dru g formulary - Kern Health Systems

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28GENERIC BRAND FORMSKFHC DRUG FORMULARYNSAID – Propionic Acids G Flubiprofen Ansaid® 50mg, 100mg tablet G Ibuprofen Motrin® 100mg/5ml susp, 200mg, 400mg, 600mg,800mg tabletRestriction: FDA does not recommend in children
KFHC DRUG FORMULARY 29GENERIC BRAND FORMSOphthalmic – Anti-infective, continued • SEE PREVIOUS PAGEMoxifloxacin Vigamox® 0.5% ophth solnRestriction: Pts. must have recently failed first line ophth antibiotics. Allow 1st for ophthalmologists. G Ofloxacin Ocuflox® 0.3% ophth soln G Polymyxin & Trimethaprim Polytrim® ophth soln G Sodium Sulfacetamide Sulamyd® 10% ophth soln & oint G Tobramycin Tobrex® 0.3% ophth soln & ointOphthalmic – Anti-infective – GlucocorticoidNeomycin & Dexamethasone NeoDecadron® 0.5%-0.05% ophth oint, 0.5%-0.1% ophth soln G Neomycin, Polymyxin & Maxitrol® ophth susp, ophth ointDexamethasone G Neomycin,Polymyxin & Prednisolone Poly-Pred®ophth susp G Sulfacetamide & Prednisolone Metamyd® 10%-0.2%, 10%-0.25%, 10%-0.5% ophth oint orsusp G Tobramyin & Dexamethasone Tobradex® 0.3%-0.1% ophth susp and ointOphthalmic – Antiviral G Trifluridine Viroptic® 1% ophth solnVidarabine Vira-A® 3% ophth ointOphthalmic – Glaucoma G Acetazolamide Diamox® 125mg, 250mg tablet, 500mg cr capsule G Betaxolol Betopic® 0.25%, 0.5% ophth soln or suspBimatoprost Lumigan® 0.1%, 0.03% ophth soln G BrimonidineAlphagan® Alphagan P® 0.2% ophth solnBrinzolamide Azopt® 1% ophth susp G Dorzolamide Trusopt® 2% ophth soln G Latanoprost Xalatan® 0.005% ophth soln G Levobunolol Betagan® 0.25% ophth soln G Methazolamide Neptazane® 25mg, 50mg tablets G Metipranolol Optipranolol® 0.3% ophth solnContinued on next page
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Page 8: viKFHC DRUG FORMULARYTopical - Misc
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Page 64 and 65: Non-Formulary or Restricted Medicat
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dru g formulary - Kern Health Systems

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