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Naval Hospital Bremerton Outpatient Formulary

Naval Hospital Bremerton Outpatient Formulary

NAVAL HOSPITAL BREMERTON OUTPATIENT FORMULARY

Alphabetical Listing by Name

This document is current as of January 24, 2017. The availability of formulary items is subject to change.

1 ABSORPTION BASE Absorption Base Alendronate Outpatient Dosage Forms Outpatient Dosage Forms Ointment, topical: Tablet, oral [daily]: 5 mg [BCF], 10 mg [BCF], Absorbase®: 4 oz, 16 oz Tablet, oral [weekly]: 35 mg [BCF], 70 mg [BCF] Velvachol®: 14 oz Alendronate and Cholecalciferol Acetaminophen Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: Liquid, oral: 160 mg/5 mL (120 mL, 473 mL) Fosamax Plus D® 70/2800: Alendronate 70 mg and cholecalciferol 2800 units Suppository, rectal: 120 mg, 325 mg, 650 mg Fosamax Plus D®: 70/5600: Alendronate 70 mg and cholecalciferol 5600 int. Suspension, oral: 160 mg/5 mL (5 mL, 10.15 mL, 20.3 mL) units Tablet, oral: 325 mg Alfuzosin Tablet, chewable, oral: 80 mg Outpatient Dosage Forms Acetaminophen and Codeine Tablet, extended release, oral, as hydrochloride: 10 mg [BCF] Outpatient Dosage Forms Allopurinol Solution, oral [C-V]: Acetaminophen 120 mg and codeine phosphate 12 mg per Outpatient Dosage Forms 5 mL (118 mL) [BCF] Tablet, oral: 100 mg [BCF], 300 mg [BCF] Tablet, oral [C-III]: Acetaminophen 300 mg and codeine phosphate 30 mg [BCF] Aluminum Chloride Hexahydrate Acetaminophen, Isometheptene, and Dichloralphenazone Outpatient Dosage Forms Outpatient Dosage Forms Solution, topical: Capsule, oral: Acetaminophen 325 mg, isometheptene mucate 65 mg, and Drysol™: 20% (37.5 mL) [contains ethanol 93%] dichloralphenazone 100 mg Aluminum Hydroxide and Magnesium Carbonate AcetaZOLAMIDE Outpatient Dosage Forms Outpatient Dosage Forms Tablet, chewable: Capsule, sustained release, oral: Gaviscon® Extra Strength: Aluminum hydroxide 160 mg and magnesium Diamox® Sequels®: 500 mg carbonate 105 mg [contains sodium 19 mg/tablet (1.3 mEq/tablet); cherry Tablet, oral: 250 mg and original flavors] Acetic Acid and Oxyquinolone Aluminum Hydroxide, Magnesium Hydroxide, and Simethicone Outpatient Dosage Forms Outpatient Dosage Forms Jelly, vaginal: Liquid, oral: Aluminum hydroxide 400 mg, magnesium hydroxide 400 mg, and Aci-Jel: Acetic acid 0.92%, oxyquinoline sulfate 0.025%, ricinoleic acid 0.7% simethicone 40 mg per 5 mL (360 mL) Acetic Acid (Otic) Aluminum Sulfate and Calcium Acetate Outpatient Dosage Forms Outpatient Dosage Forms Solution, otic [drops]: 2% (15 mL, 60 mL) Powder, for topical solution: Domeboro®: Aluminum sulfate 1191 mg and calcium acetate 839 mg per Acetic Acid, Propylene Glycol Diacetate, and Hydrocortisone packet (12s) Outpatient Dosage Forms Solution, otic [drops]: Acetic acid 2%, propylene glycol diacetate 3%, and Amantadine hydrocortisone 1% (10 mL) Outpatient Dosage Forms Capsule, oral, as hydrochloride: 100 mg [BCF] Acetylcholine Syrup, oral, as hydrochloride: 50 mg/5 mL (473 mL) [BCF] Outpatient Dosage Forms Powder for solution, intraocular, as chloride: Amcinonide Miochol®-E: 20 mg (2 mL) [supplied with diluent; reconstitution results in 1:100 Outpatient Dosage Forms solution] Ointment, topical: 0.1% (60 g) Acetylcysteine Amiodarone Outpatient Dosage Forms Outpatient Dosage Forms Solution, for inhalation/oral: 20% [200 mg/mL] (30 mL) Tablet, oral, as hydrochloride: 200 mg [BCF] Acyclovir (Systemic) Outpatient Dosage Forms Outpatient Dosage Forms Capsule, oral: 200 mg [BCF] Tablet, Oral, as hydrochloride: Generic: 10 mg [BCF], 25 mg [BCF], 50 mg [BCF], 75 mg [BCF] Suspension, oral: 200 mg/5 mL (473 mL) [BCF] Tablet, oral: 400 mg [BCF], 800 mg [BCF] AmLODIPine Acyclovir (Topical) Outpatient Dosage Forms Tablet, oral: 2.5 mg [BCF], 5 mg [BCF], 10 mg [BCF] Outpatient Dosage Forms Ointment, topical: Amlodipine and Benazepril Zovirax®: 5% (15 g, 30 g) Outpatient Dosage Forms Adalimumab Capsule, oral: 2.5/10: Amlodipine 2.5 mg and benazepril hydrochloride 10 mg [BCF] Outpatient Dosage Forms 5/10: Amlodipine 5 mg and benazepril hydrochloride 10 mg [BCF] Pen-injector Kit, Subcutaneous [preservative free]: 5/20: Amlodipine 5 mg and benazepril hydrochloride 20 mg [BCF] Humira Pen: 40 mg/0.8 mL (1 ea) [contains polysorbate 80] [BCF] 5/40: Amlodipine 5 mg and benazepril hydrochloride 40 mg [BCF] 10/20: Amlodipine 10 mg and benazepril hydrochloride 20 mg [BCF] 10/40: Amlodipine 10 mg and benazepril hydrochloride 40 mg [BCF] Outpatient Dosage Forms Pen-injector, Subcutaneous [preservative free]: Amoxicillin Tanzeum: 30 mg (1 ea); 50 mg (1 ea) [contains polysorbate 80] Outpatient Dosage Forms Capsule, oral: 250 mg [BCF], 500 mg [BCF] Albuterol Powder for suspension, oral: 125 mg/5 mL (150 mL); 250 mg/5 mL (150 mL) Outpatient Dosage Forms [BCF]; 400 mg/5 mL (100 mL) [BCF] Aerosol, for oral inhalation: Ventolin® HFA: 90 mcg/inhalation (18 g) [chlorofluorocarbon free; 200 metered Amoxicillin and Clavulanate actuations] [BCF] Outpatient Dosage Forms Solution, for nebulization: 0.083% [2.5 mg/3 mL] (60s) [BCF]; 0.5% [2.5 mg/0.5 Powder for suspension, oral: mL] (20 mL) 200: Amoxicillin 200 mg and clavulanate potassium 28.5 mg per 5 mL (100 Syrup, oral: 2 mg/5 mL (473 mL) mL) [BCF] 400: Amoxicillin 400 mg and clavulanate potassium 57 mg per 5 mL (100 Alcohol (Isopropyl) mL) [BCF] Outpatient Dosage Forms 600: Amoxicillin 600 mg and clavulanate potassium 42.9 mg per 5 mL (75 Pads, topical: 200/box mL) [BCF] 2 BRIMONIDINE (OPHTHALMIC) Tablet, oral: Bacitracin, , and Polymyxin B (Ophthalmic) 250: Amoxicillin 250 mg and clavulanate potassium 125 mg [BCF] Outpatient Dosage Forms 500: Amoxicillin 500 mg and clavulanate potassium 125 mg [BCF] Ointment, ophthalmic: Bacitracin 400 units, neomycin 3.5 mg, and polymyxin B 875: Amoxicillin 875 mg and clavulanate potassium 125 mg [BCF] 10,000 units per g (3.5 g) [BCF] Ampicillin Bacitracin, Neomycin, and Polymyxin B (Topical) Outpatient Dosage Forms Outpatient Dosage Forms Capsule, oral: 250 mg Ointment, topical: Bacitracin 400 units, neomycin 3.5 mg, and polymyxin B 5000 units per g (15 g) Amyl Nitrite Outpatient Dosage Forms Bacitracin (Ophthalmic) Liquid, for inhalation: USP: 85% to 103% (0.3 mL) [crushable covered glass Outpatient Dosage Forms capsule] Ointment, Ophthalmic: Generic: 500 units/g (3.5 g) Anastrozole Outpatient Dosage Forms Bacitracin (Topical) Tablet, oral: 1 mg Outpatient Dosage Forms Ointment, External, as zinc [strength expressed as base]: Antipyrine and Benzocaine Generic: 500 units/g (0.9 g, 30 g) Outpatient Dosage Forms Solution, otic [drops]: Antipyrine 5.4% and benzocaine 1.4% (10 mL) [BCF] Baclofen Outpatient Dosage Forms Tablet, oral: 10 mg Outpatient Dosage Forms Tablet, oral: Balanced Salt Solution Abilify®: 2 mg, 5 mg, 10 mg, 15 mg, 20 mg, 30 mg Outpatient Dosage Forms Solution, ophthalmic [irrigation; preservative free]: Sodium chloride 0.64%, Artificial Tears potassium chloride 0.075%, calcium chloride 0.048%, magnesium chloride Outpatient Dosage Forms 0.03%, sodium acetate 0.39%, sodium citrate 0.17% (15 mL) Solution, ophthalmic: Polyvinyl alcohol 1.4% (30 mL) [contains benzalkonium Belladonna and Opium chloride] Outpatient Dosage Forms Ascorbic Acid Suppository: Belladonna extract 16.2 mg and opium 30 mg; belladonna extract Outpatient Dosage Forms 16.2 mg and opium 60 mg Tablet, oral: 500 mg Benzocaine Aspirin Outpatient Dosage Forms Outpatient Dosage Forms Lozenge, oral: 6 mg (18s) Cepacol® Sore Throat: 15 mg (16s) [contains cetylpyridinium, menthol; cherry Tablet, oral: 325 mg flavor] Tablet, chewable, oral: 81 mg Tablet, enteric coated, oral: 81 mg, 325 mg Benzonatate Aspirin and Dipyridamole Outpatient Dosage Forms Capsule, softgel, oral: 100 mg Outpatient Dosage Forms Capsule, variable release: Benzoyl Peroxide Aggrenox®: Aspirin 25 mg [immediate release] and dipyridamole 200 mg Outpatient Dosage Forms [extended release] [contains lactose, sucrose] Gel, topical: 5% (45 g) Liquid, topical [wash/water based]: Atenolol Desquam-X® 5: 5% (140 g) Outpatient Dosage Forms Tablet, oral: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF] Benztropine Outpatient Dosage Forms AtoMOXetine Tablet, Oral, as mesylate: Outpatient Dosage Forms Generic: 0.5 mg [BCF], 1 mg [BCF], 2 mg [BCF] Capsule, oral: Strattera®: 10 mg, 18 mg, 25 mg, 40 mg, 60 mg, 80 mg (Topical) Outpatient Dosage Forms AtorvaSTATin Lotion, topical, as dipropionate [strength expressed as base]: 0.05% (60 mL) Outpatient Dosage Forms Tablet, oral: 10 mg [BCF], 20 mg [BCF], 40 mg [BCF], 80 mg [BCF] Betaxolol (Ophthalmic) Outpatient Dosage Forms Atropine (Ophthalmic) Suspension, ophthalmic [drops]: Outpatient Dosage Forms Betoptic S®: 0.25% (10 mL) [contains ] Ointment, ophthalmic, as sulfate: 1% (3.5 g) Solution, ophthalmic, as sulfate [drops]: 1% (15 mL) Bethanechol Outpatient Dosage Forms AzaTHIOprine Tablet, oral, as chloride: 25 mg Outpatient Dosage Forms Injection, powder for reconstitution: 100 mg Bicalutamide Tablet, oral: 50 mg Outpatient Dosage Forms Tablet, oral: 50 mg (Nasal) Bimatoprost Outpatient Dosage Forms Outpatient Dosage Forms Solution, intranasal, as hydrochloride [spray]: 0.1% [137 mcg/spray] (30 mL) Solution, Ophthalmic: Azithromycin (Systemic) Lumigan: 0.01% (5 mL) [contains benzalkonium chloride] Outpatient Dosage Forms Bisacodyl Powder for suspension, oral, as monohydrate [strength expressed as base]: Outpatient Dosage Forms 100 mg/5 mL (15 mL) [BCF]; 200 mg/5 mL (15 mL, 22.5 mL, 30 mL); 1 g/ Suppository, rectal: 10 mg (12s) packet (3s) Tablet, enteric coated, oral: 5 mg Tablet, oral, as dihydrate [strength expressed as base]: Zithromax® Z-PAK®: 250 mg [contains sodium 0.9 mg/tablet] [BCF] Bismuth Subsalicylate Tablet, oral, as monohydrate [strength expressed as base]: 250 mg [BCF], Outpatient Dosage Forms 500 mg [BCF] Tablet, chewable, oral, as subsalicylate: 262 mg Bacitracin and Polymyxin B (Ophthalmic) Brimonidine (Ophthalmic) Outpatient Dosage Forms Outpatient Dosage Forms Ointment, ophthalmic: Bacitracin 500 units and polymyxin B 10,000 units per g Solution, ophthalmic, as tartrate [drops]: 0.15% (15 mL) [BCF]; 0.2% (15 mL) (3.5 g) [BCF] 3 Bromocriptine Carbachol Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: 2.5 mg Solution, ophthalmic: Isopto® Carbachol: 3% (15 mL) [contains benzalkonium chloride] and Outpatient Dosage Forms CarBAMazepine Liquid, oral: Brompheniramine maleate 1 mg and pseudoephedrine hydrochlor- Outpatient Dosage Forms ide 15 mg per 5 mL Suspension, oral: 100 mg/5 mL (450 mL) [BCF] Tablet, oral: 200 mg [BCF] (Oral Inhalation) Tablet, chewable, oral: 100 mg [BCF] Outpatient Dosage Forms Tablet, extended release, oral: Suspension, for nebulization: 0.25 mg/2 mL (30s) TEGretol®-XR: 100 mg, 200 mg, 400 mg [BCF] BuPROPion Carbamide Peroxide Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral, as hydrochloride: 75 mg [generic for Wellbutrin®] [BCF], 100 mg Solution, otic [drops]: 6.5% (15 mL) [generic for Wellbutrin®] [BCF] Tablet, extended release, oral, as hydrochloride: 150 mg [generic for Wellbutrin Carbidopa and Levodopa XL®] [BCF], 300 mg [generic for Wellbutrin XL®] [BCF] Outpatient Dosage Forms Tablet, sustained release, oral, as hydrochloride: Tablet, oral: Wellbutrin SR®: 100 mg [BCF], 150 mg [BCF] 10/100: Carbidopa 10 mg and levodopa 100 mg [BCF] 25/100: Carbidopa 25 mg and levodopa 100 mg [BCF] BusPIRone 25/250: Carbidopa 25 mg and levodopa 250 mg [BCF] Outpatient Dosage Forms Tablet, extended release: Tablet, Oral, as hydrochloride: 25/100: Carbidopa 25 mg and levodopa 100 mg Generic: 5 mg [BCF], 10 mg [BCF], 15 mg [BCF] 50/200: Carbidopa 50 mg and levodopa 200 mg Butalbital, Acetaminophen, and Caffeine Carboxymethylcellulose Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: Butalbital 50 mg, acetaminophen 325 mg, and caffeine 40 mg Solution, ophthalmic, as sodium [drops, preservative free]: [BCF] Refresh Plus®: 0.5% (0.3 mL) Butalbital, Aspirin, and Caffeine Carteolol (Ophthalmic) Outpatient Dosage Forms Outpatient Dosage Forms Capsule: Butalbital 50 mg, aspirin 325 mg, and caffeine 40 mg Solution, ophthalmic, as hydrochloride [drops]: 1% (10 mL) [contains benzalko- nium chloride] Calamine Outpatient Dosage Forms Carvedilol Suspension, topical: 8% (118 mL) Outpatient Dosage Forms Tablet, oral: 3.125 mg [BCF], 6.25 mg [BCF], 12.5 mg [BCF], 25 mg [BCF] Outpatient Dosage Forms Cefdinir Solution, intranasal [calcitonin-salmon/rDNA origin/spray]: Outpatient Dosage Forms Fortical®: 200 units/actuation (3.7 mL) [contains benzyl alcohol; delivers 30 Powder for suspension, oral: 125 mg/5 mL (6100 mL); 250 mg/5 mL (100 mL) doses] Cefpodoxime Calcitriol (Systemic) Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: 200 mg Capsule, softgel, oral: Generic: 0.25 mcg, 0.5 mcg Celecoxib Outpatient Dosage Forms Calcium and Vitamin D Capsule, Oral: Outpatient Dosage Forms Generic: 100 mg, 200 mg Tablet, oral: Calcium 250 mg and vitamin D 125 units; calcium 600 mg and vitamin D 400 units Cephalexin Outpatient Dosage Forms Calcium Carbonate Capsule, oral: 250 mg [BCF], 500 mg [BCF] Outpatient Dosage Forms Powder for suspension, oral: 125 mg/5 mL (100 mL); 250 mg/5 mL (200 Tablet, oral: 1250 mg [equivalent to elemental calcium 500 mg] mL) [BCF] Calcium Glubionate Outpatient Dosage Forms Outpatient Dosage Forms Syrup, oral: Syrup, oral, as hydrochloride: 5 mg/5 mL (120 mL) Calcionate: 1.8 g/5 mL (473 mL) [contains benzoic acid; caramel-orange flavor; Tablet, oral, as hydrochloride: 5 mg, 10 mg equivalent to elemental calcium 115 mg/5 mL] ChlordiazePOXIDE Calcium Lactate Outpatient Dosage Forms Outpatient Dosage Forms Capsule, oral, as hydrochloride: 10 mg, 25 mg Tablet, oral: 650 mg [equivalent to elemental calcium 84.5 mg] Chlorhexidine Gluconate Candesartan Outpatient Dosage Forms Outpatient Dosage Forms Liquid, oral [rinse]: 0.12% (473 mL) [BCF] Tablet, oral, as cilexetil: Liquid, topical [surgical scrub]: Atacand®: 4 mg, 8 mg, 16 mg, 32 mg [scored] Betasept®: 4% (473 mL) [contains isopropyl alcohol 4%] Candesartan and Hydrochlorothiazide Chloroquine Outpatient Dosage Forms Outpatient Dosage Forms Tablet: Tablet, oral, as phosphate: 250 mg [equivalent to chloroquine base 150 mg], Atacand HCT®: 500 mg [equivalent to chloroquine base 300 mg] 16/12.5: Candesartan cilexetil 16 mg and hydrochlorothiazide 12.5 mg 32/12.5: Candesartan cilexetil 32 mg and hydrochlorothiazide 12.5 mg Chlorpheniramine Outpatient Dosage Forms Capecitabine Syrup, oral, as maleate: Outpatient Dosage Forms Aller-chlor®: 2 mg/5 mL (118 mL) [contains ethanol 5%, menthol, propylene Tablet, oral: glycol; cherry flavor] Xeloda®: 150 mg, 500 mg Tablet, oral, as maleate: 4 mg Captopril Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: 25 mg [BCF] Tablet, oral, as hydrochloride: 10 mg, 25 mg, 100 mg 4 Chlorthalidone Clotrimazole (Oral) Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral: Troche, oral: 10 mg Generic: 25 mg [BCF], 50 mg [BCF] Clotrimazole (Topical) Cholecalciferol Outpatient Dosage Forms Outpatient Dosage Forms Cream, topical: 1% (30 g) Liquid, Oral: Cream, vaginal: 1% (45 