosage Forms
SUMAtriptan
Tablet, Oral:
Generic: 5 mg [BCF], 10 mg [BCF], 20 mg [BCF], 40 mg [BCF], 80 mg
Outpatient Dosage Forms
Solution, Subcutaneous, as succinate [strength expressed as base]:
Generic: 6 mg/0.5 mL (0.5 mL) [BCF]
Solution, Nasal:
Generic: 20 mg/actuation (1 ea)
Tablet, oral, as succinate [strength expressed as base]: 50 mg [BCF],
100 mg [BCF]
SITagliptin
Outpatient Dosage Forms
Tablet, Oral:
Januvia: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF]
Sitagliptin and Metformin
Sumatriptan and Naproxen
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, Oral:
Janumet 50/500: Sitagliptin 50 mg and metformin hydrochloride 500 mg [BCF]
Janumet 50/1000: Sitagliptin 50 mg and metformin hydrochloride
1000 mg [BCF]
Tablet, Extended Release, Oral:
Janumet XR: 50/500: Sitagliptin 50 mg and metformin hydrochloride
500 mg [BCF]
Janumet XR: 50/1000: Sitagliptin 50 mg and metformin hydrochloride
1000 mg [BCF]
Janumet XR: 100/1000: Sitagliptin 100 mg and metformin hydrochloride
1000 mg [BCF]
Tablet, Oral:
Treximet 85/500: Sumatriptan 85 mg and naproxen sodium 500 mg [contains
sodium 61.2 mg/tablet (~2.7 mEq/tablet)]
Tamoxifen
Outpatient Dosage Forms
Tablet, Oral:
Generic: 10 mg [BCF]
Tamsulosin
Outpatient Dosage Forms
Capsule, Oral, as hydrochloride:
Generic: 0.4 mg [BCF]
Sodium Chloride
Outpatient Dosage Forms
Ointment, Ophthalmic:
Generic: 5% (3.5 g)
Nebulization Solution, Inhalation:
Generic: 0.9% (3 mL) [60 vial boxes]
Solution, Nasal:
Generic: 0.65% (45 mL)
Solution, Ophthalmic:
Generic: 5% (15 mL)
Telmisartan
Outpatient Dosage Forms
Tablet, Oral:
Generic: 40 mg, 80 mg
Telmisartan and Hydrochlorothiazide
Outpatient Dosage Forms
Tablet, Oral:
Micardis HCT: 40/12.5: Telmisartan 40 mg and hydrochlorothiazide 12.5 mg
Micardis HCT: 80/12.5: Telmisartan 80 mg and hydrochlorothiazide 12.5 mg
Sodium Phosphates
Outpatient Dosage Forms
Solution, Rectal [enema]:
Generic: Monobasic sodium phosphate monohydrate 19 g and dibasic sodium
phosphate heptahydrate 7 g per 118 mL delivered dose (133 mL)
Temazepam
Outpatient Dosage Forms
Capsule, Oral:
Generic: 15 mg [BCF]
Solifenacin
Outpatient Dosage Forms
Terazosin
Tablet, Oral, as succinate:
VESIcare: 5 mg, 10 mg
Outpatient Dosage Forms
Capsule, Oral:
Generic: 1 mg [BCF], 2 mg [BCF], 5 mg [BCF], 10 mg [BCF]
Sotalol
Outpatient Dosage Forms
Terbinafine (Systemic)
Tablet, Oral, as hydrochloride:
Generic: 80 mg, 120 mg, 160 mg, 240 mg
Outpatient Dosage Forms
Tablet, Oral:
Generic: 250 mg
Spironolactone
Outpatient Dosage Forms
Terbutaline
Tablet, Oral:
Generic: 25 mg [BCF], 100 mg
Outpatient Dosage Forms
Tablet, Oral, as sulfate:
Generic: 5 mg
Sucralfate
Outpatient Dosage Forms
Terconazole
Tablet, Oral:
Generic: 1 g
Outpatient Dosage Forms
Cream, Vaginal:
Generic: 0.4% (45 g)
Sulfacetamide and Prednisolone
Testosterone
Outpatient Dosage Forms
Solution, Ophthalmic:
Generic: Sulfacetamide sodium 10% and prednisolone acetate 0.2% (5 mL)
[contains benzalkonium chloride]
Outpatient Dosage Forms
Gel, Transdermal:
Fortesta: 10 mg/actuation (60 g) [contains ethanol; 0.5 g gel/actuation; 120
metered actuations] [BCF]
Oil, Intramuscular, as cypionate:
Generic: 200 mg/mL (1 mL)
Sulfacetamide (Ophthalmic)
Outpatient Dosage Forms
Solution, Ophthalmic, as sodium:
Generic: 10% (15 mL) [BCF]
Tetracycline
Outpatient Dosage Forms
Sulfacetamide (Topical)
Capsule, Oral, as hydrochloride:
Generic: 250 mg [BCF]
Outpatient Dosage Forms
Lotion, External, as sodium:
Klaron: 10% (118 mL)
Theophylline
Outpatient Dosage Forms
Sulfamethoxazole and Trimethoprim
Tablet Extended Release 12 Hour, Oral:
Generic: 200 mg [BCF], 300 mg [BCF]
Outpatient Dosage Forms
Suspension, Oral:
Generic: Sulfamethoxazole 200 mg and trimethoprim 40 mg per 5 mL (480
mL) [BCF]
Tablet, Oral:
Generic: Sulamethoxazole 800 mg and trimethoprim 160 mg [BCF]
Thyroid, Desiccated
Outpatient Dosage Forms
Tablet, Oral:
Nature-Throid: 65 mg
15
TIMOLOL (OPHTHALMIC)
Timolol (Ophthalmic)
Tropicamide
Outpatient Dosage Forms
Outpatient Dosage Forms
Solution, Ophthalmic:
Generic: 1% (15 mL)
Gel 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% (5 mL) [BCF]
ValACYclovir
Outpatient Dosage Forms
Tiotropium
Tablet, Oral:
Generic: 500 mg, 1 g
Outpatient Dosage Forms
Capsule, Inhalation:
Spiriva HandiHaler: 18 mcg [contains milk protein] [BCF]
Valproic Acid and Derivatives
Outpatient Dosage Forms
TiZANidine
Tablet Delayed Release, Oral, as divalproex sodium:
Generic: 250 mg [BCF], 500 mg [BCF]
Tablet Extended Release 24 Hour, Oral, as divalproex sodium:
Generic: 250 mg [BCF], 500 mg [BCF]
Outpatient Dosage Forms
Tablet, Oral:
Generic: 4 mg
Valsartan
Tobramycin and Dexamethasone
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, Oral:
Diovan: 40 mg [scored] [BCF], 80 mg [BCF], 160 mg [BCF], 320 mg [BCF]
Ointment, Ophthalmic:
TobraDex: Tobramycin 0.3% and dexamethasone 0.1% (3.5 g) [contains
chlorobutanol]
Suspension, Ophthalmic:
Generic: Tobramycin 0.3% and dexamethasone 0.1% (5 mL)
Valsartan and Hydrochlorothiazide
Outpatient Dosage Forms
Tablet, Oral:
Diovan HCT: 80 mg/12.5 mg: Valsartan 80 mg and hydrochlorothiazide
12.5 mg [BCF]
Diovan HCT: 160 mg/12.5 mg: Valsartan 160 mg and hydrochlorothiazide
12.5 mg [BCF]
Diovan HCT: 160 mg/25 mg: Valsartan 160 mg and hydrochlorothiazide
25 mg [BCF]
Diovan HCT: 320 mg/12.5 mg: Valsartan 320 mg and hydrochlorothiazide
12.5 mg [BCF]
Diovan HCT: 320 mg/25 mg: Valsartan 320 mg and hydrochlorothiazide
25 mg [BCF]
Tobramycin (Ophthalmic)
Outpatient Dosage Forms
Ointment, Ophthalmic:
Tobrex: 0.3% (3.5 g)
Solution, Ophthalmic:
Generic: 0.3% (5 mL)
Tolmetin
Outpatient Dosage Forms
Capsule, Oral:
Generic: 400 mg
Varenicline
Tolterodine
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, Oral:
Chantix Continuing Month Pak: 1 mg (56 ea)
Chantix Starting Month Pak: 0.5 mg (11s) [white tablets] and Tablet: 1 mg (42s)
[light blue tablets]
Capsule Extended Release 24 Hour, Oral, as tartrate:
Generic: 2 mg [BCF], 4 mg [BCF]
Topiramate
Venlafaxine
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, Oral:
Generic: 25 mg, 50 mg, 100 mg, 200 mg
Capsule Extended Release 24 Hour, Oral:
Generic: 37.5 mg [BCF], 75 mg [BCF], 150 mg [BCF]
TraMADol
Verapamil
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, Oral, as hydrochloride:
Generic: 50 mg [BCF]
Tablet, Oral, as hydrochloride:
Generic: 80 mg, 120 mg
Tablet Extended Release, Oral, as hydrochloride:
Generic: 180 mg [BCF], 240 mg [BCF]
Tranexamic Acid
Outpatient Dosage Forms
Tablet, Oral:
Generic: 650 mg
Vitamins (Multiple/Pediatric)
Outpatient Dosage Forms
TraZODone
Content varies depending on product used. For more detailed information on
ingredients in these and other multivitamins, please refer to specific product
labeling.
