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Alphabetical Listing by Name

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

OUTPATIENT FORMULARYFORCE BASE

A

HILL AIR

pril 11, 2019

AcetaminophenOutpatient Dosage FormsCaplet, oral: 325 mgLiquid, oral: 160 mg/5 mL (118 mL)Suppository, rectal: 120 mg (12s)Suspension, oral [drops]: 80 mg/0.8 mL (15 mL)

Acetaminophen and CodeineOutpatient Dosage FormsSolution, oral [C-V]: Acetaminophen 120 mg and codeine phosphate 12 mg per5 mL (118 mL) [BCF]

Tablet, oral [C-III]: Acetaminophen 300 mg and codeine phosphate30 mg [BCF]

Acetaminophen, Isometheptene, and DichloralphenazoneOutpatient Dosage FormsCapsule, oral: Acetaminophen 325 mg, isometheptene mucate 65 mg, anddichloralphenazone 100 mg

AcetaZOLAMIDEOutpatient Dosage FormsTablet, oral: 250 mg

Acetic Acid (Otic)Outpatient Dosage FormsSolution, otic [drops]: 2% (60 mL)

Acetic Acid, Propylene Glycol Diacetate, and HydrocortisoneOutpatient Dosage FormsSolution, otic [drops]: Acetic acid 2%, propylene glycol diacetate 3%, andhydrocortisone 1% (10 mL)

Acyclovir (Systemic)Outpatient Dosage FormsCapsule, oral: 200 mg [BCF]Suspension, oral: 200 mg/5 mL (473 mL) [BCF]Tablet, oral: 400 mg [BCF], 800 mg [BCF]

Acyclovir (Topical)Outpatient Dosage FormsCream, topical:Zovirax®: 5% (2 g)

Ointment, topical:Zovirax®: 5% (30 g)

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

Gel, External:Differin: 0.1% (45 g)Differin: 0.3% (45 g) [contains edetate disodium, methylparaben, propyleneglycol]

AlbendazoleOutpatient Dosage FormsTablet, Oral:Albenza: 200 mg

AlbiglutideOutpatient Dosage FormsPen-injector, Subcutaneous [preservative free]:Tanzeum: 30 mg (1 ea); 50 mg (1 ea) [contains polysorbate 80]

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

Solution, for nebulization: 0.5% [100 mg/20 mL] (1s)Solution, for nebulization [preservative free]: 0.021% [0.63 mg/3 mL] (25s);0.042% [1.25 mg/3 mL] (25s); 0.083% [2.5 mg/3 mL] (30s) [BCF]

Syrup, oral: 2 mg/5 mL (473 mL)

AlendronateOutpatient Dosage FormsTablet, oral: 10 mg [BCF], 35 mg [BCF], 70 mg [BCF]

AlfuzosinOutpatient Dosage FormsTablet, extended release, oral, as hydrochloride: 10 mg [BCF]

AllopurinolOutpatient Dosage FormsTablet, oral: 100 mg [BCF], 300 mg [BCF]

ALPRAZolamOutpatient Dosage FormsTablet, oral: 0.5 mg

Aluminum AcetateOutpatient Dosage FormsPowder, for topical solution:Domeboro: Aluminum sulfate 1191 mg and calcium acetate 839 mg perpacket (12s)

Aluminum Chloride HexahydrateOutpatient Dosage FormsSolution, topical:Hypercare™: 20% (37.5 mL) [contains ethanol 93%]

AmantadineOutpatient Dosage FormsCapsule, oral, as hydrochloride: 100 mg [BCF]Syrup, oral, as hydrochloride: 50 mg/5 mL (10 mL, 473 mL) [BCF]

AmcinonideOutpatient Dosage FormsCream, topical: 0.1% (60 g)Ointment, topical: 0.1% (60 g)

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

AmitriptylineOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 10 mg [BCF], 25 mg [BCF], 50 mg [BCF], 75 mg [BCF]

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

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

Amlodipine and ValsartanOutpatient Dosage FormsTablet, Oral:Generic: 5/160: Amlodipine 5 mg and valsartan 160 mgGeneric: 5/320: Amlodipine 5 mg and valsartan 320 mgGeneric: 10/160: Amlodipine 10 mg and valsartan 160 mgGeneric: 10/320: Amlodipine 10 mg and valsartan 320 mg

AmoxicillinOutpatient Dosage FormsCapsule, oral: 250 mg [BCF], 500 mg [BCF]Powder for suspension, oral: 250 mg/5 mL (150 mL) [BCF]; 250 mg/5 mL (150mL); 400 mg/5 mL (100 mL) [BCF]

Tablet, chewable, oral: 250 mg

Amoxicillin and ClavulanateOutpatient Dosage FormsPowder for suspension, oral:200: Amoxicillin 200 mg and clavulanate potassium 28.5 mg per 5 mL (100mL) [BCF]

250: Amoxicillin 250 mg and clavulanate potassium 62.5 mg per 5 mL (100mL) [BCF]

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

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

Augmentin®: 125: Amoxicillin 125 mg and clavulanate potassium 31.25 mgper 5 mL (150 mL) [contains potassium 0.16 mEq/5 mL; banana fla-vor] [BCF]

Tablet, oral:250: Amoxicillin 250 mg and clavulanate potassium 125 mg [BCF]500: Amoxicillin 500 mg and clavulanate potassium 125 mg [BCF]875: Amoxicillin 875 mg and clavulanate potassium 125 mg [BCF]

Tablet, chewable, oral: 400: Amoxicillin 400 mg and clavulanate potas-sium 57 mg

AnastrozoleOutpatient Dosage FormsTablet, oral:Arimidex®: 1 mg

ApixabanOutpatient Dosage FormsTablet, oral:Eliquis: 5 mg

ACETAMINOPHEN

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ARIPiprazoleOutpatient Dosage FormsTablet, oral:Abilify®: 10 mg, 20 mg, 30 mg

Artificial TearsOutpatient Dosage FormsOintment, Ophthalmic:Generic: 3.5 g

Solution, ophthalmic [drops]: 15 mLSystane Balance: Propylene glycol 0.6% (10 mL)

AspirinOutpatient Dosage FormsTablet, chewable, oral: 81 mgTablet, enteric coated, oral: 81 mg, 325 mg

Aspirin and DipyridamoleOutpatient Dosage FormsCapsule, variable release, oral:Aggrenox®: Aspirin 25 mg [immediate release] and dipyridamole 200 mg[extended release] [contains lactose, sucrose]

AtenololOutpatient Dosage FormsTablet, oral: 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: 10 mg [BCF], 20 mg [BCF], 40 mg [BCF], 80 mg [BCF]

Atropine (Ophthalmic)Outpatient Dosage FormsOintment, ophthalmic, as sulfate: 1% (3.5 g)Solution, ophthalmic, as sulfate [drops]: 1% (15 mL)

AzaTHIOprineOutpatient Dosage FormsTablet, oral: 50 mg

Azelaic AcidOutpatient Dosage FormsGel, topical:Finacea: 15% (50 g) [contains benzoic acid, disodium edta, polysorbate 80,propylene glycol]

Azelastine (Nasal)Outpatient Dosage FormsSolution, intranasal, as hydrochloride [spray]: 0.1% [137 mcg/spray] (30 mL)

Azithromycin (Ophthalmic)Outpatient Dosage FormsSolution, ophthalmic [drops]:AzaSite®: 1% (2.5 mL) [contains benzalkonium chloride]

Azithromycin (Systemic)Outpatient Dosage FormsPowder for suspension, oral, as dihydrate [strength expressed as base]:100 mg/5 mL (15 mL) [BCF]; 200 mg/5 mL (30 mL); 1 g/packet (3s) [BCF]

Tablet, oral, as monohydrate [strength expressed as base]: 250 mg [BCF],500 mg [BCF]

Bacitracin, Neomycin, and Polymyxin B (Ophthalmic)Outpatient Dosage FormsOintment, ophthalmic: Bacitracin 400 units, neomycin 3.5 mg, and polymyxin B10,000 units per g (3.5 g) [BCF]

Bacitracin (Topical)Outpatient Dosage FormsOintment, topical, as zinc [strength expressed as base]: 500 units/g (15 g)

BaclofenOutpatient Dosage FormsTablet, oral: 10 mg

BenzonatateOutpatient Dosage FormsCapsule, softgel, oral: 100 mg

Benzoyl PeroxideOutpatient Dosage FormsGel, topical: 5% (42.5 g); 10% (42.5 g)

BenztropineOutpatient Dosage FormsTablet, Oral, as mesylate:Generic: 0.5 mg [BCF], 1 mg [BCF], 2 mg [BCF]

Betamethasone and ClotrimazoleOutpatient Dosage FormsCream, topical: Betamethasone dipropionate 0.05% (base) and clotrimazole 1%(45 g)

Betamethasone (Topical)Outpatient Dosage FormsCream, topical, as dipropionate [strength expressed as base]: 0.05% (45 g)Cream, topical, as valerate [strength expressed as base]: 0.1% (45 g)Ointment, topical, as dipropionate [strength expressed as base]: 0.05% (45 g)Ointment, topical, as valerate [strength expressed as base]: 0.1% (15 g)

Betaxolol (Ophthalmic)Outpatient Dosage FormsSuspension, ophthalmic [drops]:Betoptic S®: 0.25% (10 mL) [contains benzalkonium chloride]

BimatoprostOutpatient Dosage FormsSolution, Ophthalmic:Lumigan: 0.01% (7.5 mL) [contains benzalkonium chloride]

BisacodylOutpatient Dosage FormsTablet, enteric coated, oral: 5 mg

Bismuth SubsalicylateOutpatient Dosage FormsTablet, chewable, oral, as subsalicylate: 262 mg

BisoprololOutpatient Dosage FormsTablet, oral, as fumarate: 5 mg, 10 mg

Bisoprolol and HydrochlorothiazideOutpatient Dosage FormsTablet, oral:2.5/6.25: Bisoprolol fumarate 2.5 mg and hydrochlorothiazide 6.25 mg5/6.25: Bisoprolol fumarate 5 mg and hydrochlorothiazide 6.25 mg10/6.25: Bisoprolol fumarate 10 mg and hydrochlorothiazide 6.25 mg

Brimonidine and TimololOutpatient Dosage FormsSolution, ophthalmic [drops]:Combigan®: Brimonidine tartrate 0.2% and timolol 0.5% (5 mL,10 mL)[contains benzalkonium chloride]

Brimonidine (Ophthalmic)Outpatient Dosage FormsSolution, ophthalmic, as tartrate [drops]: 0.15% (10 mL) [BCF]; 0.2% (10 mL)[BCF]

BromfenacOutpatient Dosage FormsSolution, ophthalmic [drops]:Bromday™: 0.09% (1.7 mL) [contains benzalkonium chloride, sodium sulfite]

BromocriptineOutpatient Dosage FormsTablet, oral: 2.5 mg

Brompheniramine and PseudoephedrineOutpatient Dosage FormsLiquid, oral: Brompheniramine maleate 1 mg and pseudoephedrine hydro-chloride 15 mg per 5 mL (118 mL)

Budesonide (Oral Inhalation)Outpatient Dosage FormsSuspension, for nebulization: 0.25 mg/2 mL (30s); 0.5 mg/2 mL (30s)

Budesonide (Systemic)Outpatient Dosage FormsCapsule, enteric coated, oral: 3 mg

BumetanideOutpatient Dosage FormsTablet, oral: 1 mg, 2 mg

BuprenorphineOutpatient Dosage FormsTablet Sublingual, Sublingual:Generic: 8 mg

BUPRENORPHINE

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BuPROPionOutpatient Dosage FormsTablet, oral, as hydrochloride: 75 mg [BCF], 100 mg [BCF]Tablet, extended release, oral, as hydrochloride: 100 mg [BCF], 150 mg [BCF],300 mg [BCF]

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

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

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

CabergolineOutpatient Dosage FormsTablet, oral: 0.5 mg

Calcitriol (Systemic)Outpatient Dosage FormsCapsule, softgel, oral:Generic: 0.25 mcg, 0.5 mcg

Calcium and Vitamin DOutpatient Dosage FormsCaplet, oral: Calcium 315 mg and vitamin D 250 unitsTablet, chewable: Calcium 500 mg and vitamin D 500 units

CapsaicinOutpatient Dosage FormsCream, topical: 0.025% (60 g)

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

CarBAMazepineOutpatient Dosage FormsSuspension, oral: 100 mg/5 mL (450 mL) [BCF]Tablet, oral: 200 mg [BCF]Tablet, chewable, oral: 100 mg [BCF]Tablet, extended release, oral: 100 mg, 200 mg, 400 mg [BCF]

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

Tablet, extended release, oral: 25/100: Carbidopa 25 mg and levodopa 100 mg

CarboxymethylcelluloseOutpatient Dosage FormsSolution, ophthalmic, as sodium [drops, preservative free]: 0.5% (0.4 mL)

CarvedilolOutpatient Dosage FormsTablet, oral: 3.125 mg [BCF], 6.25 mg [BCF], 12.5 mg [BCF], 25 mg [BCF]

CefdinirOutpatient Dosage FormsCapsule, oral: 300 mgPowder for suspension, oral: 125 mg/5 mL (60 mL); 250 mg/5 mL (60 mL)

CefprozilOutpatient Dosage FormsPowder for suspension, oral: 125 mg/5 mL (100 mL); 250 mg/5 mL (100 mL)Tablet, oral: 250 mg

CefuroximeOutpatient Dosage FormsPowder for suspension, oral, as axetil [strength expressed as base]: 125 mg/5mL (100 mL); 250 mg/5 mL (100 mL)

Tablet, oral, as axetil [strength expressed as base]: 250 mg, 500 mg

CelecoxibOutpatient Dosage FormsCapsule, oral:CeleBREX®: 100 mg, 200 mg

CephalexinOutpatient Dosage FormsCapsule, oral: 250 mg [BCF], 500 mg [BCF]Powder for suspension, oral: 250 mg/5 mL (200 mL) [BCF]

Cetirizine (Systemic)Outpatient Dosage FormsSyrup, oral, as hydrochloride: 5 mg/5 mL (118 mL)Tablet, oral, as hydrochloride: 10 mg

ChlordiazePOXIDEOutpatient Dosage FormsCapsule, oral, as hydrochloride: 10 mg

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

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

ChlorpheniramineOutpatient Dosage FormsSyrup, oral, as maleate: 2 mg/5 mL (118 mL)Tablet, oral, as maleate: 4 mg

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

ChlorzoxazoneOutpatient Dosage FormsTablet, oral: 500 mg

Cholestyramine ResinOutpatient Dosage FormsPowder for suspension, oral:Prevalite®: Cholestyramine resin 4 g/5.5 g packet (60s) [contains phenyl-alanine 14.1 mg/5.5 g; orange flavor]

CiclopiroxOutpatient Dosage FormsSolution, topical: 8% (6.6 mL)

CilostazolOutpatient Dosage FormsTablet, oral: 50 mg, 100 mg

CimetidineOutpatient Dosage FormsTablet, oral: 400 mg

Ciprofloxacin and DexamethasoneOutpatient Dosage FormsSuspension, otic:Ciprodex®: Ciprofloxacin 0.3% and dexamethasone 0.1% (7.5 mL) [containsbenzalkonium chloride]

Ciprofloxacin and HydrocortisoneOutpatient Dosage FormsSuspension, otic:Cipro® HC: Ciprofloxacin hydrochloride 0.2% and hydrocortisone 1% (10 mL)[contains benzyl alcohol]

Ciprofloxacin (Ophthalmic)Outpatient Dosage FormsSolution, ophthalmic, as hydrochloride [drops]: 3.5 mg/mL (5 mL) [equivalent tociprofloxacin base 0.3%]

Ciprofloxacin (Systemic)Outpatient Dosage FormsMicrocapsules for suspension, oral:Cipro®: 250 mg/5 mL (100 mL) [strawberry flavor] [BCF]

Tablet, oral, as hydrochloride [strength expressed as base]: 250 mg [BCF],500 mg [BCF]

CitalopramOutpatient Dosage FormsSolution, oral: 10 mg/5 mL (240 mL) [BCF]Tablet, oral: 10 mg [BCF], 20 mg [BCF], 40 mg [BCF]

ClarithromycinOutpatient Dosage FormsTablet, oral: 250 mg, 500 mgTablet, extended release, oral: 500 mg

BUPRENORPHINE

4

Clidinium and ChlordiazepoxideOutpatient Dosage FormsCapsule, oral: Clidinium bromide 2.5 mg and chlordiazepoxide hydrochloride5 mg

