healthpac formulary

HealthPAC Formulary Current as of January 2015

Brand

NameGeneric Name Strength Class I Class II

Aclovate Alclometasone Cream 45 gm Anti-inflammatory Agents

Aclovate Alclometasone Ointment 45 gm Anti-inflammatory Agents

Actigall Ursodiol 300 mg GI

Actos Pioglitazone hydrochloride 15 mg DiabetesThiazolidinedion

es


es


es

Adderall XR Dextroamphetamine/amphetamine 10 mg Psychiatric Stimulant




Alaway Ketotifen 0.025% Ophthalmic

Aldactone Spironolactone 25 mg Cardiovascular Diuretics

Aldactone Spironolactone 50 mg Cardiovascular Diuretics

Aldactone Spironolatone 100 mg Cardiovascular Diuretics

Aldomet Methyldopa 250 mg CardiovascularCentral Alpha

Agonist

Aldomet Methyldopa 500 mg CardiovascularCentral Alpha

Agonist

Alphagan Brimonidine tartrate solution 0.2% Ophthalmic Glaucoma

Alphagan Brimonidine tartrate solution 0.2% Ophthalmic Glaucoma

Ambien Zolpidem 10 mg tabs Psychiatric Hypnotic

Ambien Zolpidem 5 mg tabs Psychiatric Hypnotic

Amoxil Amoxicillin 125 mg / 5 cc (80 cc) Antimicrobials Penicillins

Amoxil Amoxicillin 250 mg Antimicrobials Penicillins

Amoxil Amoxicillin 250 mg / 5 cc (150 cc) Antimicrobials Penicillins

Amoxil Amoxicillin 400 mg/ 5 cc Antimicrobials Penicillins

Amoxil Amoxicillin 500 mg Antimicrobials Penicillins

Anafranil Clomipramine 25 mg Psychiatric Antidepressant


Disclaimer: Doses / routes of administration are the responsibility of the prescribing provider based on the medical home's practice guidelines. of 24


Brand



Antivert Meclizine 25mg tabs Neurologic Misc

Apresoline Hydralazine 10 mg CardiovascularOther

Vasodilators


Vasodilators


Vasodilators


Vasodilators

Artane Trihexyphenidyl 2 mg Neurologic Parkinson

Artane Trihexyphenidyl 2 mg / 5 cc Neurologic Parkinson

Artane Trihexyphenidyl 5 mg Neurologic Parkinson

Asacol Mesalamine 400 mg GI

Anti-

inflammatory

bowelAtarax Hydroxyzine HCL 10 mg Cold, Cough, Allergy Antihistamine

Atarax Hydroxyzine HCL 10 mg / 5 cc (120 ml) Cold, Cough, Allergy Antihistamine

Atarax Hydroxyzine HCL 25 mg Cold, Cough, Allergy Antihistamine

Atarax Hydroxyzine HCL 50 mg Cold, Cough, Allergy Antihistamine

Ativan Lorazepam (SCH IV) 0.5 mg Psychiatric Benzos



Atrovent Ipratropium MDI 18mcg/dose MDI (14gm) Respiratory Asthma

Atrovent Inh Sol Ipratropium bromide 0.02% 500 mcg (3 cc/amp) Respiratory Nebulizer soln

Augmentin Amoxicillin-clavulanate 200 mg / 5 cc (100 ml) Antimicrobials Penicillins

Augmentin Amoxicillin-clavulanate 500 mg-125 mg Antimicrobials Penicillins

Augmentin Amoxicillin-clavulanate 875 mg Antimicrobials Penicillins

AuralganAntipyrene, Benzodine, Glycerine

dehyd10 ml drops Otic

Azopt Brinzolamide 1% solution Ophthalmic Glaucoma

Azulfidine Sulfasalazine 500 mg GI

Anti-

inflammatory

bowel



Brand


Bactrim Sulfamethxzl Trimethoprim 40mg / 5ml - 200mg / 5-ml (60 ml) Antimicrobials Sulfas