Solution, Oral [drops]:
Generic: 50 mL
Outpatient Dosage Forms
Tablet, Oral, as hydrochloride:
Generic: 50 mg [BCF], 100 mg [BCF]
Tretinoin (Topical)
Vitamins (Multiple/Prenatal)
Outpatient Dosage Forms
Cream, External:
Generic: 0.025% (45 g) [BCF]; 0.05% (45 g) [BCF]; 0.1% (45 g)
Gel, External:
Generic: 0.025% (45 g); 0.05% (45 g); 0.1% (45 g)
Outpatient Dosage Forms
Content varies depending on product used. For more detailed information on
ingredients in these and other multivitamins, please refer to specific product
labeling.
Tablet, Oral:
Generic: 100s
Triamcinolone (Topical)
Outpatient Dosage Forms
Warfarin
Cream, External, as acetonide:
Generic: 0.025% (15 g, 80 g, 454 g); 0.1% (15 g, 80 g) [BCF]; 0.5% (15 g)
Ointment, External, as acetonide:
Generic: 0.1% (15 g, 80 g) [BCF]
Paste, Mouth/Throat, as acetonide:
Generic: 0.1% (5 g)
Outpatient Dosage Forms
Tablet, 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]
Ziprasidone
Trihexyphenidyl
Outpatient Dosage Forms
Outpatient Dosage Forms
Capsule, Oral:
Generic: 20 mg, 40 mg, 60 mg, 80 mg
Tablet, Oral, as hydrochloride:
Generic: 2 mg [BCF]
ZOLMitriptan
Trimethoprim and Polymyxin B
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, Oral:
Generic: 2.5 mg, 5 mg
Tablet Dispersible, Oral:
Generic: 2.5 mg, 5 mg
Solution, Ophthalmic:
Generic: Trimethoprim 1 mg and polymyxin B sulfate 10,000 units per 1 mL (10
mL) [BCF]
16
ZOLPIDEM
Zolpidem
Outpatient Dosage Forms
Tablet, Oral, as tartrate:
Generic: 5 mg [BCF], 10 mg [BCF]
17
Therapeutic Category Index
19
ACETYLCHOLINESTERASE INHIBITOR (CENTRAL)
Oxycodone and Acetaminophen ..............................................................13
TraMADol .................................................................................................. 16
Acetylcholinesterase Inhibitor (Central)
Donepezil .................................................................................................... 6
Analgesic, Topical
Acne Products
Lidocaine (Topical) ....................................................................................10
Adapalene ................................................................................................... 2
Adapalene and Benzoyl Peroxide ..............................................................2
Benzoyl Peroxide ........................................................................................3
Clindamycin and Benzoyl Peroxide ........................................................... 4
Sulfacetamide (Topical) ............................................................................ 15
Tretinoin (Topical) ..................................................................................... 16
Analgesic, Urinary
Phenazopyridine ....................................................................................... 13
Androgen
Testosterone ............................................................................................. 15
Adrenergic Agonist Agent
Anesthetic/Corticosteroid
Oxymetazoline (Nasal) ............................................................................. 13
Pramoxine and Hydrocortisone ................................................................13
Alkalinizing Agent, Oral
Angiotensin II Receptor Blocker
Losartan .................................................................................................... 10
Losartan and Hydrochlorothiazide ............................................................11
Olmesartan ................................................................................................12
Olmesartan and Hydrochlorothiazide .......................................................12
Telmisartan ................................................................................................15
Telmisartan and Hydrochlorothiazide .......................................................15
Valsartan ................................................................................................... 16
Valsartan and Hydrochlorothiazide .......................................................... 16
Potassium Citrate ..................................................................................... 13
Alkylamine Derivative
Brompheniramine and Pseudoephedrine .................................................. 3
Chlorpheniramine ........................................................................................4
Naphazoline and Pheniramine ................................................................. 12
Alpha1 Agonist
Naphazoline and Pheniramine ................................................................. 12
Angiotensin-Converting Enzyme (ACE) Inhibitor
Alpha1 Blocker
Amlodipine and Benazepril ........................................................................ 2
Captopril ......................................................................................................3
Enalapril ...................................................................................................... 6
Fosinopril .....................................................................................................8
Lisinopril .................................................................................................... 10
Lisinopril and Hydrochlorothiazide ........................................................... 10
Ramipril ..................................................................................................... 14
Alfuzosin ......................................................................................................2
Prazosin .................................................................................................... 14
Tamsulosin ................................................................................................ 15
Terazosin ...................................................................................................15
Alpha2-Adrenergic Agonist
CloNIDine ....................................................................................................5
Methyldopa ................................................................................................11
TiZANidine ................................................................................................ 16
Antianginal Agent
AmLODIPine ............................................................................................... 2
Amlodipine and Benazepril ........................................................................ 2
Atenolol ....................................................................................................... 2
DilTIAZem ................................................................................................... 6
Isosorbide Dinitrate ...................................................................................10
Isosorbide Mononitrate ............................................................................. 10
Metoprolol ..................................................................................................11
NIFEdipine ................................................................................................ 12
Nitroglycerin .............................................................................................. 12
Propranolol ................................................................................................14
Verapamil .................................................................................................. 16
Alpha2 Agonist, Ophthalmic
Brimonidine and Timolol ............................................................................. 3
Brimonidine (Ophthalmic) ........................................................................... 3
Alpha-Adrenergic Agonist
Phenylephrine (Ophthalmic) ..................................................................... 13
Alpha/Beta Agonist
Brompheniramine and Pseudoephedrine .................................................. 3
EPINEPHrine (Systemic) ............................................................................6
Guaifenesin and Pseudoephedrine ............................................................8
Pseudoephedrine ......................................................................................14
Antianxiety Agent, Miscellaneous
BusPIRone .................................................................................................. 3
5 Alpha-Reductase Inhibitor
Finasteride .................................................................................................. 7
Antiarrhythmic Agent, Class II
Propranolol ................................................................................................14
Sotalol ....................................................................................................... 15
Amebicide
MetroNIDAZOLE (Systemic) .....................................................................11
Antiarrhythmic Agent, Class III
Aminoquinoline (Antimalarial)
Amiodarone .................................................................................................2
Sotalol ....................................................................................................... 15
Chloroquine .................................................................................................4
Hydroxychloroquine .................................................................................... 9
Primaquine ................................................................................................ 14
Antiarrhythmic Agent, Class IV
DilTIAZem ................................................................................................... 6
Verapamil .................................................................................................. 16
5-Aminosalicylic Acid Derivative
Mesalamine ............................................................................................... 11
Olsalazine ................................................................................................. 12
SulfaSALAzine .......................................................................................... 15
Antiarrhythmic Agent, Miscellaneous
Digoxin ........................................................................................................ 6
Ammonium Detoxicant
Antibiotic, Aminoglycoside
Lactulose ...................................................................................................10
Neomycin .................................................................................................. 12
Gentamicin (Ophthalmic) ............................................................................8
Neomycin .................................................................................................. 12
Tobramycin (Ophthalmic) ..........................................................................16
Analgesic Combination (Opioid)
Acetaminophen and Codeine .....................................................................2
Hydrocodone and Acetaminophen .............................................................9
Oxycodone and Acetaminophen ..............................................................13
Antibiotic, Cephalosporin (First Generation)
Cefadroxil .................................................................................................... 4
Cephalexin .................................................................................................. 4
Analgesic, Nonopioid
Antibiotic, Cephalosporin (Second Generation)
Acetaminophen ........................................................................................... 2
Aspirin ......................................................................................................... 2
Celecoxib .................................................................................................... 4
Diclofenac (Systemic) .................................................................................5
Ibuprofen ..................................................................................................... 9
Indomethacin ...............................................................................................9
Meloxicam ................................................................................................. 11
Naproxen ...................................................................................................12
Piroxicam .................................................................................................. 13
