Naval Hospital Jacksonville Formulary Alphabetical Listing by Name
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1 Naval Hospital Jacksonville Formulary Alphabetical Listing by Name This document is current as of 7/7/17 The availability of formulary items is subject to change
2 ACETAMINOPHEN Acetaminophen Suppository, Rectal: Generic: 120 mg (12s); 325 mg (12s); 650 mg (12s) Suspension, Oral: Generic: 160 mg/5 ml (5 ml, ml, 20.3 ml) Generic: 325 mg Tablet Chewable, Oral: Generic: 80 mg Acetaminophen and Codeine Solution, Oral [C-V]: Generic: Acetaminophen 120 mg and codeine phosphate 12 mg per 5 ml (5 ml, 10 ml, 12.5 ml, 15 ml, 118 ml, 473 ml) [BCF] Tablet, Oral [C-III]: Generic: Acetaminophen 300 mg and codeine phosphate 30 mg [BCF] AcetaZOLAMIDE Capsule Extended Release 12 Hour, Oral: Generic: 500 mg Generic: 250 mg Acetic Acid (Otic) Solution, Otic: Generic: 2% (15 ml, 60 ml) Acitretin Generic: 10 mg, 25 mg Acyclovir (Systemic) Generic: 200 mg [BCF] Suspension, Oral: Generic: 200 mg/5 ml (473 ml) [BCF] Generic: 400 mg [BCF], 800 mg [BCF] Adalimumab Kit, Subcutaneous [preservative free]: Humira: 20 mg/0.4 ml, 40 mg/0.8 ml [contains polysorbate 80] [BCF] Humira Pen: 40 mg/0.8 ml [contains polysorbate 80] [BCF] Prefilled Syringe Kit, Subcutaneous [preservative free]: Humira: 10 mg/0.2 ml (1 ea) [contains polysorbate 80] [BCF] Albendazole Albenza: 200 mg [contains saccharin sodium] Albuterol Aerosol Solution, Inhalation [CFC free]: ProAir HFA: 90 mcg/actuation (8.5 g) [BCF] Nebulization Solution, Inhalation [preservative free]: Generic: 0.083% [2.5 mg/3 ml] (25s, 30s, 60s) [BCF] Alcohol (Isopropyl) Pad, External: Generic: 70% (100 ea) Alendronate Generic: 5 mg [BCF], 10 mg [BCF], 35 mg [BCF], 70 mg [BCF] Alfuzosin Tablet Extended Release 24 Hour, Oral, as hydrochloride: Generic: 10 mg [BCF] Alginic Acid, Aluminum Hydroxide, and Magnesium Trisilicate Tablet, Chewable, Oral: Generic: 80 mg-20 mg Allopurinol Tablet, Oral, as sodium: Generic: 100 mg [BCF], 300 mg [BCF] ALPRAZolam Generic: 0.25 mg, 0.5 mg Alprostadil Kit, Intracavernosal: Edex: 10 mcg, 20 mcg, 40 mcg Aluminum Chloride Hexahydrate Solution, External: Drysol: 20% (35 ml) Aluminum Hydroxide Suspension, Oral: Generic: 320 mg/5 ml (473 ml) Aluminum Hydroxide, Magnesium Hydroxide, and Simethicone Suspension, Oral: Generic: Aluminum hydroxide 500 mg, magnesium hydroxide 450 mg, and simethicone 40 mg per 5 ml (360 ml) Aluminum Sulfate and Calcium Acetate Powder, for Solution, External: Generic: Aluminum sulfate 1191 mg and calcium acetate 839 mg per packet (12 ea, 100 ea) Generic: Aluminum sulfate tetradecahydrate 1347 mg and calcium acetate monohydrate 952 mg per packet (12 ea, 100 ea) Amantadine Capsule, Oral, as hydrochloride: Generic: 100 mg [BCF] Syrup, Oral, as hydrochloride: Generic: 50 mg/5 ml (10 ml, 473 ml) [BCF] Aminocaproic Acid Generic: 500 mg Amiodarone Generic: 200 mg [BCF] Amitriptyline Generic: 10 mg [BCF], 25 mg [BCF], 50 mg [BCF], 75 mg [BCF] Amitriptyline and Perphenazine Generic: Amitriptyline hydrochloride 25 mg and perphenazine 2 mg Generic: Amitriptyline hydrochloride 25 mg and perphenazine 4 mg AmLODIPine Generic: 2.5 mg [BCF], 5 mg [BCF], 10 mg [BCF] Amlodipine and Benazepril Generic: 2.5/10: Amlodipine 2.5 mg and benazepril hydrochloride 10 mg [BCF] Generic: 5/10: Amlodipine 5 mg and benazepril hydrochloride 10 mg [BCF] Generic: 5/20: Amlodipine 5 mg and benazepril hydrochloride 20 mg [BCF] Generic: 5/40: Amlodipine 5 mg and benazepril hydrochloride 40 mg [BCF] Generic: 10/20: Amlodipine 10 mg and benazepril hydrochloride 20 mg [BCF] Generic: 10/40: Amlodipine 10 mg and benazepril hydrochloride 40 mg [BCF] Amoxapine Generic: 50 mg Amoxicillin Generic: 250 mg [BCF], 500 mg [BCF] Suspension Reconstituted, Oral: Generic: 125 mg/5 ml (80 ml, 100 ml, 150 ml); 250 mg/5 ml (80 ml, 100 ml, 150 ml) [BCF]; 400 mg/5 ml (50 ml, 75 ml, 100 ml) [BCF]
3 BUMETANIDE Tablet Chewable, Oral: Generic: 125 mg, 250 mg Amoxicillin and Clavulanate Powder for Suspension, Oral: Augmentin: 125: Amoxicillin 125 mg and clavulanate potassium mg per 5 ml (75 ml, 100 ml, 150 ml) [contains potassium 0.16 meq/5 ml; banana flavor] [BCF] Generic: 200: Amoxicillin 200 mg and clavulanate potassium 28.5 mg per 5 ml (50 ml, 75 ml, 100 ml) [BCF] Generic: 400: Amoxicillin 400 mg and clavulanate potassium 57 mg per 5 ml (50 ml, 75 ml, 100 ml) [BCF] Generic: 600: Amoxicillin 600 mg and clavulanate potassium 42.9 mg per 5 ml (75 ml, 125 ml, 200 ml) [BCF] Generic: 500: Amoxicillin 500 mg and clavulanate potassium 125 mg [BCF] Generic: 875: Amoxicillin 875 mg and clavulanate potassium 125 mg [BCF] Tablet, extended release, oral: Generic: Amoxicillin 1000 mg and clavulanate acid 62.5 mg Ampicillin Generic: 250 mg Suspension Reconstituted, Oral: Generic: 250 mg/5 ml (100 ml, 200 ml) Apixaban Eliquis: 2.5 mg, 5 mg ARIPiprazole Generic: 2 mg, 5 mg, 10 mg, 15 mg, 20 mg, 30 mg Aspirin Generic: 325 mg Tablet, Delayed Release, Oral: Generic: 81 mg, 325 mg Atenolol Generic: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF] AtoMOXetine Strattera: 10 mg, 18 mg, 25 mg, 40 mg, 60 mg, 80 mg, 100 mg AtorvaSTATin Generic: 10 mg [BCF], 20 mg [BCF], 40 mg [BCF], 80 mg [BCF] Atropine (Ophthalmic) Ointment, Ophthalmic, as sulfate: Generic: 1% (3.5 g) Solution, Ophthalmic, as sulfate: Generic: 1% (5 ml, 15 ml) AzaTHIOprine Generic: 50 mg Azelaic Acid Gel, External: Finacea: 15% (50 g) [contains benzoic acid, disodium edta, polysorbate 80, propylene glycol] Azelastine (Nasal) Solution, Nasal, as hydrochloride: Generic: 137 mcg/spray (30 ml) Azithromycin (Systemic) Packet, Oral, as dihydrate [strength expressed as base]: Generic: 1 g (3 ea, 10 ea) [BCF] Suspension Reconstituted, Oral [strength expressed as base]: Generic: 100 mg/5 ml (15 ml) [BCF]; 200 mg/5 ml (15 ml, 22.5 ml, 30 ml) Generic: 250 mg [BCF], 500 mg [BCF] Bacitracin, Neomycin, and Polymyxin B (Ophthalmic) Ointment, Ophthalmic: Generic: Bacitracin 400 units, neomycin 3.5 mg, and polymyxin B 10,000 units per g (3.5 g) [BCF] Baclofen Generic: 10 mg Benzonatate Generic: 100 mg Benzoyl Peroxide Gel, External: Generic: 5% Benztropine Tablet, Oral, as mesylate: Generic: 0.5 mg [BCF], 1 mg [BCF], 2 mg [BCF] Betamethasone (Topical) Cream, External, as dipropionate [strength expressed as base]: Generic: 0.05% (15 g) Lotion, External, as dipropionate [strength expressed as base]: Generic: 0.05% (60 ml) Ointment, External, as dipropionate [strength expressed as base]: Generic: 0.05% (15 g) Ointment, External, as dipropionate augmented [strength expressed as base]: Generic: 0.05% (15 g, 45 g, 50 g) Betaxolol (Ophthalmic) Suspension, Ophthalmic: Betoptic-S: 0.25% (10 ml, 15 ml) Bethanechol Tablet, Oral, as chloride: Generic: 10 mg, 25 mg Bisacodyl Suppository, Rectal: Generic: 10 mg (12 ea, 50 ea, 100 ea) Tablet Delayed Release, Oral: Generic: 5 mg Bismuth Subsalicylate Tablet, Chewable, Oral: Generic: 262 mg Brimonidine (Ophthalmic) Solution, Ophthalmic, as tartrate: Generic: 0.15% (5 ml, 10 ml, 15 ml) [BCF]; 0.2% (5 ml, 10 ml, 15 ml) [BCF] Bromocriptine Generic: 2.5 mg Brompheniramine and Pseudoephedrine Liquid, Oral: Generic: Brompheniramine maleate 1 mg and pseudoephedrine hydrochloride 15 mg per 5 ml (120 ml, 240 ml, 480 ml) Budesonide (Oral Inhalation) Suspension, Inhalation: Pulmicort: 0.25 mg/2 ml (2 ml); 0.5 mg/2 ml (2 ml); 1 mg/2 ml (2 ml) [contains disodium edta, polysorbate 80] Generic: 0.25 mg/2 ml (2 ml); 0.5 mg/2 ml (2 ml) Bumetanide Generic: 1 mg
