healthpac formulary - alameda county, californiaalclometasone cream aclovate 45 gm anti-inflammatory...

HealthPAC Formulary Current as of January 2019

Generic Name Brand Name Strength Class I Class II

Acetaminophen Tylenol 325 mg Analgesic Acetaminophen



Acetaminophen/Oxycodone Percocet 325 mg-10 mg Analgesic Narcotic

Acetaminophen/Oxycodone Percocet 325 mg-5 mg Analgesic Narcotic

Acetaminophen/Codeine #3 Tylenol #3 300 mg-30 mg Analgesic Narcotic

Acetaminophen/Hydrocodone Norco 325 mg-5 mg Analgesic Narcotic

Acetaminophen/Hydrocodone Norco 325 mg-7.5 mg Analgesic Narcotic

Acetaminophen/Hydrocodone Norco 325 mg-10 mg Analgesic Narcotic

Acetaminophen/Hydrocodone

bitartrateVicodin 500 mg-5 mg Analgesic Narcotic

Acetic acid Vosol 15 ml drops Otic

Acetic acid/Hydrocortisone Vosol HC 2%-1% Otic

Acyclovir Zovirax 200 mg Antimicrobials Antiviral



Albuterol HFA (IDP) tablet, MDI,

solution, UDProventil HFA (IDP) 90 mcg Respiratory Inhaler

Albuterol liquid Ventolin 2 mg/5 ml (120 cc) Respiratory

Albuterol solution neb Proventil 5 mg/ml (20 cc bottle) Respiratory Nebulizer soln

Albuterol Unit Dose Proventil 0.83 mg/ml Respiratory

Albuterol-ipratropium Inhaler Combivent MDI Respiratory

Alclometasone Cream Aclovate 45 gm Anti-inflammatory Agents

Alclometasone Ointment Aclovate 45 gm Anti-inflammatory Agents

Alendronate Fosamax 70 mg Osteoporosis

Alendronate Fosamax 35 mg Osteoporosis

Allopurinol Zyloprim 300 mg Gout

Allopurinol Zyloprim 100 mg Gout

Amantadine Symmetrel 50 mg/5 ml (120 cc) Neurologic Parkinson

Amantadine Symmetrel 100 mg Neurologic Parkinson

Amikacin Amikin 1000 mg/4 ml (4 cc) Antimicrobials Aminoglycoside

Amikacin Amikin 500 mg/2 ml (2 cc) Antimicrobials Aminoglycoside

Aminosalicylic acid Paser 4 g Antimicrobials Antitubercular

Disclaimer: Doses / routes of administration are the responsibility of the prescribing provider based on the medical home's practice guidelines. of 25



Amiodarone Cordarone 400 mg Cardiovascular Antiarrythmic

Amiodarone Cordarone 200 mg Cardiovascular Antiarrythmic

Amitriptyline Elavil 50 mg Psychiatric Antidepressant





Amlodipine Norvasc 5 mg Cardiovascular Calcium Channel Blockers

Amlodipine Norvasc 2.5 mg Cardiovascular Calcium Channel Blockers

Amlodipine Norvasc 10 mg Cardiovascular Calcium Channel Blockers

Amoxicillin Amoxil 500 mg Antimicrobials Penicillins

Amoxicillin Amoxil 250 mg/5 ml (150 cc) Antimicrobials Penicillins

Amoxicillin Amoxil 250 mg Antimicrobials Penicillins

Amoxicillin Amoxil 125 mg/5 ml (80 cc) Antimicrobials Penicillins

Amoxicillin Amoxil 400 mg/5 ml Antimicrobials Penicillins

Amoxicillin-clavulanate Augmentin 500 mg-125 mg Antimicrobials Penicillins

Amoxicillin-clavulanate Augmentin 875 mg-125 mg Antimicrobials Penicillins

Amoxicillin-clavulanate Augmentin 200 mg/5 ml (100 cc) Antimicrobials Penicillins

