DWIGHT D EISENHOWER ARMY MEDICAL CENTER OUTPATIENT FORMULARY Alphabetical Listing by Name

This document is current as of May 5, 2021. The availability of formulary items is subject to change. ABACAVIR Abacavir Adalimumab Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral: Pen-injector Kit, Subcutaneous [preservative free]: Generic: 300 mg Humira Pen: 40 mg/0.8 mL (1 ea) [BCF]; 40 mg/0.4 mL (1 ea) [BCF] [contains polysorbate 80] Abacavir and Lamivudine Prefilled Syringe Kit, Subcutaneous [preservative free]: Outpatient Dosage Forms Humira: 40 mg/0.8 mL (1 ea) [contains polysorbate 80] [BCF] Tablet, Oral: Epzicom®: Abacavir 600 mg and lamivudine 300 mg Adapalene Outpatient Dosage Forms Abacavir, Dolutegravir, and Lamivudine Cream, External: Outpatient Dosage Forms Differin: 0.1% (45 g) Tablet, Oral: Generic: 0.1% (45 g) Triumeq: Abacavir 600 mg, dolutegravir 50 mg, and lamivudine 300 mg Gel, External: Acamprosate Differin: 0.1% (45 g) Outpatient Dosage Forms Albuterol Tablet Delayed Release, Oral, as calcium: Outpatient Dosage Forms Campral: 333 mg Aerosol Solution, Inhalation: Acebutolol ProAir HFA: 108 (90 Base) mcg/actuation (8.5 g) [BCF] Outpatient Dosage Forms Nebulization Solution, Inhalation: Capsule, Oral, as hydrochloride: Generic: 0.083% [2.5 mg/3 mL] (25s, 30s, 60s) [BCF] Generic: 200 mg, 400 mg Syrup, Oral: Generic: 2 mg/5 mL (473 mL) Acetaminophen Outpatient Dosage Forms Alclometasone Suspension, Oral: Outpatient Dosage Forms Q-PAP Childrens: 160 mg/5 mL (118 mL) [alcohol free, free, ibuprofen Ointment, External, as dipropionate: free; contains butylparaben, fd&c red #40, sodium benzoate; bubble-gum Generic: 0.05% (15 g, 45 g) flavor] Alendronate Tylenol Childrens: 160 mg/5 mL (120 mL) [alcohol free; contains butylparaben, Outpatient Dosage Forms fd&c red #40, propylene glycol, sodium benzoate; cherry flavor] Generic: 160 mg/5 mL (5 mL) Tablet, Oral: Suppository, Rectal: Generic: 10 mg [BCF], 35 mg [BCF], 70 mg [BCF] Generic: 120 mg (12s); 650 mg (12s) Alendronate and Suspension, oral [drops]: Outpatient Dosage Forms Generic: 80 mg/0.8 mL (15 mL) Tablet, Oral: Tablet, Oral: Fosamax Plus D: Alendronate 70 mg and cholecalciferol 5600 int. units Mapap: 325 mg Generic: 325 mg, 500 mg Alfuzosin Acetaminophen and Codeine Outpatient Dosage Forms Outpatient Dosage Forms Tablet, extended release, oral, as hydrochloride: Solution, Oral [C-V]: Uroxatral®: 10 mg [BCF] Generic: Acetaminophen 120 mg and codeine phosphate 12 mg per 5 mL (5 Allopurinol mL, 10 mL, 118 mL) [BCF] Outpatient Dosage Forms Tablet, Oral [C-III]: Tablet, oral: Generic: Acetaminophen 300 mg and codeine phosphate 30 mg [BCF] Generic: 100 mg [BCF], 300 mg [BCF] AcetaZOLAMIDE ALPRAZolam Outpatient Dosage Forms Outpatient Dosage Forms Capsule Extended Release 12 Hour, Oral: Tablet, Oral: Diamox Sequels: 500 mg Tablet, Oral: Generic: 0.5 mg Generic: 250 mg Alprostadil Acetic Acid (Otic) Outpatient Dosage Forms Outpatient Dosage Forms Kit, Intracavernosal: Solution, Otic: Edex: 10 mcg, 20 mcg, 40 mcg Generic: 2% (60 mL) Pellet, Urethral: Muse: 250 mcg (6 ea); 500 mcg (6 ea); 1000 mcg (6 ea) Acetic Acid (Topical) Outpatient Dosage Forms Aluminum Chloride Hexahydrate Solution, Irrigation: Outpatient Dosage Forms Generic: 0.25% (1000 mL) Solution, External: Drysol: 20% (37.5 mL) Acetylcholine Outpatient Dosage Forms Aluminum Hydroxide, Magnesium Hydroxide, and Simethicone Solution Reconstituted, Intraocular, as chloride: Outpatient Dosage Forms Miochol-E: 20 mg (1 ea) [contains mannitol] Liquid, oral: Aldroxicon II: Aluminum hydroxide 400 mg, magnesium hydroxide 400 mg, Acetylcysteine and simethicone 40 mg per 5 mL (30 mL) Outpatient Dosage Forms Mi-Acid Maximum Strength: Aluminum hydroxide 400 mg, magnesium hydrox- Solution, Inhalation: ide 400 mg, and simethicone 40 mg per 5 mL (360 mL) Generic: 20% (10 mL, 30 mL) Amantadine Acitretin Outpatient Dosage Forms Outpatient Dosage Forms Capsule, oral, as hydrochloride: Capsule, Oral: Generic: 100 mg [BCF] Soriatane: 10 mg, 25 mg [contains edetate calcium disodium] AMILoride Acyclovir (Systemic) Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral, as hydrochloride: Capsule, oral: Generic: 5 mg Generic: 200 mg [BCF] Suspension, oral: Zovirax®: 200 mg/5 mL (473 mL) [BCF] Outpatient Dosage Forms Tablet, oral: Syrup, Oral: Generic: 400 mg [BCF] Generic: 25% (473 mL) 2 AZITHROMYCIN (SYSTEMIC)

Tablet, Oral: Solution, Ophthalmic [preservative free]: Amicar: 500 mg [scored] Systane Preservative Free: Polyethylene glycol 400 0.4% and propylene glycol 0.3% (28 ea) [contains boric acid, calcium chloride anhydrous, Aminolevulinic Acid (Topical) hydroxylpropyl guar, magnesium chloride, potassium chloride, sodium chlor- Outpatient Dosage Forms ide, zinc chloride] Solution Reconstituted, External, as hydrochloride: Levulan Kerastick: 20% (1 ea) [contains alcohol, usp, isopropyl alcohol, Aspirin laureth, polyethylene glycol] Outpatient Dosage Forms Suppository, Rectal: Amiodarone Generic: 300 mg (12 ea) Outpatient Dosage Forms Tablet, Oral: Tablet, oral, as hydrochloride: Generic: 325 mg Generic: 200 mg [BCF] Tablet Chewable, Oral: Generic: 81 mg Amitriptyline Tablet Delayed Release, Oral: Outpatient Dosage Forms Generic: 325 mg Tablet, Oral, as hydrochloride: Generic: 10 mg [BCF], 25 mg [BCF], 50 mg [BCF], 75 mg [BCF] Aspirin and Outpatient Dosage Forms AmLODIPine Capsule, variable release: Outpatient Dosage Forms Aggrenox®: Aspirin 25 mg [immediate release] and dipyridamole 200 mg Tablet, oral: [extended release] [contains lactose, sucrose] Generic: 2.5 mg [BCF], 5 mg [BCF], 10 mg [BCF] Atazanavir Amlodipine and Benazepril Outpatient Dosage Forms Outpatient Dosage Forms Capsule, Oral, as sulfate: Capsule, oral: Reyataz: 150 mg, 200 mg Lotrel®: 2.5/10: Amlodipine 2.5 mg and benazepril hydrochloride 10 mg [BCF] Lotrel®: 5/10: Amlodipine 5 mg and benazepril hydrochloride 10 mg [BCF] Atenolol Lotrel®: 5/20: Amlodipine 5 mg and benazepril hydrochloride 20 mg [BCF] Outpatient Dosage Forms Lotrel®: 5/40: Amlodipine 5 mg and benazepril hydrochloride 40 mg [BCF] Tablet, oral: Lotrel®: 10/20: Amlodipine 10 mg and benazepril hydrochloride 20 mg [BCF] Generic: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF] Lotrel®: 10/40: Amlodipine 10 mg and benazepril hydrochloride 40 mg [BCF] AtoMOXetine Ammonia Spirit (Aromatic) Outpatient Dosage Forms Outpatient Dosage Forms Capsule, Oral: Inhaler, Inhalation: Strattera: 10 mg, 18 mg, 25 mg, 40 mg, 60 mg Generic: (10 ea) AtorvaSTATin Amoxicillin Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: Capsule, oral: Lipitor®: 10 mg [BCF], 20 mg [BCF], 40 mg [BCF], 80 mg [BCF] Generic: 250 mg [BCF], 500 mg [BCF] Powder for suspension, oral: Atovaquone and Proguanil Generic: 250 mg/5 mL (150 mL) [BCF]; 400 mg/5 mL (100 mL) [BCF] Outpatient Dosage Forms Tablet, oral: Amoxicillin and Clavulanate Generic: Atovaquone 250 mg and proguanil hydrochloride 100 mg Outpatient Dosage Forms Suspension Reconstituted, Oral: Atropine (Ophthalmic) Generic: Amoxicillin 200 mg and clavulanate potassium 28.5 mg per 5 mL (75 Outpatient Dosage Forms mL, 100 mL) [BCF] Solution, Ophthalmic, as sulfate: Generic: Amoxicillin 400 mg and clavulanate potassium 57 mg per 5 mL (100 Generic: 1% (5 mL) mL) [BCF] Generic: Amoxicillin 600 mg and clavulanate potassium 42.9 mg per 5 mL AzaTHIOprine (125 mL) [BCF] Outpatient Dosage Forms Tablet, Oral: Tablet, Oral: Generic: Amoxicillin 250 mg and clavulanate potassium 125 mg [BCF] Generic: 50 mg Generic: Amoxicillin 500 mg and clavulanate potassium 125 mg [BCF] Generic: Amoxicillin 875 mg and clavulanate potassium 125 mg [BCF] Azelaic Acid Outpatient Dosage Forms Amyl Nitrite Gel, External: Outpatient Dosage Forms Finacea: 15% (50 g) [contains benzoic acid, disodium edta, polysorbate 80, Liquid, for inhalation: USP: 85% to 103% (0.3 mL) propylene glycol] Anagrelide Azelastine (Nasal) Outpatient Dosage Forms Outpatient Dosage Forms Capsule, Oral: Solution, Nasal, as hydrochloride: Generic: 0.5 mg, 1 mg Astelin: 137 mcg/spray (30 mL) [contains benzalkonium chloride, edetate disodium] Anastrozole Outpatient Dosage Forms Azilsartan Tablet, Oral: Outpatient Dosage Forms Generic: 1 mg Tablet, Oral, as medoxomil: Edarbi: 40 mg, 80 mg Aprepitant Outpatient Dosage Forms Azilsartan and Chlorthalidone Capsule, Oral: Outpatient Dosage Forms Emend: 80 mg, 125 mg Tablet, Oral: Edarbyclor: 40/25: Azilsartan medoxomil 40 mg and chlorthalidone 25 mg ARIPiprazole Edarbyclor: 40/12.5: Azilsartan medoxomil 40 mg and chlorthalidone 12.5 mg Outpatient Dosage Forms Tablet, Oral: Azithromycin (Ophthalmic) Abilify: 2 mg, 5 mg, 15 mg, 20 mg, 30 mg Outpatient Dosage Forms Solution, Ophthalmic: Artificial Tears AzaSite: 1% (2.5 mL) [contains benzalkonium chloride, disodium edta] Outpatient Dosage Forms Solution, Ophthalmic: Azithromycin (Systemic) Akwa Tears: 1.4% (15 mL) [contains benzalkonium chloride, disodium edta] Outpatient Dosage Forms LiquiTears: 1.4% (15 mL) [contains chlorobutanol (chlorobutol), sodium Packet, Oral, as dihydrate [strength expressed as base]: chloride] Zithromax: 1 g (10 ea) [cherry-banana flavor] [BCF] 3 AZITHROMYCIN (SYSTEMIC)

