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
920400 5-alpha-Reductase Inhibitors
562220 5-HT3 Receptor Antagonists
121204 a-Adrenergic Agonists
242000 a-Adrenergic Blocking Agents
121212 a-and B Adrenergic Agonists
682002 a-Glucosidase Inhibitors
910404 Acetaminophen antidote
081804 Adamantanes
283604 Adamantanes
680400 Adrenals
840624 Adrenergic Agonists
360400 Adrenocortical Insufficiency
910200 Alcohol Deterrents
400800 Alkalinizing Agents
081404 Allyamines
84040804 Allyamines
48120404 alpha- and beta-Adrenergic Agonists
524004 alpha-Adrenergic Agonists
083004 Amebicides
081202 Aminoglycosides
08121608 Aminopenicillins
401000 Ammonia Detoxicants
282004 Amphetamines
280892 Analgesics and Antipyretics, Miscellaneous
680800 Androgens
243208 Angiotensin II Receptor Antagonists
243212 Angiotensin II Receptor Antagonists/Neprolysin Inhibitors
243204 Angiotensin-Converting Enzyme Inhibitors
282092 Anorexigenic Agents and Stimulants, Miscellaneous
28200892 Anorexigenic Agents, Miscellaneous
560400 Antacids and Absorbents
080800 Anthelmintics
840400 Anti-infectives
520492 Anti-infectives, Miscellaneous
520800 Anti-inflammatory Agents
563600 Anti-inflammatory Agents
840600 Anti-inflammatory Agents
520892 Anti-inflammatory Agents, Miscellaneous
240404 Antiarrhythmic Agents
24040492 Antiarrhythmics, Miscellaneous
520404 Antibacterials
840404 Antibacterials
081228 Antibacterials, Miscellaneous
481208 Anticholinergic Agents
283608 Anticholinergic Agents
281292 Anticonvulsants, Miscellaneous
28160492 Antidepressants, Miscellaneous
682000 Antidiabetic Agents
682092 Antidiabetic Agents, Miscellaneous
560800 Antidiarrhea Agents
910000 Antidote Therapeutics
910400 Antidotes
921200 Antidotes
562292 Antiemetics, Miscellaneous
681608 Antiestrogens
561000 Antiflatulents
520416 Antifungals
081400 Antifungals
081492 Antifungals, Miscellaneous
524000 Antiglaucoma Agents
524092 Antiglaucoma Agents, Miscellanous
681804 Antigonadotropins
921600 Antigout Agents
202892 Antihemorrhagic Agents, Misc
202808 Antiheparin Agents
562208 Antihistamines
682292 Antihypoglycemic Agents, Miscellaneous
081608 Antileprosy Agents
240692 Antilipemic Agents, Miscellaneous
083008 Antimalarials
282800 Antimanic Agents
900420 Antimetabolites
90280892 Antimetabolites, Immunosuppressive Therapy, Miscellaneous
283292 Antimigraine Agents, Miscellaneous
120808 Antimuscarinics/Antispasmodics
100000 Antineoplastic Agents
682404 Antiparathyroid Agents
120804 Antiparkinsonian Agents
841800 Antiproliferants
083092 Antiprotozoals, Miscellaneous
083012 Antiprotozoals, Pneumocystis jirovecii Pneumonia
840800 Antipruritics and Local Anesthetics
28160892 Antipsychotics, Miscellaneous
08180892 Antiretrovirals, Miscellaneous
20120420 Antithrombin Replacements
683608 Antithyroid Agents
800400 Antitoxins and Immune Globulins
081604 Antituberculosis Agents
480800 Antitussives
562800 Antiulcer Agents and Acid Suppressants
562892 Antiulcer Agents and Acid Suppressants, Misc
840406 Antivirals
520420 Antivirals
081892 Antivirals, Miscellaneous
282492 Anxiolytics, Sedatives, and Hypnotics, Miscellaneous
841200 Astringents
520424 Astringents
840416 Astringents, Anti-infective
28160804 Atypical Antipsychotics
081408 Azoles
84040808 Azoles
08122808 Bacitracins
281204 Barbiturates
282404 Barbiturates
280404 Barbiturates
842404 Basic Lotions and Liniments
842412 Basic Ointments and Protectants
282408 Benzodiazepines
281208 Benzodiazepines
524008 beta-Adrenergic Blocking Agents
682004 Biguanides
240604 Bile Acid Sequestrants
922400 Bone Resorption Inhibitors
901600 Bone-modifying Agents
