NAVAL HOSPITAL PENSACOLA OUTPATIENT FORMULARY …

NAVAL HOSPITAL PENSACOLA OUTPATIENT FORMULARY

Alphabetical Listing by Therapeutic Category

This document is current as of March 26, 2014. The availability of formulary items is subject to change.

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ACETYLCHOLINESTERASE INHIBITOR

Acetylcholinesterase Inhibitor Pyridostigmine .................................................................................................

Acetylcholinesterase Inhibitor (Central) Donepezil ......................................................................................................... Rivastigmine ....................................................................................................

Acne Products Adapalene and Benzoyl Peroxide .................................................................. Benzoyl Peroxide ............................................................................................ Erythromycin (Topical) ..................................................................................... ISOtretinoin ...................................................................................................... Salicylic Acid .................................................................................................... Tretinoin (Topical) ............................................................................................

Adrenergic Agonist Agent Oxymetazoline (Nasal) ....................................................................................

Aldehyde Dehydrogenase Inhibitor Disulfiram .........................................................................................................

Alkalinizing Agent Citric Acid, Sodium Citrate, and Potassium Citrate .......................................

Alkalinizing Agent, Oral Potassium Citrate ............................................................................................ Sodium Citrate and Citric Acid ........................................................................

Alkylamine Derivative Chlorpheniramine ............................................................................................ Hydrocodone and Chlorpheniramine .............................................................. Naphazoline and Pheniramine ........................................................................ Triprolidine and Pseudoephedrine ..................................................................

Alpha1 Agonist Naphazoline and Pheniramine ........................................................................

Hydrocodone and Chlorpheniramine .............................................................. HYDROmorphone ........................................................................................... Methadone ....................................................................................................... Morphine (Systemic) ....................................................................................... OxyCODONE ................................................................................................... Oxymorphone .................................................................................................. TraMADol .........................................................................................................

Analgesic, Opioid Partial Agonist Buprenorphine and Naloxone .........................................................................

Analgesic, Topical Lidocaine (Topical) ..........................................................................................

Analgesic, Urinary Phenazopyridine ..............................................................................................

Androgen MethylTESTOSTERone .................................................................................. Testosterone ....................................................................................................

Anesthetic/Corticosteroid Pramoxine and Hydrocortisone .......................................................................

Anesthetic, Topical Phenol ..............................................................................................................

Angiotensin II Receptor Blocker Candesartan .................................................................................................... Candesartan and Hydrochlorothiazide ........................................................... Losartan ........................................................................................................... Losartan and Hydrochlorothiazide .................................................................. Telmisartan ....................................................................................................... Telmisartan and Hydrochlorothiazide .............................................................. Valsartan .......................................................................................................... Valsartan and Hydrochlorothiazide .................................................................

Alpha1 Blocker Alfuzosin .......................................................................................................... Doxazosin ........................................................................................................ Prazosin ........................................................................................................... Tamsulosin ....................................................................................................... Terazosin ..........................................................................................................

Angiotensin-Converting Enzyme (ACE) Inhibitor Amlodipine and Benazepril ............................................................................. Captopril ........................................................................................................... Lisinopril ........................................................................................................... Lisinopril and Hydrochlorothiazide .................................................................. Ramipril ............................................................................................................

Alpha2-Adrenergic Agonist CloNIDine ......................................................................................................... GuanFACINE ................................................................................................... Methyldopa ......................................................................................................

Alpha2 Agonist, Ophthalmic Brimonidine and Timolol .................................................................................. Brimonidine (Ophthalmic) ................................................................................

Alpha-Adrenergic Agonist Phenylephrine (Ophthalmic) ............................................................................

Alpha/Beta Agonist EPINEPHrine (Systemic, Oral Inhalation) ...................................................... Fexofenadine and Pseudoephedrine .............................................................. Guaifenesin and Pseudoephedrine ................................................................ Pseudoephedrine ............................................................................................ Triprolidine and Pseudoephedrine ..................................................................

5 Alpha-Reductase Inhibitor Finasteride .......................................................................................................

Amebicide MetroNIDAZOLE (Systemic) ...........................................................................

Aminoquinoline (Antimalarial) Chloroquine ..................................................................................................... Hydroxychloroquine ......................................................................................... Primaquine .......................................................................................................

5-Aminosalicylic Acid Derivative Mesalamine ..................................................................................................... SulfaSALAzine .................................................................................................

Ammonium Detoxicant Lactulose .......................................................................................................... Neomycin .........................................................................................................

Analgesic Combination (Opioid) Acetaminophen and Codeine .......................................................................... Hydrocodone and Acetaminophen ................................................................. Oxycodone and Acetaminophen .....................................................................

Antacid Aluminum Hydroxide ....................................................................................... Aluminum Hydroxide, Magnesium Hydroxide, and Simethicone ...................

Anthelmintic Albendazole .....................................................................................................

Antianginal Agent AmLODIPine .................................................................................................... Amlodipine and Benazepril ............................................................................. Atenolol ............................................................................................................ Diltiazem .......................................................................................................... Isosorbide Dinitrate .......................................................................................... Isosorbide Mononitrate .................................................................................... Metoprolol ........................................................................................................ NIFEdipine ....................................................................................................... Nitroglycerin ..................................................................................................... Propranolol ....................................................................................................... Ranolazine ....................................................................................................... Verapamil .........................................................................................................

Antianxiety Agent, Miscellaneous BusPIRone .......................................................................................................

Antiarrhythmic Agent, Class Ia Disopyramide ................................................................................................... QuiNIDine ........................................................................................................

Antiarrhythmic Agent, Class Ic Propafenone ....................................................................................................

