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THE UAMS MEDICAL CENTER

FORMULARY

Formulary

DRUG

DETAIL1

CAT

ABACAVIR (Ziagen)

Tablet, 300 mg

Category 8:18 Antiviral

ABACAVIR / LAMIVUDINE /ZIDOVUDINE (Trizivir)

Tablets,300mg/150mg/300mg

Category 8:18.08 Antiretrovirals

ABACAVIR/ LAMIVUDINE (Epzicom)

Tablets , 600/300 mg

Category 08:18.08 Antiretrovirals

ABCIXIMAB (ReoPro)

Injection, 2mg/ml., 5 ml

Category 92:00 Unclassified Therapeutic agents

ACAMPROSATE (Campral)

Tablet, delayed release, 333mg

Category 28:92 Central Nervous System Agents, Miscellaneous

ACEBUTALOL (Sectral)

Tablets, 200 mg and 400 mg

Category 24:04 Hypotensive Agents

ACETAMINOPHEN (APAP, Tempra, Tylenol)

-See also Propoxyphene, Oxycodone, Hydrocodone

Category 28:08.92 Miscellaneous Analgesic

ACETAMINOPHEN (APAP, Tempra, Tylenol)

Tablets USP, 325 mg

Category 28:08.92 Miscellaneous Analgesic

ACETAMINOPHEN (APAP, Tempra, Tylenol)

Suppositories, 120 mg, 325 mg and 600 mg

Category 28:08.92 Miscellaneous Analgesic

ACETAMINOPHEN (APAP, Tempra, Tylenol)

Elixir, 120 mg with codeine 12 mg, per 5 ml

Category 28:08.92 Miscellaneous Analgesic

ACETAMINOPHEN (APAP, Tempra, Tylenol)

Elixir USP, 160 mg per 5 ml

Category 28:08.92 Miscellaneous Analgesic

ACETAMINOPHEN (Midrin)

Tablet, 325mg with Isometheptene/dichloralphenazone

Category 28:08.92 Miscellaneous Analgesic

ACETAMINOPHEN (Tylenol #3)

Tablets, 325 mg, with Codeine Phosphate 30 mg (Tylenol with Codeine No. 3)

Category 28:08.92 Miscellaneous Analgesic

ACETAZOLAMIDE (Diamox)

Tablets USP, 250 mg

Category 40:28 Diuretic,52:10 Carbonic Anhydrase Inhibitors

ACETAZOLAMIDE (Diamox)

Capsule, extended release Sequel 500 mg

Category 40:28 Diuretic,52:10 Carbonic Anhydrase Inhibitors

ACETAZOLAMIDE (Diamox)

For Injection USP, 500 mg vials (as the sodium salt)

Category 40:28 Diuretic,52:10 Carbonic Anhydrase Inhibitors

ACETIC ACID

Solution, Sterile, USP 0.25% (for irrigation)

Category 40:26 Irrigating Solution

ACETIC ACID

Glacial USP 100%

Category 40:26 Irrigating Solution

ACETOHYDROXAMIC ACID (Lithostat, AHA)

Tablets 250 mg

Category 40:10 Ammonia Detoxicants

ACETONE

NF

Category 84:24.08 Basic Oil and Other Solvent

ACETYLCHOLINE CHLORIDE (Miochol-E)

Solution, Ophthalmic 1%, 20 mg/2 ml

Category 52:20 Miotic

ACETYLCYSTEINE (Acetadote)

Injection, 200mg/ml, 30ml

Category 48:24 Mucolytic/Antidote

ACETYLCYSTEINE (Mucomyst)

Solution NF 20%, 4 ml, 100 ml vials

Category 48:24 Mucolytic Agents

ACITRETIN (Soriatane)

Capsules in Convenience kits, 10mg, 25 mg

Category 84:36 Misc. Skin and Mucous Membrane Agents

ACYCLOVIR (Zovirax)

Tablet, 800 mg

Category 8:18 Anti-Virals

ACYCLOVIR (Zovirax)

Capsules, 200 mg, 400mg

Category 8:18 Anti-Virals

ACYCLOVIR (Zovirax)

Ointment 5%, 15 gm tubes

Category 8:18 Anti-Virals

ACYCLOVIR (Zovirax)

Injection 500 mg, 1 g Vials

Category 8:18 Anti-Virals

ADEFOVIR (Hepsera)

Tablets, 10 mg

Category 8:18.32 Nucleosides and Nucleotides

ADENOSINE (Adenocard)

Injection, 6 mg/2 ml, 90 mg/30 ml

Category 92:00 Unclassified

ALBUMIN, NORMAL HUMAN SERUM

USP, 100 ml vial (25%, Osmotic equivalent 500 ml of Plasma)

Category 16:00 Blood Derivative

ALBUMIN, NORMAL HUMAN SERUM

USP, 50 ml vial (25%, Osmotic equivalent 250 ml of Plasma)

Category 16:00 Blood Derivative

ALBUTEROL (Combivent)

Solution with Ipratropium for inhalation

Category 12:12 Sympathomimetic (Adrenergic) Agent

ALBUTEROL (Proventil, Ventolin)

Solution for Inhalation, 5 mg per ml, 3 ml and 0.5ml Unit (Aqueous Solution dispensed through respiratory therapy), 20 ml

Category 12:12 Sympathomimetic (Adrenergic) Agent

ALBUTEROL (Proventil, Ventolin)

Metered dose Inhaler, 20 mg per 5 ml, 17 gm

Category 12:12 Sympathomimetic (Adrenergic) Agent

ALBUTEROL SULFATE (DuoNeb)

Inhalation Sol., 3 mg/3ml with Ipratropium 0.5mg- Outpatient

Category 12:12 Sympathomimetic

ALBUTEROL/IPRATROPIUM (DuoNeb)

Solution for inhalation, 2.5mg albuterol + 0.5mg ipratropium

Category 12:12.08.12 Selective Beta2-Adrenergic Agonists

ALCOHOL (Ethyl Alcohol, Ethanol)

Rubbing-see also Isopropyl alcohol

Category 36:36 Gastric Function, 72:00 Local Anesthetic, 84:04.16 Miscellaneous Anti-Infective

ALCOHOL (Ethyl Alcohol, Ethanol)

Denatured, State quantity desired

Category 36:36 Gastric Function, 72:00 Local Anesthetic, 84:04.16 Miscellaneous Anti-Infective

ALCOHOL (Ethyl Alcohol, Ethanol)

USP (95%)

Category 36:36 Gastric Function, 72:00 Local Anesthetic, 84:04.16 Miscellaneous Anti-Infective

ALCOHOL, DEHYDRATED (Absolute Alcohol) (100%)

Liquid, 500 ml and 4 liter bottles

Category 28:08 Analgesic, 40:20 Caloric Agent, 72:00 Local Anesthetic

ALCOHOL, DEHYDRATED (Absolute Alcohol) (100%)

Injection, 1 ml ampul

Category 28:08 Analgesic, 40:20 Caloric Agent, 72:00 Local Anesthetic

ALDESLEUKIN (Proleukia - Interleukin II)

Injection, 18 million unit vial

Category 10:00 Antineoplastic

ALEMTUZUMAB (Campath)

Injection, 30 mg/ml, 1 ml ampul

Category 10:00 Antineoplastic Agent

ALENDRONATE (Fosamax)

Tablet, 35 mg, 70 mg

Category 92:00 Unclassified Therapeutic Agent

ALENDRONATE + VITAMIN D (Fosamax + D) - outpatient only

Tablets, 70 mg alendronate + 2800 units Vitamin D

Category 92:00 Miscellaneous Therapeutic Agents

ALFENTANIL (Alfenta)

Injection, 500 mcg/ml, 5 ml ampuls

Category 28:08.08 Opiate Agonist

ALISKIREN (Tekturna)

Tablets, 150 mg

Category 24:32 Renin-Angiotensin-Aldosterone System Inhibitor

ALKOLOL

Solution, 473 ml - USE IS RESTRICTED TO DEPARTMENT OF OTOLARYNGOLOGY-

Category 92:00 Unclassified Therapeutic Agent

ALLOPURINOL (Zyloprim)

Tablets, 100 mg and 300 mg

Category 92:00 Unclassified Therapeutic Agent

ALPRAZOLAM (Xanax)

Tablets, 0.25 mg and 0.5 mg

Category 28:24.08 Benzodiazepines

ALPROSTADIL (Caverject)

Injection, 10 mcg , 20 mcg in kit

Category 24:12 Vasodilating Agents

ALPROSTADIL (Prostin VR)

Injection, 500 mcg/ml 1 ml ampuls

Category 24:12 Vasodilating Agents

ALTEPLASE (Activase, t-PA, tissue plasminogen activator)

Injection, 100 mg per vial

Category 20:40 Thrombolytic Agent

ALTRETAMINE (Hexalen)

Capsule, 50 mg

Category 10:00 Antineoplastic

ALUMINUM ACETATE (Burow's Solution)

Solution, USP (5%)

Category 52:36 Unclassified EENT Agent, 84:12 Astringent

ALUMINUM HYDROXIDE (Alternagel)

Suspension, each 5 ml contains: Aluminum Hydroxide 600 mg (and less than 2 mg sodium per 5 ml)

Category 56:04 Antacid and Adsorbants

ALUMINUM HYDROXIDE (Gaviscon)

Tablet, 80 mg, with magnesium trisilicate 20 mg (contains 0.8 mEq Sodium)

Category 56:04 Antacid and Adsorbants

ALUMINUM HYDROXIDE (Gaviscon)

Suspension, Aluminum Hydroxide, 95 mg, Magnesium Carbonate, 412 mg contained in each 15 ml

Category 56:04 Antacid and Adsorbants

ALUMINUM HYDROXIDE (Mylanta II)

Suspension, each 5 ml contains: Aluminum Hydroxide, 400 mg, Magnesium Hydroxide, 400 mg, and Simethicone 30 mg

Category 56:04 Antacid and Adsorbants

ALUMINUM SUBACETATE

Solution, USP

Category 84:12 Astringent

AMANTADINE HYDROCHLORIDE (Symmetrel)

Capsules NF, 100 mg

Category 8:18 Anti-Viral; 28:92 Misc. Central Nervous System

AMIFOSTINE (Ethyol)

Injection, 500 mg.

Category 92:00 Unclassified Therapeutic Agents

AMIKACIN (Amikin)

Injection, 250 mg per ml, 2 ml vial (500 mg) and 4 ml vial (1 gm)

Category 8:12.02 Aminoglycoside Antibiotic

AMIKACIN (Amikin)

Injection, 50 mg per ml, 2 ml Vial (Pediatric)

Category 8:12.02 Aminoglycoside Antibiotic

AMILORIDE HYDROCHLORIDE (Moduretic)

Tablets, 5 mg with hydrochlorothiazide 50 mg

Category 40:28.10 Potassium Sparing Diuretic

AMINOACETIC ACID (Glycine, Glycocoll)

Solution, Sterile, USP, 1.5% in 3 liter bags

Category 40:36 Irrigation Solution

AMINOACETIC ACID (Glycine, Glycocoll)

USP

Category 40:36 Irrigation Solution

AMINOCAPROIC ACID (Amicar)

Tablets, 500 mg

Category 20:12.16 Hemostatic

AMINOCAPROIC ACID (Amicar)

Injection, 250 mg per ml, 20 ml vial

Category 20:12.16 Hemostatic

AMINOPHYLLINE (Theophylline Ethylenediamine)

Tablets, USP, 100 mg and 200 mg

Category 40:28 Diuretic, 86:16 Respiratory Smooth Muscle Relaxant

AMINOPHYLLINE (Theophylline Ethylenediamine)

Injection, USP, 25 mg per ml, 20 ml vial

Category 40:28 Diuretic, 86:16 Respiratory Smooth Muscle Relaxant

AMIODARONE (Cordarone)

Injection, 150 mg/3ml., restricted to Cardiology

Category 24:04 Cardiac Drugs

AMIODARONE (Cordarone)

Tablets, 200 mg

Category 24:04 Cardiac Drugs

AMITRIPTYLINE HYDROCHLORIDE (Elavil, Endep)

Tablets, USP, 10 mg, 25 mg, 50 mg, 75 mg, 100 mg, and 150 mg -See Also Perphenazine Combinations

Category 28:16.04 Antidepressant

AMLODIPINE (Caduet)

Tablets, 5mg & 10mg with Atorvastatiin 10mg, 20mg, or 40mg

Category 20:04 Cardiac Drugs & 24:06 Antilipemic Agent
Category 24:04 Cardiac Drug & 24:06 Antilipemic Agent

AMLODIPINE (Norvasc)

Tablets, 2.5 mg, 5 mg, 10 mg

Category 24:04 Cardiac Drugs

AMLODIPINE/BENZAPRIL (Lotrel)

Tablet, 2.5/10 mg, 5/10 mg, 5/20 mg, 10/20 mg

Category 24:04 Cardiac Drugs

AMMONIA

Spirit, Aromatic, NF

Category 28:20 Respiratory and Cerebral Stimulant

AMMONIUM CHLORIDE (NH4Cl)

Solution, 25%, NF

Category 40:04 Acidifying Agent

AMOBARBITAL SODIUM (Sodium Amobarbital, Amytal Sodium)

Injection, USP, 500 mg vial (Dry Powder)

Category 28:24.04 Barbiturates

AMOXACILLIN and CLAVULANATE

Tablet,1000 mg/ 62.5 mg

Category 8:12.16 Penicillins
Category 8:12.16 Penicillins

AMOXICILLIN (As the Trihydrate) (Amoxil, Larotid)

Capsules, 250 mg and 500 mg

Category 8:12.16 Penicillins

AMOXICILLIN (As the Trihydrate) (Amoxil, Larotid)

Suspension, Oral, 250 mg/ 5 ml., 80 ml and 150 ml bottles

Category 8:12.16 Penicillins

AMOXICILLIN (As the Trihydrate) (Amoxil, Larotid)

Oral Suspension, 400mg/5ml

Category 8:12.16 Penicillins
Category 8:12.16 Penicillins

AMOXICILLIN and CLAVULANATE POTASSIUM (Augmentin)

Tablets, 250 mg, 500mg; 875 mg (out-patient only)

Category 8:12.16 The Penicillins

AMOXICILLIN and CLAVULANATE POTASSIUM (Augmentin)

Oral Suspension, 250 mg per 5 ml

Category 8:12.16 The Penicillins

AMOXICILLIN and CLAVULANATE POTASSIUM (Augmentin)

Oral Suspension, 400 mg / 5 ml

Category 8:12.16 Penicillins

AMPHOTERICIN-B (Ablecet, Ambisome)

Injection, Lipid formulation - Therapeutic equivalents - check for current stock

Category 8:12.04 Antifungal Antibiotic, 84:04.08 Skin and Mucous Membrane Fungicide

AMPHOTERICIN-B (Fungizone)

Injection, USP, 50 mg vial

Category 8:12.04 Antifungal Antibiotic, 84:04.08 Skin and Mucous Membrane Fungicide

AMPICILLIN (Polycillin, Principen)

Suspension, 250 mg per 5 ml, 100 ml bottles

Category 8:12.16 Penicillins

AMPICILLIN (Polycillin, Principen)

Suspension, 125 mg per 5 ml, 80 ml bottles

Category 8:12.16 Penicillins

AMPICILLIN (Polycillin, Principen)

Injection, 250 mg, 500 mg, 1 gm and 2 gm vials

Category 8:12.16 Penicillins

AMPICILLIN (Polycillin, Principen)

Capsules, 250 mg and 500 mg.

