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URGENT/ACUTE MEDICATION FORMULARY

The Most Common Urgent Care/Acute Medications, Available at Over 70,000 Pharmacies

ANTIBIOTIC

AMOXICILLIN. 250 MG CAP. Max Qty: 60 (Amoxil)

AMOXICILLIN. 500 MG CAP. Max Qty: 30 (Amoxil)

AMOXICILLIN, 875 MG TAB. Max Qty: 28 (Amoxil)

AMOXICILLIN. 250 MG/5ML SUSP. Max Qty: 200 (Amoxil)

AMOXICILLIN. 400 MG/5ML SUSP. Max Qty: 200 (Amoxil)

AMOXICILLIN/CLAVULANIC ACID. 500-125 MG TAB. Max Qty: 28 (Augmentin)

AMOXICILLIN/CLAVULANIC ACID. 875-125 MG TAB. Max Qty: 28 (Augmentin)

AMOXICILLIN/CLAVULANIC ACID.4 00-57 MG/5ML SUSP. Max Qty: 200 (Augmentin)

AMOXICILLIN/CLAVULANIC ACID. 600-42.9 MG/5ML SUSP. Max Qty: 200 (Augmentin)

AZITHROMYCIN. 250 MG TAB. Max Qty: 6 (Zithromax)

AZITHROMYCIN, 500 MG TAB. Max Qty: 3 (Zithromax)

AZITHROMYCIN.100 MG/5ML SUSP. Max Qty: 15 (Zithromax)

AZITHROMYCIN. 200 MG/5ML SUSP. Max Qty: 30 (Zithromax)

CEFDINI R. 300 MG CAP.Max Qty: 14 (Omnicef)

CEPHALEXIN. 250 MG CAP. Max Qty: 56 (Keflex)

CEPHALEXIN. 500 MG CAP. Max Qty: 40 (Keflex)

CEPHALEXI N. 250 MG/5ML SUSP. Max Qty: 200 (Keflex)

CIPROFLOXACIN, 250 MG TAB. Max Qty: 28 (Cipro)

CIPROFLOXACIN. 500 MG TAB. Max Qty: 28 (Cipro)

CLINDAMYCIN. 150 MG CAP. Max Qty: 28 (Cleocin)

CLINDAMYCIN, 300MG CAP. Max Qty: 28 (Cleocin)

DOXYCYCLINE HYCLATE. 100 MG TAB. Max Qty: 28(Vibramycin)

LEVOFLOXACIN. 250 MG TAB. Max Qty: 21 (Levaquin)

LEVOFLOXACIN, 500 MG TAB. Max Qty: 21 (Levaquin)

METRONIDAZOLE. 500 MG TAB. Max Qty: 28 (Flagyl)

NITROFURANTOIN.100 MG CAP. Max Qty: 28 (Macrobid)

PENICILLIN VK. 500MG TAB. Max Qty: 28 (Veetids)

PENICILLIN VK. 250 MG/5ML SUSP. Max Qty: 200 (Veetids)

SM Z/TM P OS. 800-160 MG TAB. Max Qty: 28 (Bactrim)

SM Z/TM P. 200-40 MG/5ML SUSP. Max Qty: 120 (Bactrim)

CARDIOVASCULAR

NITROGLYCERIN, 0.4 MG SL TAB, Max Qty: 25 (Nitrostat)

PROPRANOLOL. 10 MG TAB. Max Qty: 15 (lnderal)

CORTICOSTEROID

METHYLPREDNISOLONE. 4 MG PACK. Max Qty: 21 (Medrol Dosepak)

PREDNISONE.10 MG TAB. Max Qty: 20 (Deltasone)

PREDNISONE. 20 MG TAB. Max Qty: 20 (Deltasone)

PREDNISOLONE.15 MG/5ML SOLN. Max Qty: 120 (Orapred)

CORTICOSTEROID TOPICAL

HYDROCORTISONE. 2.5% CREAM. Max Qty: 30(Hytone)

