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Home , Carmex, Naphazoline, Nasal spray

Wake Brook Formulary ­ Brand Therapeutic Dosage Category Brand Name Generic Name Strength Classification Form CNS Antipsychotic Abilify 2mg, 5 mg, 10 mg, 15 mg Dermatological Cold Sore Agent Abreva docosanol 10% Dermatological Emollient Absorbase/Hydrocerin moisturing cream cream Bronchodilator Respiratory (sympathomimetic) Adrenalin epinephrine 1:1000 (1 mg/1 ml) Miscellaneous spacer Aerochamber/Optihaler spacer for inhaler each Cough/Cold agent Afrin HCL 0.05% nasal spray Renal Agent Diuretics,K+ sparing Aldactone spironolactone 25 mg tablet CNS Hypnotic Ambien zolpidem 5 mg tablet Respiratory Respiratory stimulant Ammonia Inhalant ammonia Inhalant 15% inhalant Anti‐Infective Penicillin Amoxicillin amoxicillin 500 mg Dermatological Analgesic balm /methyl salicylate 6 %/14% cream CNS Antialcoholic agent Antabuse disulfiram 250mg or 500 mg tablet

GI agent Mouth and throat product Antiseptic mouth cleanser carbamide peroxide 10% Antiparkinson CNS agent/anticholinergic Artane trihexylphenidyl 5 mg tablet

Opthalmic Lubricant Artificial Tears/Hypotears lubricant, ophth solution Hematologic Agent Hematologic Agent aspirin, chewable 81 mg tablet CNS Antianxiety Ativan lorazepam 0.5 mg, 1 mg, 2 mg tablet CNS Anticonvulsant Ativan lorazepam 0.5 mg, 1 mg, 2 mg tablet Respiratory Anticholinergic Atrovent HFA 12.9 gm inhalant amoxicillin/clavulanate Anti‐Infective Penicillin Augmentin potassium 875 mg/125 mg tablet Otic Analagesic/ Aurodex Otic antipyrine/benzocaine 54 mg/ml, 14 mg/ml solution Dermatological Antibiotic Bacitracin bacitracin 500 units/gm ointment sulfamethoxazole/trimethopri Anti‐Infective Sulfa combination Bactrim DS m 800 mg/160 mg tablet Antiparkinson CNS agent/anticholinergic Benadryl diphenhydramine 25 mg capsule/tablet Antiparkinson CNS agent/anticholinergic Benadryl diphenhydramine 50 mg/1 ml injection CNS Antivertigo Benadryl diphenhydramine 25 mg capsule/tablet Cough/Cold agent Benadryl diphenhydramine 25 mg capsule/tablet Cough/Cold agent Antihistamine Benadryl diphenhydramine liquid 12.5 mg/ 5 ml liquid

Bold = Sample (may not be available) 1 5/7/2013 Wake Brook Formulary ­ Brand Therapeutic Dosage Category Brand Name Generic Name Strength Classification Form GI agent Antispasmodic Bentyl dicyclomine 20 mg tablet Dermatological Antibiotic Benzyl Peroxide benzoyl peroxide 10% cream Otic Antibacterial Borofax Ear Solution acetic acid 2% solution

Respiratory Nasal Breathe Right Nasal Strips nasal strips topical CNS Antianxiety Buspar 5 mg, 10 mg tablet Dermatological Anti‐itch Calamine calamine/zinc oxide 8 %/8 % Cardiac agent Calcium channel blocker Calan SR verapamil ER 240 mg tablet CNS Antialcoholic agent Campral acamprosate 333 mg tablet Dermatological Cold Sore Agent Carmex/Blistex menthol/camphor/phenol 0.7 %/1.7 %/0.4 % ointment Dermatological Carmex/Blistex menthol/camphor/phenol 0.7 %/1.7 %/0.4 % ointment Cardiac agent Central alpha‐agonist Catapress 0.1 mg tablet Cephalosporin, second Anti‐Infective generation Ceftin cefuroxime 500 mg tablet CNS ‐SSRI Celexa citalopram 10 mg, 20 mg tablet GI agent Mouth and throat product Cepastat phenol oral anesthetic 14.5 mg lozenge Diagnostic diabetic Urine Strips Chemstrips urine strips Cough/Cold agent Antihistamine Chlor‐Trimeton chlorpheniramine 4 mg tablet Anti‐Infective Fluroquinolones Cipro ciprofloxacin 500 mg tablet Cough/Cold agent Antihistamine Claritin loratadine 10 mg tablet Anti‐Infective Lincosamide Cleocin clindamycin 150 mg capsule Vaginal Vaginal‐anti‐infective Cleocin clindamycin 2% vaginal cream Dermatological Mouth and throat preparation Clove oil clove oil 1/8 oz liquid Dermatological Miscellaneous Cocoa butter Cocoa butter 1 oz butter Antiparkinson CNS agent/anticholinergic Cogentin benztropine mesylate 1 mg/1 ml injection Antiparkinson CNS agent/anticholinergic Cogentin benztropine mesylate 1 mg tablet GI agent Stool Softener colace docusate sodium 100 mg capsule GI agent Stool Softener Colace docusate sodium 20 mg/5 ml syrup

