WRIGHT-PATTERSON AIR FORCE BASE OUTPATIENT FORMULARY

Alphabetical Listing by Therapeutic Category

This document is current as of August 14, 2018. The availability of formulary items is subject to change.

2 ACETYLCHOLINESTERASE INHIBITOR

Acetylcholinesterase Inhibitor , Nonopioid Pyridostigmine ...... Acetaminophen ...... Aspirin ...... Acetylcholinesterase Inhibitor (Central) Butalbital, Acetaminophen, and Caffeine ...... Donepezil ...... Celecoxib ...... Galantamine ...... Diclofenac (Systemic) ...... Rivastigmine ...... Etodolac ...... Acne Products Flurbiprofen (Systemic) ...... Adapalene ...... Ibuprofen ...... Benzoyl Peroxide ...... Indomethacin ...... Clindamycin and Benzoyl Peroxide ...... Ketoprofen ...... Erythromycin (Topical) ...... Meloxicam ...... ISOtretinoin (Systemic) ...... Nabumetone ...... Salicylic Acid ...... Naproxen ...... Sulfacetamide (Topical) ...... Piroxicam (Systemic) ...... Tretinoin (Topical) ...... Sulindac ...... Adrenergic Agonist Agent Analgesic, Oxymetazoline (Nasal) ...... Acetaminophen and ...... Acetaminophen and Tramadol ...... Aldehyde Dehydrogenase Inhibitor Codeine ...... Disulfiram ...... and Acetaminophen ...... ...... Alkalinizing Agent Meperidine ...... Sodium Bicarbonate ...... Morphine (Systemic) ...... Alkalinizing Agent, Oral OxyCODONE ...... Potassium Citrate ...... Oxycodone and Acetaminophen ...... Sodium Citrate and Citric Acid ...... Promethazine and Codeine ...... TraMADol ...... Alkylamine Derivative Chlorpheniramine ...... Analgesic, Topical Naphazoline and Pheniramine ...... Benzocaine ...... Triprolidine and Pseudoephedrine ...... Capsaicin ...... Lidocaine and Tetracaine ...... Allergen-Specific Lidocaine (Topical) ...... Grass Pollen Allergen Extract (Timothy Grass) ...... Ragweed Pollen Allergen Extract ...... Analgesic, Urinary Pentosan Polysulfate Sodium ...... Alpha1 Agonist Phenazopyridine ...... Midodrine ...... Naphazoline and Pheniramine ...... Androgen MethylTESTOSTERone ...... Alpha1 Blocker Testosterone ...... Alfuzosin ...... Doxazosin ...... / Phenoxybenzamine ...... Pramoxine and Hydrocortisone ...... Prazosin ...... Anesthetic, Topical Tamsulosin ...... ...... Terazosin ...... Angiotensin II Receptor Blocker Alpha2-Adrenergic Agonist Irbesartan ...... CloNIDine ...... Losartan ...... GuanFACINE ...... Losartan and Hydrochlorothiazide ...... TiZANidine ...... Sacubitril and Valsartan ...... Telmisartan ...... Alpha2 Agonist, Ophthalmic Brimonidine and Timolol ...... Telmisartan and Hydrochlorothiazide ...... Brimonidine (Ophthalmic) ...... Valsartan ...... Valsartan and Hydrochlorothiazide ...... Alpha-Adrenergic Agonist Phenylephrine (Nasal) ...... Angiotensin-Converting Enzyme (ACE) Inhibitor Amlodipine and Benazepril ...... Alpha/Beta Agonist Benazepril ...... EPINEPHrine (Systemic) ...... Captopril ...... Pseudoephedrine ...... Enalapril ...... Triprolidine and Pseudoephedrine ...... Lisinopril ...... Lisinopril and Hydrochlorothiazide ...... 5 Alpha-Reductase Inhibitor Ramipril ...... Finasteride ...... Amebicide Aluminum Hydroxide, Magnesium Hydroxide, and Simethicone ...... MetroNIDAZOLE (Systemic) ...... Sodium Bicarbonate ...... Aminoquinoline (Antimalarial) Chloroquine ...... ...... Hydroxychloroquine ...... ...... Primaquine ...... Pamoate ...... 5-Aminosalicylic Acid Derivative Agent Mesalamine ...... AmLODIPine ...... SulfaSALAzine ...... Amlodipine and Benazepril ...... Ammonium Detoxicant Atenolol ...... Lactulose ...... DilTIAZem ...... Neomycin ...... Isosorbide Dinitrate ...... Isosorbide Mononitrate ...... Analgesic Combination (Opioid) Metoprolol ...... Acetaminophen and Codeine ...... Nadolol ...... Acetaminophen and Tramadol ...... NIFEdipine ...... Hydrocodone and Acetaminophen ...... Nitroglycerin ...... Oxycodone and Acetaminophen ...... Propranolol ......

