Reynolds Army l Hea;lth C inic Outpatient Formulary...

Reynolds Army l

1

Alphabetical Listing by Name

Outpatient Formulary

This document is current as of August 27, 2020. The availability of formulary items is subject to change

Hea;lth C inic

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

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

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

Tablet, Oral:Mapap: 325 mg

Tablet Chewable, Oral:Mapap: 80 mg

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

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

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

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

Tablet, Oral:Generic: 250 mg

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

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

Tablet, Oral:Generic: 400 mg [BCF]

Acyclovir (Topical)Outpatient Dosage FormsOintment, External:Zovirax: 5% (30 g)

AdalimumabOutpatient Dosage FormsKit, Subcutaneous [preservative free]:Humira Pen 40 mg/0.4 mL (0.4 mL [Citrate Free]Humira: 40 mg/0.8 mL (0.8 mL) [contains polysorbate 80] [ECF]Humira Pen: 40 mg/0.8 mL (0.8 mL) [contains polysorbate 80] [ECF]

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

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

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

Nebulization Solution, Inhalation:Generic: 0.63 mg/3 mL (3 mL); 0.083% [2.5 mg/3 mL] (3 mL) [BCF]; 0.5%[5 mg/mL] (20 mL)

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


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

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

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

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

AlirocumabOutpatient Dosage FormsSolution Pen-injector, Subcutaneous [preservative free]:Praluent: 75 mg/mL (1 mL); 150 mg/mL (1 mL) [contains mouse (murine) and/or hamster protein]

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

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

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

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

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

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

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

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

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

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

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

Amlodipine and BenazeprilOutpatient Dosage FormsCapsule, Oral:Generic: 2.5/10: Amlodipine 2.5 mg and benazepril hydrochloride10 mg [BCF]

Generic: 5/10: Amlodipine 5 mg and benazepril hydrochloride 10 mg [BCF]Generic: 5/20: Amlodipine 5 mg and benazepril hydrochloride 20 mg [BCF]Generic: 5/40: Amlodipine 5 mg and benazepril hydrochloride 40 mg [BCF]Generic: 10/20: Amlodipine 10 mg and benazepril hydrochloride 20 mg [BCF]Generic: 10/40: Amlodipine 10 mg and benazepril hydrochloride 40 mg [BCF]

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

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


ACETAMINOPHEN

2

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

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

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

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

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

AnastrozoleOutpatient Dosage FormsTablet, Oral:Generic: 1 mg

ApixabanOutpatient Dosage FormsTablet, Oral:Eliquis: 2.5 mg, 5 mg

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

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

AspirinOutpatient Dosage FormsTablet, Oral:Generic: 325 mg

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

Tablet Delayed Release, Oral:Aspirin EC Low Dose: 81 mgGeneric: 325 mg

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

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

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

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

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

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

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

AzaTHIOprineOutpatient Dosage FormsTablet, Oral:Generic: 50 mg

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

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

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

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

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

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

Bacitracin, Neomycin, and Polymyxin B (Ophthalmic)Outpatient Dosage FormsOintment, Ophthalmic:Generic: Bacitracin 400 units, neomycin 5 mg, and polymyxin B 10,000 unitsper g (3.5 g) [BCF]

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

Bacitracin (Ophthalmic)Outpatient Dosage FormsOintment, Ophthalmic:Generic: 500 units/g (3.5 g)

Bacitracin (Topical)Outpatient Dosage FormsOintment, External:Generic: 500 units/g (14 g)

BaclofenOutpatient Dosage FormsTablet, Oral:Generic: 10 mg

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

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

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

BenzonatateOutpatient Dosage FormsCapsule, Oral:Generic: 100 mg

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

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

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

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

BETAMETHASONE AND CLOTRIMAZOLE

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

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

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

BicalutamideOutpatient Dosage FormsTablet, Oral:Generic: 50 mg

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

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

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

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

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

BromocriptineOutpatient Dosage FormsTablet, Oral:Generic: 2.5 mg

Budesonide (Oral Inhalation)Outpatient Dosage FormsSuspension, Inhalation:Pulmicort: 0.25 mg/2 mL (2 mL); 0.5 mg/2 mL (2 mL) [contains disodium edta,polysorbate 80]

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

BuprenorphineOutpatient Dosage FormsPatch Weekly, Transdermal:Butrans: 5 mcg/hr (4 ea); 7.5 mcg/hr (4 ea); 10 mcg/hr (4 ea); 20 mcg/hr (4 ea)

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

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

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


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

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

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

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

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

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

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

Calcitriol (Systemic)Outpatient Dosage FormsCapsule, Oral:Generic: 0.25 mcg

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

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

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

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

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

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

CarboxymethylcelluloseOutpatient Dosage FormsSolution, Ophthalmic, as sodium:Refresh Plus: 0.5% (30 ea)Theratears: 0.25% (15 mL)

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

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

CefdinirOutpatient Dosage FormsCapsule, Oral:Generic: 300 mg

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

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

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

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

BETAMETHASONE (TOPICAL)

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Generic: 250 mg, 500 mg

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

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

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

Cetirizine (Systemic)Outpatient Dosage FormsSolution, Oral, as hydrochloride:Generic: 5 mg/5 mL (5 mL)

Tablet, Oral, as hydrochloride:Generic: 10 mg

ChlorambucilOutpatient Dosage FormsTablet, Oral:Leukeran: 2 mg

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

Chlorhexidine Gluconate (Oral)Outpatient Dosage FormsSolution, Mouth/Throat:Periogard: 0.12% (473 mL) [mint flavor] [BCF]Generic: 0.12% (473 mL) [BCF]

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

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

ChlorpheniramineOutpatient Dosage FormsTablet Extended Release, Oral, as maleate:Generic: 12 mg

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

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

CholecalciferolOutpatient Dosage FormsTablet, Oral:Generic: 1000 units

CiclopiroxOutpatient Dosage FormsSolution, External:Generic: 8% (6.6 mL)

CilostazolOutpatient Dosage FormsTablet, Oral:Generic: 100 mg

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

CODEINE

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ColchicineOutpatient Dosage FormsTablet, Oral:Colcrys: 0.6 mg [scored]

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

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

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

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

CyanocobalaminOutpatient Dosage FormsSolution, Injection:Generic: 1000 mcg/mL (1 mL)

Tablet, Oral [preservative free]:Generic: 1000 mcg

CyclobenzaprineOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 10 mg [BCF]

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

CyclophosphamideOutpatient Dosage FormsTablet, Oral:Generic: 50 mg

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

CyproheptadineOutpatient Dosage FormsSyrup, Oral, as hydrochloride:Generic: 2 mg/5 mL (473 mL) [BCF]

Tablet, Oral, as hydrochloride:Generic: 4 mg [BCF]

Dabigatran EtexilateOutpatient Dosage FormsCapsule, Oral:Pradaxa: 75 mg, 150 mg

DanazolOutpatient Dosage FormsCapsule, Oral:Generic: 200 mg

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

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

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

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

DesvenlafaxineOutpatient Dosage FormsTablet Extended Release 24 Hour, Oral, as succinate [strength expressed asbase]:Generic: 25 mg, 50 mg, 100 mg

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

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

DextroamphetamineOutpatient Dosage FormsCapsule Extended Release 24 Hour, Oral, as sulfate:Generic: 5 mg, 10 mg

Tablet, Oral, as sulfate:Generic: 5 mg

Dextroamphetamine and AmphetamineOutpatient Dosage FormsCapsule Extended Release 24 Hour, Oral:Generic: 5 mg [dextroamphetamine sulfate 1.25 mg, dextroamphetaminesaccharate 1.25 mg, amphetamine aspartate monohydrate 1.25 mg,amphetamine sulfate 1.25 mg (equivalent to amphetamine base3.1 mg)] [BCF]

Generic: 10 mg [dextroamphetamine sulfate 2.5 mg, dextroamphetaminesaccharate 2.5 mg, amphetamine aspartate monohydrate 2.5 mg, amphet-amine sulfate 2.5 mg (equivalent to amphetamine base 6.3 mg)] [BCF]

Generic: 15 mg [dextroamphetamine sulfate 3.75 mg, dextroamphetaminesaccharate 3.75 mg, amphetamine aspartate monohydrate 3.75 mg,amphetamine sulfate 3.75 mg (equivalent to amphetamine base9.4 mg)] [BCF]

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

Generic: 25 mg [dextroamphetamine sulfate 6.25 mg, dextroamphetaminesaccharate 6.25 mg, amphetamine aspartate monohydrate 6.25 mg,amphetamine sulfate 6.25 mg (equivalent to amphetamine base15.6 mg)] [BCF]

Generic: 30 mg [dextroamphetamine sulfate 7.5 mg, dextroamphetaminesaccharate 7.5 mg, amphetamine aspartate monohydrate 7.5 mg, amphet-amine sulfate 7.5 mg (equivalent to amphetamine base 18.8 mg)] [BCF]

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

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

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

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

Diabetic SuppliesOutpatient Dosage FormsGlucose meter:FreeStyle Freedom Lite Glucose Meter

Lancet:FreeStyle: 100/box

Lancet device:Generic: 1 ea

Syringe and needle:BD Insulin Syringe Ultrafine: 31 gauge x 5/16" (0.3 mL)BD Insulin Syringe Ultrafine II: 31 gauge x 5/16" (1 mL)BD Insulin Syringe Ultrafine II: 31 gauge x 5/16" (0.5 mL)NovoFine: 30 gauge x 8 mmUltra-Fine Pen Needles 32 gauge x 4 mm

