ROBINS AIR FORCE BASE OUTPATIENT DRUG FORMULARY (JAN 2009)
Prescriptions must be signed by the prescriber (no stamped or electronic signatures) and dated. Please avoid "Use As Directed" signas.
ACNE PRODUCTS Benzoyl Peroxide 5 & 10% gel Clindamycin (Cleocin T) 1% soln Erythromycin 2% pads Tretinoin (Retin A) 0.025% gel ADRENALS Cortisone 25 mg tablet Dexamethasone (Decadron) 0.75 & 4 mg tab; 0.5mg/5ml elix Fludrocortisone (Florinef) 0.1 mg tablet Hydrocortisone 20 mg tablet Methylprednisolone (Medrol) 4 mg tab & Dosepak Prednisolone (Prednisone) 1, 5, 10, 20, & 50 mg tablet Prednisolone (Prelone) 15mg/ml syrup ANALGESICS/PAIN/NSAIDS/ARTHRITIS Controlled Substances - MAX 30 DAY SUPPLY WITH NO REFILLS Darvocet-N-100 mg tablet Demerol 50 mg tablet Lortab 5mg/500mg tablet Morphine 15 mg tablet Morphine (MS Contin) 30 mg tablet Percocet 5mg/325mg tablet Tylenol #3 tablet Tylenol w/codeine 120mg/12mg/5ml soln Non-Controlled Substances Acetaminophen (Tylenol) 80mg/0.8ml drops & 160mg/5ml elix; 325 mg tablets; 120 mg pediatric suppositories Gabapentin (Neurontin) 100, 300, 400 mg cap; 600 & 800 mg tab Ibuprofen (Motrin) 400, 600, 800 mg tab; 100mg/5ml susp Indomethacin (Indocin) 25 mg capsule - 30 day supply only Meloxicam (Mobic) 7.5 & 15 mg tablet - once daily dosing only Nabumetone (Relafen) 500 &750mg tablet Naproxen (Naprosyn) 500 mg tablet Salsalate (Disalcid) 750 mg tablet Tramadol (Ultram) 50 mg tablet-30 days only or to max of 240 tabs ANTIALZHEIMERS Donepezil (Aricept) 5 & 10 mg tablet ANDROGENS Testosterone Cypionate 200mg/ml - no refills ANTIANGINALS Isosorbide Dinitrate (Isordil) 10 mg, SR 40 mg tab; 2.5 mg SL tab Isosorbide Mononitrate (Imdur) 60 mg tablet Nitroglycerin (NitroDur) 0.1, 0.2, 0.3, 0.4, 0.6 mg patch Nitroglycerin (Nitrolingual) 0.4mg/spray SL spray ANTICHOLINERGICS/ANTISPASMODICS Dicyclomine (Bentyl) 20 mg tablet Donnatal tablet & elixir Hyoscyamine (Levsin) 0.125 mg SL tablet Hyoscyamine (Levsin) drops Simethicone (Mylicon) drops 40mg/0.6ml drops ANTICOAGULANTS Aspirin 81 mg chew tab; 81 & 325 mg EC tab Clopidogrel (Plavix) 75 mg tablet Enoxaparin (Lovenox) 30, 40, 60, 80, 100 mg syringe Warfarin (Coumadin) 1,2,2.5, 5 mg tablet - 30 day supply only ANTICONVULSANTS Carbamazepine (Tegretol) 200 mg tablet Clonazepam (Klonopin) 0.5 & 1 mg tablet - 30 day supply/no refills Divalproex (Depakote) 125 mg sprinkle; 250 mg tab; 500 mg ER tab Phenobarbital 15 & 30 mg tablet - max 30 day supply with 5 refills Phenytoin 50 mg infatab; 100 mg capsule Topiramate (Topamax) 25, 50, 100, & 200mg tablet ANTIDEPRESSANTS/ANTIMANIC Amitriptyline (Elavil) 10,25,50,75 mg tablet - max 30 day supply Bupropion (Wellbutrin SR) 100 & 150 mg tablet Citalopram (Celexa) 20 & 40 mg tablet Desipramine (Norpramine) 25, 50 mg tablet - max 30 day supply only Doxepin (Sinequan) 25 mg capsule - max 30 day supply only Fluoxetine (Prozac) 20 mg cap-Psychiatry only for doses>40 mg daily Imipramine (Tofranil) 25 mg