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CENTCOM Formulary 23 May 2011 by Br0M5X

VIEWS: 13 PAGES: 23

									                                                                             Legend:                                                                                                                                                                                               CENTCOM FORMULARY   As of: DECEMBER 2010
                                                                             YELLOW = Restricted Use BLUE = May Use in OTC Program
                                                                             ORANGE = Veterinary ONLY Agents RED = IND; Must report use




AHFS     AHFS Description                  Generic Nomenclature                                      Brand Name Nomenclature   Current DCAM Stock   Where Stocked   Hum / Vet /   UI   Available at         Formulary      Class    Comments
                                                                                                                               Number                               OTC / IND          Level of Care        Notes          Review
                                                                                                                                                                                       (All, II&III, II+&
                                                                                                                                                                                       III, and III Only)
280892   Analgesics, Miscellaneous         ACETAMINOPHEN 325MG SUPP 12S                              Tylenol Suppository       F00713016412              SWA           Hum        PG                                       JUN
280892   Analgesics, Miscellaneous         ACETAMINOPHEN DROPS 100MG/ML, 15ML                        Tylenol                   F00603083873              SWA           Hum        BT                                       JUN
280892   Analgesics, Miscellaneous         ACETAMINOPHEN ELIXIR 160MG/5ML 120ML                      Tylenol                   F00904198500              SWA           Hum        BT                                       JUN
280892   Analgesics, Miscellaneous         ACETAMINOPHEN RECTAL SUPPOSITORIES ADULT 650MG            Tylenol                   F00713016512              SWA           Hum        PG                                       JUN
                                           I.S. 12S
280892   Analgesics, Miscellaneous         ACETAMINOPHEN TABLETS USP 500 MG 1000S                    Tylenol                   F57896022110              SWA           Hum        BT                                       JUN
280892   Analgesics, Miscellaneous         ACETAMINOPHEN TABLETS USP 500 MG 100S                     Tylenol                   F00904198359              SWA           Hum        BT                        Added SEP 07   JUN
280892   Analgesics, Miscellaneous         ACETAMINOPHEN/CAFFEINE/BUTALB 325-40-50 TABLET 100S       Fioricet                  F00603254421              SWA           Hum        BT                                       JUN
521000   EENT, Carbonic Anhydrase          ACETAZOLAMIDE SODIUM STERILE USP 500MG VIAL               Diamox                    F39822019001              SWA           Hum        VI                                       DEC      Alt NDC - 00205-4466-96               May-11
         Inhibitors
521000   EENT, Carbonic Anhydrase          ACETAZOLAMIDE TABLETS USP 250MG 100 TABLETS PER           Diamox                    F00527105001              SWA           Hum        BT                                       DEC      DSCP recommends NDC
         Inhibitors                        BOTTLE                                                                                                                                                                                   00005446923
522000   EENT, Miotics                     ACETYLCHOLINE CHLORIDE FOR OPHTHALMIC SOLUTION            Miochol-E System Pack     F00078047461           USAMMCE          Hum        PG                                       DEC
                                           USP 1% 2ML KIT 2
                                           ACETYLCYSTEINE 200MG/ML INJ VIAL 30ML 4S                  Acetadote INJ             F66220020730              SWA           Hum             II & III only                       MAR                                            May-11
482400   Mucolytic Agents                  ACETYLCYSTEINE SOLUTION INHL USP 20% 10ML BOTTLE 3S       Mucomyst INH              F00517761003              SWA           Hum        PG   II & III only                       DEC      Alt NDC 00087057003
081800   Antivirals                        ACYCLOVIR 5% OINTMENT                                     Zovirax 5% OINT           F64455099394              SWA           Hum        TU                                       MAR
081800   Antivirals                        ACYCLOVIR 800MG TABS, 100S                                Zovirax TABS              F63304050501              SWA           Hum        BT                                       MAR      Alternate F00093894701                May-11
081800   Antivirals                        ACYCLOVIR CAPSULES 200MG 100S                             Zovirax                   F23155014601              SWA           Hum        BT                                       MAR      Alt: F00093894001                     May-11
081800   Antivirals                        ACYCLOVIR SODIUM 500MG VIAL 10S                           Zovirax                   F55390061210              SWA           Hum        PG                                       MAR      DSCP recommends NDC
                                                                                                                                                                                                                                    55390061210
843600   Topical Skin & Mucous             ADAPALENE CREAM 0.1%, 45GM                                Differin                  F00299591545              SWA           Hum        TU                                       MAR
         Membrane Agents,
         Miscellaneous
843600   Topical Skin & Mucous             ADAPALENE GEL 0.1%, 45GM                                  Differin                  F00299591045              SWA           Hum        TU                                       MAR
         Membrane Agents,
         Miscellaneous
240404   Antiarrhythmic Agents             ADENOSINE INJECTION USP 3MG/ML 2ML SYRINGE 10s            Adenocard                 F00469823412             SWA            Hum        PG                                       SEP
402000   Caloric Agents                    ADULT FORMULA (ENSURE ENLIVE APPLE 27X8.1OZ 27S)          Enlive                    F70074056643           USAMMCE          Hum        PG   III only             Added SEP 07   DEC                                            May-11
402000   Caloric Agents                    ADULT FORMULA 1500ML 6S (PERATIVE LIQUID 1500ML 6S)       Periative                 F70074057635           USAMMCE          Hum        CS   III only             Added SEP 07   DEC
402000   Caloric Agents                    ADULT FORMULA 250ML 24S (NUT TX COMP IMMUNE SYSTM         Crucial                   F00065912470             SWA            Hum        PG   III only             Added SEP 07   DEC
                                           SOY LIQUID 250ML 24S)
080800   Anthelmintics                     ALBENDAZOLE TABLETS 200MG 112S                            Albenza                   F00007550040              SWA           Hum        BT                                       MAR
160000   Blood Derivatives                 ALBUMIN HUMAN USP 25% 50ML VIAL                           Albuminar                 6505005595807             SWA           Hum        VI                                       SEP
160000   Blood Derivatives                 ALBUMIN HUMAN USP 5% 250ML BOTTLE                         Albuminar                 F13533068525              SWA           Hum        PG                                       SEP
121200   Adrenergic Agents                 ALBUTEROL SULFATE 90MCG AER W/ADAP 6.7GR 1S               Proventil; Ventolin       F00085113201              SWA           Hum        PG                                       SEP      Alt NDC 00172439018 or
                                                                                                                                                                                                                                    00173032188
121200   Adrenergic Agents                 ALBUTEROL SULFATE INHALATION SOLUTION 0.083%              Proventil                 F00487950103              SWA           Hum        PG                                       SEP
                                           (0.83MG/ML) 3ML BOTTLE 30s
920000   Miscellaneous Therapeutic         ALENDRONATE 35 MG TABLET, 4S                              Fosamax                   F41616063768           USAMMCE          Hum        PG                        Added SEP 08   MAR      BCF item; 35 mg once weekly is        May-11
         Agents (Bone Resorption                                                                                                                                                                                                    osteoporosis prophylaxis dose in
         Inhibitors)                                                                                                                                                                                                                postmenopausal females
920000   Miscellaneous Therapeutic         ALENDRONATE 70 MG TABLET                                  Fosamax                   F16252060144           USAMMCE          Hum                                  Added SEP 08   MAR      BCF item; 70 mg once weekly is        May-11
         Agents (Bone Resorption                                                                                                                                                                                                    osteoporosis treatment dose in
         Inhibitors)                                                                                                                                                                                                                postmenopausal females
242000   Alpha-Adrenergic Blocking         ALFUZOSIN HCL 10MG TAB.SR 24H 100S                        Uroxatral                 F00024420010              SWA           Hum        BT                                       SEP      BCF Preferred item
         Agents
920000   Miscellaneous Therapeutic         ALLOPURINOL 300MG TABLET 100S                             Zyloprim                  F00603211621              SWA           Hum        BT                                       MAR
         Agents
282408   Anxiolytics /                     ALPRAZOLAM 0.5MG TABLET 100S                              Xanax                     F59762372001              SWA           Hum        BT                                       JUN
         Sedatives/Hypnotics,
         Benzodiazepine
201220   Thrombolytic Agents               ALTEPLASE INJ 100MG VIAL                                  Activase                  F50242008527           USAMMCE          Hum             III only             Added MAR 08   SEP      For use in Ischemic Stroke.
                                                                                                                                                                                                                                    Check Supporting Documents for
                                                                                                                                                                                                                                    treatment guideline link. II+ units
                                                                                                                                                                                                                                    with CAT Scan may order
520492   EENT, Misc. Anti-infectives       ALUMINUM ACETATE AND ACETIC ACID SOLUTION 2% 60ML         Domeboro Otic             F24208061577              SWA           Hum        BT                                       DEC
                                           BOTTLE
841200   Topical Astringents               ALUMINUM CHLORIDE 20% TOPICAL SOLUTION 35ML               Drysol                    F58980015011             SWA            Hum        BT                                       MAR
841200   Topical Astringents               ALUMINUM CHLORIDE 25% ORAL SOLUTION 10 ML                 Hemodent                  D378-0324              USAMMCE          Hum        BT                                       MAR      Dental Astringent product. Not
                                                                                                                                                                                                                                    PV.
840600   Topical Anti-inflammatory         AMCINONIDE CREAM 0.1% 60GM 1S                             Cyclocort                 F00168027860           USAMMCE          Hum        TU                                       MAR
         Agents
081202   Aminoglycosides                   AMIKACIN SULFATE 250MG/ML VIAL 2ML 10S                    Amikin                    F55390022604              SWA        Hum & Vet     PG                                       MAR                                            May-11
402000   Caloric Agents                    AMINO ACIDS 4.25%/D10W/ ELECTROLYTES IV SOLN 1000ML       Clinimix E 4.25%/10%      F00338114503              SWA          Hum         CS                                       DEC      Alt Item if short on primary - use
                                           6S                                                                                                                                                                                       NDC 00338-1123-04, AMINO
                                                                                                                                                                                                                                    ACIDS 5%/D15W/
                                                                                                                                                                                                                                    ELECTROLYTES IV SOLN
                                                                                                                                                                                                                                    2000ML 4S, Clinimix E 5%/15%
402000   Caloric Agents                    AMINO ACIDS 4.25%/D25W/ ELECTROLYTES IV SOLN 1000ML       Clinimix E 4.25%/25%      F00338114603             SWA           Hum         CS                                       DEC
201216   Hemostatics                       AMINOCAPROIC ACID 250MG/ML SYRUP 473MLS                   Amicar Syrup              F66479002356           USAMMCE         Hum         BT   III only             Added SEP 07   SEP
201216   Hemostatics                       AMINOCAPROIC ACID 250MG/ML VIAL 20ML 25S                  Amicar                    F00409434673           USAMMCE         Hum         PG                                       SEP      ALT NDC 00517912025
861600   Respiratory Smooth Muscle         AMINOPHYLLINE INJECTION USP 25MG PER ML 10ML AMPUL        Aminophylline             F00409592101             SWA         Hum & Vet     BX                                       DEC      Alt NDC 00517-3810-25
         Relaxants                         25 PER BOX
240404   Antiarrhythmic Agents             AMIODARONE HCL 200MG TABLET 60S                           Cordarone                 F51672402504              SWA           Hum        BT                                       SEP
240404   Antiarrhythmic Agents             AMIODARONE HYDROCHLORIDE INJECTION 50MG/ML 3ML            Cordarone                 F00409434835              SWA           Hum        PG                                       SEP
                                           VIAL 10S
281604   Antidepressants                   AMITRIPTYLINE HCL 10MG TABLET 100S                        Elavil                    F00378261001              SWA           Hum        BT                                       JUN
281604   Antidepressants                   AMITRIPTYLINE HCL 25MG TABLET 1000S                       Elavil                    F00603221332              SWA           Hum        BT                                       JUN
242808   Calcium-Channel Blocking          AMLODIPINE 5MG TABLETS 100S                               Norvasc                   F00378520977             SWA            Hum                                  Added MAR 08   MAR      BCF addition
         Agents, Dihydropyridines
242808   Calcium-Channel Blocking          AMLODIPINE/BENAZEPRIL 10 MG/20 MG TABLETS                 Lotrel                    F00078036405          USAMMCE           Hum        BT                        Added SEP 08   MAR      BCF item
         Agents, Dihydropyridines
242808   Calcium-Channel Blocking          AMLODIPINE/BENAZEPRIL 10 MG/40 MG TABLETS                 Lotrel                    F00078037905          USAMMCE           Hum        BT                        Added SEP 08   MAR      BCF item
         Agents, Dihydropyridines
242808   Calcium-Channel Blocking          AMLODIPINE/BENAZEPRIL 2.5 MG/10 MG TABLETS, 100S          Lotrel                    F00078040405          USAMMCE           Hum        BT                        Added SEP 08   MAR      BCF item
         Agents, Dihydropyridines
242808   Calcium-Channel Blocking          AMLODIPINE/BENAZEPRIL 5 MG/10 MG TABLETS, 100S            Lotrel                    F00078040505          USAMMCE           Hum        BT                        Added SEP 08   MAR      BCF item
         Agents, Dihydropyridines
242808   Calcium-Channel Blocking          AMLODIPINE/BENAZEPRIL 5 MG/20 MG TABLETS, 100S            Lotrel                    F00078040605          USAMMCE           Hum        BT                        Added SEP 08   MAR      BCF item                              May-11
         Agents, Dihydropyridines
282092   Anorexigenic agents and           AMMONIA INHALER 0.33ML 10S                                                          F39822990001             SWA            Hum
         respiratory and cerebral
         stimulants, miscellaneous
842404   Topical Skin & Mucous             AMMONIUM LACTATE 12% LOTION                               Lac-Hydrin                F45802052555              SWA           Hum        BT                                       MAR
         Membrane Agents,
         Miscellaneous
081216   Penicillins                       AMOXICILLIN AND POTASSIUM CLAVULANATE SUSP 400-           Augmentin                 F66685101202              SWA           Hum        BT                                       MAR      00172-7406-21 (Mandatory
                                           57MG/5ML (AUGMENTIN 400) 100ML                                                                                                                                                           Contract Item)
081216   Penicillins                       AMOXICILLIN AND POTASSIUM CLAVULANATE TABLETS             Augmentin                 F66685100200              SWA        Hum & Vet     BT                                       MAR      Alt NSN 6505013038962,
                                           (AUGMENTIN 500) 20S                                                                                                                                                                      AMOXICILLIN AND
                                                                                                                                                                                                                                    CLAVULANATE POTASSIUM
                                                                                                                                                                                                                                    TABLETS (AUGMENTIN 500)
                                                                                                                                                                                                                                    UD 100 TABS/PG, NDC
                                                                                                                                                                                                                                    00029608031
081216   Penicillins                       AMOXICILLIN AND POTASSIUM CLAVULANATE TABLETS             Augmentin                 F66685100100              SWA           Hum        BT                                       MAR
                                           (AUGMENTIN 875) 20S
081216   Penicillins                       AMOXICILLIN CAPSULES 250MG 100S                           Amoxil                    F00093310701              SWA        Hum & Vet     BT                                       MAR
081216   Penicillins                       AMOXICILLIN CAPSULES 250MG 500S                           Amoxil                    F00093310705              SWA          Hum         BT                                       MAR      DSCP recommends NDC
                                                                                                                                                                                                                                    00003010160



081216   Penicillins                       AMOXICILLIN CAPSULES 500MG 500S                           Amoxil                    F00093310905              SWA        Hum & Vet     BT                                       MAR      Sub USAMMCE NDC
                                                                                                                                                                                                                                    00029600732, AMOXICILLIN
                                                                                                                                                                                                                                    CAPSULES 500MG 500S
081216   Penicillins                       AMOXICILLIN SUSPENSION 250 MG/5 ML 150ML                  Amoxil                    F00781604155              SWA           Hum        BT                                       MAR
081216   Penicillins                       AMOXICILLIN SUSPENSION 400 MG/5 ML 100ML                  Amoxil                    F00093416173           USAMMCE          Hum                                  Added MAY 08   MAR                                            May-11
081428   Antifungals, Polyenes             AMPHOTERICIN B LIPOSOMAL 50MG VIAL 20                     AmBisome                  F00469305130             SWA            Hum        VI                                       MAR
081216   Penicillins                       AMPICILLIN AND SULBACTAM 1.5GM VIAL 10s                   Unasyn 1.5MG INJ          F00049001383              SWA           Hum        PG                                       MAR
081216   Penicillins                       AMPICILLIN AND SULBACTAM 3GM VIAL 10S                     Unasyn                    F10019063002              SWA           Hum        PG                                       MAR                                            May-11
241208   Nitrates and Nitrites             AMYL NITRATE INHALANT USP 0.300ML AMPUL 12 PER            Amyl Nitrate              F39822995002           USAMMCE          Hum        PG                                       SEP
801200   Vaccines                          ANTHRAX VACCINE 5ML VIAL (6.1 ML +/- 0.2 ML) 10 DOSE      Biothrax                  6505013996828             SWA           Hum        VI                                       MAR
990000   Antidotes                         ANTIDOTE TREATMENT KIT CYANIDE 6 TREATMENTS               Cyanide Kit               F11098050701              SWA           Hum        EA   II & III only                       MAR      Alt NDC 67179076701
                                                                                                                                                                                                                                    (Component of Chem Pt Tx Set)
990000   Antidotes                         ANTIDOTE TREATMENT KIT NERVE AGENT (Same Thing)           NAAK / Mark I Kit         6505013627427          USAMMCE          Hum        EA                                       MAR
521600   EENT, Local Anesthetics           ANTIPYRINE AND BENZOCAINE OTIC SOLUTION USP 10ML          Auralgan                  F64376043815             SWA            Hum        BT                                       DEC      DSCP recommends NDC
                                                                                                                                                                                                                                    24208056162
800400   Serums                            ANTIVENIN LATRODECTUS MACTANS 6000UNITS 2ML VIAL          Black Widow Antivenin     F00006408400           USAMMCE          Hum        PG   III only             Updated AUG    MAR      Back Ordered
                                           (BACKORDERED)                                                                                                                                                    2010
523600   EENT, Misc. Drugs                 ARTIFICIAL TEARS 3.5GM OINTMENT 1S                        Artificial Tears          F00536655091              SWA          Hum         TU                                       DEC
523600   EENT, Misc. Drugs                 ARTIFICIAL TEARS SOLUTION 15 ML (POLYVINYL ALCOHOL        Liquid Tears              F00904501735              SWA        Hum & Vet     BT                                       DEC      DSCP recommends NDC
                                           1.4%) DROPPER BOTTLE                                                                                                                                                                     00182154364
881200   Vitamin C                         ASCORBIC ACID 500MG TABLETS 100s                          Vitamin C                 F54629007601             SWA            Hum        BT                                       DEC
881200   Vitamin C                         ASCORBIC ACID 500MG/ML 50ML INJECTABLE                    Vitamin C inj             F67457011850           USAMMCE          Hum        VI                                       DEC      250MG/ML INJ substitution
                                                                                                                                                                                                                                    authorized
880000   Vitamins, Multivitamin            ASCORBIC ACID SYRUP 500MG/ML 120 MLS                      Ascorbic Acid Syrup       F00536016097           USAMMCE          Hum        BT   III only             Added SEP 07   DEC      for inpatient use as nutritional
         Preparations                                                                                                                                                                                                               supplement
280804   Nonsteroidal Anti-inflammatory    ASPIRIN 325MG PLAIN TABLETS USP 100S                      ASA                       F00536330501              SWA           Hum        BT                                       JUN      F00904200960                          May-11
         Agents
280804   Nonsteroidal Anti-inflammatory    ASPIRIN 81MG TAB CHEW 36S                                 ASA                       F00904404073              SWA           Hum        BT                                       JUN
         Agents
280804   Nonsteroidal Anti-inflammatory    ASPIRIN ENTERIC COATED 325MG TABLETS 100S                 Ecotrin                   F10135012601           USAMMCE          Hum        BT                                       JUN      Alt NDC 00603016621; not
         Agents                                                                                                                                                                                                                     recommended for use in dogs
280804   Nonsteroidal Anti-inflammatory    ASPIRIN SUPPOSITORIES USP 600MG ADULT RECTAL I.S. 12S     ASA                       F00574703612           USAMMCE          Hum        PG                                       JUN
         Agents
242400   Beta-Adrenergic Blocking          ATENOLOL TABLETS 25MG 100S                                Tenormin                  F00781107801              SWA           Hum        BT                                       SEP      DSCP recommends NDC
         Agents                                                                                                                                                                                                                     00310010710
242400   Beta-Adrenergic Blocking          ATENOLOL TABLETS 50MG 100S                                Tenormin                  F00781150601              SWA           Hum        BT                                       SEP      DSCP recommends NDC
         Agents                                                                                                                                                                                                                     00310010510
289200   Central Nervous Systems           ATOMOXETINE HCL 40MG CAPSULE 30S                          Strattera                 F00002322930              SWA           Hum        BT                                       JUN
         Agents Misc
289200   Central Nervous Systems           ATOMOXETINE HCL 60MG CAPSULE 30S                          Strattera                 F00002323930              SWA           Hum        BT                                       JUN
         Agents Misc
240608   Antilipemic Agents, HMG-CoA       ATORVASTATIN TABLETS 10MG 90S                             Lipitor                   F00071015523              SWA           Hum        BT                                       SEP
         Reductase Inhibitors
240608   Antilipemic Agents, HMG-CoA       ATORVASTATIN TABLETS 20MG 90S                             Lipitor                   F00071015623              SWA           Hum        BT                                       SEP
         Reductase Inhibitors
240608   Antilipemic Agents, HMG-CoA       ATORVASTATIN TABLETS 40MG 90S                             Lipitor                   F00071015723              SWA           Hum        BT                                       SEP
         Reductase Inhibitors
083008   Antimalarial Agents               ATOVAQUONE 250MG & PROGUANIL 100MG TABLETS 100S           Malarone                  F00173067501              SWA           Hum        BT                                       MAR
990000   Antidotes                         ATROPINE INJECTION AQUEOUS TYPE 0.7ML SYRINGE WITH        AtroPen                   6505009269083             SWA           Hum        EA                                       MAR
                                           NEEDLE
120808   Antimuscarinics                   ATROPINE SULFATE INJECTION 0.1MG/ML 10ML 10S              Atropine                  F00409163010              SWA           Hum        BX                                       DEC      DSCP recommends NSN 6505-
                                                                                                                                                                                                                                    01-419-9432, ATROPINE
                                                                                                                                                                                                                                    SULFATE INJECTION
                                                                                                                                                                                                                                    0.1MG/ML 10ML 50S NDC
                                                                                                                                                                                                                                    00074-4911-18. Alt NSN 6505-
                                                                                                                                                                                                                                    01-499-1685, ATROPINE
                                                                                                                                                                                                                                    SULFATE INJECTION
                                                                                                                                                                                                                                    0.1MG/CC 10ML 25S, 00548-
120808   Antimuscarinics                   ATROPINE SULFATE INJECTION 0.4MG/ML 20ML VIAL 10S         Atropine                  F10019025020              SWA        Hum & Vet     PG                                       DEC      1039-00
120808   Antimuscarinics                   ATROPINE SULFATE INJECTION 1MG/ML 1ML VIAL 25S            Atropine                  F00517101025              SWA          Hum         PG                                       DEC
522400   EENT, Mydriatics                  ATROPINE SULFATE OPHTHALMIC OINTMENT USP 3.5 GM           Isopto Atropine Ophth     F24208082555              SWA        Hum & Vet     TU                                       DEC
522400   EENT, Mydriatics                  ATROPINE SULFATE OPHTHALMIC SOLUTION USP 1% 15ML          Isopto Atropine Ophth     F61314030302              SWA        Hum & Vet     BT                                       DEC      DSCP recommends NDC
                                                                                                                                                                                                                                    00998030315
520200   Antiallergic Agents,              AZELASTINE HCL 137MCG SPRAY/PUMP 30ML 1S                  Astelin                   F00037024130           USAMMCE          Hum                                  Added Dec 08
         Miscellaneous
081212   Macrolides                        AZITHROMYCIN FOR INJECTION 500MG/VIAL 10S                 Zithromax                 F63323039810              SWA          Hum         PG                                       MAR
081212   Macrolides                        AZITHROMYCIN SUSPENSION 200MG/5ML 30ML                    Zithromax                 F00069314019              SWA          Hum         BT                                       MAR
081212   Macrolides                        AZITHROMYCIN TABLETS 250MG 18S (3 Z-PAKS 6S)              Zithromax                 F00781149668              SWA          Hum         PG                                       MAR
081212   Macrolides                        AZITHROMYCIN TABLETS 250MG 30S                            Zithromax                 F00781149631              SWA          Hum         BT                                       MAR
840404   Antibacterials, Miscellaneous     BACITRACIN 50,000 IU Vial 1S                              Bacitracin                F00009023301              SWA          Hum         BT                        Added Oct 10   SEP
520404   EENT, Antibacterials              BACITRACIN 500U/G OINT 3.5GM 1S                           Bacitracin Ophth          F48102000735              SWA        Hum & Vet     TU                                       DEC
840404   Topical Antibacterials            BACITRACIN ZINC AND POLYMYXIN B SULFATE OINT USP          Polysporin                F00168002109              SWA          Hum         PG                                       MAR      Alt NSN 6505011770589,
                                           1/32OZ PACK144S                                                                                                                                                                          BACITRACIN OINTMENT USP
                                                                                                                                                                                                                                    500UN/GM .87GM PACKET I.S.
                                                                                                                                                                                                                                    144s, NDC 00168011109 or
                                                                                                                                                                                                                                    00182020830
122000   Skeletal Muscle Relaxants         BACLOFEN TABLETS 10MG 100S                                Lioresal                  F00603240621           USAMMCE          Hum        BT                        Added Jun 09   JUN      F00591573001                          May-11
366800   Roentgenography                   BARIUM SULFATE SUSPENSION USP 64FL OZ CONTAINER 4S        Barium                    F32909016802           USAMMCE          Hum        PG   II+ & III only                      DEC
120808   Antimuscarinics/Antispamodics     BELLADONNA ALKALOIDS COMBINATION ELIXIR 16.2MG/5ML        Donnatal Elixir           F66213042316             SWA            Hum        BT                        Added SEP 07   DEC      Detainee mission requirement
                                           16OZ 1S                                                                                                                                                                                  ALT # F68032039516
840800   Topical Antipruritics and Local   BENZOCAINE BUTAMBEN AND TETRACAINE HCL TOPICAL            Cetacaine                 F10223020101              SWA           Hum        PG                                       MAR
         Anesthetics                       AEROSOL 56GM
521600   EENT, Local Anesthetics           BENZOCAINE GEL 20% 1OZ OR 28GM BOTTLE                     Hurricaine                F00283087131              SWA          Hum         BT                                       DEC
521600   EENT, Local Anesthetics           BENZOCAINE ORAL TOPICAL LIQUID 10% 7.5ML 6S               Oragel                    F10310022240              SWA          HUM         PG                                       DEC
521600   EENT, Local Anesthetics           BENZOCAINE TOPICAL AEROSOL USP 20% 60ML                   Hurricaine                F00283067902              SWA          Hum         PG                                       DEC
843600   Topical Skin & Mucous             BENZOIN COMPOUND MED SWAB 100S                            Benzoin Tincture Amps     F54162010050              SWA          Hum         PG                                       MAR
         Membrane Agents,
         Miscellaneous
480800   Antitussives                      BENZONATATE CAPSULES USP 100 MG 100S                      Tessalon Perles           F50111085101             SWA           Hum         BT                                       DEC
842800   Topical Keratolytic Agents        BENZOYL PEROXIDE 10% GEL 45GM                             Desquam-X                 F00536409256             SWA         Hum & Vet     TU                                       MAR
842800   Topical Keratolytic Agents        BENZOYL PEROXIDE 5% LIQUID 240ML 1S                       Desquam-X                 F67405042508             SWA           Hum         BT                                       MAR
120804   Anticholinergics                  BENZTROPINE MESYLATE 1 MG TAB 100S                        Cogentin                  F00832108100           USAMMCE         Hum         BT                        Added DEC 07   DEC
120804   Anticholinergics                  BENZTROPINE MESYLATE 1 MG/ML INJECTION                    Cogentin                  F67386061152             SWA           Hum                                   Added SEP 08   DEC
483600   Pulmonary Surfactants             BERACANT 25MG/ML SOL 8ML VIAL                             Survanta                  F00074104008           USAMMCE         Hum         VI   III only             Added APR 07   JUN
680400   Hormones, Adrenal                 BETAMETHASONE SODIUM PHOSPHATE & ACETATE SUSP             Celestone Soluspan        F00517072001             SWA           Hum         VI                                       DEC                                            May-11
                                           STER 3MG/ML 5ML
523600   EENT, Misc. Drugs                 BIMATOPROST 0.03% DROPS 5ML 1S                            Lumigan                   F00023918705             SWA            Hum        BT                                       DEC      added June 09 replaces Xalatan
561200   GI, Cathartics & Laxatives        BISACODYL SUPPOSITORIES USP 10MG ADULT RECTAL I.S.50      Dulcolax                  F00713010950              SWA           Hum        PG                                       DEC
                                           PER PACKAGE
561200   GI, Cathartics & Laxatives        BISACODYL TABLETS USP 5MG FILM ENTERIC 100S               Dulcolax                  F00904792760              SWA           Hum        BT                                       DEC      DSCP recommends NDC
                                                                                                                                                                                                                                    00536338110
560800   GI, Antidiarrhea Agents           BISMUTH SUBSALICYLATE 262MG TAB CHEW 30S                  Pepto Bismol              F00603023516             SWA           HUM         BT                                       DEC
         Neuromuscular Blocker Agent,      BOTULINUM TOXIN TYPE A FOR INJECTION                      Botox                     6505013543137          USAMMCE          Hum        VI   III Only             Added Oct 10   SEP      100 Units Per Vial
         Toxin                                                                                                                                                                         NoCosmetic
523600   EENT, Misc. Drugs                 BRIMONIDINE TARTRATE 0.15% OPHTHALMIC SOLUTION            Alphagan P                F00023917705              SWA           Hum        BT                                       DEC
720000   Local Anesthetics                 BUPIVACAINE 0.5% AND EPINEPHRINE (1:200,000) 0.005MG/ML   Marcaine & Epi            F00409760001              SWA           Hum        CN                                       MAR
                                           INJECTION USP 1.8ML DENTAL CARTRIDGE 50S
720000   Local Anesthetics                 BUPIVACAINE HCL 0.25% PRESERVATIVE-FREE 30ML VIAL         Sensorcaine SDV           F00409155930              SWA           Hum        VI                                       MAR      Alt NDC 00186-1030-91,
                                                                                                                                                                                                                                    BUPIVACAINE HCL 0.25%
                                                                                                                                                                                                                                    PRESERVATIVE-FREE 30ML
                                                                                                                                                                                                                                    VIAL, 5S
720000   Local Anesthetics                 BUPIVACAINE HCL 0.25%/EPINEPHRINE 1:200000 50ML VIAL 5S   Marcaine & Epi            F00409175250           USAMMCE         Hum         VI                                       MAR                                            May-11
720000   Local Anesthetics                 BUPIVACAINE HCL 0.5% INJECTION 30ML 10S                   Marcaine                  F00409156029             SWA         Hum & Vet     PG                                       MAR
720000   Local Anesthetics                 BUPIVACAINE HCL 0.75%/DEXTROSE 8.25% SPINAL               Marcaine Spinal           F00409176102             SWA           Hum         PG                                       MAR
                                           INJECTION 2ML 10S
720000   Local Anesthetics                 BUPIVACAINE HYDROCHLORIDE 0.5% INJECTION 50ML VIAL        Marcaine                  F00409161050              SWA           Hum        VI                                       MAR
281604   Antidepressants                   BUPROPION HYDROCHLORIDE SR 100 MG TABLETS 60              Wellbutrin SR             F00173094755              SWA           Hum        BT                        Added MAY 08   JUN
                                           TABLETS PER BOTTLE
281604   Antidepressants                   BUPROPION HYDROCHLORIDE SUSTAINED RELEASE                 Wellbutrin SR             F00591354160              SWA           Hum        BT                                       JUN      Alt NDC 00173-0135-55
                                           TABLETS 150MG 60S
281604   Antidepressants                   BUPROPION HYDROCHLORIDE TABLETS SA 150MG 60S (FOR         Zyban                     F00173055601              SWA           Hum        BT                                       JUN                                            May-11
                                           SMOKING CESSATION ONLY)
282492   Anxiolytics / Sedatives/          BUSPIRONE HCL 10MG TABLET 500S                            Buspar                    F00378115005              SWA           Hum        BT                                       JUN      Alt: F00172566470                     May-11
         Hypnotics, Miscellaneous
282492   Anxiolytics / Sedatives/          BUSPIRONE HYDROCHLORIDE 5MG TABLETS 100S                  Buspar                    F00591065701              SWA           Hum        BT                                       JUN
         Hypnotics, Miscellaneous
843600   Topical Skin & Mucous             CALCIPOTRIENE 0.005% CREAM 60GM 1S                        Dovonex                   F50222026006              SWA           Hum        TU                                       MAR      ALT # F00781709261
         Membrane Agents,
         Miscellaneous
843600   Topical Skin & Mucous             CALCIPOTRIENE CREAM 0.005%, 120GM                         Dovonex                   F50222026012           USAMMCE          Hum        TU                                       MAR
         Membrane Agents,
         Miscellaneous
843600   Topical Skin & Mucous             CALCIPOTRIENE SOLUTION 0.005%, 60ML                       Dovonex                   F00781709261              SWA           Hum        BT                                       MAR
         Membrane Agents,
         Miscellaneous
401200   Replacement Preparations          CALCIUM ACETATE 667MG CAPSULE 200S                        Phoslo                    F49230064021          USAMMCE          Hum                                   Added MAR 08   DEC
560400   GI, Antacids & Adsorbents         CALCIUM CARBONATE 500MG TAB CHEW 60S                      TUMS CHEW EQ 500MG 60S    F00536688908             SWA           HUM         BX                                       DEC      Substitute Item NSN
                                                                                                                                                                                                                                    6505014337370, CALCIUM
                                                                                                                                                                                                                                    CARBONATE/MAG HYDROX
                                                                                                                                                                                                                                    700-300MG TAB CHEW 70S,
                                                                                                                                                                                                                                    NDC 00904511571
401200   Replacement Preparations          CALCIUM CARBONATE/VITAMIN D2 500-200 TABLET 160S          Os-Cal 500+D              F00766165460             SWA           Hum                                   Added MAY 08   DEC
401200   Replacement Preparations          CALCIUM CHLORIDE 100MG/ML INJ 10S                         Calcium Chloride          F00409492834             SWA           Hum         PG                                       DEC      Alt F00548330400 (USAMMCE)
401200   Replacement Preparations          CALCIUM CITRATE 950MG TABLET 100S                         Cal-Citrate               F00904506260           USAMMCE         Hum                                   Added SEP 08   DEC
401200   Replacement Preparations          CALCIUM GLUCONATE 100MG/ML 10ML VIAL 25S                  Calcium Gluconate         F63323031110             SWA         Hum & Vet     PG                                       DEC      ALT USAMMCE NDC
                                                                                                                                                                                                                                    63323031110
920000   Miscellaneous Therapeutic         CALCIUM HYDROXIDE USP POWDER FORM 2OZ BOTTLE              Calcium Hydroxide         D100-0036              USAMMCE          Hum        BT                                       MAR
         Agents
561200   Cathartics and Laxatives          CALCIUM POLYCARBOPHIL 625MG TABLETS 500S                  Fibercon                  F00536430605              SWA           Hum        BT                        Added SEP 07   DEC      Detainee mission requirement,
                                                                                                                                                                                                                                    cannot have foil packets
561200   Cathartics and Laxatives       CALCIUM POLYCARBOPHIL 625MG TABLETS OTC                      Fibercon                  F00536430605              SWA           Hum                                  Added MAY 08   DEC
243204   Angiotensin-Converting Enzyme CAPTOPRIL 25MG TABLET 100S                                    Capoten                   F00143117201              SWA           Hum        BT                                       SEP      00143-1172-01 (Mandatory
         Inhibitors                                                                                                                                                                                                                 Contract item)
243204   Angiotensin-Converting Enzyme CAPTOPRIL 50MG TABLET 100S                                    Capoten                   F00143117301              SWA           Hum        BT                                       SEP
         Inhibitors
281292   Anticonvulsants, Miscellaneous CARBAMAZEPINE 100MG/5ML ORAL SUSP 450ML                      Tegretol                  F00078050883           USAMMCE          Hum        BT                                       JUN                                            May 11
281292   Anticonvulsants, Miscellaneous CARBAMAZEPINE TABLETS USP 200MG 100S                         Tegretol                  F60429093201             SWA            Hum        BT                                       JUN                                            May-11
523600   EENT, Misc. Drugs              CARBAMIDE PEROXIDE OTIC SOLUTION 15ML                        Debrox                    F00904322035             SWA            Hum        BT                                       DEC
760000   Oxytocics                      CARBAPROST TROMETHAMINE INJECTION 250MG/ML, 1ML              Hemabate                  F00009085608          USAMMCE           Hum        PG   III only                            MAR
                                        AMPULE, 10S
523600   EENT, Misc. Drugs              CARBOXYMETHYLCELLULOSE SODIUM 0.5% DROPS 15ML 1S             Artificial Tears          F00023079815             SWA            Hum        BT                                       DEC
523600   EENT, Misc. Drugs              CARBOXYMETHYLCELLULOSE SODIUM 1% DROPERETTE                  Celluvisc                 F00023455430             SWA            Hum        PG                                       DEC
242400   Beta-Adrenergic Blocking       CARVEDILOL 25MG TABLETS 100s                                 Coreg                     F00378363401          USAMMCE           Hum                                  Added MAR 08   MAR      BCF addition
         Agents
242400   Beta-Adrenergic Blocking       CARVEDILOL 6.25MG TABLETS 100s                               Coreg                     F00378363201             SWA            Hum                                  Added MAR 08   MAR      BCF addition
         Agents
081206   Cephalosporins                 CEFAZOLIN SODIUM INJECTION USP 1GM VIAL 25S                  Ancef; Kefzol             F00409080501              SWA        Hum & Vet     PG                                       MAR                                            May-11
081206   Cephalosporins                 CEFOXITIN SODIUM 1GM VI 25S                                  Mefoxin 1GM INJ           F63323034120              SWA        Hum & Vet     PG                                       MAR
081206   Cephalosporins                 CEFOXITIN SODIUM 2GM VI 25S                                  Mefoxin 2GM INJ           F63323034220             SWA           Hum         PG                        Added MAR 08   MAR                                            May-11
081206   Cephalosporins                 CEFPODOXIME PROXETIL 100MG TABLETS 100s                      Vantin                    F00781543920           USAMMCE         Hum         BT                                       MAR
081206   Cephalosporins                 CEFTAZIDIME FOR INJECTION 2GM VIAL 10S                       Fortaz; Ceptaz            F00409508411              SWA          Hum         PG                                       MAR
81206    Cephalosporins                 CEFTRIAXONE SODIUM 1GM VIAL 10S                              Rocephin                  F00409733201             SWA           Hum         PG                                       MAR
081206   Cephalosporins                 CEFTRIAXONE SODIUM 2 GM VIAL 10S                             Rocephin                  F00409733503              SWA          Hum         PG   III only             Added Mar 09
081206   Cephalosporins                 CEFTRIAXONE SODIUM 250MG VIAL 10S                            Rocephin                  F00409733701              SWA          Hum         PG                                       MAR
280804   Nonsteroidal Anti-inflammatory CELECOXIB 100MG CAPSULE 100S                                 Celebrex                  F00025152031              SWA          Hum         BT                                       JUN
         Agents
280804   Nonsteroidal Anti-inflammatory CELECOXIB 200MG CAPSULE 100S                                 Celebrex                  F00025152531              SWA           Hum        BT                                       JUN
         Agents
081206   Cephalosporins                 CEPHALEXIN 250MG CAPSULES 100S                               Keflex                    F00093314501              SWA        Hum & Vet     BT                                       MAR
081206   Cephalosporins                 CEPHALEXIN 250MG CAPSULES 500S                               Keflex                    F00093314505              SWA          Hum         BT                                       MAR
081206   Cephalosporins                 CEPHALEXIN 500MG CAPSULES 100S                               Keflex                    F00093314701              SWA        Hum & Vet     BT                                       MAR
081206   Cephalosporins                 CEPHALEXIN SUSPENSION 250MG/5ML 200ML                        Keflex                    F00093417774              SWA          Hum         BT                                       MAR
040800   Antihistamines, Second         CETIRIZINE HYDROCHLORIDE 10MG TABLET 100S                    Zyrtec                    F00378363701              SWA          Hum         BT                                       DEC
         Generation
521600   EENT, Local Anesthetics        CETYLPYRIDINIUM CL 0.07% LOZENGE 18S                         Cepacol                   F11509000003             SWA           Hum         PG                                       DEC
560400   GI, Antacids & Adsorbents      CHARCOAL ACTIVATED 15G LIQUID 72ML                           Actidose-Aqua             F00574012125             SWA           Hum         BT                                       DEC
560400   GI, Antacids & Adsorbents      CHARCOAL ACTIVATED AND SORBITOL SUSPENSION 240ML             Actidose                  F66689020308             SWA         Hum & Vet     BT                                       DEC      Alt NDC 50770150208                   May-11
081208   Chloramphenicol                CHLORAMPHENICOL SODIUM SUCCINATE STERILE USP 1               Chloromycetin             F63323001115          USAMMCE        Hum & Vet     BX                                       MAR
                                        GRAM VIAL 10/BOX
840416   Topical Anti-infectives,       CHLOREX GL/ISOPROPYL ALCOHOL 4-4% SURGICAL                   BETASEPT                  F67618020008              SWA           Hum        BT                                       MAR
         Miscellaneous                  DETERGENT LIQUID 237ML 1S
840416   Topical Anti-infectives,       CHLORHEX GL/ISOPROPYL ALCOHOL 4-4% SURGICAL                  Hibiclens                 F00234057591              SWA        Hum & Vet     BT                                       MAR
         Miscellaneous                  DETERGENTLIQUID 3840ML 1S
840416   Topical Anti-infectives,       CHLORHEXIDINE GLUCONATE 2% LIQUID 120ML TOP 1S               Hibistat                  F52380127404              SWA        Hum & Vet     BT                                       MAR
         Miscellaneous
520492   EENT, Misc. Anti-infectives    CHLORHEXIDINE GLUCONATE ORAL RINSE 16OZ BOTTLE 1S            Peridex/ Periogard        F00126027116              SWA           Hum        PG                                       DEC      DSCP recommends NDC
                                                                                                                                                                                                                                    51284062022
083008   Antimalarial Agents              CHLOROQUINE 500MG PHOSPHATE TABS                           Aralen                    F00024008401             SWA            Hum        BT                                       MAR
040400   Antihistamines, First Generation CHLORPHENIRAMINE 4MG TABS 100S                             ALLER-CHLOR               F00536346701             SWA            Hum        BT                                       DEC
281608   Phenothiazines                   CHLORPROMAZINE HCL 25MG/ML AMPUL 2ML 25S                   Thorazine                 F00641139835           USAMMCE          Hum        PG   III only             Added Mar 09
081218   Quinolones                       CIPROFLOXACIN CONCENTRATE FOR INJECTION 10MG/ML,           Cipro                                              SWA            Hum        PG                                       MAR      II+ & III restriction removed SEP
                                          40ML VIAL 10S                                                                        F00703095803                                                                                         08
520404   Antibacterials, Miscellaneous    CIPROFLOXACIN HCL 0.3% WITH DEXAMETHASONE 0.1%             Ciprodex                  F00065853302              SWA           Hum        BT                        Added SEP 07   DEC      Detainee mission requirement,
                                          7.5ML                                                                                                                                                                                     cannot have glass btl
081218   Quinolones                       CIPROFLOXACIN ORAL SUSPENSION 250MG/5ML 100ML              Cipro                     F00085177701           USAMMCE          Hum        BT   III only                            MAR
081218   Quinolones                       CIPROFLOXACIN TABLETS USP 500MG 100S                       Cipro                     F55111012701             SWA            Hum        BT                                       MAR      Alt NDC 00026851351; II+ & III
                                                                                                                                                                                                                                    restriction removed SEP 08
081218   Quinolones                        CIPROFLOXACIN TABLETS USP 500MG I.S. 100S                 Cipro                     F68084007001           USAMMCE          Hum        PG   III only                            MAR      Use NDC 00172-5312-10
281604   Antidepressants                   CITALOPRAM HYDROBROMIDE 20MG TABLET 100S                  Celexa                    F24658014101             SWA            Hum        BT                                       JUN
281604   Antidepressants                   CITALOPRAM HYDROBROMIDE 40MG TABLET 100S                  Celexa                    F24658014201             SWA            Hum        BT                                       JUN
400800   Alkalinizing Agents               CITRIC ACID/SODIUM CITRATE 334-500MG SOLUTION 480ML       Bicitra                   F00121059516           USAMMCE          Hum        BT                                       DEC      Alt NDC 46287-0014-01, 500ml
                                                                                                                                                                                                                                    BT
400800   Alkalinizing Agents               CITRIC ACID/SODIUM CITRATE 640-490MG SOLUTION 500ML       Oracit                    F46287001401           USAMMCE         Hum         BT                                       DEC
081212   Macrolides                        CLARITHROMYCIN TABLETS 500MG 60S                          Biaxin                    F00074258660             SWA           Hum         BT                                       MAR
081228   Antibacterials, Miscellaneous     CLINDAMYCIN HYDROCHLORIDE CAPSULES 300MG 100S             Cleocin                   F63304069301             SWA         Hum & Vet     PG                                       MAR      DSCP recommends NDC
                                                                                                                                                                                                                                    51079059820
081228   Antibacterials, Miscellaneous     CLINDAMYCIN HYDROCHLORIDE CAPSULES USP 150MG              Cleocin                   F63304069201              SWA        Hum & Vet     BT                                       MAR
081228   Antibacterials, Miscellaneous     CLINDAMYCIN INJECTION 600 MG RTU PREMIX, 24S              Cleocin                   F00009337502              SWA          Hum                                   Added MAY 08   MAR
081228   Antibacterials, Miscellaneous     CLINDAMYCIN INJECTION 900 MG RTU PREMIX, 24S              Cleocin                   F00009338202              SWA          Hum                                   Added MAY 08   MAR
081228   Antibacterials, Miscellaneous     CLINDAMYCIN INJECTION USP 150MG/ML 6ML VIAL 25S           Cleocin                   F00009090218              SWA          Hum         PG                                       MAR      Alt NSN 6505011771982,
                                                                                                                                                                                                                                    CLINDAMYCIN INJECTION
                                                                                                                                                                                                                                    150MG/ML, 4ML VIAL 25S, NDC
                                                                                                                                                                                                                                    00009077526
081228   Antibacterials, Miscellaneous     CLINDAMYCIN PALMITATE 75MG/5ML SOLN RECON 100ML           Cleocin                   F00009076004           USAMMCE          Hum        BT                                       MAR      Update nomenclature
840404   Topical Antibacterials            CLINDAMYCIN PHOSPHATE 1% SOLUTION 60ML 1S                 Cleocin-T                 F59762372802             SWA            Hum
c        Topical Antibacterials            CLINDAMYCIN PHOSPHATE 1% TOPICAL LOTION 60ML              Cleocin-T                 F59762374401             SWA            Hum        BT                                       MAR
840408   Topical Antifungals               CLIOQUINOL 3% & HYDROCORTISONE 1% CREAM 30GM              Ala-quin                  F00316012301             SWA            Hum        TU                                       MAR
840600   Topical Anti-inflammatory         CLOBETASOL PROPIONATE 0.05% CREAM 15GM                    Temovate                  F00168016315             SWA            Hum        TU                                       MAR
         Agents
840600   Topical Anti-inflammatory         CLOBETASOL PROPIONATE 0.05% OINTMENT 30GM                 Temovate                  F51672125902              SWA           Hum        TU                                       MAR      Alt NSN 6505012299097,
         Agents                                                                                                                                                                                                                     CLOBETASAL PROPIONATE
                                                                                                                                                                                                                                    0.05% OINTMENT 15GM, NDC
                                                                                                                                                                                                                                    00173037673 or 00472040115
281208   Anticonvulsants,                  CLONAZEPAM TABLETS USP 0.5 MG 100 TABLETS PER             Klonopin                  F00603294821              SWA           Hum        BT                                       JUN
         Benzodiazepine                    BOTTLE
240816   Central Alpha-Agonists            CLONIDINE HCL 100MCG/ML SDPF VIAL 10ML 1S                 Duraclon                  F66479052001           USAMMCE          Hum        VI                                       Mar-11
240816   Central Alpha-Agonists            CLONIDINE HYDROCHLORIDE TABLETS 0.1MG TABLET 100S         Catapres                  F54738090701             SWA            Hum        BT                                       SEP
920000   Miscellaneous Therapeutic         CLOPIDOGREL BISULFATE 75MG TABLET 90S                     Plavix                    F63653117101             SWA            Hum        BT                                       MAR
         Agents
843200   Topical Keratoplastic Agents      COAL TAR 1% SHAMPOO 180ML, 1S                             Polytar                   F54162020006             SWA            Hum        PG                                       MAR
083008   Antimalarial Agents               COARTEM ARTEMETHER/LUMEFANTRINE 20-120MG TABS             Coartem                   F00078056845           USAMMCE          Hum        BT                                       DEC
                                           1X24EA 24S
         Local Anesthetics                 COCAINE HCL SOLUTION 4% 4ML 1S                            Cocaine                   F00527172874           USAMMCE          Hum        PG   III only             Added DEC-09            KAF Only
480800   Antitussives                      CODEINE 10MG/GUAIFENESIN 100MG/5ML SYRUP 120ML            Robitussin AC             F00603107554             SWA            Hum        BT                                       DEC      Alt. NDC 00182001737
280808   Opiate Agonists                   CODEINE PHOSPHATE & ACETAMINOPHEN 12-120MG/5ML            Tylenol Elix w/Cod        F00121050404             SWA            Hum        BT                                       JUN
                                           ELIXIR 120ML
280808   Opiate Agonists                   CODEINE PHOSPHATE AND ACETAMINOPHEN TABLETS 100           Tylenol #3                F00406048401              SWA           Hum        BT                                       JUN      Alt NSN 6505003723032,
                                           TABLETS/BT                                                                                                                                                                               CODEINE PHOSPHATE 30mg
                                                                                                                                                                                                                                    AND ACETAMINOPHEN
                                                                                                                                                                                                                                    300mg TABLETS 1000
280808   Opiate Agonists                   CODEINE PHOSPHATE AND ACETAMINOPHEN TABLETS I.S.          Tylenol #3                F00406048462              SWA           Hum        BX                                       JUN
                                           100 PER BOX
920000   Miscellaneous Therapeutic         COLCHICINE 0.6MG TABLET 100S (need location)              Colcrys                   F13310011901              SWA           Hum        BT                                       MAR      Brand Name Only = $$$
         Agents
081228   Antibacterials, Miscellaneous     COLISTIMETHATE SODIUM 150MG VIAL                          Coli-Mycin S              F63323039306           USAMMCE          Hum        VI   III only                            MAR
520200   EENT, Antiallergic Agents         CROMOLYN SODIUM 4% OPTHALMIC DROPS 10ML 1S                Crolom                    F61314023710             SWA            Hum                                  Added MAR 08   DEC
880800   Vitamin B Complex                 CYANOCOBALAMIN INJECTION USP 1000 MICROGRAMS PER          Vitamin B12               F00517013005              SWA           Hum        PG                                       DEC
                                           ML 30 ML VIAL 5s
122000   Skeletal Muscle Relaxants         CYCLOBENZAPRINE HYDROCHLORIDE TABLETS USP 10MG            Flexeril                  F00591565801              SWA           Hum        BT                                       JUN      DSCP recommends NDC                   May-11
                                           100S                                                                                                                                                                                     00591565801
522400   EENT, Mydriatics                  CYCLOPENTOLATE HCL 2% OPHTHALMIC SOLN 5ML                 Cyclogyl 2% OPHTH SOLN    F00065039705              SWA           Hum        BT                                       DEC
522400   EENT, Mydriatics                  CYCLOPENTOLATE HCL OPHTHALMIC SOLN USP 1% 15ML            Cyclogyl Ophth            F24208073506              SWA           Hum        BT                                       DEC      DSCP recommends NDC
                                                                                                                                                                                                                                    00065039615.           Alt NSN
                                                                                                                                                                                                                                    6505010914838,
                                                                                                                                                                                                                                    CYCLOPENTOLATE
                                                                                                                                                                                                                                    HYDROCHLORIDE
                                                                                                                                                                                                                                    OPHTHALMIC SOLUTION USP
                                                                                                                                                                                                                                    1% 5ML BOTTLE, NDC
                                                                                                                                                                                                                                    00065039605
520892   EENT, Anti-Inflammatory          CYCLOSPORINE OPHTHALMIC EMULSION 0.05%                     Restasis                  F00023916330           USAMMCE          Hum             III only             Added DEC 07   DEC      For use by ophthalmology
040400   Antihistamines, First Generation CYPROHEPTADINE HCL 2MG/5ML SYRUP 480ML 1S                  Cyproheptadine Solution   F64980050448          USAMMCE           Hum             II & III only        Added MAR 08   MAR
122000   Skeletal Muscle Relaxants        DANTROLENE SODIUM FOR INJECTION 20 MG VIAL 6 VIALS         Dantrium                  F42023012306             SWA            Hum        PG   II+ & III only                      JUN
                                          PER PACKAGE
640000   Heavy Metal Antagonists          DEFEROXAMINE MESYLATE 500MG VIAL 4S                        Desferal                  F0040923610           USAMMCE           Hum        PG   See Comment          Added MAR 08   MAR      Stocked at Balad Only                 May-11
682800   Hormones, Pituitary              DESMOPRESSIN ACETATE INJECTION 4MCG/ML 1ML/AMPUL           DDAVP                     F00409226501           USAMMCE          Hum        PG                                       MAR
                                          10/PACKAGE
681200   Hormones, Contraceptive          DESOGESTREL 150MCG AND ETHINYL ESTRADIOL 30MMCG            Desogen / Ortho-Cept/     F52544095428              SWA           Hum        PG                                       MAR      ORTHO-CEPT NDC 00062-
                                          TABLETS 28 TABLET PACKS 6S                                 Reclipsen                                                                                                                      1796-15
680400   Hormones, Adrenal                DEXAMETHASONE 0.5MG TABLET 100S                            Dexamethasone             F00054417925              SWA        Hum & Vet     BT                                       DEC
680400   Hormones, Adrenal                DEXAMETHASONE SODIUM PHOSPHATE INJECTION 4MG/ML            Decadron                  F63323016505              SWA        Hum & Vet     PG                                       DEC
                                          5ML 25S
282492   Anxiolytics / Sedatives/         DEXMEDETOMIDINE HYDROCHLORIDE 100MCG/ML, 2ML               Precedex                  F00409163802              SWA           Hum        CT                                       JUN
         Hypnotics, Miscellaneous         VIAL, 50S
282000   Stimulants, Respiratory and      DEXTROAMPHETAMINE & AMPHETAMINE 10 MG EXTENDED             Adderall 10 MG XR CAPS    F54092038301              SWA           Hum        BT                                       JUN
         Cerebral                         RELEASE CAPSULES 100S
282000   Stimulants, Respiratory and      DEXTROAMPHETAMINE & AMPHETAMINE 10 MG TABLETS              Adderall 10 MG TABS       F00185011101              SWA           Hum        BT                                       JUN
         Cerebral                         100S
282000   Stimulants, Respiratory and      DEXTROAMPHETAMINE & AMPHETAMINE 20 MG EXTENDED             Adderall 20 MG XR CAPS    F54092038701             SWA            Hum        BT                        Added MAY 08   JUN
         Cerebral                         RELEASE CAPSULES 100S
282000   Stimulants, Respiratory and      DEXTROAMPHETAMINE & AMPHETAMINE 30 MG TABLETS              Adderall 30 MG TABS       F00555097402           USAMMCE          Hum        BT                                       JUN
         Cerebral                         100S
282000   Stimulants, Respiratory and      DEXTROAMPHETAMINE & AMPHETAMINE 30 MG EXTENDED             Adderall 30 MG XR CAPS    F54092039101              SWA           Hum        BT                                       JUN
         Cerebral                         RELEASE CAPSULES 100S
282000   Stimulants, Respiratory and      DEXTROAMPHETAMINE & AMPHETAMINE 5 MG EXTENDED              Adderall 5 MG XR CAPS     F54092038101           USAMMCE          Hum        BT                                       JUN
         Cerebral                         RELEASE CAPSULES 100S
282000   Stimulants, Respiratory and      DEXTROAMPHETAMINE SULFATE TABLETS USP 5 MG 100S            Dexedrine                 F00555095202              SWA           Hum        BT                                       JUN
         Cerebral
402000   Caloric Agents                   DEXTROSE 15% - AMINO ACID 5% 2 LITERS 4s                   Clinimix 15%              F00338112304             SWA            Hum        CS                                       DEC      Intended use only for central line
402000   Caloric Agents                   DEXTROSE 5% & SODIUM CHLORIDE 0.225% INJECTION             D5-1/4NS W/ 20mEq KCL     F00409790109           USAMMCE          Hum        PG                                       DEC
                                          WITH 20 mEq POTASSIUM CHLORIDE 1000ML BAGS 12S
         Caloric Agents                   DEXTROSE 5% & SODIUM CHLORIDE 0.225% INJECTION             D5-1/4NS W/ 20mEq KCL     F00409790109           USAMMCE          Hum        PG                                       DEC
                                          WITH 20 mEq POTASSIUM CHLORIDE 1000ML BAGS 12S
402000   Caloric Agents                   DEXTROSE 5% & SODIUM CHLORIDE 0.45% INJECTION              D5-1/2NS                  F00409792609              SWA           Hum        PG                                       DEC
                                          1000ML BAGS 12S
402000   Caloric Agents                   DEXTROSE 5% & SODIUM CHLORIDE 0.45% INJECTION WITH         D5-1/2NS w/20mEq KCl      F00409790209              SWA           Hum        PG                                       DEC      Alt NDC 00264-7635-00
                                          20 mEq POTASSIUM CHLORIDE 1000ML BAGS 12S
402000   Caloric Agents                   DEXTROSE 5% & SODIUM CHLORIDE 0.9% INJECTION 1000ML        D5-NS                     F00409794109              SWA           Hum        PG                                       DEC
                                          BAGS 12S
402000   Caloric Agents                   DEXTROSE INJECTION USP 5% 1000ML BAG 12 BAGS PER           D5W                       F00409792209              SWA           Hum        BX                                       DEC      DSCP recommends NDC 00338-
                                          PACKAGE                                                                                                                                                                                   0017-04
402000   Caloric Agents                   DEXTROSE INJECTION USP 5% 100ML BAG 64S                    D5W                       F00409792337              SWA           Hum        PG                                       DEC      Alt NSN 6505-01-462-1927,
                                                                                                                                                                                                                                    DEXTROSE INJECTION USP
                                                                                                                                                                                                                                    5% 100ML BAG 96S, NDC -
                                                                                                                                                                                                                                    00338-0017-18.
402000   Caloric Agents                    DEXTROSE INJECTION USP 5% 250 ML GLASS BTL, 12S           D5W                       F00409152202           USAMMCE         Hum                                   Added MAY 08   DEC
402000   Caloric Agents                    DEXTROSE INJECTION USP 5% 250ML BAGS 24S                  D5W                       F00409792202             SWA           Hum         PG                                       DEC
402000   Caloric Agents                    DEXTROSE INJECTION USP 5% 500ML BAG 24S                   D5W                       F00409792203             SWA         Hum & Vet     PG                                       DEC      Alt NDC 00264751010 or NSN
                                                                                                                                                                                                                                    6505013306254, DEXTROSE
                                                                                                                                                                                                                                    INJECTION USP 5% 500ML
                                                                                                                                                                                                                                    BAG 24S, NDC 00074792203
402000   Caloric Agents                    DEXTROSE INJECTION USP 50% 50ML ANSYR SYRINGE 10S         D50                       F00409751716             SWA            Hum        PG                                       DEC
366800   Roentgenography                   DIATRIZOATE MEGLUMINE 66% AND DIATRIZOATE SODIUM          Gastrografin              F00270044540           USSAMCE          Hum        PG   III only                            DEC
                                           10% SOL 120ML 12S
366800   Roentgenography                   DIATRIZOATE SODIUM FOR ORAL SOLUTION POWDER               GASTROGRAFIN              F00407076901           USAMMCE          Hum        CN   II+ & III only                      DEC
                                           FORM 250GM CAN
281208   Anticonvulsants,                  DIAZEPAM (CANA) 5MG/ML, 2ML AUTOINJECTOR                  CANA                      6505012740951             SWA           Hum        EA                                       JUN
         Benzodiazepine
281208   Anticonvulsants,                  DIAZEPAM INJECTION 5MG/ML 2ML SYRINGE LUER LOCK,          Valium                    F00409127332              SWA        Hum & Vet     PG                                       JUN
         Benzodiazepine                    W/O NEEDLE, 10S
282408   Anxiolytics /                     DIAZEPAM TABLETS USP 5MG I.S. 100S                        Valium                    F00904588061              SWA           Hum        PG                                       JUN
         Sedatives/Hypnotics,
         Benzodiazepine
120808   Antimuscarinics                   DICYCLOMINE HYDROCHLORIDE TABLETS USP 20MG 100S           Bentyl                    F00143122701             SWA            Hum        BT                                       DEC                                            May-11
240408   Cardiotonic Agents                DIGOXIN 0.125MG TABLETS 100S                              Lanoxin                   F00527132401             SWA            Hum        BT                                       SEP
800400   Serums                            DIGOXIN IMMUNE FAB 38MG VIAL 1S                           Digibind                  F00173023044          USAMMCE           Hum             See Comment          Added MAR 08   MAR      Stocked at Cropper and Bucca
                                                                                                                                                                                                                                    Only
240408   Cardiotonic Agents                DIGOXIN INJECTION USP 0.25MG/ML 2ML AMPUL 10S             Lanoxin                   F00173026010             SWA            Hum        PG                                       SEP                                            May-11
242892   Calcium-Channel Blocking          DILTIAZEM 60MG TABS 90s                                   Cardizem                  F00378004501           USAMMCE          Hum        BT                        Added SEP 08   SEP
         Agents, Miscellaneous
242892   Calcium-Channel Blocking          DILTIAZEM EXTENDED-RELEASE CAPSULES USP 180MG 90S         Tiazac                    F00258368890              SWA           Hum        BT                                       SEP
         Agents, Miscellaneous
242892   Calcium-Channel Blocking          DILTIAZEM EXTENDED-RELEASE CAPSULES USP 240MG 90S         Tiazac                    F00258368990              SWA           Hum        BT                                       SEP
         Agents, Miscellaneous
242892   Calcium-Channel Blocking          DILTIAZEM HYDROCHLORIDE INJECTION 5MG/ML 10ML VIAL        Cardizem                  F55390056510              SWA           Hum        PG                                       SEP      Alt NDC 60505070402; or Alt
         Agents, Miscellaneous             10S                                                                                                                                                                                      NSN 6505015055281,
                                                                                                                                                                                                                                    DILTIAZEM
                                                                                                                                                                                                                                    HYDROCHLORIDE
                                                                                                                                                                                                                                    INJECTION 5MG/ML 10ML
640000   Heavy Metal Antagonists          DIMERCAPROL 100MG/ML AMPUL 3ML 10S                         BAL in Oil                F11098052603          USAMMCE          Hum              See Comment          Added MAR 08   MAR      Stocked at Balad Only
040400   Antihistamines, First Generation DIPHENHYDRAMINE HCL CREAM 2% 28GM                          Benadryl Cream            F45802035803             SWA           HUM         PG                        Added SEP 07   DEC      Alt # F00536418095
                                          (DIPHENHYDRAMINE HCL/ZINC ACET 2-0.1% CREAM 28.4GM
040400   Antihistamines, First Generation DIPHENHYDRAMINE HYDROCHLORIDE CAPSULES USP                 Benadryl                  F00185064810              SWA        Hum & Vet     BT                                       DEC      DSCP recommends NDC
                                          25MG 1000S                                                                                                                                                                                00182049210
040400   Antihistamines, First Generation DIPHENHYDRAMINE HYDROCHLORIDE INJ USP 50MG/ML              Benadryl                  F00409229031              SWA        Hum & Vet     BX                                       DEC
                                          1ML SYRINGE 10S
281292   Anticonvulsants, Miscellaneous DIVALPROEX SODIUM 250MG EXTENDED-RELEASE TABLETS             Depakote ER               F00378047201              SWA           Hum        BT                                       JUN
                                          100S
281292   Anticonvulsants, Miscellaneous DIVALPROEX SODIUM 500MG EXTENDED-RELEASE TABLETS             Depakote ER               F00378047301          USAMMCE           Hum                                  Added MAR 08   JUN
                                          100S
121200   Adrenergic Agents                DOBUTAMINE INJECTION USP 12.5MG/ML 20ML VIAL 10            Dobutrex                  F00409234402             SWA           Hum         PG                                       SEP
840406   Antivirals                       DOCOSANOL 10% 2GM 1S                                       Abreva                    F00135020003              SWA          HUM         BT                        Added SEP 07   MAR
561200   GI, Cathartics & Laxatives       DOCUSATE SODIUM 150 MG/15 ML ORAL SOLUTION 30 ML,          Colace                    F67618010230           USAMMCE       Hum & Vet                               Added MAY 08   DEC
561200   GI, Cathartics & Laxatives       DOCUSATE SODIUM CAPSULES USP 100MG I.S. 100                Colace                    F00904224461              SWA        Hum & Vet     PG                                       DEC
                                          CAPSULES PER PACKAGE
121200   Adrenergic Agents                DOPAMINE 400MG IN D5W 250ML BAG 12S                        Intropin                  F00409780922              SWA           Hum        PG                        Added MAY 08   SEP      USAMMCE Alt F00338100703:,
                                                                                                                                                                                                                                    DOPAMINE 400MG in D5W
                                                                                                                                                                                                                                    250ml, 18S, NDC 00074780922.




