Ft. Meade MEDDAC Formulary Updated 31 May 2007
1
ADHD / Stimulant
Dextroamphetamine (Dexedrin) 5mg tabDextroamphetamine (Dexedrin) 5, 10, 15mg sustained release capDextroamphetamine and Amphetamine(Adderall) 5, 10, 20mg tabDextroamphetamine and amphetamine(Adderall XR) 5, 10, 15, 20, 25, 30mg capMethylphenidate (Concerta) 18, 27, 3654mg sustained releaseMethylphenidate (Ritalin or Methylin) 5, 10,20mg tabMethylphenidate SR (Ritalin SR) 20mg tab
Alzheimer’s Disease
Donepezil (Aricept) 5, 10mg tab
Analgesic- Non Narcotic
Acetaminophen rectal supp 120, 650mgAcetaminophen tab 325, 500mgAcetaminophen 160mg/ml, 80mg/0.8mg/mlAcetaminophen 80mg chewable tabAspirin EC tab 81, 325mgAspirin supp 600mgFioricet tabsTramadol (Ultram) 50mg tab
Analgesic-Narcotic
Acetaminophen / Codeine 120mg / 12mgper 5ml elixirAcetaminophen 300mg / 30mg tabAcetaminophen/ Oxycodone (Percocet)325mg /5mg tabAcetaminophen / Propoxephene napsolate(Darvocet N-100) 650mg / 100mg tabCodeine 30mg tabFentanyl (Duragesic) 25, 50, 75 or100mcg/hour patchHydrocodone / Acetaminophen 5/500mg tabMeperidine (Demerol) 50mg tabMidrin 325mg / 65mg / 100mg capMorphine IR 15, 30mg tabMorphine (MS Contin) 15, 30, 60, 100mgtab
Analgesic NSAID
Aspirin EC 81, 325mg tabAspirin 600mg suppAspirin/caffeine/butalbital (Fiorinal) capCholine Mag (Trilisate) 500mg tabDiclofenac EC (Voltaren) 50mg tabDiclofenac / Misopros (Arthrotec) 50mg,75mg/0.2mg tabEtodolac (Lodine) 200, 300, 400mgIbuprofen (Motrin) 400, 600, 800mg tabIbuprofen 100mg/5ml suspIndomethacin (Indocin) 25, 75mg capMeloxicam (Mobic) 7.5, 15mg tabNaproxen (Naprosyn) 250, 500mg tabNaproxen 125mg/5ml suspensionPiroxicam (Feldene) 20mg capSalsalate (Disalcid) 500mg tabSulindac (Clinoril) 200mg tab
Anti-Convulsant
Carbamazepine (Tegretol) 100mg chewCarbamezepine 200mg tabCarbamezepine 100mg/5mg suspCarbamazepine XR 200, 400mg tabDivalproex (Depakote) 125, 250,500mgtabDivalproex ER 250, 500mg tabDivalproex Sprinkles (Depakote) 125mgcapEthosuximide 250mg capLamotrigine (Lamictal) 25, 100, 150,200mg tabLamotrigine 5, 25mg chew tabsGabapentin (Neurontin) 100, 300, 400cap, 600mg, 800mg tabValproate (Depakene) 250mg/5ml syrpPhenobarbital 30mg tabPhenobarbital 20mg/5ml elixirPhenytoin (Dilantin) 100mg capPhenytoin 50mg chew tabPhenytoin 125mg/5ml suspPrimidone (Mysoline) 50, 250mg tabPrimidone 250/5ml suspTopiramate (Topamax) sprinkle cap 15mgand 25mgTopiramate 25, 100, 200mg tab
Antidepressant
