Formulary Drug Listing Sorted by Generic Name

Effective January 2015

A  B  C  D  E  F  G  H  I  J  K  L  M  N  O  P  Q  R  S  T  U  V  W  X  Y  Z

 

 

 Generic Name

Brand Name

(top)

ACARBOSE

PRECOSE

ACETAMINOPHEN all forms*

TYLENOL

ACETAMINOPHEN/CAFFEINE/BUTALBITAL

ESGIC

ACETAZOLAMIDE TABLET ONLY

DIAMOX

ACETIC ACID

VOSOL

ACETIC ACID/ALUMINUM ACETATE all forms *

BUROW’S OTIC

ACETIC ACID/HYDRCORTISONE

VOSOL HC

ACETYLCYSTEINE

MUCOMYST

ACYCLOVIR all forms

ZOVIRAX

ALBENDAZOLE

ALBENZA

ALBUTEROL HFA

VENTOLIN HFA

ALCOHOL SWABS 

B-D SWABS

ALENDRONATE, all

FOSAMAX

ALLOPURINOL

ZYLOPRIM

ALOGLIPTIN ST T/F or intolerance to metformin AND SU

NESINA

ALOGLIPTIN/METFORMIN ST T/F or intolerance to metformin AND SU

KAZANO

ALPHA-TOCOPHERYL

VITAMIN E

ALUMINUM ACETATE

BURROW'S SOLUTION

ALUMINUM HYDROXIDE  *

AMPHOJEL

AMIODARONE

CORDARONE

AMITRIPTYLINE 

ELAVIL

AMLODIPINE

NORVASC

AMOXAPINE 

ASENDIN

AMOXICILLIN

AMOXIL

AMOXICILLIN/CLAVULANATE all forms except XR

AUGMENTIN

AMPHETAMINES/DEXTROAMPHETAMINES  

ADDERALL &
ADDERALL XR

AMPHOTERICIN B INJ

FUNGIZONE

AMPICILLIN TRIHYDRATE

AMCILL

AMYLASE/LIPASE/PROTEASE  

PANCREASE

AMYLASE/LIPASE/PROTEASE/PANCREATIN

CREON

ANTIPYRINE/BENZOCAINE

AURALGAN

APRACLONIDINE

IOPIDINE

ARTIFICIAL TEARS

SYSTANE

ASPIRIN  *

BAYER

ASPIRIN/ACETAMINOPHEN/CAFFEINE *

EXCEDRIN MIGRAINE

ATENOLOL

TENORMIN

ATOMEXETINE QL of 1 tablet per day

STRATTERA

ATORVASTATIN

LIPITOR

ATOVAQUONE

MEPRON

ATROPINE SULFATE all forms

ATROPINE

AUROTHIOGLUCOSE

SOLGANAL

AZATHIOPRINE

IMURAN

AZITHROMYCIN

ZITHROMAX

 

(top)

BACITRACIN *

BACIGUENT

BACLOFEN

LIORESAL

BECLOMETHASONE all forms of inhalers

QVAR

BELLADONNA ALKALOIDS/PHENOBARBITAL

DONNATAL

BENAZEPRIL

LOTENSIN

BENAZEPRIL/HYDROCHLOROTHIAZIDE

LOTENSIN HCT

BENZONATATE

TESSALON

BENZOYL PEROXIDE

BENZAC

BENZTROPINE

COGENTIN

BETAMETHASONE DIPROPIONATE all forms

DIPROSONE

BETAMETHASONE VALERATE all forms

VALISONE

BETAXOLOL

BETOPTIC

BETHANECHOL CHLORIDE

URECHOLINE

BISACODYL all forms *

DULCOLAX

BISMUTH SUBSALICYLATE *

PEPTO-BISMOL

BREATH FLOW METER  *

ASSESS

BRIMONIDINE TARTRATE

ALPHAGAN

BROMOCRIPTINE MESYLATE

PARLODEL

BUDESONIDE TAR required for nebs over 6 years old

PULMICORT, FLEXHALER

BUDESONIDE/FORMOTEROL

SYMBICORT

BUMETANIDE

BUMEX

BUPROPION all forms

WELLBUTRIN / ZYBAN

BUSPIRONE

BUSPAR

BUTOCONAZOLE

FEMSTAT

(top)