Sumatriptan and Naproxen ...................................................................... 15
Tolmetin .....................................................................................................16
Cefprozil ...................................................................................................... 4
Cefuroxime ..................................................................................................4
Antibiotic, Cephalosporin (Third Generation)
Cefdinir ........................................................................................................ 4
Antibiotic/Corticosteroid, Ophthalmic
Neomycin, Polymyxin B, and Dexamethasone ....................................... 12
Sulfacetamide and Prednisolone ............................................................. 15
Tobramycin and Dexamethasone ............................................................ 16
Antibiotic/Corticosteroid, Otic
Ciprofloxacin and Dexamethasone ............................................................ 4
Analgesic, Opioid
Antibiotic, Fluoroquinolone
Acetaminophen and Codeine .....................................................................2
Codeine .......................................................................................................5
Hydrocodone and Acetaminophen .............................................................9
Morphine (Systemic) ................................................................................. 11
Ciprofloxacin (Ophthalmic) ......................................................................... 4
Ciprofloxacin (Systemic) .............................................................................4
LevoFLOXacin (Systemic) ........................................................................10
20
ANTIDIARRHEAL
Moxifloxacin (Ophthalmic) ........................................................................ 12
Ofloxacin (Ophthalmic) ............................................................................. 12
Anticoagulant, Direct Thrombin Inhibitor
Dabigatran Etexilate ................................................................................... 5
Antibiotic, Lincosamide
Anticoagulant, Factor Xa Inhibitor
Clindamycin (Systemic) .............................................................................. 4
Clindamycin (Topical) ................................................................................. 4
Apixaban ..................................................................................................... 2
Rivaroxaban ..............................................................................................14
Antibiotic, Macrolide
Anticoagulant, Low Molecular Weight Heparin
Azithromycin (Systemic) ............................................................................. 3
Clarithromycin ............................................................................................. 4
Erythromycin (Ophthalmic) ......................................................................... 6
Erythromycin (Systemic) .............................................................................6
Enoxaparin .................................................................................................. 6
Anticoagulant, Vitamin K Antagonist
Warfarin .....................................................................................................16
Anticonvulsant, Barbiturate
Antibiotic, Miscellaneous
PHENobarbital .......................................................................................... 13
MetroNIDAZOLE (Systemic) .....................................................................11
Nitrofurantoin .............................................................................................12
RifAMPin ................................................................................................... 14
Sulfamethoxazole and Trimethoprim ....................................................... 15
Anticonvulsant, Benzodiazepine
ClonazePAM ............................................................................................... 5
DiazePAM ................................................................................................... 5
LORazepam ..............................................................................................10
Antibiotic, Ophthalmic
Bacitracin and Polymyxin B (Ophthalmic) ................................................. 3
Bacitracin, Neomycin, and Polymyxin B (Ophthalmic) ..............................3
Bacitracin, Neomycin, Polymyxin B, and Hydrocortisone (Ophthalmic) ... 3
Ciprofloxacin (Ophthalmic) ......................................................................... 4
Erythromycin (Ophthalmic) ......................................................................... 6
Gentamicin (Ophthalmic) ............................................................................ 8
Moxifloxacin (Ophthalmic) ........................................................................ 12
Neomycin, Polymyxin B, and Gramicidin ................................................ 12
Ofloxacin (Ophthalmic) ............................................................................. 12
Sulfacetamide (Ophthalmic) ..................................................................... 15
Tobramycin (Ophthalmic) ..........................................................................16
Trimethoprim and Polymyxin B ................................................................ 16
Anticonvulsant, Hydantoin
Phenytoin .................................................................................................. 13
Anticonvulsant, Miscellaneous
AcetaZOLAMIDE ........................................................................................ 2
CarBAMazepine ..........................................................................................3
Gabapentin ..................................................................................................8
LamoTRIgine ............................................................................................ 10
Primidone .................................................................................................. 14
Topiramate ................................................................................................ 16
Valproic Acid and Derivatives .................................................................. 16
Antidepressant, Alpha-2 Antagonist
Mirtazapine ................................................................................................11
Antibiotic, Oral Rinse
Chlorhexidine Gluconate ............................................................................ 4
Antidepressant, Dopamine/Norepinephrine-Reuptake Inhibitor
BuPROPion .................................................................................................3
Antibiotic, Otic
Ciprofloxacin and Dexamethasone ............................................................ 4
Antidepressant, Monoamine Oxidase Inhibitor
Phenelzine ................................................................................................ 13
Antibiotic, Penicillin
Amoxicillin ................................................................................................... 2
Amoxicillin and Clavulanate ....................................................................... 2
Dicloxacillin ................................................................................................. 6
Penicillin V Potassium .............................................................................. 13
Antidepressant, Selective Serotonin Reuptake Inhibitor
Citalopram ...................................................................................................4
Escitalopram ............................................................................................... 6
FLUoxetine ..................................................................................................8
PARoxetine ............................................................................................... 13
Sertraline ...................................................................................................14
Antibiotic, Respiratory Fluoroquinolone
LevoFLOXacin (Systemic) ........................................................................10
Antidepressant, Serotonin/Norepinephrine Reuptake Inhibitor
Antibiotic, Sulfonamide Derivative
DULoxetine ................................................................................................. 6
Venlafaxine ............................................................................................... 16
Sulfacetamide (Topical) ............................................................................ 15
Sulfamethoxazole and Trimethoprim ....................................................... 15
Antidepressant, Serotonin Reuptake Inhibitor/Antagonist
Antibiotic, Tetracycline Derivative
TraZODone ............................................................................................... 16
Doxycycline .................................................................................................6
Minocycline ................................................................................................11
Tetracycline ............................................................................................... 15
Antidepressant, Tricyclic (Secondary Amine)
Nortriptyline ............................................................................................... 12
Antibiotic, Topical
Antidepressant, Tricyclic (Tertiary Amine)
Bacitracin (Topical) ..................................................................................... 3
Chlorhexidine Gluconate ............................................................................ 4
MetroNIDAZOLE (Topical) ........................................................................ 11
Mupirocin ...................................................................................................12
Silver Sulfadiazine .................................................................................... 14
Amitriptyline .................................................................................................2
Doxepin (Systemic) .....................................................................................6
Imipramine .................................................................................................. 9
Antidiabetic Agent, Biguanide
Glyburide and Metformin ............................................................................ 8
MetFORMIN .............................................................................................. 11
Sitagliptin and Metformin ..........................................................................15
Anticholinergic Agent
Benztropine ................................................................................................. 3
Dicyclomine .................................................................................................6
Hyoscyamine .............................................................................................. 9
Ipratropium and Albuterol ........................................................................... 9
Ipratropium (Nasal) ................................................................................... 10
Ipratropium (Oral Inhalation) .................................................................... 10
Solifenacin .................................................................................................15
Tiotropium ................................................................................................. 16
Tolterodine .................................................................................................16
Trihexyphenidyl ......................................................................................... 16
Antidiabetic Agent, Dipeptidyl Peptidase 4 (DPP-4) Inhibitor
SITagliptin ..................................................................................................15
Sitagliptin and Metformin ..........................................................................15
Antidiabetic Agent, Dopamine Agonist
Bromocriptine .............................................................................................. 3
Antidiabetic Agent, Glucagon-Like Peptide-1 (GLP-1) Receptor
Agonist
Albiglutide ....................................................................................................2
