jointb asemcguire-dix-lakehurst outpatient...

1

Alphabetical Listing by Name

Th is docume nt is cu rre nt as of The availability of formulary items is subject to chan

Joint Base McGuire-Dix-Lakehurst Outpatient Formulary

November 14, 2019.ge.


Alphabetical Drug Listing Common Brand

Name

Dosage Forms Available

Acarbose Precose Tablet, Oral:

Generic: 25 mg, 50 mg, 100 mg

Acetaminophen Tylenol Caplet, Oral:

Tylenol Extra Strength: 500 mg

Solution, Oral:

Generic: 160 mg/5 mL (5 mL, 10 mL, 20 mL)

Suppository, Rectal:

Generic: 120 mg (12s); 650 mg (12s)

Suspension, Oral:

Generic: 160 mg/5 mL (118 mL)

Tablet, Oral:

Generic: 325 mg

Acetaminophen and Codeine Tylenol with

Codeine #3

Solution, Oral [C-V]:

Acetaminophen 120 mg and codeine phosphate 12 mg per 5 mL (120 mL,

473 mL) [BCF]

Tablet, Oral [C-III]:

Acetaminophen 300 mg and codeine phosphate 30 mg [BCF]

AcetaZOLAMIDE Diamox Sequels Capsule Extended Release 12 Hour, Oral:

Generic: 500 mg

Acetic Acid, Propylene Glycol

Diacetate, and

Hydrocortisone

Acetasol HC Solution, Otic [drops]:

Generic: Acetic acid 2%, propylene glycol diacetate 3%, and

hydrocortisone 1% (10 mL)

Acyclovir (Systemic) Zovirax Capsule, Oral:

Generic: 200 mg [BCF]

Suspension, Oral:

Generic: 200 mg/5 mL (473 mL) [BCF]

Tablet, Oral:

Generic: 400 mg [BCF], 800 mg [BCF]

Acyclovir (Topical) Ointment, External:

Generic: 5% (30 g)

Adalimumab Humira Pen-injector Kit, Subcutaneous [preservative free]:

Humira Pen: 40 mg/0.8 mL [contains polysorbate 80] [BCF]

Adapalene Differin Gel, External:

Generic: 0.3% (45 g)

Albendazole Albenza Tablet, Oral:

Albenza: 200 mg

Albuterol ProAir HFA;

Proventil HFA

Aerosol Solution, Inhalation:

ProAir HFA: 108 (90 Base) mcg/actuation (8.5 g) [BCF]

Nebulization Solution, Inhalation:

Generic: 0.5% [100 mg/20 mL] (1s)

Nebulization Solution, Inhalation [preservative free]:

Generic: 1.25 mg/3 mL (3 mL); 0.083% [2.5 mg/3 mL] (25s) [BCF]

Syrup, Oral:


Tablet, Oral:

Generic: 2 mg

Alcohol (Isopropyl) Pad, External:

BD Swab Single Use: 70%

Alendronate Fosamax Tablet, Oral:

Generic: 5 mg [BCF], 10 mg [BCF], 35 mg [BCF] , 70 mg [BCF]

Alfuzosin Uroxatral Tablet Extended Release 24 Hour, Oral, as hydrochloride:


1


Allopurinol Zyloprim Tablet, Oral, as sodium:


ALPRAZolam Xanax Tablet, Oral:

Generic: 0.5 mg, 1 mg

Aluminum Chloride

Hexahydrate

Drysol

Hypercare [OTC]

Solution, External:

Drysol: 20% (37.5 mL)

Hypercare: 15% (35 mL) [contains sd alcohol 40]

Aluminum Hydroxide,

Magnesium Hydroxide, and

Simethicone

Liquid, Oral:

Aluminum hydroxide 200 mg, magnesium hydroxide 200 mg, and

simethicone 20 mg per 5 mL (360 mL)



Suspension, Oral:



Amantadine Capsule, Oral, as hydrochloride:


Syrup, Oral, as hydrochloride:


Amiodarone Cordarone;

Pacerone

Tablet, Oral, as hydrochloride:


Amitriptyline Elavil Tablet, Oral, as hydrochloride:

Generic: 10 mg [BCF], 25 mg [BCF], 50 mg [BCF], 75 mg [BCF] , 100 mg

AmLODIPine Norvasc Tablet, Oral:

Generic: 2.5 mg [BCF], 5 mg [BCF], 10 mg [BCF]

Amlodipine and Benazepril Lotrel Capsule, Oral:

2.5/10: Amlodipine 2.5 mg and benazepril hydrochloride 10 mg [BCF]

5/10: Amlodipine 5 mg and benazepril hydrochloride 10 mg [BCF]





Amoxicillin Capsule, Oral:


Suspension Reconstituted, Oral:

Generic: 250 mg/5 mL (80 mL, 150 mL) [BCF]; 400 mg/5 mL (100 mL)

[BCF]

Tablet, Oral:

Generic: 875 mg

2


Amoxicillin and Clavulanate Augmentin Powder for Suspension, Oral:

Augmentin: 125: Amoxicillin 125 mg and clavulanate potassium 31.25 mg

per 5 mL (150 mL) [BCF]

Generic: 200: Amoxicillin 200 mg and clavulanate potassium 28.5 mg per

5 mL (100 mL) [BCF]


5 mL (100 mL) [BCF]

Generic: 400: Amoxicillin 400 mg and clavulanate potassium 57 mg per 5

mL (100 mL) [BCF]


5 mL (75 mL, 125 mL, 200 mL) [BCF]

Tablet, Oral:

Generic: 250: Amoxicillin 250 mg and clavulanate potassium 125 mg

[BCF]


[BCF]


[BCF]

Apixaban Eliquis Tablet, Oral:

Eliquis: 2.5 mg [BCF], 5 mg [BCF]

ARIPiprazole Abilify Solution, Oral:

Generic: 1 mg/mL (150 mL)

Tablet, Oral:

Generic: 2 mg [BCF], 5 mg [BCF], 10 mg [BCF], 15 mg [BCF], 20 mg

[BCF], 30 mg [BCF]

Artificial Tears Ointment, Ophthalmic [drops, preservative free]: (3.5 g)

Solution, Ophthalmic [drops]: (15 mL)

Aspirin Tablet, Enteric Coated, Oral:

Generic: 81 mg, 325 mg

Atenolol Tenormin Tablet, Oral:

Generic: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF]

Atenolol and Chlorthalidone Tablet, Oral:

Atenolol 50 mg and chlorthalidone 25 mg

Atenolol 100 mg and chlorthalidone 25 mg

AtoMOXetine Strattera Capsule, Oral:

Generic: 10 mg, 18 mg, 25 mg, 40 mg, 60 mg, 80 mg

AtorvaSTATin Lipitor Tablet, Oral:

Generic: 10 mg [BCF], 20 mg [BCF], 40 mg [BCF], 80 mg [BCF]

Atovaquone and Proguanil Tablet, Oral:

Generic: Atovaquone 250 mg and proguanil hydrochloride 100 mg

Atropine and Pralidoxime Solution, Injection:

ATNAA: Atropine 2.1 mg/0.7 mL and pralidoxime chloride 600 mg/2 mL

[contains benzyl alcohol; prefilled autoinjector]

Atropine (Ophthalmic) Isopto Atropine Solution, Ophthalmic, as sulfate:

Generic: 1% (15 mL)

AzaTHIOprine Tablet, Oral:

Generic: 50 mg

Azelaic Acid Finacea Gel, External:

Finacea: 15% (50 g) [contains benzoic acid]

Azelastine (Nasal) Astelin Solution, Nasal, as hydrochloride [spray]:

Generic: 0.1% [137 mcg/spray] (30 mL)

3


Azithromycin (Systemic) Zithromax Packet, Oral:

Generic: 1 g (10 ea) [BCF]


Generic: 100 mg/5 mL (15 mL) [BCF] ; 200 mg/5 mL (15 mL, 22.5 mL, 30

mL)

Tablet, Oral:


Bacitracin and Polymyxin B

(Ophthalmic)

Ointment, Ophthalmic:

Bacitracin 500 units and polymyxin B 10,000 units per g (3.5 g)

Bacitracin (Ophthalmic) Ointment, Ophthalmic:

Generic: 500 units/g (3.5 g)

Bacitracin (Topical) Ointment, External, as zinc [strength expressed as base]:

Generic: 500 units/g (0.9 g, 15 g, 30 g, 454 g)

Baclofen Tablet, Oral:

Generic: 10 mg

Baloxavir Marboxil Xofluza Tablet Therapy Pack, Oral:

Xofluza: 2 x 20 MG (2 ea); 2 x 40 MG (2 ea)

Benzocaine Cepacol Sore

Throat; Hurricaine

Lozenge, Mouth/Throat:

Cepacol Sore Throat: 15 mg [contains 3.6 mg menthol]

Benzonatate Capsule, Oral:

Generic: 100 mg

Benzoyl Peroxide Gel, External:

Generic: 10% (42.5 g, 60 g, 90 g)

Benztropine Cogentin Tablet, Oral, as mesylate:


Betamethasone and

Clotrimazole

Lotrisone Cream, External:

Generic: Betamethasone dipropionate 0.05% (base) and clotrimazole 1%

(45 g)

Betamethasone (Topical) Lotion, External, as valerate [strength expressed as base]:

Generic: 0.1% (60 mL)

Betaxolol (Ophthalmic) Betoptic S Solution, Ophthalmic [drops]:

Generic: 0.25% (10 mL) [contains benzalkonium chloride]

Bicalutamide Tablet, Oral:


Bimatoprost Lumigan Solution, Ophthalmic [drops]:

Generic: 0.01% (2.5 mL)

Bisacodyl Suppository, Rectal:

Generic: 10 mg (50s)

Tablet, Oral:

Generic: 5 mg

Bismuth Subsalicylate Pepto-Bismol Tablet, Chewable, Oral, as subsalicylate:

Generic: 262 mg

Brimonidine and Timolol Solution, Ophthalmic [drops]:

Combigan: Brimonidine tartrate 0.2% and timolol 0.5% (5 mL) [contains

benzalkonium chloride]

Brimonidine (Ophthalmic) Alphagan P Solution, Ophthalmic, as tartrate:

Generic: 0.15% (5 mL) [BCF]; 0.2% (5 mL) [BCF]

Budesonide (Oral Inhalation) Pulmicort Suspension, Inhalation:

Generic: 0.25 mg/2 mL (30s); 0.5 mg/2 mL (30s)

Bumetanide Bumex Tablet, Oral:

Generic: 1 mg

Buprenorphine Butrans Patch Weekly, Transdermal:

Generic: 5 mcg/hr (4 ea); 10 mcg/hr (4 ea); 15 mcg/hr (4 ea); 20 mcg/hr (4

ea)

4


BuPROPion Wellbutrin Tablet, Oral, as hydrochloride:


Tablet Extended Release 12 Hour, Oral, as hydrochloride:




BusPIRone BuSpar Tablet, Oral, as hydrochloride:


Butalbital, Acetaminophen,

and Caffeine

Esgic Tablet, Oral:

Generic: Butalbital 50 mg, acetaminophen 325 mg, and caffeine 40 mg

[BCF]

Calcipotriene Dovonex Cream, External:

Generic: 0.005% (60 g)

Calcitriol (Systemic) Rocaltrol Capsule, Oral:

Generic: 0.25 mcg

Calcium and Vitamin D Tablet, Oral:

Generic: Calcium 500 mg and vitamin D 200 units

Captopril Tablet, Oral:


Carbachol Miostat Solution, Ophthalmic:

Isopto Carbachol: 1.5% (15 mL [DSC]); 3% (15 mL [DSC])

CarBAMazepine Epitol; TEGretol Suspension, Oral:


Tablet, Oral:


Tablet, Chewable, Oral:


Tablet Extended Release 12 Hour, Oral:

Generic: 200 mg, 400 mg [BCF]

Carbamide Peroxide Ear Wax Remover Solution, Otic [drops]:


Carbidopa and Levodopa Sinemet Tablet, Oral:

Generic: 10/100: Carbidopa 10 mg and levodopa 100 mg [scored] [BCF]



Tablet Extended Release, Oral:

Generic: 25/100: Carbidopa 25 mg and levodopa 100 mg

Carboxymethylcellulose Refresh Celluvisc Solution, Ophthalmic, as sodium [drops, preservative free]:

Refresh: 1%

Refresh Celluvisc: 1% (30 ea)

Carvedilol Coreg Capsule Extended Release 24 Hour, Oral, as phosphate:

Generic: 10 mg, 20 mg, 40 mg, 80 mg

Tablet, Oral:

Generic: 3.125 mg [BCF], 6.25 mg [BCF], 12.5 mg [BCF], 25 mg [BCF]

Cefadroxil Duricef Capsule, Oral:

Generic: 500 mg

Cefdinir Omnicef Capsule, Oral:

Generic: 300 mg



5


Cefprozil Suspension Reconstituted, Oral:

Generic: 250 mg/5 mL (75 mL, 100 mL)

Cefuroxime Ceftin Suspension Reconstituted, Oral, as axetil [strength expressed as base]:

Ceftin: 250 mg/5 mL (100 mL) [contains phenylalanine 11.8 mg/5 mL; tutti

frutti flavor]

Tablet, Oral, as axetil [strength expressed as base]:

Generic: 250 mg

Celecoxib CeleBREX Capsule, Oral:


Cephalexin Keflex Capsule, Oral:



Generic: 125 mg/5 mL (200 mL); 250 mg/5 mL (200 mL) [BCF]

Cetirizine and

Pseudoephedrine

ZyrTEC-D Tablet, extended release, Oral:

Generic: Cetirizine hydrochloride 5 mg and pseudoephedrine

hydrochloride 120 mg

Cetirizine (Systemic) ZyrTEC Allergy Syrup, Oral, as hydrochloride:



Generic: 10 mg

Chlorhexidine Gluconate

(Oral)

Peridex; Periogard Solution, Mouth/Throat:

Generic: 0.12% (473 mL) [BCF]

Chloroquine Tablet, Oral, as phosphate:

Generic: 500 mg [equivalent to chloroquine base 300 mg]

Chlorpheniramine Tablet, Oral, as maleate:

Generic: 4 mg

Chlorthalidone Hygroton Tablet, Oral:


Cholecalciferol Tablet, Oral:

Generic: 1000 units

Liquid, Oral:

Generic: 10 mcg/mL (50 mL)

Cimetidine Tagamet HB Tablet, Oral:

Generic: 400 mg

Ciprofloxacin and

Dexamethasone

Ciprodex Suspension, Otic:

Ciprodex: Ciprofloxacin 0.3% and dexamethasone 0.1% (7.5 mL)

[contains benzalkonium chloride]

Ciprofloxacin (Ophthalmic) Ciloxan Solution, Ophthalmic, as hydrochloride:


Ciprofloxacin (Systemic) Cipro Tablet, Oral, as hydrochloride [strength expressed as base]:


Citalopram CeleXA Solution, Oral:


Tablet, Oral:


Clarithromycin Biaxin Tablet, Oral:

Generic: 500 mg

Clidinium and

Chlordiazepoxide

Librax Capsule, Oral:

Generic: Clidinium bromide 2.5 mg and chlordiazepoxide hydrochloride 5

mg

Clindamycin and Benzoyl

Peroxide

BenzaClin Gel, External:

Generic: Clindamycin phosphate 1% and benzoyl peroxide 5% (25 g, 50 g)

6


Clindamycin (Systemic) Cleocin HCl Capsule, Oral, as hydrochloride [strength expressed as base]:


Solution Reconstituted, Oral, as palmitate hydrochloride [strength

expressed as base]:


Clindamycin (Topical) Cleocin Cream, Vaginal, as phosphate [strength expressed as base]:

Generic: 2% (40 g) [BCF]

Gel, External, as phosphate [strength expressed as base]:

Generic: 1% (30 g)

Lotion, External, as phosphate [strength expressed as base]:

Generic: 1% (60 mL)

Solution, External, as phosphate [strength expressed as base]:

Generic: 1% (60 mL) [BCF]

Clobetasol Temovate Cream, External, as propionate:

Generic: 0.05% (30 g, 60 g) [BCF]

Ointment, External, as propionate:

Generic: 0.05% (15 g) [BCF]

Solution, External, as propionate:


ClomiPHENE Clomid Tablet, Oral, as citrate:

Generic: 50 mg

ClonazePAM KlonoPIN Tablet, Oral:

Generic: 0.5 mg [BCF] , 1 mg

CloNIDine Catapres Tablet, Oral, as hydrochloride:

Generic: 0.1 mg [BCF], 0.2 mg [BCF]

Clopidogrel Plavix Tablet, Oral:


Clotrimazole (Oral) Troche, Mouth/Throat:

Generic: 10 mg

Clotrimazole (Topical) Gyne-Lotrimin Cream, External:

Generic: 1% (30 g)

Solution, External:


Coal Tar PC-Tar Shampoo, External:

PC-Tar: 1% (180 mL)

Codeine Tablet, Oral, as sulfate:

Generic: 30 mg

Colchicine Colcrys Tablet, Oral:

Generic: 0.6 mg

Cortisone Tablet, Oral, as acetate:

Generic: 25 mg

Cyanocobalamin Vitamin B12 Solution, Injection:

Generic: 1000 mcg/mL (1 mL)

Cyclobenzaprine Flexeril Tablet, Oral, as hydrochloride:


Cyclopentolate Cyclogyl Solution, Ophthalmic, as hydrochloride:

Generic: 1% (5 mL)