Suspension Reconstituted, Oral, as dihydrate [strength expressed as base]: Ointment, External, as dipropionate [strength expressed as base]: Zithromax: 100 mg/5 mL (15 mL) [cherry-vanilla-banana flavor] Generic: 0.05% (15 g) Zithromax: 200 mg/5 mL (15 mL, 22.5 mL, 30 mL) [cherry flavor] Tablet, oral, as dihydrate [strength expressed as base]: Bethanechol Zithromax: 600 mg Outpatient Dosage Forms Tablet, oral, as monohydrate [strength expressed as base]: Tablet, Oral, as chloride: Generic: 250 mg [BCF], 500 mg [BCF] Urecholine: 10 mg, 25 mg [scored] Bacitracin, Neomycin, and Polymyxin B (Ophthalmic) Bicalutamide Outpatient Dosage Forms Outpatient Dosage Forms Ointment, ophthalmic: Tablet, Oral: Generic: Bacitracin 400 units, neomycin 5 mg, and polymyxin B 10,000 units Casodex: 50 mg per g (3.5 g) [BCF] Bictegravir, Emtricitabine, and Tenofovir Alafenamide Bacitracin (Ophthalmic) Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral: Ointment, Ophthalmic: Biktarvy: Bictegravir 50 mg, emtricitabine 200 mg, and tenofovir alafena- Generic: 500 units/g (3.5 g) mide 25 mg Bacitracin (Topical) Bimatoprost Outpatient Dosage Forms Outpatient Dosage Forms Ointment, External, as zinc [strength expressed as base]: Solution, Ophthalmic: Generic: 500 units/g (1 ea, 28.35 g) Lumigan: 0.01% (2.5 mL) [contains benzalkonium chloride] Baclofen Bisacodyl Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral: Suppository, Rectal: Generic: 10 mg Laxative: 10 mg (100 ea) Balanced Salt Solution Tablet Delayed Release, Oral: Outpatient Dosage Forms Bisacodyl EC: 5 mg Solution, Intraocular: Bisacodyl and Magnesium Citrate BSS®: Sodium chloride 0.64%, potassium chloride 0.075%, calcium chloride 0.048%, magnesium chloride 0.03%, sodium acetate 0.39%, sodium citrate Outpatient Dosage Forms 0.17% (15 mL) Kit [combination]: LoSo Prep: 1 ea Balsalazide Outpatient Dosage Forms Bismuth Subsalicylate Capsule, Oral, as disodium: Outpatient Dosage Forms Colazal: 750 mg Tablet Chewable, Oral, as subsalicylate: Pink Bismuth: 262 mg Barium Outpatient Dosage Forms Boceprevir Suspension, Oral, as sulfate: Outpatient Dosage Forms Readi-Cat 2: 2% (450 mL) [contains benzoic acid, saccharin sodium, sodium Capsule, Oral: benzoate; banana smoothie flavor] Victrelis: 200 mg Tagitol V: 40% (60 mL) [contains saccharin sodium, sodium benzoate] Brimonidine Benzocaine Outpatient Dosage Forms Outpatient Dosage Forms Solution, ophthalmic, as tartrate [drops]: Gel, Mouth/Throat: Alphagan® P: 0.15% (5 mL, 10 mL) [contains Purite®] [BCF] Hurricaine: 20% (30 g) [contains polyethylene glycol, saccharin sodium; watermelon flavor] Brimonidine and Timolol Lozenge, Mouth/Throat: Outpatient Dosage Forms Cepacol Sore Throat: 15 mg (576 ea) [contains fd&c red #40; cherry flavor] Solution, Ophthalmic: Solution, Mouth/Throat: Combigan: Brimonidine tartrate 0.2% and timolol 0.5% (5 mL) [contains Hurricaine: 20% (57 g) [contains polyethylene glycol, saccharin sodium; wild benzalkonium chloride] cherry flavor] Brinzolamide and Brimonidine Benzonatate Outpatient Dosage Forms Outpatient Dosage Forms Suspension, Ophthalmic: Capsule, Oral: Simbrinza: Brinzolamide 1% and brimonidine tartrate 0.2% (8 mL) [contains Generic: 100 mg benzalkonium chloride] [BCF] Benzoyl Peroxide Bromocriptine Outpatient Dosage Forms Outpatient Dosage Forms Gel, External: Tablet, Oral: Acne Medication 5: 5% (42.5 g) [contains edetate disodium] Generic: 2.5 mg Acne Medication 10: 10% (42.5 g) [contains edetate disodium] Liquid, External: Brompheniramine and Phenylephrine Benzoyl Peroxide Wash: 10% (148 g) Outpatient Dosage Forms Benztropine Elixir, Oral: Outpatient Dosage Forms Dimaphen Childrens: Brompheniramine maleate 1 mg and phenylephrine hydrochloride 2.5 mg per 5 mL (118 mL) [alcohol free, pseudoephedrine Tablet, Oral, as mesylate: Generic: 1 mg [BCF], 2 mg [BCF] free; contains propylene glycol, saccharin sodium, sodium benzoate; grape flavor] Betamethasone and Clotrimazole Outpatient Dosage Forms Budesonide (Oral Inhalation) Cream, External: Outpatient Dosage Forms Betamethasone dipropionate 0.05% (base) and clotrimazole 1% (45 g) Capsule Extended Release 24 Hour, Oral: Generic: 3 mg Betamethasone (Topical) Suspension, Inhalation: Outpatient Dosage Forms Pulmicort: 0.25 mg/2 mL (2 mL); 0.5 mg/2 mL (2 mL) [contains disodium edta, Cream, External, as valerate [strength expressed as base]: polysorbate 80] Generic: 0.1% (15 g) Lotion, External, as dipropionate [strength expressed as base]: Budesonide (Systemic) Generic: 0.05% (30 mL) Outpatient Dosage Forms Lotion, External, as valerate [strength expressed as base]: Capsule Extended Release 24 Hour, Oral: Generic: 0.1% (60 mL) Generic: 3 mg 4 CHLORAMBUCIL Bumetanide CarBAMazepine Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral: Suspension, Oral: Generic: 0.5 mg, 1 mg, 2 mg TEGretol: 100 mg/5 mL (450 mL) [contains fd&c yellow #6 (sunset yellow), propylene glycol; citrus-vanilla flavor] [BCF] BuPROPion Tablet, Oral: Outpatient Dosage Forms Generic: 200 mg [BCF] Tablet, Oral, as hydrochloride: Tablet, Chewable, Oral: Generic: 75 mg [BCF] TEGretol®: 100 mg [scored] [BCF] Tablet Extended Release 12 Hour, Oral, as hydrochloride: Carbamide Peroxide Zyban: 150 mg Outpatient Dosage Forms Generic: 100 mg [BCF], 150 mg [BCF] Solution, Otic: Tablet Extended Release 24 Hour, Oral, as hydrochloride: Ear Drops Earwax Aid: 6.5% (15 mL) [contains propylene glycol, trolamine Generic: 150 mg [BCF], 300 mg [BCF] (triethanolamine)] BusPIRone Carbidopa and Levodopa Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral, as hydrochloride: Tablet, Oral: Generic: 5 mg [BCF], 10 mg [BCF] Generic: 25/100: Carbidopa 25 mg and levodopa 100 mg [BCF] Generic: 25/250: Carbidopa 25 mg and levodopa 250 mg [BCF] Busulfan Tablet, Extended Release, Oral: Outpatient Dosage Forms Generic: 25/100: Carbidopa 25 mg and levodopa 100 mg; 50/200: Carbidopa Tablet, Oral: 50 mg and levodopa 200 mg Myleran: 2 mg Carboprost Tromethamine Butalbital, Acetaminophen, and Caffeine Outpatient Dosage Forms Outpatient Dosage Forms Solution, Intramuscular [strength expressed as base]: Tablet, oral: Hemabate: 250 mcg/mL (1 mL) [contains benzyl alcohol] Generic: Butalbital 50 mg, acetaminophen 325 mg, and caffeine 40 mg [BCF] Carfilzomib Cabergoline Outpatient Dosage Forms Outpatient Dosage Forms Solution Reconstituted, Intravenous: Tablet, Oral: Kyprolis: 60 mg (1 ea) Generic: 0.5 mg Carvedilol Calcipotriene Outpatient Dosage Forms Outpatient Dosage Forms Capsule Extended Release 24 Hour, Oral, as phosphate: Cream, External: Coreg CR: 10 mg, 40 mg, 80 mg Generic: 0.005% (60 g) Tablet, Oral: Solution, External: Generic: 3.125 mg [BCF], 6.25 mg [BCF], 12.5 mg [BCF], 25 mg [BCF] Generic: 0.005% (60 mL) Cefdinir Calcitonin Outpatient Dosage Forms Outpatient Dosage Forms Suspension Reconstituted, Oral: Generic: 125 mg/5 mL (100 mL); 250 mg/5 mL (100 mL) Solution, Nasal: Fortical: 200 units/actuation (3.7 mL) Cefixime Calcitriol (Systemic) Outpatient Dosage Forms Tablet, Oral, as trihydrate: Outpatient Dosage Forms Suprax: 400 mg [scored] Capsule, Oral: Generic: 0.25 mcg Cefpodoxime Outpatient Dosage Forms Calcium Acetate Tablet, Oral: Outpatient Dosage Forms Generic: 100 mg Capsule, Oral: PhosLo: 667 mg Celecoxib Outpatient Dosage Forms Calcium and Capsule, Oral: Outpatient Dosage Forms CeleBREX: 100 mg, 200 mg Tablet, Oral [preservative free]: Generic: Calcium 600 mg and vitamin D 400 units Cephalexin Outpatient Dosage Forms Calcium Carbonate Capsule, oral: Outpatient Dosage Forms Generic: 250 mg [BCF], 500 mg [BCF] Tablet, Oral: Suspension Reconstituted, Oral: Oysco 500: 500 mg Generic: 125 mg/5 mL (100 mL, 200 mL); 250 mg/5 mL (200 mL) [BCF] Candesartan Cetirizine (Systemic) Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral, as cilexetil: Syrup, Oral, as hydrochloride: Generic: 5 mg/5 mL (473 mL) Atacand: 4 mg, 8 mg, 16 mg, 32 mg [scored] Tablet, Oral, as hydrochloride: Candesartan and Hydrochlorothiazide Generic: 5 mg, 10 mg Outpatient Dosage Forms Cevimeline Atacand HCT: Outpatient Dosage Forms 16/12.5: Candesartan cilexetil 16 mg and hydrochlorothiazide 12.5 mg Capsule, Oral, as hydrochloride: 32/12.5: Candesartan cilexetil 32 mg and hydrochlorothiazide 12.5 mg Evoxac: 30 mg Capsaicin Charcoal, Activated Outpatient Dosage Forms Outpatient Dosage Forms Cream, External: Liquid, Oral: Trixaicin: 0.025% (60 g) [contains benzyl alcohol] Actidose-Aqua: 25 g/120 mL (120 mL) [sweet flavor] Captopril Chlorambucil Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: Tablet, Oral: Generic: 12.5 mg [BCF], 25 mg [BCF], 50 mg [BCF] Leukeran: 2 mg 5 CHLORDIAZEPOXIDE ChlordiazePOXIDE Clidinium and Chlordiazepoxide Outpatient Dosage Forms Outpatient Dosage Forms Capsule, Oral, as hydrochloride: Capsule, Oral: Generic: 10 mg, 25 mg Librax: Clidinium bromide 2.5 mg and chlordiazepoxide hydrochloride 5 mg Chlorhexidine Gluconate (Oral) Clindamycin and Benzoyl Peroxide Outpatient Dosage Forms Outpatient Dosage Forms Solution, Mouth/Throat: Gel, External: Generic: 0.12% (473 mL) [BCF] BenzaClin: Clindamycin phosphate 1% and benzoyl peroxide 5% (25 g) Duac: Clindamycin phosphate 1.2% and benzoyl peroxide 5% (45 g) Chloroquine Outpatient Dosage Forms Clindamycin (Systemic) Tablet, Oral, as phosphate: Outpatient Dosage Forms Aralen: 500 mg [equivalent to chloroquine base 300 mg] Capsule, oral, as hydrochloride [strength expressed as base]: Generic: 500 mg [equivalent to chloroquine base 300 mg] Generic: 150 mg [BCF] Solution Reconstituted, Oral, as palmitate hydrochloride [strength expressed as ChlorproMAZINE base]: Outpatient Dosage Forms Cleocin: 75 mg/5 mL (100 mL) [contains ethylparaben] Tablet, Oral, as hydrochloride: Generic: 25 mg, 50 mg, 100 mg Clindamycin (Topical) Outpatient Dosage Forms Chlorthalidone Cream, vaginal, as phosphate [strength expressed as base]: Outpatient Dosage Forms Generic: 2% (40 g) [BCF] Tablet, oral: Gel, External, as phosphate [strength expressed as base]: Generic: 25 mg [BCF], 50 mg [BCF] Cleocin-T: 1% (60 g) [contains methylparaben, propylene glycol] Lotion, External, as phosphate [strength expressed as base]: Cholecalciferol Generic: 1% (60 mL) Outpatient Dosage Forms Solution, topical, as phosphate [strength expressed as base]: Capsule, Oral: Generic: 1% (60 mL) [BCF] Generic: 50,000 units Liquid, Oral: Clobetasol Generic: 400 units/mL (50 mL) Outpatient Dosage Forms Tablet, Oral: Cream, External, as propionate: Generic: 1000 units Clobetasol Propionate E: 0.05% (15 g, 60 g) [contains propylene glycol] Generic: 0.05% (15 g, 60 g) Cholestyramine Resin Foam, External, as propionate: Outpatient Dosage Forms Generic: 0.05% (50 g) Powder, Oral: Ointment, External, as propionate: Generic: 4 g/dose (239.4 g) Generic: 0.05% (30 g, 60 g) Ciclopirox Solution, External, as propionate: Generic: 0.05% (25 mL) Outpatient Dosage Forms Solution, External: ClomiPHENE Generic: 8% (6.6 mL) Outpatient Dosage Forms Tablet, Oral, as citrate: Generic: 50 mg Outpatient Dosage Forms Tablet, Oral: ClomiPRAMINE Generic: 50 mg, 100 mg Outpatient Dosage Forms Cinacalcet Capsule, Oral, as hydrochloride: Generic: 25 mg, 50 mg, 75 mg Outpatient Dosage Forms Tablet, Oral: ClonazePAM Sensipar: 30 mg, 60 mg, 90 mg Outpatient Dosage Forms Ciprofloxacin and Dexamethasone Tablet, oral: Generic: 0.5 mg [BCF], 1 mg Outpatient Dosage Forms Suspension, Otic: CloNIDine Ciprodex: Ciprofloxacin 0.3% and dexamethasone 0.1% (7.5 mL) [contains Outpatient Dosage Forms benzalkonium chloride, edetate disodium, tyloxapol] Patch Weekly, Transdermal: Catapres-TTS-1: 0.1 mg/24 hr (4 ea) Ciprofloxacin (Ophthalmic) Catapres-TTS-2: 0.2 mg/24 hr (4 ea) Outpatient Dosage Forms Catapres-TTS-3: 0.3 mg/24 hr (4 ea) Solution, Ophthalmic, as hydrochloride: Tablet, oral, as hydrochloride: Generic: 0.3% (2.5 mL) Generic: 0.1 mg [BCF], 0.2 mg [BCF], 0.3 mg [BCF] Ciprofloxacin (Systemic) Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral, as hydrochloride [strength expressed as base]: Tablet, Oral: Generic: 250 mg [BCF], 500 mg [BCF], 750 mg [BCF] Plavix: 75 mg [BCF] Citalopram Clotrimazole (Oral) Outpatient Dosage Forms Outpatient Dosage Forms Solution, oral: Lozenge, Mouth/Throat: Generic: 10 mg/5 mL (240 mL) [BCF] Generic: 10 mg (70 ea) Tablet, oral: Generic: 20 mg [BCF], 40 mg [BCF] Clotrimazole (Topical) Outpatient Dosage Forms Clarithromycin Cream, External: Outpatient Dosage Forms Generic: 1% (15 g) Suspension Reconstituted, Oral: Solution, topical: Generic: 125 mg/5 mL (50 mL, 100 mL); 250 mg/5 mL (100 mL) Generic: 1% (10 mL) [BCF] Tablet, Oral: Biaxin: 500 mg CloZAPine Tablet Extended Release 24 Hour, Oral: Outpatient Dosage Forms Biaxin XL Pac: 500 mg Tablet, Oral: Generic: 500 mg Clozaril: 25 mg, 100 mg [scored] 6 DIAZEPAM Codeine Deferasirox Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral, as sulfate: Tablet Soluble, Oral: Generic: 30 mg Exjade: 500 mg Colchicine Demeclocycline Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral: Tablet, Oral, as hydrochloride: Colcrys: 0.6 mg [scored; contains fd&c blue #2 (indigotine), fd&c red #40] Generic: 150 mg, 300 mg Colestipol Desipramine Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral, as hydrochloride: Tablet, Oral, as hydrochloride: Colestid: 1 g Generic: 50 mg [not scored] Cortisone Desmopressin Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral, as acetate: Solution, Nasal, as acetate: Generic: 25 mg DDAVP: 0.01% (5 mL) Cromolyn (Nasal) DDAVP Rhinal Tube: 0.01% (2.5 mL) Outpatient Dosage Forms Tablet, Oral, as acetate: Aerosol Solution, Nasal, as sodium: Generic: 0.1 mg, 0.2 mg Generic: 5.2 mg/actuation (26 mL) Desonide Cromolyn (Oral Inhalation) Outpatient Dosage Forms Outpatient Dosage Forms Cream, External: Nebulization Solution, Inhalation, as sodium: Generic: 0.05% (60 g) Generic: 20 mg/2 mL (2 mL) DexAMETHasone (Systemic) Crotamiton Outpatient Dosage Forms Outpatient Dosage Forms Concentrate, Oral: Cream, External: Dexamethasone Intensol: 1 mg/mL (30 mL) [contains alcohol, usp; unflavored Eurax: 10% (60 g) flavor] Solution, Oral: Cyanocobalamin Generic: 0.5 mg/5 mL (500 mL) Outpatient Dosage Forms Tablet, Oral: Tablet, Oral [preservative free]: Generic: 0.5 mg, 4 mg Generic: 1000 mcg Dextroamphetamine Cyclobenzaprine Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral, as sulfate: Tablet, oral, as hydrochloride: Generic: 5 mg Generic: 5 mg, 10 mg [BCF] Dextroamphetamine and Amphetamine Cyclopentolate Outpatient Dosage Forms Outpatient Dosage Forms Capsule Extended Release 24 Hour, Oral: Solution, Ophthalmic, as hydrochloride: Generic: 5 mg [BCF], 10 mg [BCF], 15 mg [BCF], 20 mg [BCF], 25 mg Cyclogyl: 1% (5 mL) [BCF], 30 mg [BCF] Cyclophosphamide Tablet, Oral: Outpatient Dosage Forms Generic: 5 mg, 10 mg, 20 mg Tablet, Oral: Diabetic Supplies Generic: 25 mg, 50 mg Outpatient Dosage Forms CycloSPORINE (Ophthalmic) Glucose meter: Outpatient Dosage Forms Precision Xtra: 1 ea Emulsion, Ophthalmic [preservative free]: Lancet: Restasis: 0.05% (1 ea) [contains polysorbate 80] BD Lancet Ultrafine: 33 gauge Syringe and needle: CycloSPORINE (Systemic) BD Ultrafine II 31 gauge x 5/16" (0.5 mL) Outpatient Dosage Forms BD MicroFine 28 gauge x 1/2" (0.5 mL) Capsule, Oral: 28 gauge x 1/2" (1 mL) Gengraf: 25 mg, 100 mg [contains cremophor el, fd&c blue #2 (indigotine)] NovoFine: 30 gauge x 8 mm [100/box] SandIMMUNE: 25 mg [contains alcohol, usp] Test Strips SandIMMUNE: 100 mg Diastix® Reagent Strips: 100/box Solution, Oral: Precision Xtra® Blood Glucose Test Strips: 100/box [BCF] Neoral: 100 mg/mL (50 mL) [contains alcohol, usp] SandIMMUNE: 100 mg/mL (50 mL) [contains alcohol, usp] Diatrizoate Meglumine and Diatrizoate Sodium Outpatient Dosage Forms Cyproheptadine Solution, Oral: Outpatient Dosage Forms Gastrografin: Diatrizoate meglumine 660 mg and diatrizoate sodium 100 mg Tablet, oral, as hydrochloride: per 1 mL (120 mL) [contains disodium edta, polysorbate 80, saccharin Generic: 4 mg [BCF] sodium] Etexilate MD-Gastroview: Diatrizoate meglumine 660 mg and diatrizoate sodium Outpatient Dosage Forms 100 mg per 1 mL (120 mL) [contains disodium edta, saccharin sodium; lemon-vanilla flavor] Capsule, Oral: Pradaxa: 150 mg DiazePAM Dapsone (Systemic) Outpatient Dosage Forms Outpatient Dosage Forms Gel, Rectal: Tablet, Oral: Diastat AcuDial: 10 mg (1 ea); 20 mg (1 ea) [contains alcohol, usp, benzoic Generic: 25 mg acid, sodium benzoate] Diastat Pediatric: 2.5 mg (1 ea) [contains alcohol, usp] Darunavir Solution, Oral: Outpatient Dosage Forms Generic: 1 mg/mL (500 mL) Tablet, Oral: Tablet, oral: Prezista: 600 mg, 800 mg Generic: 5 mg [BCF] 7 DIBUCAINE Dibucaine Dofetilide Outpatient Dosage Forms Outpatient Dosage Forms Ointment, External: Capsule, Oral: Generic: 1% (28.35 g) Tikosyn: 125 mcg, 250 mcg, 500 mcg Diclofenac (Systemic) Donepezil Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral, as potassium: Tablet, oral, as hydrochloride: Generic: 50 mg Aricept®: 5 mg, 10 mg Tablet Delayed Release, Oral, as sodium: Generic: 75 mg Dorzolamide Outpatient Dosage Forms Diclofenac (Topical) Solution, Ophthalmic: Outpatient Dosage Forms Generic: 2% (10 mL) Gel, Transdermal, as sodium: Voltaren: 1% (100 g) [contains isopropyl alcohol, propylene glycol] Dorzolamide and Timolol Solution, Transdermal, as sodium: Outpatient Dosage Forms Generic: 1.5% (150 mL) Solution, ophthalmic [drops]: Dicloxacillin Generic: Dorzolamide 2% and timolol 0.5% (10 mL) Outpatient Dosage Forms Doxazosin Capsule, oral: Outpatient Dosage Forms Generic: 250 mg [BCF], 500 mg [BCF] Tablet, Oral: Dicyclomine Generic: 2 mg, 4 mg, 8 mg Outpatient Dosage Forms Doxepin (Systemic) Solution, Oral, as hydrochloride: Outpatient Dosage Forms Generic: 10 mg/5 mL (473 mL) [BCF] Capsule, oral: Tablet, oral, as hydrochloride: Generic: 10 mg [BCF], 25 mg [BCF], 75 mg [BCF] Generic: 20 mg [BCF] Solution, oral [concentrate]: Didanosine Generic: 10 mg/mL (118 mL) [BCF] Outpatient Dosage Forms Doxercalciferol Capsule Delayed Release, Oral: Generic: 200 mg Outpatient Dosage Forms Capsule, Oral: Difluprednate Hectorol: 2.5 mcg, 0.5 mcg [contains alcohol, usp] Outpatient Dosage Forms Emulsion, Ophthalmic: Doxycycline Durezol: 0.05% (5 mL) [contains edetate sodium (tetrasodium), polysor- Outpatient Dosage Forms bate 80] Capsule, oral, as hyclate [strength expressed as base]: Generic: 50 mg Digoxin Tablet, oral, as hyclate [strength expressed as base]: Outpatient Dosage Forms Generic: 100 mg [BCF] Tablet, Oral: Generic: 0.125 mg [BCF], 0.25 mg [BCF] Doxylamine Outpatient Dosage Forms Dihydroergotamine Tablet, Oral, as succinate: Outpatient Dosage Forms Sleep Aid: 25 mg [scored] [BCF] Solution, Nasal, as mesylate: Migranal: 4 mg/mL (1 mL) Dronabinol Outpatient Dosage Forms DilTIAZem Capsule, Oral: Outpatient Dosage Forms Generic: 2.5 mg, 5 mg Capsule Extended Release 24 Hour, Oral, as hydrochloride: Generic: 120 mg [BCF], 180 mg [BCF], 240 mg [BCF] Dronedarone Tablet, Oral, as hydrochloride: Outpatient Dosage Forms Generic: 60 mg, 90 mg Tablet, Oral: DiphenhydrAMINE (Systemic) Multaq: 400 mg Outpatient Dosage Forms Dulaglutide Capsule, Oral, as hydrochloride: Outpatient Dosage Forms Banophen: 25 mg [contains methylparaben, propylparaben] Solution Pen-injector, Subcutaneous [preservative free]: Generic: 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: sorbate 80] Generic: 12.5 mg/5 mL (10 mL) Liquid, Oral, as hydrochloride: DULoxetine Banophen: 12.5 mg/5 mL (118 mL) [alcohol free; cherry flavor] Outpatient Dosage Forms Q-Dryl: 12.5 mg/5 mL (118 mL) [alcohol free; contains saccharin sodium, Capsule Delayed Release Particles, Oral: sodium benzoate; cherry flavor] Generic: 20 mg, 30 mg, 60 mg Diphenoxylate and Atropine Efavirenz Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral: Tablet, Oral: Generic: Diphenoxylate hydrochloride 2.5 mg and atropine sulfate 0.025 mg Sustiva: 600 mg Disulfiram Efavirenz, Emtricitabine, and Tenofovir Disoproxil Fumarate Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral: Antabuse: 250 mg Tablet: Atripla®: Efavirenz 600 mg, emtricitabine 200 mg, and tenofovir disoproxil Docusate fumarate 300 mg Outpatient Dosage Forms Capsule, Oral, as sodium: Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Stool Softener: 100 mg [stimulant free; contains brilliant blue fcf (fd&c blue Alafenamide #1), fd&c red #40, fd&c yellow #6 (sunset yellow)] Outpatient Dosage Forms Generic: 100 mg Tablet, Oral: Liquid, Oral, as sodium: Genvoya: Elvitegravir 150 mg, cobicistat 150 mg, emtricitabine 200 mg, and Generic: 50 mg/5 mL (10 mL, 473 mL) tenofovir alafenamide 10 mg [contains fd&c blue #2 aluminum lake] 8 ETHINYL ESTRADIOL AND DROSPIRENONE Emollients Escitalopram Outpatient Dosage Forms Outpatient Dosage Forms Cream, External: Tablet, Oral: Vanicream: (113 g) Generic: 5 mg, 10 mg, 20 mg Ointment, External: Hydrophor: (100 g) Esketamine Outpatient Dosage Forms Empagliflozin Solution Therapy Pack, Nasal, as hydrochloride: Outpatient Dosage Forms Spravato (56 MG Dose): 28 mg/device (dose pack of 2) (1 ea) [contains Tablet, Oral: edetate disodium] Jardiance: 10 mg, 25 mg Esomeprazole Empagliflozin and Metformin Outpatient Dosage Forms Outpatient Dosage Forms Capsule Delayed Release, Oral, as magnesium [strength expressed as base]: Tablet, Oral: Generic: 20 mg, 40 mg Synjardy: Empagliflozin 5 mg and metformin hydrochloride 500 mg, Empagli- flozin 5 mg and metformin hydrochloride 1000 mg, Empagliflozin 12.5 mg Estradiol and Levonorgestrel and metformin hydrochloride 500 mg, Empagliflozin 12.5 mg and metformin Outpatient Dosage Forms hydrochloride 1000 mg Patch, transdermal: Emtricitabine ClimaraPro®: Estradiol 0.045 mg and levonorgestrel 0.015 mg per 24 hours (4s) [22 cm2; contains estradiol 4.4 mg and levonorgestrel 1.39 mg] Outpatient Dosage Forms Capsule, Oral: Estradiol (Systemic) Emtriva: 200 mg Outpatient Dosage Forms Emtricitabine and Tenofovir Alafenamide Oil, Intramuscular, as valerate: Delestrogen: 20 mg/mL (5 mL) [contains benzyl alcohol] Outpatient Dosage Forms Patch, transdermal [once-weekly patch]: Tablet, Oral: Climara®: 0.025 mg/24 hours (4s) [6.5 cm2, total estradiol 2.04 mg] [BCF] Descovy: Emtricitabine 200 mg and tenofovir alafenamide 25 mg [contains Climara®: 0.0375 mg/24 hours (4s) [9.375 cm2, total estradiol 2.85 mg] [BCF] fd&c blue #2 aluminum lake] Climara®: 0.05 mg/24 hours (4s) [12.5 cm2, total estradiol 3.8 mg] [BCF] Emtricitabine and Tenofovir Disoproxil Fumarate 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] Tablet: Tablet, Oral: Truvada: Emtricitabine 200 mg and tenofovir disoproxil fumarate 300 mg Generic: 0.5 mg, 1 mg, 2 mg Enalapril Estradiol (Topical) Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral, as maleate: Ring, Vaginal, as base: Generic: 5 mg, 10 mg, 20 mg Estring: 2 mg (1 ea) Enoxaparin Estrogens (Conjugated/Equine) and Medroxyprogesterone Outpatient Dosage Forms Outpatient Dosage Forms Solution, Subcutaneous, as sodium: Tablet, Oral: Lovenox: 30 mg/0.3 mL (0.3 mL) [BCF]; 40 mg/0.4 mL (0.4 mL) [BCF]; Premphase® [therapy pack contains 2 separate tablet formulations]: Con- 60 mg/0.6 mL (0.6 mL) [BCF]; 80 mg/0.8 mL (0.8 mL) [BCF]; 100 mg/mL jugated estrogens 0.625 mg [14 maroon tablets] and conjugated estrogen (1 mL) [BCF] 0.625 mg/medroxyprogesterone acetate 5 mg [14 light blue tablets] (28s) Solution, Subcutaneous, as sodium [preservative free] Prempro®: 0.45/1.5: Conjugated estrogens 0.45 mg and medroxyprogester- Lovenox®: 120 mg/0.8 mL (0.8 mL) [BCF]; 150 mg/mL (1 mL) [BCF] [prefilled one acetate 1.5 mg (28s) [BCF] syringe] Prempro®: 0.625/2.5: Conjugated estrogens 0.625 mg and medroxyproges- terone acetate 2.5 mg (28s) [BCF] Entacapone Prempro®: 0.625/5: Conjugated estrogens 0.625 mg and medroxyprogester- Outpatient Dosage Forms one acetate 5 mg (28s) [BCF] Tablet, Oral: Comtan: 200 mg Estrogens (Conjugated/Equine, Systemic) EPINEPHrine (Oral Inhalation) Outpatient Dosage Forms Tablet, oral: Outpatient Dosage Forms Premarin®: 0.3 mg [BCF], 0.45 mg [BCF], 0.625 mg [BCF], 0.9 mg, Nebulization Solution, Inhalation [preservative free]: 1.25 mg [BCF] S2: 2.25% (1 ea) [sulfite free; contains edetate disodium] Estrogens (Conjugated/Equine, Topical) EPINEPHrine (Systemic) Outpatient Dosage Forms Outpatient Dosage Forms Cream, vaginal: Device, Injection: Premarin®: 0.625 mg/g (30 g) [BCF] EpiPen 2-Pak: 0.3 mg/0.3 mL (2 ea) [latex free; contains sodium metabisulfite] EpiPen Jr 2-Pak: 0.15 mg/0.3 mL (2 ea) [contains sodium metabisulfite] Estrogens (Esterified) and Methyltestosterone Eplerenone Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral: Tablet, Oral: Covaryx: Esterified estrogen 1.25 mg and methyltestosterone 2.5 mg Inspra: 25 mg Covaryx HS: Esterified estrogen 0.625 mg and methyltestosterone 1.25 mg Generic: 50 mg Ethambutol Erythromycin (Ophthalmic) Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral, as hydrochloride: Ointment, Ophthalmic: Generic: 400 mg [BCF] Generic: 5 mg/g (3.5 g) [BCF] Ethinyl Estradiol and Desogestrel Erythromycin (Systemic) Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral [monophasic formulation]: Powder for Suspension, Oral, as ethylsuccinate [strength expressed as base]: Ortho-Cept 28: Ethinyl estradiol 0.03 mg and desogestrel 0.15 mg [21 light EryPed®: 200 mg/5 mL (100 mL) [contains sodium 117.5 mg (5.1 mEq)/5 mL; orange tablets and 7 green inactive tablets] (28s) fruit flavor] [BCF] Tablet, Delayed Release, Enteric Coated, Oral, as base: Ethinyl Estradiol and Drospirenone Ery-Tab®: 250 mg [contains sodium 8.3 mg (0.4 mEq)/tablet] [BCF] Outpatient Dosage Forms Tablet, oral: Erythromycin (Topical) Ocella™: Ethinyl estradiol 0.03 mg and drospirenone 3 mg [21 yellow active Outpatient Dosage Forms tablets and 7 white inactive tablets] (28s) [BCF] Solution, topical: Yaz®: Ethinyl estradiol 0.02 mg and drospirenone 3 mg [24 light pink active Generic: 2% (60 mL) [BCF] tablets and 4 white inactive tablets] (28s) [BCF] 9 ETHINYL ESTRADIOL AND ETONOGESTREL Ethinyl Estradiol and Etonogestrel Etoposide Outpatient Dosage Forms Outpatient Dosage Forms Ring, vaginal: Capsule, Oral: NuvaRing®: Ethinyl estradiol 0.015 mg/day and etonogestrel 0.12 mg/day Generic: 50 mg (3s) [3-week duration] Etravirine Ethinyl Estradiol and Levonorgestrel Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral: Tablet, oral [extended cycle regimen]: Intelence: 100 mg Jolessa™: Ethinyl estradiol 0.03 mg and levonorgestrel 0.15 mg (91s) [84 pink Exemestane tablets and 7 white inactive tablets] [BCF] Outpatient Dosage Forms Tablet, oral [low dose formulation]: Tablet, Oral: Sronyx®: Ethinyl estradiol 0.02 mg and levonorgestrel 0.1 mg (28s) [21 white Aromasin: 25 mg tablets and 7 peach inactive tablets] [BCF] Tablet, oral [monophasic formulation]: Exenatide Levora®: Ethinyl estradiol 0.03 mg and levonorgestrel 0.15 mg (28s) [21 white Outpatient Dosage Forms tablets and 7 peach inactive tablets] [BCF] Auto-injector, Subcutaneous: Tablet, oral [triphasic formulation]: Bydureon BCise: 2 mg/0.85 mL (0.85 mL) Trivora: Suspension Reconstituted, Subcutaneous: Day 1-6: Ethinyl estradiol 0.03 mg and levonorgestrel 0.05 mg [6 blue Bydureon: 2 mg (1 ea) tablets] Day 7-11: Ethinyl estradiol 0.04 mg and levonorgestrel 0.075 mg [5 white Ezetimibe tablets] Outpatient Dosage Forms Day 12-21: Ethinyl estradiol 0.03 mg and levonorgestrel 0.125 mg [10 pink Tablet, Oral: tablets] Zetia: 10 mg Day 22-28: 7 peach inactive tablets (28s) Famotidine Ethinyl Estradiol and Norelgestromin Outpatient Dosage Forms Outpatient Dosage Forms Suspension Reconstituted, Oral: Patch, External: Generic: 40 mg/5 mL (50 mL) Ortho Evra®: Ethinyl estradiol 0.75 mg and norelgestromin 6 mg [releases Felbamate ethinyl estradiol 20 mcg and norelgestromin 150 mcg per day] (3s) Outpatient Dosage Forms Ethinyl Estradiol and Norethindrone Suspension, Oral: Outpatient Dosage Forms Felbatol: 600 mg/5 mL (946 mL) Tablet, Oral: Tablet, Oral [monophasic formulation]: Felbatol: 600 mg [scored] Norinyl 1+35: Ethinyl estradiol 0.035 mg and norethindrone 1 mg (28s) [21 yellow-green tablets and 7 orange inactive tablets] [BCF] Felodipine Loestrin Fe 1/20: Ethinyl estradiol 0.02 mg and norethindrone acetate 1 mg Outpatient Dosage Forms [21 light yellow tablets] and ferrous fumarate 75 mg [7 brown tablets] (28s) Tablet Extended Release 24 Hour, Oral: Loestrin Fe 1.5/30: Ethinyl estradiol 0.03 mg and norethindrone acetate Generic: 2.5 mg, 5 mg, 10 mg 1.5 mg [21 pink tablets] and ferrous fumarate 75 mg [7 brown tablets] (28s) Tablet, Oral [triphasic formulation]: Fenofibrate and Derivatives Ortho-Novum 7/7/7: Outpatient Dosage Forms Day 1-7: Ethinyl estradiol 0.035 mg and norethindrone 0.5 mg [7 white Tablet, oral: tablets] TriCor®: 48 mg [BCF], 145 mg [BCF] [contains soybean lecithin] Day 8-14: Ethinyl estradiol 0.035 mg and norethindrone 0.75 mg [7 light FentaNYL peach tablets] Outpatient Dosage Forms Day 15-21: Ethinyl estradiol 0.035 mg and norethindrone 1 mg [7 peach Patch 72 Hour, Transdermal, as base: tablets] Generic: 100 mcg/hr (5 ea); 25 [delivers 25 mcg/hr] (5 ea); 50 [delivers 50 Day 22-28: 7 green inactive tablets (28s) mcg/hr] (5 ea); 75 [delivers 75 mcg/hr] (5 ea) Ethinyl Estradiol and Norgestimate Ferric Subsulfate Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral [monophasic formulation]: Solution, External: Ortho-Cyclen®: Ethinyl estradiol 0.035 mg and norgestimate 0.25 mg [21 blue Generic: 21% (8 mL, 60 mL) tablets and 7 dark green inactive tablets] (28s) [BCF] Tablet, Oral [triphasic formulation]: Ferrous Fumarate Ortho Tri-Cyclen® [BCF]: Outpatient Dosage Forms Day 1-7: Ethinyl estradiol 0.035 mg and norgestimate 0.18 mg [7 white Tablet, Oral: tablets] Hemocyte: 324 mg Day 8-14: Ethinyl estradiol 0.035 mg and norgestimate 0.215 mg [7 light blue tablets] Ferrous Sulfate Day 15-21: Ethinyl estradiol 0.035 mg and norgestimate 0.25 mg [7 blue Outpatient Dosage Forms tablets] Elixir, Oral: Day 22-28: 7 dark green inactive tablets (28s) Generic: 220 (44 Fe) MG/5ML (473 mL) Ortho Tri-Cyclen® Lo [BCF]: Solution, Oral: Day 1-7: Ethinyl estradiol 0.025 mg and norgestimate 0.18 mg [7 white Fer-Iron: 75 (15 Fe) mg/mL (50 mL) [contains sodium metabisulfite; lemon tablets] flavor] Tablet, Oral: Day 8-14: Ethinyl estradiol 0.025 mg and norgestimate 0.215 mg [7 light blue Generic: 325 (65 Fe) MG tablets] Day 15-21: Ethinyl estradiol 0.025 mg and norgestimate 0.25 mg [7 dark Finasteride blue tablets] Outpatient Dosage Forms Day 22-28: 7 dark green inactive tablets Tablet, oral: Ethinyl Estradiol and Norgestrel Generic: 5 mg [BCF] Outpatient Dosage Forms Flecainide Tablet, Oral [monophasic formulation]: Outpatient Dosage Forms Low-Ogestrel: Ethinyl estradiol 0.03 mg and norgestrel 0.3 mg [21 white Tablet, Oral, as acetate: tablets and 7 peach inactive tablets] (28 ea) Generic: 50 mg, 100 mg, 150 mg Ethosuximide Fluconazole Outpatient Dosage Forms Outpatient Dosage Forms Solution, Oral: Tablet, oral: Zarontin: 250 mg/5 mL (474 mL) [raspberry flavor] Generic: 100 mg, 150 mg [BCF], 200 mg 10 GLYCOPYRROLATE (SYSTEMIC) Fludrocortisone Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral, as acetate: Solution, Subcutaneous, as sodium [preservative free]: Generic: 0.1 mg Arixtra: 2.5 mg/0.5 mL (0.5 mL); 7.5 mg/0.6 mL (0.6 mL); 10 mg/0.8 mL (0.8 mL) Fluocinolone (Topical) Outpatient Dosage Forms Fosfomycin Oil, External, as acetonide: Outpatient Dosage Forms Derma-Smoothe/FS Scalp: 0.01% (118.28 mL) [contains isopropyl alcohol, Packet, Oral: peanut oil] Monurol: 3 g (1 ea) [orange flavor] Fluocinonide Fosinopril Outpatient Dosage Forms Outpatient Dosage Forms Cream, External: Tablet, Oral, as sodium: Generic: 0.05% (15 g) [BCF] Generic: 10 mg, 20 mg, 40 mg Ointment, External: Generic: 0.05% (15 g, 30 g ) Fosinopril and Hydrochlorothiazide Solution, External: Outpatient Dosage Forms Generic: 0.05% (60 mL) Tablet: Generic: 10/12.5: Fosinopril sodium 10 mg and hydrochlorothiazide 12.5 mg Fluoride Generic: 20/12.5: Fosinopril sodium 20 mg and hydrochlorothiazide 12.5 mg Outpatient Dosage Forms Cream, Dental, as sodium: Furosemide PreviDent 5000 Plus: 1.1% (51 g) [spearmint flavor] Outpatient Dosage Forms Solution, oral: Fluorometholone Generic: 10 mg/mL (60 mL) [BCF] Outpatient Dosage Forms Tablet, oral: Suspension, Ophthalmic, as base: Generic: 20 mg [BCF], 40 mg [BCF] Generic: 0.1% (10 mL) Gabapentin Fluorouracil (Topical) Outpatient Dosage Forms Outpatient Dosage Forms Capsule, oral: Cream, External: Generic: 100 mg [BCF], 300 mg [BCF], 400 mg [BCF] Efudex: 5% (40 g) Solution, Oral: Generic: 0.5% (30 g) Neurontin: 250 mg/5 mL (470 mL) [strawberry anise flavor] Tablet, oral: FLUoxetine Generic: 600 mg [BCF], 800 mg [BCF] Outpatient Dosage Forms Capsule, Oral: Galantamine Generic: 10 mg [BCF], 20 mg [BCF] Outpatient Dosage Forms Solution, Oral: Tablet, Oral, as hydrobromide [strength expressed as base]: Generic: 20 mg/5 mL (120 mL) [BCF] Razadyne: 4 mg, 8 mg, 12 mg Flutamide Ganciclovir (Ophthalmic) Outpatient Dosage Forms Outpatient Dosage Forms Capsule, Oral: Gel, Ophthalmic: Generic: 125 mg Zirgan: 0.15% (5 g) [contains benzalkonium chloride] Fluticasone and Salmeterol Gefitinib Outpatient Dosage Forms Outpatient Dosage Forms Aerosol, for oral inhalation: Tablet, Oral: Advair® HFA: 45/21: Fluticasone propionate 45 mcg and salmeterol 21 mcg Iressa®: 250 mg per inhalation (12 g) [chlorofluorocarbon free; 120 metered actuations] [BCF] Gemfibrozil Advair® HFA: 115/21: Fluticasone propionate 115 mcg and salmeterol 21 mcg Outpatient Dosage Forms per inhalation (12 g) [chlorofluorocarbon free; 120 metered actuations] [BCF] Tablet, oral: Advair® HFA: 230/21: Fluticasone propionate 230 mcg and salmeterol 21 mcg Generic: 600 mg [BCF] per inhalation (12 g) [chlorofluorocarbon free; 120 metered actuations] [BCF] Powder, for oral inhalation: Gentamicin (Ophthalmic) Advair Diskus®: 100/50: Fluticasone propionate 100 mcg and salmeterol 50 Outpatient Dosage Forms mcg (14s, 60s) [contains lactose] [BCF] Ointment, Ophthalmic: Advair Diskus®: 250/50: Fluticasone propionate 250 mcg and salmeterol 50 Gentak®: 0.3% (3.5 g) [BCF] mcg (14s, 60s) [contains lactose] [BCF] Solution, Ophthalmic: Advair Diskus®: 500/50: Fluticasone propionate 500 mcg and salmeterol 50 Generic: 0.3% (5 mL) [BCF] mcg (14s, 60s) [contains lactose] [BCF] GlipiZIDE Fluticasone (Nasal) Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: Suspension, intranasal, as propionate [spray]: Generic: 5 mg [BCF], 10 mg [BCF] Flonase®: 50 mcg/inhalation (16 g) [contains benzalkonium chloride; 120 metered actuations] [BCF] GlyBURIDE Outpatient Dosage Forms Fluticasone (Oral Inhalation) Tablet, oral: Outpatient Dosage Forms Generic: 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 Generic: 3 mg [BCF], 6 mg [BCF] metered actuations] [BCF] Flovent® HFA: 110 mcg/inhalation (12 g) [chlorofluorocarbon free; 120 Glycerin metered actuations] [BCF] Outpatient Dosage Forms Flovent® HFA: 220 mcg/inhalation (12 g) [chlorofluorocarbon free; 120 Liquid, External: metered actuations] [BCF] Generic: 480 mL Powder, for oral inhalation, as propionate: Solution, Oral: Flovent® Diskus®: 50 mcg (60s) [contains lactose] [BCF] Introl: 75% (120 mL) Flovent® Diskus®: 100 mcg (60s) [contains lactose] [BCF] Suppository, Rectal [pediatric]: Flovent® Diskus®: 250 mcg (60s) [contains lactose] [BCF] Generic: 1.2 g (12 ea) Folic Acid Glycopyrrolate (Systemic) Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral: Tablet, Oral: Generic: 1 mg [BCF] Robinul: 1 mg [scored] 11 GRISEOFULVIN Griseofulvin Suppository, Rectal, as acetate: Outpatient Dosage Forms Anucort-HC: 25 mg (12 ea) [BCF] Suspension, oral [microsize]: Hydrogen Peroxide Generic: 125 mg/5 mL (120 mL) [BCF] Outpatient Dosage Forms Tablet, oral [ultramicrosize]: Solution, External: Gris-PEG®: 125 mg [BCF], 250 mg [BCF] [scored] Generic: 3% (120 mL, 480 mL) GuaiFENesin HYDROmorphone Outpatient Dosage Forms Outpatient Dosage Forms Tablet Extended Release 12 Hour, Oral: Tablet, Oral, as hydrochloride: Mucinex: 600 mg [contains fd&c blue #1 aluminum lake] Generic: 2 mg Guaifenesin and Codeine Hydroxychloroquine Outpatient Dosage Forms Outpatient Dosage Forms Solution, oral: Tablet, Oral, as sulfate: Generic: Guaifenesin 100 mg and codeine phosphate 10 mg per 5 mL (10 mL) Generic: 200 mg Syrup, oral: Generic: Guaifenesin 100 mg and codeine phosphate 10 mg per 5 mL Hydroxypropyl Methylcellulose (473 mL) Outpatient Dosage Forms Guaifenesin and Dextromethorphan Solution, Ophthalmic: Gonak: 2.5% (15 mL) Outpatient Dosage Forms Syrup, Oral: Hydroxyurea Generic: Guaifenesin 100 mg and dextromethorphan hydrobromide 10 mg per Outpatient Dosage Forms 5 mL (10 mL, 118 mL) Capsule, Oral: GuanFACINE Generic: 500 mg Outpatient Dosage Forms HydrOXYzine Tablet Extended Release 24 Hour, Oral: Outpatient Dosage Forms Generic: 1 mg, 2 mg, 3 mg, 4 mg Solution, Intramuscular, as hydrochloride: Haloperidol Generic: 50 mg/mL (1 mL) Syrup, oral, as hydrochloride: Outpatient Dosage Forms Generic: 10 mg/5 mL (473 mL) [BCF] Concentrate, Oral, as lactate [strength expressed as base]: Tablet, oral, as hydrochloride: Generic: 2 mg/mL (120 mL) Generic: 10 mg [BCF], 25 mg [BCF] Tablet, Oral: Generic: 1 mg, 2 mg, 5 mg, 10 mg Hyoscyamine Hyaluronate and Derivatives Outpatient Dosage Forms Tablet Sublingual, Sublingual, as sulfate: Outpatient Dosage Forms Symax-SL: 0.125 mg [mint flavor] Solution, Intra-articular [hyaluronan]: Monovisc: 88 mg/4 mL (4 mL) [prefilled syringe] Ibandronate Solution, Intra-articular [sodium hyaluronate]: Outpatient Dosage Forms OrthoVisc: 15 mg/mL (2 mL) Tablet, Oral: HydrALAZINE Generic: 150 mg Outpatient Dosage Forms Ibuprofen Tablet, oral, as hydrochloride: Outpatient Dosage Forms Generic: 10 mg [BCF], 25 mg [BCF] Suspension, Oral: Childrens Ibuprofen: 100 mg/5 mL (118 mL) [alcohol free; contains fd&c red Hydrochlorothiazide #40, fd&c yellow #10 (quinoline yellow), polysorbate 80, sodium benzoate; Outpatient Dosage Forms berry flavor] Capsule, oral: Childrens Motrin: 100 mg/5 mL (120 mL) [alcohol free; contains fd&c red #40, Generic: 12.5 mg [BCF] fd&c yellow #10 (quinoline yellow), sodium benzoate; berry flavor] Tablet, oral: Generic: 100 mg/5 mL (5 mL) Generic: 25 mg [BCF], 50 mg [BCF] Tablet, Oral: Hydrochlorothiazide and Triamterene Generic: 200 mg, 400 mg [BCF], 800 mg [BCF] Outpatient Dosage Forms Imipramine Generic: Hydrochlorothiazide 50 mg and triamterene 75 mg [BCF] Outpatient Dosage Forms Hydrocodone and Acetaminophen Tablet, oral, as hydrochloride: Generic: 10 mg [BCF], 25 mg [BCF] Outpatient Dosage Forms Tablet, Oral: Imiquimod Hydrocodone bitartrate 5 mg and acetaminophen 325 mg Outpatient Dosage Forms Hydrocodone bitartrate 7.5 mg and acetaminophen 325 mg Cream, External: Hydrocodone and Homatropine Generic: 5% (24 ea) Outpatient Dosage Forms IncobotulinumtoxinA Syrup: Outpatient Dosage Forms Generic: Hydrocodone bitartrate 5 mg and homatropine methylbromide Solution Reconstituted, Intramuscular [preservative free]: 1.5 mg per 5 mL (473 mL) Xeomin: 100 units [contains albumin human] Hydrocortisone (Systemic) Indapamide Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral, as base: Tablet, Oral: Generic: 5 mg, 10 mg Generic: 2.5 mg Hydrocortisone (Topical) Indomethacin Outpatient Dosage Forms Outpatient Dosage Forms Cream, External, as base: Capsule, Oral: Generic: 1% (28.35 g, 28.4 g); 2.5% (30 g) [BCF] Generic: 25 mg [BCF] Enema, Rectal, as base: Capsule Extended Release, Oral: Generic: 100 mg/60 mL (60 mL) Generic: 75 mg Foam, Rectal, as acetate: Cortifoam: 90 mg (15 g) [contains cetyl alcohol, methylparaben, propylene Inhalation Devices glycol, propylparaben, trolamine (triethanolamine)] Outpatient Dosage Forms Ointment, External, as base: Drug delivery system: Generic: 1% (28.4 g); 2.5% (454 g) OptiChamber 12 LEFLUNOMIDE Holding Chamber/Spacer: Isosorbide Mononitrate AeroChamber Plus Flo-Vu: Small Outpatient Dosage Forms AeroChamber Plus Flo-Vu: Medium Tablet, Oral: AeroChamber Plus Flo-Vu: Large Generic: 10 mg, 20 mg Insulin Aspart Tablet, extended release, oral: Outpatient Dosage Forms Generic: 30 mg [BCF], 60 mg [BCF], 120 mg [BCF] Injection, solution: ISOtretinoin (Systemic) NovoLOG®: 100 units/mL (10 mL) [vial] [BCF] Outpatient Dosage Forms NovoLOG® FlexPen®: 100 units/mL (3 mL) [BCF] Capsule, Oral: NovoLOG® Penfill®: 100 units/mL (3 mL) [cartridge] [BCF] Amnesteem: 10 mg, 20 mg, 40 mg [contains soybean oil] Insulin Aspart Protamine and Insulin Aspart Itraconazole Outpatient Dosage Forms Injection, suspension: Outpatient Dosage Forms NovoLOG® Mix 70/30: Insulin aspart protamine suspension 70% [intermediate Capsule, Oral: acting] and insulin aspart solution 30% [rapid acting]: 100 units/mL (10 Sporanox: 100 mg mL) [BCF] Ivermectin (Systemic) NovoLOG® Mix 70/30 FlexPen®: 100 units/mL: Insulin aspart protamine Outpatient Dosage Forms suspension 70% [intermediate acting] and insulin aspart solution 30% Tablet, Oral: [rapid-acting] (3 mL) [BCF] Generic: 3 mg Insulin Glargine Ketoconazole (Systemic) Outpatient Dosage Forms Injection, solution: Outpatient Dosage Forms Lantus®: 100 units/mL (10 mL) [vial] [BCF] Tablet, Oral: Lantus® Solostar®: 100 units/mL (3 mL) [prefilled pen] [BCF] Generic: 200 mg Insulin NPH Ketoconazole (Topical) Outpatient Dosage Forms Outpatient Dosage Forms Injection, suspension: Cream, External: NovoLIN® N: 100 units/mL (10 mL) [vial] [BCF] Generic: 2% (30 g) Shampoo, External: Insulin NPH and Insulin Regular Generic: 2% (120 mL) Outpatient