Sample Formulary
Top 250 Medications
Product ID G3115 G3117 G3121 G3123 G3124 G4050 G3353 C3316 C3312 C3317 G1168 G1175 G0310 G0320 G0309 G0315 G0318 G0322 G0326 G0332 G3480 G4940 C4035 C3132 C3142 C3128 C3125 C3126 G2858 G2859 G2862 G3500 G0527 G1058 G2868 G4230 G4231 G0605 G0604 G1366
Generic Name Acetaminophen 325mg #20 Acetaminophen 325mg #30 Acetaminophen 500mg #20 Acetaminophen 500mg #30 Acetaminophen Chew 80mg #30 Acetaminophen Drops 80mg 15ml Acyclovir 200mg #25 Alprazolam 0.25mg #30 Alprazolam 1mg #30 Alprazolam 0.5mg #30 Amitriptyline 10mg #30 Amitriptyline 25mg #30 Amoxicillin 250mg #30 Amoxicillin 500mg #30 Amoxicillin Caps 250mg #21 Amoxicillin Caps 500mg #15 Amoxicillin Caps 500mg #21 Amoxicillin Caps 500mg #40 Amoxicillin Caps 875mg #20 Amoxicillin Chew 250mg #30 Amoxicillin Susp 250mg/5ml 150ml Antipyrine/Benzocaine Otic Drops 15ml APAP w/Codeine Elixir 118ml APAP/Codeine 300/30mg #30 APAP/Codeine 300/60mg #30 APAP/Codeine 300/30mg #20 APAP/Codeine 300/30mg #12 APAP/Codeine 300/30mg #15 Atenolol 100mg #30 Atenolol 25mg #30 Atenolol 50mg #30 Azithromycin 250mg #6 Baclofen 10mg #30 Belladonna #30 Benzonatate 100mg #20 Betamethasone Dipropionate Cream 0.05% 45g Betamethasone Dipropionate Ointment 0.05% 15g Bisoprolol/HCTZ 10/6.25mg #30 Bisoprolol/HCTZ 5/6.25mg #30 Butalbital/Caffeine/APAP #30
Proprietary and Confidential © 2006 Wellinx, Inc.
Brand Name Tylenol Tylenol Tylenol ES Tylenol ES Tylenol Children's Chewable Tylenol Zovirax Xanax Xanax Xanax Elavil Elavil Amoxil Amoxil Amoxil Amoxil Amoxil Amoxil Amoxil Amoxil Amoxil Auralgan Tylenol w/Codeine Elixir Tylenol #3 Tylenol #4 Tylenol #3 Tylenol #3 Tylenol #3 Tenormin Tenormin Tenormin Zithromax Z Pack Lioresal Donnatal Tessalon Perles Diprosone Diprosone Ziac Ziac Fiorocet
G0663 G4980 G2719 G2720 G0767 G1089 G1748 G1750 G1759 G1756 G1758 G1757 G1760 G2314 G2316 G2811 G2812 G0780 G0777 G0778 G0762 G0719 G0729 G1386 G1388 G1390 G0951 C3181 C3179 C3177 C3178 C3167 C3168 C3175 G0706 G3316 G3322 G1118 G0589 G0560 G0550 G3570 C1857 G0831 G0698 G0710 G3272 G2553 G3270 G3184 G3188 G3181
Captopril 50mg #30 Carbamoxide 6.5% 15ml Carisoprodol 350mg #20 Carisoprodol 350mg #30 Cefaclor 250mg #30 Cefadroxil 500mg #10 Cephalexin 250mg #20 Cephalexin 250mg #40 Cephalexin 500mg #14 Cephalexin 500mg #20 Cephalexin 500mg #28 Cephalexin 500mg #30 Cephalexin 500mg #40 Chlorzoxazone 500mg #20 Chlorzoxazone 500mg #30 Cimetidine 300mg #30 Cimetidine 400mg #30 Ciprofloxacin 500mg #10 Ciprofloxacin 500mg #14 Ciprofloxacin 500mg #20 Clindamycin 150mg #30 Clonidine 0.1mg #30 Clonidine 0.2mg #30 Cyclobenzaprine 10mg #15 Cyclobenzaprine 10mg #20 Cyclobenzaprine 10mg #30 Dexamethasone 4mg #6 Diazepam 10mg #20 Diazepam 10mg #30 Diazepam 