4.04 first generation antihistamines...look alike/sound alike medication rems high risk/high alert...

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Look Alike/Sound Alike Medication High Risk/High Alert Med Black Box Warning Risk/Evaluation & Mitigation H - Hazardous 1 REMS PHARMACY FORMULARY 2018 (ACCORDING TO THE AMERICAN HOSPITAL FORMULARY SERVICE) 4:00 Antihistamine Drugs 4.04 First Generation Antihistamines 1. Diphenhydramine ORAL: (Benadryl) 25 mg tablet, 12.5 mg/5 ml elixir, INJECTION: 50mg/ml vial, 2. Promethazine (Phenergan) ORAL: 25 mg tablet, INJECTION: Inj. 25 mg/ml ampul, RECTAL: 12.5 mg & 25mg suppository 4.08 Second Generation Antihistamines4:0444 1. Loratadine (Claritin) 10 mg tablet 4.92 Other Antihistamines 1. Famotidine (Pepcid) ORAL: 20mg tablet, INJECTION: 20mg/2ml 8:00 Anti-infective Agents 8:08 Anthelmintics (none available) 8:12 Antibacterials 8:12.02 Aminoglycosides 1. Amikacin (Amikin) Inj 500mg/2ml vial 2. Gentamicin (Garamycin) INJECTION : 80mg/2ml vial, 80mg/50ml 120mg/100ml, Ophth Sol 5ml bottle, Ophth Ointment 3.5gm tube, 3. Tobramycin INJECTION: (Nebcin) 80 mg/2 ml vial, OPHTH: 0.3% Drops 5 ml, POWDER: Vial 1.2 grams 8:12.06 Cephalosporins First Generation 1. Cefazolin (Ancef,Kefzol) Inj. 1gm vial, 1gm/50ml & 2gm/50ml D5W 2. Cephalexin (Keflex) 500mg capsule Second Generation—none available Third Generation 1. Ceftriaxone (Rocephin) Inj. 1 gm/50ml D5W Fourth Generation 1. Cefepime (Maxipime) Inj 1gm and 2gm vial

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Page 1: 4.04 First Generation Antihistamines...Look Alike/Sound Alike Medication REMS High Risk/High Alert Med Black Box Warning HRisk/Evaluation & Mitigation - Hazardous 1 PHARMACY FORMULARY

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PHARMACY FORMULARY 2018 (ACCORDING TO THE AMERICAN HOSPITAL FORMULARY SERVICE)

4:00 Antihistamine Drugs 4.04 First Generation Antihistamines

1. Diphenhydramine ORAL: (Benadryl) 25 mg tablet, 12.5 mg/5 ml elixir, INJECTION: 50mg/ml vial,

2. Promethazine (Phenergan) ORAL: 25 mg tablet, INJECTION: Inj. 25 mg/ml ampul, RECTAL: 12.5 mg & 25mg suppository

4.08 Second Generation Antihistamines4:0444

1. Loratadine (Claritin) 10 mg tablet

4.92 Other Antihistamines 1. Famotidine (Pepcid) ORAL: 20mg tablet, INJECTION: 20mg/2ml

8:00 Anti-infective Agents

8:08 Anthelmintics (none available)

8:12 Antibacterials 8:12.02 Aminoglycosides

1. Amikacin (Amikin) Inj 500mg/2ml vial 2. Gentamicin (Garamycin) INJECTION : 80mg/2ml vial, 80mg/50ml

120mg/100ml, Ophth Sol 5ml bottle, Ophth Ointment 3.5gm tube, 3. Tobramycin INJECTION: (Nebcin) 80 mg/2 ml vial, OPHTH: 0.3%

Drops 5 ml, POWDER: Vial 1.2 grams 8:12.06 Cephalosporins First Generation 1. Cefazolin (Ancef,Kefzol) Inj. 1gm vial, 1gm/50ml & 2gm/50ml D5W 2. Cephalexin (Keflex) 500mg capsule Second Generation—none available

Third Generation

1. Ceftriaxone (Rocephin) Inj. 1 gm/50ml D5W Fourth Generation

1. Cefepime (Maxipime) Inj 1gm and 2gm vial

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8:12.07 Miscellaneous β-lactam Antibiotics

8.12.07.08 Carbapenems 1. Merrepenem (Merrem) 1 gm vial

8:12.12 Macrolides

8:12.12.92 Other Macrolides 1. Azithromycin (Zithromax) ORAL: 250 mg tablet,

200mg/5ml Suspension, INJECTION: 500 mg vial 8:12.16 Penicillins 8:12.16.04 Natural Penicillins

