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OUTPATIENT FORMULARY

Alphabetical Listing by Therapeutic Category

This document is current as of May 28, 2020. The availability of formulary items is subject to change.

WEST COAST CONSOLIDATION

Acetylcholinesterase InhibitorNeostigmine ..................................................................................................Pyridostigmine ...............................................................................................

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

Acne ProductsAdapalene .....................................................................................................Benzoyl Peroxide ..........................................................................................Clindamycin and Benzoyl Peroxide ..............................................................Erythromycin (Topical) ..................................................................................ISOtretinoin (Systemic) .................................................................................Salicylic Acid .................................................................................................Sulfur and Sulfacetamide ..............................................................................Tazarotene ....................................................................................................Tretinoin (Topical) .........................................................................................

Adrenergic Agonist AgentOxymetazoline (Nasal) ..................................................................................

Aldehyde Dehydrogenase InhibitorDisulfiram ......................................................................................................

Alkalinizing AgentSodium Bicarbonate ......................................................................................

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

Alkylamine DerivativeChlorpheniramine ..........................................................................................Hydrocodone and Chlorpheniramine ............................................................Naphazoline and Pheniramine ......................................................................

Alpha1 AgonistNaphazoline and Pheniramine ......................................................................Naphazoline (Ophthalmic) ............................................................................

Alpha1 BlockerAlfuzosin ........................................................................................................Doxazosin .....................................................................................................Prazosin ........................................................................................................Tamsulosin ....................................................................................................Terazosin .......................................................................................................

Alpha2-Adrenergic AgonistCloNIDine ......................................................................................................GuanFACINE ................................................................................................Methyldopa ....................................................................................................TiZANidine ....................................................................................................

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

Alpha-Adrenergic AgonistPhenylephrine (Nasal) ..................................................................................Phenylephrine (Ophthalmic) .........................................................................Phenylephrine (Topical) ................................................................................

Alpha/Beta AgonistEPINEPHrine (Systemic) ..............................................................................Guaifenesin and Pseudoephedrine ..............................................................Loratadine and Pseudoephedrine ................................................................Pseudoephedrine ..........................................................................................

5 Alpha-Reductase InhibitorFinasteride ....................................................................................................

AmebicideMetroNIDAZOLE (Systemic) .........................................................................

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

5-Aminosalicylic Acid DerivativeMesalamine ...................................................................................................SulfaSALAzine ..............................................................................................

Ammonium DetoxicantLactulose .......................................................................................................Neomycin ......................................................................................................

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

Analgesic, NonopioidAcetaminophen .............................................................................................Aspirin ...........................................................................................................Butalbital, Acetaminophen, and Caffeine .....................................................Celecoxib ......................................................................................................Diclofenac (Systemic) ...................................................................................Ibuprofen .......................................................................................................Indomethacin .................................................................................................Ketorolac (Systemic) .....................................................................................Meloxicam .....................................................................................................Nabumetone ..................................................................................................Naproxen .......................................................................................................Piroxicam (Systemic) ....................................................................................Sulindac ........................................................................................................

Analgesic, OpioidAcetaminophen and Codeine .......................................................................Belladonna and Opium .................................................................................Butorphanol ...................................................................................................Codeine .........................................................................................................FentaNYL ......................................................................................................Hydrocodone and Acetaminophen ...............................................................Hydrocodone and Chlorpheniramine ............................................................HYDROmorphone .........................................................................................Methadone ....................................................................................................Morphine (Systemic) .....................................................................................OxyCODONE ................................................................................................Oxycodone and Acetaminophen ...................................................................Promethazine and Codeine ..........................................................................Tapentadol ....................................................................................................TraMADol ......................................................................................................

Analgesic, Opioid Partial AgonistButorphanol ...................................................................................................

Analgesic, TopicalBenzocaine ...................................................................................................Capsaicin ......................................................................................................Lidocaine (Topical) ........................................................................................Methyl Salicylate and Menthol ......................................................................

Analgesic, UrinaryPentosan Polysulfate Sodium .......................................................................Phenazopyridine ...........................................................................................

AndrogenTestosterone ..................................................................................................

Anesthetic/CorticosteroidPramoxine and Hydrocortisone ....................................................................

Angiotensin II Receptor BlockerAmlodipine and Valsartan .............................................................................Amlodipine, Valsartan, and Hydrochlorothiazide ..........................................Azilsartan and Chlorthalidone .......................................................................Candesartan ..................................................................................................Irbesartan ......................................................................................................Losartan ........................................................................................................Losartan and Hydrochlorothiazide ................................................................Telmisartan ....................................................................................................Telmisartan and Hydrochlorothiazide ...........................................................Valsartan .......................................................................................................Valsartan and Hydrochlorothiazide ...............................................................

Angiotensin-Converting Enzyme (ACE) InhibitorAmlodipine and Benazepril ...........................................................................Benazepril .....................................................................................................Captopril ........................................................................................................Enalapril ........................................................................................................Fosinopril .......................................................................................................Lisinopril ........................................................................................................Lisinopril and Hydrochlorothiazide ................................................................Ramipril .........................................................................................................

Anilidopiperidine OpioidFentaNYL ......................................................................................................

AnorexiantDiethylpropion ...............................................................................................Phentermine ..................................................................................................

AntacidAluminum Hydroxide .....................................................................................Aluminum Hydroxide, Magnesium Hydroxide, and Simethicone .................Magnesium Hydroxide ..................................................................................Sodium Bicarbonate ......................................................................................

AnthelminticAlbendazole ..................................................................................................

ACETYLCHOLINESTERASE INHIBITOR

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Antianginal AgentAmLODIPine .................................................................................................Amlodipine and Benazepril ...........................................................................Amlodipine and Valsartan .............................................................................Amlodipine, Valsartan, and Hydrochlorothiazide ..........................................Atenolol .........................................................................................................DilTIAZem .....................................................................................................Isosorbide Dinitrate .......................................................................................Isosorbide Mononitrate .................................................................................Metoprolol .....................................................................................................Nadolol ..........................................................................................................NIFEdipine ....................................................................................................Nitroglycerin ..................................................................................................Propranolol ....................................................................................................Ranolazine ....................................................................................................Verapamil ......................................................................................................

Antianxiety Agent, MiscellaneousBusPIRone ....................................................................................................

Antiarrhythmic Agent, Class IaDisopyramide ................................................................................................QuiNIDine ......................................................................................................

Antiarrhythmic Agent, Class IcFlecainide ......................................................................................................

Antiarrhythmic Agent, Class IIPropranolol ....................................................................................................Sotalol ...........................................................................................................

Antiarrhythmic Agent, Class IIIAmiodarone ...................................................................................................Sotalol ...........................................................................................................

Antiarrhythmic Agent, Class IVDilTIAZem .....................................................................................................Verapamil ......................................................................................................

Antiarrhythmic Agent, MiscellaneousDigoxin ..........................................................................................................

Antibiotic, AminoglycosideAmikacin (Systemic) .....................................................................................Gentamicin (Ophthalmic) ..............................................................................Neomycin ......................................................................................................Tobramycin (Ophthalmic) ..............................................................................

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

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

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

Antibiotic/Corticosteroid, OphthalmicLoteprednol and Tobramycin ........................................................................Neomycin, Polymyxin B, and Dexamethasone ............................................Tobramycin and Dexamethasone .................................................................

Antibiotic/Corticosteroid, OticCiprofloxacin and Dexamethasone ...............................................................Neomycin, Polymyxin B, and Hydrocortisone (Otic) ....................................