Antiarrhythmic Agent, Class II Acebutolol ........................................................................................................ Propranolol .......................................................................................................

Antiarrhythmic Agent, Class III Amiodarone ..................................................................................................... Dronedarone ....................................................................................................

Antiarrhythmic Agent, Class IV Diltiazem .......................................................................................................... Verapamil .........................................................................................................

Analgesic, Miscellaneous Acetaminophen ................................................................................................ Pregabalin ........................................................................................................

Analgesic, Opioid Buprenorphine and Naloxone ......................................................................... Codeine ............................................................................................................

Antiarrhythmic Agent, Miscellaneous Digoxin .............................................................................................................

Antibiotic, Aminoglycoside Gentamicin (Ophthalmic) ................................................................................. Gentamicin (Topical) ........................................................................................ Neomycin .........................................................................................................

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ANTIDEPRESSANT, SELECTIVE SEROTONIN REUPTAKE INHIBITOR

Tobramycin (Ophthalmic) ................................................................................ Tobramycin (Systemic, Oral Inhalation) ..........................................................

Antibiotic, Cephalosporin (First Generation) Cephalexin .......................................................................................................

Antibiotic, Cephalosporin (Second Generation) Cefprozil ........................................................................................................... Cefuroxime .......................................................................................................

Antibiotic, Cephalosporin (Third Generation) Cefdinir ............................................................................................................. Cefixime ...........................................................................................................

Antibiotic/Corticosteroid, Ophthalmic Neomycin, Polymyxin B, and Dexamethasone .............................................. Neomycin, Polymyxin B, and Hydrocortisone ................................................

Antibiotic/Corticosteroid, Otic Ciprofloxacin and Dexamethasone ................................................................. Ciprofloxacin and Hydrocortisone ................................................................... Neomycin, Colistin, Hydrocortisone, and Thonzonium .................................. Neomycin, Polymyxin B, and Hydrocortisone ................................................

Antibiotic/Corticosteroid, Topical Neomycin, Polymyxin B, and Hydrocortisone ................................................

Antibiotic, Fluoroquinolone Ciprofloxacin (Systemic) .................................................................................. Levofloxacin (Systemic) .................................................................................. Moxifloxacin (Ophthalmic) ............................................................................... Moxifloxacin (Systemic) ................................................................................... Ofloxacin (Ophthalmic) .................................................................................... Ofloxacin (Otic) ................................................................................................

Antibiotic, Lincosamide Clindamycin (Systemic) ................................................................................... Clindamycin (Topical) ......................................................................................

Antibiotic, Macrolide Azithromycin (Systemic) .................................................................................. Clarithromycin .................................................................................................. Erythromycin and Sulfisoxazole ...................................................................... Erythromycin (Ophthalmic) .............................................................................. Erythromycin (Systemic) ................................................................................. Erythromycin (Topical) ..................................................................................... Fidaxomicin ......................................................................................................

Antibiotic, Macrolide Combination Erythromycin and Sulfisoxazole ......................................................................

Antibiotic, Miscellaneous Bacitracin ......................................................................................................... Dapsone (Systemic) ........................................................................................ Methenamine ................................................................................................... MetroNIDAZOLE (Systemic) ........................................................................... Nitrofurantoin ................................................................................................... Rifampin ........................................................................................................... Rifaximin .......................................................................................................... Sulfamethoxazole and Trimethoprim .............................................................. Trimethoprim ....................................................................................................

Antibiotic, Ophthalmic Bacitracin ......................................................................................................... Bacitracin, Neomycin, and Polymyxin B ......................................................... Erythromycin (Ophthalmic) .............................................................................. Gentamicin (Ophthalmic) ................................................................................. Moxifloxacin (Ophthalmic) ............................................................................... Neomycin, Polymyxin B, and Hydrocortisone ................................................ Ofloxacin (Ophthalmic) .................................................................................... Sulfacetamide (Ophthalmic) ............................................................................ Tobramycin (Ophthalmic) ................................................................................ Trimethoprim and Polymyxin B .......................................................................

Antibiotic, Oral Rinse Chlorhexidine Gluconate .................................................................................

Antibiotic, Otic Ciprofloxacin and Dexamethasone ................................................................. Ciprofloxacin and Hydrocortisone ................................................................... Neomycin, Colistin, Hydrocortisone, and Thonzonium .................................. Neomycin, Polymyxin B, and Hydrocortisone ................................................ Ofloxacin (Otic) ................................................................................................

Antibiotic, Oxazolidinone Linezolid ...........................................................................................................

Antibiotic, Penicillin Amoxicillin ........................................................................................................ Amoxicillin and Clavulanate ............................................................................ Dicloxacillin ...................................................................................................... Penicillin V Potassium .....................................................................................

Antibiotic, Respiratory Fluoroquinolone Levofloxacin (Systemic) .................................................................................. Moxifloxacin (Systemic) ...................................................................................

Antibiotic, Sulfonamide Derivative Erythromycin and Sulfisoxazole ...................................................................... Sulfamethoxazole and Trimethoprim ..............................................................

Antibiotic, Tetracycline Derivative Doxycycline ...................................................................................................... Minocycline ...................................................................................................... Tetracycline ......................................................................................................

Antibiotic, Topical Bacitracin ......................................................................................................... Bacitracin, Neomycin, and Polymyxin B ......................................................... Chlorhexidine Gluconate ................................................................................. Erythromycin (Topical) ..................................................................................... Gentamicin (Topical) ........................................................................................ MetroNIDAZOLE (Topical) ............................................................................... Mupirocin ......................................................................................................... Neomycin ......................................................................................................... Neomycin, Polymyxin B, and Hydrocortisone ................................................ Silver Sulfadiazine ...........................................................................................