Endocrine/Metabolic gout agent Colchicine colchicine 0.6 mg tablet hydrocortisone//pol Otic Steroid/Antibiotic Cortisporin Otic ymyxin 1%/5 mg/10,000 units solution Hematologic Agent Hematological Agent Coumadin/Jantoven warfarin 1 mg, 5 mg tablet

Bold = Sample (may not be available) 2 5/7/2013 Wake Brook Formulary ­ Brand Therapeutic Dosage Category Brand Name Generic Name Strength Classification Form Digestive Enzymes‐ not Creon 20‐n/a, can order pancrelipase ‐ n/a, can order GI agent stocked, can order prn prn prn 20,000 units lipase tablet Digestive Enzymes‐ not pancrelipase ‐ n/a, can order GI agent stocked, can order prn Creon 5‐n/a, can order prn prn 5,000 units lipase tablet CNS Antidepressant­SNRI Cymbalta duloxetine HCL 30mg, 60 mg capsule Otic Ear Wax Emulsifier Debrox carbamide peroxide 7.5% solution Dermatological Mouth and throat preparation Dentemp Filling Mix dental repair mixture divalproic acid DR (delayed CNS Anticonvulsant Depakote release) 250 mg, 500 mg tablet divalproic acid ER (extended CNS Anticonvulsant Depakote ER release) 250 mg, 500 mg tablet Dermatological Protectant Desitin zinc oxide 10% ointment

CNS Antidepressant‐miscellaneous Desyrel 50 mg, 100 mg tablet Cough Cough/Cold agent suppressant/Expectorant Diabetic Tussin dextromethorphan/guaifenesin 15mg/100mg per 5 ml liquid Anti‐Infective Antifungal diflucan fluconazole 100 mg tablet CNS Anticonvulsant Dilantin phenytoin 100 mg capsule Angiotensin II receptor blocker Cardiac agent (ARB) Diovan valsartan 40 mg tablet Renal Agent Anticholinergic Ditropan oxybutynin 5 mg tablet Dermatological Astringent Domeboro aluminum acetate CNS Antivertigo Dramamine dimenhydrinate 50 mg tablet GI agent Laxative Dulcolax bisacodyl 10 mg GI agent Laxative Dulcolax bisacodyl 5 mg tablet Diagnostic Pregnancy test (urine) E.P.T Pregnancy test Otic Ear Plugs Ear plugs ear plugs CNS Analgesics Ecotrin aspirin, enteric coated 81 mg, 325 mg tablet CNS Antidepressant‐SNRI Effexor XR venlafaxine 37.5 mg, 75 mg capsule CNS Antidepressant‐tricyclic Elavil 25 mg tablet Dermatological Scabicide Elimite permethrin 5% cream nutritional supplement, high Nutritional Agent Nutritional Supplement Ensure High Protein protein 8 oz liquid Bronchodilator Respiratory (sympathomimetic) EpiPen epinephrine auto injector 0.3 mg injection CNS Antipsychotic Eskalith lithium carbonate 300 mg capsule

Bold = Sample (may not be available) 3 5/7/2013 Wake Brook Formulary ­ Brand Therapeutic Dosage Category Brand Name Generic Name Strength Classification Form CNS Antipsychotic Eskalith CR lithium carbonate ER 450 mg tablet