g) Generic: 400 units/mL (50 mL) Solution, topical: 1% (30 mL) [BCF] Tablet, Oral: Generic: 1000 units Coal Tar Outpatient Dosage Forms Ointment, topical: Outpatient Dosage Forms MG217® Medicated Tar Intensive Strength: Coal tar solution 10% (107 g) Tablet, oral: 400 mg [equivalent to coal tar 2%] Ciprofloxacin and Codeine Outpatient Dosage Forms Outpatient Dosage Forms Suspension, otic: Tablet, oral, as sulfate: 30 mg Ciprodex®: Ciprofloxacin 0.3% and dexamethasone 0.1% (7.5 mL) [contains benzalkonium chloride] Colchicine Outpatient Dosage Forms Ciprofloxacin (Systemic) Tablet, oral: 0.6 mg Outpatient Dosage Forms Microcapsules for suspension, oral: Colestipol Cipro®: 250 mg/5 mL (100 mL) [strawberry flavor] [BCF] Outpatient Dosage Forms Tablet, oral, as hydrochloride [strength expressed as base]: 100 mg [BCF], Granules for suspension, oral, as hydrochloride: 7.5 g/scoop (450 g); 5 g/packet 250 mg [BCF], 500 mg [BCF], 750 mg (30s) Citalopram Tablet, oral, as hydrochloride: 1 g Outpatient Dosage Forms Cortisone Solution, oral: 10 mg/5 mL (240 mL) [BCF] Outpatient Dosage Forms Tablet, oral: 10 mg [BCF], 20 mg [BCF], 40 mg [BCF] Tablet, oral, as acetate: 25 mg Clarithromycin Cromolyn (Nasal) Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: 250 mg, 500 mg Solution, intranasal, as sodium [spray]: 5.2 mg/dose [200 sprays] Tablet, extended release, oral: 500 mg Cromolyn (Ophthalmic) Cleansing Lotion Outpatient Dosage Forms Outpatient Dosage Forms Solution, ophthalmic, as sodium [drops]: 4% (10 mL) Cream: Lotion, Lipid free: Cromolyn (Oral Inhalation) Cētaphil®: 240 mL Outpatient Dosage Forms Clidinium and Chlordiazepoxide Nebulization Solution, Inhalation, as sodium: Outpatient Dosage Forms Generic: 20 mg/2 mL (2 mL) Capsule: Clidinium bromide 2.5 mg and chlordiazepoxide hydrochloride 5 mg Cromolyn (Systemic) Clindamycin and Benzoyl Peroxide Outpatient Dosage Forms Outpatient Dosage Forms Concentrate, Oral, as sodium: Gel, External: Generic: 100 mg/5 mL (5 mL) Generic: Clindamycin phosphate 1.2% and benzoyl peroxide 5% (45 g) [BCF] Crotamiton Clindamycin (Systemic) Outpatient Dosage Forms Outpatient Dosage Forms Cream, topical: Capsule, oral, as hydrochloride [strength expressed as base]: 150 mg [BCF], Eurax®: 10% (60 g) 300 mg Cyanocobalamin Granules for solution, oral, as palmitate hydrochloride [strength expressed as Outpatient Dosage Forms base]: 75 mg/5 mL (100 mL) Injection, solution: 1000 mcg/mL (1 mL) Clindamycin (Topical) Tablet, oral: 1000 mcg Outpatient Dosage Forms Cream, vaginal, as phosphate [strength expressed as base]: 2% (40 g) [BCF] Gel, topical, as phosphate [strength expressed as base]: 1% (60 g) Outpatient Dosage Forms Solution, topical, as phosphate [strength expressed as base]: 1% (60 mL) [BCF] Tablet, oral, as hydrochloride: 10 mg [BCF] Clobetasol Cyclopentolate Outpatient Dosage Forms Outpatient Dosage Forms Cream, topical, emollient, as propionate: 0.05% (15 g, 60 g) Solution, ophthalmic, as hydrochloride [drops]: 1% (15 mL) Ointment, topical, as propionate: 0.05% (15 g, 60 g) Cyclophosphamide ClomiPHENE Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: 25 mg, 50 mg Tablet, oral, as citrate: 50 mg CycloSPORINE (Ophthalmic) ClonazePAM Outpatient Dosage Forms Outpatient Dosage Forms Emulsion, Ophthalmic [preservative free]: Tablet, oral: 0.5 mg [BCF], 1 mg Restasis: 0.05% (1 ea) [contains polysorbate 80] CloNIDine CycloSPORINE (Systemic) Outpatient Dosage Forms Outpatient Dosage Forms Patch, transdermal: 0.1 mg/24 hours (4s); 0.2 mg/24 hours (4s); 0.3 mg/24 Capsule, softgel, oral [modified]: 25 mg, 100 mg hours (4s) Solution, oral [modified]: 100 mg/mL (50 mL) Tablet, oral, as hydrochloride: 0.1 mg [BCF], 0.2 mg [BCF], 0.3 mg [BCF] Cyproheptadine Clopidogrel Outpatient Dosage Forms Outpatient Dosage Forms Syrup, oral, as hydrochloride: 2 mg/5 mL (473 mL) [BCF] Tablet, oral: 75 mg [BCF] Tablet, oral, as hydrochloride: 4 mg [BCF] 5 DABIGATRAN ETEXILATE Dabigatran Etexilate DiazePAM Outpatient Dosage Forms Outpatient Dosage Forms Capsule, Oral: Tablet, oral: 5 mg [BCF] Pradaxa: 150 mg Dibucaine Danazol Outpatient Dosage Forms Outpatient Dosage Forms Ointment, topical: 1% [10 mg/g] (30 g) Capsule, oral: 200 mg Diclofenac (Ophthalmic) Dapsone (Systemic) Outpatient Dosage Forms Outpatient Dosage Forms Solution, ophthalmic, as sodium [drops]: 0.1% (5 mL) Tablet, oral: 25 mg Diclofenac (Systemic) Outpatient Dosage Forms Outpatient Dosage Forms Tablet, delayed release, enteric coated, oral, as sodium: 50 mg, 75 mg Tablet, oral, as hydrochloride: 25 mg, 50 mg, 75 mg, 100 mg Diclofenac (Topical) Desmopressin Outpatient Dosage Forms Outpatient Dosage Forms Gel, Transdermal, as sodium: Solution, intranasal, as acetate: 0.1 mg/mL (2.5 mL) Voltaren: 1% (100 g) [contains isopropyl alcohol, propylene glycol] Desonide Outpatient Dosage Forms Dicloxacillin Ointment, topical: 0.05% (15 g) Outpatient Dosage Forms Capsule, oral: 250 mg [BCF], 500 mg [BCF] Desoximetasone Suspension, oral: 62.5 mg/5 mL Outpatient Dosage Forms Cream, topical: 0.25% (15 g, 60 g) Dicyclomine Outpatient Dosage Forms Dexamethasone (Ophthalmic) Capsule, oral, as hydrochloride: 10 mg [BCF] Outpatient Dosage Forms Syrup, oral, as hydrochloride: 10 mg/5 mL (473 mL) [BCF] Solution, ophthalmic, as phosphate [drops]: 0.1% (5 mL) Tablet, oral, as hydrochloride: 20 mg [BCF] Dexamethasone (Systemic) Digoxin Outpatient Dosage Forms Outpatient Dosage Forms Elixir, oral: 0.5 mg/5 mL (237 mL) Solution, oral: 0.5 mg/mL (60 mL) Tablet, oral: 0.5 mg, 1 mg, 4 mg Tablet, oral: 0.125 mg [BCF], 0.25 mg [BCF] Dextroamphetamine DilTIAZem Outpatient Dosage Forms Outpatient Dosage Forms Capsule, extended release, oral, as sulfate: 5 mg, 10 mg, 15 mg Capsule, extended release, oral, as hydrochloride [once-daily dosing]: 120 mg Tablet, oral, as sulfate: 5 mg [BCF], 180 mg [BCF], 240 mg [BCF], 300 mg [BCF], 360 mg [BCF], 420 mg Dextroamphetamine and Amphetamine [BCF] Outpatient Dosage Forms Tablet, oral, as hydrochloride: 30 mg, 60 mg Capsule, extended release, oral: (Systemic) 5 mg [dextroamphetamine sulfate 1.25 mg, dextroamphetamine saccharate 1.25 mg, amphetamine aspartate monohydrate 1.25 mg, amphetamine sul- Outpatient Dosage Forms fate 1.25 mg (equivalent to amphetamine base 3.1 mg)] [BCF] Capsule, oral, as hydrochloride: 25 mg, 50 mg 10 mg [dextroamphetamine sulfate 2.5 mg, dextroamphetamine saccharate Elixir, oral, as hydrochloride: 2.5 mg, amphetamine aspartate monohydrate 2.5 mg, amphetamine sulfate Banophen™: 12.5 mg/5 mL (120 mL) 2.5 mg (equivalent to amphetamine base 6.3 mg)] [BCF] 15 mg [dextroamphetamine sulfate 3.75 mg, dextroamphetamine saccharate Diphenoxylate and Atropine 3.75 mg, amphetamine aspartate monohydrate 3.75 mg, amphetamine sul- Outpatient Dosage Forms fate 3.75 mg (equivalent to amphetamine base 9.4 mg)] [BCF] Tablet, oral: Diphenoxylate hydrochloride 2.5 mg and atropine sulfate 0.025 mg 20 mg [dextroamphetamine sulfate 5 mg, dextroamphetamine saccharate 5 mg, amphetamine aspartate monohydrate 5 mg, amphetamine sulfate Dipyridamole 5 mg (equivalent to amphetamine base 12.5 mg)] [BCF] Outpatient Dosage Forms 25 mg [dextroamphetamine sulfate 6.25 mg, dextroamphetamine saccharate Tablet, oral: 25 mg, 75 mg 6.25 mg, amphetamine aspartate monohydrate 6.25 mg, amphetamine sul- fate 6.25 mg (equivalent to amphetamine base 15.6 mg)] [BCF] Disopyramide 30 mg [dextroamphetamine sulfate 7.5 mg, dextroamphetamine saccharate Outpatient Dosage Forms 7.5 mg, amphetamine aspartate monohydrate 7.5 mg, amphetamine sulfate Capsule, controlled release, oral: 7.5 mg (equivalent to amphetamine base 18.8 mg)] [BCF] Norpace® CR: 100 mg, 150 mg Tablet, oral: 5 mg [dextroamphetamine sulfate 1.25 mg, dextroamphetamine saccharate Disulfiram 1.25 mg, amphetamine aspartate monohydrate 1.25 mg, amphetamine sul- Outpatient Dosage Forms fate 1.25 mg (equivalent to amphetamine base 3.13 mg)] Tablet, oral: 250 mg 10 mg [dextroamphetamine sulfate 2.5 mg, dextroamphetamine saccharate 2.5 mg, amphetamine aspartate monohydrate 2.5 mg, amphetamine sulfate Docusate 2.5 mg (equivalent to amphetamine base 6.3 mg)] Outpatient Dosage Forms 20 mg [dextroamphetamine sulfate 5 mg, dextroamphetamine saccharate Capsule, softgel, oral, as calcium: 240 mg 5 mg, amphetamine aspartate monohydrate 5 mg, amphetamine sulfate 5 mg (equivalent to amphetamine base 12.6 mg)] Donepezil 30 mg [dextroamphetamine sulfate 7.5 mg, dextroamphetamine saccharate Outpatient Dosage Forms 7.5 mg, amphetamine aspartate monohydrate 7.5 mg, amphetamine sulfate Tablet, oral, as hydrochloride: 7.5 mg (equivalent to amphetamine base 18.8 mg)] Aricept®: 5 mg, 10 mg Diabetic Supplies Dorzolamide Outpatient Dosage Forms Outpatient Dosage Forms Gauze sponge, nonsterile: 2" x 2" (200/pkg) Solution, ophthalmic [drops]: 2% (10 mL) Lancet: BD™ Ultra-Fine™ II: 200/box Doxazosin Syringe and needle: Outpatient Dosage Forms Sure Comfort Pen Needles 30 gauge X 8 MM (100/box) Tablet, oral: 1 mg, 2 mg, 4 mg, 8 mg Test Strips/Kit: FreeStyle® Test Strips: 50/box (Systemic) FreeStyle Lite® Test Strips: 50/box Outpatient Dosage Forms Keto-Diastix® Test Strips: 50/box Capsule, oral: 10 mg [BCF], 25 mg [BCF], 50 mg [BCF], 75 mg [BCF], 150 mg Precision Xtra® Blood Glucose Test Strips: 100/box [BCF] Solution, oral [concentrate]: 10 mg/mL (118 mL) [BCF] 6 ETHINYL AND LEVONORGESTREL Doxycycline Escitalopram Outpatient Dosage Forms Outpatient Dosage Forms Capsule, oral, as hyclate [strength expressed as base]: 100 mg [BCF] Tablet, Oral: Tablet, oral, as hyclate [strength expressed as base]: 100 mg [BCF] Generic: 5 mg, 10 mg, 20 mg Esomeprazole Outpatient Dosage Forms Outpatient Dosage Forms Tablet, Oral, as succinate: Capsule, delayed release, oral, as magnesium [strength expressed as base]: Unisom: 25 mg NexIUM®: 20 mg [BCF], 40 mg [BCF] Dronedarone Estradiol (Systemic) Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: Injection, oil, as valerate: 20 mg/mL (5 mL) Multaq®: 400 mg Patch, transdermal [once-weekly patch]: 0.025 mg/24 hours (4s) [BCF]; 0.0375 mg/24 hours (4s) [BCF]; 0.05 mg/24 hours (4s) [BCF]; 0.06 mg/24 DULoxetine hours (4s) [BCF]; 0.075 mg/24 hours (4s) [BCF]; 0.1 mg/24 hours (4s) [BCF] Outpatient Dosage Forms Tablet, oral [micronized]: 1 mg, 2 mg Capsule Delayed Release Particles, Oral: Generic: 20 mg, 30 mg, 40 mg, 60 mg (Conjugated/Equine) and Medroxyprogesterone Outpatient Dosage Forms Emollients Tablet, Oral: Outpatient Dosage Forms Prempro: 0.3/1.5: Conjugated estrogens 0.3 mg and medroxyprogesterone Cream, topical: acetate 1.5 mg [BCF] Velvachol®: 420 g Prempro: 0.45/1.5: Conjugated estrogens 0.45 mg and medroxyprogesterone Ointment, topical: acetate 1.5 mg [BCF] Absorbase®: 4 oz, 16 oz Prempro: 0.625/2.5: Conjugated estrogens 0.625 mg and medroxyprogester- one acetate 2.5 mg [BCF] Enalapril Prempro: 0.625/5: Conjugated estrogens 0.625 mg and medroxyprogesterone Outpatient Dosage Forms acetate 5 mg [BCF] Tablet, oral, as maleate: 2.5 mg, 5 mg, 10 mg, 20 mg Estrogens (Conjugated/Equine, Systemic) Enoxaparin Outpatient Dosage Forms Outpatient Dosage Forms Injection, powder for reconstitution: Injection, solution, as sodium [preservative free]: 30 mg/0.3 mL (0.3 mL) [BCF]; Premarin®: 25 mg [contains lactose 200 mg] 40 mg/0.4 mL (0.4 mL) [BCF]; 60 mg/0.6 mL (0.6 mL) [BCF]; 80 mg/0.8 mL Tablet, oral: (0.8 mL) [BCF]; 100 mg/mL (1 mL) [BCF]; 120 mg/0.8 mL (0.8 mL) [BCF]; Premarin®: 0.3 mg [BCF], 0.45 mg [BCF], 0.625 mg [BCF], 0.9 mg, 150 mg/mL (1 mL) [BCF] 1.25 mg [BCF] EPINEPHrine (Systemic) Estrogens (Conjugated/Equine, Topical) Outpatient Dosage Forms Outpatient Dosage Forms Injection, solution: Cream, vaginal: Twinject®: 0.15 mg/0.15 mL (1.1 mL) [contains chlorobutanol, sodium bisulfite; Premarin®: 0.625 mg/g (30 g) [BCF] 1:1000 solution; delivers 0.15 mg per injection] Estrogens (Esterified) and Methyltestosterone Twinject®: 0.3 mg/0.3 mL (1.1 mL) [contains chlorobutanol, sodium bisulfite; Outpatient Dosage Forms 1:1000 solution; delivers 0.3 mg per injection] Tablet: Esterified 0.625 mg and methyltestosterone 1.25 mg; esterified Epoetin Alfa estrogens 1.25 mg and methyltestosterone 2.5 mg Outpatient Dosage Forms Eszopiclone Injection, solution: Outpatient Dosage Forms Epogen®: 10,000 units/mL (2 mL); 20,000 units/mL (1 mL) [contains albumin Tablet, oral: (human), benzyl alcohol] Lunesta®: 1 mg, 2 mg, 3 mg Procrit®: 10,000 units/mL (2 mL); 20,000 units/mL (1 mL) [contains albumin (human), benzyl alcohol] Ethambutol Injection, solution [preservative free]: Outpatient Dosage Forms Epogen®: 2000 units/mL (1 mL); 3000 units/mL (1 mL); 4000 units/mL (1 mL); Tablet, oral, as hydrochloride: 100 mg [BCF], 400 mg [BCF] 10,000 units/mL (1 mL) [contains albumin (human)] Procrit®: 2000 units/mL (1 mL); 3000 units/mL (1 mL); 4000 units/mL (1 mL); Ethinyl Estradiol and Desogestrel 10,000 units/mL (1 mL); 40,000 units/mL (1 mL) [contains albumin (human)] Outpatient Dosage Forms Tablet, monophasic formulations: Ergocalciferol Desogen®: Ethinyl estradiol 0.03 mg and desogestrel 0.15 mg [21 white Outpatient Dosage Forms tablets and 7 green inactive tablets] (28s) Capsule, oral: 50,000 units [1.25 mg] Ethinyl Estradiol and Drospirenone Ergotamine and Caffeine Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: Tablet, oral: Ergotamine tartrate 1 mg and caffeine 100 mg Yasmin®: Ethinyl estradiol 0.03 mg and drospirenone 3 mg [21 yellow active tablets and 7 white inactive tablets] (28s) [BCF] Erythromycin and Sulfisoxazole Yaz®: Ethinyl estradiol 0.02 mg and drospirenone 3 mg [24 light pink active Outpatient Dosage Forms tablets and 4 white inactive tablets] (28s) [BCF] Powder for oral suspension: Erythromycin ethylsuccinate 200 mg and sulfisox- azole acetyl 600 mg per 5 mL (200 mL) Ethinyl Estradiol and Ethynodiol Diacetate Outpatient Dosage Forms Erythromycin (Ophthalmic) Tablet, monophasic formulations: Outpatient Dosage Forms Zovia® 1/35-28: Ethinyl estradiol 0.035 mg and ethynodiol diacetate 1 mg [21 Ointment, Ophthalmic: light pink tablets and 7 white inactive tablets] (28s) Generic: 5 mg/g (1 g, 3.5 g) [BCF] Zovia® 1/50-28: Ethinyl estradiol 0.05 mg and ethynodiol diacetate 1 mg [21 pink tablets and 7 white inactive tablets] (28s) Erythromycin (Systemic) Outpatient Dosage Forms Ethinyl Estradiol and Etonogestrel Granules for suspension, oral, as ethylsuccinate [strength expressed as base]: Outpatient Dosage Forms E.E.S.®: 200 mg/5 mL (100 mL) [contains sodium 25.9 mg (1.1 mEq)/5 mL; Ring, vaginal: cherry flavor] [BCF] NuvaRing®: Ethinyl estradiol 0.015 mg/day and etonogestrel 0.12 mg/day (3s) Tablet, delayed release, enteric coated, oral, as base: [3-week duration] Ery-Tab®: 250 mg [contains sodium 8.3 mg (0.4 mEq)/tablet] [BCF] Ethinyl Estradiol and Levonorgestrel Erythromycin (Topical) Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral [extended cycle regimen]: Gel, topical: 2% (30 g, 60 g) [BCF] Jolessa™: Ethinyl estradiol 0.03 mg and levonorgestrel 0.15 mg (91s) [84 pink Solution, topical: 2% (60 mL) [BCF] tablets and 7 white inactive tablets] [BCF] 7 ETHINYL ESTRADIOL AND LEVONORGESTREL

