Joint Base McGuire-Dix-Lakehurst Outpatient Formulary
Alphabetical Listing by Name
This document is current as of 11/ 17/15
The availability of formulary items is subject to change
1
ACARBOSE
Acarbose
Aluminum Chloride Hexahydrate
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, oral: 25 mg, 50 mg, 100 mg
Precose®: 25 mg, 50 mg, 100 mg
Solution, topical:
Drysol™: 20% (37.5 mL) [contains ethanol 93%]
Acetaminophen
Aluminum Hydroxide, Magnesium Hydroxide, and Simethicone
Outpatient Dosage Forms
Outpatient Dosage Forms
Caplet, oral:
Tylenol® Extra Strength: 500 mg
Solution, oral: 160 mg/5 mL (5 mL, 10 mL, 20 mL)
Suppository, rectal: 120 mg (12s); 650 mg (12s)
Suspension, oral:
Q-Pap Children's: 160 mg/5 mL (118 mL) [ethanol free; contains sodium 2 mg/
5 mL, sodium benzoate; grape flavor]
Tablet, oral: 325 mg
Liquid, oral: Aluminum hydroxide 400 mg, magnesium hydroxide 400 mg, and
simethicone 40 mg per 5 mL (360 mL)
Mi-Acid: Aluminum hydroxide 200 mg, magnesium hydroxide 200 mg, and
simethicone 20 mg per 5 mL (360 mL)
Suspension, oral: Aluminum hydroxide 225 mg, magnesium hydroxide 200 mg,
and simethicone 25 mg per 5 mL (360 mL)
Aluminum Sulfate and Calcium Acetate
Outpatient Dosage Forms
Acetaminophen and Codeine
Powder, for solution, topical:
Domeboro®: Aluminum sulfate tetradecahydrate 1347 mg and calcium acetate
monohydrate 952 mg per packet (12s, 100s)
Outpatient Dosage Forms
Solution, oral [C-V]: Acetaminophen 120 mg and codeine phosphate 12 mg per
5 mL (120 mL, 473 mL) [BCF]
Tablet, oral [C-III]: Acetaminophen 300 mg and codeine phosphate 30 mg [BCF]
Tylenol® with Codeine No. 3: Acetaminophen 300 mg and codeine phosphate
30 mg [contains sodium metabisulfite] [BCF]
Amantadine
Outpatient Dosage Forms
Capsule, oral, as hydrochloride: 100 mg [BCF]
Syrup, oral, as hydrochloride: 50 mg/5 mL (473 mL) [BCF]
AcetaZOLAMIDE
Outpatient Dosage Forms
Amiodarone
Capsule, sustained release, oral:
Diamox® Sequels®: 500 mg
Outpatient Dosage Forms
Tablet, oral, as hydrochloride: 200 mg [BCF]
Acetic Acid, Propylene Glycol Diacetate, and Hydrocortisone
Amitriptyline
Outpatient Dosage Forms
Outpatient Dosage Forms
Solution, otic [drops]:
Acetasol® HC: Acetic acid 2%, propylene glycol diacetate 3%, and hydrocortisone 1% (10 mL) [contains benzethonium chloride]
Tablet, oral, as hydrochloride: 10 mg [BCF], 25 mg [BCF], 75 mg [BCF],
100 mg
Acyclovir (Systemic)
AmLODIPine
Outpatient Dosage Forms
Outpatient Dosage Forms
Capsule, oral:
Zovirax®: 200 mg [BCF]
Suspension, oral:
Zovirax®: 200 mg/5 mL (473 mL) [banana flavor] [BCF]
Tablet, oral: 400 mg [BCF], 800 mg [BCF]
Tablet, oral: 2.5 mg [BCF], 5 mg [BCF], 10 mg [BCF]
Norvasc®: 2.5 mg [BCF], 5 mg [BCF], 10 mg [BCF]
Amlodipine and Benazepril
Outpatient Dosage Forms
Capsule, oral:
Lotrel®: 2.5/10: Amlodipine 2.5 mg and benazepril hydrochloride 10 mg [BCF]
Lotrel®: 5/10: Amlodipine 5 mg and benazepril hydrochloride 10 mg [BCF]
Lotrel®: 5/20: Amlodipine 5 mg and benazepril hydrochloride 20 mg [BCF]
Lotrel®: 5/40: Amlodipine 5 mg and benazepril hydrochloride 40 mg [BCF]
Lotrel®: 10/20: Amlodipine 10 mg and benazepril hydrochloride 20 mg [BCF]
Lotrel®: 10/40: Amlodipine 10 mg and benazepril hydrochloride 40 mg [BCF]
Adalimumab
Outpatient Dosage Forms
Kit, Subcutaneous:
Humira Pen: 40 mg/0.8 mL [contains polysorbate 80] [BCF]
Adapalene
Outpatient Dosage Forms
Gel, topical:
Differin®: 0.1% (45 g) [ethanol free]
Amoxicillin
Outpatient Dosage Forms
Albendazole
Capsule, oral: 250 mg [BCF], 500 mg [BCF]
Powder for suspension, oral: 250 mg/5 mL (80 mL, 150 mL) [BCF]; 400 mg/5
mL (100 mL) [BCF]
Tablet, oral: 875 mg
Outpatient Dosage Forms
Tablet, oral:
Albenza®: 200 mg (2s)
Albuterol
Amoxicillin and Clavulanate
Outpatient Dosage Forms
Outpatient Dosage Forms
Aerosol, for oral inhalation:
ProAir HFA: 90 mcg/inhalation (8.5 g) [chlorofluorocarbon free; 200 metered
actuations] [BCF]
Solution, for nebulization: 0.5% [100 mg/20 mL] (1s)
Solution, for nebulization [preservative free]: 0.083% [2.5 mg/3 mL] (25s) [BCF]
Syrup, oral: 2 mg/5 mL (473 mL)
Tablet, oral: 2 mg
Powder for suspension, oral: 200: Amoxicillin 200 mg and clavulanate potassium 28.5 mg per 5 mL (100 mL) [BCF]; 400: Amoxicillin 400 mg and
clavulanate potassium 57 mg per 5 mL (100 mL) [BCF]
Augmentin ES-600®: 600: Amoxicillin 600 mg and clavulanate potassium
42.9 mg per 5 mL (75 mL, 125 mL 200 mL) [contains phenylalanine 7 mg/5
mL, potassium 0.23 mEq/5 mL; strawberry cream flavor]
Augmentin®: 125: Amoxicillin 125 mg and clavulanate potassium 31.25 mg
per 5 mL (150 mL) [contains potassium 0.16 mEq/5 mL; banana flavor] [BCF]
Augmentin®: 250: Amoxicillin 250 mg and clavulanate potassium 62.5 mg per
5 mL (75 mL, 150 mL) [contains potassium 0.32 mEq/5 mL; orange flavor] [BCF]
Tablet, oral: 250: Amoxicillin 250 mg and clavulanate potassium 125 mg [BCF]
Augmentin®: 500: Amoxicillin 500 mg and clavulanate potassium 125 mg
[contains potassium 0.63 mEq/tablet] [BCF]
Augmentin®: 875: Amoxicillin 875 mg and clavulanate potassium 125 mg
[contains potassium 0.63 mEq/tablet] [BCF]
Tablet, extended release, oral:
Augmentin XR®: 1000: Amoxicillin 1000 mg and clavulanate potassium
62.5 mg [contains potassium 12.6 mg (0.32 mEq) and sodium 29.3 mg
(1.27 mEq) per tablet; packaged in either a 7-day or 10-day package]
Alcohol (Isopropyl)
Outpatient Dosage Forms
Pad:
BD™ Swab Single Use: 70%
Alendronate
Outpatient Dosage Forms
Tablet, oral: 5 mg [BCF], 10 mg [BCF], 35 mg [BCF], 70 mg [BCF]
Alfuzosin
Outpatient Dosage Forms
Tablet, extended release, oral, as hydrochloride:
Uroxatral®: 10 mg [BCF]
Allopurinol
ARIPiprazole
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, oral: 100 mg [BCF], 300 mg [BCF]
Solution, oral:
Abilify®: 1 mg/mL (150 mL) [contains fructose 200 mg/mL, propylene glycol,
sucrose 400 mg/mL; orange cream flavor]
Tablet, oral:
Abilify®: 2 mg, 5 mg, 10 mg, 15 mg, 20 mg, 30 mg
ALPRAZolam
Outpatient Dosage Forms
Tablet, oral: 0.5 mg, 1 mg
Xanax®: 0.5 mg, 1 mg [scored]
2
BUTALBITAL, ACETAMINOPHEN, AND CAFFEINE
Bacitracin (Topical)
Outpatient Dosage Forms
Artificial Tears
Ointment, External, as zinc [strength expressed as base]: 500 units/g (0.9 g,
15 g, 30 g, 454 g)
Outpatient Dosage Forms
Ointment, ophthalmic [drops, preservative free]: (3.5 g)
Solution, ophthalmic [drops]: (15 mL)
Murocel®: (15 mL)
Baclofen
Outpatient Dosage Forms
Tablet, oral: 10 mg
Aspirin
Benzocaine
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, enteric coated, oral: 81 mg, 325 mg
Lozenge, oral:
Cepacol® Sore Throat: 15 mg [contains 3.6 mg menthol]
Atenolol
Outpatient Dosage Forms
Benzonatate
Tablet, oral: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF]
Outpatient Dosage Forms
Atenolol and Chlorthalidone
Capsule, softgel, oral:
Tessalon®: 100 mg
Outpatient Dosage Forms
Tablet, oral: Atenolol 50 mg and chlorthalidone 25 mg; atenolol 100 mg and
chlorthalidone 25 mg
Benzoyl Peroxide
Outpatient Dosage Forms
AtoMOXetine
Gel, topical: 10% (42.5 g, 60 g, 90 g)
Outpatient Dosage Forms
Benztropine
Capsule, oral:
Strattera®: 10 mg, 18 mg, 25 mg, 40 mg, 60 mg, 80 mg
Outpatient Dosage Forms
Tablet, oral, as mesylate: 0.5 mg [BCF], 1 mg [BCF], 2 mg [BCF]
AtorvaSTATin
Outpatient Dosage Forms
Betamethasone (Topical)
Tablet, oral:
Lipitor®: 10 mg [BCF], 20 mg [BCF], 40 mg [BCF], 80 mg [BCF]
Outpatient Dosage Forms
Lotion, topical, as valerate [strength expressed as base]: 0.1% (60 mL)
Atovaquone and Proguanil
Betaxolol (Ophthalmic)
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, oral:
Malarone®: Atovaquone 250 mg and proguanil hydrochloride 100 mg
Suspension, ophthalmic [drops]:
Betoptic S®: 0.25% (10 mL) [contains benzalkonium chloride]
Atropine and Pralidoxime
Bicalutamide
Outpatient Dosage Forms
Outpatient Dosage Forms
Injection, solution:
ATNAA: Atropine 2.1 mg/0.7 mL and pralidoxime chloride 600 mg/2 mL
[contains benzyl alcohol; prefilled autoinjector]
Tablet, Oral:
Generic: 50 mg [BCF]
Bimatoprost
Atropine (Ophthalmic)
Outpatient Dosage Forms
Outpatient Dosage Forms
Solution, ophthalmic [drops]:
Lumigan®: 0.01% (2.5 mL) [contains benzalkonium chloride]
Solution, ophthalmic, as sulfate [drops]:
Isopto® Atropine: 1% (15 mL) [contains benzalkonium chloride]
Bisacodyl
AzaTHIOprine
Outpatient Dosage Forms
Outpatient Dosage Forms
Suppository, rectal: 10 mg (50s)
Tablet, oral: 5 mg
Tablet, oral: 50 mg
Azelaic Acid
Bismuth Subsalicylate
Outpatient Dosage Forms
Outpatient Dosage Forms
Gel, topical:
Finacea®: 15% (50 g) [contains benzoic acid]
Tablet, chewable, oral, as subsalicylate: 262 mg
Brimonidine (Ophthalmic)
Azelastine (Nasal)
Outpatient Dosage Forms
Outpatient Dosage Forms
Solution, ophthalmic, as tartrate [drops]: 0.15% (5 mL) [BCF]; 0.2% (5 mL)
[BCF]
Alphagan® P: 0.15% (5 mL) [contains Purite®] [BCF]
Solution, intranasal, as hydrochloride [spray]: 0.1% [137 mcg/spray] (30 mL)
Astelin®: 0.1% [137 mcg/spray] (30 mL) [contains benzalkonium chloride; 200
metered sprays]
Budesonide (Oral Inhalation)
Azithromycin (Systemic)
Outpatient Dosage Forms
Outpatient Dosage Forms
Suspension, for nebulization:
Pulmicort Respules®: 0.25 mg/2 mL (30s); 0.5 mg/2 mL (30s)
Powder for suspension, oral, as dihydrate [strength expressed as base]:
Zithromax®: 100 mg/5 mL (15 mL) [contains sodium 3.7 mg/5 mL; cherrycrème de vanilla-banana flavor] [BCF]
Zithromax®: 200 mg/5 mL (15 mL, 22.5 mL, 30 mL) [contains sodium 7.4 mg/5
mL; cherry-crème de vanilla-banana flavor]
Zithromax®: 1 g/packet (10s) [contains sodium 37 mg/packet; banana-cherry
flavor] [BCF]
Tablet, oral, as dihydrate [strength expressed as base]:
Zithromax®: 500 mg [contains sodium 1.8 mg/tablet] [BCF]
Tablet, oral, as monohydrate [strength expressed as base]: 250 mg [BCF]
Bumetanide
Outpatient Dosage Forms
Tablet, oral: 1 mg
BuPROPion
Outpatient Dosage Forms
Tablet, oral, as hydrochloride:
Wellbutrin®: 75 mg [BCF], 100 mg [BCF]
Tablet, extended release, oral, as hydrochloride: 150 mg [generic for Wellbutrin
SR®] [BCF], 150 mg [generic for Wellbutrin XL®] [BCF]
Wellbutrin XL®: 300 mg [BCF]
Tablet, sustained release, oral, as hydrochloride:
Wellbutrin SR®: 100 mg [BCF], 150 mg [BCF]
Bacitracin and Polymyxin B (Ophthalmic)
Outpatient Dosage Forms
Ointment, ophthalmic: Bacitracin 500 units and polymyxin B 10,000 units per g
(3.5 g)
Bacitracin, Neomycin, and Polymyxin B
BusPIRone
Outpatient Dosage Forms
Outpatient Dosage Forms
Ointment, ophthalmic: Bacitracin 400 units, neomycin 3.5 mg, and polymyxin B
10,000 units per g (3.5 g) [BCF]
Ointment, topical: Bacitracin 400 units, neomycin 3.5 mg, and polymyxin B 5000
units per g (0.9 g)
Tablet, oral, as hydrochloride:
BuSpar®: 10 mg, 15 mg
Butalbital, Acetaminophen, and Caffeine
Bacitracin (Ophthalmic)
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, oral:
Fioricet®: Butalbital 50 mg, acetaminophen 325 mg, and caffeine 40 mg [BCF]
Ointment, Ophthalmic: 500 units/g (3.5 g)
3
CALCIPOTRIENE
Powder for suspension, oral: 125 mg/5 mL (200 mL); 250 mg/5 mL (200
mL) [BCF]
Calcipotriene
Outpatient Dosage Forms
Cream, topical:
Dovonex®: 0.005% (60 g)
Cetirizine
Outpatient Dosage Forms
Syrup, oral, as hydrochloride: 5 mg/5 mL (120 mL)
Tablet, oral, as hydrochloride: 10 mg
Calcitriol
Outpatient Dosage Forms
Capsule, softgel, oral:
Rocaltrol®: 0.25 mcg [contains coconut oil]
Cetirizine and Pseudoephedrine
Outpatient Dosage Forms
Tablet, oral:
Allergy-D: Cetirizinehydrochloride 5 mg and pseudoephedrine hydrochloride
120 mg
Tablet, extended release, oral: Cetirizine hydrochloride 5 mg and pseudoephedrine hydrochloride 120 mg
Calcium and Vitamin D
Outpatient Dosage Forms
Tablet, oral: Calcium 500 mg and vitamin D 200 units
Captopril
Outpatient Dosage Forms
Chlorhexidine Gluconate
Tablet, oral: 25 mg [BCF]
Outpatient Dosage Forms
Liquid, oral [rinse]: 0.12% (15 mL, 473 mL, 480 mL) [BCF]
Peridex®: 0.12% (473 mL) [contains ethanol 11.6%; mint flavor] [BCF]
Carbachol
Outpatient Dosage Forms
Solution, ophthalmic:
Isopto® Carbachol: 1.5% (15 mL); 3% (15 mL) [contains benzalkonium
chloride]
Chloroquine
Outpatient Dosage Forms
Tablet, oral, as phosphate: 500 mg [equivalent to chloroquine base 300 mg]
Aralen®: 500 mg [equivalent to chloroquine base 300 mg]
CarBAMazepine
Outpatient Dosage Forms
Chlorpheniramine
Suspension, oral: 100 mg/5 mL (450 mL) [BCF]
TEGretol®: 100 mg/5 mL (450 mL) [contains propylene glycol; citrus-vanilla
flavor] [BCF]
Tablet, oral: 200 mg [BCF]
Tablet, chewable, oral:
TEGretol®: 100 mg [scored] [BCF]
Tablet, extended release, oral:
TEGretol®-XR: 200 mg, 400 mg [BCF]
Outpatient Dosage Forms
Tablet, oral, as maleate: 4 mg
Chlorthalidone
Outpatient Dosage Forms
Tablet, oral: 25 mg [BCF], 50 mg [BCF]
Cholecalciferol
Outpatient Dosage Forms
Carbamide Peroxide
Tablet, oral: 1000 units
Outpatient Dosage Forms
Cimetidine
Solution, otic [drops]: 6.5% (15 mL)
Outpatient Dosage Forms
Carbidopa and Levodopa
Tablet, oral: 400 mg
Outpatient Dosage Forms
Ciprofloxacin and Dexamethasone
Tablet, oral:
Sinemet®: 10/100: Carbidopa 10 mg and levodopa 100 mg [scored] [BCF]
Sinemet®: 25/100: Carbidopa 25 mg and levodopa 100 mg [scored] [BCF]
Sinemet®: 25/250: Carbidopa 25 mg and levodopa 250 mg [scored] [BCF]
Tablet, sustained release, oral:
Sinemet® CR: 25/100: Carbidopa 25 mg and levodopa 100 mg
Outpatient Dosage Forms
Suspension, otic:
Ciprodex®: Ciprofloxacin 0.3% and dexamethasone 0.1% (7.5 mL) [contains
benzalkonium chloride]
Ciprofloxacin (Ophthalmic)
Outpatient Dosage Forms
Carboxymethylcellulose
Solution, ophthalmic, as hydrochloride [drops]: 3.5 mg/mL (5 mL) [equivalent to
ciprofloxacin base 0.3%]
Outpatient Dosage Forms
Solution, ophthalmic, as sodium [drops, preservative free]:
Refresh®: 1%
Ciprofloxacin (Systemic)
Outpatient Dosage Forms
Carvedilol
Tablet, oral, as hydrochloride [strength expressed as base]: 250 mg [BCF],
500 mg [BCF]
Outpatient Dosage Forms
Capsule, extended release, oral, as phosphate:
Coreg CR®: 10 mg, 20 mg, 40 mg, 80 mg
Tablet, oral: 3.125 mg [BCF], 6.25 mg [BCF], 12.5 mg [BCF], 25 mg [BCF]
Coreg®: 3.125 mg [BCF], 6.25 mg [BCF], 12.5 mg [BCF], 25 mg [BCF]
Citalopram
Outpatient Dosage Forms
Solution, oral: 10 mg/5 mL (240 mL) [BCF]
Tablet, oral:
CeleXA®: 10 mg [BCF], 20 mg [scored] [BCF], 40 mg [scored] [BCF]
Cefadroxil
Outpatient Dosage Forms
Capsule, oral, as monohydrate [strength expressed as base]: 500 mg
Clarithromycin
Outpatient Dosage Forms
Cefdinir
Tablet, oral:
Biaxin®: 500 mg
Outpatient Dosage Forms
Capsule, oral: 300 mg
Powder for suspension, oral: 125 mg/5 mL (100 mL)
Clidinium and Chlordiazepoxide
Outpatient Dosage Forms
Cefprozil
Capsule, oral: 2.5/5: Clidinium bromide 2.5 mg and chlordiazepoxide hydrochloride 5 mg
Librax®: Clidinium bromide 2.5 mg and chlordiazepoxide hydrochloride 5 mg
Outpatient Dosage Forms
Powder for suspension, oral: 250 mg/5 mL (75 mL, 100 mL)
Cefuroxime
Clindamycin and Benzoyl Peroxide
Outpatient Dosage Forms
Outpatient Dosage Forms
Powder for suspension, oral, as axetil [strength expressed as base]:
Ceftin®: 250 mg/5 mL (50 mL, 100 mL) [contains phenylalanine 11.8 mg/5 mL;
tutti frutti flavor]
Tablet, oral, as axetil [strength expressed as base]:
Ceftin®: 250 mg
Gel, topical: Clindamycin phosphate 1% and benzoyl peroxide 5% (50 g)
BenzaClin®: Clindamycin phosphate 1% and benzoyl peroxide 5% (25 g, 50 g)
Clindamycin (Systemic)
Outpatient Dosage Forms
Capsule, oral, as hydrochloride [strength expressed as base]:
Cleocin HCl®: 150 mg [contains tartrazine] [BCF]
Celecoxib
Outpatient Dosage Forms
Clindamycin (Topical)
Capsule, oral:
CeleBREX®: 100 mg, 200 mg
Outpatient Dosage Forms
Cream, vaginal, as phosphate [strength expressed as base]:
Cleocin®: 2% (40 g) [contains benzyl alcohol, mineral oil] [BCF]
Solution, topical, as phosphate [strength expressed as base]:
Cleocin T®: 1% (60 mL) [contains isopropyl alcohol 50%] [BCF]
Cephalexin
Outpatient Dosage Forms
Capsule, oral: 250 mg [BCF], 500 mg [BCF]
4
DILTIAZEM
Tablet, oral: 4 mg
Clobetasol
Outpatient Dosage Forms
Dextroamphetamine
Cream, topical, as propionate: 0.05% (30 g, 60 g) [BCF]
Ointment, topical, as propionate: 0.05% (15 g) [BCF]
Solution, topical, as propionate [for scalp application]: 0.05% (25 mL)
Outpatient Dosage Forms
Tablet, oral, as sulfate: 5 mg
Dextroamphetamine and Amphetamine
ClomiPHENE
Outpatient Dosage Forms
Outpatient Dosage Forms
Capsule, extended release, oral:
Adderall XR®: 5 mg [dextroamphetamine sulfate 1.25 mg, dextroamphetamine
saccharate 1.25 mg, amphetamine aspartate monohydrate 1.25 mg, amphetamine sulfate 1.25 mg (equivalent to amphetamine base 3.1 mg)]
Adderall XR®: 10 mg [dextroamphetamine sulfate 2.5 mg, dextroamphetamine
saccharate 2.5 mg, amphetamine aspartate monohydrate 2.5 mg, amphetamine sulfate 2.5 mg (equivalent to amphetamine base 6.3 mg)]
Adderall XR®: 15 mg [dextroamphetamine sulfate 3.75 mg, dextroamphetamine saccharate 3.75 mg, amphetamine aspartate monohydrate 3.75 mg,
amphetamine sulfate 3.75 mg (equivalent to amphetamine base 9.4 mg)]
Adderall XR®: 20 mg [dextroamphetamine sulfate 5 mg, dextroamphetamine
saccharate 5 mg, amphetamine aspartate monohydrate 5 mg, amphetamine
sulfate 5 mg (equivalent to amphetamine base 12.5 mg)]
Adderall XR®: 30 mg [dextroamphetamine sulfate 7.5 mg, dextroamphetamine
saccharate 7.5 mg, amphetamine aspartate monohydrate 7.5 mg, amphetamine sulfate 7.5 mg (equivalent to amphetamine base 18.8 mg)]
Tablet, oral:
Adderall®: 5 mg [dextroamphetamine sulfate 1.25 mg, dextroamphetamine
saccharate 1.25 mg, amphetamine aspartate monohydrate 1.25 mg, amphetamine sulfate 1.25 mg (equivalent to amphetamine base 3.13 mg)]
Adderall®: 10 mg [scored; dextroamphetamine sulfate 2.5 mg, dextroamphetamine saccharate 2.5 mg, amphetamine aspartate monohydrate 2.5 mg,
amphetamine sulfate 2.5 mg (equivalent to amphetamine base 6.3 mg)]
Adderall®: 20 mg [scored; dextroamphetamine sulfate 5 mg, dextroamphetamine saccharate 5 mg, amphetamine aspartate monohydrate 5 mg,
amphetamine sulfate 5 mg (equivalent to amphetamine base 12.6 mg)]
Tablet, oral, as citrate:
Clomid®: 50 mg [scored]
ClonazePAM
Outpatient Dosage Forms
Tablet, oral: 0.5 mg [BCF], 1 mg
KlonoPIN®: 0.5 mg [scored] [BCF], 1 mg
CloNIDine
Outpatient Dosage Forms
Tablet, oral, as hydrochloride: 0.1 mg [BCF], 0.2 mg [BCF]
Clopidogrel
Outpatient Dosage Forms
Tablet, oral: 75 mg [BCF]
Clotrimazole (Oral)
Outpatient Dosage Forms
Troche, oral: 10 mg
Clotrimazole (Topical)
Outpatient Dosage Forms
Cream, topical: 1% (30 g)
Solution, topical: 1% (10 mL) [BCF]
Coal Tar
Outpatient Dosage Forms
Shampoo, topical:
PC-Tar: 1% (180 mL)
Diabetic Supplies
Outpatient Dosage Forms
Codeine
Glucose meter:
FreeStyle Freedom® Lite
Precision Xtra®
Insulin Syringe:
BD insulin syringe: (30 g x 1/2") 0.5 cc, 1 cc
BD insulin syringe: (31 g x 5/16") 0.5 cc, 1 cc
Lancet:
FreeStyle®: 100s
Pen Needle:
NovoFine® Pen Needle (30 gauge - 8 mm)
NovoFine® Pen Needle (32 gauge - 6 mm)
Puncture Devices:
Precision Xtra®
Test Strips:
FreeStyle Freedom® Lite: 100s
Precision Xtra® Blood Glucose Test Strips: 50s [BCF]
Outpatient Dosage Forms
Tablet, oral, as sulfate: 30 mg
Colchicine
Outpatient Dosage Forms
Tablet, oral:
Colcrys®: 0.6 mg [scored]
Cortisone
Outpatient Dosage Forms
Tablet, oral, as acetate: 25 mg
Cyanocobalamin
Outpatient Dosage Forms
Injection, solution: 1000 mcg/mL (1 mL)
Cyclobenzaprine
Diazepam
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, oral, as hydrochloride: 10 mg [BCF]
Tablet, oral: 2 mg, 5 mg [BCF]
Valium®: 5 mg [scored] [BCF]
Cyclopentolate
