Malmstrom-AFB-March-2017 2..26

22 Pages·2017·0.21 MB·English

Malmstrom Air Force Base Outpatient Formulary
Alphabetical Listing by Name
Th is docu me nt is cu rre nt as of November 6, 2017.
The availability of formulary items is subject to change.
1
ACETAMINOPHEN
Acetaminophen AmLODIPine
OutpatientDosageForms OutpatientDosageForms
Suppository,rectal:120mg(12s);325mg(12s);650mg(12s) Tablet,oral:2.5mg[BCF],5mg[BCF],10mg[BCF]
Suspension,oral:160mg/5mL(118mL)
Tablet,oral:325mg AmlodipineandBenazepril
OutpatientDosageForms
AcetaminophenandCodeine
Capsule,oral:
OutpatientDosageForms 2.5/10:Amlodipine2.5mgandbenazeprilhydrochloride10mg[BCF]
Tablet, oral [C-III]: Acetaminophen 300mg and codeine phosphate 30mg 5/10:Amlodipine5mgandbenazeprilhydrochloride10mg[BCF]
[BCF] 5/20:Amlodipine5mgandbenazeprilhydrochloride20mg[BCF]
AcetaZOLAMIDE 5/40:Amlodipine5mgandbenazeprilhydrochloride40mg[BCF]
OutpatientDosageForms 10/20:Amlodipine10mgandbenazeprilhydrochloride20mg[BCF]
Tablet,Oral: Amoxicillin
Generic:250mg
OutpatientDosageForms
Acyclovir(Systemic) Capsule,oral:250mg[BCF],500mg[BCF]
OutpatientDosageForms Powderforsuspension,oral:250mg/5mL(150mL)[BCF];400mg/5mL(100
Capsule,Oral: mL)[BCF]
Generic:200mg[BCF] Tablet,oral:875mg
Suspension,Oral:
AmoxicillinandClavulanate
Generic:200mg/5mL(473mL)[BCF]
Tablet,Oral: OutpatientDosageForms
Generic:400mg[BCF],800mg[BCF] Powderforsuspension,oral:
200:Amoxicillin200mgandclavulanatepotassium28.5mgper5mL(5100
Adalimumab mL)[BCF]
OutpatientDosageForms 250:Amoxicillin250mgandclavulanatepotassium62.5mgper5mL(100
Pen-injectorKit,Subcutaneous[preservativefree]: mL)[BCF]
HumiraPen:40mg/0.8mL(1ea)[containspolysorbate80][BCF] 400: Amoxicillin 400mg and clavulanate potassium 57mg per 5 mL (100
PrefilledSyringeKit,Subcutaneous[preservativefree]: mL)[BCF]
Humira:10mg/0.2mL(1ea)[BCF];20mg/0.4mL(1ea)[BCF];40mg/0.8 600:Amoxicillin600mgandclavulanatepotassium42.9mgper5mL(125
mL(1ea)[BCF][containspolysorbate80] mL)[BCF]
Adapalene Tablet,oral:
250:Amoxicillin250mgandclavulanatepotassium125mg[BCF]
OutpatientDosageForms
500:Amoxicillin500mgandclavulanatepotassium125mg[BCF]
Cream,External:
Generic:0.1%(45g) 875:Amoxicillin875mgandclavulanatepotassium125mg[BCF]
Albendazole Anastrozole
OutpatientDosageForms OutpatientDosageForms
Tablet,Oral: Tablet,Oral:
Albenza:200mg[containssaccharinsodium] Generic:1mg
Albiglutide Apixaban
OutpatientDosageForms OutpatientDosageForms
Pen-injector,Subcutaneous[preservativefree]: Tablet,Oral:
Tanzeum:30mg(1ea);50mg(1ea)[containspolysorbate80] Eliquis:2.5mg,5mg
Albuterol ARIPiprazole
OutpatientDosageForms OutpatientDosageForms
Aerosol,fororalinhalation: Tablet,oral:
ProventilHFA:90mcg/actuation(6.7g) Abilify®:2mg,5mg,10mg,15mg
Solution,fornebulization:
Generic:0.5%[100mg/20mL](1s) ArtificialTears
Solution,fornebulization[preservativefree]: OutpatientDosageForms
Generic:0.083%[2.5mg/3mL](60s)[BCF] Ointment,ophthalmic:Mineraloil15%andwhitepetrolatum83%
Solution,ophthalmic:Polyvinylalcohol1.4%
Alendronate
OutpatientDosageForms Aspirin
Tablet,oral:5mg[BCF],10mg[BCF],35mg[BCF],70mg[BCF] OutpatientDosageForms
Tablet,entericcoated,oral:81mg,325mg
Alfuzosin
OutpatientDosageForms Atenolol
Tablet,extendedrelease,oral,ashydrochloride:10mg[BCF] OutpatientDosageForms
Allopurinol Tablet,oral:25mg[BCF],50mg[BCF],100mg[BCF]
OutpatientDosageForms AtoMOXetine
Tablet,oral:100mg[BCF],300mg[BCF] OutpatientDosageForms
ALPRAZolam Capsule,oral:
Strattera®:18mg,25mg,40mg,60mg,80mg
OutpatientDosageForms
Tablet,oral:0.25mg,0.5mg AtorvaSTATin
AluminumChlorideHexahydrate OutpatientDosageForms
OutpatientDosageForms Tablet,oral:10mg[BCF],20mg[BCF],40mg[BCF],80mg[BCF]
Solution,topical: AtovaquoneandProguanil
Drysol™:20%(37.5mL)[containsethanol93%]
OutpatientDosageForms
Amantadine Tablet,oral:
OutpatientDosageForms Generic:Atovaquone250mgandproguanilhydrochloride100mg
Capsule,oral,ashydrochloride:100mg[BCF] AzaTHIOprine
Amiodarone OutpatientDosageForms
OutpatientDosageForms Tablet,oral:50mg
Tablet,oral,ashydrochloride:200mg[BCF]
Azelastine(Nasal)
Amitriptyline OutpatientDosageForms
OutpatientDosageForms Solution, intranasal, as hydrochloride [spray]: 0.1% [137 mcg/spray; 200
Tablet,oral,ashydrochloride:10mg[BCF],25mg[BCF],50mg[BCF] meteredsprays](30mL)
2
CEFPROZIL
Azithromycin(Systemic) Budesonide(Systemic)
OutpatientDosageForms OutpatientDosageForms
Powder for suspension, oral, as dihydrate [strength expressed as base]: CapsuleDelayedReleaseParticles,Oral:
100mg/5mL(15mL)[BCF];200mg/5mL(15mL);1g/packet(3s)[BCF] Generic:3mg
Tablet,oral,asanhydrous:250mg[BCF],500mg[BCF]
Tablet, oral, as dihydrate [strength expressed as base]: 250mg [BCF], BuPROPion
500mg[BCF] OutpatientDosageForms
Tablet,oral,ashydrochloride:
Bacitracin,Neomycin,andPolymyxinB(Ophthalmic)
Generic:75mg[BCF],100mg[BCF]
OutpatientDosageForms
Tablet,extendedrelease,oral,ashydrochloride:
Ointment,ophthalmic:Bacitracin400units,neomycin3.5mg,andpolymyxinB Generic:150mg[BCF],300mg[BCF]
10,000unitsperg(3.5g)[BCF]
Tablet,sustainedrelease,oral,ashydrochloride:
Bacitracin(Ophthalmic) WellbutrinSR:100mg[BCF],150mg[BCF]
OutpatientDosageForms BusPIRone
Ointment,Ophthalmic:
OutpatientDosageForms
Generic:500units/g(3.5g)
Tablet,oral,ashydrochloride:5mg[BCF],10mg[BCF],15mg[BCF]
Bacitracin(Topical)
Butalbital,Acetaminophen,andCaffeine
OutpatientDosageForms
OutpatientDosageForms
Ointment,External,aszinc[strengthexpressedasbase]:
Tablet, oral: Butalbital 50mg, acetaminophen 325mg, and caffeine 40mg
Generic:500units/g(30g)
[BCF]
Baclofen
Cabergoline
OutpatientDosageForms
OutpatientDosageForms
Tablet,oral:10mg
Tablet,Oral:
Benazepril Generic:0.5mg
OutpatientDosageForms
Calcipotriene
Tablet,oral,ashydrochloride:10mg,20mg,40mg
OutpatientDosageForms
Benzocaine Cream,topical:0.005%(60g)
OutpatientDosageForms Dovonex:0.005%(60g)[containscetearylalcohol,disodiumedta]
Lozenge,oral:
Cepacol®SoreThroat:15mg(16s) Calcitriol(Systemic)
OutpatientDosageForms
Benzonatate
Capsule,Oral:
OutpatientDosageForms Generic:0.25mcg,0.5mcg
Capsule,softgel,oral:100mg,200mg
CalciumCarbonate
BenzoylPeroxide
OutpatientDosageForms
OutpatientDosageForms
Tablet,oral:1250mg[equivalenttoelementalcalcium500mg]
Gel,topical:
Generic:10%(42.5g) Captopril
Liquid,External: OutpatientDosageForms
BenzoylPeroxideWash:5%(142g)[containsedetatedisodium] Tablet,oral:25mg[BCF]
Benztropine CarBAMazepine
OutpatientDosageForms OutpatientDosageForms
Tablet,oral,asmesylate:2mg[BCF] Suspension,Oral:
BetamethasoneandClotrimazole Generic:100mg/5mL(450mL)[BCF]
Tablet,Chewable,Oral:
OutpatientDosageForms
Generic:100mg[BCF]
Cream,topical:Betamethasonedipropionate0.05%(base)andclotrimazole1%
(45g) TabletExtendedRelease12Hour,Oral:
Generic:400mg[BCF]
Betamethasone(Topical)
CarbidopaandLevodopa
OutpatientDosageForms
Lotion,topical,asdipropionate[strengthexpressedasbase]:0.05%(60mL) OutpatientDosageForms
Lotion,topical,asvalerate[strengthexpressedasbase]:0.1%(60mL) Tablet,oral:
10/100:Carbidopa10mgandlevodopa100mg[BCF]
Bicalutamide 25/100:Carbidopa25mgandlevodopa100mg[BCF]
OutpatientDosageForms 25/250:Carbidopa25mgandlevodopa250mg[BCF]
Tablet,Oral:
Generic:50mg[BCF] Carboxymethylcellulose
OutpatientDosageForms
Bisacodyl
Solution,ophthalmic,assodium[drops,preservativefree]:
OutpatientDosageForms RefreshPlus:0.5%(0.4mL)
Tablet,entericcoated,oral:5mg Solution,Ophthalmic,assodium[preservativefree]:
Bisoprolol RefreshCelluvisc:1%(30ea)
OutpatientDosageForms Carvedilol
Tablet,oral,asfumarate:5mg,10mg OutpatientDosageForms
BrimonidineandTimolol Capsule,extendedrelease,oral,asphosphate:
OutpatientDosageForms CoregCR®:10mg,20mg,40mg,80mg
Solution,ophthalmic[drops]: Tablet,oral:3.125mg[BCF],6.25mg[BCF],12.5mg[BCF],25mg[BCF]
Combigan:Brimonidinetartrate0.2%andtimolol0.5%(5mL,10mL)[contains Cefdinir
benzalkoniumchloride]
OutpatientDosageForms
Brimonidine(Ophthalmic) Capsule,Oral:
OutpatientDosageForms Generic:300mg
Solution,ophthalmic,astartrate[drops]:0.15%(10mL)[BCF];0.2%(5mL) SuspensionReconstituted,Oral:
[BCF] Generic:125mg/5mL(60mL,100mL);250mg/5mL(60mL,100mL)
Alphagan®P:0.15%(10mL)[BCF];0.1%(5mL)
Cefprozil
Budesonide(OralInhalation) OutpatientDosageForms
OutpatientDosageForms Powderforsuspension,oral:250mg/5mL(100mL)
Suspension,fornebulization:0.25mg/2mL(30s);0.5mg/2mL(30s) Tablet,oral:500mg
3
CELECOXIB
Celecoxib Clindamycin(Topical)
OutpatientDosageForms OutpatientDosageForms
Capsule,oral: Cream,vaginal,asphosphate[strengthexpressedasbase]:
Generic:100mg,200mg Generic:2%(40g)[BCF]
Gel,External,asphosphate[strengthexpressedasbase]:
Cephalexin
Generic:1%(30g)
OutpatientDosageForms
Lotion,External,asphosphate[strengthexpressedasbase]:
Capsule,oral:250mg[BCF],500mg[BCF]
Generic:1%(60mL)
Powderforsuspension,oral:250mg/5mL(200mL)[BCF]
Solution,topical,asphosphate[strengthexpressedasbase]:
Cetirizine(Systemic) Generic:1%(60mL)[BCF]
OutpatientDosageForms Clobetasol
Syrup,oral,ashydrochloride:5mg/5mL(118mL)
OutpatientDosageForms
Tablet,oral,ashydrochloride:10mg
Cream,topical,aspropionate:
ChlorhexidineGluconate Generic:0.05%(15g)
OutpatientDosageForms Foam,External,aspropionate:
Liquid,oral[rinse]:0.12%(473mL)[BCF] Generic:0.05%(100g)
Ointment,topical,aspropionate:
Chloroquine Generic:0.05%(30g)
OutpatientDosageForms Solution,External,aspropionate:
Tablet,oral,asphosphate:500mg[equivalenttochloroquinebase300mg] Generic:0.05%(25mL)
Chlorpheniramine ClomiPHENE
OutpatientDosageForms OutpatientDosageForms
Tablet,Oral,asmaleate: Tablet,oral,ascitrate:50mg
Generic:4mg
ClonazePAM
Chlorthalidone
OutpatientDosageForms
OutpatientDosageForms Tablet,oral:0.5mg[BCF],1mg
Tablet,oral:25mg[BCF]
CloNIDine
Cholecalciferol
OutpatientDosageForms
OutpatientDosageForms Tablet,oral,ashydrochloride:0.1mg[BCF]
Liquid,Oral:
D-Vita:400units/mL(50mL)[alcoholfree,glutenfree,lactosefree,sugarfree; Clopidogrel
containspolysorbate80,propyleneglycol,sodiumbenzoate;fruitflavor] OutpatientDosageForms
Tablet,oral:75mg[BCF]
CholestyramineResin
OutpatientDosageForms Clotrimazole(Oral)
Powder,Oral: OutpatientDosageForms
Generic:4g(378g) Troche,Mouth/Throat:
Ciclopirox Generic:10mg
OutpatientDosageForms Clotrimazole(Topical)
Solution,External: OutpatientDosageForms
Generic:8%(6.6mL) Cream,topical:1%(30g)
Cimetidine Solution,topical:1%(10mL)[BCF]
OutpatientDosageForms Colchicine
Tablet,oral:400mg OutpatientDosageForms
CiprofloxacinandDexamethasone Tablet,oral:
OutpatientDosageForms Colcrys:0.6mg[scored]
Suspension,otic: Colestipol
Ciprodex: Ciprofloxacin 0.3% and dexamethasone 0.1% (7.5 mL) [contains
OutpatientDosageForms
benzalkoniumchloride]
Granulesforsuspension,oral,ashydrochloride:5g/packet(30s)
Ciprofloxacin(Ophthalmic)
Cyanocobalamin
OutpatientDosageForms
OutpatientDosageForms
Solution,ophthalmic,ashydrochloride[drops]:3.5mg/mL(5mL)[equivalentto
Injection,solution:1000mcg/mL(1mL)
ciprofloxacinbase0.3%]
Cyclobenzaprine
Ciprofloxacin(Systemic)
OutpatientDosageForms
OutpatientDosageForms
Tablet,oral,ashydrochloride:5mg,10mg[BCF]
Tablet, oral, as hydrochloride [strength expressed as base]: 250mg [BCF],
500mg[BCF] CycloSPORINE(Ophthalmic)
Citalopram OutpatientDosageForms
OutpatientDosageForms Emulsion,ophthalmic[drops,preservativefree]:
Tablet,oral:10mg[BCF],20mg[BCF],40mg[BCF] Restasis®:0.05%(0.4mL)[containscastoroil]
Clarithromycin CycloSPORINE(Systemic)
OutpatientDosageForms OutpatientDosageForms
Tablet,Oral: Capsule,Oral:
Generic:500mg Generic:100mg
ClidiniumandChlordiazepoxide Cyproheptadine
OutpatientDosageForms OutpatientDosageForms
Capsule:Clidiniumbromide2.5mgandchlordiazepoxidehydrochloride5mg Tablet,oral,ashydrochloride:4mg[BCF]
ClindamycinandBenzoylPeroxide DabigatranEtexilate
OutpatientDosageForms OutpatientDosageForms
Gel,topical:Clindamycinphosphate1.2%andbenzoylperoxide5%(45g) Capsule,oral:
Pradaxa:75mg,150mg
Clindamycin(Systemic)
OutpatientDosageForms Dapsone(Systemic)
Capsule,oral,ashydrochloride[strengthexpressedasbase]:150mg[BCF], OutpatientDosageForms
300mg Tablet,oral:25mg,100mg
4
EPINEPHRINE(SYSTEMIC)
Desonide Difluprednate
OutpatientDosageForms OutpatientDosageForms
Cream,topical:0.05%(15g) Emulsion,ophthalmic[drops]:
Ointment,topical:0.05%(60g) Durezol®:0.05%(5mL)[containssorbicacid]
Dexamethasone(Systemic) Digoxin
OutpatientDosageForms OutpatientDosageForms
Solution,oral[concentrate]: Tablet,oral:125mcg[BCF],250mcg[BCF]
DexamethasoneIntensol™:1mg/mL(30mL)[dyefree,sugarfree;contains
DilTIAZem
benzoicacid,ethanol30%,propyleneglycol]
Tablet,oral:4mg OutpatientDosageForms
Capsule,extendedrelease,oral,ashydrochloride[once-dailydosing]:120mg
Dextroamphetamine [BCF],180mg[BCF],240mg[BCF],300mg[BCF],360mg[BCF],420mg
OutpatientDosageForms [BCF]
Capsule,extendedrelease,oral,assulfate:15mg
DiphenhydrAMINE(Systemic)
Dexedrine:15mg
Tablet,oral,assulfate:5mg,10mg OutpatientDosageForms
Capsule,oral,ashydrochloride:25mg
DextroamphetamineandAmphetamine Solution,oral,ashydrochloride:12.5mg/5mL(118mL)
OutpatientDosageForms
Capsule,extendedrelease,oral: DiphenoxylateandAtropine
5mg [dextroamphetamine sulfate 1.25mg, dextroamphetamine saccharate OutpatientDosageForms
1.25mg,amphetamineaspartatemonohydrate1.25mg,amphetaminesul- Tablet,oral:Diphenoxylatehydrochloride2.5mgandatropinesulfate0.025mg
fate1.25mg(equivalenttoamphetaminebase3.1mg)][BCF]
Disulfiram
10mg [dextroamphetamine sulfate 2.5mg, dextroamphetamine saccharate
2.5mg,amphetamineaspartatemonohydrate2.5mg,amphetaminesulfate OutpatientDosageForms
2.5mg(equivalenttoamphetaminebase6.3mg)][BCF] Tablet,Oral:
15mg[dextroamphetaminesulfate3.75mg,dextroamphetaminesaccharate Generic:250mg
3.75mg,amphetamineaspartatemonohydrate3.75mg,amphetaminesul- Docusate
fate3.75mg(equivalenttoamphetaminebase9.4mg)][BCF]
OutpatientDosageForms
20mg [dextroamphetamine sulfate 5mg, dextroamphetamine saccharate
Capsule,oral,assodium:
5mg, amphetamine aspartate monohydrate 5mg, amphetamine sulfate
Colace®:100mg[containssodium5mg/capsule]
5mg(equivalenttoamphetaminebase12.5mg)][BCF]
25mg[dextroamphetaminesulfate6.25mg,dextroamphetaminesaccharate Donepezil
6.25mg,amphetamineaspartatemonohydrate6.25mg,amphetaminesul-
OutpatientDosageForms
fate6.25mg(equivalenttoamphetaminebase15.6mg)][BCF]
Tablet,oral,ashydrochloride:5mg,10mg
30mg [dextroamphetamine sulfate 7.5mg, dextroamphetamine saccharate
7.5mg,amphetamineaspartatemonohydrate7.5mg,amphetaminesulfate Dorzolamide
7.5mg(equivalenttoamphetaminebase18.8mg)][BCF] OutpatientDosageForms
Tablet,oral: Solution,ophthalmic[drops]:2%(10mL)
10mg [dextroamphetamine sulfate 2.5mg, dextroamphetamine saccharate
2.5mg,amphetamineaspartatemonohydrate2.5mg,amphetaminesulfate DorzolamideandTimolol
2.5mg(equivalenttoamphetaminebase6.3mg)] OutpatientDosageForms