4 BUPROPION BuPROPion Tablet Extended Release 12 Hour, Oral, as hydrochloride: Generic: 100 mg [BCF], 150 mg [BCF], 200 mg Tablet Extended Release 24 Hour, Oral, as hydrochloride: Generic: 150 mg [BCF], 300 mg [BCF] BusPIRone Generic: 5 mg [BCF], 10 mg [BCF], 15 mg [BCF] Busulfan Myleran: 2 mg Butalbital, Acetaminophen, and Caffeine Generic: Butalbital 50 mg, acetaminophen 325 mg, and caffeine 40 mg [BCF] Butalbital, Aspirin, and Caffeine Generic: Butalbital 50 mg, aspirin 325 mg, and caffeine 40 mg Calcitonin Solution, Nasal: Fortical: 200 units/actuation (3.7 ml) [BCF] Calcium and Vitamin D Generic: Calcium 500 mg and vitamin D 200 units Calcium Carbonate Generic: 500 mg Calcium Glubionate Syrup, Oral: Calcionate: 1.8 g/5 ml (473 ml) [fruit flavor] Capsaicin Cream, External: Generic: 0.03% (60 g) Captopril Generic: 12.5 mg [BCF], 25 mg [BCF], 50 mg [BCF], 100 mg [BCF] CarBAMazepine Suspension, Oral: Generic: 100 mg/5 ml (10 ml, 450 ml) [BCF] Generic: 200 mg [BCF] Tablet, Chewable, Oral: Generic: 100 mg [BCF] Carbidopa and Levodopa Generic: 10/100: Carbidopa 10 mg and levodopa 100 mg [scored] [BCF] Generic: 25/100: Carbidopa 25 mg and levodopa 100 mg [scored] [BCF] Generic: 25/250: Carbidopa 25 mg and levodopa 250 mg [scored] [BCF] Carboxymethylcellulose Solution, Ophthalmic, as sodium: Refresh Tears: 0.5% (15 ml) Carvedilol Generic: mg [BCF], 6.25 mg [BCF], 12.5 mg [BCF], 25 mg [BCF] Cefdinir Generic: 300 mg Suspension Reconstituted, Oral: Generic: 125 mg/5 ml (60 ml, 100 ml); 250 mg/5 ml (60 ml, 100 ml) Cefprozil Suspension Reconstituted, Oral: Generic: 250 mg/5 ml (50 ml, 75 ml, 100 ml) Celecoxib CeleBREX: 100 mg, 200 mg Cephalexin Generic: 250 mg [BCF], 500 mg [BCF] Suspension Reconstituted, Oral: Generic: 125 mg/5 ml (100 ml, 200 ml); 250 mg/5 ml (100 ml, 200 ml) [BCF] Cetirizine (Systemic) Syrup, Oral, as hydrochloride: Generic: 1 mg/ml (120 ml, 480 ml) Generic: 10 mg Chlorambucil Leukeran: 2 mg ChlordiazePOXIDE Capsule, Oral, as hydrochloride: Generic: 10 mg, 25 mg Chlorhexidine Gluconate Solution, Mouth/Throat: Generic: 0.12% (15 ml, 473 ml, 480 ml) [BCF] Chloroquine Tablet, Oral, as phosphate: Generic: 500 mg [equivalent to chloroquine base 300 mg] Chlorpheniramine Syrup, Oral, as maleate: Generic: 2 mg/5 ml (120) Tablet, Oral, as maleate: Generic: 4 mg ChlorproMAZINE Generic: 25 mg, 100 mg Chlorthalidone Generic: 25 mg [BCF], 50 mg [BCF] Cholecalciferol Liquid, Oral: Generic: 400 units/ml (50 ml, 52.5 ml) Generic: 400 units Cholestyramine Resin Powder, Oral: Generic: 4 g/dose (5 g) Chorionic Gonadotropin (Human) Solution Reconstituted, Intramuscular: Generic: 10,000 units (1 ea) Cimetidine Solution, Oral, as hydrochloride [strength expressed as base]: Generic: 300 mg/5 ml (237 ml, 240 ml) Generic: 400 mg Ciprofloxacin (Systemic) Tablet, Oral, as hydrochloride [strength expressed as base]: Generic: 250 mg [BCF], 500 mg [BCF], 750 mg [BCF]
5 DESIPRAMINE Citalopram Generic: 10 mg/5 ml (240 ml) [BCF] Generic: 10 mg [BCF], 20 mg [BCF], 40 mg [BCF] Clarithromycin Generic: 500 mg Tablet Extended Release 24 Hour, Oral: Generic: 500 mg Clindamycin and Benzoyl Peroxide Gel, External: Duac: Clindamycin phosphate 1.2% and benzoyl peroxide 5% (45 g) Clindamycin (Systemic) Capsule, Oral, as hydrochloride [strength expressed as base]: Generic: 150 mg [BCF], 300 mg Solution Reconstituted, Oral, as palmitate hydrochloride [strength expressed as base]: Generic: 75 mg/5 ml (100 ml) Clindamycin (Topical) Cream, Vaginal, as phosphate [strength expressed as base]: Generic: 2% (40 g) [BCF] Lotion, External, as phosphate [strength expressed as base]: Generic: 1% (60 ml) Clobetasol Cream, External, as propionate: Generic: 0.05% [BCF] Foam, External, as propionate: Generic: 0.05% Ointment, External, as propionate: Generic: 0.05% [BCF] ClomiPHENE Tablet, Oral, as citrate: Generic: 50 mg ClonazePAM Generic: 0.5 mg [BCF], 1 mg CloNIDine Generic: 0.1 mg [BCF], 0.2 mg [BCF], 0.3 mg [BCF] Clopidogrel Generic: 75 mg [BCF] Clorazepate Tablet, Oral, as dipotassium: Generic: 7.5 mg Clotrimazole (Oral) Lozenge, Mouth/Throat: Generic: 10 mg Clotrimazole (Topical) Cream, External: Generic: 1% (15 g) Cream, Vaginal: Generic: 1% (45 g) Solution, External: Generic: 1% (10 ml) [BCF] Codeine Tablet, Oral, as sulfate: Generic: 30 mg Colchicine Colcrys: 0.6 mg [scored] Colestipol Generic: 1 g Contraceptive Devices Diaphragm, Vaginal: Generic: Various sizes Cortisone Tablet, Oral, as acetate: Generic: 25 mg Cromolyn (Nasal) Aerosol Solution, Nasal, as sodium: Generic: 5.2 mg/actuation (26 ml) Cromolyn (Oral Inhalation) Nebulization Solution, Inhalation, as sodium: Generic: 20 mg/2 ml (2 ml) Crotamiton Cream, External: Eurax: 10% (60 g) Cyanocobalamin Solution, Injection: Generic: 1000 mcg/ml (1 ml, 10 ml, 30 ml) Cyclobenzaprine Generic: 5 mg, 10 mg [BCF] Cyclopentolate Solution, Ophthalmic, as hydrochloride: Generic: 1% (2 ml, 15 ml); 2% (2 ml, 5 ml, 15 ml) Cyclophosphamide Generic: 50 mg Cyproheptadine Syrup, Oral, as hydrochloride: Generic: 2 mg/5 ml (10 ml, 473 ml) [BCF] Generic: 4 mg [BCF] Dabigatran Etexilate Pradaxa: 75 mg, 150 mg Danazol Generic: 200 mg Dantrolene Capsule, Oral, as sodium: Generic: 25 mg, 100 mg Dapsone (Systemic) Generic: 25 mg Desipramine Generic: 25 mg, 50 mg