CNS Agent Excedrin Migraine/Geneced ASA/APAP/Caffene 250 mg/ 250 mg/65 mg tablet Nutritional Agent Trace element Ferrous sulfate ferrous sulfate 325 mg tablet Dermatological Mouth and throat preparation Fixodent dental adhesive 0.75 oz cream Anti‐Infective Amebicide Flagyl metronidazole 500 mg tablet STD State Free (for treatment of Anti‐Infective STD only) Flagyl metronidazole 500 mg tablet GI agent Laxative () Fleet Enema phopha‐soda enema 4.5 oz enema CNS Muscle relaxant Flexeril 10 mg tablet Nutritional Agent Vitamin Folate folic Acid 1 mg tablet CNS Antipsychotic Geodon 20 mg, 40 mg, 60 mg, 80 mg capsule Anti‐Diabetic Glucose elevating agent Glucagon Injection glucagon emergency kit 1 mg injection nutritional supplement, Nutritional Agent Nutritional Supplement Glucerna diabetic 8 oz liquid Anti‐Diabetic biguanide Glucophage metformin 500 mg tablet Anti‐Diabetic Sulfonylurea Glucotrol XL glipizide extended release 5 mg tablet Anti‐Diabetic Glucose elevating agent Glutose glucose, instant 15 gm oral Vaginal Vaginal‐antifungal Gyne‐Lotrimin clotrimazole 1% vaginal cream CNS Antipsychotic Haldol 1 mg, 2 mg, 5 mg tablet

CNS Antipsychotic Haldol haloperidol immediate release 5 mg/1 ml injection CNS Antipsychotic Haldol decanoate 100 mg/1 ml injection Dermatological Anti‐dandruff Head & Shoulders pyrithione zinc 1% Anti‐Diabetic Insulin Humalog insulin lispro, rapid onset 100 units/ml injection

insulin‐70% isophane insulin, intermediate acting & 30% Anti‐Diabetic Insulin Humulin 70/30 regular insulin, rapid acting 100 units/ml injection Dermatological Hydorcortisone hydrocortisone 1%, 2.5% cream Dermatological Corticosteroid Hydrocortisone hydrocortisone acetate 25 mg suppository Renal Agent Diuretics, thiazide HydroDiuril hydrochlorothiazide 25 mg tablet Dermatological Astringent Hydrogen Peroxide hydrogen peroxide 3% liquid Opthalmic Antibiotic Ilosone ophth ointment erythromycin ophth oint 0.5%/3.5 g ointment Cardiac agent Nitrate‐vasodilator Imdur isosorbide monohydrate ER 30 mg tablet GI agent Antidiarrheal Imodium loperamide 2 mg capsule Bold = Sample (may not be available) 4 5/7/2013 Wake Brook Formulary ­ Brand Therapeutic Dosage Category Brand Name Generic Name Strength Classification Form Cardiac agent Inderal 20 mg tablet Nonsteroidal Anti‐inflamatory CNS Indocin indomethacin 25 mg capsule CNS Antipsychotic Invega 3 mg tablet Cardiac agent Potassium removing resin Kayexalate sodium polystrene sulfonate 15 gm/60 ml suspension