20mg [dextroamphetamine sulfate 5mg, dextroamphetamine saccharate Solution,ophthalmic[drops]:
5mg, amphetamine aspartate monohydrate 5mg, amphetamine sulfate Generic:Dorzolamide2%[20mg/mL]andtimolol0.5%[5mg/mL](10mL)
5mg(equivalenttoamphetaminebase12.6mg)]
Doxepin(Systemic)
DiabeticSupplies
OutpatientDosageForms
OutpatientDosageForms Capsule,oral:10mg[BCF],25mg[BCF]
Glucosemeter:
FreeStyleMeter Doxycycline
PrecisionXtraBloodGlucoseManagementKit OutpatientDosageForms
PrecisionXtraBloodGlucoseMonitoringSystem Capsule,Oral,ashyclate[strengthexpressedasbase]:
Lancet:[29G] Generic:100mg[BCF]
Syringeandneedle: Tablet,Oral,ashyclate[strengthexpressedasbase]:
BDSyringe0.5mL(Ultra-FineII)31gaugex5/16" Generic:20mg
BDSyringe1mL(Ultra-FineII)31gaugex5/16"[BCF] Tablet,Oral,asmonohydrate[strengthexpressedasbase]:
BDUltra-FineShortPenNeedle31gaugeX8mm Generic:100mg
BDUltra-Fine™PenNeedles:100s
NanoPenNeedles:100s Doxylamine
TestStrips/Kit: OutpatientDosageForms
FreeStyleLitenTestStrips:100/box Tablet,Oral,assuccinate:
FreeStyleTestStrips:100/box SleepAid:25mg[scored][BCF]
PrecisionXtraBloodGlucoseTestStrips[BCF]
DULoxetine
PrecisionXtrateststrips:100/box[BCF]
OutpatientDosageForms
DiazePAM CapsuleDelayedReleaseParticles,Oral:
OutpatientDosageForms Generic:20mg,30mg,60mg
Tablet,oral:5mg[BCF]
Emollients
Dibucaine OutpatientDosageForms
OutpatientDosageForms Ointment,topical:
Ointment,topical:1%[10mg/g](30g) Aquaphor®:99g(3.5oz)
Diclofenac(Topical) Empagliflozin
OutpatientDosageForms OutpatientDosageForms
Gel,topical,assodium: Tablet,Oral:
Voltaren®Gel:1%(100g)[containsisopropylalcohol] Jardiance:10mg,25mg
Dicloxacillin Enoxaparin
OutpatientDosageForms OutpatientDosageForms
Capsule,oral:250mg[BCF] Injection,solution,assodium[preservativefree]:30mg/0.3mL(0.3mL)[BCF];
40mg/0.4mL(0.4mL)[BCF];60mg/0.6mL(0.6mL)[BCF];80mg/0.8mL
Dicyclomine
(0.8mL)[BCF];100mg/mL(1mL)[BCF];150mg/mL(1mL)[BCF]
OutpatientDosageForms
Capsule,Oral,ashydrochloride: EPINEPHrine(Systemic)
Generic:10mg[BCF] OutpatientDosageForms
Tablet,Oral,ashydrochloride: SolutionAuto-injector,Injection:
Generic:20mg[BCF] Generic:0.15mg/0.15mL(2ea);0.3mg/0.3mL(2ea)
5
ERGOCALCIFEROL
Ergocalciferol Ethambutol
OutpatientDosageForms OutpatientDosageForms
Capsule,Oral: Tablet,oral,ashydrochloride:100mg[BCF],400mg[BCF]
Generic:50,000units[vitaminD2]
EthinylEstradiolandDesogestrel
ErythromycinandBenzoylPeroxide OutpatientDosageForms
OutpatientDosageForms Tablet,oral[lowdoseformulation]:
Gel,topical:Erythromycin30mgandbenzoylperoxide50mgperg(23g) Azurette™:
Day 1-21: Ethinyl estradiol 0.02mg and desogestrel 0.15mg [21 white
Erythromycin(Ophthalmic)
tablets]
OutpatientDosageForms Day22-23:2inactivegreentablets
Ointment,Ophthalmic: Day24-28:Ethinylestradiol0.01mg[5bluetablets](28s)
Generic:5mg/g(3.5g)[BCF] Mircette®:
Erythromycin(Systemic) Day 1-21: Ethinyl estradiol 0.02mg and desogestrel 0.15mg [21 white
tablets]
OutpatientDosageForms
Day22-23:2inactivegreentablets
Capsule,delayedreleaseparticles,oral,asbase:250mg
Day24-28:Ethinylestradiol0.01mg[5yellowtablets](28s)
Powderforsuspension,oral,asethylsuccinate[strengthexpressedasbase]:
Tablet,oral[monophasicformulation]:
EryPed®:200mg/5mL(100mL)[containssodium117.5mg(5.1mEq)/5mL;
Desogen®: Ethinyl estradiol 0.03mg and desogestrel 0.15mg [21 white
fruitflavor][BCF]
tabletsand7greeninactivetablets](28s)
Tablet,delayedrelease,entericcoated,oral,asbase:
Reclipsen®: Ethinyl estradiol 0.03mg and desogestrel 0.15mg [21 white
Ery-Tab®:250mg[containssodium8.3mg(0.4mEq)/tablet][BCF]
tabletsand7greeninactivetablets](28s)
Ery-Tab®:333mg[containssodium11.2mg(0.5mEq)/tablet]
EthinylEstradiolandDrospirenone
Erythromycin(Topical)
OutpatientDosageForms
OutpatientDosageForms
Tablet,oral:
Gel,topical:2%(30g)[BCF]
Yasmin®:Ethinylestradiol0.03mganddrospirenone3mg[21yellowactive
Solution,topical:2%(60mL)[BCF]
tabletsand7whiteinactivetablets](28s)[BCF]
Escitalopram Yaz®:Ethinylestradiol0.02mganddrospirenone3mg[24lightpinkactive
OutpatientDosageForms tabletsand4whiteinactivetablets](28s)[BCF]
Tablet,Oral:
EthinylEstradiolandEtonogestrel
Generic:10mg,20mg
OutpatientDosageForms
EstradiolandLevonorgestrel Ring,vaginal:
OutpatientDosageForms NuvaRing®: Ethinyl estradiol 0.015mg/day and etonogestrel 0.12mg/day
Patch,transdermal: (3s)[3-weekduration]
ClimaraPro®:Estradiol0.045mgandlevonorgestrel0.015mgper24hours
EthinylEstradiolandLevonorgestrel
(4s)[22cm2;containsestradiol4.4mgandlevonorgestrel1.39mg]
OutpatientDosageForms
Estradiol(Systemic) Tablet,Oral[extendedcycleregimen]:
OutpatientDosageForms Jolessa:Ethinylestradiol0.03mgandlevonorgestrel0.15mg(91s)[84pink
PatchWeekly,Transdermal: tabletsand7whiteinactivetablets][BCF]
Alora:0.025mg/24hr(1ea);0.05mg/24hr(8ea);0.075mg/24hr(8ea); Tablet,oral[lowdoseformulation]:
0.1mg/24hr(8ea) Lutera:Ethinylestradiol0.02mgandlevonorgestrel0.1mg(28s)[21white