Anticholinergic Agent, Long-Acting
Antidiabetic Agent, Sulfonylurea
Tiotropium ................................................................................................. 16
Glimepiride .................................................................................................. 8
GlipiZIDE .....................................................................................................8
GlyBURIDE ................................................................................................. 8
Glyburide and Metformin ............................................................................ 8
Anticholinergic Agent, Ophthalmic
Atropine (Ophthalmic) .................................................................................3
Cyclopentolate ............................................................................................ 5
Homatropine ................................................................................................9
Antidiabetic Agent, Thiazolidinedione
Anticoagulant
Pioglitazone .............................................................................................. 13
Apixaban ..................................................................................................... 2
Dabigatran Etexilate ................................................................................... 5
Enoxaparin .................................................................................................. 6
Rivaroxaban ..............................................................................................14
Warfarin .....................................................................................................16
Antidiarrheal
Bismuth Subsalicylate ................................................................................ 3
Diphenoxylate and Atropine ....................................................................... 6
Loperamide ............................................................................................... 10
21
ANTIDOTE
Losartan and Hydrochlorothiazide ............................................................11
Methyldopa ................................................................................................11
Metoprolol ..................................................................................................11
NIFEdipine ................................................................................................ 12
Olmesartan ................................................................................................12
Prazosin .................................................................................................... 14
Propranolol ................................................................................................14
Ramipril ..................................................................................................... 14
Spironolactone .......................................................................................... 15
Telmisartan ................................................................................................15
Telmisartan and Hydrochlorothiazide .......................................................15
Terazosin ...................................................................................................15
Valsartan ................................................................................................... 16
Valsartan and Hydrochlorothiazide .......................................................... 16
Verapamil .................................................................................................. 16
Antidote
Glucagon .....................................................................................................8
Naloxone ................................................................................................... 12
Naltrexone .................................................................................................12
Antidote, Extravasation
Nitroglycerin .............................................................................................. 12
Terbutaline .................................................................................................15
Antidote, Hypoglycemia
Glucagon .....................................................................................................8
Antiemetic
Dexamethasone (Systemic) ....................................................................... 5
HydrOXYzine .............................................................................................. 9
Meclizine ................................................................................................... 11
Metoclopramide .........................................................................................11
Ondansetron ............................................................................................. 13
Prochlorperazine .......................................................................................14
Promethazine ............................................................................................14
Anti-inflammatory Agent
Dexamethasone (Systemic) ....................................................................... 5
Anti-inflammatory Agent, Ophthalmic
Antifibrinolytic Agent
Dexamethasone (Ophthalmic) ....................................................................5
Tranexamic Acid ....................................................................................... 16
Anti-inflammatory, Locally Applied
Antiflatulent
Carbamide Peroxide ................................................................................... 4
Simethicone .............................................................................................. 15
Antilipemic Agent, 2-Azetidinone
Antifungal Agent, Azole Derivative
Ezetimibe .................................................................................................... 7
Terconazole ...............................................................................................15
Antilipemic Agent, Bile Acid Sequestrant
Antifungal Agent, Imidazole Derivative
Colestipol .................................................................................................... 5
Clotrimazole (Topical) ................................................................................. 5
Ketoconazole (Systemic) ..........................................................................10
Ketoconazole (Topical) ............................................................................. 10
Antilipemic Agent, Fibric Acid
Fenofibrate and Derivatives ....................................................................... 7
Gemfibrozil .................................................................................................. 8
Antifungal Agent, Oral
Antilipemic Agent, HMG-CoA Reductase Inhibitor
Fluconazole .................................................................................................7
Griseofulvin ................................................................................................. 8
Ketoconazole (Systemic) ..........................................................................10
Terbinafine (Systemic) .............................................................................. 15
AtorvaSTATin .............................................................................................. 3
Pravastatin ................................................................................................ 14
Rosuvastatin ............................................................................................. 14
Simvastatin ................................................................................................15
Antifungal Agent, Oral Nonabsorbed/Partially Absorbed
Antilipemic Agent, Miscellaneous
Clotrimazole (Topical) ................................................................................. 5
Nystatin (Oral) ...........................................................................................12
Niacin ........................................................................................................ 12
Antifungal Agent, Parenteral
Antilipemic Agent, Omega-3 Fatty Acids
Fluconazole .................................................................................................7
Omega-3 Fatty Acids ................................................................................12
Antifungal Agent, Topical
Antimalarial Agent
Betamethasone and Clotrimazole .............................................................. 3
Clotrimazole (Topical) ................................................................................. 5
Ketoconazole (Topical) ............................................................................. 10
Naftifine ..................................................................................................... 12
Nystatin and Triamcinolone ......................................................................12
Nystatin (Topical) ...................................................................................... 12
Atovaquone and Proguanil .........................................................................3
Chloroquine .................................................................................................4
Hydroxychloroquine .................................................................................... 9
Mefloquine .................................................................................................11
Primaquine ................................................................................................ 14
Antimanic Agent
Antifungal Agent, Vaginal
ChlorproMAZINE .........................................................................................4
Lithium .......................................................................................................10
OLANZapine ............................................................................................. 12
RisperiDONE ............................................................................................ 14
Valproic Acid and Derivatives .................................................................. 16
Clotrimazole (Topical) ................................................................................. 5
Terconazole ...............................................................................................15
Antigout Agent
Allopurinol ................................................................................................... 2
Colchicine ....................................................................................................5
Antimigraine Agent
Rizatriptan ................................................................................................. 14
SUMAtriptan ..............................................................................................15
Sumatriptan and Naproxen ...................................................................... 15
ZOLMitriptan ............................................................................................. 16
Antihemophilic Agent
Desmopressin ............................................................................................. 5
Tranexamic Acid ....................................................................................... 16
Antihemorrhoidal Agent
Antineoplastic Agent, Antimetabolite
Hydrocortisone (Topical) .............................................................................9
Fluorouracil (Topical) .................................................................................. 8
Antihypertensive
Antineoplastic Agent, Antimetabolite (Antifolate)
AmLODIPine ............................................................................................... 2
Amlodipine and Benazepril ........................................................................ 2
Atenolol ....................................................................................................... 2
Captopril ......................................................................................................3
Carvedilol .................................................................................................... 4
Chlorthalidone ............................................................................................. 4
CloNIDine ....................................................................................................5