2 , DIRECT THROMBIN INHIBITOR

Ranolazine ...... , Ophthalmic Verapamil ...... Azithromycin (Ophthalmic) ...... Antianxiety Agent, Miscellaneous Bacitracin and Polymyxin B (Ophthalmic) ...... BusPIRone ...... Bacitracin, Neomycin, and Polymyxin B (Ophthalmic) ...... Bacitracin (Ophthalmic) ...... , Class Ia Ciprofloxacin (Ophthalmic) ...... Disopyramide ...... Erythromycin (Ophthalmic) ...... Procainamide ...... Gentamicin (Ophthalmic) ...... Moxifloxacin (Ophthalmic) ...... Antiarrhythmic Agent, Class Ib Neomycin, Polymyxin B, and Gramicidin ...... Mexiletine ...... Neomycin, Polymyxin B, and Hydrocortisone (Ophthalmic) ...... Antiarrhythmic Agent, Class Ic Sulfacetamide (Ophthalmic) ...... Flecainide ...... Trimethoprim and Polymyxin B ...... Propafenone ...... Antibiotic, Oral Rinse Antiarrhythmic Agent, Class II Chlorhexidine Gluconate (Oral) ...... Propranolol ...... Antibiotic, Otic Sotalol ...... Ciprofloxacin and Dexamethasone ...... Antiarrhythmic Agent, Class III Neomycin, Polymyxin B, and Hydrocortisone (Otic) ...... Amiodarone ...... Ofloxacin (Otic) ...... Dofetilide ...... Antibiotic, Oxazolidinone Dronedarone ...... Tedizolid ...... Sotalol ...... Antibiotic, Penicillin Antiarrhythmic Agent, Class IV Amoxicillin ...... DilTIAZem ...... Amoxicillin and Clavulanate ...... Verapamil ...... Dicloxacillin ...... Antiarrhythmic Agent, Miscellaneous Penicillin V Potassium ...... Digoxin ...... Antibiotic, Respiratory Fluoroquinolone Antibiotic, Aminoglycoside LevoFLOXacin (Systemic) ...... Gentamicin (Ophthalmic) ...... Moxifloxacin (Systemic) ...... Gentamicin (Topical) ...... Antibiotic, Sulfonamide Derivative Neomycin ...... Erythromycin and Sulfisoxazole ...... Tobramycin (Oral Inhalation) ...... Sulfacetamide (Topical) ...... Antibiotic, Cephalosporin (First Generation) SulfADIAZINE ...... Cefadroxil ...... Sulfamethoxazole and Trimethoprim ...... Cephalexin ...... Antibiotic, Tetracycline Derivative Antibiotic, Cephalosporin (Second Generation) ...... Cefprozil ...... Minocycline ...... Cefuroxime ...... Tetracycline (Systemic) ...... Antibiotic, Cephalosporin (Third Generation) Antibiotic, Topical Cefdinir ...... Bacitracin, Neomycin, and Polymyxin B (Topical) ...... Cefpodoxime ...... Bacitracin (Topical) ...... Erythromycin (Topical) ...... Antibiotic/Corticosteroid, Ophthalmic Gentamicin (Topical) ...... Neomycin, Polymyxin B, and Dexamethasone ...... MetroNIDAZOLE (Topical) ...... Neomycin, Polymyxin B, and Hydrocortisone (Ophthalmic) ...... Mupirocin ...... Sulfacetamide and Prednisolone ...... Silver Sulfadiazine ...... Tobramycin and Dexamethasone ...... Anticholinergic Agent Antibiotic/Corticosteroid, Otic Benztropine ...... Ciprofloxacin and Dexamethasone ...... Dicyclomine ...... Neomycin, Polymyxin B, and Hydrocortisone (Otic) ...... Fluticasone, Umeclidinium, and Vilanterol ...... Antibiotic, Fluoroquinolone Glycopyrrolate (Systemic) ...... Ciprofloxacin (Ophthalmic) ...... Hyoscyamine ...... Ciprofloxacin (Systemic) ...... Hyoscyamine, Atropine, Scopolamine, and Phenobarbital ...... LevoFLOXacin (Systemic) ...... Ipratropium and Albuterol ...... Moxifloxacin (Ophthalmic) ...... Ipratropium (Nasal) ...... Moxifloxacin (Systemic) ...... Ipratropium (Oral Inhalation) ...... Ofloxacin (Otic) ...... Scopolamine (Systemic) ...... Solifenacin ...... Antibiotic, Lincosamide Tiotropium ...... Clindamycin (Systemic) ...... Tiotropium and Olodaterol ...... Clindamycin (Topical) ...... Tolterodine ...... Antibiotic, Macrolide Trihexyphenidyl ...... Azithromycin (Ophthalmic) ...... Anticholinergic Agent, Long-Acting Azithromycin (Systemic) ...... Fluticasone, Umeclidinium, and Vilanterol ...... Clarithromycin ...... Tiotropium ...... Erythromycin and Sulfisoxazole ...... Tiotropium and Olodaterol ...... Erythromycin (Ophthalmic) ...... Erythromycin (Systemic) ...... Anticholinergic Agent, Ophthalmic Erythromycin (Topical) ...... Atropine (Ophthalmic) ...... Cyclopentolate ...... Antibiotic, Macrolide Combination Erythromycin and Sulfisoxazole ...... Anticoagulant Apixaban ...... Antibiotic, Miscellaneous Dabigatran Etexilate ...... Dapsone (Systemic) ...... Dalteparin ...... Fosfomycin ...... Enoxaparin ...... MetroNIDAZOLE (Systemic) ...... Rivaroxaban ...... Nitrofurantoin ...... Warfarin ...... RifAXIMin ...... Sulfamethoxazole and Trimethoprim ...... Anticoagulant, Direct Thrombin Inhibitor Trimethoprim ...... Dabigatran Etexilate ...... 3 ANTICOAGULANT, FACTOR XA INHIBITOR

