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Type in name of drug
Miscellaneous β-Lactam
Antibiotics
Parasympathomimetic (Cholinergic) Agents
Sympathomimetic (Adrenergic) Agents
Sympatholytic (Adrenergic Blocking) Agents
Blood Formation and Coagulation
Electrolytic, Caloric, and Water
Balance
Antitussives, Expectorants, and
Mucolytic Agents
Eye, Ear, Nose, and Throat (EENT) Preparations
Hormones and Synthetic Substitutes
Skin and Mucous Membrane Agents
Emollients, Demulcents, and
Protectants
Unclassified Therapeutic Agents
AHFS CLASS GENERIC
NAME BRAND NAME HOW
SUPPLIED
04.00.00 Antihistamines Top of Page
04:00.00 BROMPHENIRAMINE
COMPOUND DIMETAPP ELIXIR
LIQUID:PER 5ML BROMPHENIRAMINE 2MG PSEUDOEPHEDRINE 15MG
04:00.00 CETIRIZINE ZYRTEC
TABLETS: 5MG, 10MG
SYRUP: 5MG/5ML **TABLETS AND SYRUP
RESTRICTED TO INPATIENT USE ONLY**
04:00.00 CYPROHEPTADINE PERIACTIN
TABLET: 4MG LIQUID: 2MG/5ML
04:00.00 DIPHENHYDRAMINE BENADRYL
CAPSULE: 25MG, 50MG LIQUID: 12.5MG/5MLINJECTION: 50MG/ML1ML
AMPULE
04:00.00 LORATIDINE CLARITIN
TABLET: 10MG ***INPATIENT USE
ONLY***
08.00.00 Anti_infectives Top of Page
08:08.00 MEBENDAZOLE VERMOX
TABLET: 100MG
08:08.00 THIABENDAZOLE MINTEZOL
SUSPENSION: 500MG/5MLS
08:12.02 GENTAMICIN GARAMYCIN
OPHTHALMIC SOLUTION: 0.1%OPHTHALMIC OINTMENT: 0.3%TOPICAL
OINTMENT:1MG/GM 15GMS INJECTION: 20MG
VIAL, 80MGVIAL
08:12.02 KANAMYCIN KANTREX
INJECTION: 1GRAM/3MLS
08:12.02 NEOMYCIN MYCIFRADIN
TABLET: 500MG
08:12.02 TOBRAMYCIN TOBREX
OPHTHALMIC SOLUTION: 0.3% 5MLS OPHTHALMIC OINTMENT: 0.3%
3.5GM
08:12.04 AMPHOTERICIN
B FUNGIZONE
INJECTION: 50MG/VIAL ORAL SUSPENSION: 100MG/ML
08:12.04 AMPHOTERICIN
B LIPID COMPLEX ABELCET
INJECTION: 100MG/20ML VIAL **RESTRICTED
TO INFECTIOUS DISEASE CONSULT**
08:12.04 FLUCONAZOLE DIFLUCAN
TABLET: 50MG, 100MG, 200MG INJECTION: 200MG/100MLS 400MG/200MLS
SUSPENSION: 10MG/ML
08:12.04 FLUCYTOSINE ANCOBAN
CAPSULE: 250MG, 500MG
08:12.04 GRISEOFULVIN GRISACTIN FULVICIN
TABLET: 500MG ORAL SUSP. 125MG/5MLS
08:12.04 ITRACONAZOLE SPORANOX
CAPSULE: 100MG **RESTRICTED TO INPATIENT USE ONLY**
08:12.04 KETOCONAZOLE NIZORAL
TABLET: 200MG TOPICAL:
2% CREAM, SHAMPOO **RESTRICTED TO DERMATOLOGY
FOR SEBORRHEIC DERMATITIS NOT CONTROLLED BY SELSUN SHAMPOO**
08:12.06 CEFAZOLIN ANCEF KEFZOL
INJECTION: 500MG, 1GRAM
08:12.06 CEFEPIME MAXIPIME
VIAL: 1 GM, 2GM
08:12.06 CEFIXIME SUPRAX
TABLET: 400MG **RESTRICTED TO SINGLE-DOSE IN CLINIC USE ONLY**
08:12.06 CEFOTAXIME CLAFORAN
INJECTION: 500MG, 2GM
**RESTRICTED TO PEDIATRICS**
08:12.06 CEFTAZIDIME FORTAZ
INJECTION: 1GRAM, 2GRAM
08:12.06 CEFTRIAXONE ROCEPHIN
INJECTION: 250MG, 500MG, 1 GRAM, 2 GRAMS
08:12.06 CEFUROXIME ZINACEF CEFTIN
INJECTION: 1.5 GRAM TABLET: 125MG, 250MG
08:12.06 CEPHALEXIN KEFLEX
CAPSULE: 250MG, 500MG SUSPENSION: 250MG/5MLS 100MLS
08:12.07 AZTREONAM AZACTAM
INJECTION: 1GRAM, 2GRAM/VIAL
08:12.07 CEFOXITIN MEFOXIN
INJECTION: 1GRAM, 2GRAM
08:12.07 ERTAPENEM INVANZ
INJECTION: 1GM
08:12.07 IMIPENEM/CILASTATIN PRIMAXIN
INJECTION: PER VIAL IMIPENEM 500MG CILASTATIN 500MG
08:12.08 CHLORAMPHENICOL CHLOROPTIC
OPHTHALMIC SOL: 0.5%
7.5MLS INJECTION: 1GRAM/VIAL
08:12.12 AZITHROMYCIN ZITHROMAX
TABLET: 250MG, 600MG SUSPENSION: 100MG/5ML, 1GM PACKET INJECTION: 500MG
08:12.12 CLARITHROMYCIN BIAXIN
TABLET: 250MG, 500MG SUSPENSION: 250MG/5ML
08:12.12 ERYTHROMYCIN ERY-TAB E.E.S.
TABLET: 250MG (BASE), 500MG (BASE)SUSPENSION: 200MG/5MLS (AS
ETHYLSUCCINATE) INJECTION: 500MG/VIAL, 1GM VIAL (ASLACTOBIONATE)OPHTHALMIC
OINTMENT: 5MG/GRAM 3.5GM/TUBE TABLET:
250MG (BASE)
08:12.12 ERYTHROMYCIN/SULFISOXAZOLE PEDIAZOLE
SUSPENSION: PER 5 MLS, 100ML BOTTLE ERYTHROMYCIN
ETHYLSUCCINATE 200MG SULFISOXAZOLE 600MG
08:12.16 AMOXICILLIN POLYMOX AMOXIL
CAPSULE: 250MG, 500MG SUSPENSION: 250MG/5MLS
08:12.16 AMOXICILLIN/CLAVULANIC
ACID AUGMENTIN
SUSPENSION: (PER 5MLS) AMOXICILLIN: 250MG CLAVULANIC ACID:
62.5MG TABLET: 250MG, 500MG, 875MG
08:12.16 AMPICILLIN PRINCIPEN POLYCILLIN
CAPSULE: 250MG, 500MG SUSPENSION: 125MG/5ML, 250MG/5ML
INJECTION: 250MG,500MG, 1GRAM, 2GRAM/VIAL
08:12.16 AMPICILLIN/SULBACTAM UNASYN
INJECTION: 3GRAM/VIAL
08:12.16 DICLOXACILLIN DYNAPEN
CAPSULE: 250MG SUSPENSION: 62.5MG/5MLS 100MLS
08:12.16 NAFCILLIN UNIPEN
INJECTION: 500MG, 1GRAM, 2GRAM VIALS
08:12.16 PENICILLIN PEN
VEE K
TABLET: 250MG, 500MG SUSPENSION: 250MG/5MLS INJECTION:
1MILLION UNITS, 5MILLION UNITS PER VIAL
(AS PENICILLIN G)
08:12.16 PENICILLIN G,
BENZATHINE BICILLIN LA\
CR
INJECTION: 1.2MILLION UNITS/2ML SYR, 2.4 MILLION/4ML SYR
(BICILLIN LA) INJECTION: PER ML(BICILLIN
CR)
BENZATHINE 900,000UNITS, PROCAINE 300,000 UNITS INJECTION:
1.2 MILLION UNITS
08:12.16 PENICILLIN G,
PROCAINE WYCILLIN
INJECTION: 600,000 UNITS/SYRINGE 1.2 MILLION UNITS/SYRINGE
2.4 MILLION UNITS/SYRINGE ALL FORMS: **INTRAMUSCULAR (IM) USE ONLY**
08:12.16 PIPERACILLIN
SODIUM PIPRACIL
INJECTION: 2G, 3G, 4G/VIAL (RESTRICTED
TO HEMATOLOGY/ONCOLOGY SVC.)
