Approved Formulary
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Therapeutic Substitutions
| Per policy, orders for these non-formulary agents will be changed to formulary equivalents.(Note: In this table Brand names are upper case, generic names are lower case.) | ||
|---|---|---|
| A | Non-Formulary Agent | Formulary Equivalent |
| Accupril - see quinapril | ||
| Aciphex - see RABEprazole | ||
| aclidinium (Tudorza Pressair) | ipratropium (Atrovent) nebs 0.5 mg q6h | |
| Actoplus Met - see metFORMIN-pioglitazone | ||
| acyclovir (Zovirax) cream | acyclovir (Zovirax) ointment | |
| acyclovir (Zovirax) for fever blisters | docosanol (Abreva) | |
| Advair - see fluticasone-salmeterol | ||
| Aerospan - see flunisolide | ||
| Airsupra - see budesonide-albuterol | ||
| Aleve - see naproxen | ||
| alfuzosin (Uroxatral) 10 mg | tamsulosin (Flomax) 0.4 mg | |
| Allegra - see fexofenadine | ||
| Allegra-D - see fexofenadine-pseudoePHEDrine | ||
| alogliptin (Nesina) any dose | linagliptin (Tradjenta) 5 mg daily | |
| alogliptin-metFORMIN (Kazano) | linagliptin (Tradjenta) 5 mg daily plus metFORMIN at same dose and frequency | |
| alogliptin-pioglitazone (Oseni) | linagliptin (Tradjenta) 5 mg daily plus same dose of pioglitazone (Actos) | |
| Alomide - see lodoxamide | ||
| Altace - see ramipril | ||
| Alternagel - see aluminum hydroxide | ||
| Altoprev - see lovastatin | ||
| aluminum hydroxide (Alternagel, Basalgel) | aluminum hydroxide (Amphojel) | |
| Alvesco - see ciclesonide | ||
| Ambien - see zolpidem | ||
| Ambien CR - see zolpidem CR | ||
| amcinonide (Cyclocort) 0.1% cream, lotion | triamcinolone (Kenalog) 0.5% cream | |
| amcinonide (Cyclocort) 0.1% ointment | triamcinolone (Kenalog) 0.5% ointment (Not stocked) | |
| Amerge - see naratriptan | ||
| ampicillin PO TID, QID | amoxicillin PO q8h | |
| Analgesic Balm - see analgesic creams | ||
| analgesic creams (Analgesic Balm, Ben Gay, Salicylate cream, other brands) | trolamine (Myoflex) | |
| Analpram - see hydrocortisone-pramoxine | ||
| Anaprox - see naproxen | ||
| Anoro Ellipta - see vilanterol-umeclidinium | ||
| Ansaid - see flurbiprofen | ||
| antacids besides aluminum hydroxide | aluminum hydroxide-magnesium hydroxide-simethicone (Maalox Plus) | |
| Antara - see fenofibrate | ||
| antihistamine-decongestant liquid | brompheniramine-pseudoePHEDrine (Q-Tapp) liquid | |
| Anzemet - see dolasetron | ||
| Arcapta Neohaler - see indacaterol | ||
| arformoterol (Brovana) nebs BID | formoterol (Perforomist) nebs 20 mcg BID | |
| Aricept - see donepezil | ||
| armodafinil (Nuvigil) 150-250 mg daily | modafinil (Provigil) 200 mg daily | |
| Arnuity Ellipta - see fluticasone | ||
| ASA 325 mg-butalbital 50 mg-caffeine 40 mg (Fiorinal) | APAP 325 mg-butalbital 50 mg-caffeine 40 mg (Fioricet) | |
| Ascriptin - see aspirin buffered | ||
| Asmanex - see mometasone | ||
| aspirin buffered (Ascriptin) 325 mg | aspirin EC (Ecotrin) 325 mg | |
| aspirin EC 81 mg | aspirin chewable 81 mg | |
| Astepro - see azelastine | ||
| Atacand - see candesartan | ||
| Avandamet - see metFORMIN-rosiglitazone | ||
| Avapro - see irbesartan | ||
| Avelox - see moxifloxacin | ||
| Axid - see nizatidine | ||
| azelastine (Astepro) | azelastine (Astelin) | |
| azilsartan (Edarbi) 40 mg daily | losartan (Cozaar) 50 mg daily | |
| azilsartan (Edarbi) 80 mg daily | losartan (Cozaar) 100 mg daily | |
| Azmacort - see triamcinolone | ||
| B | Non-Formulary Agent | Formulary Equivalent |
| Bactocill - see oxacillin | ||
| Basaglar - see insulin glargine | ||
| Basalgel - see aluminum hydroxide | ||
| beclomethasone (QVAR) | budesonide (Pulmicort) nebs 0.5 mg BID | |
| beclomethasone nasal (Beconase AQ, Qnasl) | fluticasone (Flonase) 2 sprays per nostril daily | |
| Beconase AQ - see beclomethasone nasal | ||
| Belbuca - see buprenorphine | ||
| Ben Gay - see analgesic creams | ||
| benazepril (Lotensin) 5 mg | lisinopril (Zestril, Prinivil) 5 mg | |
| benazepril (Lotensin) 10 mg | lisinopril (Zestril, Prinivil) 10 mg | |
| benazepril (Lotensin) 20 mg | lisinopril (Zestril, Prinivil) 20 mg | |
| benazepril (Lotensin) 40 mg | lisinopril (Zestril, Prinivil) 40 mg | |
| Benicar - see olmesartan | ||
| benzocaine-butamben-tetracaine (Cetacaine) spray | benzocaine (Hurricane) spray | |
| Berodual - see fenoterol-ipratropium | ||
| betamethasone dipropionate (Diprolene AF) 0.05% cream | triamcinolone (Kenalog) 0.5% cream | |
| betamethasone dipropionate (Diprolene) 0.05% gel | clobetasol (Temovate) 0.05% gel (Not stocked) | |
| betamethasone dipropionate (Diprolene) 0.05% lotion, ointment | clobetasol (Temovate) 0.05% cream | |
| betamethasone dipropionate (Diprolene) 0.05% ointment | clobetasol (Temovate) 0.05% ointment (Not stocked) | |
| betamethasone dipropionate (Diprolene) 0.5% cream | triamcinolone (Kenalog) 0.5% cream | |
| betamethasone dipropionate (Diprosone) 0.05% cream, lotion | triamcinolone (Kenalog) 0.5% cream | |
| betamethasone dipropionate (Diprosone) 0.05% ointment | triamcinolone (Kenalog) 0.5% ointment (Not stocked) | |
| betamethasone dipropionate (Diprosone) 0.5% lotion | triamcinolone (Kenalog) 0.1% lotion | |
| betamethasone valerate (Valisone) 0.01% cream | triamcinolone (Kenalog) 0.1% cream | |
| betamethasone valerate (Valisone) 0.1% cream | triamcinolone (Kenalog) 0.1% cream | |
| betamethasone valerate (Valisone) 0.1% lotion | triamcinolone (Kenalog) 0.1% lotion | |
| betamethasone valerate (Valisone) 0.1% ointment | triamcinolone (Kenalog) 0.5% ointment (Not stocked) | |
| Betapace - see sotalol | ||
| Bevespi - see formoterol-glycopyrrolate | ||
| Breo Ellipta - see vilanterol-fluticasone | ||
| Brethine inhalation - see terbutaline | ||
| Breztri - see glycopyrrolate-formoterol-budesonide | ||
| Bricanyl inhalation - see terbutaline | ||
| brimonidine 0.2% - timolol 0.5% (Combigan) | brimonidine 0.2% plus timolol 0.5%, 1 drop of each for each drop of combined product | |
| Brovana - see arformoterol | ||
| budesonide (Pulmicort) 200 mcg 1-2 puffs BID | fluticasone (Flovent) 110 mcg inhaler 2 puffs BID (HB-SNF only) budesonide (Pulmicort) nebs 0.5 mg BID (elsewhere) |
|
| budesonide nasal (Rhinocort) | fluticasone (Flonase) 2 sprays per nostril daily | |
| budesonide-albuterol (Airsupra) | albuterol (Ventolin) nebs 2.5 mg plus budesonide (Pulmicort) nebs 0.5 mg |
|
| Bunavail - see buprenorphine-naloxone | ||
| buprenorphine (Belbuca) buccal film | Orders must be provided from the patient's home supply. If this supply is not available, the pharmacist will contact the prescriber to discuss alternatives, including conversion to SL buprenorphine tablets. | |
| buprenorphine-naloxone (Bunavail) buccal film | Orders must be provided from the patient's home supply. If this supply is not available, the pharmacist will contact the prescriber to discuss alternatives, including conversion to SL buprenorphine tablets. | |
| buprenorphine-naloxone (Suboxone) sublingual film | Orders must be provided from the patient's home supply. If this supply is not available, the pharmacist will contact the prescriber to discuss alternatives, including conversion to SL buprenorphine tablets. | |
| buprenorphine-naloxone (Suboxone) sublingual tab | buprenorphine (Subutex) tabs, same buprenorphine strength | |
