GEORGETOWN HEALTHCARE SYSTEM - FORMULARY



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PHARMACY FORMULARY 2020

(ACCORDING TO THE AMERICAN HOSPITAL FORMULARY SERVICE)

4:00 Antihistamine Drugs

4.04 First Generation Antihistamines

1. Diphenhydramine ORAL: (Benadryl) 25 mg tablet, 12.5 mg/5 ml elixir, INJECTION: 50mg/ml vial,

2. Promethazine (Phenergan) ORAL: 25 mg tablet,

INJECTION: Inj. 25 mg/ml ampul, RECTAL: 12.5 mg & 25mg suppository

4.08 Second Generation Antihistamines4:0444

1. Loratadine (Claritin) 10 mg tablet

92. Other Antihistamines

1. Famotidine (Pepcid) ORAL: 20mg tablet, INJECTION: 20mg/2ml

8:00 Anti-infective Agents

8:08 Anthelmintics (none available)

8:12 Antibacterials

8:12.02 Aminoglycosides

1. Amikacin (Amikin) Inj 500mg/2ml vial

2. Gentamicin (Garamycin) INJECTION : 80mg/2ml vial, 80mg/50ml

120mg/100ml, Ophth Sol 5ml bottle, Ophth Ointment 3.5gm tube,

3. Tobramycin INJECTION: (Nebcin) 80 mg/2 ml vial, OPHTH: 0.3% Drops 5 ml, POWDER: Vial 1.2 grams

8:12.06 Cephalosporins

First Generation

1. Cefazolin (Ancef,Kefzol) Inj. 1gm vial, 1gm/50ml & 2gm/50ml D5W

2. Cephalexin (Keflex) 500mg capsule

Second Generation—none available

Third Generation

1. Ceftriaxone (Rocephin) Inj. 1 gm/50ml D5W, 1 gm vial

Fourth Generation

1. Cefepime (Maxipime) Inj 1gm and 2gm vial

8:12.07 Miscellaneous (-lactam Antibiotics

08. Carbapenems

1. Merrepenem (Merrem) 1 gm vial

8:12.12 Macrolides

8:12.12.92 Other Macrolides

1. Azithromycin (Zithromax) ORAL: 250 mg tablet, 200mg/5ml Suspension, INJECTION: 500 mg vial

8:12.16 Penicillins

8:12.16.04 Natural Penicillins

1. Penicillin G Benzathine (Bicillin LA) Inj. 1.2 million

Units (refrigerate)

.

8 :12.16.08 Aminopenicillins

1. Amoxicillin (Amoxil) 250 mg capsule, 250mg/5ml 100 ml

2. Ampicillin (Omnipen) INJECTION : 0.5 gm, 1 gm vial

3. Amoxicillin/Clavulanate (Augmentin) 500 mg tablet

8:12.16.12 Penicillinase Resistant Penicillins

1. Nafcillin (Unipen) 1 gram vial

8:12.16.16 Extended Spectrum Penicillins

1. Ampicillin/Sulbactam (Unasyn) Inj. 1.5 gm vial, 3 gm vial

2. Piperacillin/Tazobactam (Zosyn) Inj. 3.375 gm vial

8:12.18 Quinolones

1. Ciprofloxacin HCL (Cipro) ORAL : 250mg tablet, INJECTION : 400mg/200ml D5W

2. Levofloxacin (Levaquin) ORAL : 500 mg tablet, INJECTION:

500 mg/D5W 100 ml, 750mg/D5W 150 ml

8:12.20 Sulfonamides

1. Trimethoprim/Sulfamethoxazole 160 mg/800 mg tablet (Bactrim DS,

Septra DS), Trimethoprim/Sulfamethoxazole Suspension (Bactrim)

8:12.24 Tetracyclines

1. Doxycycline Hyclate (Vibramycin) 100 mg capsule

8:12.28 Miscellaneous Antibiotics

1. Bacitracin Powder for Injection—50,000 units

2. Clindamycin HCL (Cleocin) ORAL: 300 mg capsule, INJECTION:

600 mg/D5W 50 ml , 900 mg/D5W 50 ml

3. Vancomycin HCL (Vancocin) 500mg, 750mg, 1 gm vial, 1 gm vial

4. Linezolid (Zyvox) Inj 600mg/300ml bag (Restricted), 600mg tablet

8:14 Antifungals

1. Fluconazole (Diflucan) ORAL: 100 mg tablet, INJECTION: 200 mg/100 ml

8:16 Antimycobacterials

1. Rifampin (Rifadin) ORAL : 300 mg capsule

8:18 Antivirals—

1. Oseltamivir (Tamiflu) 75mg capsule (added February 2018)

8:30 Antiprotozoals

8 :30.04 Amebicides

1. Metronidazole (Flagyl) 250mg tablet, INJECTION : 500mg/100ml,

8:92 Miscellaneous Anti-infectives

1. Metronidazole (Flagyl) ORAL: 250 mg tablet, INJECTION. 500 mg/100 ml

10:00 Antineoplastics—

10:00.00 1. Gemcitabine (Gemzar) 1 gram/50 ml (ordered as needed, 96 hrs ahead)

