NVIH Formulary

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This document defines the medications included on the Northern Valley Indian Health (NVIH) CHS formulary. The formulary lists the medications which are covered for those Native American patients who have no other payment source and obtain their medications at the expense of NVIH. Coverage of specific medications on this formulary will change over time with some medications being added and others excluded. The decisions regarding which medications are covered will be made by the Pharmacy and Therapeutics Committee.

If a patient or a provider wishes to request that a medication be paid for by NVIH CHS funds and that medication is not included on the formulary, the request should be made to the CHS committee. The CHS committee has the authority to grant exceptions to the limitations of the formulary. Requests that medications be added to the formulary should be made to the Pharmacy and Therapeutics Committee.

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Generic Name Brand Name Category Sub Category Comments
salsalate 500mg tablets - None - none - none
acyclovir 800mg Zovirax abx viral
cefaclor 250mg capsule Chlor-Trimetron abx ceph2
cephalexin 250mg capsules Keflex abx ceph1
amoxicillin 500mg capsules Trimox abx pcn
azithromycin 500mg tablets Zithromax abx macrolides
metronidazole 250mg tablets Flagyl abx other
minocycline 50mg capsules Minocin, Solodyn abx tetracyclines
isoniazid 300mg tablets - None abx anti-TB
nitrofurantoin 50mg caps Macrobid abx other
rifampin 300mg - None abx anti-TB
sulfamethoxazole/trimethoprim DS Bactrim, Septra abx - none
penicillin VK 250mg tablets - None abx pcn
tetracycline 500mg capsules - None abx tetracyclines
doxycycline 100mg tablets Vibramycin abx tetracyclines
erythromycin base 250mg tablets EC Ery-Tab abx macrolides
acyclovir 200mg Zovirax abx viral
cefaclor 250mg capsule - None abx ceph2
cephalexin 500mg capsules Keflex abx ceph1
amoxicillin 125mg/5ml Susp Trimox abx pcn
amoxicillin/clavulanate 200mg/5ml Suspension Augmentin abx pcn/lactam
clindamycin HCl 150mg capsules Cleocin abx other
bacitracin Topical Ointment - None abx topical
metronidazole 500mg tablets Flagyl abx other
neomycin/Polymyxin/HC otic suspension Cortisporin Otic abx other
levofloxacin 500mg tablets Levaquin abx fluroq restricted to pneumonia
nitrofurantoin 100mg caps Macrobid abx other
sulfamethoxazole/trimethoprim susp Bactrim, Septra abx - none
penicillin VK 500mg tablets - None abx pcn
erythromycin base 500mg tablets Ery-Tab abx macrolides
acyclovir 400mg Zovirax abx viral
cefaclor 500mg capsule - None abx ceph2
cephalexin 250mg/5ml suspension Keflex abx ceph1
amoxicillin 250mg capsules Trimox abx pcn
amoxicillin/clavulanate 400/57mg chewable tablet Augmentin abx pcn/lactam
azithromycin 200mg/5ml. Susp. Zithromax abx macrolides
mebendazole 100 chewable tablet - None abx anti-parasitic
fluconazole 150mg tablets Diflucan abx antifungal
dapsone 100mg tablets - None abx anti-TB
dicloxacillin 250mg capsules - None abx pcn
penicillin VK 250mg/5ml suspension - None abx pcn
amantadine 100mg capsules Symmetrel abx viral