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

DiazePAMOutpatient Dosage FormsTablet, Oral:Generic: 2 mg, 5 mg [BCF], 10 mg

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

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

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

COLCHICINE

6

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

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


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

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

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

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


DimenhyDRINATEOutpatient Dosage FormsTablet, Oral:Generic: 50 mg

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

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

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

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

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

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

DisopyramideOutpatient Dosage FormsCapsule, Oral:Generic: 150 mg

DisulfiramOutpatient Dosage FormsTablet, Oral:Antabuse: 250 mg

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

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

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

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

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

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

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

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

DULoxetineOutpatient Dosage FormsCapsule Delayed Release Particles, Oral:Generic: 20 mg, 30 mg, 60 mg

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

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

EmollientsOutpatient Dosage FormsCream, External:Vanicream: 454 g

EmpagliflozinOutpatient Dosage FormsTablet, Oral:Jardiance: 10 mg, 25 mg

Empagliflozin and LinagliptinOutpatient Dosage FormsTablet, Oral:Glyxambi: Empagliflozin 10 mg and linagliptin 5 mgGlyxambi: Empagliflozin 25 mg and linagliptin 5 mg [contains corn starch]

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

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

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

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

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

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

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

ERYTHROMYCIN AND BENZOYL PEROXIDE

7

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

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

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

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

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

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

Estradiol (Systemic)Outpatient Dosage FormsOil, Intramuscular, as valerate:Delestrogen: 10 mg/mL (5 mL) [contains chlorobutanol (chlorobutol), ses-ame oil]

Patch Weekly, Transdermal:Generic: 0.025 mg/24 hours (4s) [BCF]; 0.0375 mg/24 hours (4s) [BCF];0.05 mg/24 hours (4s) [BCF]; 0.06 mg/24 hours (4s) [BCF]; 0.075 mg/24hours (4s) [BCF]; 0.1 mg/24 hours (4s) [BCF]

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Tablet, Oral [triphasic formulation]:Enpresse:Day 1-6: Ethinyl estradiol 0.03 mg and levonorgestrel 0.05 mg [6 pinktablets]

Day 7-11: Ethinyl estradiol 0.04 mg and levonorgestrel 0.075 mg [5 whitetablets]

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

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

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

Ethinyl Estradiol and NorethindroneOutpatient Dosage FormsTablet, Oral [monophasic formulation]:Microgestin Fe 1/20: Ethinyl estradiol 0.02 mg and norethindrone acetate1 mg [21 white tablets] and ferrous fumarate 75 mg [7 brown tablets] (28s)

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

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

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

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

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

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

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

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

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

Day 15-21: Ethinyl estradiol 0.025 mg and norgestimate 0.25 mg [7 darkblue tablets]

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

ERYTHROMYCIN (OPHTHALMIC)

8

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

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

Day 22-28: 7 green inactive tablets

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

EthosuximideOutpatient Dosage FormsCapsule, Oral:Generic: 250 mg

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

EtodolacOutpatient Dosage FormsCapsule, Oral:Generic: 300 mg

Tablet, Oral:Generic: 400 mg, 500 mg


EvolocumabOutpatient Dosage FormsSolution Prefilled Syringe, Subcutaneous [preservative free]:Repatha: 140 mg/mL (1 mL)

ExenatideOutpatient Dosage FormsAuto-injector, Subcutaneous:Bydureon BCise: 2 mg/0.85 mL (0.85 mL) [BCF]

Pen-injector, Subcutaneous:Bydureon: 2 mg (1 ea) [BCF]

Suspension Reconstituted ER, Subcutaneous:Bydureon: 2 mg (1 ea) [BCF]

EzetimibeOutpatient Dosage FormsTablet, Oral:Zetia: 10 mg

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

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

Ferrous FumarateOutpatient Dosage FormsTablet, Oral:Generic: 324 mg

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

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

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

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

FexofenadineOutpatient Dosage FormsSuspension, Oral, as hydrochloride:Allegra Allergy Childrens: 30 mg/5 mL (120 mL)


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

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

FlecainideOutpatient Dosage FormsTablet, Oral, as acetate:Generic: 50 mg, 100 mg

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

FlutamideOutpatient Dosage FormsCapsule, Oral:Generic: 125 mg

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

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

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

FLUTICASONE AND SALMETEROL

9

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

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

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

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

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

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

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

Aerosol Powder Breath Activated, Inhalation, as propionate:Flovent Diskus: 100 mcg (60s) [contains lactose] [BCF]

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

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

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

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


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

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

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

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

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

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

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

GlimepirideOutpatient Dosage FormsTablet, Oral:Generic: 4 mg

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

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

GlucagonOutpatient Dosage FormsKit, Injection:Glucagon Emergency: 1 mg

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

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

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

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

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

GuaiFENesinOutpatient Dosage FormsSolution, Oral:Generic: 100 mg/5 mL (10 mL)

Tablet Extended Release 12 Hour, Oral:Mucinex Maximum Strength: 1200 mg

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

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

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

Guaifenesin and PseudoephedrineOutpatient Dosage FormsTablet Extended Release 12 Hour, Oral:Mucinex D: Guaifenesin 600 mg and pseudoephedrine hydrochloride 60 mg

GuanFACINEOutpatient Dosage FormsTablet, Oral:Generic: 1 mg

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

HaloperidolOutpatient Dosage FormsTablet, Oral:Generic: 1 mg

HomatropineOutpatient Dosage FormsSolution, Ophthalmic, as hydrobromide:Generic: 5% (5 mL)

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

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


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

FLUTICASONE AND SALMETEROL

10

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

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

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

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

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

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

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

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

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

HYDROmorphoneOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 2 mg, 4 mg, 8 mg

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

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

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

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

HydroxyureaOutpatient Dosage FormsCapsule, Oral:Generic: 500 mg

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

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

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

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

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

Tablet, Oral:Donnatal: 16.2 mg

IbandronateOutpatient Dosage FormsTablet, Oral:Boniva: 150 mg

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

Tablet, Oral:Generic: 400 mg [BCF], 600 mg [BCF], 800 mg [BCF]

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

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

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

IndomethacinOutpatient Dosage FormsCapsule, Oral:Generic: 25 mg [BCF], 50 mg [BCF]

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

AeroChamber Plus Flo-Vu with Mask: Medium [for RAD patients less than18 months]

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

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

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

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

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

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

Solution Pen-injector, Subcutaneous:HumaLOG KwikPen: 100 units/mL (3 mL) [contains metacresol, phenol]

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

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

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

INSULIN REGULAR

11

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

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

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

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

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

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

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

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

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

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

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

ISOtretinoin (Systemic)Outpatient Dosage FormsCapsule, Oral:Claravis: 30 mgMyorisan: 10 mg, 20 mg, 40 mg

IsoxsuprineOutpatient Dosage FormsTablet, Oral:Generic: 10 mg

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

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

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

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

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

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

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

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

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

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

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

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

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

LetrozoleOutpatient Dosage FormsTablet, Oral:Generic: 2.5 mg

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

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

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

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

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

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


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

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

Levonorgestrel (Systemic)Outpatient Dosage FormsTablet, Oral:Plan B One-Step: 1.5 mg

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

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

INTERFERON BETA-1A

12

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

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

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

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

LifitegrastOutpatient Dosage FormsSolution, Ophthalmic:Xiidra: 5% (5 ea)

LinaCLOtideOutpatient Dosage FormsCapsule, Oral:Linzess: 145 mcg, 290 mcg

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

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

Tablet, Oral:Zyvox: 600 mg

LiothyronineOutpatient Dosage FormsTablet, Oral:Generic: 5 mcg, 25 mcg

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

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

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

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

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

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

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


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

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

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

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

LubiprostoneOutpatient Dosage FormsCapsule, Oral:Amitiza: 24 mcg

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

Magnesium OxideOutpatient Dosage FormsTablet, Oral:Generic: 400 mg

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

MeclizineOutpatient Dosage FormsTablet Chewable, Oral, as hydrochloride:Travel Sickness: 25 mg [scored]

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

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

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

Tablet, Oral, as acetate:Generic: 40 mg

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

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

MercaptopurineOutpatient Dosage FormsTablet, Oral:Generic: 50 mg

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

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

Tablet Delayed Release, Oral:Lialda: 1.2 g [BCF]

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

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


MethazolAMIDEOutpatient Dosage FormsTablet, Oral:Generic: 50 mg

METHAZOLAMIDE

13

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

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

MethotrexateOutpatient Dosage FormsSolution, Injection:Generic: 25 mg/mL (2 mL)

Solution, Injection [preservative free]:Generic: 50 mg/2 mL (2 mL)

Tablet, Oral:Generic: 2.5 mg [BCF]

MethyldopaOutpatient Dosage FormsTablet, Oral:Generic: 250 mg

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

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

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

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

MethylPREDNISoloneOutpatient Dosage FormsTablet, Oral:Generic: 4 mg

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


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

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

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

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

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

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

Minocycline (Systemic)Outpatient Dosage FormsCapsule, Oral:Generic: 50 mg, 100 mg

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

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

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

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

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

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

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


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

Morphine (Systemic)Outpatient Dosage FormsCapsule Extended Release 24 Hour, Oral, as sulfate:Generic: 10 mg, 30 mg, 50 mg, 60 mg, 80 mg