Amitriptyline (Elavil) 10, 25, 75mgBupropion (Wellbutrin SR) 100, 150mgBupropion 75, 100mg tabCitalopram (Celexa) 20, 40mg tabDoxepin (Sinequan) 10, 25, 50mg capFluoxetine (Prozac) 10, 20mg capFluoxetine 20mg/5mlFluvoxamine (Luvox) 50, 100mg tabImipramine (Tofranil) 10, 25mg tabNefazodone (Serzone) 100, 200mg tabNortriptyline (Pamelor) 10, 25, 50mg capParoxetine (Paxil) 10mg, 20, 30, 40mg tabParoxetine 10mg/5mlPhenelzine (Nardil) 15mg tabSertraline (Zoloft) 25, 50, 100mg tabTrazodone (Desyrel) 50, 100mg tabVelafaxine (Effexor XR) 37.5, 75, 150mgVenlafaxine (Effexor) 25, 37.5, 50, 75,100mg tab
Antidiabetics:
Oral
Acarbose (Precose) 50, 100mg tabGlipizide (Glucotrol) 5,10mg tabGlipizide XL 2.5, 5,10mg tabGlyburide (Micronase or Diabeta) 5mgGlyburide (Glynase) 1.5, 3, 6mg tabMetformin (Glucophage) 500, 850,1000mg tabMetformin XR 500, 750 mg tabPioglitazone (Actos) 15, 30, 45mg tabRosiglitazone / Metformin (Avandamet)2mg/500mg, 2mg/1000mg, 4mg/500mg,4mg/1000mg tabRosiglitazone (Avandia) 2, 4, 8mg tab
Injectible (100units/mL)
Insulin Glargine (Lantus) vialInsulin Ultralente (Humulin U) vialInsulin Regular (Novolin R) vialInsulin Aspart (Novolog) vialInsulin NPH (Novolin NPH) vialInsulin 70/30 (Novolin) vial
Diabetic Miscellaneous / Supplies
Accu-check test strips 50 countAccu-check comfort curve glucose monitorGlucagonInsulin syringesPrecision Xtra glucose monitor (*DoD 1
st
line)Precision Xtra test strips 50 countMedisense Lancets (Precision lancet device)SoftClix Lancets (Accucheck lancet device)
Anti-emetics:
Meclizine (Antivert) 25mg tabProchlorperazine (Compazine) 5mg tab and25mg suppPromethazine 12.5, 25mg tabPromethazine 25mg rect suppScopolamine (Transderm-Scop) patch
Anti-Infectives:
Antibacterials
Amoxicillin/Clavulonic Acid (Augmentin)500mg, 875mg tabAugmentin 400mg/5ml suspAugmentin ES 600-42.9/5ml suspAmoxicillin (Amoxil) 250, 500mg cap,Amoxicillin 125, 250, 400mg/5ml suspAzithromycin (Zithromax) 250mg tab,Azithromycin 1g powder pack Azithromycin100 and 200mg/5ml suspCefpodoxime (Vantin) 100mg tabCefpodoxime 100mg/5ml suspCefuroxime (Ceftin) 250mg tabCefuroxime 250mg/5ml susp
Ft. Meade MEDDAC Formulary Updated 31 May 2007
2
Antibacterials (con’d)
Cephalexin (Keflex) 250, 500mg capCephalexin 250mg/5ml suspCiprofloxacin (Cipro) 250, 500, 750mgClarithromycin (Biaxin) 250, 500mg tabClarithromycin 250mg/5ml suspClindamycin (Cleocin) 150mg capClindamycin 75mg/5ml suspDicloxacillin (Dynapen) 25mg cap
Antibacterials (cont’d)
Doxycycline (Vibramycin) 100mg capErythromycin 250mg tabErythromycin 200mg/5ml suspLevofloxacin (Levaquin) 250, 500, 750mgMinocyclin (Minocin) 100mg capNitrofurantoin (Macrobid)100mg capNitrofurantoin (Macrodantin) 50mg capNitrofurantoin (Furadantin) 25mg/5mlPenicillin VK (Veetids) 250,500mg tabPenicillin 250mg/5ml suspSulf/Trimet (Septra) 800/160mg/tabTMP-SMZ (Septra) 40/200 per 4ml suspTrimethoprim (Proloprim) 100mg tabTetracycline 250mg cap
Anti-fungals
