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Oregon Department of Corrections

Approved Formulary

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Oregon Department of Corrections

Approved Formulary

Formulary Duration Restrictions

Please review each of these drugs carefully.

acetaminophen-codeine	Limited to 7 days without TLC approval.
acetaminophen-HYDROcodone	Limited to 7 days without TLC approval.
acetaminophen-oxyCODONE	Limited to 7 days without TLC approval.
acyclovir	Limited to 6 weeks without TLC approval.
amoxicillin	Limited to 6 weeks without TLC approval.
amoxicillin-clavulanate	Limited to 6 weeks without TLC approval.
azithromycin	Limited to 6 weeks without TLC approval.
baclofen	Limited to 7 days without TLC approval.
ceFAZolin	Limited to 6 weeks without TLC approval.
cefTRIAXone	Limited to 6 weeks without TLC approval.
cephalexin	Limited to 6 weeks without TLC approval.
ciprofloxacin	Limited to 6 weeks without TLC approval.
clarithromycin	Limited to 6 weeks without TLC approval.
clindamycin	Limited to 6 weeks without TLC approval.
clotrimazole topical	Limited to 4 months without TLC approval.
clotrimazole troche	Limited to 6 weeks without TLC approval.
doxycycline	Limited to 6 weeks without TLC approval.
fluconazole	Limited to 2 weeks without TLC approval.
fosfomycin	Limited to 6 weeks without TLC approval.
hydrOXYzine	Limited to 14 days for medical use for opiate withdrawal without TLC approval.
levofloxacin	Limited to 6 weeks without TLC approval.
metroNIDAZOLE	Limited to 6 weeks without TLC approval.
miconazole topical	Limited to 4 months without TLC approval.
morphine	Limited to 7 days without TLC approval.
nitrofurantoin	Limited to 6 weeks without TLC approval.
nystatin oral	Limited to 6 weeks without TLC approval.
oxyCODONE	Limited to 7 days without TLC approval.
penicillin V potassium	Limited to 6 weeks without TLC approval.
sulfamethoxazole-trimethoprim	Limited to 6 weeks without TLC approval. Exception: HIV patients do not need approval for durations exceeding 6 weeks.
terbinafine topical	Limited to 4 months without TLC approval.
tolnaftate topical	Limited to 4 months without TLC approval.
traMADol	Limited to 7 days without TLC approval.
valACYclovir	Limited to 6 weeks without TLC approval.
vancomycin	Limited to 6 weeks without TLC approval.

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