12:00 Autonomic Drugs

12:04 Parasympathomimetic (Cholinergic) agents

1. Neostigmine Methylsulfate (Prostigmin) Injection 1:1000 5ml syringe

12:08.08 Antimuscarinics/Antispasmodics

1. Atropine Sulfate Inj 0.4 mg/ml vial, 1 mg/10 ml syringe

2. Dicyclomine HCL (Bentyl) 10 mg capsule

3. Glycopyrolate (Robinul) Injection 1 mg/5 ml syringe

4. Hyoscyamine Sulfate (Levsin) 0.125 mg sublingual tablet

5. Ipratropium Bromide (Atrovent) 0.02 % 0.5 mg/2.5 ml Inhalation soln

6. Scopolamine (Transderm Scop) 1.5 mg/2.5 cm2 Transdermal System

12:12 Sympathomimetic (Adrenergic) Agents

12:12.04 Alpha Adrenergic Agonists

1. Phenylephrine HCl (Neo-Synephrine) Injection: 10 mg/ml vial

12:12.08 Beta Adrenergic Agonists

12:12.08.08 Selective Beta 1 Adrenergic Agonists

1. Dobutamine 250mg/250ml Inj (Oct 2019)

2. Dopamine 400mg/D5W 250ml

12:12.08.12 Selective Beta 2 Adrenergic Agonists

1. Albuterol (Ventolin, Proventil) Oral Inhaler (90 mcg of albuterol per actuation), Inh Solution: 2.5mg/3ml

2. Levalbuterol (Xopenex): 0.63 mg/3 ml inh solution

3. Terbutaline (Brethine) 1mg/ml 1ml vial

12:12.12 Alpha and Beta Adrenergic Agonists

1. Ephedrine Sulfate : 50 mg/ml 1ml vial, 50mg/5ml syringe

2. Epinephrine HCL Injection :(Adrenalin) 1 mg/ml (1:1000) 1 ml ampule (preservative-free and sulfite free), 0.1 mg/ml (1:10,000) 10 ml syringe and 1mg/ml 30ml multidose vial

3. Norepinephrine Bitartrate--(Levophed) 4 mg/4 ml

4. Racepinephrine-(S-2 Inhalant) 2.25 % Inhalation Solution 0.5 ml

12:16 Sympatholytic (Adrenergic Blocking) Agents

12:16.04 Alpha Adrenergic Blocking Agents

12:16.04.12 Selective (Alpha Adrenergic Blocking Agents)

1.Tamulosin Hydrochloride (Flomax) 0.4 mg capsule

12:20 Skeletal Muscle Relaxants

12:20.04 Centrally Acting Skeletal Muscle Relaxants

1. Carisoprodol (Soma) 350 mg tablet

2. Cyclobenzaprine HCL (Flexeril) 10 mg tablet

3. Methocarbamol (Robaxin) Inj: 1000mg vial, 500mg & 750mg tab

4. Tizanidine (Zanaflex) 2 mg tablet

12:20.08 Direct Acting Skeletal Muscle Relaxants

1. Dantrolene Sodium (Ryanodex) Injection 250 mg vial

12:20.20 Neuromuscular Blocking Agents

Depolarizing Agents

1. Succinylcholine (Quelicin) 20 mg/ml 5ml syringe

Nondepolarizing Agents

1. Rocuronium (Zemuron) 50 mg/5 ml vial (refrigerate)

2. Ropivacaine (Naropin) 0.2% 2mg/ml 20ml, 0.5% 5mg/ml 20ml

12:92 Miscellaneous Autonomic Drugs

1. Nicotine (NicoDerm ( CQ) Transdermal System-7 mg, 14 mg , 21 mg

and 2mg Gum

16:00 Blood Derivatives--none available

20:00 Blood Formation, Coagulation and Thrombosis

20:04 Antianemia Drugs

20:04.04 Iron Preparations

1. Iron Preparations, Oral

a. Ferrous Sulfate (Feosol) 325 mg (65 mg iron) tablet

20:12 Antithrombotic Agents

20:12.04 Anticoagulants

20:12.04.08 Coumarin Derivatives

1. Warfarin Sodium (Coumadin) 1 mg, 5mg tablet

20:12.04.12 Direct Thrombin Inhibitors

1. Bivalirudin (Angiomax) 250mg vial (10/2019)

20:12.04.14 Direct Factor Xa Inhibitors

1. Rivaroxaban (Xarelto) 10mg, 15mg tablet

20:12.04.16 Heparins

1. Enoxaparin Sodium (Lovenox) 30 mg/0.3 ml, 40

mg/0.4 ml, 100 mg/1 ml

2. Heparin Injection

a. Heparin 25,000 units/500ml bag (Oct 2019)