08:12.16 PIPERACILLIN/TAZOBACTAM ZOSYN
INJECTION: 2.25GM, 3.375GM
08:12.16 TICARCILLIN/CLAVULANIC
ACID TIMENTIN
INJECTION: PER VIAL TICARCILLIN 3GRAMS CLAVULANIC ACID 100MG
08:12.24 DOXYCYCLINE VIBRAMYCIN
CAPSULE: 100MG INJECTION: 100MG/VIAL
08:12.24 TETRACYCLINE ACHROMYCIN
CAPSULE: 250MG, 500MG LIQUID: 125MG/5MLS
08:12.28 BACITRACIN
TOPICAL OINTMENT: 15GRAMS INJECTION: 50,000 UNITS/VIAL
08:12.28 CLINDAMYCIN CLEOCIN
CAPSULE: 150MG, 300MG LIQUID: 75MG/5MLS INJECTION:
150MG/ML2ML, 4ML, 6ML VIALS
08:12.28 COLISTIN COLYMYCIN-M
INJECTION: 150MG/ML
08:12.28 POLYMIXIN B
SULFATE AEROSPORIN
INJECTION: 500,000 UNITS/VIAL
08:12.28 VANCOMYCIN VANCOCIN
INJECTION: 500MG/VIAL, 1GRAM/VIAL
08:16.00 ETHAMBUTOL MYAMBUTOL
TABLET: 100MG, 400MG
08:16.00 ISONIAZID INH
TABLET: 100MG, 300MG INJECTION: 100MG/ML ORAL LIQUID:
50MG/5ML
08:16.00 PYRAZINAMIDE PZA
TABLET: 500MG
08:16.00 RIFABUTIN MYCOBUTIN
CAPSULE: 150MG
08:16.00 RIFAMPIN RIMACTANE
CAPSULE: 150MG, 300MG - INJECTION: 600MG
08:18.00 ABACAVIR / LAMIVUDINE EPZICOM
TABLET: ABACAVIR
600MG / LAMIVUDINE 300MG
08:18.00 ACYCLOVIR ZOVIRAX
INJECTION: 500MG/VIAL, 1000MG/VIAL CAPSULE: 200MG, TABLET:
400MGSYRUP: 10MG/ML OINTMENT: 15GM
TUBE (BONE MARROW TRANSPLANT ONLY)
08:18.00 AMANTADINE SYMMETREL
CAPSULE: 100MG LIQUID: 50MG/5MLS
08:18.00 AMPRENAVIR AGENERASE
CAPSULE: 50MG, 150MG
08:18.00 CIDOFOVIR VISTIDE
INJECTION: 375MG **RESTRICTED TO I.D.SERVICE FOR INPATIENT USE**
08:18.00 EMTRICITABINE / TENOFOVIR TRUVADA
TABLET: EMTRICITABINE
200MG / TENOFOVIR 300MG
08:18.00 FAMCICLOVIR FAMVIR
TABLET: 125MG, 250MG
08:18.00 FOSCARNET FOSCAVIR
INJECTION: 24MG/ML
08:18.00 GANCICLOVIR CYTOVENE
INJECTION: 500MG/VIAL CAPSULES: 250MG
08:18.00 PALIVIZUMAB SYNAGIS
INJECTION: 100MG
08:18.00 RIBAVIRIN VIRAZOLE
INHALATION: 6 GRAMS
08:18.00 VALACYCLOVIR VALTREX
CAPSULE: 500MG
08:18.08 ATAZANAVIR REYATAZ
CAPSULE: 100, 150
& 200MG
08:18.08 ABACAVIR ZIAGEN
08:18.08 DELAVIRDINE RESCRIPTOR
TABLET: 100MG
08:18.08 DIDANOSINE
(DDI) VIDEX
TABLET: 25MG, 100MG ENTERIC COATED: 125MG, 200MG, 250MG ORAL
SOLUTION: 2GM
08:18.08 EFAVIRENZ SUSTIVA
CAPSULES: 50MG,
100MG, 200MG
08:18.08
EMTRICITABINE EMTRIVA
CAPSULE: 200MG
08:18.08 INDINAVIR CRIXIVAN
CAPSULE: 200MG, 400MG
08:18.08 LAMIVUDINE EPIVIR
SUSPENSION: 10MG/ML
TABLET: 150MG
08:18.08 LOPINAVIR/RITONAVIR KALETRA
CAPSULE: 133.3MG/33.3MG LIQUID: 400MG/100MG/5ML, 160ML
08:18.08 NELFINAVIR VIRACEPT
TABLET: 250MG &
625MG
08:18.08 NEVIRAPINE VIRAMUNE
TABLET: 200MG **REFER TO ID FOR INPATIENTS**
08:18.08 RITONAVIR NORVIR
CAPSULE: 100MG
SUSPENSION: 80MG/ML
08:18.08 SAQUINAVIR INVIRASE FORTOVASE
CAPSULE: MESYLATE
200MG CAPSULE: 200MG
08:18.08 STAVUDINE ZERIT
& ZERIT XR
CAPSULE: 15MG, 20MG,
40MG / XR CAPSULE: 37.5MG, 50MG, 75MG, And 100MG
08:18.08 TENOFOVIR VIREAD
TABLET: 300MG
08:18.08 ZALCITABINE
(DDC) HIVID
TABLET: 0.375MG
08:18.08 ZIDOVUDINE RETROVIR
CAPSULE:100MG SYRUP: 10MG/ML INJECTION: 10MG/ML
08:18.08 ZIDOVUDINE/LAMIVUDINE COMBIVIR
TABLETS: ZIDOVUDINE
300MG/LAMIVUDINE150MG
08:18.08 ZIDOVUDINE/LAMIVUDINE/ABACAVIR TRIZIVIR
TABLET:
300MG/150MG/300MG
08:20.00 CHLOROQUINE
PHOSPHATE ARALEN
TABLET: 500MG
08:20.00 HYDROXYCHLOROQUINE PLAQUENIL
TABLET: 200MG
08:20.00 PRIMAQUINE PRIMAQUINE
TABLET: 26.3MG
08:20.00 PYRIMETHAMINE DARAPRIM
TABLET: 25MG
08:20.00 QUININE
SULFATE
CAPSULE: 260MG, 325MG
08:22.00 CIPROFLOXACIN CIPRO CILOXAN
TABLET: 250MG, 500MG, 750MG - INJECTION: 200MG, 400MG -
OPHTHALMIC SOLUTION: 3.5MG/ML 2.5ML
08:22.00 GATIFLOXIN TEQUIN
INJECTION: 200MG/100ML, 400MG/200ML - TABLET: 200MG, 400MG
08:24.00 SULFADIAZINE MICROSULFON
TABLET: 500MG
08:24.00 SULFASALAZINE AZULFIDINE
TABLET: 500MG
08:24.00 SULFISOXAZOLE GANTRISIN
ORAL SUSPENSION:
500MG/5ML
08:26.00 DAPSONE
TABLET: 25MG, 100MG
08:36.00 METHENAMINE MANDELAMINE
TABLET: 500MG, 1GRAM - LIQUID: 500MG/5ML
08:36.00 NITROFURANTOIN MACROBID FURADANTIN
CAPSULE: 50MG, 100MG - LIQUID: 25MG/5MLS
08:36.00 PHENAZOPYRIDINE PYRIDIUM
TABLET: 100MG
08:40.00 ATOVAQUONE MEPRON
ORAL SUSPENSION:
250MG/5ML
08:40.00 CLOFAZIMINE LAMPRENE
CAPSULE: 50MG
08:40.00 CO-TRIMOXAZOLE BACTRIM SEPTRA
PER DOUBLE STRENGTH TABLET:TRIMETHOPRIM (TMP) 160MG
SULFAMETHOXAZOLE (SMX) 600MG LIQUID:(PER 5MLS) TMP 40MG,SMX 200MGINJECTION:
(PER 5MLS) TMP 80MG, SMX 400MG
08:40.00 METRONIDAZOLE FLAGYL
TABLET: 250MG, 500MG INJECTION: 500MG, 100ML RTU BAG
08:40.00 PENTAMIDINE PENTAM NEBUPENT
INJECTION: 300MG/VIAL INHALATION: 300MG
10:00.00 Antineoplastics Top of Page
10:00.00 ALDESLEUKIN
(INTERLEUKIN-2) PROLEUKIN
INJECTION: 1.3MG/VIAL (22 MILLION UNITS) (CHEMOTHERAPY)
10:00.00 ALTRETAMINE HEXALEN
CAPSULE: 50MG
10:00.00 AMIFOSTINE ETHYOL
INJECTION: 500MG **RESTRICTED TO ONCOLOGY SERVICES** (CHEMOTHERAPY)
10:00.00 ASPARAGINASE ELSPAR
INJECTION: 10,000 UNITS/VIAL
10:00.00 BEVACIZUMAB AVASTIN
INJECTION: 25MG/ML, 4ML VIAL
10:00.00 BICALUTAMIDE CASODEX
TABLET: 50MG
10:00.00 BLEOMYCIN BLENOXANE
INJECTION: 15UNITS/VIAL (CHEMOTHERAPY)
10:00.00 BUSULFAN MYLERAN
TABLET: 2MG(CHEMOTHERAPY)
10:00.00 CARBOPLATIN PARAPLATIN
INJECTION: 150MG/VIAL (CHEMOTHERAPY)
10:00.00 CARMUSTINE BICNU
INJECTION: 100MG/VIAL (CHEMOTHERAPY)
10:00.00 CETUXIMAB ERBITUX
INJECTION: 2MG/ML, 100ML VIAL
10:00.00 CHLORAMBUCIL LEUKERAN
TABLET: 2MG(CHEMOTHERAPY)
10:00.00 CISPLATIN PLATINOL
INJECTION: 100MG VIAL (CHEMOTHERAPY)
10:00.00 CLADRIBINE LEUSTATIN
INJECTION: 10MG VIAL (CHEMOTHERAPY)
10:00.00 CYCLOPHOSPHAMIDE CYTOXAN
TABLET: 50MG INJECTION: 500MG, 1GRAM, 2GRAM (CHEMOTHERAPY)
10:00.00 CYTARABINE CYTOSAR-U
INJECTION: 100MG, 500MG, 2 GRAM VIAL (CHEMOTHERAPY)
10:00.00 DACARBAZINE DTIC-DOME
INJECTION: 200MG/VIAL(CHEMOTHERAPY)
10:00.00 DACTINOMYCIN COSMEGEN
INJECTION: 500MCG/VIAL(CHEMOTHERAPY)
10:00.00 DAUNORUBICIN CERUBIDINE
INJECTION: 20MG/VIAL(CHEMOTHERAPY)
10:00.00 DOCETAXEL TAXOTERE
VIAL: 20MG, 80MG (RESTRICTED TO ONCOLOGY) (CHEMOTHERAPY)
10:00.00 DOXORUBICIN ADRIAMYCIN
INJECTION: 50MG, 200MG(CHEMOTHERAPY)
10.00.00 DOXORUBICIN
LIPOSOMAL DOXIL
