Informed Rx Full Formulary - The University of Toledo
Informed Rx Full Formulary - The University of Toledo
Informed Rx Full Formulary - The University of Toledo
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GENERIC<br />
bd pudendal/local block tray 1% lidocaine<br />
bupivacaine hcl<br />
Bupivacaine/epinephrine<br />
chloroprocaine hcl<br />
lidocaine hcl<br />
lidocaine/epinephrine<br />
mepivacaine hcl<br />
polocaine<br />
polocaine-mpf<br />
sensorcaine<br />
sensorcaine-mpf<br />
sensorcaine/epinephrine<br />
tetracaine hcl<br />
NON PREFERRED<br />
Argyle Pneumothorax Procedure Tray/8fr<br />
Carbocaine<br />
Duocaine<br />
Durasafe Spinal/epidural Tray/1% Xylocaine/19gx36"close<br />
Cath<br />
Durasafe Spinal/epidural Tray/l% Xylocaine/19gx36"open<br />
Cath<br />
Durasafe Spinal/epidural Tray/1% Xylocaine/20gx36"close<br />
Cath<br />
Durasafe Spinal/epidural Tray/1% Xylocaine/20gx36"open<br />
Cath<br />
Exparel<br />
Lets Kit<br />
Marcaine<br />
Marcaine W/o Epi<br />
Marcaine/epinephrine<br />
Monoject Basic Biopsy Tray Without Biopsy Needle 20gx 1-<br />
1/2"<br />
Monoject Bone Marrow Aspiration Tray/iliac Needle 16g<br />
Monoject Bone Marrow Aspiration Tray/rosenthal Needle<br />
16gx2"<br />
Monoject Bone Marrow Biopsy Tray/biop Aspir Needle<br />
11 gx4"<br />
Monoject Bone Marrow Biopsy Tray/biop Aspir Needle<br />
8gx4"<br />
Monoject Bone Marrow Biopsy Tray/biop Aspir/iliac Aspir<br />
Ndle<br />
Naropin<br />
Nesacaine<br />
Nesacaine-mpf<br />
Pontocaine<br />
Pontocaine Niphanoid<br />
Sensorcaine-mpf/epinephrine<br />
Xylocaine<br />
Xylocaine-mpf<br />
Xylocaine-mpf/epinephrine<br />
Xylocaine/epinephrine<br />
ANTIHISTAMINES<br />
GENERIC<br />
arbinoxa<br />
bpm<br />
bromax<br />
brompheniramine tannate<br />
bromspiro<br />
carbinoxamine maleate<br />
cetirizine hcl<br />
clemastine fumarate<br />
cyproheptadine hcl<br />
desloratadine<br />
dexchlorpheniramine maleate<br />
dexchlorpheniramine maleate cr<br />
diphenhydramine hcl<br />
dytuss<br />
fex<strong>of</strong>enadine hcl<br />
Effective January l, 2013<br />
levocetirizine dihydrochloride<br />
Iohist-12<br />
phenadoz<br />
promethazine hcl<br />
promethazine hcl plain<br />
promethegan<br />
respa-br<br />
respivent df<br />
respivent df 30<br />
PREFERRED BRAND<br />
Clarinex Reditabs<br />
NON PREFERRED<br />
Aerohist<br />
Ahist<br />
Ala-hist<br />
Allerx Df<br />
Allerx Df 30<br />
Clarinex<br />
Doxytex<br />
Ed Chlorped<br />
Ed-chlor-tan<br />
Lodrane 24<br />
Palgic<br />
Phenergan<br />
Phenergan For[is<br />
Ryneze<br />
Vazol<br />
Xyzal<br />
NASAL AGENTS GENERIC<br />
azelastine hcl<br />
flunisolide<br />
fluticasone propionate<br />
ipratropium bromide<br />
triamcinolone acetonide<br />
PREFERRED BRAND<br />
Astepro<br />
Nasonex<br />
Qnasl<br />
Rhinocort Aqua<br />
Veramyst<br />
NON PREFERRED<br />
Adrenalin<br />
Astelin<br />
Atrovent<br />
Bactroban Nasal<br />
Beconase Aq<br />
Dymista<br />
Flonase<br />
Lusonal<br />
Nasacort Aq<br />
Omnaris<br />
Patanase<br />
Tyzine<br />
Tyzine Pediatric Nasal Drops<br />
Zetonna<br />
COUGH/COLD/ALLERGY<br />
GENERIC<br />
acetylcysteine<br />
airac<strong>of</strong><br />
albatussin nn<br />
alenaze-d<br />
alenaze-d nr<br />
balacall dm<br />
benzonatate<br />
bidhist-d<br />
biotuss<br />
27
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