5mg #20 Diazepam 5mg #30 Diazepam 2mg #20 Diazepam 2mg #30 Diazepam 5mg #15 Diclofenac Potassium 50mg #30 Diclofenac Sodium 50mg #30 Diclofenac Sodium 75mg #30 Dicloxacillin 500mg #20 Dicyclomine 20mg #30 Diphenhydramine 25mg #30 Diphenhydramine 50mg #30 Diphenhydramine Liquid 118ml Diphenoxylate/Atropine 2.5/.025mg #20 Docusate Sodium 100mg #30 Doxazosin 2mg #30 Doxazosin 4mg #30 Doxcycline Hyclate 100mg #28 Doxepin 25mg #30 Doxycycline Hyclate 100mg #20 Enalapril 10mg #30 Enalapril 20mg #30 Enalapril 5mg #30
Proprietary and Confidential © 2006 Wellinx, Inc.
Capoten Debrox Soma Soma Ceclor Duricef Keflex Keflex Keflex Keflex Keflex Keflex Keflex Parafon Forte DSC Parafon Forte DSC Tagamet Tagamet Cipro Cipro Cipro Cleocin Catapress Catapress Flexeril Flexeril Flexeril Decadron Valium Valium Valium Valium Valium Valium Valium Cataflam Voltaren Voltaren Dynapen Bentyl Benadryl Benadryl Benadryl Lomotil Colace Cardura Cardura Vibra Tabs Sinequan Vibra Tabs Vasotec Vasotec Vasotec
G1130 G1235 G1147 G1280 G1293 G1837 G4888 G2355 G1332 G1015 G4300 G2517 C0895 G1790 G1800 G2207 G2206 G4670 C3929 G3928 G1488 C3277 C3281 C3286 C1962 C1877 C1876 C1983 C3185 C3187 C3280 C1894 C1889 C1874 C3285 G4210 G4214 G0456 G0463 G3297 G3296 G3301 G3300 G2084 G2085 G2092 G2095 G2094 G2106 G2107 G2108 G2109
Erythromycin 333mg #30 Erythromycin Delayed Release Tab 250mg #20 Erythromycin Ethylsuccinate 400mg #30 Erythromycin Stearate 500mg #20 Estradiol 1mg #30 Etodolac 400mg #30 Eye Lubricant 15ml Famotidine 20mg #30 Ferrous Sulfate 325mg UD #100 Fluconazole 150mg #1 Fluocinonide Cream .05% 15gm Fluoxetine 20mg #30 Flurazepam 30mg #30 Furosemide 20mg #30 Furosemide 40mg #30 Gabapentin 100mg #30 Gabapentin 300mg #30 Gentamicin Ophth Soln 5ml Guaifenesin w/Codeine 118ml Guaifenesin/Dextromethorphan Susp 118ml Hydrochlorothiazide 25mg #30 Hydrocodone/APAP 5/500mg #20 Hydrocodone/APAP 5/500mg #30 Hydrocodone/APAP 7.5/750mg #30 Hydrocodone/APAP 10/325mg #30 Hydrocodone/APAP 10/650mg #30 Hydrocodone/APAP 10/650mg #20 Hydrocodone/APAP 5/325mg #30 Hydrocodone/APAP 5/500mg #12 Hydrocodone/APAP 5/500mg #15 Hydrocodone/APAP 5/500mg #24 Hydrocodone/APAP 7.5/500mg #30 Hydrocodone/APAP 7.5/500mg #20 Hydrocodone/APAP 7.5/650mg #30 Hydrocodone/APAP 7.5/750mg #20 Hydrocortisone Cream 1% 30gm Hydrocortisone Cream 2.5% 30gm Hydroxyzine HCl 10mg #20 Hydroxyzine HCl 25mg #15 Hydroxyzine Pamoate 25mg #20 Hydroxyzine Pamoate 25mg #30 Hydroxyzine Pamoate 50mg #20 Hydroxyzine Pamoate 50mg #30 Ibuprofen 200mg #20 Ibuprofen 200mg #30 Ibuprofen 400mg #20 Ibuprofen 400mg #30 Ibuprofen 400mg #40 Ibuprofen 600mg #15 Ibuprofen 600mg #20 Ibuprofen 600mg #30 Ibuprofen 600mg #40
Proprietary and Confidential © 2006 Wellinx, Inc.