Antibiotic, FluoroquinoloneCiprofloxacin (Ophthalmic) ............................................................................Ciprofloxacin (Systemic) ...............................................................................Gatifloxacin ...................................................................................................LevoFLOXacin (Systemic) ............................................................................Moxifloxacin (Ophthalmic) .............................................................................Moxifloxacin (Systemic) ................................................................................Ofloxacin (Ophthalmic) .................................................................................

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

Antibiotic, MacrolideAzithromycin (Systemic) ...............................................................................Clarithromycin ...............................................................................................Erythromycin (Ophthalmic) ...........................................................................Erythromycin (Systemic) ...............................................................................Erythromycin (Topical) ..................................................................................

Antibiotic, MiscellaneousBismuth Subcitrate, Metronidazole, and Tetracycline ..................................Dapsone (Systemic) ......................................................................................MetroNIDAZOLE (Systemic) .........................................................................Nitrofurantoin .................................................................................................

Sulfamethoxazole and Trimethoprim ............................................................Trimethoprim .................................................................................................

Antibiotic, OphthalmicBacitracin and Polymyxin B (Ophthalmic) ....................................................Bacitracin (Ophthalmic) .................................................................................Ciprofloxacin (Ophthalmic) ............................................................................Erythromycin (Ophthalmic) ...........................................................................Gatifloxacin ...................................................................................................Gentamicin (Ophthalmic) ..............................................................................Moxifloxacin (Ophthalmic) .............................................................................Neomycin, Polymyxin B, and Gramicidin .....................................................Ofloxacin (Ophthalmic) .................................................................................Sulfacetamide (Ophthalmic) ..........................................................................Tobramycin (Ophthalmic) ..............................................................................Trimethoprim and Polymyxin B .....................................................................

Antibiotic, Oral RinseChlorhexidine Gluconate (Oral) ....................................................................

Antibiotic, OticCiprofloxacin and Dexamethasone ...............................................................Neomycin, Polymyxin B, and Hydrocortisone (Otic) ....................................

Antibiotic, OxazolidinoneTedizolid ........................................................................................................

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

Antibiotic, Respiratory FluoroquinoloneLevoFLOXacin (Systemic) ............................................................................Moxifloxacin (Systemic) ................................................................................

Antibiotic, Sulfonamide DerivativeSulfamethoxazole and Trimethoprim ............................................................Sulfur and Sulfacetamide ..............................................................................

Antibiotic, Tetracycline DerivativeBismuth Subcitrate, Metronidazole, and Tetracycline ..................................Doxycycline ...................................................................................................Minocycline (Systemic) .................................................................................

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

Anticholinergic AgentAclidinium ......................................................................................................Benztropine ...................................................................................................Dicyclomine ...................................................................................................Fluticasone, Umeclidinium, and Vilanterol ....................................................Glycopyrrolate (Systemic) .............................................................................Hyoscyamine .................................................................................................Hyoscyamine, Atropine, Scopolamine, and Phenobarbital ..........................Ipratropium and Albuterol .............................................................................Ipratropium (Nasal) .......................................................................................Ipratropium (Oral Inhalation) .........................................................................Propantheline ................................................................................................Scopolamine (Systemic) ...............................................................................Tiotropium .....................................................................................................Tiotropium and Olodaterol ............................................................................Tolterodine .....................................................................................................Trihexyphenidyl .............................................................................................

Anticholinergic Agent, Long-ActingAclidinium ......................................................................................................Fluticasone, Umeclidinium, and Vilanterol ....................................................Tiotropium .....................................................................................................Tiotropium and Olodaterol ............................................................................

Anticholinergic Agent, OphthalmicAtropine (Ophthalmic) ...................................................................................Cyclopentolate ..............................................................................................Homatropine ..................................................................................................

AnticoagulantApixaban .......................................................................................................Dabigatran Etexilate ......................................................................................Enoxaparin ....................................................................................................

ANTICOAGULANT

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Rivaroxaban ..................................................................................................Warfarin .........................................................................................................

Anticoagulant, Direct Thrombin InhibitorDabigatran Etexilate ......................................................................................

Anticoagulant, Factor Xa InhibitorApixaban .......................................................................................................Rivaroxaban ..................................................................................................

Anticoagulant, Low Molecular Weight HeparinEnoxaparin ....................................................................................................

Anticoagulant, Vitamin K AntagonistWarfarin .........................................................................................................

Anticonvulsant, BarbituratePHENobarbital ..............................................................................................

Anticonvulsant, BenzodiazepineCloBAZam .....................................................................................................ClonazePAM .................................................................................................Clorazepate ...................................................................................................DiazePAM .....................................................................................................LORazepam ..................................................................................................

Anticonvulsant, HydantoinPhenytoin ......................................................................................................

Anticonvulsant, MiscellaneousAcetaZOLAMIDE ...........................................................................................CarBAMazepine ............................................................................................Felbamate .....................................................................................................Gabapentin ....................................................................................................Lacosamide ...................................................................................................LamoTRIgine .................................................................................................LevETIRAcetam ............................................................................................OXcarbazepine .............................................................................................Primidone ......................................................................................................TiaGABine .....................................................................................................Topiramate ....................................................................................................Valproic Acid and Derivatives .......................................................................Zonisamide ....................................................................................................

Anticonvulsant, SuccinimideEthosuximide .................................................................................................

Anticonvulsant, Triazole DerivativeRufinamide ....................................................................................................

Antidepressant, Alpha-2 AntagonistMirtazapine ....................................................................................................

Antidepressant, Dopamine/Norepinephrine-Reuptake InhibitorBuPROPion ...................................................................................................

Antidepressant, Monoamine Oxidase InhibitorPhenelzine ....................................................................................................Selegiline .......................................................................................................Tranylcypromine ............................................................................................

Antidepressant, Selective Serotonin Reuptake InhibitorCitalopram .....................................................................................................Escitalopram .................................................................................................FLUoxetine ....................................................................................................FluvoxaMINE .................................................................................................PARoxetine ...................................................................................................Sertraline .......................................................................................................

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

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

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

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

Antidiabetic Agent, BiguanideGlyburide and Metformin ..............................................................................MetFORMIN ..................................................................................................Pioglitazone and Metformin ..........................................................................Sitagliptin and Metformin ..............................................................................

Antidiabetic Agent, Dipeptidyl Peptidase 4 (DPP-4) InhibitorSitaGLIPtin ....................................................................................................Sitagliptin and Metformin ..............................................................................

Antidiabetic Agent, Glucagon-Like Peptide-1 (GLP-1) ReceptorAgonistDulaglutide ....................................................................................................Exenatide ......................................................................................................

Antidiabetic Agent, Sodium-Glucose Cotransporter 2 (SGLT2)InhibitorEmpagliflozin .................................................................................................

Antidiabetic Agent, SulfonylureaGlimepiride ....................................................................................................GlipiZIDE .......................................................................................................GlyBURIDE ...................................................................................................Glyburide and Metformin ..............................................................................TOLBUTamide ...............................................................................................

Antidiabetic Agent, ThiazolidinedionePioglitazone ...................................................................................................Pioglitazone and Metformin ..........................................................................

AntidiarrhealBismuth Subcitrate, Metronidazole, and Tetracycline ..................................Bismuth Subsalicylate ...................................................................................Diphenoxylate and Atropine ..........................................................................Loperamide ...................................................................................................Psyllium .........................................................................................................