Fluconazole (Diflucan) 100, 150mg tabGrifulvin V 125mg tabGrifulvin 125/5ml suspNystatin 100,000 suspKetoconazole (Nizoral) 200mg tabTerbinafine (Lamisil) 250mg tab
Anti-malarial
Primaquin (Primaquine) 26.3mg tabMefloquine (Lariam) 250mg tabHydroxychloroquin (Plaquenil) 200mg tabChloroquine Phosphate 500mg tab
Anti-helminic
Mebendazole (Vermox) 100mg tab
Anti-tuberculin
Ethambutol (myambutol) 100, 400mg tabIsoniazid 100, 300mg tabIsoniazide 10mg/mlPyrazinamide 500mg tabRifampin (Rimactane) 300mg cap
Anti-viral
Acyclovir (Zovirax) 200mg capAcyclovir 40mg/ml suspensionValacyclovir HCL (Valtrex) 500, 1000mg
Anti-protozoal
Metronidazole (Flagyl) 250mg tab
Anti-gout:
Allopurinol (Zyloprim) 100, 300mg tabColchicine 0.6mg tabletProbenecid (Benemid) 500mg tablet
Anti –Migraine:
Ergotamine / Caffeine (Cafergot)1/100mgSumatriptan (Imitrex) Stat Dose kit, 2syringe refillsSumatriptan nasal spray 20MG (6/box)Sumatriptan 25mg, 50mg 100mg tab(9/box)Zolmitriptan (Zomig) 2.5, 5mg tab (3/box)Zolmitriptan-ZMT (Zomig) 2.5, 5mg tab(3/box)
Antineoplastic
Methotrexate (Rheumatrex) 2.5mg tabTamoxifen (Novadex) 10g tab
Antipsychotic:
Aripiprazol (Abilify) 5, 20, 30mg tabChlorpromazine (Thorazine) 25, 100mgtabFluphenazine (Prolixine) 5mg tabHaloperidol (Haldol) 1, 5mg tabLithium Carbonate (Lithonate) 300mg capLithium Carbonate SR 450mg tabOlanzapine (Zyprexa) 2.5, 5, 7.5, 10,15mg tabPerphenazine (Trilafon) 4mg tabQuetiapine (Seroquel) 25, 100, 200,300mgRisperidone (Risperdal) 0.25, 0.5, 1, 2,3mg tabRisperidone 1mg/ml soln
Anxiolytics, Sedatives andHypnotics:
Buspirone (Buspar) 5, 10mg tabChloral Hydra (Noctec) 500mg/5ml syrupClonazepam (Klonepin) 0.5, 2mg tabDiazepam (Valium) 5mg tabHydroxyzine HCL (Atarax) 10, 25mgHydroxyzine 10mg/5ml syrpLorazepam (Ativan) 0.5mg, 2mg tabTemazepam (Restoril) 15, 30mg capTriazolam (Halcion) 0.25, 1.25mg tabZolpidem (Ambien) 5, 10mg tab
Arthritic:
Azathioprine (Imuran) 50mg tab
Cardiovascular:
Ace Inhibitors
Captopril (Capoten) 12.5, 25, 50mg tabLisinopril (Prinivil) 2.5, 5, 10, 20, 40mg
Alpha Blockers
Doxazosin (Cardura) 2, 4, 8mg tabPrazosin (Minipres) 1, 2, 5mg capTerazosin (Hytrin) 1, 2, 5mg cap
Angiotensin II Receptor Blocker
Irbesartan (Avapro) 150, 300mg tabLosartan (Cozaar) 25, 50,100mg tabTelmisartan (Micardis) 20, 40, 80mg tabValsartan (Diovan) 80, 160, 320mg tab
Anti-arrythmics
Amiodarone (Cordarone) 200mg tabDigoxin (Lanoxin) 0.125, 0.25mg tabDigoxin 0.05mg/ml elixerFlecainide (Tambocor) 100mg tabProcainamide (Procan SR) 500mg tabQuinidine gluconate 324mg ext rel tabQuinidine sulfate 200mg tab
Antihyperlipidemic
Colestipol HCL (Colestid) 1gm tabSalmon Oil 1000mgGemfibrozil (Lopid) 600mg tabNiacin Immediate Release 100, 500mgNiacin (Niaspan ER) 500, 750, 1000mgPravastatin 10, 20, 40, 80mg tabSimvastatin (Zocor) 5, 10, 20, 40, 80mgSimvastatin/ezetimibe (Vytorin) 10/10, 10/20,10/40, 10/80mg tab