Clindamycin and Benzoyl PeroxideOutpatient Dosage FormsGel, External:Generic: Clindamycin phosphate 1% and benzoyl peroxide 5% (25 g, 50 g);Clindamycin phosphate 1.2% and benzoyl peroxide 5% (45 g)

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

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

Gel, External, as phosphate [strength expressed as base]:Generic: 1% (30 g)

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

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

ClobetasolOutpatient Dosage FormsCream, topical, as propionate: 0.05% (60 g) [BCF]Ointment, topical, as propionate: 0.05% (30 g) [BCF]Solution, topical, as propionate [for scalp application]: 0.05% (50 mL)

ClomiPHENEOutpatient Dosage FormsTablet, oral, as citrate: 50 mg

ClomiPRAMINEOutpatient Dosage FormsCapsule, oral, as hydrochloride: 25 mg, 50 mg

ClonazePAMOutpatient Dosage FormsTablet, oral: 0.5 mg [BCF], 1 mg

CloNIDineOutpatient Dosage FormsPatch, transdermal: 0.1 mg/24 hours (4s); 0.2 mg/24 hours (4s); 0.3 mg/24hours (4s)

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

ClopidogrelOutpatient Dosage FormsTablet, oral: 75 mg [BCF], 300 [BCF]

ClorazepateOutpatient Dosage FormsTablet, oral, as dipotassium: 7.5 mg

Clotrimazole (Topical)Outpatient Dosage FormsCream, topical: 1% (30 g)Solution, topical: 1% (10 mL) [BCF]

ColchicineOutpatient Dosage FormsTablet, oral: 0.6 mg

ColestipolOutpatient Dosage FormsTablet, oral, as hydrochloride [micronized]: 1 g

Contraceptive DevicesOutpatient Dosage FormsDiaphragm [arc spring]:Ortho® All-Flex®: 65 mm, 70 mm, 75 mm, 80 mm, 85 mm

CortisoneOutpatient Dosage FormsTablet, oral, as acetate: 25 mg

Cromolyn (Ophthalmic)Outpatient Dosage FormsSolution, ophthalmic, as sodium [drops]: 4% (10 mL)

CyanocobalaminOutpatient Dosage FormsInjection, solution: 1000 mcg/mL (1 mL)

Solution, intranasal [spray]:Nascobal®: 500 mcg/spray (2.3 mL) [contains benzalkonium chloride; delivers8 doses]

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

CyclopentolateOutpatient Dosage FormsSolution, ophthalmic, as hydrochloride [drops]: 1% (15 mL)

CycloSPORINE (Ophthalmic)Outpatient Dosage FormsEmulsion, ophthalmic [drops, preservative free]:Restasis®: 0.05% (0.4 mL) [contains castor oil]

CyproheptadineOutpatient Dosage FormsSyrup, oral, as hydrochloride: 2 mg/5 mL (473 mL) [BCF]Tablet, oral, as hydrochloride: 4 mg [BCF]

Dabigatran EtexilateOutpatient Dosage FormsCapsule, oral:Pradaxa®: 75 mg, 150 mg

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

DesipramineOutpatient Dosage FormsTablet, oral, as hydrochloride: 25 mg

DesmopressinOutpatient Dosage FormsSolution, intranasal, as acetate: 0.1 mg/mL (2.5 mL)Solution, intranasal, as acetate [spray]: 0.1 mg/mL (5 mL)Tablet, Oral, as acetate: 0.1 mg, 0.2 mg

DesonideOutpatient Dosage FormsCream, topical: 0.05% (60 g)Ointment, topical: 0.05% (15 g)

Dexamethasone (Systemic)Outpatient Dosage FormsTablet, oral: 0.5 mg, 4 mg

DextroamphetamineOutpatient Dosage FormsCapsule, extended release, oral, as sulfate: 5 mg, 10 mgTablet, oral, as sulfate: 5 mg

Dextroamphetamine and AmphetamineOutpatient Dosage FormsCapsule, extended release, 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 3.1 mg)] [BCF]

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)] [BCF]

15 mg [dextroamphetamine sulfate 3.75 mg, dextroamphetamine saccharate3.75 mg, amphetamine aspartate monohydrate 3.75 mg, amphetamine sul-fate 3.75 mg (equivalent to amphetamine base 9.4 mg)] [BCF]

20 mg [dextroamphetamine sulfate 5 mg, dextroamphetamine saccharate5 mg, amphetamine aspartate monohydrate 5 mg, amphetamine sulfate5 mg (equivalent to amphetamine base 12.5 mg)] [BCF]

25 mg [dextroamphetamine sulfate 6.25 mg, dextroamphetamine saccharate6.25 mg, amphetamine aspartate monohydrate 6.25 mg, amphetamine sul-fate 6.25 mg (equivalent to amphetamine base 15.6 mg)] [BCF]

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)] [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)]

DEXTROAMPHETAMINE AND AMPHETAMINE

5

Diabetic SuppliesOutpatient Dosage FormsGlucose meter:FreeStyle Freedom Lite® [kit]Precision Xtra® Blood Glucose Monitoring

Lancet: 100sBD™ (30 gauge)FreeStyle Lite®: 100s

Syringe and needle:BD™ Mini Ultra-Fine Pen Needle (31gauge - 5 mm)BD™ Syringe 0.5 mL (30 gauge)BD™ Syringe 1 mL (30 gauge) [BCF]NovoFine® (30 gauge - 8 mm)

Test Strips:FreeStyle Lite® Test Strips: 50/box [BCF]Keto-Diastix® Strips: 50/boxPrecision Xtra® test strips: 100/box [BCF]

DiazePAMOutpatient Dosage FormsTablet, oral: 5 mg [BCF]

DibucaineOutpatient Dosage FormsOintment, topical: 1% [10 mg/g] (30 g)

Diclofenac (Systemic)Outpatient Dosage FormsTablet, delayed release, enteric coated, oral, as sodium: 75 mg

Diclofenac (Topical)Outpatient Dosage FormsGel, topical, as sodium:Voltaren® Gel: 1% (100 g) [contains isopropyl alcohol]

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

DicyclomineOutpatient Dosage FormsCapsule, oral, as hydrochloride: 10 mg [BCF]Syrup, oral, as hydrochloride: 10 mg/5 mL (473 mL) [BCF]Tablet, oral, as hydrochloride: 20 mg [BCF]

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

DigoxinOutpatient Dosage FormsSolution, oral: 50 mcg/mL (60 mL)Tablet, oral: 125 mcg [BCF], 250 mcg [BCF]

DilTIAZemOutpatient Dosage FormsCapsule, extended release, oral, as hydrochloride [once-daily dosing]: 120 mg[BCF], 180 mg [BCF], 240 mg [BCF], 300 mg [BCF], 360 mg [BCF], 420 mg[BCF]

Tablet, oral, as hydrochloride: 30 mg

DiphenhydrAMINE (Systemic)Outpatient Dosage FormsCapsule, oral, as hydrochloride: 25 mgSolution, oral, as hydrochloride: 12.5 mg/5 mL (120 mL)

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

DocusateOutpatient Dosage FormsCapsule, oral, as sodium: 100 mgLiquid, oral, as sodium: 50 mg/5 mL (10 mL); 50 mg/15 mL (473 mL)

DonepezilOutpatient Dosage FormsTablet, oral, as hydrochloride: 5 mg, 10 mg

DorzolamideOutpatient Dosage FormsSolution, ophthalmic [drops]: 2% (10 mL)

Dorzolamide and TimololOutpatient Dosage FormsSolution, ophthalmic [drops]:Generic: Dorzolamide 2% and timolol 0.5% (10 mL)

DoxazosinOutpatient Dosage FormsTablet, oral: 1 mg, 2 mg, 4 mg, 8 mg

Doxepin (Systemic)Outpatient Dosage FormsCapsule, Oral:Generic: 10 mg [BCF], 25 mg [BCF], 50 mg [BCF], 75 mg [BCF]

Concentrate, Oral:Generic: 10 mg/mL (118 mL, 120 mL) [BCF]

DoxycyclineOutpatient Dosage FormsTablet, oral, as hyclate [strength expressed as base]: 100 mg [BCF]

DoxylamineOutpatient Dosage FormsTablet, Oral, as succinate:Sleep Aid: 25 mg [scored] [BCF]

DulaglutideOutpatient Dosage FormsSolution Pen-injector, Subcutaneous [preservative free]:Trulicity: 0.75 mg/0.5 mL (0.5 mL); 1.5 mg/0.5 mL (0.5 mL) [contains poly-sorbate 80]

DULoxetineOutpatient Dosage FormsCapsule delayed release particles, oral: 20 mg, 30 mg, 60 mg

EmollientsOutpatient Dosage FormsCream, topical: 454 gOintment, topical: 100 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

EnoxaparinOutpatient Dosage FormsInjection, solution, as sodium [preservative free]: 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 FormsInjection, solution:EpiPen 2-Pak®: 0.3 mg/0.3 mL (2 mL) [contains sodium metabisulfite; 1:1000solution; delivers 0.3 mg per injection]

EpiPen Jr 2-Pak®: 0.15 mg/0.3 mL (2 mL) [contains sodium metabisulfite;1:2000 solution; delivers 0.15 mg per injection]

Ergotamine and CaffeineOutpatient Dosage FormsTablet, oral: Ergotamine tartrate 1 mg and caffeine 100 mg

Erythromycin and Benzoyl PeroxideOutpatient Dosage FormsGel, topical: Erythromycin 30 mg and benzoyl peroxide 50 mg per g (47 g)

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

Erythromycin (Systemic)Outpatient Dosage FormsGranules for suspension, oral, as ethylsuccinate [strength expressed as base]:E.E.S.®: 200 mg/5 mL (100 mL) [contains sodium 25.9 mg (1.1 mEq)/5 mL;cherry flavor] [BCF]

Tablet, delayed release, enteric coated, oral, as base:Ery-Tab®: 250 mg [contains sodium 8.3 mg (0.4 mEq)/tablet] [BCF]Ery-Tab®: 333 mg [contains sodium 11.2 mg (0.5 mEq)/tablet]

Erythromycin (Topical)Outpatient Dosage FormsSolution, topical: 2% (60 mL) [BCF]

DIABETIC SUPPLIES

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EscitalopramOutpatient Dosage FormsTablet, oral: 10 mg, 20 mgLexapro®: 10 mg, 20 mg [scored]

EsomeprazoleOutpatient Dosage FormsGranules for suspension, delayed release, oral, as magnesium [strengthexpressed as base]:NexIUM: 20 mg/packet (30s); 40 mg/packet (30s)

Estradiol and NorethindroneOutpatient Dosage FormsPatch, transdermal:CombiPatch®: 0.05/0.25: Estradiol 0.05 mg and norethindrone acetate0.25 mg per day (8s) [16 sq cm]

CombiPatch®: 0.05/0.14: Estradiol 0.05 mg and norethindrone acetate0.14 mg per day (8s) [9 sq cm]

Estradiol (Systemic)Outpatient Dosage FormsGel, Transdermal:Estrogel: 0.06% (50 g) [contains alcohol, usp, trolamine (triethanolamine)]

Patch, transdermal [once-weekly patch]: 0.025 mg/24 hours (4s) [BCF];0.0375 mg/24 hours (4s) [BCF]; 0.05 mg/24 hours (4s) [BCF]; 0.06 mg/24hours (4s) [BCF]; 0.075 mg/24 hours (4s) [BCF]; 0.1 mg/24 hours (4s) [BCF]

Patch, transdermal [twice-weekly patch]:Vivelle-Dot®: 0.0375 mg/24 hours (24s) [3.75 cm2, total estradiol 0.585 mg]Vivelle-Dot®: 0.05 mg/24 hours (24s) [5 cm2, total estradiol 0.78 mg]Vivelle-Dot®: 0.075 mg/24 hours (24s) [7.5 cm2, total estradiol 1.17 mg]Vivelle-Dot®: 0.1 mg/24 hours (24s) [10 cm2, total estradiol 1.56 mg]

Ring, vaginal, as acetate:Femring®: 0.05 mg/24 hours (1s) [total estradiol 12.4 mg; releases 0.05 mg/24 hours over 3 months]

Femring®: 0.1 mg/24 hours (1s) [total estradiol 24.8 mg; releases 0.1 mg/24hours over 3 months]

Tablet, oral [micronized]: 1 mg

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

Ring, Vaginal, as base:Estring: 2 mg (1 ea)

Tablet, Vaginal, as base:Vagifem: 10 mcg

Estrogens (Conjugated/Equine) and MedroxyprogesteroneOutpatient Dosage FormsTablet, Oral: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], 0.9 mg,1.25 mg [BCF]

Estrogens (Conjugated/Equine, Topical)Outpatient Dosage FormsCream, Vaginal:Premarin: 0.625 mg/g (30 g) [BCF]

Estrogens (Esterified) and MethyltestosteroneOutpatient Dosage FormsTablet, oral:Esterified estrogens 0.625 mg and methyltestosterone 1.25 mgEsterified estrogens 1.25 mg and methyltestosterone 2.5 mg

EszopicloneOutpatient Dosage FormsTablet, oral:Lunesta®: 2 mg, 3 mg

EthambutolOutpatient Dosage FormsTablet, oral, as hydrochloride: 100 mg [BCF], 400 mg [BCF]

Ethinyl Estradiol and DesogestrelOutpatient Dosage FormsTablet, oral [monophasic formulation]:Reclipsen®: Ethinyl estradiol 0.03 mg and desogestrel 0.15 mg [21 whitetablets and 7 green inactive tablets] (28s)

Ethinyl Estradiol and DrospirenoneOutpatient Dosage FormsTablet, oral:Yasmin®: Ethinyl estradiol 0.03 mg and drospirenone 3 mg [21 yellow activetablets and 7 white inactive tablets] (28s) [BCF]

Yaz®: Ethinyl estradiol 0.02 mg and drospirenone 3 mg [24 light pink activetablets and 4 white inactive tablets] (28s) [BCF]

Ethinyl Estradiol and Ethynodiol DiacetateOutpatient Dosage FormsTablet, oral:Zovia® 1/35: Ethinyl estradiol 0.035 mg and ethynodiol diacetate 1 mg [21light pink tablets and 7 white inactive tablets]

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 [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, transdermal:Ortho Evra®: Ethinyl estradiol 0.75 mg and norelgestromin 6 mg [releasesethinyl estradiol 20 mcg and norelgestromin 150 mcg per day] (3s)

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

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 tablets

ETHINYL ESTRADIOL AND NORGESTIMATE

7

TriNessa® [BCF]:Day 1-7: Ethinyl estradiol 0.035 mg and norgestimate 0.18 mg [7 whitetablets]

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

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

Day 22-28: 7 green inactive tablets

Ethinyl Estradiol and NorgestrelOutpatient Dosage FormsTablet, oral [monophasic formulation]: Ethinyl estradiol 0.03 mg and norgestrel0.3 mg [21 tablets and 7 inactive tablets] (28s)

EthosuximideOutpatient Dosage FormsCapsule, oral: 250 mg

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

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

EzetimibeOutpatient Dosage FormsTablet, oral:Zetia®: 10 mg

FelodipineOutpatient Dosage FormsTablet, extended release, oral: 2.5 mg, 5 mg, 10 mg

Fenofibrate and DerivativesOutpatient Dosage FormsTablet, Oral, as fenofibrate:Tricor: 48 mg [BCF], 145 mg [BCF] [contains soybean lecithin]Generic: 160 mg

Ferrous SulfateOutpatient Dosage FormsLiquid, oral [drops]: 75 mg/mL (50 mL) [elemental iron 15 mg/mL]Tablet, enteric coated, oral: 325 mg [elemental iron 65 mg]

FexofenadineOutpatient Dosage FormsTablet, oral, as hydrochloride: 30 mg, 180 mg

FinasterideOutpatient Dosage FormsTablet, oral: 5 mg [BCF]

FlecainideOutpatient Dosage FormsTablet, oral, as acetate: 50 mg, 100 mg, 150 mg

FluconazoleOutpatient Dosage FormsPowder for suspension, oral: 10 mg/mL (35 mL)Tablet, oral: 100 mg, 150 mg [BCF]

FludrocortisoneOutpatient Dosage FormsTablet, oral, as acetate: 0.1 mg

Flunisolide (Nasal)Outpatient Dosage FormsSolution, intranasal [spray]: 25 mcg/actuation (25 mL)

Fluocinolone (Topical)Outpatient Dosage FormsOil, topical, as acetonide [scalp oil]: 0.01% (118 mL)Solution, topical, as acetonide: 0.01% (60 mL)

FluocinonideOutpatient Dosage FormsCream, External:Generic: 0.05% (30 g) [BCF]