Outpatient Dosage Forms
Dibucaine
Solution, ophthalmic, as hydrochloride [drops]:
Cyclogyl®: 1% (5 mL) [contains benzalkonium chloride]
Outpatient Dosage Forms
Ointment, topical: 1% [10 mg/g] (30 g)
CycloSPORINE (Ophthalmic)
Diclofenac (Topical)
Outpatient Dosage Forms
Outpatient Dosage Forms
Emulsion, ophthalmic [drops, preservative free]:
Restasis®: 0.05% (0.4 mL) [contains castor oil]
Gel, transdermal, as sodium:
Voltaren: 1% (100 g) [contains isopropyl alcohol, propylene glycol]
Cyproheptadine
Dicloxacillin
Outpatient Dosage Forms
Outpatient Dosage Forms
Syrup, oral, as hydrochloride: 2 mg/5 mL (480 mL) [BCF]
Tablet, oral, as hydrochloride: 4 mg [BCF]
Capsule, oral: 250 mg [BCF]
Dicyclomine
Dabigatran Etexilate
Outpatient Dosage Forms
Outpatient Dosage Forms
Capsule, oral, as hydrochloride: 10 mg [BCF]
Syrup, oral, as hydrochloride: 10 mg/5 mL (473 mL) [BCF]
Tablet, oral, as hydrochloride: 20 mg [BCF]
Capsule, oral:
Pradaxa®: 75 mg, 150 mg
Desmopressin
Digoxin
Outpatient Dosage Forms
Outpatient Dosage Forms
Solution, intranasal, as acetate [spray]: 0.1 mg/mL (5 mL)
Tablet, oral:
Lanoxin®: 125 mcg [BCF], 250 mcg [BCF] [scored]
Desonide
Outpatient Dosage Forms
Diltiazem
Cream, topical: 0.05% (15 g)
Outpatient Dosage Forms
Dexamethasone (Systemic)
Capsule, extended release, oral, as hydrochloride [once-daily dosing]: 120 mg
[BCF], 180 mg [BCF], 240 mg [BCF], 300 mg [BCF], 360 mg [BCF]
Tiazac®: 120 mg [BCF], 180 mg [BCF], 240 mg [BCF], 300 mg [BCF],
360 mg [BCF]
Outpatient Dosage Forms
Elixir, Oral:
Generic: 0.5 mg/5 mL (237 mL)
5
DIPHENHYDRAMINE (SYSTEMIC)
Tablet, delayed release, enteric coated, oral, as base:
Ery-Tab®: 500 mg [contains sodium 16.7 mg (0.7 mEq)/tablet]
DiphenhydrAMINE (Systemic)
Outpatient Dosage Forms
Capsule, oral, as hydrochloride: 25 mg
Solution, oral, as hydrochloride:
Diphenhist®: 12.5 mg/5 mL (118 mL) [ethanol free; contains sodium 7 mg/5
mL, sodium benzoate; cherry flavor]
Erythromycin (Topical)
Outpatient Dosage Forms
Gel, topical: 2% (30 g) [BCF]
Solution, topical: 2% (60 mL) [BCF]
Diphenoxylate and Atropine
Escitalopram
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, oral:
Lomotil®: 2.5/0.025: Diphenoxylate hydrochloride 2.5 mg and atropine sulfate
0.025 mg
Tablet, oral:
Lexapro®: 5 mg
Lexapro®: 10 mg, 20 mg [scored]
Dipyridamole
Esomeprazole
Outpatient Dosage Forms
Tablet, oral: 25 mg
Persantine®: 75 mg
Outpatient Dosage Forms
Capsule, delayed release, oral, as magnesium [strength expressed as base]:
NexIUM®: 20 mg [BCF], 40 mg [BCF]
Granules for suspension, delayed release, oral, as magnesium [strength
expressed as base]:
NexIUM®: 20 mg/packet (30s); 40 mg/packet (30s)
Docusate
Outpatient Dosage Forms
Capsule, softgel, oral, as sodium: 100 mg
Donepezil
Estradiol (Systemic)
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, oral, as hydrochloride: 5 mg, 10 mg
Aricept®: 5 mg, 10 mg
Patch, transdermal [once-weekly patch]:
Climara®: 0.025 mg/24 hours (4s) [6.5 cm2, total estradiol 2 mg] [BCF]
Climara®: 0.05 mg/24 hours (4s) [12.5 cm2, total estradiol 3.8 mg] [BCF]
Climara®: 0.075 mg/24 hours (4s) [18.75 cm2, total estradiol 5.7 mg] [BCF]
Climara®: 0.1 mg/24 hours (4s) [25 cm2, total estradiol 7.6 mg] [BCF]
Tablet, oral [micronized]: 0.5 mg, 1 mg
Estrace®: 0.5 mg, 1 mg [scored]
Dorzolamide
Outpatient Dosage Forms
Solution, ophthalmic [drops]:
Trusopt®: 2% (10 mL) [contains benzalkonium chloride]
Doxazosin
Outpatient Dosage Forms
Estrogens (Conjugated/Equine) and Medroxyprogesterone
Tablet, oral:
Cardura®: 2 mg, 4 mg, 8 mg [scored]
Outpatient Dosage Forms
Tablet, oral:
Prempro®: 0.3/1.5: Conjugated estrogens 0.3 mg and medroxyprogesterone
acetate 1.5 mg [BCF]
Prempro®: 0.45/1.5: Conjugated estrogens 0.45 mg and medroxyprogesterone acetate 1.5 mg [BCF]
Prempro®: 0.625/2.5: Conjugated estrogens 0.625 mg and medroxyprogesterone acetate 2.5 mg [BCF]
Prempro®: 0.625/5: Conjugated estrogens 0.625 mg and medroxyprogesterone acetate 5 mg [BCF]
Doxepin (Systemic)
Outpatient Dosage Forms
Capsule, oral: 10 mg [BCF], 25 mg [BCF], 50 mg [BCF]
Doxycycline
Outpatient Dosage Forms
Capsule, oral, as hyclate [strength expressed as base]: 100 mg [BCF]
Tablet, oral, as hyclate [strength expressed as base]: 100 mg [BCF]
DULoxetine
Estrogens (Conjugated/Equine, Systemic)
Outpatient Dosage Forms
Outpatient Dosage Forms
Capsule, delayed release particles, oral: 20 mg, 30 mg, 60 mg
Tablet, oral:
Premarin®: 0.3 mg [BCF], 0.45 mg [BCF], 0.625 mg [BCF], 0.9 mg,
1.25 mg [BCF]
Emollients
Outpatient Dosage Forms
Lotion, topical:
Eucerin®: 120 mL, 454 mL
Estrogens (Conjugated/Equine, Topical)
Outpatient Dosage Forms
Cream, vaginal:
Premarin®: 0.625 mg/g (30 g) [BCF]
Enalapril
Outpatient Dosage Forms
Tablet, oral, as maleate: 5 mg, 10 mg
Eszopiclone
Outpatient Dosage Forms
Enoxaparin
Tablet, oral:
Lunesta®: 1 mg, 2 mg, 3 mg
Outpatient Dosage Forms
Injection, solution, as sodium [preservative free]:
Lovenox®: 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] [prefilled syringe]
Ethambutol
Outpatient Dosage Forms
Tablet, oral, as hydrochloride: 100 mg [BCF], 400 mg [BCF]
Myambutol®: 100 mg [BCF]
Myambutol®: 400 mg [scored] [BCF]
EPINEPHrine (Systemic, Oral Inhalation)
Outpatient Dosage Forms
Injection, solution:
EpiPen 2-Pak®: 0.3 mg/0.3 mL (2 mL) [contains sodium metabisulfite; 1:1000
solution; 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]
Ethinyl Estradiol and Desogestrel
Outpatient Dosage Forms
Tablet, oral [monophasic formulation]:
Desogen: Ethinyl estradiol 0.03 mg and desogestrel 0.15 mg [21 white tablets
and 7 green inactive tablets] (28s)
Ergocalciferol
Outpatient Dosage Forms
Ethinyl Estradiol and Drospirenone
Capsule, softgel, oral: 50,000 units [1.25 mg]
Outpatient Dosage Forms
Tablet, oral:
Yasmin®: Ethinyl estradiol 0.03 mg and drospirenone 3 mg [21 yellow active
tablets and 7 white inactive tablets] (28s) [BCF]
Yaz®: Ethinyl estradiol 0.02 mg and drospirenone 3 mg [24 light pink active
tablets and 4 white inactive tablets] (28s) [BCF]
Erythromycin (Ophthalmic)
Outpatient Dosage Forms
Ointment, Ophthalmic:
Generic: 5 mg/g (3.5 g) [BCF]
Erythromycin (Systemic)
Ethinyl Estradiol and Ethynodiol Diacetate
Outpatient Dosage Forms
Outpatient Dosage Forms
Granules for suspension, oral, as ethylsuccinate:
E.E.S.®: Erythromycin activity 200 mg/5 mL (100 mL, 200 mL) [contains
sodium 25.9 mg (1.1 mEq)/5 mL; cherry flavor] [BCF]
Tablet, oral, as base: 250 mg
Tablet, oral:
Zovia® 1/35: Ethinyl estradiol 0.035 mg and ethynodiol diacetate 1 mg [21 light
pink tablets and 7 white inactive tablets]
6
FLUTICASONE AND SALMETEROL
Ethinyl Estradiol and Etonogestrel
Felodipine
Outpatient Dosage Forms
Outpatient Dosage Forms
Ring, vaginal:
NuvaRing®: Ethinyl estradiol 0.015 mg/day and etonogestrel 0.12 mg/day (3s)
[3-week duration]
Tablet, extended release, oral: 2.5 mg, 5 mg, 10 mg
Fenofibrate and Derivatives
Outpatient Dosage Forms
Ethinyl Estradiol and Levonorgestrel
Tablet, oral:
TriCor®: 48 mg [BCF], 145 mg [BCF] [contains soybean lecithin]
Outpatient Dosage Forms
Tablet, oral [extended-cycle regimen]:
Jolessa™: Ethinyl estradiol 0.03 mg and levonorgestrel 0.15 mg [84 pink
tablets and 7 white inactive tablets] (91s) [BCF]
Tablet, oral [low dose formulation]:
Sronyx®: Ethinyl estradiol 0.02 mg and levonorgestrel 0.1 mg [21 white tablets
and 7 peach inactive tablets] (28s) [BCF]
Tablet, oral [monophasic formulation]: Ethinyl estradiol 0.03 mg and levonorgestrel 0.15 mg [21 tablets and 7 inactive tablets] (28s)
Levora®: Ethinyl estradiol 0.03 mg and levonorgestrel 0.15 mg (28s) [21 white
tablets and 7 peach inactive tablets] [BCF]
Tablet, oral [triphasic formulation]:
Trivora®:
Day 1-6: Ethinyl estradiol 0.03 mg and levonorgestrel 0.05 mg [6 blue tablets]
Day 7-11: Ethinyl estradiol 0.04 mg and levonorgestrel 0.075 mg [5 white
tablets]
Day 12-21: Ethinyl estradiol 0.03 mg and levonorgestrel 0.125 mg [10 pink
tablets]
Ferrous Sulfate
Outpatient Dosage Forms
Solution, oral:
Fer-In-Sol: 75 (15 Fe) mg/mL (50 mL) [contains alcohol, usp, sodium bisulfite]
Tablet, oral: 325 mg [elemental iron 65 mg]
Fexofenadine
Outpatient Dosage Forms
Tablet, oral, as hydrochloride: 180 mg
Fexofenadine and Pseudoephedrine
Outpatient Dosage Forms
Tablet, extended release, oral:
Allegra-D® 12 Hour: Fexofenadine hydrochloride 60 mg [immediate release]
and pseudoephedrine hydrochloride 120 mg [extended release]
Finasteride
Ethinyl Estradiol and Norelgestromin
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, oral: 5 mg [BCF]
Patch, transdermal:
Ortho Evra®: Ethinyl estradiol 0.75 mg and norelgestromin 6 mg (3s) [releases
ethinyl estradiol 20 mcg and norelgestromin 150 mcg per day]
Fluconazole
Outpatient Dosage Forms
Powder for suspension, oral: 10 mg/mL (35 mL); 40 mg/mL (35 mL)
Tablet, oral: 100 mg, 150 mg [BCF]
Diflucan®: 100 mg, 150 mg [BCF]
Ethinyl Estradiol and Norethindrone
Outpatient Dosage Forms
Tablet, oral [biphasic formulation]:
Necon® 1/35: Ethinyl estradiol 0.035 mg and norethindrone 1 mg [21 dark
yellow tablets and 7 white inactive tablets] [BCF]
Tablet, oral [monophasic formulation]:
Microgestin® 1/20: Ethinyl estradiol 0.02 mg and norethindrone acetate 1 mg
[white tablets] (21s)
Microgestin® Fe 1/20: Ethinyl estradiol 0.02 mg and norethindrone acetate
1 mg [21 white tablets] and ferrous fumarate 75 mg [7 brown tablets] (28s)
Microgestin® Fe 1.5/30: Ethinyl estradiol 0.03 mg and norethindrone acetate
1.5 mg [21 green tablets] and ferrous fumarate 75 mg [7 brown tablets] (28s)
Tablet, oral [triphasic formulation]:
Necon® 7/7/7:
Day 1-7: Ethinyl estradiol 0.035 mg and norethindrone 0.5 mg [7 white
tablets]
Day 8-14: Ethinyl estradiol 0.035 mg and norethindrone 0.75 mg [7 light
peach tablets]
Day 15-21: Ethinyl estradiol 0.035 mg and norethindrone 1 mg [7 peach
tablets]
Day 22-28: 7 green inactive tablets (28s)
Fludrocortisone
Outpatient Dosage Forms
Tablet, oral, as acetate: 0.1 mg
Fluocinolone (Topical)
Outpatient Dosage Forms
Solution, topical, as acetonide: 0.01% (60 mL)
Fluocinonide
Outpatient Dosage Forms
Cream, anhydrous, emollient, topical: 0.05% (15 g, 30 g, 60 g) [BCF]
Gel, topical: 0.05% (15 g)
Ointment, topical: 0.05% (30 g)
Fluoride
Outpatient Dosage Forms
Cream, oral, as sodium [toothpaste]:
PreviDent® 5000 Plus®: 1.1% (51 g) [contains sodium benzoate; spearmint
flavor; equivalent to fluoride 2.5 mg/dose]
Gel, topical, as sodium:
PreviDent®: 1.1% (56 g) [very berry flavor; equivalent to fluoride 2 mg/dose]
Solution, oral, as sodium [drops]:
Fluor-A-Day®: 0.278 mg/drop (30 mL) [equivalent to fluoride 0.125 mg/drop]
Tablet, chewable, oral, as sodium:
Fluor-A-Day®: 2.2 mg [raspberry flavor; equivalent to fluoride 1 mg]
Ethinyl Estradiol and Norgestimate
Outpatient Dosage Forms
Tablet, oral [monophasic formulation]:
MonoNessa®: Ethinyl estradiol 0.035 mg and norgestimate 0.25 mg [21 blue
tablets and 7 dark green inactive tablets] [BCF]
Sprintec®: Ethinyl estradiol 0.035 mg and norgestimate 0.25 mg [21 blue
tablets and 7 white inactive tablets] [BCF]
Tablet, oral [triphasic formulation]:
TriNessa® [BCF]:
Day 1-7: Ethinyl estradiol 0.035 mg and norgestimate 0.18 mg [7 white
tablets]
Day 8-14: Ethinyl estradiol 0.035 mg and norgestimate 0.215 mg [7 light blue
tablets]
Day 15-21: Ethinyl estradiol 0.035 mg and norgestimate 0.25 mg [7 blue
tablets]
Day 22-28: 7 dark green inactive tablets (28s)
Fluorometholone
Outpatient Dosage Forms
Suspension, ophthalmic, as base [drops]: 0.1% (5 mL)
FML®: 0.1% (5 mL) [contains benzalkonium chloride]
FLUoxetine
Outpatient Dosage Forms
Capsule, oral: 10 mg [BCF], 20 mg [BCF], 40 mg [BCF]
PROzac®: 10 mg [BCF], 20 mg [BCF], 40 mg [BCF]
Solution, oral: 20 mg/5 mL (120 mL) [BCF]
Ethinyl Estradiol and Norgestrel
Outpatient Dosage Forms
Flutamide
Tablet, oral [monophasic formulation]:
Lo/Ovral®-28: Ethinyl estradiol 0.03 mg and norgestrel 0.3 mg [21 white
tablets and 7 pink inactive tablets] (28s)
Outpatient Dosage Forms
Capsule, oral: 125 mg
Exenatide
Fluticasone and Salmeterol
Outpatient Dosage Forms
Outpatient Dosage Forms
Injection, solution:
Byetta®: 250 mcg/mL (2.4 mL) [10 mcg/0.04 mL; 60 doses]
Byetta®: 250 mcg/mL (1.2 mL) [5 mcg/0.02 mL; 60 doses]
Aerosol, for oral inhalation:
Advair® HFA: 45/21: Fluticasone propionate 45 mcg and salmeterol 21 mcg
per inhalation (12 g) [chlorofluorocarbon free; 120 metered actuations] [BCF]
Advair® HFA: 115/21: Fluticasone propionate 115 mcg and salmeterol 21 mcg
per inhalation (12 g) [chlorofluorocarbon free; 120 metered actuations] [BCF]
Advair® HFA: 230/21: Fluticasone propionate 230 mcg and salmeterol 21 mcg
per inhalation (12 g) [chlorofluorocarbon free; 120 metered actuations] [BCF]
Ezetimibe
Outpatient Dosage Forms
Tablet, oral:
Zetia®: 10 mg
7
FLUTICASONE AND SALMETEROL
Powder, for oral inhalation:
Advair Diskus®: 100/50: Fluticasone propionate 100 mcg and salmeterol 50
mcg (60s) [contains lactose] [BCF]
Advair Diskus®: 250/50: Fluticasone propionate 250 mcg and salmeterol 50
mcg (60s) [contains lactose] [BCF]
Advair Diskus®: 500/50: Fluticasone propionate 500 mcg and salmeterol 50
mcg (60s) [contains lactose] [BCF]
Glucovance®: 5/500: Glyburide 5 mg and metformin hydrochloride 500 mg,
2.5/500: Glyburide 2.5 mg and metformin hydrochloride 500 mg
Goserelin
Outpatient Dosage Forms
Implant, subcutaneous:
Zoladex®: 3.6 mg (1s) [1 month implant] [BCF]
Zoladex®: 10.8 mg (1s) [3 month implant] [BCF]
Fluticasone (Nasal)
Griseofulvin
Outpatient Dosage Forms
Suspension, intranasal, as propionate [spray]: 50 mcg/inhalation (16 g) [BCF]
Outpatient Dosage Forms
Suspension, oral [microsize]: 125 mg/5 mL (120 mL) [BCF]
Tablet, oral [ultramicrosize]: 125 mg [BCF], 250 mg [BCF]
Gris-PEG®: 125 mg [BCF], 250 mg [BCF] [scored]
Fluticasone (Oral Inhalation)
Outpatient Dosage Forms
Aerosol, for oral inhalation, as propionate:
Flovent® HFA: 44 mcg/inhalation (10.6 g) [chlorofluorocarbon free; 120
metered actuations] [BCF]
Flovent® HFA: 110 mcg/inhalation (12 g) [chlorofluorocarbon free; 120
metered actuations] [BCF]
Flovent® HFA: 220 mcg/inhalation (12 g) [chlorofluorocarbon free; 120
metered actuations] [BCF]
Powder, for oral inhalation, as propionate:
Flovent® Diskus®: 50 mcg (60s) [contains lactose] [BCF]
Flovent® Diskus®: 100 mcg (60s) [contains lactose] [BCF]
Flovent® Diskus®: 250 mcg (60s) [contains lactose] [BCF]
GuaiFENesin
Outpatient Dosage Forms
Syrup, oral: 100 mg/5 mL (118 mL)
Tablet, extended release 12 Hour, oral:
Mucinex: 600 mg [contains fd&c blue #1 aluminum lake]
Guaifenesin and Codeine
Outpatient Dosage Forms
Solution, oral: Guaifenesin 100 mg and codeine phosphate 10 mg per 5 mL (118
mL)
Folic Acid
Guaifenesin and Dextromethorphan
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, oral: 1 mg [BCF]
Syrup, oral: Guaifenesin 100 mg and dextromethorphan hydrobromide 10 mg
per 5 mL (118 mL)
Tablet, extended release, oral:
Mucinex® DM: Guaifenesin 600 mg and dextromethorphan hydrobromide 30 mg
Folic Acid, Cyanocobalamin, and Pyridoxine
Outpatient Dosage Forms
Tablet, oral:
Folbic™: Folic acid 2.5 mg, cyanocobalamin 2000 mcg, and pyridoxine hydrochloride 25 mg
Guaifenesin and Pseudoephedrine
Fosinopril
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, extended release, oral:
Mucinex® D: Guaifenesin 600 mg and pseudoephedrine hydrochloride 60 mg
Tablet, oral, as sodium: 10 mg, 20 mg, 40 mg
Furosemide
GuanFACINE
Outpatient Dosage Forms
Outpatient Dosage Forms
Solution, oral: 10 mg/mL (120 mL) [BCF]
Tablet, oral: 20 mg [BCF], 40 mg [BCF]
Lasix®: 20 mg [BCF], 40 mg [BCF]
Tablet Extended Release 24 Hour, Oral:
Intuniv: 1 mg, 2 mg, 3 mg
Homatropine
Gabapentin
Outpatient Dosage Forms
Outpatient Dosage Forms
Solution, ophthalmic, as hydrobromide [drops]:
Isopto® Homatropine: 5% (5 mL) [contains benzalkonium chloride]
Capsule, oral: 100 mg [BCF], 300 mg [BCF], 400 mg [BCF]
Neurontin®: 100 mg [BCF], 300 mg [BCF], 400 mg [BCF]
Tablet, oral: 600 mg [BCF], 800 mg [BCF]
Hyaluronate and Derivatives
Outpatient Dosage Forms
Gemfibrozil
Injection, solution, intra-articular [sodium hyaluronate]:
Euflexxa®: 10 mg/mL (2 mL)
Outpatient Dosage Forms
Tablet, oral:
Lopid®: 600 mg [scored] [BCF]
HydrALAZINE
Gentamicin (Ophthalmic)
Outpatient Dosage Forms
Tablet, oral, as hydrochloride: 10 mg [BCF], 25 mg [BCF], 50 mg [BCF],
100 mg
Outpatient Dosage Forms
Ointment, ophthalmic:
Gentak®: 0.3% (3.5 g) [BCF]
Solution, ophthalmic [drops]: 0.3% (5 mL) [BCF]
Hydrochlorothiazide
Outpatient Dosage Forms
Glimepiride
Capsule, oral: 12.5 mg [BCF]
Tablet, oral: 25 mg [BCF], 50 mg [BCF]
Outpatient Dosage Forms
Tablet, oral:
Amaryl®: 1 mg, 2 mg, 4 mg [scored]
Hydrochlorothiazide and Spironolactone
Outpatient Dosage Forms
GlipiZIDE
Tablet, oral:
Aldactazide®: 25/25: Hydrochlorothiazide 25 mg and spironolactone 25 mg
Outpatient Dosage Forms
Tablet, oral: 5 mg [BCF], 10 mg [BCF]
Tablet, extended release, oral:
Glucotrol XL®: 2.5 mg, 5 mg, 10 mg
Hydrochlorothiazide and Triamterene
Outpatient Dosage Forms
Capsule, oral: Hydrochlorothiazide 25 mg and triamterene 37.5 mg
Tablet, oral: Hydrochlorothiazide 25 mg and triamterene 37.5 mg [BCF]; hydrochlorothiazide 50 mg and triamterene 75 mg [BCF]
Glucagon
Outpatient Dosage Forms
Injection, powder for reconstitution:
Glucagon Emergency Kit: 1 mg [contains glycerin (in diluent), lactose 49 mg;
equivalent to 1 unit]
Hydrocodone and Acetaminophen
Outpatient Dosage Forms
Solution, oral: Hydrocodone bitartrate 7.5 mg and acetaminophen 325 mg per
15 mL (118 mL)
Tablet, oral:
Hydrocodone bitartrate 5 mg and acetaminophen 300 mg
Hydrocodone bitartrate 5 mg and acetaminophen 325 mg
GlyBURIDE
Outpatient Dosage Forms
Tablet, oral: 1.25 mg [BCF], 2.5 mg [BCF], 5 mg [BCF]
Tablet, oral [micronized]:
Glynase® PresTab®: 1.5 mg [BCF], 3 mg [BCF] [scored]
Hydrocortisone (Systemic)
Glyburide and Metformin
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, oral, as base:
Cortef®: 5 mg, 20 mg [scored]
Tablet, oral: 1.25 mg/250 mg: Glyburide 1.25 mg and metformin hydrochloride
250 mg
8
LACTIC ACID AND AMMONIUM HYDROXIDE
Insulin Glargine
Outpatient Dosage Forms
Hydrocortisone (Topical)
Injection, solution:
Lantus®: 100 units/mL (10 mL) [vial] [BCF]
Lantus® Solostar®: 100 units/mL (3 mL) [prefilled pen] [BCF]
Outpatient Dosage Forms
Cream, topical, as base: 1% (30 g); 2.5% (30 g)
ProctoCream®-HC: 2.5% (30 g) [contains benzyl alcohol] [BCF]
Cream, topical, as butyrate: 0.1% (45 g)
Locoid®: 0.1% (45 g)
Cream, topical, as valerate: 0.2% (15 g, 60 g)
Ointment, topical, as base: 1% (30 g)
Ointment, topical, as butyrate: 0.1% (45 g)
Ointment, topical, as valerate: 0.2% (15 g, 45 g)
Westcort®: 0.2% (60 g)
Suppository, rectal, as acetate: 25 mg (12s) [BCF]
Insulin NPH
Outpatient Dosage Forms
Injection, suspension:
NovoLIN® N: 100 units/mL (10 mL) [vial] [BCF]
Insulin NPH and Insulin Regular
Outpatient Dosage Forms
Injection, suspension:
NovoLIN® 70/30: Insulin NPH suspension 70% [intermediate acting] and
insulin regular solution 30% [short acting]: 100 units/mL (10 mL) [vial] [BCF]
HYDROmorphone
Outpatient Dosage Forms
Insulin Regular
Tablet, oral, as hydrochloride:
Dilaudid®: 2 mg [contains sodium metabisulfite (may have trace amounts)]
Outpatient Dosage Forms
Injection, solution:
NovoLIN® R: 100 units/mL (10 mL) [BCF]
Hydroxychloroquine
Outpatient Dosage Forms
Interferon Beta-1b
Tablet, oral, as sulfate:
Plaquenil®: 200 mg [equivalent to 155 mg base]
Outpatient Dosage Forms
Kit, Subcutaneous:
Betaseron: 0.3 mg [contains albumin human] [BCF]