1. Penicillin G Benzathine (Bicillin LA) Inj. 1.2 million units(refrigerate)

. 8 :12.16.08 Aminopenicillins

1. Amoxicillin (Amoxil) 250 mg capsule, 250mg/5ml 100 ml 2. Ampicillin (Omnipen) INJECTION : 0.5 gm, 1 gm vial 3. Amoxicillin/Clavulanate (Augmentin) 500 mg tablet

8:12.16.12 Penicillinase Resistant Penicillins

1. Nafcillin (Unipen) 1 gram vial

8:12.16.16 Extended Spectrum Penicillins 1. Ampicillin/Sulbactam (Unasyn) Inj. 1.5 gm vial, 3 gm vial

2. Piperacillin/Tazobactam (Zosyn) Inj. 3.375 gm vial

8:12.18 Quinolones 1. Ciprofloxacin HCL (Cipro) ORAL : 250mg & 500 mg tablet,

INJECTION : 400mg/200ml D5W

2. Levofloxacin (Levaquin) ORAL : 500 mg tablet, INJECTION: 500 mg/D5W 100 ml

8:12.20 Sulfonamides

1. Trimethoprim/Sulfamethoxazole 160 mg/800 mg tablet (Bactrim DS, Septra DS), Trimethoprim/Sulfamethoxazole Suspension (Bactrim)

8:12.24 Tetracyclines 1. Doxycycline Hyclate (Vibramycin) 100 mg capsule

8:12.28 Miscellaneous Antibiotics 1. Bacitracin Powder for Injection—50,000 units

2. Clindamycin HCL (Cleocin) ORAL: 300 mg capsule, INJECTION: 600 mg/D5W 50 ml , 900 mg/D5W 50 ml 3. Vancomycin HCL (Vancocin) 500mg, 750mg (add-vantage), 1 gm

vial, 1 gm add-vantage vial 4. Linezolid (Zyvox) Inj 600mg/300ml bag (Restricted), 600mg tablet

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8:14 Antifungals

1. Fluconazole (Diflucan) ORAL: 100 mg tablet, INJECTION: 200 mg/100 ml 8:16 Antimycobacterials 1. Rifampin (Rifadin) ORAL : 300 mg capsule

8:18 Antivirals— 1. Oseltamivir (Tamiflu) 75mg capsule (added February 2018)

8:30 Antiprotozoals 8 :30.04 Amebicides

1. Metronidazole (Flagyl) 250mg tablet, INJECTION : 500mg/100ml,

8:92 Miscellaneous Anti-infectives 1. Metronidazole (Flagyl) ORAL: 250 mg tablet, INJECTION. 500 mg/100 ml

10:00 Antineoplastics—no antineoplastics on formulary 12:00 Autonomic Drugs

12:04 Parasympathomimetic (Cholinergic) agents 1. Neostigmine Methylsulfate (Prostigmin) Injection 1:1000 5ml syringe

12:08.08 Antimuscarinics/Antispasmodics

1. Atropine Sulfate Inj 0.4 mg/ml vial, 1 mg/10 ml syringe 2. Dicyclomine HCL (Bentyl) 10 mg capsule 3. Glycopyrolate (Robinul) Injection 1 mg/5 ml syringe 4. Hyoscyamine Sulfate (Levsin) 0.125 mg sublingual tablet 5. Ipratropium Bromide (Atrovent) 0.02 % 0.5 mg/2.5 ml Inhalation soln 6. Scopolamine (Transderm Scop) 1.5 mg/2.5 cm2 Transdermal System

12:12 Sympathomimetic (Adrenergic) Agents

12:12.04 Alpha Adrenergic Agonists 1. Phenylephrine HCl (Neo-Synephrine) Injection: 10 mg/ml vial

12:12.08 Beta Adrenergic Agonists

12:12.08.08 Selective Beta 1 Adrenergic Agonists 1. Dopamine 400mg/D5W 250ml

12:12.08.12 Selective Beta 2 Adrenergic Agonists

1. Albuterol (Ventolin, Proventil) Oral Inhaler (90 mcg of albuterol per actuation), Inh Solution: 2.5mg/3ml

2. Levalbuterol (Xopenex): 0.63 mg/3 ml inh solution 3. Terbutaline (Brethine) 1mg/ml 1ml vial

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12:12.12 Alpha and Beta Adrenergic Agonists

1. Ephedrine Sulfate : 50 mg/ml 1ml vial, 50mg/5ml syringe 2. Epinephrine HCL Injection :(Adrenalin) 1 mg/ml (1:1000) 1 ml

ampule (preservative-free and sulfite free), 0.1 mg/ml (1:10,000) 10 ml syringe and 1mg/ml 30ml multidose vial

