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Medical Group Pharmacy
Patient
FormularySeymour Johnson AFBUpdated 05 October 2007
Meclizine (Antivert) 25mg TabMedroxyprogesterone (Provera) 2.5mg, 10mg TabMedroxyprogesterone Acetate (Depo-Provera) 150mg/ml InjMegestrol (Megace) 40mg TabMeloxicam (Mobic) 7.5mg, 15mg TabMesalamine (Asacol) 400 mg TabMetformin (Glucophage) 500mg, 850mg, 1000mg TabMetformin Extended Release (Glucophage XR) 500mg TabMethylergonovine (Methergine) 0.2mg TabMethocarbamol (Robaxin) 500mg TabMethotrexate (MTX) 2.5mg TabMethyldopa (Aldomet) 250mg Tab
Methylphenidate Controlled Release (Concerta) 18mg, 27mg,36mg, 54mg TabMethylphenidate (Ritalin) 5mg, 10mg TabMethylphenidate Sustained Release (Ritalin SR) 20mg Tab
Methylprednisolone (Medrol) 4mg TabMethylprednisolone (Medrol DosePak) 4mg TabMetoclopramide (Reglan) 10mg Tab & 5mg/5ml Oral SolnMetolazone (Zaroxolyn) 5mg TabMetoprolol Tartrate (Lopressor) 50mg, 100mg TabMetronidazole (MetroGel) 1%
Topical
Gel, 45gmMetronidazole (MetroGel) 0.75%
Vaginal
GelMetronidazole (Flagyl) 250mg TabMetronidazole (MetroLotion) 1% Topical LotionMicardis HCT (Telmisartan/HCTZ) 40/12.5, 80/12.5, 80mg/25mgTabMicronor/Nor-QD (Norethindrone) 0.35mg Tab, 28/Pack
Midrin (Acetaminophen-Isomethephene-Dichloralphenazone)Cap
Minocycline (Minocin) 50mg CapMonoNessa (Ortho Cylen) (EE/Norgestimate) Tab, 28/Pack Montelukast (Singulair) 4mg Chewable Tab, 5mg, 10mg Tab
Morphine Sustained Release (MS Contin) 15mg, 30mg, 60mgTab
Mupirocin (Bactroban) 2% Top OintMycolog II (Nystatin-Triamcinolone) 100,000U/mg Top CreamNaproxen (Naprosyn) 250mg, 500mg TabNecon 7/7/7 (Ortho-Novum 7/7/7) (EE/Norethindrone) Tab,28/Pack Nedocromil Sodium (Tilade) Oral InhNefazodone (Serzone) 100mg, 150mg, 200mg TabNaftifine (Naftin) 1% Top CreamNeosporin (Neomycin-Poly B-Gramicidin) Ophth Soln and OintNiacin Extended Release (Niaspan) 500mg, 750mg, 1000mg TabNiacin 100mg Tab & Nicobid 250mg Sustained Release CapNifedipine Extended Release (Adalat CC) 30mg, 60mg, 90mg TabNicotine (Nicoderm) 7mg/24hr, 14mg/24hr, 21mg/24hrTransdermal Patch
(Must be Enrolled in American LungAssociation Program)
Nicotine Polacrilex (Nicorette) 2mg Buccal Gum
(Must beEnrolled in American Lung Association Program)
Nitrofurantoin Monohydrate (Macrobid) 100mg CapNitrofurantoin (Macrodantin) 50mg CapNitroglycerin 0.3mg, 0.4mg, 0.6mg SL Tab & 0.4mg TranslingualSprayNitroglycerin Patch 0.2mg/Hr, 0.4mg/Hr & 0.6 mg/Hr Top PatchNordette (Levlen 28) (Levonorgestrel-EE) Tab, 28/Pack Nor-QD/Micronor (Norethindrone) 0.35mg Tab, 28/Pack Nortriptyline (Pamelor) 10mg, 25mg CapNu-Lytely Electolyte Powder, 4L/BtlNystatin (Mycostatin) 100,000U/Gm Top Cream, Oint & PowderNystatin 500,000 U Tab & 100,000 U/ml Oral SuspOfloxacin (Floxin) 0.3% Otic Soln 5ml/BtlOlopatadine HCl (Patanol) 0.1% Ophth SolnOmeprazole (Prilosec) 20mg CapOrtho Cylen (MonoNessa) (EE/Norgestimate) Tab, 28/Pack Ortho Evra (EE/Norelgestromin) Patch, 4/Box