HydrOXYzine
Outpatient Dosage Forms
Ipratropium and Albuterol
Capsule, oral, as pamoate: 25 mg
Syrup, oral, as hydrochloride: 10 mg/5 mL (473 mL) [BCF]
Tablet, oral, as hydrochloride: 10 mg [BCF], 25 mg [BCF]
Outpatient Dosage Forms
Solution, for nebulization: Ipratropium bromide 0.5 mg and albuterol (base)
2.5 mg per 3 mL (30s) [BCF]
Solution, for oral inhalation [spray]:
Combivent® Respimat®: Ipratropium bromide 20 mcg and albuterol (base) 100
mcg per inhalation (4 g) [contains benzalkonium chloride; 120 metered
actuations]
Hyoscyamine
Outpatient Dosage Forms
Tablet, oral, as sulfate: 0.125 mg
Levsin®: 0.125 mg
Hyoscyamine, Atropine, Scopolamine, and Phenobarbital
Ipratropium (Nasal)
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, oral: Hyoscyamine sulfate 0.1037 mg, atropine sulfate 0.0194 mg,
scopolamine hydrobromide 0.0065 mg, and phenobarbital 16.2 mg
Donnatal®: Hyoscyamine sulfate 0.1037 mg, atropine sulfate 0.0194 mg,
scopolamine hydrobromide 0.0065 mg, and phenobarbital 16.2 mg
Solution, intranasal, as bromide [spray]:
Atrovent®: 0.06% (15 mL) [contains benzalkonium chloride; delivers 42 mcg/
spray; 165 sprays]
Ipratropium (Oral Inhalation)
Ibandronate
Outpatient Dosage Forms
Outpatient Dosage Forms
Aerosol, for oral inhalation, as bromide:
Atrovent® HFA: 17 mcg/actuation (12.9 g) [chlorofluorocarbon free; 200
metered actuations] [BCF]
Solution, for nebulization, as bromide [preservative free]: 0.02% [500 mcg/2.5
mL] (30s)
Tablet, oral: 150 mg
Ibuprofen
Outpatient Dosage Forms
Suspension, oral: 100 mg/5 mL (120 mL)
Tablet, oral: 200 mg [BCF], 400 mg [BCF], 600 mg [BCF], 800 mg [BCF]
Isoniazid
Imipramine
Outpatient Dosage Forms
Tablet, oral: 300 mg [BCF]
Outpatient Dosage Forms
Tablet, oral, as hydrochloride: 25 mg [BCF], 50 mg [BCF]
Tofranil®: 25 mg [BCF], 50 mg [BCF]
Isosorbide Dinitrate
Outpatient Dosage Forms
Indomethacin
Tablet, oral: 10 mg [BCF], 20 mg [BCF], 30 mg [BCF]
Tablet, extended release, oral: 40 mg [BCF]
Outpatient Dosage Forms
Capsule, oral: 25 mg [BCF], 50 mg [BCF]
Isosorbide Mononitrate
Inhalation Devices
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, extended release, oral: 30 mg [BCF], 60 mg [BCF], 120 mg [BCF]
Imdur®: 30 mg [scored] [BCF], 60 mg [scored] [BCF], 120 mg [BCF]
Holding chamber:
AeroChamber® Plus
Vortex®
Holding chamber with mask:
AeroChamber® Plus: Small, medium, large
EasiVent®
Ketoconazole (Systemic)
Outpatient Dosage Forms
Tablet, oral: 200 mg
Ketoconazole (Topical)
Insulin Aspart
Outpatient Dosage Forms
Outpatient Dosage Forms
Cream, topical: 2% (30 g)
Shampoo, topical:
Nizoral®: 2% (120 mL)
Injection, solution:
NovoLOG®: 100 units/mL (10 mL) [vial] [BCF]
NovoLOG® FlexPen®: 100 units/mL (3 mL) [BCF]
Ketorolac (Ophthalmic)
Insulin Aspart Protamine and Insulin Aspart
Outpatient Dosage Forms
Outpatient Dosage Forms
Solution, ophthalmic, as tromethamine [drops]: 0.5% (5 mL)
Acular®: 0.5% (5 mL) [contains benzalkonium chloride]
Injection, suspension:
NovoLOG® Mix 70/30 FlexPen®: 100 units/mL: Insulin aspart protamine
suspension 70% [intermediate acting] and insulin aspart solution 30%
[rapid-acting] (3 mL) [BCF]
Labetalol
Outpatient Dosage Forms
Tablet, oral, as hydrochloride: 200 mg
Insulin Detemir
Lactic Acid and Ammonium Hydroxide
Outpatient Dosage Forms
Outpatient Dosage Forms
Injection, solution:
Levemir®: 100 units/mL (10 mL)
Levemir® FlexPen®: 100 units/mL (3 mL)
Lotion, topical:
AmLactin®: Lactic acid 12% with ammonium hydroxide (225 g)
9
LACTULOSE
Lactulose
Lithium
Outpatient Dosage Forms
Outpatient Dosage Forms
Solution, oral: 10 g/15 mL (473 mL) [BCF]
Capsule, oral, as carbonate: 150 mg [BCF], 300 mg [BCF]
Solution, oral, as citrate: 300 mg/5 mL (500 mL) [equivalent to amount of lithium
in lithium carbonate] [BCF]
Tablet, extended release, oral, as carbonate:
Lithobid®: 300 mg
LamoTRIgine
Outpatient Dosage Forms
Tablet, oral:
LaMICtal®: 25 mg, 100 mg, 150 mg, 200 mg [scored]
Lodoxamide
Latanoprost
Outpatient Dosage Forms
Outpatient Dosage Forms
Solution, ophthalmic [drops]:
Alomide®: 0.1% (10 mL) [contains benzalkonium chloride]
Solution, ophthalmic [drops]:
Xalatan®: 0.005% (2.5 mL) [contains benzalkonium chloride] [BCF]
Loperamide
Leuprolide
Outpatient Dosage Forms
Outpatient Dosage Forms
Capsule, oral, as hydrochloride: 2 mg [BCF]
Injection, powder for reconstitution, as acetate [depot formulation, preservative
free]:
Lupron Depot®: 3.75 mg (monthly), 7.5 mg (monthly), 11.25 mg (3 month)
[contains polylactide-co-glycolide, polysorbate 80]
Loratadine
Outpatient Dosage Forms
Syrup, oral: 5 mg/5 mL (120 mL)
Tablet, oral: 10 mg
Levalbuterol
LORazepam
Outpatient Dosage Forms
Aerosol, for oral inhalation, as tartrate [strength expressed as base]:
Xopenex HFA: 45 mcg/actuation (15 g) [chlorofluorocarbon free; 200 actuations]
Nebulization Solution, Inhalation, as hydrochloride [strength expressed as base]:
Generic: 0.31 mg/3 mL (3 mL); 0.63 mg/3 mL (3 mL); 1.25 mg/3 mL (3 mL)
Outpatient Dosage Forms
Tablet, oral: 0.5 mg, 1 mg
Losartan
Outpatient Dosage Forms
Tablet, oral, as potassium: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF]
Cozaar®: 25 mg [contains potassium 2.12 mg (0.054 mEq)] [BCF]
Cozaar®: 50 mg [contains potassium 4.24 mg (0.108 mEq)] [BCF]
Cozaar®: 100 mg [contains potassium 8.48 mg (0.216 mEq)] [BCF]
LevETIRAcetam
Outpatient Dosage Forms
Solution, oral:
Generic: 100 mg/mL (473 mL)
Tablet, oral:
Keppra®: 500 mg [scored; gluten free]
Losartan and Hydrochlorothiazide
Outpatient Dosage Forms
Tablet, oral:
50/12.5: Losartan potassium 50 mg and hydrochlorothiazide 12.5 mg [BCF]
100/12.5: Losartan potassium 100 mg and hydrochlorothiazide 12.5 mg [BCF]
100/25: Losartan potassium 100 mg and hydrochlorothiazide 25 mg [BCF]
Hyzaar® 50/12.5: Losartan potassium 50 mg and hydrochlorothiazide 12.5 mg
[contains potassium 4.24 mg (0.108 mEq)] [BCF]
Hyzaar® 100/12.5: Losartan potassium 100 mg and hydrochlorothiazide
12.5 mg [contains potassium 8.48 mg (0.216 mEq)] [BCF]
Hyzaar® 100/25: Losartan potassium 100 mg and hydrochlorothiazide 25 mg
[contains potassium 8.48 mg (0.216 mEq)] [BCF]
Levobunolol
Outpatient Dosage Forms
Solution, ophthalmic, as hydrochloride [drops]: 0.5% (10 mL)
Levofloxacin (Systemic)
Outpatient Dosage Forms
Solution, oral:
Levaquin®: 25 mg/mL (480 mL) [contains benzyl alcohol, propylene glycol] [BCF]
Tablet, oral:
Levaquin®: 250 mg [BCF], 500 mg [BCF], 750 mg [BCF]
Magnesium Citrate
Outpatient Dosage Forms
Levonorgestrel (IUD)
Solution, oral: 290 mg/5 mL (296 mL)
Outpatient Dosage Forms
Magnesium Oxide
Intrauterine Device:
Mirena: 20 mcg/24 hr
Outpatient Dosage Forms
Tablet, oral: 400 mg [equivalent to elemental magnesium 240 mg]
Mag-Ox® 400: 400 mg [scored; equivalent to elemental magnesium 240 mg]
Levonorgestrel (Systemic)
Outpatient Dosage Forms
Meclizine
Tablet, Oral:
Plan B: 0.75 mg [BCF]
Plan B One-Step: 1.5 mg
Outpatient Dosage Forms
Tablet, oral, as hydrochloride: 25 mg
Dramamine® Less Drowsy Formula: 25 mg
Levothyroxine
Outpatient Dosage Forms
MedroxyPROGESTERone
Tablet, oral, as sodium:
Synthroid®: 25 mcg [BCF], 50 mcg [BCF], 75 mcg [BCF], 88 mcg [BCF], 100
mcg [BCF], 112 mcg [BCF], 125 mcg [BCF], 137 mcg [BCF], 150 mcg
[BCF], 175 mcg [BCF], 200 mcg [BCF], 300 mcg [BCF]
Outpatient Dosage Forms
Injection, suspension, as acetate:
Depo-Provera® Contraceptive: 150 mg/mL (1 mL) [contains polysorbate 80]
Tablet, oral, as acetate:
Provera®: 2.5 mg [BCF], 10 mg [BCF] [scored]
Lidocaine (Topical)
Outpatient Dosage Forms
Megestrol
Ointment, topical: 5% (35.4 g)
Patch, topical:
Lidoderm®: 5% (30s)
Solution, viscous, oral topical, as hydrochloride: 2% [20 mg/mL] (100 mL)
Outpatient Dosage Forms
Tablet, oral, as acetate: 40 mg
Meloxicam
Outpatient Dosage Forms
Lisinopril
Tablet, oral:
Mobic®: 7.5 mg [BCF], 15 mg [BCF]
Outpatient Dosage Forms
Tablet, oral: 2.5 mg [BCF], 5 mg [BCF], 10 mg [BCF], 20 mg [BCF], 30 mg
[BCF], 40 mg [BCF]
Memantine
Outpatient Dosage Forms
Lisinopril and Hydrochlorothiazide
Tablet, oral, as hydrochloride:
Namenda®: 5 mg, 10 mg
Outpatient Dosage Forms
Tablet, 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]
Prinzide®: 10/12.5: Lisinopril 10 mg and hydrochlorothiazide 12.5 mg [BCF]
Prinzide®: 20/12.5: Lisinopril 20 mg and hydrochlorothiazide 12.5 mg [BCF]
Zestoretic®: 10/12.5: Lisinopril 10 mg and hydrochlorothiazide 12.5 mg [BCF]
Zestoretic®: 20/12.5: Lisinopril 20 mg and hydrochlorothiazide 12.5 mg [BCF]
Zestoretic®: 20/25: Lisinopril 20 mg and hydrochlorothiazide 25 mg [BCF]
Meperidine
Outpatient Dosage Forms
Tablet, oral, as hydrochloride:
Demerol®: 50 mg [scored]
Mercaptopurine
Outpatient Dosage Forms
Tablet, oral: 50 mg
10
NEOMYCIN, POLYMYXIN B, AND HYDROCORTISONE (OTIC)
Mesalamine
Modafinil
Outpatient Dosage Forms
Outpatient Dosage Forms
Capsule, extended release 24 Hour, oral:
Apriso: 0.375 g [contains aspartame]
Tablet, delayed release, oral:
Lialda: 1.2 g [BCF]
Tablet, oral:
Provigil®: 200 mg [scored]
Mometasone (Nasal)
Outpatient Dosage Forms
MetFORMIN
Suspension, intranasal [spray]:
Nasonex®: 50 mcg/spray (17 g) [contains benzalkonium chloride; delivers 120
sprays]
Outpatient Dosage Forms
Tablet, oral, as hydrochloride: 500 mg [BCF], 850 mg [BCF], 1000 mg [BCF]
Glucophage®: 500 mg [BCF], 850 mg [BCF], 1000 mg [BCF]
Tablet, extended release, oral, as hydrochloride: 500 mg [BCF], 750 mg [BCF]
Glucophage® XR: 500 mg [BCF]
Mometasone (Topical)
Outpatient Dosage Forms
Methocarbamol
Cream, topical, as furoate:
Elocon®: 0.1% (45 g)
Outpatient Dosage Forms
Tablet, oral: 500 mg [BCF]
Montelukast
Methotrexate
Outpatient Dosage Forms
Outpatient Dosage Forms
Granules, oral:
Singulair®: 4 mg/packet (30s) [BCF]
Tablet, oral: 10 mg [BCF]
Tablet, chewable, oral: 4 mg [BCF], 5 mg [BCF]
Singulair®: 4 mg [contains phenylalanine 0.67 mg/tablet; cherry flavor] [BCF]
Singulair®: 5 mg [contains phenylalanine 0.84 mg/tablet; cherry flavor] [BCF]
Tablet, oral: 2.5 mg [BCF]
Methyldopa
Outpatient Dosage Forms
Tablet, oral: 250 mg
Methylphenidate
Morphine (Systemic)
Outpatient Dosage Forms
Capsule, extended release, oral, as hydrochloride:
Metadate CD®: 10 mg, 20 mg, 30 mg [contains fd&c blue #2 (indigotine)]
Capsule, 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]
Tablet, oral, as hydrochloride: 5 mg [BCF], 10 mg [BCF], 20 mg [BCF]
Ritalin®: 5 mg [BCF], 10 mg [BCF], 20 mg [BCF]
Tablet, extended release, oral, as hydrochloride [bi-modal release]:
Concerta®: 18 mg [4 mg immediate release, 14 mg extended release] [BCF]
Concerta®: 27 mg [6 mg immediate release, 21 mg extended release] [BCF]
Concerta®: 36 mg [8 mg immediate release, 28 mg extended release] [BCF]
Concerta®: 54 mg [12 mg immediate release, 42 mg extended release] [BCF]
Tablet, sustained release, oral, as hydrochloride:
Ritalin-SR®: 20 mg [dye free]
Outpatient Dosage Forms
Tablet, oral, as sulfate: 15 mg, 30 mg
Tablet, extended release, oral, as sulfate:
MS Contin®: 15 mg [BCF], 30 mg [BCF], 60 mg [BCF]
Moxifloxacin (Ophthalmic)
Outpatient Dosage Forms
Solution, ophthalmic [drops]:
Vigamox®: 0.5% (3 mL)
Moxifloxacin (Systemic)
Outpatient Dosage Forms
Tablet, oral:
Avelox®: 400 mg
Mupirocin
MethylPREDNISolone
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, oral:
Medrol®: 4 mg [scored]
Medrol® (dose-pak): 4 mg (21s) [scored]
Ointment, topical:
Bactroban®: 2% (22 g) [contains polyethylene glycol] [BCF]
Naftifine
Metoclopramide
Outpatient Dosage Forms
Outpatient Dosage Forms
Cream, topical, as hydrochloride:
Naftin®: 1% (30 g) [contains benzyl alcohol]
Solution, oral: 5 mg/5 mL (473 mL) [BCF]
Tablet, oral:
Reglan®: 10 mg [scored] [BCF]
Naltrexone
Outpatient Dosage Forms
Metolazone
Tablet, oral, as hydrochloride: 50 mg
Outpatient Dosage Forms
Tablet, oral:
Zaroxolyn®: 2.5 mg
Naphazoline and Pheniramine
Outpatient Dosage Forms
Metoprolol
Solution, ophthalmic:
Visine-A®: Naphazoline hydrochloride 0.025% and pheniramine maleate 0.3%
(15 mL) [contains benzalkonium chloride]
Outpatient Dosage Forms
Tablet, oral, as tartrate: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF]
Tablet, extended release, oral, as succinate [expressed as mg equivalent to
tartrate]: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF], 200 mg [BCF]
Toprol-XL®: 200 mg [BCF] [scored; expressed as mg equivalent to tartrate]
Naproxen
Outpatient Dosage Forms
Suspension, oral: 125 mg/5 mL (500 mL) [BCF]
Tablet, oral: 250 mg [BCF], 500 mg [BCF]
MetroNIDAZOLE (Systemic)
Outpatient Dosage Forms
Tablet, oral: 250 mg [BCF], 500 mg [BCF]
Neomycin, Polymyxin B, and Gramicidin
Outpatient Dosage Forms
MetroNIDAZOLE (Topical)
Solution, ophthalmic [drops]:
Neosporin®: Neomycin 1.75 mg, polymyxin B 10,000 units, and gramicidin
0.025 mg per 1 mL (10 mL) [BCF]
Outpatient Dosage Forms
Gel, topical:
MetroGel®: 1% (60 g)
Gel, vaginal:
MetroGel-Vaginal®: 0.75% (70 g) [BCF]
Neomycin, Polymyxin B, and Hydrocortisone (Ophthalmic)
Outpatient Dosage Forms
Miconazole (Topical)
Suspension, ophthalmic [drops]: Neomycin 3.5 mg, polymyxin B 10,000 units,
and hydrocortisone 10 mg per 1 mL (7.5 mL)
Outpatient Dosage Forms
Suppository, vaginal, as nitrate: 200 mg (3s)
Neomycin, Polymyxin B, and Hydrocortisone (Otic)
Minocycline
Outpatient Dosage Forms
Outpatient Dosage Forms
Solution, otic:
Cortisporin®: Neomycin 3.5 mg, polymyxin B 10,000 units, and hydrocortisone
10 mg per 1 mL (10 mL) [contains potassium metabisulfite]
Suspension, otic: Neomycin 3.5 mg, polymyxin B 10,000 units, and hydrocortisone 10 mg per 1 mL (10 mL) [BCF]
Capsule, oral: 50 mg, 100 mg
Mirtazapine
Outpatient Dosage Forms
Tablet, oral: 15 mg
11
NEOMYCIN, POLYMYXIN B, AND HYDROCORTISONE (OTIC)
Ondansetron
Outpatient Dosage Forms
Niacin
Tablet, oral:
Zofran®: 4 mg
Tablet, orally disintegrating, oral:
Zofran® ODT: 4 mg [contains phenylalanine <0.03 mg/tablet; strawberry flavor]
Outpatient Dosage Forms
Capsule, extended release, oral: 250 mg, 500 mg
Tablet, oral: 50 mg, 250 mg
Tablet, extended release, oral:
Niaspan®: 500 mg [BCF], 750 mg [BCF], 1000 mg [BCF]
OXcarbazepine
Outpatient Dosage Forms
NIFEdipine
Suspension, oral:
Trileptal: 300 mg/5 mL (250 mL) [contains alcohol, usp, methyl hydroxybenzoate, propyl hydroxybenzoate, propylene glycol, saccharin sodium; lemon
flavor]
Tablet, oral: 300 mg
Outpatient Dosage Forms
Tablet, extended release, oral: 30 mg [BCF], 60 mg [BCF], 90 mg [BCF]
Adalat® CC: 30 mg [BCF], 60 mg [BCF], 90 mg [BCF]
Nitrofurantoin
Outpatient Dosage Forms
Capsule, oral [macrocrystal]:
Macrodantin®: 50 mg [BCF]
Capsule, oral [macrocrystal/monohydrate]: 100 mg [BCF]
Macrobid®: 100 mg [nitrofurantoin macrocrystal 25% and nitrofurantoin monohydrate 75%] [BCF]
Suspension, oral:
Furadantin®: 25 mg/5 mL (230 mL)
Oxybutynin
Outpatient Dosage Forms
Tablet, oral, as chloride: 5 mg
Tablet, extended release, oral, as chloride: 5 mg [BCF], 10 mg [BCF],
15 mg [BCF]
Oxycodone and Acetaminophen
Nitroglycerin
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, oral: 5/325: Oxycodone hydrochloride 5 mg and acetaminophen 325 mg
[BCF]
Percocet® 5/325 [scored]: Oxycodone hydrochloride 5 mg and acetaminophen
325 mg [BCF]
Roxicet™: 5/325: Oxycodone hydrochloride 5 mg and acetaminophen 325 mg
[scored] [BCF]
Aerosol, spray, translingual: 0.4 mg/spray (4.1 g, 8.5 g)
Ointment, topical:
Nitro-Bid®: 2% (60 g) [~15 mg/inch]
Patch, transdermal:
Nitro-Dur®: 0.2 mg/hr (30s) [BCF]; 0.3 mg/hr (30s) [BCF]; 0.4 mg/hr (30s)
[BCF]; 0.8 mg/hr (30s) [BCF]
Solution, translingual [spray]:
Nitrolingual®: 0.4 mg/spray (12 g) [contains ethanol 20%; 200 metered
sprays] [BCF]
Tablet, sublingual:
Nitrostat®: 0.4 mg [BCF]
Oxymetazoline (Nasal)
Outpatient Dosage Forms
Solution, intranasal, as hydrochloride [spray]: 0.05% (15 mL)
Pancrelipase
Norethindrone
Outpatient Dosage Forms
Outpatient Dosage Forms
Capsule, delayed release, enteric coated microspheres, oral [porcine derived]:
Creon: Lipase 3000 USP units, protease 9500 USP units, and amylase 15,000
USP units [BCF]
Creon: Lipase 6000 USP units, protease 19,000 USP units, and amylase
30,000 USP units [BCF]
Creon: Lipase 12,000 USP units, protease 38,000 USP units, and amylase
60,000 USP units [BCF]
Creon: Lipase 24,000 USP units, protease 76,000 USP units, and amylase
120,000 USP units [BCF]
Creon: Lipase 36,000 USP units, protease 114,000 USP units, and amylase
180,000 USP units [BCF]
Tablet, oral:
Nor-QD®: 0.35 mg [BCF]
Tablet, oral, as acetate:
Aygestin®: 5 mg [scored]
Norethindrone and Mestranol
Outpatient Dosage Forms
Tablet, oral [monophasic formulation]:
Necon® 1/50: Norethindrone 1 mg and mestranol 0.05 mg [21 light blue tablets
and 7 white inactive tablets]
Nortriptyline
Outpatient Dosage Forms
Pantoprazole
Capsule, oral: 10 mg [BCF], 25 mg [BCF]
Outpatient Dosage Forms
Tablet Delayed Release, Oral:
Generic: 20 mg, 40 mg
Nystatin and Triamcinolone
Outpatient Dosage Forms
Cream, topical: Nystatin 100,000 units and triamcinolone acetonide 0.1% (15 g,
60 g)
Ointment, topical: Nystatin 100,000 units and triamcinolone acetonide
0.1% (15 g)
PARoxetine
Outpatient Dosage Forms
Tablet, oral, as hydrochloride [strength expressed as base]: 20 mg
Paxil®: 30 mg, 40 mg
Nystatin (Oral)
Penicillin V Potassium
Outpatient Dosage Forms
Suspension, oral: 100,000 units/mL (473 mL) [BCF]
Outpatient Dosage Forms
Powder for solution, oral: 125 mg/5 mL (200 mL) [BCF]; 250 mg/5 mL (200 mL)
[BCF]
Tablet, oral: 250 mg [BCF], 500 mg [BCF]
Nystatin (Topical)
Outpatient Dosage Forms
Cream, topical: 100,000 units/g (15 g) [BCF]
Ointment, topical: 100,000 units/g (15 g) [BCF]
Permethrin
Outpatient Dosage Forms
Ofloxacin (Otic)
Cream, topical: 5% (60 g) [BCF]
Outpatient Dosage Forms
Solution, otic [drops]: 0.3% (5 mL, 10 mL)
Phenazopyridine
Olopatadine (Ophthalmic)
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, oral, as hydrochloride:
Pyridium®: 100 mg [BCF]
Solution, ophthalmic [drops]:
Pataday: 0.2% (2.5 mL) [contains benzalkonium chloride, edetate disodium]
Patanol: 0.1% (5 mL) [contains benzalkonium chloride] [BCF]
PHENobarbital
Outpatient Dosage Forms
Olsalazine
Elixir, oral: 20 mg/5 mL (480 mL) [BCF]
Tablet, oral: 15 mg [BCF], 30 mg [BCF], 60 mg [BCF], 100 mg [BCF]
Outpatient Dosage Forms
Capsule, oral, as sodium:
Dipentum®: 250 mg
Phenylephrine (Ophthalmic)
Outpatient Dosage Forms
Omeprazole
Solution, ophthalmic, as hydrochloride [drops]:
AK-Dilate™: 2.5% (15 mL) [contains benzalkonium chloride]
Outpatient Dosage Forms
Capsule, delayed release, oral: 10 mg [BCF], 20 mg [BCF], 40 mg
12
RANITIDINE
Solution, oral, as sodium phosphate [strength expressed as base]:
Orapred®: 15 mg/5 mL (237 mL) [dye free; contains ethanol 2%, sodium
benzoate; grape flavor] [BCF]
Phenytoin
Outpatient Dosage Forms
PredniSONE
Capsule, extended release, oral, as sodium:
Dilantin®: 100 mg [BCF]
Suspension, oral:
Dilantin-125®: 125 mg/5 mL (240 mL) [contains ethanol ≤0.6%, sodium
benzoate; orange-vanilla flavor] [BCF]
Tablet, chewable, oral:
Dilantin®: 50 mg [scored] [BCF]
Outpatient Dosage Forms
Tablet, oral: 1 mg [BCF], 5 mg [BCF], 10 mg [BCF], 20 mg [BCF]
Primaquine
Outpatient Dosage Forms
Tablet, oral, as phosphate: 26.3 mg [15 mg base]
Primidone
Pilocarpine (Ophthalmic)
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, oral: 250 mg
Mysoline®: 50 mg [scored]
Gel, ophthalmic, as hydrochloride:
Pilopine HS®: 4% (4 g) [contains benzalkonium chloride] [BCF]
Solution, ophthalmic, as hydrochloride [drops]: 1% (15 mL) [BCF]; 2% (15 mL)
[BCF]; 4% (15 mL) [BCF]
Isopto® Carpine: 1% (15 mL) [BCF]; 2% (15 mL) [BCF]; 4% (15 mL) [BCF]