Dosage Forms Injection, suspension: Lacosamide NovoLIN® 70/30: Insulin NPH suspension 70% [intermediate acting] and Outpatient Dosage Forms insulin regular solution 30% [short acting]: 100 units/mL (10 mL) [vial] [BCF] Tablet, Oral: Vimpat: 50 mg, 100 mg, 150 mg, 200 mg Insulin Regular Outpatient Dosage Forms Lactic Acid and Ammonium Hydroxide Solution, Injection: Outpatient Dosage Forms NovoLIN R: 100 units/mL (10 mL) [BCF] Lotion, External: Solution Pen-injector, Subcutaneous: AmLactin: Lactic acid 12% with ammonium hydroxide (225 g) [fragrance free; HumuLIN R U-500 KwikPen: 500 units/mL (3 mL) [contains metacresol] contains cetyl alcohol, methylparaben, propylene glycol, propylparaben] Interferon Beta-1b Lactobacillus Outpatient Dosage Forms Outpatient Dosage Forms Kit, Subcutaneous: Capsule, Oral: Betaseron: 0.3 mg [contains albumin human] [BCF] Freeze Dried Acidophilus: Iodine Lactulose Outpatient Dosage Forms Outpatient Dosage Forms Tincture, External: Solution, oral: Generic: (473 mL) Constulose: 10 g/15 mL (946 mL) [unflavored flavor] Ipratropium and Albuterol Generic: 10 g/15 mL (473 mL) [BCF] Outpatient Dosage Forms LamiVUDine Aerosol Solution, Inhalation: Outpatient Dosage Forms Combivent Respimat: Ipratropium bromide 20 mcg and albuterol (base) 100 Tablet, Oral: mcg per inhalation (4 g) [contains benzalkonium chloride, edetate disodium] Generic: 150 mg, 300 mg Ipratropium (Nasal) Lamivudine and Zidovudine Outpatient Dosage Forms Outpatient Dosage Forms Solution, Nasal, as bromide: Tablet, Oral: Atrovent: 0.03% (30 mL) Combivir®: Lamivudine 150 mg and zidovudine 300 mg [scored] Ipratropium (Oral Inhalation) LamoTRIgine Outpatient Dosage Forms Outpatient Dosage Forms Aerosol, for oral inhalation, as bromide: Atrovent® HFA: 17 mcg/actuation (12.9 g) [chlorofluorocarbon free; 200 Tablet, Oral: metered actuations] [BCF] Generic: 25 mg, 100 mg, 200 mg Solution, for nebulization, as bromide: Tablet Extended Release 24 Hour, Oral: Generic: 0.02% [500 mcg/2.5 mL] Generic: 25 mg, 50 mg, 100 mg, 200 mg, 300 mg Isoniazid Lapatinib Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: Tablet, Oral: Generic: 100 mg [BCF], 300 mg [BCF] Tykerb: 250 mg Isosorbide Dinitrate Latanoprost Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: Solution, ophthalmic [drops]: Generic: 10 mg [BCF], 20 mg [BCF] Xalatan®: 0.005% (2.5 mL) [contains benzalkonium chloride] [BCF] Isosorbide Dinitrate and Hydralazine Leflunomide Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral: Tablet, Oral: BiDil®: Isosorbide dinitrate 20 mg and hydralazine hydrochloride 37.5 mg Generic: 10 mg, 20 mg 13 LETROZOLE Letrozole Lisinopril Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral: Tablet, oral: Femara: 2.5 mg Generic: 2.5 mg [BCF], 5 mg [BCF], 10 mg [BCF], 20 mg [BCF], 40 mg [BCF] Leucovorin Calcium Outpatient Dosage Forms Lithium Tablet, Oral [strength expressed as base]: Outpatient Dosage Forms Generic: 5 mg Capsule, Oral, as carbonate: Generic: 300 mg [BCF] Leuprolide Tablet Extended Release, Oral, as carbonate: Outpatient Dosage Forms Generic: 300 mg, 450 mg Kit, Intramuscular, as acetate: Lupron Depot: 7.5 mg, 45 mg [latex free; contains polysorbate 80] Lomustine Kit, Intramuscular, as acetate [preservative free]: Outpatient Dosage Forms Lupron Depot: 3.75 mg, 11.25 mg, 22.5 mg, 30 mg [latex free; contains Capsule, Oral: polysorbate 80] CeeNU: 10 mg, 40 mg, 100 mg Lupron Depot-Ped: 7.5 mg, 11.25 mg, 15 mg [latex free; contains polysor- Loperamide bate 80] Outpatient Dosage Forms LevETIRAcetam Capsule, Oral, as hydrochloride: Outpatient Dosage Forms Generic: 2 mg [BCF] Liquid, Oral, as hydrochloride: Solution, Oral: Generic: 1 mg/5 mL (118 mL) Keppra: 100 mg/mL (473 mL) [gluten free, lactose free; contains acesulfame potassium, methylparaben, propylparaben; grape flavor] Lopinavir and Ritonavir Tablet, Oral: Outpatient Dosage Forms Keppra: 500 mg, 1000 mg [scored] Tablet, Oral: LevoFLOXacin (Systemic) Kaletra®: Lopinavir 200 mg and ritonavir 50 mg Outpatient Dosage Forms Loratadine Tablet, Oral: Outpatient Dosage Forms Levaquin®: 250 mg [BCF], 500 mg [BCF], 750 mg [BCF] Syrup, Oral: Childrens Loratadine: 5 mg/5 mL (120 mL) [fruit flavor] Levonorgestrel (IUD) Tablet, Oral: Outpatient Dosage Forms Generic: 10 mg Intrauterine Device: Mirena: 20 mcg/24 hr LORazepam Outpatient Dosage Forms Levonorgestrel (Systemic) Tablet, Oral: Outpatient Dosage Forms Generic: 1 mg Tablet, Oral: Plan B One-Step: 1.5 mg Losartan Outpatient Dosage Forms Levothyroxine Tablet, Oral, as potassium: Outpatient Dosage Forms Generic: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF] Tablet, oral, as sodium: Synthroid®: 25 mcg [BCF], 50 mcg [BCF], 75 mcg [BCF], 88 mcg [BCF], 100 Losartan and Hydrochlorothiazide mcg [BCF], 112 mcg [BCF], 125 mcg [BCF], 137 mcg [BCF], 150 mcg Outpatient Dosage Forms [BCF], 175 mcg [BCF] Tablet, oral: Hyzaar® 50/12.5: Losartan potassium 50 mg and hydrochlorothiazide Lidocaine and Prilocaine 12.5 mg [contains potassium 4.24 mg (0.108 mEq)] [BCF] Outpatient Dosage Forms Hyzaar® 100/12.5: Losartan potassium 100 mg and hydrochlorothiazide Kit, External: 12.5 mg [contains potassium 8.48 mg (0.216 mEq)] [BCF] Generic: Lidocaine 2.5% and prilocaine 2.5% Hyzaar® 100/25: Losartan potassium 100 mg and hydrochlorothiazide 25 mg [contains potassium 8.48 mg (0.216 mEq)] [BCF] Lidocaine (Topical) Outpatient Dosage Forms Lubiprostone Gel, External, as hydrochloride: Outpatient Dosage Forms Generic: 2% (30 mL) Capsule, Oral: Ointment, External, as hydrochloride: Amitiza: 8 mcg, 24 mcg Generic: 5% (35.44 g) Lurasidone Patch, External: Outpatient Dosage Forms Lidoderm: 5% (30 ea) [contains disodium edta, methylparaben, propylene Tablet, Oral, as hydrochloride: glycol, propylparaben] Latuda: 20 mg, 40 mg, 60 mg Solution, Mouth/Throat, as hydrochloride: Latuda: 80 mg [contains fd&c blue #2 aluminum lake] Generic: 2% (15 mL, 100 mL) Latuda: 120 mg LinaCLOtide Magnesium Citrate Outpatient Dosage Forms Outpatient Dosage Forms Capsule, Oral: Solution, Oral: Linzess: 145 mcg, 290 mcg Generic: 1.745 g/30 mL (296 mL) Linezolid Magnesium Hydroxide Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral: Suspension, Oral: Zyvox: 600 mg Milk of Magnesia: 400 mg/5 mL (480 mL) Liothyronine Milk of Magnesia: 7.75% (30 mL) [spearmint flavor] Outpatient Dosage Forms Magnesium Oxide Tablet, Oral: Outpatient Dosage Forms Cytomel: 25 mcg, 50 mcg [scored] Tablet, Oral: Generic: 5 mcg Generic: 400 mg Lisdexamfetamine Maraviroc Outpatient Dosage Forms Outpatient Dosage Forms Capsule, Oral, as dimesylate: Tablet, Oral: Vyvanse: 10 mg, 20 mg, 30 mg, 40 mg, 50 mg, 60 mg, 70 mg Selzentry: 150 mg [contains fd&c blue #2 aluminum lake, soybean lecithin] 14 MICONAZOLE (TOPICAL) Meclizine Methenamine, Phenyl Salicylate, Methylene Blue, Benzoic Outpatient Dosage Forms Acid, and Hyoscyamine Tablet, Oral, as hydrochloride: Outpatient Dosage Forms Generic: 25 mg Tablet, Oral: Prosed/DS: 81.6 mg MedroxyPROGESTERone Outpatient Dosage Forms MethIMAzole Suspension, Intramuscular, as acetate: Outpatient Dosage Forms Depo-Provera: 150 mg/mL (1 mL); 400 mg/mL (2.5 mL) Tablet, Oral: Tablet, oral, as acetate: Tapazole: 5 mg [scored] Provera®: 2.5 mg [BCF], 10 mg [BCF] [scored] Generic: 10 mg Mefenamic Acid Methocarbamol Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: Capsule, Oral: Generic: 500 mg [BCF] Generic: 250 mg Methotrexate Mefloquine Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: Tablet, Oral, as hydrochloride: Generic: 2.5 mg [BCF] Generic: 250 mg Methyldopa Megestrol Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral: Suspension, Oral, as acetate: Generic: 250 mg, 500 mg Generic: 40 mg/mL (240 mL) Tablet, Oral, as acetate: Methylergonovine Generic: 40 mg Outpatient Dosage Forms Tablet, Oral, as maleate: Melatonin Generic: 0.2 mg Outpatient Dosage Forms Methylphenidate Tablet, Oral: Outpatient Dosage Forms Generic: 3 mg Tablet, Oral, as hydrochloride: Meloxicam Generic: 5 mg [BCF], 10 mg [BCF] Outpatient Dosage Forms Tablet, extended release, oral, as hydrochloride [bi-modal release]: Concerta®: 18 mg [BCF], 27 mg [BCF], 36 mg [BCF], 54 mg [BCF] Tablet, Oral: Generic: 7.5 mg [BCF], 15 mg [BCF] MethylPREDNISolone Melphalan Outpatient Dosage Forms Tablet, Oral: Outpatient Dosage Forms Medrol (Pak): 4 mg [scored] Tablet, Oral: Generic: 4 mg Alkeran: 2 mg Metoclopramide Memantine Outpatient Dosage Forms Outpatient Dosage Forms Solution, oral: Tablet, Oral, as hydrochloride: Generic: 5 mg/5 mL (473 mL) [BCF] Namenda: 5 mg, 10 mg Tablet, oral: Namenda Titration Pak: 5 (28)-10 (21) mg Generic: 10 mg [BCF] Mercaptopurine MetOLazone Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral: Tablet, Oral: Generic: 50 mg Generic: 2.5 mg, 5 mg Meropenem Metoprolol Outpatient Dosage Forms Outpatient Dosage Forms Solution Reconstituted, Intravenous: Tablet, oral, as tartrate: Generic: 500 mg (1 ea); 1 g (1 ea) Generic: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF] Tablet, extended release, oral, as succinate [expressed as mg equivalent to Mesalamine tartrate]: Outpatient Dosage Forms Generic: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF], 200 mg [BCF] Capsule Extended Release, Oral: MetroNIDAZOLE (Systemic) Pentasa: 250 mg, 500 mg Outpatient Dosage Forms Capsule Extended Release 24 Hour, Oral: Tablet, Oral: Apriso: 0.375 g [contains aspartame] Generic: 250 mg [BCF], 500 mg [BCF] Enema, Rectal: Generic: 4 g (60 mL) MetroNIDAZOLE (Topical) Suppository, Rectal: Outpatient Dosage Forms Canasa: 1000 mg (30 ea) Cream, External: Tablet Delayed Release, Oral: Generic: 0.75% (45 g) Lialda: 1.2 g [BCF] Gel, External: Metrogel: 1% (60 g) [contains methylparaben, propylparaben] MetFORMIN Gel, Vaginal: Outpatient Dosage Forms Generic: 0.75% (70 g) Tablet, Oral, as hydrochloride: Mexiletine Generic: 500 mg [BCF], 850 mg [BCF], 1000 mg [BCF] Outpatient Dosage Forms Tablet Extended Release 24 Hour, Oral, as hydrochloride: Capsule, Oral, as hydrochloride: Generic: 500 mg [BCF], 750 mg [BCF] Generic: 150 mg Methadone Miconazole (Topical) Outpatient Dosage Forms Outpatient Dosage Forms Solution, Oral, as hydrochloride: Cream, External, as nitrate: Generic: 5 mg/5 mL (500 mL) Antifungal: 2% (14 g) [contains benzoic acid] Tablet, Oral, as hydrochloride: Cream, Vaginal, as nitrate: Generic: 5 mg Generic: 2% (45 g) 15 MICONAZOLE (TOPICAL) Solution, External, as nitrate: Naftifine Fungoid Tincture: 2% (29.57 mL) [contains benzyl alcohol] Outpatient Dosage Forms Midodrine Cream, External, as hydrochloride: Naftin: 1% (60 g) [contains benzyl alcohol, cetyl alcohol] Outpatient Dosage Forms Tablet, Oral, as hydrochloride: Naloxone Generic: 2.5 mg, 5 mg Outpatient Dosage Forms Minocycline (Systemic) Liquid, Nasal [spray]: Narcan: 4 mg/0.1 mL (1 ea) [contains benzalkonium chloride, edetate diso- Outpatient Dosage Forms dium] [BCF] Capsule, Oral: Generic: 50 mg, 100 mg Naltrexone Minoxidil (Systemic) Outpatient Dosage Forms Tablet, Oral, as hydrochloride: Outpatient Dosage Forms Generic: 50 mg Tablet, Oral: Generic: 2.5 mg, 10 mg Naproxen Mirabegron Outpatient Dosage Forms Tablet, oral: Outpatient Dosage Forms Generic: 250 mg [BCF], 500 mg [BCF] Tablet Extended Release 24 Hour, Oral: Myrbetriq: 25 mg, 50 mg Nasal Wash Mirtazapine Outpatient Dosage Forms Kit [adult]: Outpatient Dosage Forms Sinus Rinse: 50 ea Tablet, Oral: Kit [pediatric]: Remeron: 30 mg [scored] Sinus Rinse: 60 ea Generic: 15 mg Packet [pediatric]: Tablet Dispersible, Oral: Sinus Rinse: 120 ea Remeron SolTab: 15 mg, 30 mg, 45 mg [contains aspartame] Packet [refill]: MiSOPROStol Sinus Rinse: 100 ea Outpatient Dosage Forms Nateglinide Tablet, Oral: Outpatient Dosage Forms Generic: 200 mcg Tablet, Oral: Modafinil Starlix: 60 mg, 120 mg Outpatient Dosage Forms Nelfinavir Tablet, Oral: Outpatient Dosage Forms Provigil: 100 mg Tablet, Oral: Provigil: 200 mg [scored] Viracept: 250 mg, 625 mg Mometasone (Nasal) Neomycin and Polymyxin B Outpatient Dosage Forms Outpatient Dosage Forms Suspension, Nasal, as furoate: Solution, irrigation: Nasonex: 50 mcg/actuation (17 g) [contains benzalkonium chloride] Generic: Neomycin 40 mg and polymyxin sulfate B 200,000 units per 1 mL Mometasone (Oral Inhalation) (1 mL) Outpatient Dosage Forms Neomycin, Polymyxin B, and Dexamethasone Powder, for oral inhalation, as furoate: Outpatient Dosage Forms Asmanex Twisthaler: 110 mcg (30 units) [contains lactose; delivers 100 mcg/ Ointment, Ophthalmic: actuation] Maxitrol®: Neomycin 3.5 mg, polymyxin B sulfate 10,000 units, and dexame- Asmanex Twisthaler: 220 mcg (60 units) [contains lactose; delivers 200 mcg/ thasone 0.1% per g (3.5 g) actuation] Neomycin, Polymyxin B, and Gramicidin Montelukast Outpatient Dosage Forms Outpatient Dosage Forms Solution, ophthalmic [drops]: Granules, Oral: Neosporin®: Neomycin 1.75 mg, polymyxin B 10,000 units, and gramicidin Singulair®: 4 mg/packet (30s) [BCF] 0.025 mg per 1 mL (10 mL) [BCF] Tablet, Oral: Generic: 10 mg Neomycin, Polymyxin B, and Hydrocortisone (Otic) Tablet, Chewable, Oral: Outpatient Dosage Forms Generic: 4 mg [BCF], 5 mg [BCF] Suspension, otic: Generic: Neomycin 3.5 mg, polymyxin B 10,000 units, and hydrocortisone Morphine (Systemic) 10 mg per 1 mL (10 mL) [BCF] Outpatient Dosage Forms Suspension, otic: Solution, Oral, as sulfate: Generic: Neomycin 3.5 mg, polymyxin B 10,000 units, and hydrocortisone Generic: 20 mg/mL (120 mL) 10 mg per 1 mL (10 mL) Tablet, Oral, as sulfate: Generic: 15 mg, 30 mg Nepafenac Tablet, extended release, oral, as sulfate: Outpatient Dosage Forms Generic: 15 mg [BCF], 30 mg [BCF], 60 mg [BCF], 100 mg [BCF] Suspension, Ophthalmic: Nevanac: 0.1% (3 mL) [contains edentate disodium benzalkonium chloride] Moxifloxacin (Ophthalmic) Outpatient Dosage Forms Netupitant and Palonosetron Solution, Ophthalmic: Outpatient Dosage Forms Vigamox: 0.5% (3 mL) Capsule, Oral: Akynzeo: Netupitant 300 mg and palonosetron 0.5 mg Mupirocin Outpatient Dosage Forms Niacin Ointment, topical: Outpatient Dosage Forms Generic: 2% (22 g) [BCF] Tablet, extended release, oral: Niaspan®: 500 mg [BCF], 750 mg [BCF], 1000 mg [BCF] Mycophenolate Outpatient Dosage Forms Niacin and Simvastatin Capsule, Oral, as mofetil: Outpatient Dosage Forms CellCept: 250 mg Tablet Extended Release 24 Hour, Oral: Tablet, Oral, as mofetil: Simcor: 1000/20: Niacin 1000 mg [extended release] and simvastatin 20 mg CellCept: 500 mg [immediate release] 16 PANTOPRAZOLE Nicotine OLANZapine Outpatient Dosage Forms Outpatient Dosage Forms Gum, Mouth/Throat, as polacrilex: Tablet, Oral: Nicorelief: 2 mg (110 ea) [mint flavor] [BCF] ZyPREXA: 5 mg, 7.5 mg, 10 mg Nicorelief: 4 mg (110 ea) [BCF] Patch 24 Hour, Transdermal: Olopatadine (Ophthalmic) Generic: 7 mg/24 hr (7 ea) [BCF]; 14 mg/24 hr (7 ea) [BCF]; 21 mg/24 hr (7 Outpatient Dosage Forms ea) [BCF] Solution, Ophthalmic [drops]: Patanol: 0.1% (5 mL) [contains benzalkonium chloride] [BCF] NIFEdipine Outpatient Dosage Forms Olsalazine Capsule, Oral: Outpatient Dosage Forms Procardia: 10 mg Capsule, Oral, as sodium: Tablet Extended Release 24 Hour, Oral: Dipentum: 250 mg Adalat® CC: 30 mg [BCF], 60 mg [BCF], 90 mg [BCF] Generic: 30 mg [BCF], 60 mg [BCF], 90 mg [BCF] Omega-3 Fatty Acids Outpatient Dosage Forms Nilutamide Capsule, Oral: Outpatient Dosage Forms Lovaza: 1 g [contains DHA ~375 mg/capsule, EPA ~465 mg/capsule, soy- Tablet, Oral: bean oil] Nilandron: 150 mg Generic: 1 g NiMODipine Omeprazole Outpatient Dosage Forms Outpatient Dosage Forms Capsule, Oral: Capsule, delayed release, oral: Generic: 30 mg Generic: 20 mg [BCF] Nitrofurantoin Ondansetron Outpatient Dosage Forms Outpatient Dosage Forms Capsule, oral [macrocrystal]: Tablet, Oral: Generic: 50 mg [BCF], 100 mg Generic: 4 mg, 8 mg Suspension, Oral: Tablet Dispersible, Oral: Furadantin: 25 mg/5 mL (230 mL) Zofran ODT: 4 mg [contains aspartame, methylparaben sodium, propylpar- aben sodium; strawberry flavor] Nitroglycerin Outpatient Dosage Forms Oral Rehydration Therapy Ointment, Transdermal: Outpatient Dosage Forms Nitro-Bid: 2% (30 g) Solution, Oral: Patch, transdermal: Oralyte: 1000 mL Nitro-Dur®: 0.3 mg/hour (30s) [BCF] Generic: 0.1 mg/hour (30s) [BCF]; 0.2 mg/hour (30s) [BCF]; 0.4 mg/hour Oxazepam (30s) [BCF]; 0.6 mg/hour (30s) [BCF] Outpatient Dosage Forms Solution, translingual [spray]: Capsule, Oral: Nitrolingual®: 0.4 mg/spray (4.9 g) [contains ethanol 20%; 60 metered Generic: 10 mg, 15 mg sprays] [BCF] Tablet, sublingual: OXcarbazepine Nitrostat®: 0.3 mg, 0.4 mg [BCF], 0.6 mg Outpatient Dosage Forms Suspension, Oral: Nonoxynol 9 Trileptal: 300 mg/5 mL (250 mL) [contains alcohol, usp, methyl hydroxyben- Outpatient Dosage Forms zoate, propyl hydroxybenzoate, propylene glycol, saccharin sodium; lemon Foam, Vaginal: flavor] VCF Vaginal Contraceptive: 12.5% (17 g) [hormone free; contains benzoic Tablet, Oral: acid, cetyl alcohol, methylparaben, propylene glycol] Trileptal: 300 mg, 600 mg [scored] Gel, Vaginal: Shur-Seal Contraceptive: 2% (24 ea) Oxybutynin Outpatient Dosage Forms Norethindrone Syrup, Oral, as chloride: Outpatient Dosage Forms Generic: 5 mg/5 mL (473 mL) Tablet, oral: Tablet, Oral, as chloride: Nor-QD®: 0.35 mg [BCF] Generic: 5 mg Tablet, Oral, as acetate: Tablet, extended release, oral, as chloride: Aygestin: 5 mg [scored] Generic: 5 mg [BCF], 10 mg [BCF], 15 mg [BCF] Norethindrone and Mestranol OxyCODONE Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral: Tablet, Oral, as hydrochloride: Necon 1/50 (28): Norethindrone 1 mg and mestranol 0.05 mg [21 light blue Generic: 5 mg tablets and 7 white inactive tablets Oxycodone and Acetaminophen Nortriptyline Outpatient Dosage Forms Outpatient Dosage Forms Solution, Oral: Capsule, oral: Roxicet: Oxycodone hydrochloride 5 mg and acetaminophen 325 mg per 5 mL Generic: 10 mg [BCF], 25 mg [BCF], 50 mg [BCF], 75 mg (5 mL, 500 mL) [contains ethanol <0.5%; mint flavor] Tablet, oral: Nystatin (Oral) Generic: 5/325: Oxycodone hydrochloride 5 mg and acetaminophen Outpatient Dosage Forms 325 mg [BCF] Suspension, oral: Generic: 100,000 units/mL (60 mL, 473 mL) [BCF] Pancrelipase Outpatient Dosage Forms Nystatin (Topical) Capsule, Delayed Release, Enteric Coated Microspheres, Oral [porcine Outpatient Dosage Forms derived]: Cream, topical: Creon: Lipase 3000 USP units, protease 9500 USP units, and amylase 15,000 Generic: 100,000 units/g (15 g) [BCF] USP units [BCF] Powder, External: Creon: Lipase 12,000 USP units, protease 38,000 USP units, and amylase Nystop: 100,000 units/g (15 g) 60,000 USP units [BCF] Ofloxacin (Otic) Pantoprazole Outpatient Dosage Forms Outpatient Dosage Forms Solution, Otic: Tablet Delayed Release, Oral: Generic: 0.3% (5 mL) Generic: 20 mg, 40 mg 17 PAROXETINE PARoxetine Pioglitazone Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral, as hydrochloride [strength expressed as base]: Tablet, Oral: Generic: 20 mg, 30 mg, 40 mg Actos: 15 mg, 30 mg, 45 mg Peak Flow Meter Pioglitazone and Metformin Outpatient Dosage Forms Outpatient Dosage Forms Device: Tablet, oral: Aerogear Action Asthma Kit: 1 each Actoplus Met®: 15/500: Pioglitazone 15 mg and metformin hydrochloride 500 mg Peginterferon Alfa-2a 15/850: Pioglitazone 15 mg and metformin hydrochloride 850 mg Outpatient Dosage Forms Solution, Subcutaneous [preservative free]: Piroxicam (Systemic) Pegasys ProClick: 135 mcg/0.5 mL (0.5 mL) [contains benzyl alcohol, poly- Outpatient Dosage Forms sorbate 80] Capsule, Oral: Generic: 20 mg Pembrolizumab Podofilox Outpatient Dosage Forms Outpatient Dosage Forms Solution, Intravenous [preservative free]: Solution, External: Keytruda: 100 mg/4 mL (4 mL) [contains polysorbate 80] Generic: 0.5% (3.5 mL) Penicillin V Potassium Polyethylene Glycol 3350 Outpatient Dosage Forms Outpatient Dosage Forms Powder for solution, oral: Packet, Oral: Generic: 250 mg/5 mL (100 mL, 200 mL) [BCF] Generic: (30 ea) Tablet, oral: Powder, Oral: Generic: 250 mg [BCF], 500 mg [BCF] Generic: (255 g, 527 g) Pentosan Polysulfate Sodium Polyethylene Glycol-Electrolyte Solution Outpatient Dosage Forms Outpatient Dosage Forms Capsule, Oral: Solution Reconstituted, Oral: Elmiron: 100 mg Golytely: 236 g (4000 mL) Permethrin Potassium Chloride Outpatient Dosage Forms Outpatient Dosage Forms Cream, topical: Liquid, Oral: Generic: 5% (60 g) [BCF] Generic: 20 mEq/15 mL (10%) (473 mL) Solution, oral: Phenazopyridine Generic: 20 mEq/15 mL (15 mL, 30 mL) [BCF] Outpatient Dosage Forms Tablet, extended release, oral: Tablet, oral, as hydrochloride: Generic: 10 mEq [BCF] Generic: 100 mg [BCF] Tablet, extended release, microencapsulated, oral: Generic: 20 mEq [BCF] PHENobarbital Tablet, extended release, wax matrix, oral: Outpatient Dosage Forms Klor-Con® 10: 10 mEq [750 mg] [BCF] Elixir, oral: Generic: 20 mg/5 mL (473 mL) [BCF] Potassium Citrate Tablet, oral: Outpatient Dosage Forms Generic: 32.4 mg Tablet Extended Release, Oral: Urocit-K 5: 5 mEq (540 mg) Phenoxybenzamine Urocit-K 10: 10 mEq (1080 mg) Outpatient Dosage Forms Capsule, Oral, as hydrochloride: Potassium Iodide Dibenzyline: 10 mg [contains benzyl alcohol] Outpatient Dosage Forms Solution, Oral: Phenylephrine (Ophthalmic) SSKI: 1 g/mL (237 mL) Outpatient Dosage Forms Potassium Phosphate and Sodium Phosphate Solution, Ophthalmic, as hydrochloride: Outpatient Dosage Forms Generic: 2.5% (15 mL) Tablet, Oral: Phenytoin K-Phos-Neutral: Monobasic potassium phosphate 155 mg, dibasic sodium Outpatient Dosage Forms phosphate 852 mg, and monobasic sodium phosphate 130 mg [equivalent Capsule, Oral, as sodium: to elemental phosphorus 250 mg (8 mmol), sodium 298 mg (13 mEq), and potassium 45 mg (1.1 mEq)] Dilantin: 100 mg [BCF] Suspension, Oral: Povidone-Iodine (Topical) Dilantin: 125 mg/5 mL (237 mL) [orange-vanilla flavor] [BCF] Outpatient Dosage Forms Tablet Chewable, Oral: Ointment, External: Dilantin Infatabs: 50 mg [scored] [BCF] Generic: 10% (28.4 g) Phytonadione Solution, External: Operand Povidone-Iodine: 10% (118 mL) [latex free] Outpatient Dosage Forms Tablet, Oral: Pramipexole Mephyton®: 5 mg [scored] Outpatient Dosage Forms Tablet, Oral, as dihydrochloride monohydrate: Pill Crusher Generic: 0.125 mg, 0.25 mg, 1 mg Outpatient Dosage Forms Device: Pramoxine and Hydrocortisone Generic: 1 each Outpatient Dosage Forms Cream, External: Pilocarpine (Ophthalmic) Pramosone: Pramoxine hydrochloride 1% and hydrocortisone acetate Outpatient Dosage Forms 1% (28.4 g) Solution, ophthalmic, as hydrochloride [drops]: Pramosone: Pramoxine hydrochloride 1% and hydrocortisone acetate 2.5% Generic: 1% (15 mL) [BCF]; 2% (15 mL) [BCF]; 4% (15 mL) [BCF] (28.4 g, 57 g) [paraben free; contains cetearyl alcohol, propylene glycol, tea lauryl sulfate] Pimecrolimus Foam, Rectal: Outpatient Dosage Forms Proctofoam HC: Pramoxine hydrochloride 1% and hydrocortisone acetate 1% Cream, External: (10 g) [contains cetyl alcohol, methylparaben, propylene glycol, propylpar- Elidel®: 1% (30 g) [BCF] [contains benzyl alcohol] aben, trolamine (triethanolamine)] 18 RALTEGRAVIR Proparacaine and Fluorescein Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral: Solution, Ophthalmic: Effient: 5 mg, 10 mg Generic: Proparacaine hydrochloride 0.5% and fluorescein sodium 0.25% (5 mL) Pravastatin Outpatient Dosage Forms Propranolol Tablet, oral, as sodium: Outpatient Dosage Forms Generic: 20 mg [BCF], 40 mg [BCF], 80 mg [BCF] Capsule Extended Release 24 Hour, Oral, as hydrochloride: Inderal LA: 80 mg Prazosin Generic: 60 mg, 120 mg, 160 mg Outpatient Dosage Forms Solution, Oral, as hydrochloride: Capsule, Oral: Generic: 20 mg/5 mL (500 mL) Generic: 1 mg, 2 mg, 5 mg Tablet, Oral, as hydrochloride: Generic: 10 mg, 20 mg, 40 mg, 80 mg PrednisoLONE (Ophthalmic) Outpatient Dosage Forms Propylthiouracil Suspension, ophthalmic, as acetate [drops]: Outpatient Dosage Forms Pred Forte®: 1% (5 mL) [contains benzalkonium chloride, sodium bisul- Tablet, oral: fite] [BCF] Generic: 50 mg [BCF] PrednisoLONE (Systemic) Pseudoephedrine Outpatient Dosage Forms Outpatient Dosage Forms Solution, Oral, as sodium phosphate [strength expressed as base]: Syrup, Oral, as hydrochloride: Generic: 30 mg/5 mL (118 mL) Generic: 15 mg/5 mL (480 mL) [BCF] Tablet, Oral, as hydrochloride: Syrup, Oral, as base: Generic: 30 mg Generic: 15 mg/5 mL (480 mL) Tablet, Oral, as base: Pyrantel Pamoate Millipred: 5 mg [scored Outpatient Dosage Forms PredniSONE Suspension, Oral [strength expressed as base]: Reeses Pinworm Medicine: 50 mg/mL (30 mL) [contains saccharin sodium, Outpatient Dosage Forms sodium benzoate] Tablet, Oral: Deltasone: 20 mg [scored] [BCF] Pyrazinamide Generic: 1 mg [BCF], 5 mg [BCF], 10 mg [BCF], 20 mg [BCF] Outpatient Dosage Forms Tablet, oral: Pregabalin Generic: 500 mg [BCF] Outpatient Dosage Forms Capsule, Oral: Pyrethrins and Piperonyl Butoxide Generic: 25 mg, 50 mg, 75 mg, 100 mg, 150 mg, 200 mg, 225 mg, 300 mg Outpatient Dosage Forms Shampoo, External: Primaquine RID® Maximum Strength: Pyrethrins 0.33% and piperonyl butoxide 4% (60 Outpatient Dosage Forms mL) [packaged with nit removal comb; also available in a kit containing Tablet, Oral, as phosphate: shampoo, gel, and furniture spray] Generic: 26.3 mg Pyridostigmine Primidone Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral, as bromide: Tablet, Oral: Generic: 60 mg Generic: 50 mg, 250 mg Tablet Extended Release, Oral, as bromide: Mestinon: 180 mg [scored] Probenecid Outpatient Dosage Forms Pyridoxine Tablet, Oral: Outpatient Dosage Forms Generic: 500 mg [BCF] Tablet, Oral, as hydrochloride [preservative free]: Generic: 50 mg Procarbazine Outpatient Dosage Forms Pyrimethamine Capsule, Oral, as hydrochloride: Outpatient Dosage Forms Matulane: 50 mg Tablet, Oral: Daraprim: 25 mg [scored] Prochlorperazine Outpatient Dosage Forms QUEtiapine Suppository, Rectal: Outpatient Dosage Forms Tablet, oral: Compro: 25 mg (12 ea) SEROquel®: 25 mg [BCF], 100 mg [BCF], 200 mg [BCF], 300 mg [BCF], Tablet, Oral, as maleate [strength expressed as base]: 400 mg [BCF] Generic: 5 mg Tablet, extended release, oral: Progesterone SEROquel XR®: 200 mg [BCF], 300 mg [BCF], 400 mg [BCF] Outpatient Dosage Forms RABEprazole Insert, Vaginal: Outpatient Dosage Forms Endometrin: 100 mg (21 ea) Capsule Sprinkle, Oral, as sodium: Oil, Intramuscular: AcipHex Sprinkle: 5 m, 10 mg Generic: 50 mg/mL (10 mL) Tablet Delayed Release, Oral, as sodium: Promethazine Aciphex: 20 mg Generic: 20 mg Outpatient Dosage Forms Suppository, rectal, as hydrochloride: Raloxifene Generic: 12.5 mg (12s) [BCF]; 25 mg (12s) [BCF] Outpatient Dosage Forms Tablet, oral, as hydrochloride: Tablet, oral, as hydrochloride: Generic: 25 mg [BCF] Evista®: 60 mg [BCF] Propafenone Raltegravir Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral, as hydrochloride: Tablet, Oral: Generic: 150 mg, 300 mg Isentress: 400 mg [contains polyethylene glycol] 19 RAMIPRIL Ramipril Solution, External: Outpatient Dosage Forms DuoFilm: 17% (9.8 mL) Capsule, Oral: Salmeterol Generic: 1.25 mg [BCF], 2.5 mg [BCF], 5 mg [BCF], 10 mg [BCF] Outpatient Dosage Forms Ranolazine Powder, for oral 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 Rasagiline Tablet, oral: Outpatient Dosage Forms Generic: 750 mg [BCF] Tablet, Oral: Scopolamine (Systemic) Azilect: 0.5 mg, 1 mg Outpatient Dosage Forms Ribavirin (Systemic) Patch 72 Hour, Transdermal: Outpatient Dosage Forms Transderm-Scop: 1.5 mg (4 ea) Capsule, oral: Selegiline Generic: 200 mg [ECF] Tablet, Oral: Outpatient Dosage Forms Generic: 200 mg Tablet, Oral, as hydrochloride: Generic: 5 mg Rifabutin Outpatient Dosage Forms Selenium Sulfide Capsule, Oral: Outpatient Dosage Forms Mycobutin: 150 mg Lotion, topical: Generic: 2.5% (120 mL) [BCF] RifAMPin Outpatient Dosage Forms Senna Capsule, oral: Outpatient Dosage Forms Generic: 300 mg [BCF] Tablet, Oral: Generic: 8.6 mg RifAXIMin Outpatient Dosage Forms Sertraline Tablet, Oral: Outpatient Dosage Forms Xifaxan: 550 mg [contains edetate disodium] Solution, oral [concentrate]: Generic: 20 mg/mL (60 mL) [BCF] RisperiDONE Tablet, oral: Outpatient Dosage Forms Generic: 50 mg [BCF] 100 mg [BCF] Solution, Oral: RisperDAL: 1 mg/mL (30 mL) [contains benzoic acid] [BCF] Sevelamer Tablet, Oral: Outpatient Dosage Forms RisperDAL: 1 mg [scored] [BCF], 2 mg [BCF], 3 mg [BCF], 4 mg [BCF] Tablet, Oral, as hydrochloride: Tablet Dispersible, Oral: Renagel: 800 mg Generic: 0.25 mg, 0.5 mg, 1 mg, 2 mg Sildenafil Ritonavir Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: Tablet, Oral: Viagra®: 50 mg [BCF], 100 mg [BCF] Norvir: 100 mg Silver Nitrate Outpatient Dosage Forms Outpatient Dosage Forms Miscellaneous, External: Tablet, Oral: Arzol Silver Nit Applicators: Silver nitrate 75% and potassium nitrate 25% Xarelto: 10 mg, 15 mg, 20 mg (100 ea) Rizatriptan Silver Sulfadiazine Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: Cream, External: Maxalt®: 5 mg [BCF], 10 mg [BCF] Generic: 1% (50 g, 400 g) [BCF] Tablet, orally disintegrating: Simethicone Maxalt-MLT®: 5 mg [contains phenylalanine 1.05 mg/tablet; peppermint fla- vor] [BCF] Outpatient Dosage Forms Maxalt-MLT®: 10 mg [contains phenylalanine 2.1 mg/tablet; peppermint fla- Suspension, Oral: vor] [BCF] Infants Gas Relief: 20 mg/0.3 mL (30 mL) [contains sodium benzoate] Roflumilast Simvastatin Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral: Tablet, Oral: Daliresp: 500 mcg Generic: 5 mg [BCF], 10 mg [BCF], 20 mg [BCF], 40 mg [BCF], 80 mg SITagliptin Outpatient Dosage Forms Outpatient Dosage Forms Solution Reconstituted, Subcutaneous [preservative free]: Tablet, oral: Nplate: 250 mcg (1 ea) Januvia®: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF] Rosuvastatin Sitagliptin and Metformin Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral: Tablet, oral: Crestor: 5 mg, 10 mg, 20 mg, 40 mg Janumet® 50/500: Sitagliptin 50 mg and metformin hydrochloride 500 mg [BCF] Saccharomyces boulardii Janumet® 50/1000: Sitagliptin 50 mg and metformin hydrochloride Outpatient Dosage Forms 1000 mg [BCF] Capsule, Oral: Tablet, extended release, oral: Florastor: S. boulardii lyo 250 mg Janumet® XR: 50/500: Sitagliptin 50 mg and metformin hydrochloride 500 mg [BCF] Salicylic Acid Janumet® XR: 50/1000: Sitagliptin 50 mg and metformin hydrochloride Outpatient Dosage Forms 1000 mg [BCF] Pad, External: Janumet® XR: 100/1000: Sitagliptin 100 mg and metformin hydrochloride Compound W: 40% 1000 mg [BCF] 20 TERBINAFINE (TOPICAL) Sodium Bicarbonate Tablet, Double Strength, Oral: Outpatient Dosage Forms Generic: Sulamethoxazole 800 mg and trimethoprim 160 mg [BCF] Tablet, Oral: SulfaSALAzine Generic: 650 mg Outpatient Dosage Forms Sodium Chloride Tablet, Oral: Outpatient Dosage Forms Generic: 500 mg [BCF] Nebulization Solution, Inhalation [preservative free]: Generic: 0.9% (3 mL); 3% (15 mL) Sulfur and Sulfacetamide Ointment, Ophthalmic: Outpatient Dosage Forms Muro 128: 5% (3.5 g) Wash, topical: Solution, Nasal: Generic: Sulfur 5% and sulfacetamide sodium 10% (340 g) Deep Sea Nasal Spray: 0.65% (44 mL) [contains benzalkonium chloride] Solution, Irrigation: Sulindac Generic: 0.9% (1000 mL) Outpatient Dosage Forms Solution, Ophthalmic: Tablet, Oral: Muro 128: 5% (15 mL) Generic: 200 mg Tablet, Oral: SUMAtriptan Generic: 1 g Outpatient Dosage Forms Sodium Citrate and Citric Acid Solution, Subcutaneous, as succinate [strength expressed as base]: Outpatient Dosage Forms Imitrex®: 6 mg/0.5 mL (0.5 mL) [cartridge] [BCF] Solution, Oral: Imitrex STATdose Refill: 6 mg/0.5 mL (0.5 mL) [BCF] Generic: Sodium citrate 500 mg and citric acid 334 mg per 5 mL ( (30 mL) Imitrex STATdose System: 6 mg/0.5 mL (0.5 mL) [BCF] Generic: 6 mg/0.5 mL (0.5 mL) [BCF] Sodium Hypochlorite Tablet, oral, as succinate [strength expressed as base]: Outpatient Dosage Forms Generic: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF] Solution, External: Generic: 0.25% (473 mL); 0.5% (473 mL) Tacrolimus (Systemic) Outpatient Dosage Forms Sodium Phosphates Capsule, Oral: Outpatient Dosage Forms Prograf: 1 mg, 5 mg Enema, Rectal: Fleet Enema: Monobasic sodium phosphate monohydrate 19 g and dibasic Tacrolimus (Topical) sodium phosphate heptahydrate 7 g per 118 mL delivered dose (133 mL) Outpatient Dosage Forms [contains sodium 4.4 g/118 mL] Ointment, External: Protopic: 0.1% (30 g) Sodium Polystyrene Sulfonate Outpatient Dosage Forms Tamoxifen Suspension, Oral: Outpatient Dosage Forms SPS: 15 g/60 mL (473 mL) [contains alcohol, usp, methylparaben, propylene Tablet, oral: glycol, propylparaben, saccharin sodium] Generic: 10 mg [BCF] Sodium Sulfate, Potassium Sulfate, and Magnesium Sulfate Tamsulosin Outpatient Dosage Forms Outpatient Dosage Forms Solution, Oral: Capsule, oral, as hydrochloride: Suprep Bowel Prep Kit: Sodium sulfate 17.5 g, potassium sulfate 3.13 g, and Generic: 0.4 mg [BCF] magnesuim sulfate 1.6 g per 177 mL (2 x 177 mL) [contains sodium benzoate] Tazarotene Outpatient Dosage Forms Solifenacin Cream, External: Outpatient Dosage Forms Tazorac: 0.1% (30 g) [contains benzyl alcohol] Tablet, Oral, as succinate: VESIcare: 5 mg, 10 mg Telmisartan Sorbitol Outpatient Dosage Forms Tablet, Oral: Outpatient Dosage Forms Generic: 20 mg, 40 mg, 80 mg Solution, Oral: Generic: 70% (473 mL) Telmisartan and Hydrochlorothiazide Sotalol Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral: Micardis HCT: 40/12.5: Telmisartan 40 mg and hydrochlorothiazide 12.5 mg Tablet, Oral, as hydrochloride: Micardis HCT: 80/12.5: Telmisartan 80 mg and hydrochlorothiazide 12.5 mg Generic: 80 mg, 120 mg, 160 mg Micardis HCT: 80/25: Telmisartan 80 mg and hydrochlorothiazide 25 mg Spironolactone Temazepam Outpatient Dosage Forms Tablet, oral: Outpatient Dosage Forms Generic: 25 mg [BCF], 50 mg Capsule, oral: Generic: 15 mg [BCF] Succimer Outpatient Dosage Forms Tenofovir Disoproxil Fumarate Capsule, Oral: Outpatient Dosage Forms Chemet: 100 mg Tablet, Oral, as disoproxil fumarate: Viread: 300 mg Sucralfate Outpatient Dosage Forms Terazosin Tablet, Oral: Outpatient Dosage Forms Generic: 1 g Capsule, oral: Generic: 1 mg [BCF], 2 mg [BCF], 5 mg [BCF], 10 mg [BCF] Sulfacetamide (Ophthalmic) Outpatient Dosage Forms Terbinafine (Systemic) Solution, ophthalmic, as sodium [drops]: Outpatient Dosage Forms Generic: 10% (15 mL) [BCF] Tablet, Oral: Generic: 250 mg Sulfamethoxazole and Trimethoprim Outpatient Dosage Forms Terbinafine (Topical) Suspension, Oral: Outpatient Dosage Forms Generic: Sulfamethoxazole 200 mg and trimethoprim 40 mg per 5 mL (473 Cream, External, as hydrochloride: mL) [BCF] LamISIL AT: 1% (12 g) [contains benzyl alcohol, cetyl alcohol] 21 TESTOSTERONE Testosterone TraMADol Outpatient Dosage Forms Outpatient Dosage Forms Gel, topical: Tablet, oral, as hydrochloride: Fortesta: 10 mg/actuation (60 g) [contains ethanol; 0.5 g gel/actuation; 120 Generic: 50 mg [BCF] metered actuations] [BCF] Oil, Intramuscular, as cypionate: Depo-Testosterone: 100 mg/mL (10 mL) [contains benzyl alcohol] Outpatient Dosage Forms Generic: 200 mg/mL (1 mL) Tablet, Oral: Patch 24 Hour, Transdermal: Generic: 650 mg Androderm: 2 mg/24 hr (60 ea); 4 mg/24 hr (30 ea) TraZODone Tetracycline (Systemic) Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral, as hydrochloride: Capsule, Oral, as hydrochloride: Generic: 50 mg [BCF], 100 mg [BCF] Generic: 250 mg [BCF], 500 mg [BCF] Tretinoin (Topical) Theophylline Outpatient Dosage Forms Outpatient Dosage Forms Cream, topical: Tablet, extended release, oral: Retin-A®: 0.025% (20 g) [BCF] Generic: 200 mg [BCF], 300 mg [BCF] Generic: 0.05% (45 g) [BCF]; 0.1% (20 g) Gel, External: Thioguanine Retin-A: 0.01% (15 g) Outpatient Dosage Forms Triamcinolone (Topical) Tablet, Oral: Tabloid: 40 mg Outpatient Dosage Forms Aerosol Solution, External, as acetonide: (Topical) Kenalog: (63 g) Outpatient Dosage Forms Cream, topical, as acetonide: Solution Reconstituted, External [preservative free]: Generic: 0.1% (15 g, 80 g, 454 g) [BCF]; 0.5% (15 g) Recothrom: 5000 units (1 ea) [latex free] Ointment, External, as acetonide: Recothrom Spray Kit: 20,000 units (1 ea) [latex free] Generic: 0.1% (15 g, 454 g) Paste, Mouth/Throat, as acetonide: Thyroid, Desiccated Generic: 0.1% (5 g) Outpatient Dosage Forms Tablet, Oral: Triazolam Armour Thyroid: 15 mg, 60 mg Outpatient Dosage Forms Tablet, Oral: Generic: 0.25 mg Outpatient Dosage Forms Trifluridine Tablet, Oral: Brilinta: 60 mg, 90 mg Outpatient Dosage Forms Solution, Ophthalmic: Timolol (Ophthalmic) Viroptic: 1% (7.5 mL) [contains thimerosal] Outpatient Dosage Forms Trihexyphenidyl Gel forming solution, ophthalmic, as maleate [strength expressed as base, Outpatient Dosage Forms drops]: Tablet, oral, as hydrochloride: Generic: 0.25% (5 mL) [BCF]; 0.5% (5 mL) [BCF] Generic: 2 mg [BCF] Solution, ophthalmic, as maleate [strength expressed as base, drops]: Generic: 0.5% (5 mL, 10 mL) [BCF] Trimethoprim Tiotropium Outpatient Dosage Forms Tablet, Oral: Outpatient Dosage Forms Generic: 100 mg Aerosol Solution, Inhalation: Spiriva Respimat: 1.25 mcg/actuation (4 g); 2.5 mcg/actuation (4 g) [contains Trimethoprim and Polymyxin B benzalkonium chloride, disodium edta] Outpatient Dosage Forms Capsule, Inhalation: Solution, ophthalmic [drops]: Spiriva HandiHaler: 18 mcg [contains milk protein] [BCF] Generic: Trimethoprim 1 mg and polymyxin B sulfate 10,000 units per 1 mL Tiotropium and Olodaterol (10 mL) [BCF] Outpatient Dosage Forms Triprolidine and Pseudoephedrine Aerosol Solution, Inhalation: Outpatient Dosage Forms Stiolto Respimat: Tiotropium 2.5 mcg and olodaterol 2.5 mcg per actuation Tablet, Oral: (4 g) [contains benzalkonium chloride, edetate disodium] Aprodine: Triprolidine hydrochloride 2.5 mg and pseudoephedrine hydrochlor- TiZANidine ide 60 mg Outpatient Dosage Forms Tropicamide Tablet, Oral: Outpatient Dosage Forms Generic: 2 mg, 4 mg Solution, Ophthalmic: Tobramycin and Dexamethasone Generic: 1% (15 mL) Outpatient Dosage Forms Ulipristal Suspension, Ophthalmic: Outpatient Dosage Forms TobraDex: Tobramycin 0.3% and dexamethasone 0.1% (5 mL) [contains Tablet, Oral, as acetate: benzalkonium chloride, edetate disodium] Ella: 30 mg Tolterodine Urea (Topical) Outpatient Dosage Forms Outpatient Dosage Forms Capsule, extended release, oral, as tartrate: Cream, External: Detrol® LA: 2 mg [BCF], 4 mg [BCF] X-Viate: 40% (85 g) Topiramate Ursodiol Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral: Capsule, Oral: Generic: 25 mg, 100 mg, 200 mg Generic: 300 mg Torsemide ValACYclovir Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral: Tablet, Oral: Generic: 5 mg, 10 mg, 20 mg, 100 mg Valtrex: 500 mg 22 ZOSTER VACCINE (RECOMBINANT) Generic: 1 g Valproic Acid and Derivatives Outpatient Dosage Forms Tablet, Oral, as sodium: Outpatient Dosage Forms Coumadin: 1 mg [BCF], 2 mg [BCF], 2.5 mg [BCF], 5 mg [BCF], Capsule Sprinkle, Oral, as divalproex sodium: 10 mg [BCF] Generic: 125 mg [BCF] Syrup, Oral, as valproate sodium: White Petrolatum Generic: 250 mg/5 mL (480 mL) Outpatient Dosage Forms Tablet Delayed Release, Oral, as divalproex sodium: Gel, External: Generic: 125 mg [BCF], 250 mg [BCF] Generic: (28.35 g, 368 g, 453.6) Tablet Extended Release 24 Hour, Oral, as divalproex sodium: Generic: 250 mg [BCF], 500 mg [BCF] Witch Hazel Outpatient Dosage Forms Varenicline Pad, External: Outpatient Dosage Forms Medi Pads: 50% (100 ea) Tablet, Oral: Chantix: 0.5 mg, 1 mg Zanamivir Chantix Starting Month Pak: 0.5 mg x 11 and 1 mg x 42 Outpatient Dosage Forms Aerosol Powder Breath Activated, Inhalation: Venlafaxine Relenza Diskhaler: 5 mg/blister (20 ea) [contains lactose] Outpatient Dosage Forms Capsule, extended release, oral: Zidovudine Effexor XR®: 37.5 mg [BCF], 75 mg [BCF] Outpatient Dosage Forms Generic: 150 mg [BCF] Capsule, Oral: Tablet, extended release, oral: Generic: 100 mg Generic: 225 mg [BCF] Tablet, Oral: Generic: 300 mg Verapamil Outpatient Dosage Forms Zinc Oxide Tablet, Oral, as hydrochloride: Outpatient Dosage Forms Generic: 80 mg, 120 mg Ointment, External: Tablet, extended release, oral, as hydrochloride: Generic: 20% (28.35 g) Generic: 120 mg [BCF], 180 mg [BCF], 240 mg [BCF] Zinc Sulfate Vitamin B Complex Combinations Outpatient Dosage Forms Outpatient Dosage Forms Capsule, Oral: Content varies depending on product used. Generic: 220 mg Capsule, Oral: Nephrocaps: 1 mg (100s) Ziprasidone Outpatient Dosage Forms Vitamins (Multiple/Oral) Capsule, Oral, as hydrochloride: Outpatient Dosage Forms Geodon: 20 mg, 40 mg, 60 mg, 80 mg Content varies depending on product used. Liquid, Oral: ZOLMitriptan Multi-Delyn: 237 mL Outpatient Dosage Forms Solution, Nasal: Vitamins (Multiple/Pediatric) Zomig: 5 mg Outpatient Dosage Forms Tablet, Oral: Liquid, Oral: Generic: 2.5 mg, 5 mg Multi-Delyn: 237 mL [alcohol free, sugar free; contains saccharin sodium; Tablet Dispersible, Oral: lemon flavor] Zomig ZMT: 2.5 mg, 5 mg Solution, Oral: Multi-Vit/Fluoride: 0.25 mg/mL (50 mL) [contains polysorbate 80; fruit flavor] Zolpidem Multi-Vit/Fluoride/Iron: 0.25-10 mg/mL (50 mL) [contains polysorbate 80; Outpatient Dosage Forms orange flavor] Tablet, oral, as tartrate: Polyvitamin/Iron: 10 mg/mL (50 mL) Generic: 5 mg [BCF], 10 mg [BCF] Tablet Chewable, Oral: Cerovite Jr: 60 mg [contains aspartame, sodium benzoate] Zonisamide Outpatient Dosage Forms Vitamins (Multiple/Prenatal) Capsule, Oral: Outpatient Dosage Forms Zonegran: 100 mg Tablet, Oral: Prenatal Plus: 27-1 MG Zoster Vaccine (Recombinant) Outpatient Dosage Forms Voriconazole Suspension Reconstituted, Intramuscular: Outpatient Dosage Forms Shingrix: 50 mcg [contains polysorbate 80] Tablet, Oral: Vfend: 200 mg