Anticholinergic Agent Atropine ............................................................................................................ Benztropine ...................................................................................................... Dicyclomine ..................................................................................................... Glycopyrrolate .................................................................................................. Hyoscyamine, Atropine, Scopolamine, and Phenobarbital ............................ Ipratropium and Albuterol ................................................................................ Ipratropium (Oral Inhalation) ........................................................................... Propantheline ................................................................................................... Scopolamine (Ophthalmic) .............................................................................. Solifenacin ....................................................................................................... Tiotropium ........................................................................................................ Tolterodine ....................................................................................................... Trihexyphenidyl ................................................................................................

Anticholinergic Agent, Long-Acting Tiotropium ........................................................................................................

Anticholinergic Agent, Ophthalmic Atropine ............................................................................................................ Cyclopentolate ................................................................................................. Homatropine .................................................................................................... Scopolamine (Ophthalmic) ..............................................................................

Anticoagulant Dabigatran Etexilate ........................................................................................ Enoxaparin ....................................................................................................... Fondaparinux ................................................................................................... Rivaroxaban ..................................................................................................... Warfarin ............................................................................................................

Anticoagulant, Direct Thrombin Inhibitor Dabigatran Etexilate ........................................................................................

Anticoagulant, Factor Xa Inhibitor Fondaparinux ................................................................................................... Rivaroxaban .....................................................................................................

Anticoagulant, Low Molecular Weight Heparin Enoxaparin .......................................................................................................

Anticoagulant, Vitamin K Antagonist Warfarin ............................................................................................................

Anticonvulsant, Barbiturate PHENobarbital .................................................................................................

Anticonvulsant, Hydantoin Phenytoin .........................................................................................................

Anticonvulsant, Miscellaneous AcetaZOLAMIDE ............................................................................................. CarBAMazepine ............................................................................................... Gabapentin ...................................................................................................... LevETIRAcetam ............................................................................................... Pregabalin ........................................................................................................ Primidone ......................................................................................................... Valproic Acid and Derivatives .........................................................................

Anticonvulsant, Succinimide Ethosuximide ...................................................................................................

Antidepressant, Dopamine-Reuptake Inhibitor BuPROPion .....................................................................................................

Antidepressant, Selective Serotonin Reuptake Inhibitor Citalopram ........................................................................................................ FLUoxetine ......................................................................................................

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ANTIDEPRESSANT, SELECTIVE SEROTONIN REUPTAKE INHIBITOR

PARoxetine ...................................................................................................... Sertraline ..........................................................................................................

Antidepressant, Serotonin/Norepinephrine Reuptake Inhibitor Venlafaxine ......................................................................................................

Antidepressant, Serotonin Reuptake Inhibitor/Antagonist TraZODone ......................................................................................................

Antidepressant, Tetracyclic Maprotiline .......................................................................................................

Antidepressant, Tricyclic (Secondary Amine) Desipramine .....................................................................................................

Antidepressant, Tricyclic (Tertiary Amine) Amitriptyline ..................................................................................................... Doxepin (Systemic) ......................................................................................... Imipramine .......................................................................................................

Antidiabetic Agent, Biguanide Glyburide and Metformin ................................................................................. MetFORMIN ..................................................................................................... Sitagliptin and Metformin .................................................................................

Antidiabetic Agent, Dipeptidyl Peptidase IV (DPP-IV) Inhibitor Linagliptin ......................................................................................................... SitaGLIPtin ....................................................................................................... Sitagliptin and Metformin .................................................................................

Antidiabetic Agent, Dopamine Agonist Bromocriptine ...................................................................................................

Antidiabetic Agent, Glucagon-Like Peptide-1 (GLP-1) Receptor Agonist

Exenatide ......................................................................................................... Liraglutide ........................................................................................................

Antidiabetic Agent, Sulfonylurea Glimepiride ....................................................................................................... GlipiZIDE .......................................................................................................... GlyBURIDE ...................................................................................................... Glyburide and Metformin .................................................................................

Antidiabetic Agent, Thiazolidinedione Pioglitazone .....................................................................................................

Antidiarrheal Bismuth ............................................................................................................ Loperamide ...................................................................................................... Psyllium ............................................................................................................

Antidote Acetylcysteine .................................................................................................. Aluminum Hydroxide ....................................................................................... Atropine ............................................................................................................ Glucagon .......................................................................................................... Potassium Iodide ............................................................................................. Sodium Polystyrene Sulfonate ........................................................................

Antidote, Extravasation Nitroglycerin ..................................................................................................... Terbutaline .......................................................................................................

Antidote, Hypoglycemia Glucagon ..........................................................................................................

Antiemetic Dexamethasone (Systemic) ............................................................................ HydrOXYzine ................................................................................................... Meclizine .......................................................................................................... Metoclopramide ............................................................................................... Perphenazine ................................................................................................... Prochlorperazine .............................................................................................. Promethazine ................................................................................................... Trimethobenzamide .........................................................................................

Antifibrinolytic Agent Aminocaproic Acid ...........................................................................................

Antiflatulent Aluminum Hydroxide, Magnesium Hydroxide, and Simethicone ................... Simethicone .....................................................................................................

Antifungal Agent, Oral Fluconazole ..................................................................................................... Griseofulvin ...................................................................................................... Ketoconazole (Systemic) ................................................................................

Antifungal Agent, Oral Nonabsorbed Nystatin (Oral) .................................................................................................

Antifungal Agent, Parenteral Fluconazole .....................................................................................................

Antifungal Agent, Topical Clotrimazole (Topical) ...................................................................................... Miconazole (Topical) ........................................................................................ Nystatin and Triamcinolone ............................................................................. Nystatin (Topical) .............................................................................................

