Joint Base McGuire-Dix-Lakehurst Outpatient Formulary Alphabetical Listing by Therapeutic Category

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1 Joint Base McGuire-Dix-Lakehurst Outpatient Formulary Alphabetical Listing by Therapeutic Category This document is curre nt as of 1/24/19 The availability of formulary items is subject to change

2 ACNE AGENTS Acne Agents Adapalene... Azelaic Acid... Clindamycin and Benzoyl Peroxide... Clindamycin (Topical)... Doxycycline... MetroNIDAZOLE (Topical)... Minocycline... Tretinoin (Topical)... Adrenergic Agents EPINEPHrine (Systemic)... Alcohol Deterrants - Narcotic Antagonists Naloxone... Naltrexone... 5-Alpha Reductase Inhibitors Finasteride... Alzheimers Agents Donepezil... Memantine... Analgesics and Combinations Acetaminophen... Butalbital, Acetaminophen, and Caffeine... Androgens - Anabolic Steroids Testosterone... Anesthetic Agents, Local Benzocaine... Dibucaine... Lidocaine (Topical)... Angiotensin I Converting Enzyme Captopril... Enalapril... Fosinopril... Lisinopril... Lisinopril and Hydrochlorothiazide... Ramipril... Angiotensin II Receptor Blockers Losartan... Losartan and Hydrochlorothiazide... Telmisartan... Telmisartan and Hydrochlorothiazide... Valsartan... Valsartan and Hydrochlorothiazide... Antianxiety Agents ALPRAZolam... BusPIRone... DiazePAM... LORazepam... Antiarrhythmics Amiodarone... Antibiotics Bacitracin (Ophthalmic)... Bacitracin (Topical)... Clindamycin (Topical)... Erythromycin (Ophthalmic)... Erythromycin (Topical)... Gentamicin (Ophthalmic)... MetroNIDAZOLE (Systemic)... MetroNIDAZOLE (Topical)... Mupirocin... Sulfacetamide (Ophthalmic)... Tobramycin (Ophthalmic)... Antibiotics, Beta-lactams Amoxicillin... Amoxicillin and Clavulanate... Cefadroxil... Cefdinir... Cefprozil... Cefuroxime... Cephalexin... Dicloxacillin... Penicillin V Potassium... Antibiotics, Combinations Bacitracin and Polymyxin B (Ophthalmic)... Ciprofloxacin (Ophthalmic)... Neomycin, Polymyxin B, and Gramicidin... Neomycin, Polymyxin B, and Hydrocortisone (Ophthalmic)... Sulfamethoxazole and Trimethoprim... 1 Tobramycin and Dexamethasone... Trimethoprim and Polymyxin B... Antibiotics, Macrolides-Ketolides Azithromycin (Systemic)... Clarithromycin... Clindamycin (Systemic)... Erythromycin (Systemic)... Antibiotics, Quinolones Ciprofloxacin (Ophthalmic)... Ciprofloxacin (Systemic)... LevoFLOXacin (Systemic)... Moxifloxacin (Ophthalmic)... Moxifloxacin (Systemic)... Ofloxacin (Otic)... Antibiotics, Sulfonamides - Folate Antagonists Sulfamethoxazole and Trimethoprim... Antibiotics, Tetracyclines Doxycycline... Minocycline... Anticholinergics - Antispasmodics Atropine (Ophthalmic)... Benztropine... Clidinium and Chlordiazepoxide... Dicyclomine... Hyoscyamine... Anticoagulants Enoxaparin... Anticoagulants, Oral Apixaban... Dabigatran Etexilate... Rivaroxaban... Warfarin... Anticonvulsants, Antimania Agents CarBAMazepine... ClonazePAM... DiazePAM... Lacosamide... LamoTRIgine... LevETIRAcetam... Lithium... OXcarbazepine... PHENobarbital... Phenytoin... Primidone... Topiramate... Valproic Acid and Derivatives... Antidepressants and Non-Opiod Pain Syndrome Agents Amitriptyline... BuPROPion... Citalopram... Doxepin (Systemic)... DULoxetine... Escitalopram... FLUoxetine... Gabapentin... Imipramine... LevETIRAcetam... Mirtazapine... Nortriptyline... PARoxetine... Sertraline... TraZODone... Venlafaxine... Antiemetic - Antivertigo Agents Meclizine... Ondansetron... Promethazine... Scopolamine (Systemic)... Antifungals Betamethasone and Clotrimazole... Clotrimazole (Oral)... Clotrimazole (Topical)... Fluconazole... Griseofulvin... Ketoconazole (Systemic)... Ketoconazole (Topical)... Miconazole (Topical)... Naftifine... Nystatin and Triamcinolone... Nystatin (Oral)...