[contains benzalkonium chloride]
Probenecid
Outpatient Dosage Forms
Tablet, Oral:
Generic: 500 mg [BCF]
Progesterone
Pimecrolimus
Outpatient Dosage Forms
Outpatient Dosage Forms
Capsule, oral [micronized]:
Prometrium®: 100 mg, 200 mg [contains peanut oil]
Cream, topical:
Elidel®: 1% (30 g) [BCF] [contains benzyl alcohol]
Promethazine
Pioglitazone
Outpatient Dosage Forms
Outpatient Dosage Forms
Suppository, 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]
Tablet, oral:
Actos®: 15 mg, 30 mg, 45 mg
Piroxicam
Promethazine and Codeine
Outpatient Dosage Forms
Outpatient Dosage Forms
Capsule, oral: 20 mg
Syrup, oral: Promethazine hydrochloride 6.25 mg and codeine phosphate 10 mg
per 5 mL (118 mL)
Podofilox
Outpatient Dosage Forms
Promethazine and Dextromethorphan
Gel, topical:
Condylox®: 0.5% (3.5 g) [contains ethanol]
Outpatient Dosage Forms
Syrup, oral: Promethazine hydrochloride 6.25 mg and dextromethorphan hydrobromide 15 mg per 5 mL (120 mL)
Polyethylene Glycol 3350
Outpatient Dosage Forms
Propranolol
Powder for solution, oral: 17 g/dose (255 g, 527 g)
Outpatient Dosage Forms
Capsule, sustained release, oral, as hydrochloride:
Inderal® LA: 60 mg, 80 mg, 120 mg
Tablet, oral, as hydrochloride: 10 mg, 40 mg, 80 mg
Polyethylene Glycol-Electrolyte Solution
Outpatient Dosage Forms
Powder for solution, oral:
GoLYTELY®: PEG 3350 236 g, sodium sulfate 22.74 g, sodium bicarbonate
6.74 g, sodium chloride 5.86 g, and potassium chloride 2.97 g (4000 mL)
[original flavor]
MoviPrep®: Pouch A: PEG 3350 100 g, sodium sulfate 7.5 g, sodium chloride
2.69 g, potassium chloride 1.02 g; Pouch B: Ascorbic acid 4.7 g, sodium
ascorbate 5.9 g (1000 mL) [contains phenylalanine 233 mg/treatment; lemon
flavor]
Propylthiouracil
Outpatient Dosage Forms
Tablet, oral: 50 mg [BCF]
Pseudoephedrine
Outpatient Dosage Forms
Syrup, oral, as hydrochloride: 30 mg/5 mL (118 mL)
Tablet, oral, as hydrochloride: 30 mg
Potassium Chloride
Pyrazinamide
Outpatient Dosage Forms
Outpatient Dosage Forms
Capsule, extended release, microencapsulated, oral: 10 mEq [BCF]
Solution, oral: 20 mEq/15 mL (480 mL) [BCF]
Tablet, extended release, microencapsulated, oral: 10 mEq, 20 mEq [BCF]
Tablet, extended release, wax matrix, oral:
Klor-Con® 10: 10 mEq [750 mg] [BCF]
Tablet, oral: 500 mg [BCF]
Pyridoxine
Outpatient Dosage Forms
Tablet, oral, as hydrochloride: 50 mg
Pramoxine and Hydrocortisone
QUEtiapine
Outpatient Dosage Forms
Outpatient Dosage Forms
Cream, topical:
Analpram Advanced™ Kit: Pramoxine hydrochloride 1% and hydrocortisone
acetate 2.5% (1s) [kit includes Analpram HC® cream (4 g x 30), diosmiplex
(Vasculera™) tablets, AloeClean™ wipes, and applicators]
Tablet, oral:
SEROquel®: 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]
Pravastatin
Outpatient Dosage Forms
Raloxifene
Tablet, oral, as sodium: 10 mg [BCF], 20 mg [BCF], 40 mg [BCF], 80 mg [BCF]
Pravachol®: 10 mg [BCF], 20 mg [BCF], 40 mg [BCF], 80 mg [BCF]
Outpatient Dosage Forms
Tablet, oral, as hydrochloride:
Evista®: 60 mg [BCF]
Prazosin
Outpatient Dosage Forms
Ramipril
Capsule, oral: 1 mg, 2 mg, 5 mg
Outpatient Dosage Forms
PrednisoLONE (Ophthalmic)
Capsule, oral: 1.25 mg [BCF], 2.5 mg [BCF], 5 mg [BCF], 10 mg [BCF]
Altace®: 1.25 mg [BCF], 2.5 mg [BCF], 5 mg [BCF], 10 mg [BCF]
Outpatient Dosage Forms
Suspension, ophthalmic, as acetate [drops]: 1% (5 mL) [BCF]
Pred Mild®: 0.12% (10 mL) [contains benzalkonium chloride, sodium bisulfite] [BCF]
Ranitidine
Outpatient Dosage Forms
Syrup, oral: 15 mg/mL (473 mL) [BCF]
Zantac®: 15 mg/mL (480 mL) [contains ethanol 7.5%; peppermint flavor] [BCF]
Tablet, oral: 150 mg [BCF]
Zantac®: 150 mg [BCF]
PrednisoLONE (Systemic)
Outpatient Dosage Forms
Solution, oral, as base: 15 mg/5 mL (480 mL)
13
REPAGLINIDE
Repaglinide
Sitagliptin and Metformin
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, oral:
Prandin®: 0.5 mg, 1 mg, 2 mg
Tablet, oral:
Janumet® 50/500: Sitagliptin 50 mg and metformin hydrochloride
500 mg [BCF]
Janumet® 50/1000: Sitagliptin 50 mg and metformin hydrochloride
1000 mg [BCF]
Tablet, extended release, oral:
Janumet® XR: 50/500: Sitagliptin 50 mg and metformin hydrochloride
500 mg [BCF]
Janumet® XR: 50/1000: Sitagliptin 50 mg and metformin hydrochloride
1000 mg [BCF]
Janumet® XR: 100/1000: Sitagliptin 100 mg and metformin hydrochloride
1000 mg [BCF]
Rifampin
Outpatient Dosage Forms
Capsule, oral: 150 mg
Rifadin®: 300 mg [BCF]
RisperiDONE
Outpatient Dosage Forms
Solution, oral:
RisperDAL®: 1 mg/mL (30 mL) [contains benzoic acid] [BCF]
Tablet, oral:
RisperDAL®: 0.25 mg [BCF], 0.5 mg [BCF], 1 mg [scored] [BCF], 2 mg
[BCF], 3 mg [BCF], 4 mg [BCF]
Sodium Chloride
Outpatient Dosage Forms
Rivaroxaban
Ointment, ophthalmic [preservative free]:
Muro 128®: 5% (3.5 g)
Packet, nasal [preservative free]:
AYR Saline Nasal Rinse: 1.57 g (50 ea, 100 ea) [iodine free]
Solution, for inhalation [preservative free]: 0.9% (3 mL, 5 mL)
Solution, intranasal [mist]:
Sea Soft Nasal Mist: 0.65% (45 mL)
Solution, intranasal [spray]:
Nasal Moist® Saline: 0.65% (44 mL)
Outpatient Dosage Forms
Tablet, oral:
Xarelto: 10 mg, 15 mg, 20 mg
Rizatriptan
Outpatient Dosage Forms
Tablet, oral:
Maxalt®: 5 mg [BCF], 10 mg [BCF]
Tablet, orally disintegrating:
Maxalt-MLT®: 5 mg [contains phenylalanine 1.05 mg/tablet; peppermint flavor] [BCF]
Maxalt-MLT®: 10 mg [contains phenylalanine 2.1 mg/tablet; peppermint flavor] [BCF]
Sodium Phosphates
Outpatient Dosage Forms
Solution, rectal [enema]:
Fleet® Enema: Monobasic sodium phosphate monohydrate 19 g and dibasic
sodium phosphate heptahydrate 7 g per 118 mL delivered dose (133 mL)
[contains sodium 4.4 g/118 mL]
Rosuvastatin
Outpatient Dosage Forms
Spironolactone
Tablet, oral:
Crestor®: 5 mg, 10 mg, 20 mg, 40 mg
Outpatient Dosage Forms
Tablet, oral: 25 mg [BCF]
Aldactone®: 25 mg [BCF]
Salmeterol
Outpatient Dosage Forms
Sulfacetamide (Ophthalmic)
Powder, for oral inhalation:
Serevent® Diskus®: 50 mcg (60s) [contains lactose] [BCF]
Outpatient Dosage Forms
Solution, ophthalmic, as sodium [drops]: 10% (15 mL) [BCF]
Salsalate
Outpatient Dosage Forms
Sulfamethoxazole and Trimethoprim
Tablet, oral: 500 mg [BCF], 750 mg [BCF]
Outpatient Dosage Forms
Suspension, oral: Sulfamethoxazole 200 mg and trimethoprim 40 mg per 5 mL
(480 mL) [BCF]
Tablet, oral: Sulfamethoxazole 400 mg and trimethoprim 80 mg [BCF]
Tablet, double strength, oral: Sulamethoxazole 800 mg and trimethoprim
160 mg [BCF]
Selenium Sulfide
Outpatient Dosage Forms
Lotion, topical: 2.5% (120 mL) [BCF]
Sertraline
Outpatient Dosage Forms
SulfaSALAzine
Solution, oral [concentrate]:
Zoloft®: 20 mg/mL (60 mL) [contains ethanol 12%, menthol, natural rubber/
natural latex in packaging] [BCF]
Tablet, oral: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF]
Zoloft®: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF] [scored]
Outpatient Dosage Forms
Tablet, oral: 500 mg [BCF]
Azulfidine®: 500 mg [scored] [BCF]
Tablet, delayed release, enteric coated, oral: 500 mg [BCF]
Azulfidine EN-tabs®: 500 mg [BCF]
Sildenafil
SUMAtriptan
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, oral:
Viagra®: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF]
Injection, solution, as succinate [strength expressed as base]:
Imitrex®: 6 mg/0.5 mL (0.5 mL) [vial] [BCF]
Tablet, oral, as succinate [strength expressed as base]:
Imitrex®: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF]
Silver Sulfadiazine
Outpatient Dosage Forms
Cream, topical:
Silvadene®: 1% (50 g) [BCF]
SSD™: 1% (50 g, 85 g) [BCF]
Thermazene®: 1% (20 g) [BCF]
Sumatriptan and Naproxen
Outpatient Dosage Forms
Tablet, oral:
Treximet® 85/500: Sumatriptan 85 mg and naproxen sodium 500 mg [contains
sodium 61.2 mg (~2.7 mEq)/tablet]
Simethicone
Outpatient Dosage Forms
Tamoxifen
Suspension, oral [drops]:
Mylicon® Infants': 40 mg/0.6 mL (15 mL) [ethanol free; contains sodium
benzoate]
Outpatient Dosage Forms
Tablet, oral: 10 mg [BCF]
Tamsulosin
Simvastatin
Outpatient Dosage Forms
Outpatient Dosage Forms
Capsule, oral, as hydrochloride: 0.4 mg [BCF]
Flomax®: 0.4 mg [BCF]
Tablet, oral: 5 mg [BCF], 10 mg [BCF], 20 mg [BCF], 40 mg [BCF], 80 mg
Zocor®: 5 mg [BCF], 10 mg [BCF], 20 mg [BCF], 40 mg [BCF], 80 mg
Telmisartan
SitaGLIPtin
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, Oral:
Generic: 20 mg, 40 mg, 80 mg
Tablet, oral:
Januvia®: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF]
14
VERAPAMIL
Tablet, oral: 25 mg, 50 mg, 100 mg, 200 mg
Topamax®: 25 mg, 50 mg, 100 mg, 200 mg
Telmisartan and Hydrochlorothiazide
Torsemide
Outpatient Dosage Forms
Outpatient Dosage Forms
Tablet, oral:
Micardis HCT: 40/12.5: Telmisartan 40 mg and hydrochlorothiazide 12.5 mg
Micardis HCT: 80/12.5: Telmisartan 80 mg and hydrochlorothiazide 12.5 mg
Micardis HCT: 80/25: Telmisartan 80 mg and hydrochlorothiazide 25 mg
Tablet, oral:
Demadex®: 20 mg [scored]
TraMADol
Outpatient Dosage Forms
Temazepam
Tablet, oral, as hydrochloride: 50 mg [BCF]
Outpatient Dosage Forms
Capsule, oral: 15 mg [BCF], 30 mg [BCF]
Restoril™: 15 mg [BCF], 30 mg [BCF]
TraZODone
Outpatient Dosage Forms
Tablet, oral, as hydrochloride: 50 mg [BCF], 100 mg [BCF], 150 mg [BCF]
Terazosin
Outpatient Dosage Forms
Tretinoin (Topical)
Capsule, oral: 1 mg [BCF], 2 mg [BCF], 5 mg [BCF], 10 mg [BCF]
Outpatient Dosage Forms
Cream, topical:
Avita®: 0.025% (20 g) [BCF]
Retin-A®: 0.05% (20 g, 45 g) [BCF]
Gel, topical:
Retin-A®: 0.01% (15 g); 0.025% (15 g, 45 g) [contains ethanol 90% w/w]
Terbinafine (Systemic)
Outpatient Dosage Forms
Tablet, oral: 250 mg
Terbinafine (Topical)
Outpatient Dosage Forms
Triamcinolone (Topical)
Cream, topical, as hydrochloride: 1% (30 g)
LamISIL AT®: 1% (30 g) [contains benzyl alcohol]
Outpatient Dosage Forms
Cream, topical, as acetonide: 0.1% (15 g, 80 g) [BCF]; 0.5% (15 g)
Ointment, topical, as acetonide: 0.1% (15 g, 80 g, 454 g)
Paste, oral topical, as acetonide: 0.1% (5 g)
Terbutaline
Outpatient Dosage Forms
Tablet, oral, as sulfate: 5 mg
Triazolam
Outpatient Dosage Forms
Terconazole
Tablet, oral: 0.25 mg
Outpatient Dosage Forms
Cream, vaginal:
Terazol® 3: 0.8% (20 g)
Trimethoprim and Polymyxin B
Outpatient Dosage Forms
Testosterone
Solution, ophthalmic [drops]: Trimethoprim 1 mg and polymyxin B sulfate 10,000
units per 1 mL (10 mL) [BCF]
Outpatient Dosage Forms
Gel, topical:
Fortesta™: 10 mg/actuation (60 g) [contains ethanol; 0.5 g gel/actuation; 120
metered actuations] [BCF]
Testim®: 1% [5 g gel/tube] (30s) [contains ethanol 74%; may be chemically
synthesized from soy]
Injection, oil, as enanthate:
Delatestryl®: 200 mg/mL (5 mL) [contains sesame oil]
Tropicamide
Outpatient Dosage Forms
Solution, ophthalmic [drops]: 0.5% (15 mL)
Mydriacyl®: 1% (15 mL) [contains benzalkonium chloride]
ValACYclovir
Outpatient Dosage Forms
Caplet, oral:
Valtrex®: 500 mg
Valtrex®: 1 g [scored]
Theophylline
Outpatient Dosage Forms
Solution, oral:
Elixophyllin® Elixir: 80 mg/15 mL (473 mL) [contains ethanol 20%; mixed fruit
flavor] [BCF]
Tablet, extended release, oral: 100 mg, 200 mg [BCF], 300 mg [BCF],
400 mg [BCF]
Valproic Acid and Derivatives
Outpatient Dosage Forms
Capsule Sprinkle, Oral, as divalproex sodium: 125 mg [BCF]
Syrup, Oral, as valproate sodium: 250 mg/5 mL
Tablet Delayed Release, Oral, as divalproex sodium: 125 mg [BCF], 250 mg
[BCF], 500 mg [BCF]
Tablet Extended Release 24 Hour, Oral, as divalproex sodium: 250 mg [BCF],
500 mg [BCF]
Thiothixene
Outpatient Dosage Forms
Capsule, oral: 2 mg
Timolol (Ophthalmic)
Valsartan
Outpatient Dosage Forms
Outpatient Dosage Forms
Gel forming solution, ophthalmic, as maleate [strength expressed as base,
drops]:
Timoptic-XE®: 0.5% (5 mL) [BCF]
Solution, ophthalmic, as maleate [strength expressed as base, drops]: 0.5% (5
mL) [BCF]
Tablet, oral:
Diovan®: 40 mg [scored] [BCF], 80 mg [BCF], 160 mg [BCF], 320 mg [BCF]
Valsartan and Hydrochlorothiazide
Outpatient Dosage Forms
Tablet, oral:
Diovan HCT®: 80 mg/12.5 mg: Valsartan 80 mg and hydrochlorothiazide
12.5 mg [BCF]
Diovan HCT®: 160 mg/12.5 mg: Valsartan 160 mg and hydrochlorothiazide
12.5 mg [BCF]
Diovan HCT®: 160 mg/25 mg: Valsartan 160 mg and hydrochlorothiazide
25 mg [BCF]
Diovan HCT®: 320 mg/12.5 mg: Valsartan 320 mg and hydrochlorothiazide
12.5 mg [BCF]
Diovan HCT®: 320 mg/25 mg: Valsartan 320 mg and hydrochlorothiazide
25 mg [BCF]
Tiotropium
Outpatient Dosage Forms
Powder, for oral inhalation:
Spiriva® HandiHaler®: 18 mcg/capsule (30s) [contains lactose] [BCF]
Tobramycin and Dexamethasone
Outpatient Dosage Forms
Suspension, ophthalmic [drops]:
TobraDex®: Tobramycin 0.3% and dexamethasone 0.1% (5 mL) [contains
benzalkonium chloride]
Tobramycin (Ophthalmic)
Venlafaxine
Outpatient Dosage Forms
Outpatient Dosage Forms
Solution, ophthalmic [drops]: 0.3% (5 mL)
Capsule, extended release, oral:
Effexor XR®: 37.5 mg [BCF], 75 mg [BCF], 150 mg [BCF]
Tablet, oral: 25 mg [BCF], 37.5 mg [BCF], 75 mg [BCF], 100 mg [BCF]
Tolterodine
Outpatient Dosage Forms
Capsule, extended release, oral, as tartrate:
Detrol® LA: 2 mg [BCF], 4 mg [BCF]
Verapamil
Outpatient Dosage Forms
Topiramate
Caplet, sustained release, oral, as hydrochloride:
Calan® SR: 120 mg [BCF]
Tablet, oral, as hydrochloride: 80 mg
Tablet, extended release, oral, as hydrochloride: 180 mg, 240 mg [BCF]
Outpatient Dosage Forms
Capsule, sprinkle, oral:
Topamax®: 15 mg, 25 mg
15
VITAMINS (MULTIPLE/PEDIATRIC)
Vitamins (Multiple/Pediatric)
Warfarin
Outpatient Dosage Forms
Outpatient Dosage Forms
Content varies depending on product used.
Solution, oral [drops]: 50 mL
Solution, oral [drops]: 50 mL [with iron]
Tablet, oral, as sodium:
Coumadin®: 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]
Vitamins (Multiple/Prenatal)
Zolpidem
Outpatient Dosage Forms
Outpatient Dosage Forms
Content varies depending on product used.
Tablet, oral: (100 ea)
Prenatal Plus
Tablet, oral, as tartrate: 5 mg [BCF], 10 mg [BCF]
Ambien®: 5 mg [BCF], 10 mg [BCF]
16
Therapeutic Category Index
17
ACETYLCHOLINESTERASE INHIBITOR (CENTRAL)
Acetylcholinesterase Inhibitor (Central)
Angiotensin II Receptor Blocker
Losartan .................................................................................................... 10
Losartan and Hydrochlorothiazide ........................................................... 10
Telmisartan ................................................................................................14
Telmisartan and Hydrochlorothiazide .......................................................15
Valsartan ................................................................................................... 15
Valsartan and Hydrochlorothiazide .......................................................... 15
Donepezil .................................................................................................... 6
Acne Products
Adapalene ................................................................................................... 2
Benzoyl Peroxide ........................................................................................3
Clindamycin and Benzoyl Peroxide ........................................................... 4
Erythromycin (Topical) ................................................................................ 6
Tretinoin (Topical) ..................................................................................... 15
Angiotensin-Converting Enzyme (ACE) Inhibitor
Amlodipine and Benazepril ........................................................................ 2
Captopril ......................................................................................................4
Enalapril ...................................................................................................... 6
Fosinopril .....................................................................................................8
Lisinopril .................................................................................................... 10
Lisinopril and Hydrochlorothiazide ........................................................... 10
Ramipril ..................................................................................................... 13
Adrenergic Agonist Agent
Oxymetazoline (Nasal) ............................................................................. 12
Alkylamine Derivative
Chlorpheniramine ........................................................................................4
Naphazoline and Pheniramine ................................................................. 11
Alpha1 Agonist
Antacid
Naphazoline and Pheniramine ................................................................. 11
Aluminum Hydroxide, Magnesium Hydroxide, and Simethicone ..............2
Alpha1 Blocker
Anthelmintic
Alfuzosin ......................................................................................................2
Doxazosin ................................................................................................... 6
Prazosin .................................................................................................... 13
Tamsulosin ................................................................................................ 14
Terazosin ...................................................................................................15
Albendazole ................................................................................................ 2
Antianginal Agent
AmLODIPine ............................................................................................... 2
Amlodipine and Benazepril ........................................................................ 2
Atenolol ....................................................................................................... 3
Diltiazem ..................................................................................................... 5
Isosorbide Dinitrate .....................................................................................9
Isosorbide Mononitrate ............................................................................... 9
Metoprolol ..................................................................................................11
NIFEdipine ................................................................................................ 12
Nitroglycerin .............................................................................................. 12
Propranolol ................................................................................................13
Verapamil .................................................................................................. 15
Alpha2-Adrenergic Agonist
CloNIDine ....................................................................................................5
GuanFACINE .............................................................................................. 8
Methyldopa ................................................................................................11
Alpha2 Agonist, Ophthalmic
Brimonidine (Ophthalmic) ........................................................................... 3
Alpha-Adrenergic Agonist
Phenylephrine (Ophthalmic) ..................................................................... 12
Antianxiety Agent, Miscellaneous
Alpha/Beta Agonist
BusPIRone .................................................................................................. 3
Cetirizine and Pseudoephedrine ................................................................ 4