INJECTION: 2MG/ML
(CHEMOTHERAPY)
**RESTRICTED TO HEMATOLOGY/ONCOLOGY**
10:00.00 ETOPOSIDE VEPESID
INJECTION: 20MG/ML 5ML AMPULE 20MG/ML 25ML VIAL (BMT)
CAPSULE: 50MG (CHEMOTHERAPY)
10:00.00 FLOXURIDINE FUDR
INJECTION: 500MG VIAL (CHEMOTHERAPY)
10:00.00 FLUDARABINE
PHOSPHATE FLUDARA
INJECTION: 50MG (CHEMOTHERAPY)
10:00.00 FLUOROURACIL 5 FU
INJECTION: 50MG/ML (CHEMOTHERAPY)
10:00.00 FLUTAMIDE EULEXIN
CAPSULE: 125MG
10:00.00 FULVESTRANT FASLODEX
INJECTION: 125/250MG
10:00.00 GEMCITABINE GEMZAR
VIAL: 1 GM (RESTRICTED TO ONCOLOGY) (CHEMOTHERAPY)
10:00.00 GOSERELIN
ACETATE ZOLADEX
INJECTION: 3.6MG, 10.8MG(CHEMOTHERAPY)
10:00.00 HYDROXYUREA HYDREA
CAPSULE: 500MG
10:00.00 IDARUBICIN IDAMYCIN
INJECTION: 10MG VIAL (CHEMOTHERAPY)
10:00.00 IFOSPHAMIDE IFEX-COMBO
INJECTION: 1GRAM/VIAL (CHEMOTHERAPY)
10:00.00 INTERFERON
ALFA 2A ROFERON-A
INJECTION: (ROFERON) VIALS:
3, 18 OR 36 MILLION UNIT VIALS
10:00.00 INTERFERON
ALFA 2B INTRON-A
INJECTION: (INTRON) VIALS: 3, 5, 10, 18,OR 50 MILLION UNITS
10:00.00 IRINOTECAN CAMPTOSAR
VIAL: 100 MG (RESTRICTED TO ONCOLOGY)
10:00.00 LEUPROLIDE
ACETATE LUPRON
INJECTION: 3.75MG, 7.5MG, 11.25MG, 15MG, 30MG (CHEMOTHERAPY)
10:00.00 LOMUSTINE CEENU
CAPSULE: 10MG, 40MG, 100MG(CHEMOTHERAPY)
10:00.00 MECHLORETHAMINE MUSTARGEN
INJECTION: 10MG/VIAL (CHEMOTHERAPY)
10:00.00 MEGESTROL MEGACE
TABLET: 40MG(CHEMOTHERAPY)
10:00.00 MELPHALAN ALKERAN
TABLET: 2MG INJECTION:
50MG VIAL (CHEMOTHERAPY)
10:00.00 MERCAPTOPURINE PURINETHOL
TABLET: 50MG(CHEMOTHERAPY)
10:00.00 MESNA MESNEX
INJECTION: 1GRAM(CHEMOTHERAPY)
10:00.00 METHOTREXATE METHOTREXATE
INJECTION: 50MG, 100MG (PRESERVATIVE FREE) (CHEMOTHERAPY)
10:00.00 MITOMYCIN MUTAMYCIN
INJECTION: 5MG, 20MG(CHEMOTHERAPY)
10:00.00 MITOXANTRONE NOVANTRONE
INJECTION: 20MG/VIAL (CHEMOTHERAPY)
10:00.0 OXALIPLATIN ELOXATIN
INJECTION: 100MG (USED AFTER FIRST
LINE TREAMENT FAILURE)
10:00.00 PACLITAXEL TAXOL
INJECTION: 30MG VIAL, 100MG VIAL (CHEMOTHERAPY)
10:00.00 RITUXIMAB RITUXAN
INJECTION: 100MG
& 500MG **RESTRICTED
TO HEME/ONC ATTENDINGS**
10:00.00 TAMOXIFEN NOLVADEX
TABLET: 10MG
10:00.00 THIOGUANINE
TABLET: 40MG (CHEMOTHERAPY)
10:00.00 TOPOTECAN HYCAMTIN
VIAL: 4 MG (RESTRICTED TO ONCOLOGY)
10:00.00 TRASTUZUMAB HERCEPTIN
INJECTION: 440MG **RESTRICTED TO
HEME/ONC ATTENDINGS**
10:00.00 TRIETHYLENETHIOPHOSPHATE THIO-TEPA
INJECTION: 15MG/VIAL (CHEMOTHERAPY)
10:00.00 VINBLASTINE VELBAN
INJECTION: 10MG/VIAL (CHEMOTHERAPY)
10:00.00 VINCRISTINE ONCOVIN
INJECTION: 1MG/ML 1ML, 2ML VIAL (CHEMOTHERAPY)
10:00.00 VINORELBINE NAVELBINE
VIAL: 50 MG (RESTRICTED TO ONCOLOGY) (CHEMOTHERAPY)
12:00.00
Autonomic Drugs Top of Page
12:04.00 BETHANECHOL URECHOLINE
TABLET: 25MG
INJECTION: 5MG/ML
12:04.00 EDROPHONIUM
CHLORIDE ENLON ENLON PLUS
INJECTION: 10MG/ML 15ML VIAL INJECTION: W/ATROPINE 15ML VIAL
12:04.00 NEOSTIGMINE PROSTIGMIN
INJECTION: 1MG/ML
(1:1000) 10 ML VIAL
12:04.00 PHYSOSTIGMINE ANTILIRIUM ESERINE
INJECTION: 1MG/ML 2ML OPHTHALMIC OINTMENT: 0.25% 3.5GRAMS
12:04.00 PYRIDOSTIGMINE MESTINON
TABLET: 60MG, 180MG ORAL LIQUID: 60MG/5ML
12:08.04 BENZTROPINE COGENTIN
TABLET: 1MG, 2MG INJECTION: 1MG/ML 2ML VIAL
12:08.04 PROPANTHELINE PROBANTHINE
TABLET: 15MG
12:08.08 ANTICHOLINERGIC
LIQUID/TABLET DONNATAL
PER TABLET AND PER 5ML LIQUID ATROPINE 0.0194MG SCOPOLAMINE:
0.0065MG HYOSCYAMINE HBR SO4:
0.1037MG PHENOBARBITAL: 16.2MG
12:08.08 ATROPINE
SULFATE
INJECTION: 0.4MG/ML 1ML VIAL, 20ML VIAL1MG/10ML SYRINGE
OPHTHALMIC SOLUTION: 0.5% 5ML1% 2ML, 5MLS
12:08.08 DICYCLOMINE BENTYL
LIQUID: 10MG/5MLS
12:08.08 GLYCOPYRROLATE ROBINUL
INJECTION: 0.2MG/ML 1ML, 5ML VIAL
12:08.08 HYOSCYAMINE LEVSIN/SL
TABLET: 0.125MG
12:08.08 IPRATROPIUM
BROMIDE ATROVENT
INHALER: 16MCG/PUFF SOLUTION: 0.02% UNIT DOSE
12.08.08 TIOTROPIUM SPIRIVA
CAPSULE: 18MCG FOR INHALATION
**RESTRICTED FOR STABLE PULMONARY PATIENTS;
PATIENTS NEAR DISCHARGE WITH COPD OR EMPHYSEMA**
**DISCONTINUE IF IPRATOPIUM IS ORDERED**
12:08.08 SCOPOLAMINE HYOSCINE
INJECTION: 0.4MG/ML 1ML OPHTHALMIC SOLUTION: 0.25% 5MLS
12:08.08 TRIHEXYPHENIDYL ARTANE
TABLET: 2MG, 5MG LIQUID: 2MG/ML
12:12.00 ALBUTEROL PROVENTIL VENTOLIN
TABLET: 2MG, 4MG, 4MG REPETABLIQUID: 2MG/5MLS
INHALER:90MCG/PUFF INHALANT SOLUTION: 0.0.080.033MLS ROTOCAP: 200MCG/CAPSULE
12:12.00 DOBUTAMINE DOBUTREX
INJECTION: 250MG/20MLS
12:12.00 DOPAMINE INTROPIN
INJECTION: 40MG/ML 5ML VIAL 80MG/ML 5ML VIAL 400MG IN 250ML
D5W
12:12.00 EPHEDRINE
CAPSULE: 25MG INJECTION: 50MG/ML 1ML AMPULE
12:12.00 EPINEPHRINE ADRENALIN SUS-PHRINE
INJECTION: 1:1000 (1MG/ML) 1ML, 30
MLS1:10,0000(0.1MG/ML)10ML SYRINGE
0.1mg (5MG/ML) SUSPENSION
12:12.00 EPINEPHRINE
RACEMIC MICRONEPHRINE
INHALANT SOLUTION: 2.25% 15MLS
12:12.00 ISOPROTERENOL ISUPREL
INJECTION: 200MCG/ML
5ML AMPUL
12:12.00 NOREPINEPHRINE LEVOPHED LEVARTERENOL
INJECTION: 1MG/ML 4ML VIAL
12:12.00 PHENYLEPHRINE NEOSYNEPHRINE
NASAL SOLUTION: 0.25%, 0.5% INJECTION: 10MG/ML 1ML AMPULE -
OPHTHALMIC SOLUTION: 2.5% 15MLS0.15MLS
12:12.00 PSEUDOEPHEDRINE SUDAFED
TABLET: 30MG, 60MG LIQUID: 30MG/5MLS
12:12.00 SALMETEROL SEREVENT
INHALER
12:12.00 TERBUTALINE BRETHINE BRETHAIRE
TABLET: 2.5MG, 5MG INHALER: 200MCG/USE INJECTION: 1MG/ML1ML
12:16.00 CAFFEINE/ERGOTAMINE WIGRAINE
PER TABLET:CAFFEINE 100MG ERGOTAMINE 1MG
12:16.00 ERGOLOID
MESYLATES HYDERGINE
TABLET: 1MG
12:16.00 PHENOXYBENZAMINE DIBENZYLINE
CAPSULE: 10MG
12:16.00 PHENTOLAMINE REGITINE
INJECTION: 5MG/VIAL**WHEN AVAILABLEFROM MANUFACTURER**
12:20.00 BACLOFEN LIORESAL
TABLET: 10MG
12:20.00 CHLORZOXAZONE PARAFON FORTE
DSC
TABLET: 500MG
12:20.00 CISATRACURIUM NIMBEX
INJECTION: 2MG/ML, 10ML VIALS
12:20.00 CYCLOBENZAPRINE FLEXERIL
TABLET: 10MG
12:20.00 DANTROLENE DANTRIUM
CAPSULE: 25MGINJECTION: 20MG/VIAL
12:20.00 DOXACURIUM CL NUROMAX
INJECTION: 1MG/ML 5ML
12:20.00 METHOCARBAMOL ROBAXIN
TABLET: 500MGINJECTION: 100MG/ML
12:20.00 MIVACURIUM
CHLORIDE MIVACRON
INJECTION: 2MG/ML 10ML VIAL, 0.5MG/ML
12:20.00 PANCURONIUM PAVULON
INJECTION: 2MG/ML 5ML