CALAMINE *

CALAMINE

CALCITONIN all forms

CALCIMAR

CALCITRIOL

ROCALTROL

CALCIUM all forms that have a generic available*

OSCAL

CALCIUM ACETATE

PHOSLO

CALCIUM ACETATE/ALUMINUM SULFATE all forms*

DOMEBORO

CALCIUM/VITAMIN D all forms that have a generic available*

OSCAL-D

CAPSAICIN*

ZOSTRIX

CAPTOPRIL

CAPOTEN

CAPTOPRIL/HYDROCHLOROTHIAZIDE

CAPOZIDE

CARBACHOL 

ISOPTO CARBACHOL

CARBAMAZEPINE

CARBATROL, TEGRETOL, TEGRETOL XR

CARBIDOPA/LEVODOPA

SINEMET

CARMUSTINE

BICNU

CARVEDILOL (NOT CR)

COREG

CEFACLOR

CECLOR

CEFDINIR, SUSPENSION ONLY

OMNICEF

CEFIXIME

SUPRAX

CEFTRIAXONE

ROCEPHIN

CEFUROXINE

CEFTIN

CEPHALEXIN

KEFLEX

CETIRIZINE

ZYRTEC OTC

CHLORAL HYDRATE

SOMNOTE

CHLORHEXIDINE 4% liquid and 0.12% solution

HIBICLENS, PERIOGARD

CHLOROQUINE HCL

ARALEN

CHLORPHENIRAMINE *

CHLOR-TRIMETON

CHLORPROPAMIDE

DIABENESE

CHOLESTYRAMINE/SUCROSE BULK POWDER ONLY

QUESTRAN

CICLOPIROX 8% SOLUTION

PENLAC

CIMETIDINE

TAGAMET

CIPROFLOXACIN

CIPRO

CIPROFLOXACIN ophthalmic

CILOXAN

CIPROFLOXACIN/DEXAMETHASONE otic

CIPRO-DEX

CIPROFLOXACIN/HYDROCORTISONE otic

CIPRO-HC

CITALOPRAM

CELEXA

CLARITHROMYCIN

BIAXIN

CLEMASTINE FUMARATE *

TAVIST-1

CLINDAMYCIN HYDROCHLORIDE

CLEOCIN

CLINDAMYCIN PHOSPHATE

CLEOCIN

CLINDAMYCIN TOPICAL SOLUTION

CLEOCIN

CLOBETASOL except spray

TEMOVATE

CLOMIPRAMINE

ANAFRANIL

CLONAZEPAM

KLONOPIN

CLONIDINE all forms except ER tablets

CATAPRES

CLOPIDOGREL

PLAVIX

CLOTRIMAZOLE *

LOTRIMIN

CLOTRIMAZOLE/BETAMETHASONE

LOTRISONE

COAL TAR SOLUTION

COAL TAR

CODEINE all forms

CODEINE

CODEINE PHOSPHATE/ACETAMINOPHEN 15 mg & 30 mg only, QL maximum 120 tablets per 30 days

TYLENOL W/CODEINE

COLCHICINE

COLCRYS

COLCHICINE/PROBENECID 

COLBENEMID

COLESTIPOL bulk

COLESTID

COLLAGENASE

SANTYL

CONDOMS, MALE *

TROJAN

CORTISONE

CORTONE

CROMOLYN all forms

INTAL,CROLOM

CYANCOCOBALAMIN *

VITAMIN B-12

CYCLOBENZAPRINE

FLEXERIL

CYCLOPENTOLATE

CYCLOGYL

(top)

 