Category 8:12.16 Penicillins

AMPICILLIN and SULBACTAM (Unasyn)

Injection 1.5 g, 3 g

Category 8:12:16 Penicillins

AMPRENAVIR (Agenerase)

Capsule, 150 mg

Category 8:18.08

AMYL NITRATE INHALANT

NF, 0.3 ml.; fragile glass ampuls wrapped in cloth

Category 24:12 Vasodilating Agent

ANAGRELIDE (Agrylin)

Capsule, 500 mcg

Category 92:00 Unclassified Therapeutic Agents

ANASTROZOLE (Arimidex)

Tablet, 1 mg.

Category 10:00 Antineoplastic

ANTIRABIES SERUM

Injection, USP, 1,000 international unit, vials

Category 80:04 Serum

ANTITHYMOCYTE GLOBULIN, RABBIT, (Thymoglobulin)

Kit, 25 mg

Category 92:00 Unclassified Therapeutic Agent

APOMORPHINE (Apokyn)

Injection, 10mg/ml, 2ml ampul

Category 28:92 Miscellaneous Central Nervous System Agent

APRACLONIDINE HYDROCHLORIDE (Iopidine)

Solution, Ophthalmic, 1%

Category 52:36 Miscellaneous EENT Drug

APREPITANT (Emend)

Capsules, 40mg, 80mg, and 125mg

Category 56:22 Antiemetic

APROTININ (Trasylol)

Injection, 10,000 KIU/ml, 100 and 200 ml

Category 20:12.16 Hemostatics

ARGININE HYDROCHLORIDE (L-Arginine HCl, R-Gene)

Injection, 10%, 300 ml bottles

Category 36:66 Diagnostic Agent for Pituitary Function

ARIPIPRAZOLE (Abilify)

Tablets, 5mg, 10mg, 30mg, ODT, 10mg, 15mg

Category 28:16.08 Antipsychotics

ARSENIC TRIOXIDE

Inj., 10mg

Category 10:00 Antineoplastic Agent

ASCORBIC ACID (Vitamin C)

Tablets, USP, 500 mg -See also multivitamins, Vitamins ACD, and Vitamin B Complex

Category 88:12 Vitamin C

ASCORBIC ACID (Vitamin C)

Injection, USP,500 mg per ml, 2 ml ampuls

Category 88:12 Vitamin C

ASPARAGINASE (Elspar)

Injection, 10,000 I.U., with mannitol 80 mg per vial

Category 10:00 Antineoplastic Agent

ASPIRIN (Acetylsalicyclic Acid)(ASA)

Tablets, 300 mg, with buffers (Magnesium/Aluminum Hydroxide 150 mg) (Ascriptin)

Category 28:08.04 Non-Steroidal Anti-Inflammatory Agent

ASPIRIN (Acetylsalicyclic Acid)(ASA)

Tablets, Enteric Coated, 81 mg, 300 mg

Category 28:08.04 Non-Steroidal Anti-Inflammatory Agent

ASPIRIN (Acetylsalicyclic Acid)(ASA)

Tablets, USP, 81 mg, 300 mg

Category 28:08.04 Non-Steroidal Anti-Inflammatory Agent

ASPIRIN (Acetylsalicyclic Acid)(ASA)

Suppositories, USP, 300 mg. and 600 mg.

Category 28:08.04 Non-Steroidal Anti-Inflammatory Agent

ASPIRIN (Acetylsalicyclic Acid)(ASA)

USP

Category 28:08.04 Non-Steroidal Anti-Inflammatory Agent

ATAZANAVIR SULFATE (Reyataz)

Capsule, 150mg, 300 mg

Category 8:18.08 Antiretroviral Agent

ATENOLOL (Tenormin)

Tablets, 25 mg, 50 mg and 100 mg

Category 24:04 Cardiac Drug

ATOMOXETINE (Strattera)

Tablets, 10mg, 18mg, 25mg, 40mg, 60 mg

Category 72:00 Unclassified therapeutic agent
Category 72:00 Unclassified therapeutic agent

ATORVASTATIN (Caduet)

Tablets, 10mg, 20mg, 40mg with Amlodipine 5 or 10mg

Category 24:04 Cardiac Drug & 24:06 Antilipemic Agent

ATORVASTATIN (Lipitor)

Tablets, 10mg, 20 mg.; 40mg in outpatient

Category 24:06.08 HMG-CoA Reductase Inhibitors

ATROPINE SULFATE

Ophthalmic Ointment, 1%

Category 12:08.08 Parasympatholytic Agent, 52:24 Mydriatic

ATROPINE SULFATE

Injection, USP, 100 mcg per ml,10 ml Syringe

Category 12:08.08 Parasympatholytic Agent, 52:24 Mydriatic

ATROPINE SULFATE

Injection, USP, 1 mg per ml, 1 ml vial

Category 12:08.08 Parasympatholytic Agent, 52:24 Mydriatic

ATROPINE SULFATE

Injection, USP, 400 mcg per ml, 1 ml vial

Category 12:08.08 Parasympatholytic Agent, 52:24 Mydriatic

ATROPINE SULFATE (Isopto-Atropine)

Solution, Eye, USP, 1%, 1 ml and 15 ml Dropper Bottles

Category 12:08.08 Parasympatholytic Agent, 52:24 Mydriatic

AURANOFIN (Ridaura)

Capsules, 3 mg

Category 60:00 Gold Compounds

AZACITIDINE (Vidaza)

Injection, 100 mg

Category 10:00 Antineoplastics

AZATHIOPRINE (Immuran)

Injection, 100 mg

Category 92:00 Unclassified Theapeutic Agent

AZATHIOPRINE (Immuran)

Tablets, USP, 50 mg

Category 92:00 Unclassified Theapeutic Agent

AZITHROMYCIN (Zithromax)

Suspension, 200mg/5ml

Category 8:12.12 Macrolides

AZITHROMYCIN (Zithromax)

Injection 500mg

Category 8:12.12 Macrolides

AZITHROMYCIN (Zithromax)

Capsules, 250 mg, 600mg. (Z-Pak and 3 day pack outpatient)

Category 8:12.12 Macrolides

AZTREONAM (Azactam)

Injection, 500 mg, 1 gm and 2 gm vials

Category 8:12.07 Miscellaneous Beta-Lactam antibiotic

BACITRACIN

-See also Tribiotic

Category 8:12.28 Other Antibiotic, 52:04.04 EENT Antibiotic, 84:04.04 Skin and Mucous Membrane Antibiotic

BACITRACIN

Ointment, USP, (500 units per gram) 15gm Tube

Category 8:12.28 Other Antibiotic, 52:04.04 EENT Antibiotic, 84:04.04 Skin and Mucous Membrane Antibiotic

BACITRACIN

Injection, USP, 50,000 Units, vial

Category 8:12.28 Other Antibiotic, 52:04.04 EENT Antibiotic, 84:04.04 Skin and Mucous Membrane Antibiotic

BACITRACIN

USP

Category 8:12.28 Other Antibiotic, 52:04.04 EENT Antibiotic, 84:04.04 Skin and Mucous Membrane Antibiotic

BACITRACIN (Cortisporin)

Suspension, Ear, 400 units with Hydrocortisone 1%, Neomycin 0.5%, and Polymixin-B Sulfate 5000 units, 10 ml Dropper Bottle

Category 8:12.28 Other Antibiotic, 52:04.04 EENT Antibiotic, 84:04.04 Skin and Mucous Membrane Antibiotic

BACITRACIN (Polysporin)

Ophthalmic Ointment, 500 Units per gram, 10,000 Units Polymixin-B per gram, 3.5 gm tube (Polysporin)

Category 8:12.28 Other Antibiotic, 52:04.04 EENT Antibiotic, 84:04.04 Skin and Mucous Membrane Antibiotic

BACITRACIN (Polysporin)

Ointment, with Polymyxin, 0.9 g and 15 g Tube

Category 8:12.28 Other Antibiotic, 52:04.04 EENT Antibiotic, 84:04.04 Skin and Mucous Membrane Antibiotic

BACLOFEN (Lioresal)

Tablets, 10 mg (Scored)

Category 12:20 Skeletal Muscle Relaxant

BACLOFEN (Lioresal)

Injection, Intrathecal, 50 mcg/ml, 10mg/5ml

Category 12:20 Skeletal Muscle Relaxant

BALSAM-TRYPSIN (Xenoderm)

Ointment,

Category 84:36 Misc. Skin and Mucous Membrane Agents
Category 84:36 Misc. Skin and Mucous Membrane Agents

BASILIXIMAB (Simulect)

Injection, 20 mg

Category 92:00 Unspecified Therapeutic Agents

BCG VACCINE (Bacillus Calmette-Guerin)

Injection, USP, 10 immunizations per vial

Category 80:12 Vaccine

BECLOMETHASONE DIPROPIONATE (Vancenase AQ 84, Vanceril OS)

Inhalation, Oral Out-Patient Only

Category 8:04 Adrenal Hormone, 52:08 Anti-inflammatory agent

BECLOMETHASONE DIPROPIONATE (Vanceril, Beclovent, Beconase, QVar)

Inhalation, Oral, 40 mcg per application, (microcrystalline suspension)

Category 8:04 Adrenal Hormone, 52:08 Anti-inflammatory agent

BECLOMETHASONE DIPROPIONATE (Vanceril, Beconase)

Inhalation, Nasal, Spray, 0.042% in water base

Category 8:04 Adrenal Hormone, 52:08 Anti-inflammatory agent

BELLADONNA (Donnatal Elixir)

Liquid, Each 5 ml contains Atropine Sulfate 0.0194 mg, Hyoscyamine Sulfate 0.1037 mg, Hyoscine Hydrobromide 0.0065 mg, Phenobarbital 16.2mg, and Alcohol 23%.

Category 12:08.08 Antimuscarinic/Antispasmodics

BELLADONNA (Donnatal)

Tablets, Oral, contains Atropine Sulfate 0.0194 mg, Hyoscyamine Sulfate 0.1037 mg, Hyoscine Hydrobromide 0.0065 mg, and Phenobarbital 16.2 mg

Category 12:08.08 Antimuscarinic/Antispasmodics

BENDAMUSTINE (Treanda)

Injection, 100mg/20ml vial

Category 10:00 Antineoplastic Agent

BENZOCAINE (Ethyl Aminobenzoate) (Cetacaine)

Aerosol, 14%, with Tetracaine HCl 2%, 100 gm container

Category 52:16 Local Anesthetic, 84:08 Antipruritic and Local Anesthetic

BENZOCAINE (Ethyl Aminobenzoate) (Dermaplast)

Topical Spray, 20% with 0.5% Menthol

Category 52:16 Local Anesthetic, 84:08 Antipruritic and Local Anesthetic

BENZOCAINE (Ethyl Aminobenzoate) (Hurricaine)

Spray, 20%, 2 oz spray can

Category 52:16 Local Anesthetic, 84:08 Antipruritic and Local Anesthetic

BENZOIC ACID

USP

Category 84:04.08 Skin and Mucous Membrane Fungicide

BENZOIN

-See also Podophyllum Resin

Category 84:24 Emollients, Demulcents, and Protectants

BENZOIN

Tincture, compound, USP

Category 84:24 Emollients, Demulcents, and Protectants

BENZOIN

USP

Category 84:24 Emollients, Demulcents, and Protectants

BENZOYL PEROXIDE (Benzac W)

Gel, 10%, with water base

Category 84:36 Miscellaneous Skin and Mucous Membrane Preparation

BENZOYL PEROXIDE (Benzamycin)

Gel, contains erythromycin 30 mg and benzoyl peroxide 50 mg per gram (23.3 gms. contained after reconstitution.)