Antifungal Agent, Vaginal Clotrimazole (Topical) ...................................................................................... Miconazole (Topical) ........................................................................................ Terconazole .....................................................................................................

Antigout Agent Allopurinol ........................................................................................................ Colchicine ........................................................................................................

Antihemophilic Agent Aminocaproic Acid ........................................................................................... Desmopressin ..................................................................................................

Antihemorrhoidal Agent Benzocaine ...................................................................................................... Dibucaine ......................................................................................................... Hydrocortisone (Topical) ..................................................................................

Antihypertensive Acebutolol ........................................................................................................ AmLODIPine .................................................................................................... Amlodipine and Benazepril ............................................................................. Atenolol ............................................................................................................ Candesartan .................................................................................................... Candesartan and Hydrochlorothiazide ........................................................... Captopril ........................................................................................................... Carvedilol ......................................................................................................... Chlorthalidone .................................................................................................. CloNIDine ......................................................................................................... Diltiazem .......................................................................................................... Doxazosin ........................................................................................................ Felodipine ........................................................................................................ Furosemide ...................................................................................................... GuanFACINE ................................................................................................... HydrALAZINE .................................................................................................. Hydrochlorothiazide ......................................................................................... Hydrochlorothiazide and Triamterene ............................................................. Labetalol .......................................................................................................... Lisinopril ........................................................................................................... Lisinopril and Hydrochlorothiazide .................................................................. Losartan ........................................................................................................... Losartan and Hydrochlorothiazide .................................................................. Methyldopa ...................................................................................................... Metoprolol ........................................................................................................ NIFEdipine ....................................................................................................... Nisoldipine ....................................................................................................... Prazosin ........................................................................................................... Propranolol ....................................................................................................... Ramipril ............................................................................................................ Spironolactone ................................................................................................. Telmisartan ....................................................................................................... Telmisartan and Hydrochlorothiazide .............................................................. Terazosin .......................................................................................................... Valsartan .......................................................................................................... Valsartan and Hydrochlorothiazide ................................................................. Verapamil .........................................................................................................

Anti-inflammatory Agent Dexamethasone (Systemic) ............................................................................

Anti-inflammatory, Locally Applied Carbamide Peroxide ........................................................................................

Antilipemic Agent, 2-Azetidinone Ezetimibe .........................................................................................................

Antilipemic Agent, Bile Acid Sequestrant Colestipol .........................................................................................................

Antilipemic Agent, Fibric Acid Fenofibrate and Derivatives ............................................................................ Gemfibrozil .......................................................................................................

Antilipemic Agent, HMG-CoA Reductase Inhibitor AtorvaSTATin ................................................................................................... Pravastatin ....................................................................................................... Rosuvastatin .................................................................................................... Simvastatin ......................................................................................................

Antilipemic Agent, Miscellaneous Niacin ...............................................................................................................

Antilipemic Agent, Omega-3 Fatty Acids Omega-3-Acid Ethyl Esters .............................................................................

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ANTIVIRAL AGENT, TOPICAL

Antimalarial Agent QuiNIDine ........................................................................................................

Antimanic Agent ChlorproMAZINE ............................................................................................. Lithium ............................................................................................................. RisperiDONE ................................................................................................... Valproic Acid and Derivatives .........................................................................

Antimigraine Agent Eletriptan .......................................................................................................... Ergotamine and Caffeine ................................................................................ Rizatriptan ........................................................................................................ SUMAtriptan .................................................................................................... ZOLMitriptan ....................................................................................................

Antineoplastic Agent, Alkylating Agent Busulfan ........................................................................................................... Chlorambucil .................................................................................................... Cyclophosphamide ..........................................................................................

Antineoplastic Agent, Alkylating Agent (Nitrogen Mustard) Chlorambucil .................................................................................................... Cyclophosphamide ..........................................................................................

Antineoplastic Agent, Antiandrogen Flutamide .........................................................................................................

Antineoplastic Agent, Antimetabolite Fluorouracil (Topical) ....................................................................................... Mercaptopurine ................................................................................................

Antineoplastic Agent, Antimetabolite (Antifolate) Methotrexate ....................................................................................................

Antineoplastic Agent, Antimetabolite (Purine Analog) Mercaptopurine ................................................................................................

Antineoplastic Agent, Antimetabolite (Pyrimidine Analog) Fluorouracil (Topical) .......................................................................................

Antineoplastic Agent, Aromatase Inhibitor Anastrozole ......................................................................................................

Antineoplastic Agent, Estrogen Receptor Antagonist Tamoxifen .........................................................................................................

Antineoplastic Agent, Gonadotropin-Releasing Hormone Agonist Goserelin .......................................................................................................... Leuprolide ........................................................................................................

Antineoplastic Agent, Miscellaneous Hydroxyurea ....................................................................................................

Antineoplastic Agent, Retinoic Acid Derivative ISOtretinoin ......................................................................................................

Antineoplastic Agent, Tyrosine Kinase Inhibitor SUNItinib ..........................................................................................................

Antineoplastic Agent, Vascular Endothelial Growth Factor (VEGF) Inhibitor

SUNItinib ..........................................................................................................

Antiparasitic Agent, Topical Permethrin .......................................................................................................

Anti-Parkinson's Agent, Anticholinergic Benztropine ...................................................................................................... Trihexyphenidyl ................................................................................................

Anti-Parkinson's Agent, Decarboxylase Inhibitor Carbidopa and Levodopa ................................................................................

Anti-Parkinson's Agent, Dopamine Agonist Amantadine ...................................................................................................... Bromocriptine ................................................................................................... Pramipexole .....................................................................................................