DAPSONE

DAPSONE

DESIPRAMINE

NORPRAMIN

DESMOPRESSIN ACETATE

DDAVP

DESONIDE

DESOWEN

DEXAMETHASONE

DECADRON

DEXAMETHASONE SODIUM PHOSPHATE

DECADRON PHOSPHATE

DEXTROAMPHETAMINE SULFATE

DEXEDRINE

DEXTROSE SOLUTION

DEXTROSE

DIABETIC SUPPLIES

TRUETRACK OR TRUETEST

DIAPHRAGM

ORTHO-DIAPHRAGM

DIAZEPAM

VALIUM

DICLOFENAC/MISOPROSTOL

ARTHROTEC

DICLOFENAC SODIUM

VOLTAREN

DICLOXACILLIN

DYNAPEN

DICYCLOMINE

BENTYL

DIETHYLSTILBESTROL

STILPHOSTROL

DIGOXIN

LANOXIN

DIHYDROTACHYSTEROL

DHT

DILTIAZEM all forms

CARDIZEM

DIMENHYDRINATE *

DRAMAMINE

DIPHENHYDRAMINE

BENADRYL

DIPHENOXYLATE/ATROPINE SULFATE

LOMOTIL

DIPYRIDAMOLE

PERSANTINE

DISOPYRAMIDE

NORPACE

DISULFIRAM

ANTABUSE

DIVALPROEX SODIUM not extended release

DEPAKOTE

DOCUSATE CALCIUM *

SURFAK

DOCUSATE SODIUM *

COLACE

DOLASETRON MESYLATE

ANZEMET

DONEPEZIL 5 mg / 10 mg tabs only

ARICEPT

DORZOLAMIDE

TRUSOPT

DORZOLAMIDE/TIMOLOL

COSOPT

DOXEPIN

SINEQUAN

DOXYCYCLINE HYCLATE

VIBRAMYCIN

DULOXETINE QL 1 cap per day

CYMBALTA

(top)

ECHOTHIOPHATE IODIDE

PHOSPHOLINE

ECONAZOLE NITRATE 1% CREAM

SPECTAZOLE 1% CREAM

ENALAPRIL

VASOTEC

ENALAPRIL/HYDROCHLOROTHIAZIDE

VASERETIC

ENOXAPARIN QL maximum 7 days

LOVENOX

ENTACAPONE

COMTAN

EPINEPHRINE

EPIPEN

ERGOCALCIFEROL *

VITAMIN D

ERGOLOID MESYLATES

HYDERGINE

ERGOTAMINE

ERGOSTAT

ERGOTAMINE TARTRATE/CAFFEINE

CAFERGOT

ERGOTAMINE/CAFFEINE/BELLADONNA/PHENOBARBITAL  

CAFERGOT PB

ERYTHROMYCIN BASE

ERY-TAB

ERYTHROMYCIN ETHYLSUCCINATE

E.E.S

ERYTHROMYCIN ETHYLSUCCINATE/SULFISOXAZOLE 

PEDIAZOLE

ERYTHROMYCIN OPHTHALMIC

ILOTYCIN

ERYTHROMYCIN STEARATE

ERYTHROCIN STEARATE

ESCITALOPRAM

LEXAPRO

ESTAZOLAM

PROSOM

ESTRADIOL

ESTRACE

ETHAMBUTOL

MYAMBUTOL

ETHIONAMIDE

TRECATOR

ETHOSUXIMIDE

ZARONTIN

ETIDRONATE

DIDRONEL

ETODOLAC

LODINE

ETONOGESTREL/ETHINYL ESTRADIOL

NUVARING

F  (top)

FAMOTIDINE

PEPCID

FENOFIBRATE

TRICOR

FENOFIBRATE, micronized

LOFIBRA

FERROUS GLUCONATE *

FERGON

FERROUS SULFATE *

FER-IN-SOL

FEXOFENADINE

ALLEGRA

FINASTERIDE 5 mg only

PROSCAR

FLECAINIDE ACETATE

TAMBOCOR

FLUCONAZOLE  

DIFLUCAN

FLUCYTOSINE

ANCOBON

FLUDROCORTISONE

FLORINEF

FLUNISOLIDE

AEROBID, NASAREL

FLUOCINONIDE

LIDEX

FLUOCINOLONE ACETONIDE

SYNALAR

FLUOROMETHOLONE

FML

FLUOROURACIL

EFUDEX

FLUOXETINE

PROZAC

FLURAZEPAM

DALMANE

FLUTICASONE

FLOVENT

FLUTICASONE PROPIONATE

FLONASE

FLUTICASONE/SALMETEROL

ADVAIR

FOLIC ACID  *

FOLIC ACID

FOSINOPRIL

MONOPRIL

FURAZOLIDONE

FUROXONE

FUROSEMIDE

LASIX

(top) 

GABAPENTIN

NEURONTIN

GEMFIBROZIL

LOPID

GENTAMICIN ophthalmic and topical

GARAMYCIN

GLIMEPIRIDE

AMARYL

GLIPIZIDE, XL requires TAR

GLUCOTROL

GLUCAGON 1 mg emergency kit

GLUCAGON

GLUCOSE/KETONE TEST COMBO (URINE)