| buprenorphine-naloxone (Zubsolv) sublingual tab | Orders must be provided from the patient's home supply. If this supply is not available, the pharmacist will contact the prescriber to discuss alternatives, including conversion to SL buprenorphine tablets. | |
| butalbital 50 mg-ASA 325 mg-caffeine 40 mg (Fiorinal) | APAP 325 mg-butalbital 50 mg-caffeine 40 mg (Fioricet) | |
| C | Non-Formulary Agent | Formulary Equivalent |
| caffeine 40 mg-butalbital 50 mg-ASA 325 mg (Fiorinal) | APAP 325 mg-butalbital 50 mg-caffeine 40 mg (Fioricet) | |
| calcium acetate | calcium acetate (PhosLo) | |
| calcium carbonate-magnesium chloride (Mag Delay) | magnesium oxide (Mag-Ox) 200 mg | |
| calcium gluconate injection (in times of shortage) | calcium chloride injection with same elemental calcium dose (CaCl2 1 gm = Ca Gluconate 3 gm) | |
| calcium products except calcium acetate | calcium carbonate (Tums) | |
| calcium with vitamin D | calcium carbonate with vitamin D (OsCal plus D) | |
| Cambia - see diclofenac | ||
| canagliflozin (Invokana) | Initiate Adult Insulin Order Set, selecting low dose HumaLOG sliding scale insulin (unless otherwise specified). | |
| Cancidas - see caspofungin | ||
| candesartan (Atacand) 4 mg daily | valsartan (Diovan) 40 mg daily | |
| candesartan (Atacand) 8 mg daily | valsartan (Diovan) 80 mg daily | |
| candesartan (Atacand) 16 mg daily | valsartan (Diovan) 160 mg daily | |
| candesartan (Atacand) 32 mg daily | valsartan (Diovan) 320 mg daily | |
| carboxymethylcellulose (Refresh) | ocular lubricant (Artificial Tears) | |
| Cardizem - see diltiaZEM | ||
| carvedilol controlled release (Coreg CR) 10 mg daily | carvedilol (Coreg) 3.125 mg BID | |
| carvedilol controlled release (Coreg CR) 20 mg daily | carvedilol (Coreg) 6.25 mg BID | |
| carvedilol controlled release (Coreg CR) 40 mg daily | carvedilol (Coreg) 12.5 mg BID | |
| carvedilol controlled release (Coreg CR) 80 mg daily | carvedilol (Coreg) 25 mg BID | |
| caspofungin (Cancidas) | anidulafungin (Eraxis) | |
| Ceclor - see cefaclor | ||
| Cedax - see ceftibuten | ||
| cefaclor (Ceclor) liquid q8h | cefprozil (Cefzil) liquid q12h | |
| cefaclor (Ceclor) q8h | cefuroxime (Ceftin) q12h | |
| cefadroxil (Duricef) | cephalexin (Keflex) same daily dose divided q6h | |
| cefixime (Suprax) | cefdinir (Omnicef) 300 mg q12h | |
| Cefotan - see cefoTEtan | ||
| cefotaxime (Claforan) q8h or q12h (adult) | cefTRIAXone (Rocephin) q24h | |
| cefoTEtan (Cefotan) q12h | cefOXitin (Mefoxin) q6h | |
| cefpodoxime (Vantin) | cefdinir (Omnicef) 300 mg q12h | |
| cefprozil (Cefzil) q12h | cefuroxime (Ceftin) q12h | |
| ceftibuten (Cedax) | cefdinir (Omnicef) 300 mg q12h | |
| Ceftin - see cefuroxime | ||
| cefuroxime (Ceftin) liquid | cefprozil (Cefzil) liquid | |
| Cefzil - see cefprozil | ||
| CeleXA - see citalopram | ||
| Cerumenex - see triethanolamine | ||
| Cetacaine - see benzocaine-butamben-tetracaine | ||
| cetirizine (ZyrTEC) 5-10 mg | loratadine (Claritin) 10 mg | |
| cetirizine-pseudoePHEDrine 5-120 mg (ZyrTEC-D) BID | loratadine-pseudoePHEDrine 10 mg-240 mg (Claritin-D 24 Hr | |
| cetirizine-pseudoePHEDrine 10-240 mg (ZyrTEC-D) daily | loratadine-pseudoePHEDrine 10 mg-240 mg (Claritin-D 24 Hr) | |
| Cetraxal - see ciprofloxacin otic solution | ||
| choline magnesium trisalicylate (Trilisate) | salsalate (Disalcid) | |
| ciclesonide (Alvesco) | budesonide (Pulmicort) nebs 0.5 mg BID | |
| ciclesonide nasal (Omnaris, Zetonna) | fluticasone (Flonase) 2 sprays per nostril daily | |
| ciclopirox (Loprox) 0.77% cream and gel | clotrimazole (Lotrimin) 1% cream | |
| ciclopirox (Loprox) 0.77% topical suspension | clotrimazole (Lotrimin) 1% topical solution | |
| ciclopirox (Loprox) 1% shampoo | ketoconazole (Nizoral) shampoo | |
| cimetidine (Tagamet) | famotidine (Pepcid) 20 mg, subject to renal dosing adjustments by pharmacy (see famotidine for more info) famotidine (Pepcid) liquid for pediatric patients |
|
| ciprofloxacin (Cetraxal, Otiprio) otic solution | ofloxacin (Floxin) otic solution | |
| ciprofloxacin-dexamethasone (Ciprodex) otic 4 drops BID | hydrocortisone/neomycin/polymyxin B (Cortisporin) otic 4 drops TID | |
| ciprofloxacin-hydrocortisone (Cipro HC) otic 3 drops BID | hydrocortisone/neomycin/polymyxin B (Cortisporin) otic 4 drops TID | |
| citalopram (CeleXA) | escitalopram (Lexapro) at one-half the citalopram dose | |
| Citrucel - see methylcellulose | ||
| Claforan - see cefotaxime | ||
| Clarinex - see desloratadine | ||
| Claritin-D - see loratadine-pseudoePHEDrine | ||
| Clinoril - see sulindac | ||
| clioquinol (Vioform) cream | clotrimazole (Lotrimin) cream | |
| clioquinol-hydrocortisone (Vioform-HC) cream | betamethasone-clotrimazole (Lotrisone) cream | |
| clocortolone (Cloderm) 0.1% cream | triamcinolone (Kenalog) 0.1% cream | |
| Cloderm - see clocortolone | ||
| clotrimazole (Lotrimin Ultra) 1% cream | clotrimazole (Lotrimin) 1% cream | |
| cloxacillin (Tegopen) | dicloxacillin (Dynapen) | |
| Colace - see docusate | ||
| Combigan - see brimonidine - timolol | ||
| conjugated estrogens (Premarin) vaginal cream | estradiol (Estrace) vaginal cream | |
| Cordran - see flurandrenolide | ||
| Coreg - see carvedilol | ||
| cough suppressant tab | benzonatate (Tessalon) | |
| Crestor - see rosuvastatin | ||
| crotamiton (Eurax) | permethrin (Elimite) | |
| Cutivate - see fluticasone | ||
| cyanocobalamin (vitamin B12) sublingual tablets | cyanocobalamin (vitamin B12) oral tablets | |
| Cyclocort - see amcinonide | ||
| cyclosporin (Restasis) opthalmic | ocular lubricant (Artificial Tears) q4h while awake | |
| D | Non-Formulary Agent | Formulary Equivalent |
| Dakins solution - see sodium hypochlorite solution | ||
| Dalmane - see flurazepam | ||
| dapagliflozin (Farxiga) | Initiate Adult Insulin Order Set, selecting low dose HumaLOG sliding scale insulin (unless otherwise specified). | |
| Daypro - see oxaprozin | ||
| Decadron - see dexamethasone | ||
| decongestant-dextromethorphan-guaiFENesin | guaiFENesin DM (Robitussin DM) product plus phenylephrine |
|
| decongestant-guaiFENesin | guaiFENesin (Robitussin) plus phenylephrine | |
| Denavir - see penciclovir | ||
| desloratadine (Clarinex) 5 mg | loratadine (Claritin) 10 mg | |
| desoximetasone (Topicort LP) 0.05% cream | triamcinolone (Kenalog) 0.1% cream | |
| desoximetasone (Topicort) 0.25% cream | triamcinolone (Kenalog) 0.5% cream | |
| desoximetasone (Topicort) 0.25% ointment | triamcinolone (Kenalog) 0.5% ointment (Not stocked) | |
| dexamethasone (Decadron) 0.1% cream | triamcinolone (Kenalog) 0.1% cream | |
| dexlansoprazole (Kapidex) 30-60 mg PO | pantoprazole (Protonix) 40 mg PO at same frequency (esomeprazole (NexIUM) 40 mg packets if patient receives medication through a tube) | |
| dexlansoprazole (Kapidex) for pediatric patients | esomeprazole (NexIUM) granules - see details there | |
| diclofenac (Cambia) 50 mg oral packet for migraines | DNS, not stocked, obtain from patient for use while here | |
| diclofenac (Voltaren XR) 100 mg | naproxen (Naprosyn) 500 mg BID | |
| diclofenac (Voltaren) 25 mg, 50 mg | naproxen (Naprosyn) 375 mg BID | |
| diclofenac (Voltaren) 75 mg | naproxen (Naprosyn) 500 mg BID | |