Generic:0.025mg/24hours(4ea)[BCF];0.0375mg/24hours(4ea)[BCF]; tabletsand7peachinactivetablets][BCF]
0.05mg/24hours(4ea)[BCF];0.06mg/24hours(4ea)[BCF];0.075mg/24 Tablet,oral[monophasicformulation]:
hours(4ea)[BCF];0.1mg/24hours(4ea)[BCF] Nordette28:Ethinylestradiol0.03mgandlevonorgestrel0.15mg(28s)[21
Tablet,Oral: lightorangetabletsand7pinkinactivetablets][BCF]
Generic:1mg,2mg Tablet,oral[triphasicformulation]:
Trivora:
Estradiol(Topical)
Day 1-6: Ethinyl estradiol 0.03mg and levonorgestrel 0.05mg [6 blue
OutpatientDosageForms tablets]
Tablet,Vaginal,asbase: Day 7-11: Ethinyl estradiol 0.04mg and levonorgestrel 0.075mg [5 white
Generic:10mcg tablets]
Day12-21:Ethinylestradiol0.03mgandlevonorgestrel0.125mg[10pink
Estrogens(Conjugated/Equine)andMedroxyprogesterone
tablets]
OutpatientDosageForms
Day22-28:7peachinactivetablets(28s)
Tablet,oral:
Prempro®:0.3/1.5:Conjugatedestrogens0.3mgandmedroxyprogesterone EthinylEstradiolandNorelgestromin
acetate1.5mg[BCF] OutpatientDosageForms
Prempro®:0.45/1.5:Conjugatedestrogens0.45mgandmedroxyprogester- Patch,transdermal:
oneacetate1.5mg[BCF] Xulane: Ethinyl estradiol 0.53mg and norelgestromin 4.86mg [releases
Prempro®:0.625/2.5:Conjugatedestrogens0.625mgandmedroxyproges- ethinylestradiol35mcgandnorelgestromin150mcgperday](3s)
teroneacetate2.5mg[BCF]
Prempro®:0.625/5:Conjugatedestrogens0.625mgandmedroxyprogester- EthinylEstradiolandNorethindrone
oneacetate5mg[BCF] OutpatientDosageForms
Tablet,oral:
Estrogens(Conjugated/Equine,Systemic)
femhrt® 1/5: Ethinyl estradiol 0.005mg and norethindrone acetate 1mg
OutpatientDosageForms [whitetablets](28s)
Tablet,oral: Tablet,oral[monophasicformulation]:
Premarin®:0.3mg[BCF],0.45mg[BCF],0.625mg[BCF],1.25mg[BCF] Loestrin® Fe 1.5/30: Ethinyl estradiol 0.03mg and norethindrone acetate
Estrogens(Conjugated/Equine,Topical) 1.5mg[21pinktablets]andferrousfumarate75mg[7browntablets](28s)
Microgestin Fe 1/20: Ethinyl estradiol 0.02mg and norethindrone acetate
OutpatientDosageForms
1mg[21whitetablets]andferrousfumarate75mg[7browntablets](28s)
Cream,vaginal:
Norinyl®1+35:Ethinylestradiol0.035mgandnorethindrone1mg(28s)[21
Premarin®:0.625mg/g(30g)[BCF]
yellow-greentabletsand7orangeinactivetablets][BCF]
Estrogens(Esterified)andMethyltestosterone Tablet,oral[triphasicformulation]:
OutpatientDosageForms Necon®7/7/7:
Tablet, oral: Esterified estrogen 0.625mg and methyltestosterone 1.25mg; Day 1-7: Ethinyl estradiol 0.035mg and norethindrone 0.5mg [7 white
esterifiedestrogens1.25mgandmethyltestosterone2.5mg tablets]
Day 8-14: Ethinyl estradiol 0.035mg and norethindrone 0.75mg [7 light
Eszopiclone peachtablets]
OutpatientDosageForms Day 15-21: Ethinyl estradiol 0.035mg and norethindrone 1mg [7 peach
Tablet,oral: tablets]
Generic:1mg,2mg,3mg Day22-28:7greeninactivetablets(28s)
6
GABAPENTIN
Ortho-Novum®7/7/7: Fluconazole
Day 1-7: Ethinyl estradiol 0.035mg and norethindrone 0.5mg [7 white OutpatientDosageForms
tablets] Tablet,Oral:
Day 8-14: Ethinyl estradiol 0.035mg and norethindrone 0.75mg [7 light
Generic:100mg,150mg[BCF],200mg
peachtablets]
Day 15-21: Ethinyl estradiol 0.035mg and norethindrone 1mg [7 peach Flunisolide(Nasal)
tablets] OutpatientDosageForms
Day22-28:7greeninactivetablets(28s) Solution,intranasal[spray]:25mcg/actuation(25mL)
EthinylEstradiolandNorgestimate Fluocinonide
OutpatientDosageForms OutpatientDosageForms
Tablet,oral[monophasicformulation]:
Cream,anhydrous,emollient,topical:0.05%(15g,60g)[BCF]
MonoNessa®:Ethinylestradiol0.035mgandnorgestimate0.25mg[21blue
Ointment,topical:0.05%(60g)
tabletsand7greeninactivetablets][BCF]
Ortho-Cyclen®:Ethinylestradiol0.035mgandnorgestimate0.25mg[21blue Fluoride
tabletsand7darkgreeninactivetablets](28s)[BCF] OutpatientDosageForms
Tablet,oral[triphasicformulation]: Cream,oral,assodium[toothpaste]:1.1%(51g)[equivalenttofluoride2.5mg/
OrthoTri-Cyclen®[BCF]:
dose]
Day 1-7: Ethinyl estradiol 0.035mg and norgestimate 0.18mg [7 white
tablets] Fluorometholone
Day8-14:Ethinylestradiol0.035mgandnorgestimate0.215mg[7lightblue OutpatientDosageForms
tablets] Suspension,ophthalmic,asbase[drops]:0.1%(5mL)
Day 15-21: Ethinyl estradiol 0.035mg and norgestimate 0.25mg [7 blue
tablets] Fluorouracil(Topical)
Day22-28:7darkgreeninactivetablets(28s) OutpatientDosageForms
OrthoTri-Cyclen®Lo[BCF]: Cream,External:
Day 1-7: Ethinyl estradiol 0.025mg and norgestimate 0.18mg [7 white Carac:0.5%(30g)
tablets] Generic:5%(40g)
Day8-14:Ethinylestradiol0.025mgandnorgestimate0.215mg[7lightblue
tablets] FLUoxetine
Day 15-21: Ethinyl estradiol 0.025mg and norgestimate 0.25mg [7 dark OutpatientDosageForms
bluetablets] Capsule,Oral:
Day22-28:7darkgreeninactivetablets Generic:10mg[BCF],20mg[BCF],40mg[BCF]
TriNessa®[BCF]: Solution,Oral:
Day 1-7: Ethinyl estradiol 0.035mg and norgestimate 0.18mg [7 white Generic:20mg/5mL(120mL)[BCF]
tablets]