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                                                                            Legend:                                                                                                                                                                                                               CENTCOM FORMULARY   As of: DECEMBER 2010
                                                                            YELLOW = Restricted Use BLUE = May Use in OTC Program
                                                                            ORANGE = Veterinary ONLY Agents RED = IND; Must report use




AHFS     AHFS Description                  Generic Nomenclature                                     Brand Name Nomenclature            Current DCAM Stock   Where Stocked    Hum / Vet /   UI    Available at         Formulary       Class    Comments
                                                                                                                                       Number                                OTC / IND           Level of Care        Notes           Review
                                                                                                                                                                                                 (All, II&III, II+&
                                                                                                                                                                                                 III, and III Only)
282000   Stimulants, Respiratory and       DOXAPRAM HYDROCHLORIDE INJECTION USP 20MG/CC             Dopram                             F60977014402              SWA         Hum & Vet     BT                                         JUN      Alt NDC 00031484983
         Cerebral                          20ML BOTTLE
242000   Alpha-Adrenergic Blocking         DOXAZOSIN MESYLATE 4MG 100S                              Cardura                            F00049277066              SWA              Hum      BT                                         SEP
         Agents
081224   Tetracyclines                     DOXYCYCLINE HYCLATE FOR INJECTION 100MG VIAL 10S         Vibramycin                         F63323013011              SWA           Hum         PG                                         MAR
081224   Tetracyclines                     DOXYCYCLINE HYCLATE TABLETS USP 100MG 500S               Vibramycin                         F53489012005              SWA         Hum & Vet     BT                                         MAR      Alt NSN 6505010954175,
                                                                                                                                                                                                                                               DOXYCYCLINE HYCLATE
                                                                                                                                                                                                                                               TABLETS USP 100MG 50S,
                                                                                                                                                                                                                                               NDC 00591555350; Alt
                                                                                                                                                                                                                                               USAMMCE NDC 17236052755
081224   Tetracyclines                 DOXYCYCLINE HYCLATE TABLETS USP 100MG, I.S., 100S            Vibramycin                         F00904043061             SWA               Hum      PG                                         MAR
640000   Heavy Metal Antagonists       EDETATE CALCIUM DISODIUM INJECTION USP 200MG/ML              EDTA                               F00089051006           USAMMCE             Hum      PG    See Comment                          SEP      Stocked at Balad Only
                                       5ML AMPUL 6S
990000   Antidotes                     EDROPHONIUM CHLORIDE 10MG/ML INJ                             Enlon                              F67457019015          USAMMCE              Hum            II & III only        Added MAR 08    MAR
081808   Antiretroviral Agents         EFAVIRENZ 200MG CAPSULES 90S                                 Sustiva                            F00056047492           USAMMCE             Hum      BT    III only                             MAR      HIV PEP treatment only
243204   Angiotensin-Converting Enzyme ENALAPRILAT INJ 1.25MG/ML                                    Vasotec-IV                         F00409212201             SWA               Hum      VI                         Added SEP 07    SEP                                             May-11
         Inhibitors
201204   Anticoagulants                ENOXAPARIN INJECTION 100MG IN 1ML WATER FOR                  Lovenox                            F00075062300              SWA              Hum      PG                                         SEP
                                       INJECTION 10/PG
201204   Anticoagulants                ENOXAPARIN INJECTION 30MG IN 0.3ML WATER FOR                 Lovenox                            F00075062430              SWA              Hum      PG                                         SEP
                                       INJECTION 10/PG
201204   Anticoagulants                ENOXAPARIN INJECTION 40MG IN 0.4ML WATER FOR                 Lovenox                            F00075062040              SWA              Hum      PG                                         SEP
                                       INJECTION 10/PG
201204   Anticoagulants                ENOXAPARIN INJECTION 60MG IN 0.6ML WATER FOR                 Lovenox                            F00075062160              SWA              Hum      PG                         Added Mar 09
                                       INJECTION 10/PG
201204   Anticoagulants                ENOXAPARIN INJECTION 80MG IN 0.8ML WATER FOR                 Lovenox                            F00075062280              SWA              Hum      PG                                         SEP
                                       INJECTION 10/PG
402000   Caloric Agents                ENTERAL FORMULA, GLUCOSE POLYMER MODULE,                     Polycose                           F70074060746           USAMMCE             Hum      CS                                         DEC      Cat # 00746
                                       POWDER, 12.3 OZ. CAN, 6S (ROSS PRODUCTS)
402000   Caloric Agents                ENTERAL FORMULA, HIGH CALORIE CHOCOLATE FLAVOR               Ensure Plus                        F70074050467              SWA              Hum      CS                                         DEC      Ross Cat # 50466
                                       (1.5 CAL/ML), 8 OZ. CANS, 24S (ROSS PRODUCTS)
402000   Caloric Agents                ENTERAL FORMULA, HIGH CALORIE STRAWBERRY FLAVOR              Ensure Plus                        F70074050647              SWA              Hum      CS                                         DEC      Ross Cat # 50646
                                       (1.5 CAL/ML), 8 OZ. CANS, 24S (ROSS PRODUCTS)
402000   Caloric Agents                ENTERAL FORMULA, HIGH CALORIE VANILLA FLAVOR (1.5            Ensure Plus                        F70074050465              SWA              Hum      CS                                         DEC      Ross Cat # 50464
                                       CAL/ML), 8 OZ. CANS, 24S (ROSS PRODUCTS)
402000   Caloric Agents                ENTERAL FORMULA, HIGH FIBER, HIGH PROTEIN (1.2               Jevity 1.2 Cal                     5520053124                SWA              Hum      CS                                         DEC      Ross Cat # 53124. Alt Item
                                       CAL/ML), 1000ML RTU, 8S (ROSS PRODUCTS)                                                                                                                                                                 stocked at USAMMCE - NDC
                                                                                                                                                                                                                                               70074053125, Jevity Plus, 1000ml
                                                                                                                                                                                                                                               RTU, 8s
402000   Caloric Agents                    ENTERAL FORMULA, SPECIALIZED FOR METABOLICALLY           Pivot                              7007458015                SWA              Hum      CS                                         DEC
                                           STRESSED PATIENTS ROSS 1.5 HIGH PROTEIN 1L 8S
402000   Caloric Agents                    ENTERAL FORMULA, SPECIALIZED LOW PROTEIN, FOR            Suplena                            5520059664             USAMMCE             Hum      CS                                         DEC      Ross Cat # 50164
                                           RENAL PATIENTS (2 CAL/ML) 8 OZ. CANS, 24S (ROSS
121200   Adrenergic Agents                 EPHEDRINE SULFATE INJECTION USP 50MG/ML 1ML AMPUL        Ephedrine                          F00409307331              SWA              Hum      PG                                         SEP      Alt F66758000802 EPHEDRINE             May-11
                                           50S                                                                                                                                                                                                 SULFATE INJECTION USP
                                                                                                                                                                                                                                               50MG/ML 1ML AMPUL 25S,
121200   Adrenergic Agents                 EPINEPHRINE INJECTION USP 0.1MG PER ML SYRINGE-          Adrenalin                          F00409492134              SWA              Hum      PG                                         SEP      DSCP recommends NDC
                                           NEEDLE UNIT 10ML 10S                                                                                                                                                                                00074490118;           Alt
                                                                                                                                                                                                                                               NSN 6505013506981, NDC
                                                                                                                                                                                                                                               00548201600
121200   Adrenergic Agents                 EPINEPHRINE INJECTION USP 1:1000 AUTOMATIC INJECTOR, EpiPen Jr                              F49502050101              SWA              Hum      EA                                         SEP
                                           0.15ML
121200   Adrenergic Agents                 EPINEPHRINE INJECTION USP 1:1000 AUTOMATIC INJECTOR, EpiPen                                 F49502050001              SWA              Hum      EA                                         SEP
                                           0.3ML
121200   Adrenergic Agents                 EPINEPHRINE INJECTION USP 1MG/ML 30ML VIAL           Adrenalin                              F00517113005              SWA         Hum & Vet     VI                                         SEP      Alt NDC 00517113001
121200   Adrenergic Agents                 EPINEPHRINE INJECTION USP AQUEOUS 1ML AMPUL 25       Adrenalin                              F00409724101              SWA           Hum         PG                                         SEP      Alt NSN 6505007341026,
                                           AMPULS/PG                                                                                                                                                                                           EPINEPHRINE INJECTION
                                                                                                                                                                                                                                               USP 1ML AMPUL 10 AMPULS
                                                                                                                                                                                                                                               PER PACKAGE, NDC
204000   Thrombolytic Agents               EPTIFIBATIDE 0.75MG/ML 100ML INJ 1S                      Integrilin                         F00085113601              SWA              Hum      VI    III only                             SEP
081207   Beta-Lactam Antibiotics,          ERTAPENEM SODIUM 1GM VIAL 10S                            Invanz                             F00006384371              SWA              Hum      PG                                         MAR
         Miscellaneous
081212   Macrolides                        ERYTHROMYCIN BASE TABLETS ENTERIC COATED 250MG           Ery-Tab                            F00074630413              SWA         Hum & Vet     BT                                         MAR
520404   EENT, Antibacterials              ERYTHROMYCIN OPHTHALMIC OINTMENT USP 5MG/GM              Ilotycin Ophth                     F24208091055              SWA           Hum         TU                                         DEC      DSCP recommends NDC
                                           3.5GM TUBE                                                                                                                                                                                          24208091055
242400   Beta-Adrenergic Blocking          ESMOLOL HCL/SOD CL 10MG/ML 250ML IV SOLN 250ML 10S       Brevibloc                          F10019005561              SWA              Hum      PG                         Added SEP 09    SEP
         Agents
242400   Beta-Adrenergic Blocking          ESMOLOL HYDROCHLORIDE INJECTION 100MG 10ML VIAL          Brevibloc                          F63323065210              SWA              Hum      PG                                         SEP
         Agents                            25S
562836   GI, Proton Pump Inhibitors        ESOMEPRAZOLE MAGNESIUM 20MG CAPSULE 90S                  Nexium                             F00186502054              SWA              Hum      BT                         Added SEP 07    DEC      BCF item. Replaces
                                                                                                                                                                                                                                               Rabeprazole
562836   GI, Proton Pump Inhibitors        ESOMEPRAZOLE MAGNESIUM 40MG CAPSULE 90S                  Nexium                             F00186504055              SWA              Hum                                                 DEC