AMPUL
12:20.00 ROCURONIUM
BROMIDE ZEMURON
INJECTION: 10MG/ML
5ML VIAL
12:20.00 SUCCINYLCHOLINE ANECTINE
INJECTION: 20MG/ML 10MLS 500MG FLO-PAK
12:20.00 TUBOCURARINE
INJECTION: 3MG/ML
12:20.00 VECURONIUM
BROMIDE NORCURON
INJECTION: 10MG
16:00.00
Blood Derivatives Top of Page
16:00.00 ALBUMIN,
HUMAN
INJECTION: 25%
50ML5% 50ML, 250ML, 500ML
20:00.00
Blood Formation and Coagulation Top of Page
20:04.04 FERROUS
SULFATE FERROUS
SULFATE \ FER-IN-SOL
TABLET: 325MG LIQUID: 15MG/0.6ML (PEDIATRIC) 330MG/5MLS
20:04.04 IRON DEXTRAN INFED
INJECTION: 50MG/ML 2ML(IV)
20:04.04 SODIUM
FERRIC GLUCONATE FERRLECIT
INJECTION:
125MG/5ML (62.5MG ELEMENTAL IRON)
20:12.04 DALTEPARIN FRAGMIN
INJECTION: 5000U/0.2ML 10, 000U/ML 10ML
20:12.04 HEPARIN
INJECTION: 100U/ML 2ML, 10ML VIAL1000U/ML 1ML, 10ML
VIAL5000U/ML1ML VIAL10,000U/ML 1MLVIAL
20:12.04 HEPARIN BEEF
INJECTION: 1000U/ML 10ML, 30ML VIAL
20:12.04 WARFARIN COUMADIN
TABLET: 1MG, 2MG, 2.5MG, 5MG, 7.5MG
20:12.08 PROTAMINE
INJECTION: 1% 5MLS
20:12.16 AMINOCAPROIC
ACID AMICAR
TABLET: 500MG LIQUID: 250MG/ML INJECTION: 250MG/ML20ML VIAL
20:12.16 THROMBIN THROMBOSTAT THROMBOGEN
INJECTION: 1,000
UNITS/VIAL10,000 UNITS/VIAL
20:16.00 DARBOPOETIN ARANESP
INJECTION: 25, 40, 60, 100 & 200MCG
**RESTRICTED TO NEPHROLOGY &
HEMATOLOGY/ONCOLOGY OUTPATIENTS**
20:16.00 EPOETIN ALFA EPOGEN PROCRIT
INJECTION SINGLE DOSE: 2000, 3000, 4000, 10000 & 40,000
U/ML
INJECTION MULTIDOSE: 20,000 U/ML
**STANDARD ADMINISTRATION TIME IS 21:00**
20:16.00
PEGFILGRASTIM NEULASTA
INJECTION: 6MG/0.6ML **RESTRICTED TO OUTPATIENT USE ONLY**
20:24.00 PENTOXIFYLLINE TRENTAL
TABLET: 400MG
20:40.00 STREPTOKINASE KABIKINASE
INJECTION: 250,000 UNITS/VIAL750,000 UNITS/VIAL1,500,000
UNITS/VIAL
20:40.00 UROKINASE ABBOKINASE
INJECTION: 250,000 UNITS
**RESTRICTED TO INTERVENTIONAL RADIOLOGY &
VASCULAR SURGERY**
24:00.00
Cardiovascular Drugs Top of Page
24:04.00 ADENOSINE ADENOCARD ADENOSCAN
INJECTION: 3MG/ML 2ML VIAL INJECTION: 3MG/ML 30ML VIAL
(SPECIAL PROCEDURES)
24:04.00 AMIODARONE CORDARONE
TABLET: 200MG (RESTRICTED TO CARDIOLOGYSERVICE) INJECTION:
150MG/3ML**RESTRICTED TOCARDIOLOGY, CARDIOVASCULAR SURGERY AND CRITICAL CARE
AREAS
24:04.00 AMLODIPINE
BESYLATE NORVASC
TABLET: 2.5MG, 5MG RESTRICTED TO PED NEPHROLOGY & PTS
UNABLE TO SWALLOW
24:04.00 AMRINONE INOCOR
INJECTION: 5MG/ML 20ML AMPULE
24:04.00 ATENOLOL TENORMIN
TABLET: 25MG, 50MG, 100MG
24:04.00 CARVEDILOL COREG
TABLET: 3.125MG,
6.25MG, 12.5MG, 25MG
24:04.00 DIGOXIN LANOXIN
TABLET: 0.125MG, 0.25MG LIQUID: 0.05MG/ML INJECTION:
0.25MG/ML 2ML AMPULE 0.1MG/ML 1ML AMPULE (PEDIATRIC)
24:04.00 DILTIAZEM CARDIZEM CARDIZEM CD
TABLET: 30MG, 60MG, 90MG, 120MG & EXTENDED RELEASE
CAPSULE: 120MG, 180MG,240MG, 300MG
INJECTION: 5MG/ML 5ML, 10ML
24:04.00 ESMOLOL BREVIBLOC
INJECTION: 10MG/ML250MG/ML (CONCENTRATE FOR INFUSION)
24:04.00 IBUTILIDE CORVERT
VIAL: 1 MG/10ML
(RESTRICTED TOCARDIOLOGY, CARDIOVASCULAR SURG AND CRITICAL CARE SERVICES)
24:04.00 LIDOCAINE/DEXTROSE LIDOCAINE/DEXTROSE
INJECTION: 2GM/500ML
24:04.00 METOPROLOL LOPRESSOR
TABLET: 50MG, 100MG INJECTION: 1MG/ML AMPULE
24:04.00 MILRINONE PRIMACOR
INJECTION: 1MG/ML
24:04.00 NADOLOL CORGARD
TABLET: 40MG, 80MG
24:04.00 NICARDIPINE CARDENE
INJECTION: 2.5MG/ML
10ML AMPUL
24:04.00 NIFEDIPINE PROCARDIA ADALAT
CC
CAPSULE: 10MG, 20MG SUSTAINED RELEASE TABLET: 30MG, 60MG,
AND 90MG
24:04.00 PROCAINAMIDE PROCAN SR PRONESTYL
TABLET: 500MG (SUSTAINED RELEASE) CAPSULE: 250MG, 375MG,
500MG INJECTION: 100MG/ML
24:04.00 PROPRANOLOL INDERAL
TABLET: 10MG, 20MG, 40MG, 80MG INJECTION: 1MG/ML 1ML AMPULE
- SUSTAINED RELEASE TABLET: 60MG, 80MG 120MG
24:04.00 QUINIDINE QUINAGLUTE QUINIDEX
TABLET: 200MG, 300MG (SULFATE)SUSTAINED RELEASE: 324MG
(GLUCONATE)300MG (SULFATE)INJECTION: 80MG/ML 10ML VIAL (GLUCONATE)
24:04.00 SOTALOL BETAPACE
TABLET: 8OMG, 160MG (RESTRICTED TO CARDIOLOGY)
24:04.00 TOCAINIDE TONOCARD
TABLET: 400MG
24:04.00 VALSARTAN DIOVAN
CAPSULE: 80MG, 160MG
24:04.00 VERAPAMIL VERELAN
TABLET: 80MG, 120MG SUSTAINED RELEASE CAPSULE: 120MG.,
180MG, 240MG - INJECTION: 2.5MG/ML
24:06.00 ATORVASTATIN LIPITOR
TABLET: 10, 20 & 40MG
24:06.00 GEMFIBROZIL LOPID
TABLET: 600MG
24:06.00 PRAVASTATIN PRAVACHOL
TABLET: 10MG, 20MG
24:08.00 CAPTOPRIL CAPOTEN
TABLET: 12.5MG, 25MG, 50MG, 100MG
24:08.00 CLONIDINE CATAPRES
TABLET: 0.1MG, 0.2MG, 0.3MG
24:08.00 DIAZOXIDE HYPERSTAT
INJECTION: 300MG/20ML AMPULE
24:08.00 ENALAPRIL VASOTEC
INJECTION: 1.25MG/ML
24:08.00 FELODIPINE PLENDIL
TABLET: 2.5MG, 5MG, 10MG
24:08.00 FOSINOPRIL MONOPRIL
TABLET: 10MG, 20MG
24:08.00 HYDRALAZINE APRESOLINE
TABLET: 10MG, 25MG, 50MG INJECTION: 20MG/ML
24:08.00 LABETALOL HCL TRANDATE NORMODYNE
TABLET: 100MG, 200MG, 300MG INJECTION: 5MG/ML, 4ML AND 10ML
24:08.00 METHYLDOPA ALDOMET
TABLET: 250MG, 500MG LIQUID: 250MG/5MLS INJECTION:
250MG/5MLS (AS METHYLDOPATE)
24:08.00 MEXILETINE MEXITIL
CAPSULE: 150MG, 200MG
24:08.00 MINOXIDIL LONITEN
TABLET: 2.5MG, 10MG
24:08.00 RESERPINE SERPASIL
TABLET: 0.25MG (250MCG)
24:08.00 SODIUM
NITROPRUSSIDE NIPRIDE
INJECTION: 50MG/VIAL
24:12.00 AMYL NITRITE
INHALATION: 0.3ML/AMPULE
24:12.00 DIPYRIDAMOLE PERSANTINE
TABLET: 25MG, 50MG, 75MG
24:12.00 ISOSORBIDE
DINITRATE ISORDIL
TABLET: SUBLINGUAL
5MG ORAL 10MG, 20MG, 30MG,40MG SUSTAINED RELEASE 40MG (TEMBID)
24:12.00 ISOSORBIDE
MONONITRATE IMDUR
TABLET: 60MG, 120MG
(INPATIENT USE ONLY)
24:12.00 NIMODIPINE NIMOTOP
CAPSULE: 30MG
24:12.00 NITROGLYCERIN NITROSTAT TRIDIL
TABLET, SUBLINGUAL: 400MCG (1/150GR) INJECTION: 5MG/ML 10ML VL - 100MG/250MLS D5W - OINTMENT:
2% 1GM UD
24:12.00 NITROGLYCERIN
PATCH TRANSDERM
NITRO NITRO DUR
TOPICAL: 0.2MG/HOUR 0.4MG/HOUR
24:12.00 PAPAVERINE
INJECTION: 30MG/ML
10ML VIAL
24:12.00 TOLAZOLINE
HYDROCHLORIDE PRISCOLINE
INJECTION: 25MG/ML, 4ML
24:16.00 MORRHUATE
SODIUM
INJECTION: 50MG/ML 30ML VIAL
24:16.00 SODIUM
TETRADECYL SULFATE SOLTRADECOL
INJECTION: 3% 2ML
28:00.00
Central Nervous System Agents Top of Page
28:04.00 KETAMINE
