Naval Hospital Jacksonville Formulary Alphabetical Listing ...

Naval Hospital Jacksonville Formulary Alphabetical Listing by Name

This document is current as of 12/31/19 The availability of formulary items is subject to change

1

ACARBOSE

Acarbose Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Tablet, Oral:

Generic: 25 mg, 50 mg, 100 mg

Acetaminophen Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Suppository, Rectal:

Generic: 120 mg, 325 mg, 650 mg Suspension, Oral:

Generic: 160 mg/5 mL Tablet, Oral:

Generic: 325 mg Tablet Chewable, Oral:

Generic: 80 mg

Acetaminophen and Codeine Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Solution, Oral [C-V]:

Generic: Acetaminophen 120 mg and codeine phosphate 12 mg per 5 mL [BCF]

Tablet, Oral [C-III]: Generic: Acetaminophen 300 mg and codeine phosphate 30 mg [BCF]

AcetaZOLAMIDE Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Capsule Extended Release 12 Hour, Oral:

Generic: 500 mg Tablet, Oral:

Generic: 125 mg, 250 mg

Acetic Acid (Otic) Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Solution, Otic:

Generic: 2%

Acitretin Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Capsule, Oral:

Generic: 10 mg, 25 mg

Acyclovir (Systemic) Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Capsule, Oral:

Generic: 200 mg [BCF] Suspension, Oral:

Generic: 200 mg/5 mL [BCF] Tablet, Oral:

Generic: 400 mg [BCF], 800 mg [BCF]

Acyclovir (Topical) Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Ointment, External:

Generic: 5%

Adalimumab Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Pen-injector Kit, Subcutaneous [preservative free]:

Humira Pen: 40 mg/0.8 mL [BCF]; 40 mg/0.4 mL [BCF] [contains polysorbate 80]

Humira Pen-CD/UC/HS Starter: 40 mg/0.8 mL [BCF]; 80 mg/0.8 mL [BCF] [contains polysorbate 80]

Humira Pen-Ps/UV/Adol HS Start: 40 mg/0.8 mL [BCF]; 80 mg/0.8 mL & 40 mg/0.4 mL [BCF] [contains polysorbate 80]

Prefilled Syringe Kit, Subcutaneous [preservative free]: Humira: 10 mg/0.2 mL [BCF]; 20 mg/0.4 mL [BCF]; 40 mg/0.8 mL [BCF]; 10 mg/0.1 mL [BCF]; 20 mg/0.2 mL [BCF]; 40 mg/0.4 mL [BCF] [contains polysorbate 80] Humira Pediatric Crohns Start: 40 mg/0.8 mL [BCF]; 80 mg/0.8 mL [BCF]; 80 mg/0.8 mL & 40 mg0.4 mL [BCF] [contains polysorbate 80]

Albendazole Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Tablet, Oral:

Albenza: 200 mg [contains saccharin sodium]

Albuterol Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Aerosol Solution, Inhalation [CFC free]:

ProAir HFA: 90 mcg/actuation [BCF] Nebulization Solution, Inhalation [preservative free]:

Generic: 0.083% [2.5 mg/3 mL] [BCF] Generic: 0.63 mg/3 mL; 1.25 mg/3 mL

Alcohol (Isopropyl) Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Pad, External:

Generic: 70%

Alendronate Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Solution, Oral:

Generic: 70 mg/75 mL[BCF] Tablet, Oral:

Generic: 5 mg [BCF], 10 mg [BCF], 35 mg [BCF], 70 mg [BCF]

Alfuzosin Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Tablet Extended Release 24 Hour, Oral, as hydrochloride:

Generic: 10 mg [BCF]

Alginic Acid, Aluminum Hydroxide, and Magnesium Trisilicate Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Tablet, Chewable, Oral:

Generic: 80 mg-20 mg

Allopurinol Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Tablet, Oral, as sodium:

Generic: 100 mg [BCF], 300 mg [BCF]

ALPRAZolam Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Tablet, Oral:

Generic: 0.25 mg, 0.5 mg

Alprostadil Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Kit, Intracavernosal:

Edex: 10 mcg, 20 mcg, 40 mcg

Aluminum Acetate Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Powder, for Solution, External:

Generic: Aluminum sulfate 1191 mg and calcium acetate 839 mg per packet Generic: Aluminum sulfate tetradecahydrate 1347 mg and calcium acetate

monohydrate 952 mg per packet

Aluminum Chloride Hexahydrate Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Solution, External:

Drysol: 20%

Aluminum Hydroxide Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Suspension, Oral:

Generic: 320 mg/5 mL

Amantadine Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Capsule, Oral, as hydrochloride:

Generic: 100 mg [BCF] Syrup, Oral, as hydrochloride:

Generic: 50 mg/5 mL [BCF]

Aminocaproic Acid Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling.

