Citrus County School District CLINIC DISPENSARY Patient Formulary Listing

Transcription

1 Citrus County School District CLINIC DISPENSARY Patient Formulary Listing For depression amitriptyline 10mg Tab 100 Elavil amitriptyline 25mg Tab 100 Elavil bupropion HCl 100mg Tab 90 Wellbutrin bupropion SR 150mg SR Tab 60 Wellbutrin bupropion XL 300mg XL Tab 90 Wellbutrin SR bupropion XL 150mg Tab 90 Wellbutrin XL citalopram 20mg Tab 100 Celexa citalopram 40mg Tab 100 Celexa duloxetine 30mg Cap 90 Cymbalta duloxetine 60mg Cap 90 Cymbalta escitalopram 10mg Tab 90 Lexapro escitalopram 20mg Tab 90 Lexapro fluoxetine 40mg Cap 90 Prozac fluoxetine 10mg Cap 90 Prozac fluoxetine 20mg Cap 90 Prozac mirtazapine 15mg Tab 90 Remeron paroxetine 40mg Tab 90 Paxil paroxetine 20mg Tab 90 Paxil paroxetine 40mg Tab 90 Paxil quetiapine 100mg Tab 30 Seroquel sertraline 100mg Tab 90 Zoloft sertraline 50mg Tab 90 Zoloft trazodone 50mg Tab 90 Desyrel trazodone 100mg Tab 90 Desyrel venaflaxine ER 37.5mg Cap 30 Effexor XR venaflaxine ER 150mg Cap 90 Effexor XR venaflaxine ER 75mg Cap 90 Effexor XR For diabetes glimepiride 4mg Tab 100 Amaryl glipizide 10mg Tab 100 Glucotrol glipizide 5mg Tab 100 Glucotrol glipizide XL 10mg Tab 60 Glucotrol XL glyburide 5mg Tab 100 Diabeta glyburide-metformin mg Tab 180 Glucovance glyburide-metformin 5-500mg Tab 180 Glucovance metformin ER 500mg ER Tab 90 Glucophage ER metformin HCl 500mg Tab 180 Glucophage metformin HCl 1000mg Tab 100 Glucophage metformin HCl 850mg Tab 100 Glucophage pioglitazone HCl 15mg Tab 90 Actos pioglitazone HCl 30mg Tab 90 Actos pioglitazone HCl 45mg Tab 90 Actos Blood glucose strips 50 Blood glucose strips Lancets 200 Lancets For nausea and vomiting ondansetron 8mg Tab 30 Zofran promethazine HCl 25mg Tab 30 Phenergan For allergies cetirizine 10mg Tab 90 Zyrtec hydroxyzine 25mg Tab 30 Atarax loratadine 10mg Tab 90 Claritin montelukast 10mg Tab 90 Singulair levocetirizine 5mg Tab 90 Xyzal montelukast sodium 5mg Tab 90 Singulair For high cholesterol/lipids atorvastatin 10mg Tab 90 Lipitor atorvastatin 20mg Tab 90 Lipitor

