49
PAN CHARITABLE PHARMACY FORMULARY **BOLDED ITEMS ARE ALWAYS AVAILABLE** DRUG NAME If Generic, Manufacturer or NDC Quantity ABC Plus - Multivitamin 59148-0016-65 Abilfy Injection 9.75mg/1.3ml Abilify 10mg - Aripiprazole Abilify 15mg - Aripiprazole Abilify 20mg - Aripiprazole Abilify 2mg - Aripiprazole Abilify 30mg - Aripiprazole Abilify 5mg - Aripiprazole Acarbose 25mg-Precose Acarbose 50mg - Precose Acarbose 100mg - Precose Accolate 10mg - Zafirlukast Accolate 20mg - Zafirlukast Accucheck Aviva Test Strips Accuneb 0.63mg/3ml-albuterol Accupril 10mg-quinapril Accupril 20mg-quinapril Accupril 40mg-quinapril Accupril 5mg-quinapril Accuretic 10/12.5-quinapril/hydrochlorothiazide Accuretic 20/12.5-quinapril/hydrochlorothiazide Accuretic 20/25-quinapril/hydrochlorothiazide Acebutolol 200mg - Sectral Ascetic Acid 0.25% Irrigation Acephen 650mg Supp - Acetaminophen Supp Acetaminophen 325mg - Tylenol Acetaminophen 500mg - Tylenol Acetaminophen 650mg - Tylenol Acetaminophen PM - Tylenol PM Acetazolamide 125mg - Diamox Acetazolamide 250mg - Diamox Acetazolamide ER 500mg-Diamox Sequel Acetic Acid 2% Otic Soln-VoSol Acetic Acid Irrigation 0.25% 250ml Acetylcysteine 10% - Mucomyst Acetylcysteine 20% vial 4ml - Mucomyst Acid Gone Liquid - Gaviscon Acidophillus w/ Pectin Acidophilus Aciphex 20mg - Rabeprazole Aclometasone Dip Cr 0.05%- Actonel 150mg-risedronate Actonel 35mg - Risedronate Actonel 5mg - Risedronate Actoplus Met 15/500mg - Pioglitazone/Metformin Actos 15mg - Pioglitazone

PAN CHARITABLE PHARMACY FORMULARY …beaconpharmacy.org/.../04/PAN-Medication-List-Formulary-Database.pdfPAN CHARITABLE PHARMACY FORMULARY **BOLDED ITEMS ARE ALWAYS AVAILABLE** Amiloride/HCTZ

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Page 1: PAN CHARITABLE PHARMACY FORMULARY …beaconpharmacy.org/.../04/PAN-Medication-List-Formulary-Database.pdfPAN CHARITABLE PHARMACY FORMULARY **BOLDED ITEMS ARE ALWAYS AVAILABLE** Amiloride/HCTZ

PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

DRUG NAME If Generic, Manufacturer or NDC Quantity

ABC Plus - Multivitamin 59148-0016-65

Abilfy Injection 9.75mg/1.3ml

Abilify 10mg - Aripiprazole

Abilify 15mg - Aripiprazole

Abilify 20mg - Aripiprazole

Abilify 2mg - Aripiprazole

Abilify 30mg - Aripiprazole

Abilify 5mg - Aripiprazole

Acarbose 25mg-Precose

Acarbose 50mg - Precose

Acarbose 100mg - Precose

Accolate 10mg - Zafirlukast

Accolate 20mg - Zafirlukast

Accucheck Aviva Test Strips

Accuneb 0.63mg/3ml-albuterol

Accupril 10mg-quinapril

Accupril 20mg-quinapril

Accupril 40mg-quinapril

Accupril 5mg-quinapril

Accuretic 10/12.5-quinapril/hydrochlorothiazide

Accuretic 20/12.5-quinapril/hydrochlorothiazide

Accuretic 20/25-quinapril/hydrochlorothiazide

Acebutolol 200mg - Sectral

Ascetic Acid 0.25% Irrigation

Acephen 650mg Supp - Acetaminophen Supp

Acetaminophen 325mg - Tylenol

Acetaminophen 500mg - Tylenol

Acetaminophen 650mg - Tylenol

Acetaminophen PM - Tylenol PM

Acetazolamide 125mg - Diamox

Acetazolamide 250mg - Diamox

Acetazolamide ER 500mg-Diamox Sequel

Acetic Acid 2% Otic Soln-VoSol

Acetic Acid Irrigation 0.25% 250ml

Acetylcysteine 10% - Mucomyst

Acetylcysteine 20% vial 4ml - Mucomyst

Acid Gone Liquid - Gaviscon

Acidophillus w/ Pectin

Acidophilus

Aciphex 20mg - Rabeprazole

Aclometasone Dip Cr 0.05%-

Actonel 150mg-risedronate

Actonel 35mg - Risedronate

Actonel 5mg - Risedronate

Actoplus Met 15/500mg - Pioglitazone/Metformin

Actos 15mg - Pioglitazone

Page 2: PAN CHARITABLE PHARMACY FORMULARY …beaconpharmacy.org/.../04/PAN-Medication-List-Formulary-Database.pdfPAN CHARITABLE PHARMACY FORMULARY **BOLDED ITEMS ARE ALWAYS AVAILABLE** Amiloride/HCTZ

PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Actos 30mg - Pioglitazone

Actos 45mg - Pioglitazone

Acuvail Opth Soln

Acyclovir 200mg - Zovirax

Acyclovir 400mg - Zovirax

Acyclovir 800mg - Zovirax

Adcirca 20mg

Advair HFA 115/21mg (12G)

Advair HFA 230/21mg (12G)

Advair 100/50mg - Salmeterol/Fluticasone

Advair 250/50mg - Salmeterol/Fluticasone

Advair 500/50

Advance Micro-Draw Test Strips

Advil Gelcap 200mg-ibuprofen

Advil PM Caplet

Aggrenox - Aspirin/Dipyridamole

AKWA Tears - Natural tears

Al Hydroxide/Mag Hydroxide/Simethicone Susp-Maalox

Albuterol 0.083% Inhalation Solution - Ventolin

Albuterol Inh Sol 2.5mg/3ml

Albuterol 2mg Tab

Albuterol 4mg Tab - Proventil or Ventolin

Albuterol ER 4mg - Vospire ER

Albuterol/Ipratropium - Duoneb

Alcohol Swabs

Alendronate 10mg - Fosamax

Alendronate 35mg - Fosamax

Alendronate 70mg - Fosamax

Alfuzosin 10mg - Uroxatral

Alinia 500mg- nitazoxanide

Alka Selzer Tabs

Allbee C

Allegra 60mg-fexofenadine

Allegra D 12 Hr-fexofenadine/pseudoephedrine

Allegra D 24 HR-fexofenadine/pseudoephedrine

Allegra180mg-fexofenadine

Allergy Relief D

Allopurinol 100mg - Zyloprim

Allopurinol 300mg - Zyloprim

Allopurinol 50mg - Zyloprim

Altoprev 40mg - Lovastatin

Altoprev 60mg - Lovastatin

Amantadine 100mg - Symmetrel

Amaryl 1mg-glimepiride

Amaryl 2mg-glimepiride

Amaryl 4mg-glimepiride

Amiloride 5mg - Midamor

Page 3: PAN CHARITABLE PHARMACY FORMULARY …beaconpharmacy.org/.../04/PAN-Medication-List-Formulary-Database.pdfPAN CHARITABLE PHARMACY FORMULARY **BOLDED ITEMS ARE ALWAYS AVAILABLE** Amiloride/HCTZ

PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Amiloride/HCTZ 5/50mg - Moduretic

Amiodarone 100mg - Cordarone

Amiodarone 200mg - Cordarone

Amitiza 24mcg - lubiprostone

Amitiza 8mcg - lubiprostone

Amitriptyline 100mg - Elavil

Amitriptyline 10mg - Elavil

Amitriptyline 25mg - Elavil

Amitriptyline 50mg - Elavil

Amitriptyline 75mg -Elavil

Amlodipine 10mg - Norvasc

Amlodipine 2.5mg - Norvasc

Amlodipine 5mg - Norvasc

Amlodipine/Benazepril 2.5/10mg - Lotrel

Amlodipine/Benazepril 5/10mg - Lotrel

Amlodipine/Benazepril 5/20mg - Lotrel

Amlodipine/Benazepril 10/20mg - Lotrel

Amlodipine/Benazepril 10/40mg - Lotrel

Ammonia Inhalant

Ammonium Lactate 12% -LacHydrin

Ammonium Lactate 12% Lotion-Lac-Hydrin

Amox/Clav 1000/62.5-Augmentin XR 1000

Amoxicillin 250mg - Amoxil

Amoxicillin 500mg- Amoxil

Amoxicillin 875mg - Amoxil

Amoxicillin/Clavulanic 250/125mg - Augmentin

Amoxicillin/Clavulanic Acid 500/125mg - Augmentin

Amoxicillin/Clavulanic Acid 875/125mg - Augmentin

Amoxicillin/Clavulanic Acid ER 1000mg-62.5mg

Amoxipine 50 mg Tablet

Ampicillin 250mg - Omnipen

Ampicillin TR 500mg

Ampicillin/Sulbactam 1.5gm vial - Unasyn

Amturnide 300/10/25

Amturnide 300/5/12.5

Anagrelide 0.5mg - Agrylin

Anastrozole 1mg-Arimidex

Antabuse 250mg -disulfiram

Antacid Suspension - Maalox

AntiDiarrheal 2mg - Imodium

Anti-Gas 180mg-Simethicone

Antioxidant Vitamins

Antivert 12.5mg-meclizine

Antivert 25mg-meclizine

Antivert 50mg-meclizine

Apidra Insulin - Glulisine

Apriso ER 0.375mg-mesalamine

Page 4: PAN CHARITABLE PHARMACY FORMULARY …beaconpharmacy.org/.../04/PAN-Medication-List-Formulary-Database.pdfPAN CHARITABLE PHARMACY FORMULARY **BOLDED ITEMS ARE ALWAYS AVAILABLE** Amiloride/HCTZ

PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Aquaphor / Stoma Paste

Arava 10mg-leflunomide

Arava 20mg-leflunomide

Arginaid Packets

Arginine 500mg

Aricept 10mg - Donepezil

Aricept 23-donepezil

Aricept 5mg - Donepezil

Aricept ODT 5mg - Donepezil

Arimidex 1mg - Anastrozole

Arixtra 2.5mg - Fondaparinux

Armour Thyroid 15mg - Thyroid

Armour Thyroid 30mg - Thyroid

Armour Thyroid 60mg - Thyroid

Armour Thyroid 90mg

Armour Thyroid 120mg

Arthrotec 50mg/200-diclofenac/misoprostol

Arthrotec 75mg/200 - diclofenac sodium/misoprostol

Artificial Tears Opth Oint

Artificial Tears Solution

Asacol DR 400mg - Mesalamine

Asacol DR 800mg-mesalamine

Ascorbic Acid 250mg-Vitamin C

Ascorbic Acid 500mg

Ascriptin 325mg - Aspirin

Asmanex 110mg Inhaler - Mometasone

Asmanex 220mg Inhaler - Mometasone

Aspercreme-

Asperflex Crème

Aspirin 325mg

Aspirin 325mg EC

Aspirin 81mg EC

Aspirin 81mg Chewable

Aspirin Tri-Buffered

Astelin Inhaler - Azelastine

Astepro 0.15% nasal Spray

Atacand 16mg - Candesartan

Atacand 32mg - Candesartan

Atacand 4mg - Candesartan

Atacand 8mg - Candesartan

Atacand HCT 16/12.5mg - Candesartan/Hydrochlorothiazide

Atacand HCT 32/12.5mg - Candesartan/Hydrochlorothiazide

Atacand HCT 32/25mg - Candesartan/Hydrochlorothiazide

Atelvia 35mg-risedronate

Atenolol 100mg - Tenormin

Atenolol 25mg - Tenormin

Atenolol 50mg - Tenormin

Page 5: PAN CHARITABLE PHARMACY FORMULARY …beaconpharmacy.org/.../04/PAN-Medication-List-Formulary-Database.pdfPAN CHARITABLE PHARMACY FORMULARY **BOLDED ITEMS ARE ALWAYS AVAILABLE** Amiloride/HCTZ

PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Atenolol/Chlorthalidone 50/25mg - Tenoretic

Atorvastatin 10mg-Lipitor

Atorvastatin 20mg-Lipitor

Atorvastatin 40mg-Lipitor

Atorvastatin 80mg-Lipitor

Atropine Sulfate 1% Opth Soln 5ml

Atropine Sulfate 1% Opth Soln 2ml

Atropine Sulfate 1% Opth Soln 15ml - Isopto Atropine

Atrovent HFA-ipratropium

Augmentin XR 1000mg - Amoxicillin/Clavulanic Acid XR

Avalide 150/12.5mg - Irbesartan/Hydrochlorothiazide

Avandamet 2/1000mg - Rosiglitazone/Metformin

Avandamet 2/500mg - Rosiglitazone/Metformin

Avandaryl 4-2 (rosiglitazone/glimiperide)

