Pilocarpine HCl 1 by HC1205182396

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									14th Medical Group Pharmacy Provider
Quick Formulary Reference Guide
Last Updated: August 2009

Business Hours
Monday-Friday (Except Thursdays) 0730-1700

***Thursdays 0730-1200; Training all afternoon

Closed Saturdays, Sundays, and Federal Holidays and Goal/Downdays

Business Phone          Automatic Refill line
(662)434-2168           (662)434-2799 or 1-800-982-4259
Fax(662)434-2169

Formulary Additions as of May 2010:

Insulin glargine (LANTUS SOLOSTAR) pen
Syringes - 31 gauge, 5/16th length (0.3, 0.5, 1mL)

Formulary Deletions as of May 2010:
Syringes - 28 gauge, 1/2 length (0.5, 1 mL)


All legend prescriptions must have the physician’s DEA or license number, office address, and phone
number on prescription. All controlled (narcotic) prescriptions must have the physician’s DEA number,
office address, and phone number on prescription in order to be filled.

Adrenals
Cortef                           Hydrocortisone                              20mg tabs
Decadron                         Dexamethasone                               0.75, 4mg tabs
Flornef                          Fludrocortisone                             0.1mg tabs


Alzheimer’s
Aricept                          Donepezil                                   5mg tabs


Antianxiety Agents
Buspar                           Buspirone                                   15mg tabs 1/2 and 1/3 scored


Anticoagulants
Aggrenox                         ASA/Dipyridimole                            200/25mg tabs
Coumadin                         Warfarin Sodium                             1, 2, 3, 4, 5, & 7.5mg tabs
Lovenox                          Enoxaparin                                  40 mg inj
Anticonvulsants
Depakene                    Valproic Acid                           250mg softgels 250mg/5ml susp
Depakote                    Divalproex Sodium                       250, 500mg tabs, 500mg ER tabs
Dilantin                    Phenytoin                               125/5mg susp 50mg tab 100mg cap
Klonopin                    Clonazepam                              0.5mg tabs
Mysoline                    Primidone                               250mg
Neurontin                   Gabapentin                              100, 300, 800mg caps
Phenobarbital               Phenobarbital                           30mg tabs, 20mg/5ml elixer
Tegretol                    Carbamazepine                           100 (chew),200mg tabs


Antidepressants
Celexa                      Citalopram HBr                          20mg tabs
Desyrel                     Trazodone                               50mg tabs
Effexor                     Venlafaxine                             37.5, 75, 150mg XR caps; 75mg tabs X
Elavil                      Amitriptyline                           10, 25, 75mg tabs
Norpramine                  Desipramine                             25, 50mg
Pamelor                     Nortriptyline                           10, 25mg caps
Paxil                       Paroxetine                              20, 40mg tabs
Prozac                      Fluoxetine                              10, 20mg caps
Sinequan                    Doxepin                                 25mg caps
Tofranil                    Imipramine                              25mg tabs
Wellbutrin                  Bupropion                               100, 150mg SR tabs
Zoloft                      Sertraline                              50 & 100mg tabs


Antidiabetic Agents/Products
*Syringes                   Insulin syringes - Qty limited to a maximum of 3 boxes, and 3 refills
Actos                      Pioglitazone HCl                           15, 30, & 45mg
Avandamet                  Rosiglitazone and Metformin combination 1/500, 2/500, 4/500
Avandia                    Rosiglitazone                              2, 4, 8mg tabs
Diabenese                  Chlorpropamide                             250mg tabs
Glucophage                 Metformin                                  500mg XR, 500, 850, 1000mg tabs
Glucotrol                  Glipizide                                  5mg tabs, 5, 10mg XL tabs
Januvia                    Sitagliptin
                                                                      50mg tab

                                                                    50/500mg, 50/1000 tablets
Janumet                     Sitagliptin/Metformin
Lantus                                                              100u/ml vials
            Solostar pen    Insulin glargine
Lantus                                                              3 ml(100 units/mL)x 5 pens/
Micronase                   Glyburide                               3mg microsized , 5mg reg. tabs
Novolin 70/30               Insulin Human 70/30 (NPH/Reg)           100u/ml vials
Novolin N                 Insulin Human NPH                           100u/ml vials
Novolin R                 Insulin Human Regular                       100u/ml vials
Novolog                   Insulin aspart                              100u/ml vials
Precision Xtra            Precision Xtra Test Strips - Qty limited to a max of 8 boxes for 3 months


