Al hydroxide/asa/ca carbonate/mg hydroxide

Transcription

1 Pensacola Naval Hospital: Open Formulary May 2012 by drug name, Last Updated: 4/19/2012 8:37:22 AM Page 1 of 11 Accu-Check other, solution Aviva control solution other, strips Aviva test strips acebutolol 200, 400 acetaminophen oral, suspension 80 /08, 160 /5 325, chewable 80 rectal, suppository 120, 650 acetaminophen-codeine / acetaminophen-hydrocodone oral, elixir / , acetaminophen-oxycodone acetazolamide, extended acetic acid otic otic, solution 2% acetic acid topical vaginal, gel 092% acetic acid-aluminum acetate otic otic, solution 2%-079% acetic acid-hydrocortisone otic otic, solution 2%-1% acetic/antipyrine/benzocaine/polycos otic otic, solution - acetylcysteine inhalation, solution 20% acyclovir Al hydroxide/asa/ca carbonate/mg hydroxide Al hydroxide/mg hydroxide/simethicone oral, suspension /5, chewable albendazole 200 albuterol inhalation, solution 05%, 25 /3 (0083%) inhalation, aerosol with CFC free 90 mcg/inh 2 /5 2, 4 albuterol-ipratropium inhalation, aerosol with 103 mcg-18 mcg/inh alendronate 35, 70 alendronate-cholecalciferol intl units, intl units alfuzosin, extended 10 alginic acid/al hydroxide/mg trisilicate foamtabs allopurinol 100, 300 ALPRAZolam 025, 05 aluminum hydroxide oral, suspension 320 /5 aluminum sulfate-calcium acetate topical topical, powder - amantadine 100 amcinonide topical topical, ointment 01% aminocaproic acid 500 amiodarone 200 amitriptyline 10, 25 aodipine 25, 5, 10 aodipine-benazepril ammonium lactate topical topical, lotion 12% amoxicillin, chewable amoxicillin-clavulanate 25-10, 5-10, 5-20, , /5, 400 / amphetamine-dextroamphetamine, extended anastrozole /5, /5, / , , , 15, 20, 30 For formulary questions please contact Pharmacy at Generated by Amplifi a service of Pharmacy OneSource, Inc NOTE: Trade names are listed for reference only Generic equivalents will be dispensed when available

2 Pensacola Naval Hospital: Open Formulary May 2012 by drug name, Last Updated: 4/19/2012 8:37:22 AM Page 2 of 11 anthralin topical bacitracin topical topical, cream 01%, 1% topical, ointment 500 units/g APAP/butalbital/caffeine bacitracin/neomycin/polymyxin B ophthalmic ophthalmic, ointment 400 units apraclonidine ophthalmic units/g ophthalmic, solution 05% bacitracin/neomycin/polymyxin B topical ASA/butalbital/caffeine topical, ointment 400 units units/g ascorbic acid baclofen 500 aspirin oral, enteric coated tablet 81, rectal, suppository 300, 600 aspirin-dipyridamole, extended atenolol 25, 50, 100 atorvastatin 10, 20, 40, 80 atropine ophthalmic ophthalmic, ointment 1% ophthalmic, solution 1% atropine/hyoscyamine/pb/scopolamine oral, elixir atropine-diphenoxylate azathioprine azelastine nasal nasal, spray azithromycin bacitracin ophthalmic ophthalmic, ointment / mcg/inh 100 /5, 200 / units/g 10 benoxinate-fluorescein ophthalmic ophthalmic, solution 04%-025% benzocaine topical topical, spray - benzocaine-cetylpyridinium topical oral, lozenge benzonatate 100 benzoyl peroxide topical topical, gel 5%, 10% benztropine % 05, 2 betamethasone topical topical, lotion valerate 01% betaxolol ophthalmic ophthalmic, suspension 025% ophthalmic, solution 05% bethanechol 25 