3. Norepinephrine Bitartrate--(Levophed) 4 mg/4 ml 4. Racepinephrine--(S-2 Inhalant) 2.25 % Inhalation Solution 0.5

ml

12:16 Sympatholytic (Adrenergic Blocking) Agents 12:16.04 Alpha Adrenergic Blocking Agents 12:16.04.12 Selective (Alpha Adrenergic Blocking Agents)

1.Tamulosin Hydrochloride (Flomax) 0.4 mg capsule 12:20 Skeletal Muscle Relaxants 12:20.04 Centrally Acting Skeletal Muscle Relaxants

1. Carisoprodol (Soma) 350 mg tablet 2. Cyclobenzaprine HCL (Flexeril) 10 mg tablet

3. Methocarbamol (Robaxin) Inj: 1000mg vial, 500mg & 750mg tab 4. Tizanidine (Zanaflex) 2 mg tablet

12:20.08 Direct Acting Skeletal Muscle Relaxants 1. Dantrolene Sodium (Ryanodex) Injection 250 mg vial

12:20.20 Neuromuscular Blocking Agents

Depolarizing Agents 1. Succinylcholine (Quelicin) 20 mg/ml 5ml syringe

Nondepolarizing Agents

1. Rocuronium (Zemuron) 50 mg/5 ml vial (refrigerate) 2. Ropivacaine (Naropin) 0.2% 2mg/ml 20ml, 0.5% 5mg/ml 20ml

12:92 Miscellaneous Autonomic Drugs

1. Nicotine (NicoDerm CQ) Transdermal System-7 mg, 14 mg , 21 mg and 2mg and 4mg Gum

16:00 Blood Derivatives--none available 20:00 Blood Formation, Coagulation and Thrombosis

20:04 Antianemia Drugs

20:04.04 Iron Preparations 1. Iron Preparations, Oral

a. Ferrous Sulfate (Feosol) 325 mg (65 mg iron) tablet

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20:12 Antithrombotic Agents

20:12.04 Anticoagulants 20:12.04.08 Coumarin Derivatives

1. Warfarin Sodium (Coumadin) 1 mg, 5mg tablet 20:12.04.14 Direct Factor Xa Inhibitors

1. Rivaroxaban (Xarelto) 10mg, 15mg tablet 20:12.04.16 Heparins

1. Enoxaparin Sodium (Lovenox) 30 mg/0.3 ml, 40 mg/0.4 ml, 100 mg/1 ml

2. Heparin Injection

a. Heparin Sod inj (porcine intestinal mucosa) 1000 units/ml 1ml and 5000 units/ml 1ml

b. Heparin lock 100 units/ml vial

20:12.16 Hemostatics 1. Thrombin, topical (Thrombin-JMI) 5000 U vial

20:12.18 Platelet Aggregation Inhibitors 1. Clopidrogrel (Plavix) 75mg tablet (added February 2018)

20:12.20 Thrombolytic Agents

1. Alteplase (Cathflo - Activase ) 2 mg vial

20:28.16 Hemostatics 1. Tranexamic Acid 100mg/ml 10ml vial

24:00 Cardiovascular Drugs

24:04 Cardiac Drugs

24:04.04 Antiarrhythmic Agents 24:04.04.04 Class IA Antiarrhythmics

1. Procainamide (Pronestyl) Inj. 100mg/ml 10ml vial

24:04.04.08 Class 1b Antiarrythmics 1. Lidocaine HCL (Xylocaine) 2% 100 mg/5 ml

syringe, 2 gram/D5W 500 ml pre-mixed bag

24:04.04.16 Class II Antiarrhythmics—see Beta Blockers 24:04.04.20 Class III Antiarrythmics

1. Amiodarone (Cordarone) (Pacerone ) 150 mg/3 ml ampule, 200mg tablet

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24:04.04.24 Class IV Antiarrythmics 1. Adenosine (Adenocard) Inj 6 mg/2ml 2. Diltiazem (Cardizem)---see section 24:28.92 3. Verapamil (Calan)---- see section 24:28.92

24:04.08 Cardiotonic Agents----Cardiac Glycosides 1. Digoxin (Lanoxin) 500 mcg/2 ml amp, 0.25mg tablet

24:06 Antilipemic Agents—do not carry

24:08 Hypotensive Agents 24:08.16 Central Alpha Agonists

1. Clonidine (Catapres) 0.1 mg/24 hr TTS patches, 0.1 mg tablet, INJ: 100mcg/ml 1ml and 10ml vials

24:08.20 Direct Vasodilators

1. Hydralazine HCL (Apresoline) 25 mg tablet, 20 mg/ml vial

24:12 Vasodilating Agents

24:12.08 Nitrates and Nitrites 1. Nitroglycerin (Nitro-Bid) 2% ointment 1 gm, (Nitrostat) 0.4 mg SL tablet, inj: 50 mg/D5W 250 ml glass bottle

