Pharmacy Home
Formulary Request Form
P&T Approved Substitutions
Show Therapeutic Classes
QR Code Add Formweb to your mobile device
Android iOS
MISSISSIPPI POISON CONTROL CENTER 1-800-222-1222 -- EMERGENCY CONTACT FOR NERVE AGENT/ORGANOPHOSPHATE POISONING 1-800-222-MEMA (6362)
Pharmacy Home
Formulary Request Form
P&T Approved Substitutions
Sort By Class Name | Sort By Code
040400 First Generation Antihistamines
040404 Ethanolamine Derivatives
040800 Second Generation Antihistamines
049200 Other Antihistamines
080800 Anthelmintics
081202 Aminoglycosides
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
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
08122408 Fluorocyclines
08122412 Glycylcyclines
081228 Antibacterials, Miscellaneous
08122808 Bacitracins
08122812 Cyclic Lipopeptides
08122816 Glycopeptides
08122820 Lincomycins
08122824 Oxazolidinones
08122828 Polymyxins
08122830 Rifamycins
08122892 Other Miscellaneous Antibacterials
081400 Antifungals
081404 Allyamines
081408 Azoles
081416 Echinocandins
081428 Polyenes
081432 Pyrimidines
081492 Antifungals, Miscellaneous
081604 Antituberculosis Agents
081608 Antileprosy Agents
081804 Adamantanes
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
08180892 Antiretrovirals, Miscellaneous
081824 Monoclonal Antibodies
081828 Neuramindase Inhibitors
081832 Nucleosides and Nucleotides
081892 Antivirals, Miscellaneous
083004 Amebicides
083008 Antimalarials
083012 Antiprotozoals, Pneumocystis jirovecii Pneumonia
08301692 Nitroimidazole Derivatives, Miscellaneous
083092 Antiprotozoals, Miscellaneous
083600 Urinary Anti-infectives
100000 Antineoplastic Agents
120200 Smoking Cessation 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
12160404 Non-selective a-Adrenergic Blocking Agents
12160412 Selective a1-Adrenergic Blocking Agents
12160804 Non-selective B-Adrenergic Blocking Agents
12160808 Selective B-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
122092 Skeletal Muscle Relaxants, Miscellaneous
200404 Iron Preparations
20120408 Coumarin Derivatives
20120412 Direct Thrombin Inhibitors
20120414 Direct Factor Xa Inhibitors
20120415 Indirect Factor Xa Inhibitors
20120416 Heparins
20120420 Antithrombin Replacements
201214 Platelet-Reducing Agents
201218 Platelet-Aggregation Inhibitors
201220 Thrombolytic Agents
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
24040416 Class II Antiarrhythmics
24040420 Class III Antiarrhythmics
24040424 Class IV Antiarrhythmics
24040492 Antiarrhythmics, Miscellaneous
240408 Cardiotonic Agents
240492 Cardiac Drugs, Miscellaneous
240604 Bile Acid Sequestrants
240605 Cholesterol Absorption Inhibitors
240606 Fibric Acid Derivatives
240608 HMG-CoA Reductase Inhibitors
240612 Omega-3-mediated Antilipemics
240692 Antilipemic Agents, Miscellaneous
240808 Nitrates and Nitrites
240810 cGMP Synthesis Agent
240812 Phosphodiesterase Type 5 Inhibitors
240816 Direct Vasodilators
241200 Sclerosing Agents
242000 a-Adrenergic Blocking Agents
242400 Central alpha-Agonists
242808 Dihydropyridines
243204 Angiotensin-Converting Enzyme Inhibitors
243208 Angiotensin II Receptor Antagonists
243212 Angiotensin II Receptor Antagonists/Neprolysin Inhibitors
24322008 Steroidal Mineralocorticoid Receptor Antagonists
243240 Renin Inhibitors
243604 Carbonic Anhydrase Inhibitors
243608 Loop Diuretics
243612 Osmotic Diuretics
243616 Potassium-sparing Diuretics
243620 Thiazide Diuretics
243624 Thiazide-like Diuretics
244400 Cardiovascular Drugs, Nonsteroidal Anti-inflammatory
280400 General Anesthetics
280404 Barbiturates
280408 Non-barbiturates