EPINEPHrine (Systemic, Oral Inhalation) ..................................................6
Fexofenadine and Pseudoephedrine ......................................................... 7
Guaifenesin and Pseudoephedrine ............................................................8
Pseudoephedrine ......................................................................................13
Antiarrhythmic Agent, Class II
Propranolol ................................................................................................13
Antiarrhythmic Agent, Class III
Amiodarone .................................................................................................2
5 Alpha-Reductase Inhibitor
Antiarrhythmic Agent, Class IV
Finasteride .................................................................................................. 7
Diltiazem ..................................................................................................... 5
Verapamil .................................................................................................. 15
Amebicide
MetroNIDAZOLE (Systemic) .....................................................................11
Antiarrhythmic Agent, Miscellaneous
Aminoquinoline (Antimalarial)
Digoxin ........................................................................................................ 5
Chloroquine .................................................................................................4
Hydroxychloroquine .................................................................................... 9
Primaquine ................................................................................................ 13
Antibiotic, Aminoglycoside
Gentamicin (Ophthalmic) ............................................................................8
Tobramycin (Ophthalmic) ..........................................................................15
5-Aminosalicylic Acid Derivative
Antibiotic, Cephalosporin (First Generation)
Mesalamine ............................................................................................... 11
Olsalazine ................................................................................................. 12
SulfaSALAzine .......................................................................................... 14
Cefadroxil .................................................................................................... 4
Cephalexin .................................................................................................. 4
Antibiotic, Cephalosporin (Second Generation)
Ammonium Detoxicant
Cefprozil ...................................................................................................... 4
Cefuroxime ..................................................................................................4
Lactulose ...................................................................................................10
Analgesic Combination (Opioid)
Antibiotic, Cephalosporin (Third Generation)
Acetaminophen and Codeine .....................................................................2
Hydrocodone and Acetaminophen .............................................................8
Oxycodone and Acetaminophen ..............................................................12
Cefdinir ........................................................................................................ 4
Antibiotic/Corticosteroid, Ophthalmic
Neomycin, Polymyxin B, and Hydrocortisone (Ophthalmic) ................... 11
Tobramycin and Dexamethasone ............................................................ 15
Analgesic, Miscellaneous
Acetaminophen ........................................................................................... 2
Antibiotic/Corticosteroid, Otic
Analgesic, Opioid
Ciprofloxacin and Dexamethasone ............................................................ 4
Neomycin, Polymyxin B, and Hydrocortisone (Otic) ............................... 11
Acetaminophen and Codeine .....................................................................2
Codeine .......................................................................................................5
Hydrocodone and Acetaminophen .............................................................8
HYDROmorphone .......................................................................................9
Meperidine ................................................................................................ 10
Morphine (Systemic) ................................................................................. 11
Oxycodone and Acetaminophen ..............................................................12
Promethazine and Codeine ......................................................................13
TraMADol .................................................................................................. 15
Antibiotic, Fluoroquinolone
Ciprofloxacin (Ophthalmic) ......................................................................... 4
Ciprofloxacin (Systemic) .............................................................................4
Levofloxacin (Systemic) ............................................................................10
Moxifloxacin (Ophthalmic) ........................................................................ 11
Moxifloxacin (Systemic) ............................................................................ 11
Ofloxacin (Otic) ......................................................................................... 12
Analgesic, Topical
Antibiotic, Lincosamide
Lidocaine (Topical) ....................................................................................10
Clindamycin (Systemic) .............................................................................. 4
Clindamycin (Topical) ................................................................................. 4
Analgesic, Urinary
Phenazopyridine ....................................................................................... 12
Antibiotic, Macrolide
Azithromycin (Systemic) ............................................................................. 3
Clarithromycin ............................................................................................. 4
Erythromycin (Ophthalmic) ......................................................................... 6
Erythromycin (Systemic) .............................................................................6
Erythromycin (Topical) ................................................................................ 6
Androgen
Testosterone ............................................................................................. 15
Anesthetic/Corticosteroid
Pramoxine and Hydrocortisone ................................................................13
18
ANTIEMETIC
Antibiotic, Miscellaneous
Anticonvulsant, Hydantoin
Phenytoin .................................................................................................. 13
MetroNIDAZOLE (Systemic) .....................................................................11
Nitrofurantoin .............................................................................................12
Rifampin .................................................................................................... 14
Sulfamethoxazole and Trimethoprim ....................................................... 14
Anticonvulsant, Miscellaneous
AcetaZOLAMIDE ........................................................................................ 2
CarBAMazepine ..........................................................................................4
Gabapentin ..................................................................................................8
LamoTRIgine ............................................................................................ 10
LevETIRAcetam ........................................................................................10
OXcarbazepine ......................................................................................... 12
Primidone .................................................................................................. 13
Topiramate ................................................................................................ 15
Valproic Acid and Derivatives .................................................................. 15
Antibiotic, Ophthalmic
Bacitracin and Polymyxin B (Ophthalmic) ................................................. 3
Bacitracin (Ophthalmic) .............................................................................. 3
Ciprofloxacin (Ophthalmic) ......................................................................... 4
Erythromycin (Ophthalmic) ......................................................................... 6
Gentamicin (Ophthalmic) ............................................................................ 8
Moxifloxacin (Ophthalmic) ........................................................................ 11
Neomycin, Polymyxin B, and Gramicidin .................................................11
Neomycin, Polymyxin B, and Hydrocortisone (Ophthalmic) ................... 11
Sulfacetamide (Ophthalmic) ..................................................................... 14
Tobramycin (Ophthalmic) ..........................................................................15
Trimethoprim and Polymyxin B ................................................................ 15
Antidepressant, Alpha-2 Antagonist
Mirtazapine ................................................................................................11
Antidepressant, Dopamine/Norepinephrine-Reuptake Inhibitor
BuPROPion .................................................................................................3
Antibiotic, Oral Rinse
Antidepressant, Selective Serotonin Reuptake Inhibitor
Citalopram ...................................................................................................4
Escitalopram ............................................................................................... 6
FLUoxetine ..................................................................................................7
PARoxetine ............................................................................................... 12
Sertraline ...................................................................................................14
Chlorhexidine Gluconate ............................................................................ 4
Antibiotic, Otic
Ciprofloxacin and Dexamethasone ............................................................ 4
Neomycin, Polymyxin B, and Hydrocortisone (Otic) ............................... 11
Ofloxacin (Otic) ......................................................................................... 12
Antidepressant, Serotonin/Norepinephrine Reuptake Inhibitor
Antibiotic, Penicillin
DULoxetine ................................................................................................. 6
Venlafaxine ............................................................................................... 15
Amoxicillin ................................................................................................... 2
Amoxicillin and Clavulanate ....................................................................... 2
Dicloxacillin ................................................................................................. 5
Penicillin V Potassium .............................................................................. 12
Antidepressant, Serotonin Reuptake Inhibitor/Antagonist
TraZODone ............................................................................................... 15
Antidepressant, Tricyclic (Secondary Amine)
Antibiotic, Respiratory Fluoroquinolone
Nortriptyline ............................................................................................... 12
Levofloxacin (Systemic) ............................................................................10
Moxifloxacin (Systemic) ............................................................................ 11
Antidepressant, Tricyclic (Tertiary Amine)
Amitriptyline .................................................................................................2
Doxepin (Systemic) .....................................................................................6
Imipramine .................................................................................................. 9
Antibiotic, Sulfonamide Derivative
Sulfamethoxazole and Trimethoprim ....................................................... 14
Antibiotic, Tetracycline Derivative
Antidiabetic Agent, Alpha-Glucosidase Inhibitor
Doxycycline .................................................................................................6
Minocycline ................................................................................................11
Acarbose ..................................................................................................... 2
Antidiabetic Agent, Biguanide
Antibiotic, Topical
Glyburide and Metformin ............................................................................ 8
MetFORMIN .............................................................................................. 11
Sitagliptin and Metformin ..........................................................................14
Bacitracin (Topical) ..................................................................................... 3
Chlorhexidine Gluconate ............................................................................ 4
Erythromycin (Topical) ................................................................................ 6
MetroNIDAZOLE (Topical) ........................................................................ 11
Mupirocin ................................................................................................... 11
Silver Sulfadiazine .................................................................................... 14
Antidiabetic Agent, Dipeptidyl Peptidase IV (DPP-IV) Inhibitor
SitaGLIPtin ................................................................................................ 14
Sitagliptin and Metformin ..........................................................................14
Anticholinergic Agent
Antidiabetic Agent, Glucagon-Like Peptide-1 (GLP-1) Receptor
Agonist
Atropine and Pralidoxime ........................................................................... 3
Benztropine ................................................................................................. 3
Dicyclomine .................................................................................................5
Hyoscyamine .............................................................................................. 9
Hyoscyamine, Atropine, Scopolamine, and Phenobarbital ....................... 9
Ipratropium and Albuterol ........................................................................... 9
Ipratropium (Nasal) ..................................................................................... 9
Ipratropium (Oral Inhalation) ...................................................................... 9
Tiotropium ................................................................................................. 15
Tolterodine .................................................................................................15
Exenatide .................................................................................................... 7
Antidiabetic Agent, Meglitinide Analog
Repaglinide ............................................................................................... 14
Antidiabetic Agent, Sulfonylurea
Glimepiride .................................................................................................. 8
GlipiZIDE .....................................................................................................8
GlyBURIDE ................................................................................................. 8
Glyburide and Metformin ............................................................................ 8
Anticholinergic Agent, Long-Acting
Antidiabetic Agent, Thiazolidinedione
Tiotropium ................................................................................................. 15
Pioglitazone .............................................................................................. 13
Anticholinergic Agent, Ophthalmic
Antidiarrheal
Atropine (Ophthalmic) .................................................................................3
Cyclopentolate ............................................................................................ 5
Homatropine ................................................................................................8
Bismuth Subsalicylate ................................................................................ 3
Diphenoxylate and Atropine ....................................................................... 6
Loperamide ............................................................................................... 10
Anticoagulant
Antidote
Dabigatran Etexilate ................................................................................... 5
Enoxaparin .................................................................................................. 6
Rivaroxaban ..............................................................................................14
Warfarin .....................................................................................................16
Atropine and Pralidoxime ........................................................................... 3
Glucagon .....................................................................................................8
Naltrexone ................................................................................................. 11
Antidote, Extravasation
Anticoagulant, Direct Thrombin Inhibitor
Nitroglycerin .............................................................................................. 12
Terbutaline .................................................................................................15
Dabigatran Etexilate ................................................................................... 5
Anticoagulant, Factor Xa Inhibitor
Antidote, Hypoglycemia
Rivaroxaban ..............................................................................................14
Glucagon .....................................................................................................8
Anticoagulant, Low Molecular Weight Heparin
Antiemetic
Enoxaparin .................................................................................................. 6
Dexamethasone (Systemic) ....................................................................... 5
HydrOXYzine .............................................................................................. 9
Meclizine ................................................................................................... 10
Metoclopramide .........................................................................................11