(CIII) KETALAR
INJECTION: 10MG/ML 20MLS 50MG/ML 50MLS
28:04.00 PROPOFOL
INJECTION: 10MG/ML / 20ML, 50ML, 100ML
28:08.04 ASA/CAFFEINE/BUTALBITAL
(CIII) FIORINAL
PER TABLET: ASPIRIN 325MG CAFFEINE 40MG BUTALBITAL 50MG
28:08.04 ASPIRIN
TABLET: 81MG, 325MG ENTERIC COATED TABLET: 325MG SUPPOSITORY:
125MG, 600MG
28:08.04 IBUPROFEN MOTRIN CHILDRENS MOTRIN
TABLET: 400MG, 600MG, 800MG SUSPENSION: 100MG/5ML
28:08.04 INDOMETHACIN INDOCIN
CAPSULE: 25MG, 50MG, 75MG (SUSTAINED RELEASE) ORAL LIQUID:
25MG/5MLS INJECTION: 1MG/VIAL RECTAL SUPPOSITORY: 50MG
28:08.04 KETOROLAC
TROMETHAMINE TORADOL
INJECTION: 15MG/ML, 30MG/ML, 60MG/2ML - TABLET: 10MG
(RESTRICTED TO INPATIENTS) - INJECTION/TABLET HAS AN AUTOMATIC 5 DAY STOP
28:08.04 NAPROXEN NAPROSYN
TABLET: 250MG, 375MG SUSPENSION: 25MG/ML
28:08.04 PIROXICAM FELDENE
CAPSULE: 10MG, 20MG
28:08.04 SULINDAC CLINORIL
TABLET: 150MG, 200MG
28:08.08 ACETAMINOPHEN
W/CODEINE (CIII) TYLENOL #3
PER TABLET: ACETAMINOPHEN 325MG & CODEINE 30MG
LIQUID:(PER 5MLS) ACETAMINOPHEN 120MGCODEINE12MG
28:08.08 ASPIRIN
W/CODEINE (CIII) EMPIRIN
W/CODEINE #3
PER TABLET: ASPIRIN 325MG CODEINE 30MG
28:08.08 CODEINE (CII) CODEINE
TABLET: 30MG INJECTION: 30MG/MLSYRUP:15MG/5ML
28:08.08 FENTANYL
(CII) SUBLIMAZE DURAGESIC
INJECTION: 0.05 MG/ML
2 ML, 5ML, 20MLPATCHES: 25MCG, 50MCG, 75MCG, 100MCG
**FENTANYL PATCHES ARE RESTRICTED TO INPATIENT USE
ONLY**
28:08.08 HYDROCODONE/ACETAMINOPHEN
CIII LORTAB
TABLET: PER TAB HYDROCODONE 10MG ACETAMINOPHEN 500MG - LIQUID:
PER 5MLS HYDROCODONE 2.5MG
28:08.08 HYDROMORPHONE
(CII) DILAUDID
TABLET: 2MGINJECTION: 2MG/ML
28:08.08 MEPERIDINE
(CII) DEMEROL
INJECTION: 25MG/ML, 50MG/ML75MG/ML,
100MG/MLSYRUP:50MG/5MLTABLET: 50MGPCA:
10MG/ML 30ML
28:08.08 MORPHINE
(CII) MS
CONTIN DURAMORPH
LIQUID: 20MG/5MLS
INJECTION: 5MG/1ML, 10MG/1ML VIAL 5MG/10MLS, 20MG/10ML, 200MG/20 ML, 500MG/20ML
PRESERVATIVE FREE 5MG/ML 30ML PCA LIQUID:
20MG/5MLS
28:08.08 OXYCODONE
(CII) OXYCONTIN
SOLUTION: 5MG/5ML
TABLET: 5MG, 10mg, 40mg, 80mg 10MG,
20,40, 80MG (SUSTAINEDRELEASE)
28:08.08 OXYCODONE
W/ACETAMINOPHEN (CII) PERCOCET ROXICET
PER TABLET: OXYCODONE 5MG ACETAMINOPHEN 325MG
28:08.08 OXYCODONE
W/ASPIRIN (CII) PERCODAN
PER TABLET: OXYCODONE HCL 4.5MG OXYCODONE TEREPHTHALATE
0.38MG ASPIRIN325MG
28:08.08 PROPOXYPHENE
HCL (CIV) DARVON
CAPSULE: 65MG
28:08.08 REMIFENTANIL (CII) ULTIVA®
INJECTION: 5MG/ML
**RESTRICTED TO ANESTHESIOLOGY IN NEUROSURGERY
PATIENTS**
28:08.08 SUFENTANIL
(CII) SUFENTA
INJECTION: 50MCG/ML 1ML, 2ML, 5ML
28:08.12 BUPRENORPHINE
(CV) BUPRENEX
INJECTION: 0.324MG/ML
28:08.12 BUTORPHANOL
(CIV) STADOL
INJECTION: 2MG/ML1MG/ML
28:08.12 NALBUPHINE
HCL NUBAIN
INJECTION: 10MG/ML
28:08.92 ACETAMINOPHEN TYLENOL TEMPRA
TABLET: 325MG: LIQUID: 160MG/5ML SUPPOSITORY: 120MG, 650MG
**RESTRICTED TO INPATIENTS**
28:08.92 SUMATRIPTAN
SUCCINATE IMITREX
INJECTION: 6MG/0.5ML NASAL SPRAY: 20MCG (INPATIENT USE ONLY)
28.08.92 ELETRIPTAN HBr RELPAX
TABLET: 40MG
**
28:10.00 NALMEFENE REVEX
INJECTION: 1MG/ML, 2ML AMPULE
28:10.00 NALOXONE NARCAN
INJECTION: 1MG/ML 2ML AMPUL
(RESTRICTED TO PEDIATRICS WHILE IN SHORT SUPPLY)
28:12.04 PHENOBARBITAL
(CIII) PHENOBARBITAL
TABLET: 15MG, 30MG, 100MG LIQUID: 20MG/5ML, 7.5MLS, 480MLS INJECTION: 30MG/ML65MG/ML
130MG/ML
28:12.04 PRIMIDONE MYSOLINE
TABLET: 250MG LIQUID: 250MG/5MLS
28:12.08 CLONAZEPAM
(CIV) KLONOPIN
TABLET: 0.5MG, 1MG
28:12.12 FOSPHENYTOIN CEREBYX
INJECTION: 50MG(PE)/ML 2ML VIAL, 50MG(PE)/ ML 10ML
VIAL**RESTRICTED TO EMERGENCY SERVICES AND ICU'S** CAPSULE: 250MG SUSPENSION:
250MG/5MLS
28:12.12 PHENYTOIN DILANTIN
TABLET: 50MG (CHEWABLE) - CAPSULE: 100MG - INJECTION:
50MG/2ML
28:12.20 ETHOSUXIMIDE ZARONTIN
CAPSULE: 250MG SUSPENSION: 250MG/5MLS
28:12.92 CARBAMAZEPINE TEGRETOL
TABLET: 100MG (CHEWABLE), 200MG SUSPENSION: 100MG/5MLS
28:12.92 DIVALPROEX DEPAKOTE
TABLET: 125MG, 250MG, 500MG (VALPROIC ACID EQUIVALENT,
ENTERIC COATED)
TABLET: EXTENDED RELEASE 250 & 500MG
28:12.92 GABAPENTIN NEURONTIN
CAPSULE: 100MG, 300MG, 400MG
28:12.92 LAMOTRIGINE LAMICTAL
TABLET: 25 & 100MG
28:12.92 LEVETIRACETAM KEPPRA
TABLET: 500MG
28:12.92 MAGNESIUM
SULFATE EPSOM
SALTS
TOPICAL: 450GRAMS INJECTION: 500MG/ML (4MEQ/ML)
28:12.92 VALPROATE
SODIUM DEPACON
INJECTION: 100MG
28:12.92 VALPROIC ACID DEPAKENE
LIQUID: 250MG/5MLS
28:16.00 LOXAPINE LOXITANE
CAPSULE: 5MG LIQUID: 50MG/ML
28:16.04 AMITRIPTYLINE ELAVIL ENDEP
TABLET: 10MG, 25MG, 50MG, 75MG, 100MG
28:16.04 AMOXAPINE ASCENDIN
TABLET: 50MG
28:16.04 ATOMOXETINE STRATTERA
CAPSULE: 40MG &
60MG
**RESTRICTED TO PSYCHIATRY**
28:16.04 BUPROPION HCL WELLBUTRIN
& WELLBUTRIN XL
TABLET: 75MG, 100MG & XL 150MG & 300MG
28:16.04 CLOMIPRAMINE ANAFRANIL
CAPSULE: 25MG, 75MG
28:16.04 DESIPRAMINE NORPRAMIN
TABLET: 25MG, 50MG
28:16.04 DOXEPIN SINEQUAN
CAPSULE: 25MG, 50MG, 100MG
28:16.04 DULOXETINE CYMBALTA
CAPSULE: 20, 30 &
60MG
28:16.04 ESCITALOPRAM LEXAPRO
TABLET: 10 & 20MG
28:16.04 FLUOXETINE PROZAC
CAPSULE: 10MG, 20MG
28:16.04 IMIPRAMINE TOFRANIL
TABLET: 10MG, 25MG, 50MG
28:16.04 MIRTAZAPINE REMERON
TABLET: 15MG
28:16.04 NORTRIPTYLINE AVENTYL PAMELOR
CAPSULE: 10MG, 25MG, 50MG
28:16.04 PAROXETINE PAXIL
TABLET: 20MG
28:16.04 SERTRALINE ZOLOFT
TABLET: 50MG, 100MG
28:16.04 TRAZADONE DESYREL
TABLET: 50MG, 100MG
28:16.04 VENLAFAXINE EFFEXOR
TABLET: 37.5MG, 75MG
28:16.08 ARIPIPRAZOLE ABILIFY
TABLET: 15 & 30MG
28:16.08 CHLORPROMAZINE THORAZINE
TABLET: 10MG, 25MG, 50MG, 100MG LIQUID: 100MG/ML INJECTION:
25MG/ML2ML AMPULE
28:16.08 CLOZAPINE CLOZARIL
TABLET: 25MG, 100MG
**RESTRICTED TO PSYCHIATRY**
28:16.08 DROPERIDOL INAPSINE
INJECTION: 2.5MG/ML
28:16.08 FLUPHENAZINE PROLIXIN PROLIXIN D
TABLET: 1MG, 2.5MG, 5MG, 10MG LIQUID: 2.5MG/5MLS INJECTION:
2.5MG/ML(HCL) 25MG/ML (DECANOATE) 25MG/ML (ENANTHATE)
28:16.08 HALOPERIDOL HALDOL
TABLET: 0.5MG, 1MG, 2MG, 5MG, 10MG LIQUID: 2MG/ML INJECTION:
5MG/ML2ML AMPULE
28:16.08 HALOPERIDOL
DECANOATE HALDOL
DECANOATE
INJECTION: 50MG/ML
28:16.08 MOLINDONE MOBAN