Bactroban Mupirocin 2% ointment Antibiotic

Benadryl Diphenhydramine 12.5 mg/ 5ml Cold, Cough, Allergy Antihistamine

Benadryl Diphenhydramine 25, 50 mg capsules Cold, Cough, Allergy Antihistamine

Benadryl Diphenhydramine 50 mg/cc (inj) Cold, Cough, Allergy Antihistamine

Benemid Probenecid 500 mg Gout

Bentyl Dicyclomine 10 mg GI Antispasmodics

Bentyl Dicyclomine 20 mg GI Antispasmodics

Biaxin Clarithromycin 500 mg Antimicrobials

Biltricide Praziquantel 600 mg Anthelmintics

BuSpar Buspirone HCI 10 mg Psychiatric Other




Calan SR Verapamil SR 120 mg CardiovascularCalcium Channel

Blockers


Blockers


Blockers

Calciferol Vitamin D 50,000 units Vitamin

Capoten Captopril 100 mg Cardiovascular ACE Inhibitor

Capoten Captopril 12.5 mg Cardiovascular ACE Inhibitor



Carafate Sucralfate 1 Gm GI

Cardizem Diltiazem 120 mg CardiovascularCalcium Channel

Blockers

Cardizem CD Diltiazem CD 120 mg CardiovascularCalcium Channel

Blockers


Blockers



Brand



Blockers


Blockers


Blockers

Cardizem CD Diltiazem CD 360mg CardiovascularCalcium Channel

Blockers


Blockers


Blockers

Cardizem CD,

Dilacor Xr, Cartia

XL, Dilt-CD

Diltiazem 60 mg CardiovascularCalcium Channel

Blockers

Cardizem CD,

Dilacor Xr, Cartia

XL, Dilt-CD

Diltiazem 90 mg CardiovascularCalcium Channel

Blockers

Cardizem LA Dilitiazem HCI 180 mg CardiovascularCalcium Channel

Blockers

Cardizem SR Diltiazem SR 120 mg CardiovascularCalcium Channel

Blockers


Blockers


Blockers


Blockers

Cardura Doxazosin mesylate 1 mg Cardiovascular Alpha-1 blocker






Brand


Catapres Clonidine HCI tabs 0.1 mg CardiovascularCentral Alpha

Agonist


Agonist


Agonist

Celexa Citalopram Hydrobromide 10 mg Psychiatric Antidepressant

Celexa Citalopram Hydrobromide 10 mg / 5 cc Psychiatric Antidepressant



Ciloxan Ciprofloxacin eye drop 0.3% Ophthalmic

Cipro Ciprofloxacin 250 mg Antimicrobials Quinolones

Cipro Ciprofloxacin 500 mg Antimicrobials Quinolones

Claritin Loratidine 10mg Antihistamine

Cleocin Clindamycin 150 mg Antimicrobials Misc

Cleocin Clindamycin 300 mg Antimicrobials Misc

Cleocin Clindamycin topical gel, lotion 1% Derm Acne

Cleocin-T Clindamycin topical solution 1% (60 ml) Derm Acne

Clinoril Sulindac 150 mg Analgesic NSAID

Clinoril Sulindac 200 mg Analgesic NSAID

Cogentin Benztropine mesylate 0.5 mg Neurologic Parkinson

Cogentin Benztropine mesylate 1 mg Neurologic Parkinson

Cogentin Benztropine mesylate 1 mg/cc (inj) Neurologic Parkinson

Cogentin Benztropine mesylate 2 mg Neurologic Parkinson

Colcrys Colchicine 0.6 mg Gout

Combivent MDI Albuterol-ipratropium Inhaler Respiratory

Compazine Prochlorperazine 10 mg GI Antiemetic

Compazine Prochlorperazine 25 mg supp GI Antiemetic

Compazine Prochlorperazine 5 mg GI Antiemetic

Cordarone Amiodarone 200 mg Cardiovascular Antiarrythmic

Cordarone Amiodarone 400 mg Cardiovascular Antiarrythmic

Coreg Carvedilol 12.5 mg Cardiovascular Beta Blockers



Brand


Coreg Carvedilol 25 mg Cardiovascular Beta Blockers



Cortizone Hydrocortisone cream 2.5% Derm Antiinflammatory

Cortizone Hydrocortisone ointment 2.50% Derm Antiinflammatory

Cortizone Hydrocortisone Suppositories 25 mg GI Antiinflammatory

Coumadin Warfarin sodium 1 mg Cardiovascular Anticoagulants