2 atorvastatin 40mg Tab 90 Lipitor fenofibrate 160mg Tab 90 Tricor gemfibrozil 600mg Tab 90 Lopid lovastatin 20mg Tab 90 Mevacor lovastatin 40mg Tab 90 Mevacor rosuvastatin calcium 10MG Tab 90 Crestor rosuvastatin calcium 20MG Tab 90 Crestor rosuvastatin calcium 40MG Tab 90 Crestor simvastatin 20mg Tab 90 Zocor simvastatin 40mg Tab 90 Zocor For high blood pressure/heart amlodipine 10mg Tab 90 Norvasc amlodipine 5mg Tab 90 Norvasc atenolol 50mg Tab 100 Tenormin atenolol 25mg Tab 100 Tenormin atenolol 100mg Tab 90 Tenormin benazepril HCl 40mg Tab 90 Lotensin benazepril HCl 10mg Tab 90 Lotensin benazepril HCl 20mg Tab 90 Lotensin carvedilol 12.5mg Tab 180 Coreg carvedilol 25mg Tab 180 Coreg carvedilol 3.125mg Tab 180 Coreg carvedilol 6.25mg Tab 180 Coreg clonidine HCl 0.1mg Tab 100 Catapres diltiazem ER 120mg ER Cap 90 Cardizem ER diltiazem ER 120mg ER Cap 30 Cardizem ER diltiazem ER 180mg ER Cap 30 Cardizem ER diltiazem ER 240mg ER Cap 30 Cardizem ER enalapril maleate 10mg Tab 100 Vasotec furosemide 20mg Tab 100 Lasix furosemide 40mg Tab 100 Lasix hydrochlorothiazide 12.5mg Cap 100 Microzide hydrochlorothiazide 25mg Tab 100 Oretic, Hydrodiuril hydrochlorothiazide 50mg Tab 100 Oretic, Hydrodiuril Irbesartan 300mg Tab 30 Avapro isosorbide mononitrate 30mg ER Tab 100 Imdur isosorbide mononitrate 60mg ER Tab 100 Imdur lisinopril 30mg Tab 30 Zestril lisinopril 2.5mg Tab 90 Zestril lisinopril 5mg Tab 90 Prinivil, Zestril lisinopril 10mg Tab 90 Prinivil, Zestril lisinopril 20mg Tab 90 Prinivil, Zestril lisinopril 40mg Tab 90 Prinivil, Zestril lisinopril/hctz mg Tab 90 Zestoretic lisinopril/hctz mg Tab 90 Zestoretic lisinopril/hctz 20-25mg Tab 90 Zestoretic losartan 50mg Tab 90 Cozaar losartan 100mg Tab 90 Cozaar losartan /HCTZ mg Tab 90 Hyzaar losartan /HCTZ mg Tab 90 Hyzaar losartan /HCTZ mg Tab 90 Hyzaar metoprolol succinate 50mg ER Tab 90 Toprol XL metoprolol tartrate 100mg Tab 180 Lopressor metoprolol tartrate 50mg Tab 180 Lopressor metoprolol tartrate 25mg Tab 180 Lopressor nitroglycerin 0.4mg Tab 25 Nitrostat potassium chloride 10mEq ER Tab 100 K Tab potassium chloride 20mEq ER Tab 90 K Dur propranolol 40mg Tab 90 Inderal ramipril 10mg Cap 90 Altace ramipril 5mg Cap 90 Altace sotalol 80mg Tab 30 Betapace spironolactone 25mg Tab 100 Aldatone

3 triamterene-hydrochlorothiazide mg Cap 100 Dyazide triamterene-hydrochlorothiazide 75-50mg Tab 100 Maxzide valsartan 80mg Tab 90 Diovan valsartan 160mg Tab 90 Diovan valsartan/hctz mg Tab 90 Diovan HCT verapamil ER 240mg ER Tab 90 Calan SR verapamil ER 180mg ER Tab 30 Calan SR verapamil HCl 120mg Tab 100 Calan warfarin sodium 2.5mg Tab 30 Coumadin warfarin sodium 5mg Tab 30 Coumadin warfarin sodium 5mg Tab 90 Coumadin warfarin sodium 10mg Tab 30 Coumadin For infection acyclovir 400mg Tab 30 Zovirax acyclovir 800mg Tab 35 Zovirax amoxicillin 400mg/5ml Susp 100ml Amoxil amoxicillin 250mg Cap 30 Amoxil amoxicillin 500mg Cap 30 Amoxil amoxicillin 875mg Tab 20 Amoxil amoxicillin-clavul. potassium 600mg/5ml Susp 125ml Augmentin amoxicillin-clavul. potassium mg Tab 20 Augmentin amoxicillin-clavul. potassium mg Tab 30 Augmentin azithromycin 250mg/5ml Susp 30ml Zithromax azithromycin 250mg Tab 6 Zithromax cephalexin 500mg Cap 40 Keflex clindamycin HCl 150mg Cap 30 Cleocin doxycycline/monohydrate 100mg Cap 20 Monodox fluconazole 150mg Tab 1 Diflucan metronidazole 500mg Tab 42 Flagyl minocycline 100mg Cap 60 Minocin nitrofurantoin monohydrate-macro. 100mg Cap 14 Macrobid penicillin V potassium 250mg Tab 40 Veetids sulfamethoxazole-trimethoprim mg Tab 40 Septra DS terbinafine 250mg Tab 90 Lamisil valacyclovir HCl 1gm Tab 30 Valtrex valacyclovir HCl 500mg Tab 30 Valtrex For inflammation and pain diclofenac potassium 50mg Tab 45 Cataflam diclofenac sodium 75ng DR Tab 100 Voltaren ibuprofen 800mg Tab 100 Motrin ibuprofen 600mg Tab 100 Motrin indomethacin 25mg Cap 100 Indocin meloxicam 7.5mg Tab 90 Mobic meloxicam 15mg Tab 100 Mobic methylprednisolone 4mg Tab 21 Medrol naproxen 500mg Tab 100 Naprosyn prednisone 5mg Tab 100 Deltasone prednisone 10mg Tab 50 Deltasone prednisone 20mg Tab 30 Deltasone prednisone 5mg Tab 21 Sterapred GERD/GI Discomfort dicyclomine 10mg Cap 90 Bentyl dicyclomine 20mg Tab 90 Bentyl famotidine 40mg Tab 30 Pepcid lansoprazole 30mg Cap 90 Prevacid metoclopramide 10mg Tab 30 Reglan omeprazole 40mg Cap 90 Prilosec omeprazole 20mg Cap 200 Prilosec pantoprazole 40mg Tab 90 Protonix ranitidine 150mg Tab 120 Zantac ranitidine 300mg Tab 100 Zantac Oral Birth Control/Hormone replacement alyacen 1mg-35mg Tab 28 Ortho-Novum