Anticoagulant, Factor Xa Inhibitor Antidiabetic Agent, Sodium-Glucose Cotransporter 2 (SGLT2) Apixaban ...... Inhibitor Rivaroxaban ...... Empagliflozin ...... Anticoagulant, Low Molecular Weight Heparin Antidiabetic Agent, Sulfonylurea Dalteparin ...... Glimepiride ...... Enoxaparin ...... GlipiZIDE ...... GlyBURIDE ...... Anticoagulant, K Antagonist Glyburide and Metformin ...... Warfarin ...... Antidiabetic Agent, Thiazolidinedione , Barbiturate Pioglitazone ...... PHENobarbital ...... Pioglitazone and Metformin ...... Anticonvulsant, Benzodiazepine Antidiarrheal ClonazePAM ...... Bismuth Subsalicylate ...... Clorazepate ...... Diphenoxylate and Atropine ...... DiazePAM ...... Loperamide ...... LORazepam ...... Anticonvulsant, Hydantoin ...... Phenytoin ...... Calcitonin ...... Anticonvulsant, Miscellaneous Calcium Acetate ...... AcetaZOLAMIDE ...... Glucagon ...... CarBAMazepine ...... Ipecac Syrup ...... Gabapentin ...... Leucovorin Calcium ...... Lacosamide ...... Naloxone ...... LamoTRIgine ...... Naltrexone ...... LevETIRAcetam ...... Phenoxybenzamine ...... OXcarbazepine ...... Sodium Polystyrene Sulfonate ...... Primidone ...... Antidote, Extravasation Topiramate ...... Nitroglycerin ...... Valproic Acid and Derivatives ...... Zonisamide ...... Antidote, Hypoglycemia Glucagon ...... , Alpha-2 Antagonist Mirtazapine ...... Dexamethasone (Systemic) ...... Antidepressant, Dopamine/Norepinephrine-Reuptake Inhibitor HydrOXYzine ...... BuPROPion ...... Meclizine ...... Antidepressant, Monoamine Oxidase Inhibitor Metoclopramide ...... Phenelzine ...... Ondansetron ...... Selegiline ...... Prochlorperazine ...... Promethazine ...... Antidepressant, Selective Serotonin Reuptake Inhibitor Citalopram ...... Agent Escitalopram ...... Aminocaproic Acid ...... FLUoxetine ...... Tranexamic Acid ...... PARoxetine ...... Antiflatulent Sertraline ...... Aluminum Hydroxide, Magnesium Hydroxide, and Simethicone ...... Antidepressant, Serotonin/Norepinephrine Reuptake Inhibitor Simethicone ...... DULoxetine ...... Agent, Azole Derivative Venlafaxine ...... Terconazole ...... Antidepressant, Serotonin Reuptake Inhibitor/Antagonist Antifungal Agent, Imidazole Derivative TraZODone ...... Clotrimazole (Oral) ...... Antidepressant, Tricyclic (Secondary Amine) Clotrimazole (Topical) ...... Ketoconazole (Systemic) ...... Nortriptyline ...... Ketoconazole (Topical) ...... Antidepressant, Tricyclic (Tertiary Amine) Miconazole (Topical) ...... Amitriptyline ...... Antifungal Agent, Oral ClomiPRAMINE ...... Fluconazole ...... Doxepin (Systemic) ...... Griseofulvin ...... Imipramine ...... Itraconazole ...... Antidiabetic Agent, Alpha-Glucosidase Inhibitor Ketoconazole (Systemic) ...... Acarbose ...... Terbinafine (Systemic) ...... Antidiabetic Agent, Biguanide Antifungal Agent, Oral Nonabsorbed Glyburide and Metformin ...... Clotrimazole (Oral) ...... MetFORMIN ...... Antifungal Agent, Oral Nonabsorbed/Partially Absorbed Pioglitazone and Metformin ...... Clotrimazole (Topical) ...... Sitagliptin and Metformin ...... Miconazole (Topical) ...... Antidiabetic Agent, Dipeptidyl Peptidase 4 (DPP-4) Inhibitor Nystatin (Oral) ...... SITagliptin ...... Antifungal Agent, Parenteral Sitagliptin and Metformin ...... Fluconazole ...... Antidiabetic Agent, Dopamine Agonist Antifungal Agent, Topical Bromocriptine ...... Betamethasone and Clotrimazole ...... Antidiabetic Agent, Glucagon-Like Peptide-1 (GLP-1) Receptor Ciclopirox ...... Agonist Clotrimazole (Topical) ...... Albiglutide ...... Ketoconazole (Topical) ...... Exenatide ...... Miconazole (Topical) ...... Nystatin and Triamcinolone ...... Antidiabetic Agent, Meglitinide Analog Nystatin (Topical) ...... Nateglinide ...... Terbinafine (Topical) ......