28160808 Butyrophenones
90282892 Calcineurin Inhibitors, Miscellaneous
402000 Caloric Agents
08120708 Carbapenems
243604 Carbonic Anhydrase Inhibitors
402804 Carbonic Anhydrase Inhibitors
524012 Carbonic Anhydrase Inhibitors
240492 Cardiac Drugs, Miscellaneous
361800 Cardiac Function
240408 Cardiotonic Agents
244400 Cardiovascular Drugs, Nonsteroidal Anti-inflammatory
283612 Catechol-O-methyltransferase (COMT) Inhibitors
561200 Cathartics and Laxatives
841600 Cell Stimulants and Proliferants
242400 Central alpha-Agonists
289200 Central Nervous System Agents, Miscellaneous
122004 Centrally Acting Skeletal Muscle Relaxants
08120712 Cephamycins
240810 cGMP Synthesis Agent
910412 Chemotherapy antidotes/protectants
240605 Cholesterol Absorption Inhibitors
24040404 Class Ia Antiarrhythmics
24040408 Class Ib Antiarrhythmics
24040412 Class Ic Antiarrhythmics
24040416 Class II Antiarrhythmics
24040420 Class III Antiarrhythmics
24040424 Class IV Antiarrhythmics
923200 Complement Inhibitors
520808 Corticosteroids
840608 Corticosteroids
481008 Corticosteroids
20120408 Coumarin Derivatives
910424 Cyanide antidotes
08122812 Cyclic Lipopeptides
28080408 Cyclooxygenase-2 (COX-2) Inhibitors
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
902400 Disease-modifying Antirheumatic Drugs
402892 Diuretics, Miscellaneous
283616 Dopamine Precursors
562212 Dopamine Receptor Antagonists
081416 Echinocandins
529200 EENT Drugs, Miscellaneous
842400 Emollients, Demulcents, and Protectants
440000 Enzymes
28362004 Ergot-Derivative Dopamine Receptor Agonists
08121204 Erythromycins
681612 Estrogen Agonists-Antagonists
681604 Estrogens
040404 Ethanolamine Derivatives
481600 Expectorants
08121616 Extended-spectrum Penicillins
240606 Fibric Acid Derivatives
284000 Fibromyalgia Agents
08120620 Fifth Generation Cephalosporins
040400 First Generation Antihistamines
480404 First Generation Antihistamines
08120604 First Generation Cephalosporins
08122408 Fluorocyclines
08120616 Fourth Generation Cephalosporins
122012 GABA-derivative Skeletal Muscle Relaxants
281228 GABA-mediated Anticonvulsants
363600 Gastric Function
280400 General Anesthetics
861200 Genitourinary Smooth Muscle Relaxants
569200 GI Drugs, Miscellaneous
682212 Glycogenolytic Agents
08122816 Glycopeptides
08122412 Glycylcyclines
924000 Gonadotropin-Releasing Hormone Antagonists
681808 Gonadotropins
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
900000 Immunomodulatory Agents
922000 Immunomodulatory Agents
840628 Immunomodulatory Agents
682006 Incretin Mimetics
20120415 Indirect Factor Xa Inhibitors
280416 Inhalation Anesthetics
68200812 Intermediate-Acting Insulins
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
562400 Lipotropic Agents
720000 Local Anesthetics
521600 Local Anesthetics
840492 Local Anti-infectives, Miscellaneous
68200816 Long-Acting Insulins
243608 Loop Diuretics
402808 Loop Diuretics
081212 Macrolides
481032 Mast-cell Stabilizers
682016 Meglitinides
910408 Methanol or ethylene glycol poisoning
910416 Methemoglobinemia antidote
524020 Miotics
920000 Miscellaneous Therapeutic Agents
283632 Monoamine Oxidase B Inhibitors
28160412 Monoamine Oxidase Inhibitors
08120716 Monobactams
902404 Monocarboxylic Acid Amide Agents
081824 Monoclonal Antibodies
482400 Mucolytic Agents
882800 Multivitamin Preparations
365200 Mumps
522400 Mydriatics
08121604 Natural Penicillins
081828 Neuramindase Inhibitors
910428 Neuromuscular blocking agent antidote
122020 Neuromuscular Blocking Agents
240808 Nitrates and Nitrites
08301692 Nitroimidazole Derivatives, Miscellaneous
280408 Non-barbiturates