Avandia 2mg - Rosiglitazone

Avandia 4mg - Rosiglitazone

Avandia 8mg - Rosiglitazone

Avapro 150mg - Irbestartan

Avapro 300mg - Irbestartan

Avapro 75mg - Irbestartan

Avelox 400mg - Moxifloxacin

Avodart 0.5mg - Dutasteride

Axona Food Packet 40g

Azathioprine 25mg - Imuran

Azathioprine 50mg - Imuran

Azelastine 0.05% Opth Drops-Optivar

Azelastine Nasal Spray-Astelin 0.1%

Azilect 0.5mg - Rasagiline

Azilect 1mg - Rasagiline

Azithromycin 250mg - Z pack

Azithromycin 250mg vial - Zithromax

Azithromycin 500mg - Zithromax

Azithromycin 500mg vial - Zithromax

Azithromycn 600mg - Zithromax

Azo Cranberry

Azopt Ophthalmic Suspension - Brinzolamide

Azor 10/40mg - Amlodipine/Olmesartan

Azor 5/20-amlodipine/olmesartan

Azor 5/40mg - Amlodipine/Olmesartan

B Complex

B12 250mcg - Cyanocobalamin

Baby Oil

Baby Shampoo

Bacitracin Ointment

Baclofen 10mg - Lioresal

Baclofen 20mg- Lioresal

Bacteriocidal NS 30ml

Page 6: PAN CHARITABLE PHARMACY FORMULARY …beaconpharmacy.org/.../04/PAN-Medication-List-Formulary-Database.pdfPAN CHARITABLE PHARMACY FORMULARY **BOLDED ITEMS ARE ALWAYS AVAILABLE** Amiloride/HCTZ

PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Bacteriocidal Water 30ml

Bactroban Nasal Ointment - Mupirocin

Balmex Cream 11.3% - Zinc Oxide

Balsalazide Disodium 750mg - Colazal

Banatrol Plus Packet

Banzel 200mg-rufinamide

BD Insulin U100 1/2ml

BD AutoShield 30G 3/16 Pen Needle

BD Ultra Pen Needles

Beano-

Belladonna/Phenobarb - Donnatal

Benazepril 10mg - Lotensin

Benazepril 20mg - Lotensin

Benazepril 40mg - Lotensin

Benazepril 5mg-Lotensin

Benazepril/Hydrochlorothiazide 20/12.5mg - Lotensin HCT

Benazepril/Hydrochlorothiazide 20/25mg - Lotensin HCT

Benazepril/Hydrochlorothiazide 40/25mg - Lotensin HCT

Benefiber

Bengay Ointment

Benicar 10mg - Olmesartan

Benicar 20mg - Olmesartan

Benicar 40mg - Olmesartan

Benicar HCT 20/12.5mg - Olmesartan/Hydrochlorothiazide

Benicar HCT 40/25mg - Olmesartan/Hydrochlorothiazide

Benzonatate 100mg - Tessalon Perles

Benzonatate 200mg - Tessalon Pearls

Benzoyl Peroxide Gel 5%-Benzagel

Benztropine 0.5mg - Cogentin

Benztropine 1mg - Cogentin

Benztropine 2mg - Cogentin

Benztropine 2mg/2ml Inj- Cogentin

Besivance 0.6% Opth Suspension

Beta Carotene 10,000iu

Beta Carotene 25000 units

Betamethasone Dipropionate 0.5% Cream 30gm - Diprolene

Betamethasone Dipropionate Aug 0.05% Cr-Diprolene

Betamethasone Val 0.1 % Oint - Valisone

Betaseron 0.3mg-interferon beta

Bethanecol 10mg - Urecholine

Bethanecol 25mg - Urecholine

Bicalutamide 50mg - Casodex

Bilberry/Lutein 1000mg

Biotene Gum

Biotene Mouth Spray

Biotin 1000 mcg Tab

Biotin 5000mcg Softgel

Page 7: PAN CHARITABLE PHARMACY FORMULARY …beaconpharmacy.org/.../04/PAN-Medication-List-Formulary-Database.pdfPAN CHARITABLE PHARMACY FORMULARY **BOLDED ITEMS ARE ALWAYS AVAILABLE** Amiloride/HCTZ

PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Bisacodyl 10mg Suppository - Dulcolax

Bisacodyl EC 5mg - Dulcolax

Bisoprolol Fumarate 10mg - Zebeta

Bisoprolol Fumarate 5mg - Zebeta

Bisoprolol/Hydrochlorothiazide 10/6.25mg - Ziac

Bisoprolol/Hydrochlorothiazide 2.5/6.25mg - Ziac

Bisoprolol/Hydrochlorothiazide 5/6.25mg - Ziac

Boniva 150mg - Ibandronate

Boniva Inj 3mg/3ml-ibandronate

B-Plex Tablet

Brimonidine 0.15% Opth Soln-Alphagan

Brimonidine 0.2% Opth Soln-Alphagan

Bromocriptine 2.5mg Cap - Parlodel

Bromocriptine 5mg Cap - Parlodel

Budeprion XL 300mg - Wellbutrin

Budesonide EC 3mg

Budesonide 0.25mg/2ml - Pulmicort

Budesonide 0.5mg/2ml - Pulmicort

Bumetanide 0.5mg - Bumex

Bumetanide 1mg - Bumex

Bumetanide 2mg - Bumex

Buproprion 100mg - Wellbutrin

Buproprion 75mg - Wellbutrin

Buproprion SR 100mg - Wellbutrin

Buproprion SR 150mg - Wellbutrin

Buproprion SR 200mg - Wellbutrin SR

Buproprion XL 150mg - Wellbutrin

Bupropion XL 300mg - Wellbutrin XL 300

Buspirone 10mg - Buspar

Buspirone 15mg - Buspar

Buspirone 30mg - Buspar

Buspirone 5mg - Buspar

Buspirone 7.5mg - Buspar

Butalb/Apap/Caffeine 50/325/40

Bystolic 2.5mg - Nebivolol

Bystolic 5mg - Nebivolol

Bystolic 10mg - Nebivolol

Bystolic 20mg - Nebivolol

Cabergoline 0.5mg - Dostinex

Caduet 10/20mg - Amlodipine/Atorvastatin

Caduet 10/40mg - Amlodipine/Atorvastatin

Caduet 10/80-amlodipine/atorvastatin

Caduet 2.5/10-amlodipine/atorvastatin

Caduet 2.5/20-amlodipine/atorvastatin

Caduet 2.5/40-amlodipine/atorvastatin

Caduet 5/10-amlodipine/atorvastatin

Caduet 5/20mg - Amlodipine/Atorvastatin

Page 8: PAN CHARITABLE PHARMACY FORMULARY …beaconpharmacy.org/.../04/PAN-Medication-List-Formulary-Database.pdfPAN CHARITABLE PHARMACY FORMULARY **BOLDED ITEMS ARE ALWAYS AVAILABLE** Amiloride/HCTZ

PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Caduet 5/40mg - Amlodipine/Atorvastatin

Caduet 5/80-amlodipine/atorvastatin

Caduet10/10-amlodipine/atorvastatin

Calamine Lotion 8%

Cal Gest Chew Tab-

Calcitonin Nasal Spray-Miacalcin

Calcitrate 950mg - Calcijex

Calcitriol 0.25mcg - Rocaltrol

Calcitriol 0.5mcg - Rocaltrol

Calcium 600/Vit D 200

Calcium Acetate 667mg - Phoslo

Calcium Antacid - Tums

Calcium Carb 500mg Chew

Calcium Carbonate 1.25gm - Caltrate

Calcium Carbonate 600mg - Caltrate

Calcium Carbonate w/ Vit D 600/400mg - Oscal D

Calcium Carbonate 648 mg Tablet

Calcium Citrate 200mg - Citracal

Calcium Citrate 250mg

Calcium citrate w/ Vit D 200mg/250IU

Calcium citrate w/ Vit D 315mg/200IU

Calcium citrate w/ Vit D 315mg/250IU

Calcium/Magnesium.Zinc

Calmoseptine Ointment

Caltrate 600mg/D Chew

Caltrate Plus

Campral 333mg - Acamprosate

Captopril 12.5mg - Capoten

Captopril 25mg - Capoten

Captopril 50mg - Capoten

Carafate Susp 100mg/ml-sucralfate

Carbamazepine 100mg Chew - Tegretol

Carbamazepine 200mg - Tegretol

Carbamazepine ER 100mg - Tegretol XR

Carbamazepine ER 200mg - Tegretol XR

Carbamazepine ER 300mg - Tegretol XR

Carbamazepine ER 400mg - Tegretol XR

Carbamazepine XR 100mg - Tegretol XR

Carbamazepine XR 200mg - Tegretol XR

Carbamezepine Susp 100mg/5ml-Tegretol

Carbatrol 100mg - Carbamazepine

Carbatrol 200mg - Carbamazepine

Carbatrol ER 100mg - Carbamazepine

Carbatrol ER 200mg - Carbamazepine

Carbatrol ER 300mg - Carbamazepine

Carbidopa/Levodopa 10/100mg - Sinemet

Carbidopa/Levodopa 25/100mg - Sinemet

Page 9: PAN CHARITABLE PHARMACY FORMULARY …beaconpharmacy.org/.../04/PAN-Medication-List-Formulary-Database.pdfPAN CHARITABLE PHARMACY FORMULARY **BOLDED ITEMS ARE ALWAYS AVAILABLE** Amiloride/HCTZ

PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Carbidopa/Levodopa 25/250mg - Sinemet

Carbidopa/Levodopa/Entacapone 25/200/100-Stalevo

Carbidopa/levodopa/Entacapone 50/200/200-Stalevo

Carbidopa/Levodopa ER 25/100mg - Sinemet CR

Carbidopa/Levodopa ER 50/200mg - Sinemet CR

Cardizem CD 360mg - Diltiazem

Cardizem LA 120mg

Cardura 1mg-doxasozin

Cardura 2mg-doxasozin

Cardura 4mg-doxasozin

Cardura 8mg-doxasozin

Carvedilol 12.5mg - Coreg

Carvedilol 25mg - Coreg

Carvedilol 3.125mg - Coreg

Carvedilol 6.25mg - Coreg

Casodex 50mg - Bicalutamide

Catapres TTS-1 - Clonidine

Catapres TTS-2 - Clonidine

Catapres TTS-3 Patch-clonidine

Cayenne Fruit 40,000

Cefaclor 250mg-Ceclor

Cefaclor 500mg-Ceclor

Cefadroxil 500mg - Duricef

Cefdinir 300mg - Omnicef

Cefepime 1gm vial - Maxipime

Cefpodoxime 200mg-Vantin

Cefprozil 250mg - Ceftin

Cefprozil 500mg - Ceftin

Ceftazidine Inj 1 GM Vial

Ceftriaxone 500mg Vial - Rocephin

Ceftriaxone 1gm vial - Rocephin

Cefuroxime 250mg - Ceftin

Cefuroxime 500mg - Ceftin

Celebrex 100mg - Celecoxib

Celebrex 200mg - Celecoxib

Celebrex 400mg-celecoxib

Cellcept 250mg - Mycophenolate

Centrum Adult Multivit/Minerals

Centrum Chew

Centrum Silver Chew

Century MTV

Cepacol Lozenges

Cephalexin 250mg - Keflex

Cephalexin 500mg - Keflex

Cerave Moisture Cream

Ceravite Jr Chewables

Cerefolin NAC - l-methylfolate/cyanocobalamin

Page 10: PAN CHARITABLE PHARMACY FORMULARY …beaconpharmacy.org/.../04/PAN-Medication-List-Formulary-Database.pdfPAN CHARITABLE PHARMACY FORMULARY **BOLDED ITEMS ARE ALWAYS AVAILABLE** Amiloride/HCTZ

PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Cerefolin-l-methylfolate

Cerovite Advanced

Cerovite Silver

Certagen

Certavite Liquid 240ml

Certavite-lutein - Centrum

Certavite SR

Cetirizine 10mg - Zyrtec

Cetirizine 5mg - Zyrtec

Cetirizine/Pseudoephedrine - Zyrtec D

Cetriaxone 2gm vial - Rocephin

Cevimeline 30mg Cap

Chantix 0.5mg-varenicline

Chantix 1mg-varenicline

Chlordiazepoxide/Clidinium - Librax

Chlorhexidine Gluc Wash-Peridex

Chlorpheniramine 4mg - Chlor-Trimeton

Chlorpromazine 100mg - Thorazine

Chlorpromazine 10mg - Thorazine

Chlorpromazine 200mg - Thorazine

Chlorpromazine 25mg - Thorazine

Chlorpromazine 25mg/ml-Thorazine

Chlorpromazine 50mg - Thorazine

Chlorpropamide 250mg-Diabinese

Chlorthalidone 25mg - Hygroton

Chlorthalidone 50mg-Hygroton

Chlorzoxazone 500mg - Parafon

Cholestyramine Powder - Questran

Cholestyramine Powder Packets-Questran

Chromium Pico 200 mcg

Ciclopirox Olamine Cream- Loprox

Cicloprox Gel 0.77%-Loprx

Cilostazol 100mg - Pletal

Cilostazol 50mg - Pletal

Cimetidine 200mg-Tagamet

Cimetidine 300mg - Tagamet

Cimetidine 400mg - Tagamet

Cimetidine 800mg - Tagament

Cinnamon 500mg

Cinnamon 1000mg

Cipro 500mg - Ciprofloxacin

Cipro HC Otic Susp-ciprofloxacin/Hydrocortisone

Ciprodex Opth Soln-ciprofloxacin/dexamethasone

Ciprofloxacin 250mg - Cipro

Ciprofloxacin 500mg - Cipro

Ciprofloxacin 750mg - Cipro

Ciprofloxacin Opth Soln-Cipro

Page 11: PAN CHARITABLE PHARMACY FORMULARY …beaconpharmacy.org/.../04/PAN-Medication-List-Formulary-Database.pdfPAN CHARITABLE PHARMACY FORMULARY **BOLDED ITEMS ARE ALWAYS AVAILABLE** Amiloride/HCTZ

PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Ciprofloxacin Inj 2mg/ml

Citalopram Liquid 10mg/ml

Citalopram 10mg - Celexa

Citalopram 20mg - Celexa

Citalopram 40mg - Celexa

Citracal+D Max Caplet

Citrucel 500 - Methylcellulose

Citrus Calcium D 200mg

Clarinex 5mg - Desloratadine

Clarinex Reditabs 2.5mg-desloratadine

Clarinex Reditabs 5mg-desloratadine

Clarinex-D-desloratadine/pseudoephedrine

Clarithromycin 250mg - Biaxin

Clarithromycin 500mg - Biaxin

Clarithromycin ER 500mg-Biaxin XL 500mg

Claritin 10mg - Loratadine

Claritin D-12hr-loratadine/pseudoephedrine

Claritin D-24hr-loratadine/pseudoephedrine

Clear Eyes Opth Soln

Clindamycin 150mg - Cleocin

Clindamycin 300mg - Cleocin

Clindamycin 150mg/ml Vial

Clobetasol 0.05% Prop Cream-Temovate

Clobetasol Prop Solution ) 0.05% - Temovate

Clomipramine 25mg - Anafranil

Clomipramine 50mg - Anafranil

Clonidine 0.1mg - Catapres

Clonidine 0.1mg Patch-Clonidine

Clonidine 0.2mg - Catapres

Clonidine 0.2mg/day Patch - Catapres

Clonidine 0.3mg - Catapres

Clonidine 0.3mg Patch-Catapres

Clopidrogel 75-Plavix

Clotrimazole 1% 30gm - Lotrimin

Clotrimazole 10mg - Mycelex

Clotrimazole/Betamethasone 45g - Lotrisone

Clozapine 25mg

Clozapine 50mg

Clozapine 100mg

Clozapine 200mg

Cod Liver Oil Softgel

Coenzyme Q 50

Coenzyme Q10 30mg

Coenzyme Q10 60mg

Coenzyme Q10 75mg

Coenzyme Q10 100mg

Colace 50mg - Docusate

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PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Colchicine 0.6mg

Colcrys 0.6mg - Colchicine

Colestipol Oral susp 5g/pkt

Colestipol 1g

Combigan opth sol 0.2/0.5%

Combivent Inhaler - Ipratropium/Albuterol

Comtan 100mg - Entacapone

Comtan 200mg - Entacapone

Coral Calcium 1000mg

Coreg CR 10mg - Carvedilol

Coreg CR 20mg - Carvediol

Coreg CR 40mg - Carvediol

Coreg CR 80mg - Carvedilol

Cortisporin Ointment-hydrocortisone/neo/baci/poly

Coumadin 1mg - Warfarin

Coumadin 4mg - Warfarin

Coumadin 5mg - Warfarin

Coumadin 7.5 mg - Warfarin

Covera HS 180mg-verapamil ER

Covera HS 240mg-verapamil ER

Cozaar 100mg - Losartan

Cozaar 25mg - Losartan

Cozaar 50mg - Losartan

Cranberry Extract Capsule

Cranberry 450mg

Cranberry 475mg

Creon DR 12000 Units

Creon 24,000 units-amylase/lipase/protease

Creon 3000

Creon DR 6000 units-amylase/lipase/protease

Crestor 10mg - Rosuvastatin

Crestor 20mg - Rosuvastatin

Crestor 40mg - Rosuvastatin

Crestor 5mg - Rosuvastatin

Crixivan 400mg-indinavir

Cromolyn 4% Opth Soln-Opticrom

Culturelle

Cuprimine 250mg - Depen

Curad Non-Stick Pads

Cyanocobalamin 1000mcg/ml - Vitamin B12

Cyclobenzaprine 10mg - Flexeril

Cyclobenzaprine 5mg - Flexeril

Cyclophosphamide 25mg - Cytoxan

Cyclophosamide 50mg - Cytoxan

Cyclosporine 100mg-Neoral

Cyclosporine 25mg -Neoral

Cymbalta 20mg - Duloxetine

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PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Cymbalta 30mg - Duloxetine

Cymbalta 60mg - Duloxetine

Cyproheptadine 4mg - Periactin

Cytomel 5mcg - Liothyrinine

Daily Vite - Multivitamin

DailyVite with Zinc

Daliresp 500mcg-roflumilast

Danazol 200mg

Dantrolene 25mg - Dantrium

Dapsone 100mg - Aczone

Dapsone 25mg - Aczone

Dayquil Cold & Flu Caps

DDAVP 0.2mg - Desmopressin

Deep Sea Saline Spray- Saline

Demedex 20 - Torsemide

Demeclocycline 150mg - Declomycin

Demeclocycline 300mg - Declomycin

Depakote 125mg - Divalproex

Depakote EC 500mg - Divalproex

Depakote ER 250mg - Divalproex

Depakote ER 500mg - Divalproex

Depen Titratable 250mg - Penicillamine

Deplin 7.5mg-

Depo-Medrol 80mg/ml Inj - Methylprednisolone

Desenex Anti-Fungal Pwd

Desipramine 25mg-Norpramin

Desipramine 50mg-Norpramin

Desloratadine 5mg Tab

Desmopressin 0.1mg - DDAVP

Desmopressin 0.2mg - DDAVP

Desonide 0.05% Cream-Desowen

Desoximetasone 0.25% Cream-Topicort

Desquam 5% (Benzoyl Peroxide)

Detrol 1mg - Tolterodine

Detrol 2mg - Tolterodine

Detrol LA 2mg - Tolterodine

Detrol LA 4mg - Tolterodine

Dexamethasone 0.75mg - Decadron

Dexamethasone 1mg - Decadron

Dexamethasone 2mg - Decadron

Dexamethasone 4mg - Decadron

Dexamethasone Topical Gel

Dexilant 30mg - Dexlansoprazole

Dexilant 60mg-dexlansoprazole

Dextrose 50% (ml)

DHEA 25mg

DiabetiDerm Cream

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PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Diamox Sequel 500mg - acetazolamide

Diatx ZN-

Diclofenac 25mg-Voltaren

Diclofenac 50mg - Voltaren

Diclofenac 75mg - Voltaren

Diclofenac ER 100mg-Voltaren ER

Diclofenac Opth Susp 0.1%-Voltaren

Diclofenac Pot 50mg - Cataflam

Dicloxacillin 500mg - Dynapen

Dicyclomine 10mg - Bentyl

Dicyclomine 20mg - Bentyl

Didanosine 250mg-Videx

Differin Gel 0.1%-adapalene

Difficid 200mg

Diflucan 100mg-fluconazole

Diflucan 150mg-fluconazole

Diflucan 200mg-fluconazole

Diflucan 50mg-fluconazole

Digoxin 0.125mg - Lanoxin

Digoxin 0.25mg - Lanoxin

Digoxin Oral Solution 0.05mg/ml

Dilantin 100mg - phenytoin

Dilantin 30mg - phenytoin

Dilantin 50mg - phenytoin

Diltiazem 120mg - Cardizem

Diltiazem 240mg - Cardizem

Diltiazem 30mg - Cardizem

Diltiazem 60mg - Cardizem

Diltiazem 90mg - Cardizem

Diltiazem CD 120mg - Cardizem CD

Diltiazem CD 180mg - Cardizem CD

Diltiazem CD 240mg - Cardizem CD

Diltiazem CD 300mg - Cardizem CD

Diltiazem CD 360mg - Cardizem CD

Diltiazem ER 60mg -Cardizem CD

Diltiazem ER 90mg - Cardizem ER

Diltiazem ER 120mg - Cardizem SR

Dimenhydrinate 50mg-Dramamine

Diovan 160mg - valsartan

Diovan 320mg - valsartan

Diovan 40mg - valsartan

Diovan 80mg - valsartan

Diovan HCT 160/12.5mg - valsartan/Hydrochlorothiazide

Diovan HCT 160/25mg - valsartan/Hydrochlorothiazide

Diovan HCT 320/12.5mg - valsartan/Hydrochlorothiazide

Diovan HCT 320/25mg - valsartan/Hydrochlorothiazide

Diovan HCT 80/12.5mg -valsartan/Hydrochlorothiazide

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PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Diphenhist 12.5mg/5ml-Benadryl

Diphenhydramine 25mg - Benadryl

Diphenhydramine 50mg - Benadryl

Diphenhydramine 50mg/ml - Benadryl

Dipyradamole 25mg-Persantine

Dipyridamole 50mg - Persantine

Dipyridamole 75mg - Persantine

Disopyramide 150mg-Norpace

Ditropan XL 15 mg-oxybutynin er

Divalproex 125mg - Depakote

Divalproex 250mg - Depakote

Divalproex DR 125mg - Depakote

Divalproex DR 250mg - Depakote

Divalproex DR 500mg - Depakote

Divalproex ER 250mg - Depakote ER

Divalproex ER 500mg - Depakote ER

Divalproex Sprinkle 125mg - Depakote Sprinkle

Doc-Q-Lax - Docusate

Docusate 250mg - Colace

Docusate Cal 240mg - Surfak

Docusate Sod 100mg - Colace

Donezepril 5mg-Aricept

Donepezil 10mg-Aricept

Donepezil 10mg ODT-Aricept

Dorzolamide Opth Drops - Trusopt

Dorzolamide/Timolol Opth Soln-Cosopt

Double Antiobiotic Oint-Polysporin

Doxasozin 2mg - Cardura

Doxazosin 1mg - Cardura

Doxazosin 4mg - Cardura

Doxazosin 8mg - Cardura

Doxepin 100mg - Sinequan

Doxepin 10mg - Sinequan

Doxepin 25mg - Sinequan

Doxepin 50mg - Sinequan

Doxepin 75mg-Sinequan

Doxycycline 100mg - Vibramycin

Doxycycline 100mg Tablet

Doxycycline 20mg-Periostat

Doxycycline 50mg - Vibramycin

Doxycycline Mono 75mg

Doxycycline Mono 100mg Capsule

Ducodyl 5mg

Dulera 100mcg/5mcg-mometasone/formoterol)

Dulera 200mcg/5mcg-mometasone/formoterol)

DuoDerm 4x4 Dressing

DynaCirc CR 5mg - isradipine

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PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Ear Drops Wax Removal - Debrox

Edecrin 25mg

Effexor 37.5mg - venlafaxine

Effexor 75mg - venlafaxine

Effexor XR 150mg - venlafaxine

Effexor XR 37.5mg - venlafaxine

Effexor XR 75mg - venlafaxine

Effient 10mg-prasugrel

Eliquis 2.5mg

Elixophyllin Elixir (Theophylline)

Elmiron 100mg-pentosan

Emend 125mg-aprepitant

Emend 40mg-aprepitant

Emend 80mg-aprepitant

Enablex 15mg - darifenacin

Enablex 7.5mg - darifenacin

Enalapril 10mg - Vasotec

Enalapril 2.5mg - Vasotec

Enalapril 20mg - Vasotec

Enalapril 5mg - Vasotec

Enalapril/Hydrochlorothiazide 10/25mg - Vaseretic

Enema (Mineral Oil)

Enema (Saline)

Enoxaparin 100mg-Lovenox

Enoxaparin 120mg-Lovenox

Enoxaparin 150mg-Lovenox

Enoxaparin 30mg-Lovenox

Enoxaparin 40mg-Lovenox

Enoxaparin 60mg/0.6mL injection - Lovenox

Enoxaparin 80mg-Lovenox

Entacapone 200mg-Comtan

Entecort EC 3mg-budesonide

Epi Pen JR-epinephrine

Epipen Auto-Injector - Epinepherine

Epivir 100mg - lamivudine

Epivir 150mg - lamivudine

Eplerenone 25mg-Inspra

Epsom Salts

Ergocalciferol Oral Solution 0.2mg/m-Calciferol

Ery-tab 250mg - erthyromycin

Ery-tab 333mg - erthyromycin

Ery-Tab 500mg-erythromycin

Erythrocin Stearate 250mg - erthyromycin

Erythromycin ES 400mg - erthyromycin

Erythromycin Opth Oint 3.5Gm

Escitalopram 5mg-Lexapro

Escitalopram 10mg-Lexapro

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PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Escitalopram 20mg-Lexapro

Estrace Cream-estradiol

Estradiol 0.1mg/day Patch-Estraderm

Estradiol 0.5mg-Estrace

Estradiol 1mg-Estrace

Estropipate 0.75mg - Ogen

Ethambutolol HCL 400mg

Etodolac 200mg-Lodine

Etodolac 300mg-Lodine

Etodolac 400mg - Lodine

Etodolac 500mg - Lodine

Etodolac ER 400mg - Lodine ER

Etodolac ER 500mg - Lodine ER

Eucerin Cream

Evista 60mg - Raloxifene

Evoxac 30mg - Cevimeline

Excedrin Extra Strength-aspirin/apap/caffeine

Exelon 1.5mg - rivastigmine

Exelon 3mg - rivastigmine

Exelon 4.5mg - rivastigmine

Exelon 4.6mg Patches - rivastigmine

Exelon 6mg - rivastigmine

Exelon Patch 9.5mg - rivastigmine

Exelon Patch 13.3mg - Rivastigmine

Exemestane 25mg

Exforge 10/320-amlodipine/valsartan

Exforge 10-160-amlodipine/valsartan

Exforge 5/160-amlodipine/valsartan

Exforge 5/320-amlodipine/valsartan

Exforge HCT 10/320/25-amlodipine/valsartan/hydrochlorothiazide

Exforge HCT 5/160/12.5-amlodipine/valsartan/hydrochlothiazide

Exforge HCT 5/160/25-amlodipine/valsartan/hydrochlorothiazide

Famcyclovir 500mg - Famvir

Famotidine 10mg - Pepcid

Famotidine 20mg - Pepcid

Famotidine 40mg - Pepcid

Fanapt 10mg-iloperidone

Fanapt 12mg-iloperidone

Fanapt 1mg-iloperidone

Fanapt 2mg-iloperidone

Fanapt 4mg-iloperidone

Fanapt 6mg-iloperidone

Fanapt 8mg-iloperidone

Fanapt Titration

Faslodex Injection 250/5mg - Fulvestrant

Feldene 10mg-piroxicam

Feldene 20mg-piroxicam

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PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Felodipine ER 10mg - Plendil

