LSUHSC PHARMACY FORMULARY

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Antihistamines

 

Anti-infective Agents

                                                                                Antihelmintics

                                                                                Aminoglycosides

                                                                                Antifungal Antibiotics

                                                                                Cephalosporins

                                                                                Miscellaneous β-Lactam Antibiotics

                                                                                Chloramphenicol

                                                                                Macrolides

                                                                                Penicillins

                                                                                Tetracyclines

                                                                                Miscellaneous Antibiotics

                                                                                Antituberculosis Agents

                                                                                Antivirals

                                                                                Antimalarial Agents

                                                                                Quinolones

                                                                                Sulfonamides

                                                                                Sulfones

                                                                                Urinary Anti-infectives

                                                                                Miscellaneous Anti-infectives

 

Antineoplastic Agents

 

Autonomic Drugs

                                                                                Parasympathomimetic (Cholinergic) Agents

                                                                                Antiparkinsonian Agents

                                                                                Antimuscarinic/Antispasmodics

                                                                                Sympathomimetic (Adrenergic) Agents

                                                                                Sympatholytic (Adrenergic Blocking) Agents

                                                                                Skeletal Muscle Relaxants

               

Blood Derivatives

 

Blood Formation and Coagulation

                                                                                Iron Preparations

                                                                                Anticoagulants

                                                                                Antiheparin Agents

                                                                                Hemostatics

                                                                                Hematopoietic Agents

                                                                                Hemorrheologic Agents

                                                                                Thrombolytic Agents        

 

Cardiovascular Drugs

                                                                                Cardiac Drugs

                                                                                Antilipemic Agents            

Hypotensive Agents

                                                                                Vasodilating Agents

                                                                                Sclerosing Agents

 

Central Nervous System Agents

                                                                                General Anesthetics

                                                                                Analgesics and Antipyretics

                                                                                Anticonvulsants

                                                                                Antidepressants

                                                                                Antipsychotic Agents

Anorexigenic Agents, Respiratory and Cerebral Stimulants

                                                                                Anxiolytics, Sedatives, and Hypnotics

                                                                                Antimanic Agents

                                                                                Miscellaneous CNS Agents

                                                                                  

Diagnostic Agents

                                                                                Adrenal Insufficiency

Cardiac Function

Fungi

Gallbladder Function

Kidney Function

Mumps

Thyroid

Roentgenography

Tuberculosis

 

 

 

Electrolytic, Caloric, and Water Balance

                                                                                Alkalinizing Agents

                                                                                Ammonia Detoxicants

                                                                                Replacement Preparations

                                                                                Potassium-Removing Resins

                                                                                Caloric Agents

                                                                                Diuretics

                                                                                Irrigating Solutions

                                                                                Uricosuric Agents              

 

Enzymes

 

Antitussives, Expectorants, and Mucolytic Agents

 

Eye, Ear, Nose, and Throat (EENT) Preparations

                                                                                Antibiotics

                                                                                Antifungals

                                                                                Sulfonamides

                                                                                Miscellaneous Anti-infectives

                                                                                Anti-inflammatory Agents

                                                                                Carbonic Anhydrase Inhibitors

                                                                                Local Anesthetics

                                                                                Miotics

                                                                                Mydriatics

                                                                                Mouthwashes & Gargles

                                                                                Vasoconstrictors

                                                                                Miscellaneous EENT Drugs

 

 

Gastrointestinal Drugs

                                                                                Antacids & Adsorbents

                                                                                Antidiarrhea Agents

                                                                                Antiflatulents

                                                                                Cathartics & Laxatives

                                                                                Digestants

                                                                                Emetics

                                                                                Antiemetics

                                                                                Miscellaneous GI Drugs

 

Gold Compounds

 

Heavy Metal Antagonists

 

Hormones and Synthetic Substitutes

Adrenals

Androgens

Contraceptives

Estrogens

Gonadotropins

Antidiabetic Agents

Parathyroid

Pituitary

Progestins

Thyroid & Antithyroid Agents

 