Anti-Parkinson's Agent, Dopamine Precursor Carbidopa and Levodopa ................................................................................

Antiplatelet Agent Aspirin .............................................................................................................. Aspirin and Dipyridamole ................................................................................ Clopidogrel ....................................................................................................... Dipyridamole .................................................................................................... Prasugrel ..........................................................................................................

Antiplatelet Agent, Thienopyridine Clopidogrel ....................................................................................................... Prasugrel ..........................................................................................................

Antiprotozoal, Nitroimidazole MetroNIDAZOLE (Systemic) ...........................................................................

Antipsoriatic Agent Anthralin ...........................................................................................................

Antipsychotic Agent, Atypical ARIPiprazole .................................................................................................... QUEtiapine ...................................................................................................... RisperiDONE ...................................................................................................

Antipsychotic Agent, Typical Haloperidol .......................................................................................................

Antipsychotic Agent, Typical, Phenothiazine ChlorproMAZINE ............................................................................................. FluPHENAZine ................................................................................................ Perphenazine ................................................................................................... Prochlorperazine .............................................................................................. Thioridazine ..................................................................................................... Trifluoperazine .................................................................................................

Antiretroviral, Integrase Inhibitor (Anti-HIV) Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir .....................................

Antiretroviral, Reverse Transcriptase Inhibitor, Non-nucleoside (AntiHIV)

Efavirenz, Emtricitabine, and Tenofovir ..........................................................

Antiretroviral, Reverse Transcriptase Inhibitor, Nucleoside (Anti-HIV) Efavirenz, Emtricitabine, and Tenofovir .......................................................... Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir ..................................... Emtricitabine and Tenofovir .............................................................................

Antiretroviral, Reverse Transcriptase Inhibitor, Nucleotide (Anti-HIV) Efavirenz, Emtricitabine, and Tenofovir .......................................................... Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir ..................................... Emtricitabine and Tenofovir .............................................................................

Antirheumatic, Disease Modifying Adalimumab ..................................................................................................... Etanercept ........................................................................................................ Methotrexate .................................................................................................... Tofacitinib .........................................................................................................

Antirheumatic Miscellaneous Cyclophosphamide .......................................................................................... Tofacitinib .........................................................................................................

Antiseptic, Topical Povidone-Iodine (Topical) ................................................................................

Antiseptic, Vaginal Povidone-Iodine (Topical) ................................................................................

Antispasmodic Agent, Gastrointestinal Atropine ............................................................................................................ Hyoscyamine, Atropine, Scopolamine, and Phenobarbital ............................

Antispasmodic Agent, Urinary Oxybutynin .......................................................................................................

Antithyroid Agent Methimazole .................................................................................................... Potassium Iodide ............................................................................................. Propylthiouracil ................................................................................................

Antitubercular Agent Ethambutol ....................................................................................................... Isoniazid ........................................................................................................... Pyrazinamide ................................................................................................... Rifampin ...........................................................................................................

Antitussive Benzonatate ..................................................................................................... Codeine ............................................................................................................ Guaifenesin and Codeine ............................................................................... Hydrocodone and Chlorpheniramine ..............................................................

Antiviral Agent Acyclovir (Systemic) ........................................................................................ Amantadine ...................................................................................................... Oseltamivir ....................................................................................................... ValACYclovir ....................................................................................................

Antiviral Agent, Adamantane Amantadine ......................................................................................................

Antiviral Agent, Ophthalmic Trifluridine ........................................................................................................

Antiviral Agent, Oral ValACYclovir ....................................................................................................

Antiviral Agent, Topical Acyclovir (Topical) ...........................................................................................

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BARBITURATE

Barbiturate Butalbital, Acetaminophen, and Caffeine ....................................................... PHENobarbital ................................................................................................. Primidone .........................................................................................................

Benzodiazepine ALPRAZolam ................................................................................................... ChlordiazePOXIDE .......................................................................................... ClonazePAM .................................................................................................... Diazepam ......................................................................................................... LORazepam ..................................................................................................... Oxazepam ....................................................................................................... Temazepam ..................................................................................................... Triazolam .........................................................................................................

Beta2-Adrenergic Agonist Ipratropium and Albuterol ................................................................................

Beta2-Adrenergic Agonist, Long-Acting Budesonide and Formoterol ............................................................................ Fluticasone and Salmeterol ............................................................................ Salmeterol ........................................................................................................

Beta2 Agonist Albuterol ........................................................................................................... Budesonide and Formoterol ............................................................................ Fluticasone and Salmeterol ............................................................................ Levalbuterol ..................................................................................................... Salmeterol ........................................................................................................ Terbutaline .......................................................................................................

Beta-Adrenergic Blocker, Nonselective Dorzolamide and Timolol ................................................................................ Propranolol .......................................................................................................

Beta3 Agonist Mirabegron .......................................................................................................

Beta-Blocker, Beta-1 Selective Atenolol ............................................................................................................ Metoprolol ........................................................................................................

Beta-Blocker, Nonselective Brimonidine and Timolol .................................................................................. Timolol (Ophthalmic) .......................................................................................

Beta-Blocker With Alpha-Blocking Activity Carvedilol ......................................................................................................... Labetalol ..........................................................................................................

Beta-Blocker With Intrinsic Sympathomimetic Activity Acebutolol ........................................................................................................

Bisphosphonate Derivative Alendronate ..................................................................................................... Alendronate and Cholecalciferol ..................................................................... Ibandronate ......................................................................................................

Calcimimetic Cinacalcet ........................................................................................................