280416 Inhalation Anesthetics
28080404 Reversible COX-1/COX-2 Inhibitors
28080408 Cyclooxygenase-2 (COX-2) Inhibitors
28080424 Salicylates
280808 Opioid Agonists
280812 Opioid Partial Agonists
280816 Non-Opioid Analgesics
280892 Analgesics and Antipyretics, Miscellaneous
281000 Opioid Antagonists
281204 Barbiturates
281208 Benzodiazepines
281212 Hydantoins
281224 Ion Channel Inhibition Agents
281228 GABA-mediated Anticonvulsants
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
28160892 Antipsychotics, Miscellaneous
282004 Amphetamines
28200892 Anorexigenic Agents, Miscellaneous
282032 Respiratory and CNS Stimulants
282092 Anorexigenic Agents and Stimulants, Miscellaneous
282404 Barbiturates
282408 Benzodiazepines
282412 Non-benzodiazepine Anxiolytics
282444 Non-benzodiazepine Hypnotics
282492 Anxiolytics, Sedatives, and Hypnotics, Miscellaneous
282800 Antimanic Agents
283228 Selective Serotonin Agonists
283292 Antimigraine Agents, Miscellaneous
283604 Adamantanes
283608 Anticholinergic Agents
283612 Catechol-O-methyltransferase (COMT) Inhibitors
283616 Dopamine Precursors
28362004 Ergot-Derivative Dopamine Receptor Agonists
28362008 Nonergot-Derivative Dopamine Receptor Agonists
283632 Monoamine Oxidase B Inhibitors
284000 Fibromyalgia Agents
289200 Central Nervous System Agents, Miscellaneous
360000 Diagnostic Agents
360400 Adrenocortical Insufficiency
361800 Cardiac Function
363600 Gastric Function
363800 Intestinal Absorption
364000 Kidney Function
365200 Mumps
366000 Thyroid Function
366600 Pituitary Function
366800 Roentgenographic and Other Imaging Agents
368400 Tuberculosis
400800 Alkalinizing Agents
401000 Ammonia Detoxicants
401200 Replacement Preparations
401818 Potassium-removing Agents
401819 Phosphate-removing Agents
402000 Caloric Agents
402804 Carbonic Anhydrase Inhibitors
402808 Loop Diuretics
402812 Osmotic Diuretics
402816 Potassium-sparing Diuretics
402824 Thiazide-like Diuretics
402828 Vasopressin Antagonists
402892 Diuretics, Miscellaneous
403600 Irrigating Solutions
404000 Uricosuric Agents
440000 Enzymes
480404 First Generation Antihistamines
480408 Second Generation Antihistamines
480800 Antitussives
481008 Corticosteroids
481024 Leukotriene Modifiers
481032 Mast-cell Stabilizers
48120404 alpha- and beta-Adrenergic Agonists
48120412 Selective beta-2-Adrenergic Agonists
481208 Anticholinergic Agents
481600 Expectorants
482400 Mucolytic Agents
483200 Phosphodiesterase Type 4 Inhibitors
483600 Pulmonary Surfactants
484824 Phosphodiesterase type 5 inhibitors
484828 Prostacyclin and prostacyclin derivatives
520404 Antibacterials
520416 Antifungals
520420 Antivirals
520424 Astringents
520492 Anti-infectives, Miscellaneous
520800 Anti-inflammatory Agents
520808 Corticosteroids
520820 Nonsteroidal Anti-inflammatory Agents
520892 Anti-inflammatory Agents, Miscellaneous
521600 Local Anesthetics
522400 Mydriatics
523200 Vasoconstrictors
524000 Antiglaucoma Agents
524004 alpha-Adrenergic Agonists
524008 beta-Adrenergic Blocking Agents
524012 Carbonic Anhydrase Inhibitors
524020 Miotics
524024 Osmotic Agents
524028 Prostaglandin Analogs
524092 Antiglaucoma Agents, Miscellanous
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
561804 Opioid Antagonists
562208 Antihistamines
562212 Dopamine Receptor Antagonists
562220 5-HT3 Receptor Antagonists
562292 Antiemetics, Miscellaneous
562400 Lipotropic Agents
562800 Antiulcer Agents and Acid Suppressants
562812 Histamine H2-Antagonists
562818 Potassium-competitive acid blockers
562828 Prostaglandins
562832 Protectants
562836 Proton-pump Inhibitors