6 DESONIDE Desonide Ointment, External: Generic: 0.05% (15 g) Desoximetasone Cream, External: Generic: 0.25% (60 g) Dexamethasone (Systemic) Generic: 0.5 mg, 0.75 mg, 4 mg Dextroamphetamine Tablet, Oral, as sulfate: Generic: 5 mg Dextroamphetamine and Amphetamine Capsule, Extended release, Oral: Generic: 5 mg [dextroamphetamine sulfate 1.25 mg, dextroamphetamine saccharate 1.25 mg, amphetamine aspartate monohydrate 1.25 mg, amphetamine sulfate 1.25 mg (equivalent to amphetamine base 3.1 mg)] [BCF] Generic: 10 mg [dextroamphetamine sulfate 2.5 mg, dextroamphetamine saccharate 2.5 mg, amphetamine aspartate monohydrate 2.5 mg, amphetamine sulfate 2.5 mg (equivalent to amphetamine base 6.3 mg)] [BCF] Generic: 15 mg [dextroamphetamine sulfate 3.75 mg, dextroamphetamine saccharate 3.75 mg, amphetamine aspartate monohydrate 3.75 mg, amphetamine sulfate 3.75 mg (equivalent to amphetamine base 9.4 mg)] [BCF] Generic: 20 mg [dextroamphetamine sulfate 5 mg, dextroamphetamine saccharate 5 mg, amphetamine aspartate monohydrate 5 mg, amphetamine sulfate 5 mg (equivalent to amphetamine base 12.5 mg)] [BCF] Generic: 25 mg [dextroamphetamine sulfate 6.25 mg, dextroamphetamine saccharate 6.25 mg, amphetamine aspartate monohydrate 6.25 mg, amphetamine sulfate 6.25 mg (equivalent to amphetamine base 15.6 mg)] [BCF] Generic: 30 mg [dextroamphetamine sulfate 7.5 mg, dextroamphetamine saccharate 7.5 mg, amphetamine aspartate monohydrate 7.5 mg, amphetamine sulfate 7.5 mg (equivalent to amphetamine base 18.8 mg)] [BCF] Generic: 5 mg [dextroamphetamine sulfate 1.25 mg, dextroamphetamine saccharate 1.25 mg, amphetamine aspartate monohydrate 1.25 mg, amphetamine sulfate 1.25 mg (equivalent to amphetamine base 3.13 mg)] Generic: 10 mg [dextroamphetamine sulfate 2.5 mg, dextroamphetamine saccharate 2.5 mg, amphetamine aspartate monohydrate 2.5 mg, amphetamine sulfate 2.5 mg (equivalent to amphetamine base 6.3 mg)] Generic: 20 mg [dextroamphetamine sulfate 5 mg, dextroamphetamine saccharate 5 mg, amphetamine aspartate monohydrate 5 mg, amphetamine sulfate 5 mg (equivalent to amphetamine base 12.6 mg)] Generic: 30 mg [dextroamphetamine sulfate 7.5 mg, dextroamphetamine saccharate 7.5 mg, amphetamine aspartate monohydrate 7.5 mg, amphetamine sulfate 7.5 mg (equivalent to amphetamine base 18.8 mg)] Diabetic Supplies Lancets Syringe: Generic: 0.5 ml [Lo-Dose] Generic: 1 ml Tablet: Clinitest: (36 ea, 100 ea) Test Strips: FreeStyle Lite Test Strips: (50/box) Precision Xtra Blood Glucose Test Strips: (50/box, 100/box) [BCF] DiazePAM Generic: 1 mg/ml (5 ml) Generic: 5 mg [BCF] Dibucaine Ointment, External: Generic: 1% (28 g) Diclofenac (Ophthalmic) Solution, Ophthalmic, as sodium: Generic: 0.1% (2.5 ml, 5 ml) Diclofenac (Systemic) Tablet Delayed Release, Oral, as sodium: Generic: 25 mg, 50 mg, 75 mg Tablet Extended Release 24 Hour, Oral, as sodium: Generic: 100 mg Diclofenac (Topical) Gel, Transdermal, as sodium: Voltaren: 1% (100 g) [contains isopropyl alcohol, propylene glycol] Dicloxacillin Generic: 250 mg [BCF], 500 mg [BCF] Dicyclomine Capsule, Oral, as hydrochloride: Generic: 10 mg [BCF] Solution, Oral, as hydrochloride: Generic: 10 mg/5 ml (473 ml) [BCF] Generic: 20 mg [BCF] Digoxin Generic: 0.05 mg/ml (60 ml) Generic: mg [BCF], 0.25 mg [BCF] DilTIAZem Capsule Extended Release 24 Hour, Oral, as hydrochloride: Generic: 120 mg [BCF], 180 mg [BCF], 240 mg [BCF], 300 mg [BCF], 360 mg [BCF] Generic: 60 mg DimenhyDRINATE Generic: 50 mg DiphenhydrAMINE (Systemic) Capsule, Oral, as hydrochloride: Generic: 25 mg, 50 mg Liquid, Oral, as hydrochloride: Generic: 12.5 mg/5 ml (118 ml) Diphenoxylate and Atropine Generic: Diphenoxylate hydrochloride 2.5 mg and atropine sulfate mg Dipyridamole Generic: 25 mg Disopyramide Generic: 100 mg, 150 mg Disulfiram Generic: 250 mg Docusate Capsule, Oral, as calcium: Generic: 240 mg Syrup, Oral, as sodium: Generic: 60 mg/15 ml (473 ml) Donepezil Generic: 5 mg, 10 mg Dorzolamide Solution, Ophthalmic: Generic: 2% (10 ml)
7 ETHINYL ESTRADIOL AND DROSPIRENONE Doxazosin Generic: 1 mg, 2 mg, 4 mg, 8 mg Doxepin (Systemic) Generic: 10 mg [BCF], 25 mg [BCF], 50 mg [BCF], 75 mg [BCF] Concentrate, Oral: Generic: 10 mg/ml (118 ml, 120 ml) [BCF] Doxycycline Capsule, Oral, as hyclate [strength expressed as base]: Generic: 100 mg [BCF] Doxylamine Tablet, Oral, as succinate: Sleep Aid: 25 mg [scored; contains fd&c blue #1 aluminum lake] DULoxetine Capsule Delayed Release Particles, Oral: Generic: 20 mg, 30 mg, 40 mg, 60 mg Emollients Cream, External: Generic Solution, Nasal: Generic Empagliflozin Jardiance: 10 mg, 25 mg Enalapril Tablet, Oral, as maleate: Generic: 2.5 mg, 5 mg, 10 mg, 20 mg Enoxaparin Solution, Subcutaneous, as sodium: Generic: 30 mg/0.3 ml (0.3 ml) [BCF]; 40 mg/0.4 ml (0.4 ml) [BCF]; 60 mg/ 0.6 ml (0.6 ml) [BCF]; 80 mg/0.8 ml (0.8 ml) [BCF]; 100 mg/ml (1 ml) [BCF] Entacapone Generic: 200 mg EPINEPHrine (Oral Inhalation) Nebulization Solution, Inhalation: Generic: 2.25% (1 ea) EPINEPHrine (Systemic) Device, Injection: EpiPen 2-Pak: 0.3 mg/0.3 ml (2 ea) [latex free; contains sodium metabisulfite] EpiPen Jr 2-Pak: 0.15 mg/0.3 ml (2 ea) [contains sodium metabisulfite] Ergocalciferol Generic: 50,000 units Ergoloid Mesylates Generic: 1 mg Ergotamine and Caffeine Suppository, Rectal: Migergot: Ergotamine tartrate 2 mg and caffeine 100 mg (12 ea) Erythromycin and Sulfisoxazole Powder for Oral Suspension: Generic: Erythromycin ethylsuccinate 200 mg and sulfisoxazole acetyl 600 mg per 5 ml (100 ml, 150 ml, 200 ml) Erythromycin (Ophthalmic) Ointment, Ophthalmic: Generic: 5 mg/g (1 g, 3.5 g) [BCF] Erythromycin (Systemic) Suspension Reconstituted, Oral, as ethylsuccinate: E.E.S. Granules: 200 mg/5 ml (100 ml, 200 ml) [cherry flavor] [BCF] Generic: 250 mg, 500 mg Erythromycin (Topical) Gel, External: Generic: 2% (30 g, 60 g) [BCF] Solution, External: Generic: 2% (60 ml) [BCF] Escitalopram Generic: 5 mg/5 ml (240 ml) Generic: 5 mg, 10 mg, 20 mg Estradiol and Norgestimate Prefest: Estradiol 1 mg [15 peach tablets] and estradiol 1 mg and norgestimate 0.09 mg [15 white tablets] Estradiol (Systemic) Oil, Intramuscular, as valerate: Generic: 20 mg/ml (5 ml); 40 mg/ml (5 ml) Patch Weekly, Transdermal: Generic: mg/24 hours (4s) [BCF]; 0.05 mg/24 hours (4s) [BCF]; 0.06 mg/24 hours (4s) [BCF]; mg/24 hours (4s) [BCF]; 0.1 mg/24 hours (4s) [BCF] Generic: 0.5 mg, 1 mg, 2 mg Estrogens (Conjugated/Equine) and Bazedoxifene Duavee: Conjugated estrogens 0.45 mg and bazedoxifene 20 mg Estrogens (Conjugated/Equine) and Medroxyprogesterone Premphase [therapy pack contains 2 separate tablet formulations]: Conjugated estrogens mg [14 maroon tablets] and conjugated estrogen mg/medroxyprogesterone acetate 5 mg [14 light blue tablets] (28 ea) Prempro: 0.3/1.5: Conjugated estrogens 0.3 mg and medroxyprogesterone acetate 1.5 mg [BCF] Prempro: 0.45/1.5: Conjugated estrogens 0.45 mg and medroxyprogesterone acetate 1.5 mg [BCF] Prempro: 0.625/2.5: Conjugated estrogens mg and medroxyprogesterone acetate 2.5 mg [BCF] Prempro: 0.625/5: Conjugated estrogens mg and medroxyprogesterone acetate 5 mg [BCF] Estrogens (Conjugated/Equine, Systemic) Premarin: 0.3 mg [BCF], 0.45 mg [BCF], mg [BCF], 0.9 mg, 1.25 mg [BCF] Estrogens (Conjugated/Equine, Topical) Cream, Vaginal: Premarin: mg/g (30 g) [BCF] Eszopiclone Generic: 1 mg, 2 mg, 3 mg Ethambutol Generic: 400 mg [BCF] Ethinyl Estradiol and Drospirenone Yasmin: Ethinyl estradiol 0.03 mg and drospirenone 3 mg [21 yellow active tablets and 7 white inactive tablets] (28 ea) [BCF]