Antidiarrhea Agents
Imodium                   Loperamide                                2mg caps
Lomotil                   Diphenoxylate                             2.5mg tabs


Antiemetics
Antivert                  Meclizine                                 25mg tabs
Phenergan                 Promethazine                              25mg tabs, 25mg suppositories
Phenergan                 Promethazine                              6.25mg/5ml susp
Zofran/Zofran   ODT       Odansetron hydrochloride                  4mg, 8mg tablets/ODT tablets



Antihelmintics




Antihistamines and Antihistamine/Decongestant Combinations
Allegra                    Fexofenadine HCl                         180mg tab
Atarax                     Hydroxyzine                              10, 25mg tabs 10mg/5ml susp
Astelin                    Azelestine                               Nasal Spray
Benadryl                   Diphenhydramine                          25mg, 120ml elixir
Cardec (Rondec)            Carbinoxamine/Pseudoephedrine            1mg/15mg/1ml drops
CTM                        Chlorpheniramine Maleate                 4mg tabs
Deconamine                 Chlorpheniramine/Pseudoephedrine         SR caps
Ed A-Hist                  Chlorpheniramine/Phenylephrine           Caps
Sudex                      Guaifenex/Phenylephrine                  600/20mg tabs
Loratadine                 Claritin                                 10mg tabs and 5mg/5ml liquid
Periactin                  Cyproheptadine                           4mg tabs
Rondec                     Carbinoxamine/Phenylephrine hcl          1mg/3.5mg/1ml susp
Sudafed                    Pseudoephedrine                          120mg, 30mg, 30mg/5ml susp
Zyrtec                     Cetirizine                               Pediatric Liquid & 10mg tab


Antimicrobials/Antifungals
Amoxil                     Amoxicillin                              250mg/5ml, 125/5ml, 250, 500mg caps
Aralen                     Chloroquine                              500mg tabs
                                                                    250, 500, 875mg tabs, 400mg/5ml, 100
Augmentin                 Augmentin
                                                                    50ml
Biaxin                    Clarithromycin                 250, 500mg tabs
Ceclor                    Cefaclor                       250mg tabs
Ceftin                    Cefuroxime                     250mg tabs
Cefzil                    Cefprozil                      125mg/5ml, 250mg/5ml susp.
Cipro                     Ciprofloxacin                  500mg tabs
Cleocin                   Clindamycin Phosphate          150mg caps, vaginal cream
Dapsone                   Dapsone                        25mg tabs
Diflucan                  Fluconazole                    150mg tabs (limit 3 per month)
Dynapen                   Dicloxacillin                  250mg caps
E-mycin                   Erythromycin                   250mg tabs
Flagyl                    Metronidazole                  250, 500mg tabs
Gris-Peg                  Griseofulvin                   125mg/5ml susp, 125mg tabs
INH Tabs                  Isoniazid                      300mg tabs
Keflex                    Cephalexin                     250mg,125mg/5ml, 250mg/5ml, 500, 7
Lamisil                   Terbinafine HCL                250mg tabs
Levofloxacin              Levaquin                       500mg tabs
Macrobid                  Nitrofurantoin Macrocyrstals   100mg tabs
Macrodantin               Nitrofurantoin                 50mg, 25mg/5ml susp
Minocin                   Minocycline                    50mg caps
Mycostatin                Nystatin                       100,000U/ml suspension
Neomycin                  Neomycin                       500mg tabs
Nizoral                   Ketoconazole                   200mgtab cream 2% shampoo 2%
Omnicef                   Cefdinir                       300mg caps, 125 and 250/5 susp
Pen VK                    Penicillin                     250,500mg tabs,250mg/5ml susp
Rifampin                  Rifadin                        300mg caps
Septra                    Bactrim                        200mg/40mg susp
Septra DS                 Bactrim                        800mg/160mg tabs
Tetracycline              Achromycin                     250mg caps
Vibramycin                Doxycycline Hyclate            100mg tabs
Zithromax                 Azithromycin                   250mg (Z-Pak), 200mg/5ml (15ml, 22.5