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

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

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

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

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

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

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

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

NabumetoneOutpatient Dosage FormsTablet, Oral:Generic: 750 mg

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

NaloxegolOutpatient Dosage FormsTablet, Oral:Movantik: 12.5 mg, 25 mg

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

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

METHIMAZOLE

14

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

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

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

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

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

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

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

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

NiacinOutpatient Dosage FormsTablet, Oral:Generic: 100 mg

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

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

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

NIFEdipineOutpatient Dosage FormsCapsule, Oral:Procardia: 10 mg

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

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

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

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

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

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

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

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

Tablet, Sublingual:Nitrostat: 0.4 mg [BCF]

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

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

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

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

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

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

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

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

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

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

Olopatadine (Ophthalmic)Outpatient Dosage FormsSolution, Ophthalmic:Patanol: 0.1% (5 mL) [BCF]Pazeo: 0.7% (2.5 mL)

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

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

Tablet, Oral:Generic: 4 mg, 8 mg

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

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

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

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

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

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

OXYBUTYNIN

15

Tablet, Oral, as chloride:Generic: 5 mg

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

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

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

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

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

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

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

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

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



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

PARoxetineOutpatient Dosage FormsTablet, Oral, as hydrochloride [strength expressed as base]:Generic: 10 mg, 20 mg

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


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

Pentosan Polysulfate SodiumOutpatient Dosage FormsCapsule, Oral:Elmiron: 100 mg

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

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

PerphenazineOutpatient Dosage FormsTablet, Oral:Generic: 4 mg

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

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

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

Tablet, Oral:Generic: 16.2 mg, 32.4 mg

Phenylephrine (Systemic)Outpatient Dosage FormsTablet, Oral, as hydrochloride:Sudogest PE: 10 mg

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

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

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

Pill CutterOutpatient Dosage FormsDevice:Generic: 1 ea

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

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

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

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

Piroxicam (Systemic)Outpatient Dosage FormsCapsule, Oral:Generic: 20 mg

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

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

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

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

Potassium ChlorideOutpatient Dosage FormsPacket, Oral:Klor-Con: 20 mEq (30 ea) [sugar free] [BCF]

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

Tablet Extended Release, Oral:Klor-Con: 8 mEqKlor-Con 10: 10 mEq [BCF]Generic: 20 mEq

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

OXYBUTYNIN

16

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

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

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

PramipexoleOutpatient Dosage FormsTablet, Oral, as dihydrochloride monohydrate:Generic: 0.125 mg, 0.25 mg, 0.5 mg, 1 mg

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

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

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

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

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

Generic: 1% (5 mL) [BCF]

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

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

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

PregabalinOutpatient Dosage FormsCapsule, Oral:Generic: 25 mg, 50 mg, 75 mg, 100 mg, 150 mg, 200 mg, 225 mg, 300 mg

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

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

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

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

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

ProgesteroneOutpatient Dosage FormsOil, Intramuscular:Generic: 50 mg/mL (10 mL)

Suppository, Vaginal:First-Progesterone VGS 25: 25 mg (30 ea)First-Progesterone VGS 50: 50 mg (30 ea)First-Progesterone VGS 100: 100 mg (30 ea)

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

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


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

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

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

PseudoephedrineOutpatient Dosage FormsTablet, Oral, as hydrochloride:SudoGest: 30 mg, 60 mg [scored]

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

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

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

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

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

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

Tablet Extended Release 24 Hour, Oral:SEROquel XR: 50 mg [BCF], 150 mg [BCF], 200 mg [BCF], 300 mg [BCF],400 mg [BCF]

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

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

RABEprazoleOutpatient Dosage FormsTablet Delayed Release, Oral, as sodium:Generic: 20 mg

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

RALOXIFENE

17

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

RaNITIdine (Withdrawn From US Market)Outpatient Dosage FormsSyrup, Oral:Generic: 15 mg/mL (473 mL) [BCF]


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

RifAMPinOutpatient Dosage FormsCapsule, Oral:Generic: 150 mg, 300 mg [BCF]

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

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

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

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

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

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

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

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

RoflumilastOutpatient Dosage FormsTablet, Oral:Daliresp: 500 mcg

ROPINIRoleOutpatient Dosage FormsTablet, Oral:Generic: 0.25 mg, 0.5 mg, 1 mg, 2 mg, 4 mg

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

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

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

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

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

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

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

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

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

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

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

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

Sitagliptin and MetforminOutpatient Dosage FormsTablet, Oral:Janumet 50/500: Sitagliptin 50 mg and metformin hydrochloride500 mg [BCF]

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

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

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

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

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

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

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

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

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

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

SotalolOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 80 mg

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

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

Tablet, Oral:Generic: 1 g

RAMIPRIL

18

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

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

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

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

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

Tablet Delayed Release, Oral:Generic: 500 mg [BCF]

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

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

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

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

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

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

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

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

TelmisartanOutpatient Dosage FormsTablet, Oral:Micardis: 20 mg, 40 mg, 80 mg

Telmisartan and HydrochlorothiazideOutpatient Dosage FormsTablet, Oral:Micardis HCT: 40/12.5: Telmisartan 40 mg and hydrochlorothiazide 12.5 mgMicardis HCT: 80/12.5: Telmisartan 80 mg and hydrochlorothiazide 12.5 mgMicardis HCT: 80/25: Telmisartan 80 mg and hydrochlorothiazide 25 mg

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

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

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

Terbinafine (Topical)Outpatient Dosage FormsCream, External, as hydrochloride:Generic: 1% (15 g, 30 g)

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

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

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

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

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

Tetracycline (Systemic)Outpatient Dosage FormsCapsule, Oral, as hydrochloride:Generic: 250 mg [BCF]

TheophyllineOutpatient Dosage FormsCapsule Extended Release 24 Hour, Oral:Theo-24: 300 mg [BCF], 400 mg [BCF]

Tablet Extended Release 12 Hour, Oral:Generic: 100 mg, 200 mg [BCF], 300 mg [BCF]

ThiamineOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 50 mg, 100 mg

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

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

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

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

TiotropiumOutpatient Dosage FormsAerosol Solution, Inhalation:Spiriva Respimat: 1.25 mcg/actuation (4 g) [BCF]; 2.5 mcg/actuation (4 g)[BCF] [contains benzalkonium chloride, disodium edta]

Capsule, Inhalation:Spiriva HandiHaler: 18 mcg [contains milk protein] [BCF]

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

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

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

TolmetinOutpatient Dosage FormsCapsule, Oral:Generic: 400 mg

TOLMETIN

19

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

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

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

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

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

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

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

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

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

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

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

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

TriazolamOutpatient Dosage FormsTablet, Oral:Generic: 0.25 mg

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

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

TrimethoprimOutpatient Dosage FormsTablet, Oral:Generic: 100 mg

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

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

UrsodiolOutpatient Dosage FormsCapsule, Oral:Generic: 300 mg

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

Valproic Acid and DerivativesOutpatient Dosage FormsCapsule Sprinkle, Oral, as divalproex sodium:Depakote Sprinkles: 125 mg [BCF]

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

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

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

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

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

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

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

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

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

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

Tablet, Oral:Generic: 25 mg [BCF], 50 mg [BCF], 75 mg [BCF]

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

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

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

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

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

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

Vitamins (Multiple/Prenatal)Outpatient Dosage FormsContent varies depending on product used.Capsule, Oral:Concept DHA

Tablet, Oral:Prenatal: 27-0.8 MG [milk free, no artificial flavor(s), sodium free, soy free,wheat free, yeast free; contains sodium benzoate]

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

White PetrolatumOutpatient Dosage FormsGel, External:Generic: 28.35 g

ZidovudineOutpatient Dosage FormsCapsule, Oral:Generic: 100 mg

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

TOLTERODINE

20

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

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

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

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

ZonisamideOutpatient Dosage FormsCapsule, Oral:Generic: 25 mg, 50 mg, 100 mg

ZONISAMIDE

21

Therapeutic Category Index

22

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

Acetylcholinesterase InhibitorPyridostigmine ........................................................................................17

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

Acne ProductsAdapalene ................................................................................................ 2Benzoyl Peroxide ..................................................................................... 3Clindamycin and Benzoyl Peroxide ......................................................... 5Erythromycin and Benzoyl Peroxide ........................................................7Erythromycin (Topical) ..............................................................................8ISOtretinoin (Systemic) .......................................................................... 12Salicylic Acid .......................................................................................... 18Tretinoin (Topical) ...................................................................................20

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

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

Alkalinizing Agent, OralPotassium Citrate ...................................................................................16

Alkylamine DerivativeChlorpheniramine ..................................................................................... 5Hydrocodone and Chlorpheniramine ......................................................11Naphazoline and Pheniramine ...............................................................14

Alpha1 AgonistNaphazoline and Pheniramine ...............................................................14

Alpha1 BlockerAlfuzosin ...................................................................................................2Doxazosin .................................................................................................7Prazosin ..................................................................................................17Tamsulosin ............................................................................................. 19Terazosin ................................................................................................ 19

Alpha2-Adrenergic AgonistCloNIDine ................................................................................................. 5GuanFACINE ..........................................................................................10Methyldopa .............................................................................................14TiZANidine ..............................................................................................19

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

Alpha-Adrenergic AgonistPhenylephrine (Systemic) ...................................................................... 16

Alpha/Beta AgonistEPINEPHrine (Systemic) ..........................................................................7Guaifenesin and Pseudoephedrine ........................................................10Pseudoephedrine ................................................................................... 17