ceftriaxone 1Gm. Vial Rocephin abx ceph3 in-house severe infection
amoxicillin 250mg/5ml Susp Trimox abx pcn
ciprofloxacin 500mg tablets Cipro abx fluroq
amoxicillin/clavulanate 875/125mg tablets Augmentin abx pcn/lactam
clarithromycin 500mg tablet Biaxin abx other only for H. pylori treatment
azithromycin 250mg tablets Zithromax abx macrolides
minocycline 100mg capsules Minocin, Solodyn abx tetracyclines
nitrofurantoin 50mg caps Macrobid abx other
dicloxacillin 500mg capsules - None abx pcn
tetracycline 250mg capsules - None abx tetracyclines
erythromycin 200mg/5ml suspension - None abx macrolides
erythromycin/sulfisoxazole 200/600 susp Pediazole abx macrolides
cetirizine 1mg/1ml syrup Zyrtec allergy h1-blocker
montelukast 10mg tablet Singular allergy leukotriene Step therapy required
loratidine 1mg/ml Claritin allergy h1-blocker
hydroxyzine HCl 10mg tablets Atarax, Vistaril allergy h1-blocker
chlorpheniramine 4mg tablets Chlor-Trimetron allergy h1-blocker
montelukast 5mg chewable tablet Singular allergy leukotriene Step therapy required
loratidine 10mg tablets Claritin allergy h1-blocker
fluticasone 50mcg nasal spray Flonase allergy steriod
hydroxyzine HCl 25mg tablets Atarax, Vistaril allergy h1-blocker
epinephrine 0.15mg syringe EpiPen Jr. allergy - none
chlorpheniramine 8mg SA capsuless Chlor-Trimetron allergy h1-blocker
montelukast 4mg chewable tablet Singular allergy leukotriene Step therapy required
diphenhydramine 12.5mg/5ml Elixir Benadryl allergy h1-blocker
epinephrine 0.3mg syringe EpiPen allergy - none
cetirizine 10mg tablets Zyrtec allergy h1-blocker
hydroxyzine 10mg/5ml Syrup Atarax, Vistaril allergy h1-blocker
diphenhydramine 25mg capsules Benadryl allergy h1-blocker
benazepril 5mg tablets Lotensin card ace
carvedilol 12.5mg Coreg card b-blocker
amiodarone 200 tablet Cordarone, Pacerone card anti-arrhythmics
amlodipine 5mg tablets Norvasc card ccb
atenolol 25mg tablets Tenormin card b-blocker
isosorbide mononitrate 60mg ER tablets Imdur card nitrate
nitroglycerin 0.4mg/hr patches - None card other
lisinopril 40mg tablets Zestril/Prinivil card ace
losartan 100mg Cozaar card arb
propranolol 40mg tablets Inderal card b-blocker
diltiazem 180mg SR capsules Tiazac, Cardizem card ccb
diltiazem 60mg tablets Tiazac, Cardizem card ccb
telmisartan 80mg Micardis card arb step therapy
doxazosin 1mg Cardura card a-blocker
terazosin 1mg capsules Hytrin card a-blocker
enalapril 20mg tablets Vasotec card ace
verapamil 120mg CR tablets Calan card ccb
prazosin 5mg capsules Minipress card a-blocker
benazepril 10mg tablets Lotensin card ace
carvedilol 25mg Coreg card b-blocker
atenolol 50mg tablets Tenormin card b-blocker
metoprolol 100mg tablets Lopressor, Toprol card b-blocker
isosorbide dinitrate 10mg tablets Isordil card nitrate
nifedipine SR 30mg tablets Procardia, Adalat card ccb
nitroglycerin 0.6mg/hr patches - None card other
lisinopril 10mg tablets Zestril/Prinivil card ace
lisinopril 5mg tablets Zestril/Prinivil card ace
losartan 25mg Cozaar card arb
fish oil - None card - none
propranolol 80mg tablets Inderal card b-blocker
clonidine HCl 0.1mg tablets Catapress card a-blocker
digoxin 125mcg tablets Lanoxin card anti-arrhythmics
