Medication Formulary for Dental – 2023-2024

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Reviewed and approved by P&T Committee: 8/23/2023

Local Anesthesia (Injectables)

Generic Name	Brand Name	Safety Information
Lidocaine HCI 2% with Epinephrine – 1.7 mL Cartridges 1:100,000		ISMP High Alert medication
Articaine HCI 4% with Epinephrine – 1.7 mL Cartridge 1:100,00	Septocaine	ISMP High Alert medication
BUPivacaine 0.5% Epinephrine 1.7 mL Cartridge	Marcaine	LASA medication ISMP High Alert medication
Mepivacaine HCI 3% with no Epinephrine – 1.7 mL Cartridge

Generic Name	Brand Name	Safety Information
Lidocaine 2.5% and Prilocaine Periodontal Gel 2.5% – 1.7 mL Gel Cartridges	Oraquix

Ibuprofen 600mg Tablets

Clindamycin Hydrochloride 150mg Capsules

Amoxicillin 500mg Capsules

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