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

AmebicideMetroNIDAZOLE (Systemic) .................................................................. 14Tinidazole ............................................................................................... 19

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

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

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

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

Analgesic, NonopioidAcetaminophen .........................................................................................2Aspirin .......................................................................................................3Butalbital, Acetaminophen, and Caffeine .................................................4Celecoxib ..................................................................................................5Etodolac ....................................................................................................9

Ibuprofen .................................................................................................11Indomethacin .......................................................................................... 11Meloxicam .............................................................................................. 13Nabumetone ...........................................................................................14Naproxen ................................................................................................15Piroxicam (Systemic) ..............................................................................16Tolmetin .................................................................................................. 19

Analgesic, OpioidAcetaminophen and Codeine ...................................................................2Acetaminophen and Tramadol .................................................................2Buprenorphine ..........................................................................................4Buprenorphine and Naloxone .................................................................. 4Codeine .................................................................................................... 5FentaNYL ................................................................................................. 9Hydrocodone and Acetaminophen .........................................................11Hydrocodone and Chlorpheniramine ......................................................11HYDROmorphone ...................................................................................11Morphine (Systemic) .............................................................................. 14OxyCODONE ......................................................................................... 16Oxycodone and Acetaminophen ............................................................16Pentazocine and Naloxone .................................................................... 16TraMADol ............................................................................................... 20

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

Analgesic, TopicalBenzocaine ...............................................................................................3Lidocaine (Topical) ................................................................................. 13

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

AndrogenDanazol .................................................................................................... 6Testosterone ...........................................................................................19

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

Angiotensin II Receptor BlockerLosartan ..................................................................................................13Losartan and Hydrochlorothiazide ......................................................... 13Telmisartan ............................................................................................. 19Telmisartan and Hydrochlorothiazide .....................................................19Valsartan .................................................................................................20Valsartan and Hydrochlorothiazide ........................................................ 20

Angiotensin-Converting Enzyme (ACE) InhibitorAmlodipine and Benazepril ...................................................................... 2Captopril ................................................................................................... 4Lisinopril ................................................................................................. 13Lisinopril and Hydrochlorothiazide ......................................................... 13Ramipril .................................................................................................. 18

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

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

Antianginal AgentAmLODIPine .............................................................................................2Amlodipine and Benazepril ...................................................................... 2Atenolol .....................................................................................................3DilTIAZem .................................................................................................7Isosorbide Dinitrate ................................................................................ 12Isosorbide Mononitrate ...........................................................................12Metoprolol ...............................................................................................14NIFEdipine ..............................................................................................15Nitroglycerin ............................................................................................15Propranolol ............................................................................................. 17Ranolazine ..............................................................................................18Verapamil ............................................................................................... 20

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

Antiarrhythmic Agent, Class IaDisopyramide ............................................................................................7QuiNIDine ...............................................................................................17

Antiarrhythmic Agent, Class IcFlecainide ................................................................................................. 9

Antiarrhythmic Agent, Class IIPropranolol ............................................................................................. 17Sotalol .....................................................................................................18

ABORTIFACIENT

23

Antiarrhythmic Agent, Class IIIAmiodarone .............................................................................................. 2Sotalol .....................................................................................................18

Antiarrhythmic Agent, Class IVDilTIAZem .................................................................................................7Verapamil ............................................................................................... 20

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

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

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

Antibiotic, Cephalosporin (Second Generation)Cefprozil ................................................................................................... 4Cefuroxime ............................................................................................... 4

Antibiotic, Cephalosporin (Third Generation)Cefdinir ..................................................................................................... 4Cefixime ....................................................................................................4

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

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

Antibiotic, FluoroquinoloneCiprofloxacin (Systemic) ...........................................................................5Gatifloxacin .............................................................................................10LevoFLOXacin (Systemic) ......................................................................12Moxifloxacin (Ophthalmic) ......................................................................14Ofloxacin (Ophthalmic) ...........................................................................15

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

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

Antibiotic, MiscellaneousDapsone (Systemic) .................................................................................6MetroNIDAZOLE (Systemic) .................................................................. 14Nitrofurantoin ..........................................................................................15Sulfamethoxazole and Trimethoprim ..................................................... 19Tinidazole ............................................................................................... 19Trimethoprim .......................................................................................... 20

Antibiotic, OphthalmicBacitracin, Neomycin, and Polymyxin B (Ophthalmic) ............................ 3Bacitracin (Ophthalmic) ............................................................................3Erythromycin (Ophthalmic) .......................................................................8Gatifloxacin .............................................................................................10Gentamicin (Ophthalmic) ........................................................................10Moxifloxacin (Ophthalmic) ......................................................................14Neomycin, Polymyxin B, and Gramicidin ...............................................15Ofloxacin (Ophthalmic) ...........................................................................15Sulfacetamide (Ophthalmic) ...................................................................19Trimethoprim and Polymyxin B .............................................................. 20

Antibiotic, Oral RinseChlorhexidine Gluconate (Oral) ............................................................... 5

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

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

Antibiotic, PenicillinAmoxicillin .................................................................................................2Amoxicillin and Clavulanate ..................................................................... 3Dicloxacillin ...............................................................................................7Penicillin V Potassium ............................................................................16

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

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

Antibiotic, Tetracycline DerivativeDoxycycline .............................................................................................. 7Minocycline (Systemic) ...........................................................................14Tetracycline (Systemic) .......................................................................... 19

Antibiotic, TopicalBacitracin, Neomycin, and Polymyxin B (Topical) ................................... 3Bacitracin (Topical) ...................................................................................3Chlorhexidine Gluconate (Topical) ........................................................... 5Erythromycin (Topical) ..............................................................................8Gentamicin (Topical) .............................................................................. 10MetroNIDAZOLE (Topical) ..................................................................... 14Mupirocin ................................................................................................14Silver Sulfadiazine ..................................................................................18

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

Anticholinergic Agent, Long-ActingAclidinium ................................................................................................. 2Tiotropium ...............................................................................................19

Anticholinergic Agent, OphthalmicAtropine (Ophthalmic) .............................................................................. 3Cyclopentolate ..........................................................................................6Homatropine ...........................................................................................10

AnticoagulantApixaban ...................................................................................................3Dabigatran Etexilate .................................................................................6Enoxaparin ............................................................................................... 7Rivaroxaban ........................................................................................... 18Warfarin .................................................................................................. 20

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

Anticoagulant, Factor Xa InhibitorApixaban ...................................................................................................3Rivaroxaban ........................................................................................... 18

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

Anticoagulant, Vitamin K AntagonistWarfarin .................................................................................................. 20

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

Anticonvulsant, BenzodiazepineClonazePAM .............................................................................................5DiazePAM .................................................................................................6LORazepam ........................................................................................... 13

Anticonvulsant, HydantoinPhenytoin ................................................................................................16

Anticonvulsant, MiscellaneousAcetaZOLAMIDE ......................................................................................2CarBAMazepine ....................................................................................... 4Gabapentin .............................................................................................10Lacosamide ............................................................................................ 12LamoTRIgine ..........................................................................................12LevETIRAcetam ..................................................................................... 12OXcarbazepine .......................................................................................15Pregabalin .............................................................................................. 17Primidone ............................................................................................... 17Topiramate ..............................................................................................20Valproic Acid and Derivatives ................................................................ 20Zonisamide .............................................................................................21

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

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

ANTIDEPRESSANT, ALPHA-2 ANTAGONIST

24

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

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

Antidepressant, Selective Serotonin Reuptake InhibitorCitalopram ................................................................................................ 5Escitalopram .............................................................................................8FLUoxetine ............................................................................................... 9PARoxetine .............................................................................................16Sertraline ................................................................................................ 18

Antidepressant, Serotonin/Norepinephrine Reuptake InhibitorDesvenlafaxine .........................................................................................6DULoxetine ...............................................................................................7Venlafaxine .............................................................................................20

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

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

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

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

Antidiabetic Agent, BiguanideMetFORMIN ........................................................................................... 13Sitagliptin and Metformin ....................................................................... 18

Antidiabetic Agent, Dipeptidyl Peptidase 4 (DPP-4) InhibitorEmpagliflozin and Linagliptin ................................................................... 7SITagliptin ...............................................................................................18Sitagliptin and Metformin ....................................................................... 18

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

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

Exenatide ..................................................................................................9

Antidiabetic Agent, Meglitinide AnalogNateglinide ..............................................................................................15

Antidiabetic Agent, Sodium-Glucose Cotransporter 2 (SGLT2)Inhibitor

Empagliflozin ............................................................................................ 7Empagliflozin and Linagliptin ................................................................... 7

Antidiabetic Agent, SulfonylureaGlimepiride ............................................................................................. 10GlipiZIDE ................................................................................................ 10GlyBURIDE .............................................................................................10

Antidiabetic Agent, ThiazolidinedionePioglitazone ............................................................................................16

AntidiarrhealBismuth Subsalicylate .............................................................................. 4Diphenoxylate and Atropine .....................................................................7Loperamide .............................................................................................13Polycarbophil ..........................................................................................16

AntidoteCalcitonin ..................................................................................................4Glucagon ................................................................................................ 10Leucovorin Calcium ................................................................................12Naltrexone .............................................................................................. 14Potassium Iodide ....................................................................................17

Antidote, ExtravasationNitroglycerin ............................................................................................15Terbutaline ..............................................................................................19

Antidote, HypoglycemiaGlucagon ................................................................................................ 10

