adult drug table
TRANSCRIPT
-
8/15/2019 Adult Drug Table
1/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
Abacavir Oral Solution* Ziagen Solution 300 mg; 600 mg Solution
Oral
2 Times/Day; Daily
Abacavir Tablet* Ziagen 300 mg; 600 mg Tablet
Oral
2 Times/Day; Daily
Abacavir/Lamivudine 600mg/300mg Tablet* Epzicom 1 tab Tablet
Oral
Daily
Abacavir/Lamivudine/Zidovudine
300mg/150mg/300mg Tablet*
Trizivir 1 tab Tablet
Oral
2 Times/Day
Abatacept Injection Orencia 500 mg; 750 mg; 1000 mg; Injection Solution
IV
Every 2 Weeks
Acamprosate Delayed Release Tablet Campral 666 mg Tablet DR
Oral
3 Times/Day
Acarbose Tablet Precose 25 mg; 50 mg; 100 mg Tablet
Oral
3 Times Daily with Meals
Acebutolol Capsule Sectral 200 mg; 400 mg Capsule
Oral
Daily
Acetaminophen Oral Solution 32 mg/mL Tylenol 320mg/10mL; 40mg/1.25mL;
80mg/2.5mL; 120mg/3.75mL;
160mg/5mL; 240mg/7.5mL;
400mg/12.5mL; 480mg/15mL;
650mg/20.3125mL
Solution
Oral
Every 4 Hours PRN; Every 5 Hours
PRN; Every 6 Hours PRN
Acetaminophen Oral Suspension 100 mg/mL Solution
Oral
Every 4 Hours PRN; Every 5 Hours
PRN; Every 6 Hours PRN
Acetaminophen Oral Suspension 32 mg/mL Tylenol; Genapap 320mg/10mL; 640mg/20mL Solution
Oral
Every 4 Hours PRN; Every 5 Hours
PRN; Every 6 Hours PRN
Acetaminophen Rectal Suppository Tylenol; Feverall 80 mg; 120 mg; 325 mg; 650 mg Suppository
Per Rectum
Every 4 Hours PRN; Every 5 Hours
PRN; Every 6 Hours PRN
Acetaminophen Tablet Tylenol; Genapap 325 mg; 500 mg; 650 mg Tablet
Oral
Every 4 Hours PRN; Every 5 Hours
PRN; Every 6 Hours PRN
Adult Master Drug Table
-
8/15/2019 Adult Drug Table
2/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
Acetaminophen/Butalbital 650mg/50mg
Capsule
Phrenilin Forte 1 tab Capsule
Oral
Every 4 Hours PRN
Acetaminophen/Butalbital 325mg/50mg
Tablet
Phrenilin; Sedapap 1 tab; 2 tabs Tablet
Oral
Every 4 Hours PRN
Acetaminophen/Butalbital 300mg/50mg
Tablet
Phrenilin; Sedapap 1 tab; 2 tabs Tablet
Oral
Every 4 Hours PRN
Acetaminophen/Butalbital/Caffeine
325mg/50mg/40mg Tablet
Esgic; Esgic Plus;
Fioricet; Repan
1 tab; 2 tabs Tablet
Oral
Every 4 Hours PRN
Acetaminophen/Butalbital/Caffeine
500mg/50mg/40mg Tablet
Esgic; Esgic Plus;
Fioricet; Repan
1 tab Tablet
Oral
Every 4 Hours PRN
Acetaminophen/Butalbital/Caffeine/Codeine
325mg/50mg/40mg/30mg Capsule
Fioricet with Codeine 1 cap; 2 caps Capsule
Oral
Every 4 Hours PRN
Acetaminophen/Codeine 325mg/15mgTablet
1 tab; 2 tabs TabletOral
Every 4 Hours PRN
Acetaminophen/Codeine 325mg/30mg
Tablet
Tylenol with Codeine #3 1 tab; 2 tabs Tablet
Oral
Every 4 Hours PRN
Acetaminophen/Codeine 325mg/60mg
Tablet
Tylenol with Codeine #4 1 tab Tablet
Oral
Every 4 Hours PRN
Acetaminophen/Codeine 120mg-12mg/5mL
Oral Solution
15 mL Solution
Oral
Every 4 Hours PRN
Acetaminophen/Codeine 120mg-12mg/5mL
Oral Suspension
15 mL Suspension
Oral
Every 4 Hours PRN
Acetaminophen/Hydrocodone 10mg/300mg
Tablet
Xodol 10/300 1 tab Tablet
Oral
Every 4 Hours PRN; Every 5 Hours
PRN; Every 6 Hours PRN
Acetaminophen/Hydrocodone 10mg/325mg
Tablet
Norco 10/325 1 tab Tablet
Oral
Every 4 Hours PRN; Every 5 Hours
PRN; Every 6 Hours PRN
Acetaminophen/Hydrocodone 5mg/300mg
Tablet
Xodol 5/300 1 tab; 2 tabs Tablet
Oral
Every 4 Hours PRN; Every 5 Hours
PRN; Every 6 Hours PRN
Acetaminophen/Hydrocodone 5mg/325mg
Tablet
Norco 5/325 1 tab; 2 tabs Tablet
Oral
Every 4 Hours PRN; Every 5 Hours
PRN; Every 6 Hours PRN
-
8/15/2019 Adult Drug Table
3/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
Acetaminophen/Hydrocodone 7.5mg/300mg
Tablet
Xodol 7.5/300 1 tab Tablet
Oral
Every 4 Hours PRN; Every 5 Hours
PRN; Every 6 Hours PRN
Acetaminophen/Hydrocodone 7.5mg/325mg
Tablet
Norco 7.5/325 1 tab Tablet
Oral
Every 4 Hours PRN; Every 5 Hours
PRN; Every 6 Hours PRNAcetaminophen/Isometheptene
Mucate/Dichloralphenazone
325mg/100mg/65mg Capsule
Midrin; Duradrin;
Migratine; Migrazone;
Migrin-A
1 cap Capsule
Oral
Every 4 Hours PRN; Every 5 Hours
PRN; Every 6 Hours PRN
Acetaminophen/Oxycodone 10mg/300mg
Tablet
Primlev 10/300 1 tab Tablet
Oral
Every 4 Hours PRN; Every 5 Hours
PRN; Every 6 Hours PRN
Acetaminophen/Oxycodone 10mg/325mg
Tablet
Percocet 10/325;
Endocet 10/325
1 tab Tablet
Oral
Every 4 Hours PRN; Every 5 Hours
PRN; Every 6 Hours PRN
Acetaminophen/Oxycodone 2.5mg/300mg
Tablet
Primlev 2.5/300 1 tab; 2 tabs Tablet
Oral
Every 4 Hours PRN; Every 5 Hours
PRN; Every 6 Hours PRN
Acetaminophen/Oxycodone 2.5mg/325mgTablet
Percocet 2.5/325 1 tab; 2 tabs TabletOral
Every 4 Hours PRN; Every 5 HoursPRN; Every 6 Hours PRN
Acetaminophen/Oxycodone 5mg/300mg
Tablet
Primlev 5/300 1 tab; 2 tabs Tablet
Oral
Every 4 Hours PRN; Every 5 Hours
PRN; Every 6 Hours PRN
Acetaminophen/Oxycodone 5mg/325mg
Tablet
Percocet 5/325; Roxicet
5/325; Endocet 5/325
1 tab; 2 tabs Tablet
Oral
Every 4 Hours PRN; Every 5 Hours
PRN; Every 6 Hours PRN
Acetaminophen/Oxycodone 7.5mg/300mg
Tablet
Primlev 7.5/300 1 tab Tablet
Oral
Every 4 Hours PRN; Every 5 Hours
PRN; Every 6 Hours PRN
Acetaminophen/Oxycodone 7.5mg/325mg
Tablet
Percocet 7.5/325;
Endocet 7.5/325
1 tab Tablet
Oral
Every 4 Hours PRN; Every 5 Hours
PRN; Every 6 Hours PRN
Acetaminophen/Oxycodone 5mg-
325mg/5mL Oral Solution
Roxicet Oral Solution 5 mL; 10 mL Solution
Oral
Every 4 Hours PRN; Every 5 Hours
PRN; Every 6 Hours PRN
AcetaZOLAMIDE Extended Release Capsule Diamox Sequels 500 mg Capsule ER
Oral
2 Times/Day
AcetaZOLAMIDE Injection 500 mg Injection Solution
IV; IV Piggyback
Daily
AcetaZOLAMIDE Suspension
(COMPOUNDED)
50 mg/mL Suspension
Oral
Daily
-
8/15/2019 Adult Drug Table
4/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
AcetaZOLAMIDE Tablet 125 mg; 250 mg Tablet
Oral
Daily
Acetic Acid/Hydrocortisone 2%/1% Otic
Solution
Acetasol HC 3 drops; 4 drops; 5 drops Otic Solution
Left Ear; Right Ear; EachEar
3 Times/Day; 4 Times/Day
Acetohydroxamic Acid Tablet Lithostat 250 mg Tablet
Oral
3 Times/Day; 4 Times/Day
Acetylcysteine Injection (Antidote) Acetadote 50 mg/kg; 100 mg/kg; 150
mg/kg
Injection Solution
IV Infusion
Continuous
Acetylcysteine Nebulizer 10% Solution Mucomyst 10 mL Inhalation Solution
Inhaled Nebulizer
Every 6 Hours; Every 7 Hours;
Every 8 Hours
Acetylcysteine Nebulizer 20% Solution Mucomyst 10 mL Inhalation Solution
Inhaled Nebulizer
Every 6 Hours; Every 7 Hours;
Every 8 Hours
Acetylcysteine 10% Solution Acetadote; Mucomyst;Mucosil; N-
Acetylcysteine
mL SolutionOral; Nasogastric; Rectal
2 Times/Day; Every 4 Hours; Every5 Hours; Every 6 Hours PRN; Every
4 Hours PRN; Every 5 Hours PRN;
Every 6 Hours PRN
Acetylcysteine 20% Solution Acetadote; Mucomyst;
Mucosil; N-
Acetylcysteine
mL Solution
Oral; Nasogastric; Rectal
2 Times/Day; Every 4 Hours; Every
5 Hours; Every 6 Hours PRN; Every
4 Hours PRN; Every 5 Hours PRN;
Every 6 Hours PRN
Acitretin Capsule Soriatane 10 mg; 17.5 mg; 22.5 mg; 25 mg Capsule
Oral
Daily
Activated Charcoal Suspension ActiDose; Actidose-
Aqua
25 grams; 50 grams Suspension
Oral; Nasogastric
Every 4 Hours; Every 5 Hours;
Every 6 Hours
Acyclovir Capsule Zovirax 200 mg Capsule
Oral
Every 4 Hours While Awake for 5
Days
Acyclovir Injection 5 mg/kg; 10 mg/kg Injection Solution
IV Piggyback
Every 8 Hours
-
8/15/2019 Adult Drug Table
5/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
Acyclovir Suspension 40 mg/mL Suspension
Oral
2 Times/Day; 4 Times/Day
Acyclovir Tablet Zovirax 400 mg; 800 mg Tablet
Oral
2 Times/Day; 4 Times/Day
Acyclovir Topical 5% Cream Zovirax Cream Apply Cream
Topical
5 Times/Day
Acyclovir Topical 5% Ointment Zovirax Ointment Apply Ointment
Topical
6 Times/Day
Adalimumab Injection Humira 40mg/0.8mL Injection Solution
Subcutaneous
Every 2 Weeks
Adapalene Topical 0.10% Gel Differin Gel Apply Gel
Topical
Every Bedtime
Adapalene Topical 0.30% Gel Differin Gel Apply Gel
Topical
Every Bedtime
Adefovir Tablet Hepsera 10 mg Tablet
Oral
Daily
Adenosine Injection (Antiarrhythmic) Adenocard 6mg/2mL Injection Solution
IV
One time
Adenosine Injection (Heart perfusion
imaging)
Adenoscan 140mcg/kg/min Injection Solution
IV Infusion
One time
Albumin Injection Albuminar; Buminate;
Flexbumin
25 grams; 50 grams Injection Solution
IV Infusion
Albuterol Extended Release Tablet VoSpire ER 4 mg; 8 mg Tablet ER
Oral
Every 12 Hours
Albuterol HFA Inhaler (90 mcg/actuation) Ventolin HFA; Proventil
HFA; ProAir HFA
1 puff; 2 puffs; 4 puffs; 8 puffs Inhalation Aerosol
Inhaled
Every 4 Hours PRN; Every 5 Hours
PRN; Every 6 Hours PRN
Albuterol Immediate Release Tablet 2 mg; 4 mg Tablet
Oral
Every 6 Hours; Every 8 Hours
Albuterol Nebulizer Solution (1.25mg/3mL) Accuneb 1.25mg/3mL Inhalation Solution
Inhaled Nebulizer
Every 6 Hours PRN; Every 8 Hours
