Alphabetical Listing by Name

OUTPATIENT FORMULARYDWIGHT D EISENHOWER ARMY MEDICAL CENTER

This document is current as of February 8, 2021. The availability of formulary items is subject to change.

AbacavirOutpatient Dosage FormsTablet, Oral:Generic: 300 mg

Abacavir and LamivudineOutpatient Dosage FormsTablet, Oral:Epzicom®: Abacavir 600 mg and lamivudine 300 mg

Abacavir, Dolutegravir, and LamivudineOutpatient Dosage FormsTablet, Oral:Triumeq: Abacavir 600 mg, dolutegravir 50 mg, and lamivudine 300 mg

AcamprosateOutpatient Dosage FormsTablet Delayed Release, Oral, as calcium:Campral: 333 mg

AcebutololOutpatient Dosage FormsCapsule, Oral, as hydrochloride:Generic: 200 mg, 400 mg

AcetaminophenOutpatient Dosage FormsSuspension, Oral:Q-PAP Childrens: 160 mg/5 mL (118 mL) [alcohol free, aspirin free, ibuprofenfree; contains butylparaben, fd&c red #40, sodium benzoate; bubble-gumflavor]Tylenol Childrens: 160 mg/5 mL (120 mL) [alcohol free; contains butylparaben,fd&c red #40, propylene glycol, sodium benzoate; cherry flavor]Generic: 160 mg/5 mL (5 mL)Suppository, Rectal:Generic: 120 mg (12s); 650 mg (12s)Suspension, oral [drops]:Generic: 80 mg/0.8 mL (15 mL)Tablet, Oral:Mapap: 325 mgGeneric: 325 mg, 500 mg

Acetaminophen and CodeineOutpatient Dosage FormsSolution, Oral [C-V]:Generic: Acetaminophen 120 mg and codeine phosphate 12 mg per 5 mL (5mL, 10 mL, 118 mL) [BCF]

Tablet, Oral [C-III]:Generic: Acetaminophen 300 mg and codeine phosphate 30 mg [BCF]

AcetaZOLAMIDEOutpatient Dosage FormsCapsule Extended Release 12 Hour, Oral:Diamox Sequels: 500 mgTablet, Oral:Generic: 250 mg

Acetic Acid (Otic)Outpatient Dosage FormsSolution, Otic:Generic: 2% (60 mL)

Acetic Acid (Topical)Outpatient Dosage FormsSolution, Irrigation:Generic: 0.25% (1000 mL)

AcetylcholineOutpatient Dosage FormsSolution Reconstituted, Intraocular, as chloride:Miochol-E: 20 mg (1 ea) [contains mannitol]

AcetylcysteineOutpatient Dosage FormsSolution, Inhalation:Generic: 20% (10 mL, 30 mL)

AcitretinOutpatient Dosage FormsCapsule, Oral:Soriatane: 10 mg, 25 mg [contains edetate calcium disodium]

Acyclovir (Systemic)Outpatient Dosage FormsCapsule, oral:Generic: 200 mg [BCF]Suspension, oral:Zovirax®: 200 mg/5 mL (473 mL) [BCF]Tablet, oral:Generic: 400 mg [BCF]

AdalimumabOutpatient Dosage FormsPen-injector Kit, Subcutaneous [preservative free]:Humira Pen: 40 mg/0.8 mL (1 ea) [BCF]; 40 mg/0.4 mL (1 ea) [BCF] [containspolysorbate 80]

Prefilled Syringe Kit, Subcutaneous [preservative free]:Humira: 40 mg/0.8 mL (1 ea) [contains polysorbate 80] [BCF]

AdapaleneOutpatient Dosage FormsCream, External:Differin: 0.1% (45 g)Generic: 0.1% (45 g)Gel, External:Differin: 0.1% (45 g)

AlbuterolOutpatient Dosage FormsAerosol Solution, Inhalation:ProAir HFA: 108 (90 Base) mcg/actuation (8.5 g) [BCF]Nebulization Solution, Inhalation:Generic: 0.083% [2.5 mg/3 mL] (25s, 30s, 60s) [BCF]Syrup, Oral:Generic: 2 mg/5 mL (473 mL)

AlclometasoneOutpatient Dosage FormsOintment, External, as dipropionate:Generic: 0.05% (15 g, 45 g)

AlendronateOutpatient Dosage FormsTablet, Oral:Generic: 10 mg [BCF], 35 mg [BCF], 70 mg [BCF]

Alendronate and CholecalciferolOutpatient Dosage FormsTablet, Oral:Fosamax Plus D: Alendronate 70 mg and cholecalciferol 5600 int. units

AlfuzosinOutpatient Dosage FormsTablet, extended release, oral, as hydrochloride:Uroxatral®: 10 mg [BCF]

AllopurinolOutpatient Dosage FormsTablet, oral:Generic: 100 mg [BCF], 300 mg [BCF]

ALPRAZolamOutpatient Dosage FormsTablet, Oral:Generic: 0.5 mg

AlprostadilOutpatient Dosage FormsKit, Intracavernosal:Edex: 10 mcg, 20 mcg, 40 mcgPellet, Urethral:Muse: 250 mcg (6 ea); 500 mcg (6 ea); 1000 mcg (6 ea)

Aluminum Chloride HexahydrateOutpatient Dosage FormsSolution, External:Drysol: 20% (37.5 mL)

Aluminum Hydroxide, Magnesium Hydroxide, and SimethiconeOutpatient Dosage FormsLiquid, oral:Aldroxicon II: Aluminum hydroxide 400 mg, magnesium hydroxide 400 mg,and simethicone 40 mg per 5 mL (30 mL)Mi-Acid Maximum Strength: Aluminum hydroxide 400 mg, magnesium hydrox-ide 400 mg, and simethicone 40 mg per 5 mL (360 mL)

AmantadineOutpatient Dosage FormsCapsule, oral, as hydrochloride:Generic: 100 mg [BCF]

AMILorideOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 5 mg

Aminocaproic AcidOutpatient Dosage FormsSyrup, Oral:Generic: 25% (473 mL)

ABACAVIR

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Tablet, Oral:Amicar: 500 mg [scored]

Aminolevulinic Acid (Topical)Outpatient Dosage FormsSolution Reconstituted, External, as hydrochloride:Levulan Kerastick: 20% (1 ea) [contains alcohol, usp, isopropyl alcohol,laureth, polyethylene glycol]

AmiodaroneOutpatient Dosage FormsTablet, oral, as hydrochloride:Generic: 200 mg [BCF]

AmitriptylineOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 10 mg [BCF], 25 mg [BCF], 50 mg [BCF], 75 mg [BCF]

AmLODIPineOutpatient Dosage FormsTablet, oral:Generic: 2.5 mg [BCF], 5 mg [BCF], 10 mg [BCF]

Amlodipine and BenazeprilOutpatient Dosage FormsCapsule, oral:Lotrel®: 2.5/10: Amlodipine 2.5 mg and benazepril hydrochloride 10 mg [BCF]Lotrel®: 5/10: Amlodipine 5 mg and benazepril hydrochloride 10 mg [BCF]Lotrel®: 5/20: Amlodipine 5 mg and benazepril hydrochloride 20 mg [BCF]Lotrel®: 5/40: Amlodipine 5 mg and benazepril hydrochloride 40 mg [BCF]Lotrel®: 10/20: Amlodipine 10 mg and benazepril hydrochloride 20 mg [BCF]Lotrel®: 10/40: Amlodipine 10 mg and benazepril hydrochloride 40 mg [BCF]

Ammonia Spirit (Aromatic)Outpatient Dosage FormsInhaler, Inhalation:Generic: (10 ea)

AmoxicillinOutpatient Dosage FormsCapsule, oral:Generic: 250 mg [BCF], 500 mg [BCF]Powder for suspension, oral:Generic: 250 mg/5 mL (150 mL) [BCF]; 400 mg/5 mL (100 mL) [BCF]

Amoxicillin and ClavulanateOutpatient Dosage FormsSuspension Reconstituted, Oral:Generic: Amoxicillin 200 mg and clavulanate potassium 28.5 mg per 5 mL (75mL, 100 mL) [BCF]Generic: Amoxicillin 400 mg and clavulanate potassium 57 mg per 5 mL (100mL) [BCF]Generic: Amoxicillin 600 mg and clavulanate potassium 42.9 mg per 5 mL(125 mL) [BCF]

Tablet, Oral:Generic: Amoxicillin 250 mg and clavulanate potassium 125 mg [BCF]Generic: Amoxicillin 500 mg and clavulanate potassium 125 mg [BCF]Generic: Amoxicillin 875 mg and clavulanate potassium 125 mg [BCF]

Amyl NitriteOutpatient Dosage FormsLiquid, for inhalation: USP: 85% to 103% (0.3 mL)

AnagrelideOutpatient Dosage FormsCapsule, Oral:Generic: 0.5 mg, 1 mg

AnastrozoleOutpatient Dosage FormsTablet, Oral:Generic: 1 mg

AprepitantOutpatient Dosage FormsCapsule, Oral:Emend: 80 mg, 125 mg

ARIPiprazoleOutpatient Dosage FormsTablet, Oral:Abilify: 2 mg, 5 mg, 15 mg, 20 mg, 30 mg

Artificial TearsOutpatient Dosage FormsSolution, Ophthalmic:Akwa Tears: 1.4% (15 mL) [contains benzalkonium chloride, disodium edta]LiquiTears: 1.4% (15 mL) [contains chlorobutanol (chlorobutol), sodiumchloride]

Solution, Ophthalmic [preservative free]:Systane Preservative Free: Polyethylene glycol 400 0.4% and propyleneglycol 0.3% (28 ea) [contains boric acid, calcium chloride anhydrous,hydroxylpropyl guar, magnesium chloride, potassium chloride, sodium chlor-ide, zinc chloride]

AspirinOutpatient Dosage FormsSuppository, Rectal:Generic: 300 mg (12 ea)Tablet, Oral:Generic: 325 mgTablet Chewable, Oral:Generic: 81 mgTablet Delayed Release, Oral:Generic: 325 mg

Aspirin and DipyridamoleOutpatient Dosage FormsCapsule, variable release:Aggrenox®: Aspirin 25 mg [immediate release] and dipyridamole 200 mg[extended release] [contains lactose, sucrose]

AtazanavirOutpatient Dosage FormsCapsule, Oral, as sulfate:Reyataz: 150 mg, 200 mg

AtenololOutpatient Dosage FormsTablet, oral:Generic: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF]

AtoMOXetineOutpatient Dosage FormsCapsule, Oral:Strattera: 10 mg, 18 mg, 25 mg, 40 mg, 60 mg

AtorvaSTATinOutpatient Dosage FormsTablet, oral:Lipitor®: 10 mg [BCF], 20 mg [BCF], 40 mg [BCF], 80 mg [BCF]

Atovaquone and ProguanilOutpatient Dosage FormsTablet, oral:Generic: Atovaquone 250 mg and proguanil hydrochloride 100 mg

Atropine (Ophthalmic)Outpatient Dosage FormsSolution, Ophthalmic, as sulfate:Generic: 1% (5 mL)

AzaTHIOprineOutpatient Dosage FormsTablet, Oral:Generic: 50 mg

Azelaic AcidOutpatient Dosage FormsGel, External:Finacea: 15% (50 g) [contains benzoic acid, disodium edta, polysorbate 80,propylene glycol]

Azelastine (Nasal)Outpatient Dosage FormsSolution, Nasal, as hydrochloride:Astelin: 137 mcg/spray (30 mL) [contains benzalkonium chloride, edetatedisodium]

AzilsartanOutpatient Dosage FormsTablet, Oral, as medoxomil:Edarbi: 40 mg, 80 mg

Azilsartan and ChlorthalidoneOutpatient Dosage FormsTablet, Oral:Edarbyclor: 40/25: Azilsartan medoxomil 40 mg and chlorthalidone 25 mgEdarbyclor: 40/12.5: Azilsartan medoxomil 40 mg and chlorthalidone 12.5 mg

Azithromycin (Ophthalmic)Outpatient Dosage FormsSolution, Ophthalmic:AzaSite: 1% (2.5 mL) [contains benzalkonium chloride, disodium edta]

Azithromycin (Systemic)Outpatient Dosage FormsPacket, Oral, as dihydrate [strength expressed as base]:Zithromax: 1 g (10 ea) [cherry-banana flavor] [BCF]

AZITHROMYCIN (SYSTEMIC)

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Suspension Reconstituted, Oral, as dihydrate [strength expressed as base]:Zithromax: 100 mg/5 mL (15 mL) [cherry-vanilla-banana flavor]Zithromax: 200 mg/5 mL (15 mL, 22.5 mL, 30 mL) [cherry flavor]Tablet, oral, as dihydrate [strength expressed as base]:Zithromax: 600 mgTablet, oral, as monohydrate [strength expressed as base]:Generic: 250 mg [BCF], 500 mg [BCF]

Bacitracin, Neomycin, and Polymyxin B (Ophthalmic)Outpatient Dosage FormsOintment, ophthalmic:Generic: Bacitracin 400 units, neomycin 5 mg, and polymyxin B 10,000 unitsper g (3.5 g) [BCF]

Bacitracin (Ophthalmic)Outpatient Dosage FormsOintment, Ophthalmic:Generic: 500 units/g (3.5 g)

Bacitracin (Topical)Outpatient Dosage FormsOintment, External, as zinc [strength expressed as base]:Generic: 500 units/g (1 ea, 28.35 g)

BaclofenOutpatient Dosage FormsTablet, Oral:Generic: 10 mg

Balanced Salt SolutionOutpatient Dosage FormsSolution, Intraocular:BSS®: Sodium chloride 0.64%, potassium chloride 0.075%, calcium chloride0.048%, magnesium chloride 0.03%, sodium acetate 0.39%, sodium citrate0.17% (15 mL)

BalsalazideOutpatient Dosage FormsCapsule, Oral, as disodium:Colazal: 750 mg

BariumOutpatient Dosage FormsSuspension, Oral, as sulfate:Readi-Cat 2: 2% (450 mL) [contains benzoic acid, saccharin sodium, sodiumbenzoate; banana smoothie flavor]Tagitol V: 40% (60 mL) [contains saccharin sodium, sodium benzoate]

BenzocaineOutpatient Dosage FormsGel, Mouth/Throat:Hurricaine: 20% (30 g) [contains polyethylene glycol, saccharin sodium;watermelon flavor]

Lozenge, Mouth/Throat:Cepacol Sore Throat: 15 mg (576 ea) [contains fd&c red #40; cherry flavor]Solution, Mouth/Throat:Hurricaine: 20% (57 g) [contains polyethylene glycol, saccharin sodium; wildcherry flavor]

BenzonatateOutpatient Dosage FormsCapsule, Oral:Generic: 100 mg

Benzoyl PeroxideOutpatient Dosage FormsGel, External:Acne Medication 5: 5% (42.5 g) [contains edetate disodium]Acne Medication 10: 10% (42.5 g) [contains edetate disodium]Liquid, External:Benzoyl Peroxide Wash: 10% (148 g)

BenztropineOutpatient Dosage FormsTablet, Oral, as mesylate:Generic: 1 mg [BCF], 2 mg [BCF]

Betamethasone and ClotrimazoleOutpatient Dosage FormsCream, External:Betamethasone dipropionate 0.05% (base) and clotrimazole 1% (45 g)

Betamethasone (Topical)Outpatient Dosage FormsCream, External, as valerate [strength expressed as base]:Generic: 0.1% (15 g)Lotion, External, as dipropionate [strength expressed as base]:Generic: 0.05% (30 mL)Lotion, External, as valerate [strength expressed as base]:Generic: 0.1% (60 mL)

Ointment, External, as dipropionate [strength expressed as base]:Generic: 0.05% (15 g)

BethanecholOutpatient Dosage FormsTablet, Oral, as chloride:Urecholine: 10 mg, 25 mg [scored]

BicalutamideOutpatient Dosage FormsTablet, Oral:Casodex: 50 mg

Bictegravir, Emtricitabine, and Tenofovir AlafenamideOutpatient Dosage FormsTablet, Oral:Biktarvy: Bictegravir 50 mg, emtricitabine 200 mg, and tenofovir alafena-mide 25 mg

BimatoprostOutpatient Dosage FormsSolution, Ophthalmic:Lumigan: 0.01% (2.5 mL) [contains benzalkonium chloride]

BisacodylOutpatient Dosage FormsSuppository, Rectal:Laxative: 10 mg (100 ea)Tablet Delayed Release, Oral:Bisacodyl EC: 5 mg

Bisacodyl and Magnesium CitrateOutpatient Dosage FormsKit [combination]:LoSo Prep: 1 ea

Bismuth SubsalicylateOutpatient Dosage FormsTablet Chewable, Oral, as subsalicylate:Pink Bismuth: 262 mg

BoceprevirOutpatient Dosage FormsCapsule, Oral:Victrelis: 200 mg

BrimonidineOutpatient Dosage FormsSolution, ophthalmic, as tartrate [drops]:Alphagan® P: 0.15% (5 mL, 10 mL) [contains Purite®] [BCF]

Brimonidine and TimololOutpatient Dosage FormsSolution, Ophthalmic:Combigan: Brimonidine tartrate 0.2% and timolol 0.5% (5 mL) [containsbenzalkonium chloride]

Brinzolamide and BrimonidineOutpatient Dosage FormsSuspension, Ophthalmic:Simbrinza: Brinzolamide 1% and brimonidine tartrate 0.2% (8 mL) [containsbenzalkonium chloride] [BCF]

BromocriptineOutpatient Dosage FormsTablet, Oral:Generic: 2.5 mg

Brompheniramine and PhenylephrineOutpatient Dosage FormsElixir, Oral:Dimaphen Childrens: Brompheniramine maleate 1 mg and phenylephrinehydrochloride 2.5 mg per 5 mL (118 mL) [alcohol free, pseudoephedrinefree; contains propylene glycol, saccharin sodium, sodium benzoate; grapeflavor]

Budesonide (Oral Inhalation)Outpatient Dosage FormsCapsule Extended Release 24 Hour, Oral:Generic: 3 mgSuspension, Inhalation:Pulmicort: 0.25 mg/2 mL (2 mL); 0.5 mg/2 mL (2 mL) [contains disodium edta,polysorbate 80]

Budesonide (Systemic)Outpatient Dosage FormsCapsule Extended Release 24 Hour, Oral:Generic: 3 mg

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BumetanideOutpatient Dosage FormsTablet, Oral:Generic: 0.5 mg, 1 mg, 2 mg

BuPROPionOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 75 mg [BCF]Tablet Extended Release 12 Hour, Oral, as hydrochloride:Zyban: 150 mgGeneric: 100 mg [BCF], 150 mg [BCF]Tablet Extended Release 24 Hour, Oral, as hydrochloride:Generic: 150 mg [BCF], 300 mg [BCF]

BusPIRoneOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 5 mg [BCF], 10 mg [BCF]

BusulfanOutpatient Dosage FormsTablet, Oral:Myleran: 2 mg

Butalbital, Acetaminophen, and CaffeineOutpatient Dosage FormsTablet, oral:Generic: Butalbital 50 mg, acetaminophen 325 mg, and caffeine 40 mg [BCF]

CabergolineOutpatient Dosage FormsTablet, Oral:Generic: 0.5 mg

CalcipotrieneOutpatient Dosage FormsCream, External:Generic: 0.005% (60 g)Solution, External:Generic: 0.005% (60 mL)

CalcitoninOutpatient Dosage FormsSolution, Nasal:Fortical: 200 units/actuation (3.7 mL)

Calcitriol (Systemic)Outpatient Dosage FormsCapsule, Oral:Generic: 0.25 mcg

Calcium AcetateOutpatient Dosage FormsCapsule, Oral:PhosLo: 667 mg

Calcium and Vitamin DOutpatient Dosage FormsTablet, Oral [preservative free]:Generic: Calcium 600 mg and vitamin D 400 units

Calcium CarbonateOutpatient Dosage FormsTablet, Oral:Oysco 500: 500 mg

CandesartanOutpatient Dosage FormsTablet, Oral, as cilexetil:Atacand: 4 mg, 8 mg, 16 mg, 32 mg [scored]

Candesartan and HydrochlorothiazideOutpatient Dosage FormsAtacand HCT:16/12.5: Candesartan cilexetil 16 mg and hydrochlorothiazide 12.5 mg32/12.5: Candesartan cilexetil 32 mg and hydrochlorothiazide 12.5 mg

CapsaicinOutpatient Dosage FormsCream, External:Trixaicin: 0.025% (60 g) [contains benzyl alcohol]

CaptoprilOutpatient Dosage FormsTablet, oral:Generic: 12.5 mg [BCF], 25 mg [BCF], 50 mg [BCF]

CarBAMazepineOutpatient Dosage FormsSuspension, Oral:TEGretol: 100 mg/5 mL (450 mL) [contains fd&c yellow #6 (sunset yellow),propylene glycol; citrus-vanilla flavor] [BCF]

Tablet, Oral:Generic: 200 mg [BCF]Tablet, Chewable, Oral:TEGretol®: 100 mg [scored] [BCF]

Carbamide PeroxideOutpatient Dosage FormsSolution, Otic:Ear Drops Earwax Aid: 6.5% (15 mL) [contains propylene glycol, trolamine(triethanolamine)]

Carbidopa and LevodopaOutpatient Dosage FormsTablet, Oral:Generic: 25/100: Carbidopa 25 mg and levodopa 100 mg [BCF]Generic: 25/250: Carbidopa 25 mg and levodopa 250 mg [BCF]Tablet, Extended Release, Oral:Generic: 25/100: Carbidopa 25 mg and levodopa 100 mg; 50/200: Carbidopa50 mg and levodopa 200 mg

Carboprost TromethamineOutpatient Dosage FormsSolution, Intramuscular [strength expressed as base]:Hemabate: 250 mcg/mL (1 mL) [contains benzyl alcohol]

CarfilzomibOutpatient Dosage FormsSolution Reconstituted, Intravenous:Kyprolis: 60 mg (1 ea)

CarvedilolOutpatient Dosage FormsCapsule Extended Release 24 Hour, Oral, as phosphate:Coreg CR: 10 mg, 40 mg, 80 mgTablet, Oral:Generic: 3.125 mg [BCF], 6.25 mg [BCF], 12.5 mg [BCF], 25 mg [BCF]

CefdinirOutpatient Dosage FormsSuspension Reconstituted, Oral:Generic: 125 mg/5 mL (100 mL); 250 mg/5 mL (100 mL)

CefiximeOutpatient Dosage FormsTablet, Oral, as trihydrate:Suprax: 400 mg [scored]

CefpodoximeOutpatient Dosage FormsTablet, Oral:Generic: 100 mg

CelecoxibOutpatient Dosage FormsCapsule, Oral:CeleBREX: 100 mg, 200 mg

CephalexinOutpatient Dosage FormsCapsule, oral:Generic: 250 mg [BCF], 500 mg [BCF]Suspension Reconstituted, Oral:Generic: 125 mg/5 mL (100 mL, 200 mL); 250 mg/5 mL (200 mL) [BCF]

Cetirizine (Systemic)Outpatient Dosage FormsSyrup, Oral, as hydrochloride:Generic: 5 mg/5 mL (473 mL)Tablet, Oral, as hydrochloride:Generic: 5 mg, 10 mg

CevimelineOutpatient Dosage FormsCapsule, Oral, as hydrochloride:Evoxac: 30 mg

Charcoal, ActivatedOutpatient Dosage FormsLiquid, Oral:Actidose-Aqua: 25 g/120 mL (120 mL) [sweet flavor]