Antineoplastic Agents
Imuran                    Azathioprine                   50mg tabs
MTX                       Methotrexate                   2.5mg tabs
Nolvadex                  Tamoxifen                      10mg tabs
Zoladex                   Goserelin                      3.6 and 10 mg


Antiparkinsonian Agents
Cogentin                  Benztropine                    2mg
Parlodel                  Bromocriptine                  2.5mg tabs
Sinemet                   Levidopa/Carbidopa             10/100mg, 25/100, 25/200mg tabs
Antiplatelet Agents
Persantin                     Dipyridamole                         25mg,75mg
Plavix                        Clopidogrel                          75mg


Antipsychotics
Eskalith                      Lithium                              300mg caps
Risperdal                     Risperidone                          1, 4mg tabs
Seroquel                      Quietiapine Fumerate                 25, 100mg tabs


Antispasmodics
Donnatol                      Belladonna Alkaloids/Phenobarbital   tabs & elixer
Librax                        Chlordiazepoxide/Clidinium           caps
Robinul                       Glycopyrrolate                       1mg tabs


Antiulcer Drugs/GERD/PPI’s
Carafate                 Sulcralfate                               1gm tabs
Nexium                   Esomeprazole                              20, 40mg caps
Tagamet                  Cimetadine                                400mg tabs
Zantac                   Ranitidine                                150mg tabs, 15mg/ml syrup


Antivirals
Symmetrel                     Amantadine                           100mg caps
             *for acute use
Valtrex                       Valacyclovir                         1000 mg tabs
             only
Zovirax                       Acyclovir                            200mg caps, 5%oint


Asthma Agents, Bronchodilators/Respiratory Products
*Inspire Ease               Spacer for inhaler
Advair                      Fluticasone/Salmeterol                 100/50, 250/50, 500mcg/50mcg
Aerobid                     Flunisolide                            100MDI
Asmanex                     Mometasone                             Twisthaler
Atrovent                    Ipratropium Bromide                    200 MDI
Azmacort                    Triamcinolone                          inhaler
Brethine                    Terbutaline                            5mg tabs
Combivent                   Albuterol/Ipratropium                  200 MDI
Flovent                     Fluticasone Proprionate                110mcg inh
Intal inhalation soln       Cromolyn Sodium                        20mg/2ml solution
Ipratropium inhalation soln Ipratropium Bromide                    2.5ml vials
Proventil                   Albuterol                              20ml neb. soln, 2mg/5ml soln., 2mg/5m
                                                                      4mg tabs, 200MDI
Serevent Discus              Salmeterol Xinafoate                     50mcg 60 blister Disc
Singulair                    Montelukast                              10mg, 5mg chewable tab
Sodium Chloride inhalation
                                                                      0.9% solution
soln
Spiriva                      Tiotropium                               Handihaler Cap
Theo-Dur                     Theophylline                             100, 200, 300mg tabs, 80mg/15ml elixe
Xopenex                      Levalbuterol HCl                         0.63mg/3mL inh solution
Xopenex HFA                  Levalbuterol HCl                         200 MDI 45mcg/dose



Cathartics/Laxatives
Cephulac                     Lactulose                                10mg/15ml
Colyte                                                                bowel prep
Dulcolax                     Bisacodyl                                5mg tabs 10mg suppositories
Magnesium Citrate                                                     solution
Miralax                      Polyethylene glycol                      solution