b. Heparin 1000 units/500m bag (Oct 2019)

c. Heparin Sod inj (porcine intestinal mucosa) 1000 units/ml 1ml and 5000 units/ml 1ml

d. Heparin lock 100 units/ml vial

20:12.16 Hemostatics

1. Thrombin, topical (Thrombin-JMI) 5000 U vial

20:12.18 Platelet Aggregation Inhibitors

1. Cangrelor (Kengreal) Inj 50mg/10ml vial (Oct 2019)

2. Clopidrogrel (Plavix) 75mg & 300mg tablet (February 2018, 10/2019)

3. Prasugrel (Effient) 10mg tablet (Oct 2019)

4. Ticargrelor (Brillinta) 90mg tablet (Oct 2019)

20:12.20 Thrombolytic Agents

1. Alteplase (Cathflo - Activase () 2 mg vial

20:28.16 AntiHeparin Agents

1. Protamine Inj 250mg/25ml vial (Oct 2019)

20:28:16 Hemostatics

1. Tranexamic Acid 100mg/ml 10ml vial

24:00 Cardiovascular Drugs

24:04 Cardiac Drugs

24:04.04 Antiarrhythmic Agents

24:04.04.04 Class IA Antiarrhythmics

1. Procainamide (Pronestyl) Inj. 100mg/ml 10ml vial

24:04.04.08 Class 1b Antiarrythmics

1. Lidocaine HCL (Xylocaine) 2% 100 mg/5 ml

syringe, 2 gram/D5W 500 ml pre-mixed bag

24:04.04.16 Class II Antiarrhythmics—see Beta Blockers

24:04.04.20 Class III Antiarrythmics

1. Amiodarone (Cordarone) (Pacerone ()

150 mg/3 ml, 900mg/10ml, 200mg tablet

24:04.04.24 Class IV Antiarrythmics

1. Adenosine (Adenocard) Inj 6 mg/2ml, 90mg/30ml

2. Diltiazem (Cardizem)---see section 24:28.92

3. Verapamil (Calan)---- see section 24:28.92

24:04.08 Cardiotonic Agents----Cardiac Glycosides

1. Digoxin (Lanoxin) 500 mcg/2 ml amp, 0.25mg tablet

24:06 Antilipemic Agents—do not carry

24:08 Hypotensive Agents

24:08.16 Central Alpha Agonists

1. Clonidine (Catapres) 0.1 mg/24 hr TTS patches, 0.1 mg tablet, INJ: 100mcg/ml 10ml vials

24:08.20 Direct Vasodilators

1. Hydralazine HCL (Apresoline) 25 mg tablet, 20 mg/ml vial

24:12 Vasodilating Agents

24:12.08 Nitrates and Nitrites

1. Nitroglycerin (Nitro-Bid) 2% ointment 1 gm, (Nitrostat) 0.4 mg

SL tablet, NTG oral Spray, inj: 100 mg/D5W 250 ml glass bottle

24:20 Alpha-Adrenergic Blocking Agents

1. Labetalol (Normodyne, Trandate)---see in 24:24

24:24 Beta-Adrenergic Blocking Agents

1. Atenolol (Tenormin) 25 mg tablet

2. Esmolol (Brevibloc)—10mg/ml 10ml vial

3. Labetalol HCL (Trandate) INJ: 20mg/4ml syringe, 100 mg/20 ml vial

4. Metoprolol Tartrate (Lopressor) 25mg tablet, 5 mg/5 ml ampule

5. Metoprolol Succinate (Toprol) 25mg tablet

6. Propanolol (Inderal) 1mg/ml 1ml vial

24:28 Calcium-Channel Blocking Agents

24:28.08 Dihydropyridines

1. Amlodipine Besylate (Norvasc) 5 mg tablet

2. Nicardipine (Cardene) 2.5mg/ml 10ml vial (Oct 2019)

24:28.92 Calcium Channel Blocking Agents, Miscellaneous

1. Diltiazem HCL (Cardizem) 30mg tablet, INJ: 25 mg/5 ml vial

2. Verapamil HCL (Calan) INJ: 5 mg/2 ml vial

24:32 Renin-Angiotensin-Aldosterone System

24:32.04 Angiotensin-Converting Enzyme Inhibitors

1. Enalapril (Vasotec) Inj: 1.25 mg/ml 2ml vial, Oral: 5mg tablet