E-Mycin Ery Tab EES Erythrocin Estrace Lodine Tears Naturale Pepcid Ferrous Sulfate Diflucan Lidex Prozac Dalmane Lasix Lasix Neurontin Neurontin Garamycin Robitussin AC Robitussin DM Hydrodiuril Vicodin Vicodin Vicodin ES Norco 10/325mg Lorcet 10/650 Lorcet 10/650 Norco 5/325mg Vicodin Vicodin Vicodin Lortab 7.5/500mg Lortab 7.5/500mg Lorcet Plus 7.5mg/650mg Vicodin ES Cortisone Cortisone Cream Atarax Atarax Vistaril Vistaril Vistaril Vistaril Motrin Motrin Motrin Motrin Motrin Motrin Motrin Motrin Motrin
G2117 G2118 G2119 G2120 G2123 G1620 G1624 C2105 G2304 G3042 G2780 G0798 C0470 C0480 C0490 G0390 G1427 G1426 G1437 G2582 G2580 G2581 G2588 G2590 G2592 G1940 G1856 G1855 G1370 G1381 G2560 G2561 G2564 G2185 G2187 G2188 G2194 G2196 G2197 G2211 G0270 G0401 G0399 G4782 G4780 G4840 G4968 G4970 G2307 G4379 G4380
Ibuprofen 800mg #15 Ibuprofen 800mg #20 Ibuprofen 800mg #21 Ibuprofen 800mg #30 Ibuprofen 800mg #40 Indomethacin 25mg #30 Indomethacin 25mg #60 Isometheptene/Dichloralphenazone/APAP #30 Ketoprofen 75mg #30 Ketorolac 10mg #20 Levothyroxine 0.1mg #30 Loratadine 10mg #30 Lorazepam 0.5mg #30 Lorazepam 1mg #30 Lorazepam 2mg #30 Meclizine 25mg #30 Metformin 1000mg #30 Metformin 500mg #30 Metformin 850mg #30 Methocarbamol 500mg #20 Methocarbamol 500mg #30 Methocarbamol 500mg #40 Methocarbamol 750mg #20 Methocarbamol 750mg #30 Methocarbamol 750mg #40 Methylprednisolone 4mg #21 Metoprolol 100mg #30 Metoprolol 50mg #30 Metronidazole 250mg #21 Metronidazole 500mg #14 Nabumetone 500mg #20 Nabumetone 500mg #30 Nabumetone 750mg #30 Naproxen 375mg #20 Naproxen 375mg #30 Naproxen 375mg #60 Naproxen 500mg #20 Naproxen 500mg #30 Naproxen 500mg #60 Naproxen EC 500mg #30 Naproxen Sodium 220mg #30 Naproxen Sodium 550mg #30 Naproxen Sodium 550mg #21 Neomycin/Polymixin B/Dexamethasone Ophth Oint 3.5gm Neomycin/Polymixin B/Dexamethasone Ophth Susp 5ml Neomycin/Polymixin B/Gramicidin Ophth Soln 10ml Neomycin/Polymixin B/HC Otic Sol 10ml Neomycin/Polymyxin B/HC Otic Susp 10ml Nortriptyline 25mg #30 Nystatin/Triamcinolone Cream 15gm Nystatin/Triamcinolone Cream 30gm
Proprietary and Confidential © 2006 Wellinx, Inc.