PREDNISOLONE.1% OPTH SUSP. Max Qty: 5 (Pred Forte)

TRIAMCINOLONE. 0.1% CREAM. Max Qty: 30 (Kenalog)

TRIAMCINOLONE. 0.1% OINT. Max Qty: 30 (Kenalog)

COUGH & COLD

BENZONATATE, 100 MG CAP. Max Qty: 30 (Tessalon Perles)

BENZONATATE. 200 MG CAP. Max Qty: 30 (Tessalon Perles)

BROMPH/PSE/DM SYR. 30 MG SOLN. Max Qty: 120 (Bromfed OM)

DIABETES

INSULIN LISPRO. 100U/ML INJ. Max Qty: 2 Vials / 90 Days (Humalog)*

ANTIBIOTIC TOPICAL

ERYTHROMYCIN. 0.5% OPTH OINT. Max Qty: 3.5 (lllotycin)

MUPIROCIN. 2% OINT. Max Qty: 22 (Bactroban)

NEO/POLY /HC. OTIC SOLN. Max Qty: 10 (Cortisporin)

POLYMYXIN B/TR IM ETH. OPTH SOLN. Max Qty: 10 (Polytrim)

SILVER SULFADIAZINE.1% CREAM. Max Qty: 50(Silvadene)

TOBRAMYCIN, 0.3% OPTH SOLN. Max Qty: 5 (Tobrex)

GASTROINTESTINAL

DICYCLOMINE. 20 MG TAB. Max Qty: 60 (Benty!)

DIPHENOX-ATROPINE. 2.5-0.025 MG TAB, Max Qty: 30 (Lomotil)

ONDANSETRON ODT. 4 MG TAB, Max Qty: 6 (Zofran DDT)

ONDANSETRON ODT. 8 MG TAB. Max Qty: 6 (Zofran ODT)

PANTOPROZOLE. 40 MG TAB. Max Qty: 21 (Protonix)

PROMETHAZINE. 25 MG TAB. Max Qty: 30 (Phenergan)

GOUT

ALLOPURINOL. 100 MG TAB. Max Qty: 21 (Zyloprim)

ALLOPURINOL. 300MG TAB, Max Qty: 21 (Zyloprim)

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ANTIGISTAMINE

CETIR IZINE. 10 MG TAB. Max Qty: 30 (Zyrtec)

HYDROXYZINE. 25 MG TAB. Max Qty: 30 (Atarax)

ANTIFUNGAL

FLUCONAZOLE. 150 MG TAB. Max Qty: 2 (Diflucan)

NYSTATIN.100.000 USP CREAM. Max Qty: 30 (M ycostatin)

NYSTATIN.1 00,000 USP OINT. Max Qty: 30 (M ycostatin)

$0 PRESCRIPTIONS

FOR THE MOST COMMON URGENT CARE CONDITIONS

  • Asthma/Allergic Reactions

  • Ear & Eye Infections

  • Fungal Infections

  • Migraines

  • Pain & Injuries

  • Skin Infections

  • Stomach Viruses

  • Upper Respiratory Infection (URI)

  • Urinary Tract Infections (UTI)

MIGRAINE

SUMATRIPTAN. 50 MG TAB. Max Qty: 9 (lmitrex)

SUMATRIPTAN.100 MG TAB. Max Qty: 9(Imitrex)

MUSCLE RELAXANT

CYCLOBENZAPRINE.10 MG TAB. Max Qty: 30 (Flexeril)

PAIN MANAGEMENT

IBUPROFEN. 800 MG TAB. Max Qty: 60 (Motrin)

NAPROXEN. 500 MG TAB. Max Qty: 30 (Naprosyn)

PHENAZOPYRIDINE. 200 MG TAB. Max Qty: 10 (Pyridium)

TRAMADOL. 50 MG TAB. Max Qty: 30 (Ultram)

RESPIRATORY

ALBUTEROL MDI. 90 MCG INH. Max Qty: 1 (6.7g) / 1 Year (Proventil)

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