Anti‐Infective Cephalosporin, first generation Keflex cephalexin 500 mg capsule Dermatological Corticosteroid Kenalog 0.1% cream Dermatological Mouth and throat preparation Kenalog acetonide dental 0.1% oral Dermatological Emollient Keri Lotion Keri Lotion lotion CNS Antianxiety Klonopin clonazepam 0.5 mg, 1 mg tablet CNS Anticonvulsant Klonopin clonazepam 0.5 mg, 1 mg tablet Nutritional Agent Electrolyte Klor‐Con 10 potassium chloride 10 mEq tablet Nutritional Agent Electrolyte Klor‐Con‐20 potassium chloride 20 mEq tablet Dermatological Moisturizer Lac‐Hydrin ammonium lactate lotion 12% lotion GI agent Stool Softener Lactulose lactulose solution 10 gm/ 15 ml liquid CNS Anticonvulsant Lamictal lamotrigine 25 mg,100 mg tablet Cardiac agent inotropic agent Lanoxin digoxin 0.125 mg tablet Anti‐Diabetic Insulin Lantus insulin glargine, long acting 100 units/ml injection Renal Agent Diurectics, loop Lasix furosemide 20 mg, 40 mg tablet CNS Antipsychotic Latuda 40mg, 80 mg tablet Anti‐Infective Fluroquinolones Levaquin levofloxacin 500 mg tablet CNS Antianxiety Librium chlordiazepoxide 25 mg capsule CNS Antipsychotic Lithobid lithium carbonate ER 300 mg tablet Cardiac agent Beta blocker Lopressor 25 mg , 50 mg tablet Nitrofurans ‐ 3/12‐ Not Macrobid‐ 3/12‐price incr, nitrofurantoin 3/12‐price incr, Anti‐Infective available N/A N/A 100 mg (BID dosing) capsule GI agent Laxative Magnesium Citrate magnesium citrate 1.745 gm/oz, 296 ml/bottle liquid GI agent Antacid Mag‐Ox magnesium oxide 400 mg tablet Nutritional Agent Mineral Mag‐Ox magnesium oxide 400 mg tablet GI agent Laxative (bulk producing) Metamucil psyllium 3.4 gm powder Vaginal Vaginal‐anti‐infective Metrogel metronidazole 0.75% vaginal cream Dermatological Antifungal Micatin miconazole 2% cream GI agent Antacid Milk of Magnesia magnesium hydroxide 2400 mg/30 ml liquid GI agent Laxative Milk of Magnesia magnesium hydroxide 2400 mg/30 ml liquid Bold = Sample (may not be available) 5 5/7/2013 Wake Brook Formulary ­ Brand Therapeutic Dosage Category Brand Name Generic Name Strength Classification Form GI agent Laxative Mineral Oil mineral oil 99.9% oil GI agent Laxative Miralax polyethylene glycol soln 3350 powder Nonsteroidal Anti‐inflamatory CNS drug Motrin ibuprofen 400mg, 600mg, 800mg tablet Cough/Cold agent Expectorant Mucinex guaifenesin extended release 600 mg/120 mg tablet Nutritional Agent Vitamin, Multiple Multiple Vitamin Vitamin, Multiple multiple tablet Dermatological Corticosteroid/antifungal Mycolog nystatin/triamcinolone 100,000 units/0.1 % cream GI agent Antiflatulent Mylicon simethicone 80 mg tablet Nonsteroidal Anti‐inflamatory CNS drug Naprosyn naproxen 500 mg tablet Antidotes Narcotic antagonist Narcan naloxone 0.4 mg/ml injection Cough/Cold agent NasalCrom cromolyn sodium 5.2 mg/spray nasal spray Respiratory mast cell stabilizer NasalCrom cromolyn sodium 5.2 mg/spray nasal spray CNS Antipsychotic Navane thiothixene 2 mg, 5 mg tablet neomycin/polymyxin/gramicid Opthalmic Antibiotic Neosporin ophth solution in 1.75mg/10,000 units/0.025mg solution triple antibiotic:bacitracin, Dermatological Antibiotic Neosporin topical ointment neomycin, polymyxin 400 units/3.5mg/5000 units ointment CNS Anticonvulsant Neurontin gabapentin 100 mg, 300 mg, 400 mg capsule/tablet CNS Deterrents Nicorette nicotine gum 2 mg lozenge CNS Smoking Deterrents Nicotine nicotine transdermal 14 mg, 21 mg patch Cardiac agent Nitrate‐vasodilator Nitroglycerin SL nitroglycerin 0.4 mg tablet Dermatological Pediculicide Nix permethrin 1% lotion Dermatological Antifungal Nizoral ketoconazole 2% cream Cardiac agent Calcium channel blocker Norvasc amlodipine 5mg, 10 mg tablet GI agent Mouth and throat product Nystatin nystatin 100, 000 units/ml liquid Cough/Cold agent Decongestant Ocean Nasal nasal spray 0.07% nasal spray Diabetic blood glucose testing Diagnostic strips One Touch blood glucose strips GI agent Mouth and throat product Orajel benzocaine 10% topical