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

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

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

FluorideOutpatient Dosage FormsCream, oral, as sodium [toothpaste]: 1.1% (51 g) [equivalent to fluoride 2.5 mg/dose]

Solution, oral, as sodium [drops]: 1.1 mg/mL (50 mL) [equivalent to fluoride0.5 mg/mL]

Tablet, chewable, oral, as sodium: 1.1 mg [equivalent to fluoride 0.5 mg],2.2 mg [equivalent to fluoride 1 mg]

FluorometholoneOutpatient Dosage FormsSuspension, ophthalmic, as base [drops]: 0.1% (5 mL)

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

FLUoxetineOutpatient Dosage FormsCapsule, oral: 10 mg [BCF], 20 mg [BCF], 40 mg [BCF]Solution, oral: 20 mg/5 mL (5 mL, 120 mL) [BCF]Tablet, oral: 10 mg [BCF]

Flurbiprofen (Ophthalmic)Outpatient Dosage FormsSolution, ophthalmic, as sodium [drops]: 0.03% (2.5 mL)

Fluticasone and SalmeterolOutpatient Dosage FormsAerosol, for oral inhalation:Advair® HFA: 45/21: Fluticasone propionate 45 mcg and salmeterol 21 mcgper inhalation (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]

Powder, for oral inhalation:Advair Diskus®: 100/50: Fluticasone propionate 100 mcg and salmeterol 50mcg (14s, 60s) [contains lactose] [BCF]

Advair Diskus®: 250/50: Fluticasone propionate 250 mcg and salmeterol 50mcg (14s, 60s) [contains lactose] [BCF]

Advair Diskus®: 500/50: Fluticasone propionate 500 mcg and salmeterol 50mcg (14s, 60s) [contains lactose] [BCF]

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

Fluticasone (Oral Inhalation)Outpatient Dosage FormsAerosol, Inhalation, as propionate:Flovent HFA: 44 mcg/actuation (10.6 g) [BCF]Flovent HFA: 110 mcg/actuation (12 g) [BCF]Flovent HFA: 220 mcg/actuation (12 g) [BCF]

Aerosol Powder Breath Activated, Inhalation, as propionate:Flovent Diskus: 50 mcg/blister (60s) [contains lactose] [BCF]Flovent Diskus: 100 mcg/blister (60s) [contains lactose] [BCF]Flovent Diskus: 250 mcg/blister (60s) [contains lactose] [BCF]

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

FosinoprilOutpatient Dosage FormsTablet, oral, as sodium: 10 mg, 20 mg, 40 mg

FurosemideOutpatient Dosage FormsSolution, oral: 10 mg/mL (60 mL) [BCF]Tablet, oral: 20 mg [BCF], 40 mg [BCF]

GabapentinOutpatient Dosage FormsCapsule, oral: 100 mg [BCF], 300 mg [BCF], 400 mg [BCF]Tablet, oral: 600 mg [BCF], 800 mg [BCF]

GatifloxacinOutpatient Dosage FormsSolution, ophthalmic [drops]:Zymaxid™: 0.5% (2.5 mL) [contains benzalkonium chloride]

GemfibrozilOutpatient Dosage FormsTablet, oral: 600 mg [BCF]

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

Solution, ophthalmic [drops]: 0.3% (5 mL) [BCF]

ETHINYL ESTRADIOL AND NORGESTIMATE

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GlimepirideOutpatient Dosage FormsTablet, oral: 1 mg, 2 mg, 4 mg

GlipiZIDEOutpatient Dosage FormsTablet, oral: 5 mg [BCF], 10 mg [BCF]

GlucagonOutpatient Dosage FormsInjection, powder for reconstitution:Glucagon Emergency Kit: 1 mg [contains glycerin (in diluent), lactose 49 mg;equivalent to 1 unit]

GlyBURIDEOutpatient Dosage FormsTablet, oral: 1.25 mg [BCF], 2.5 mg [BCF], 5 mg [BCF]Tablet, oral [micronized]: 1.5 mg [BCF], 3 mg [BCF], 5 mg [BCF], 6 mg [BCF]

Glycopyrrolate (Systemic)Outpatient Dosage FormsTablet, oral:Generic: 1 mg, 2 mg

GriseofulvinOutpatient Dosage FormsSuspension, Oral:Generic: 125 mg/5 mL (120 mL) [BCF]

Tablet, Oral:Gris-PEG: 125 mg [BCF], 250 mg [BCF] [scored]Generic: 125 mg [BCF], 250 mg [BCF]

GuaiFENesinOutpatient Dosage FormsSyrup, oral: 100 mg/5 mL (118 mL)Tablet, extended release, oral: 600 mg

Guaifenesin and CodeineOutpatient Dosage FormsSyrup, oral: Guaifenesin 100 mg and codeine phosphate 10 mg per 5 mL (118mL)

Guaifenesin and DextromethorphanOutpatient Dosage FormsSyrup, oral: Guaifenesin 100 mg and dextromethorphan hydrobromide 10 mgper 5 mL (118 mL)

Guaifenesin and PseudoephedrineOutpatient Dosage FormsTablet, extended release, oral: Guaifenesin 600 mg and pseudoephedrinehydrochloride 60 mg

GuanFACINEOutpatient Dosage FormsTablet, oral: 1 mg, 2 mgTablet, extended release, oral:Intuniv®: 1 mg, 2 mg, 3 mg, 4 mg

HomatropineOutpatient Dosage FormsSolution, ophthalmic, as hydrobromide [drops]:Isopto® Homatropine: 5% (5 mL) [contains benzalkonium chloride]

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

HydroCHLOROthiazideOutpatient Dosage FormsCapsule, oral: 12.5 mg [BCF]Tablet, oral: 25 mg [BCF], 50 mg [BCF]

Hydrochlorothiazide and SpironolactoneOutpatient Dosage FormsTablet, oral: Hydrochlorothiazide 25 mg and spironolactone 25 mg

Hydrochlorothiazide and TriamtereneOutpatient Dosage FormsTablet, oral: Hydrochlorothiazide 25 mg and triamterene 37.5 mg [BCF]; hydro-chlorothiazide 50 mg and triamterene 75 mg [BCF]

Hydrocodone and AcetaminophenOutpatient Dosage FormsSolution, oral: Hydrocodone bitartrate 7.5 mg and acetaminophen 500 mg per15 mL (118 mL)

Tablet, oral:Hydrocodone bitartrate 5 mg and acetaminophen 325 mgHydrocodone bitartrate 5 mg and acetaminophen 500 mgHydrocodone bitartrate 7.5 mg and acetaminophen 325 mg

Hydrocodone bitartrate 7.5 mg and acetaminophen 500 mg

Hydrocodone and HomatropineOutpatient Dosage FormsSyrup, oral: Hydrocodone bitartrate 5 mg and homatropine methylbromide1.5 mg per 5 mL (473 mL)

Hydrocortisone (Systemic)Outpatient Dosage FormsTablet, oral, as base: 10 mg, 20 mg

Hydrocortisone (Topical)Outpatient Dosage FormsCream, topical, as base: 1% (30 g); 2.5% (30 g) [BCF]Ointment, topical, as base: 1% (30 g)Suppository, rectal, as acetate: 25 mg (12s) [BCF]Suspension, rectal, as base: 100 mg/60 mL (60 mL)

HydroxychloroquineOutpatient Dosage FormsTablet, oral, as sulfate: 200 mg [equivalent to 155 mg base]

HydrOXYzineOutpatient Dosage FormsSyrup, Oral, as hydrochloride:Generic: 10 mg/5 mL (118 mL, 473 mL) [BCF]

Tablet, Oral, as hydrochloride:Generic: 10 mg [BCF], 25 mg [BCF], 50 mg [BCF]

HyoscyamineOutpatient Dosage FormsTablet, sublingual, as sulfate: 0.125 mg

Hyoscyamine, Atropine, Scopolamine, and PhenobarbitalOutpatient Dosage FormsElixir: Hyoscyamine sulfate 0.1037 mg, atropine sulfate 0.0194 mg, scopol-amine hydrobromide 0.0065 mg, and phenobarbital 16.2 mg per 5 mL (473mL)

Tablet, oral: Hyoscyamine sulfate 0.1037 mg, atropine sulfate 0.0194 mg,scopolamine hydrobromide 0.0065 mg, and phenobarbital 16.2 mg

IbuprofenOutpatient Dosage FormsSuspension, oral: 100 mg/5 mL (120 mL)Tablet, oral: 200 mg, 400 mg [BCF], 600 mg [BCF], 800 mg [BCF]

ImipramineOutpatient Dosage FormsCapsule, oral, as pamoate: 75 mg [BCF]Tablet, oral, as hydrochloride: 10 mg [BCF], 25 mg [BCF], 50 mg [BCF]

ImiquimodOutpatient Dosage FormsCream, topical: 5% (24s) [0.25 g/packet]

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

Inhalation DevicesOutpatient Dosage FormsInhalation Spacer (MTF Choice): [BCF]EasiVent®InspirEase®

Mask:EasiVent®: Small

Insulin AspartOutpatient Dosage FormsInjection, solution:NovoLOG®: 100 units/mL (10 mL) [vial] [BCF]NovoLOG® FlexPen®: 100 units/mL (3 mL) [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 FormsInjection, solution:Levemir®: 100 units/mL (10 mL)

Insulin GlargineOutpatient Dosage FormsInjection, solution:Lantus®: 100 units/mL (10 mL) [vial] [BCF]Lantus® Solostar®: 100 units/mL (3 mL) [prefilled pen] [BCF]

INSULIN GLARGINE

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Insulin GlulisineOutpatient Dosage FormsSolution, Injection:Apidra: 100 units/mL (10 mL) [contains metacresol]

Solution Pen-injector, Subcutaneous:Apidra SoloStar: 100 units/mL (3 mL) [contains metacresol]

Insulin LisproOutpatient Dosage FormsSolution, Subcutaneous:HumaLOG: 100 units/mL (3 mL cartridge) [contains metacresol, phenol]HumaLOG: 100 units/mL (10 mL vial) [contains metacresol, phenol]HumaLOG KwikPen: 100 units/mL (3 mL) [contains metacresol, phenol]

Insulin NPHOutpatient Dosage FormsInjection, suspension:NovoLIN® N: 100 units/mL (10 mL) [vial] [BCF]

Insulin NPH and Insulin RegularOutpatient Dosage FormsInjection, suspension:NovoLIN® 70/30: Insulin NPH suspension 70% [intermediate acting] andinsulin regular solution 30% [short acting]: 100 units/mL (10 mL) [vial] [BCF]

Insulin RegularOutpatient Dosage FormsInjection, solution:NovoLIN® R: 100 units/mL (10 mL) [BCF]

Ipratropium and AlbuterolOutpatient Dosage FormsAerosol, for oral inhalation:Combivent®: Ipratropium bromide 18 mcg and albuterol (base) 90 mcg perinhalation (14.7 g) [contains chlorofluorocarbon, soya lecithin; 200 meteredactuations] [BCF]

Solution, for nebulization:DuoNeb®: Ipratropium bromide 0.5 mg and albuterol (base) 2.5 mg per 3mL (30s)

Solution, for oral inhalation [spray]:Combivent® Respimat®: Ipratropium bromide 20 mcg and albuterol (base)100 mcg per inhalation (4 g) [contains benzalkonium chloride; 120 meteredactuations]

Ipratropium (Nasal)Outpatient Dosage FormsSolution, intranasal, as bromide [spray]: 0.03% (30 mL); 0.06% (15 mL)[delivers 42 mcg/spray; 165 sprays]; 0.06% (15 mL)

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

Solution, for nebulization, as bromide [preservative free]: 0.02% [500 mcg/2.5mL] (60s)

IrbesartanOutpatient Dosage FormsTablet, Oral:Generic: 75 mg, 150 mg, 300 mg

IsoniazidOutpatient Dosage FormsSolution, oral: 50 mg/5 mL (473 mL)Tablet, oral: 100 mg [BCF], 300 mg [BCF]

Isosorbide DinitrateOutpatient Dosage FormsCapsule, sustained release, oral:Dilatrate®-SR: 40 mg

Tablet, oral: 5 mg [BCF], 10 mg [BCF], 20 mg [BCF], 30 mg [BCF]Tablet, extended release, oral: 40 mg [BCF]

Isosorbide MononitrateOutpatient Dosage FormsTablet, extended release, oral: 30 mg [BCF], 60 mg [BCF], 120 mg [BCF]

ISOtretinoin (Systemic)Outpatient Dosage FormsCapsule, oral: 10 mg, 20 mg, 40 mg

Ketoconazole (Systemic)Outpatient Dosage FormsTablet, oral: 200 mg

Ketoconazole (Topical)Outpatient Dosage FormsCream, topical: 2% (30 g)Shampoo, topical: 2% (120 mL)

Ketorolac (Ophthalmic)Outpatient Dosage FormsSolution, ophthalmic, as tromethamine [drops]:Acular LS®: 0.4% (5 mL) [contains benzalkonium chloride]Acular®: 0.5% (5 mL) [contains benzalkonium chloride]

LabetalolOutpatient Dosage FormsTablet, oral, as hydrochloride: 100 mg, 200 mg

Lactic Acid and Ammonium HydroxideOutpatient Dosage FormsLotion, topical: Lactic acid 12% with ammonium hydroxide (225 g)

LactuloseOutpatient Dosage FormsSolution, oral: 10 g/15 mL (946 mL) [BCF]

LamoTRIgineOutpatient Dosage FormsKit, oral:LaMICtal Starter: 25 mg (42) and 100 mg (7) [contains fd&c yellow #6aluminum lake]

LatanoprostOutpatient Dosage FormsSolution, ophthalmic [drops]: 0.005% (2.5 mL) [BCF]

LetrozoleOutpatient Dosage FormsTablet, oral: 2.5 mg

LevalbuterolOutpatient Dosage FormsNebulization solution, inhalation, as hydrochloride [strength expressed as base,preservative free]: 0.31 mg/3 mL (3 mL); 0.63 mg/3 mL (3 mL); 1.25 mg/3 mL(3 mL)

LevETIRAcetamOutpatient Dosage FormsSolution, oral: 100 mg/mL (480 mL)Tablet, oral: 250 mg, 500 mg, 750 mg

LevobunololOutpatient Dosage FormsSolution, ophthalmic, as hydrochloride [drops]: 0.5% (5 mL)

LevoFLOXacin (Systemic)Outpatient Dosage FormsSolution, oral: 25 mg/mL (100 mL, 200 mL, 480 mL) [BCF]Tablet, oral: 250 mg [BCF], 500 mg [BCF], 750 mg [BCF]

Levonorgestrel (Systemic)Outpatient Dosage FormsTablet, Oral:Plan B: 0.75 mg [BCF]

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

Lidocaine (Topical)Outpatient Dosage FormsJelly, topical, as hydrochloride: 2% (30 mL)Patch, topical:Lidoderm®: 5% (30s)

Solution, viscous, oral topical, as hydrochloride: 2% [20 mg/mL] (100 mL)

LinaclotideOutpatient Dosage FormsCapsule, oral:Linzess: 145 mcg, 290 mcg

LiothyronineOutpatient Dosage FormsTablet, oral: 5 mcg, 25 mcg

LisinoprilOutpatient Dosage FormsTablet, oral: 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:10/12.5: Lisinopril 10 mg and hydrochlorothiazide 12.5 mg [BCF]20/12.5: Lisinopril 20 mg and hydrochlorothiazide 12.5 mg [BCF]20/25: Lisinopril 20 mg and hydrochlorothiazide 25 mg [BCF]

INSULIN GLULISINE

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LithiumOutpatient Dosage FormsCapsule, oral, as carbonate: 150 mg [BCF], 300 mg [BCF]Solution, oral, as citrate: 300 mg/5 mL (5 mL, 500 mL) [equivalent to amount oflithium in lithium carbonate] [BCF]

Tablet, extended release, oral, as carbonate: 300 mg

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

LoratadineOutpatient Dosage FormsSyrup, oral: 5 mg/5 mL (120 mL)Tablet, oral: 10 mgTablet, chewable, oral: 5 mg

Loratadine and PseudoephedrineOutpatient Dosage FormsTablet, extended release, oral: Loratadine 5 mg and pseudoephedrine sulfate120 mg

LORazepamOutpatient Dosage FormsTablet, oral: 1 mg

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

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

100/25: Losartan potassium 100 mg and hydrochlorothiazide 25 mg [BCF]

LoteprednolOutpatient Dosage FormsSuspension, Ophthalmic, as etabonate:Lotemax: 0.5% (5 mL)