PRN
-
8/15/2019 Adult Drug Table
6/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
Albuterol Nebulizer Solution (1.25mg/6mL) Accuneb 1.25mg/6mL Inhalation Solution
Inhaled Nebulizer
Every 6 Hours PRN; Every 8 Hours
PRN
Albuterol Nebulizer Solution (2.5mg/3mL) Accuneb 2.5mg/3mL Inhalation Solution
Inhaled Nebulizer
Every 6 Hours PRN; Every 8 Hours
PRN
Albuterol Nebulizer Solution (2.5mg/6mL) Accuneb 2.5mg/6mL Inhalation Solution
Inhaled Nebulizer
Every 6 Hours PRN; Every 8 Hours
PRN
Albuterol Nebulizer Solution (0.63mg/3mL) Accuneb 0.63mg/3mL Inhalation Solution
Inhaled Nebulizer
Every 6 Hours PRN; Every 8 Hours
PRN
Albuterol Nebulizer Solution (0.63mg/6mL) Accuneb 0.63mg/6mL Inhalation Solution
Inhaled Nebulizer
Every 6 Hours PRN; Every 8 Hours
PRN
Albuterol Nebulizer Solution (5mg/3mL) Accuneb 5mg/3mL Inhalation Solution
Inhaled Nebulizer
Every 6 Hours PRN; Every 8 Hours
PRN
Albuterol Nebulizer Solution (5mg/6mL) Accuneb 5mg/6mL Inhalation Solution
Inhaled Nebulizer
Every 6 Hours PRN; Every 8 Hours
PRNAlbuterol/Ipratropium 103mcg-
18mcg/actuation Inhalation Aerosol (MDI)
Combivent Inhaler 2 puffs Inhalation Aerosol
Inhaled
4 Times/Day
4 Times/Day PRN
Albuterol/Ipratropium 3mg-0.5mg/3mL
Nebulizer Solution
DuoNeb 3mL Inhalation Solution
Inhaled Nebulizer
4 Times/Day
4 Times/Day PRN
Aldesleukin, IL-2 Injection* Proleukin See Instructions Injection Solution
IV Infusion
Every 8 Hours
Alefacept Injection Amevive 7.5 mg; 15 mg Injection Solution
IV; Intramuscular
Every Week
Alemtuzumab Injection* Campath 3 mg; 10 mg; 30 mg Injection Solution
IV Infusion
Daily
Alendronate Oral Solution, Weekly Once Weekly Fosamax
Solution
70 mg Solution
Oral
1 Time/Week
Alendronate Tablet Fosamax 5 mg; 10 mg Tablet
Oral
Daily
Alendronate Tablet, Weekly Fosamax Once Weekly 35 mg; 70 mg Tablet
Oral
1 Time/Week
-
8/15/2019 Adult Drug Table
7/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
Alfuzosin Extended Release Tablet Uroxatral 10 mg Tablet ER
Oral
Daily
Aliskiren Tablet Tekturna 150 mg; 300 mg Tablet
Oral
Daily
Aliskiren/Hydrochlorothiazide,
150mg/12.5mg HCTZ Tablet
Tekturna HCT 1 tab Tablet
Oral
Daily
Aliskiren/Hydrochlorothiazide, 150mg/25mg
HCTZ Tablet
Tekturna HCT 1 tab Tablet
Oral
Daily
Aliskiren/Hydrochlorothiazide,
300mg/12.5mg HCTZ Tablet
Tekturna HCT 1 tab Tablet
Oral
Daily
Aliskiren/Hydrochlorothiazide, 300mg/25mg
HCTZ Tablet
Tekturna HCT 1 tab Tablet
Oral
Daily
Alitretinoin 0.10% Topical Panretin Apply Gel
Topical
2 Times/Day; 3 Times/Day; 4
Times/DayAllopurinol Injection Aloprim See Instructions Injection Solution
IV Infusion
Daily; Every 6 Hours; Every 8
Hours; Every 12 Hours
Allopurinol Suspension (COMPOUNDED) 20 mg/mL Suspension
Oral
Daily; 2 Times/Day
Allopurinol Tablet Zyloprim 100 mg; 300 mg Tablet
Oral
Daily; 2 Times/Day
Almotriptan Tablet Axert 6.25 mg; 12.5 mg Tablet
Oral
1 Dose May Repeat in 2 Hours if
Needed; 1 Dose PRN
Alosetron Tablet Lotronex 0.5 mg; 1 mg Tablet
Oral
2 Times/Day
Alpha-1-Proteinase Inhibitor (Human)
Injection
Prolastin; Aralast;
Zemaira
See Instructions Injection Solution
IV Infusion
1 Time/Week
Alprazolam Extended Release Tablet Xanax XR 0.5 mg; 1 mg; 2 mg; 3 mg Tablet ER
Oral
Daily
Alprazolam Orally Disintegrating Tablet Niravam 0.25 mg; 0.5 mg; 1 mg; 2 mg Orally Disintegrating
Tablet
Oral
3 Times/Day
-
8/15/2019 Adult Drug Table
8/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
Alprazolam Tablet Xanax 0.25 mg; 0.5 mg; 1 mg; 2 mg Tablet
Oral
3 Times/Day
Alprostadil Urethral Suppository Muse Urethral
Suppository
125 mcg; 250 mcg; 500 mcg;
1000 mcg
Urethral Insert
Transurethral
1 Dose PRN
Alteplase Injection (Catheter patency)* Cathflo Activase 2 mg Injection Solution
Intracatheter
1 Dose May Repeat x 1 in 2 Hours
Alteplase, tPA Injection* Activase 50 mg; 100 mg; 50 mg/kg; 100
mg/kg
Injection Solution
IV Infusion
1 Dose
Altretamine Capsule* Hexalen See Instructions Capsule
Oral
4 Times/Day, After Meals and at
Bedtime
Aluminum Chloride 20% Topical Drysol; Xerac AC;
Hypercare
Apply Topical Solution
Topical
Every Bedtime
Aluminum Hydroxide Oral Suspension Alternagel 600mg/5mL Suspension
Oral
4 Times/Day, Before Meals and at
BedtimeAluminum Hydroxide/Magnesium
Hydroxide/Simethicone 200mg-200mg-
20mg/5mL Oral Suspension
Maalox; Mylanta 10 mL; 15 mL; 20 mL Suspension
Oral
4 Times/Day PRN
Alvimopan Capsule Entereg 12 mg Capsule
Oral
2 Times/Day
Amantadine Capsule Symmetrel 100 mg; 200 mg Capsule
Oral
Daily; 2 Times/Day
Amantadine Syrup 10 mg/mL Syrup
Oral
Daily; 2 Times/Day
Ambrisentan Tablet Letairis 5 mg; 10 mg Tablet
Oral
Daily
Amifostine Injection Ethyol See instructions Injection Solution
IV
Daily
Amikacin Injection Amikin See instructions Injection Solution
IV Piggyback
Daily; Every 8 Hours; Every 12
Hours
Amiloride Tablet Midamor 5 mg; 10 mg; 20 mg Tablet
Oral
Daily
-
8/15/2019 Adult Drug Table
9/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
Aminocaproic Acid Injection Amicar IV See instructions Injection Solution
IV Infusion
Continuous
Aminocaproic Acid Tablet Amicar 500 mg; 1000 mg Capsule
Oral
Every 1 Hour
Aminophylline Injection 0.5 mg/kg/hr Injection Solution
IV Infusion
Continuous
Aminophylline Tablet 100 mg; 150 mg; 200 mg Tablet
Oral
3 Times/Day; 4 Times/Day
Amiodarone Injection 150 mg; 300 mg Injection Solution
IV; IV Infusion
1 Dose
Amiodarone Suspension (COMPOUNDED) 5 mg/mL Suspension
Oral
Daily; 2 Times/Day
Amiodarone Tablet* Cordarone; Pacerone 200 mg; 400 mg; 600 mg Tablet
Oral
Daily; 2 Times/Day
Amitriptyline Tablet Elavil 10 mg; 15 mg; 50 mg; 75 mg;
100 mg; 150 mg; 200 mg
Tablet
Oral
Every Bedtime
Amlodipine Suspension (COMPOUNDED) 1 mg/mL Suspension
Oral
Daily
Amlodipine Tablet Norvasc 2.5 mg; 5 mg; 10 mg Tablet
Oral
Daily
Amlodipine/Benazepril 2.5mg/10mg Capsule Lotrel 1 cap Capsule
Oral
Daily
Amlodipine/Benazepril 5mg/10mg Capsule Lotrel 1 cap Capsule
Oral
Daily
Amlodipine/Benazepril 5mg/20mg Capsule Lotrel 1 cap Capsule
Oral
Daily
Amlodipine/Benazepril 5mg/40mg Capsule Lotrel 1 cap Capsule
Oral
Daily
Amlodipine/Benazepril 10mg/20mg Capsule Lotrel 1 cap Capsule
Oral
Daily
Amlodipine/Benazepril 10mg/40mg Capsule Lotrel 1 cap Capsule
Oral
Daily
-
8/15/2019 Adult Drug Table
10/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
Amlodipine/Valsartan/Hydrochlorothiazide,
5mg/160mg/12.5mg HCTZ Tablet
Exforge HCT 1 tab Tablet
Oral
Daily
Amlodipine/Valsartan/Hydrochlorothiazide,
5mg/160mg/25mg HCTZ Tablet
Exforge HCT 1 tab Tablet
Oral
Daily
Amlodipine/Valsartan/Hydrochlorothiazide,
10mg/160mg/12.5mg HCTZ Tablet
Exforge HCT 1 tab Tablet
Oral
Daily
Amlodipine/Valsartan/Hydrochlorothiazide,
10mg/160mg/25mg HCTZ Tablet
Exforge HCT 1 tab Tablet
Oral
Daily
Amlodipine/Valsartan/Hydrochlorothiazide,
10mg/320mg/12.5mg HCTZ Tablet
Exforge HCT 1 tab Tablet
Oral
Daily
Ammonia Spirit 0.33 mL Inhalation Solution
Inhalation
1 Dose PRN
Ammonium Lactate 12% Topical Lotion AmLactin; Lac-Hydrin Apply Topical Lotion
Topical
2 Times/Day
Amoxapine Tablet Asendin 25 mg; 50 mg; 100 mg; 150 mg Tablet
Oral
3 Times/Day; 2 Times/Day
Amoxicillin Capsule 250 mg; 500 mg Capsule
Oral
Every 12 Hours; Every 8 Hours;
Every 6 Hours
Amoxicillin Extended Release Tablet Moxatag 775 mg Tablet ER
Oral
Daily
Amoxicillin Tablet 250 mg; 500 mg; 875 mg Tablet
Oral
Every 8 Hours; Every 12 Hours
Amoxicillin/Clavulanate potassium Chewable
Tablet
Augmentin Chewable 125 mg; 200 mg; 250 mg; 400
mg
Tablet Chew
Oral
Every 8 Hours; Every 12 Hours
Amoxicillin/Clavulanate potassium
1000mg/62.5mg Extended Release Tablet
Augmentin XR 2 tabs Tablet ER
Oral
Every 12 Hours
Amoxicillin/Clavulanate potassium Oral
Suspension
Augmentin Suspension;
Augmentin ES
Suspension
20 mg/kg; 45 mg/kg Suspension
Oral
Every 12 Hours
-
8/15/2019 Adult Drug Table
11/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
Amoxicillin/Clavulanate potassium Tablet Augmentin 250 mg; 500 mg; 875 mg Tablet
Oral
Every 8 Hours; Every 12 Hours
Amphetamine/Dextroamphetamine
Extended Release Capsule
Adderall XR 5 mg; 10 mg; 15 mg; 20 mg; 25
mg; 30 mg
Tablet ER
Oral
Daily Upon Awakening
Amphetamine/Dextroamphetamine Tablet Adderall 5 mg; 7.5 mg; 10 mg; 12.5 mg;
15 mg; 20 mg; 30 mg
Tablet
Oral
Daily; 2 Times/Day; 3 Times/Day
Amphotericin B Injection 0.5 mg/kg; 0.7 mg/kg; 1 mg/kg;
1.5 mg/kg
Injection Solution
IV Piggyback
Every 24 Hours
Amphotericin B LIPOSOMAL Injection* Ambisome 3 mg/kg; 4 mg/kg; 5 mg/kg Injection Suspension
IV Piggyback
Every 24 Hours
Amphotericin B PHOSPHOLIPID Complex
Suspension Injection
Abelcet 5 mg/kg Injection Suspension
IV Piggyback
Every 24 Hours
