NMCSD and NHCP OUTPATIENT FORMULARY Alphabetical Listing by Name

NMCSD AND NHCP OUTPATIENT FORMULARY Alphabetical Listing by Name

This document is current as of July 16, 2020. The availability of formulary items is subject to change.

1 ABACAVIR Abacavir Adalimumab Outpatient Dosage Forms Outpatient Dosage Forms Solution, Oral: Kit, Subcutaneous [preservative free]: Ziagen: 20 mg/mL (240 mL) [contains methylparaben, propylene glycol, Humira: 40 mg/0.8 mL [contains polysorbate 80] [BCF] propylparaben, saccharin sodium; strawberry-banana flavor] Humira Pen: 40 mg/0.8 mL [contains polysorbate 80] [BCF] Tablet, Oral: Humira Pen-Crohns Starter: 40 mg/0.8 mL [contains polysorbate 80] [BCF] Generic: 300 mg Adapalene Abacavir and Lamivudine Outpatient Dosage Forms Outpatient Dosage Forms Cream, External: Tablet, Oral: Generic: 0.1% (45 g) Generic: Abacavir 600 mg and lamivudine 300 mg Gel, External: Generic: 0.1% (45 g) Abacavir, Dolutegravir, and Lamivudine Adefovir Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral: Tablet, oral, as dipivoxil: Triumeq: Abacavir 600 mg, dolutegravir 50 mg, and lamivudine 300 mg Hepsera: 10 mg Abacavir, Lamivudine, and Zidovudine Albendazole Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral: Tablet, Oral: Trizivir: Abacavir sulfate 300 mg, lamivudine 150 mg, and zidovudine 300 mg Albenza: 200 mg Acamprosate Albuterol Outpatient Dosage Forms Outpatient Dosage Forms Tablet Delayed Release, Oral, as calcium: Aerosol Solution, Inhalation: Generic: 333 mg ProAir HFA: 108 (90 Base) mcg/actuation (8.5 g) [BCF] Nebulization Solution, Inhalation: Acetaminophen Generic: 0.083% [2.5 mg/3 mL] (3 mL) [BCF] Outpatient Dosage Forms Nebulization Solution, Inhalation [preservative free]: Elixir, Oral: Generic: 1.25 mg/3 mL (3 mL); 0.083% [2.5 mg/3 mL] (3 mL) [BCF] Generic: 160 mg/5 mL (118 mL) Syrup, Oral: Liquid, Oral: Generic: 2 mg/5 mL (473 mL) Generic: 160 mg/5 mL (118 mL) Tablet, Oral: Suppository, Rectal: Generic: 2 mg Generic: 120 mg (12s, 50s); 650 mg (12s, 50s) Tablet, Oral: Alcohol (Isopropyl) Generic: 325 mg Outpatient Dosage Forms Pad, External: Acetaminophen and Codeine Pharmacist Choice Alcohol: 70% (100 ea) Outpatient Dosage Forms Solution, oral [C-V]: Acetaminophen 120 mg and codeine phosphate 12 mg per Alendronate 5 mL (5 mL, 10 mL, 12.5 mL, 15 mL, 118 mL, 473 mL) Outpatient Dosage Forms Tablet, oral [C-III]: Acetaminophen 300 mg and codeine phosphate Tablet, oral: 5 mg [BCF], 10 mg [BCF], 35 mg [BCF], 70 mg [BCF] 30 mg [BCF] Alfuzosin AcetaZOLAMIDE Outpatient Dosage Forms Outpatient Dosage Forms Tablet, extended release, oral, as hydrochloride: 10 mg [BCF] Capsule, sustained release, oral: Allopurinol Diamox® Sequels®: 500 mg Outpatient Dosage Forms Tablet, oral: 125 mg, 250 mg Tablet, oral: 100 mg [BCF], 300 mg [BCF] Acetic Acid, Propylene Glycol Diacetate, and Hydrocortisone ALPRAZolam Outpatient Dosage Forms Outpatient Dosage Forms Solution, Otic [drops]: Tablet, oral: 0.25 mg, 0.5 mg, 1 mg Generic: Acetic acid 2%, propylene glycol diacetate 3%, and hydrocortisone 1% (10 mL) Alprostadil Outpatient Dosage Forms Acetohydroxamic Acid Kit, Intracavernosal: Outpatient Dosage Forms Edex: 10 mcg, 20 mcg, 40 mcg Tablet, oral: Pellet, Urethral: Lithostat®: 250 mg Muse: 1000 mcg (6 ea) Acitretin Aluminum Acetate Outpatient Dosage Forms Outpatient Dosage Forms Capsule, oral: Powder, for Solution, External: Soriatane®: 10 mg, 25 mg Domeboro: Aluminum sulfate tetradecahydrate 1347 mg and calcium acetate monohydrate 952 mg per packet (12s, 100s) Aclidinium Outpatient Dosage Forms Aluminum Acetate and Acetic Acid Aerosol Powder Breath Activated, Inhalation, as bromide: Outpatient Dosage Forms Solution, Otic:Generic: Aluminum acetate 10% and Tudorza Pressair: 400 mcg/actuation (1 ea) [contains milk protein] acetic acid 2% (60 mL) Acyclovir (Systemic) Aluminum Chloride Hexahydrate Outpatient Dosage Forms Outpatient Dosage Forms Solution, topical: Capsule, Oral: Drysol: 20% (35 mL, 37.5 mL) [contains ethanol 93%] Generic: 200 mg [BCF] Suspension, Oral: Aluminum Hydroxide Generic: 200 mg/5 mL (473 mL) [BCF] Outpatient Dosage Forms Tablet, Oral: Suspension, oral: 320 mg/5 mL (473 mL) Generic: 400 mg [BCF], 800 mg [BCF] Aluminum Hydroxide, Magnesium Hydroxide, and Simethicone Acyclovir (Topical) Outpatient Dosage Forms Outpatient Dosage Forms Liquid, Oral: Ointment, topical: Generic: Aluminum hydroxide 200 mg, magnesium hydroxide 200 mg, and Zovirax®: 5% (30 g) simethicone 20 mg per 5 mL (360 mL) 2 AZATHIOPRINE Amantadine Anastrozole Outpatient Dosage Forms Outpatient Dosage Forms Capsule, Oral, as hydrochloride: Tablet, oral: 1 mg Generic: 100 mg [BCF] Syrup, Oral, as hydrochloride: Apixaban Generic: 50 mg/5 mL (473 mL) [BCF] Outpatient Dosage Forms Tablet, Oral: Amiloride and Hydrochlorothiazide Eliquis: 2.5 mg [BCF], 5 mg [BCF] Outpatient Dosage Forms Eliquis Starter Pack: 5 mg [BCF] Tablet, Oral: 5/50: Amiloride hydrochloride 5 mg and hydrochlorothiazide 50 mg Apraclonidine Outpatient Dosage Forms Aminocaproic Acid Solution, ophthalmic [drops]: 0.5% (5 mL) Outpatient Dosage Forms Iopidine®: 0.5% (5 mL); 1% (0.1 mL) [contains benzalkonium chloride] Solution, Oral: Amicar: 25% (236.5 mL) [contains edetate disodium, methylparaben, propyl- ARIPiprazole paraben, saccharin sodium] Outpatient Dosage Forms Tablet, Oral: Solution, Oral: Generic: 500 mg Generic: 1 mg/mL (150 mL) Tablet, Oral: Amiodarone Generic: 2 mg [BCF], 5 mg [BCF], 10 mg [BCF], 15 mg [BCF], 20 mg [BCF], Outpatient Dosage Forms 30 mg [BCF] Tablet, oral, as hydrochloride: 200 mg [BCF] Armodafinil Amitriptyline Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral: Tablet, Oral, as hydrochloride: Generic: 50 mg, 150 mg, 250 mg Generic: 10 mg [BCF], 25 mg [BCF], 50 mg [BCF], 75 mg [BCF], 100 mg Aspirin AmLODIPine Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Enteric Coated, Oral: Tablet, oral: 2.5 mg [BCF], 5 mg [BCF], 10 mg [BCF] Generic: 81 mg, 325 mg Amlodipine and Benazepril Aspirin and Dipyridamole Outpatient Dosage Forms Outpatient Dosage Forms Capsule, oral: Capsule, variable release, oral: 2.5/10: Amlodipine 2.5 mg and benazepril hydrochloride 10 mg [BCF] Aggrenox®: Aspirin 25 mg [immediate release] and dipyridamole 200 mg 5/10: Amlodipine 5 mg and benazepril hydrochloride 10 mg [BCF] [extended release] 5/20: Amlodipine 5 mg and benazepril hydrochloride 20 mg [BCF] 5/40: Amlodipine 5 mg and benazepril hydrochloride 40 mg [BCF] Atazanavir 10/20: Amlodipine 10 mg and benazepril hydrochloride 20 mg [BCF] Outpatient Dosage Forms 10/40: Amlodipine 10 mg and benazepril hydrochloride 40 mg [BCF] Capsule, Oral, as sulfate: Reyataz: 150 mg, 200 mg, 300 mg Amlodipine and Valsartan Outpatient Dosage Forms Atazanavir and Cobicistat Tablet, Oral: Outpatient Dosage Forms 5/160: Amlodipine 5 mg and valsartan 160 mg Tablet, Oral: 5/320: Amlodipine 5 mg and valsartan 320 mg Evotaz: Atazanavir 300 mg and cobicistat 150 mg 10/160: Amlodipine 10 mg and valsartan 160 mg 10/320: Amlodipine 10 mg and valsartan 320 mg Atenolol Outpatient Dosage Forms Amlodipine, Valsartan, and Hydrochlorothiazide Tablet, oral: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF] Outpatient Dosage Forms Tablet, Oral: AtoMOXetine Amlodipine 5 mg, valsartan 160 mg, and hydrochlorothiazide 12.5 mg Outpatient Dosage Forms Amlodipine 5 mg, valsartan 160 mg, and hydrochlorothiazide 25 mg Capsule, oral: Amlodipine 10 mg, valsartan 160 mg, and hydrochlorothiazide 12.5 mg Strattera®: 10 mg, 18 mg, 25 mg, 40 mg, 60 mg, 80 mg, 100 mg Amlodipine 10 mg, valsartan 160 mg, and hydrochlorothiazide 25 mg AtorvaSTATin Amlodipine 10 mg, valsartan 320 mg, and hydrochlorothiazide 25 mg Outpatient Dosage Forms Amoxicillin Tablet, oral: 10 mg [BCF], 20 mg [BCF], 40 mg [BCF], 80 mg [BCF] Outpatient Dosage Forms Atovaquone Capsule, Oral: Outpatient Dosage Forms Generic: 250 mg [BCF], 500 mg [BCF] Suspension, oral: Suspension Reconstituted, Oral: Mepron®: 750 mg/5 mL (210 mL) [contains benzyl alcohol; citrus flavor] Generic: 125 mg/5 mL (50 mL, 75 mL, 100 mL); 250 mg/5 mL (150 mL) [BCF]; 400 mg/5 mL (50 mL, 75 mL, 100 mL) [BCF] Atovaquone and Proguanil Tablet, Chewable, Oral: Outpatient Dosage Forms Generic: 250 mg Tablet, Oral: Amoxicillin and Clavulanate Generic: Atovaquone 250 mg and proguanil hydrochloride 100 mg Tablet, Oral [pediatric]: Outpatient Dosage Forms Malarone: Atovaquone 62.5 mg and proguanil hydrochloride 25 mg Powder for Suspension, Oral: Augmentin: 125: Amoxicillin 125 mg and clavulanate potassium 31.25 mg per Atropine (Ophthalmic) 5 mL (75 mL, 100 mL, 150 mL) [BCF] Outpatient Dosage Forms Generic: Ointment, Ophthalmic, as sulfate: 200: Amoxicillin 200 mg and clavulanate potassium 28.5 mg per 5 mL (50 Generic: 1% (3.5 g) mL, 75 mL, 100 mL) [BCF] Solution, Ophthalmic, as sulfate [drops]: 400: Amoxicillin 400 mg and clavulanate potassium 57 mg per 5 mL (50 mL, Generic: 1% (5 mL, 15 mL) 75 mL, 100 mL) [BCF] 600: Amoxicillin 600 mg and clavulanate potassium 42.9 mg per 5 mL (75 Auranofin mL, 125 mL, 200 mL) [BCF] Outpatient Dosage Forms Tablet, Oral: Capsule, oral: Generic: Ridaura®: 3 mg [gold 29%] 500: Amoxicillin 500 mg and clavulanate potassium 125 mg [BCF] 875: Amoxicillin 875 mg and clavulanate potassium 125 mg [BCF] AzaTHIOprine Tablet, Extended Release, Oral: Outpatient Dosage Forms Generic: Amoxicillin 1000 mg and clavulanate acid 62.5 mg Tablet, oral: 50 mg 3 AZELASTINE (NASAL) Azelastine (Nasal) Suspension, Ophthalmic: Outpatient Dosage Forms Betoptic-S: 0.25% (15 mL) Solution, intranasal, as hydrochloride [spray]: 0.1% [137 mcg/spray] (30 mL) Bethanechol Azilsartan and Chlorthalidone Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral, as chloride: 10 mg, 25 mg Tablet, Oral: Bicalutamide Edarbyclor: 40/25: Azilsartan medoxomil 40 mg and chlorthalidone 25 mg Outpatient Dosage Forms Edarbyclor: 40/12.5: Azilsartan medoxomil 40 mg and chlorthalidone 12.5 mg Tablet, oral: 50 mg Azithromycin (Systemic) Bictegravir, Emtricitabine, and Tenofovir Alafenamide Outpatient Dosage Forms Outpatient Dosage Forms Powder for suspension, oral, as dihydrate [strength expressed as base]: Tablet, Oral: 200 mg/5 mL (15 mL); 1 g/packet (10s) [BCF] Biktarvy: Bictegravir 50 mg, emtricitabine 200 mg, and tenofovir alafena- Powder for suspension, oral, as monohydrate [strength expressed as base]: mide 25 mg 100 mg/5 mL (15 mL) [BCF] Tablet, oral, as dihydrate [strength expressed as base]: 250 mg [BCF], Bimatoprost 500 mg [BCF] Outpatient Dosage Forms Solution, Ophthalmic [drops]: Bacitracin and Polymyxin B (Ophthalmic) Lumigan: 0.01% (5 mL); 0.03% (5 mL) [contains benzalkonium chloride] Outpatient Dosage Forms Ointment, ophthalmic: Bacitracin 500 units and polymyxin B 10,000 units per g Bisacodyl (3.5 g) Outpatient Dosage Forms Suppository, rectal: 10 mg (500s) Bacitracin and Polymyxin B (Topical) Tablet, enteric coated, oral: 5 mg Outpatient Dosage Forms Ointment, topical: Bacitracin 500 units and polymyxin B 10,000 units per g Bismuth Subcitrate, Metronidazole, and Tetracycline (30 g) Outpatient Dosage Forms Capsule: Bacitracin, Neomycin, and Polymyxin B (Topical) Pylera: Bismuth subcitrate potassium 140 mg, metronidazole 125 mg, and Outpatient Dosage Forms tetracycline hydrochloride 125 mg Ointment, External: Bacitracin 400 units, neomycin 3.5 mg, and polymyxin B 5000 units per g Bismuth Subsalicylate (0.9 g, 15 g, 30 g) Outpatient Dosage Forms Tablet, chewable, oral, as subsalicylate: 262 mg Bacitracin (Ophthalmic) Outpatient Dosage Forms Brimonidine and Timolol Ointment, Ophthalmic: Outpatient Dosage Forms Generic: 500 units/g (3.5 g) Solution, Ophthalmic [drops]: Combigan: Brimonidine tartrate 0.2% and timolol 0.5% (5 mL,10 mL) [contains Bacitracin (Topical) benzalkonium chloride] Outpatient Dosage Forms Ointment, External, as zinc [strength expressed as base]: Brimonidine (Ophthalmic) Generic: 500 units/g (0.9 g, 15 g, 30 g) Outpatient Dosage Forms Solution, Ophthalmic, as tartrate [drops]: Baclofen Generic: 0.15% (5 mL, 10 mL, 15 mL) [BCF]; 0.2% (15 mL) [BCF] Outpatient Dosage Forms Tablet, oral: 10 mg, 20 mg Budesonide (Oral Inhalation) Outpatient Dosage Forms Belladonna and Opium Suspension, for nebulization: 0.25 mg/2 mL (30s); 0.5 mg/2 mL (30s) Outpatient Dosage Forms Bumetanide Suppository, rectal: Belladonna extract 16.2 mg and opium 60 mg (12s) Outpatient Dosage Forms Benazepril Tablet, oral: 1 mg Outpatient Dosage Forms BuPROPion Tablet, Oral, as hydrochloride: Outpatient Dosage Forms Generic: 20 mg Tablet, Oral, as hydrochloride: Benzocaine Generic: 75 mg [BCF], 100 mg [BCF] Outpatient Dosage Forms Tablet Sustained Release 12 Hour, Oral, as hydrochloride: Aerosol, spray, topical: Generic: 100 mg [BCF] , 150 mg [BCF], 200 mg [BCF] Dermoplast Pain Relieving: 20% (60 mL) [contains menthol] Tablet Extended Release 24 Hour, Oral, as hydrochloride: Generic: 300 mg [BCF] Benzonatate BusPIRone Outpatient Dosage Forms Outpatient Dosage Forms Capsule, softgel, oral: 100 mg Tablet, Oral, as hydrochloride: Benzoyl Peroxide Generic: 5 mg [BCF], 10 mg [BCF], 15 mg [BCF] Outpatient Dosage Forms Busulfan Gel, External: Outpatient Dosage Forms Generic: 5% (42.5 g); 10% (42.5 g, 60 g) Tablet, oral: Liquid, External [wash/water based]: Myleran®: 2 mg [scored] Generic: 5% (237 g) Butalbital, Acetaminophen, and Caffeine Benztropine Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: Butalbital 50 mg, acetaminophen 325 mg, and caffeine 40 mg Tablet, oral, as mesylate: 0.5 mg [BCF], 1 mg [BCF], 2 mg [BCF] [BCF] Betamethasone (Topical) Butalbital, Aspirin, and Caffeine Outpatient Dosage Forms Outpatient Dosage Forms Cream, External, as dipropionate [strength expressed as base]: Capsule, oral: Butalbital 50 mg, aspirin 325 mg, and caffeine 40 mg Generic: 0.05% (45 g) Lotion, External, as dipropionate [strength expressed as base]: Butorphanol Generic: 0.05% (60 mL) Outpatient Dosage Forms Solution, intranasal, as tartrate [spray]: 10 mg/mL (2.5 mL) Betaxolol (Ophthalmic) Outpatient Dosage Forms Cabergoline Solution, Ophthalmic: Outpatient Dosage Forms Generic: 0.5% (5 mL, 10 mL, 15 mL) Tablet, oral: 0.5 mg 4 CHLORPROMAZINE Caffeine Carisoprodol Outpatient Dosage Forms Outpatient Dosage Forms Solution, Oral, as citrate [preservative free]: Tablet, oral: 350 mg Generic: 60 mg/3 mL (3 mL) [equivalent to 10 mg/mL caffeine base] Carvedilol Calamine Outpatient Dosage Forms Outpatient Dosage Forms Capsule Extended Release 24 Hour, Oral, as phosphate: Suspension, topical: 8% (118 mL) Coreg CR: 10 mg, 20 mg Tablet, Oral: Calcipotriene Generic: 3.125 mg [BCF], 6.25 mg [BCF], 12.5 mg [BCF], 25 mg [BCF] Outpatient Dosage Forms Cream, topical: 0.005% (60 g) Cefdinir Ointment, topical: 0.005% (60 g) Outpatient Dosage Forms Solution, topical: 0.005% (60 mL) Capsule, Oral: Generic: 300 mg Calcipotriene and Betamethasone Suspension Reconstituted, Oral: Outpatient Dosage Forms Generic: 125 mg/5 mL (100 mL); 250 mg/5 mL (100 mL) Ointment, External: Taclonex: Calcipotriene 0.005% and betamethasone dipropionate Cefixime 0.064% (60 g) Outpatient Dosage Forms Suspension, External: Capsule, Oral: Taclonex: Calcipotriene 0.005% and betamethasone dipropionate 0.064% (60 Suprax: 400 mg mL) [contains castor oil] Powder for suspension, oral, as trihydrate: Suprax: 100 mg/5 mL (50 mL) [contains sodium benzoate; strawberry flavor] Calcitriol (Systemic) Outpatient Dosage Forms Cefpodoxime Capsule, Oral: Outpatient Dosage Forms Generic: 0.25 mcg, 0.5 mcg Tablet, Oral: Solution, Oral: Generic: 200 mg Generic: 1 mcg/mL (15 mL) Cefuroxime Calcium Acetate Outpatient Dosage Forms Outpatient Dosage Forms Suspension Reconstituted, Oral, as axetil [strength expressed as base]: Gelcap, oral: 667 mg [equivalent to elemental calcium 169 mg (8.45 mEq)] Ceftin: 125 mg/5 mL (100 mL) Tablet, Oral, as axetil [strength expressed as base]: Calcium and Vitamin D Generic: 250 mg Outpatient Dosage Forms Tablet, oral: Calcium 600 mg and vitamin D 400 units Celecoxib Outpatient Dosage Forms Candesartan Capsule, Oral: Outpatient Dosage Forms CeleBREX: 100 mg, 200 mg, 400 mg Tablet, Oral, as cilexetil: Generic: 16 mg, 32 mg Cephalexin Outpatient Dosage Forms Capecitabine Capsule, Oral: Outpatient Dosage Forms Generic: 250 mg [BCF], 500 mg [BCF] Tablet, oral: Suspension Reconstituted, Oral: Xeloda: 150 mg, 500 mg Generic: 125 mg/5 mL (100 mL, 200 mL); 250 mg/5 mL (100 mL, 200 mL) [BCF] Capsaicin Outpatient Dosage Forms Cetirizine (Systemic) Cream, External: Outpatient Dosage Forms Generic: 0.025% (60 g) Syrup, oral, as hydrochloride: 1 mg/mL Tablet, oral, as hydrochloride: 10 mg Captopril Outpatient Dosage Forms Charcoal, Activated Tablet, Oral: Outpatient Dosage Forms Generic: 12.5 mg [BCF], 25 mg [BCF], 50 mg [BCF], 100 mg [BCF] Suspension, oral: Actidose®-Aqua: 50 g (240 mL) Carbachol Suspension, oral [with sorbitol]: Outpatient Dosage Forms Actidose® with Sorbitol: 25 g (120 mL) [contains sorbitol] Solution, ophthalmic: Isopto® Carbachol: 3% (15 mL) [contains benzalkonium chloride] Chlorambucil Outpatient Dosage Forms CarBAMazepine Tablet, oral: Outpatient Dosage Forms Leukeran®: 2 mg Suspension, oral: 100 mg/5 mL (10 mL, 450 mL) [BCF] Tablet, oral: 200 mg [BCF] ChlordiazePOXIDE Tablet, chewable, oral: 100 mg [BCF] Outpatient Dosage Forms Tablet, extended release, oral: 200 mg, 400 mg [BCF] Capsule, Oral, as hydrochloride: TEGretol®-XR: 100 mg, 400 mg [BCF] Generic: 10 mg, 25 mg Carbamide Peroxide Chlorhexidine Gluconate (Oral) Outpatient Dosage Forms Outpatient Dosage Forms Solution, otic [drops]: 6.5% (15 mL) Solution, Mouth/Throat: Generic: 0.12% (473 mL) [BCF] Carbidopa and Levodopa Outpatient Dosage Forms Chlorhexidine Gluconate (Topical) Tablet, oral: Outpatient Dosage Forms 10/100: Carbidopa 10 mg and levodopa 100 mg [BCF] Liquid, External: 25/100: Carbidopa 25 mg and levodopa 100 mg [BCF] Generic: 4% (118 mL) 25/250: Carbidopa 25 mg and levodopa 250 mg [BCF] Tablet, extended release, oral: Chlorpheniramine 25/100: Carbidopa 25 mg and levodopa 100 mg Outpatient Dosage Forms 50/200: Carbidopa 50 mg and levodopa 200 mg Tablet, oral, as maleate: 4 mg Carboxymethylcellulose ChlorproMAZINE Outpatient Dosage Forms Outpatient Dosage Forms Solution, ophthalmic, as sodium [drops, preservative free]: Tablet, Oral, as hydrochloride: Refresh Celluvisc: 1% (0.4 mL) Generic: 25 mg, 50 mg, 100 mg, 200 mg 5 CHLORTHALIDONE Chlorthalidone Lotion, External, as phosphate [strength expressed as base]: Outpatient Dosage Forms Generic: 1% (60 mL) Tablet, Oral: Solution, External, as phosphate [strength expressed as base]: Generic: 25 mg [BCF], 50 mg [BCF] Generic: 1% (30 mL, 60 mL) [BCF] Suppository, Vaginal, as phosphate [strength expressed as base]: Cholecalciferol Cleocin: 100 mg (3 ea) Outpatient Dosage Forms Liquid, Oral: Clioquinol and Hydrocortisone Generic: 400 units/mL (50 mL, 52.5 mL) Outpatient Dosage Forms Cream, External: Cholestyramine Resin Ala-Quin: Clioquinol 3% and hydrocortisone 0.5% (28.4 g, 80 g) Outpatient Dosage Forms Powder, Oral: CloBAZam Questran: 4 g/dose (378 g) [orange flavor] Outpatient Dosage Forms Questran Light: 4 g/dose (210 g) [sugar free; contains aspartame; orange Suspension, Oral: flavor] Generic: 2.5 mg/mL (120 mL) Generic: 4 g/dose (210 g) Tablet, Oral: Generic: 10 mg, 20 mg Cilostazol Outpatient Dosage Forms Clobetasol Tablet, oral: 50 mg, 100 mg Outpatient Dosage Forms Cream, External, as propionate: Cinacalcet Generic: 0.05% (15 g, 30 g, 60 g) Outpatient Dosage Forms Foam, External, as propionate: Tablet, Oral: Generic: 0.05% (50 g, 100 g) Sensipar: 30 mg, 60 mg, 90 mg Gel, External, as propionate: Ciprofloxacin and Dexamethasone Generic: 0.05% (15 g, 30 g) Lotion, External, as propionate: Outpatient Dosage Forms Generic: 0.05% (59 mL, 118 mL) Suspension, otic: Ointment, External, as propionate: Ciprodex®: Ciprofloxacin 0.3% and dexamethasone 0.1% (7.5 mL) [contains Generic: 0.05% (15 g, 30 g, 45 g, 60 g) [BCF] benzalkonium chloride] Shampoo, External, as propionate: Ciprofloxacin (Ophthalmic) Generic: 0.05% (118 mL) Outpatient Dosage Forms Solution, External, as propionate [for scalp application]: Ointment, Ophthalmic, as hydrochloride: Generic: 0.05% (25 mL, 50 mL) Ciloxan: 0.3% (3.5 g) Clocortolone Solution, Ophthalmic, as hydrochloride: Generic: 0.3% (2.5 mL, 5 mL) Outpatient Dosage Forms Cream, External, as pivalate: Ciprofloxacin (Systemic) Generic: 0.1% (45 g, 75 g, 90 g) Outpatient Dosage Forms Suspension Reconstituted, Oral: ClomiPHENE Cipro: 250 mg/5 mL (100 mL) [contains sucrose 1.4 g/5 mL; strawberry Outpatient Dosage Forms flavor] [BCF] Tablet, oral, as citrate: 50 mg Cipro: 500 mg/5 mL (100 mL) [contains sucrose 1.3 g/5 mL; strawberry flavor] ClomiPRAMINE Tablet, Oral, as hydrochloride [strength expressed as base]: Generic: 250 mg [BCF], 500 mg [BCF], 750 mg Outpatient Dosage Forms Capsule, oral, as hydrochloride: 25 mg, 50 mg Citalopram Outpatient Dosage Forms ClonazePAM Solution, Oral: Outpatient Dosage Forms Generic: 10 mg/5 mL (240 mL) [BCF] Tablet, oral: 0.5 mg [BCF], 1 mg, 2 mg Tablet, Oral: CloNIDine Generic: 10 mg [BCF], 20 mg [BCF], 40 mg [BCF] Outpatient Dosage Forms Clarithromycin Patch, transdermal: 0.1 mg/24 hours (4s); 0.2 mg/24 hours (4s); 0.3 mg/24 Outpatient Dosage Forms hours (4s) Suspension Reconstituted, Oral: Tablet, oral, as hydrochloride: 0.1 mg [BCF], 0.2 mg [BCF], 0.3 mg [BCF] Generic: 125 mg/5 mL (50 mL, 100 mL) Tablet, Oral: Clopidogrel Generic: 250 mg, 500 mg Outpatient Dosage Forms Tablet Extended Release 24 Hour, Oral: Tablet, oral: 75 mg [BCF], 300 [BCF] Generic: 500 mg Clorazepate Clidinium and Chlordiazepoxide Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral, as dipotassium: Capsule, Oral: Generic: 3.75 mg, 7.5 mg, 15 mg Clidinium bromide 2.5 mg and chlordiazepoxide hydrochloride 5 mg Clotrimazole (Oral) Clindamycin and Benzoyl Peroxide Outpatient Dosage Forms Outpatient Dosage Forms Troche, oral: 10 mg Gel, topical: Duac: Clindamycin