Calcineurin Inhibitor CycloSPORINE (Ophthalmic) ......................................................................... CycloSPORINE (Systemic) ............................................................................. Pimecrolimus ...................................................................................................

Calcium Channel Blocker AmLODIPine .................................................................................................... Amlodipine and Benazepril ............................................................................. Diltiazem .......................................................................................................... Felodipine ........................................................................................................ NIFEdipine ....................................................................................................... Nisoldipine ....................................................................................................... Verapamil .........................................................................................................

Calcium Channel Blocker, Dihydropyridine AmLODIPine .................................................................................................... Amlodipine and Benazepril ............................................................................. Felodipine ........................................................................................................ NIFEdipine ....................................................................................................... Nisoldipine .......................................................................................................

Calcium Channel Blocker, Nondihydropyridine Diltiazem .......................................................................................................... Verapamil .........................................................................................................

Calcium Salt Calcium and Vitamin D ................................................................................... Calcium Glubionate .........................................................................................

Carbonic Anhydrase Inhibitor AcetaZOLAMIDE ............................................................................................. Methazolamide ................................................................................................

Carbonic Anhydrase Inhibitor (Ophthalmic) Dorzolamide ..................................................................................................... Dorzolamide and Timolol ................................................................................

Cardiac Glycoside Digoxin .............................................................................................................

Cardiovascular Agent, Miscellaneous Ranolazine .......................................................................................................

Central Nervous System Stimulant Dextroamphetamine ........................................................................................ Dextroamphetamine and Amphetamine ......................................................... Ergotamine and Caffeine ................................................................................ Methylphenidate .............................................................................................. Modafinil ...........................................................................................................

Chelating Agent PenicillAMINE ..................................................................................................

Chloride Channel Activator Lubiprostone ....................................................................................................

Cholinergic Agonist Bethanechol .....................................................................................................

Contraceptive Ethinyl Estradiol and Desogestrel ................................................................... Ethinyl Estradiol and Drospirenone ................................................................ Ethinyl Estradiol and Ethynodiol Diacetate .................................................... Ethinyl Estradiol and Etonogestrel .................................................................. Ethinyl Estradiol and Levonorgestrel .............................................................. Ethinyl Estradiol and Norelgestromin ............................................................. Ethinyl Estradiol and Norethindrone ............................................................... Ethinyl Estradiol and Norgestimate ................................................................ Ethinyl Estradiol and Norgestrel ..................................................................... MedroxyPROGESTERone .............................................................................. Norethindrone .................................................................................................. Norethindrone and Mestranol .........................................................................

Corticosteroid, Inhalant (Oral) Budesonide and Formoterol ............................................................................ Budesonide (Systemic, Oral Inhalation) ......................................................... Fluticasone and Salmeterol ............................................................................ Fluticasone (Oral Inhalation) ...........................................................................

Corticosteroid, Nasal Fluticasone (Nasal) ......................................................................................... Mometasone (Nasal) .......................................................................................

Corticosteroid, Ophthalmic Fluorometholone .............................................................................................. Neomycin, Polymyxin B, and Hydrocortisone ................................................ PrednisoLONE (Ophthalmic) ........................................................................... Rimexolone ......................................................................................................

Corticosteroid, Otic Ciprofloxacin and Dexamethasone ................................................................. Ciprofloxacin and Hydrocortisone ................................................................... Neomycin, Colistin, Hydrocortisone, and Thonzonium .................................. Neomycin, Polymyxin B, and Hydrocortisone ................................................

Corticosteroid, Rectal Hydrocortisone (Topical) ..................................................................................

Corticosteroid, Systemic Betamethasone ................................................................................................ Budesonide (Systemic, Oral Inhalation) ......................................................... Dexamethasone (Systemic) ............................................................................ Fludrocortisone ................................................................................................ Hydrocortisone (Systemic) .............................................................................. MethylPREDNISolone ..................................................................................... PrednisoLONE (Systemic) .............................................................................. PredniSONE ....................................................................................................

Corticosteroid, Topical Amcinonide ...................................................................................................... Betamethasone ................................................................................................ Calcipotriene and Betamethasone .................................................................. Clobetasol ........................................................................................................ Fluocinolone (Topical) ..................................................................................... Fluocinonide .................................................................................................... Flurandrenolide ................................................................................................ Hydrocortisone (Topical) .................................................................................. Neomycin, Polymyxin B, and Hydrocortisone ................................................ Nystatin and Triamcinolone ............................................................................. Triamcinolone (Topical) ...................................................................................

Cough Preparation Guaifenesin and Codeine ...............................................................................

8

IMMUNOSUPPRESSANT AGENT

Cytochrome P-450 Inhibitor Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir .....................................

Decongestant Fexofenadine and Pseudoephedrine .............................................................. Oxymetazoline (Nasal) .................................................................................... Pseudoephedrine ............................................................................................ Triprolidine and Pseudoephedrine ..................................................................

Depigmenting Agent Hydroquinone ..................................................................................................

Diagnostic Agent Glucagon ..........................................................................................................

Dietary Supplement Lactobacillus ....................................................................................................

Diuretic, Carbonic Anhydrase Inhibitor AcetaZOLAMIDE ............................................................................................. Methazolamide ................................................................................................

Diuretic, Loop Furosemide ......................................................................................................

Diuretic, Potassium-Sparing Hydrochlorothiazide and Triamterene ............................................................. Spironolactone .................................................................................................

Diuretic, Thiazide Candesartan and Hydrochlorothiazide ........................................................... Chlorthalidone .................................................................................................. Hydrochlorothiazide ......................................................................................... Hydrochlorothiazide and Triamterene ............................................................. Lisinopril and Hydrochlorothiazide .................................................................. Losartan and Hydrochlorothiazide .................................................................. Telmisartan and Hydrochlorothiazide .............................................................. Valsartan and Hydrochlorothiazide .................................................................