2. Lisinopril (Zestril, Prinivil) 10 mg tablet

24:32.08 Angiotensin II Receptor Antagonists

1. Losartan (Cozzar) 50mg tablet

28:00 Central Nervous System Agents

28:04 General Anesthetics

28:04.16 Inhalation Anesthetics

1. Desflurane (Suprane) 240ml bottle

2. Sevoflurane (Ultane) 250ml bottle

28:04.92 General Anesthetics, Miscellaneous

1. Etomidate (Amidate) 20 mg/10 ml ampule

2. Ketamine Inj 50mg/ml 10ml vial, 10mg/ml 5ml syringes

3. Propofol (Diprivan) Inj: 1% 100mg/10ml, 200 mg/20 ml,

and 1000mg/100ml vial

28:08 Analgesics and Antipyretics

28:08.04 Nonsteroidal Anti-inflammatory Agents

28:08.04.08 Cyclooxygenase-2 (COX-2) Inhibitors

1. Celecoxib (Celebrex) 100 mg capsule

28:08.04.24 Salicylates

1. Aspirin Oral: 81 mg tablet (plain), 81 mg (enteric coated) , 325 mg tablet, 325mg (enteric coated)

28:08.04. Other Non Steroidal Anti-inflammatory Agents

1. Ibuprofen (Advil) (Motrin) 200 , 600 & 800mg tablet, Suspension: 100mg/5ml unit dose

2. Ketorolac Tromethamine (Torado)

Injection:30 mg vial, 60mg/2ml vial

28:08.08 Opiate Agonists

1. Codeine Products

a. Acetaminophen and Codeine Phosphate (Tylenol No.3)

300 mg/30 mg tablet

2. Fentanyl Products

a. (Duragesic) Transdermal 25mcg, 50mcg patches

(Sublimaze) 100 mcg/2 ml vial, 250 mcg/5 ml ampul,

PCA: 10mcg/ml 100ml bag

3. Hydrocodone Bitartrate Combinations

a. Hydrocodone Bitartrate/Acetaminophen (Lortab Elixir)

7.5mg/325mg per 15ml cup

a. Hydrocodone Bitartrate/Acetaminophen (Norco 5)

5 mg/325 mg tablet

b. Hydrocodone Bitartrate/Acetaminophen (Norco 7.5)

7.5 mg/325 mg tablet

c. Hydrocodone Bitartrate/Acetaminophen (Norco 10) 10 mg/325 mg tablet

d. Hydrocodone Bitartrate/Ibuprofen (Vicoprofen) tablet

3. Belladonna/Opium Suppositories (B&O) 16.2mg/30mg

4. Hydromorphone (Dilaudid) 2mg tablet, 2mg/ml inj, PCA:

0.2mg/ml 100ml bag

5.. Meperidine HCL (Demerol) Inj: 25 mg/ml, 50 mg/ml, 50mg tablet

6. Morphine Sulfate

a. PCA: 1mg/ml 100ml bag

b. Injection: 2mg/ml, 4mg/ml, 10 mg/ml Preservative free (Duramorph): 10 mg/10 ml,

7. Oxycodone Products

a. Oxycodone 5mg tablet

b. Oxycodone /Acetaminophen (Percocet) 5 mg/325 mg

and 10mg/325mg tablet

c. Oxycodone Substained Release (Oxycontin) 10mg tablet

8. Sufentanil Inj (Sufenta) 50mg/ml 1ml ampuls

9. Tapentadol (Nucynta) 50mg tablet

10. Tramadol HCL (Ultram) 50 mg tablet

28:08.12 Opiate Partial Agonists—none carried

28:08.92 Miscellaneous Analgesics and Antipyretics

1. Acetaminophen (Tylenol)

Oral Solution: 160 mg/5 ml, 650mg/20.3 ml oral solution. Oral : 325 mg, 500mg tablet, Rectal: 120mg Supp.325mg Supp. INJECTION (Ofirmev) : 1000mg/100ml vial

2. Acetaminophen and Codeine Phosphate-(Tylenol No. 3) 300 mg/30 mg tablet, ELIXIR: 120MG/12MG/5ML

3. Other Acetaminophen Combinations

a. Acetaminophen/Butalbital/Caffeine 325 mg/50 mg/40 mg tablet (Fioricet )