diltiazem 240mg SR capsules Tiazac, Cardizem card ccb
diltiazem 90mg SR capsules Tiazac, Cardizem card ccb
doxazosin 2mg Cardura card a-blocker
terazosin 2mg capsules Hytrin card a-blocker
enalapril 2.5mg tablets Vasotec card ace
verapamil 180mg CR tablets Calan card ccb
benazepril 20mg tablets Lotensin card ace
captopril 25mg tablets Capoten card ace
carvedilol 3.125mg Coreg card b-blocker
amlodipine 10mg tablets Norvasc card ccb
metoprolol 50mg tablets Lopressor, Toprol card b-blocker
isosorbide mononitrate 120mg ER tablets Imdur card nitrate
nifedipine SR 60mg tablets Procardia, Adalat card ccb
nitroglycerin 0.2mg/hr patches - None card other
lisinopril 20mg tablets Zestril/Prinivil card ace
losartan 50mg Cozaar card arb
propranolol 10mg tablets Inderal card b-blocker
clonidine HCl 0.2mg tablets Catapress card a-blocker
digoxin 250mcg tablets Lanoxin card anti-arrhythmics
diltiazem 300mg SR capsules Tiazac, Cardizem card ccb
doxazosin 4mg Cardura card a-blocker
terazosin 5mg capsules Hytrin card a-blocker
enalapril 5mg tablets Vasotec card ace
prazosin 1mg capsules Minipress card a-blocker
verapamil 240mg CR tablets Calan card ccb
benazepril 40mg tablets Lotensin card ace
captopril 50mg tablets Capoten card ace
carvedilol 6.25mg Coreg card b-blocker
amlodipine 2.5mg tablets Norvasc card ccb
atenolol 100mg tablets Tenormin card b-blocker
metoprolol 25mg tablets Lopressor, Toprol card b-blocker
isosorbide mononitrate 30mg ER tablets Imdur card nitrate
nitroglycerin 0.4mg Sublingual tablets Nitrostat, Nitroquick card other
lisinopril 30mg tablets Zestril/Prinivil card ace
propranolol 20mg tablets Inderal card b-blocker
clonidine HCl 0.3mg tablets Catapress card a-blocker
diltiazem 120mg SR capsules Tiazac, Cardizem card ccb
diltiazem 360mg SR capsules Tiazac, Cardizem card ccb
telmisartan 40mg Micardis card arb step therapy
terazosin 10mg capsules Hytrin card a-blocker
doxazosin 8mg Cardura card a-blocker
enalapril 10mg tablets Vasotec card ace
prazosin 2mg capsules Minipress card a-blocker
verapamil 80mg tablets Calan card ccb
benzoyl peroxide topical 2.5% 60gm - None derm acne
clindamycin 1% Topical Solution Cleocin derm acne
clobetasol 0.05% cream 60gm Clobex derm steroid high
ketoconazole 2% shampoo Nizoral derm fungal
nystatin oral suspension 100,000U/gm Mycostatin derm fungal
exenatide 5mcg/0.02ml Byetta derm other
fluocinonide 0.05% cream Lidex, Vanos derm steroid
hydrocortisone 1% cream - None derm steriod
permethrin 1% rinse Nix derm anti-parasitic
benzoyl peroxide topical 10% 45gm - None derm acne
benzoyl peroxide topical 5% 60gm - None derm acne
capsaicin 0.25% cream Zostrix Cream derm - none
ketoconazole 2% cream 15gm Nizoral derm fungal
nystatin/triamcinolone cream 15gm Mycolog derm fungal
fluocinonide 0.05% ointment Lidex, Vanos derm steroid
clotrimazole 1% topical cream Lotrimin, Mycelex derm fungal
selenium sulfide shampoo 2.5% Selsun derm - none
silver sulfadiazine 1% cream 400gm - None derm abx
permethrin 5% rinse Elimite derm anti-parasitic
triple antibiotic ointment - None derm abx
benzoyl peroxide topical 10% 60gm - None derm acne
benzoyl peroxide topical 5% 90gm - None derm acne