bicalutamide 50 bimatoprost ophthalmic ophthalmic, solution 003% bisacodyl oral, enteric coated tablet 5 rectal, suppository 10 bismuth subsalicylate oral, suspension, chewable brimonidine ophthalmic ophthalmic, solution 015% brimonidine-timolol ophthalmic 262 / ophthalmic, solution 02%-05% bromocriptine 25 brompheniramine-pseudoephedrine 1-15 /5 budesonide inhalation, suspension 025 /2, 05 /2 budesonide-formoterol inhalation, aerosol with 80 mcg-45 mcg/inh, 160 mcg-45 mcg/inh bupropion, extended buspirone busulfan caffeine-ergotamine rectal, suppository calamine topical topical, lotion - calcium carbonate 100 /12 hours, 150 /12 hours 5, calcium glubionate 18 g/5 calcium-vitamin D intl units candesartan 4, 8, 16, 32 candesartan-hydrochlorothiazide , captopril 25 carbamazepine oral, suspension, chewable carbamide peroxide otic otic, solution 65% carbidopa-levodopa 100 / For formulary questions please contact Pharmacy at Generated by Amplifi a service of Pharmacy OneSource, Inc NOTE: Trade names are listed for reference only Generic equivalents will be dispensed when available

3 Pensacola Naval Hospital: Open Formulary May 2012 by drug name, Last Updated: 4/19/2012 8:37:22 AM Page 3 of , , 50, cimetidine carvedilol 400, extended 10, 20, 40, 80 ciprofloxacin 250, 500, , 625, 125 ciprofloxacin-dexamethasone otic, 25 otic, suspension 03%-01% cefdinir ciprofloxacin-hydrocortisone otic 300 otic, suspension 02%-1% 125 /5 citalopram cefixime cefprozil 100 /5 250 /5 cefuroxime 250 celecoxib cephalexin cetirizine chlorambucil 2 chlordiazepoxide chlorhexidine topical mucous membrane, liquid 012% chloroquine chlorpheniramine chlorpromazine oral, concentrate chlorthalidone 100, , /5 1 / 5, 10 10, / 25, , 40 citric acid/k citrate/na citrate /5 citric acid-potassium citrate /5 citric acid-sodium citrate /5 clarithromycin 500 clemastine 268 clindamycin 150 clindamycin topical topical, solution 1% topical, lotion 1% vaginal, cream 2% clomiphene clonazepam clonidine clopidogrel clotrimazole topical topical, cream 1% topical, solution 1% vaginal, cream with applicator coal tar topical 50 05, 2 01, % topical, solution 20% topical, oil 25% coal tar-salicylic acid topical topical, shampoo 10%-5% codeine sulfate 30 codeine/guaifenesin/pse /5 codeine-guaifenesin /5 colchicine 06 colestipol 1 g colistin/hc/neomycin/thonzonium otic otic, suspension 03%-1%-033%-005% conjugated estrogens 03, 045, 0625, 09, 125 vaginal, cream 0625 /g conjugated estrogens-medroxyprogesterone , , , biphasic cortisone cromolyn inhalation, aerosol with /inh nasal, spray cromolyn nasal nasal, spray crotamiton topical topical, cream 10% cyanocobalamin injectable, solution cyclobenzaprine cyclopentolate ophthalmic ophthalmic, solution 1% cyclophosphamide 52 /inh 20 / 52 /inh 1000 mcg/ 10 For formulary questions please contact Pharmacy at Generated by Amplifi a service of Pharmacy OneSource, Inc NOTE: Trade names are listed for reference only Generic equivalents will be dispensed when available

