Sample Formulary
Pain Management
Product ID C3132 C3142 G3123 G1175 G0526 G2720 G1757 G2316 G1390 G1837 C1877 C1894 C3281 C3286 C1962 G2085 G2095 G2108 G2120 G2581 G2590 G2561 G2187 G2196 G0270 G0401 C0910 G3149 G3160 Description Acetaminophen w/Codeine Tablets 300/30mg #30 Acetaminophen w/Codeine Tablets 300/60mg #30 Acetaminophen Tablets 500mg #30 Amitriptyline Tablets 25mg #30 Baclofen Tablets 20mg #30 Carisoprodol Tablets 350mg #30 Cephalexin Capsules 500mg #30 Chlorzoxazone Tablets 500mg #30 Cyclobenzaprine Tablets 10mg #30 Etodolac Tablets 400mg #30 Hydrocodone/APAP Tablets 10mg/650mg #30 Hydrocodone/APAP Tablets 7.5mg/500mg #30 Hydrocodone/APAP Tablets 5mg/500mg #30 Hydrocodone/APAP Tablets 7.5mg/750mg #30 Hydrocodone/APAP Tablets 10mg/325mg #30 Ibuprofen Tablets 200mg #30 Ibuprofen Tablets 400mg #30 Ibuprofen Tablets 600mg #30 Ibuprofen Tablets 800mg #30 Methocarbamol Tablets 500mg #40 Methocarbamol Tablets 750mg #40 Nabumetone Tablets 500mg #30 Naproxen Tablets 375mg #30 Naproxen Tablets 500mg #30 Naproxen Sodium Tablets 220mg #30 Naproxen Sodium Tablets 550mg #30 Propoxyphene Napsylate/APAP Tablets 100mg/650mg #30 Tramadol Tablets 50mg #30 Tramadol/APAP Tablets 37.5g/325mg #30 Brand Name Tylenol #3 Tylenol #4 Tylenol Elavil Lioresal DS Soma Keflex Parafon Forte DSC Flexeril Lodine Lorcet 10/650 Lortab 7.5/500 Vicodin Vicodin ES Norco 10/325 Motrin Motrin Motrin Motrin Robaxin Robaxin Relafen Naprosyn Naprosyn Aleve Anaprox DS Darvocet N 100 Ultram Ultracet
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