Felodipine ER 2.5mg - Plendil

Felodipine ER 5mg - Plendil

Femara 2.5mg - Letrozole

FemHRT 1/5-norethindrone/estradiol

Fenofibrate 48mg - Tricor

Fenofibrate 134mg - Tricor

Fenofibrate 145mg - Tricor

Fenofibrate 160mg - Lofibra

Fenofibrate 200mg - Tricor

Fenofibrate 54mg - Tricor

Fenofibrate 67mg - Tricor

Fenoglide 120mg - Fenofibrate

Feosol 45mg - Iron sulfate

Feosol 65mg - Ferrous Sulfate

Fergon

Fero Grad 500 - Iron

Ferocon

Ferogel Forte

Ferrex 150 - Iron

Ferrex 150 Forte - Iron

Ferrex 150 Plus

Ferrous Fumarate 324mg-Slow Iron

Ferrous Gluconate 240mg - Iron

Ferrous Gluconate 324mg - Iron

Ferrous Gluconate 325mg - Iron

Ferrous Sulfate 325mg - Iron

Ferrous Sulfate Elixir

Fexofenadine 180mg - Allegra

Fexofenadine 30mg - Allegra

Fexofenadine 60mg - Allegra

Fexofenadine PSE ER 60/120mg - Allegra D

Fiber Lax

Finasteride 5mg - Proscar

Fish Oil 500mg - Omega-3 Fatty Acids

Fish Oil 1000mg - Omega-3 Fatty Acids

Fish Oil 1200 mg - Omega-3 Fatty Acids

Flavoxate 100mg - Urispas

Flaxseed

Flecainide 100mg - Tambocor

Flecainide 150mg - Tambocor

Flecainide 50mg - Tambocor

Flector Patch 1.3% - diclofenac

Fleet Enema-Saline (PediaLax)

Flomax 0.4mg - Tamulosin

Floranex - Lactobacillus

Florastor 250mg - Saccharomyces boulardii

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PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Florastor Chewable

Florical - Calcium carbonate

Flovent Diskus 250mcg

Flovent HFA 220-fluticasone

Flovent HFA 110-fluticasone

Flovent HFA 44 - Fluticasone

Fluconazole 100mg - Diflucan

Fluconazole 150mg - Diflucan

Fluconazole 200mg - Diflucan

Fluconazole 50 mg - Dilfucan

Fludrocortisone 0.1mg - Florinef

Fluocinonide Cream 0.05%-Lidex

Fluorouracil Cream 5%

Fluoxetine 10mg - Prozac

Fluoxetine 20mg - Prozac

Fluoxetine 40mg - Prozac

Fluoxetine Oral Solution-Prozac

Fluphenazine 10mg - Prolixin

Fluphenazine 1mg-Prolixin

Fluphenazine 2.5mg - Prolixin

Fluphenazine 5mg - Prolixin

Fluphenazine Decanoate 25mg/ml - Prolixin

Flurbiprofen 0.03% opth soln-Ocufen

Flurbiprofen 100mg - Ocufen

Flutamide 125mg - Eulexin

Fluticasone Cream 0.05%

Fluticasone Prop Nasal Spray - Flonase

Fluvastatin Sod 20mg cap-Lescol

Fluvastatin Sod 40mg cap-Lescol

Fluvoxamine 100mg - Luvox

Fluvoxamine 25mg- Luvox

Fluvoxamine 50mg - Luvox

Folbee Tab

Folbic - Folic Acid/Cyanobalamin/Pyridoxine

Folcaps - Folic Acid/Cyanobalamin/Pyridoxine

Folgard Rx - Folic Acid/Cyanobalamin/Pyridoxine

Folic Acid 1mg

Folic Acid 400mcg

Folic Acid 800mcg

Folitab 500

Foltrin - Multivitamin

Foradil Aerolizer - Formoterol

Formula B Plus

Fortical nasal Spray-calcitonin-salmon

Fosamax 70mg/75ml Liquid-alendronate

Fosinopril 10mg - Monopril

Fosinopril 20mg-Monopril

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PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Fosrenol 500mg - lanthanum carbonate

Fragmin 2,500 IU - dalteparin

Fragmin 5000 IU - dalteparin

Fragmin 15,000 IU - dalteparin

Furosemide 20mg - Lasix

Furosemide 40mg - Lasix

Furosemide 40mg/4ml - Lasix

Furosemide 80mg - Lasix

Gabapentin 100mg - Neurontin

Gabapentin 300mg - Neurontin

Gabapentin 400mg - Neurontin

Gabapentin 600mg - Neurontin

Gabapentin 800mg - Neurontin

Gabitril 12mg - tiagabine

Gabitril 2mg - tiagabine

Gabitril 4mg - tiagabine

Galantamine 12mg - Razadyne

Galantamine 16mg - Razadyne

Galantamine 4mg - Razadyne

Galantamine 8mg - Razadyne

Galantamine ER 16mg - Razadyne ER

Galantamine ER 24mg - Razadyne ER

Galantamine ER 8mg - Razadyne

Garlic 500mg Capsule

Gas Relief 80mg - GasX

Gas Relief 125mg - Mylicon

Gavilyte-N Solution - Colyte

Gaviscon Antacid

Gemfibrozil 600mg - Lopid

Genasyme 80mg-simethicone

Gentak Opth Oint- gentamicin

Gentamicin Opth Soln-Garamycin

Gentamycin 80mg/2ml vial - Garamycin

Gentamycin Oint-Garamycin

Gentle Iron 28mg Capsule

Geodon Inj 20mg/ml

Geodon 20mg -ziprasidone

Geodon 20mg/mL Injection - ziprasidone

Geodon 40mg - ziprasidone

Geodon 60mg - ziprasidone

Geodon 80mg - ziprasidone

Geritol Complete - Vitamin

Gleevec 100mg -imatinib

Gleevec 400mg - imatinib

Glimepiride 1mg - Amaryl

Glimepiride 2mg - Amaryl

Glimepiride 4mg - Amaryl

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PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Glipizide 10mg - Glucotrol

Glipizide 2.5mg - Glucotrol

Glipizide 5mg - Glucotrol

Glipizide ER 10mg - Glucotrol XL

Glipizide ER 2.5mg - Glucotrol XL

Glipizide ER 5mg - Glucotrol XL

Glucagen Inj - Glucagon

Glucagon Emergency Kit

Glucosamine 500mg

Glucosamine/Chondroitin 500/400mg

Glucosamine/Chondroitin/MSM 750/850mg (Per Caplet)

Glucose Tablets

Glucotrol 10mg-glipizide

Glucotrol 5mg-glipizide

Glucotrol XL 10mg-glipizide XL

Glucotrol XL 2.5mg-glipizide XL

Glucotrol XL 5mg-glipizide XL

Glutasolve Packet

Glutose 15 - Glucose liquid

Glyburide 1.25mg - Micronase

Glyburide 2.5mg - Micronase, Diabeta

Glyburide 5mg - Micronase, Diabeta

Glyburide Micronized 3mg - Glynase

Glyburide Micronized 6mg - Glynase

Glyburide/Metformin 1.25/250mg - Glucovance

Glyburide/Metformin 2.5/500mg - Glucovance

Glyburide/Metformin 5/500mg - Glucovance

Glycerin Suppository Adult

Glycopyrrolate 1mg - Robinul

Glycopyrrolate 2mg - Robinul

Glyset 100mg-miglitol

Glyset 25mg - Miglitol

Glyset 50mg-miglitol

Granulex-balsam peru/cator oil/trypsin

Grivulfin V 500mg - Griseofulvin

Guaifenesin 100mg/5ml- Robitussin

Guaifenesin 200mg-Organidin NR

Guaifenesin DM 100mg/10mg/5mL - Robitussin DM

Guaifenesin ER 600mg

Guanfacine 1mg - Tenex

Guanfacine 2mg - Tenex

Haldol 5mg/ml - haloperidol

Haloperidol 0.5mg - haldol

Haloperidol 10mg - haldol

Haloperidol 1mg - haldol

Haloperidol 20mg-haldol

Haloperidol 2mg - haldol

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PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Haloperidol 2mg/ml - haldol

Haloperidol 5mg - haldol

Haloperidol 5mg/ml - haldol

Haloperidol Deconoate 100mg/ml - haldol

Haloperidol Deconoate 50mg/ml-haldol

Hectorol 0.5mcg - Doxercalciferol

Hep Lock 1000un/ml Syr 5ml - Heparin

Heparin 5000un/ml

High Potency B with C 300

Humalog - Insulin lispro

Humulin N - Insulin NPH

Humulin R insulin-insulin regular

Hydralazine 100mg - Apresoline

Hydralazine 10mg - Apresoline

Hydralazine 25mg - Apresoline

Hydralazine 50mg - Apresoline

Hydralazine 5mg - Apresoline

Hydramine Elixir - Benadryl

Hydrochlorothiazide 12.5mg - Microzide

Hydrochlorothiazide 25mg - Microzide

Hydrochlorothiazide 50mg - Microzide

Hydrocil Instant (Psyllium)

Hydrocortisone Butyrate 0.1% Cream

Hydrocortisone 1% Cream

Hydrocortisone 2.5% Cream

Hydrocortisone 10mg - Cortef

Hydrocortisone 20mg - Cortef

Hydrocortisone 5mg - Cortef

Hydrocortisone Val 0.2% Cream-Westcort

Hydroxychloroquine 200mg - Plaquenil

Hydroxyurea 500mg - Hydrea

Hydroxyzine 25mg/ml - Atarax

Hydroxyzine 50mg/ml - Atarax

Hydroxyzine HCl 10mg - Atarax

Hydroxyzine HCl 25mg - Atarax

Hydroxyzine HCl 50mg - Atarax

Hydroxyzine Pamoate 100mg-Vistaril

Hydroxyzine Pamoate 25mg - Vistaril

Hydroxyzine Pamoate 50mg - Vistaril

Hyomax SR 0.125mg - hyoscyamine

Hyomax SR 0.375mg - hyoscyamine

Hyoscyamine SL 0.125mg - Levsin

Hyoscyamine 0.375mg - Levsin

Hyzaar 100/12.5mg - losartan/Hydrochlorothiazide

Hyzaar 100/25mg -losartan/Hydrochlorothiazide

Hyzaar 50mg/12.5mg - losartan/Hydrochlorothiazide

I Caps

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PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

I Caps+Lutein+Zeax

Ibuprofen 100mg/5ml Susp - Motrin

Ibuprofen 200mg - Advil, Nuprin, Motrin

Ibuprofen 400mg - Motrin

Ibuprofen 600mg - Motrin

Ibuprofen 800mg - Motrin

Imipramine 10mg - Tofranil

Imipramine 25mg -Tofranil

Imipramine 50mg -Tofranil

Imitrex 25mg-simatriptan

Imitrex 50mg Tab- sumatriptan

Imitrex Nasal Spray -sumatriptan

Indapamide 1.25mg - Lozol

Indapamide 2.5mg - Lozol

Inderal LA 160mg - propranolol

Indomethacin 25mg - Indocin

Indomethacin 50mg - Indocin

Indomethacin ER 75mg - Indocin ER

Insulin Syringe 1/2ml

Insulin Syringe 1ml

Intuniv 1mg-guanfacine

Intuniv ER 2mg - guanfacine

Intuniv ER 3mg - guanfacine

Intuniv ER 4mg-guanfacine

Invega 156mg Inj-paliperidone extended release

Invega 234 mg-paliperidone extended release

Invega 3mg - Paliperidone

Invega 6mg - Paliperidone

Invega 9mg - Paliperidone

Invega ER 6mg-paliperidone extended release

Invega sustenna 78mg Inj

Invega Sustenna 117mg - Paliperidone

Ipratropium Inhalation Solution 0.02%

Ipratropium Nasal Spray 0.03%-Atrovent

Ipratropium Nasal Spray 0.06%-Atrovent

Ipratropium Solution - Atrovent

Irbesartan 150mg-Avapro

Irbesartan 300mg-Avapro

Irbesartan 75mg-Avapro

Isentress 400mg-raltegravir

Isoniazid 100mg

Isoniazid 300mg

Isordil 40mg Tab-isosorbide

Isosorbide 2.5mg SL-Isordil

Isosorbide 5mg SL tablet-Isordil

Isosorbide Dinitrate ER 40mg

Isosorb Dinitrate 2.5mg - Isordil

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PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Isosorbide Dinitrate 5mg - Isordil