Category 84:36 Miscellaneous Skin and Mucous Membrane Preparation

BENZOYL PEROXIDE (Desquam-X-10, Panoxyl-10)

Gel, 10%, Alcohol 37%, 45 gm Tubes

Category 84:36 Miscellaneous Skin and Mucous Membrane Preparation

BENZOYL PEROXIDE (Desquam-X-5, Panoxyl-5)

Gel, 5%, Alcohol 37%, 45 gm Tubes

Category 84:36 Miscellaneous Skin and Mucous Membrane Preparation

BENZTROPINE (Cogentin)

Tablets, USP, 1 mg and 2 mg (Double scored)

12:08.04 Antiparkinsonian Agents

BENZTROPINE (Cogentin)

Injection, USP, 1 mg per ml, 2 ml ampuls

12:08.04 Antiparkinsonian Agents

BERACTANT (Survanta)

Inhalation, 25 mg/ml, 8 ml

Category 92:00 Unclassified Therapeutic Agents

BETAMETHASONE (Celestone Soluspan)

Injection, Suspension , 6mg/ml , 5ml , As a combination of Sodium Phosphate and Acetate salts

Category 84:06 Skin and Mucous Membrane Anti-inflammatory Agent

BETAMETHASONE DIPROPIONATE (Diprolene)

Cream, 0.05%, 15 gm and 45 gm Tube, -RESTRICTED TO DEPARTMENT OF DERMATOLOGY-

Category 84:06 Skin and Mucous Membrane Anti-inflammatory Agent

BETAMETHASONE VALERATE (Valisone)

Cream, 0.1% (of the base), 15 gm and 45gm tubes

Category 84:06 Skin and Mucous Membrane Anti-inflammatory Agent

BEVACIZUMAB (Avastin)

Injection, 1mg/ml, 4ml, 16 ml

Category 10:00 Antineoplastic
Category 10:00 Antineoplastic

BICALUTAMIDE (Casodex)

Tablet , 50 mg

Category 10:00 Antineoplastics

BISACODYL (Dulcolax)

Biskit, Bowel prep kit, contains 4 bisacodyl tablets, 4 DOSS capsules, and 1 bisacodyl suppository.

Category 56:12 Cathartic

BISACODYL (Dulcolax)

Tablets, USP, 5 mg, enteric coated

Category 56:12 Cathartic

BISACODYL (Dulcolax)

Suppositories, USP, 10 mg

Category 56:12 Cathartic

BISACODYL (Dulcolax)

Solution for enema, 10 mg per 30 ml; 38 ml squeeze bottle

Category 56:12 Cathartic

BISMUTH SUBGALLATE

Powder, 125 gm, 500 gm

Category 72:00 Unclassified therapeutic agent

BISMUTH SUBSALICYLATE (Pepto-Bismol)

Tablets , 262 mg.

Category 56:08 Anti-Diarrhea

BIVALIRUDIN (Angiomax)

Injection, 250mg

Category 20:12.04 Anticoagulant

BLEOMYCIN SULFATE (Blenoxane)

Injection, 15 units per vial

Category 10:00 Antineoplastic Agent

BODY LOTION (Lotion, Hydrophylic, Mentholated)

Lotion, 240 ml.

Category 84:24 Emollients, Demulcents, and Protectants

BORIC ACID

Bulk

Category 52:04.12 Misc. EENT Anti-infective, 84:04.16 Misc. Local Anti-infective

BORIC ACID (Blinx)

Solution, Ophthalmic, with Sodium Borate, 15 ml bottle.

Category 52:04.12 Misc. EENT Anti-infective, 84:04.16 Misc. Local Anti-infective

BORTEZOMIB (Velcade)

Injection, 3.5 mg

Category 10:00 Ant-iNeoplastic Agents
Category 10:00 Antineoplastic Agent

BOTULINUM TOXIN TYPE A (Oculinum)

Injection, 100 units

Category 92:00 Unclassified Agents

BOTULINUM TOXIN TYPE B (Myobloc) - Restructed Out-Patient-Neurology

Injection 2500 units in 0.5ml; size 0.5ml, 1 ml, 2ml

Category 92:00 Unclassified Therapeutic Agents

BRIMONIDINE (Alphagan)

Solution, ophthalmic 0.15%

Category 52:36 Misc. EENT Agents

BRINZOLAMIDE (Azopt)

Solution, ophthalmic, 1%

Category 52:10 Carbonic Anhydrase Inhibitors

BROMOCRIPTINE MESYLATE (Parlodel)

Tablets, 2.5 mg

Category 92:00 Unclassified Therapeutic Agent

BROMPHENIRAMINE MALEATE (Dimetapp Elixir)

Elixir, compound, 2 mg, with Phenylpropanolamine 12.5 mg per 5 ml -NOT STOCKED PENDING REFORMULATION

Category 4:00 Antihistamine

BROMPHENIRAMINE MALEATE (Dimetapp Extendtabs)

Tablets, extended release , (Ext entab) , 12 m g, and Phenylpropanolamine 15 mg- NOT STOCKED PENDING REFORMULATION

Category 4:00 Antihistamine

BUDESONIDE (Rhinocort) - outpatient only

Suspension, nasal spray

Category 52:00 EENT Preparations

BUMETANIDE (Bumex)

Injection 0.25 mg per ml, 2 ml, 10 ml ampuls

Category 40:28 Diuretics

BUMETANIDE (Bumex)

Tablets, 0.5 mg and 1.0 mg

Category 40:28 Diuretics

BUPIVACAINE HYDROCHLORIDE (Marcaine, Sensorcaine)

Injection, containing Dextrose 8.25% -THIS ITEM NOT FOR USE IN EPIDURAL ANESTHESIA FOR OBSTETRICS-

Category 72:00 Local Anesthetic

BUPIVACAINE HYDROCHLORIDE (Marcaine, Sensorcaine)

Injection, 0.75%, with epinephrine 1:200,000, 30 ml -NOT FOR USE FOR CAUDAL ANESTHESIA OR FOR OBSTETRICS-

Category 72:00 Local Anesthetic

BUPIVACAINE HYDROCHLORIDE (Marcaine, Sensorcaine)

Injection, 0.5%, with epinephrine 1:200,000, 30 ml vials -NOT FOR USE FOR CAUDAL ANESTHESIA OR FOR OBSTETRICS-

Category 72:00 Local Anesthetic

BUPIVACAINE HYDROCHLORIDE (Marcaine, Sensorcaine)

Injection, 0.75% 30 ml vials -NOTE: THIS SIZE RESTRICTED TO USE BY MEMBERS OF THE ANESTHESIA, NEUROSURGERY AND OPHTHALMOLOGY DEPARTMENTS ONLY-

Category 72:00 Local Anesthetic

BUPIVACAINE HYDROCHLORIDE (Marcaine, Sensorcaine)

Injection, 0.5%, 30 ml and 50 ml vials

Category 72:00 Local Anesthetic

BUPROPION (Wellbutrin XL)

Extended Release Tablets, 150mg, 300mg

Category 28:16 Antidepressants

BUPROPION (Wellbutrin)

Tablet, sustained release - 100 mg , 150 mg, 200 mg

Category 28:16 Antidepressants

BUSPIRONE (Buspar)

Tablets, 5 mg, 10 mg and 15 mg

Category 28:24.92 Miscellaneous Anxiolytics, Sedatives, and Hypnotics

BUSULFAN (Busulfex)

Injection, 6mg/ml., 10ml

Category 10:00 Antineoplastic Agent
Category 10:00 Antineoplasti

BUSULFAN (Myleran)

Tablets, USP, 2 mg

Category 10:00 Antineoplastic Agents

BUTORPHANOL TARTRATE (Stadol)

Injection, 1 mg, 2 mg

Category 28:08.12 Opiate Partial Agonist

CADEXOMER IODINE (Iodosorb)

Gel, Topical

Category 84.36 Misc Skin and Mucous Membrane Agents

CAFFEINE AND SODIUM BENZOATE

Injection 250 mg (Caffeine Anhydrous 125 mg and Sodium Benzoate 125 mg) per 1 ml, 1 ml ampul

Category 28:20 Respiratory and Cerebral Stimulant

CAFFEINE CITRATE (Cafcit)

Oral solution, 20mg/ml, 3ml

Category 28:20 Respiratory Stimulant

CAFFEINE CITRATE (Cafcit)

Injection, 20mg/ml, 3ml vial

Category 28:20 Respiratory Stimulant
Category 28:20 Respiratory Stimulant

CAFFEINE, CITRATED

Bulk

Category 28:20 Respiratory and Cerebral Stimulant

CALAMINE

Lotion USP

Category 84:24 Emollients, Demulcents, and Protectant

CALCITONIN, SALMON (Calcimar)

Injection, 400 MRC Units

Category 68:24 Parathyroid

CALCITRIOL (Rocaltrol)

Injection, 1 mcg/ml

Category 88:16 Vitamin D

CALCITRIOL (Rocaltrol)

Capsules, 0.25 mcg and 0.5 mcg

Category 88:16 Vitamin D

CALCIUM ACETATE (PhosLo)

Tablets, 667 mg

Category 40:12 Replacement Preparations

CALCIUM CARBONATE

Tablets, 500 mg chewable

Category 56:04 Antacids and Adsorbents, 40:12 Replacement Preparations

CALCIUM CARBONATE, PRECIPITATED (Precipitated Chalk)

Tablets, 600 mg -See also Prenatal Vitamins

Category 56:04 Antacids and Adsorbents, 40:12 Replacement Preparations

CALCIUM CARBONATE, PRECIPITATED (Precipitated Chalk)

USP

Category 56:04 Antacids and Adsorbents, 40:12 Replacement Preparations

CALCIUM CARBONATE/VITAMIN D (Oscal-D)

Tablets, 500mg/200 International Units

Category 40:12 Replacement Preparations

CALCIUM CHLORIDE

Injection, USP, 100 mg per ml, 10 ml Vials

Category 40:12 Replacement Preparations

CALCIUM GLUCONATE

Tablets, USP, 500 mg

Category 40:12 Replacement Preparations

CALCIUM GLUCONATE

Injection, USP, 100 mg per ml, 10 ml Vials

Category 40:12 Replacement Preparations

CALCIUM GLUCONATE

USP

Category 40:12 Replacement Preparations

CALCIUM HYDROXIDE (Hypocal)

Paste, 400 application tube (restricted to E.D. or dental consult)

Category 52:36 Misc. EENT Agents

CALCIUM LEUCOVORIN (Leucovorin, Citrovorum Factor, Folinic Acid)

Tablets, 5 mg and 25 mg

Category 92:00 Unclassified Therapeutic Agent

CALCIUM LEUCOVORIN (Leucovorin, Citrovorum Factor, Folinic Acid)

Injection, 50 mg, 100 mg and 350 mg Vials

Category 92:00 Unclassified Therapeutic Agent

CALIFEROL (Vitamin D)

Capsules, 1000 International units

Category 88:16 Vitamin D

CANDIDA ALBICANS SKIN TEST ANTIGEN (Monilia)

Solution, 1:100, 10 Tests per Vial

Category 36:32 Diagnostic Agent for Fungi

CAPECITABINE (Xeloda)

Tablet, 150mg , 500 mg

Catgory 10:00 Antineoplastic Agents

CAPSAICIN (Zostrix)

Cream, 0.025%, 45 gm Tube

Category 92:00 Unclassified Therapeutic Agent

CARBACHOL (Isopto Carbachol))

Solution, Ophthalmic, 1.5%, and 3%, 15 ml. Dropper Bottles

Category 52:20 Miotic

CARBACHOL (Miostat)

Solution, Sterile 1.5 ml

Category 52:20 Miotic

CARBAMAZEPINE (Tegretol)

Suspension, 100 mg per 5 ml, 473 ml

Category 28:12.92 Miscellaneous Anticonvulsants

CARBAMAZEPINE (Tegretol)

Tablets, 200 mg

Category 28:12.92 Miscellaneous Anticonvulsants

CARBOPLATIN (Paraplatin)

Injection, 50 mg, 150 mg and 450 mg Vials

Category 10:00 Antineoplastic Agent

CARBOPROST TROMETHAMINE (Hemabate)

Injection, 250 mcg per ml, 1 ml Ampuls

Category 76:00 Oxytocic Agent

CARMUSTINE (BCNU)

Injection, 100 mg Vials

Category 10:00 Antineoplastic Agent

CARVEDILOL (Coreg)

Tablets, 3.125 mg, 6.25 mg, 12.5 mg, 25 mg, 50 mg

Category 24:04 Cardiac Drugs

CASTELLANI'S PAINT

Solution, Modified, same formulation as above without Basic Fuchsin Dye

Category 84:04.08 Antifungal Agent

CASTELLANI'S PAINT

Solution, Each 100 ml contains: Phenol = 4.5 gm,Resorcinol = 10.0 gm, Acetone = 5.0 ml, Alcohol = 10.0 ml, Basic Fuchsin = 300.0 mg

Category 84:04.08 Antifungal Agent

CEFACLOR (Ceclor)

Capsules, 250 mg, 500 mg This product is available as a therapeutic equivalent 2nd generation oral cephalosporin according to bid. Check pharmacy for current 2nd generation product stocked.