4 Pensacola Naval Hospital: Open Formulary May 2012 by drug name, Last Updated: 4/19/2012 8:37:22 AM Page 4 of digoxin cyclosporine oral, elixir 50 mcg/ (005 /) 100 / 125 mcg (0125 ), , 100 mcg (025 ) cyclosporine ophthalmic diltiazem ophthalmic, emulsion 005%, extended 90 /12 hours, 120 /12 cyproheptadine hours, 120 /24 hours, 2 /5 180 /24 hours, /24 hours, 300 /24 dantrolene hours, 360 /24 hours dapsone dimenhydrinate 25, desipramine diphenhydramine desmopressin nasal, solution 001% desogestrel-ethinyl estradiol 25, dexamethasone 05, 075, 15, 4 dexamethasone/neomycin/polymyxin B ophthalmic ophthalmic, suspension units/ ophthalmic, ointment units/g dextroamphetamine 5 dextromethorphan/gg/k guaiacolsulfonate, extended diazepam 2, 5 dibucaine topical topical, ointment 1% diclofenac ophthalmic ophthalmic, solution 01% dicloxacillin dicyclomine 250, dipivefrin ophthalmic ophthalmic, solution 01% dipyridamole disopyramide, extended disulfiram divalproex sodium oral, delayed capsule 25, / oral, enteric coated tablet 125, 250, 500, extended 250, 500 docusate sodium 100, calcium / donepezil dorzolamide ophthalmic ophthalmic, solution 2% dorzolamide-timolol ophthalmic ophthalmic, solution 2%-05% doxazosin 5, 10 2, 4, 8 doxepin 25 doxycycline 20, hyclate 50 oral, delayed 40, hyclate 100 capsule doxylamine 25 drospirenone-ethinyl estradiol 3-002, emollients, topical topical, cream - enoxaparin subcutaneous, solution 30 /03, 40 /04, 60 /06, 80 /08, 100 / EPINEPHrine injectable, kit 015, 03 ergocalciferol 50,000 intl units erythromycin oral, enteric coated tablet 250, 333 oral, granule for erythromycin ophthalmic ophthalmic, ointment 05% erythromycin topical topical, solution 2% erythromycin-sulfisoxazole oral, granule for esomeprazole, delayed oral, delayed capsule estradiol intramuscular, solution ethylsuccinate 200 / /5 10, 20, 40 20, 40 valerate 20 /, valerate 40 / For formulary questions please contact Pharmacy at Generated by Amplifi a service of Pharmacy OneSource, Inc NOTE: Trade names are listed for reference only Generic equivalents will be dispensed when available

5 Pensacola Naval Hospital: Open Formulary May 2012 by drug name, Last Updated: 4/19/2012 8:37:22 AM Page 5 of 11 1 ferrous gluconate transdermal, film, 324 extended 005 /24 hours weekly, 0075 /24 hours weekly, 01 /24 hours weekly estradiol topical vaginal, cream 01 /g ethambutol 400 ethinyl estradiol-ethynodiol 35 mcg-1, 50 mcg-1 ethinyl estradiol-etonogestrel vaginal, ring ethinyl estradiol-levonorgestrel 20 mcg-100 mcg, 30 mcg- 015 ethinyl estradiol-norelgestromin transdermal, film, 20 mcg-150 mcg/24 hr extended ethinyl estradiol-norethindrone 5 mcg-1, triphasic ethinyl estradiol-norgestimate 35 mcg-025 ethinyl estradiol-norgestrel 30 mcg-03, 50 mcg-05 ethosuximide 250 exenatide subcutaneous, solution 10 mcg/004, 5 mcg/002 ezetimibe ezetimibe-simvastatin felodipine, extended fenofibrate , 10-20, 10-40, , 5, 10 48, 145 ferrous sulfate oral, enteric coated tablet 325 (as elemental iron) 15 / fexofenadine 60, 180 fexofenadine-pseudoephedrine, extended finasteride 5 fluconazole 100, 150, 200 fludrocortisone 01 fluocinolone topical topical, cream 0025% fluocinonide topical topical, cream 005% topical, gel 005% fluoride, chewable 05 fluoride topical topical, gel 11% topical, paste 11% fluorometholone ophthalmic ophthalmic, suspension 01% fluorouracil topical topical, cream 5% FLUoxetine fluphenazine