Isosorbide Dinitrate 10mg - Isordil

Isosorbide Dinitrate 20mg - Isordil

Isosorbide Dinitrate 30mg - Isordil

Isosorbide Dinitrate 40mg - Isordil

Isosorbide Mononitrate 10mg - Ismo

Isosorbide Mononitrate 20mg - Ismo, Monoket

Isosorbide Mononitrate ER 30mg - Imdur

Isosorbide Mononitrate 5mg - Imdur

Isosorbide Mononitrate ER 60mg - Imdur

Isosorbide Mononitrate ER 120mg - Imdur

Isradipine 5mg - DynaCirc CR

Istalol Opthalmic Soln

Itraconazole 100mg - Sporanox

I-Vite

I-Vite w/Lutein

Jalyn 0.5-0.4mg-

Jantoven 1.5mg - Warfarin

Jantoven 10mg - Warfarin

Jantoven 1mg - Warfarin

Jantoven 2.5mg - Warfarin

Jantoven 2mg - Warfarin

Jantoven 3mg - Warfarin

Jantoven 4mg - Warfarin

Jantoven 5mg - Warfarin

Jantoven 6mg - Warfarin

Jantoven 7.5mg - Warfarin

Janumet 50/1000mg - Sitagliptin/Metformin

Janumet 50/500mg - Sitagliptin/Metformin

Januvia 100mg - Sitagliptin

Januvia 25mg - Sitagliptin

Januvia 50mg - Sitagliptin

Jevity 1.5cal Liquid

Juven Powder 24gm

Kaopectate

Kapidex 30mg [DSC] - Dexlansoprazole

Kapvay ER 0.1mg - Clonidine

Kenalog-40 Injection-triamcinolone

Keppra 250mg-levetiracetam

Keppra 500mg-levetiracetam

Keppra 1000mg

Keppra XR 500mg - Levetiracetam

Keralyt Gel

Kerasal Ointment

Ketoconazole 2% Cream - Nizoral

Ketoconazole 200mg

Ketoconazole Shampoo - Nizoral

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PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Ketoprofen 50mg-Orudis

Ketorolac 10mg - Toradol

Ketorolac Opth Soln 0.4%-Acular

Klor Con 10 mEq - Potassium chloride

Klor Con 20 mEq - Potassium chloride

Klor Con 8 mEq - Potassium chloride

Klor Con EF 25mEq - Potassium bicarbonate/citrate

Klor-Con Oral Sol Powder 20mEq

Kombiglyze XR 2.5-1000-

Kombiglyze XR 5-500

Kombiglyze XR 5-1000

K-Phos 500mg - Potassium phosphate ("Original")

K-Phos Neutral 250mg - Potassium phosphate

Kristalose for Oral Solution

KY Jelly

Labetalol 100mg - Trandate, Normodyne

Labetalol 200mg - Trandate

Labetalol 300mg - Normodyne,Trandate

Lactaid - Lactase

Lactase 3000 units

Lactulose Liquid-Cephulac

Lactulose Liquid 10g/15ml -Cephulac

Lamictal 150mg - Lamotrigine

Lamictal XR 200 - Lamotrigine

Lamotrigine 100mg - Lamictal

Lamotrigine 150mg - Lamictal

Lamotrigine 200mg - Lamictal

Lamotrigine 25mg - Lamictal

Lancets

Lanoxin 0.125mcg - Digoxin

Lansoprazole 15mg Cap-Prevacid

Lansoprazole 30mg ODT-Prevacid

Lansoprazole DR 30mg - Prevacid

Lantus - Insulin glargine

Latanoprost 0.005% Opth Soln-Xalatan

Latuda 20mg (Lurasidone)

Latuda 40mg-lurasidone

Latuda 80mg (Lurasidone)

Lecithin 1200mg (19 Grain) Capsule

Leflunomide 20mg

Lescol 40mg - Fluvastatin

Lescol XL 80mg - Fluvastastin XL

Letrozole 2.5mg-Femara

Leucovorin 5mg - Wellcovorin

Levalbuterol Inh Sol 0.63mg/3ml - Xopenex

Levaquin Injection 5mg/ml

Levaquin 250mg - Levofloxacin

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PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Levaquin 500mg - Levofloxacin

Levaquin 750mg - Levofloxacin

Levetiracetam 1,000mg - Keppra

Levetiracetam 250mg - Keppra

Levetiracetam 500mg - Keppra

Levetiracetam 750mg - Keppra

Levetiracetam 1000mg/ml

Levetiracetam ER 500mg-Keppra ER

Levobunolol Opth Solution 0.5%

Levocarnitine 330 mg

Levocetirizine 5mg-Xyzal

Levofloxacin 250mg-Levaquin

Levofloxacin 500mg-Levaquin

Levofloxacin 750mg-Levaquin

Levora 0.15/30-28-levonorgestrol-eth estradiol

Levothyroxine 100mcg - Synthroid

Levothyroxine 112mcg - Synthroid

Levothyroxine 125mcg - Synthroid

Levothyroxine 137mcg - Synthroid

Levothyroxine 150mcg - Synthroid

Levothyroxine 175mcg - Synthroid

Levothyroxine 200mcg - Synthroid

Levothyroxine 25mcg - Synthroid

Levothyroxine 300mcg-Synthroid

Levothyroxine 50mcg - Synthroid

Levothyroxine 75mcg - Synthroid

Levothyroxine 88mcg - Synthroid

Levsin SL 0.125mg-Hyoscyamine

Lexapro 10mg - Escitalopram

Lexapro 20mg - Escitalopram

Lexapro 5mg - Escitalopram

Lialda 1.2Gm - Mesalamine

Lidocaine 1% 10mg/ml - 10ml Vial

Lidocaine 1% 10mg/ml - 20ml Vial

Lidocaine 1% 20ml

Lidocaine Viscous- Xylocaine

Lidoderm Patches - Lidocaine

Lidosyn 25mg

Linzess 145mg

Liothyronine 5mcg-Cytomel

Liothyronine 25mcg - Cytomel

Lipitor 10mg - Atorvastatin

Lipitor 20mg - Atorvastatin

Lipitor 40mg - Atorvastatin

Lipitor 80mg - Atorvastatin

LiquiTears 15ml - Natural Tears

Lisinopril 10mg - Prinivil, Zestril

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PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Lisinopril 2.5mg - Prinivil, Zestril

Lisinopril 20mg - Prinivil, Zestril

Lisinopril 30mg - Prinivil, Zestril

Lisinopril 40mg - Prinivil, Zestril

Lisinopril 5mg - Prinivil, Zestril

Lisinopril/Hydrochlorothiazide 10/12.5mg - Prinizide, Zestoretic

Lisinopril/Hydrochlorothiazide 20/12.5mg - Prinizide, Zestoretic

Lisinopril/Hydrochlorothiazide 20/25mg - Prinizide, Zestoretic

Lithium 8meq/5ml Liquid

Lithium Carbonate 150mg - Lithobid

Lithium Carbonate 300mg - Lithobid

Lithium Carbonate 300mg Tab - Eskalith

Lithium Carbonate 600mg - Lithobid

Lithium ER 300mg - Lithobid ER

Lithium ER 450mg - Lithobid ER

Livalo 2mg

L-Lysine 500mg

L-Methylfolate Calcium 7.5mg

Lofibra 67mg - Fenofibrate

Loperamide 1mg/5ml Liquid-Imodium

Loperamide 2mg - Imodium

Lopid 600mg-gemfibrozil

Loratadine 10mg - Claritin

Loratadine D - Claritin D

Loratadine D 24hrs-Claritin D

Losartan 100mg - Cozaar

Losartan 25mg - Cozaar

Losartan 50mg - Cozaar

Losartan/HCTZ 100-12.5-Hyzaar

Losartan/Hydrochlorothiazide 100-25-Hyzaar

Losartan/Hydrochlorothiazide 50/12.5mg - Hyzaar

Lotemax Opth Susp-loteprednol

Lotrel 10/20-amlodipine/benazepril

Lotrel 10/40mg - Amlodipine/Benazepril

Lotrel 5/20-amlodipine/benazepril

Lotrel 5/40mg - Amlodipine/Benazepril

Lovastatin 10mg - Mevacor

Lovastatin 20mg - Mevacor

Lovastatin 40mg - Mevacor

Lovaza 1g - Omega-3-Acid Ethyl Esters

Lovenox 100mg - Enoxaparin

Lovenox 120mg-enoxaparin

Lovenox 150mg-enoxaparin

Lovenox 30mg - Enoxaparin

Lovenox 40mg - Enoxaparin

Lovenox 60mg - Enoxaparin

Lovenox 80mg-enoxaparin

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PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Loxapine 10mg - Loxitane

Loxapine 25mg - Loxitane

Loxapine 50mg - Loxitane

Loxapine 5mg - Loxitane

Lumigam 0.01% Opth Soln

Lumigan 0.03% Opth Soln-bimatoprost

Lutein 20mg

Lutein 6mg

Luvox CR 100mg-fluvoxamine

Luvox CR 150mg-fluvoxamine

Macrodantin 50mg - Nitrofurantoin

Mag SR 84mg

Mag-Delay 64mg - Magnesium

Magnesium Citrate Oral Solution 10 oz (296ml)

Magnesium Gluconate 500mg

Magnesium Oxide 250mg

Magnesium Oxide 400mg

Mag Oxide 500mg

Maprotiline 50mg - Ludiomil

Maprotiline 75mg - Ludiomil

Matzim LA 360mg-

Mavik 2mg - Trandolapril

Mavik 4mg - Trandolapril

Maxalt 10mg-rizatriptan

Maxalt 5mg - Rizatriptan

Maxalt MLT ODT 10mg-rizatriptan

Maxalt MLT ODT 5mg-rizatriptan

Meclizine 12.5mg - Antivert

Meclizine 25mg - Antivert

Meclizine 25mg Chew - Antivert

Medroxyprogesterone 10mg - Provera

Medroxyprogesterone 150mg/ml-Depo Provera

Medroxyprogesterone 2.5mg - Provera

Medroxyprogesterone 5mg - Provera

Megace Es Liquid-megestrol

Megesterol liquid 40mg/ml - Megace

Megestrol 20mg - Megace

Megestrol 40mg - Megace

Melatonin 1mg

Melatonin 3mg

Melatonin 5mg SL

Meloxicam 15mg - Mobic

Meloxicam 7.5mg - Mobic

Mephyton 5mg - Phytonadione

Mercuroclear Antiseptic

Mestinon Timespan 180mg - Pyridostigmine

Metamucil Capsules

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PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Metamucil Fiber Wafers

Metamucil Packets-

Metamucil Powder - Reguloid

Metanx

Metaxalone 800mg - Skelaxin

Metformin 1000mg - Glucophage

Metformin 250mg - Glucophage

Metformin 500mg - Glucophage

Metformin 850mg - Glucophage

Metformin ER 500mg - Glucophage XR

Metformin ER 750mg-Glucophage ER

Metformin ER 1000mg - Glucophage ER

Methazolamide 25mg-Neptazane

Methazolamide 50mg - Neptazane

Methenamine 1gm - Hiprex

Methenamine MD 500mg

Methimazole 10mg - Tapazole

Methimazole 5mg - Tapazole

Methocarbamol 500mg-Robaxin

Methocarbamol 750mg - Robaxin

Methotrexate 2.5mg

Methscopolamine 5mg - Pamine

Methyldopa 250mg - Aldomet

Methyldopa 500mg - Aldomet

Methylprednisolone 4mg - Medrol Dosepak

Metoclopramide 2.5mg - Reglan

Metoclopramide 5mg - Reglan

Metoclopramide 10mg - Reglan

Metoclopramide 5mg/5ml Soln-Reglan

Metolazone 10mg - Zaroxolyn

Metolazone 2.5mg - Zaroxolyn

Metolazone 5mg - Zaroxolyn

Metoprolol Succinate 100mg - Toprol XL

Metoprolol Succinate 200mg - Toprol XL

Metoprolol Succinate 25mg - Toprol XL

Metoprolol Succinate 50mg- Toprol XL

Metoprolol Tartrate 100mg - Lopressor

Metoprolol Tartrate 12.5mg - Lopressor

Metoprolol Tartrate 25mg - Lopressor

Metoprolol Tartrate 50mg - Lopressor

Metronidazole 0.75% Cream-MetroCream

Metronidazole 0.75% Gel

Metronidazole 250mg - Flagyl

Metronidazole 375mg - Flagyl

Metronidazole 500mg - Flagyl

Mexiletine 150mg - Mexitil

Mexiletine 250mg - Mexitil

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PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Mi-Acid-Mylanta Liquid

Micardis 20mg-telmisartan

Micardis 40mg - Telmisartan

Micardis 80mg - Telmisartan

Micardis/HCT 40/12.5-telmisartan/hydrochlorothiazide

Micardis/HCT 80/12.5-telmisartan/hydrochlorothiazide

Midodrine 10mg-Proamatine

Midodrine 2.5mg - Proamatine

Midodrine 5mg - Proamatine

Milk of Magnesia - Magnesium oxide

Minipres 1mg-prazosin

Minipres 2mg-prazosin

Minipres 5mg-prazosin

Minitran 0.4mg/hr-nitroglycerin

Minocycline 100mg - Minocin

Minocycline 50mg - Minocin

Minoxidil 10mg - Loniten

Minoxidil 2.5mg- Loniten

Miralax Packets

Mirapex 0.125mg - Pramipexole

Mirapex 0.5mg - Pramipexole

Mirapex 1.5mg - Pramipexole

Mirapex 1mg - Pramipexole

Mirtazapine 15mg - Remeron

Mirtazapine 30mg - Remeron

Mirtazapine 45mg - Remeron

Mirtazapine 7.5mg - Remeron

Mirtazapine ODT 15mg - Remeron

Mirtazapine ODT 30mg - Remeron

Mirtazapine ODT 45mg - Remeron

Misoprostol 100mcg - Cytotec

Misoprostol 200mcg - Cytotec

Moexipril/HCTZ 15/25mg

Mometasone 0.1% Cream 45g - Elocon

Mometasone Furoate Soln 0.1% - Elocon

Montelukast 5mg Chewable

Montelukast 10mg-Singulair

MoviPrep Kit

Mucinex 400mg - Guaifenesin

Mucinex 600mg - Guaifenesin

Mucinex D-guaifenesin/pseudoephedrine

Mucinex DM - Guaifenesin/Dextromethorphan

Mucus Relief 400mg - Guaifenesin

Multaq 400mg - Dronedarone

Multigen Plus Caplets

Multilex

Multiple Vitamin

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PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Multiple Vitamin with Iron