4. Ziconotide Acetate (Prialt) 100mcg/ml 1 ml vial (compounded)

28:10 Opiate Antagonists

1. Naloxone HCL (Narcan) 0.4 mg/ml vial, 2mg syringe

28:12 Anticonvulsants

28:12.04 Barbiturates---none available

28:12.08 Benzodiazepines

1. Clonazepam (Klonopin) 0.5 mg tablet

2. Diazepam (Valium) Oral : 5mg tablet, 10mg/2ml syringe

3. Lorazepam (Ativan) Oral : 0.5mg & 2mg tablet, Inj. 2mg/ml

28:12.12 Hydantoins

1. Fosphenytoin Sodium (Cerebyx) 500 mg PE/ml 10 ml vial, PE/10 ml vial (PE = phenytoin sodium equivalents)

28:12.92 Miscellaneous Anticonvulsants

1. Gabapentin (Neurontin) 100 mg, 300 mg capsule

2. Magnesium Sulfate 50 % 2 ml vial, 1 gm/100ml Prefill bag

3. Pregabalin (Lyrica) 25mg, 50mg & 100mg capsule

28:16 Psychotherapeutic Agents

28:16.04 Antidepressants –none stocked

28:16.08 Antipsychotic Agents

28:16.08.04 Atypical Antipsychotics

1. Risperidone (Risperdal) 0.25mg tablet

2. Ziprasidone (Geodon) Inj. 20mg/ml,

28:16.08.08 Butyrophenones

1. Haloperidol (Haldol) Inj:5mg/ml

28:20 Anorexigenic Agents and Respiratory and Cerebral Stimulants

1. Ammonia inhalant 0.33 ml ampule

2. Caffeine Sodiuim Benzoate Inj 2ml amp

28:24 Anxiolytics, Sedatives, and Hypnotics

28:24.04 Barbiturates—none available

28:24.08 Benzodiazepines

1. Alprazolam (Xanax) 0.25mg tablet

2. Chlordiazepoxide HCL (Librium) 10 mg

3. Diazepam (Valium) 5 mg tablet

4. Lorazepam (Ativan) 1 mg tablet, 2 mg/ml vial

5. Midazolam HCL (Versed) Inj. 2mg/2ml vial, Elixir

2mg/5ml unit dose

6. Temazepam (Restoril) 15 mg capsule

28:24.92 Miscellaneous Anxiolytics, Sedatives, & Hypnotics

1. Hydroxyzine Hydrochloride (Atarax) 25 mg tablet, Inj :

25mg/ml 1ml vial

2. Promethazine HCL (Phenergan) 25 mg tablet,

Inj: 25 mg/ml, Rectal: 12.5mg and 25 mg suppository,

3. Zolpidem Tartrate (Ambien) 5 mg tablet

28:32 Antimigraine Agents—none available

28:36 Antiparkinsonian Agents—none available

28:40 Fibromyalgia Agents

1. Pregabalin (Lyrica) 25 mg & 100 mg capsule

28:92 Miscellaneous Central Nervous System Agents

1. Flumazenil (Romazicon) Injection 0.5 mg/5 ml vial

36:00 Diagnostic Agents

36:40 Kidney Function

1. Methylene Blue Injection

36:56 Myasthenia Gravis

1. Neostigmine (Prostigmin) 1:1000 1mg/ml 5 ml syringe

36:68 Roengenography

1. Diatrizoate Meglumine (Cystografin) 30% 100ml bottle

2. Gadopentetate Dimeglumine (Magnevist) 15ml vial

3. Iodixanol (Visipaque) 50ml and 150ml vials (Oct 2019)

4. Iohexol (Omnipaque) 240mg/ml 10ml, 300mg/ml 50ml bottle

5. Iopamidol (Isovue-300) 61%

36:84 Tuberculosis--Tuberculin PPD (Tubersol ) 1 ml vial

40:00 Electrolytics, Caloric, and Water Balance

40:08 Alkalinizing Agents

1. Sodium Citrate and Citric Acid (Bicitra ) 30 ml unit dose cup

2. Sodium Bicarbonate 8.4 % (1mEq/ml) 10 ml Syringe , 50 ml Syringe