LubiprostoneOutpatient Dosage FormsCapsule, oral:Amitiza: 8 mcg, 24 mcg

Magnesium CitrateOutpatient Dosage FormsSolution, oral: 290 mg/5 mL (296 mL)

MeclizineOutpatient Dosage FormsTablet, chewable, oral, as hydrochloride: 25 mg

MedroxyPROGESTERoneOutpatient Dosage FormsInjection, suspension, as acetate: 150 mg/mL (1 mL)Tablet, oral, as acetate: 2.5 mg [BCF], 5 mg [BCF], 10 mg [BCF]

MefloquineOutpatient Dosage FormsTablet, oral, as hydrochloride: 250 mg [equivalent to mefloquine base 228 mg]

MegestrolOutpatient Dosage FormsTablet, oral, as acetate: 20 mg, 40 mg

MeloxicamOutpatient Dosage FormsTablet, oral: 7.5 mg [BCF], 15 mg [BCF]

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

MeperidineOutpatient Dosage FormsTablet, oral, as hydrochloride: 50 mg

MesalamineOutpatient Dosage FormsCapsule delayed release, oral:Delzicol: 400 mg

Tablet delayed release, oral:Lialda: 1.2 g [BCF]

MetaxaloneOutpatient Dosage FormsTablet, oral: 800 mg

MetFORMINOutpatient Dosage FormsSolution, oral, as hydrochloride:Riomet®: 100 mg/mL (473 mL) [dye free, ethanol free, sugar free; containssaccharin; cherry flavor]

Tablet, oral, as hydrochloride: 500 mg [BCF], 850 mg [BCF], 1000 mg [BCF]Tablet, extended release, oral, as hydrochloride: 500 mg [BCF], 750 mg [BCF]

MethazolAMIDEOutpatient Dosage FormsTablet, oral: 50 mg

Methenamine, Sodium Phosphate Monobasic, PhenylSalicylate, Methylene Blue, and HyoscyamineOutpatient Dosage FormsCapsule, Oral:Uribel: Methenamine 118 mg, sodium phosphate monobasic 40.8 mg, phenylsalicylate 36 mg, methylene blue 10 mg, hyoscyamine sulfate 0.12 mg

MethIMAzoleOutpatient Dosage FormsTablet, oral: 5 mg, 10 mg

MethocarbamolOutpatient Dosage FormsTablet, oral: 500 mg [BCF], 750 mg

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

MethyldopaOutpatient Dosage FormsTablet, oral: 250 mg

MethylergonovineOutpatient Dosage FormsTablet, oral, as maleate: 0.2 mg

MethylphenidateOutpatient Dosage FormsCapsule Extended Release 24 Hour, Oral, as hydrochloride:Ritalin LA: 10 mg [5 mg immediate release, 5 mg extended release] [BCF]Ritalin LA: 20 mg [10 mg immediate release, 10 mg extended release] [BCF]Ritalin LA: 30 mg [15 mg immediate release, 15 mg extended release] [BCF]Ritalin LA: 40 mg [20 mg immediate release, 20 mg extended release] [BCF]

Tablet, Oral, as hydrochloride:Generic: 5 mg [BCF], 10 mg [BCF], 20 mg [BCF]

Tablet Extended Release, Oral, as hydrochloride:Generic: 18 mg [BCF], 20 mg [BCF], 27 mg [BCF], 36 mg [BCF],54 mg [BCF]

MethylPREDNISoloneOutpatient Dosage FormsTablet, oral [dose-pack]: 4 mg [21s]

MethylTESTOSTERoneOutpatient Dosage FormsCapsule, oral:Android®: 10 mg

MetoclopramideOutpatient Dosage FormsSolution, oral: 5 mg/5 mL (473 mL) [BCF]Tablet, oral: 10 mg [BCF]

MetoprololOutpatient Dosage FormsTablet, oral, as tartrate: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF]Tablet, extended release, oral, as succinate [expressed as mg equivalent totartrate]: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF], 200 mg [BCF]

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

MetroNIDAZOLE (Topical)Outpatient Dosage FormsCream, External:Generic: 0.75% (45 g)

Gel, topical:MetroGel®: 1% (60 g)

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

METRONIDAZOLE (TOPICAL)

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Miconazole (Topical)Outpatient Dosage FormsCream, topical, as nitrate: 2% (30 g)Cream, vaginal, as nitrate: 2% (45 g)

MinocyclineOutpatient Dosage FormsCapsule, oral: 50 mg, 100 mg

MirabegronOutpatient Dosage FormsTablet extended release 24 hour, oral:Myrbetriq: 25 mg, 50 mg

MirtazapineOutpatient Dosage FormsTablet, oral: 15 mg, 30 mg

MiSOPROStolOutpatient Dosage FormsTablet, oral: 200 mcg

ModafinilOutpatient Dosage FormsTablet, oral: 100 mg, 200 mg

MontelukastOutpatient Dosage FormsPacket, Oral:Singulair: 4 mg/packet (30s) [BCF]Generic: 4 mg/packet (1s, 30s) [BCF]

Tablet, Oral:Singulair: 10 mg [contains lactose 89.3 mg/tablet] [BCF]Generic: 10 mg [BCF]

Tablet Chewable, Oral:Singulair: 4 mg [contains phenylalanine 0.67 mg/tablet; cherry flavor] [BCF]Singulair: 5 mg [contains phenylalanine 0.84 mg/tablet; cherry flavor] [BCF]Generic: 4 mg [BCF], 5 mg [BCF]

Morphine (Systemic)Outpatient Dosage FormsTablet, oral, as sulfate: 15 mg, 30 mgTablet, extended release, oral, as sulfate: 15 mg [BCF], 30 mg [BCF], 60 mg[BCF], 100 mg [BCF], 200 mg [BCF]

Moxifloxacin (Ophthalmic)Outpatient Dosage FormsSolution, ophthalmic [drops]:Vigamox®: 0.5% (3 mL)

Moxifloxacin (Systemic)Outpatient Dosage FormsTablet, oral:Avelox®: 400 mg

MupirocinOutpatient Dosage FormsCream, topical, as calcium [strength expressed as base]:Bactroban Cream®: 2% (15 g) [contains benzyl alcohol]

Ointment, topical: 2% (22 g) [BCF]

MycophenolateOutpatient Dosage FormsCapsule, oral, as mofetil: 250 mgTablet, oral, as mofetil: 500 mg

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

NaloxoneOutpatient Dosage FormsLiquid, Nasal:Narcan: 4 mg/0.1 mL (1 ea) [contains benzalkonium chloride, edetate diso-dium] [BCF]

NaltrexoneOutpatient Dosage FormsTablet, oral, as hydrochloride: 50 mg

Naphazoline and PheniramineOutpatient Dosage FormsSolution, ophthalmic [drops]:Naphcon® A: Naphazoline hydrochloride 0.025% and pheniramine maleate0.3% (5 mL) [contains benzalkonium chloride]

NaproxenOutpatient Dosage FormsSuspension, oral: 125 mg/5 mL (500 mL) [BCF]

Tablet, oral: 250 mg [BCF], 500 mg [BCF]

NeomycinOutpatient Dosage FormsTablet, oral, as sulfate: 500 mg

Neomycin, Polymyxin B, and DexamethasoneOutpatient Dosage FormsOintment, ophthalmic: Neomycin 3.5 mg, polymyxin B sulfate 10,000 units, anddexamethasone 0.1% per g (3.5 g)

Neomycin, Polymyxin B, and GramicidinOutpatient Dosage FormsSolution, ophthalmic [drops]: Neomycin 1.75 mg, polymyxin B 10,000 units, andgramicidin 0.025 mg per 1 mL (10 mL) [BCF]

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

NepafenacOutpatient Dosage FormsSuspension, ophthalmic [drops]:Nevanac®: 0.1% (3 mL) [contains benzalkonium chloride]

NiacinOutpatient Dosage FormsTablet, oral: 100 mg, 500 mgTablet, extended release, oral:Niaspan®: 500 mg [BCF], 750 mg [BCF], 1000 mg [BCF]

NicotineOutpatient Dosage FormsLozenge, Mouth/Throat, as polacrilex:Generic: 2 mg (24 ea, 27 ea); 4 mg (24 ea, 27 ea)

Patch, transdermal: 7 mg/24 hours (14s) [BCF]; 14 mg/24 hours (14s) [BCF];21 mg/24 hours (14s) [BCF]

NIFEdipineOutpatient Dosage FormsCapsule, softgel, oral: 10 mgTablet, extended release, oral: 30 mg [BCF], 60 mg [BCF], 90 mg [BCF]

NisoldipineOutpatient Dosage FormsTablet, extended release, oral [original formula]: 20 mg, 30 mg, 40 mg

NitrofurantoinOutpatient Dosage FormsCapsule, oral [macrocrystal]: 50 mg [BCF], 100 mgCapsule, oral [macrocrystal/monohydrate]: 100 mg [BCF]Suspension, oral: 25 mg/5 mL (230 mL)

NitroglycerinOutpatient Dosage FormsCapsule, extended release, oral: 6.5 mgPatch, transdermal: 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 [spray]: 0.4 mg/spray (4.9 g) [BCF]Tablet, sublingual:Nitrostat®: 0.4 mg [BCF]

Nonoxynol 9Outpatient Dosage FormsGel, vaginal: 2% (108 g)

NorethindroneOutpatient Dosage FormsTablet, oral: 0.35 mg [BCF]

NortriptylineOutpatient Dosage FormsCapsule, oral: 10 mg [BCF], 25 mg [BCF], 50 mg [BCF], 75 mg

Nystatin and TriamcinoloneOutpatient Dosage FormsCream, topical: Nystatin 100,000 units and triamcinolone acetonide 0.1% (30 g)Ointment, topical: Nystatin 100,000 units and triamcinolone acetonide0.1% (30 g)

Nystatin (Oral)Outpatient Dosage FormsSuspension, oral: 100,000 units/mL (60 mL) [BCF]Tablet, oral: 500,000 units

Nystatin (Topical)Outpatient Dosage FormsCream, topical: 100,000 units/g (30 g) [BCF]Ointment, topical: 100,000 units/g (30 g) [BCF]Powder, topical: 100,000 units/g (30 g)

MICONAZOLE (TOPICAL)

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Ofloxacin (Otic)Outpatient Dosage FormsSolution, otic: 0.3% (10 mL)

OLANZapineOutpatient Dosage FormsTablet, oral: 2.5 mg, 5 mg, 10 mg

OlmesartanOutpatient Dosage FormsTablet, oral, as medoxomil:Benicar: 5 mg, 20 mg, 40 mg

Olmesartan and HydrochlorothiazideOutpatient Dosage FormsTablet, oral:20/12.5: Olmesartan medoxomil 20 mg and hydrochlorothiazide 12.5 mg40/12.5: Olmesartan medoxomil 40 mg and hydrochlorothiazide 12.5 mg40/25: Olmesartan medoxomil 40 mg and hydrochlorothiazide 25 mg

Olopatadine (Ophthalmic)Outpatient Dosage FormsSolution, Ophthalmic [drops]:Patanol: 0.1% (5 mL) [contains benzalkonium chloride] [BCF]

Omega-3 Fatty AcidsOutpatient Dosage FormsCapsule, liquid gel, oral: 1 g

OmeprazoleOutpatient Dosage FormsCapsule, delayed release, oral: 10 mg [BCF], 20 mg [BCF]

OndansetronOutpatient Dosage FormsTablet, oral: 8 mgTablet, orally disintegrating: 4 mg

Ophthalmic Irrigant MixtureOutpatient Dosage FormsSolution, ophthalmic: 118 mL

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

Suspension Reconstituted, Oral, as base:Generic: 6 mg/mL (60 mL)

OxaprozinOutpatient Dosage FormsTablet, oral: 600 mg

OXcarbazepineOutpatient Dosage FormsTablet, oral: 300 mg

OxybutyninOutpatient Dosage FormsTablet, extended release, oral, as chloride: 5 mg [BCF], 10 mg [BCF], 15 mg[BCF]

OxyCODONEOutpatient Dosage FormsTablet, oral, as hydrochloride: 10 mg, 15 mg

Oxycodone and AcetaminophenOutpatient Dosage FormsCapsule, oral: 5/500: Oxycodone hydrochloride 5 mg and acetaminophen500 mg

Tablet, oral:5/325: Oxycodone hydrochloride 5 mg and acetaminophen 325 mg [BCF]7.5/325: Oxycodone hydrochloride 7.5 mg and acetaminophen 325 mg10/325: Oxycodone hydrochloride 10 mg and acetaminophen 325 mg

Oxymetazoline (Nasal)Outpatient Dosage FormsSolution, intranasal, as hydrochloride [spray]: 0.05% (15 mL)

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]

Creon: Lipase 24,000 USP units, protease 76,000 USP units, and amylase120,000 USP units [BCF]

Creon: Lipase 36,000 USP units, protease 114,000 USP units, and amylase180,000 USP units [BCF]

Pancreaze: Lipase 10,500 USP units, protease 25,000 USP units, andamylase 43,750 USP units

Zenpep: Lipase 5000 USP units, protease 17,000 USP units, and amylase27,000 USP units

Zenpep: Lipase 10,000 USP units, protease 34,000 USP units, and amylase55,000 USP units

PantoprazoleOutpatient Dosage FormsTablet, delayed release, oral: 20 mg, 40 mg

PARoxetineOutpatient Dosage FormsTablet, oral, as hydrochloride [strength expressed as base]: 20 mg, 40 mg

Penicillin V PotassiumOutpatient Dosage FormsPowder for solution, oral: 125 mg/5 mL (100 mL, 200 mL) [BCF]; 250 mg/5 mL(200 mL) [BCF]

Tablet, oral: 250 mg [BCF], 500 mg [BCF]

PentoxifyllineOutpatient Dosage FormsTablet, extended release, oral: 400 mg

PermethrinOutpatient Dosage FormsCream, topical: 5% (60 g) [BCF]Lotion, topical: 1% (60 mL)

PerphenazineOutpatient Dosage FormsTablet, oral: 4 mg

PhenazopyridineOutpatient Dosage FormsTablet, oral, as hydrochloride: 100 mg [BCF], 200 mg [BCF]

PhenelzineOutpatient Dosage FormsTablet, oral:Nardil®: 15 mg [ECF]

PHENobarbitalOutpatient Dosage FormsElixir, oral: 20 mg/5 mL (473 mL) [BCF]Tablet, oral: 15 mg [BCF], 30 mg [BCF], 60 mg [BCF], 100 mg [BCF]

Phenylephrine (Nasal)Outpatient Dosage FormsSolution, intranasal, as hydrochloride [drops]: 0.125% (15 mL)

Phenylephrine (Ophthalmic)Outpatient Dosage FormsSolution, ophthalmic, as hydrochloride [drops]: 2.5% (15 mL)

PhenytoinOutpatient Dosage FormsCapsule, extended release, oral, as sodium: 100 mg [BCF]Suspension, oral: 100 mg/4 mL (4 mL) [BCF]; 125 mg/5 mL (240 mL) [BCF]Tablet, chewable, oral:Dilantin®: 50 mg [scored] [BCF]

Pilocarpine (Ophthalmic)Outpatient Dosage FormsGel, ophthalmic, as hydrochloride:Pilopine HS®: 4% (4 g) [contains benzalkonium chloride]

Solution, ophthalmic, as hydrochloride [drops]: 1% (15 mL) [BCF]; 2% (15 mL)[BCF]; 4% (15 mL) [BCF]

Pilocarpine (Systemic)Outpatient Dosage FormsTablet, oral, as hydrochloride: 5 mg

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

PioglitazoneOutpatient Dosage FormsTablet, oral:Actos®: 30 mg, 45 mg

PIOGLITAZONE

13

Pioglitazone and MetforminOutpatient Dosage FormsTablet, oral:Actoplus Met®: 15/500: Pioglitazone 15 mg and metformin hydrochloride500 mg

Actoplus Met®: 15/850: Pioglitazone 15 mg and metformin hydrochloride850 mg

Piroxicam (Systemic)Outpatient Dosage FormsCapsule, oral: 20 mg

Polyethylene Glycol 3350Outpatient Dosage FormsPowder for solution, oral: 17 g/dose (255 g)

Polyethylene Glycol-Electrolyte SolutionOutpatient Dosage FormsPowder, for solution, oral:Colyte®: PEG 3350 227.1 g, sodium sulfate 21.5 g, sodium bicarbonate6.36 g, sodium chloride 5.53 g, and potassium chloride 2.82 g (3785 mL)[supplied with cherry, lemon lime, and orange flavor packs]