Antipyrene, Benzocaine, Glycerine

dehydAuralgan 10 ml drops Otic

Aspirin (acetylsalicylic acid, ASA) 325 mg Analgesic Salicylates

Aspirin (acetylsalicylic acid, ASA) 81 mg Analgesic Salicylates

Atenolol Tenormin 50 mg Cardiovascular Beta Blockers



Atorvastatin Lipitor 10 mg CardiovascularCholesterol Lowering

Agents


Agents


Agents


Agents




Azathioprine Imuran 50 mg Immunosupressive

Azithromycin Zithromax 250 mg Antimicrobials Macrolides

Azithromycin Zithromax 600 mg Antimicrobials Macrolides

Baclofen Lioresal 10 mg Analgesic Muscle Relaxant

Baclofen Lioresal 20 mg Analgesic Muscle Relaxant

Beclomethasone dipropionate Qvar 80 mcg Respiratory Steroid inhaler

Beclomethasone dipropionate Qvar 40 mcg Respiratory Steroid inhaler

Belladonna alkaloids, phenobarbital Donnatal 16.2 mg GI Antispasmodics

Benzonatate Tessalon 100 mg Cold, Cough, Allergy Antitussive

Benzonatate Tessalon 200 mg Cold, Cough, Allergy Antitussive

Benztropine mesylate Cogentin 2 mg Neurologic Parkinson

Benztropine mesylate Cogentin 1 mg Neurologic Parkinson

Benztropine mesylate Cogentin 0.5 mg Neurologic Parkinson

Benztropine mesylate Cogentin 1 mg/ml (inj) Neurologic Parkinson

Bismuth subsalicylate-metronidazole-

tetracyclineHelidac Helicobacter pylori agent

Brimonidine tartrate solution Alphagan 0.2% Ophthalmic Glaucoma

Brinzolamide Azopt 1% suspension Ophthalmic Glaucoma

Bromocriptine Parlodel 2.5 mg Hypoprolactinemic

Buprenorphine Butrans 10 mcg/hr Analgesic Opiate Agonist



Buprenorphine Butrans 7.5 mcg/hr Analgesic Opiate Agonist

Buprenorphine Subutex 2 mg Analgesic Opiate Agonist

Buprenorphine/naloxone Suboxone 2 mg-0.5 mg AnalgesicMixed Opiate

Agonist/Antagonist

Buprenorphine/naloxone Suboxone 8 mg-2 mg AnalgesicMixed Opiate

Agonist/Antagonist

Bupropion XL Wellbutrin XL 150 mg Psychiatric Antidepressant

Bupropion XL Wellbutrin XL 300 mg Psychiatric Antidepressant

Buproprion IR, SR Wellbutrin SR 150 mg Psychiatric Antidepressant








Buspirone HCI BuSpar 5 mg Psychiatric Other




Butalbital/APAP/Caffeine Fioricet 50 mg-325 mg-40 mg Analgesic Misc

Calcipotriene Dovonex 0.005% crm (Use Brand Product) Derm Topical

Calcitriol Rocaltrol 0.25 mcg Vitamin

Calcitriol Rocaltrol 0.5 mcg Vitamin

Calcium acetate Phoslo 667 mg Phosphate binder

Capsaicin 0.025% cream Derm Analgesic



Captopril Capoten 50 mg Cardiovascular ACE Inhibitor


Captopril Capoten 12.5 mg Cardiovascular ACE Inhibitor


Carbamazepine Tegretol 200 mg Psychiatric Mood Stabilizer

Carbamazepine Tegretol 100 mg Psychiatric Mood Stabilizer

Carbamazepine Tegretol 100 mg/5 ml Psychiatric Mood Stabilizer

Carbidopa/levodopa Sinemet 25 mg-250 mg Neurologic Parkinson



Carbidopa/levodopa LA Sinemet CR 50-200 mg Neurologic Parkinson

Carbidopa/levodopa LA Sinemet CR 25-100 mg Neurologic Parkinson

Carisoprodol Soma 250 mg Muscle Relaxant

Carvedilol Coreg 6.25 mg Cardiovascular Beta Blockers



Carvedilol Coreg 25 mg Cardiovascular Beta Blockers

Celecoxib Celebrex 100 mg Analgesic NSAID







Cephalexin Keflex 250 mg/5 ml (100 cc) Antimicrobials Cephalosporins

Cephalexin Keflex 250 mg Antimicrobials Cephalosporins

Cephalexin Keflex 125 mg/5 ml (200 cc) Antimicrobials Cephalosporins

Cephalexin Keflex 500 mg Antimicrobials Cephalosporins

Chlorpromazine Thorazine 50 mg Psychiatric Antipsychotic





Chlorpromazine Thorazine 30 mg/ml Psychiatric Antipsychotic

Chlorpromazine Thorazine 100 mg/ml Psychiatric Antipsychotic

Chlorthalidone Thalitone 25 mg Cardiovascular Diuretics

Chlorthalidone Thalitone 50 mg Cardiovascular Diuretics

Cimetidine Tagamet 400 mg GI H2 blockers

Ciprofloxacin Cipro 500 mg Antimicrobials Quinolones

Ciprofloxacin Cipro 250 mg Antimicrobials Quinolones

Ciprofloxacin eye drop Ciloxan 0.3% Ophthalmic

Ciprofloxacin/Dexamethasone Ciprodex 0.3/0.1% OticAntimicrobial/

Corticosteroid

Citalopram Hydrobromide Celexa 40 mg Psychiatric Antidepressant



Citalopram Hydrobromide Celexa 10 mg/5 ml Psychiatric Antidepressant

Clarithromycin Biaxin 500 mg Antimicrobials