Multiple Vitamin with Minerals

Multivitamin - Women's

Multivit/Fluoride 1mg

Mupirocin Oint 2%-bactroban

Mycophenolate 250mg-Cellcept

Mycophenolate 500mg - Cellcept

Myfortic 180-mycophenolate

Myfortic 360-mycophenalate

Myrbetriq ER 25mg

Nabumetone 500mg - Relafen

Nabumetone 750mg - Relafen

Nadolol 20mg - Corgard

Nadolol 40mg - Corgard

Nadolol 80mg - Corgard

Nalfon 200mg-fenoprofen

Naltrexone 50mg - Revia

Namenda 10mg - Memantine

Namenda 2.5mg - Memantine

Namenda 5mg - Memantine

Naproxen 220mg - Anaprox

Naproxen 250mg - Naprosyn

Naproxen 375mg - Naprosyn

Naproxen 500mg - Naprosyn

Naproxen EC 375mg - Naprosyn EC

Naproxen EC 500mg - Naprosyn EC

Naproxen NA 550mg - Anaprox DS

Nasacort AQ Inhaler-triamcinolone

Nasal Decongestant 30mg - Sudafed

Nasonex Spray-mometasone

Nateglinide 120mg - Starlix

Nateglinide 60mg - Starlix

Navane 10mg-thiothixene

Navane 20mg-thiothixene

Navane 2mg-thiothixene

Neo/Poly/Dex Opth Sol

Neo/Poly/HC Opth Drops-Cortisporin

Neo/Poly/HC Otic Drops-Cortisporin

Neomycin 500mg

Neoral 25mg Gelatin Caps - Cyclosporine

NeoSynephrine Nasal Spray

Nephro Nutrition Drink

Nephrocaps

Nephrovite

Neupro 4mg/24hr-rotigotine

Neurontin 100mg-gabapentin

Neurontin 300mg-gabapentin

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PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Neurontin 400mg-gabapentin

Neurontin 600mg-gabapentin

Neurontin 800mg - Gabapentin

Nevanac Opth Soln-nepafanac

Nexium 20mg - Esomeprazole

Nexium 20mg Packets-esomeprazole

Nexium 40mg - Esomeprazole

Nexium 40mg Pkt - Esomeprazole

Niacin 100mg

Niacin SA 250mg

Niacin SA 500mg

Niacinamide 500mg

Niacor 500mg-niacin

Niaspan 500mg - Niacin ER

Niaspan ER 1000mg-Niacin

Nicazel - Vitamin B Complex

Nicoderm CQ 21mg - Nicotine

Nicorette Lozenges-nicotine

Nicotine 14mg Patch

Nicotine 21 mg Patch

Nicotine 2mg Gum

Nicotine 4mg Gum

Nicotine Patch 7mg

Nicotrol Inhaler - Nicotine

Nifedepine 10mg - Procardia

Nifedipine ER 30mg - Procardia XL,Adalact CC

Nifedipine ER 60mg - Procardia XL, Adalact CC

Nifedipine ER 90mg - Procardia XL, Adalact CC

Nisoldipine ER 8.5mg-Sular

Nisoldipine ER 34mg

Nitrodur 0.3mg/hr - Nitroglycerin

Nitro-Dur 0.8mg/hr-nitroglycerin

Nitrofurantoin Macro 100mg - Macrodantin

Nitrofurantoin Macro 50mg - Macrodantin

Nitrofurantoin Mono 100mg - Macrobid

Nitroglycerin 0.1mg/hr Patch - Nitro-Dur

Nitroglycerin 0.2mg/hr Patch - Nitro-Dur

Nitroglycerin 0.4mg Tab - Nitrobid

Nitroglycerin 0.4mg/hr Patch - Nitro-Dur

Nitroglycerin 0.6mg/hr Patch - Nitro-Dur

Nitroglycerin 2.5mg Cap

Nitroquick 0.4mg SL - Nitroglycerin

Nitrostat 0.3mg-nitroglycerin

Nitrostat 0.4mg - Nitroglycerin

Nitrostat 0.6mg-nitroglycerin

Nizatidine 150mg - Axid

Nizatidine 300mg-Axid

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PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Norethindrone 5mg - Aygestin

Noroxin 400mg - Norfloxacin

Norpace CR 100mg - Disopyramide

Norpace CR 150mg - Disopyramide

Nortriptyline 10mg - Pamelor

Nortriptyline 25mg - Pamelor

Nortriptyline 50mg - Pamelor

Nortriptyline 75mg-Pamelor

Nortriptyline Solution 10mg/5ml-Aventyl

Norvasc 10mg-amlodipine

Norvasc 2.5mg-amlodipine

Norvasc 5mg-amlodipine

Novofine AutoCover 30G Safety Needle

Novolin 70/30 - Insulin NPH/Regular

Novolin N - Insulin NPH

Novolin R - Insulin Regular

Novolog - Insulin Aspart

Novolog 70/30 - Insulin Aspart Protamine/Insulin Aspart

Nuedexta 20/10

Nullo 100mg-

Nystatin Tablet 500,000 units

Nystatin Cream - Mycostatin

Nystatin Suspension - Mycostatin

Nystatin/Triam Cream-Mycolog

Nystop Powder-Mycostatin

Ocuvite

Ocuvite with Lutein Softgel

Ocuvite/Preservision

Ofloxacin 400mg-Ocuflox

Ofloxacin Opth Soln-Ocuflox

Ofloxacin Otic Soln

Olanzapine 2.5mg- Zyprexa

Olanzapine 5mg-Zyprexa

Olanzapine 5mg ODT - Zyprexa

Olanzapine 7.5mg-Zyprexa

Olanzapine 10mg- Zyprexa

Olanzapine 10mg ODT - Zyprexa

Olanzapine 15mg-Zyprexa

Olanzapine 15mg ODT - Zyprexa

Olanzapine 20mg-Zyprexa

Olanzapine 20mg ODT - Zyprexa

Omeprazole 10mg - Prilosec

Omeprazole 20mg - Prilosec

Omeprazole 40mg - Prilosec

Omeprazole/Bicarb 40-1000-Zegerid

Omeprazole/Bicarb 40-1100-Zegerid

Ondansetron 4mg - Zofran

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PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Ondansetron 4mg ODT - Zofran ODT

Ondansetron 4mg/2ml Vial- Zofran

Ondansetron 8mg - Zofran

Ondansetron 8mg ODT - Zofran

One A Day Women's Vitamins

Onglyza 2.5mg - Saxagliptin

Onglyza 5mg-saxagliptin

Orap 1mg-pimozide

Orap 2mg - Pimozide

Organ-I NR 200mg - Guafenesin

Orphenadrine 100mg - Norflex

OsmoPrep

Osteo-Biflex

Oxaprozin 600mg - Daypro

Oxcarbazepine 150mg - Trileptal

Oxcarbazepine 300mg - Trileptal

Oxcarbazepine 600mg - Trileptal

Oxybutynin 5mg - Ditropan

Oxybutynin ER 10mg - Ditropan XL

Oxybutynin ER 15mg - Ditropan XL

Oxybutynin ER 5mg - Ditropan XL

Oxytrol 3.9mg Patch - Oxybutynin

Oyster Shell 500mg - Calcium

Oyster shell with Vitamin D 500mg - Calcium with Vitamin D

Oyster Shell/D 250mg-Oscal 250/D

Pacerone 200mg - Cordarone

Pamprin Cramp Caplets

Pancrease MT-16 - Amylase/Lipase/Pancrease

Pancrelipase 5k Units Cap

Pangestyme - Pancrelipase

Pantoprazole 20mg - Protonix

Pantoprazole 40mg - Protonix

Paroxetine 10mg - Paxil

Paroxetine 20mg - Paxil

Paroxetine 30mg - Paxil

Paroxetine 40mg - Paxil

Paroxetine ER 12.5mg - Paxil CR

Paroxetine ER 25mg - Paxil CR

Paroxetine ER 37.5mg-Paxil CR

Patanol Opth Drops - Olopatadine

Peleverus Oint

Penicillin VK 250mg

Penicillin VK 500mg

Pennsaid 1.5% Solution - Diclofenac Sodium

Pentasa 500mg - Mesalamine

Pentoxifylline ER 400mg - Trental

Pepto Bismol

Page 35: PAN CHARITABLE PHARMACY FORMULARY …beaconpharmacy.org/.../04/PAN-Medication-List-Formulary-Database.pdfPAN CHARITABLE PHARMACY FORMULARY **BOLDED ITEMS ARE ALWAYS AVAILABLE** Amiloride/HCTZ

PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Periguard Ointment 3.8% - Zinc Oxide

Permethrin Cream 5%

Permetherin Lotion 1%-Nix

Perphenazine 2mg - Trilafon

Peroxyl Mouth Rinse 1.5%

Perphenazine 4mg - Trilafon

Perphenazine 8mg - Trilafon

Petrolatum Dressing 5x9

Phenazopyridine 95mg

Phenazopyridine 100mg - Pyridium

Phenazopyridine 200mg - Pyridium

Phenytek 200mg - Phenytoin

Phenytek ER 300mg - Phenytoin

Phenytoin 50mg Chewable - Dilantin

Phenytoin 100mg - Dilantin

Phenytoin 200mg - Dilantin

Phenytoin 300mg - Dilantin

Phenytoin Inj 250mg/5ml

Phenytoin Susp 125mg/5ml-Dilantin

Phillips M.O.M - Magnesium oxide

Phoslo 667mg - Calcium Acetate

Phos-Nak Pkts

phospha neutral 250 mg

Pilocarpine 5mg - Salagen

Pindolol 10mg-Visken

Pindolol 2.5mg - Visken

Pindolol 5mg - Visken

Pink Bismuth-Pepto Bismol Liq

Pioglitazone 15mg

Pioglitazone 30mg - Actos

Pioglitazone 45mg - Actos

Pioglitazone-Metformin 15-500 - ActoPlus

Piroxicam 10mg Cap

Piroxicam 20mg-Feldene

Plavix 75mg - Clopidogrel

Polyethylene Glycol Packets-Miralax

Polyethylene Glycol Powder 255g - Miralax

Polyethylene Glycol Powder 527g - Miralax

Poly-Iron 150mg - Ferrex 150

Poly-Iron Forte 150

Polymyxcin-B Sulf/Trimeth Opth Sol

Polysaccharide Iron 150mg - Ferrous sulfate

Posture D

Pot Chloride Liquid 10%- Kaochlor

Potassium 99mg Tablet

Potassium Chloride 8 mEq Caps - Klor-con

Potassium Chloride 8 mEq Tablets - Klor-con

Page 36: PAN CHARITABLE PHARMACY FORMULARY …beaconpharmacy.org/.../04/PAN-Medication-List-Formulary-Database.pdfPAN CHARITABLE PHARMACY FORMULARY **BOLDED ITEMS ARE ALWAYS AVAILABLE** Amiloride/HCTZ

PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Potassium Chloride 10mEq Caps - Klor-con

Potassium Chloride 10mEq Tablets - Klor-con

Potassium Chloride 10mEq Tablets - K-Tab

Potassium Chloride 20mEq Tablets - Klor-con

Potassiumj Citrate 5mEq (540mg)

Potassium Citrate 10mEq - Urocit K

Potassium Gluconate 595mg

Povine - Iodine Swabstick

Pradaxa 150mg-dabigatran

Pradaxa 75mg- dabigatran

Pramipexole 0.125mg-Mirapex

Pramipexole 0.25mg - Mirapex

Pramipexole 0.5mg - Mirapex

Pramipexole 0.75mg - Mirapex

Pramipexole 1mg - Mirapex

Pramipexole 1.5mg-Mirapex

Prandin 0.5mg - Repaglinide

Prandin 1mg - Repaglinide

Prandin 2mg - Repaglinide

Pravastatin 10mg - Pravachol

Pravastatin 20mg - Pravachol

Pravastatin 40mg - Pravachol

Pravastatin 80mg - Pravachol

Prazosin 1mg-Minipres

Prazosin 2mg - Minipress

Prazosin 5mg - Minipres

Prednisolone 1% Opth Suspension

Prednisone 1mg

Prednisone 2.5mg

Prednisone 5mg

Prednisone 10mg

Prednisone 20mg

Prednisone 50mg

Prednisone oral Soln 5mg/5ml

Premarin 0.3mg-conjugated estrogens

Premarin 0.45mg-conjugated estrogens

Premarin 0.625mg - Conjugated Estrogens

Premarin 0.9mg-conjugated estrogens

Premarin 1.25mg - Conjugated Estrogens

Prenatal Plus - Prenatal Vitamins

Prenatal Vitamins

Prenavite-prenatal vitamins

Preservision

Preservision w/ Lutein

Prevacid 15mg - Lansoprazole

Prevacid 30mg - Lansoprazole

Prevacid Solutab 30mg - Lansoprazole

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PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Prevalite Powder - Cholestyramine