Coumadin Warfarin sodium 2.5 mg Cardiovascular Anticoagulants





Coumadin Warfarin sodium 7.5 mg Cardiovascular Anticoagulants

Cozaar Losartan 100 mg CardiovascularAngiotensin II

Blocker


Blocker


Blocker

Cytotec Misoprostol 100 mg GI

Cytotec Misoprostol 200 mg GI

Deltasone Prednisone 1 mg Endocrine Glucocorticoids


Deltasone Prednisone 2.5 mg Endocrine Glucocorticoids




Depakote DR Divalproex sodium 125 mg Psychiatric Mood Stabilizer





Brand


Depakote ER Divalproex sodium 250 mg Psychiatric Mood Stabilizer

Depakote ER Divalproex sodium 500 mg Psychiatric Mood Stabilizer

Depo Testosterone Testosterone Inj 100 mg/ml Hormone Replacement

Depo Testosterone Testosterone Inj 200mg/ml Hormone Replacement

Desyrel Trazodone 100 mg Psychiatric Antidepressant



Diflucan Fluconazole 100 mg Antimicrobials Antifungals



Dilantin Phenytoin 100 mg Neurologic Anticonvulsant

Dilantin Phenytoin 50 mg Neurologic Anticonvulsant

Ditropan Oxybutynin 5 mg Genitourinary

Donnatal Belladona alkaloids, phenobarbital 16.2 mg GI Antispasmodics

Doryx Vibramycin Doxycycline 100 mg Antimicrobials Tetracyclines

Doryx Vibramycin Doxycycline 50 mg Antimicrobials Tetracyclines

Duphalac Lactulose 10g/15 ml syrup GI Laxatives

Dynapen Dicloxacillin 250 mg Antimicrobials Penicillins

Dynapen Dicloxacillin 500 mg Antimicrobials Penicillins

Effexor IR Venlafaxine 25 mg Psychiatric Antidepressant

Effexor XR Venlafaxine XR 100 mg Psychiatric Antidepressant

Effexor XR Venlafaxine XR 37.5 mg Psychiatric Antidepressant

Effexor XR Venlafaxine XR 75 mg Psychiatric Antidepressant

Elavil Amitriptyline 10 mg Psychiatric Antidepressant





Elimite Permethrin cream 5% (60 Gm) DermScabicide and

Lice

Erygel Erythromycin gel or solution 2% Derm Acne

Ery-Tab Erythromycin stearate 250 mg Antimicrobials Macrolides



Brand




Esidrix Hydrochlorothiazide 25 mg Cardiovascular Diuretics

Esidrix Hydrochlorothiazide 50 mg Cardiovascular Diuretics

Eskalith CR Lithium carbonate 150 mg Psychiatric Mood Stabilizer

Eskalith CR Lithium carbonate 300 mg Psychiatric Mood Stabilizer

Eskalith SR Lithium carbonate 300 mg Psychiatric Mood Stabilizer

Eskalith SR Lithium carbonate 450 mg Psychiatric Mood Stabilizer

Estrace Estradiol 0.5 mg Hormone Replacement

Estrace Estradiol 1 mg Hormone Replacement

Estrace Estradiol 2 mg Hormone Replacement

Fioricet Butalbital-APAP-Caffeine 50/325/40 Analgesic Misc

Flagyl Metronidazole 250 mg Antimicrobials Misc

Flagyl Metronidazole 500 mg Antimicrobials Misc

Flexeril Cyclobenzaprine 10 mg Analgesic Muscle Relaxant

Flint SSD,

SilvadeneSilver sulfadiazine 1% crm Derm Other

Flomax Tamsulosin 0.4 mg Genitourinary Alpha-blockers

Flonase Fluticasone propionate 50 mcg/spray Respiratory Nasal Inhaler

Florinef Fludrocortisone 0.1 mg Endocrine

Florinef Fludrocortisone 0.2 mg Adrenals

Fosamax Alendronate 35 mg Osteoporosis

Fosamax Alendronate 70 mg Osteoporosis

Garamycin Gentamicin eye drops 0.3% (5 ml) Ophthalmic

Glucophage Metformin 1000 mg Diabetes Biguanides



Glucophage XR Metformin ER 1000 mg Diabetes Biguanides



Glucotrol Glipizide 10 mg Diabetes Sulfonylureas

Glucotrol Glipizide 5 mg Diabetes Sulfonylureas



Brand


Grifulvin V Griseofulvin micro liquid 125 mg / 5 mL (120 ml) Antimicrobials Antifungals