40:10 Ammonia Detoxicants

1. Lactulose (Chronulac Syrup) 10 g/15 ml u/d

40:12 Replacement Preparations

1. Calcium Salts

a. Calcium Carbonate, Precipitated

(1) Calcium Carbonate + Vitamin D (Oscal) 500 mg/200mg tablet

(2) Calcium Carbonate (Tums () 500 mg chewable tablet

b. Calcium Chloride---Calcium Chloride 10% 10 ml syringe

c. Calcium Gluconate Injection--10% 10 ml vial

2. Potassium Supplements

a. Potassium Chloride Oral

(1) Klor-Con 20 mEq tablet

b. Potassium Chloride Injection

(1) D5W1/2NS + KCL 10mEq/1000ml bag and 20mEq/1000 bag

2) D5WNS + KCl 20mEq 1000ml bag

(3) 0.45% NACl + KCl 20mEq 1000ml bag

(4) NS + KCL 20mEq 1000ml bag

(5) KCL 10mEq/100ml Sterile Water bag

3. Sodium

a. Bacteriostatic Sodium Chloride Injection 0.9 % 30 ml vial

b. Sodium Chloride 0.9% 10ml prefilled syringe and 10ml vial

4. Hetastarch Solution (Hespan) 500ml bag

40:18 Ion-Removing Agents

40:18.18 Potassium-Removing Agents

1. Sodium Polystyrene Sulfonate (Kayexalate) 15 g per 60 ml Suspension

40:20 Caloric Agents

1. Dextrose

a. Parenteral:

1) D50W 50 ml vial and 50 ml syringe

2. Fat emulsions

a. Fat Emulsion (Intralipid): 20%--500ml bag

40:28 Diuretics

48:28.08 Loop Diuretics

1. Furosemide (Lasix) 20 mg tablet, Inj: 20 mg/2 ml vial,

48 :28.20 Thiazide Diuretics

1. Hydrochlorothiazide (HCTZ): 25 mg tablet

40:36 Irrigating Solutions ---obtain from Material Management

40:40 Uricosuric Agents---None available

44:00 Enzymes-----

1. Hyaluronidase (Hylenex) 150 units/vial

48:00 Antitussives, Expectorants, and Mucolytic Agents

48:08 Antitussives

1. Benzonatate (Tessalon) 100mg capsule

2. Hydrocodone Bitartrate Combinations

a. Hydrocodone Bitartrate/Acetaminophen 7.5 mg/325 mg per 15 ml

b. Hydrocodone Bitartrate/Acetaminophen: 5 mg/325 mg, 7.5 mg/325 mg 10 mg/325mg tablets

48:16 Expectorants --none available

48:24 Mucolytic Agents—none available

52:00 Eye, Ear, Nose, and Throat (EENT) Preparations

52:04 Anti-infectives

52:04.04 Antibacterials

1. Bacitracin Ointment—Unit dose and 30 gm tube

2. Bacitracin-Polymyxin Ophthalmic Ointment 3.5 gm

3. Ciprofloxaxin 0.3% and Fluocinolone 0.025% (Otovel) Otic

Solution 0.25ml vials

4. Neomycin/Polymyxcin B Sulfates/Dexamethasone (Maxitrol)

Ophthalmic Drops

5. Neomycin/Polymyxin B Sulfates/Bacitracin (Neosporin)

Ophthalmic Ointment

6. Ofloxacin Ophth Drops 5ml bottles

7. Tobramycin (Tobrex) 0.3 % Ophth Oint 3.5 gm

8. Tobramycin/Dexamethasone (TobraDex) Ophthalmic

suspension 2.5ml and 5 ml bottles

52:04.92 EENT Anti-infectives, Miscellaneous

1. Silver Nitrate Applicators

52:08 Anti-inflammatory Agents

52:08.08 Corticosteroids for Inhalation

1. Fluticasone (Flonase) Nasal Spray

52:16 Local Anesthetics (EENT)

