Wake Brook Formulary ­ Brand Therapeutic Dosage Category Brand Name Generic Name Strength Classification Form CNS Antipsychotic Abilify aripiprazole 2mg, 5 mg, 10 mg, 15 mg tablet Dermatological Cold Sore Agent Abreva docosanol 10% cream Dermatological Emollient Absorbase/Hydrocerin moisturing cream cream Bronchodilator Respiratory (sympathomimetic) Adrenalin epinephrine solution 1:1000 (1 mg/1 ml) injection Miscellaneous Inhaler spacer Aerochamber/Optihaler spacer for inhaler each Cough/Cold agent Decongestant Afrin oxymetazoline 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 capsule Dermatological Liniments Analgesic balm menthol/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% liquid Antiparkinson CNS agent/anticholinergic Artane trihexylphenidyl 5 mg tablet Opthalmic Lubricant Artificial Tears/Hypotears lubricant, ophth solution Hematologic Agent Hematologic Agent Aspirin 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 ipratropium bromide 12.9 gm inhalant amoxicillin/clavulanate Anti‐Infective Penicillin Augmentin potassium 875 mg/125 mg tablet Otic Analagesic/Anesthetic Aurodex Otic antipyrine/benzocaine 54 mg/ml, 14 mg/ml solution Dermatological Antibiotic Bacitracin bacitracin zinc 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 Antihistamine 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 buspirone 5 mg, 10 mg tablet Dermatological Anti‐itch Calamine calamine/zinc oxide 8 %/8 % lotion 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 Lip Balm Carmex/Blistex menthol/camphor/phenol 0.7 %/1.7 %/0.4 % ointment Cardiac agent Central alpha‐agonist Catapress clonidine 0.1 mg tablet Cephalosporin, second Anti‐Infective generation Ceftin cefuroxime 500 mg tablet CNS Antidepressant‐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 syrup 20 mg/5 ml syrup Endocrine/Metabolic gout agent Colchicine colchicine 0.6 mg tablet hydrocortisone/neomycin/pol Otic Steroid/Antibiotic Cortisporin Otic Suspension 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 trazodone 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 powder CNS Antivertigo Dramamine dimenhydrinate 50 mg tablet GI agent Laxative Dulcolax bisacodyl 10 mg suppository 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 amitriptyline 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 Migraine 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 (enema) Fleet Enema phopha‐soda enema 4.5 oz enema CNS Muscle relaxant Flexeril cyclobenzaprine 10 mg tablet Nutritional Agent Vitamin Folate folic Acid 1 mg tablet CNS Antipsychotic Geodon ziprasidone 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 gel Vaginal Vaginal‐antifungal Gyne‐Lotrimin clotrimazole 1% vaginal cream CNS Antipsychotic Haldol haloperidol 1 mg, 2 mg, 5 mg tablet CNS Antipsychotic Haldol haloperidol immediate release 5 mg/1 ml injection CNS Antipsychotic Haldol decanoate haloperidol decanoate 100 mg/1 ml injection Dermatological Anti‐dandruff Head & Shoulders pyrithione zinc 1% shampoo 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 Corticosteroid 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 Beta blocker Inderal propranolol 20 mg tablet Nonsteroidal Anti‐inflamatory CNS drug Indocin indomethacin 25 mg capsule CNS Antipsychotic Invega paliperidone 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