| dietary supplements | melatonin and fish oil will be available on formulary. All other herbal products, including KCl 99 mg, will be held while at IHS. | |
| diflorasone (Psorcon E) 0.05% cream | triamcinolone (Kenalog) 0.5% cream | |
| diflorasone (Psorcon E) 0.05% ointment | triamcinolone (Kenalog) 0.5% ointment (Not stocked) | |
| diflorasone (Psorcon) 0.05% cream | triamcinolone (Kenalog) 0.1% cream | |
| diflorasone (Psorcon) 0.05% ointment | triamcinolone (Kenalog) 0.5% ointment (Not stocked) | |
| diflunisal (Dolobid) | salsalate (Disalcid) | |
| digoxin (Lanoxin) 0.1 mg cap | digoxin (Lanoxin) 0.125 mg tab | |
| digoxin (Lanoxin) 0.2 mg cap | digoxin (Lanoxin) 0.25 mg tab | |
| diltiaZEM BID products | diltiaZEM SR (Cardizem SR) | |
| diltiaZEM once daily products | diltiaZEM CD (Cardizem CD) | |
| dimenhyDRINATE (Dramamine) 50 mg IM | promethazine (Phenergan) 25 mg IM | |
| dimenhyDRINATE (Dramamine) 50 mg IV push | prochlorperazine (Compazine) 10 mg IV push | |
| Dipentum - see olsalazine | ||
| Diprolene - see betamethasone dipropionate | ||
| Diprosone - see betamethasone dipropionate | ||
| docusate (Colace) 50 mg | docusate (Colace) 100 mg | |
| docusate (Surfak) | docusate (Colace) 100 mg | |
| dolasetron (Anzemet) 12.5 mg | ondansetron (Zofran) 4 mg IV q8h (prn) | |
| Dolobid - see diflunisal | ||
| donepezil (Aricept) 23 mg | donepezil (Aricept) 20 mg | |
| donepezil-memantine (Namzaric) | donepezil (Aricept) 10 mg + menantine (Namenda) as appropriate to match order | |
| Doral - see quazepam | ||
| Doribax - see doripenem | ||
| doripenem (Doribax) | meropenem (Merrem) dosed according to protocol | |
| Dramamine - see dimenhyDRINATE | ||
| DTP vaccine | DTaP vaccine | |
| Duaklir - see formoterol-aclidinium | ||
| Dulera - see formoterol-mometasone | ||
| Duricef - see cefadroxil | ||
| E | Non-Formulary Agent | Formulary Equivalent |
| econazole (Spectazole) 1% cream | miconazole (Monistat) 2% cream | |
| Edarbi - see azilsartan | ||
| eletriptan (Relpax) | rizatriptan (Maxalt) 10 mg, may repeat in 2 hours (max of 30 mg/day) | |
| Elocon - see mometasone | ||
| empagliflozin-linagliptin (Glyxambi) | empagliflozin (Jardiance) plus linagliptin (Trajenta) in appropriate strengths | |
| eprosartan (Teveten) 400 mg daily | losartan (Cozaar) 25 mg daily | |
| eprosartan (Teveten) 600 mg daily | losartan (Cozaar) 50 mg daily | |
| eprosartan (Teveten) 800 mg daily | losartan (Cozaar) 100 mg daily | |
| Eraxis - see anidulafungin | ||
| Ertaczo - see sertaconazole | ||
| ertapenem (INVanz) | meropenem (Merrem) dosed according to protocol | |
| ertugiflozin-SITagliptin (Steglujan) | linagliptin (Tradjenta) 5 mg daily plus low dose HumaLOG sliding scale insulin (unless otherwise specified) | |
| ertugliflozin (Steglatro) | Initiate Adult Insulin Order Set, selecting low dose HumaLOG sliding scale insulin (unless otherwise specified). | |
| ertugliflozin-metFORMIN (Segluromet) | Initiate Adult Insulin Order Set, selecting low dose HumaLOG sliding scale insulin (unless otherwise specified) plus metFORMIN at same dose and frequency. | |
| erythromycin (Ery-Tab) 333 mg | erythromycin (E-Mycin) 250 mg q6h | |
| erythromycin besides Ery-Tab 333 mg (PCE, stearate, Eryc) | erythromycin Base Enteric Coated | |
| esomeprazole (NexIUM) 20-40 mg IV | pantoprazole (Protonix) 40 mg IV at same frequency (see policy in the event of drug shortages.) |
|
| esomeprazole (NexIUM) 20-40 mg PO | pantoprazole (Protonix) 40 mg PO at same frequency (esomeprazole (NexIUM) 40 mg packets if patient receives medication through a tube) | |
| esomeprazole (NexIUM) for pediatric patients | esomeprazole (NexIUM) granules - mix 40 mg packet with 15 ml distilled water = 40 mg/15ml final concentration. One hour expiration, all doses to be prepared in pharmacy. Dosing: refer to | |
| estazolam (Prosom) 1 mg | LORazepam (Ativan) 1 mg | |
| eszopiclone (Lunesta) 1 mg, 2 mg | zolpidem (Ambien) 5 mg | |
| eszopiclone (Lunesta) 3 mg | zolpidem (Ambien) 10 mg (5 mg if female or ≥ 65 years old) | |
| etodolac (Lodine) 200 mg, 300 mg | naproxen (Naprosyn) 375 mg BID | |
| etodolac (Lodine) 400 mg, 600 mg | naproxen (Naprosyn) 500 mg BID | |
| etodolac (Lodine) XL 400 mg, 600 mg | naproxen (Naprosyn) 500 mg BID | |
| Eurax - see crotamiton | ||
| Euthroid - see liotrix | ||
| Exelderm - see sulconazole | ||
| expectorant liquid | guaiFENesin (Robitussin) | |
| expectorant SR tab | guaiFENesin LA (Mucinex) | |
| expectorant-cough suppressant SR tab | guaiFENesin-dextromethorphan (Robitussin DM) BID | |
| F | Non-Formulary Agent | Formulary Equivalent |
| famciclovir (Famvir) 500 mg | valACYclovir (Valtrex) 1gm | |
| Famvir - see famciclovir | ||
| Farxiga - see dapagliflozin | ||
| Feldene - see piroxicam | ||
| fenofibrate (any brand) 40, 43, 45, 48, 50, 54 or 67 mg daily | fenofibrate (generic) 54 mg daily | |
| fenofibrate (any brand) 120, 130, 134, 135, 145, 150, 160, or 200 mg daily | fenofibrate (generic) 160 mg daily | |
| Fenoglide - see fenofibrate | ||
| fenoprofen (Nalfon) 300 mg | ibuprofen (Advil) 200 mg | |
| fenoprofen (Nalfon) 600 mg | ibuprofen (Motrin) 400 mg | |
| fenoterol-ipratropium (Berodual) | formoterol (Perforomist) nebs 20 mcg BID plus ipratropium (Atrovent) nebs 0.5mg q6h |
|
| Feostat - see ferrous fumarate | ||
| Feraheme - see ferumoxytol | ||
| Fergon - see ferrous gluconate | ||
| Ferrex-150 - see iron polysaccharide | ||
| ferric carboxymaltose (Injectafer) | Non-formulary for inpatients, use ferric gluconate (Ferrlecit) (see table at ) Formulary for Infusion Center. | |
| Ferro-Sequels - see ferrous fumarate | ||
| ferrous fumarate | ferrous sulfate tablet or liquid (see table at ) | |
| ferrous gluconate | ferrous sulfate tablet or liquid (see table at ) | |
| ferumoxytol (Feraheme) | ferric gluconate (Ferrlecit) (see table at ) | |
| Fe-Tinic - see iron polysaccharide | ||
| fexofenadine (Allegra) 30 mg | loratadine (Claritin) 5 mg | |
| fexofenadine (Allegra) 60-180 mg | loratadine (Claritin) 10 mg | |
| fexofenadine-pseudoePHEDrine 60-120 mg (Allegra-D) BID | loratadine-pseudoePHEDrine 10 mg-240 mg (Claritin-D 24 Hr) | |
| Fibricor - see fenofibrate | ||
| filgrastim (Neupogen, Nivestym, Zarxio) | tbo-filgrastim (Granix) | |
| Fiorinal - see ASA 325 mg-butalbital 50 mg-caffeine 40 mg (Fiorinal) | ||
| Flora-Q - see probiotics | ||
| Florastor - see probiotics | ||
| Flovent - see fluticasone | ||
| Flumadine - see riMANTAdine | ||
| flunisolide (Aerospan) | budesonide (Pulmicort) nebs 0.5 mg BID | |
| flunisolide nasal (Nasalide, Rhinalar) | fluticasone (Flonase) 2 sprays per nostril daily | |
| fluocinolone (Synalar) 0.01%, 0.025% cream, ointment | triamcinolone (Kenalog) 0.1% cream | |
| fluocinolone (Synalar) HP 0.2% cream | triamcinolone (Kenalog) 0.5% cream | |
| fluocinonide (Lidex) 0.05% cream | triamcinolone (Kenalog) 0.5% cream | |
| fluocinonide (Lidex) 0.05% gel | desoximetasone (Topicort) 0.05% gel | |
| fluocinonide (Lidex) 0.05% ointment | triamcinolone (Kenalog) 0.5% ointment (Not stocked) | |
| flurandrenolide (Cordran SP) 0.025% cream | triamcinolone (Kenalog) 0.1% cream | |
| flurandrenolide (Cordran SP) 0.025% ointment | triamcinolone (Kenalog) 0.1% ointment | |
| flurandrenolide (Cordran SP) 0.05% cream | triamcinolone (Kenalog) 0.1% cream | |