Local Anesthetics

 

Oxytocics

 

Serums, Toxoids, and Vaccines

                                                                                Serums

                                                                                Toxoids

                                                                                Vaccines

 

Skin and Mucous Membrane Agents

                                                                                Anti-infectives

Anti-inflammatory Agents
Antipuretics and Local Anesthetics

                                                                                Emollients, Demulcents, and Protectants

                                                                                Keratolytic Agents

                                                                                Miscellaneous Skin and Mucous Membrane Agents

 

Smooth Muscle Relaxants

Vitamins

Vitamin B

Vitamin C

Vitamin D

Vitamin E

Vitamin K

Multivitamin Preparations

                                               

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

 

Antihelmintics

               

08:08.00  MEBENDAZOLE                                       VERMOX                                                

TABLET: 100MG

 

08:08.00  THIABENDAZOLE                                    MINTEZOL                                              

SUSPENSION: 500MG/5MLS

 

Aminoglycosides

 

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

 

Antifungal Antibiotics

 

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**

 

Cephalosporins

 

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

 

Miscellaneous β-Lactam Antibiotics

 

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

 

Chloramphenicol

 

08:12.08  CHLORAMPHENICOL                               CHLOROPTIC                                          

OPHTHALMIC SOL:  0.5% 7.5MLS INJECTION:  1GRAM/VIAL

 

Macrolides

 

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

 

Penicillins

 

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

 

Tetracyclines

 

08:12.24  DOXYCYCLINE                                        VIBRAMYCIN                                          

CAPSULE: 100MG INJECTION: 100MG/VIAL

 

08:12.24  TETRACYCLINE                                       ACHROMYCIN                                        

CAPSULE: 250MG, 500MG LIQUID: 125MG/5MLS

 

Miscellaneous Antibiotics

 

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

 

Antituberculosis Agents

 

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

 

Antivirals

 

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

 

Antimalarial Agents

 

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

 

Quinolones

 

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

 

Sulfonamides

 

08:24.00  SULFADIAZINE                                        MICROSULFON                                       

TABLET: 500MG

 

08:24.00  SULFASALAZINE                                    AZULFIDINE                                            

TABLET: 500MG

 

08:24.00  SULFISOXAZOLE                                    GANTRISIN                                             

ORAL SUSPENSION:  500MG/5ML

 

Sulfones

 

08:26.00  DAPSONE                                                                                                               

TABLET: 25MG, 100MG

 

Urinary Anti-infectives

 

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

 

Miscellaneous Anti-infectives

 

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

 

Parasympathomimetic Agents

 

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

 

Antiparkinsonian Agents

 

12:08.04  BENZTROPINE                                         COGENTIN                                              

TABLET: 1MG, 2MG INJECTION: 1MG/ML 2ML VIAL

 

12:08.04  PROPANTHELINE                                     PROBANTHINE                                       

TABLET: 15MG

 

Antimuscarinics/Antispasmodics

 

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

 

Sympathomimetic Agents

 

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

 

Sympatholytic Agents

 

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**

 

Skeletal Muscle Relaxants

 

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

 

 

Iron Preparations

 

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)

 

Anticoagulants

 

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

 

Antiheparin Agents

 

20:12.08  PROTAMINE                                                                                                            

INJECTION: 1% 5MLS

 

Hemostatics

 

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

 

Hematopoietic Agents

 

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**

 

Hemorrheologic Agents

 

20:24.00  PENTOXIFYLLINE                                    TRENTAL                                                

TABLET:  400MG

 

Thrombolytic Agents

 

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

 

Cardiac Drugs

 

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

 

Antilipemic Agents

 

24:06.00  ATORVASTATIN                                     LIPITOR

TABLET: 10, 20 & 40MG

 

24:06.00  GEMFIBROZIL                                          LOPID

TABLET:  600MG

 

24:06.00  PRAVASTATIN                                        PRAVACHOL                                         

TABLET:  10MG, 20MG

 

Hypotensive Agents

 

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

 

Vasodilating Agents

 