4 ANTI-PARKINSON AGENT, DOPAMINE AGONIST

Antifungal Agent, Vaginal Antilipemic Agent, Omega-3 Fatty Acids Clotrimazole (Topical) ...... Omega-3 Fatty Acids ...... Miconazole (Topical) ...... Terconazole ...... Antimalarial Agent Chloroquine ...... Antigout Agent Hydroxychloroquine ...... Allopurinol ...... Mefloquine ...... Colchicine ...... Primaquine ...... Antihemophilic Agent Antimanic Agent Aminocaproic Acid ...... Lithium ...... Desmopressin ...... OLANZapine ...... Tranexamic Acid ...... RisperiDONE ...... Valproic Acid and Derivatives ...... Antihemorrhoidal Agent Dibucaine ...... Antimigraine Agent Hydrocortisone (Topical) ...... Dihydroergotamine ...... Witch Hazel ...... Eletriptan ...... Rizatriptan ...... Antihypertensive SUMAtriptan ...... Aliskiren and Hydrochlorothiazide ...... ZOLMitriptan ...... AmLODIPine ...... Amlodipine and Benazepril ...... Antineoplastic Agent, Alkylating Agent Atenolol ...... Chlorambucil ...... Benazepril ...... Cyclophosphamide ...... Bumetanide ...... Captopril ...... Antineoplastic Agent, Alkylating Agent (Nitrogen Mustard) Carvedilol ...... Chlorambucil ...... Chlorthalidone ...... Cyclophosphamide ...... Clevidipine ...... Antineoplastic Agent, Antiandrogen CloNIDine ...... Bicalutamide ...... DilTIAZem ...... Flutamide ...... Doxazosin ...... Enalapril ...... Antineoplastic Agent, Eplerenone ...... Capecitabine ...... Felodipine ...... Fluorouracil (Topical) ...... Furosemide ...... Mercaptopurine ...... GuanFACINE ...... HydrALAZINE ...... Antineoplastic Agent, Antimetabolite (Antifolate) HydroCHLOROthiazide ...... Methotrexate ...... Hydrochlorothiazide and Triamterene ...... Antineoplastic Agent, Antimetabolite (Purine Analog) Irbesartan ...... Mercaptopurine ...... Isosorbide Dinitrate and Hydralazine ...... Labetalol ...... Antineoplastic Agent, Antimetabolite ( Analog) Lisinopril ...... Capecitabine ...... Lisinopril and Hydrochlorothiazide ...... Fluorouracil (Topical) ...... Losartan ...... Losartan and Hydrochlorothiazide ...... Antineoplastic Agent, Aromatase Inhibitor Metoprolol ...... Anastrozole ...... Minoxidil (Systemic) ...... Exemestane ...... Nadolol ...... Letrozole ...... NIFEdipine ...... Antineoplastic Agent, Estrogen Receptor Antagonist Pindolol ...... Tamoxifen ...... Prazosin ...... Propranolol ...... Antineoplastic Agent, Gonadotropin-Releasing Hormone Agonist Ramipril ...... Leuprolide ...... Spironolactone ...... Telmisartan ...... Antineoplastic Agent, Hormone Telmisartan and Hydrochlorothiazide ...... Megestrol ...... Terazosin ...... Antineoplastic Agent, Miscellaneous Torsemide ...... Hydroxyurea ...... Valsartan ...... Valsartan and Hydrochlorothiazide ...... Antineoplastic Agent, Derivative Verapamil ...... Etoposide ...... Anti-inflammatory Agent Antineoplastic Agent, Retinoic Acid Derivative Dexamethasone (Systemic) ...... ISOtretinoin (Systemic) ...... Anti-inflammatory, Locally Applied Antineoplastic Agent, Topoisomerase II Inhibitor Carbamide Peroxide ...... Etoposide ...... Antilipemic Agent, 2-Azetidinone Agent, Topical Ezetimibe ...... Permethrin ...... Pyrethrins and Piperonyl Butoxide ...... Antilipemic Agent, Colestipol ...... Anti-Parkinson Agent, Anticholinergic Benztropine ...... Antilipemic Agent, Fibric Acid Trihexyphenidyl ...... Fenofibrate and Derivatives ...... Gemfibrozil ...... Anti-Parkinson Agent, COMT Inhibitor Entacapone ...... Antilipemic Agent, HMG-CoA Reductase Inhibitor AtorvaSTATin ...... Anti-Parkinson Agent, Decarboxylase Inhibitor Lovastatin ...... Carbidopa and Levodopa ...... Pravastatin ...... Rosuvastatin ...... Anti-Parkinson Agent, Dopamine Agonist Simvastatin ...... Amantadine ...... Bromocriptine ...... Antilipemic Agent, Miscellaneous Pramipexole ...... Niacin ...... ROPINIRole ......

5 ANTI-PARKINSON AGENT, DOPAMINE PRECURSOR

Anti-Parkinson Agent, Dopamine Precursor Antiviral Agent, Ophthalmic Carbidopa and Levodopa ...... Ganciclovir (Ophthalmic) ...... Trifluridine ...... Anti-Parkinson Agent, MAO Type B Inhibitor Selegiline ...... Antiviral Agent, Oral ValACYclovir ...... Antiplatelet Agent Aspirin ...... Antiviral Agent, Topical Aspirin and Dipyridamole ...... Acyclovir (Topical) ...... Clopidogrel ...... Appetite Dipyridamole ...... Megestrol ...... Prasugrel ...... Ticagrelor ...... Astringent Witch Hazel ...... Antiplatelet Agent, Cyclopentyltriazolopyrimidine Ticagrelor ...... Barbiturate Butalbital, Acetaminophen, and Caffeine ...... Antiplatelet Agent, Thienopyridine PHENobarbital ...... Clopidogrel ...... Primidone ...... Prasugrel ...... Benzodiazepine ALPRAZolam ...... ...... ChlordiazePOXIDE ...... Antiprotozoal, Nitroimidazole Clidinium and Chlordiazepoxide ...... ClonazePAM ...... MetroNIDAZOLE (Systemic) ...... Clorazepate ...... Antiretroviral, Integrase Inhibitor (Anti-HIV) DiazePAM ...... Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Disoproxil Fumarate ... LORazepam ...... Temazepam ...... Antiretroviral, Reverse Transcriptase Inhibitor, Non-nucleoside Triazolam ...... (Anti-HIV) Emtricitabine, Rilpivirine, and Tenofovir Disoproxil Fumarate ...... Beta2-Adrenergic Agonist Fluticasone, Umeclidinium, and Vilanterol ...... Antiretroviral, Reverse Transcriptase Inhibitor, Nucleoside (Anti-HIV) Ipratropium and Albuterol ...... Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Disoproxil Fumarate ... Beta -Adrenergic Agonist, Long-Acting Emtricitabine and Tenofovir Disoproxil Fumarate ...... 2 Fluticasone and Salmeterol ...... Emtricitabine, Rilpivirine, and Tenofovir Disoproxil Fumarate ...... Salmeterol ...... Antiretroviral, Reverse Transcriptase Inhibitor, Nucleotide (Anti-HIV) Beta2 Agonist Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Disoproxil Fumarate ... Fluticasone, Umeclidinium, and Vilanterol ...... Emtricitabine and Tenofovir Disoproxil Fumarate ...... Emtricitabine, Rilpivirine, and Tenofovir Disoproxil Fumarate ...... Beta2 Agonist, Long-Acting Tiotropium and Olodaterol ...... Antirheumatic, Disease Modifying Adalimumab ...... Beta3 Agonist Leflunomide ...... Mirabegron ...... Methotrexate ...... Beta-Adrenergic Blocker, Nonselective Antirheumatic Miscellaneous Dorzolamide and Timolol ...... Cyclophosphamide ...... Levobunolol ...... Propranolol ...... Antiseborrheic Agent, Topical Sotalol ...... Selenium Sulfide ...... Beta-Blocker, Beta-1 Selective Antispasmodic Agent, Gastrointestinal Atenolol ...... Clidinium and Chlordiazepoxide ...... Metoprolol ...... Hyoscyamine, Atropine, Scopolamine, and Phenobarbital ...... Beta-Blocker, Nonselective Antispasmodic Agent, Urinary Brimonidine and Timolol ...... Oxybutynin ...... Nadolol ...... Timolol (Ophthalmic) ...... MethIMAzole ...... Beta-Blocker With Alpha-Blocking Activity Propylthiouracil ...... Carvedilol ...... Labetalol ...... Antitubercular Agent Ethambutol ...... Beta-Blocker With Intrinsic Sympathomimetic Activity Isoniazid ...... Pindolol ...... Pyrazinamide ...... Biological, Miscellaneous RifAMPin ...... Glatiramer Acetate ...... Rifapentine ...... Derivative Antitussive Alendronate ...... ...... Alendronate and Cholecalciferol ...... Codeine ...... Etidronate ...... and Codeine ...... Ibandronate ...... Guaifenesin and ...... Promethazine and Codeine ...... Viscosity Reducer Agent Pentoxifylline ...... Antiviral Agent Acyclovir (Systemic) ...... Calcimimetic Amantadine ...... Cinacalcet ...... Famciclovir ...... Calcineurin Inhibitor Oseltamivir ...... CycloSPORINE (Systemic) ...... RiMANTAdine ...... Pimecrolimus ...... ValACYclovir ...... Tacrolimus (Systemic) ...... Tacrolimus (Topical) ...... Antiviral Agent, Adamantane Amantadine ...... RiMANTAdine ...... AmLODIPine ......