DilTIAZem ................................................................................................... 6
Enalapril ...................................................................................................... 6
Felodipine ....................................................................................................7
Fosinopril .....................................................................................................8
Furosemide ................................................................................................. 8
HydrALAZINE ............................................................................................. 9
HydroCHLOROthiazide .............................................................................. 9
Hydrochlorothiazide and Spironolactone ................................................... 9
Hydrochlorothiazide and Triamterene ........................................................ 9
Labetalol ....................................................................................................10
Lisinopril .................................................................................................... 10
Lisinopril and Hydrochlorothiazide ........................................................... 10
Losartan .................................................................................................... 10
Methotrexate ............................................................................................. 11
Antineoplastic Agent, Antimetabolite (Pyrimidine Analog)
Fluorouracil (Topical) .................................................................................. 8
Antineoplastic Agent, Aromatase Inhibitor
Letrozole ................................................................................................... 10
Antineoplastic Agent, Estrogen Receptor Antagonist
Tamoxifen ..................................................................................................15
Antineoplastic Agent, Gonadotropin-Releasing Hormone Agonist
Goserelin .....................................................................................................8
Leuprolide ................................................................................................. 10
Antiparasitic Agent, Topical
Permethrin .................................................................................................13
Anti-Parkinson Agent, Anticholinergic
Benztropine ................................................................................................. 3
Trihexyphenidyl ......................................................................................... 16
22
CORTICOSTEROID, NASAL
Anti-Parkinson Agent, Decarboxylase Inhibitor
Beta-Adrenergic Blocker, Nonselective
Dorzolamide and Timolol ............................................................................6
Levobunolol ...............................................................................................10
Propranolol ................................................................................................14
Sotalol ....................................................................................................... 15
Carbidopa and Levodopa ........................................................................... 4
Anti-Parkinson Agent, Dopamine Agonist
Amantadine ................................................................................................. 2
Bromocriptine .............................................................................................. 3
ROPINIRole .............................................................................................. 14
Beta-Blocker, Beta-1 Selective
Atenolol ....................................................................................................... 2
Metoprolol ..................................................................................................11
Anti-Parkinson Agent, Dopamine Precursor
Carbidopa and Levodopa ........................................................................... 4
Beta-Blocker, Nonselective
Antiplatelet Agent
Brimonidine and Timolol ............................................................................. 3
Timolol (Ophthalmic) .................................................................................16
Aspirin ......................................................................................................... 2
Clopidogrel .................................................................................................. 5
Dipyridamole ............................................................................................... 6
Beta-Blocker With Alpha-Blocking Activity
Carvedilol .................................................................................................... 4
Labetalol ....................................................................................................10
Antiplatelet Agent, Thienopyridine
Clopidogrel .................................................................................................. 5
Bisphosphonate Derivative
Antiprotozoal, Nitroimidazole
Alendronate .................................................................................................2
Ibandronate ................................................................................................. 9
MetroNIDAZOLE (Systemic) .....................................................................11
Antirheumatic, Disease Modifying
Blood Viscosity Reducer Agent
Pentoxifylline .............................................................................................13
Adalimumab ................................................................................................ 2
Methotrexate ............................................................................................. 11
Calcineurin Inhibitor
Antispasmodic Agent, Gastrointestinal
CycloSPORINE (Ophthalmic) .....................................................................5
Pimecrolimus ............................................................................................ 13
Clidinium and Chlordiazepoxide .................................................................4
Calcium Channel Blocker
Antispasmodic Agent, Urinary
AmLODIPine ............................................................................................... 2
Amlodipine and Benazepril ........................................................................ 2
DilTIAZem ................................................................................................... 6
Felodipine ....................................................................................................7
NIFEdipine ................................................................................................ 12
Verapamil .................................................................................................. 16
Oxybutynin ................................................................................................ 13
Antithyroid Agent
Propylthiouracil ......................................................................................... 14
Antitubercular Agent
Ethambutol .................................................................................................. 7
Isoniazid .................................................................................................... 10
Pyrazinamide ............................................................................................ 14
RifAMPin ................................................................................................... 14
Calcium Channel Blocker, Dihydropyridine
AmLODIPine ............................................................................................... 2
Amlodipine and Benazepril ........................................................................ 2
Felodipine ....................................................................................................7
NIFEdipine ................................................................................................ 12
Antitussive
Benzonatate ................................................................................................ 3
Codeine .......................................................................................................5
Guaifenesin and Codeine ...........................................................................8
Calcium Channel Blocker, Nondihydropyridine
DilTIAZem ................................................................................................... 6
Verapamil .................................................................................................. 16
Antiviral Agent
Calcium Salt
Acyclovir (Systemic) ................................................................................... 2
Amantadine ................................................................................................. 2
Oseltamivir ................................................................................................ 13
ValACYclovir ............................................................................................. 16
Calcium and Vitamin D ...............................................................................3
Carbonic Anhydrase Inhibitor
AcetaZOLAMIDE ........................................................................................ 2
Antiviral Agent, Adamantane
Carbonic Anhydrase Inhibitor (Ophthalmic)
Amantadine ................................................................................................. 2
Dorzolamide ................................................................................................ 6
Dorzolamide and Timolol ............................................................................6
Antiviral Agent, Ophthalmic
Ganciclovir (Ophthalmic) ............................................................................ 8
Cardiac Glycoside
Digoxin ........................................................................................................ 6
Antiviral Agent, Oral
ValACYclovir ............................................................................................. 16
Cathartic
Sodium Phosphates ................................................................................. 15
Antiviral Agent, Topical
Docosanol ................................................................................................... 6
Central Nervous System Stimulant
Dextroamphetamine ....................................................................................5
Dextroamphetamine and Amphetamine .................................................... 5
Methylphenidate ........................................................................................11
Barbiturate
Butalbital, Acetaminophen, and Caffeine ...................................................3
Butalbital, Aspirin, and Caffeine .................................................................3
PHENobarbital .......................................................................................... 13
Primidone .................................................................................................. 14
Chloride Channel Activator
Lubiprostone ..............................................................................................11
Benzodiazepine
Contraceptive
ALPRAZolam .............................................................................................. 2
ChlordiazePOXIDE ..................................................................................... 4
Clidinium and Chlordiazepoxide .................................................................4
ClonazePAM ............................................................................................... 5
DiazePAM ................................................................................................... 5
LORazepam ..............................................................................................10
Temazepam .............................................................................................. 15
Ethinyl Estradiol and Desogestrel .............................................................. 7
Ethinyl Estradiol and Drospirenone ........................................................... 7
Ethinyl Estradiol and Ethynodiol Diacetate ................................................7
Ethinyl Estradiol and Etonogestrel ............................................................. 7