1. Cocaine 4% Topical Solution 4 ml vial

2. Lidocaine Viscous (Xylocaine) 2% 20ml u/d

52:24 Mydriatics—none available

52:32 Vasoconstrictors

1. Epinephrine HCL 0.1 % (1:1000) 1 ml ampule

2. Oxymetazoline HCL (Afrin) 0.05 % Nasal Solution 15 ml

3. Phenylephrine HCL (Neo-Synephrine) 0.5 % Nasal Soln 15 ml,

4. Phenylephrine Inj. (Neo-Synephrine HCL) 10 mg/ml 1 ml vial

52:40 Anti Glaucoma Agents—none available

52:92 EENT Drugs--Miscellaneous

1. Artificial Tears Ophthalmic Solution 15 ml

2. Balanced Salt Ophthalmic Solution (BSS) 15ml

3. Chloraseptic (Phenol) Lozenzes

4. Ear Drops (Debrox Earwax Removal) 15ml

5. Mineral Oil/White Petrolatum (Refresh) Ophthalmic Ointment 0.4ml

6. Sodium Potassium Phosphate (Nasal Flo) packets

7. Sodium Chloride Nasal Spray 45ml

56:00 Gastrointestinal Drugs

56:04 Antacids and Adsorbents

Antacids

1. Calcium Carbonate 500 mg (Tums) tablet

2. Magnesium Hydroxide (Milk of Magnesia ) 30ml suspension)

3. Mag Hydroxide/Al Hydroxide + Simethicone Susp (Maalox Plus) 30ml

Adsorbents

1. Activated Charcoal

a. Actidose Suspension 25 gm

b. Actidose-Sorbitol Suspension 25 gm

56:08 Antidiarrhea Agents

1. Bismuth Salts

a. Bismuth Subsalicylate (Pepto-Bismol) 15 ml suspension

2. Loperamide HCL (Imodium) 2 mg capsule, Solution: 1mg/5ml

56:10 Antiflatulents

1. Simethicone (Mylicon) 80 mg chewable tablet

56:12 Cathartics and Laxatives

1. Diphenylmethane Laxatives

a. Bisacodyl (Dulcolax) 5 mg tablet, 10 mg suppository

2. Hyperosmotic Laxatives--

a. Sodium Phosphate Mono Dibasic (Fleets) Enema 4.5 oz

b. Glycerin (Fleet) adult suppository

3 Poly Ethylene Glycol 3350 (Miralax, Golytely) 17 gm packet

4. Psyllium Powder (Konsyl) 3.4 gm packets

5. Saline Laxatives

a. Magnesium Citrate Oral Solution 10 fl oz

b. Magnesium Hydroxide (Milk of Magnesia) 30ml

6. Stool Softeners

a. Docusate Sodium (Colace) 100 mg capsule, 50 mg/5 ml syrup

56:20 Emetics—none available

56:22 Antiemetics

56:22.08 Antihistamines

1. Meclizine HCL (Antivert) 25 mg tablet

56:22.20 5HT3 Receptor Antagonists

1. Ondansetron (Zofran) Injection: 4 mg/2 ml vial

(Zofran ODT) 4 mg orally-disintegrating tablet

56:28 Anti Ulcer Agents and Acid Suppresants

56:28.12 Histamine H2 Antagonists

1. Famotidine (Pepcid) 20 mg tablet, 20 mg/2 ml vial

56:28.28 Prostaglandins—none available

56:28.36 Proton Pump Inhibitors

1. Pantoprazole (Protonix) 40mg tablet, 40mg vial for inj

56:32 Prokinetic Agents

1. Metoclopramide HCL (Reglan) 10 mg tablet, Inj : 10mg mg/2 ml vial

68:00 Hormones and Synthetic Substitutes

68:04 Adrenals

1. Betamethasone Acet/Betamethasone Sod Phos (Celestone) Inj 6mg/ml

2. Dexamethasone (Decadron) Inj. 4 mg/ml, 10mgml vial, PO:4mg tablet

3. Hydrocortisone: (Solu-Cortef) Injection--100 mg vial

4. Methylprednisolone Acetate (Depo Medrol)-40mg/ml and 80mg/ml vial

5. Methylprednisolone Succinate (Solu Medrol) 1 gram, 40mg and 80mg

6. Prednisone (Deltasone () 10mg and 20 mg tablet

7. Triamcinolone Acetonide (Kenalog) Injection: 40 mg/ml vial PF,

40mg/vial with Preservative

68:16 Estrogens

1. Conjugated Estrogens (Premarin) Vaginal Cream 30 gm tube

68:20 Antidiabetic Agents

68:20.08 Insulins

1. Insulin (rapid-acting)

a. Insulin inj R (regular insulin): Humulin R

2. Insulin (intermediate-acting)

a. Isophane insulin susp (NPH): Humulin N

68 :22 Antihypoglycemic Agents

68 :22.12 Glucagon Inj 1mg (1 unit) vial

68 :28 Pituitary

1. Desmopressin (DDADP) Inj 4mcg/ml 1 ml

2. Vasopressin Injection (Pitressin) 20 unit/ml vial (not available in house)

68:36 Thyroid and Antithyroid Agents—

2. Levothyroxine (Synthroid) 50mcg tablet

72:00 Local Anesthetics