Day8-14:Ethinylestradiol0.035mgandnorgestimate0.215mg[7lightblue Flurbiprofen(Ophthalmic)
tablets] OutpatientDosageForms
Day 15-21: Ethinyl estradiol 0.035mg and norgestimate 0.25mg [7 blue Solution,ophthalmic,assodium:0.03%(2.5mL)
tablets]
Day22-28:7greeninactivetablets FluticasoneandSalmeterol
OutpatientDosageForms
EthinylEstradiolandNorgestrel
Aerosol,fororalinhalation:
OutpatientDosageForms
Advair® HFA: 45/21 [backordered]: Fluticasone propionate 45 mcg and
Tablet,oral[monophasicformulation]:Ethinylestradiol0.03mgandnorgestrel
salmeterol 21 mcg per inhalation (12g) [chlorofluorocarbon free; 120
0.3mg[21tabletsand7inactivetablets](28s)
meteredactuations][BCF]
Etodolac Advair®HFA:115/21:Fluticasonepropionate115mcgandsalmeterol21mcg
OutpatientDosageForms perinhalation(12g)[chlorofluorocarbonfree;120meteredactuations][BCF]
Tablet,oral:400mg Advair®HFA:230/21:Fluticasonepropionate230mcgandsalmeterol21mcg
perinhalation(12g)[chlorofluorocarbonfree;120meteredactuations][BCF]
Exenatide Powder,fororalinhalation:
OutpatientDosageForms AdvairDiskus®:100/50:Fluticasonepropionate100mcgandsalmeterol50
Pen-injector,Subcutaneous: mcg(60s)[containslactose][BCF]
Bydureon:2mg(1ea)[BCF] AdvairDiskus®:250/50:Fluticasonepropionate250mcgandsalmeterol50
SuspensionReconstituted,Subcutaneous: mcg(60s)[containslactose][BCF]
Bydureon:2mg(1ea)[BCF] AdvairDiskus®:500/50:Fluticasonepropionate500mcgandsalmeterol50
mcg(60s)[containslactose][BCF]
Ezetimibe
OutpatientDosageForms Fluticasone(Nasal)
Tablet,oral: OutpatientDosageForms
Zetia®:10mg Suspension,intranasal,aspropionate[spray]:50mcg/inhalation(16g)[BCF]
Felodipine Fluticasone(OralInhalation)
OutpatientDosageForms OutpatientDosageForms
Tablet,extendedrelease,oral:2.5mg,5mg,10mg Aerosol,fororalinhalation,aspropionate:
Flovent® HFA: 44 mcg/inhalation (10.6g) [chlorofluorocarbon free; 120
FenofibrateandDerivatives
meteredactuations][BCF]
OutpatientDosageForms
Flovent® HFA: 110 mcg/inhalation (12g) [chlorofluorocarbon free; 120
Tablet,oral:48mg[BCF],54mg,145mg[BCF],160mg
meteredactuations][BCF]
FentaNYL Flovent® HFA: 220 mcg/inhalation (12g) [chlorofluorocarbon free; 120
OutpatientDosageForms meteredactuations][BCF]
Patch,transdermal,asbase: Powder,fororalinhalation,aspropionate:
Generic: 12 [delivers 12.5 mcg/hr] (5s); 25 [delivers 25 mcg/hr] (5s); 50 Flovent®Diskus®:50mcg(60s)[containslactose][BCF]
[delivers 50 mcg/hr] (5s); 75 [delivers 75 mcg/hr] (5s); 100 [delivers 100 Flovent®Diskus®:100mcg(60s)[containslactose][BCF]
mcg/hr](5s) Flovent®Diskus®:250mcg(60s)[containslactose][BCF]
FerrousSulfate FolicAcid
OutpatientDosageForms OutpatientDosageForms
Liquid,oral[drops]:75mg/0.6mL Tablet,oral:1mg[BCF]
Tablet,oral:325mg[elementaliron65mg]
Furosemide
Fexofenadine OutpatientDosageForms
OutpatientDosageForms Tablet,oral:20mg[BCF],40mg[BCF]
Tablet,oral,ashydrochloride:60mg,180mg
Gabapentin
Finasteride OutpatientDosageForms
OutpatientDosageForms Capsule,oral:100mg[BCF],300mg[BCF],400mg[BCF]
Tablet,oral:5mg[BCF] Tablet,oral:600mg[BCF]
7
GEMFIBROZIL
Gemfibrozil HydrochlorothiazideandTriamterene
OutpatientDosageForms OutpatientDosageForms
Tablet,oral:600mg[BCF] Tablet,oral:
Hydrochlorothiazide25mgandtriamterene37.5mg[BCF]
Gentamicin(Ophthalmic)
Hydrochlorothiazide50mgandtriamterene75mg[BCF]
OutpatientDosageForms
Ointment,ophthalmic: HydrocodoneandAcetaminophen
Gentak®:0.3%(3.5g)[BCF] OutpatientDosageForms
Solution,ophthalmic[drops]:0.3%(5mL)[BCF] Tablet,Oral:
Glimepiride Hydrocodonebitartrate5mgandacetaminophen325mg
OutpatientDosageForms Hydrocodonebitartrate7.5mgandacetaminophen325mg
Hydrocodonebitartrate10mgandacetaminophen325mg
Tablet,oral:1mg,2mg,4mg
GlipiZIDE HydrocodoneandChlorpheniramine
OutpatientDosageForms OutpatientDosageForms
Tablet,oral:5mg[BCF],10mg[BCF] Suspension, extended release, oral: Hydrocodone polistirex [equivalent to
Tablet,extendedrelease,oral:2.5mg,5mg,10mg hydrocodonebitartrate10mg]andchlorpheniraminepolistirex[equivalentto
chlorpheniraminemaleate8mg]per5mL(118mL)
Glucagon
OutpatientDosageForms Hydrocortisone(Topical)
Kit,Injection: OutpatientDosageForms
GlucagonEmergency:1mg Cream,topical,asacetate[strengthexpressedasbase]:1%(30g)
Cream,topical,asbase:2.5%(30g)
GlyBURIDE
Proctozone-HC2.5%™:2.5%(30g)[BCF]
OutpatientDosageForms
Cream,topical,asvalerate:0.2%(15g)
Tablet,oral:5mg[BCF] Ointment,topical,asbase:2.5%(20g)
Tablet,oral[micronized]:3mg[BCF]
Suppository,rectal,asacetate:25mg(12s)[BCF]
GlyburideandMetformin
Hydroquinone
OutpatientDosageForms
OutpatientDosageForms
Tablet, oral: 2.5mg/500mg: Glyburide 2.5mg and metformin hydrochloride
Cream,External:
500mg;5mg/500mg:5mg/500mg:Glyburide5mgandmetforminhydro-
Generic:4%(28.35g)
chloride500mg
Hydroxychloroquine
Goserelin
OutpatientDosageForms
OutpatientDosageForms
Tablet,oral,assulfate:200mg[equivalentto155mgbase]
Implant,subcutaneous:
Zoladex®:3.6mg(1s)[1monthimplant][BCF] HydrOXYzine
