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Navalsandiego Julyidx (2) 1..14 NMCSD AND NHCP OUTPATIENT FORMULARY Alphabetical Listing by Therapeutic Category This document is current as of July 16, 2020. The availability of formulary items is subject to change. 1 ACETYLCHOLINESTERASE INHIBITOR Acetylcholinesterase Inhibitor Analgesic, Nonopioid Neostigmine .................................................................................................. Acetaminophen ............................................................................................. Pyridostigmine ............................................................................................... Aspirin ........................................................................................................... Butalbital, Acetaminophen, and Caffeine ..................................................... Acetylcholinesterase Inhibitor (Central) Celecoxib ...................................................................................................... Donepezil ...................................................................................................... Diclofenac (Systemic) ................................................................................... Acne Products Ibuprofen ....................................................................................................... Adapalene ..................................................................................................... Indomethacin ................................................................................................. Benzoyl Peroxide .......................................................................................... Ketorolac (Systemic) ..................................................................................... Clindamycin and Benzoyl Peroxide .............................................................. Meloxicam ..................................................................................................... Erythromycin (Topical) .................................................................................. Nabumetone .................................................................................................. ISOtretinoin (Systemic) ................................................................................. Naproxen ....................................................................................................... Salicylic Acid ................................................................................................. Piroxicam (Systemic) .................................................................................... Sulfur and Sulfacetamide .............................................................................. Sulindac ........................................................................................................ Tazarotene .................................................................................................... Analgesic, Opioid Tretinoin (Topical) ......................................................................................... Acetaminophen and Codeine ....................................................................... Adrenergic Agonist Agent Belladonna and Opium ................................................................................. Oxymetazoline (Nasal) .................................................................................. Butorphanol ................................................................................................... Codeine ......................................................................................................... Aldehyde Dehydrogenase Inhibitor FentaNYL ...................................................................................................... Disulfiram ...................................................................................................... Hydrocodone and Acetaminophen ............................................................... Alkalinizing Agent Hydrocodone and Chlorpheniramine ............................................................ Sodium Bicarbonate ...................................................................................... HYDROmorphone ......................................................................................... Methadone .................................................................................................... Alkalinizing Agent, Oral Morphine (Systemic) ..................................................................................... Potassium Citrate .......................................................................................... OxyCODONE ................................................................................................ Sodium Citrate and Citric Acid ..................................................................... Oxycodone and Acetaminophen ................................................................... Promethazine and Codeine .......................................................................... Alkylamine Derivative Tapentadol .................................................................................................... Chlorpheniramine .......................................................................................... TraMADol ...................................................................................................... Hydrocodone and Chlorpheniramine ............................................................ Naphazoline and Pheniramine ...................................................................... Analgesic, Opioid Partial Agonist Butorphanol ................................................................................................... Alpha1 Agonist Naphazoline and Pheniramine ...................................................................... Analgesic, Topical Naphazoline (Ophthalmic) ............................................................................ Benzocaine ................................................................................................... Capsaicin ...................................................................................................... Alpha1 Blocker Lidocaine (Topical) ........................................................................................ Alfuzosin ........................................................................................................ Methyl Salicylate and Menthol ...................................................................... Doxazosin ..................................................................................................... Prazosin ........................................................................................................ Analgesic, Urinary Tamsulosin .................................................................................................... Pentosan Polysulfate Sodium ....................................................................... Terazosin ....................................................................................................... Phenazopyridine ........................................................................................... Alpha2-Adrenergic Agonist Androgen CloNIDine ...................................................................................................... Testosterone .................................................................................................. GuanFACINE ................................................................................................ Methyldopa .................................................................................................... Anesthetic/Corticosteroid TiZANidine .................................................................................................... Pramoxine and Hydrocortisone .................................................................... Angiotensin II Receptor Blocker Alpha2 Agonist, Ophthalmic Apraclonidine ................................................................................................ Amlodipine and Valsartan ............................................................................. Brimonidine and Timolol ............................................................................... Amlodipine, Valsartan, and Hydrochlorothiazide .......................................... Brimonidine (Ophthalmic) ............................................................................. Azilsartan and Chlorthalidone ....................................................................... Brinzolamide and Brimonidine ...................................................................... Candesartan .................................................................................................. Irbesartan ...................................................................................................... Alpha-Adrenergic Agonist Losartan ........................................................................................................ Phenylephrine (Nasal) .................................................................................. Losartan and Hydrochlorothiazide ................................................................ Phenylephrine (Ophthalmic) ......................................................................... Telmisartan .................................................................................................... Phenylephrine (Topical) ...............................................................................
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