Clindamycin Cleocin 150 mg Antimicrobials Misc

Clindamycin Cleocin 300 mg Antimicrobials Misc

Clindamycin topical gel, lotion Cleocin 1% Derm Acne

Clindamycin topical solution Cleocin-T 1% (60 cc) Derm Acne

Clobetasol lotion Temovate 0.05% Derm Antiinflammatory

Clobetasol propionate Temovate 0.05% crm (15 Gms) Derm Antiinflammatory

Clobetasol propionate Temovate 0.05% oint (30 Gms) Derm Antiinflammatory




Clobetasol propionate Temovate 0.05% oint (15 Gms) Derm Antiinflammatory

Clomipramine Anafranil 75 mg Psychiatric Antidepressant



Clonazepam (SCH IV) Klonopin 2 mg Psychiatric Benzos

Clonazepam (SCH IV) Klonopin 1 mg Psychiatric Benzos

Clonazepam (SCH IV) Klonopin 0.5 mg Psychiatric Benzos

Clonidine HCI tabs Catapres 0.1 mg Cardiovascular Central Alpha Agonist



Clopidogrel Plavix 75 mgPlatelet aggregation

inhibitor

Clotrimazole Lotrimin 1% crm Antimicrobials Antifungals

Colchicine Colcrys 0.6 mg Gout

Conjugated Estrogen Cream Premarin 0.625 mg/g crm (43 Gm) Hormone Replacement

Cortisporin otic soln 1%-0.35%-10000u/mL (10 ml) Otic

Cortisporin otic susp drops (10 ml) Otic

Cromolyn inhaler Intal 14.2 Gm Respiratory

Cyclobenzaprine Flexeril 10 mg Analgesic Muscle Relaxant

Cycloserine Seromycin 250 mg Antimicrobials Antitubercular

Dextroamphetamine/amphetamine Adderall XR 10 mg Psychiatric Stimulant




Diabetes supplies - glucometer Diabetes

Diabetes supplies - lancets Diabetes

Diabetes supplies - syringes/needles Diabetes

Diabetes supplies - test strips Diabetes

Diabetes supplies - testing control

solutionDiabetes

Diazepam (SCH IV) Valium 5 mg Psychiatric Benzos






Diclofenac Pennsaid 2% sol Derm NSAID

Diclofenac Voltaren 1% gel (Use Brand Product) Derm NSAID

Diclofenac Voltaren 50 mg Analgesic NSAID

Diclofenac Voltaren 75 mg Analgesic NSAID

Dicloxacillin Dynapen 500 mg Antimicrobials Penicillins

Dicloxacillin Dynapen 250 mg Antimicrobials Penicillins

Dicyclomine Bentyl 20 mg GI Antispasmodics

Dicyclomine Bentyl 10 mg GI Antispasmodics

Digoxin Lanoxin 0.25 mg Cardiovascular Glycosides

Digoxin Lanoxin 0.125 mg Cardiovascular Glycosides

Dilitiazem HCI Cardizem LA 180 mg Cardiovascular Calcium Channel Blockers

Diltiazem Cardizem 120 mg Cardiovascular Calcium Channel Blockers

Diltiazem

Cardizem CD,

Dilacor Xr, Cartia

XL, Dilt-CD

90 mg Cardiovascular Calcium Channel Blockers

Diltiazem

Cardizem CD,

Dilacor Xr, Cartia

XL, Dilt-CD

60 mg Cardiovascular Calcium Channel Blockers

Diltiazem SR Cardizem SR 300 mg Cardiovascular Calcium Channel Blockers




Diltiazem CD Cardizem CD 360 mg Cardiovascular Calcium Channel Blockers








Diphenhydramine Benadryl 25, 50 mg capsules Cold, Cough, Allergy Antihistamine

Diphenhydramine Benadryl 12.5 mg/ 5ml Cold, Cough, Allergy Antihistamine

Diphenhydramine Benadryl 50 mg/ml (inj) Cold, Cough, Allergy Antihistamine




Diphenoxylate-atropine Lomotil 2.5 mg-0.025 mg GI Antidiarrhea

Diphenoxylate-atropine (SCH V) Lomotil 2.5 mg-0.025 mg/5 ml (60 ml) GI Antidiarrhea

Dipyridamole Persantine 25 mg Cardiovascular Anticoagulants



Divalproex sodium Depakote DR 125 mg Psychiatric Mood Stabilizer



Divalproex sodium Depakote ER 250 mg Psychiatric Mood Stabilizer

Divalproex sodium Depakote ER 500 mg Psychiatric Mood Stabilizer

Docusate Colace 100 mg GI Stool Softener

Docusate Colace 250 mg GI Stool Softener

Dolutegravir Tivicay 10 mg Antiretrovirals Integrase Inhibitor



Dorzolamide/Timolol Cosopt 22.3-6.8 mg/ml Ophthalmic Glaucoma

Doxazosin mesylate Cardura 8 mg Cardiovascular Alpha-1 blocker




Doxepin HCL Sinequan 50 mg Psychiatric Antidepressant






Doxycycline Doryx Vibramycin 50 mg Antimicrobials Tetracyclines

Doxycycline Doryx Vibramycin 100 mg Antimicrobials Tetracyclines

Duloxetine Cymbalta 20 mg Psychiatric Antidepressant




Econazole Spectazole 1% crm 15 Gm (15 Gm) Antimicrobials Antifungals






Empaglifozin Jardiance 10 mg Diabetes

Sodium-Glucose

Cotransporter 2 (SGLT2)

Inhibitor

Empaglifozin Jardiance 25 mg Diabetes

Sodium-Glucose

Cotransporter 2 (SGLT2)