Ortho Novum 1/35 (Ethinyl Estradiol/Norethindrone) Tab, 28/Pack Ortho-Novum 7/7/7 (Ethinyl Estradiol/Norethindrone) Tab, 28/Pack Ortho Tri-Cylen (TriNessa) (EE/Norgestimate) Tab, 28/Pack Ortho Tri-Cylen
Lo
(EE/Norgestimate) Tab, 28/Pack Ovral (Ogestrel) (EE/Norgestrel) Tab, 28/Pack Oxybutynin (Ditropan) 5mg TabOxybutynin XL (Ditropan XL) 5mg, 10mg, 15mg Tab
Oxycodone/APAP (Percocet) 5mg/325mg Tab
Oxymetazoline (Afrin) 0.05% Nasal SprayParoxetine (Paxil) 10mg, 20mg, 40mg TabPediazole (EES-Sulfisox) 200mg/600mg/5ml Oral SuspPenicillin VK 250mg, 500mg Tab & 250mg/5ml Oral SuspPentoxifylline (Trental) 400mg Tab
Percocet (Oxycodone/APAP) 5mg/325mg Tab
Permethrin (Elimite) 5% Top CreamPerphenazine (Trilafon) 4mg TabPhenazopyridine (Pyridium) 100mg Tab
Phenobarbital 20mg/5ml Oral Elixir & 30mg Tab
Phenytoin Sodium Chewable (Dilantin Infatab) 50mg TabPhenytoin Sodium (Dilantin) 100mg Cap & 125mg/5ml Oral SuspPilocarpine 1%, 2%, 4% Ophth SolnPilocarpine (Pilopine HS) 4% Ophth GelPimecrolimus (Elidel) 1% Top CreamPioglitazone (Actos) 15, 30, 45mg TabPiroxicam (Feldene) 20mg CapPodofilox (Condylox) 0.5% Top SolnPolysporin (Bacitracin Zinc & Polymixin B) Ophth OintPolytrim (Polymyxin B Sulfacte/Trimethoprim) Ophth SolnPotassium Chloride (Klor-Con) 8mEq TabPotassium Chloride (Klor-Con) 20mEq TabPravastatin (Pravachol) 10mg, 20mg, 40mg, 80mg TabPrazosin (Minipress) 1mg, 2mg, 5mg CapPrecision Xtra Test Strips, 50/BoxPrecision Xtra MonitorPrednisolone Acetate (Pred Forte) 1% Ophth SuspPrednisolone Acetate (Pred Mild) 0.12% Ophth SuspPrednisolone (Prelone) 15mg/5ml Oral SyrPrednisone (Deltasone) 1mg, 5mg, 10mg, 20mg TabPrednisone Dosepaks 5mg (#21, #48) Tabs and 10mg (#21, #48)TabsPremPhase (Estrogen & Estrogen Conj./Medroxyprogesterone) TabPrempro (Estrogen Conj/Medroxyprogesterone)
0.625/2.5mg
TabPrempro (Estrogen Conj/Medroxyprogesterone)
0.625/5mg
TabPrenatal Vitamin w/Folic Acid (
OB Only
) TabPrimaquine Phosphate 15mg (Base) TabPrimidone (Mysoline) 250mg TabProbenecid (Benemid) 500mg TabProcainamide Extended Release (Procanbid) 500mg TabProchlorperazine (Compazine) 5mg Tab & 25mg Rectal SuppProctofoam HC (Hydrocortisone Acetate-Pramoxine HCl) RectalFoamProgesterone Micronized (Prometrium) 100mg, 200mg CapPromethazine (Phenergan) 25mg Tab & 25mg Rectal SuppPropranolol (Inderal) 10mg, 40mg TabPropranolol (Inderal LA) 80mg CapPropylthiouracil (PTU) 50mg TabPseudoephedrine (Sudafed) 30mg TabPseudoephedrine (Sudafed) 30mg/5ml Oral Syr, 120ml/BtlPyrazinamide 500mg TabPyridoxine (Vitamin B-6) 50mg TabQuetiapine (Seroquel) 25mg, 100mg TabQuinidine Gluconate Sustained Release (Quinaglute) 324mg Tab
Quinidine
Sulfate 200mg TabRaloxifene (Evista) 60mg TabRanitidine (Zantac) 150mg Tab & 15mg/ml Oral SyrupRifampin (Rifadin) 300mg Cap
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