Ampicillin Capsule 250 mg; 500 mg CapsuleOral
Every 6 Hours
Ampicillin Injection 500 mg; 1000 mg; 2000 mg Injection Solution
IV Piggyback;
Intramuscular
Every 6 Hours
Ampicillin 125mg/5mL Oral Suspension 5 mL; 10 mL Suspension
Oral
Every 6 Hours
Ampicillin 250mg/5mL Oral Suspension 5 mL; 10 mL Suspension
Oral
Every 6 Hours
Ampicillin/Sulbactam Injection Unasyn 1.5 grams; 3 grams Injection Solution
IV Piggyback;
Intramuscular
Every 6 Hours
Amyl Nitrite 0.3 mL/ampule Inhalation
Vapour Solution
1 ampule Inhalation VAP
Inhaled
One time
Anagrelide Injection Agrylin 0.5 mg; 1 mg Capsule
Oral
4 Times/Day; 2 Times/Day
Anakinra Injection Kineret 100 mg Injection Solution
Subcutaneous
Daily
-
8/15/2019 Adult Drug Table
12/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
Anastrozole Tablet Arimidex 1 mg Tablet
Oral
Daily
Anidulafungin Injection Eraxis 50 mg; 100 mg; 200 mg Injection Solution
IV Piggyback
Daily
Anthralin 0.50% Topical Cream Dithro-Scalp; Dithro-
crème HP; Psoriatec
Apply Cream
Topical
Daily
Anthralin 1% Topical Cream Dithro-Scalp; Dithro-
crème HP; Psoriatec
Apply Cream
Topical
Daily
Antihemophilic Factor, Factor VIII
Recombinant
Recombinate 10 units/kg; 15 units/kg; 20
units/kg; 30 units/kg
Injection Solution
IV Infusion
Continuous
Antipyrine/Benzocaine 54mg-14mg/mL Otic
Solution
Aurodex; Aurogard;
Dolotic; Oto Care;
Otalgan
2 drops; 3 drops; 4 drops Otic Solution
Left Ear; Right Ear; Each
Ear
3 Times/Day; 4 Times/Day
3 Times/Day PRN; 4 Times/Day
PRN
Antithrombin III, Human Thrombate III 500 units/hr; 1000 units/hr Injection SolutionIV Infusion
One time; Continuous
Antithrombin III, Recombinant Atryn 1750 units/hr Injection Solution
IV Infusion
One time; Every AM; Continuous
Antithymocyte Globulin (Equine) ATGAM 10 mg/kg; 15 mg/kg Injection Solution
IV
Daily
Antithymocyte Globulin (Rabbit) Thymoglobulin 1.5 mg/kg Injection Solution
IV
Daily
Apixaban Tablet* 2.5 mg; 5 mg; 10 mg Tablet
Oral
Twice daily
Apraclonidine Ophthalmic 0.50% Solution Iopidine 1 drop; 2 drops Opthalmicalmic Solution
Left Eye; Right Eye; Each
Eye
3 Times/Day
Apraclonidine Ophthalmic 1% Solution Iopidine 1 drop; 2 drops Opthalmicalmic Solution
Left Eye; Right Eye; Each
Eye
3 Times/Day
-
8/15/2019 Adult Drug Table
13/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
Aprepitant (Fosaprepitant) Injection Emend Injection 115 mg Injection Solution
IV Piggyback
1 Dose
1 Dose PRN
Aprepitant Capsule Emend 80 mg; 125 mg Capsule
Oral
1 Dose; Every AM
1 Dose PRN
Aprepitant Suspension (COMPOUNDED) 20 mg/mL Suspension
Oral
1 Dose; Every AM
1 Dose PRN
Arformoterol 15mcg/2mL Nebulizer Solution Brovana 2 mL Inhalation Solution
Inhaled
Every 12 Hours
Argatroban Injection* 2 mcg/kg/min Injection Solution
IV Infusion
Continuous
Aripiprazole Injection Abilify Injection 5.25 mg; 9.75 mg Injection Solution
Intramuscular
1 Dose
1 Dose PRN
Aripiprazole Oral Solution Abilify Solution 2 mg; 5 mg; 10 mg; 15 mg; 20
mg; 25 mg
Solution
Oral
Daily
Aripiprazole Orally Disintegrating Tablet Abilify Discmelt 10 mg; 15 mg; 30 mg Orally Disintegrating
Tablet
Oral
Daily
Aripiprazole Tablet Abilify 2 mg; 5 mg; 10 mg; 15 mg; 20
mg; 30 mg
Tablet
Oral
Daily
Armodafinil Tablet Nuvigil 150 mg; 250 mg Tablet
Oral
Daily
Artemether/Lumefantrine 20mg/120mg
Tablet
Coartem 4 tabs Tablet
Oral
2 Times/Day
Artificial Tears (Carboxymethylcellulose
0.5%) Ophthalmic Solution
Refresh; Refresh Plus 1 drop; 2 drops Opthalmicalmic Solution
Left Eye; Right Eye; Each
Eye
2 Times/Day; 4 Times/Day
2 Times/Day PRN
Asenapine Sublingual Tablet Saphris 5 mg; 10 mg Tablet Sublingual
Sublingual
2 Times/Day
Aspirin Chewable Tablet Bayer Children's; St.
Joseph Chewable
81 mg Tablet Chew
Oral
Daily
-
8/15/2019 Adult Drug Table
14/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
Aspirin Enteric Coated Tablet Bayer EC; Halfprin; St.
Joseph Adult Low Dose
Safety Coated
81 mg; 162 mg; 325 mg Tablet EC
Oral
Daily; Every 6 Hours
Every 6 Hours PRN
Aspirin Extended Release Tablet Zorprin 800 mg Tablet ER
Oral
Daily; Every 6 Hours
Every 6 Hours PRN
Aspirin Tablet Bayer; Bufferin 81 mg; 325 mg; 500 mg; 650 mg Tablet
Oral
Daily; Every 6 Hours
Every 6 Hours PRN
Aspirin/Butalbital/Caffeine
325mg/50mg/40mg Capsule
Fiorinal 1 cap; 2 caps Capsule
Oral
Every 4 Hours PRN
Aspirin/Butalbital/Caffeine/Codeine
325mg/50mg/40mg/30mg Capsule
Fiorinal with Codeine 1 cap; 2 caps Capsule
Oral
Every 4 Hours PRN
Aspirin/Caffeine/Dihydrocodeine
356.4mg/30mg/16mg Capsule
Synalgos-DC 2 caps Capsule
Oral
Every 4 Hours PRN
Atazanavir Capsule Reyataz 100 mg; 150 mg; 200 mg; 300mg; 400 mg
CapsuleOral
Daily
Atenolol Suspension (COMPOUNDED) 2 mg/mL Suspension
Oral
Daily
Atenolol Tablet Tenormin 25 mg; 50 mg; 100 mg Tablet
Oral
Daily
Atenolol/Chlorthalidone 50mg/25mg Tablet Tenoretic 1 tab Tablet
Oral
Daily
Atenolol/Chlorthalidone 100mg/25mg Tablet Tenoretic 1 tab Tablet
Oral
Daily
Atomoxetine Capsule Strattera 10 mg; 18 mg; 25 mg; 40 mg; 60
mg; 80 mg; 100 mg
Capsule
Oral
Daily; 2 Times/Day
Atorvastatin Tablet Lipitor 10 mg; 20 mg; 40 mg; 80 mg Tablet
Oral
Daily
Atovaquone Oral Suspension Mepron 750 mg; 1500 mg Suspension
Oral
2 Times/Day; Daily
Atovaquone/Proguanil 62.5mg/25mg
Pediatric Tablet
Malarone Pediatric 1 tab, 2 tabs, 3 tabs, 4 tabs Tablet
Oral
Daily
-
8/15/2019 Adult Drug Table
15/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
Atovaquone/Proguanil 250mg/100mg Tablet Malarone 1 tab, 2 tabs, 3 tabs, 4 tabs Tablet
Oral
Daily
Atracurium Injection* 0.1 mg/kg; 0.4-0.5 mg/kg Injection Solution
IV
1 Dose PRN
Atropine Sulfate Injection 0.5 mg; 1 mg Injection Solution
IV
1 Dose
Atropine Sulfate 1 % Ophthalmic Solution Atropine Care; Isopto
Atropine
1 drop; 2 drops Opthalmicalmic Solution
Left Eye; Right Eye; Each
Eye
1 Dose; 2 Times/Day; 3 Times/Day
Atropine Sulfate Tablet Atreza; Sal Tropine 0.4 mg Tablet
Oral
Every 6 Hours
Auranofin Capsule Ridaura 3 mg; 6 mg Capsule
Oral
Daily; 2 Times/Day
Azacitidine Injection* Vidaza See instructions Injection Suspension
Subcutaneous
Daily
Azathioprine Injection* Imuran Injection 1-5 mg/kg Injection Solution
IV
Daily
Azathioprine Suspension (COMPOUNDED) 50 mg/mL Suspension
Oral
Daily
Azathioprine Tablet Imuran; Azasan 50 mg; 75 mg; 100 mg Tablet
Oral
Daily
Azelaic Acid 20% Topical Cream Azelex Cream Apply Cream
Topical
2 Times/Day
Azelaic Acid 15% Topical Gel Finacea; Finacea Plus Apply Gel
Topical
2 Times/Day
Azelastine 137mcg/spray Nasal Spray Astelin Nasal Spray;
Astepro Nasal Spray
1 spray; 2 sprays Nasal
Per Naris
2 Times/Day
2 Times/Day PRN
Azelastine 205.5mcg/spray Nasal Spray Astelin Nasal Spray;
Astepro Nasal Spray
1 spray; 2 sprays Nasal
Per Naris
2 Times/Day
2 Times/Day PRN
-
8/15/2019 Adult Drug Table
16/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
Azelastine Ophthalmic 0.05% Solution Optivar 1 drop Opthalmicalmic Solution
Left Eye; Right Eye; Each
Eye
2 Times/Day
2 Times/Day PRN
Azithromycin Injection Azactam 500 mg Injection Solution
IV Piggyback
Every 24 Hours
Azithromycin Ophthalmic 1% Solution Azasite 1 drop Opthalmicalmic Solution
Left Eye; Right Eye; Each
Eye
2 Times/Day; Daily
Azithromycin Oral Suspension Zithromax Suspension 250 mg; 500 mg; 1000 mg Suspension
Oral
1 Dose; Daily
Azithromycin Oral Suspension, Extended
Release
Zmax Suspension 2 grams Suspension ER
Oral
1 Dose
Azithromycin Tablet Zithromax Tri-pak 250 mg; 500 mg; 600 mg Tablet
Oral
1 Dose; Daily
Azithromycin Tablet (3-dose regimen) Pak Zithromax; Zithromax Z-
pak
500 mg Tablet
Oral
Daily
Aztreonam Injection Azactam 30 mg; 50 mg; 500 mg; 1000 mg;
2000 mg
Injection Solution
IV Piggyback
Every 6 Hours; Every 8 Hours;
Every 12 Hours
Bacitracin Injection BaciiM 10,000 units; 25,000 units Injection Solution
Intramuscular
Every 6 Hours
Bacitracin 500 units/gram Ophthalmic
Ointment
Apply Opthalmicalmic
Ointment
Left Eye; Right Eye; Each
Eye
Every 3 Hours; Every 4 Hours
Bacitracin 500 units/gram Topical Ointment Apply Ointment
Topical
2 Times/Day; 3 Times/Day; 4
Times/Day; 2 Times/Day PRN; 3
Times/Day PRN; 4 Times/Day PRN
-
8/15/2019 Adult Drug Table
17/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
Bacitracin/Hydrocortisone/Neomycin/Polym
yxin B 3.5 grams/tube Ophthalmic Ointment
Cortomycin Ophthalmic
Ointment
Apply Opthalmicalmic
Ointment
Left Eye; Right Eye; Each
Eye
Every 3 Hours; Every 4 Hours
Scheduled
Bacitracin/Hydrocortisone/Neomycin/Polym
yxin B 15 grams/tube Topical Ointment
Cortisporin Topical
Ointment
Apply Ointment
Topical
2 Times/Day; 3 Times/Day; 4
Times/Day; 2 Times/Day PRN; 3
Times/Day PRN; 4 Times/Day PRN
