Microsoft word - patient%20formulary%20alpha%20list%20may%202010[1]

CATAPRES 0.1mg, 0.2mg & 0.3mg TAB DILTIAZEM 60mg TAB ADALAT CC 30mg, 60mg & 90mg TAB TDRM CEFZIL 250mg &500mg TAB; 250mg/5mL 15mg TAB DOVONEX CREAM, SOLN (900gm/90 d) IMPLANON SYSTEM INDERAL LA 60mg, 80mg, 120mg & 160mg CHLOR-TRIMETON 4mg TAB; 2mg/5mL 500mg/5mL SUSP INSULIN SYRINGE 0.3ml, 0.5ml & 1ml 31ga. 5/16”; 0.5ml & 1ml 28ga. 1/2”; 0.5ml & 1ml 30ga. EDEX 20mcg & 40mcg INJECTION KIT INTAL INHALER; SOL FOR ISONIAZID 100mg & 300mg TAB; 50mg/5mL CLARITIN 10mg TAB & 1mg/mL SYRUP EFFEXOR XR 37.5mg, 75mg & 150mg AMITRIPTYLINE 10, 25, 50,75mg TAB VAGINAL CR ISORDIL 10mg & 20mg TAB & 40mg SR APRESOLINE 10mg 25mg & 50mg TAB COLACE 100mg CAPSULE COMPAZINE 5mg & 10mg TAB & 25mg ETHAMBUTOL 100mg & 400mg TAB LANOXIN 0.125mg & 0.25mg TAB; 0.25mg/ml AUGMENTIN 200mg/5mL, 250mg/5mL & CORTEF 5mg & 10mg TAB LASIX 20mg, 40mg & 80mg TAB, 10mg/ml AUGMENTIN 250mg, 500mg, 875mg TAB CORTISPORIN OPH SUSPENSION FLEETS ENEMA & PEDIATRIC ENEMA LEVITRA (all strengths) TAB (#18/90 day) CREON CAP 6/19/30, 12/38/60; 24/76/120 FLEETS PHOSPHO-SODA CYCLOGYL 0.5% & 1% OPH SOLUTION FLONASE NASAL SPRAY (3 inhalers/90 LEVSIN 0.125mg TAB CYTOMEL 5mcg & 25mcg & 50mcg TAB d) DECADRON 0.5mg, 0.75mg & 4mg TAB FORTICAL NASAL SOLUTION FOSAMAX 5mg, 10mg, 35mg, 70mg TAB LO/OVRAL 28 TAB FURADANTIN 25mg/5mL SUSPENSION LO-ESTRIN FE 1.5/30 & 1/20 GARAMYCIN OPH SOLN & OINTMENT LOMOTIL TAB DEPAKOTE 125mg, 250mg, 500mg TAB GLUCAGON 1mg INJECTION KIT GLUCOTROL XL 2.5mg, 5mg 10mg TAB LOTREL CAPS (all strengths) DESONIDE 0.05% CREAM &OINTMENT GLYBURIDE 1.25mg, 2.5mg & 5mg TAB LOTRISONE CREAM & LOTION GRIFULVIN 125mg/5mL SUSPENSION LUPRON DEPOT 3.75mg, 7.5mg, 11.25mg HYDROCHLOROTHIAZIDE 25mg 50mg MAXALT 5mg & 10mg TAB (36 tabs/90 d) CARBATROL 100mg, 200mg, 300mg CAP DILANTIN 30mg & 100mg CAP RETIN-A CREAM, GEL & MICRO GEL TRAZODONE 50mg, 100mg, 150mg & MESTINON 60mg TAB & 180mg SR TAB OXSORALEN 10mg CAP; 1% SOLUTION ROCALTROL 0.25mg, 0.5mg CAP PAMELOR 10mg & 25mg CAP, 10mg/5ml ROXANOL 20mg/mL SOLUTION SEROQUEL 25mg,50mg,100mg,200mg & CAP; 80mg Chew TAB; 80mg SINEMET TAB & CR TAB (all strengths) VANTIN 100mg & 200mg TAB PERSANTINE 25mg, 50mg & 75mg TAB SINEQUAN 10, 25, 50, 75mg CAP; MORPHINE SULF (MSIR) 15mg & 30mg 20mg/5ml ELIXR VERAPAMIL SR 120mg, 180mg & 240mg TAB SOTOLOL 80mg, 120mg, 160mg, & 240mg TA MULTIVITAMIN WITH AND WITHOUT POTASSIUM CHLORIDE 10 mEq TAB PRAVACHOL 10mg, 20mg, 40mg &80mg SYNALAR 0.01% SOLUTION TAZORAC 0.1% & 0.05% CREAM; 0.1% XALATAN 0.005% OPH SOLUTION NAPROSYN 250mg, 375mg 500mg TAB PRED MILD 0.12% OPH SOLUTION NASONEX NASAL SPRAY NEOSPORIN PREDNISOLONE 5mg/5mL SOLUTION 100mg/5mL SUS NEOSYNEPHRINE 2.5%, 10% OPH SOL PREMARIN TAB (all strengths) TEKTURNA HTZ 150/12.5, 150/25, 300/12.5, ZESTORETIC/PRINZIDE (all strengths) NIASPAN 500mg, 750mg & 1000mg TAB PREVIDENT 5000 PLUS & BRUSH-ON GEL ENORMIN 25mg, 50mg & 100mg TAB ZITHROMAX 100mg/5mL & 200mg/5mL NITRO-DUR 0.1mg, 0.2mg, 0.3mg, & 0.4mg PRO-BANTHINE 15mg TAB TESTOSTERONE TRANSDERM 2.5mg/d ZITHROMAX 250mg TAB NITROGLYCERIN 0.3mg, 0.4mg SL TAB PROPYLTHIOURACIL 50mg TAB TETRACYCLINE 250mg & 500mg CAP ZOCOR 5mg, 10mg, 20mg, 40mg & 80mg THORAZINE 25mg, 50mg & 100mg TAB ZOLOFT 25mg, 50mg 100mg TABS TIAZAC 120mg, 180mg, 240mg, 300mg & 360mg ZOMIG 2.5mg & 5mg TAB (36 tabs/90 d) ZOVIRAX 200mg CAP & 400mg, 800mg TAB NOVOLIN INSULIN (all types-vials only) QUESTRAN 4g/scoop POWDER TOFRANIL 10mg & 25mg TAB; 75mg PM ZYPREXA 2.5mg, 5mg, 7.5mg, 10mg & NYSTATIN CREAM, OINT & POWDER REFRESH PM OPH OINTMENT OMNICEF 125mg/5ml & 250mg/5ml SUSP REQUIP 0.25, 0.5, 0.75, 1mg, 2mg, 4mg,

Source: http://www.raolibrary.org/documents/AlphaList-Jul10.pdf

cshcn.org

Getting to Know Me My Name: Elena Nickname: Ellie Date of Birth: 4/19/98 Date: March 2007 A Little About Me: I am a 9 year old 3rd grader. I really like school, playing with my sister and doing physical things like running, swimming, climbing, etc. (even though my body doesn’t always coordinate the way I would like it to). I love animals especially sea otters. When I gr

Microsoft word - patient information - english2007.doc

Bone & Joint Center, P.C./ACES PATIENT INFORMATION QUESTIONNAIRE Name: _______________________________________________________________________________ Address: _____________________________________________________________________________ Street address City State Zip code Height: ____feet ____inches Please check one: I am right-handed or I am left-handed What kin

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