Category 8:12.06 Cephalosporins

CEFAZOLIN (Ancef, Kefzol)

Injection, 500 mg and 1 gm Vials (as the Sodium Salt) - 10 gm vial

Category 8:12.06 Cephalosporins

CEFEPIME (Maxipime)

Injection , 1 gm, 2 gm

Category 8:12.06 Cephalosporins

CEFONICID (Monocid)

Injection, 1 gm Vials

Category 8:12.06 Cephalosporins

CEFOTAXIME (Claforan)

Injection, 1 gm and 2 gm Vials

Category 8:12.06 Cephalosporins

CEFOXITIN (Mefoxin)

Injection, 1 gm and 2 gm Vials

Category 8:12.07 Miscellaneous Beta-Lactam Antibiotic

CEFPODOXIME (Vantin)

Capsules, 100 mg, 200 mg

Category 8:12.06 Cephalosporins

CEFPROZIL (Cefzil)

Capsules, 250 mg, 500 mg

Category 8:12.06 Cephalosporins

CEFTAZADIME (Fortaz, Tazidime, Tazicef)

Injection, 1 gm and 2 gm Vials

Category 8:12.06 Cephalosporins

CEFTRIAXONE (Rocephin)

Injection, 250 mg and 1 gm Vials

Category 8:12.06 Cephalosporins

CEFUROXIME (ZINACEF)

Injection 1.5 g -RESTRICTED TO PROPHYLAXIS IN CARDIO-THORACIC SURGERY

Category 8:12.06 Cephalosporins

CELECOXIB (Celebryx)

Capsule, 100 mg , 200 mg

Category 28:08.04 Non-Steroidal Anti-Inflammatory Agents

CELLULOSE, OXIDIZED (Oxycel, Surgicel)

Strip, Sterile, USP, 2" x 18"

Category 20:12.16 Hemostatic

CEPHALEXIN (Keflex)

Powder for Dilution, 250 mg. per 5 ml., 100 ml. Bottle

Category 8:12.08.06 Cephalosporins

CEPHALEXIN (Keflex)

Capsules, 250 mg and 500 mg

Category 8:12.08.06 Cephalosporins

CETIRIZINE (Zyrtec)

Tablet, 5mg , 10 mg

Category 4:00 Antihistamine

CETUXIMAB (Erbitux)

Injection, 2mg/ml, 50ml

Category 10:00 Antineoplastic

CETYLPYRIDINIUM CHLORIDE (Ceepryn Chloride, Cepacol)

Lozenges, NF, 0.067% (1:1500), Packets of 3

Category 52:28 Mouthwash and Gargle

CETYLPYRIDINIUM CHLORIDE (Ceepryn Chloride, Cepacol)

Mouthwash, 4 oz. Bottle

Category 52:28 Mouthwash and Gargle

CEVIMELINE HCL (Evoxac)

Capsule, 30 mg

Category 12:04 Parasympathomimetic

CHARCOAL, ACTIVATED

Suspension, Charcoal 50 gm., 240 ml. Bottle

Category 56:04 Antacid and Adsorbent

CHARCOAL, ACTIVATED

USP

Category 56:04 Antacid and Adsorbent

CHLORAL HYDRATE (Noctec)

Syrup, USP, 500 mg per 5 ml

Category 28:24.92 Misc. Anxiolytics, Sedatives and Hypnotics

CHLORAMBUCIL (Leukeran)

Tablets, USP, 2 mg

Category 10:00 Antineoplastic Agent

CHLORAMPHENICOL (Chloromycetin)

Injection, USP, 1 gm Vials (As the sodium succinate salt)

Category 8:12.08 Antibiotic Chloramphenicol, 52:04.04 EENT Antibiotic

CHLORASEPTIC

Solution, Oral, with Phenol, Sodium Phenolate, Sodium Borate, Menthol, Thymol, Glycerin; 90 ml spray Bottle

Category 52:28 Mouthwash and Gargle

CHLORDIAZEPOXIDE (Librax)

Capsules, 5 mg with Clindinium Bromide 2.5 mg

Category 28:24.08 Benzodiazepines

CHLORDIAZEPOXIDE (Librium)

Capsules, 10 mg and 25 mg

Category 28:24.08 Benzodiazepines

CHLORHEXIDENE GLUCONATE (Hibiclens, Hibitane)

Solution, 0.12%, oral rinse, 480 ml

Category 84:04.16 Miscellaneous Local Anti-infectives

CHLORHEXIDENE GLUCONATE (Hibiclens, Hibitane)

Solution, 2%, not for use in surgical areas or labor and delivery areas

Category 84:04.16 Miscellaneous Local Anti-infectives

CHLORHEXIDENE GLUCONATE (Hibiclens, Hibitane)

Solution, 4%, with Isopropyl Alcohol 4% and Detergents; 1 liter

Category 84:04.16 Miscellaneous Local Anti-infectives

CHLOROPROCAINE HYDROCHLORIDE (Nesacaine)

Injection, NF, 3%, 30 ml Vials

Category 72:00 Local Anesthetic

CHLOROQUINE PHOSPHATE (Aralen)

Tablets, USP, 250 mg, 500 mg

Category 8:20 Antimalarial Agents

CHLOROTHIAZIDE (Diuril)

Suspension, oral, 250 mg/5 ml

Category 40:28 Diuretic

CHLOROTHIAZIDE (Diuril)

Injection, 500 mg

Category 40:28 Diuretic

CHLORPROMAZINE HYDROCHLORIDE (Thorazine)

Tablets, USP, 10mg , 25 mg, 50 mg

Category 28:16.08 Tranquilizers, 56:22 Anti-emetic

CHLORPROMAZINE HYDROCHLORIDE (Thorazine)

Injection, USP, 25 mg per ml, 2 ml

Category 28:16.08 Tranquilizers, 56:22 Anti-emetic

CHLORTHALIDONE (Hygroton)

Tablets, USP, 25 mg

Category 40:28 Diuretic

CHOLESTYRAMINE (Questran)

Packets - 4 g

Category 24:06 Antilipemic

CHORIONIC GONADOTROPIN (Antuitrin-S, Follutein)

Injection, USP, 1,000 Units per ml, 10 ml Vials

Category 68:18 Gonadotropin

CHORIONIC GONADOTROPIN (human, recombinant) (Ovidrel)

Injection, 250 mcg

Category 68:18 Gonadotropins

CIDOFOVIR (Vistide)

Injection, 75 mg/ml, 5 ml vial

Category 8:18 Antivirals

CINACALCIT (Sensipar)

Tablet, 30 mg, 60 mg, 90 mg

Category 68:24 Parathyroid Agent
Category 68:24 Parathyroid Agent

CIPROFLOXACIN (Ciloxan)

Ophthalmic ointment, 0.3%, 3.5 g

Category 08:22 Quinolones

CIPROFLOXACIN (Ciloxin)

Ophthalmic solution 0.3%, 2.5 and 5 ml

Category 8:22 Quinalone Antibiotics

CIPROFLOXACIN (Cipro)

Tablet, 250mg, 500 mg, and 750mg (Out-Patient Only)

Category 8:22 Quinalone Antibiotics

CIPROFLOXACIN with DEXAMETHASONE (Ciprodex)

Otic Suspension 5ml, 7.5ml

Category 52:04.12 Misc. Anti-Infectives
Category 52:04.12 Misc Anti-Infectives

CISATRACURIUM (Nimbex)

Injection 2mg/ml, 10 ml

Category 12:20 Skeletal Muscle Relaxant

CISPLATIN (Platinol)

Injection, 10 mg and 50 mg Vials

Category 10:00 Antineoplastic Agent

CITALOPRAM (Celexa)

Tablet, 24 mg , 40 mg

Category 28:16.04 Antidepressant

CITRIC ACID

USP

Category 40:08 Alkalinizing Agent

CLADRIBINE (Leustatin)

Injection, 1mg/ml, 10 ml

Category 10:00 Antineoplastic

CLARITHROMYCIN (Biaxin)

Tablets, 250 mg, 500 mg

Category 8:12.12 Macrolides

CLARITHROMYCIN (Biaxin)

Suspension, oral, 125 mg/5ml, 250mg/5ml

Category 8:12.12 Macrolides

CLINDAMYCIN (Cleocin)

Solution, Topical, 1%, 60 ml Bottle

Categor 8:12.28 Other Antibiotic, 84:04.04 Skin and Mucous Membrane Antibiotic

CLINDAMYCIN (Cleocin)

Suspension, Oral, 75 mg per 5 ml, 100 ml bottle (as the Palmitate salt)

Categor 8:12.28 Other Antibiotic, 84:04.04 Skin and Mucous Membrane Antibiotic

CLINDAMYCIN (Cleocin)

Injection, NF, 150 mg per ml, 2 ml, 4 ml, and 6 ml Vials (as the phosphate salt)

Categor 8:12.28 Other Antibiotic, 84:04.04 Skin and Mucous Membrane Antibiotic

CLINDAMYCIN (Cleocin)

Capsules, USP, 150 mg (as the HCl salt)

Categor 8:12.28 Other Antibiotic, 84:04.04 Skin and Mucous Membrane Antibiotic

CLINDAMYCIN (Cleocin, {Benzaclin, Duac- outpt only})

Gel, Topical, 1%, 7.5 g and 30 g {50g and 45g}

Categor 8:12.28 Other Antibiotic, 84:04.04 Skin and Mucous Membrane Antibiotic

CLINDINIUM BROMIDE (Librax)

Capsules, 2.5 mg with Chlordiazepoxide 5 mg

Category 12:08.08 Antimuscarinic / Antispasmodics

CLOBETASOL

Cream, 0.05%, 30 g

Category 84:06 Skin and Mucous Membrane Anti-Inflammatory Agent

CLOFARABINE (Clolar)

Injection, 1mg/ml, 20 ml vial

Category 10:00 Antineoplastic Agents

CLOMIPHENE CITRATE (Clomid)

Tablets, USP, 50 mg -NOTE: THIS DRUG IS RESTRICTED TO USE BY OB-GYN STAFF ONLY

Category 92:00 Unclassified Therapeutic Agent

CLONAZEPAM (Klonopin)

Tablets, 500 mcg, 1 mg, (scored)

Category 28:12.08 Anticonvulsant

CLONIDINE HYDROCHLORIDE (Catapres)

Transdermal Patches, 100 mcg (TTS-1), 200 mcg (TTS-2), and 300 mcg (TTS-3). -These patches are designed to release these amounts per 24 hours for 7 days.

Category 24:08 Hypotensive Agent

CLONIDINE HYDROCHLORIDE (Catapres)

Tablets, 100 mcg, 200 mcg, and 300 mcg

Category 24:08 Hypotensive Agent

CLONIDINE HYDROCHLORIDE (Duraclon)

Injection, 100 mcg/ml, 10 ml

Category 24:08 Hypotensive Agent

CLOPIDOGREL (Plavix)

Tablet, 75 mg

Category 92:00 Unclassified Therapeutic Agent

CLORAZEPATE DIPOTASSIUM (Tranxene)

Capsules, 3.75 mg and 7.5 mg

Category 28:24.08 Benzodiazepines

CLOTRIMAZOLE (Gyne-Lotrimin)

Cream, Vaginal, 1%, 45 gm Tube

Category 84:04.08 Skin and Mucous Membrane Fungicide

CLOTRIMAZOLE (Lotrimin, Mycelex)

Solution, 1%, 10 ml dropper bottle.

Category 84:04.08 Skin and Mucous Membrane Fungicide

CLOTRIMAZOLE (Lotrimin, Mycelex)

Cream, 1%, 15 gm and 30 gm Tube

Category 84:04.08 Skin and Mucous Membrane Fungicide

CLOTRIMAZOLE (Mycelex)

Troches, 10 mg

Category 84:04.08 Skin and Mucous Membrane Fungicide

CO-TRIMOXAZOLE (Bactrim DS, Septra DS)

Tablet 800 mg with Trimethoprim 160 mg

Category 8:24 Sulfonamide

CO-TRIMOXAZOLE (Bactrim, Septra)

Tablet 400 mg with Trimethoprim 80 mg

Category 8:24 Sulfonamide

CO-TRIMOXAZOLE (Bactrim, Septra)

Suspension, Oral, 200 mg with Trimethoprim 40 mg per 5 ml

Category 8:24 Sulfonamide

CO-TRIMOXAZOLE (Bactrim, Septra)

Injection 400 mg with Trimethoprim 80 mg per 5 ml, vial

Category 8:24 Sulfonamide

COAL TAR

Solution, USP, (LCD, Liquid Carbonis Detergens)

Category 84:32 Keratoplastic Agent

COAL TAR

Shampoo, with Sulfur and Salicylic Acid (See Sulfur)

Category 84:32 Keratoplastic Agent

COAL TAR

Ointment, must state base and strength

Category 84:32 Keratoplastic Agent

COAL TAR

Ointment, USP, 1%

Category 84:32 Keratoplastic Agent

COAL TAR

Distillate Ointment, (3% Doak's Ointment),Tar Distillate 3.0 ml, Petrolatum 48.5 gm, Zinc Oxide Ointment, to make 100.0 gm

Category 84:32 Keratoplastic Agent

COAL TAR

Distillate (Doak's)

Category 84:32 Keratoplastic Agent

COAL TAR

USP

Category 84:32 Keratoplastic Agent

COCAINE HYDROCHLORIDE

Solution, 4%, 4 ml

Category 56:16 EENT Local Anesthetic

COCAINE HYDROCHLORIDE

USP, powder

Category 56:16 EENT Local Anesthetic

COCCIDIOIDIN

Injection, USP, 1:100, 1 ml (Ten tests per Vial)

Category 36:32 Diagnostic Agent for Fungi

COCOA BUTTER (Theobroma Oil)

USP

Category 84:12 Emollients

CODEINE PHOSPHATE

Injection, USP, 60 mg per ml, 1 ml Vials

Category 28:08.08 Opiate Agonists, 48:08 Antitussive

CODEINE PHOSPHATE

Injection, USP, 30 mg per ml, 1 ml disposable syringe

Category 28:08.08 Opiate Agonists, 48:08 Antitussive

CODEINE PHOSPHATE (Empirin #3)

Tablets, 30 mg with Aspirin 300 mg

Category 28:08.08 Opiate Agonists, 48:08 Antitussive

CODEINE PHOSPHATE (Phenergan with Codeine)

Syrup, 10 mg per 5 ml with promethazine 6.25 mg per 5 ml

Category 28:08.08 Opiate Agonists, 48:08 Antitussive

CODEINE PHOSPHATE (Robitussin AC)

Solution, 10 mg per 5 ml with Guaifenesin 100 mg per 5 ml

Category 28:08.08 Opiate Agonists, 48:08 Antitussive

CODEINE PHOSPHATE (Tylenol #3)

Tablets, 30 mg with Acetominophen 300 mg

Category 28:08.08 Opiate Agonists, 48:08 Antitussive

CODEINE SULFATE

Tablets, NF, 15 mg, 30 mg,

Category 28:08.08 Opiate Agonists, 48:08 Antitussives

COLCHICINE

Tablets, USP, 600 mcg

Category 92:00 Unclassified Therapeutic Agent

COLD CREAM

USP

Category 84:24 Emollients, Demulcents, and Protectants

COLLODION, FLEXIBLE

USP

Category 84:24 Emollients, Demulcents, and Protectants

CONIVAPTAN (Vaprisol) - restricted to Nephrology

Injection, 5 mg/ml, 4 ml ampule

Category 40:00 Electrolytic, Caloric, and Water Balance

CORTICOTROPIN (ACTH, Acthar)

Injection, USP, 40 Units per vial

Categor 36:04 Diagnostic Agent for Adrenocortical Insufficiency, 68:28, Pituitary Hormone

COSYNTROPIN (Cortrosyn)

Injection, 250 mcg, 1 ml Ampuls

Category 36:04 Diagnostic Agent (Adrenocortical Insufficiency)

CROMOLYN SODIUM (Nasachrom, Intal)

Solution, Nasal, Metered Spray Device, Each actuation delivers 5.2 mg 13 ml (Apprx. 100 sprays)

Category 92:00 Unclassified Therapeutic Agent

CROMOLYN SODIUM (Nasachrom, Intal)

Metered Dose Inhaler (oral)- 8.1 gm - 112 inhalations

Category 92:00 Unclassified Therapeutic Agent

CROTALIDAE POLYVALENT IMMUNE FAB (Antivenin, Snake Bite, Polyvalent, Cro-Fab)

Injection, USP, vial with diluent 1 gm OVINE protein per vial

Category 80:04 Serum

CUPRIC SULFATE (Copper Sulfate)

Bulk

Category 56:20 Emetic, 84:04.08 Skin and Mucous Membrane Fungicide

CUPRIC SULFATE (Copper Sulfate)(Clinitest Kit)

Tablets, Reagent, Bottles of 36 with testing set included

Category 56:20 Emetic, 84:04.08 Skin and Mucous Membrane Fungicide

CUPRIC SULFATE (Copper Sulfate)(Clinitest)

Tablets, Reagent, bottles of 100

Category 56:20 Emetic, 84:04.08 Skin and Mucous Membrane Fungicide

CYANOCOBALAMIN (Vitamin B-12)

Injection, USP, 1 mg per ml., 1 ml. and 10 ml. Vials -See also Decavitamins, Vitamin B Complex

Category 88:08 Vitamin B Complex

CYCLOBENZAPRINE HYDROCHLORIDE (Flexaril)

Tablets, 10 mg.