681604   Hormones, Estrogens               ESTRADIOL 0.01% VAGINAL CREAM USP 1.5OZ TUBE WITH        Estrace Vaginal Cream              F00430375414           USAMMCE             Hum      EA                                         MAR
                                           APPLICATOR
681604   Hormones, Estrogens               ESTROGENS CONJUGATED FOR INJECTION FREEZE-DRIED          Premarin                           F00046074905              SWA              Hum      PG                                         MAR
                                           POWDER 25MG VIAL
681604   Hormones, Estrogens               ESTROGENS CONJUGATED TABLETS USP 0.3MG 100S              Premarin                           F00046110081              SWA              Hum      BT                                         MAR
681604   Hormones, Estrogens               ESTROGENS CONJUGATED TABLETS USP 0.625MG 100S            Premarin                           F00046110281              SWA              Hum      BT                                         MAR
282492   Anxiolytics / Sedatives/          ESZOPICLONE TABLETS 2MG TABLETS 100S                     Lunesta                            F63402019110              SWA              Hum      BT                         Added SEP 07    JUN
         Hypnotics, Miscellaneous
282492   Anxiolytics / Sedatives/          ESZOPICLONE TABLETS 3MG TABLETS                          Lunesta                            F63402019310              SWA              Hum                                 Added SEP 07    JUN
         Hypnotics, Miscellaneous
081604   Antituberculosis Agents           ETHAMBUTOL 400MG TABLET 100S                             Myambutol                          F68850001201              SWA              Hum      BT                                         MAR
681200   Hormones, Contraceptive           ETHINYL ESTRADIOL/DROSPIRENONE 0.02-3(24) TABLET         Yaz                                F50419040503             SWA               Hum                                 Added MAR 08    MAR      BCF addition
681200   Hormones, Contraceptive           ETHINYL ESTRADIOL/DROSPIRENONE 0.03-3MG TABLET 84        Yasmin                             F50419040203             SWA               Hum                                 Added MAR 08    MAR      BCF addition
                                           3X28S
280400   General Anesthetics               ETOMIDATE INJECTION 2MG/ML 20ML ABBOJECT 10S             Amidate                            F00409806029             SWA               Hum      PG                                         JUN
960000   Pharmaceutical Aids               EUGENOL USP BOTTLE 2OZ or 60ML 1S                        Eugenol                            D107-1998              USAMMCE             Hum      BT                                         MAR
240692   Antilipemic Agents,               EZETIMIBE 10MG TABLET 30s                                Zetia                              F66582041431              SWA              Hum      BT                                         SEP
         Miscellaneous
201216   Hemostatics                       FACTOR VIIa, RECOMBINANT 2 MG/VIAL (2,000 MCG/ML)        NovoSeven RT                       F00169705001              SWA              Hum      VI    II+ & III            Added SEP 08    SEP      ALT (Refer product)
                                           NOTE: ROOM TEMPERATURE STABLE PRODUCT                                                                                                                                                               6505015171854; F00169706101;
                                                                                                                                                                                                                                               Alt NSN 6505-01-503-3479,
                                                                                                                                                                                                                                               FACTOR VIIA 4800MCG VIAL,
                                                                                                                                                                                                                                               NDC 00169-7062-01; or NDC
                                                                                                                                                                                                                                               00169-7060-01, FACTOR VIIA
                                                                                                                                                                                                                                               1200MCG VIAL
402000   Caloric Agents                    FAT EMULSION 20% INFUSION 500ML 12S                      Liposyn II                         F00338051903           USAMMCE             Hum      PG                                         DEC                                             May-11
240606   Fibric Acid Derivatives           FENOFIBRATE 50MG TABLET                                  Triglide                           F59630048030             SWA               Hum                                 Added SEP 07    SEP      BCF, initial dose strength added
                                                                                                                                                                                                                                               for elevated triglycerides
121200   Adrenergic Agents                 FENOLDOPAM MESYLATE 10MG/ML VIAL 1ML 1S                  Corlopam                           F00409337301          USAMMCE              Hum      EA    II+ & III only       Added MAR 08    SEP                                             May-11
280808   Opiate Agonists                   FENTANYL CITRATE 0.05MG/ML 2ML Tubex 10S                 Sublimaze                          F00409127632             SWA               Hum      PG                         Added SEP 07    JUN
280808   Opiate Agonists                   FENTANYL CITRATE 0.05MG/ML 2ML AMP 10S                   Sublimaze                          F00409909335             SWA               Hum      PG                                         JUN
280808   Opiate Agonists                   FENTANYL CITRATE 0.05MG/ML 5ML AMPUL 10S                 Sublimaze                          F00409909335             SWA               Hum      PG                                         JUN
280808   Opiate Agonists                   FENTANYL CITRATE INJECTION USP 20ML AMPUL 5 AMPULS       Sublimaze                          F00409909338             SWA               Hum      PG                                         JUN
                                           PER BOX
280808   Opiate Agonists                   FENTANYL TRANSDERMAL SYSTEM 100MCG/HOUR,        72       Duragesic                          F00591321472           USAMMCE        Hum & Vet     PG    III only             Added APR 07    JUN      Restrict for use on Detainees
                                           HOURS 5s
280808   Opiate Agonists                   FENTANYL TRANSDERMAL SYSTEM 25MCG/HOUR,        72        Duragesic                          F00378912198           USAMMCE             Hum      PG    III only             Added APR 07    JUN      Restrict for use on Detainees
                                           HOURS 5s
280809   Opiate Agonists                   FENTANYL TRANSDERMAL SYSTEM 50MCG/HOUR,        72        Duragesic                          F00378912298           USAMMCE             Hum      PG    III only             Added APR 07    JUN      Restrict for use on Detainees
                                           HOURS 5s
280810   Opiate Agonists                   FENTANYL TRANSDERMAL SYSTEM 75MCG/HOUR,        72        Duragesic                          F00378912398           USAMMCE             Hum      PG    III only             Added APR 07    JUN      Restrict for use on Detainees
                                           HOURS 5s
200404   Iron Preparations                 FERROUS SULFATE 15MG/0.6ML DROPS 50ML 1S                 Feosol                             F00536071080           USAMMCE             Hum      BT                                         SEP                                             May-11
200404   Iron Preparations                 FERROUS SULFATE 325MG TABLET 100S                        Feosol                             F00536589001             SWA               Hum      PG                                         SEP
040800   Second Generation                 FEXOFENADINE 180MG TABLET 100S                           Allegra                            F00378075501             SWA               Hum      BT                         Added APR 07    DEC
         Antihistamines
040800   Second Generation                 FEXOFENADINE 60 MG 100S                                  Allegra                            F00378075301              SWA              Hum      BT                         Added SEP 07    DEC      MEDLOG review, high demand
         Antihistamines                                                                                                                                                                                                                        item
040800   Second Generation                 FEXOFENADINE 60 MG AND PSEUDOEPHEDRINE 120MG             Allegra-D                          F41167431004              SWA              Hum      BT                         Added SEP 07    DEC                                             May-11
         Antihistamines                    TABLETS 100S
201216   Hemostatics                       FIBRIN SEALANT FOR INJECTION 2ML VAPOR HEATED KIT        Tisseel                            F00944420108           USAMMCE             Hum      EA                                         SEP
920000   5-Alpha-Reductase Inhibitor       FINASTERIDE 5MG TABLET 30S                               Proscar                            F00378315193             SWA               Hum      BT                         Added SEP 07    MAR      BCF, high use item in detainee
                                                                                                                                                                                                                                               population
081408   Antifungals, Azoles               FLUCONAZOLE 200MG TABLETS 30/BT                          Diflucan                           F00172541346             SWA               Hum      BT                                         MAR
081408   Antifungals, Azoles               FLUCONAZOLE 400MG IN 200ML SODIUM CHLORIDE INJ, 6S       Diflucan                           F00409468802             SWA               Hum      PG                                         MAR
081408   Antifungals, Azoles               FLUCONAZOLE TABLETS 150MG I.S. 12S                       Diflucan                           F00172541211             SWA               Hum      PG                                         MAR
680400   Adrenals                          FLUDROCORTISONE ACETATE 0.1MG TABLET 100S                Florinef                           F00115703301           USAMMCE             Hum      BT                         Added SEP 07    DEC      Requested by Cardiologist
289200   CNS Agents, Miscellaneous         FLUMAZENIL 0.1MG/ML 5ML VIAL 10S                         Romazicon                          F63323042405             SWA               Hum      PG                                         JUN
840600   Topical Anti-inflammatory         FLUOCINOLONE ACETONIDE 0.01% OIL 120ML                   Derma-Smoothe/FS                   F28105014904             SWA               Hum      BT                                         MAR
         Agents
840600   Topical Anti-inflammatory         FLUOCINONIDE 0.05% GEL 60GM 1S                           Lidex                              F00168013560           USAMMCE             Hum      TU
         Agents
840600   Topical Anti-inflammatory         FLUOCINONIDE CREAM 0.05%, 15GM                           Lidex                              F60429090415              SWA              Hum      TU                                         MAR
         Agents
840600   Topical Anti-inflammatory         FLUOCINONIDE OINTMENT 0.05% 15GM                         Lidex                              F60429090715              SWA              Hum      TU                                         MAR                                             May-11
         Agents
840600   Topical Anti-inflammatory         FLUOCINONIDE TOPICAL SOLUTION 0.05% 60ML                 Lidex                              F51672127304           USSAMCE             Hum      PG                         Added Mar 09    MAR                                             May-11
         Agents
521600   EENT, Local Anesthetics           FLUORESCEIN SODIUM & BENOXINATE HYDROCHLORIDE            Florox Ophth                       F24208073205              SWA              Hum      BT                                         DEC
                                           OPHTHALMIC SOL 5ML
360000   Diagnostic Agents                 FLUORESCEIN SODIUM OPHTHALMIC 1MG STRIPS 100S            Fluor-I-Strip                      F24208039182              SWA         Hum & Vet     PG                                         DEC                                             May-11
520800   Anti-Inflammatory Agents          FLUOROMETHOLONE 0.1% DROPS SUSP 5ML 1S                   FML                                F60758088005              SWA           Hum         BT                         Added APR 07    DEC
843600   Topical Skin & Mucous             FLUOROURACIL CREAM USP 5% 40GM TUBE                      Efudex                             F00187320447              SWA           Hum         TU                                         MAR
         Membrane Agents,
         Miscellaneous
281604   Antidepressants                   FLUOXETINE HYDROCHLORIDE CAPSULES 10MG 100               Prozac                             F50111064701              SWA              Hum      BT                                         JUN
                                           CAPSULES PER BOTTLE
281604   Antidepressants                   FLUOXETINE HYDROCHLORIDE CAPSULES 20MG 100               Prozac                             F00781282201              SWA              Hum      BT                                         JUN      DSCP recommends NDC
                                           CAPSULES PER BOTTLE                                                                                                                                                                                 00777310502
281608   Phenothaizines                    FLUPHENAZINE DECANOATE 25MG/ML INJ                       Prolixin                           F63323027205           USAMMCE             Hum      VI                         Added SEP 07    JUN      Detainee mission requirement
24
680400   Hormones, Adrenal                 FLUTICASONE PROPIONATE 110MCG AEROSOL INHALER            Flovent                            F00173071920              SWA              Hum      EA                                         DEC
                                           W/ADAPTER 13GM (120 DOSES)
680400   Hormones, Adrenal                 FLUTICASONE PROPIONATE 220MCG AEROSOL INHALER            Flovent                            F00173072020              SWA              Hum      EA                                         DEC
                                           W/ADAPTER 13GM (120 DOSES)
520808   Corticosteroids                   FLUTICASONE PROPIONATE 50MCG SPRAY 16GM                  Flonase                            F00173045301             SWA               Hum      EA                                         DEC
121200   Adrenergic Agents                 FLUTICASONE/SALMETEROL 100-50MCG DISK W/DEV 60S          Advair Diskus                      F00173069500             SWA               Hum      PG                                         SEP
121200   Adrenergic Agents                 FLUTICASONE/SALMETEROL 250-50MCG DISK W/DEV 60S          Advair Diskus                      F00173069600             SWA               Hum      PG                                         SEP
121200   Adrenergic Agents                 FLUTICASONE/SALMETEROL 500-50MCG DISK W/DEV 60S          Advair Diskus                      F00173069700             SWA               Hum      PG                                         SEP
880800   Vitamin B Complex                 FOLIC ACID 1MG TABLET 1000S                              Folvite                            F54629012800             SWA               Hum      BT                                         DEC
880800   Vitamin B Complex                 FOLIC ACID INJ 5MG/ML                                    Folvite                            F63323018410             SWA               Hum      VI                                         DEC
990000   Antidotes                         FOMEPIZOLE INJECTION 1GM/ML 6 ML VIAL                    Antizol                            F39822071001           USAMMCE             Hum      PG    II & III only                        MAR                                             May-11
920000   Miscellaneous Therapeutic         FORMALDEHYDE 48.5% & CRESOL 48.5% SOLUTION 2FL OZ        FormaCresol                        6505011455220          USAMMCE             Hum      BT                                         MAR      Alt NSN 6505011455220,
         Agents                            BOTTLE                                                                                                                                                                                              FORMALDEHYDE AND
                                                                                                                                                                                                                                               CRESOL SOLUTION 1FL OZ
281212   Anticonvulsants, Hydantoin        FOSPHENYTOIN SODIUM INJECTION 50MG/ML 10 ML VIAL 10S Cerebyx                                F63323040310             SWA            Hum         PG                                         JUN      ALT F63323040302
402800   Diuretics                         FUROSEMIDE INJECTION USP 10MG/ML 2ML VIAL 25S        Lasix                                  F63323028002             SWA          Hum & Vet     PG                                         DEC
402800   Diuretics                         FUROSEMIDE INJECTION USP ABBOJECTS                   Lasix                                  F00409963104           USAMMCE          Hum                                    Added MAY 08    DEC      For crash cart use
402800   Diuretics                         FUROSEMIDE TABLETS USP 20 MG 100S                    Lasix                                  F00054829725             SWA            Hum         PG                                         DEC
402800   Diuretics                         FUROSEMIDE TABLETS USP 40 MG 100S                    Lasix                                  F00172290760             SWA          Hum & Vet     BT                                         DEC      Alt NSN 6505001175982,
                                                                                                                                                                                                                                               FUROSEMIDE TABLETS 40MG
                                                                                                                                                                                                                                               I.S. 100S, NDC 00039006011
281292   Anticonvulsants, Miscellaneous    GABAPENTIN 100MG CAPSULE 100S                            Neurontin                          F00228266511              SWA           Hum         BT                                         JUN      Alt NDC 00071-0803-24
281292   Anticonvulsants, Miscellaneous    GABAPENTIN 300MG CAPSULE 100S                            Neurontin                          F00228266611             SWA            Hum         BT                                         JUN      Alt NDC 00071-0805-24
201216   Hemostatics                       GELATIN SPONGE,ABSORBABLE 12-7MM SPONGE 12S              Gelatin                            3460001972             USAMMCE          Hum         PG                                         SEP
240606   Fibric Acid Derivatives           GEMFIBROZIL 600MG TABLETS 60S                            Lopid                              F24658013060              SWA           Hum         BT                                         SEP
081202   Aminoglycosides                   GENTAMICIN SULFATE INJECTION USP 40MG EQUIV/ML 20ML      Garamycin                          F63323001020           USAMMCE        Hum & Vet     PG                                         MAR      Replacement for 6505012560710
                                           VIAL 25S
081202   Aminoglycosides                   GENTAMICIN SULFATE INJECTION USP 40MG EQUIV/ML 2ML       Garamycin                          F00409120703              SWA              Hum      PG                                         MAR      DSCP recommends NDC
                                           VIAL 25S                                                                                                                                                                                            00085006904
520404   EENT, Antibacterials              GENTAMICIN SULFATE OPHTHALMIC OINTMENT USP 3.5           Garamycin Ophth                    F17478028435              SWA         Hum & Vet     TU    III only             Update DEC 07   DEC
                                           GRAM TUBE
520404   EENT, Antibacterials              GENTAMICIN SULFATE OPHTHALMIC SOLUTION USP EQUIV         Garamycin Ophth                    F24208058060              SWA         Hum & Vet     BT    III only             Update DEC 07   DEC      Alt NDC 61314063305
                                           3.0MG GENTAMICIN PER ML 5ML
682020   Antidiabetic Agents,              GLIPIZIDE 5MG SUSTAINED RELEASE TABLET 100S              Glucotrol XL                       F00591084401           USAMMCE             Hum      BT                                         MAR
         Sulfonylureas
800400   Serums                            GLOBULIN HEPATITIS B IMMUNE USP 5 ML BOTTLE              BayHep B                           F13533063605             SWA               Hum      BT                                         MAR
800400   Serums                            GLOBULIN IMMUNE SERUM (IGG) USP 10 ML VIAL               BayGam, Gamastan                   F13533063512           USAMMCE             Hum      VI                                         MAR
800400   Serums                            GLOBULIN RABIES IMMUNE 150 UNIT PER ML 10 ML VIAL        BayRab                             F13533061810             SWA               Hum      VI                         Added MAY 08    MAR      Alt NSN 6505011455223,
                                                                                                                                                                                                                                               GLOBULIN RABIES IMMUNE
                                                                                                                                                                                                                                               150 UNIT PER ML 2 ML VIAL,
800400   Serums                            GLOBULIN RHO (D) IMMUNE USP 300 MCG SYRINGE 1S           BayRho D                           F13533063102           USAMMCE             Hum      EA                                         MAR
800400   Serums                            GLOBULIN TETANUS IMMUNE USP SYRINGE-NEEDLE UNIT          BayTet                             F13533063402             SWA               Hum      EA                                         MAR
682092   Antidiabetic Agents,              GLUCAGON FOR INJECTION USP 1 MG UNIT FOR                 Glucagon                           F00002803101             SWA               Hum      EA                                         MAR
         Miscellaneous                     EMERGENCY USE
920000   Miscellaneous Therapeutic         GLUCOSAMINE 500MG / CHONDROITIN 400MG CAPSULES,          Cosamin DS                         F00904548118              SWA              Hum      BTL                                        MAR
         Agents                            120s
682020   Antidiabetic Agents,              GLYBURIDE 5MG TABLETS, 1000S                             Micronase                          F00093936410              SWA              Hum      BT                                         MAR                                             May-11
         Sulfonylureas
561200   GI, Cathartics & Laxatives        GLYCERIN ADULT SUPPOSITORIES RECT 25S                    Glycerin Supp                      F00904266717          USAMMCE           Hum                                    Added MAR 08    DEC                                             May-11
120808   Antimuscarinics                   GLYCOPYRROLATE INJECTION USP 0.2 MG PER ML 20 ML 10s     Robinul                            F10019001602             SWA          Hum & Vet     BT                                         DEC      Alt NDC 00031789083
100000   Antineoplastic Agents             GOSERELIN ACETATE IMP 10.8MG 1S                          Zoladex                            F00310095130           USAMMCE          Hum         PG                         Added SEP 07    SEP
100000   Antineoplastic Agents             GOSERELIN ACETATE IMP 3.6 mg 1S                          Zoladex                            F00310095036           USAMMCE          Hum         PG                         Added SEP 07    SEP
081492   Antifungals, Miscellaneous        GRISEOFULVIN ULTRMICROSIZE 250MG TABLETS 100S            Gris-Peg                           F00884077304           USAMMCE        Hum & Vet     BT                                         MAR                                             May-11
480800   Antitussives                      GUAIFENESIN 600MG & DEXTROMETHORPHAN                     Mucinex DM                         F63824005634             SWA            Hum         BT                                         DEC
                                           HYDROBROMIDE 30MG EXT-REL TAB 40S
481600   Expectorants                      GUAIFENESIN SUSTAINED RELEASE TABLETS 600MG 40           Mucinex                            F63824000834              SWA              Hum      BT                                         DEC
                                           TABLETS/BOTTLE
481600   Expectorants                      GUAIFENESIN/P-EPHED HCL 600MG-60MG TAB SR 12H 36S        Mucinex-D                          F63824005736             SWA               Hum                                 Added MAR 08    DEC
801200   Vaccines                          HAEMOPHILLUS B CONJUGATED INJECTION                      ActHib                             F49281054505           USAMMCE             Hum      PG                                         MAR
281608   Antipsychotics                    HALOPERIDOL INJECTION USP 5MG/ML 1ML AMPUL 10            Haldol                             F00703-7041-03            SWA              Hum      PG                                         JUN
                                           AMPULES/PACKAGE
281608   Antipsychotics                    HALOPERIDOL ORAL SOLUTION USP 2MG/ML 120ML BOTTLE        Haldol                             F00121058104             SWA               Hum      PG    II & III only                        JUN      New starts for Psychiatry,
                                                                                                                                                                                                                                               Renewals by other providers
281608   Antipsychotics                    HALOPERIDOL TABLETS USP 1MG 1000s                        Haldol                             F00378025710              SWA              Hum      BT    II & III only                        JUN      New starts for Psychiatry,
                                                                                                                                                                                                                                               Renewals by other providers
281608   Antipsychotics                    HALOPERIDOL TABLETS USP 5MG 1000s                        Haldol                             F00378032710           USAMMCE             Hum      BT    II & III only                        JUN      New starts for Psychiatry,
                                                                                                                                                                                                                                               Renewals by other providers
840600   Topical Anti-inflammatory         HEMORRHOIDAL SUPPOSITORIES WITH HYDROCORTISONE           Anusol-HC                          F00574709012              SWA              Hum      PG                                         MAR      F00713050312                           May
         Agents                            ACETATE 25MG 12S
201204   Anticoagulants                    HEPARIN LOCK FLUSH SOLUTION USP 100 UNITS/ML 1ML         Heparin                            F63323054501             SWA               Hum                                 Added MAR 08    SEP
                                           VIAL 25S
201204   Anticoagulants                    HEPARIN SODIUM INJECTION 25,000 UNITS/500MLS RTU 24S     Heparin RTU                        F00264957710           USAMMCE          Hum               III only             Added SEP 07    SEP
201204   Anticoagulants                    HEPARIN SODIUM INJECTION USP 1000 UNITS PER ML 10 ML     Heparin                            6505015153167            SWA          Hum & Vet     PG                                         SEP
                                           25S
201204   Anticoagulants                    HEPARIN SODIUM INJECTION USP 5000 UNITS PER ML 1ML       Heparin                            F00409140231           USAMMCE             Hum      PG                                         SEP      F00409272301
801200   Vaccines                          HEPATITIS A VIRUS VACCINE PF 720/0.5ML DISP SYRINGE      Havrix                             F58160082552           USAMMCE             Hum      EA                                         MAR
                                           0.5ML 5S
801200   Vaccines                          HEPATITIS A VIRUS VACCINE/PF 1440/ML DISP SYRIN 1ML 5S   Havrix                             F58160082648              SWA              Hum      PG                                         MAR      Alt NSN 6505014320378,
                                                                                                                                                                                                                                               HEPATITIS A VIRUS VACCINE
                                                                                                                                                                                                                                               INACTIVATED 50 UNITS/1ML
                                                                                                                                                                                                                                               SYRINGE 5/PG, NDC
                                                                                                                                                                                                                                               00006484438
801200   Vaccines                          HEPATITIS B VIRUS VACCINE RECOMBINANT PEDIATRIC          Recombivax HB                      F00006498100              SWA              Hum      PG                                         MAR
                                           5mcg/0.5ml SDV (PF) 10S
801200   Vaccines                          HEPATITIS B VIRUS VACCINE RECOMBIVAX 20MCG/ML DISP       Recombivax HB                      F58160082148              SWA              Hum      VI                                         MAR
                                           SYRIN 1ML 5S
401200   Replacement Preparations          HETASTARCH 6% IN SODIUM CHLORIDE 500ML PLASTIC BAG       Hespan                             F00409724803              SWA         Hum & Vet     PG                                         DEC      Alt NDC 00264196510
                                           12S
840416   Topical Anti-infectives,          HEXACHLOROPHENE 3% CLEANSING EMULSION USP 1GL            Phisohex                           F00024153508           USAMMCE        Hum & Vet     BT                                         MAR
         Miscellaneous                     (3840ML)
840416   Topical Anti-infectives,          HEXACHLOROPHENE 3% CLEANSING EMULSION USP 5 FL           Phisohex                           F00024153548           USAMMCE             Hum      PG                                         MAR
         Miscellaneous                     OZ (148 ML) 48S
522400   Mydriatics                        HOMATROPINE OPTHALMIC 5% 5MLS                            Isopto-Homotropine                 F00998031505             SWA               Hum      BT                         Added JUN 07    DEC
240800   Direct Vasodilators               HYDRALAZINE HCL 20MG/ML VIAL 1ML 25S                     Apresoline                         F63323061401             SWA               Hum      PG                                         SEP
240800   Direct Vasodilators               HYDRALAZINE HYDROCHLORIDE TABLETS USP 25MG 1000          Apresoline                         F23155000210           USAMMCE             Hum      BT                                         SEP                                             May-11
                                           TABLETS/BOTTLE
402800   Diuretics                         HYDROCHLOROTHIAZIDE TABLETS USP 25MG 1000S               HCTZ                               F00172208380              SWA              Hum      BT                                         DEC
402800   Diuretics                         HYDROCHLOROTHIAZIDE TABLETS USP 25MG I.S. 100S           HCTZ                               F00172208360              SWA              Hum      PG                                         DEC
280808   Opiate Agonists                   HYDROCODONE BITARTRATE AND ACETAMINOPHEN 5-              Lortab                             F00406035701              SWA              Hum      BT                                         JUN
                                           500MG TABLETS 100S
840600   Topical Anti-inflammatory         HYDROCORTISONE 2.5% CREAM 28.4GM                         Hytone                             F51672300302              SWA              Hum      TU                                         MAR      F00472033730                           May-11
         Agents
840800   Topical Antipruritics and Local   HYDROCORTISONE ACETATE AND PRAMOXINE                     Analpram-HC                        F45802014464              SWA              Hum      EA                                         MAR                                             May-11
         Anesthetics                       HYDROCHLORIDE CREAM 1OZ
840600   Topical Anti-inflammatory         HYDROCORTISONE ACETATE AND PRAMOXINE                     Proctofoam-HC                      F68220014210              SWA              Hum      PG                                         MAR
         Agents                            HYDROCHLORIDE FOAM 10GM
840600   Topical Anti-inflammatory         HYDROCORTISONE CREAM USP 0.5%% 1 OZ (30GM)               HC Cream                           F59390002217              SWA              Hum      TU                                         MAR      Alt F00168001431
         Agents
680400   Hormones, Adrenal                 HYDROCORTISONE SOD SUCC 100MG INJ/2ML VL                 Solu-Cortef                        F00009082501              SWA              Hum      VI                                         DEC
680400   Hormones, Adrenal                 HYDROCORTISONE SODIUM SUCCINATE FOR INJECTION            Solu-Cortef                        F00009001305              SWA              Hum      VI                                         DEC
                                           USP 250 MG
522800   EENT, Mouthwashes & Gargles       HYDROGEN PEROXIDE TOPICAL SOLUTION USP 1PINT (473        Hydrogen Peroxide                  3306HP0316               SWA               HUM      BT                                         DEC
280808   Opiate Agonists                   HYDROMORPHONE HCL 2MG TABLETS 100S                       Dilaudid                           F59011045210           USAMMCE             Hum      BT                                         JUN
280808   Opiate Agonists                   HYDROMORPHONE HCL 2MG/ML 1ML AMPUL 10S                   Dilaudid                           F59011044210             SWA               Hum      PG                                         JUN
280808   Opiate Agonists                   HYDROMORPHONE HCL/PF 10MG/ML AMPUL 1ML 10S               Dilaudid-HP                        F59011044501           USAMMCE             Hum      PG    II+ & III only
990000   Antidotes                         HYDROXOCOBALAMIN 2.5 G (2 VIALS) POWDER FOR              Cyanokit                           F11704027001           USAMMCE             Hum            II, II+ & III        Added SEP 08    MAR      Provided in a kit which also
                                           INJECTION                                                                                                                                                                                           contains one IV infusion set
523600   EENT, Misc. Drugs                 HYDROXYPROPYL METHYLCELLULOSE 2.5% OPHTHALMIC            Goniosol                           F17478006412           USAMMCE             Hum      BT                                         DEC      Alt NSN 6505013235252,
                                           SOLUTION USP 15ML BT                                                                                                                                                                                HYDROXYPROPYL
                                                                                                                                                                                                                                               METHYLCELLULOSE
                                                                                                                                                                                                                                               OPHTHALMIC SOLUTION
                                                                                                                                                                                                                                               MODIFIED 1ML
282492   Anxiolytics / Sedatives/          HYDROXYZINE HCL 50MG/ML VIAL 10ML 25S                    Vistaril                           F00517561025              SWA              Hum      VI                                         JUN      Alt NSN 6505010970002,
         Hypnotics, Miscellaneous                                                                                                                                                                                                              HYDROXYZINE
                                                                                                                                                                                                                                               HYDROCHLORIDE
                                                                                                                                                                                                                                               INJECTION USP 50MG/ML
                                                                                                                                                                                                                                               1ML VIAL 25/PG, NDC
282492   Anxiolytics / Sedatives/          HYDROXYZINE HYDROCHLORIDE TABLETS USP 10MG 500S          Atarax                             F68462036005              SWA              Hum      BT                                         JUN
         Hypnotics, Miscellaneous
282492   Anxiolytics / Sedatives/          HYDROXYZINE HYDROCHLORIDE TABLETS USP 25MG 500S          Atarax                             F00904035840              SWA              Hum      BT                                         JUN
         Hypnotics, Miscellaneous
920000   Miscellaneous Therapeutic         IBANDRONATE 150 MG TABLET 3s                             Boniva                             F00004018682           USAMMCE             Hum                                 Added SEP 08    MAR      BCF item; 150 mg once monthly
         Agents (Bone Resorption                                                                                                                                                                                                               is osteoporosis treatment dose in
         Inhibitors)                                                                                                                                                                                                                           postmenopausal females; 150 mg
                                                                                                                                                                                                                                               once monthly may be considered
                                                                                                                                                                                                                                               for prevention of postmenopausal
                                                                                                                                                                                                                                               osteoporosis
280804   Nonsteroidal Anti-inflammatory    IBUPROFEN ORAL SUSPENSION USP 100MG/5ML FRUIT            Motrin liquid                      F00904530920              SWA              HUM      BT                                         JUN
         Agents                            FLAVORED 120ML BT
280804   Nonsteroidal Anti-inflammatory    IBUPROFEN TABLETS USP 400MG 500S                         Motrin                             F00904174840              SWA              Hum      BT                                         JUN
         Agents
280804   Nonsteroidal Anti-inflammatory    IBUPROFEN TABLETS USP 800 MG 500 TABLETS PER BOTTLE      Motrin                             F00904518740              SWA              Hum      BT                                         JUN      DSCP recommends NDC
         Agents                                                                                                                                                                                                                                00591213705. Alt NSN
                                                                                                                                                                                                                                               6505012149061, IBUPROFEN
                                                                                                                                                                                                                                               TABLETS 800MG, 100S, NDC
                                                                                                                                                                                                                                               54738012101 or 00009738701
081207   Beta-Lactam Antibiotics,          IMIPENEM 500MG - CILASTATIN SODIUM 1G INFUSION           Primaxin                           F00006351659              SWA              Hum      PG                                         MAR
         Miscellaneous                     BOTTLE 25S
843600   Topical Skin & Mucous             IMIQUIMOD CREAM 5% 250MG PACKET 24 PACKETS PER           Aldara                             F00168043224              SWA              Hum      PG                                         MAR
         Membrane Agents,                  PACKAGE
         Miscellaneous
800400   Serums                            IMMUNE GLOBULIN IV 10GM 1S                               Gammagard S/D                      F13533064571           USAMMCE             Hum      VI    III only             Added SEP 07    MAR      for inpatient use
280804   Nonsteroidal Anti-inflammatory    INDOMETHACIN EXTENDED-RELEASE CAPSULES 75MG 60           Indocin SR                         F00185072060             SWA               Hum      BT                                         JUN
         Agents                            CAPSULES/BOTTLE
280804   Nonsteroidal Anti-inflammatory    INDOMETHOCIN 25MG CAPSULES 100s                          Indocin                            F00781232501              SWA              Hum      BT                                         JUN
         Agents
402000   Caloric Agents                    INFANT AND PEDIATRIC FORMULA                             Pediasure Vanilla                  5520058049               SWA               Hum            III only             Added SEP 07    DEC
402000   Caloric Agents                    INFANT AND PEDIATRIC FORMULA                             Enfamil w/Iron 24kcal/ounce        F00087138841           USAMMCE             Hum      PG    III only             Added SEP 07    DEC                                             May-11
402000   Caloric Agents                    INFANT AND PEDIATRIC FORMULA                             Enfamil w/Iron 20kcal/ounce        F00087144941           USAMMCE             Hum      PG    III only             Added SEP 07    DEC                                             May-11
402000   Caloric Agents                    INFANT AND PEDIATRIC FORMULA 1000ML 1S                   Pedialyte                          F70074080365           USAMMCE             Hum      PG    III only             Added SEP 07    DEC
402000   Caloric Agents                    INFANT AND PEDIATRIC FORMULA 250ML 24S                   Peptamen Jr                        F00065906870           USAMMCE             Hum      PG    III only             Added SEP 07    DEC
402000   Caloric Agents                    INFANT FORMULA, MILK-BASED, IRON-FORTIFIED, 2 OZ. BT,    Similac with Iron                  8940081300005          USAMMCE             Hum      CS                                         DEC      Alt products - Ross Cat # 57760,
                                           48S (ROSS PRODUCTS)                                                                                                                                                                                 Similac with Iron, 32 oz. BT, 6s or
                                                                                                                                                                                                                                               Ross Cat # 51478, Similac wth
                                                                                                                                                                                                                                               Iron, Powder, 12.9 oz. Cans, 6s
682008   Antidiabetic Agents, Insulins     INSULIN ASPART 100 UNITS/ML 10ML VIAL                    Novolog                            F00169750111              SWA              Hum      VI                                         MAR
682008   Antidiabetic Agents, Insulins     INSULIN GLARGINE 100 UNITS/ML 10ML VIAL                  Lantus                             F00088222033              SWA              Hum      VI                                         MAR
682008   Antidiabetic Agents, Insulins     INSULIN HUMAN INJECTION MODIFIED 100UNITS/ML 10ML        Regular Novolin                    F00169183311              SWA              Hum      VI                                         MAR
682008   Antidiabetic Agents, Insulins     INSULIN HUMAN ISOPHANE SUSPENSION 100 UNITS/ML 10ML      NPH Humulin                        F00169183411              SWA              Hum      VI                                         MAR
                                           VIAL
366800   Roentgenography                   IODIXANOL 270MG/ML FOR INJECTION 150ML BOTTLE 10S        Visipaque                          F00407222203           USAMMCE             Hum      CS    III only                             DEC
083004   Amebicides                        IODOQUINOL TABLETS USP 650MG 100S                        Yodoxin                            F00516009301          USAMMCE              Hum      BT                                         MAR
366800   Roentgenography                   IOHEXOL INJECTION USP 300MG/ML 50ML BOTTLE 10S           Omnipaque                          F00407141351             SWA               Hum      PG    III only                             DEC
366800   Roentgenography                   IOPAMIDOL 50ML VIAL 10S                                  Isovue 300                         F00270131530           USAMMCE             Hum      PG    II+ & III only                       DEC
120808   Antimuscarinics                   IPRATROPIUM BROMIDE 0.2MG/ML SOLUTION FOR                Atrovent                           F00487980130             SWA               Hum      PG                                         DEC
                                           INHALATION 2.5ML 25s
120808   Antimuscarinics                   IPRATROPIUM BROMIDE 17MCG AER W/ADAP 12.9GM 1S           Atrovent                           F00597008717              SWA              Hum      EA                                         DEC      Alt NDC 00172-6407-44; 00172-
                                                                                                                                                                                                                                               6407-44
200404   Iron Preparations                 IRON DEXTRAN 50MG/ML                                     Dexferem                           F00517023410           USAMMCE          Hum         PG    III only                             SEP
280400   General Anesthetics               ISOFLURANE USP 100ML BOTTLE                              Forane                             F66794001110             SWA          Hum & Vet     BT                                         JUN      Alt NDCs 10019-0360-40 or
                                                                                                                                                                                                                                               00182-6210-70
081604   Antituberculosis Agents           ISONIAZID 300MG TABLET 100S                              INH                                F61748001301             SWA               Hum      BT                                         MAR
840416   Topical Anti-infectives,          ISOPROPYL ALCOHOL GEL 55% 800ML PLASTIC BOTTLE 12S       Isopropyl Gel                      6755118187             USAMMCE             Hum      PG                                         MAR
         Miscellaneous
840416   Topical Anti-infectives,          ISOPROPYL RUBBING ALCOHOL 70% 1 PT (473 ML)              Isopropyl Alcohol                  F00574006716              SWA         Hum & Vet     BT                                         MAR
         Miscellaneous
121200   Adrenergic Agents                 ISOPROTERENOL HYDROCHLORIDE INJECTION USP                Isuprel                            F00409141001              SWA         Hum & Vet     PG                                         SEP
                                           0.200MG/ML 1ML AMPULE 25S
241208   Nitrates and Nitrites             ISOSORBIDE DINITRATE 10 MG TABLET, 100S                  Isordil                            F00143177101           USAMMCE             Hum      BT                                         SEP
241208   Nitrates and Nitrites             ISOSORBIDE DINITRATE 40MG TABLET SA 100S                 Isordil                            F57664060088           USAMMCE             Hum      BT                                         SEP                                             May-11
241208   Nitrates and Nitrites             ISOSORBIDE MONONITRATE 60MG TABLET SA, 100S              Imdur                              F62175011937           USAMMCE             Hum      BT                                         SEP
843600   Topical Skin & Mucous             ISOTRETINOIN 20MG CAPS 30s                               Clavaris                           F00555105586           USAMMCE             Hum      PG    III only                             MAR      available with restrictions at Level   May-11
         Membrane Agents,                                                                                                                                                                                                                      III registered pharmacies
         Miscellaneous
843600   Topical Skin & Mucous             ISOTRETINOIN 40MG CAPS 30s                               Clavaris                           F00555105786           USAMMCE             Hum      PG    III only                             MAR      available with restrictions at Level   May-11
         Membrane Agents,                                                                                                                                                                                                                      III registered pharmacies
         Miscellaneous
080800   Anthelmintics                     IVERMECTIN 3MG TABLET 20S                                Spectromectol                      F00006003220           USAMMCE             Hum      BX                                         MAR
280400   General Anesthetics               KETAMINE HYDROCHLORIDE INJECTION USP 100mg/ml, 5ML       Ketalar                            F00409205105             SWA               Hum      PG                                         JUN
                                           VIAL, 10S
280400   General Anesthetics               KETAMINE HYDROCHLORIDE INJECTION USP 50mg/ml, 10ML       Ketalar                            F42023011410              SWA              Hum      PG                                         JUN
                                           VIAL, 10S
840408   Topical Antifungals               KETOCONAZOLE 2% CREAM 15GM                               Nizoral 2% CREAM                   F00168009915              SWA           Hum         TU                                         MAR
840408   Topical Antifungals               KETOCONAZOLE 2% SHAMPOO                                  Nizoral Shampoo                    F10147075004              SWA           Hum         BT                                         MAR      F00781709004                           May-11
081408   Antifungals, Azoles               KETOCONAZOLE 200MG TABS 100S                             Nizoral                            F00093090001              SWA         Hum & Vet     BT                                         MAR
280804   Nonsteroidal Anti-inflammatory    KETOROLAC TROMETHAMINE INJECTION USP 30MG/ML 1ML         Toradol                            F00409228721              SWA           Hum         PG                                         JUN
         Agents                            UNIT 10/PACKAGE
520800   EENT, Anti-inflammatory           KETOROLAC TROMETHAMINE OPHTHALMIC 0.5% DROPS             Acular Ophth                       F00023218105              SWA              Hum      BT                                         DEC
242400   Beta-Adrenergic Blocking          LABETALOL HCL 5MG/ML VIAL 20ML 1S                        Normodyne                          F00409226720              SWA              Hum      VI    III only             Added DEC-09    SEP
         Agents
242400   Beta - Adrenergic Blocking        LABETALOL HYDROCHLORIDE 200MG 100S                       F00781305995                       F00172436560           USAMMCE             Hum      BT                         Added SEP 07    SEP                                             May-11
         Agents
242400   Beta-Adrenergic Blocking          LABETALOL HYDROCHLORIDE INJECTION USP 5MG/ML             Normodyne                          F00409233934              SWA              Hum      VI                         Added May 08    SEP      Alt: 20 mL vial NSN
         Agents                            PREFILLED SYRINGE                                                                                                                                                                                   6505012447982 NDC
                                                                                                                                                                                                                                               00085036207
920000   Unclassified Agents               LACTASE 3MU CAPLET 60S                                   Lactaid OTC                        F00904522452           USAMMCE             HUM                                 Added SEP 07    MAR
401000   Ammonia Detoxicants               LACTULOSE 10G/15ML SYRUP 480ML                           Chronulac                          F00603137858             SWA               Hum      BT                                         DEC      00603-1378-58 (Mandatory
                                                                                                                                                                                                                                               contract item)
990000   Antidotes                         LEUCOVORIN 5MG TABLETS 100S                              Leucovorin                         F00054449625          USAMMCE              Hum            See Comment          Added MAR 08    MAR      Stocked at Balad only
100000   Antineoplastic Agents             LEUPROLIDE DEPOT 11.25 MG                                Lupron Depot-3 Month               F00074366303            SWA                Hum                                 Added SEP 08    SEP      For tx of endometriosis; 11.25 mg
                                                                                                                                                                                                                                               every 3 months for 2 doses (6
                                                                                                                                                                                                                                               months total duration of tx)
281292   Anticonvulsants, Miscellaneous    LEVETIRACETAM 500MG/5ML VIAL 5ML 10S                     Keppra                             F50474000263             SWA               Hum      VI    III only             Added JUN 09    JUN
281292   Anticonvulsants, Miscellaneous    LEVETIRACETAM 250MG 120S                                 Keppra                             F00378561378          USAMMCE              Hum            III only             Added Mar 09    JUN
281292   Anticonvulsants, Miscellaneous    LEVETIRACETAM 500MG 120S                                 Keppra                             F00378561578             SWA               Hum            III only             Added Mar 09    JUN
081218   Quinolones                        LEVOFLOXACIN 250MG TAB 50S                               Levaquin                           F50458092050           USAMMCE             Hum                                 Added SEP 08    MAR                                             May-11
081218   Quinolones                        LEVOFLOXACIN 25MG/ML INJ                                 Levaquin injection                 F50458016420              SWA              Hum      VI                                         MAR
081218   Quinolones                        LEVOFLOXACIN 500MG TABS 50S                              Levaquin                           F50458092550              SWA              Hum      BT                                         MAR
081218   Quinolones                        LEVOFLOXACIN 500MG/100ml D5W SOLN 24S                    Levaquin RTU IVPB                  F50458016801              SWA              Hum      PG                                         MAR                                             May-11
                                           LEVOFLOXACIN 750MG TABS 100S                             Levaquin                           F50458093010              SWA              Hum                                                 MAR
081218   Quinolones                        LEVOFLOXACIN 750MG/150ml D5W SOLN 24S                    Levaquin RTU IVPB                  F50458016601              SWA              Hum                                 Added SEP 07    MAR
681200   Hormones, Contraceptive           LEVONORGESTREL - ETHINYL ESTRADIOL 6-5-10 TRIPHASIC,     Tri-Levlen / Triphasil / Trivora   F52544029128              SWA              Hum      PG                                         MAR      TRIPHASIL NDC 00008-2536-
                                           28 TABLET PACKS 3S                                                                                                                                                                                  01, TRIVORA NDC 52544-0291-
681200   Hormones, Contraceptive           LEVONORGESTREL 0.1MG AND ETHINYL ESTRADIOL 20MCG,        Alesse/ Sronyx                     F52544096728              SWA              Hum      PG                                         MAR
                                           28 TABLET PACKS 3S
681200   Contraceptive                     LEVONORGESTREL 0.75MG TABLETS                            Next Choice                        F52544027536             SWA               Hum      PG                         Added SEP 07    MAR      managed as an Rx item per
                                                                                                                                                                                                                                               MNCI Policy
681200   Contraceptive                     LEVONORGESTREL 20MCG/24HR 1S                             Mirena                             F50419042101             SWA               HUM      PG                                         DEC                                             5/11/2011
683604   Hormones, Thyroid Agents          LEVOTHYROXINE SODIUM 100MCG TABLET 1000s                 Synthroid                          F00074662419             SWA               Hum      BT                                         MAR
683604   Hormones, Thyroid Agents          LEVOTHYROXINE SODIUM 200MCG VIAL 1S                      Synthroid                          F63323024710         USAMMCE         Hum            BT    II+ & III only       Added DEC-09    MAR
683604   Hormones, Thyroid Agents          LEVOTHYROXINE SODIUM 50MCG TABLET 100s                   Synthroid                          F00074455213             SWA               Hum      BT                                         MAR
683604   Hormones, Thyroid Agents          LEVOTHYROXINE SODIUM 75MCG TABLET 1000s                  Synthroid                          F00074518219             SWA               Hum      BT                                         MAR
683604   Hormones, Thyroid Agents          LEVOTHYROXINE SODIUM 88MCG TABLET 100s                   Synthroid                          F00074659413             SWA               Hum      BT                                         MAR
401200   Replacement Preparations          LIDOCAINE 1GM D5W 250ML 24S                              Lidocaine 1 gm in Dex 5%           F00409793132           USAMMCE             Hum      BX                                         DEC                                             May-11
720000   Local Anesthetics                 LIDOCAINE 5% PATCH 30S                                   Lidoderm                           F63481068706             SWA               Hum      PG                         Added SEP 07    MAR
720000   Local Anesthetics                 LIDOCAINE HCL 1% MDV 50ml VIAL                           Xylocaine 1% INJ                   F63323048550             SWA               Hum      VI                                         MAR                                             May-11
720000   Local Anesthetics                 LIDOCAINE HCL 20MG/ML VIAL 5ML 10S (METHYLPARABEN        Xylocaine-MPF 2%                   F63323049505             SWA               Hum      BX                                         MAR
                                           FREE)
240404   Antiarrhythmic Agents             LIDOCAINE HYDROCHLORIDE 0.4% (2GM) IN D5W 500ML 18S      Lidocaine                          F00338040903              SWA              Hum      PG                                         SEP      Alt NSN 6505013867770,
                                                                                                                                                                                                                                               LIDOCAINE
                                                                                                                                                                                                                                               HYDROCHLORIDE 0.4%
                                                                                                                                                                                                                                               (2GM) IN D5W 500ML 24S,
720000   Local Anesthetics                 LIDOCAINE HYDROCHLORIDE 1% & EPINEPHRINE                 Xylocaine & Epi                    F00409317801              SWA              Hum      EA                                         MAR                                             11-May-11
                                           INJECTION USP 1:100,000 50ML VIAL 25S
720000   Local Anesthetics                 LIDOCAINE HYDROCHLORIDE 2% & EPINEPHRINE 1:100,000       Xylocaine & Epi                    F00409099601              SWA              Hum      PG                                         MAR      Alt Item NSN 6505015241983,
                                           INJECTION 1.8ML DENTAL CARTRIDGE 100S                                                                                                                                                               LIDOCAINE
                                                                                                                                                                                                                                               HYDROCHLORIDE 2% &
                                                                                                                                                                                                                                               EPINEPHRINE 1:100,000
                                                                                                                                                                                                                                               INJECTION 1.8ML DENTAL
                                                                                                                                                                                                                                               CARTRIDGE 100S, NDC
720000   Local Anesthetics                 LIDOCAINE HYDROCHLORIDE 2% & EPINEPHRINE 1:200,000 Xylocaine & Epi                          F00409318301              SWA         Hum & Vet     PG                                         MAR      DSCP recommends NDC
                                           INJECTION 20ML VIAL 5S                                                                                                                                                                              00074318301
720000   Local Anesthetics                 LIDOCAINE HYDROCHLORIDE 2% & EPINEPHRINE 1:50,000  Xylocaine & Epi                          D150-0005                 SWA              Hum      PG                                         MAR                                             May-11
                                           INJECTION 1.8ML DENTAL CARTRIDGE 100S
720000   Local Anesthetics                 LIDOCAINE HYDROCHLORIDE 2% INJECTION PRESERVATIVE- Xylocaine-MPF                            F63323049505              SWA              Hum      PG                                         MAR                                             May-11
                                           FREE, 5ML, 10S
720000   Local Anesthetics                 LIDOCAINE HYDROCHLORIDE 2% INJECTION USP 10ML      Xylocaine                                F00186024044              SWA              Hum      PG                                         MAR
                                           AMPULE 5S
720000   Local Anesthetics                 LIDOCAINE HYDROCHLORIDE 2% INJECTION USP 20ML VIAL Xylocaine                                F00409427701              SWA         Hum & Vet     VI                                         MAR      Alt NSN 6505014437113,
                                                                                                                                                                                                                                               LIDOCAINE
                                                                                                                                                                                                                                               HYDROCHLORIDE
                                                                                                                                                                                                                                               INJECTION USP 2% 20ML VIAL
                                                                                                                                                                                                                                               5s, NDC 00186012001 or
521600   EENT, Local Anesthetics           LIDOCAINE HYDROCHLORIDE 2% VISCOUS ORAL TOPICAL          Xylocaine Viscous                  F00603139364              SWA              Hum      BT                                         DEC      DSCP recommends NDC
                                           SOLUTION 100ML                                                                                                                                                                                      60432046400. Alt. NDC
                                                                                                                                                                                                                                               00472099633
720000   Local Anesthetics                 LIDOCAINE HYDROCHLORIDE 4% INJECTION 5ML AMPULE          Xylocaine                          F63323049089           USAMMCE             Hum      PG                                         MAR                                             May-11
720000   Local Anesthetics                 LIDOCAINE HYDROCHLORIDE INJECTION USP 1% 5ML 10S         Lidocaine                          F00409490434             SWA               Hum      PG                                         MAR                                             May-11
521600   EENT, Local Anesthetics           LIDOCAINE HYDROCHLORIDE JELLY USP 2% 30 ML TUBE          Xylocaine Jelly                    F17478071130             SWA               Hum      PG                                         DEC
                                           WITH APPLICATOR
840800   Topical Antipruritics and Local   LIDOCAINE OINTMENT USP 5% 50 GM                          Lidocaine                          F51672300803              SWA              Hum      TU                                         MAR                                             May-11
         Anesthetics
720000   Local Anesthetics                 LIDOCAINE UROJET 2% GEL                                  LIDO 2% UroJet                     F00548301200           USAMMCE             Hum      PG                                         MAR
081228   Antibacterials, Miscellaneous     LINEZOLID 600MG TABS 20S                                 Zyvox                              F00009513502             SWA               Hum      BT    III only             update DEC 07   MAR      One course of therapy available at
                                                                                                                                                                                                                                               levelI MTF authorized with NDR
                                                                                                                                                                                                                                               request required for restock
081228   Antibacterials, Miscellaneous     LINEZOLID 600MG/300ML INJ                                Zyvox                              F00009514001              SWA              Hum      CS    III only                             MAR
243204   Angiotensin-Converting Enzyme     LISINOPRIL TABLETS 10MG 100S                             Zestril                            F00143126701              SWA              Hum      BT                                         SEP      DSCP recommends NDC
         Inhibitors                                                                                                                                                                                                                            00006010658
243204   Angiotensin-Converting Enzyme     LISINOPRIL TABLETS 20MG 100S                             Zestril                            F00185010201              SWA              Hum      BT                                         SEP
         Inhibitors
243204   Angiotensin-Converting Enzyme     LISINOPRIL TABLETS 5MG 100S                              Zestril                            F00143126601              SWA              Hum      BT                                         SEP
         Inhibitors
243204   Angiotensin-Converting Enzyme     LISINOPRIL/HYDROCHLOROTHIAZIDE 10 MG/12.5 MG             Zestoretic                         F00378101201           USAMMCE             Hum                                 Added SEP 08    SEP      BCF item                               May-11
         Inhibitors                        TABLETS
243204   Angiotensin-Converting Enzyme     LISINOPRIL/HYDROCHLOROTHIAZIDE 20 MG/12.5 MG             Zestoretic                         F00172503460           USAMMCE             Hum                                 Added SEP 08    SEP      BCF item
         Inhibitors                        TABLETS
243204   Angiotensin-Converting Enzyme     LISINOPRIL/HYDROCHLOROTHIAZIDE 20 MG/25 MG TABLETS       Zestoretic                         F00591086201           USAMMCE             Hum                                 Added SEP 08    SEP      BCF item                               May-11
         Inhibitors
560800   GI, Antidiarrhea Agents           LOPERAMIDE HYDROCHLORIDE CAPSULES USP 2MG 100            Imodium                            F00093031101              SWA         Hum & Vet     BT                                         DEC
                                           CAPSULES/BOTTLE
282408   Anxiolytics /                     LORAZEPAM INJECTION USP 2MG/ML 1ML CARTRIDGE,            Ativan                             F00409198530              SWA              Hum      PG                                         JUN
         Sedatives/Hypnotics,              LUER LOCK, NEEDLELESS, SLIM PACK, 10S
         Benzodiazepine
282408   Anxiolytics /                     LORAZEPAM TABLETS 1 MG 100S                              Ativan                             F00378245701              SWA              Hum      BT                                         JUN
         Sedatives/Hypnotics,
         Benzodiazepine
243208   Angiotensin II Receptor           LOSARTAN 50MG TABLET 30S                                 Cozaar                             F00006095231              SWA              Hum      BT                         Added SEP 07    SEP      option to Temisartan for specific
         Blockers                                                                                                                                                                                                                              indications since Irbesartan
                                                                                                                                                                                                                                               removed from the formulary
843600   Topical Skin & Mucous             LUBRICANT SURGICAL 4 OZ (113.4 GM)                       Surgilube                          F00168020536              SWA         Hum & Vet     TU                                         MAR      DSCP recommends NDC
         Membrane Agents,                                                                                                                                                                                                                      00603057954
         Miscellaneous
843600   Topical Skin & Mucous             LUBRICANT SURGICAL 5 GRAM 144S                           Surgilube                          F00281020545              SWA              Hum      BX                                         MAR      Alt NSN 6505010639993,
         Membrane Agents,                                                                                                                                                                                                                      LUBRICANT SURGICAL 3GM
         Miscellaneous                                                                                                                                                                                                                         PACKET 144 PACKETS PER
                                                                                                                                                                                                                                               PACKAGE. NDC 00168020543
840416   Topical Anti-infectives,          MAFENIDE ACETATE 8.5% CREAM 454GM                        Sulfamylon                         F51079062383              SWA         Hum & Vet     CN                                         MAR      Alt NSN 6505014917013,
         Miscellaneous                                                                                                                                                                                                                         MAFENIDE ACETATE 8.5%
                                                                                                                                                                                                                                               CREAM 120GM, NDC
                                                                                                                                                                                                                                               62794010151
840416   Topical Anti-infectives,          MAFENIDE ACETATE USP 50GM PACKET 5s                      Sulfamylon Powder Packet           F51079062485              SWA              Hum      PG                                         MAR
         Miscellaneous
561200   GI, Cathartics & Laxatives        MAGNESIUM CITRATE ORAL SOLUTION USP 10FL OZ BOTTLE Mag Citrate                              3306S23144V               SWA              Hum      PG                                         DEC
                                           12S
401200   Replacement Preparations          MAGNESIUM SULFATE 1GM/100 MLS RTU 24s              Magnesium Sulfate RTU                    F00409672723           USAMMCE             Hum            III only             Added SEP 07    MAR      for inpatient use