phosphate 1.2% and benzoyl peroxide 5% (45 g) [BCF] Clotrimazole (Topical) Clindamycin phosphate 1.2% and benzoyl peroxide 5% (45 g) [BCF] Outpatient Dosage Forms Cream, External: Clindamycin (Systemic) Generic: 1% (15 g, 30 g) Outpatient Dosage Forms Cream, Vaginal: Capsule, Oral, as hydrochloride [strength expressed as base]: Generic: 1% (45 g) Generic: 150 mg [BCF], 300 mg Solution Reconstituted, Oral, as palmitate hydrochloride [strength expressed as Coal Tar and Salicylic Acid base]: Outpatient Dosage Forms Generic: 75 mg/5 mL (100 mL) Gel, topical [shampoo]: Tarsum: Coal tar solution 10% [equivalent to coal tar 2%] and salicylic acid 5% Clindamycin (Topical) (120 mL) Outpatient Dosage Forms Cream, Vaginal, as phosphate [strength expressed as base]: Cobicistat Generic: 2% (40 g) [BCF] Outpatient Dosage Forms Gel, External, as phosphate [strength expressed as base]: Tablet, Oral: Generic: 1% (30 g, 60 g) Tybost: 150 mg 6 DIABETIC SUPPLIES Codeine Tablet, Oral: Outpatient Dosage Forms Prezista: 600 mg, 800 mg Tablet, oral, as sulfate: 30 mg Darunavir and Cobicistat Colchicine Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral: Tablet, oral: 0.6 mg Prezcobix: Darunavir 800 mg and cobicistat 150 mg Colestipol Desipramine Outpatient Dosage Forms Outpatient Dosage Forms Granules, Oral, as hydrochloride: Tablet, Oral, as hydrochloride: Generic: 5 g/5 g scoop (500 g) Generic: 25 mg, 50 mg, 75 mg, 150 mg Tablet, Oral, as hydrochloride: Generic: 1 g Desmopressin Outpatient Dosage Forms Cortisone Solution, Nasal, as acetate: Outpatient Dosage Forms Stimate: 1.5 mg/mL (2.5 mL) [contains benzalkonium chloride] Tablet, oral, as acetate: 25 mg Generic: 0.1 mg/mL (2.5 mL, 5 mL) Cromolyn (Ophthalmic) Desonide Outpatient Dosage Forms Outpatient Dosage Forms Solution, Ophthalmic, as sodium: Cream, topical: 0.05% (15 g, 60 g) Generic: 4% (10 mL) Ointment, topical: 0.05% (60 g) Crotamiton Desoximetasone Outpatient Dosage Forms Outpatient Dosage Forms Cream, External: Cream, topical: 0.05% (15 g, 60 g); 0.25% (15 g, 60 g) Eurax: 10% (60 g) DexAMETHasone (Systemic) Cyanocobalamin Outpatient Dosage Forms Outpatient Dosage Forms Elixir, oral: 0.5 mg/5 mL (237 mL) Injection, solution: 1000 mcg/mL (1 mL) Tablet, oral: 0.5 mg, 0.75 mg, 2 mg, 4 mg Cyclobenzaprine Dexmethylphenidate Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral, as hydrochloride: 10 mg [BCF] Capsule Extended Release 24 Hour, Oral, as hydrochloride: Generic: 5 mg, 10 mg, 15 mg, 20 mg, 25 mg, 30 mg, 35 mg, 40 mg Cyclopentolate Tablet, Oral, as hydrochloride: Outpatient Dosage Forms Generic: 2.5 mg, 10 mg Solution, Ophthalmic, as hydrochloride [drops]: Generic: 1% (15 mL), 2% (2 mL, 5 mL, 15 mL) Dextroamphetamine Outpatient Dosage Forms Cyclopentolate and Phenylephrine Capsule, Extended Release, Oral, as sulfate: Outpatient Dosage Forms Generic: 5 mg, 10 mg, 15 mg Solution, ophthalmic [drops]: Cyclomydril®: Cyclopentolate hydrochloride 0.2% and phenylephrine hydro- Dextroamphetamine and Amphetamine chloride 1% (5 mL) [contains benzalkonium chloride] Outpatient Dosage Forms Capsule, extended release, oral: Cyclophosphamide 5 mg [dextroamphetamine sulfate 1.25 mg, dextroamphetamine saccharate Outpatient Dosage Forms 1.25 mg, amphetamine aspartate monohydrate 1.25 mg, amphetamine sul- Capsule, Oral: fate 1.25 mg (equivalent to amphetamine base 3.1 mg)] [BCF] Generic: 25 mg, 50 mg 10 mg [dextroamphetamine sulfate 2.5 mg, dextroamphetamine saccharate 2.5 mg, amphetamine aspartate monohydrate 2.5 mg, amphetamine sulfate CycloSPORINE (Ophthalmic) 2.5 mg (equivalent to amphetamine base 6.3 mg)] [BCF] Outpatient Dosage Forms 15 mg [dextroamphetamine sulfate 3.75 mg, dextroamphetamine saccharate Emulsion, ophthalmic [drops, preservative free]: 3.75 mg, amphetamine aspartate monohydrate 3.75 mg, amphetamine sul- Restasis: 0.05% (0.4 mL) [contains castor oil] fate 3.75 mg (equivalent to amphetamine base 9.4 mg)] [BCF] CycloSPORINE (Systemic) 20 mg [dextroamphetamine sulfate 5 mg, dextroamphetamine saccharate 5 mg, amphetamine aspartate monohydrate 5 mg, amphetamine sulfate Outpatient Dosage Forms 5 mg (equivalent to amphetamine base 12.5 mg)] [BCF] Capsule, Softgel, Oral [modified]: 25 mg [dextroamphetamine sulfate 6.25 mg, dextroamphetamine saccharate Generic: 25 mg, 100 mg 6.25 mg, amphetamine aspartate monohydrate 6.25 mg, amphetamine sul- Capsule, softgel, oral [non-modified]: fate 6.25 mg (equivalent to amphetamine base 15.6 mg)] [BCF] SandIMMUNE: 100 mg [contains corn oil, dehydrated ethanol 12.7%] 30 mg [dextroamphetamine sulfate 7.5 mg, dextroamphetamine saccharate Solution, Oral: 7.5 mg, amphetamine aspartate monohydrate 7.5 mg, amphetamine sulfate Gengraf: 100 mg/mL (50 mL) [contains propylene glycol] 7.5 mg (equivalent to amphetamine base 18.8 mg)] [BCF] Neoral: 100 mg/mL (50 mL) [contains alcohol, usp] Tablet, oral: Generic: 100 mg/mL (50 mL) 5 mg [dextroamphetamine sulfate 1.25 mg, dextroamphetamine saccharate Cyproheptadine 1.25 mg, amphetamine aspartate monohydrate 1.25 mg, amphetamine sul- Outpatient Dosage Forms fate 1.25 mg (equivalent to amphetamine base 3.13 mg)] Syrup, Oral, as hydrochloride: 10 mg [dextroamphetamine sulfate 2.5 mg, dextroamphetamine saccharate Generic: 2 mg/5 mL (473 mL) [BCF] 2.5 mg, amphetamine aspartate monohydrate 2.5 mg, amphetamine sulfate Tablet, Oral, as hydrochloride: 2.5 mg (equivalent to amphetamine base 6.3 mg)] Generic: 4 mg [BCF] 15 mg [dextroamphetamine sulfate 3.75 mg, dextroamphetamine saccharate 3.75 mg, amphetamine aspartate monohydrate 3.75 mg, amphetamine sul- Dabigatran Etexilate fate 3.75 mg (equivalent to amphetamine base 9.4 mg)] Outpatient Dosage Forms 20 mg [dextroamphetamine sulfate 5 mg, dextroamphetamine saccharate Capsule, oral: 5 mg, amphetamine aspartate monohydrate 5 mg, amphetamine sulfate Pradaxa: 75 mg, 150 mg 5 mg (equivalent to amphetamine base 12.6 mg)] Dapsone (Systemic) Dextrose Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: 25 mg, 100 mg Gel, Oral: Insta-Glucose: 77.4% (31 g) Darunavir Outpatient Dosage Forms Diabetic Supplies Suspension, Oral: Outpatient Dosage Forms Prezista: 100 mg/mL (200 mL) [contains methylparaben sodium; strawberry Device: cream flavor] NovoPen Echo: (1 ea) 7 DIABETIC SUPPLIES Glucose meter: Diphenoxylate and Atropine FreeStyle Lite Glucometer [BCF] Outpatient Dosage Forms Precision Xtra Solution, Oral: Lancet: Generic: Diphenoxylate hydrochloride 2.5 mg and atropine sulfate 0.025 mg Freestyle 28G (100 ea) per 5 mL (60 mL) Syringe and needle: Tablet, oral: BD Syringe 0.3 mL 31 gauge x 5/16" (100 ea) Generic: 2.5/0.025: Diphenoxylate hydrochloride 2.5 mg and atropine sulfate BD Syringe 0.5 mL (30 gauge x 1/2") (100 ea) 0.025 mg BD Syringe 0.5 mL (31 gauge x 5/16") (100 ea) BD Syringe 1 mL (30 gauge x 1/2") (100 ea) Dipyridamole BD Syringe 1 mL (31 gauge x 5/16") (100 ea) [BCF] Outpatient Dosage Forms BD LUER-LOCK Syringe 3 mL (22 gauge X 1") (IM USE) Tablet, Oral: Monoject TB Syringe: 1 mL Generic: 25 mg, 50 mg, 75 mg Sure Comfort Pen Needles (18 gauge - 1") Disopyramide Sure Comfort Pen Needles (30 gauge - 8 mm) Outpatient Dosage Forms Sure Comfort Pen Needles (31 gauge - 5 mm) Capsule, oral: 100 mg, 150 mg Sure Comfort Pen Needles (31 gauge - 8 mm) Capsule, controlled release, oral: Sure Comfort Pen Needles (32 gauge X 5/32" (4 mm)) Norpace® CR: 100 mg, 150 mg Sure Comfort Pen Needles (32 gauge - 6 mm) Test Strips: Disulfiram FreeStyle Lite: 50/box, 100/box [BCF] Outpatient Dosage Forms Precision Xtra Blood Glucose Test Strips [BCF] Tablet, oral: 250 mg Precision Xtra Blood Ketone Test Strips: 10/box Precision Xtra Urine Ketone Test Strips Docusate Outpatient Dosage Forms DiazePAM Capsule, softgel, oral, as sodium: Outpatient Dosage Forms Generic: 100 mg Solution, Oral: Liquid, oral, as sodium: Generic: 5 mg/5 mL (500 mL) Generic: 50 mg/5 mL (10 mL) Tablet, Oral: Generic: 2 mg, 5 mg [BCF], 10 mg Dolutegravir Outpatient Dosage Forms Dibucaine Tablet, Oral: Outpatient Dosage Forms Tivicay: 50 mg Ointment, External: Generic: 1% [10 mg/g] (30 g) Donepezil Outpatient Dosage Forms Diclofenac (Ophthalmic) Tablet, oral, as hydrochloride: 5 mg, 10 mg Outpatient Dosage Forms Dorzolamide Solution, ophthalmic, as sodium [drops]: 0.1% (5 mL) Outpatient Dosage Forms Diclofenac (Systemic) Solution, ophthalmic [drops]: 2% (10 mL) Outpatient Dosage Forms Dorzolamide and Timolol Tablet Delayed Release, Oral, as sodium: Outpatient Dosage Forms Generic: 50 mg, 75 mg Solution, ophthalmic [drops]: Tablet Extended Release 24 Hour, Oral, as sodium: Cosopt: Dorzolamide 2% [20 mg/mL] and timolol 0.5% [5 mg/mL] (10 mL) Generic: 100 mg [contains benzalkonium chloride] Diclofenac (Topical) Generic: Dorzolamide 2% [20 mg/mL] and timolol 0.5% [5 mg/mL] (10 mL) Outpatient Dosage Forms Doxazosin Gel, Transdermal, as sodium: Outpatient Dosage Forms Voltaren: 1% (100 g) [contains isopropyl alcohol] Tablet, oral: 1 mg, 2 mg, 4 mg, 8 mg Dicloxacillin Doxepin (Systemic) Outpatient Dosage Forms Outpatient Dosage Forms Capsule, Oral: Capsule, Oral: Generic: 250 mg [BCF], 500 mg [BCF] Generic: 10 mg [BCF], 25 mg [BCF], 50 mg [BCF], 75 mg [BCF] Dicyclomine Concentrate, Oral: Generic: 10 mg/mL (118 mL) [BCF] Outpatient Dosage Forms Tablet, Oral: Capsule, oral, as hydrochloride: 10 mg [BCF] Silenor: 3 mg, 6 mg Tablet, oral, as hydrochloride: 20 mg [BCF] Doxycycline Diethylpropion Outpatient Dosage Forms Outpatient Dosage Forms Capsule, Oral, as hyclate [strength expressed as base]: Tablet, Oral, as hydrochloride: Generic: 100 mg [BCF] Generic: 25 mg Capsule, Oral, as monohydrate [strength expressed as base]: Digoxin Generic: 100 mg Tablet, Oral, as hyclate [strength expressed as base]: Outpatient Dosage Forms Generic: 20 mg, 100 mg [BCF] Solution, oral: 50 mcg/mL (60 mL) Tablet, oral: 125 mcg [BCF], 250 mcg [BCF] Doxylamine DilTIAZem Outpatient Dosage Forms Tablet, Oral, as succinate: Outpatient Dosage Forms Sleep Aid: 25 mg [scored] [BCF] Capsule, Extended Release, Oral, as hydrochloride [once-daily dosing]: Generic: 120 mg [BCF], 180 mg [BCF], 240 mg [BCF], 300 mg [BCF], Dronabinol 360 mg [BCF] , 420 mg [BCF] Outpatient Dosage Forms Ointment, External: 2%, compounded by pharmacy Capsule, soft gelatin, oral: Tablet, Oral, as hydrochloride: Generic: 2.5 mg [contains sesame oil], 5 mg [contains sesame oil] Generic: 30 mg, 60 mg, 90 mg, 120 mg Dulaglutide DiphenhydrAMINE (Systemic) Outpatient Dosage Forms Outpatient Dosage Forms Solution Pen-injector, Subcutaneous [preservative free]: Capsule, oral, as hydrochloride: 25 mg, 50 mg Trulicity: 0.75 mg/0.5 mL (0.5 mL); 1.5 mg/0.5 mL (0.5 mL) [contains poly- Elixir, oral, as hydrochloride: 12.5 mg/5 mL (120 mL) sorbate 80] 8 ERYTHROMYCIN (TOPICAL) DULoxetine mL) [BCF]; 120 mg/0.8 mL (0.8 mL) [BCF]; 150 mg/mL (1 mL) [BCF] Outpatient Dosage Forms [prefilled syringe] Capsule Delayed Release Particles, Oral: Entecavir Generic: 20 mg, 30 mg, 60 mg Outpatient Dosage Forms Efavirenz Tablet, oral: Outpatient Dosage Forms Baraclude: 1 mg Capsule, Oral: Sustiva: 200 mg Enzalutamide Tablet, Oral: Outpatient Dosage Forms Sustiva: 600 mg Capsule, Oral: Xtandi: 40 mg Efavirenz, Emtricitabine, and Tenofovir Disoproxil Fumarate Outpatient Dosage Forms Epinastine Tablet, oral: Outpatient Dosage Forms Atripla: Efavirenz 600 mg, emtricitabine 200 mg, and tenofovir disoproxil Solution, Ophthalmic, as hydrochloride: fumarate 300 mg Generic: 0.05% (5 mL) Eletriptan EPINEPHrine (Systemic) Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral: Injection, solution: Generic: 20 mg, 40 mg EpiPen Jr 2-Pak®: 0.15 mg/0.3 mL (2 mL) [contains sodium metabisulfite; Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir 1:2000 solution; delivers 0.15 mg per injection] Alafenamide Twinject®: 0.15 mg/0.15 mL (1.1 mL) [contains chlorobutanol, sodium bisulfite; 1:1000 solution; delivers 0.15 mg per injection] Outpatient Dosage Forms Twinject®: 0.3 mg/0.3 mL (1.1 mL) [contains chlorobutanol, sodium bisulfite; Tablet, Oral: 1:1000 solution; delivers 0.3 mg per injection] Genvoya: Elvitegravir 150 mg, cobicistat 150 mg, emtricitabine 200 mg, and tenofovir alafenamide 10 mg [Formulary with ID keys only] Eplerenone Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Disoproxil Outpatient Dosage Forms Fumarate Tablet, Oral: Outpatient Dosage Forms Generic: 25 mg, 50 mg Tablet, oral: Epoetin Alfa Stribild: Elvitegravir 150 mg, cobicistat 150 mg, emtricitabine 200 mg, and Outpatient Dosage Forms tenofovir disoproxil fumarate 300 mg Injection, solution: Emollients Epogen®: 10,000 units/mL (2 mL); 20,000 units/mL (1 mL) [contains albumin Outpatient Dosage Forms (human), benzyl alcohol] Emulsion, topical: 45 g Procrit®: 20,000 units/mL (1 mL) [contains albumin (human), benzyl alcohol] Lotion, topical: 226 mL, 240 mL, 473 mL Injection, solution [preservative free]: Ointment, topical: 50 g, 114 g, 226 g, 396 g, 454 g Epogen®: 2000 units/mL (1 mL); 3000 units/mL (1 mL); 4000 units/mL (1 mL); Paste: 58.3% (60 g) 10,000 units/mL (1 mL) [contains albumin (human)] Procrit®: 2000 units/mL (1 mL); 4000 units/mL (1 mL); 10,000 units/mL (1 mL); Empagliflozin 40,000 units/mL (1 mL) [contains albumin (human)] Outpatient Dosage Forms Tablet, Oral: Erenumab Jardiance: 10 mg, 25 mg Outpatient Dosage Forms Emtricitabine Solution Auto-injector, Subcutaneous [preservative free]: Aimovig: 70 mg/mL (1 mL) [contains polysorbate 80] Outpatient Dosage Forms Aimovig 140 Dose: 70 mg/mL (1 mL) [contains polysorbate 80] Capsule, oral: Emtriva: 200 mg Ergocalciferol Emtricitabine and Tenofovir Alafenamide Outpatient Dosage Forms Outpatient Dosage Forms Solution, Oral [drops]: Tablet, Oral: Drisdol: 8000 units/mL (60 mL) [contains propylene glycol; 200 mcg/mL, OTC] Descovy: Emtricitabine 200 mg and tenofovir alafenamide 25 mg Ergotamine and Caffeine Emtricitabine and Tenofovir Disoproxil Fumarate Outpatient Dosage Forms Outpatient Dosage Forms Suppository, rectal: Tablet, Oral: Migergot®: Ergotamine tartrate 2 mg and caffeine 100 mg (12s) Truvada: Emtricitabine 200 mg and tenofovir disoproxil fumarate 300 mg Tablet, oral: Ergotamine tartrate 1 mg and caffeine 100 mg [gluten free] Erythromycin (Ophthalmic) Emtricitabine, Rilpivirine, and Tenofovir Alafenamide Outpatient Dosage Forms Outpatient Dosage Forms Ointment, Ophthalmic: Tablet, Oral: Generic: 5 mg/g (1 g, 3.5 g) [BCF] Odefsey: Emtricitabine 200 mg, rilpivirine 25 mg, and tenofovir alafenamide 25 mg Erythromycin (Systemic) Outpatient Dosage Forms Emtricitabine, Rilpivirine, and Tenofovir Disoproxil Fumarate Granules for suspension, oral, as ethylsuccinate: Outpatient Dosage Forms E.E.S.: Erythromycin activity 200 mg/5 mL (100 mL) [contains sodium 25.9 mg Tablet, oral: (1.1 mEq)/5 mL; cherry flavor] [BCF] Complera: Emtricitabine 200 mg, relpivirine 25 mg, and tenofovir disoproxil Suspension Reconstituted, Oral, as ethylsuccinate: fumarate 300 mg EryPed: Erythromycin activity 200 mg/5 mL (100 mL) [contains sodium Enalapril 117.5 mg (5.1 mEq)/5 mL; fruit flavor] [BCF] Outpatient Dosage Forms Tablet, Oral, as stearate: Solution, Oral, as maleate: Erythrocin Stearate: 250 mg [BCF] , 500 mg Epaned: 1 mg/mL (150 mL) [contains sodium benzoate] Tablet Delayed Release, Oral, as base: Tablet, Oral, as maleate: Ery-Tab: 250 mg [BCF] Generic: 5 mg Erythromycin (Topical) Enoxaparin Outpatient Dosage Forms Outpatient Dosage Forms Pledget, External: Injection, solution, as sodium [preservative free]: Generic: 2% (60s) Lovenox®: 30 mg/0.3 mL (0.3 mL) [BCF]; 40 mg/0.4 mL (0.4 mL) [BCF]; Solution, External: 60 mg/0.6 mL (0.6 mL) [BCF]; 80 mg/0.8 mL (0.8 mL) [BCF]; 100 mg/mL (1 Generic: 2% (60 mL) [BCF] 9 ESCITALOPRAM Escitalopram Ethinyl Estradiol and Drospirenone Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral: Tablet, oral: Generic: 5 mg, 10 mg, 20 mg Yasmin®: Ethinyl estradiol 0.03 mg and drospirenone 3 mg [21 yellow active tablets and 7 white inactive tablets] (28s) [BCF] Estradiol and Levonorgestrel Yaz®: Ethinyl estradiol 0.02 mg and drospirenone 3 mg [24 light pink active Outpatient Dosage Forms tablets and 4 white inactive tablets] (28s) [BCF] Patch, Transdermal: Climara Pro: Estradiol 0.045 mg and levonorgestrel 0.015 mg per 24 hours Ethinyl Estradiol and Ethynodiol Diacetate (4s) [22 cm2; contains estradiol 4.4 mg and levonorgestrel 1.39 mg] Outpatient Dosage Forms Tablet, Oral: Estradiol (Systemic) Zovia 1/35: Ethinyl estradiol 0.035 mg and ethynodiol diacetate 1 mg [21 light Outpatient Dosage Forms pink tablets and 7 white inactive tablets] Patch Weekly, Transdermal: Zovia 1/50: Ethinyl estradiol 0.05 mg and ethynodiol diacetate 1 mg [21 pink Climara: 0.025 mg/24 hours (4s) [6.5 cm2, total estradiol 2.04 mg] [BCF] tablets and 7 white inactive tablets] Climara: 0.0375 mg/24 hours (4s) [9.375 cm2, total estradiol 2.85 mg] [BCF] Climara: 0.05 mg/24 hours (4s) [12.5 cm2, total estradiol 3.8 mg] [BCF] Ethinyl Estradiol and Etonogestrel Climara: 0.075 mg/24 hours (4s) [18.75 cm2, total estradiol 5.7 mg] [BCF] Outpatient Dosage Forms Climara: 0.1 mg/24 hours (4s) [25 cm2, total estradiol 7.6 mg] [BCF] Ring, vaginal: Generic: 0.025 mg/24 hr (4 ea) [BCF]; 0.0375 mg/24 hr (4 ea) [BCF]; NuvaRing®: Ethinyl estradiol 0.015 mg/day and etonogestrel 0.12 mg/day 0.05 mg/24 hr (4 ea) [BCF]; 0.075 mg/24 hr (4 ea) [BCF]; 0.1 mg/24 hr (4 (3s) [3-week duration] ea) [BCF] Patch Twice Weekly, Transdermal: Ethinyl Estradiol and Levonorgestrel Vivelle-Dot: 0.0375 mg/24 hours (24s) [3.75 cm2, total estradiol 0.585 mg] Outpatient Dosage Forms Vivelle-Dot: 0.05 mg/24 hours (24s) [5 cm2, total estradiol 0.78 mg] Tablet, oral [low-dose formulation]: Vivelle-Dot: 0.075 mg/24 hours (24s) [7.5 cm2, total estradiol 1.17 mg] Generic: Ethinyl estradiol 0.02 mg and levonorgestrel 0.1 mg [21 tablets and 7 Vivelle-Dot: 0.1 mg/24 hours (24s) [10 cm2, total estradiol 1.56 mg] inactive tablets] (28s) [BCF] Tablet, Oral: Tablet, oral [extended cycle regimen]: Generic: 0.5 mg, 1 mg, 2 mg Jolessa: Ethinyl estradiol 0.03 mg and levonorgestrel 0.15 mg (91s) [84 pink tablets and 7 white inactive tablets] [BCF] Estradiol (Topical) Tablet, oral [monophasic formulation]: Outpatient Dosage Forms Generic: Ethinyl estradiol 0.03 mg and levonorgestrel 0.15 mg [21 tablets and Ring, vaginal, as base: 7 inactive tablets] (28s) [BCF] Estring®: 2 mg (1s) [total estradiol 2 mg; releases 7.5 mcg/day over 90 days] Tablet, oral [triphasic formulation]: Tablet, vaginal, as base: Trivora: Vagifem®: 10 mcg Day 1-6: Ethinyl estradiol 0.03 mg and levonorgestrel 0.05 mg [6 blue tablets] Estramustine Day 7-11: Ethinyl estradiol 0.04 mg and levonorgestrel 0.075 mg [5 white Outpatient Dosage Forms tablets] Capsule, oral, as phosphate sodium: Day 12-21: Ethinyl estradiol 0.03 mg and levonorgestrel 0.125 mg [10 pink Emcyt®: 140 mg tablets] Day 22-28: 7 peach inactive tablets (28s) Estrogens (Conjugated/Equine) and Medroxyprogesterone Outpatient Dosage Forms Ethinyl Estradiol and Norelgestromin Tablet, oral: Outpatient Dosage Forms Prempro®: 0.3/1.5: Conjugated estrogens 0.3 mg and medroxyprogesterone Patch, transdermal: acetate 1.5 mg [BCF] Ortho Evra®: Ethinyl estradiol 0.75 mg and norelgestromin 6 mg [releases Prempro®: 0.45/1.5: Conjugated estrogens 0.45 mg and medroxyprogester- ethinyl estradiol 20 mcg and norelgestromin 150 mcg per day] (3s) one acetate 1.5 mg [BCF] Prempro®: 0.625/2.5: Conjugated estrogens 0.625 mg and medroxyproges- Ethinyl Estradiol and Norethindrone terone acetate 2.5 mg [BCF] Outpatient Dosage Forms Prempro®: 0.625/5: Conjugated estrogens 0.625 mg and medroxyprogester- Tablet, oral [monophasic formulation]: one acetate 5 mg [BCF] Blisovi Fe 1/20: Ethinyl estradiol 0.02 mg and norethindrone acetate 1 mg [21 Tablet, oral [therapy pack contains two separate tablet formulations]: yellow tablets] and ferrous fumarate 75 mg [7 brown tablets] (28s) Premphase®: Conjugated estrogens 0.625 mg [14 maroon tablets] and con- Brevicon: Ethinyl estradiol 0.035 mg and norethindrone 0.5 mg [21 blue jugated estrogen 0.625 mg/medroxyprogesterone acetate 5 mg [14 light blue tablets and 7 orange inactive tablets] tablets] Loestrin Fe 1/20: Ethinyl estradiol 0.02 mg and norethindrone acetate 1 mg [21 light yellow tablets] and ferrous fumarate 75 mg [7 brown tablets] (28s) Estrogens (Conjugated/Equine, Systemic) Loestrin Fe 1.5/30: Ethinyl estradiol 0.03 mg and norethindrone acetate Outpatient Dosage Forms 1.5 mg [21 pink tablets] and ferrous fumarate 75 mg [7 brown tablets] (28s) Tablet, oral: Norinyl 1+35: Ethinyl estradiol 0.035 mg and norethindrone 1 mg [21 yellow- Premarin®: 0.3 mg [BCF], 0.45 mg [BCF], 0.625 mg [BCF], 0.9 mg, green tablets and 7 orange inactive tablets] [BCF] 1.25 mg [BCF] Ortho-Novum 1/35: Ethinyl estradiol 0.035 mg and norethindrone 1 mg [21 peach tablets and 7 green inactive tablets] (28s) [BCF] Estrogens (Conjugated/Equine, Topical) Tablet, oral [triphasic formulation]: Outpatient Dosage Forms Necon 7/7/7: Cream, vaginal: Day 1-7: Ethinyl estradiol 0.035 mg and norethindrone 0.5 mg [7 white Premarin®: 0.625 mg/g (30 g) [BCF] tablets] Day 8-14: Ethinyl estradiol 0.035 mg and norethindrone 0.75 mg [7 light Eszopiclone peach tablets] Outpatient Dosage Forms Day 15-21: Ethinyl estradiol 0.035 mg and norethindrone 1 mg [7 peach Tablet, Oral: tablets] Generic: 1 mg, 2 mg, 3 mg Day 22-28: 7 green inactive tablets (28s) Ortho-Novum 7/7/7: Ethambutol Day 1-7: Ethinyl estradiol 0.035 mg and norethindrone 0.5 mg [7 white Outpatient Dosage Forms tablets] Tablet, oral, as hydrochloride: 100 mg [BCF], 400 mg [BCF] Day 8-14: Ethinyl estradiol 0.035 mg and norethindrone 0.75 mg [7 light peach tablets] Ethinyl Estradiol and Desogestrel Day 15-21: Ethinyl estradiol 0.035 mg and norethindrone 1 mg [7 peach Outpatient Dosage Forms tablets] Tablet, oral [low dose formulation]: Day 22-28: 7 green inactive tablets (28s) Azurette: Tri-Norinyl: Day 1-21: Ethinyl estradiol 0.02 mg and desogestrel 0.15 mg [21 white Day 1-7: Ethinyl estradiol 0.035 mg and norethindrone 0.5 mg [7 blue tablets] tablets] Day 22-23: 2 inactive green tablets Day 8-16: Ethinyl estradiol 0.035 mg and norethindrone 1 mg [9 yellow- Day 24-28: Ethinyl estradiol 0.01 mg [5 blue tablets] (28s) green tablets] Tablet, Oral [monophasic formulation]: Day 17-21: Ethinyl estradiol 0.035 mg and norethindrone 0.5 mg [5 blue Desogen: Ethinyl estradiol 0.03 mg and desogestrel 0.15 mg [21 white tablets tablets] and 7 green inactive tablets] (28s) Day 22-28: 7 orange inactive tablets (28s) 10 FLUOROMETHOLONE Ethinyl Estradiol and Norgestimate Fenofibrate and Derivatives Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral [monophasic formulation]: Tablet, Oral: Ortho-Cyclen: Ethinyl estradiol 0.035 mg and norgestimate 0.25 mg [21 blue TriCor: 48 mg [BCF], 145 mg [BCF] [contains soybean lecithin] tablets and 7 dark green inactive tablets] (28s) [BCF] Tablet, oral [triphasic formulation]: FentaNYL Ortho Tri-Cyclen [BCF]: Outpatient Dosage Forms Day 1-7: Ethinyl estradiol 0.035 mg and norgestimate 0.18 mg [7 white Patch, transdermal, as base: tablets] Generic: 12 [delivers 12.5 mcg/hr] (5s); 25 [delivers 25 mcg/hr] (5s); 50 Day 8-14: Ethinyl estradiol 0.035 mg and norgestimate 0.215 mg [7 light blue [delivers 50 mcg/hr] (5s); 75 [delivers 75 mcg/hr] (5s); 100 [delivers 100 tablets] mcg/hr] (5s) Day 15-21: Ethinyl estradiol 0.035 mg and norgestimate 0.25 mg [7 blue Ferrous Gluconate tablets] Outpatient Dosage Forms Day 22-28: 7 dark green inactive tablets (28s) Tablet, oral: 324 mg [elemental iron 38 mg], 325 mg [elemental iron 36 mg] Ortho Tri-Cyclen® Lo [BCF]: Day 1-7: Ethinyl estradiol 0.025 mg and norgestimate 0.18 mg [7 white Ferrous Sulfate tablets] Outpatient Dosage Forms Day 8-14: Ethinyl estradiol 0.025 mg and norgestimate 0.215 mg [7 light blue Liquid, Oral: tablets] Generic: 220 (44 Fe) mg/5 mL (473 mL) Day 15-21: Ethinyl estradiol 0.025 mg and norgestimate 0.25 mg [7 dark Liquid, Oral [drops]: blue tablets] Generic: 75 mg/mL (50 mL) [elemental iron 15 mg/mL] Day 22-28: 7 dark green inactive tablets Tablet, Oral: Ethinyl Estradiol and Norgestrel Generic: 325 mg [elemental iron 65 mg] Outpatient Dosage Forms Fexofenadine Tablet, Oral [monophasic formulation]: Outpatient Dosage Forms Ogestrel: Ethinyl estradiol 0.05 mg and norgestrel 0.5 mg [21 white tablets Tablet, Oral: and 7 peach inactive tablets] (28s) Generic: 60 mg, 180 mg Generic: Ethinyl estradiol 0.03 mg and norgestrel 0.3 mg [21 white tablets and 7 pink inactive tablets] Finasteride Outpatient Dosage Forms Ethosuximide Tablet, oral: 5 mg [BCF] Outpatient Dosage Forms Capsule, softgel, oral: 250 mg Flecainide Solution, oral: 250 mg/5 mL (473 mL) Outpatient Dosage Forms Tablet, Oral, as acetate: Etoposide Generic: 50 mg, 100 mg, 150 mg Outpatient Dosage Forms Capsule, softgel, oral: 50 mg Fluconazole Outpatient Dosage Forms Etravirine Tablet, Oral: Outpatient Dosage Forms Generic: 100 mg, 150 mg [BCF], 200 mg Tablet, Oral: Suspension Reconstituted, Oral: Intelence: 100 mg, 200 mg Generic: 10 mg/mL (35 mL); 40 mg/mL (35 mL) Everolimus Fludrocortisone Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral: Tablet, oral, as acetate: 0.1 mg Afinitor: 2.5 mg, 5 mg, 10 mg Zortress: 0.25 mg, 0.5 mg, 0.75 mg Flunisolide (Nasal) Outpatient Dosage Forms Exemestane Solution, Nasal: Outpatient Dosage Forms Generic: 25 mcg/actuation (0.025%) (25 mL) Tablet, oral: 25 mg Fluocinolone (Topical) Exenatide Outpatient Dosage Forms Outpatient Dosage Forms Cream, External, as acetonide: Auto-injector, Subcutaneous: Generic: 0.01% (15 g, 60 g); 0.025% (15 g, 60 g) Bydureon BCise: 2 mg/0.85 mL (0.85 mL) [BCF] Oil, External, as acetonide [scalp oil]: Pen-injector, Subcutaneous: Derma-Smoothe/FS: 0.01% (120 mL) [contains isopropyl alcohol, peanut oil] Bydureon: 2 mg (1 ea) [BCF] Solution, External, as acetonide: Suspension Reconstituted ER, Subcutaneous: Generic: 0.01% (60 mL) Bydureon: 2 mg (1 ea) [BCF] Fluocinonide Ezetimibe Outpatient Dosage Forms Outpatient Dosage Forms Cream, External: Tablet, Oral: Generic: 0.05% (15 g, 30 g, 60 g, 120 g) [BCF] Generic: 10 mg Gel, External: Generic: 0.05% (15 g, 60 g) Famotidine Ointment, External: Outpatient Dosage Forms Generic: 0.05% (15 g, 30 g, 60 g) [BCF] Suspension Reconstituted, Oral: Solution, External: Generic: 40 mg/5 mL (50 mL) Generic: 0.05% (20 mL, 60 mL) Tablet, Oral: Generic: 20 mg, 40 mg Fluoride Outpatient Dosage Forms Felbamate Cream, Oral, as sodium [toothpaste]: Outpatient Dosage Forms PreviDent 5000 Plus: 1.1% (51 g) [contains sodium benzoate; equivalent to Suspension, Oral: fluoride 2.5 mg/dose] Generic: 600 mg/5 mL (237 mL, 240 mL, 473 mL) Generic: 1.1% (51 g) [equivalent to fluoride 2.5 mg/dose] Tablet, Oral: Tablet, Chewable, Oral, as sodium: Generic: 400 mg, 600 mg Generic: 0.55 mg [equivalent to fluoride 0.25 mg] Felodipine Fluorometholone Outpatient Dosage Forms Outpatient Dosage Forms Tablet Extended Release 24 Hour, Oral: Ointment, Ophthalmic, as base: Generic: 2.5 mg, 5 mg, 10 mg FML: 0.1% (3.5 g) [contains phenylmercuric acetate] 11 FLUOROURACIL (TOPICAL) Fluorouracil (Topical) Gabapentin Outpatient Dosage Forms Outpatient Dosage Forms Solution, topical: 2% (10 mL); 5% (10 mL) Capsule, oral: 100 mg [BCF], 300 mg [BCF], 400 mg [BCF] Tablet, oral: 600 mg [BCF], 800 mg [BCF] FLUoxetine Outpatient Dosage Forms Gatifloxacin Capsule, oral: Outpatient Dosage Forms Generic: 10 mg [BCF], 20 mg [BCF], 40 mg [BCF] Solution, ophthalmic [drops]: Solution, oral: Zymaxid: 0.5% (2.5 mL) [contains benzalkonium chloride] Generic: 20 mg/5 mL (120 mL) [BCF] Gemfibrozil Flurbiprofen (Ophthalmic) Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: 600 mg [BCF] Solution, ophthalmic, as sodium [drops]: 0.03% (2.5 mL) Gentamicin (Ophthalmic) Flutamide Outpatient Dosage Forms Outpatient Dosage Forms Ointment, ophthalmic: Capsule, oral: 125 mg Gentak: 0.3% (3.5 g) [BCF] Solution, ophthalmic [drops]: Fluticasone and Salmeterol Generic: 0.3% (5 mL, 15 mL) [BCF] Outpatient Dosage Forms Aerosol, for oral inhalation: Glimepiride Advair HFA: 45/21: Fluticasone propionate 45 mcg and salmeterol 21 mcg per Outpatient Dosage Forms inhalation (12 g) [chlorofluorocarbon free; 120 metered actuations] [BCF] Tablet, Oral: Advair HFA: 115/21: Fluticasone propionate 115 mcg and salmeterol 21 mcg Generic: 1 mg, 2 mg, 4 mg per inhalation (12 g) [chlorofluorocarbon free; 120 metered actuations] [BCF] Advair HFA: 230/21: Fluticasone propionate 230 mcg and salmeterol 21 mcg GlipiZIDE per inhalation (12 g) [chlorofluorocarbon free; 120 metered actuations] [BCF] Outpatient Dosage Forms Powder, for oral inhalation: Tablet, Oral: Advair Diskus®: 100/50: Fluticasone propionate 100 mcg and salmeterol 50 Generic: 5 mg [BCF], 10 mg [BCF] mcg (14s, 60s) [contains lactose] [BCF] Tablet, Extended Release, Oral: Advair Diskus®: 250/50: Fluticasone propionate 250 mcg and salmeterol 50 Generic: 2.5 mg, 5 mg, 10 mg mcg (14s, 60s) [contains lactose] [BCF] Advair Diskus®: 500/50: Fluticasone propionate 500 mcg and salmeterol 50 Glucagon mcg (14s, 60s) [contains lactose] [BCF] Outpatient Dosage Forms Injection, powder for reconstitution: Fluticasone (Nasal) Glucagon Emergency Kit: 1 mg [contains glycerin (in diluent), lactose 49 mg; Outpatient Dosage Forms equivalent to 1 unit] Suspension, Nasal, as propionate: Generic: 50 mcg/inhalation (16 g) [BCF] GlyBURIDE Outpatient Dosage Forms Fluticasone (Oral Inhalation) Tablet, Oral: Outpatient Dosage Forms Generic: 1.25 mg [BCF], 2.5 mg [BCF], 5 mg [BCF] Aerosol, for oral inhalation, as propionate: Tablet, Oral [micronized]: Flovent HFA: 44 mcg/inhalation (10.6 g) [chlorofluorocarbon free; 120 metered Generic: 3 mg [BCF] actuations] [BCF] Flovent HFA: 110 mcg/inhalation (12 g) [chlorofluorocarbon free; 120 metered Glyburide and Metformin actuations] [BCF] Outpatient Dosage Forms Flovent HFA: 220 mcg/inhalation (12 g) [chlorofluorocarbon free; 120 metered Tablet, oral: 1.25/250: Glyburide 1.25 mg and metformin hydrochloride 250 mg, actuations] [BCF] 2.5/500: Glyburide 2.5 and metformin hydrochloride 500 mg, 5/500: Glyburide Powder, for oral inhalation, as propionate: 5 mg and metformin hydrochloride 500 mg Flovent Diskus: 50 mcg (60s) [contains lactose] [BCF] Flovent Diskus: 100 mcg (60s) [contains lactose] [BCF] Glycerin Outpatient Dosage Forms Fluticasone (Topical) Suppository, rectal [pediatric]: 82.5% (25s) Outpatient Dosage Forms Cream, External, as propionate: Glycopyrrolate (Systemic) Generic: 0.05% (15 g, 30 g, 60 g) Outpatient Dosage Forms Solution, Oral: Fluticasone, Umeclidinium, and Vilanterol Cuvposa: 1 mg/5 mL (473 mL) Outpatient Dosage Forms Tablet, oral: Aerosol Powder Breath Activated, Inhalation: Generic: 1 mg Trelegy Ellipta: Fluticasone furoate 100 mcg, umeclidinium 62.5 mcg, and vilanterol 25 mcg (28 ea, 60 ea) [contains lactose monohydrate] Goserelin Outpatient Dosage Forms FluvoxaMINE Implant, subcutaneous: Outpatient Dosage Forms Zoladex®: 3.6 mg (1s) [1 month implant] [BCF] Tablet, Oral, as maleate: Zoladex®: 10.8 mg (1s) [3 month implant] [BCF] Generic: 50 mg, 100 mg Granisetron Folic Acid Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: 1 mg Tablet, oral: 1 mg [BCF] Griseofulvin Fosamprenavir Outpatient Dosage Forms Outpatient Dosage Forms Suspension, Oral [microsize]: Tablet, oral, as calcium: Generic: 125 mg/5 mL (120 mL) [BCF] Lexiva: 700 mg [equivalent to amprenavir ~600 mg] Tablet, Oral [Ultramicrosize]: Gris-PEG: 125 mg [BCF], 250 mg [BCF] [scored] Fosinopril Outpatient Dosage Forms GuaiFENesin Tablet, oral, as sodium: 10 mg, 20 mg, 40 mg Outpatient Dosage Forms Solution, Oral: Furosemide Generic: 100 mg/5 mL (5 mL, 10 mL, 15 mL) Outpatient Dosage Forms Solution, Oral: Guaifenesin and Dextromethorphan Generic: 10 mg/mL (60 mL, 120 mL) [BCF] Outpatient Dosage Forms Tablet, Oral: Syrup, oral: Guaifenesin 100 mg and dextromethorphan hydrobromide 10 mg Generic: 20 mg [BCF], 40 mg [BCF] , 80 mg [BCF] per 5 mL (5 mL) 12 INSULIN DETEMIR Guaifenesin and Pseudoephedrine HYDROmorphone Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Extended Release, Oral: Tablet, oral, as hydrochloride: 2 mg, 4 mg Generic: Guaifenesin 600 mg and pseudoephedrine hydrochloride 60 mg Hydroxychloroquine GuanFACINE Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral, as sulfate: 200 mg [equivalent to 155 mg base] Tablet, Oral: Generic: 1 mg, 2 mg HYDROXYprogesterone Caproate Outpatient Dosage Forms Halobetasol and Tazarotene Solution Auto-injector, Subcutaneous [preservative free]: Outpatient Dosage Forms Makena: 275 mg/1.1 mL (1.1 mL) [contains benzyl benzoate, castor oil Lotion, External: (ricine oil)] Duobrii: Halobetasol propionate 0.01% and tazarotene 0.045% (100 g) Hydroxyurea Haloperidol Outpatient Dosage Forms Outpatient Dosage Forms Capsule, oral: Tablet, Oral: Droxia: 200 mg, 300 mg Generic: 0.5 mg, 1 mg, 2 mg, 5 mg Hydrea: 500 mg Homatropine HydrOXYzine Outpatient Dosage Forms Outpatient Dosage Forms Solution, ophthalmic, as hydrobromide [drops]: Capsule, Oral, as pamoate: Isopto Homatropine: 5% (5 mL) [contains benzalkonium chloride] Generic: 50 mg Generic: 5% (5 mL) Syrup, Oral, as hydrochloride: Generic: 10 mg/5 mL (118 mL, 473 mL) [BCF] HydrALAZINE Tablet, Oral, as hydrochloride: Outpatient Dosage Forms Generic: 10 mg [BCF], 25 mg [BCF], 50 mg [BCF] Tablet, oral, as hydrochloride: 10 mg [BCF], 25 mg [BCF], 50 mg [BCF] Hyoscyamine HydroCHLOROthiazide Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Sublingual, as sulfate: 0.125 mg Capsule, Oral: Tablet, Extended Release, Oral, as sulfate: 0.375 mg Generic: 12.5 mg [BCF] Tablet, Oral: Hyoscyamine, Atropine, Scopolamine, and Phenobarbital Generic: 25 mg [BCF], 50 mg [BCF] Outpatient Dosage Forms Tablet, Oral: Hydrochlorothiazide and Spironolactone Donnatal: Hyoscyamine sulfate 0.1037 mg, atropine sulfate 0.0194 mg, sco- Outpatient Dosage Forms polamine hydrobromide 0.0065 mg, and phenobarbital 16.2 mg Tablet, Oral: Aldactazide: 50/50: Hydrochlorothiazide 50 mg and spironolactone 50 mg Ibandronate Outpatient Dosage Forms Hydrochlorothiazide and Triamterene Tablet, oral: 150 mg Outpatient Dosage Forms Tablet, Oral: Ibuprofen Hydrochlorothiazide 25 mg and triamterene 37.5 mg [BCF] Outpatient Dosage Forms Hydrochlorothiazide 50 mg and triamterene 75 mg [BCF] Suspension, oral: 100 mg/5 mL (5 mL, 120 mL) Tablet, oral: 400 mg [BCF], 600 mg [BCF], 800 mg [BCF] Hydrocodone and Acetaminophen Outpatient Dosage Forms Imipramine Solution, Oral: Outpatient Dosage Forms Hydrocodone bitartrate 7.5 mg and acetaminophen 325 mg per 15 mL Tablet, oral, as hydrochloride: 10 mg [BCF], 25 mg [BCF], 50 mg [BCF] Tablet, Oral: Hydrocodone bitartrate 5 mg and acetaminophen 325 mg Imiquimod Hydrocodone bitartrate 7.5 mg and acetaminophen 325 mg Outpatient Dosage Forms Hydrocodone bitartrate 10 mg and acetaminophen 325 mg Cream, topical: 5% (12s, 24s) [0.25 g/packet] Hydrocodone and Chlorpheniramine Indapamide Outpatient Dosage Forms Outpatient Dosage Forms Suspension, Extended Release, Oral: Tablet, oral: 2.5 mg Hydrocodone polistirex [equivalent to hydrocodone bitartrate 10 mg] and Indomethacin chlorpheniramine polistirex [equivalent to chlorpheniramine maleate 8 mg] Outpatient Dosage Forms per 5 mL (115 mL, 473 mL) Capsule, Oral: Hydrocortisone (Systemic) Generic: 25 mg [BCF], 50 mg [BCF] Outpatient Dosage Forms Ingenol Mebutate Tablet, oral, as base: 5 mg, 10 mg, 20 mg Outpatient Dosage Forms Hydrocortisone (Topical) Gel, External: Outpatient Dosage Forms Picato: 0.015% (3 ea) [contains benzyl alcohol, isopropyl alcohol] Cream, External, as base: Insulin Aspart Generic: 1% (28.4 g, 30 g, 454 g); 2.5% (30 g) [BCF] Outpatient Dosage Forms Cream, External, as valerate: Injection, solution: Generic: 0.2% (15 g, 45 g, 60 g) NovoLOG®: 100 units/mL (10 mL) [vial] [BCF] Cream, Rectal, as base: NovoLOG® FlexPen®: 100 units/mL (3 mL) [BCF] Proctozone-HC 2.5%: 2.5% (30 g) [BCF] NovoLOG® Penfill®: 100 units/mL (3 mL) [cartridge] [BCF] Foam, Rectal, as acetate: Cortifoam: 10% (15 g) [90 mg/applicator] Insulin Aspart Protamine and Insulin Aspart Lotion, External, as base: Outpatient Dosage Forms Generic: 1% (114 g) Suspension, Subcutaneous: Ointment, External, as base: NovoLOG Mix 70/30 FlexPen: Insulin aspart protamine suspension 70% Generic: 2.5% (20 g, 30 g) [intermediate acting] and insulin aspart solution 30% [rapid-acting]: 100 Ointment, External, as valerate: units/mL (3 mL) [contains metacresol, phenol] [BCF] Generic: 0.2% (15 g, 45 g, 60 g) Suppository, Rectal, as acetate: Insulin Detemir Generic: 25 mg (12 ea, 24 ea) [BCF] Outpatient Dosage Forms Suspension, Rectal, as base: Solution, subcutaneous: Generic: 100 mg/60 mL (60 mL) Levemir: 100 units/mL (10 mL) [contains metacresol, phenol] 13 INSULIN GLARGINE Insulin Glargine Isosorbide Dinitrate Outpatient Dosage Forms Outpatient Dosage Forms Solution, Subcutaneous: Capsule, Sustained Release, Oral: Lantus: 100 units/mL (10 mL) [contains metacresol] [BCF] Dilatrate-SR: 40 mg Solution Pen-injector, Subcutaneous: Tablet, Oral: Lantus Solostar: 100 units/mL (3 mL) [BCF] Generic: 5 mg [BCF], 10 mg [BCF], 20 mg [BCF], 30 mg [BCF] Insulin Lispro Isosorbide Dinitrate and Hydralazine Outpatient Dosage Forms Outpatient Dosage Forms Solution, Subcutaneous: Tablet, Oral: HumaLOG: 100 units/mL (3 mL, 10 mL) [contains metacresol, phenol] BiDil: Isosorbide dinitrate 20 mg and hydralazine hydrochloride 37.5 mg Solution Pen-injector, Subcutaneous: HumaLOG KwikPen: 100 units/mL (3 mL) [contains metacresol, phenol] Isosorbide Mononitrate Insulin Lispro Protamine and Insulin Lispro Outpatient Dosage Forms Tablet, Extended Release, Oral: Outpatient Dosage Forms Generic: 30 mg [BCF] , 60 mg [BCF] , 120 mg [BCF] Suspension Pen-injector, Subcutaneous: HumaLOG Mix 75/25 KwikPen: Insulin lispro protamine suspension 75% ISOtretinoin (Systemic) [intermediate acting] and insulin lispro solution 25% [rapid acting]: 100 Outpatient Dosage Forms units/mL (3 mL) Capsule, Oral: Insulin NPH Generic: 10 mg, 20 mg, 40 mg Outpatient Dosage Forms Ivermectin (Systemic) Suspension, Subcutaneous: Outpatient Dosage Forms HumuLIN N: 100 units/mL (3 mL, 10 mL) [contains metacresol, phenol] Tablet, Oral: NovoLIN N: 100 units/mL (10 mL) [vial] [BCF] Suspension Pen-injector, Subcutaneous: Generic: 3 mg HumuLIN N KwikPen: 100 units/mL (3 mL) [contains metacresol, phenol] Ketoconazole (Systemic) Insulin NPH and Insulin Regular Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: 200 mg Injection, suspension: Ketoconazole (Topical) NovoLIN® 70/30: Insulin NPH suspension 70% [intermediate acting] and insulin regular solution 30% [short acting]: 100 units/mL (10 mL) [vial] [BCF] Outpatient Dosage Forms Cream, topical: 2% (15 g, 30 g, 60 g) Insulin Regular Shampoo, topical: 2% (120 mL) Outpatient Dosage Forms Solution, Injection: Ketorolac (Ophthalmic) NovoLIN R: 100 units/mL (10 mL) [contains metacresol] [BCF] Outpatient Dosage Forms Solution, Ophthalmic, as tromethamine: Interferon Beta-1a Generic: 0.4% (5 mL); 0.5% (5 mL) Outpatient Dosage Forms Injection, Solution: Ketorolac (Systemic) Avonex: 30 mcg/0.5 mL [albumin free; prefilled syringe] Outpatient Dosage Forms Avonex Pen: 30 mcg/0.5 mL (0.5 mL) [albumin free; contains mouse (murine) Tablet, oral, as tromethamine: and/or hamster protein] Generic: 10 mg Injection, Solution [preservative free]: Rebif: 22 mcg/0.5 mL, 44 mcg/0.5 mL [contains albumin (human)] Labetalol Rebif Rebidose: 44 mcg/0.5 mL (0.5 mL) [contains albumin (human), mouse Outpatient Dosage Forms (murine) and/or hamster protein; autoinjector] Tablet, oral, as hydrochloride: 100 mg, 200 mg, 300 mg Injection, Solution [combination package, preservative free]: Rebif Titration Pack: 8.8 mcg/0.2 mL (6s) and 22 mcg/0.5 mL (6s) [contains Lacosamide albumin (human)] Outpatient Dosage Forms Solution, Oral: Interferon Beta-1b Vimpat: 10 mg/mL (200 mL, 465 mL) Outpatient Dosage Forms Tablet, Oral: Kit, Subcutaneous: Vimpat: 50 mg, 100 mg, 150 mg, 200 mg Betaseron: 0.3 mg [contains albumin human] [BCF] Lactic Acid and Ammonium Hydroxide Ipratropium and Albuterol Outpatient Dosage Forms Outpatient Dosage Forms Cream, topical: Lactic acid 12% with ammonium hydroxide (140 g) Solution for nebulization: Ipratropium bromide 0.5 mg and albuterol (base) 2.5 mg per 3 mL (60s) [BCF] Lactulose Solution for oral inhalation [spray]: Outpatient Dosage Forms Combivent® Respimat®: Ipratropium bromide 20 mcg and albuterol (base) Solution, oral: 10 g/15 mL (30 mL, 473 mL) [BCF] 100 mcg per inhalation (4 g) [contains benzalkonium chloride; 120 metered actuations] LamiVUDine Outpatient Dosage Forms Ipratropium (Nasal) Solution, Oral: Outpatient Dosage Forms Generic: 10 mg/mL (240 mL) Solution, Nasal, as bromide: Tablet, Oral: Generic: 0.03% (30 mL); 0.06% (15 mL) Generic: 100 mg, 150 mg, 300 mg Ipratropium (Oral Inhalation) Lamivudine and Zidovudine Outpatient Dosage Forms Outpatient Dosage Forms Aerosol, for oral inhalation, as bromide: Tablet, Oral: Atrovent® HFA: 17 mcg/actuation (12.9 g) [chlorofluorocarbon free; 200 Lamivudine 150 mg and zidovudine 300 mg metered actuations] [BCF] Solution, for nebulization, as bromide: 0.02% [500 mcg/2.5 mL] (25s, 30s, 60s) LamoTRIgine Irbesartan Outpatient Dosage Forms Outpatient Dosage Forms Kit, Oral: Tablet, Oral: Generic: 25 mg (14s) & 50 mg (14s) & 100 mg (7s) Generic: 150 mg, 300 mg Tablet, Oral: Generic: 25 mg, 100 mg, 150 mg, 200 mg Isoniazid Tablet, Chewable/Dispersible, Oral: Outpatient Dosage Forms Generic: 5 mg, 25 mg Solution, oral: 50 mg/5 mL (473 mL) Tablet Extended Release 24 Hour, Oral: Tablet, oral: 100 mg [BCF], 300 mg [BCF] Generic: 25 mg, 50 mg, 100 mg, 200 mg, 300 mg 14 LOTEPREDNOL AND TOBRAMYCIN Lanolin Liothyronine Outpatient Dosage Forms Outpatient Dosage Forms Ointment, hydrous: 28 g Tablet, Oral: Generic: 5 mcg, 25 mcg, 50 mcg Latanoprost Outpatient Dosage Forms Lisinopril Solution, ophthalmic [drops]: 0.005% (2.5 mL) [BCF] Outpatient Dosage Forms Tablet, Oral: Letrozole Generic: 2.5 mg [BCF], 5 mg [BCF], 10 mg [BCF], 20 mg [BCF], 30 mg Outpatient Dosage Forms [BCF], 40 mg [BCF] Tablet, oral: 2.5 mg Lisinopril and Hydrochlorothiazide Leucovorin Calcium Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: Tablet, oral [strength expressed as base]: 5 mg, 25 mg 10/12.5: Lisinopril 10 mg and hydrochlorothiazide 12.5 mg [BCF] Leuprolide 20/12.5: Lisinopril 20 mg and hydrochlorothiazide 12.5 mg [BCF] 20/25: Lisinopril 20 mg and hydrochlorothiazide 25 mg [BCF] Outpatient Dosage Forms Injection, powder for reconstitution, as acetate [depot formulation, preservative Lithium free]: Outpatient Dosage Forms Lupron Depot-Ped®: 7.5 mg (monthly), 11.25 mg (monthly), 15 mg (monthly) Capsule, Oral, as carbonate: [contains polylactide-co-glycolide, polysorbate 80] Generic: 150 mg [BCF], 300 mg [BCF] Lupron Depot®: 3.75 mg (monthly), 7.5 mg (monthly), 11.25 mg (3 month), Solution, Oral, as citrate: 22.5 mg (3 month), 30 mg (4 month) [contains polylactide-co-glycolide, Generic: 8 mEq/5 mL (500 mL) [BCF] polysorbate 80] Tablet, Extended Release, Oral, as carbonate: Injection, solution, as acetate: 5 mg/mL (2.8 mL) Generic: 300 mg, 450 mg LevETIRAcetam Lomustine Outpatient Dosage Forms Outpatient Dosage Forms Solution, Oral: Capsule, oral: Generic: 100 mg/mL (500 mL) CeeNU®: 100 mg Tablet, Oral: Generic: 250 mg, 500 mg, 750 mg, 1000 mg Loperamide Tablet Extended Release 24 Hour, Oral: Outpatient Dosage Forms Generic: 500 mg, 750 mg Capsule, oral, as hydrochloride: 2 mg [BCF] Solution, oral, as hydrochloride: 1 mg/5 mL (120 mL) Levobunolol Outpatient Dosage Forms Lopinavir and Ritonavir Solution, ophthalmic, as hydrochloride [drops]: 0.25% (5 mL); 0.5% (5 mL) Outpatient Dosage Forms Tablet, oral: Levodopa, Carbidopa, and Entacapone Kaletra: Lopinavir 200 mg and ritonavir 50 mg Outpatient Dosage Forms Tablet, Oral: Loratadine Stalevo 50: Levodopa 50 mg, carbidopa 12.5 mg, and