Colyte®: PEG 3350 240 g, sodium sulfate 22.72 g, sodium bicarbonate6.72 g, sodium chloride 5.84 g, and potassium chloride 2.98 g (4000 mL)[supplied with cherry, citrus berry, lemon lime, orange, and pineapple flavorpacks]

Potassium ChlorideOutpatient Dosage FormsSolution, oral: 20 mEq/15 mL (15 mL, 30 mL, 473 mL) [BCF]Tablet, extended release, microencapsulated, oral: 10 mEq, 20 mEq [BCF]

Potassium CitrateOutpatient Dosage FormsTablet, extended release, oral: 540 mg, 1080 mg

Povidone-Iodine (Topical)Outpatient Dosage FormsSolution, topical: 10% (118 mL)Solution, topical [surgical scrub]: 7.5% (3840 mL)

PramipexoleOutpatient Dosage FormsTablet, oral, as dihydrochloride monohydrate: 0.125 mg, 0.25 mg, 0.5 mg,1 mg, 1.5 mg

PramlintideOutpatient Dosage FormsSolution, Subcutaneous, as acetate:SymlinPen 60: 1500 mcg/1.5 mL (1.5 mL) [contains metacresol]

Pramoxine and HydrocortisoneOutpatient Dosage FormsAerosol, foam, rectal:Proctofoam® HC: Pramoxine hydrochloride 1% and hydrocortisone acetate1% (10 g)

Cream, topical: Pramoxine hydrochloride 1% and hydrocortisone acetate1% (30 g)

PrasugrelOutpatient Dosage FormsTablet, Oral:Effient: 10 mg

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

PrazosinOutpatient Dosage FormsCapsule, oral: 1 mg, 2 mg, 5 mg

PrednisoLONE (Ophthalmic)Outpatient Dosage FormsSuspension, ophthalmic, as acetate [drops]: 1% (5 mL) [BCF]Pred Mild®: 0.12% (10 mL) [contains benzalkonium chloride, sodium bisul-fite] [BCF]

PrednisoLONE (Systemic)Outpatient Dosage FormsSolution, oral, as sodium phosphate [strength expressed as base]: 15 mg/5 mL(237 mL) [BCF]

PredniSONEOutpatient Dosage FormsTablet, Oral:Deltasone: 20 mg [scored] [BCF]

Generic: 1 mg [BCF], 5 mg [BCF], 10 mg [BCF], 20 mg [BCF]

PrimaquineOutpatient Dosage FormsTablet, oral, as phosphate: 26.3 mg [15 mg base]

PrimidoneOutpatient Dosage FormsTablet, oral: 50 mg, 250 mg

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

ProchlorperazineOutpatient Dosage FormsSuppository, Rectal:Generic: 25 mg (12 ea)

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

ProgesteroneOutpatient Dosage FormsCapsule, oral [micronized]: 100 mg, 200 mg

PromethazineOutpatient Dosage FormsSuppository, rectal, as hydrochloride: 12.5 mg (12s) [BCF]; 25 mg (12s) [BCF]Syrup, oral, as hydrochloride: 6.25 mg/5 mL (473 mL) [BCF]Tablet, oral, as hydrochloride: 25 mg [BCF]

PropranololOutpatient Dosage FormsCapsule, extended release, oral, as hydrochloride: 80 mg, 120 mgTablet, oral, as hydrochloride: 10 mg, 40 mg

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

ProtriptylineOutpatient Dosage FormsTablet, oral, as hydrochloride: 5 mg

PseudoephedrineOutpatient Dosage FormsSyrup, oral, as hydrochloride: 30 mg/5 mL (118 mL)Tablet, oral, as hydrochloride: 30 mg, 60 mg

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

PyridostigmineOutpatient Dosage FormsTablet, oral, as bromide: 60 mg

PyridoxineOutpatient Dosage FormsTablet, oral, as hydrochloride: 50 mg

QUEtiapineOutpatient Dosage FormsTablet, oral: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF], 200 mg [BCF],300 mg [BCF], 400 mg [BCF]

Tablet, extended release, oral:SEROquel XR®: 50 mg [BCF], 150 mg [BCF], 200 mg [BCF], 300 mg [BCF],400 mg [BCF]

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

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

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

RaNITIdineOutpatient Dosage FormsSyrup, oral: 15 mg/mL (480 mL) [BCF]Tablet, oral: 150 mg [BCF]

PIOGLITAZONE

14

RanolazineOutpatient Dosage FormsTablet Extended Release 12 Hour, Oral:Ranexa: 1000 mg

RifAMPinOutpatient Dosage FormsCapsule, oral: 300 mg [BCF]

RisperiDONEOutpatient Dosage FormsSolution, oral: 1 mg/mL (30 mL) [BCF]Tablet, oral: 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 FormsCapsule, oral: 1.5 mg

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

Tablet Dispersible, Oral:Maxalt-MLT: 5 mg [BCF],10 mg [BCF] [contains aspartame; peppermintflavor]

Generic: 5 mg [BCF], 10 mg [BCF]

ROPINIRoleOutpatient Dosage FormsTablet, oral: 0.25 mg, 0.5 mg, 1 mg, 2 mg, 3 mg, 4 mg, 5 mg

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

Salicylic AcidOutpatient Dosage FormsLiquid, topical: 17.6% (9 mL)Patch, topical: 40% (18s)

SalmeterolOutpatient Dosage FormsPowder, for oral inhalation:Serevent® Diskus®: 50 mcg (60s) [contains lactose] [BCF]

SalsalateOutpatient Dosage FormsTablet, Oral:Disalcid: 500 mg [BCF], 750 mg [BCF]Generic: 500 mg [BCF], 750 mg [BCF]

Scopolamine (Systemic)Outpatient Dosage FormsPatch, transdermal:Transderm Scōp®: 1.5 mg (4s) [contains metal; releases ~1 mg over 72hours]

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

SennaOutpatient Dosage FormsTablet, oral: Sennosides 8.6 mg

SertralineOutpatient Dosage FormsSolution, oral [concentrate]: 20 mg/mL (60 mL) [BCF]Tablet, oral: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF]

SildenafilOutpatient Dosage FormsSolution, Intravenous:Revatio: 10 mg/12.5 mL (12.5 mL) [ECF]Generic: 10 mg/12.5 mL (12.5 mL) [ECF]

Suspension Reconstituted, Oral:Revatio: 10 mg/mL (112 mL) [contains sodium benzoate] [ECF]

Tablet, Oral:Revatio: 20 mg [ECF]Viagra: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF]Generic: 20 mg [ECF] , 25 mg [BCF], 50 mg [BCF], 100 mg [BCF]

Silver SulfadiazineOutpatient Dosage FormsCream, topical: 1% (85 g) [BCF]

SimethiconeOutpatient Dosage FormsSuspension, oral [drops]: 40 mg/0.6 mL (30 mL)Tablet, chewable, oral: 80 mg

SimvastatinOutpatient Dosage FormsTablet, oral: 5 mg [BCF], 10 mg [BCF], 20 mg [BCF], 40 mg [BCF], 80 mg

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, 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 FormsSolution, for inhalation [preservative free]: 0.9% (3 mL)Solution, intranasal [spray]: 0.65% (45 mL)

Sodium Citrate and Citric AcidOutpatient Dosage FormsSolution, oral: Sodium citrate 500 mg and citric acid 334 mg per 5 mL (473 mL)[equivalent to bicarbonate 1 mEq/mL]

Sodium PhosphatesOutpatient Dosage FormsSolution, rectal [enema]: Monobasic sodium phosphate monohydrate 19 g anddibasic sodium phosphate heptahydrate 7 g per 118 mL delivered dose (133mL)

Tablet, oral [scored]:Visicol®: Monobasic sodium phosphate monohydrate 1.102 g and dibasicsodium phosphate anhydrous 0.398 g [sodium phosphate 1.5 g per tablet;gluten free]

Sodium Sulfate, Potassium Sulfate, and Magnesium SulfateOutpatient Dosage FormsSolution, oral:Suprep® Bowel Prep Kit: Sodium sulfate 17.5 g, potassium sulfate 3.13 g, andmagnesuim sulfate 1.6 g per 180 mL (177 mL) [contains sodium benzoate]

SolifenacinOutpatient Dosage FormsTablet, oral, as succinate:VESIcare®: 5 mg, 10 mg

SotalolOutpatient Dosage FormsTablet, oral, as hydrochloride: 160 mg

SpironolactoneOutpatient Dosage FormsTablet, oral: 25 mg [BCF], 100 mg

SucralfateOutpatient Dosage FormsTablet, oral: 1 g

Sulfacetamide and PrednisoloneOutpatient Dosage FormsOintment, ophthalmic:Blephamide®: Sulfacetamide sodium 10% and prednisolone acetate0.2% (3.5 g)

Sulfacetamide (Ophthalmic)Outpatient Dosage FormsSolution, ophthalmic, as sodium [drops]: 10% (15 mL) [BCF]Bleph®-10: 10% (5 mL) [contains benzalkonium chloride] [BCF]

SULFACETAMIDE (OPHTHALMIC)

15

Sulfacetamide (Topical)Outpatient Dosage FormsLotion, External, as sodium:Generic: 10% (118 mL)

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

Tablet, oral: Sulfamethoxazole 400 mg and trimethoprim 80 mg [BCF]Tablet, double strength, oral: Sulfamethoxazole 800 mg and trimethoprim160 mg [BCF]

SulfaSALAzineOutpatient Dosage FormsTablet, oral: 500 mg [BCF]Tablet, delayed release, enteric coated, oral: 500 mg [BCF]

SUMAtriptanOutpatient Dosage FormsInjection, solution, as succinate [strength expressed as base]: 6 mg/0.5 mL (0.5mL) [BCF]

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

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

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

TapentadolOutpatient Dosage FormsTablet, extended release, oral:Nucynta® ER: 50 mg, 100 mg, 150 mg, 200 mg, 250 mg

TelmisartanOutpatient Dosage FormsTablet, Oral:Generic: 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: 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: 250 mg

TerbutalineOutpatient Dosage FormsTablet, oral, as sulfate: 5 mg

TerconazoleOutpatient Dosage FormsCream, vaginal: 0.4% (45 g); 0.8% (20 g)

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

Injection, oil, as cypionate: 200 mg/mL (1 mL)Patch, transdermal:Androderm®: 4 mg/24 hours (30s) [contains ethanol, metal]

Tetracycline (Systemic)Outpatient Dosage FormsCapsule, Oral, as hydrochloride:Generic: 250 mg [BCF], 500 mg [BCF]

TheophyllineOutpatient Dosage FormsSolution, oral: 80 mg/15 mL (473 mL) [BCF]

Tablet, extended release, oral: 100 mg, 200 mg [BCF], 300 mg [BCF],400 mg [BCF]

ThiamineOutpatient Dosage FormsTablet, oral, as hydrochloride: 50 mg

Thyroid, DesiccatedOutpatient Dosage FormsTablet, oral:Armour® Thyroid: 30 mg, 60 mg

TicagrelorOutpatient Dosage FormsTablet, Oral:Brilinta: 60 mg, 90 mg

Timolol (Ophthalmic)Outpatient Dosage FormsGel forming solution, ophthalmic, as maleate [strength expressed as base,drops]: 0.25% (5 mL) [BCF]; 0.5% (5 mL) [BCF]

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

TiotropiumOutpatient Dosage FormsPowder, for oral inhalation:Spiriva® HandiHaler®: 18 mcg/capsule (30s) [contains lactose] [BCF]

TiZANidineOutpatient Dosage FormsCapsule, oral: 2 mg, 4 mg

Tobramycin and DexamethasoneOutpatient Dosage FormsSuspension, ophthalmic [drops]: Tobramycin 0.3% and dexamethasone 0.1% (5mL)

Tobramycin (Ophthalmic)Outpatient Dosage FormsSolution, ophthalmic [drops]: 0.3% (5 mL)

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

TopiramateOutpatient Dosage FormsCapsule, sprinkle, oral: 15 mg, 25 mgTablet, oral: 25 mg, 50 mg, 100 mg, 200 mg

TorsemideOutpatient Dosage FormsTablet, oral: 5 mg, 10 mg, 20 mg, 100 mg

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

Tablet Extended Release 24 Hour, Oral, as hydrochloride:Generic: 100 mg, 200 mg, 300 mg

Tranexamic AcidOutpatient Dosage FormsTablet, oral:Lysteda™: 650 mg

TraZODoneOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 50 mg [BCF], 100 mg [BCF], 150 mg [BCF], 300 mg [BCF]

Tretinoin (Topical)Outpatient Dosage FormsCream, topical: 0.025% (45 g) [BCF]; 0.05% (45 g) [BCF]Gel, topical: 0.025% (45 g)

Triamcinolone (Topical)Outpatient Dosage FormsAerosol, spray, topical, as acetonide:Kenalog®: 0.2 mg/2-second spray (63 g) [contains dehydrated ethanol 10.3%]

Cream, topical, as acetonide: 0.1% (454 g) [BCF]; 0.5% (15 g)Ointment, topical, as acetonide: 0.1% (15 g) [BCF]Paste, oral topical, as acetonide: 0.1% (5 g)

TrihexyphenidylOutpatient Dosage FormsElixir, oral, as hydrochloride: 2 mg/5 mL (473 mL) [BCF]Tablet, oral, as hydrochloride: 2 mg [BCF], 5 mg

SULFACETAMIDE (TOPICAL)

16

Trimethoprim and Polymyxin BOutpatient Dosage FormsSolution, ophthalmic [drops]: Trimethoprim 1 mg and polymyxin B sulfate10,000 units per 1 mL (10 mL) [BCF]

Triprolidine and PseudoephedrineOutpatient Dosage FormsTablet, oral: Triprolidine hydrochloride 2.5 mg and pseudoephedrine hydro-chloride 60 mg

TropicamideOutpatient Dosage FormsSolution, ophthalmic [drops]: 1% (15 mL)

Urea (Topical)Outpatient Dosage FormsCream, topical: 40% (28.35 g)

UrsodiolOutpatient Dosage FormsCapsule, oral: 300 mg

ValACYclovirOutpatient Dosage FormsCaplet, oral: 500 mg, 1 g

Valproic Acid and DerivativesOutpatient Dosage FormsCapsule, softgel, oral: 250 mg [strength expressed as valproic acid]Capsule, sprinkle, oral [strength expressed as valproic acid]: 125 mg [BCF]Syrup, oral, as valproate sodium: 250 mg/5 mL (473 mL) [strength expressedas valproic acid]

Tablet, delayed release, oral [strength expressed as valproic acid]: 125 mg[BCF], 250 mg [BCF], 500 mg [BCF]

Tablet, extended release, oral [strength expressed as valproic acid]: 250 mg[BCF], 500 mg [BCF]

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

Generic: 80 mg/12.5 mg: Valsartan 80 mg and hydrochlorothiazide12.5 mg [BCF]

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

Generic: 160 mg/25 mg: Valsartan 160 mg and hydrochlorothiazide25 mg [BCF]

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

Generic: 320 mg/25 mg: Valsartan 320 mg and hydrochlorothiazide25 mg [BCF]

VareniclineOutpatient Dosage FormsCombination package, oral [dose-pack]:Chantix®: Tablet: 0.5 mg (11s) [white tablets] and Tablet: 1 mg (42s) [light bluetablets]

Tablet, oral:Chantix®: 1 mg

VenlafaxineOutpatient Dosage FormsCapsule, extended release, oral: 37.5 mg [BCF], 75 mg [BCF], 150 mg [BCF]Tablet, oral: 25 mg [BCF], 37.5 mg [BCF], 50 mg [BCF], 75 mg [BCF],100 mg [BCF]

Tablet, extended release, oral: 225 mg [BCF]

VerapamilOutpatient Dosage FormsTablet, oral, as hydrochloride: 80 mgTablet, extended release, oral, as hydrochloride: 120 mg [BCF], 180 mg [BCF],240 mg [BCF]

Vitamins (Multiple/Pediatric)Outpatient Dosage FormsContent varies depending on product used.Solution, oral: 0.25 mg/mL (50 mL)Solution, oral [drops]: 50 mL [with iron]Tablet, chewable, oral: 60s

Vitamins (Multiple/Prenatal)Outpatient Dosage FormsContent varies depending on product used.Tablet, oral: 100s

WarfarinOutpatient Dosage FormsTablet, oral, as sodium: 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]

Zinc OxideOutpatient Dosage FormsOintment, topical: 20% (30 g)

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

ZOLMitriptanOutpatient Dosage FormsSolution, intranasal [spray]:Zomig®: 5 mg/0.1 mL (0.1 mL)

ZolpidemOutpatient Dosage FormsTablet, oral, as tartrate: 5 mg [BCF], 10 mg [BCF]Ambien®: 5 mg [BCF], 10 mg [BCF]