Bacitracin/Neomycin/Polymyxin B 3.5
grams/tube Ophthalmic Ointment
Triple Antibiotic
Ophthalmic Ointment;
Neosporin Ophthalmic
Ointment
Apply Opthalmicalmic
Ointment
Left Eye; Right Eye; Each
Eye
Every 3 Hours; Every 4 Hours
Bacitracin/Neomycin/Polymyxin B 28
grams/tube Topical Ointment
Triple Antibiotic
Topical; Neosporin
Topical
Apply Ointment
Topical
2 Times/Day; 3 Times/Day; 4
Times/Day; 2 Times/Day PRN; 3
Times/Day PRN; 4 Times/Day PRN
Bacitracin/Polymyxin B 28 grams/tube
Topical Ointment
Polysporin Topical
Ointment
Apply Ointment
Topical
Daily; 2 Times/Day; 3 Times/Day
Daily PRN; 2 Times/Day PRN; 3
Times/Day PRN
Baclofen Suspension (COMPOUNDED) 10 mg/mL Suspension
Oral
3 Times/Day; 4 Times/Day
Baclofen Tablet 5 mg; 10 mg; 20 mg Tablet
Oral
3 Times/Day; 4 Times/Day
Balsalazide Capsule Colazal 750 mg; 2250 mg Capsule
Oral
3 Times/Day
Basiliximab Injection Simulect 10 mg; 20 mg Injection Solution
IV Piggyback
1 Dose
Becaplermin Topical Gel Regranex Gel See instructions Gel
Topical
Daily
-
8/15/2019 Adult Drug Table
18/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
Beclomethasone 40mcg/actuation Inhalation
Aerosol (MDI)
QVAR 40; QVAR 80 1 puff; 2 puffs; 3 puffs; 4 puffs Inhalation Aerosol
Inhaled
2 Times/Day
Beclomethasone 80mcg/actuation Inhalation
Aerosol (MDI)
QVAR 40; QVAR 80 1 puff; 2 puffs; 3 puffs; 4 puffs Inhalation Aerosol
Inhaled
2 Times/Day
Beclomethasone 42 mcg/spray Nasal Spray Beconase AQ 1 spray; 2 sprays Nasal
Per Naris
2 Times/Day
Belladonna Alkaloids/Phenobarbital
0.0582mg/0.3111mg/0.0195mg/48.6mg
Extended Release Tablet
Donnatal Extentabs 1 tab Tablet ER
Oral
Every 12 Hours; Every 8 Hours
Belladonna Alkaloids/Phenobarbital
0.0194mg/0.1037mg/0.0065mg/16.2mg
Tablet
Donnatal 1 tab; 2 tabs Tablet
Oral
3 Times/Day; 4 Times/Day
Benazepril Tablet Lotensin 5 mg; 10 mg; 20 mg; 40 mg; 80
mg
Tablet
Oral
Daily; 2 Times/Day
Benazepril/Hydrochlorothiazide 5mg/6.25mg
HCTZ Tablet
Lotensin HCT 1 tab; 2 tabs Tablet
Oral
Daily
Benazepril/Hydrochlorothiazide
10mg/12.5mg HCTZ Tablet
Lotensin HCT 1 tab; 2 tabs Tablet
Oral
Daily
Benazepril/Hydrochlorothiazide
20mg/12.5mg HCTZ Tablet
Lotensin HCT 1 tab; 2 tabs Tablet
Oral
Daily
Benazepril/Hydrochlorothiazide 20mg/25mg
HCTZ Tablet
Lotensin HCT 1 tab; 2 tabs Tablet
Oral
Daily
Benzocaine 20% Topical Ointment Boil-Ease Apply Ointment
Topical
Daily; 2 Times/Day
Daily PRN; 2 Times/Day PRNBenzocaine 20% Topical Patch Apply Patch
Topical
Daily PRN
Benzocaine 20% Topical Spray Americaine Spray Apply Topical Spray
Topical
3 Times/Day; 4 Times/Day
3 Times/Day PRN; 4 Times/Day
PRN
Benzonatate Perles Tessalon Perles 100 mg Capsule
Oral
3 Times/Day; 4 Times/Day
3 Times/Day PRN; 4 Times/Day
PRN
-
8/15/2019 Adult Drug Table
19/176
-
8/15/2019 Adult Drug Table
20/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
Benzoyl Peroxide 5% Topical Wash Benzac AC Gel;
Brevoxyl; Triaz
Apply Wash
Topical
Daily; 2 Times/Day; 3 Times/Day;
4 Times/Day
Benzoyl Peroxide 6% Topical Wash Benzac AC Gel;
Brevoxyl; Triaz
Apply Wash
Topical
Daily; 2 Times/Day; 3 Times/Day;
4 Times/Day
Benzoyl Peroxide 8% Topical Wash Benzac AC Gel;
Brevoxyl; Triaz
Apply Wash
Topical
Daily; 2 Times/Day; 3 Times/Day;
4 Times/Day
Benzoyl Peroxide 9% Topical Wash Benzac AC Gel;
Brevoxyl; Triaz
Apply Wash
Topical
Daily; 2 Times/Day; 3 Times/Day;
4 Times/Day
Benzoyl Peroxide 10% Topical Wash Benzac AC Gel;
Brevoxyl; Triaz
Apply Wash
Topical
Daily; 2 Times/Day; 3 Times/Day;
4 Times/Day
Benztropine Injection Cogentin Injection 1 mg; 2 mg Injection Solution
IV; Intramuscular
Daily; 2 Times/Day
Benztropine Tablet 1 mg; 2 mg; 3 mg; 4 mg Tablet
Oral
Daily; Every Bedtime; 2 Times/Day
Benzyl Alcohol 5% Topical Lotion Ulesfia Apply Lotion
Topical
1 Dose Repeat in 7 days
Bepotastine 1.5% Ophthalmic Solution Bepreve 1 drop Opthalmicalmic Solution
Left Eye; Right Eye; Each
Eye
2 Times/Day
2 Times/Day PRN
Beractant Intratracheal Suspension Survanta 10 mg Endotracheal pulmonary
Suspension
Endotracheal
1 Dose May Repeat Every 6 Hours
Besifloxacin 0.6% Ophthalmic Suspension Besivance 1 drop Opthalmicalmic
Suspension
Left Eye; Right Eye; Each
Eye
3 Times/Day
Betamethasone Dipropionate 0.05%
(Augmented) Topical Cream*
Diprolene AF; BetaVal Apply Cream
Topical
Daily; 2 Times/Day; 3 Times/Day
Betamethasone Dipropionate 0.10%
(Augmented) Topical Cream*
Diprolene AF; BetaVal Apply Ointment
Topical
Daily; 2 Times/Day; 3 Times/Day
-
8/15/2019 Adult Drug Table
21/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
Betamethasone 0.12% Foam* Luxig Apply Foam
Topical
Daily; 2 Times/Day
Betamethasone 0.05% Gel* Apply Gel
Topical
Daily; 2 Times/Day
Betamethasone Injection Solution* Celestone; Soluspan 12 mg Injection solution
Intramuscular
Daily; 2 Times/Day
1 Dose PRN
Betamethasone 0.05% Lotion* Diprolene Apply Lotion
Topical
Daily; 2 Times/Day
Betamethasone 0.10% Ointment* Apply Ointment
Topical
Daily; 2 Times/Day
Betamethasone Oral Syrup* Celestone 0.6mg/5mL Syrup
Oral
Daily; 2 Times/Day
Betamethasone Suspension* Celestone; Soluspan 3 mg/mL Suspension
Oral
Daily; 2 Times/Day
Betamethasone Tablet* Celestone See instructions Tablet
Oral
Daily; 2 Times/Day
Betamethasone/Clotrimazole 1%/0.05%
Topical
Lotrisone Apply Cream
Topical
2 Times/Day
Betaxolol 0.05% Ophthalmic Solution 1 drop; 2 drops Opthalmicalmic Solution
Left Eye; Right Eye; Each
Eye
2 Times/Day
Betaxolol 0.25% Ophthalmic Suspension Betoptic S 1 drop Opthalmicalmic Solution
Left Eye; Right Eye; EachEye
2 Times/Day
Betaxolol Tablet Kerlone 10 mg; 20 mg Tablet
Oral
Daily
Bethanechol Suspension (COMPOUNDED) 1 mg/mL Suspension
Oral
3 Times/Day; 4 Times/Day
Bethanechol Tablet Urecholine 5 mg; 10 mg; 25 mg; 50 mg Tablet
Oral
3 Times/Day; 4 Times/Day
-
8/15/2019 Adult Drug Table
22/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
Bevacizumab Injection* Avastin 5 mg/kg; 7.5 mg/kg; 10 mg/kg Injection Solution
IV Piggyback
Every Week; Every 2 Weeks
Bexarotene Capsule* Targretin See instructions Capsule
Oral
Daily with Meal
Bexarotene 1% Topical Gel Targretin Gel Apply Gel
Topical
Every Other Day; Daily; 2
Times/Day; 3 Times/Day; 4
Times/Day
Bicalutamide Tablet Casodex 50 mg Tablet
Oral
Daily
Bimatoprost 0.03% Ophthalmic Solution Lumigan 1 drop Opthalmicalmic Solution
Left Eye; Right Eye; Each
Eye
Daily
Bisacodyl Rectal Suppository Dulcolax Suppository 10 mg SuppositoryPer Rectum 1 Dose1 Dose Daily PRN
Bisacodyl Tablet Dulcolax 5 mg; 10 mg; 15 mg Tablet
Oral
1 Dose
1 Dose Daily PRN
Bismuth Subsalicylate Oral Suspension Kaopectate; Pepto
Bismol
524 mg Suspension
Oral
Every 1 Hour PRN
Bismuth
Subsalicylate/Metronidazole/Tetracycline
Oral Therapy Kit
Helidac Therapy Kit See instructions Kit
Oral
4 Times/Day
Bisoprolol Tablet Zebeta 2.5 mg; 5 mg; 10 mg; 20 mg Tablet
Oral
Daily
Bisoprolol/Hydrochlorothiazide, HCTZ Tablet Ziac 2.5mg/6.25mg; 5mg/6.25mg;
10mg/6.25mg; 20mg/12.5mg
Tablet
Oral
Daily
Bivalirudin Injection* Angiomax 1.75 mg/kg/hr Injection Solution
IV Infusion
Continuous
Bosentan Tablet Tracleer 62.5 mg; 125 mg Tablet
Oral
Daily; 2 Times/Day
-
8/15/2019 Adult Drug Table
23/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
Brimonidine 0.10% Ophthalmic Solution Alphagan P 1 drop Opthalmicalmic Solution
Left Eye; Right Eye; Each
Eye
3 Times/Day
Brimonidine 0.15% Ophthalmic Solution Alphagan P 1 drop Opthalmicalmic Solution
Left Eye; Right Eye; Each
Eye
3 Times/Day
Brimonidine 0.20% Ophthalmic Solution Alphagan P 1 drop Opthalmicalmic Solution
Left Eye; Right Eye; Each
Eye
3 Times/Day
Brinzolamide 1% Ophthalmic Suspension Azopt 1 drop Opthalmicalmic Solution
Left Eye; Right Eye; Each
Eye
3 Times/Day
Bromfenac 0.09% Ophthalmic Solution Xibrom 1 drop Opthalmicalmic Solution
Left Eye; Right Eye; Each
Eye
2 Times/Day
Bromocriptine Capsule Parlodel 5 mg; 10 mg; 20 mg; 30 mg Capsule
Oral
2 Times/Day; 3 Times/Day; Every
Bedtime
Bromocriptine Tablet Parlodel SnapTabs 1.25 mg; 2.5 mg; 5 mg; 7.5 mg;
10 mg
Tablet
Oral
2 Times/Day; 3 Times/Day; Every
BedtimeBromocriptine Tablet (Diabetes Type 2) Cycloset 0.8 mg; 1.6 mg; 2.4 mg; 3.2 mg;
4.8 mg
Tablet
Oral
Daily
Brompheniramine Extended Release Capsule
(24 hour)
Lodrane 24 12 mg; 24 mg Tablet ER
Oral
Daily
Daily PRN
Brompheniramine Extended Release Tablet
(12 hour)
LoHist-12 6 mg Tablet ER
Oral
Every 12 Hours
Every 12 Hours PRN
Budesonide Capsule Entocort EC 6 mg; 9 mg Capsule EC
Oral
Daily
-
8/15/2019 Adult Drug Table
24/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
Budesonide 32mcg/spray Nasal Spray Rhinocort Aqua Nasal
Spray
1 spray; 2 sprays; 3 sprays; 4
sprays
Nasal
Per Naris
Daily