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                                                                             Legend:                                                                                                                                                                                                  CENTCOM FORMULARY   As of: DECEMBER 2010
                                                                             YELLOW = Restricted Use BLUE = May Use in OTC Program
                                                                             ORANGE = Veterinary ONLY Agents RED = IND; Must report use




AHFS     AHFS Description                   Generic Nomenclature                                      Brand Name Nomenclature       Current DCAM Stock   Where Stocked   Hum / Vet /   UI   Available at         Formulary      Class    Comments
                                                                                                                                    Number                               OTC / IND          Level of Care        Notes          Review
                                                                                                                                                                                            (All, II&III, II+&
                                                                                                                                                                                            III, and III Only)
281292   Anticonvulsants, Miscellaneous     MAGNESIUM SULFATE 4MEQ/ML VIAL 10ML 25S                   Mag Sulfate                   F00517261025              SWA          Hum         PG                                       JUN
841200   Topical Astringents                MAGNESIUM SULFATE CRYSTALS 240GM 1S                       Epsom Salts                   F00869060243             SWA           Hum                                   Added MAR 08   MAR                                          May-11
402800   Diuretics                          MANNITOL INJECTION USP 20%/500MLS RTU 12s                 Mannitol RTU                  F00409771503           USAMMCE         Hum         PG                                       SEP
402800   Diuretics                          MANNITOL INJECTION USP 25% 50ML SINGLE DOSE VIALS         Mannitol                      F00409403101              SWA        Hum & Vet     PG                                       DEC      Alt NDC 63323002425
801200   Vaccines                           MEASLES MUMPS & RUBELLA VIRUS VACCINE LIVE SINGLE         MMR-II                        F00006468100              SWA          Hum         PG                                       MAR
                                            DOSE 10/PG
080800   Anthelmintics                      MEBENDAZOLE TABLETS USP 100MG I.S. 12S                    Vermox                        F00093910729              SWA           Hum        PG                                       MAR      DSCP recommends NDC
                                                                                                                                                                                                                                         50580007012
562208   GI, Antiemetics, Antihistamine     MECLIZINE HYDROCHLORIDE TABLETS USP CHEWABLE 25           Bonine                        F00536399001              SWA           Hum        BT                                       DEC      DSCP recommends NDC
                                            MG 100S                                                                                                                                                                                      00182057101
683200   Hormones, Progestins               MEDROXYPROGESTERONE ACETATE INJECTABLE SUSP               Depo-Provera                  F00009074630              SWA           Hum        PG                                       MAR      USAMMCE Substitute NDC
                                            150MG/ML, 1ML VIAL 1S                                                                                                                                                                        00009-7376-03, pre-filled
683200   Hormones, Progestins               MEDROXYPROGESTERONE ACETATE TABLETS USP 10MG              Provera                       F59762374202              SWA           Hum        BT                                       MAR
                                            100 TABLETS/BOTTLE
083008   Antimalarial Agents                MEFLOQUINE HYDROCHLORIDE TABLETS 250MG I.S. 25S           Lariam                        F00054002511              SWA           Hum        PG                                       MAR
920000   Miscellaneous Therapeutic          MELATONIN 3MG TABLET 60S                                  Melatonin                     F00536641208             SWA            Hum                                  Added MAR 08   MAR      USAMMCE STOCKS 3MG
         Agents                                                                                                                                                                                                                          TABS (F00536641208)Check
                                                                                                                                                                                                                                         sedative/hypnotic practice
                                                                                                                                                                                                                                         guidelines for recommendations
                                                                                                                                                                                                                                         on prescribing
280804   Nonsteroidal Anti-inflammatory     MELOXICAM 7.5MG TABLET 100s                               Mobic                         F00378106601              SWA           Hum        BT                                       JUN      Alt NDC 00597-0029-01
         Agents
801200   Vaccines                           MENINGOCOCCAL POLYSACCHARIDE VAC GRPS A,C,Y&W-            Menactra                      F49281058905              SWA           Hum        PG                                       MAR      Replaces Menomune per DOD-
                                            135 COMBINED 10DS                                                                                                                                                                            MMQC-06-1024, dated 2/4/06
                                                                                                                                                                                                                                         ALTERNATE 5 DOSE
                                                                                                                                                                                                                                         PACKAGE:
280804   Nonsteroidal Anti-inflammatory     MENTHOL GEL 240GM 1S                                      Icy Rub Gel                   F00536230259             SWA            Hum
         Agents
280808   Opiate Agonists                    MEPERIDINE HYDROCHLORIDE INJECTION 100MG/ML 1ML           Demerol                       F00409118069              SWA           Hum        PG                                       JUN
                                            CARTRIDGE UNIT, LUER LOCK, NEEDLELESS, SLIM PAK, 10S
280808   Opiate Agonists                    MEPERIDINE HYDROCHLORIDE INJECTION 50MG/ML 1ML            Demerol                       F00409117830              SWA           Hum        PG                                       JUN
                                            CARTRIDGE, LUER LOCK, NEEDLELESS, SLIM PAK, 10S
720000   Local Anesthetics                  MEPIVACAINE HYDROCHLORIDE 1.5% INJECTION 30ML VIAL        Carbocaine                    F00409104130              SWA           Hum        VI                                       MAR      DSCP recommends NDC
                                                                                                                                                                                                                                         00186041801
720000   Local Anesthetics                  MEPIVACAINE HYDROCHLORIDE 3% INJECTION USP 1.8ML          Polocaine or Carbocaine       F66312044014           USAMMCE          Hum        PG                                       MAR
                                            DENTAL CARTRIDGE 100S
081207   Beta-Lactam Antibiotics,           MEROPENEM 1GM VIAL 10s                                    Merrem                        F00310032130              SWA           Hum        PG                                       MAR
         Miscellaneous
081207   Carbapenems                        MEROPENEM 500MG INJ 10S                                   Merrem 500MG INJ              F00310032520              SWA           Hum        PG                                       MAR
563600   GI, Anti-inflammatory Agents       MESALAMINE DELAYED-RELEASE TABLETS 400MG 180S             Asacol                        F00149075215              SWA           Hum        BT                                       DEC
682004   Antidiabetic Agents, Biguanides    METFORMIN HYDROCHLORIDE TABLETS 500MG 100                 Glucophage                    F43547024810              SWA           Hum        BT                                       MAR                                          May-11
                                            TABLETS PER BOTTLE
682004   Antidiabetic Agents, Biguanides    METFORMIN HYDROCHLORIDE TABLETS 850MG 100                 Glucophage                    F00093104901           USAMMCE          Hum        BT                        Added SEP 07   MAR                                          May-11
                                            TABLETS PER BOTTLE
280808   Opiate Agonists                    METHADONE HCL 10MG TABLET 100S                            Dolophine                     F00054457125           USAMMCE         Hum         BT   III only             Added MAR-08   JUN
280808   Opiate Agonists                    METHADONE HCL 10MG/5ML SOLUTION 500ML 1S                  Dolophine                     F00054355663           USAMMCE         Hum         VI   III only             Added DEC-09   JUN
280808   Opiate Agonists                    METHADONE HCL 5MG TABLET 100S                             Dolophine                     F00054457025           USAMMCE         Hum         BT   III only             Added DEC-09   JUN
683608   Antithyroid Agents                 METHIMAZOLE 10MG TABLETS 100S                             Tapazole                      F49884064101           USAMMCE         Hum         BT                        Added SEP 07   MAR      Detainee mission requirement        May-11
683608   Antithyroid Agents                 METHIMAZOLE 5MG TABLETS 100S                              Tapazole                      F49884064001           USAMMCE         Hum         BT                        Added SEP 07   MAR      Detainee mission requirement
122000   Skeletal Muscle Relaxants          METHOCARBAMOL 500MG TABLET 100S                           Robaxin                       F00143129001             SWA         Hum & Vet     BT                                       JUN
100000   Antineoplastic Agents              METHOTREXATE SODIUM 2.5MG TABLETS 100S                    Rheumatrex                    F00378001401             SWA           Hum         BT                                       SEP
100000   Antineoplastic Agents              METHOTREXATE SODIUM INJECTION USP 25MG/ML 8ML             MTX                           F55390003310           USAMMCE         Hum         VI                                       SEP      Alt NDC 55390003310
990000   Antidotes                          METHYLENE BLUE INJECTION USP 1% 10ML AMPUL 25 PER         Methylene Blue                F00517037370             SWA           Hum         PG   II & III only                       MAR
                                            PACKAGE
Oct-80   Oxytocics                          METHYLERGONOVINE MALEATE 0.2MG TABLET 100S                Methergine                    F00078005405           USAMMCE       Hum & Vet     Bx   III only             Added DEC-09   MAR
760000   Oxytocics                          METHYLERGONOVINE MALEATE INJECTION USP 0.2MG/ML           Methergine                    F00078005303             SWA           Hum         PG                                       MAR
                                            1ML AMPUL 20S
282000   Stimulants, Respiratory and        METHYLPHENIDATE HYDROCHLORIDE 10MG TABLETS 100S           Ritalin                       F53014053007              SWA           Hum        BT                                       JUN                                          May-11
         Cerebral
282000   Stimulants, Respiratory and        METHYLPHENIDATE HYDROCHLORIDE 18MG EXTENDED-              Concerta                      F50458058501              SWA           Hum        BT                                       JUN
         Cerebral                           RELEASE TABLETS 100S
282000   Stimulants, Respiratory and        METHYLPHENIDATE HYDROCHLORIDE 20MG SUSTAINED              Methylin ER                   F53014059407              SWA           Hum        BT                                       JUN                                          May-11
         Cerebral                           RELEASE TABLETS 100S
282000   Stimulants, Respiratory and        METHYLPHENIDATE HYDROCHLORIDE 27MG EXTENDED-              Concerta                      F50458058801              SWA           Hum        BT                                       JUN
         Cerebral                           RELEASE TABLETS 100S
282000   Stimulants, Respiratory and        METHYLPHENIDATE HYDROCHLORIDE 36MG EXTENDED-              Concerta                      F50458058601              SWA           Hum        BT                        Added DEC 09   JUN
         Cerebral                           RELEASE TABLETS 100S
282000   Stimulants, Respiratory and        METHYLPHENIDATE HYDROCHLORIDE 54MG EXTENDED-              Concerta                      F50458058701              SWA           Hum        BT                        Added SEP 09   JUN
         Cerebral                           RELEASE TABLETS 100S
282000   Stimulants, Respiratory and        METHYLPHENIDATE HYDROCHLORIDE 5MG TABLETS 100S            Ritalin                       F53014053107           USAMMCE          Hum        BT                                       JUN                                          May-11
         Cerebral
680400   Hormones, Adrenal                  METHYLPREDNISOLONE ACETATE INJECTABLE SUSP USP            Depo-Medrol                   F00009028002              SWA        Hum & Vet     VI                                       DEC      ALT # F00009307301
                                            40MG/ML 5ML VIAL
680400   Hormones, Adrenal                  METHYLPREDNISOLONE SODIUM SUCCINATE FOR                   Solu-Medrol                   F00009001820              SWA        Hum & Vet     CO                                       DEC      Alt NSN 6505012321987,
                                            INJECTION USP 1000MG                                                                                                                                                                         METHYLPREDNISOLONE
                                                                                                                                                                                                                                         SODIUM SUCCINATE FOR
                                                                                                                                                                                                                                         INJECTION USP 2GRAMS IN
                                                                                                                                                                                                                                         50ML VIAL, NDC 00009079601
680400   Hormones, Adrenal                  METHYLPREDNISOLONE SODIUM SUCCINATE FOR                   Solu-Medrol                   F00009004722              SWA           Hum        PG                                       DEC                                          May-11
                                            INJECTION USP 125MG 25S
680400   Hormones, Adrenal                  METHYLPREDNISOLONE TABLETS USP 4MG I.S. 21 TABLETS        Medrol Dosepak                F00603459315              SWA        Hum & Vet     PG                                       DEC      Alt NDC 00009005604
563200   GI, Prokinetic Agents              METOCLOPRAMIDE HYDROCHLORIDE 10MG TABLET 100S             Reglan                        F00904107060              SWA        Hum & Vet     BT                                       DEC      DSCP recommends NDC
                                                                                                                                                                                                                                         00031670163, Alt USAMMCE
                                                                                                                                                                                                                                         NDC 51079028320
563200   GI, Prokinetic Agents              METOCLOPRAMIDE INJECTION USP 5MG/ML 2ML VIAL 25 PER       Reglan                        F10019045002              SWA        Hum & Vet     PG                                       DEC      ALT # F00409341401
                                            PACKAGE                                                                                                                                                                                      METOCLOPRAMIDE
                                                                                                                                                                                                                                         INJECTION USP 5MG/ML
                                                                                                                                                                                                                                         30ML VIAL, 25S, NDC
                                                                                                                                                                                                                                         00031670924, Alt USAMMCE
242400   Beta - Adrenergic Blocking         METOPROLOL SUCCINATE EXTENDED RELEASE 100MG 100S          Toprol XL                     F49884040601              SWA           Hum        BT                        Added SEP 07   SEP      F00186109205                        May-11
         Agents
242400   Beta-Adrenergic Blocking           METOPROLOL TARTRATE 1MG/ML AMPUL 5ML 12S                  Metoprolol                    F00409228505              SWA           Hum        PG                        Added MAY 08   SEP
         Agents
242400   Beta-Adrenergic Blocking           METOPROLOL TARTRATE TABLETS 25MG 100S                     Lopressor                     F00378001801              SWA           Hum        BT                                       SEP                                          May-11
         Agents
242400   Beta-Adrenergic Blocking           METOPROLOL TARTRATE TABLETS 50MG 100S                     Lopressor                     F00378003201              SWA           Hum        BT                                       SEP
         Agents
840404   Topical Antibacterials             METRONIDAZOLE 0.75% VAGINAL GEL 70GM TUBE WITH            Metrogel                      F00245086070              SWA           Hum        PG                                       MAR
                                            APPLICATOR
840404   Topical Antibacterials             METRONIDAZOLE 1% TOPICAL GEL 60GM                         Metrogel 1% TOP GEL 60GM      F00299382060             SWA            Hum        PG                        Added MAR 08   MAR
083092   Antiprotozoals, Miscellaneous      METRONIDAZOLE HCL 500MG IN 100ML SODIUM CHLORIDE          Flagyl                        F00409781124              SWA           Hum        PG                                       MAR
                                            PIGGYBACK BAGS 24S
083092   Antiprotozoals, Miscellaneous      METRONIDAZOLE TABLETS USP 250MG 250S                      Flagyl                        F50111033306           USAMMCE         Hum         BT                                       MAR
083092   Antiprotozoals, Miscellaneous      METRONIDAZOLE TABLETS USP 500MG 50S                       Flagyl                        F00591397050              SWA        Hum & Vet     BT                                       MAR
083092   Antiprotozoals, Miscellaneous      METRONIDAZOLE TABLETS USP 500MG 500S                      Flagyl                        F50111033402              SWA        Hum & Vet     BT                                       MAR
840408   Topical Antifungals                MICONAZOLE 2% VAG CREAM W/ APPL 45GM 1S                   Monistat                      F00713025237             SWA           HUM         EA                                       MAR
282408   Anxiolytics /                      MIDAZOLAM HYDROCHLORIDE INJECTION 1MG/ML 5ML              Versed                        F00409230505              SWA          Hum         PG                                       JUN
         Sedatives/Hypnotics,               MULTI DOSE VIAL 10S
         Benzodiazepine
282408   Anxiolytics /                      MIDAZOLAM HYDROCHLORIDE INJECTION 5MG/ML 1ML VIAL         Versed                        F10019002709              SWA           Hum        PG                                       JUN
         Sedatives/Hypnotics,               25/PACKAGE
         Benzodiazepine
282408   Anxiolytics /                      MIDAZOLAM HYDROCHLORIDE INJECTION 5MG/ML, 10ML,           Versed                        F10019002710              SWA           Hum        PG                                       JUN      Alt NDC 63323041210
         Sedatives/Hypnotics,               10s
         Benzodiazepine
240408   Cardiotonic Agents                 MILRINONE LACTATE INJECTION 1MG/ML 10ML VIAL 10S          Primacor                      F55390001910           USAMMCE         Hum         PG                                       SEP      Alt NDC 00024120010
561200   GI, Cathartics & Laxatives         MINERAL OIL USP 480ML                                     Mineral Oil                   F00574061816             SWA         Hum & Vet     CO                                       DEC
842404   Topical Lotions                    MINERAL OIL/PETROLATUM WHITE CREAM 454GM                  Moisturin                     F00904775127             SWA           Hum         JR                                                                                    May-11
081224   Tetracyclines                      MINOCYCLINE 100MG CAPS 50S                                Minocin                       F63304069650             SWA           Hum         BT                                       MAR
081224   Tetracyclines                      MINOCYCLINE HCL MICROSPHERES ARESTIN 1MG                  Arestin                       F65976010024           USAMMCE         Hum         BX                        Added DEC-09   MAR
                                            CARTRIDGE 24S
281604   Miscellaneous Antidepressants      MIRTAZAPINE 30MG TAB 30s                                  Remeron                       F00093720756              SWA           Hum        BT                        Added JUL 07   JUN      Approved ADHOC PTC Vote -
92                                                                                                                                                                                                                                       JUN 07 after review of MNCI
                                                                                                                                                                                                                                         Psychotropic Medication
                                                                                                                                                                                                                                         Guideline
281604   Miscellaneous Antidepressants      MIRTAZAPINE 15MG TAB 30S                                  Remeron                       F00185002030              SWA           Hum        BT                        Added JUL 07   JUN      Approved ADHOC PTC Vote -
                                                                                                                                                                                                                                         JUN 07 after review of MNCI
                                                                                                                                                                                                                                         Psychotropic Medication
                                                                                                                                                                                                                                         Guideline
562828   Prostaglandins                     MISOPROSTOL 200MCG TABLETS                                Cytotec                       F00025146131          USAMMCE           Hum             III only             Added MAR 08   MAR
402000   Caloric Agents                     MODULAR FEED                                              Benefiber                     476528210000          USAMMCE           Hum             III only             Added SEP 07   DEC
402000   Caloric Agents                     MODULAR FEED (PROTEIN SUPPLEMENT POWDER 240GM             Benepro                       F00212284107             SWA            Hum             III only             Added SEP 07   DEC
402000   Caloric Agents                     MODULAR FEED 56S                                          Glutasolve                    476528330000           USAMMCE          Hum        CS   III only             Added SEP 07   DEC
520808   Corticosteroids                    MOMETASONE FUROATE NASAL SUSPENSION 0.05%                 Nasonex                       F00085128801             SWA            Hum        BT                        Added SEP 07   DEC      Detainee mission requirement,
                                                                                                                                                                                                                                         cannot have glass btl
920000   Miscellaneous Therapeutic          MONTELUKAST SODIUM 10MG TABLET 30S (SINGULAIR)            Singulair                     F00006011731              SWA           Hum        BT                                       MAR
         Agents
280808   Opiate Agonists                    MORPHINE SULFATE 100 MG SR TABS                           MS-Contin                     F00406839001           USAMMCE          Hum        BT   III only                            JUN
280808   Opiate Agonists                    MORPHINE SULFATE 15 MG SR TABS                            MS-Contin                     F00406831501             SWA            Hum        BT   III only                            JUN
280808   Opiate Agonists                    MORPHINE SULFATE 15MG/ML VIAL 20ML 1S_                    MS                            F10019017963             SWA            Hum        VI   III only             Added SEP 09   JUN
280808   Opiate Agonists                    MORPHINE SULFATE 1MG/ML AMPUL 10ML 5S                     Duramorph                     F00409381512           USAMMCE          Hum        VI   III only             Added DEC-09   JUN      KAF Only                            May-11
280808   Opiate Agonists                    MORPHINE SULFATE 30 MG SR TABS                            MS-Contin                     F58177032004           USAMMCE          Hum        BT   III only                            JUN
280808   Opiate Agonists                    MORPHINE SULFATE INJECTION 10MG AUTOMATIC                 MS                            6505-01-302-5530         SWA            Hum        EA                                       JUN
280808   Opiate Agonists                    MORPHINE SULFATE INJECTION 10MG/ML 1ML VIAL 25 PER        MS                            F10019017844             SWA            Hum        PG                                       JUN
                                            PACKAGE
280808   Opiate Agonists                    MORPHINE SULFATE INJECTION 10MG/ML, 1ML CARTRIDGE         MS                            F00409126130              SWA        Hum & Vet     PG                                       JUN
                                            UNIT, LUER LOCK, NEEDLELESS, 10S
280808   Opiate Agonists                    MORPHINE SULFATE INJECTION 4MG/ML, 1ML CARTRIDGE,         MS                            F00409125830              SWA           Hum        CO                                       JUN
                                            LUER LOCK, NEEDLELESS, SLIM PAK 10S
520404   EENT, Antibacterials               MOXIFLOXACIN HCL 0.5% OPHTHALMIC DROPS 3ML                Vigamox Ophth                 F00065401303              SWA           Hum        BT                                       DEC
081218   Antibacterials, Miscellaneous      MOXIFLOXACIN HCL 400MG TABLETS                            Avelox                        F00085173302              SWA           Hum        BX   III & SOF only       Added SEP 07   MAR      MEDLOG review, item needed for
                                                                                                                                                                                                                                         SOF
882800   Vitamins, Multivitamin             MULTIVITAMIN AND MINERAL TABLETS 100 TABLETS PER          Stuart Prenatals              F00536406301              SWA           Hum        BT                                       DEC      Alt NDC 00182446001
         Preparations                       BOTTLE
880000   Vitamins, Multivitamin             MULTIVITAMIN LIQUID                                       Poly-Vit                      F00603178747              SWA           Hum        BT   III only             Added SEP 07   DEC      for inpatient use as nutritional
         Preparations                                                                                                                                                                                                                    supplement
882800   Vitamins, Multivitamin             MULTIVITAMIN SOLUTION FOR INJECTION 10ML SDV 10s          MVI Adult                     F54643564901              SWA           Hum        PG   II+ & III only                      DEC      Alt NDC 00186119941
         Preparations
882800   Vitamins, Multivitamin             MULTIVITAMIN TABLETS 100 TABLETS PER BOTTLE               Multivitamin Tabs             F57896060101              SWA           Hum        BT                                       DEC
         Preparations
882800   Vitamins, Multivitamin             MULTIVITAMIN WITH MINERALS, CHEWABLE TABLETS, 60S         Flintstones Complete          F16500008806              SWA           Hum        BT                                       DEC
         Preparations
840404   Topical Antibacterials             MUPIROCIN 2% OINTMENT 22GM                                Bactroban                     F45802011222             SWA           Hum         TU                                       MAR
081216   Penicillins                        NAFCILLIN SODIUM 1GM VIAL 10S                             Unipen                        F00781312495             SWA           Hum         PG                                       MAR
280812   Opiate Partial Agonists            NALBUPHINE HYDROCHLORIDE INJECTION 10MG/ML 1ML            Nubain                        F00409146301           USAMMCE         Hum         VI                                       JUN
281000   Opiate Antagonists                 NALOXONE HYDROCHLORIDE 1MG/ML DISP SYRINGE 50ML           Narcan                        F00548146900             SWA         Hum & Vet     BX                        Added MAY 08   JUN      ALT F00409121501
281000   Opiate Antagonists                 NALOXONE HYDROCHLORIDE INJECTION USP 1MG/ML 2ML           Narcan                        F00548336900             SWA           Hum         PG                                       JUN
                                            SYRINGE10/PACKAGE

523200   EENT, Vasoconstrictors             NAPHAZOLINE HCL & ANTAZOLINE PHOSPHATE                    Vasocon-A Ophth               F00065008515              SWA          HUM         BT                                       DEC
                                            OPHTHALMIC SOLUTION 15 ML
280804   Nonsteroidal Anti-inflammatory     NAPROXEN TABLETS USP 500 MG 1000S                         Naprosyn                      F00093014910              SWA           Hum        BT                                       JUN
         Agents