CycloSPORINE (Ophthalmic) Restasis Emulsion, Ophthalmic [preservative free]:

Restasis: 0.05% (1 ea) [contains polysorbate 80]

Cyproheptadine Syrup, Oral, as hydrochloride:



Generic: 4 mg [BCF]

Dabigatran Etexilate Pradaxa Capsule, Oral:

Pradaxa: 75 mg, 150 mg

7


Desonide Desonate Cream, External:

Generic: 0.05% (15 g)

DexAMETHasone (Systemic) Decadron Concentrate, Oral:

Dexamethasone Intensol: 1 mg/mL (30 mL)

Tablet, Oral:

Generic: 4 mg

Dexmethylphenidate Capsule Extended Release 24 Hour, Oral, as hydrochloride:

Focalin XR: 5 mg [contains fd&c blue #2 (indigotine)]

Focalin XR: 10 mg

Focalin XR: 15 mg [contains fd&c blue #2 (indigotine)]

Focalin XR: 20 mg

Generic: 5 mg, 10 mg, 15 mg, 20 mg, 25 mg, 40 mg

Dextroamphetamine Dexedrine Tablet, Oral, as sulfate:

Generic: 5 mg

Dextroamphetamine and

Amphetamine

Adderall Capsule, Extended release, Oral:

Generic: 5 mg [BCF], 10 mg [BCF],15 mg [BCF], 20 mg [BCF], 30 mg

[BCF]

Tablet, oral:


Dextrose Gel, Oral:

Insta-Glucose: 77.4% (31 g)

Diabetic Supplies FreeStyle; Insuline

Syringe; Precision

Glucose meter:

FreeStyle Freedom® Lite

Precision Xtra®

Insulin Syringe:

BD insulin syringe: (30 g x 1/2") 0.5 cc, 1 cc

BD insulin syringe: (31 g x 5/16") 0.5 cc, 1 cc

Lancet:

FreeStyle®: 100s

Pen Needle:

NovoFine® Pen Needle (30 gauge - 8 mm)

NovoFine® Pen Needle (32 gauge - 6 mm)

Puncture Devices:

Precision Xtra®

Test Strips:

FreeStyle Freedom® Lite: 100s

Precision Xtra® Blood Glucose Test Strips: 50s [BCF]

DiazePAM Valium Gel, Rectal:

Generic: 2.5 mg (1 ea); 10 mg (1 ea); 20 mg (1 ea)

Tablet, Oral:


Dibucaine Nupercainal Ointment, External:

Generic: 1% (30 g)

Diclofenac (Systemic) Tablet Delayed Release, Oral, as sodium:

Generic: 50 mg

Diclofenac (Topical) Solaraze; Voltaren Gel, Transdermal, as sodium:

Generic: 1% (100 g)

Dicloxacillin Capsule, Oral:


Dicyclomine Bentyl Capsule, Oral, as hydrochloride:


Solution, Oral, as hydrochloride:




8


Digoxin Digox; Lanoxin Tablet, Oral:

Generic: 125 mcg [BCF], 250 mcg [BCF]

DilTIAZem Cardizem; Tiazac Capsule Extended Release 24 Hour, Oral, as hydrochloride:

Generic: 120 mg [BCF], 180 mg [BCF], 240 mg [BCF], 300 mg [BCF], 360

mg [BCF]

DiphenhydrAMINE (Systemic) Benadryl Allergy;

Diphenhist

Capsule, Oral, as hydrochloride:

Generic: 25 mg


Diphenhist: 12.5 mg/5 mL (118 mL)

Diphenoxylate and Atropine Lomotil Tablet, Oral:

2.5/0.025: Diphenoxylate hydrochloride 2.5 mg and atropine sulfate 0.025

mg

Dipyridamole Persantine Tablet, Oral:


Docusate Colace Capsule, Oral, as sodium:

Generic: 100 mg

Donepezil Aricept Tablet, Oral, as hydrochloride:


Dorzolamide Trusopt Solution, Ophthalmic:

Generic: 2% (10 mL)

Dorzolamide and Timolol Solution, Ophthalmic:

Generic: Dorzolamide 2% [20 mg/mL] and timolol 0.5% [5 mg/mL] (10 mL)

Doxazosin Cardura Tablet, Oral:


Doxepin (Systemic) Silenor Capsule, Oral:


Doxycycline Vibramycin Capsule, Oral, as hyclate [strength expressed as base]:


Tablet, Oral, as hyclate [strength expressed as base]:


Doxylamine Sleep Aid; Unisom Tablet, Oral, as succinate:

Sleep Aid: 25 mg [scored] [BCF]

DULoxetine Cymbalta Capsule Delayed Release Particles, Oral:


Emollients Eucerin;

Vanicream

Cream, External:

Vanicream: 113 g, 453 g

Emulsion, topical:

EpiCeram Skin Barrier: (225 g)

Lotion, External:

Eucerin: 120 mL, 454 mL

Empagliflozin Tablet, Oral:

Jardiance: 10 mg, 25 mg

Emtricitabine and Tenofovir Truvada Tablet, Oral:

Truvada: Emtricitabine 200 mg and tenofovir disoproxil fumarate 300 mg

[gluten free]

Enalapril Epaned Tablet, Oral, as maleate:


Enoxaparin Lovenox Solution, Subcutaneous, as sodium [preservative free]:

Generic: 30 mg/0.3 mL (0.3 mL) [BCF]; 40 mg/0.4 mL (0.4 mL) [BCF]; 60

mg/0.6 mL (0.6 mL) [BCF]; 80 mg/0.8 mL (0.8 mL) [BCF]; 100 mg/mL (1

mL) [BCF]

9


EPINEPHrine (Systemic) EpiPen Device, Injection:

EpiPen Jr 2-Pak: 0.15 mg/0.3 mL (2 ea) [contains sodium metabisulfite]

Solution Auto-injector, Injection:

EpiPen 2-Pak: 0.3 mg/0.3 mL (2 ea) [contains sodium metabisulfite]

Ergocalciferol Calciferol Capsule, Oral:

Generic: 50,000 units

Erythromycin (Ophthalmic) Ointment, Ophthalmic:

Generic: 5 mg/g (3.5 g) [BCF]

Erythromycin (Systemic) Ery-Tab Suspension Reconstituted, Oral, as ethylsuccinate:

E.E.S. Granules: 200 mg/5 mL (100 mL, 200 mL) [cherry flavor] [BCF]

Tablet, Oral, as base:

Generic: 250 mg

Tablet Delayed Release, Oral, as base:

Ery-Tab: 250 mg [BCF]

Erythromycin (Topical) Erygel Gel, External:

Generic: 2% (30 g, 60 g) [BCF]

Solution, External:


Escitalopram Lexapro Tablet, Oral:


Estradiol (Systemic) Climara Patch Weekly, Transdermal:

Generic: 0.025 mg/24 hours (4 ea) [BCF]; 0.05 mg/24 hours (4 ea) [BCF];

0.075 mg/24 hours (4 ea) [BCF]; 0.1 mg/24 hours (4 ea) [BCF]

Tablet, Oral:

Generic: 0.5 mg, 1 mg, 2 mg

Estrogens

(Conjugated/Equine) and

Medroxyprogesterone

Prempro Tablet, Oral:

Prempro: 0.3/1.5: Conjugated estrogens 0.3 mg and

medroxyprogesterone acetate 1.5 mg [BCF]





Prempro: 0.625/5: Conjugated estrogens 0.625 mg and

medroxyprogesterone acetate 5 mg [BCF]

Estrogens

(Conjugated/Equine,

Systemic)

Premarin Tablet, Oral:

Premarin: 0.3 mg [BCF], 0.45 mg [BCF], 0.625 mg [BCF], 0.9 mg, 1.25 mg

[BCF]

Estrogens

(Conjugated/Equine, Topical)

Premarin Cream, Vaginal:

Premarin: 0.625 mg/g (30 g) [BCF]

Eszopiclone Lunesta Tablet, Oral:


Ethambutol Myambutol Tablet, Oral, as hydrochloride:


Ethinyl Estradiol and

Desogestrel

Desogen Tablet, Oral [monophasic formulation]:

Generic: Ethinyl estradiol 0.03 mg and desogestrel 0.15 mg (28s)


Drospirenone

Yasmin; Yaz Tablet, Oral:

Ethinyl estradiol 0.02 mg and drospirenone 3 mg [21 active tablets and 7

inactive tablets] (28s) [BCF]

Ethinyl estradiol 0.03 mg and drospirenone 3 mg [21 active tablets and 7

inactive tablets] (28s) [BCF]

10



Ethynodiol Diacetate

Zovia Tablet, Oral:

Ethinyl estradiol 0.035 mg and ethynodiol diacetate 1 mg [21 active tablets

and 7 inactive tablets] (28s)


Etonogestrel

NuvaRing Ring, vaginal:

NuvaRing: Ethinyl estradiol 0.015 mg/day and etonogestrel 0.12 mg/day

(3s) [3-week duration]


Levonorgestrel

Jolessa; Levora;

Sronyx; Trivora

Tablet, Oral [extended cycle regimen]:

Generic: Ethinyl estradiol 0.03 mg and levonorgestrel 0.15 mg [84 tablets

and 7 inactive tablets] (91s) [BCF]

Tablet, Oral [low dose formulation]:



Tablet, Oral [monophasic formulation]:



Tablet, Oral [triphasic formulation]:

Day 1-6: Ethinyl estradiol 0.03 mg and levonorgestrel 0.05 mg [6 tablets]

Day 7-11: Ethinyl estradiol 0.04 mg and levonorgestrel 0.075 mg [5

tablets]

Day 12-21: Ethinyl estradiol 0.03 mg and levonorgestrel 0.125 mg [10

tablets]

Day 22-28: 7 inactive tablets (28s)


Norelgestromin

Xulane Patch, transdermal:

Xulane: Ethinyl estradiol 0.53 mg and norelgestromin 4.86 mg [releases

ethinyl estradiol 35 mcg and norelgestromin 150 mcg per day] (3s)


Norethindrone

Microgestin Fe;

Necon 1/35; Necon

7/7/7


Tablet, Oral [biphasic formulation]:

Necon 1/35: Ethinyl estradiol 0.035 mg and norethindrone 1 mg [21 dark

yellow tablets and 7 white inactive tablets] [BCF]


Microgestin 1/20: Ethinyl estradiol 0.02 mg and norethindrone acetate 1

mg [white tablets] (21s)

Microgestin Fe 1/20: Ethinyl estradiol 0.02 mg and norethindrone acetate 1

mg [21 white tablets] and ferrous fumarate 75 mg [7 brown tablets] (28s)

Microgestin Fe 1.5/30: Ethinyl estradiol 0.03 mg and norethindrone acetate

1.5 mg [21 green tablets] and ferrous fumarate 75 mg [7 brown tablets]

(28s)


Necon 7/7/7:

Day 1-7: Ethinyl estradiol 0.035 mg and norethindrone 0.5 mg [7 white

tablets]

Day 8-14: Ethinyl estradiol 0.035 mg and norethindrone 0.75 mg [7 light

peach tablets]

Day 15-21: Ethinyl estradiol 0.035 mg and norethindrone 1 mg [7 peach

tablets]

Day 22-28: 7 green inactive tablets (28s)

11



Norgestimate

MonoNessa;

Sprintec; TriNessa


MonoNessa: Ethinyl estradiol 0.035 mg and norgestimate 0.25 mg [21

blue tablets and 7 dark green inactive tablets] [BCF]

Sprintec: Ethinyl estradiol 0.035 mg and norgestimate 0.25 mg [21 blue

tablets and 7 white inactive tablets] [BCF]


TriNessa [BCF]:

Day 1-7: Ethinyl estradiol 0.035 mg and norgestimate 0.18 mg [7 white

tablets]

Day 8-14: Ethinyl estradiol 0.035 mg and norgestimate 0.215 mg [7 light

blue tablets]

Day 15-21: Ethinyl estradiol 0.035 mg and norgestimate 0.25 mg [7 blue

tablets]

Day 22-28: 7 dark green inactive tablets (28s)


Norgestrel

Low-Ogestrel Tablet, Oral [monophasic formulation]:

Ethinyl estradiol 0.03 mg and norgestrel 0.3 mg [21 tablets and 7 inactive

tablets] (28s)

Exenatide Bydureon Pen-injector, Subcutaneous:

Bydureon: 2 mg (1 ea) [BCF]

Ezetimibe Zetia Tablet, Oral:

Generic: 10 mg

Famotidine Tablet, Oral:


Felodipine Tablet Extended Release 24 Hour, Oral:


Fenofibrate and Derivatives Tricor Tablet, Oral, as fenofibrate:


Ferrous Sulfate Fer-In-Sol Solution, Oral:

Generic: 75 (15 Fe) mg/mL (50 mL)

Tablet, Oral:

Generic: 325 mg [elemental iron 65 mg]

Fexofenadine Allegra Allergy;

Mucinex Allergy


Generic: 180 mg

Fexofenadine and

Pseudoephedrine

Allegra-D Tablet, Extended Release, 12-Hour, Oral:

Fexofenadine hydrochloride 60 mg [immediate release] and

pseudoephedrine hydrochloride 120 mg [extended release]

Finasteride Proscar Tablet, Oral:

Generic: 5 mg [BCF]

Fluconazole Suspension Reconstituted, Oral:

Generic: 10 mg/mL (35 mL); 40 mg/mL (35 mL)

Tablet, Oral:


Fludrocortisone Tablet, Oral, as acetate:

Generic: 0.1 mg

Fluocinolone (Topical) Derma-Smoothe Oil, External, as acetonide:

Derma-Smoothe/FS Scalp: 0.01% (118.28 mL) [contains isopropyl alcohol,

peanut oil]

Solution, External, as acetonide:


Fluocinonide Vanos Cream, External:


Gel, External:

Generic: 0.05% (15 g)

Ointment, External:


12


Fluoride Cream, Oral, as sodium [toothpaste]:

PreviDent 5000 Plus: 1.1% (51 g)

Gel, External, as sodium:

PreviDent: 1.1% (56 g)

Solution, Oral, as sodium [drops]:

Fluor-A-Day: 0.278 mg/drop (30 mL)

Tablet, Chewable, Oral, as sodium:

Generic: 2.2 mg [equivalent to fluoride 1 mg]

Fluorometholone FML Suspension, Ophthalmic, as base:


FLUoxetine PROzac Capsule, Oral:


Solution, Oral:


Flutamide Capsule, Oral:

Generic: 125 mg

Fluticasone and Salmeterol Advair Diskus;

Advair HFA

Aerosol, for Oral Inhalation:

Advair HFA: 45/21: Fluticasone propionate 45 mcg and salmeterol 21 mcg

per inhalation (12 g) [chlorofluorocarbon free; 120 metered actuations]

[BCF]

Advair HFA: 115/21: Fluticasone propionate 115 mcg and salmeterol 21

mcg per inhalation (12 g) [chlorofluorocarbon free; 120 metered actuations]

[BCF]

Advair HFA: 230/21: Fluticasone propionate 230 mcg and salmeterol 21

mcg per inhalation (12 g) [chlorofluorocarbon free; 120 metered actuations]

[BCF]

Powder, for Oral Inhalation:

Advair Diskus: 100/50: Fluticasone propionate 100 mcg and salmeterol 50

mcg (60s) [contains lactose] [BCF]





Fluticasone (Nasal) Flonase Suspension, Nasal, as propionate:

Generic: 50 mcg/inhalation (16 g) [BCF]

Fluticasone (Oral Inhalation) Flovent Diskus;

Flovent HFA

Aerosol, Inhalation, as propionate:

Flovent HFA: 44 mcg/actuation (10.6 g) [BCF]

Flovent HFA: 110 mcg/actuation (12 g) [BCF]

Flovent HFA: 220 mcg/actuation (12 g) [BCF]

Aerosol Powder Breath Activated, Inhalation, as propionate:

Flovent Diskus: 50 mcg/blister (60s) [contains lactose] [BCF]



Folic Acid Tablet, Oral:

Generic: 1 mg [BCF]

Folic Acid, Cyanocobalamin,

and Pyridoxine

Folbic Tablet, Oral:

Generic: Folic acid 2.5 mg, cyanocobalamin 2000 mcg, and pyridoxine

hydrochloride 25 mg

Fosinopril Tablet, Oral, as sodium:


Furosemide Lasix Solution, Oral:

Generic: 10 mg/mL (120 mL) [BCF]

Tablet, Oral:


13


Gabapentin Neurontin Capsule, Oral:


Tablet, Oral:


Gemfibrozil Lopid Tablet, Oral:


Gentamicin (Ophthalmic) Gentak Ointment, Ophthalmic:

Generic: 0.3% (3.5 g) [BCF]

Solution, Ophthalmic [drops]:


Glimepiride Amaryl Tablet, Oral:


GlipiZIDE Glucotrol Tablet, Oral:




Glucagon Kit, Injection:

Glucagon Emergency: 1 mg [contains lactose]

GlyBURIDE Glynase Tablet, Oral:

Generic: 1.25 mg [BCF], 2.5 mg [BCF], 5 mg [BCF]

Tablet, Micronized, Oral:

Glynase: 1.5 mg [BCF], 3 mg [BCF] [scored]

Glyburide and Metformin Glucovance Tablet, Oral:

1.25/250: Glyburide 1.25 mg and metformin hydrochloride 250 mg

2.5/500: Glyburide 2.5 mg and metformin hydrochloride 500 mg

5/500: Glyburide 5 mg and metformin hydrochloride 500 mg

Griseofulvin Gris-PEG Suspension, Oral:


Tablet, Oral:


GuaiFENesin Mucinex Syrup, Oral:



Generic: 600 mg

Guaifenesin and Codeine Solution, Oral:

Guaifenesin 100 mg and codeine phosphate 10 mg per 5 mL (118 mL)

Guaifenesin and

Dextromethorphan

Mucinex DM Syrup, Oral:

Guaifenesin 100 mg and dextromethorphan hydrobromide 10 mg per 5 mL

(118 mL)

Tablet, Extended Release, Oral:

Mucinex DM: Guaifenesin 600 mg and dextromethorphan hydrobromide

30 mg

Guaifenesin and

Pseudoephedrine

Mucinex D Tablet Extended Release 12 Hour, Oral:

Guaifenesin 600 mg and pseudoephedrine hydrochloride 60 mg

GuanFACINE Intuniv Tablet Extended Release 24 Hour, Oral:


Homatropine Isopto

Homatropine

Solution, Ophthalmic, as hydrobromide:

Generic: 5% (5 mL)

HydrALAZINE Tablet, Oral, as hydrochloride:

Generic: 10 mg [BCF], 25 mg [BCF], 50 mg [BCF], 100 mg

HydroCHLOROthiazide Microzide Capsule, Oral:

Generic: 12.5 mg [BCF]

Tablet, Oral:


14


Hydrochlorothiazide and

Spironolactone

Aldactazide Tablet, Oral:

25/25: Hydrochlorothiazide 25 mg and spironolactone 25 mg

Hydrochlorothiazide and

Triamterene

Maxzide Capsule, Oral:

Generic: Hydrochlorothiazide 25 mg and triamterene 37.5 mg

Tablet, Oral:

Generic: Hydrochlorothiazide 25 mg and triamterene 37.5 mg [BCF]

Generic: Hydrochlorothiazide 50 mg and triamterene 75 mg [BCF]

Hydrocodone and

Acetaminophen

Lortab Solution, Oral:

Hydrocodone bitartrate 7.5 mg and acetaminophen 325 mg per 15 mL

(118 mL)

Tablet, Oral:

Hydrocodone bitartrate 5 mg and acetaminophen 300 mg


Hydrocodone bitartrate 7.5 mg and acetaminophen 300 mg

Hydrocodone bitartrate 7.5 mg and acetaminophen 325 mg


Hydrocortisone (Systemic) Solu-CORTEF Tablet, Oral, as base:


Hydrocortisone (Topical) Anucort-HC;

Anusol-HC

Cream, Rectal, as base:

Anusol-HC: 2.5% (30 g) [contains benzyl alcohol] [BCF]

Generic: 1% (30 g)

Cream, External, as butyrate:


Cream, External, as valerate:

Generic: 0.2% (15 g, 60 g)

Ointment, External, as base:

Generic: 1% (30 g)

Ointment, External, as butyrate:


Ointment, External, as valerate:

Generic: 0.2% (15 mg, 45 mg, 60 g)

Suppository, Rectal, as acetate:

Generic: 25 mg (12s) [BCF]

HYDROmorphone Dilaudid Tablet, Oral, as hydrochloride:

Generic: 2 mg

Hydroxychloroquine Plaquenil Tablet, Oral, as sulfate:

Generic: 200 mg

HydrOXYzine Vistaril Capsule, Oral, as pamoate:

Generic: 25 mg





Hyoscyamine Levsin Tablet, Oral, as sulfate:

Generic: 0.125 mg

Ibandronate Boniva Tablet, Oral:

Generic: 150 mg

Ibuprofen Motrin Suspension, Oral:


Tablet, Oral:

Generic: 200 mg, 400 mg [BCF], 600 mg [BCF], 800 mg [BCF]

Imipramine Tofranil Tablet, Oral, as hydrochloride:


Indomethacin Indocin Capsule, Oral:


15


Inhalation Devices Holding chamber:

AeroChamber® Plus

Vortex®

Holding chamber with mask:

AeroChamber® Plus: Small, medium, large

EasiVent®

Insulin Aspart NovoLOG Solution, Subcutaneous:

NovoLOG: 100 units/mL (10 mL) [contains metacresol, phenol] [BCF]

Solution Pen-injector, Subcutaneous:

NovoLOG FlexPen: 100 units/mL (3 mL) [contains metacresol, phenol]

[BCF]

Insulin Aspart Protamine and

Insulin Aspart

NovoLOG Mix

70/30

Suspension, Subcutaneous:

NovoLOG Mix 70/30 FlexPen: Insulin aspart protamine suspension 70%

[intermediate acting] and insulin aspart solution 30% [rapid-acting]: 100

units/mL (3 mL) [BCF]

Insulin Detemir Levemir Solution, Subcutaneous:

Levemir: 100 units/mL (10 mL)

Insulin Glargine Lantus SoloStar Solution, Subcutaneous:

Lantus: 100 units/mL (10 mL) [contains metacresol] [BCF]

Solution Pen-injector, Subcutaneous:

Lantus Solostar: 100 units/mL (3 mL) [BCF]

Insulin NPH NovoLIN N Suspension, Subcutaneous:

NovoLIN N: 100 units/mL (10 mL) [contains metacresol, phenol] [BCF]

Insulin NPH and Insulin

Regular

NovoLIN 70/30 Suspension, Subcutaneous:

NovoLIN 70/30: Insulin NPH suspension 70% [intermediate acting] and

insulin regular solution 30% [short acting]: 100 units/mL (10 mL) [vial]

[BCF]

Insulin Regular NovoLIN R Solution, Injection:

NovoLIN R: 100 units/mL (10 mL) [contains metacresol] [BCF]

Ipratropium and Albuterol Combivent

Respimat; DuoNeb

Solution, for Nebulization:

Generic: Ipratropium bromide 0.5 mg and albuterol (base) 2.5 mg per 3

mL (30s) [BCF]

Solution, for Oral Inhalation [spray]:

Combivent Respimat: Ipratropium bromide 20 mcg and albuterol (base)

100 mcg per inhalation (4 g) [BCF]

Ipratropium (Nasal) Atrovent Solution, Nasal, as bromide:


Ipratropium (Oral Inhalation) Atrovent HFA Aerosol Solution, Inhalation, as bromide:

Atrovent HFA: 17 mcg/actuation (12.9 g) [BCF]

Solution, Inhalation, as bromide [preservative free]:

Generic: 0.02% (2.5 mL) [BCF]

Isoniazid Tablet, Oral:


Isosorbide Dinitrate Isordil Titradose Tablet, Oral:




Isosorbide Mononitrate Imdur Tablet Extended Release 24 Hour, Oral:


Ketoconazole (Systemic) Tablet, Oral:

Generic: 200 mg

16


Ketoconazole (Topical) Nizoral Cream, External:

Generic: 2% (30 g)

Shampoo, External:

Generic: 2% (120 mL)

Ketorolac (Ophthalmic) Acular Solution, Ophthalmic, as tromethamine:


Labetalol Tablet, Oral, as hydrochloride:

Generic: 200 mg

Lacosamide Tablet, Oral:

Vimpat: 50 mg [contains fd&c blue #2 aluminum lake]

Vimpat: 100 mg, 150 mg

Vimpat: 200 mg [contains fd&c blue #2 aluminum lake]

Lactic Acid and Ammonium

Hydroxide

Lac-Hydrin Lotion, External:

Generic: Lactic acid 12% with ammonium hydroxide (225 g)

Lactulose Enulose Solution, Oral:

Generic: 10 g/15 mL (473 mL) [BCF]

LamoTRIgine LaMICtal Tablet, Oral:


Latanoprost Xalatan Solution, Ophthalmic:

Generic: 0.005% (2.5 mL) [BCF]

Levalbuterol Xopenex Aerosol, Inhalation, as tartrate [strength expressed as base]:

Generic: 45 mcg/actuation (15 g)

Nebulization Solution, Inhalation, as hydrochloride [strength expressed as

base]:

Generic: 0.31 mg/3 mL (3 mL); 0.63 mg/3 mL (3 mL); 1.25 mg/3 mL (3

mL)

LevETIRAcetam Keppra Solution, Oral:


Tablet, Oral:

Generic: 500 mg

Levobunolol Betagan Solution, Ophthalmic, as hydrochloride:


LevoFLOXacin (Systemic) Levaquin Solution, Oral:


Tablet, Oral:


Levonorgestrel (Systemic) Plan B One-Step Tablet, Oral:

Plan B One-Step: 1.5 mg [BCF]

Levothyroxine Synthroid Tablet, Oral, as sodium:

Generic: 25 mcg [BCF], 50 mcg [BCF], 75 mcg [BCF], 88 mcg [BCF], 100

mcg [BCF], 112 mcg [BCF], 125 mcg [BCF], 137 mcg [BCF], 150 mcg

[BCF], 175 mcg [BCF], 200 mcg [BCF], 300 mcg [BCF]