Grisactin Fulvicin Griseofulvin ultramicro 125 mg Antimicrobials Antifungals

Grisactin Fulvicin Griseofulvin ultramicro 250 mg Antimicrobials Antifungals

Haldol Haloperidol 0.5 mg Psychiatric Antipsychotic

Haldol Haloperidol 1 mg Psychiatric Antipsychotic



Haldol Haloperidol 2 mg / cc (120 cc) Psychiatric Antipsychotic

Haldol Haloperidol 2 mg / cc (15 cc) Psychiatric Antipsychotic



Haldol Haloperidol decanoate 100 mg/cc (inj) Psychiatric Antipsychotic

Haldol Haloperidol decanoate 50 mg/cc (inj) Psychiatric Antipsychotic

HC Hydrocortisone 10mg Derm Antiinflammatory

HC Hydrocortisone 2.5% lotion Derm Antiinflammatory



Helidacbismuth subsalicylate-metronidazole-

tetracyclineHelicobacter pylori agent

Humalog Insulin Lispro 100U/mL Diabetes Insulin Product

Humulin N Insulin NPH U100 (10 ml) Diabetes Insulin Product

Humulin R Insulin Regular U100 (10 ml) Diabetes Insulin Product

Humulin, Novolin Insulin 70/30 U100 (10 ml) Diabetes Insulin Product

Hytrin Terazosin HCL 1 mg Genitourinary




Imdur Isosorbide mononitrate IR, SR 10 mg CardiovascularNitrate

Vasodilators


Vasodilators



Brand



Vasodilators


Vasodilators


Vasodilators

Imitrex Sumatriptan 100 mg Neurologic Migraine



Imuran Azathioprine 50 mg Immunosupressive

Inderal Propranolol HCL 10 mg Cardiovascular Beta Blockers





Indocin Indomethacin 25 mg Analgesic NSAID

Indocin Indomethacin 50 mg Analgesic NSAID

INH Isoniazid 10 mg / ml Antimicrobials Antitubercular

INH Isoniazid 100 mg Antimicrobials Antitubercular

INH Isoniazid 300 mg Antimicrobials Antitubercular

Intal Cromolyn inhaler 14.2 Gm Respiratory

Isoptin Verapamil 120 mg CardiovascularCalcium Channel

Blockers

Isoptin Verapamil LA 180 mg CardiovascularCalcium Channel

Blockers

Isordil Isosorbide dinitrate 10 mg CardiovascularNitrate

Vasodilators


Vasodilators


Vasodilators



Brand



Vasodilators

Keflex Cephalexin 125 mg / 5 ml (200 ml) Antimicrobials Cephalosporins

Keflex Cephalexin 250 mg Antimicrobials Cephalosporins

Keflex Cephalexin 250 mg / 5 ml (100 ml) Antimicrobials Cephalosporins

Keflex Cephalexin 500 mg Antimicrobials Cephalosporins

Kenalog, AristocortTriamcinolone cream, ointment, or

lotion0.025% Derm Antiinflammatory

Kenalog, AristocortTriamcinolone cream, ointment, or

lotion0.10% Derm Antiinflammatory

Keppra Levetiracetam 1000 mg Neurologic



Klonopin Clonazepam (SCH IV) 0.5 mg Psychiatric Benzos

Klonopin Clonazepam (SCH IV) 1 mg Psychiatric Benzos

Klonopin Clonazepam (SCH IV) 2 mg Psychiatric Benzos

K-Tab, K-Dur,

Slow-K, Klor-conPotassium chloride tabs 10 mEq Cardiovascular

Potassium

Supplement

K-Tab, K-Dur,


Potassium

Supplement

K-Tab, K-Dur,


Potassium

Supplement

Lamictal Lamotrigine 100 mg tab Neurologic Anticonvulsant




Lanoxin Digoxin 0.125 mg Cardiovascular Glycosides

Lanoxin Digoxin 0.25 mg Cardiovascular Glycosides

Lantus Insulin glargine 100 IU/mL Diabetes Insulin Product

Lasix Furosemide 20 mg Cardiovascular Diuretics





Brand


Levaquin Levofloxacin 500 mg Antimicrobials

Levoxyl Levothyroxine 0.025 mg Endocrine Thyroid












Lidex Fluocinonide 0.05% solution 60ml Derm Antiinflammatory

Lidex Fluocinonide 0.05% gel (60gm) Derm Antiinflammatory

Lidex Fluocinonide 0.05% cream (30 gm) Derm Antiinflammatory

Lidex Fluocinonide 0.05% cream (60 gm) Derm Antiinflammatory

Lidex Fluocinonide 0.05% oint (15 gm) Derm Antiinflammatory



Lioresal Baclofen 10 mg Analgesic Muscle Relaxant

