NCR-JOA UNIFIED MEDICATION FORMULARY Alphabetical Listing by Therapeutic Category This document is current as of Aug. 23, 2021 The availability of formulary items is subject to change. ABORTIFACIENT Abortifacient Ammonium Detoxicant MiFEPRIStone ........................................................................................23 Lactulose ................................................................................................ 20 Neomycin ................................................................................................24 Acetylcholinesterase Inhibitor Neostigmine ............................................................................................25 AMPA Glutamate Receptor Antagonist Pyridostigmine ........................................................................................29 Perampanel ............................................................................................ 27 Acetylcholinesterase Inhibitor (Central) Amylinomimetic Donepezil ................................................................................................12 Pramlintide ..............................................................................................28 Galantamine ........................................................................................... 16 Rivastigmine ...........................................................................................30 Analgesic Combination (Opioid) Acetaminophen and Codeine ...................................................................2 Acne Products Belladonna and Opium ............................................................................ 5 Adapalene ................................................................................................ 2 Hydrocodone and Acetaminophen .........................................................18 Benzoyl Peroxide ..................................................................................... 5 Oxycodone and Acetaminophen ............................................................26 Clindamycin and Benzoyl Peroxide ......................................................... 8 Analgesic, Nonopioid Erythromycin (Topical) ............................................................................13 Acetaminophen .........................................................................................2 ISOtretinoin (Systemic) .......................................................................... 20 Acetaminophen, Isometheptene, and Dichloralphenazone ..................... 2 Salicylic Acid .......................................................................................... 30 Aspirin .......................................................................................................4 Sulfacetamide (Topical) ..........................................................................32 Butalbital, Acetaminophen, and Caffeine .................................................6 Tazarotene ..............................................................................................32 Celecoxib ..................................................................................................7 Tretinoin (Topical) ...................................................................................34 Diclofenac and Misoprostol .................................................................... 11 Adrenergic Agonist Agent Diclofenac (Systemic) .............................................................................11 Oxymetazoline (Nasal) ...........................................................................26 Etodolac ..................................................................................................14 Ibuprofen ................................................................................................ 18 Adrenergic Agonist Agent, Ophthalmic Indomethacin ..........................................................................................19 Phenylephrine and Ketorolac .................................................................27 Ketorolac (Systemic) .............................................................................. 20 Aldehyde Dehydrogenase Inhibitor Meloxicam .............................................................................................. 22 Naproxen ................................................................................................24 Disulfiram ................................................................................................11 Oxaprozin ............................................................................................... 26 Alkalinizing Agent Piroxicam (Systemic) ..............................................................................27 Sodium Bicarbonate ...............................................................................31 Sulindac ..................................................................................................32 Alkalinizing Agent, Oral Analgesic, Opioid Potassium Citrate ...................................................................................28 Acetaminophen and Codeine ...................................................................2 Potassium Citrate and Citric Acid .......................................................... 28 Belladonna and Opium ............................................................................ 5 Sodium Citrate and Citric Acid ...............................................................31 Buprenorphine ..........................................................................................6 Buprenorphine and Naloxone .................................................................. 6 Alkylamine Derivative Codeine .................................................................................................... 9 Chlorpheniramine ..................................................................................... 7 FentaNYL ............................................................................................... 15 Chlorpheniramine and Pseudoephedrine ................................................ 7 Hydrocodone and Acetaminophen .........................................................18 HYDROmorphone .................................................................................. 18 Alpha1 Agonist Midodrine ................................................................................................23 Methadone ..............................................................................................23 Morphine (Systemic) .............................................................................. 24 Alpha1 Blocker Opium Tincture .......................................................................................26 Alfuzosin ...................................................................................................2 OxyCODONE ......................................................................................... 26 Doxazosin ...............................................................................................12 Oxycodone and Acetaminophen ............................................................26 Phenoxybenzamine ................................................................................27 Tapentadol ..............................................................................................32 Prazosin ..................................................................................................28 TraMADol ............................................................................................... 33 Tamsulosin ............................................................................................. 32 Analgesic, Opioid Partial Agonist Terazosin ................................................................................................ 32 Buprenorphine ..........................................................................................6 Alpha2-Adrenergic Agonist Buprenorphine and Naloxone .................................................................. 6 CloNIDine ................................................................................................. 8 Analgesic, Topical GuanFACINE ..........................................................................................17 Capsaicin ..................................................................................................6 Methyldopa .............................................................................................23 Lidocaine (Topical) ................................................................................. 21 TiZANidine ..............................................................................................33 Analgesic, Urinary Alpha Agonist, Ophthalmic 2 Pentosan Polysulfate Sodium ................................................................ 27 Brimonidine and Timolol ...........................................................................5 Phenazopyridine .....................................................................................27 Brimonidine (Ophthalmic) .........................................................................5 Brinzolamide and Brimonidine ................................................................. 5 Androgen Danazol .................................................................................................... 9 Alpha-Adrenergic Agonist Testosterone ...........................................................................................33 Phenylephrine (Ophthalmic)