| flurandrenolide (Cordran) 0.05% cream | triamcinolone (Kenalog) 0.1% cream | |
| flurandrenolide (Cordran) 0.05% lotion | triamcinolone (Kenalog) 0.1% lotion (Not stocked) | |
| flurandrenolide (Cordran) 0.05% ointment | triamcinolone (Kenalog) 0.1% ointment | |
| flurazepam (Dalmane) | zolpidem (Ambien) | |
| flurbiprofen (Ansaid) 50 mg | ibuprofen (Motrin) 400 mg | |
| flurbiprofen (Ansaid) 100 mg BID, TID | ibuprofen (Motrin) 600 mg QID | |
| flurbiprofen (Ansaid) 100 mg daily | ibuprofen (Motrin) 600 mg BID | |
| fluticasone (Arnuity Ellipta) | budesonide (Pulmicort) nebs 0.5 mg BID | |
| fluticasone (Cutivate) 0.005% ointment | triamcinolone (Kenalog) 0.1% ointment | |
| fluticasone (Cutivate) 0.05% cream | triamcinolone (Kenalog) 0.1% cream | |
| fluticasone (Flovent) inhaler | use fluticasone (Flovent) inhaler as ordered (HB-SNF only) budesonide (Pulmicort) nebs 0.5 mg BID (elsewhere) |
|
| fluticasone-salmeterol (Advair) | use salmeterol-fluticasone (Advair) inhaler as ordered (HB-SNF only) formoterol (Perforomist) nebs 20 mcg plus budesonide (Pulmicort) nebs 0.5 mg BID (elsewhere) |
|
| fluticasone-salmeterol (Advair) 115/21 HFA 2 puffs BID | fluticasone-salmeterol (Advair) 250/50 Diskus 1 puff BID (HB-SNF only) formoterol (Perforomist) nebs 20 mcg plus budesonide (Pulmicort) nebs 0.5 mg BID (elsewhere) |
|
| fluticasone-salmeterol (Advair) 230/21 HFA 2 puffs BID | fluticasone-salmeterol (Advair) 500/50 Diskus 1 puff BID (HB-SNF only) formoterol (Perforomist) nebs 20 mcg plus budesonide (Pulmicort) nebs 0.5 mg BID (elsewhere) |
|
| fluticasone-salmeterol (Advair) 45/21 HFA 2 puffs BID | fluticasone-salmeterol (Advair) 100/50 Diskus 1 puff BID (HB-SNF only) formoterol (Perforomist) nebs 20 mcg plus budesonide (Pulmicort) nebs 0.5 mg BID (elsewhere) |
|
| fluticasone-umeclidinium-vilanterol (Trelegy Ellipta) | budesonide (Pulmicort) nebs 0.5 mg BID plus ipratropium (Atrovent) nebs 0.5mg q6h plus formoterol (Perforomist) nebs 20 mcg BID |
|
| fluvastatin (Lescol) 20 mg | atorvastatin (Lipitor) 10 mg | |
| fluvastatin (Lescol) 40 mg | atorvastatin (Lipitor) 10 mg | |
| fluvastatin (Lescol) 80 mg | atorvastatin (Lipitor) 10 mg | |
| Foradil Aerolizer - see formoterol | ||
| formoterol (Foradil Aerolizer) | formoterol (Perforomist) nebs 20 mcg BID | |
| formoterol-aclidinium (Duaklir) | formoterol (Perforomist) nebs 20 mcg BID plus ipratropium (Atrovent) nebs 0.5mg q6h |
|
| formoterol-budesonide (Symbicort) 80/4.5 inhaler 2 puffs BID | fluticasone-salmeterol (Advair) 250/50 Diskus 1 puff BID (HB-SNF only) formoterol (Perforomist) nebs 20 mcg plus budesonide (Pulmicort) nebs 0.5 mg BID (elsewhere) |
|
| formoterol-budesonide (Symbicort) 160/4.5 inhaler 2 puffs BID | fluticasone-salmeterol (Advair) 500/50 Diskus 1 puff BID (HB-SNF only) formoterol (Perforomist) nebs 20 mcg plus budesonide (Pulmicort) nebs 0.5 mg BID (elsewhere) |
|
| formoterol-glycopyrrolate (Bevespi) inhaler | formoterol (Perforomist) nebs 20 mcg BID plus ipratropium (Atrovent) nebs 0.5 mg q6h |
|
| formoterol-mometasone (Dulera) 100/5 inhaler 1 puff BID | fluticasone-salmeterol (Advair) 100/50 Diskus 1 puff BID (HB-SNF only) formoterol (Perforomist) nebs 20 mcg plus budesonide (Pulmicort) nebs 0.5 mg BID (elsewhere) |
|
| formoterol-mometasone (Dulera) 200/5 inhaler 1 puff BID | fluticasone-salmeterol (Advair) 250/50 Diskus 1 puff BID (HB-SNF only) formoterol (Perforomist) nebs 20 mcg plus budesonide (Pulmicort) nebs 0.5 mg BID (elsewhere) |
|
| formoterol-mometasone (Dulera) 200/5 inhaler 2 puffs BID | fluticasone-salmeterol (Advair) 500/50 Diskus 1 puff BID (HB-SNF only) formoterol (Perforomist) nebs 20 mcg plus budesonide (Pulmicort) nebs 0.5 mg BID (elsewhere) |
|
| Fortamet - see metFORMIN ER | ||
| fosinopril (Monopril) 5 mg | lisinopril (Zestril, Prinivil) 5 mg | |
| fosinopril (Monopril) 10 mg | ,lisinopril (Zestril, Prinivil) 10 mg | |
| fosinopril (Monopril) 20 mg | lisinopril (Zestril, Prinivil) 20 mg | |
| fosinopril (Monopril) 40 mg | lisinopril (Zestril, Prinivil) 40 mg | |
| Frova - see frovatriptan | ||
| frovatriptan (Frova) | rizatriptan (Maxalt) 10 mg, may repeat in 2 hours (max of 30 mg/day) | |
| G | Non-Formulary Agent | Formulary Equivalent |
| Gamunex (immune globulin IV) - see immune globulin IV (Gamunex) | ||
| Glucophage, Glucophage XR - see metFORMIN, metFORMIN ER | ||
| Glumetza - see metFORMIN ER | ||
| glycerin suppository | liquid glycerin suppository | |
| glycopyrolate (Seebri Neohaler, Lonhala Magnair) | ipratropium (Atrovent) nebs 0.5 mg q6h | |
| glycopyrrolate-formoterol-budesonide (Breztri) | budesonide (Pulmicort) nebs 0.5 mg BID plus ipratropium (Atrovent) nebs 0.5mg q6h plus formoterol (Perforomist) nebs 20 mcg BID |
|
| Glyxambi - see empagliflozin-linagliptin | ||
| guaiFENesin ER (Mucinex) 600 mg q12h | guaiFENesin (Robitussin) 200 mg liquid q4h (when patients unable to swallow) | |
| guaiFENesin ER (Mucinex) 1,200 mg q12h | guaiFENesin (Robitussin) 400 mg liquid q4h (when patients unable to swallow) | |
| guaiFENesin-HYDROcodone | guaiFENesin AC (Robitussin AC) 10 ml (adults) | |
| H | Non-Formulary Agent | Formulary Equivalent |
| halcinonide (Halog E) 0.1% cream | triamcinolone (Kenalog) 0.5% cream | |
| halcinonide (Halog) 0.025% cream | triamcinolone (Kenalog) 0.5% cream | |
| halcinonide (Halog) 0.1% cream | triamcinolone (Kenalog) 0.5% cream | |
| halcinonide (Halog) 0.1% ointment | triamcinolone (Kenalog) 0.5% ointment (Not stocked) | |
| Halcion - see triazolam | ||
| halobetasol (Ultravate) 0.05% cream | clobetasol (Temovate) 0.05% cream | |
| halobetasol (Ultravate) 0.05% ointment | clobetasol (Temovate) 0.05% ointment (Not stocked) | |
| Halog - see halcinonide | ||
| Hemocyte - see ferrous fumarate | ||
| herbal supplements | melatonin and fish oil will be available on formulary. All other herbal products, including KCl 99 mg, will be held while at IHS. | |
| Herceptin - see trastuzumab | ||
| hydroCHLOROthiazide-triamterene 25-50 mg | hydroCHLOROthiazide-triamterene 25-37.5 mg (Maxzide-25) | |
| hydrocortisone (Anusol-HC) cream | hydrocortisone-pramoxine (Analpram) cream | |
| hydrocortisone (Westcort) 0.2% cream | triamcinolone (Kenalog) 0.1% cream | |
| hydrocortisone (Westcort) 0.2% ointment | triamcinolone (Kenalog) 0.1% ointment | |
| hydrocortisone 0.1% cream | triamcinolone (Kenalog) 0.1% cream | |
| hydrocortisone 0.1% ointment | triamcinolone (Kenalog) 0.1% ointment | |
| hydrocortisone probutate (Pandel) 0.1% and 1% creams | triamcinolone (Kenalog) 0.1% cream | |
| hydrocortisone-pramoxine (Analpram HC) cream and other hemorrhoidal products with steroid | hydrocortisone 2.5% cream | |
| hydrOXYzine pamoate (Vistaril) | hydrOXYzine hydrochloride (Atarax) | |
| hyoscyamine (Levsinex) | hyoscyamine (Levbid) | |
| Hytinic - see iron polysaccharide | ||
| Hytone - see hydrocortisone | ||
| I | Non-Formulary Agent | Formulary Equivalent |
| Imigran - see SUMAtriptan | ||
| imipenem-cilastatin (Primaxin) | meropenem (Merrem) dosed according to protocol | |
| Imitrex - see SUMAtriptan | ||
| immune glubulin IV (Octagam) | immune globulin IV (Gamunex) | |
| Incruse Ellipta - see umeclidinium | ||
| indacaterol (Arcapta) | formoterol (Perforomist) nebs 20 mcg BID | |