flurandrenolide topical topical, tape flutamide fluticasone inhalation, aerosol with 20 /5 10, mcg/cm2 125 CFC free 44 mcg/inh, CFC fluticasone nasal nasal, spray fluticasone-salmeterol inhalation, powder inhalation, aerosol with free 110 mcg/inh, CFC free 220 mcg/inh 005 /inh folic acid 1 furosemide gabapentin gemfibrozil gentamicin ophthalmic ophthalmic, ointment 03% ophthalmic, solution 03% gentamicin topical topical, cream 01% glimepiride glipizide, extended glucagon injectable, powder for injection glyburide glyburide-metformin glycerin 100 mcg-50 mcg, 250 mcg- 50 mcg, 500 mcg-50 mcg CFC free 45 mcg-21 mcg/inh, CFC free 115 mcg-21 mcg/inh, CFC free 230 mcg-21 mcg/inh 20, , 300, , , 2, 4 5, 10 25, 5, 10 1 micronized 15, 25, micronized 3, 5, micronized , , For formulary questions please contact Pharmacy at Generated by Amplifi a service of Pharmacy OneSource, Inc NOTE: Trade names are listed for reference only Generic equivalents will be dispensed when available

6 Pensacola Naval Hospital: Open Formulary May 2012 by drug name, Last Updated: 4/19/2012 8:37:22 AM Page 6 of 11 rectal, suppository adult, pediatric rectal, suspension 100 /60 glycopyrrolate hydrocortisone topical 1 rectal, suppository 25 goserelin topical, ointment valerate 02% subcutaneous, implant 36, 108 topical, cream valerate 02%, 05%, 1% griseofulvin hydrocortisone/neomycin/polymyxin B otic oral, suspension microcrystalline 125 /5 otic, suspension 1%-035% units/ ultramicrocrystalline 250 guaifenesin 100 /5, extended 600 guaifenesin-pseudoephedrine, extended haloperidol oral, concentrate 2 / 05, 2, 5 homatropine ophthalmic ophthalmic, solution 5% hydralazine 25 hydrochlorothiazide 25, 50 hydrochlorothiazide-lisinopril hydrochlorothiazide-losartan hydrochlorothiazide-telmisartan , , , , , , hydrochlorothiazide-triamterene hydrochlorothiazide-valsartan hydrocortisone , hydrocortisone-pramoxine topical rectal, cream 25%-1% rectal, foam 1%-1% HYDROmorphone hydroquinone topical topical, cream 4% topical, solution 3% hydroxychloroquine hydroxypropyl methylcellulose ophthalmic ophthalmic, solution 25% hydroxyurea hydroxyzine ibandronate ibuprofen oral, suspension imipramine indomethacin Inspirease oral, device insulin aspart subcutaneous, solution insulin glargine subcutaneous, solution 500 hydrochloride 10 /5 pamoate 25 hydrochloride 10, hydrochloride /5 400, 600, 800 pamoate 75 10, 25, spacer kit 100 units/ 100 units/ insulin isophane subcutaneous, suspension human recombinant 100 units/ insulin isophane-insulin regular subcutaneous, suspension human recombinant 70 units-30 units/ insulin regular injectable, solution human recombinant 100 units/ insulin syringe other, syringe 05 (Lo-Dose), 1 insulin zinc subcutaneous, suspension human recombinant 100 units/ ipratropium inhalation, solution 002% inhalation, aerosol CFC free 17 mcg/inh isoniazid 300 isosorbide dinitrate 10, 20, 40 sublingual, tablet 25, 5 isosorbide mononitrate 20, extended 30, 60, 120 ISOtretinoin 10, 20, 40 isoxsuprine 10 ketoconazole 200 Ketodiastix other, test strips labetalol 200, 300 lactase 3000 units lactobacillus acidophilus - - lactulose For formulary questions please contact Pharmacy at Generated by Amplifi a service of Pharmacy OneSource, Inc NOTE: Trade names are listed for reference only Generic equivalents will be dispensed when available

