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
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
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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