8 ETHINYL ESTRADIOL AND DROSPIRENONE Yaz: Ethinyl estradiol 0.02 mg and drospirenone 3 mg [24 light pink active tablets and 4 white inactive tablets] (28 ea) [BCF] Generic: Ethinyl estradiol 0.03 mg and drospirenone 3 mg [21 active tablets and 7 inactive tablets] (28 ea) [BCF] Ethinyl Estradiol and Ethynodiol Diacetate Tablet, Oral [monophasic formulation]: Zovia 1/35-28: Ethinyl estradiol mg and ethynodiol diacetate 1 mg [21 light pink tablets and 7 white inactive tablets] (28 ea) Ethinyl Estradiol and Etonogestrel Ring, Vaginal: NuvaRing: Ethinyl estradiol mg/day and etonogestrel 0.12 mg/day [3- week duration] Ethinyl Estradiol and Levonorgestrel Tablet, Oral [low dose formulation]: Generic: Ethinyl estradiol 0.02 mg and levonorgestrel 0.1 mg [21 tablets and 7 inactive tablets] (28 ea) [BCF] Tablet, Oral [monophasic formulation]: Generic: Ethinyl estradiol 0.03 mg and levonorgestrel 0.15 mg [21 tablets and 7 inactive tablets] (28 ea) [BCF] Tablet, Oral [triphasic formulation]: Trivora: Day 1-6: Ethinyl estradiol 0.03 mg and levonorgestrel 0.05 mg [6 blue tablets] Day 7-11: Ethinyl estradiol 0.04 mg and levonorgestrel mg [5 white tablets] Day 12-21: Ethinyl estradiol 0.03 mg and levonorgestrel mg [10 pink tablets] Day 22-28: 7 peach inactive tablets (28 ea) Ethinyl Estradiol and Norelgestromin Patch, Transdermal: Ortho Evra: Ethinyl estradiol 0.75 mg and norelgestromin 6 mg [releases ethinyl estradiol 35 mcg and norelgestromin 150 mcg per day] Xulane: Ethinyl estradiol 0.53 mg and norelgestromin 4.86 mg [releases ethinyl estradiol 35 mcg and norelgestromin 150 mcg per day] Ethinyl Estradiol and Norethindrone Jinteli: Ethinyl estradiol mg and norethindrone acetate 1 mg [white tablets] (28 ea, 90 ea) Tablet, Oral [monophasic formulation]: Brevicon: Ethinyl estradiol mg and norethindrone 0.5 mg [21 blue tablets and 7 orange inactive tablets] (28 ea) Microgestin 1.5/30: Ethinyl estradiol 0.03 mg and norethindrone acetate 1.5 mg [green tablets] (21 ea) Norinyl 1+35: Ethinyl estradiol mg and norethindrone 1 mg [21 yellowgreen tablets and 7 orange inactive tablets] (28 ea) [BCF] Tablet, Oral [triphasic formulation]: Necon 7/7/7: Day 1-7: Ethinyl estradiol mg and norethindrone 0.5 mg [7 white tablets] Day 8-14: Ethinyl estradiol mg and norethindrone 0.75 mg [7 light peach tablets] Day 15-21: Ethinyl estradiol mg and norethindrone 1 mg [7 peach tablets] Day 22-28: 7 green inactive tablets (28 ea) Ethinyl Estradiol and Norgestimate Tablet, Oral [monophasic formulation]: MonoNessa: Ethinyl estradiol mg and norgestimate 0.25 mg [21 blue tablets and 7 green inactive tablets] (28 ea) [BCF] Tablet, Oral [triphasic formulation]: Ortho Tri-Cyclen Lo: Day 1 to 7: Ethinyl estradiol mg and norgestimate 0.18 mg [7 white tablets] Day 8 to 14: Ethinyl estradiol mg and norgestimate mg [7 light blue tablets] Day 15 to 21: Ethinyl estradiol mg and norgestimate 0.25 mg [7 dark blue tablets] Day 22 to 28: 7 dark green inactive tablets (28s) TriNessa [BCF]: Day 1-7: Ethinyl estradiol mg and norgestimate 0.18 mg [7 white tablets] Day 8-14: Ethinyl estradiol mg and norgestimate mg [7 light blue tablets] Day 15-21: Ethinyl estradiol mg and norgestimate 0.25 mg [7 blue tablets] Day 22-28: 7 green inactive tablets (28 ea) Ethinyl Estradiol and Norgestrel Tablet, Oral [monophasic formulation]: Ethinyl estradiol 0.03 mg and norgestrel 0.3 mg [21 tablets and 7 inactive tablets] (28 ea) Ogestrel: Ethinyl estradiol 0.05 mg and norgestrel 0.5 mg [21 white tablets and 7 peach inactive tablets] (28 ea) Ethosuximide Generic: 250 mg Generic: 250 mg/5 ml (473 ml) Exenatide Pen-injector, Subcutaneous: Bydureon: 2 mg Ezetimibe Zetia: 10 mg Fenofibrate and Derivatives Tablet, Oral, as fenofibrate: Generic: 48 mg [BCF], 145 mg [BCF] FentaNYL Patch, Transdermal, as base: Generic: 12 [delivers 12.5 mcg/hr] (5 ea); 25 [delivers 25 mcg/hr] (5 ea); 50 [delivers 50 mcg/hr] (5 ea); 75 [delivers 75 mcg/hr] (5 ea); 100 [delivers 100 mcg/hr] (5 ea) Ferrous Sulfate Generic: 325 mg Tablet Delayed Release, Oral: Generic: 324 mg Fexofenadine Generic: 180 mg Finasteride Generic: 5 mg [BCF] Fluconazole Generic: 100 mg. 150 mg [BCF], 200 mg Fludrocortisone Tablet, Oral, as acetate: Generic: 0.1 mg Fluocinonide Cream, External: Generic: 0.05% (15 g, 30 g, 60 g, 120 g) [BCF] Gel, External: Generic: 0.05% (15 g, 30 g, 60 g) Fluoride Paste, Oral, as sodium [toothpaste]: Clinpro 5000: 1.1% (113 g) [vanilla-mint flavor] Solution, Oral, as sodium [drops]: Generic: 1.1 mg/ml (50 ml) [equivalent to fluoride 0.5 mg/ml] Tablet, Chewable, Oral, as sodium: Generic: 1.1 mg [equivalent to fluoride 0.5 mg] Fluorometholone Suspension, Ophthalmic, as base: FML Forte: 0.25% (5 ml, 10 ml) Generic: 0.1% (5 ml, 10 ml, 15 ml) Fluorouracil (Topical) Cream, External: Generic: 5% (25 g)
9 HALOPERIDOL FLUoxetine Generic: 10 mg [BCF], 20 mg [BCF], 40 mg [BCF] Generic: 20 mg/5 ml (5 ml, 120 ml) [BCF] FluPHENAZine Generic: 5 mg Flurandrenolide Tape, External: Cordran: 4 mcg/cm 2 (1 ea) Flutamide Generic: 125 mg Fluticasone and Salmeterol Aerosol, for Oral Inhalation: Advair HFA: 45/21: Fluticasone propionate 45 mcg and salmeterol 21 mcg per inhalation (12 g) [chlorofluorocarbon free; 120 metered actuations] [BCF] Advair HFA: 115/21: Fluticasone propionate 115 mcg and salmeterol 21 mcg per inhalation (12 g) [chlorofluorocarbon free; 120 metered actuations] [BCF] Advair HFA: 230/21: Fluticasone propionate 230 mcg and salmeterol 21 mcg per inhalation (12 g) [chlorofluorocarbon free; 120 metered actuations] [BCF] Powder, for Oral Inhalation: Advair Diskus: 100/50: Fluticasone propionate 100 mcg and salmeterol 50 mcg (14s, 60s) [contains lactose] [BCF] Advair Diskus: 250/50: Fluticasone propionate 250 mcg and salmeterol 50 mcg (14s, 60s) [contains lactose] [BCF] Advair Diskus: 500/50: Fluticasone propionate 500 mcg and