Inhibitor

Emtricitabine and tenofovir disoproxil

fumarateTruvada 200-300 mg Antiretrovirals

Reverse Transcriptase

Inhibitor,

Nucleoside/Nucleotide

Enalapril maleate Vasotec 5 mg Cardiovascular ACE Inhibitor


Enalapril maleate Vasotec 2.5 mg Cardiovascular ACE Inhibitor


Enalapril maleate/Hctz Vaseretic 10 mg-25 mg Cardiovascular Antihypertensive

Enalapril maleate/Hctz Vaseretic 5 mg-12.5 mg Cardiovascular Antihypertensive

Erythromycin eye ointment 5 mg / Gm (3.5 Gm) Ophthalmic

Erythromycin gel or solution Erygel 2% Derm Acne

Erythromycin stearate Ery-Tab 500 mg Antimicrobials Macrolides



Escitalopram Lexapro 10 mg Psychiatric Antidepressant



Estradiol Estrace 2 mg Hormone Replacement

Estradiol Estrace 1 mg Hormone Replacement

Estradiol Estrace 0.5 mg Hormone Replacement

Ethambutol Myambutol 400 mg Antimicrobials Antitubercular

Ethambutol Myambutol 100 mg Antimicrobials Antitubercular

Ethionamide Trecator 250 mg Antimicrobials Antitubercular

Exenatide Byetta 10 mcg/0.04 mL (2.4 mL) Diabetes GLP-1 Receptor Agonist

Exenatide Byetta 5 mcg/0.02 mL (1.2 mL) Diabetes GLP-1 Receptor Agonist




Famotidine Pepcid 20 mg GI H2 Antagonists

Famotidine Pepcid 40 mg GI H2 Antagonists

Fenofibrate Tricor 145 mg CardiovascularCholesterol Lowering

Agents

Fenofibrate Tricor 48 mg CardiovascularCholesterol Lowering

Agents

Finasteride Proscar 5 mg Genitourinary 5-alpha reductase inhibitor

Fluconazole Diflucan 200 mg Antimicrobials Antifungals



Fludrocortisone Florinef 0.2 mg Adrenals

Fludrocortisone Florinef 0.1 mg Endocrine

Flunisolide Nasarel 25 mcg/spray (0.025%) Cold, Cough, Allergy Nasal Steroids

Fluocinolone acetonide Synalar 0.025% cream Derm Antiinflammatory

Fluocinolone acetonide Synalar 0.01% cream Derm Antiinflammatory

Fluocinolone acetonide Synalar 0.025% ointment Derm Antiinflammatory

Fluocinolone acetonide Synalar 0.01% ointment Derm Antiinflammatory

Fluocinolone acetonide Synalar 0.025%, 0.01% solution, 60 ml Derm Antiinflammatory

Fluocinonide Lidex 0.05% gel (60 gm) Derm Antiinflammatory

Fluocinonide Lidex 0.05% solution 60 ml Derm Antiinflammatory

Fluocinonide Lidex 0.05% oint (60 gm) Derm Antiinflammatory



Fluocinonide Lidex 0.05% cream (60 gm) Derm Antiinflammatory

Fluocinonide Lidex 0.05% cream (30 gm) Derm Antiinflammatory

Fluoxetine Prozac 20 mg Psychiatric Antidepressant



Fluoxetine Prozac 20 mg/5 ml Psychiatric Antidepressant

Fluphenazine Prolixin 5 mg/ml Psychiatric Antipsychotic

Fluphenazine Prolixin 0.5 mg/ml Psychiatric Antipsychotic

Fluphenazine Prolixin 2.5 mg Psychiatric Antipsychotic

Fluphenazine Prolixin 10 mg Psychiatric Antipsychotic




Fluphenazine Prolixin 1 mg Psychiatric Antipsychotic

Fluphenazine decanoate Prolixin 25 mg/ml (inj) Psychiatric Antipsychotic

Fluticasone propionate Flonase 50 mcg/spray Respiratory Nasal Inhaler

Fluticasone/Salmeterol Advair Diskus 100/50 mcg Respiratory

Beta2-Adrenergic Agonist,

Long-Acting;

Corticosteroid



Long-Acting;

Corticosteroid



Long-Acting;

Corticosteroid

Folic Acid 1 mg Vitamin

Furosemide Lasix 80 mg Cardiovascular Diuretics



Gabapentin Neurontin 300 mg Neurologic Anticonvulsant




Gemfibrozil Lopid 600 mg CardiovascularCholesterol Lowering

Agents

Gentamicin eye drops Garamycin 0.3% (5 ml) Ophthalmic

Glipizide Glucotrol 5 mg Diabetes Sulfonylureas

Glipizide Glucotrol 10 mg Diabetes Sulfonylureas

Glyburide Micronase Diabeta 5 mg Diabetes Sulfonylureas

Glyburide Micronase Diabeta 2.5 mg Diabetes Sulfonylureas

Glyburide Micronase Diabeta 1.25 mg Diabetes Sulfonylureas

Griseofulvin micro liquid Grifulvin V 125 mg/5 mL (120 ml) Antimicrobials Antifungals

Griseofulvin ultramicro Grisactin Fulvicin 250 mg Antimicrobials Antifungals

Griseofulvin ultramicro Grisactin Fulvicin 125 mg Antimicrobials Antifungals

Guaifenesin Robafen 100 mg/5 ml Cold, Cough, Allergy Antitussive

Guaifenesin DM Robafen DM 100 mg-10 mg/5 ml Cold, Cough, Allergy Antitussive




Guaifenesin/Codeine Robitussin AC 100 mg-10 mg/5 ml Cold, Cough, Allergy Antitussive