AntidoteAluminum Hydroxide .....................................................................................Calcium Acetate ............................................................................................Charcoal, Activated .......................................................................................Glucagon .......................................................................................................Leucovorin Calcium ......................................................................................Naloxone .......................................................................................................Naltrexone .....................................................................................................Patiromer .......................................................................................................Potassium Iodide ..........................................................................................

Antidote, ExtravasationNitroglycerin ..................................................................................................Terbutaline .....................................................................................................

Antidote, HypoglycemiaDextrose ........................................................................................................Glucagon .......................................................................................................

AntiemeticDexAMETHasone (Systemic) .......................................................................Dronabinol .....................................................................................................Granisetron ...................................................................................................HydrOXYzine ................................................................................................Meclizine .......................................................................................................Metoclopramide .............................................................................................Ondansetron .................................................................................................Palonosetron .................................................................................................Prochlorperazine ...........................................................................................Promethazine ................................................................................................

Antifibrinolytic AgentAminocaproic Acid ........................................................................................

AntiflatulentAluminum Hydroxide, Magnesium Hydroxide, and Simethicone .................Simethicone ..................................................................................................

Antifungal Agent, Azole DerivativeTerconazole ...................................................................................................

Antifungal Agent, Imidazole DerivativeClotrimazole (Oral) ........................................................................................Clotrimazole (Topical) ...................................................................................Ketoconazole (Systemic) ..............................................................................Ketoconazole (Topical) .................................................................................Miconazole (Topical) .....................................................................................

Antifungal Agent, OphthalmicNatamycin .....................................................................................................

Antifungal Agent, OralFluconazole ...................................................................................................Griseofulvin ...................................................................................................Ketoconazole (Systemic) ..............................................................................Terbinafine (Systemic) ..................................................................................

Antifungal Agent, Oral NonabsorbedClotrimazole (Oral) ........................................................................................

ANTICOAGULANT

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Antifungal Agent, Oral Nonabsorbed/Partially AbsorbedClotrimazole (Topical) ...................................................................................Miconazole (Topical) .....................................................................................Nystatin (Oral ................................................................................................

Antifungal Agent, ParenteralFluconazole ...................................................................................................

Antifungal Agent, TopicalClioquinol and Hydrocortisone ......................................................................Clotrimazole (Topical) ...................................................................................Ketoconazole (Topical) .................................................................................Miconazole (Topical) .....................................................................................Nystatin and Triamcinolone ..........................................................................Nystatin (Topical) ..........................................................................................Terbinafine (Topical) ......................................................................................

Antifungal Agent, VaginalClotrimazole (Topical) ...................................................................................Miconazole (Topical) .....................................................................................Sulfanilamide .................................................................................................Terconazole ...................................................................................................

Antigout AgentAllopurinol .....................................................................................................Colchicine ......................................................................................................

Antihemophilic AgentAminocaproic Acid ........................................................................................Desmopressin ...............................................................................................

Antihemorrhoidal AgentDibucaine ......................................................................................................Hydrocortisone (Topical) ...............................................................................Phenylephrine (Topical) ................................................................................

Antihepadnaviral, Reverse Transcriptase Inhibitor, Nucleoside (Anti-HBV)Entecavir .......................................................................................................LamiVUDine ..................................................................................................

Antihepadnaviral, Reverse Transcriptase Inhibitor, Nucleotide (Anti-HBV)Adefovir .........................................................................................................Tenofovir Alafenamide ..................................................................................Tenofovir Disoproxil Fumarate ......................................................................

AntihypertensiveAmiloride and Hydrochlorothiazide ...............................................................AmLODIPine .................................................................................................Amlodipine and Benazepril ...........................................................................Amlodipine and Valsartan .............................................................................Amlodipine, Valsartan, and Hydrochlorothiazide ..........................................Atenolol .........................................................................................................Azilsartan and Chlorthalidone .......................................................................Benazepril .....................................................................................................Bumetanide ...................................................................................................Candesartan ..................................................................................................Captopril ........................................................................................................Carvedilol ......................................................................................................Chlorthalidone ...............................................................................................CloNIDine ......................................................................................................DilTIAZem .....................................................................................................Doxazosin .....................................................................................................Enalapril ........................................................................................................Eplerenone ....................................................................................................Felodipine ......................................................................................................Fosinopril .......................................................................................................Furosemide ...................................................................................................GuanFACINE ................................................................................................HydrALAZINE ................................................................................................HydroCHLOROthiazide .................................................................................Hydrochlorothiazide and Spironolactone ......................................................Hydrochlorothiazide and Triamterene ...........................................................Indapamide ...................................................................................................Irbesartan ......................................................................................................Isosorbide Dinitrate and Hydralazine ............................................................Labetalol ........................................................................................................Lisinopril ........................................................................................................Lisinopril and Hydrochlorothiazide ................................................................Losartan ........................................................................................................Losartan and Hydrochlorothiazide ................................................................Methyldopa ....................................................................................................Metoprolol .....................................................................................................Minoxidil (Systemic) ......................................................................................Nadolol ..........................................................................................................NIFEdipine ....................................................................................................Pindolol .........................................................................................................Prazosin ........................................................................................................Propranolol ....................................................................................................

Ramipril .........................................................................................................Spironolactone ..............................................................................................Telmisartan ....................................................................................................Telmisartan and Hydrochlorothiazide ...........................................................Terazosin .......................................................................................................Valsartan .......................................................................................................Valsartan and Hydrochlorothiazide ...............................................................Verapamil ......................................................................................................

Anti-inflammatory AgentDexAMETHasone (Systemic) .......................................................................

Anti-inflammatory, Locally AppliedCarbamide Peroxide .....................................................................................

Anti-interleukin 17A Monoclonal AntibodySecukinumab ................................................................................................

Antilipemic Agent, 2-AzetidinoneEzetimibe ......................................................................................................

Antilipemic Agent, Bile Acid SequestrantCholestyramine Resin ...................................................................................Colestipol ......................................................................................................

Antilipemic Agent, Fibric AcidFenofibrate and Derivatives ..........................................................................Gemfibrozil ....................................................................................................

Antilipemic Agent, HMG-CoA Reductase InhibitorAtorvaSTATin ................................................................................................Pravastatin ....................................................................................................Rosuvastatin .................................................................................................Simvastatin ....................................................................................................

Antilipemic Agent, MiscellaneousNiacin ............................................................................................................

Antimalarial AgentAtovaquone and Proguanil ...........................................................................Hydroxychloroquine ......................................................................................Primaquine ....................................................................................................Pyrimethamine ..............................................................................................QuiNIDine ......................................................................................................

Antimanic AgentChlorproMAZINE ...........................................................................................Lithium ...........................................................................................................OLANZapine .................................................................................................RisperiDONE .................................................................................................Valproic Acid and Derivatives .......................................................................

Antimigraine AgentEletriptan .......................................................................................................Erenumab ......................................................................................................Ergotamine and Caffeine ..............................................................................Naratriptan ....................................................................................................Rizatriptan .....................................................................................................SUMAtriptan ..................................................................................................ZOLMitriptan .................................................................................................

Antineoplastic Agent, Alkylating AgentBusulfan ........................................................................................................Chlorambucil .................................................................................................Cyclophosphamide ........................................................................................Estramustine .................................................................................................Lomustine ......................................................................................................Melphalan ......................................................................................................Procarbazine .................................................................................................

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

Antineoplastic Agent, Alkylating Agent (Nitrosourea)Lomustine ......................................................................................................