TABLET: 5MG, 25MG
28:16.08 OLANZEPINE ZYPREXA
TABLET: 5MG, 10MG
INJECTION: 10MG **RESTRICTED TO
PSYCHIATRY**
28:16.08 PROCHLORPERAZINE COMPAZINE
TABLET: 5MG, 10MG SUPPOSITORY: 25MG INJECTION: 5MG/ML2MLS
28:16.08 RISPERIDONE RISPERDAL RISPERDAL CONSTA
TABLET: 1MG, 2MG, 3MG, And 4 MG / INJECTION: CONSTA 25 & 37.5MG / ELIXIR: 1MG/ML
**RESTRICTED TO PSYCHIATRY AND OUTPATIENTS**
28:16.08 THIORIDAZINE MELLARIL
TABLET: 25MG, 50MG, 100MG LIQUID: 30MG/ML
28:16.08 THIOTHIXENE NAVANE
CAPSULE: 1MG, 2MG, 5MG, 10MG, 20MG LIQUID: 5MG/ML 30MLS,
120MLS
28:16.08 TRIFLUOPERAZINE STELAZINE
TABLET: 2MG, 5MG, 10MG INJECTION: 2MG/ML 10MLS
28:20.00 AMMONIA,
AROMATIC
INHALATION: 0.3-0.4ML/AMP
28:20.00 CAFFEINE
CITRATE CAFCIT
INJECTION: 60MG/3ML
28:20.00 DOXAPRAM DOPRAM
INJECTION: 20MG/ML
28:20.00 METHYLPHENIDATE
(CII) RITALIN
TABLET: 10MG
Barbiturates
28:24.04 AMOBARBITAL
(CII) AMYTAL
INJECTION: 500MG/VIAL
28:24.04 METHOHEXITAL
(CIV) BREVITAL
INJECTION: 500MG/VIAL
28:24.04 PENTOBARBITAL
(CII) NEMBUTAL
INJECTION: 50MG/ML 2MLS
28:24.04 THIOPENTAL
(CIII) PENTOTHAL
INJECTION: 250MG, 500MG SYRINGES
Benzodiazepines
**ALL BENZODIAZEPINES HAVE AN AUTOMATIC STOP DATE
OF 14 DAYS**
28:24.08 ALPRAZOLAM (CIV) XANAX
TABLET: 0.25MG, 0.5MG
28:24.08 CHLORDIAZEPOXIDE
(CIV) LIBRIUM
CAPSULE: 10MG, 25MG INJECTION: 100MG/VIAL
28:24.08 DIAZEPAM
(CIV) VALIUM
TABLET: 2MG, 5MG, 10MG INJECTION: 10MG/2MLS SYRINGE, VIAL
LIQUID: 5MG/ML 30ML
28:24.08 LORAZEPAM
(CIV) ATIVAN
TABLET: 1MG, 2MG INJECTION: 2MG/ML
28:24.08 MIDAZOLAM
(CIV) VERSED
INJECTION: 5MG/ML 1ML, 10ML1MG/ML 2ML, 5ML
28:24.08 ZOLIPIDEM
(CIV) AMBIEN
TABLETS: 5MG, 10MG
**ALL BENZODIAZEPINES HAVE AN AUTOMATIC STOP DATE
OF 14 DAYS**
Miscellaneous
Anxiolytics, Sedatives and Hypnotics
28:24.92 BUSPIRONE BUSPAR
TABLET: 5MG, 10MG
28:24.92 CHLORAL
HYDRATE (CIV) NOCTEC
LIQUID: 500MG/5MLS SUPPOSITORY: 500MG
28:24.92 DEXMEDETOMIDINE PRECEDEX
INJECTION: 250MG/ML, 2ML
**RESTRICTED TO ADULT AND PEDIATRIC INTENSIVE CARE
UNITS**
28:24.92 ETOMIDATE AMIDATE
INJECTION: 2MG/ML 20ML SYRINGE
28:24.92 HYDROXYZINE
(HCL/PAMOATE) ATARAX VISTARIL
TABLET: 10MG CAPSULE: 25MG, 50MG INJECTION: 50MG/ML2ML
VIAL(HYDROCHLORIDE) ORAL SUSPENSION: 25MG/5ML (PAMOATE) **ATARAX AND VISTARIL WILL BE CONSIDERED TABLET: 10MG
28:24.92 PROMETHAZINE PHENERGAN
TABLET: 25MG SUPPOSITORY: 12.5MG, 25MG INJECTION: 25MG/ML1ML
AMPULE 50MG/ML 1ML AMPULE
28:28.00 LITHIUM LITHONATE LITHIUM
CITRATE
CAPSULE: 150MG, 300MG (CARBONATE) TABLET: 300MG (CARBONATE
)LIQUID: LITHIUM CITRATE (EQUIVALENT TO 300MG/5MLS LITHIUM CARBONATE)
28:92.0 ACAMPROSATE CAMPRAL
TABLET: 333MG
**RESTRICTED TO INPATIENT USE**
28:92.00 ATOMOXETINE STRATERRA
CAPSULE: 40 & 60MG
**RESTRICTED TO PSYCHIATRY FOR ADULT ADHD**
36:00.00
Diagnostic Agents Top of Page
36:04.00 CORTICOTROPIN ACTHAR ACTHAR GEL
INJECTION: 40UNITS/ML INJECTION: 80UNITS/ML (IF AVAILABLE)
36:04.00 COSYNTROPIN CORTROSYN
INJECTION: 0.25MG/VIAL
36:04.00 GONADORELIN
HCL FACTREL
INJECTION: 500MCG/VIAL
36:18.00 INDOCYANINE CARDIO-GREEN
INJECTION: 25MG
36:32.00 HISTOPLASMIN
SKIN TEST HISTOLYN CYL
INJECTION: DOSE 0.1ML 10 DOSES/VIAL
36:36.00 PENTAGASTRIN PEPTAVLON
INJECTION: 250MCG/ML 2MLS
36:40.00 INDIGO
CARMINE
INJECTION: 8MG/ML 5ML AMPULE
36:52.00 MUMPS SKIN
TEST
INJECTION: 0.1ML/DOSE
36:60.00 PROTIRELIN RELEFACT
TRH
INJECTION: 500MCG/ML 1ML
36:68.00 IOPANOIC ACID TELEPAQUE
TABLET: 500MG (6 TABLETS/ENVELOPE)
36:84.00 TUBERCULIN
SKIN TEST TUBERSOL
INJECTION: 5 UNITS/0.1ML
1ML VL5ML VL (EMPLOYEE HEALTH ONLY)250 UNITS/0.1ML 1ML VL
40:00.00
Electrolytic, Caloric, and Water Balance Top of Page
40:08.00 SODIUM
BICARBONATE
TABLET: 650MG INJECTION: 1MEQ/ML 50ML SYRINGE, VIAL
0.5MEQ/ML 10ML (PEDIATRIC)
40:08.00 SODIUM
BICARBONATE NORMOCARB
INJECTION: 240ML: Gms/Liter: NaCl 82.84, MgCl2 2.06, NaHCO3 39.70
40:08.00 SODIUM
CITRATE BICITRA
LIQUID: PER 5MLS SODIUM CITRATE 500MG CITRIC ACID334MG
40:10.00 LACTULOSE CEPHULAC
LIQUID: 3.3GM/5ML; 30ML CUP
40:12.00 CALCIUM
ACETATE PHOSLO
TABLET: 667MG (169MG CALCIUM)
40:12.00 CALCIUM
CARBONATE OSCAL
TABLET: 650MG (250MG CALCIUM), 1250MG (500MG CALCIUM)
40:12.00 CALCIUM CARBONATE & VIT D CALTRATE 600 +D
TABLET: 600MG CALCIUM & 200IU VITAMIN D
40:12.00 CALCIUM
CHLORIDE
INJECTION: 100MG/ML (1GRAM=13.6MEQ CALCIUM)
40:12.00 CALCIUM
GLUBIONATE NEO-CALGLUCON
LIQUID: 4MLS= 1GRAM CALCIUM GLUCONATE
40:12.00 CALCIUM
GLUCONATE
TABLET: 500MG (EQUIVALENT TO 45MG OF ELEMENTAL
CALCIUM).INJECTION: 10% (40.6MEQ/10MLS
40:12.00 DEXTRAN 40
INJECTION 10%: IN D5W 500ML IN 0.9% NACL 500ML
40:12.00 DEXTRAN 70 HYSKON
INJECTION: 100 MLS
40:12.00 HETASTARCH HESPAN
INJECTION: 6% 500 MLS
40:12.00 MANNITOL
INJECTION: 25%, 50 MLS
40:12.00 POTASSIUM
ACETATE
INJECTION: 2MEQ/ML
40:12.00 POTASSIUM
CHLORIDE SLOW-K MICRO-K 10
K-DUR
TABLET/CAPSULE: 8MEQ, 10MEQ, 20MEQORAL POWDER FOR SOLUTION:
20MEQ/PACKET - INJECTION: 2MEQ/ML
40:12.00 POTASSIUM
PHOSPHATE
INJECTION: PER ML POTASSIUM 4.4MEQ, PHOSPHORUS 3MMOLES (93MG
PHOSPHORUS/3MM)
40:12.00 SODIUM &
POTASSIUM PHOSPHATE NEUTRA-PHOS
PER PACKET: PHOSPHORUS 250MG, POTASSIUM 278MG (7.1MEQ)
SODIUM: 164MG (7.1MEQ)
40:12.00 SODIUM
ACETATE
INJECTION: 2MEQ/ML 20MLS
40:12.00 SODIUM CHLORIDE
TABLET: 1 GRAM INJECTION: 0.9% 20MLS (PRESERVATIVE FREE)
40:12.00 TRACE
ELEMENTS MTE-6
INJECTION: PER ML ZINC 1MG, SELENIUM 20MCG, COPPER 0.4MG,
IODIDE 25MCG, MANGANESE 0.1MG, CHROMIUM 4MCG (0.01MG)
40:12.00 WATER FOR
INJECTION STERILE
WATER
INJECTION: 10/20ML (PRESERVATIVE FREE)
40:18.00 SODIUM
POLYSTYRENE SULFONATE KAYEXALATE
SUSPENSION: 15 GRAMS/60MLS (PRE-MIXED) ENEMA: 30GM/120MLS
40:20.00 DEXTROSE 50%
INJECTION: 25GRAMS/50MLS SYRINGE, VIAL
40:20.00 ETHANOL 5% IN
DEXTROSE 5% ALCOHOL IN DEXTROSE
INJECTION: 500MLS
40:28.00 BUMETANIDE BUMEX
TABLET: 0.5MG, 1MGINJECTION: 0.25MG/ML 2ML, 4ML AND 10ML
40:28.00 FUROSEMIDE LASIX
TABLET: 20MG, 40MG, 80MG LIQUID: 10MG/ML INJECTION:
10MG/ML2ML, 10ML VIALS
40:28.00 HYDROCHLOROTHIAZIDE ESIDREX