Tablet, extended release, oral, as tartrate: 6.25 mg, 12.5 mgAmbien CR®: 6.25 mg, 12.5 mg

ZonisamideOutpatient Dosage FormsCapsule, oral: 25 mg, 50 mg, 100 mg

ZONISAMIDE

17

Therapeutic Category Index

18

Acetylcholinesterase InhibitorPyridostigmine ........................................................................................14

Acetylcholinesterase Inhibitor (Central)Donepezil ..................................................................................................6Rivastigmine ...........................................................................................15

Acne ProductsAdapalene ................................................................................................ 2Benzoyl Peroxide ..................................................................................... 3Clindamycin and Benzoyl Peroxide ......................................................... 5Erythromycin and Benzoyl Peroxide ........................................................6Erythromycin (Topical) ..............................................................................6ISOtretinoin (Systemic) .......................................................................... 10Salicylic Acid .......................................................................................... 15Sulfacetamide (Topical) ..........................................................................16Tretinoin (Topical) ...................................................................................16

Adrenergic Agonist AgentOxymetazoline (Nasal) ...........................................................................13

Alkalinizing Agent, OralPotassium Citrate ...................................................................................14Sodium Citrate and Citric Acid ...............................................................15

Alkylamine DerivativeBrompheniramine and Pseudoephedrine ................................................ 3Chlorpheniramine ..................................................................................... 4Naphazoline and Pheniramine ...............................................................12Triprolidine and Pseudoephedrine ......................................................... 17

Alpha1 AgonistNaphazoline and Pheniramine ...............................................................12

Alpha1 BlockerAlfuzosin ...................................................................................................2Doxazosin .................................................................................................6Prazosin ..................................................................................................14Tamsulosin ............................................................................................. 16Terazosin ................................................................................................ 16

Alpha2-Adrenergic AgonistCloNIDine ................................................................................................. 5GuanFACINE ............................................................................................9Methyldopa ............................................................................................. 11TiZANidine ..............................................................................................16

Alpha2 Agonist, OphthalmicBrimonidine and Timolol ...........................................................................3Brimonidine (Ophthalmic) .........................................................................3

Alpha-Adrenergic AgonistPhenylephrine (Nasal) ............................................................................13Phenylephrine (Ophthalmic) ...................................................................13

Alpha/Beta AgonistBrompheniramine and Pseudoephedrine ................................................ 3EPINEPHrine (Systemic) ..........................................................................6Guaifenesin and Pseudoephedrine ..........................................................9Loratadine and Pseudoephedrine .......................................................... 11Pseudoephedrine ................................................................................... 14Triprolidine and Pseudoephedrine ......................................................... 17

5 Alpha-Reductase InhibitorFinasteride ................................................................................................8

AmebicideMetroNIDAZOLE (Systemic) .................................................................. 11

Aminoquinoline (Antimalarial)Chloroquine .............................................................................................. 4Hydroxychloroquine ..................................................................................9Primaquine ............................................................................................. 14

5-Aminosalicylic Acid DerivativeMesalamine ............................................................................................ 11SulfaSALAzine ........................................................................................16

Ammonium DetoxicantLactulose ................................................................................................ 10Neomycin ................................................................................................12

AmylinomimeticPramlintide ..............................................................................................14

Analgesic Combination (Opioid)Acetaminophen and Codeine ...................................................................2Hydrocodone and Acetaminophen ...........................................................9Oxycodone and Acetaminophen ............................................................13

Analgesic, NonopioidAcetaminophen .........................................................................................2Acetaminophen, Isometheptene, and Dichloralphenazone ..................... 2

Aspirin .......................................................................................................3Butalbital, Acetaminophen, and Caffeine .................................................4Celecoxib ..................................................................................................4Diclofenac (Systemic) ...............................................................................6Ibuprofen .................................................................................................. 9Indomethacin ............................................................................................9Meloxicam ...............................................................................................11Naproxen ................................................................................................12Oxaprozin ............................................................................................... 13Piroxicam (Systemic) ..............................................................................14

Analgesic, OpioidAcetaminophen and Codeine ...................................................................2Buprenorphine ..........................................................................................3Hydrocodone and Acetaminophen ...........................................................9Meperidine ..............................................................................................11Morphine (Systemic) .............................................................................. 12OxyCODONE ......................................................................................... 13Oxycodone and Acetaminophen ............................................................13Tapentadol ..............................................................................................16TraMADol ............................................................................................... 16

Analgesic, Opioid Partial AgonistBuprenorphine ..........................................................................................3

Analgesic, TopicalCapsaicin ..................................................................................................4Lidocaine (Topical) ................................................................................. 10

Analgesic, UrinaryPhenazopyridine .....................................................................................13

AndrogenMethylTESTOSTERone ..........................................................................11Testosterone ...........................................................................................16

Anesthetic/CorticosteroidPramoxine and Hydrocortisone ..............................................................14

Angiotensin II Receptor BlockerAmlodipine and Valsartan ........................................................................ 2Irbesartan ............................................................................................... 10Losartan ..................................................................................................11Losartan and Hydrochlorothiazide ..........................................................11Olmesartan .............................................................................................13Olmesartan and Hydrochlorothiazide .....................................................13Telmisartan ............................................................................................. 16Telmisartan and Hydrochlorothiazide .....................................................16Valsartan .................................................................................................17Valsartan and Hydrochlorothiazide ........................................................ 17

Angiotensin-Converting Enzyme (ACE) InhibitorAmlodipine and Benazepril ...................................................................... 2Captopril ................................................................................................... 4Fosinopril ..................................................................................................8Lisinopril ................................................................................................. 10Lisinopril and Hydrochlorothiazide ......................................................... 10Ramipril .................................................................................................. 14

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

Antianginal AgentAmLODIPine .............................................................................................2Amlodipine and Benazepril ...................................................................... 2Amlodipine and Valsartan ........................................................................ 2Atenolol .....................................................................................................3DilTIAZem .................................................................................................6Isosorbide Dinitrate ................................................................................ 10Isosorbide Mononitrate ...........................................................................10Metoprolol ...............................................................................................11NIFEdipine ..............................................................................................12Nitroglycerin ............................................................................................12Propranolol ............................................................................................. 14Ranolazine ..............................................................................................15Verapamil ............................................................................................... 17

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

Antiarrhythmic Agent, Class IcFlecainide ................................................................................................. 8

Antiarrhythmic Agent, Class IIPropranolol ............................................................................................. 14Sotalol .....................................................................................................15

Antiarrhythmic Agent, Class IIIAmiodarone .............................................................................................. 2Sotalol .....................................................................................................15

ACETYLCHOLINESTERASE INHIBITOR

19

Antiarrhythmic Agent, Class IVDilTIAZem .................................................................................................6Verapamil ............................................................................................... 17

Antiarrhythmic Agent, MiscellaneousDigoxin ......................................................................................................6

Antibiotic, AminoglycosideGentamicin (Ophthalmic) ..........................................................................8Neomycin ................................................................................................12Tobramycin (Ophthalmic) ....................................................................... 16

Antibiotic, Cephalosporin (First Generation)Cephalexin ................................................................................................4

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

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

Antibiotic/Corticosteroid, OphthalmicNeomycin, Polymyxin B, and Dexamethasone ......................................12Sulfacetamide and Prednisolone ........................................................... 15Tobramycin and Dexamethasone .......................................................... 16

Antibiotic/Corticosteroid, OticCiprofloxacin and Dexamethasone .......................................................... 4Ciprofloxacin and Hydrocortisone ............................................................ 4Neomycin, Polymyxin B, and Hydrocortisone (Otic) ..............................12

Antibiotic, FluoroquinoloneCiprofloxacin (Ophthalmic) .......................................................................4Ciprofloxacin (Systemic) ...........................................................................4Gatifloxacin ...............................................................................................8LevoFLOXacin (Systemic) ......................................................................10Moxifloxacin (Ophthalmic) ......................................................................12Moxifloxacin (Systemic) ..........................................................................12Ofloxacin (Otic) .......................................................................................13

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

Antibiotic, MacrolideAzithromycin (Ophthalmic) ....................................................................... 3Azithromycin (Systemic) ...........................................................................3Clarithromycin ...........................................................................................4Erythromycin (Ophthalmic) .......................................................................6Erythromycin (Systemic) .......................................................................... 6Erythromycin (Topical) ..............................................................................6

Antibiotic, MiscellaneousDapsone (Systemic) .................................................................................5Methenamine, Sodium Phosphate Monobasic, Phenyl Salicylate,Methylene Blue, and Hyoscyamine .....................................................11

MetroNIDAZOLE (Systemic) .................................................................. 11Nitrofurantoin ..........................................................................................12Sulfamethoxazole and Trimethoprim ..................................................... 16

Antibiotic, OphthalmicAzithromycin (Ophthalmic) ....................................................................... 3Bacitracin, Neomycin, and Polymyxin B (Ophthalmic) ............................ 3Ciprofloxacin (Ophthalmic) .......................................................................4Erythromycin (Ophthalmic) .......................................................................6Gatifloxacin ...............................................................................................8Gentamicin (Ophthalmic) ..........................................................................8Moxifloxacin (Ophthalmic) ......................................................................12Neomycin, Polymyxin B, and Gramicidin ...............................................12Sulfacetamide (Ophthalmic) ...................................................................15Tobramycin (Ophthalmic) ....................................................................... 16Trimethoprim and Polymyxin B .............................................................. 17

Antibiotic, Oral RinseChlorhexidine Gluconate (Oral) ............................................................... 4

Antibiotic, OticCiprofloxacin and Dexamethasone .......................................................... 4Ciprofloxacin and Hydrocortisone ............................................................ 4Neomycin, Polymyxin B, and Hydrocortisone (Otic) ..............................12Ofloxacin (Otic) .......................................................................................13

Antibiotic, PenicillinAmoxicillin .................................................................................................2Amoxicillin and Clavulanate ..................................................................... 2Dicloxacillin ...............................................................................................6Penicillin V Potassium ............................................................................13

Antibiotic, Respiratory FluoroquinoloneLevoFLOXacin (Systemic) ......................................................................10Moxifloxacin (Systemic) ..........................................................................12

Antibiotic, Sulfonamide DerivativeSulfacetamide (Topical) ..........................................................................16Sulfamethoxazole and Trimethoprim ..................................................... 16

Antibiotic, Tetracycline DerivativeDoxycycline .............................................................................................. 6Minocycline .............................................................................................12Tetracycline (Systemic) .......................................................................... 16

Antibiotic, TopicalBacitracin (Topical) ...................................................................................3Erythromycin (Topical) ..............................................................................6MetroNIDAZOLE (Topical) ......................................................................11Mupirocin ................................................................................................12Silver Sulfadiazine ..................................................................................15

Anticholinergic AgentBenztropine .............................................................................................. 3Dicyclomine .............................................................................................. 6Glycopyrrolate (Systemic) ........................................................................ 9Hyoscyamine ............................................................................................9Hyoscyamine, Atropine, Scopolamine, and Phenobarbital ......................9Ipratropium and Albuterol .......................................................................10Ipratropium (Nasal) .................................................................................10Ipratropium (Oral Inhalation) .................................................................. 10Scopolamine (Systemic) .........................................................................15Solifenacin ..............................................................................................15Tiotropium ...............................................................................................16Tolterodine ..............................................................................................16Trihexyphenidyl ...................................................................................... 16

Anticholinergic Agent, Long-ActingTiotropium ...............................................................................................16

Anticholinergic Agent, OphthalmicAtropine (Ophthalmic) .............................................................................. 3Cyclopentolate ..........................................................................................5Homatropine .............................................................................................9

AnticoagulantApixaban ...................................................................................................2Dabigatran Etexilate .................................................................................5Enoxaparin ............................................................................................... 6Rivaroxaban ........................................................................................... 15Warfarin .................................................................................................. 17

Anticoagulant, Direct Thrombin InhibitorDabigatran Etexilate .................................................................................5

Anticoagulant, Factor Xa InhibitorApixaban ...................................................................................................2Rivaroxaban ........................................................................................... 15

Anticoagulant, Low Molecular Weight HeparinEnoxaparin ............................................................................................... 6

Anticoagulant, Vitamin K AntagonistWarfarin .................................................................................................. 17

Anticonvulsant, BarbituratePHENobarbital ........................................................................................13

Anticonvulsant, BenzodiazepineClonazePAM .............................................................................................5Clorazepate .............................................................................................. 5DiazePAM .................................................................................................6LORazepam ............................................................................................11

Anticonvulsant, HydantoinPhenytoin ................................................................................................13

Anticonvulsant, MiscellaneousAcetaZOLAMIDE ......................................................................................2CarBAMazepine ....................................................................................... 4Gabapentin ...............................................................................................8LamoTRIgine ..........................................................................................10LevETIRAcetam ..................................................................................... 10OXcarbazepine .......................................................................................13Primidone ............................................................................................... 14Topiramate ..............................................................................................16Valproic Acid and Derivatives ................................................................ 17Zonisamide .............................................................................................17

Anticonvulsant, SuccinimideEthosuximide ............................................................................................8

Antidepressant, Alpha-2 AntagonistMirtazapine .............................................................................................12

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

ANTIDEPRESSANT, DOPAMINE/NOREPINEPHRINE-REUPTAKE INHIBITOR

20

Antidepressant, Monoamine Oxidase InhibitorPhenelzine ..............................................................................................13

Antidepressant, Selective Serotonin Reuptake InhibitorCitalopram ................................................................................................ 4Escitalopram .............................................................................................7FLUoxetine ............................................................................................... 8PARoxetine .............................................................................................13Sertraline ................................................................................................ 15

Antidepressant, Serotonin/Norepinephrine Reuptake InhibitorDULoxetine ...............................................................................................6Venlafaxine .............................................................................................17

Antidepressant, Serotonin Reuptake Inhibitor/AntagonistTraZODone .............................................................................................16

Antidepressant, Tricyclic (Secondary Amine)Desipramine ............................................................................................. 5Nortriptyline ............................................................................................ 12Protriptyline .............................................................................................14

Antidepressant, Tricyclic (Tertiary Amine)Amitriptyline ..............................................................................................2ClomiPRAMINE ........................................................................................5Doxepin (Systemic) .................................................................................. 6Imipramine ................................................................................................9

Antidiabetic AgentPramlintide ..............................................................................................14

Antidiabetic Agent, BiguanideMetFORMIN ............................................................................................11Pioglitazone and Metformin ................................................................... 14Sitagliptin and Metformin ....................................................................... 15

Antidiabetic Agent, Dipeptidyl Peptidase 4 (DPP-4) InhibitorEmpagliflozin and Linagliptin ................................................................... 6SITagliptin ...............................................................................................15Sitagliptin and Metformin ....................................................................... 15

Antidiabetic Agent, Dopamine AgonistBromocriptine ........................................................................................... 3

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

Albiglutide .................................................................................................2Dulaglutide ................................................................................................6Exenatide ..................................................................................................8

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

Empagliflozin ............................................................................................ 6Empagliflozin and Linagliptin ................................................................... 6

Antidiabetic Agent, SulfonylureaGlimepiride ............................................................................................... 9GlipiZIDE .................................................................................................. 9GlyBURIDE ...............................................................................................9

Antidiabetic Agent, ThiazolidinedionePioglitazone ............................................................................................13Pioglitazone and Metformin ................................................................... 14

AntidiarrhealBismuth Subsalicylate .............................................................................. 3Diphenoxylate and Atropine .....................................................................6Loperamide .............................................................................................11

AntidoteGlucagon .................................................................................................. 9Naloxone ................................................................................................ 12Naltrexone .............................................................................................. 12

Antidote, ExtravasationNitroglycerin ............................................................................................12Terbutaline ..............................................................................................16

Antidote, HypoglycemiaGlucagon .................................................................................................. 9

AntiemeticDexamethasone (Systemic) ..................................................................... 5HydrOXYzine ............................................................................................9Meclizine .................................................................................................11Metoclopramide ...................................................................................... 11Ondansetron ...........................................................................................13Perphenazine ......................................................................................... 13Prochlorperazine .................................................................................... 14Promethazine ......................................................................................... 14

Antifibrinolytic AgentTranexamic Acid .....................................................................................16

AntiflatulentSimethicone ............................................................................................15

Antifungal Agent, Azole DerivativeTerconazole ............................................................................................ 16

Antifungal Agent, Imidazole DerivativeClotrimazole (Topical) ...............................................................................5Ketoconazole (Systemic) ........................................................................10Ketoconazole (Topical) ...........................................................................10Miconazole (Topical) .............................................................................. 12