Lioresal Baclofen 20 mg Analgesic Muscle Relaxant

Lomotil Diphenoxylate-atropine 2.5 mg GI Antidiarrhea

Lomotil Diphenoxylate-atropine (SCH V) 2.5 / .025 / 5 (60 ml) GI Antidiarrhea

Lopid Gemfibrozil 600 mg CardiovascularCholesterol

Lowering Agents

Lopressor Metoprolol tartrate 100 mg Cardiovascular Beta Blockers



Loxitane Loxapin 5, 10, 25, 50 mg Psychiatric Antipsychotic

Macrobid Nitrofurantoin monohydrate 100 mg Antimicrobials Misc

Macrodantin Nitrofurantoin macrocryst 100 mg Antimicrobials Misc



Brand


Macrodantin Nitrofurantoin macrocryst 50 mg Antimicrobials Misc

Maxzide Triamterene hctz 37.5/25 mg Cardiovascular Diuretics

Maxzide Triamterene hctz 75 / 50 mg Cardiovascular Diuretics

Metrocream Metronidazole cream 0.075% Antimicrobials Misc

Metrocream Metronidazole cream 0.75% Derm Acne

Metrogel Metronidazole topical gel 0.75% Derm Acne

Mevacor Lovastatin 10, 20, 40 mg CardiovascularCholesterol

Lowering Agents

Micronase Diabeta Glyburide 1.25 mg Diabetes Sulfonylureas

Micronase Diabeta Glyburide 2.5 mg Diabetes Sulfonylureas

Micronase Diabeta Glyburide 5 mg Diabetes Sulfonylureas

Microzide Hydrochlorothiazide 12.5 mg cap Cardiovascular Diuretics

Minipress Prazosin 1 mg Cardiovascular Alpha-blockers



Mix GolytelyPolyethylene glycol electrolyte

solution240 g GI Prep

Motrin Ibuprofen 400 mg Analgesic NSAID



MS Morphine sulfate Liquid 20 mg/ 5 ml Analgesic Narcotic

MS Morphine sulfate short acting 15,30 mg Analgesic Narcotic

Myambutol Ethambutol 100 mg Antimicrobials Antitubercular

Myambutol Ethambutol 400 mg Antimicrobials Antitubercular

Mysoline Primidone 250 mg Neurologic Anticonvulsant

Mysoline Primidone 50 mg Neurologic Anticonvulsant

Naprosyn Naproxen 250 mg Analgesic NSAID



Narcan Naloxone 0.4 mg/ ml Toxicology AgentsOpiate

Antagonists



Brand


Narcan Naloxone 1 mg/ ml Toxicology AgentsOpiate

Antagonists

Nasarel Flunisolide 25 mcg/spray (0.025%) Cold, Cough, Allergy Nasal Steroids

Navane Thiothixene 1 mg Psychiatric Antipsychotic





Navane Thiothixene 5 mg/ ml Psychiatric Antipsychotic

Neurontin Gabapentin 100 mg Neurologic Anticonvulsant




NicoDerm Nicotine Patches- 28 weeks 14 mg Smoking deterrents



Nitrostat Nitroglycerine SL 0.4 mg CardiovascularNitrate

Vasodilators

Nizoral Ketoconazole 2% crm (15 Gm) Antimicrobials Antifungals



Nizoral Ketoconazole 2% shampoo Antimicrobials Antifungals

Nizoral Ketoconazole 200 mg (tabs) Antimicrobials Antifungals

Norco Acetaminophen/Hydrocodone 325/10 mg Analgesic Narcotic

Norco Acetaminophen/Hydrocodone 325/5 mg Analgesic Narcotic

Norco Acetaminophen/Hydrocodone 325/7.5 mg Analgesic Narcotic

Norvasc Amlodipine 10 mg CardiovascularCalcium Channel

Blockers

Norvasc Amlodipine 2.5 mg CardiovascularCalcium Channel

Blockers

Norvasc Amlodipine 5 mg CardiovascularCalcium Channel

Blockers



Brand


Oramorph SR Morphine sulfate SR 100 mg Analgesic Narcotic




Pamelor Nortriptyline 10 mg Psychiatric Antidepressant




Parlodel Bromocriptine 2.5mg Hypoprolactinemic

Paxil Paroxetine 10 mg Psychiatric Antidepressant

Paxil Paroxetine 10 mg / 5 ml Psychiatric Antidepressant




Pepcid Famotidine 20 mg GI H2 Antagonists

Pepcid Famotidine 40 mg GI H2 Antagonists

Percocet Acetaminophen/Oxycodone 325/5 and 325/10 Analgesic Narcotic

Persantine Dipyridamole 25 mg Cardiovascular Anticoagulants



Phenergan Promethazine HCI 12.5 mg GI Antiemetic

Phenergan Promethazine HCI 12.5 mg supp GI Antiemetic

Phenergan Promethazine HCI 25 mg GI Antiemetic