salmeterol 50 mcg (14s, 60s) [contains lactose] [BCF] Fluticasone (Nasal) Suspension, Nasal, as propionate: Generic: 50 mcg/inhalation (16 g) [BCF] Fluticasone (Oral Inhalation) Aerosol, Inhalation, as propionate: Flovent HFA: 44 mcg/inhalation (10.6 g) [chlorofluorocarbon free; 120 metered actuations] [BCF] Flovent HFA: 110 mcg/inhalation (12 g) [chlorofluorocarbon free; 120 metered actuations] [BCF] Flovent HFA: 220 mcg/inhalation (12 g) [chlorofluorocarbon free; 120 metered actuations] [BCF] Aerosol Powder Breath Activated, Inhalation, as propionate: Flovent Diskus: 50 mcg (60 ea) [contains lactose] [BCF] Flovent Diskus: 100 mcg (60 ea) [contains lactose] [BCF] Flovent Diskus: 250 mcg (60 ea) [contains lactose] [BCF] Folic Acid Generic: 1 mg [BCF] Fosfomycin Packet, Oral: Monurol: 3 g (3 ea) [orange flavor] Furosemide Generic: 10 mg/ml (60 ml, 120 ml) [BCF] Generic: 20 mg [BCF], 40 mg [BCF] Gabapentin Generic: 100 mg [BCF], 300 mg [BCF], 400 mg [BCF] Generic: 600 mg [BCF], 800 mg [BCF] Gemfibrozil Generic: 600 mg [BCF] Gentamicin (Ophthalmic) Ointment, Ophthalmic: Generic: 0.3% (3.5 g) [BCF] Solution, Ophthalmic [drops]: Generic: 0.3% (5 ml, 15 ml) [BCF] GlipiZIDE Generic: 5 mg [BCF], 10 mg [BCF] Tablet Extended Release 24 Hour, Oral: Generic: 5 mg, 10 mg Glucagon Kit, Injection: Glucagon Emergency: 1 mg GlyBURIDE Generic: 1.25 mg [BCF], 2.5 mg [BCF], 5 mg [BCF] Tablet, Oral [micronized]: Generic: 1.5 mg, 3 mg, 6 mg Glyburide and Metformin Generic: Glyburide 1.25 mg and metformin hydrochloride 250 mg Generic: Glyburide 2.5 mg and metformin hydrochloride 500 mg Generic: Glyburide 5 mg and metformin hydrochloride 500 mg Glycerin Generic: 50% Suppository, Rectal: Sani-Supp Adult: 2 g (10 ea, 25 ea) Sani-Supp Pediatric: 1.2 g (10 ea, 25 ea) Glycopyrrolate (Systemic) Generic: 1 mg Goserelin Implant, Subcutaneous: Zoladex: 3.6 mg (1 ea) [1 month implant] [BCF] Zoladex: 10.8 mg (1 ea) [3 month implant] [BCF] Griseofulvin Suspension, Oral: Generic: 125 mg/5 ml (120 ml) [BCF] Generic: 125 mg [BCF], 250 mg [BCF] GuaiFENesin Liquid, Oral: Generic: 100 mg/5 ml (480 ml) Tablet Extended Release 12 Hour, Oral: Generic: 600 mg Guaifenesin and Codeine Syrup, Oral: Generic: Guaifenesin 100 mg and codeine phosphate 10 mg per 5 ml (473 ml) Guaifenesin and Dextromethorphan Liquid, Oral: Generic: Guaifenesin 100 mg and dextromethorphan hydrobromide 10 mg per 5 ml (480 ml) Guaifenesin and Pseudoephedrine Tablet, Extended Release, Oral: Generic: Guaifenesin 600 mg and pseudoephedrine hydrochloride 60 mg Haloperidol Concentrate, Oral, as lactate [strength expressed as base]: Generic: 2 mg/ml (5 ml, 15 ml, 120 ml) Generic: 1 mg, 2 mg, 5 mg, 10 mg
10 HYDRALAZINE HydrALAZINE Generic: 10 mg [BCF], 25 mg [BCF], 50 mg [BCF] HydroCHLOROthiazide Generic: 25 mg [BCF], 50 mg [BCF] Hydrochlorothiazide and Triamterene Generic: Hydrochlorothiazide 25 mg and triamterene 37.5 mg [BCF] Generic: Hydrochlorothiazide 50 mg and triamterene 75 mg [BCF] Hydrocodone and Acetaminophen Hydrocodone bitartrate 5 mg and acetaminophen 325 mg Hydrocodone bitartrate 7.5 mg and acetaminophen 325 mg Hydrocodone bitartrate 10 mg and acetaminophen 325 mg Hydrocortisone (Systemic) Tablet, Oral, as base: Generic: 5 mg, 20 mg Hydrocortisone (Topical) Cream, External: Generic: 1% (28 g), 2.5% Cream, External, as valerate: Generic: 0.2% (15 g, 45 g) Cream, Rectal, as base: Generic: 2.5% (30 g) Enema, Rectal, as base: Generic: 100 mg/60 ml (60 ml) Ointment, External: Generic: 1% (28 g) Ointment, External, as valerate: Generic: 0.2% (45 g) Suppository, Rectal, as acetate: Generic: 25 mg (12s) [BCF] HYDROmorphone Generic: 2 mg Hydroxychloroquine Generic: 200 mg Hydroxyurea Generic: 500 mg HydrOXYzine Capsule, Oral, as pamoate: Generic: 50 mg Syrup, Oral, as hydrochloride: Generic: 10 mg/5 ml (118 ml, 473 ml) [BCF] Generic: 10 mg [BCF], 25 mg [BCF] Hyoscyamine Tablet Extended Release 12 Hour, Oral, as sulfate: Generic: mg Ibandronate Generic: 150 mg Ibuprofen Suspension, Oral: Generic: 100 mg/5 ml (5 ml, 118 ml, 120 ml, 473 ml) Generic: 400 mg [BCF], 600 mg [BCF], 800 mg [BCF] Imipramine Capsule, Oral, as pamoate: Generic: 75 mg [BCF] Generic: 10 mg [BCF], 25 mg [BCF], 50 mg [BCF] Indapamide Generic: 2.5 mg Indomethacin Generic: 25 mg [BCF], 50 mg [BCF] Inhalation Devices Device: Inspirease Peak flow meter: Full range, low range Peak flow meter with inhaler assist device kit: AsthmaPack Kit: 1 ea Insulin Aspart Solution, Subcutaneous: NovoLOG: 100 units/ml (10 ml) [contains metacresol, phenol] [BCF] Solution Pen-injector, Subcutaneous: NovoLOG FlexPen: 100 units/ml (3 ml) [contains metacresol, phenol] [BCF] Insulin Aspart Protamine and Insulin Aspart Suspension, Subcutaneous: NovoLOG Mix 70/30 FlexPen: Insulin aspart protamine suspension 70% [intermediate acting] and insulin aspart solution 30% [rapid-acting]: 100 units/ml (3 ml) [contains metacresol, phenol] [BCF] Insulin Detemir Solution, Subcutaneous: Levemir: 100 units/ml (10 ml) [contains metacresol, phenol] Insulin Glargine Solution, Subcutaneous: Lantus: 100 units/ml (10 ml) [contains metacresol] [BCF] Solution Pen-injector, Subcutaneous: Lantus Solostar: 100 units/ml (3 ml) [BCF] Insulin NPH Suspension, Subcutaneous: NovoLIN N: 100 units/ml (10 ml) [contains metacresol, phenol] [BCF] Insulin NPH and Insulin Regular Suspension, Subcutaneous: NovoLIN 70/30: Insulin NPH suspension 70% [intermediate acting] and insulin regular solution 30% [short acting]: 100 units/ml (10 ml) [contains metacresol, phenol] [BCF] Insulin Regular Solution, Injection: NovoLIN R: 100 units/ml (10 ml) [contains metacresol] [BCF] Solution, Subcutaneous: HumuLIN R U-500 (CONCENTRATED): 500 units/ml (20 ml) [contains metacresol] Solution Pen-injector, Subcutaneous: HumuLIN R U-500 KwikPen: 500 units/ml (3 ml) [contains metacresol] Interferon Beta-1b Kit, Subcutaneous: Betaseron: 0.3 mg [contains albumin human] [BCF] Ipratropium and Albuterol Solution, for Oral Inhalation [spray]: Combivent Respimat: Ipratropium bromide 20 mcg and albuterol (base) 100 mcg per inhalation (4 g) [contains benzalkonium chloride; 120 metered actuations] Ipratropium (Nasal) Solution, Nasal, as bromide: Generic: 0.03% (30 ml); 0.06% (15 ml)