Category 12:20 Skeletal Muscle Relaxants

CYCLOPENTOLATE HYDROCHLORIDE (Cyclogel)

Solution, Eye, USP, 1%, 2 ml and 15 ml Dropper Bottle

Category 52:24 Mydriatic

CYCLOPENTOLATE HYDROCHLORIDE (Cyclomydril)

Solution, Eye, 0.2% with 1% Phenyephrine, 2 ml Dropper Bottle

Category 52:24 Mydriatic

CYCLOPHOSPHAMIDE (Cytoxan)

Tablets, 25 mg and 50 mg

Category 10:00 Anti-Neoplastic Agent

CYCLOPHOSPHAMIDE (Cytoxan)

Injection, 100 mg, 200 mg, 500 mg, 1 gm, and 2 gm Vials

Category 10:00 Anti-Neoplastic Agent

CYCLOSPORINE (Gengraf*, Neoral)

Capsule, 25 mg, 100mg - micronized Neoral - use for initiating therapy on all new patients

Category 92:00 Unclassified Therapeutic Agent

CYCLOSPORINE (Gengraf*, Sandimmune , Neoral)

Solution, 100 mg per ml, 50 ml Bottle

Category 92:00 Unclassified Therapeutic Agent

CYCLOSPORINE (Restasis)

Ophth. Solution, 0.05%, UD pkg 32

Category 92:00 Unclassified Therapeutic Agent

CYCLOSPORINE (Sandimmune)

Injection, 50 mg/ml, 5 ml Ampuls

Category 92:00 Unclassified Therapeutic Agent

CYCLOSPORINE (Sandimmune)

Capsule, 25 mg, 100 mg - regular (Sandimmune) (the regular formulation is kept only for maintenance of current regimens - not for use in new patients.)

Category 92:00 Unclassified Therapeutic Agent

CYPROHEPTADINE HYDROCHLORIDE (Periactin)

Syrup, NF, 2 mg per 5 ml

Category 4:00 Antihistamine Drugs

CYPROHEPTADINE HYDROCHLORIDE (Periactin)

Tablets, NF, 4 mg

Category 4:00 Antihistamine Drugs

CYSTEINE HYDROCHLORIDE

Injection, 50 mg per ml, 10 ml

Category 40:00

CYTARABINE (Ara-C, Cytosine Arabinoside, Cytosar)

Injection, USP, 100 mg and 500 mg; 1 gm and 2 gm Vials

Category 10:00 Anti-Neoplastic Agent

D-XYLOSE

Powder, 25 gm Bottle -CLINICAL LABORATORY SUPPLIES

Category 36:38 Diagnostic Agent for Intestinal Absorption

DACARBAZINE (Imidazole Carboxamide, DTIC-DOME)

Injection, 100 mg and 200 mg Vials

Category 10:00 Anti-neoplastic Agent

DACLIZUMAB (Zenapax)

Injection, 25 mg

Category 92:00 Unclassified Therapeutic Agent

DACTINOMYCIN (Actinomycin-D, Cosmegen)

Injection, USP, 500 mcg (with mannitol 20 mg) vials

Category 10:00 Anti-neoplastic Agent

DANAZOL (Danocrine)

Capsules, 200 mg

Category 68:08 Androgen

DANTROLENE SODIUM (Dantrium)

Injection, 20 mg with mannitol 3 gm, 70 ml vials

Category 12:20 Skeletal Muscle Relaxant

DANTROLENE SODIUM (Dantrium)

Capsules, 25 mg

Category 12:20 Skeletal Muscle Relaxant

DAPSONE (Diaminodiphenylsulfone, Avlosulfon)

Tablets, USP, 25 mg and 100 mg

Category 8:26 Sulfone

DAPTOMYCIN (Cubicin)

Injection, 500 mg

Category 8:12.28 Misc. Antibiotic

DARBEPOETIN (Aranesp)

Injection, 25 mcg, 40 mcg, 60 mcg, 100 mcg, 200 mcg

Category 20:16 Hematopoeitic Agents

DAUNORUBICIN (Cerubidine, Daunomycin)

Injection, 20 mg Vial

Category 10:00 Anti-neoplastic Agent

DECITABINE (Dacogen)

Injection, 50 mg powdered vial

Category 10:00 Antineoplastic Agents

DEFEROXAMINE MESYLATE (Desferal)

Injection, 500 mg Vials

Category 64:00 Heavy Metal Antagonist

DEMECLOCYCLINE (Declomycin)

Tablets, 300 mg

Category 8:12.24 Tetracycline

DESFLURANE (Suprane)

Bottle, 240 ml

Category 28:04 General Anesthetic

DESIPRAMINE (Norpramin, Pertofrane)

Tablets, 50 mg

Category 28:16.04 Antidepressant

DESMOPRESSIN ACETATE (DDAVP, Minirin, Stimate)

Spray, nasal

Category 68:28 Pituitary Hormone

DESMOPRESSIN ACETATE (DDAVP, Minirin, Stimate)

Solution, Nasal, 2.5 ml with nasal tube

Category 68:28 Pituitary Hormone

DESMOPRESSIN ACETATE (DDAVP, Minirin, Stimate)

Injection, 4 mcg per ml, 1 ml ampuls and 10 ml vials

Category 68:28 Pituitary Hormone

DESOGESTREL (Desogen)

Tablets, 150 mcg with Ethinyl Estradiol 30 mcg, 28 Day cycle pack

Category 68:12 Contraceptive Agents

DESONIDE (Tridesilon)

Cream, 0.05%, in acid Mantle Vehicle, 15 gm and 60 gm Tubes

Category 84:06 Skin and Mucous Membrane Anti-Inflammatory

DEXAMETHASONE (Decadron)

Ophthalmic Solution, 0.1%, 5 ml (Decadron)

Category 52:08 EENT Anti-Inflammatory Agent, 68:04 Adrenal Hormone

DEXAMETHASONE (Decadron, Hexadrol)

Tablets, 500 mcg, 1.5 mg, 2 mg, and 4 mg

Category 52:08 EENT Anti-Inflammatory Agent, 68:04 Adrenal Hormone

DEXAMETHASONE (Decadron, Hexadrol)

Injection, USP, 10 mg per ml, 10 ml vials

Category 52:08 EENT Anti-Inflammatory Agent, 68:04 Adrenal Hormone

DEXAMETHASONE (Decadron, Hexadrol)

Injection, USP, (as the Sodium Phosphate Salt) 4 mg per ml, 1 ml and 5 ml vials

Category 52:08 EENT Anti-Inflammatory Agent, 68:04 Adrenal Hormone

DEXAMETHASONE (Decadron, Hexadrol)

Elixir, 500 mcg (0.5 mg) per 5 ml

Category 52:08 EENT Anti-Inflammatory Agent, 68:04 Adrenal Hormone

DEXAMETHASONE (Maxitrol)

Ophthalmic Suspension, 0.1%, with Neomycin Sulfate 0.05%, and Polymixin-B Sulfate 6,000 Units per ml, 5 ml dropper bottles

Category 52:08 EENT Anti-Inflammatory Agent, 68:04 Adrenal Hormone

DEXAMETHASONE (Maxitrol)

Ophthalmic Ointment, 0.1% with Neomycin Sulfate 0.05%, and Polymixin-B Sulfate 6,000 Units, 3.5 gm tube

Category 52:08 EENT Anti-Inflammatory Agent, 68:04 Adrenal Hormone

DEXBROMPHENIRAMINE MALEATE (Disophrol Chronotabs, Drixoral)

Tablets, Extended Release, 6 mg, with Pseudoephedrine 120 mg

Category 4:00 Antihistamine Drugs

DEXMEDETOMIDINE (Precedex) - RESTRICTED TO OR

Injection, 100mcg/ml, 2ml vials

Category 28:24 Anxiolytics, Sedatives, and Hypnotics

DEXTRAN 40

Injection, 10%, with Sodium Chloride 0.9%, 500 ml Bags

Category 40:12 Replacement Solution

DEXTRAN 40

Injection, 10%, with Dextrose 5%, 500 ml Bags

Category 40:12 Replacement Solution

DEXTRAN 70 (Hyskon)

Injection, 32% w/v Dextran 70 in 10% Dextrose 100 ml bottles (For Hysteroscopy)

Category 40:12 Replacement Solution

DEXTROAMPHETAMINE SULFATE (Dexedrine)

Tablets, USP, 5 mg

Category 28:20 Respiratory and Cerebral Stimulant

DEXTROMETHAMPHETAMINE AND AMPHETAMINE (Adderall XR) - outpatient only except for 5 mg and 15 mg capsules

Capsules, 5 mg, 10 mg, 15 mg, 20 mg, 25 mg, 30 mg

Category 28:00 Central Nervous System Agents

DEXTROSE (D-Glucose)

USP and USP Anhydrous

Category 40:12 Replacement Solution, 40:20 Caloric Agent

DEXTROSE (D-Glucose)(D10W)

Injection, USP, 10%, 500 ml and 1000 ml containers

Category 40:12 Replacement Solution, 40:20 Caloric Agent

DEXTROSE (D-Glucose)(D50W)

Injection, USP, 50%, 50 ml vials and 2000 ml containers

Category 40:12 Replacement Solution, 40:20 Caloric Agent

DEXTROSE (D-Glucose)(D5RL)

Injection, 5% in Lactated Ringer's solution, 500 ml and 1000 ml containers

Category 40:12 Replacement Solution, 40:20 Caloric Agent

DEXTROSE (D-Glucose)(D5W)

Injection, USP, 5%, 50 ml, 100 ml, 150 ml, 250 ml, 500 ml, and 1000 ml containers

Category 40:12 Replacement Solution, 40:20 Caloric Agent

DEXTROSE (D-Glucose)(D70W)

Injection, USP, 70%, 500 ml containers

Category 40:12 Replacement Solution, 40:20 Caloric Agent

DEXTROSE (Dex-4)

Gel, 15 gm

Category 40:12 Replacement Solution, 40:20 Caloric Agent

DEXTROSE AND SODIUM CHLORIDE INJECTION

Injection, 10% and 0.9%, USP, respectively, 1000 ml

Category 40:12 Replacement Solution

DEXTROSE AND SODIUM CHLORIDE INJECTION

Injection, 5% and 0.9%, USP, respectively, 500 ml and 1000 ml

Category 40:12 Replacement Solution

DEXTROSE AND SODIUM CHLORIDE INJECTION

Injection, 5% and 0.45% USP, respectively, 250 ml, 500 ml, and 1000 ml

Category 40:12 Replacement Solution

DEXTROSE AND SODIUM CHLORIDE INJECTION

Injection, 5% and 0.3%, USP, respectively, 1000 ml

Category 40:12 Replacement Solution

DEXTROSE AND SODIUM CHLORIDE INJECTION

Injection, 5% and 0.2%, USP, respectively, 1000 ml

Category 40:12 Replacement Solution

DEXTROSE AND SODIUM CHLORIDE INJECTION

Injection, 2.5% and 0.45%, USP respectively, 1000 ml

Category 40:12 Replacement Solution

DEXTROSE WITH ELECTROLYTES

-See also Peritoneal Dialysing Solutions

Category 40:12 Replacement Solution

DEXTROSE WITH ELECTROLYTES

Solution, Oral, 5% with Electrolytes listed above; 120 ml and 250 ml Bottles (Lytren, Pedialyte)

Category 40:12 Replacement Solution

DIAZEPAM (Valium)

Injection, USP, 5 mg per ml, 2 ml ampuls

Category 28:24.08 Anxiolytics (Benzodiazepine)

DIAZEPAM (Valium)

Tablets, 2mg and 5mg, 10 mg

Category 28:24.08 Anxiolytics (Benzodiazepine)

DIAZOXIDE (Hyperstat)

Injection, 1.5% (300 mg.) 20 ml

Category 24:08 Hypotensive Agents

DICLOFENAC (Voltaren)

Tablets, 50 mg and 75 mg

Category 28:08.04 Anti-inflammatory Analgesics

DICLOXACILLIN SODIUM (Dynapen, Pathocil)

Capsules, USP, 250mg

Category 8:12.16 The Penicillins

DICYCLOMINE HYDROCHLORIDE (Bentyl)

Tablets, 20 mg

Category 12:08.08 Anticholinergic (Antispasmodic)

DICYCLOMINE HYDROCHLORIDE (Bentyl)

Capsules, 10 mg

Category 12:08.08 Anticholinergic (Antispasmodic)

DIDANOSINE (Videx EC)

Capsule, delayed release, 250mg , 400mg

Category 8:18.08 Antiretrovirals

DIETHYLSTILBESTROL (Stilbestrol)

Tablets, USP, Enteric Coated, 5 mg

Category 68:16 Hormones and Synthetic Substitutes (Estrogen)

DIGOXIN (Lanoxin)

Elixir, USP, 50 mcg per ml., 60 ml Dropper Bottle

Category 24:04 Cardiac Drug

DIGOXIN (Lanoxin)

Injection, USP, 250 mcg per ml, 2 ml Ampuls

Category 24:04 Cardiac Drug

DIGOXIN (Lanoxin)

Tablets, USP, 125 mcg and 250 mcg

Category 24:04 Cardiac Drug

DIGOXIN IMMUNE FAB (Digibind)

Injection, 38 mg

Category 80:04 Serums

DIGOXIN, Immune (Digibind)

Injection, 40 mg

Category 80:04 Serums

DIHYDROERGOTAMINE MESYLATE (D.H.E.)