AntiemeticDexAMETHasone (Systemic) ...................................................................6HydrOXYzine ..........................................................................................11Meclizine .................................................................................................13Metoclopramide ......................................................................................14Ondansetron ...........................................................................................15Perphenazine ......................................................................................... 16Prochlorperazine .................................................................................... 17Promethazine ......................................................................................... 17

Antifungal Agent, Azole DerivativeTerconazole ............................................................................................ 19

Antifungal Agent, Imidazole DerivativeClotrimazole (Oral) ................................................................................... 5Clotrimazole (Topical) ...............................................................................5Ketoconazole (Systemic) ........................................................................12Ketoconazole (Topical) ...........................................................................12

Antifungal Agent, OralFluconazole .............................................................................................. 9Griseofulvin .............................................................................................10Ketoconazole (Systemic) ........................................................................12Terbinafine (Systemic) ............................................................................19

Antifungal Agent, Oral NonabsorbedClotrimazole (Oral) ................................................................................... 5

Antifungal Agent, Oral Nonabsorbed/Partially AbsorbedClotrimazole (Topical) ...............................................................................5Nystatin (Oral) ........................................................................................ 15

Antifungal Agent, ParenteralFluconazole .............................................................................................. 9

Antifungal Agent, TopicalBetamethasone and Clotrimazole ............................................................3Ciclopirox ..................................................................................................5Clotrimazole (Topical) ...............................................................................5Ketoconazole (Topical) ...........................................................................12Naftifine .................................................................................................. 14Nystatin and Triamcinolone ....................................................................15Nystatin (Topical) ....................................................................................15Terbinafine (Topical) ............................................................................... 19

Antifungal Agent, VaginalClotrimazole (Topical) ...............................................................................5Terconazole ............................................................................................ 19

Antigout AgentAllopurinol .................................................................................................2Colchicine .................................................................................................6

Antihemophilic AgentDesmopressin ...........................................................................................6

Antihemorrhoidal AgentDibucaine ..................................................................................................6Hydrocortisone (Topical) .........................................................................11Zinc Oxide .............................................................................................. 20

AntihypertensiveAmLODIPine .............................................................................................2Amlodipine and Benazepril ...................................................................... 2Atenolol .....................................................................................................3Captopril ................................................................................................... 4Carvedilol ..................................................................................................4Chlorthalidone .......................................................................................... 5CloNIDine ................................................................................................. 5DilTIAZem .................................................................................................7Doxazosin .................................................................................................7Furosemide .............................................................................................10GuanFACINE ..........................................................................................10HydrALAZINE .........................................................................................10HydroCHLOROthiazide .......................................................................... 10Hydrochlorothiazide and Triamterene .................................................... 10Labetalol .................................................................................................12Lisinopril ................................................................................................. 13Lisinopril and Hydrochlorothiazide ......................................................... 13Losartan ..................................................................................................13Losartan and Hydrochlorothiazide ......................................................... 13Methyldopa .............................................................................................14Metoprolol ...............................................................................................14Minoxidil (Systemic) ............................................................................... 14NIFEdipine ..............................................................................................15Prazosin ..................................................................................................17Propranolol ............................................................................................. 17Ramipril .................................................................................................. 18Spironolactone ....................................................................................... 18Telmisartan ............................................................................................. 19Telmisartan and Hydrochlorothiazide .....................................................19Terazosin ................................................................................................ 19Torsemide ...............................................................................................20Valsartan .................................................................................................20Valsartan and Hydrochlorothiazide ........................................................ 20Verapamil ............................................................................................... 20

Anti-inflammatory AgentDexAMETHasone (Systemic) ...................................................................6

ANTIDEPRESSANT, DOPAMINE/NOREPINEPHRINE-REUPTAKE INHIBITOR

25

Antilipemic Agent, 2-AzetidinoneEzetimibe ..................................................................................................9

Antilipemic Agent, Bile Acid SequestrantColestipol ..................................................................................................6

Antilipemic Agent, Fibric AcidFenofibrate and Derivatives ..................................................................... 9Gemfibrozil ............................................................................................. 10

Antilipemic Agent, HMG-CoA Reductase InhibitorAtorvaSTATin ............................................................................................3Pravastatin ..............................................................................................17Rosuvastatin ...........................................................................................18Simvastatin .............................................................................................18

Antilipemic Agent, MiscellaneousNiacin ......................................................................................................15

Antilipemic Agent, PCSK9 InhibitorAlirocumab ................................................................................................2Evolocumab ..............................................................................................9

Antimalarial AgentAtovaquone and Proguanil .......................................................................3Chloroquine .............................................................................................. 5Hydroxychloroquine ................................................................................11Primaquine ............................................................................................. 17QuiNIDine ...............................................................................................17

Antimanic AgentChlorproMAZINE ...................................................................................... 5Lithium ....................................................................................................13OLANZapine ...........................................................................................15RisperiDONE ..........................................................................................18Valproic Acid and Derivatives ................................................................ 20

Antimigraine AgentEletriptan .................................................................................................. 7Ergotamine and Caffeine ......................................................................... 7Rizatriptan .............................................................................................. 18SUMAtriptan ........................................................................................... 19ZOLMitriptan ...........................................................................................21

Antineoplastic Agent, Alkylating AgentChlorambucil .............................................................................................5Cyclophosphamide ...................................................................................6

Antineoplastic Agent, Alkylating Agent (Nitrogen Mustard)Chlorambucil .............................................................................................5Cyclophosphamide ...................................................................................6

Antineoplastic Agent, AntiandrogenBicalutamide .............................................................................................4Flutamide ..................................................................................................9

Antineoplastic Agent, AntimetaboliteCapecitabine .............................................................................................4Fluorouracil (Topical) ................................................................................9Mercaptopurine .......................................................................................13

Antineoplastic Agent, Antimetabolite (Antifolate)Methotrexate ...........................................................................................14

Antineoplastic Agent, Antimetabolite (Purine Analog)Mercaptopurine .......................................................................................13

Antineoplastic Agent, Antimetabolite (Pyrimidine Analog)Capecitabine .............................................................................................4Fluorouracil (Topical) ................................................................................9

Antineoplastic Agent, Aromatase InhibitorAnastrozole ...............................................................................................3Letrozole .................................................................................................12

Antineoplastic Agent, BCR-ABL Tyrosine Kinase InhibitorImatinib ................................................................................................... 11

Antineoplastic Agent, Epidermal Growth Factor Receptor (EGFR)Inhibitor

Erlotinib .....................................................................................................7

Antineoplastic Agent, Estrogen Receptor AntagonistTamoxifen ............................................................................................... 19

Antineoplastic Agent, Gonadotropin-Releasing Hormone AgonistGoserelin ................................................................................................ 10Leuprolide ...............................................................................................12

Antineoplastic Agent, HormoneMegestrol ................................................................................................13

Antineoplastic Agent, MiscellaneousHydroxyurea ........................................................................................... 11

Antineoplastic Agent, Retinoic Acid DerivativeISOtretinoin (Systemic) .......................................................................... 12

Antineoplastic Agent, Tyrosine Kinase InhibitorErlotinib .....................................................................................................7Imatinib ................................................................................................... 11

Antiparasitic Agent, TopicalLindane ...................................................................................................13Permethrin ..............................................................................................16Pyrethrins and Piperonyl Butoxide .........................................................17

Anti-Parkinson Agent, AnticholinergicBenztropine .............................................................................................. 3Trihexyphenidyl ...................................................................................... 20

Anti-Parkinson Agent, Decarboxylase InhibitorCarbidopa and Levodopa .........................................................................4

Anti-Parkinson Agent, Dopamine AgonistAmantadine .............................................................................................. 2Bromocriptine ........................................................................................... 4Pramipexole ............................................................................................17ROPINIRole ............................................................................................18

Anti-Parkinson Agent, Dopamine PrecursorCarbidopa and Levodopa .........................................................................4

Antiplatelet AgentAspirin .......................................................................................................3Aspirin and Dipyridamole ......................................................................... 3Cilostazol ..................................................................................................5Clopidogrel ............................................................................................... 5Prasugrel ................................................................................................ 17

Antiplatelet Agent, ThienopyridineClopidogrel ............................................................................................... 5Prasugrel ................................................................................................ 17

Antiprotozoal, NitroimidazoleMetroNIDAZOLE (Systemic) .................................................................. 14Tinidazole ............................................................................................... 19

Antiretroviral, Protease Inhibitor (Anti-HIV)Lopinavir and Ritonavir .......................................................................... 13

Antiretroviral, Reverse Transcriptase Inhibitor, Non-nucleoside(Anti-HIV)

Efavirenz, Emtricitabine, and Tenofovir ....................................................7

Antiretroviral, Reverse Transcriptase Inhibitor, Nucleoside (Anti-HIV)

Efavirenz, Emtricitabine, and Tenofovir ....................................................7Emtricitabine and Tenofovir ......................................................................7Lamivudine and Zidovudine ................................................................... 12Zidovudine ..............................................................................................20

Antiretroviral, Reverse Transcriptase Inhibitor, Nucleotide (Anti-HIV)

Efavirenz, Emtricitabine, and Tenofovir ....................................................7Emtricitabine and Tenofovir ......................................................................7

Antirheumatic, Disease ModifyingAdalimumab ..............................................................................................2Leflunomide ............................................................................................12Methotrexate ...........................................................................................14

Antirheumatic MiscellaneousCyclophosphamide ...................................................................................6

Antiseborrheic Agent, TopicalSelenium Sulfide .................................................................................... 18