ChlorambucilOutpatient Dosage FormsTablet, Oral:Leukeran: 2 mg

CHLORAMBUCIL

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ChlordiazePOXIDEOutpatient Dosage FormsCapsule, Oral, as hydrochloride:Generic: 10 mg, 25 mg

Chlorhexidine Gluconate (Oral)Outpatient Dosage FormsSolution, Mouth/Throat:Generic: 0.12% (473 mL) [BCF]

ChloroquineOutpatient Dosage FormsTablet, Oral, as phosphate:Aralen: 500 mg [equivalent to chloroquine base 300 mg]Generic: 500 mg [equivalent to chloroquine base 300 mg]

ChlorproMAZINEOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 25 mg, 50 mg, 100 mg

ChlorthalidoneOutpatient Dosage FormsTablet, oral:Generic: 25 mg [BCF], 50 mg [BCF]

CholecalciferolOutpatient Dosage FormsCapsule, Oral:Generic: 50,000 unitsLiquid, Oral:Generic: 400 units/mL (50 mL)Tablet, Oral:Generic: 1000 units

Cholestyramine ResinOutpatient Dosage FormsPowder, Oral:Generic: 4 g/dose (239.4 g)

CiclopiroxOutpatient Dosage FormsSolution, External:Generic: 8% (6.6 mL)

CilostazolOutpatient Dosage FormsTablet, Oral:Generic: 50 mg, 100 mg

CinacalcetOutpatient Dosage FormsTablet, Oral:Sensipar: 30 mg, 60 mg, 90 mg

Ciprofloxacin and DexamethasoneOutpatient Dosage FormsSuspension, Otic:Ciprodex: Ciprofloxacin 0.3% and dexamethasone 0.1% (7.5 mL) [containsbenzalkonium chloride, edetate disodium, tyloxapol]

Ciprofloxacin (Ophthalmic)Outpatient Dosage FormsSolution, Ophthalmic, as hydrochloride:Generic: 0.3% (2.5 mL)

Ciprofloxacin (Systemic)Outpatient Dosage FormsTablet, oral, as hydrochloride [strength expressed as base]:Generic: 250 mg [BCF], 500 mg [BCF], 750 mg [BCF]

CitalopramOutpatient Dosage FormsSolution, oral:Generic: 10 mg/5 mL (240 mL) [BCF]Tablet, oral:Generic: 20 mg [BCF], 40 mg [BCF]

ClarithromycinOutpatient Dosage FormsSuspension Reconstituted, Oral:Generic: 125 mg/5 mL (50 mL, 100 mL); 250 mg/5 mL (100 mL)Tablet, Oral:Biaxin: 500 mgTablet Extended Release 24 Hour, Oral:Biaxin XL Pac: 500 mgGeneric: 500 mg

Clidinium and ChlordiazepoxideOutpatient Dosage FormsCapsule, Oral:Librax: Clidinium bromide 2.5 mg and chlordiazepoxide hydrochloride 5 mg

Clindamycin and Benzoyl PeroxideOutpatient Dosage FormsGel, External:BenzaClin: Clindamycin phosphate 1% and benzoyl peroxide 5% (25 g)Duac: Clindamycin phosphate 1.2% and benzoyl peroxide 5% (45 g)

Clindamycin (Systemic)Outpatient Dosage FormsCapsule, oral, as hydrochloride [strength expressed as base]:Generic: 150 mg [BCF]Solution Reconstituted, Oral, as palmitate hydrochloride [strength expressed asbase]:Cleocin: 75 mg/5 mL (100 mL) [contains ethylparaben]

Clindamycin (Topical)Outpatient Dosage FormsCream, vaginal, as phosphate [strength expressed as base]:Generic: 2% (40 g) [BCF]Gel, External, as phosphate [strength expressed as base]:Cleocin-T: 1% (60 g) [contains methylparaben, propylene glycol]Lotion, External, as phosphate [strength expressed as base]:Generic: 1% (60 mL)Solution, topical, as phosphate [strength expressed as base]:Generic: 1% (60 mL) [BCF]

ClobetasolOutpatient Dosage FormsCream, External, as propionate:Clobetasol Propionate E: 0.05% (15 g, 60 g) [contains propylene glycol]Generic: 0.05% (15 g, 60 g)Foam, External, as propionate:Generic: 0.05% (50 g)Ointment, External, as propionate:Generic: 0.05% (30 g, 60 g)Solution, External, as propionate:Generic: 0.05% (25 mL)

ClomiPHENEOutpatient Dosage FormsTablet, Oral, as citrate:Generic: 50 mg

ClomiPRAMINEOutpatient Dosage FormsCapsule, Oral, as hydrochloride:Generic: 25 mg, 50 mg, 75 mg

ClonazePAMOutpatient Dosage FormsTablet, oral:Generic: 0.5 mg [BCF], 1 mg

CloNIDineOutpatient Dosage FormsPatch Weekly, Transdermal:Catapres-TTS-1: 0.1 mg/24 hr (4 ea)Catapres-TTS-2: 0.2 mg/24 hr (4 ea)Catapres-TTS-3: 0.3 mg/24 hr (4 ea)Tablet, oral, as hydrochloride:Generic: 0.1 mg [BCF], 0.2 mg [BCF], 0.3 mg [BCF]

ClopidogrelOutpatient Dosage FormsTablet, Oral:Plavix: 75 mg [BCF]

Clotrimazole (Oral)Outpatient Dosage FormsLozenge, Mouth/Throat:Generic: 10 mg (70 ea)

Clotrimazole (Topical)Outpatient Dosage FormsCream, External:Generic: 1% (15 g)Solution, topical:Generic: 1% (10 mL) [BCF]

CloZAPineOutpatient Dosage FormsTablet, Oral:Clozaril: 25 mg, 100 mg [scored]

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CodeineOutpatient Dosage FormsTablet, Oral, as sulfate:Generic: 30 mg

ColchicineOutpatient Dosage FormsTablet, Oral:Colcrys: 0.6 mg [scored; contains fd&c blue #2 (indigotine), fd&c red #40]

ColestipolOutpatient Dosage FormsTablet, Oral, as hydrochloride:Colestid: 1 g

CortisoneOutpatient Dosage FormsTablet, Oral, as acetate:Generic: 25 mg

Cromolyn (Nasal)Outpatient Dosage FormsAerosol Solution, Nasal, as sodium:Generic: 5.2 mg/actuation (26 mL)

Cromolyn (Oral Inhalation)Outpatient Dosage FormsNebulization Solution, Inhalation, as sodium:Generic: 20 mg/2 mL (2 mL)

CrotamitonOutpatient Dosage FormsCream, External:Eurax: 10% (60 g)

CyanocobalaminOutpatient Dosage FormsTablet, Oral [preservative free]:Generic: 1000 mcg

CyclobenzaprineOutpatient Dosage FormsTablet, oral, as hydrochloride:Generic: 5 mg, 10 mg [BCF]

CyclopentolateOutpatient Dosage FormsSolution, Ophthalmic, as hydrochloride:Cyclogyl: 1% (5 mL)

CyclophosphamideOutpatient Dosage FormsTablet, Oral:Generic: 25 mg, 50 mg

CycloSPORINE (Ophthalmic)Outpatient Dosage FormsEmulsion, Ophthalmic [preservative free]:Restasis: 0.05% (1 ea) [contains polysorbate 80]

CycloSPORINE (Systemic)Outpatient Dosage FormsCapsule, Oral:Gengraf: 25 mg, 100 mg [contains cremophor el, fd&c blue #2 (indigotine)]SandIMMUNE: 25 mg [contains alcohol, usp]SandIMMUNE: 100 mgSolution, Oral:Neoral: 100 mg/mL (50 mL) [contains alcohol, usp]SandIMMUNE: 100 mg/mL (50 mL) [contains alcohol, usp]

CyproheptadineOutpatient Dosage FormsTablet, oral, as hydrochloride:Generic: 4 mg [BCF]

Dabigatran EtexilateOutpatient Dosage FormsCapsule, Oral:Pradaxa: 150 mg

Dapsone (Systemic)Outpatient Dosage FormsTablet, Oral:Generic: 25 mg

DarunavirOutpatient Dosage FormsTablet, Oral:Prezista: 600 mg, 800 mg

DeferasiroxOutpatient Dosage FormsTablet Soluble, Oral:Exjade: 500 mg

DemeclocyclineOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 150 mg, 300 mg

DesipramineOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 50 mg [not scored]

DesmopressinOutpatient Dosage FormsSolution, Nasal, as acetate:DDAVP: 0.01% (5 mL)DDAVP Rhinal Tube: 0.01% (2.5 mL)Tablet, Oral, as acetate:Generic: 0.1 mg, 0.2 mg

DesonideOutpatient Dosage FormsCream, External:Generic: 0.05% (60 g)

DexAMETHasone (Systemic)Outpatient Dosage FormsConcentrate, Oral:Dexamethasone Intensol: 1 mg/mL (30 mL) [contains alcohol, usp; unflavoredflavor]

Solution, Oral:Generic: 0.5 mg/5 mL (500 mL)Tablet, Oral:Generic: 0.5 mg, 4 mg

DextroamphetamineOutpatient Dosage FormsTablet, Oral, as sulfate:Generic: 5 mg

Dextroamphetamine and AmphetamineOutpatient Dosage FormsCapsule Extended Release 24 Hour, Oral:Generic: 5 mg [BCF], 10 mg [BCF], 15 mg [BCF], 20 mg [BCF], 25 mg

[BCF], 30 mg [BCF]Tablet, Oral:Generic: 5 mg, 10 mg, 20 mg

Diabetic SuppliesOutpatient Dosage FormsGlucose meter:Precision Xtra: 1 eaLancet:BD Lancet Ultrafine: 33 gaugeSyringe and needle:BD Ultrafine II 31 gauge x 5/16" (0.5 mL)BD MicroFine 28 gauge x 1/2" (0.5 mL)28 gauge x 1/2" (1 mL)NovoFine: 30 gauge x 8 mm [100/box]Test StripsDiastix® Reagent Strips: 100/boxPrecision Xtra® Blood Glucose Test Strips: 100/box [BCF]

Diatrizoate Meglumine and Diatrizoate SodiumOutpatient Dosage FormsSolution, Oral:Gastrografin: Diatrizoate meglumine 660 mg and diatrizoate sodium 100 mgper 1 mL (120 mL) [contains disodium edta, polysorbate 80, saccharinsodium]MD-Gastroview: Diatrizoate meglumine 660 mg and diatrizoate sodium100 mg per 1 mL (120 mL) [contains disodium edta, saccharin sodium;lemon-vanilla flavor]

DiazePAMOutpatient Dosage FormsGel, Rectal:Diastat AcuDial: 10 mg (1 ea); 20 mg (1 ea) [contains alcohol, usp, benzoicacid, sodium benzoate]Diastat Pediatric: 2.5 mg (1 ea) [contains alcohol, usp]Solution, Oral:Generic: 1 mg/mL (500 mL)Tablet, oral:Generic: 5 mg [BCF]

DIAZEPAM

7

DibucaineOutpatient Dosage FormsOintment, External:Generic: 1% (28.35 g)

Diclofenac (Systemic)Outpatient Dosage FormsTablet, Oral, as potassium:Generic: 50 mgTablet Delayed Release, Oral, as sodium:Generic: 75 mg

Diclofenac (Topical)Outpatient Dosage FormsGel, Transdermal, as sodium:Voltaren: 1% (100 g) [contains isopropyl alcohol, propylene glycol]Solution, Transdermal, as sodium:Generic: 1.5% (150 mL)

DicloxacillinOutpatient Dosage FormsCapsule, oral:Generic: 250 mg [BCF], 500 mg [BCF]

DicyclomineOutpatient Dosage FormsSolution, Oral, as hydrochloride:Generic: 10 mg/5 mL (473 mL) [BCF]Tablet, oral, as hydrochloride:Generic: 20 mg [BCF]

DidanosineOutpatient Dosage FormsCapsule Delayed Release, Oral:Generic: 200 mg

DifluprednateOutpatient Dosage FormsEmulsion, Ophthalmic:Durezol: 0.05% (5 mL) [contains edetate sodium (tetrasodium), polysor-bate 80]

DigoxinOutpatient Dosage FormsTablet, Oral:Generic: 0.125 mg [BCF], 0.25 mg [BCF]

DihydroergotamineOutpatient Dosage FormsSolution, Nasal, as mesylate:Migranal: 4 mg/mL (1 mL)

DilTIAZemOutpatient Dosage FormsCapsule Extended Release 24 Hour, Oral, as hydrochloride:Generic: 120 mg [BCF], 180 mg [BCF], 240 mg [BCF]Tablet, Oral, as hydrochloride:Generic: 60 mg, 90 mg

DiphenhydrAMINE (Systemic)Outpatient Dosage FormsCapsule, Oral, as hydrochloride:Banophen: 25 mg [contains methylparaben, propylparaben]Generic: 25 mg, 50 mgElixir, Oral, as hydrochloride:Generic: 12.5 mg/5 mL (10 mL)Liquid, Oral, as hydrochloride:Banophen: 12.5 mg/5 mL (118 mL) [alcohol free; cherry flavor]Q-Dryl: 12.5 mg/5 mL (118 mL) [alcohol free; contains saccharin sodium,sodium benzoate; cherry flavor]

Diphenoxylate and AtropineOutpatient Dosage FormsTablet, Oral:Generic: Diphenoxylate hydrochloride 2.5 mg and atropine sulfate 0.025 mg

DisulfiramOutpatient Dosage FormsTablet, Oral:Antabuse: 250 mg

DocusateOutpatient Dosage FormsCapsule, Oral, as sodium:Stool Softener: 100 mg [stimulant free; contains brilliant blue fcf (fd&c blue#1), fd&c red #40, fd&c yellow #6 (sunset yellow)]Generic: 100 mgLiquid, Oral, as sodium:Generic: 50 mg/5 mL (10 mL, 473 mL)

DofetilideOutpatient Dosage FormsCapsule, Oral:Tikosyn: 125 mcg, 250 mcg, 500 mcg

DonepezilOutpatient Dosage FormsTablet, oral, as hydrochloride:Aricept®: 5 mg, 10 mg

DorzolamideOutpatient Dosage FormsSolution, Ophthalmic:Generic: 2% (10 mL)

Dorzolamide and TimololOutpatient Dosage FormsSolution, ophthalmic [drops]:Generic: Dorzolamide 2% and timolol 0.5% (10 mL)

DoxazosinOutpatient Dosage FormsTablet, Oral:Generic: 2 mg, 4 mg, 8 mg

Doxepin (Systemic)Outpatient Dosage FormsCapsule, oral:Generic: 10 mg [BCF], 25 mg [BCF], 75 mg [BCF]Solution, oral [concentrate]:Generic: 10 mg/mL (118 mL) [BCF]

DoxercalciferolOutpatient Dosage FormsCapsule, Oral:Hectorol: 2.5 mcg, 0.5 mcg [contains alcohol, usp]

DoxycyclineOutpatient Dosage FormsCapsule, oral, as hyclate [strength expressed as base]:Generic: 50 mgTablet, oral, as hyclate [strength expressed as base]:Generic: 100 mg [BCF]

DoxylamineOutpatient Dosage FormsTablet, Oral, as succinate:Sleep Aid: 25 mg [scored] [BCF]

DronabinolOutpatient Dosage FormsCapsule, Oral:Generic: 2.5 mg, 5 mg

DronedaroneOutpatient Dosage FormsTablet, Oral:Multaq: 400 mg

DulaglutideOutpatient Dosage FormsSolution Pen-injector, Subcutaneous [preservative free]:Trulicity: 0.75 mg/0.5 mL (0.5 mL); 1.5 mg/0.5 mL (0.5 mL) [contains poly-sorbate 80]

DULoxetineOutpatient Dosage FormsCapsule Delayed Release Particles, Oral:Generic: 20 mg, 30 mg, 60 mg

EfavirenzOutpatient Dosage FormsTablet, Oral:Sustiva: 600 mg

Efavirenz, Emtricitabine, and Tenofovir Disoproxil FumarateOutpatient Dosage FormsTablet:Atripla®: Efavirenz 600 mg, emtricitabine 200 mg, and tenofovir disoproxilfumarate 300 mg

Elvitegravir, Cobicistat, Emtricitabine, and TenofovirAlafenamide

Outpatient Dosage FormsTablet, Oral:Genvoya: Elvitegravir 150 mg, cobicistat 150 mg, emtricitabine 200 mg, andtenofovir alafenamide 10 mg [contains fd&c blue #2 aluminum lake]

DIBUCAINE

8

EmollientsOutpatient Dosage FormsCream, External:Vanicream: (113 g)Ointment, External:Hydrophor: (100 g)

EmpagliflozinOutpatient Dosage FormsTablet, Oral:Jardiance: 10 mg, 25 mg

Empagliflozin and MetforminOutpatient Dosage FormsTablet, Oral:Synjardy: Empagliflozin 5 mg and metformin hydrochloride 500 mg, Empagli-flozin 5 mg and metformin hydrochloride 1000 mg, Empagliflozin 12.5 mgand metformin hydrochloride 500 mg, Empagliflozin 12.5 mg and metforminhydrochloride 1000 mg

EmtricitabineOutpatient Dosage FormsCapsule, Oral:Emtriva: 200 mg

Emtricitabine and Tenofovir AlafenamideOutpatient Dosage FormsTablet, Oral:Descovy: Emtricitabine 200 mg and tenofovir alafenamide 25 mg [containsfd&c blue #2 aluminum lake]

Emtricitabine and Tenofovir Disoproxil FumarateOutpatient Dosage FormsTablet:Truvada: Emtricitabine 200 mg and tenofovir disoproxil fumarate 300 mg

EnalaprilOutpatient Dosage FormsTablet, Oral, as maleate:Generic: 5 mg, 10 mg, 20 mg

EnoxaparinOutpatient Dosage FormsSolution, Subcutaneous, as sodium:Lovenox: 30 mg/0.3 mL (0.3 mL) [BCF]; 40 mg/0.4 mL (0.4 mL) [BCF];60 mg/0.6 mL (0.6 mL) [BCF]; 80 mg/0.8 mL (0.8 mL) [BCF]; 100 mg/mL(1 mL) [BCF]

Solution, Subcutaneous, as sodium [preservative free]Lovenox®: 120 mg/0.8 mL (0.8 mL) [BCF]; 150 mg/mL (1 mL) [BCF] [prefilledsyringe]

EntacaponeOutpatient Dosage FormsTablet, Oral:Comtan: 200 mg

EPINEPHrine (Oral Inhalation)Outpatient Dosage FormsNebulization Solution, Inhalation [preservative free]:S2: 2.25% (1 ea) [sulfite free; contains edetate disodium]

EPINEPHrine (Systemic)Outpatient Dosage FormsDevice, Injection:EpiPen 2-Pak: 0.3 mg/0.3 mL (2 ea) [latex free; contains sodium metabisulfite]EpiPen Jr 2-Pak: 0.15 mg/0.3 mL (2 ea) [contains sodium metabisulfite]

EplerenoneOutpatient Dosage FormsTablet, Oral:Inspra: 25 mgGeneric: 50 mg

Erythromycin (Ophthalmic)Outpatient Dosage FormsOintment, Ophthalmic:Generic: 5 mg/g (3.5 g) [BCF]

Erythromycin (Systemic)Outpatient Dosage FormsPowder for Suspension, Oral, as ethylsuccinate [strength expressed as base]:EryPed®: 200 mg/5 mL (100 mL) [contains sodium 117.5 mg (5.1 mEq)/5 mL;fruit flavor] [BCF]

Tablet, Delayed Release, Enteric Coated, Oral, as base:Ery-Tab®: 250 mg [contains sodium 8.3 mg (0.4 mEq)/tablet] [BCF]

Erythromycin (Topical)Outpatient Dosage FormsSolution, topical:Generic: 2% (60 mL) [BCF]

EscitalopramOutpatient Dosage FormsTablet, Oral:Generic: 5 mg, 10 mg, 20 mg

EsketamineOutpatient Dosage FormsSolution Therapy Pack, Nasal, as hydrochloride:Spravato (56 MG Dose): 28 mg/device (dose pack of 2) (1 ea) [containsedetate disodium]

EsomeprazoleOutpatient Dosage FormsCapsule Delayed Release, Oral, as magnesium [strength expressed as base]:Generic: 20 mg, 40 mg

Estradiol and LevonorgestrelOutpatient Dosage FormsPatch, transdermal:ClimaraPro®: Estradiol 0.045 mg and levonorgestrel 0.015 mg per 24 hours(4s) [22 cm2; contains estradiol 4.4 mg and levonorgestrel 1.39 mg]

Estradiol (Systemic)Outpatient Dosage FormsOil, Intramuscular, as valerate:Delestrogen: 20 mg/mL (5 mL) [contains benzyl alcohol]Patch, transdermal [once-weekly patch]:Climara®: 0.025 mg/24 hours (4s) [6.5 cm2, total estradiol 2.04 mg] [BCF]Climara®: 0.0375 mg/24 hours (4s) [9.375 cm2, total estradiol 2.85 mg] [BCF]Climara®: 0.05 mg/24 hours (4s) [12.5 cm2, total estradiol 3.8 mg] [BCF]Climara®: 0.075 mg/24 hours (4s) [18.75 cm2, total estradiol 5.7 mg] [BCF]Climara®: 0.1 mg/24 hours (4s) [25 cm2, total estradiol 7.6 mg] [BCF]Tablet, Oral:Generic: 0.5 mg, 1 mg, 2 mg

Estradiol (Topical)Outpatient Dosage FormsRing, Vaginal, as base:Estring: 2 mg (1 ea)

Estrogens (Conjugated/Equine) and MedroxyprogesteroneOutpatient Dosage FormsTablet, Oral:Premphase® [therapy pack contains 2 separate tablet formulations]: Con-jugated estrogens 0.625 mg [14 maroon tablets] and conjugated estrogen0.625 mg/medroxyprogesterone acetate 5 mg [14 light blue tablets] (28s)Prempro®: 0.45/1.5: Conjugated estrogens 0.45 mg and medroxyprogester-one acetate 1.5 mg (28s) [BCF]Prempro®: 0.625/2.5: Conjugated estrogens 0.625 mg and medroxyproges-terone acetate 2.5 mg (28s) [BCF]Prempro®: 0.625/5: Conjugated estrogens 0.625 mg and medroxyprogester-one acetate 5 mg (28s) [BCF]

Estrogens (Conjugated/Equine, Systemic)Outpatient Dosage FormsTablet, oral:Premarin®: 0.3 mg [BCF], 0.45 mg [BCF], 0.625 mg [BCF], 0.9 mg,1.25 mg [BCF]

Estrogens (Conjugated/Equine, Topical)Outpatient Dosage FormsCream, vaginal:Premarin®: 0.625 mg/g (30 g) [BCF]

Estrogens (Esterified) and MethyltestosteroneOutpatient Dosage FormsTablet, Oral:Covaryx: Esterified estrogen 1.25 mg and methyltestosterone 2.5 mgCovaryx HS: Esterified estrogen 0.625 mg and methyltestosterone 1.25 mg

EthambutolOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 400 mg [BCF]

Ethinyl Estradiol and DesogestrelOutpatient Dosage FormsTablet, Oral [monophasic formulation]:Ortho-Cept 28: Ethinyl estradiol 0.03 mg and desogestrel 0.15 mg [21 lightorange tablets and 7 green inactive tablets] (28s)