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

 

Sclerosing Agents

 

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

 

General Anesthetics

 

28:04.00  KETAMINE (CIII)                                       KETALAR                                               

INJECTION: 10MG/ML 20MLS 50MG/ML 50MLS

 

28:04.00  PROPOFOL                                                                                                             

INJECTION: 10MG/ML / 20ML, 50ML, 100ML

 

Analgesics and Antipyretics

 

Nonsteroidal Anti-inflammatory Agents

 

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

 

Opiate Agonists

 

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

 

Opiate Partial Agonists

 

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

 

Miscellaneous Analgesics and Antipyretics

 

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

 **EMS USE ONLY**

 

Opiate Antagonists

 

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)

 

Anticonvulsants

 

Barbiturates

 

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

 

Benzodiazepines

 

28:12.08  CLONAZEPAM (CIV)                               KLONOPIN                                              

TABLET: 0.5MG, 1MG

 

Hydantoins

 

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    

 

Succinimides

 

28:12.20  ETHOSUXIMIDE                                        ZARONTIN                                              

CAPSULE: 250MG SUSPENSION: 250MG/5MLS

 

Miscellaneous Anticonvulsants

 

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

 

Antidepressants

 

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

 

Antipsychotic Agents

 

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

 

Anorexigenic Agents and Respiratory and Cerebral Stimulants

 

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

 

Anxiolytics, Sedatives, and Hypnotics

 

                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

 

Antimanic Agents

 

28:28.00  LITHIUM   LITHONATE                             LITHIUM CITRATE                                   

CAPSULE: 150MG, 300MG (CARBONATE) TABLET: 300MG (CARBONATE )LIQUID: LITHIUM CITRATE (EQUIVALENT TO 300MG/5MLS LITHIUM CARBONATE)

 

Miscellaneous CNS Agents

 

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

 

Adrenal Insufficiency

 

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

 

Cardiac Function

 

36:18.00  INDOCYANINE                                         CARDIO-GREEN                                     

INJECTION:  25MG

 

Fungi

 

36:32.00  HISTOPLASMIN SKIN TEST                     HISTOLYN CYL                                      

INJECTION: DOSE 0.1ML 10 DOSES/VIAL

 

Gallbladder Function

 

36:36.00  PENTAGASTRIN                                      PEPTAVLON                                           

INJECTION: 250MCG/ML 2MLS

 

Kidney Function

 

36:40.00  INDIGO CARMINE                                                                                                    

INJECTION: 8MG/ML 5ML AMPULE

 

Mumps

 

36:52.00  MUMPS SKIN TEST                                                                                                 

INJECTION: 0.1ML/DOSE

 

Thyroid

 

36:60.00  PROTIRELIN                                             RELEFACT TRH                                      

INJECTION: 500MCG/ML 1ML

 

Roentgenography

 

36:68.00  IOPANOIC ACID                                       TELEPAQUE                                           

TABLET: 500MG (6 TABLETS/ENVELOPE)

 

Tuberculosis

 

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

 

 

Alkalinizing Agents

 

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

 

Ammonia Detoxicants

 

40:10.00  LACTULOSE                                            CEPHULAC                                             

LIQUID: 3.3GM/5ML; 30ML CUP

 

Replacement Preparations

 

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 CA++)

 

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)

 

Potassium-removing Resins

 

40:18.00  SODIUM POLYSTYRENE SULFONATE    KAYEXALATE                                        

SUSPENSION: 15 GRAMS/60MLS (PRE-MIXED) ENEMA: 30GM/120MLS

 

Caloric Agents

 

40:20.00  DEXTROSE 50%                                                                                                     

INJECTION: 25GRAMS/50MLS SYRINGE, VIAL

 

40:20.00  ETHANOL 5% IN DEXTROSE 5%            ALCOHOL IN DEXTROSE                       

INJECTION: 500MLS

 

Diuretics

 

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

 

Irrigating Solutions

 

40:36.00  ACETIC ACID                                                                                                          

IRRIGATION SOLUTION: 0.25% 500 MLS

 