Prevident 5000

Prevident Gel

Prezista 400mg - Darunavir

Prezista 600mg-darunavir

Prilosec 10mg Susp-omeprazole

Primaxin 500mg vial - Imipenem/Cilastin sodium

Primidone 250mg - Mysoline

Primidone 50mg - Mysoline

Pristiq 100mg - Desvenlafaxine

Pristiq 50mg - Desvenlafaxine

Pristiq ER 50mg-desvenlafaxine

Proair HFA 90mcg inhaler - Albuterol

Probenecid 500mg - Benemid

Procardia 10mg-nifedipine

Procardia XL 30mg-nifedipine XL

Procardia XL 60mg-nifedipine XL

Procardia XL 90mg-nifedipine XL

Prochloroperazine 10mg - Compazine

Prochloroperazine 10mg/2ml - Compazine

Prochloroperazine Supp 25mg - Compazine

Prochlorperazine 5mg - Compazine

Proctofoam HC

Proctozone-HC - Hydrocortisone

Progesterone 100mg Capsule

Prograf 0.5mg - Tacrolimus

Prograf 1mg - Tacrolimus

Prolixin 2.5mg - Fluphenazine

Promethazine 12.5mg - Phenergan

Promethazine 25mg - Phenergan

Promethazine 25mg Suppository - Phenergan

Promethazine 25mg/ml - Phenergan

Promethazine 6.25mg/5ml Syrup

Promethazine DM Syrup-Phenergan DM

Prometrium 100mg-progesterone

Propafenone 150mg - Rythmol

Propafenone 225mg-Rhythmol

Propafenone 300mg - Rhythmol

Propranolol 10mg - Inderal

Propranolol 20mg - Inderal

Propranolol 40mg - Inderal

Propranolol 60mg - Inderal

Propranolol 80mg - Inderal

Propranolol ER 120mg- Inderal LA

Propranolol ER 160mg-Inderal LA

Propranolol ER 60mg - Inderal LA

Propranolol ER 80mg - Inderal LA

Page 38: PAN CHARITABLE PHARMACY FORMULARY …beaconpharmacy.org/.../04/PAN-Medication-List-Formulary-Database.pdfPAN CHARITABLE PHARMACY FORMULARY **BOLDED ITEMS ARE ALWAYS AVAILABLE** Amiloride/HCTZ

PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Propylthiouracil 50mg

Protonix 20mg - Pantoprazole

Protonix 40mg - Pantoprazole

Protonix packets 40mg-pantoprazole

Protriptyline 10mg-Vivactil

Proventil HFA-albuterol

Provil - Modafinil

Pseudoephedrine 30mg - Sudafed

Pulmicort Flexhaler 180mcg - Budesonide

Pulmicort Flexhaler 90mcg - Budesonide

Pulmicort Respules 0.25mg/2ml - Budesonide

Pulmicort Respules 0.5mg/2ml - Budesonide

Pulmicort Respules 1.0mg/2ml - Budesonide

Pyridostigmine 30mg - Mestinon

Pyridostigmine 60mg - Mestinon

Pyroxidine 25mg

Pyridoxine 50mg

Pyridoxine 100mg

Pyrozinamide 500mg Tab

QC Arthritis 650mg

Qualaquin 324mg - Quinine

Quetiapine 25mg-Seroquel

Quetiapine 50mg-Seroquel

Quetiapine 100mg-Seroquel

Quetiapine 200mg-Seroquel

Quetiapine 300mg-Seroquel

Quetiapine 400mg-Seroquel

Quinapril 10mg - Accupril

Quinapril 20mg - Accupril

Quinapril 40mg - Accupril

Quinapril 5mg-Accupril

Quinapril-HCTZ 10/12.5-Accuretic

Quinidine 200mg

Quinidine 300mg

Quinidine ER 324mg

Qvar 80mcg

Ramipril 1.25mg-Altace

Ramipril 10mg - Altace

Ramipril 2.5mg - Altace

Ramipril 5mg - Altace

Ranexa 500mg - Ranolizine

Ranexa ER 1000mg-ranolizine

Ranitidine 150mg - Zantac

Ranitidine 150mg Cap - Zantac

Ranitidine 300mg - Zantac

Ranitidine 75mg - Zantac

Rapaflo 4mg

Page 39: PAN CHARITABLE PHARMACY FORMULARY …beaconpharmacy.org/.../04/PAN-Medication-List-Formulary-Database.pdfPAN CHARITABLE PHARMACY FORMULARY **BOLDED ITEMS ARE ALWAYS AVAILABLE** Amiloride/HCTZ

PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Rapaflo 8mg

Rapamune 1mg

Razadyne 8mg -galantamine

Razadyne ER 24mg - Galantamine

Ready to Use Enema-Fleet's Enema

Red Yeast Rice 600 mg

Refresh PM Opth Oint

Relpax 20mg-eletriptan

Relpax 40mg-eletriptan

Rena Vite RX-

Renagel - Sevelamer

Renal Gelcaps 1mg - Sevelamer

Renax-

Renocaps

Renvela 800mg - Sevelamer carbonate

Requip XL 2mg - Ropinorole

Restasis 0.4ml - Cyclosporine

Retin-A Cream 0.05% (Tretinoin)

Retin-A Cream 0.25% (Tretinoin)

Revatio 20mg-sildenafil

Revina Ointment-trypsin/balsam/castor

Reyataz 150mg-atazanavir

Rhinocort AQ Inhaler - Budesonide

RibaPak 400-600-ribavirin

Ribavirin 200mg-Virazole

Rifampin 300mg - Rifadin

Rilutek 50mg-

Risamine Ointment

Risaquad Capsule - Lactobacillus Acidophilus

Risperdal 0.5mg - Risperidone

Risperdal 1mg - Risperidone

Risperdal 2mg - Risperidone

Risperdal 3mg - Risperidone

Risperdal M 1mg - Risperidone

Risperdal M Tab 3mg - Risperidone

Risperdal M-Tap 0.5mg - Risperidone

Risperidone 0.25mg - Risperdal

Risperidone 0.5mg - Risperdal

Risperidone 1mg - Risperdal

Risperidone 1mg/ml Soln - Risperdal

Risperidone 2mg - Risperdal

Risperidone 3mg -Risperdal

Risperidone 4mg - Risperdal

Risperidone ODT - Risperdal

Rivastigamine 3mg- Exelon

Rivastigime 1.5 -Exelon

Rivastigmine 4.5mg-Exelon

Page 40: PAN CHARITABLE PHARMACY FORMULARY …beaconpharmacy.org/.../04/PAN-Medication-List-Formulary-Database.pdfPAN CHARITABLE PHARMACY FORMULARY **BOLDED ITEMS ARE ALWAYS AVAILABLE** Amiloride/HCTZ

PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Rivastigmine 6mg-Exelon

Robafen Cough Syrup - Robitussin

Ron-Acid - Riopan

Ropinirole 0.25mg - Requip

Ropinirole 0.5mg - Requip

Ropinirole 1mg - Requip

Ropinirole 2mg - Requip

Ropinirole ER 2mg - Requip XL

Ropinirole 3mg - Requip

Ropinirole 4mg - Requip

Ropinirole 5mg - Requip

Rozerem 8mg - Ramelteon

R-Tanna-Rynatan

Rynatan - Chlorpheniramine/Phenylephrine

Rythmol SR 325mg - Propafenone

Saline Nasal Spray - Ocean Nasal Spray

Salsalate 500mg

Salsalate 750mg

Sal-Tropine0.4mg-atropine

SAM-E

Sanctura 20mg - Trospium

Sanctura XR 60mg - Trospium

Santyl Ointment 30gm-collagenase

Saphris 10mg-asenapine

Saphris 5mg-asenapine

Saphris Black Cherry 10mg-asenapine

Saphris Black Cherry 5mg-asenapine

Savella 50mg - Milnacipran

Saw Palmetto

Scalpicin Liquid 3%

Sea Omega 360-1200mg - Fish Oil

Selegiline 5mg - Eldepryl

Selenium 200mcg

Selenium 50mg

Selenium Sulfide Susp 2.5%-Selsun

Semprex-D 60mg/8mg Cap

Senna

Senna Plus

Senna S

Sensipar 30mg - Cinacalcet

Sensipar 60mg-cinacalcet

Serevent Diskus Inhaler-salmeterol

Seroquel 100mg - Quetiapine

Seroquel 200mg - Quetiapine

Seroquel 25mg - Quetiapine

Seroquel 300mg - Quetiapine

Seroquel 400mg - Quetiapine

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PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Seroquel 50mg - Quetiapine

Seroquel XR 150mg - Quetiapine XR

Seroquel XR 200mg - Quetiapine XR

Seroquel XR 300mg - Quetiapine XR

Seroquel XR 400mg - Quetiapine XR

Seroquel XR 50mg - Quetiapine XR

Sertraline 100mg - Zoloft

Sertraline 25mg - Zoloft

Sertraline 50mg - Zoloft

Silver Sulfdiazine Cream 1%

Simcor 1000/20-niacin/simvastatin

Simethicone Oral Suspension

Simethicone 125 mg - Gas Relief

Simethicone 80mg - Mylicon

Simvastatin 10mg - Zocor

Simvastatin 20mg - Zocor

Simvastatin 40mg - Zocor

Simvastatin 5mg - Zocor

Simvastatin 80mg - Zocor

Singualir 4mg Chew-montelukast

Singulair 10mg - Montelukast

Singulair 5mg Chew-montelukast

Skelaxin 800mg - Metaxalone

Slo-Niacin 250mg-niacin sustained action

Slow Iron 160mg-

Sodium Bicarbonate 325mg

Sodium Bicarbonate 650mg

Sod Chloride Irrigation

Sod Chloride Opth Oint

Sodium Chloride 0.9% 100mL bags

Sodium Chloride 0.9% 250ml bags

Sodium Chloride 0.09% Inh Sol

Sodium Chloride 1Gm

Sodium Polystyrene 15g/60ml - Kionex

Solu-Medrol 40mg Inj (Methyprednisolone)

Solu-Medrol 125mg (Methyprednisolone)

Sominex-diphenhydramine

Sotalol 120mg - Betapace

Sotalol 40mg - Betapace

Sotalol 80mg - Betapace

Spiriva Tablets - Tiotropium

Spironolactone 100mg - Aldactone

Spironolactone 12.5mg - Aldactone

Spironolactone 25mg - Aldactone

Spironolactone 50mg - Aldactone

Spironolactone/Hydrochlorothiazide 25/25mg - Aldactazide

Sprintec Birth control tabs

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PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

SPS Suspension

SSD Cream 1% - Silvadene

Stalevo 100mg - Carbidopa/Levodopa/Entacapone

Stalevo 125mg - Carbidopa/Levodopa/Entacapone

Stalevo 150mg - Carbidopa/Levodopa/Entacapone

Stalevo 200mg-carbidopa/levodopa/entacapone

Stalevo 50mg-carbidopa/levodopa/entacapone

Stalevo 75mg - Carbidopa/Levodopa/Entacapone

Starlix 120mg - Nateglinide

Starlix 60mg - Nateglinide

Stavzor 500mg-valproic acid

Sterile Water 10ml

Stimulen Collagen Woundcare

Stomahesive Powder

Straterra 25mg - Atomoxetine

Straterra 40mg - Atomoxetine

Strattera 100mg - Atomoxetine

Strattera 60mg - Atomoxetine

Strattera 80mg - Atomoxetine

Stress Formula

Stress Formula w/ Zinc

Stromectrol 3mg-ivermectin

Sucralfate 1gm - Carafate

Sucralfate Susp 16mg/ml

Sudafed 30mg-psuedoephedrine

Sudagest 30mg-pseudoephedrine

Sudogest 60mg-Pseudoephedrine

Sular 17mg - Nisoldipine ER

Sular 8.5mg - Nisoldipine ER

Sulfacetamide 10% Opth Soln 15ml - Bleph 10

Sulfadiazine 500mg - Azulfidine

Sulfamethazole/Trimethoprim 400/80mg - Bactrim

Sulfamethazole/Trimethoprim 800/160mg - Bactrim DS

Sulfamethoxazole/Trimethoprim 200/40mg/5mL - Bactrim

Sulfasalazine 500mg - Sulfazine

Sulfazine 500mg - Sulfasalazine

Sulindac 150mg-Clinoril

Sulindac 200mg - Clinoril

Sumatriptan 25mg - Imitrex

Sumatriptan 50mg - Imitrex

Sumatriptan 100mg-Imitrex

Summer's Eve Medicated Douche-betadine

Suprax 400mg-cefixime

Sure Press Absorbent Padding 10x3cm

Sure Press High Compression Bandage

Symbicort 160/4.5mg - Budesonide/Formoterol

Symbicort 80/4.5mg - Budesonide/Formoterol

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PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Symbyax 3mg/25mg - Olanazapine/Fluoxetine

