Combined Troop Medical Clinic Outpatient Formulary. The availability of formulary items is subject to change.

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1 Combined Troop Medical Clinic Outpatient Formulary Alphabetical Listing by Therapeutic Category This document is current as of September 6, The availability of formulary items is subject to change.

2 ACNE PRODUCTS Acne Products Adrenergic Agonist Agent Alpha 1 Blocker Alfuzosin... Prazosin... Tamsulosin... Terazosin... Alpha 2 -Adrenergic Agonist CloNIDine... Alpha/Beta Agonist EPINEPHrine (Systemic, Oral Inhalation)... Guaifenesin and Pseudoephedrine... Pseudoephedrine... Amebicide Aminoquinoline (Antimalarial) Hydroxychloroquine... Primaquine... Analgesic Combination (Opioid) Acetaminophen and Codeine... Acetaminophen and Tramadol... Hydrocodone and Acetaminophen... Oxycodone and Acetaminophen... Analgesic, Miscellaneous Acetaminophen... Acetaminophen and Tramadol... Analgesic, Opioid OxyCODONE... Analgesic, Topical Lidocaine (Topical)... Analgesic, Urinary Phenazopyridine... Androgen Testosterone... Anesthetic/Corticosteroid Pramoxine and Hydrocortisone... Anesthetic, Topical Phenol... Angiotensin II Receptor Blocker Losartan... Losartan and Hydrochlorothiazide... Telmisartan... Telmisartan and Hydrochlorothiazide... Valsartan... Angiotensin-Converting Enzyme (ACE) Inhibitor Lisinopril... Lisinopril and Hydrochlorothiazide... Antacid Aluminum Hydroxide, Magnesium Hydroxide, and Simethicone... Antianginal Agent Atenolol... Metoprolol... Antianxiety Agent, Miscellaneous BusPIRone... Antiarrhythmic Agent, Class II Antiarrhythmic Agent, Class IV Antibiotic, Aminoglycoside Gentamicin (Ophthalmic)... Antibiotic, Cephalosporin (First Generation) Cephalexin... Antibiotic/Corticosteroid, Ophthalmic Neomycin, Polymyxin B, and Dexamethasone... Tobramycin and Dexamethasone... Antibiotic/Corticosteroid, Otic Antibiotic, Lincosamide Clindamycin (Systemic)... Clindamycin (Topical)... Antibiotic, Macrolide Azithromycin (Systemic)... Clarithromycin... Erythromycin (Ophthalmic)... Antibiotic, Miscellaneous Nitrofurantoin... Rifampin... Sulfamethoxazole and Trimethoprim... Antibiotic, Ophthalmic Bacitracin, Neomycin, and Polymyxin B... Erythromycin (Ophthalmic)... Gatifloxacin... Gentamicin (Ophthalmic)... Moxifloxacin (Ophthalmic)... Antibiotic, Oral Rinse Chlorhexidine Gluconate... Antibiotic, Otic Ofloxacin (Otic)... Antibiotic, Penicillin Amoxicillin... Amoxicillin and Clavulanate... Penicillin V Potassium... Antibiotic, Quinolone Ciprofloxacin (Systemic)... Gatifloxacin... Levofloxacin (Systemic)... Moxifloxacin (Ophthalmic)... Ofloxacin (Otic)... Antibiotic, Sulfonamide Derivative Sulfamethoxazole and Trimethoprim... Antibiotic, Tetracycline Derivative Doxycycline... Minocycline... Antibiotic, Topical Bacitracin, Neomycin, and Polymyxin B... Chlorhexidine Gluconate... MetroNIDAZOLE (Topical)... Mupirocin... Silver Sulfadiazine... Anticholinergic Agent Dicyclomine... Ipratropium and Albuterol... Ipratropium (Oral Inhalation)... Tiotropium... Tolterodine... Anticholinergic Agent, Long-Acting Tiotropium... Anticonvulsant, Hydantoin Phenytoin... Anticonvulsant, Miscellaneous Gabapentin... Antidepressant, Alpha-2 Antagonist Mirtazapine...