Zoladex®:10.8mg(1s)[3monthimplant][BCF]
OutpatientDosageForms
Griseofulvin Syrup,oral,ashydrochloride:10mg/5mL(118mL)[BCF]
OutpatientDosageForms Tablet,oral,ashydrochloride:10mg[BCF],25mg[BCF],50mg
Suspension,oral[microsize]:125mg/5mL(120mL)[BCF] Hyoscyamine
Tablet,oral[ultramicrosize]:125mg[BCF]
OutpatientDosageForms
GuaiFENesin Tablet,Oral,assulfate:
OutpatientDosageForms Generic:0.125mg
Tablet,extendedrelease,oral: TabletExtendedRelease12Hour,Oral,assulfate:
Mucinex®:600mg Generic:0.375mg
TabletSublingual,Sublingual,assulfate:
GuaifenesinandCodeine
Generic:0.125mg
OutpatientDosageForms
Syrup,oral:Guaifenesin100mgandcodeinephosphate10mgper5mL(118 Hyoscyamine,Atropine,Scopolamine,andPhenobarbital
mL) OutpatientDosageForms
Tablet,Oral:
GuaifenesinandDextromethorphan
Donnatal:Hyoscyaminesulfate0.1037mg,atropinesulfate0.0194mg,sco-
OutpatientDosageForms
polaminehydrobromide0.0065mg,andphenobarbital16.2mg
Syrup,oral:Guaifenesin100mganddextromethorphanhydrobromide10mg
per5mL(120mL) Ibandronate
GuaifenesinandPseudoephedrine OutpatientDosageForms
OutpatientDosageForms Tablet,oral:150mg
Tablet,extendedrelease,oral: Ibuprofen
Mucinex®D:Guaifenesin600mgandpseudoephedrinehydrochloride60mg OutpatientDosageForms
GuanFACINE Suspension,oral:100mg/5mL(120mL)
OutpatientDosageForms Tablet,oral:400mg[BCF],600mg[BCF],800mg[BCF]
Tablet,Oral: Imipramine
Generic:1mg,2mg
OutpatientDosageForms
TabletExtendedRelease24Hour,Oral:
Tablet,oral,ashydrochloride:10mg[BCF],25mg[BCF],
Generic:1mg,2mg,3mg
Imiquimod
Halobetasol
OutpatientDosageForms
OutpatientDosageForms
Ointment,topical,aspropionate:0.05%(50g) Cream,topical:5%(24s)[0.25g/packet]
HydrALAZINE Indomethacin
OutpatientDosageForms OutpatientDosageForms
Tablet,oral,ashydrochloride:25mg[BCF] Capsule,oral:25mg[BCF],50mg[BCF]
HydroCHLOROthiazide InhalationDevices
OutpatientDosageForms OutpatientDosageForms
Capsule,oral: Holdingchamber:
Generic:12.5mg[BCF] AceAerosolCloudEnhancer
Tablet,oral: Holdingchamberwithmask:
Generic:25mg[BCF],50mg[BCF] EasiVent:Medium
8
LISINOPRILANDHYDROCHLOROTHIAZIDE
Ketorolac(Ophthalmic)
OutpatientDosageForms
InsulinAspart Solution,Ophthalmic,astromethamine:
OutpatientDosageForms Generic:0.4%(5mL)
Injection,solution:
Ketotifen(Ophthalmic)
NovoLOG®:100units/mL(10mL)[vial][BCF]
NovoLOG®FlexPen®:100units/mL(3mL)[BCF] OutpatientDosageForms
NovoLOG®Penfill®:100units/mL(3mL)[cartridge][BCF] Solution,ophthalmic[drops]:0.025%(5mL)
InsulinAspartProtamineandInsulinAspart Labetalol
OutpatientDosageForms
OutpatientDosageForms
Tablet,Oral,ashydrochloride:
Injection,suspension:
Generic:100mg,200mg
NovoLOG Mix 70/30 FlexPen®: Insulin aspart protamine suspension 70%
[intermediateacting]andinsulinaspartsolution30%[rapidacting]:100units/ LacticAcidandAmmoniumHydroxide
mL(3mL) OutpatientDosageForms
InsulinGlargine Cream,topical:Lacticacid12%withammoniumhydroxide(140g)
Lotion,topical:Lacticacid12%withammoniumhydroxide(225g)
OutpatientDosageForms
Injection,solution: Lactulose
Lantus®:100units/mL(10mL)[vial][BCF] OutpatientDosageForms
Lantus®Solostar®:100units/mL(3mL)[prefilledpen][BCF] Solution,oral:10g/15mL(473mL)[BCF]
InsulinNPH LamoTRIgine
OutpatientDosageForms OutpatientDosageForms
Injection,suspension: Tablet,oral:25mg,100mg,150mg,200mg
NovoLIN®N:100units/mL(10mL)[vial][BCF]
Latanoprost
InsulinNPHandInsulinRegular OutpatientDosageForms
OutpatientDosageForms Solution,ophthalmic[drops]:0.005%(2.5mL)[BCF]
Injection,suspension:
Leflunomide
NovoLIN® 70/30: Insulin NPH suspension 70% [intermediate acting] and
OutpatientDosageForms
insulinregularsolution30%[shortacting]:100units/mL(10mL)[vial][BCF]
Tablet,Oral:
InsulinRegular Generic:10mg,20mg
OutpatientDosageForms
Letrozole
Injection,solution:
OutpatientDosageForms
NovoLIN®R:100units/mL(10mL)[BCF]
Tablet,Oral:
IpratropiumandAlbuterol Generic:2.5mg
OutpatientDosageForms LevETIRAcetam
Solution, for nebulization: Ipratropium bromide 0.5mg and albuterol (base) OutpatientDosageForms
2.5mgper3mL(60s) Tablet,Oral:
Solution,fororalinhalation[spray]: Generic:250mg,500mg,750mg,1000mg
Combivent® Respimat®: Ipratropium bromide 20 mcg and albuterol (base)
100mcgperinhalation(4g)[containsbenzalkoniumchloride;120metered LevoFLOXacin(Systemic)
actuations] OutpatientDosageForms
Tablet,oral:250mg[BCF],500mg[BCF],750mg[BCF]
Ipratropium(Nasal)
OutpatientDosageForms Levonorgestrel(Systemic)
Solution,intranasal,asbromide[spray]:0.03%(30mL) OutpatientDosageForms
Tablet,Oral:
Ipratropium(OralInhalation) Generic:1.5mg
OutpatientDosageForms
Levothyroxine
Aerosol,fororalinhalation,asbromide:
Atrovent® HFA: 17 mcg/actuation (12.9g) [chlorofluorocarbon free; 200 OutpatientDosageForms
meteredactuations][BCF] Tablet,oral,assodium:
Solution,fornebulization,asbromide[preservativefree]:0.02%[500mcg/2.5 Synthroid®:25mcg[BCF],50mcg[BCF],75mcg[BCF],88mcg[BCF],100