280804   Nonsteroidal Anti-inflammatory     NAPROXEN TABLETS USP 500 MG 100S                          Naprosyn                      F00904559160              SWA           Hum        BT                                       JUN                                          May-11
         Agents
520416   EENT, Antifungals                  NATAMYCIN OPTHALMIC SUSPENSION USP 15ML BOTTLE            Natacyn Ophth                 F00065064515           USAMMCE         Hum         PG                                       DEC
520404   EENT, Antibacterials               NEOMYCIN, POLYMYXIN B SULFATE & DEXAMETHASONE             Maxitrol Ophth                F61314063136             SWA         Hum & Vet     TU                                       DEC      DSCP recommends NDC
                                            0.1% OPHTH OINT 3.5GM                                                                                                                                                                        00065063136. Alt NSN
                                                                                                                                                                                                                                         6505011434644, NEOMYCIN,
                                                                                                                                                                                                                                         POLYMYXIN B SULFATE &
                                                                                                                                                                                                                                         BACITRACIN ZINC OPHTH
                                                                                                                                                                                                                                         OINT 3.5GM, 12S, DSCP
                                                                                                                                                                                                                                         recommends NDC 24208078055.
                                                                                                                                                                                                                                         USAMMCE NDC 00168002738.
                                                                                                                                                                                                                                         Add'l subs NDC 17478023535 or
                                                                                                                                                                                                                                         17478023535.
520404   EENT, Antibacterials               NEOMYCIN, POLYMYXIN B SULFATE & DEXAMETHASONE             Maxitrol Ophth                F61314063006              SWA        Hum & Vet     BT                                       DEC
                                            SUSPENSION 0.1% DROPS 5ML
520404   EENT, Antibacterials               NEOMYCIN, POLYMYXIN B SULFATE, & HYDROCORTISONE           Cortisporin Otic              F24208063110              SWA           Hum        BT                                       DEC                                          May-11
                                            OTIC SUSP USP 10ML
120400   Cholinergic Agents                 NEOSTIGMINE METHYLSULFATE INJECTION USP 10ML              Prostigmin                    F10019027010              SWA           Hum        VI   II & III only                       SEP      Replaced NDC 63323038310
                                            MULTIPLE DOSE VIAL
240692   Antilipemic Agents,                NIACIN 500MG SUSTAINED RELEASE TABLET 100s                Niaspan                       F00074307490              SWA           Hum        BT                                       SEP
         Miscellaneous
         Calcium channel Blocking           NICARDIPINE HCL 2.5MG/ML AMPUL 10ML 10S                   Cardene                       F24477003025           USAMMCE          Hum        PG                        Added Oct 10   SEP
         Agents, Dihydripyridines
129200   Autonomic Drugs,                   NICOTINE POLACRILEX 2MG GUM 110 STICKS                    Nicorette                     F00536136223              SWA           Hum        BX                                       SEP
         Miscellaneous
129200   Autonomic Drugs,                   NICOTINE POLACRILEX 4MG GUM 50 STICKS                     Nicorette                     F00536303006              SWA           Hum        BX                                       SEP
         Miscellaneous
129200   Autonomic Drugs,                   NICOTINE TRANSDERMAL PATCHES 14MG/24 HOURS 14S            Nicoderm CQ                   F00135019502              SWA           Hum        BX                                       SEP
         Miscellaneous
129200   Autonomic Drugs,                   NICOTINE TRANSDERMAL PATCHES 21MG/24 HOURS 14S            Nicoderm CQ                   F00135019402              SWA           Hum        BX                                       SEP
         Miscellaneous
129200   Autonomic Drugs,                   NICOTINE TRANSDERMAL PATCHES 7MG/24 HOURS 14S             Nicoderm CQ                   F00135019602              SWA           Hum        BX                                       SEP
         Miscellaneous
242808   Calcium-Channel Blocking           NIFEDIPINE EXTENDED-RELEASE TABLETS 30MG/24 HOURS         Adalat CC                     F67767015301              SWA           Hum        BT                                       SEP                                          May-11
         Agents, Dihydropyridines           100S
242808   Calcium-Channel Blocking           NIFEDIPINE EXTENDED-RELEASE TABLETS 60MG/24 HOURS         Adalat CC                     F00085171602              SWA           Hum        BT                                       SEP
         Agents, Dihydropyridines           100S
242808   Calcium-Channel Blocking           NIFEDIPINE EXTENDED-RELEASE TABLETS 90MG/24 HOURS         Adalat CC                     F00085172201              SWA           Hum        BT                                       SEP
         Agents, Dihydropyridines           100S
242808   Calcium-Channel Blocking           NIMODIPINE 30MG CAPSULE UNIT DOSE 100s                    Nimotop                       F57664013565           USAMMCE          Hum        PG                                       SEP
         Agents, Dihydropyridines
083600   Anti-infectives, Urinary           NITROFURANTOIN EXTENDED-RELEASE CAPSULES 100MG            Macrobid                      F00378170001              SWA           Hum        BT                                       MAR
                                            100S
241208   Nitrates and Nitrites              NITROGLYCERIN IN DEXTROSE INJECTION 250ML BTLS 12S        Nitrol                        F00338104902             SWA            Hum        PG                                       SEP
241208   Nitrates and Nitrites              NITROGLYCERIN LINGUAL AEROSOL 4.9GM CONTAINER             Nitrolingual                  F24338030065             SWA            Hum        CO                                       SEP      F59630030020                        May-11
241208   Nitrates and Nitrites              NITROGLYCERIN OINTMENT 2% 60GM COLLAPSIBLE TUBE           Nitro-Bid                     F00281032660             SWA            Hum        TU                                       SEP
241208   Nitrates and Nitrites              NITROGLYCERIN TABLETS USP 0.4MG 100S (4 X 25S)            Nitrostat                     F00071041824             SWA            Hum        CT                                       SEP      F00071041813                        May-11
241208   Nitrates and Nitrites              NITROGLYCERIN TRANSDERMAL SYSTEM 0.3MG/HR, 30S            Nitro-Dur                     F00085331535             SWA            Hum        PG                                       SEP
241208   Nitrates and Nitrites              NITROGLYCERIN TRANSDERMAL SYSTEM 0.4MG/HR, 30S            Nitro-Dur                     F00378911293           USAMMCE          Hum        PG                                       SEP
240800   Direct Vasodilators                NITROPRUSSIDE SODIUM 25MG/ML VIAL 2ML 1S                  Nipride                       F00409302401             SWA            Hum        VI                                       SEP
920000   Miscellaneous Therapeutic          NITROUS OXIDE USP SIZE D CYLINDER 250GL                   Nitrous Oxide                 6505001301920            SWA            Hum        EA   II & III only                       MAR
         Agents
681200   Contraceptive                      NONOXYNOL 9 SPERMICIDE FOAM                               Delfen                        F00062313301           USAMMCE         HUM         EA                        Added SEP 07   MAR
681200   Hormones, Contraceptive            NORELGESTROMIN 150MCG AND ETHINYL ESTRADIOL               Ortho Evra                    F50458019215              SWA           Hum        CT                                       MAR      F00062192015                        May-11
                                            20MCG RELEASED PER DAY, 7 DAY PATCH, 3 PATCHES PER
                                            BOX, 6 BOXES
121200   Adrenergic Agents                  NOREPINEPHRINE BITARTRATE INJECTION USP 4ML AMPUL         Levophed                      F00409144304              SWA           Hum        BX   II+ & III only                      SEP
                                            10S
681200   Hormones, Contraceptive            NORETHINDRONE 1MG AND ETHINYL ESTRADIOL 35MCG 28          Norinyl 1+35                  F52544025928              SWA           Hum        PG                                       MAR      Alt NSN 6505011682610,
                                            TABLET PACKS 6S                                                                                                                                                                              NORETHINDRONE 1MG AND
                                                                                                                                                                                                                                         ETHINYL ESTRADIOL 35MCG
                                                                                                                                                                                                                                         TABLETS USP 84
                                                                                                                                                                                                                                         TABS/PACKAGE
683200   Hormones, Progestins               NORETHINDRONE ACETATE 5MG TAB                             Aygestin                      F00555021110          USAMMCE           Hum                                  Added MAR 08   MAR
681200   Hormones, Contraceptive            NORGESTIMATE 250MCG AND ETHINYL ESTRADIOL 35MCG           Ortho Cyclen                  F52544024728           USAMMCE          Hum        PG                                       MAR      Alt NDC 52544-0526-28,
                                            21-DAYS, 28 TABLET PACKS 6S                                                                                                                                                                  MonoNessa; or NDC 00555-
                                                                                                                                                                                                                                         9016-58, Sprintec
681200   Hormones, Contraceptive            NORGESTIMATE AND ETHINYL ESTRADIOL TRIPHASIC 7            Ortho Tri-Cyclen Lo           F50458025115             SWA            Hum                                  Added MAR 08   MAR      F00062125115                        May-11
                                            DAYS EACH PHASE 28 TABLET PACKS 6S
681200   Hormones, Contraceptive            NORGESTIMATE AND ETHINYL ESTRADIOL TRIPHASIC 7            Trinessa                      F52544024828              SWA           Hum        PG                                       MAR
                                            DAYS EACH PHASE 28 TABLET PACKS 6S
681200   Hormones, Contraceptive            NORGESTREL 300MCG AND ETHINYL ESTRADIOL TABLETS           Lo-Ovral                      F52544084728              SWA           Hum        PG                                       MAR
                                            30MCG 28 TABS 6S
681200   Hormones, Contraceptive            NORGESTREL 500MCG AND ETHINYL ESTRADIOL TABLETS           Ogestrel                      F52544084828              SWA           Hum        PG                                       MAR
                                            50MCG 28 TABS 3S
281604   Antidepressants                    NORTRIPTYLINE HCL 10MG CAPSULE 100S                       Pamelor                       F00093081001              SWA           Hum        BT                        Added DEC-09   JUN
281604   Antidepressants                    NORTRIPTYLINE HYDROCHLORIDE CAPSULES USP 25MG             Pamelor                       F00093081105              SWA           Hum        BT                                       JUN
                                            500 CAPS/BOTTLE
081428   Antifungals, Polyenes              NYSTATIN 100MU/G CREAM 15 GM                              Nystatin                      F45802005935             SWA           Hum         TU
081428   Antifungals, Polyenes              NYSTATIN 100,000 UNITS/ML ORAL SUSP 60ML                  Nilstat                       F60432053760             SWA           Hum         BT                                       MAR
970000   Miscellaneous Veterinary           NYSTATIN NEOMYCIN SULF                                    Topical Antibiotic for Vet    V472-8359              USAMMCE       Hum & Vet     TU                                       MAR      ALT USSAMCE REF # V472-
         Agents                             THIOSTREPTON&TRIAMCINOLONE ACETONIDE 7.5ML                                                                                                                                                   5075
920000   Miscellaneous Therapeutic          OCTREOTIDE ACETATE 50MCG/ML                               Sandostatin                   F62756034844             SWA            Hum             II+ & III only       Added MAR 08   MAR      F00078018001                        May-11
         Agents
520404   Antibacterials, Miscellaneous      OFLOXACIN 0.3% OPHTHALMIC SOLUTION 5ML 1S                 Ocuflox                       F24208043405             SWA            Hum                                  Added MAR 08   MAR
281608   Antipsychotics                     OLANZAPINE ORALLY DISINTEGRATING TABLETS 5 MG 30S         Zyprexa Zydis                 F00002445385              SWA           Hum        BT   II & III only        Added MAY 08   JUN      New starts for Psychiatry,
                                                                                                                                                                                                                                         Renewals by other providers
520200   EENT, Antiallergic Agents          OLOPATADINE HYDROCHLORIDE OPHTHALMIC SOLUTION             Patanol                       F00065027105              SWA           Hum        BT                                       DEC
                                            STERILE 0.1% 5ML
562836   GI, Proton Pump Inhibitors         OMEPRAZOLE EXTENDED-RELEASE 20MG CAPS 30S                 Prilosec                      F62175011832              SWA           Hum        PG                        Added SEP 07   DEC
562836   GI, Proton Pump Inhibitors         OMEPRAZOLE EXTENDED-RELEASE CAPSULES 20MG 90S             Prilosec                      F00186502054              SWA           Hum        BT                                       DEC                                          May 11
562220   GI, Antiemetics,      5-HT3        ONDANSETRON HYDROCHLORIDE 4MG TABLETS 30S                 Zofran                        F00781167931              SWA           Hum        BT                                       DEC
         Receptor Antagonists
562220   GI, Antiemetics,      5-HT3        ONDANSETRON HYDROCHLORIDE 8MG TABLETS 30S                 Zofran                        F62756013101              SWA           Hum        BT                                       DEC
         Receptor Antagonists
562220   GI, Antiemetics,      5-HT3        ONDANSETRON HYDROCHLORIDE INJECTION 2MG/ML 2ML            Zofran                        F64679072601              SWA           Hum        VI                        Added MAY 08   DEC
         Receptor Antagonists               VIAL 5S
523600   EENT, Misc. Drugs                  OPHTHALMIC IRRIGATING SOLUTION 15-18ML BOTTLE             BSS Irrigation                F00065079515              SWA           Hum        PG                                       DEC
                                            STERILE 36/PACKAGE
280808   Opiate Agonists                    OPIUM POWDERED AND BELLADONNA EXTRACT                     B&O                           F00574704512           USAMMCE          Hum        PG                                       JUN
                                            SUPPOSITORIES 12/PACKAGE
401200   Replacement Preparations           ORAL REHYDRATION SALTS USP 50GM PACKET 100S               Ceralyte-70                   F00851000050              SWA           Hum        PG                                       DEC
081828   Neuraminidase Inhibitors           OSELTAMIVIR PHOSPHATE 75MG CAPSULES                       Tamiflu                       F00004080085             SWA            Hum             II & III only        Added MAR 08   MAR
680800   Androgens                          OXANDROLONE 2.5MG                                         Oxandrin                      F54396011111           USAMMCE          Hum        BT   III only             Added Mar 09
861200   Antispasmodic Agent, Urinary       OXYBUTYNIN CHLORIDE 5MG EXTENDED-RELEASE TABLET           Ditropan XL                   F50458080501          USAMMCE           Hum                                  Added Dec 08            BCF                                 May-11
                                            100S
280808   Opiate Agonists                    OXYCODONE 5 MG/5 ML ORAL SOLUTION 500 ML                  Roxicodone                    F68462034857          USAMMCE           Hum        BT                        Added MAY 08   JUN                                          May-11
280808   Opiate Agonists                    OXYCODONE HCL/ACETAMINOPHEN 5-325MG TABLET 100S           Percocet                      F00054465025             SWA            Hum        BT                                       JUN      Alt NDC 00603-4998-21
280808   Opiate Agonists                    OXYCODONE HCL/ACETAMINOPHEN 5-325MG TABLET UNIT           Percocet                      F00406051262             SWA            Hum        PG                                       JUN
                                            DOSE 100S
920000   Miscellaneous Therapeutic          OXYGEN USP 99% 24GL DISPOSABLE STEEL CYLINDER WITH        Oxygen                        6505009652439             SWA           Hum        PG                                       MAR
         Agents                             FACE MASK
920000   Miscellaneous Therapeutic          OXYGEN USP 99% CYLINDER TYPE D 95GL                       Oxygen                        6505001325181             SWA        Hum & Vet     EA                                       MAR
         Agents
920000   Miscellaneous Therapeutic          OXYGEN USP 99% CYLINDER TYPE H 1650 GALLON                Oxygen                        6505001325199             SWA           Hum        EA                                       MAR
         Agents
Oct-80   Oxytocics                          OXYTOCIN 10 UNIT/ML 1ML VIAL 25S                          Pitocin                       F42023011625           USAMMCE       Hum & Vet     PG   III only             Added DEC-09   MAR                                          May-11
122000   Skeletal Muscle Relaxants          PANCURONIUM BROMIDE 1MG/ML, 10ML VIAL 25S                 Pavulon                       F00409464601           USAMMCE         Hum         PG   II+ & III only                      JUN
562836   GI, Proton Pump Inhibitors         PANTOPRAZOLE SODIUM INJECTION 40MG POWDER FOR             Protonix-IV                   F00008092355             SWA           Hum         VI   II+ & III only                      DEC
                                            RECONSTITUTION 10ML VIAL 10s
241292   Vasodilating Agents,               PAPAVERINE HCL 30MG/ML 10ML                               Papaverine Inj                F00517401001              SWA           Hum        VI   II+ & III only       Added SEP 07   SEP
         Miscellaneous
083004   Amebicides                         PAROMOMYCIN 250MG TAB                                     Humatin                       F23155003801          USAMMCE           Hum                                  Added MAR 08   MAR
281604   Antidepressants                    PAROXETINE HCL 20MG TABLET 100S                           Paxil                         F59762181002             SWA            Hum        BT                                       JUN
640000   Heavy Metal Antagonists            PENICILLAMINE 250MG CAPSULES 100S                         Cuprimine                     F25010070515          USAMMCE           Hum             See Comment          Added MAR 08   MAR      Stocked at Balad Only
081216   Penicillins                        PENICILLIN G BENZATHINE 600,000 UNITS & PENICILLIN G      Bicillin-CR 1,200,000 units   F60793060010             SWA            Hum                                                 MAR
                                            PROCAINE 600,000 UNITS SUSP 2ML 10S
081216   Penicillins                        PENICILLIN G BENZATHINE SUSP STERILE USP 600000           Bicillin-LA                   F60793070110              SWA           Hum        BX                                       MAR
                                            UNITS/ML 2ML 10S
081216   Penicillins                        PENICILLIN G POTASSIUM FOR INJECTION USP 20,000,000       Pfizerpen                     F00781613694              SWA           Hum        BT                                       MAR
                                            UNITS VIAL
081216   Penicillins                        PENICILLIN V POTASSIUM TABLETS (250MG) 100S               Veetids                       F00781120501              SWA          HUM         BT                                       MAR
081216   Penicillins                        PENICILLIN V POTASSIUM TABLETS (500MG) 100S               Veetids                       F59762153701              SWA          Hum         BT                                       MAR                                          May-11
081216   Penicillins                        PENICILLIN V POTASSIUM TABLETS USP 400000 UNITS           Veetids                       F00781120501              SWA          Hum         BT                                       MAR      Alt NSN 6505001490141,
                                            (250MG) 40S                                                                                                                                                                                  PENICILLIN V POTASSIUM
                                                                                                                                                                                                                                         TABLETS 400000 UNITS, 100S,
                                                                                                                                                                                                                                         NDC 00093519401
840412   Topical Scabicides /               PERMETHRIN 1% LIQUID (CREAM RINSE) 60ML                   Nix                           F00472524267              SWA           Hum        BT                                       MAR
         Pediculocides
840412   Topical Scabicides /               PERMETHRIN 5% CREAM 60GM                                  Elimite                       F00472024260              SWA           Hum        TU                                       MAR      DSCP recommends NDC
         Pediculocides                                                                                                                                                                                                                   00023791560 (Mandatory
                                                                                                                                                                                                                                         Contract item)
960000   Pharmaceutical Aids                PETROLATUM WHITE USP 30GM                                 Vaseline                      F00168005321              SWA           Hum        TU                                       MAR
840800   Topical Antipruritics and Local    PHENAZOPYRIDINE HYDROCHLORIDE TABLETS USP 100MG           Pyridium                      F65162051710              SWA           Hum        BT                                       MAR
         Anesthetics                        100 TABLETS/BT
281204   Anticonvulsants, Barbiturate       PHENOBARBITAL 20 MG/5 ML ORAL ELIXIR 473 ML               Phenobarbital                 F00603150858          USAMMCE          Hum                                   Added May 08   JUN
         Anticonvulsants, Barbiturate       PHENOBARBITAL 97.2MG TABLET 100S                          Phenobarbital                 F00603516821          USAMMCE          Hum         BT                        Added Oct 10   SEP
281204   Anticonvulsants, Barbiturate       PHENOBARBITAL SODIUM INJ 65MG/ML 1ML VIAL 25S             Phenobarb                     F00641047625          USAMMCE        Hum & Vet     PG                                       JUN
1216     Sympatholytic (Adrenergic          PHENTOLAMINE MESYLATE FOR INJECTION 5 MG                  Regitine                      F55390011301          USAMMCE          Hum                                   Added MAY 08   SEP      Tx of catecholamine extravasation
         Blocking) Agents                                                                                                                                                                                                                injuries
121200   Adrenergic Agents                  PHENYLEPHRINE HYDROCHLORIDE INJECTION USP 1% 1 ML Neo-Synephrine                        F00517029925              SWA           Hum        BX                                       SEP
                                            25S
523200   EENT, Vasoconstrictors             PHENYLEPHRINE HYDROCHLORIDE OPHTHALMIC            Neo-Synephrine Ophth                  F24208074006              SWA           Hum        BT                                       DEC      Alt NSN 6505010904724,
                                            SOLUTION USP 2.5% 15ML BT                                                                                                                                                                    PHENYLEPHRINE
                                                                                                                                                                                                                                         HYDROCHLORIDE
                                                                                                                                                                                                                                         OPHTHALMIC SOLUTION USP
                                                                                                                                                                                                                                         5ML, NDC 00998034205
281212   Anticonvulsants, Hydantoin         PHENYTOIN 50MG TAB CHEW 100S                              Dilantin                      F00071000724           USAMMCE         Hum         BT                                       JUN
281212   Anticonvulsants, Hydantoin         PHENYTOIN SODIUM EXTENDED 100MG CAPSULE 1000S             Dilantin                      F00071036932             SWA           Hum         BT                                       JUN
281212   Anticonvulsants, Hydantoin         PHENYTOIN SUSPENSION 125MG/5ML 237MLS                     Dilantin Suspension           F60432013108          USAMMCE          Hum                                   Added MAR 08   JUN
120400   Cholinergic Agents                 PHYSOSTIGMINE SALICYLATE INJECTION USP 1MG/ML 2ML         Physostigmine                 F17478051002           USAMMCE         Hum         PG                                       SEP                                          May-11
882400   Vitamin K Activity                 PHYTONADIONE INJECTION 10MG/ML 1ML 25S                    Aqua-Mephyton                 F00409915801             SWA         Hum & Vet     BX   II & III only                       DEC      Alt NDC 00006778064, 10mg/ml,
                                                                                                                                                                                                                                         1ml 6s
882400   Vitamin K Activity                 PHYTONADIONE ORAL TABS 5MG 100S                           Mephyton                      F25010040515           USAMMCE          Hum                                  Added DEC 07   DEC
522000   EENT, Miotics                      PILOCARPINE HYDROCHLORIDE OPHTHALMIC SOLUTION             Isopto Carpine Ophth          F61314020415             SWA            Hum        BT                                       DEC
                                            USP 2% 15 ML
682092   Antidiabetic Agents,               PIOGLITAZONE 30MG TABLETS 90S                             Actos                         F64764030115              SWA           Hum        BT                        Added MAY 08   MAR
         Miscellaneous
682092   Antidiabetic Agents,               PIOGLITAZONE HCL 15MG TABLET 90S                          Actos                         F64764015105              SWA           Hum        BT                        Added MAY 08   MAR
         Miscellaneous
081216   Penicillins                        PIPERACILLIN SOD/TAZOBACTAM 2.25gm                        Zosyn                         F00206885216              SWA           Hum        VI   II, II+ & III only                  MAR
081216   Penicillins                        PIPERACILLIN SODIUM 3GM & TAZOBACTAM 0.375GM              Zosyn                         F00206885416              SWA           Hum        PG   II, II+ & III only                  MAR
                                            INJECTION VIALS 10S
081216   Penicillins                        PIPERACILLIN SODIUM 4.5GM & TAZOBACTAM 0.45GM             Zosyn                         F00206885516             SWA            Hum             II & III only        Added MAR 08   MAR
                                            INJECTION VIALS 10S
280804   Nonsteroidal Anti-inflammatory     PIROXICAM 20MG CAPSULE 500s                               Feldene                       F00093075705              SWA           Hum        BT                                       JUN
         Agents
160000   Blood Derivatives                  PLASMA PROTEIN FRACTION USP HEAT-TREATED 5%               Plasmanate                    F13533061325           USAMMCE          Hum        PG                                       SEP      Post exposure prophylactic
                                            SOLUTION 250 ML                                                                                                                                                                              regimen
801200   Vaccines                           PNEUMOCOCCAL VACCINE POLYVALENT 2.5 ML VIAL 5             Pneumovax                     F00006473900              SWA           Hum        VI                                       MAR
                                            DOSES PER VIAL
843600   Topical Skin & Mucous              PODOFILOX 0.5% SOLUTION 3.5ML                             Condylox                      F00591320413              SWA           Hum        BT                                       MAR
         Membrane Agents,
         Miscellaneous
801200   Vaccines                           POLIOVIRUS VACCINE INACTIVATED MODIFIED 10 DOSE VIAL      IPOL                          F49281086010              SWA           Hum        VI                                       MAR
561200   Cathartics and Laxatives           POLYETHYLENE GLYCOL                                       Miralax                       F11523723403              SWA           Hum        BT                        Added SEP 07   DEC
561200   GI, Cathartics & Laxatives         POLYETHYLENE GLYCOL AND ELECTROLYTES FOR ORAL             Golytely                      F52268010001              SWA           Hum        BT                                       DEC      Alt NDC 00091-4401-23
                                            SOLUTION, 4 LITER (SODIUM SULFATES, SODIUM
                                            BICARBONATE, & POTASSIUM CHLORIDE IN PEG)
401200   Replacement Preparations           POTASSIUM ACETATE 2MEQ/ML INJ 20ML VIAL 25s               Potassium Acetate             F00409818301           USAMMCE         Hum         VI                                       DEC
401200   Replacement Preparations           POTASSIUM CHLORIDE 10MEQ/50ML PIGGYBACK 24S               Potassium Chloride            F00409707514             SWA           Hum         PG                                       DEC
401200   Replacement Preparations           POTASSIUM CHLORIDE 20 MEQ PACKET                          Klor-Con Powder               F00245003530           USAMMCE         Hum                                   Added SEP 07   DEC
401200   Replacement Preparations           POTASSIUM CHLORIDE 20MEQ TAB SA 100S                      K-Dur                         F00245005811             SWA           Hum         BT                                       DEC
401200   Replacement Preparations           POTASSIUM CHLORIDE CONCENTRATE FOR INJECTION              Potassium Chloride            F00409665305             SWA         Hum & Vet     PG                                       DEC
                                            USP 20ML VIAL 25/PG
401200   Replacement Preparations           POTASSIUM CHLORIDE SOLUTION 20MEQ/15ML 480ML              Kay Ciel                      F00904100716           USAMMCE          Hum                                  Added MAR 08   DEC                                          May-11
401200   Replacement Preparations           POTASSIUM CITRATE 10MEQ TABLETS 100S                      Urocit-K                      F00178061001          USAMMCE           Hum                                  Added MAR 08   DEC
481600   Expectorants                       POTASSIUM IODIDE TABLETS 130MG I.S. 14S                   Iosat                         6505014964916          USAMMCE          Hum        PG                                       DEC      Requires DLA Authorization
                                                                                                                                                                                                                                         effective Mar 2011
401200   Replacement Preparations           POTASSIUM PHOSPHATE 4.4MEQ/ML 15ML VIALl                  Potassium Phosphate           F00517231525           USAMMCE          Hum        PG                                       DEC
                                                                                                      4.4MEQ.ML INJ
401200   Replacement Preparations           POTASSIUM PHOSPHATE AND SODIUM PHOSPHATE ORAL             Neutra-Phos                   F173149311002             SWA           Hum
                                            ELECTROLYTE REPLACEMENT
840416   Topical Anti-infectives,           POVIDONE-IODINE CLEANSING SOLUTION USP 7.5% 1GL           Betadine Scrub                F67618015101              SWA        Hum & Vet     BT                                       MAR
         Miscellaneous                      (3780ML)
840416   Topical Anti-infectives,           POVIDONE-IODINE CLEANSING SOLUTION USP 7.5% 4 FL          Betadine Scrub                F67618014904              SWA           Hum        BT                                       MAR
         Miscellaneous                      OUNCES OR 118ML
840416   Topical Anti-infectives,           POVIDONE-IODINE IMPREGNATED TOPICAL PADS 10 x 100S        Betadine Swabs                4725B40600                SWA           Hum        PG                                       MAR
         Miscellaneous
840416   Topical Anti-infectives,           POVIDONE-IODINE OINT USP 10% 1GM PACKET 144S              Betadine Ointment             6505081391517             SWA        Hum & Vet     PG                                       MAR      Catalog # 11-OP44
         Miscellaneous
840416   Topical Anti-infectives,           POVIDONE-IODINE OINT USP 10% 1OZ (30 GM) TUBE             Betadine Ointment             F00603059950           USAMMCE       Hum & Vet     TU                                       MAR
         Miscellaneous
840416   Topical Anti-infectives,           POVIDONE-IODINE TOPICAL SOL USP 10% 1/2 FL OZ (14.8 ML)   Betadine Solution             F67618015005              SWA           Hum        PG                                       MAR
         Miscellaneous                      1S
840416   Topical Anti-infectives,           POVIDONE-IODINE TOPICAL SOLUTION USP 10% 120ML            Betadine Solution             F52380190504              SWA          HUM         BT                                       MAR
         Miscellaneous
840416   Topical Anti-infectives,           POVIDONE-IODINE TOPICAL SOLUTION USP 10% 1GL              Betadine Solution             F67618015001              SWA        Hum & Vet     BT                                       MAR      DSCP recommends NDC
         Miscellaneous                      (3780ML)                                                                                                                                                                                     00536182585
990000   Antidotes                          PRALIDOXIME CHLORIDE FOR INJ 300MG/ML 2ML                 2-PAM                         6505011253248          USAMMCE          Hum        EA                                       MAR
                                            AUTOMATIC INJECTOR
990000   Antidotes                          PRALIDOXIME CHLORIDE STERILE USP 1 GM 6S                  Protopam                      F60977014101           USAMMCE       Hum & Vet     BX                                       MAR
840800   Topical Antipruritics and Local    PRAMOXINE HCL 1%/HYDROCORTISONE 1% RECTAL                 Analpram-HC                   F45802014464             SWA           Hum                                   Added MAY 08   MAR
         Anesthetics                        CREAM
240608   Antilipemic Agents, HMG-CoA        PRAVASTATIN TABLETS 20MG 90S                              Pravachol                     F00093720198           USAMMCE          Hum        BT                                       SEP
         Reductase Inhibitors
080800   Anthelmintics                      PRAZIQUANTEL TABLETS 600MG 6S                             Biltricide                    F00085174701              SWA           Hum        BT                                       MAR
242000   Alpha-Adrenergic Blocking          PRAZOSIN 1MG CAPSULES 100S                                Minipres                      F00093406701              SWA           Hum        BT                                       SEP      for use by Psychiatry
         Agents                                                                                                                                                                                                                          ALT # F00378110101
242000   Alpha-Adrenergic Blocking          PRAZOSIN 2MG CAPSULES100S                                 Minipres                      F00093406801             SWA            Hum                                  Added MAR 08   SEP      for use by Psychiatry
         Agents
242000   Alpha-Adrenergic Blocking          PRAZOSIN 5MG CAPSULES 100S                                Minipres                      F00093406901             SWA            Hum                                  Added MAR 08   SEP      for use by Psychiatry
         Agents
520800   EENT, Anti-inflammatory            PREDNISOLONE ACETATE OPHTHALMIC SUSPENSION 1% 5           Pred Forte Ophth              F60758011905             SWA         Hum & Vet     BT                                       DEC      Alt NDC - 61314-0637-05
680400   Hormones, Adrenal                  PREDNISOLONE SOD PHOSPHATE 6.7MG/5ML (5MG/5ML             Pediapred                     F65580025101           USAMMCE         Hum         BT                                       DEC
                                            PREDNISOLONE) SOLUTION 120ML
680400   Hormones, Adrenal                  PREDNISONE 20 MG TABS 100S                                Orasone / Deltasone           F00603533921              SWA          Hum         BT                                       DEC
680400   Hormones, Adrenal                  PREDNISONE TABLETS USP 10MG I.S. 100 TABLETS PER          Deltasone                     F00054001720              SWA        Hum & Vet     PG                                       DEC
                                            PACKAGE
083008   Antimalarial Agents                PRIMAQUINE PHOSPHATE TABLETS USP 26.3 MG 100S             Primaquine                    F00024159601              SWA           Hum        BT                                       MAR
404000   Uricosuric Agents                  PROBENECID 500MG TABLET 100S                              Benemid                       F00378015601              SWA           Hum        BT                                       DEC      DSCP recommends NDC
                                                                                                                                                                                                                                         00591534701
240404   Antiarrhythmic Agents              PROCAINAMIDE HYDROCHLORIDE INJECTION USP 500MG            Pronestyl                     F00409190301           USAMMCE          Hum        BT                                       SEP
                                            PER ML 2ML 25S
562208   GI, Antiemetics, Antihistamine     PROCHLORPERAZINE MALEATE 10MG TABLET 100S       Compazine                               F00378511001              SWA        Hum & Vet     BT                                       DEC                                          May-11
040400   Antihistamines, First Generation                                                   Phenergan                               F00143986922              SWA          Hum         BX                                       DEC      DSCP recommends NDC
                                          PROMETHAZINE HYDROCHLORIDE INJECTION USP 25MG/ML 1ML AMPUL 25S                                                                                                                                 00641149535
040400   Antihistamines, First Generation PROMETHAZINE HYDROCHLORIDE SUPPOSITORIES 25 MG    Phenergan                               F45802075930             SWA           Hum         PG                                       DEC
040400   Antihistamines, First Generation PROMETHAZINE HYDROCHLORIDE TABLETS USP 25 MG      Phenergan                               F00603543821             SWA           Hum         BT                                       DEC      Alt NDC 00781183001
521600   EENT, Local Anesthetics          PROPARACAINE HCL 0.5% DROPS 15ML                  Alcaine 0.5% Eye Drops                  F00998001615             SWA         Hum & Vet     BT                                       DEC
280400   General Anesthetics              PROPOFOL INJECTION 10MG/ML 100ML VIAL 10S         Diprivan                                F63323026965             SWA           Hum         PG   II+ & III only                      JUN
280400   General Anesthetics              PROPOFOL INJECTION 10MG/ML 20ML VIAL 25S          Diprivan                                F63323026920             SWA         Hum & Vet     PG   II+ & III only                      JUN
242400   Beta-Adrenergic Blocking         PROPRANOLOL HYDROCHLORIDE EXTENDED-RELEASE        Inderal LA                              F00228277911           USAMMCE         Hum         BT                                       SEP
         Agents                           CAPSULES 80MG 100S
242400   Beta-Adrenergic Blocking         PROPRANOLOL HYDROCHLORIDE TABLETS 10MG 100S       Inderal                                 F50111046701              SWA           Hum        BT                                       SEP
         Agents
242401   Beta-Adrenergic Blocking         PROPRANOLOL HYDROCHLORIDE TABLETS 40MG 100S       Inderal                                 F00378018401              SWA           Hum        BT                        Added JUL 07   SEP      Added per Formulary review
         Agents                                                                                                                                                                                                                          recommendations
683608   Antithyroid Agents               PROPYLTHIOURACIL 50MG TABLET 100s                 PTU                                     F00143148001           USAMMCE          Hum        BT                                       MAR
201208   Antiheparin Agents               PROTAMINE SULFATE INJECTION USP 10MG/ML 5ML VIAL, Protamine                               F63323022905             SWA            Hum        PG   II+ & III only                      SEP
121200   Adrenergic Agents                PSEUDOEPHEDRINE HCL 30MG/5ML SYRUP 120ML          Sudafed                                 F00121042104             SWA            Hum        BT                                       SEP
121200   Adrenergic Agents                PSEUDOEPHEDRINE HYDROCHLORIDE TABLETS USP 30MG Sudafed                                    F00904505359             SWA            Hum        BT                                       SEP
                                          100S
121200   Adrenergic Agents                PSEUDOEPHEDRINE HYDROCHLORIDE TABLETS USP 60MG Sudafed                                    F00904512559              SWA            Hum       BT                                       SEP
                                          100S
080800   Anthelmintics                    PYRANTEL PAMOATE 144MG/ML ORAL SUSPENSION         Pin-X                                   F10956061801              SWA        Hum & Vet     BT                                       MAR      ALT USAMMCE REF # V568-
                                          (EQUIVALENT TO 50MG PYRANTEL PER ML, 60ML                                                                                                                                                      3737
081604   Antituberculosis Agents          PYRAZINAMIDE 500MG TABLET 100S                    PZA                                     F68253066010           USAMMCE          Hum        BT                                       MAR      Alt NDC 00005-5093-23
120400   Cholinergic Agents               PYRIDOSTIGMINE BROMIDE TABLETS USP 30MG I.S. 210  NAPP                                    F00591086776           USAMMCE          Hum        PG                                       SEP
                                          TABS/PACKAGE
880800   Vitamin B Complex                PYRIDOXINE HCL 100MG/ML VIAL 1ML 1S               Vitamin B6                              F63323018001          USAMMCE           Hum             II+ & III only       Added MAR 08   DEC



880800   Vitamin B Complex                  PYRIDOXINE HYDROCHLORIDE TABLETS USP 50MG 100S            Vitamin B6                    F00536440801              SWA           Hum        BT                                       DEC      Alt NDC 00536440801
801200   Vaccines                           QUADRIVALENT HUMAN PAPILLOMAVIRUS RECOMBINANT             Gardasil                      F00006404500              SWA           Hum        VI                        Added SEP 07   MAR
281608   Antipsychotics                     QUETIAPINE FUMARATE 100MG TABLET 100S                     Seroquel                      F00310027110              SWA           Hum        BT   II & III only                       JUN      New starts for Psychiatry,
                                                                                                                                                                                                                                         Renewals by other providers
281608   Antipsychotics                     QUETIAPINE FUMARATE 25MG TABLET 100S                      Seroquel                      F00310027510              SWA           Hum        BT   II & III only                       JUN      New starts for Psychiatry,
                                                                                                                                                                                                                                         Renewals by other providers
240404   Antiarrhythmic Agents              QUINIDINE GLUCONATE 324MG ER TABS 500s                    Quinidine Gluconate           F53489014101          USAMMCE           Hum             II & III only        Added MAR 08   MAR
240404   Antiarrhythmic Agents              QUINIDINE GLUCONATE INJECTION USP 80MG/ML 10ML VIAL       Quinidex                      F00002140701             SWA            Hum        VI                                       SEP
801200   Vaccines                           RABIES VACCINE HUMAN DIPLOID CELL STRAIN 1 DOSE           Rabavert                      F63851050101             SWA            Hum        PG                                       MAR
121200   Adrenergic Agents                  RACEMIC EPINEPHRINE 2.25% SOLUTION                        MicroNefrin 2.25%             F00487590199             SWA            Hum        CT                                       SEP
562812   GI, Histamine H2-Antagonists       RANITIDINE HYDROCHLORIDE 50MG IN 0.45% SODIUM             Zantac RTU                    F00173044100             SWA            Hum        CS                                       DEC
                                            CHLORIDE PIGGYBACK 50ML 24S
562812   GI, Histamine H2-Antagonists       RANITIDINE INJECTION USP 25MG/ML 6ML VIAL 1S              Zantac Inj                    F00173036301             SWA         Hum & Vet     VI                                       DEC                                          May-11
562812   GI, Histamine H2-Antagonists       RANITIDINE SYRUP 15MG/ML 473MLS                           Zantac Syrup                  F49884039633          USAMMCE          Hum                                   Added MAR 08   DEC
562812   GI, Histamine H2-Antagonists       RANITIDINE TABLETS USP 150MG 100 TABLETS PER BOTTLE       Zantac                        F53746025301             SWA         Hum & Vet     BT                                       DEC      Alt NDC 00781188360; Alt NSN
                                                                                                                                                                                                                                         6505013359163, RANITIDINE
                                                                                                                                                                                                                                         TABLETS USP 150MG 1000S,
                                                                                                                                                                                                                                         NDC 00781188310 or
                                                                                                                                                                                                                                         00173034412
401200   Replacement Preparations           REHYDRATION SALTS ORAL MODIFIED LEMON FLAVOR              Ceralyte-70                   F00851000050              SWA           Hum        PG                                       DEC
                                            50GM PACKET 100S
280808   Opiate Agonists                    REMIFENTANIL POWDER for INJECTION 2 MG VIAL               Ultiva                        F67457019805           USAMMCE          Hum        PG                                       JUN
800400   Serums                             RHOD IMMUNE GLOBULIN 300MCG DISP SYRIN 1S                 RhoGAM                        F13533063102           USAMMCE          Hum             III only             Added MAY 08   MAR
                                            RIBAVIRIN 200MG CAPSULE 42S                               Virazole                      F68382026004             SWA            Hum        BT                                                Only to be issued for emergent
                                                                                                                                                                                                                                         treatment while evacuated and for
                                                                                                                                                                                                                                         post exposure prophylaxis (PEP)

081604   Antituberculosis Agents            RIFAMPIN CAPSULES USP 300MG 100S                          Rifadin                       F00068050861              SWA           Hum        BT                                       MAR      Alt NDC 00781201801 or
                                                                                                                                                                                                                                         00068050861




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                                                                            Legend:                                                                                                                                                                                                       CENTCOM FORMULARY   As of: DECEMBER 2010
                                                                            YELLOW = Restricted Use BLUE = May Use in OTC Program
                                                                            ORANGE = Veterinary ONLY Agents RED = IND; Must report use




AHFS     AHFS Description                 Generic Nomenclature                                     Brand Name Nomenclature           Current DCAM Stock   Where Stocked   Hum / Vet /   UI   Available at         Formulary      Class    Comments
                                                                                                                                     Number                               OTC / IND          Level of Care        Notes          Review
                                                                                                                                                                                             (All, II&III, II+&
                                                                                                                                                                                             III, and III Only)
401200   Replacement Preparations         RINGER'S INJECTION LACTATED USP 1000ML BAG 12 BAGS       Lactated Ringers (LR)             F00409795309              SWA        Hum & Vet     PG                                       DEC      Alt NSN 6505014623025,
                                          PER PACKAGE                                                                                                                                                                                     RINGER'S INJECTION
                                                                                                                                                                                                                                          LACTATED USP 1000ml, 12s,
                                                                                                                                                                                                                                          NDC 00338011704
401200   Replacement Preparations         RINGER'S INJECTION LACTATED USP 500ML BAG 24 BAGS        Lactated Ringers (LR)             F00409795303              SWA           Hum        PG                                       DEC      Alt NSNs 6505014623022 or
                                          PER PACKAGE                                                                                                                                                                                     6505013306266, NDC
                                                                                                                                                                                                                                          00338011703
281608   Antipsychotics                   RISPERIDONE 1 MG/ML ORAL SOLUTION 30 ML                  Risperdal                         F50458030503           USAMMCE          Hum             II & III only        Added MAY 08   JUN      New starts for Psychiatry,
                                                                                                                                                                                                                                          Renewals by other providers
281608   Antipsychotics                   RISPERIDONE TABLETS 1MG 60S                              Risperdal                         F50458059260              SWA           Hum        BT   II & III only                       JUN      New starts for Psychiatry,
                                                                                                                                                                                                                                          Renewals by other providers
081808   Antiretroviral Agents            RITONAVIR/LOPINAVIR 50MG-200MG TABLET 120S               Kaletra                           F00074679922           USAMMCE          Hum        BT   II & III only        Added JUN 07   MAR      HIV PEP treatment only
289200   CNS Agents, Miscellaneous        RIZATRIPTAN 10 MG TABLET                                 Maxalt                            F00006026718             SWA            Hum                                  Added SEP 08   JUN                                             May-11
289200   CNS Agents, Miscellaneous        RIZATRIPTAN 5 MG TABLET                                  Maxalt                            F00006026618             SWA            Hum                                  Added SEP 08   JUN                                             May-11
122000   Skeletal Muscle Relaxants        ROCURONIUM BROMIDE INJECTION 10MG/ML 5ML VIAL 10S        Zemuron                           F00409955805             SWA            Hum        PG                                       JUN
720000   Local Anesthetics                ROPIVACAINE HYDROCHLORIDE 0.2% (2MG/ML) INJECTION        Naropin                           F63323028510             SWA            Hum        PG                                       MAR
                                          USP 10ML AMPUL 5S
720000   Local Anesthetics                ROPIVACAINE HYDROCHLORIDE 0.5% (5MG/ML) INJECTION        Naropin                           F63323028620              SWA           Hum        VI                                       MAR
                                          USP 20ML SDV VIAL
720000   Local Anesthetics                ROPIVACAINE HYDROCHLORIDE 1% (10MG/ML) INJECTION         Naropin                           F63323028820              SWA           Hum        PG                                       MAR
                                          USP 20ML AMPUL 5S
842800   Topical Keratolytic Agents       SALICYLIC ACID 17% LIQUID 15ML                           Compound W                        F75137059110              SWA          HUM         BT                                       MAR
842800   Topical Keratolytic Agents       SALICYLIC ACID 40% PLASTER BANDAGE 2 IN. X 3 IN. 25s     Mediplast                         6244RM107734              SWA          HUM         PG                                       MAR
121200   Adrenergic Agents                SALMETEROL XINAFOATE 50MCG DISKUS INHALER WITH           Serevent Diskus                   F00173052100              SWA          Hum         PG                                       SEP
                                          DEVICE, 60S
562292   GI, Antiemetics, Miscellaneous   SCOPOLAMINE HYDROBROMIDE 1.5MG/72HR PATCH 12S            Transderm Scop                    F00067434504              SWA           Hum        PG                                       DEC

120808   Antimuscarinics                  SCOPOLAMINE HYDROBROMIDE INJECTION USP 0.4MG/ML          Scopolamine                       F63323026801              SWA           Hum        PG                                       DEC
                                          1ML VIAL 25/BOX
720000   Local Anesthetics                SEPTOCAINE CART 4% W/EPI 1:100M 50S                      Septocaine & Epi                  D631-4389                 SWA           Hum        PG                                       MAR
281604   Antidepressants                  SERTRALINE HYDROCHLORIDE TABLETS 100MG 100               Zoloft                            F00378418801              SWA           Hum        BT                                       JUN
                                          TABLETS PER BOTTLE
281604   Antidepressants                  SERTRALINE HYDROCHLORIDE TABLETS 50MG 100 TABLETS        Zoloft                            F00378418701              SWA           Hum        BT                                       JUN
                                          PER BOTTLE
280400   General Anesthetics              SEVOFLURANE 250 ML BOTTLE                                Ultane                            F00074445604              SWA          Hum         BT   II & III only                       JUN
520492   EENT, Misc. Anti-infectives      SILVER NITRATE APPLICATORS 6 INCH 100S                   Silver Nitrate Sticks             2867001590                SWA        Hum & Vet     CO                                       DEC      ALT USAMMCE NDC
                                                                                                                                                                                                                                          2867001590
561000   Antiflatulents                   SIMETHICONE 40MG/0.6ML 30ML 1S                           Mylicon                           F00603089450           USAMMCE          Hum        BT                        Added SEP 07   DEC
240608   Antilipemic Agents, HMG-CoA      SIMVASTATIN TABLETS USP 10MG 90S                         Zocor                             F24658021190             SWA            Hum        BT                                       SEP      bottles of 1000 tables order
         Reductase Inhibitors                                                                                                                                                                                                             number F00006073582
240608   Antilipemic Agents, HMG-CoA      SIMVASTATIN TABLETS USP 20MG 90S                         Zocor                             F24658021290              SWA           Hum        BT                                       SEP
         Reductase Inhibitors
240608   Antilipemic Agents, HMG-CoA      SIMVASTATIN TABLETS USP 40MG 90S                         Zocor                             F24658021390              SWA           Hum        BT                                       SEP
         Reductase Inhibitors
843600   Topical Skin & Mucous            SKIN EXPOSURE REDUCTION PASTE AGAINST CHEMICAL           SERPACWA                          6505014837162          USAMMCE          Hum        EA                                       MAR
         Membrane Agents,                 WARFARE AGENTS (SERPACWA), 84GM PKG
         Miscellaneous
801200   Vaccines                         SMALLPOX VACCINE USP 100 DOSES WITH DILUENT AND          ACAM                              6505015590815             SWA           Hum        PG                        Added MAR 08   MAR      Administration requires
                                          NEEDLES                                                                                                                                                                                         completion of training
920000   Miscellaneous Therapeutic        SOAP ANTISEPTIC CAKE 2 TO 3 OZ (57TO85 GRAM) 200S        Soap                              193992300098              SWA           Hum        PG                                       MAR
         Agents
920000   Miscellaneous Therapeutic        SODA LIME NF 2.5LB CARTRIDGE 12 PER PACKAGE              Lime                              5858008880             USAMMCE          Hum        PG                                       MAR
         Agents
400800   Alkalinizing Agents              SODIUM BICARBONATE INJ USP 8.4% 1MEQ/50ML SYRINGES       Sodium Bicarb                     F00409663734              SWA           Hum        PG
                                          10S
400800   Alkalinizing Agents              SODIUM BICARBONATE INJ USP 8.4% 50ML VIAL 25S            Sodium Bicarb                     F00409662502              SWA        Hum & Vet     PG                                       DEC
400800   Alkalinizing Agents              SODIUM BICARBONATE LS 4.2% 5MEQ 10ML 10S                 Sodium Bicarb                     F00409553434         SWA/USAMMCE       Hum         PG                                                for Crash Carts(pediatric)
401200   Replacement Preparations         SODIUM CHLORIDE 0.45% 1000ML BAGS 12S                    Sodium Chloride 0.45%             F00409798509              SWA          Hum
401200   Replacement Preparations         SODIUM CHLORIDE 0.9%IRRIGATION 1L 12S                    Sodium Chloride (NS) Irrigation   F00409713809              SWA          Hum         PG                                       DEC
523600   EENT, Misc. Drugs                SODIUM CHLORIDE 5% OPTHALMIC OINTMENT 3.5G TU            Muro 128 ointment                 F17478062235           USAMMCE         Hum                                   Added SEP 08   JUN
523600   EENT, Misc. Drugs                SODIUM CHLORIDE 5% OPTHALMIC SOLN 15ML BTL               Muro 128 solution                 F17478062312              SWA          Hum         BT                        Added APR 07   JUN
401200   Replacement Preparations         SODIUM CHLORIDE CONCENTRATED INJ 4 MEQ/ML 30ML           Sodium Chloride CONC 30ML         F00517293025           USAMMCE         Hum         PG                                       DEC
                                          VIAL 25s
401200   Replacement Preparations         SODIUM CHLORIDE FOR INHALATION 0.9% 3ML VIALS 100S       Sodium Chloride 0.9% 3ML          F00487930103              SWA          Hum         PG                                       DEC
401200   Replacement Preparations         SODIUM CHLORIDE INJECTION USP 0.9% 1000ML BAGS 12S       Sodium Chloride 0.9% 1000ML       F00409798309              SWA        Hum & Vet     PG                                       DEC      Alt NDC 00264780000
401200   Replacement Preparations         SODIUM CHLORIDE INJECTION USP 0.9% 100ML BAGS 64S        Sodium Chloride 0.9% 100ML        F00264180032              SWA          Hum         PG                                       DEC
401200   Replacement Preparations         SODIUM CHLORIDE INJECTION USP 0.9% 10ML VIALS 25S        Sodium Chloride 0.9% 10ML         F63323018610              SWA          Hum         PG                                       DEC      DSCP recommends NDC
                                                                                                                                                                                                                                          00074488810
401200   Replacement Preparations         SODIUM CHLORIDE INJECTION USP 0.9% 250ML BAGS 24S        Sodium Chloride 0.9% 250ML        F00409798302              SWA           Hum        PG                                       DEC
401200   Replacement Preparations         SODIUM CHLORIDE INJECTION USP 0.9% 500ML BAGS 24S        Sodium Chloride 0.9% 500ML        F00409798303              SWA           Hum        PG                                       DEC      DSCP recommends NDC
                                                                                                                                                                                                                                          00338004903
401200   Replacement Preparations         SODIUM CHLORIDE INJECTION USP 0.9% 50ML BAGS 84S         Sodium Chloride 0.9% 50ML         F00264180031              SWA           Hum        PG                                       DEC
401200   Replacement Preparations         SODIUM CHLORIDE INJECTION USP 0.9% 5ML CARPUJECT,        Sodium Chloride                   F00409191835              SWA           Hum        PG                        Added SEP 08   DEC
                                          LUER LOCK, NEEDLELESS, 25S
401200   Replacement Preparations         SODIUM CHLORIDE INJECTION USP 3% 500ML BAGS 24S          Sodium Chloride 3%                0706B1353Q                SWA          Hum         PG                                       DEC                                             May-11
403600   Irrigating Solutions             SODIUM CHLORIDE IRRIGATION USP 0.9% 1000ML BOTTLE 12     Sodium Chloride                   F00409713809              SWA        Hum & Vet     BX                                       DEC
                                          PER BOX
403600   Irrigating Solutions             SODIUM CHLORIDE IRRIGATION USP 3000ML BAG 4 BAGS                                           F00409797208              SWA           Hum        PG                                       DEC      DSCP recommends NDC
                                          PER PACKAGE                                                                                                                                                                                     00338004747
340000   Dental Agents                    SODIUM FLUORIDE 1.1% TOOTHPASTE                          Prevident 5000 Plus               F00126028766             SWA            Hum        TU                        Added MAY 08   DEC
340000   Dental Agents                    SODIUM FLUORIDE 2% GEL 12OZ BOTTLE                       Prevident                         D335-4569              USAMMCE          Hum        BT                                       DEC                                             May-11
523600   EENT, Misc. Drugs                SODIUM HYALURONATE INTRAOCULAR SOLUTION 0.55CC           Healon GV                         6515081379130          USAMMCE          Hum             III only             Added Dec 08
                                          VISCOELASTIC 1S
380000   Disinfectants                    SODIUM HYPOCHLORITE SOLUTION MODIFIED 0.25% 473ML        Dakin's Solution Half-Strength    F00436093616          USAMMCE           Hum                                  Added MAR 08   MAR
380000   Disinfectants                    SODIUM HYPOCHLORITE SOLUTION MODIFIED 0.5% 1GL           Dakin's Solution                  F00436094616             SWA            Hum        BT                                       DEC
                                          (3840ML)
401200   Replacement Preparations         SODIUM PHOSPHATE 3 MMOL/ML INJECTION                     Sodium Phosphate 3 mMol/mL        F00409739172           USAMMCE         Hum                                   Added SEP 08   DEC
561200   GI, Cathartics & Laxatives       SODIUM PHOSPHATES ENEMA USP DISP ENEMA UNIT 4-1/2        Fleets                            F00132080199             SWA           HUM         BT                                       DEC      DSCP recommends NDC
                                          FL OZ (133 ML) (1S)                                                                                                                                                                             00132020140
401818   Potassium-removing Agents        SODIUM POLYSTYRENE SULFONATE 15GM/60ML                   Kayexalate                        F46287000601           USAMMCE          Hum        BT   II & III only                       DEC
                                          SUSPENSION USP 500ML
990000   Antidotes                        SODIUM THIOSULFATE 25% VIAL 50ML 1S                      Versiclear                        F00517501901           USAMMCE       Hum & Vet     VI                                       MAR
561200   GI, Cathartics & Laxatives       SORBITOL 70% 473MLS                                      Sorbitol 70%                      F00121065916          USAMMCE          Hum                                   Added MAR 08   DEC
402810   Diuretics, Potassium-Sparing     SPIRONOLACTONE 25MG TABLET 100S                          Aldactone                         F00781159901             SWA           Hum         BT                                       DEC