3 Nystatin (Topical)... Terbinafine (Systemic)... Terbinafine (Topical)... Terconazole... Anti-Gout Agents, Acute Colchicine... Anti-Gout Agents, Chronic Allopurinol... Probenecid... Antihelmintics Albendazole... Antihistamine-1, First Generation and Combinations Chlorpheniramine... Cyproheptadine... DiphenhydrAMINE (Systemic)... HydrOXYzine... Antihistamine-1, Second Generation and Combinations Cetirizine and Pseudoephedrine... Cetirizine (Systemic)... Fexofenadine... Fexofenadine and Pseudoephedrine... Loratadine... Antihistamine-2 Blockers and Other Anti-ulcer Agents Cimetidine... Famotidine... MiSOPROStol... RaNITIdine... Sucralfate... Antihistamine - Mast Cell Stabilizers Olopatadine (Ophthalmic)... Antihypertensive Agents CloNIDine... GuanFACINE... HydrALAZINE... Methyldopa... Prazosin... Anti-infective-Anti-inflammatory and Combinations Acetic Acid, Propylene Glycol Diacetate, and Hydrocortisone... Ciprofloxacin and Dexamethasone... Neomycin, Polymyxin B, and Hydrocortisone (Otic)... Anti-infectives Acyclovir (Topical)... Albendazole... MetroNIDAZOLE (Systemic)... Nitrofurantoin... Permethrin... Selenium Sulfide... Silver Sulfadiazine... Sulfur and Sulfacetamide... Anti-inflammatory Immunomodulatory, Ophthalmic CycloSPORINE (Ophthalmic)... Fluorometholone... PrednisoLONE (Ophthalmic)... Antilipidemics-1 AtorvaSTATin... Ezetimibe... Niacin... Pravastatin... Rosuvastatin... Simvastatin... Antilipidemics-2, Fibric Acids Fenofibrate and Derivatives... Gemfibrozil... Antimalarials Atovaquone and Proguanil... Chloroquine... Primaquine... Antiperspirants Aluminum Chloride Hexahydrate... Antiplatelet-Hemorrhelogic Agents, Nonselective Aspirin... Antiplatelet-Hemorrhelogic Agents, Selective Clopidogrel... Dipyridamole... 2 CONTRACEPTIVE AGENTS Antipsychotic Agents, Atypical ARIPiprazole... Lurasidone... QUEtiapine... RisperiDONE... Antiretrovirals, Nucleoside/Nucleotide Reverse Transcriptase Inhibitor Emtricitabine and Tenofovir... Antirheumatics Hydroxychloroquine... Methotrexate... Antiseptics Alcohol (Isopropyl)... Antitubercular Agents Ethambutol... Isoniazid... Pyrazinamide... RifAMPin... Antivirals Acyclovir (Systemic)... ValACYclovir... Attention Deficit Hyperactivity Disorder-Wakefulness Promoting Agents Modafinil... Attention Deficit Hyperactivity Disorder-Wakefulness Promoting Agents, Nonstimulants AtoMOXetine... CloNIDine... GuanFACINE... Attention Deficit Hyperactivity Disorder-Wakefulness Promoting Agents, Stimulants Dextroamphetamine... Dextroamphetamine and Amphetamine... Methylphenidate... Benign Prostatic Hyperplasia Agents Alfuzosin... Doxazosin... Finasteride... Tamsulosin... Terazosin... Benzodiazepines Clidinium and Chlordiazepoxide... DiazePAM... LORazepam... Temazepam... Triazolam... Beta Blockers Atenolol... Atenolol and Chlorthalidone... Carvedilol... Labetalol... Metoprolol... Propranolol... Binders-Chelators-Antidotes-Overdose Agents Dextrose... Glucagon... Bisphosphonates Alendronate... Ibandronate... Calcium Channel Blocking Agents AmLODIPine... DilTIAZem... Felodipine... NIFEdipine... Verapamil... Cardiovascular Agents Digoxin... Indomethacin... Isosorbide Dinitrate... Isosorbide Mononitrate... Midodrine... Nitroglycerin... Contraceptive Agents Ethinyl Estradiol and Etonogestrel... Ethinyl Estradiol and Norelgestromin... MedroxyPROGESTERone...