TABLET: 25MG, 50MG
40:28.00 METOLAZONE ZAROXOLYN
TABLET: 2.5MG, 5MG, 10MG
40:28.10 AMILORIDE MIDAMOR
TABLET: 5MG
40:28.10 SPIRONOLACTONE ALDACTONE
TABLET: 25MG, 100MG
40:36.00 ACETIC ACID
IRRIGATION SOLUTION: 0.25% 500 MLS
40:36.00
MODIFIED BUROW'S SOLUTION(
40:40.00 PROBENECID BENEMID
TABLET: 500MG
44:00.00 HYALURONIDASE WYDASE \
HEALON OPHTHALMIC
INJECTION: 150U/ML OPHTHALMIC INJ: 10MG/ML 0.85ML
48:00.00
Antitussives, Expectorants, and Mucolytic Agents Top of Page
48:08.00 GUAIFENESIN
W/CODEINE (C-V) ROBITUSSIN AC
LIQUID: PER 5ML GUAIFENESIN 100MG CODEINE 10MG
48:16.00 GUAIFENESIN HUMIBID ROBITUSSIN
TABLET: 600MG LIQUID: 100MG/5ML: 5ML, 120ML
48:16.00 GUAIFENESIN
W/DEXTROMETHORPHAN ROBITUSSIN
DM
LIQUID: PER 5MLS
120ML BOTTLE GUAIFENESIN: 100MG DEXTROMETHORPHAN: 15MG
48:16.00 IODINE,
STRONG SOLUTION LUGOL'S
SOLUTION
LIQUID: PER ML IODINE 50MG POTASSIUM IODINE 100MG
48:16.00 POTASSIUM
IODIDE SSKI
SOLUTION: 1GRAM/ML 30 MLS
48:24.00 ACETYLCYSTEINE MUCOMYST ACETADOTE
SOLUTION FOR INHALATION: 20%, 4 AND 30 MLS / INJECTION: 20%, 30ML VIAL
48:28.00 CHLOROTHIAZIDE DIURIL
ORAL LIQUID: 250MG/5ML
52:00.00
Eye, Ear, Nose, and Throat (EENT) Preparations Top of Page
52:04.04 HYDROCORTISONE/ANTIBIOTIC
OTIC CORTISPORIN OTIC
SUSPENSION: PER ML HYDROCORTISONE: 1% NEOMYCIN 5MG POLYMIXIN
B:10,000 UNITS
52:04.04 POLYMIXIN/BACITRACIN
OPHTH. POLYSPORIN OPTH
OPHTHALMIC OINTMENT: PER GRAM POLYMIXIN B: 10,000 UNITS
BACITRACIN: 500 UNITS
52:04.04 TRIPLE
ANTIBIOTIC OPHTH SOLN NEOSPORIN
OPTH
OPHTHALMIC SOLUTION (PER ML) POLYMIXIN B:10,000 UNITS
NEOMYCIN: 1.75MG GRAMICIDIN: 0.025MG
52:04.06 TRIFLURIDINE VIROPTIC
OPHTHALMIC SOLUTION: 1% 7.5MLS
52:04.06 VIDARABINE VIRA-A VIRA-A OPHTHALMIC
OPHTHALMIC OINTMENT: 3%
3.5 GRAMS
52:04.08 SULFACETAMIDE BLEPH-10
OPHTHALMIC SOLUTION: 10% 2.5MLS OPHTHALMIC OINTMENT: 10%
3.5GRAMS
52:04.12 OFLOXACIN FLOXIN
OTIC
SOLUTION: 5ML
52:04.12 SILVER
NITRATE
TOPICAL STICKS: 75%
PACKS OF 10
52:04.12 ZINC SULFATE
CAPSULE: 220MG INJECTION: 1MG/ML
52:08.00 DEXAMETHASONE
OPHTH DEXACIDIN MAXITROL
OPHTHALMIC OINT. AND SUSP. (PER GM AND ML) DEXAMETHASONE:
0.1% NEOMYCIN SULFATE: 0.35% POLYMIXIN B: 10,000 UNITS
52:08.00 FLUOROMETHOLONE FLAREX
OPHTHALMIC SUSPENSION: 0.1% 5ML
52:08.00 FLUTICASONE FLOVENT
INHALER: 44MCG,
110MCG, 220MCG
52:08.08 PREDNISOLONE PRED FORTE ECONOPRED PLUS
OPHTHALMIC SUSPENSION: 1%
SYRUP: 15MG/5ML
52:08.08 PREDNISOLONE/SULFACETAMIDE ISOPTO CETAPRED
OPHTHALMIC SOLUTION: PER ML PREDNISOLONE: 0.25% SULFACETAMIDE:
10%
52:10.00 ACETAZOLAMIDE DIAMOX
TABLET: 250MG INJECTION: 500MG/VIAL
52:16.00 BENZOCAINE HURRICAINE DERMOPLAST CETACAINE
AEROSOL: 20%TOPICAL (DERMOPLAST): 20% 60G / SPRAY SOLUTION:
20% 30ML ORAL or MUCOSAL (HURRICAINE)
SPRAY SOLUTION: 14% 56GM TOPICAL MUCOSAL (CETACAINE)
52:16.00 COCAINE (CII)
SOLUTION: 4% (TOPICAL)
52:16.00 PROPARACAINE ALCAINE
OPHTHALMIC SOLUTION: 0.5% 15MLS
52:16.00 TETRACAINE PONTOCAINE
OPHTHALMIC SOLUTION: 0.5% 1ML
52:20.00 ACETYLCHOLINE MIOCHOL E
OPHTHALMIC: 20MG/VIAL (W/60MG MANNITOL),2ML (SUBJECT TO
AVAILABILITY)
52:20.00 CARBACHOL ISOPTOCARBACHOL MIOSTAT
OPHTHALMIC SOLUTION: 3% 15MLS INTRAOCULAR SOLUTION: O.O1%
1.5ML
52:20.00 DAPIPRAZOLE
HCL REV-EYES
OPHTHALMIC SOLUTION: 25MG/5ML( AFTER PREPARATION)
52:20.00 PILOCARPINE PILOCAR ISOPTOCARPINE
OPHTHALMIC SOLUTION: 0.5% 15ML, 1% 15ML, 2% 15ML, 3% 15ML,
4% 15ML
52:24.00 CYCLOPENTOLATE CYCLOGYL
OPHTHALMIC SOLUTION: 1% 2ML, 5ML - 2% 2ML, 5ML
52:24.00 DIPIVEFRIN PROPINE
OPHTHALMIC SOLUTION: 0.1% 5MLS
52:24.00 HOMATROPINE
OPHTHALMIC SOLUTION:2%
5ML5% 5ML
52:24.00 TROPICAMIDE MYDRIACYL
OPHTHALMIC SOLUTION: 1% 3ML, 15ML
52:28.00 CETYLPYRIDINIUM CEPACOL
LOZENGES
LOZENGES: 36S (RESTRICTED TO BMT)
52:28.00 MAGIC
MOUTHWASH
SUSPENSION:
MAALOX®/SUCRALFATE/DIPHENHYDRAMINE 1:1:1
52:32.00 NAPHAZOLINE VASOCON
OPHTHALMIC SOLUTION: 0.1% 15MLS
52:36.00 ANTIPYRINE/BENZOCAINE
OTIC AURALGAN AUROTO
OTIC SOLUTION: PER ML ANTIPYRINE: 54MG BENZOCAINE:14MG
52:36.00 APRACLONIDINE
HCL IOPIDINE
OPHTHALMIC SOLUTION: 0.5%, 1%
52:36.00 BALANCED SALT
SOLUTION BSS
OPHTHALMIC SOLUTION: 15MLS
52:36.00 BETAXOLOL BETOPTIC
S
OPHTHALMIC SOLUTION: 0.25% 2.5ML
52:36.00 BOTULINUM
TOXIN BOTOX
OPHTHALMIC INJECTION: 100 UNITS/VIAL**RESTRICTED TO
OPHTHALMOLOGY AND ANESTHESIOLOGY PAIN CLINIC FACULITY
52:36.00 FLUORESCEIN FLUOR-I-STRIP FUNDUSCEIN-10
OPHTHALMIC STRIP: 10MG OPHTHALMIC INJECTION: 10% 2MLS
52:36.00 FLURBIPROFEN
SODIUM OCUFEN
OPHTHALMIC SOLUTION: 0.03%
2.5MLS
52:36.00 HYDROXYETHYLCELLULOSE GONIOSOL
GONIOSCOPIC SOLUTION: 2.5% 15MLS
52:36.00 HYDROXYPROPYLMETHYLCELLULOSE TEARISOL
SOLUTION: 0.5% 15MLS
52:36.00 IRRIGATING
OPHTHALMIC SOLUTION EYE STREAM DACRIOSE
OPHTHALMIC SOLUTION: 4OZ
52:36.00 LATANOPROST XALATAN
OPHTHALMIC SOLN: 0.005%, 2.5ML
52:36.00 TIMOLOL TIMOPTIC
OPHTHALMIC SOLUTION: 0.25% 0.45MLS0.5% 0.45MLS
52:36.00 TRIETHANOLAMINE CERUMENEX
SOLUTION: 6MLS/BOTTLE
52:36.00 VERTEPORFIN VISUDYNE
INJECTION: 15MG/VIAL
52:36.00 WHITE
PETROLATUM LACRI-LUBE
OPHTHALMIC OINTMENT: 0.7GM/3.5GM (WHICHEVER CHEAPER)
52:36.06 ARTIFICIAL
TEARS ISOPTO
TEARS NATURAL TEARS
OPHTHALMIC SOLUTION:1ML, 15MLS (HYDROXY-METHYLCELLULOSE)
56:00.00
Gastrointestinal Drugs Top
of Page
56:04.00 AL &MG
HYDROXIDE MAALOX
LIQUID: (PER 5MLS)
56:04.00
TABLET: 500MG (
56:04.00
LIQUID: 320MG/5ML
56:04.00
TABLET:
56:04.00 CHARCOAL,
ACTIVATED AQUACHAR
LIQUID: 25 GRAMS LIQUID: 25 GRAMS
56:04.00 MAGALDRATE RIOPAN
LIQUID: 540MG/5MLS
56:04.00 MAGNESIUM
OXIDE URO-MAG
CAPSULE: 140MG
56:08.00 BISMUTH
SUBSALICYLATE PEPTO-BISMOL
LIQUID: 262MG/15MLS
56:08.00 DIPHENOXYLATE/ATROPINE
(CV) LOMOTIL
PER TABLET: DIPHENOXYLATE 2.5MG ATROPINE: 0.025MG
56:08.00 LOPERAMIDE IMODIUM
CAPSULE: 2MG - SOLUTION: 2MG/5ML
56:10.00 SIMETHICONE MYLICON
TABLET: 80MG LIQUID: 40MG/0.6ML 30MLS
56:12.00 BISACODYL DUCOLAX
TABLET: 5MG SUPPOSITORY: 10MG
56:12.00 BOWEL
EVACUANT KIT X-PREP
KIT-1
PER KIT: SENNA EXTRACT 50G (74MLS) - 2 SENOKOT TABLETS