Haloperidol Haldol 5 mg Psychiatric Antipsychotic



Haloperidol Haldol 0.5 mg Psychiatric Antipsychotic

Haloperidol Haldol 2 mg/ml (15 ml) Psychiatric Antipsychotic

Haloperidol Haldol 2 mg/ml (120 ml) Psychiatric Antipsychotic



Haloperidol decanoate Haldol 50 mg/ml (inj) Psychiatric Antipsychotic

Haloperidol decanoate Haldol 100 mg/ml (inj) Psychiatric Antipsychotic

Hydralazine Apresoline 50 mg Cardiovascular Other Vasodilators




Hydrochlorothiazide Esidrix 25 mg Cardiovascular Diuretics

Hydrochlorothiazide Esidrix 50 mg Cardiovascular Diuretics

Hydrochlorothiazide Microzide 12.5 mg cap Cardiovascular Diuretics

Hydrocortisone HC 2.5% lotion Derm Antiinflammatory

Hydrocortisone HC 5 mg Derm Antiinflammatory



Hydrocortisone cream Cortizone 2.5% Derm Antiinflammatory

Hydrocortisone ointment Cortizone 2.5% Derm Antiinflammatory

Hydrocortisone Suppositories Cortizone 25 mg GI Antiinflammatory

Hydroxychloroquine Plaquenil 200 mg Rheumatology

Hydroxyzine HCL Atarax 25 mg Cold, Cough, Allergy Antihistamine


Hydroxyzine HCL Atarax 10 mg/5 ml (120 ml) Cold, Cough, Allergy Antihistamine


Ibuprofen Motrin 400 mg Analgesic NSAID






Imipramine Tofranil 50 mg Psychiatric Antidepressant



Indomethacin Indocin 50 mg Analgesic NSAID

Indomethacin Indocin 25 mg Analgesic NSAID

Insulin 70/30 Humulin, Novolin U100 (10 ml) Diabetes Insulin Product

Insulin glargine Lantus 100 IU/mL Diabetes Insulin Product

Insulin Lispro Humalog 100U/mL Diabetes Insulin Product

Insulin NPH Humulin N U100 (10 ml) Diabetes Insulin Product

Insulin Regular Humulin R U100 (10 ml) Diabetes Insulin Product

Insulin Regular Humulin R U500 Diabetes Insulin Product

Insulin Regular Humulin R Kwikpen U500 Diabetes Insulin Product

Ipratropium bromide 0.02% Atrovent Inh Sol 500 mcg (3 cc/amp) Respiratory Nebulizer soln