Nutritional Agent Mineral OsCal with D calcium, elemental/ Vitamin D 500 mg/125 mg tablet Digestive Enzymes‐ not Panokase‐n/a, can order pancrelipase ‐ n/a, can order GI agent stocked, can order prn prn prn 8,000 units lipase tablet CNS Antidepressant‐SSRI Paxil paroxetine HCL 20 mg tablet Anti‐Infective Penicillin Pen VK penicillin VK 500 mg tablet Bold = Sample (may not be available) 6 5/7/2013 Wake Brook Formulary ­ Brand Therapeutic Dosage Category Brand Name Generic Name Strength Classification Form GI agent Antidiarrheal Pepto‐Bismol bismuth subsalicylate 262 mg/15 ml liquid GI agent Mouth and throat product Peridex chlorhexidine gluconate 0.12% rinse CNS Antiemetic Phenergan 25 mg/1 ml injection CNS Antiemetic Phenergan promethazine 25 mg suppository CNS Antiemetic Phenergan promethazine 25 mg tablet CNS Anticonvulsant Phenobarbital phenobarbital 30 mg tablet CNS Sedative, barbiturate Phenobarbital phenobarbital 30 mg tablet Dermatological Cleanser Phisoderm Phisoderm cleanser Miscellaneous Pill splitter pill splitter pill splitter each Diagnostic Tuberculin Skin test PPD Tuberculin Purified Protein 5 TU/0.1 ml

Endocrine/Metabolic glucocorticoid Prednisone prednisone 10 mg tablet Preparation H/Formulation Dermatological Analgesics R hemorrhoidal ointment 2 oz. ointment GI agent Proton Pump Inhibitor Prilosec omeprazole delayed release 20 mg capsule CNS Antidepressant­SNRI Pristiq desvenlafaxine 50 mg tablet Dermatological Corticosteroid Proctozone‐HC hydrocortisone rectal cream 2.50% cream CNS Antipsychotic Prolixin 1 mg, 5 mg tablet CNS Antipsychotic Prolixin decanoate fluphenazine decanoate 25mg/1 ml injection CNS Antidepressant‐SSRI Prozac fluoxetine 10 mg, 20 mg capsule Renal Agent Urinary analgesic Pyridium phenazopyridine 200 mg tablet CNS Antidepressant‐tetracyclic Remeron 15 mg, 30 mg tablet Antidotes Narcotic antagonist ReVia naltrexone 50 mg tablet CNS Antipsychotic Risperdal 0.25 mg, 0.5 mg, 1 mg, 2 mg tablet STD State Free (for treatment of Anti‐Infective STD only) Rocephin ceftriaxone 250 mg injection GI agent Antacid Rulox/Ala‐mag magaldrate/simethicone 540 mg/40 mg per 5 ml liquid CNS Antipsychotic Saphris 5mg, 10 mg SL tablet Dermatological Anti‐dandruff (seborrheic) Sebex sulfur/ 2%/2% shampoo Dermatological Anti‐psoriatic Selenium sulfide selenium sulfide 2.50% shampoo 50 mg, 150 mg, 200 mg, 300 mg, 400 CNS Antipsychotic Seroquel XR ER mg tablet Dermatological Burn Preparations Silvadene silver sufadiazine 10 mg/gm cream CNS Antianxiety Sinequan 25 mg, 50 mg capsule CNS Antidepressant‐tricyclic Sinequan doxepin 25 mg, 50 mg capsule

Bold = Sample (may not be available) 7 5/7/2013 Wake Brook Formulary ­ Brand Therapeutic Dosage Category Brand Name Generic Name Strength Classification Form

Miscellaneous Irrigation Sodium chloride Irrigation sodium chloride 0.9% irrigation Miscellaneous Diluent Sterile water for injection Sterile water for injection injection Dermatological Anesthetic Sting Kill benzocaine 20% swab Misc. psychotherapeutic, CNS ADHD Strattera atomoxetine 10 mg, 18 mg, 25mg, 40 mg tablet CNS Narcotic agonist Subutex buprenorphine 2 mg tablet Cough/Cold agent Decongestant Sudafed 30 mg tablet