entacapone 200 mg Outpatient Dosage Forms Stalevo 100: Levodopa 100 mg, carbidopa 25 mg, and entacapone 200 mg Syrup, oral: 5 mg/5 mL (120 mL) Stalevo 200: Levodopa 200 mg, carbidopa 50 mg, and entacapone 200 mg Tablet, oral: 10 mg LevoFLOXacin (Systemic) Loratadine and Pseudoephedrine Outpatient Dosage Forms Outpatient Dosage Forms Solution, Oral: Tablet, Extended Release, oral: Generic: 25 mg/mL (480 mL) [BCF] Claritin-D 24 Hour Allergy & Congestion: Loratadine 10 mg and pseudoephe- Tablet, Oral: drine sulfate 240 mg [contains calcium 25 mg/tablet] Generic: 250 mg [BCF], 500 mg [BCF], 750 mg [BCF] LORazepam Levonorgestrel (Systemic) Outpatient Dosage Forms Outpatient Dosage Forms Concentrate, Oral: Tablet, Oral: Generic: 2 mg/mL (30 mL) Plan B: 1.5 mg Tablet, Oral: Generic: 1.5 mg Generic: 0.5 mg, 1 mg, 2 mg Levothyroxine Losartan Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral, as sodium: 25 mcg [BCF], 50 mcg [BCF], 75 mcg [BCF], 88 mcg Tablet, oral, as potassium: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF] [BCF], 100 mcg [BCF], 112 mcg [BCF], 125 mcg [BCF], 137 mcg [BCF], 150 mcg [BCF], 175 mcg [BCF], 200 mcg [BCF], 300 mcg [BCF] Losartan and Hydrochlorothiazide Outpatient Dosage Forms Lidocaine and Prilocaine Tablet, oral: Outpatient Dosage Forms 50/12.5: Losartan potassium 50 mg and hydrochlorothiazide 12.5 mg [BCF] Cream, topical: Lidocaine 2.5% and prilocaine 2.5% (5 g, 30 g) 100/12.5: Losartan potassium 100 mg and hydrochlorothiazide 12.5 mg [BCF] Lidocaine (Topical) 100/25: Losartan potassium 100 mg and hydrochlorothiazide 25 mg [BCF] Outpatient Dosage Forms Cream, topical: Loteprednol L-M-X 4: 4% (5 g, 30 g) [contains benzyl alcohol] Outpatient Dosage Forms Jelly, topical, as hydrochloride: Gel, Ophthalmic, as etabonate: Generic: 2% (5 mL, 30 mL) Lotemax: 0.5% (5 g) [contains benzalkonium chloride, edetate disodium Ointment, topical: dihydrate, propylene glycol] Generic: 5% (35.4 g, 50 g) Ointment, Ophthalmic, as etabonate: Patch, topical: Lotemax: 0.5% (3.5 g) Lidoderm: 5% (30s) Suspension, Ophthalmic, as etabonate: Solution, viscous, oral topical, as hydrochloride: 2% (100 mL); 2% [20 mg/mL] Alrex: 0.2% (5 mL) [Restricted to Ophthalmology and Optometry only] (100 mL) Loteprednol and Tobramycin Lifitegrast Outpatient Dosage Forms Outpatient Dosage Forms Suspension, ophthalmic [drops]: Solution, Ophthalmic: Zylet: Loteprednol etabonate 0.5% and tobramycin 0.3% (2.5 mL, 5 mL, 10 Xiidra: 5% (5 ea) mL) [contains benzalkonium chloride] 15 LUBIPROSTONE Lubiprostone Metaproterenol Outpatient Dosage Forms Outpatient Dosage Forms Capsule, Oral: Syrup, oral, as sulfate: 10 mg/5 mL (473 mL) Amitiza: 8 mcg, 24 mcg MetFORMIN Lurasidone Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral, as hydrochloride: 500 mg [BCF], 850 mg [BCF], 1000 mg [BCF] Tablet, Oral, as hydrochloride: Tablet, extended release, oral, as hydrochloride: 500 mg [BCF], 750 mg [BCF] Latuda: 20 mg, 40 mg, 60 mg, 80 mg, 120 mg Methadone Magnesium Citrate Outpatient Dosage Forms Outpatient Dosage Forms Solution, oral, as hydrochloride: 5 mg/5 mL (500 mL) Solution, oral: 290 mg/5 mL (296 mL) Tablet, oral, as hydrochloride: 5 mg, 10 mg Magnesium Hydroxide MethazolAMIDE Outpatient Dosage Forms Outpatient Dosage Forms Suspension, oral: Tablet, oral: 25 mg, 50 mg Milk of Magnesia: 400 mg/5 mL (480 mL) MethIMAzole Magnesium Oxide Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: 5 mg, 10 mg Tablet, Oral: Generic: 400 mg [equivalent to elemental magnesium 240 mg] Methocarbamol Malathion Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: 500 mg [BCF] Lotion, topical: 0.5% (59 mL) Methotrexate Maraviroc Outpatient Dosage Forms Outpatient Dosage Forms Solution, Injection: 25 mg/mL (2 mL) Tablet, oral: Solution, Injection [preservative free]: 25 mg/mL (2 mL) Selzentry®: 150 mg, 300 mg Tablet, Oral: 2.5 mg [BCF] Meclizine Methoxsalen (Systemic) Outpatient Dosage Forms Outpatient Dosage Forms Tablet Chewable, Oral, as hydrochloride: Capsule, oral: Generic: 25 mg Oxsoralen-Ultra®: 10 mg [soft-gelatin capsule] Medical Devices and Supplies Methyldopa Outpatient Dosage Forms Outpatient Dosage Forms Syringe: Tablet, oral: 250 mg, 500 mg VanishPoint: 3 ML-23G X 1 VanishPoint: 1CC 25G X 5/8 Methylergonovine Syringe, IM: Outpatient Dosage Forms VanishPoint: 1CC 25G X 1 Tablet, Oral, as maleate: VanishPoint: 3CC 25G X 1 Generic: 0.2 mg Syring, SubQ VanishPoint: 3CC 25G X 5/8 Methylphenidate Outpatient Dosage Forms MedroxyPROGESTERone Capsule Extended Release, Oral, as hydrochloride: Outpatient Dosage Forms Generic: 10 mg, 20 mg, 30 mg Suspension, Intramuscular, as acetate: Solution, Oral, as hydrochloride: Generic: 150 mg/mL (1 mL) Generic: 5 mg/5 mL (500 mL) Tablet, oral, as acetate: Suspension Reconstituted, Oral, as hydrochloride: Generic: 2.5 mg [BCF], 5 mg [BCF], 10 mg [BCF] Quillivant XR: 25 mg/5 mL Megestrol Tablet, Oral, as hydrochloride: Generic: 5 mg, 10 mg, 20 mg Outpatient Dosage Forms Tablet Extended Release, Oral, as hydrochloride: Suspension, oral, as acetate: Generic: 18 mg [BCF], 27 mg [BCF], 36 mg [BCF], 54 mg [BCF] Generic: 40 mg/mL (240 mL); 625 mg/5 mL (150 mL) Tablet, oral, as acetate: MethylPREDNISolone Generic: 20 mg, 40 mg Outpatient Dosage Forms Meloxicam Tablet, oral: 4 mg, 16 mg Outpatient Dosage Forms Medrol®: 2 mg [scored] Tablet, oral: 7.5 mg [BCF], 15 mg [BCF] Tablet, oral [dose-pack]: 4 mg [21s] Melphalan Methyl Salicylate and Menthol Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: Balm, topical: 28 g Alkeran®: 2 mg Metoclopramide Memantine Outpatient Dosage Forms Outpatient Dosage Forms Solution, oral: 5 mg/5 mL (10 mL, 473 mL) [BCF] Tablet, Oral, as hydrochloride: Tablet, oral: 10 mg [BCF] Generic: 5 mg, 10 mg Generic Titration Pak: 5 mg (28s) and 10 mg (21s) MetOLazone Outpatient Dosage Forms Mercaptopurine Tablet, oral: 2.5 mg, 5 mg Outpatient Dosage Forms Tablet, oral: 50 mg Metoprolol Outpatient Dosage Forms Mesalamine Tablet, oral, as tartrate: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF] Outpatient Dosage Forms Tablet, extended release, oral, as succinate [expressed as mg equivalent to Suppository, Rectal: tartrate]: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF], 200 mg [BCF] Canasa: 1000 mg (30 ea) [contains saturated vegetable fatty esters] Suspension, Rectal: 4 g/60 mL (7 ea) MetroNIDAZOLE (Systemic) Tablet, delayed release, enteric coated, oral: Outpatient Dosage Forms Lialda: 1.2 g [BCF] Tablet, oral: 250 mg [BCF], 500 mg [BCF] 16 NEOMYCIN, POLYMYXIN B, AND GRAMICIDIN MetroNIDAZOLE (Topical) Tablet, Oral, as mofetil: Outpatient Dosage Forms Generic: 500 mg Cream, topical: Tablet Delayed Release, Oral, as mycophenolic acid: Generic: 0.75% (45 g) Generic: 180 mg, 360 mg Gel, topical: Nabumetone MetroGel: 1% (60 g) Gel, vaginal: Outpatient Dosage Forms Generic: 0.75% (70 g) [BCF] Tablet, oral: 500 mg Miconazole (Topical) Nadolol Outpatient Dosage Forms Outpatient Dosage Forms Cream, Vaginal, as nitrate: Tablet, Oral: Generic: 2% (45 g) Generic: 20 mg, 40 mg, 80 mg Suppository, Vaginal, as nitrate: Naloxone Generic: 100 mg (7 ea) Outpatient Dosage Forms Minocycline (Systemic) Liquid, Nasal [spray]: Outpatient Dosage Forms Narcan: 4 mg/0.1 mL (1 ea) [contains benzalkonium chloride, edetate diso- Capsule, Oral: dium] [BCF] Generic: 50 mg, 100 mg Naltrexone Minoxidil (Systemic) Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral, as hydrochloride: Tablet, oral: 2.5 mg, 10 mg Generic; 50 mg Mirtazapine Naphazoline and Pheniramine Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral: Solution, ophthalmic: Generic: 7.5 mg, 15 mg, 30 mg, 45 mg Naphcon-A: Naphazoline hydrochloride 0.025% and pheniramine maleate Tablet Disintegrating, Oral: 0.3% (5 mL) [contains benzalkonium chloride; 2 bottles/box], (15 mL) Generic: 15 mg [contains benzalkonium chloride] MiSOPROStol Naphazoline (Ophthalmic) Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: 100 mcg, 200 mcg Solution, ophthalmic, as hydrochloride [drops]: AK-Con™: 0.1% (15 mL) [contains benzalkonium chloride] Modafinil Outpatient Dosage Forms Naproxen Tablet, Oral: Outpatient Dosage Forms Generic: 100 mg, 200 mg Suspension, Oral: Generic: 125 mg/5 mL (500 mL) [BCF] Mometasone (Topical) Tablet, Oral: Outpatient Dosage Forms Generic: 250 mg [BCF] , 375 mg, 500 mg [BCF] Cream, topical, as furoate: Tablet, Oral, as sodium: Generic: 0.1% (45 g) Generic: 275 mg [equivalent to naproxen base 250 mg] Lotion, topical, as furoate: Generic: 0.1% (30 mL) Naratriptan Ointment, topical, as furoate: Outpatient Dosage Forms Generic: 0.1% (45 g) Tablet, Oral: Generic: 1 mg, 2.5 mg Montelukast Outpatient Dosage Forms Natamycin Granules, oral: Outpatient Dosage Forms Singulair: 4 mg/packet (30s) [BCF] Suspension, ophthalmic [drops]: Tablet, oral: Natacyn: 5% (15 mL) [contains benzalkonium chloride] Singulair: 10 mg [contains lactose 89.3 mg/tablet] [BCF] Tablet, chewable, oral: Nefazodone Singulair: 4 mg [contains phenylalanine 0.67 mg/tablet; cherry flavor] [BCF] Outpatient Dosage Forms Singulair: 5 mg [contains phenylalanine 0.84 mg/tablet; cherry flavor] [BCF] Tablet, Oral, as hydrochloride: Generic: 100 mg, 150 mg, 200 mg, 250 mg Morphine (Systemic) Outpatient Dosage Forms Nelfinavir Tablet, Oral, as sulfate: Outpatient Dosage Forms Generic: 15 mg, 30 mg Tablet, Oral: Tablet, Controlled Release, Oral, as sulfate: Viracept: 250 mg, 625 mg MS Contin: 15 mg [BCF], 30 mg [BCF], 60 mg [BCF], 100 mg [BCF] Neomycin Moxifloxacin (Ophthalmic) Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral, as sulfate: Solution, ophthalmic [drops]: Generic: 500 mg Vigamox®: 0.5% (3 mL) Neomycin and Polymyxin B Moxifloxacin (Systemic) Outpatient Dosage Forms Outpatient Dosage Forms Solution, irrigation: Neomycin 40 mg and polymyxin B sulfate 200,000 units per Tablet, oral: 1 mL (1 mL, 20 mL) Avelox®: 400 mg Neomycin, Polymyxin B, and Dexamethasone Mupirocin Outpatient Dosage Forms Outpatient Dosage Forms Ointment, Ophthalmic: Ointment, External: Generic: Neomycin 3.5 mg, polymyxin B sulfate 10,000 units, and dexame- Generic: 2% (22 g) [BCF] thasone 0.1% per g (3.5 g) Ointment, Nasal, as calcium [strength expressed as base]: Suspension, Ophthalmic [drops]: Bactroban Nasal: 2% (1 g) Generic: Neomycin 3.5 mg, polymyxin B sulfate 10,000 units, and dexamethasone 0.1% per 1 mL (5 mL) Mycophenolate Outpatient Dosage Forms Neomycin, Polymyxin B, and Gramicidin Capsule, Oral, as mofetil: Outpatient Dosage Forms Generic: 250 mg Solution, Ophthalmic [drops]: Suspension Reconstituted, Oral, as mofetil: Generic: Neomycin 1.75 mg, polymyxin B 10,000 units, and gramicidin Generic: 200 mg/mL (160 mL) 0.025 mg per 1 mL (10 mL) [BCF] 17 NEOMYCIN, POLYMYXIN B, AND HYDROCORTISONE (OTIC) Neomycin, Polymyxin B, and Hydrocortisone (Otic) Nystatin (Oral Outpatient Dosage Forms Outpatient Dosage Forms Solution, otic: Neomycin 3.5 mg, polymyxin B 10,000 units, and hydrocortisone Suspension, oral: 100,000 units/mL (60 mL) [BCF] 10 mg per 1 mL (10 mL) Tablet, oral: 500,000 units Suspension, otic: Neomycin 3.5 mg, polymyxin B 10,000 units, and hydrocortisone 10 mg per 1 mL (10 mL) [BCF] Nystatin (Topical) Outpatient Dosage Forms Neostigmine Cream, topical: 100,000 units/g (15 g, 30 g) [BCF] Outpatient Dosage Forms Ointment, topical: 100,000 units/g (15 g, 30 g) [BCF] Tablet, oral, as bromide: Powder, topical: 100,000 units/g (15 g) Prostigmin®: 15 mg [scored] Ofloxacin (Ophthalmic) Netarsudil Outpatient Dosage Forms Outpatient Dosage Forms Solution, ophthalmic [drops]: 0.3% (5 mL) Solution, Ophthalmic: Rhopressa: 0.02% (2.5 mL) [contains benzalkonium chloride] OLANZapine Outpatient Dosage Forms Nevirapine Tablet, Oral: Outpatient Dosage Forms Generic: 2.5 mg, 5 mg, 7.5 mg, 10 mg, 15 mg, 20 mg Suspension, Oral: Tablet Disintegrating, Oral: Generic: 50 mg/5 mL (240 mL) Generic: 5 mg, 10 mg, 15 mg Tablet, Oral: Generic: 200 mg Olopatadine (Ophthalmic) Outpatient Dosage Forms Niacin Solution, ophthalmic [drops]: Outpatient Dosage Forms Patanol: 0.1% (5 mL) [contains benzalkonium chloride] [BCF] Tablet, Oral: Generic: 500 mg Omeprazole Tablet, Extended Release, Oral: Outpatient Dosage Forms Niaspan: 500 mg [BCF], 750 mg [BCF], 1000 mg [BCF] Capsule, delayed release, oral: Generic: 10 mg [BCF], 20 mg [BCF], 40 mg Nicotine Powder for suspension, oral [compounding kit]: Outpatient Dosage Forms First-Omeprazole: 2 mg/mL (90 mL, 150 mL, 300 mL) [contains benzyl Gum, Chewing, Oral, as polacrilex: alcohol] [Restricted] Generic: 2 mg (110s) [BCF] ; 4 mg (110s) [BCF] Lozenge, Mouth/Throat, as polacrilex: Ondansetron Generic: 2 mg, 4 mg Outpatient Dosage Forms Patch, Transdermal: Solution, Oral: Generic: 7 mg/24 hours (7s, 14s) [BCF] ; 14 mg/24 hours (7s, 14s) [BCF] ; Generic: 4 mg/5 mL (50 mL) 21 mg/24 hours (7s, 14s) [BCF] Tablet, Oral: Generic: 4 mg, 8 mg NIFEdipine Tablet, Orally Disintegrating, Oral: Outpatient Dosage Forms Generic: 4 mg, 8 mg Capsule, Oral: Generic: 10 mg Oseltamivir Tablet, Extended Release, Oral: Outpatient Dosage Forms Generic: 30 mg [BCF], 60 mg [BCF], 90 mg [BCF] Capsule, oral, as phosphate: Tamiflu: 75 mg Nitrofurantoin Powder for suspension, oral: Outpatient Dosage Forms Tamiflu: 6 mg/mL (60 mL) [contains sodium benzoate; tutti frutti flavor] Capsule, oral [macrocrystal]: 50 mg [BCF], 100 mg Macrodantin: 25 mg OXcarbazepine Capsule, oral [macrocrystal/monohydrate]: 100 mg [BCF] Outpatient Dosage Forms Suspension, oral: 25 mg/5 mL (230 mL) Suspension, Oral: Generic: 300 mg/5 mL (250 mL) Nitroglycerin Tablet, Oral: Outpatient Dosage Forms Generic: 150 mg, 300 mg, 600 mg Capsule, Extended Release, Oral: Generic: 6.5 mg Oxybutynin Ointment, Rectal: Outpatient Dosage Forms Rectiv: 0.4% (30 g) [contains propylene glycol] Syrup, Oral, as chloride: Patch, Transdermal: Generic: 5 mg/5 mL (473 mL) Nitro-Dur: 0.3 mg/hour (30s) [BCF] ; 0.8 mg/hr (30s) [BCF] Tablet, Oral, as chloride: Generic: 0.1 mg/hour (30s) [BCF] ; 0.2 mg/hour (30s) [BCF] ; 0.4 mg/hour Generic: 5 mg (30s) [BCF] ; 0.6 mg/hour (30s) [BCF] Tablet, Extended Release, Oral, as chloride: Solution, translingual [spray]: Generic: 5 mg [BCF], 10 mg [BCF], 15 mg [BCF] Generic: 0.4 mg/spray (4.9 g, 12 g) [BCF] Tablet, sublingual: OxyCODONE Nitrostat®: 0.4 mg [BCF] Outpatient Dosage Forms Solution, Oral, as hydrochloride: Norethindrone Generic: 5 mg/5 mL (500 mL) Outpatient Dosage Forms Tablet, Oral, as hydrochloride: Tablet, oral: 0.35 mg [BCF] Generic: 5 mg, 10 mg, 15 mg, 30 mg Tablet, oral, as acetate: 5 mg Tablet, Extended Release, 12 hour abuse-deterrent, oral, as hydrochloride: OxyCONTIN: 10 mg, 15 mg, 20 mg, 40 mg, 60 mg Norethindrone and Mestranol Outpatient Dosage Forms Oxycodone and Acetaminophen Tablet, Monophasic formulations: Outpatient Dosage Forms Necon 1/50: Norethindrone 1 mg and mestranol 0.05 mg [21 light blue tablets Tablet, Oral: and 7 white inactive tablets] (28s) 5/325: Oxycodone hydrochloride 5 mg and acetaminophen 325 mg [BCF] 10/325: Oxycodone hydrochloride 10 mg and acetaminophen 325 mg Nortriptyline Outpatient Dosage Forms Oxymetazoline (Nasal) Capsule, Oral: Outpatient Dosage Forms Generic: 10 mg [BCF], 25 mg [BCF], 50 mg [BCF] Solution, intranasal, as hydrochloride [spray]: 0.05% (15 mL, 30 mL) Nystatin and Triamcinolone Paliperidone Outpatient Dosage Forms Outpatient Dosage Forms Cream, topical: Nystatin 100,000 units and triamcinolone acetonide 0.1% (15 g, Tablet Extended Release 24 Hour, Oral: 30 g, 60 g) Generic: 1.5 mg, 3 mg, 6 mg, 9 mg 18 POLYETHYLENE GLYCOL-ELECTROLYTE SOLUTION Palonosetron Phenylephrine (Nasal) Outpatient Dosage Forms Outpatient Dosage Forms Injection, solution: Solution, intranasal, as hydrochloride [drops]: Aloxi®: 0.05 mg/mL (5 mL) [contains edetate disodium] Little Noses Decongestant: 0.125% (15 mL) [ethanol free; contains benzalkonium chloride] Pancrelipase Rhinall: 0.25% (30 mL) [contains benzalkonium chloride, sodium bisulfite] Outpatient Dosage Forms Capsule, delayed release, enteric coated beads, oral [porcine derived]: Phenylephrine (Ophthalmic) Zenpep: Lipase 3,000 units, protease 10,000 units, and amylase 16,000 units Outpatient Dosage Forms Zenpep: Lipase 5000 units, protease 17,000 units, and amylase 27,000 units Solution, ophthalmic, as hydrochloride [drops]: 2.5% (15 mL) Zenpep: Lipase 10,000 units, protease 34,000 units, and amylase 55,000 units Zenpep: Lipase 15,000 units, protease 51,000 units, and amylase 82,000 units Phenylephrine (Topical) Zenpep: Lipase 20,000 USP units, protease 63,000 USP units, and amylase Outpatient Dosage Forms 84,000 USP units Suppository, Rectal, as hydrochloride: Capsule, delayed release, enteric coated microsphere, oral [new formulation/ Generic: 0.25% (12s) porcine derived]: Creon: Lipase 3000 units, protease 9500 units, and amylase 15,000 Phenytoin units [BCF] Outpatient Dosage Forms Creon: Lipase 6000 units, protease 19,000 units, and amylase 30,000 Capsule, Extended Release, Oral, as sodium: units [BCF] Dilantin: 30 mg, 100 mg [BCF] Creon: Lipase 12,000 units, protease 38,000 units, and amylase 60,000 Generic: 100 mg [BCF] units [BCF] Suspension, Oral: Creon: Lipase 24,000 units, protease 76,000 units, and amylase 120,000 Generic: 125 mg/5 mL (237 mL, 240 mL) [BCF] units [BCF] Dilantin-125: 125 mg/5 mL (240 mL) [contains ethanol ≤0.6%, sodium ben- Creon: Lipase 36,000 USP units, protease 114,000 USP units, and amylase zoate; orange-vanilla flavor] [BCF] 180,000 USP units [BCF] Tablet, Chewable, oral: Pantoprazole Dilantin: 50 mg [scored] [BCF] Outpatient Dosage Forms Phytonadione Tablet, delayed release, oral: Generic: 20 mg, 40 mg Outpatient Dosage Forms Tablet, oral: PARoxetine Mephyton®: 5 mg [scored] Outpatient Dosage Forms Suspension, Oral, as hydrochloride [strength expressed as base]: Pilocarpine (Ophthalmic) Paxil: 10 mg/5 mL (250 mL) [contains propylene glycol; orange flavor] Outpatient Dosage Forms Tablet, Oral, as hydrochloride [strength expressed as base]: Solution, ophthalmic, as hydrochloride [drops]: 1% (15 mL) [BCF]; 2% (15 mL) Generic: 7.5 mg, 10 mg, 20 mg, 30 mg, 40 mg [BCF]; 4% (15 mL) [BCF] Tablet Extended Release 24 Hour, Oral, as hydrochloride [strength expressed as base]: Pilocarpine (Systemic) Generic: 12.5 mg, 25 mg, 37.5 mg Outpatient Dosage Forms Tablet, oral, as hydrochloride: 5 mg Patiromer Outpatient Dosage Forms Pimecrolimus Packet, Oral: Outpatient Dosage Forms Veltassa: 8.4 g (1 ea, 4 ea, 30 ea); 16.8 g (1 ea, 30 ea); 25.2 g (1 ea, 30 ea) Cream, topical: Elidel®: 1% (30 g, 100 g) [BCF] [contains benzyl alcohol] PenicillAMINE Outpatient Dosage Forms Pimozide Capsule, oral: Outpatient Dosage Forms Cuprimine®: 250 mg Tablet, Oral: Generic: 2 mg Penicillin V Potassium Outpatient Dosage Forms Pindolol Powder for solution, oral: 250 mg/5 mL (100 mL, 200 mL) [BCF] Outpatient Dosage Forms Tablet, oral: 250 mg [BCF], 500 mg [BCF] Tablet, Oral: Generic: 10 mg Pentosan Polysulfate Sodium Outpatient Dosage Forms Pioglitazone Capsule, oral: Outpatient Dosage Forms Elmiron: 100 mg Tablet, oral: 15 mg, 30 mg, 45 mg Pentoxifylline Pioglitazone and Metformin Outpatient Dosage Forms Outpatient Dosage Forms Tablet, extended release, oral: 400 mg Tablet, oral: 15/500: Pioglitazone 15 mg and metformin hydrochloride 500 mg; Permethrin 15/850: Pioglitazone 15 mg and metformin hydrochloride 850 mg Outpatient Dosage Forms Piroxicam (Systemic) Cream, topical: 5% (60 g) [BCF] Outpatient Dosage Forms Liquid, External: 1% Capsule, Oral: Lotion, topical: 1% (60 mL) Generic: 10 mg, 20 mg Phenazopyridine Podofilox Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral, as hydrochloride: 100 mg [BCF], 200 mg [BCF] Gel, External: Phenelzine Condylox: 0.5% (3.5 g) Outpatient Dosage Forms Solution, External: Tablet, oral: Generic: 0.5% (3.5 mL) Nardil: 15 mg [ECF] Polyethylene Glycol 3350 PHENobarbital Outpatient Dosage Forms Outpatient Dosage Forms Powder for solution, oral: 17 g/dose (255 g) Tablet, Oral: Generic: 15 mg [BCF], 16.2 mg, 30 mg [BCF], 32.4 mg Polyethylene Glycol-Electrolyte Solution Outpatient Dosage Forms Phentermine Powder for solution, oral: Outpatient Dosage Forms GoLYTELY®: PEG 3350 236 g, sodium sulfate 22.74 g, sodium bicarbonate Capsule, Oral, as hydrochloride: 6.74 g, sodium chloride 5.86 g, and potassium chloride 2.97 g (4000 mL) Generic: 15 mg, 30 mg, 37.5 mg [original flavor] 19 POTASSIUM CHLORIDE Potassium Chloride Pregabalin Outpatient Dosage Forms Outpatient Dosage Forms Solution, Oral: Capsule, oral: Generic: 20 mEq/15 mL (15 mL, 480 mL) [BCF] Lyrica: 25 mg, 50 mg, 75 mg, 100 mg, 150 mg, 200 mg, 225 mg, 300 mg Packet, Oral: Generic: 25 mg, 50 mg, 75 mg, 100 mg, 150 mg, 200 mg, 225 mg, 300 mg Generic: 20 mEq (30 ea, 100 ea) [BCF] Tablet, extended release, wax matrix, oral: Primaquine Generic: 8 mEq, 10 mEq [BCF], 20 mEq [BCF] Outpatient Dosage Forms Tablet, oral, as phosphate: 26.3 mg [15 mg base] Potassium Citrate Outpatient Dosage Forms Primidone Tablet Extended Release, Oral: Outpatient Dosage Forms Generic: 5 mEq (540 mg), 10 mEq (1080 mg) Tablet, oral: 50 mg, 250 mg Potassium Iodide Probenecid Outpatient Dosage Forms Outpatient Dosage Forms Solution, oral: Tablet, Oral: SSKI®: 1 g/mL (30 mL) Generic: 500 mg [BCF] Potassium Iodide and Iodine Probiotic Product Outpatient Dosage Forms Solution, oral: Potassium iodide 100 mg/mL and iodine 50 mg/mL (14 mL, 473 Procarbazine mL) Outpatient Dosage Forms Capsule, oral, as hydrochloride: Potassium Phosphate and Sodium Phosphate Matulane®: 50 mg Outpatient Dosage Forms Tablet, oral: Prochlorperazine K-Phos Neutral: Monobasic potassium phosphate 155 mg, dibasic sodium Outpatient Dosage Forms phosphate 852 mg, and monobasic sodium phosphate 130 mg [scored; Tablet, Oral, as maleate [strength expressed as base]: equivalent to elemental phosphorus 250 mg (8 mmol), sodium 298 mg (13 Generic: 5 mg, 10 mg mEq), and potassium 45 mg (1.1 mEq)] Progesterone Povidone-Iodine (Topical) Outpatient Dosage Forms Outpatient Dosage Forms