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AZITHROMYCIN (SYSTEMIC)

Tablet, Oral: Generic: 500 mg

Amiodarone Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Tablet, Oral, as hydrochloride:

Generic: 200 mg [BCF]

Amitriptyline Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Tablet, Oral, as hydrochloride:

Generic: 10 mg [BCF], 25 mg [BCF], 50 mg [BCF], 75 mg [BCF]

Amitriptyline and Perphenazine Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Tablet, Oral:

Generic: Amitriptyline hydrochloride 25 mg and perphenazine 2 mg Generic: Amitriptyline hydrochloride 25 mg and perphenazine 4 mg

AmLODIPine Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Tablet, Oral:

Generic: 2.5 mg [BCF], 5 mg [BCF], 10 mg [BCF]

Amlodipine and Benazepril Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Capsule, Oral:

Generic: 2.5/10: Amlodipine 2.5 mg and benazepril hydrochloride 10 mg [BCF]

Generic: 5/10: Amlodipine 5 mg and benazepril hydrochloride 10 mg [BCF] Generic: 5/20: Amlodipine 5 mg and benazepril hydrochloride 20 mg [BCF] Generic: 5/40: Amlodipine 5 mg and benazepril hydrochloride 40 mg [BCF] Generic: 10/20: Amlodipine 10 mg and benazepril hydrochloride 20 mg [BCF] Generic: 10/40: Amlodipine 10 mg and benazepril hydrochloride 40 mg [BCF]

Amoxapine Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Tablet, Oral:

Generic: 50 mg

Amoxicillin Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Capsule, Oral:

Generic: 250 mg [BCF], 500 mg [BCF] Suspension Reconstituted, Oral:

Generic: 125 mg/5 mL; 250 mg/5 mL [BCF]; 400 mg/5 mL [BCF] Tablet Chewable, Oral:

Generic: 125 mg, 250 mg

Amoxicillin and Clavulanate Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Powder for Suspension, Oral:

Augmentin: 125: Amoxicillin 125 mg and clavulanate potassium 31.25 mg per 5 mL [contains potassium 0.16 mEq/5 mL; banana flavor] [BCF]

Generic: 200: Amoxicillin 200 mg and clavulanate potassium 28.5 mg per 5 mL [BCF]

Generic: 250: Amoxicillin 250 mg and clavulanate potassium 62.5 mg per 5 mL [BCF]

Generic: 400: Amoxicillin 400 mg and clavulanate potassium 57 mg per 5 mL [BCF]

Generic: 600: Amoxicillin 600 mg and clavulanate potassium 42.9 mg per 5 mL [BCF]

Tablet, Oral: Generic: 250: Amoxicillin 250 mg and clavulanate potassium 125 mg [BCF] Generic: 500: Amoxicillin 500 mg and clavulanate potassium 125 mg [BCF] Generic: 875: Amoxicillin 875 mg and clavulanate potassium 125 mg [BCF]

Tablet, Extended Release, Oral: Generic: Amoxicillin 1000 mg and clavulanate acid 62.5 mg

Ampicillin Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Capsule, Oral:

Generic: 250 mg Suspension Reconstituted, Oral:

Generic: 250 mg/5 mL

Anastrozole Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Tablet, Oral:

Generic: 1 mg

Apixaban Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Tablet, Oral:

Eliquis: 2.5 mg, 5 mg Eliquis Starter Pack: 5 mg

ARIPiprazole Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Tablet, Oral:

Generic: 2 mg, 5 mg, 10 mg, 15 mg, 20 mg, 30 mg

Artificial Tears Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Ointment, Ophthalmic:

LubriFresh P.M Generic Solution, Ophthalmic: Liquifilm Tears

Aspirin Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Tablet, Oral:

Generic: 325 mg Tablet, Delayed Release, Oral:

Generic: 81 mg, 325 mg

Atenolol Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Tablet, Oral:

Generic: 25 mg [BCF], 50 mg [BCF], 100 mg [BCF]

AtoMOXetine Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Capsule, Oral:

Strattera: 10 mg, 18 mg, 25 mg, 40 mg, 60 mg, 80 mg, 100 mg

AtorvaSTATin Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Tablet, Oral:

Generic: 10 mg [BCF], 20 mg [BCF], 40 mg [BCF], 80 mg [BCF]

Atropine (Ophthalmic) Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Ointment, Ophthalmic, as sulfate:

Generic: 1% Solution, Ophthalmic, as sulfate:

Generic: 1%

AzaTHIOprine Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Tablet, Oral:

Generic: 50 mg

Azelaic Acid Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Gel, External:

Finacea: 15% [contains benzoic acid, disodium edta, polysorbate 80, propylene glycol]

Azelastine (Nasal) Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Solution, Nasal, as hydrochloride:

Generic: 137 mcg/spray

Azithromycin (Systemic) Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Packet, Oral, as dihydrate [strength expressed as base]:

Generic: 1 g [BCF]

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AZITHROMYCIN (SYSTEMIC)

Suspension Reconstituted, Oral [strength expressed as base]: Generic: 100 mg/5 mL [BCF]; 200 mg/5 mL

Tablet, Oral: Generic: 250 mg [BCF], 500 mg [BCF]

Bacitracin, Neomycin, and Polymyxin B (Ophthalmic) Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Ointment, Ophthalmic:

Generic: Bacitracin 400 units, neomycin 3.5 mg, and polymyxin B 10,000 units per g [BCF]

Baclofen Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Tablet, Oral:

Generic: 10 mg, 20 mg

Benazepril Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Tablet, Oral, as hydrochloride:

Generic: 5 mg, 10 mg, 20 mg, 40 mg

Benzocaine and Menthol Outpatient Dosage Forms

Excipient information presented when available (limited, particularly for generics); consult specific product labeling. Lozenge, Mouth/Throat:

Cepacol Sore Throat: Benzocaine 15 mg and Menthol 3.6 mg

Benzonatate Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Capsule, Oral:

Generic: 100 mg

Benzoyl Peroxide Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Gel, External:

Generic: 5%; 10% Liquid, External [wash]:

Generic: 5%, 10%

Benztropine Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Tablet, Oral, as mesylate:

Generic: 0.5 mg [BCF], 1 mg [BCF], 2 mg [BCF]

Betamethasone (Topical) Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Cream, External, as dipropionate [strength expressed as base]:

Generic: 0.05% Lotion, External, as dipropionate [strength expressed as base]:

Generic: 0.05% Ointment, External, as dipropionate [strength expressed as base]:

Generic: 0.05% Ointment, External, as dipropionate augmented [strength expressed as base]:

Generic: 0.05%

Betaxolol (Ophthalmic) Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Suspension, Ophthalmic:

Betoptic-S: 0.25%

Bethanechol Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Tablet, Oral, as chloride:

Generic: 10 mg, 25 mg

Bicalutamide Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Tablet, Oral:

Casodex: 50 mg [BCF] Generic: 50 mg [BCF]

Bisacodyl Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Suppository, Rectal:

Generic: 10 mg

Tablet Delayed Release, Oral: Generic: 5 mg

Bismuth Subsalicylate Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Tablet, Chewable, Oral:

Generic: 262 mg

Brimonidine and Timolol Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Solution, Ophthalmic:

Combigan: Brimonidine tartrate 0.2% and timolol 0.5% [contains benzalkonium chloride]

Brimonidine (Ophthalmic) Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Solution, Ophthalmic, as tartrate:

Alphagan P: 0.1% Generic: 0.15% [BCF]; 0.2% [BCF]

Bromocriptine Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Tablet, Oral:

Generic: 2.5 mg

Budesonide (Oral Inhalation) Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Suspension, Inhalation:

Pulmicort: 0.25 mg/2 mL; 0.5 mg/2 mL; 1 mg/2 mL [contains disodium edta, polysorbate 80]

Generic: 0.25 mg/2 mL; 0.5 mg/2 mL

Budesonide (Systemic) Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Capsule Delayed Release Particles, Oral:

Generic: 3 mg

Bumetanide Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Tablet, Oral:

Generic: 1 mg, 2 mg

BuPROPion Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Tablet, Oral, as hydrochloride:

