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






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