Contraceptives
Monophasic
Demulen 1/35                 Ethinyl Estradiol/Ethynodiol Diacetate   28BCP
Demulen 1/50                 Ethinyl Estradiol/Ethynodiol Diacetate   28BCP
Lessina                      Ethinyl Estradiol/Ethynodiol Diacetate   28 BCP
Lo/Ovral                     Ethinyl Estradiol/Norgestrel             28BCP
Loestrin FE 1.5/30           Ethinyl Estradiol/Northindrone/Iron      28BCP
Loestrin FE 1/20             Ethinyl Estradiol/Northindrone/Iron      28BCP
Ortho Evra                   Norelgestromin/Ethinyl Estradiol         Transdermal
Ortho Novum 1/35             Norethindrone/Ethinyl Estradiol          28BCP
Ortho Novum 1/50             Norethindrone/Ethinyl Estradiol          28BCP
Ovral-28                     Norgestrel/Ethinyl Estradiol             28BCP
Yazmine 3/0.03 mg            drospirenone/ethinyl estradiol           28 BCP
Yaz 3/0.02 mg                drospirenone/ethinyl estradiol           28 BCP

Triphasic
Ortho Tri-Cyclen             Norgestimate/Ethinyl Estradiol           28BCP
Ortho-Novum 7/7/7            Ethinyl Estradiol/Norethindrone          28BCP

Progestin only
Depo-Provera                 Medroxyprogesterone                      150mg/ml injection
Nor-QD                       Norethindrone                            .35mg


Corticosteroids - Oral
Deltasone                    Prednisone                               1, 5, 20mg tabs
Medrol Dose Pack            Methylprednisolone                       4mg
Prelone                     Prednisolone Acetonide                   15mg/5ml, 5mg/5ml


Dental Agents ?
Kenalog in Orabase          Triamcinolone Acetonide                  0.1% paste
Peridex                     Chlorhexidine Gluconate                  0.12% rinse
Prevident 5000 Plus                                                  Tooth paste
Xylimax                     Xylitol ?                                Gum


Diuretics
Aldactone                   Spironolactone                           25mg tabs
HCTZ                        Hydrochlorothiazide                      25, 50mg tabs
Lasix                       Furosemide                               20, 40mg tabs
Maxzide                     Hydrochlorothiazide/Triamterene          37.5/25mg, 75/50mg tabs
Zaroxolyn                   Metolazone                               5mg tabs


Electrolyte Replacement
Cephulac                    Lactulose                                10mg/15ml
Potassium Chloride          Potassium Chloride                       10% soln


Estrogens/Progestins
Aygestin                    Norethindrone                            5mg tabs
Climara                     estrogen replacement patch               .6mg
Estratest & Half Strength   Esterified Estrogen/Methyltestosterone   HS(0.625/1.25mg), 1.25/2.5mg
Premarin                    Conjugated Estrogen                      0.3, 0.625, 0.9, 1.25mg tabs
Premarin Cream              Conjugated Estrogen                      0.625 Vaginal Cream
Prempro                     Conjugated Estrogen/Provera              0.625/2.5mg, 0.625/5mg tabs
Provera                     Medroxyprogesterone                      2.5, 10mg tabs


Expectorants/Antitussant
Atuss DM                    DM/Phenylephrine/CTM                     (15/10/2mg)/5ml syrup
Atuss HC                    Hydrocodone/Phenylephrine/CTM            (2.5/10/2mg)5ml syrup
                            Hydrocodone/Potassium
Atuss NX                                                             (3mg/150mg)5ml syrup
                            Guaiacolsulfonate
Codeine Sulfate             Codeine Sulfate                          30mg
Guaifenex                   Guafenesin/Pseudoephedrine               600/60mg tabs
Robitussin                  Guafenesin                               100mg/5ml syrup
Robitussin DM               Guaifenesin/dextromethorphan             100mg/10mg/5ml syrup
Tessalon Perles             Benzonatate                              100mg
Genitourinary Agents
Detrol LA                Tolterodine                2, 4mg caps
Ditropan                 Oxybutynin                 5mg tabs
Uroxatral                Alfuzosin                  10 mg
Hytrin                   Terazosin                  1, 2, 5mg caps
Minipress                Prazosin                   1, 2mg caps
Proscar                  Finasteride                5mg tabs
Pyridium                 Phenazopyridine            100mg tabs


GI Agents
Bentyl                   Dicyclomine                20mg tabs
Cytotec                  Misoprostol                200mg tabs
Reglan                   Metoclopramide             10mg tabs, 5mg/5ml soln