640000   Heavy Metal Antagonists          SUCCIMER 100MG CAPSULES                                  Chemet                            F67386020111          USAMMCE           Hum             See Comment          Added MAR 08   MAR      Stocked at Balad Only
122000   Skeletal Muscle Relaxants        SUCCINYLCHOLINE CHLORIDE INJECTION USP 20MG/ML           Quelicin                          F00409662902             SWA            Hum        PG                                       JUN
                                          10ML VIAL 25S
562832   Protectants                      SUCRALFATE 1GM TABLET 100S                               Carafate                          F00591078001             SWA           Hum         BT                        added Dec 05   DEC
562832   GI, Protectants                  SUCRALFATE TABLETS 1 GM 500S                             Carafate                          F00591078005           USAMMCE       Hum & Vet     BT                                       DEC      00093-2210-05 (Mandatory
                                                                                                                                                                                                                                          Contract item)
520404   EENT, Antibacterials             SULFACETAMIDE SODIUM &PREDNISOLONE ACETATE               Blephamide Ophth                  F24208031710              SWA        Hum & Vet     BT                                       DEC      Alt NDC 11980002210
                                          OPHTHALMIC SUSP 10ML
840416   Topical Anti-infectives,         SULFADIAZINE SILVER CREAM 1% TOPICAL 400GM JAR           Silvadene                         F08880950540              SWA        Hum & Vet     JR                                       MAR                                             May-11
         Miscellaneous
840416   Topical Anti-infectives,         SULFADIAZINE SILVER CREAM 1% TOPICAL 85GM                Silvadene                         F00591081085              SWA           Hum        TU                                       MAR
         Miscellaneous
081220   Sulfonamides                     SULFAMETHOXAZOLE 800MG & TRIMETHOPRIM 160MG              Septra DS                         F00603578121              SWA        Hum & Vet     BT                                       MAR                                             May-11
                                          TABLETS 100S
081220   Sulfonamides                     SULFAMETHOXAZOLE 800MG & TRIMETHOPRIM 160MG              Septra DS                         F00904272540              SWA           Hum        BT                                       MAR
                                          TABLETS 500S
081220   Sulfonamides                     SULFAMETHOXAZOLE TRIMETHOPRIM 200-40MG/5 ORAL            Septra                            F50383082316              SWA           Hum        BT                                       MAR
                                          SUSP 473ML 1S
081220   Sulfonamides                     SULFASALAZINE ENTERIC COATED TABLETS USP 500MG           Azulfidine Entab                  F59762010402           USAMMCE          Hum        BT                                       MAR
081220   Sulfonamides                     SULFASALAZINE TABLETS USP 500MG 300S                     Azulfidine                        F59762500002           USAMMCE          Hum        BT                                       MAR
289200   CNS Agents, Miscellaneous        SUMATRIPTAN SUCCINATE 50MG TABLETS 9 TABLETS PER         Imitrex                           F00378563159             SWA            Hum        BT                                       JUN                                             May-11
                                          PACKAGE
289200   CNS Agents, Miscellaneous        SUMATRIPTAN SUCCINATE INJECTION 6MG/0.5ML 2ML VIAL       Imitrex                           F00781317414              SWA           Hum        PG                                       JUN      Alt NSN 6505013745875,
                                          5S                                                                                                                                                                                              SUMATRIPTAN SUCCINATE
                                                                                                                                                                                                                                          INJECTION KIT 2 prefilled
                                                                                                                                                                                                                                          syringes, NDC 00173047900 or
                                                                                                                                                                                                                                          00173044903
960000   Pharmaceutical Aids              SYRINGE & NEEDLE HYPODERMIC INSULIN 0.5ML 31GA 100S      Insulin Syringes                  F08290328468           USAMMCE         Hum         PG                                       MAR                                             May-11
843600   Topical Skin & Mucous            TACROLIMUS OINTMENT 0.1% 30GM TUBE                       Protopic                          F00469520230             SWA         Hum & Vet     TU                        Added DEC 07   MAR
         Membrane Agents,
         Miscellaneous
                                          TAMSULOSIN HCL 0.4MG CAP SR 24H 100S                     Flomax                            F64679051602           USAMMCE          Hum        BT                        Added AUG 10   MAY      UF & BCF item. Now available on
                                                                                                                                                                                                                                          CCF .
841200   Topical Astringents              TANNIC ACID GEL 7% 0.25OZ (1.2GM) TUBE                   Zilactin Gel                      F51284046802           USAMMCE          Hum        TU                                       MAR
243208   Angiotensin II Receptor          TELMISARTAN 20 MG TABLET 30S                             Micardis                          F00597003937             SWA            Hum        BX                        Added SEP 07   SEP      BCF item. Replaces Irbesartan
         Blockers
243208   Angiotensin II Receptor          TELMISARTAN 40 MG TABLET                                 Micardis                          F00597004037              SWA           Hum        PG                        Added SEP 07   SEP      BCF item. Replaces Irbesartan
         Blockers
282408   Anxiolytics /                    TEMAZEPAM 15 MG CAPSULE 100S                             Restoril                          F00781220101              SWA           Hum        BT                                       JUN      Alt NDC F00228207610
         Sedatives/Hypnotics,
         Benzodiazepine
204000   Thrombolytic Agents              TENECTEPLASE 50MG KIT WITH DILUENT/SYRINGE               TNKase                            F50242003861              SWA           Hum        VI                                       SEP      REPLACED RETEPLASE
242000   Alpha-Adrenergic Blocking        TERAZOSIN 1MG CAPSULES 100s                              Hytrin                            F00781205101             SWA            Hum                                  Added MAR 08   SEP      BCF addition                           May-11
         Agents
242000   Alpha-Adrenergic Blocking        TERAZOSIN 5MG CAPSULES 100s                              Hytrin                            F59746038506          USAMMCE           Hum                                  Added MAR 08   SEP      BCF addition
         Agents
081404   Antifungals, Allylamines         TERBINAFINE 250MG TABLETS, 100S                          Lamisil                           F31722020901              SWA           Hum        BT                                       MAR      Alt NSN 6505-01-433-8682,
                                                                                                                                                                                                                                          TERBINAFINE 250MG
                                                                                                                                                                                                                                          TABLETS, 100S (LAMISIL),
                                                                                                                                                                                                                                          NDC 00078-0179-05
840408   Azoles                           TERCONAZOLE 0.4% CREAM APPL 45GM 1S                      Terazol 3                         F00168034646          USAMMCE           Hum        PG                        Added Mar 09
960000   Pharmaceutical Aids              TEST STRIPS, BLOOD GLUCOSE, 50S                          Precision Xtra                    F57599969504             SWA            Hum        BT                                       MAR
800800   Toxoids                          TETANUS & DIPHTHERIA TOXOIDS (ADSORBED) - Td             Decavac                           F49281029110             SWA            Hum                                  Added SEP 08   MAR      NOTE: Use of Td is reserved for
                                                                                                                                                                                                                                          those who have already received a
                                                                                                                                                                                                                                          booster dose of Tdap and/or have
                                                                                                                                                                                                                                          history of serious allergy with the
                                                                                                                                                                                                                                          pertussis component.
800800   Toxoids                          TETANUS-DIPHTHERIA-ACELLULAR PERTUSSIS (TDAP)            Adacel                            F49281040010              SWA           Hum        PG                        Added JUN 07   MAR      REPLACED TETANUS AND
                                          VACCINE 10S                                                                                                                                                                                     DIPHTHERIA TOXOIDS
                                                                                                                                                                                                                                          VACCINE (TD) PER MMQC-06-
                                                                                                                                                                                                                                          1030 DATED 02/03/2006, alt: 5s
                                                                                                                                                                                                                                          NDC # 58160-0842-46
081224   Tetracyclines                    TETRACYCLINE 250MG CAPSULE 100S                          Tetracycline                      F00591223401             SWA           Hum         BT                        Added SEP 07   MAR      For use in H. Pylori Protocol       May-11
861600   Respiratory Smooth Muscle        THEOPHYLLINE EXTENDED-RELEASE TABLETS 200MG 100          Theo-Dur                          F50111048201           USAMMCE       Hum & Vet     BT                                       DEC      Alt NDC 00258358301
         Relaxants                        TABLETS/BOTTLE
880800   Vitamin B Complex                THIAMINE HYDROCHLORIDE INJECTION USP 100MG/ML 2ML        Vitamin B1                        F63323001302              SWA           Hum        PG                                       DEC
                                          VIAL 25/PG
201216   Hemostatics                      THROMBIN USP 20000 UNITS SYRINGE SPRAY KIT               Thrombin                          F60793021722              SWA           Hum        EA   II+ & III only       Added SEP 07   SEP
201216   Hemostatics                      THROMBIN USP 5000 UNITS THROMBIN & 5ML ISOTONIC          Thrombin                          F60793021505              SWA           Hum        PG                                       SEP
                                          SODIUM CHLORIDE
812241   Glycylcyllines                   TIGECYCLINE 50MG VIAL FOR INJ                            Tygacil                           F00008499020              SWA           Hum        PG   III only             added APR 07   MAR      For use after failure of 1st & 2nd
2                                                                                                                                                                                                                                         line agents. See supporting
                                                                                                                                                                                                                                          document from ID consultant
523600   EENT, Misc. Drugs                TIMOLOL MALEATE 0.5% OPHTHALMIC SOLUTION 5ML             Timoptic                          F61314022705             SWA            Hum        BT                        Added MAY 08   DEC
122000   Skeletal Muscle Relaxants        TIZANIDINE TABLETS 4MG 150S                              Zanaflex                          F00185440051           USAMMCE          Hum        BT                        Added Jun 09   JUN
520404   EENT, Antibacterials             TOBRAMYCIN SULFATE & DEXAMETHASONE 0.3-0.1%              Tobradex Ophth                    F00065064835             SWA            Hum        TU                                       DEC
                                          OPHTHALMIC OINTMENT, 3.5GM
520404   EENT, Antibacterials             TOBRAMYCIN SULFATE & DEXAMETHASONE 0.3-0.1%              Tobradex Ophth                    F61314064705              SWA           Hum        BT                                       DEC
                                          OPHTHALMIC SUSP 5ML
081202   Aminoglycosides                  TOBRAMYCIN SULFATE 1.2GM BULK POWDER FOR                 Nebcin                            F39822041206              SWA           Hum        CT   III only                            MAR      Alt NDC F63323030351
                                          NJECTION VIAL 6S
861200   Genitourinary Smooth Muscle      TOLTERODINE TARTRATE 2MG SUSTAINED RELEASE               Detrol LA                         F00009519002              SWA           Hum        BT                                       DEC      Extended release caps are rarely
         Relaxants                        CAPSULE 90s                                                                                                                                                                                     indicated and should generally
                                                                                                                                                                                                                                          not be used as a first line agent
861200   Genitourinary Smooth Muscle      TOLTERODINE TARTRATE 4MG SUSTAINED RELEASE               Detrol LA                         F00009519101              SWA           Hum        BT                        Added DEC 07   DEC      Extended release caps are rarely
         Relaxants                        CAPSULE 90s                                                                                                                                                                                     indicated and should generally
                                                                                                                                                                                                                                          not be used as a first line agent
281292   Anticonvulsants, Miscellaneous   TOPIRAMATE 100 MG TABS                                   Topamax                           F00093721906              SWA           Hum        BT                                       JUN
281292   Anticonvulsant, Miscellaneous    TOPIRAMATE 25 MG TABS                                    Topamax                           F00093015506              SWA           Hum        BT                                       JUN

280808   Opiate Agonists                  TRAMADOL HYDROCHLORIDE TABLETS 50 MG 100 TABLETS         Ultram                            F65162062710              SWA           Hum        BT                                       JUN      57664-0377-08 (Mandatory
                                          PER BOTTLE                                                                                                                                                                                      Contract item)
281604   Antidepressants                  TRAZODONE TABLETS USP 50MG 100 TABLETS PER BOTTLE        Desyrel                           F50111043301              SWA           Hum        BT                                       JUN      DSCP recommends NDC
                                                                                                                                                                                                                                          00087077541
841600   Topical Cell Stimulants &        TRETINOIN 0.1% CREAM USP 20 GRAM TUBE                    Retin A                           F00062027523              SWA           Hum        TU                                       MAR
         Proliferants
840600   Topical Anti-inflammatory        TRIAMCINOLONE ACETONIDE CREAM 0.1% 15 GM                 Kenalog                           F00168000415              SWA           Hum        TU                                       MAR                                             May-11
         Agents
840600   Topical Anti-inflammatory        TRIAMCINOLONE ACETONIDE CREAM 0.5% 15 GM                 Kenalog                           F00168000215              SWA           Hum        TU                                       MAR
         Agents
840600   Topical Anti-inflammatory        TRIAMCINOLONE ACETONIDE DENTAL PASTE USP 5GM             Kenalog in Orabase                F51672126705              SWA           Hum        TU                                       MAR      DSCP recommends NDC
         Agents                                                                                                                                                                                                                           00003049620
680400   Hormones, Adrenal                TRIAMCINOLONE ACETONIDE INJECTABLE SUSP USP              Aristocort                        F00003029320              SWA           Hum        VI                                       DEC
                                          40MG/ML 5ML VIAL
840600   Topical Anti-inflammatory        TRIAMCINOLONE ACETONIDE OINTMENT 0.1%, 15GM              Kenalog                           F00168000615              SWA           Hum        TU                                       MAR
         Agents
402800   Diuretics                        TRIAMTERENE/HCTZ 37.5-25MG TABLET 100S                   Maxzide                           F00378135201             SWA            Hum        BT                                       DEC
                                          TRICHLORACETIC ACID 85% 30ML 1S                          TriChlor                          6505081391389          USAMMCE          Hum        BT   III only             Added Mar 09
520420   EENT, Antivirals                 TRIFLURIDINE OPHTHALMIC SOLUTION 1% 7.5ML BOTTLE         Viroptic Ophth                    F61314004475             SWA            Hum        BT                                       DEC      Replacement for 6505011004218

520404   EENT, Antibacterials             TRIMETHOPRIM AND POLYMIXIN B SULFATE OPHTHALMIC          Polytrim Ophth                    F61314062810              SWA           Hum        BT                                       DEC      DSCP recommends NDC
                                          SOLUTION 10ML                                                                                                                                                                                   00023782410
400800   Alkalinizing Agents              TROMETHAMINE INJECTION 18G/500ML BOTTLE                  THAM                              F00409159304              SWA          Hum         CS   III only                            DEC
522400   EENT, Mydriatics                 TROPICAMIDE OPHTHALMIC SOLUTION USP 1% 15 ML             Mydriacil                         F24208058564              SWA        Hum & Vet     BT                                       DEC
368400   Diagnostic, Tuberculosis         TUBERCULIN PURIFIED PROTEIN DERIVATIVE 5 UNITS PER       Tubersol                          F49281075221              SWA          Hum         VI   II & III only; see   Added SEP 07   DEC      Limit distribution of PPD test to II
                                          0.1ML 10DOSES                                                                                                                                      comment                                      & III MTFs to ensure diagnostic
                                                                                                                                                                                                                                          test is only performed by
                                                                                                                                                                                                                                          experienced personnel and
                                                                                                                                                                                                                                          testing is only performed for
                                                                                                                                                                                                                                          patients with a known exposure to
                                                                                                                                                                                                                                          an active case of TB.
368400   Diagnostic, Tuberculosis         TUBERCULIN PURIFIED PROTEIN DERIVATIVE 5 UNITS PER       Tubersol                          F49281075222              SWA           Hum        VI   II & III only; see   Added SEP 07   DEC      Limit distribution of PPD test to II
                                          0.1ML 50DOSES                                                                                                                                      comment                                      & III MTFs to ensure diagnostic
                                                                                                                                                                                                                                          test is only performed by
                                                                                                                                                                                                                                          experienced personnel and
                                                                                                                                                                                                                                          testing is only performed for
                                                                                                                                                                                                                                          patients with a known exposure to
                                                                                                                                                                                                                                          an active case of TB.
801200   Vaccines                         TYPHOID VACCINE MODIFIED 10ML VIAL 20 DOSES              Typhim-Vi                         F49281079020              SWA           Hum        VI                                       MAR
842800   Topical Keratolytic Agents       UREA CREAM 40% 30GM                                      Carmol 40% CREAM                  F58980062510              SWA           Hum        TU                                       MAR                                             May-11
081800   Antivirals                       VALACYCLOVIR 500MG TABLETS I.S. 30S                      Valtrex                           F63304090430              SWA           Hum        BT                                       MAR      F00173093308                           May-11

081228   Antibacterials, Miscellaneous    VANCOMYCIN HYDROCHLORIDE STERILE USP 1GM VIAL 10S        Vancocin                          F00409653301              SWA           Hum        PG                                       MAR

682800   Hormones, Pituitary              VASOPRESSIN 20U/ML VIAL 1ML 25S                          Vasopressin                       F00517102025              SWA           Hum        PG                                       MAR

122000   Skeletal Muscle Relaxants        VECURONIUM BROMIDE FOR INJECTION W/O DILUENT             Vecuron                           F41616093144              SWA           Hum        PG                                       JUN      DSCP recommends NDC
                                          10MG VIALS 10S                                                                                                                                                                                  00052044115
281604   Antidepressants                  VENLAFAXINE HCL 37.5MG SUSTAINED RELEASE CAPSULE,        Effexor XR                        F00008083722              SWA           Hum        BT                                       JUN
281604   Antidepressants                  VENLAFAXINE HCL 75MG SUSTAINED RELEASE CAPSULE,          Effexor XR                        F00008083322              SWA           Hum        BT                                       JUN
242892   Calcium-Channel Blocking         VERAPAMIL HCL 240MG TABLET SA 100S                       Calan SR                          F00172428060              SWA           Hum        BT                                       SEP
         Agents, Miscellaneous
242892   Calcium-Channel Blocking         VERAPAMIL HYDROCHLORIDE INJECTION 2.5MG/ML 4ML           Isoptin                           F00409963305              SWA           Hum        PG                                       SEP      Alt NSN 6505011313855,
         Agents, Miscellaneous            SYRINGE 10S                                                                                                                                                                                     VERAPAMIL
                                                                                                                                                                                                                                          HYDROCHLORIDE
                                                                                                                                                                                                                                          INJECTION 2.5MG/ML 2ML
                                                                                                                                                                                                                                          AMPUL 5S, NDC 00074114401
201204   Anticoagulants                   WARFARIN SODIUM TABLETS USP 2MG 100 TABLETS PER          Coumadin                          F60429078501              SWA           Hum        BT                                       SEP                                             May-11
                                          BOTTLE
201204   Anticoagulants                   WARFARIN SODIUM TABLETS USP 5MG 100 TABLETS PER          Coumadin                          F60429078901           USAMMCE          Hum        BT                                       SEP
                                          BOTTLE
960000   Pharmaceutical Aids              WATER FOR INJECTION STERILE USP 1000 ML 12S              Sterile Water                     F00409799009              SWA          Hum         CX                                       MAR
960000   Pharmaceutical Aids              WATER FOR INJECTION STERILE USP VIAL WITH FLIP TOP 20    Sterile Water                     F00409488720              SWA        Hum & Vet     PG                                       MAR
                                          ML 25/PG
403600   Irrigating Solutions             WATER FOR IRRIGATION STERILE USP 1000ML 12s              Sterile Water                     F00409713909              SWA           Hum        PG                                       DEC      Alt NSN 6505011533796,
                                                                                                                                                                                                                                          WATER FOR IRRIGATION
                                                                                                                                                                                                                                          STERILE USP 1000ML 12S,
                                                                                                                                                                                                                                          NDC 00338000344, and NSNs
                                                                                                                                                                                                                                          6505006018965 &
                                                                                                                                                                                                                                          6505013308932
801200   Vaccines                         YELLOW FEVER VACCINE USP 5DOSE VIAL                      YF-Vax                            F49281091505              SWA           Hum        VI                                       MAR
282492   Anxiolytics / Sedatives/         ZALEPLON CAPSULE 10MG 100S                               Sonata                            F60793014601              SWA           Hum        BT                                       JUN      Restrict for use to Air Crews-
         Hypnotics, Miscellaneous                                                                                                                                                                                                         JUN09
081808   Antiretroviral Agents            ZIDOVUDINE 300MG & LAMIVUDINE 150MG TABLETS 60S          Combivir                          F49702020218             SWA           Hum         BT                                       MAR      HIV PEP treatment only                 May
848000   Topical Sunscreen Agents         ZINC OXIDE OINTMENT USP 1 OZ (28.35 GM)                  Zinc Oxide                        F00168006231           USAMMCE       Hum & Vet     TU                                       MAR
401200   Replacement Preparations         ZINC SULFATE 220MG CAPSULES 100S                         Zinc Sulfate                      F00245008011           USAMMCE         Hum         BT                                       DEC
401200   Replacement Preparations         ZINC SULFATE/ COPPER SULFATE/ MANGANESE/                 Multitrace-4 Concentrate          F00517720125           USAMMCE         Hum         PG   II+ & III only                      DEC
                                          CHROMIUM CONCENTRATED INJECTION 1ML VIAL 25s
289200   CNS Agents, Miscellaneous        ZOLMITRIPTAN 2.5MG ORALLY DISINTEGRATING TABLETS 6S      Zomig ZMT                         F00310020920              SWA           Hum        PG                                       JUN
289200   CNS Agents, Miscellaneous        ZOLMITRIPTAN 5MG TABLETS 3S                              Zomig                             F00310021125              SWA           Hum        PG                                       JUN
282492   Anxiolytics / Sedatives/         ZOLPIDEM TARTRATE TABLETS 10 MG 100S                     Ambien                            F64679071501              SWA           Hum        PG                                       JUN                                             May
         Hypnotics, Miscellaneous




                                                                                                                                                                                                                                                                                                 4 of 23
Legend:                                                      CENTCOM FORMULARY   As of: DECEMBER 2010
YELLOW = Restricted Use BLUE = May Use in OTC Program
ORANGE = Veterinary ONLY Agents RED = IND; Must report use




                                                                    5 of 23
Legend:                                                      CENTCOM FORMULARY   As of: DECEMBER 2010
YELLOW = Restricted Use BLUE = May Use in OTC Program
ORANGE = Veterinary ONLY Agents RED = IND; Must report use




                                                                    6 of 23
Legend:                                                      CENTCOM FORMULARY   As of: DECEMBER 2010
YELLOW = Restricted Use BLUE = May Use in OTC Program
ORANGE = Veterinary ONLY Agents RED = IND; Must report use




                                                                    7 of 23
Legend:                                                      CENTCOM FORMULARY   As of: DECEMBER 2010
YELLOW = Restricted Use BLUE = May Use in OTC Program
ORANGE = Veterinary ONLY Agents RED = IND; Must report use




                                                                    8 of 23
ANTIDEPRESSANTS AGENTS                                                               ANTIPSYCHOTICS AGENTS
 (180 DS WITH NO REFILLS)                                                            (NON-DEPLOYABLE MEDICATION) Used only to
              Brand Name                            Generic Name
              BUDEPRION SR                          BUPROPION HCL




                                                                                          FORMULARY
      CENTCOM FORMULARY

              BUPROBAN                              BUPROPION HCL




                                                                                           CENTCOM
              CELEXA                                CITALOPRAM HYDROBROMIDE
              DESYREL                               TRAZODONE HCL
              EFFEXOR XR                            VENLAFAXINE HCL
              ELAVIL                                AMITRIPTYLINE HCL
              PAMELOR                               NORTRIPTYLINE HCL
              PAXIL                                 PAROXETINE HCL
              PROZAC                                FLUOXETINE HCL
              REMERON                               MIRTAZAPINE
              WELLBUTRIN SR                         BUPROPION HCL
              ZOLOFT                                SERTRALINE HCL
              ADAPIN, SINEQUAN                      DOXEPIN HCL
              AMOXAPINE                             AMOXAPINE
                              ANAFRANIL             CLOMIPRAMINE HCL
                              APLENZIN              BUPROPION HBR
                              ASENDIN               AMOXAPINE
                              BUDEPRION XL          BUPROPION HCL




                                                                                            CENTCOM NON-FORMULARY
                              CYMBALTA              DULOXETINE HCL
                              EFFEXOR               VENLAFAXINE HCL
                              ETRAFON               PERPHENAZINE/AMITRIPTYLINE HCL
                              ETRAFON FORTE 4-25    PERPHENAZINE/AMITRIPTYLINE HCL
      CENTCOM NON-FORMULARY




                              LEXAPRO               ESCITALOPRAM OXALATE
                              LIMBITROL, LIMBITROL DS AMITRIP HCL/CHLORDIAZEPOXIDE
                              LUDIOMIL              MAPROTILINE HCL
                              LUVOX                 FLUVOXAMINE MALEATE
                              LUVOX CR              FLUVOXAMINE MALEATE
                              MARPLAN               ISOCARBOXAZID
                              NARDIL                PHENELZINE SULFATE
                              NORPRAMIN             DESIPRAMINE HCL
                              PARNATE               TRANYLCYPROMINE SULFATE
                              PAXIL CR              PAROXETINE HCL
                              PEXEVA                PAROXETINE MESYLATE
                              PRISTIQ               DESVENLAFAXINE SUCCINATE
                              PROZAC WEEKLY         FLUOXETINE HCL
                              SERZONE               NEFAZODONE HCL
                              SURMONTIL             TRIMIPRAMINE MALEATE
                              TOFRANIL              IMIPRAMINE HCL
                              TOFRANIL-PM           IMIPRAMINE PAMOATE
                              TRAZAMINE             TRAZODONE HCL/DIET8
                              TRIAVIL               PERPHENAZINE/AMITRIPTYLINE HCL
                              VIVACTIL              PROTRIPTYLINE HCL
                              WELLBUTRIN            BUPROPION HCL
                              WELLBUTRIN XL         BUPROPION HCL


BENZODIAZEPINES/ ANXIOLYTICS/ HYPNOTICS                                              CNS STIMULANTS (CII)
(180 DS with no refill )                                                             (90 DS No refill)
                              Brand                 Generic
                              AMBIEN                ZOLPIDEM
                              ATIVAN                LORAZEPAM
    FORMULARY
     CENTCOM




                              KLONOPIN              CLONAZEPAM
                                                                                          ULARY
                                                                                          COM
    FORMULARY
     CENTCOM
                              LUNESTA              ESZOPICLONE
                              RESTORIL             TEMAZEPAM
                              VALIUM               DIAZEPAM




                                                                                                       FORMULARY
                                                                                                        CENTCOM
                              XANAX                ALPRAZOLAM
                              NIRAVAM              ALPRAZOLAM
                              AMBIEN CR            ZOLPIDEM
                              DALMANE              FLURAZEPAM HCL
                              DIASTAT              DIAZEPAM
      CENTCOM NON-FORMULARY




                              DORAL                QUAZEPAM
                              EQUANIL              MEPROBAMATE
                              HALCION              TRIAZOLAM
                              LIBRAX               CHLORDIAZEPOXIDE/METH
                              LIBRIUM              CHLORDIAZEPOXIDE HCL
                              NIRAVAM              ALPRAZOLAM




                                                                                                       CENTCOM NON-
                              PAXIPAM              HALAZEPAM




                                                                                                        FORMULARY
                              PROSOM               ESTAZOLAM
                              SERAX                OXAZEPAM
                              SILENOR              DOXEPIN
                              SONOTA               ZALEPLON
                              TRANXENE T-TAB       CLORAZEPATE DIPOTASSIUM
                              XANAX XR             ALPRAZOLAM
                                                                                                  Non C-II (180 DS WITH NO RF)
                                                                                                  CENTCOM
NON-BENZODIAZEPINES/ANXIOLYTICS                                                                   FORMULARY

(180 DS WITH NO RF)
                                                                                                  CENTCOM NF
                              Brand                Generic
                              BUSPAR               BUSPIRONE
    CENTCOM
   FORMULARY                  ATARAX               HYDROXYZINE HCL
                              VISTARIL             HYDROXYZINE HCL


ANTICONVULSANTS (WHEN USED FOR PSYCHIATRIC CONDITIONS 180 DS WITH NO RF) SMOKING CESSATION
FOR NON-PSYSCHIATRIC CONDITION, INDICATION MUST BE ON PRESCRIPTION for 180 DS & REFILL From MOP
                                                                                                  CENTCOM
NO WAIVER GRANTED IN THE TREATMENT OF PSYCHOTIC OR BIPOLAR DISORDERS                              FORMULARY
                              Brand                Generic                                        CENTCOM NF
                              EPITOL*              CARBAMAZEPINE
    FORMULARY
     CENTCOM




                              TEGRETOL*            CARBAMAZEPINE
                              DEPAKOTE ER*         DIVALPROEX SODIUM
                              NEURONTIN            GABAPENTIN
                              TOPAMAX              TOPIRAMATE
                              CARBATROL*           CARBAMAZEPINE
                              EQUETRO*             CARBAMAZEPINE
      CENTCOM NON-FORMULARY




                              TEGRETOL XR*         CARBAMAZEPINE
                              DEPAKOTE*            DIVALPROEX SODIUM
                              DEPAKOTE SPRINKLE*   DIVALPROEX SODIUM
                              FELBATOL             FELBAMATE
                              LAMICTAL**           LAMOTRIGINE
                              KEPPRA               LEVETIRACETAM
                              TRILEPTAL            OXCARBAZEPINE
                              LYRICA               PREGABALIN
                              GABITRIL             TIAGABINE HCL
                              DEPACON*             VALPROATE SODIUM
                              DEPAKENE*            VALPROATE SODIUM
CENTCOM N
            ZONEGRAN               ZONISAMIDE
            VIMPAT                 LACOSAMIDE
            * Waiver Required
            ** No Waiver Granted
PSYCHOTICS AGENTS
DEPLOYABLE MEDICATION) Used only to stabilize for AEROEVAC
            Brand Name                      Generic Name
            HALDOL                          HALOPERIDOL
            HALDOL                          HALOPERIDOL LACTATE
            PROCHLORPERAZINE                PROCHLORPERAZINE MALEATE
            PROLIXIN DECANOATE              FLUPHENAZINE DECANOATE
            RISPERDAL                       RISPERIDONE
            SEROQUEL*                       QUETIAPINE FUMARATE
            ZYPREXA ZYDIS                   OLANZAPINE
            ABILIFY                         ARIPIPRAZOLE
            ABILIFY DISCMELT                ARIPIPRAZOLE
            CLOZARIL                        CLOZAPINE
            ESKALITH                        LITHIUM
            FANAPT                          ILOPERIDONE
            FAZACLO                         CLOZAPINE
            GEODON                          ZIPRASIDONE HCL
            HALDOL DECANOATE 100            HALOPERIDOL DECANOATE
            HALDOL DECANOATE 50             HALOPERIDOL DECANOATE
            INVEGA                          PALIPERIDONE
            LATUDA                          LURASIDONE
            LOXITANE                        LOXAPINE HCL
            LOXITANE                        LOXAPINE SUCCINATE
            LOXITANE C                      LOXAPINE HCL
            MELLARIL                        THIORIDAZINE HCL
            MELLARIL-S                      THIORIDAZINE HCL
            MOBAN                           MOLINDONE HCL
            NAVANE                          THIOTHIXENE
            ORAP                            PIMOZIDE
            PROLIXIN                        FLUPHENAZINE HCL
            RISPERDAL CONSTA                RISPERIDONE MICROSPHERES
            SAPHRIS                         ASENAPINE
            SERENTIL                        MESORIDAZINE BESYLATE
            SEROQUEL XR                     QUETIAPINE FUMARATE
            SPARINE                         PROMAZINE HCL
            STELAZINE                       TRIFLUOPERAZINE HCL
            SYMBYAX                         OLANZAPINE/FLUOXETINE HCL
            TARACTAN                        CHLORPROTHIXENE
            THIORIDAZINE HCL                THIORIDAZINE HCL
            THORAZINE                       CHLORPROMAZINE HCL
            TRILAFON                        PERPHENAZINE
            ZYPREXA                         OLANZAPINE
            *Seroquel (25MG PER DAY) for sleep
            Limit to #180 with no refills




STIMULANTS (CII)

            Brand                           Generic
            ADDERALL                        AMPHET ASP/AMPHET/D-AMPHET
            ADDERALL XR                     AMPHET ASP/AMPHET/D-AMPHET
            AMPHETAMINE SALT COMBO AMPHET ASP/AMPHET/D-AMPHET
            DEXEDRINE             DEXTROAMPHETAMINE SULFATE
            DEXTROAMPHETAMINE SULF DEXTROAMPHETAMINE SULFATE
            DEXTROSTAT            DEXTROAMPHETAMINE SULFATE
            CONCERTA              METHYLPHENIDATE HCL
            METADATE ER           METHYLPHENIDATE HCL
            METHYLIN              METHYLPHENIDATE HCL
            METHYLIN ER           METHYLPHENIDATE HCL
            METHYLPHENIDATE ER    METHYLPHENIDATE HCL
            METHYLPHENIDATE HCL   METHYLPHENIDATE HCL
            METHYLPHENIDATE SR    METHYLPHENIDATE HCL
            RITALIN               METHYLPHENIDATE HCL
            RITALIN-SR            METHYLPHENIDATE HCL
            OBETROL               AMPHET ASP/AMPHET/D-AMPHET
            DEXMETHYLPHENIDATE HCL DEXMETHYLPHENIDATE HCL
            FOCALIN               DEXMETHYLPHENIDATE HCL
            FOCALIN XR            DEXMETHYLPHENIDATE HCL
            LIQUADD               DEXTROAMPHETAMINE SULFATE
            VYVANSE               LISDEXAMFETAMINE DIMESYLATE
            DAYTRANA              METHYLPHENIDATE
            METADATE CD           METHYLPHENIDATE HCL
             RITALIN LA           METHYLPHENIDATE HCL
C-II (180 DS WITH NO RF)

            STRATTERA             ATOMOXETINE
            PROVIGIL              MODAFINIL
            NUVIGIL               ARMODAFINIL




KING CESSATION
            Brand                 Generic

            ZYBAN                 BUPROPION HCL
            CHANTIX*              VARENICLINE TARTRATE
            *No Waiver Granted
CENTCOM VETERINARY FORMULARY                                                                                                                                                                                    UPDATED DECEMBER 2010



AHFS       AHFS Description                            Generic Nomenclature                                 FORMULARY ITEM                  Current DCAM Stock   Where Stocked   UI   Formulary   Comments                             Supporting
                                                                                                            USAMMCE STOCKED                 Number                                    Notes                                            Documents


121200     Adrenergic Agents                                                                                Xylazine                        6509081541857        USAMMCE         VI
281608     Antipsychotics                              ACEPROMAZINE MALEATE INJECTION 10MG/ML 50ML VIAL     Plegicil                        V356-7290            USAMMCE         VI
281608     Antipsychotics                              ACEPROMAZINE MALEATE TABLETS 25MG FOR                Plegicil                        6509081540036        USAMMCE         BT
                                                       VETERINARY USE 100 TABS/BT
920000     Miscellaneous Therapeutic Agents            ADEQUAN CANINE 500MG FOR DOGS 2S VETERINARY          ADEQUAN CANINE                  6505081391487        USAMMCE         PG
081220     Sulfonamid                                  ALBON 500MG 100S VETERINARY                          ALBON 500MG 100S                6505081391460        USAMMCE         BT
081220     Sulfonamid                                  ALBON TABS 125MG 200S VETERINARY                     ALBON TABS 125MG 200S           6505081391498        PRIME VENDOR    BT
160000     Blood Derivatives                           ALBUMIN HUMAN USP 25% 100ML CAN                      Albuminar                       6505002998179        SWA             CN   SEP
081202     Aminoglycosides                             AMIKACIN SULFATE INJECTION USP 250MG/ML, 4ML VIAL    Amikin                          F00703904003         SWA             PG
                                                       10 VIALS PER PACKAGE
861600     Respiratory Smooth Muscle Relaxants         AMINOPHYLLINE INJECTION USP 25MG PER ML 10ML         Aminophylline                   F00409592101         SWA             BX               Alt NDC 00517-3810-25
                                                       AMPUL 25 PER BOX
281604     Antidepressants                             AMITRIPTYLINE HCL 25MG TABLET 1000S                  Elavil                          F00603221332         SWA             BT   JUN

           Penicillins                                 AMOXICILLIN 375MG CLAVULANIC ACID TABLET 210S     Clavamox                           6509081541943        USAMMCE         PG   DEC
                                                       VETERINARY
           Penicillins                                 AMOXICILLIN 50MG CLAVULANIC ACID 12.5MG VET DROPS CLAVAMOX DROPS                     6505081391443        USAMMCE         BX   DEC
                                                       15ML 12S
081216     Penicillins                                 AMOXICILLIN AND POTASSIUM CLAVULANATE TABLETS     Augmentin                          F66685100200         SWA             BT               Alt NSN 6505013038962, AMOXICILLIN
                                                       (AUGMENTIN 500) 20S                                                                                                                        AND CLAVULANATE POTASSIUM
                                                                                                                                                                                                  TABLETS (AUGMENTIN 500) UD 100
                                                                                                                                                                                                  TABS/PG, NDC 00029608031
081216     Penicillins                                 AMOXICILLIN AND POTASSIUM CLAVULANATE TABLETS        Augmentin                       F66685100100         SWA             BT   MAR
                                                       (AUGMENTIN 875) 20S
081216     Penicillins                                 AMOXICILLIN CAPSULES 250MG 100S                      Amoxil                          F00093310701         SWA             BT

081216     Penicillins                                 AMOXICILLIN CAPSULES 500MG 100S                      Amoxil                          F00029600732         SWA             BT               Sub USAMMCE NDC 00029600732,
                                                                                                                                                                                                  AMOXICILLIN CAPSULES 500MG 500S
081428     Antifungals, Polyenes                       AMPHOTERICIN B LIPOSOMAL 50MG VIAL 20                AmBisome                        F00469305130         SWA             VI   MAR
081216     Penicillins                                 AMPICILLIN SODIUM 1GM VIAL 10S                       Polycillin                      F63323038910         SWA             PG               Alt NDC 00015740499
523600     EENT, Misc. Drugs                           ARTIFICIAL TEARS SOLUTION 15 ML (POLYVINYL ALCOHOL   Liquid Tears                    F00182154364         SWA             BT               DSCP recommends NDC 00182154364
                                                       1.4%) DROPPER BOTTLE
242000     Alpha-Adrenergic Blocking Agents            ATIPAMEZOLE HYDROCHLORIDE 5MG/ML 10ML VIAL FOR       Antisedan                       6505014933405        SWA             VI
                                                       VETERINARY USE PFIZER ANIMAL HEALTH
520800     Anti-Inflammatory Agent                     ATOPICA CAPSULES 50MG 15S VETERINARY                 ATOPICA CAPS 50MG 15S           6509081540042        PRIME VENDOR    PG
120808     Antimuscarinics                             ATROPINE SULFATE INJECTION 0.4MG/ML 20ML VIAL 25S    Atropine                        F10019025020         SWA             PG

522400     EENT, Mydriatics                            ATROPINE SULFATE OPHTHALMIC OINTMENT USP 3.5 GM      Isopto Atropine Ophth           F24208082555         SWA             TU
                                                       TUBE
522400     EENT, Mydriatics                            ATROPINE SULFATE OPHTHALMIC SOLUTION USP 1%          Isopto Atropine Ophth           F61314030302         SWA             BT               DSCP recommends NDC 00998030315
                                                       15ML
520404     EENT, Antibacterials                        BACITRACIN OPHTHALMIC OINTMENT USP 0.125OZ TUBE      Bacitracin Ophth                F00168002638         SWA             TU

           Topical Anti-infectives, Miscellaneous      BACITRACIN ZINC 500U/G OINTMENT 15GM 1S              Bacitracin                      F00168001135         SWA             TU   DEC
366800     Roentgenography                             BARIUM SULFATE FOR SUSPENSION 12 OZ 24S              Barium                          10361076401          PRIME VENDOR    PG   DEC




081218     Quinolone                                   BAYTRIL 136MG TASTE TABLETS 50S VETERINARY           BAYTRIL 136MG 50S               6505081391480        USAMMCE         BT
           EENT, Antibacterials                        BAYTRIL OTIC 15ML 12S VETERINARY                     BAYTRIL OTIC                    6505081391463        USAMMCE         BX   DEC




842800     Topical Keratolytic Agents                  BENZOYL PEROXIDE 10% GEL 45GM                        Desquam-X                       F00536409256         SWA             TU

           Miscellaneous Veterinary Agents             BISMUTH SUBSALICYLATE 262MG TABLETS CHEWABLE         PINK BISMUTH                    F00603023516         SWA             PG   DEC
801200     Vaccines                                    BORDETELLA-INTRANASAL 25 X 1ML DOSES FOR             Bronchi-shield III              V995-7762            PRIME VENDOR    PG
                                                       VETERINARY USE ONLY
520492     EENT, Misc. Anti-infectives                 BREATHALYSER 500ML 1S VETERINARY                     BREATHALYSER 500ML 1S           V568-2224            USAMMCE         EA
           Miscellaneous Veterinary Agents             BRUSH SCRUB SURGICAL CHG 4% W NAIL CLEANER 30S       BRUSH SCRUB 4% CHG              723371073            SWA             BX   DEC
720000     Local Anesthetics                           BUPIVACAINE HCL 0.5% INJECTION 30ML 10S              Marcaine                        F00409156029         SWA             PG




Bolded text indicates DoD Basic Core Formulary items
Blue background indicates items that are unique to
veterinary medicine                                                                                                        14 of 23 pages                                                                                           printed 7/14/2012
CENTCOM VETERINARY FORMULARY                                                                                                                                                                             UPDATED DECEMBER 2010



280812     Opiate Partial Agonists                     BUTORPHANOL TARTRATE INJECTION 10MG/ML 10 ML           Torbugesic                     6509081541859     USAMMCE         VI         Currently in USAMMCE Catalog Ref #s
                                                       VIAL FOR VETERINARY USE ONLY (FORT DODGE LABS)                                                                                     6505011391379, 30454, 995-4931,
                                                                                                                                                                                          Product number 856203310
401200     Replacement Preparations                    CALCIUM GLUCONATE 100MG/ML 10ML VIAL 25S               Calcium Gluconate              F63323031110      SWA             PG         ALT USAMMCE NDC 63323031110