Ethinyl Estradiol and DrospirenoneOutpatient Dosage FormsTablet, oral:Ocella™: Ethinyl estradiol 0.03 mg and drospirenone 3 mg [21 yellow activetablets and 7 white inactive tablets] (28s) [BCF]Yaz®: Ethinyl estradiol 0.02 mg and drospirenone 3 mg [24 light pink activetablets and 4 white inactive tablets] (28s) [BCF]

ETHINYL ESTRADIOL AND DROSPIRENONE

9

Ethinyl Estradiol and EtonogestrelOutpatient Dosage FormsRing, vaginal:NuvaRing®: Ethinyl estradiol 0.015 mg/day and etonogestrel 0.12 mg/day(3s) [3-week duration]

Ethinyl Estradiol and LevonorgestrelOutpatient Dosage FormsTablet, oral [extended cycle regimen]:Jolessa™: Ethinyl estradiol 0.03 mg and levonorgestrel 0.15 mg (91s) [84 pinktablets and 7 white inactive tablets] [BCF]

Tablet, oral [low dose formulation]:Sronyx®: Ethinyl estradiol 0.02 mg and levonorgestrel 0.1 mg (28s) [21 whitetablets and 7 peach inactive tablets] [BCF]

Tablet, oral [monophasic formulation]:Levora®: Ethinyl estradiol 0.03 mg and levonorgestrel 0.15 mg (28s) [21 whitetablets and 7 peach inactive tablets] [BCF]

Tablet, oral [triphasic formulation]:Trivora:Day 1-6: Ethinyl estradiol 0.03 mg and levonorgestrel 0.05 mg [6 bluetablets]Day 7-11: Ethinyl estradiol 0.04 mg and levonorgestrel 0.075 mg [5 whitetablets]Day 12-21: Ethinyl estradiol 0.03 mg and levonorgestrel 0.125 mg [10 pinktablets]Day 22-28: 7 peach inactive tablets (28s)

Ethinyl Estradiol and NorelgestrominOutpatient Dosage FormsPatch, External:Ortho Evra®: Ethinyl estradiol 0.75 mg and norelgestromin 6 mg [releasesethinyl estradiol 20 mcg and norelgestromin 150 mcg per day] (3s)

Ethinyl Estradiol and NorethindroneOutpatient Dosage FormsTablet, Oral [monophasic formulation]:Norinyl 1+35: Ethinyl estradiol 0.035 mg and norethindrone 1 mg (28s) [21yellow-green tablets and 7 orange inactive tablets] [BCF]Loestrin Fe 1/20: Ethinyl estradiol 0.02 mg and norethindrone acetate 1 mg[21 light yellow tablets] and ferrous fumarate 75 mg [7 brown tablets] (28s)Loestrin Fe 1.5/30: Ethinyl estradiol 0.03 mg and norethindrone acetate1.5 mg [21 pink tablets] and ferrous fumarate 75 mg [7 brown tablets] (28s)

Tablet, Oral [triphasic formulation]:Ortho-Novum 7/7/7:Day 1-7: Ethinyl estradiol 0.035 mg and norethindrone 0.5 mg [7 whitetablets]Day 8-14: Ethinyl estradiol 0.035 mg and norethindrone 0.75 mg [7 lightpeach tablets]Day 15-21: Ethinyl estradiol 0.035 mg and norethindrone 1 mg [7 peachtablets]Day 22-28: 7 green inactive tablets (28s)

Ethinyl Estradiol and NorgestimateOutpatient Dosage FormsTablet, Oral [monophasic formulation]:Ortho-Cyclen®: Ethinyl estradiol 0.035 mg and norgestimate 0.25 mg [21 bluetablets and 7 dark green inactive tablets] (28s) [BCF]

Tablet, Oral [triphasic formulation]:Ortho Tri-Cyclen® [BCF]:Day 1-7: Ethinyl estradiol 0.035 mg and norgestimate 0.18 mg [7 whitetablets]Day 8-14: Ethinyl estradiol 0.035 mg and norgestimate 0.215 mg [7 light bluetablets]Day 15-21: Ethinyl estradiol 0.035 mg and norgestimate 0.25 mg [7 bluetablets]Day 22-28: 7 dark green inactive tablets (28s)Ortho Tri-Cyclen® Lo [BCF]:Day 1-7: Ethinyl estradiol 0.025 mg and norgestimate 0.18 mg [7 whitetablets]Day 8-14: Ethinyl estradiol 0.025 mg and norgestimate 0.215 mg [7 light bluetablets]Day 15-21: Ethinyl estradiol 0.025 mg and norgestimate 0.25 mg [7 darkblue tablets]Day 22-28: 7 dark green inactive tablets

Ethinyl Estradiol and NorgestrelOutpatient Dosage FormsTablet, Oral [monophasic formulation]:Low-Ogestrel: Ethinyl estradiol 0.03 mg and norgestrel 0.3 mg [21 whitetablets and 7 peach inactive tablets] (28 ea)

EthosuximideOutpatient Dosage FormsSolution, Oral:Zarontin: 250 mg/5 mL (474 mL) [raspberry flavor]

EtoposideOutpatient Dosage FormsCapsule, Oral:Generic: 50 mg

EtravirineOutpatient Dosage FormsTablet, Oral:Intelence: 100 mg

ExemestaneOutpatient Dosage FormsTablet, Oral:Aromasin: 25 mg

ExenatideOutpatient Dosage FormsAuto-injector, Subcutaneous:Bydureon BCise: 2 mg/0.85 mL (0.85 mL)Suspension Reconstituted, Subcutaneous:Bydureon: 2 mg (1 ea)

EzetimibeOutpatient Dosage FormsTablet, Oral:Zetia: 10 mg

FamotidineOutpatient Dosage FormsSuspension Reconstituted, Oral:Generic: 40 mg/5 mL (50 mL)

FelbamateOutpatient Dosage FormsSuspension, Oral:Felbatol: 600 mg/5 mL (946 mL)Tablet, Oral:Felbatol: 600 mg [scored]

FelodipineOutpatient Dosage FormsTablet Extended Release 24 Hour, Oral:Generic: 2.5 mg, 5 mg, 10 mg

Fenofibrate and DerivativesOutpatient Dosage FormsTablet, oral:TriCor®: 48 mg [BCF], 145 mg [BCF] [contains soybean lecithin]

FentaNYLOutpatient Dosage FormsPatch 72 Hour, Transdermal, as base:Generic: 100 mcg/hr (5 ea); 25 [delivers 25 mcg/hr] (5 ea); 50 [delivers 50mcg/hr] (5 ea); 75 [delivers 75 mcg/hr] (5 ea)

Ferric SubsulfateOutpatient Dosage FormsSolution, External:Generic: 21% (8 mL, 60 mL)

Ferrous FumarateOutpatient Dosage FormsTablet, Oral:Hemocyte: 324 mg

Ferrous SulfateOutpatient Dosage FormsElixir, Oral:Generic: 220 (44 Fe) MG/5ML (473 mL)Solution, Oral:Fer-Iron: 75 (15 Fe) mg/mL (50 mL) [contains sodium metabisulfite; lemonflavor]

Tablet, Oral:Generic: 325 (65 Fe) MG

FinasterideOutpatient Dosage FormsTablet, oral:Generic: 5 mg [BCF]

FlecainideOutpatient Dosage FormsTablet, Oral, as acetate:Generic: 50 mg, 100 mg, 150 mg

FluconazoleOutpatient Dosage FormsTablet, oral:Generic: 100 mg, 150 mg [BCF], 200 mg

ETHINYL ESTRADIOL AND ETONOGESTREL

10

FludrocortisoneOutpatient Dosage FormsTablet, Oral, as acetate:Generic: 0.1 mg

Fluocinolone (Topical)Outpatient Dosage FormsOil, External, as acetonide:Derma-Smoothe/FS Scalp: 0.01% (118.28 mL) [contains isopropyl alcohol,peanut oil]

FluocinonideOutpatient Dosage FormsCream, External:Generic: 0.05% (15 g) [BCF]Ointment, External:Generic: 0.05% (15 g, 30 g )Solution, External:Generic: 0.05% (60 mL)

FluorideOutpatient Dosage FormsCream, Dental, as sodium:PreviDent 5000 Plus: 1.1% (51 g) [spearmint flavor]

FluorometholoneOutpatient Dosage FormsSuspension, Ophthalmic, as base:Generic: 0.1% (10 mL)

Fluorouracil (Topical)Outpatient Dosage FormsCream, External:Efudex: 5% (40 g)Generic: 0.5% (30 g)

FLUoxetineOutpatient Dosage FormsCapsule, Oral:Generic: 10 mg [BCF], 20 mg [BCF]Solution, Oral:Generic: 20 mg/5 mL (120 mL) [BCF]

FlutamideOutpatient Dosage FormsCapsule, Oral:Generic: 125 mg

Fluticasone and SalmeterolOutpatient Dosage FormsAerosol, for oral inhalation:Advair® HFA: 45/21: Fluticasone propionate 45 mcg and salmeterol 21 mcgper inhalation (12 g) [chlorofluorocarbon free; 120 metered actuations] [BCF]Advair® HFA: 115/21: Fluticasone propionate 115 mcg and salmeterol 21 mcgper inhalation (12 g) [chlorofluorocarbon free; 120 metered actuations] [BCF]Advair® HFA: 230/21: Fluticasone propionate 230 mcg and salmeterol 21 mcgper inhalation (12 g) [chlorofluorocarbon free; 120 metered actuations] [BCF]

Powder, for oral inhalation:Advair Diskus®: 100/50: Fluticasone propionate 100 mcg and salmeterol 50mcg (14s, 60s) [contains lactose] [BCF]Advair Diskus®: 250/50: Fluticasone propionate 250 mcg and salmeterol 50mcg (14s, 60s) [contains lactose] [BCF]Advair Diskus®: 500/50: Fluticasone propionate 500 mcg and salmeterol 50mcg (14s, 60s) [contains lactose] [BCF]

Fluticasone (Nasal)Outpatient Dosage FormsSuspension, intranasal, as propionate [spray]:Flonase®: 50 mcg/inhalation (16 g) [contains benzalkonium chloride; 120metered actuations] [BCF]

Fluticasone (Oral Inhalation)Outpatient Dosage FormsAerosol, for oral inhalation, as propionate:Flovent® HFA: 44 mcg/inhalation (10.6 g) [chlorofluorocarbon free; 120metered actuations] [BCF]Flovent® HFA: 110 mcg/inhalation (12 g) [chlorofluorocarbon free; 120metered actuations] [BCF]Flovent® HFA: 220 mcg/inhalation (12 g) [chlorofluorocarbon free; 120metered actuations] [BCF]

Powder, for oral inhalation, as propionate:Flovent® Diskus®: 50 mcg (60s) [contains lactose] [BCF]Flovent® Diskus®: 100 mcg (60s) [contains lactose] [BCF]Flovent® Diskus®: 250 mcg (60s) [contains lactose] [BCF]

Folic AcidOutpatient Dosage FormsTablet, Oral:Generic: 1 mg [BCF]

FondaparinuxOutpatient Dosage FormsSolution, Subcutaneous, as sodium [preservative free]:Arixtra: 2.5 mg/0.5 mL (0.5 mL); 7.5 mg/0.6 mL (0.6 mL); 10 mg/0.8 mL(0.8 mL)

FosfomycinOutpatient Dosage FormsPacket, Oral:Monurol: 3 g (1 ea) [orange flavor]

FosinoprilOutpatient Dosage FormsTablet, Oral, as sodium:Generic: 10 mg, 20 mg, 40 mg

Fosinopril and HydrochlorothiazideOutpatient Dosage FormsTablet:Generic: 10/12.5: Fosinopril sodium 10 mg and hydrochlorothiazide 12.5 mgGeneric: 20/12.5: Fosinopril sodium 20 mg and hydrochlorothiazide 12.5 mg

FurosemideOutpatient Dosage FormsSolution, oral:Generic: 10 mg/mL (60 mL) [BCF]Tablet, oral:Generic: 20 mg [BCF], 40 mg [BCF]

GabapentinOutpatient Dosage FormsCapsule, oral:Generic: 100 mg [BCF], 300 mg [BCF], 400 mg [BCF]Solution, Oral:Neurontin: 250 mg/5 mL (470 mL) [strawberry anise flavor]Tablet, oral:Generic: 600 mg [BCF], 800 mg [BCF]

GalantamineOutpatient Dosage FormsTablet, Oral, as hydrobromide [strength expressed as base]:Razadyne: 4 mg, 8 mg, 12 mg

Ganciclovir (Ophthalmic)Outpatient Dosage FormsGel, Ophthalmic:Zirgan: 0.15% (5 g) [contains benzalkonium chloride]

GefitinibOutpatient Dosage FormsTablet, Oral:Iressa®: 250 mg

GemfibrozilOutpatient Dosage FormsTablet, oral:Generic: 600 mg [BCF]

Gentamicin (Ophthalmic)Outpatient Dosage FormsOintment, Ophthalmic:Gentak®: 0.3% (3.5 g) [BCF]Solution, Ophthalmic:Generic: 0.3% (5 mL) [BCF]

GlipiZIDEOutpatient Dosage FormsTablet, oral:Generic: 5 mg [BCF], 10 mg [BCF]

GlyBURIDEOutpatient Dosage FormsTablet, oral:Generic: 2.5 mg [BCF], 5 mg [BCF]Tablet, oral [micronized]:Generic: 3 mg [BCF], 6 mg [BCF]

GlycerinOutpatient Dosage FormsLiquid, External:Generic: 480 mLSolution, Oral:Introl: 75% (120 mL)Suppository, Rectal [pediatric]:Generic: 1.2 g (12 ea)

Glycopyrrolate (Systemic)Outpatient Dosage FormsTablet, Oral:Robinul: 1 mg [scored]

GLYCOPYRROLATE (SYSTEMIC)

11

GriseofulvinOutpatient Dosage FormsSuspension, oral [microsize]:Generic: 125 mg/5 mL (120 mL) [BCF]Tablet, oral [ultramicrosize]:Gris-PEG®: 125 mg [BCF], 250 mg [BCF] [scored]

GuaiFENesinOutpatient Dosage FormsTablet Extended Release 12 Hour, Oral:Mucinex: 600 mg [contains fd&c blue #1 aluminum lake]

Guaifenesin and CodeineOutpatient Dosage FormsSolution, oral:Generic: Guaifenesin 100 mg and codeine phosphate 10 mg per 5 mL (10 mL)Syrup, oral:Generic: Guaifenesin 100 mg and codeine phosphate 10 mg per 5 mL(473 mL)

Guaifenesin and DextromethorphanOutpatient Dosage FormsSyrup, Oral:Generic: Guaifenesin 100 mg and dextromethorphan hydrobromide 10 mg per5 mL (10 mL, 118 mL)

GuanFACINEOutpatient Dosage FormsTablet Extended Release 24 Hour, Oral:Generic: 1 mg, 2 mg, 3 mg, 4 mg

HaloperidolOutpatient Dosage FormsConcentrate, Oral, as lactate [strength expressed as base]:Generic: 2 mg/mL (120 mL)Tablet, Oral:Generic: 1 mg, 2 mg, 5 mg, 10 mg

Hyaluronate and DerivativesOutpatient Dosage FormsSolution, Intra-articular [hyaluronan]:Monovisc: 88 mg/4 mL (4 mL) [prefilled syringe]Solution, Intra-articular [sodium hyaluronate]:OrthoVisc: 15 mg/mL (2 mL)

HydrALAZINEOutpatient Dosage FormsTablet, oral, as hydrochloride:Generic: 10 mg [BCF], 25 mg [BCF]

HydrochlorothiazideOutpatient Dosage FormsCapsule, oral:Generic: 12.5 mg [BCF]Tablet, oral:Generic: 25 mg [BCF], 50 mg [BCF]

Hydrochlorothiazide and TriamtereneOutpatient Dosage FormsGeneric: Hydrochlorothiazide 50 mg and triamterene 75 mg [BCF]

Hydrocodone and AcetaminophenOutpatient Dosage FormsTablet, Oral:Hydrocodone bitartrate 5 mg and acetaminophen 325 mgHydrocodone bitartrate 7.5 mg and acetaminophen 325 mg

Hydrocodone and HomatropineOutpatient Dosage FormsSyrup:Generic: Hydrocodone bitartrate 5 mg and homatropine methylbromide1.5 mg per 5 mL (473 mL)

Hydrocortisone (Systemic)Outpatient Dosage FormsTablet, Oral, as base:Generic: 5 mg, 10 mg

Hydrocortisone (Topical)Outpatient Dosage FormsCream, External, as base:Generic: 1% (28.35 g, 28.4 g); 2.5% (30 g) [BCF]Enema, Rectal, as base:Generic: 100 mg/60 mL (60 mL)Foam, Rectal, as acetate:Cortifoam: 90 mg (15 g) [contains cetyl alcohol, methylparaben, propyleneglycol, propylparaben, trolamine (triethanolamine)]

Ointment, External, as base:Generic: 1% (28.4 g); 2.5% (454 g)

Suppository, Rectal, as acetate:Anucort-HC: 25 mg (12 ea) [BCF]

Hydrogen PeroxideOutpatient Dosage FormsSolution, External:Generic: 3% (120 mL, 480 mL)

HYDROmorphoneOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 2 mg

HydroxychloroquineOutpatient Dosage FormsTablet, Oral, as sulfate:Generic: 200 mg

Hydroxypropyl MethylcelluloseOutpatient Dosage FormsSolution, Ophthalmic:Gonak: 2.5% (15 mL)

HydroxyureaOutpatient Dosage FormsCapsule, Oral:Generic: 500 mg

HydrOXYzineOutpatient Dosage FormsSolution, Intramuscular, as hydrochloride:Generic: 50 mg/mL (1 mL)Syrup, oral, as hydrochloride:Generic: 10 mg/5 mL (473 mL) [BCF]Tablet, oral, as hydrochloride:Generic: 10 mg [BCF], 25 mg [BCF]

HyoscyamineOutpatient Dosage FormsTablet Sublingual, Sublingual, as sulfate:Symax-SL: 0.125 mg [mint flavor]

IbandronateOutpatient Dosage FormsTablet, Oral:Generic: 150 mg

IbuprofenOutpatient Dosage FormsSuspension, Oral:Childrens Ibuprofen: 100 mg/5 mL (118 mL) [alcohol free; contains fd&c red#40, fd&c yellow #10 (quinoline yellow), polysorbate 80, sodium benzoate;berry flavor]Childrens Motrin: 100 mg/5 mL (120 mL) [alcohol free; contains fd&c red #40,fd&c yellow #10 (quinoline yellow), sodium benzoate; berry flavor]Generic: 100 mg/5 mL (5 mL)Tablet, Oral:Generic: 200 mg, 400 mg [BCF], 800 mg [BCF]

ImipramineOutpatient Dosage FormsTablet, oral, as hydrochloride:Generic: 10 mg [BCF], 25 mg [BCF]

ImiquimodOutpatient Dosage FormsCream, External:Generic: 5% (24 ea)

IncobotulinumtoxinAOutpatient Dosage FormsSolution Reconstituted, Intramuscular [preservative free]:Xeomin: 100 units [contains albumin human]

IndapamideOutpatient Dosage FormsTablet, Oral:Generic: 2.5 mg

IndomethacinOutpatient Dosage FormsCapsule, Oral:Generic: 25 mg [BCF]Capsule Extended Release, Oral:Generic: 75 mg

Inhalation DevicesOutpatient Dosage FormsDrug delivery system:OptiChamber

GRISEOFULVIN

12

Holding Chamber/Spacer:AeroChamber Plus Flo-Vu: SmallAeroChamber Plus Flo-Vu: MediumAeroChamber Plus Flo-Vu: Large

Insulin AspartOutpatient Dosage FormsInjection, solution:NovoLOG®: 100 units/mL (10 mL) [vial] [BCF]NovoLOG® FlexPen®: 100 units/mL (3 mL) [BCF]NovoLOG® Penfill®: 100 units/mL (3 mL) [cartridge] [BCF]

Insulin Aspart Protamine and Insulin AspartOutpatient Dosage FormsInjection, suspension:NovoLOG®Mix 70/30: Insulin aspart protamine suspension 70% [intermediateacting] and insulin aspart solution 30% [rapid acting]: 100 units/mL (10mL) [BCF]NovoLOG® Mix 70/30 FlexPen®: 100 units/mL: Insulin aspart protaminesuspension 70% [intermediate acting] and insulin aspart solution 30%[rapid-acting] (3 mL) [BCF]

Insulin GlargineOutpatient Dosage FormsInjection, solution:Lantus®: 100 units/mL (10 mL) [vial] [BCF]Lantus® Solostar®: 100 units/mL (3 mL) [prefilled pen] [BCF]

Insulin NPHOutpatient Dosage FormsInjection, suspension:NovoLIN® N: 100 units/mL (10 mL) [vial] [BCF]

Insulin NPH and Insulin RegularOutpatient Dosage FormsInjection, suspension:NovoLIN® 70/30: Insulin NPH suspension 70% [intermediate acting] andinsulin regular solution 30% [short acting]: 100 units/mL (10 mL) [vial] [BCF]

Insulin RegularOutpatient Dosage FormsSolution, Injection:NovoLIN R: 100 units/mL (10 mL) [BCF]Solution Pen-injector, Subcutaneous:HumuLIN R U-500 KwikPen: 500 units/mL (3 mL) [contains metacresol]

Interferon Beta-1bOutpatient Dosage FormsKit, Subcutaneous:Betaseron: 0.3 mg [contains albumin human] [BCF]

IodineOutpatient Dosage FormsTincture, External:Generic: (473 mL)

Ipratropium and AlbuterolOutpatient Dosage FormsAerosol Solution, Inhalation:Combivent Respimat: Ipratropium bromide 20 mcg and albuterol (base) 100mcg per inhalation (4 g) [contains benzalkonium chloride, edetate disodium]

Ipratropium (Nasal)Outpatient Dosage FormsSolution, Nasal, as bromide:Atrovent: 0.03% (30 mL)

Ipratropium (Oral Inhalation)Outpatient Dosage FormsAerosol, for oral inhalation, as bromide:Atrovent® HFA: 17 mcg/actuation (12.9 g) [chlorofluorocarbon free; 200metered actuations] [BCF]

Solution, for nebulization, as bromide:Generic: 0.02% [500 mcg/2.5 mL]

IsoniazidOutpatient Dosage FormsTablet, oral:Generic: 100 mg [BCF], 300 mg [BCF]

Isosorbide DinitrateOutpatient Dosage FormsTablet, oral:Generic: 10 mg [BCF], 20 mg [BCF]

Isosorbide Dinitrate and HydralazineOutpatient Dosage FormsTablet, Oral:BiDil®: Isosorbide dinitrate 20 mg and hydralazine hydrochloride 37.5 mg

Isosorbide MononitrateOutpatient Dosage FormsTablet, Oral:Generic: 10 mg, 20 mgTablet, extended release, oral:Generic: 30 mg [BCF], 60 mg [BCF], 120 mg [BCF]

ISOtretinoin (Systemic)Outpatient Dosage FormsCapsule, Oral:Amnesteem: 10 mg, 20 mg, 40 mg [contains soybean oil]