Tablet, oral [low dose formulation]: Day 8-14: Ethinyl estradiol 0.025 mg and norgestimate 0.215 mg [7 light blue Aviane™: Ethinyl estradiol 0.02 mg and levonorgestrel 0.1 mg [21 orange tablets] tablets and 7 light green inactive tablets] (28s) [BCF] Day 15-21: Ethinyl estradiol 0.025 mg and norgestimate 0.25 mg [7 dark blue Lessina®: Ethinyl estradiol 0.02 mg and levonorgestrel 0.1 mg [21 pink tablets tablets] and 7 white inactive tablets] (28s) [BCF] Day 22-28: 7 dark green inactive tablets (28s) Lutera®: Ethinyl estradiol 0.02 mg and levonorgestrel 0.1 mg (28s) [21 white tablets and 7 peach inactive tablets] [BCF] Ethinyl Estradiol and Norgestrel Orsythia™: Ethinyl estradiol 0.02 mg and levonorgestrel 0.1 mg (28s) [21 pink Outpatient Dosage Forms tablets and 7 light green inactive tablets] [BCF] Tablet, monophasic formulations: Ethinyl estradiol 0.03 mg and norgestrel Sronyx®: Ethinyl estradiol 0.02 mg and levonorgestrel 0.1 mg (28s) [21 white 0.3 mg [21 tablets and 7 inactive tablets] (28s) tablets and 7 peach inactive tablets] [BCF] Lo/Ovral®-28: Ethinyl estradiol 0.03 mg and norgestrel 0.3 mg [21 white Tablet, oral [monophasic formulation]: tablets and 7 pink inactive tablets] (28s) Altavera™: Ethinyl estradiol 0.03 mg and levonorgestrel 0.15 mg (28s) [21 peach tablets and 7 white inactive tablets] [BCF] Etodolac Levora®: Ethinyl estradiol 0.03 mg and levonorgestrel 0.15 mg (28s) [21 white Outpatient Dosage Forms tablets and 7 peach inactive tablets] [BCF] Capsule, oral: 200 mg, 300 mg Nordette® 28: Ethinyl estradiol 0.03 mg and levonorgestrel 0.15 mg (28s) [21 Tablet, oral: 400 mg, 500 mg light orange tablets and 7 pink inactive tablets] [BCF] Portia® 28: Ethinyl estradiol 0.03 mg and levonorgestrel 0.15 mg (28s) [21 pink tablets and 7 white inactive tablets] [BCF] Outpatient Dosage Forms Tablet, oral [triphasic formulation]: Pen-Injector, Subcutaneous: Enpresse®: Bydureon: 2 mg (1 ea) Day 1-6: Ethinyl estradiol 0.03 mg and levonorgestrel 0.05 mg [6 pink tablets] Suspension Reconstituted ER, Subcutaneous: Day 7-11: Ethinyl estradiol 0.04 mg and levonorgestrel 0.075 mg [5 white Bydureon: 2 mg (1 ea) tablets] Day 12-21: Ethinyl estradiol 0.03 mg and levonorgestrel 0.125 mg [10 orange Ezetimibe tablets] Outpatient Dosage Forms Day 22-28: 7 light green inactive tablets (28s) Tablet, oral: Myzilra™: Zetia®: 10 mg Day 1-6: Ethinyl estradiol 0.03 mg and levonorgestrel 0.05 mg [6 beige tablets] Ezetimibe and Simvastatin Day 7-11: Ethinyl estradiol 0.04 mg and levonorgestrel 0.075 mg [5 white Outpatient Dosage Forms tablets] Tablet: Day 12-21: Ethinyl estradiol 0.03 mg and levonorgestrel 0.125 mg [10 light yellow tablets] Vytorin® 10/10: Ezetimibe 10 mg and simvastatin 10 mg Day 22-28: 7 light green inactive tablets (28s) Vytorin® 10/20: Ezetimibe 10 mg and simvastatin 20 mg Trivora®: Vytorin® 10/40: Ezetimibe 10 mg and simvastatin 40 mg Day 1-6: Ethinyl estradiol 0.03 mg and levonorgestrel 0.05 mg [6 blue tablets] Vytorin® 10/80: Ezetimibe 10 mg and simvastatin 80 mg Day 7-11: Ethinyl estradiol 0.04 mg and levonorgestrel 0.075 mg [5 white tablets] Day 12-21: Ethinyl estradiol 0.03 mg and levonorgestrel 0.125 mg [10 pink Outpatient Dosage Forms tablets] Tablet, oral: 20 mg Day 22-28: 7 peach inactive tablets (28s) Felodipine Ethinyl Estradiol and Norelgestromin Outpatient Dosage Forms Outpatient Dosage Forms Tablet, extended release, oral: 2.5 mg, 5 mg, 10 mg Patch, transdermal: Ortho Evra®: Ethinyl estradiol 0.75 mg and norelgestromin 6 mg [releases Fenofibrate and Derivatives ethinyl estradiol 20 mcg and norelgestromin 150 mcg per day] (1s, 3s) Outpatient Dosage Forms Ethinyl Estradiol and Norethindrone Tablet, oral: 54 mg, 160 mg TriCor®: 48 mg [BCF], 145 mg [BCF] [contains soybean lecithin] Outpatient Dosage Forms Tablet, oral, monophasic formulations: FentaNYL Loestrin® 21 1/20: Ethinyl estradiol 0.02 mg and norethindrone acetate 1 mg Outpatient Dosage Forms [light yellow tablets] (21s) Patch, transdermal, as base: 12 [delivers 12.5 mcg/hr] (5s); 25 [delivers 25 mcg/ Loestrin® 21 1.5/30: Ethinyl estradiol 0.03 mg and norethindrone acetate 1.5 mg [pink tablets] (21s) hr] (5s); 50 [delivers 50 mcg/hr] (5s); 75 [delivers 75 mcg/hr] (5s); 100 [delivers Loestrin® Fe 1.5/30: Ethinyl estradiol 0.03 mg and norethindrone acetate 100 mcg/hr] (5s) 1.5 mg [21 pink tablets] and ferrous fumarate 75 mg [7 brown tablets] (28s) Ferrous Sulfate Norinyl® 1+35: Ethinyl estradiol 0.035 mg and norethindrone 1 mg [21 yellow- green tablets and 7 orange inactive tablets] (28s) [BCF] Outpatient Dosage Forms Liquid, oral [drops]: 75 mg/mL (50 mL) [elemental iron 15 mg/mL] Tablet, oral, triphasic formulations: Tablet, oral: 324 mg [elemental iron 65 mg] Necon® 7/7/7, Ortho-Novum® 7/7/7: Day 1-7: Ethinyl estradiol 0.035 mg and norethindrone 0.5 mg [7 white tablets] Outpatient Dosage Forms Day 8-14: Ethinyl estradiol 0.035 mg and norethindrone 0.75 mg [7 light Tablet, Oral, as hydrochloride: peach tablets] Generic: 60 mg, 180 mg Day 15-21: Ethinyl estradiol 0.035 mg and norethindrone 1 mg [7 peach tablets] Finasteride Day 22-28: 7 green inactive tablets (28s) Outpatient Dosage Forms Ethinyl Estradiol and Norgestimate Tablet, oral: 5 mg [BCF] Outpatient Dosage Forms FlavoxATE Tablet, monophasic formulations: Ortho-Cyclen®: Ethinyl estradiol 0.035 mg and norgestimate 0.25 mg [21 blue Outpatient Dosage Forms tablets and 7 dark green inactive tablets] (28s) [BCF] Tablet, oral, as hydrochloride: 100 mg Tablet, triphasic formulations: Ortho Tri-Cyclen® [BCF]: Fluconazole Day 1-7: Ethinyl estradiol 0.035 mg and norgestimate 0.18 mg [7 white Outpatient Dosage Forms tablets] Tablet, oral: 100 mg, 150 mg [BCF] Day 8-14: Ethinyl estradiol 0.035 mg and norgestimate 0.215 mg [7 light blue tablets] Fluocinolone (Topical) Day 15-21: Ethinyl estradiol 0.035 mg and norgestimate 0.25 mg [7 blue Outpatient Dosage Forms tablets] Solution, topical, as acetonide: 0.01% (60 mL) Day 22-28: 7 dark green inactive tablets (28s) Ortho Tri-Cyclen® Lo [BCF]: Fluocinonide Day 1-7: Ethinyl estradiol 0.025 mg and norgestimate 0.18 mg [7 white Outpatient Dosage Forms tablets] Cream, topical: 0.05% (60 g) [BCF] 8 GRISEOFULVIN Gabapentin Outpatient Dosage Forms Fluoride Capsule, oral: 100 mg [BCF], 300 mg [BCF], 400 mg [BCF] Outpatient Dosage Forms Tablet, oral: 600 mg [BCF], 800 mg [BCF] Cream, oral, as sodium [toothpaste]: 1.1% (51 g) [equivalent to fluoride 2.5 mg/ dose] Ganciclovir (Ophthalmic) PreviDent® 5000 Plus®: 1.1% (51 g) [contains sodium benzoate; equivalent to Outpatient Dosage Forms fluoride 2.5 mg/dose] Gel, ophthalmic [drops]: Solution, oral, as sodium [drops]: Zirgan®: 0.15% (5 g) [contains benzalkonium chloride] Flura-Drops®: 0.55 mg/drop (24 mL) [dye free, sugar free; equivalent to Gemfibrozil fluoride 0.25 mg/drop] Outpatient Dosage Forms Tablet, chewable, oral, as sodium: 1.1 mg [equivalent to fluoride 0.5 mg], 2.2 mg Tablet, oral: 600 mg [BCF] [equivalent to fluoride 1 mg] Fluorometholone Gentamicin (Ophthalmic) Outpatient Dosage Forms Outpatient Dosage Forms Ointment, ophthalmic [preservative free]: Suspension, ophthalmic, as base [drops]: 0.1% (5 mL) Garamycin™: 0.3% (3.5 g) [BCF] Fluorouracil (Topical) Solution, ophthalmic [drops]: 0.3% (5 mL) [BCF] Outpatient Dosage Forms Gentamicin (Topical) Cream, topical: 5% (40 g) Outpatient Dosage Forms FLUoxetine Cream, topical: 0.1% (15 g) Outpatient Dosage Forms Gentian Violet Capsule, oral: 10 mg [BCF], 20 mg [BCF], 40 mg [BCF] Outpatient Dosage Forms Solution, oral: 20 mg/5 mL (120 mL) [BCF] Solution, topical: 2% (60 mL) Glatiramer Acetate Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral, as hydrochloride: 1 mg, 5 mg Kit, Subcutaneous: Flurandrenolide Copaxone: 20 mg/mL [contains mannitol] Outpatient Dosage Forms Glimepiride Tape, topical [roll]: Outpatient Dosage Forms 2 Cordran®: 4 mcg/cm (80 inch) Tablet, oral: 1 mg, 2 mg, 4 mg Flurbiprofen (Systemic) GlipiZIDE Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: 100 mg Tablet, oral: 5 mg [BCF], 10 mg [BCF] and Salmeterol Tablet, extended release, oral: 2.5 mg, 5 mg, 10 mg Outpatient Dosage Forms Glipizide and Metformin Aerosol, for oral inhalation: Outpatient Dosage Forms Advair® HFA: 45/21: 45 mcg and salmeterol 21 mcg Tablet, oral: per inhalation (12 g) [chlorofluorocarbon free; 120 metered actuations] [BCF] 2.5/250: Glipizide 2.5 mg and metformin hydrochloride 250 mg Advair® HFA: 115/21: Fluticasone propionate 115 mcg and salmeterol 21 mcg 2.5/500: Glipizide 2.5 mg and metformin hydrochloride 500 mg per inhalation (12 g) [chlorofluorocarbon free; 120 metered actuations] [BCF] 5/500: Glipizide 5 mg and metformin hydrochloride 500 mg Advair® HFA: 230/21: Fluticasone propionate 230 mcg and salmeterol 21 mcg per inhalation (12 g) [chlorofluorocarbon free; 120 metered actuations] [BCF] Powder, for oral inhalation: Outpatient Dosage Forms Advair Diskus®: 100/50: Fluticasone propionate 100 mcg and salmeterol 50 Injection, powder for reconstitution: mcg (14s, 60s) [contains lactose] [BCF] Glucagon Emergency Kit: 1 mg [contains glycerin (in diluent), lactose 49 mg; Advair Diskus®: 250/50: Fluticasone propionate 250 mcg and salmeterol 50 equivalent to 1 unit] mcg (14s, 60s) [contains lactose] [BCF] GlyBURIDE Advair Diskus®: 500/50: Fluticasone propionate 500 mcg and salmeterol 50 Outpatient Dosage Forms mcg (14s, 60s) [contains lactose] [BCF] Tablet, oral: 1.25 mg [BCF], 2.5 mg [BCF], 5 mg [BCF] Fluticasone (Nasal) Tablet, oral [micronized]: 1.5 mg [BCF], 3 mg [BCF], 5 mg [BCF], 6 mg [BCF] Outpatient Dosage Forms Glyburide and Metformin Suspension, intranasal, as propionate [spray]: 50 mcg/inhalation (16 g) [BCF] Outpatient Dosage Forms Fluticasone (Oral Inhalation) Tablet, oral: Outpatient Dosage Forms 1.25 mg/250 mg: Glyburide 1.25 mg and metformin hydrochloride 250 mg 2.5 mg/500 mg: Glyburide 2.5 mg and metformin hydrochloride 500 mg Aerosol, for oral inhalation, as propionate: 5 mg/500 mg: Glyburide 5 mg and metformin hydrochloride 500 mg Flovent® HFA: 44 mcg/inhalation (10.6 g) [chlorofluorocarbon free; 120 metered actuations] [BCF] Glycerin Flovent® HFA: 110 mcg/inhalation (12 g) [chlorofluorocarbon free; 120 Outpatient Dosage Forms metered actuations] [BCF] Suppository, rectal [pediatric]: 1.5 g (12s) Flovent® HFA: 220 mcg/inhalation (12 g) [chlorofluorocarbon free; 120 metered actuations] [BCF] Glycopyrrolate (Systemic) Powder, for oral inhalation, as propionate: Outpatient Dosage Forms Flovent® Diskus®: 50 mcg (60s) [contains lactose] [BCF] Solution, Injection: Flovent® Diskus®: 100 mcg (60s) [contains lactose] [BCF] Generic: 0.2 mg/mL (20 mL) Flovent® Diskus®: 250 mcg (60s) [contains lactose] [BCF] Tablet, Oral: Generic: 1 mg Folic Acid Outpatient Dosage Forms Goserelin Tablet, oral: 1 mg [BCF] Outpatient Dosage Forms Implant, subcutaneous: Fosinopril Zoladex®: 3.6 mg (1s) [1 month implant] [BCF] Outpatient Dosage Forms Zoladex®: 10.8 mg (1s) [3 month implant] [BCF] Tablet, oral, as sodium: 10 mg, 20 mg, 40 mg Griseofulvin Furosemide Outpatient Dosage Forms Outpatient Dosage Forms Suspension, oral [microsize]: 125 mg/5 mL (120 mL) [BCF] Solution, oral: 10 mg/mL (120 mL) [BCF] Tablet, oral [ultramicrosize]: Tablet, oral: 20 mg [BCF], 40 mg [BCF] Gris-PEG®: 125 mg [BCF], 250 mg [BCF] [scored] 9 GUAIFENESIN GuaiFENesin Outpatient Dosage Forms Outpatient Dosage Forms Syrup, oral: 100 mg/5 mL (118 mL) Capsule, oral, as pamoate: 25 mg, 50 mg Tablet, extended release, oral: Syrup, oral, as hydrochloride: 10 mg/5 mL (118 mL) [BCF] Mucinex®: 600 mg Tablet, oral, as hydrochloride: 10 mg [BCF], 25 mg [BCF], 50 mg [BCF] Guaifenesin and Codeine Hyoscyamine, Atropine, Scopolamine, and Phenobarbital Outpatient Dosage Forms Outpatient Dosage Forms Syrup, oral: Guaifenesin 100 mg and codeine phosphate 10 mg per 5 mL (473 Elixir: Hyoscyamine sulfate 0.1037 mg, atropine sulfate 0.0194 mg, scopol- mL) amine hydrobromide 0.0065 mg, and phenobarbital 16.2 mg per 5 mL (473 mL) Guaifenesin and Dextromethorphan Tablet: Hyoscyamine sulfate 0.1037 mg, atropine sulfate 0.0194 mg, scopol- Outpatient Dosage Forms amine hydrobromide 0.0065 mg, and phenobarbital 16.2 mg Syrup, oral: Guaifenesin 100 mg and dextromethorphan hydrobromide 10 mg per 5 mL (120 mL) Ibandronate Outpatient Dosage Forms Guaifenesin and Pseudoephedrine Tablet, oral: 150 mg Outpatient Dosage Forms Tablet, extended release, oral: Ibuprofen Mucinex® D: Guaifenesin 600 mg and pseudoephedrine hydrochloride 60 mg Outpatient Dosage Forms Suspension, oral: 100 mg/5 mL (120 mL) GuanFACINE Tablet, oral: 400 mg [BCF], 600 mg [BCF], 800 mg [BCF] Outpatient Dosage Forms Tablet, extended release, oral: Imatinib Intuniv®: 1 mg, 2 mg, 3 mg, 4 mg Outpatient Dosage Forms Tablet, oral: Gleevec®: 100 mg [scored] Outpatient Dosage Forms Tablet, oral: 0.5 mg, 1 mg, 2 mg, 5 mg Outpatient Dosage Forms Heparin Capsule, oral, as pamoate: 75 mg [BCF] Outpatient Dosage Forms Tablet, oral, as hydrochloride: 10 mg [BCF], 25 mg [BCF], 50 mg [BCF] Injection, solution, as sodium [lock flush preparation; porcine intestinal mucosa source]: 10 units/mL (5 mL); 100 units/mL (5 mL) Imiquimod Outpatient Dosage Forms HydrALAZINE Cream, topical: 5% (24s) [0.25 g/packet] Outpatient Dosage Forms Tablet, oral, as hydrochloride: 10 mg [BCF], 25 mg [BCF], 50 mg [BCF] Indomethacin Outpatient Dosage Forms HydroCHLOROthiazide Capsule, oral: 25 mg [BCF], 50 mg [BCF] Outpatient Dosage Forms Capsule, oral: 12.5 mg [BCF] Inhalation Devices Tablet, oral: 12.5 mg, 25 mg [BCF], 50 mg [BCF] Outpatient Dosage Forms Holding chamber: Hydrochlorothiazide and Triamterene AeroChamber™ with mask (small, medium) Outpatient Dosage Forms Tablet, oral: Hydrochlorothiazide 25 mg and triamterene 37.5 mg [BCF]; hydro- Aspart chlorothiazide 50 mg and triamterene 75 mg [BCF] Outpatient Dosage Forms Injection, solution: Hydrocodone and Acetaminophen NovoLOG®: 100 units/mL (10 mL) [vial] [BCF] Outpatient Dosage Forms NovoLOG® FlexPen®: 100 units/mL (3 mL) [BCF] Tablet, oral: Hydrocodone bitartrate 5 mg and acetaminophen 325 mg Protamine and Insulin Aspart Hydrocodone bitartrate 5 mg and acetaminophen 500 mg Outpatient Dosage Forms Hydrocodone bitartrate 10 mg and acetaminophen 325 mg Injection, suspension: NovoLOG® Mix 70/30: Insulin aspart protamine suspension 70% [intermediate Hydrocortisone (Systemic) acting] and insulin aspart solution 30% [rapid acting]: 100 units/mL (10 Outpatient Dosage Forms mL) [BCF] Tablet, oral, as base: 5 mg, 20 mg Hydrocortisone (Topical) Outpatient Dosage Forms Outpatient Dosage Forms Injection, solution: Cream, topical, as acetate: 1% (28.4 g) Levemir®: 100 units/mL (10 mL) Cream, topical, as base: Anusol-HC®: 2.5% (30 g) [contains benzyl alcohol] [BCF] ProctoCream®-HC: 2.5% (30 g) [contains benzyl alcohol] [BCF] Outpatient Dosage Forms Cream, topical, as valerate: 0.2% (15 g, 60 g) Injection, solution: Lotion, topical, as base: 1% (118 mL) Lantus®: 100 units/mL (10 mL) [vial] [BCF] Ointment, topical, as acetate [strength expressed as base]: 1% (30 g) Lantus® Solostar®: 100 units/mL (3 mL) [prefilled pen] [BCF] Ointment, topical, as valerate: 0.2% (15 g, 60 g) Suppository, rectal, as acetate: 25 mg (12s) [BCF] Insulin NPH Anusol-HC®: 25 mg (12s, 24s) [BCF] Outpatient Dosage Forms Suspension, rectal, as base: 100 mg/60 mL (60 mL) Injection, suspension: NovoLIN® N: 100 units/mL (10 mL) [vial] [BCF] HYDROmorphone Outpatient Dosage Forms Insulin NPH and Insulin Regular Tablet, oral, as hydrochloride: 2 mg, 4 mg Outpatient Dosage Forms Injection, suspension: Hydroxychloroquine 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, as sulfate: 200 mg [equivalent to 155 mg base] Insulin Regular Hydroxypropyl Methylcellulose Outpatient Dosage Forms Outpatient Dosage Forms Injection, solution: Solution, ophthalmic [drops]: NovoLIN® R: 100 units/mL (10 mL) [BCF] Nature's Tears: 0.4% (15 mL) [contains benzalkonium chloride] Interferon Beta-1b Hydroxyurea Outpatient Dosage Forms Outpatient Dosage Forms Kit, Subcutaneous: Capsule, oral: 500 mg Betaseron: 0.3 mg [contains albumin human] [BCF] 10 LOSARTAN Ipratropium and Albuterol LevETIRAcetam Outpatient Dosage Forms Outpatient Dosage Forms Solution for nebulization: 0.5 mg and albuterol (base) Tablet, oral: 250 mg, 500 mg, 750 mg 2.5 mg per 3 mL (60s) Solution, for oral inhalation [spray]: Levocabastine (Ophthalmic) Combivent® Respimat®: Ipratropium bromide 20 mcg and albuterol (base) 100 Outpatient Dosage Forms mcg per inhalation (4 g) [contains benzalkonium chloride; 120 metered Suspension, ophthalmic: actuations] Livostin®: 0.05% (5 mL) [contains benzalkonium chloride] Ipratropium (Oral Inhalation) LevoFLOXacin (Systemic) Outpatient Dosage Forms Outpatient Dosage Forms Aerosol, for oral inhalation, as bromide: Solution, oral: 25 mg/mL (480 mL) [BCF] Atrovent® HFA: 17 mcg/actuation (12.9 g) [chlorofluorocarbon free; 200 Tablet, oral: 250 mg [BCF], 500 mg [BCF], 750 mg [BCF] metered actuations] [BCF] Levonorgestrel (Systemic) Solution, for nebulization, as bromide: 0.02% [500 mcg/2.5 mL] (30s) Outpatient Dosage Forms Isoniazid Tablet, Oral: Outpatient Dosage Forms Plan B: 0.75 mg [BCF] Tablet, oral: 100 mg [BCF], 300 mg [BCF] Levothyroxine Isosorbide Dinitrate Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral, as sodium: 25 mcg [BCF], 50 mcg [BCF], 75 mcg [BCF], 88 mcg Capsule, sustained release, oral: [BCF], 100 mcg [BCF], 112 mcg [BCF], 125 mcg [BCF], 137 mcg [BCF], 150 Dilatrate®-SR: 40 mg mcg [BCF], 175 mcg [BCF], 200 mcg [BCF], 300 mcg [BCF] Tablet, oral: 5 mg [BCF], 10 mg [BCF], 20 mg [BCF], 30 mg [BCF] Levoxyl®: 25 mcg [BCF], 50 mcg [BCF], 75 mcg [BCF], 88 mcg [BCF], 100 Tablet, sublingual: 5 mg mcg [BCF], 112 mcg [BCF], 125 mcg [BCF], 137 mcg [BCF], 150 mcg [BCF], 175 mcg [BCF], 200 mcg [BCF] Isosorbide Mononitrate Outpatient Dosage Forms Lidocaine (Systemic) Tablet, extended release, oral: 30 mg [BCF], 60 mg [BCF], 120 mg [BCF] Outpatient Dosage Forms Injection, solution, as hydrochloride: 2% [20 mg/mL] (2 mL, 5 mL, 20 mL, 50 mL) ISOtretinoin Outpatient Dosage Forms Lidocaine (Topical) Capsule, oral: Outpatient Dosage Forms Accutane® [CAN]: 10 mg, 20 mg, 40 mg [contains soybean oil] Jelly, topical, as hydrochloride: 2% (30 mL) Ointment, topical: 5% (35.4 g) Ketoconazole (Systemic) Patch, External: Outpatient Dosage Forms Generic: 5% (30 ea) Tablet, oral: 200 mg Solution, topical, as hydrochloride: 4% [40 mg/mL] (50 mL) Ketoconazole (Topical) Lindane Outpatient Dosage Forms Outpatient Dosage Forms Cream, topical: 2% (15 g, 30 g, 60 g) Shampoo, topical: 1% (60 mL) Shampoo, topical: 2% (120 mL) Liothyronine (Ophthalmic) Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: 5 mcg, 25 mcg Solution, ophthalmic [drops]: 0.025% (5 mL) Lisinopril Labetalol Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: 2.5 mg [BCF], 5 mg [BCF], 10 mg [BCF], 20 mg [BCF], 30 mg Tablet, oral, as hydrochloride: 100 mg, 200 mg [BCF], 40 mg [BCF] Lactic Acid and Ammonium Hydroxide Lisinopril and Hydrochlorothiazide Outpatient Dosage Forms Outpatient Dosage Forms Lotion, topical: Lactic acid 12% with ammonium hydroxide (225 g) Tablet, oral: 10/12.5: Lisinopril 10 mg and hydrochlorothiazide 12.5 mg [BCF] Lactulose 20/12.5: Lisinopril 20 mg and hydrochlorothiazide 12.5 mg [BCF] Outpatient Dosage Forms 20/25: Lisinopril 20 mg and hydrochlorothiazide 25 mg [BCF] Solution, oral: 10 g/15 mL (473 mL) [BCF] Lithium LamoTRIgine Outpatient Dosage Forms Outpatient Dosage Forms Capsule, oral, as carbonate: 150 mg [BCF], 300 mg [BCF] Tablet, oral: 25 mg, 100 mg, 150 mg, 200 mg Solution, oral, as citrate: 300 mg/5 mL (500 mL) [equivalent to amount of lithium Tablet, chewable/dispersible, oral: 5 mg, 25 mg in lithium carbonate] [BCF] Tablet, extended release, oral, as carbonate: 450 mg Lanolin Outpatient Dosage Forms Loperamide Ointment, hydrous: 16 oz Outpatient Dosage Forms Capsule, oral, as hydrochloride: 2 mg [BCF] Latanoprost Outpatient Dosage Forms Solution, ophthalmic [drops]: 0.005% (2.5 mL) [BCF] Outpatient Dosage Forms Syrup, oral: 5 mg/5 mL (120 mL) Letrozole Tablet, oral: 10 mg Outpatient Dosage Forms Tablet, oral: 2.5 mg Loratadine and Pseudoephedrine Outpatient Dosage Forms Leucovorin Calcium Tablet, extended release: Loratadine 10 mg and pseudoephedrine sulfate Outpatient Dosage Forms 240 mg Tablet, oral [strength expressed as base]: 5 mg LORazepam Leuprolide Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: 0.5 mg, 1 mg Injection, powder for reconstitution, as acetate [depot formulation, preservative free]: Losartan Lupron Depot®: 3.75 mg (monthly), 11.25 mg (3 month)[contains polylactide- Outpatient Dosage Forms co-glycolide, polysorbate 80] Tablet, oral, as potassium: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF] 11 LOSARTAN AND HYDROCHLOROTHIAZIDE Losartan and Hydrochlorothiazide Methocarbamol Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: Tablet, oral: 500 mg [BCF], 750 mg 50/12.5: Losartan potassium 50 mg and hydrochlorothiazide 12.5 mg [BCF] 100/12.5: Losartan potassium 100 mg and hydrochlorothiazide 12.5 mg [BCF] Methotrexate 100/25: Losartan potassium 100 mg and hydrochlorothiazide 25 mg [BCF] Outpatient Dosage Forms Tablet, oral: 2.5 mg [BCF] Magnesium Citrate Outpatient Dosage Forms Methyldopa Solution, oral: 290 mg/5 mL (296 mL) Outpatient Dosage Forms Tablet, oral: 250 mg, 500 mg Magnesium Hydroxide Outpatient Dosage Forms Methylergonovine Suspension, oral: 400 mg/5 mL (473 mL) Outpatient Dosage Forms Tablet, oral, as maleate: 0.2 mg Magnesium Oxide Outpatient Dosage Forms Methylphenidate Tablet, oral: 400 mg [equivalent to elemental magnesium 240 mg] Outpatient Dosage Forms Capsule, extended release, oral, as hydrochloride [bi-modal release]: 20 mg [generic for Ritalin LA®] Outpatient Dosage Forms Metadate CD®: 10 mg [contains sucrose; 3 mg immediate release, 7 mg Tablet, oral, as hydrochloride: 25 mg extended release] Meclofenamate Metadate CD®: 20 mg [contains sucrose; 6 mg immediate release, 14 mg Outpatient Dosage Forms extended release] Capsule, oral, as sodium: 50 mg, 100 mg Metadate CD®: 30 mg [contains sucrose; 9 mg immediate release, 21 mg extended release] MedroxyPROGESTERone Ritalin LA®: 10 mg [5 mg immediate release, 5 mg extended release] [BCF] Outpatient Dosage Forms Ritalin LA®: 20 mg [10 mg immediate release, 10 mg extended release] [BCF] Injection, suspension, as acetate: 150 mg/mL (1 mL) Ritalin LA®: 30 mg [15 mg immediate release, 15 mg extended release] [BCF] Depo-Provera®: 400 mg/mL (2.5 mL) Ritalin LA®: 40 mg [20 mg immediate release, 20 mg extended release] [BCF] Tablet, oral, as acetate: 2.5 mg [BCF], 5 mg [BCF], 10 mg [BCF] Tablet, oral, as hydrochloride: 5 mg [BCF], 10 mg [BCF] Tablet, extended release, oral, as hydrochloride [bi-modal release]: 18 mg Mefenamic Acid [BCF], 27 mg [BCF], 36 mg [BCF], 54 mg [BCF] Outpatient Dosage Forms Tablet, sustained release, oral, as hydrochloride: 20 mg Capsule, oral: 250 mg MethylPREDNISolone Megestrol Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral [dose-pack]: 4 mg [21s] Tablet, oral, as acetate: 40 mg Methysergide Meloxicam Outpatient Dosage Forms Outpatient Dosage Forms Tablet, as maleate: 2 mg Tablet, oral: 7.5 mg [BCF], 15 mg [BCF] Memantine Outpatient Dosage Forms Outpatient Dosage Forms Solution, oral: 5 mg/5 mL (473 mL) [BCF] Tablet, oral, as hydrochloride: Tablet, oral: 10 mg [BCF] Namenda®: 5 mg, 10 mg MetOLazone Meperidine Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: 2.5 mg, 5 mg Tablet, oral, as hydrochloride: 50 mg Metoprolol Mercaptopurine Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral, as tartrate: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF] Tablet, oral: 50 mg Tablet, extended release, oral, as succinate [expressed as mg equivalent to Mesalamine tartrate]: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF], 200 mg [BCF] Outpatient Dosage Forms MetroNIDAZOLE (Systemic) Capsule Extended Release 24 Hour, Oral: Outpatient Dosage Forms Apriso: 0.375 g [contains aspartame] Suspension, rectal: 4 g/60 mL (7s, 28s) Tablet, oral: 250 mg [BCF], 500 mg [BCF] Suppository, rectal: MetroNIDAZOLE (Topical) Canasa®: 1000 mg (30s) [contains saturated vegetable fatty esters] Outpatient Dosage Forms Tablet Delayed Release, Oral: Gel, topical: Lialda: 1.2 g [BCF] MetroGel®: 1% (55 g, 60 g) Metaproterenol Gel, vaginal: 0.75% (70 g) [BCF] Outpatient Dosage Forms Mexiletine Syrup, oral, as sulfate: 10 mg/5 mL (473 mL) Outpatient Dosage Forms Tablet, oral, as sulfate: 10 mg Capsule, oral, as hydrochloride: 150 mg, 200 mg MetFORMIN Miconazole (Topical) Outpatient Dosage Forms Tablet, oral, as hydrochloride: 500 mg [BCF], 850 mg [BCF], 1000 mg [BCF] Outpatient Dosage Forms Tablet, extended release, oral, as hydrochloride: 500 mg [BCF], 750 mg [BCF] Cream, topical, as nitrate: 2% (30 g) Suppository, vaginal, as nitrate: 100 mg (7s) Methadone Outpatient Dosage Forms Mineral Oil Tablet, oral, as hydrochloride: 5 mg, 10 mg Outpatient Dosage Forms Oil, oral: 100% (480 mL) MethazolAMIDE Oil, rectal [enema]: Outpatient Dosage Forms Fleet® Mineral Oil Enema: 100% per 118 mL delivered dose (133 mL) Tablet, oral: 50 mg Oil, topical: 100% (480 mL) MethIMAzole Minocycline Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: 5 mg Capsule, oral: 100 mg 12 Minoxidil (Systemic) Niacin and Simvastatin Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: 10 mg Tablet, variable release, oral: Simcor®: 500/20: Niacin 500 mg [extended release] and simvastatin 20 mg [immediate Outpatient Dosage Forms release] Tablet, oral: 15 mg, 30 mg, 45 mg 750/20: Niacin 750 mg [extended release] and simvastatin 20 mg [immediate Modafinil release] Outpatient Dosage Forms 1000/20: Niacin 1000 mg [extended release] and simvastatin 20 mg [imme- diate release] Tablet, oral: 100 mg, 200 mg Montelukast Nicotine Outpatient Dosage Forms Outpatient Dosage Forms Gum, Mouth/Throat, as polacrilex: Granules, oral: Singulair®: 4 mg/packet (30s) [BCF] Generic: 2 mg (50 ea); 4 mg (50 ea) [BCF] Tablet, oral: Patch 24 Hour, Transdermal: Singulair®: 10 mg [contains lactose 89.3 mg/tablet] [BCF] Generic: 7 mg/24 hr (7 ea) [BCF]; 14 mg/24 hr (7 ea) [BCF]; 21 mg/24 hr (7 Tablet, chewable, oral: ea) [BCF] Singulair®: 4 mg [contains phenylalanine 0.67 mg/tablet; cherry flavor] [BCF] NIFEdipine Singulair®: 5 mg [contains phenylalanine 0.84 mg/tablet; cherry flavor] [BCF] Outpatient Dosage Forms Morphine (Systemic) Capsule, softgel, oral: 10 mg Outpatient Dosage Forms Tablet, extended release, oral: 30 mg [BCF], 60 mg [BCF], 90 mg [BCF] Solution, oral, as sulfate: 10 mg/5 mL (5 mL, 100 mL, 500 mL) Nipple Ointment Tablet, oral, as sulfate: 15 mg Tablet, controlled release, oral, as sulfate: Nitrofurantoin MS Contin®: 15 mg [BCF], 30 mg [BCF], 60 mg [BCF] Outpatient Dosage Forms Moxifloxacin (Systemic) Capsule, oral [macrocrystal]: 50 mg [BCF] Capsule, oral [macrocrystal/monohydrate]: 100 mg [BCF] Outpatient Dosage Forms Suspension, oral: 25 mg/5 mL (230 mL) Tablet, oral: Avelox®: 400 mg Nitroglycerin Outpatient Dosage Forms Capsule, extended release, oral: 2.5 mg, 6.5 mg, 9 mg Outpatient Dosage Forms Ointment, topical: Ointment, topical: 2% (22 g) [BCF] Nitro-Bid®: 2% (60 g) [~15 mg/inch] Nabumetone Patch, transdermal: 0.1 mg/hour (30s) [BCF]; 0.2 mg/hour (30s) [BCF]; 0.3 mg/ Outpatient Dosage Forms hour (30s) [BCF]; 0.4 mg/hour (30s) [BCF]; 0.6 mg/hour (30s) [BCF]; 0.8 mg/ Tablet, oral: 500 mg, 750 mg hour (30s) [BCF] Solution, translingual [spray]: 0.4 mg/spray (4.9 g, 12 g) [BCF] Nadolol Tablet, sublingual: Outpatient Dosage Forms Nitrostat®: 0.4 mg [BCF] Tablet, oral: 40 mg, 80 mg Nonoxynol 9 Naloxone Outpatient Dosage Forms Outpatient Dosage Forms Gel, vaginal: Liquid, Nasal: Gynol II® Extra Strength: 3% (81 g) Narcan: 4 mg/0.1 mL (1 ea) [contains benzalkonium chloride, edetate diso- dium] [BCF] Norethindrone Outpatient Dosage Forms and Tablet, oral: 0.35 mg [BCF] Outpatient Dosage Forms Solution, ophthalmic: Visine-A®: Naphazoline hydrochloride 0.025% and pheniramine maleate 0.3% Outpatient Dosage Forms (15 mL) [contains benzalkonium chloride] Capsule, oral: 10 mg [BCF], 25 mg [BCF], 50 mg [BCF] Solution, oral: 10 mg/5 mL (473 mL) [BCF] Naproxen Outpatient Dosage Forms Nystatin and Suspension, oral: 125 mg/5 mL (500 mL) [BCF] Outpatient Dosage Forms Tablet, oral: 250 mg [BCF], 500 mg [BCF] Cream: Nystatin 100,000 units and 0.1% (15 g) Neomycin Nystatin (Oral) Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral, as sulfate: 500 mg Suspension, oral: 100,000 units/mL (60 mL) [BCF] Tablet, oral: 500,000 units Neomycin, Polymyxin B, and Dexamethasone Outpatient Dosage Forms Nystatin (Topical) Suspension, ophthalmic [drops]: Neomycin 3.5 mg, polymyxin B sulfate 10,000 Outpatient Dosage Forms units, and dexamethasone 0.1% per 1 mL (5 mL) Cream, topical: 100,000 units/g (15 g, 30 g) [BCF] Ointment, topical: 100,000 units/g (15 g, 30 g) [BCF] Neomycin, Polymyxin B, and Gramicidin Powder, topical: 100,000 units/g (15 g, 30 g, 60 g) Outpatient Dosage Forms Tablet, vaginal: 100,000 units Solution, ophthalmic [drops]: Neomycin 1.75 mg, polymyxin B 10,000 units, and gramicidin 0.025 mg per 1 mL (10 mL) [BCF] Ocular Lubricant Outpatient Dosage Forms Neomycin, Polymyxin B, and Hydrocortisone (Otic) Ointment, ophthalmic [preservative free]: Outpatient Dosage Forms Tears Renewed®: 3.5 g (3.5 g) Suspension, otic: Neomycin 3.5 mg, polymyxin B 10,000 units, and hydro- cortisone 10 mg per 1 mL (10 mL) [BCF] Ofloxacin (Ophthalmic) Outpatient Dosage Forms Niacin Solution, ophthalmic [drops]: 0.3% (5 mL) Outpatient Dosage Forms Tablet, oral: 50 mg, 500 mg OLANZapine Tablet, extended release, oral: Outpatient Dosage Forms Niaspan®: 500 mg [BCF], 750 mg [BCF], 1000 mg [BCF] Tablet, oral: 2.5 mg, 5 mg, 10 mg, 15 mg 13 (OPHTHALMIC) Olopatadine (Ophthalmic) PHENobarbital Outpatient Dosage Forms Outpatient Dosage Forms Solution, ophthalmic [drops]: Elixir, oral: 20 mg/5 mL (473 mL) [BCF] Patanol®: 0.1% (5 mL) [contains benzalkonium chloride] [BCF] Tablet, oral: 15 mg [BCF], 32.4 mg Omeprazole Phenoxybenzamine Outpatient Dosage Forms Outpatient Dosage Forms Capsule, delayed release, oral: 10 mg [BCF], 20 mg [BCF] Capsule, oral, as hydrochloride: Powder for suspension, oral [compounding kit]: Dibenzyline®: 10 mg First®-Omeprazole: 2 mg/mL (150 mL) [contains benzyl alcohol] (Nasal) Ondansetron Outpatient Dosage Forms Outpatient Dosage Forms Solution, intranasal, as hydrochloride [drops]: Tablet, oral: 4 mg, 8 mg Little Noses® : 0.125% (15 mL) [ethanol free; contains benzal- konium chloride] , Aspirin, and Caffeine Solution, intranasal, as hydrochloride [spray]: Outpatient Dosage Forms Neo-Synephrine® Regular Strength: 0.5% (15 mL) [contains benzalkonium Tablet: Orphenadrine citrate 50 mg, aspirin 770 mg, and caffeine 60 mg chloride] Oxazepam Phenylephrine (Ophthalmic) Outpatient Dosage Forms Outpatient Dosage Forms Capsule, oral: 15 mg Solution, ophthalmic, as hydrochloride [drops]: 2.5% (15 mL) AK-Dilate™: 10% (5 mL) [contains benzalkonium chloride] OXcarbazepine Neofrin: 10% (5 mL) Outpatient Dosage Forms Tablet, oral: 150 mg, 300 mg, 600 mg Phenytoin Outpatient Dosage Forms Oxybutynin Capsule, extended release, oral, as sodium: 100 mg [BCF] Outpatient Dosage Forms Suspension, oral: 125 mg/5 mL (237 mL) [BCF] Syrup, oral, as chloride: 5 mg/5 mL (473 mL) Tablet, chewable, oral: Tablet, oral, as chloride: 5 mg Dilantin®: 50 mg [scored] [BCF] Tablet, extended release, oral, as chloride: 5 mg [BCF], 10 mg [BCF], 15 mg [BCF] Phytonadione Outpatient Dosage Forms OxyCODONE Tablet, oral: Outpatient Dosage Forms Mephyton®: 5 mg [scored] Solution, Oral, as hydrochloride: Generic: 5 mg/5 mL (5 mL) Pilocarpine (Ophthalmic) Tablet, Oral, as hydrochloride: Outpatient Dosage Forms Generic: 5 mg, 10 mg Gel, ophthalmic, as hydrochloride: Tablet, Controlled Release, Oral, as hydrochloride: Pilopine HS®: 4% (4 g) [contains benzalkonium chloride] [BCF] OxyCONTIN: 10 mg, 15 mg, 20 mg, 40 mg, 80 mg Solution, ophthalmic, as hydrochloride [drops]: 1% (15 mL) [BCF]; 2% (15 mL) [BCF]; 4% (15 mL) [BCF]; 6% (15 mL) Oxycodone and Acetaminophen Outpatient Dosage Forms Pimecrolimus Tablet, oral: 5/325: Oxycodone hydrochloride 5 mg and acetaminophen 325 mg Outpatient Dosage Forms [BCF] Cream, topical: Elidel®: 1% (30 g) [BCF] [contains benzyl alcohol] (Nasal) Outpatient Dosage Forms Pioglitazone Solution, intranasal, as hydrochloride [mist]: Outpatient Dosage Forms Afrin® Original: 0.05% (15 mL) [contains benzalkonium chloride] Tablet, oral: Actos®: 15 mg, 30 mg, 45 mg Pancrelipase Outpatient Dosage Forms Pioglitazone and Metformin Capsule, delayed release, enteric coated microspheres [new formulation; por- Outpatient Dosage Forms cine derived]: Tablet, oral: Creon®: Lipase 6000 units, protease 19,000 units, and amylase 30,000 Actoplus Met®: units [BCF] 15/500: Pioglitazone 15 mg and metformin hydrochloride 500 mg Creon®: Lipase 12000 units, protease 38,000 units, and amylase 60,000 15/850: Pioglitazone 15 mg and metformin hydrochloride 850 mg units [BCF] Creon®: Lipase 24,000 units, protease 76,000 units, and amylase 120,000 Piroxicam units [BCF] Outpatient Dosage Forms Capsule, oral: 20 mg PARoxetine Outpatient Dosage Forms Podofilox Tablet, oral, as hydrochloride [strength expressed as base]: 10 mg, 20 mg, Outpatient Dosage Forms 30 mg, 40 mg Solution, topical: 0.5% (3.5 mL) Penicillin V Potassium Polyethylene Glycol 3350 Outpatient Dosage Forms Outpatient Dosage Forms Powder for solution, oral: 250 mg/5 mL (200 mL) [BCF] Powder for solution, oral: 17 g/dose (527 g) Tablet, oral: 250 mg [BCF], 500 mg [BCF] Polyethylene Glycol-Electrolyte Solution Pentoxifylline Outpatient Dosage Forms Outpatient Dosage Forms Powder, for solution, oral: Tablet, extended release, oral: 400 mg GoLYTELY®: PEG 3350 236 g, sodium sulfate 22.74 g, sodium bicarbonate 6.74 g, sodium chloride 5.86 g, and potassium chloride 2.97 g (4000 mL) Permethrin [regular and pineapple flavor] Outpatient Dosage Forms Cream, topical: 5% (60 g) [BCF] Potassium Chloride Outpatient Dosage Forms Capsule, extended release, microencapsulated, oral: 10 mEq [BCF] Outpatient Dosage Forms Powder for solution, oral: Tablet, oral: 4 mg Klor-Con®: 20 mEq/packet (30s) [sugar free; fruit flavor] [BCF] Solution, oral: 20 mEq/15 mL (473 mL) [BCF] Phenazopyridine Tablet, extended release, oral: 10 mEq [BCF] Outpatient Dosage Forms Tablet, extended release, microencapsulated, oral: 8 mEq, 10 mEq, 20 Tablet, oral, as hydrochloride: 100 mg [BCF], 200 mg [BCF] mEq [BCF] 14 RIZATRIPTAN Potassium Citrate Propranolol Outpatient Dosage Forms Outpatient Dosage Forms Tablet, extended release, oral: 540 mg [5 mEq]; 1080 mg [10 mEq] Capsule, extended release, oral, as hydrochloride: 60 mg, 80 mg, 120 mg, 160 mg Potassium Iodide Tablet, oral, as hydrochloride: 10 mg, 40 mg, 80 mg Outpatient Dosage Forms Solution, oral: Propylthiouracil SSKI®: 1 g/mL (30 mL) Outpatient Dosage Forms Tablet, oral: 50 mg [BCF] Potassium Phosphate and Sodium Phosphate Outpatient Dosage Forms Pseudoephedrine Powder for solution, oral: Outpatient Dosage Forms Phos-NaK: Dibasic potassium phosphate, monobasic potassium phosphate, Syrup, oral, as hydrochloride: 30 mg/5 mL (118 mL) dibasic sodium phosphate, and monobasic sodium phosphate per packet Tablet, oral, as hydrochloride: 30 mg (100s) [sugar free; equivalent to elemental phosphorus 250 mg (8 mmol), sodium 160 mg (6.9 mEq), and potassium 280 mg (7.1 mEq) per packet; fruit Psyllium flavor] Outpatient Dosage Forms Powder, oral: 3.5 mg/dose per tsp Povidone-Iodine (Topical) Konsyl-D™: (397 g) [contains calcium, dextrose, potassium, sodium] Outpatient Dosage Forms Ointment, topical: 10% (30 g) Pyrantel Pamoate Solution, topical: 10% (237 mL) Outpatient Dosage Forms Solution, topical [surgical scrub]: 7.5% (120 mL) Suspension, oral, as pamoate: Pin-X®: 144 mg/mL (30 mL) [sugar free; contains sodium benzoate; caramel Pramipexole flavor; equivalent to pyrantel base 50 mg/mL] Outpatient Dosage Forms Tablet, oral, as dihydrochloride monohydrate: 0.125 mg, 0.25 mg, 0.5 mg, Pyrazinamide 0.75 mg, 1 mg, 1.5 mg Outpatient Dosage Forms Tablet, oral: 500 mg [BCF] Pramoxine and Hydrocortisone Outpatient Dosage Forms Pyrethrins and Piperonyl Butoxide Aerosol, foam, rectal: Outpatient Dosage Forms ProctoFoam® HC: Pramoxine hydrochloride 1% and hydrocortisone acetate Shampoo: 1% (10 g) RID® Maximum Strength: Pyrethrins 0.33% and piperonyl butoxide 4% (120 Aerosol, foam, topical: mL) [packaged with nit removal comb; also available in a kit containing Epifoam®: Pramoxine hydrochloride 1% and hydrocortisone acetate 1% (10 g) shampoo, gel, and furniture spray] Pravastatin Pyridoxine Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral, as sodium: 10 mg [BCF], 20 mg [BCF], 40 mg [BCF], 80 mg [BCF] Tablet, oral, as hydrochloride: 50 mg Prazosin Outpatient Dosage Forms Outpatient Dosage Forms Capsule, oral: 1 mg, 2 mg, 5 mg Tablet, oral: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF], 200 mg [BCF], 300 mg [BCF], 400 mg [BCF] (Ophthalmic) Tablet, extended release, oral: Outpatient Dosage Forms SEROquel XR®: 50 mg [BCF], 150 mg [BCF], 200 mg [BCF], 300 mg [BCF], Suspension, ophthalmic, as acetate [drops]: 1% (5 mL) [BCF] 400 mg [BCF] PrednisoLONE (Systemic) QuiNIDine Outpatient Dosage Forms Outpatient Dosage Forms Solution, oral, as sodium phosphate [strength expressed as base]: 15 mg/5 mL Tablet, oral, as sulfate: 200 mg (237 mL, 473 mL) [BCF] Tablet, extended release, oral, as gluconate: 324 mg [equivalent to quinidine PredniSONE base 202 mg] Outpatient Dosage Forms Raloxifene Tablet, oral: 1 mg [BCF], 5 mg [BCF], 10 mg [BCF], 20 mg [BCF] Outpatient Dosage Forms Primaquine Tablet, oral, as hydrochloride: Outpatient Dosage Forms Evista®: 60 mg [BCF] Tablet, oral, as phosphate: 26.3 mg [15 mg base] Ramipril Primidone Outpatient Dosage Forms Outpatient Dosage Forms Capsule, oral: 1.25 mg [BCF], 2.5 mg [BCF], 5 mg [BCF], 10 mg [BCF] Tablet, oral: 50 mg, 250 mg Probenecid Outpatient Dosage Forms Outpatient Dosage Forms Syrup, oral: 15 mg/mL (473 mL) [BCF] Tablet, Oral: Tablet, oral: 150 mg [BCF], 300 mg Generic: 500 mg [BCF] RifAMPin Outpatient Dosage Forms Outpatient Dosage Forms Capsule, oral: 300 mg [BCF] Suppository, rectal: 25 mg (12s) Tablet, oral, as maleate [strength expressed as base]: 5 mg Outpatient Dosage Forms Solution, oral: 1 mg/mL (30 mL) [BCF] Outpatient Dosage Forms Tablet, oral: 0.25 mg [BCF], 0.5 mg [BCF], 1 mg [BCF], 2 mg [BCF], 3 mg Suppository, rectal, as hydrochloride: 12.5 mg (12s) [BCF]; 25 mg (12s) [BCF] [BCF], 4 mg [BCF] Syrup, oral, as hydrochloride: 6.25 mg/5 mL (473 mL) [BCF] Rizatriptan Tablet, oral, as hydrochloride: 25 mg [BCF] Outpatient Dosage Forms Propantheline Tablet, oral: Outpatient Dosage Forms Maxalt®: 5 mg [BCF], 10 mg [BCF] Tablet, oral, as bromide: 15 mg Tablet, orally disintegrating: Maxalt-MLT®: 5 mg [contains phenylalanine 1.05 mg/tablet; peppermint fla- Proparacaine vor] [BCF] Outpatient Dosage Forms Maxalt-MLT®: 10 mg [contains phenylalanine 2.1 mg/tablet; peppermint fla- Solution, ophthalmic, as hydrochloride [drops]: 0.5% (15 mL) vor] [BCF] 15 ROPINIROLE ROPINIRole Sodium Chloride Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: 0.25 mg, 0.5 mg, 1 mg, 2 mg, 3 mg, 4 mg, 5 mg Injection, solution: 0.9% (25 mL, 50 mL, 100 mL, 150 mL, 250 mL, 500 mL, 1000 mL) Rosuvastatin Ointment, ophthalmic: 5% (3.5 g) Outpatient Dosage Forms Solution, ophthalmic [drops]: 5% (15 mL) Tablet, Oral: Solution, intranasal [spray]: 0.65% (45 mL) Crestor: 5 mg, 10 mg, 20 mg, 40 mg Solution, for inhalation [preservative free]: 0.9% (3 mL) Salicylic Acid Sodium Citrate and Citric Acid Outpatient Dosage Forms Outpatient Dosage Forms Liquid, topical: 17% (15 mL) Solution, oral: Sodium citrate 500 mg and citric acid 334 mg per 5 mL (480 mL) Pad, topical: Curad® Mediplast®: 40% (25s) Sodium Hypochlorite Outpatient Dosage Forms Salmeterol Solution, topical: Outpatient Dosage Forms Dakin's Solution: 0.25% (473 mL) Powder, for oral inhalation: Serevent® Diskus®: 50 mcg (60s) [contains lactose] [BCF] Sodium Phosphates Outpatient Dosage Forms Salsalate Solution, rectal [enema]: Monobasic sodium phosphate monohydrate 19 g and Outpatient Dosage Forms dibasic sodium phosphate heptahydrate 7 g per 118 mL delivered dose (133 Tablet, oral: 500 mg [BCF], 750 mg [BCF] mL) Fleet® Pedia-Lax™ Enema: Monobasic sodium phosphate monohydrate 9.5 g Scopolamine (Ophthalmic) and dibasic sodium phosphate heptahydrate 3.5 g per 59 mL delivered dose Outpatient Dosage Forms (66 mL) [contains sodium 2.2 g/59 mL] Solution, ophthalmic, as hydrobromide [drops]: Isopto® Hyoscine: 0.25% (5 mL) [contains benzalkonium chloride] Sodium Polystyrene Sulfonate Outpatient Dosage Forms Secobarbital Powder for suspension, oral/rectal: (454 g) Outpatient Dosage Forms Suspension, oral/rectal: Capsule, oral, as sodium: SPS®: 15 g/60 mL (473 mL) [contains ethanol 0.3%, propylene glycol, sodium Seconal®: 100 mg 1500 mg (65 mEq)/60 mL, sorbitol; cherry flavor] Selegiline Spironolactone Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral, as hydrochloride: 5 mg Tablet, oral: 25 mg [BCF] Selenium Sulfide Sucralfate Outpatient Dosage Forms Outpatient Dosage Forms Lotion, topical: 2.5% (120 mL) [BCF] Suspension, oral: 1 g/10 mL (420 mL) Shampoo, topical: 2.5 % (120 mL) Tablet, oral: 1 g Sertraline Sulfacetamide and Prednisolone Outpatient Dosage Forms Outpatient Dosage Forms Solution, oral [concentrate]: 20 mg/mL (60 mL) [BCF] Ointment, ophthalmic: Tablet, oral: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF] Blephamide®: Sulfacetamide sodium 10% and prednisolone acetate 0.2% (3.5 g) Sildenafil Suspension, ophthalmic [drops]: Outpatient Dosage Forms Blephamide®: Sulfacetamide sodium 10% and prednisolone acetate 0.2% (5 Tablet, oral: mL) [contains benzalkonium chloride] Viagra®: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF] Sulfacetamide (Ophthalmic) Silver Sulfadiazine Outpatient Dosage Forms Outpatient Dosage Forms Ointment, ophthalmic, as sodium: 10% Cream, topical: 1% (25 g) [BCF] Solution, ophthalmic, as sodium [drops]: 10% (15 mL) [BCF] Simethicone Sulfamethoxazole and Trimethoprim Outpatient Dosage Forms Outpatient Dosage Forms Tablet, chewable, oral: 80 mg Suspension, oral: Sulfamethoxazole 200 mg and trimethoprim 40 mg per 5 mL (473 mL) [BCF] Simvastatin Tablet, double strength, oral: Sulamethoxazole 800 mg and trimethoprim Outpatient Dosage Forms 160 mg [BCF] Tablet, oral: 5 mg [BCF], 10 mg [BCF], 20 mg [BCF], 40 mg [BCF], 80 mg SulfaSALAzine [limited use] Outpatient Dosage Forms SITagliptin Tablet, oral: 500 mg [BCF] Outpatient Dosage Forms Sulfur and Salicylic Acid Tablet, oral: Outpatient Dosage Forms Januvia®: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF] Shampoo, topical: Sitagliptin and Metformin ala seb: Sulfur 2% and salicylic acid 2% (118 mL) [contains coal tar 1% and Outpatient Dosage Forms soya lecithin] Tablet, oral: Sulindac Janumet® 50/500: Sitagliptin 50 mg and metformin hydrochloride Outpatient Dosage Forms 500 mg [BCF] Tablet, oral: 150 mg Janumet® 50/1000: Sitagliptin 50 mg and metformin hydrochloride 1000 mg [BCF] SUMAtriptan Tablet, Extended Release, Oral: Outpatient Dosage Forms Janumet XR: 50/500: Sitagliptin 50 mg and metformin hydrochloride Injection, solution, as succinate [strength expressed as base]: 6 mg/0.5 mL (0.5 500 mg [BCF] mL) [BCF] Janumet XR: 50/1000: Sitagliptin 50 mg and metformin hydrochloride Tablet, oral, as succinate [strength expressed as base]: 25 mg [BCF], 50 mg 1000 mg [BCF] [BCF], 100 mg [BCF] Janumet XR: 100/1000: Sitagliptin 100 mg and metformin hydrochloride 1000 mg [BCF] Surgical Lubricant Outpatient Dosage Forms Sodium Bicarbonate Jelly: Outpatient Dosage Forms Packet: 144s Tablet, oral: 650 mg [7.6 mEq] Tube: 30 g 16 AND PSEUDOEPHEDRINE Tamoxifen Timolol (Ophthalmic) Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: 10 mg [BCF], 20 mg [BCF] Gel forming solution, ophthalmic, as maleate [strength expressed as base, drops]: 0.25% (5 mL) [BCF]; 0.5% (5 mL) [BCF] Tamsulosin Solution, ophthalmic, as maleate [strength expressed as base, drops]: 0.25% (5 Outpatient Dosage Forms mL) [BCF]; 0.5% (5 mL) [BCF] Capsule, oral, as hydrochloride: 0.4 mg [BCF] Tiotropium Telmisartan Outpatient Dosage Forms Outpatient Dosage Forms Aerosol Solution, Inhalation: Tablet, oral: Spiriva Respimat: 2.5 mcg/actuation (4 g) [contains benzalkonium chloride, Micardis®: 20 mg, 40 mg [scored], 80 mg [scored] disodium edta] Powder, for Oral Inhalation: Telmisartan and Hydrochlorothiazide Spiriva HandiHaler: 18 mcg/capsule (30s) [contains lactose] [BCF] Outpatient Dosage Forms Tobramycin (Ophthalmic) Tablet, oral: Outpatient Dosage Forms Micardis HCT: 40/12.5: Telmisartan 40 mg and hydrochlorothiazide 12.5 mg Solution, ophthalmic [drops]: 0.3% (5 mL) Micardis HCT: 80/12.5: Telmisartan 80 mg and hydrochlorothiazide 12.5 mg Micardis HCT: 80/25: Telmisartan 80 mg and hydrochlorothiazide 25 mg TOLAZamide Outpatient Dosage Forms Temazepam Tablet, oral: 250 mg Outpatient Dosage Forms Capsule, oral: 7.5 mg, 15 mg [BCF], 30 mg [BCF] TOLBUTamide Outpatient Dosage Forms Temozolomide Tablet, oral: 500 mg Outpatient Dosage Forms Capsule, oral: Tolterodine Temodar®: 5 mg, 20 mg, 100 mg, 250 mg Outpatient Dosage Forms Capsule, extended release, oral, as tartrate: Terazosin Detrol® LA: 2 mg [BCF], 4 mg [BCF] Outpatient Dosage Forms Topiramate Capsule, oral: 1 mg [BCF], 2 mg [BCF], 5 mg [BCF], 10 mg [BCF] Outpatient Dosage Forms Terbinafine (Systemic) Capsule, sprinkle, oral: 15 mg, 25 mg Outpatient Dosage Forms Tablet, oral: 25 mg, 100 mg, 200 mg Tablet, oral: 250 mg TraMADol Terbutaline Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral, as hydrochloride: 50 mg [BCF] Tablet, oral, as sulfate: 5 mg Testosterone Outpatient Dosage Forms Tablet, oral, as hydrochloride: 50 mg [BCF], 100 mg [BCF], 150 mg [BCF], Outpatient Dosage Forms 300 mg [BCF] Gel, topical: Fortesta: 10 mg/actuation (60 g) [contains ethanol; 0.5 g gel/actuation; 120 Tretinoin (Topical) metered actuations] [BCF] Outpatient Dosage Forms Injection, oil, as cypionate: 200 mg/mL (10 mL) Cream, topical: 0.025% (20 g) [BCF]; 0.05% (20 g) [BCF]; 0.1% (20 g) Injection, oil, as enanthate: 200 mg/mL (5 mL) Gel, topical: 0.01% (15 g); 0.025% (15 g) Patch, transdermal: Triamcinolone (Topical) Androderm®: 2 mg/24 hours (60s); 4 mg/24 hours (30s) [contains ethanol, Outpatient Dosage Forms metal] Aerosol, spray, topical, as acetonide: Tetracaine (Ophthalmic) Kenalog®: 0.2 mg/2-second spray (63 g) [contains dehydrated ethanol 10.3%] Outpatient Dosage Forms Cream, topical, as acetonide: 0.1% (15 g, 80 g) [BCF]; 0.5% (15 g, 80 g) Ointment, topical, as acetonide: 0.1% (15 g, 80 g) Solution, ophthalmic, as hydrochloride [drops]: 0.5% [5 mg/mL] (15 mL) Paste, oral topical, as acetonide: 0.1% (5 g) Tetracycline Triamterene Outpatient Dosage Forms Outpatient Dosage Forms Capsule, oral, as hydrochloride: 250 mg [BCF], 500 mg [BCF] Capsule, oral: Theophylline Dyrenium®: 50 mg, 100 mg Outpatient Dosage Forms Triazolam Capsule, extended release, oral: Outpatient Dosage Forms Theo-24®: 300 mg [BCF], 400 mg [BCF] [24 hours] Tablet, oral: 0.25 mg Solution, oral: 80 mg/15 mL Elixophyllin® Elixir: 80 mg/15 mL (473 mL) [contains ethanol 20%; mixed fruit flavor] [BCF] Outpatient Dosage Forms Tablet, extended release, oral: 100 mg, 200 mg [BCF], 300 mg [BCF], Tablet, oral: 5 mg 400 mg [BCF] Trihexyphenidyl Thiamine Outpatient Dosage Forms Outpatient Dosage Forms Elixir, oral, as hydrochloride: 2 mg/5 mL (473 mL) [BCF] Tablet, oral, as hydrochloride: 2 mg [BCF] Tablet, oral, as hydrochloride: 50 mg Trimethoprim Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: 100 mg Tablet, oral, as hydrochloride: 25 mg, 50 mg, 100 mg Trimethoprim and Polymyxin B Thiothixene Outpatient Dosage Forms Outpatient Dosage Forms Solution, ophthalmic [drops]: Trimethoprim 1 mg and polymyxin B sulfate 10,000 Capsule, oral: 5 mg units per 1 mL (10 mL) [BCF] Thyroid, Desiccated Triprolidine and Pseudoephedrine Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: Tablet, oral: Triprolidine hydrochloride 2.5 mg and pseudoephedrine hydro- Armour® Thyroid: 30 mg, 60 mg chloride 60 mg 17 TROPICAMIDE Tropicamide Verapamil Outpatient Dosage Forms Outpatient Dosage Forms Solution, ophthalmic [drops]: 1% (15 mL) Tablet, oral, as hydrochloride: 80 mg Tablet, extended release, oral, as hydrochloride: 120 mg [BCF], 180 mg [BCF], Undecylenic Acid and Derivatives 240 mg [BCF] Outpatient Dosage Forms Powder: 2% (42 g) Vitamin E (Systemic) Outpatient Dosage Forms Urea (Topical) Capsule, softgel, oral: 400 units Outpatient Dosage Forms Cream, topical: 40% (28 g) Vitamins (Multiple/Oral) Carmol 20: 20% (90 g) Outpatient Dosage Forms Lotion, topical: Content varies depending on product used. Carmol 10: 10% (236 mL) Tablet, oral ValACYclovir Vitamins (Multiple/Pediatric) Outpatient Dosage Forms Outpatient Dosage Forms Tablet, oral: 500 mg, 1 g Content varies depending on product used. Solution, oral [drops]: Valproic Acid and Derivatives Poly-Vi-Sol With Iron: 50 mL Outpatient Dosage Forms Capsule, softgel, oral: 250 mg [strength expressed as valproic acid] Vitamins (Multiple/Prenatal) Capsule, sprinkle, oral [strength expressed as valproic acid]: 125 mg [BCF] Outpatient Dosage Forms Syrup, oral, as valproate sodium: 250 mg/5 mL (473 mL) [strength expressed as Content varies depending on product used. valproic acid] Tablet, oral: Tablet, delayed release, oral [strength expressed as valproic acid]: 125 mg Prenatal Plus [BCF], 250 mg [BCF], 500 mg [BCF] Tablet, extended release, oral [strength expressed as valproic acid]: 250 mg Warfarin [BCF], 500 mg [BCF] Outpatient Dosage Forms Tablet, oral, as sodium: Valsartan Coumadin®: 1 mg [BCF], 2 mg [BCF], 2.5 mg [BCF], 3 mg [BCF], 4 mg Outpatient Dosage Forms [BCF], 5 mg [BCF], 6 mg [BCF], 7.5 mg [BCF], 10 mg [BCF] Tablet, oral: Diovan®: 40 mg [scored] [BCF], 80 mg [BCF], 160 mg [BCF], 320 mg [BCF] Zinc Oxide Outpatient Dosage Forms Valsartan and Hydrochlorothiazide Ointment, topical: 20% (30 g) Outpatient Dosage Forms Tablet, oral: Diovan HCT®: 80 mg/12.5 mg: Valsartan 80 mg and hydrochlorothiazide Outpatient Dosage Forms 12.5 mg [BCF] Capsule, oral, as hydrochloride: 20 mg, 40 mg, 60 mg, 80 mg Diovan HCT®: 160 mg/12.5 mg: Valsartan 160 mg and hydrochlorothiazide 12.5 mg [BCF] ZOLMitriptan Diovan HCT®: 160 mg/25 mg: Valsartan 160 mg and hydrochlorothiazide Outpatient Dosage Forms 25 mg [BCF] Tablet, oral: Diovan HCT®: 320 mg/12.5 mg: Valsartan 320 mg and hydrochlorothiazide Zomig®: 2.5 mg [scored] 12.5 mg [BCF] Zomig®: 5 mg Diovan HCT®: 320 mg/25 mg: Valsartan 320 mg and hydrochlorothiazide Tablet, orally disintegrating, oral: 25 mg [BCF] Zomig-ZMT®: 2.5 mg [contains phenylalanine 2.81 mg/tablet; orange flavor] Zomig-ZMT®: 5 mg [contains phenylalanine 5.62 mg/tablet; orange flavor] Venlafaxine Outpatient Dosage Forms Zolpidem Capsule, extended release, oral: 37.5 mg [BCF], 75 mg [BCF], 150 mg [BCF] Outpatient Dosage Forms Tablet, oral: 25 mg [BCF], 37.5 mg [BCF], 50 mg [BCF], 75 mg [BCF], Tablet, oral, as tartrate: 5 mg [BCF], 10 mg [BCF] 100 mg [BCF] Tablet Extended Release, Oral, as tartrate: 6.25 mg, 12.5 mg