24:20 Alpha-Adrenergic Blocking Agents

1. Labetalol (Normodyne, Trandate)---see in 24:24

24:24 Beta-Adrenergic Blocking Agents 1. Atenolol (Tenormin) 25 mg tablet 2. Esmolol (Brevibloc)—10mg/ml 10ml vial 3. Labetalol HCL (Trandate) INJ: 20mg/4ml syringe, 100 mg/20 ml vial 4. Metoprolol Tartrate (Lopressor) 25mg tablet, 5 mg/5 ml ampule 5. Metoprolol Succinate (Toprol) 25mg tablet 6. Propanolol (Inderal) 1mg/ml 1ml vial

24:28 Calcium-Channel Blocking Agents 24:28.08 Dihydropyridines

1. Amlodipine Besylate (Norvasc) 5 mg tablet

24:28.92 Calcium Channel Blocking Agents, Miscellaneous 1. Diltiazem HCL (Cardizem) 30mg tablet, INJ: 25 mg/5 ml vial 2. Verapamil HCL (Calan) INJ: 5 mg/2 ml vial

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24:32 Renin-Angiotensin-Aldosterone System 24:32.04 Angiotensin-Converting Enzyme Inhibitors

1. Enalapril (Vasotec) Inj: 1.25 mg/ml 2ml vial, Oral: 5mg tablet 2. Lisinopril (Zestril, Prinivil) 10 mg tablet

24:32.08 Angiotensin II Receptor Antagonists

1. Losartan (Cozzar) 50mg tablet 28:00 Central Nervous System Agents

28:04 General Anesthetics 28:04.16 Inhalation Anesthetics

1. Desflurane (Suprane) 240ml bottle 2. Sevoflurane (Ultane) 250ml bottle

28:04.92 General Anesthetics, Miscellaneous

1. Etomidate (Amidate) 20 mg/10 ml ampule 2. Ketamine Inj 50mg/ml 10ml vial 3. Propofol (Diprivan) Inj: 1% 100mg/10ml, 200 mg/20 ml,

and 1000mg/100ml vial

28:08 Analgesics and Antipyretics

28:08.04 Nonsteroidal Anti-inflammatory Agents 28:08.04.08 Cyclooxygenase-2 (COX-2) Inhibitors

1. Celecoxib (Celebrex) 100 mg capsule

28:08.04.24 Salicylates 1. Aspirin Oral: 81 mg tablet (plain), 81 mg (enteric

coated) , 325 mg tablet, 325mg (enteric coated)

28:08.04. Other Non Steroidal Anti-inflammatory Agents 1. Ibuprofen (Advil) (Motrin) 200 , 600 & 800mg

tablet, Suspension: 100mg/5ml unit dose 2. Ketorolac Tromethamine (Torado) 10 mg tablet, Injection:30 mg vial, 60mg/2ml vial

28:08.08 Opiate Agonists 1. Codeine Products

a. Acetaminophen and Codeine Phosphate (Tylenol No.3) 300 mg/30 mg tablet

2. Fentanyl Products a. (Duragesic) Transdermal 25mcg, 50mcg patches

(Sublimaze) 100 mcg/2 ml vial, 250 mcg/5 ml ampul, PCA: 10mcg/ml 100ml bag

3. Hydrocodone Bitartrate Combinations b. Hydrocodone Bitartrate/Acetaminophen (Lortab Elixir)

7.5mg/325mg per 15ml cup

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c. Hydrocodone Bitartrate/Acetaminophen (Norco 5) 5 mg/325 mg tablet

d. Hydrocodone Bitartrate/Acetaminophen (Norco 7.5) 7.5 mg/325 mg tablet

e. Hydrocodone Bitartrate/Acetaminophen (Norco 10) 10 mg/325 mg tablet

f. Hydrocodone Bitartrate/Ibuprofen (Vicoprofen) tablet

3. Belladonna/Opium Suppositories (B&O) 16.2mg/30mg

4. Hydromorphone (Dilaudid) 2mg tablet, 2mg/ml inj, PCA: 0.2mg/ml 100ml bag 5.. Meperidine HCL (Demerol) Inj: 25 mg/ml, 50 mg/ml, 50mg

tablet 6. Morphine Sulfate

a. PCA: 1mg/ml 100ml bag b. Injection: 2mg/ml, 4mg/ml, 10 mg/ml

Preservative free (Duramorph): 10 mg/10 ml,

7. Oxycodone Products a. Oxycodone 5mg tablet b. Oxycodone /Acetaminophen (Percocet) 5 mg/325 mg and 10mg/325mg tablet c. Oxycodone Substained Release (Oxycontin) 10mg tablet