Capsule, Oral: Ointment, External: Generic: 100 mg, 200 mg Generic: 10% (1 g, 28.35 g) Gel, Vaginal: Crinone: 8% (1.125 g) Pramipexole Oil, Intramuscular: Outpatient Dosage Forms Generic: 50 mg/mL (10 mL) [fertility only] Tablet, Oral, as dihydrochloride monohydrate: Tablet, vaginal: Generic: 0.125 mg, 0.25 mg, 0.5 mg, 1 mg, 1.5 mg Endometrin: 100 mg Pramoxine and Hydrocortisone First-Progesterone VGS 200: 200 mg (30 ea) Outpatient Dosage Forms Promethazine Aerosol, foam, rectal: Outpatient Dosage Forms Proctofoam HC: Pramoxine hydrochloride 1% and hydrocortisone acetate Suppository, Rectal, as hydrochloride: 1% (10 g) Generic: 12.5 mg (12s) [BCF]; 25 mg (12s) [BCF] Aerosol, foam, topical: Syrup, Oral, as hydrochloride: Epifoam: Pramoxine hydrochloride 1% and hydrocortisone acetate 1% (10 g) Generic: 6.25 mg/5 mL (118 mL, 473 mL) [BCF] Cream, topical: Tablet, Oral, as hydrochloride: Pramoxine hydrochloride 1% and hydrocortisone acetate 1% (30 g) Generic: 25 mg [BCF] Pramoxine hydrochloride 1% and hydrocortisone acetate 2.5% (30 g, 60 g) Lotion, topical: Promethazine and Codeine Pramosone: Pramoxine hydrochloride 1% and hydrocortisone acetate 1% Outpatient Dosage Forms (120 mL, 240 mL) Syrup, Oral: Prasugrel Generic: Promethazine hydrochloride 6.25 mg and codeine phosphate 10 mg Outpatient Dosage Forms per 5 mL (5 mL, 118 mL, 473 mL) Tablet, Oral: Propantheline Effient: 10 mg Outpatient Dosage Forms Pravastatin Tablet, oral, as bromide: 15 mg Outpatient Dosage Forms Propranolol Tablet, oral, as sodium: 10 mg [BCF], 20 mg [BCF], 40 mg [BCF], 80 mg Outpatient Dosage Forms [BCF] Capsule, Extended Release, Oral, as hydrochloride: Prazosin Generic: 60 mg, 80 mg, 120 mg, 160 mg Outpatient Dosage Forms Solution, Oral, as hydrochloride: Capsule, oral: 1 mg, 2 mg, 5 mg Generic: 8 mg/mL (500 mL) Tablet, Oral, as hydrochloride: PrednisoLONE (Ophthalmic) Generic:10 mg, 20 mg, 40 mg, 80 mg Outpatient Dosage Forms Suspension, ophthalmic, as acetate [drops]: 1% (5 mL) [BCF] Propylthiouracil Pred Mild: 0.12% (5 mL, 10 mL) [contains benzalkonium chloride, sodium Outpatient Dosage Forms bisulfite] [BCF] Tablet, oral: 50 mg [BCF] PrednisoLONE (Systemic) Pseudoephedrine Outpatient Dosage Forms Outpatient Dosage Forms Solution, oral, as sodium phosphate [strength expressed as base]: 15 mg/5 mL Liquid, oral, as hydrochloride: (237 mL) [BCF] Generic: 15 mg/5 mL (118 mL) Tablet, oral, as base: Tablet, oral, as hydrochloride: Millipred™: 5 mg [scored] Generic: 30 mg Tablet, extended release, oral, as hydrochloride: PredniSONE Generic: 120 mg Outpatient Dosage Forms Solution, Oral: Psyllium Generic: 5 mg/5 mL 500 mL) Outpatient Dosage Forms Tablet, Oral: Powder, Oral: Generic: 1 mg [BCF], 5 mg [BCF], 10 mg [BCF], 20 mg [BCF], 50 mg Reguloid: 28.3% (369 g, 540 g); 48.57% (369 g, 540 g) 20 SECUKINUMAB Pyrazinamide RisperiDONE Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral: Solution, Oral: Generic: 500 mg [BCF] Generic: 1 mg/mL (30 mL) [BCF] Tablet, Oral: Pyridostigmine Generic: 0.25 mg [BCF], 0.5 mg [BCF], 1 mg [BCF], 2 mg [BCF], 3 mg Outpatient Dosage Forms [BCF], 4 mg [BCF] Tablet, Oral, as bromide: Tablet Disintegrating, Oral: Generic: 60 mg Generic: 0.5 mg, 1 mg, 2 mg Tablet Extended Release, Oral, as bromide: Generic: 180 mg Ritonavir Outpatient Dosage Forms Pyridoxine Solution, oral: Outpatient Dosage Forms Norvir: 80 mg/mL (240 mL) [contains ethanol, polyoxyl 35 castor oil, propylene Tablet, oral, as hydrochloride: 50 mg glycol; peppermint-caramel flavor] Tablet, oral: Pyrimethamine Norvir: 100 mg Outpatient Dosage Forms Tablet, oral: Rivaroxaban Daraprim®: 25 mg [scored] Outpatient Dosage Forms Tablet, Oral: QUEtiapine Xarelto: 10 mg, 15 mg, 20 mg Outpatient Dosage Forms Tablet Therapy Pack, Oral: Tablet, Oral: Xarelto Starter Pack: 15 mg (42 ea) and 20 mg (9 ea) Generic: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF], 200 mg [BCF], 300 mg Rizatriptan [BCF], 400 mg [BCF] Outpatient Dosage Forms Tablet, Extended Release, Oral: Tablet, oral: SEROquel XR: 50 mg [BCF], 150 mg [BCF], 200 mg [BCF], 300 mg [BCF], Maxalt®: 5 mg [BCF], 10 mg [BCF] 400 mg [BCF] Tablet, orally disintegrating: QuiNIDine Maxalt-MLT®: 5 mg [contains phenylalanine 1.05 mg/tablet; peppermint flavor] [BCF] Outpatient Dosage Forms Maxalt-MLT®: 10 mg [contains phenylalanine 2.1 mg/tablet; peppermint fla- Tablet, oral, as sulfate: vor] [BCF] Generic: 200 mg [equivalent to quinidine base 166 mg] ROPINIRole RABEprazole Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral: Tablet Delayed Release, Oral, as sodium: Generic: 0.25 mg, 0.5 mg, 1 mg, 2 mg, 3 mg, 4 mg, 5 mg Generic: 20 mg Rosuvastatin Raloxifene Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral: Tablet, oral, as hydrochloride: Generic: 5 mg [BCF], 10 mg [BCF], 20 mg [BCF], 40 mg [BCF] Evista®: 60 mg [BCF] Rotigotine Raltegravir Outpatient Dosage Forms Outpatient Dosage Forms Patch, transdermal [once-daily patch]: Tablet, Oral: Neupro: 2 mg/24 hours (30s); 4 mg/24 hours (30s); 6 mg/24 hours (30s); Isentress: 400 mg [contains polyethylene glycol] 8 mg/24 hr (30 ea) Tablet Chewable, Oral: Isentress: 100 mg [scored; contains aspartame, saccharin sodium; orange Rufinamide banana flavor] Outpatient Dosage Forms Suspension, Oral: Ramipril Banzel: 40 mg/mL (460 mL) Outpatient Dosage Forms Tablet, Oral: Capsule, oral: Banzel: 200 mg, 400 mg [scored] Generic: 1.25 mg [BCF] , 2.5 mg [BCF] , 5 mg [BCF] , 10 mg [BCF] Salicylic Acid RaNITIdine (Withdrawn From US Market) Outpatient Dosage Forms Outpatient Dosage Forms Pad, topical: 40% (18s, 24s) Syrup, Oral: Liquid, topical: Generic: 15 mg/mL (473 mL) [BCF] DuoFilm®: 17% (9.8 mL) [contains ethanol] Tablet, Oral: Salmeterol Generic: 150 mg [BCF], 300 mg Outpatient Dosage Forms Ranolazine Aerosol Powder Breath Activated, Inhalation: Outpatient Dosage Forms Serevent Diskus: 50 mcg (28s, 60s) [contains lactose] [BCF] Tablet Extended Release 12 Hour, Oral: Salsalate Ranexa: 500 mg, 1000 mg Outpatient Dosage Forms Riboflavin Tablet, oral: 500 mg [BCF] Outpatient Dosage Forms Saquinavir Tablet, Oral: Outpatient Dosage Forms Generic: 100 mg Capsule, Oral: Invirase: 200 mg RifAMPin Tablet, Oral: Outpatient Dosage Forms Invirase: 500 mg Capsule, oral: 150 mg, 300 mg [BCF] Scopolamine (Systemic) Rilpivirine Outpatient Dosage Forms Outpatient Dosage Forms Patch 72 Hour, Transdermal: Tablet, oral: Generic: (1.5 mg): 1 mg/3 days (1 ea, 4 ea, 10 ea, 24 ea) Edurant: 25 mg Secukinumab Riluzole Outpatient Dosage Forms Outpatient Dosage Forms Solution Prefilled Syringe, Subcutaneous [preservative free]: Tablet, Oral: Cosentyx: 150 mg/mL (1 mL) [contains mouse (murine) and/or hamster Generic: 50 mg protein, polysorbate 80] 21 SELEGILINE Selegiline Sodium Phosphates Outpatient Dosage Forms Outpatient Dosage Forms Capsule, oral, as hydrochloride: 5 mg Solution, rectal [enema]: Fleet® Enema: Monobasic sodium phosphate monohydrate 19 g and dibasic Selenium Sulfide sodium phosphate heptahydrate 7 g per 118 mL delivered dose (133 mL) Outpatient Dosage Forms [contains sodium 4.4 g/118 mL] Lotion, External: Fleet® Pedia-Lax™ Enema: Monobasic sodium phosphate monohydrate Generic: 2.5% (120 mL) [BCF] 9.5 g and dibasic sodium phosphate heptahydrate 3.5 g per 59 mL delivered Sertraline dose (66 mL) [contains sodium 2.2 g/59 mL] Outpatient Dosage Forms Sotalol Solution, oral [concentrate]: Outpatient Dosage Forms Generic: 20 mg/mL (60 mL) [BCF] Tablet, oral, as hydrochloride: 80 mg, 160 mg, 120 mg, 240 mg Tablet, Oral: Generic: 25 mg [BCF] , 50 mg [BCF] , 100 mg [BCF] Spironolactone Outpatient Dosage Forms Sevelamer Tablet, oral: 25 mg [BCF], 50 mg, 100 mg Outpatient Dosage Forms Powder for suspension, oral, as carbonate: Sucralfate Renvela: 2.4 g/packet (90s) [contains propylene glycol; citrus-cream flavor] Outpatient Dosage Forms Tablet, oral, as carbonate: Suspension, Oral: Renvela: 800 mg Generic: 1 g/10 mL (10 mL, 420 mL) Sildenafil Tablet, Oral: Generic: 1 g Outpatient Dosage Forms Tablet, oral: Sulfacetamide (Ophthalmic) Viagra: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF] Outpatient Dosage Forms Generic: 20 mg [BCF] Solution, ophthalmic, as sodium [drops]: Silver Sulfadiazine Bleph-10: 10% (5 mL) [contains benzalkonium chloride] [BCF] Generic: 10% (15 mL) [BCF] Outpatient Dosage Forms Cream, topical: 1% (20 g, 50 g, 400 g) [BCF] Sulfamethoxazole and Trimethoprim Simethicone Outpatient Dosage Forms Suspension, Oral: Outpatient Dosage Forms Generic: Sulfamethoxazole 200 mg and trimethoprim 40 mg per 5 mL (20 mL, Suspension, oral [drops]: 473 mL) [BCF] Generic: 40 mg/0.6 mL (30 mL) Tablet, Oral: Tablet, chewable, oral: Generic: Sulfamethoxazole 400 mg and trimethoprim 80 mg [BCF] Generic: 80 mg Tablet, Double Strength, Oral: Simvastatin Generic: Sulamethoxazole 800 mg and trimethoprim 160 mg [BCF] Outpatient Dosage Forms SulfaSALAzine Tablet, Oral: Outpatient Dosage Forms Generic: 5 mg [BCF], 10 mg [BCF], 20 mg [BCF], 40 mg [BCF] Tablet, oral: Sirolimus Generic: 500 mg [BCF] Outpatient Dosage Forms Tablet, delayed release, enteric coated, oral: Tablet, Oral: Generic: 500 mg [BCF] Generic: 0.5 mg, 1 mg, 2 mg Sulfur and Sulfacetamide SitaGLIPtin Outpatient Dosage Forms Outpatient Dosage Forms Cleanser, External: Tablet, Oral: Plexion: Sulfur 4.8% and sulfacetamide sodium 9.8% (285 g) [contains benzyl Januvia: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF] alcohol] Generic: Sulfur 5% and sulfacetamide sodium 10% (340 g) Sitagliptin and Metformin Cream, External: Outpatient Dosage Forms Generic: Sulfur 5% and sulfacetamide sodium 10% (28 g) Tablet, Oral: Wash, External: Janumet 50/500: Sitagliptin 50 mg and metformin hydrochloride Generic: Sulfur 4% and sulfacetamide sodium 9% (480 mL); Sulfur 4.5% and 500 mg [BCF] sulfacetamide sodium 9% (454 g) Janumet 50/1000: Sitagliptin 50 mg and metformin hydrochloride 1000 mg [BCF] Sulindac Tablet, Extended Release, Oral: Outpatient Dosage Forms Janumet XR: 50/500: Sitagliptin 50 mg and metformin hydrochloride Tablet, oral: 150 mg, 200 mg 500 mg [BCF] Janumet XR: 50/1000: Sitagliptin 50 mg and metformin hydrochloride SUMAtriptan 1000 mg [BCF] Outpatient Dosage Forms Janumet XR: 100/1000: Sitagliptin 100 mg and metformin hydrochloride Solution, Nasal [spray]: 1000 mg [BCF] Generic: 5 mg/actuation (1 ea); 20 mg/actuation (1 ea) Solution, Subcutaneous, as succinate [strength expressed as base]: Sodium Bicarbonate Generic: 6 mg/0.5 mL (0.5 mL) Outpatient Dosage Forms Tablet, Oral, as succinate [strength expressed as base]: Tablet, oral: 650 mg [7.6 mEq] Generic: 25 mg [BCF] , 50 mg [BCF] , 100 mg [BCF] Sodium Chloride Tacrolimus (Systemic) Outpatient Dosage Forms Outpatient Dosage Forms Solution, for inhalation [preservative free]: 0.9% (5 mL) Capsule, oral: 0.5 mg, 1 mg, 5 mg Solution, Nasal: Deep Sea Nasal Spray: 0.65% (44 mL) [contains benzalkonium chloride] Tacrolimus (Topical) Solution, ophthalmic [drops]: 5% (15 mL) Outpatient Dosage Forms Ointment, External: Sodium Citrate and Citric Acid Generic: 0.03% (30 g, 60 g, 100 g); 0.1% (30 g, 60 g, 100 g) Outpatient Dosage Forms Solution, oral: Sodium citrate 500 mg and citric acid 334 mg per 5 mL (15 mL, Tamoxifen 473 mL) [equivalent to bicarbonate 1 mEq/mL] Outpatient Dosage Forms Tablet, oral: 10 mg [BCF], 20 mg [BCF] Sodium Hypochlorite Outpatient Dosage Forms Tamsulosin Solution, topical: Outpatient Dosage Forms Dakin's Solution: 0.25% (473 mL); 0.5% (473 mL) Capsule, oral, as hydrochloride: 0.4 mg [BCF] 22 TRANYLCYPROMINE Tapentadol Thioridazine Outpatient Dosage Forms Outpatient Dosage Forms Tablet Extended Release 12 Hour, Oral: Tablet, oral, as hydrochloride: 10 mg, 25 mg, 50 mg, 100 mg Nucynta ER: 50 mg, 100 mg, 150 mg, 200 mg, 250 mg Thiothixene Tazarotene Outpatient Dosage Forms Outpatient Dosage Forms Capsule, Oral: Cream, External: Generic: 2 mg, 5 mg, 10 mg Tazorac: 0.05% (30 g, 60 g) Generic: 0.1% (30 g, 60 g) Thyroid, Desiccated Gel, External: Outpatient Dosage Forms Tazorac: 0.05% (30 g, 100 g) [contains benzyl alcohol] Tablet, Oral: Armour Thyroid: 15 mg, 30 mg, 60 mg, 90 mg Tedizolid Outpatient Dosage Forms TiaGABine Tablet, Oral, as phosphate: Outpatient Dosage Forms Sivextro: 200 mg Tablet, oral, as hydrochloride: Gabitril®: 2 mg, 4 mg Telmisartan Outpatient Dosage Forms Ticagrelor Tablet, oral: Outpatient Dosage Forms Micardis: 20 mg, 40 mg [scored], 80 mg [scored] Tablet, Oral: Brilinta: 90 mg Telmisartan and Hydrochlorothiazide Timolol (Ophthalmic) Outpatient Dosage Forms Tablet, oral: Outpatient Dosage Forms Gel forming solution, ophthalmic, as maleate [strength expressed as base, Micardis HCT: 40/12.5: Telmisartan 40 mg and hydrochlorothiazide 12.5 mg drops]: 0.25% (5 mL) [BCF]; 0.5% (5 mL) [BCF] Micardis HCT: 80/12.5: Telmisartan 80 mg and hydrochlorothiazide 12.5 mg Solution, ophthalmic, as maleate [strength expressed as base, drops]: 0.25% (5 Micardis HCT: 80/25: Telmisartan 80 mg and hydrochlorothiazide 25 mg mL, 10 mL, 15 mL) [BCF]; 0.5% (5 mL, 10 mL, 15 mL) [BCF] Temazepam Tiotropium Outpatient Dosage Forms Outpatient Dosage Forms Capsule, Oral: Aerosol Solution, Inhalation: Generic: 7.5 mg, 15 mg [BCF] , 30 mg [BCF] Spiriva Respimat: 1.25 mcg/actuation (4 g) [BCF]; 2.5 mcg/actuation (4 g) Tenofovir Alafenamide [BCF] [contains benzalkonium chloride, disodium edta] Outpatient Dosage Forms Capsule, Inhalation: Tablet, Oral: Spiriva HandiHaler: 18 mcg [contains milk protein] [BCF] Vemlidy: 25 mg Tiotropium and Olodaterol Tenofovir Disoproxil Fumarate Outpatient Dosage Forms Outpatient Dosage Forms Aerosol Solution, Inhalation: Stiolto Respimat: Tiotropium 2.5 mcg and olodaterol 2.5 mcg per actuation Tablet, oral, as disoproxil fumarate: (4 g) [contains benzalkonium chloride, edetate disodium] Viread: 300 mg Terazosin TiZANidine Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral: Capsule, oral: 1 mg [BCF], 2 mg [BCF], 5 mg [BCF], 10 mg [BCF] Generic: 2 mg, 4 mg Terbinafine (Systemic) Tobramycin and Dexamethasone Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: 250 mg Suspension, ophthalmic [drops]: Tobramycin 0.3% and dexamethasone 0.1% (5 Terbinafine (Topical) mL) Outpatient Dosage Forms Tobramycin (Ophthalmic) Cream, External, as hydrochloride: Outpatient Dosage Forms Generic: 1% (15 g, 30 g) Ointment, ophthalmic: Terbutaline Tobrex: 0.3% (3.5 g) [contains chlorobutanol] Solution, ophthalmic [drops]: 0.3% (5 mL) Outpatient Dosage Forms Injection, solution, as sulfate: 1 mg/mL (1 mL) TOLBUTamide Tablet, oral, as sulfate: 2.5 mg, 5 mg Outpatient Dosage Forms Terconazole Tablet, oral: 500 mg Outpatient Dosage Forms Tolterodine Suppository, vaginal: Outpatient Dosage Forms Generic: 80 mg (3s) Capsule, Extended Release,Oral, as tartrate: Testosterone Detrol® LA: 2 mg [BCF], 4 mg [BCF] Outpatient Dosage Forms Topiramate Gel, Transdermal: Outpatient Dosage Forms AndroGel: 25 mg/2.5 g (1%) (2.5 g) [contains alcohol, usp] Capsule ER 24 Hour Sprinkle, Oral: Fortesta: 10 mg/actuation (60 g) [contains ethanol; 0.5 g gel/actuation; 120 Generic: 50 mg, 100 mg metered actuations] [BCF] Capsule Extended Release 24 Hour, Oral: Solution, Intramuscular, as cypionate: Trokendi XR: 200 mg Generic: 100 mg/mL (10 mL); 200 mg/mL (1 mL, 10 mL) Capsule Sprinkle, Oral: Generic: 15 mg, 25 mg Theophylline Tablet, Oral: Outpatient Dosage Forms Generic: 25 mg, 50 mg, 100 mg, 200 mg Solution, oral: Elixophyllin® Elixir: 80 mg/15 mL (473 mL) [contains ethanol 20%; mixed fruit TraMADol flavor] [BCF] Outpatient Dosage Forms Tablet, extended release, oral: 100 mg, 200 mg [BCF], 300 mg [BCF], Tablet, Oral, as hydrochloride: 400 mg [BCF] Generic: 50 mg [BCF] Thiamine Tranylcypromine Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral, as hydrochloride: Tablet, Oral: Generic: 50 mg, 100 m Generic: 10 mg 23 TRAZODONE TraZODone Stelara: 90 mg/mL (1 mL) [contains natural rubber/natural latex in packaging, Outpatient Dosage Forms polysorbate 80, sucrose 76 mg/syringe] Tablet, oral, as hydrochloride: 50 mg [BCF], 100 mg [BCF], 150 mg [BCF] ValACYclovir Tretinoin (Topical) Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: 500 mg, 1 g Cream, External: Valproic Acid and Derivatives Generic: 0.025% (20 g, 45 g) [BCF]; 0.05% (20 g) [BCF]; 0.1% (20 g) Outpatient Dosage Forms Gel External: Capsule, Oral, as valproic acid: Generic: 0.01% (15 g); 0.025% (15 g, 45 g); 0.05% (45 g) Generic: 250 mg Triamcinolone (Systemic) Capsule, Sprinkle, Oral [strength expressed as valproic acid]: Outpatient Dosage Forms Generic: 125 mg [BCF] Injection, suspension, as acetonide: Syrup, Oral, as valproate sodium: Kenalog-40: 40 mg/mL (5 mL, 10 mL) [contains benzyl alcohol, polysorbate Generic: 250 mg/5 mL (473 mL) 80; not for I.V., intradermal, intraocular, epidural, or intrathecal use] Tablet, Delayed Release, Oral [strength expressed as valproic acid]: Generic: 125 mg [BCF], 250 mg [BCF], 500 mg [BCF] Triamcinolone (Topical) Tablet, Extended Release, Oral [strength expressed as valproic acid]: Outpatient Dosage Forms Generic: 250 mg [BCF], 500 mg [BCF] Aerosol, spray, topical, as acetonide: Kenalog: 0.2 mg/2-second spray (63 g) [contains dehydrated ethanol 10.3%] Valsartan Cream, topical, as acetonide: Outpatient Dosage Forms Generic: 0.1% (15 g, 30 g, 80 g, 454 g) Tablet, oral: Cream, topical, as acetonide: Diovan®: 40 mg [scored] [BCF], 80 mg [BCF], 160 mg [BCF], 320 mg [BCF] Generic: 0.025% (15 g); 0.1% (15 g, 30 g, 80 g, 454 g) [BCF]; 0.5% (15 g) Valsartan and Hydrochlorothiazide Lotion, topical, as acetonide: Outpatient Dosage Forms Generic: 0.1% (60 mL) Tablet, oral: Ointment, topical, as acetonide: Diovan HCT®: 80 mg/12.5 mg: Valsartan 80 mg and hydrochlorothiazide Generic: 0.025% (15 g, 80 g, 454 g); 0.1% (15 g, 80 g, 454 g) [BCF] ; 12.5 mg [BCF] 0.5% (15 g) Diovan HCT®: 160 mg/12.5 mg: Valsartan 160 mg and hydrochlorothiazide Paste, oral topical, as acetonide: 12.5 mg [BCF] Generic: 0.1% (5 g) Diovan HCT®: 160 mg/25 mg: Valsartan 160 mg and hydrochlorothiazide Triazolam 25 mg [BCF] Outpatient Dosage Forms Diovan HCT®: 320 mg/12.5 mg: Valsartan 320 mg and hydrochlorothiazide Tablet, oral: 12.5 mg [BCF] Generic: 0.125 mg, 0.25 mg Diovan HCT®: 320 mg/25 mg: Valsartan 320 mg and hydrochlorothiazide 25 mg [BCF] Trifluoperazine Outpatient Dosage Forms Vancomycin Tablet, oral: 2 mg, 5 mg Outpatient Dosage Forms Capsule, oral: Trifluridine Generic: 125 mg, 250 mg Outpatient Dosage Forms Solution Reconstituted, Oral, as hydrochloride: Solution, ophthalmic [drops]: 1% (7.5 mL) Firvanq: 50 mg/mL (150 mL, 300 mL) Trihexyphenidyl Varenicline Outpatient Dosage Forms Outpatient Dosage Forms Elixir, oral, as hydrochloride: Combination package, oral [dose-pack]: Generic: 2 mg/5 mL (473 mL) [BCF] Chantix: Tablet: 0.5 mg (11s) [white tablets] and Tablet: 1 mg (42s) [light blue Tablet, oral, as hydrochloride: tablets] Generic: 2 mg [BCF] Tablet, oral: Chantix: 1 mg Trimethoprim Outpatient Dosage Forms Venlafaxine Tablet, oral: 100 mg Outpatient Dosage Forms Capsule, Extended Release, Oral: Trimethoprim and Polymyxin B Generic: 37.5 mg [BCF] , 75 mg [BCF] , 150 mg [BCF] Outpatient Dosage Forms Tablet, oral: Solution, ophthalmic [drops]: Trimethoprim 1 mg and polymyxin B sulfate Generic: 25 mg [BCF] , 37.5 mg [BCF], 75 mg [BCF], 100 mg [BCF] 10,000 units per 1 mL (10 mL) [BCF] Tablet, Extended Release, Oral: Generic: 225 mg [BCF] Tropicamide Outpatient Dosage Forms Verapamil Solution, ophthalmic [drops]: 1% (3 mL, 15 mL) Outpatient Dosage Forms Tablet, Oral, as hydrochloride: Ulipristal Generic: 80 mg, 120 mg Outpatient Dosage Forms Tablet, Extended Release, Oral, as hydrochloride: Tablet, Oral, as acetate: Generic: 120 mg [BCF], 180 mg [BCF], 240 mg [BCF] Ella: 30 mg Vitamin D Urea (Topical) Outpatient Dosage Forms Outpatient Dosage Forms Capsule, oral: 50,000 units [1.25 mg] Cream, External: Generic: 20% (85 g, 90 g); 40% (28 g, 85 g, 210 g) Vitamins (Multiple/Oral) Lotion, External: Outpatient Dosage Forms Generic: 10% (180 mL, 240 mL); 40% (226.8 g) Content varies depending on product used. For more detailed information on ingredients in these and other multivitamins, please refer to specific product Ursodiol labeling. Outpatient Dosage Forms Capsule, Softgel Capsule, Oral: Solution, Oral [drops]: Generic: 300 mg Poly-Vi-Sol Tablet, Oral: Poly-Vi-Sol with Iron Generic: 250 mg Tablet, Oral Tablet, Chewable Ustekinumab Outpatient Dosage Forms Vitamins (Multiple/Prenatal) Injection, solution [preservative free]: Outpatient Dosage Forms Stelara: 45 mg/0.5 mL (0.5 mL) [contains natural rubber/natural latex in Content varies depending on product used. packaging, polysorbate 80, sucrose 38 mg/syringe] Tablet, oral: 100s 24 ZONISAMIDE Warfarin Paste, topical: Outpatient Dosage Forms Boudreaux's® Butt Paste: 16% (30 g) [contains castor oil, boric acid, mineral Tablet, Oral, as sodium: oil, and Peruvian balsam] Generic: 1 mg [BCF] , 2 mg [BCF] , 2.5 mg [BCF] , 3 mg [BCF] , 4 mg [BCF] Ziprasidone , 5 mg [BCF] , 6 mg [BCF] , 7.5 mg [BCF] , 10 mg [BCF] Outpatient Dosage Forms White Petrolatum Capsule, oral, as hydrochloride: 20 mg, 40 mg, 60 mg, 80 mg Outpatient Dosage Forms ZOLMitriptan Gel: 5 g Outpatient Dosage Forms Zaleplon Solution, Intranasal [spray]: Outpatient Dosage Forms Zomig: 5 mg/0.1 mL (0.1 mL) Capsule, Oral: Tablet, Oral: Generic: 5 mg, 10 mg Zomig: 2.5 mg [scored] Zomig: 5 mg Zidovudine Tablet, Orally Disintegrating, Oral: Outpatient Dosage Forms Zomig-ZMT: 2.5 mg [contains phenylalanine 2.81 mg/tablet; orange flavor] Capsule, oral: Zomig-ZMT: 5 mg [contains phenylalanine 5.62 mg/tablet; orange flavor] Generic: 100 mg Syrup, Oral: Zolpidem Generic: 10 mg/mL (240 mL) Outpatient Dosage Forms Tablet, Oral: Tablet Extended Release, Oral, as tartrate: Generic: 300 mg Generic: 6.25 mg, 12.5 mg Tablet, Oral, as tartrate: Zinc Oxide Generic: 5 mg [BCF], 10 mg [BCF] Outpatient Dosage Forms Ointment, topical: 20% (30 g, 60 g) Zonisamide Outpatient Dosage Forms Capsule, oral: 50 mg, 100 mg