tablet - max 30 day supply only Lithium Carbonate 300 mg capsule Mirtazapine (Remeron) 15, 30, & 45 mg tablet Nortriptyline (Pamelor) 25 mg capsule - max 30 day supply only Paroxetine (Paxil) 20, 30, & 40 mg tablet Sertraline(Zoloft)25,100 mg tab-Psychiatry only, doses>200mg daily Trazodone (Desyrel) 50 mg tablet Venlafaxine (Effexor XR) 37.5, 75, & 150 mg capsule ANTI-DIABETIC AGENTS/DEVICES Alcohol Pads (3 box max) Avandamet 1/500, 2/500, 4/500, 2/1000, 4/1000 tablet Glipizide (Glucotrol) 5 & 10 mg tablet Glipizide (Glucotrol XL) 5 & 10 mg tablet Glyburide, micronized (Glynase) 3 & 6 mg tablet Insulin, Aspart (Novolog) 100U/ml 10 ml vial Insulin, Aspart (Novolog 70/30 mix) 100U/ml 10 ml vial Insulin,Detemir(Levemir)100U/ml 10ml vial;Flexpens 5x3 ml pens/bx Insulin, Glargine (Lantus) 100U/ml 10 ml vial Insulin, Human (Novolin) N, R, & 70/30 100U/ml 10 ml vial Insulin Syringes U 100, 0.5 ml & 1 ml Lancets (3 box max) Metformin (Glucophage) 500, 850, 1000 mg tablet Pioglitazone (Actos) 15, 30, & 45 mg tablet Precision Xtra Glucose Monitor; Test strips (3 box max) Rosiglitazone (Avandia) 2, 4, & 8 mg tablet Sitagliptin (Januvia) 100 mg tablet ANTIGOUT Allopurinol (Zyloprim) 100 & 300 mg tablet Colchicine 0.6 mg tablet Probenecid (Benemid) 500 mg tablet ANTI-INFECTIVES Antibacterials - MAX 30-DAY SUPPLY WITH 5 REFILLS Amoxicillin 250 & 500 mg capsule; 875 mg tablet; 125mg/5ml, 250mg/5ml, & 400mg/5ml susp Ampicillin 250 mg capsule Augmentin 500 & 875 mg tablet; 400 mg chew; 200mg/5ml, 400mg/5ml, & 600mg/5ml ES susp Azithromycin (Zithromax) Z-Pak 250 mg; 100mg/5ml, susp; 1 gm pack Bactrim (Septra) DS tablet; 240/40/5ml susp Cefditoren (Spectracef) 200 mg tablet Cefprozil (Cefzil) 250 & 500 mg tablet; 250mg/5ml susp Cephalexin (Keflex) 250 & 500 mg capsule; 250mg/5ml susp Ciprofloxacin (Cipro) 500 mg tablet Clindamycin (Cleocin) 150 mg capsule Dicloxacillin (Dynapen) 250 mg capsule Doxycycline (Vibramycin) 100 mg tablet Erythromycin Base 250 mg tablet; EES 250mg/5ml susp Levofloxacin(Levaquin) 500mg (10 days max) 750mg (5 days max) tab Leva-Pak 750mg tablet Neomycin 500mg tablet Nitrofurantoin (Macrodantin) 50mg capsule Nitrofurantoin (Macrobid) 100mg capsule Pediazole 200/600/5ml susp Penicillin VK 250 and 500mg tablet;125mg/5ml and 250mg/5ml susp Tetracycline 250mg capsule Antifungals Fluconazole(Diflucan)150mg tab-One dose therapy/vag candidiasis Grisefulvin ultramicronized 125 & 250 mg tab; 125mg/5ml susp Nystatin 100,000unit/ml susp Terbinafine (Lamisil) 250 mg tablet-max 1 month+2 refills/180 days
For more information, please call (478) 327-8150. The complete outpatient formulary is on the internet: www.robins.af.mil/units/78thmedicalgroup/index.asp
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ROBINS AIR FORCE BASE OUTPATIENT DRUG FORMULARY (JAN 2009)
Prescriptions must be signed by the prescriber (no stamped or electronic signatures) and dated. Please avoid "Use As Directed" signas.