402000     Caloric agent                               CANINE D/D CANNED DUCK FORMULA 12S VETERINARY          CANINE D/D CAN DU 12S          6509081540050     PRIME VENDOR    CS
402000     Caloric agent                               CANINE D/D DRY POTATO AND VENISON 17.6LB 1S            CANINE D/D DRY 17.6 1S         6509081540031     USAMMCE         BG
                                                       VETERINARY
           Anti-inflammatory Agent                     CANINE FELINE A/D CANNED 5.5OZ 156G CANS 24S           CANINE FELINE A/D              8710081510008     USAMMCE         CS
                                                       VETERINARY
402000     Caloric agent                               CANINE I/D CANNED 13OZ 12S VETERINARY                  CANINE I/D CN 13OZ 12S         6509081540026     USAMMCE         CS
402000     Caloric agent                               CANINE I/D DRY 20LB 9.07 GG BAG VETERINARY             CANINE I/D DRY 20LB 1S         8710081510029     USAMMCE         BG
402000     Caloric Agents                              CANINE INTESTINAL DIET (I/D) DRY 20 LB 9.07KG BAG -    I-D                            8710081510029     PRIME VENDOR    PG         Currently in USAMMCE Catalog Ref #
                                                       FOR VETERINARY USE ONLY                                                                                                            8710081510029 Product # 5832
402000     Caloric agent                               CANINE SCIENCE DIET ACTIVE ADULT DOG FOOD 40LB 1S      CANINE ACTI ADL 40L 1S         8710081510111     USAMMCE         BG
                                                       VETERINARY
402000     Caloric Agents                              CANINE ULTRA ALLERGEN-FREE DIET (Z/D) DRY 18 LBS 8.2   Z-D                            8710081510063     USAMMCE         PG         Currently in USAMMCE Catalog Ref #
                                                       KG FOR VETERINARY USE ONLY                                                                                                         8710081510063 Product # 7902
402000     Caloric agent                               CANINE W/D DRY 20LBS BAG 1S VETERINARY                 CANINE W/D DRY 20LB 1S         8710081510058     USAMMCE         BG
402000     Caloric agent                               CANINE Z/D CANNED 13OZ 12S VETERINARY                  CANINE Z/D CA 13OZ 12S         6509081540027     USAMMCE         CS
           Flea control                                CAPSTAR NITENPYRAM 26-125 LB 57MG TAB 60S              CAPSTAR 26-125LB 60S           6509081541849     USAMMCE         BT
                                                       VETERINARY
280804     Nonsteroidal Anti-inflammatory Agents       CARPROFEN 50MG/ML 20ML INJECTION 1S VETERINARY         Rimadyl                        GEHE-110208
280804     Nonsteroidal Anti-inflammatory Agents       CARPROFEN TABLETS CHEWABLE (RIMADYL - PFIZER           Rimadyl                        6505081391451     SWA             BT         Currently in USAMMCE Catalog Ref
                                                       ANIMAL HEALTH) 75MG 60S FOR VETERINARY USE ONLY                                                                                    #6505081391451 Product Number
                                                                                                                                                                                          8503;;; Alt NSN 6505-01-487-4464,
                                                                                                                                                                                          CARPROFEN TABLETS 100 MG
                                                                                                                                                                                          CHEWABLE FOR DOGS ONLY 60
                                                                                                                                                                                          TABS/BOTTLE, Product Number 8604
081206     Cephalosporins                              CEFAZOLIN SODIUM INJECTION USP 1GM VIAL 25S            Ancef; Kefzol                  F63304094025      SWA             PG         Alt NDC 00364246534 or NSN 6505-01-
                                                                                                                                                                                          445-9168, CEFAZOLIN SODIUM 1GM
                                                                                                                                                                                          VIAL 10S, NDC 00015733999.
081206     Cephalosporins                              CEFOXITIN SODIUM 1GM VI 25S                            MEFOXIN 1GM INJ                F63323034120      SWA             PG   MAR
081206     Cephalosporins                              CEPHALEXIN 250MG CAPSULES 100S                         Keflex                         F00093314501      SWA             BT

081206     Cephalosporins                              CEPHALEXIN 500MG CAPSULES 500S                         Keflex                         F00093314701      SWA             BT

560400     GI, Antacids & Adsorbents                   CHARCOAL ACTIVATED AND SORBITOL SUSPENSION             Actidose                       F50770150208      SWA             BT         Alt NDC 50770150208
                                                       240ML
970000     Miscellaneous Veterinary Agents             CHEW GUARD SPRAY 4 OZ FOR VETERINARY USE ONLY          Chew Guard                     V192-7881         USAMMCE         BT         Currently in USAMMCE Catalog Ref #
                                                                                                                                                                                          V192-7881 Product # NX00510
081208     Chloramphenicol                             CHLORAMPHENICOL SODIUM SUCCINATE STERILE USP 1         Chloromycetin                  F63323001115      SWA             BX
                                                       GRAM VIAL 10/BOX
840416     Topical Anti-infectives, Miscellaneous      CHLORHEXIDINE FLUSH (CHLORHEXIDERM) 12 OZ FOR          Chlorhexiderm                  V277-1865         Nonstocked      BT
                                                       VETERINARY USE ONLY
840416     Topical Anti-infectives, Miscellaneous      CHLORHEXIDINE GLUCONATE 0.5% CLEANSING SOLUTION        Hibistat                       F52380127404      SWA             BT
                                                       118ML
840416     Topical Anti-infectives, Miscellaneous      CHLORHEXIDINE GLUCONATE 4% SURGICAL DETERGENT          Hibiclens                      F00234057591      SWA             BT         Alt NSN 6505010453255,
                                                       1GL PLASTIC BOTTLE                                                                                                                 CHLORHEXIDINE GLUCONATE 4%
                                                                                                                                                                                          SURGICAL DETERGENT 32FL OZ, NDC
                                                                                                                                                                                          00310057532
840416     Topical Anti-infectives, Miscellaneous      CHLORHEXIDINE SHAMPOO MAX 4% (CHLORHEXADERM)           Chlorhexiderm                  V277-6352         USAMMCE         BT
                                                       12 OZ VETERINARY USE
081228     Antibacterials, Miscellaneous               CLINDAMYCIN HYDROCHLORIDE CAPSULES 300MG 100S          Cleocin                        F00591312001      SWA             PG   MAR




081228     Antibacterials, Miscellaneous               CLINDAMYCIN HYDROCHLORIDE CAPSULES USP 150MG           Cleocin                        F63304069201      SWA             BT
                                                       100S
281604     Antidepressants                             CLOMIPRAMINE CAPSULES 75MG 100S FOR VETERINARY         Clomacalm                      F00781204701 V735- PRIME VENDOR   BT
                                                       USE ONLY                                                                              6169
970000     Miscellaneous Veterinary Agents             COLLAR ELIZABETHIAN VETERINARY 30CM                                                   V606-2555          USAMMCE        EA
970000     Miscellaneous Veterinary Agents             COLLAR PREVENTIC (AMITRAZ) 25CM BOX OF 12              Amitraz                        V309-4595          USAMMCE        PG
920000     Miscellaneous Therapeutic Agents            COSEQUIN DS CHEWABLE TABLETS FOR DOGS 120S             COSEQUIN DS CHEW 120S          6505081391506      SWA            BT
                                                       VETERINARY
880800     Vitamin B Complex                           CYANOCOBALAMIN INJECTION USP 1000 MICROGRAMS           Vitamin B12                    F00517013005      SWA             PG   DEC
                                                       PER ML 30 ML VIAL 5s




Bolded text indicates DoD Basic Core Formulary items
Blue background indicates items that are unique to
veterinary medicine                                                                                                         15 of 23 pages                                                                                      printed 7/14/2012
CENTCOM VETERINARY FORMULARY                                                                                                                                                                             UPDATED DECEMBER 2010



924400     Immunosuppressive Agents                    CYCLOSPORINE MODIFIED 25MG CAPSULE 30S             Neoral                          F00172731046    USAMMCE        PG   Added Mar
                                                                                                                                                                              09
520800     EENT, Anti-inflammatory Agents              CYCLOSPORINE OPHTHALMIC OINTMENT (OPTIMUNE -    Optimune                           6505081391467   USAMMCE        BX               Currently on USAMMCE NDC Ref #
                                                       SCHERING-PLOUGH) 6 TUBES PER BOX FOR VETERINARY                                                                                    6505081391467
                                                       USE ONLY
680400     Hormones, Adrenal                           DEXAMETHASONE 0.5MG TABLET 100S                 Dexamethasone                      F00054417925    USAMMCE        BT

680400     Hormones, Adrenal                           DEXAMETHASONE SODIUM PHOSPHATE INJECTION        Decadron                           F00517490525    SWA            PG
                                                       4MG/ML 5ML 25S
           Anxiolytics / Sedatives/ Hypnotics,         DEXMEDTOMIDINE HYDROCHLORIDE INJECTION 0.5MG/ML DEXDOMITOR                         650908T000025   SWA            BT   DEC
           Miscellaneous                               10 ML MDV RINARY
402000     Caloric Agents                              DEXTROSE INJECTION USP 5% 100ML BAG 64S         D5W                                F00409792337    SWA            PG   DEC

402000     Caloric Agents                              DEXTROSE INJECTION USP 5% 500ML BAG 24S            D5W                             F00409792203    SWA            PG               Alt NDC 00264751010 or NSN
                                                                                                                                                                                          6505013306254, DEXTROSE
                                                                                                                                                                                          INJECTION USP 5% 500ML BAG 24S,
                                                                                                                                                                                          NDC 00074792203
402000     Caloric Agents                              DEXTROSE INJECTION USP 50% 50ML ANSYR SYRINGE      D50                             F00409751716    SWA            PG   DEC
281208     Anticonvulsants, Benzodiazepine             DIAZEPAM INJECTION 5MG/ML 2ML SYRINGE LUER LOCK,   Valium                          F00409127332    SWA            PG
                                                       W/O NEEDLE, 10S
840600     Topical Anti-inflammatory Agents            DIMETHYL SULFOXIDE INJECTION 50ML VIAL             Rimso                           F00433043305    USAMMCE        VI               ALT USAMMCE NDC 00472073514
040400     Antihistamines, First Generation            DIPHENHYDRAMINE HYDROCHLORIDE CAPSULES USP         Benadryl                        F00182049210    SWA            BT               DSCP recommends NDC 00182049210
                                                       25MG 1000S
040400     Antihistamines, First Generation            DIPHENHYDRAMINE HYDROCHLORIDE INJ USP 50MG/ML      Benadryl                        F00182209116    USAMMCE        BX
                                                       1ML SYRINGE 10S
121200     Adrenergic Agents                           DOBUTAMINE INJECTION USP 12.5MG/ML 20ML VIAL 10    Dobutrex                        F55390056090    SWA            PG   SEP
                                                       VIALS/PG
561200     GI, Cathartics & Laxatives                  DOCUSATE SODIUM CAPSULES USP 100MG I.S. 100        Colace                          F00904224461    SWA            PG
                                                       CAPSULES PER PACKAGE
121200     Adrenergic Agents                           DOPAMINE 400MG IN D5W 250ML BAG 12S                Intropin                                        USAMMCE        PG   SEP


282000     Stimulants, Respiratory and Cerebral        DOXAPRAM HYDROCHLORIDE INJECTION USP 20MG/CC       Dopram                          F60977014402    SWA            BT               Alt NDC 00031484983
                                                       20ML BOTTLE
081224     Tetracyclines                               DOXYCYCLINE HYCLATE TABLETS USP 100MG 500S         Vibramycin                      F00172362670    SWA            BT               Alt NSN 6505010954175,
                                                                                                                                                                                          DOXYCYCLINE HYCLATE TABLETS
                                                                                                                                                                                          USP 100MG 50S, NDC 00591555350;
                                                                                                                                                                                          Alt USAMMCE NDC 17236052755
080800     Anthelmintics                               DRONTAL PLUS 22.7MG 50S VETERINARY                 DRONTAL K-9 22.7MG 50S          6505081391458   USAMMCE        BT
           Anthelmintics                               DRONTAL PLUS 68MG 50S VETERINARY                   Drontal                         6505081391430   SWA            BT   DEC
080800     Anthelmintics                               DRONTAL PLUS 68MG MED/LG 50S VETERINARY            DRONTAL+ K-9 68MG 50S           6505081391430   USAMMCE        BT
801200     Vaccines                                    DURAMUNE MAX5/L 25 X 1S VETERINARY DISTEMPER,      Duramune Max 5/L                V995-5886       PRIME VENDOR   PG
                                                       PARVOVIRUS, ADENOVIRUS TYPE 2, PARAINFLUENZA,
                                                       AND LEPTOSPIROSIS VACCINE SINGLE DOSE, 25S
523600     EENT, Misc. Drugs                           EAR CLEANING SOLUTION 8 OZ BOTTLE FOR VETERINARY   Epi-Otic                        V309-0657       USAMMCE        BX               Currently on USAMMCE NDC Ref #
                                                       USE ONLY 1S (VIRBAC)                                                                                                               V309-8407
640000     Heavy Metal Antagonists                     EDETATE CALCIUM DISODIUM INJECTION USP 200MG/ML    EDTA                            F00089051006    SWA            PG   SEP
                                                       5ML AMPUL 6S
081218     Quinolones                                  ENROFLOXACIN INJECTION (BAYTRIL - BAYER ANIMAL     Baytril                         GEHE-3543238    Nonstocked     VI               Alt. NSN? - 6505014875834?
                                                       HEALTH) 2.5% 50 ML FOR VETERINARY USE ONLY
081218     Quinolones                                  ENROFLOXACIN TABLETS (BAYTRIL - BAYER ANIMAL       Baytril                         6505081391428   USAMMCE        BT               Alt NSN 6505-08-139-1429,
                                                       HEALTH) 68MG 50S FOR VETERINARY USE ONLY                                                                                           ENROFLOXACIN 68MG TABLETS 250S
520404     EENT, Antibacterials                        ENROFLOXICIN/SILVER SULFADIAZINE EMULSION 15 ML    Baytril Otic                    GEHE-3543209    USAMMCE        TU
                                                       TUBE FOR VETERINARY USE ONLY (BAYER ANIMAL
                                                       HEALTH)
121200     Adrenergic Agents                           EPINEPHRINE INJECTION USP 1MG/ML 30ML VIAL         Adrenalin                       F00548906100    SWA            VI               Alt NDC 00517113001

081212     Macrolides                                  ERYTHROMYCIN BASE TABLETS ENTERIC COATED 250MG Ery-Tab                             F00074630413    SWA            BT
                                                       100S
990000     Antidotes                                   ETHYL ALCOHOL 98% AMPUL 1ML 10S                Ethyl Alcohol                       F00517857110    USAMMCE        PG               Currently in USAMMCE Catalog

280804     Nonsteroidal Anti-inflammatory Agents       ETODOLAC TABLETS (ETOGESIC - FORT DODGE ANIMAL     Etodolac                        0856553030      PRIME VENDOR   BT               Currently in USAMMCE Catalog Ref #
                                                       HEALTH) 300MG FOR VETERINARY USE ONLY 30S                                                                                          V995-2844
970000     Miscellaneous Veterinary Agents             EUTHANASIA SOLUTION KIT, VETERINARY 250ML BOTTLE   Fatal-Plus/Euthasol             6509014856206   USAMMCE        EA   Added Jan   ALT USSAMCE REF #s V466-6161 or
                                                                                                                                                                              2011        V975-0189
280808     Opiate Agonists                             FENTANYL CITRATE 0.05MG/ML 2ML Tubex 10S           Sublimaze                       F00409127632    USAMMCE        PG   JUN

280808     Opiate Agonists                             FENTANYL TRANSDERMAL SYSTEM 100MCG/HOUR,           Duragesic                       F50458003605    USAMMCE        PG   Added APR
                                                       72 HOURS 5s                                                                                                            07



Bolded text indicates DoD Basic Core Formulary items
Blue background indicates items that are unique to
veterinary medicine                                                                                                      16 of 23 pages                                                                                        printed 7/14/2012
CENTCOM VETERINARY FORMULARY                                                                                                                                                                                 UPDATED DECEMBER 2010



200404     Iron Preparations                           FERROUS SULFATE 325MG UNIT DOSE TABLETS 100S        Feosol                           F57896070301    SWA            PG    SEP

081408     Antifungals, Azoles                         FLUCONAZOLE 200MG TABLETS 30/BT                     Diflucan                         F51672406706    SWA            BT    MAR
680400     Adrenals                                    FLUDROCORTISONE 0.1MG TABLET 100S                   Florinef                         F00115703301    USAMMCE        BT    DEC

360000     Diagnostic Agents                           FLUORESCEIN SODIUM OPHTHALMIC 1MG STRIPS 100S       Fluor-I-Strip                    F17478040401    SWA            PG                Alt NDC 24208039182.
                                                                                                                                                                                             Substitute Item NSN 6505011533261,
                                                                                                                                                                                             FLUORESCEIN SODIUM OPHTHALMIC
                                                                                                                                                                                             SOLUTION 1ML BOTTLE 12 PER
                                                                                                                                                                                             PACKAGE, NDC 54799050805 or
                                                                                                                                                                                             58768077612
970000     Miscellaneous Veterinary Agents             FLY REPELLANT OINTMENT                                                               V568-4577       PRIME VENDOR   JR
970000     Miscellaneous Veterinary Agents             FOR BID PACKETS 8GM 12S VETERINARY                  FOR-BID PACKET 8GM 12S           V103-5907       USAMMCE        BX
970000     Miscellaneous Veterinary Agents             FRONTLINE PLUS CANINE 45-88 LBS (FIBRONIL/S-        Frontline Plus                   VARA-0539       PRIME VENDOR   PG                poss sub F60522653030
                                                       METHOPRENE) SPOT ON FOR VETERINARY USE ONLY
           Flea control                                FRONTLINE PLUS DOG 22LBS 10X 3S VETERINARY          FRONTL PS UPTO22LB 30S 6509081540072             USAMMCE        PG
           Flea control                                FRONTLINE PLUS DOG&PUPPY 68MCG 3DOSES 10X3S         FRONTL PS 23-44 3DS30S 6509081540075             USAMMCE        PG
                                                       VETERINARY
970000     Miscellaneous Veterinary Agents             FRONTLINE SPRAY (FIPRONIL) 250ML VETERINARY USE     Frontline Spray                  GEHE-7579670    USAMMCE        EA                poss sub F60522640060
                                                       ONLY
970000     Miscellaneous Veterinary Agents             FRONTLINE TOPSPOT FOR DOGS (FIBRONIL) SPOT ON 89-   Frontline TopSpot                6509081540068   USAMMCE        BX                Currently in USAMMCE Catalog Ref #
                                                       132 LBS 60 DOSES FOR VETERINARY USE ONLY                                                                                              V631-9163
402800     Diuretics                                   FUROSEMIDE INJECTION USP 10MG/ML 2ML VIAL 25S       Lasix                            F00409610202    SWA            PG

402800     Diuretics                                   FUROSEMIDE TABLETS USP 40 MG 100S                   Lasix                            F00172290760    SWA            BT                Alt NSN 6505001175982, FUROSEMIDE
                                                                                                                                                                                             TABLETS 40MG I.S. 100S, NDC
                                                                                                                                                                                             00039006011
281292     Anticonvulsants, Miscellaneous              GABAPENTIN 300MG CAPSULE 100S                       Neurontin                        F00228266611    SWA            BT    JUN

201216     Hemostatics                                 GELATIN SPONGE,ABSORBABLE 12-7MM SPONGE 12S         Gelatin                          3460001972      USAMMCE        PG    SEP
081202     Aminoglycosides                             GENTAMICIN SULFATE INJECTION USP 40MG EQUIV/ML      Garamycin                        F63323001020    USAMMCE        PG                Replacement for 6505012560710
                                                       20ML VIAL 25S
520404     EENT, Antibacterials                        GENTAMICIN SULFATE OPHTHALMIC OINTMENT USP 3.5      Garamycin Ophth                  F17478028435    SWA            TU    Update DEC
                                                       GRAM TUBE                                                                                                                 07
520404     EENT, Antibacterials                        GENTAMICIN SULFATE OPHTHALMIC SOLUTION USP          Garamycin Ophth                  F17478028310    SWA            BT    Update DEC Alt NDC 61314063305
                                                       EQUIV 3.0MG GENTAMICIN PER ML 5ML                                                                                         07
520404     EENT, Antibacterials                        GENTAMICIN SULFATE, BETAMETHASONE                   Otomax                           6505081391465   USAMMCE        TU               Currently in USAMMCE Catalog Ref #
                                                       VALERATE/CLOTRIMIZOLE OTIC OINTMENT (OTOMAX                                                                                          6505081391465 Product # 861515
                                                       OINTMENT - SCHERING PLOUGH) 15 GM TUBE FOR
                                                       VETERINARY USE ONLY
840404     Topical Antibacterials                      GENTAMICIN, BETAMETHASONE VALERATE TOPICAL          Betagen Topical Spray            V176-5442       USAMMCE        BX
                                                       SPRAY (BETAGEN TOPICAL SPRAY - MED PHARMEX) 60
                                                       ML 12S FOR VETERINARY USE ONLY
           Topical Anti-infectives, Miscellaneous      GENTASPRAY GENT-BETA 60ML 1S VETERIMARY             Betagen Topical spray            V014778         USAMMCE        BT    DEC
920000     Miscellaneous Therapeutic Agents            GLUCOSAMINE 500MG / CHONDROITIN 400MG CAPSULES,     Cosequin DS chewable tabs                        SWA            BTL               Currently in USAMMCE Catalog
                                                       120s
120808     Antimuscarinics                             GLYCOPYRROLATE INJECTION USP 0.2 MG PER ML 20 ML    Robinul                          F10019001602    SWA            BT                Alt NDC 00031789083

081492     Antifungals, Miscellaneous                  GRISEOFULVIN ULTRMICROSIZE 250MG TABLETS 500S       Gris-Peg                         F00884077350    SWA            BT                Alt Griseofulvin 500mg Tablets Microsize
                                                                                                                                                                                             (Grifulvin V) NDC 00062021460 or
                                                                                                                                                                                             Griseofulvin oral susp, microsize
                                                                                                                                                                                             125mg/5ml (Grifulvin V) NDC
                                                                                                                                                                                             00062020604
080800     Anthelmintics                               HEARTGARD PLUS 0-25 LBS CHEW 10X6S VETERINARY       HEARTG+0-25LB 6MON 60S 6509081540073             USAMMCE        PG
080800     Anthelmintics                               HEARTGART PLUS CHEWABLE 26-50LBS 10X6S              HEARTG+<50LB 6MON 60S 6509081541472              USAMMCE        BX
                                                       VETERINARY
201204     Anticoagulants                              HEPARIN SODIUM INJECTION USP 1000 UNITS PER ML 10   Heparin                          F00641244045    SWA            PG
                                                       ML 25S
401200     Replacement Preparations                    HETASTARCH 6% IN SODIUM CHLORIDE 500ML PLASTIC      Hespan                           F00264196510    SWA            PG                Alt NDC 00264196510
                                                       BAG 12S
840416     Topical Anti-infectives, Miscellaneous      HEXACHLOROPHENE 3% CLEANSING EMULSION USP 1GL       Phisohex                         F00024153508    Nonstocked     BT
                                                       (3780ML)
840600     Topical Anti-inflammatory Agents            HYDROCORTISONE CREAM USP 1% 1 OZ (28.35 GM)         HC Cream OTC                     F00168001531    SWA            TU    MAR
680400     Hormones, Adrenal                           HYDROCORTISONE SOD SUCC 100MG INJ/2ML VL            SOLU-CORTEF                      F00009090013    SWA            VI    DEC
680400     Hormones, Adrenal                           HYDROCORTISONE SODIUM SUCCINATE FOR INJECTION       Solu-Cortef                      F00009090908    SWA            VI    DEC
                                                       USP 250 MG
522800     EENT, Mouthwashes & Gargles                 HYDROGEN PEROXIDE TOPICAL SOLUTION USP 1PINT        Hydrogen Peroxide OTC            F00869470610    SWA            BT
                                                       (473 ML)



Bolded text indicates DoD Basic Core Formulary items
Blue background indicates items that are unique to
veterinary medicine                                                                                                        17 of 23 pages                                                                                           printed 7/14/2012
CENTCOM VETERINARY FORMULARY                                                                                                                                                                       UPDATED DECEMBER 2010



280808     Opiate Agonists                             HYDROMORPHONE HCL 2MG/ML 1ML AMPUL 10S              Dilaudid                       F00074233311    SWA            PG   JUN
           Opiate Agonists                             HYDROMORPHONE HCL 2MG/ML DISP SYRIN 1ML 10S         HYDROMORPHONE                  F00409131230    USAMMCE        CT   DEC
282492     Anxiolytics / Sedatives/ Hypnotics,         HYDROXYZINE TABLETS 25MG FOR VETERINARY USE         Atarax                         F50111030802    SWA            BT         Alt. NDC is 00591552301
           Miscellaneous                               100S
843600     Topical Skin & Mucous Membrane Agents,      HYLYT EFA SHAMPOO (HYPOALLERGENIC SHAMPOO) FOR      HYLYT EFA Shampoo              V277-6335       USAMMCE        BT
           Miscellaneous                               VETERINARY USE ONLY 12OZ BTL
682008     Antidiabetic Agents, Insulins               INSULIN HUMAN INJECTION MODIFIED 100UNITS/ML 10ML   Regular Humulin                F00169183311    SWA            VI   MAR
                                                       VIAL
           Anesthetic Inhalant                         ISOFLURANE LIQUID 100ML 1S                          ISOFLURANE                     F66794001110    SWA            EA   DEC
280400     General Anesthetics                         ISOFLURANE USP 100ML BOTTLE                         Forane                         F00409329201    SWA            BT         Alt NDCs 10019-0360-40 or 00182-6210-
                                                                                                                                                                                    70
840416     Topical Anti-infectives, Miscellaneous      ISOPROPYL RUBBING ALCOHOL 70% 1 PT (473 ML)         Isopropyl Alcohol              F00574006716    SWA            BT

121200     Adrenergic Agents                           ISOPROTERENOL HYDROCHLORIDE INJECTION USP           Isuprel                        F00409141001    SWA            PG
                                                       0.200MG/ML 1ML AMPULE 25S
080800     Anthelmintics                               IVERMECTIN INJECTION 1% 50ML FOR VETERINARY USE     Ivomec                         GEHE-2591040    USAMMCE        BT         Alt USAMMCE Ref # V784-2881
                                                       ONLY (MERIAL)
080800     Anthelmintics                               IVERMECTIN, PYRANTEL PAMOATE 272 MCG FOR 51 -100    Heartgard Plus Chewables       6509081541473   USAMMCE        BX
                                                       LBS DOGS VETERINARY USE ONLY (MERIAL)
280400     General Anesthetics                         KETAMINE HCL INJECTION USP 100MG PER ML 10ML        Ketalar                        6505001181099   SWA            VI
                                                       VETERINARY
840408     Topical Antifungals                         KETOCONAZOLE 2% CREAM 30GM                          NIZORAL 2% CREAM               F51672129802    USAMMCE        TU   MAR
081408     Antifungals, Azoles                         KETOCONAZOLE 200MG TABS 100S                        Nizoral                        F50111062101    SWA            BT   MAR
280804     Nonsteroidal Anti-inflammatory Agents       KETOFEN SOLUTION 100MG/ML 1S VETERINARY             KETOFEN SOL 100MG/ML1S         V995-7884       USAMMCE        VI
401000     Ammonia Detoxicants                         LACTULOSE 10G/15ML SYRUP 480ML                      Chronulac                      F00603137858    SWA            BT   DEC

720000     Local Anesthetics                           LIDOCAINE HYDROCHLORIDE 2% & EPINEPHRINE            Xylocaine & Epi                F00186012291    USAMMCE        PG         DSCP recommends NDC 00074318301
                                                       1:200,000 INJECTION 20ML VIAL 5S
720000     Local Anesthetics                           LIDOCAINE HYDROCHLORIDE 2% INJECTION USP 20ML       Xylocaine                      F00409427701    SWA            VI         Alt NSN 6505014437113, LIDOCAINE
                                                       VIAL                                                                                                                         HYDROCHLORIDE INJECTION USP 2%
                                                                                                                                                                                    20ML VIAL 5s, NDC 00186012001 or
                                                                                                                                                                                    00074427701
521600     EENT, Local Anesthetics                LIDOCAINE HYDROCHLORIDE JELLY USP 2% 30 ML TUBE          Xylocaine Jelly                F00186033001    SWA            PG   DEC
                                                  WITH APPLICATOR
560800     GI, Antidiarrhea Agents                LOPERAMIDE HYDROCHLORIDE CAPSULES USP 2MG 100            Imodium                        F00093031101    SWA            BT
                                                  CAPSULES/BOTTLE
523600     EENT, Misc. Drugs                      LUBRICANT OPHTHALMIC TOPICAL 1/8OZ OR 3.5GM W/.5%        Akwa Tears, Puralube, Lacri-   F00182154364    SWA            BT   DEC
                                                  CHLOROBUTANOL                                            Lube S.O.P.
843600     Topical Skin & Mucous Membrane Agents, LUBRICANT SURGICAL 4 OZ (113.4 GM)                       Surgilube                      F00168020536    SWA            TU         DSCP recommends NDC 00603057954
           Miscellaneous
843600     Topical Skin & Mucous Membrane Agents, LUBRICANT SURGICAL 5 GRAM 144S                           Surgilube                      F00168020545    SWA            BX   MAR
           Miscellaneous
           Acaricidal agent                       LYMDYP 16OZ BT 1S VETERINARY                             LYMDYP 16OZ 1S                 V277-3030       PRIME VENDOR   BT
840416     Topical Anti-infectives, Miscellaneous MAFENIDE ACETATE 8.5% CREAM 454GM                        Sulfamylon                     F51079062383    SWA            CN         Alt NSN 6505014917013, MAFENIDE
                                                                                                                                                                                    ACETATE 8.5% CREAM 120GM, NDC
                                                                                                                                                                                    62794010151
841200     Topical Astringents                         MAGNESIUM SULFATE CRYSTALS 480GM 1S                 Epsom Salts                    F00869060243    SWA                 MAR
281292     Anticonvulsants, Miscellaneous              MAGNESIUM SULFATE INJECTION USP 50% 10ML VIAL 25S   Mag Sulfate                    F63323006410    SWA            PG   JUN
402800     Diuretics                                   MANNITOL INJECTION USP 25% 50ML SINGLE DOSE VIALS   Mannitol                       F00409403101    SWA            PG         Alt NDC 63323002425
                                                       25S
280804     Nonsteroidal Anti-inflammatory Agents       METACAM 1.5 MG/ML SUSP                                                             GEHE-0462918    USAMMCE        BT
280804     Nonsteroidal Anti-inflammatory Agents       METACAM 2.5MG CHEWABLE 100S VETERINARY              METACAM 2.5MG                  GEHE-29804      USAMMCE        BT
280804     Nonsteroidal Anti-inflammatory Agents       METACAM 5MG/ML INJECT                                                              GEHE-8890217    USAMMCE        BT
280804     Nonsteroidal Anti-inflammatory Agents       METACAM 7.5 MG TABS                                                                ??              ??             ??

122000     Skeletal Muscle Relaxants                   METHOCARBAMOL 500MG TABLET 100S                     Robaxin                        F00143129001    SWA            BT         Sub USAMMCE NSN 6505006601601,
                                                                                                                                                                                    METHOCARBAMOL 500MG TABLET
                                                                                                                                                                                    500S, NDC 00143129005
680400     Hormones, Adrenal                           METHYLPREDNISOLONE ACETATE INJECTABLE SUSP USP Depo-Medrol                         F00009028002    SWA            VI
                                                       40MG/ML 5ML VIAL
680400     Hormones, Adrenal                           METHYLPREDNISOLONE SODIUM SUCCINATE FOR        Solu-Medrol                         F00009338901    SWA            CO         Alt NSN 6505012321987,
                                                       INJECTION USP 1000MG                                                                                                         METHYLPREDNISOLONE SODIUM
                                                                                                                                                                                    SUCCINATE FOR INJECTION USP
                                                                                                                                                                                    2GRAMS IN 50ML VIAL, NDC
                                                                                                                                                                                    00009079601
680400     Hormones, Adrenal                           METHYLPREDNISOLONE TABLETS USP 4MG I.S. 21          Medrol Dosepak                 F00603459315    SWA            PG         Alt NDC 00009005604
                                                       TABLETS




Bolded text indicates DoD Basic Core Formulary items
Blue background indicates items that are unique to
veterinary medicine                                                                                                      18 of 23 pages                                                                                printed 7/14/2012
CENTCOM VETERINARY FORMULARY                                                                                                                                                                       UPDATED DECEMBER 2010



563200     GI, Prokinetic Agents                       METOCLOPRAMIDE HYDROCHLORIDE 10MG TABLET 100S Reglan                             F00093220301    SWA            BT         DSCP recommends NDC 00031670163,
                                                                                                                                                                                  Alt USAMMCE NDC 51079028320
563200     GI, Prokinetic Agents                       METOCLOPRAMIDE INJECTION USP 5MG/ML 2ML VIAL 25    Reglan                        F10019045002    SWA            PG         DSCP recommends NDC 00031670972.
                                                       PER PACKAGE                                                                                                                Alt NSN 6505012132674,
                                                                                                                                                                                  METOCLOPRAMIDE INJECTION USP
                                                                                                                                                                                  5MG/ML 30ML VIAL, 25S, NDC
                                                                                                                                                                                  00031670924, Alt USAMMCE NDC
                                                                                                                                                                                  61703021011
083092     Antiprotozoals, Miscellaneous               METRONIDAZOLE HCL 500MG IN 100ML SODIUM CHLORIDE Flagyl                          F00338105548    SWA            PG   MAR
                                                       PIGGYBACK BAGS 24S


083092     Antiprotozoals, Miscellaneous               METRONIDAZOLE TABLETS USP 500MG 250S               Flagyl                        F00093085253    SWA            BT          Alt NSN 6505008901840,
                                                                                                                                                                                  METRONIDAZOLE TABLETS 250MG,
                                                                                                                                                                                  100S, NDC 00093085152
840408     Topical Antifungals                         MICONAZOLE SHAMPOO 8 OZ (DERMAZOLE - VIRBAC) FOR Dermazole                       V309-0634       USAMMCE        BT
                                                       VETERINARY USE ONLY
840408     Topical Antifungals                         MICONIZOLE SPRAY 4 OZ FOR VETERINARY USE ONLY                                    V988-1648       USAMMCE        EA
282408     Anxiolytics / Sedatives/Hypnotics,          MIDAZOLAM HYDROCHLORIDE INJECTION 5MG/ML, 10ML, Versed                           F10019002710    SWA            PG   JUN
           Benzodiazepine                              25
561200     GI, Cathartics & Laxatives                  MINERAL OIL USP 1QT OR 946ML                     Mineral Oil                     F00869420610,   SWA            CO

280808     Opiate Agonists                             MORPHINE SULFATE INJECTION 10MG/ML, 1ML           MS                             F00409126130    SWA            PG
                                                       CARTRIDGE UNIT, LUER LOCK, NEEDLELESS, 10S
882800     Vitamins, Multivitamin Preparations         MULTIVITAMIN WITH MINERALS, CHEWABLE TABLETS, 60S Pet-Tabs                                       SWA            BT

281000     Opiate Antagonists                     NALOXONE HYDROCHLORIDE INJECTION USP 0.4MG/ML           Narcan                        F00409121201    SWA            BX         Alt NDC 63481036505 or 63481035810
                                                  1ML AMPUL 10/BX
520416     EENT, Antifungals                      NATAMYCIN OPTHALMIC SUSPENSION USP 15ML BOTTLE          Natacyn Ophth                 F00065064515    USAMMCE        PG   DEC
840404     Topical Antibacterials                 NEOMYCIN SULFATE/BACITRACIN/POLYMYXIN B SULFATE         Neosporin OTC                 F00168001235    SWA            TU         ALT USAMMCE NDC 00472017956
                                                  OINTMENT 15GM
520404     EENT, Antibacterials                   NEOMYCIN, POLYMYXIN B SULFATE & DEXAMETHASONE           Maxitrol Ophth                F61314063136    SWA            TU         DSCP recommends NDC 00065063136.
                                                  0.1% OPHTH OINT 3.5GM                                                                                                           Alt NSN 6505011434644, NEOMYCIN,
520404     EENT, Antibacterials                   NEOMYCIN, POLYMYXIN B SULFATE & DEXAMETHASONE           Maxitrol Ophth                F61314063006    SWA            BT
                                                  SUSPENSION 0.1% DROPS 5ML
402000     Caloric agent                          NUTRICAL VITAMIN GEL 4.25OZ 1S VETERINARY               NUTRICAL VIT 4.250Z 1S        V988-5264       USAMMCE        TU
970000     Miscellaneous Veterinary Agents        NYSTATIN NEOMYCIN SULF                                  Topical Antibiotic for Vet    V472-8359       USAMMCE        TU         ALT USSAMCE REF # V472-5075
                                                  THIOSTREPTON&TRIAMCINOLONE ACETONIDE 7.5ML
           Miscellaneous Veterinary Agents        OMEGADERM MED LG DOG EZ DOSE 28S VETERINARY             OMEGADERM MDLG DOG            V309-0935       USAMMCE        BX   DEC
843600     Topical Skin & Mucous Membrane Agents, OTIFOAM EAR CLEANSER 80Z 12S VETERINARY                 OTIFOAM EAR 80Z 12S           V277-6066       USAMMCE        BX
           Miscellaneous
840416     Topical Anti-infectives, Miscellaneous OTOMAX OINTMENT 15GM PER BOTTLE 1S VETERINARY           OTOMAX OINT 15GM 1S           6505081391465   USAMMCE        EA
920000     Miscellaneous Therapeutic Agents       OXYGEN USP 99% CYLINDER TYPE D 95GL                     Oxygen                        6505001325181   SWA            EA

           Hemoglobin product                          OXYGLOBIN 125ML SOLUTION 2S VETERINARY             OXYGLOBIN 125ML SOL 2S        6509081540045   USAMMCE        PG
760000     Oxytocics                                   OXYTOCIN 10 UNIT/ML 1ML VIAL 25S                   Pitocin                       F61570041605    USAMMCE        PG         Alt NDC 63323001201

080800     Anthelmintics                               PANACUR SUSPENSION 10% 1 LITER 1S VETERINARY       PANACUR SUSP 10% 1L 1S        GEHE-1876208    PRIME VENDOR   EA
281204     Anticonvulsants, Barbiturate                PHENOBARBITAL SODIUM INJ 60MG/ML 1ML CARPUJECT     Phenobarb                     F00409234331    USAMMCE        PG
                                                       SYRINGE, LUER LOCK, W/O NEEDLE, 10S
281204     Anticonvulsants, Barbiturate                PHENOBARBITAL TABLETS USP 32.4 MG 100S             Phenobarb                     F00603516621    USAMMCE        BT         Keep for Vet use only; PB liquid is not a
                                                                                                                                                                                  suitable dosage form for canines as it
                                                                                                                                                                                  puts handlers at risk for bites
882400     Vitamin K Activity                          PHYTONADIONE INJECTION 10MG/ML 1ML 25S             Aqua-Mephyton                 F00409915801    SWA            BX         Alt NDC 00006778064, 10mg/ml, 1ml 6s

522000     EENT, Miotics                               PILOCARPINE HYDROCHLORIDE OPHTHALMIC SOLUTION      Isopto Carpine Ophth          F61314020415    SWA            BT   DEC
                                                       USP 2% 15 ML
401200     Replacement Preparations                    POTASSIUM CHLORIDE CONCENTRATE FOR INJECTION       Potassium Chloride            F00409665305    SWA            PG
                                                       USP 20ML VIAL 25/PG
840416     Topical Anti-infectives, Miscellaneous      POVIDONE-IODINE CLEANSING SOLUTION USP 7.5% 1GL    Betadine Scrub                F67618015101    SWA            BT
                                                       (3780ML)
840416     Topical Anti-infectives, Miscellaneous      POVIDONE-IODINE OINT USP 10% 1GM PACKET 144S       Betadine Ointment             6505081391517   SWA            PG   MAR

840416     Topical Anti-infectives, Miscellaneous      POVIDONE-IODINE OINT USP 10% 1OZ (30 GM) TUBE      Betadine Ointment             F00603059950    USAMMCE        TU

840416     Topical Anti-infectives, Miscellaneous      POVIDONE-IODINE TOPICAL SOLUTION USP 10% 1GL       Betadine Solution             F00603155060    SWA            BT         DSCP recommends NDC 00536182585
                                                       (3780ML)
990000     Antidotes                                   PRALIDOXIME CHLORIDE STERILE USP 1 GM 6S           Protopam                      F60977014101    USAMMCE        BX




Bolded text indicates DoD Basic Core Formulary items
Blue background indicates items that are unique to
veterinary medicine                                                                                                    19 of 23 pages                                                                                     printed 7/14/2012
CENTCOM VETERINARY FORMULARY                                                                                                                                                                        UPDATED DECEMBER 2010



080800     Anthelmintics                                PRAZIQUANTEL INJECTION 10ML FOR VETERINARY USE      Droncit                         GEHE-2191814    USAMMCE      VI
                                                        ONLY (BAYER ANIMAL HEALTH)
080800     Anthelmintics                                PRAZIQUANTEL, PRYANTEL PAMOATE, FEBANTEL            Drontal Plus                    6505081391430   USAMMCE      BT
                                                        TABLETS 68MG FOR VETERINARY USE ONLY 50S (BAYER
                                                        ANIMAL HEALTH)
520800     EENT, Anti-inflammatory Agents               PREDNISOLONE ACETATE OPHTHALMIC SUSPENSION 1%       Pred Forte Ophth                F60758011905    SWA          BT         Alt NDC - 61314-0637-05
                                                        5 ML
680400     Hormones, Adrenal                            PREDNISONE TABLETS USP 10MG I.S. 100 TABLETS PER    Deltasone                       F00054001720    SWA          PG
                                                        PACKAGE
562208     GI, Antiemetics, Antihistamine               PROCHLORPERAZINE MALEATE 10MG TABLET 100S           Compazine                       F00555052202    USAMMCE      BT         Alt NDC 00172369160

