Comprehensive Alliance Drug Formulary - Alameda Alliance for ...

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Comprehensive Alliance Drug Formulary – April 2012 30MG/5 guaifenesin/dextromethorphan VICKS 44E COUGH & CHEST ELIXIR 66.7- 6.7/5 guaifenesin/dextromethorphan MUCINEX COUGH LIQUID 100-5 MG/5 guaifenesin/dextromethorphan MUCINEX COUGH LIQUID 100- 15MG/5 guaifenesin/dextromethorphan SCOT-TUSSIN SENIOR LIQUID 200- 15MG/5 Non-Narcotic Antitussive-Decongestant Combinations d-methorphan hb/p-ephed hcl TRIAMINIC SYRUP 5- 15MG/5ML d-methorphan hb/p-ephed hcl VICKS 44D COUGH & HEAD ELIXIR 10- 20MG/5 d-methorphan hb/p-ephed hcl PEDIACARE LIQUID 15- 30MG/5 d-methorphan hb/p-ephed hcl PEDIACARE DROPS 2.5- 7.5/.8 d-methorphan hb/p-ephed hcl PEDIACARE SYRUP 7.5- 15MG/5 Non-Narcotic Antitussive-Decongestant-Analgesic Cb dm/pseudoephed/acetaminophen TYLENOL INFANTS PLUS COLD-COUG DROPS 5-15- 160MG dm/pseudoephed/acetaminophen TYLENOL INFANTS PLUS COLD-COUG LIQUID 7.5- 15-160 Nose Preparations, Vasoconstrictors (rx) QL epinephrine hcl ADRENALIN CHLORIDE SOLUTION 1:1000 Sympathomimetic Agents ephedrine sulfate EPHEDRINE SULFATE CAPSULE 25 MG phenylpropanolamine hcl PHENYLPROPANOLAMINE HCL TABLET 50MG pseudoephedrine hcl SUDAFED DROPS 9.4MG/ML pseudoephedrine hcl SUDAFED LIQUID 15 MG/5 ML pseudoephedrine hcl SUDAFED SYRUP 30 MG/5 ML pseudoephedrine hcl PSEUDOEPHEDRINE HCL TABLET 30 MG pseudoephedrine hcl SUDAFED TABLET 60MG pseudoephedrine hcl SUDAFED TABLET ER Page 36 of 103
Comprehensive Alliance Drug Formulary – April 2012 120 MG DERMATOLOGY - ACNE Acne Agents,Topical ST clindamycin phos/benzoyl perox BENZACLIN GEL (GRAM) 1 %-5 % Astringents aluminum acetate ALUMINUM ACETATE SOLUTION Rosacea Agents, Topical metronidazole METROLOTION GEL (GRAM) 0.75 % metronidazole METROLOTION CREAM (G) 0.75 % Topical Preparations,Antibacterials chlorhexidine gluconate HIBICLENS LIQUID 4 % chlorhexidine gluconate HIBICLENS LIQUID 4 % chloroxylenol PERIGIENE LIQUID 0.5 % chloroxylenol PERIGIENE CLEANSER 0.43% Vitamin A Derivatives AGE+ tretinoin RETIN-A GEL (GRAM) QL 0.01 % AGE+ tretinoin RETIN-A GEL (GRAM) QL 0.025 % AGE tretinoin RETIN-A CREAM (G) 0.05 % AGE+ tretinoin RETIN-A CREAM (G) QL 0.1 % AGE+ tretinoin RETIN-A CREAM (G) QL 0.025 % AGE+ tretinoin microspheres RETIN-A MICRO GEL (GRAM) QL RETIN-A MICRO PUMP 0.04% AGE+ tretinoin microspheres RETIN-A MICRO GEL (GRAM) QL RETIN-A MICRO PUMP 0.1 % DERMATOLOGY - ANTIINFECTIVE Topical Antibiotics bacitracin BACITRACIN PACKET 500 UNIT/G bacitracin BACITRACIN OINT. (G) 500 UNIT/G bacitracin zinc BACITRACIN ZINC OINT. (G) 500 UNIT/G Page 37 of 103
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