Ethinyl Estradiol and Levonorgestrel ......................................................... 7
Ethinyl Estradiol and Norelgestromin .........................................................7
Ethinyl Estradiol and Norethindrone .......................................................... 7
Ethinyl Estradiol and Norgestimate ............................................................7
Ethinyl Estradiol and Norgestrel .................................................................7
Levonorgestrel (Systemic) ........................................................................10
MedroxyPROGESTERone ....................................................................... 11
Norethindrone ........................................................................................... 12
Beta2-Adrenergic Agonist
Ipratropium and Albuterol ........................................................................... 9
Beta2-Adrenergic Agonist, Long-Acting
Fluticasone and Salmeterol ........................................................................8
Salmeterol ................................................................................................. 14
Corticosteroid, Inhalant (Oral)
Budesonide (Oral Inhalation) ......................................................................3
Fluticasone and Salmeterol ........................................................................8
Fluticasone (Oral Inhalation) ...................................................................... 8
Beta2 Agonist
Albuterol ...................................................................................................... 2
Fluticasone and Salmeterol ........................................................................8
Levalbuterol ...............................................................................................10
Salmeterol ................................................................................................. 14
Terbutaline .................................................................................................15
Corticosteroid, Nasal
Fluticasone (Nasal) .....................................................................................8
Mometasone (Nasal) .................................................................................11
23
CORTICOSTEROID, OPHTHALMIC
Corticosteroid, Ophthalmic
Estrogen and Progestin Combination
Estrogens (Conjugated/Equine) and Medroxyprogesterone ..................... 6
Ethinyl Estradiol and Desogestrel .............................................................. 7
Ethinyl Estradiol and Drospirenone ........................................................... 7
Ethinyl Estradiol and Ethynodiol Diacetate ................................................7
Ethinyl Estradiol and Etonogestrel ............................................................. 7
Ethinyl Estradiol and Levonorgestrel ......................................................... 7
Ethinyl Estradiol and Norelgestromin .........................................................7
Ethinyl Estradiol and Norethindrone .......................................................... 7
Ethinyl Estradiol and Norgestimate ............................................................7
Ethinyl Estradiol and Norgestrel .................................................................7
Bacitracin, Neomycin, Polymyxin B, and Hydrocortisone (Ophthalmic) ... 3
Dexamethasone (Ophthalmic) ....................................................................5
Difluprednate ...............................................................................................6
Fluorometholone ......................................................................................... 8
PrednisoLONE (Ophthalmic) ....................................................................14
Corticosteroid, Otic
Ciprofloxacin and Dexamethasone ............................................................ 4
Dexamethasone (Ophthalmic) ....................................................................5
Corticosteroid, Rectal
Hydrocortisone (Topical) .............................................................................9
Estrogen Derivative
Estradiol (Systemic) ....................................................................................6
Estradiol (Topical) ....................................................................................... 6
Estrogens (Conjugated/Equine, Systemic) ................................................ 6
Estrogens (Conjugated/Equine, Topical) ....................................................7
Corticosteroid, Systemic
Dexamethasone (Systemic) ....................................................................... 5
Fludrocortisone ........................................................................................... 7
Hydrocortisone (Systemic) ......................................................................... 9
MethylPREDNISolone ...............................................................................11
PrednisoLONE (Systemic) ....................................................................... 14
PredniSONE ............................................................................................. 14
Ethanolamine Derivative
DiphenhydrAMINE (Systemic) ....................................................................6
Expectorant
Corticosteroid, Topical
GuaiFENesin ...............................................................................................8
Guaifenesin and Codeine ...........................................................................8
Guaifenesin and Pseudoephedrine ............................................................8
Betamethasone and Clotrimazole .............................................................. 3
Clobetasol ................................................................................................... 4
Desonide ..................................................................................................... 5
Fluocinolone (Topical) .................................................................................7
Fluocinonide ................................................................................................8
Hydrocortisone (Topical) .............................................................................9
Nystatin and Triamcinolone ......................................................................12
Triamcinolone (Topical) .............................................................................16
First Generation (Typical) Antipsychotic
ChlorproMAZINE .........................................................................................4
Haloperidol .................................................................................................. 9
Prochlorperazine .......................................................................................14
GABA Analog
Gabapentin ..................................................................................................8
Decongestant
Brompheniramine and Pseudoephedrine .................................................. 3
Oxymetazoline (Nasal) ............................................................................. 13
Pseudoephedrine ......................................................................................14
Gastrointestinal Agent, Miscellaneous
Adalimumab ................................................................................................ 2
Lubiprostone ..............................................................................................11
Sucralfate .................................................................................................. 15
Diagnostic Agent
Gastrointestinal Agent, Prokinetic
Glucagon .....................................................................................................8
Metoclopramide .........................................................................................11
Diagnostic Agent, Ophthalmic
Genitourinary Irrigant
Hydroxypropyl Methylcellulose ...................................................................9
Sodium Chloride ....................................................................................... 15
Direct Oral Anticoagulant (DOAC)
Gonadotropin Releasing Hormone Agonist
Apixaban ..................................................................................................... 2
Dabigatran Etexilate ................................................................................... 5
Rivaroxaban ..............................................................................................14
Goserelin .....................................................................................................8
Leuprolide ................................................................................................. 10
Hemostatic Agent
Diuretic, Carbonic Anhydrase Inhibitor
Aluminum Chloride Hexahydrate ............................................................... 2
Desmopressin ............................................................................................. 5
Tranexamic Acid ....................................................................................... 16
AcetaZOLAMIDE ........................................................................................ 2
Diuretic, Loop
Furosemide ................................................................................................. 8
Histamine H1 Antagonist
Diuretic, Potassium-Sparing
Brompheniramine and Pseudoephedrine .................................................. 3
Cetirizine ..................................................................................................... 4
Chlorpheniramine ........................................................................................4
Cyproheptadine ...........................................................................................5
DiphenhydrAMINE (Systemic) ....................................................................6
Fexofenadine .............................................................................................. 7
HydrOXYzine .............................................................................................. 9
Ketotifen (Ophthalmic) .............................................................................. 10
Loratadine ................................................................................................. 10
Meclizine ................................................................................................... 11
Naphazoline and Pheniramine ................................................................. 12
Olopatadine (Ophthalmic) .........................................................................12
Promethazine ............................................................................................14
Hydrochlorothiazide and Triamterene ........................................................ 9
Spironolactone .......................................................................................... 15
Diuretic, Thiazide
HydroCHLOROthiazide .............................................................................. 9
Hydrochlorothiazide and Spironolactone ................................................... 9
Hydrochlorothiazide and Triamterene ........................................................ 9
Lisinopril and Hydrochlorothiazide ........................................................... 10
Losartan and Hydrochlorothiazide ............................................................11
Olmesartan and Hydrochlorothiazide .......................................................12
Telmisartan and Hydrochlorothiazide .......................................................15
Valsartan and Hydrochlorothiazide .......................................................... 16
Diuretic, Thiazide-Related
Histamine H1 Antagonist, First Generation
Chlorthalidone ............................................................................................. 4
MetOLazone ..............................................................................................11
Brompheniramine and Pseudoephedrine .................................................. 3
Chlorpheniramine ........................................................................................4
Cyproheptadine ...........................................................................................5
