Approved Hospital Formulary
Pharmacy - Home (sharepoint.com) Contact Pharmacy
Show Therapeutic Classes
Legacy Hazardous Drugs Do Not Tube List
Webpage Links
QR Code Add Formweb to your mobile device
Android iOS
Approved Hospital Formulary
Pharmacy - Home (sharepoint.com) Contact Pharmacy
Sort By Class Name | Sort By Code
040400 First Generation Antihistamines
040800 Second Generation Antihistamines
080000 Anti-infective Agents
080800 Anthelmintics
081202 Aminoglycosides
081206 Cephalosporins
08120604 First Generation Cephalosporins
08120608 Second Generation Cephalosporins
08120612 Third Generation Cephalosporins
08120616 Fourth Generation Cephalosporins
08120620 Fifth Generation Cephalosporins
08120628 Siderophore Cephalosporins
08120708 Carbapenems
08120712 Cephamycins
08120716 Monobactams
081208 Chloramphenicol
081212 Macrolides
08121204 Erythromycins
08121208 Other Macrolides
08121604 Natural Penicillins
08121608 Aminopenicillins
08121612 Penicillinase-resistant Penicillins
08121616 Extended-spectrum Penicillins
081218 Quinolones
081220 Sulfonamides
081224 Tetracyclines
08122404 Aminomethylcyclines
08122408 Fluorocyclines
08122412 Glycylcyclines
081228 Antibacterials, Miscellaneous
08122808 Bacitracins
08122812 Cyclic Lipopeptides
08122816 Glycopeptides
08122820 Lincomycins
08122824 Oxazolidinones
08122826 Pleuromutilins
08122828 Polymyxins
08122830 Rifamycins
08122832 Streptogramins
081404 Allyamines
081408 Azoles
081416 Echinocandins
081428 Polyenes
081432 Pyrimidines
081492 Antifungals, Miscellaneous
081604 Antituberculosis Agents
081692 Antimycobacterials, Miscellaneous
081800 Antivirals
081804 Adamantanes
081808 Antiretrovirals
08180804 HIV Fusion Inhibitors
08180808 HIV Protease Inhibitors
08180812 HIV Integrase Inhibitors
08180816 HIV Nonnucleoside Reverse Transcriptase Inhibitors
08180820 HIV Nucleoside and Nucleotide Reverse Transcriptase Inhibitors
081820 Interferons
081824 Monoclonal Antibodies
081828 Neuramindase Inhibitors
081832 Nucleosides and Nucleotides
08184016 HCV Polymerase Inhibitors
08184020 HCV Protease Inhibitors
08184024 HCV Replication Complex Inhibitors
081892 Antivirals, Miscellaneous
083000 Antiprotozals
083004 Amebicides
083008 Antimalarials
083092 Antiprotozoals, Miscellaneous
083600 Urinary Anti-infectives
100000 Antineoplastic Agents
120400 Parasympathomimetic (Cholinergic) Agents
120804 Antiparkinsonian Agents
120808 Antimuscarinics/Antispasmodics
121204 a-Adrenergic Agonists
12120804 Non-selective B-Adrenergic Agonists
12120808 Selective B1-Adrenergic Agonists
12120812 Selective B2-Adrenergic Agonists
121212 a-and B Adrenergic Agonists
121600 Sympatholytic (Adrenergic Blocking) Agents
122000 Skeletal Muscle Relaxants
122004 Centrally Acting Skeletal Muscle Relaxants
122008 Direct Acting Skeletal Muscle Relaxants
122012 GABA-derivative Skeletal Muscle Relaxants
122020 Neuromuscular Blocking Agents
12202024 Botulinum toxins
122092 Skeletal Muscle Relaxants, Miscellaneous
129200 Autonomic Drugs, Miscellaneous
160000 Blood Derivatives
200400 Antianemia Drugs
200404 Iron Preparations
201200 Antithrombotic Agents
201204 Anticoagulants
20120408 Coumarin Derivatives
20120412 Direct Thrombin Inhibitors
20120414 Direct Factor Xa Inhibitors
20120416 Heparins
20120492 Anticoagulants, Miscellaneous
201214 Platelet-Reducing Agents
201218 Platelet-Aggregation Inhibitors
201220 Thrombolytic Agents
201292 Antithrombotic Agents, Misc
201600 Hematopoietic Agents
202400 Hemorrheologic Agents
202808 Antiheparin Agents
202816 Hemostatics
202892 Antihemorrhagic Agents, Misc
240404 Antiarrhythmic Agents
24040404 Class Ia Antiarrhythmics
24040408 Class Ib Antiarrhythmics
24040412 Class Ic Antiarrhythmics
24040420 Class III Antiarrhythmics