25 Therapeutic Category Index

26 ACETYLCHOLINESTERASE INHIBITOR

Acetylcholinesterase Inhibitor Analgesic, Nonopioid Neostigmine ...... 18 Acetaminophen ...... 2 Pyridostigmine ...... 21 Aspirin ...... 3 Butalbital, Acetaminophen, and Caffeine ...... 4 Acetylcholinesterase Inhibitor (Central) Celecoxib ...... 5 Donepezil ...... 8 Diclofenac (Systemic) ...... 8 Acne Products Ibuprofen ...... 13 Adapalene ...... 2 Indomethacin ...... 13 Benzoyl Peroxide ...... 4 Ketorolac (Systemic) ...... 14 Clindamycin and Benzoyl Peroxide ...... 6 Meloxicam ...... 16 Erythromycin (Topical) ...... 9 Nabumetone ...... 17 ISOtretinoin (Systemic) ...... 14 Naproxen ...... 17 Salicylic Acid ...... 21 Piroxicam (Systemic) ...... 19 Sulfur and Sulfacetamide ...... 22 Sulindac ...... 22 Tazarotene ...... 23 Analgesic, Opioid Tretinoin (Topical) ...... 24 Acetaminophen and Codeine ...... 2 Adrenergic Agonist Agent Belladonna and Opium ...... 4 Oxymetazoline (Nasal) ...... 18 Butorphanol ...... 4 Codeine ...... 7 Aldehyde Dehydrogenase Inhibitor FentaNYL ...... 11 Disulfiram ...... 8 Hydrocodone and Acetaminophen ...... 13 Alkalinizing Agent Hydrocodone and Chlorpheniramine ...... 13 Sodium Bicarbonate ...... 22 HYDROmorphone ...... 13 Methadone ...... 16 Alkalinizing Agent, Oral Morphine (Systemic) ...... 17 Potassium Citrate ...... 20 OxyCODONE ...... 18 Sodium Citrate and Citric Acid ...... 22 Oxycodone and Acetaminophen ...... 18 Promethazine and Codeine ...... 20 Alkylamine Derivative Tapentadol ...... 23 Chlorpheniramine ...... 5 TraMADol ...... 23 Hydrocodone and Chlorpheniramine ...... 13 Naphazoline and Pheniramine ...... 17 Analgesic, Opioid Partial Agonist Butorphanol ...... 4 Alpha1 Agonist Naphazoline and Pheniramine ...... 17 Analgesic, Topical Naphazoline (Ophthalmic) ...... 17 Benzocaine ...... 4 Capsaicin ...... 5 Alpha Blocker 1 Lidocaine (Topical) ...... 15 Alfuzosin ...... 2 Methyl Salicylate and Menthol ...... 16 Doxazosin ...... 8 Prazosin ...... 20 Analgesic, Urinary Tamsulosin ...... 22 Pentosan Polysulfate Sodium ...... 19 Terazosin ...... 23 Phenazopyridine ...... 19

Alpha2-Adrenergic Agonist Androgen CloNIDine ...... 6 Testosterone ...... 23 GuanFACINE ...... 13 Methyldopa ...... 16 Anesthetic/Corticosteroid TiZANidine ...... 23 Pramoxine and Hydrocortisone ...... 20 Angiotensin II Receptor Blocker Alpha2 Agonist, Ophthalmic Apraclonidine ...... 3 Amlodipine and Valsartan ...... 3 Brimonidine and Timolol ...... 4 Amlodipine, Valsartan, and Hydrochlorothiazide ...... 3 Brimonidine (Ophthalmic) ...... 4 Azilsartan and Chlorthalidone ...... 4 Brinzolamide and Brimonidine ...... Candesartan ...... 5 Irbesartan ...... 14 Alpha-Adrenergic Agonist Losartan ...... 15 Phenylephrine (Nasal) ...... 19 Losartan and Hydrochlorothiazide ...... 15 Phenylephrine (Ophthalmic) ...... 19 Telmisartan ...... 23 Phenylephrine (Topical) ...... 19 Telmisartan and Hydrochlorothiazide ...... 23 Alpha/Beta Agonist Valsartan ...... 24 Valsartan and Hydrochlorothiazide ...... 24 EPINEPHrine (Systemic) ...... 9 Guaifenesin and Pseudoephedrine ...... 13 Angiotensin-Converting Enzyme (ACE) Inhibitor Loratadine and Pseudoephedrine ...... 15 Amlodipine and Benazepril ...... 3 Pseudoephedrine ...... 20 Benazepril ...... 4 5 Alpha-Reductase Inhibitor Captopril ...... 5 Enalapril ...... 9 Finasteride ...... 11 Fosinopril ...... 12 Amebicide Lisinopril ...... 15 MetroNIDAZOLE (Systemic) ...... 16 Lisinopril and Hydrochlorothiazide ...... 15 Ramipril ...... 21 Aminoquinoline (Antimalarial) Hydroxychloroquine ...... 13 Anilidopiperidine Opioid Primaquine ...... 20 FentaNYL ...... 11 5-Aminosalicylic Acid Derivative Anorexiant Mesalamine ...... 16 Diethylpropion ...... 8 SulfaSALAzine ...... 22 Phentermine ...... 19 Ammonium Detoxicant Antacid Lactulose ...... 14 Aluminum Hydroxide ...... 2 Neomycin ...... 17 Aluminum Hydroxide, Magnesium Hydroxide, and Simethicone ...... 2 Magnesium Hydroxide ...... 16 Analgesic Combination (Opioid) Sodium Bicarbonate ...... 22 Acetaminophen and Codeine ...... 2 Belladonna and Opium ...... 4 Anthelmintic Hydrocodone and Acetaminophen ...... 13 Albendazole ...... 2 Oxycodone and Acetaminophen ...... 18 Ivermectin (Systemic) ...... 14 27 ANTICOAGULANT