Phenergan Promethazine HCI 50 mg GI Antiemetic

Phenergan

suppositorPromethazine HCI 25 mg supp GI Antiemetic

Phenergan syrup Promethazine HCI 6.25 / 5 ml (120 ml) GI Antiemetic

Phoslo Calcium acetate 667 mg Phosphate binder

Phytonadione Vitamin K 5 mg tab Vitamin

Plaquenil Hydroxychloroquine 200 mg Rheumatology

Plavix Clopidogrel 75 mgplatelet aggregation

inhibitorpolyethylene glycol Miralax 238g GI



Brand


polyethylene glycol Miralax 510g GI

Polytrim Polymyxin b- trimethoprim 10 mL drops Ophthalmic

Polytrim Polymyxin b- trimethoprim 3.5 gm ointment Ophthalmic

Pravachol Pravastatin 20, 40, 80 mg tabs CardiovascularCholesterol

Lowering Agents

Prelone Prednisolone 15mg/5ml oral sol Endocrine Glucocorticoids

Premarin Conjugated Estrogen Cream 0.625 mg/g crm (43 Gm) Hormone Replacement

Prilosec Omeprazole 20 mg GI PPI

Prinivil, Zestril Lisinopril 10 mg Cardiovascular ACE Inhibitor

Prinivil, Zestril Lisinopril 2.5 mg Cardiovascular ACE Inhibitor





Procardia, Adalat

CC, NifediacNifedipine SR 30 mg Cardiovascular

Calcium Channel

Blockers

Procardia, Adalat


Calcium Channel

Blockers

Procardia, Adalat


Calcium Channel

Blockers

Prolixin Fluphenazine 0.5 mg/ml Psychiatric Antipsychotic

Prolixin Fluphenazine 1 mg Psychiatric Antipsychotic

Prolixin Fluphenazine 10 mg Psychiatric Antipsychotic

Prolixin Fluphenazine 2.5 mg Psychiatric Antipsychotic

Prolixin Fluphenazine 5 mg / cc Psychiatric Antipsychotic

Prolixin Fluphenazine decanoate 25 mg/cc (inj) Psychiatric Antipsychotic

Proscar Finasteride 5 mg Genitourinary

5-alpha

reductase

inhibitor

Proventil Albuterol solution neb 5 mg/ml (20 ml bottle) Respiratory Nebulizer soln

Proventil Albuterol Unit Dose 0.83 mg/ml Respiratory



Brand


Proventil HFA

(IDP)

Albuterol HFA (IDP) tablet, MDI,

solution, UD90 mcg Respiratory Inhaler

Provera Medroxyprogesterone 10 mg Hormone Replacement

Provera Medroxyprogesterone 2.5 mg Hormone Replacement

Provera Medroxyprogesterone 5 mg Hormone Replacement

Prozac Fluoxetine 10 mg Psychiatric Antidepressant


Prozac Fluoxetine 20 mg / 5 ml Psychiatric Antidepressant


PTU Propylthiouracil 50 mg Endocrine Thyroid

Pyridium Phenazopyridine HCL 100 mg Genitourinary

Pyridium Phenazopyridine HCL 200 mg Genitourinary

Qvar Beclomethasone dipropinate 40 mcg Respiratory Steroid inhaler

Qvar Beclomethasone dipropinate 80 mcg Respiratory Steroid inhaler

Reglan Metoclopramide 10 mg GI Antiemetic

Reglan Metoclopramide hcl 5 mg GI Antiemetic

Relafen Nabumetone 750 mg Analgesic NSAID

Remeron Mirtazapine 15 mg Psychiatric Antidepressant



Restoril Temazepam (SCH IV) 15 mg Psychiatric Hypnotic

Restoril Temazepam (SCH IV) 30 mg Psychiatric Hypnotic

Retin-A Tretinoin0.01%, 0.025%, 0.05%, 0.1%

cream, gelDerm Acne

Rheumatrex Methotrexate 2.5 mg Chemotherapy

Rifadin Rifampin 150 mg Antimicrobials Antitubercular

Rifadin Rifampin 300 mg Antimicrobials Antitubercular

Risperdal Risperidone 0.5 mg Psychiatric Antipsychotic

Risperdal Risperidone 1 mg Psychiatric Antipsychotic

Risperdal Risperidone 1 mg/ml solution Psychiatric Antipsychotic



Brand





Ritalin Methylphenidate short acting 10mg Psychiatric Stimulant



Ritalin LA Methylphenidate long-acting 10mg Psychiatric Stimulant




Robaxin Methocarbamol 500 mg Analgesic Muscle Relaxant

Robaxin Methocarbamol 750 mg Analgesic Muscle Relaxant

Robitussin AC Guaifenesin + Codeine 100 mg - 10mg / 5 ml Cold, Cough, Allergy Antitussive