Ondansetron ............................................................................................. 12
Promethazine ............................................................................................13
Anticoagulant, Vitamin K Antagonist
Warfarin .....................................................................................................16
Anticonvulsant, Barbiturate
PHENobarbital .......................................................................................... 12
19
ANTIFLATULENT
Valsartan and Hydrochlorothiazide .......................................................... 15
Verapamil .................................................................................................. 15
Antiflatulent
Aluminum Hydroxide, Magnesium Hydroxide, and Simethicone .............. 2
Simethicone .............................................................................................. 14
Anti-inflammatory Agent
Dexamethasone (Systemic) ....................................................................... 5
Antifungal Agent, Azole Derivative
Terconazole ...............................................................................................15
Anti-inflammatory, Locally Applied
Carbamide Peroxide ................................................................................... 4
Antifungal Agent, Imidazole Derivative
Clotrimazole (Oral) ......................................................................................5
Clotrimazole (Topical) ................................................................................. 5
Ketoconazole (Systemic) ............................................................................9
Ketoconazole (Topical) ............................................................................... 9
Miconazole (Topical) ................................................................................. 11
Antilipemic Agent, 2-Azetidinone
Ezetimibe .................................................................................................... 7
Antilipemic Agent, Fibric Acid
Fenofibrate and Derivatives ....................................................................... 7
Gemfibrozil .................................................................................................. 8
Antifungal Agent, Oral
Fluconazole .................................................................................................7
Griseofulvin ................................................................................................. 8
Ketoconazole (Systemic) ............................................................................9
Terbinafine (Systemic) .............................................................................. 15
Antilipemic Agent, HMG-CoA Reductase Inhibitor
AtorvaSTATin .............................................................................................. 3
Pravastatin ................................................................................................ 13
Rosuvastatin ............................................................................................. 14
Simvastatin ................................................................................................14
Antifungal Agent, Oral Nonabsorbed
Clotrimazole (Oral) ......................................................................................5
Nystatin (Oral) ...........................................................................................12
Antilipemic Agent, Miscellaneous
Niacin ........................................................................................................ 12
Antifungal Agent, Parenteral
Antimalarial Agent
Fluconazole .................................................................................................7
Atovaquone and Proguanil .........................................................................3
Chloroquine .................................................................................................4
Hydroxychloroquine .................................................................................... 9
Primaquine ................................................................................................ 13
Antifungal Agent, Topical
Clotrimazole (Topical) ................................................................................. 5
Ketoconazole (Topical) ............................................................................... 9
Miconazole (Topical) ................................................................................. 11
Naftifine ..................................................................................................... 11
Nystatin and Triamcinolone ......................................................................12
Nystatin (Topical) ...................................................................................... 12
Terbinafine (Topical) ..................................................................................15
Antimanic Agent
Lithium .......................................................................................................10
RisperiDONE ............................................................................................ 14
Valproic Acid and Derivatives .................................................................. 15
Antimigraine Agent
Antifungal Agent, Vaginal
Rizatriptan ................................................................................................. 14
SUMAtriptan ..............................................................................................14
Sumatriptan and Naproxen ...................................................................... 14
Clotrimazole (Topical) ................................................................................. 5
Miconazole (Topical) ................................................................................. 11
Terconazole ...............................................................................................15
Antineoplastic Agent, Antiandrogen
Antigout Agent
Bicalutamide ................................................................................................3
Flutamide .................................................................................................... 7
Allopurinol ................................................................................................... 2
Colchicine ....................................................................................................5
Antineoplastic Agent, Antimetabolite
Antihemophilic Agent
Mercaptopurine ......................................................................................... 10
Desmopressin ............................................................................................. 5
Antineoplastic Agent, Antimetabolite (Antifolate)
Antihemorrhoidal Agent
Methotrexate ............................................................................................. 11
Benzocaine ................................................................................................. 3
Dibucaine .................................................................................................... 5
Hydrocortisone (Topical) .............................................................................9
Antineoplastic Agent, Antimetabolite (Purine Analog)
Mercaptopurine ......................................................................................... 10
Antihypertensive
Antineoplastic Agent, Estrogen Receptor Antagonist
AmLODIPine ............................................................................................... 2
Amlodipine and Benazepril ........................................................................ 2
Atenolol ....................................................................................................... 3
Atenolol and Chlorthalidone ....................................................................... 3
Bumetanide ................................................................................................. 3
Captopril ......................................................................................................4
Carvedilol .................................................................................................... 4
Chlorthalidone ............................................................................................. 4
CloNIDine ....................................................................................................5
Diltiazem ..................................................................................................... 5
Doxazosin ................................................................................................... 6
Enalapril ...................................................................................................... 6
Felodipine ....................................................................................................7
Fosinopril .....................................................................................................8
Furosemide ................................................................................................. 8
GuanFACINE .............................................................................................. 8
HydrALAZINE ............................................................................................. 8
Hydrochlorothiazide .................................................................................... 8
Hydrochlorothiazide and Spironolactone ................................................... 8
Hydrochlorothiazide and Triamterene ........................................................ 8
Labetalol ......................................................................................................9
Lisinopril .................................................................................................... 10
Lisinopril and Hydrochlorothiazide ........................................................... 10
Losartan .................................................................................................... 10
Losartan and Hydrochlorothiazide ........................................................... 10
Methyldopa ................................................................................................11
Metoprolol ..................................................................................................11
NIFEdipine ................................................................................................ 12
Prazosin .................................................................................................... 13
Propranolol ................................................................................................13
Ramipril ..................................................................................................... 13
Spironolactone .......................................................................................... 14
Telmisartan ................................................................................................14
Telmisartan and Hydrochlorothiazide .......................................................15
Terazosin ...................................................................................................15
Torsemide ..................................................................................................15
Valsartan ................................................................................................... 15
Tamoxifen ..................................................................................................14
Antineoplastic Agent, Gonadotropin-Releasing Hormone Agonist
Goserelin .....................................................................................................8
Leuprolide ................................................................................................. 10
Antineoplastic Agent, Hormone
Megestrol .................................................................................................. 10
Antiparasitic Agent, Topical
Permethrin .................................................................................................12
Anti-Parkinson's Agent, Anticholinergic
Benztropine ................................................................................................. 3
Anti-Parkinson's Agent, Decarboxylase Inhibitor
Carbidopa and Levodopa ........................................................................... 4
Anti-Parkinson's Agent, Dopamine Agonist
Amantadine ................................................................................................. 2
Anti-Parkinson's Agent, Dopamine Precursor
Carbidopa and Levodopa ........................................................................... 4
Antiplatelet Agent
Aspirin ......................................................................................................... 3
Clopidogrel .................................................................................................. 5
Dipyridamole ............................................................................................... 6
Antiplatelet Agent, Thienopyridine
Clopidogrel .................................................................................................. 5
Antiprotozoal, Nitroimidazole
MetroNIDAZOLE (Systemic) .....................................................................11
Antirheumatic, Disease Modifying
Adalimumab ................................................................................................ 2
Methotrexate ............................................................................................. 11
Antirheumatic Miscellaneous
Hyaluronate and Derivatives ...................................................................... 8
20
CORTICOSTEROID, TOPICAL
Felodipine ....................................................................................................7
NIFEdipine ................................................................................................ 12
Verapamil .................................................................................................. 15
Antispasmodic Agent, Gastrointestinal
Clidinium and Chlordiazepoxide .................................................................4
Hyoscyamine, Atropine, Scopolamine, and Phenobarbital ....................... 9
Calcium Channel Blocker, Dihydropyridine
Antispasmodic Agent, Urinary
AmLODIPine ............................................................................................... 2
Amlodipine and Benazepril ........................................................................ 2
Felodipine ....................................................................................................7
NIFEdipine ................................................................................................ 12
Oxybutynin ................................................................................................ 12
Antithyroid Agent
Propylthiouracil ......................................................................................... 13
Antitubercular Agent
Calcium Channel Blocker, Nondihydropyridine
Ethambutol .................................................................................................. 6
Isoniazid ...................................................................................................... 9
Pyrazinamide ............................................................................................ 13
Rifampin .................................................................................................... 14
Diltiazem ..................................................................................................... 5
Verapamil .................................................................................................. 15
Calcium Salt
Calcium and Vitamin D ...............................................................................4
Antitussive
Carbonic Anhydrase Inhibitor
Benzonatate ................................................................................................ 3
Codeine .......................................................................................................5
Guaifenesin and Codeine ...........................................................................8
Guaifenesin and Dextromethorphan .......................................................... 8
Promethazine and Codeine ......................................................................13
Promethazine and Dextromethorphan ..................................................... 13
AcetaZOLAMIDE ........................................................................................ 2
Carbonic Anhydrase Inhibitor (Ophthalmic)
Dorzolamide ................................................................................................ 6
Cardiac Glycoside
Digoxin ........................................................................................................ 5
Antiviral Agent
Acyclovir (Systemic) ................................................................................... 2
Amantadine ................................................................................................. 2
ValACYclovir ............................................................................................. 15
Cathartic
Sodium Phosphates ................................................................................. 14
Central Nervous System Stimulant
Antiviral Agent, Adamantane
Dextroamphetamine ....................................................................................5
Dextroamphetamine and Amphetamine .................................................... 5
Methylphenidate ........................................................................................11
Modafinil .................................................................................................... 11
Amantadine ................................................................................................. 2
Antiviral Agent, Oral
ValACYclovir ............................................................................................. 15
Cholinergic Agonist
Appetite Stimulant
Carbachol ....................................................................................................4
Megestrol .................................................................................................. 10
Contraceptive
Barbiturate
Ethinyl Estradiol and Desogestrel .............................................................. 6
Ethinyl Estradiol and Drospirenone ........................................................... 6
Ethinyl Estradiol and Ethynodiol Diacetate ................................................6
Ethinyl Estradiol and Etonogestrel ............................................................. 7
Ethinyl Estradiol and Levonorgestrel ......................................................... 7
Ethinyl Estradiol and Norelgestromin .........................................................7
Ethinyl Estradiol and Norethindrone .......................................................... 7
Ethinyl Estradiol and Norgestimate ............................................................7
Ethinyl Estradiol and Norgestrel .................................................................7