18 Therapeutic Category Index

19 ACETYLCHOLINESTERASE INHIBITOR (CENTRAL)

Acetylcholinesterase Inhibitor (Central) Flurbiprofen (Systemic) ...... 9 Donepezil ...... 6 Ibuprofen ...... 10 Indomethacin ...... 10 Acne Products Meclofenamate ...... 12 Benzoyl Peroxide ...... 3 Mefenamic Acid ...... 12 Clindamycin and Benzoyl Peroxide ...... 5 Meloxicam ...... 12 Erythromycin (Topical) ...... 7 Nabumetone ...... 13 ISOtretinoin ...... 11 Naproxen ...... 13 Salicylic Acid ...... 16 Piroxicam ...... 14 Tretinoin (Topical) ...... 17 Sulindac ...... 16 Adrenergic Agent Oxymetazoline (Nasal) ...... 14 Analgesic, Opioid Acetaminophen and Codeine ...... 2 Aldehyde Dehydrogenase Inhibitor Belladonna and Opium ...... 3 Disulfiram ...... 6 Codeine ...... 5 Alkalinizing Agent FentaNYL ...... 8 Hydrocodone and Acetaminophen ...... 10 Sodium Bicarbonate ...... 16 HYDROmorphone ...... 10 Alkalinizing Agent, Oral Meperidine ...... 12 Potassium Citrate ...... 15 Methadone ...... 12 Sodium Citrate and Citric Acid ...... 16 Morphine (Systemic) ...... 13 Alkylamine Derivative OxyCODONE ...... 14 Oxycodone and Acetaminophen ...... 14 Brompheniramine and Pseudoephedrine ...... 4 Chlorpheniramine ...... 4 TraMADol ...... 17 Naphazoline and Pheniramine ...... 13 Analgesic, Topical Triprolidine and Pseudoephedrine ...... 17 Benzocaine ...... 3 Lidocaine (Topical) ...... 11 Alpha1 Agonist Naphazoline and Pheniramine ...... 13 Analgesic, Urinary Phenazopyridine ...... 14 Alpha1 Blocker Alfuzosin ...... 2 Androgen Doxazosin ...... 6 Danazol ...... 6 Phenoxybenzamine ...... 14 Testosterone ...... 17 Prazosin ...... 15 Tamsulosin ...... 17 Anesthetic/ Terazosin ...... 17 Pramoxine and Hydrocortisone ...... 15

Alpha2-Adrenergic Agonist Angiotensin II Receptor Blocker CloNIDine ...... 5 Candesartan ...... 4 GuanFACINE ...... 10 Candesartan and Hydrochlorothiazide ...... 4 Methyldopa ...... 12 Losartan ...... 11 Losartan and Hydrochlorothiazide ...... 12 Alpha2 Agonist, Ophthalmic Brimonidine (Ophthalmic) ...... 3 Telmisartan ...... 17 Telmisartan and Hydrochlorothiazide ...... 17 Alpha-Adrenergic Agonist Valsartan ...... 18 Phenylephrine (Nasal) ...... 14 Valsartan and Hydrochlorothiazide ...... 18 Phenylephrine (Ophthalmic) ...... 14 Angiotensin-Converting Enzyme (ACE) Inhibitor Alpha/Beta Agonist Amlodipine and Benazepril ...... 2 Brompheniramine and Pseudoephedrine ...... 4 Captopril ...... 4 EPINEPHrine (Systemic) ...... 7 Enalapril ...... 7 Guaifenesin and Pseudoephedrine ...... 10 Fosinopril ...... 9 Loratadine and Pseudoephedrine ...... 11 Lisinopril ...... 11 Pseudoephedrine ...... 15 Lisinopril and Hydrochlorothiazide ...... 11 Triprolidine and Pseudoephedrine ...... 17 Ramipril ...... 15 5 Alpha-Reductase Inhibitor Anilidopiperidine Opioid Finasteride ...... 8 FentaNYL ...... 8 Amebicide Antacid MetroNIDAZOLE (Systemic) ...... 12 Aluminum Hydroxide and Magnesium Carbonate ...... 2 Aminoquinoline (Antimalarial) Aluminum Hydroxide, Magnesium Hydroxide, and Simethicone ...... 2 Chloroquine ...... 4 Calcium Carbonate ...... 4 Hydroxychloroquine ...... 10 Magnesium Hydroxide ...... 12 Primaquine ...... 15 Sodium Bicarbonate ...... 16 5-Aminosalicylic Acid Derivative Anthelmintic Mesalamine ...... 12 Pyrantel Pamoate ...... 15 SulfaSALAzine ...... 16 Antianginal Agent Ammonium Detoxicant AmLODIPine ...... 2 Lactulose ...... 11 Amlodipine and Benazepril ...... 2 Neomycin ...... 13 Amyl Nitrite ...... 3 Analgesic Combination (Opioid) Atenolol ...... 3 Acetaminophen and Codeine ...... 2 DilTIAZem ...... 6 Belladonna and Opium ...... 3 Isosorbide Dinitrate ...... 11 Hydrocodone and Acetaminophen ...... 10 Isosorbide Mononitrate ...... 11 Oxycodone and Acetaminophen ...... 14 Metoprolol ...... 12 Nadolol ...... 13 Analgesic, Nonopioid NIFEdipine ...... 13 Acetaminophen ...... 2 Nitroglycerin ...... 13 Acetaminophen, Isometheptene, and Dichloralphenazone ...... 2 Propranolol ...... 15 Aspirin ...... 3 Verapamil ...... 18 Celecoxib ...... 4 Diclofenac (Systemic) ...... 6 Antianxiety Agent, Miscellaneous Etodolac ...... 8 BusPIRone ...... 4 20 , ALPHA-2 ANTAGONIST