           Sympathomimetic                              PROIN 50 CHEWABLE TABS 50MG 60S VETERINARY          PROIN 50MG CHEW 60S             V603-0183       USAMMCE      BT
521600     EENT, Local Anesthetics                      PROPARACAINE HCL 0.5% DROPS 15ML                    Alcaine 0.5% Eye Drops          F00998001615    SWA          BT         Alt NDCs 00998-0016-15 or 11980-0048-
                                                                                                                                                                                    15
280400     General Anesthetics                          PROPOFOL INJECTION 10MG/ML 20ML VIAL 25S            Diprivan                        F00310030022    SWA          PG         Locally controlled as a note Q item per
                                                                                                                                                                                    FRAGO#
843600     Topical Skin & Mucous Membrane Agents, PROTECTOR PAD 4 OZ JAR FOR VETERINARY USE ONLY            Pad Protector                   V988-5192       Nonstocked   JR
           Miscellaneous
561200     GI, Cathartics & Laxatives             PSYLLIUM HYDROPHILIC MUCILLOID W/ASPARTAME                Metamucil OTC                   F37000002404    SWA          PG   DEC
                                                  ORANGE 5.2GM PACKET 30S
080800     Anthelmintics                          PYRANTEL PAMOATE 144MG/ML ORAL SUSPENSION                 Pin-X                           F10956061801    SWA          BT         ALT USAMMCE REF # V568-3737
                                                  (EQUIVALENT TO 50MG PYRANTEL PER ML, 60ML
080800     Anthelmintics                          PYRANTEL PAMOATE 144MG/ML SUSPENSION (50 MG               Pinworm Treatment               V568-5913       USAMMCE      BT
                                                  PYRANTEL PER ML) 1 GALLON FOR VETERINARY USE
801200     Vaccines                               RABIES VACCINE VETERINARY KILLED VIRUS 50 VIALS           Rabies Vaccine Vet              V995-1102       USAMMCE      PG         USAMMCE Catalog Ref # V784-1773 or
                                                  PER PACKAGE                                                                                                                       V995-9225
562812     GI, Histamine H2-Antagonists           RANITIDINE INJECTION USP 25MG/ML 6ML VIAL                 Zantac Inj                      F00173036301    SWA          VI

562812     GI, Histamine H2-Antagonists                 RANITIDINE TABLETS USP 150MG 60 TABLETS PER         Zantac                          F60429070460    SWA          BT         Alt NDC 00781188360; Alt NSN
                                                        BOTTLE                                                                                                                      6505013359163, RANITIDINE TABLETS
                                                                                                                                                                                    USP 150MG 1000S, NDC 00781188310
                                                                                                                                                                                    or 00173034412
           Nonsteroidal Anti-inflammatory Agents        RIMADYL 75MG 60S CHEWABLES VETERINARY               RIMADYL                         6505081391451   SWA          BT   DEC
280804     Nonsteroidal Anti-inflammatory Agents        RIMADYL CHEWABLE 100MG 180S VETERINARY              RIMADYL CHEW                    6505081391526   USAMMCE      BT
280804     Nonsteroidal Anti-inflammatory Agents        RIMADYL INJECTABLE 50MG/ML 20ML VIAL 1S             Rimadyl                         6505081391496   USAMMCE      VI
401200     Replacement Preparations                     RINGER'S INJECTION LACTATED USP 1000ML BAG 12       LACTATED RINGERS (LR)           F00409795309    SWA          PG         Alt NSN 6505014623025, RINGER'S
                                                        BAGS PER PACKAGE                                                                                                            INJECTION LACTATED USP 1000ml,
                                                                                                                                                                                    12s, NDC 00338011704
401200     Replacement Preparations                     RINGER'S INJECTION LACTATED USP 500ML BAG 24 BAGS LACTATED RINGERS (LR)             F00409795303    SWA          PG   DEC
                                                        PER PACKAGE




           Veterinary anti-infective cleaning product   ROCCAL-D PLUS NON-RETURNABLE GAL 1S VETERINARY      ROCCAL-D PLUS 1GL_1S   6505081391482            USAMMCE      GL
           Flea control                                 SCALIBOR PROTECTOR COLLAR 65CM 6S VETERINARY        COLLAR SCALIBOR PROT6S GEHE-1692980             USAMMCE      BX
           Miscellaneous Veterinary Agents              SCHIRMER TEAR TEST BLUE DYE WICKS MEASURES          SCHIRMER TEAR TEST     6640014849445            USAMMCE      EA   DEC
                                                        ANIMAL TEAR 50 COUNT
520492     EENT, Misc. Anti-infectives                  SILVER NITRATE APPLICATORS 6 INCH 100S              Silver Nitrate Sticks           2867001590      SWA          CO         ALT USAMMCE NDC 2867001590

920000     Miscellaneous Therapeutic Agents             SODA LIME NF 2.5LB CARTRIDGE 12 PER PACKAGE         Lime                            6505013628311   SWA          PG   MAR
400800     Alkalinizing Agents                          SODIUM BICARBONATE INJ USP 8.4% 50ML VIAL 25S       Sodium Bicarb                   F00409662502    USAMMCE      PG

401200     Replacement Preparations                     SODIUM CHLORIDE INJECTION USP 0.9% 1000ML BAGS    Sodium Chloride 0.9%       F00409798309           SWA          PG         Alt NDC 00264780000
                                                        12S                                               1000ML
401200     Replacement Preparations                     SODIUM CHLORIDE INJECTION USP 0.9% 500ML BAGS 24S Sodium Chloride 0.9% 500ML F00409798303           SWA          PG   DEC




401200     Replacement Preparations                     SODIUM CHLORIDE INJECTION USP 0.9% 50ML BAGS 84S    Sodium Chloride 0.9% 50ML       F00409798436    SWA          PG   DEC
401200     Replacement Preparations                     SODIUM CHLORIDE INJECTION USP 0.9% 5ML CARPUJECT,   Sodium Chloride                 F00409191835    SWA          PG   DEC
                                                        LUER LOCK, NEEDLELESS, 25S
403600     Irrigating Solutions                         SODIUM CHLORIDE IRRIGATION USP 0.9% 1000ML BOTTLE   Sodium Chloride                 F00409713809    SWA          BX
                                                        12 PER BOX
403600     Irrigating Solutions                         SODIUM CHLORIDE IRRIGATION USP 0.9% 1000ML BOTTLE   Sodium Chloride                 F00409713809    SWA          BX   DEC
                                                        12 PER BOX
523600     EENT, Misc. Drugs                            SODIUM CHLORIDE OPTHALMIC 5% 15ML BTL               Muro 128                        F17478062312    USAMMCE      BT   JUN




Bolded text indicates DoD Basic Core Formulary items
Blue background indicates items that are unique to
veterinary medicine                                                                                                        20 of 23 pages                                                                                printed 7/14/2012
CENTCOM VETERINARY FORMULARY                                                                                                                                                                                          UPDATED DECEMBER 2010



683604     Hormones, Thyroid agents                    SOLOXINE 0.8MG 250S VETERINARY                       SOLOXINE 0.8MG 250S    V270-4338                 USAMMCE                 BT
843600     Topical Skin & Mucous Membrane Agents,      SPRAY PAD TOUGH 4OZ 1S VETERINARY                    SPRAY PAD TOUGH 4OZ 1S 6509081541854             USAMMCE                 EA
           Miscellaneous
970000     Miscellaneous Veterinary Agents             STYPTIC POWDER 14 GM EA VETERINARY                   Kwik-Stop                        V508-2028       USAMMCE                 EA
562832     GI, Protectants                             SUCRALFATE TABLETS 1 GM 500S                         Carafate                         F00093221005    USAMMCE                 BT                00093-2210-05 (Mandatory Contract
                                                                                                                                                                                                       item)
520404     EENT, Antibacterials                        SULFACETAMIDE SODIUM &PREDNISOLONE ACETATE           Blephamide Ophth                 F61314029710    SWA                     BT                Alt NDC 11980002210
                                                       OPHTHALMIC SUSP 10ML
840416     Topical Anti-infectives, Miscellaneous      SULFADIAZINE SILVER CREAM 1% TOPICAL 400GM JAR       Silvadene                        F00591081046    SWA                     JR                ALT USAMMCE NDC 49884060057;
                                                                                                                                                                                                       DSCP recommends NDC 61570013140
081220     Sulfonamides                                SULFAMETHOXAZOLE 800MG & TRIMETHOPRIM 160MG          Septra DS                        F00904272560    SWA                     BT                Alt NDCs 64248011710 & 00093008901
                                                       TABLETS 100S
081220     Sulfonamides                                SULFASALAZINE TABLETS USP 500MG 300S                 Azulfidine                       F59762500002    USAMMCE                 BT    MAR
848000     Topical Sunscreen Agents                    SUNSCREEN PREPARATION SPF-30, WATER-RESISTANT,       Sunscreen OTC                    F65753071666    SWA                     BT    MAR
                                                       SWEAT-RESISTANT, 4OZ BOTTLE
843600     Topical Skin & Mucous Membrane Agents, TACROLIMUS OINTMENT 0.1% 30GM TUBE                        Protopic                         F00469520230    SWA                     TU    Added DEC
           Miscellaneous                                                                                                                                                                   07
           Local Anesthetics                      TELAZOL TILETAMINE HCL ZOLASZEPAM 100MG POWDER                                             650908T000026   USAMMCE                 EA    DEC
                                                  5ML 1S                                                    TILETAMINE
861600     Respiratory Smooth Muscle Relaxants    THEOPHYLLINE EXTENDED-RELEASE TABLETS 200MG 100           Theo-Dur                         F50111048201    SWA                     BT                Alt NDC 00258358301
                                                  TABLETS/BOTTLE
880800     Vitamin B Complex                      THIAMINE HYDROCHLORIDE INJECTION USP 100MG/ML             Vitamin B1                       F63323001302    SWA                     PG    DEC
                                                  2ML VIAL 25/PG
340000     Dental agent                           TOOTHPASTE BEEF 2.5OZ 6S VETERINARY                       TOOTHPASTE BEEF 1S               V309-0192       CJ Status/ Not Available BX
280808     Opiate Agonists                        TRAMADOL HYDROCHLORIDE TABLETS 50 MG 100                  Ultram                           F57664037708    SWA                      BT   JUN
                                                  TABLETS PER BOTTLE

           Topical Anti-infectives, Miscellaneous      TRESADERM 15ML 12S VETERINARY                        Tresaderm                        6509081540048   USAMMCE                 BX    DEC
840600     Topical Anti-inflammatory Agents            TRIAMCINOLONE TOPICAL SPRAY (GENESIS) 16OZ FOR       Genesis                          V309-8933       USAMMCE                 EA
                                                       VETERINARY USE ONLY
522400     EENT, Mydriatics                            TROPICAMIDE OPHTHALMIC SOLUTION USP 1% 15 ML         Mydriacil                        F24208058564    SWA                     BT

99999Z     Anti-Infective Agent                        TYLOSIN TARTRATE 100gm/10ml BTL FOR INJ              Tyylan                           not stocked     Nonstocked                    Added APR
                                                                                                                                                                                           07
840416     Topical Anti-infectives, Miscellaneous      VET ANIMAX OINTMENT 15ML 1S VETERINARY               ANIMAX OINT 15ML 1S              V472-0785       USAMMCE                 EA
561600     GI, Digestants                              VIOKASE POWDER 12 OZ FOR VETERINARY USE ONLY         Viokase                          V975-8341       PRIME VENDOR            BT
960000     Pharmaceutical Aids                         WATER FOR INJECTION STERILE USP VIAL WITH FLIP TOP   Sterile Water                    F00409488720    SWA                     PG
                                                       20 ML 25/PG
403600     Irrigating Solutions                        WATER FOR IRRIGATION STERILE USP 1000ML 12s          Sterile Water                    F00409713909    SWA                     PG    DEC


121200     Adrenergic Agents                           XYLAZINE INJECTION USP VETERINARY 20MG PER ML        Xylazine                         V401-9308       USAMMCE                 VI
                                                       20ML VIAL
242000     Alpha-Adrenergic Blocking Agents            YOBING INJECTABLE 2MG/ML 20ML VIAL 1S VETERINARY     YOBINE INJ 2MG 20ML 1S           V401-3532       USAMMCE                 VI
848000     Topical Sunscreen Agents                    ZINC OXIDE OINTMENT USP 1 OZ (28.35 GM)              Zinc Oxide OTC                   F00472180056    SWA                     TU




Bolded text indicates DoD Basic Core Formulary items
Blue background indicates items that are unique to
veterinary medicine                                                                                                         21 of 23 pages                                                                                                 printed 7/14/2012
        AHFS Description                                  Generic Nomenclature                               Trade Name        Comment                               Date completed
Analgesics, Miscellaneous             ACETAMINOPHEN RECTAL SUPPOSITORIES 120MG, 12S                     Tylenol                no use                                        Mar-06
Miscellaneous Therapeutic Agents      ALENDRONATE SODIUM 10MG TABLET 30s                                Fosamax                Use TMOP                                      Mar-06
                                                                                                                               Comply with DoD Formulary
EENT, Anti-inflammatory Agents        BECLOMETHASONE DIPROPIONATE NASAL SUSPENSION 25GM BOTTLE          Beconase AQ            requirement                                  Mar-06
Antiparkinson Agents                  BENZTROPINE MESYLATE 1MG/ML INJ 2ML AMPULES 5S                    Cogentin               no use                                       Mar-06
Antiparkinson Agents                  BENZTROPINE MESYLATE TABLETS USP 2MG 100S                         Cogentin               no use                                       Mar-06
Antidepressants                       BUPROPION HYDROCHLORIDE EXTENDED RELEASE TABLETS 300MG            Wellbutrin XL          pre-mix remain on                            Mar-06
Quinolones                            CIPROFLOXACIN 400MG IN 200ML D5W PIGGYBACK BAGS 24S               Cipro                  vials remain                                 Mar-06
Caloric Agents                        DEXTROSE 5% & SODIUM CHLORIDE 0.225% INJECTION 1000ML BAGS        D5-1/4NS               voted off formulary                          Mar-06
Caloric Agents                        DEXTROSE 5% WATER/LACTATED RINGERS 1L 12S                         D5-LR                  voted off formulary                          Mar-06
Caloric Agents                        DEXTROSE INJECTION USP 5% 50ML BAG 84 BAGS PER PACKAGE            D5W                    100ml bag remain                             Mar-06
Cardiotonic Agents                    DIGOXIN 0.25MG TABLETS 100S                                       Lanoxin                no use                                       Mar-06
Cardiotonic Agents                    DIGOXIN 50MCG/ML ELIXIR 60ML BOTTLE                               Lanoxin                no use                                       Mar-06
                                      DIPHTHERIA AND TETANUS TOXOIDS ADSORBED USP PEDIATRIC SINGLE
Toxoids                               DOSE VIAL 0.5ML 10S                                               DT                     not use                                      Mar-06
Adrenergic Agents                     DOPAMINE HYDROCHLORIDE INJECTION 40MG/ML, 5ML VIAL 25S            Intropin               pre-mix remains available                    Mar-06
                                      ENTERAL FORMULA, SPECIALIZED FOR METABOLICALLY STRESSED
Caloric Agents                        PATIENTS (1.3 CAL.ML) 1000ML RTU, 8S (ROSS PRODUCTS)              Perative               Replaced with Pivot                          Jun-06
                                      ENTERAL FORMULA, THICKENING POWDER, 6.4GM PACKETS, 75S
Caloric Agents                        (NOVARTIS MEDICAL NUTRITION)                                      Resource ThickUp       voted off formulary                          Jun-06
Antidepressants                       ESCITALOPRAM 10 MG                                                Lexapro                PEC reqt                                     May-07
Antidepressants                       ESCITALOPRAM 20 MG                                                Lexapro                PEC reqt                                     Jun-07
Antilipemic Agents, Fibric Acid
Derivatives                           FENOFIBRATE, MICRONIZED 145MG TABLETS 90s                         Tricor                 no use                                       Mar-06
Antilipemic Agents, Fibric Acid
Derivatives                           FENOFIBRATE, MICRONIZED 160MG TABLETS 90s                         Tricor                 no use                                       Mar-06
Antilipemic Agents, Fibric Acid
Derivatives                           FENOFIBRATE, MICRONIZED 48MG TABLETS 90s                          Tricor                 no use                                       Mar-06
Antilipemic Agents, Fibric Acid
Derivatives                           FENOFIBRATE, MICRONIZED 54MG TABLETS 90s                          Tricor                 no use                                       Mar-06
                                      FLUCONAZOLE POWDER FOR ORAL SUSPENSION 200MG/5ML, 35ML IN
Antifungals, Azoles                   60ML BOTTLE                                                       Diflucan               no use                                        Mar-06
Quinolones                            GATIFLOXACIN 400MG IN 200ML D5W PIGGYBACK BAGS 10S                Tequin                 Removed from market by FDA            Action: JUN 07
Quinolones                            GATIFLOXACIN TABLETS 400MG 50S                                    Tequin                 Removed from market by FDA            Action: JUN 07
Quinolones                            GATIFLOXACIN TABLETS 400MG I.S. 100S                              Tequin                 Removed from market by FDA            Action: JUN 07
                                      HEPARIN SODIUM 25,000 UNITS IN 0.45% SODIUM CHLORIDE INJ 500ML
Anticoagulants                        BAG 24S                                                           Heparin                removing pre-filled bag                      Mar-06
                                      IMIPRAMINE HYDROCHLORIDE TABLETS USP 25MG 100 TABLETS PER
Antidepressants                       BOTTLE                                                            Tofranil               other agents available                       Mar-06
Antiretroviral Agents                 INDINAVIR SULFATE CAPSULES 200MG 360S                             Crixivan               updated HIV PEP guidelines                   Jun-07
                                      INFANT FORMULA WITH IRON, POWDER, 454GM CAN (MEAD JOHNSON
Caloric Agents                        NUTRITIONALS)                                                     Pregestimil            voted off formulary                          Jun-06
                                      MENINGOCOCCAL POLYSACCHARIDE VAC GRPS A,C,Y&W-135
Vaccines                              COMBINED 10DS                                                     Menomune               Product relaced with Menactra                Mar-06
GI, Prostaglandins                    MISOPROSTOL 100MCG TABLET 120S                                    Cytotec                no use                                       Mar-06
Antiretroviral Agents                 NELFINAVIR MESYLATE 250MG TABLET 300S                             Viracept               updated HIV PEP guidelines                   Jun-07
Antiretroviral Agents                 NEVIRAPINE 200mg TABLETS 60S                                      Viramune               updated HIV PEP guidelines                   Jun-07
                                      NORETHINDRONE 1.5MG AND ETHINYL ESTRADIOL 30MCG X 21 TABLETS
Hormones, Contraceptive               & FERROUS FUMARATE 75MG X 7 TABLETS, 28 TABLETS/PACK, 30S         LoEstrin Fe 1.5/30     voted off formulary                          Jun-06
                                      NORETHINDRONE 1MG AND ETHINYL ESTRADIOL 20MCG X 21 TABLETS &
Hormones, Contraceptive               FERROUS FUMARATE 75MG X 7 TABLETS, 28 TABLETS/PACK, 5S            LoEstrin Fe 1/20       voted off formulary                          Jun-06
EENT, Misc. Drugs                     OPHTHALMIC IRRIGATING SOLUTION 500ML BOTTLE W/HANGING DEVICE      BSS Irrigation         ophth recommendation                         Mar-06
                                      OPIUM POWDERED AND BELLADONNA EXTRACT SUPPOSITORIES
Opiate Agonists                       12/PACKAGE                                                        B&O                    not use                                      Mar-06
Miscellaneous Therapeutic Agents      TAMSULOSIN HCL 0.4MG CAPSULE SUSTAINED RELEASE 100s               Flomax                 Replaced with Uroxatral                      Jun-06
Antiretroviral Agents                 STAVUDINE CAPSULES 30MG 60S                                       Zerit                  updated HIV PEP guidelines                   Jun-07
Antiretroviral Agents                 STAVUDINE CAPSULES 40MG 60S                                       Zerit                  updated HIV PEP guidelines                   Jun-07
Alpha-Adrenergic Blocking Agents      TERAZOSIN HCL 2MG CAPSULE 100S                                    Hytrin                 Use TMOP                                     Mar-06
Adrenergic Agents                     TERBUTALINE SULFATE INJECTION USP 1MG/ML 1ML VIAL 10s             Brethine               no use                                       Mar-06
                                      TETANUS AND DIPHTHERIA TOXOIDS FOR ADULT USE ADSORBED USP                                Product relaced with TDAP /
Toxoids                               5ML                                                               TD                     ADACEL or BOOSTRIX                           Mar-06

Anticonvulsants, Miscellaneous        VALPROATE SODIUM 250MG/5ML SYRUP 480                              Depakene               no use                                       Mar-06
Analgesics, Miscellaneous             ACETAMINOPHEN TABLETS USP 500 MG 100S                             Tylenol                100 to 50 count for safety reasons           Sep-07
Disinfectants                         ANTIBACTERIAL ALCOHOL MOISTURIZING FOAM NO RINSE 110Z 24S         Alcare Foam            low use                                      Dec-07
Antimuscarinics                       BELLADONNA ALKALOIDS AND PHENOBARBITAL TABLETS 1000S              Donnatal               low use                                      Dec-07
Antihistamines, First Generation      BROMPHENIRAMINE MALEATE AND PSEUDOEPHEDRINE ELIXIR 4 OZ.          Dimetapp
                                                                                                                               low use
                                                                                                                               Glass product. Switch to Ciprodex            Dec-07
EENT, Antibacterials                  CIPROFLOXACIN 0.2% & HYDROCORTISONE 1% OTIC DROPS                 CIPRO HC OTIC          since plastic btl and acceptable as          Sep-07
EENT, Antibacterials                  CIPROFLOXACIN HCL 0.3% OPHTHALMIC DROPS 5ML                       Ciloxan Ophth          Vigamox preferred agent                      Dec-07
EENT, Mydriatics                      CYCLOPENTOLATE HCL 2% OPHTHALMIC SOLN 5ML                         CYCLOGYL 2%
                                                                                                        OPHTH SOLN             Cyclogyl 1% available                        Dec-07
Caloric Agents                        DEXTROSE 5% & SODIUM CHLORIDE 0.225% INJECTION 1000ML BAGS        D5-1/4NS               low use                                      Dec-07
Antimuscarinics                       DICYCLOMINE HYDROCHLORIDE 10MG CAPSULES 100S                      BENTYL                 20mg tabs available                          Dec-07
Adrenergic Blocking Agents            DIHYDROERGOTAMINE MESYLATE 1MG/ML AMPUL 10S                       DHE-45                 Low use, alternative agents                  Sep-07
Caloric Agents                        Enteral Diabetic Formula                                          Glucerna               Dietary Consultant recommendation            Sep-07
Caloric Agents                        ENTERAL FORMULA, ELEMENTAL, LOW FAT, POWDER, 2.84 OZ.             Vivonex T.E.N.
                                      PACKETS, 60S (NOVARTIS MEDICAL NUTRITION)                                                Dietary Consultant recommendation            Sep-07
Caloric Agents                        ENTERAL FORMULA, ISOTONIC, HIGH PROTEIN (1 CAL/ML), 1000ML RTU,   Osmolite 1 Cal
                                      8S (ROSS PRODUCTS)                                                                       Dietary Consultant recommendation            Sep-07
Caloric Agents                        ENTERAL FORMULA, PROTEIN MODULE, POWDER, 9.7 OZ. CANS, 6S         ProMod
                                      (ROSS PRODUCTS)                                                                          Dietary Consultant recommendation            Sep-07
Adrenergic Blocking Agents            ERGOTAMINE TARTRATE AND CAFFEINE TABLETS USP 100S                 xala                   Low use, alternative agents                  Sep-07
Opiate Agonists                       FENTANYL CITRATE 0.05MG/ML 2ML AMPUL 10S                          Sublimaze              Replace ampule with 2ml Tubex to
                                                                                                                               facilitate administration                    Sep-07
Anticoagulants                        HEPARIN LOCK FLUSH SOLUTION 100 UNITS PER ML 1ML SYRINGE 50S Heparin                                                                  Sep-07
Replacement Preparations              HETASTARCH 6% IN LACTATED ELECTROLYTES 500ML PLASTIC BAG 12S Hextend                     Hespan available on formulary                Dec-07
Angiotensin II Receptor               IRBESARTAN 150MG TABLET 90S                                  Avapro                      DOD formuary change, options are
Antagonists                                                                                                                    Temisartan & Losartan                        Sep-07
Angiotensin II Receptor               IRBESARTAN 75MG TABLET 90S                                        Avapro                 DOD formuary change, options are
Antagonists                                                                                                                    Temisartan & Losartan                        Sep-07
Antineoplastic Agents                 LEUPROLIDE ACETATE EXTENDED RELEASE INJ 11.25MG                   Lupron Depot           Transition to Goserelin 10.8mg               Sep-07
Antineoplastic Agents                 LEUPROLIDE ACETATE EXTENDED RELEASE INJ 3.75MG                    Lupron Depot           Transition to Goserelin 3.6mg                Sep-07
Adrenergic Agents                     LEVALBUTEROL 0.63 MG/3ML INHALTION SOLN                           Xopenex                Low use                                      Sep-07
Adrenergic Agents                     LEVALBUTEROL 1.25 MG/3ML INHALATION SOLN                          Xopenex                Low use                                      Sep-07
GI, Anti-inflammatory Agents          MESALAMINE ENEMA                                                  Rowasa                 low use                                      Dec-07
Topical Skin & Mucous Membrane        PIMECROLIMUS 1% CREAM, 30GM                                       Elidel
Agents, Miscellaneous                                                                                                          Replaced by Tacrolimus in DEC 07             Dec-07
EENT, Misc. Drugs                     POLYVINYL ALCOHOL 1% DROPS 15ML                                   HypoTears Ophth        use artificial tears                         Dec-07
Antilipemic Agents, HMG-CoA           PRAVASTATIN TABLETS 40MG 90S                                      Pravachol              Low use, use 20mg tabs for higher
Reductase Inhibitors                                                                                                           dose                                         Sep-07
GI, Cathartics & Laxatives            PSYLLIUM HYDROPHILIC MUCILLOID WITH SUCROSE 390 GRAMS             Metamucil              Psyllium packets available                   Dec-07
Proton Pump Inhibitors                RABEPRAZOLE SODIUM 20MG TABLET DR 90S                             Aciphex                DOD formulary change to
                                                                                                                               Esomeprazole                                 Sep-07
Proton Pump Inhibitors                RABEPRAZOLE SODIUM 20MG TABLET DR 90S                             Aciphex                DOD PTC change to Nexium                     Dec-07
EENT, Misc. Drugs                     SILICONE OPHTHALMIC OIL STERILE 10ML VIAL                         Silicone Ophth         low use                                      Dec-07
Antilipemic Agents, HMG-CoA           SIMVASTATIN TABLETS USP 80MG 90S                                  Zocor                  Low use, use 40mg tabs for higher
Reductase Inhibitors                                                                                                           dose                                         Sep-07
Replacement Preparations              SODIUM CHLORIDE INJECTION USP 0.9% 20ML SINGLE DOSE VIAL 100S     Sodium Chloride 0.9%
                                                                                                        20ML                   low use                                      Dec-07
EENT, Misc. Drugs                     TETRAHYDROZOLINE 0.05% OPHTHALMIC SOLN                            VISINE-A or
                                                                                                        NAPHCON-A EYE
                                                                                                        SOLN                   other alternatives available                 Dec-07
Vitamin B Complex                     THIAMINE HYDROCHLORIDE TAB 50 MG 100S                             Vitamin B1             low use                                      Dec-07
GI, Antiemetics, Antihistamine        TRIMETHOBENZAMIDE 200MG SUPPOSITORIES 50S                         Tigan                  low use                                      Dec-07
Diagnostic, Tuberculosis              TUBERCULIN PURIFIED PROTEIN DERIVATIVE 5 UNITS PER 0.1ML          Aplisol                Transition to Tubersol                       Sep-07
Diagnostic, Tuberculosis              TUBERCULIN PURIFIED PROTEIN DERIVATIVE 5 UNITS PER 0.1ML          Aplisol                Transition to Tubersol                       Sep-07
Vitamin E                             VITAMIN E 400 UNIT CAPSULE 100s                                   Vitamin E              low use                                      Dec-07
Alpha-Adrenergic Blocking Agents      YOHIMBINE INJECTION 2MG/ML 20 ML VIAL (LLOYD LABORATORIES)        Yobine                 Low use, alternative agents                  Sep-07
Anxiolytics / Sedatives/ Hypnotics,   ZALEPLON 10MG CAPSULES 100S                                       Sonata
Miscellaneous                                                                                                                  DOD formulary change to Lunesta              Sep-07
Antiretroviral Agents                 ZIDOVUDINE CAPSULES 100MG 100S                                    Retrovir               updated HIV PEP guidelines                   Jun-07
Anti-infectives, Urinary              NITROFURANTOIN MACROCRYSTAL 50MG CAPSULE 100s                     Macrodantin            Macrobid on formulary                        Mar-08
Antiprotozoals, Miscellaneous        METRONIDAZOLE TABLETS USP 500MG I.S. 100S                      Flagyl                    No demand for UD packaging               Mar-08
Antiretroviral Agents                LAMIVUDINE TABLETS 150 MG 60S                                  Epivir                    Multiple agents available for PEP        Mar-08
Beta-Lactam Antibiotics,             CEFOTETAN DISODIUM STERILE 2GM VIAL 10S                        Cefotan
Miscellaneous                                                                                                                 Cefoxitin 2gm available                  Mar-08
Cephalosporins                       CEFEPIME HYDROCHLORIDE 1GM VIAL                                Maxipime                  ID Consultants recommend use of
                                                                                                                              Zosyn                                    Mar-08
Cephalosporins                       CEFEPIME HYDROCHLORIDE 2GM VIAL                                Maxipime                  ID Consultants recommend use of
                                                                                                                              Zosyn                                    Mar-08
Cephalosporins                       CEFEPIME HYDROCHLORIDE 500MG 10S                               Maxipime                  ID Consultants recommend use of
                                                                                                                              Zosyn                                    Mar-08
Local Anesthetics                    ROPIVACAINE HYDROCHLORIDE 0.2% (2MG/ML) INFUSION BOTTLE 100ML Naropin                    Multiple concentrations and sizes
                                                                                                                              available                                Mar-08
Macrolides                           ERYTHROMYCIN LACTOBIONATE FOR INJECTION USP 500MG VIAL 10S     Erythrocin                                                         Mar-08
Miscellaneous Therapeutic Agents     TIROFIBAN HYDROCHLORIDE INFUSION 50MCG/ML, 250ML BAG           Aggrastat                 Use eptifibitide (Integrelin)            Mar-08
Penicillins                          DICLOXACILLIN SODIUM CAPSULES USP 250MG 100S                   Dynapen                                                            Mar-08
Topical Antifungals                  GENTIAN VIOLET 1% TOPICAL SOLUTION, USP, 30ML                  Gentian Violet                                                     Mar-08
Topical Antifungals                  MICONAZOLE NITRATE 2% CREAM 30GM, 24S                          Monistat Derm                                                      Mar-08
Topical Antifungals                  TOLNAFTATE TOPICAL SOLUTION USP 1% 10 ML                       Tinactin OTC                                                       Mar-08
Topical Astringents                  CALCIUM ACETATE AND ALUMINUM SULFATE POWDER FOR SOLUTION       Domeboro Packet           OTC version available                    Mar-08
Topical Keratolytic Agents           PODOPHYLLUM RESIN TOPICAL SOLUTION USP 15ML BOTTLE             Podocon-25                Use Aldara or Condylox                   Mar-08
Topical Skin & Mucous Membrane       BENZOIN TINCTURE COMPOUND USP 1 PINT OR 473 ML                 Benzoin Tincture
Agents, Miscellaneous                                                                                                         Alternate size available                 Mar-08
Vaccines                             SMALLPOX VACCINE USP 100 DOSES WITH DILUENT AND NEEDLES        Dryvax                                                             Mar-08
Topical Antibacterials               METRONIDAZOLE 0.75% TOPICAL GEL 45GM                           METROGEL 0.75%
                                                                                                    TOP GEL 45GM              1% gel available                         Mar-08
Calcium-Channel Blocking Agents, FELODIPINE 5MG TABS                                                Plendil
Dihydropyridines                                                                                                              Amlodipine 5mg                           Mar-08
Expectorants                     GUAIFENESIN 600MG AND PSEUDOEPHEDRINE HCL 120MG EXTENDED-          Entex PSE                 Mfg Discontinued. Mucinex-D
                                 RELEASE TABLETS100S                                                                          substitute                               Mar-08
Analgesics, Miscellaneous        ISOMETHEPTENE/ACETAMINOPHEN/DICHLPHEN 65-325-100 CAPSULE           Midrin                    Continued mfr shortages and use
                                 100S                                                                                         has fallen out of favor                  May 08
Antipsychotics                   OLANZAPINE TABLETS 5 MG 60S                                        Zyprexa                   Zyprexa Zydis oral disintegrating tab
                                                                                                                              replaces                                 May 08
Anxiolytics / Sedatives/Hypnotics,   CHLORDIAZEPOXIDE HYDROCHLORIDE CAPSULES USP 10MG 1000S         Librium
Benzodiazepine                                                                                                                                                         May 08
General Anesthetics                  THIOPENTAL SODIUM FOR INJECTION USP 0.5GM 500ML BOTTLE 25/PG   Pentothal                                                          May 08
General Anesthetics                  THIOPENTAL SODIUM FOR INJECTION USP 500MG VIAL 25              Pentothal                                                          May 08
Stimulants, Respiratory and          MODAFINIL 100MG TABLET 100s                                    Provigil
Cerebral                                                                                                                                                               May 08
Stimulants, Respiratory and          MODAFINIL 200MG TABLET 100s                                    Provigil
Cerebral                                                                                                                                                               May 08
Antidepressants                      BUPROPION HYDROCHLORIDE TABLETS 100MG 100 TABLETS PER          Wellbutrin                                                         May 08
Stimulants, Respiratory and          DEXTROAMPHETAMINE & AMPHETAMINE 15MG TABLETS 100S              ADDERALL 15MG
Cerebral                                                                                            TABS                                                               May 08
Stimulants, Respiratory and          Dexroamphetamine/Amphetam 20mg tablet                          ADDERALL 20MG
Cerebral                                                                                            TABS                                                               May 08
Anticonvulsants, Miscellaneous       VALPROIC ACID 250MG CAPSULE 100S                               Depakene                                                           May 08
Anticonvulsants, Barbiturate         PHENOBARBITAL TABLETS USP 32.4 MG 100S                         Luminal                   Keep for Vet use only; PB liquid is
                                                                                                                              not a suitable dosage form for
                                                                                                                              canines as it puts handlers at risk
                                                                                                                              for bites                                May 08
Nonsteroidal Anti-inflammatory       ASPIRIN ENTERIC COATED 325MG TABLETS 100S                      Ecotrin                   Deleted from Vet Formulary only;
Agents                                                                                                                        use is not recommended in dogs           May 08
Nitrates and Nitrites                AMYL NITRATE INHALANT USP 0.300ML AMPUL 12 PER PACKAGE         Amyl Nitrate              Deleted from Vet Formulary only          May 08
Antibacterials, Miscellaneous        SULFACETAMIDE SOD 10% OPHTHALMIC OINT                          AK-
                                                                                                    Sulf/Sulamyd/Bleph        no longer commercially available         May 08
Vitamins, Multivitamin Preparations MULTIVITAMIN WITH MINERALS, CHEWABLE TABLETS, 60S               Flintstones Complete      Delete from Vet Formulary; Pet-
                                                                                                                              Tabs is used by Vets                     May 08
Anticonvulsants, Hydantoin           FOSPHENYTOIN SODIUM INJECTION 50MG/ML 10 ML VIAL 25S           Cerebyx                   Line-item extension deletion only;
                                                                                                                              package of 10s still on Formulary        May 08
Antidiabetic Agents, Miscellaneous   ROSIGLITAZONE MALEATE 2MG TABLETS, 60S                         Avandia                   Replaced by Actos                        May 08
Antidiabetic Agents, Miscellaneous   ROSIGLITAZONE MALEATE 4MG TABLETS, 30S                         Avandia                   Replaced by Actos                        May 08
Genitourinary Smooth Muscle          OXYBUTYNIN 5MG XL TABS 100s                                    Ditropan XL
Relaxants                                                                                                                                                              May 08
EENT, Misc. Drugs                    TIMOLOL MALEATE 0.5% OPHTHALMIC GEL-FORMING SOLUTION 5ML       Timoptic-XE               Replaced by Timolol maleate
                                     BOTTLE                                                                                   (Timoptic) 0.5% ophthalmic soln 5
                                                                                                                              mL btl                                   May 08
GI, Antiemetics,     5-HT3           ONDANSETRON HYDROCHLORIDE INJECTION 2MG/ML 20ML VIAL           Zofran
Receptor Antagonists                                                                                                          Replace with 2 mL vial size              May 08
Adrenergic Agents                    DOPAMINE 800MG IN D5W 250ML BAG 12S                            Intropin                  Replace with 400 mg/D5W 250 mL
                                                                                                                              premix                                   May 08
Serums                               GLOBULIN RABIES IMMUNE 150 UNIT PER ML 2 ML VIAL               BayRab                    Replace with 10 mL vial size             May 08
Opiate Antagonists                   NALOXONE HYDROCHLORIDE INJECTION USP 0.4MG/ML 1ML AMPUL        Narcan                    Replace with 1 mg/mL prefilled
                                     10/BX                                                                                    syringe                                  May 08
Beta-Adrenergic Blocking Agents      LABETALOL HYDROCHLORIDE INJECTION USP 5MG/ML 20ML VIAL         Normodyne                 Replace with 5mg/mL prefilled
                                                                                                                              syringe                                  May 08
Beta-Adrenergic Blocking Agents      METOPROLOL TARTRATE INJECTION USP 1MG/ML 5ML AMPUL 5S          Lopressor                 Replace with 1 mg/mL 5 mL
                                                                                                                              prefilled syringe                        May 08
Calcium-Channel Blocking Agents, DILTIAZEM 120MG TABS 90s                                           Cardizem                  Replace with 60 mg tabs to allow
Miscellaneous                                                                                                                 for easier dose titration                Sep 08
Toxoids                          TETANUS TOXOID (ADSORBED) 5ML                                      TETANUS TOXIOD            Replaced by Tetanus-Diptheria
                                                                                                    (Adsorbed)                Toxoids (Td)                             Sep 08
Hemostatics                          FACTOR VIIa, RECOMBINANT 2400MCG VIAL                          Novo-Seven                Novo-Seven RT (room temperature
                                                                                                                              stable) product replaces Novo-
                                                                                                                              Seven; Novo-Seven RT will replace
                                                                                                                              Novo-Seven as current stocks
                                                                                                                              depleted                                 Sep 08
Caloric Agents                       INFANT AND PEDIATRIC FORMULA                                   Enfamil w/Iron
                                                                                                    20kcal/ounce                                                       Dec 08
Caloric Agents                       INFANT AND PEDIATRIC FORMULA                                   Enfamil w/Iron
                                                                                                    24kcal/ounce                                                       Dec 08
Caloric Agents                      ENTERAL FORMULA, MEDIUM CHAIN TRIGLYCERIDE OIL MODULE, 32 OZ.   MCT Oil
                                    BT, 6S (NOVARTIS MEDICAL NUTRITION)                                                                                                Dec 08
EENT, Misc. Anti-infectives         SILVER NITRATE 0.5% TOPICAL SOLUTION                            Silver Nitrate Solution                                            Dec 08
Vitamins, Multivitamin Preparations MULTIVITAMIN, FLUORIDE, & IRON SOLUTION, PEDIATRIC, 50ML        Vi-Daylin/F with Iron
Vitamin A                           VITAMIN A CAPSULES USP 25,000 INTERNATIONAL UNITS 100S          Vitamin A                 6505014781148
GI, Emetics                         IPECAC SYRUP USP 7% 30ML                                        Ipecac                    F00574001201                             Mar 09
Miscellaneous Therapeutic Agents NITROUS OXIDE USP SIZE M CYLINDER 2000GL                           Nitrous Oxide             NOT CATALOGUED
Miscellaneous Therapeutic Agents NITROUS OXIDE USP STEEL CYLINDER 7LBS LIQUID NITROUS OXIDE         Nitrous Oxide             NOT CATALOGUED
Topical Skin & Mucous Membrane PROTECTOR PAD 4 OZ JAR FOR VETERINARY USE ONLY                       Pad Protector (no         V988-5192
Agents, Miscellaneous                                                                               longer cataloged)
Miscellaneous Therapeutic Agents SOLUTION SURGICAL (IODINE 0.7% & ISOPROPYL ALCOHOL 74%) LARGE      Surgical Iodine           NOT CATALOGUED
                                    SIZE APPLICATOR 26ML 20 PER PACKAGE                             Solution
Quinolones                          CIPROFLOXACIN TABLETS USP 500MG I.S. 30 TABLETS PER PACKAGE     Cipro                     6505014912834
                                    (MCDM)
Roentgenography                     IOPAMIDOL 61% 15ML VIAL 10S                                     Isovue-M 300              F00270141215
EENT, Misc. Drugs                   LATANOPROST SOLUTION 50 MG/ML 2.5 ML                            Xalatan                   F00013830304                              Jun 09
Antidepressants                     DOXEPIN HYDROCHLORIDE 25MG CAPSULE 100s                         Sinequan                  F00378312501                              Jun 09
Antilipemic Agents, Miscellaneous EZETIMIBE/SIMVASTATIN 10MG/10 MG TABLET                           Vytorin                   F66582031154                             SEP 09
Antilipemic Agents, Miscellaneous EZETIMIBE/SIMVASTATIN 10MG/20 MG TABLET                           Vytorin                   F66582031254                             SEP 09
Antilipemic Agents, Miscellaneous EZETIMIBE/SIMVASTATIN 10MG/40 MG TABLET                           Vytorin                   F66582031354                             SEP 09
Antilipemic Agents, Miscellaneous EZETIMIBE/SIMVASTATIN 10MG/80 MG TABLET                           Vytorin                   F66582031554                             SEP 09
Beta-Adrenergic Blocking Agents     ESMOLOL HYDROCHLORIDE INJECTION 250MG 10ML AMPUL 10S            Brevibloc                 F55390006210                             SEP 09
Pharmaceutical Aids                 ALCOHOL DEHYDRATED USP 1 PT (473 ML) BOTTLE                     Alcohol                   6505001050000                           MAR 10
Pharmaceutical Aids                 ALCOHOL USP 5 GALLONS                                           Alcohol                   6505001049000                           MAR 10
Pharmaceutical Aids                 ETHYL ALCOHOL 98% AMPUL 1ML 10S                                 Alcohol                   F00517857110                            MAR 10
Analgesics, Miscellaneous           ISOMETHEPTENE/ACETAMINOPHEN/DICHLPHEN 65-325-100 CAPSULE        Midrin                    F64125010101                             Mar-11

								
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