ItraconazoleOutpatient Dosage FormsCapsule, Oral:Sporanox: 100 mg

Ivermectin (Systemic)Outpatient Dosage FormsTablet, Oral:Generic: 3 mg

Ketoconazole (Systemic)Outpatient Dosage FormsTablet, Oral:Generic: 200 mg

Ketoconazole (Topical)Outpatient Dosage FormsCream, External:Generic: 2% (30 g)Shampoo, External:Generic: 2% (120 mL)

LacosamideOutpatient Dosage FormsTablet, Oral:Vimpat: 50 mg, 100 mg, 150 mg, 200 mg

Lactic Acid and Ammonium HydroxideOutpatient Dosage FormsLotion, External:AmLactin: Lactic acid 12% with ammonium hydroxide (225 g) [fragrance free;contains cetyl alcohol, methylparaben, propylene glycol, propylparaben]

LactobacillusOutpatient Dosage FormsCapsule, Oral:Freeze Dried Acidophilus:

LactuloseOutpatient Dosage FormsSolution, oral:Constulose: 10 g/15 mL (946 mL) [unflavored flavor]Generic: 10 g/15 mL (473 mL) [BCF]

LamiVUDineOutpatient Dosage FormsTablet, Oral:Generic: 150 mg, 300 mg

Lamivudine and ZidovudineOutpatient Dosage FormsTablet, Oral:Combivir®: Lamivudine 150 mg and zidovudine 300 mg [scored]

LamoTRIgineOutpatient Dosage FormsTablet, Oral:Generic: 25 mg, 100 mg, 200 mgTablet Extended Release 24 Hour, Oral:Generic: 25 mg, 50 mg, 100 mg, 200 mg, 300 mg

LapatinibOutpatient Dosage FormsTablet, Oral:Tykerb: 250 mg

LatanoprostOutpatient Dosage FormsSolution, ophthalmic [drops]:Xalatan®: 0.005% (2.5 mL) [contains benzalkonium chloride] [BCF]

LeflunomideOutpatient Dosage FormsTablet, Oral:Generic: 10 mg, 20 mg

LEFLUNOMIDE

13

LetrozoleOutpatient Dosage FormsTablet, Oral:Femara: 2.5 mg

Leucovorin CalciumOutpatient Dosage FormsTablet, Oral [strength expressed as base]:Generic: 5 mg

LeuprolideOutpatient Dosage FormsKit, Intramuscular, as acetate:Lupron Depot: 7.5 mg, 45 mg [latex free; contains polysorbate 80]Kit, Intramuscular, as acetate [preservative free]:Lupron Depot: 3.75 mg, 11.25 mg, 22.5 mg, 30 mg [latex free; containspolysorbate 80]Lupron Depot-Ped: 7.5 mg, 11.25 mg, 15 mg [latex free; contains polysor-bate 80]

LevETIRAcetamOutpatient Dosage FormsSolution, Oral:Keppra: 100 mg/mL (473 mL) [gluten free, lactose free; contains acesulfamepotassium, methylparaben, propylparaben; grape flavor]

Tablet, Oral:Keppra: 500 mg, 1000 mg [scored]

LevoFLOXacin (Systemic)Outpatient Dosage FormsTablet, Oral:Levaquin®: 250 mg [BCF], 500 mg [BCF], 750 mg [BCF]

Levonorgestrel (IUD)Outpatient Dosage FormsIntrauterine Device:Mirena: 20 mcg/24 hr

Levonorgestrel (Systemic)Outpatient Dosage FormsTablet, Oral:Plan B One-Step: 1.5 mg

LevothyroxineOutpatient Dosage FormsTablet, oral, as sodium:Synthroid®: 25 mcg [BCF], 50 mcg [BCF], 75 mcg [BCF], 88 mcg [BCF], 100mcg [BCF], 112 mcg [BCF], 125 mcg [BCF], 137 mcg [BCF], 150 mcg[BCF], 175 mcg [BCF]

Lidocaine and PrilocaineOutpatient Dosage FormsKit, External:Generic: Lidocaine 2.5% and prilocaine 2.5%

Lidocaine (Topical)Outpatient Dosage FormsGel, External, as hydrochloride:Generic: 2% (30 mL)Ointment, External, as hydrochloride:Generic: 5% (35.44 g)Patch, External:Lidoderm: 5% (30 ea) [contains disodium edta, methylparaben, propyleneglycol, propylparaben]

Solution, Mouth/Throat, as hydrochloride:Generic: 2% (15 mL, 100 mL)

LinaCLOtideOutpatient Dosage FormsCapsule, Oral:Linzess: 145 mcg, 290 mcg

LinezolidOutpatient Dosage FormsTablet, Oral:Zyvox: 600 mg

LiothyronineOutpatient Dosage FormsTablet, Oral:Cytomel: 25 mcg, 50 mcg [scored]Generic: 5 mcg

LisinoprilOutpatient Dosage FormsTablet, oral:Generic: 2.5 mg [BCF], 5 mg [BCF], 10 mg [BCF], 20 mg [BCF],40 mg [BCF]

LithiumOutpatient Dosage FormsCapsule, Oral, as carbonate:Generic: 300 mg [BCF]Tablet Extended Release, Oral, as carbonate:Generic: 300 mg, 450 mg

LomustineOutpatient Dosage FormsCapsule, Oral:CeeNU: 10 mg, 40 mg, 100 mg

LoperamideOutpatient Dosage FormsCapsule, Oral, as hydrochloride:Generic: 2 mg [BCF]Liquid, Oral, as hydrochloride:Generic: 1 mg/5 mL (118 mL)

Lopinavir and RitonavirOutpatient Dosage FormsTablet, Oral:Kaletra®: Lopinavir 200 mg and ritonavir 50 mg

LoratadineOutpatient Dosage FormsSyrup, Oral:Childrens Loratadine: 5 mg/5 mL (120 mL) [fruit flavor]Tablet, Oral:Generic: 10 mg

LORazepamOutpatient Dosage FormsTablet, Oral:Generic: 1 mg

LosartanOutpatient Dosage FormsTablet, Oral, as potassium:Generic: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF]

Losartan and HydrochlorothiazideOutpatient Dosage FormsTablet, oral:Hyzaar® 50/12.5: Losartan potassium 50 mg and hydrochlorothiazide12.5 mg [contains potassium 4.24 mg (0.108 mEq)] [BCF]Hyzaar® 100/12.5: Losartan potassium 100 mg and hydrochlorothiazide12.5 mg [contains potassium 8.48 mg (0.216 mEq)] [BCF]Hyzaar® 100/25: Losartan potassium 100 mg and hydrochlorothiazide 25 mg[contains potassium 8.48 mg (0.216 mEq)] [BCF]

LubiprostoneOutpatient Dosage FormsCapsule, Oral:Amitiza: 8 mcg, 24 mcg

LurasidoneOutpatient Dosage FormsTablet, Oral, as hydrochloride:Latuda: 20 mg, 40 mg, 60 mgLatuda: 80 mg [contains fd&c blue #2 aluminum lake]Latuda: 120 mg

Magnesium CitrateOutpatient Dosage FormsSolution, Oral:Generic: 1.745 g/30 mL (296 mL)

Magnesium HydroxideOutpatient Dosage FormsSuspension, Oral:Milk of Magnesia: 400 mg/5 mL (480 mL)Milk of Magnesia: 7.75% (30 mL) [spearmint flavor]

Magnesium OxideOutpatient Dosage FormsTablet, Oral:Generic: 400 mg

MaravirocOutpatient Dosage FormsTablet, Oral:Selzentry: 150 mg [contains fd&c blue #2 aluminum lake, soybean lecithin]

MeclizineOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 25 mg

LETROZOLE

14

MedroxyPROGESTERoneOutpatient Dosage FormsSuspension, Intramuscular, as acetate:Depo-Provera: 150 mg/mL (1 mL); 400 mg/mL (2.5 mL)Tablet, oral, as acetate:Provera®: 2.5 mg [BCF], 10 mg [BCF] [scored]

Mefenamic AcidOutpatient Dosage FormsCapsule, Oral:Generic: 250 mg

MefloquineOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 250 mg

MegestrolOutpatient Dosage FormsSuspension, Oral, as acetate:Generic: 40 mg/mL (240 mL)Tablet, Oral, as acetate:Generic: 40 mg

MelatoninOutpatient Dosage FormsTablet, Oral:Generic: 3 mg

MeloxicamOutpatient Dosage FormsTablet, Oral:Generic: 7.5 mg [BCF], 15 mg [BCF]

MelphalanOutpatient Dosage FormsTablet, Oral:Alkeran: 2 mg

MemantineOutpatient Dosage FormsTablet, Oral, as hydrochloride:Namenda: 5 mg, 10 mgNamenda Titration Pak: 5 (28)-10 (21) mg

MercaptopurineOutpatient Dosage FormsTablet, Oral:Generic: 50 mg

MeropenemOutpatient Dosage FormsSolution Reconstituted, Intravenous:Generic: 500 mg (1 ea); 1 g (1 ea)

MesalamineOutpatient Dosage FormsCapsule Extended Release, Oral:Pentasa: 250 mg, 500 mgCapsule Extended Release 24 Hour, Oral:Apriso: 0.375 g [contains aspartame]Enema, Rectal:Generic: 4 g (60 mL)Suppository, Rectal:Canasa: 1000 mg (30 ea)Tablet Delayed Release, Oral:Lialda: 1.2 g [BCF]

MetFORMINOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 500 mg [BCF], 850 mg [BCF], 1000 mg [BCF]Tablet Extended Release 24 Hour, Oral, as hydrochloride:Generic: 500 mg [BCF], 750 mg [BCF]

MethadoneOutpatient Dosage FormsSolution, Oral, as hydrochloride:Generic: 5 mg/5 mL (500 mL)Tablet, Oral, as hydrochloride:Generic: 5 mg

Methenamine, Phenyl Salicylate, Methylene Blue, BenzoicAcid, and Hyoscyamine

Outpatient Dosage FormsTablet, Oral:Prosed/DS: 81.6 mg

MethIMAzoleOutpatient Dosage FormsTablet, Oral:Tapazole: 5 mg [scored]Generic: 10 mg

MethocarbamolOutpatient Dosage FormsTablet, oral:Generic: 500 mg [BCF]

MethotrexateOutpatient Dosage FormsTablet, oral:Generic: 2.5 mg [BCF]

MethyldopaOutpatient Dosage FormsTablet, Oral:Generic: 250 mg, 500 mg

MethylergonovineOutpatient Dosage FormsTablet, Oral, as maleate:Generic: 0.2 mg

MethylphenidateOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 5 mg [BCF], 10 mg [BCF]Tablet, extended release, oral, as hydrochloride [bi-modal release]:Concerta®: 18 mg [BCF], 27 mg [BCF], 36 mg [BCF], 54 mg [BCF]

MethylPREDNISoloneOutpatient Dosage FormsTablet, Oral:Medrol (Pak): 4 mg [scored]Generic: 4 mg

MetoclopramideOutpatient Dosage FormsSolution, oral:Generic: 5 mg/5 mL (473 mL) [BCF]Tablet, oral:Generic: 10 mg [BCF]

MetOLazoneOutpatient Dosage FormsTablet, Oral:Generic: 2.5 mg, 5 mg

MetoprololOutpatient Dosage FormsTablet, oral, as tartrate:Generic: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF]Tablet, extended release, oral, as succinate [expressed as mg equivalent totartrate]:Generic: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF], 200 mg [BCF]

MetroNIDAZOLE (Systemic)Outpatient Dosage FormsTablet, Oral:Generic: 250 mg [BCF], 500 mg [BCF]

MetroNIDAZOLE (Topical)Outpatient Dosage FormsCream, External:Generic: 0.75% (45 g)Gel, External:Metrogel: 1% (60 g) [contains methylparaben, propylparaben]Gel, Vaginal:Generic: 0.75% (70 g)

MexiletineOutpatient Dosage FormsCapsule, Oral, as hydrochloride:Generic: 150 mg

Miconazole (Topical)Outpatient Dosage FormsCream, External, as nitrate:Antifungal: 2% (14 g) [contains benzoic acid]Cream, Vaginal, as nitrate:Generic: 2% (45 g)Solution, External, as nitrate:Fungoid Tincture: 2% (29.57 mL) [contains benzyl alcohol]

MICONAZOLE (TOPICAL)

15

MidodrineOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 2.5 mg, 5 mg

Minocycline (Systemic)Outpatient Dosage FormsCapsule, Oral:Generic: 50 mg, 100 mg

Minoxidil (Systemic)Outpatient Dosage FormsTablet, Oral:Generic: 2.5 mg, 10 mg

MirabegronOutpatient Dosage FormsTablet Extended Release 24 Hour, Oral:Myrbetriq: 25 mg, 50 mg

MirtazapineOutpatient Dosage FormsTablet, Oral:Remeron: 30 mg [scored]Generic: 15 mgTablet Dispersible, Oral:Remeron SolTab: 15 mg, 30 mg, 45 mg [contains aspartame]

MiSOPROStolOutpatient Dosage FormsTablet, Oral:Generic: 200 mcg

ModafinilOutpatient Dosage FormsTablet, Oral:Provigil: 100 mgProvigil: 200 mg [scored]

Mometasone (Nasal)Outpatient Dosage FormsSuspension, Nasal, as furoate:Nasonex: 50 mcg/actuation (17 g) [contains benzalkonium chloride]

Mometasone (Oral Inhalation)Outpatient Dosage FormsPowder, for oral inhalation, as furoate:Asmanex Twisthaler: 110 mcg (30 units) [contains lactose; delivers 100 mcg/actuation]Asmanex Twisthaler: 220 mcg (60 units) [contains lactose; delivers 200 mcg/actuation]

MontelukastOutpatient Dosage FormsGranules, Oral:Singulair®: 4 mg/packet (30s) [BCF]Tablet, Oral:Generic: 10 mgTablet, Chewable, Oral:Generic: 4 mg [BCF], 5 mg [BCF]

Morphine (Systemic)Outpatient Dosage FormsSolution, Oral, as sulfate:Generic: 20 mg/mL (120 mL)Tablet, Oral, as sulfate:Generic: 15 mg, 30 mgTablet, extended release, oral, as sulfate:Generic: 15 mg [BCF], 30 mg [BCF], 60 mg [BCF], 100 mg [BCF]

Moxifloxacin (Ophthalmic)Outpatient Dosage FormsSolution, Ophthalmic:Vigamox: 0.5% (3 mL)

MupirocinOutpatient Dosage FormsOintment, topical:Generic: 2% (22 g) [BCF]

MycophenolateOutpatient Dosage FormsCapsule, Oral, as mofetil:CellCept: 250 mgTablet, Oral, as mofetil:CellCept: 500 mg

NaftifineOutpatient Dosage FormsCream, External, as hydrochloride:Naftin: 1% (60 g) [contains benzyl alcohol, cetyl alcohol]

NaloxoneOutpatient Dosage FormsLiquid, Nasal [spray]:Narcan: 4 mg/0.1 mL (1 ea) [contains benzalkonium chloride, edetate diso-dium] [BCF]

NaltrexoneOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 50 mg

NaproxenOutpatient Dosage FormsTablet, oral:Generic: 250 mg [BCF], 500 mg [BCF]

Nasal WashOutpatient Dosage FormsKit [adult]:Sinus Rinse: 50 eaKit [pediatric]:Sinus Rinse: 60 eaPacket [pediatric]:Sinus Rinse: 120 eaPacket [refill]:Sinus Rinse: 100 ea

NateglinideOutpatient Dosage FormsTablet, Oral:Starlix: 60 mg, 120 mg

NelfinavirOutpatient Dosage FormsTablet, Oral:Viracept: 250 mg, 625 mg

Neomycin and Polymyxin BOutpatient Dosage FormsSolution, irrigation:Generic: Neomycin 40 mg and polymyxin sulfate B 200,000 units per 1 mL(1 mL)

Neomycin, Polymyxin B, and DexamethasoneOutpatient Dosage FormsOintment, Ophthalmic:Maxitrol®: Neomycin 3.5 mg, polymyxin B sulfate 10,000 units, and dexame-thasone 0.1% per g (3.5 g)

Neomycin, Polymyxin B, and GramicidinOutpatient Dosage FormsSolution, ophthalmic [drops]:Neosporin®: Neomycin 1.75 mg, polymyxin B 10,000 units, and gramicidin0.025 mg per 1 mL (10 mL) [BCF]

Neomycin, Polymyxin B, and Hydrocortisone (Otic)Outpatient Dosage FormsSuspension, otic:Generic: Neomycin 3.5 mg, polymyxin B 10,000 units, and hydrocortisone10 mg per 1 mL (10 mL) [BCF]

Suspension, otic:Generic: Neomycin 3.5 mg, polymyxin B 10,000 units, and hydrocortisone10 mg per 1 mL (10 mL)

NepafenacOutpatient Dosage FormsSuspension, Ophthalmic:Nevanac: 0.1% (3 mL) [contains edentate disodium benzalkonium chloride]

Netupitant and PalonosetronOutpatient Dosage FormsCapsule, Oral:Akynzeo: Netupitant 300 mg and palonosetron 0.5 mg

NiacinOutpatient Dosage FormsTablet, extended release, oral:Niaspan®: 500 mg [BCF], 750 mg [BCF], 1000 mg [BCF]

Niacin and SimvastatinOutpatient Dosage FormsTablet Extended Release 24 Hour, Oral:Simcor: 1000/20: Niacin 1000 mg [extended release] and simvastatin 20 mg[immediate release]

MIDODRINE

16

NicotineOutpatient Dosage FormsGum, Mouth/Throat, as polacrilex:Nicorelief: 2 mg (110 ea) [mint flavor] [BCF]Nicorelief: 4 mg (110 ea) [BCF]Patch 24 Hour, Transdermal:Generic: 7 mg/24 hr (7 ea) [BCF]; 14 mg/24 hr (7 ea) [BCF]; 21 mg/24 hr (7ea) [BCF]

NIFEdipineOutpatient Dosage FormsCapsule, Oral:Procardia: 10 mgTablet Extended Release 24 Hour, Oral:Adalat® CC: 30 mg [BCF], 60 mg [BCF], 90 mg [BCF]Generic: 30 mg [BCF], 60 mg [BCF], 90 mg [BCF]

NilutamideOutpatient Dosage FormsTablet, Oral:Nilandron: 150 mg

NiMODipineOutpatient Dosage FormsCapsule, Oral:Generic: 30 mg

NitrofurantoinOutpatient Dosage FormsCapsule, oral [macrocrystal]:Generic: 50 mg [BCF], 100 mgSuspension, Oral:Furadantin: 25 mg/5 mL (230 mL)

NitroglycerinOutpatient Dosage FormsOintment, Transdermal:Nitro-Bid: 2% (30 g)Patch, transdermal:Nitro-Dur®: 0.3 mg/hour (30s) [BCF]Generic: 0.1 mg/hour (30s) [BCF]; 0.2 mg/hour (30s) [BCF]; 0.4 mg/hour(30s) [BCF]; 0.6 mg/hour (30s) [BCF]

Solution, translingual [spray]:Nitrolingual®: 0.4 mg/spray (4.9 g) [contains ethanol 20%; 60 meteredsprays] [BCF]

Tablet, sublingual:Nitrostat®: 0.3 mg, 0.4 mg [BCF], 0.6 mg

Nonoxynol 9Outpatient Dosage FormsFoam, Vaginal:VCF Vaginal Contraceptive: 12.5% (17 g) [hormone free; contains benzoicacid, cetyl alcohol, methylparaben, propylene glycol]

Gel, Vaginal:Shur-Seal Contraceptive: 2% (24 ea)

NorethindroneOutpatient Dosage FormsTablet, oral:Nor-QD®: 0.35 mg [BCF]Tablet, Oral, as acetate:Aygestin: 5 mg [scored]

Norethindrone and MestranolOutpatient Dosage FormsTablet, Oral:Necon 1/50 (28): Norethindrone 1 mg and mestranol 0.05 mg [21 light bluetablets and 7 white inactive tablets

NortriptylineOutpatient Dosage FormsCapsule, oral:Generic: 10 mg [BCF], 25 mg [BCF], 50 mg [BCF], 75 mg

Nystatin (Oral)Outpatient Dosage FormsSuspension, oral:Generic: 100,000 units/mL (60 mL, 473 mL) [BCF]

Nystatin (Topical)Outpatient Dosage FormsCream, topical:Generic: 100,000 units/g (15 g) [BCF]Powder, External:Nystop: 100,000 units/g (15 g)

OLANZapineOutpatient Dosage FormsTablet, Oral:ZyPREXA: 5 mg, 7.5 mg, 10 mg

Olopatadine (Ophthalmic)Outpatient Dosage FormsSolution, Ophthalmic [drops]:Patanol: 0.1% (5 mL) [contains benzalkonium chloride] [BCF]

OlsalazineOutpatient Dosage FormsCapsule, Oral, as sodium:Dipentum: 250 mg

Omega-3 Fatty AcidsOutpatient Dosage FormsCapsule, Oral:Lovaza: 1 g [contains DHA ~375 mg/capsule, EPA ~465 mg/capsule, soy-bean oil]Generic: 1 g

OmeprazoleOutpatient Dosage FormsCapsule, delayed release, oral:Generic: 20 mg [BCF]

OndansetronOutpatient Dosage FormsTablet, Oral:Generic: 4 mg, 8 mgTablet Dispersible, Oral:Zofran ODT: 4 mg [contains aspartame, methylparaben sodium, propylpar-aben sodium; strawberry flavor]

Oral Rehydration TherapyOutpatient Dosage FormsSolution, Oral:Oralyte: 1000 mL

OxazepamOutpatient Dosage FormsCapsule, Oral:Generic: 10 mg, 15 mg

OXcarbazepineOutpatient Dosage FormsSuspension, Oral:Trileptal: 300 mg/5 mL (250 mL) [contains alcohol, usp, methyl hydroxyben-zoate, propyl hydroxybenzoate, propylene glycol, saccharin sodium; lemonflavor]

Tablet, Oral:Trileptal: 300 mg, 600 mg [scored]

OxybutyninOutpatient Dosage FormsSyrup, Oral, as chloride:Generic: 5 mg/5 mL (473 mL)Tablet, Oral, as chloride:Generic: 5 mgTablet, extended release, oral, as chloride:Generic: 5 mg [BCF], 10 mg [BCF], 15 mg [BCF]

OxyCODONEOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 5 mg

Oxycodone and AcetaminophenOutpatient Dosage FormsSolution, Oral:Roxicet: Oxycodone hydrochloride 5 mg and acetaminophen 325 mg per 5 mL(5 mL, 500 mL) [contains ethanol <0.5%; mint flavor]

Tablet, oral:Generic: 5/325: Oxycodone hydrochloride 5 mg and acetaminophen325 mg [BCF]

PancrelipaseOutpatient Dosage FormsCapsule, Delayed Release, Enteric Coated Microspheres, Oral [porcinederived]:Creon: Lipase 3000 USP units, protease 9500 USP units, and amylase 15,000USP units [BCF]Creon: Lipase 12,000 USP units, protease 38,000 USP units, and amylase60,000 USP units [BCF]

PantoprazoleOutpatient Dosage FormsTablet Delayed Release, Oral:Generic: 20 mg, 40 mg

PARoxetineOutpatient Dosage FormsTablet, Oral, as hydrochloride [strength expressed as base]:Generic: 20 mg, 30 mg, 40 mg