Antineoplastic Agent, AntiandrogenBicalutamide ..................................................................................................Enzalutamide ................................................................................................Flutamide ......................................................................................................

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

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

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

ANTINEOPLASTIC AGENT, ANTIMETABOLITE (PURINE ANALOG)

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

Antineoplastic Agent, AntimicrotubularEstramustine .................................................................................................

Antineoplastic Agent, Aromatase InhibitorAnastrozole ...................................................................................................Exemestane ..................................................................................................Letrozole .......................................................................................................

Antineoplastic Agent, Estrogen Receptor AntagonistTamoxifen ......................................................................................................

Antineoplastic Agent, Gonadotropin-Releasing Hormone AgonistGoserelin .......................................................................................................Leuprolide .....................................................................................................

Antineoplastic Agent, HormoneMegestrol ......................................................................................................

Antineoplastic Agent, Hormone (Estrogen/Nitrogen Mustard)Estramustine .................................................................................................

Antineoplastic Agent, MiscellaneousHydroxyurea ..................................................................................................

Antineoplastic Agent, mTOR Kinase InhibitorEverolimus ....................................................................................................

Antineoplastic Agent, Podophyllotoxin DerivativeEtoposide ......................................................................................................

Antineoplastic Agent, Retinoic Acid DerivativeISOtretinoin (Systemic) .................................................................................

Antineoplastic Agent, Topoisomerase II InhibitorEtoposide ......................................................................................................

Antiparasitic Agent, TopicalMalathion .......................................................................................................Permethrin .....................................................................................................

Anti-Parkinson Agent, AnticholinergicBenztropine ...................................................................................................Trihexyphenidyl .............................................................................................

Anti-Parkinson Agent, COMT InhibitorLevodopa, Carbidopa, and Entacapone .......................................................

Anti-Parkinson Agent, Decarboxylase InhibitorCarbidopa and Levodopa .............................................................................Levodopa, Carbidopa, and Entacapone .......................................................

Anti-Parkinson Agent, Dopamine AgonistAmantadine ...................................................................................................Pramipexole ..................................................................................................ROPINIRole ..................................................................................................

Anti-Parkinson Agent, Dopamine PrecursorCarbidopa and Levodopa .............................................................................Levodopa, Carbidopa, and Entacapone .......................................................

Anti-Parkinson Agent, MAO Type B InhibitorSelegiline .......................................................................................................

Anti-Parkinson's Agent, Dopamine AgonistRotigotine ......................................................................................................

Antiplatelet AgentAspirin ...........................................................................................................Aspirin and Dipyridamole ..............................................................................Cilostazol .......................................................................................................Clopidogrel ....................................................................................................Dipyridamole .................................................................................................Prasugrel .......................................................................................................Ticagrelor ......................................................................................................

Antiplatelet Agent, Non-thienopyridineTicagrelor ......................................................................................................

Antiplatelet Agent, ThienopyridineClopidogrel ....................................................................................................Prasugrel .......................................................................................................

AntiprotozoalAtovaquone ...................................................................................................

Antiprotozoal, NitroimidazoleMetroNIDAZOLE (Systemic) .........................................................................

Antipsoriatic AgentSecukinumab ................................................................................................Ustekinumab .................................................................................................

Antiretroviral, CCR5 Antagonist (Anti-HIV)Maraviroc ......................................................................................................

Antiretroviral, Integrase Inhibitor (Anti-HIV)Abacavir, Dolutegravir, and Lamivudine .......................................................Bictegravir, Emtricitabine, and Tenofovir Alafenamide .................................Dolutegravir ...................................................................................................Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Alafenamide ..............Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Disoproxil Fumarate ...Raltegravir .....................................................................................................

Antiretroviral, Protease Inhibitor (Anti-HIV)Atazanavir .....................................................................................................Atazanavir and Cobicistat .............................................................................Darunavir .......................................................................................................Darunavir and Cobicistat ..............................................................................Fosamprenavir ..............................................................................................Lopinavir and Ritonavir .................................................................................Nelfinavir .......................................................................................................Ritonavir ........................................................................................................Saquinavir .....................................................................................................

Antiretroviral, Reverse Transcriptase Inhibitor, Non-nucleoside(Anti-HIV)Efavirenz .......................................................................................................Efavirenz, Emtricitabine, and Tenofovir Disoproxil Fumarate ......................Emtricitabine, Rilpivirine, and Tenofovir Alafenamide ..................................Emtricitabine, Rilpivirine, and Tenofovir Disoproxil Fumarate ......................Etravirine .......................................................................................................Nevirapine .....................................................................................................Rilpivirine .......................................................................................................

Antiretroviral, Reverse Transcriptase Inhibitor, Nucleoside (Anti-HIV)Abacavir ........................................................................................................Abacavir and Lamivudine .............................................................................Abacavir, Dolutegravir, and Lamivudine .......................................................Abacavir, Lamivudine, and Zidovudine .........................................................Bictegravir, Emtricitabine, and Tenofovir Alafenamide .................................Efavirenz, Emtricitabine, and Tenofovir Disoproxil Fumarate ......................Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Alafenamide ..............Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Disoproxil Fumarate ...Emtricitabine .................................................................................................Emtricitabine and Tenofovir Alafenamide .....................................................Emtricitabine and Tenofovir Disoproxil Fumarate .........................................Emtricitabine, Rilpivirine, and Tenofovir Alafenamide ..................................Emtricitabine, Rilpivirine, and Tenofovir Disoproxil Fumarate ......................LamiVUDine ..................................................................................................Lamivudine and Zidovudine ..........................................................................Zidovudine .....................................................................................................

Antiretroviral, Reverse Transcriptase Inhibitor, Nucleotide (Anti-HIV)Bictegravir, Emtricitabine, and Tenofovir Alafenamide .................................Efavirenz, Emtricitabine, and Tenofovir Disoproxil Fumarate ......................Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Alafenamide ..............Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Disoproxil Fumarate ...Emtricitabine and Tenofovir Alafenamide .....................................................Emtricitabine and Tenofovir Disoproxil Fumarate .........................................Emtricitabine, Rilpivirine, and Tenofovir Alafenamide ..................................Emtricitabine, Rilpivirine, and Tenofovir Disoproxil Fumarate ......................Tenofovir Disoproxil Fumarate ......................................................................

Antirheumatic, Disease ModifyingAdalimumab ..................................................................................................Methotrexate .................................................................................................

Antirheumatic MiscellaneousCyclophosphamide ........................................................................................

Antiseborrheic Agent, TopicalSelenium Sulfide ...........................................................................................Sulfur and Sulfacetamide ..............................................................................

Antiseptic, TopicalAlcohol (Isopropyl) ........................................................................................Potassium Iodide and Iodine ........................................................................Povidone-Iodine (Topical) .............................................................................

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

Antispasmodic Agent, GastrointestinalClidinium and Chlordiazepoxide ...................................................................Hyoscyamine, Atropine, Scopolamine, and Phenobarbital ..........................

Antispasmodic Agent, UrinaryBelladonna and Opium .................................................................................Oxybutynin ....................................................................................................

Antithyroid AgentMethIMAzole .................................................................................................Potassium Iodide ..........................................................................................

ANTINEOPLASTIC AGENT, ANTIMETABOLITE (PYRIMIDINE ANALOG)

6

Potassium Iodide and Iodine ........................................................................Propylthiouracil ..............................................................................................

Antitubercular AgentEthambutol ....................................................................................................Isoniazid ........................................................................................................Pyrazinamide ................................................................................................RifAMPin .......................................................................................................