KETO-DIASTIX

GLUCOSE MONITORS 

TRUETRACK or TRUETEST

GLUCOSE TESTING STRIPS (BLOOD)

TRUETRACK or TRUETEST

GLUCOSE TESTING STRIPS (URINE)

CLINISTIX

GLYBURIDE

MICRONASE

GLYCERIN/HYDROXYETHYLCELLULOSE  *

K-Y JELLY

GLYCERIN SUPPOSITORIES  *

GLYCERIN

GLYCOPYRROLATE

ROBINUL

GOLD SODIUM THIOMALATE

MYOCHRYSINE

GRANISETRON QL 6 per Rx

KYTRIL

GRISEOFULVIN

FULVICIN

GUAIFENESIN *

ROBITUSSIN

GUAIFENESIN/CODEINE *

ROBITUSSIN A-C

GUAIFENESIN/DEXTROMETHORPHAN *

ROBITUSSIN DM

GUANFACINE not ER

TENEX

(top)

HOMATROPINE HBR

ISOPTO HOMATROPINE

HYDRALAZINE

APRESOLINE

HYDROCHLOROTHIAZIDE

HYDRODIURIL

HYDROCODONE BITARTRATE/ACETAMINOPHEN 5/500 & 7.5/500; QL maximum 120 tablets per 30 days

VICODIN & VICODIN ES

HYDROCODONE BITARTRATE/ACETAMINOPHEN 5/325, 7.5/325 & 10/325; QL maximum 120 tablets per 30 days

NORCO

HYDROCORTISONE all forms

HYDROCORTISONE

HYDROCORTISONE/POLYMYXIN/NEOMYCIN eye and ear only

CORTISPORIN

HYDROMORPHONE not extended-release

DILAUDID

HYDROXYCHLOROQUINE

PLAQUENIL

HYDROXYPROPYLMETHYLCELLULOSE

ISOPTO ALKALINE

HYDROXYZINE all oral forms

ATARAX, VISTARIL

(top)

IBUPROFEN all forms

MOTRIN

IMIPRAMINE HCL

TOFRANIL

IMIQUIMOD

ALDARA

INDOMETHACIN

INDOCIN

INHALER DEVICE *

AEROCHAMBER

INSULIN all forms, VIALS ONLY

INSULIN

INSULIN SYRINGES/NEEDLES

B-D SYRINGES, NEEDLES

IPRATROPIUM

ATROVENT

IPRATROPIUM/ALBUTEROL

COMBIVENT

IPRATROPIUM NASAL SPRAY

ATROVENT NASAL SPRAY

IRBESARTAN

AVAPRO

ISONIAZID

INH

ISOMETHEPTENE/DICHL0RALPHENAZONE/ACETAMINOPHEN

MIDRIN

ISOSORBIDE DINITRATE

ISORDIL

IVERMECTIN not topical

STROMECTOL

(top)

KETOCONAZOLE all forms except 2% foam and gel

NIZORAL

KETONE TESTING PRODUCTS

ACETEST

KETOPROFEN

ORUDIS

KETOROLAC TROMETHAMINE, ophthalmic solution only

ACULAR

KETOTIFEN, OTC

ZADITOR, OTC

L   (top)

LABETOLOL

TRANDATE & NORMODYNE

LACTULOSE

CEPHULAC

LAMOTRIGINE

LAMICTAL

LANSOPRAZOLE not ODT

PREVACID

LATANOPROST

XALATAN

LEFLUNOMIDE

ARAVA

LEVETIRACETAM

KEPPRA

LEVOBUNOLOL

BETAGAN

LEVODOPA

LARODOPA

LEVOFLOXACIN

LEVAQUIN

LEVONORGESTREL

PLAN B

LEVONORGESTREL/ETHINYL ESTRADIOL

NORDETTE-28

LEVOTHYROXINE SODIUM

SYNTHROID, LEVOXYL

LIDOCAINE  all forms except transdermal patch

XYLOCAINE

LIDOCAINE/PRILOCAINE

EMLA

LINAGLIPTIN ST T/F or intolerance to metformin AND SU

TRADJENTA

LINAGLIPTIN/METFORMIN ST T/F or intolerance to metformin AND SU

JENTADUETO

LISINOPRIL

PRINIVIL, ZESTRIL

LISINOPRIL/HYDROCHLOROTHIAZIDE

PRINIZIDE, ZESTORETIC

LOPERAMIDE *

IMODIUM

LORATIDINE *

CLARITIN

LORAZEPAM

ATIVAN

LOSARTAN

COZAAR

LOSARTAN/HYDROCHLOROTHIAZIDE

HYZAAR

LOVASTATIN

MEVACOR

(top)