3 CENTRAL NERVOUS SYSTEM STIMULANT Antidepressant, Dopamine-Reuptake Inhibitor BuPROPion... Antidepressant, Selective Serotonin Reuptake Inhibitor Citalopram... FLUoxetine... PARoxetine... Sertraline... Antidepressant, Serotonin/Norepinephrine Reuptake Inhibitor Venlafaxine... Antidepressant, Serotonin Reuptake Inhibitor/Antagonist TraZODone... Antidepressant, Tricyclic (Tertiary Amine) Amitriptyline... Doxepin (Systemic)... Antidiabetic Agent, Biguanide MetFORMIN... Antidiabetic Agent, Dipeptidyl Peptidase IV (DPP-IV) Inhibitor SitaGLIPtin... Antidiabetic Agent, Sulfonylurea GlipiZIDE... GlyBURIDE... Antidiabetic Agent, Thiazolidinedione Pioglitazone... Antidiarrheal Bismuth... Loperamide... Antiemetic Ondansetron... Antiflatulent Aluminum Hydroxide, Magnesium Hydroxide, and Simethicone... Antifungal Agent, Oral Fluconazole... Terbinafine (Systemic)... Antifungal Agent, Parenteral Fluconazole... Antifungal Agent, Topical Betamethasone and Clotrimazole... Clotrimazole (Topical)... Ketoconazole (Topical)... Naftifine... Nystatin and Triamcinolone... Nystatin (Topical)... Tolnaftate... Antifungal Agent, Vaginal Clotrimazole (Topical)... Nystatin (Topical)... Terconazole... Antigout Agent Allopurinol... Colchicine... Anti-inflammatory, Locally Applied Carbamide Peroxide... Antilipemic Agent, 2-Azetidinone Ezetimibe and Simvastatin... Antilipemic Agent, Fibric Acid Fenofibrate... Gemfibrozil... Antilipemic Agent, HMG-CoA Reductase Inhibitor AtorvaSTATin... Ezetimibe and Simvastatin... Pravastatin... Simvastatin... Antilipemic Agent, Miscellaneous Niacin... Antimanic Agent RisperiDONE... Antimigraine Agent Rizatriptan... SUMAtriptan... ZOLMitriptan... Antiplatelet Agent Aspirin... Antiprotozoal, Nitroimidazole Antipsychotic Agent, Atypical ARIPiprazole... QUEtiapine... RisperiDONE... Antitubercular Agent Isoniazid... Rifampin... Antitussive Benzonatate... Antitussive/Decongestant/Expectorant Guaifenesin, Pseudoephedrine, and Codeine... Antiviral Agent Acyclovir (Systemic)... ValACYclovir... Antiviral Agent, Oral ValACYclovir... Antiviral Agent, Topical Acyclovir (Topical)... Barbiturate Butalbital, Acetaminophen, and Caffeine... Benzodiazepine ALPRAZolam... ClonazePAM... Diazepam... LORazepam... Temazepam... Beta 2 -Adrenergic Agonist Ipratropium and Albuterol... Beta 2 -Adrenergic Agonist, Long-Acting Salmeterol... Beta 2 Agonist Albuterol... Levalbuterol... Salmeterol... Beta-Adrenergic Blocker, Nonselective Beta-Blocker, Beta-1 Selective Atenolol... Metoprolol... Beta-Blocker With Alpha-Blocking Activity Carvedilol... Bisphosphonate Derivative Alendronate... Calcineurin Inhibitor Calcium Channel Blocker Calcium Channel Blocker, Dihydropyridine Calcium Channel Blocker, Nondihydropyridine Calcium Salt Central Nervous System Stimulant Dextroamphetamine and Amphetamine...