Gout Agents
Azulfidine               Sulfasalazine              500mg tabs
Benemid                  Probenecid                 500mg tabs
Colchicine               Colchicine                 0.65mg tabs
Zyloprim                 Allopurinol                100, 300mg tabs


Hypotensive/Cardiac Drugs
Adalat CC                 Nifedipine                30, 60, 90mg tabs
Aldomet                   Methyldopa                250,500mg tabs
Altace                    Ramipril                  2.5mg, 5mg, 10mg caps
Amlodipine               Norvasc                    5mg, 10mg tablets
Apresoline               Hydralazine                25, 50mg tabs
Calan                    Verapamil                  80, 120mg reg 240mg SR
Capoten                  Captopril                  25, 50mg tabs
Cardizem                 Diltiazem                  60mg tabs
Cardura                  Doxazosin Mesylate         2, 4, 8mg tabs
Catapres                 Clonidine                  0.1, 0.2mg tabs
Cordarone                Amiodarone                 200mg tabs
Coreg                    Carvedilol                 3.125, 6.25, 12.5, 25mg tablets
Cozaar                   Losartan Potassium         50mg, 100mg, tablets
Hytrin                   Terazosin                  1, 2, 5mg caps
Hyzaar                   Losartain Potassium/HCTZ   50/12.5, 100/12.5, 100/25mg tabs
Inderal                  Propranolol                20, 40mg tabs, 80mg LA caps
Lanoxin                  Digoxin                    0.125, 0.25mg tabs
Lopressor ?              Metoprolol Tartrate        50mg tabs
Lotrel                   Amlodipine/Benazepril      5/10, 5/20, 10/20mg caps
Micardis                Telmisartan ?                           40mg, 80mg tabs
Micardis HCT            Telmisartan and HCTZ                    40/12.5; 80/25 mg tabs
Minipress               Prazosin                                1, 2mg caps
Minoxidil               Loniten                                 2.5, 10mg tabs
Plendil                 Felodipine                              2.5, 5, 10mg tabs
Pronestyl               Procainamide                            250mg tabs
Quinidex                Quinidine Sulfate                       200mg tabs
Tenormin                Atenolol                                25, 50, 100mg tabs
Tiazac                  Diltiazem                               120, 180, 240, 300, 360mg caps
Toprol XL               Metoprolol succinate extended release   25, 50, 100mg tabs
Zestril                 Lisinopril                              5, 10, 20, 40mg tabs
Zestoretic              Lisinopril/HCTZ                         10/12.5, 20/12.5, 20/25mg tabs


Lipid Lowering Agents
Colestid                Colestipol                              1000 mg tabs
Lipitor                 Atorvastatin calcium                    10, 20, 40, and 80mg tablets
Lopid                   Gemfibrozil                             600mg tabs
Niacin                  Niacin                                  500mg tabs, 250mg SR Caps
Niaspan                 Niacin                                  500mg ER tabs
Pravachol               Pravastatin                             10,20,40 mg
Triglide                Fenofibrate                             50, 160mg
Zocor                   Simvastatin                             10, 20, 40, 80mg tabs
Zetia                   Ezetimibe                               10 mg tabs


Migraine Agents
Fioricet                Acetominophen/Butalbital/Caffeine       325/50/40mg tabs
Fiorinal                Aspirin/Butalbital/Caffeine             325/50/40mg tabs
Imitrex                 Sumatriptan                             25, 50mg tabs, 6mg inj.
Maxalt                  Rizatriptan                             5, 10mg
Maxalt-MLT              Rizatriptan                             5, 10mg
Midrin                  Isometheptne/Dichloralphenalzone/APAP 65/100/325mg caps
Zomig                   Zolmitriptan                            2.5, 5mg tabs



Muscle Relaxants
Flexeril                Cyclobenzaprine                         10mg tabs
Lioresal                Baclofen                                10mg tabs
Norgesic Forte          Orphenadrine/Aspirin/Caffeine           (50/770/60mg) tabs
Robaxin                 Methocarbamol                           500mg