1. Bupivacaine HCL (Marcaine HCL) 0.25 %, 0.5 % 10ml, 30ml, 0.75% 10ml

2. Bupivacaine Liposomal (Exparel)—133mg/10ml vial (added 2/2019)

3. Bupivacaine with Epinephrine(Marcaine HCL with Epinephrine) 0.25 % 10 ml and

0.5% with Epi 1:200,000 10ml MPF vial and 30 ml vial

4. Chlorprocaine HCL 2% (Nesacaine) (available upon request)

5. Mepivacaine (Carbocaine) 2% 50ml vial

4. Lidocaine HCL

a. (Xylocaine-MPF) : 0.5% 50ml, 1 % 20ml & 30 ml vial

b. (Xylocaine) 1 % : 5ml ampul, 20 ml vial, 50 ml vial,

c. 2 % 2ml, 10ml, 20 ml vial,

d. 4 % 5 ml ampule –topical solution

c. Lidocaine HCL with Epineprhine 1%: 20ml and 30ml, and 2% 20ml

d. Lidocaine (Lidoderm) 5 % patch

e. Lidocaine (Xylocaine) 2 % topical jelly 30 ml tube

5. Ropivacaine (Naropin) Inj—0.2% 10ml, 0.5% 20ml vial

6. RECK (Ropivacaine+Epinephrine+Clonidine+Ketorolac) Solution 50ml syringe

7. Tetracaine 0.5% Ophth Drops 5 ml

76:00 Oxytocics

1. Oxytocin (Pitocin) 10 units/ml 1ml vial

80:00 Serums, Toxoids, and Vaccines

80:04 Serums

1. Antivenin (Crotalidae) Polyvalent Immune Fab (Crofab) vial—not available

2. Digoxin Immune Fab (DigiBind) 38 mg vial—not available

80:08 Toxoids

1. Tetanus and Diphtheria Toxoid

80:12 Vaccines

1. Influenza Virus Vaccine (seasonal availability) (refrigerate)

84:00 Skin and Mucous Membrane Agents

84:04 Anti-infectives

84:04.04 Antibacterials

1. Bacitracin Zinc Ointment 0.9gm u/d, 15 gm tube

2. Triple Antibiotic Ointment BacitracinZinc/Neomycin/Polymyxin

B Sulfate (Neosporin) 0.9 g, 14 gm tube

3. Mupirocin (Bactroban) 2 % Ointment 22 gm tube

84:04.06 Antivirals—none available

84:04.08 Antifungals

1. Clotrimazole

a. (Lotrimin) 1% Top Cream 15gm, Vaginal Cream 45 gm

2. Gentian Violet 1% Solution 60ml bottle

84:04.12 Scabicides and Pediculicides—none available

84:04.92 Miscellaneous Local Anti-infectives

1. Chlorhexidine (Hibiclens) Topical Solution

2. Phenol 89% Solution

3. Phenol Spray ( Chloraseptic) 6 oz bottle

4. Povidone-Iodine 10% Ointment 30 gm tube

5. Silver Sulfadiazine (Silvadene) Cream 50 gm tube

84:06 Anti-inflammatory Agents

1. Hydrocortisone

a. 1 % Topical Cream 1 oz,

84:08 Antipruritics and Local Anesthetics

1. Ethyl Chloride Spray (added 02/19)

2. Lidocaine-Prilocaine 2.5-2.5% (Emla) Cream 30 gm

3. Phenazopyridine HCL (Pyridium) 100 mg tablet

4. Tetracaine/Benzocaine/Butambe (Cetacaine) Spray

84:24 Basic Oils and Other Solvents

1. Mineral Oil Light 10ml vial (topical)

84:28 Keratolytic Agents

1. Silver Nitrate Sticks

86:00 Smooth Muscle Relaxants

86:12 Genitourinary Smooth Muscle Relaxants

1. Oxybutynin Chloride (Ditropan) 5 mg tablet

86 :16 Respiratory Smooth Muscle Relaxants

1. Aminophylline Inj 500mg/20ml vial

88 :00 Vitamins

88 :08 Vitamin B Complex

1. Folic acid 1 mg tablet

2. Thiamine HCL100 mg (Vitamin B1) tablet, 100 mg/ml vial

88.16 Vitamin D Products

1. Calcitriol (Rocaltrol) 0.5mcg capsule

88:24 Vitamin K

1. Phytonadione (AquaMEPHYTON) 10 mg/ml ampule (not in stock)

88 :28 Multivitamin Preparations

1. Therapeutic multivitamin with minerals (Hemocyte Plus) tablet

92 :08 5 Alpha Reductase Inhibitors

1. Finasteride (Proscar) 5 mg tablet

92:12 Antidotes

1. Sugammadex (Bridion)—200mg/2ml vial (added 2/2019)

2. Flumazenil –see 28:92

3. Glucagon---see 68:22.12

4. Methylene Blue 1% 10 ml vial

5. Naloxone (Narcan)—see 28:10

6. Phytonadione---see 88:24

94 :00 Devices

1. Gelatin Sponge Absorbable (Gelfoam) : Size 50, 100

2. Hylan G-F 20 (Synvisc-One)-48 mgsyringe

96 :00 Pharmaceutical Aids

1. Glycerin Liquid 6 oz bottle[pic]

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REMS

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