| indacaterol-glycopyrronium (Ultibron Neohaler) | formoterol (Perforomist) nebs 20 mcg BID plus ipratropium (Atrovent) nebs 0.5 mg q6h |
|
| Infed - see iron dextran | ||
| Injectafer - see ferric carboxymaltose | ||
| insulin IV-PUSH | All IV Push insulin orders will be automatically converted to IVPB at order entry/verification. | |
| insulin aspart (NovoLOG) | insulin lispro (HumaLOG) | |
| insulin aspart 70/30 mix (NovoLOG) | insulin lispro 75/25 Mix (HumaLOG) | |
| insulin degludec (Tresiba) | insulin detemir (Levemir) at 100% of Tresiba dose plus TIDAC medium dose HumaLOG sliding scale (unless otherwise ordered) | |
| insulin detemir (Levemir) (during shortage only) | insulin glargine (Lantus) at 100% of insulin detemir dose. | |
| insulin glargine (Lantus, Basaglar - 100 units/ml) | insulin detemir (Levemir) at 100% of Lantus/Basaglar dose. | |
| insulin glargine (Toujeo - 300 units/ml) | insulin detemir (Levemir) at 80% of Toujeo dose, rounded to nearest whole unit. | |
| insulin isophane (NPH) (NovoLIN N) | insulin isophane (NPH) (HumuLIN N) | |
| insulin isophane-insulin regular (NovoLIN 70/30) | insulin isophane-insulin regular (HumuLIN 70/30) | |
| insulin regular, human (NovoLIN R) | insulin regular, human (HumuLIN R) | |
| INVanz - see ertapenem | ||
| Invokana - see canagliflozin | ||
| irbesartan (Avapro) 75 mg daily | valsartan (Diovan) 40 mg daily | |
| irbesartan (Avapro) 150 mg daily | valsartan (Diovan) 80 mg daily | |
| irbesartan (Avapro) 300 mg daily | valsartan (Diovan) 120 mg daily | |
| Ircon - see ferrous fumarate | ||
| iron dextran (Infed) | ferric gluconate (Ferrlecit) (see table at ) | |
| iron polysaccharide | ferrous sulfate tablet or liquid (see table at ) | |
| iron products (any oral brand) | ferrous sulfate tablet or liquid (see table at ) | |
| iron products (injectable any brand) | ferric gluconate (Ferrlecit) (see table at ) Note: ferric carboxymaltose (Injectafer) is Formulary for the Infusion Center. | |
| iron sucrose (Venofer) | ferric gluconate (Ferrlecit) (see table at ) | |
| J | Non-Formulary Agent | Formulary Equivalent |
| Janumet - see metFORMIN-SITagliptin | ||
| Januvia - see SITagliptin | ||
| Jentadueto - see linagliptin-metFORMIN | ||
| K | Non-Formulary Agent | Formulary Equivalent |
| Kapidex - see dexlansoprazole | ||
| Kazano - see alogliptin-metFORMIN | ||
| KCl 99 mg - see neutraceuticals | ||
| ketoconazole (Nizoral) 2% cream | clotrimazole (Lotrimin) 1% cream | |
| ketoprofen (Orudis KT 12.5 mg, Orudis 25 mg) | ibuprofen (Advil) 200 mg | |
| ketoprofen (Orudis) 50 mg | ibuprofen (Motrin) 400 mg | |
| ketoprofen (Orudis) 75 mg | ibuprofen (Motrin) 600 mg | |
| ketoprofen (Oruvail) 100 mg, 150 mg daily, BID | ibuprofen (Motrin) 400 mg QID | |
| ketoprofen (Oruvail) 200 mg daily | ibuprofen (Motrin) 600 mg QID | |
| ketorolac (Toradol) if ≥ 65 years old | IM: 30 mg x1 or 15 mg q6h (max of 60 mg/day) IV: 15 mg q6h (max of 60 mg/day) PO: 10 mg q4-6h prn (max of 40 mg/day) |
|
| Klor-Con - see potassium chloride | ||
| K-Lyte/Cl - see potassium chloride | ||
| Kombiglyze - see metFORMIN-SAXagliptin | ||
| Kwell - see lindane | ||
| L | Non-Formulary Agent | Formulary Equivalent |
| Lactinex - see probiotics | ||
| LamISIL - see terbinafine | ||
| Lanoxin - see digoxin | ||
| lansoprazole (Prevacid) 15-30 mg PO | pantoprazole (Protonix) 40 mg PO at same frequency (esomeprazole (NexIUM) 40 mg packets if patient receives medication through a tube) | |
| lansoprazole (Prevacid) 30 mg IV | pantoprazole (Protonix) 40 mg IV at same frequency (see policy in the event of drug shortages.) |
|
| lansoprazole (Prevacid) for pediatric patients | esomeprazole (NexIUM) granules - see details there | |
| Lantus - see insulin glargine | ||
| Lescol - see fluvastatin | ||
| levalbuterol (Xopenex) 0.63 mg < q6h frequency (no sub if DNS) | albuterol (Ventolin) 1.25 mg nebs at the same frequency | |
| levalbuterol (Xopenex) 0.63 mg q6h, q8h, q12h (no sub if DNS) | albuterol (Ventolin) 1.25 mg nebs q6h | |
| levalbuterol (Xopenex) 1.25 mg < q6h frequency (no sub if DNS) | albuterol (Ventolin) 2.5 mg nebs at the same frequency | |
| levalbuterol (Xopenex) 1.25 mg q6h, q8h, q12h (no sub if DNS) | albuterol (Ventolin) 2.5 mg nebs q6h | |
| levalbuterol (Xopenex) inhaler < q6h frequency (no sub if DNS) | albuterol (Ventolin) inhaler same frequency (HB-SNF only) see levalbuterol neb information for elsewhere |
|
| levalbuterol (Xopenex) inhaler q6h, q8h, q12h (no sub if DNS) | albuterol (Ventolin) inhaler q6h (HB-SNF only) see levalbuterol neb information for elsewhere |
|
| Levemir - see insulin detemir | ||
| levocetirizine (Xyzal) 5 mg | loratadine (Claritin) 10 mg | |
| levothyroxine (Levoxyl, Levothroid) | levothyroxine (Synthroid) | |
| Levsinex - see hyoscyamine | ||
| Lidex - see fluocinonide | ||
| lidocaine (Lidoderm) patch | 12 hrs on/12 hrs off; enter “Remove Patch” order in PowerChart | |
| lidocaine (Xylocaine) oral spray | benzocaine (Hurricane) spray | |
| Lidoderm - see lidocaine | ||
| linagliptin-metFORMIN (Jentadueto) | linagliptin (Tradjenta) plus metFORMIN at same dose and frequency | |
| lindane topical (Kwell) | permethrin (Elimite) | |
| liotrix (Euthroid) | liotrix (Thyrolar) | |
| Lipofen - see fenofibrate | ||
| Liquifilm - see polyvinyl alcohol | ||
| Livalo - see pitavastatin | ||
| Lodine - see etodolac | ||
| lodoxamide (Alomide) 0.1% ophthalmic solution QID | nedocromil (Alocril) 2% ophthalmic solution BID | |
| Lofibra - see fenofibrate | ||
| Lonhala Magnair - see glycopyrolate | ||
| Loprox - see ciclopirox | ||
| loratadine-pseudoePHEDrine 10-120 mg (Claritin-D 12 Hr) BID | loratadine-pseudoePHEDrine 10-240 mg (Claritin-D 24 Hr) Daily | |
| Lotensin - see benazepril | ||
| Lotrimin - see clotrimazole | ||
| lovastatin (Altoprev, Mevacor) 10 mg | atorvastatin (Lipitor) 10 mg | |
| lovastatin (Altoprev, Mevacor) 20 mg | atorvastatin (Lipitor) 10 mg | |
| lovastatin (Altoprev, Mevacor) 40 mg | atorvastatin (Lipitor) 10 mg | |
| lovastatin (Altoprev, Mevacor) 80 mg | atorvastatin (Lipitor) 20 mg | |
| Lovaza - see omega-3 Acids | ||
| Lunesta - see eszopiclone | ||
| M | Non-Formulary Agent | Formulary Equivalent |
| Mag Delay - see calcium carbonate-magnesium chloride | ||
| magnesium oral supplements | magnesium oxide (Mag-Ox) dose adjust down to nearest tablet size (nearest 400 mg) | |
| magnesium oral supplements, delayed release | magnesium oxide (Mag-Ox) 200 mg | |
| Mandelamine - see methenamine | ||
| meclofenamate (Meclomen) 50 mg | ibuprofen (Motrin) 400 mg | |
| meclofenamate (Meclomen) 100 mg | ibuprofen (Motrin) 600 mg | |
| Meclomen - see meclofenamate | ||
| mefenamic acid (Ponstel) 50 mg | ibuprofen (Motrin) 600 mg | |
| melatonin (any strength) | dose adjusted down to nearest tablet size (nearest 3 mg) | |
| metFORMIN ER 500 mg daily | metFORMIN 250 mg BID with meals | |
| metFORMIN ER 750 mg daily | metFORMIN 850 mg daily with meal | |
| metFORMIN ER 1,000 mg daily | metFORMIN 500 mg BID with meals | |
| metFORMIN ER 1,500 mg daily | metFORMIN 500 mg TID with meals | |
| metFORMIN ER 2,000 mg daily | metFORMIN 1,000 mg BID with meals | |
| metFORMIN-pioglitazone (Actoplus Met) | pioglitazone (Actos) plus metFORMIN at same dose and frequency | |