AntitussiveBenzonatate ..................................................................................................Codeine .........................................................................................................Guaifenesin and Dextromethorphan .............................................................Hydrocodone and Chlorpheniramine ............................................................Promethazine and Codeine ..........................................................................

Antiviral AgentAcyclovir (Systemic) ......................................................................................Amantadine ...................................................................................................Oseltamivir ....................................................................................................ValACYclovir ..................................................................................................

Antiviral Agent, AdamantaneAmantadine ...................................................................................................

Antiviral Agent, OphthalmicTrifluridine .....................................................................................................

Antiviral Agent, OralValACYclovir ..................................................................................................

Antiviral Agent, TopicalAcyclovir (Topical) .........................................................................................

Appetite StimulantDronabinol .....................................................................................................Megestrol ......................................................................................................

BarbiturateButalbital, Acetaminophen, and Caffeine .....................................................Butalbital, Aspirin, and Caffeine ...................................................................PHENobarbital ..............................................................................................Primidone ......................................................................................................

BenzodiazepineALPRAZolam ................................................................................................ChlordiazePOXIDE .......................................................................................Clidinium and Chlordiazepoxide ...................................................................CloBAZam .....................................................................................................ClonazePAM .................................................................................................Clorazepate ...................................................................................................DiazePAM .....................................................................................................LORazepam ..................................................................................................Temazepam ...................................................................................................Triazolam ......................................................................................................

Beta2-Adrenergic AgonistFluticasone, Umeclidinium, and Vilanterol ....................................................Ipratropium and Albuterol .............................................................................

Beta2-Adrenergic Agonist, Long-ActingFluticasone and Salmeterol ..........................................................................Salmeterol .....................................................................................................

Beta2 AgonistAlbuterol ........................................................................................................Fluticasone and Salmeterol ..........................................................................Fluticasone, Umeclidinium, and Vilanterol ....................................................Metaproterenol ..............................................................................................Salmeterol .....................................................................................................Terbutaline .....................................................................................................Tiotropium and Olodaterol ............................................................................

Beta2 Agonist, Long-ActingTiotropium and Olodaterol ............................................................................

Beta-Adrenergic Blocker, NonselectiveDorzolamide and Timolol ..............................................................................Levobunolol ...................................................................................................Propranolol ....................................................................................................Sotalol ...........................................................................................................

Beta-Blocker, Beta-1 SelectiveAtenolol .........................................................................................................Metoprolol .....................................................................................................

Beta-Blocker, NonselectiveBrimonidine and Timolol ...............................................................................Nadolol ..........................................................................................................Timolol (Ophthalmic) .....................................................................................

Beta-Blocker With Alpha-Blocking ActivityCarvedilol ......................................................................................................Labetalol ........................................................................................................

Beta-Blocker With Intrinsic Sympathomimetic ActivityPindolol .........................................................................................................

Bisphosphonate DerivativeAlendronate ...................................................................................................Ibandronate ...................................................................................................

Blood Viscosity Reducer AgentPentoxifylline .................................................................................................

CalcimimeticCinacalcet .....................................................................................................

Calcineurin InhibitorCycloSPORINE (Ophthalmic) .......................................................................CycloSPORINE (Systemic) ...........................................................................Pimecrolimus .................................................................................................Tacrolimus (Systemic) ...................................................................................Tacrolimus (Topical) ......................................................................................

Calcitonin Gene-Related Peptide (CGRP) Receptor AntagonistErenumab ......................................................................................................

Calcium Channel BlockerAmLODIPine .................................................................................................Amlodipine and Benazepril ...........................................................................Amlodipine and Valsartan .............................................................................Amlodipine, Valsartan, and Hydrochlorothiazide ..........................................DilTIAZem .....................................................................................................Felodipine ......................................................................................................NIFEdipine ....................................................................................................Verapamil ......................................................................................................

Calcium Channel Blocker, DihydropyridineAmLODIPine .................................................................................................Amlodipine and Benazepril ...........................................................................Amlodipine and Valsartan .............................................................................Amlodipine, Valsartan, and Hydrochlorothiazide ..........................................Felodipine ......................................................................................................NIFEdipine ....................................................................................................

Calcium Channel Blocker, NondihydropyridineDilTIAZem .....................................................................................................Verapamil ......................................................................................................

Calcium SaltCalcium Acetate ............................................................................................Calcium and Vitamin D .................................................................................

CannabinoidDronabinol .....................................................................................................

Carbonic Anhydrase InhibitorAcetaZOLAMIDE ...........................................................................................MethazolAMIDE ............................................................................................

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

Cardiac GlycosideDigoxin ..........................................................................................................

Cardiovascular Agent, MiscellaneousRanolazine ....................................................................................................

CatharticSodium Phosphates ......................................................................................

Central Nervous System StimulantArmodafinil ....................................................................................................Caffeine .........................................................................................................Dexmethylphenidate .....................................................................................Dextroamphetamine ......................................................................................Dextroamphetamine and Amphetamine .......................................................Diethylpropion ...............................................................................................Ergotamine and Caffeine ..............................................................................Methylphenidate ............................................................................................Modafinil ........................................................................................................Phentermine ..................................................................................................

Chelating AgentPenicillAMINE ...............................................................................................

Chemotherapy Modulating AgentLeucovorin Calcium ......................................................................................

Chloride Channel ActivatorLubiprostone .................................................................................................

CHLORIDE CHANNEL ACTIVATOR

7

Cholinergic AgonistBethanechol ..................................................................................................Carbachol ......................................................................................................Pilocarpine (Systemic) ..................................................................................

Colony Stimulating FactorEpoetin Alfa ...................................................................................................

ContraceptiveEthinyl Estradiol and Desogestrel .................................................................Ethinyl Estradiol and Drospirenone ..............................................................Ethinyl Estradiol and Ethynodiol Diacetate ...................................................Ethinyl Estradiol and Etonogestrel ................................................................Ethinyl Estradiol and Levonorgestrel ............................................................Ethinyl Estradiol and Norelgestromin ...........................................................Ethinyl Estradiol and Norethindrone .............................................................Ethinyl Estradiol and Norgestimate ..............................................................Ethinyl Estradiol and Norgestrel ...................................................................Levonorgestrel (Systemic) ............................................................................MedroxyPROGESTERone ............................................................................Norethindrone ...............................................................................................Norethindrone and Mestranol .......................................................................Ulipristal ........................................................................................................

Corticosteroid, Inhalant (Oral)Budesonide (Oral Inhalation) ........................................................................Fluticasone and Salmeterol ..........................................................................Fluticasone (Oral Inhalation) .........................................................................Fluticasone, Umeclidinium, and Vilanterol ....................................................

Corticosteroid, NasalFlunisolide (Nasal) ........................................................................................Fluticasone (Nasal) .......................................................................................

Corticosteroid, OphthalmicFluorometholone ...........................................................................................Loteprednol ...................................................................................................PrednisoLONE (Ophthalmic) ........................................................................

Corticosteroid, OticCiprofloxacin and Dexamethasone ...............................................................Neomycin, Polymyxin B, and Hydrocortisone (Otic) ....................................

Corticosteroid, RectalHydrocortisone (Topical) ...............................................................................

Corticosteroid, SystemicCortisone .......................................................................................................DexAMETHasone (Systemic) .......................................................................Fludrocortisone .............................................................................................Hydrocortisone (Systemic) ............................................................................MethylPREDNISolone ...................................................................................PrednisoLONE (Systemic) ............................................................................PredniSONE ..................................................................................................Triamcinolone (Systemic) .............................................................................