Antifungal Agent, OralFluconazole .............................................................................................. 8Griseofulvin ...............................................................................................9Ketoconazole (Systemic) ........................................................................10Terbinafine (Systemic) ............................................................................16

Antifungal Agent, Oral Nonabsorbed/Partially AbsorbedClotrimazole (Topical) ...............................................................................5Miconazole (Topical) .............................................................................. 12Nystatin (Oral) ........................................................................................ 12

Antifungal Agent, ParenteralFluconazole .............................................................................................. 8

Antifungal Agent, TopicalBetamethasone and Clotrimazole ............................................................3Ciclopirox ..................................................................................................4Clotrimazole (Topical) ...............................................................................5Ketoconazole (Topical) ...........................................................................10Miconazole (Topical) .............................................................................. 12Nystatin and Triamcinolone ....................................................................12Nystatin (Topical) ....................................................................................12

Antifungal Agent, VaginalClotrimazole (Topical) ...............................................................................5Miconazole (Topical) .............................................................................. 12Terconazole ............................................................................................ 16

Antigout AgentAllopurinol .................................................................................................2Colchicine .................................................................................................5

Antihemophilic AgentDesmopressin ...........................................................................................5Tranexamic Acid .....................................................................................16

Antihemorrhoidal AgentDibucaine ..................................................................................................6Hydrocortisone (Topical) .......................................................................... 9

AntihypertensiveAmLODIPine .............................................................................................2Amlodipine and Benazepril ...................................................................... 2Amlodipine and Valsartan ........................................................................ 2Atenolol .....................................................................................................3Bisoprolol ..................................................................................................3Bisoprolol and Hydrochlorothiazide ......................................................... 3Bumetanide .............................................................................................. 3Captopril ................................................................................................... 4Carvedilol ..................................................................................................4Chlorthalidone .......................................................................................... 4CloNIDine ................................................................................................. 5DilTIAZem .................................................................................................6Doxazosin .................................................................................................6Felodipine .................................................................................................8Fosinopril ..................................................................................................8Furosemide ...............................................................................................8GuanFACINE ............................................................................................9HydrALAZINE ...........................................................................................9HydroCHLOROthiazide ............................................................................ 9Hydrochlorothiazide and Spironolactone ................................................. 9Hydrochlorothiazide and Triamterene ...................................................... 9Irbesartan ............................................................................................... 10Labetalol .................................................................................................10Lisinopril ................................................................................................. 10Lisinopril and Hydrochlorothiazide ......................................................... 10Losartan ..................................................................................................11Losartan and Hydrochlorothiazide ..........................................................11Methyldopa ............................................................................................. 11Metoprolol ...............................................................................................11NIFEdipine ..............................................................................................12Nisoldipine ..............................................................................................12Olmesartan .............................................................................................13Prazosin ..................................................................................................14Propranolol ............................................................................................. 14Ramipril .................................................................................................. 14Spironolactone ....................................................................................... 15Telmisartan ............................................................................................. 16Telmisartan and Hydrochlorothiazide .....................................................16

ANTIDEPRESSANT, MONOAMINE OXIDASE INHIBITOR

21

Terazosin ................................................................................................ 16Torsemide ...............................................................................................16Valsartan .................................................................................................17Valsartan and Hydrochlorothiazide ........................................................ 17Verapamil ............................................................................................... 17

Anti-inflammatory AgentDexamethasone (Systemic) ..................................................................... 5

Antilipemic Agent, 2-AzetidinoneEzetimibe ..................................................................................................8

Antilipemic Agent, Bile Acid SequestrantCholestyramine Resin .............................................................................. 4Colestipol ..................................................................................................5

Antilipemic Agent, Fibric AcidFenofibrate and Derivatives ..................................................................... 8Gemfibrozil ............................................................................................... 8

Antilipemic Agent, HMG-CoA Reductase InhibitorAtorvaSTATin ............................................................................................3Pravastatin ..............................................................................................14Rosuvastatin ...........................................................................................15Simvastatin .............................................................................................15

Antilipemic Agent, MiscellaneousNiacin ......................................................................................................12

Antilipemic Agent, Omega-3 Fatty AcidsOmega-3 Fatty Acids ............................................................................. 13

Antimalarial AgentChloroquine .............................................................................................. 4Hydroxychloroquine ..................................................................................9Mefloquine .............................................................................................. 11Primaquine ............................................................................................. 14

Antimanic AgentLithium .................................................................................................... 11OLANZapine ...........................................................................................13RisperiDONE ..........................................................................................15Valproic Acid and Derivatives ................................................................ 17

Antimigraine AgentErgotamine and Caffeine ......................................................................... 6Rizatriptan .............................................................................................. 15SUMAtriptan ........................................................................................... 16ZOLMitriptan ...........................................................................................17

Antineoplastic Agent, AntimetaboliteFluorouracil (Topical) ................................................................................8

Antineoplastic Agent, Antimetabolite (Antifolate)Methotrexate ...........................................................................................11

Antineoplastic Agent, Antimetabolite (Pyrimidine Analog)Fluorouracil (Topical) ................................................................................8

Antineoplastic Agent, Aromatase InhibitorAnastrozole ...............................................................................................2Letrozole .................................................................................................10

Antineoplastic Agent, Estrogen Receptor AntagonistTamoxifen ............................................................................................... 16

Antineoplastic Agent, HormoneMegestrol ................................................................................................11

Antineoplastic Agent, Retinoic Acid DerivativeISOtretinoin (Systemic) .......................................................................... 10

Antiparasitic Agent, TopicalPermethrin ..............................................................................................13

Anti-Parkinson Agent, AnticholinergicBenztropine .............................................................................................. 3Trihexyphenidyl ...................................................................................... 16

Anti-Parkinson Agent, Decarboxylase InhibitorCarbidopa and Levodopa .........................................................................4

Anti-Parkinson Agent, Dopamine AgonistAmantadine .............................................................................................. 2Bromocriptine ........................................................................................... 3Pramipexole ............................................................................................14ROPINIRole ............................................................................................15

Anti-Parkinson Agent, Dopamine PrecursorCarbidopa and Levodopa .........................................................................4

Antiplatelet AgentAspirin .......................................................................................................3Aspirin and Dipyridamole ......................................................................... 3Cilostazol ..................................................................................................4

Clopidogrel ............................................................................................... 5Prasugrel ................................................................................................ 14Ticagrelor ................................................................................................16

Antiplatelet Agent, CyclopentyltriazolopyrimidineTicagrelor ................................................................................................16

Antiplatelet Agent, ThienopyridineClopidogrel ............................................................................................... 5Prasugrel ................................................................................................ 14

Antiprotozoal, NitroimidazoleMetroNIDAZOLE (Systemic) .................................................................. 11

Antirheumatic, Disease ModifyingMethotrexate ...........................................................................................11

Antiseborrheic Agent, TopicalSelenium Sulfide .................................................................................... 15

Antiseptic, TopicalPovidone-Iodine (Topical) .......................................................................14

Antiseptic, VaginalPovidone-Iodine (Topical) .......................................................................14

Antispasmodic Agent, GastrointestinalClidinium and Chlordiazepoxide .............................................................. 5Hyoscyamine, Atropine, Scopolamine, and Phenobarbital ......................9

Antispasmodic Agent, UrinaryOxybutynin ..............................................................................................13

Antithyroid AgentMethIMAzole ...........................................................................................11Propylthiouracil .......................................................................................14

Antitubercular AgentEthambutol ............................................................................................... 7Isoniazid ................................................................................................. 10Pyrazinamide ..........................................................................................14RifAMPin .................................................................................................15

AntitussiveBenzonatate ............................................................................................. 3Guaifenesin and Codeine ........................................................................ 9Guaifenesin and Dextromethorphan ........................................................ 9Hydrocodone and Homatropine ............................................................... 9

Antiviral AgentAcyclovir (Systemic) .................................................................................2Amantadine .............................................................................................. 2Oseltamivir ..............................................................................................13ValACYclovir ...........................................................................................17

Antiviral Agent, AdamantaneAmantadine .............................................................................................. 2

Antiviral Agent, OralValACYclovir ...........................................................................................17

Antiviral Agent, TopicalAcyclovir (Topical) .................................................................................... 2

Appetite StimulantMegestrol ................................................................................................11

BarbiturateButalbital, Acetaminophen, and Caffeine .................................................4Butalbital, Aspirin, and Caffeine ...............................................................4PHENobarbital ........................................................................................13Primidone ............................................................................................... 14

BenzodiazepineALPRAZolam ............................................................................................2ChlordiazePOXIDE ...................................................................................4Clidinium and Chlordiazepoxide .............................................................. 5ClonazePAM .............................................................................................5Clorazepate .............................................................................................. 5DiazePAM .................................................................................................6LORazepam ............................................................................................11Temazepam ............................................................................................16

Beta2-Adrenergic AgonistIpratropium and Albuterol .......................................................................10

Beta2-Adrenergic Agonist, Long-ActingFluticasone and Salmeterol ..................................................................... 8Salmeterol .............................................................................................. 15

Beta2 AgonistAlbuterol ................................................................................................... 2Fluticasone and Salmeterol ..................................................................... 8Levalbuterol ............................................................................................10

BETA2AGONIST

22

Salmeterol .............................................................................................. 15Terbutaline ..............................................................................................16

Beta3 AgonistMirabegron ............................................................................................. 12

Beta-Adrenergic Blocker, NonselectiveDorzolamide and Timolol ......................................................................... 6Levobunolol ............................................................................................ 10Propranolol ............................................................................................. 14Sotalol .....................................................................................................15

Beta-Blocker, Beta-1 SelectiveAtenolol .....................................................................................................3Bisoprolol ..................................................................................................3Bisoprolol and Hydrochlorothiazide ......................................................... 3Metoprolol ...............................................................................................11

Beta-Blocker, NonselectiveBrimonidine and Timolol ...........................................................................3Timolol (Ophthalmic) .............................................................................. 16

Beta-Blocker With Alpha-Blocking ActivityCarvedilol ..................................................................................................4Labetalol .................................................................................................10

Bisphosphonate DerivativeAlendronate .............................................................................................. 2

Blood Viscosity Reducer AgentPentoxifylline .......................................................................................... 13

Calcineurin InhibitorCycloSPORINE (Ophthalmic) ...................................................................5Pimecrolimus ..........................................................................................13

Calcium Channel BlockerAmLODIPine .............................................................................................2Amlodipine and Benazepril ...................................................................... 2Amlodipine and Valsartan ........................................................................ 2DilTIAZem .................................................................................................6Felodipine .................................................................................................8NIFEdipine ..............................................................................................12Nisoldipine ..............................................................................................12Verapamil ............................................................................................... 17

Calcium Channel Blocker, DihydropyridineAmLODIPine .............................................................................................2Amlodipine and Benazepril ...................................................................... 2Amlodipine and Valsartan ........................................................................ 2Felodipine .................................................................................................8NIFEdipine ..............................................................................................12Nisoldipine ..............................................................................................12

Calcium Channel Blocker, NondihydropyridineDilTIAZem .................................................................................................6Verapamil ............................................................................................... 17

Calcium SaltCalcium and Vitamin D ............................................................................ 4

Carbonic Anhydrase InhibitorAcetaZOLAMIDE ......................................................................................2MethazolAMIDE ......................................................................................11

Carbonic Anhydrase Inhibitor (Ophthalmic)Dorzolamide ............................................................................................. 6Dorzolamide and Timolol ......................................................................... 6

Cardiac GlycosideDigoxin ......................................................................................................6

Cardiovascular Agent, MiscellaneousRanolazine ..............................................................................................15

CatharticSodium Phosphates ............................................................................... 15

Central Nervous System StimulantDextroamphetamine ................................................................................. 5Dextroamphetamine and Amphetamine .................................................. 5Ergotamine and Caffeine ......................................................................... 6Methylphenidate ..................................................................................... 11Modafinil ................................................................................................. 12

Chloride Channel ActivatorLubiprostone ...........................................................................................11

Cholinergic AgonistPilocarpine (Systemic) ............................................................................13

ContraceptiveEthinyl Estradiol and Desogestrel ............................................................7Ethinyl Estradiol and Drospirenone ......................................................... 7

Ethinyl Estradiol and Ethynodiol Diacetate ..............................................7Ethinyl Estradiol and Etonogestrel ...........................................................7Ethinyl Estradiol and Levonorgestrel ....................................................... 7Ethinyl Estradiol and Norelgestromin .......................................................7Ethinyl Estradiol and Norethindrone ........................................................ 7Ethinyl Estradiol and Norgestimate ..........................................................7Ethinyl Estradiol and Norgestrel .............................................................. 8Levonorgestrel (Systemic) ......................................................................10MedroxyPROGESTERone ..................................................................... 11Nonoxynol 9 ........................................................................................... 12Norethindrone .........................................................................................12

Contraceptive, BarrierContraceptive Devices ............................................................................. 5

Corticosteroid, Inhalant (Oral)Budesonide (Oral Inhalation) ................................................................... 3Fluticasone and Salmeterol ..................................................................... 8Fluticasone (Oral Inhalation) ....................................................................8

Corticosteroid, NasalFlunisolide (Nasal) ....................................................................................8Fluticasone (Nasal) .................................................................................. 8

Corticosteroid, OphthalmicDifluprednate ............................................................................................ 6Fluorometholone .......................................................................................8Loteprednol .............................................................................................11PrednisoLONE (Ophthalmic) ..................................................................14

Corticosteroid, OticCiprofloxacin and Dexamethasone .......................................................... 4Ciprofloxacin and Hydrocortisone ............................................................ 4Neomycin, Polymyxin B, and Hydrocortisone (Otic) ..............................12

Corticosteroid, RectalHydrocortisone (Topical) .......................................................................... 9

Corticosteroid, SystemicBudesonide (Systemic) ............................................................................ 3Cortisone .................................................................................................. 5Dexamethasone (Systemic) ..................................................................... 5Fludrocortisone .........................................................................................8Hydrocortisone (Systemic) ....................................................................... 9MethylPREDNISolone ............................................................................ 11PrednisoLONE (Systemic) ..................................................................... 14PredniSONE ...........................................................................................14

Corticosteroid, TopicalAmcinonide ...............................................................................................2Betamethasone and Clotrimazole ............................................................3Betamethasone (Topical) ......................................................................... 3Clobetasol .................................................................................................5Desonide .................................................................................................. 5Fluocinolone (Topical) .............................................................................. 8Fluocinonide ............................................................................................. 8Hydrocortisone (Topical) .......................................................................... 9Nystatin and Triamcinolone ....................................................................12Triamcinolone (Topical) .......................................................................... 16

DecongestantBrompheniramine and Pseudoephedrine ................................................ 3Loratadine and Pseudoephedrine .......................................................... 11Oxymetazoline (Nasal) ...........................................................................13Phenylephrine (Nasal) ............................................................................13Pseudoephedrine ................................................................................... 14Triprolidine and Pseudoephedrine ......................................................... 17

Diagnostic AgentGlucagon .................................................................................................. 9

Direct Oral Anticoagulant (DOAC)Apixaban ...................................................................................................2Dabigatran Etexilate .................................................................................5Rivaroxaban ........................................................................................... 15

Diuretic, Carbonic Anhydrase InhibitorAcetaZOLAMIDE ......................................................................................2MethazolAMIDE ......................................................................................11

Diuretic, LoopBumetanide .............................................................................................. 3Furosemide ...............................................................................................8Torsemide ...............................................................................................16

Diuretic, Potassium-SparingHydrochlorothiazide and Triamterene ...................................................... 9Spironolactone ....................................................................................... 15

Diuretic, ThiazideBisoprolol and Hydrochlorothiazide ......................................................... 3HydroCHLOROthiazide ............................................................................ 9

BETA2AGONIST

23

Hydrochlorothiazide and Spironolactone ................................................. 9Hydrochlorothiazide and Triamterene ...................................................... 9Lisinopril and Hydrochlorothiazide ......................................................... 10Losartan and Hydrochlorothiazide ..........................................................11Olmesartan and Hydrochlorothiazide .....................................................13Telmisartan and Hydrochlorothiazide .....................................................16Valsartan and Hydrochlorothiazide ........................................................ 17

Diuretic, Thiazide-RelatedChlorthalidone .......................................................................................... 4

Electrolyte Supplement, OralCalcium and Vitamin D ............................................................................ 4Potassium Chloride ................................................................................ 14

Electrolyte Supplement, ParenteralPotassium Chloride ................................................................................ 14Sodium Chloride .....................................................................................15Sodium Phosphates ............................................................................... 15

EnzymePancrelipase ...........................................................................................13