Synthroid 50mcg-levothyroxine

Synthroid 75mcg - Levothyroxine

Synthroid 88mcg - Levothyroxine

Synthroid 100mcg - Levothyroxine

Synthroid 112mcg - Levothyroxine

Synthroid 137mcg - Levothyroxine

Synthroid 200mcg - Levothyroxine

Tab A Vite Iron

Tacrolimus 0.5mg-Prograf

Tacrolimus 1mg-Prograf

Tactinal 500mg -Acetaminophen

Tamiflu 75mg-oseltamivir

Tamoxifen 10mg-Nolvadex

Tamoxifen 20mg - Nolvadex

Tamsulosin 0.4mg - Flomax

Tarka ER 4-240

Tar Shampoo

Tarceva 25mg - Erlotinib

Taztia XT 360mg - Diltiazem

Tegretol XR 100mg - Carbamazepine

Tegretol XR 200mg - Carbamazepine

Tegretol XR 400mg - Carbamazepine

Tekturna 150mg - Aliskiren

Tekturna 300mg - Aliskiren

Tekturna HCT 150/12.5-aliskiren/hydrochlorothiazide

Tekturna HCT 150/25-aliskiren/hydrochlorothiazide

Tekturna HCT 300/12.5-aliskiren/hydrochlorothiazide

Tekturna HCT 300/25 (Aliskiren/Hydrochlorothiazide)

Telamlo 300/5

Terazosin 10mg - Hytrin

Terazosin 1mg - Hytrin

Terazosin 2mg - Hytrin

Terazosin 5mg - Hytrin

Terbinafine 250mg - Lamisil

Terbutaline 2.5mg-Brethine

Terbutaline 5mg-Brethine

Terbutaline Inj 1mg/ml-Brethine

Tetracycline 250mg - Sumycin

Tetracycline 500mg - Sumycin

Theo 24 200mg - Theophylline

Theophylline 300mg - Theodur

Theophylline ER 400mg - Theo-24

Theophylline ER 600mg-Theo-Dur

Theophylline SA 100mg - Theodur

Theophylline SA 200mg - Theodur

Therea-Plus Liquid Multivitamin

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PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Thera-Tears Nutrition Capsule

Therems M tabs

Thermazene 1% Cream - Silver Sulfadiazine

Thermotabs

Therobec Plus

Thiamine 100mg

Thiamine 50mg

Thioridazine 100mg - Mellaril

Thioridazine 10mg - Mellaril

Thioridazine 25mg - Mellaril

Thioridazine 50mg - Mellaril

Thiothixene 1mg - Navane

Thiothixene 2mg - Navane

Thiothixene 5mg-Navane

Thiothixene 10mg-Navane

Tiagabene 2mg Tab - Gabatril

Tiagabine 4mg Tab - Gabitril

Ticlodipine 250mg - Ticlid

Tigan Inj 200mg/2ml-trimethobenzamide

Tikosyn 125mg-dofetilide

Timolol Maleate 0.25% Opth Soln - Timoptic

Timolol Maleate 0.5% Opth Soln - Timoptic

Tizanidine 2mg - Zanaflex

Tizanidine 4mg - Zanaflex

TL-Fol 500 Caplet

Tobradex Opth Oint-tobramycin/dexamethasone

Tobramycin Inj 80mg/2ml

Tobramycin Opthalmic Solution 0.3%

Tobramycin/Dexamethasone Opth Soln - Tobradex

Tofranil Pm 150mg - Imipramine

Tolbutamide 500mg-Orinase

Tolterodine Tartrate 2mg - Detrol

Topamax 100mg - Topiramate

Topamax 25mg - Topiramate

Topamax 50mg - Topiramate

Topiramate 100mg - Topamax

Topiramate 200mg - Topamax

Topiramate 25mg - Topamax

Topiramate 50mg - Topamax

Toprol XL 100mg - Metoprolol succinate

Toprol XL 200mg - Metoprolol succinate

Toprol XL 25mg - Metoprolol succinate

Toprol XL 50mg - Metoprolol succinate

Torsemide 100mg - Demadex

Torsemide 10mg - Demadex

Torsemide 20mg - Demadex

Torsemide 5mg - Demadex

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PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Toviaz ER 4mg - Fesoterodine

Toviaz ER 8mg - Fesoterodine

Tracleer 125 mg

Tradjenta 5mg-

Trandolapril 2mg-Maxik

Trandolapril 4mg - Mavik

Trans Derm Scop Patch - Scopalamine

Tranylcypromine 10mg-Parnate

Travatan Opth Soln - Travoprost

Travatan Z Opth Soln-travoprost

Trazadone 100mg - Desyrel

Trazadone 150mg - Desyrel

Trazadone 25mg - Desyrel

Trazadone 50mg - Desyrel

Trazodone 300mg-Desyrel

Triamcinolone 0.025% Ointment - Kenalog

Triamcinolone 0.1% Cr - Kenalog

Triamcinolone 0.1% Oint - Kenalog

Triamcinolone 0.5% Cream-kenalog

Triamcinolone Cream 0.025%-Kenalog

Triamcinolone Dental Paste-Kenalog in Orabase

Triamterene/Hydrochlorothiazide 37.5/25mg - Dyazide

Triamterene/Hydrochlorothiazide 75/50mg - Maxzide

Tricor 145mg - Fenofibrate

Tricor 48mg -Fenofibrate

Tri-Cyclen

Trifluoperazine 1mg-Stelazine

Trifluoperazine 2mg-Stelazine

Trifluoperazine 5mg - Stelazine

Triglide 160mg - Tricor

Triglide 50mg - Tricor

Trihexyphenidyl 2mg - Artane

Trihexyphenidyl 5mg - Artane

Trileptal 150-oxcarbazepine

Trileptal 300-oxcarbazepine

Trileptal 600-oxcarbazepine

Trilipix 135mg - Fenofibric acid

Trilipix 45mg - Fenofibric acid

Trimethobenzamide 200mg/2ml vial - Tigan

Trimethobenzamide 300mg - Tigan

Trimethoprim 100mg - Trimpex

TriphroCaps Softgel - Nephrocaps

Triple Antibiotic Oint - Neosporin/Bacitracin/Polymyxin B

Tri-Sprintec - Norgestimate-Ethinyl Estradiol

Trxaicin Cream

Trospium Chloride 20mg

True Test Glucose Strips

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PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Trusopt 2% Opth Soln-dorzolamide

Tylenol Arthritis

Tylenol 325mg

Tylenol 500mg

Tylenol ER 500mg

Tylenol PM Extra Strength Geltab - Acetamin/Diphenhydramine

Uloric 40mg - Febuxostat

Uloric 80mg-febuxostat

Ultrase - Pancrelipase

Uni-Complex M

Urocit K 10 mEq - Potassium citrate

Uroqid-Acid #2 500

Uroxatral 10mg - Alfuzosin

Ursodiol 250mg-Urso

Ursodiol 300mg - Urso

Valacyclovir 500mg - Valtrex

Valcyclovir 1Gm-Valtrex

Valcyte 450mg - Valganciclovir

Valproic Acid 250mg - Depakene

Valproic Acid 250mg/5mL Syrup - Depakene

Valsartan/HCTZ 80/12.5mg - Diovan HCT

Valsartan/HCTZ 160/12.5mg - Diovan HCT

Valsartan/HCTZ 320/25mg - Diovan HCT

Valtrex 1g - Valacyclovir

Valturna 150/160mg - Valsartan/Aliskiren

Vancomycin 1g vial - Vancocin

Vancomycin 500mg vial - Vancocin

Vaseline Petroleum Jelly

Venlafaxine 100mg - Effexor

Venlafaxine 25mg-Effexor

Venlafaxine 37.5mg - Effexor

Venlafaxine 50mg - Effexor

Venlafaxine 75mg - Effexor

Venlafaxine ER 37.5mg - Effexor XR

Venlafaxine ER 75mg - Effexor XR

Venlafaxine ER 150mg-Effexor XR

Venlafaxine ER 225mg - Effexor XR

Ventolin 90mcg - Albuterol

Veramyst Spray-fluticasone fumarate

Verapamil 120mg - Calan, Isoptin

Verapamil 40mg-Calan,Isoptin

Verapamil 80mg - Calan, Isoptin

Verapamil ER 120mg - Calan SR, Isoptin SR

Verapamil ER 180mg - Calan SR, Isoptin SR

Verapamil ER 240mg - Calan SR, Isoptin SR

Vesicare 10mg - Solifenacin

Vesicare 5mg - Solifenacin

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PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Vibramycin Caps 100mg-doxycycline

Vicon C

Vigamox Opth Soln-moxifloxacin

Viibryd 20mg

Viibryd 40mg

Vinate M

Viokase 16 - Amylase/Lipase/Protease

Viokase 8 - Amylase/Lipase/Protease

Viramune 200mg-nevirapine

Vistaril 25mg-hydroxyzine pamoate

Vistaril 50mg-hydroxyzine pamoate

VitaBee w/ C

Vitamin A 10,000 Units

Vitamin B Complex

Vitamin B-100 Complex

Vitamin B-1 100mg (See Thiamin 100mg)

Vitamin B-2 100mg

Vitamin B12 1000mcg - Cyanocobalamin

Vitamin B12 100mcg - Cyanocobalamin

Vitamin B12 250mcg - Cyanocobalamin

Vitamin B12 500mcg - Cyanocobalamin

Vitamin B6 100mg - Pyridoxine

Vitamin B6 25mg - Pyridoxine

Vitamin B6 50mg - Pyridoxine

Vitamin C 1000mg - Ascorbic acid

Vitamin C 250mg - Ascorbic acid

Vitamin C 500mg - Ascorbic acid

Vitamin D 1000mg

Vitamin D 400IU

Vitamin D 50,000IU (1.25mg) - Ergocalciferol

Vitamin D tablets 1000IU

Vitamin D3 1000IU - Cholecalciferol

Vitamin D3 2000IU - Cholecalciferol

Vitamin D3 5000units

Vitamin E 1000IU - Tocopherol

Vitamin E 200IU - Tocopherol

Vitamin E 400IU - Tocopherol

VitaZinc

Vivelle Dot 0.0375-estradiol

Voltaren Gel -diclofenac

Vytorin 10/10mg - Ezetimibe/Simvastatin

Vytorin 10/20mg - Ezetimibe/Simvastatin

Vytorin 10/40mg - Ezetimibe/Simvastatin

Vytorin 10/80mg - Ezetimibe/Simvastatin

Warfarin 10mg - Coumadin

Warfarin 1mg - Coumadin

Warfarin 2.5mg - Coumadin

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PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Warfarin 2mg - Coumadin

Warfarin 3mg - Coumadin

Warfarin 4mg - Coumadin

Warfarin 5mg - Coumadin

Warfarin 6mg - Coumadin

Warfarin 7.5mg - Coumadin

Welchol - Colesevelam

Welchol Packets 3.75Gm-colesevelam

Wellbutrin XL 150mg - Bupropion HCl ER

Wellbutrin XL 300mg - Bupropion HCl ER

Xalatan Opth Sol - Latanoprost

Xarelto 10mg-

Xarelto 15mg-

Xarelto 20mg

Xeloda 500mg-capecitabine

Xibrom Opth Susp-bromfenac

Xifaxan 200mg - Rifaximin

Xifaxan 550mg - Rifaximin

Xopenex 0.63mg/3ml - Levalbuterol

Xopenex 1.25mg/3ml - Levalbuterol

Xopenex 200 metered Inhaler - Levalbuterol

Xyzal 5mg - Levocetirizine dihydrochloride

Zafirlukast - Accolate

Zarontin 250mg/5ml Liquid-ethosuximide

Zarontin 250mg-ethosuximide

Zbec

Zeasorb Powder-

Zegerid 20mg/1680mg Pwd-Omeprazole/Sodium Bicarb

Zegerid 40mg/1100mg - Omeprazole/Sodium bicarbonate

Zegerid 40mg/1680mg Pwd-Omeprazole/Sodium Bicarb

Zegerid Powder packets 20mg/1680

Zemplar 1mg - Paricalcitol

Zendep 10,000units-pancreatic enzymes

Zetia 10mg - Ezetimibe

Zinc 50mg

Zinc Oxide Paste 16% (Boudreau's)

Zinc Sulfate 220mg

Ziprasidone 40mg-Geodon

Ziprasidone 60mg-Geodon

Ziprasidone 80mg-Geodon

Zipsor 25mg-diclofenac potassium

Zisprasidone 20mg-Geodon

Zithromax 250mg-azithromycin

Zithromax 600mg-azithromycin

Zoloft 100mg-sertraline

Zoloft 25mg-sertraline

Zoloft 50mg-sertraline

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PAN CHARITABLE PHARMACY FORMULARY

**BOLDED ITEMS ARE ALWAYS AVAILABLE**

Zomig 2.5mg - Zolmitriptan

Zomig 5mg - Zolmitriptan

Zomig Nasal Spray 5mg - Zolmitriptan

Zomig ZMT 2.5mg - Zolmitriptan

Zomig ZMT 5mg - Zolmitriptan

Zonisamide 100mg - Zonegran

Zonisamide 25mg-Zonegran

Zonisamide 50mg - Zonegran

Zovirax 400mg - Acyclovir

Zovirax Oint 15Gm - Acyclovir

Zymar Opth Soln-gatifloxacin

Zymaxid Opthalmic Solution (Gatifloxacin)

Zyprexa 10mg - Olanzapine

Zyprexa 10mg Inj - Olanzapine

Zyprexa 15mg - Olanzapine

Zyprexa 2.5mg - Olanzapine

Zyprexa 20mg - Olanzapine

Zyprexa 5mg - Olanzapine

Zyprexa 7.5mg - Olanzapine

Zyprexa Zydis 10mg - Olanzapine

Zyprexa Zydis 15mg - Olanzapine

Zyprexa Zydis 20mg - Olanzapine

Zyprexa Zydis 5mg - Olanzapine

Zyvox 600mg-linezolid

Revised 6/12/2013