Antiarrhythmic Agent, Class Ia Amoxicillin and Clavulanate ...... 2 Disopyramide ...... 6 Ampicillin ...... 3 QuiNIDine ...... 15 Dicloxacillin ...... 6 Penicillin V Potassium ...... 14 Antiarrhythmic Agent, Class Ib Lidocaine (Systemic) ...... 11 Antibiotic, Respiratory Fluoroquinolone Mexiletine ...... 12 LevoFLOXacin (Systemic) ...... 11 Moxifloxacin (Systemic) ...... 13 Antiarrhythmic Agent, Class II Propranolol ...... 15 Antibiotic, Sulfonamide Derivative Erythromycin and Sulfisoxazole ...... 7 Antiarrhythmic Agent, Class III Sulfamethoxazole and Trimethoprim ...... 16 Amiodarone ...... 2 Dronedarone ...... 7 Antibiotic, Tetracycline Derivative Doxycycline ...... 7 Antiarrhythmic Agent, Class IV Minocycline ...... 12 DilTIAZem ...... 6 Tetracycline ...... 17 Verapamil ...... 18 Antibiotic, Topical Antiarrhythmic Agent, Miscellaneous Bacitracin, Neomycin, and Polymyxin B (Topical) ...... 3 Digoxin ...... 6 Bacitracin (Topical) ...... 3 Antibiotic, Aminoglycoside Chlorhexidine Gluconate ...... 4 Gentamicin (Ophthalmic) ...... 9 Erythromycin (Topical) ...... 7 Gentamicin (Topical) ...... 9 Gentamicin (Topical) ...... 9 Neomycin ...... 13 Gentian Violet ...... 9 Tobramycin (Ophthalmic) ...... 17 MetroNIDAZOLE (Topical) ...... 12 Mupirocin ...... 13 Antibiotic, Cephalosporin (First Generation) Silver Sulfadiazine ...... 16 Cephalexin ...... 4 Anticholinergic Agent Antibiotic, Cephalosporin (Third Generation) Benztropine ...... 3 Cefdinir ...... 4 Dicyclomine ...... 6 Cefpodoxime ...... 4 Glycopyrrolate (Systemic) ...... 9 Antibiotic/Corticosteroid, Ophthalmic Hyoscyamine, Atropine, Scopolamine, and Phenobarbital ...... 10 Ipratropium and Albuterol ...... 11 Neomycin, Polymyxin B, and Dexamethasone ...... 13 Sulfacetamide and Prednisolone ...... 16 Ipratropium (Oral Inhalation) ...... 11 Propantheline ...... 15 Antibiotic/Corticosteroid, Otic Scopolamine (Ophthalmic) ...... 16 Ciprofloxacin and Dexamethasone ...... 5 Tiotropium ...... 17 Neomycin, Polymyxin B, and Hydrocortisone (Otic) ...... 13 Tolterodine ...... 17 Trihexyphenidyl ...... 17 Antibiotic, Fluoroquinolone Ciprofloxacin (Systemic) ...... 5 Anticholinergic Agent, Long-Acting LevoFLOXacin (Systemic) ...... 11 Tiotropium ...... 17 Moxifloxacin (Systemic) ...... 13 Ofloxacin (Ophthalmic) ...... 13 Anticholinergic Agent, Ophthalmic Atropine (Ophthalmic) ...... 3 Antibiotic, Lincosamide Cyclopentolate ...... 5 Clindamycin (Systemic) ...... 5 Scopolamine (Ophthalmic) ...... 16 Clindamycin (Topical) ...... 5 Anticoagulant Antibiotic, Macrolide Dabigatran Etexilate ...... 6 Azithromycin (Systemic) ...... 3 Enoxaparin ...... 7 Clarithromycin ...... 5 Heparin ...... 10 Erythromycin and Sulfisoxazole ...... 7 Warfarin ...... 18 Erythromycin (Ophthalmic) ...... 7 Erythromycin (Systemic) ...... 7 Anticoagulant, Direct Thrombin Inhibitor Erythromycin (Topical) ...... 7 Dabigatran Etexilate ...... 6 Antibiotic, Macrolide Combination Anticoagulant, Heparin Erythromycin and Sulfisoxazole ...... 7 Heparin ...... 10 Antibiotic, Miscellaneous Anticoagulant, Low Molecular Weight Heparin Dapsone (Systemic) ...... 6 Enoxaparin ...... 7 MetroNIDAZOLE (Systemic) ...... 12 Anticoagulant, Vitamin K Antagonist Nitrofurantoin ...... 13 Warfarin ...... 18 RifAMPin ...... 15 Sulfamethoxazole and Trimethoprim ...... 16 Anticonvulsant, Barbiturate Trimethoprim ...... 17 PHENobarbital ...... 14 Antibiotic, Ophthalmic Anticonvulsant, Benzodiazepine Bacitracin and Polymyxin B (Ophthalmic) ...... 3 ClonazePAM ...... 5 Bacitracin, Neomycin, and Polymyxin B (Ophthalmic) ...... 3 DiazePAM ...... 6 Bacitracin (Ophthalmic) ...... 3 LORazepam ...... 11 Erythromycin (Ophthalmic) ...... 7 Anticonvulsant, Hydantoin Gentamicin (Ophthalmic) ...... 9 Phenytoin ...... 14 Neomycin, Polymyxin B, and Gramicidin ...... 13 Ofloxacin (Ophthalmic) ...... 13 Anticonvulsant, Miscellaneous Sulfacetamide (Ophthalmic) ...... 16 AcetaZOLAMIDE ...... 2 Tobramycin (Ophthalmic) ...... 17 CarBAMazepine ...... 4 Trimethoprim and Polymyxin B ...... 17 Gabapentin ...... 9 Antibiotic, Oral Rinse LamoTRIgine ...... 11 Chlorhexidine Gluconate ...... 4 LevETIRAcetam ...... 11 OXcarbazepine ...... 14 Antibiotic, Otic Primidone ...... 15 Ciprofloxacin and Dexamethasone ...... 5 Topiramate ...... 17 Neomycin, Polymyxin B, and Hydrocortisone (Otic) ...... 13 Valproic Acid and Derivatives ...... 18 Antibiotic, Penicillin Antidepressant, Alpha-2 Antagonist Amoxicillin ...... 2 Mirtazapine ...... 13 21 ANTIDEPRESSANT, DOPAMINE/NOREPINEPHRINE-REUPTAKE INHIBITOR

Antidepressant, Dopamine/Norepinephrine-Reuptake Inhibitor Prochlorperazine ...... 15 BuPROPion ...... 4 Promethazine ...... 15 Antidepressant, Monoamine Oxidase Inhibitor Antiflatulent Selegiline ...... 16 Aluminum Hydroxide, Magnesium Hydroxide, and Simethicone ...... 2 Simethicone ...... 16 Antidepressant, Selective Serotonin Reuptake Inhibitor Citalopram ...... 5 Antifungal Agent, Imidazole Derivative Escitalopram ...... 7 Clotrimazole (Oral) ...... 5 FLUoxetine ...... 9 Clotrimazole (Topical) ...... 5 PARoxetine ...... 14 Ketoconazole (Systemic) ...... 11 Sertraline ...... 16 Ketoconazole (Topical) ...... 11 Miconazole (Topical) ...... 12 Antidepressant, Serotonin/Norepinephrine Reuptake Inhibitor DULoxetine ...... 7 Antifungal Agent, Oral Venlafaxine ...... 18 Fluconazole ...... 8 Griseofulvin ...... 9 Antidepressant, Serotonin Reuptake Inhibitor/Antagonist Ketoconazole (Systemic) ...... 11 TraZODone ...... 17 Terbinafine (Systemic) ...... 17 Antidepressant, Tricyclic (Secondary Amine) Antifungal Agent, Oral Nonabsorbed Desipramine ...... 6 Clotrimazole (Oral) ...... 5 Nortriptyline ...... 13 Antifungal Agent, Oral Nonabsorbed/Partially Absorbed Antidepressant, Tricyclic (Tertiary Amine) Clotrimazole (Topical) ...... 5 Amitriptyline ...... 2 Miconazole (Topical) ...... 12 Doxepin (Systemic) ...... 6 Nystatin (Oral) ...... 13 Imipramine ...... 10 Antifungal Agent, Parenteral Antidiabetic Agent, Biguanide Fluconazole ...... 8 Glipizide and Metformin ...... 9 Glyburide and Metformin ...... 9 Antifungal Agent, Topical MetFORMIN ...... 12 Clotrimazole (Topical) ...... 5 Pioglitazone and Metformin ...... 14 Gentian Violet ...... 9 Sitagliptin and Metformin ...... 16 Ketoconazole (Topical) ...... 11 Miconazole (Topical) ...... 12 Antidiabetic Agent, Dipeptidyl Peptidase 4 (DPP-4) Inhibitor Nystatin and Triamcinolone ...... 13 SITagliptin ...... 16 Nystatin (Topical) ...... 13 Sitagliptin and Metformin ...... 16 Undecylenic Acid and Derivatives ...... 18 Antidiabetic Agent, Dopamine Agonist Antifungal Agent, Vaginal Bromocriptine ...... 4 Clotrimazole (Topical) ...... 5 Antidiabetic Agent, Glucagon-Like -1 (GLP-1) Receptor Miconazole (Topical) ...... 12 Agonist Antigout Agent Albiglutide ...... 2 Allopurinol ...... 2 Exenatide ...... 8 Colchicine ...... 5 Antidiabetic Agent, Sulfonylurea Antihemophilic Agent Glimepiride ...... 9 Desmopressin ...... 6 GlipiZIDE ...... 9 Glipizide and Metformin ...... 9 Antihemorrhoidal Agent GlyBURIDE ...... 9 Dibucaine ...... 6 Glyburide and Metformin ...... 9 Hydrocortisone (Topical) ...... 10 TOLAZamide ...... 17 TOLBUTamide ...... 17 Antihypertensive AmLODIPine ...... 2 Antidiabetic Agent, Thiazolidinedione Amlodipine and Benazepril ...... 2 Pioglitazone ...... 14 Atenolol ...... 3 Pioglitazone and Metformin ...... 14 Candesartan ...... 4 Candesartan and Hydrochlorothiazide ...... 4 Antidiarrheal Captopril ...... 4 Bismuth Subsalicylate ...... 3 Carvedilol ...... 4 Diphenoxylate and Atropine ...... 6 Chlorthalidone ...... 5 Loperamide ...... 11 CloNIDine ...... 5 Psyllium ...... 15 DilTIAZem ...... 6 Antidote Doxazosin ...... 6 Acetylcysteine ...... 2 Enalapril ...... 7 Amyl Nitrite ...... 3 Felodipine ...... 8 Calcitonin ...... 4 Fosinopril ...... 9 Calcium Carbonate ...... 4 Furosemide ...... 9 Glucagon ...... 9 GuanFACINE ...... 10 Leucovorin Calcium ...... 11 HydrALAZINE ...... 10 Naloxone ...... 13 HydroCHLOROthiazide ...... 10 Phenoxybenzamine ...... 14 Hydrochlorothiazide and Triamterene ...... 10 Potassium Iodide ...... 15 Labetalol ...... 11 Sodium Polystyrene Sulfonate ...... 16 Lisinopril ...... 11 Lisinopril and Hydrochlorothiazide ...... 11 Antidote, Extravasation Losartan ...... 11 Nitroglycerin ...... 13 Losartan and Hydrochlorothiazide ...... 12 Terbutaline ...... 17 Methyldopa ...... 12 Antidote, Hypoglycemia Metoprolol ...... 12 Glucagon ...... 9 Minoxidil (Systemic) ...... 13 Nadolol ...... 13 Antiemetic NIFEdipine ...... 13 Dexamethasone (Systemic) ...... 6 Prazosin ...... 15 HydrOXYzine ...... 10 Propranolol ...... 15 Meclizine ...... 12 Ramipril ...... 15 Metoclopramide ...... 12 Spironolactone ...... 16 Ondansetron ...... 14 Telmisartan ...... 17 Perphenazine ...... 14 Telmisartan and Hydrochlorothiazide ...... 17 22 ANTITUSSIVE

Terazosin ...... 17 Antineoplastic Agent, Gonadotropin-Releasing Hormone Agonist Triamterene ...... 17 Goserelin ...... 9 Valsartan ...... 18 Leuprolide ...... 11 Valsartan and Hydrochlorothiazide ...... 18 Verapamil ...... 18 Antineoplastic Agent, Hormone Megestrol ...... 12 Anti-inflammatory Agent Dexamethasone (Systemic) ...... 6 Antineoplastic Agent, Miscellaneous Hydroxyurea ...... 10 Anti-inflammatory Agent, Ophthalmic Dexamethasone (Ophthalmic) ...... 6 Antineoplastic Agent, Retinoic Acid Derivative ISOtretinoin ...... 11 Anti-inflammatory, Locally Applied Carbamide Peroxide ...... 4 Antineoplastic Agent, Tyrosine Kinase Inhibitor Imatinib ...... 10 Antilipemic Agent, 2-Azetidinone Ezetimibe ...... 8 Antiparasitic Agent, Topical Ezetimibe and Simvastatin ...... 8 Lindane ...... 11 Permethrin ...... 14 Antilipemic Agent, Bile Acid Sequestrant Pyrethrins and Piperonyl Butoxide ...... 15 Colestipol ...... 5 Anti-Parkinson Agent, Anticholinergic Antilipemic Agent, Fibric Acid Benztropine ...... 3 Fenofibrate and Derivatives ...... 8 Trihexyphenidyl ...... 17 Gemfibrozil ...... 9 Anti-Parkinson Agent, Decarboxylase Inhibitor Antilipemic Agent, HMG-CoA Reductase Inhibitor Carbidopa and Levodopa ...... 4 AtorvaSTATin ...... 3 Anti-Parkinson Agent, Dopamine Agonist Ezetimibe and Simvastatin ...... 8 Amantadine ...... 2 Niacin and Simvastatin ...... 13 Bromocriptine ...... 4 Pravastatin ...... 15 Pramipexole ...... 15 Rosuvastatin ...... 16 ROPINIRole ...... 16 Simvastatin ...... 16 Anti-Parkinson Agent, Dopamine Precursor Antilipemic Agent, Miscellaneous Carbidopa and Levodopa ...... 4 Niacin ...... 13 Niacin and Simvastatin ...... 13 Anti-Parkinson Agent, MAO Type B Inhibitor Selegiline ...... 16 Antimalarial Agent Chloroquine ...... 4 Antiplatelet Agent Hydroxychloroquine ...... 10 Aspirin ...... 3 Primaquine ...... 15 Aspirin and Dipyridamole ...... 3 QuiNIDine ...... 15 Clopidogrel ...... 5 Dipyridamole ...... 6 Antimanic Agent ChlorproMAZINE ...... 4 Antiplatelet Agent, Thienopyridine Lithium ...... 11 Clopidogrel ...... 5 OLANZapine ...... 13 Antiprotozoal, Nitroimidazole RisperiDONE ...... 15 MetroNIDAZOLE (Systemic) ...... 12 Valproic Acid and Derivatives ...... 18 Antirheumatic, Disease Modifying Antimigraine Agent Adalimumab ...... 2 Ergotamine and Caffeine ...... 7 Methotrexate ...... 12 Rizatriptan ...... 15 SUMAtriptan ...... 16 Antirheumatic Miscellaneous ZOLMitriptan ...... 18 Cyclophosphamide ...... 5 Antineoplastic Agent, Alkylating Agent Antiseborrheic Agent, Topical Cyclophosphamide ...... 5 Sulfur and Salicylic Acid ...... 16 Antineoplastic Agent, Alkylating Agent (Nitrogen Mustard) Antiseptic, Topical Cyclophosphamide ...... 5 Alcohol (Isopropyl) ...... 2 Povidone-Iodine (Topical) ...... 15 Antineoplastic Agent, Alkylating Agent (Triazene) Temozolomide ...... 17 Antiseptic, Vaginal Povidone-Iodine (Topical) ...... 15 Antineoplastic Agent, Antiandrogen Bicalutamide ...... 3 Antispasmodic Agent, Gastrointestinal Clidinium and Chlordiazepoxide ...... 5 Antineoplastic Agent, Antimetabolite Hyoscyamine, Atropine, Scopolamine, and Phenobarbital ...... 10 Capecitabine ...... 4 Fluorouracil (Topical) ...... 9 Antispasmodic Agent, Urinary Mercaptopurine ...... 12 Belladonna and Opium ...... 3 FlavoxATE ...... 8 Antineoplastic Agent, Antimetabolite (Antifolate) Oxybutynin ...... 14 Methotrexate ...... 12 Antithyroid Agent Antineoplastic Agent, Antimetabolite (Purine Analog) MethIMAzole ...... 12 Mercaptopurine ...... 12 Potassium Iodide ...... 15 Antineoplastic Agent, Antimetabolite (Pyrimidine Analog) Propylthiouracil ...... 15 Capecitabine ...... 4 Antitubercular Agent Fluorouracil (Topical) ...... 9 Ethambutol ...... 7 Antineoplastic Agent, Aromatase Inhibitor Isoniazid ...... 11 Anastrozole ...... 3 Pyrazinamide ...... 15 Letrozole ...... 11 RifAMPin ...... 15 Antineoplastic Agent, BCR-ABL Tyrosine Kinase Inhibitor Antitussive Imatinib ...... 10 Benzonatate ...... 3 Codeine ...... 5 Antineoplastic Agent, Estrogen Guaifenesin and Codeine ...... 10 Tamoxifen ...... 17 Guaifenesin and Dextromethorphan ...... 10 23 ANTIVIRAL AGENT

Antiviral Agent Felodipine ...... 8 Acyclovir (Systemic) ...... 2 NIFEdipine ...... 13 Amantadine ...... 2 Calcium Channel Blocker, Nondihydropyridine ValACYclovir ...... 18 DilTIAZem ...... 6 Antiviral Agent, Adamantane Verapamil ...... 18 Amantadine ...... 2 Calcium Salt Antiviral Agent, Ophthalmic Calcium and Vitamin D ...... 4 Ganciclovir (Ophthalmic) ...... 9 Calcium Carbonate ...... 4 Calcium Glubionate ...... 4 Antiviral Agent, Oral Calcium Lactate ...... 4 ValACYclovir ...... 18 Carbonic Anhydrase Inhibitor Antiviral Agent, Topical AcetaZOLAMIDE ...... 2 Acyclovir (Topical) ...... 2 MethazolAMIDE ...... 12 Appetite Stimulant Carbonic Anhydrase Inhibitor (Ophthalmic) Megestrol ...... 12 Dorzolamide ...... 6 Barbiturate Cardiac Glycoside Butalbital, Acetaminophen, and Caffeine ...... 4 Digoxin ...... 6 Butalbital, Aspirin, and Caffeine ...... 4 PHENobarbital ...... 14 Cathartic Primidone ...... 15 Sodium Phosphates ...... 16 Secobarbital ...... 16 Central Nervous System Stimulant Benzodiazepine Dextroamphetamine ...... 6 ChlordiazePOXIDE ...... 4 Dextroamphetamine and Amphetamine ...... 6 Clidinium and Chlordiazepoxide ...... 5 Ergotamine and Caffeine ...... 7 ClonazePAM ...... 5 Methylphenidate ...... 12 DiazePAM ...... 6 Modafinil ...... 13 LORazepam ...... 11 Chemotherapy Modulating Agent Oxazepam ...... 14 Leucovorin Calcium ...... 11 Temazepam ...... 17 Triazolam ...... 17 Cholinergic Agonist Acetylcholine ...... 2 Beta2-Adrenergic Agonist Bethanechol ...... 3 Ipratropium and Albuterol ...... 11 Carbachol ...... 4