Motrin Motrin Motrin Motrin Motrin Indocin Indocin Midrin Orudis Toradol Synthroid Claritin Ativan Ativan Ativan Antivert Glucophage Glucophage Glucophage Robaxin Robaxin Robaxin Robaxin Robaxin Robaxin Medrol Dosepak Lopressor Lopressor Flagyl Flagyl Relafen Relafen Relafen Naprosyn Naprosyn Naprosyn Naprosyn Naprosyn Naprosyn EC Naprosyn Aleve Anaprox DS Anaprox DS Maxitrol Maxitrol Neosporin Cortisporin Otic Soln Cortisporin Otic Susp Pamelor Mycolog II Mycolog II
G0892 G0891 G2331 G2338 G2340 G2348 G2349 G2350 G2497 G1313 G4848 G2439 G0961 G0967 G0962 G0964 G0975 G0971 G0960 G0860 G2411 C0908 C0910 C0906 C0909 G3342 G3341 G3346 G4488 G4490 G0535 G0538 G0540 G4881 G4880 C2560 C2562 G0212 G3392 G3335 G3391 G4922 G3147 G3149 G0984 G0982 G4120 G4405 G4406
Oxaprozin 600mg #20 Oxaprozin 600mg #30 Paroxetine 20mg #30 Penicillin VK 250mg #30 Penicillin VK 250mg #40 Penicillin VK 500mg #20 Penicillin VK 500mg #30 Penicillin VK 500mg #40 Phenazopyridine 200mg #10 Piroxicam 20mg #30 Polymyxin/Trimethoprim Ophth Soln 10ml Potassium Chloride Tab 20mEq #30 Prednisone 10mg #21 Prednisone 10mg #30 Prednisone 20mg #21 Prednisone 20mg #30 Prednisone 5mg #21 Prednisone Dosepack 10mg #21 Prednisone Dosepack 5mg #21 Prochlorperazine 10mg #30 Promethazine 25mg #10 Propoxyphene Napsylate/APAP 100/650mg #20 Propoxyphene Napsylate/APAP 100/650mg #30 Propoxyphene Napsylate/APAP 100/650mg #12 Propoxyphene Napsylate/APAP 100/650mg #15 Ranitidine 150mg #30 Ranitidine 150mg #60 Ranitidine 300mg #30 Silver Sulfadiazine 1% 25g Tube Silver Sulfadiazine 1% 50g Jar SMZ TMP 800/160mg #6 SMZ-TMP 800/160mg #14 SMZ-TMP 800/160mg #20 Sulfacetamide Ophth Oint 3.5gm Sulfacetamide Ophth Soln 10% 15ml Temazepam 15mg #30 Temazepam 30mg #30 Tetracycline 500mg #20 Tizanidine 2mg #30 Tizanidine 4mg #15 Tizanidine 4mg #30 Tobramycin Ophth Soln .3% 5ml Tramadol 50mg #20 Tramadol 50mg #30 Trazodone 100mg #30 Trazodone 50mg #30 Triamcinolone 0.1% Cream 15gm Triple Antibiotic Ointment 15gm Triple Antibiotic Ointment 30g
Daypro Daypro Paxil Veetids Veetids Veetids Veetids Veetids Pyridium Feldene Polytrim K-Dur Deltasone Deltasone Deltasone Deltasone Deltasone Deltasone Dosepack Deltasone Dosepack Compazine Phenergan Darvocet N 100 Darvocet N 100 Darvocet N 100 Darvocet N 100 Zantac Zantac Zantac Silvadene Silvadene Bactrim DS Bactrim DS Bactrim DS Sulamyd Sulamyd Restoril Restoril Achromycin Zanaflex Zanaflex Zanaflex Tobrex Ultram Ultram Desyrel Desyrel Aristocort Cream Neosporin Neosporin
Proprietary and Confidential © 2006 Wellinx, Inc.