PAROXETINE

17

Peak Flow MeterOutpatient Dosage FormsDevice:Aerogear Action Asthma Kit: 1 each

Peginterferon Alfa-2aOutpatient Dosage FormsSolution, Subcutaneous [preservative free]:Pegasys ProClick: 135 mcg/0.5 mL (0.5 mL) [contains benzyl alcohol, poly-sorbate 80]

PembrolizumabOutpatient Dosage FormsSolution, Intravenous [preservative free]:Keytruda: 100 mg/4 mL (4 mL) [contains polysorbate 80]

Penicillin V PotassiumOutpatient Dosage FormsPowder for solution, oral:Generic: 250 mg/5 mL (100 mL, 200 mL) [BCF]Tablet, oral:Generic: 250 mg [BCF], 500 mg [BCF]

Pentosan Polysulfate SodiumOutpatient Dosage FormsCapsule, Oral:Elmiron: 100 mg

PermethrinOutpatient Dosage FormsCream, topical:Generic: 5% (60 g) [BCF]

PhenazopyridineOutpatient Dosage FormsTablet, oral, as hydrochloride:Generic: 100 mg [BCF]

PHENobarbitalOutpatient Dosage FormsElixir, oral:Generic: 20 mg/5 mL (473 mL) [BCF]Tablet, oral:Generic: 32.4 mg

PhenoxybenzamineOutpatient Dosage FormsCapsule, Oral, as hydrochloride:Dibenzyline: 10 mg [contains benzyl alcohol]

Phenylephrine (Ophthalmic)Outpatient Dosage FormsSolution, Ophthalmic, as hydrochloride:Generic: 2.5% (15 mL)

PhenytoinOutpatient Dosage FormsCapsule, Oral, as sodium:Dilantin: 100 mg [BCF]Suspension, Oral:Dilantin: 125 mg/5 mL (237 mL) [orange-vanilla flavor] [BCF]Tablet Chewable, Oral:Dilantin Infatabs: 50 mg [scored] [BCF]

PhytonadioneOutpatient Dosage FormsTablet, Oral:Mephyton®: 5 mg [scored]

Pill CrusherOutpatient Dosage FormsDevice:Generic: 1 each

Pilocarpine (Ophthalmic)Outpatient Dosage FormsSolution, ophthalmic, as hydrochloride [drops]:Generic: 1% (15 mL) [BCF]; 2% (15 mL) [BCF]; 4% (15 mL) [BCF]

PimecrolimusOutpatient Dosage FormsCream, External:Elidel®: 1% (30 g) [BCF] [contains benzyl alcohol]

PioglitazoneOutpatient Dosage FormsTablet, Oral:Actos: 15 mg, 30 mg, 45 mg

Pioglitazone and MetforminOutpatient Dosage FormsTablet, oral:Actoplus Met®:15/500: Pioglitazone 15 mg and metformin hydrochloride 500 mg15/850: Pioglitazone 15 mg and metformin hydrochloride 850 mg

Piroxicam (Systemic)Outpatient Dosage FormsCapsule, Oral:Generic: 20 mg

PodofiloxOutpatient Dosage FormsSolution, External:Generic: 0.5% (3.5 mL)

Polyethylene Glycol 3350Outpatient Dosage FormsPacket, Oral:Generic: (30 ea)Powder, Oral:Generic: (255 g, 527 g)

Polyethylene Glycol-Electrolyte SolutionOutpatient Dosage FormsSolution Reconstituted, Oral:Golytely: 236 g (4000 mL)

Potassium ChlorideOutpatient Dosage FormsLiquid, Oral:Generic: 20 mEq/15 mL (10%) (473 mL)Solution, oral:Generic: 20 mEq/15 mL (15 mL, 30 mL) [BCF]Tablet, extended release, oral:Generic: 10 mEq [BCF]Tablet, extended release, microencapsulated, oral:Generic: 20 mEq [BCF]Tablet, extended release, wax matrix, oral:Klor-Con® 10: 10 mEq [750 mg] [BCF]

Potassium CitrateOutpatient Dosage FormsTablet Extended Release, Oral:Urocit-K 5: 5 mEq (540 mg)Urocit-K 10: 10 mEq (1080 mg)

Potassium IodideOutpatient Dosage FormsSolution, Oral:SSKI: 1 g/mL (237 mL)

Potassium Phosphate and Sodium PhosphateOutpatient Dosage FormsTablet, Oral:K-Phos-Neutral: Monobasic potassium phosphate 155 mg, dibasic sodiumphosphate 852 mg, and monobasic sodium phosphate 130 mg [equivalentto elemental phosphorus 250 mg (8 mmol), sodium 298 mg (13 mEq), andpotassium 45 mg (1.1 mEq)]

Povidone-Iodine (Topical)Outpatient Dosage FormsOintment, External:Generic: 10% (28.4 g)Solution, External:Operand Povidone-Iodine: 10% (118 mL) [latex free]

PramipexoleOutpatient Dosage FormsTablet, Oral, as dihydrochloride monohydrate:Generic: 0.125 mg, 0.25 mg, 1 mg

Pramoxine and HydrocortisoneOutpatient Dosage FormsCream, External:Pramosone: Pramoxine hydrochloride 1% and hydrocortisone acetate1% (28.4 g)Pramosone: Pramoxine hydrochloride 1% and hydrocortisone acetate 2.5%(28.4 g, 57 g) [paraben free; contains cetearyl alcohol, propylene glycol, tealauryl sulfate]

Foam, Rectal:Proctofoam HC: Pramoxine hydrochloride 1% and hydrocortisone acetate 1%(10 g) [contains cetyl alcohol, methylparaben, propylene glycol, propylpar-aben, trolamine (triethanolamine)]

PrasugrelOutpatient Dosage FormsTablet, Oral:Effient: 5 mg, 10 mg

PEAK FLOW METER

18

PravastatinOutpatient Dosage FormsTablet, oral, as sodium:Generic: 20 mg [BCF], 40 mg [BCF], 80 mg [BCF]

PrazosinOutpatient Dosage FormsCapsule, Oral:Generic: 1 mg, 2 mg, 5 mg

PrednisoLONE (Ophthalmic)Outpatient Dosage FormsSuspension, ophthalmic, as acetate [drops]:Pred Forte®: 1% (5 mL) [contains benzalkonium chloride, sodium bisul-fite] [BCF]

PrednisoLONE (Systemic)Outpatient Dosage FormsSolution, Oral, as sodium phosphate [strength expressed as base]:Generic: 15 mg/5 mL (480 mL) [BCF]Syrup, Oral, as base:Generic: 15 mg/5 mL (480 mL)Tablet, Oral, as base:Millipred: 5 mg [scored

PredniSONEOutpatient Dosage FormsTablet, Oral:Deltasone: 20 mg [scored] [BCF]Generic: 1 mg [BCF], 5 mg [BCF], 10 mg [BCF], 20 mg [BCF]

PregabalinOutpatient Dosage FormsCapsule, Oral:Generic: 25 mg, 50 mg, 75 mg, 100 mg, 150 mg, 200 mg, 225 mg, 300 mg

PrimaquineOutpatient Dosage FormsTablet, Oral, as phosphate:Generic: 26.3 mg

PrimidoneOutpatient Dosage FormsTablet, Oral:Generic: 50 mg, 250 mg

ProbenecidOutpatient Dosage FormsTablet, Oral:Generic: 500 mg [BCF]

ProcarbazineOutpatient Dosage FormsCapsule, Oral, as hydrochloride:Matulane: 50 mg

ProchlorperazineOutpatient Dosage FormsSuppository, Rectal:Compro: 25 mg (12 ea)Tablet, Oral, as maleate [strength expressed as base]:Generic: 5 mg

ProgesteroneOutpatient Dosage FormsInsert, Vaginal:Endometrin: 100 mg (21 ea)Oil, Intramuscular:Generic: 50 mg/mL (10 mL)

PromethazineOutpatient Dosage FormsSuppository, rectal, as hydrochloride:Generic: 12.5 mg (12s) [BCF]; 25 mg (12s) [BCF]Tablet, oral, as hydrochloride:Generic: 25 mg [BCF]

PropafenoneOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 150 mg, 300 mg

Proparacaine and FluoresceinOutpatient Dosage FormsSolution, Ophthalmic:Generic: Proparacaine hydrochloride 0.5% and fluorescein sodium 0.25%(5 mL)

PropranololOutpatient Dosage FormsCapsule Extended Release 24 Hour, Oral, as hydrochloride:Inderal LA: 80 mgGeneric: 60 mg, 120 mg, 160 mgSolution, Oral, as hydrochloride:Generic: 20 mg/5 mL (500 mL)Tablet, Oral, as hydrochloride:Generic: 10 mg, 20 mg, 40 mg, 80 mg

PropylthiouracilOutpatient Dosage FormsTablet, oral:Generic: 50 mg [BCF]

PseudoephedrineOutpatient Dosage FormsSyrup, Oral, as hydrochloride:Generic: 30 mg/5 mL (118 mL)Tablet, Oral, as hydrochloride:Generic: 30 mg

Pyrantel PamoateOutpatient Dosage FormsSuspension, Oral [strength expressed as base]:Reeses Pinworm Medicine: 50 mg/mL (30 mL) [contains saccharin sodium,sodium benzoate]

PyrazinamideOutpatient Dosage FormsTablet, oral:Generic: 500 mg [BCF]

Pyrethrins and Piperonyl ButoxideOutpatient Dosage FormsShampoo, External:RID® Maximum Strength: Pyrethrins 0.33% and piperonyl butoxide 4% (60mL) [packaged with nit removal comb; also available in a kit containingshampoo, gel, and furniture spray]

PyridostigmineOutpatient Dosage FormsTablet, Oral, as bromide:Generic: 60 mgTablet Extended Release, Oral, as bromide:Mestinon: 180 mg [scored]

PyridoxineOutpatient Dosage FormsTablet, Oral, as hydrochloride [preservative free]:Generic: 50 mg

PyrimethamineOutpatient Dosage FormsTablet, Oral:Daraprim: 25 mg [scored]

QUEtiapineOutpatient Dosage FormsTablet, oral:SEROquel®: 25 mg [BCF], 100 mg [BCF], 200 mg [BCF], 300 mg [BCF],400 mg [BCF]

Tablet, extended release, oral:SEROquel XR®: 200 mg [BCF], 300 mg [BCF], 400 mg [BCF]

RABEprazoleOutpatient Dosage FormsCapsule Sprinkle, Oral, as sodium:AcipHex Sprinkle: 5 m, 10 mgTablet Delayed Release, Oral, as sodium:Aciphex: 20 mgGeneric: 20 mg

RaloxifeneOutpatient Dosage FormsTablet, oral, as hydrochloride:Evista®: 60 mg [BCF]

RaltegravirOutpatient Dosage FormsTablet, Oral:Isentress: 400 mg [contains polyethylene glycol]

RamiprilOutpatient Dosage FormsCapsule, Oral:Generic: 1.25 mg [BCF], 2.5 mg [BCF], 5 mg [BCF], 10 mg [BCF]

RAMIPRIL

19

RanolazineOutpatient Dosage FormsTablet Extended Release 12 Hour, Oral:Ranexa: 500 mg, 1000 mg

RasagilineOutpatient Dosage FormsTablet, Oral:Azilect: 0.5 mg, 1 mg

Ribavirin (Systemic)Outpatient Dosage FormsCapsule, oral:Generic: 200 mg [ECF]Tablet, Oral:Generic: 200 mg

RifabutinOutpatient Dosage FormsCapsule, Oral:Mycobutin: 150 mg

RifAMPinOutpatient Dosage FormsCapsule, oral:Generic: 300 mg [BCF]

RifAXIMinOutpatient Dosage FormsTablet, Oral:Xifaxan: 550 mg [contains edetate disodium]

RisperiDONEOutpatient Dosage FormsSolution, Oral:RisperDAL: 1 mg/mL (30 mL) [contains benzoic acid] [BCF]Tablet, Oral:RisperDAL: 1 mg [scored] [BCF], 2 mg [BCF], 3 mg [BCF], 4 mg [BCF]Tablet Dispersible, Oral:Generic: 0.25 mg, 0.5 mg, 1 mg, 2 mg

RitonavirOutpatient Dosage FormsTablet, Oral:Norvir: 100 mg

RivaroxabanOutpatient Dosage FormsTablet, Oral:Xarelto: 10 mg, 15 mg, 20 mg

RizatriptanOutpatient Dosage FormsTablet, oral:Maxalt®: 5 mg [BCF], 10 mg [BCF]Tablet, orally disintegrating:Maxalt-MLT®: 5 mg [contains phenylalanine 1.05 mg/tablet; peppermint fla-vor] [BCF]Maxalt-MLT®: 10 mg [contains phenylalanine 2.1 mg/tablet; peppermint fla-vor] [BCF]

RoflumilastOutpatient Dosage FormsTablet, Oral:Daliresp: 500 mcg

RomiPLOStimOutpatient Dosage FormsSolution Reconstituted, Subcutaneous [preservative free]:Nplate: 250 mcg (1 ea)

RosuvastatinOutpatient Dosage FormsTablet, Oral:Crestor: 5 mg, 10 mg, 20 mg, 40 mg

Saccharomyces boulardiiOutpatient Dosage FormsCapsule, Oral:Florastor: S. boulardii lyo 250 mg

Salicylic AcidOutpatient Dosage FormsPad, External:Compound W: 40%Solution, External:DuoFilm: 17% (9.8 mL)

SalmeterolOutpatient Dosage FormsPowder, for oral inhalation:Serevent® Diskus®: 50 mcg (28s, 60s) [contains lactose] [BCF]

SalsalateOutpatient Dosage FormsTablet, oral:Generic: 750 mg [BCF]

Scopolamine (Systemic)Outpatient Dosage FormsPatch 72 Hour, Transdermal:Transderm-Scop: 1.5 mg (4 ea)

SelegilineOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 5 mg

Selenium SulfideOutpatient Dosage FormsLotion, topical:Generic: 2.5% (120 mL) [BCF]

SennaOutpatient Dosage FormsTablet, Oral:Generic: 8.6 mg

SertralineOutpatient Dosage FormsSolution, oral [concentrate]:Generic: 20 mg/mL (60 mL) [BCF]Tablet, oral:Generic: 50 mg [BCF] 100 mg [BCF]

SevelamerOutpatient Dosage FormsTablet, Oral, as hydrochloride:Renagel: 800 mg

SildenafilOutpatient Dosage FormsTablet, oral:Viagra®: 50 mg [BCF], 100 mg [BCF]

Silver NitrateOutpatient Dosage FormsMiscellaneous, External:Arzol Silver Nit Applicators: Silver nitrate 75% and potassium nitrate 25%(100 ea)

Silver SulfadiazineOutpatient Dosage FormsCream, External:Generic: 1% (50 g, 400 g) [BCF]

SimethiconeOutpatient Dosage FormsSuspension, Oral:Infants Gas Relief: 20 mg/0.3 mL (30 mL) [contains sodium benzoate]

SimvastatinOutpatient Dosage FormsTablet, Oral:Generic: 5 mg [BCF], 10 mg [BCF], 20 mg [BCF], 40 mg [BCF], 80 mg

SITagliptinOutpatient Dosage FormsTablet, oral:Januvia®: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF]

Sitagliptin and MetforminOutpatient Dosage FormsTablet, oral:Janumet® 50/500: Sitagliptin 50 mg and metformin hydrochloride500 mg [BCF]Janumet® 50/1000: Sitagliptin 50 mg and metformin hydrochloride1000 mg [BCF]

Tablet, extended release, oral:Janumet® XR: 50/500: Sitagliptin 50 mg and metformin hydrochloride500 mg [BCF]Janumet® XR: 50/1000: Sitagliptin 50 mg and metformin hydrochloride1000 mg [BCF]Janumet® XR: 100/1000: Sitagliptin 100 mg and metformin hydrochloride1000 mg [BCF]

RANOLAZINE

20

Sodium BicarbonateOutpatient Dosage FormsTablet, Oral:Generic: 650 mg

Sodium ChlorideOutpatient Dosage FormsNebulization Solution, Inhalation [preservative free]:Generic: 0.9% (3 mL); 3% (15 mL)Ointment, Ophthalmic:Muro 128: 5% (3.5 g)Solution, Nasal:Deep Sea Nasal Spray: 0.65% (44 mL) [contains benzalkonium chloride]Solution, Irrigation:Generic: 0.9% (1000 mL)Solution, Ophthalmic:Muro 128: 5% (15 mL)Tablet, Oral:Generic: 1 g

Sodium Citrate and Citric AcidOutpatient Dosage FormsSolution, Oral:Generic: Sodium citrate 500 mg and citric acid 334 mg per 5 mL ( (30 mL)

Sodium HypochloriteOutpatient Dosage FormsSolution, External:Generic: 0.25% (473 mL); 0.5% (473 mL)

Sodium PhosphatesOutpatient Dosage FormsEnema, Rectal:Fleet Enema: Monobasic sodium phosphate monohydrate 19 g and dibasicsodium phosphate heptahydrate 7 g per 118 mL delivered dose (133 mL)[contains sodium 4.4 g/118 mL]

Sodium Polystyrene SulfonateOutpatient Dosage FormsSuspension, Oral:SPS: 15 g/60 mL (473 mL) [contains alcohol, usp, methylparaben, propyleneglycol, propylparaben, saccharin sodium]

Sodium Sulfate, Potassium Sulfate, and Magnesium SulfateOutpatient Dosage FormsSolution, Oral:Suprep Bowel Prep Kit: Sodium sulfate 17.5 g, potassium sulfate 3.13 g, andmagnesuim sulfate 1.6 g per 177 mL (2 x 177 mL) [contains sodiumbenzoate]

SolifenacinOutpatient Dosage FormsTablet, Oral, as succinate:VESIcare: 5 mg, 10 mg

SorbitolOutpatient Dosage FormsSolution, Oral:Generic: 70% (473 mL)

SotalolOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 80 mg, 120 mg, 160 mg

SpironolactoneOutpatient Dosage FormsTablet, oral:Generic: 25 mg [BCF], 50 mg

SuccimerOutpatient Dosage FormsCapsule, Oral:Chemet: 100 mg

SucralfateOutpatient Dosage FormsTablet, Oral:Generic: 1 g

Sulfacetamide (Ophthalmic)Outpatient Dosage FormsSolution, ophthalmic, as sodium [drops]:Generic: 10% (15 mL) [BCF]

Sulfamethoxazole and TrimethoprimOutpatient Dosage FormsSuspension, Oral:Generic: Sulfamethoxazole 200 mg and trimethoprim 40 mg per 5 mL (473mL) [BCF]

Tablet, Double Strength, Oral:Generic: Sulamethoxazole 800 mg and trimethoprim 160 mg [BCF]

SulfaSALAzineOutpatient Dosage FormsTablet, Oral:Generic: 500 mg [BCF]

Sulfur and SulfacetamideOutpatient Dosage FormsWash, topical:Generic: Sulfur 5% and sulfacetamide sodium 10% (340 g)

SulindacOutpatient Dosage FormsTablet, Oral:Generic: 200 mg

SUMAtriptanOutpatient Dosage FormsSolution, Subcutaneous, as succinate [strength expressed as base]:Imitrex®: 6 mg/0.5 mL (0.5 mL) [cartridge] [BCF]Imitrex STATdose Refill: 6 mg/0.5 mL (0.5 mL) [BCF]Imitrex STATdose System: 6 mg/0.5 mL (0.5 mL) [BCF]Generic: 6 mg/0.5 mL (0.5 mL) [BCF]Tablet, oral, as succinate [strength expressed as base]:Generic: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF]

Tacrolimus (Systemic)Outpatient Dosage FormsCapsule, Oral:Prograf: 1 mg, 5 mg

Tacrolimus (Topical)Outpatient Dosage FormsOintment, External:Protopic: 0.1% (30 g)

TamoxifenOutpatient Dosage FormsTablet, oral:Generic: 10 mg [BCF]

TamsulosinOutpatient Dosage FormsCapsule, oral, as hydrochloride:Generic: 0.4 mg [BCF]

TazaroteneOutpatient Dosage FormsCream, External:Tazorac: 0.1% (30 g) [contains benzyl alcohol]

TelmisartanOutpatient Dosage FormsTablet, Oral:Generic: 20 mg, 40 mg, 80 mg

Telmisartan and HydrochlorothiazideOutpatient Dosage FormsTablet, Oral:Micardis HCT: 40/12.5: Telmisartan 40 mg and hydrochlorothiazide 12.5 mgMicardis HCT: 80/12.5: Telmisartan 80 mg and hydrochlorothiazide 12.5 mgMicardis HCT: 80/25: Telmisartan 80 mg and hydrochlorothiazide 25 mg

TemazepamOutpatient Dosage FormsCapsule, oral:Generic: 15 mg [BCF]

Tenofovir Disoproxil FumarateOutpatient Dosage FormsTablet, Oral, as disoproxil fumarate:Viread: 300 mg

TerazosinOutpatient Dosage FormsCapsule, oral:Generic: 1 mg [BCF], 2 mg [BCF], 5 mg [BCF], 10 mg [BCF]

Terbinafine (Systemic)Outpatient Dosage FormsTablet, Oral:Generic: 250 mg

Terbinafine (Topical)Outpatient Dosage FormsCream, External, as hydrochloride:LamISIL AT: 1% (12 g) [contains benzyl alcohol, cetyl alcohol]

TERBINAFINE (TOPICAL)

21

TestosteroneOutpatient Dosage FormsGel, topical:Fortesta: 10 mg/actuation (60 g) [contains ethanol; 0.5 g gel/actuation; 120metered actuations] [BCF]

Oil, Intramuscular, as cypionate:Depo-Testosterone: 100 mg/mL (10 mL) [contains benzyl alcohol]Generic: 200 mg/mL (1 mL)Patch 24 Hour, Transdermal:Androderm: 2 mg/24 hr (60 ea); 4 mg/24 hr (30 ea)

Tetracycline (Systemic)Outpatient Dosage FormsCapsule, Oral, as hydrochloride:Generic: 250 mg [BCF], 500 mg [BCF]

TheophyllineOutpatient Dosage FormsTablet, extended release, oral:Generic: 200 mg [BCF], 300 mg [BCF]

ThioguanineOutpatient Dosage FormsTablet, Oral:Tabloid: 40 mg

Thrombin (Topical)Outpatient Dosage FormsSolution Reconstituted, External [preservative free]:Recothrom: 5000 units (1 ea) [latex free]Recothrom Spray Kit: 20,000 units (1 ea) [latex free]

Thyroid, DesiccatedOutpatient Dosage FormsTablet, Oral:Armour Thyroid: 15 mg, 60 mg

TicagrelorOutpatient Dosage FormsTablet, Oral:Brilinta: 60 mg, 90 mg

Timolol (Ophthalmic)Outpatient Dosage FormsGel forming solution, ophthalmic, as maleate [strength expressed as base,drops]:Generic: 0.25% (5 mL) [BCF]; 0.5% (5 mL) [BCF]Solution, ophthalmic, as maleate [strength expressed as base, drops]:Generic: 0.5% (5 mL, 10 mL) [BCF]

TiotropiumOutpatient Dosage FormsAerosol Solution, Inhalation:Spiriva Respimat: 1.25 mcg/actuation (4 g); 2.5 mcg/actuation (4 g) [containsbenzalkonium chloride, disodium edta]

Capsule, Inhalation:Spiriva HandiHaler: 18 mcg [contains milk protein] [BCF]

Tiotropium and OlodaterolOutpatient Dosage FormsAerosol Solution, Inhalation:Stiolto Respimat: Tiotropium 2.5 mcg and olodaterol 2.5 mcg per actuation(4 g) [contains benzalkonium chloride, edetate disodium]