Injection, 1 mg per ml, 1 ml

Category 12:16 Sympatholytic (adrenergic Blocking) Agent

DILTIAZEM (Cardiazem)

Tablets, 30 mg, 60 mg, 90 mg, and 120 mg

Category 24:04 Cardiac Drugs

DILTIAZEM (Cardiazem)

Injection, 5 mg/ml, 5 ml and 10 ml vials

Category 24:04 Cardiac Drugs

DILTIAZEM (Cardizem CD)

Capsules, Extended Release, 120 mg, 180 mg, 240 mg, 300 mg

Category 24:04 Cardiac Drugs

DIMERCAPROL (B.A.L., British Anti-Lewisite)

Injection, USP, 10%, 4.5 ml. Ampuls

Category 64:00 Heavy Metal Antagonist

DIMETHYLSULFOXIDE (DMSO, Rimso-50)

Solution, 50%, 50 ml Bottle CAUTION: THIS DRUG NOT INTENDED FOR INJECTION - THE ONLY APPROVED INDICATION FOR THIS DRUG AT THIS TIME IS AS A BLADDER INSTILLATION FOR SYMPTOMATIC RELIEF OF INTERSTITIAL CYSTITIS

Category 84:36 Miscellaneous Skin and Mucous Membrane Preparation

DINOPROSTONE (Cervidil)

Vaginal Inserts, 10mg

Category 76:00 Oxytocic

DINOPROSTONE (Prostin E2, Prepidil)

Vaginal Suppositories, 20 mg

Category 76:00 Oxytocic

DIPHENHYDRAMINE HYDROCHLORIDE (Benadryl)

Injection, 50 mg per ml, 1 ml Vial

Category 4:00 Antihistamine Drugs

DIPHENHYDRAMINE HYDROCHLORIDE (Benadryl)

Elixir, 12.5 mg per 5 ml

Category 4:00 Antihistamine Drugs

DIPHENHYDRAMINE HYDROCHLORIDE (Benadryl)

Capsules, 25 mg and 50 mg

Category 4:00 Antihistamine Drugs

DIPHENOXYLATE HYDROCHLORIDE (Lomotil)

Solution, 2.5 mg with 25 mcg Atropine per 5 ml, 60 ml Bottle

Category 56:08 Anti-Diarrhea Agent

DIPHENOXYLATE HYDROCHLORIDE (Lomotil)

Tablets, 2.5 mg with 25 mcg Atropine

Category 56:08 Anti-Diarrhea Agent

DIPHTHERIA AND TETANUS TOXOIDS ADSORBED

USP, Adult, 5 ml (5 Immunizations) vial

Category 80:08 Toxoid

DIPHTHERIA AND TETANUS TOXOIDS AND ACELLULAR PERTUSSIS VACCINE ADSORBED (DTaP , Tripedia)

Injection, 7.5 ml (15 immunizations) Vial

Category 80:08 Toxoid

DIPHTHERIA ANTITOXIN

USP, 20,000 Units, vial -AVAILABLE FROM CDC ON PHYSICIAN REQUEST AS IND. SEE SECTION 80:00 of AHFS DI. -

Category 80:04 Serum

DIPYRIDAMOLE (Aggrenox)

Capsules 200mg with aspirin 25mg

Category 24:12 Vasodilating Agent

DIPYRIDAMOLE (Persantine)

Tablets, 25 mg, 50 mg, and 75 mg

Category 24:12 Vasodilating Agent

DIVALPROEX (Depakote)

Tablet, Enteric-coated, 125 mg, 250 mg, 500 mg

Category 28:12.92 Anticonvulsant

DIVALPROEXSODIUM EXTENDED RELEASE (Depakote ER)

Tablets, Extended Release 500mg

Category 28:12 Anticonvulsants

DOBUTAMINE HYDROCHLORIDE (Dobutrex)

Injection, 250 mg per vial

Category 12:12 Sympathomimetic (Adrenergic) Agent

DOCETAXEL (Taxotere)

Injection, 20 mg, 80 mg

Category 10:00 Antineoplastic Agents

DOCUSATE SODIUM (DOSS, Colace)

Syrup, 20mg per 5 ml, 50 mg per 5 ml

Category 56:12 Cathartic

DOCUSATE SODIUM (DOSS, Colace)

Capsules, 100 mg

Category 56:12 Cathartic

DOFETILIDE (Tikosyn)

Capsule, 125 mcg , 250 mcg, 500 mcg THIS DRUG IS RESTRICTED TO USE BY PHYSICIANS CERTIFIED TO PRESCRIBE - OUTPATIENT ONLY

Category 24:04 Cardiac Drugs

DOLASETRON (Anzemet)

Injection, 12.5 mg (Therapeutic Equivalent)

Category 56:22 Anti-Emetics

DONEZEPRIL (Aricept)

Tablets, 5mg, 10mg

Category 12:04 Parasympathomimetic Agents

DOPAMINE HYDROCHLORIDE (Intropin)

Injection, 800 mg in 250 ml Dextrose 5% inj.

Category 12:12 Sympathomimetic (Adrenergic) Agent

DOPAMINE HYDROCHLORIDE (Intropin)

Injection, 40 mg per ml, 5 ml Vial

Category 12:12 Sympathomimetic (Adrenergic) Agent

DORNASE (Pulmozyme)

Solution for Inhalation - 1 mg/ml, 2.5 ml

Category 44:00 Enzymes

DORZOLAMIDE (CoSOPT)

Solution, Ophthalmic, 2% with Timolol 0.5%, 5ml

Category 52:10 Carbonic Anhydrase Inhibitor

DOXAZOSIN (Cardura)

Tablets, 1 mg, 2 mg, 4 mg, 8 mg

Category 24:08 Hypotensive Agents

DOXEPIN HYDROCHLORIDE (Sinequan)

Capsules, 10 mg and 25 mg

Category 28:16.04 Antidepressant

DOXERCALCIFEROL (Hectoral)

Capsules, 0.5 mcg, 2.5mcg

Category 88:16 Vitamin D

DOXORUBICIN HYDROCHLORIDE (Adriamycin)

Injection, 2 mg per ml, 25 ml Vials (50 mg)

Category 10:00 Anti-neoplastic Agent

DOXORUBICIN HYDROCHLORIDE (Adriamycin)

Injection, 2 mg per ml, 5 ml Vials (10 mg)

Category 10:00 Anti-neoplastic Agent

DOXORUBICIN, LIPOSOMAL (Doxil)

Injection, 20 mg per 10 ml

Category 10:00 Antineoplastics

DOXYCYCLINE (Doxychel, DOXY II, Vibramycin)

Injection, 100 mg, with ascorbic acid 480 mg

Category 8:12.24 The Tetracyclines

DOXYCYCLINE (Doxychel, DOXY II, Vibramycin, Periostat)

Capsules, USP, 20mg , 100 mg (As the hyclate)

Category 8:12.24 The Tetracyclines

DRONABINOL (Marinol)

Capsules, 2.5mg , 5 mg

Category 56:22 Antiemetic Agent

DROPERIDOL (Inapsine)

Injection, 2.5 mg per ml, 2 ml Ampuls

Category 28:16.08 Tranquilizers

DROSPIRENONE / ETHINYL ESTRADIOL (Yasmin, Yaz)

Tablets, 21 per blister pack, 3mg/30 mcg; 3mg/20 mcg (Yaz) - out-patient only

Category 68:12 Oral contraceptive Agents

DULOXETINE (Cymbalta)

Capsules, 30mg, 60 mg

Category 28:16.04 Antidepressant
Category28:16.04 Antidepressant

DUTASTERIDE (Avodart) - outpatient only

Capsules, 0.5 mg

Category 92:00 Miscellaneous Therapeutic Agents

ECHOTHIOPHATE IODIDE (Phospoline Iodide)

Solution, Eye, USP, 0.25%, 5 ml dropper bottle

Category 52:20 Miotic

ECHOTHIOPHATE IODIDE (Phospoline Iodide)

Solution, Eye, USP, 0.125%, 5 ml dropper bottle

Category 52:20 Miotic

ECHOTHIOPHATE IODIDE (Phospoline Iodide)

Solution, Eye, USP, 0.06%, 5 ml dropper bottle

Category 52:20 Miotic

EDETATE CALCIUM DISODIUM (Edathamil Calcium Disodium, Calcium Disodium Ethylenediamine Tetraacetate, Calcium Disodium Versenate)

Injection, USP, 200 mg per ml, 5 ml Ampuls

Category 64:00 Heavy Metal Antagonist

EDETATE DISODIUM (Disodium EDTA, Edathamil Disodium, Endrate Disodium)

Injection, 150 mg per ml, 20 ml ampuls

Category 64:00 Heavy Metal Antagonist

EFAVIRENZ (Sustiva)

Tablet, 600 mg

Category 8:18 Antivirals

EFAVIRENZ/TENOFOVIR/EMTRICITABINE (Atripla)

Tablet, 600mg/300mg/200 mg

Category 8:18 Antiviral

ELETRIPTAN (Relpax)

Tablet, 20 mg, 40 mg

Category 28:92 Misc. Central Nervous System Agent

EMTRICITABINE (Emtriva)

Capsule, 200 mg

Category 8:18.08 Antiretroviral Agent
Category 8:18.08 Antiretroviral Agent

EMTRICITABINE / TENOFOVIR (Truvada)

Tablets, 200 / 300 mg (out-patient only)

Category 08:18.08 Antiretrovirals

ENALAPRIL

Tablet, 2.5mg, 5mg, 10mg, 20mg

Category 24:04 Cardiac Drug

ENALAPRIL (Vasotec I.V.)(ENALAPRILAT)

Injection, 1.25 mg per ml, 2 ml vial

Category 24:04 Cardiac Drugs

ENFLURANE (Ethrane)

For Inhalation, 250 ml, bottles

Category 28:04 General Anesthetic

ENOXAPARIN (Lovenox)

Injection, 30 mg, 40 mg, 60mg, 80mg, 100mg., 120mg, 150mg

Category 20:12.04 Anticoagulant

EPHEDRINE SULFATE

Injection, USP, 50 mg per ml, 1 ml Ampuls

Category 12:12 Sympathomimetic (Adrenergic) Agent

EPINASTINE (Elestat)

Ophth. Sol, 0.05% (out-patient only)

Category 52:02 Antiallergic Agents

EPINEPHRINE

Injection, USP, 100 mcg per ml (1:10,000), 3 ml and 10 ml disposable syringes

Category 12:12 Sympathomimetic (Adrenergic) Agent, 52:24 Mydriatic

EPINEPHRINE

Injection, USP, 1 mg per ml, (1:1000), 1 ml ampuls and 30 ml vials

Category 12:12 Sympathomimetic (Adrenergic) Agent, 52:24 Mydriatic

EPIRUBICIN (Ellence)

Injection, 2mg/ml.

Category 10:00 Antineoplastic Agents

EPOETIN ALFA (Epogen)(Procrit)

Injection, 2000 units, 3000 units, 4000 units 10,000 units, 20,000 units, 40,000 units

Category 20:16 Hematopoietic Agent

EPTIFIBATIDE (Integrilin)

Injection, 20mg per 10ml , 75 mg per 100ml

Category 92:00 Unclassified Therapeutic Agents

ERGOCALCIFEROL (Calciferol, Drisdol, Vitamin D2)

-See also Decavitamins, Multivitamins, and Vitamins A and D

Category 88:16 Vitamin D

ERGOCALCIFEROL (Calciferol, Drisdol, Vitamin D2)

Solution, 8,000 Units per gm in propylene glycol (contains 5 mcg (200 Units) per drop, 40 drops per ml, 60 ml bottle

Category 88:16 Vitamin D

ERGOCALCIFEROL (Calciferol, Drisdol, Vitamin D2)

Capsules, 50,000 Units

Category 88:16 Vitamin D

ERLOTINIB ( Tarceva)

Tablets, 25mg, 100mg,150mg

Category 10:00 Antineoplastic Agents

ERTAPENEM (Invanz)

Injection, 1 Gm - for out-patient discharge only

Category 8:12.07 Misc. B-Lactam Antibiotics

ERYTHROMYCIN (Benzamycin)

Gel, containing 30 mg erythromycin and 50 mg, benzoyl peroxide per gram. (23.3 grams when diluted)

Category 8:12.12 The Erythromycins, 84:04.04 Skin and Mucous membrane antibiotic

ERYTHROMYCIN (E-Mycin)

Tablets, Enteric Coated, 250 mg, 500 mg (Base)

Category 8:12.12 The Erythromycins, 84:04.04 Skin and Mucous membrane antibiotic

ERYTHROMYCIN (Ery-Ped)

Granules, Oral, 200 mg per 5 ml (Ethyl succinate, USP)

Category 8:12.12 The Erythromycins, 84:04.04 Skin and Mucous membrane antibiotic

ERYTHROMYCIN (Erythrocin)

Injection, USP, 500 mg and 1 gm (as the lactobionate)

Category 8:12.12 The Erythromycins, 84:04.04 Skin and Mucous membrane antibiotic

ERYTHROMYCIN (Ilotycin)

Ointment, Eye, 3.5 gm Tube

Category 8:12.12 The Erythromycins, 84:04.04 Skin and Mucous membrane antibiotic

ESCITALOPRAM (Lexapro)

Tablet, 10mg, 20 mg

Category 28:16.04 Antidepressants

ESMOLOL (Brevibloc)

IVPB, 2000 mg/100ml ready-to-use bag

Category 24:04 Cardiac Drugs

ESMOLOL (Brevibloc)

Injection, 250 mg per ml, 10 ml vials

Category 24:04 Cardiac Drugs

ESMOLOL (Brevibloc)

Injection, 10 mg per ml, 10 ml vials

Category 24:04 Cardiac Drugs

ESOMEPRAZOLE (Nexium) PPI T.E.