Corticosteroid, TopicalBetamethasone (Topical) ..............................................................................Calcipotriene and Betamethasone ................................................................Clioquinol and Hydrocortisone ......................................................................Clobetasol .....................................................................................................Clocortolone ..................................................................................................Desonide .......................................................................................................Desoximetasone ...........................................................................................Fluocinolone (Topical) ...................................................................................Fluocinonide ..................................................................................................Flurandrenolide .............................................................................................Fluticasone (Topical) .....................................................................................Hydrocortisone (Topical) ...............................................................................Mometasone (Topical) ...................................................................................Nystatin and Triamcinolone ..........................................................................Triamcinolone (Topical) .................................................................................

Cytochrome P-450 InhibitorAtazanavir and Cobicistat .............................................................................Cobicistat ......................................................................................................Darunavir and Cobicistat ..............................................................................Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Alafenamide ..............Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Disoproxil Fumarate ...

DecongestantLoratadine and Pseudoephedrine ................................................................Oxymetazoline (Nasal) ..................................................................................Phenylephrine (Nasal) ..................................................................................Pseudoephedrine ..........................................................................................

Diagnostic AgentGlucagon .......................................................................................................

Direct Oral Anticoagulant (DOAC)Apixaban .......................................................................................................

Dabigatran Etexilate ......................................................................................Rivaroxaban ..................................................................................................

Disinfectant, Antibacterial (Topical)Sodium Hypochlorite .....................................................................................

Diuretic, Carbonic Anhydrase InhibitorAcetaZOLAMIDE ...........................................................................................MethazolAMIDE ............................................................................................

Diuretic, CombinationAmiloride and Hydrochlorothiazide ...............................................................

Diuretic, LoopBumetanide ...................................................................................................Furosemide ...................................................................................................

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

Diuretic, ThiazideAmlodipine, Valsartan, and Hydrochlorothiazide ..........................................HydroCHLOROthiazide .................................................................................Hydrochlorothiazide and Spironolactone ......................................................Hydrochlorothiazide and Triamterene ...........................................................Lisinopril and Hydrochlorothiazide ................................................................Losartan and Hydrochlorothiazide ................................................................Telmisartan and Hydrochlorothiazide ...........................................................Valsartan and Hydrochlorothiazide ...............................................................

Diuretic, Thiazide-RelatedAzilsartan and Chlorthalidone .......................................................................Chlorthalidone ...............................................................................................Indapamide ...................................................................................................MetOLazone ..................................................................................................

Dopamine AntagonistMetoclopramide .............................................................................................

Electrolyte Supplement, OralCalcium and Vitamin D .................................................................................Magnesium Oxide .........................................................................................Potassium Chloride .......................................................................................Potassium Phosphate and Sodium Phosphate ............................................Sodium Bicarbonate ......................................................................................

Electrolyte Supplement, ParenteralPotassium Chloride .......................................................................................Sodium Bicarbonate ......................................................................................Sodium Chloride ...........................................................................................Sodium Phosphates ......................................................................................

EnzymePancrelipase .................................................................................................

Ergot DerivativeCabergoline ...................................................................................................Ergotamine and Caffeine ..............................................................................Methylergonovine ..........................................................................................

Erythropoiesis-Stimulating Agent (ESA)Epoetin Alfa ...................................................................................................

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

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

Ethanolamine DerivativeDiphenhydrAMINE (Systemic) ......................................................................Doxylamine ...................................................................................................

ExpectorantGuaiFENesin .................................................................................................Guaifenesin and Dextromethorphan .............................................................

CHOLINERGIC AGONIST

8

Guaifenesin and Pseudoephedrine ..............................................................Potassium Iodide ..........................................................................................

Fiber SupplementPsyllium .........................................................................................................

First Generation (Typical) AntipsychoticChlorproMAZINE ...........................................................................................Haloperidol ....................................................................................................Pimozide .......................................................................................................Prochlorperazine ...........................................................................................Thioridazine ...................................................................................................Thiothixene ....................................................................................................Trifluoperazine ..............................................................................................

GABA Agonist/Glutamate AntagonistAcamprosate .................................................................................................

GABA AnalogGabapentin ....................................................................................................

Gallstone Dissolution AgentUrsodiol .........................................................................................................

Gastrointestinal Agent, MiscellaneousAdalimumab ..................................................................................................Lubiprostone .................................................................................................Sucralfate ......................................................................................................

Gastrointestinal Agent, ProkineticMetoclopramide .............................................................................................

General AnestheticFentaNYL ......................................................................................................

Genitourinary IrrigantNeomycin and Polymyxin B ..........................................................................Sodium Chloride ...........................................................................................

Glutamate InhibitorRiluzole .........................................................................................................

GlycopeptideDalbavancin ..................................................................................................Vancomycin ...................................................................................................

Gold CompoundAuranofin .......................................................................................................

Gonadotropin Releasing Hormone AgonistGoserelin .......................................................................................................Leuprolide .....................................................................................................

Hematopoietic AgentEpoetin Alfa ...................................................................................................

Hemostatic AgentAluminum Chloride Hexahydrate ..................................................................Aminocaproic Acid ........................................................................................Desmopressin ...............................................................................................

Histamine H1 AntagonistAzelastine (Nasal) .........................................................................................Cetirizine (Systemic) .....................................................................................Chlorpheniramine ..........................................................................................Cyproheptadine .............................................................................................DiphenhydrAMINE (Systemic) ......................................................................Doxylamine ...................................................................................................Epinastine .....................................................................................................Fexofenadine ................................................................................................Hydrocodone and Chlorpheniramine ............................................................HydrOXYzine ................................................................................................Loratadine .....................................................................................................Loratadine and Pseudoephedrine ................................................................Meclizine .......................................................................................................Naphazoline and Pheniramine ......................................................................Olopatadine (Ophthalmic) .............................................................................Promethazine ................................................................................................Promethazine and Codeine ..........................................................................

Histamine H1 Antagonist, First GenerationChlorpheniramine ..........................................................................................Cyproheptadine .............................................................................................DiphenhydrAMINE (Systemic) ......................................................................Doxylamine ...................................................................................................Hydrocodone and Chlorpheniramine ............................................................HydrOXYzine ................................................................................................Meclizine .......................................................................................................Naphazoline and Pheniramine ......................................................................Promethazine ................................................................................................Promethazine and Codeine ..........................................................................

Histamine H1 Antagonist, Second GenerationAzelastine (Nasal) .........................................................................................Cetirizine (Systemic) .....................................................................................Epinastine .....................................................................................................Fexofenadine ................................................................................................Loratadine .....................................................................................................Loratadine and Pseudoephedrine ................................................................Olopatadine (Ophthalmic) .............................................................................

Histamine H2 AntagonistFamotidine ....................................................................................................RaNITIdine (Withdrawn From US Market) ...................................................

Histone Deacetylase InhibitorValproic Acid and Derivatives .......................................................................

Hormone, Posterior PituitaryDesmopressin ...............................................................................................

Hypnotic, MiscellaneousEszopiclone ...................................................................................................Zaleplon ........................................................................................................Zolpidem .......................................................................................................

Imidazoline DerivativeNaphazoline and Pheniramine ......................................................................Naphazoline (Ophthalmic) ............................................................................Oxymetazoline (Nasal) ..................................................................................