Daily PRN
Budesonide Nebulizer Suspension Pulmicort Respules 0.25 mg; 0.5 mg; 1 mg Inhalation Suspension
Inhaled
Daily; 2 Times/Day
Budesonide 90mcg/actuation Powder for
Inhalation
Pulmicort Flexhaler 1 puff; 2 puffs; 3 puffs; 4 puffs Inhalation Powder
Inhaled
2 Times/Day
Budesonide 180mcg/actuation Powder for
Inhalation
Pulmicort Flexhaler 1 puff; 2 puffs; 3 puffs; 4 puffs Inhalation Powder
Inhaled
2 Times/Day
Bumetanide Injection 0.5 mg; 1 mg; 2mg Injection Solution
IV; Intramuscular
Daily; Every 1 Hour; Every 2
Hours; Every 4 Hours
Bumetanide Tablet 0.5 mg; 1 mg; 2 mg Tablet
Oral
Daily
Buprenorphine Injection Buprenex Injection 0.3 mg; 0.6 mg Injection Solution
IV; Intramuscular
Every 6 Hours PRN; Every 7 Hours
PRN; Every 8 Hours PRN
BuPROPion HBr Extended Release Tablet
(depression/mood disorders)
Aplenzin 174 mg; 348 mg; 522 mg Tablet ER
Oral
Daily
BuPROPion HCl Extended Release Tablet
(depression/mood disorders)
Wellbutrin XL 150 mg; 300 mg Tablet ER
Oral
Daily
BuPROPion HCl Sustained Release Tablet
(depression/mood disorders)
Wellbutrin SR 100 mg; 150 mg; 200 mg Tablet SR
Oral
Daily; 2 Times/Day
BuPROPion HCL Tablet (depression/mood
disorders)
Wellbutrin 75 mg; 100 mg Tablet
Oral
2 Times/Day; 3 Times/Day
BuPROPrion Sustained Release Tablet(smoking cessation)
Zyban 150 mg Tablet SROral
Daily; 2 Times/Day
Burow's Solution, modified 0.14%
(Aluminum Acetate in water) Topical
Domeboro Apply Topical Solution
Topical
2 Times/Day; 3 Times/Day; 4
Times/Day
2 Times/Day PRN; 3 Times/Day
PRN; 4 Times/Day PRN
BusPIRone Tablet Buspar 5 mg; 7.5 mg; 10 mg; 15 mg; 30
mg
Tablet
Oral
2 Times/Day; 3 Times/Day
-
8/15/2019 Adult Drug Table
25/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
Busulfan Suspension (COMPOUNDED) 2 mg/mL Suspension
Oral
Daily
Busulfan Tablet* Myleran 2 mg; 4 mg; 6 mg; 8 mg; 10 mg Tablet
Oral
Daily
Butoconazole 2% Vaginal Cream Gynazole-1 1 applicatorful Vaginalinal CreamVaginal
1 Dose; Every Bedtime
Butorphanol Injection Stadol Injection 0.5 mg; 1 mg; 2 mg; 4 mg Injection Solution
IV; Intramuscular
Every 3 Hours PRN; Every 4 Hours
PRN;
Every 5 Hours PRN; Every 6 Hours
Butorphanol 1mg/actuation Nasal Spray 1 spray Nasal
One Naris
1 Dose May Repeat in 1 Hour in
Other
Nostril if Needed
Every 4 Hours PRN
Cabergoline Tablet 0.25 mg; 0.5 mg; 1 mg Tablet
Oral
2 Times/Week
Cadexomer 0.90% Iodine Topical Gel Iodosorb Gel Apply Gel
Topical
PRN
Caffeine Citrate Injection Cafcit Injection 5 mg/kg Injection Solution
IV Infusion
Daily
Caffeine Citrate Oral Solution Cafcit Oral Solution 5 mg/kg Solution
Oral
Daily
Calamine/Pramoxine 8%/1% Topical Lotion Caladryl; Calahist Apply Lotion
Topical
3 Times/Day; 4 Times/Day
3 Times/Day PRN; 4 Times/DayPRN
Calcipotriene 0.01% Scalp Solution Dovonex Scalp Solution Apply Topical Solution
Topical
2 Times/Day
Calcipotriene 0.01% Topical Cream Dovonex Cream Apply Cream
Topical
2 Times/Day
Calcitonin Salmon Injection Miacalcin Injection 100 units Injection Solution
Intramuscular;
Subcutaneous
Daily; Every Other Day; 3
Times/Week
-
8/15/2019 Adult Drug Table
26/176
-
8/15/2019 Adult Drug Table
27/176
-
8/15/2019 Adult Drug Table
28/176
-
8/15/2019 Adult Drug Table
29/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
Carteolol 1% Ophthalmic Solution 1 drop Opthalmicalmic Solution
Left Eye; Right Eye; Each
Eye
2 Times/Day
Carvedilol Extended Release Capsule Coreg CR 10 mg; 20 mg; 40 mg; 80 mg Capsule EROral
Daily
Carvedilol Suspension (COMPOUNDED) 0.1 mg/mL; 1.67 mg/mL Suspension
Oral
2 Times/Day
Carvedilol Tablet Coreg 3.125 mg; 6.25 mg; 12.5 mg; 25
mg
Tablet
Oral
2 Times/Day
Caspofungin Injection Cancidas 50 mg; 70 mg Injection Solution
IV Piggyback
1 Dose; Every 24 Hours
Cefaclor Capsule 250 mg; 500 mg Capsule
Oral
Every 8 Hours; Every 12 Hours
Cefaclor Extended Release Tablet 375 mg; 500 mg Tablet ER
Oral
Every 12 Hours
Cefaclor Oral Suspension 125 mg; 187 mg; 250 mg; 375
mg; 500 mg
Suspension
Oral
Every 8 Hours; Every 12 Hours
Cefadroxil Capsule 500 mg Capsule
Oral
Every 12 Hours
Cefadroxil Oral Suspension 250 mg; 500 mg Suspension
Oral
Every 12 Hours
Cefadroxil Tablet 1 gram Tablet
Oral
Every 12 Hours
Cefazolin Injection 25 mg; 50 mg; 500 mg; 1000
mg; 2000 mg; 25 mg/kg/dose;
50 mg/kg/dose; 500
mg/kg/dose; 1000 mg/kg/dose;
2000 mg/kg/dose
Injection Solution
IV Piggyback;
Intramuscular
1 Dose; Every 8 Hours; Every 12
Hours; Every 6 Hours
Cefdinir Capsule Omnicef 300 mg Capsule
Oral
Every 12 Hours
-
8/15/2019 Adult Drug Table
30/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
Cefdinir Oral Suspension 14 mg/kg; 125 mg; 250 mg; 300
mg
Suspension
Oral
Every 24 Hours; Every 12 Hours
Cefepime Injection Maxipime 50 mg; 500 mg; 1000 mg; 2000
mg; 50 mg/kg/dose; 500
mg/kg/dose; 1000 mg/kg/dose;2000 mg/kg/dose
Injection Solution
IV Piggyback;
Intramuscular
Every 24 Hours; Every 12 Hours
Cefixime Oral Suspension Suprax 100 mg; 200 mg; 400 mg Suspension
Oral
1 Dose; Every 24 Hours; Every 12
Hours
Cefixime Tablet Suprax 200 mg; 400 mg Tablet
Oral
Every 24 Hours; Every 12 Hours
Cefotaxime Injection Claforan 50 mg; 1000 mg; 2000 mg Injection Solution
IV Piggyback;
Intramuscular
1 Dose; Every 8 Hours; Every 12
Hours;
Every 6 Hours; Every 4 Hours
Cefotetan Injection Cefotan 10 mg; 20 mg; 500 mg; 1000 mg;
2000 mg; 10 mg/kg/dose; 20
mg/kg/dose; 500 mg/kg/dose;
1000 mg/kg/dose; 2000
mg/kg/dose
Injection Solution
IV Piggyback;
Intramuscular
1 Dose; Every 12 Hours; Every 24
Hours
Cefoxitin Injection Mefoxin 1000 mg; 2000 mg Injection Solution
IV Piggyback;
Intramuscular
1 Dose; Every 8 Hours; Every 6
Hours; Every 4 Hours
Cefpodoxime Oral Suspension 5 mg/kg; 50 mg; 100 mg; 200 mg SuspensionOral
Every 12 Hours
Cefpodoxime Tablet Vantin 100 mg; 200 mg; 400 mg Tablet
Oral
1 Dose; Every 12 Hours
Cefprozil Oral Suspension 7.5 mg/kg; 15 mg/kg; 125 mg;
250 mg
Suspension
Oral
Every 12 Hours
Cefprozil Tablet Cefzil 250 mg; 500 mg Tablet
Oral
Every 12 Hours
-
8/15/2019 Adult Drug Table
31/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
Ceftaroline Fosamil 200 mg; 300 mg; 400 mg; 600
mg
Injection Solution
IV
Every 12 Hours
Ceftazidime Injection Fortaz; Tazicef 500 mg; 1000 mg; 2000 mg; Injection Solution
IV Piggyback;
Intramuscular
1 Dose; Every 8 Hours; Every 12
Hours
Ceftriaxone Injection Rocephin 25 mg; 50 mg; 100 mg; 250 mg;
500 mg; 1000 mg; 2000 mg
Injection Solution
IV Piggyback;
Intramuscular
1 Dose; Every 24 Hours; Every 12
Hours
Cefuroxime Injection Zinacef 750 mg; 1500 mg Injection Solution
IV Piggyback;
Intramuscular
1 Dose; Every 8 Hours; Every 12
Hours
Cefuroxime Oral Suspension Ceftin Suspension 15 mg/kg Suspension
Oral
Every 12 Hours
Cefuroxime Tablet Ceftin 250 mg; 500 mg; 1000 mg Tablet
Oral
1 Dose; Every 12 Hours; Every 24
Hours
Celecoxib Capsule Celebrex 50 mg; 100 mg; 200 mg; 400 mg Capsule
Oral
2 Times/Day; Daily
Daily PRN; 2 Times/Day PRN
Cephalexin Capsule Keflex 250 mg; 500 mg Capsule
Oral
Every 6 Hours; Every 8 Hours;
Every 12 Hours
Cephalexin Oral Suspension 125 mg; 250 mg; 500 mg Suspension
Oral
Every 6 Hours; Every 8 Hours;
Every 12 Hours
Cephalexin Tablet 250 mg; 500 mg Tablet
Oral
Every 6 Hours; Every 8 Hours;
Every 12 Hours
Cephalexin Tablet for Oral Suspension Panixine 125 mg; 250 mg Suspension TabletOral
Every 6 Hours; Every 8 Hours;Every 12 Hours
Certolizumab pegol Injection Cimzia 200 mg; 400 mg Injection Solution
Subcutaneous
Every 2 Weeks; Every Other
Week; Every Month
Cetirizine Tablet Zyrtec 5 mg; 10 mg Tablet
Oral
Daily
Daily PRN
Cetirizine/Pseudoephedrine 5mg/120mg
Extended Release Tablet
Zyrtec-D 12 Hour Tablet ER
Oral
Every 12 Hours
Every 12 Hours PRN
-
8/15/2019 Adult Drug Table
32/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
Cetrorelix Injection Cetrotide 0.25 mg; 3 mg Injection Solution
Subcutaneous
1 Dose; Daily
Cetuximab Injection* Erbitux 100 mg; 200 mg Injection Solution
IV Infusion
1 Dose; Every Week
Chloral Hydrate Capsule* Somnote 500 mg; 1000 mg CapsuleOral
1 Dose1 Dose Bedtime PRN
Chloral Hydrate Oral Solution* Noctec 500 mg; 1000 mg Solution
Oral
1 Dose
1 Dose Bedtime PRN
Chloral Hydrate Rectal Suppository 500 mg; 1000 mg Suppository
Per Rectum
1 Dose
1 Dose Bedtime PRN
Chlorambucil Tablet* Leukeran 0.11 mg/kg; 0.2 mg/kg; 2 mg; 4
mg
Tablet
Oral
Daily
Chloramphenicol Injection 12.5 mg/kg; 18.75 mg/kg; 25
mg/kg
Injection Solution
IV Piggyback
Every 6 Hours
Chlordiazepoxide Capsule Librium 5 mg; 10 mg; 25 mg; 50 mg; 100
mg
Capsule
Oral
2 Times/Day; 3 Times/Day; 4
Times/Day
Every 4 Hours PRN; Every 6 Hours
PRN
Chlordiazepoxide Injection Librium 50 mg; 100 mg Injection Solution