NSAIDS/Analgesics
Azulfidine              Sulfasalazine                           500mg tabs
Baby Aspirin              Aspirin                          81mg chewable tablets
Clinoril                  Sulindac                         200mg tabs
Codeine                   Codeine                          30mg tabs
Darvocet                  Propoxyphene/APAP                100/650mg tabs
Demerol                   Meperidine                       50mg tabs
Disalcid                  Salsalate                        500mg tabs
Ecotrin                   Aspirin                          325mg EC
Feldene                   Piroxicam                        20mg caps
Lortab                    Hydrocodone/APAP                 5/ 500; 7.5/500mg tabs
Mobic                     Meloxicam                        7.5 mg tabs
Motrin                    Ibuprofen                        400, 600, 800mg tabs, 200mg/ml
MS Contin                 Morphine Sulfate                 15, 30mg tabs
Naprosyn                  Naproxen                         250mg,500mg tabs
Percocet                  Oxycodone/Tylenol                5/325mg tabs
Toradol                   Ketorolac                        10mg tabs
Tylenol                   Acetominophen                    325mg
Tylenol #3                Codeine/Tylenol                  30/300mg tabs, Elixer
Ultracet                  Tramadol/Acetaminophen           50/325mg tab
Ultram                    Tramadol                         50mg tabs


Narcolepsy Agents/Attention Deficit
Adderall                   Amphetamine                     5, 10,mg reg, 10mg,30mg XR
Concerta                   Methylphenidate                 18, 27, 36, 54mg ER tabs
Ritalin                    Methylphenidate                 10mg, reg, 20mg SR tabs


Nasal Corticosteroids
Flonase                   Fluticasone Proprionate          120 MDI
Nasonex                   Mometasone furoate monohydrate   50mcg nasal spray



Nasal Decongestants
Afrin                     Oxymetazoline                    0.05%
Neo-Synephrine            Phenylephrine                    0.25%
Sea Soft                  Sodium Chloride                  45ml


Nitrates/Nitrites
Imdur                     Isosorbide Mononitrate           30mg, 60mg ER tablets
Isordil                   Isosorbide Dinitrate             10mg
Isordil Tembids           Isosorbide Dinitrate             40mg SR caps
Monoket (ISMO)            Isosorbide Mononitrate           20mg tabs
Nitro-Dur                 Nitroglycerin                    0.2mg/hr, 0.4mg/hr patches
Nitrolingual Spray        Nitroglycerin
Nitrostat                  Nitroglycerin                     0.4mg SL tabs


Opthalmics - Antibiotics
Bacitracin                 Bacitracin                        3.5gm ointment
Garamycin                  Gentamycin                        solution & ointment
Ilotycin                   Erythromycin                      5mg/gm ointment
Iquix                      Levofloxacin                      1.5% solution
Neosporin                  Neomycin/Polymycin B/Gramicidin   10ml solution
Polysporin                 Bacitracin/Polymyxin B ?          3.5gm ointment
Polytrim                   Polymyxin B/Trimethoprim          10ml solution
Sulamyd                    Sulfacetamide/Sodium              10% ointment
Tobradex                   Tobramycin/Dexamethasone          5ml suspension & ointment
Quixin                     Levofloxacin                      Ophth drops
Vigamox                    Moxifloxacin hcl                  0.5% solution 3ml