24040424 Class IV Antiarrhythmics
240408 Cardiotonic Agents
240492 Cardiac Drugs, Miscellaneous
240604 Bile Acid Sequestrants
240605 Cholesterol Absorption Inhibitors
240606 Fibric Acid Derivatives
240608 HMG-CoA Reductase Inhibitors
240692 Antilipemic Agents, Miscellaneous
240804 class removed 3/28/2024
240808 Nitrates and Nitrites
240812 Phosphodiesterase Type 5 Inhibitors
240816 Direct Vasodilators
240832 Peripheral Adrenergic Inhibitors
241200 Sclerosing Agents
241292 Vasodilating Agents, Miscellaneous
241600 alpha-Adrenergic Blocking Agents
242000 a-Adrenergic Blocking Agents
242808 Dihydropyridines
242892 Calcium-Channel Blocking Agents, Miscellaneous
243204 Angiotensin-Converting Enzyme Inhibitors
243208 Angiotensin II Receptor Antagonists
243220 Mineralocorticoid (Aldosterone) Receptor Antagonists
243240 Renin Inhibitors
243292 Renin-Angiotensin-Aldosterone System Inhibitors, Miscellaneous
243600 Diuretics
280400 General Anesthetics
280404 Barbiturates
280416 Inhalation Anesthetics
280492 General Anesthetics, Miscellaneous
28080408 Cyclooxygenase-2 (COX-2) Inhibitors
28080424 Salicylates
28080492 Other Nonsteroidal Anti-inflammatory Agents
280808 Opioid Agonists
280812 Opioid Partial Agonists
280892 Analgesics and Antipyretics, Miscellaneous
281000 Opioid Antagonists
281200 Anticonvulsants
281204 Barbiturates
281208 Benzodiazepines
281212 Hydantoins
281220 Succinimides
281224 Ion Channel Inhibition Agents
281292 Anticonvulsants, Miscellaneous
28160412 Monoamine Oxidase Inhibitors
28160416 Selective Serotonin- and Norepinephrine-reuptake Inhibitors
28160420 Selective-serotonin Reuptake Inhibitors
28160424 Serotonin Modulators
28160428 Tricyclics and Other Norepinephrine-reuptake Inhibitors
28160492 Antidepressants, Miscellaneous
28160804 Atypical Antipsychotics
28160808 Butyrophenones
28160824 Phenothiazines
28160832 Thioxanthenes
28160892 Antipsychotics, Miscellaneous
282004 Amphetamines
282092 Anorexigenic Agents and Stimulants, Miscellaneous
282400 Anxiolytics, Sedatives, and Hypnotics
282404 Barbiturates
282408 Benzodiazepines
282492 Anxiolytics, Sedatives, and Hypnotics, Miscellaneous
282800 Antimanic Agents
283228 Selective Serotonin Agonists
28362004 Ergot-Derivative Dopamine Receptor Agonists
28362008 Nonergot-Derivative Dopamine Receptor Agonists
284000 Fibromyalgia Agents
289200 Central Nervous System Agents, Miscellaneous
360000 Diagnostic Agents
360400 Adrenocortical Insufficiency
361800 Cardiac Function
363400 Gallbladder Function
363800 Intestinal Absorption
364000 Kidney Function
365600 Myasthenia Gravis
365800 Ocular Disorders
366000 Thyroid Function
366600 Pituitary Function
366800 Roentgenographic and Other Imaging Agents
368400 Tuberculosis
400400 Acidifying Agents
400800 Alkalinizing Agents
401000 Ammonia Detoxicants
401200 Replacement Preparations
401817 Calcium-removing Agents
401818 Potassium-removing Agents
401819 Phosphate-removing Agents
402000 Caloric Agents
402808 Loop Diuretics
402812 Osmotic Diuretics
402816 Potassium-sparing Diuretics
402820 Thiazide Diuretics
402824 Thiazide-like Diuretics
402828 Vasopressin Antagonists
402892 Diuretics, Miscellaneous
403600 Irrigating Solutions
404000 Uricosuric Agents
440000 Enzymes
480800 Antitussives
481020 Interleukin Antagonists
481024 Leukotriene Modifiers
481032 Mast-cell Stabilizers
481200 Bronchodilators
48120412 Selective beta-2-Adrenergic Agonists
481208 Anticholinergic Agents
481600 Expectorants
483200 Phosphodiesterase Type 4 Inhibitors
483600 Pulmonary Surfactants
484800 Vasodilating Agents
489200 Respiratory Tract Agents, Miscellaneous
520200 Antiallergic Agents
520404 Antibacterials
520416 Antifungals
520420 Antivirals
520492 Anti-infectives, Miscellaneous