6 ELECTROLYTE SUPPLEMENT, ORAL

Amlodipine and Benazepril ...... Corticosteroid, Ophthalmic Clevidipine ...... Difluprednate ...... DilTIAZem ...... Fluorometholone ...... Felodipine ...... Loteprednol ...... NIFEdipine ...... Neomycin, Polymyxin B, and Hydrocortisone (Ophthalmic) ...... Verapamil ...... PrednisoLONE (Ophthalmic) ...... Calcium Channel Blocker, Dihydropyridine Corticosteroid, Otic AmLODIPine ...... Ciprofloxacin and Dexamethasone ...... Amlodipine and Benazepril ...... Neomycin, Polymyxin B, and Hydrocortisone (Otic) ...... Clevidipine ...... Corticosteroid, Rectal Felodipine ...... Hydrocortisone (Topical) ...... NIFEdipine ...... Calcium Channel Blocker, Nondihydropyridine Corticosteroid, Systemic Budesonide (Systemic) ...... DilTIAZem ...... Cortisone ...... Verapamil ...... Dexamethasone (Systemic) ...... Calcium Salt Fludrocortisone ...... Calcium Acetate ...... Hydrocortisone (Systemic) ...... MethylPREDNISolone ...... Carbonic Anhydrase Inhibitor PrednisoLONE (Systemic) ...... AcetaZOLAMIDE ...... PredniSONE ...... MethazolAMIDE ...... Corticosteroid, Topical Carbonic Anhydrase Inhibitor (Ophthalmic) Betamethasone and Clotrimazole ...... Dorzolamide ...... Betamethasone (Topical) ...... Dorzolamide and Timolol ...... Clobetasol ...... Desonide ...... Desoximetasone ...... Digoxin ...... Fluocinolone (Topical) ...... Cardiovascular Agent, Miscellaneous Fluocinonide ...... Ivabradine ...... Flurandrenolide ...... Ranolazine ...... Hydrocortisone (Topical) ...... Mometasone (Topical) ...... Cathartic Nystatin and Triamcinolone ...... Sodium Phosphates ...... Triamcinolone (Topical) ...... Central Stimulant Cytochrome P-450 Inhibitor Dexmethylphenidate ...... Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Disoproxil Fumarate ... Dextroamphetamine ...... Dextroamphetamine and Amphetamine ...... Methylphenidate ...... Oxymetazoline (Nasal) ...... Phenylephrine (Nasal) ...... Modafinil ...... Pseudoephedrine ...... Chelating Agent Triprolidine and Pseudoephedrine ...... PenicillAMINE ...... Depigmenting Agent Modulating Agent Hydroquinone ...... Leucovorin Calcium ...... Diagnostic Agent Chloride Channel Activator Glucagon ...... Lubiprostone ...... Dietary Supplement Cholinergic Agonist LevOCARNitine ...... Bethanechol ...... Direct Oral Anticoagulant (DOAC) Cevimeline ...... Apixaban ...... Pilocarpine (Systemic) ...... Dabigatran Etexilate ...... Colony Stimulating Factor Rivaroxaban ...... Darbepoetin Alfa ...... , Carbonic Anhydrase Inhibitor Epoetin Alfa ...... AcetaZOLAMIDE ...... Filgrastim ...... MethazolAMIDE ...... Contraceptive Diuretic, Loop Ethinyl Estradiol and Desogestrel ...... Bumetanide ...... Ethinyl Estradiol and Drospirenone ...... Furosemide ...... Ethinyl Estradiol and Ethynodiol Diacetate ...... Torsemide ...... Ethinyl Estradiol and Etonogestrel ...... Ethinyl Estradiol and Levonorgestrel ...... Diuretic, Potassium-Sparing Ethinyl Estradiol and Norelgestromin ...... Eplerenone ...... Ethinyl Estradiol and Norethindrone ...... Hydrochlorothiazide and Triamterene ...... Ethinyl Estradiol and Norgestimate ...... Spironolactone ...... Ethinyl Estradiol and Norgestrel ...... Diuretic, Thiazide Etonogestrel ...... Aliskiren and Hydrochlorothiazide ...... Levonorgestrel (IUD) ...... HydroCHLOROthiazide ...... Levonorgestrel (Systemic) ...... Hydrochlorothiazide and Triamterene ...... MedroxyPROGESTERone ...... Lisinopril and Hydrochlorothiazide ...... Norethindrone ...... Losartan and Hydrochlorothiazide ...... Norethindrone and Mestranol ...... Telmisartan and Hydrochlorothiazide ...... Ulipristal ...... Valsartan and Hydrochlorothiazide ...... Corticosteroid, Inhalant (Oral) Diuretic, Thiazide-Related Budesonide (Oral Inhalation) ...... Chlorthalidone ...... Fluticasone and Salmeterol ...... MetOLazone ...... Fluticasone (Oral Inhalation) ...... Fluticasone, Umeclidinium, and Vilanterol ...... Electrolyte Supplement, Oral Magnesium Chloride ...... Corticosteroid, Nasal Magnesium Gluconate ...... Fluticasone (Nasal) ...... Potassium Chloride ......