Beta2-Adrenergic Agonist, Long-Acting Colony Stimulating Factor Fluticasone and Salmeterol ...... 9 Epoetin Alfa ...... 7 Salmeterol ...... 16 Contraceptive Beta2 Agonist Ethinyl Estradiol and Desogestrel ...... 7 Albuterol ...... 2 Ethinyl Estradiol and Drospirenone ...... 7 Fluticasone and Salmeterol ...... 9 Ethinyl Estradiol and Ethynodiol Diacetate ...... 7 Metaproterenol ...... 12 Ethinyl Estradiol and Etonogestrel ...... 7 Salmeterol ...... 16 Ethinyl Estradiol and Levonorgestrel ...... 7 Terbutaline ...... 17 Ethinyl Estradiol and Norelgestromin ...... 8 Beta-Adrenergic Blocker, Nonselective Ethinyl Estradiol and Norethindrone ...... 8 Ethinyl Estradiol and Norgestimate ...... 8 Propranolol ...... 15 Ethinyl Estradiol and Norgestrel ...... 8 Beta-Blocker, Beta-1 Selective Levonorgestrel (Systemic) ...... 11 Atenolol ...... 3 MedroxyPROGESTERone ...... 12 Metoprolol ...... 12 Nonoxynol 9 ...... 13 Norethindrone ...... 13 Beta-Blocker, Nonselective Nadolol ...... 13 Corticosteroid, Inhalant (Oral) Timolol (Ophthalmic) ...... 17 Budesonide (Oral Inhalation) ...... 4 Fluticasone and Salmeterol ...... 9 Beta-Blocker With Alpha-Blocking Activity Fluticasone (Oral Inhalation) ...... 9 Carvedilol ...... 4 Labetalol ...... 11 Corticosteroid, Nasal Fluticasone (Nasal) ...... 9 Biological, Miscellaneous Glatiramer Acetate ...... 9 Corticosteroid, Ophthalmic Dexamethasone (Ophthalmic) ...... 6 Bisphosphonate Derivative Fluorometholone ...... 9 Alendronate ...... 2 PrednisoLONE (Ophthalmic) ...... 15 Alendronate and Cholecalciferol ...... 2 Ibandronate ...... 10 Corticosteroid, Otic Ciprofloxacin and Dexamethasone ...... 5 Blood Viscosity Reducer Agent Dexamethasone (Ophthalmic) ...... 6 Pentoxifylline ...... 14 Neomycin, Polymyxin B, and Hydrocortisone (Otic) ...... 13 Calcineurin Inhibitor Corticosteroid, Rectal CycloSPORINE (Ophthalmic) ...... 5 Hydrocortisone (Topical) ...... 10 CycloSPORINE (Systemic) ...... 5 Pimecrolimus ...... 14 Corticosteroid, Systemic Cortisone ...... 5 Calcium Channel Blocker Dexamethasone (Systemic) ...... 6 AmLODIPine ...... 2 Hydrocortisone (Systemic) ...... 10 Amlodipine and Benazepril ...... 2 MethylPREDNISolone ...... 12 DilTIAZem ...... 6 PrednisoLONE (Systemic) ...... 15 Felodipine ...... 8 PredniSONE ...... 15 NIFEdipine ...... 13 Verapamil ...... 18 Corticosteroid, Topical Amcinonide ...... 2 Calcium Channel Blocker, Dihydropyridine Betamethasone (Topical) ...... 3 AmLODIPine ...... 2 Clobetasol ...... 5 Amlodipine and Benazepril ...... 2 Desonide ...... 6 24 H ANTAGONIST, FIRST GENERATION 1 Desoximetasone ...... 6 Ethinyl Estradiol and Norgestimate ...... 8 Fluocinolone (Topical) ...... 8 Ethinyl Estradiol and Norgestrel ...... 8 Fluocinonide ...... 8 Flurandrenolide ...... 9 Estrogen Derivative Hydrocortisone (Topical) ...... 10 Estradiol (Systemic) ...... 7 Nystatin and Triamcinolone ...... 13 Estrogens (Conjugated/Equine, Systemic) ...... 7 Triamcinolone (Topical) ...... 17 Estrogens (Conjugated/Equine, Topical) ...... 7 Decongestant Ethanolamine Derivative Brompheniramine and Pseudoephedrine ...... 4 DiphenhydrAMINE (Systemic) ...... 6 Loratadine and Pseudoephedrine ...... 11 Doxylamine ...... 7 Oxymetazoline (Nasal) ...... 14 Expectorant Phenylephrine (Nasal) ...... 14 GuaiFENesin ...... 10 Pseudoephedrine ...... 15 Guaifenesin and Codeine ...... 10 Triprolidine and Pseudoephedrine ...... 17 Guaifenesin and Dextromethorphan ...... 10 Diagnostic Agent Guaifenesin and Pseudoephedrine ...... 10 Glucagon ...... 9 Potassium Iodide ...... 15 Diagnostic Agent, Ophthalmic Fiber Supplement Hydroxypropyl Methylcellulose ...... 10 Psyllium ...... 15 Direct Oral Anticoagulant (DOAC) First Generation (Typical) Antipsychotic Dabigatran Etexilate ...... 6 ChlorproMAZINE ...... 4 FluPHENAZine ...... 9 Disinfectant, Antibacterial (Topical) Haloperidol ...... 10 Sodium Hypochlorite ...... 16 Perphenazine ...... 14 Diuretic, Carbonic Anhydrase Inhibitor Prochlorperazine ...... 15 AcetaZOLAMIDE ...... 2 Thioridazine ...... 17 MethazolAMIDE ...... 12 Thiothixene ...... 17 Trifluoperazine ...... 17 Diuretic, Loop Furosemide ...... 9 GABA Analog Gabapentin ...... 9 Diuretic, Potassium-Sparing Hydrochlorothiazide and Triamterene ...... 10 Gastrointestinal Agent, Miscellaneous Spironolactone ...... 16 Adalimumab ...... 2 Triamterene ...... 17 Sucralfate ...... 16 Diuretic, Thiazide Gastrointestinal Agent, Prokinetic Candesartan and Hydrochlorothiazide ...... 4 Metoclopramide ...... 12 HydroCHLOROthiazide ...... 10 Hydrochlorothiazide and Triamterene ...... 10 General Anesthetic Lisinopril and Hydrochlorothiazide ...... 11 FentaNYL ...... 8 Losartan and Hydrochlorothiazide ...... 12 Genitourinary Irrigant Telmisartan and Hydrochlorothiazide ...... 17 Sodium Chloride ...... 16 Valsartan and Hydrochlorothiazide ...... 18 Gonadotropin Releasing Hormone Agonist Diuretic, Thiazide-Related Goserelin ...... 9 Chlorthalidone ...... 5 Leuprolide ...... 11 MetOLazone ...... 12 Hematopoietic Agent Electrolyte Supplement, Oral Epoetin Alfa ...... 7 Calcium and Vitamin D ...... 4 Calcium Carbonate ...... 4 Hemostatic Agent Magnesium Oxide ...... 12 Aluminum Chloride Hexahydrate ...... 2 Potassium Chloride ...... 14 Desmopressin ...... 6 Potassium Phosphate and Sodium Phosphate ...... 15 Sodium Bicarbonate ...... 16 Histamine Azelastine (Nasal) ...... 3 Electrolyte Supplement, Parenteral Brompheniramine and Pseudoephedrine ...... 4 Potassium Chloride ...... 14 Cetirizine ...... 4 Sodium Bicarbonate ...... 16 Chlorpheniramine ...... 4 Sodium Chloride ...... 16 Cyproheptadine ...... 5 Sodium Phosphates ...... 16 DiphenhydrAMINE (Systemic) ...... 6 Enzyme Doxylamine ...... 7 Pancrelipase ...... 14 Fexofenadine ...... 8 HydrOXYzine ...... 10 Ergot Alkaloid Ketotifen (Ophthalmic) ...... 11 Methysergide ...... 12 Levocabastine (Ophthalmic) ...... 11 Ergot Derivative Loratadine ...... 11 Bromocriptine ...... 4 Loratadine and Pseudoephedrine ...... 11 Ergotamine and Caffeine ...... 7 Meclizine ...... 12 Methylergonovine ...... 12 Naphazoline and Pheniramine ...... 13 Olopatadine (Ophthalmic) ...... 14 Erythropoiesis-Stimulating Agent (ESA) Promethazine ...... 15 Epoetin Alfa ...... 7 Triprolidine and Pseudoephedrine ...... 17 Estrogen and Androgen Combination Histamine H1 Antagonist, First Generation Estrogens (Esterified) and Methyltestosterone ...... 7 Brompheniramine and Pseudoephedrine ...... 4 Estrogen and Progestin Combination Chlorpheniramine ...... 4 Estrogens (Conjugated/Equine) and Medroxyprogesterone ...... 7 Cyproheptadine ...... 5 Ethinyl Estradiol and Desogestrel ...... 7 DiphenhydrAMINE (Systemic) ...... 6 Ethinyl Estradiol and Drospirenone ...... 7 Doxylamine ...... 7 Ethinyl Estradiol and Ethynodiol Diacetate ...... 7 HydrOXYzine ...... 10 Ethinyl Estradiol and Etonogestrel ...... 7 Meclizine ...... 12 Ethinyl Estradiol and Levonorgestrel ...... 7 Naphazoline and Pheniramine ...... 13 Ethinyl Estradiol and Norelgestromin ...... 8 Promethazine ...... 15 Ethinyl Estradiol and Norethindrone ...... 8 Triprolidine and Pseudoephedrine ...... 17 25 HISTAMINE H ANTAGONIST, SECOND GENERATION 1

Histamine H1 Antagonist, Second Generation Laxative, Azelastine (Nasal) ...... 3 Magnesium Citrate ...... 12 Cetirizine ...... 4 Fexofenadine ...... 8 Laxative, Stimulant Ketotifen (Ophthalmic) ...... 11 Bisacodyl ...... 3 Levocabastine (Ophthalmic) ...... 11 Leukotriene-Receptor Antagonist Loratadine ...... 11 Montelukast ...... 13 Loratadine and Pseudoephedrine ...... 11 Olopatadine (Ophthalmic) ...... 14 Local Anesthetic Benzocaine ...... 3 Histamine Dibucaine ...... 6 Cimetidine ...... 5 Lidocaine (Systemic) ...... 11 Famotidine ...... 8 Lidocaine (Topical) ...... 11 RaNITIdine ...... 15 Tetracaine (Ophthalmic) ...... 17 Histone Deacetylase Inhibitor Local Anesthetic, Ophthalmic Valproic Acid and Derivatives ...... 18 Proparacaine ...... 15 Hormone Lubricant, Ocular Calcitonin ...... 4 Hydroxypropyl Methylcellulose ...... 10 Hormone, Posterior Pituitary Ocular Lubricant ...... 13 Desmopressin ...... 6 Sodium Chloride ...... 16 Hypnotic, Miscellaneous Magnesium Salt Eszopiclone ...... 7 Magnesium Citrate ...... 12 Zolpidem ...... 18 Magnesium Hydroxide ...... 12 Magnesium Oxide ...... 12 Imidazoline Derivative Naphazoline and Pheniramine ...... 13 Oxymetazoline (Nasal) ...... 14 Cromolyn (Nasal) ...... 5 Cromolyn (Ophthalmic) ...... 5 Immunosuppressant Agent Cromolyn (Oral Inhalation) ...... 5 AzaTHIOprine ...... 3 Cromolyn (Systemic) ...... 5 Cyclophosphamide ...... 5 Ketotifen (Ophthalmic) ...... 11 CycloSPORINE (Ophthalmic) ...... 5 CycloSPORINE (Systemic) ...... 5 Mineralocorticoid (Aldosterone) Receptor Antagonists Mercaptopurine ...... 12 Spironolactone ...... 16 Methotrexate ...... 12 Miscellaneous Product Pimecrolimus ...... 14 Diabetic Supplies ...... 6 Inhalation, Miscellaneous Monoclonal Antibody Inhalation Devices ...... 10 Adalimumab ...... 2 Insulin, Combination Mucolytic Agent Insulin Aspart Protamine and Insulin Aspart ...... 10 Acetylcysteine ...... 2 Insulin NPH and Insulin Regular ...... 10 N-Methyl-D-Aspartate Receptor Antagonist Insulin, Intermediate-Acting Memantine ...... 12 Insulin NPH ...... 10 Nonsteroidal Anti-inflammatory Drug (NSAID) Insulin, Long-Acting Diclofenac (Ophthalmic) ...... 6 Insulin Detemir ...... 10 Diclofenac (Systemic) ...... 6 Insulin Glargine ...... 10 Diclofenac (Topical) ...... 6 Insulin, Rapid-Acting Nonsteroidal Anti-inflammatory Drug (NSAID), COX-2 Selective Insulin Aspart ...... 10 Celecoxib ...... 4 Insulin, Short-Acting Nonsteroidal Anti-inflammatory Drug (NSAID), Ophthalmic Insulin Regular ...... 10 Diclofenac (Ophthalmic) ...... 6 Interferon Nonsteroidal Anti-inflammatory Drug (NSAID), Oral Interferon Beta-1b ...... 10 Aspirin ...... 3 Iron Salt Diclofenac (Systemic) ...... 6 Ferrous Sulfate ...... 8 Etodolac ...... 8 Flurbiprofen (Systemic) ...... 9 Irrigant Ibuprofen ...... 10 Sodium Chloride ...... 16 Indomethacin ...... 10 Irrigating Solution Meclofenamate ...... 12 Balanced Salt Solution ...... 3 Mefenamic Acid ...... 12 Meloxicam ...... 12 Keratolytic Agent Nabumetone ...... 13 Podofilox ...... 14 Naproxen ...... 13 Salicylic Acid ...... 16 Piroxicam ...... 14 Urea (Topical) ...... 18 Sulindac ...... 16 Laxative Nonsteroidal Anti-inflammatory Drug (NSAID), Parenteral Magnesium Hydroxide ...... 12 Ibuprofen ...... 10 Indomethacin ...... 10 Laxative, Bowel Evacuant Sodium Phosphates ...... 16 Nonsteroidal Anti-inflammatory Drug (NSAID), Topical Diclofenac (Topical) ...... 6 Laxative, Bulk-Producing Psyllium ...... 15 Norepinephrine Reuptake Inhibitor, Selective AtoMOXetine ...... 3 Laxative, Lubricant Mineral Oil ...... 12 Nutritional Supplement Fluoride ...... 9 Laxative, Osmotic Glycerin ...... 9 Ophthalmic Agent, Antiglaucoma Lactulose ...... 11 AcetaZOLAMIDE ...... 2 Polyethylene Glycol 3350 ...... 14 Betaxolol (Ophthalmic) ...... 3 Polyethylene Glycol-Electrolyte Solution ...... 14 Bimatoprost ...... 3 26 TOPICAL SKIN PRODUCT

Brimonidine (Ophthalmic) ...... 3 Proton Pump Inhibitor Carbachol ...... 4 Esomeprazole ...... 7 Carteolol (Ophthalmic) ...... 4 Omeprazole ...... 14 Dorzolamide ...... 6 Latanoprost ...... 11 Rescue Agent (Chemotherapy) MethazolAMIDE ...... 12 Leucovorin Calcium ...... 11 Phenylephrine (Ophthalmic) ...... 14 Retinoic Acid Derivative Pilocarpine (Ophthalmic) ...... 14 ISOtretinoin ...... 11 Timolol (Ophthalmic) ...... 17 Tretinoin (Topical) ...... 17 Ophthalmic Agent, Miotic Salicylate Acetylcholine ...... 2 Aspirin ...... 3 Carbachol ...... 4 Salsalate ...... 16 Pilocarpine (Ophthalmic) ...... 14 Scabicidal Agent Ophthalmic Agent, Miscellaneous Crotamiton ...... 5 Artificial Tears ...... 3 Lindane ...... 11 Balanced Salt Solution ...... 3 Permethrin ...... 14 Carboxymethylcellulose ...... 4 Ocular Lubricant ...... 13 Second Generation (Atypical) Antipsychotic Ophthalmic Agent, Mydriatic ARIPiprazole ...... 3 OLANZapine ...... 13 Atropine (Ophthalmic) ...... 3 QUEtiapine ...... 15 Phenylephrine (Ophthalmic) ...... 14 RisperiDONE ...... 15 Scopolamine (Ophthalmic) ...... 16 Ziprasidone ...... 18 Tropicamide ...... 18 Sedative Ophthalmic Agent, Vasoconstrictor Acetaminophen, Isometheptene, and Dichloralphenazone ...... 2 Naphazoline and Pheniramine ...... 13 Selective 5-HT Receptor Antagonist Opioid Antagonist 3 Ondansetron ...... 14 Naloxone ...... 13 Otic Agent, Analgesic Selective Estrogen Receptor Modulator (SERM) ClomiPHENE ...... 5 Antipyrine and Benzocaine ...... 3 Raloxifene ...... 15 Otic Agent, Anti-infective Tamoxifen ...... 17 Acetic Acid (Otic) ...... 2 Serotonin 5-HT Receptor Agonist Acetic Acid, Propylene Glycol Diacetate, and Hydrocortisone ...... 2 1B, 1D Rizatriptan ...... 15 Otic Agent, Cerumenolytic SUMAtriptan ...... 16 Antipyrine and Benzocaine ...... 3 ZOLMitriptan ...... 18 Carbamide Peroxide ...... 4 Shampoo, Pediculocide Ovulation Stimulator Pyrethrins and Piperonyl Butoxide ...... 15 ClomiPHENE ...... 5 Skeletal Muscle Relaxant Pediculocide Baclofen ...... 3 Lindane ...... 11 Cyclobenzaprine ...... 5 Permethrin ...... 14 Methocarbamol ...... 12 Pyrethrins and Piperonyl Butoxide ...... 15 Orphenadrine, Aspirin, and Caffeine ...... 14 Derivative Skin and Mucous Membrane Agent ChlorproMAZINE ...... 4 Imiquimod ...... 10 FluPHENAZine ...... 9 Perphenazine ...... 14 Skin and Mucous Membrane Agent, Miscellaneous Prochlorperazine ...... 15 Emollients ...... 7 Promethazine ...... 15 Smoking Cessation Aid Thioridazine ...... 17 BuPROPion ...... 4 Trifluoperazine ...... 17 Nicotine ...... 13 Phosphate Binder Sodium Salt Calcium Carbonate ...... 4 Sodium Chloride ...... 16 Phosphodiesterase-5 Enzyme Inhibitor Spermicide Sildenafil ...... 16 Nonoxynol 9 ...... 13 Phosphodiesterase Enzyme Inhibitor, Nonselective Stool Softener Theophylline ...... 17 Docusate ...... 6 Piperazine Derivative Substituted Benzimidazole Cetirizine ...... 4 Esomeprazole ...... 7 HydrOXYzine ...... 10 Omeprazole ...... 14 Meclizine ...... 12 Sympathomimetic Piperidine Derivative Acetaminophen, Isometheptene, and Dichloralphenazone ...... 2 Cyproheptadine ...... 5 Fexofenadine ...... 8 Thioamide Ketotifen (Ophthalmic) ...... 11 MethIMAzole ...... 12 Levocabastine (Ophthalmic) ...... 11 Propylthiouracil ...... 15 Loratadine ...... 11 Thyroid Product Loratadine and Pseudoephedrine ...... 11 Olopatadine (Ophthalmic) ...... 14 Levothyroxine ...... 11 Liothyronine ...... 11 Progestin Thyroid, Desiccated ...... 17 Levonorgestrel (Systemic) ...... 11 MedroxyPROGESTERone ...... 12 Topical Skin Product Megestrol ...... 12 Absorption Base ...... 2 Norethindrone ...... 13 Aluminum Chloride Hexahydrate ...... 2 Aluminum Sulfate and Calcium Acetate ...... 2 Prostaglandin, Ophthalmic Benzoyl Peroxide ...... 3 Bimatoprost ...... 3 Calamine ...... 4 Latanoprost ...... 11 Cleansing Lotion ...... 5 27 TOPICAL SKIN PRODUCT

Clindamycin and Benzoyl Peroxide ...... 5 Coal Tar ...... 5 Emollients ...... 7 Erythromycin (Topical) ...... 7 Fluorouracil (Topical) ...... 9 Imiquimod ...... 10 Lactic Acid and Ammonium Hydroxide ...... 11 Lanolin ...... 11 Pimecrolimus ...... 14 Podofilox ...... 14 Povidone-Iodine (Topical) ...... 15 Selenium Sulfide ...... 16 Surgical Lubricant ...... 16 Urea (Topical) ...... 18 Zinc Oxide ...... 18 Topical Skin Product, Acne Benzoyl Peroxide ...... 3 Clindamycin and Benzoyl Peroxide ...... 5 Clindamycin (Topical) ...... 5 Erythromycin (Topical) ...... 7 Salicylic Acid ...... 16 Tretinoin (Topical) ...... 17 Tumor Necrosis Factor (TNF) Blocking Agent Adalimumab ...... 2 Uricosuric Agent Probenecid ...... 15 Vasodilator Amyl Nitrite ...... 3 Dipyridamole ...... 6 HydrALAZINE ...... 10 Isosorbide Dinitrate ...... 11 Isosorbide Mononitrate ...... 11 Nitroglycerin ...... 13 Vasodilator, Direct-Acting Minoxidil (Systemic) ...... 13 Vasopressin Analog, Synthetic Desmopressin ...... 6 Vitamin Vitamins (Multiple/Oral) ...... 18 Vitamins (Multiple/Pediatric) ...... 18 Vitamins (Multiple/Prenatal) ...... 18 Vitamin D Analog Alendronate and Cholecalciferol ...... 2 Calcitriol (Systemic) ...... 4 Cholecalciferol ...... 5 Ergocalciferol ...... 7 Vitamin, Fat Soluble Calcium and Vitamin D ...... 4 Phytonadione ...... 14 Vitamin E (Systemic) ...... 18 Vitamin, Water Soluble Ascorbic Acid ...... 3 Cyanocobalamin ...... 5 Folic Acid ...... 9 Leucovorin Calcium ...... 11 Niacin ...... 13 Pyridoxine ...... 15 Thiamine ...... 17 Xanthine Oxidase Inhibitor Allopurinol ...... 2 28