TiZANidineOutpatient Dosage FormsTablet, Oral:Generic: 2 mg, 4 mg

Tobramycin and DexamethasoneOutpatient Dosage FormsSuspension, Ophthalmic:TobraDex: Tobramycin 0.3% and dexamethasone 0.1% (5 mL) [containsbenzalkonium chloride, edetate disodium]

TolterodineOutpatient Dosage FormsCapsule, extended release, oral, as tartrate:Detrol® LA: 2 mg [BCF], 4 mg [BCF]

TopiramateOutpatient Dosage FormsTablet, Oral:Generic: 25 mg, 100 mg, 200 mg

TorsemideOutpatient Dosage FormsTablet, Oral:Generic: 5 mg, 10 mg, 20 mg, 100 mg

TraMADolOutpatient Dosage FormsTablet, oral, as hydrochloride:Generic: 50 mg [BCF]

Tranexamic AcidOutpatient Dosage FormsTablet, Oral:Generic: 650 mg

TraZODoneOutpatient Dosage FormsTablet, oral, as hydrochloride:Generic: 50 mg [BCF], 100 mg [BCF]

Tretinoin (Topical)Outpatient Dosage FormsCream, topical:Retin-A®: 0.025% (20 g) [BCF]Generic: 0.05% (45 g) [BCF]; 0.1% (20 g)Gel, External:Retin-A: 0.01% (15 g)

Triamcinolone (Topical)Outpatient Dosage FormsAerosol Solution, External, as acetonide:Kenalog: (63 g)Cream, topical, as acetonide:Generic: 0.1% (15 g, 80 g, 454 g) [BCF]; 0.5% (15 g)Ointment, External, as acetonide:Generic: 0.1% (15 g, 454 g)Paste, Mouth/Throat, as acetonide:Generic: 0.1% (5 g)

TriazolamOutpatient Dosage FormsTablet, Oral:Generic: 0.25 mg

TrifluridineOutpatient Dosage FormsSolution, Ophthalmic:Viroptic: 1% (7.5 mL) [contains thimerosal]

TrihexyphenidylOutpatient Dosage FormsTablet, oral, as hydrochloride:Generic: 2 mg [BCF]

TrimethoprimOutpatient Dosage FormsTablet, Oral:Generic: 100 mg

Trimethoprim and Polymyxin BOutpatient Dosage FormsSolution, ophthalmic [drops]:Generic: Trimethoprim 1 mg and polymyxin B sulfate 10,000 units per 1 mL(10 mL) [BCF]

Triprolidine and PseudoephedrineOutpatient Dosage FormsTablet, Oral:Aprodine: Triprolidine hydrochloride 2.5 mg and pseudoephedrine hydrochlor-ide 60 mg

TropicamideOutpatient Dosage FormsSolution, Ophthalmic:Generic: 1% (15 mL)

UlipristalOutpatient Dosage FormsTablet, Oral, as acetate:Ella: 30 mg

Urea (Topical)Outpatient Dosage FormsCream, External:X-Viate: 40% (85 g)

UrsodiolOutpatient Dosage FormsCapsule, Oral:Generic: 300 mg

ValACYclovirOutpatient Dosage FormsTablet, Oral:Valtrex: 500 mg

TESTOSTERONE

22

Generic: 1 g

Valproic Acid and DerivativesOutpatient Dosage FormsCapsule Sprinkle, Oral, as divalproex sodium:Generic: 125 mg [BCF]Syrup, Oral, as valproate sodium:Generic: 250 mg/5 mL (480 mL)Tablet Delayed Release, Oral, as divalproex sodium:Generic: 125 mg [BCF], 250 mg [BCF]Tablet Extended Release 24 Hour, Oral, as divalproex sodium:Generic: 250 mg [BCF], 500 mg [BCF]

VareniclineOutpatient Dosage FormsTablet, Oral:Chantix: 0.5 mg, 1 mgChantix Starting Month Pak: 0.5 mg x 11 and 1 mg x 42

VenlafaxineOutpatient Dosage FormsCapsule, extended release, oral:Effexor XR®: 37.5 mg [BCF], 75 mg [BCF]Generic: 150 mg [BCF]Tablet, extended release, oral:Generic: 225 mg [BCF]

VerapamilOutpatient Dosage FormsTablet, Oral, as hydrochloride:Generic: 80 mg, 120 mgTablet, extended release, oral, as hydrochloride:Generic: 120 mg [BCF], 180 mg [BCF], 240 mg [BCF]

Vitamin B Complex CombinationsOutpatient Dosage FormsContent varies depending on product used.Capsule, Oral:Nephrocaps: 1 mg (100s)

Vitamins (Multiple/Oral)Outpatient Dosage FormsContent varies depending on product used.Liquid, Oral:Multi-Delyn: 237 mL

Vitamins (Multiple/Pediatric)Outpatient Dosage FormsLiquid, Oral:Multi-Delyn: 237 mL [alcohol free, sugar free; contains saccharin sodium;lemon flavor]

Solution, Oral:Multi-Vit/Fluoride: 0.25 mg/mL (50 mL) [contains polysorbate 80; fruit flavor]Multi-Vit/Fluoride/Iron: 0.25-10 mg/mL (50 mL) [contains polysorbate 80;orange flavor]Polyvitamin/Iron: 10 mg/mL (50 mL)Tablet Chewable, Oral:Cerovite Jr: 60 mg [contains aspartame, sodium benzoate]

Vitamins (Multiple/Prenatal)Outpatient Dosage FormsTablet, Oral:Prenatal Plus: 27-1 MG

VoriconazoleOutpatient Dosage FormsTablet, Oral:Vfend: 200 mg

WarfarinOutpatient Dosage FormsTablet, Oral, as sodium:Coumadin: 1 mg [BCF], 2 mg [BCF], 2.5 mg [BCF], 5 mg [BCF],10 mg [BCF]

White PetrolatumOutpatient Dosage FormsGel, External:Generic: (28.35 g, 368 g, 453.6)

Witch HazelOutpatient Dosage FormsPad, External:Medi Pads: 50% (100 ea)

ZanamivirOutpatient Dosage FormsAerosol Powder Breath Activated, Inhalation:Relenza Diskhaler: 5 mg/blister (20 ea) [contains lactose]

ZidovudineOutpatient Dosage FormsCapsule, Oral:Generic: 100 mgTablet, Oral:Generic: 300 mg

Zinc OxideOutpatient Dosage FormsOintment, External:Generic: 20% (28.35 g)

Zinc SulfateOutpatient Dosage FormsCapsule, Oral:Generic: 220 mg

ZiprasidoneOutpatient Dosage FormsCapsule, Oral, as hydrochloride:Geodon: 20 mg, 40 mg, 60 mg, 80 mg

ZOLMitriptanOutpatient Dosage FormsSolution, Nasal:Zomig: 5 mgTablet, Oral:Generic: 2.5 mg, 5 mgTablet Dispersible, Oral:Zomig ZMT: 2.5 mg, 5 mg

ZolpidemOutpatient Dosage FormsTablet, oral, as tartrate:Generic: 5 mg [BCF], 10 mg [BCF]

ZonisamideOutpatient Dosage FormsCapsule, Oral:Zonegran: 100 mg

Zoster Vaccine (Recombinant)Outpatient Dosage FormsSuspension Reconstituted, Intramuscular:Shingrix: 50 mcg [contains polysorbate 80]

ZOSTER VACCINE (RECOMBINANT)

23

Therapeutic Category Index

24

AbortifacientCarboprost Tromethamine ....................................................................... 5

Acetylcholinesterase InhibitorPyridostigmine ........................................................................................19

Acetylcholinesterase Inhibitor (Central)Donepezil ..................................................................................................8Galantamine ........................................................................................... 11

Acne ProductsAdapalene ................................................................................................ 2Benzoyl Peroxide ..................................................................................... 4Clindamycin and Benzoyl Peroxide ......................................................... 6Erythromycin (Topical) ..............................................................................9ISOtretinoin (Systemic) .......................................................................... 13Salicylic Acid .......................................................................................... 20Sulfur and Sulfacetamide .......................................................................21Tazarotene ..............................................................................................21Tretinoin (Topical) ...................................................................................22

Aldehyde Dehydrogenase InhibitorDisulfiram ..................................................................................................8

Alkalinizing AgentSodium Bicarbonate ...............................................................................21

Alkalinizing Agent, OralPotassium Citrate ...................................................................................18Sodium Citrate and Citric Acid ...............................................................21

Alkylamine DerivativeBrompheniramine and Phenylephrine ......................................................4Triprolidine and Pseudoephedrine ......................................................... 22

Alpha1 AgonistMidodrine ................................................................................................16

Alpha1 BlockerAlfuzosin ...................................................................................................2Doxazosin .................................................................................................8Phenoxybenzamine ................................................................................18Prazosin ..................................................................................................19Tamsulosin ............................................................................................. 21Terazosin ................................................................................................ 21

Alpha2-Adrenergic AgonistCloNIDine ................................................................................................. 6GuanFACINE ..........................................................................................12Methyldopa .............................................................................................15TiZANidine ..............................................................................................22

Alpha2 Agonist, OphthalmicBrimonidine and Timolol ...........................................................................4Brinzolamide and Brimonidine ................................................................. 4

Alpha-Adrenergic AgonistBrompheniramine and Phenylephrine ......................................................4Phenylephrine (Ophthalmic) ...................................................................18

Alpha/Beta AgonistEPINEPHrine (Oral Inhalation) .................................................................9EPINEPHrine (Systemic) ..........................................................................9Pseudoephedrine ................................................................................... 19Triprolidine and Pseudoephedrine ......................................................... 22

5 Alpha-Reductase InhibitorFinasteride ..............................................................................................10

AmebicideMetroNIDAZOLE (Systemic) .................................................................. 15

Aminoquinoline (Antimalarial)Chloroquine .............................................................................................. 6Hydroxychloroquine ................................................................................12Primaquine ............................................................................................. 19

5-Aminosalicylic Acid DerivativeBalsalazide ............................................................................................... 4Mesalamine ............................................................................................ 15Olsalazine ...............................................................................................17SulfaSALAzine ........................................................................................21

Ammonium DetoxicantLactulose ................................................................................................ 13

Analgesic Combination (Opioid)Acetaminophen and Codeine ...................................................................2Hydrocodone and Acetaminophen .........................................................12Oxycodone and Acetaminophen ............................................................17

Analgesic, NonopioidAcetaminophen .........................................................................................2Aspirin .......................................................................................................3

Butalbital, Acetaminophen, and Caffeine .................................................5Celecoxib ..................................................................................................5Diclofenac (Systemic) ...............................................................................8Ibuprofen ................................................................................................ 12Indomethacin ..........................................................................................12Mefenamic Acid ......................................................................................15Meloxicam .............................................................................................. 15Naproxen ................................................................................................16Piroxicam (Systemic) ..............................................................................18Sulindac ..................................................................................................21

Analgesic, OpioidAcetaminophen and Codeine ...................................................................2Codeine .................................................................................................... 7FentaNYL ............................................................................................... 10Hydrocodone and Acetaminophen .........................................................12HYDROmorphone .................................................................................. 12Methadone ..............................................................................................15Morphine (Systemic) .............................................................................. 16OxyCODONE ......................................................................................... 17Oxycodone and Acetaminophen ............................................................17TraMADol ............................................................................................... 22

Analgesic, TopicalBenzocaine ...............................................................................................4Capsaicin ..................................................................................................5Lidocaine (Topical) ................................................................................. 14

Analgesic, UrinaryPentosan Polysulfate Sodium ................................................................ 18Phenazopyridine .....................................................................................18

AndrogenTestosterone ...........................................................................................22

Anesthetic/CorticosteroidPramoxine and Hydrocortisone ..............................................................18

Angiotensin II Receptor BlockerAzilsartan ..................................................................................................3Azilsartan and Chlorthalidone .................................................................. 3Candesartan .............................................................................................5Candesartan and Hydrochlorothiazide .....................................................5Losartan ..................................................................................................14Losartan and Hydrochlorothiazide ......................................................... 14Telmisartan ............................................................................................. 21Telmisartan and Hydrochlorothiazide .....................................................21

Angiotensin-Converting Enzyme (ACE) InhibitorAmlodipine and Benazepril ...................................................................... 3Captopril ................................................................................................... 5Enalapril ....................................................................................................9Fosinopril ................................................................................................ 11Fosinopril and Hydrochlorothiazide ........................................................11Lisinopril ................................................................................................. 14Ramipril .................................................................................................. 19

Anilidopiperidine OpioidFentaNYL ............................................................................................... 10

AntacidAluminum Hydroxide, Magnesium Hydroxide, and Simethicone .............2Calcium Carbonate ...................................................................................5Magnesium Hydroxide ............................................................................14Sodium Bicarbonate ...............................................................................21

AnthelminticIvermectin (Systemic) .............................................................................13Pyrantel Pamoate ...................................................................................19

Antianginal AgentAmLODIPine .............................................................................................3Amlodipine and Benazepril ...................................................................... 3Amyl Nitrite ...............................................................................................3Atenolol .....................................................................................................3DilTIAZem .................................................................................................8Isosorbide Dinitrate ................................................................................ 13Isosorbide Mononitrate ...........................................................................13Metoprolol ...............................................................................................15NIFEdipine ..............................................................................................17Nitroglycerin ............................................................................................17Propranolol ............................................................................................. 19Ranolazine ..............................................................................................20Verapamil ............................................................................................... 23

Antianxiety Agent, MiscellaneousBusPIRone ............................................................................................... 5

Antiarrhythmic Agent, Class IbMexiletine ............................................................................................... 15

ABORTIFACIENT

25

Antiarrhythmic Agent, Class IcFlecainide ............................................................................................... 10Propafenone ...........................................................................................19

Antiarrhythmic Agent, Class IIAcebutolol .................................................................................................2Propranolol ............................................................................................. 19Sotalol .....................................................................................................21

Antiarrhythmic Agent, Class IIIAmiodarone .............................................................................................. 3Dofetilide ...................................................................................................8Dronedarone .............................................................................................8Sotalol .....................................................................................................21

Antiarrhythmic Agent, Class IVDilTIAZem .................................................................................................8Verapamil ............................................................................................... 23

Antiarrhythmic Agent, MiscellaneousDigoxin ......................................................................................................8

Antibacterial, TopicalHydrogen Peroxide ................................................................................ 12

Antibiotic, AminoglycosideGentamicin (Ophthalmic) ........................................................................11

Antibiotic, CarbapenemMeropenem ............................................................................................ 15

Antibiotic, Cephalosporin (First Generation)Cephalexin ................................................................................................5

Antibiotic, Cephalosporin (Third Generation)Cefdinir ..................................................................................................... 5Cefixime ....................................................................................................5Cefpodoxime ............................................................................................ 5

Antibiotic/Corticosteroid, OphthalmicNeomycin, Polymyxin B, and Dexamethasone ......................................16Tobramycin and Dexamethasone .......................................................... 22

Antibiotic/Corticosteroid, OticCiprofloxacin and Dexamethasone .......................................................... 6Neomycin, Polymyxin B, and Hydrocortisone (Otic) ..............................16

Antibiotic, FluoroquinoloneCiprofloxacin (Ophthalmic) .......................................................................6Ciprofloxacin (Systemic) ...........................................................................6LevoFLOXacin (Systemic) ......................................................................14Moxifloxacin (Ophthalmic) ......................................................................16

Antibiotic, LincosamideClindamycin (Systemic) ............................................................................6Clindamycin (Topical) ............................................................................... 6

Antibiotic, MacrolideAzithromycin (Ophthalmic) ....................................................................... 3Azithromycin (Systemic) ...........................................................................3Clarithromycin ...........................................................................................6Erythromycin (Ophthalmic) .......................................................................9Erythromycin (Systemic) .......................................................................... 9Erythromycin (Topical) ..............................................................................9

Antibiotic, MiscellaneousDapsone (Systemic) .................................................................................7Fosfomycin ............................................................................................. 11Methenamine, Phenyl Salicylate, Methylene Blue, Benzoic Acid, andHyoscyamine ....................................................................................... 15

MetroNIDAZOLE (Systemic) .................................................................. 15Nitrofurantoin ..........................................................................................17Sulfamethoxazole and Trimethoprim ..................................................... 21Trimethoprim .......................................................................................... 22

Antibiotic, OphthalmicAzithromycin (Ophthalmic) ....................................................................... 3Bacitracin, Neomycin, and Polymyxin B (Ophthalmic) ............................ 4Bacitracin (Ophthalmic) ............................................................................4Ciprofloxacin (Ophthalmic) .......................................................................6Erythromycin (Ophthalmic) .......................................................................9Gentamicin (Ophthalmic) ........................................................................11Moxifloxacin (Ophthalmic) ......................................................................16Neomycin, Polymyxin B, and Gramicidin ...............................................16Sulfacetamide (Ophthalmic) ...................................................................21Trimethoprim and Polymyxin B .............................................................. 22

Antibiotic, Oral RinseChlorhexidine Gluconate (Oral) ............................................................... 6Hydrogen Peroxide ................................................................................ 12

Antibiotic, OticCiprofloxacin and Dexamethasone .......................................................... 6Neomycin, Polymyxin B, and Hydrocortisone (Otic) ..............................16

Antibiotic, OxazolidinoneLinezolid ................................................................................................. 14

Antibiotic, PenicillinAmoxicillin .................................................................................................3Amoxicillin and Clavulanate ..................................................................... 3Dicloxacillin ...............................................................................................8Penicillin V Potassium ............................................................................18

Antibiotic, Respiratory FluoroquinoloneLevoFLOXacin (Systemic) ......................................................................14

Antibiotic, Sulfonamide DerivativeSulfamethoxazole and Trimethoprim ..................................................... 21Sulfur and Sulfacetamide .......................................................................21

Antibiotic, Tetracycline DerivativeDemeclocycline ........................................................................................ 7Doxycycline .............................................................................................. 8Minocycline (Systemic) ...........................................................................16Tetracycline (Systemic) .......................................................................... 22

Antibiotic, TopicalBacitracin (Topical) ...................................................................................4Erythromycin (Topical) ..............................................................................9MetroNIDAZOLE (Topical) ..................................................................... 15Mupirocin ................................................................................................16Neomycin and Polymyxin B ................................................................... 16Silver Nitrate ...........................................................................................20Silver Sulfadiazine ..................................................................................20

Anticholinergic AgentBenztropine .............................................................................................. 4Dicyclomine .............................................................................................. 8Glycopyrrolate (Systemic) ...................................................................... 11Hyoscyamine ..........................................................................................12Ipratropium and Albuterol .......................................................................13Ipratropium (Nasal) .................................................................................13Ipratropium (Oral Inhalation) .................................................................. 13Scopolamine (Systemic) .........................................................................20Solifenacin ..............................................................................................21Tiotropium ...............................................................................................22Tiotropium and Olodaterol ......................................................................22Tolterodine ..............................................................................................22Trihexyphenidyl ...................................................................................... 22

Anticholinergic Agent, Long-ActingTiotropium ...............................................................................................22Tiotropium and Olodaterol ......................................................................22

Anticholinergic Agent, OphthalmicAtropine (Ophthalmic) .............................................................................. 3Cyclopentolate ..........................................................................................7

AnticoagulantDabigatran Etexilate .................................................................................7Enoxaparin ............................................................................................... 9Fondaparinux ..........................................................................................11Rivaroxaban ........................................................................................... 20Warfarin .................................................................................................. 23

Anticoagulant, Direct Thrombin InhibitorDabigatran Etexilate .................................................................................7

Anticoagulant, Factor Xa InhibitorFondaparinux ..........................................................................................11Rivaroxaban ........................................................................................... 20

Anticoagulant, Low Molecular Weight HeparinEnoxaparin ............................................................................................... 9

Anticoagulant, Vitamin K AntagonistWarfarin .................................................................................................. 23

Anticonvulsant, BarbituratePHENobarbital ........................................................................................18

Anticonvulsant, BenzodiazepineClonazePAM .............................................................................................6DiazePAM .................................................................................................7LORazepam ........................................................................................... 14

Anticonvulsant, HydantoinPhenytoin ................................................................................................18

Anticonvulsant, MiscellaneousAcetaZOLAMIDE ......................................................................................2CarBAMazepine ....................................................................................... 5Felbamate ...............................................................................................10

ANTICONVULSANT, MISCELLANEOUS

26

Gabapentin ............................................................................................. 11Lacosamide ............................................................................................ 13LamoTRIgine ..........................................................................................13LevETIRAcetam ..................................................................................... 14OXcarbazepine .......................................................................................17Pregabalin .............................................................................................. 19Primidone ............................................................................................... 19Topiramate ..............................................................................................22Valproic Acid and Derivatives ................................................................ 23Zonisamide .............................................................................................23

Anticonvulsant, SuccinimideEthosuximide ..........................................................................................10

Antidepressant, Alpha-2 AntagonistMirtazapine .............................................................................................16

Antidepressant, Dopamine/Norepinephrine-Reuptake InhibitorBuPROPion .............................................................................................. 5

Antidepressant, Monoamine Oxidase InhibitorSelegiline ................................................................................................20

Antidepressant, Selective Serotonin Reuptake InhibitorCitalopram ................................................................................................ 6Escitalopram .............................................................................................9FLUoxetine ............................................................................................. 11PARoxetine .............................................................................................17Sertraline ................................................................................................ 20

Antidepressant, Serotonin/Norepinephrine Reuptake InhibitorDULoxetine ...............................................................................................8Venlafaxine .............................................................................................23

Antidepressant, Serotonin Reuptake Inhibitor/AntagonistTraZODone .............................................................................................22

Antidepressant, Tricyclic (Secondary Amine)Desipramine ............................................................................................. 7Nortriptyline ............................................................................................ 17

Antidepressant, Tricyclic (Tertiary Amine)Amitriptyline ..............................................................................................3ClomiPRAMINE ........................................................................................6Doxepin (Systemic) .................................................................................. 8Imipramine ..............................................................................................12

Antidiabetic Agent, BiguanideEmpagliflozin and Metformin ....................................................................9MetFORMIN ........................................................................................... 15Pioglitazone and Metformin ................................................................... 18Sitagliptin and Metformin ....................................................................... 20

Antidiabetic Agent, Dipeptidyl Peptidase 4 (DPP-4) InhibitorSITagliptin ...............................................................................................20Sitagliptin and Metformin ....................................................................... 20

Antidiabetic Agent, Dopamine AgonistBromocriptine ........................................................................................... 4

Antidiabetic Agent, Glucagon-Like Peptide-1 (GLP-1) ReceptorAgonistDulaglutide ................................................................................................8Exenatide ................................................................................................10

Antidiabetic Agent, Meglitinide AnalogNateglinide ..............................................................................................16

Antidiabetic Agent, Sodium-Glucose Cotransporter 2 (SGLT2)InhibitorEmpagliflozin ............................................................................................ 9Empagliflozin and Metformin ....................................................................9

Antidiabetic Agent, SulfonylureaGlipiZIDE ................................................................................................ 11GlyBURIDE .............................................................................................11

Antidiabetic Agent, ThiazolidinedionePioglitazone ............................................................................................18Pioglitazone and Metformin ................................................................... 18

AntidiarrhealBismuth Subsalicylate .............................................................................. 4Diphenoxylate and Atropine .....................................................................8Loperamide .............................................................................................14