7 Pensacola Naval Hospital: Open Formulary May 2012 by drug name, Last Updated: 4/19/2012 8:37:22 AM Page 7 of g/15 25, 50, 100 latanoprost ophthalmic magnesium citrate ophthalmic, solution 0005% - leuprolide magnesium oxide intramuscular, powder for 375 /month, injection, extended /month, 1125 maprotiline /month, 30 /4 months 25 subcutaneous, powder for 225 /3 months meclizine injection, extended, chewable 25 levofloxacin medroxyprogesterone levothyroxine lidocaine topical mucous membrane, solution 250, 500, mcg (01 ), 112 mcg (0112 ), 125 mcg (0125 ), 137 mcg (0137 ), 150 mcg (015 ), 175 mcg (0175 ), 200 mcg (02 ), 25 mcg (0025 ), 300 mcg (03 ), 50 mcg (005 ), 75 mcg (0075 ), 88 mcg (0088 ) 2% topical, ointment 5% topical, solution 4% topical, gel with 2% applicator liothyronine 5 mcg, 25 mcg lisinopril 5, 10, 20, 40 lithium 300 loperamide 2 loratadine 10 LORazepam 05, 1 losartan intramuscular, suspension 150 / 25, 10 meloxicam 75, 15 melphalan 2 menthol topical mucous membrane, - lozenge mephobarbital mercaptopurine mesalamine, extended g rectal, enema 4 g/60 mestranol-norethindrone metformin 500, 850, 1000, extended 500 metformin-sitagliptin , methadone methazolamide methenamine hippurate 1 g methimazole 10 methocarbamol 500 methotrexate 25 methyl salicylate topical topical, ointment - methyldopa 250 methylergonovine 02 methylphenidate 5, 10, extended 10 /8 hr, 18 /24 hr, 20 /8 hr, 27 /24 hr, 36 /24 hr, 54 /24 hr methylprednisolone 4 methyltestosterone 10 methysergide maleate 2 metoclopramide 5 /5 10 metoprolol 25, 50, 100, extended 25, 50, 100, 200 metronidazole 250 metronidazole topical topical, gel 075% vaginal, gel with 075% applicator miconazole topical topical, cream 2% vaginal, cream with 2% applicator mineral oil 100% For formulary questions please contact Pharmacy at Generated by Amplifi a service of Pharmacy OneSource, Inc NOTE: Trade names are listed for reference only Generic equivalents will be dispensed when available

8 Pensacola Naval Hospital: Open Formulary May 2012 by drug name, Last Updated: 4/19/2012 8:37:22 AM Page 8 of 11 misoprostol 100 mcg, 200 mcg nicardipine mometasone 20 inhalation, aerosol powder 110 mcg/inh, 200 mcg/inh, NIFEdipine 220 mcg/inh 10 mometasone nasal, extended 30, 60, 90 nasal, spray 50 mcg/inh {Adalat CC} montelukast nisoldipine oral, granule 4, extended 20, 30, 40 10, chewable 4, 5 nitrofurantoin morphine oral, suspension 25 /5 20 /5 macrocrystals 50, 15, 30 macrocrystals-monohydrate, extended 15 /12 hr, 30 /12 hr 100, macrocrystals 100 moxifloxacin nitroglycerin 400, extended 65, 9 moxifloxacin ophthalmic ophthalmic, solution 05% sublingual, spray 04 multivitamin sublingual, tablet 03, 04, 06 Multiple Vitamins transdermal, ointment 2% Multiple Vitamins transdermal, film, 02 /hr, 04 /hr, chewable Multiple Vitamins extended multivitamin, prenatal norethindrone Prenatal Multivitamins with 035 Folic Acid 1 nortriptyline mupirocin topical 25, 50 topical, ointment 2% nystatin topical, cream 2% oral, suspension units/ naproxen units 500, sodium 550 topical, ointment units/g