40:36.00  AL SULFATE & CA ACETATE                 BUROW'S SOLUTION               DOMEBORO          

MODIFIED BUROW'S SOLUTION(1:40):1 PACKET/PINT OF WATER

 

Uricosuric Agents

 

40:40.00  PROBENECID                                           BENEMID                                                 

TABLET: 500MG

 


 

44:00.00 Enzymes                                                                                         Top of Page

 

 

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

 

 

Antibiotics

 

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

 

Antifungals

 

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

 

Sulfonamides

 

52:04.08  SULFACETAMIDE                                    BLEPH-10                                               

OPHTHALMIC SOLUTION: 10% 2.5MLS OPHTHALMIC OINTMENT: 10% 3.5GRAMS

 

Miscellaneous Anti-infectives

 

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

 

Anti-inflammatory Agents

 

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%

 

Carbonic Anhydrase Inhibitors

 

52:10.00  ACETAZOLAMIDE                                   DIAMOX                                                  

TABLET: 250MG INJECTION: 500MG/VIAL

 

 

Local Anesthetics

 

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

 

Miotics

 

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

 

Mydriatics

 

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

 

Mouthwashes and Gargles

 

52:28.00  CETYLPYRIDINIUM                                  CEPACOL LOZENGES                            

LOZENGES: 36S (RESTRICTED TO BMT)

 

52:28.00  MAGIC MOUTHWASH

SUSPENSION:  MAALOX®/SUCRALFATE/DIPHENHYDRAMINE 1:1:1

 

Vasoconstrictors

 

52:32.00  NAPHAZOLINE                                        VASOCON                                             

OPHTHALMIC SOLUTION: 0.1% 15MLS

 

Miscellaneous EENT Drugs

 

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

 

 

Antacids & Adsorbents

 

56:04.00  AL &MG HYDROXIDE              MAALOX                

LIQUID: (PER 5MLS) AL HYDROXIDE 200MGMG HYDROXIDE 200MG

 

56:04.00  AL CARBONATE                                     BASALJEL                                             

TABLET: 500MG (AL HYDROXIDE EQUIVALENT)

 

56:04.00  AL HYDROXIDE                                       AMPHOJEL                                             

LIQUID: 320MG/5ML

 

56:04.00  AL HYDROXIDE &MG TRISILICATE         GAVISCON TABLETS                            

TABLET: AL HYDROXIDE 80MGMG TRISILICATE 20MG

 

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

 

Antidiarrhea Agents

 

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

 

Antiflatulents

 

56:10.00  SIMETHICONE                                          MYLICON                                                

TABLET: 80MG LIQUID: 40MG/0.6ML 30MLS

 

Cathartics & Laxatives

 

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%

 

Digestants

 

56:16.00  PANCREALIPASE                                    PANCREASE                                          

PER CAPSULE: LIPASE 4000 UNITS PROTEASE 25,000 UNITS AMYLASE 20,000 UNITS

 

Emetics

 

56:20.00  IPECAC SYRUP                                                                                                      

LIQUID: 30MLS

 

Antiemetics

 

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

 

Miscellaneous GI Drugs

 

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

 

 

 

Adrenals

 

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

 

Androgens

 

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

 

Contraceptives

 

68:12.00  LEVONORGESTREL                                NORPLANT                                             

PACKAGE OF 5 CAPSULES FOR INSERTION

 

Estrogens

 

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

 

Gonadotropins

 

68:18.00  CHORIONIC GONADOTROPIN APL         PREGNYL                                               

INJECTION: 5,000 UNITS/10ML10,000 UNITS/10ML

 

Antidiabetic Agents

 

 

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

 

Parathyroid

 

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

 

Pituitary

 

68:28.00  VASOPRESSIN                                        PITRESSIN                                              

INJECTION: 20 UNITS/ML 1ML AMPULE

 

Progestins

 

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***

 

Thyroid & Antithyroid Agents

 

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

 


 

72:00.00 Local Anesthetics