Ergot DerivativeBromocriptine ........................................................................................... 3Cabergoline .............................................................................................. 4Ergotamine and Caffeine ......................................................................... 6Methylergonovine ................................................................................... 11

Estrogen and Androgen CombinationEstrogens (Esterified) and Methyltestosterone ........................................7

Estrogen and Progestin CombinationEstradiol and Norethindrone .................................................................... 7Estrogens (Conjugated/Equine) and Medroxyprogesterone ....................7Ethinyl Estradiol and Desogestrel ............................................................7Ethinyl Estradiol and Drospirenone ......................................................... 7Ethinyl Estradiol and Ethynodiol Diacetate ..............................................7Ethinyl Estradiol and Etonogestrel ...........................................................7Ethinyl Estradiol and Levonorgestrel ....................................................... 7Ethinyl Estradiol and Norelgestromin .......................................................7Ethinyl Estradiol and Norethindrone ........................................................ 7Ethinyl Estradiol and Norgestimate ..........................................................7Ethinyl Estradiol and Norgestrel .............................................................. 8

Estrogen DerivativeEstradiol (Systemic) ................................................................................. 7Estradiol (Topical) .....................................................................................7Estrogens (Conjugated/Equine, Systemic) .............................................. 7Estrogens (Conjugated/Equine, Topical) ..................................................7

Ethanolamine DerivativeDiphenhydrAMINE (Systemic) ..................................................................6Doxylamine ...............................................................................................6

ExpectorantGuaiFENesin ............................................................................................ 9Guaifenesin and Codeine ........................................................................ 9Guaifenesin and Dextromethorphan ........................................................ 9Guaifenesin and Pseudoephedrine ..........................................................9

First Generation (Typical) AntipsychoticPerphenazine ......................................................................................... 13Prochlorperazine .................................................................................... 14

GABA AnalogGabapentin ...............................................................................................8

Gallstone Dissolution AgentUrsodiol .................................................................................................. 17

Gastrointestinal Agent, MiscellaneousLinaclotide .............................................................................................. 10Lubiprostone ...........................................................................................11Naloxegol ................................................................................................12Sucralfate ............................................................................................... 15

Gastrointestinal Agent, ProkineticMetoclopramide ...................................................................................... 11

Genitourinary IrrigantSodium Chloride .....................................................................................15

Guanylate Cyclase-C (GC-C) AgonistLinaclotide .............................................................................................. 10

Hemostatic AgentAluminum Chloride Hexahydrate ............................................................. 2Desmopressin ...........................................................................................5Tranexamic Acid .....................................................................................16

Histamine H1 AntagonistAzelastine (Nasal) .................................................................................... 3Brompheniramine and Pseudoephedrine ................................................ 3

Cetirizine (Systemic) ................................................................................ 4Chlorpheniramine ..................................................................................... 4Cyproheptadine ........................................................................................ 5DiphenhydrAMINE (Systemic) ..................................................................6Doxylamine ...............................................................................................6Fexofenadine ............................................................................................8HydrOXYzine ............................................................................................9Loratadine ...............................................................................................11Loratadine and Pseudoephedrine .......................................................... 11Meclizine .................................................................................................11Naphazoline and Pheniramine ...............................................................12Olopatadine (Ophthalmic) ...................................................................... 13Promethazine ......................................................................................... 14Triprolidine and Pseudoephedrine ......................................................... 17

Histamine H1 Antagonist, First GenerationBrompheniramine and Pseudoephedrine ................................................ 3Chlorpheniramine ..................................................................................... 4Cyproheptadine ........................................................................................ 5DiphenhydrAMINE (Systemic) ..................................................................6Doxylamine ...............................................................................................6HydrOXYzine ............................................................................................9Meclizine .................................................................................................11Naphazoline and Pheniramine ...............................................................12Promethazine ......................................................................................... 14Triprolidine and Pseudoephedrine ......................................................... 17

Histamine H1 Antagonist, Second GenerationAzelastine (Nasal) .................................................................................... 3Cetirizine (Systemic) ................................................................................ 4Fexofenadine ............................................................................................8Loratadine ...............................................................................................11Loratadine and Pseudoephedrine .......................................................... 11Olopatadine (Ophthalmic) ...................................................................... 13

Histamine H2 AntagonistCimetidine .................................................................................................4RaNITIdine ............................................................................................. 14

Histone Deacetylase InhibitorValproic Acid and Derivatives ................................................................ 17

Hormone, Posterior PituitaryDesmopressin ...........................................................................................5

Hypnotic, MiscellaneousEszopiclone .............................................................................................. 7Zolpidem .................................................................................................17

Imidazoline DerivativeNaphazoline and Pheniramine ...............................................................12Oxymetazoline (Nasal) ...........................................................................13

Immunosuppressant AgentAzaTHIOprine ...........................................................................................3CycloSPORINE (Ophthalmic) ...................................................................5Methotrexate ...........................................................................................11Mycophenolate ....................................................................................... 12Pimecrolimus ..........................................................................................13

Inhalation, MiscellaneousInhalation Devices ....................................................................................9

Insulin, CombinationInsulin Aspart Protamine and Insulin Aspart ........................................... 9Insulin NPH and Insulin Regular ............................................................10

Insulin, Intermediate-ActingInsulin NPH ............................................................................................ 10

Insulin, Long-ActingInsulin Detemir ......................................................................................... 9Insulin Glargine ........................................................................................ 9

Insulin, Rapid-ActingInsulin Aspart ............................................................................................9Insulin Glulisine ...................................................................................... 10Insulin Lispro .......................................................................................... 10

Insulin, Short-ActingInsulin Regular ....................................................................................... 10

Iron SaltFerrous Sulfate .........................................................................................8

IrrigantSodium Chloride .....................................................................................15

Keratolytic AgentSalicylic Acid .......................................................................................... 15Urea (Topical) .........................................................................................17

KERATOLYTIC AGENT

24

Laxative, Bowel EvacuantSodium Phosphates ............................................................................... 15

Laxative, OsmoticLactulose ................................................................................................ 10Polyethylene Glycol 3350 ...................................................................... 14Polyethylene Glycol-Electrolyte Solution ............................................... 14Sodium Sulfate, Potassium Sulfate, and Magnesium Sulfate ............... 15

Laxative, SalineMagnesium Citrate ................................................................................. 11

Laxative, StimulantBisacodyl .................................................................................................. 3Senna ..................................................................................................... 15

Leukotriene-Receptor AntagonistMontelukast ............................................................................................ 12

Local AnestheticDibucaine ..................................................................................................6Lidocaine (Topical) ................................................................................. 10

Lubricant, OcularSodium Chloride .....................................................................................15

Lysine AnalogTranexamic Acid .....................................................................................16

Magnesium SaltMagnesium Citrate ................................................................................. 11

Mast Cell StabilizerCromolyn (Ophthalmic) ............................................................................ 5

Mineralocorticoid (Aldosterone) Receptor AntagonistsHydrochlorothiazide and Spironolactone ................................................. 9Spironolactone ....................................................................................... 15

Miscellaneous ProductDiabetic Supplies ......................................................................................6

Neuraminidase InhibitorOseltamivir ..............................................................................................13

N-Methyl-D-Aspartate (NMDA) Receptor AntagonistMemantine ..............................................................................................11

Nonsteroidal Anti-inflammatory Drug (NSAID)Diclofenac (Systemic) ...............................................................................6Diclofenac (Topical) ..................................................................................6

Nonsteroidal Anti-inflammatory Drug (NSAID), COX-2 SelectiveCelecoxib ..................................................................................................4

Nonsteroidal Anti-inflammatory Drug (NSAID), OphthalmicBromfenac ................................................................................................ 3Flurbiprofen (Ophthalmic) .........................................................................8Ketorolac (Ophthalmic) ...........................................................................10Nepafenac .............................................................................................. 12

Nonsteroidal Anti-inflammatory Drug (NSAID), OralAspirin .......................................................................................................3Diclofenac (Systemic) ...............................................................................6Ibuprofen .................................................................................................. 9Indomethacin ............................................................................................9Meloxicam ...............................................................................................11Naproxen ................................................................................................12Oxaprozin ............................................................................................... 13Piroxicam (Systemic) ..............................................................................14

Nonsteroidal Anti-inflammatory Drug (NSAID), ParenteralIbuprofen .................................................................................................. 9Indomethacin ............................................................................................9

Nonsteroidal Anti-inflammatory Drug (NSAID), TopicalDiclofenac (Topical) ..................................................................................6

Norepinephrine Reuptake Inhibitor, SelectiveAtoMOXetine ............................................................................................ 3

Nutritional SupplementFluoride .....................................................................................................8

Ophthalmic Agent, AntiglaucomaAcetaZOLAMIDE ......................................................................................2Betaxolol (Ophthalmic) .............................................................................3Bimatoprost .............................................................................................. 3Brimonidine and Timolol ...........................................................................3Brimonidine (Ophthalmic) .........................................................................3Dorzolamide ............................................................................................. 6Dorzolamide and Timolol ......................................................................... 6Latanoprost .............................................................................................10Levobunolol ............................................................................................ 10

MethazolAMIDE ......................................................................................11Phenylephrine (Ophthalmic) ...................................................................13Pilocarpine (Ophthalmic) ........................................................................13Timolol (Ophthalmic) .............................................................................. 16

Ophthalmic Agent, MioticPilocarpine (Ophthalmic) ........................................................................13

Ophthalmic Agent, MiscellaneousArtificial Tears ...........................................................................................3Carboxymethylcellulose ............................................................................4Ophthalmic Irrigant Mixture ....................................................................13

Ophthalmic Agent, MydriaticAtropine (Ophthalmic) .............................................................................. 3Homatropine .............................................................................................9Phenylephrine (Ophthalmic) ...................................................................13Tropicamide ............................................................................................17

Ophthalmic Agent, VasoconstrictorNaphazoline and Pheniramine ...............................................................12

Opioid AntagonistNaloxone ................................................................................................ 12Naltrexone .............................................................................................. 12

Opioid Antagonist, Peripherally-ActingNaloxegol ................................................................................................12

Otic Agent, Anti-infectiveAcetic Acid (Otic) ......................................................................................2Acetic Acid, Propylene Glycol Diacetate, and Hydrocortisone ................2

Ovulation StimulatorClomiPHENE ............................................................................................5

Partial Nicotine AgonistVarenicline ..............................................................................................17

PediculocidePermethrin ..............................................................................................13

Phenothiazine DerivativePerphenazine ......................................................................................... 13Prochlorperazine .................................................................................... 14Promethazine ......................................................................................... 14

Phosphodiesterase-3 Enzyme InhibitorCilostazol ..................................................................................................4

Phosphodiesterase-5 Enzyme InhibitorSildenafil .................................................................................................15

Phosphodiesterase Enzyme Inhibitor, NonselectiveTheophylline ........................................................................................... 16

Piperazine DerivativeCetirizine (Systemic) ................................................................................ 4HydrOXYzine ............................................................................................9Meclizine .................................................................................................11

Piperidine DerivativeCyproheptadine ........................................................................................ 5Fexofenadine ............................................................................................8Loratadine ...............................................................................................11Loratadine and Pseudoephedrine .......................................................... 11Olopatadine (Ophthalmic) ...................................................................... 13

ProgestinLevonorgestrel (Systemic) ......................................................................10MedroxyPROGESTERone ..................................................................... 11Megestrol ................................................................................................11Norethindrone .........................................................................................12Progesterone ..........................................................................................14

ProstaglandinMiSOPROStol .........................................................................................12

Prostaglandin, OphthalmicBimatoprost .............................................................................................. 3Latanoprost .............................................................................................10

Proton Pump InhibitorEsomeprazole ...........................................................................................7Omeprazole ............................................................................................13Pantoprazole .......................................................................................... 13RABEprazole ..........................................................................................14

Retinoic Acid DerivativeISOtretinoin (Systemic) .......................................................................... 10Tretinoin (Topical) ...................................................................................16

RifamycinRifAMPin .................................................................................................15

LAXATIVE, BOWEL EVACUANT

25

SalicylateAspirin .......................................................................................................3Salsalate .................................................................................................15

Scabicidal AgentPermethrin ..............................................................................................13

Second Generation (Atypical) AntipsychoticARIPiprazole .............................................................................................3OLANZapine ...........................................................................................13QUEtiapine ............................................................................................. 14RisperiDONE ..........................................................................................15Ziprasidone .............................................................................................17

SedativeAcetaminophen, Isometheptene, and Dichloralphenazone ..................... 2

Selective 5-HT3 Receptor AntagonistOndansetron ...........................................................................................13

Selective Estrogen Receptor Modulator (SERM)ClomiPHENE ............................................................................................5Raloxifene ...............................................................................................14Tamoxifen ............................................................................................... 16

Serotonin 5-HT1B, 1D Receptor AgonistRizatriptan .............................................................................................. 15SUMAtriptan ........................................................................................... 16ZOLMitriptan ...........................................................................................17

Skeletal Muscle RelaxantBaclofen ....................................................................................................3Chlorzoxazone ..........................................................................................4Cyclobenzaprine .......................................................................................5Metaxalone ............................................................................................. 11Methocarbamol .......................................................................................11

Skin and Mucous Membrane AgentImiquimod .................................................................................................9

Skin and Mucous Membrane Agent, MiscellaneousEmollients .................................................................................................6

Smoking Cessation AidBuPROPion .............................................................................................. 4Nicotine ...................................................................................................12Varenicline ..............................................................................................17

Sodium-Glucose Cotransporter 2 (SGLT2) InhibitorEmpagliflozin ............................................................................................ 6Empagliflozin and Linagliptin ................................................................... 6

Sodium SaltSodium Chloride .....................................................................................15

SpermicideNonoxynol 9 ........................................................................................... 12

Stool SoftenerDocusate .................................................................................................. 6

Substituted BenzimidazoleEsomeprazole ...........................................................................................7Omeprazole ............................................................................................13Pantoprazole .......................................................................................... 13RABEprazole ..........................................................................................14

SympathomimeticAcetaminophen, Isometheptene, and Dichloralphenazone ..................... 2

ThioamideMethIMAzole ...........................................................................................11Propylthiouracil .......................................................................................14

Thyroid ProductLevothyroxine ......................................................................................... 10Liothyronine ............................................................................................10Thyroid, Desiccated ................................................................................16

Topical Skin ProductAluminum Acetate .................................................................................... 2Aluminum Chloride Hexahydrate ............................................................. 2Benzoyl Peroxide ..................................................................................... 3Capsaicin ..................................................................................................4Clindamycin and Benzoyl Peroxide ......................................................... 5Emollients .................................................................................................6Erythromycin (Topical) ..............................................................................6Fluorouracil (Topical) ................................................................................8Imiquimod .................................................................................................9Lactic Acid and Ammonium Hydroxide ..................................................10Pimecrolimus ..........................................................................................13Povidone-Iodine (Topical) .......................................................................14Selenium Sulfide .................................................................................... 15

Urea (Topical) .........................................................................................17

Zinc Oxide .............................................................................................. 17

Topical Skin Product, Acne

Adapalene ................................................................................................ 2

Azelaic Acid ..............................................................................................3

Benzoyl Peroxide ..................................................................................... 3

Clindamycin and Benzoyl Peroxide ......................................................... 5

Clindamycin (Topical) ............................................................................... 5

Erythromycin and Benzoyl Peroxide ........................................................6

Erythromycin (Topical) ..............................................................................6

Salicylic Acid .......................................................................................... 15

Sulfacetamide (Topical) ..........................................................................16

Tretinoin (Topical) ...................................................................................16

Transient Receptor Potential Vanilloid 1 (TRPV1) Agonist

Capsaicin ..................................................................................................4

Uricosuric Agent

Probenecid ............................................................................................. 14

Vasodilator

Cilostazol ..................................................................................................4

HydrALAZINE ...........................................................................................9

Isosorbide Dinitrate ................................................................................ 10

Isosorbide Mononitrate ...........................................................................10

Nitroglycerin ............................................................................................12

Vasopressin Analog, Synthetic

Desmopressin ...........................................................................................5

Vitamin

Vitamins (Multiple/Pediatric) ...................................................................17

Vitamins (Multiple/Prenatal) ................................................................... 17

Vitamin D Analog

Calcitriol (Systemic) ..................................................................................4

Vitamin, Fat Soluble

Calcium and Vitamin D ............................................................................ 4

Vitamin, Water Soluble

Cyanocobalamin .......................................................................................5

Folic Acid ..................................................................................................8

Niacin ......................................................................................................12

Pyridoxine ...............................................................................................14

Thiamine .................................................................................................16

Xanthine Oxidase Inhibitor

Allopurinol .................................................................................................2

XANTHINE OXIDASE INHIBITOR

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