Antimycobacterials Isoniazid (INH) 300 mg tablet Rifampin (Rifadin) 300mg capsule Antivirals Acyclovir (Zovirax) 200 mg capsule; 400 & 800 mg tablet Antiprotozoals Metrinidazole (Flagyl) 250 & 500 mg tablet Chloroquine (Aralen) 500 mg tablet Mefloquin (Lariam) 250 mg tablet Primaquine 26.3 mg tablet Miscellaneous Anti-Infectives Mebendazole (Vermox) 100 mg chew tablet ANTILIPIDEMICS AGENTS Atorvastatin (Lipitor) 10, 20, 40 & 80mg tablet Colestipol (Colestid) 1 gram tablet Ezetimbe (Zetia) 10 mg tablet Fenofibrate (Fenoglide) 40 & 120 mg tablet Fenofibrate (Triglide) 50 & 160 mg tablet Gemfibrozil (Lopid) 600 mg tablet Nicotinic Acid (Niacin) 500 mg tablet Nicotinic Acid ER (Niaspan) 500 & 1000 mg tablet Pravastatin (Pravachol) 20 & 40 mg tablet Simvastatin (Zocor) 10, 20, 40, & 80 mg tablet Vytorin 10/20, 10/40, 10/80 tablet ANTINEOPLASTIC AGENTS Azathioprine (Imuran) 50 mg tablet Megesterol (Megace) 40 mg tablet Methotrexate 2.5 mg tablet Tamoxifen (Nolvadex) 10 mg tablet ANTIPSYCHOTIC AGENTS Quetiapine (Seroquel) 25, 50, 100, 200, & 300 mg tablet Risperidone (Risperdal) 0.25 & 1 mg tablet Thiothixene (Navane) 5 mg capsule ANXIOLYTICS/SEDATIVES/HYPNOTICS Buspirone(Buspar)10mg tab-Psychiatry only for doses>30 mg daily Lorazepam (Ativan) 1 mg tablet - max 30 day supply w/ no refills Temazepam (Restoril) 15 mg cap-max 30 day supply w/ no refills Zolpidem (Ambien) 10 mg tablet - 14 tabs/30 days - no refills BIRTH CONTROL Cryselle Levlen Loestrin Fe 1/20 Loestrin Fe 1.5/30 Lutera Medroxyprogesterone 150mg/ml vial Mononessa (Ortho-Cyclen) Necon 777 (Ortho-Novum) Norethindrone 0.35 mg (Nor-QD) Norinyl 1/35 (Ortho-Novum) Nuvaring Orthoevra Ortho Tri-Cyclen Lo Trinessa (Ortho-Tricyclen) Trivora (Tri-Levlen) Yasmin Yaz Zovia 1/35 (Demulen) CARDIAC MEDICATIONS - By Class ACE Inhibitors Captopril (Capoten) 25 & 50 mg tablet Lisinopril (Prinivil/Zestril) 5, 10, 20, & 40 mg tablet Angiotensin Receptor Blockers (ARB) Losartan (Cozaar) 25, 50, & 100 mg tablet Hyzaar 50/12.5, 100/12.5, 100/25 mg tablet Micardis HCT 40/12.5, 80/12.5, & 80/25 mg tablet Telmisartam (Micardis) 20, 40, & 80 mg tablet Beta-Blockers: Atenolol (Tenormin) 50 mg tablet Carvedilol (Coreg) 6.25, 12.5, & 25 mg tablet Carvedilol (Coreg) CR 10, 20, 40, & 80mg capsule Clonidine 0.1 & 0.2 mg tablet Metoprolol Tartrate (Lopressor) 50 & 100 mg tablet Metoprolol Succinate (Toprol XL) 25, 50, & 100 mg tablet Nadolol (Corgard) 40 mg tablet Propranolol(Inderal)10, 20, & 40 mg tablet; 120&180 LA mg capsule Calium Channel Blockers: Dihydropyridine Amlodipine (Norvasc) 5 & 10 mg tablet Nifedipine (Adalat CC) 30, 60, & 90 mg Nisoldipine (Sular) 10, 20, 30, & 40 mg tablet NON-Dihyropyridine Diltiazem (Cardizem) 60 mg tablet Diltiazem (Tiazac) 120, 180, & 240 mg capsule Verapamil (Calan) 80 & 120 mg tablet; 180 & 240 SR tablet Cardiac Glycosides: Digoxin (Lanoxin) 0.25 mg tablet Diurectics: Acetazolamide (Diamox) 250 mg tablet Chlorthalidone (Hygroton) 50 mg tablet Furosemide (Lasix) 40 mg tablet; 10mg/ml soln Hydrochlorothiazide 25 & 50 mg tablet Indapamide (Lozol) 2.5 mg tablet Methazolamide (Neptazane) 50 mg tablet Metolazone (Zaroxlyn) 2.5 mg tablet Spironolactone (Aldactone) 25 mg tablet Triamterene/Hydrochlorothiazide (Maxide) 37.5/25 & 75/50 