Lidocaine (Topical) Lidoderm Ointment, External:

Generic: 5% (35.4 g)

Patch, External:

Generic: 5% (30s)

Solution, Mouth/Throat, as hydrochloride:

Generic: 2% [20 mg/mL] (100 mL)

LinaCLOtide Linzess Capsule, Oral:

Linzess: 72 mcg, 145 mcg, 290 mcg

Lisinopril Prinivil; Zestril Tablet, Oral:

Generic: 2.5 mg [BCF], 5 mg [BCF], 10 mg [BCF], 20 mg [BCF], 30 mg

[BCF], 40 mg [BCF]

17


Lisinopril and

Hydrochlorothiazide

Zestoretic Tablet, Oral:

10/12.5: Lisinopril 10 mg and hydrochlorothiazide 12.5 mg [BCF]

20/12.5: Lisinopril 20 mg and hydrochlorothiazide 12.5 mg [BCF]

20/25: Lisinopril 20 mg and hydrochlorothiazide 25 mg [BCF]

Lithium Lithobid Capsule, Oral, as carbonate:


Solution, Oral, as citrate:

Generic: 8 mEq/5 mL (500 mL) [BCF]

Tablet Extended Release, Oral, as carbonate:

Generic: 300 mg

Loperamide Imodium A-D Capsule, Oral, as hydrochloride:

Generic: 2 mg [BCF]

Loratadine Claritin Syrup, Oral:


Tablet, Oral:

Generic: 10 mg

LORazepam Ativan Tablet, Oral:

Generic: 0.5 mg, 1 mg

Losartan Cozaar Tablet, Oral, as potassium:


Losartan and

Hydrochlorothiazide

Hyzaar Tablet, Oral:

50/12.5: Losartan potassium 50 mg and hydrochlorothiazide 12.5 mg

[BCF]

100/12.5: Losartan potassium 100 mg and hydrochlorothiazide 12.5 mg

[BCF]

100/25: Losartan potassium 100 mg and hydrochlorothiazide 25 mg [BCF]

Lurasidone Latuda Tablet, Oral, as hydrochloride:

Latuda: 20 mg, 40 mg, 60 mg, 80 mg, 120 mg

Magnesium Citrate Citroma Solution, Oral:


Magnesium Oxide MagOx Tablet, Oral:

Generic: 400 mg

Meclizine Dramamine Tablet, Oral, as hydrochloride:

Generic: 25 mg

MedroxyPROGESTERone Provera Suspension, Intramuscular, as acetate:


Tablet, Oral, as acetate:

Generic: 2.5 mg [BCF], 10 mg [BCF] [scored]

Megestrol Megace ES Tablet, Oral, as acetate:

Generic: 40 mg

Meloxicam Mobic Tablet, Oral:

Generic: 7.5 mg [BCF], 15 mg [BCF]

Memantine Namenda Tablet, Oral, as hydrochloride:


Meperidine Demerol Tablet, Oral, as hydrochloride:

Generic: 50 mg

Mercaptopurine Tablet, Oral:

Generic: 50 mg

Mesalamine Apriso; Lialda Capsule Extended Release 24 Hour, Oral:

Apriso: 0.375 g

Tablet Delayed Release, Oral:

Lialda: 1.2 g [BCF]

Metaxalone Skelaxin Tablet, Oral:

Generic: 800 mg

18


MetFORMIN Glucophage Tablet, Oral, as hydrochloride:




MethIMAzole Tapazole Tablet, Oral:


Methocarbamol Robaxin Tablet, Oral:


Methotrexate Tablet, Oral:


Methyldopa Tablet, Oral:

Generic: 250 mg

Methylphenidate Concerta; Ritalin Capsule, Extended Release, Oral, as hydrochloride:


Capsule, Extended Release 24 hour, Oral, as hydrochloride:




Tablet, Extended Release, Oral, as hydrochloride [bi-modal release]:


Tablet Extended Release, Oral, as hydrochloride:

Generic: 20 mg

MethylPREDNISolone Medrol Tablet, Oral:

Generic: 4 mg

Tablet Therapy Pack (dose-pak), Oral:

Generic: 4 mg (21 ea)

Metoclopramide Reglan Solution, Oral:


Tablet, Oral:


MetOLazone Tablet, Oral:

Generic: 2.5 mg

Metoprolol Lopressor Tablet, Oral, as tartrate:


Tablet Extended Release 24 Hour, Oral, as succinate:


MetroNIDAZOLE (Systemic) Flagyl Tablet, Oral:


MetroNIDAZOLE (Topical) Metrogel; MetroGel-

Vaginal

Gel, External:


Gel, Vaginal:


Miconazole (Topical) Miconazole 3 Suppository, Vaginal, as nitrate:

Miconazole 3: 200 mg (3 ea)

Midodrine Tablet, Oral, as hydrochloride:

Generic: 5 mg

Minocycline (Systemic) Capsule, Oral:


Mirtazapine Remeron Tablet, Oral:

Generic: 15 mg

MiSOPROStol Tablet, Oral:

Generic: 100 mcg

Modafinil Provigil Tablet, Oral:

Generic: 200 mg

19


Mometasone (Topical) Elocon Cream, External, as furoate:


Montelukast Singulair Packet, Oral:

Generic: 4 mg/packet (30s) [BCF]

Tablet, Oral:


Tablet Chewable, Oral:


Morphine (Systemic) MS Contin Tablet, Oral, as sulfate:


Tablet Extended Release, Oral, as sulfate:


Moxifloxacin (Ophthalmic) Vigamox Solution, Ophthalmic [drops]:


Moxifloxacin (Systemic) Avelox Tablet, Oral:

Generic: 400 mg

Mupirocin Bactroban Ointment, External:


Mycophenolate Tablet, Oral, as mofetil:

Generic: 500 mg

Naftifine Naftin Cream, External, as hydrochloride:

Generic: 1% (30 g)

Naloxone Narcan Liquid, Nasal [spray]:

Narcan: 4 mg/0.1 mL (1 ea) [BCF]

Solution, Injection, as hydrochloride:

Generic: 0.4 mg/mL (1 mL)

Naltrexone Vivitrol Tablet, Oral, as hydrochloride:

Generic: 50 mg

Naphazoline and

Pheniramine

Naphcon-A; Visine-

A

Solution, Ophthalmic:

Generic: Naphazoline hydrochloride 0.027% and pheniramine maleate

0.315% (15 mL)

Naproxen Aleve; Naprosyn Suspension, Oral:


Tablet, Oral:


Neomycin, Polymyxin B, and

Dexamethasone

Ointment, Ophthalmic:

Generic: Neomycin 3.5 mg, polymyxin B sulfate 10,000 units, and

dexamethasone 0.1% per g (3.5 g)


Gramicidin

Neosporin Solution, Ophthalmic [drops]:

Generic: Neomycin 1.75 mg, polymyxin B 10,000 units, and gramicidin

0.025 mg per 1 mL (10 mL) [BCF]


Hydrocortisone (Ophthalmic)

Suspension, Ophthalmic [drops]:

Neomycin 3.5 mg, polymyxin B 10,000 units, and hydrocortisone 10 mg

per 1 mL (7.5 mL)


Hydrocortisone (Otic)

Solution, Otic:

Generic: Neomycin 3.5 mg, polymyxin B 10,000 units, and hydrocortisone

10 mg per 1 mL (10 mL) [BCF]

Suspension, Otic:

Generic: Neomycin 3.5 mg, polymyxin B 10,000 units, and hydrocortisone

10 mg per 1 mL (10 mL) [BCF]

20


Niacin Niaspan Capsule, Extended Release, Oral:


Tablet, Oral:

Generic: 250 mg


Niaspan: 500 mg [BCF], 750 mg [BCF], 1000 mg [BCF]

NIFEdipine Adalat CC;

Procardia



Nitrofurantoin Macrobid;

Macrodantin

Capsule, Oral [macrocrystal]:


Capsule, Oral [macrocrystal/monohydrate]:


Suspension, Oral:


Nitroglycerin Nitro-Dur;

Nitrolingual

Aerosol Solution, Translingual:

Generic: 0.4 mg/spray (4.1 g, 8.5 g)

Ointment, topical:

Nitro-Bid: 2% (60 g) [~15 mg/inch]

Patch, Transdermal:

Generic: 0.1 mg/hour (30s) [BCF]; 0.2 mg/hour (30s) [BCF]; 0.4 mg/hour

(30s) [BCF]; 0.6 mg/hour (30s) [BCF]

Solution, Translingual [spray]:

Generic: 0.4 mg/spray (12 g) [BCF]

Tablet, Sublingual:

Nitrostat: 0.4 mg [BCF]

Norethindrone Aygestin; Nor-QD Tablet, Oral:


Tablet, Oral, as acetate:

Generic: 5 mg

Norethindrone and Mestranol Necon 1/50 Tablet, Oral [monophasic formulation]:

Necon 1/50: Norethindrone 1 mg and mestranol 0.05 mg [21 light blue

tablets and 7 white inactive tablets]

Nortriptyline Pamelor Capsule, Oral:


Nystatin and Triamcinolone Cream, External:

Nystatin 100,000 units and triamcinolone acetonide 0.1% (15 g, 60 g)

Ointment, External:

Nystatin 100,000 units and triamcinolone acetonide 0.1% (15 g)

Nystatin (Oral) Suspension, Mouth/Throat:

Generic: 100,000 units/mL (473 mL) [BCF]

Nystatin (Topical) Cream, External:

Generic: 100,000 units/g (15 g) [BCF]

Ointment, External:

Generic: 100,000 units/g (15 g) [BCF]

Powder, External:

Generic: 100,000 units/g (15 g)

Ofloxacin (Otic) Floxin Otic Solution, Otic [drops]:

Generic: 0.3% (5 mL, 10 mL)

Olopatadine (Ophthalmic) Pataday; Patanol;

Pazeo

Solution, Ophthalmic [drops]:


Olsalazine Dipentum Capsule, Oral, as sodium:

Dipentum: 250 mg

Omeprazole PriLOSEC Capsule Delayed Release, Oral:

Generic: 10 mg [BCF], 20 mg [BCF] , 40 mg

21


Ondansetron Zofran Tablet, Oral:

Generic: 4 mg

Tablet Disintegrating, Oral:

Generic: 4 mg

OXcarbazepine Trileptal Suspension, Oral:


Tablet, Oral:

Generic: 300 mg

Oxybutynin Ditropan XL Tablet, Oral, as chloride:

Generic: 5 mg [BCF]

Tablet Extended Release 24 Hour, Oral, as chloride:


OxyCODONE OxyCONTIN Capsule, Oral, as hydrochloride:

Generic: 5 mg

Oxycodone and

Acetaminophen

Endocet; Percocet Tablet, Oral:

Generic: 5/325: Oxycodone hydrochloride 5 mg and acetaminophen 325

mg [BCF]

Oxymetazoline (Nasal) Afrin Solution, Nasal, as hydrochloride [spray]:


Pancrelipase Creon Capsule, Delayed Release, Enteric Coated Microspheres, Oral [porcine

derived]:

Creon: Lipase 3000 USP units, protease 9500 USP units, and amylase

15,000 USP units [BCF]

Creon: Lipase 6000 USP units, protease 19,000 USP units, and amylase


Creon: Lipase 12,000 USP units, protease 38,000 USP units, and amylase


Creon: Lipase 24,000 USP units, protease 76,000 USP units, and amylase


Creon: Lipase 36,000 USP units, protease 114,000 USP units, and

amylase 180,000 USP units [BCF]

Pantoprazole Protonix Tablet Delayed Release, Oral:


PARoxetine Paxil Tablet, Oral, as hydrochloride [strength expressed as base]:


Penicillin V Potassium Solution Reconstituted, Oral:

Generic: 125 mg/5 mL (200 mL) [BCF]; 250 mg/5 mL (200 mL) [BCF]

Tablet, Oral:


Permethrin Elimite Cream, External:


Phenazopyridine Pyridium Tablet, Oral, as hydrochloride:


PHENobarbital Elixir, Oral:


Tablet, Oral:


Phenylephrine (Ophthalmic) Solution, Ophthalmic, as hydrochloride:


Phenytoin Capsule, Oral, as sodium:


Suspension, Oral:


Tablet Chewable, Oral:

Generic:50 mg [BCF]

22


Pilocarpine (Ophthalmic) Isopto Carpine Solution, Ophthalmic, as hydrochloride:

Generic: 1% (15 mL) [BCF]; 2% (15 mL) [BCF]; 4% (15 mL) [BCF]

Pimecrolimus Elidel Cream, External:

Elidel: 1% (30 g) [BCF]

Pioglitazone Actos Tablet, Oral:


Piroxicam (Systemic) Feldene Capsule, Oral:

Generic: 20 mg

Podofilox Condylox Gel, External:

Condylox: 0.5% (3.5 g)

Polyethylene Glycol 3350 MiraLax Powder, Oral:

Generic: 17 g/dose (255 g, 527 g)

Polyethylene Glycol-

Electrolyte Solution

GoLYTELY;

MoviPrep

Powder for Solution, Oral:

GoLYTELY: (4000 mL)

MoviPrep: (1000 mL)

Potassium Chloride Klor-Con Capsule Extended Release, Oral:

Generic: 10 mEq [BCF]

Solution, Oral:

Generic: 20 mEq/15 mL (473 mL) [BCF]


Generic: 10 mEq [BCF], 20 mEq [BCF]

Pramipexole Mirapex Tablet, Oral, as dihydrochloride monohydrate:

Generic: 0.125 mg, 0.25 mg

Pramoxine and

Hydrocortisone

Cream, External:

Pramoxine hydrochloride 1% and hydrocortisone acetate 2.5% (30 g)

Pravastatin Pravachol Tablet, Oral, as sodium:


Prazosin Minipress Capsule, Oral:


PrednisoLONE (Ophthalmic) Pred Forte Suspension, Ophthalmic, as acetate:

Pred Mild: 0.12% (10 mL) [BCF]


PrednisoLONE (Systemic) Orapred Solution, Oral, as sodium phosphate [strength expressed as base]:


PredniSONE Tablet, Oral:


Primaquine Tablet, Oral, as phosphate:

Generic: 26.3 mg

Primidone Mysoline Tablet, Oral:


Probenecid Tablet, Oral:


Progesterone Prometrium Capsule, Oral:


Promethazine Phenergan Suppository, Rectal, as hydrochloride:

Generic: 12.5 mg (12s) [BCF]; 25 mg (12s) [BCF]


Generic: 6.25 mg/5 mL (473 mL) [BCF]



Promethazine and

Dextromethorphan

Syrup, Oral:

Promethazine hydrochloride 6.25 mg and dextromethorphan

hydrobromide 15 mg per 5 mL (120 mL)

23


Propranolol Inderal LA Capsule Extended Release 24 Hour, Oral, as hydrochloride:






Propylthiouracil Tablet, Oral:


Pseudoephedrine Sudafed Syrup, Oral:


Tablet, Oral:

Generic: 30 mg

Pyrazinamide Tablet, Oral:


Pyridoxine Vitamin B6 Tablet, Oral:

Generic: 50 mg

QUEtiapine SEROquel Tablet, Oral:


mg [BCF], 400 mg [BCF]



mg [BCF]

RABEprazole Aciphex Tablet Delayed Release, Oral, as sodium:

Generic: 20 mg

Raloxifene Evista Tablet, Oral:


Ramipril Altace Capsule, Oral:

Generic: 1.25 mg [BCF], 2.5 mg [BCF], 5 mg [BCF], 10 mg [BCF]

RaNITIdine Zantac Syrup, Oral:


Tablet, Oral:


Repaglinide Prandin Tablet, Oral:


RifAMPin Rifadin Capsule, Oral:


RisperiDONE RisperDAL Solution, Oral:


Tablet, Oral:

Generic: 0.25 mg [BCF], 0.5 mg [BCF], 1 mg [BCF], 2 mg [BCF], 3 mg

[BCF], 4 mg [BCF]

Rivaroxaban Xarelto Tablet, Oral:

Xarelto: 10 mg, 15 mg, 20 mg

Rizatriptan Maxalt Tablet, Oral:


Tablet Dispersible, Oral:


Rosuvastatin Tablet, Oral:


Salicylic Acid Solution, External:

Generic: 26% (10 mL)

Salmeterol Serevent Diskus Aerosol Powder Breath Activated, Inhalation:

Serevent Diskus: 50 mcg (60s) [contains lactose] [BCF]

Salsalate Tablet, Oral:


24


Scopolamine (Systemic) Transderm-Scop Patch 72 Hour, Transdermal:

Generic: 1 mg/3 days (4 ea)

Selenium Sulfide Lotion, External:


Sertraline Zoloft Concentrate, Oral:


Tablet, Oral:


Sildenafil Viagra Tablet, Oral:

Viagra: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF]

Silver Sulfadiazine Silvadene Cream, External:

Generic: 1% (20 g, 50 g, 85 g) [BCF]

Simethicone Mylicon Suspension, Oral:

Generic: 40 mg/0.6 mL (30 mL)

Simvastatin Zocor Tablet, Oral:

Generic: 5 mg [BCF], 10 mg [BCF], 20 mg [BCF], 40 mg [BCF], 80 mg

SITagliptin Januvia Tablet, Oral:

Januvia: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF]

Sitagliptin and Metformin Janumet; Janumet

XR

Tablet, Oral:

Janumet 50/500: Sitagliptin 50 mg and metformin hydrochloride 500 mg

[BCF]