8. Sufentanil Inj (Sufenta) 50mg/ml 1ml ampuls 9. Tapentadol (Nucynta) 50mg tablet

10. Tramadol HCL (Ultram) 50 mg tablet 28:08.12 Opiate Partial Agonists

1. Nalbuphine (Nubain) Inj. 10mg/ml 1ml amp

28:08.92 Miscellaneous Analgesics and Antipyretics 1. Acetaminophen (Tylenol)

Oral Solution: 160 mg/5 ml oral solution. Oral : 325 mg, 500mg tablet, Rectal: 120mg Supp.325mg Supp. INJECTION (Ofirmev) : 1000mg/100ml vial

2. Acetaminophen and Codeine Phosphate-(Tylenol No. 3) 300

mg/30 mg tablet, ELIXIR: 120MG/12MG/5ML

3. Other Acetaminophen Combinations a. Acetaminophen/Butalbital/Caffeine 325 mg/50 mg/40 mg

tablet (Fioricet ) 4. Ziconotide Acetate (Prialt) 100mcg/ml 1 ml vial (compounded)

28:10 Opiate Antagonists 1. Naloxone HCL (Narcan) 0.4 mg/ml vial, 2mg syringe

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28:12 Anticonvulsants 28:12.04 Barbiturates---none available

28:12.08 Benzodiazepines 1. Clonazepam (Klonopin) 0.5 mg tablet 2. Diazepam (Valium) Oral : 5mg tablet, 10mg/2ml

syringe 3. Lorazepam (Ativan) Oral : 0.5mg & 2mg tablet, Inj.

2mg/ml 28:12.12 Hydantoins

1. Fosphenytoin Sodium (Cerebyx) 500 mg PE/ml 10 ml vial, PE/10 ml vial (PE = phenytoin sodium equivalents)

28:12.92 Miscellaneous Anticonvulsants

1. Gabapentin (Neurontin) 100 mg, 300 mg capsule 2. Magnesium Sulfate 50 % 2 ml vial, 1 gm/100ml

Prefill bag 3. Pregabalin (Lyrica) 25mg, 50mg & 100mg capsule

28:16 Psychotherapeutic Agents 28:16.04 Antidepressants –none stocked

28:16.08 Antipsychotic Agents

28:16.08.04 Atypical Antipsychotics 1. Risperidone (Risperdal) 0.25mg tablet 2. Ziprasidone (Geodon) Inj. 20mg/ml,

28:16.08.08 Butyrophenones 1. Haloperidol (Haldol) Inj:5mg/ml

28:20 Anorexigenic Agents and Respiratory and Cerebral Stimulants 1. Ammonia inhalant 0.33 ml ampule 2. Caffeine Sodiuim Benzoate Inj 2ml amp

28:24 Anxiolytics, Sedatives, and Hypnotics

28:24.04 Barbiturates—none available

28:24.08 Benzodiazepines 1. Alprazolam (Xanax) 0.25mg tablet 2. Chlordiazepoxide HCL (Librium) 10 mg 3. Diazepam (Valium) 5 mg tablet 4. Lorazepam (Ativan) 1 mg tablet, 2 mg/ml vial

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5. Midazolam HCL (Versed) Inj. 2mg/2ml vial, Elixir 2mg/5ml unit dose 6. Temazepam (Restoril) 15 mg capsule

28:24.92 Miscellaneous Anxiolytics, Sedatives, & Hypnotics

1. Hydroxyzine Hydrochloride (Atarax) 25 mg tablet, Inj : 25mg/ml 1ml vial

2. Promethazine HCL (Phenergan) 25 mg tablet, Inj: 25 mg/ml, Rectal: 12.5mg and 25 mg

suppository, 3. Zolpidem Tartrate (Ambien) 5 mg tablet

28:32 Antimigraine Agents—none available

28:36 Antiparkinsonian Agents—none available

28:40 Fibromyalgia Agents

1. Pregabalin (Lyrica) 25 mg & 100 mg capsule

28:92 Miscellaneous Central Nervous System Agents 1. Flumazenil (Romazicon) Injection 0.5 mg/5 ml vial

36:00 Diagnostic Agents

36:40 Kidney Function 1. Methylene Blue Injection

36:56 Myasthenia Gravis

1. Neostigmine (Prostigmin) 1:1000 1mg/ml 5 ml syringe

36:68 Roengenography 1. Diatrizoate Meglumine (Cystografin) 30% 100ml bottle 2. Gadopentetate Dimeglumine (Magnevist) 15ml vial 3. Iohexol (Omnipaque) 240mg/ml 10ml, 300mg/ml 50ml bottle 4. Iopamidol (Isovue-300) 61% 36:84 Tuberculosis--Tuberculin PPD (Tubersol ) 1 ml vial 40:00 Electrolytics, Caloric, and Water Balance