11 LOSARTAN AND HYDROCHLOROTHIAZIDE Ipratropium (Oral Inhalation) Aerosol Solution, Inhalation, as bromide: Atrovent HFA: 17 mcg/actuation (12.9 g) [chlorofluorocarbon free; 200 metered actuations] [BCF] Solution, Inhalation, as bromide: Generic: 0.02% (2.5 ml) [BCF] Isoniazid Syrup, Oral: Generic: 50 mg/5 ml (473 ml) Generic: 100 mg [BCF], 300 mg [BCF] Isosorbide Dinitrate Capsule Extended Release, Oral: Dilatrate-SR: 40 mg Generic: 10 mg [BCF], 20 mg [BCF], 30 mg [BCF] Isosorbide Mononitrate Generic: 20 mg Tablet Extended Release 24 Hour, Oral: Generic: 30 mg [BCF], 60 mg [BCF], 120 mg [BCF] ISOtretinoin Amnesteem: 40 mg [contains soybean oil] Isoxsuprine Generic: 10 mg Ketorolac (Ophthalmic) Solution, Ophthalmic, as tromethamine: Generic: 0.4% (5 ml) Ketotifen (Ophthalmic) Solution, Ophthalmic: Generic: 0.025% (5 ml) Labetalol Generic: 200 mg, 300 mg Lactulose Generic: 10 g/15 ml (15 ml, 30 ml, 236 ml, 237 ml, 473 ml, 500 ml, 946 ml, 1892 ml) [BCF] LamoTRIgine Generic: 25 mg, 100 mg, 150 mg, 200 mg Latanoprost Solution, Ophthalmic: Generic: 0.005% (2.5 ml) [BCF] Letrozole Generic: 2.5 mg LevETIRAcetam Generic: 100 mg/ml (5 ml, 473 ml, 500 ml) Generic: 250 mg, 500 mg, 750 mg, 1000 mg Tablet Extended Release 24 Hour, Oral: Generic: 500 mg, 750 mg Levobunolol Solution, Ophthalmic, as hydrochloride: Generic: 0.5% (5 ml, 10 ml, 15 ml) LevoFLOXacin (Systemic) Generic: 250 mg [BCF], 500 mg [BCF], 750 mg [BCF] Levonorgestrel (Systemic) Plan B: 0.75 mg [BCF] Levothyroxine Tablet, Oral, as sodium: Generic: 25 mcg [BCF], 50 mcg [BCF], 75 mcg [BCF], 88 mcg [BCF], 100 mcg [BCF], 112 mcg [BCF], 125 mcg [BCF], 137 mcg [BCF], 150 mcg [BCF], 175 mcg [BCF], 200 mcg [BCF], 300 mcg [BCF] Lidocaine (Topical) Gel, External, as hydrochloride: Generic: 2% (30 ml) Ointment, External: Generic: 5% (35 g) Patch, External: Generic: 5% (1 ea, 15 ea, 30 ea) Solution, External, as hydrochloride: Generic: 4% (50 ml) Solution, Mouth/Throat, as hydrochloride: Generic: 2% (15 ml, 100 ml) Lindane Shampoo, External: Generic: 1% (60 ml) Lisinopril Generic: 2.5 mg [BCF], 5 mg [BCF], 10 mg [BCF], 20 mg [BCF], 30 mg [BCF], 40 mg [BCF] Lisinopril and Hydrochlorothiazide Generic: 10/12.5: Lisinopril 10 mg and hydrochlorothiazide 12.5 mg [BCF] Generic: 20/12.5: Lisinopril 20 mg and hydrochlorothiazide 12.5 mg [BCF] Generic: 20/25: Lisinopril 20 mg and hydrochlorothiazide 25 mg [BCF] Lithium Capsule, Oral, as carbonate: Generic: 150 mg [BCF], 300 mg [BCF] Solution, Oral, as citrate: Generic: 8 meq/5 ml (500 ml) [BCF] Lodoxamide Solution, Ophthalmic: Alomide: 0.1% (10 ml) Loperamide Capsule, Oral, as hydrochloride: Generic: 2 mg [BCF] Loratadine Generic: 10 mg LORazepam Generic: 0.5 mg, 1 mg Losartan Tablet, Oral, as potassium: Generic: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF] Losartan and Hydrochlorothiazide Generic: 50/12.5: Losartan potassium 50 mg and hydrochlorothiazide 12.5 mg [BCF] Generic: 100/12.5: Losartan potassium 100 mg and hydrochlorothiazide 12.5 mg [BCF] Generic: 100/25: Losartan potassium 100 mg and hydrochlorothiazide 25 mg [BCF]
12 LOXAPINE Loxapine Generic: 10 mg, 25 mg Lurasidone Latuda: 20 mg, 40 mg, 60 mg Latuda: 80 mg [contains fd&c blue #2 aluminum lake] Latuda: 120 mg Magnesium Citrate Generic: g/30 ml (296 ml) Magnesium Hydroxide Suspension, Oral: Milk of Magnesia: 7.75% (360 ml, 473 ml, 480 ml) Magnesium Oxide Generic: 400 mg Meclizine Generic: 12.5 mg, 25 mg MedroxyPROGESTERone Suspension, Subcutaneous, as acetate: Depo-SubQ Provera 104: 104 mg/0.65 ml (0.65 ml) [contains methylparaben, propylparaben] Tablet, Oral, as acetate: Generic: 2.5 mg [BCF], 5 mg [BCF], 10 mg [BCF] Megestrol Suspension, Oral, as acetate: Generic: 40 mg/ml (10 ml, 240 ml, 480 ml) Tablet, Oral, as acetate: Generic: 40 mg Meloxicam Generic: 7.5 mg [BCF], 15 mg [BCF] Melphalan Alkeran: 2 mg Meningococcal Group B Vaccine Suspension Prefilled Syringe, Intramuscular: Bexsero: (0.5 ml) Meperidine Generic: 50 mg Meprobamate Generic: 400 mg Mesalamine Tablet Delayed Release, Oral: Lialda: 1.2 g [BCF] MetFORMIN Generic: 500 mg [BCF], 850 mg [BCF], 1000 mg [BCF] Tablet Extended Release 24 Hour, Oral, as hydrochloride: Generic: 500 mg [BCF], 750 mg [BCF] Methadone Generic: 5 mg, 10 mg MethazolAMIDE Generic: 50 mg Methenamine Tablet, Oral, as hippurate: Generic: 1 g MethIMAzole Generic: 5 mg Methocarbamol Generic: 500 mg [BCF] Methotrexate Generic: 2.5 mg [BCF] Methyldopa Generic: 250 mg, 500 mg Methylergonovine Tablet, Oral, as maleate: Generic: 0.2 mg Methylphenidate Generic: 5 mg [BCF], 10 mg [BCF], 20 mg [BCF] Tablet Extended Release, Oral, as hydrochloride: Generic: 18 mg [BCF], 20 mg, 27 mg [BCF], 36 mg [BCF], 54 mg [BCF] MethylPREDNISolone Generic: 4 mg MethylTESTOSTERone Android: 10 mg Testred: 10 mg Metoclopramide Generic: 5 mg/5 ml (10 ml, 473 ml) [BCF] Generic: 10 mg [BCF] Metoprolol Tablet, Oral, as tartrate: Generic: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF] Tablet Extended Release 24 Hour, Oral, as succinate: Generic: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF], 200 mg [BCF] MetroNIDAZOLE (Systemic) Generic: 250 mg [BCF], 500 mg [BCF] MetroNIDAZOLE (Topical) Gel, External: Generic: 0.75% (45 g); 1% (60 g) Gel, Vaginal: Generic: 0.75% (70 g) [BCF] Mexiletine Capsule, Oral, as hydrochloride: Generic: 150 mg, 200 mg, 250 mg Mineral Oil Oil, Oral: Generic: 100% (473 ml, 500 ml, 1000 ml, 4000 ml)
13 OFLOXACIN (OPHTHALMIC) Minocycline Generic: 100 mg Montelukast Packet, Oral: Generic: 4 mg/packet (1s, 30s) [BCF] Generic: 10 mg [BCF] Tablet Chewable, Oral: Generic: 4 mg [BCF], 5 mg [BCF] Morphine (Systemic) Solution, Oral, as sulfate: Generic: 20 mg/5 ml (5 ml, 100 ml, 500 ml) Tablet, Oral, as sulfate: Generic: 30 mg Tablet Extended Release, Oral, as sulfate: Generic: 15 mg [BCF], 30 mg [BCF], 60 mg [BCF], 100 mg [BCF], 200 mg [BCF] Moxifloxacin (Systemic) Generic: 400 mg Mupirocin Ointment, External: Generic: 2% (22 g) [BCF] Naloxone Liquid, Nasal: Narcan: 4 mg/0.1 ml (1 ea) [contains benzalkonium chloride, edetate disodium] [BCF] Naphazoline and Pheniramine Solution, ophthalmic: Generic: Naphazoline hydrochloride 0.027% and pheniramine maleate 0.315% (15 ml) Naproxen Suspension, Oral: Generic: 125 mg/5 ml (500 ml) [BCF] Generic: 250 mg [BCF], 500 mg [BCF] Generic: 275 mg, 550 mg Neomycin Tablet, Oral, as sulfate: Generic: 500 mg Neomycin, Polymyxin B, and Dexamethasone Ointment, Ophthalmic: Generic: Neomycin 3.5 mg, polymyxin B sulfate 10,000 units, and dexamethasone 0.1% per g (3.5 g) Suspension, Ophthalmic: Generic: Neomycin 3.5 mg, polymyxin B sulfate 10,000 units, and dexamethasone 0.1% per 1 ml (5 ml) Neomycin, Polymyxin B, and Gramicidin Solution, Ophthalmic: Generic: Neomycin 1.75 mg, polymyxin B 10,000 units, and gramicidin mg per 1 ml (10 ml) [BCF] Neomycin, Polymyxin B, and Hydrocortisone (Otic) Solution, Otic: Generic: Neomycin 3.5 mg, polymyxin B 10,000 units, and hydrocortisone 10 mg per 1 ml (10 ml) Suspension, Otic: Generic: Neomycin 3.5 mg, polymyxin B 10,000 units, and hydrocortisone 10 mg per 1 ml (10 ml) [BCF] Niacin Tablet, Oral Generic: 50 mg, 500 mg Tablet Extended Release, Oral: Generic: 500 mg [BCF], 750 mg [BCF], 1000 mg [BCF] Nicotine Gum, Mouth/Throat, as polacrilex: Generic: 2 mg [BCF]; 4 mg [BCF] Patch 24 Hour, Transdermal: Generic: 7 mg/24 hr (7 ea, 14 ea) [BCF]; 14 mg/24 hr (7 ea, 14 ea) [BCF]; 21 mg/24 hr (7 ea, 14 ea, 28 ea) [BCF] NIFEdipine Tablet Extended Release 24 Hour, Oral: Generic: 30 mg [BCF], 60 mg [BCF], 90 mg [BCF] Nitrofurantoin Capsule, Oral [macrocrystal]: Generic: 25 mg, 50 mg [BCF] Capsule, Oral [macrocrystal/monohydrate]: Generic: 100 mg [BCF] Suspension, Oral: Generic: 25 mg/5 ml (230 ml, 240 ml) Nitroglycerin Capsule Extended Release, Oral: Generic: 2.5 mg Ointment, Transdermal: Nitro-Bid: 2% (1 g, 30 g, 60 g) Patch 24 Hour, Transdermal: Generic: 0.1 mg/hour (30s) [BCF]; 0.2 mg/hour (30s) [BCF]; 0.3 mg/hour (30s) ; 0.4 mg/hour (30s) [BCF]; 0.6 mg/hour (30s) [BCF]; 0.8 mg/hr (30 ea, 100 ea) Solution, Translingual: Generic: 0.4 mg/spray (4.9 g, 12 g) [BCF] Tablet, Sublingual: Nitrostat: 0.3 mg, 0.4 mg [BCF], 0.6 mg Norethindrone Generic: 0.35 mg [BCF] Norethindrone and Mestranol Tablet, monophasic formulations: Necon 1/50: Norethindrone 1 mg and mestranol 0.05 mg [21 light blue tablets and 7 white inactive tablets] (28s) Norinyl 1+50: Norethindrone 1 mg and mestranol 0.05 mg [21 white tablets and 7 orange inactive tablets] (28s) Nortriptyline Generic: 10 mg [BCF], 25 mg [BCF], 50 mg [BCF] Nystatin (Oral) Suspension, Mouth/Throat: Generic: 100,000 units/ml (5 ml, 60 ml, 473 ml) [BCF] Generic: 500,000 units Nystatin (Topical) Cream, External: Generic: 100,000 units/g (15 g, 30 g) [BCF] Ointment, External: Generic: 100,000 units/g (15 g, 30 g) [BCF] Powder, External: Generic: 100,000 units/g (15 g, 30 g, 60 g) Oatmeal (Colloidal) Packet, External: Aveeno: (227 g, 340 g) Ocular Lubricant Ointment, Ophthalmic: LubriFresh P.M.: (3.5 g) Generic: (3.5 g) Solution, Ophthalmic: Liquifilm Tears: (15 ml) Ofloxacin (Ophthalmic) Solution, Ophthalmic: Generic: 0.3% (5 ml, 10 ml)
14 OLANZAPINE OLANZapine Generic: 2.5 mg, 5 mg, 7.5 mg, 10 mg, 15 mg, 20 mg Olopatadine (Ophthalmic) Solution, Ophthalmic: Pataday: 0.2% (2.5 ml) [contains benzalkonium chloride, edetate disodium] Patanol: 0.1% (5 ml) [contains benzalkonium chloride] [BCF] Omeprazole Capsule Delayed Release, Oral: Generic: 10 mg [BCF], 20 mg [BCF] Suspension, Oral: First-Omeprazole: 2 mg/ml Omeprazole+Syrspend SF Alka: 2 mg/ml Ondansetron Generic: 4 mg, 8 mg, 24 mg Tablet Dispersible, Oral: Generic: 4 mg, 8 mg Orphenadrine, Aspirin, and Caffeine Generic: Orphenadrine citrate 25 mg, aspirin 385 mg, and caffeine 30 mg Oxybutynin Syrup, Oral, as chloride: Generic: 5 mg/5 ml (473 ml) Tablet, Oral, as chloride: Generic: 5 mg Tablet Extended Release 24 Hour, Oral, as chloride: Generic: 5 mg [BCF], 10 mg [BCF], 15 mg [BCF] OxyCODONE Generic: 5 mg Tablet ER 12 Hour Abuse-Deterrent, Oral, as hydrochloride: OxyCONTIN: 10 mg, 20 mg, 30 mg, 40 mg, 60 mg Oxycodone and Acetaminophen Roxicet: Oxycodone hydrochloride 5 mg and acetaminophen 325 mg per 5 ml (5 ml, 500 ml) [contains ethanol <0.5%; mint flavor] Generic: 5/325: Oxycodone hydrochloride 5 mg and acetaminophen 325 mg [BCF] Generic: 10/325: Oxycodone hydrochloride 10 mg and acetaminophen 325 mg Oxymetazoline (Nasal) Solution, Nasal, as hydrochloride: Generic: 0.05% (30 ml) Pancrelipase Capsule, Delayed Release, Enteric Coated Microspheres, Oral [porcine derived]: Creon: Lipase 6000 USP units, protease 19,000 USP units, and amylase 30,000 USP units [BCF] Creon: Lipase 12,000 USP units, protease 38,000 USP units, and amylase 60,000 USP units [BCF] Creon: Lipase 24,000 USP units, protease 76,000 USP units, and amylase 120,000 USP units [BCF] Pantoprazole Tablet Delayed Release, Oral: Generic: 20 mg, 40 mg Papillomavirus (9-Valent) Vaccine (Human, Recombinant) Suspension, Intramuscular [preservative free]: Gardasil 9: (0.5 ml) [contains polysorbate 80, yeast extract] Suspension Prefilled Syringe, Intramuscular [preservative free]: Gardasil 9: (0.5 ml) [contains polysorbate 80, yeast extract] PARoxetine Tablet, Oral, as hydrochloride [strength expressed as base]: Generic: 10 mg, 20 mg, 30 mg, 40 mg PenicillAMINE Cuprimine: 250 mg Penicillin V Potassium Solution Reconstituted, Oral: Generic: 125 mg/5 ml (100 ml, 200 ml) [BCF]; 250 mg/5 ml (100 ml, 200 ml) [BCF] Generic: 250 mg [BCF], 500 mg [BCF] Pentoxifylline Tablet Extended Release, Oral: Generic: 400 mg Permethrin Cream, External: Generic: 5% (60 g) [BCF] Lotion, External: Generic: 1% (60 ml) [BCF] Perphenazine Generic: 4 mg Phenazopyridine Generic: 100 mg [BCF], 200 mg [BCF] Phenelzine Nardil: 15 mg [ECF] PHENobarbital Elixir, Oral: Generic: 20 mg/5 ml (473 ml) [BCF] Generic: 15 mg [BCF], 30 mg [BCF], 60 mg [BCF], 100 mg [BCF] Phenol Liquid, External: Generic: Castellani Paint Modified 1.5% (29.57 ml) Phenoxybenzamine Capsule, Oral, as hydrochloride: Dibenzyline: 10 mg [contains benzyl alcohol] Phenylephrine (Nasal) Solution, Nasal, as hydrochloride: Generic: 0.25% (15 ml); 0.5% (15 ml); 1% (15 ml) Phenylephrine (Ophthalmic) Solution, Ophthalmic, as hydrochloride: Generic: 2.5% (2 ml, 3 ml, 5 ml, 15 ml) Phenytoin Capsule, Oral, as sodium: Generic: 100 mg [BCF] Capsule, Extended Release, Oral, as sodium: Dilantin: 30 mg Suspension, Oral: Generic: 125 mg/5 ml (4 ml, 237 ml) [BCF] Tablet Chewable, Oral: Generic: 50 mg [BCF] Phytonadione Mephyton: 5 mg [scored] Pilocarpine (Ophthalmic) Solution, Ophthalmic, as hydrochloride: Generic: 1% (15 ml) [BCF]; 2% (15 ml) [BCF]; 4% (15 ml) [BCF]