Electrolyte Supplement, Oral Calcium and Vitamin D ................................................................................... Magnesium Oxide ........................................................................................... Potassium Chloride .........................................................................................

Electrolyte Supplement, Parenteral Potassium Chloride ......................................................................................... Sodium Chloride ..............................................................................................

Enzyme Dornase Alfa .................................................................................................... Lactase ............................................................................................................ Pancrelipase ....................................................................................................

Ergot Derivative Bromocriptine ................................................................................................... Ergotamine and Caffeine ................................................................................ Methylergonovine ............................................................................................

Estrogen and Progestin Combination Estrogens (Conjugated/Equine) and Medroxyprogesterone .......................... Ethinyl Estradiol and Desogestrel ................................................................... Ethinyl Estradiol and Drospirenone ................................................................ Ethinyl Estradiol and Ethynodiol Diacetate .................................................... Ethinyl Estradiol and Etonogestrel .................................................................. Ethinyl Estradiol and Levonorgestrel .............................................................. Ethinyl Estradiol and Norelgestromin ............................................................. Ethinyl Estradiol and Norethindrone ............................................................... Ethinyl Estradiol and Norgestimate ................................................................ Ethinyl Estradiol and Norgestrel ..................................................................... Norethindrone and Mestranol .........................................................................

Estrogen Derivative Estradiol (Systemic) ........................................................................................ Estradiol (Topical) ............................................................................................ Estrogens (Conjugated/Equine, Systemic) ..................................................... Estrogens (Conjugated/Equine, Topical) ........................................................

Ethanolamine Derivative Clemastine ....................................................................................................... DimenhyDRINATE ........................................................................................... DiphenhydrAMINE (Systemic) ........................................................................ Doxylamine ......................................................................................................

Expectorant GuaiFENesin ................................................................................................... Guaifenesin and Codeine ............................................................................... Guaifenesin and Pseudoephedrine ................................................................ Potassium Iodide .............................................................................................

Fiber Supplement Psyllium ............................................................................................................

GABA Analog Gabapentin ......................................................................................................

Gastrointestinal Agent, Miscellaneous Adalimumab ..................................................................................................... Lubiprostone .................................................................................................... Sucralfate .........................................................................................................

Gastrointestinal Agent, Prokinetic Metoclopramide ...............................................................................................

Genitourinary Irrigant Sodium Chloride .............................................................................................. Sorbitol .............................................................................................................

Glycopeptide Vancomycin .....................................................................................................

Gonadotropin Releasing Hormone Agonist Goserelin .......................................................................................................... Leuprolide ........................................................................................................

Hemostatic Agent Aminocaproic Acid ........................................................................................... Desmopressin ..................................................................................................

Histamine H1 Antagonist Azelastine (Nasal) ........................................................................................... Cetirizine .......................................................................................................... Chlorpheniramine ............................................................................................ Clemastine ....................................................................................................... Cyproheptadine ............................................................................................... DimenhyDRINATE ........................................................................................... DiphenhydrAMINE (Systemic) ........................................................................ Doxylamine ...................................................................................................... Fexofenadine ................................................................................................... Fexofenadine and Pseudoephedrine .............................................................. Hydrocodone and Chlorpheniramine .............................................................. HydrOXYzine ................................................................................................... Loratadine ........................................................................................................ Meclizine .......................................................................................................... Naphazoline and Pheniramine ........................................................................ Olopatadine (Ophthalmic) ............................................................................... Promethazine ................................................................................................... Triprolidine and Pseudoephedrine ..................................................................

Histamine H1 Antagonist, First Generation Chlorpheniramine ............................................................................................ Clemastine ....................................................................................................... Cyproheptadine ............................................................................................... DimenhyDRINATE ........................................................................................... DiphenhydrAMINE (Systemic) ........................................................................ Doxylamine ...................................................................................................... Hydrocodone and Chlorpheniramine .............................................................. HydrOXYzine ................................................................................................... Meclizine .......................................................................................................... Naphazoline and Pheniramine ........................................................................ Promethazine ................................................................................................... Triprolidine and Pseudoephedrine ..................................................................

Histamine H1 Antagonist, Second Generation Azelastine (Nasal) ........................................................................................... Cetirizine .......................................................................................................... Fexofenadine ................................................................................................... Fexofenadine and Pseudoephedrine .............................................................. Loratadine ........................................................................................................ Olopatadine (Ophthalmic) ...............................................................................

Histamine H2 Antagonist Cimetidine ........................................................................................................ Ranitidine .........................................................................................................

Histone Deacetylase Inhibitor Valproic Acid and Derivatives .........................................................................

Hormone, Posterior Pituitary Desmopressin ..................................................................................................

Hypnotic, Miscellaneous Eszopiclone ..................................................................................................... Zolpidem ..........................................................................................................

Hypoglycemic Agent, Oral Sitagliptin and Metformin .................................................................................

Imidazoline Derivative Naphazoline and Pheniramine ........................................................................ Oxymetazoline (Nasal) ....................................................................................

Immunosuppressant Agent AzaTHIOprine .................................................................................................. Cyclophosphamide ..........................................................................................

9

IMMUNOSUPPRESSANT AGENT

CycloSPORINE (Ophthalmic) ......................................................................... CycloSPORINE (Systemic) ............................................................................. Mercaptopurine ................................................................................................ Methotrexate .................................................................................................... Pimecrolimus ...................................................................................................

Inhalation, Miscellaneous Inhalation Devices ...........................................................................................