40:08 Alkalinizing Agents

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1. Sodium Citrate and Citric Acid (Bicitra ) 30 ml unit dose cup 2. Sodium Bicarbonate 8.4 % (1mEq/ml) 10 ml Syringe , 50 ml Syringe

40:10 Ammonia Detoxicants

1. Lactulose (Chronulac Syrup) 10 g/15 ml u/d

40:12 Replacement Preparations 1. Calcium Salts a. Calcium Carbonate, Precipitated

(1) Calcium Carbonate + Vitamin D (Oscal) 500 mg/200mg tablet (2) Calcium Carbonate (Tums ) 500 mg chewable tablet b. Calcium Chloride---Calcium Chloride 10% 10 ml syringe

c. Calcium Gluconate Injection--10% 10 ml vial

2. Potassium Supplements a. Potassium Chloride Oral

(1) Klor-Con 20 mEq tablet

b. Potassium Chloride Injection (1) D5W1/2NS + KCL 10mEq/1000ml bag and 20mEq/1000 bag (2) D5WNS + KCl 20mEq 1000ml bag (3) 0.45% NACl + KCl 20mEq 1000ml bag (4) NS + KCL 20mEq 1000ml bag (5) KCL 10mEq/100ml Sterile Water bag

3. Sodium

a. Bacteriostatic Sodium Chloride Injection 0.9 % 30 ml vial b. Sodium Chloride 0.9% 10ml prefilled syringe and 10ml vial

4. Hetastarch Solution (Hespan) 500ml bag

40:18 Ion-Removing Agents 40:18.18 Potassium-Removing Agents

1. Sodium Polystyrene Sulfonate (Kayexalate) 15 g per 60 ml Suspension

40:20 Caloric Agents 1. Dextrose

a. Parenteral: (1) D50W 1 ml vial and 50 ml syringe

2. Fat emulsions

a. Fat Emulsion (Intralipid): 20%--500ml bag

40:28 Diuretics

48:28.08 Loop Diuretics 1. Furosemide (Lasix) 20 mg tablet, Inj: 20 mg/2 ml vial,

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48 :28.20 Thiazide Diuretics 1. Hydrochlorothiazide (HCTZ): 25 mg tablet

40:36 Irrigating Solutions ---obtain from Material Management

40:40 Uricosuric Agents---None available

44:00 Enzymes----- 1. Hyaluronidase (Hylenex) 150 units/vial

48:00 Antitussives, Expectorants, and Mucolytic Agents 48:08 Antitussives

1. Benzonatate (Tessalon) 100mg capsule 2. Hydrocodone Bitartrate Combinations

a. Hydrocodone Bitartrate/Acetaminophen 7.5 mg/325 mg per 15 ml b. Hydrocodone Bitartrate/Acetaminophen: 5 mg/325 mg, 7.5 mg/325

mg 10 mg/325mg tablets

48:16 Expectorants --none available

48:24 Mucolytic Agents—none available

52:00 Eye, Ear, Nose, and Throat (EENT) Preparations

52:04 Anti-infectives 52:04.04 Antibacterials

1. Bacitracin Ointment—Unit dose and 30 gm tube 2. Bacitracin Ophthalmic Ointment 3.5 gm

3. Ciprofloxaxin 0.3% and Fluocinolone 0.025% (Otovel) Otic Solution 0.25ml vials

4. Neomycin/Polymyxcin B Sulfates/Dexamethasone (Maxitrol) Ophthalmic Drops 5. Neomycin/Polymyxin B Sulfates/Bacitracin (Neosporin) Ophthalmic Ointment 6. Ofloxacin Ophth Drops 5ml bottles 7. Tobramycin (Tobrex) 0.3 % Ophth Oint 3.5 gm

8. Tobramycin/Dexamethasone (TobraDex) Ophthalmic suspension 2.5ml and 5 ml bottles

52:04.92 EENT Anti-infectives, Miscellaneous 1. Silver Nitrate Applicators

52:08 Anti-inflammatory Agents 52:08.08 Corticosteroids for Inhalation

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1. Fluticasone (Flonase) Nasal Spray

52:16 Local Anesthetics (EENT) 1. Cocaine 4% Topical Solution 4 ml vial 2. Lidocaine Viscous (Xylocaine) 2% 20ml u/d

52:24 Mydriatics—none available 52:32 Vasoconstrictors

1. Epinephrine HCL 0.1 % (1:1000) 1 ml ampule 2. Oxymetazoline HCL (Afrin) 0.05 % Nasal Solution 15 ml 3. Phenylephrine HCL (Neo-Synephrine) 0.5 % Nasal Soln 15 ml, 4. Phenylephrine Inj. (Neo-Synephrine HCL) 10 mg/ml 1 ml vial