clobetasol 0.05% cream 15gm Clobex derm steroid high
miconazole topical 2% cream - None derm fungal
neosporin ointment - None derm abx
ketoconazole 2% cream 30gm Nizoral derm fungal
nystatin cream 100,000U/gm Mycostatin derm fungal
nystatin/triamcinolone cream 30gm Mycolog derm fungal
fluocinonide 0.05% solution Lidex, Vanos derm steroid
clotrimazole 1% topical solution Lotrimin, Mycelex derm fungal
glimeprimide 2mg Amaryl derm sulfonourea
silver sulfadiazine 1% cream 50gm - None derm abx
triamcinolone 0.1% cream Kenalog derm steriod
benzoyl peroxide topical 10% 90gm - None derm acne
benzoyl peroxide topical 5% 45gm - None derm acne
clobetasol 0.05% cream 30gm Clobex derm steroid high
ketoconazole 2% cream 60gm Nizoral derm fungal
nystatin ointment 100,000U/gm Mycostatin derm fungal
nystatin/triamcinolone cream 45gm Mycolog derm fungal
exenatide 10mcg/0.04ml Byetta derm other
glimeprimide 4mg Amaryl derm sulfonourea
insulin human 70/30 100units/ml 10ml vial Novolin 70/30, Humulin 70/30 dm insulin
insulin human regular 100units/ml 10ml vial Novolin R, Humulin R dm insulin
insulin lispro protamine/lispro 75/25 10ml vial Humalog 75/25 dm insulin
glipizide 10mg Glucotrol dm sulfonourea
glipizide XL 10mg Glucotrol dm sulfonourea
glyburide 5mg tablets Diabeta, Micronase dm sulfonourea
insulin aspart protamine/aspart 70/30 3ml cartridge Novalog 70/30 dm insulin
insulin human 70/30 100units/ml 3ml cart Novolin 70/30, Humulin 70/30 dm insulin
insulin human regular 100units/ml 3ml cart Novolin R, Humulin R dm insulin
insulin lispro protamine/lispro 75/25 3ml syringes Humalog 75/25 dm insulin
metformin 1000mg tablets Glucophage dm - none
rosiglitazone 2mg tablets Avandia dm tgz
glipizide 5mg Glucotrol dm sulfonourea
glucagon 1mg Emergency Kit - None dm other
insulin aspart protamine/aspart 70/30 vial Novalog 70/30 dm insulin
pioglitazone 45mg Actos dm tgz
insulin glargine 100units/ml 10ml vial Lantus dm insulin
insulin human NPH 100units/ml 10ml vial Novolin N, Humulin N dm insulin
insulin lispro 100units/ml 10ml vial Humalog dm insulin
metformin 500mg tablets Glucophage dm - none
rosiglitazone 4mg tablets Avandia dm tgz
glipizide XL 2.5mg Glucotrol dm sulfonourea
glyburide 1.25mg tablets Diabeta, Micronase dm sulfonourea
insulin aspart 100unit/ml 10ml vial Novalog dm insulin
insulin detemir 100units/ml 10ml Levamir dm insulin
pioglitazone 30mg Actos dm tgz
insulin glargine 100units/ml 3ml cartridge Lantus dm insulin
insulin human NPH 100units/ml 3ml cart Novolin N, Humulin N dm insulin
insulin lispro 100units/ml 3ml cart Humalog dm insulin
metformin 850mg tablets Glucophage dm - none
rosiglitazone 8mg tablets Avandia dm tgz
glipizide XL 5mg Glucotrol dm sulfonourea
glyburide 2.5mg tablets Diabeta, Micronase dm sulfonourea
insulin aspart 100unit/ml 3ml cartridge Novalog dm insulin
pioglitazone 15mg Actos dm tgz
allopurinol 100mg - None endo - none
levothyroxine 125mcg tablets Synthroid endo - none
levothyroxine 200mcg tablets Synthroid endo - none
levothyroxine 88mcg tablets Synthroid endo - none
medroxyprogesterone 10mg Provera endo - none
methimazole 10mg Tapazole endo - none
ethinyl estradiol/norethindrone - 28 tablets Ortho-Novum endo ocp