7 ELECTROLYTE SUPPLEMENT, ORAL

Potassium Phosphate and Sodium Phosphate ...... Gonadotropin Sodium Bicarbonate ...... Chorionic Gonadotropin (Human) ...... Electrolyte Supplement, Parenteral Gonadotropin Releasing Hormone Agonist Magnesium Chloride ...... Leuprolide ...... Potassium Chloride ...... Sodium Bicarbonate ...... Guanylate Cyclase-C (GC-C) Agonist Sodium Chloride ...... Linaclotide ...... Sodium Phosphates ...... Hematopoietic Agent Enzyme Darbepoetin Alfa ...... Dornase Alfa ...... Epoetin Alfa ...... Pancrelipase ...... Filgrastim ...... Ergot Derivative Hemostatic Agent Bromocriptine ...... Aluminum Chloride Hexahydrate ...... Cabergoline ...... Aminocaproic Acid ...... Desmopressin ...... Dihydroergotamine ...... Tranexamic Acid ...... Methylergonovine ...... Erythropoiesis-Stimulating Agent (ESA) Histamine Azelastine (Nasal) ...... Darbepoetin Alfa ...... Cetirizine (Systemic) ...... Epoetin Alfa ...... Chlorpheniramine ...... Estrogen and Androgen Combination Cyproheptadine ...... Estrogens (Esterified) and Methyltestosterone ...... (Systemic) ...... DiphenhydrAMINE (Topical) ...... Estrogen and Progestin Combination Doxylamine ...... Estradiol and Levonorgestrel ...... Fexofenadine ...... Estradiol and Norgestimate ...... HydrOXYzine ...... Estrogens (Conjugated/Equine) and Medroxyprogesterone ...... Loratadine ...... Ethinyl Estradiol and Desogestrel ...... Meclizine ...... Ethinyl Estradiol and Drospirenone ...... Naphazoline and Pheniramine ...... Ethinyl Estradiol and Ethynodiol Diacetate ...... Olopatadine (Ophthalmic) ...... Ethinyl Estradiol and Etonogestrel ...... Promethazine ...... Ethinyl Estradiol and Levonorgestrel ...... Promethazine and Codeine ...... Ethinyl Estradiol and Norelgestromin ...... Triprolidine and Pseudoephedrine ...... Ethinyl Estradiol and Norethindrone ...... Ethinyl Estradiol and Norgestimate ...... Histamine H1 Antagonist, First Generation Chlorpheniramine ...... Ethinyl Estradiol and Norgestrel ...... Cyproheptadine ...... Norethindrone and Mestranol ...... DiphenhydrAMINE (Systemic) ...... Estrogen Derivative DiphenhydrAMINE (Topical) ...... Estradiol (Systemic) ...... Doxylamine ...... Estradiol (Topical) ...... HydrOXYzine ...... Estrogens (Conjugated B/Synthetic) ...... Meclizine ...... Estrogens (Conjugated/Equine, Systemic) ...... Naphazoline and Pheniramine ...... Estrogens (Conjugated/Equine, Topical) ...... Promethazine ...... Promethazine and Codeine ...... Ethanolamine Derivative Triprolidine and Pseudoephedrine ...... DiphenhydrAMINE (Systemic) ...... DiphenhydrAMINE (Topical) ...... Histamine H1 Antagonist, Second Generation Doxylamine ...... Azelastine (Nasal) ...... Cetirizine (Systemic) ...... Expectorant Fexofenadine ...... GuaiFENesin ...... Loratadine ...... Guaifenesin and Codeine ...... Olopatadine (Ophthalmic) ...... Guaifenesin and Dextromethorphan ...... Histamine First Generation (Typical) Cimetidine ...... FluPHENAZine ...... Famotidine ...... Haloperidol ...... RaNITIdine ...... Prochlorperazine ...... Histone Deacetylase Inhibitor Thioridazine ...... Valproic Acid and Derivatives ...... Fumaric Acid Derivative Hormone Dimethyl Fumarate ...... Calcitonin ...... GABA Analog Hormone, Posterior Pituitary Gabapentin ...... Desmopressin ...... Gallstone Dissolution Agent , Miscellaneous Ursodiol ...... Eszopiclone ...... Gastrointestinal Agent, Miscellaneous Zaleplon ...... Adalimumab ...... Zolpidem ...... Linaclotide ...... Imidazoline Derivative Lubiprostone ...... Naphazoline and Pheniramine ...... Saliva Substitute ...... Oxymetazoline (Nasal) ...... Sucralfate ...... Immunomodulator, Systemic Gastrointestinal Agent, Prokinetic Dimethyl Fumarate ...... Metoclopramide ...... Immunosuppressant Agent Genitourinary Irrigant AzaTHIOprine ...... Sodium Chloride ...... Cyclophosphamide ...... Glycopeptide CycloSPORINE (Systemic) ...... Vancomycin ...... Mercaptopurine ...... Methotrexate ...... Gold Compound Mycophenolate ...... Auranofin ...... Pimecrolimus ......

