Comprehensive Alliance Drug Formulary - Alameda Alliance for ...

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Comprehensive Alliance Drug Formulary – April 2012 liothyronine sodium CYTOMEL TABLET 25 MCG liothyronine sodium CYTOMEL TABLET 5 MCG liothyronine sodium CYTOMEL TABLET 50 MCG thyroid,pork ARMOUR THYROID TABLET 120 MG thyroid,pork ARMOUR THYROID TABLET 30 MG thyroid,pork ARMOUR THYROID TABLET 300 MG thyroid,pork ARMOUR THYROID TABLET 60 MG thyroid,pork ARMOUR THYROID TABLET 15 MG thyroid,pork ARMOUR THYROID TABLET 90 MG thyroid,pork ARMOUR THYROID TABLET 180 MG thyroid,pork ARMOUR THYROID TABLET 240 MG thyroid,pork ARMOUR THYROID TABLET 195 MG thyroid,pork ARMOUR THYROID TABLET 16.25 MG thyroid,pork ARMOUR THYROID TABLET 32.5 MG thyroid,pork ARMOUR THYROID TABLET 65 MG thyroid,pork ARMOUR THYROID TABLET 130 MG EYE - GENERAL DISORDERS Eye Antibiotic-Corticoid Combinations gentamicin/prednisol ac PRED-G DROPS SUSP 0.3%-1% gentamicin/prednisol ac PRED-G OINT. (G) 0.3- 0.6% neo/polymyx b sulf/dexameth MAXITROL OINT. (G) 3.5- 10K-.1 neo/polymyx b sulf/dexameth MAXITROL DROPS SUSP 0.1 % neomy sulf/bacitrac zn/poly/hc TRIPLE ANTIBIOTIC HC OINT. (G) 3.5- 10K-1 neomycin sulfate/dex na ph NEOMYCIN SULFATE/DEX NA PH DROPS 0.35- Page 50 of 103
Comprehensive Alliance Drug Formulary – April 2012 0.1% tobramycin sulf/dexamethasone TOBRADEX OINT. (G) 0.3%-0.1% Eye Antihistamines QL ketotifen fumarate ZADITOR DROPS 0.025 % Eye Antiinflammatory Agents PA dexamethasone MAXIDEX DROPS SUSP 0.1 % dexamethasone sod phosphate DECADRON OINT. (G) 0.05 % dexamethasone sod phosphate DEXASOL DROPS 0.1 % ST diclofenac sodium VOLTAREN DROPS 0.1 % fluorometholone FLUOROMETHOLONE DROPS SUSP 0.1 % flurbiprofen sodium OCUFEN DROPS 0.03 % ST ketorolac tromethamine ACULAR LS DROPS 0.4 % ST ketorolac tromethamine ACULAR LS DROPS 0.5 % prednisolone acetate PRED MILD DROPS SUSP 0.12 % prednisolone acetate PRED FORTE DROPS SUSP 1 % prednisolone sod phosphate PREDNISOL DROPS 1 % Eye Antivirals trifluridine VIROPTIC DROPS 1 % Eye Local Anesthetics proparacaine hcl OPHTHETIC DROPS 0.5 % tetracaine hcl TETRAVISC DROPS 0.5 % Eye Sulfonamides na sulfacetm/prednis sp NA SULFACETM/PREDNIS SP DROPS 10- 0.25% sulfacetamide sodium SULFAC OINT. (G) 10 % sulfacetamide sodium SULFAC DROPS 10 % sulfacetm na/prednisol ac BLEPHAMIDE S.O.P. OINT. (G) 10 %-0.2 % PA sulfacetm na/prednisol ac BLEPHAMIDE DROPS SUSP 10 %-0.2 % Eye Vasoconstrictors (otc Only) naphazoline hcl NAPHCON DROPS 0.012% naphazoline hcl/phenir mal OPCON-A DROPS .0268- .315 Page 51 of 103
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