Generic: 75 mg [BCF], 100 mg [BCF] Tablet Extended Release 12 Hour, Oral, as hydrochloride:

Generic: 100 mg [BCF], 150 mg [BCF], 200 mg Tablet Extended Release 24 Hour, Oral, as hydrochloride:

Generic: 150 mg [BCF], 300 mg [BCF]

BusPIRone Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Tablet, Oral, as hydrochloride:

Generic: 5 mg [BCF], 10 mg [BCF], 15 mg [BCF]

Busulfan Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Tablet, Oral:

Myleran: 2 mg

Butalbital, Acetaminophen, and Caffeine Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Tablet, Oral:

Generic: Butalbital 50 mg, acetaminophen 325 mg, and caffeine 40 mg [BCF]

Butalbital, Aspirin, and Caffeine Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Capsule, Oral:

Generic: Butalbital 50 mg, aspirin 325 mg, and caffeine 40 mg

Cabergoline Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling.

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CHLORDIAZEPOXIDE

Tablet, Oral: Generic: 0.5 mg

Calcipotriene Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Cream, External:

Generic: 0.005% Ointment, External:

Generic: 0.005% Solution, External:

Generic: 0.005%

Calcitonin Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Solution, Nasal:

Fortical: 200 units/actuation [BCF]

Calcitriol (Systemic) Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Capsule, Oral:

Generic: 0.25 mcg, 0.5 mcg Solution, Oral:

Generic: 1 mcg/mL

Calcium Acetate Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Capsule, Oral:

Generic: 667 mg

Calcium and Vitamin D Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Tablet, Oral:

Generic: Calcium 500 mg and vitamin D 200 units

Calcium Carbonate Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Tablet, Oral:

Generic: 500 mg

Candesartan Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Tablet, Oral, as cilexetil:

Generic: 4 mg, 8 mg, 16 mg

Capsaicin Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Cream, External:

Generic: 0.03%

Captopril Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Tablet, Oral:

Generic: 12.5 mg [BCF], 25 mg [BCF], 50 mg [BCF], 100 mg [BCF]

CarBAMazepine Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Capsule Extended Release 12 Hour, Oral:

Generic: 300 mg Suspension, Oral:

Generic: 100 mg/5 mL [BCF] Tablet, Oral:

Generic: 200 mg [BCF] Tablet, Chewable, Oral:

Generic: 100 mg [BCF] Tablet Extended Release 12 Hour, Oral:

TEGretol-XR: 400 mg [BCF] Generic: 400 mg [BCF]

Carbidopa and Levodopa Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Tablet, Oral:

Generic: 10/100: Carbidopa 10 mg and levodopa 100 mg [scored] [BCF] Generic: 25/100: Carbidopa 25 mg and levodopa 100 mg [scored] [BCF] Generic: 25/250: Carbidopa 25 mg and levodopa 250 mg [scored] [BCF]

Tablet Extended Release, Oral: Generic: Carbidopa 50 mg and levodopa 200 mg

Carboxymethylcellulose Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Solution, Ophthalmic, as sodium:

Refresh Plus: 0.5% Refresh Tears: 0.5%

Carvedilol Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Capsule Extended Release 24 Hour, Oral, as phosphate:

Generic: 10 mg, 20 mg, 40 mg, 80 mg Tablet, Oral:

Generic: 3.125 mg [BCF], 6.25 mg [BCF], 12.5 mg [BCF], 25 mg [BCF]

Cefdinir Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Capsule, Oral:

Generic: 300 mg Suspension Reconstituted, Oral:

Generic: 125 mg/5 mL, 250 mg/5 mL

Cefixime Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Suspension Reconstituted, Oral:

Generic: 100 mg/5 mL (50 mL) Tablet Chewable, Oral:

Suprax: 200 mg

Cefpodoxime Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Tablet, Oral:

Generic: 200 mg

Cefprozil Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Suspension Reconstituted, Oral:

Generic: 250 mg/5 mL

Cefuroxime Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Tablet, Oral, as axetil [strength expressed as base]:

Generic: 250 mg, 500 mg

Celecoxib Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Capsule, Oral:

CeleBREX: 100 mg, 200 mg

Cephalexin Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Capsule, Oral:

Generic: 250 mg [BCF], 500 mg [BCF] Suspension Reconstituted, Oral:

Generic: 125 mg/5 mL, 250 mg/5 mL [BCF]

Cetirizine (Systemic) Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Syrup, Oral, as hydrochloride:

Generic: 1 mg/mL Tablet, Oral, as hydrochloride:

Generic: 10 mg

Chlorambucil Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Tablet, Oral:

Leukeran: 2 mg

ChlordiazePOXIDE Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Capsule, Oral, as hydrochloride:

Generic: 10 mg, 25 mg

5

CHLORHEXIDINE GLUCONATE (ORAL)

Chlorhexidine Gluconate (Oral) Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Solution, Mouth/Throat:

Generic: 0.12% [BCF]

Chloroquine Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Tablet, Oral, as phosphate:

Generic: 500 mg [equivalent to chloroquine base 300 mg]

Chlorpheniramine Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Tablet, Oral, as maleate:

Generic: 4 mg

ChlorproMAZINE Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Tablet, Oral, as hydrochloride:

Generic: 25 mg, 100 mg

Chlorthalidone Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Tablet, Oral:

Generic: 25 mg [BCF], 50 mg [BCF]

Chlorzoxazone Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Tablet, Oral:

Generic: 500 mg

Cholecalciferol Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Liquid, Oral:

Generic: 400 units/mL Tablet, Oral:

Generic: 400 units, 1000 units

Cholestyramine Resin Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Powder, Oral:

Generic: 4 g/dose

Chorionic Gonadotropin (Human) Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Solution Reconstituted, Intramuscular:

Generic: 10,000 units

Ciclopirox Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Solution, External:

Generic: 8%

Cilostazol Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Tablet, Oral:

Generic: 50 mg, 100 mg

Cimetidine Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Solution, Oral, as hydrochloride [strength expressed as base]:

Generic: 300 mg/5 mL Tablet, Oral:

Generic: 400 mg

Ciprofloxacin and Dexamethasone Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Suspension, Otic:

Ciprodex: Ciprofloxacin 0.3% and dexamethasone 0.1% [contains benzalkonium chloride, edetate disodium, tyloxapol]

Ciprofloxacin (Systemic) Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary

Suspension Reconstituted, Oral: Cipro: 250 mg/5 mL [BCF] Generic: 250 mg/5 mL [BCF]

Tablet, Oral, as hydrochloride [strength expressed as base]: Generic: 100 mg [BCF], 250 mg [BCF], 500 mg [BCF], 750 mg [BCF]

Citalopram Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Solution, Oral:

Generic: 10 mg/5 mL [BCF] Tablet, Oral:

Generic: 10 mg [BCF], 20 mg [BCF], 40 mg [BCF]

Clarithromycin Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Tablet, Oral:

Generic: 250 mg, 500 mg Tablet Extended Release 24 Hour, Oral:

Generic: 500 mg

Clindamycin and Benzoyl Peroxide Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Gel, External:

Duac: Clindamycin phosphate 1.2% and benzoyl peroxide 5%

Clindamycin (Systemic) Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Capsule, Oral, as hydrochloride [strength expressed as base]:

Generic: 150 mg [BCF], 300 mg Solution Reconstituted, Oral, as palmitate hydrochloride [strength expressed as base]:

Generic: 75 mg/5 mL

Clindamycin (Topical) Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Cream, Vaginal, as phosphate [strength expressed as base]:

Generic: 2% [BCF] Lotion, External, as phosphate [strength expressed as base]:

Generic: 1% Solution, External, as phosphate [strength expressed as base]:

Generic: 1% [BCF] Swab, External, as phosphate [strength expressed as base]:

Generic: 1%

Clobetasol Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Cream, External, as propionate:

Generic: 0.05% [BCF] Foam, External, as propionate:

Generic: 0.05% Ointment, External, as propionate:

Generic: 0.05% [BCF]

ClomiPHENE Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Tablet, Oral, as citrate:

Generic: 50 mg

ClomiPRAMINE Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. Capsule, Oral, as hydrochloride:

Generic: 50 mg

ClonazePAM Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Tablet, Oral:

Generic: 0.5 mg [BCF], 1 mg

CloNIDine Outpatient Dosage Forms Excipient information presented when available

(limited, particularly for generics); consult specific product labeling. [BCF] = Basic Core Formulary Patch Weekly, Transdermal:

Generic: 0.1 mg/24 hr; 0.3 mg/24 hr Tablet, Oral, as hydrochloride:

Generic: 0.1 mg [BCF], 0.2 mg [BCF], 0.3 mg [BCF]

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