Insulin, Combination Insulin Aspart Protamine and Insulin Aspart .................................................. Insulin NPH and Insulin Regular .....................................................................

Insulin, Intermediate-Acting Insulin NPH ......................................................................................................

Insulin, Intermediate- to Long-Acting Insulin Detemir .................................................................................................

Insulin, Long-Acting Insulin Glargine ................................................................................................

Insulin, Rapid-Acting Insulin Aspart ................................................................................................... Insulin Lispro ...................................................................................................

Insulin, Short-Acting Insulin Regular .................................................................................................

Iron Salt Ferrous Gluconate ........................................................................................... Ferrous Sulfate ................................................................................................

Irrigant Sodium Chloride ..............................................................................................

Janus Associated Kinase Inhibitor Tofacitinib .........................................................................................................

Keratolytic Agent Anthralin ........................................................................................................... Salicylic Acid .................................................................................................... Urea .................................................................................................................

Laxative, Bulk-Producing Psyllium ............................................................................................................

Laxative, Lubricant Mineral Oil ........................................................................................................

Laxative, Osmotic Glycerin ............................................................................................................ Lactulose .......................................................................................................... Polyethylene Glycol 3350 ............................................................................... Polyethylene Glycol-Electrolyte Solution ........................................................ Sodium Sulfate, Potassium Sulfate, and Magnesium Sulfate ....................... Sorbitol .............................................................................................................

Laxative, Saline Magnesium Citrate ..........................................................................................

Laxative, Stimulant Bisacodyl ......................................................................................................... Senna ...............................................................................................................

Leukotriene-Receptor Antagonist Montelukast .....................................................................................................

Local Anesthetic Benzocaine ...................................................................................................... Dibucaine ......................................................................................................... Lidocaine (Topical) ..........................................................................................

Local Anesthetic, Ophthalmic Proparacaine ...................................................................................................

Lubricant, Ocular Sodium Chloride ..............................................................................................

Lysine Analog Aminocaproic Acid ...........................................................................................

Magnesium Salt Magnesium Citrate .......................................................................................... Magnesium Oxide ...........................................................................................

Mast Cell Stabilizer Cromolyn (Nasal) ............................................................................................. Cromolyn (Systemic, Oral Inhalation) .............................................................

Miscellaneous Product Diabetic Supplies .............................................................................................

Monoclonal Antibody Adalimumab .....................................................................................................

Mucolytic Agent Acetylcysteine .................................................................................................. Dornase Alfa ....................................................................................................

Neuraminidase Inhibitor Oseltamivir .......................................................................................................

N-Methyl-D-Aspartate Receptor Antagonist Dextromethorphan and Quinidine ................................................................... Memantine .......................................................................................................

Nonsteroidal Anti-inflammatory Drug (NSAID) Diclofenac (Ophthalmic) .................................................................................. Diclofenac (Topical) .........................................................................................

Nonsteroidal Anti-inflammatory Drug (NSAID), COX-2 Selective Celecoxib .........................................................................................................

Nonsteroidal Anti-inflammatory Drug (NSAID), Ophthalmic Diclofenac (Ophthalmic) .................................................................................. Nepafenac .......................................................................................................

Nonsteroidal Anti-inflammatory Drug (NSAID), Oral Ibuprofen .......................................................................................................... Indomethacin ................................................................................................... Meloxicam ........................................................................................................ Naproxen ......................................................................................................... Oxaprozin ......................................................................................................... Piroxicam .........................................................................................................

Nonsteroidal Anti-inflammatory Drug (NSAID), Parenteral Ibuprofen .......................................................................................................... Indomethacin ...................................................................................................

Nonsteroidal Anti-inflammatory Drug (NSAID), Topical Diclofenac (Topical) .........................................................................................

Nutritional Supplement Fluoride ............................................................................................................ Nutritional Formula, Enteral/Oral ....................................................................

Ophthalmic Agent, Antiglaucoma AcetaZOLAMIDE ............................................................................................. Betaxolol (Ophthalmic) .................................................................................... Bimatoprost ...................................................................................................... Brimonidine and Timolol .................................................................................. Brimonidine (Ophthalmic) ................................................................................ Dorzolamide ..................................................................................................... Dorzolamide and Timolol ................................................................................ Latanoprost ...................................................................................................... Methazolamide ................................................................................................ Phenylephrine (Ophthalmic) ............................................................................ Pilocarpine (Ophthalmic) ................................................................................. Timolol (Ophthalmic) .......................................................................................

Ophthalmic Agent, Miotic Pilocarpine (Ophthalmic) .................................................................................

Ophthalmic Agent, Miscellaneous Artificial Tears .................................................................................................. Carboxymethylcellulose ...................................................................................

Ophthalmic Agent, Mydriatic Atropine ............................................................................................................ Homatropine .................................................................................................... Phenylephrine (Ophthalmic) ............................................................................ Scopolamine (Ophthalmic) .............................................................................. Tropicamide .....................................................................................................

Ophthalmic Agent, Vasoconstrictor Naphazoline and Pheniramine ........................................................................

Otic Agent, Analgesic Antipyrine and Benzocaine .............................................................................

Otic Agent, Anti-infective Acetic Acid ....................................................................................................... Acetic Acid, Propylene Glycol Diacetate, and Hydrocortisone ......................

Otic Agent, Cerumenolytic Antipyrine and Benzocaine ............................................................................. Carbamide Peroxide ........................................................................................

Ovulation Stimulator ClomiPHENE ...................................................................................................

Parathyroid Hormone Analog Teriparatide ......................................................................................................

Partial Nicotine Agonist Varenicline .......................................................................................................

Pediculocide Permethrin .......................................................................................................

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