Medication Formulary for Medical – 2023-2024
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Medication Formulary for Medical – 2023-2024
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Reviewed and approved by P&T Committee: 8/23/2023
Oral Liquids
Generic Name | Brand Name | Safety Information |
|---|---|---|
Acetaminophen 160mg/5mL | ISMP high alert- liquid formulation | |
DiphenhydrAMINE 12.5mg/5mL | Benadryl | LASA medication ISMP high alert- liquid formulation |
Gel Glucose 15g | Glucoburst | |
Ibuprofen 100mg/5mL | ISMP high alert- liquid formulation | |
PrednisoLONE 15mg/5mL | Prelone | LASA medication ISMP high alert- liquid formulation |
Oral Pills/Tablets/Capsules
Generic Name | Brand Name | Safety Information |
|---|---|---|
Acyclovir 400 mg | ||
Acetaminophen 325mg | ||
AmLODIPine 10mg | LASA medication | |
Amoxicillin 500mg | ||
Aspirin 81 mg | ||
Azithromycin 250mg | ||
Cephalexin 500mg | Keflex | |
Ciprofloxacin 500mg | ||
Clarithromycin 500mg | ||
DiphenhydrAMINE 25mg | Benadryl | LASA medication |
Doxycycline 100mg | ||
Fluconazole 150mg | Diflucan | NIOSH Hazardous drug, no MSHG |
Furosemide 20mg | Lasix | |
HydroCHLOROhiazide 25mg | ||
Ibuprofen 600mg | ||
Labetalol Tabs 100mg UD 100 CT | ||
Lisinopril 20mg | ||
MetroNIDAZOLE 500mg | Flagyl | LASA medication |
Nitrofurantoin 100mg | Macrobid preferred, or Macrodantin when not available | |
Nitroglycerin SL 0.4mg | ||
Ondansetron ODT 4mg | ||
Omeprazole 20mg DR | ||
PredniSONE 10mg | LASA medication | |
Promethazine 25mg | Phenergan | |
Trimethoprim-Sulfamethoxazole 160/800mg | Bactrim DS |
Oral Vitamins
Generic Name | Brand Name | Safety Information |
|---|---|---|
Prenatal Vitamins (tabs) |
Oral Contraception Pills (OCPs)
Generic Name | Brand Name | Safety Information |
|---|---|---|
Norenthindrone (0.35mg) | ||
Norgestimate/ethinyl estradiol (0.18mg/35mcg, 0.215mg/35mcg, 0.25mg/35mcg) | Example: ortho tri-cyclen | |
Norgestimate/ethinyl estradiol (0.18mg/25mcg, 0.215mg/25mcg, 0.25mg/25mcg) | Example: ortho tri-cyclen lo | |
Norgestimate/ethinyl estradiol 0.25mg/0.035mg | Example: sprintec | |
Desogestrel/ethinyl estradiol 0.15mg/30mcg | Example: Apri | |
Norethindrone/ethinyl estradiol 1mg/35mcg | Example: Nortrel | |
Norethindrone/ethinyl estradiol 1mg/20mcg plus ferrous fumarate 75mg x 7 per pack | Example: Junel Fe | |
Ella 30mg | ||
Plan B 1 Step 1.5mg |
*** All oral contraceptives containing estrogen/estradiol/progesterone are NIOSH Hazardous drugs, none have MSHG
Vaginal Creams
Generic Name | Brand Name | Safety Information |
|---|---|---|
Miconazole vaginal cream 2% | ||
Metronidazole vaginal gel 0.75% | Metrogel |
Implantable Contraceptives/IUDs
Medication | Description |
|---|---|
Nexplanon | Hormonal contraception implant |
Liletta (Levonogestrel 52mg) | Hormone-releasing IUD |
ParaGard | Hormone-free copper IUD |
Inhalants
Generic Name | Brand Name | Safety Information |
|---|---|---|
Albuterol Sulfate (0.083%) 2.5mg/3mL premixed ampule | ||
Budesonide 0.25mg/2mL premixed ampule | Pulmicort | |
Ipratropium Bromide 0.5mg/2.5mL premixed ampule | Atrovent | |
Albuterol sulfate HFA (90mcg per actuation) | Example: ProAir, ProVentil |
Injectables
Generic Name | Brand Name | Safety Information |
|---|---|---|
CefTRIAXone 250 mg | Rocephin | LASA medication |
Epipen Jr 0.15mg | ISMP high alert medication | |
Epipen 0.3mg | ISMP high alert medication | |
Insulin 100units/mL (Regular) | ISMP high alert medication | |
Ketorolac 60 mg/mL | Toradol | |
Lidocaine 1% 100 mg/10 ml | LASA medication | |
Lidocaine 1% w/epi 100 mg/10 ml | LASA medication ISMP high alert medication | |
MedroxyPROGESTERone acetate 150mg | Depo-Provera | LASA medication NIOSH hazardous drug- has MSHG |
MethylPREDNISolone acetate 40mg/mL | DEPO-Medrol | LASA medication |
Penicillin G benzathine 2.4 million units/4mL | Bicillin LA | LASA medication |
Sodium Chloride 3ml vials | ||
Sterile Water 3ml vials | ||
Vitamin B12 1000mcg/mL (cyanocobalamin) | ||
Kenalog 10mg/1mL (5mL vial) |
Topicals
Bacitracin ointment
Silvadine cream (1%, 50 grams/tube)
Triamcinolone 0.1% ointment (MHU only)
Ketoconazole 2% cream (MHU only)
Emergency Meds
Generic Name | Brand Name | Safety Information |
|---|---|---|
Ammonia Inhalants | ||
Epipen 0.3mg | ISMP high alert medication | |
Epipen Jr 0.15mg | ISMP high alert medication | |
DiphenhydrAMINE 50mg/ml injectable | Benadryl | LASA medication |
Naloxone 0.4mg/ml (single dose vial) SDV 1ml | LASA medication |
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