mg tab Antiarrhythmics Amiodarone (Cordarone) 200 mg tablet Various Anti-Hypertensives: Hydralazine (Apresoline) 25 mg tablet Lotrel 2.5/10, 5/10, 5/20, 5/40, 10/20, & 10/40 mg capsule Methyldopa (Aldomet) 250 & 500 mg tablet COUGH, COLD, & ALLERGY DRUGS Decongestants Psedoephedrine (Sudafed) 30mg tab-56 tabs/month; 30mg/5ml syr Antihistamines Cetirizine (Zyrtec) 10 mg tablet; 1mg/1ml syrup - Pediatric use only Chlorpheniramine (CTM) 4 mg tablet; 2mg/5ml syrup Cyproheptadine (Periactin) 4 mg tablet; 2mg/5ml syrup Diphenhydramine (Benadryl) 25 & 50 mg capsule; 12.5mg/5ml syrup Fexofenadine (Allegra) 180mg tablet Hydroxyzine (Atarax) 10 & 25 mg tablet; 10mg/5ml syrup Hydroxyzine Pamoate (Vistaril) 25 & 50 mg capsule Loratadine (Claritin) 10 mg tablet; 1mg/1ml syrup-Pediatric use only Antihistamine/decongestant combos Cardec Syrup Cardec DM syrup Antitussives/Expectorants Benzonatate (Tessalon) 100 mg perle Codeine 30 mg tablet - Max 30 day supply with no refills Guaifensin (Mucinex) 600 mg tablet; (Robitussin) 100mg/5ml; (Robitussin AC) - Max 1 bottle (120 ml) with no refills DENTAL & ORAL RINSE AGENTS Chlorhexidine (Peridex) 0.12% soln Flouride 0.5mg/ml soln Lidocaine Viscous Magic Mouthwash (diphenhydramine/lidocaine/maalox 1:1:1) Prevident 5000 plus Stannous Flouride (Gel-Kam) 0.4%
For more information, please call (478) 327-8150. The complete outpatient formulary is on the internet: www.robins.af.mil/units/78thmedicalgroup/index.asp
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ROBINS AIR FORCE BASE OUTPATIENT DRUG FORMULARY (JAN 2009)
Prescriptions must be signed by the prescriber (no stamped or electronic signatures) and dated. Please avoid "Use As Directed" signas.
Triamcinolone in Orabase (Kenalog) 0.1% paste ELETROLYTIC & MINERAL BALANCE Ferrous Sulfate 325 mg tablet; (Fer-Gen-Sol) 75mg/0.6ml drops Potassium Chloride SR (Klor-Con) 8 & 10 mEq tablet Potassium Chloride SR (Kdur) 20 mEq tablet ESTROGENS & PROGESTINS Estrogen Conjugated (Premarin) 0.3, 0.625, 0.9, 1.25 mg tablet; vaginal cream 42.5 gm Estradiol (Estraderm) Patch 0.05 & 0.1 mg 8/box Estradiol (Estrace) 1 & 2 mg tablet Medroxyprogesterone (Provera) 2.5 & 10 mg tablet Norethindrone (Norlutate) 5 mg tablet Progesterone (Prometrium) 200 mg capsule Prem-Pro 0.3/1.5, 0.625/2.5, & 0.625/5 mg tablet FERTILITY AGENTS Clomiphene (Clomid) 50 mg tablet GASTROINTESTINAL AGENTS Antidiarreals Bismuth Subsalicylate (Pepto-Bismol) 262 mg tablet Antiemetics/Antivertigo Meclizine (Antivert) 25 mg tablet Promethazine (Phenergan) 25 mg tablet; 12.5 & 25 mg supp Prochlorperazine (Compazine) 10 mg tablet; 25 mg supp Antiulcer & Acid Suppressants Cimetidine (Tagamet) 300 & 400 mg tablet Esomeprazole (Nexium) 20 & 40 mg capsule - Once daily dosing only Omeprazole 20 mg capsule - Once daily dosing only Ranitidine (Zantac) 150 mg tablet; 15mg/ml syrup Sucralfate (Carafate) 1 gram tablet Laxatives/Softners Bisacodyl (Dulcolax) 5 mg tablet; 10 mg supp Docusate Sodium (Colace) 100 mg capsule Glycerin (child) suppository GO-Lytely Half-Lytely Lactulose 10gm/15ml syrup MoviPrep Polythene Glycol (Miralax) 255 gm Miscellaneous GI Agents GI Cocktail (donnatal/lidocaine/maalox 1:1:1) Metoclopramide (Reglan) 10 mg tablet; 5mg/5ml syrup Pancrelipase (Pancrease) capsule Sulfasalazine (Azulfidine) 500 mg tablet IMMUNE MODIFYING AGENTS Azathioprine (Imuran) 50 mg tablet Hydroxychloroquine (Plaquenil) 200 mg tablet Methotrexate 2.5 mg tablet MIGRAINE AGENTS Sumatriptan (Imitrex) 6mg/0/5ml injection Fioricet tablet - Max 30 day supply with 5 refills Midrin capsule - Max 30 day supply with no refills Rizatriptan MLT(Maxalt)5,10mg tab-max 12 tabs/30days; 36/90 days Zolmitriptan ZMT(Zomig)2.5,5mg tab-max 12 tabs/36days;24/90 days MISCELLANEOUS AGENTS Epinephrine (Epipen/-Jr) 0.15 & 0.3 mg syringe (single or twinject) Finasteride (Proscar) 5 mg tablet Methylergonovine (Methergine) 0.2 mg tablet Pill Cutter MUSCLE RELAXANTS Baclofen (Lioresal) 10 mg tablet Cyclobenzaprine (Flexeril) 10 mg tablet - 21 days only no refills Diazepam (Valium) 2 & 5 mg tablet-max 30 days with no refills Methocarbamol (Robaxin) 500 mg tablet NARCOLEPSY/ADHD AGENTS-MAX 60 DAY SUPPLY WITH NO REFILLS Adderall 10 mg tablet Adderall XR 10, 20, & 30 mg capsule Dextroamphetamine (Dexedrine) 5 mg tablet Dextroamphetamine (Dexedrine) 15 SR cap Methylphenidate 5 & 10 mg tablet Methylphenidate (Concerta) 18, 27, 36, & 54 SR tablet OPHTHALMIC AGENTS Antiglaucoma Betaxolol (Betoptic S) 0.25% drops Brimonidine (Alphagan P) 0.15% drops Dorzolamide (Trusopt) 2% drops Latanoprost (Xalatan) 0.005% drops Pilocarpine 1%, 2%, & 4% drops Timolol (Timoptic) 0.25% & 0.5% drops Timolol (Timpotic XE) 0.25% & 0.5% gel Anti-Infectives Bacitracin 500units/gm oint Blephamide susp Erythromycin (Ilotycin) 5mg/gm oint Gentamycin 0.3% soln & oint Maxitrol susp & oint Polysporin oint Polytrim soln Sulfacetamide 10% soln & oint Tobradex soln & oint Miscellaneous Artificial Tears Celluvisc drops Cromolyn (Crolom) 4% soln Flourmetholone (Flarex) 0.1% soln Lacrilube Naphazoline (Naph-Con A) 0.1% soln Olopatadine 0.1% (Patanol) soln Prednisolone 0.125% & 1% susp OSTEOPOROSIS Alendronate (Fosamax) 10, 35, & 70 mg tablet Alendronate Plus D 70-2800 IU & 70-5600 IU tablet Ibandronate (Boniva) 150mg tablet Raloxifene (Evista) 60 mg OTIC AGENTS Acetic Acid/Hydrocortisone (Vosol HC) soln Auralgan soln Ciprofloxacin 0.3% & Dexamethosone 0.1% (Ciprodex) Cortisporin susp Domeboro Ofloxacin (Floxin) 0.3% soln RECTALS AGENTS Hydrocortisone Acetate (Analpram) 1%; (Anusol-HC) 25 mg supp Hydrocortisone 2.5% cream RESPIRATORY AGENTS MDI Spacer Device PO Products Albuterol (Proventil) 2mg/5ml syrup Montelukast (Singulair) 4 & 5 mg chew; 10 mg tablet Theophylline (Theo-Dur) 100, 200, & 300 mg tablet Nasal Inhalants Fluticasone (Flonase) Mometasone (Nasonex) Oxymetazoline (Afrin) 0.05% Sodium Chloride (Sea Soft) 0.65% spray Oral Inhalants Advair Diskus 100, 250, & 500/50; HFA 45, 115, & 230/21 Albuterol (Proventil) HFA Metered Dose Inhaler Albuterol 0.083% unit dose nebulizer soln, 30/box Budesonide (Pulmicort) 0.25 & 0.5 mg respule
For more information, please call (478) 327-8150. The complete outpatient formulary is on the internet: www.robins.af.mil/units/78thmedicalgroup/index.asp
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ROBINS AIR FORCE BASE OUTPATIENT DRUG FORMULARY (JAN 2009)
Prescriptions must be signed by the prescriber (no stamped or electronic signatures) and dated. Please avoid "Use As Directed" signas.