Antiseptic, TopicalAlcohol (Isopropyl) ....................................................................................2Povidone-Iodine (Topical) .......................................................................17

Antiseptic, VaginalPovidone-Iodine (Topical) .......................................................................17

Antispasmodic Agent, GastrointestinalClidinium and Chlordiazepoxide .............................................................. 5Hyoscyamine, Atropine, Scopolamine, and Phenobarbital ....................11

Antispasmodic Agent, UrinaryFlavoxATE ................................................................................................ 9Oxybutynin ..............................................................................................15

Antithyroid AgentMethIMAzole ...........................................................................................14Potassium Iodide ....................................................................................17Propylthiouracil .......................................................................................17

ANTITHYROID AGENT

26

Antitubercular AgentEthambutol ............................................................................................... 8Isoniazid ................................................................................................. 12Pyrazinamide ..........................................................................................17RifAMPin .................................................................................................18

AntitussiveBenzonatate ............................................................................................. 3Codeine .................................................................................................... 5Guaifenesin and Codeine ...................................................................... 10Guaifenesin and Dextromethorphan ...................................................... 10Hydrocodone and Chlorpheniramine ......................................................11

Antiviral AgentAcyclovir (Systemic) .................................................................................2Amantadine .............................................................................................. 2Oseltamivir ..............................................................................................15ValACYclovir ...........................................................................................20

Antiviral Agent, AdamantaneAmantadine .............................................................................................. 2

Antiviral Agent, OphthalmicGanciclovir (Ophthalmic) ........................................................................10Trifluridine ...............................................................................................20

Antiviral Agent, OralValACYclovir ...........................................................................................20

Antiviral Agent, TopicalAcyclovir (Topical) .................................................................................... 2

Appetite StimulantMegestrol ................................................................................................13

BarbiturateButalbital, Acetaminophen, and Caffeine .................................................4Butalbital, Aspirin, and Caffeine ...............................................................4PHENobarbital ........................................................................................16Primidone ............................................................................................... 17

BenzodiazepineALPRAZolam ............................................................................................2ChlordiazePOXIDE ...................................................................................5Clidinium and Chlordiazepoxide .............................................................. 5ClonazePAM .............................................................................................5DiazePAM .................................................................................................6LORazepam ........................................................................................... 13Temazepam ............................................................................................19Triazolam ................................................................................................20

Beta2-Adrenergic AgonistIpratropium and Albuterol .......................................................................12

Beta2-Adrenergic Agonist, Long-ActingFluticasone and Salmeterol ..................................................................... 9Salmeterol .............................................................................................. 18

Beta2 AgonistAlbuterol ................................................................................................... 2Fluticasone and Salmeterol ..................................................................... 9Levalbuterol ............................................................................................12Salmeterol .............................................................................................. 18Terbutaline ..............................................................................................19

Beta3 AgonistMirabegron ............................................................................................. 14

Beta-Adrenergic Blocker, NonselectiveDorzolamide and Timolol ......................................................................... 7Levobunolol ............................................................................................ 12Propranolol ............................................................................................. 17Sotalol .....................................................................................................18

Beta-Blocker, Beta-1 SelectiveAtenolol .....................................................................................................3Metoprolol ...............................................................................................14

Beta-Blocker, NonselectiveBrimonidine and Timolol ...........................................................................4Timolol (Ophthalmic) .............................................................................. 19

Beta-Blocker With Alpha-Blocking ActivityCarvedilol ..................................................................................................4Labetalol .................................................................................................12

Biological, MiscellaneousGlatiramer Acetate ................................................................................. 10

Bisphosphonate DerivativeAlendronate .............................................................................................. 2Ibandronate .............................................................................................11

Blood Viscosity Reducer AgentPentoxifylline .......................................................................................... 16

Calcineurin InhibitorCycloSPORINE (Ophthalmic) ...................................................................6Pimecrolimus ..........................................................................................16Tacrolimus (Topical) ............................................................................... 19

Calcium Channel BlockerAmLODIPine .............................................................................................2Amlodipine and Benazepril ...................................................................... 2DilTIAZem .................................................................................................7NIFEdipine ..............................................................................................15Verapamil ............................................................................................... 20

Calcium Channel Blocker, DihydropyridineAmLODIPine .............................................................................................2Amlodipine and Benazepril ...................................................................... 2NIFEdipine ..............................................................................................15

Calcium Channel Blocker, NondihydropyridineDilTIAZem .................................................................................................7Verapamil ............................................................................................... 20

Calcium SaltCalcium and Vitamin D ............................................................................ 4

Carbonic Anhydrase InhibitorAcetaZOLAMIDE ......................................................................................2MethazolAMIDE ......................................................................................13

Carbonic Anhydrase Inhibitor (Ophthalmic)Dorzolamide ............................................................................................. 7Dorzolamide and Timolol ......................................................................... 7

Cardiac GlycosideDigoxin ......................................................................................................7

Cardiovascular Agent, MiscellaneousRanolazine ..............................................................................................18

Central Nervous System StimulantDextroamphetamine ................................................................................. 6Dextroamphetamine and Amphetamine .................................................. 6Ergotamine and Caffeine ......................................................................... 7Methylphenidate ..................................................................................... 14Modafinil ................................................................................................. 14

Chemotherapy Modulating AgentLeucovorin Calcium ................................................................................12

Chloride Channel ActivatorLubiprostone ...........................................................................................13

ContraceptiveEthinyl Estradiol and Desogestrel ............................................................8Ethinyl Estradiol and Drospirenone ......................................................... 8Ethinyl Estradiol and Ethynodiol Diacetate ..............................................8Ethinyl Estradiol and Etonogestrel ...........................................................8Ethinyl Estradiol and Levonorgestrel ....................................................... 8Ethinyl Estradiol and Norelgestromin .......................................................8Ethinyl Estradiol and Norethindrone ........................................................ 8Ethinyl Estradiol and Norgestimate ..........................................................8Ethinyl Estradiol and Norgestrel .............................................................. 9Levonorgestrel (Systemic) ......................................................................12MedroxyPROGESTERone ..................................................................... 13Norethindrone .........................................................................................15Norethindrone and Mestranol ................................................................ 15

Corticosteroid, Inhalant (Oral)Budesonide (Oral Inhalation) ................................................................... 4Fluticasone and Salmeterol ..................................................................... 9Fluticasone (Oral Inhalation) ..................................................................10

Corticosteroid, NasalFluticasone (Nasal) ................................................................................ 10Mometasone (Nasal) ..............................................................................14

Corticosteroid, OphthalmicDifluprednate ............................................................................................ 7Fluorometholone .......................................................................................9PrednisoLONE (Ophthalmic) ..................................................................17

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

Corticosteroid, RectalHydrocortisone (Topical) .........................................................................11

Corticosteroid, SystemicBudesonide (Systemic) ............................................................................ 4DexAMETHasone (Systemic) ...................................................................6

ANTITUBERCULAR AGENT

27

Fludrocortisone .........................................................................................9Hydrocortisone (Systemic) ..................................................................... 11MethylPREDNISolone ............................................................................ 14PrednisoLONE (Systemic) ..................................................................... 17PredniSONE ...........................................................................................17

Corticosteroid, TopicalBetamethasone and Clotrimazole ............................................................3Betamethasone (Topical) ......................................................................... 4Clobetasol .................................................................................................5Desonide .................................................................................................. 6Fluocinolone (Topical) .............................................................................. 9Fluocinonide ............................................................................................. 9Flurandrenolide .........................................................................................9Hydrocortisone (Topical) .........................................................................11Nystatin and Triamcinolone ....................................................................15Triamcinolone (Topical) .......................................................................... 20

DecongestantOxymetazoline (Nasal) ...........................................................................16Pseudoephedrine ................................................................................... 17

Depigmenting AgentHydroquinone ......................................................................................... 11

DevicePill Cutter ................................................................................................16

Diagnostic AgentGlucagon ................................................................................................ 10

Direct Oral Anticoagulant (DOAC)Apixaban ...................................................................................................3Dabigatran Etexilate .................................................................................6Rivaroxaban ........................................................................................... 18

Diuretic, Carbonic Anhydrase InhibitorAcetaZOLAMIDE ......................................................................................2MethazolAMIDE ......................................................................................13

Diuretic, LoopFurosemide .............................................................................................10Torsemide ...............................................................................................20

Diuretic, Potassium-SparingHydrochlorothiazide and Triamterene .................................................... 10Spironolactone ....................................................................................... 18

Diuretic, ThiazideHydroCHLOROthiazide .......................................................................... 10Hydrochlorothiazide and Triamterene .................................................... 10Lisinopril and Hydrochlorothiazide ......................................................... 13Losartan and Hydrochlorothiazide ......................................................... 13Telmisartan and Hydrochlorothiazide .....................................................19Valsartan and Hydrochlorothiazide ........................................................ 20

Diuretic, Thiazide-RelatedChlorthalidone .......................................................................................... 5MetOLazone ...........................................................................................14

Dopamine AntagonistMetoclopramide ......................................................................................14

Electrolyte Supplement, OralCalcium and Vitamin D ............................................................................ 4Magnesium Oxide .................................................................................. 13Potassium Chloride ................................................................................ 16Potassium Phosphate and Sodium Phosphate ..................................... 17

Electrolyte Supplement, ParenteralPotassium Chloride ................................................................................ 16Sodium Chloride .....................................................................................18

EnzymePancrelipase ...........................................................................................16

Enzyme, Topical DebridementCollagenase (Topical) ...............................................................................6