Endocrine/Metabolic Thyroid hormone Synthroid levothyroxine 50 mcg tablet CNS Anticonvulsant Tegretol carbamazepine 200 mg tablet Cardiac agent Beta blocker Tenormin 50 mg tablet Tetanus and Diptheria Preventative Vaccine Toxoids tetanus & diptheria toxoids 0.5 ml injection CNS Antiemetic Thorazine 25 mg/1 ml injection CNS Antiemetic Thorazine chlorpromazine 25 mg tablet CNS Antipsychotic Thorazine chlorpromazine 25mg/1 ml injection CNS Antipsychotic Thorazine chlorpromazine 25 mg tablet Dermatological Antifungal Tinactin tolnaftate 1% powder CNS Antidepressant‐tricyclic Tofranil 25 mg, 50 mg tablet Cardiac agent Beta blocker Trandate 100 mg tablet

Dermatological Astringent Tuck's Hemorrhoidal pads witch hazel 50 %, 1 box pads GI agent Antacid Tums calcium carbonate 500 mg tablet Nutritional Agent Mineral Tums calcium carbonate 500 mg tablet CNS Analgesics Tylenol acetaminophen 500 mg/5 ml liquid CNS Analgesics Tylenol acetaminophen 325 mg, 500 mg tablet Diagnostic Diabetic lancets Unistik 2 lancets CNS Antianxiety Valium 5 mg/1 ml injection CNS Antianxiety Valium diazepam 5 mg tablet CNS Anticonvulsant Valium diazepam 5 mg/1 ml injection CNS Anticonvulsant Valium diazepam 5 mg tablet Dermatological Protectant Vaseline petrolatum, white ointment Cardiac agent ACE inhibitor Vasotec enalapril 5 mg tablet Bronchodilator Respiratory (sympathomimetic) Ventolin/Proventil albuterol 90 mcg/actuation inhalant Bold = Sample (may not be available) 8 5/7/2013 Wake Brook Formulary ­ Brand Therapeutic Dosage Category Brand Name Generic Name Strength Classification Form Bronchodilator Respiratory (sympathomimetic) Ventolin/Proventil albuterol solution 0.083% inhalant STD State Free (for treatment of Anti‐Infective STD only) Vibramycin doxycycline 100 mg tablet Anti‐Infective Tetracycline Vibramycin doxycycline 100 mg tablet CNS Analgesics Vicodin hydrocodone/APAP 5 mg/500 mg tablet Opthalmic Vasoconstrictor Visine tetrahydrozoline 0.05% ophth soln

Opthalmic Vasoconstrictor/Antihistamine Visine A Ophth Drops naphazoline/pheniramine 0.025%/0.3% ophth soln CNS Antianxiety Vistaril pamoate 25 mg, 50 mg capsule Cough/Cold agent Antihistamine Vistaril hydroxyzine pamoate 25 mg, 50 mg capsule Nutritional Agent Vitamin vitamin B‐1 thiamine (B1) 100 mg tablet Nutritional Agent Vitamin Vitamin B‐12 cyanocobalamin 1000 mcg tablet Nutritional Agent Vitamin Vitamin B‐6 pyridoxine (B6) 25 mg tablet Nutritional Agent Vitamin Vitamin C ascorbic acid 500 mg tablet Nutritional Agent Vitamin Vitamin D cholecaliceferol 400 IU tablet

CNS Antidepressant‐miscellaneous Wellbutrin bupropion immediate release 75 mg, 100 mg tablet

CNS Antidepressant‐miscellaneous Wellbutrin SR bupropion sustained release 100 mg, 150 mg tablet CNS Antianxiety Xanax alprazolam 0.5 mg. 1 mg tablet

Dermatological Mouth and throat preparation Xylocaine Viscuos lidocaine oral, viscous 2%, 100 ml solution, topical GI agent H2 Antagonist Zantac ranitidine 150 mg tablet Cardiac agent ACE inhibitor Zestril/Prinivil lisinopril 5 mg, 10 mg tablet Anti‐Infective Macrolide Zithromax azithromycin 250 mg tablet STD State Free (for treatment of Anti‐Infective STD only) Zithromax azithromycin 500 mg tablet CNS Antidepressant Zoloft sertraline 50 mg, 100 mg tablet Anti‐Infective Antiviral Zovirax acyclovir 400 mg tablet

Endocrine/Metabolic gout agent Zyloprim allopurinol 100 mg tablet CNS Antipsychotic Zyprexa 5 mg tablet olanzapine, orally CNS Antipsychotic Zyprexa Zydis disintegrating 5 mg, 10mg, 15mg, 20mg tablet

Bold = Sample (may not be available) 9 5/7/2013