52:40 Anti Glaucoma Agents—none available

52:92 EENT Drugs--Miscellaneous

1. Artificial Tears Ophthalmic Solution 15 ml 2. Balanced Salt Ophthalmic Solution (BSS) 15ml 3. Chloraseptic (Phenol) Lozenzes 4. Ear Drops (Debrox Earwax Removal) 15ml 5. Mineral Oil/White Petrolatum (Refresh) Ophthalmic Ointment 0.4ml 6. Sodium Potassium Phosphate (Nasal Flo) packets 7. Sodium Chloride Nasal Spray 45ml

56:00 Gastrointestinal Drugs

56:04 Antacids and Adsorbents Antacids

1. Calcium Carbonate 500 mg (Tums) tablet 2. Magnesium Hydroxide (Milk of Magnesia ) 30ml suspension) 3. Mag Hydroxide/Al Hydroxide + Simethicone Susp (Maalox Plus) 30ml Adsorbents 1. Activated Charcoal a. Actidose Suspension 25 gm b. Actidose-Sorbitol Suspension 25 gm

56:08 Antidiarrhea Agents

1. Bismuth Salts a. Bismuth Subsalicylate (Pepto-Bismol) 15 ml suspension

2. Loperamide HCL (Imodium) 2 mg capsule, Solution: 1mg/5ml

56:10 Antiflatulents 1. Simethicone (Mylicon Infant’s Drops) 40 mg/0.6 ml suspension 2. Simethicone (Mylicon) 80 mg chewable tablet

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56:12 Cathartics and Laxatives 1. Diphenylmethane Laxatives

a. Bisacodyl (Dulcolax) 5 mg tablet, 10 mg suppository

2. Hyperosmotic Laxatives-- a. Sodium Phosphate Mono Dibasic (Fleets) Enema 4.5 oz b. Glycerin (Fleet) adult suppository 3 Poly Ethylene Glycol 3350 (Miralax, Golytely) 17 gm packet 4. Psyllium Powder (Konsyl) 3.4 gm packets 5. Saline Laxatives

a. Magnesium Citrate Oral Solution 10 fl oz b. Magnesium Hydroxide (Milk of Magnesia) 30ml

6. Stool Softeners a. Docusate Sodium (Colace) 100 mg capsule, 50 mg/5 ml syrup

56:20 Emetics—none available

56:22 Antiemetics 56:22.08 Antihistamines

1. Meclizine HCL (Antivert) 25 mg tablet 56:22.20 5HT3 Receptor Antagonists

1. Ondansetron (Zofran) Injection: 4 mg/2 ml vial (Zofran ODT) 4 mg orally-disintegrating tablet

56:28 Anti Ulcer Agents and Acid Suppresants 56:28.12 Histamine H2 Antagonists

1 Famotidine (Pepcid) 20 mg tablet, 20 mg/2 ml vial

56:28.28 Prostaglandins—none available

56:28.36 Proton Pump Inhibitors 1. Pantoprazole (Protonix) 40mg tablet

56:32 Prokinetic Agents 1. Metoclopramide HCL (Reglan) 10 mg tablet, Inj : 10mg mg/2 ml vial

68:00 Hormones and Synthetic Substitutes

68:04 Adrenals 1. Betamethasone Acet/Betamethasone Sod Phos (Celestone) Inj 6mg/ml 2. Dexamethasone (Decadron) Inj. 4 mg/ml and 10mgml vial, PO:4mg

tablet 3. Hydrocortisone: (Solu-Cortef) Injection--100 mg vial

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4. Methylprednisolone Acetate (Depo Medrol)-40mg/ml and 80mg/ml vial 5. Methylprednisolone Succinate (Solu Medrol) 1 gram, 40mg and 80mg 6. Prednisone (Deltasone ) 10mg and 20 mg tablet 7. Triamcinolone Acetonide (Kenalog) Injection: 40 mg/ml vial

68:16 Estrogens 1. Conjugated Estrogens (Premarin) Vaginal Cream 30 gm tube

68:20 Antidiabetic Agents

68:20.08 Insulins 1. Insulin (rapid-acting) a. Insulin inj R (regular insulin): Humulin R

2. Insulin (intermediate-acting) a. Isophane insulin susp (NPH): Humulin N

68 :22 Antihypoglycemic Agents

68 :22.12 Glucagon Inj 1mg (1 unit) vial

68 :28 Pituitary 1. Desmopressin (DDADP) Inj 4mcg/ml 1 ml 2. Vasopressin Injection (Pitressin) 20 unit/ml vial