(SENNA187MG/TAB) - 1 BISACODYL SUPPOSITORY 10MG & 1 DOCUSATE CAPSULE 50MG
56:12.00 CASCARA
SAGRADA
LIQUID: 5MLS/CUP
56:12.00 CASCARA
W/MAGNESIUM HYDROXIDE
LIQUID: CASCARA 5MLS MAGNESIUM HYDROXIDE (MOM) 30MLS
56:12.00 CASTOR OIL
LIQUID: 60MLS
56:12.00 DOCUSATE
CALCIUM SURFAK
CAPSULE: 240MG
56:12.00 DOCUSATE
SODIUM COLACE
LIQUID: 50MG/15ML
30ML CUP
56:12.00 MAGNESIUM
CITRATE CITROMA
LIQUID: 300MLS/BOTTLE
56:12.00 MAGNESIUM
HYDROXIDE MOM
LIQUID: 30MLS
56:12.00 MINERAL OIL
LIQUID: 30MLS (HEAVY) STERILE: 30MLS/VIAL (LIGHT)
56:12.00 POLYETHYLENE
GLYCOL COLYTE MIRALAX
POWDER FOR ORAL SOLUTION: 4800ML CONTAINER (COLYTE) OR 17 GM
PACKETS (MIRALAX)
56:12.00 PSYLLIUM METAMUCIL
ORAL POWDER FOR SOLUTION: 7GRAMS/PACKET
56:12.00 SENNA EXTRACT X PREP SENOKOT S
LIQUID: 218MG/5MLS 60 MLS TABLET: 7.5MG W/DOCUSATE SODIUM
50MG
56:12.00 SODIUM
PHOSPHATE/BIPHOSPHATES FLEETS
PHOSPHOSODA
LIQUID: PER 100MLS PHOSPHATE 18G SODIUM PHOSPHATE 48G
(SUPPLIED AS 45MLUNIT DOSE BTL)
56:12.00 SORBITOL
LIQUID: 70%
56:16.00 PANCREALIPASE PANCREASE
PER CAPSULE: LIPASE 4000 UNITS PROTEASE 25,000 UNITS AMYLASE
20,000 UNITS
56:20.00 IPECAC SYRUP
LIQUID: 30MLS
56:22.00 DIMENHYDRINATE DRAMAMINE
TABLET: 50MG INJECTION: 50MG/ML
56:22.00 DRONABINOL MARINOL
CAPSULE: 2.5MG
**RESTRICTED TO HEMATOLOGY/ONCOLOGY
SERVICE**
56:22.00 GRANISETRON KYTRIL
TABLET: 1MG
56:22.00 ONDANSETRON ZOFRAN
INJECTION: 2MG/ML
**RESTRICTED TO
ANESTHESIA SERVICE
& CHEMOTHERAPY
INDUCED N/V IN PEDIATRICS**
56:22.00 TRIMETHOBENZAMIDE TIGAN
CAPSULE: 250MG SUPPOSITORY: 250MGINJECTION: 100MG/ML2MLS
56:40.00 CIMETIDINE TAGAMET
TABLET: 300MG, 400MG LIQUID: 300MG/5MLS INJECTION:
150MG/ML2ML
56:40.00 FAMOTIDINE PEPCID
INJECTION: 20MG/2ML TABLET:
20MG
56:40.00 METOCLOPRAMIDE REGLAN
TABLET: 10MG LIQUID: 5MG/5MLS INJECTION: 5MG/ML2ML, 10ML
AMPULES
56:40.00 MISOPROSTOL CYTOTEC
TABLET: 100MCG,
200MCG
56:40.00 OMEPRAZOLE ZEGERID
PACKET: IMMEDIATE
RELEASE 20 & 40MG
**RESTRICTED TO INTENSIVE CARE PATIENTS WITH
ENTERAL TUBE**
56:40.00 PANTOPRAZOLE PROTONIX
TABLET: 20, 40MG
INJECTION: 40MG
56:40.00 RANITIDINE ZANTAC
TABLETS 50MG, INJECTION 25MG/ML, ORAL LIQUID 75MG/5ML ***ALL
FORMS RESTRICTED TO PEDIATRICS**
56:40.00 SUCRALFATE CARAFATE
TABLET: 1GRAM
60:00.00 Gold Compounds Top of Page
60:00.00 GOLD SODIUM
THIOSULFATE AUROLATE
INJECTION: 0.5%/ML, 2ML VIAL
64:00.00
Heavy Metal Antagonists Top
of Page
64:00.00 DEFEROXAMINE DESFERAL
INJECTION: 500MG/AMPULE
64:00.00 DIMERCAPROL BAL IN
OIL
INJECTION: 100MG/ML 3ML AMPULE
64:00.00 EDETATE
CALCIUM DISODIUM CALCIUM
VERSENATE
INJECTION: 200MG/ML
64:00.00 EDETATE
DISODIUM EDTA
INJECTION: 150MG/ML
64:00.00 SODIUM
THIOSULFATE
INJECTION: 1GRAM/10MLS 10ML AMPULE
68:00.00
Hormones and Synthetic Substitutes Top
of Page
68:04.00 BETAMETHASONE CELESTONE SOLUSPAN
/ VALISONE
INJECTION: BETAMETHASONE ACETATE 3MG AND BETAMETHASONE 3MG
PER ML **RESTRICTED TO LABOR & DELIVERY**
TOPICAL CREAM 0.1%
TOPICAL V LOTION **RESTRICTED TO
DERMATOLOGY
68:04.00 BETAMETHASONE
DIPROPRINATE DIPROLENE
TOPICAL: CREAM,
OINTMENT **RESTRICTED TO DERMATOLOGY
68:04.00 CORTISONE
ACETATE CORTONE
TABLET: 5MG, 25MG
68:04.00 DEXAMETHASONE DECADRON DECADRON
LA MAXIDEX
TABLET: 0.5MG, 1.5MG, 2MG, 4MG LIQUID: 0.5MG/5ML 100ML INJECTION: 4MG/ML1ML OPHTHALMIC
SOLUTION: 0.1%5ML
68:04.00 FLUDROCORTISONE FLORINEF
TABLET: 0.1MG
68:04.00 HYDROCORTISONE CORTEF SOLU-CORTEF
CORTENEMA
TABLET: 5MG, 10MG, 20MG SUSPENSION: 10MG/5ML
ENEMA:100MG/60ML INJECTION: 50MG/ML (AS SODIUM SUCCINATE & PHOSPHATE
TABLET: 5MG, 10MG, 2
68:04.00 METHYLPREDNISOLONE MEDROL SOLU-MEDROL
TABLET: 4MG, 16MG INJECTION: 40MG/VIAL, 125MG/2ML VIAL
1000MG/VIAL (SODIUM SUCCINATE)
68:04.00 METHYLPREDNISOLONE
ACETATE DEPO-MEDROL
INJECTION: 40MG/ML, 80MG/ML
68:04.00 PREDNISONE DELTASONE
TABLET: 5MG, 10MG, 20MG, 50MG LIQUID: 5MG/5MLS
68:04.00 TRIAMCINOLONE
DIACETATE ARISTOCORT FORTE
INJECTION: 40MG/ML 1ML, 5ML25MG/ML 5ML
68:08.00 FLUOXYMESTERONE HALOTESTIN
TABLET: 10MG
68:08.00 NANDROLONE DECA-DURABOLIN
INJECTION: 100MG/ML 2ML
68:08.00 TESTOSTERONE
CYPIONATE (CIII) DEPO-TESTOSTERONE
INJECTION: 100MG/ML 1ML
68:12.00 LEVONORGESTREL NORPLANT
PACKAGE OF 5 CAPSULES FOR INSERTION
68:16.00 ESTRADIOL
TRANSDERMAL ESTRADERM
TOPICAL: TRANSDERMAL PATCH 0.05MG/24 HOURS 0.1MG/24 HOURS
68:16.00 ESTROGEN,
CONJUGATED PREMARIN
TABLET: 0.625MG, 1.25MG VAGINAL CREAM: 43G INJECTION:
25MG/VIAL
68:18.00 CHORIONIC
GONADOTROPIN APL PREGNYL
INJECTION: 5,000 UNITS/10ML10,000 UNITS/10ML
68.20.08 INSULIN,
GLARGINE LANTUS
INJECTION: 10ML VIAL
68:20.08 INSULIN,
LENTE (ZINC SUSP) NOVOLIN
L HUMULIN L
HUMAN INSULIN U-100, 10MLS
68:20.08 INSULIN,
LISPRO HUMALOG
INJECTION 10ML VIAL
68:20.08 INSULIN, NPH
(ISOPHANE) NOVOLIN N HUMULIN
N
HUMAN INSULIN U-100: 10MLS
68:20.08 INSULIN,
NPH/REGULAR HUMULIN
70/30
INJECTION 10ML VIAL
68:20.08 INSULIN,
REGULAR NOVOLIN
R HUMULIN R
HUMAN INSULIN U-100: 10MLS
68:20.20 ACETOHEXAMIDE DYMELOR
TABLET: 250MG,
68:20.20 CHLORPROPAMIDE DIABENESE
TABLET: 250MG
68:20.20 GLIPIZIDE GLUCOTROL
TABLET: 5MG, 10MG
68:20.20 GLYBURIDE MICRONASE DIABETA
TABLET: 1.25MG, 2.5MG, 5MG
68:20.92 GLUCAGON
INJECTION: 1UNIT
68:20.92 METFORMIN GLUCOPHAGE
TABLET: 500MG, 850MG
68:20.92 ROSIGLITAZONE AVANDIA
TABLET: 2MG, 4MG, 8MG
68:28.00 DESMOPRESSIN
ACETATE DDAVP
NASAL SOLUTION: 100MCG/ML 2.5MLS/VIAL NASAL SPRAY: 5ML SPRAY INJECTION: 4MCG/ML1ML AMPUL
TABLET: 0.1 & 0.2MG
68:28.00 VASOPRESSIN PITRESSIN
INJECTION: 20 UNITS/ML 1ML AMPULE
68:32.00 MEDROXYPROGESTERONE PROVERA DEPO-PROVERA
TABLET: 2.5MG, 10MG INJECTION: 150MG SYRINGE 400MG/ML2.5MLS
68:32.00 PROGESTERONE
IN OIL
INJECTION: 50MG/ML 10MLS ***WHEN AVAILABLE***
68:36.04 LEVOTHYROXINE SYNTHROID
TABLET: 0.025MG (25MCG), 0.05MG (50MCG) O.75MG (75MCG),
0.1MG (100MCG) 0.125MG (125MCG), 0.15MG (150MCG) 0.2MG(200MCG) INJECTION: 0.2MG(200MCG)/VIAL
68:36.04 THYROID USP
TABLET: 30MG (1/2GRAIN) 60MG (1 GRAIN)
68:36.08 METHIMAZOLE TAPAZOLE
TABLET: 5MG, 10MG
68:36.08 PROPYLTHIOURACIL PTU
TABLET: 50MG