Immunosuppressant AgentAzaTHIOprine ...............................................................................................Cyclophosphamide ........................................................................................CycloSPORINE (Ophthalmic) .......................................................................CycloSPORINE (Systemic) ...........................................................................Everolimus ....................................................................................................Mercaptopurine .............................................................................................Methotrexate .................................................................................................Mycophenolate ..............................................................................................Pimecrolimus .................................................................................................Sirolimus .......................................................................................................Tacrolimus (Systemic) ...................................................................................Tacrolimus (Topical) ......................................................................................

Insulin, CombinationInsulin Aspart Protamine and Insulin Aspart ................................................Insulin Lispro Protamine and Insulin Lispro .................................................Insulin NPH and Insulin Regular ...................................................................

Insulin, Intermediate-ActingInsulin NPH ...................................................................................................

Insulin, Long-ActingInsulin Detemir ..............................................................................................Insulin Glargine .............................................................................................

Insulin, Rapid-ActingInsulin Aspart ................................................................................................Insulin Lispro .................................................................................................

Insulin, Short-ActingInsulin Regular ..............................................................................................

InterferonInterferon Beta-1a .........................................................................................Interferon Beta-1b .........................................................................................

Interleukin-12 InhibitorUstekinumab .................................................................................................

Interleukin-23 InhibitorUstekinumab .................................................................................................

Intravenous Nutritional TherapyDextrose ........................................................................................................

Iron PreparationsFerrous Gluconate ........................................................................................Ferrous Sulfate .............................................................................................

IrrigantSodium Chloride ...........................................................................................

Keratolytic AgentPodofilox .......................................................................................................Salicylic Acid .................................................................................................Tazarotene ....................................................................................................Urea (Topical) ................................................................................................

LaxativeMagnesium Hydroxide ..................................................................................

Laxative, Bowel EvacuantSodium Phosphates ......................................................................................

LAXATIVE, BOWEL EVACUANT

9

Laxative, Bulk-ProducingPsyllium .........................................................................................................

Laxative, OsmoticGlycerin .........................................................................................................Lactulose .......................................................................................................Polyethylene Glycol 3350 .............................................................................Polyethylene Glycol-Electrolyte Solution ......................................................

Laxative, SalineMagnesium Citrate ........................................................................................

Laxative, StimulantBisacodyl .......................................................................................................

Leukotriene-Receptor AntagonistMontelukast ...................................................................................................

Local AnestheticBenzocaine ...................................................................................................Dibucaine ......................................................................................................Lidocaine and Prilocaine ...............................................................................Lidocaine (Topical) ........................................................................................

Lubricant, OcularSodium Chloride ...........................................................................................

Lymphocyte Function-Associated Antigen 1 (LFA-1) AntagonistLifitegrast .......................................................................................................

Lysine AnalogAminocaproic Acid ........................................................................................

Magnesium SaltMagnesium Citrate ........................................................................................Magnesium Hydroxide ..................................................................................Magnesium Oxide .........................................................................................

Mast Cell StabilizerCromolyn (Ophthalmic) .................................................................................

Mineralocorticoid (Aldosterone) Receptor AntagonistsEplerenone ....................................................................................................Hydrochlorothiazide and Spironolactone ......................................................Spironolactone ..............................................................................................

Miscellaneous ProductDiabetic Supplies ..........................................................................................

Monoclonal AntibodyAdalimumab ..................................................................................................Secukinumab ................................................................................................Ustekinumab .................................................................................................

Monoclonal Antibody, CGRP AntagonistErenumab ......................................................................................................

mTOR Kinase InhibitorEverolimus ....................................................................................................Sirolimus .......................................................................................................

Neuraminidase InhibitorOseltamivir ....................................................................................................

N-Methyl-D-Aspartate (NMDA) Receptor AntagonistMemantine ....................................................................................................

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

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

Nonsteroidal Anti-inflammatory Drug (NSAID), OphthalmicDiclofenac (Ophthalmic) ................................................................................Flurbiprofen (Ophthalmic) .............................................................................Ketorolac (Ophthalmic) .................................................................................

Nonsteroidal Anti-inflammatory Drug (NSAID), OralAspirin ...........................................................................................................Diclofenac (Systemic) ...................................................................................Ibuprofen .......................................................................................................Indomethacin .................................................................................................Ketorolac (Systemic) .....................................................................................Meloxicam .....................................................................................................Nabumetone ..................................................................................................Naproxen .......................................................................................................Piroxicam (Systemic) ....................................................................................Sulindac ........................................................................................................

Nonsteroidal Anti-inflammatory Drug (NSAID), ParenteralIbuprofen .......................................................................................................

Indomethacin .................................................................................................Ketorolac (Systemic) .....................................................................................Meloxicam .....................................................................................................

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

Norepinephrine Reuptake Inhibitor, SelectiveAtoMOXetine .................................................................................................

Nutritional SupplementFluoride .........................................................................................................

Ophthalmic Agent, AntiglaucomaAcetaZOLAMIDE ...........................................................................................Betaxolol (Ophthalmic) ..................................................................................Bimatoprost ...................................................................................................Brimonidine and Timolol ...............................................................................Brimonidine (Ophthalmic) .............................................................................Brinzolamide and Brimonidine ......................................................................Carbachol ......................................................................................................Dorzolamide ..................................................................................................Dorzolamide and Timolol ..............................................................................Latanoprost ...................................................................................................Levobunolol ...................................................................................................MethazolAMIDE ............................................................................................Pilocarpine (Ophthalmic) ...............................................................................Timolol (Ophthalmic) .....................................................................................

Ophthalmic Agent, MioticCarbachol ......................................................................................................Pilocarpine (Ophthalmic) ...............................................................................

Ophthalmic Agent, MiscellaneousCarboxymethylcellulose ................................................................................

Ophthalmic Agent, MydriaticAtropine (Ophthalmic) ...................................................................................Cyclopentolate and Phenylephrine ...............................................................Homatropine ..................................................................................................Phenylephrine (Ophthalmic) .........................................................................Tropicamide ..................................................................................................

Ophthalmic Agent, VasoconstrictorNaphazoline and Pheniramine ......................................................................Naphazoline (Ophthalmic) ............................................................................

Opioid AntagonistNaloxone .......................................................................................................Naltrexone .....................................................................................................

Otic Agent, Anti-infectiveAcetic Acid, Propylene Glycol Diacetate, and Hydrocortisone .....................Aluminum Acetate and Acetic Acid ..............................................................

Otic Agent, CerumenolyticCarbamide Peroxide .....................................................................................

Ovulation StimulatorClomiPHENE .................................................................................................

P2Y12 AntagonistClopidogrel ....................................................................................................Prasugrel .......................................................................................................Ticagrelor ......................................................................................................

Partial Nicotine AgonistVarenicline .....................................................................................................

PediculocideMalathion .......................................................................................................Permethrin .....................................................................................................

Pharmaceutical AidWhite Petrolatum ..........................................................................................

Phenothiazine DerivativeChlorproMAZINE ...........................................................................................Prochlorperazine ...........................................................................................Promethazine ................................................................................................Promethazine and Codeine ..........................................................................Thioridazine ...................................................................................................Trifluoperazine ..............................................................................................

Phosphate BinderCalcium Acetate ............................................................................................Sevelamer .....................................................................................................

Phosphodiesterase-3 Enzyme InhibitorCilostazol .......................................................................................................

Phosphodiesterase-5 Enzyme InhibitorSildenafil ........................................................................................................