Ergot DerivativeBromocriptine ........................................................................................... 4Ergotamine and Caffeine ......................................................................... 7Methylergonovine ................................................................................... 14

Estrogen and Progestin CombinationEstrogens (Conjugated/Equine) and Medroxyprogesterone ....................8Ethinyl Estradiol and Desogestrel ............................................................8Ethinyl Estradiol and Drospirenone ......................................................... 8Ethinyl Estradiol and Ethynodiol Diacetate ..............................................8Ethinyl Estradiol and Etonogestrel ...........................................................8Ethinyl Estradiol and Levonorgestrel ....................................................... 8Ethinyl Estradiol and Norelgestromin .......................................................8Ethinyl Estradiol and Norethindrone ........................................................ 8

Ethinyl Estradiol and Norgestimate ..........................................................8Ethinyl Estradiol and Norgestrel .............................................................. 9Norethindrone and Mestranol ................................................................ 15

Estrogen DerivativeEstradiol (Systemic) ................................................................................. 8Estradiol (Topical) .....................................................................................8Estrogens (Conjugated/Equine, Systemic) .............................................. 8Estrogens (Conjugated/Equine, Topical) ..................................................8

Ethanolamine DerivativeDimenhyDRINATE ....................................................................................7DiphenhydrAMINE (Systemic) ..................................................................7

ExpectorantGuaiFENesin .......................................................................................... 10Guaifenesin and Codeine ...................................................................... 10Guaifenesin and Dextromethorphan ...................................................... 10Guaifenesin and Pseudoephedrine ........................................................10Potassium Iodide ....................................................................................17

Fiber SupplementPolycarbophil ..........................................................................................16

First Generation (Typical) AntipsychoticChlorproMAZINE ...................................................................................... 5FluPHENAZine ......................................................................................... 9Haloperidol ............................................................................................. 10Perphenazine ......................................................................................... 16Prochlorperazine .................................................................................... 17

Fumaric Acid DerivativeDimethyl Fumarate ...................................................................................7

GABA AnalogGabapentin .............................................................................................10Pregabalin .............................................................................................. 17

Gallstone Dissolution AgentUrsodiol .................................................................................................. 20

Gastrointestinal Agent, MiscellaneousAdalimumab ..............................................................................................2LinaCLOtide ............................................................................................13Lubiprostone ...........................................................................................13Naloxegol ................................................................................................14Sucralfate ............................................................................................... 18

Gastrointestinal Agent, ProkineticMetoclopramide ......................................................................................14

General AnestheticFentaNYL ................................................................................................. 9

Genitourinary IrrigantSodium Chloride .....................................................................................18

Gonadotropin Releasing Hormone AgonistGoserelin ................................................................................................ 10Leuprolide ...............................................................................................12

Guanylate Cyclase-C (GC-C) AgonistLinaCLOtide ............................................................................................13

Hemostatic AgentAluminum Chloride Hexahydrate ............................................................. 2Desmopressin ...........................................................................................6

Histamine H1 AntagonistAzelastine (Nasal) .................................................................................... 3Azelastine (Ophthalmic) ........................................................................... 3Bepotastine ...............................................................................................3Cetirizine (Systemic) ................................................................................ 5Chlorpheniramine ..................................................................................... 5Cyproheptadine ........................................................................................ 6DimenhyDRINATE ....................................................................................7DiphenhydrAMINE (Systemic) ..................................................................7Fexofenadine ............................................................................................9Hydrocodone and Chlorpheniramine ......................................................11HydrOXYzine ..........................................................................................11Loratadine ...............................................................................................13Meclizine .................................................................................................13Naphazoline and Pheniramine ...............................................................14Olopatadine (Nasal) ............................................................................... 15Olopatadine (Ophthalmic) ...................................................................... 15Promethazine ......................................................................................... 17

Histamine H1 Antagonist, First GenerationChlorpheniramine ..................................................................................... 5Cyproheptadine ........................................................................................ 6DimenhyDRINATE ....................................................................................7DiphenhydrAMINE (Systemic) ..................................................................7Hydrocodone and Chlorpheniramine ......................................................11

HISTAMINE H1 ANTAGONIST, FIRST GENERATION

28

HydrOXYzine ..........................................................................................11Meclizine .................................................................................................13Naphazoline and Pheniramine ...............................................................14Promethazine ......................................................................................... 17

Histamine H1 Antagonist, Second GenerationAzelastine (Nasal) .................................................................................... 3Azelastine (Ophthalmic) ........................................................................... 3Bepotastine ...............................................................................................3Cetirizine (Systemic) ................................................................................ 5Fexofenadine ............................................................................................9Loratadine ...............................................................................................13Olopatadine (Nasal) ............................................................................... 15Olopatadine (Ophthalmic) ...................................................................... 15

Histamine H2 AntagonistRaNITIdine (Withdrawn From US Market) .............................................18

Histone Deacetylase InhibitorValproic Acid and Derivatives ................................................................ 20

HormoneCalcitonin ..................................................................................................4

Hormone, Posterior PituitaryDesmopressin ...........................................................................................6

Hypnotic, MiscellaneousEszopiclone .............................................................................................. 8Zolpidem .................................................................................................21

Imidazoline DerivativeNaphazoline and Pheniramine ...............................................................14Oxymetazoline (Nasal) ...........................................................................16

Immunosuppressant AgentAzaTHIOprine ...........................................................................................3Cyclophosphamide ...................................................................................6CycloSPORINE (Ophthalmic) ...................................................................6Mercaptopurine .......................................................................................13Methotrexate ...........................................................................................14Mycophenolate ....................................................................................... 14Pimecrolimus ..........................................................................................16Tacrolimus (Topical) ............................................................................... 19

Inhalation, MiscellaneousInhalation Devices .................................................................................. 11

Insulin, CombinationInsulin Aspart Protamine and Insulin Aspart ..........................................11Insulin NPH and Insulin Regular ............................................................ 11

Insulin, Intermediate-ActingInsulin NPH .............................................................................................11

Insulin, Long-ActingInsulin Detemir ........................................................................................11Insulin Glargine .......................................................................................11

Insulin, Rapid-ActingInsulin Aspart ..........................................................................................11Insulin Lispro .......................................................................................... 11

Insulin, Short-ActingInsulin Regular ........................................................................................11

InterferonInterferon Beta-1a .................................................................................. 12

Iron PreparationsFerrous Fumarate .....................................................................................9Ferrous Gluconate ....................................................................................9Ferrous Sulfate .........................................................................................9

IrrigantSodium Chloride .....................................................................................18

Irrigating SolutionBalanced Salt Solution .............................................................................3

Keratolytic AgentPodofilox .................................................................................................16Salicylic Acid .......................................................................................... 18Urea (Topical) .........................................................................................20

Laxative, Bulk-ProducingPolycarbophil ..........................................................................................16

Laxative, OsmoticGlycerin .................................................................................................. 10Lactulose ................................................................................................ 12Polyethylene Glycol 3350 ...................................................................... 16Polyethylene Glycol-Electrolyte Solution ............................................... 16

Laxative, SalineMagnesium Citrate ................................................................................. 13

Laxative, StimulantBisacodyl .................................................................................................. 4

Leukotriene-Receptor AntagonistMontelukast ............................................................................................ 14

Local AnestheticBenzocaine ...............................................................................................3Dibucaine ..................................................................................................6Lidocaine and Prilocaine ........................................................................12Lidocaine (Topical) ................................................................................. 13

Lubricant, OcularSodium Chloride .....................................................................................18

Lymphocyte Function-Associated Antigen 1 (LFA-1) AntagonistLifitegrast ................................................................................................13

Magnesium SaltMagnesium Citrate ................................................................................. 13Magnesium Oxide .................................................................................. 13

Mast Cell StabilizerBepotastine ...............................................................................................3Cromolyn (Ophthalmic) ............................................................................ 6

Mineralocorticoid (Aldosterone) Receptor AntagonistsSpironolactone ....................................................................................... 18

Miscellaneous ProductDiabetic Supplies ......................................................................................6Syringe ................................................................................................... 19

Monoclonal AntibodyAdalimumab ..............................................................................................2Alirocumab ................................................................................................2Evolocumab ..............................................................................................9

MouthwashMouthwash BLM .....................................................................................14

Neuraminidase InhibitorOseltamivir ..............................................................................................15

N-Methyl-D-Aspartate (NMDA) Receptor AntagonistMemantine ..............................................................................................13

Nonsteroidal Anti-inflammatory Drug (NSAID)Diclofenac (Ophthalmic) ...........................................................................6Diclofenac (Topical) ..................................................................................6

Nonsteroidal Anti-inflammatory Drug (NSAID), COX-2 SelectiveCelecoxib ..................................................................................................5

Nonsteroidal Anti-inflammatory Drug (NSAID), OphthalmicDiclofenac (Ophthalmic) ...........................................................................6Flurbiprofen (Ophthalmic) .........................................................................9Ketorolac (Ophthalmic) ...........................................................................12Nepafenac .............................................................................................. 15

Nonsteroidal Anti-inflammatory Drug (NSAID), OralAspirin .......................................................................................................3Etodolac ....................................................................................................9Ibuprofen .................................................................................................11Indomethacin .......................................................................................... 11Meloxicam .............................................................................................. 13Nabumetone ...........................................................................................14Naproxen ................................................................................................15Piroxicam (Systemic) ..............................................................................16Tolmetin .................................................................................................. 19