4 CONTRACEPTIVE AGENTS, EMERGENCY CONTRACEPTIVES Contraceptive Agents, Emergency Contraceptives Levonorgestrel (Systemic)... Ulipristal... Contraceptive Agents, Extended Cycle/Continuous Use Regimen Ethinyl Estradiol and Levonorgestrel... Contraceptive Agents, Monophasics Ethinyl Estradiol and Desogestrel... Ethinyl Estradiol and Drospirenone... Ethinyl Estradiol and Ethynodiol Diacetate... Ethinyl Estradiol and Levonorgestrel... Ethinyl Estradiol and Norethindrone... Ethinyl Estradiol and Norgestimate... Ethinyl Estradiol and Norgestrel... Norethindrone and Mestranol... Contraceptive Agents, Multiphasics Ethinyl Estradiol and Desogestrel... Ethinyl Estradiol and Levonorgestrel... Ethinyl Estradiol and Norethindrone... Ethinyl Estradiol and Norgestimate... Contraceptive Agents, Progestogen only Norethindrone... Corticosteroids - Immune Modulators Cortisone... Dexamethasone (Systemic)... Fludrocortisone... Hydrocortisone (Systemic)... MethylPREDNISolone... PrednisoLONE (Systemic)... PredniSONE... Corticosteroids - Immune Modulators, Atopic Dermatitis Pimecrolimus... Tacrolimus (Topical)... Corticosteroids - Immune Modulators, High Potency Betamethasone (Topical)... Clobetasol... Fluocinonide... Corticosteroids - Immune Modulators, Low Potency Desonide... Dexamethasone (Systemic)... Fluocinolone (Topical)... Pramoxine and Hydrocortisone... PrednisoLONE (Systemic)... Corticosteroids - Immune Modulators, Medium Potency Betamethasone (Topical)... Desonide... Fluocinolone (Topical)... Mometasone (Topical)... Pramoxine and Hydrocortisone... Cough-Cold Agents Benzonatate... GuaiFENesin... Guaifenesin and Codeine... Guaifenesin and Dextromethorphan... Guaifenesin and Pseudoephedrine... Oxymetazoline (Nasal)... Promethazine and Dextromethorphan... Pseudoephedrine... Cyclooxygenase-2 Selective Celecoxib... Devices Diabetic Supplies... Inhalation Devices... Diabetes Non-Insulin SITagliptin... Sitagliptin and Metformin... Diabetes Non-Insulin, Alpha-Glucosidase Inhibitors Acarbose... Diabetes Non-Insulin, Biguanides MetFORMIN... Diabetes Non-Insulin, Dipeptidyl Peptidase 4 (DPP-4) Inhibitors SITagliptin... Sitagliptin and Metformin... Diabetes Non-Insulin, Glucagon-Like Peptide-1 (GLP-1) Receptor Agonists Exenatide... Diabetes Non-Insulin, Meglitinides Repaglinide... Diabetes Non-Insulin, Sulfonylureas Glimepiride... GlipiZIDE... GlyBURIDE... Glyburide and Metformin... Diabetes Non-Insulin, Thiazolidinediones Pioglitazone... Diagnostic Agents Dipyridamole... Diuretics AcetaZOLAMIDE... Bumetanide... Chlorthalidone... Furosemide... HydroCHLOROthiazide... Hydrochlorothiazide and Spironolactone... Hydrochlorothiazide and Triamterene... MetOLazone... Spironolactone... Torsemide... Electrolyte-Mineral-Trace Element Replacement Calcium and Vitamin D... Ferrous Sulfate... Magnesium Oxide... Potassium Chloride... Emollients Lactic Acid and Ammonium Hydroxide... Erectile Dysfunction Sildenafil... Estrogens and Estrogen-Androgen Combinations Estradiol (Systemic)... Estrogens (Conjugated/Equine) and Medroxyprogesterone... Estrogens (Conjugated/Equine, Systemic)... Estrogens (Conjugated/Equine, Topical)... Ethinyl Estradiol and Norethindrone... Fluoride Preparations Fluoride... Vitamins (Multiple/Pediatric)... Follicle-Stimulating Hormone-Luteinizing Hormone Fertility Agents ClomiPHENE... Gamma - Aminobutyric Acid Analogs Gabapentin... LamoTRIgine... LevETIRAcetam... Topiramate... Gastrointestinal-1 Agents, Aminosalicylates Mesalamine... Olsalazine... SulfaSALAzine... Gastrointestinal-1 Agents, Gastrointestinal Steroids Gastrointestinal-2 Agents Linaclotide... Metoclopramide... MetroNIDAZOLE (Systemic)... Simethicone... Gastrointestinal-2 Agents, Antacids Aluminum Hydroxide, Magnesium Hydroxide, and Simethicone... Gastrointestinal-2 Agents, Antidiarrheals Bismuth Subsalicylate... Diphenoxylate and Atropine... Loperamide... Glaucoma Agents Betaxolol (Ophthalmic)... Bimatoprost... Brimonidine and Timolol... 3