Capsule 20mg , 40 mg

Category 56:40 Misc. GI Drug

ESOMEPRAZOLE (Nexium) T.E.

Capsule, 40 mg

Category 56:40 Misc. GI Drugs

ESTRADIOL (Delestrogen)

Injection, 10 mg per ml, as the valerate salt, 5 ml (Delestrogen)

Category 68:16 Estrogens

ESTRADIOL (Estrace)

Tablets, 1 mg, 2 mg, micronized

Category 68:16 Estrogens

ESTRADIOL (Estring, FemRing)

Vaginal Ring, 0.1 mg, 2 mg - Out-Patient Only

Category 68:16 Estrogens

ESTRADIOL (Vivelle) (Estroderm)

Patches, 0.0375, 0.05, 0.075, 0.1 mg/day Biweekly

Category 68:16 Estrogens

ESTRADIOL CYPIONATE (Lunelle)

Injection 5mg with MEDROXYPROGESTERONE ACETATE 25mg

Category 68:12 Contraceptives

ESTRADIOL(Climara)

Patches, Transdermal, Weekly, 0.025 mg, 0.05 mg, 0.075 mg and 0.1 mg

Category 68:16 Estrogens

ESTRADIOL/NORETHINDRONE (Activella)

Tablet, 1mg/0.5mg

Category 68:16.04 Hormones and Synthetic Substitutes

ESTRAMUSTINE (Emyct)

Capsule, 140 mg.

Category 10:00 Antineoplastic

ESTROGENS, CONJUGATED (Premarin)

Tablets, 0.625 with Medroxyprogesterone 2.5 mg or 5mg (Prempro 2.5 and Prempro 5) and 1.25mg with 5mg (Premphase)

Category 68:16 Estrogenic Hormone

ESTROGENS, CONJUGATED (Premarin)

Tablets, USP, 0.3 mg, 0.625 mg, 0.9 mg, 1.25 mg,

Category 68:16 Estrogenic Hormone

ESTROGENS, CONJUGATED (Premarin)

Injection, 25 mg (Equivalent of sodium estrone sulfate) vials with 5 ml diluent.

Category 68:16 Estrogenic Hormone

ESTROGENS, CONJUGATED, (premarin)

Cream, Vaginal 0.065%

Category 68:16 Hormones and Synthetic Substitutes (Estrogen)

ETANERCEPT (Enbrel)

Injection, 25mg., 50mg

Category 92:00 Unclassified Therapeutic Agent

ETHAMBUTOL HYDROCHLORIDE (Myambutol)

Tablets, 400 mg

Category 8:16 Antitubercular

ETHER (Ethyl Ether, Diethyl Ether)

Anhydrous, 454 gm cans

Category 28:04 General Anesthetic

ETHINYL ESTRADIOL (Alesse)

Tablet, 20mcg w/levonorgestrel 100 mcg

Category 68:12 Contraceptives

ETHINYL ESTRADIOL (Demulin 1/35)

Tablet, 35 mcg with Ethynodiol Diacetate 1 mg

Category 68:12 Contraceptives

ETHINYL ESTRADIOL (Desogen, Ortho-Cept)

Tablet, 30 mcg with Desogestrel 150 mcg

Category 68:12 Contraceptives

ETHINYL ESTRADIOL (Femhrt)

Tablet, 5mg with Norethindrone Acetate 1mg

Category 68:16.04 Hormones and Synthetic Substitutes

ETHINYL ESTRADIOL (Lo-Ovral)

Tablet, 30 mcg with Norgestrel 300 mcg

Category 68:12 Contraceptives

ETHINYL ESTRADIOL (LoestrinFE 1.5/30)

Tablet, 30 mcg w/Norethindrone Acetate 1.5 mg 21 tablets and 7 tablets containing only Ferrous Fumarate 75 mg

Category 68:12 Contraceptives

ETHINYL ESTRADIOL (Ortho Novum 1/35)

Tablet, 35 mcg with Norethindrone 1 mg

Category 68:12 Contraceptives

ETHINYL ESTRADIOL (Ortho Tricyclen, Ortho Tricyclen LO) - outpatient only

Tablet, 35 mcg with norgestimate 0.18 , 0.215, 0.25

Category 68:12 Contraceptives

ETHINYL ESTRADIOL (Ovral)

Tablet, 50 mcg with Norgestrel 500 mcg.

Category 68:12 Contraceptives

ETHINYL ESTRADIOL (Triphasil)

Tablet, 30 mcg/40 mcg/30 mcg, with Levonorgestrel 125 mcg

Category 68:12 Contraceptives

ETHINYL ESTRADIOL/ETONOGESTEROL (NuvaRing) - outpatient only

Vaginal ring, 0.125mg/0.15mg

Category 68:00 Hormones and Synthetic Substitutes

ETHIODIZED OIL (Ethiodol)

USP, ampul, 10 ml (37% Iodine)

Category 36:68 Diagnostic Agent for Roentgenography

ETHYL CHLORIDE

Spray Bottle, 108 gm (Flammable)

Category 84:08 Antipruritic and Local Anesthetic

ETHYNODIOL DIACETATE (Ovulen)

Tablets, 1 mg, with Mestranol 100 mcg

Category 68:12 Contraceptives, 68:32 Progestogen

ETOMIDATE (Amidate)

Injection, 0.2%, 10 ml ampuls

Category 28:04 General Anesthetic

ETONOGESTREL (Implanon)

Rod, implantable, 68 mg (outpatient only)

Category 68:00 Hormones and Synthetic Substitutes

ETOPOSIDE (Vepesid, VP-16)

Capsules, 50 mg

Category 10:00 Anti-neoplastic Agent

ETOPOSIDE (Vepesid, VP-16)

Injection, 20 mg per ml, 5 ml vials

Category 10:00 Anti-neoplastic Agent

EXEMESTANE (Aromasin)

Tablet, 25mg

Category 10:00 Antineoplastics

EZETIMIBE (Zetia)

Tablet, 10mg

Category 24:06.92 Antilipemic

EZETIMIBE/SIMVASTATIN (Vytorin)

Tablet, 10/10; 10/20; 10/40; 10/80 Out-patient only

Category 24:06 Antilipemic Agent

FAMCICLOVIR (Famvir)

Tablet, 500 mg

Category 8:18 Antiviral

FAMOTIDINE (PEPCID)

Injection, 20 mg

Category 56:40 Miscellaneous G.I. Drug

FAMOTIDINE (PEPCID)

H-2 antagonists are stocked as therapeutic equivalents except for cimetidine. For 1997/98 famotidine will be dispensed for all H-2 antagonist orders.

Category 56:40 Miscellaneous G.I. Drug

FAMOTIDINE (PEPCID)

Tablet, 20 mg, 40 mg

Category 56:40 Miscellaneous G.I. Drug

FAT EMULSION, INTRAVENOUS (Intralipid)

Injection, 20%, 100 ml and 500 ml bottles NOTE: 10% provides 1.1 calories per ml; 20% provides 2 calories per ml Both contain Soybean Oil, Egg Yolk Phospholipid, Glycerin and water.

Category 40:20 Caloric Agent

FAT EMULSION, INTRAVENOUS (Intralipid)

Injection, 10%, 100 ml and 500 ml bottles NOTE: 10% provides 1.1 calories per ml; 20% provides 2 calories per ml Both contain Soybean Oil, Egg Yolk Phospholipid, Glycerin and water.

Category 40:20 Caloric Agent

FELBAMATE (Felbatol)

Tablets, 400 mg, 600 mg

Category 28:12 Anticonvulsant

FELODIPINE (Plendil)

Tablets, 5 mg, 10 mg

Category 24:08 Hypotensive Drugs

FENOLDAPAM (Corlopam)

Injection 10mg - Restricted to one dose perioperatively over 24 hours

Category 24:08 Hypotensive Agents

FENTANYL CITRATE (Actiq)

Lozenges, 200 mcg; 400 mcg ( all other strengths are special arrangement)

Category 28:08.08 Opiate Agonists

FENTANYL CITRATE (Duragesic)

Patches, transdermal; 12.5, 25, 50, 75, 100 mcg/hr

Category 28:08.08 Opiate Agonists

FENTANYL CITRATE (Sublimaze)

Injection, USP 50 mcg (of the base) per ml; 2 ml, 5 ml, and 20 ml ampuls

Category 28:08.08 Opiate Agonists

FERRIC SUBSULFATE SOLUTION (Monsel's Solution)

Solution, NF XI

Category 84:36 Miscellaneous Skin and Mucous Membrane Preparation

FERROUS GLUCONATE

Tablets, NF, 300 mg

Category 20:04.04 Iron Preparation

FERROUS SULFATE (Iron Sulfate)

Tablets, USP, 300 mg (Equivalent to 60 mg of elemental iron)

Category 20:04.04 Iron Preparation

FERROUS SULFATE (Iron Sulfate)

Elixir, 300 mg per 5 ml (Equivalent to 60 mg of elemental iron per 5 ml) 5 ml Unit Dose Cups

Category 20:04.04 Iron Preparation

FERROUS SULFATE (Iron Sulfate)

Elixir, 220 mg per 5 ml (Equivalent to 44 mg of elemental iron per 5 ml.) 473 ml bottles

Category 20:04.04 Iron Preparation

FERROUS SULFATE (Iron Sulfate)

Solution, USP, 125 mg per ml (Equivalent to 25 mg. of elemental iron per ml) 50 ml dropper bottles

Category 20:04.04 Iron Preparation

FEXOFENADINE (Allegra)

Capsule, extended release with pseudoephedrine 120mg

Category 4:00 Antihistamines

FEXOFENADINE (Allegra)

Capsule, 60 mg, 180 mg

Category 4:00 Antihistamines

FILGRASTIM (G-CSF), (Neupogen)

Injection, 300 mcg, 480 mcg

Category 20:16 Hematopoietic agents

FINASTERIDE (Propecia) - outpatient only

Tablets, 1 mg

Category 84:00 Skin and Mucous Membrane Agents

FINASTERIDE (Proscar)

Tablets, 5 mg

Category 92:00 Unclassified

FLECAINIDE (Tambocor)

Tablets, 200 mg

Category 24:04 Cardiac Drugs

FLOXURIDINE (FUDR)

Injection, 500 mg vials

Category 10:00 Anti-Neoplastic

FLUCONAZOLE, (Diflucan)

Tablets, 50mg, 100mg, 200mg - for one time only 150mg dose use 200mg as therapeutic equivalent dosing

Category 08:12.04 Antifungal

FLUCONAZOLE, (Diflucan)

Suspension, 40mg/ml

Category 08:12.04 Antifungal

FLUCONAZOLE, (Diflucan)

Injection, 200 mg, 400 mg

Category 08:12.04 Antifungal

FLUCYTOSINE (5-Fluorocytosine, Ancobon)

Capsules, USP, 500 mg

Category 8:12.04 Antifungal Antibiotic

FLUDARABINE (Fludara)

Injection, 1mg/ml, 50 ml

Category 10:00 Anti-Neoplastic

FLUDROCORTISONE ACETATE (Florinef)

Tablets, USP, 100 mcg

Category 68:04 Adrenal Hormone

FLUMAZENIL (Mazicon)

Injection, 100 mcg per ml, 5 ml

Category 28:92 Misc. Central Nervous System Agent

FLUNISOLIDE (Aerobid)

Inhalation - 7 gm canister

Category 68:04 Adrenals

FLUOCINOLONE ACETONIDE (Derma-Smoothe/FS)

Oil, 0.01%, 120 g

Category 84:06 Skin and Mucous Membrane Anti-Inflammatory

FLUOCINOLONE ACETONIDE (Synalar)

Ointment, 0.025%, 15 gm, 60 gm tube

Category 84:06 Skin and Mucous Membrane Anti-Inflammatory

FLUOCINOLONE ACETONIDE (Synalar)

Solution, Topical, USP, 0.01%, 60 ml bottles

Category 84:06 Skin and Mucous Membrane Anti-Inflammatory

FLUOCINONIDE (Lidex)

Ointment, 0.05%, 60 gm tube

Category 84:06 Skin and Mucous Membrane Anti-Inflammatory

FLUORESCEIN SODIUM (Soluble Fluorescein)

Solution, Ophthalmic, 0.25% with Benoxinate HCl 0.4%, 5ml

Category 52:35 Unclassified EENT Agent

FLUORESCEIN SODIUM (Soluble Fluorescein)

Ophthalmic Strip, USP

Category 52:35 Unclassified EENT Agent

FLUORESCEIN SODIUM (Soluble Fluorescein)

Injection USP, 100 mg per ml, 10%, 5ml

Category 52:35 Unclassified EENT Agent

FLUOROMETHALONE (FML, Oxylone)

Suspension, Eye, 0.1%, with Polyvinyl Alcohol 1.4%, 5 ml and 10 ml dropper bottles

Category 52:08 EENT Anti-Inflammatory Agent

FLUOROURACIL (5-Fluorouracil, 5FU)

Cream, 1% and 5%

Category 10:00 Antineoplastic Agent, 84:36 Miscellaneous Skin and Mucous Membrane Agent

FLUOROURACIL (5-Fluorouracil, 5FU)

Injection, USP, 50 mg per ml, 10 ml and 100 ml vials

Category 10:00 Antineoplastic Agent, 84:36 Miscellaneous Skin and Mucous Membrane Agent

FLUOXETINE (Prozac)

Capsules, 10mg and 20 mg

Category 28:16.04 Antidepressants

FLUPHENAZINE DECANOATE (Prolixin Decanoate)

Injection, 25 mg per ml in sesame oil, 5 ml vials

Category 28:16.08 Tranquilizers

FLURANDRENOLIDE (Cordran)

Tape, 4 mcg/cm2; 24" x 3"

Category 84.06

FLURBIPROFEN (Ocufen)

Solution, Ophthalmic, 0.03%, 2.5 ml

Category 52:08 Anti-inflammatory EENT Agent

FLUTICASONE (Advair)

Powder Inhaler, with Salmeterol, 100mcg/50mcg; 250 mg/50 mcg; 500 mcg/50mcg

Category 52:08 Anti-inflammatory; Category 12:12 Sympathomimetic

FLUTICASONE (Flovent, Flonase)

Nasal spray, 9g, 16 g

Category 52:08 EENT Anti-inflammatory

FLUTICASONE (Flovent, Flonase)

Inhalation spray, 44 mcg, 110 mcg, 220 mcg

Category 52:08 EENT Anti-inflammatory

FLUVOXAMINE (Luvox)

Tablets, 100 mg

Category 28:16.04 Antidepressants

FOLIC ACID

Injection, USP, 5 mg per ml, 10 ml vial

Category 88:08 Vitamin B Complex

FOLIC ACID

Tablets, USP, 1 mg

Category 88:08 Vitamin B Complex

FOLIC ACID / VITAMIN B6 / VITAMIN B12 (Folgard, Foltx)

Tablets, various conc.