| metFORMIN-rosiglitazone (Avandamet) | rosiglitazone (Avandia) plus metFORMIN at same dose and frequency | |
| metFORMIN-SAXagliptin (Kombiglyze) | linagliptin (Tradjenta) 5 mg daily plus metFORMIN at same dose and frequency | |
| metFORMIN-SITagliptin (Janumet) | linagliptin (Tradjenta) 5 mg daily plus metFORMIN at same dose and frequency | |
| methenamine (Mandelamine) | methenamine (Hiprex) | |
| methenamine-sodium acid phosphate (Uroqid) | hyoscyamine-methenamine-methylene blue-phenyl salicylate (Urelle) | |
| methenamine-sodium biphosphate (Uro-Phosphate) | hyoscyamine-methenamine-methylene blue-phenyl salicylate (Urelle) | |
| methicillin (Staphcillin) | nafcillin (Unipen) | |
| methylcellulose (Citrucel) | psyllium (Metamucil) | |
| methylPREDNISolone, hydrocortisone if unavailable (except in MS, Lupus, spinal cord injury, pediatrics) | dexamethasone (Decadron) 10 mg load, then if < 250 lb, 4 mg q6h; if > 250 lb, 8 mg q6h | |
| Mevacor - see lovastatin | ||
| micafungin (Mycamine) | anidulafungin (Eraxis) | |
| Micardis - see telmisartan | ||
| miconazole (Monistat 3 day) | miconazole (Monistat) 7 day | |
| miconazole (Monistat Derm) | clotrimazole (Lotrimin) cream | |
| moexipril (Univasc) 3.75 mg | lisinopril (Zestril, Prinivil) 5 mg | |
| moexipril (Univasc) 7.5 mg | lisinopril (Zestril, Prinivil) 10 mg | |
| moexipril (Univasc) 15-30 mg | lisinopril (Zestril, Prinivil) 20 mg | |
| moexipril (Univasc) 60 mg | lisinopril (Zestril, Prinivil) 40 mg | |
| Mol-Iron - see ferrous sulfate | ||
| mometasone (Asmanex) | budesonide (Pulmicort) nebs 0.5 mg BID | |
| mometasone (Elocon) 0.1% cream daily | triamcinolone (Kenalog) 0.1% cream BID | |
| mometasone (Elocon) 0.1% lotion daily | triamcinolone (Kenalog) 0.1% lotion BID | |
| mometasone (Elocon) 0.1% ointment daily | triamcinolone (Kenalog) 0.1% ointment BID | |
| mometasone nasal (Nasonex) | fluticasone (Flonase) 2 sprays per nostril daily | |
| Monistat - see miconazole | ||
| Monopril - see fosinopril | ||
| morphine (Oramorph SR) | morphine (MS Contin) | |
| moxifloxacin (Avelox) | The following are formulary agents: ciprofloxacin and levoFLOXacin. moxifloxacin (Avelox) IV is formulary reserved for CNS infections only in patients with severe penicillin allergies. | |
| Mucinex - see guaiFENesin ER | ||
| multivitamins (any OTC brand without iron) | multivitamin tablet or liquid (Theragran) Other formulary agents: Nephrovite (renal), Ocuvite (eye health), Prenatal multivitamin, Poly-Vi-Sol (pediatrics) |
|
| multivitamins with iron (any brand) | multivitamin (Theragran) plus ferrous sulfate tablet or liquid Other formulary agents: Nephrovite (renal), Ocuvite (eye health), Prenatal multivitamin, Poly-Vi-Sol (pediatrics) |
|
| mumps skin test | trichophyton | |
| Mycamine - see micafungin | ||
| N | Non-Formulary Agent | Formulary Equivalent |
| nabumetone (Relafen) 1,000 mg daily | naproxen (Naprosyn) 500 mg BID | |
| nabumetone (Relafen) 1,500 mg or 2,000 mg daily | naproxen (Naprosyn) 500 mg TID | |
| naftifine (Naftin) 1% cream and gel | clotrimazole (Lotrimin) 1% cream | |
| Naftin - see naftifine | ||
| Nalfon - see fenoprofen | ||
| Namzaric - see donepezil-memantine | ||
| Naprelan - see naproxen | ||
| Naprosyn - see naproxen | ||
| naproxen (Aleve) 220 mg | naproxen (Naprosyn) 250 mg | |
| naproxen (Anaprox DS) 550 mg | naproxen (Naprosyn) 500 mg | |
| naproxen-esomeprazole (Vimovo) 375 mg - 20 mg | naproxen (Naprosyn) 375 mg plus pantoprazole (Protonix) 40 mg |
|
| naproxen-esomeprazole (Vimovo) 500 mg - 20 mg BID | naproxen (Naprosyn) 500 mg plus pantoprazole (Protonix) 40 mg |
|
| naratriptan (Amerge) | rizatriptan (Maxalt) 10 mg, may repeat in 2 hours (max of 30 mg/day) | |
| Nasacort - see triamcinolone nasal | ||
| Nasalide - see flunisolide nasal | ||
| Nasonex - see mometasone nasal | ||
| neomycin ointment | bacitracin-polymyxin-neomycin (Neosporin) ointment | |
| Nephro-Fer - see ferrous fumarate | ||
| Nesina - see alogliptin | ||
| Neulasta - see pegfilgrastim | ||
| Neupogen - see filgrastim | ||
| neutraceuticals | melatonin and fish oil will be available on formulary. All other herbal products, including KCl 99 mg, will be held while at IHS. | |
| NexIUM - see esomeprazole | ||
| niacin (Nicobid) 250 mg BID | niacin (Niaspan) 500 mg daily | |
| Nicobid - see niacin | ||
| Niferex - see iron polysaccharide | ||
| Nivestym - see filgrastim | ||
| nizatidine (Axid) | famotidine (Pepcid) 20 mg, subject to renal dosing adjustments by pharmacy (see famotidine for more info) famotidine (Pepcid) liquid for pediatric patients |
|
| Nizoral - see ketoconazole | ||
| NovoLIN 70/30 - see insulin isophane-insulin regular | ||
| NovoLIN N - see insulin isophane (NPH) | ||
| NovoLIN R - see insulin regular, human | ||
| NovoLOG - see insulin aspart | ||
| Nuvigil - see armodafinil | ||
| nystatin cream and ointment | use in PEDS only, all other patients should be converted to clotrimazole (Lotrimin) 1% cream | |
| nystatin tab | nystatin suspension | |
| O | Non-Formulary Agent | Formulary Equivalent |
| Octagam (immune globulin IV) - see immune globulin IV (Gamunex) | ||
| olmesartan (Benicar) 5 mg daily | valsartan (Diovan) 20 mg daily | |
| olmesartan (Benicar) 10 mg daily | valsartan (Diovan) 40 mg daily | |
| olmesartan (Benicar) 20 mg daily | valsartan (Diovan) 80 mg daily | |
| olmesartan (Benicar) 40 mg daily | valsartan (Diovan) 160 mg daily | |
| olodaterol (Striverdi Respimat) | formoterol (Perforomist) nebs 20 mcg BID | |
| olodaterol-tiotropium (Stiolto Respimat) | formoterol (Perforomist) nebs 20 mcg BID plus ipratropium (Atrovent) nebs 0.5 mg q6h |
|
| olopatadine (Patanol BID, Pataday Daily) | naphazoline/pheniramine (Visine-A) QID | |
| olsalazine (Dipentum) 250 mg capsule | mesalamine (Pentasa) 250 mg ER capsule | |
| Omacor - see omega-3 Acids | ||
| omega-3 Acids (Lovaza, Omacor, Vascepa, other brands) | fish oil | |
| omeprazole (PriLOSEC) 10-40 mg PO | pantoprazole (Protonix) 40 mg PO at same frequency (esomeprazole (NexIUM) 40 mg packets if patient receives medication through a tube) | |
| omeprazole (PriLOSEC) for pediatric patients | esomeprazole (NexIUM) granules - see details there | |
| omeprazole-sodium bicarbonate (Zegerid) | pantoprazole (Protonix) 40 mg PO at same frequency (esomeprazole (NexIUM) 40 mg packets if patient receives medication through a tube) | |
| Omnaris - see ciclesonide nasal | ||
| ondansetron (Zofran) injection (in times of shortage) | ondansetron (Zofran) orally dissolving tablets at same dose | |
| Onglyza - see SAXagliptin | ||
| Oramorph SR - see morphine | ||
| Orudis - see ketoprofen | ||
| Oruvail - see ketoprofen | ||
| Oseni - see alogliptin-pioglitazone | ||
| Otiprio - see ciprofloxacin otic solution | ||
| oxacillin (Bactocill) | nafcillin (Unipen) (except in pediatrics - contact MD for alternative therapy) | |
| oxaprozin (Daypro) 600 mg | naproxen (Naprosyn) 375 mg BID | |
| oxaprozin (Daypro) 1200 mg or more | naproxen (Naprosyn) 500 mg BID | |
| oxazepam (Serax) 10 mg | LORazepam (Ativan) 0.5 mg | |
| oxazepam (Serax) 15 mg | LORazepam (Ativan) 1 mg | |
| oxazepam (Serax) 30 mg | LORazepam (Ativan) 2 mg | |