prednisone 20mg tablets - None endo steriod
estradiol 1mg tablets Estrace endo hrt
allopurinol 300mg - None endo - none
levothyroxine 137mcg tablets Synthroid endo - none
levothyroxine 25mcg tablets Synthroid endo - none
medroxyprogesterone 5mg Provera endo - none
methimazole 5mg Tapazole endo - none
ethinyl estradiol/norgestrel tablets Lo/Ovral endo ocp
prednisone 50mg tablets - None endo steriod
estradiol 2mg tablets Estrace endo hrt
prednisolone 15mg/5ml soln PediaPred endo steriod
bromocriptine 2.5mg tablets Parlodel endo endo
levothyroxine 100mcg tablets Synthroid endo - none
levothyroxine 150mcg tablets Synthroid endo - none
levothyroxine 50mcg tablets Synthroid endo - none
medroxyprogesterone 2.5mg Provera endo - none
prednisone 5mg tablets - None endo steriod
estrogen, conjugated 0.625mg Premarin endo hrt
prednisone 10mg tablets - None endo steriod
alendronate 70mg tablets Fosamox endo - none
levothyroxine 112mcg tablets Synthroid endo - none
levothyroxine 175mcg tablets Synthroid endo - none
levothyroxine 75mcg tablets Synthroid endo - none
medroxyprogesterone acetate 150mg/ml injection Depo-Provera endo - none
prednisone 1mg tablets - None endo steriod
prednisone 5mg/5ml solution - None endo steriod
estrogen, conjugated 1.25mg Premarin endo hrt
guaifenex LA 600mg tablets - None ent - none
guaifenesin 100mg/5ml syrup - None ent - none
sodium Cl 0.04% nasal spray - None ent - none
pseudoephedrine 60mg tablets - None ent - none
guaifenesin DM cough syrup - None ent - none
pseudoephedrine syrup 30mg/5ml - None ent - none
guaifenesin/codeine expectorant - None ent - none
bisacodyl 10mg suppositories - None gi - none
mesalamine 400mg tablets Asacol gi - none
metoclopramide 10mg tablets Reglan gi - none
promethazine 50mg suppositories Phenergan gi - none
simethicone 80mg chew tablets Gas-EX gi - none
dicyclomine 20mg tablets Bentyl gi - none
diphenoxylate/atropine tablets Lomotil gi - none
bismuth subsalicylate chewable tablets Pepto Bismal gi - none
metoclopramide 5mg/5ml syrup Reglan gi - none
omeprazole 10mg capsules Prilosec gi ppi
famotidine 20mg Pepcid gi h2-blocker
promethazine 12.5mg suppositories Phenergan gi - none
promethazine/codeine syrup - None gi - none
ranitidine 150mg Zantac gi h2-blocker
sodium phosphate enema Fleets gi - none
hydrocortisone rectal 25mg suppositories Proctosol, Cortiform gi steriod
sucralfate 1gm tablets Carafate gi - none
alum/Mag/Simth 400/400/40mg Mylanta II gi - none
omeprazole 20mg capsules Prilosec gi ppi
promethazine 25mg tablet Phenergan gi - none
ranitidine 15mg/ml syrup Zantac gi h2-blocker
hyoscyamine Sulfate 0.125mg tablets Anaspaz, Levbid, Levbid gi - none
docusate sodium 100mg capsules Colace gi - none
bisacodyl 5mg EC tablets - None gi - none
loperimide 2mg capsules Immodium gi - none
promethazine 50mg tablet Phenergan gi - none
ranitidine 300mg Zantac gi h2-blocker
simethicone 40mg/0.6ml drops Mylicon Drops gi - none
docusate sodium 50mg/5ml liquid Colace gi - none
clotrimazole 1% vaginal cream Gyne-Lotrimin gyn fungal
aspirin 325mg enteric coated tablets - None heme anticoag
warfarin 3mg tablets Coumadin heme anticoag