MAGALDRATE/SIMETHICONE  *

RIOPAN

MAGNESIUM HYDROXIDE *

MILK OF MAGNESIA

MAGNESIUM HYDROXIDE/ALUMINUM HYDROXIDE *

MAALOX

MAGNESIUM OXIDE

MAG-OXIDE

MALATHION

OVIDE

MAPROTILINE

LUDIOMIL

MECLIZINE *

ANTIVERT

MEDROXYPROGESTERONE

DEPO-PROVERA, PROVERA

MELOXICAM

MOBIC

MEPERIDINE

DEMEROL

MESALAMINE

DELZICOL, ASACOL HD

METAPROTERENOL

ALUPENT

METFORMIN, METFORMIN ER

GLUCOPHAGE, XR

METHADONE QL maximum 90 day supply per fill

DOLOPHINE

METHENAMINE HIPPURATE

HIPREX

METHENAMINE MANDELATE

MANDELAMINE

METHIMAZOLE

TAPAZOLE

METHOCARBAMOL

ROBAXIN

METHOTREXATE

METHOTREXATE

METHSUXIMIDE

CELONTIN

METHYLDOPA

ALDOMET

METHYLERGONOVINE

METHERGINE

METHYLPHENIDATE all forms

RITALIN

METHYLPHENIDATE all sustained release forms, limited to 1 daily

CONCERTA, METADATE

METHYLPREDNISOLONE all forms

MEDROL

METIPRANOLOL

OPTIPRANOLOL

METOCLOPRAMIDE

REGLAN

METOLAZONE

ZAROXOLYN

METOPROLOL TARTRATE

LOPRESSOR

METRONIDAZOLE

FLAGYL, METROGEL

METRONIDAZOLE

METROGEL

MEXILETINE

MEXITIL

MICONAZOLE NITRATE *

MONISTAT

MIDODRINE

PROAMATINE

MINOCYCLINE

MINOCIN

MINOXIDIL   

LONITEN

MIRTAZAPINE

REMERON

MISOPROSTOL

CYTOTEC

MOEXIPRIL 

UNIVASC

MOEXIPRIL/HYDROCHLOROTHIAZIDE

UNIRETIC

MOMETASONE FUROATE nasal up to 4 years old only

ASMANEX, NASONEX (4 YO)

MOMETASONE FUROATE/FORMOTEROL FUMARATE

DULERA

MONTELUKAST

SINGULAIR

MORPHINE SULFATE all forms of generic

ROXANOL, MS CONTIN

MOXIFLOXACIN ophthalmic only

VIGAMOX

MULTIVITAMINS W/FLUORIDE ** for children under 5 years old

POLY-VI-FLOR

MUPIROCIN OINTMENT ONLY not nasal

BACTROBAN

(top)

NAMBUMETUNE

RELAFEN

NAPHAZOLINE

AK-CON

NAPHAZOLINE HYDROCHLORIDE/ANTAZOLINE  *

VASOCON-A

NAPHAZOLINE HYDROCHLORIDE/PHENIRAMINE  *

NAPHCON-A

NAPROXEN

NAPROSYN, ANAPROX

NARATRIPTAN

AMERGE

NATAMYCIN

NATACYN

NATEGLINIDE

STARLIX

NEFAZODONE

SERZONE

NEOMYCIN/POLYMYXIN/BACITRACIN

NEOSPORIN

NEOSTIGMINE BROMIDE

PROSTIGMIN

NIACIN all forms

NIACIN, NIASPAN

NICOTINE PATCH QL 12 weeks per 365 days and smoking cessation class certificate *

NICOTROL

NICOTINE POLACRILEX QL 12 weeks per 365 days and smoking cessation class certificate*e

NICORETTE

NIFEDIPINE, NIFEDIPINE ER

PROCARDIA, PROCARDIA XL

NITROFURANTOIN all forms

FURADANTIN

NITROFURANTOIN/NITROFURAN MACROCRYSTALS

MACROBID

NITROGLYCERIN transdermal ointment, sublingual tablets

NITROGLYCERIN

NONOXYNOL 9 *

CONCEPTROL

NORELGESTROMIN/ETHINYL ESTRADIOL

ORTHO EVRA

NORTRIPTYLINE

PAMELOR

NYSTATIN

MYCOSTATIN

NYSTATIN/TRIAMCINOLONE

MYCOLOG II

(top)