Antianginal Agent Sulfamethoxazole and Trimethoprim ...... 22 AmLODIPine ...... 3 Trimethoprim ...... 24 Amlodipine and Benazepril ...... 3 Antibiotic, Ophthalmic Amlodipine and Valsartan ...... 3 Bacitracin and Polymyxin B (Ophthalmic) ...... 4 Amlodipine, Valsartan, and Hydrochlorothiazide ...... 3 Bacitracin (Ophthalmic) ...... 4 Atenolol ...... 3 Ciprofloxacin (Ophthalmic) ...... 6 DilTIAZem ...... 8 Erythromycin (Ophthalmic) ...... 9 Isosorbide Dinitrate ...... 14 Gatifloxacin ...... 12 Isosorbide Mononitrate ...... 14 Gentamicin (Ophthalmic) ...... 12 Metoprolol ...... 16 Moxifloxacin (Ophthalmic) ...... 17 Nadolol ...... 17 Neomycin, Polymyxin B, and Gramicidin ...... 17 NIFEdipine ...... 18 Ofloxacin (Ophthalmic) ...... 18 Nitroglycerin ...... 18 Sulfacetamide (Ophthalmic) ...... 22 Propranolol ...... 20 Tobramycin (Ophthalmic) ...... 23 Ranolazine ...... 21 Trimethoprim and Polymyxin B ...... 24 Verapamil ...... 24 Antibiotic, Oral Rinse Antianxiety Agent, Miscellaneous Chlorhexidine Gluconate (Oral) ...... 5 BusPIRone ...... 4 Antibiotic, Otic Antiarrhythmic Agent, Class Ia Ciprofloxacin and Dexamethasone ...... 6 Disopyramide ...... 8 Neomycin, Polymyxin B, and Hydrocortisone (Otic) ...... 18 QuiNIDine ...... 21 Antibiotic, Oxazolidinone Antiarrhythmic Agent, Class Ic Tedizolid ...... 23 Flecainide ...... 11 Antibiotic, Penicillin Antiarrhythmic Agent, Class II Amoxicillin ...... 3 Propranolol ...... 20 Amoxicillin and Clavulanate ...... 3 Sotalol ...... 22 Dicloxacillin ...... 8 Antiarrhythmic Agent, Class III Penicillin V Potassium ...... 19 Amiodarone ...... 3 Antibiotic, Respiratory Fluoroquinolone Sotalol ...... 22 LevoFLOXacin (Systemic) ...... 15 Antiarrhythmic Agent, Class IV Moxifloxacin (Systemic) ...... 17 DilTIAZem ...... 8 Antibiotic, Sulfonamide Derivative Verapamil ...... 24 Sulfamethoxazole and Trimethoprim ...... 22 Antiarrhythmic Agent, Miscellaneous Sulfur and Sulfacetamide ...... 22 Digoxin ...... 8 Antibiotic, Tetracycline Derivative Antibiotic, Aminoglycoside Bismuth Subcitrate, Metronidazole, and Tetracycline ...... 4 Gentamicin (Ophthalmic) ...... 12 Doxycycline ...... 8 Neomycin ...... 17 Minocycline (Systemic) ...... 17 Tobramycin (Ophthalmic) ...... 23 Antibiotic, Topical Antibiotic, Cephalosporin (First Generation) Bacitracin and Polymyxin B (Topical) ...... 4 Cephalexin ...... 5 Bacitracin, Neomycin, and Polymyxin B (Topical) ...... 4 Bacitracin (Topical) ...... 4 Antibiotic, Cephalosporin (Second Generation) Chlorhexidine Gluconate (Topical) ...... 5 Cefuroxime ...... 5 Clioquinol and Hydrocortisone ...... 6 Erythromycin (Topical) ...... 9 Antibiotic, Cephalosporin (Third Generation) MetroNIDAZOLE (Topical) ...... 17 Cefdinir ...... 5 Mupirocin ...... 17 Cefixime ...... 5 Neomycin and Polymyxin B ...... 17 Cefpodoxime ...... 5 Silver Sulfadiazine ...... 22 Antibiotic/Corticosteroid, Ophthalmic Anticholinergic Agent Loteprednol and Tobramycin ...... 15 Aclidinium ...... 2 Neomycin, Polymyxin B, and Dexamethasone ...... 17 Benztropine ...... 4 Tobramycin and Dexamethasone ...... 23 Dicyclomine ...... 8 Antibiotic/Corticosteroid, Otic Fluticasone, Umeclidinium, and Vilanterol ...... 12 Ciprofloxacin and Dexamethasone ...... 6 Glycopyrrolate (Systemic) ...... 12 Neomycin, Polymyxin B, and Hydrocortisone (Otic) ...... 18 Hyoscyamine ...... 13 Hyoscyamine, Atropine, Scopolamine, and Phenobarbital ...... 13 Antibiotic, Fluoroquinolone Ipratropium and Albuterol ...... 14 Ciprofloxacin (Ophthalmic) ...... 6 Ipratropium (Nasal) ...... 14 Ciprofloxacin (Systemic) ...... 6 Ipratropium (Oral Inhalation) ...... 14 Gatifloxacin ...... 12 Propantheline ...... 20 LevoFLOXacin (Systemic) ...... 15 Scopolamine (Systemic) ...... 21 Moxifloxacin (Ophthalmic) ...... 17 Tiotropium ...... 23 Moxifloxacin (Systemic) ...... 17 Tiotropium and Olodaterol ...... 23 Ofloxacin (Ophthalmic) ...... 18 Tolterodine ...... 23 Trihexyphenidyl ...... 24 Antibiotic, Lincosamide Clindamycin (Systemic) ...... 6 Anticholinergic Agent, Long-Acting Clindamycin (Topical) ...... 6 Aclidinium ...... 2 Fluticasone, Umeclidinium, and Vilanterol ...... 12 Antibiotic, Macrolide Tiotropium ...... 23 Azithromycin (Systemic) ...... 4 Tiotropium and Olodaterol ...... 23 Clarithromycin ...... 6 Erythromycin (Ophthalmic) ...... 9 Anticholinergic Agent, Ophthalmic Erythromycin (Systemic) ...... 9 Atropine (Ophthalmic) ...... 3 Erythromycin (Topical) ...... 9 Cyclopentolate ...... 7 Homatropine ...... 13 Antibiotic, Miscellaneous Bismuth Subcitrate, Metronidazole, and Tetracycline ...... 4 Anticoagulant Dapsone (Systemic) ...... 7 Apixaban ...... 3 MetroNIDAZOLE (Systemic) ...... 16 Dabigatran Etexilate ...... 7 Nitrofurantoin ...... 18 Enoxaparin ...... 9 28 ANTICOAGULANT

Rivaroxaban ...... 21 Antidiabetic Agent, Dipeptidyl Peptidase 4 (DPP-4) Inhibitor Warfarin ...... 25 SitaGLIPtin ...... 22 Anticoagulant, Direct Thrombin Inhibitor Sitagliptin and Metformin ...... 22 Dabigatran Etexilate ...... 7 Antidiabetic Agent, Glucagon-Like Peptide-1 (GLP-1) Receptor Anticoagulant, Factor Xa Inhibitor Agonist Apixaban ...... 3 Dulaglutide ...... 8 Rivaroxaban ...... 21 Exenatide ...... 11 Anticoagulant, Low Molecular Weight Heparin Antidiabetic Agent, Sodium-Glucose Cotransporter 2 (SGLT2) Enoxaparin ...... 9 Inhibitor Empagliflozin ...... 9 Anticoagulant, Vitamin K Antagonist Warfarin ...... 25 Antidiabetic Agent, Sulfonylurea Glimepiride ...... 12 Anticonvulsant, Barbiturate GlipiZIDE ...... 12 PHENobarbital ...... 19 GlyBURIDE ...... 12 Anticonvulsant, Benzodiazepine Glyburide and Metformin ...... 12 CloBAZam ...... 6 TOLBUTamide ...... 23 ClonazePAM ...... 6 Antidiabetic Agent, Thiazolidinedione Clorazepate ...... 6 Pioglitazone ...... 19 DiazePAM ...... 8 Pioglitazone and Metformin ...... 19 LORazepam ...... 15 Antidiarrheal Anticonvulsant, Hydantoin Bismuth Subcitrate, Metronidazole, and Tetracycline ...... 4 Phenytoin ...... 19 Bismuth Subsalicylate ...... 4 Anticonvulsant, Miscellaneous Diphenoxylate and Atropine ...... 8 AcetaZOLAMIDE ...... 2 Loperamide ...... 15 CarBAMazepine ...... 5 Psyllium ...... 20 Felbamate ...... 11 Gabapentin ...... 12 Antidote Lacosamide ...... 14 Aluminum Hydroxide ...... 2 LamoTRIgine ...... 14 Calcium Acetate ...... 5 LevETIRAcetam ...... 15 Charcoal, Activated ...... 5 OXcarbazepine ...... 18 Glucagon ...... 12 Pregabalin ...... 20 Leucovorin Calcium ...... 15 Primidone ...... 20 Naloxone ...... 17 TiaGABine ...... 23 Naltrexone ...... 17 Topiramate ...... 23 Patiromer ...... 19 Valproic Acid and Derivatives ...... 24 Potassium Iodide ...... 20 Zonisamide ...... 25 Antidote, Extravasation Anticonvulsant, Succinimide Nitroglycerin ...... 18 Ethosuximide ...... 11 Terbutaline ...... 23 Anticonvulsant, Triazole Derivative Antidote, Hypoglycemia Rufinamide ...... 21 Dextrose ...... 7 Glucagon ...... 12 Antidepressant, Alpha-2 Antagonist Mirtazapine ...... 17 Antiemetic DexAMETHasone (Systemic) ...... 7 Antidepressant, Dopamine/Norepinephrine-Reuptake Inhibitor Dronabinol ...... 8 BuPROPion ...... 4 Granisetron ...... 12 Antidepressant, Monoamine Oxidase Inhibitor HydrOXYzine ...... 13 Phenelzine ...... 19 Meclizine ...... 16 Selegiline ...... 22 Metoclopramide ...... 16 Tranylcypromine ...... 23 Ondansetron ...... 18 Palonosetron ...... 19 Antidepressant, Selective Serotonin Reuptake Inhibitor Prochlorperazine ...... 20 Citalopram ...... 6 Promethazine ...... 20 Escitalopram ...... 10 FLUoxetine ...... 12 Antifibrinolytic Agent FluvoxaMINE ...... 12 Aminocaproic Acid ...... 3 PARoxetine ...... 19 Sertraline ...... 22 Antiflatulent Aluminum Hydroxide, Magnesium Hydroxide, and Simethicone ...... 2 Antidepressant, Serotonin/Norepinephrine Reuptake Inhibitor Simethicone ...... 22 DULoxetine ...... 9 Venlafaxine ...... 24 Antifungal Agent, Azole Derivative Terconazole ...... 23 Antidepressant, Serotonin Reuptake Inhibitor/Antagonist Nefazodone ...... 17 Antifungal Agent, Imidazole Derivative TraZODone ...... 24 Clotrimazole (Oral) ...... 6 Clotrimazole (Topical) ...... 6 Antidepressant, Tricyclic (Secondary Amine) Ketoconazole (Systemic) ...... 14 Desipramine ...... 7 Ketoconazole (Topical) ...... 14 Nortriptyline ...... 18 Miconazole (Topical) ...... 17 Antidepressant, Tricyclic (Tertiary Amine) Antifungal Agent, Ophthalmic Amitriptyline ...... 3 Natamycin ...... 17 ClomiPRAMINE ...... 6 Doxepin (Systemic) ...... 8 Antifungal Agent, Oral Imipramine ...... 13 Fluconazole ...... 11 Griseofulvin ...... 12 Antidiabetic Agent, Biguanide Ketoconazole (Systemic) ...... 14 Glyburide and Metformin ...... 12 Terbinafine (Systemic) ...... 23 MetFORMIN ...... 16 Pioglitazone and Metformin ...... 19 Antifungal Agent, Oral Nonabsorbed Sitagliptin and Metformin ...... 22 Clotrimazole (Oral) ...... 6 29 ANTINEOPLASTIC AGENT, ANTIMETABOLITE (PURINE ANALOG)

Antifungal Agent, Oral Nonabsorbed/Partially Absorbed Spironolactone ...... 22 Clotrimazole (Topical) ...... 6 Telmisartan ...... 23 Miconazole (Topical) ...... 17 Telmisartan and Hydrochlorothiazide ...... 23 Nystatin (Oral ...... 18 Terazosin ...... 23 Valsartan ...... 24 Antifungal Agent, Parenteral Valsartan and Hydrochlorothiazide ...... 24 Fluconazole ...... 11 Verapamil ...... 24 Antifungal Agent, Topical Anti-inflammatory Agent Clioquinol and Hydrocortisone ...... 6 DexAMETHasone (Systemic) ...... 7 Clotrimazole (Topical) ...... 6 Ketoconazole (Topical) ...... 14 Anti-inflammatory, Locally Applied Miconazole (Topical) ...... 17 Carbamide Peroxide ...... 5 Nystatin and Triamcinolone ...... 18 Nystatin (Topical) ...... 18 Anti-interleukin 17A Monoclonal Antibody Terbinafine (Topical) ...... 23 Secukinumab ...... 21 Antifungal Agent, Vaginal Antilipemic Agent, 2-Azetidinone Clotrimazole (Topical) ...... 6 Ezetimibe ...... 11 Miconazole (Topical) ...... 17 Antilipemic Agent, Bile Acid Sequestrant Terconazole ...... 23 Cholestyramine Resin ...... 6 Antigout Agent Colestipol ...... 7 Allopurinol ...... 2 Antilipemic Agent, Fibric Acid Colchicine ...... 7 Fenofibrate and Derivatives ...... 11 Antihemophilic Agent Gemfibrozil ...... 12 Aminocaproic Acid ...... 3 Antilipemic Agent, HMG-CoA Reductase Inhibitor Desmopressin ...... 7 AtorvaSTATin ...... 3 Antihemorrhoidal Agent Pravastatin ...... 20 Dibucaine ...... 8 Rosuvastatin ...... 21 Hydrocortisone (Topical) ...... 13 Simvastatin ...... 22 Phenylephrine (Topical) ...... 19 Antilipemic Agent, Miscellaneous Antihepadnaviral, Reverse Transcriptase Inhibitor, Nucleoside Niacin ...... 18 (Anti-HBV) Entecavir ...... 9 Antimalarial Agent LamiVUDine ...... 14 Atovaquone and Proguanil ...... 3 Hydroxychloroquine ...... 13 Antihepadnaviral, Reverse Transcriptase Inhibitor, Nucleotide Primaquine ...... 20 (Anti-HBV) Pyrimethamine ...... 21 Adefovir ...... 2 QuiNIDine ...... 21 Tenofovir Alafenamide ...... 23 Tenofovir Disoproxil Fumarate ...... 23 Antimanic Agent ChlorproMAZINE ...... 5 Antihypertensive Lithium ...... 15 Amiloride and Hydrochlorothiazide ...... 3 OLANZapine ...... 18 AmLODIPine ...... 3 RisperiDONE ...... 21 Amlodipine and Benazepril ...... 3 Valproic Acid and Derivatives ...... 24 Amlodipine and Valsartan ...... 3 Amlodipine, Valsartan, and Hydrochlorothiazide ...... 3 Antimigraine Agent Atenolol ...... 3 Eletriptan ...... 9 Azilsartan and Chlorthalidone ...... 4 Erenumab ...... 9 Benazepril ...... 4 Ergotamine and Caffeine ...... 9 Bumetanide ...... 4 Naratriptan ...... 17 Candesartan ...... 5 Rizatriptan ...... 21 Captopril ...... 5 SUMAtriptan ...... 22 Carvedilol ...... 5 ZOLMitriptan ...... 25 Chlorthalidone ...... 6 CloNIDine ...... 6 Antineoplastic Agent, Alkylating Agent DilTIAZem ...... 8 Busulfan ...... 4 Doxazosin ...... 8 Chlorambucil ...... 5 Enalapril ...... 9 Cyclophosphamide ...... 7 Eplerenone ...... 9 Estramustine ...... 10 Felodipine ...... 11 Lomustine ...... 15 Fosinopril ...... 12 Melphalan ...... 16 Furosemide ...... 12 Procarbazine ...... 20 GuanFACINE ...... 13 Antineoplastic Agent, Alkylating Agent (Nitrogen Mustard) HydrALAZINE ...... 13 Chlorambucil ...... 5 HydroCHLOROthiazide ...... 13 Cyclophosphamide ...... 7 Hydrochlorothiazide and Spironolactone ...... 13 Melphalan ...... 16 Hydrochlorothiazide and Triamterene ...... 13 Indapamide ...... 13 Antineoplastic Agent, Alkylating Agent (Nitrosourea) Irbesartan ...... 14 Lomustine ...... 15 Isosorbide Dinitrate and Hydralazine ...... 14 Labetalol ...... 14 Antineoplastic Agent, Antiandrogen Lisinopril ...... 15 Bicalutamide ...... 4 Lisinopril and Hydrochlorothiazide ...... 15 Enzalutamide ...... 9 Losartan ...... 15 Flutamide ...... 12 Losartan and Hydrochlorothiazide ...... 15 Methyldopa ...... 16 Antineoplastic Agent, Antimetabolite Metoprolol ...... 16 Capecitabine ...... 5 Minoxidil (Systemic) ...... 17 Fluorouracil (Topical) ...... 12 Nadolol ...... 17 Mercaptopurine ...... 16 NIFEdipine ...... 18 Antineoplastic Agent, Antimetabolite (Antifolate) Pindolol ...... 19 Methotrexate ...... 16 Prazosin ...... 20 Propranolol ...... 20 Antineoplastic Agent, Antimetabolite (Purine Analog) Ramipril ...... 21 Mercaptopurine ...... 16 30 ANTINEOPLASTIC AGENT, ANTIMETABOLITE (PYRIMIDINE ANALOG)

Antineoplastic Agent, Antimetabolite (Pyrimidine Analog) Antiretroviral, CCR5 Antagonist (Anti-HIV) Capecitabine ...... 5 Maraviroc ...... 16 Fluorouracil (Topical) ...... 12 Antiretroviral, Integrase Inhibitor (Anti-HIV) Antineoplastic Agent, Antimicrotubular Abacavir, Dolutegravir, and Lamivudine ...... 2 Estramustine ...... 10 Bictegravir, Emtricitabine, and Tenofovir Alafenamide ...... 4 Dolutegravir ...... 8 Antineoplastic Agent, Aromatase Inhibitor Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Alafenamide ...... 9 Anastrozole ...... 3 Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Disoproxil Exemestane ...... 11 Fumarate ...... 9 Letrozole ...... 15 Raltegravir ...... 21 Antineoplastic Agent, Estrogen Receptor Antagonist Antiretroviral, Protease Inhibitor (Anti-HIV) Tamoxifen ...... 22 Atazanavir ...... 3 Antineoplastic Agent, Gonadotropin-Releasing Hormone Agonist Atazanavir and Cobicistat ...... 3 Goserelin ...... 12 Darunavir ...... 7 Leuprolide ...... 15 Darunavir and Cobicistat ...... 7 Fosamprenavir ...... 12 Antineoplastic Agent, Hormone Lopinavir and Ritonavir ...... 15 Megestrol ...... 16 Nelfinavir ...... 17 Antineoplastic Agent, Hormone (Estrogen/Nitrogen Mustard) Ritonavir ...... 21 Estramustine ...... 10 Saquinavir ...... 21 Antineoplastic Agent, Miscellaneous Antiretroviral, Reverse Transcriptase Inhibitor, Non-nucleoside Hydroxyurea ...... 13 (Anti-HIV) Efavirenz ...... 9 Antineoplastic Agent, mTOR Kinase Inhibitor Efavirenz, Emtricitabine, and Tenofovir Disoproxil Fumarate ...... 9 Everolimus ...... 11 Emtricitabine, Rilpivirine, and Tenofovir Alafenamide ...... 9 Antineoplastic Agent, Podophyllotoxin Derivative Emtricitabine, Rilpivirine, and Tenofovir Disoproxil Fumarate ...... 9 Etoposide ...... 11 Etravirine ...... 11 Nevirapine ...... 18 Antineoplastic Agent, Retinoic Acid Derivative Rilpivirine ...... 21 ISOtretinoin (Systemic) ...... 14 Antiretroviral, Reverse Transcriptase Inhibitor, Nucleoside (Anti- Antineoplastic Agent, Topoisomerase II Inhibitor HIV) Etoposide ...... 11 Abacavir ...... 2 Antiparasitic Agent, Topical Abacavir and Lamivudine ...... 2 Malathion ...... 16 Abacavir, Dolutegravir, and Lamivudine ...... 2 Permethrin ...... 19 Abacavir, Lamivudine, and Zidovudine ...... 2 Bictegravir, Emtricitabine, and Tenofovir Alafenamide ...... 4 Anti-Parkinson Agent, Anticholinergic Efavirenz, Emtricitabine, and Tenofovir Disoproxil Fumarate ...... 9 Benztropine ...... 4 Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Alafenamide ...... 9 Trihexyphenidyl ...... 24 Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Disoproxil Anti-Parkinson Agent, COMT Inhibitor Fumarate ...... 9 Levodopa, Carbidopa, and Entacapone ...... 15 Emtricitabine ...... 9 Emtricitabine and Tenofovir Alafenamide ...... 9 Anti-Parkinson Agent, Decarboxylase Inhibitor Emtricitabine and Tenofovir Disoproxil Fumarate ...... 9 Carbidopa and Levodopa ...... 5 Emtricitabine, Rilpivirine, and Tenofovir Alafenamide ...... 9 Levodopa, Carbidopa, and Entacapone ...... 15 Emtricitabine, Rilpivirine, and Tenofovir Disoproxil Fumarate ...... 9 Anti-Parkinson Agent, Dopamine Agonist LamiVUDine ...... 14 Amantadine ...... 3 Lamivudine and Zidovudine ...... 14 Pramipexole ...... 20 Zidovudine ...... 25 ROPINIRole ...... 21 Antiretroviral, Reverse Transcriptase Inhibitor, Nucleotide (Anti- Anti-Parkinson Agent, Dopamine Precursor HIV) Carbidopa and Levodopa ...... 5 Bictegravir, Emtricitabine, and Tenofovir Alafenamide ...... 4 Levodopa, Carbidopa, and Entacapone ...... 15 Efavirenz, Emtricitabine, and Tenofovir Disoproxil Fumarate ...... 9 Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Alafenamide ...... 9 Anti-Parkinson Agent, MAO Type B Inhibitor Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Disoproxil Selegiline ...... 22 Fumarate ...... 9 Anti-Parkinson's Agent, Dopamine Agonist Emtricitabine and Tenofovir Alafenamide ...... 9 Rotigotine ...... 21 Emtricitabine and Tenofovir Disoproxil Fumarate ...... 9 Emtricitabine, Rilpivirine, and Tenofovir Alafenamide ...... 9 Antiplatelet Agent Emtricitabine, Rilpivirine, and Tenofovir Disoproxil Fumarate ...... 9 Aspirin ...... 3 Tenofovir Disoproxil Fumarate ...... 23 Aspirin and Dipyridamole ...... 3 Cilostazol ...... 6 Antirheumatic, Disease Modifying Clopidogrel ...... 6 Adalimumab ...... 2 Dipyridamole ...... 8 Methotrexate ...... 16 Prasugrel ...... 20 Antirheumatic Miscellaneous Ticagrelor ...... 23 Cyclophosphamide ...... 7 Antiplatelet Agent, Non-thienopyridine Antiseborrheic Agent, Topical Ticagrelor ...... 23 Selenium Sulfide ...... 22 Antiplatelet Agent, Thienopyridine Sulfur and Sulfacetamide ...... 22 Clopidogrel ...... 6 Antiseptic, Topical Prasugrel ...... 20 Alcohol (Isopropyl) ...... 2 Antiprotozoal Potassium Iodide and Iodine ...... 20 Atovaquone ...... 3 Povidone-Iodine (Topical) ...... 20 Antiprotozoal, Nitroimidazole Antiseptic, Vaginal MetroNIDAZOLE (Systemic) ...... 16 Povidone-Iodine (Topical) ...... 20 Antipsoriatic Agent Antispasmodic Agent, Gastrointestinal Secukinumab ...... 21 Clidinium and Chlordiazepoxide ...... 6 Ustekinumab ...... 24 Hyoscyamine, Atropine, Scopolamine, and Phenobarbital ...... 13 31 CHELATING AGENT

Antispasmodic Agent, Urinary Beta-Blocker, Nonselective Belladonna and Opium ...... 4 Brimonidine and Timolol ...... 4 Oxybutynin ...... 18 Nadolol ...... 17 Timolol (Ophthalmic) ...... 23 Antithyroid Agent MethIMAzole ...... 16 Beta-Blocker With Alpha-Blocking Activity Potassium Iodide ...... 20 Carvedilol ...... 5 Potassium Iodide and Iodine ...... 20 Labetalol ...... 14 Propylthiouracil ...... 20 Beta-Blocker With Intrinsic Sympathomimetic Activity Antitubercular Agent Pindolol ...... 19 Ethambutol ...... 10 Isoniazid ...... 14 Bisphosphonate Derivative Pyrazinamide ...... 21 Alendronate ...... 2 RifAMPin ...... 21 Ibandronate ...... 13 Antitussive Blood Viscosity Reducer Agent Benzonatate ...... 4 Pentoxifylline ...... 19 Codeine ...... 7 Calcimimetic Guaifenesin and Dextromethorphan ...... 12 Cinacalcet ...... 6 Hydrocodone and Chlorpheniramine ...... 13 Promethazine and Codeine ...... 20 Calcineurin Inhibitor CycloSPORINE (Ophthalmic) ...... 7 Antiviral Agent CycloSPORINE (Systemic) ...... 7 Acyclovir (Systemic) ...... 2 Pimecrolimus ...... 19 Amantadine ...... 3 Tacrolimus (Systemic) ...... 22 Oseltamivir ...... 18 Tacrolimus (Topical) ...... 22 ValACYclovir ...... 24 Calcitonin Gene-Related Peptide (CGRP) Receptor Antagonist Antiviral Agent, Adamantane Erenumab ...... 9 Amantadine ...... 3 Calcium Channel Blocker Antiviral Agent, Ophthalmic AmLODIPine ...... 3 Trifluridine ...... 24 Amlodipine and Benazepril ...... 3 Antiviral Agent, Oral Amlodipine and Valsartan ...... 3 Amlodipine, Valsartan, and Hydrochlorothiazide ...... 3 ValACYclovir ...... 24 DilTIAZem ...... 8 Antiviral Agent, Topical Felodipine ...... 11 Acyclovir (Topical) ...... 2 NIFEdipine ...... 18 Verapamil ...... 24 Appetite Stimulant Dronabinol ...... 8 Calcium Channel Blocker, Dihydropyridine Megestrol ...... 16 AmLODIPine ...... 3 Amlodipine and Benazepril ...... 3 Barbiturate Amlodipine and Valsartan ...... 3 Butalbital, Acetaminophen, and Caffeine ...... 4 Amlodipine, Valsartan, and Hydrochlorothiazide ...... 3 Butalbital, Aspirin, and Caffeine ...... 4 Felodipine ...... 11 PHENobarbital ...... 19 NIFEdipine ...... 18 Primidone ...... 20 Calcium Channel Blocker, Nondihydropyridine Benzodiazepine DilTIAZem ...... 8 ALPRAZolam ...... 2 Verapamil ...... 24 ChlordiazePOXIDE ...... 5 Clidinium and Chlordiazepoxide ...... 6 Calcium Salt CloBAZam ...... 6 Calcium Acetate ...... 5 ClonazePAM ...... 6 Calcium and Vitamin D ...... 5 Clorazepate ...... 6 Cannabinoid DiazePAM ...... 8 Dronabinol ...... 8 LORazepam ...... 15 Temazepam ...... 23 Carbonic Anhydrase Inhibitor Triazolam ...... 24 AcetaZOLAMIDE ...... 2 MethazolAMIDE ...... 16 Beta2-Adrenergic Agonist Fluticasone, Umeclidinium, and Vilanterol ...... 12 Carbonic Anhydrase Inhibitor (Ophthalmic) Ipratropium and Albuterol ...... 14 Brinzolamide and Brimonidine ...... Dorzolamide ...... 8 Beta -Adrenergic Agonist, Long-Acting 2 Dorzolamide and Timolol ...... 8 Fluticasone and Salmeterol ...... 12 Salmeterol ...... 21 Cardiac Glycoside Digoxin ...... 8 Beta2 Agonist Albuterol ...... 2 Cardiovascular Agent, Miscellaneous Fluticasone and Salmeterol ...... 12 Ranolazine ...... 21 Fluticasone, Umeclidinium, and Vilanterol ...... 12 Metaproterenol ...... 16 Cathartic Salmeterol ...... 21 Sodium Phosphates ...... 22 Terbutaline ...... 23 Central Nervous System Stimulant Tiotropium and Olodaterol ...... 23 Armodafinil ...... 3 Caffeine ...... 5 Beta2 Agonist, Long-Acting Tiotropium and Olodaterol ...... 23 Dexmethylphenidate ...... 7 Dextroamphetamine ...... 7 Beta-Adrenergic Blocker, Nonselective Dextroamphetamine and Amphetamine ...... 7 Dorzolamide and Timolol ...... 8 Diethylpropion ...... 8 Levobunolol ...... 15 Ergotamine and Caffeine ...... 9 Propranolol ...... 20 Methylphenidate ...... 16 Sotalol ...... 22 Modafinil ...... 17 Phentermine ...... 19 Beta-Blocker, Beta-1 Selective Atenolol ...... 3 Chelating Agent Metoprolol ...... 16 PenicillAMINE ...... 19 32 CHEMOTHERAPY MODULATING AGENT