282412 Non-benzodiazepine Anxiolytics
282444 Non-benzodiazepine Hypnotics
280816 Non-Opioid Analgesics
12160404 Non-selective a-Adrenergic Blocking Agents
12120804 Non-selective B-Adrenergic Agonists
12160804 Non-selective B-Adrenergic Blocking Agents
28362008 Nonergot-Derivative Dopamine Receptor Agonists
520820 Nonsteroidal Anti-inflammatory Agents
840620 Nonsteroidal Anti-inflammatory Agents
081832 Nucleosides and Nucleotides
240612 Omega-3-mediated Antilipemics
280808 Opioid Agonists
281000 Opioid Antagonists
561804 Opioid Antagonists
280812 Opioid Partial Agonists
910420 Organophosphate antidote
524024 Osmotic Agents
243612 Osmotic Diuretics
402812 Osmotic Diuretics
049200 Other Antihistamines
08121208 Other Macrolides
08122892 Other Miscellaneous Antibacterials
929200 Other Miscellaneous Therapeutic Agents
08122824 Oxazolidinones
760000 Oxytocics
120400 Parasympathomimetic (Cholinergic) Agents
08121612 Penicillinase-resistant Penicillins
960000 Pharmaceutical Aids
28160824 Phenothiazines
401819 Phosphate-removing Agents
483200 Phosphodiesterase Type 4 Inhibitors
240812 Phosphodiesterase Type 5 Inhibitors
484824 Phosphodiesterase type 5 inhibitors
840612 Phosphodiesterase-4 Inhibitors
682800 Pituitary
366600 Pituitary Function
201218 Platelet-Aggregation Inhibitors
201214 Platelet-Reducing Agents
90280492 Polyclonal Antibodies, Miscellaneous
081428 Polyenes
84040828 Polyenes
08122828 Polymyxins
562818 Potassium-competitive acid blockers
401818 Potassium-removing Agents
243616 Potassium-sparing Diuretics
402816 Potassium-sparing Diuretics
683200 Progestins
563200 Prokinetic Agents
484828 Prostacyclin and prostacyclin derivatives
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
684400 Renin-Angiotensin-Aldosterone System (RAAS)
401200 Replacement Preparations
282032 Respiratory and CNS Stimulants
861600 Respiratory Smooth Muscle Relaxants
28080404 Reversible COX-1/COX-2 Inhibitors
08122830 Rifamycins
366800 Roentgenographic and Other Imaging Agents
28080424 Salicylates
840412 Scabicides and Pediculicides
241200 Sclerosing Agents
040800 Second Generation Antihistamines
480408 Second Generation Antihistamines
08120608 Second Generation Cephalosporins
12160412 Selective a1-Adrenergic Blocking Agents
12160808 Selective B-Adrenergic Blocking Agents
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
68200808 Short-Acting Insulins
08120628 Siderophore Cephalosporins
122000 Skeletal Muscle Relaxants
122092 Skeletal Muscle Relaxants, Miscellaneous
849200 Skin and Mucous Membrane Agents, Miscellaneous
120200 Smoking Cessation Agents
682018 Sodium-glucose Cotransporter 2 (SGLT2) Inhibitors
24322008 Steroidal Mineralocorticoid Receptor Antagonists
081220 Sulfonamides
682020 Sulfonylureas
121600 Sympatholytic (Adrenergic Blocking) Agents
081224 Tetracyclines
243620 Thiazide Diuretics
402824 Thiazide-like Diuretics
243624 Thiazide-like Diuretics
682028 Thiazolidinediones
84040840 Thiocarbamates
08120612 Third Generation Cephalosporins
201220 Thrombolytic Agents
683604 Thyroid Agents
366000 Thyroid Function
800800 Toxoids
28160428 Tricyclics and Other Norepinephrine-reuptake Inhibitors
368400 Tuberculosis
90241692 Tumor Necrosis Factor Inhibitors, Miscellaneous
999999 Unspecified
404000 Uricosuric Agents
083600 Urinary Anti-infectives
801200 Vaccines
525600 Vascular Endothelial Growth Factor Antagonists
523200 Vasoconstrictors
402828 Vasopressin Antagonists
880400 Vitamin A
880800 Vitamin B Complex
881200 Vitamin C
881600 Vitamin D
882000 Vitamin E
882400 Vitamin K Activity
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