OCTOXYNOL 9 *

ORTHO-GYNOL

OFLOXACIN tablets, ophthalmic, otic

FLOXIN, OCUFLOX

OMEPRAZOLE

PRILOSEC

ONDANSETRON

ZOFRAN

OSELTAMIVIR QL 5 day course x 2

TAMIFLU

OXCARBAZEPINE

TRILEPTAL

OXYBUTYNIN

DITROPAN

OXYCODONE

ROXICODONE

OXYCODONE/ACETAMINOPHEN QL maximum 100 per 30 days

PERCOCET

OXYCODONE/ASPIRIN QL maximum 100 per 30 days

PERCODAN

(top)

PANTOPRAZOLE

PROTONIX

PAROXETINE

PAXIL

PEG 3350/ELECTROLYTES

MIRALAX/COLYTE/GOLYTELY

PENICILLIN V POTASSIUM

PEN VK

PERMETHRIN

ELIMITE

PHENAZOPYRIDINE

PYRIDIUM

PHENOBARBITAL all forms *

PHENOBARBITAL

PHENYLEPHRINE ophthalmic only

NEOFRIN

PHENYTOIN SODIUM

DILANTIN

PHYTONADIONE *

MEPHYTON

PILOCARPINE HYDROCHLORIDE ophthalmic only

ISOPTO CARPINE

PIOGLITAZONE

ACTOS

PIPERONYL BUTOXIDE/PYRETHRINS *

RID

PIROXICAM

FELDENE

PODOFILOX gel and solution

CONDYLOX

POLYMYXIN B SULFATE/BACITRACIN drops and ointment *

POLYSPORIN

POLYMYXIN/TMP

POLYTRIM

POTASSIUM CHLORIDE all forms

K-DUR

POTASSIUM IODIDE

SSKI

PRAMIPEXOLE

MIRAPEX

PRAVASTATIN

PRAVACHOL

PRAZOSIN

MINIPRESS

PREDNICARBATE all forms

DERMATOP

PREDNISOLONE

PRELONE

PREDNISOLONE ACETATE

PRED FORTE, PRED MILD

PREDNISONE

PREDNISONE

PRENATAL VITAMINS

PRENAVITE

PRIMAQUINE

PRIMAQUINE

PRIMIDONE

MYSOLINE

PROBENECID

BENEMID

PROCHLORPERAZINE MALEATE all forms

COMPAZINE

PROMETHAZINE

PHENERGAN

PROPAFENONE

RYTHMOL

PROPRANOLOL all forms

INDERAL, INDERAL LA

PROPYLTHIOURACIL, PTU

PROPYLTHIOURACIL

PROTRIPTYLINE

VIVACTIL

PSEUDOEPHEDRINE/BROMPHENIRAMINE *

DIMETAPP

PSEUDOEPHEDRINE HYDROCHLORIDE all forms *

SUDAFED

PSEUDOEPHEDRINE /TRIPROLIDINE *

ACTIFED

PYRAZINAMIDE

PYRAZINAMIDE

PYRIDOSTIGMINE

MESTINON

PYRIDOXINE *

VITAMIN B-6

PYRIMETHAMINE

DARAPRIM

(top)

QUINAPRIL

ACCUPRIL

QUINIDINE SULFATE

QUINIDEX

(top)

RALOXIFENE

EVISTA

RAMIPRIL

ALTACE

RANITIDINE

ZANTAC

RIFAMPIN

RIFADIN

RIFAMPIN/ISONIAZID

RIFAMATE

RIZATRIPTAN **ORAL TABLETS ONLY, not ODT

MAXALT

ROPINIROLE (not XL)

REQUIP

(top)