Combivent MDI Flunisolide (Aerobid) MDI Ipratropium (Atrovent) MDI; 0.02% unit dose neb soln Levalbuterol (Xopenex) HFA Metaproterenol (Alupent) MDI Salmeterol (Serevent) Diskus Tiotropium (Spiriva) INH capsule Triamcinolone (Azmacort) MDI THYROID PREPARATIONS Methimazole (Tapazole) 10 mg tablet Propylthiouracil 50 mg tablet Synthroid 0.025, 0.05, 0.075, 0.088, 0.1, 0.112, 0.125, 0.137, 0.15 0.175, & 0.2 mg tablet TOPICAL PREPARATIONS Anti-Infectives: Bacitracin ointment Clotrimazole (Lotrimin) 1% cream and soln Ketoconazole (Nizoral) 2% cream Metronidazole (Noritate) 1% cream Miconazole (Monistat-Derm) 2% cream Mupirocin (Bactroban) 2% ointment Mycolog II cream Nystatin 100,000U/gm cream & ointment Silver Sulfadiazine (Silvadene) 1% cream Steroid Creams: Betamethasone Valerate (Valisone) 0.1% Clobetasol (Temovate) 0.05% Desonide (Tridesilon) 0.05% Fluocinonide (Lidex) 0.05% Hydrocortisone 1% & 2.5% Triamcinolone (Kenalog) 0.1% & 0.5% Miscellaneous Topical Preparations: Acyclovir 5% ointment Ammonium Lactate (Lac-Hydrin) 12% lotion Flourouracil (Efudex) 5% cream Lidocaine (Xylocaine) 2% jelly; 5% ointment Permethrin (Elimite) 5% cream Pimecrolimus (Elidel) 1% cream Salicylic Acid (Mediplast) 40% plaster Sebutone lotion Selenium Sulfide 2.5% shampoo URINARY AGENTS Alfuzosin (Uroxatral) 10 mg tab Oxybutynin (Ditropan) 5 mg tablet Tolterodine SR (Detrol LA) 2 & 4 mg capsule Phenazopyridine (Pyridium) 100 mg tablet VAGINAL PREPARATIONS Clindamycin (Cleocin) vaginal cream Metronidazole (Metrogel) 0.75% vaginal Terconazole (Terazol 7) vaginal cream VITAMINS & MINERALS Calcium with Vitamin D 600 mg/400IU Cyanocobalamin (B12) 1000mcg/ml inj, 1 ml vial Ferrous Sulfate 325 mg tablet; 15mg/0.6ml soln Folic Acid 1 mg tablet Multivitamin Prenatal Vitamin Pyridoxine (B6) 50 mg tablet Thiamine (B1) 50 mg tablet
For more information, please call (478) 327-8150. The complete outpatient formulary is on the internet: www.robins.af.mil/units/78thmedicalgroup/index.asp
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ROBINS AIR FORCE BASE OUTPATIENT DRUG FORMULARY (JAN 2009)
Prescriptions must be signed by the prescriber (no stamped or electronic signatures) and dated. Please avoid "Use As Directed" signas.
For more information, please call (478) 327-8150. The complete outpatient formulary is on the internet: www.robins.af.mil/units/78thmedicalgroup/index.asp
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