Ipratropium MDI Atrovent 18mcg/dose MDI (14gm) Respiratory Asthma

Isoniazid INH 300 mg Antimicrobials Antitubercular

Isoniazid INH 100 mg Antimicrobials Antitubercular

Isoniazid INH 10 mg / ml Antimicrobials Antitubercular

Isosorbide dinitrate Isordil 5 mg Cardiovascular Nitrate Vasodilators




Isosorbide mononitrate IR, SR Imdur 60 mg Cardiovascular Nitrate Vasodilators





Ketoconazole Nizoral 200 mg (tabs) Antimicrobials Antifungals

Ketoconazole Nizoral 2% crm (60 Gm) Antimicrobials Antifungals



Ketoconazole Nizoral 2% shampoo Antimicrobials Antifungals

Ketotifen Alaway 0.025% Ophthalmic

Labetalol HCL Trandate 200 mg Cardiovascular Beta Blockers






Lactulose Duphalac 10g/15 ml syrup GI Laxatives

Lamotrigine Lamictal 25 mg tab Neurologic Anticonvulsant




Latanoprost Xalatan 0.005% Ophthalmic

Levetiracetam Keppra 500 mg Neurologic



Levofloxacin Levaquin 250 mg Antimicrobials Quinolones



Levothyroxine Levoxyl 0.3 mg Endocrine Thyroid












Lidocaine Lidoderm 5% patch Analgesic Anesthetic, Topical

Lidocaine Xylocaine 2% jelly Derm Anesthetic

Lidocaine 4% cream Derm Anesthetic

Lidocaine 4% solution Derm Anesthetic

Lidocaine 5% cream Derm Anesthetic

Lidocaine 5% ointment Derm Anesthetic

Linezolid Zyvox 600 mg Antimicrobials Oxazolidinone




Lisinopril Prinivil, Zestril 5 mg Cardiovascular ACE Inhibitor



Lisinopril Prinivil, Zestril 2.5 mg Cardiovascular ACE Inhibitor



Lisinopril/Hctz Zestoretic 10 mg-12.5 mg Cardiovascular Antihypertensive

Lisinopril/Hctz Zestoretic 20 mg-12.5 mg Cardiovascular Antihypertensive

Lisinopril/Hctz Zestoretic 20 mg-25 mg Cardiovascular Antihypertensive

Lithium carbonate Eskalith CR 300 mg Psychiatric Mood Stabilizer

Lithium carbonate Eskalith CR 150 mg Psychiatric Mood Stabilizer

Lithium carbonate Eskalith SR 300 mg Psychiatric Mood Stabilizer

Lithium carbonate Eskalith SR 450 mg Psychiatric Mood Stabilizer

Loratadine Claritin 10 mg Antihistamine

Lorazepam (SCH IV) Ativan 2 mg Psychiatric Benzos

Lorazepam (SCH IV) Ativan 1 mg Psychiatric Benzos

Lorazepam (SCH IV) Ativan 0.5 mg Psychiatric Benzos

Losartan Cozaar 25 mg Cardiovascular Angiotensin II Blocker



Losartan/Hctz Hyzaar 100 mg-12.5 mg Cardiovascular Antihypertensive

Losartan/Hctz Hyzaar 100 mg-25 mg Cardiovascular Antihypertensive

Losartan/Hctz Hyzaar 50 mg-12.5 mg Cardiovascular Antihypertensive

Lovastatin Mevacor 10, 20, 40 mg CardiovascularCholesterol Lowering

Agents

Loxapine Loxitane 5, 10, 25, 50 mg Psychiatric Antipsychotic

Meclizine Antivert 25 mg tabs Neurologic Misc

Medroxyprogesterone Provera 5 mg Hormone Replacement

Medroxyprogesterone Provera 2.5 mg Hormone Replacement

Medroxyprogesterone Provera 10 mg Hormone Replacement

Meloxicam Mobic 7.5 mg Analgesic NSAID

Mesalamine Asacol 400 mg GI Anti-inflammatory bowel

Metformin Glucophage 500 mg Diabetes Biguanides






Metformin ER Glucophage XR 500 mg Diabetes Biguanides



Methadone 5 mg Analgesic Narcotic

Methadone 10 mg Analgesic Narcotic

Methimazole Tapazole 5 mg Endocrine Thyroid

Methimazole Tapazole 10 mg Endocrine Thyroid

Methocarbamol Robaxin 500 mg Analgesic Muscle Relaxant

Methocarbamol Robaxin 750 mg Analgesic Muscle Relaxant

Methotrexate Rheumatrex 2.5 mg Chemotherapy

Methyldopa Aldomet 500 mg Cardiovascular Central Alpha Agonist

Methyldopa Aldomet 250 mg Cardiovascular Central Alpha Agonist

Methylphenidate long-acting Ritalin LA 10 mg Psychiatric Stimulant




Methylphenidate short acting Ritalin 10 mg Psychiatric Stimulant



Metoclopramide Reglan 10 mg GI Antiemetic

Metoclopramide hcl Reglan 5 mg GI Antiemetic

Metolazone Zaroxolyn 5 mg Cardiovascular Diuretics

Metolazone Zaroxolyn 10 mg Cardiovascular Diuretics

Metolazone Zaroxolyn 2.5 mg Cardiovascular Diuretics

Metoprolol succinate Toprol XL 50 mg Cardiovascular Beta Blockers



Metoprolol tartrate Lopressor 50 mg Cardiovascular Beta Blockers



Metronidazole Flagyl 250 mg Antimicrobials Misc




Metronidazole Flagyl 500 mg Antimicrobials Misc

Metronidazole cream Metrocream 0.075% Antimicrobials Misc

Metronidazole cream Metrocream 0.75% Derm Acne

Metronidazole topical gel Metrogel 0.75% Derm Acne

Mirtazapine Remeron 45 mg Psychiatric Antidepressant



Misoprostol Cytotec 100 mg GI

Misoprostol Cytotec 200 mg GI

Montelukast Singulair 5 mg chew Respiratory

Montelukast Singulair 10 mg Respiratory

Morphine sulfate liquid MS 20 mg/5 ml Analgesic Narcotic

Morphine sulfate short acting MS 15 mg Analgesic Narcotic