nedocromil topical, cream units/g inhalation, aerosol with 175 /inh vaginal, tablet units nystatin topical neomycin topical, ointment units/g 500 topical, cream units/g nepafenac ophthalmic vaginal, tablet units ophthalmic, suspension 01% nystatin-triamcinolone topical niacin topical, cream units/g-01% 50, 500 ocular lubricant, extended 500, 750, 1000 ophthalmic, ointment - ophthalmic, solution - ofloxacin ophthalmic ophthalmic, solution 03% ofloxacin otic otic, solution 03% olopatadine ophthalmic ophthalmic, solution 01% omeprazole oral, delayed 20 capsule oxaprozin 600 oxazepam 15 oxtriphylline, extended 600 oxybutynin 5 /5 5 oxymetazoline nasal nasal, spray 005% pancrelipase oral, delayed capsule PARoxetine oral, suspension pemoline penicillamine penicillin 17,500 units-4200 units- 10,000 units, 61,000 units- 21,000 units-37,000 units 10 /5 10, 20, permethrin topical topical, cream 5% perphenazine V potassium 250 /5 V potassium 250, V potassium 500 2, 4, 8 For formulary questions please contact Pharmacy at Generated by Amplifi a service of Pharmacy OneSource, Inc NOTE: Trade names are listed for reference only Generic equivalents will be dispensed when available

9 Pensacola Naval Hospital: Open Formulary May 2012 by drug name, Last Updated: 4/19/2012 8:37:22 AM Page 9 of 11 petrolatum topical 1 g/ topical, ointment 100% phenazopyridine PHENobarbital oral, elixir phenol topical topical, spray 14% phenylephrine ophthalmic ophthalmic, solution 25% phenytoin /5 15, 324 oral, suspension 25 / 100, chewable 50 phytonadione 5 pilocarpine ophthalmic ophthalmic, solution 05%, 1%, 2%, 4% ophthalmic, gel 4% pimecrolimus topical topical, cream 1% pioglitazone piroxicam polyethylene glycol , 30, 45 10, 20 polyethylene glycol 3350 with electrolytes - polymyxin B-trimethoprim ophthalmic ophthalmic, solution units-1 / potassium chloride 20 meq/15, extended 8 meq, 10 meq, 20 meq potassium citrate, extended 5 meq, 10 meq potassium iodide - povidone iodine topical topical, solution 10% vaginal, solution 03% pramipexole 0125, 025, 05, 1, 15 pramoxine-zinc oxide topical topical, ointment 1%-125% pravastatin 10, 20, 40, 80 prazosin Precision X-tra test, strips - prednisolone 1, 2, 5 prednisolone ophthalmic ophthalmic, suspension acetate 1% prednisone primaquine primidone probenecid procainamide, extended prochlorperazine rectal, suppository progesterone intramuscular, solution vaginal, suppository promethazine sodium phosphate 15 /5 5 /5 1, 5, 10, , , / 100, , 100, /5 25 rectal, suppository 125, 25 propantheline 15 proparacaine ophthalmic ophthalmic, solution 05% propranolol 20 /5, extended 80, 120, , 20, 40, 80 propylthiouracil 50 pseudoephedrine 30 /5 30 pseudoephedrine-triprolidine / psyllium 34 g/7 g pyrazinamide 500 pyridostigmine 60, extended 180 pyridoxine injectable, solution 100 / 50 QUEtiapine 25, 50, 100, 200, 300, extended 50, 200, 300, 400 quinidine 200, extended 300, 324 For formulary questions please contact Pharmacy at Generated by Amplifi a service of Pharmacy OneSource, Inc NOTE: Trade names are listed for reference only Generic equivalents will be dispensed when available