mL](30s) mcg [BCF], 112 mcg [BCF], 125 mcg [BCF], 137 mcg [BCF], 150 mcg
[BCF],175mcg[BCF],200mcg[BCF]
Isoniazid
Lidocaine(Topical)
OutpatientDosageForms
OutpatientDosageForms
Tablet,oral:300mg[BCF]
Jelly,topical,ashydrochloride:
IsosorbideDinitrate Generic:2%(30mL)
OutpatientDosageForms Solution,viscous,oraltopical,ashydrochloride:
Generic:2%[20mg/mL](100mL)
Tablet,oral:10mg[BCF]
Patch,External:
Tablet,extendedrelease,oral:40mg[BCF]
Generic:5%(30ea)
IsosorbideMononitrate
Linaclotide
OutpatientDosageForms
OutpatientDosageForms
Tablet,extendedrelease,oral:30mg[BCF],60mg[BCF]
Capsule,Oral:Linzess:145mcg,290mcg
ISOtretinoin
Liothyronine
OutpatientDosageForms
OutpatientDosageForms
Capsule,Oral:
Tablet,Oral:
Amnesteem:10mg,20mg,40mg[containssoybeanoil] Generic:5mcg,25mcg
Claravis:30mg[musthaveiPledgenumber]
Lisinopril
Ketoconazole(Systemic)
OutpatientDosageForms
OutpatientDosageForms Tablet,oral:5mg[BCF],10mg[BCF],20mg[BCF],40mg[BCF]
Tablet,Oral:
Generic:200mg LisinoprilandHydrochlorothiazide
OutpatientDosageForms
Ketoconazole(Topical)
Tablet,oral:
OutpatientDosageForms 10/12.5:Lisinopril10mgandhydrochlorothiazide12.5mg[BCF]
Cream,topical:2%(30g) 20/12.5:Lisinopril20mgandhydrochlorothiazide12.5mg[BCF]
Shampoo,topical:2%(120mL) 20/25:Lisinopril20mgandhydrochlorothiazide25mg[BCF]
9
LITHIUM
Lithium Methocarbamol
OutpatientDosageForms OutpatientDosageForms
Capsule,Oral,ascarbonate: Tablet,oral:
Generic:150mg[BCF],300mg[BCF] Generic:500mg[BCF],750mg
TabletExtendedRelease,Oral,ascarbonate:
Methotrexate
Generic:300mg,450mg
OutpatientDosageForms
Loperamide Solution,Injection:
OutpatientDosageForms Generic:50mg/2mL(2mL)
Capsule,oral,ashydrochloride:2mg[BCF] Tablet,oral:
Generic:2.5mg[BCF]
Loratadine
Methylphenidate
OutpatientDosageForms
Solution,Oral: OutpatientDosageForms
LoratadineChildrens:5mg/5mL Capsule,extendedrelease,oral,ashydrochloride[bi-modalrelease]:
Tablet,Oral: RitalinLA:20mg[10mgimmediaterelease,10mgextendedrelease][BCF]
Generic:10mg Generic:20mg[BCF]
Tablet,oral,ashydrochloride:
LORazepam Generic:5mg[BCF],10mg[BCF]
OutpatientDosageForms Tablet,extendedrelease,oral,ashydrochloride[bi-modalrelease]:
Tablet,oral:0.5mg,1mg Concerta:18mg[4mgimmediaterelease,14mgextendedrelease][BCF]
Concerta:27mg[6mgimmediaterelease,21mgextendedrelease][BCF]
Losartan Concerta:36mg[8mgimmediaterelease,28mgextendedrelease][BCF]
OutpatientDosageForms Concerta:54mg[12mgimmediaterelease,42mgextendedrelease][BCF]
Tablet,oral,aspotassium:25mg[BCF],50mg[BCF],100mg[BCF] Generic:18mg[BCF],27mg[BCF],36mg[BCF],54mg[BCF]
LosartanandHydrochlorothiazide MethylPREDNISolone
OutpatientDosageForms OutpatientDosageForms
Tablet,oral: Tablet,Oral:
50/12.5:Losartanpotassium50mgandhydrochlorothiazide12.5mg[BCF] Generic:4mg
100/12.5: Losartan potassium 100 mg and hydrochlorothiazide TabletTherapyPack,Oral:
12.5mg[BCF] Generic:4mg(21ea)
100/25:Losartanpotassium100mgandhydrochlorothiazide25mg[BCF]
Metoclopramide
Loteprednol OutpatientDosageForms
OutpatientDosageForms Tablet,oral:10mg[BCF]
Gel,ophthalmic,asetabonate: MetOLazone
Lotemax®: 0.5% (5g) [contains benzalkonium chloride, edetate disodium
OutpatientDosageForms
dihydrate,propyleneglycol]
Tablet,oral:2.5mg
Lubiprostone
Metoprolol
OutpatientDosageForms
OutpatientDosageForms
Capsule,Oral:
Tablet,oral,astartrate:25mg[BCF],50mg[BCF],100mg[BCF]
Amitiza:8mcg,24mcg
Tablet, extended release, oral, as succinate [expressed as mg equivalent to
MagnesiumCitrate tartrate]:25mg[BCF],50mg[BCF],100mg[BCF]
OutpatientDosageForms MetroNIDAZOLE(Systemic)
Solution,oral:290mg/5mL(296mL) OutpatientDosageForms
Meclizine Tablet,oral:
Generic:250mg[BCF];500mg[BCF]
OutpatientDosageForms
Tablet,oral,ashydrochloride:25mg MetroNIDAZOLE(Topical)
MedroxyPROGESTERone OutpatientDosageForms
Cream,External:
OutpatientDosageForms
Generic:0.75%(45g)
Tablet,oral,asacetate:2.5mg[BCF],10mg[BCF]
Gel,External:
Meloxicam MetroGel:1%(60g)
OutpatientDosageForms Gel,Vaginal:
Tablet,oral:7.5mg[BCF],15mg[BCF] Generic:0.75%(70g)[BCF]
Memantine Miconazole(Topical)
OutpatientDosageForms
OutpatientDosageForms
Cream,vaginal,asnitrate:2%(45g)
Tablet,oral,ashydrochloride:
Namenda:5mg,10mg Minocycline
Mesalamine OutpatientDosageForms
Capsule,oral:100mg
OutpatientDosageForms
CapsuleDelayedRelease,Oral: Mirabegron
Delzicol:400mg OutpatientDosageForms
TabletDelayedRelease,Oral: TabletExtendedRelease24Hour,Oral:
Lialda:1.2g[BCF] Myrbetriq:25mg,50mg
Metaxalone Mirtazapine
OutpatientDosageForms OutpatientDosageForms
Tablet,oral:800mg Tablet,oral:15mg,30mg
MetFORMIN Modafinil
OutpatientDosageForms OutpatientDosageForms
Tablet,oral,ashydrochloride:500mg[BCF],850mg[BCF],1000mg[BCF] Tablet,Oral:
Tablet,extendedrelease,oral,ashydrochloride:500mg[BCF],750mg[BCF] Generic:100mg,200mg
MethIMAzole Mometasone(Topical)
OutpatientDosageForms OutpatientDosageForms
Tablet,Oral: Cream,External,asfuroate:
Generic:10mg Generic:0.1%(45g)
10