15 PYRIDOSTIGMINE Pimecrolimus Cream, External: Elidel: 1% (30 g) [contains benzyl alcohol, cetyl alcohol, propylene glycol] [BCF] Pindolol Generic: 5 mg, 10 mg Pioglitazone Actos: 15 mg, 30 mg, 45 mg Generic: 15 mg, 30 mg, 45 mg Piroxicam Generic: 20 mg Polyethylene Glycol 3350 Packet, Oral: Generic: (1 ea, 14 ea, 30 ea, 100 ea) Powder, Oral: Generic: 17 g/dose (119 g, 238 g, 510 g); (119 g, 238 g, 250 g, 255 g, 500 g, 510 g, 527 g, 850 g) Potassium Chloride Liquid, Oral: Generic: 20 meq/15 ml (10%) (473 ml) [BCF] Packet, Oral: Generic: 20 meq (30 ea, 100 ea) [BCF] Tablet Extended Release, Oral: Generic: 8 meq, 20 meq [BCF] Potassium Citrate Tablet Extended Release, Oral: Generic: 5 meq (540 mg), 10 meq (1080 mg) Potassium Iodide SSKI: 1 g/ml (30 ml, 237 ml) Potassium P-Aminobenzoate Potaba: 500 mg Pramipexole Tablet, Oral, as dihydrochloride monohydrate: Generic: mg, 0.25 mg, 0.5 mg, 1 mg Pramoxine and Hydrocortisone Foam, Aerosol, Rectal: ProctoFoam HC: Pramoxine hydrochloride 1% and hydrocortisone acetate 1% (10 g) Prasugrel Effient: 5 mg, 10 mg Pravastatin Tablet, Oral, as sodium: Generic: 10 mg [BCF], 20 mg [BCF], 40 mg [BCF], 80 mg [BCF] Prazosin Generic: 1 mg, 2 mg, 5 mg PrednisoLONE (Ophthalmic) Suspension, Ophthalmic, as acetate: Pred Mild: 0.12% (5 ml, 10 ml) [contains benzalkonium chloride, sodium bisulfite] [BCF] Generic: 1% (5 ml, 10 ml, 15 ml) [BCF] PrednisoLONE (Systemic) Solution, Oral, as sodium phosphate [strength expressed as base]: Generic: 15 mg/5 ml (237 ml) [BCF] Syrup, Oral, as base: Generic: 15 mg/5 ml (240 ml, 480 ml) PredniSONE Generic: 5 mg/5 ml (5 ml, 120 ml, 500 ml) Generic: 1 mg [BCF], 5 mg [BCF], 10 mg [BCF], 20 mg [BCF], 50 mg Primaquine Tablet, Oral, as phosphate: Generic: 26.3 mg Primidone Generic: 50 mg, 250 mg Probenecid Generic: 500 mg [BCF] Procarbazine Capsule, Oral, as hydrochloride: Matulane: 50 mg Prochlorperazine Tablet, Oral, as maleate [strength expressed as base]: Generic: 5 mg Promethazine Suppository, Rectal, as hydrochloride: Generic: 12.5 mg (12s) [BCF]; 25 mg (12s) [BCF] Syrup, Oral, as hydrochloride: Generic: 6.25 mg/5 ml (118 ml, 473 ml) [BCF] Generic: 25 mg [BCF] Propantheline Tablet, Oral, as bromide: Generic: 15 mg Propranolol Capsule Extended Release 24 Hour, Oral, as hydrochloride: Generic: 60 mg, 80 mg, 120 mg, 160 mg Generic: 20 mg, 40 mg, 80 mg Propylthiouracil Generic: 50 mg [BCF] Pseudoephedrine Liquid, Oral, as hydrochloride: Nasal Decongestant: 30 mg/5 ml (118 ml) Generic: 30 mg Pyrantel Pamoate Suspension, Oral, as pamoate: Pamix: 50 mg/ml (30 ml, 60 ml, 240 ml) Pin-X: 50 mg/ml (30 ml, 60 ml) Pyrazinamide Generic: 500 mg [BCF] Pyridostigmine Tablet, Oral, as bromide: Generic: 60 mg
16 PYRIDOXINE Pyridoxine Generic: 50 mg Pyrimethamine Daraprim: 25 mg [scored] QUEtiapine Generic: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF], 200 mg [BCF], 300 mg [BCF], 400 mg [BCF] Tablet Extended Release 24 Hour, Oral: SEROquel XR: 200 mg [BCF], 300 mg [BCF], 400 mg [BCF] QuiNIDine Tablet, Oral, as sulfate: Generic: 200 mg Tablet Extended Release, Oral, as gluconate: Generic: 324 mg RABEprazole Tablet Delayed Release, Oral, as sodium: Generic: 20 mg Raloxifene Evista: 60 mg [BCF] Ramipril Generic: 1.25 mg [BCF], 2.5 mg [BCF], 5 mg [BCF], 10 mg [BCF] RaNITIdine Syrup, Oral: Generic: 15 mg/ml (10 ml, 473 ml, 474 ml, 480 ml) [BCF] Generic: 150 mg [BCF] RifAMPin Generic: 300 mg [BCF] RisperiDONE Generic: 1 mg/ml (30 ml) [BCF] Generic: 0.25 mg [BCF], 0.5 mg [BCF], 1 mg [BCF], 2 mg [BCF], 3 mg [BCF], 4 mg [BCF] Rivaroxaban Xarelto: 10 mg, 15 mg, 20 mg Rizatriptan Generic: 5 mg [BCF], 10 mg [BCF] Tablet Dispersible, Oral: Generic: 5 mg [BCF], 10 mg [BCF] Rosuvastatin Crestor: 5 mg, 10 mg, 20 mg, 40 mg Salicylic Acid Liquid, External: Generic: 17% (10 ml) Pad, External: Generic: 40% (9 ea) Salmeterol Aerosol Powder Breath Activated, Inhalation: Serevent Diskus: 50 mcg (28s, 60s) [contains lactose] [BCF] Salsalate Generic: 500 mg [BCF] Scopolamine (Systemic) Patch 72 Hour, Transdermal: Transderm-Scop: 1.5 mg (1 ea, 4 ea, 10 ea, 24 ea) Selegiline Generic: 5 mg Selenium Sulfide Lotion, External: Generic: 2.5% (120 ml) [BCF] Sertraline Concentrate, Oral: Generic: 20 mg/ml (60 ml) [BCF] Generic: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF] Sildenafil Viagra: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF] Silver Nitrate Applicator sticks, topical: Silver nitrate 75% and potassium nitrate 25% Silver Sulfadiazine Cream, External: Generic: 1% (20 g, 400 g) [BCF] Simethicone Tablet Chewable, Oral: Generic: 80 mg Simvastatin Generic: 5 mg [BCF], 10 mg [BCF], 20 mg [BCF], 40 mg [BCF], 80 mg SITagliptin Januvia: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF] Sitagliptin and Metformin Janumet 50/500: Sitagliptin 50 mg and metformin hydrochloride 500 mg [BCF] Janumet 50/1000: Sitagliptin 50 mg and metformin hydrochloride 1000 mg [BCF] Tablet, Extended Release, Oral: Janumet XR: 50/500: Sitagliptin 50 mg and metformin hydrochloride 500 mg [BCF] Janumet XR: 50/1000: Sitagliptin 50 mg and metformin hydrochloride 1000 mg [BCF] Janumet XR: 100/1000: Sitagliptin 100 mg and metformin hydrochloride 1000 mg [BCF] Sodium Bicarbonate Generic: 650 mg Sodium Chloride Ointment, Ophthalmic: Generic: 5% (3.5 g) Solution, Ophthalmic: Generic: 5% (15 ml) Solution, Nasal: Generic: 0.65% (44 ml, 45 ml) Sodium Citrate and Citric Acid Generic: Sodium citrate 500 mg and citric acid 334 mg per 5 ml (480 ml)
$4 Prescription Program May 5, 2008
Allergies & Cold and Flu Benzonatate 100mg 14 42 Ceron DM syrup 120ml 360ml Ceron drops* 30ml 90ml Dec-Chlorphen drops* 30ml 90ml Dec-Chlorphen DM syrup* 118ml 354ml Loratadine 10mg 30 90 Promethazine
More informationRiesbeck's Pharmacy Reward Club Generic Medication List February 2018 $4 30 Day Supply
Allergy, Cold & Flu Antibiotic Treatments Arthritis & Pain Benzonatate 100mg cap 14 42 Diphenhydramine HCl Cap 50 MG 30 90 Diphenhydramine HCl Inj 50MG/ML 1 3 Diphenhydramine HCl Liquid 12.5 MG/5ML 720ml
More information$4 Prescription Program October 23, 2007
Allergies & Cold and Flu Benzonatate 100mg 14 Ceron DM syrup Ceron drops Dec-Chlorphen drops Dec-Chlorphen DM syrup 118ml* Loratadine 10mg Promethazine DM syrup Trivent DPC syrup * Antibiotic Treatments
More informationProfessionalism & Service with Great Prices
Acyclovir Capsules 200mg Viruses 30 90 Albuterol Syrup 2mg/5ml Asthma 120 360 Albuterol Sulfate Solution 0.05% * Asthma ----- ----- 20 60 Albuterol Sulfate Solution 0.083% Asthma ----- ----- 75 225 Alendronate
More informationRiesbeck's Pharmacy Reward Club Generic Medication List September 2017
Drug Category Allergy, Cold & Flu Antibiotic Treatments Arthritis & Pain Riesbeck's Benzonatate 100mg cap 14 42 Diphenhydramine HCl Cap 50 MG 30 90 Diphenhydramine HCl Liquid 12.5 MG/5ML 720ml 2160ml Hydroxyzine
More informationRiesbeck's Pharmacy Reward Club Generic Medication List October 2017
Allergy, Cold & Flu Antibiotic Treatments Arthritis & Pain Benzonatate 100mg cap 14 42 Diphenhydramine HCl Cap 50 MG 30 90 Diphenhydramine HCl Inj 50MG/ML 1 3 Diphenhydramine HCl Liquid 12.5 MG/5ML 720ml
More informationPRESCRIPTION SAVINGS CLUB FLAT- PRICED GENERIC DRUG LIST (EMDEON) Effective August 20, 2014
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