AntidoteAcetylcysteine ...........................................................................................2Amyl Nitrite ...............................................................................................3Calcitonin ..................................................................................................5Calcium Acetate ....................................................................................... 5Calcium Carbonate ...................................................................................5Charcoal, Activated .................................................................................. 5

Leucovorin Calcium ................................................................................14Naloxone ................................................................................................ 16Naltrexone .............................................................................................. 16Phenoxybenzamine ................................................................................18Potassium Iodide ....................................................................................18Sodium Polystyrene Sulfonate ...............................................................21Succimer .................................................................................................21

Antidote, ExtravasationNitroglycerin ............................................................................................17

AntiemeticAprepitant ................................................................................................. 3DexAMETHasone (Systemic) ...................................................................7Dronabinol ................................................................................................ 8HydrOXYzine ..........................................................................................12Meclizine .................................................................................................14Metoclopramide ......................................................................................15Netupitant and Palonosetron ................................................................. 16Ondansetron ...........................................................................................17Prochlorperazine .................................................................................... 19Promethazine ......................................................................................... 19

Antifibrinolytic AgentAminocaproic Acid ....................................................................................2Tranexamic Acid .....................................................................................22

AntiflatulentAluminum Hydroxide, Magnesium Hydroxide, and Simethicone .............2Simethicone ............................................................................................20

Antifungal Agent, Azole DerivativeItraconazole ............................................................................................13

Antifungal Agent, Imidazole DerivativeClotrimazole (Oral) ................................................................................... 6Clotrimazole (Topical) ...............................................................................6Ketoconazole (Systemic) ........................................................................13Ketoconazole (Topical) ...........................................................................13Miconazole (Topical) .............................................................................. 15

Antifungal Agent, OralFluconazole ............................................................................................ 10Griseofulvin .............................................................................................12Itraconazole ............................................................................................13Ketoconazole (Systemic) ........................................................................13Terbinafine (Systemic) ............................................................................21Voriconazole ...........................................................................................23

Antifungal Agent, Oral NonabsorbedClotrimazole (Oral) ................................................................................... 6

Antifungal Agent, Oral Nonabsorbed/Partially AbsorbedClotrimazole (Topical) ...............................................................................6Miconazole (Topical) .............................................................................. 15Nystatin (Oral) ........................................................................................ 17

Antifungal Agent, ParenteralFluconazole ............................................................................................ 10Voriconazole ...........................................................................................23

Antifungal Agent, TopicalBetamethasone and Clotrimazole ............................................................4Ciclopirox ..................................................................................................6Clotrimazole (Topical) ...............................................................................6Ketoconazole (Topical) ...........................................................................13Miconazole (Topical) .............................................................................. 15Naftifine .................................................................................................. 16Nystatin (Topical) ....................................................................................17Terbinafine (Topical) ............................................................................... 21

Antifungal Agent, VaginalClotrimazole (Topical) ...............................................................................6Miconazole (Topical) .............................................................................. 15

Antigout AgentAllopurinol .................................................................................................2Colchicine .................................................................................................7

Antihemophilic AgentAminocaproic Acid ....................................................................................2Desmopressin ...........................................................................................7Tranexamic Acid .....................................................................................22

Antihemorrhoidal AgentDibucaine ..................................................................................................8Hydrocortisone (Topical) ........................................................................ 12Witch Hazel ............................................................................................ 23Zinc Oxide .............................................................................................. 23

Antihepaciviral, NS3/4A Protease Inhibitor (Anti-HCV)Boceprevir ................................................................................................ 4

ANTICONVULSANT, MISCELLANEOUS

27

Antihepaciviral, Nucleoside (Anti-HCV)Ribavirin (Systemic) ............................................................................... 20

Antihepadnaviral, Reverse Transcriptase Inhibitor, Nucleoside(Anti-HBV)LamiVUDine ........................................................................................... 13

Antihepadnaviral, Reverse Transcriptase Inhibitor, Nucleotide(Anti-HBV)Tenofovir Disoproxil Fumarate ............................................................... 21

AntihypertensiveAcebutolol .................................................................................................2AMILoride ................................................................................................. 2AmLODIPine .............................................................................................3Amlodipine and Benazepril ...................................................................... 3Atenolol .....................................................................................................3Azilsartan ..................................................................................................3Azilsartan and Chlorthalidone .................................................................. 3Bumetanide .............................................................................................. 5Candesartan .............................................................................................5Candesartan and Hydrochlorothiazide .....................................................5Captopril ................................................................................................... 5Carvedilol ..................................................................................................5Chlorthalidone .......................................................................................... 6CloNIDine ................................................................................................. 6DilTIAZem .................................................................................................8Doxazosin .................................................................................................8Enalapril ....................................................................................................9Eplerenone ............................................................................................... 9Felodipine ...............................................................................................10Fosinopril ................................................................................................ 11Fosinopril and Hydrochlorothiazide ........................................................11Furosemide .............................................................................................11GuanFACINE ..........................................................................................12HydrALAZINE .........................................................................................12Hydrochlorothiazide ................................................................................12Hydrochlorothiazide and Triamterene .................................................... 12Indapamide .............................................................................................12Isosorbide Dinitrate and Hydralazine .....................................................13Lisinopril ................................................................................................. 14Losartan ..................................................................................................14Losartan and Hydrochlorothiazide ......................................................... 14Methyldopa .............................................................................................15Metoprolol ...............................................................................................15Minoxidil (Systemic) ............................................................................... 16NIFEdipine ..............................................................................................17Prazosin ..................................................................................................19Propranolol ............................................................................................. 19Ramipril .................................................................................................. 19Spironolactone ....................................................................................... 21Telmisartan ............................................................................................. 21Telmisartan and Hydrochlorothiazide .....................................................21Terazosin ................................................................................................ 21Torsemide ...............................................................................................22Verapamil ............................................................................................... 23

Anti-inflammatory AgentBalsalazide ............................................................................................... 4DexAMETHasone (Systemic) ...................................................................7

Anti-inflammatory, Locally AppliedCarbamide Peroxide .................................................................................5

Antilipemic Agent, 2-AzetidinoneEzetimibe ................................................................................................10

Antilipemic Agent, Bile Acid SequestrantCholestyramine Resin .............................................................................. 6Colestipol ..................................................................................................7

Antilipemic Agent, Fibric AcidFenofibrate and Derivatives ................................................................... 10Gemfibrozil ..............................................................................................11

Antilipemic Agent, HMG-CoA Reductase InhibitorAtorvaSTATin ............................................................................................3Niacin and Simvastatin ...........................................................................16Pravastatin ..............................................................................................19Rosuvastatin ...........................................................................................20Simvastatin .............................................................................................20

Antilipemic Agent, MiscellaneousNiacin ......................................................................................................16Niacin and Simvastatin ...........................................................................16

Antilipemic Agent, Omega-3 Fatty AcidsOmega-3 Fatty Acids ............................................................................. 17

Antimalarial AgentAtovaquone and Proguanil .......................................................................3

Chloroquine .............................................................................................. 6Hydroxychloroquine ................................................................................12Mefloquine ..............................................................................................15Primaquine ............................................................................................. 19Pyrimethamine ........................................................................................19

Antimanic AgentChlorproMAZINE ...................................................................................... 6Lithium ....................................................................................................14OLANZapine ...........................................................................................17RisperiDONE ..........................................................................................20Valproic Acid and Derivatives ................................................................ 23

Antimigraine AgentDihydroergotamine ................................................................................... 8Rizatriptan .............................................................................................. 20SUMAtriptan ........................................................................................... 21ZOLMitriptan ...........................................................................................23

Antineoplastic Agent, Alkylating AgentBusulfan ....................................................................................................5Chlorambucil .............................................................................................5Cyclophosphamide ...................................................................................7Lomustine ...............................................................................................14Melphalan ...............................................................................................15Procarbazine .......................................................................................... 19

Antineoplastic Agent, Alkylating Agent (Nitrogen Mustard)Chlorambucil .............................................................................................5Cyclophosphamide ...................................................................................7Melphalan ...............................................................................................15

Antineoplastic Agent, Alkylating Agent (Nitrosourea)Lomustine ...............................................................................................14

Antineoplastic Agent, AntiandrogenBicalutamide .............................................................................................4Flutamide ................................................................................................11Nilutamide ...............................................................................................17

Antineoplastic Agent, Anti-HER2Lapatinib .................................................................................................13

Antineoplastic Agent, AntimetaboliteFluorouracil (Topical) .............................................................................. 11Mercaptopurine .......................................................................................15Thioguanine ............................................................................................22

Antineoplastic Agent, Antimetabolite (Antifolate)Methotrexate ...........................................................................................15

Antineoplastic Agent, Antimetabolite (Purine Analog)Mercaptopurine .......................................................................................15Thioguanine ............................................................................................22

Antineoplastic Agent, Antimetabolite (Pyrimidine Analog)Fluorouracil (Topical) .............................................................................. 11

Antineoplastic Agent, Anti-PD-1 Monoclonal AntibodyPembrolizumab .......................................................................................18

Antineoplastic Agent, Aromatase InhibitorAnastrozole ...............................................................................................3Exemestane ............................................................................................10Letrozole .................................................................................................14

Antineoplastic Agent, Epidermal Growth Factor Receptor (EGFR)InhibitorGefitinib ...................................................................................................11Lapatinib .................................................................................................13

Antineoplastic Agent, Estrogen Receptor AntagonistTamoxifen ............................................................................................... 21

Antineoplastic Agent, Gonadotropin-Releasing Hormone AgonistLeuprolide ...............................................................................................14

Antineoplastic Agent, HormoneMegestrol ................................................................................................15

Antineoplastic Agent, Immune Checkpoint InhibitorPembrolizumab .......................................................................................18

Antineoplastic Agent, MiscellaneousHydroxyurea ........................................................................................... 12

Antineoplastic Agent, Monoclonal AntibodyPembrolizumab .......................................................................................18

Antineoplastic Agent, Podophyllotoxin DerivativeEtoposide ................................................................................................10

Antineoplastic Agent, Proteasome InhibitorCarfilzomib ................................................................................................5

ANTINEOPLASTIC AGENT, PROTEASOME INHIBITOR

28

Antineoplastic Agent, Retinoic Acid DerivativeISOtretinoin (Systemic) .......................................................................... 13

Antineoplastic Agent, Topoisomerase II InhibitorEtoposide ................................................................................................10

Antineoplastic Agent, Tyrosine Kinase InhibitorGefitinib ...................................................................................................11Lapatinib .................................................................................................13

Antiparasitic Agent, TopicalPermethrin ..............................................................................................18Pyrethrins and Piperonyl Butoxide .........................................................19

Anti-Parkinson Agent, AnticholinergicBenztropine .............................................................................................. 4Trihexyphenidyl ...................................................................................... 22

Anti-Parkinson Agent, COMT InhibitorEntacapone .............................................................................................. 9

Anti-Parkinson Agent, Decarboxylase InhibitorCarbidopa and Levodopa .........................................................................5

Anti-Parkinson Agent, Dopamine AgonistAmantadine .............................................................................................. 2Bromocriptine ........................................................................................... 4Pramipexole ............................................................................................18

Anti-Parkinson Agent, Dopamine PrecursorCarbidopa and Levodopa .........................................................................5

Anti-Parkinson Agent, MAO Type B InhibitorRasagiline ...............................................................................................20Selegiline ................................................................................................20

Antiplatelet AgentAnagrelide ................................................................................................ 3Aspirin .......................................................................................................3Aspirin and Dipyridamole ......................................................................... 3Cilostazol ..................................................................................................6Clopidogrel ............................................................................................... 6Prasugrel ................................................................................................ 18Ticagrelor ................................................................................................22

Antiplatelet Agent, Non-thienopyridineTicagrelor ................................................................................................22

Antiplatelet Agent, ThienopyridineClopidogrel ............................................................................................... 6Prasugrel ................................................................................................ 18

Antiprotozoal, NitroimidazoleMetroNIDAZOLE (Systemic) .................................................................. 15

Antiretroviral, CCR5 Antagonist (Anti-HIV)Maraviroc ................................................................................................14

Antiretroviral, Integrase Inhibitor (Anti-HIV)Abacavir, Dolutegravir, and Lamivudine .................................................. 2Bictegravir, Emtricitabine, and Tenofovir Alafenamide ............................ 4Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Alafenamide ..........8Raltegravir .............................................................................................. 19

Antiretroviral, Protease Inhibitor (Anti-HIV)Atazanavir .................................................................................................3Darunavir .................................................................................................. 7Lopinavir and Ritonavir .......................................................................... 14Nelfinavir .................................................................................................16Ritonavir ................................................................................................. 20

Antiretroviral, Reverse Transcriptase Inhibitor, Non-nucleoside(Anti-HIV)Efavirenz ...................................................................................................8Efavirenz, Emtricitabine, and Tenofovir Disoproxil Fumarate ..................8Etravirine ................................................................................................ 10

Antiretroviral, Reverse Transcriptase Inhibitor, Nucleoside (Anti-HIV)Abacavir ....................................................................................................2Abacavir and Lamivudine .........................................................................2Abacavir, Dolutegravir, and Lamivudine .................................................. 2Bictegravir, Emtricitabine, and Tenofovir Alafenamide ............................ 4Didanosine ................................................................................................8Efavirenz, Emtricitabine, and Tenofovir Disoproxil Fumarate ..................8Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Alafenamide ..........8Emtricitabine .............................................................................................9Emtricitabine and Tenofovir Alafenamide ................................................ 9Emtricitabine and Tenofovir Disoproxil Fumarate .................................... 9LamiVUDine ........................................................................................... 13Lamivudine and Zidovudine ................................................................... 13Zidovudine ..............................................................................................23

Antiretroviral, Reverse Transcriptase Inhibitor, Nucleotide (Anti-HIV)Bictegravir, Emtricitabine, and Tenofovir Alafenamide ............................ 4Efavirenz, Emtricitabine, and Tenofovir Disoproxil Fumarate ..................8Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Alafenamide ..........8Emtricitabine and Tenofovir Alafenamide ................................................ 9Emtricitabine and Tenofovir Disoproxil Fumarate .................................... 9Tenofovir Disoproxil Fumarate ............................................................... 21

Antirheumatic, Disease ModifyingAdalimumab ..............................................................................................2Leflunomide ............................................................................................13Methotrexate ...........................................................................................15

Antirheumatic MiscellaneousCyclophosphamide ...................................................................................7Hyaluronate and Derivatives ..................................................................12

Antiseborrheic Agent, TopicalSelenium Sulfide .................................................................................... 20Sulfur and Sulfacetamide .......................................................................21

Antiseptic, TopicalIodine ......................................................................................................13Povidone-Iodine (Topical) .......................................................................18

Antiseptic, VaginalPovidone-Iodine (Topical) .......................................................................18

Antispasmodic Agent, GastrointestinalClidinium and Chlordiazepoxide .............................................................. 6

Antispasmodic Agent, UrinaryOxybutynin ..............................................................................................17

Antithyroid AgentMethIMAzole ...........................................................................................15Potassium Iodide ....................................................................................18Propylthiouracil .......................................................................................19

Antitubercular AgentEthambutol ............................................................................................... 9Isoniazid ................................................................................................. 13Pyrazinamide ..........................................................................................19Rifabutin ................................................................................................. 20RifAMPin .................................................................................................20

AntitussiveBenzonatate ............................................................................................. 4Codeine .................................................................................................... 7Guaifenesin and Codeine ...................................................................... 12Guaifenesin and Dextromethorphan ...................................................... 12Hydrocodone and Homatropine ............................................................. 12

Antiviral AgentAcyclovir (Systemic) .................................................................................2Amantadine .............................................................................................. 2ValACYclovir ...........................................................................................22Zanamivir ................................................................................................23

Antiviral Agent, AdamantaneAmantadine .............................................................................................. 2

Antiviral Agent, OphthalmicGanciclovir (Ophthalmic) ........................................................................ 11Trifluridine ...............................................................................................22

Antiviral Agent, OralValACYclovir ...........................................................................................22

Appetite StimulantDronabinol ................................................................................................ 8Megestrol ................................................................................................15

AstringentWitch Hazel ............................................................................................ 23

BarbiturateButalbital, Acetaminophen, and Caffeine .................................................5PHENobarbital ........................................................................................18Primidone ............................................................................................... 19

BenzodiazepineALPRAZolam ............................................................................................2ChlordiazePOXIDE ...................................................................................6Clidinium and Chlordiazepoxide .............................................................. 6ClonazePAM .............................................................................................6DiazePAM .................................................................................................7LORazepam ........................................................................................... 14Oxazepam .............................................................................................. 17Temazepam ............................................................................................21Triazolam ................................................................................................22

ANTINEOPLASTIC AGENT, RETINOIC ACID DERIVATIVE

29

Beta2-Adrenergic AgonistIpratropium and Albuterol .......................................................................13

Beta2-Adrenergic Agonist, Long-ActingFluticasone and Salmeterol ....................................................................11Salmeterol .............................................................................................. 20

Beta2 AgonistAlbuterol ................................................................................................... 2Fluticasone and Salmeterol ....................................................................11Salmeterol .............................................................................................. 20Tiotropium and Olodaterol ......................................................................22

Beta2 Agonist, Long-ActingTiotropium and Olodaterol ......................................................................22

Beta3 AgonistMirabegron ............................................................................................. 16

Beta-Adrenergic Blocker, NonselectiveDorzolamide and Timolol ......................................................................... 8Propranolol ............................................................................................. 19Sotalol .....................................................................................................21

Beta-Blocker, Beta-1 SelectiveAtenolol .....................................................................................................3Metoprolol ...............................................................................................15

Beta-Blocker, NonselectiveBrimonidine and Timolol ...........................................................................4Timolol (Ophthalmic) .............................................................................. 22

Beta-Blocker With Alpha-Blocking ActivityCarvedilol ..................................................................................................5

Beta-Blocker With Intrinsic Sympathomimetic ActivityAcebutolol .................................................................................................2

Bisphosphonate DerivativeAlendronate .............................................................................................. 2Alendronate and Cholecalciferol .............................................................. 2Ibandronate ............................................................................................ 12

Blood Product DerivativeThrombin (Topical) ................................................................................. 22

CalcimimeticCinacalcet .................................................................................................6

Calcineurin InhibitorCycloSPORINE (Ophthalmic) ...................................................................7CycloSPORINE (Systemic) ...................................................................... 7Pimecrolimus ..........................................................................................18Tacrolimus (Systemic) ............................................................................ 21Tacrolimus (Topical) ............................................................................... 21

Calcium Channel BlockerAmLODIPine .............................................................................................3Amlodipine and Benazepril ...................................................................... 3DilTIAZem .................................................................................................8Felodipine ...............................................................................................10NIFEdipine ..............................................................................................17NiMODipine ............................................................................................ 17Verapamil ............................................................................................... 23

Calcium Channel Blocker, DihydropyridineAmLODIPine .............................................................................................3Amlodipine and Benazepril ...................................................................... 3Felodipine ...............................................................................................10NIFEdipine ..............................................................................................17NiMODipine ............................................................................................ 17

Calcium Channel Blocker, NondihydropyridineDilTIAZem .................................................................................................8Verapamil ............................................................................................... 23

Calcium SaltCalcium Acetate ....................................................................................... 5Calcium and Vitamin D ............................................................................ 5Calcium Carbonate ...................................................................................5

CannabinoidDronabinol ................................................................................................ 8

Carbonic Anhydrase InhibitorAcetaZOLAMIDE ......................................................................................2

Carbonic Anhydrase Inhibitor (Ophthalmic)Brinzolamide and Brimonidine ................................................................. 4Dorzolamide ............................................................................................. 8Dorzolamide and Timolol ......................................................................... 8

Cardiac GlycosideDigoxin ......................................................................................................8

Cardiovascular Agent, MiscellaneousRanolazine ..............................................................................................20

CatharticSodium Phosphates ............................................................................... 21

Cauterizing Agent, TopicalSilver Nitrate ...........................................................................................20

Central Nervous System StimulantDextroamphetamine ................................................................................. 7Dextroamphetamine and Amphetamine .................................................. 7Methylphenidate ..................................................................................... 15Modafinil ................................................................................................. 16

Chelating AgentDeferasirox ............................................................................................... 7

Chemotherapy Modulating AgentLeucovorin Calcium ................................................................................14

Chloride Channel ActivatorLubiprostone ...........................................................................................14

Cholinergic AgonistAcetylcholine ............................................................................................ 2Bethanechol ..............................................................................................4Cevimeline ................................................................................................5

Colony Stimulating FactorRomiPLOStim .........................................................................................20

ContraceptiveEthinyl Estradiol and Desogestrel ............................................................9Ethinyl Estradiol and Drospirenone ......................................................... 9Ethinyl Estradiol and Etonogestrel .........................................................10Ethinyl Estradiol and Levonorgestrel ..................................................... 10Ethinyl Estradiol and Norelgestromin .....................................................10Ethinyl Estradiol and Norethindrone ...................................................... 10Ethinyl Estradiol and Norgestimate ........................................................10Ethinyl Estradiol and Norgestrel ............................................................ 10Levonorgestrel (IUD) ..............................................................................14Levonorgestrel (Systemic) ......................................................................14MedroxyPROGESTERone ..................................................................... 15Nonoxynol 9 ........................................................................................... 17Norethindrone .........................................................................................17Norethindrone and Mestranol ................................................................ 17Ulipristal ..................................................................................................22

Corticosteroid, Inhalant (Oral)Budesonide (Oral Inhalation) ................................................................... 4Fluticasone and Salmeterol ....................................................................11Fluticasone (Oral Inhalation) .................................................................. 11Mometasone (Oral Inhalation) ............................................................... 16

Corticosteroid, NasalFluticasone (Nasal) .................................................................................11Mometasone (Nasal) ..............................................................................16

Corticosteroid, OphthalmicDifluprednate ............................................................................................ 8Fluorometholone .....................................................................................11PrednisoLONE (Ophthalmic) ..................................................................19

Corticosteroid, OticCiprofloxacin and Dexamethasone .......................................................... 6Neomycin, Polymyxin B, and Hydrocortisone (Otic) ..............................16

Corticosteroid, RectalHydrocortisone (Topical) ........................................................................ 12

Corticosteroid, SystemicBudesonide (Systemic) ............................................................................ 4Cortisone .................................................................................................. 7DexAMETHasone (Systemic) ...................................................................7Fludrocortisone .......................................................................................11Hydrocortisone (Systemic) ..................................................................... 12MethylPREDNISolone ............................................................................ 15PrednisoLONE (Systemic) ..................................................................... 19PredniSONE ...........................................................................................19

Corticosteroid, TopicalAlclometasone ..........................................................................................2Betamethasone and Clotrimazole ............................................................4Betamethasone (Topical) ......................................................................... 4Clobetasol .................................................................................................6Desonide .................................................................................................. 7Fluocinolone (Topical) .............................................................................11Fluocinonide ........................................................................................... 11Hydrocortisone (Topical) ........................................................................ 12Triamcinolone (Topical) .......................................................................... 22

CORTICOSTEROID, TOPICAL

30

Cosmetic Agent, ImplantHyaluronate and Derivatives ..................................................................12

Cytochrome P-450 InhibitorElvitegravir, Cobicistat, Emtricitabine, and Tenofovir Alafenamide ..........8

DecongestantBrompheniramine and Phenylephrine ......................................................4Pseudoephedrine ................................................................................... 19Triprolidine and Pseudoephedrine ......................................................... 22

DevicePeak Flow Meter .................................................................................... 18Pill Crusher .............................................................................................18