562892 Antiulcer Agents and Acid Suppressants, Misc
563200 Prokinetic Agents
563600 Anti-inflammatory Agents
569200 GI Drugs, Miscellaneous
640000 Heavy Metal Antagonists
680400 Adrenals
680800 Androgens
681604 Estrogens
681608 Antiestrogens
681612 Estrogen Agonists-Antagonists
681804 Antigonadotropins
681808 Gonadotropins
682000 Antidiabetic Agents
682002 a-Glucosidase Inhibitors
682004 Biguanides
682005 Dipeptidyl Peptidase IV (DDP-4) Inhibitors
682006 Incretin Mimetics
68200804 Rapid-Acting Insulins
68200808 Short-Acting Insulins
68200812 Intermediate-Acting Insulins
68200816 Long-Acting Insulins
682016 Meglitinides
682018 Sodium-glucose Cotransporter 2 (SGLT2) Inhibitors
682020 Sulfonylureas
682028 Thiazolidinediones
682092 Antidiabetic Agents, Miscellaneous
682212 Glycogenolytic Agents
682292 Antihypoglycemic Agents, Miscellaneous
682404 Antiparathyroid Agents
682800 Pituitary
683200 Progestins
683604 Thyroid Agents
683608 Antithyroid Agents
684400 Renin-Angiotensin-Aldosterone System (RAAS)
720000 Local Anesthetics
760000 Oxytocics
780000 Radioactive Agents
800400 Antitoxins and Immune Globulins
800800 Toxoids
801200 Vaccines
840400 Anti-infectives
840404 Antibacterials
840406 Antivirals
84040804 Allyamines
84040808 Azoles
84040828 Polyenes
84040840 Thiocarbamates
840412 Scabicides and Pediculicides
840416 Astringents, Anti-infective
840492 Local Anti-infectives, Miscellaneous
840600 Anti-inflammatory Agents
840608 Corticosteroids
840612 Phosphodiesterase-4 Inhibitors
840620 Nonsteroidal Anti-inflammatory Agents
840624 Adrenergic Agonists
840628 Immunomodulatory Agents
840800 Antipruritics and Local Anesthetics
841200 Astringents
841600 Cell Stimulants and Proliferants
841800 Antiproliferants
842400 Emollients, Demulcents, and Protectants
842404 Basic Lotions and Liniments
842412 Basic Ointments and Protectants
842800 Keratolytic Agents
843200 Keratoplastic Agents
849200 Skin and Mucous Membrane Agents, Miscellaneous
861200 Genitourinary Smooth Muscle Relaxants
86120812 Selective B3-Adrenergic Agonists
861600 Respiratory Smooth Muscle Relaxants
880400 Vitamin A
880800 Vitamin B Complex
881200 Vitamin C
881600 Vitamin D
882000 Vitamin E
882400 Vitamin K Activity
882800 Multivitamin Preparations
900000 Immunomodulatory Agents
900420 Antimetabolites
901600 Bone-modifying Agents
902400 Disease-modifying Antirheumatic Drugs
902404 Monocarboxylic Acid Amide Agents
90241692 Tumor Necrosis Factor Inhibitors, Miscellaneous
90280492 Polyclonal Antibodies, Miscellaneous
90280892 Antimetabolites, Immunosuppressive Therapy, Miscellaneous
90282892 Calcineurin Inhibitors, Miscellaneous
910000 Antidote Therapeutics
910200 Alcohol Deterrents
910400 Antidotes
910404 Acetaminophen antidote
910408 Methanol or ethylene glycol poisoning
910412 Chemotherapy antidotes/protectants
910416 Methemoglobinemia antidote
910420 Organophosphate antidote
910424 Cyanide antidotes
910428 Neuromuscular blocking agent antidote
920000 Miscellaneous Therapeutic Agents
920400 5-alpha-Reductase Inhibitors
921200 Antidotes
921600 Antigout Agents
922000 Immunomodulatory Agents
922400 Bone Resorption Inhibitors
923200 Complement Inhibitors
924000 Gonadotropin-Releasing Hormone Antagonists
929200 Other Miscellaneous Therapeutic Agents
960000 Pharmaceutical Aids
999999 Unspecified
MISSISSIPPI POISON CONTROL CENTER 1-800-222-1222 -- EMERGENCY CONTACT FOR NERVE AGENT/ORGANOPHOSPHATE POISONING 1-800-222-MEMA (6362)

For NMMC Use Only.

Some links may not be viewed without INTRANET access.
Copyright © 2025 Rpharmy, LLC ­ All Rights Reserved