520808 Corticosteroids
520820 Nonsteroidal Anti-inflammatory Agents
520892 Anti-inflammatory Agents, Miscellaneous
521600 Local Anesthetics
522400 Mydriatics
522800 Mouthwashes and Gargles
523200 Vasoconstrictors
524004 alpha-Adrenergic Agonists
524008 beta-Adrenergic Blocking Agents
524012 Carbonic Anhydrase Inhibitors
524020 Miotics
524028 Prostaglandin Analogs
524032 Rho Kinase Inhibitors
525600 Vascular Endothelial Growth Factor Antagonists
529200 EENT Drugs, Miscellaneous
560400 Antacids and Absorbents
560800 Antidiarrhea Agents
561000 Antiflatulents
561200 Cathartics and Laxatives
561600 Digestants
562000 Emetics
562208 Antihistamines
562220 5-HT3 Receptor Antagonists
562232 Neurokinin-1 Receptor Antagonists
562292 Antiemetics, Miscellaneous
562812 Histamine H2-Antagonists
562828 Prostaglandins
562832 Protectants
562836 Proton-pump Inhibitors
563200 Prokinetic Agents
563600 Anti-inflammatory Agents
569200 GI Drugs, Miscellaneous
600000 Gold Compounds
640000 Heavy Metal Antagonists
680400 Adrenals
680800 Androgens
681200 Contraceptives
681604 Estrogens
681612 Estrogen Agonists-Antagonists
681800 Gonadotropins and Antigonadotropins
681804 Antigonadotropins
681808 Gonadotropins
682002 a-Glucosidase Inhibitors
682004 Biguanides
682005 Dipeptidyl Peptidase IV (DDP-4) Inhibitors
682006 Incretin Mimetics
682008 Insulins
68200804 Rapid-Acting Insulins
682016 Meglitinides
682018 Sodium-glucose Cotransporter 2 (SGLT2) Inhibitors
682020 Sulfonylureas
682028 Thiazolidinediones
682212 Glycogenolytic Agents
682400 Parathyroid and Antiparathyroid Agent
682408 Parathyroid Agents
682800 Pituitary
682904 Somatostatin Agonists
683200 Progestins
683604 Thyroid Agents
683608 Antithyroid Agents
720000 Local Anesthetics
760000 Oxytocics
780000 Radioactive Agents
800000 Antitoxins, Immune Globulins, Toxoids, and Vaccines
800400 Antitoxins and Immune Globulins
800800 Toxoids
801200 Vaccines
840400 Anti-infectives
840404 Antibacterials
840406 Antivirals
84040804 Allyamines
84040808 Azoles
84040812 Benzylamines
84040820 Hydroxypyridones
84040828 Polyenes
84040840 Thiocarbamates
84040892 Antifungals, Miscellaneous
840412 Scabicides and Pediculicides
840492 Local Anti-infectives, Miscellaneous
840600 Anti-inflammatory Agents
840608 Corticosteroids
840800 Antipruritics and Local Anesthetics
841600 Cell Stimulants and Proliferants
842400 Emollients, Demulcents, and Protectants
842404 Basic Lotions and Liniments
842412 Basic Ointments and Protectants
842800 Keratolytic Agents
843200 Keratoplastic Agents
845004 Depigmenting Agents
845006 Pigmenting Agents
849200 Skin and Mucous Membrane Agents, Miscellaneous
861200 Genitourinary Smooth Muscle Relaxants
861204 Antimuscarinics
86120812 Selective B3-Adrenergic Agonists
861600 Respiratory Smooth Muscle Relaxants
880000 Vitamins
880400 Vitamin A
880800 Vitamin B Complex
881200 Vitamin C
881600 Vitamin D
882000 Vitamin E
882400 Vitamin K Activity
882800 Multivitamin Preparations
900804 Neonatal Fc Receptor Blockers
902000 Complement Inhibitor Agents
920000 Miscellaneous Therapeutic Agents
921200 Antidotes
921600 Antigout Agents
921800 Antisense Oligonucleotides
922000 Immunomodulatory Agents
922200 Bone Anabolic Agents
922400 Bone Resorption Inhibitors
923200 Complement Inhibitors
923600 Disease-Modifying Antirheumatic Drugs
924400 Immunosuppressive Agents
929200 Other Miscellaneous Therapeutic Agents
960000 Pharmaceutical Aids
999999 Unspecified






This site is intended for the staff of Legacy Health.
While others may view accessible pages, Legacy Health makes no warranty, express or implied,
as to the use of this information outside of Legacy Health.

Copyright © 2025 Rpharmy, LLC ­ All Rights Reserved