Janumet 50/1000: Sitagliptin 50 mg and metformin hydrochloride 1000 mg

[BCF]


Janumet XR: 50/500: Sitagliptin 50 mg and metformin hydrochloride 500

mg [BCF]

Janumet XR: 50/1000: Sitagliptin 50 mg and metformin hydrochloride

1000 mg [BCF]

Janumet XR: 100/1000: Sitagliptin 100 mg and metformin hydrochloride

1000 mg [BCF]

Sodium Chloride Muro 128 Ointment, Ophthalmic:

Generic: 5% (3.5 g)

Packet, Nasal [preservative free]:

AYR Saline Nasal Rinse: 1.57 g (50 ea, 100 ea) [iodine free]

Nebulization Solution, Inhalation:


Solution, Nasal:

Generic: 0.65% (44 mL, 45 mL)

Sodium Phosphates Fleet Enema Solution, Rectal [enema]:

Monobasic sodium phosphate monohydrate 19 g and dibasic sodium

phosphate heptahydrate 7 g per 118 mL delivered dose (133 mL)

Sodium Sulfate, Potassium

Sulfate, and Magnesium

Sulfate

Solution, Oral:

Suprep Bowel Prep Kit: Sodium sulfate 17.5 g, potassium sulfate 3.13 g,

and magnesuim sulfate 1.6 g per 180 mL (2 x 180 mL) [contains sodium

benzoate]

Spironolactone Aldactone Tablet, Oral:


Sucralfate Carafate Suspension, Oral:

Carafate: 1 g/10 mL (420 mL)

Tablet, Oral:

Generic: 1 g

Sulfacetamide (Ophthalmic) Solution, Ophthalmic [drops]:


25


Sulfamethoxazole and

Trimethoprim

Bactrim Suspension, Oral:

Sulfamethoxazole 200 mg and trimethoprim 40 mg per 5 mL (473 mL)

[BCF]

Tablet, Oral:

Sulfamethoxazole 400 mg and trimethoprim 80 mg [BCF]

Sulamethoxazole 800 mg and trimethoprim 160 mg [BCF]

SulfaSALAzine Azulfidine Tablet, Oral:


Tablet Delayed Release, Oral:


Sulfur and Sulfacetamide Cleanser, External:

Generic: Sulfur 5% and sulfacetamide sodium 10% (227 g)

SUMAtriptan Imitrex Solution, Subcutaneous:

Generic: 6 mg/0.5 mL (0.5 mL) [BCF]

Tablet, Oral:


Tacrolimus (Topical) Ointment, External:

Generic: 0.03% (30 g); 0.1% (60 g)

Tamoxifen Soltamox Tablet, Oral:


Tamsulosin Flomax Capsule, Oral:


Tazarotene Cream, External:


Telmisartan Micardis Tablet, Oral:


Telmisartan and

Hydrochlorothiazide

Micardis HCT Tablet, Oral:

40/12.5: Telmisartan 40 mg and hydrochlorothiazide 12.5 mg

80/12.5: Telmisartan 80 mg and hydrochlorothiazide 12.5 mg

80/25: Telmisartan 80 mg and hydrochlorothiazide 25 mg

Temazepam Restoril Capsule, Oral:


Terazosin Capsule, Oral:


Terbinafine (Systemic) LamISIL Tablet, Oral:

Generic: 250 mg

Terbinafine (Topical) LamISIL AT Cream, External:

Generic: 1% (30 g)

Terbutaline Tablet, Oral:

Generic: 5 mg

Terconazole Terazol Cream, Vaginal:

Generic: 0.4% (45 g); 0.8% (20 g)

Testosterone Fortesta; Testim Gel, Trandermnal:

Generic: 10 mg/actuation (2%) (60 g) [BCF]; 50 mg/5 g (1%) (5 g)

Solution, Intramuscular, as enanthate:


Solution, Intramuscular, as cypionate:


Theophylline Elixophyllin Solution, Oral:



Generic: 100 mg, 200 mg [BCF], 300 mg [BCF],



26


Timolol (Ophthalmic) Timoptic Gel Forming Solution, Ophthalmic:


Solution, Ophthalmic:


Tiotropium Spiriva HandiHaler;

Spiriva Respimat

Aerosol Solution, Inhalation:

Spiriva Respimat: 1.25 mcg/actuation (4 g) [BCF]; 2.5 mcg/actuation (4 g)

[BCF] [contains benzalkonium chloride, disodium edta]

Capsule, Inhalation:

Spiriva HandiHaler: 18 mcg [contains milk protein] [BCF]

TiZANidine Zanaflex Tablet, Oral:

Generic: 2 mg, 4 mg

Tobramycin and

Dexamethasone

TobraDex Suspension, Ophthalmic [drops]:

TobraDex: Tobramycin 0.3% and dexamethasone 0.1% (5 mL)

Tobramycin (Ophthalmic) Tobrex Solution, Ophthalmic [drops]:


Tolterodine Detrol Capsule Extended Release 24 Hour:


Topiramate Topamax Capsule, Sprinkle, Oral:


Tablet, Oral:


Torsemide Demadex Tablet, Oral:

Generic: 20 mg

TraMADol Tablet, oral, as hydrochloride: 50 mg [BCF]

TraZODone Tablet, oral, as hydrochloride: 50 mg [BCF], 100 mg [BCF], 150 mg [BCF]

Tretinoin (Topical) Cream, topical:

Avita®: 0.025% (20 g) [BCF]

Retin-A®: 0.05% (20 g, 45 g) [BCF]

Gel, topical:

Retin-A®: 0.01% (15 g); 0.025% (15 g, 45 g) [contains ethanol 90% w/w]

Triamcinolone (Topical) Cream, topical, as acetonide: 0.1% (15 g, 80 g) [BCF]; 0.5% (15 g)

Ointment, topical, as acetonide: 0.1% (15 g, 80 g, 454 g)

Paste, oral topical, as acetonide: 0.1% (5 g)

Trimethoprim and Polymyxin

B

Solution, ophthalmic [drops]: Trimethoprim 1 mg and polymyxin B sulfate

10,000 units per 1 mL (10 mL) [BCF]

Tropicamide Solution, ophthalmic [drops]: 0.5% (15 mL)

Mydriacyl®: 1% (15 mL) [contains benzalkonium chloride]

Ulipristal Tablet, Oral, as acetate:

Ella: 30 mg

ValACYclovir Valtrex Caplet, Oral:

Generic: 500 mg, 1 g

Valproic Acid and Derivatives Depakote Capsule Sprinkle, Oral, as divalproex sodium:


Syrup, Oral, as valproate sodium:

Generic: 250 mg/5 mL

Tablet Delayed Release, Oral, as divalproex sodium:


Tablet Extended Release 24 Hour, Oral, as divalproex sodium:


Valsartan Diovan Tablet, Oral:

Generic: 40 mg [scored] [BCF], 80 mg [BCF], 160 mg [BCF], 320 mg

[BCF]

27


Valsartan and

Hydrochlorothiazide

Diovan HCT Tablet, Oral:

80 mg/12.5 mg: Valsartan 80 mg and hydrochlorothiazide 12.5 mg [BCF]

160 mg/12.5 mg: Valsartan 160 mg and hydrochlorothiazide 12.5 mg

[BCF]

160 mg/25 mg: Valsartan 160 mg and hydrochlorothiazide 25 mg [BCF]

320 mg/12.5 mg: Valsartan 320 mg and hydrochlorothiazide 12.5 mg

[BCF]

320 mg/25 mg: Valsartan 320 mg and hydrochlorothiazide 25 mg [BCF]

Venlafaxine Effexor XR Capsule Extended Release 24 Hour, Oral:


Tablet, Oral:

Generic: 25 mg [BCF], 37.5 mg [BCF], 75 mg [BCF], 100 mg [BCF]

Verapamil Calan SR Tablet, Oral:

Generic: 80 mg



Vitamins (Multiple/Pediatric) Content varies depending on product used.

Solution, Oral [drops]: 50 mL

Solution, Oral [drops]: 50 mL [with iron]

Vitamins (Multiple/Prenatal) Prenatal Vitamin Content varies depending on product used.

Capsule, Oral:

Prenatal DHA

Warfarin Coumadin;

Jantoven

Tablet, Oral:

Generic: 1 mg [BCF], 2 mg [BCF], 2.5 mg [BCF], 3 mg [BCF], 4 mg [BCF],

5 mg [BCF], 6 mg [BCF], 7.5 mg [BCF], 10 mg [BCF]

ZOLMitriptan Zomig Tablet, Oral:


Tablet Dispersible, Oral:


Zolpidem Ambien Tablet, Oral, as tartrate:


Tablet Extended Release, Oral, as tartrate:

Generic: 6.25 mg, 12.5 mg

28

jointb asemcguire-dix-lakehurst outpatient...

Documents