Chemotherapy Modulating Agent Phenylephrine (Nasal) ...... 19 Leucovorin Calcium ...... 15 Pseudoephedrine ...... 20 Chloride Channel Activator Diagnostic Agent Lubiprostone ...... 16 Glucagon ...... 12 Cholinergic Agonist Direct Oral Anticoagulant (DOAC) Bethanechol ...... 4 Apixaban ...... 3 Carbachol ...... 5 Dabigatran Etexilate ...... 7 Pilocarpine (Systemic) ...... 19 Rivaroxaban ...... 21 Colony Stimulating Factor Disinfectant, Antibacterial (Topical) Epoetin Alfa ...... 9 Sodium Hypochlorite ...... 22 Contraceptive Diuretic, Carbonic Anhydrase Inhibitor Ethinyl Estradiol and Desogestrel ...... 10 AcetaZOLAMIDE ...... 2 Ethinyl Estradiol and Drospirenone ...... 10 MethazolAMIDE ...... 16 Ethinyl Estradiol and Ethynodiol Diacetate ...... 10 Diuretic, Combination Ethinyl Estradiol and Etonogestrel ...... 10 Amiloride and Hydrochlorothiazide ...... 3 Ethinyl Estradiol and Levonorgestrel ...... 10 Ethinyl Estradiol and Norelgestromin ...... 10 Diuretic, Loop Ethinyl Estradiol and Norethindrone ...... 10 Bumetanide ...... 4 Ethinyl Estradiol and Norgestimate ...... 11 Furosemide ...... 12 Ethinyl Estradiol and Norgestrel ...... 11 Levonorgestrel (Systemic) ...... 15 Diuretic, Potassium-Sparing MedroxyPROGESTERone ...... 16 Eplerenone ...... 9 Norethindrone ...... 18 Hydrochlorothiazide and Triamterene ...... 13 Norethindrone and Mestranol ...... 18 Spironolactone ...... 22 Ulipristal ...... 24 Diuretic, Thiazide Corticosteroid, Inhalant (Oral) Amlodipine, Valsartan, and Hydrochlorothiazide ...... 3 Budesonide (Oral Inhalation) ...... 4 HydroCHLOROthiazide ...... 13 Fluticasone and Salmeterol ...... 12 Hydrochlorothiazide and Spironolactone ...... 13 Fluticasone (Oral Inhalation) ...... 12 Hydrochlorothiazide and Triamterene ...... 13 Fluticasone, Umeclidinium, and Vilanterol ...... 12 Lisinopril and Hydrochlorothiazide ...... 15 Losartan and Hydrochlorothiazide ...... 15 Corticosteroid, Nasal Telmisartan and Hydrochlorothiazide ...... 23 Flunisolide (Nasal) ...... 11 Valsartan and Hydrochlorothiazide ...... 24 Fluticasone (Nasal) ...... 12 Diuretic, Thiazide-Related Corticosteroid, Ophthalmic Azilsartan and Chlorthalidone ...... 4 Fluorometholone ...... 11 Chlorthalidone ...... 6 Loteprednol ...... 15 Indapamide ...... 13 PrednisoLONE (Ophthalmic) ...... 20 MetOLazone ...... 16 Corticosteroid, Otic Dopamine Antagonist Ciprofloxacin and Dexamethasone ...... 6 Metoclopramide ...... 16 Neomycin, Polymyxin B, and Hydrocortisone (Otic) ...... 18 Electrolyte Supplement, Oral Corticosteroid, Rectal Calcium and Vitamin D ...... 5 Hydrocortisone (Topical) ...... 13 Magnesium Oxide ...... 16 Potassium Chloride ...... 20 Corticosteroid, Systemic Potassium Phosphate and Sodium Phosphate ...... 20 Cortisone ...... 7 Sodium Bicarbonate ...... 22 DexAMETHasone (Systemic) ...... 7 Fludrocortisone ...... 11 Electrolyte Supplement, Parenteral Hydrocortisone (Systemic) ...... 13 Potassium Chloride ...... 20 MethylPREDNISolone ...... 16 Sodium Bicarbonate ...... 22 PrednisoLONE (Systemic) ...... 20 Sodium Chloride ...... 22 PredniSONE ...... 20 Sodium Phosphates ...... 22 Triamcinolone (Systemic) ...... 24 Enzyme Corticosteroid, Topical Pancrelipase ...... 19 Betamethasone (Topical) ...... 4 Ergot Derivative Calcipotriene and Betamethasone ...... 5 Cabergoline ...... 4 Clioquinol and Hydrocortisone ...... 6 Ergotamine and Caffeine ...... 9 Clobetasol ...... 6 Methylergonovine ...... 16 Clocortolone ...... 6 Desonide ...... 7 Erythropoiesis-Stimulating Agent (ESA) Desoximetasone ...... 7 Epoetin Alfa ...... 9 Fluocinolone (Topical) ...... 11 Fluocinonide ...... 11 Estrogen and Progestin Combination Fluticasone (Topical) ...... 12 Estradiol and Levonorgestrel ...... 10 Halobetasol and Tazarotene ...... 13 Estrogens (Conjugated/Equine) and Medroxyprogesterone ...... 10 Hydrocortisone (Topical) ...... 13 Ethinyl Estradiol and Desogestrel ...... 10 Mometasone (Topical) ...... 17 Ethinyl Estradiol and Drospirenone ...... 10 Nystatin and Triamcinolone ...... 18 Ethinyl Estradiol and Ethynodiol Diacetate ...... 10 Triamcinolone (Topical) ...... 24 Ethinyl Estradiol and Etonogestrel ...... 10 Ethinyl Estradiol and Levonorgestrel ...... 10 Cytochrome P-450 Inhibitor Ethinyl Estradiol and Norelgestromin ...... 10 Atazanavir and Cobicistat ...... 3 Ethinyl Estradiol and Norethindrone ...... 10 Cobicistat ...... 6 Ethinyl Estradiol and Norgestimate ...... 11 Darunavir and Cobicistat ...... 7 Ethinyl Estradiol and Norgestrel ...... 11 Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Alafenamide ...... 9 Norethindrone and Mestranol ...... 18 Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Disoproxil Fumarate ...... 9 Estrogen Derivative Estradiol (Systemic) ...... 10 Decongestant Estradiol (Topical) ...... 10 Loratadine and Pseudoephedrine ...... 15 Estrogens (Conjugated/Equine, Systemic) ...... 10 Oxymetazoline (Nasal) ...... 18 Estrogens (Conjugated/Equine, Topical) ...... 10 33 KERATOLYTIC AGENT

Ethanolamine Derivative Hydrocodone and Chlorpheniramine ...... 13 DiphenhydrAMINE (Systemic) ...... 8 HydrOXYzine ...... 13 Doxylamine ...... 8 Meclizine ...... 16 Naphazoline and Pheniramine ...... 17 Expectorant Promethazine ...... 20 GuaiFENesin ...... 12 Promethazine and Codeine ...... 20 Guaifenesin and Dextromethorphan ...... 12 Guaifenesin and Pseudoephedrine ...... 13 Histamine H1 Antagonist, Second Generation Potassium Iodide ...... 20 Azelastine (Nasal) ...... 4 Cetirizine (Systemic) ...... 5 Fiber Supplement Epinastine ...... 9 Psyllium ...... 20 Fexofenadine ...... 11 First Generation (Typical) Antipsychotic Loratadine ...... 15 Loratadine and Pseudoephedrine ...... 15 ChlorproMAZINE ...... 5 Olopatadine (Ophthalmic) ...... 18 Haloperidol ...... 13 Pimozide ...... 19 Histamine H2 Antagonist Prochlorperazine ...... 20 Famotidine ...... 11 Thioridazine ...... 23 RaNITIdine (Withdrawn From US Market) ...... 21 Thiothixene ...... 23 Trifluoperazine ...... 24 Histone Deacetylase Inhibitor Valproic Acid and Derivatives ...... 24 GABA Agonist/Glutamate Antagonist Acamprosate ...... 2 Hormone, Posterior Pituitary Desmopressin ...... 7 GABA Analog Gabapentin ...... 12 Hypnotic, Miscellaneous Pregabalin ...... 20 Eszopiclone ...... 10 Zaleplon ...... 25 Gallstone Dissolution Agent Zolpidem ...... 25 Ursodiol ...... 24 Imidazoline Derivative Gastrointestinal Agent, Miscellaneous Naphazoline and Pheniramine ...... 17 Adalimumab ...... 2 Naphazoline (Ophthalmic) ...... 17 Lubiprostone ...... 16 Oxymetazoline (Nasal) ...... 18 Sucralfate ...... 22 Immunosuppressant Agent Gastrointestinal Agent, Prokinetic AzaTHIOprine ...... 3 Metoclopramide ...... 16 Cyclophosphamide ...... 7 CycloSPORINE (Ophthalmic) ...... 7 General Anesthetic CycloSPORINE (Systemic) ...... 7 FentaNYL ...... 11 Everolimus ...... 11 Genitourinary Irrigant Mercaptopurine ...... 16 Neomycin and Polymyxin B ...... 17 Methotrexate ...... 16 Sodium Chloride ...... 22 Mycophenolate ...... 17 Pimecrolimus ...... 19 Glutamate Inhibitor Sirolimus ...... 22 Riluzole ...... 21 Tacrolimus (Systemic) ...... 22 Tacrolimus (Topical) ...... 22 Glycopeptide Dalbavancin ...... Insulin, Combination Vancomycin ...... 24 Insulin Aspart Protamine and Insulin Aspart ...... 13 Insulin Lispro Protamine and Insulin Lispro ...... 14 Gold Compound Insulin NPH and Insulin Regular ...... 14 Auranofin ...... 3 Insulin, Intermediate-Acting Gonadotropin Releasing Hormone Agonist Insulin NPH ...... 14 Goserelin ...... 12 Leuprolide ...... 15 Insulin, Long-Acting Insulin Detemir ...... 13 Hematopoietic Agent Insulin Glargine ...... 14 Epoetin Alfa ...... 9 Insulin, Rapid-Acting Hemostatic Agent Insulin Aspart ...... 13 Aluminum Chloride Hexahydrate ...... 2 Insulin Lispro ...... 14 Aminocaproic Acid ...... 3 Desmopressin ...... 7 Insulin, Short-Acting Insulin Regular ...... 14 Histamine H1 Antagonist Azelastine (Nasal) ...... 4 Interferon Cetirizine (Systemic) ...... 5 Interferon Beta-1a ...... 14 Chlorpheniramine ...... 5 Interferon Beta-1b ...... 14 Cyproheptadine ...... 7 DiphenhydrAMINE (Systemic) ...... 8 Interleukin-12 Inhibitor Doxylamine ...... 8 Ustekinumab ...... 24 Epinastine ...... 9 Interleukin-23 Inhibitor Fexofenadine ...... 11 Ustekinumab ...... 24 Hydrocodone and Chlorpheniramine ...... 13 HydrOXYzine ...... 13 Intravenous Nutritional Therapy Loratadine ...... 15 Dextrose ...... 7 Loratadine and Pseudoephedrine ...... 15 Iron Preparations Meclizine ...... 16 Ferrous Gluconate ...... 11 Naphazoline and Pheniramine ...... 17 Ferrous Sulfate ...... 11 Olopatadine (Ophthalmic) ...... 18 Promethazine ...... 20 Irrigant Promethazine and Codeine ...... 20 Sodium Chloride ...... 22

Histamine H1 Antagonist, First Generation Keratolytic Agent Chlorpheniramine ...... 5 Podofilox ...... 19 Cyproheptadine ...... 7 Salicylic Acid ...... 21 DiphenhydrAMINE (Systemic) ...... 8 Tazarotene ...... 23 Doxylamine ...... 8 Urea (Topical) ...... 24 34 LAXATIVE

Laxative Piroxicam (Systemic) ...... 19 Magnesium Hydroxide ...... 16 Sulindac ...... 22 Laxative, Bowel Evacuant Nonsteroidal Anti-inflammatory Drug (NSAID), Parenteral Sodium Phosphates ...... 22 Ibuprofen ...... 13 Indomethacin ...... 13 Laxative, Bulk-Producing Ketorolac (Systemic) ...... 14 Psyllium ...... 20 Meloxicam ...... 16 Laxative, Osmotic Nonsteroidal Anti-inflammatory Drug (NSAID), Topical Glycerin ...... 12 Diclofenac (Topical) ...... 8 Lactulose ...... 14 Polyethylene Glycol 3350 ...... 19 Norepinephrine Reuptake Inhibitor, Selective Polyethylene Glycol-Electrolyte Solution ...... 19 AtoMOXetine ...... 3 Laxative, Saline Nutritional Supplement Magnesium Citrate ...... 16 Fluoride ...... 11 Laxative, Stimulant Ophthalmic Agent, Antiglaucoma Bisacodyl ...... 4 AcetaZOLAMIDE ...... 2 Leukotriene-Receptor Antagonist Betaxolol (Ophthalmic) ...... 4 Montelukast ...... 17 Bimatoprost ...... 4 Brimonidine and Timolol ...... 4 Local Anesthetic Brimonidine (Ophthalmic) ...... 4 Benzocaine ...... 4 Brinzolamide and Brimonidine ...... Dibucaine ...... 8 Carbachol ...... 5 Lidocaine and Prilocaine ...... 15 Dorzolamide ...... 8 Lidocaine (Topical) ...... 15 Dorzolamide and Timolol ...... 8 Lubricant, Ocular Latanoprost ...... 15 Sodium Chloride ...... 22 Levobunolol ...... 15 MethazolAMIDE ...... 16 Lymphocyte Function-Associated Antigen 1 (LFA-1) Antagonist Pilocarpine (Ophthalmic) ...... 19 Lifitegrast ...... 15 Timolol (Ophthalmic) ...... 23 Lysine Analog Ophthalmic Agent, Miotic Aminocaproic Acid ...... 3 Carbachol ...... 5 Pilocarpine (Ophthalmic) ...... 19 Magnesium Salt Magnesium Citrate ...... 16 Ophthalmic Agent, Miscellaneous Magnesium Hydroxide ...... 16 Carboxymethylcellulose ...... 5 Magnesium Oxide ...... 16 Ophthalmic Agent, Mydriatic Mast Cell Stabilizer Atropine (Ophthalmic) ...... 3 Cromolyn (Ophthalmic) ...... 7 Cyclopentolate and Phenylephrine ...... 7 Mineralocorticoid (Aldosterone) Receptor Antagonists Homatropine ...... 13 Eplerenone ...... 9 Phenylephrine (Ophthalmic) ...... 19 Hydrochlorothiazide and Spironolactone ...... 13 Tropicamide ...... 24 Spironolactone ...... 22 Ophthalmic Agent, Vasoconstrictor Miscellaneous Product Naphazoline and Pheniramine ...... 17 Diabetic Supplies ...... 7 Naphazoline (Ophthalmic) ...... 17 Monoclonal Antibody Opioid Antagonist Adalimumab ...... 2 Naloxone ...... 17 Secukinumab ...... 21 Naltrexone ...... 17 Ustekinumab ...... 24 Otic Agent, Anti-infective Monoclonal Antibody, CGRP Antagonist Acetic Acid, Propylene Glycol Diacetate, and Hydrocortisone ...... 2 Erenumab ...... 9 Aluminum Acetate and Acetic Acid ...... 2 mTOR Kinase Inhibitor Otic Agent, Cerumenolytic Everolimus ...... 11 Carbamide Peroxide ...... 5 Sirolimus ...... 22 Ovulation Stimulator Neuraminidase Inhibitor ClomiPHENE ...... 6 Oseltamivir ...... 18 P2Y12 Antagonist N-Methyl-D-Aspartate (NMDA) Receptor Antagonist Clopidogrel ...... 6 Memantine ...... 16 Prasugrel ...... 20 Ticagrelor ...... 23 Nonsteroidal Anti-inflammatory Drug (NSAID) Diclofenac (Ophthalmic) ...... 8 Partial Nicotine Agonist Diclofenac (Systemic) ...... 8 Varenicline ...... 24 Diclofenac (Topical) ...... 8 Pediculocide Nonsteroidal Anti-inflammatory Drug (NSAID), COX-2 Selective Malathion ...... 16 Celecoxib ...... 5 Permethrin ...... 19 Nonsteroidal Anti-inflammatory Drug (NSAID), Ophthalmic Pharmaceutical Aid Diclofenac (Ophthalmic) ...... 8 White Petrolatum ...... 25 Flurbiprofen (Ophthalmic) ...... 12 Ketorolac (Ophthalmic) ...... 14 Phenothiazine Derivative ChlorproMAZINE ...... 5 Nonsteroidal Anti-inflammatory Drug (NSAID), Oral Prochlorperazine ...... 20 Aspirin ...... 3 Promethazine ...... 20 Diclofenac (Systemic) ...... 8 Promethazine and Codeine ...... 20 Ibuprofen ...... 13 Thioridazine ...... 23 Indomethacin ...... 13 Trifluoperazine ...... 24 Ketorolac (Systemic) ...... 14 Meloxicam ...... 16 Phosphate Binder Nabumetone ...... 17 Calcium Acetate ...... 5 Naproxen ...... 17 Sevelamer ...... 22 35 TOPICAL SKIN PRODUCT, ACNE

Phosphodiesterase-3 Enzyme Inhibitor Selective 5-HT3 Receptor Antagonist Cilostazol ...... 6 Granisetron ...... 12 Ondansetron ...... 18 Phosphodiesterase-5 Enzyme Inhibitor Palonosetron ...... 19 Sildenafil ...... 22 Selective Estrogen Receptor Modulator (SERM) Phosphodiesterase Enzyme Inhibitor, Nonselective ClomiPHENE ...... 6 Caffeine ...... 5 Raloxifene ...... 21 Theophylline ...... 23 Tamoxifen ...... 22 Piperazine Derivative Serotonin 5-HT1B, 1D Receptor Agonist Cetirizine (Systemic) ...... 5 Eletriptan ...... 9 HydrOXYzine ...... 13 Naratriptan ...... 17 Meclizine ...... 16 Rizatriptan ...... 21 Piperidine Derivative SUMAtriptan ...... 22 ZOLMitriptan ...... 25 Cyproheptadine ...... 7 Fexofenadine ...... 11 Serotonin 5-HT4 Receptor Agonist Loratadine ...... 15 Metoclopramide ...... 16 Loratadine and Pseudoephedrine ...... 15 Olopatadine (Ophthalmic) ...... 18 Skeletal Muscle Relaxant Baclofen ...... 4 Potassium Binder Carisoprodol ...... 5 Patiromer ...... 19 Cyclobenzaprine ...... 7 Methocarbamol ...... 16 Progestin HYDROXYprogesterone Caproate ...... 13 Skin and Mucous Membrane Agent Levonorgestrel (Systemic) ...... 15 Imiquimod ...... 13 MedroxyPROGESTERone ...... 16 Skin and Mucous Membrane Agent, Miscellaneous Megestrol ...... 16 Emollients ...... 9 Norethindrone ...... 18 Progesterone ...... 20 Smoking Cessation Aid BuPROPion ...... 4 Progestin Receptor Modulator Nicotine ...... 18 Ulipristal ...... 24 Varenicline ...... 24 Prostaglandin Sodium-Glucose Cotransporter 2 (SGLT2) Inhibitor Alprostadil ...... 2 Empagliflozin ...... 9 MiSOPROStol ...... 17 Sodium Salt Prostaglandin, Ophthalmic Sodium Chloride ...... 22 Bimatoprost ...... 4 Latanoprost ...... 15 Stool Softener Docusate ...... 8 Protectant, Topical Aluminum Hydroxide ...... 2 Substituted Benzimidazole Omeprazole ...... 18 Proton Pump Inhibitor Pantoprazole ...... 19 Omeprazole ...... 18 RABEprazole ...... 21 Pantoprazole ...... 19 RABEprazole ...... 21 Sympathomimetic Diethylpropion ...... 8 Psoralen Phentermine ...... 19 Methoxsalen (Systemic) ...... 16 Thioamide Rescue Agent (Chemotherapy) MethIMAzole ...... 16 Leucovorin Calcium ...... 15 Propylthiouracil ...... 20 Retinoic Acid Derivative Thyroid Product Adapalene ...... 2 Levothyroxine ...... 15 Halobetasol and Tazarotene ...... 13 Liothyronine ...... 15 ISOtretinoin (Systemic) ...... 14 Thyroid, Desiccated ...... 23 Tazarotene ...... 23 Tretinoin (Topical) ...... 24 Topical Skin Product Aluminum Acetate ...... 2 Retinoid-Like Compound Aluminum Chloride Hexahydrate ...... 2 Acitretin ...... 2 Benzoyl Peroxide ...... 4 Calamine ...... 5 Rho Kinase Inhibitor Calcipotriene ...... 5 Netarsudil ...... 18 Capsaicin ...... 5 Rifamycin Clindamycin and Benzoyl Peroxide ...... 6 RifAMPin ...... 21 Coal Tar and Salicylic Acid ...... 6 Emollients ...... 9 Salicylate Erythromycin (Topical) ...... 9 Aspirin ...... 3 Fluorouracil (Topical) ...... 12 Methyl Salicylate and Menthol ...... 16 Imiquimod ...... 13 Salsalate ...... 21 Ingenol Mebutate ...... 13 Lactic Acid and Ammonium Hydroxide ...... 14 Scabicidal Agent Lanolin ...... 15 Crotamiton ...... 7 Methyl Salicylate and Menthol ...... 16 Malathion ...... 16 Pimecrolimus ...... 19 Permethrin ...... 19 Podofilox ...... 19 Second Generation (Atypical) Antipsychotic Povidone-Iodine (Topical) ...... 20 ARIPiprazole ...... 3 Selenium Sulfide ...... 22 Tacrolimus (Topical) ...... 22 Lurasidone ...... 16 Urea (Topical) ...... 24 OLANZapine ...... 18 White Petrolatum ...... 25 Paliperidone ...... 18 Zinc Oxide ...... 25 QUEtiapine ...... 21 RisperiDONE ...... 21 Topical Skin Product, Acne Ziprasidone ...... 25 Adapalene ...... 2 36 TOPICAL SKIN PRODUCT, ACNE

Benzoyl Peroxide ...... 4 Clindamycin and Benzoyl Peroxide ...... 6 Clindamycin (Topical) ...... 6 Erythromycin (Topical) ...... 9 Salicylic Acid ...... 21 Sulfur and Sulfacetamide ...... 22 Tazarotene ...... 23 Tretinoin (Topical) ...... 24 Transient Receptor Potential Vanilloid 1 (TRPV1) Agonist Capsaicin ...... 5 Tumor Necrosis Factor (TNF) Blocking Agent Adalimumab ...... 2 Uricosuric Agent Probenecid ...... 20 Urinary Tract Product Acetohydroxamic Acid ...... 2 Vasodilator Alprostadil ...... 2 Cilostazol ...... 6 Dipyridamole ...... 8 HydrALAZINE ...... 13 Isosorbide Dinitrate ...... 14 Isosorbide Dinitrate and Hydralazine ...... 14 Isosorbide Mononitrate ...... 14 Nitroglycerin ...... 18 Vasodilator, Direct-Acting Minoxidil (Systemic) ...... 17 Vasopressin Analog, Synthetic Desmopressin ...... 7 Vitamin Vitamins (Multiple/Oral) ...... 24 Vitamins (Multiple/Prenatal) ...... 24 Vitamin D Analog Calcipotriene ...... 5 Calcipotriene and Betamethasone ...... 5 Calcitriol (Systemic) ...... 5 Cholecalciferol ...... 6 Ergocalciferol ...... 9 Vitamin D ...... 24 Vitamin, Fat Soluble Calcium and Vitamin D ...... 5 Phytonadione ...... 19 Vitamin, Water Soluble Cyanocobalamin ...... 7 Folic Acid ...... 12 Leucovorin Calcium ...... 15 Niacin ...... 18 Pyridoxine ...... 21 Riboflavin ...... 21 Thiamine ...... 23 Xanthine Oxidase Inhibitor Allopurinol ...... 2 37