23 Therapeutic Category Index

24 ABORTIFACIENT

Abortifacient Butalbital, Acetaminophen, and Caffeine ...... 5 Carboprost Tromethamine ...... 5 Celecoxib ...... 5 Diclofenac (Systemic) ...... 8 Acetylcholinesterase Inhibitor Ibuprofen ...... 12 Pyridostigmine ...... 19 Indomethacin ...... 12 Acetylcholinesterase Inhibitor (Central) Mefenamic Acid ...... 15 Donepezil ...... 8 Meloxicam ...... 15 Galantamine ...... 11 Naproxen ...... 16 Piroxicam (Systemic) ...... 18 Acne Products Sulindac ...... 21 Adapalene ...... 2 Benzoyl Peroxide ...... 4 Analgesic, Opioid Clindamycin and Benzoyl Peroxide ...... 6 Acetaminophen and Codeine ...... 2 Erythromycin (Topical) ...... 9 Codeine ...... 7 ISOtretinoin (Systemic) ...... 13 FentaNYL ...... 10 Salicylic Acid ...... 20 Hydrocodone and Acetaminophen ...... 12 Sulfur and Sulfacetamide ...... 21 Hydrocodone and Homatropine ...... 12 Tazarotene ...... 21 HYDROmorphone ...... 12 Tretinoin (Topical) ...... 22 Methadone ...... 15 Morphine (Systemic) ...... 16 Aldehyde Dehydrogenase Inhibitor OxyCODONE ...... 17 Disulfiram ...... 8 Oxycodone and Acetaminophen ...... 17 Alkalinizing Agent TraMADol ...... 22 Sodium Bicarbonate ...... 21 Analgesic, Topical Alkalinizing Agent, Oral Benzocaine ...... 4 Potassium Citrate ...... 18 Capsaicin ...... 5 Sodium Citrate and Citric Acid ...... 21 Lidocaine (Topical) ...... 14 Alkylamine Derivative Analgesic, Urinary Brompheniramine and Phenylephrine ...... 4 Pentosan Polysulfate Sodium ...... 18 Triprolidine and Pseudoephedrine ...... 22 Phenazopyridine ...... 18

Alpha1 Agonist Androgen Midodrine ...... 16 Testosterone ...... 22

Alpha1 Blocker Anesthetic/Corticosteroid Alfuzosin ...... 2 Pramoxine and Hydrocortisone ...... 18 Doxazosin ...... 8 Phenoxybenzamine ...... 18 Angiotensin II Receptor Blocker Prazosin ...... 19 Azilsartan ...... 3 Tamsulosin ...... 21 Azilsartan and Chlorthalidone ...... 3 Terazosin ...... 21 Candesartan ...... 5 Candesartan and Hydrochlorothiazide ...... 5 Alpha2-Adrenergic Agonist Losartan ...... 14 CloNIDine ...... 6 Losartan and Hydrochlorothiazide ...... 14 GuanFACINE ...... 12 Telmisartan ...... 21 Methyldopa ...... 15 Telmisartan and Hydrochlorothiazide ...... 21 TiZANidine ...... 22 Angiotensin-Converting Enzyme (ACE) Inhibitor Alpha2 Agonist, Ophthalmic Amlodipine and Benazepril ...... 3 Brimonidine and Timolol ...... 4 Captopril ...... 5 Brinzolamide and Brimonidine ...... 4 Enalapril ...... 9 Alpha-Adrenergic Agonist Fosinopril ...... 11 Brompheniramine and Phenylephrine ...... 4 Fosinopril and Hydrochlorothiazide ...... 11 Phenylephrine (Ophthalmic) ...... 18 Lisinopril ...... 14 Ramipril ...... 20 Alpha/Beta Agonist EPINEPHrine (Oral Inhalation) ...... 9 Anilidopiperidine Opioid EPINEPHrine (Systemic) ...... 9 FentaNYL ...... 10 Pseudoephedrine ...... 19 Antacid Triprolidine and Pseudoephedrine ...... 22 Aluminum Hydroxide, Magnesium Hydroxide, and Simethicone ...... 2 5 Alpha-Reductase Inhibitor Calcium Carbonate ...... 5 Finasteride ...... 10 Magnesium Hydroxide ...... 14 Sodium Bicarbonate ...... 21 Amebicide MetroNIDAZOLE (Systemic) ...... 15 Anthelmintic Ivermectin (Systemic) ...... 13 Aminoquinoline (Antimalarial) Pyrantel Pamoate ...... 19 Chloroquine ...... 6 Hydroxychloroquine ...... 12 Antianginal Agent Primaquine ...... 19 AmLODIPine ...... 3 Amlodipine and Benazepril ...... 3 5-Aminosalicylic Acid Derivative Atenolol ...... 3 Balsalazide ...... 4 DilTIAZem ...... 8 Mesalamine ...... 15 Isosorbide Dinitrate ...... 13 Olsalazine ...... 17 Isosorbide Mononitrate ...... 13 SulfaSALAzine ...... 21 Metoprolol ...... 15 Ammonium Detoxicant NIFEdipine ...... 17 Lactulose ...... 13 Nitroglycerin ...... 17 Propranolol ...... 19 Analgesic Combination (Opioid) Ranolazine ...... 20 Acetaminophen and Codeine ...... 2 Verapamil ...... 23 Hydrocodone and Acetaminophen ...... 12 Oxycodone and Acetaminophen ...... 17 Antianxiety Agent, Miscellaneous BusPIRone ...... 5 Analgesic, Nonopioid Acetaminophen ...... 2 Antiarrhythmic Agent, Class Ib Aspirin ...... 3 Mexiletine ...... 15 25 ANTICONVULSANT, MISCELLANEOUS

Antiarrhythmic Agent, Class Ic Antibiotic, Otic Flecainide ...... 10 Ciprofloxacin and Dexamethasone ...... 6 Propafenone ...... 19 Neomycin, Polymyxin B, and Hydrocortisone (Otic) ...... 16 Ofloxacin (Otic) ...... 17 Antiarrhythmic Agent, Class II Acebutolol ...... 2 Antibiotic, Oxazolidinone Propranolol ...... 19 Linezolid ...... 14 Sotalol ...... 21 Antibiotic, Penicillin Antiarrhythmic Agent, Class III Amoxicillin ...... 3 Amiodarone ...... 3 Amoxicillin and Clavulanate ...... 3 Dofetilide ...... 8 Dicloxacillin ...... 8 Dronedarone ...... 8 Penicillin V Potassium ...... 18 Sotalol ...... 21 Antibiotic, Respiratory Fluoroquinolone Antiarrhythmic Agent, Class IV LevoFLOXacin (Systemic) ...... 14 DilTIAZem ...... 8 Antibiotic, Sulfonamide Derivative Verapamil ...... 23 Sulfamethoxazole and Trimethoprim ...... 21 Antiarrhythmic Agent, Miscellaneous Sulfur and Sulfacetamide ...... 21 Digoxin ...... 8 Antibiotic, Tetracycline Derivative Antibacterial, Topical Demeclocycline ...... 7 Hydrogen Peroxide ...... 12 Doxycycline ...... 8 Minocycline (Systemic) ...... 16 Antibiotic, Aminoglycoside Tetracycline (Systemic) ...... 22 Gentamicin (Ophthalmic) ...... 11 Antibiotic, Topical Antibiotic, Carbapenem Bacitracin (Topical) ...... 4 Meropenem ...... 15 Erythromycin (Topical) ...... 9 MetroNIDAZOLE (Topical) ...... 15 Antibiotic, Cephalosporin (First Generation) Mupirocin ...... 16 Cephalexin ...... 5 Neomycin and Polymyxin B ...... 16 Antibiotic, Cephalosporin (Third Generation) Silver Nitrate ...... 20 Cefdinir ...... 5 Silver Sulfadiazine ...... 20 Cefixime ...... 5 Anticholinergic Agent Cefpodoxime ...... 5 Benztropine ...... 4 Antibiotic/Corticosteroid, Ophthalmic Dicyclomine ...... 8 Glycopyrrolate (Systemic) ...... 11 Neomycin, Polymyxin B, and Dexamethasone ...... 16 Hyoscyamine ...... 12 Tobramycin and Dexamethasone ...... 22 Ipratropium and Albuterol ...... 13 Antibiotic/Corticosteroid, Otic Ipratropium (Nasal) ...... 13 Ciprofloxacin and Dexamethasone ...... 6 Ipratropium (Oral Inhalation) ...... 13 Neomycin, Polymyxin B, and Hydrocortisone (Otic) ...... 16 Scopolamine (Systemic) ...... 20 Solifenacin ...... 21 Antibiotic, Fluoroquinolone Tiotropium ...... 22 Ciprofloxacin (Ophthalmic) ...... 6 Tiotropium and Olodaterol ...... 22 Ciprofloxacin (Systemic) ...... 6 Tolterodine ...... 22 LevoFLOXacin (Systemic) ...... 14 Trihexyphenidyl ...... 22 Moxifloxacin (Ophthalmic) ...... 16 Ofloxacin (Otic) ...... 17 Anticholinergic Agent, Long-Acting Tiotropium ...... 22 Antibiotic, Lincosamide Tiotropium and Olodaterol ...... 22 Clindamycin (Systemic) ...... 6 Clindamycin (Topical) ...... 6 Anticholinergic Agent, Ophthalmic Atropine (Ophthalmic) ...... 3 Antibiotic, Macrolide Cyclopentolate ...... 7 Azithromycin (Ophthalmic) ...... 3 Azithromycin (Systemic) ...... 3 Dabigatran Etexilate ...... 7 Clarithromycin ...... 6 Enoxaparin ...... 9 Erythromycin (Ophthalmic) ...... 9 Fondaparinux ...... 11 Erythromycin (Systemic) ...... 9 Rivaroxaban ...... 20 Erythromycin (Topical) ...... 9 Warfarin ...... 23 Antibiotic, Miscellaneous Anticoagulant, Direct Thrombin Inhibitor Dapsone (Systemic) ...... 7 Dabigatran Etexilate ...... 7 Fosfomycin ...... 11 Methenamine, Phenyl Salicylate, Methylene Blue, Benzoic Acid, and Anticoagulant, Factor Xa Inhibitor Hyoscyamine ...... 15 Fondaparinux ...... 11 MetroNIDAZOLE (Systemic) ...... 15 Rivaroxaban ...... 20 Nitrofurantoin ...... 17 Anticoagulant, Low Molecular Weight Sulfamethoxazole and Trimethoprim ...... 21 Enoxaparin ...... 9 Trimethoprim ...... 22 Anticoagulant, Antagonist Antibiotic, Ophthalmic Warfarin ...... 23 Azithromycin (Ophthalmic) ...... 3 Bacitracin, Neomycin, and Polymyxin B (Ophthalmic) ...... 4 Anticonvulsant, Barbiturate Bacitracin (Ophthalmic) ...... 4 PHENobarbital ...... 18 Ciprofloxacin (Ophthalmic) ...... 6 Erythromycin (Ophthalmic) ...... 9 Anticonvulsant, Benzodiazepine ClonazePAM ...... 6 Gentamicin (Ophthalmic) ...... 11 DiazePAM ...... 7 Moxifloxacin (Ophthalmic) ...... 16 LORazepam ...... 14 Neomycin, Polymyxin B, and Gramicidin ...... 16 Sulfacetamide (Ophthalmic) ...... 21 Anticonvulsant, Hydantoin Trimethoprim and Polymyxin B ...... 22 Phenytoin ...... 18 Antibiotic, Oral Rinse Anticonvulsant, Miscellaneous Chlorhexidine Gluconate (Oral) ...... 6 AcetaZOLAMIDE ...... 2 Hydrogen Peroxide ...... 12 CarBAMazepine ...... 5 26 ANTICONVULSANT, MISCELLANEOUS