Levonorgestrel (IUD) ................................................................................ 10
Levonorgestrel (Systemic) ........................................................................10
MedroxyPROGESTERone ....................................................................... 10
Norethindrone ........................................................................................... 12
Norethindrone and Mestranol ...................................................................12
Butalbital, Acetaminophen, and Caffeine ...................................................3
PHENobarbital .......................................................................................... 12
Primidone .................................................................................................. 13
Benzodiazepine
ALPRAZolam .............................................................................................. 2
Clidinium and Chlordiazepoxide .................................................................4
ClonazePAM ............................................................................................... 5
Diazepam .................................................................................................... 5
LORazepam ..............................................................................................10
Temazepam .............................................................................................. 15
Triazolam ...................................................................................................15
Beta2-Adrenergic Agonist
Ipratropium and Albuterol ........................................................................... 9
Corticosteroid, Inhalant (Oral)
Beta2-Adrenergic Agonist, Long-Acting
Budesonide (Oral Inhalation) ......................................................................3
Fluticasone and Salmeterol ........................................................................7
Fluticasone (Oral Inhalation) ...................................................................... 8
Fluticasone and Salmeterol ........................................................................7
Salmeterol ................................................................................................. 14
Beta2 Agonist
Corticosteroid, Nasal
Albuterol ...................................................................................................... 2
Fluticasone and Salmeterol ........................................................................7
Levalbuterol ...............................................................................................10
Salmeterol ................................................................................................. 14
Terbutaline .................................................................................................15
Fluticasone (Nasal) .....................................................................................8
Mometasone (Nasal) .................................................................................11
Corticosteroid, Ophthalmic
Fluorometholone ......................................................................................... 7
Neomycin, Polymyxin B, and Hydrocortisone (Ophthalmic) ................... 11
PrednisoLONE (Ophthalmic) ....................................................................13
Beta-Adrenergic Blocker, Nonselective
Levobunolol ...............................................................................................10
Propranolol ................................................................................................13
Corticosteroid, Otic
Beta-Blocker, Beta-1 Selective
Ciprofloxacin and Dexamethasone ............................................................ 4
Neomycin, Polymyxin B, and Hydrocortisone (Otic) ............................... 11
Atenolol ....................................................................................................... 3
Atenolol and Chlorthalidone ....................................................................... 3
Metoprolol ..................................................................................................11
Corticosteroid, Rectal
Hydrocortisone (Topical) .............................................................................9
Beta-Blocker, Nonselective
Corticosteroid, Systemic
Timolol (Ophthalmic) .................................................................................15
Cortisone .....................................................................................................5
Dexamethasone (Systemic) ....................................................................... 5
Fludrocortisone ........................................................................................... 7
Hydrocortisone (Systemic) ......................................................................... 8
MethylPREDNISolone ...............................................................................11
PrednisoLONE (Systemic) ....................................................................... 13
PredniSONE ............................................................................................. 13
Beta-Blocker With Alpha-Blocking Activity
Carvedilol .................................................................................................... 4
Labetalol ......................................................................................................9
Bisphosphonate Derivative
Alendronate .................................................................................................2
Ibandronate ................................................................................................. 9
Corticosteroid, Topical
Calcineurin Inhibitor
Betamethasone (Topical) ............................................................................3
Clobetasol ................................................................................................... 5
Desonide ..................................................................................................... 5
Fluocinolone (Topical) .................................................................................7
Fluocinonide ................................................................................................7
Hydrocortisone (Topical) .............................................................................9
Mometasone (Topical) ...............................................................................11
CycloSPORINE (Ophthalmic) .....................................................................5
Pimecrolimus ............................................................................................ 13
Calcium Channel Blocker
AmLODIPine ............................................................................................... 2
Amlodipine and Benazepril ........................................................................ 2
Diltiazem ..................................................................................................... 5
21
CORTICOSTEROID, TOPICAL
Nystatin and Triamcinolone ......................................................................12
Triamcinolone (Topical) .............................................................................15
Gastrointestinal Agent, Prokinetic
Metoclopramide .........................................................................................11
Cosmetic Agent, Implant
Genitourinary Irrigant
Hyaluronate and Derivatives ...................................................................... 8
Sodium Chloride ....................................................................................... 14
Cough Preparation
Gonadotropin Releasing Hormone Agonist
Guaifenesin and Codeine ...........................................................................8
Guaifenesin and Dextromethorphan .......................................................... 8
Goserelin .....................................................................................................8
Leuprolide ................................................................................................. 10
Decongestant
Hemostatic Agent
Cetirizine and Pseudoephedrine ................................................................ 4
Fexofenadine and Pseudoephedrine ......................................................... 7
Oxymetazoline (Nasal) ............................................................................. 12
Pseudoephedrine ......................................................................................13
Aluminum Chloride Hexahydrate ............................................................... 2
Desmopressin ............................................................................................. 5
Histamine H1 Antagonist
Azelastine (Nasal) .......................................................................................3
Cetirizine ..................................................................................................... 4
Cetirizine and Pseudoephedrine ................................................................ 4
Chlorpheniramine ........................................................................................4
Cyproheptadine ...........................................................................................5
DiphenhydrAMINE (Systemic) ....................................................................6
Fexofenadine .............................................................................................. 7
Fexofenadine and Pseudoephedrine ......................................................... 7
HydrOXYzine .............................................................................................. 9
Loratadine ................................................................................................. 10
Meclizine ................................................................................................... 10
Naphazoline and Pheniramine ................................................................. 11
Olopatadine (Ophthalmic) .........................................................................12
Promethazine ............................................................................................13
Promethazine and Codeine ......................................................................13
Promethazine and Dextromethorphan ..................................................... 13
Diagnostic Agent
Glucagon .....................................................................................................8
Diuretic, Carbonic Anhydrase Inhibitor
AcetaZOLAMIDE ........................................................................................ 2
Diuretic, Loop
Bumetanide ................................................................................................. 3
Furosemide ................................................................................................. 8
Torsemide ..................................................................................................15
Diuretic, Potassium-Sparing
Hydrochlorothiazide and Triamterene ........................................................ 8
Spironolactone .......................................................................................... 14
Diuretic, Thiazide
Atenolol and Chlorthalidone ....................................................................... 3
Chlorthalidone ............................................................................................. 4
Hydrochlorothiazide .................................................................................... 8
Hydrochlorothiazide and Spironolactone ................................................... 8
Hydrochlorothiazide and Triamterene ........................................................ 8
Lisinopril and Hydrochlorothiazide ........................................................... 10
Losartan and Hydrochlorothiazide ........................................................... 10
Telmisartan and Hydrochlorothiazide .......................................................15
Valsartan and Hydrochlorothiazide .......................................................... 15
Histamine H1 Antagonist, First Generation
Chlorpheniramine ........................................................................................4
Cyproheptadine ...........................................................................................5
DiphenhydrAMINE (Systemic) ....................................................................6
HydrOXYzine .............................................................................................. 9
Meclizine ................................................................................................... 10
Naphazoline and Pheniramine ................................................................. 11
Promethazine ............................................................................................13
Promethazine and Codeine ......................................................................13
Promethazine and Dextromethorphan ..................................................... 13
Diuretic, Thiazide-Related
Metolazone ................................................................................................11
Histamine H1 Antagonist, Second Generation
Electrolyte Supplement, Oral
Azelastine (Nasal) .......................................................................................3
Cetirizine ..................................................................................................... 4
Cetirizine and Pseudoephedrine ................................................................ 4
Fexofenadine .............................................................................................. 7
Fexofenadine and Pseudoephedrine ......................................................... 7
Loratadine ................................................................................................. 10
Olopatadine (Ophthalmic) .........................................................................12
Calcium and Vitamin D ...............................................................................4
Magnesium Oxide .....................................................................................10
Potassium Chloride .................................................................................. 13
Electrolyte Supplement, Parenteral
Potassium Chloride .................................................................................. 13
Sodium Chloride ....................................................................................... 14
Sodium Phosphates ................................................................................. 14
Histamine H2 Antagonist
Cimetidine ................................................................................................... 4
Ranitidine .................................................................................................. 13
Enzyme
Pancrelipase ............................................................................................. 12
Histone Deacetylase Inhibitor
Estrogen and Progestin Combination
Valproic Acid and Derivatives .................................................................. 15
Estrogens (Conjugated/Equine) and Medroxyprogesterone ..................... 6
Ethinyl Estradiol and Desogestrel .............................................................. 6
Ethinyl Estradiol and Drospirenone ........................................................... 6
Ethinyl Estradiol and Ethynodiol Diacetate ................................................6
Ethinyl Estradiol and Etonogestrel ............................................................. 7
Ethinyl Estradiol and Levonorgestrel ......................................................... 7
Ethinyl Estradiol and Norelgestromin .........................................................7
Ethinyl Estradiol and Norethindrone .......................................................... 7
Ethinyl Estradiol and Norgestimate ............................................................7
Ethinyl Estradiol and Norgestrel .................................................................7
Norethindrone and Mestranol ...................................................................12
Hormone, Posterior Pituitary
Desmopressin ............................................................................................. 5
Hypnotic, Miscellaneous
Eszopiclone .................................................................................................6
Zolpidem ................................................................................................... 16
Imidazoline Derivative
Naphazoline and Pheniramine ................................................................. 11
Oxymetazoline (Nasal) ............................................................................. 12
Immunosuppressant Agent
Estrogen Derivative
AzaTHIOprine ............................................................................................. 3
CycloSPORINE (Ophthalmic) .....................................................................5
Mercaptopurine ......................................................................................... 10
Methotrexate ............................................................................................. 11
Pimecrolimus ............................................................................................ 13
Estradiol (Systemic) ....................................................................................6
Estrogens (Conjugated/Equine, Systemic) ................................................ 6
Estrogens (Conjugated/Equine, Topical) ....................................................6
Ethanolamine Derivative
DiphenhydrAMINE (Systemic) ....................................................................6
Inhalation, Miscellaneous
Inhalation Devices ...................................................................................... 9
Expectorant
GuaiFENesin ...............................................................................................8
Guaifenesin and Codeine ...........................................................................8
Guaifenesin and Dextromethorphan .......................................................... 8
Guaifenesin and Pseudoephedrine ............................................................8
Insulin, Combination
Insulin Aspart Protamine and Insulin Aspart ............................................. 9
Insulin NPH and Insulin Regular ................................................................ 9
Insulin, Intermediate-Acting
First Generation (Typical) Antipsychotic
Insulin NPH ................................................................................................. 9
Thiothixene ................................................................................................15
Insulin, Long-Acting
GABA Analog
Insulin Detemir ............................................................................................ 9
Insulin Glargine ...........................................................................................9