5 PULMONARY-1 AGENTS, COMBINATIONS Brimonidine (Ophthalmic)... Carbachol... Dorzolamide... Latanoprost... Levobunolol... Pilocarpine (Ophthalmic)... Timolol (Ophthalmic)... Gynecological Agents MedroxyPROGESTERone... Norethindrone... Progesterone... Heparin and Related Preparations Enoxaparin... Immunosuppressives AzaTHIOprine... Mycophenolate... Insulins, Basal Insulin Detemir... Insulin Glargine... Insulins, Combinations Insulin Aspart Protamine and Insulin Aspart... Insulin NPH and Insulin Regular... Insulins, Intermediate-Acting Agents Insulin NPH... Insulins, Short-Acting Agents Insulin Aspart... Insulin Regular... Insulins, Short Acting Beta Agonists Insulin Regular... Intravenous Fluid Potassium Chloride... Irrigation Solution Keratolytics Benzoyl Peroxide... Podofilox... Salicylic Acid... Laxatives - Cathartics - Stool Softeners Bisacodyl... Docusate... Lactulose... Magnesium Citrate... Polyethylene Glycol Polyethylene Glycol-Electrolyte Solution... Sodium Phosphates... Leukotriene Modifying Agents Montelukast... Metabolic Agents Megestrol... Migraine Agents, Triptans Rizatriptan... SUMAtriptan... ZOLMitriptan... Mineralocorticoids Fludrocortisone... Mydriatics Atropine (Ophthalmic)... Cyclopentolate... Homatropine... Tropicamide... Narcotic Analgesics and Combinations Acetaminophen and Codeine... Buprenorphine... Codeine... Hydrocodone and Acetaminophen... HYDROmorphone... Meperidine... Morphine (Systemic)... OxyCODONE... Oxycodone and Acetaminophen... TraMADol... Nasal Allergy Agents, Anticholinergics Ipratropium (Nasal)... Nasal Allergy Agents, Antihistamines Azelastine (Nasal)... Nasal Allergy Agents, Corticosteroids Fluticasone (Nasal)... Mometasone (Nasal)... Nonsteroidal Anti-Inflammatory Agents Brimonidine and Timolol... Ketorolac (Ophthalmic)... Norepinephrine-Dopamine Reuptake Inhibitors BuPROPion... Oncological Agents Megestrol... Mercaptopurine... Tamoxifen... Oncological Agents, Prostate I Bicalutamide... Flutamide... Ophthalmic-1 Agents Ketorolac (Ophthalmic)... Olopatadine (Ophthalmic)... Ophthalmic Agents Artificial Tears... Carboxymethylcellulose... Naphazoline and Pheniramine... Phenylephrine (Ophthalmic)... Ophthalmic Immunomodulatory Agents CycloSPORINE (Ophthalmic)... PrednisoLONE (Ophthalmic)... Oral Care Agents Chlorhexidine Gluconate (Oral)... Fluoride... Osteoporosis Agents Alendronate... Ibandronate... Raloxifene... Otic Agents Carbamide Peroxide... Overactive Bladder Agents Oxybutynin... Tolterodine... Pain Agents Celecoxib... Pain Agents, Combinations Meloxicam... Pain Agents, Local Lidocaine (Topical)... Pain Agents, Non-Selectives/Partially Selectives Diclofenac (Topical)... Ibuprofen... Indomethacin... Meloxicam... Naproxen... Piroxicam (Systemic)... Salsalate... Pancreatic Enzyme Agents Pancrelipase... Parkinsons Agents Amantadine... Carbidopa and Levodopa... Pramipexole... Phosphodiesterase-5 Inhibitors Sildenafil... Proton Pump Inhibitors Omeprazole... Pantoprazole... RABEprazole... Psoriasis Agents Calcipotriene... Coal Tar... 4