warfarin 7.5mg tablets Coumadin heme anticoag
clopidogrel 75mg tablet Plavix heme anticoag
warfarin 10mg tablets Coumadin heme anticoag
aspirin 325mg tablets - None heme anticoag
warfarin 4mg tablets Coumadin heme anticoag
warfarin 1mg tablets Coumadin heme anticoag
aspirin 81mg enteric coated tablets - None heme anticoag
warfarin 2mg tablets Coumadin heme anticoag
warfarin 5mg tablets Coumadin heme anticoag
ferrous sulfate 325mg tablets - None heme - none
warfarin 2.5mg tablets Coumadin heme anticoag
warfarin 6mg tablets Coumadin heme anticoag
ferrous sulfate elixir 220mg/5ml - None heme - none
pentoxifylline 400mg SA tablets Trental heme - none
niacin 500mg tablets - None lipid - none
lovastatin 20mg tablets Mevacor lipid statin
simvastatin 80mg tablets Zocor lipid statin
pravastatin 20mg tablets Pravachol lipid statin
lovastatin 40mg tablets Mevacor lipid statin
simvastatin 10mg tablets Zocor lipid statin
pravastatin 40mg tablets Pravachol lipid statin
simvastatin 20mg tablets Zocor lipid statin
niacin 100mg tablets - None lipid - none
lovastatin 10mg tablets Mevacor lipid statin
gemfibrozil 600mg tablets Lopid lipid fibrate
simvastatin 40mg tablets Zocor lipid statin
pravastatin 10mg tablets Pravachol lipid statin
benztropine 0.5mg tablet Cogentin neuro - none
carbamazepine 100mg Chewable tablets Tegretol neuro seizure
carbidopa/levodopa 25/100 tablets Sinemet neuro - none
amphetamine/dextroamphetamine 10mg Adderall neuro stim
amphetamine/dextroamphetamine 30mg Adderall neuro stim
phenobarbital 30mg tablets - None neuro seizure
phenytoin 125mg/5ml suspension Dilantin neuro seizure
benztropine 1mg tablet Cogentin neuro - none
carbamazepine 100mg/5ml suspension Tegretol neuro seizure
carbidopa/levodopa 25/250 tablets Sinemet neuro - none
amphetamine/dextroamphetamine 12.5mg Adderall neuro stim
amphetamine/dextroamphetamine 5mg Adderall neuro stim
divalproex sodium 250mg EC tablets Depakote neuro seizure
phenobarbital 60mg tablets - None neuro seizure
benztropine 2mg tablet Cogentin neuro - none
butalbital/APAP/Caffeine 50/325/40mg tablet Fioricet neuro ha
carbamazepine 200mg tablets Tegretol neuro seizure
carbidopa/levodopa CR 25/250 tablets Sinemet neuro - none
amphetamine/dextroamphetamine 15mg Adderall neuro stim
amphetamine/dextroamphetamine 7.5mg Adderall neuro stim
ethosuximide 250mg - None neuro seizure
phenobarbital 20mg/5ml elixir - None neuro seizure
butalbital/APAP/Caffeine 50/500/40mg tablet Fioricet neuro ha
carbidopa/levodopa 10/100 tablets Sinemet neuro - none
amphetamine/dextroamphetamine 20mg Adderall neuro stim
meclizine 25mg tablets Antivert neuro - none
phenobarbital 100mg tablets - None neuro seizure
phenytoin 100mg capsules Dilantin neuro seizure
valproic acid 250mg capsule Depakote neuro seizure
naproxen 500mg tablets Naprosyn nsaid - none
ibuprofen 600mg tablets Motrin nsaid - none
piroxicam 20mg capsules Feldene nsaid - none
diclofenac Sodium 50mg EC tablets Voltaren nsaid - none
ibuprofen 800mg tablets Motrin nsaid - none
ibuprofen suspension 100mg/5ml Motrin nsaid - none
ibuprofen 400mg tablets Motrin nsaid - none
ofloxacin 0.3% ophtho solution Ocuflox ophtho abx
gentamicin 0.3% Ophth solution - None ophtho abx