LAXATIVE, BULK-PRODUCING

10

Phosphodiesterase Enzyme Inhibitor, NonselectiveCaffeine .........................................................................................................Theophylline ..................................................................................................

Piperazine DerivativeCetirizine (Systemic) .....................................................................................HydrOXYzine ................................................................................................Meclizine .......................................................................................................

Piperidine DerivativeCyproheptadine .............................................................................................Fexofenadine ................................................................................................Loratadine .....................................................................................................Loratadine and Pseudoephedrine ................................................................Olopatadine (Ophthalmic) .............................................................................

Potassium BinderPatiromer .......................................................................................................

ProgestinHYDROXYprogesterone Caproate ...............................................................Levonorgestrel (Systemic) ............................................................................MedroxyPROGESTERone ............................................................................Megestrol ......................................................................................................Norethindrone ...............................................................................................Progesterone .................................................................................................

Progestin Receptor ModulatorUlipristal ........................................................................................................

ProstaglandinAlprostadil .....................................................................................................MiSOPROStol ...............................................................................................

Prostaglandin, OphthalmicBimatoprost ...................................................................................................Latanoprost ...................................................................................................

Protectant, TopicalAluminum Hydroxide .....................................................................................

Proton Pump InhibitorOmeprazole ...................................................................................................Pantoprazole .................................................................................................RABEprazole .................................................................................................

PsoralenMethoxsalen (Systemic) ................................................................................

Rescue Agent (Chemotherapy)Leucovorin Calcium ......................................................................................

Retinoic Acid DerivativeAdapalene .....................................................................................................ISOtretinoin (Systemic) .................................................................................Tazarotene ....................................................................................................Tretinoin (Topical) .........................................................................................

Retinoid-Like CompoundAcitretin .........................................................................................................

Rho Kinase InhibitorNetarsudil ......................................................................................................

RifamycinRifAMPin .......................................................................................................

SalicylateAspirin ...........................................................................................................Methyl Salicylate and Menthol ......................................................................Salsalate .......................................................................................................

Scabicidal AgentCrotamiton .....................................................................................................Malathion .......................................................................................................Permethrin .....................................................................................................

Second Generation (Atypical) AntipsychoticARIPiprazole .................................................................................................Lurasidone ....................................................................................................OLANZapine .................................................................................................Paliperidone ..................................................................................................QUEtiapine ....................................................................................................RisperiDONE .................................................................................................Ziprasidone ...................................................................................................

Selective 5-HT3 Receptor AntagonistGranisetron ...................................................................................................Ondansetron .................................................................................................Palonosetron .................................................................................................

Selective Estrogen Receptor Modulator (SERM)ClomiPHENE .................................................................................................

Raloxifene .....................................................................................................Tamoxifen ......................................................................................................

Serotonin 5-HT1B, 1D Receptor AgonistEletriptan .......................................................................................................Naratriptan ....................................................................................................Rizatriptan .....................................................................................................SUMAtriptan ..................................................................................................ZOLMitriptan .................................................................................................

Serotonin 5-HT4 Receptor AgonistMetoclopramide .............................................................................................

Skeletal Muscle RelaxantBaclofen ........................................................................................................Carisoprodol ..................................................................................................Cyclobenzaprine ...........................................................................................Methocarbamol .............................................................................................

Skin and Mucous Membrane AgentImiquimod ......................................................................................................

Skin and Mucous Membrane Agent, MiscellaneousEmollients ......................................................................................................

Smoking Cessation AidBuPROPion ...................................................................................................Nicotine .........................................................................................................Varenicline .....................................................................................................

Sodium-Glucose Cotransporter 2 (SGLT2) InhibitorEmpagliflozin .................................................................................................

Sodium SaltSodium Chloride ...........................................................................................

Stool SoftenerDocusate .......................................................................................................

Substituted BenzimidazoleOmeprazole ...................................................................................................Pantoprazole .................................................................................................RABEprazole .................................................................................................

SympathomimeticDiethylpropion ...............................................................................................Phentermine ..................................................................................................

ThioamideMethIMAzole .................................................................................................Propylthiouracil ..............................................................................................

Thyroid ProductLevothyroxine ................................................................................................Liothyronine ...................................................................................................Thyroid, Desiccated ......................................................................................

Topical Skin ProductAluminum Acetate .........................................................................................Aluminum Chloride Hexahydrate ..................................................................Benzoyl Peroxide ..........................................................................................Calamine .......................................................................................................Calcipotriene .................................................................................................Capsaicin ......................................................................................................Clindamycin and Benzoyl Peroxide ..............................................................Coal Tar and Salicylic Acid ...........................................................................Emollients ......................................................................................................Erythromycin (Topical) ..................................................................................Fluorouracil (Topical) .....................................................................................Imiquimod ......................................................................................................Ingenol Mebutate ..........................................................................................Lactic Acid and Ammonium Hydroxide .........................................................Lanolin ...........................................................................................................Methyl Salicylate and Menthol ......................................................................Pimecrolimus .................................................................................................Podofilox .......................................................................................................Povidone-Iodine (Topical) .............................................................................Selenium Sulfide ...........................................................................................Tacrolimus (Topical) ......................................................................................Urea (Topical) ................................................................................................White Petrolatum ..........................................................................................Zinc Oxide .....................................................................................................

Topical Skin Product, AcneAdapalene .....................................................................................................Benzoyl Peroxide ..........................................................................................Clindamycin and Benzoyl Peroxide ..............................................................Clindamycin (Topical) ....................................................................................Erythromycin (Topical) ..................................................................................Salicylic Acid .................................................................................................Sulfur and Sulfacetamide ..............................................................................

TOPICAL SKIN PRODUCT, ACNE

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Tazarotene ....................................................................................................Tretinoin (Topical) .........................................................................................

Transient Receptor Potential Vanilloid 1 (TRPV1) AgonistCapsaicin ......................................................................................................

Tumor Necrosis Factor (TNF) Blocking AgentAdalimumab ..................................................................................................

Uricosuric AgentProbenecid ....................................................................................................

Urinary Tract ProductAcetohydroxamic Acid ..................................................................................

VasodilatorAlprostadil .....................................................................................................Cilostazol .......................................................................................................Dipyridamole .................................................................................................HydrALAZINE ................................................................................................Isosorbide Dinitrate .......................................................................................Isosorbide Dinitrate and Hydralazine ............................................................Isosorbide Mononitrate .................................................................................Nitroglycerin ..................................................................................................

Vasodilator, Direct-ActingMinoxidil (Systemic) ......................................................................................

Vasopressin Analog, SyntheticDesmopressin ...............................................................................................

VitaminVitamins (Multiple/Oral) .................................................................................Vitamins (Multiple/Prenatal) ..........................................................................

Vitamin D AnalogCalcipotriene .................................................................................................Calcipotriene and Betamethasone ................................................................Calcitriol (Systemic) ......................................................................................Cholecalciferol ...............................................................................................Ergocalciferol ................................................................................................Vitamin D ......................................................................................................

Vitamin, Fat SolubleCalcium and Vitamin D .................................................................................Phytonadione ................................................................................................

Vitamin, Water SolubleCyanocobalamin ...........................................................................................Folic Acid ......................................................................................................Leucovorin Calcium ......................................................................................Niacin ............................................................................................................Pyridoxine .....................................................................................................Riboflavin ......................................................................................................Thiamine .......................................................................................................

Xanthine Oxidase InhibitorAllopurinol .....................................................................................................

TOPICAL SKIN PRODUCT, ACNE

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