6 PULMONARY-1 AGENTS, COMBINATIONS Pulmonary-1 Agents, Combinations Fluticasone and Salmeterol... Pulmonary-1 Agents, Inhaled Corticosteroids Budesonide (Oral Inhalation)... Fluticasone (Oral Inhalation)... Pulmonary-1 Agents, Short Acting Agents Albuterol... Pulmonary-1 Agents, Short Acting Beta Agonists Albuterol... Levalbuterol... Terbutaline... Pulmonary-2 Agents Theophylline... Pulmonary-2 Agents, Chronic Obstructive Pulmonary Disease Ipratropium and Albuterol... Ipratropium (Oral Inhalation)... Pulmonary-2 Agents, Long Acting Beta Agonists Salmeterol... Pulmonary-2 Agents, Long Acting Muscarinic Antagonists Tiotropium... Pulmonary Arterial Hypertension Sildenafil... Renin-Angiotensin Antihypertensive, Combinations Amlodipine and Benazepril... Renin-Angiotensin Antihypertensives Captopril... Enalapril... Fosinopril... Lisinopril... Lisinopril and Hydrochlorothiazide... Losartan... Losartan and Hydrochlorothiazide... Ramipril... Telmisartan... Telmisartan and Hydrochlorothiazide... Valsartan... Valsartan and Hydrochlorothiazide... Respiratory Agents EPINEPHrine (Systemic)... Saline Sedative-Hypnotic Agents Doxepin (Systemic)... Eszopiclone... LORazepam... Temazepam... Triazolam... Zolpidem... Sedative-Hypnotic Agents, Ethanolamines Doxylamine... Sedative-Hypnotic Agents, First Generation and Combinations DiphenhydrAMINE (Systemic)... Selective Alpha-1 Antagonists Alfuzosin... Doxazosin... Tamsulosin... Terazosin... Selective Estrogen Receptor Modulators Raloxifene... Selective Serotonin Reuptake Inhibitors (SSRI) Citalopram... Escitalopram... FLUoxetine... PARoxetine... Sertraline... Serotonin Antagonist and Reuptake Inhibitors TraZODone... Serotonin-Norepinephrine Reuptake Inhibitors DULoxetine... Venlafaxine... Skeletal Muscle Relaxants and Combinations Baclofen... Cyclobenzaprine... Metaxalone... Methocarbamol... TiZANidine... Skin Preps Alcohol (Isopropyl)... Aluminum Chloride Hexahydrate... Dibucaine... Lidocaine (Topical)... Skin Preps, Cleansers Skin Preps, Cosmetics Tretinoin (Topical)... Skin Preps, Irritants/Counter-Irritants Coal Tar... Skin Preps, Local Skin Preps, Protectives Emollients... Targeted Immunomodulatory Biologics Adalimumab... Testosterone Replacement Therapies Testosterone... Thyroid and Anti-Thyroid Agents Levothyroxine... MethIMAzole... Propylthiouracil... Tobacco Cessation Agents BuPROPion... Topical Acne and Rosacea Adapalene... Azelaic Acid... Clindamycin and Benzoyl Peroxide... Clindamycin (Topical)... MetroNIDAZOLE (Topical)... Tretinoin (Topical)... Topical Anti-Infective Agents Sulfur and Sulfacetamide... Tricyclic Antidepressants Amitriptyline... Cyclobenzaprine... Doxepin (Systemic)... Imipramine... Mirtazapine... Nortriptyline... Tumor Necrosis Factor Inhibitors Adalimumab... Urinary Agents Phenazopyridine... Vitamins Folic Acid, Cyanocobalamin, and Pyridoxine... Vitamins (Multiple/Pediatric)... Vitamins (Multiple/Prenatal)... Vitamins, Fat Soluble Calcitriol (Systemic)... Cholecalciferol... Ergocalciferol... Vitamins, Water Soluble Calcium and Vitamin D... Cyanocobalamin... Folic Acid... Pyridoxine... 5

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

Combined Troop Medical Clinic Outpatient Formulary. The availability of formulary items is subject to change. Combined Troop Medical Clinic Outpatient Formulary Alphabetical Listing by Therapeutic Category This document is current as of September 6, 2013. The availability of formulary items is subject to change.

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