| oxiconazole (Oxistat) 1% cream | clotrimazole (Lotrimin) 1% cream | |
| oxiconazole (Oxistat) 1% lotion | clotrimazole (Lotrimin) 1% lotion | |
| Oxistat - see oxiconazole | ||
| oxitropium (Oxivent, Tersigan) | ipratropium (Atrovent) nebs 0.5 mg q6h | |
| Oxivent - see oxitropium | ||
| oxyCODONE ER (Xtampza) 9 mg capsule q12h | oxyCODONE ER (OxyCONTIN) 10 mg tablet q12h | |
| oxyCODONE ER (Xtampza) 13.5 mg capsule q12h | oxyCODONE ER (OxyCONTIN) 15 mg tablet q12h | |
| oxyCODONE ER (Xtampza) 18 mg capsule q12h | oxyCODONE ER (OxyCONTIN) 20 mg tablet q12h | |
| oxyCODONE ER (Xtampza) 27 mg capsule q12h | oxyCODONE ER (OxyCONTIN) 30 mg tablet q12h | |
| oxyCODONE ER (Xtampza) 36 mg capsule q12h | oxyCODONE ER (OxyCONTIN) 40 mg tablet q12h | |
| oxytetracycline (Terramycin) | tetracycline | |
| P | Non-Formulary Agent | Formulary Equivalent |
| pancrelipase various brands ) | pancrelipase (Pancrease) | |
| Pandel - see hydrocortisone probutate | ||
| pantoprazole (Protonix) for pediatric patients | esomeprazole (NexIUM) granules - see details there | |
| pantoprazole (Protonix) per tube | esomeprazole (NexIUM) granules - see details there | |
| PARoxetine CR (Paxil CR) 12.5 mg daily | PARoxetine (Paxil) 10 mg daily | |
| PARoxetine CR (Paxil CR) 25 mg daily | PARoxetine (Paxil) 20 mg daily | |
| PARoxetine CR (Paxil CR) 37.5 mg daily | PARoxetine (Paxil) 30 mg daily | |
| Patanol - see olopatadine | ||
| Paxil CR - see PARoxetine CR | ||
| pegfilgrastim (Neulasta) | pegfilgrastim-cbqv (Udencya) | |
| penciclovir (Denavir) cream | acyclovir (Zovirax) ointment (5x/day x 4 days) | |
| penciclovir (Denavir) cream for fever blisters | docosanol (Abreva) | |
| Phenergan - see promethazine | ||
| piroxicam (Feldene) 10 mg | naproxen (Naprosyn) 375 mg BID | |
| piroxicam (Feldene) 20 mg | naproxen (Naprosyn) 500 mg BID | |
| pitavastatin (Livalo) 1 mg | atorvastatin (Lipitor) 10 mg | |
| pitavastatin (Livalo) 2 mg | atorvastatin (Lipitor) 10 mg | |
| pitavastatin (Livalo) 4 mg | atorvastatin (Lipitor) 20 mg | |
| polyethylene glycol-propylene glycol (Systane) | ocular lubricant (Artificial Tears) | |
| polyvinyl alcohol (Liquifilm) Tears | ocular lubricant (Artificial Tears) | |
| Ponstel - see mefenamic acid | ||
| potassium chloride (Klor-Con) 8 mEq PO | potassium chloride (K-Dur) 10 mEq PO | |
| potassium chloride (K-Lyte/Cl) 25 mEq PO | potassium chloride (K-Dur) 20 mEq PO | |
| potassium chloride in D5W or NS, 50 or 100 ml (K-riders, K-runners) | potassium chloride 10 mEq in Water 100 ml premix (potassium chloride 20 mEq in Water 100 ml premix for central lines) | |
| pramoxine (Proctofoam) and other hemorrhoidal products without steroid | phenylephrine-pramoxine (Preparation H) cream | |
| Pravachol - see pravastatin | ||
| pravastatin (Pravachol) 10 mg | atorvastatin (Lipitor) 10 mg | |
| pravastatin (Pravachol) 20 mg | atorvastatin (Lipitor) 10 mg | |
| pravastatin (Pravachol) 40 mg | atorvastatin (Lipitor) 10 mg | |
| pravastatin (Pravachol) 80 mg | atorvastatin (Lipitor) 20 mg` | |
| Premarin - see conjugated estrogens | ||
| Prevacid - see lansoprazole | ||
| PriLOSEC - see omeprazole | ||
| Primaxin - see imipenem-cilastatin | ||
| probiotics (Lactinex, Florastor, Flora-Q or other brand) | lactobacillus (Bacid) caplet or (Floranex) granules | |
| Proctofoam - see pramoxine | ||
| promethazine (Phenergan) 12.5 mg IV push | prochlorperazine (Compazine) 5 mg IV push | |
| promethazine (Phenergan) 25 mg IV push | prochlorperazine (Compazine) 10 mg IV push | |
| Prosom - see estazolam | ||
| Psorcon - see diflorasone | ||
| Q | Non-Formulary Agent | Formulary Equivalent |
| Qnasl - see beclomethasone nasal | ||
| quazepam (Doral) 7.5 mg | zolpidem (Ambien) 5 mg | |
| Qudexy XR - see topiramate XR | ||
| quinapril (Accupril) 5 mg | lisinopril (Zestril, Prinivil) 5 mg | |
| quinapril (Accupril) 10 mg | lisinopril (Zestril, Prinivil) 10 mg | |
| quinapril (Accupril) 20 mg | lisinopril (Zestril, Prinivil) 20 mg | |
| quinapril (Accupril) 40 mg | lisinopril (Zestril, Prinivil) 40 mg | |
| quinapril (Accupril) 80 mg | lisinopril (Zestril, Prinivil) 80 mg | |
| QVAR - see beclomethasone | ||
| R | Non-Formulary Agent | Formulary Equivalent |
| RABEprazole (Aciphex) 20 mg PO | pantoprazole (Protonix) 40 mg PO at same frequency (esomeprazole (NexIUM) 40 mg packets if patient receives medication through a tube) | |
| RABEprazole (Aciphex) for pediatric patients | esomeprazole (NexIUM) granules - see details there | |
| ramelteon (Rozerem) | zolpidem (Ambien) 10 mg (5 mg if female or ≥ 65 years old) | |
| ramipril (Altace) 1.25 mg | lisinopril (Zestril, Prinivil) 5 mg | |
| ramipril (Altace) 2.5 mg | lisinopril (Zestril, Prinivil) 10 mg | |
| ramipril (Altace) 5 mg | lisinopril (Zestril, Prinivil) 20 mg | |
| ramipril (Altace) 10 mg | lisinopril (Zestril, Prinivil) 40 mg | |
| ramipril (Altace) 20 mg | lisinopril (Zestril, Prinivil) 80 mg | |
| Refresh - see carboxymethylcellulose | ||
| Relafen - see nabumetone | ||
| Relpax - see eletriptan | ||
| Renagel - see sevelamer hydrochloride | ||
| Restasis - see cyclosporin opthalmic | ||
| revefenacin (Yupelri) | ipratropium (Atrovent) nebs 0.5 mg q6h | |
| Rhinalar - see flunisolide nasal | ||
| Rhinocort - see budesonide nasal | ||
| riMANTAdine (Flumadine) | amantadine (Symmetrel) | |
| Riomet, Riomet ER - see metFORMIN, metFORMIN ER | ||
| riTUXimab (Rituxan) | riTUXimab-abbs (Truxima) | |
| rosuvastatin (Crestor) 5 mg | atorvastatin (Lipitor) 20 mg | |
| rosuvastatin (Crestor) 10 mg | atorvastatin (Lipitor) 40 mg | |
| rosuvastatin (Crestor) 20 mg | Do not substitute | |
| rosuvastatin (Crestor) 40 mg | Do not substitute | |
| Rozerem - see ramelteon | ||
| S | Non-Formulary Agent | Formulary Equivalent |
| Salicylate cream - see analgesic creams | ||
| salmeterol (Serevent) (acute care) | formoterol (Perforomist) nebs 20 mcg BID | |
| salmeterol (Serevent) inhaler 1-2 puffs (inhaler HB-SNF only) | salmeterol (Serevent) Diskus 1 dose | |
| SAXagliptin (Onglyza) any dose | linagliptin (Tradjenta) 5 mg daily | |
| Seebri Neohaler - see glycopyrolate | ||
| Segluromet - see ertugliflozin-metFORMIN | ||
| Serax - see oxazepam | ||
| Serevent - see salmeterol | ||
| sertaconazole (Ertaczo) 2% cream | clotrimazole (Lotrimin) 1% cream | |
| sevelamer hydrochloride (Renagel) | sevelamer carbonate (Renvela) | |
| simvastatin (Zocor) 5 mg | atorvastatin (Lipitor) 10 mg | |
| simvastatin (Zocor) 10 mg | atorvastatin (Lipitor) 10 mg | |
| simvastatin (Zocor) 20 mg | atorvastatin (Lipitor) 10 mg | |
| simvastatin (Zocor) 40 mg | atorvastatin (Lipitor) 20 mg | |
| simvastatin (Zocor) 80 mg | atorvastatin (Lipitor) 40 mg | |
| simvastatin-ezetimibe (Vytorin) 10 mg-10 mg | atorvastatin (Lipitor) 10 mg plus ezetimibe (Zetia) 10 mg |
|
| simvastatin-ezetimibe (Vytorin) 20 mg-10 mg | atorvastatin (Lipitor) 10 mg plus ezetimibe (Zetia) 10 mg |
|
| simvastatin-ezetimibe (Vytorin) 40 mg-10 mg | atorvastatin (Lipitor) 20 mg plus ezetimibe (Zetia) 10 mg |
|
| simvastatin-ezetimibe (Vytorin) 80 mg-10 mg | atorvastatin (Lipitor) 40 mg plus ezetimibe (Zetia) 10 mg |
|
| SITagliptin (Januvia) any dose | linagliptin (Tradjenta) 5 mg daily | |
| Slow Mag (magnesium oxide, delayed release) - see magnesium oral supplements, delayed release | ||