Gabapentin ..................................................................................................8
Gastrointestinal Agent, Miscellaneous
Insulin, Rapid-Acting
Adalimumab ................................................................................................ 2
Insulin Aspart .............................................................................................. 9
22
SCABICIDAL AGENT
Dorzolamide ................................................................................................ 6
Latanoprost ............................................................................................... 10
Levobunolol ...............................................................................................10
Phenylephrine (Ophthalmic) ..................................................................... 12
Pilocarpine (Ophthalmic) .......................................................................... 13
Timolol (Ophthalmic) .................................................................................15
Insulin, Short-Acting
Insulin Regular ............................................................................................ 9
Interferon
Interferon Beta-1b .......................................................................................9
Iron Salt
Ferrous Sulfate ........................................................................................... 7
Ophthalmic Agent, Miotic
Carbachol ....................................................................................................4
Pilocarpine (Ophthalmic) .......................................................................... 13
Irrigant
Sodium Chloride ....................................................................................... 14
Ophthalmic Agent, Miscellaneous
Keratolytic Agent
Artificial Tears ..............................................................................................3
Carboxymethylcellulose ..............................................................................4
Podofilox ................................................................................................... 13
Laxative, Bowel Evacuant
Ophthalmic Agent, Mydriatic
Sodium Phosphates ................................................................................. 14
Atropine (Ophthalmic) .................................................................................3
Homatropine ................................................................................................8
Phenylephrine (Ophthalmic) ..................................................................... 12
Tropicamide .............................................................................................. 15
Laxative, Osmotic
Lactulose ...................................................................................................10
Polyethylene Glycol 3350 .........................................................................13
Polyethylene Glycol-Electrolyte Solution ................................................. 13
Ophthalmic Agent, Vasoconstrictor
Naphazoline and Pheniramine ................................................................. 11
Laxative, Saline
Magnesium Citrate ....................................................................................10
Ophthalmic Agent, Viscoelastic
Hyaluronate and Derivatives ...................................................................... 8
Laxative, Stimulant
Bisacodyl .....................................................................................................3
Opioid Antagonist
Naltrexone ................................................................................................. 11
Leukotriene-Receptor Antagonist
Montelukast ............................................................................................... 11
Otic Agent, Anti-infective
Acetic Acid, Propylene Glycol Diacetate, and Hydrocortisone ................. 2
Local Anesthetic
Benzocaine ................................................................................................. 3
Dibucaine .................................................................................................... 5
Lidocaine (Topical) ....................................................................................10
Otic Agent, Cerumenolytic
Carbamide Peroxide ................................................................................... 4
Ovulation Stimulator
Lubricant, Ocular
ClomiPHENE .............................................................................................. 5
Sodium Chloride ....................................................................................... 14
Pediculocide
Magnesium Salt
Permethrin .................................................................................................12
Magnesium Citrate ....................................................................................10
Magnesium Oxide .....................................................................................10
Pharmaceutical Aid
Alcohol (Isopropyl) ...................................................................................... 2
Mast Cell Stabilizer
Lodoxamide .............................................................................................. 10
Phenothiazine Derivative
Promethazine ............................................................................................13
Promethazine and Codeine ......................................................................13
Promethazine and Dextromethorphan ..................................................... 13
Mineralocorticoid (Aldosterone) Receptor Antagonists
Hydrochlorothiazide and Spironolactone ................................................... 8
Spironolactone .......................................................................................... 14
Phosphodiesterase-5 Enzyme Inhibitor
Miscellaneous Product
Sildenafil ....................................................................................................14
Diabetic Supplies ........................................................................................ 5
Phosphodiesterase Enzyme Inhibitor, Nonselective
Monoclonal Antibody
Theophylline ..............................................................................................15
Adalimumab ................................................................................................ 2
Piperazine Derivative
N-Methyl-D-Aspartate Receptor Antagonist
Cetirizine ..................................................................................................... 4
Cetirizine and Pseudoephedrine ................................................................ 4
HydrOXYzine .............................................................................................. 9
Meclizine ................................................................................................... 10
Memantine ................................................................................................ 10
Nonsteroidal Anti-inflammatory Drug (NSAID)
Diclofenac (Topical) .................................................................................... 5
Piperidine Derivative
Nonsteroidal Anti-inflammatory Drug (NSAID), COX-2 Selective
Cyproheptadine ...........................................................................................5
Fexofenadine .............................................................................................. 7
Fexofenadine and Pseudoephedrine ......................................................... 7
Loratadine ................................................................................................. 10
Olopatadine (Ophthalmic) .........................................................................12
Celecoxib .................................................................................................... 4
Nonsteroidal Anti-inflammatory Drug (NSAID), Ophthalmic
Ketorolac (Ophthalmic) ............................................................................... 9
Nonsteroidal Anti-inflammatory Drug (NSAID), Oral
Ibuprofen ..................................................................................................... 9
Indomethacin ...............................................................................................9
Meloxicam ................................................................................................. 10
Naproxen ...................................................................................................11
Piroxicam .................................................................................................. 13
Sumatriptan and Naproxen ...................................................................... 14
Progestin
Levonorgestrel (IUD) ................................................................................ 10
Levonorgestrel (Systemic) ........................................................................10
MedroxyPROGESTERone ....................................................................... 10
Megestrol .................................................................................................. 10
Norethindrone ........................................................................................... 12
Progesterone ............................................................................................ 13
Nonsteroidal Anti-inflammatory Drug (NSAID), Parenteral
Prostaglandin, Ophthalmic
Ibuprofen ..................................................................................................... 9
Indomethacin ...............................................................................................9
Bimatoprost ................................................................................................. 3
Latanoprost ............................................................................................... 10
Nonsteroidal Anti-inflammatory Drug (NSAID), Topical
Proton Pump Inhibitor
Diclofenac (Topical) .................................................................................... 5
Esomeprazole ............................................................................................. 6
Omeprazole ...............................................................................................12
Pantoprazole .............................................................................................12
Norepinephrine Reuptake Inhibitor, Selective
AtoMOXetine ...............................................................................................3
Nutritional Supplement
Retinoic Acid Derivative
Fluoride ....................................................................................................... 7
Tretinoin (Topical) ..................................................................................... 15
Ophthalmic Agent, Antiglaucoma
Salicylate
AcetaZOLAMIDE ........................................................................................ 2
Betaxolol (Ophthalmic) ............................................................................... 3
Bimatoprost ................................................................................................. 3
Brimonidine (Ophthalmic) ........................................................................... 3
Carbachol ....................................................................................................4
Aspirin ......................................................................................................... 3
Salsalate ................................................................................................... 14
Scabicidal Agent
Permethrin .................................................................................................12
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SECOND GENERATION (ATYPICAL) ANTIPSYCHOTIC
Calcitriol ...................................................................................................... 4
Second Generation (Atypical) Antipsychotic
ARIPiprazole ............................................................................................... 2
QUEtiapine ................................................................................................13
RisperiDONE ............................................................................................ 14
Selective 5-HT3 Receptor Antagonist
Ondansetron ............................................................................................. 12
Selective Estrogen Receptor Modulator (SERM)
Cholecalciferol ............................................................................................ 4
ClomiPHENE .............................................................................................. 5
Raloxifene ................................................................................................. 13
Tamoxifen ..................................................................................................14
Serotonin 5-HT1B,
1D
Receptor Agonist
Rizatriptan ................................................................................................. 14
SUMAtriptan ..............................................................................................14
Sumatriptan and Naproxen ...................................................................... 14
Ergocalciferol .............................................................................................. 6
Skeletal Muscle Relaxant
Baclofen ...................................................................................................... 3
Cyclobenzaprine ......................................................................................... 5
Methocarbamol ..........................................................................................11
Skin and Mucous Membrane Agent, Miscellaneous
Emollients ....................................................................................................6
Hyaluronate and Derivatives ...................................................................... 8
Vitamin, Fat Soluble
Smoking Cessation Aid
BuPROPion .................................................................................................3
Sodium Salt
Sodium Chloride ....................................................................................... 14
Stool Softener
Calcium and Vitamin D ...............................................................................4
Docusate ..................................................................................................... 6
Substituted Benzimidazole
Esomeprazole ............................................................................................. 6
Omeprazole ...............................................................................................12
Pantoprazole .............................................................................................12
Thioamide
Propylthiouracil ......................................................................................... 13
Vitamin, Water Soluble
Thyroid Product
Levothyroxine ............................................................................................10
Topical Skin Product
Aluminum Chloride Hexahydrate ............................................................... 2
Aluminum Sulfate and Calcium Acetate .................................................... 2
Benzoyl Peroxide ........................................................................................3
Calcipotriene ............................................................................................... 4
Clindamycin and Benzoyl Peroxide ........................................................... 4
Coal Tar .......................................................................................................5
Emollients ....................................................................................................6
Erythromycin (Topical) ................................................................................ 6
Lactic Acid and Ammonium Hydroxide ......................................................9
Pimecrolimus ............................................................................................ 13
Podofilox ................................................................................................... 13
Selenium Sulfide .......................................................................................14
Cyanocobalamin ......................................................................................... 5
Folic Acid .................................................................................................... 8
Topical Skin Product, Acne
Adapalene ................................................................................................... 2
Azelaic Acid ................................................................................................ 3
Benzoyl Peroxide ........................................................................................3
Clindamycin and Benzoyl Peroxide ........................................................... 4
Clindamycin (Topical) ................................................................................. 4
Erythromycin (Topical) ................................................................................ 6
Tretinoin (Topical) ..................................................................................... 15
Niacin ........................................................................................................ 12
Tumor Necrosis Factor (TNF) Blocking Agent
Adalimumab ................................................................................................ 2
Uricosuric Agent
Probenecid ................................................................................................ 13
Pyridoxine ................................................................................................. 13
Vasodilator
Dipyridamole ............................................................................................... 6
HydrALAZINE ............................................................................................. 8
Isosorbide Dinitrate .....................................................................................9
Isosorbide Mononitrate ............................................................................... 9
Nitroglycerin .............................................................................................. 12
Vasopressin Analog, Synthetic
Xanthine Oxidase Inhibitor
Desmopressin ............................................................................................. 5
Vitamin
Folic Acid, Cyanocobalamin, and Pyridoxine ............................................ 8
Vitamins (Multiple/Pediatric) ..................................................................... 16
Vitamins (Multiple/Prenatal) ......................................................................16
Vitamin D Analog
Calcipotriene ............................................................................................... 4
Allopurinol ................................................................................................... 2
24