IV; IM
Once; 2 Times/Day; 3 Times/Day;
4 Times/Day
Every 4 Hours PRN; Every 6 Hours
PRN
Chlordiazepoxide/Clidinium 5mg/2.5mg
Capsule
Librax 1 cap; 2 caps Capsule
Oral
2 Times/Day; 3 Times/Day; 4
Times/DayChlorhexidine Gluconate 0.12% Liquid Peridex; PerioGard 15 mL Solution
Oral
Daily; 2 Times/Day
Chlorhexidine Gluconate Topical Lubricant Surgilube Sterile
Lubricant
Apply Jelly
Topical
PRN
Chloroquine Phosphate Tablet Aralen 250 mg; 500 mg; 1000 mg Tablet
Oral
Daily; Every Week
Chlorothiazide Injection Diuril Injection 500 mg; 1000 mg Injection Solution
IV Piggyback; IV
Daily; 2 Times/Day
-
8/15/2019 Adult Drug Table
33/176
-
8/15/2019 Adult Drug Table
34/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
Choline Magnesium Trisalicylate Tablet 500 mg; 750 mg; 1000 mg Tablet
Oral
2 Times/Day; 3 Times/Day
2 Times/Day PRN; 3 Times/Day
PRN
Cidofovir Injection* Vistide 5 mg/kg Injection Solution
IV Piggyback
Every Week; Every Other Week
Cilostazol Tablet Pletal 50 mg; 100 mg Tablet
Oral
2 Times/Day
Cimetidine Tablet Tagamet; Tagamet HB 200 mg; 300 mg; 400 mg; 800
mg
Tablet
Oral
Every Bedtime; 2 Times/Day; 4
Times/Day; 3 Times/Day Before
Meals
3 Times/Day Before Meals PRN
Cinacalcet Tablet Sensipar 30 mg; 60 mg; 90 mg; 120 mg;
180 mg
Tablet
Oral
Daily
Ciprofloxacin Extended Release Tablet Cipro XR; Proquin XR 500 mg; 1000 mg Tablet ER
Oral
Daily
Ciprofloxacin Injection Cipro IV 200 mg; 400 mg Injection Solution
IV Piggyback
Every 12 Hours; Every 8 Hours
Ciprofloxacin 0.30% Ophthalmic Ointment Ciloxan Ophthalmic
Ointment
Apply Opthalmicalmic
Ointment
Left Eye; Right Eye; Each
Eye
3 Times/Day; 2 Times/Day
Ciprofloxacin 0.30% Ophthalmic Solution Ciloxan Ophthalmic
Solution
1 drop; 2 drops Opthalmicalmic Solution
Left Eye; Right Eye; EachEye
Every 2 Hours while Awake; Every
4 Hours while Awake
Ciprofloxacin Oral Suspension Cipro Suspension 250 mg; 500 mg Suspension
Oral
Every 12 Hours
Ciprofloxacin 0.20% Otic Solution Cetraxal Otic 0.25 mL Otic Solution
Left Ear; Right Ear; Each
Ear
Every 12 Hours
-
8/15/2019 Adult Drug Table
35/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
Ciprofloxacin Tablet Cipro 250 mg; 500 mg; 750 mg Tablet
Oral
Every 12 Hours
Ciprofloxacin/Dexamethasone 0.3%/0.1%
Otic
Ciprodex Otic 4 drops Otic Suspension
Left Ear; Right Ear; Each
Ear
2 Times/Day
Ciprofloxacin/Hydrocortisone 0.2%/1% Otic Cipro HC Otic 3 drops Otic Suspension
Left Ear; Right Ear; Each
Ear
2 Times/Day
Cisapride Tablet* Propulsid 10 mg Tablet
Oral
Before Meals and at Bedtime
Cisplatin Injection* 50 mg/m2; 60 mg/m
2; 75 mg/m
2;
100 mg/m2
Injection Solution
IV
Every 3 Weeks; Every Month
Citalopram Oral Solution 10 mg; 20 mg; 40 mg Solution
Oral
Daily
Citalopram Tablet Celexa 10 mg; 20 mg; 40 mg Tablet
Oral
Daily
Citric Acid/Sodium Citrate
334mg/500mg/5mL Oral Solution
Bicitra 10 mL; 15 mL; 30 mL Solution
Oral
1 Dose; After Meals and at
Bedtime
Cladribine Injection* Leustatin 0.1 mg/kg/day Injection Solution
IV Infusion
Continuous
Clarithromycin Extended Release Tablet Biaxin XL 1000 mg Tablet ER
Oral
Every 24 Hours
Clarithromycin Oral Suspension Biaxin Suspension 7.5 mg/kg; 125 mg; 250 mg; 500
mg
Suspension
Oral
2 Times/Day
Clarithromycin Tablet Biaxin 250 mg; 500 mg Tablet
Oral
2 Times/Day
Clemastine Fumarate Tablet Tavist; Tavist Allergy 1.34 mg Tablet
Oral
Daily; 2 Times/Day
2 Times/Day PRN
Clevidipine Emulsion for Injection Cleviprex 1 mg/hr; 2 mg/hr; 3 mg/hr; 4
mg/hr; 5 mg/hr; 6 mg/hr
Injection Emulsion
IV Infusion
Continuous
Clindamycin Capsule Cleocin 75 mg; 150 mg; 300 mg Capsule
Oral
1 Dose; Every 6 Hours; Every 8
Hours
-
8/15/2019 Adult Drug Table
36/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
Clindamycin Injection Cleocin IV 150 mg; 300 mg; 600 mg; 900
mg
Injection Solution
IV Piggyback
1 Dose; Every 8 Hours; Every 6
Hours; Every 12 Hours
Clindamycin Solution 15 mg/mL Solution
Oral
1 Dose; Every 8 Hours; Every 6
Hours; Every 12 Hours
Clindamycin 1% Topical Cleocin T; EvoClin Apply Topical SolutionTopical
2 Times/Day
Clindamycin 2% Vaginal Cream Cleocin Vaginal Cream;
Clindesse
1 applicatorful Vaginalinal Cream
Vaginal
Daily; Every Bedtime
Clindamycin Vaginal Suppository Cleocin Ovules 100 mg Vaginal Suppository
Vaginal
Every Bedtime
Clobetasol 0.05% Topical Cream Clobex; Cormax; Olux;
Olux-E; Temovate
Apply Cream
Topical
2 Times/Day
Clobetasol 0.05% Topical Lotion Clobex; Cormax; Olux;
Olux-E; Temovate
Apply Lotion
Topical
2 Times/Day
ClomiPHENE Tablet Clomid; Serophene 25 mg; 50 mg; 100 mg Tablet
Oral
Daily
ClomiPRAMINE Capsule Anafranil 25 mg; 50 mg; 75 mg; 100 mg;
150 mg
Tablet
Oral
Daily; 2 Times/Day; Every Bedtime
Clonazepam Orally Disintegrating Tablet 0.125 mg; 0.25 mg; 0.5 mg; 1
mg; 2 mg
Orally Disintegrating
Tablet
Oral
2 Times/Day; 3 Times/Day
1 Dose PRN
Clonazepam Suspension (COMPOUNDED) 0.1 mg/mL SuspensionOral
2 Times/Day; 3 Times/Day1 Dose PRN
Clonazepam Tablet Klonopin 0.5 mg; 1 mg; 2 mg Tablet
Oral
2 Times/Day; 3 Times/Day
1 Dose PRN
Clonidine Suspension (COMPOUNDED) 0.1 mg/mL Suspension
Oral
2 Times/Day; 3 Times/Day
Clonidine Tablet Catapres 0.05 mg; 0.1 mg; 0.2 mg; 0.3 mg Tablet
Oral
2 Times/Day; 3 Times/Day
-
8/15/2019 Adult Drug Table
37/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
Clonidine 0.1mg/24hr Transdermal Patch Catapres TTS 1 patch Patch
Transdermal
Every Week
Clonidine 0.2mg/24hr Transdermal Patch Catapres TTS 1 patch Patch
Transdermal
Every Week
Clonidine 0.3mg/24hr Transdermal Patch Catapres TTS 1 patch PatchTransdermal
Every Week
Clopidogrel Tablet Plavix 75 mg; 150 mg; 300 mg Tablet
Oral
1 Dose; Daily
Clorazepate Extended Release Tablet Tranxene SD; Tranxene
SD Half-strength
11.25 mg; 22.5 mg Tablet ER
Oral
Daily
Daily PRN
Clorazepate Tablet Tranxene T-Tab 3.75 mg; 7.5 mg; 15 mg Tablet
Oral
Every Bedtime; 2 Times/Day; 3
Times/Day
Daily PRN; 2 Times/Day PRN; 3
Times/Day
PRN
Clotrimazole 1% Topical Cruex; Lotrimin AF Apply Cream
Topical
2 Times/Day
Clotrimazole Troche 10 mg Troche
Oral
4 Times/Day; 5 Times/Day
Clotrimazole 1% Vaginal Cream Gyne-Lotrimin 1 applicatorful Vaginalinal Cream
Vaginal
Every Bedtime
Clotrimazole 2% Vaginal Cream Gyne-Lotrimin 1 applicatorful Vaginalinal Cream
Vaginal
Every Bedtime
Clozapine Orally Disintegrating Tablet Fazaclo 12.5 mg; 25 mg; 50 mg; 100 mg;
200 mg; 300 mg
Orally Disintegrating
Tablet
Oral
2 Times/Day; 3 Times/Day
Clozapine Tablet Clozaril 12.5 mg; 25 mg; 50 mg; 100 mg;
200 mg; 300 mg
Tablet
Oral
2 Times/Day; 3 Times/Day
Coal Tar 1% Shampoo Doak Shampoo;
Tarsum; Theraplex-T;
Zetar
Apply Shampoo
Topical
Daily; 2 Times/Week; Every Week
-
8/15/2019 Adult Drug Table
38/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
Coal Tar 2% Shampoo Doak Shampoo;
Tarsum; Theraplex-T;
Zetar
Apply Shampoo
Topical
Daily; 2 Times/Week; Every Week
Coal Tar 3% Shampoo Doak Shampoo;
Tarsum; Theraplex-T;Zetar
Apply Shampoo
Topical
Daily; 2 Times/Week; Every Week
Coal Tar 5% Shampoo Doak Shampoo;
Tarsum; Theraplex-T;
Zetar
Apply Shampoo
Topical
Daily; 2 Times/Week; Every Week
Codeine Phosphate Injection* 15 mg; 30 mg; 60 mg Injection
Intramuscular;
Subcutaneous
Every 4 Hours PRN; Every 5 Hours
PRN; Every 6 Hours PRN
Codeine Sulfate Tablet 15 mg; 30 mg; 60 mg Tablet
Oral
Every 4 Hours PRN; Every 5 Hours
PRN; Every 6 Hours PRN
Codeine/Guaifenesin 10mg-300mg/5mL Oral
Solution
Cheracol with Codeine;
Diabetic Tussin C;
Iophen-C NR; Tussi-
Organidin NR
5 mL; 10 mL Solution
Oral
Every 4 Hours PRN; Every 5 Hours
PRN; Every 6 Hours PRN
Codeine/Guaifenesin 10mg-300mg Tablet Brontex 1 tab Tablet
Oral
Every 4 Hours PRN; Every 5 Hours
PRN; Every 6 Hours PRN
Colchicine Tablet* Colcrys 0.6 mg Tablet
Oral
Daily; 2 Times/Day
Colesevelam Powder for Oral Suspension WelChol Powder forSuspension
1.875 grams; 3.75 grams Suspension PowderOral
Daily; 2 Times/Day
Colesevelam Tablet WelChol 1.875 grams; 3.75 grams; 4.375
grams
Tablet
Oral
Daily; 2 Times/Day
Colestipol (micronized) Tablet Colestid 5 grams Tablet
Oral
Daily; 2 Times/Day
Conivaptan Injection Vaprisol 20 mg; 40 mg Injection Solution
IV Infusion
Every 24 Hours
-
8/15/2019 Adult Drug Table
39/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
Conjugated Estrogens Injection Premarin Injection 25 mg Injection Solution
IV; Intramuscular
1 Dose
Every 6 Hours PRN; Every 7 Hours
PRN; Every 8 Hours PRN; Every 9
Hours PRN; Every 10 Hours PRN;
Every 11 Hours PRN; Every 12Hours PRN
Conjugated Estrogens, Equine Tablet Premarin 0.3 mg; 0.45 mg; 0.625 mg; 0.9
mg; 1.25mg
Tablet
Oral
Daily
Conjugated Estrogens, Equine Vaginal Cream Premarin Vaginal