8 OTIC AGENT, ANTI-INFECTIVE

Sirolimus ...... mTOR Kinase Inhibitor Tacrolimus (Systemic) ...... Sirolimus ...... Tacrolimus (Topical) ...... Mucolytic Agent Inhalation, Miscellaneous Acetylcysteine ...... Inhalation Devices ...... Dornase Alfa ...... Insulin, Combination Neprilysin Inhibitor Insulin NPH and Insulin Regular ...... Sacubitril and Valsartan ...... Insulin, Intermediate-Acting Neuraminidase Inhibitor Insulin NPH ...... Oseltamivir ...... Insulin, Long-Acting Neuromuscular Blocker Agent, Toxin Insulin Glargine ...... OnabotulinumtoxinA ...... Insulin, Rapid-Acting Nonsteroidal Anti-inflammatory (NSAID) Insulin Aspart ...... Diclofenac (Ophthalmic) ...... Diclofenac (Systemic) ...... Insulin, Short-Acting Diclofenac (Topical) ...... Insulin Regular ...... Nonsteroidal Anti-inflammatory Drug (NSAID), COX-2 Selective Interferon Celecoxib ...... Interferon Beta-1a ...... Interferon Beta-1b ...... Nonsteroidal Anti-inflammatory Drug (NSAID), Ophthalmic Diclofenac (Ophthalmic) ...... Iron Salt Flurbiprofen (Ophthalmic) ...... Ferrous Sulfate ...... Ketorolac (Ophthalmic) ...... Irrigant Nonsteroidal Anti-inflammatory Drug (NSAID), Oral Sodium Chloride ...... Aspirin ...... Irrigating Solution Diclofenac (Systemic) ...... Balanced Salt Solution ...... Etodolac ...... Flurbiprofen (Systemic) ...... Keratolytic Agent Ibuprofen ...... Podofilox ...... Indomethacin ...... Salicylic Acid ...... Ketoprofen ...... Urea (Topical) ...... Meloxicam ...... , Bowel Evacuant Nabumetone ...... Naproxen ...... Sodium Phosphates ...... Piroxicam (Systemic) ...... Laxative, Lubricant Sulindac ...... Oil ...... Nonsteroidal Anti-inflammatory Drug (NSAID), Parenteral Laxative, Osmotic Ibuprofen ...... Glycerin ...... Indomethacin ...... Lactulose ...... Nonsteroidal Anti-inflammatory Drug (NSAID), Topical Polyethylene Glycol 3350 ...... Diclofenac (Topical) ...... Polyethylene Glycol-Electrolyte Solution ...... Norepinephrine Reuptake Inhibitor, Selective Laxative, Stimulant AtoMOXetine ...... Bisacodyl ...... Nutritional Supplement Leukotriene-Receptor Antagonist Fluoride ...... Montelukast ...... Ophthalmic Agent, Antiglaucoma AcetaZOLAMIDE ...... Benzocaine ...... Betaxolol (Ophthalmic) ...... Dibucaine ...... Bimatoprost ...... Lidocaine and Prilocaine ...... Brimonidine and Timolol ...... Lidocaine and Tetracaine ...... Brimonidine (Ophthalmic) ...... Lidocaine (Topical) ...... Carteolol (Ophthalmic) ...... Tetracaine (Ophthalmic) ...... Dorzolamide ...... Lubricant, Ocular Dorzolamide and Timolol ...... Sodium Chloride ...... Latanoprost ...... Levobunolol ...... Lymphocyte Function-Associated Antigen 1 (LFA-1) Antagonist MethazolAMIDE ...... Lifitegrast ...... Pilocarpine (Ophthalmic) ...... Timolol (Ophthalmic) ...... Lysine Analog Aminocaproic Acid ...... Ophthalmic Agent, Miotic Tranexamic Acid ...... Pilocarpine (Ophthalmic) ...... Magnesium Salt Ophthalmic Agent, Miscellaneous Magnesium Chloride ...... Artificial Tears ...... Magnesium Gluconate ...... Balanced Salt Solution ...... Carboxymethylcellulose ...... Mast Cell Stabilizer Hydroxypropyl Cellulose ...... Cromolyn (Nasal) ...... Cromolyn (Ophthalmic) ...... Ophthalmic Agent, Mydriatic Lodoxamide ...... Atropine (Ophthalmic) ...... (Aldosterone) Receptor Antagonists Ophthalmic Agent, Toxin Eplerenone ...... OnabotulinumtoxinA ...... Spironolactone ...... Ophthalmic Agent, Vasoconstrictor Miscellaneous Product Naphazoline and Pheniramine ...... Diabetic Supplies ...... Opioid Antagonist Monoclonal Antibody Naloxone ...... Adalimumab ...... Naltrexone ......