10 Pensacola Naval Hospital: Open Formulary May 2012 by drug name, Last Updated: 4/19/2012 8:37:22 AM Page 10 of 11 raloxifene sitagliptin 60 50, 100 ramipril sodium biphosphate-sodium phosphate 125, 25, 5, 10 rectal, enema 35 g-95 g, 7 g-19 g sodium chloride nasal ranitidine nasal, solution 065% 15 / sodium chloride, hypertonic, ophthalmic 150 ophthalmic, ointment 5% rifampin ophthalmic, solution 5% 300 rimexolone ophthalmic ophthalmic, suspension 1% risperidone 025, 05, 1, 2, 3, 4 rizatriptan 5, 10, disintegrating 5, 10 salicylic acid topical topical, liquid 17% salicylic acid-sulfur topical topical, cream - salmeterol inhalation, powder 50 mcg salsalate 500 scopolamine ophthalmic ophthalmic, solution 025% selenium sulfide topical topical, shampoo 25% senna sertraline silver sulfadiazine topical topical, cream 1% simethicone, chewable simvastatin 86 50, / , 10, 20, 40, 80 sodium polystyrene sulfonate oral, suspension 15 g/60 Soft Clix oral, device lancets Soft Touch other, device lancets sorbitol 70% spironolactone 25 sucralfate oral, suspension 1 g/10 1 g sulfacetamide sodium ophthalmic ophthalmic, solution 10% sulfamethoxazole-trimethoprim oral, suspension sulfasalazine SUMAtriptan subcutaneous, kit tamoxifen tamsulosin telmisartan temazepam terazosin terbutaline / / , 40, 80 15, 30 1, 2, 5, 10 25, 5 terconazole topical vaginal, cream 04% testosterone transdermal, cream 2% tetracycline 250, 500 tetrahydrozoline-zinc ophthalmic ophthalmic, solution 005%-025% theophylline 80 /15, extended 125, 200, 300 thiamine 50 thioridazine oral, suspension 25 /5 10, 25, 50, 100 thyroid desiccated 30, 60 timolol ophthalmic ophthalmic, solution hemihydrate 025%, 05% ophthalmic, gel forming 025%, 05% solution tiotropium inhalation, capsule 18 mcg tobramycin inhalation, solution 60 / tobramycin ophthalmic ophthalmic, solution 03% tolterodine, extended 2, 4 tramadol 50 trazodone 50 tretinoin topical topical, cream 0025%, 005%, 01% topical, gel 0025% triamcinolone topical For formulary questions please contact Pharmacy at Generated by Amplifi a service of Pharmacy OneSource, Inc NOTE: Trade names are listed for reference only Generic equivalents will be dispensed when available

11 Pensacola Naval Hospital: Open Formulary May 2012 by drug name, Last Updated: 4/19/2012 8:37:22 AM Page 11 of 11 oral, paste 01% dental paste 400 intl units topical, ointment 01% warfarin topical, cream 0025%, 01%, 05% 1, 2, 25, 3, 4 topical, spray 0147 /g, 5, 6, 75, 10 triazolam 025 zinc oxide topical trifluoperazine topical, ointment 20%, 40% 2, 5 zinc sulfate trifluridine ophthalmic 220 ophthalmic, solution 1% ZOLMitriptan trihexyphenidyl 25, 5 2, disintegrating 25, 5 trimethobenzamide zolpidem rectal, suppository 200 5, 10 trimethoprim 100 tropicamide ophthalmic ophthalmic, solution 05%, 1% urea topical topical, lotion 10% valacyclovir 1 g valproic acid 250 /5 valsartan 40, 80, 160, 320 vardenafil 10, 20 varenicline 05-1, 1 venlafaxine, extended 375, 75, 150 verapamil 80, 120, extended 120 /12 hours, 180 /12 hours, 240 /12 hours vitamin A units vitamin E For formulary questions please contact Pharmacy at Generated by Amplifi a service of Pharmacy OneSource, Inc NOTE: Trade names are listed for reference only Generic equivalents will be dispensed when available