DiphenhydrAMINE (Systemic) ....................................................................6
HydrOXYzine .............................................................................................. 9
Meclizine ................................................................................................... 11
Naphazoline and Pheniramine ................................................................. 12
Promethazine ............................................................................................14
Electrolyte Supplement, Oral
Calcium and Vitamin D ...............................................................................3
Magnesium Gluconate ..............................................................................11
Magnesium Oxide ..................................................................................... 11
Potassium Chloride .................................................................................. 13
Electrolyte Supplement, Parenteral
Histamine H1 Antagonist, Second Generation
Potassium Chloride .................................................................................. 13
Sodium Chloride ....................................................................................... 15
Sodium Phosphates ................................................................................. 15
Cetirizine ..................................................................................................... 4
Fexofenadine .............................................................................................. 7
Ketotifen (Ophthalmic) .............................................................................. 10
Loratadine ................................................................................................. 10
Olopatadine (Ophthalmic) .........................................................................12
Enzyme
Pancrelipase ............................................................................................. 13
Ergot Derivative
Histamine H2 Antagonist
Bromocriptine .............................................................................................. 3
RaNITIdine ................................................................................................ 14
Estrogen and Androgen Combination
Histone Deacetylase Inhibitor
Estrogens (Esterified) and Methyltestosterone ..........................................7
Valproic Acid and Derivatives .................................................................. 16
24
Hormone, Posterior Pituitary
Desmopressin ............................................................................................. 5
Hypnotic, Miscellaneous
Eszopiclone .................................................................................................7
Zolpidem ................................................................................................... 17
Imidazoline Derivative
Naphazoline and Pheniramine ................................................................. 12
Oxymetazoline (Nasal) ............................................................................. 13
Immunosuppressant Agent
AzaTHIOprine ............................................................................................. 3
CycloSPORINE (Ophthalmic) .....................................................................5
Methotrexate ............................................................................................. 11
Pimecrolimus ............................................................................................ 13
Inhalation, Miscellaneous
Inhalation Devices ...................................................................................... 9
Insulin, Combination
Insulin Aspart Protamine and Insulin Aspart ............................................. 9
Insulin NPH and Insulin Regular ................................................................ 9
Insulin, Intermediate-Acting
Insulin NPH ................................................................................................. 9
Insulin, Long-Acting
Insulin Detemir ............................................................................................ 9
Insulin Glargine ...........................................................................................9
Insulin, Rapid-Acting
Insulin Aspart .............................................................................................. 9
Insulin Lispro ...............................................................................................9
Insulin, Short-Acting
Insulin Regular ............................................................................................ 9
Iron Salt
Ferrous Sulfate ........................................................................................... 7
Irrigant
Sodium Chloride ....................................................................................... 15
Keratolytic Agent
Podofilox ................................................................................................... 13
Laxative, Bowel Evacuant
Sodium Phosphates ................................................................................. 15
Laxative, Osmotic
Lactulose ...................................................................................................10
Polyethylene Glycol 3350 .........................................................................13
Polyethylene Glycol-Electrolyte Solution ................................................. 13
Laxative, Saline
Magnesium Citrate ....................................................................................11
Laxative, Stimulant
Bisacodyl .....................................................................................................3
Leukotriene-Receptor Antagonist
Montelukast ............................................................................................... 11
Local Anesthetic
Lidocaine (Topical) ....................................................................................10
Lubricant, Ocular
Hydroxypropyl Methylcellulose ...................................................................9
Ocular Lubricant ....................................................................................... 12
Sodium Chloride ....................................................................................... 15
Lysine Analog
Tranexamic Acid ....................................................................................... 16
Magnesium Salt
Magnesium Citrate ....................................................................................11
Magnesium Gluconate ..............................................................................11
Magnesium Oxide ..................................................................................... 11
Mast Cell Stabilizer
Cromolyn (Oral Inhalation) ......................................................................... 5
Ketotifen (Ophthalmic) .............................................................................. 10
Mineralocorticoid (Aldosterone) Receptor Antagonists
Hydrochlorothiazide and Spironolactone ................................................... 9
Spironolactone .......................................................................................... 15
Miscellaneous Product
Diabetic Supplies ........................................................................................ 5
Monoclonal Antibody
Adalimumab ................................................................................................ 2
Mouthwash
Mouthwash, Magic .................................................................................... 11
Neuraminidase Inhibitor
Oseltamivir ................................................................................................ 13
Nonsteroidal Anti-inflammatory Drug (NSAID)
Diclofenac (Ophthalmic) ............................................................................. 5
Diclofenac (Systemic) .................................................................................5
Diclofenac (Topical) .................................................................................... 5
Nonsteroidal Anti-inflammatory Drug (NSAID), COX-2 Selective
Celecoxib .................................................................................................... 4
Nonsteroidal Anti-inflammatory Drug (NSAID), Ophthalmic
Diclofenac (Ophthalmic) ............................................................................. 5
Ketorolac (Ophthalmic) .............................................................................10
Nonsteroidal Anti-inflammatory Drug (NSAID), Oral
Aspirin ......................................................................................................... 2
Diclofenac (Systemic) .................................................................................5
Ibuprofen ..................................................................................................... 9
Indomethacin ...............................................................................................9
Meloxicam ................................................................................................. 11
Naproxen ...................................................................................................12
Piroxicam .................................................................................................. 13
Sumatriptan and Naproxen ...................................................................... 15
Tolmetin .....................................................................................................16
Nonsteroidal Anti-inflammatory Drug (NSAID), Parenteral
Ibuprofen ..................................................................................................... 9
Indomethacin ...............................................................................................9
Nonsteroidal Anti-inflammatory Drug (NSAID), Topical
Diclofenac (Topical) .................................................................................... 5
Norepinephrine Reuptake Inhibitor, Selective
AtoMOXetine ...............................................................................................3
Nutritional Supplement
Fluoride ....................................................................................................... 8
Ophthalmic Agent, Antiglaucoma
AcetaZOLAMIDE ........................................................................................ 2
Betaxolol (Ophthalmic) ............................................................................... 3
Bimatoprost ................................................................................................. 3
Brimonidine and Timolol ............................................................................. 3
Brimonidine (Ophthalmic) ........................................................................... 3
Dorzolamide ................................................................................................ 6
Dorzolamide and Timolol ............................................................................6
Latanoprost ............................................................................................... 10
Levobunolol ...............................................................................................10
Phenylephrine (Ophthalmic) ..................................................................... 13
Pilocarpine (Ophthalmic) .......................................................................... 13
Timolol (Ophthalmic) .................................................................................16
Ophthalmic Agent, Miotic
Pilocarpine (Ophthalmic) .......................................................................... 13
Ophthalmic Agent, Miscellaneous
Artificial Tears ..............................................................................................2
Carboxymethylcellulose ..............................................................................4
Ocular Lubricant ....................................................................................... 12
Ophthalmic Agent, Mydriatic
Atropine (Ophthalmic) .................................................................................3
Homatropine ................................................................................................9
Phenylephrine (Ophthalmic) ..................................................................... 13