9 OTIC AGENT, ANTI-INFECTIVE

Otic Agent, Anti-infective Scabicidal Agent Acetic Acid (Otic) ...... Permethrin ...... Acetic Acid, Propylene Glycol Diacetate, and Hydrocortisone ...... Second Generation (Atypical) Antipsychotic Otic Agent, Cerumenolytic ARIPiprazole ...... Carbamide Peroxide ...... Lurasidone ...... OLANZapine ...... Ovulation Stimulator Paliperidone ...... Chorionic Gonadotropin (Human) ...... QUEtiapine ...... ClomiPHENE ...... RisperiDONE ...... Pediculocide Ziprasidone ...... Permethrin ...... Selective 5-HT3 Receptor Antagonist Pyrethrins and Piperonyl Butoxide ...... Ondansetron ...... Derivative Selective Estrogen Receptor Modulator (SERM) FluPHENAZine ...... ClomiPHENE ...... Prochlorperazine ...... Raloxifene ...... Promethazine ...... Tamoxifen ...... Promethazine and Codeine ...... Thioridazine ...... Serotonin 5-HT1B, 1D Receptor Agonist Eletriptan ...... Phosphate Binder Rizatriptan ...... Calcium Acetate ...... SUMAtriptan ...... Sevelamer ...... ZOLMitriptan ...... Phosphodiesterase-4 Enzyme Inhibitor Shampoo, Pediculocide Roflumilast ...... Pyrethrins and Piperonyl Butoxide ...... Phosphodiesterase-5 Enzyme Inhibitor Skeletal Sildenafil ...... Baclofen ...... Phosphodiesterase Enzyme Inhibitor, Nonselective Cyclobenzaprine ...... Theophylline ...... Dantrolene ...... Metaxalone ...... Derivative Methocarbamol ...... Cetirizine (Systemic) ...... Orphenadrine ...... HydrOXYzine ...... Meclizine ...... Skin and Mucous Membrane Agent Imiquimod ...... Piperidine Derivative Cyproheptadine ...... Skin and Mucous Membrane Agent, Miscellaneous Fexofenadine ...... Emollients ...... Loratadine ...... Smoking Cessation Aid Olopatadine (Ophthalmic) ...... BuPROPion ...... Potassium Binder Sodium-Glucose Cotransporter 2 (SGLT2) Inhibitor Sodium Polystyrene Sulfonate ...... Empagliflozin ...... Progestin Sodium Salt Etonogestrel ...... Sodium Chloride ...... Levonorgestrel (IUD) ...... Levonorgestrel (Systemic) ...... Stool Softener MedroxyPROGESTERone ...... Docusate ...... Megestrol ...... Substituted Norethindrone ...... Omeprazole ...... Progesterone ...... RABEprazole ...... Progestin Receptor Modulator Thioamide Ulipristal ...... MethIMAzole ...... Prostaglandin Propylthiouracil ...... Alprostadil ...... Thyroid Product MiSOPROStol ...... Levothyroxine ...... Prostaglandin, Ophthalmic Liothyronine ...... Bimatoprost ...... Topical Skin Product Latanoprost ...... Aluminum Chloride Hexahydrate ...... Proton Pump Inhibitor Aluminum Sulfate and Calcium Acetate ...... Omeprazole ...... Benzoyl Peroxide ...... RABEprazole ...... Calamine ...... Calcipotriene ...... Camphor and Menthol ...... Aliskiren ...... Capsaicin ...... Aliskiren and Hydrochlorothiazide ...... Clindamycin and Benzoyl Peroxide ...... Rescue Agent (Chemotherapy) Coal Tar ...... Leucovorin Calcium ...... Coal Tar and Salicylic Acid ...... DiphenhydrAMINE (Topical) ...... Retinoic Acid Derivative Doxepin (Topical) ...... ISOtretinoin (Systemic) ...... Emollients ...... Tretinoin (Topical) ...... Erythromycin (Topical) ...... Fluorouracil (Topical) ...... Retinoid-Like Compound Imiquimod ...... Acitretin ...... Lactic Acid and Ammonium Hydroxide ...... Rifamycin Oatmeal (Colloidal) ...... RifAMPin ...... Pimecrolimus ...... Rifapentine ...... Podofilox ...... Selenium Sulfide ...... Salicylate Tacrolimus (Topical) ...... Aspirin ...... Urea (Topical) ...... Salsalate ...... Zinc Oxide ......

10 XANTHINE OXIDASE INHIBITOR

Topical Skin Product, Acne Vasopressin Analog, Synthetic Adapalene ...... Desmopressin ...... Azelaic Acid ...... Benzoyl Peroxide ...... Vitamin Clindamycin and Benzoyl Peroxide ...... Folic Acid, Cyanocobalamin, and Pyridoxine ...... Clindamycin (Topical) ...... Vitamin B Complex Combinations ...... Erythromycin (Topical) ...... (Multiple/Oral) ...... Salicylic Acid ...... Vitamins (Multiple/Pediatric) ...... Vitamins (Multiple/Prenatal) ...... Sulfacetamide (Topical) ...... Tretinoin (Topical) ...... Vitamin D Analog Transient Receptor Potential Vanilloid 1 (TRPV1) Agonist Alendronate and Cholecalciferol ...... Calcipotriene ...... Capsaicin ...... Calcitriol (Systemic) ...... Tumor Necrosis Factor (TNF) Blocking Agent Cholecalciferol ...... Adalimumab ...... Doxercalciferol ...... Ergocalciferol ...... Uricosuric Agent Probenecid ...... Vitamin, Fat Soluble Phytonadione ...... Vasodilator Alprostadil ...... Vitamin, Water Soluble Dipyridamole ...... Cyanocobalamin ...... HydrALAZINE ...... Folic Acid ...... Isosorbide Dinitrate ...... Leucovorin Calcium ...... Isosorbide Dinitrate and Hydralazine ...... Niacin ...... Isosorbide Mononitrate ...... Niacinamide ...... Nitroglycerin ...... Pyridoxine ...... Vasodilator, Direct-Acting Xanthine Oxidase Inhibitor Minoxidil (Systemic) ...... Allopurinol ......

11