Felbamate ...... 10 Leucovorin Calcium ...... 14 Gabapentin ...... 11 Naloxone ...... 16 Lacosamide ...... 13 Naltrexone ...... 16 LamoTRIgine ...... 13 Phenoxybenzamine ...... 18 LevETIRAcetam ...... 14 Potassium Iodide ...... 18 OXcarbazepine ...... 17 Sodium Polystyrene Sulfonate ...... 21 Pregabalin ...... 19 Succimer ...... 21 Primidone ...... 19 Topiramate ...... 22 Antidote, Extravasation Valproic Acid and Derivatives ...... 23 Nitroglycerin ...... 17 Zonisamide ...... 23 Antiemetic Anticonvulsant, Succinimide Aprepitant ...... 3 Ethosuximide ...... 10 DexAMETHasone (Systemic) ...... 7 Dronabinol ...... 8 Antidepressant, Alpha-2 Antagonist HydrOXYzine ...... 12 Mirtazapine ...... 16 Meclizine ...... 15 Metoclopramide ...... 15 Antidepressant, Dopamine/Norepinephrine-Reuptake Inhibitor Netupitant and Palonosetron ...... 16 BuPROPion ...... 5 Ondansetron ...... 17 Antidepressant, Monoamine Oxidase Inhibitor Prochlorperazine ...... 19 Selegiline ...... 20 Promethazine ...... 19 Antidepressant, Selective Serotonin Reuptake Inhibitor Agent Citalopram ...... 6 Aminocaproic Acid ...... 2 Escitalopram ...... 9 Tranexamic Acid ...... 22 FLUoxetine ...... 11 Antiflatulent PARoxetine ...... 18 Aluminum Hydroxide, Magnesium Hydroxide, and Simethicone ...... 2 Sertraline ...... 20 Simethicone ...... 20 Antidepressant, Serotonin/Norepinephrine Reuptake Inhibitor Antifungal Agent, Azole Derivative DULoxetine ...... 8 Itraconazole ...... 13 Venlafaxine ...... 23 Antifungal Agent, Imidazole Derivative Antidepressant, Serotonin Reuptake Inhibitor/Antagonist Clotrimazole (Oral) ...... 6 TraZODone ...... 22 Clotrimazole (Topical) ...... 6 Antidepressant, Tricyclic (Secondary Amine) Ketoconazole (Systemic) ...... 13 Desipramine ...... 7 Ketoconazole (Topical) ...... 13 Nortriptyline ...... 17 Miconazole (Topical) ...... 15 Antidepressant, Tricyclic (Tertiary Amine) Antifungal Agent, Oral Amitriptyline ...... 3 Fluconazole ...... 10 ClomiPRAMINE ...... 6 Griseofulvin ...... 12 Doxepin (Systemic) ...... 8 Itraconazole ...... 13 Imipramine ...... 12 Ketoconazole (Systemic) ...... 13 Terbinafine (Systemic) ...... 21 Antidiabetic Agent, Biguanide Voriconazole ...... 23 Empagliflozin and Metformin ...... 9 MetFORMIN ...... 15 Antifungal Agent, Oral Nonabsorbed Pioglitazone and Metformin ...... 18 Clotrimazole (Oral) ...... 6 Sitagliptin and Metformin ...... 20 Antifungal Agent, Oral Nonabsorbed/Partially Absorbed Antidiabetic Agent, Dipeptidyl Peptidase 4 (DPP-4) Inhibitor Clotrimazole (Topical) ...... 6 SITagliptin ...... 20 Miconazole (Topical) ...... 15 Sitagliptin and Metformin ...... 20 Nystatin (Oral) ...... 17 Antidiabetic Agent, Dopamine Agonist Antifungal Agent, Parenteral Bromocriptine ...... 4 Fluconazole ...... 10 Voriconazole ...... 23 Antidiabetic Agent, Glucagon-Like Peptide-1 (GLP-1) Receptor Agonist Antifungal Agent, Topical Dulaglutide ...... 8 Betamethasone and Clotrimazole ...... 4 Exenatide ...... 10 Ciclopirox ...... 6 Clotrimazole (Topical) ...... 6 Antidiabetic Agent, Meglitinide Analog Ketoconazole (Topical) ...... 13 Nateglinide ...... 16 Miconazole (Topical) ...... 15 Naftifine ...... 16 Antidiabetic Agent, Sodium-Glucose Cotransporter 2 (SGLT2) Nystatin (Topical) ...... 17 Inhibitor Terbinafine (Topical) ...... 21 Empagliflozin ...... 9 Empagliflozin and Metformin ...... 9 Antifungal Agent, Vaginal Clotrimazole (Topical) ...... 6 Antidiabetic Agent, Sulfonylurea Miconazole (Topical) ...... 15 GlipiZIDE ...... 11 GlyBURIDE ...... 11 Antigout Agent Allopurinol ...... 2 Antidiabetic Agent, Thiazolidinedione Colchicine ...... 7 Pioglitazone ...... 18 Pioglitazone and Metformin ...... 18 Antihemophilic Agent Aminocaproic Acid ...... 2 Antidiarrheal Desmopressin ...... 7 Bismuth Subsalicylate ...... 4 Tranexamic Acid ...... 22 Diphenoxylate and Atropine ...... 8 Loperamide ...... 14 Antihemorrhoidal Agent Dibucaine ...... 8 Antidote Hydrocortisone (Topical) ...... 12 Acetylcysteine ...... 2 Witch Hazel ...... 23 Calcitonin ...... 5 Zinc Oxide ...... 23 Calcium Acetate ...... 5 Calcium Carbonate ...... 5 Antihepaciviral, NS3/4A Protease Inhibitor (Anti-HCV) Charcoal, Activated ...... 5 Boceprevir ...... 4 27 ANTINEOPLASTIC AGENT, PROTEASOME INHIBITOR

Antihepaciviral, (Anti-HCV) Chloroquine ...... 6 Ribavirin (Systemic) ...... 20 Hydroxychloroquine ...... 12 Mefloquine ...... 15 Antihepadnaviral, Reverse Transcriptase Inhibitor, Nucleoside Primaquine ...... 19 (Anti-HBV) Pyrimethamine ...... 19 LamiVUDine ...... 13 Antimanic Agent Antihepadnaviral, Reverse Transcriptase Inhibitor, ChlorproMAZINE ...... 6 (Anti-HBV) Lithium ...... 14 Tenofovir Disoproxil Fumarate ...... 21 OLANZapine ...... 17 Antihypertensive RisperiDONE ...... 20 Valproic Acid and Derivatives ...... 23 Acebutolol ...... 2 AMILoride ...... 2 Antimigraine Agent AmLODIPine ...... 3 Dihydroergotamine ...... 8 Amlodipine and Benazepril ...... 3 Rizatriptan ...... 20 Atenolol ...... 3 SUMAtriptan ...... 21 Azilsartan ...... 3 ZOLMitriptan ...... 23 Azilsartan and Chlorthalidone ...... 3 Bumetanide ...... 5 Antineoplastic Agent, Alkylating Agent Candesartan ...... 5 Busulfan ...... 5 Candesartan and Hydrochlorothiazide ...... 5 Chlorambucil ...... 5 Captopril ...... 5 Cyclophosphamide ...... 7 Carvedilol ...... 5 Lomustine ...... 14 Chlorthalidone ...... 6 Melphalan ...... 15 CloNIDine ...... 6 Procarbazine ...... 19 DilTIAZem ...... 8 Doxazosin ...... 8 Antineoplastic Agent, Alkylating Agent (Nitrogen Mustard) Enalapril ...... 9 Chlorambucil ...... 5 Eplerenone ...... 9 Cyclophosphamide ...... 7 Felodipine ...... 10 Melphalan ...... 15 Fosinopril ...... 11 Antineoplastic Agent, Alkylating Agent (Nitrosourea) Fosinopril and Hydrochlorothiazide ...... 11 Lomustine ...... 14 Furosemide ...... 11 GuanFACINE ...... 12 Antineoplastic Agent, Antiandrogen HydrALAZINE ...... 12 Bicalutamide ...... 4 Hydrochlorothiazide ...... 12 Flutamide ...... 11 Hydrochlorothiazide and Triamterene ...... 12 Nilutamide ...... 17 Indapamide ...... 12 Isosorbide Dinitrate and Hydralazine ...... 13 Antineoplastic Agent, Anti-HER2 Lisinopril ...... 14 Lapatinib ...... 13 Losartan ...... 14 Antineoplastic Agent, Antimetabolite Losartan and Hydrochlorothiazide ...... 14 Fluorouracil (Topical) ...... 11 Methyldopa ...... 15 Mercaptopurine ...... 15 Metoprolol ...... 15 Thioguanine ...... 22 Minoxidil (Systemic) ...... 16 NIFEdipine ...... 17 Antineoplastic Agent, Antimetabolite (Antifolate) Prazosin ...... 19 Methotrexate ...... 15 Propranolol ...... 19 Ramipril ...... 20 Antineoplastic Agent, Antimetabolite (Purine Analog) Spironolactone ...... 21 Mercaptopurine ...... 15 Telmisartan ...... 21 Thioguanine ...... 22 Telmisartan and Hydrochlorothiazide ...... 21 Antineoplastic Agent, Antimetabolite (Pyrimidine Analog) Terazosin ...... 21 Fluorouracil (Topical) ...... 11 Torsemide ...... 22 Verapamil ...... 23 Antineoplastic Agent, Anti-PD-1 Monoclonal Antibody Pembrolizumab ...... 18 Anti-inflammatory Agent Balsalazide ...... 4 Antineoplastic Agent, Aromatase Inhibitor DexAMETHasone (Systemic) ...... 7 Anastrozole ...... 3 Exemestane ...... 10 Anti-inflammatory, Locally Applied Letrozole ...... 14 Carbamide Peroxide ...... 5 Antineoplastic Agent, Epidermal Growth Factor Receptor (EGFR) Antilipemic Agent, 2-Azetidinone Inhibitor Ezetimibe ...... 10 Gefitinib ...... 11 Antilipemic Agent, Bile Acid Sequestrant Lapatinib ...... 13 Cholestyramine Resin ...... 6 Colestipol ...... 7 Antineoplastic Agent, Estrogen Receptor Antagonist Tamoxifen ...... 21 Antilipemic Agent, Fibric Acid Fenofibrate and Derivatives ...... 10 Antineoplastic Agent, Gonadotropin-Releasing Hormone Agonist Gemfibrozil ...... 11 Leuprolide ...... 14 Antilipemic Agent, HMG-CoA Reductase Inhibitor Antineoplastic Agent, Hormone AtorvaSTATin ...... 3 Megestrol ...... 15 Niacin and Simvastatin ...... 16 Antineoplastic Agent, Immune Checkpoint Inhibitor Pravastatin ...... 19 Pembrolizumab ...... 18 Rosuvastatin ...... 20 Simvastatin ...... 20 Antineoplastic Agent, Miscellaneous Hydroxyurea ...... 12 Antilipemic Agent, Miscellaneous Niacin ...... 16 Antineoplastic Agent, Monoclonal Antibody Niacin and Simvastatin ...... 16 Pembrolizumab ...... 18 Antilipemic Agent, Omega-3 Fatty Acids Antineoplastic Agent, Podophyllotoxin Derivative Omega-3 Fatty Acids ...... 17 Etoposide ...... 10 Antimalarial Agent Antineoplastic Agent, Proteasome Inhibitor Atovaquone and Proguanil ...... 3 Carfilzomib ...... 5 28 ANTINEOPLASTIC AGENT, RETINOIC ACID DERIVATIVE

Antineoplastic Agent, Retinoic Acid Derivative Antiretroviral, Reverse Transcriptase Inhibitor, Nucleotide (Anti- ISOtretinoin (Systemic) ...... 13 HIV) Antineoplastic Agent, Topoisomerase II Inhibitor Bictegravir, Emtricitabine, and Tenofovir Alafenamide ...... 4 Efavirenz, Emtricitabine, and Tenofovir Disoproxil Fumarate ...... 8 Etoposide ...... 10 Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Alafenamide ...... 8 Antineoplastic Agent, Tyrosine Kinase Inhibitor Emtricitabine and Tenofovir Alafenamide ...... 9 Gefitinib ...... 11 Emtricitabine and Tenofovir Disoproxil Fumarate ...... 9 Lapatinib ...... 13 Tenofovir Disoproxil Fumarate ...... 21 Antiparasitic Agent, Topical Antirheumatic, Disease Modifying Permethrin ...... 18 Adalimumab ...... 2 Pyrethrins and Piperonyl Butoxide ...... 19 Leflunomide ...... 13 Methotrexate ...... 15 Anti-Parkinson Agent, Anticholinergic Benztropine ...... 4 Antirheumatic Miscellaneous Trihexyphenidyl ...... 22 Cyclophosphamide ...... 7 Hyaluronate and Derivatives ...... 12 Anti-Parkinson Agent, COMT Inhibitor Entacapone ...... 9 Antiseborrheic Agent, Topical Selenium Sulfide ...... 20 Anti-Parkinson Agent, Decarboxylase Inhibitor Sulfur and Sulfacetamide ...... 21 Carbidopa and Levodopa ...... 5 Antiseptic, Topical Anti-Parkinson Agent, Dopamine Agonist Iodine ...... 13 Amantadine ...... 2 Povidone-Iodine (Topical) ...... 18 Bromocriptine ...... 4 Pramipexole ...... 18 Antiseptic, Vaginal Povidone-Iodine (Topical) ...... 18 Anti-Parkinson Agent, Dopamine Precursor Carbidopa and Levodopa ...... 5 Antispasmodic Agent, Gastrointestinal Clidinium and Chlordiazepoxide ...... 6 Anti-Parkinson Agent, MAO Type B Inhibitor Rasagiline ...... 20 Antispasmodic Agent, Urinary Selegiline ...... 20 Oxybutynin ...... 17 Antiplatelet Agent Antithyroid Agent Anagrelide ...... 3 MethIMAzole ...... 15 Aspirin ...... 3 Potassium Iodide ...... 18 Aspirin and Dipyridamole ...... 3 Propylthiouracil ...... 19 Cilostazol ...... 6 Antitubercular Agent Clopidogrel ...... 6 Ethambutol ...... 9 Prasugrel ...... 19 Isoniazid ...... 13 Ticagrelor ...... 22 Pyrazinamide ...... 19 Antiplatelet Agent, Non- Rifabutin ...... 20 Ticagrelor ...... 22 RifAMPin ...... 20 Antiplatelet Agent, Thienopyridine Antitussive Clopidogrel ...... 6 Benzonatate ...... 4 Prasugrel ...... 19 Codeine ...... 7 Guaifenesin and Codeine ...... 12 Antiprotozoal, Nitroimidazole Guaifenesin and Dextromethorphan ...... 12 MetroNIDAZOLE (Systemic) ...... 15 Hydrocodone and Homatropine ...... 12 Antiretroviral, CCR5 Antagonist (Anti-HIV) Antiviral Agent Maraviroc ...... 14 Acyclovir (Systemic) ...... 2 Antiretroviral, Integrase Inhibitor (Anti-HIV) Amantadine ...... 2 Abacavir, Dolutegravir, and Lamivudine ...... 2 ValACYclovir ...... 22 Bictegravir, Emtricitabine, and Tenofovir Alafenamide ...... 4 Zanamivir ...... 23 Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Alafenamide ...... 8 Antiviral Agent, Adamantane Raltegravir ...... 19 Amantadine ...... 2 Antiretroviral, Protease Inhibitor (Anti-HIV) Antiviral Agent, Ophthalmic Atazanavir ...... 3 Ganciclovir (Ophthalmic) ...... 11 Darunavir ...... 7 Trifluridine ...... 22 Lopinavir and Ritonavir ...... 14 Nelfinavir ...... 16 Antiviral Agent, Oral Ritonavir ...... 20 ValACYclovir ...... 22 Antiretroviral, Reverse Transcriptase Inhibitor, Non-nucleoside Appetite Stimulant (Anti-HIV) Dronabinol ...... 8 Efavirenz ...... 8 Megestrol ...... 15 Efavirenz, Emtricitabine, and Tenofovir Disoproxil Fumarate ...... 8 Astringent Etravirine ...... 10 Witch Hazel ...... 23 Antiretroviral, Reverse Transcriptase Inhibitor, Nucleoside (Anti- Barbiturate HIV) Butalbital, Acetaminophen, and Caffeine ...... 5 Abacavir ...... 2 PHENobarbital ...... 18 Abacavir and Lamivudine ...... 2 Primidone ...... 19 Abacavir, Dolutegravir, and Lamivudine ...... 2 Bictegravir, Emtricitabine, and Tenofovir Alafenamide ...... 4 Benzodiazepine Didanosine ...... 8 ALPRAZolam ...... 2 Efavirenz, Emtricitabine, and Tenofovir Disoproxil Fumarate ...... 8 ChlordiazePOXIDE ...... 6 Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Alafenamide ...... 8 Clidinium and Chlordiazepoxide ...... 6 Emtricitabine ...... 9 ClonazePAM ...... 6 Emtricitabine and Tenofovir Alafenamide ...... 9 DiazePAM ...... 7 Emtricitabine and Tenofovir Disoproxil Fumarate ...... 9 LORazepam ...... 14 LamiVUDine ...... 13 Oxazepam ...... 17 Lamivudine and Zidovudine ...... 13 Temazepam ...... 21 Zidovudine ...... 23 Triazolam ...... 22 29 CORTICOSTEROID, TOPICAL

Beta2-Adrenergic Agonist Cardiovascular Agent, Miscellaneous Ipratropium and Albuterol ...... 13 Ranolazine ...... 20

Beta2-Adrenergic Agonist, Long-Acting Cathartic Fluticasone and Salmeterol ...... 11 Sodium Phosphates ...... 21 Salmeterol ...... 20 Cauterizing Agent, Topical Beta2 Agonist Silver Nitrate ...... 20 Albuterol ...... 2 Fluticasone and Salmeterol ...... 11 Central Nervous System Stimulant Salmeterol ...... 20 Dextroamphetamine ...... 7 Tiotropium and Olodaterol ...... 22 Dextroamphetamine and Amphetamine ...... 7 Lisdexamfetamine ...... 14 Beta2 Agonist, Long-Acting Methylphenidate ...... 15 Tiotropium and Olodaterol ...... 22 Modafinil ...... 16

Beta3 Agonist Chelating Agent Mirabegron ...... 16 Deferasirox ...... 7 Beta-Adrenergic Blocker, Nonselective Chemotherapy Modulating Agent Dorzolamide and Timolol ...... 8 Leucovorin Calcium ...... 14 Propranolol ...... 19 Sotalol ...... 21 Chloride Channel Activator Lubiprostone ...... 14 Beta-Blocker, Beta-1 Selective Atenolol ...... 3 Cholinergic Agonist Metoprolol ...... 15 Acetylcholine ...... 2 Bethanechol ...... 4 Beta-Blocker, Nonselective Cevimeline ...... 5 Brimonidine and Timolol ...... 4 Timolol (Ophthalmic) ...... 22 Colony Stimulating Factor RomiPLOStim ...... 20 Beta-Blocker With Alpha-Blocking Activity Carvedilol ...... 5 Contraceptive Ethinyl Estradiol and Desogestrel ...... 9 Beta-Blocker With Intrinsic Sympathomimetic Activity Ethinyl Estradiol and Drospirenone ...... 9 Acebutolol ...... 2 Ethinyl Estradiol and Etonogestrel ...... 10 Ethinyl Estradiol and Levonorgestrel ...... 10 Bisphosphonate Derivative Ethinyl Estradiol and Norelgestromin ...... 10 Alendronate ...... 2 Ethinyl Estradiol and Norethindrone ...... 10 Alendronate and Cholecalciferol ...... 2 Ethinyl Estradiol and Norgestimate ...... 10 Ibandronate ...... 12 Ethinyl Estradiol and Norgestrel ...... 10 Blood Product Derivative Levonorgestrel (IUD) ...... 14 Thrombin (Topical) ...... 22 Levonorgestrel (Systemic) ...... 14 MedroxyPROGESTERone ...... 15 Calcimimetic Nonoxynol 9 ...... 17 Cinacalcet ...... 6 Norethindrone ...... 17 Calcineurin Inhibitor Norethindrone and Mestranol ...... 17 CycloSPORINE (Ophthalmic) ...... 7 Ulipristal ...... 22 CycloSPORINE (Systemic) ...... 7 Corticosteroid, Inhalant (Oral) Pimecrolimus ...... 18 Budesonide (Oral Inhalation) ...... 4 Tacrolimus (Systemic) ...... 21 Fluticasone and Salmeterol ...... 11 Tacrolimus (Topical) ...... 21 Fluticasone (Oral Inhalation) ...... 11 Calcium Channel Blocker Mometasone (Oral Inhalation) ...... 16 AmLODIPine ...... 3 Corticosteroid, Nasal Amlodipine and Benazepril ...... 3 Fluticasone (Nasal) ...... 11 DilTIAZem ...... 8 Mometasone (Nasal) ...... 16 Felodipine ...... 10 NIFEdipine ...... 17 Corticosteroid, Ophthalmic NiMODipine ...... 17 Difluprednate ...... 8 Verapamil ...... 23 Fluorometholone ...... 11 PrednisoLONE (Ophthalmic) ...... 19 Calcium Channel Blocker, Dihydropyridine AmLODIPine ...... 3 Corticosteroid, Otic Amlodipine and Benazepril ...... 3 Ciprofloxacin and Dexamethasone ...... 6 Felodipine ...... 10 Neomycin, Polymyxin B, and Hydrocortisone (Otic) ...... 16 NIFEdipine ...... 17 Corticosteroid, Rectal NiMODipine ...... 17 Hydrocortisone (Topical) ...... 12 Calcium Channel Blocker, Nondihydropyridine Corticosteroid, Systemic DilTIAZem ...... 8 Budesonide (Systemic) ...... 4 Verapamil ...... 23 Cortisone ...... 7 Calcium Salt DexAMETHasone (Systemic) ...... 7 Calcium Acetate ...... 5 Fludrocortisone ...... 11 Calcium and Vitamin D ...... 5 Hydrocortisone (Systemic) ...... 12 Calcium Carbonate ...... 5 MethylPREDNISolone ...... 15 PrednisoLONE (Systemic) ...... 19 Cannabinoid PredniSONE ...... 19 Dronabinol ...... 8 Corticosteroid, Topical Carbonic Anhydrase Inhibitor Alclometasone ...... 2 AcetaZOLAMIDE ...... 2 Betamethasone and Clotrimazole ...... 4 Carbonic Anhydrase Inhibitor (Ophthalmic) Betamethasone (Topical) ...... 4 Brinzolamide and Brimonidine ...... 4 Clobetasol ...... 6 Dorzolamide ...... 8 Desonide ...... 7 Dorzolamide and Timolol ...... 8 Fluocinolone (Topical) ...... 11 Fluocinonide ...... 11 Cardiac Glycoside Hydrocortisone (Topical) ...... 12 Digoxin ...... 8 Triamcinolone (Topical) ...... 22 30 COSMETIC AGENT, IMPLANT