Beta Blockers
Atenolol (Tenormin) 25, 50, 100mg tabCarvedilol (Coreg) 3.125, 6.25, 25mg tabMetoprolol (Lopressor) 25, 50, 100mg tabMetoprolol (Toprol XL) 25, 50, 100mg tabPropranolol (Inderal) 10, 20, 40, 80mg tabSotalol (Betapace) 80, 160mg tab
Calcium Chanel Blockers
Diltiazem (Cardizem) 60mg tabDiltiazem ER (Tiazac) 120, 180, 240, 300,360mg capFelodipine (Plendil) 2.5, 5, 10mg tabNifedipine (Procardia) 10mg capNifedipine (Adalat CC) 30, 60, 90mg tabVerapamil (Calan) 80mg tabVerapamil SR 180, 240mg tab
Combination Antihypertensive
Amlodipine / Benazopril (Lotrel) 2.5mg/10mg,5mg/10mg, 5mg/20mg, 5mg/40mg,10mg/20mg, 10/40mg capLisinopril / HCTZ (Zestoretic) 10mg/12.5mg,20mg/12.5mg, 20mg/25mg tabTelmisartan / HCTZ (Micardis HCT)40mg/12.5mg, 80mg/12.5mg, 80mg/25mgtab
Ft. Meade MEDDAC Formulary Updated 31 May 2007
3
Diuretics
Chlorthalidone (Hygroton) 25, 50mg tabFurosemide (Lasix) 20, 40mg tabFurosemide 10mg/ml solnHCTZ/Triamterene (Maxzide)25mg/37.5mg, 50mg/75mg tabHydrochlorthiazide (HCTZ) 12.5mg cap,Hydrochlorthiazide 25, 50mg tabSpironolactone (Aldactone) 25mg tab
Cardiovascular Miscellaneous
Clonidine (Catapres TTS) 0.1, 0.2,0.3mg/24HRClonidine (Catapres) 0.1, 0.2mg tabDigoxin (Lanoxin) 0.125, 0.250mg tabDipyridamole (Persantine) 25, 75mg tabMethyldopa (Aldomet) 250mg tab
Nitrates / Vasodilators
Hydralazine (Apresoline) 10, 25mg tabIsosorbide Mononitrate (Imdur) 30, 60,120mg tabIsosorbide Dinitrate (Sorbitrate) 10mg tabIsosorbide Dinitrate 40mg sustained releaseNitroglycerine (Nitrostat) 0.4mg SL tabNitroglycerine 0.4mg sprayNitroglycerine (Nitro-Bid) 2.5mg capNitroglycerine (Nitro-Dur) 0.2mg/hr,0.4mg/hr, 0.6mg/hr
Platelet-Aggregation Inhibitor
Cilostazol (Pletal) 50, 100mg tabClopidigrel (Plavix) 75mg tab
Cough and Cold:
Antihistamines:
1st Generation:Chlorpheniramine (Chlor-Trimeton)4mg tabChlorpheniramine 2mg/5ml SyrupDiphenhydramine (Benadryl) 25mg capDiphenhydramine 12.5mg/5ml elixerCyproheptadine (Periactin) 4mg tab2nd Generation:Cetirizine (zyrtec) 1mg/ml syrup
(reserved for children <2yrs of age)
Loratadine (Claritin) 10mg tabLoratadine 5mg/5ml syrupFexofenadine (Allegra) 60, 180mg tab
(second line use to Claritin)
Combination
Brompheniramine maleate / Pseudoephedrine (Bromphed-PD) 6mg / 60mg capsuleBrompeniramine maleate / Pseudoephedrine(Dimetapp) 1mg / 15mg per 5ml
Chlorpheniramine / Pseudoephedrine(Deconamine SR) 8mg / 120mg capChlorpheniramine / Phenylephrine / Dextromethorphan (Rhondec DM)1mg / 3.5mg / 30mg per mlPseudoephedrine / Triprolidine (Actifed)60mg / 2.5mg tab
Cough: Anti-tussive & Expectorants