Cream
0.5 grams Vaginalinal Cream
Vaginal
Every Bedtime; 2 Times/Week
Conjugated Estrogens, Synthetic (A) Tablet Cenestin 0.3 mg; 0.45 mg; 0.625 mg; 0.9
mg; 1.25mg
Tablet
Oral
Daily
Conjugated Estrogens, Synthetic (B) Tablet Enjuvia 0.3 mg; 0.45 mg; 0.625 mg; 0.9
mg; 1.25mg
Tablet
Oral
Daily
Conjugated Estrogens/Medroxyprogesterone
(Phasic) Tablet
Premphase 1 tab Tablet
Oral
Daily
Conjugated Estrogens/Medroxyprogesterone
0.3mg/1.5mg Tablet
PremPro 1 tab Tablet
Oral
Daily
Conjugated Estrogens/Medroxyprogesterone
0.45mg/1.5mg Tablet
PremPro 1 tab Tablet
Oral
Daily
Conjugated Estrogens/Medroxyprogesterone0.625mg/2.5mg Tablet PremPro 1 tab TabletOral Daily
Conjugated Estrogens/Medroxyprogesterone
0.625mg/5mg Tablet
PremPro 1 tab Tablet
Oral
Daily
Corticotropin Repository Injection in Gelatin H.P. Acthar Gel 80 units Injection Gel
Subcutaneous;
Intramuscular
1 Dose
D N B d N A il bl D /U i F F
-
8/15/2019 Adult Drug Table
40/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
Cortisone Tablet 25 mg; 37.5 mg; 50 mg Tablet
Oral
Daily; Every Other Day
Cosyntropin Injection Cortrosyn 0.25 mg Injection Solution
IV; IV Piggyback;
Intramuscular
1 Dose
Cromolyn 5.2mg/spray Nasal Spray Nasalcrom 1 spray Nasal
Per Naris
3 Times/Day; 4 Times/Day; 6
Times/Day
3 Times/Day PRN; 4 Times/Day
PRN
Cromolyn Nebulizer Solution Intal Nebulizer Solution 20 mg Inhalation Solution
Inhaled
4 Times/Day
Cromolyn 4% Ophthalmic Solution Crolom; Opticrom 1 drop; 2 drops Opthalmicalmic Solution
Left Eye; Right Eye; Each
Eye
4 Times/Day; 5 Times/Day; 6
Times/Day
4 Times/Day PRN
Cromolyn Oral Solution Gastrocrom 200 mg Solution
Oral
4 Times/Day; Before Meals and at
Bedtime
Crotamiton 10% Topical Cream Eurax Apply Cream
Topical
1 Dose Repeat in 24 Hours
1 Dose PRN
Crotamiton 10% Topical Lotion Eurax Apply Lotion
Topical
1 Dose Repeat in 24 Hours
1 Dose PRN
Cyanocobalamin (Vitamin B12 ) Injection 100 mcg; 1000 mcg Injection Solution
Subcutaneous;
Intramuscular
1 Dose; Daily; Every Other Day;
Every 3
Days; Every Month
Cyanocobalamin (Vitamin B12 ) 25
mcg/spray Nasal Spray
CaloMist; Nascobal 1 spray Nasal
Per Naris; One Naris
Daily; Every Week
Cyanocobalamin (Vitamin B12 ) 500
mcg/spray Nasal Spray
CaloMist; Nascobal 1 spray Nasal
Per Naris; One Naris
Daily; Every Week
Cyanocobalamin (Vitamin B12 ) Tablet 100 mcg; 250 mcg; 500 mcg;
1000 mcg
Tablet
Oral
Daily
Cyclizine Tablet Marezine 50 mg Tablet
Oral
Every 4 Hours PRN; Every 5 Hours
PRN; Every 6 Hours PRN
Drug Name Brand Name Available Doses/Units Form Frequency
-
8/15/2019 Adult Drug Table
41/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
Cyclobenzaprine Extended Release Capsule Amrix 15 mg; 30 mg Capsule ER
Oral
Daily
Daily PRN
Cyclobenzaprine Tablet Flexeril 5 mg; 7.5 mg; 10 mg Tablet
Oral
3 Times/Day
3 Times/Day PRN
Cyclopentolate 0.50% Ophthalmic Solution Cyclate; Cyclogyl 1 drop; 2 drops Opthalmicalmic SolutionLeft Eye; Right Eye; Each
Eye
1 Dose
Cyclopentolate 1% Ophthalmic Solution Cyclate; Cyclogyl 1 drop; 2 drops Opthalmicalmic Solution
Left Eye; Right Eye; Each
Eye
1 Dose
Cyclopentolate 2% Ophthalmic Solution Cyclate; Cyclogyl 1 drop; 2 drops Opthalmicalmic Solution
Left Eye; Right Eye; Each
Eye
1 Dose
Cyclopentolate/Phenylephrine 0.2%/1%
Ophthalmic Solution
Cyclomydril 1 drop Opthalmicalmic Solution
Left Eye; Right Eye; Each
Eye
1 Dose
Cyclophosphamide Injection* 100 mg/hr; 200 mg/hr; 500
mg/hr
Injection Solution
IV Infusion
Continuous
Cyclophosphamide Tablet* Cytoxan 50 mg; 70 mg; 120 mg; 250 mg Tablet
Oral
Daily
CycloSPERINE Capsule Seromycin 250 mg Capsule
Oral
Every 6 hours; Every 8 hours;
Every 12 hours
CycloSPORINE Injection Sandimmune Injection 4 mg/kg; 5 mg/kg; 6 mg/kg Injection Solution
IV Infusion
1 Dose; Daily
CycloSPORINE 0.05% Ophthalmic Emulsion Restasis Ophthalmic 1 drop Opthalmicalmic
Emulsion
Left Eye; Right Eye; Each
Eye
2 Times/Day
Drug Name Brand Name Available Doses/Units Form Frequency
-
8/15/2019 Adult Drug Table
42/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
CycloSPORINE Oral Capsule, USP Sandimmune 1.25 mg/kg; 5 mg/kg; 7 mg/kg;
10 mg/kg; 15 mg/kg;
Capsule
Oral
Daily; 2 Times/Day
CycloSPORINE Oral Solution, USP Sandimmune 1.25 mg/kg; 5 mg/kg; 7 mg/kg;
10 mg/kg; 15 mg/kg;
Solution
Oral
Daily; 2 Times/Day
CycloSPORINE, Modified Oral Capsule Gengraf; Neoral 1.25 mg/kg; 2 mg/kg; 3 mg/kg; 4mg/kg; 5 mg/kg; 6 mg/kg
CapsuleOral
2 Times/Day
CycloSPORINE, Modified Oral Solution Gengraf; Neoral 1.25 mg/kg; 2 mg/kg; 3 mg/kg; 4
mg/kg; 5 mg/kg; 6 mg/kg
Solution
Oral
2 Times/Day
Cyproheptadine Tablet 4 mg Tablet
Oral
3 Times/Day
3 Times/Day PRN
Cytarabine, ARA-C Injection* 100 mg/hr; 150 mg/hr; 200
mg/hr
Injection Solution
IV Infusion
Continuous
Cytomegalovirus Immune Globulin Cytogam 100 mg/kg; 150 mg/kg; 200mg/kg
Injection SolutionIV Infusion
Every 2 Weeks
Dabigatran Etexilate Pradaxa 75 mg; 150 mg Capsule
Oral
2 Times/Day
Dalteparin Injection Fragmin 150 units/kg; 200 units/kg; 2500
units; 5000 units
Injection Solution
Subcutaneous
1 Dose; Daily
Danazol Capsule 50 mg; 100 mg; 200 mg Capsule
Oral
2 Times/Day
Dantrolene Capsule Dantrium 25 mg; 50 mg; 100 mg Capsule
Oral
Daily; 3 Times/Day; 4 Times/Day
3 Times/Day PRN
Dantrolene Injection Dantrium Injection 1 mg/kg; 2.5 mg/kg Injection Solution
IV; IV Piggyback
1 Dose May Repeat PRN
Dantrolene Suspension (COMPOUNDED) 5 mg/mL Suspension
Oral
Daily; 3 Times/Day; 4 Times/Day
3 Times/Day PRN
Drug Name Brand Name Available Doses/Units Form Frequency
-
8/15/2019 Adult Drug Table
43/176
*High Risk Medication
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
Dapiprazole 0.50% Ophthalmic Solution Rev-Eyes 2 drops Opthalmicalmic Solution
Left Eye; Right Eye; Each
Eye
1 Dose May Repeat in 5 Min if
Needed
Dapsone Suspension (COMPOUNDED) 2 mg/mL SuspensionOral
Daily; 2 Times/Day
Dapsone Tablet 50 mg; 100 mg Tablet
Oral
Daily; 2 Times/Day
Dapsone 5% Topical Gel Aczone Apply Gel
Topical
2 Times/Day
Daptomycin Injection Cubicin 4 mg/kg; 6 mg/kg Injection Solution
IV Piggyback
Every 24 Hours
Darbepoetin Alfa Injection Aranesp 0.45 mcg/kg; 6.25 mcg; 12.5
mcg; 25 mcg; 40 mcg; 60 mcg;
100 mcg; 200 mcg
Injection Solution
Subcutaneous; IV
Every Week
Darifenacin Extended Release Tablet Enablex 7.5 mg; 15 mg Tablet ER
Oral
Daily
Darunavir Tablet Prezista 600 mg; 800 mg Tablet
Oral
2 Times/Day; Daily
Dasatinib Tablet* Sprycel 20 mg; 50 mg; 70 mg; 100 mg;
140 mg
Tablet
Oral
Daily
DAUNOrubicin Liposomal Injection* Daunoxome See instructions Injection Liposomal
IV Infusion
Every 2 Weeks; Every 3 Weeks
Decitabine Injection* Dacogen See instructions Injection Solution
IV Infusion
Continuous
Deferasirox Dispersable Tablet for Oral
Suspension
Exjade 20 mg/kg; 40 mg/kg Suspension Tablet
Oral
Daily
Deferoxamine Injection Desferal 500 mg; 1000 mg Injection Solution
Intramuscular
1 Dose; Every 4 Hours; Every 6
Hours; Every 12 Hours; Daily
Delavirdine Tablet Rescriptor 400 mg Tablet
Oral
3 Times/Day
-
8/15/2019 Adult Drug Table
44/176
Drug Name Brand Name Available Doses/Units Form Frequency
-
8/15/2019 Adult Drug Table
45/176
*High Risk Medication
g /
Route
q y
Desonide 0.05% Topical Cream Desonate; Desowen;
LoKara; Verdeso
Apply Cream
Topical
2 Times/Day; 3 Times/Day; 4
Times/Day
Desonide 0.05% Topical Lotion Desonate; Desowen;
LoKara; Verdeso
Apply Lotion
Topical
2 Times/Day; 3 Times/Day; 4
Times/Day
Desonide 0.05% Topical Ointment Desonate; Desowen;LoKara; Verdeso Apply OintmentTopical 2 Times/Day; 3 Times/Day; 4Times/Day
Desoximetasone 0.25% Topical Cream Topicort; Topicort LP Apply Cream
Topical
2 Times/Day
Desoximetasone 0.50% Topical Cream Topicort; Topicort LP Apply Cream
Topical
2 Times/Day
Dessicated Thyroid USP Tablet Armour Thyroid 15 mg; 30 mg; 60 mg; 90 mg;
120 mg; 180 mg; 240 mg; 300
mg
Tablet
Oral
Daily
Desvenlafaxine Extended Release Tablet Pristiq 50 mg; 100 mg Tablet
Oral
Daily
Dexamethasone 0.10% Ophthalmic Solution 1 drop; 2 drops Opthalmicalmic Solution
Left Eye; Right Eye; Each
Eye
Every 2 Hours; Every 4 Hours
Dexamethasone 0.10% Ophthalmic
Suspension
Maxidex 1 drop; 2 drops Opthalmicalmic
Suspension
Left Eye; Right Eye; Each
Eye
Every 2 Hours; Every 4 Hours
Dexamethasone Sodium Phosphate Injection 0.5 mg; 0.75 mg; 1 mg; 2 mg; 4
mg; 8 mg; 10 mg; 20 mg
Injection Solution
IV; Intramuscular; IV
Piggyback
1 Dose; Daily; 2 Times/Day; Every
6 Hours
Dexamethasone Tablet Decadron; DexPak;
Zema-Pak
0.5 mg; 0.75 mg; 1 mg; 1.5 mg; 2
mg; 4 mg; 6 mg
Tablet
Oral
1 Dose; Daily; 2 Times/Day; Every
6 Hours
Dexamethasone/Neomycin/Polymyxin B
0.1%-0.35%-10,000 units/gram Ophthalmic