Category 88:08 Vitamin B-Complex

FOLLICLE STIMULATING HORMONE (FSH, Follistim, Gonal-F)

Injection, recombinant, alpha, 75 IU and 1200 IU kit - Therapeutic equivalent with beta - check pharmacy for stock

Category 68:18 Gonadotropins

FOLLITROPIN BETA (Follistim AQ)

Injection 300 units/0.36ml and 600 units/0.72ml (out-patient)

Category 68:18 Gonadotropins

FOMEPIZOLE (Antizol)

Injection 1.5 g per 1.5 ml

Category 92:00 Unclassified Therapeutic Agent

FORMOTEROL (Foradil)

Inhalation powder, 12 mcg

12:00 Autonomic Drugs

FOSCARNET (Foscavir)

Injection, 24 mg/ml, 250 ml and 500 ml

Category 8:18 Antivirals

FOSPHENYTOIN (Cerebyx)

Inj. 50 mg Phenytoin units / ml., 2 ml, 10 ml.

Category 28:12 Anticonvulsants

FULVESTRANT (Faslodex)

50mg/ml., 2.5 ml syringe- out-patient only

Category 10:00 Anti-Neoplastic Agent

FUROSEMIDE (Lasix)

Solution, 10 mg per ml, 60 ml

Category 40:28 Diuretic

FUROSEMIDE (Lasix)

Injection, 10 mg per ml, 2 ml, 4 ml, and 10 ml Vials

Category 40:28 Diuretic

FUROSEMIDE (Lasix)

Tablets, USP, 20 mg, 40 mg and 80 mg (Scored)

Category 40:28 Diuretic

GABAPENTIN (Neurontin)

Capsule, 100 mg , 300 mg & 400 mg (600mg, 800mg out-patient)

Category 28:12.12 Anticonvulsant

GALANTAMINE (Razadyne)

Tablets, 4mg, 8mg,12 mg

Category 12:04Category 12:04 Parasympathomimetic Agent

GANCICLOVIR (Cytovene)

Capsules, 250mg, 500mg

Category 8:18 Antiviral

GANCICLOVIR (Cytovene)

Injection, 500 mg vials -USE OF THIS DRUG RESTRICTED TO RENAL AND BONE MARROW TRANSPLANT SERVICES AND INFECTIOUS DISEASE SERVICE

Category 8:18 Antiviral

GANIRELIX (Antagon)

Injection 250 mcg available only in kit with follistim

Category 92:00 Unclassified Therapeutic Agent

GASTRIC OCCULT BLOOD (Gastroccult)

Test Slides

Category 92:00 Unclassified Therapeutic Agent

GEFITINAB (Iressa)

Tablets, 250mg

Category 10:00 Antineoplastics

GELATIN SPONGE, ABSORBABLE (Gelfilm)

Film, USP, 25 x 50 mm sterile section

Category 20:12.16 Hemostatic

GELATIN SPONGE, ABSORBABLE (Gelfoam)

Powder, Topical, Sterile, 1 gm. jars

Category 20:12.16 Hemostatic

GELATIN SPONGE, ABSORBABLE (Gelfoam, Surgifoam)

Envelope, USP, 1 sterile section, 80 x 125 mm (Size 100 compressed)

Category 20:12.16 Hemostatic

GELATIN SPONGE, ABSORBABLE (Gelfoam, Surgifoan)

Envelope, USP, 1 sterile section, 20 x 60 x 3 mm (Size 12)

Category 20:12.16 Hemostatic

GELATIN SPONGE, ABSORBABLE (Gelfoam,Surgifoam)

Envelope, USP, 1 sterile section, 80 x 125 x 10 mm (Size 100)

Category 20:12.16 Hemostatic

GEMCITOBINE (Gemzar)

Inj. 200 mg, 1 gm

Category 10:00 Antineoplastic

GEMFIBROZIL (Lopid)

Tablet, 600 mg

Category 24:06 Antilipemic Agent

GEMTUZUMAB OZOGAMICIN (Mylotarg)

Injection - 5mg - lyophilized powder

Category 10:00 Antineoplastic

GENTAMICIN SULFATE (Garamycin)

Solution, Eye, USP, 0.3%, (of gentamicin base) 5 ml dropper bottle

Category 8:12.02 Aminoglycosides, 52:04.04 EENT Anti-infective, 84:06 Skin and Mucous Membrane Antibiotic

GENTAMICIN SULFATE (Garamycin)

Ointment, Eye, USP, 0.3%, (of gentamicin base) 3.5 gm tube

Category 8:12.02 Aminoglycosides, 52:04.04 EENT Anti-infective, 84:06 Skin and Mucous Membrane Antibiotic

GENTAMICIN SULFATE (Garamycin)

Injection, USP, 40 mg per ml, 2 ml and 20 ml Vials

Category 8:12.02 Aminoglycosides, 52:04.04 EENT Anti-infective, 84:06 Skin and Mucous Membrane Antibiotic

GENTAMICIN SULFATE (Garamycin)

Cream, 0.1%, restricted to out-patient/o.p. surgery

Category 8:12.02 Aminoglycosides, 52:04.04 EENT Anti-infective, 84:06 Skin and Mucous Membrane Antibiotic

GENTIAN VIOLET (Crystal Violet, Methylrosaniline Chloride, Methyl Violet)

Solution, USP, 1%

Category 84:04.08 Skin and Mucous Membrane Fungicide

GENTIAN VIOLET (Crystal Violet, Methylrosaniline Chloride, Methyl Violet)

USP

Category 84:04.08 Skin and Mucous Membrane Fungicide

GLIPIZIDE (Glucotrol XL)

Tablets, Extended Release, 2.5mg, 5 mg, 10mg

Category 68:20.20 Anti-Diabetic Agents (Sulfonylureas)

GLIPIZIDE (Glucotrol)

Tablets, 5 mg and 10 mg

Category 68:20.20 Anti-Diabetic Agents (Sulfonylureas)

GLOBULIN, HEPATITIS B IMMUNE (Human) (H-Big)

Injection, 5 ml Vials

Category 80:04 Serum

GLOBULIN, HYPERIMMUNE CMV (Cytogam)

Injection, 2.5 gm

Category 80:04 Serums

GLOBULIN, IMMUNE RHO (D) (Win Rho D)

Injection, Intravenous, 600 IU and 5000 IU

Category 80:04 Serums

GLOBULIN, IMMUNE SERUM (Gamma Globulin)(Gammar, Baygam)

Injection, USP, 2 ml and 10 ml Vials

Category 80:04 Serum

GLOBULIN, IMMUNE SERUM (Gamma Globulin)(Polygam, Panglobulin, Gammagard, Sandoglobulin)

Injection, Intravenous, 2.5 g, 5 g, 10 g OR 3 g, 6 g, 12 g ----Strength dependent on availability

Category 80:04 Serum

GLOBULIN, LYMPHOCYTE IMMUNE, ATG, EQUINE (Atgam)

Injection, 50 mg per ml, 5 ml Ampuls -AVAILABLE ONLY FOR PATIENTS WITH APLASTIC ANEMIA DOCUMENTED TO THE COMPANY

Category 80:04 Serum

GLUCAGON

Injection, USP, 1 mg Vials

Category 68:20.92 Misc. Anti-Diabetic Agents

GLUCOSE OXIDASE REAGENT (Accu-chek Easy Test)

Strips, Reagent (for monitors) Bottles of 50

Category 68:20.92 Misc. Anti-Diabetic Agents

GLUCOSE OXIDASE REAGENT (Glucostix, Chemstrip BG)

Strips, Reagent (Includes color chart), Bottles of 25

Category 68:20.92 Misc. Anti-Diabetic Agents

GLUCOSE OXIDASE REAGENT (Multistix 10 SG)

Strips, Reagent, with Methyl Red, Bromthymol Blue, Tetrabromphenol Blue, Peroxidase, Sodium Nitroprusside, Glycine, Cumene Hydroperoxide, and Ortho-Tolidine

Category 68:20.92 Misc. Anti-Diabetic Agents

GLUCOSE OXIDASE REAGENT (Uristix)

Strips, Reagent, with Bromphenol Blue Reagent, Bottles of 100

Category 68:20.92 Misc. Anti-Diabetic Agents

GLUTAMINE

Powder, 5 gm, 10 gm

Category 40:12 Replacement Preparation

GLUTAMINE

Tablet, 500 mg

Category 40:12 Replacement Preparation

GLYBURIDE (Glucovance)

Tablets with METFORMIN , 1.25mg/250mg; 2.5mg/500mg ; 5 mg/500mg

Category 68:20 .20 Sulfonylureas

GLYBURIDE (Micronase, Diabeta)

Tablets, 1.25 mg, 2.5 mg, and 5 mg

Category 68:20.20 Anti-Diabetic Agents (Sulfonylureas)

GLYCERIN (Glycerol)

Suppositories, USP, Infant and Adult sizes

Category 52:36 EENT, 56:12 Cathartic, 84:24.04 Basic Lotion and Liniment, 84:24.08 Basic Solvent

GLYCERIN (Glycerol)

USP

Category 52:36 EENT, 56:12 Cathartic, 84:24.04 Basic Lotion and Liniment, 84:24.08 Basic Solvent

GLYCOPYRROLATE (Robinul)

Tablets, 1 mg

Category 12:08 Parasympatholytic Agent

GLYCOPYRROLATE (Robinul)

Injection, NF, 200 mcg per ml; 1 ml and 5 ml vials

Category 12:08 Parasympatholytic Agent

GOLD SODIUM THIOMALATE (Myochrysin)

Injection, USP, 50 mg per ml, 1 ml Ampuls SEE ALSO AURANOFIN FOR ORAL DOSING FORM

Category 60:00 Gold Compounds

GOSERELIN ACETATE (Zoladex)

Implantable Tab 3.6 mg, 10.8 mg

Category 68:16 Estrogens

GRAMICIDIN

-See Tribiotic

Category 52:04.04 EENT Antibiotic

GRANISETRON (Kytril)

Tablet , 1 mg This product is deemed a therapeutic equivalent with Ondansetron.

Category 52:22 Antiemetic

GRANISETRON (Kytril)

Injection, 1 mg This product is deemed a therapeutic equivalent with Ondansetron.

Category 52:22 Antiemetic

GRISEOFULVIN

Tablets, USP, 250 mg and 500 mg

Category 8:12.04 Antifungal Antibiotic

GUAIFENESIN (Glycerol Guaiacolate, Robitussin AC)

Syrup, Containing 100 mg Guaifenesin and 10 mg Codeine per 5 ml (Robitussin AC)

Category 48:16 Expectorant

GUAIFENESIN (Glycerol Guaiacolate, Robitussin DM)

Syrup, Compound, 100 mg. with dextromethorphan hydrobromide 15 mg per 5 ml (Robitussin DM)

Category 48:16 Expectorant

GUAIFENESIN (Glycerol Guaiacolate, Robitussin)

Syrup, NF, 100 mg per 5 ml

Category 48:16 Expectorant

GUANFACINE (Tenex)

Tablets, 1 mg.

Category 24:08 Hypotensive Agent

HAEMOPHILUS INFLUENZA VACCINE (HibTiter)

Injection, 0.5 ml Vial

Category 80:12 Vaccines

HALOPERIDOL (Haldol)

Tablets, USP, 0.5mg, 1 mg, 2 mg, 5 mg, and 10 mg, scored

Category 28:16.08 Tranquilizers

HALOPERIDOL (Haldol)

Solution, USP, 2 mg per 1 ml, (Approximately 100 mcg per drop.)

Category 28:16.08 Tranquilizers

HALOPERIDOL (Haldol)

Injection, 5 mg per ml, 1 ml Vials

Category 28:16.08 Tranquilizers

HEMOSTATIC GRANULES (Celox)

Granules, hemostatic

Category 92:00 Unclassified Therapeutic Agents

HEPARIN SODIUM

Injection, USP, 1000 Units per ml, 10 ml Vials

Category 20:12.04 Anticoagulant

HEPARIN SODIUM

Injection, USP, 100 units per ml, 5 ml vials

Category 20:12.04 Anticoagulant

HEPARIN SODIUM

Injection, 100 units/ml, 250 ml in 0.45% NaCl

Category 20:12.04 Anticoagulant

HEPARIN SODIUM

Injection, USP, 10 units per ml, 3 ml

Category 20:12.04 Anticoagulant

HEPARIN SODIUM

Injection, 1 unit per ml in 0.45% NaCl (pediatric UAMS)

Category 20:12.04 Anticoagulant

HEPATITIS A INACTIVATED/HEPATITIS B (RECOMBINANT) VACCINE (Twinrix)

Injection, 720 ELISA unit A/20 mcg B- Out-Patient only

Category 80:12 Vaccines

HEPATITIS A VACCINE (Havrix)

Injection , 1440 units/ml (adult)

Category 80:12 Vaccines

HEPATITIS A VACCINE (Havrix)

Injection , 360 units / 0.5 ml. (pediatric)