Rocaltrol Calcitriol 0.25 mcg Vitamin

Rocaltrol Calcitriol 0.5mcg Vitamin

Selsun Selenium sulfide lotion 2.50% Derm Anti-seborrhea

Septra Sulfamethxzl Trimethoprim 80 / 400 mg Antimicrobials Sulfas

Septra Sulfamethxzl Trimethoprim DS 160 / 800 mg Antimicrobials Sulfas

Serevent Diskus Salmeterol xinafoate 50 mcg Respiratory Asthma

Seroquel Quetiapine fumarate 100 mg Psychiatric Antipsychotic






Sinemet Carbidopa - levodopa 10 - 100 mg Neurologic Parkinson



Sinemet CR Carbidopa - levodopa LA 25 - 100 mg Neurologic Parkinson

Sinemet CR Carbidopa - levodopa LA 50 - 200 mg Neurologic Parkinson

Sinequan Doxepin HCL 10 mg Psychiatric Antidepressant




Brand






Singulair Montelukast 10 mg Respiratory

Singulair Montelukast 5 mg chew Respiratory

Soltamox Tamoxifen 10 mg Hormone Replacement

Soma Carisoprodol 250 mg muscle relaxant

Spectazole Econazole 1% crm 30 Gm (30 Gm) Antimicrobials Antifungals



Stelazine Trifluoperazine 10 mg Psychiatric Antipsychotic



Sulamyd Sulfacetamide sodium eye drop sol 10% Ophthalmic

Sulamyd Sulfacetamide sodium eye ointment 10% Ophthalmic

Sumycin Tetracycline 250 mg Antimicrobials Tetracyclines

Sumycin Tetracycline 500 mg Antimicrobials Tetracyclines

Symmetrel Amantadine 100 mg Neurologic Parkinson

Symmetrel Amantadine 50 mg / 5 ml (120 ml) Neurologic Parkinson

Synalar Fluocinolone acetonide 0.01% cream Derm Antiinflammatory

Synalar Fluocinolone acetonide 0.01% ointment Derm Antiinflammatory

Synalar Fluocinolone acetonide 0.025% cream Derm Antiinflammatory

Synalar Fluocinolone acetonide 0.025% ointment Derm Antiinflammatory

Synalar Fluocinolone acetonide 0.025%, 0.01% solution, 60 ml Derm Antiinflammatory