gentamicin ophtho ointment - None ophtho abx
timolol 0.5% ophth Soln Betimol, Timoptic ophtho b-blocker
polymixin b/trimethoprim ophthal Polytrim ophtho abx
sulfacetamide 10% ophth oint - None ophtho abx
erythromycin ophtho ointment - None ophtho abx
artificial tears ophthalmic soln - None ophtho ophtho
sulfacetamide 10% ophth soln - None ophtho abx
acetaminophen 500mg tablets ES Tylenol pain - none
acetaminophen/Codeine Elixir 12.5mg/5ml - None pain narc
acetaminophen/hydrocodone 325/10 - None pain narc
acetaminophen Children's Drops 160mg/ml Children’s Tylenol pain - none
acetaminophen/hydrocodone 750/7.5 Vicodin pain narc
cyclobenzaprine 10mg tablets Flexeril pain other
acetaminophen 120mg suppositories Tylenol pain - none
acetaminophen Infant Drops 100mg/ml Infant Tylenol pain - none
baclofen 10mg tablets - None pain - none
methocarbamol 500mg tablets Robaxin pain - none
gabapentin 300 capsules Neurontin pain - none
tramadol 50mg tablets Ultram pain - none
acetaminophen 325mg tablets Tylenol pain - none
acetaminophen/Codeine 30mg - None pain narc
carisoprodol 350mg tablets Soma pain - none
baclofen 20mg tablets - None pain - none
acetaminophen/hydrocodone 325/5 - None pain narc
hydrocodone/APAP 5/500 tablets Vicodin pain narc
bupropion 150mg extended tablets Wellbutrin, Zyban psych - none
buspirone 5mg tablets Buspar psych - none
alprazolam 1mg Xanax psych benzo
amitriptyline HCl 50mg Elavil psych tca
citalopram 10mg Celexa psych ssri
nortriptyline HCl 50mg capsules Pamelor psych tca
lithium 300mg controlled release tablets Lithobid psych - none
paroxetine 10mg tablets Paxil psych ssri
fluoxetine 20mg tablet Prozac psych tca
sertaline 50mg tablets Zoloft psych ssri
dextroamphetamine 15mg extended release Dexedrine psych stim
diazepam 5mg tablets Valium psych benzo
imipramine HCl 25mg tablets Tofranil psych tca
doxepin 100mg capsules - None psych tca
trazodone 150mg tablets - None psych - none
bupropion 150mg extended tablets Wellbutrin, Zyban psych - none
buspirone 7.5mg tablets Buspar psych - none
alprazolam 2mg Xanax psych benzo
amitriptyline HCl 100mg Elavil psych tca
amitriptyline HCl 75mg Elavil psych tca
citalopram 20mg Celexa psych ssri
clonazepam 0.5mg tablets Klonopin psych benzo
mirtazapine 15mg Remeron psych - none
nortriptyline HCl 75mg capsules Pamelor psych tca
lithium 450mg controlled release tablets Lithobid psych - none
paroxetine 20mg tablets Paxil psych ssri
zolpidem 10mg Ambien psych sleep
dextroamphetamine 10mg Dexedrine psych stim
dextroamphetamine 15mg extended release Dexedrine psych stim
temazepam 15mg capsules Restoril psych benzo
imipramine HCl 50mg tablets Tofranil psych tca
doxepin 25mg capsules - None psych tca
trazodone 50mg tablets - None psych - none
buspirone 10mg tablets Buspar psych - none
alprazolam 0.25mg Xanax psych benzo
amitriptyline HCl 150mg Elavil psych tca
citalopram 40mg Celexa psych ssri
clonazepam 1mg tablets Klonopin psych benzo
mirtazapine 30mg Remeron psych - none
nortriptyline HCl 10mg capsules Pamelor psych tca
lithium 150mg tablets Lithobid psych - none
lithium 600mg controlled release tablets Lithobid psych - none