Benzonatate (Tessalon) 100mg capGuaifenesin / Pseudoephedrine (EntexPSE) 600mg / 120mg tabGuaifenesin / Pseudoephedrine(Guaifenex - PSE) 600mg / 60mg tabGuaifenesin / Dextromethorphan(Humibid DM) 600mg / 30mg tabGuaifenesin / Dextromethorphan(Robitussin DM) 100mg / 10mg per5ml syrupGuaifenesin / Codeine (Robitussin AC)100mg / 10mg per 5ml syrupGuaifenesin (Robitussin) 100mg per 5ml
Decongestants
Pseudoephedrine (Sudafed) 30, 60mg tabPseudoephedrine 30mg/5ml
Dental
Chlorhexidine rinse 0.12% liquidSod Fluoride (pediaflor) 0.5mg/ml dropSod fluoride (luride) 2.2mg tabSod Fluoride (preveident) 1.1% gelSod Fluoride (Prevident 5000 PLUS)1.1% pasteStannous Fluoride (Gel Kam) 0.4% gelTriamcinolone (kenalog, in orabse) dentalpaste
Dermatology/Topical Agents
Acne
Adapalene (Differin) cream 0.1%Benzoyl Peroxide Wash 5%Benzoyl Peroxide gel 2.5, 5%Erythromycin (T-Stat) 2% topical padsErythromycin / Benzyl Peroxide(Benzamycin)Clindamycin (Cleocin) 1% solution, lotionTretinoin (Retin-A) cream 0.025%, 0.05%Tretinoin (Retin-A) gel 0.01%
**Tretinoin products restricted toindividuals
≤
35 years of age** Antibacterial
Bacitracin Topical OintmentMupirocin (Bactroban) 2% cream,ointment
Antifungal
Clotrimazole (Lotrimin or Mycelex) 1%creamGentian Violet Solution 1% solutionKetoconazole (Nizoral) 2% cream, shampoo Nystatin 100,000 U/gm creamTerbinafine HCL (Lamisil) 1% creamTolnaftate (Tinactin) 1% solution
Anti-infective Miscellaneous:
Metronidazole 0.75% creamMetronidazole (Metrogel) 1% gelSilver Sulfadiazine (Silvadine)
Anti-parasitics:
Permethrin (Elmite) 5% creamPiperonyl/Pyrethrins (RID) 0.3% Shampoo
Keratolytic
Podofilox (Condylox) 0.5% solutionImiquimod (Aldara) 5% cream
Urea lotion 10% top lotionSalicylic Acid (Duofilm) 17% liquidSalicylic Acid Plaster 40% patch
Psoriasis:
Calcipotriene (Dovonex) 0.05% ointSelenium sulfide (selsun) 2.5% shampoo
Rectal Preps:
Dibucaine (Nupercaine) 1% ointHemorrhoidal (Anusol) 25mg suppHydrocortisone (Cortifoam) 10% foamHydrocortiosne (Cortenema) 100mg EnemaHydrocortisone (Proctocream / Anusol HC)2.5% creamPramox/Hydroc (Pramosone) 1% creamPramox/Hydroc (Proctofoam) 1% foam
Steroid - topical
Very High PotencyBetamethasone Augmented (Diprolene) 0.05%OintmentClobetasol (Temovate) 0.05% Cream, andointmentHigh Potency Betamethasone (Diprosone) 0.05% Cream andointmentFluocinonide (Lidex) 0.05% Cream andointmentIntermediate PotencyBetamethasone Valerate (Valisone, Beta Val)0.1% lotionFlurandrenolide (Cordran) 4mcg/cm tapeHydrocortisone Valerate (Westcort) 0.2%cream and ointmentTriamcinolone (Kenalog) 0.1% cream
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US Army: Formulary
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| Upload Date: | 01/28/2008 |
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