Opthalmics - Other
Alrex                      Loteprednol Etabonate             0.2% suspension
Alphagan-P                 Brimonidine Tartrate              0.15% solution
Betoptic S                 Betaxolol HCl                     0.25% suspension
Celluvisc                  carboxymethyl celulose            ophth drops
Crolom                     Cromolyn                          4% solution
Cyclogyl                   Cyclopentolate HCl                1% solution
Epifrin                    Epinephrine                       1%, 2% solution
Flour-Op                   Fluorometholone                   0.1% suspension
Genteal                    Hydroxypropyl Methylcellulose     0.3% solution
Genteal Gel                Hydroxypropyl Methylcellulose     0.3% gel
Isopto Homatropine         Homotropine Hydrobromide          5% solution
Muro-128                   Sodium Chloride                   5% ointment
Naphcon-A                  Naphazonline                      15ml drops
Optivar                    Azelastine HCl                    0.05% solution
Pilocarpine                Pilocarpine HCl                   1%, 2%, 4% solution
Pilopine HS                Pilocarpine HCl                   4% gel
Pred Forte                 Prednisolone Acetonide            1% drops
Propine                    Dipivefrin HCl                    0.1% solution
Refresh Tears              carboxymethyl celulose            solution
Timoptic                   Timolol Maleate                   0.25%, 0.5% solution
Timoptic XE                Timolol Maleate                   0.5% gel forming solution
Trusopt                    Dorzolamide                       2% solution
Voltaren                   Diclofenac Sodium                 0.1% solution
Xalatan                    Latanoprost                       0.005% solution
Zylet                      Loteprednol and tobramycin ?      0.5/0.3% solution
Osteoporosis Agents
Evista                     Raloxifene                            60mg tabs
Fosamax- D                 Alendronate Sodium + vit D            70 mg tabs
Fosamax                    Alendronate Sodium                    10, 35, 70mg tabs


Otics
Auralgan                   Antipyrine/Benzocaine                 15ml drops
Ciprodex                   Ciprofloxacin/Dexamethasone           drops
Coly-Mycin S               Colistin/Neomycin/HC/Thonzonium       5ml drops
Cortisporin                Neomycin/Polymyxin B/Hydrocortisone   10ml suspension
Debrox                     Carbamide Peroxide                    6.5% solution
Vosol                      Acetic Acid                           2% solution
Vosol HC                   Hydrocortisone/Acetic Acid            10ml solution


Rectal Products
Anusol HC                  Hydrocortisone Acetate                25mg suppository
Dibucaine                  Nupercainal                           1% ointment
Dulcolax                   Bisacodyl                             10mg suppository
Fleet                      Sodium Phosphate                      enema
ProctoCream HC             Hydrocortisone                        2.5% cream
ProctoFoam HC              Hydrocortisone/Pramoxine              1% topical aerosol
Tylenol                    Acetominophen                         120, 650mg suppository


Thyroid/Antithyroid Agents
PTU                        Propythiouracil                       50mg tabs
Synthroid                  Levothyroxine                         25, 50, 75, 88, 100, 112, 125, 150 mcg t


Topical Agents - Antibiotic/Antifungal
Bactroban                   Mupirocin                            22gm ointment
Cleocin                     Clindamycin Phosphate                1% solution
Cleocin Pledgets            Clindamycin Phosphate                1% pledgets
Lotrimin                    Clotrimazole                         1% cream
Lotrisone                   Clotrimazole/Betamethasone           1%/0.05% cream
Mycolog                     Nystatin/Triamcinolone               15gm cream
Nizoral                     Ketoconazole                         2% cream
Nizoral Shampoo             Ketoconazole                         2% shampoo
Nystatin                    Nystatin                             30gm oint, 100,000 USP powder
Triple Antibiotic           Neomycin/Polymyxin B/Bacitracin      30gm ointment
T-Stat                      Erythromycin                         2% solution
Topical Agents - Steroidal
Hydrocortisone               Hydrocortisone           1% cream
Kenalog                      Triamcinolone            0.1% cream & spray
Lidex                        Fluocinonide             0.05% cream
Mometasone Furoate           Elocon                   0.1% cream
Synalar                      Fluocinolone             0.01% solution
Temovate                     Clobetasol Propionate    0.05% cream
Valisone                     Betamethasone Valerate   0.1% cream & ointment


Topical Agents - Other Dermatological
Condylox                   Podofilox                  0.5% solution
Desquam-X                  Benzoyl Peroxide           5% wash
Duofilm                    Salicylic Acid             17% solution
Efudex                     Fluorourcil                5% cream
Eldoquine-Forte            Hydroquinone               4% cream
Elidel                     Pimecrolimus               1% cream
Elimite                    Permethrin                 5% cream
Metrogel                   Metronidazole              0.75% gel
Retin-A                    Tretinoin                  0.05% cream, 0.01% gel
Selsun                     Selenium Sulfide           2.5% lotion/shampoo
Silvadene                  Silver Sulfadiazine        1% cream
Xylocaine                  Lidocaine HCL              2% jelly