paroxetine 30mg tablets Paxil psych ssri
lorazepam 0.5mg tablets Ativan psych benzo
zolpidem 5mg Ambien psych sleep
sertaline 100mg tablets Zoloft psych ssri
dextroamphetamine 5mg Dexedrine psych stim
diazepam 10mg tablets Valium psych benzo
temazepam 30mg capsules Restoril psych benzo
doxepin 50mg capsules - None psych tca
buspirone 30mg tablets Buspar psych - none
alprazolam 0.50mg Xanax psych benzo
amitriptyline HCl 25mg Elavil psych tca
clonazepam 2mg tablets Klonopin psych benzo
mirtazapine 45mg Remeron psych - none
nortriptyline HCl 25mg capsules Pamelor psych tca
lithium 300mg tablets Lithobid psych - none
paroxetine 40mg tablets Paxil psych ssri
lorazepam 1mg tablets Ativan psych benzo
fluoxetine 10mg tablet Prozac psych tca
sertaline 25mg tablets Zoloft psych ssri
dextroamphetamine 10mg extended release Dexedrine psych stim
diazepam 2mg tablets Valium psych benzo
imipramine HCl 10mg tablets Tofranil psych tca
doxepin 75mg capsules - None psych tca
trazodone 100mg tablets - None psych - none
beclomethazone MDI Vanceril, Beclovent pulm steriod
albuterol 5mg/ml solution AccuNeb, Proventil, Ventolin, ProAir pulm beta-agonist
albuterol 90mcg/spray MDI AccuNeb, Proventil, Ventolin, ProAir pulm beta-agonist
ipatropium MDI Atrovert pulm - none
albuterol 2mg/5ml syrup AccuNeb, Proventil, Ventolin, ProAir pulm beta-agonist
ipratropium 0.02% Soln Atrovert pulm - none
flunisolide inhaled Aerobid pulm steriod
metolazone 5mg Zaroxylin renal diuretic
furosemide 40mg tablets Lasix renal diuretic
colchicine 0.6mg. tablets - None renal - none
desmopressin acetate 0.1mg tablets DDAVP renal - none
spironolactone 50mg Aldactone renal diuretic
triamterene/HCTZ 75/50 capsules Diazide, Maxide renal diuretic
furosemide 80mg tablets Lasix renal diuretic
hydrochlorothiazide 25mg tablets - None renal diuretic
metolazone 10mg Zaroxylin renal diuretic
hydrochlorothiazide 50mg tablets - None renal diuretic
spironolactone 100mg Aldactone renal diuretic
potassium chloride 20mEq Micro-K renal - none
bumetanide 1mg tablets Bumex renal diuretic
metolazone 2.5mg Zaroxylin renal diuretic
furosemide 20mg tablets Lasix renal diuretic
desmopressin acetate 10mcg/spray nasal DDAVP renal - none
spironolactone 25mg Aldactone renal diuretic
triamterene/HCTZ 37.5/25 capsules Diazide, Maxide renal diuretic
methylphenidate 10mg tablet Ritalin rheum stim
methylphenidate 20mg tablet Ritalin rheum stim
methylphenidate 5mg tablet Ritalin rheum stim
hydroxychloroquine 200mg tablets Plaquenil rheum - none
methotrexate 2.5mg tablets Trexall rheum - none
methylphenidate 20mg CR tablet Ritalin rheum stim
finasteride 5mg Proscar urol - none
tamsulosin 0.4mg Flomax urol - none
phenazopyridine 100mg Pyridium urol - none
oxybutynin 5mg tablets short acting Ditropan urol - none
calcium 600mg w/ vit D tabs - None vit - none
prenatal vitamin tablets - None vit - none
pyridoxine 50mg tablets Vitamin B6 vit - none
sodium fluoride 0.5mg drops - None vit - none
folic acid 1mg tablets - None vit - none
sodium fluoride 0.5mg chewable tablets - None vit - none
tri-vit/fluor 0.25mg/cc - None vit - none
multivitamin - None vit - none
sodium fluoride 1mg chewable tablets - None vit - none