| sodium hypochlorite solution (Dakins) | Vashe Cleaning Solution | |
| Sonata - see zaleplon | ||
| sotalol (Betapace AF) | sotalol (Betapace) | |
| Spectazole - see econazole | ||
| Spiriva - see tiotropium | ||
| Staphcillin - see methicillin | ||
| Steglatro - see ertugliflozin | ||
| Steglujan - see ertugiflozin-SITagliptin | ||
| Stiolto Respimat - see olodaterol-tiotropium | ||
| Striverdi Respimat - see olodaterol | ||
| Suboxone - see buprenorphine-naloxone | ||
| Subutex - see buprenorphine | ||
| sulconazole (Exelderm) 1% cream | clotrimazole (Lotrimin) 1% cream | |
| sulconazole (Exelderm) 1% solution | clotrimazole (Lotrimin) 1% solution | |
| sulindac (Clinoril) 150 mg BID | naproxen (Naprosyn) 375 mg BID | |
| sulindac (Clinoril) 200 mg BID | naproxen (Naprosyn) 500 mg BID | |
| SUMAtriptan (Imitrex, Imigran) PO | rizatriptan (Maxalt) 10 mg, may repeat in 2 hours (max of 30 mg/day) | |
| Suprax - see cefixime | ||
| Surfak - see docusate | ||
| Symbicort - see formoterol-budesonide | ||
| Synalar - see fluocinolone | ||
| Systane - see polyethylene glycol-propylene glycol | ||
| T | Non-Formulary Agent | Formulary Equivalent |
| Tagamet - see cimetidine | ||
| Tegopen - see cloxacillin | ||
| telmisartan (Micardis) 20 mg daily | losartan (Cozaar) 25 mg daily | |
| telmisartan (Micardis) 40 mg daily | losartan (Cozaar) 50 mg daily | |
| telmisartan (Micardis) 80 mg daily | losartan (Cozaar) 100 mg daily | |
| Terazol - see terconazole | ||
| terbinafine (LamISIL) 1% cream | clotrimazole (Lotrimin) 1% cream | |
| terbutaline inhalation (Brethine, Bricanyl) | albuterol (Ventolin) 2.5 mg nebs q6h | |
| terconazole (Terazol) 3 or 7 day | miconazole (Monistat) 7 day | |
| Terramycin - see oxytetracycline | ||
| Tersigan - see oxitropium | ||
| Teveten - see eprosartan | ||
| theophylline products | theophylline (Theo-24) 24-hour formulation | |
| throat lozenge (any brand) | phenol (Chloraseptic) | |
| ticarcillin-clavulanate (Timentin) (except stenotrophomonas infections) | piperacillin-tazobactam (Zosyn) dosed according to protocol | |
| Timentin - see ticarcillin-clavulanate | ||
| Tinactin - see tolnaftate | ||
| tiotropium (Spiriva) | ipratropium (Atrovent) nebs 0.5 mg q6h | |
| Tolectin - see tolmetin | ||
| tolmetin (Tolectin) 200 mg, 400 mg | naproxen (Naprosyn) 375 mg BID | |
| tolmetin (Tolectin) 600 mg | naproxen (Naprosyn) 500 mg BID | |
| tolnaftate (Tinactin) 1% cream and gel | clotrimazole (Lotrimin) 1% cream | |
| tolnaftate (Tinactin) 1% solution | clotrimazole (Lotrimin) 1% topical solution | |
| Topicort - see desoximetasone | ||
| topiramate XR (Trokendi) 50 mg daily | topiramate (Topamax) 25 mg BID | |
| topiramate XR (Trokendi) 100 mg daily | topiramate (Topamax) 50 mg BID | |
| topiramate XR (Trokendi) 200 mg daily | topiramate (Topamax) 100 mg BID | |
| topiramate XR (Trokendi) 400 mg daily | topiramate (Topamax) 200 mg BID | |
| Toradol - see ketorolac | ||
| Toujeo - see insulin glargine | ||
| traMADol-acetaminophen (Ultracet) 37.5-325 mg | traMADol 50 mg (Ultram) plus acetaminophen (Tylenol) 325 mg |
|
| Trastuzumab (Herceptin) | trastuzumab-pkrb (Herzuma) | |
| Trelegy Ellipta - see fluticasone-umeclidinium-vilanterol | ||
| Tresiba - see insulin degludec | ||
| triamcinolone (Azmacort) | budesonide (Pulmicort) nebs 0.5 mg BID | |
| triamcinolone nasal (Nasacort AQ) | fluticasone (Flonase) 2 sprays per nostril daily | |
| triamterene-hydroCHLOROthiazide - see hydroCHLOROthiazide-triamterene | ||
| triazolam (Halcion) 0.125 mg | zolpidem (Ambien) 5 mg | |
| trichophyton 1:500 | trichophyton 1:200 | |
| Tricor - see fenofibrate | ||
| triethanolamine (Cerumenex) otic | carbamide otic (Debrox) | |
| Triglide - see fenofibrate | ||
| Trilipix - see fenofibrate | ||
| Trilisate - see choline magnesium trisalicylate | ||
| Trokendi XR - see topiramate XR | ||
| Tudorza Pressair - see aclidinium | ||
| U | Non-Formulary Agent | Formulary Equivalent |
| Udencya (pegfilgrastim-cbqv ) - see pegfilgrastim | ||
| Ultibron - see indacaterol-glycopyrronium | ||
| Ultracet - see traMADol-acetaminophen | ||
| Ultravate - see halobetasol | ||
| umeclidinium (Incruse Ellipta) | ipratropium (Atrovent) nebs 0.5 mg q6h | |
| umeclidinium-vilanterol-fluticasone (Trelegy Ellipta) | budesonide (Pulmicort) nebs 0.5 mg BID plus ipratropium (Atrovent) nebs 0.5mg q6h plus formoterol (Perforomist) nebs 20 mcg BID |
|
| Univasc - see moexipril | ||
| Uro-Phosphate - see methenamine-sodium biphosphate | ||
| Uroqid - see methenamine-sodium acid phosphate | ||
| Uroxatral - see alfuzosin | ||
| V | Non-Formulary Agent | Formulary Equivalent |
| Valisone - see betamethasone valerate | ||
| vancomycin oral any strength/frequency | vancomycin oral 125 mg q6h x 10 days. If 500 mg ordered, evaluate whether appropriate per protocol for fulminant infection (hypotension, shock, ileus, or megacolon). If these criteria not met, change to 125 mg po q6h x 10 days. | |
| Vantin - see cefpodoxime | ||
| Vascepa - see omega-3 Acids | ||
| Venofer - see iron sucrose | ||
| vilanterol-fluticasone (Breo Ellipta) | formoterol (Perforomist) nebs 20 mcg plus budesonide (Pulmicort) nebs 0.5 mg BID |
|
| vilanterol-fluticasone-umeclidinium (Trelegy Ellipta) | budesonide (Pulmicort) nebs 0.5 mg BID plus ipratropium (Atrovent) nebs 0.5mg q6h plus formoterol (Perforomist) nebs 20 mcg BID |
|
| vilanterol-umeclidinium (Anoro Ellipta) | formoterol (Perforomist) nebs 20 mcg BID plus ipratropium (Atrovent) nebs 0.5 mg q6h |
|
| Vimovo - see naproxen-esomeprazole | ||
| Vioform - see clioquinol | ||
| Vioform-HC - see clioquinol-hydrocortisone | ||
| Vistaril - see hydrOXYzine pamoate | ||
| vitamin B12 - see cyanocobalamin | ||
| Voltaren - see diclofenac | ||
| Vytorin - see simvastatin-ezetimibe | ||
| W | Non-Formulary Agent | Formulary Equivalent |
| Westcort - see hydrocortisone | ||
| X | Non-Formulary Agent | Formulary Equivalent |
| Xopenex - see levalbuterol | ||
| Xtampza - see oxyCODONE ER capsule | ||
| Xylocaine - see lidocaine | ||
| Xyzal - see levocetirizine | ||
| Y | Non-Formulary Agent | Formulary Equivalent |
| Yupelri - see revefenacin | ||
| Z | Non-Formulary Agent | Formulary Equivalent |
| zaleplon (Sonata) 5 mg | zolpidem (Ambien) 5 mg | |
| zaleplon (Sonata) 10 mg | zolpidem (Ambien) 10 mg (5 mg if female or ≥ 65 years old) | |
| Zarxio - see filgrastim | ||
| Zegerid - see omeprazole-sodium bicarbonate | ||
| Zetonna - see ciclesonide nasal | ||
| Zocor - see simvastatin | ||
| Zofran - see ondansetron | ||
| ZOLMitriptan (Zomig, Zomig MLT) | rizatriptan (Maxalt) 10 mg, may repeat in 2 hours (max of 30 mg/day) | |
| zolpidem (Ambien) 10 mg in patients ≥ 65 years old | zolpidem (Ambien) 5 mg, may repeat x1 PRN | |
| zolpidem (Ambien) 10 mg in women | zolpidem (Ambien) 5 mg | |
| zolpidem CR (Ambien CR) 6.25 mg | zolpidem (Ambien) 5 mg | |
| zolpidem CR (Ambien CR) 12.5 mg | zolpidem (Ambien) 10 mg (5 mg if female or ≥ 65 years old) | |
| zolpidem scheduled | zolpidem PRN | |
| Zomig - see ZOLMitriptan | ||
| Zovirax - see acyclovir | ||
| Zubsolv - see buprenorphine-naloxone | ||
| ZyrTEC - see cetirizine | ||
| ZyrTEC-D - see cetirizine-pseudoePHEDrine | ||
| last updated: 05/15/2024 | ||