SALMETEROL

SEREVENT

SALSALATE

DISALCID

SAXAGLIPTIN ST T/F or intolerance to metformin AND SU

ONGLYZA

SAXAGLIPTIN/METFORMIN ST T/F or intolerance to metformin AND SU

KOMBIGLYZE XR

SELEGILINE

ELDEPRYL

SELENIUM SULFIDE

SELSUN

SENNA *

SENOKOT

SERTRALINE

ZOLOFT

SEVELAMIR

RENVELA

SILVER SULFADIAZINE

SILVADENE

SIMVASTATIN

ZOCOR

SITAGLIPTIN ST T/F or intolerance to metformin and SU

JANUVIA

SITAGLIPTIN/METFORMIN ST T/F or intolerance to metformin AND SU

JANUMET, XR

SODIUM FLUORIDE

LURIDE

SODIUM PHOSPHATE/SODIUM BIPHOSPHATE *

FLEET’S ENEMA

SODIUM POLYSTYRENE SULFONATE ORAL ONLY

KAYEXALATE

SOTALOL

BETAPACE

SPIRONOLACTONE

ALDACTONE

SPIRONOLACTONE/HYDROCHLOROTHIAZIDE

ALDACTAZIDE

STREPTOMYCIN

STREPTOMYCIN

SUCRALFATE

CARAFATE

SULFACETAMIDE SODIUM all forms

SULAMYD

SULFACETAMIDE/PREDNISOLONE ACETATE

BLEPHAMIDE

SULFAMETHOXAZOLE/TRIMETHOPRIM all forms

SEPTRA, SEPTRA DS

SULFATHIAZINE/SULFACETAMIDE/SULFABENZAMIDE

SULTRIN

SULFASALAZINE

AZULFIDINE

SULINDAC

CLINORIL

SUMATRIPTAN QL maximum 4 syringes per 30 days - 9 tablets 30 days

IMITREX

T (top)

TAMOXIFEN

NOLVADEX

TAMSULOSIN

FLOMAX

TEMAZEPAM 15mg and 30 mg strengths only

RESTORIL

TERAZOSIN

HYTRIN

TERBINAFINE 250 MG Tab & 1% cream

LAMASIL

TERBUTALINE SULFATE

BRETHINE, BRICANYL

TERCONAZOLE *

TERAZOL

TETRACYCLINE

SUMYCIN

THEOPHYLLINE ER tablets and ER capsules

THEO-DUR

THIAMINE *

VITAMIN B-1

THYROID, DESSICATED

ARMOUR

TIMOLOL 

TIMOPTIC

TIOTROPIUM

SPIRIVA

TIZANIDINE

ZANAFLEX

TOBRAMYCIN

NEBCIN

TOBRAMYCIN SULFATE/DEXAMETHASONE

TOBRADEX

TOLNAFTATE

TINACTIN

TOLTERODINE TARTRATE

DETROL/DETROL LA

TOPIRAMATE; use higher strength tablets as appropriate

TOPAMAX

TORSEMIDE

DEMADEX

TRAMADOL

ULTRAM

TRANDOLAPRIL

MAVIK

TRAZODONE

DESYREL

TRETINOIN CREAM ONLY

RETIN-A

TRIAMCINOLONE ACETONIDE all topical forms except aerosol

KENALOG

TRIAMCINOLONE ACETONIDE nasal spray

NASOCORT OTC

TRIAMTERENE

DYRENIUM

TRIAMTERENE/HYDROCHLOROTHIAZIDE all forms

DYAZIDE

TRIFLURIDINE

VIROPTIC

TRIMETHOBENZAMIDE SYRINGE ONLY

TIGAN

TRIMETHOPRIM

PROLOPRIM

TRIPLE VITAMINS W/FLUORIDE **for children under 5 years old

TRI-VI-FLOR

TRIPLE VITS W/FLUORIDE & IRON **for children under 8 years old

TRI-VI-FLOR/IRON

TRYPSIN/PERU BALSAM/CASTOR OIL

GRANULEX, VASOLEX

(top)

ULIPRISTAL

ELLA

URSODIOL

ACTIGALL

V  (top)

VALPROIC ACID

DEPAKENE

VARENICLINE up to 6 months without TAR

CHANTIX

VENLAFAXINE IR tablets, ER capsules. QL 1 per day for ER, 2 per day for IR

EFFEXOR/EFFEXOR XR

VERAPAMIL

CALAN

VITAMIN B COMBO/VITAMIN C/FOLIC ACID ** restricted to renal failure

NEPHRO-VITE

(top)

WARFARIN SODIUM

COUMADIN

(top)

ZALEPLON

SONATA

ZANAMIVIR QL 5 day course x 2

RELENZA

ZOLPIDEM (not CR)

AMBIEN

ZONISAMIDE

ZONEGRAN