4 CONTRACEPTIVE Contraceptive Ethinyl Estradiol and Desogestrel... Ethinyl Estradiol and Drospirenone... Ethinyl Estradiol and Ethynodiol Diacetate... Ethinyl Estradiol and Etonogestrel... Ethinyl Estradiol and Levonorgestrel... Ethinyl Estradiol and Norelgestromin... Ethinyl Estradiol and Norethindrone... Ethinyl Estradiol and Norgestimate... Ethinyl Estradiol and Norgestrel... Levonorgestrel... MedroxyPROGESTERone... Norethindrone... Corticosteroid, Inhalant (Oral) Fluticasone (Oral Inhalation)... Corticosteroid, Nasal Fluticasone (Nasal)... Mometasone (Nasal)... Corticosteroid, Ophthalmic Corticosteroid, Otic Corticosteroid, Rectal Hydrocortisone (Topical)... Corticosteroid, Systemic Betamethasone... MethylPREDNISolone... PredniSONE... Corticosteroid, Topical Betamethasone... Betamethasone and Clotrimazole... Clobetasol... Desonide... Fluocinonide... Hydrocortisone (Topical)... Nystatin and Triamcinolone... Triamcinolone (Topical)... Cough Preparation Decongestant Pseudoephedrine... Diuretic, Loop Furosemide... Diuretic, Potassium-Sparing Hydrochlorothiazide and Triamterene... Diuretic, Thiazide Hydrochlorothiazide... Hydrochlorothiazide and Triamterene... Lisinopril and Hydrochlorothiazide... Losartan and Hydrochlorothiazide... Telmisartan and Hydrochlorothiazide... Electrolyte Supplement, Oral Magnesium Oxide... Electrolyte Supplement, Parenteral Estrogen and Progestin Combination Ethinyl Estradiol and Desogestrel... Ethinyl Estradiol and Drospirenone... Ethinyl Estradiol and Ethynodiol Diacetate... Ethinyl Estradiol and Etonogestrel... Ethinyl Estradiol and Levonorgestrel... Ethinyl Estradiol and Norelgestromin... Ethinyl Estradiol and Norethindrone... Ethinyl Estradiol and Norgestimate... Ethinyl Estradiol and Norgestrel... Estrogen Derivative Estrogens (Conjugated/Equine, Systemic)... Ethanolamine Derivative Expectorant Guaifenesin and Pseudoephedrine... GABA Analog Gabapentin... Gastrointestinal Agent, Miscellaneous Sucralfate... Genitourinary Irrigant Histamine H 1 Antagonist Histamine H 1 Antagonist, First Generation Histamine H 1 Antagonist, Second Generation Histamine H 2 Antagonist Ranitidine... Hypnotic, Miscellaneous Zolpidem... Hypoglycemic Agent, Oral Imidazoline Derivative Immunosuppressant Agent AzaTHIOprine... Inhalation, Miscellaneous Inhalation Devices... Iron Salt Ferrous Sulfate... Irrigant Keratolytic Agent Laxative, Osmotic Polyethylene Glycol Laxative, Saline Magnesium Citrate... Leukotriene-Receptor Antagonist Montelukast... Local Anesthetic Benzocaine... Dibucaine... Lidocaine (Topical)... Lubricant, Ocular Magnesium Salt Magnesium Citrate... Magnesium Oxide... Miscellaneous Product Diabetic Supplies... Nonsteroidal Anti-inflammatory Drug (NSAID) Diclofenac (Systemic)... Diclofenac (Topical)... Nonsteroidal Anti-inflammatory Drug (NSAID), Oral Diclofenac (Systemic)... Ibuprofen...

5 XANTHINE OXIDASE INHIBITOR Indomethacin... Meloxicam... Naproxen... Nonsteroidal Anti-inflammatory Drug (NSAID), Parenteral Ibuprofen... Indomethacin... Nonsteroidal Anti-inflammatory Drug (NSAID), Topical Diclofenac (Topical)... Norepinephrine Reuptake Inhibitor, Selective AtoMOXetine... Nutritional Supplement Fluoride... Ophthalmic Agent, Miscellaneous Artificial Tears... Carboxymethylcellulose... Ophthalmic Agent, Vasoconstrictor Otic Agent, Analgesic Antipyrine and Benzocaine... Otic Agent, Anti-infective Acetic Acid... Otic Agent, Cerumenolytic Antipyrine and Benzocaine... Carbamide Peroxide... Pharmaceutical Aid White Petrolatum... Phenothiazine Derivative Phosphodiesterase-5 Enzyme Inhibitor Sildenafil... Piperazine Derivative Piperidine Derivative Progestin Levonorgestrel... MedroxyPROGESTERone... Norethindrone... Proton Pump Inhibitor Esomeprazole... Omeprazole... Respiratory Fluoroquinolone Levofloxacin (Systemic)... Retinoic Acid Derivative Salicylate Aspirin... Selective 5-HT 3 Receptor Antagonist Ondansetron... Serotonin 5-HT 1B, 1D Receptor Agonist Rizatriptan... SUMAtriptan... ZOLMitriptan... Skeletal Muscle Relaxant Carisoprodol... Cyclobenzaprine... Methocarbamol... Skin and Mucous Membrane Agent Imiquimod... Skin and Mucous Membrane Agent, Miscellaneous Emollients... Smoking Cessation Aid BuPROPion... Nicotine... Sodium Salt Stool Softener Docusate... Substituted Benzimidazole Esomeprazole... Omeprazole... Thyroid Product Levothyroxine... Topical Skin Product Acetic Acid... Calamine... Emollients... Imiquimod... Lactic Acid and Ammonium Hydroxide... White Petrolatum... Zinc Oxide... Topical Skin Product, Acne Clindamycin (Topical)... Transient Receptor Potential Vanilloid 1 (TRPV1) Agonist Vitamin Prenatal Vitamins... Vitamin B Complex Combinations... Vitamin, Fat Soluble Vitamin, Water Soluble Ascorbic Acid... Folic Acid... Niacin... Xanthine Oxidase Inhibitor Allopurinol...

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