Cosmetic Agent, Implant Estrogens (Conjugated/Equine) and Medroxyprogesterone ...... 9 Hyaluronate and Derivatives ...... 12 Ethinyl Estradiol and Desogestrel ...... 9 Ethinyl Estradiol and Drospirenone ...... 9 Cytochrome P-450 Inhibitor Ethinyl Estradiol and Etonogestrel ...... 10 Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Alafenamide ...... 8 Ethinyl Estradiol and Levonorgestrel ...... 10 Decongestant Ethinyl Estradiol and Norelgestromin ...... 10 Brompheniramine and Phenylephrine ...... 4 Ethinyl Estradiol and Norethindrone ...... 10 Pseudoephedrine ...... 19 Ethinyl Estradiol and Norgestimate ...... 10 Triprolidine and Pseudoephedrine ...... 22 Ethinyl Estradiol and Norgestrel ...... 10 Norethindrone and Mestranol ...... 17 Device Estrogen Derivative Peak Flow Meter ...... 18 Estradiol (Systemic) ...... 9 Pill Crusher ...... 18 Estradiol (Topical) ...... 9 Diagnostic Agent Estrogens (Conjugated/Equine, Systemic) ...... 9 Proparacaine and Fluorescein ...... 19 Estrogens (Conjugated/Equine, Topical) ...... 9 Diagnostic Agent, Ophthalmic Ethanolamine Derivative Hydroxypropyl Methylcellulose ...... 12 DiphenhydrAMINE (Systemic) ...... 8 Doxylamine ...... 8 Dietary Supplement Lactobacillus ...... 13 Expectorant Saccharomyces boulardii ...... 20 GuaiFENesin ...... 12 Guaifenesin and Codeine ...... 12 Direct Oral Anticoagulant (DOAC) Guaifenesin and Dextromethorphan ...... 12 Dabigatran Etexilate ...... 7 Potassium Iodide ...... 18 Rivaroxaban ...... 20 First Generation (Typical) Antipsychotic Disinfectant, Antibacterial (Topical) ChlorproMAZINE ...... 6 Sodium Hypochlorite ...... 21 Haloperidol ...... 12 Diuretic, Carbonic Anhydrase Inhibitor Prochlorperazine ...... 19 AcetaZOLAMIDE ...... 2 GABA Agonist/Glutamate Antagonist Diuretic, Loop Acamprosate ...... 2 Bumetanide ...... 5 GABA Analog Furosemide ...... 11 Gabapentin ...... 11 Torsemide ...... 22 Pregabalin ...... 19 Diuretic, Potassium-Sparing Gallstone Dissolution Agent AMILoride ...... 2 Ursodiol ...... 22 Eplerenone ...... 9 Hydrochlorothiazide and Triamterene ...... 12 Gastrointestinal Agent, Miscellaneous Spironolactone ...... 21 Adalimumab ...... 2 LinaCLOtide ...... 14 Diuretic, Thiazide Lubiprostone ...... 14 Candesartan and Hydrochlorothiazide ...... 5 Sucralfate ...... 21 Fosinopril and Hydrochlorothiazide ...... 11 Hydrochlorothiazide ...... 12 Gastrointestinal Agent, Prokinetic Hydrochlorothiazide and Triamterene ...... 12 Metoclopramide ...... 15 Losartan and Hydrochlorothiazide ...... 14 General Anesthetic Telmisartan and Hydrochlorothiazide ...... 21 FentaNYL ...... 10 Diuretic, Thiazide-Related Genitourinary Irrigant Azilsartan and Chlorthalidone ...... 3 Neomycin and Polymyxin B ...... 16 Chlorthalidone ...... 6 Sodium Chloride ...... 21 Indapamide ...... 12 Sorbitol ...... 21 MetOLazone ...... 15 Gonadotropin Releasing Hormone Agonist Dopamine Antagonist Leuprolide ...... 14 Metoclopramide ...... 15 Guanylate Cyclase-C (GC-C) Agonist Electrolyte Replacement, Oral LinaCLOtide ...... 14 Oral Rehydration Therapy ...... 17 Hematopoietic Agent Electrolyte Supplement, Oral RomiPLOStim ...... 20 Calcium and Vitamin D ...... 5 Calcium Carbonate ...... 5 Hemostatic Agent Magnesium Oxide ...... 14 Aluminum Chloride Hexahydrate ...... 2 Potassium Chloride ...... 18 Aminocaproic Acid ...... 2 Potassium Phosphate and Sodium Phosphate ...... 18 Desmopressin ...... 7 Sodium Bicarbonate ...... 21 Ferric Subsulfate ...... 10 Thrombin (Topical) ...... 22 Electrolyte Supplement, Parenteral Tranexamic Acid ...... 22 Potassium Chloride ...... 18 Sodium Bicarbonate ...... 21 Histamine H1 Antagonist Sodium Chloride ...... 21 Azelastine (Nasal) ...... 3 Sodium Phosphates ...... 21 Brompheniramine and Phenylephrine ...... 4 Cetirizine (Systemic) ...... 5 Enzyme Cyproheptadine ...... 7 Pancrelipase ...... 17 DiphenhydrAMINE (Systemic) ...... 8 Ergot Derivative Doxylamine ...... 8 Bromocriptine ...... 4 HydrOXYzine ...... 12 Cabergoline ...... 5 Loratadine ...... 14 Dihydroergotamine ...... 8 Meclizine ...... 15 Methylergonovine ...... 15 Olopatadine (Ophthalmic) ...... 17 Promethazine ...... 19 Estrogen and Androgen Combination Triprolidine and Pseudoephedrine ...... 22 Estrogens (Esterified) and Methyltestosterone ...... 9 Histamine H1 Antagonist, First Generation Estrogen and Progestin Combination Brompheniramine and Phenylephrine ...... 4 Estradiol and Levonorgestrel ...... 9 Cyproheptadine ...... 7 31 NONSTEROIDAL ANTI-INFLAMMATORY DRUG (NSAID), PARENTERAL

DiphenhydrAMINE (Systemic) ...... 8 Sodium Sulfate, Potassium Sulfate, and Magnesium Sulfate ...... 21 Doxylamine ...... 8 Sorbitol ...... 21 HydrOXYzine ...... 12 Meclizine ...... 15 Laxative, Saline Promethazine ...... 19 Magnesium Citrate ...... 14 Triprolidine and Pseudoephedrine ...... 22 Laxative, Stimulant

Histamine H1 Antagonist, Second Generation Bisacodyl ...... 4 Azelastine (Nasal) ...... 3 Bisacodyl and Magnesium Citrate ...... 4 Cetirizine (Systemic) ...... 5 Senna ...... 20 Loratadine ...... 14 Leukotriene-Receptor Antagonist Olopatadine (Ophthalmic) ...... 17 Montelukast ...... 16 Histamine H Antagonist 2 Local Anesthetic Famotidine ...... 10 Benzocaine ...... 4 Histone Deacetylase Inhibitor Dibucaine ...... 8 Valproic Acid and Derivatives ...... 23 Lidocaine and Prilocaine ...... 14 Lidocaine (Topical) ...... 14 Hormone Proparacaine and Fluorescein ...... 19 Calcitonin ...... 5 Melatonin ...... 15 Local Anesthetic, Ophthalmic Hormone, Posterior Pituitary Proparacaine and Fluorescein ...... 19 Desmopressin ...... 7 Lubricant, Ocular Hypnotic, Miscellaneous Hydroxypropyl Methylcellulose ...... 12 Melatonin ...... 15 Sodium Chloride ...... 21 Zolpidem ...... 23 Lysine Analog Immunosuppressant Agent Aminocaproic Acid ...... 2 AzaTHIOprine ...... 3 Tranexamic Acid ...... 22 Cyclophosphamide ...... 7 Magnesium Salt CycloSPORINE (Ophthalmic) ...... 7 Magnesium Citrate ...... 14 CycloSPORINE (Systemic) ...... 7 Magnesium Hydroxide ...... 14 Mercaptopurine ...... 15 Magnesium Oxide ...... 14 Methotrexate ...... 15 Mycophenolate ...... 16 Mast Cell Stabilizer Pimecrolimus ...... 18 Cromolyn (Nasal) ...... 7 Tacrolimus (Systemic) ...... 21 Cromolyn (Oral Inhalation) ...... 7 Tacrolimus (Topical) ...... 21 Melatonin Receptor Agonist Inhalation, Miscellaneous Melatonin ...... 15 Inhalation Devices ...... 12 Mineralocorticoid (Aldosterone) Receptor Antagonists Insulin, Combination Eplerenone ...... 9 Insulin Aspart Protamine and Insulin Aspart ...... 13 Spironolactone ...... 21 Insulin NPH and Insulin Regular ...... 13 Miscellaneous Product Insulin, Intermediate-Acting Diabetic Supplies ...... 7 Insulin NPH ...... 13 Nasal Wash ...... 16 Insulin, Long-Acting Monoclonal Antibody Insulin Glargine ...... 13 Adalimumab ...... 2 Insulin, Rapid-Acting Mucolytic Agent Insulin Aspart ...... 13 Acetylcysteine ...... 2 Insulin, Short-Acting Neuraminidase Inhibitor Insulin Regular ...... 13 Zanamivir ...... 23 Interferon Neuromuscular Blocker Agent, Toxin Interferon Beta-1b ...... 13 IncobotulinumtoxinA ...... 12 Peginterferon Alfa-2a ...... 18 Iodinated Contrast Media N-Methyl-D-Aspartate (NMDA) Receptor Antagonist Diatrizoate Meglumine and Diatrizoate Sodium ...... 7 Esketamine ...... 9 Memantine ...... 15 Iron Preparations Ferrous Fumarate ...... 10 Nonsteroidal Anti-inflammatory Drug (NSAID) Ferrous Sulfate ...... 10 Diclofenac (Systemic) ...... 8 Diclofenac (Topical) ...... 8 Irrigant Sodium Chloride ...... 21 Nonsteroidal Anti-inflammatory Drug (NSAID), COX-2 Selective Celecoxib ...... 5 Irrigating Solution Balanced Salt Solution ...... 4 Nonsteroidal Anti-inflammatory Drug (NSAID), Ophthalmic Nepafenac ...... 16 Keratolytic Agent Podofilox ...... 18 Nonsteroidal Anti-inflammatory Drug (NSAID), Oral Salicylic Acid ...... 20 Aspirin ...... 3 Tazarotene ...... 21 Diclofenac (Systemic) ...... 8 Urea (Topical) ...... 22 Ibuprofen ...... 12 Indomethacin ...... 12 Laxative Mefenamic Acid ...... 15 Magnesium Hydroxide ...... 14 Meloxicam ...... 15 Laxative, Bowel Evacuant Naproxen ...... 16 Sodium Phosphates ...... 21 Piroxicam (Systemic) ...... 18 Sulindac ...... 21 Laxative, Osmotic Glycerin ...... 11 Nonsteroidal Anti-inflammatory Drug (NSAID), Parenteral Lactulose ...... 13 Ibuprofen ...... 12 Polyethylene Glycol 3350 ...... 18 Indomethacin ...... 12 Polyethylene Glycol-Electrolyte Solution ...... 18 Meloxicam ...... 15 32 NONSTEROIDAL ANTI-INFLAMMATORY DRUG (NSAID), TOPICAL

Nonsteroidal Anti-inflammatory Drug (NSAID), Topical Photosensitizing Agent, Topical Diclofenac (Topical) ...... 8 Aminolevulinic Acid (Topical) ...... 3 Norepinephrine Reuptake Inhibitor, Selective Piperazine Derivative AtoMOXetine ...... 3 Cetirizine (Systemic) ...... 5 NS3/4A Inhibitor HydrOXYzine ...... 12 Boceprevir ...... 4 Meclizine ...... 15 Nutritional Supplement Piperidine Derivative Fluoride ...... 11 Cyproheptadine ...... 7 Loratadine ...... 14 Ophthalmic Agent, Antiglaucoma Olopatadine (Ophthalmic) ...... 17 AcetaZOLAMIDE ...... 2 Bimatoprost ...... 4 Potassium Binder Brimonidine and Timolol ...... 4 Sodium Polystyrene Sulfonate ...... 21 Brinzolamide and Brimonidine ...... 4 Probiotic Dorzolamide ...... 8 Lactobacillus ...... 13 Dorzolamide and Timolol ...... 8 Saccharomyces boulardii ...... 20 Latanoprost ...... 13 Pilocarpine (Ophthalmic) ...... 18 Progestin Timolol (Ophthalmic) ...... 22 Levonorgestrel (IUD) ...... 14 Ophthalmic Agent, Miotic Levonorgestrel (Systemic) ...... 14 Acetylcholine ...... 2 MedroxyPROGESTERone ...... 15 Pilocarpine (Ophthalmic) ...... 18 Megestrol ...... 15 Norethindrone ...... 17 Ophthalmic Agent, Miscellaneous Progesterone ...... 19 Artificial Tears ...... 3 Balanced Salt Solution ...... 4 Progestin Receptor Modulator Ulipristal ...... 22 Ophthalmic Agent, Mydriatic Atropine (Ophthalmic) ...... 3 Prostaglandin Phenylephrine (Ophthalmic) ...... 18 Alprostadil ...... 2 Tropicamide ...... 22 Carboprost Tromethamine ...... 5 MiSOPROStol ...... 16 Ophthalmic Agent, Toxin IncobotulinumtoxinA ...... 12 Prostaglandin, Ophthalmic Bimatoprost ...... 4 Ophthalmic Agent, Viscoelastic Latanoprost ...... 13 Hyaluronate and Derivatives ...... 12 Proton Pump Inhibitor Opioid Antagonist Esomeprazole ...... 9 Naloxone ...... 16 Naltrexone ...... 16 Omeprazole ...... 17 Pantoprazole ...... 17 Otic Agent, Anti-infective RABEprazole ...... 19 Acetic Acid (Otic) ...... 2 Radiological/Contrast Media, Ionic (High Osmolality) Otic Agent, Cerumenolytic Diatrizoate Meglumine and Diatrizoate Sodium ...... 7 Carbamide Peroxide ...... 5 Radiopaque Agents Ovulation Stimulator Barium ...... 4 ClomiPHENE ...... 6 Rehydration, Oral P2Y12 Antagonist Oral Rehydration Therapy ...... 17 Clopidogrel ...... 6 Prasugrel ...... 19 Rescue Agent (Chemotherapy) Ticagrelor ...... 22 Leucovorin Calcium ...... 14 Partial Nicotine Agonist Respiratory Stimulant Varenicline ...... 23 Ammonia Spirit (Aromatic) ...... 3 Pediculocide Retinoic Acid Derivative Permethrin ...... 18 Adapalene ...... 2 Pyrethrins and Piperonyl Butoxide ...... 19 ISOtretinoin (Systemic) ...... 13 Tazarotene ...... 21 Pentasaccharide, Synthetic Tretinoin (Topical) ...... 22 Fondaparinux ...... 11 Retinoid-Like Compound Pharmaceutical Aid Acitretin ...... 2 White Petrolatum ...... 23 Phenothiazine Derivative Rifamycin ChlorproMAZINE ...... 6 Rifabutin ...... 20 Prochlorperazine ...... 19 RifAMPin ...... 20 Promethazine ...... 19 RifAXIMin ...... 20 Phosphate Binder Salicylate Calcium Acetate ...... 5 Aspirin ...... 3 Calcium Carbonate ...... 5 Salsalate ...... 20 Sevelamer ...... 20 Scabicidal Agent Phosphodiesterase-3 Enzyme Inhibitor Crotamiton ...... 7 Anagrelide ...... 3 Permethrin ...... 18 Cilostazol ...... 6 Second Generation (Atypical) Antipsychotic Phosphodiesterase-4 Enzyme Inhibitor ARIPiprazole ...... 3 Roflumilast ...... 20 CloZAPine ...... 6 Lurasidone ...... 14 Phosphodiesterase-5 Enzyme Inhibitor OLANZapine ...... 17 Sildenafil ...... 20 QUEtiapine ...... 19 Phosphodiesterase Enzyme Inhibitor, Nonselective RisperiDONE ...... 20 Theophylline ...... 22 Ziprasidone ...... 23 33 XANTHINE OXIDASE INHIBITOR

Selective 5-HT3 Receptor Antagonist Topical Skin Product, Acne Netupitant and Palonosetron ...... 16 Adapalene ...... 2 Ondansetron ...... 17 Azelaic Acid ...... 3 Selective Estrogen Receptor Modulator (SERM) Benzoyl Peroxide ...... 4 ClomiPHENE ...... 6 Raloxifene ...... 19 Clindamycin and Benzoyl Peroxide ...... 6 Tamoxifen ...... 21 Clindamycin (Topical) ...... 6

Serotonin 5-HT1B, 1D Receptor Agonist Erythromycin (Topical) ...... 9 Rizatriptan ...... 20 Salicylic Acid ...... 20 SUMAtriptan ...... 21 ZOLMitriptan ...... 23 Sulfur and Sulfacetamide ...... 21 Tazarotene ...... 21 Serotonin 5-HT4 Receptor Agonist Metoclopramide ...... 15 Tretinoin (Topical) ...... 22 Shampoo, Pediculocide Topical Skin Product, Antibacterial Pyrethrins and Piperonyl Butoxide ...... 19 Silver Nitrate ...... 20 Skeletal Muscle Relaxant Trace Element Baclofen ...... 4 Cyclobenzaprine ...... 7 Zinc Sulfate ...... 23 Methocarbamol ...... 15 Transient Receptor Potential Vanilloid 1 (TRPV1) Agonist Skin and Mucous Membrane Agent Capsaicin ...... 5 Imiquimod ...... 12 Tumor Necrosis Factor (TNF) Blocking Agent Skin and Mucous Membrane Agent, Miscellaneous Adalimumab ...... 2 Emollients ...... 9 Hyaluronate and Derivatives ...... 12 Uricosuric Agent Smoking Cessation Aid Probenecid ...... 19 BuPROPion ...... 5 Vaccine Nicotine ...... 17 Varenicline ...... 23 Zoster Vaccine (Recombinant) ...... 23 Sodium-Glucose Cotransporter 2 (SGLT2) Inhibitor Vaccine, Recombinant Empagliflozin ...... 9 Zoster Vaccine (Recombinant) ...... 23 Empagliflozin and Metformin ...... 9 Vasodilator Sodium Salt Sodium Chloride ...... 21 Alprostadil ...... 2 Amyl Nitrite ...... 3 Spermicide Nonoxynol 9 ...... 17 Cilostazol ...... 6 Stool Softener HydrALAZINE ...... 12 Docusate ...... 8 Isosorbide Dinitrate ...... 13 Substance P/Neurokinin 1 Receptor Antagonist Isosorbide Dinitrate and Hydralazine ...... 13 Aprepitant ...... 3 Isosorbide Mononitrate ...... 13 Netupitant and Palonosetron ...... 16 Nitroglycerin ...... 17 Substituted Benzimidazole Vasodilator, Direct-Acting Esomeprazole ...... 9 Omeprazole ...... 17 Minoxidil (Systemic) ...... 16 Pantoprazole ...... 17 Vasopressin Analog, Synthetic RABEprazole ...... 19 Desmopressin ...... 7 Thioamide MethIMAzole ...... 15 Vitamin Propylthiouracil ...... 19 Vitamin B Complex Combinations ...... 23 Thrombopoietic Agent Vitamins (Multiple/Oral) ...... 23 RomiPLOStim ...... 20 Vitamins (Multiple/Pediatric) ...... 23 Thyroid Product Vitamins (Multiple/Prenatal) ...... 23 Levothyroxine ...... 14 Liothyronine ...... 14 Vitamin D Analog Thyroid, Desiccated ...... 22 Alendronate and Cholecalciferol ...... 2 Topical Skin Product Calcipotriene ...... 5 Acetic Acid (Topical) ...... 2 Calcitriol (Systemic) ...... 5 Aluminum Chloride Hexahydrate ...... 2 Aminolevulinic Acid (Topical) ...... 3 Cholecalciferol ...... 6 Benzoyl Peroxide ...... 4 Doxercalciferol ...... 8 Calcipotriene ...... 5 Capsaicin ...... 5 Vitamin, Fat Soluble Clindamycin and Benzoyl Peroxide ...... 6 Calcium and Vitamin D ...... 5 Emollients ...... 9 Phytonadione ...... 18 Erythromycin (Topical) ...... 9 Fluorouracil (Topical) ...... 11 Vitamin, Water Soluble Imiquimod ...... 12 Cyanocobalamin ...... 7 Lactic Acid and Ammonium Hydroxide ...... 13 Pimecrolimus ...... 18 Folic Acid ...... 11 Podofilox ...... 18 Leucovorin Calcium ...... 14 Povidone-Iodine (Topical) ...... 18 Selenium Sulfide ...... 20 Niacin ...... 16 Tacrolimus (Topical) ...... 21 Pyridoxine ...... 19 Urea (Topical) ...... 22 White Petrolatum ...... 23 Xanthine Oxidase Inhibitor Zinc Oxide ...... 23 Allopurinol ...... 2 34