Diagnostic AgentProparacaine and Fluorescein ............................................................... 19

Diagnostic Agent, OphthalmicHydroxypropyl Methylcellulose ...............................................................12

Dietary SupplementLactobacillus ...........................................................................................13Saccharomyces boulardii ....................................................................... 20

Direct Oral Anticoagulant (DOAC)Dabigatran Etexilate .................................................................................7Rivaroxaban ........................................................................................... 20

Disinfectant, Antibacterial (Topical)Sodium Hypochlorite .............................................................................. 21

Diuretic, Carbonic Anhydrase InhibitorAcetaZOLAMIDE ......................................................................................2

Diuretic, LoopBumetanide .............................................................................................. 5Furosemide .............................................................................................11Torsemide ...............................................................................................22

Diuretic, Potassium-SparingAMILoride ................................................................................................. 2Eplerenone ............................................................................................... 9Hydrochlorothiazide and Triamterene .................................................... 12Spironolactone ....................................................................................... 21

Diuretic, ThiazideCandesartan and Hydrochlorothiazide .....................................................5Fosinopril and Hydrochlorothiazide ........................................................11Hydrochlorothiazide ................................................................................12Hydrochlorothiazide and Triamterene .................................................... 12Losartan and Hydrochlorothiazide ......................................................... 14Telmisartan and Hydrochlorothiazide .....................................................21

Diuretic, Thiazide-RelatedAzilsartan and Chlorthalidone .................................................................. 3Chlorthalidone .......................................................................................... 6Indapamide .............................................................................................12MetOLazone ...........................................................................................15

Dopamine AntagonistMetoclopramide ......................................................................................15

Electrolyte Replacement, OralOral Rehydration Therapy ......................................................................17

Electrolyte Supplement, OralCalcium and Vitamin D ............................................................................ 5Calcium Carbonate ...................................................................................5Magnesium Oxide .................................................................................. 14Potassium Chloride ................................................................................ 18Potassium Phosphate and Sodium Phosphate ..................................... 18Sodium Bicarbonate ...............................................................................21

Electrolyte Supplement, ParenteralPotassium Chloride ................................................................................ 18Sodium Bicarbonate ...............................................................................21Sodium Chloride .....................................................................................21Sodium Phosphates ............................................................................... 21

EnzymePancrelipase ...........................................................................................17

Ergot DerivativeBromocriptine ........................................................................................... 4Cabergoline .............................................................................................. 5Dihydroergotamine ................................................................................... 8Methylergonovine ................................................................................... 15

Estrogen and Androgen CombinationEstrogens (Esterified) and Methyltestosterone ........................................9

Estrogen and Progestin CombinationEstradiol and Levonorgestrel ................................................................... 9

Estrogens (Conjugated/Equine) and Medroxyprogesterone ....................9Ethinyl Estradiol and Desogestrel ............................................................9Ethinyl Estradiol and Drospirenone ......................................................... 9Ethinyl Estradiol and Etonogestrel .........................................................10Ethinyl Estradiol and Levonorgestrel ..................................................... 10Ethinyl Estradiol and Norelgestromin .....................................................10Ethinyl Estradiol and Norethindrone ...................................................... 10Ethinyl Estradiol and Norgestimate ........................................................10Ethinyl Estradiol and Norgestrel ............................................................ 10Norethindrone and Mestranol ................................................................ 17

Estrogen DerivativeEstradiol (Systemic) ................................................................................. 9Estradiol (Topical) .....................................................................................9Estrogens (Conjugated/Equine, Systemic) .............................................. 9Estrogens (Conjugated/Equine, Topical) ..................................................9

Ethanolamine DerivativeDiphenhydrAMINE (Systemic) ..................................................................8Doxylamine ...............................................................................................8

ExpectorantGuaiFENesin .......................................................................................... 12Guaifenesin and Codeine ...................................................................... 12Guaifenesin and Dextromethorphan ...................................................... 12Potassium Iodide ....................................................................................18

First Generation (Typical) AntipsychoticChlorproMAZINE ...................................................................................... 6Haloperidol ............................................................................................. 12Prochlorperazine .................................................................................... 19

GABA Agonist/Glutamate AntagonistAcamprosate ............................................................................................ 2

GABA AnalogGabapentin ............................................................................................. 11Pregabalin .............................................................................................. 19

Gallstone Dissolution AgentUrsodiol .................................................................................................. 22

Gastrointestinal Agent, MiscellaneousAdalimumab ..............................................................................................2LinaCLOtide ............................................................................................14Lubiprostone ...........................................................................................14Sucralfate ............................................................................................... 21

Gastrointestinal Agent, ProkineticMetoclopramide ......................................................................................15

General AnestheticFentaNYL ............................................................................................... 10

Genitourinary IrrigantNeomycin and Polymyxin B ................................................................... 16Sodium Chloride .....................................................................................21Sorbitol ................................................................................................... 21

Gonadotropin Releasing Hormone AgonistLeuprolide ...............................................................................................14

Guanylate Cyclase-C (GC-C) AgonistLinaCLOtide ............................................................................................14

Hematopoietic AgentRomiPLOStim .........................................................................................20

Hemostatic AgentAluminum Chloride Hexahydrate ............................................................. 2Aminocaproic Acid ....................................................................................2Desmopressin ...........................................................................................7Ferric Subsulfate .................................................................................... 10Thrombin (Topical) ................................................................................. 22Tranexamic Acid .....................................................................................22

Histamine H1 AntagonistAzelastine (Nasal) .................................................................................... 3Brompheniramine and Phenylephrine ......................................................4Cetirizine (Systemic) ................................................................................ 5Cyproheptadine ........................................................................................ 7DiphenhydrAMINE (Systemic) ..................................................................8Doxylamine ...............................................................................................8HydrOXYzine ..........................................................................................12Loratadine ...............................................................................................14Meclizine .................................................................................................14Olopatadine (Ophthalmic) ...................................................................... 17Promethazine ......................................................................................... 19Triprolidine and Pseudoephedrine ......................................................... 22

Histamine H1 Antagonist, First GenerationBrompheniramine and Phenylephrine ......................................................4Cyproheptadine ........................................................................................ 7

COSMETIC AGENT, IMPLANT

31

DiphenhydrAMINE (Systemic) ..................................................................8Doxylamine ...............................................................................................8HydrOXYzine ..........................................................................................12Meclizine .................................................................................................14Promethazine ......................................................................................... 19Triprolidine and Pseudoephedrine ......................................................... 22

Histamine H1 Antagonist, Second GenerationAzelastine (Nasal) .................................................................................... 3Cetirizine (Systemic) ................................................................................ 5Loratadine ...............................................................................................14Olopatadine (Ophthalmic) ...................................................................... 17

Histamine H2 AntagonistFamotidine ..............................................................................................10

Histone Deacetylase InhibitorValproic Acid and Derivatives ................................................................ 23

HormoneCalcitonin ..................................................................................................5Melatonin ................................................................................................15

Hormone, Posterior PituitaryDesmopressin ...........................................................................................7

Hypnotic, MiscellaneousMelatonin ................................................................................................15Zolpidem .................................................................................................23

Immunosuppressant AgentAzaTHIOprine ...........................................................................................3Cyclophosphamide ...................................................................................7CycloSPORINE (Ophthalmic) ...................................................................7CycloSPORINE (Systemic) ...................................................................... 7Mercaptopurine .......................................................................................15Methotrexate ...........................................................................................15Mycophenolate ....................................................................................... 16Pimecrolimus ..........................................................................................18Tacrolimus (Systemic) ............................................................................ 21Tacrolimus (Topical) ............................................................................... 21

Inhalation, MiscellaneousInhalation Devices ..................................................................................12

Insulin, CombinationInsulin Aspart Protamine and Insulin Aspart ......................................... 13Insulin NPH and Insulin Regular ............................................................13

Insulin, Intermediate-ActingInsulin NPH ............................................................................................ 13

Insulin, Long-ActingInsulin Glargine ...................................................................................... 13

Insulin, Rapid-ActingInsulin Aspart ..........................................................................................13

Insulin, Short-ActingInsulin Regular ....................................................................................... 13

InterferonInterferon Beta-1b .................................................................................. 13Peginterferon Alfa-2a ............................................................................. 18

Iodinated Contrast MediaDiatrizoate Meglumine and Diatrizoate Sodium ...................................... 7

Iron PreparationsFerrous Fumarate ...................................................................................10Ferrous Sulfate .......................................................................................10

IrrigantSodium Chloride .....................................................................................21

Irrigating SolutionBalanced Salt Solution .............................................................................4

Keratolytic AgentPodofilox .................................................................................................18Salicylic Acid .......................................................................................... 20Tazarotene ..............................................................................................21Urea (Topical) .........................................................................................22

LaxativeMagnesium Hydroxide ............................................................................14

Laxative, Bowel EvacuantSodium Phosphates ............................................................................... 21

Laxative, OsmoticGlycerin ...................................................................................................11Lactulose ................................................................................................ 13Polyethylene Glycol 3350 ...................................................................... 18Polyethylene Glycol-Electrolyte Solution ............................................... 18

Sodium Sulfate, Potassium Sulfate, and Magnesium Sulfate ............... 21Sorbitol ................................................................................................... 21

Laxative, SalineMagnesium Citrate ................................................................................. 14

Laxative, StimulantBisacodyl .................................................................................................. 4Bisacodyl and Magnesium Citrate ........................................................... 4Senna ..................................................................................................... 20

Leukotriene-Receptor AntagonistMontelukast ............................................................................................ 16

Local AnestheticBenzocaine ...............................................................................................4Dibucaine ..................................................................................................8Lidocaine and Prilocaine ........................................................................14Lidocaine (Topical) ................................................................................. 14Proparacaine and Fluorescein ............................................................... 19

Local Anesthetic, OphthalmicProparacaine and Fluorescein ............................................................... 19

Lubricant, OcularHydroxypropyl Methylcellulose ...............................................................12Sodium Chloride .....................................................................................21

Lysine AnalogAminocaproic Acid ....................................................................................2Tranexamic Acid .....................................................................................22

Magnesium SaltMagnesium Citrate ................................................................................. 14Magnesium Hydroxide ............................................................................14Magnesium Oxide .................................................................................. 14

Mast Cell StabilizerCromolyn (Nasal) ..................................................................................... 7Cromolyn (Oral Inhalation) .......................................................................7

Melatonin Receptor AgonistMelatonin ................................................................................................15

Mineralocorticoid (Aldosterone) Receptor AntagonistsEplerenone ............................................................................................... 9Spironolactone ....................................................................................... 21

Miscellaneous ProductDiabetic Supplies ......................................................................................7Nasal Wash ............................................................................................ 16

Monoclonal AntibodyAdalimumab ..............................................................................................2

Mucolytic AgentAcetylcysteine ...........................................................................................2

Neuraminidase InhibitorZanamivir ................................................................................................23

Neuromuscular Blocker Agent, ToxinIncobotulinumtoxinA ............................................................................... 12

N-Methyl-D-Aspartate (NMDA) Receptor AntagonistEsketamine ...............................................................................................9Memantine ..............................................................................................15

Nonsteroidal Anti-inflammatory Drug (NSAID)Diclofenac (Systemic) ...............................................................................8Diclofenac (Topical) ..................................................................................8

Nonsteroidal Anti-inflammatory Drug (NSAID), COX-2 SelectiveCelecoxib ..................................................................................................5

Nonsteroidal Anti-inflammatory Drug (NSAID), OphthalmicNepafenac .............................................................................................. 16

Nonsteroidal Anti-inflammatory Drug (NSAID), OralAspirin .......................................................................................................3Diclofenac (Systemic) ...............................................................................8Ibuprofen ................................................................................................ 12Indomethacin ..........................................................................................12Mefenamic Acid ......................................................................................15Meloxicam .............................................................................................. 15Naproxen ................................................................................................16Piroxicam (Systemic) ..............................................................................18Sulindac ..................................................................................................21

Nonsteroidal Anti-inflammatory Drug (NSAID), ParenteralIbuprofen ................................................................................................ 12Indomethacin ..........................................................................................12Meloxicam .............................................................................................. 15

NONSTEROIDAL ANTI-INFLAMMATORY DRUG (NSAID), PARENTERAL

32

Nonsteroidal Anti-inflammatory Drug (NSAID), TopicalDiclofenac (Topical) ..................................................................................8

Norepinephrine Reuptake Inhibitor, SelectiveAtoMOXetine ............................................................................................ 3

NS3/4A InhibitorBoceprevir ................................................................................................ 4

Nutritional SupplementFluoride ...................................................................................................11

Ophthalmic Agent, AntiglaucomaAcetaZOLAMIDE ......................................................................................2Bimatoprost .............................................................................................. 4Brimonidine and Timolol ...........................................................................4Brinzolamide and Brimonidine ................................................................. 4Dorzolamide ............................................................................................. 8Dorzolamide and Timolol ......................................................................... 8Latanoprost .............................................................................................13Pilocarpine (Ophthalmic) ........................................................................18Timolol (Ophthalmic) .............................................................................. 22

Ophthalmic Agent, MioticAcetylcholine ............................................................................................ 2Pilocarpine (Ophthalmic) ........................................................................18

Ophthalmic Agent, MiscellaneousArtificial Tears ...........................................................................................3Balanced Salt Solution .............................................................................4

Ophthalmic Agent, MydriaticAtropine (Ophthalmic) .............................................................................. 3Phenylephrine (Ophthalmic) ...................................................................18Tropicamide ............................................................................................22

Ophthalmic Agent, ToxinIncobotulinumtoxinA ............................................................................... 12

Ophthalmic Agent, ViscoelasticHyaluronate and Derivatives ..................................................................12

Opioid AntagonistNaloxone ................................................................................................ 16Naltrexone .............................................................................................. 16

Otic Agent, Anti-infectiveAcetic Acid (Otic) ......................................................................................2

Otic Agent, CerumenolyticCarbamide Peroxide .................................................................................5

Ovulation StimulatorClomiPHENE ............................................................................................6

P2Y12 AntagonistClopidogrel ............................................................................................... 6Prasugrel ................................................................................................ 18Ticagrelor ................................................................................................22

Partial Nicotine AgonistVarenicline ..............................................................................................23

PediculocidePermethrin ..............................................................................................18Pyrethrins and Piperonyl Butoxide .........................................................19

Pentasaccharide, SyntheticFondaparinux ..........................................................................................11

Pharmaceutical AidWhite Petrolatum ....................................................................................23

Phenothiazine DerivativeChlorproMAZINE ...................................................................................... 6Prochlorperazine .................................................................................... 19Promethazine ......................................................................................... 19

Phosphate BinderCalcium Acetate ....................................................................................... 5Calcium Carbonate ...................................................................................5Sevelamer .............................................................................................. 20

Phosphodiesterase-3 Enzyme InhibitorAnagrelide ................................................................................................ 3Cilostazol ..................................................................................................6

Phosphodiesterase-4 Enzyme InhibitorRoflumilast ..............................................................................................20

Phosphodiesterase-5 Enzyme InhibitorSildenafil .................................................................................................20

Phosphodiesterase Enzyme Inhibitor, NonselectiveTheophylline ........................................................................................... 22

Photosensitizing Agent, TopicalAminolevulinic Acid (Topical) ................................................................... 3

Piperazine DerivativeCetirizine (Systemic) ................................................................................ 5HydrOXYzine ..........................................................................................12Meclizine .................................................................................................14

Piperidine DerivativeCyproheptadine ........................................................................................ 7Loratadine ...............................................................................................14Olopatadine (Ophthalmic) ...................................................................... 17

Potassium BinderSodium Polystyrene Sulfonate ...............................................................21

ProbioticLactobacillus ...........................................................................................13Saccharomyces boulardii ....................................................................... 20

ProgestinLevonorgestrel (IUD) ..............................................................................14Levonorgestrel (Systemic) ......................................................................14MedroxyPROGESTERone ..................................................................... 15Megestrol ................................................................................................15Norethindrone .........................................................................................17Progesterone ..........................................................................................19

Progestin Receptor ModulatorUlipristal ..................................................................................................22

ProstaglandinAlprostadil .................................................................................................2Carboprost Tromethamine ....................................................................... 5MiSOPROStol .........................................................................................16

Prostaglandin, OphthalmicBimatoprost .............................................................................................. 4Latanoprost .............................................................................................13

Proton Pump InhibitorEsomeprazole ...........................................................................................9Omeprazole ............................................................................................17Pantoprazole .......................................................................................... 17RABEprazole ..........................................................................................19

Radiological/Contrast Media, Ionic (High Osmolality)Diatrizoate Meglumine and Diatrizoate Sodium ...................................... 7

Radiopaque AgentsBarium ...................................................................................................... 4

Rehydration, OralOral Rehydration Therapy ......................................................................17

Rescue Agent (Chemotherapy)Leucovorin Calcium ................................................................................14

Respiratory StimulantAmmonia Spirit (Aromatic) ....................................................................... 3

Retinoic Acid DerivativeAdapalene ................................................................................................ 2ISOtretinoin (Systemic) .......................................................................... 13Tazarotene ..............................................................................................21Tretinoin (Topical) ...................................................................................22

Retinoid-Like CompoundAcitretin .....................................................................................................2

RifamycinRifabutin ................................................................................................. 20RifAMPin .................................................................................................20RifAXIMin ................................................................................................20

SalicylateAspirin .......................................................................................................3Salsalate .................................................................................................20

Scabicidal AgentCrotamiton ................................................................................................7Permethrin ..............................................................................................18

Second Generation (Atypical) AntipsychoticARIPiprazole .............................................................................................3CloZAPine ................................................................................................ 6Lurasidone ..............................................................................................14OLANZapine ...........................................................................................17QUEtiapine ............................................................................................. 19RisperiDONE ..........................................................................................20Ziprasidone .............................................................................................23

NONSTEROIDAL ANTI-INFLAMMATORY DRUG (NSAID), TOPICAL

33

Selective 5-HT3 Receptor AntagonistNetupitant and Palonosetron ................................................................. 16Ondansetron ...........................................................................................17

Selective Estrogen Receptor Modulator (SERM)ClomiPHENE ............................................................................................6Raloxifene ...............................................................................................19Tamoxifen ............................................................................................... 21

Serotonin 5-HT1B, 1D Receptor AgonistRizatriptan .............................................................................................. 20SUMAtriptan ........................................................................................... 21ZOLMitriptan ...........................................................................................23

Serotonin 5-HT4 Receptor AgonistMetoclopramide ......................................................................................15

Shampoo, PediculocidePyrethrins and Piperonyl Butoxide .........................................................19

Skeletal Muscle RelaxantBaclofen ....................................................................................................4Cyclobenzaprine .......................................................................................7Methocarbamol .......................................................................................15

Skin and Mucous Membrane AgentImiquimod ...............................................................................................12

Skin and Mucous Membrane Agent, MiscellaneousEmollients .................................................................................................9Hyaluronate and Derivatives ..................................................................12

Smoking Cessation AidBuPROPion .............................................................................................. 5Nicotine ...................................................................................................17Varenicline ..............................................................................................23

Sodium-Glucose Cotransporter 2 (SGLT2) InhibitorEmpagliflozin ............................................................................................ 9Empagliflozin and Metformin ....................................................................9

Sodium SaltSodium Chloride .....................................................................................21

SpermicideNonoxynol 9 ........................................................................................... 17

Stool SoftenerDocusate .................................................................................................. 8

Substance P/Neurokinin 1 Receptor AntagonistAprepitant ................................................................................................. 3Netupitant and Palonosetron ................................................................. 16

Substituted BenzimidazoleEsomeprazole ...........................................................................................9Omeprazole ............................................................................................17Pantoprazole .......................................................................................... 17RABEprazole ..........................................................................................19

ThioamideMethIMAzole ...........................................................................................15Propylthiouracil .......................................................................................19

Thrombopoietic AgentRomiPLOStim .........................................................................................20

Thyroid ProductLevothyroxine ......................................................................................... 14Liothyronine ............................................................................................14Thyroid, Desiccated ................................................................................22

Topical Skin ProductAcetic Acid (Topical) .................................................................................2Aluminum Chloride Hexahydrate ............................................................. 2Aminolevulinic Acid (Topical) ................................................................... 3Benzoyl Peroxide ..................................................................................... 4Calcipotriene .............................................................................................5Capsaicin ..................................................................................................5Clindamycin and Benzoyl Peroxide ......................................................... 6Emollients .................................................................................................9Erythromycin (Topical) ..............................................................................9Fluorouracil (Topical) .............................................................................. 11Imiquimod ...............................................................................................12Lactic Acid and Ammonium Hydroxide ..................................................13Pimecrolimus ..........................................................................................18Podofilox .................................................................................................18Povidone-Iodine (Topical) .......................................................................18Selenium Sulfide .................................................................................... 20Tacrolimus (Topical) ............................................................................... 21Urea (Topical) .........................................................................................22White Petrolatum ....................................................................................23Zinc Oxide .............................................................................................. 23

Topical Skin Product, AcneAdapalene ................................................................................................ 2Azelaic Acid ..............................................................................................3Benzoyl Peroxide ..................................................................................... 4Clindamycin and Benzoyl Peroxide ......................................................... 6Clindamycin (Topical) ............................................................................... 6Erythromycin (Topical) ..............................................................................9Salicylic Acid .......................................................................................... 20Sulfur and Sulfacetamide .......................................................................21Tazarotene ..............................................................................................21Tretinoin (Topical) ...................................................................................22

Topical Skin Product, AntibacterialSilver Nitrate ...........................................................................................20

Trace ElementZinc Sulfate ............................................................................................ 23

Transient Receptor Potential Vanilloid 1 (TRPV1) AgonistCapsaicin ..................................................................................................5

Tumor Necrosis Factor (TNF) Blocking AgentAdalimumab ..............................................................................................2

Uricosuric AgentProbenecid ............................................................................................. 19

VaccineZoster Vaccine (Recombinant) ...............................................................23

Vaccine, RecombinantZoster Vaccine (Recombinant) ...............................................................23

VasodilatorAlprostadil .................................................................................................2Amyl Nitrite ...............................................................................................3Cilostazol ..................................................................................................6HydrALAZINE .........................................................................................12Isosorbide Dinitrate ................................................................................ 13Isosorbide Dinitrate and Hydralazine .....................................................13Isosorbide Mononitrate ...........................................................................13Nitroglycerin ............................................................................................17

Vasodilator, Direct-ActingMinoxidil (Systemic) ............................................................................... 16

Vasopressin Analog, SyntheticDesmopressin ...........................................................................................7

VitaminVitamin B Complex Combinations ......................................................... 23Vitamins (Multiple/Oral) ..........................................................................23Vitamins (Multiple/Pediatric) ...................................................................23Vitamins (Multiple/Prenatal) ................................................................... 23

Vitamin D AnalogAlendronate and Cholecalciferol .............................................................. 2Calcipotriene .............................................................................................5Calcitriol (Systemic) ..................................................................................5Cholecalciferol ..........................................................................................6Doxercalciferol ..........................................................................................8

Vitamin, Fat SolubleCalcium and Vitamin D ............................................................................ 5Phytonadione ......................................................................................... 18

Vitamin, Water SolubleCyanocobalamin .......................................................................................7Folic Acid ................................................................................................11Leucovorin Calcium ................................................................................14Niacin ......................................................................................................16Pyridoxine ...............................................................................................19

Xanthine Oxidase InhibitorAllopurinol .................................................................................................2

XANTHINE OXIDASE INHIBITOR

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