4 apri 0.15mg-30mcg Tab 28 Reclipsen estradiol 1mg Tab 90 Estrace Junel Fe 1mg-20mcg Tab 28 Microgestin cryselle 0.3mg-30mcg Tab 28 Lo-Ovral Marlissa 0.15mg-30mcg Tab 28 Levora medroprogesterone 2.5mg Tab 30 Provera orsythia 0.1mg-20mcg Tab 28 Lutera norgestimate /ethinyl estradiol 0.25mg/0.035mg Tab 28 Ortho-Cyclen EE/norgestimate, TriFemyor Tab 28 Ortho-tricyclen Nortrel 0.5mg-35mcg Tab 28 Brevicon For the Ear carbamide peroxide 6.5% Otic Soln 15ml Debrox hydrocortisone-neomycin-polymyxin B 1% Otic Susp 10ml Cortisporin For the Eye gentamicin sulfate 0.3% Ophth Soln 5ml Garamycin ciprofloxacin 0.3% Ophth Soln 5ml Ciloxan Inhalers/Inhaled medications albuterol 0.08% Inhalation Soln 25x3ml Proventil albuterol HFA 108mcg/act Aerosol 18gm Ventolin HFA albuterol HFA 108mcg/act Aerosol 8gm Ventolin HFA fluticasone 50mcg/spray Soln 16gm Flonase ipratropium bromide 0.02%IN Soln 62.5 Atrovent Miscellaneous alendronate 35mg Tab 4 Fosamax alendronate 70mg Tab 12 Fosamax allopurinol 100mg Tab 90 Zyloprim allopurinol 300mg Tab 100 Zyloprim benzonatate 100mg Cap 30 Tessalon benzonatate 200mg Cap 30 Tessalon clopidogrel bisulfate 75mg Tab 90 Plavix cholecalciferol 50,000U Cap 12 Vitamin D3 ferrous sulfate 325mg Tab 100 Feosol finasteride 5mg Tab 100 Proscar guaifenesin DM mg/5ml Syrup 120ml Robitussin DM lamotrigne 100mg Tab 60 Lamictal meclizine 25mg Tab 30 Antivert oxybutnin 5mg Tab 100 Ditropan promethazine DM Syr 118 Phenergan DM sucralfate 1Gm Tab 60 Carafate sumatriptan succinate 100mg Tab 9 Imitrex sumatriptan succinate 50mg Tab 9 Imitrex tamsulosin 0.4mg Cap 90 Flomax topiramate 50mg Tab 90 Topamax topiramate 100mg Tab 60 Topamax Muscle relaxers cyclobenzaprine HCl 10mg Tab 30 Flexeril cyclobenzaprine HCl 10mg Tab 90 Flexeril cyclobenzaprine HCl 5mg Tab 30 Flexeril methocarbamol 500mg Tab 60 Robaxin tizanidine 4mg Tab 90 Zanaflex Thyroid replacement levothyroxine 0.088mg Tab 90 Synthroid levothyroxine 112mcg Tab 90 Synthroid levothyroxine 0.05mg Tab 90 Synthroid levothyroxine 0.075mg Tab 90 Synthroid levothyroxine 0.125mg Tab 90 Synthroid levothyroxine 0.137mg Tab 90 Synthroid levothyroxine 0.1mg Tab 90 Synthroid levothyroxine 0.025mg Tab 90 Synthroid levothyroxine 0.15mg Tab 90 Synthroid thyroid 60mg Tab 100 Armour thyroid Topicals betamethasone valerate 0.1% Cream 45gm Valisone

5 clotrimazole-betamethasone 1%-0.05% Cream 15gm Lotrisone hydrocortisone 2.50% Rectal Cream 30gm Anusol HC ketoconazole 2% Shampoo 120ml Nizoral ketoconazole 2% Cream 30gm Nizoral mupirocin 2% Oint 22gm Bactroban nystatin 100,000U Cream 15gm Mycostatin silver sulfadiazine 1% Cream 50gm Silvadene Triamcinolone oint 0.10% Oint 30gm Kenalog triamcinolone acetonide 0.1% Oint 15gm Kenalog As of 8/24/18