Nonsteroidal Anti-inflammatory Drug (NSAID), ParenteralIbuprofen .................................................................................................11Indomethacin .......................................................................................... 11Meloxicam .............................................................................................. 13

Nonsteroidal Anti-inflammatory Drug (NSAID), TopicalDiclofenac (Topical) ..................................................................................6

Norepinephrine Reuptake Inhibitor, SelectiveAtoMOXetine ............................................................................................ 3

Nutritional SupplementFluoride .....................................................................................................9

Ophthalmic Agent, AntiglaucomaAcetaZOLAMIDE ......................................................................................2Betaxolol (Ophthalmic) .............................................................................4Bimatoprost .............................................................................................. 4Brimonidine and Timolol ...........................................................................4Brimonidine (Ophthalmic) .........................................................................4

HISTAMINE H1 ANTAGONIST, FIRST GENERATION

29

Dorzolamide ............................................................................................. 7Dorzolamide and Timolol ......................................................................... 7Latanoprost .............................................................................................12Levobunolol ............................................................................................ 12MethazolAMIDE ......................................................................................13Pilocarpine (Ophthalmic) ........................................................................16Timolol (Ophthalmic) .............................................................................. 19

Ophthalmic Agent, MioticPilocarpine (Ophthalmic) ........................................................................16

Ophthalmic Agent, MiscellaneousArtificial Tears ...........................................................................................3Balanced Salt Solution .............................................................................3Carboxymethylcellulose ............................................................................4

Ophthalmic Agent, MydriaticAtropine (Ophthalmic) .............................................................................. 3Homatropine ...........................................................................................10

Ophthalmic Agent, VasoconstrictorNaphazoline and Pheniramine ...............................................................14

Opioid AntagonistNaltrexone .............................................................................................. 14

Opioid Antagonist, Peripherally-ActingNaloxegol ................................................................................................14

Ovulation StimulatorClomiPHENE ............................................................................................5

P2Y12 AntagonistClopidogrel ............................................................................................... 5Prasugrel ................................................................................................ 17

Parathyroid Hormone AnalogTeriparatide .............................................................................................19

PediculocideLindane ...................................................................................................13Permethrin ..............................................................................................16Pyrethrins and Piperonyl Butoxide .........................................................17

Pharmaceutical AidWhite Petrolatum ....................................................................................20

Phenothiazine DerivativeChlorproMAZINE ...................................................................................... 5FluPHENAZine ......................................................................................... 9Perphenazine ......................................................................................... 16Prochlorperazine .................................................................................... 17Promethazine ......................................................................................... 17

Phosphate BinderSevelamer .............................................................................................. 18

Phosphodiesterase-3 Enzyme InhibitorCilostazol ..................................................................................................5

Phosphodiesterase-4 Enzyme InhibitorRoflumilast ..............................................................................................18

Phosphodiesterase-5 Enzyme InhibitorSildenafil .................................................................................................18

Phosphodiesterase Enzyme Inhibitor, NonselectiveTheophylline ........................................................................................... 19

Piperazine DerivativeCetirizine (Systemic) ................................................................................ 5HydrOXYzine ..........................................................................................11Meclizine .................................................................................................13

Piperidine DerivativeCyproheptadine ........................................................................................ 6Fexofenadine ............................................................................................9Loratadine ...............................................................................................13Olopatadine (Nasal) ............................................................................... 15Olopatadine (Ophthalmic) ...................................................................... 15

ProgestinHYDROXYprogesterone Caproate ......................................................... 11Levonorgestrel (Systemic) ......................................................................12MedroxyPROGESTERone ..................................................................... 13Megestrol ................................................................................................13Norethindrone .........................................................................................15Progesterone ..........................................................................................17

ProstaglandinAlprostadil .................................................................................................2Dinoprostone ............................................................................................ 7MiSOPROStol .........................................................................................14

Prostaglandin, OphthalmicBimatoprost .............................................................................................. 4Latanoprost .............................................................................................12

Proton Pump InhibitorOmeprazole ............................................................................................15Pantoprazole .......................................................................................... 16RABEprazole ..........................................................................................17

Renin InhibitorAliskiren ....................................................................................................2

Rescue Agent (Chemotherapy)Leucovorin Calcium ................................................................................12

Retinoic Acid DerivativeAdapalene ................................................................................................ 2ISOtretinoin (Systemic) .......................................................................... 12Tretinoin (Topical) ...................................................................................20

RifamycinRifAMPin .................................................................................................18RifAXIMin ................................................................................................18

SalicylateAspirin .......................................................................................................3Salsalate .................................................................................................18

Scabicidal AgentLindane ...................................................................................................13Permethrin ..............................................................................................16

Second Generation (Atypical) AntipsychoticARIPiprazole .............................................................................................3OLANZapine ...........................................................................................15QUEtiapine ............................................................................................. 17RisperiDONE ..........................................................................................18Ziprasidone .............................................................................................21

Selective 5-HT3 Receptor AntagonistOndansetron ...........................................................................................15

Selective Estrogen Receptor Modulator (SERM)ClomiPHENE ............................................................................................5Raloxifene ...............................................................................................17Tamoxifen ............................................................................................... 19

Serotonin 5-HT1B, 1D Receptor AgonistEletriptan .................................................................................................. 7Rizatriptan .............................................................................................. 18SUMAtriptan ........................................................................................... 19ZOLMitriptan ...........................................................................................21

Serotonin 5-HT4 Receptor AgonistMetoclopramide ......................................................................................14

Shampoo, PediculocidePyrethrins and Piperonyl Butoxide .........................................................17

Skeletal Muscle RelaxantBaclofen ....................................................................................................3Cyclobenzaprine .......................................................................................6Metaxalone .............................................................................................13Methocarbamol .......................................................................................14

Skin and Mucous Membrane AgentImiquimod ............................................................................................... 11

Skin and Mucous Membrane Agent, MiscellaneousEmollients .................................................................................................7

Smoking Cessation AidBuPROPion .............................................................................................. 4Nicotine ...................................................................................................15

Sodium-Glucose Cotransporter 2 (SGLT2) InhibitorEmpagliflozin ............................................................................................ 7Empagliflozin and Linagliptin ................................................................... 7

Sodium SaltSodium Chloride .....................................................................................18

Stool SoftenerDocusate .................................................................................................. 7

Substituted BenzimidazoleOmeprazole ............................................................................................15Pantoprazole .......................................................................................... 16RABEprazole ..........................................................................................17

ThioamideMethIMAzole ...........................................................................................14Propylthiouracil .......................................................................................17

THIOAMIDE

30

Thyroid ProductLevothyroxine ......................................................................................... 12Liothyronine ............................................................................................13Thyroid, Desiccated ................................................................................19

Topical Skin ProductAluminum Acetate .................................................................................... 2Aluminum Chloride Hexahydrate ............................................................. 2Benzoyl Peroxide ..................................................................................... 3Calamine .................................................................................................. 4Calcipotriene .............................................................................................4Clindamycin and Benzoyl Peroxide ......................................................... 5Emollients .................................................................................................7Erythromycin (Topical) ..............................................................................8Fluorouracil (Topical) ................................................................................9Imiquimod ............................................................................................... 11Lactic Acid and Ammonium Hydroxide ..................................................12Pimecrolimus ..........................................................................................16Podofilox .................................................................................................16Povidone-Iodine (Topical) .......................................................................17Selenium Sulfide .................................................................................... 18Tacrolimus (Topical) ............................................................................... 19Urea (Topical) .........................................................................................20Vitamin A and Vitamin D (Topical) .........................................................20White Petrolatum ....................................................................................20Zinc Oxide .............................................................................................. 20

Topical Skin Product, AcneAdapalene ................................................................................................ 2Azelaic Acid ..............................................................................................3Benzoyl Peroxide ..................................................................................... 3Clindamycin and Benzoyl Peroxide ......................................................... 5Clindamycin (Topical) ............................................................................... 5Erythromycin and Benzoyl Peroxide ........................................................7Erythromycin (Topical) ..............................................................................8Salicylic Acid .......................................................................................... 18Tretinoin (Topical) ...................................................................................20

Tumor Necrosis Factor (TNF) Blocking AgentAdalimumab ..............................................................................................2

Uricosuric AgentProbenecid ............................................................................................. 17

VasodilatorAlprostadil .................................................................................................2Cilostazol ..................................................................................................5HydrALAZINE .........................................................................................10Isosorbide Dinitrate ................................................................................ 12Isosorbide Mononitrate ...........................................................................12Isoxsuprine ............................................................................................. 12Nitroglycerin ............................................................................................15

Vasodilator, Direct-ActingMinoxidil (Systemic) ............................................................................... 14

Vasopressin Analog, SyntheticDesmopressin ...........................................................................................6

VitaminVitamins (Multiple/Pediatric) ...................................................................20Vitamins (Multiple/Prenatal) ................................................................... 20

Vitamin D AnalogCalcipotriene .............................................................................................4Calcitriol (Systemic) ..................................................................................4Cholecalciferol ..........................................................................................5Ergocalciferol ............................................................................................7

Vitamin, Fat SolubleCalcium and Vitamin D ............................................................................ 4

Vitamin, Water SolubleCyanocobalamin .......................................................................................6Folic Acid ................................................................................................10Leucovorin Calcium ................................................................................12Niacin ......................................................................................................15Pyridoxine ...............................................................................................17Thiamine .................................................................................................19

Xanthine Oxidase InhibitorAllopurinol .................................................................................................2

THYROID PRODUCT

31

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