Morphine sulfate short acting MS 30 mg Analgesic Narcotic

Morphine sulfate SR Oramorph SR 15 mg Analgesic Narcotic




Moxifloxacin Avelox 400 mg Antimicrobials Quinolones

Mupirocin Bactroban 2% ointment Derm Antimicrobial

Nabumetone Relafen 750 mg Analgesic NSAID

Naloxone Narcan 0.4 mg/ml Toxicology Agents Opiate Antagonists

Naloxone Narcan 1 mg/ml Toxicology Agents Opiate Antagonists

Naproxen Naprosyn 250 mg Analgesic NSAID



Niacin IR & ER tabs only 500 mg Cardiovascular



Nicotine Gum 2 mg Smoking deterrents

Nicotine Gum 4 mg Smoking deterrents

Nicotine Lozenge 2 mg Smoking deterrents

Nicotine Lozenge 4 mg Smoking deterrents




Nicotine Patches- 28 weeks NicoDerm 7 mg Smoking deterrents



Nifedipine SRProcardia, Adalat

CC, Nifediac90 mg Cardiovascular Calcium Channel Blockers





Nitrofurantoin macrocryst Macrodantin 50 mg Antimicrobials Misc

Nitrofurantoin macrocryst Macrodantin 100 mg Antimicrobials Misc

Nitrofurantoin monohydrate Macrobid 100 mg Antimicrobials Misc

Nitroglycerine SL Nitrostat 0.4 mg Cardiovascular Nitrate Vasodilators

Norethindrone Aygestin 5 mg Hormone Replacement Progestins

Nortriptyline Pamelor 75 mg Psychiatric Antidepressant




Nystatin (cream or ointment) Derm Antifungals

Nystatin oral suspension 100,000 units/ml Antimicrobials Antifungals

Ofloxacin Floxin 0.3% Otic Quinolones

Olanzapine Zyprexa 5 mg Psychiatric Antipsychotic

Olanzapine Zyprexa 2.5mg Psychiatric Antipsychotic

Omeprazole Prilosec 20 mg GI PPI

Oseltamivir Tamiflu 75mg Antimicrobials Antiviral

Oseltamivir Tamiflu 12 mg/ml Antimicrobials Antiviral

Oxybutynin Ditropan 5 mg Genitourinary

Paroxetine Paxil 40 mg Psychiatric Antidepressant




Paroxetine Paxil 10 mg/5 ml Psychiatric Antidepressant

Penicillin VK Veetids 500 mg Antimicrobials Penicillins




Penicillin VK Veetids 250 mg/5 ml (100 cc) Antimicrobials Penicillins

Penicillin VK Veetids 250 mg Antimicrobials Penicillins



Pentoxifylline ER Trental 400 mg Hemorrheologic Agents

Permethrin cream Elimite 5% (60 Gm) Derm Scabicide and Lice

Perphenazine Trilafon 8 mg Psychiatric Antipsychotic



Perphenazine Trilafon 16 mg / 5 cc (120 ml) Psychiatric Antipsychotic


Phenazopyridine HCL Pyridium 200 mg Genitourinary

Phenazopyridine HCL Pyridium 100 mg Genitourinary

Phenobarbital (SCH IV) 30 mg Neurologic Anticonvulsant




Phenytoin Dilantin 100 mg Neurologic Anticonvulsant

Phenytoin Dilantin 50 mg Neurologic Anticonvulsant

Pioglitazone hydrochloride Actos 15 mg Diabetes Thiazolidinediones



Polyethylene glycol Miralax 238 g GI

Polyethylene glycol Miralax 510 g GI

Polyethylene glycol electrolyte

solutionMix Golytely 240 g GI Prep

Polymyxin b- trimethoprim Polytrim 10 mL drops Ophthalmic

Polymyxin b- trimethoprim Polytrim 3.5 gm ointment Ophthalmic

Polyvinyl Alcohol Artificial Tears 1.4% Ophthalmic

Potassium chloride 10% (480 cc) Cardiovascular Potassium Supplement

Potassium chloride tabsK-Tab, K-Dur, Slow-

K, Klor-con8 mEq Cardiovascular Potassium Supplement








Pravastatin Pravachol 20, 40, 80 mg tabs CardiovascularCholesterol Lowering

Agents

Praziquantel Biltricide 600 mg Anthelmintics

Prazosin Minipress 1 mg Cardiovascular Alpha-blockers



Prednisolone Prelone 15mg/5ml oral sol Endocrine Glucocorticoids

Prednisolone ophth solu or susp 1% Ophthalmic

Prednisone Deltasone 1 mg Endocrine Glucocorticoids

Prednisone Deltasone 2.5 mg Endocrine Glucocorticoids





Pregabalin Lyrica 100 mg NeurologicAnticonvulsant; GABA

Analog


Analog


Analog

Prenatal Vitamin 27/0.8 mg Vitamin

Primidone Mysoline 50 mg Neurologic Anticonvulsant

Primidone Mysoline 250 mg Neurologic Anticonvulsant

Probenecid Benemid 500 mg Gout

Prochlorperazine Compazine 25 mg supp GI Antiemetic

Prochlorperazine Compazine 10 mg GI Antiemetic

Prochlorperazine Compazine 5 mg GI Antiemetic

Promethazine HCI Phenergan 50 mg GI Antiemetic

Promethazine HCI Phenergan supp 25 mg supp GI Antiemetic




Promethazine HCI Phenergan 25 mg GI Antiemetic

Promethazine HCI Phenergan 12.5 mg supp GI Antiemetic

Promethazine HCI Phenergan syrup 6.25 mg/5 ml (120 ml) GI Antiemetic

Promethazine HCI Phenergan 12.5 mg GI Antiemetic

Promethazine/VC/DM Cold, Cough, Allergy Antitussive

Propranolol HCL Inderal 80 mg Cardiovascular Beta Blockers





Propylthiouracil PTU 50 mg Endocrine Thyroid

Pyrazinamide 500 mg Antimicrobials Antitubercular

Pyridoxine Vitamin B5 25 mg Vitamin

Pyridoxine Vitamin B6 100 mg Vitamin

Quetiapine fumarate Seroquel 100 mg Psychiatric Antipsychotic