Tropicamide .............................................................................................. 16
Ophthalmic Agent, Vasoconstrictor
Naphazoline and Pheniramine ................................................................. 12
Opioid Antagonist
Naloxone ................................................................................................... 12
Naltrexone .................................................................................................12
Otic Agent, Analgesic
Antipyrine and Benzocaine ........................................................................ 2
Otic Agent, Anti-infective
Acetic Acid and Hydrocortisone ................................................................. 2
Otic Agent, Cerumenolytic
Antipyrine and Benzocaine ........................................................................ 2
Carbamide Peroxide ................................................................................... 4
Ovulation Stimulator
ClomiPHENE .............................................................................................. 4
Partial Nicotine Agonist
Varenicline .................................................................................................16
Pediculocide
Permethrin .................................................................................................13
Phenothiazine Derivative
ChlorproMAZINE .........................................................................................4
Prochlorperazine .......................................................................................14
Promethazine ............................................................................................14
Phosphodiesterase-5 Enzyme Inhibitor
Sildenafil ....................................................................................................14
Phosphodiesterase Enzyme Inhibitor, Nonselective
Theophylline ..............................................................................................15
Piperazine Derivative
Cetirizine ..................................................................................................... 4
HydrOXYzine .............................................................................................. 9
Meclizine ................................................................................................... 11
Piperidine Derivative
Cyproheptadine ...........................................................................................5
Fexofenadine .............................................................................................. 7
Ketotifen (Ophthalmic) .............................................................................. 10
Loratadine ................................................................................................. 10
Olopatadine (Ophthalmic) .........................................................................12
Progestin
Esomeprazole ............................................................................................. 6
Omeprazole ...............................................................................................13
Pantoprazole .............................................................................................13
Thioamide
Propylthiouracil ......................................................................................... 14
Thyroid Product
Levothyroxine ............................................................................................10
Liothyronine ...............................................................................................10
Thyroid, Desiccated ..................................................................................15
Topical Skin Product
Adapalene and Benzoyl Peroxide ..............................................................2
Aluminum Chloride Hexahydrate ............................................................... 2
Benzoyl Peroxide ........................................................................................3
Clindamycin and Benzoyl Peroxide ........................................................... 4
Levonorgestrel (Systemic) ........................................................................10
MedroxyPROGESTERone ....................................................................... 11
Norethindrone ........................................................................................... 12
Progesterone ............................................................................................ 14
Prostaglandin, Ophthalmic
Bimatoprost ................................................................................................. 3
Latanoprost ............................................................................................... 10
Proton Pump Inhibitor
Esomeprazole ............................................................................................. 6
Omeprazole ...............................................................................................13
Pantoprazole .............................................................................................13
Retinoic Acid Derivative
Tretinoin (Topical) ..................................................................................... 16
Emollients ....................................................................................................6
Fluorouracil (Topical) .................................................................................. 8
Imiquimod ....................................................................................................9
Lactic Acid and Ammonium Hydroxide ....................................................10
Pimecrolimus ............................................................................................ 13
Podofilox ................................................................................................... 13
Selenium Sulfide .......................................................................................14
Topical Skin Product, Acne
Adapalene ................................................................................................... 2
Adapalene and Benzoyl Peroxide ..............................................................2
Benzoyl Peroxide ........................................................................................3
Salicylate
Aspirin ......................................................................................................... 2
Salsalate ................................................................................................... 14
Scabicidal Agent
Permethrin .................................................................................................13
Second Generation (Atypical) Antipsychotic
ARIPiprazole ............................................................................................... 2
Lurasidone .................................................................................................11
OLANZapine ............................................................................................. 12
QUEtiapine ................................................................................................14
RisperiDONE ............................................................................................ 14
Ziprasidone ............................................................................................... 16
Selective 5-HT3 Receptor Antagonist
Ondansetron ............................................................................................. 13
Selective Estrogen Receptor Modulator (SERM)
ClomiPHENE .............................................................................................. 4
Raloxifene ................................................................................................. 14
Tamoxifen ..................................................................................................15
Serotonin 5-HT1B,
Substituted Benzimidazole
1D
Receptor Agonist
Rizatriptan ................................................................................................. 14
SUMAtriptan ..............................................................................................15
Sumatriptan and Naproxen ...................................................................... 15
ZOLMitriptan ............................................................................................. 16
Skeletal Muscle Relaxant
Baclofen ...................................................................................................... 3
Chlorzoxazone ............................................................................................ 4
Cyclobenzaprine ......................................................................................... 5
Metaxalone ................................................................................................11
Methocarbamol ..........................................................................................11
Skin and Mucous Membrane Agent
Imiquimod ....................................................................................................9
Skin and Mucous Membrane Agent, Miscellaneous
Emollients ....................................................................................................6
Smoking Cessation Aid
BuPROPion .................................................................................................3
Nicotine ..................................................................................................... 12
Varenicline .................................................................................................16
Sodium Salt
Sodium Chloride ....................................................................................... 15
Stool Softener
Docusate ..................................................................................................... 6
Clindamycin and Benzoyl Peroxide ........................................................... 4
Clindamycin (Topical) ................................................................................. 4
Sulfacetamide (Topical) ............................................................................ 15
Tretinoin (Topical) ..................................................................................... 16
Tumor Necrosis Factor (TNF) Blocking Agent
Adalimumab ................................................................................................ 2
Uricosuric Agent
Probenecid ................................................................................................ 14
Vasodilator
Dipyridamole ............................................................................................... 6
HydrALAZINE ............................................................................................. 9
Isosorbide Dinitrate ...................................................................................10
Isosorbide Mononitrate ............................................................................. 10
Nitroglycerin .............................................................................................. 12
Vasopressin Analog, Synthetic
Desmopressin ............................................................................................. 5
Vitamin
Vitamins (Multiple/Pediatric) ..................................................................... 16
Vitamins (Multiple/Prenatal) ......................................................................16
Vitamin D Analog
Cholecalciferol ............................................................................................ 4
Ergocalciferol .............................................................................................. 6
Vitamin, Fat Soluble
Calcium and Vitamin D ...............................................................................3
Vitamin, Water Soluble
Cyanocobalamin ......................................................................................... 5
Folic Acid .................................................................................................... 8
Niacin ........................................................................................................ 12
Pyridoxine ................................................................................................. 14
Xanthine Oxidase Inhibitor
Allopurinol ................................................................................................... 2