Tagamet Cimetidine 400 mg GI H2 blockers

Tamiflu Oseltamivir 12mg/ml Antimicrobials Antiviral

Tamiflu Oseltamivir 75 mg Antimicrobials Antiviral

Tapazole Methimazole 10 mg Endocrine Thyroid

Tapazole Methimazole 5 mg Endocrine Thyroid

Tegretol Carbamazepine 100 mg Psychiatric Mood Stabilizer

Tegretol Carbamazepine 100 mg / 5 cc Psychiatric Mood Stabilizer



Brand


Tegretol Carbamazepine 200 mg Psychiatric Mood Stabilizer

Temovate Clobetasol lotion 0.05% Derm

Temovate Clobetasol propionate 0.05% crm (15 Gms) Derm Antiinflammatory

Temovate Clobetasol propionate 0.05% oint (15 Gms) Derm Antiinflammatory

Temovate Clobetasol propionate 0.05% oint (30 Gms) Derm Antiinflammatory

Tenormin Atenolol 100 mg Cardiovascular Beta Blockers



Thalitone Chlorthalidone 25mg Cardiovascular Diuretics

Thalitone Chlorthalidone 50 mg Cardiovascular Diuretics

Theo-Dur Theophylline 200 mg Respiratory

Theo-Dur Theophylline 300 mg Respiratory

Thorazine Chlorpromazine 10 mg Psychiatric Antipsychotic


Thorazine Chlorpromazine 100 mg/ml Psychiatric Antipsychotic



Thorazine Chlorpromazine 30 mg/ml Psychiatric Antipsychotic


Ticlid Ticlopidine 250 mgPlatelet aggregation

inhibitor

Tofranil Imipramine 10 mg Psychiatric Antidepressant



Toprol XL Metoprolol succinate 100 mg Cardiovascular Beta Blockers



Trandate Labetalol HCL 100 mg Cardiovascular Beta Blockers




Brand



Trental Pentoxifylline ER 400 mg Hemorrheologic Agents

Trilafon Perphenazine 16 mg Psychiatric Antipsychotic

Trilafon Perphenazine 16 mg / 5 cc (120 ml) Psychiatric Antipsychotic




Tylenol #3 Acetaminophen/Codeine #3 300 / 30 mg Analgesic Narcotic

Ultram, Rybix Tramadol 50 mg Analgesic Misc

Valium Diazepam (SCH IV) 10 mg Psychiatric Benzos



VasereticEnalapril

maleate/Hydrochlorothiazide10 - 25 mg Cardiovascular Antihypertensive

VasereticEnalapril

maleate/Hydrochlorothiazide5 - 12.5 mg Cardiovascular Antihypertensive

Vasotec Enalapril maleate 10 mg Cardiovascular ACE Inhibitor

Vasotec Enalapril maleate 2.5 mg Cardiovascular ACE Inhibitor



Veetids Penicillin VK 250 mg Antimicrobials Penicillins

Ventolin, Proventil Albuterol liquid 2 mg / 5 cc (120 ml) Respiratory

VicodinAcetaminophen/Hydrocodone

bitartrate500 mg - 5 mg Analgesic Narcotic

Vitamin B5 Pyridoxine 25 mg Vitamin

Vitamin B6 Pyridoxine 100 mg Vitamin

Voltaren Diclofenac 50 mg Analgesic NSAID

Voltaren Diclofenac 75 mg Analgesic NSAID

Vosol Acetic acid 15 ml drops Otic

Vosol HC Acetic acid/Hydrocortisone 2%-1% Otic

Wellbutrin SR Buproprion IR, SR 100 mg Psychiatric Antidepressant






Brand



Wellbutrin XL Bupropion XL 150 mg, 300 mg Psychiatric Antidepressant

Xalatan Latanoprost 0.005% Ophthalmic

Zantac Ranitidine 150 mg GI H2 blockers

Zantac Ranitidine 300 mg GI H2 blockers

Zaroxolyn Metolazone 10 mg Cardiovascular Diurectics

Zaroxolyn Metolazone 2.5 mg Cardiovascular Diurectics

Zaroxolyn Metolazone 5 mg Cardiovascular Diurectics

Zestoretic Lisinopril/Hydrochlorothiazide 10 - 12.5 mg Cardiovascular Antihypertensive

Zestoretic Lisinopril/Hydrochlorothiazide 20 - 12.5 mg Cardiovascular Antihypertensive

Zestoretic Lisinopril/Hydrochlorothiazide 20 - 25 mg Cardiovascular Antihypertensive

Zithromax Azithromycin 250 mg Antimicrobials Macrolides

Zocor Simvastatin 10 mg CardiovascularCholesterol

Lowering Agents


Lowering Agents


Lowering Agents

Zoloft Sertraline 100 mg Psychiatric Antidepressant

Zoloft Sertraline 20 mg/ml Psychiatric Antidepressant



Zovirax Acyclovir 200 mg Antimicrobials Antiviral



Zyloprim Allopurinol 100 mg Gout

Zyloprim Allopurinol 300 mg Gout

Zyprexa Olanzapine 2.5mg Psychiatric Antipsychotic

Zyprexa Olanzapine 5 mg Psychiatric Antipsychotic

Acetylsalicylic acid (ASA) 81, 325 mg Analgesic Salicylates

Cortisporin otic soln 1%-0.35%-10000u/mL (10 ml) Otic

Cortisporin otic susp drops (10 ml) Otic



Brand


Diabetes supplies - glucometer Diabetes

Diabetes supplies - lancets Diabetes

Diabetes supplies - syringes/needles Diabetes

Diabetes supplies - test strips Diabetes

Diabetes supplies - testing control

solutionDiabetes

Erythromycin eye ointment 5 mg / Gm (3.5 Gm) Ophthalmic

Folic Acid 800 MicroGrams Vitamin

Methadone 10 mg Analgesic Narcotic

Methadone 5 mg Analgesic Narcotic

Niacin IR & ER tabs only 100 mg Cardiovascular



Nystatin (cream or ointment) Derm Antifungals

Nystatin oral suspension 100,000 units/ml Antimicrobials Antifungals

Penicillin VK 125 mg / 5 cc (200 cc) Antimicrobials Penicillins



Penicillin VK 500 mg Antimicrobials Penicillins

Phenobarbital (SCH IV) 100 mg Neurologic Anticonvulsant




Potassium chloride 10% (480 cc) CardiovascularPotassium

Supplement

Prednisolone ophth solu or susp 1% Ophthalmic

Promethazine/VC/DM Cold, Cough, Allergy Antitussive

Pyrazinamide 500 mg Antimicrobials Antitubercular

Salsalate 500 mg Analgesic Salicyclates

Salsalate 750 mg Analgesic Salicyclates

Timolol Maleate eye drops 0.25% Ophthalmic Glaucoma

Timolol Maleate eye drops 0.5% Ophthalmic Glaucoma



Brand


Tobramycin ophthal soln. 0.30% Ophthalmic

Vitamin B6 50 mg Vitamin


healthpac formulary

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