Ranitidine Zantac 300 mg GI H2 blockers

Ranitidine Zantac 150 mg GI H2 blockers

Rifampin Rifadin 300 mg Antimicrobials Antitubercular

Rifampin Rifadin 150 mg Antimicrobials Antitubercular

Rifapentine Priftin 150 mg Antimicrobials Antitubercular

Risperidone Risperdal 1 mg Psychiatric Antipsychotic

Risperidone Risperdal 1 mg/ml solution Psychiatric Antipsychotic

Risperidone Risperdal 0.5 mg Psychiatric Antipsychotic




Rivaroxaban Xarelto 10 mg Cardiovascular Anticoagulants






Salmeterol xinafoate Serevent Diskus 50 mcg RespiratoryBeta2-Adrenergic Agonist,

Long-Acting

Salsalate 750 mg Analgesic Salicylates

Salsalate 500 mg Analgesic Salicylates

Selenium sulfide lotion Selsun 2.50% Derm Anti-seborrhea

Sennoside Senna 8.6 mg GI Laxatives

Sertraline Zoloft 20 mg/ml Psychiatric Antidepressant

Sertraline Zoloft 25 mg Psychiatric Antidepressant



Silver sulfadiazineFlint SSD,

Silvadene1% crm Derm Other

Simvastatin Zocor 40 mg CardiovascularCholesterol Lowering

Agents


Agents


Agents

Sitagliptin Januvia 100 mg DiabetesDipeptidyl Peptidase 4

(DPP-4) Inhibitor


(DPP-4) Inhibitor


(DPP-4) Inhibitor

Spironolactone Aldactone 25 mg Cardiovascular Diuretics



Sucralfate Carafate 1 Gm GI

Sulfacetamide sodium eye drop sol Sulamyd 10% Ophthalmic

Sulfacetamide sodium eye ointment Sulamyd 10% Ophthalmic

Sulfamethxzl/Trimethoprim Septra 400 mg-80 mg Antimicrobials Sulfas

Sulfamethxzl/Trimethoprim Bactrim 200 mg-40 mg/5 ml (60 ml) Antimicrobials Sulfas

Sulfamethxzl/Trimethoprim DS Septra 800 mg-160 mg Antimicrobials Sulfas




Sulfasalazine Azulfidine 500 mg GI Anti-inflammatory bowel

Sulindac Clinoril 200 mg Analgesic NSAID

Sulindac Clinoril 150 mg Analgesic NSAID

Sumatriptan Imitrex 50 mg Neurologic Migraine



Tamoxifen Soltamox 10 mg Hormone Replacement

Tamsulosin Flomax 0.4 mg Genitourinary Alpha-blockers

Temazepam (SCH IV) Restoril 30 mg Psychiatric Hypnotic

Temazepam (SCH IV) Restoril 15 mg Psychiatric Hypnotic

Terazosin HCL Hytrin 5 mg Genitourinary




Testosterone AndroGel 20.25 mg/actuation (1.62%) gel

pump 75 gHormone Replacement

Testosterone Inj Depo Testosterone 100 mg/ml Hormone Replacement

Testosterone Inj Depo Testosterone 200 mg/ml Hormone Replacement

Tetracycline Sumycin 500 mg Antimicrobials Tetracyclines

Tetracycline Sumycin 250 mg Antimicrobials Tetracyclines

Theophylline Theo-Dur 300 mg Respiratory

Theophylline Theo-Dur 200 mg Respiratory

Thiothixene Navane 5 mg Psychiatric Antipsychotic





Thiothixene Navane 5 mg/ml Psychiatric Antipsychotic

Ticlopidine Ticlid 250mgPlatelet aggregation

inhibitor

Timolol Maleate eye drops 0.5% Ophthalmic Glaucoma

Timolol Maleate eye drops 0.25% Ophthalmic Glaucoma

Tobramycin ophthal soln. 0.3% Ophthalmic




Tramadol Ultram, Rybix 50 mg Analgesic Misc

Trazodone Desyrel 50 mg Psychiatric Antidepressant



Tretinoin Retin-A0.01%, 0.025%, 0.05%, 0.1%

cream, gelDerm Acne

Triamcinolone cream, ointment, or

lotionKenalog, Aristocort 0.10% Derm Antiinflammatory

Triamcinolone cream, ointment, or

lotionKenalog, Aristocort 0.025% Derm Antiinflammatory

Triamterene/Hctz Maxzide 37.5 mg-25 mg Cardiovascular Diuretics

Triamterene/Hctz Maxzide 75 mg-50 mg Cardiovascular Diuretics

Trifluoperazine Stelazine 5 mg Psychiatric Antipsychotic



Trihexyphenidyl Artane 5 mg Neurologic Parkinson

Trihexyphenidyl Artane 2 mg/5 ml Neurologic Parkinson

Trihexyphenidyl Artane 2 mg Neurologic Parkinson

Ursodiol Actigall 300 mg GI

Venlafaxine Effexor IR 25 mg Psychiatric Antidepressant

Venlafaxine XR Effexor XR 75 mg Psychiatric Antidepressant

Venlafaxine XR Effexor XR 37.5 mg Psychiatric Antidepressant

Venlafaxine XR Effexor XR 100 mg Psychiatric Antidepressant

Verapamil Isoptin 120 mg Cardiovascular Calcium Channel Blockers

Verapamil LA Isoptin 180 mg Cardiovascular Calcium Channel Blockers

Verapamil SR Calan SR 240 mg Cardiovascular Calcium Channel Blockers



Vitamin B6 50 mg Vitamin

Vitamin D Calciferol 1,000 units Vitamin



Vitamin K Phytonadione 5 mg tab Vitamin




Warfarin sodium Coumadin 1 mg Cardiovascular Anticoagulants



Warfarin sodium Coumadin 2.5 mg Cardiovascular Anticoagulants





Warfarin sodium Coumadin 7.5 mg Cardiovascular Anticoagulants

Zolpidem Ambien 10 mg Psychiatric Hypnotic

Zolpidem Ambien 5 mg Psychiatric Hypnotic


healthpac formulary - alameda county, californiaalclometasone cream aclovate 45 gm anti-inflammatory...

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