Tranquilizers
Haldol                       Haloperidol              5mg tabs
Mellaril                     Thioidazine              25, 50, 100mg tabs
Stelazine                    Trifluoperazine          2, 5mg tabs
Thorazine                    Chlorpromazine           25mg tabs
Trilafon                     Perphenazine             4mg tabs


Vaginal Products
Cleocin                      Clindamycin Phosphate    2% cream
Lotrimin                     Clotrimazole             1% cream
Metrogel                     Metronidazole            0.75% gel
Premarin                     Conjugated Estrogen      0.625mg/gm cream
Terazol 7                    Terconazole              0.4% cream


Vitamins & Minerals
Ferrous Sulfate              Ferrous Sulfate          325mg tabs
Folic Acid                      Folic Acid                               1mg tabs
Prenatal Plus                   Prenatal Vitimins
Slo-K                           Potassium ?                              8, 10, 20mEq
Vitamin B-1                     Thiamine                                 50mg tabs
Vitamin B-6                     Pyridoxine                               50mg tabs


Miscellaneous
Antabuse                        Disulfiram                               250mg tabs
Bicitra                         Sodium Citrate/Citric Acid               solution
Clomid                          Clomiphene                               50mg tabs
Diamox                          Acetazolamide                            250, 500mg tabs
Mestinon                        Pyridiostigmine                          60, 180mg tabs
Pavabid                         Papaverine                               150mg SR caps
Urecholine                      Bethanechol                              10, 25mg tabs
Xylocaine Viscous               Licocaine HCL                            2% Viscous Suspension


NOTE:           Highlighted medications are controlled medications.
                ** Only Schedule III-V are refillable up to 6 months**

Controlled Medications
Adderall                        Amphetamine                              5, 10,mg tabs, XR 10mg, XR 30mg cap
Ambien                          Zolpidem tartrate                        5, 10mg
Ativan                          Lorazepam                                1mg tabs
Atuss HC                        Hydrocodone/Phenylephrine/CTM            (2.5/10/2mg)5ml syrup
                                Hydrocodone/Potassium
Atuss NX                                                                 (3mg/150mg)5ml syrup
                                Guaiacolsulfonate
Codeine                         Codeine                                  30mg tabs
Darvocet                        Propoxyphene/APAP                        100/650mg tabs
Demerol                         Meperidine                               50mg tabs
Dexedrine                       Dextroamphetamine Sulfate                5mg tabs
Klonopin                        Clonazepam                               0.5mg tabs
Librium                         Clordiazepoxide HCL                      10mg caps
Lomotil                         Diphenoxylate                            2.5mg tabs
Lortab                          Hydrocodone/APAP                         5/ 500; 7.5/500mg tabs
Methyltestosterone              Methyltestosterone                       10mg tabs
Midrin                          Isometheptne/Dichloralphenalzone/APAP    65/100/325mg caps
MS-Contin                       Morphine Sulfate                         30mg tabs
Novahistine w/Codeine           Guaifenesin/Pseudoephedrine/Codeine      100/30/10mg syrup
Percocet 5                      Oxycodone/Tylenol                        5/325mg tabs
Phenergan AC                    Promethazine/Codeine                     syrup
Phenobarbital                   Phenobarbital                            20mg/5ml elixer, 15,30mg tabs
Restoril                        Temazepam                                15,30mg caps
Ritalin                         Methylphenidate                          10mg, reg, 20mg SR tabs
Robitussin AC                 Guaifenesin/Codeine                        syrup
Testosterone                  Testosterone Cypionate                     200mg/ml injection
Tylenol #3                    Codeine/Tylenol                            30/300mg tabs, Elixer
Valium                        Diazepam                                   2, 5, 10 mg tabs
Xanax                         Alprazolam                                 0.5mg tabs

All Narcotic prescriptions must have the following information on the prescription before they can be filled:
             1. Physician’s DEA number
             2. Physicians office address
             3. Patient’s address and phone number

								
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