Ointment
Maxitrol Ophthalmic
Ointment
Apply Opthalmicalmic
Ointment
Left Eye; Right Eye; Each
Eye
3 Times/Day; 4 Times/Day
Drug Name Brand Name Available Doses/Units Form Frequency
-
8/15/2019 Adult Drug Table
46/176
*High Risk Medication
Route
Dexamethasone/Neomycin/Polymyxin B
0.1%-0.35%-10,000 units/gram Ophthalmic
Suspension
Maxitrol Ophthalmic
Suspension
1 drop; 2 drops Opthalmicalmic
Suspension
Left Eye; Right Eye; Each
Eye
Every 4 Hours; Every 5 Hours;
Every 6 Hours
Dexamethasone/Tobramycin 0.3%-0.1%
Ophthalmic Ointment
Tobradex Ophthalmic
Ointment
Apply Opthalmicalmic
Ointment
Left Eye; Right Eye; Each
Eye
Every 6 Hours; Every 7 Hours;
Every 8 Hours
Dexamethasone/Tobramycin 0.3%-0.1%
Ophthalmic Suspension
Tobradex Ophthalmic
Suspension
1 drop; 2 drops Opthalmicalmic
Suspension
Left Eye; Right Eye; Each
Eye
Every 2 Hours; Every 4 Hours;
Every 5Hours; Every 6 Hours
Dexlansoprazole Delayed Release Capsule Dexilant 30 mg; 60 mg Capsule DR
Oral
Daily
Dexmedetomidine Injection Precedex 0.2-0.7 mcg/kg/hr Injection SolutionIV Infusion
Continuous1 Dose PRN
Dexmethylphenidate Extended Release
Capsule
Focalin XR 5 mg; 10 mg; 15 mg; 20 mg; 30
mg
Capsule ER
Oral
Daily AM
Dexmethylphenidate Tablet Focalin 2.5 mg; 5 mg; 10 mg Tablet
Oral
2 Times/Day
Dexrazoxane Injection Totect Kit; Zinecard See instructions Injection Solution
IV; IV Infusion
1 Dose
Dextran 40 Injection 500 mL IV Solution
IV Infusion
1 Dose
Dextran 70 Injection 500 mL IV Solution
IV Infusion
1 Dose
Dextroamphetamine Extended Release
Capsule
Dexedrine Spansule 5 mg; 10 mg; 15 mg; 20 mg; 30
mg
Capsule ER
Oral
Daily; 2 Times/Day
Dextroamphetamine Oral Solution Procentra 5 mg; 10 mg; 15 mg; 20 mg Solution
Oral
Daily; 2 Times/Day; 3 Times/Day
Dextroamphetamine Tablet 5 mg; 10 mg; 15 mg; 20 mg Tablet
Oral
Daily; 2 Times/Day; 3 Times/Day
Drug Name Brand Name Available Doses/Units Form Frequency
-
8/15/2019 Adult Drug Table
47/176
*High Risk Medication
Route
Dextromethorphan Extended Release Oral
Suspension
Delsym 30 mg; 60 mg Suspension ER
Oral
Every 12 Hours
Dextrose 10% in Water (D10W) 25 mL/hr; 30 mL/hr; 75 mL/hr;
100 mL/hr; 125 mL/hr
IV Solution
IV Infusion
Continuous
Dextrose 5% in 0.22% Sodium Chloride (D5
1/4NS)
D10W with 20 mEq
KCL/1000 mL
25 mL/hr; 30 mL/hr; 75 mL/hr;
100 mL/hr; 125 mL/hr
IV Solution
IV Infusion
Continuous
Dextrose 5% in 0.22% Sodium Chloride with
Potassium Chloride 20 mEq/1000 mL (D5
1/4NS with 20 mEq KCL/100 mL)
25 mL/hr; 30 mL/hr; 75 mL/hr;
100 mL/hr; 125 mL/hr
IV Solution
IV Infusion
Continuous
Dextrose 5% in 0.45% Sodium Chloride with
Potassium Chloride 20 mEq/1000 mL (D5
1/2NS with 20 mEq KCL/1000 mL)
25 mL/hr; 30 mL/hr; 75 mL/hr;
100 mL/hr; 125 mL/hr
IV Solution
IV Infusion
Continuous
Dextrose 5% in 0.45% Sodium Chloride (D5
1/2NS)
25 mL/hr; 30 mL/hr; 75 mL/hr;
100 mL/hr; 125 mL/hr
IV Solution
IV Infusion
Continuous
Dextrose 5% in 0.9% Sodium Chloride (D5
NS)
25 mL/hr; 30 mL/hr; 75 mL/hr;
100 mL/hr; 125 mL/hr
IV Solution
IV Infusion
Continuous
Dextrose 5% in Lactated Ringers (D5 LR) 25 mL/hr; 30 mL/hr; 75 mL/hr;
100 mL/hr; 125 mL/hr
IV Solution
IV Infusion
Continuous
Dextrose 5% in LR (D5LR) with
Metoclopramide 30 mg (D5LR with 30 mg
metoclopramide)
40 mL/hr IV Solution
IV Infusion
Continuous
Dextrose 5% in LR (D5LR) with Potassium
Chloride 20 mEq/1000 mL and
Metoclopramide 30 mg (D5LR with 20 mEq
KCL/1000 mL and 30 mg metoclopramide)
40 mL/hr IV Solution
IV Infusion
Continuous
Dextrose 5% in Water (D5W) 25 mL/hr; 30 mL/hr; 75 mL/hr;
100 mL/hr; 125 mL/hr
IV Solution
IV Infusion
Continuous
Dextrose 5% in Water with Potassium
Chloride 20 mEq/1000 mL (D5W with 20
mEq KCL/1000 mL)
25 mL/hr; 30 mL/hr; 75 mL/hr;
100 mL/hr; 125 mL/hr
IV Solution
IV Infusion
Continuous
Drug Name Brand Name Available Doses/Units Form Frequency
-
8/15/2019 Adult Drug Table
48/176
*High Risk Medication
Route
Dextrose 50% in Water (D50W) Injection 25 mL Injection Solution
IV
1 Dose
Diazepam Injection 2 mg; 5 mg; 10 mg Injection Solution
IV; Intramuscular
1 Dose; 2 Times/Day; 3 Times/Day
Every 3 Hours PRN; Every 4 Hours
PRN
Diazepam Oral Solution 2 mg; 5 mg; 10 mg Solution
Oral
1 Dose; 2 Times/Day; 3
Times/Day; 4 Times/Day
1 Dose PRN; 2 Times/Day PRN; 3
Times/Day PRN; 4 Times/Day PRN
Diazepam Tablet Valium 2 mg; 5 mg; 10 mg Tablet
Oral
1 Dose; 2 Times/Day; 3
Times/Day; Every Bedtime
1 Dose PRN; 2 Times/Day PRN; 3
Times/Day PRN; 4 Times/Day PRN
Diazepam, Rectal Gel Diastat; Diastat Acudial 2.5 mg; 5 mg; 10 mg; 20 mg Rectal Gel
Per Rectum
1 Dose
1 Dose PRN
Diazoxide Oral Suspension Proglycem Oral
Suspension
1 mg/kg; 2 mg/kg Suspension
Oral
2 Times/Day; 3 Times/Day
Dibucaine 1% Topical Ointment Nupercainal Apply Ointment
Topical
3 Times/Day PRN; 4 Times/Day
PRN
Diclofenac Epolamine 1.3% Topical Patch Flector 1 patch Patch
Topical
2 Times/Day
2 Times/Day PRN
Diclofenac Potassium Liquid-Filled Capsule Zipsor 25 mg Capsule
Oral
4 Times/Day
4 Times/Day PRN
Diclofenac Potassium Tablet Cataflam 50 mg Tablet
Oral
2 Times/Day; 3 Times/Day
2 Times/Day PRN; 3 Times/Day
PRN
Diclofenac Sodium Delayed Release Tablet Voltaren 25 mg; 50 mg; 75 mg Tablet DR
Oral
2 Times/Day; 3 Times/Day
3 Times/Day PRN
-
8/15/2019 Adult Drug Table
49/176
Drug Name Brand Name Available Doses/Units Form
R t
Frequency
-
8/15/2019 Adult Drug Table
50/176
*High Risk Medication
Route
Didanosine Powder for Oral Solution Videx Powder for
Solution
125 mg; 200 mg; 250 mg; 400
mg
Solution Powder
Oral
2 Times/Day; Daily
Diethylpropion Extended Release Tablet 75 mg Tablet ER
Oral
Daily at Mid-Morning
Diethylpropion Tablet Radtue 25 mg Tablet
Oral
3 Times/Day Before Meals
Diflunisal Tablet Dolobid 250 mg; 500 mg Tablet
Oral
3 Times/Day; 2 Times/Day
2 Times/Day PRN; 3 Times/Day
PRN
Difluprednate 0.05% Ophthalmic Emulsion Durezol 1 drop Opthalmicalmic
Emulsion
Left Eye; Right Eye; Each
Eye
4 Times/Day; 2 Times/Day
Digoxin immune FAB (ovine) Injection Digibind; DigiFab See instructions Injection Solution
IV; IV Piggyback
1 Dose
Digoxin Injection Lanoxin Injection;
Lanoxin Pediatric
Injection
0.1 mg; 0.125 mg; 0.25 mg Injection Solution
IV
1 Dose; Every 6 Hours; Daily
Digoxin Oral Solution 0.1 mg; 0.125 mg; 0.25 mg Solution
Oral
1 Dose; Every 6 Hours; Daily
Digoxin Tablet* Lanoxin 0.125 mg; 0.25 mg; 0.0625 mg Tablet
Oral
1 Dose; Every 6 Hours; Daily
Dihydroergotamine Injection D.H.E. 45 1 mg Injection Solution
IV, Intramuscular,
Subcutaneous
1 Dose May Repeat Every 1 Hour
for x1; 1 Dose May Repeat Every 1
Hour for x 2
1 Dose PRN
Dihydroergotamine 0.5mg/spray Nasal Spray Migranal Nasal Spray 1 spray Nasal
Per Naris
Every 15 Minutes x 2 Doses
1 Dose May Repeat in 15 Mins
PRN
Diltiazem Extended Release Capsule (24 hr) Cardizem CD; Cartia XT;
Dilacor XR; Diltia XT;
Taztia XT; Tiazac
120 mg; 180 mg; 240 mg; 300
mg; 360 mg; 420 mg
Capsule ER
Oral
Daily
Drug Name Brand Name Available Doses/Units Form
Route
Frequency
-
8/15/2019 Adult Drug Table
51/176
*High Risk Medication
Route
Diltiazem Extended Release Tablet (24 hr) Cardizem LA 120 mg; 180 mg; 240 mg; 300
mg; 360 mg; 420 mg
Tablet ER
Oral
Daily
Diltiazem Injection 5 mg; 10 mg; 20 mg; 25 mg; 5
mg/hr; 10 mg/hr; 20 mg/hr; 25
mg/hr
Injection Solution
IV; IV Piggyback
1 Dose
Diltiazem Tablet Cardizem 30 mg; 60 mg; 90 mg; 120 mg Tablet
Oral
3 Times/Day; 4 Times/Day
DimenhyDRINATE Injection 50 mg; 100 mg Injection Solution
Intramuscular; IV
Every 4 Hours PRN
DimenhyDRINATE Tablet Dramamine 50 mg; 100 mg Tablet
Oral
Every 4 Hours PRN; Every 5 Hours
PRN; Every 6 Hours PRN
Dinoprostone Cervical Insert Cervidil Vaginal Insert 10 mg Vaginal Insert
Vaginal
1 Dose
1 Dose PRN
Dinoprostone Vaginal Gel Prepidil 0.5 mg Vaginal Gel
Endocervical
1 Dose May Repeat Every 6 Hours
PRN for 2 More DosesDinoprostone Vaginal Suppository Prostin E-2 20 mg Vaginal Suppository
Vaginal
Every 3 Hours PRN; Every 4 Hours
PRN; Every 5 Hours PRN
Diphenhydramine Capsule Bendadryl Allergy Dye-
Free
25 mg; 50 mg Capsule
Oral
Every 6 Hours
Every 6 Hours PRN
DiphenhydrAMINE Injection 6.25 mg; 10mg; 12.5 mg; 25 mg;
50 mg
Injection Solution
Intramuscular; IV
Every 6 Hours
Every 6 Hours PRN
DiphenhydrAMINE Oral Solution Banophen Solution;
Benadryl Solution
12.5 mg; 25 mg; 50 mg Solution
Oral
Every 6 Hours
Every 6 Hours PRN
DiphenhydrAMINE Tablet Benadryl Allergy
Ultratab
25 mg; 50 mg Tablet
Oral
Every Bedtime
Every Bedtime PRN
Diphenhydramine Tablet (Insomnia) Simply Sleep; Sominex 25 mg; 50 mg Tablet
Oral
Every 6 Hours
Every 6 Hours PRN
Diphenoxylate/Atropine 2.5mg/0.025mg Lomotil; Lonox 1 tab; 2 tabs Tablet
Oral
3 Times/Day; 4 Times/Day; 2