68:36 Thyroid and Antithyroid Agents— 2. Levothyroxine (Synthroid) 50mcg tablet

72:00 Local Anesthetics 1. Bupivacaine HCL (Marcaine HCL) 0.25 %, 0.5 % 10ml, 30ml, 0.75% 10ml 2. Bupivacaine with Epinephrine(Marcaine HCL with Epinephrine) 0.25 % 10 ml and 0.5% with Epi 1:200,000 10ml MPF vial and 30 ml vial 3. Chlorprocaine HCL 2% (Nesacaine)

4. Lidocaine HCL a. (Xylocaine-MPF) : 0.5% 50ml, 1 % 20ml & 30 ml vial b. (Xylocaine) 1 % : 5ml ampul, 20 ml vial, 50 ml vial, c. 2 % 2ml, 10ml, 20 ml vial, d. 4 % 5 ml ampule –topical solution c. Lidocaine HCL with Epineprhine 1%: 20ml and 30ml, and 2% 20ml d. Lidocaine (Lidoderm) 5 % patch e. Lidocaine (Xylocaine) 2 % topical jelly 30 ml tube

5. Ropivacaine (Naropin) Inj—0.2% 10ml, 100ml bottle, 0.5% 20ml vial 6. RECK (Ropivacaine+Epinephrine+Clonidine+Ketorolac) Solution 50ml

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7. Tetracaine 0.5% Ophth Drops 5 ml

76:00 Oxytocics 1. Oxytocin (Pitocin) 10 units/ml 1ml vial

80:00 Serums, Toxoids, and Vaccines 80:04 Serums

1. Antivenin (Crotalidae) Polyvalent Immune Fab (Crofab) vial—not available

2. Digoxin Immune Fab (DigiBind) 38 mg vial—not available

80:08 Toxoids 1. Tetanus and Diphtheria Toxoid

80:12 Vaccines 1. Influenza Virus Vaccine (seasonal availability) (refrigerate)

84:00 Skin and Mucous Membrane Agents 84:04 Anti-infectives

84:04.04 Antibacterials 1. Bacitracin Zinc Ointment 0.9gm u/d, 15 gm tube 2. Triple Antibiotic Ointment BacitracinZinc/Neomycin/Polymyxin B Sulfate (Neosporin) 0.9 g, 14 gm tube 3. Mupirocin (Bactroban) 2 % Ointment 22 gm tube

84:04.06 Antivirals—none available

84:04.08 Antifungals 1. Clotrimazole

a. (Lotrimin) 1% Top Cream 15gm, Vaginal Cream 45 gm 2. Gentian Violet 1% Solution 60ml bottle

84:04.12 Scabicides and Pediculicides—none available

84:04.92 Miscellaneous Local Anti-infectives 1 Chlorhexidine (Hibiclens) Topical Solution 2 Phenol 89% Solution 3 Phenol Spray ( Chloraseptic) 6 oz bottle 4 Povidone-Iodine 10% Ointment 30 gm tube 5 Silver Sulfadiazine (Silvadene) Cream 50 gm tube

84:06 Anti-inflammatory Agents

1. Hydrocortisone a. 1 % Topical Cream 1 oz,

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84:08 Antipruritics and Local Anesthetics 1. Lidocaine-Prilocaine 2.5-2.5% (Emla) Cream 30 gm 2. Phenazopyridine HCL (Pyridium) 100 mg tablet 3. Tetracaine/Benzocaine/Butambe (Cetacaine) Spray

84:24 Basic Oils and Other Solvents 1. Mineral Oil Light 10ml vial (topical) 84:28 Keratolytic Agents 1. Silver Nitrate Sticks

86:00 Smooth Muscle Relaxants

86:12 Genitourinary Smooth Muscle Relaxants 1. Oxybutynin Chloride (Ditropan) 5 mg tablet

88 :00 Vitamins

88 :08 Vitamin B Complex 1. Folic acid 1 mg tablet 2. Thiamine HCL100 mg (Vitamin B1) tablet, 100 mg/ml vial

88.16 Vitamin D Products 1. Calcitriol (Rocaltrol) 0.5mcg capsule

88:24 Vitamin K 1. Phytonadione (AquaMEPHYTON) 10 mg/ml ampule

88 :28 Multivitamin Preparations

1. Therapeutic multivitamin with minerals (Hemocyte Plus) tablet

92 :08 5 Alpha Reductase Inhibitors 2. Finasteride (Proscar) 5 mg tablet

92:12 Antidotes

1. Flumazenil –see 28:92 2. Glucagon---see 68:22.12 3. Methylene Blue 1% 10 ml vial 4. Naloxone (Narcan)—see 28:10 5. Phytonadione---see 88:24

94 :00 Devices 1. Gelatin Sponge Absorbable (Gelfoam) : Size 50, 100 2. Hylan G-F 20 (Synvisc-One)-48 mgsyringe

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96 :00 Pharmaceutical Aids 1. Glycerin Liquid 6 oz bottle