| Common Brand Names of Formulary Prescription Medicines | |
| Generic Name | Brand Name |
| ACETIC ACID 2% OTIC SOL 15ML | VOSOL |
| ACETIC ACID 2%/HC 1% OTIC SOL 10ML | VOSOL-HC |
| ACYCLOVIR CAP/ TAB / OINTMENT | ZOVIRAX |
| ADAPALENE 0.1% GEL | DIFFERIN |
| AEROSOL HOLDING CHAMBER | AEROCHAMBER |
| ALBUTEROL ORAL INHALATION 200DOSES | PROVENTIL |
| ALBUTEROL TABLET OR INHALER | VENTOLIN |
| ALCOHOL PADS 200s | ALCOHOL WIPES |
| ALPRAZOLAM TABLET | XANAX |
| ALUMINUM CHLORIDE 20% SOLN 60ML | DRYSOL |
| AMITRIPTYLINE TAB | ELAVIL |
| AMLEXANOX 5% ORAL PASTE 5G | APHTHASOL |
| AMOXICILLIN 250MG/ CLAV 125MG TAB | AUGMENTIN 250 |
| AMOXICILLIN 500MG/ CLAV 125MG TAB | AUGMENTIN 500 |
| AMOXICILLIN CAPSULE | AMOXIL |
| ANTIPYRINE/BENZOCAINE OTIC SOL 10ML | AURALGAN |
| ANTIPYRINE/BENZOCAINE OTIC SOL 10ML | AURODEX |
| ATENOLOL TAB | TENORMIN |
| ATORVASTATIN | LIPITOR |
| AZELAIC ACID 20% CREAM | AZELEX |
| AZITHROMYCIN 250MG TABLETS #6/PACK | Z-PAK |
| AZITHROMYCIN TABLETS | ZITHROMAX |
| BECLOMETHASONE AQ NASAL SPRAY | BECONASE AQ |
| BECLOMETHASONE AQ NASAL SPRAY | VANCENASE-AQ |
| BECLOMETHASONE NASAL INHALER 200 DOSES | BECONASE |
| BECLOMETHASONE NASAL INHALER 200 DOSES | VANCENASE |
| BECLOMETHASONE ORAL INHALER 200 DOSES | BECLOVENT |
| BECLOMETHASONE ORAL INHALER 200 DOSES | VANCERIL |
| BELLADONNA/PHENOBARBITAL 16MG TAB | DONNATAL |
| BENZONATATE 100MG CAP | TESSALON |
| BENZOYL PEROXIDE 10% AQ GEL 90G | BENZAC W 10 |
| BENZOYL PEROXIDE 5% AQ GEL 90G | BENZAC W 5 |
| BISACODYL 5MG EC TAB or 10MG RECTAL SUPP | DULCOLAX |
| BUPROPION SR TAB | WELLBUTRIN SR |
| BUPROPION TAB | WELLBUTRIN |
| BUSPIRONE TAB | BUSPAR |
| CALCIPOTRIENE SOL/CREAM/OINT | DOVONEX |
| CARBAMAZEPINE EXTENDED RELEASE TABLET | TEGRETOL-XR |
| CARBAMAZEPINE TABLET | TEGRETOL |
| CEFPODOXIME PROXETIL TAB | VANTIN |
| CELECOXIB | CELEBREX |
| CEPHALEXIN CAPSULE | KEFLEX |
| CETIRIZINE TAB | ZYRTEC |
| CHLORHEXIDINE 0.12% ORAL RINSE | PERIDEX |
| CHLOROQUINE PHOSPHATE 500MG TAB | ARALEN |
| CICLOPIROX 1% CREAM | LOPROX |
| CIPROFLOXACIN TAB | CIPRO |
| CITALOPRAM | CELEXA |
| CLARITHROMYCIN TAB | BIAXIN |
| CLINDAMYCIN 1% TOP SOLUTION OR GEL | CLEOCIN T |
| CLINDAMYCIN 2% VAG CREAM 40G | CLEOCIN |
| CLOBETASOL 0.05% CREAM / OINTMET/ SOLUTION | TEMOVATE |
| CLONAZEPAM TAB C4 | KLONOPIN |
| CLOTRIMAZOLE 10MG LOZENGES | MYCELEX TROCHE |
| CODEINE 15MG/ ACET 300MG TAB C3 | TYLENOL #2 |
| CODEINE 30MG/ ACET 300MG TAB C3 | TYLENOL #3 |
| COTRIMOXAZOLE-DS TAB | SEPTRA-DS |
| CROMOLYN ORAL AEROSOL 200 DOSES | INTAL |
| CROMOLYN SODIUM 4% OPHTH SOL | CROLOM |
| CYCLOBENZAPRINE 10MG TAB | FLEXERIL |
| DESIPRAMINE TAB | NORPRAMIN |
| DESOGESTREL 0.15MG/ EE 30 MCG TAB 28s | DESOGEN |
| DESOGESTREL 0.15MG/ EE 30 MCG TAB 28s | ORTHO-CEPT |
| DESOGESTREL 0.15MG/EE 20 MCGx21D & 10MCGx5D | MIRECETTE |
| DEXAMETHASONE 0.1% OPHTH. 5ML SOL | MAXIDEX |
| DEXAMETHASONE TABLET | DECADRON |
| DEXAMETHASONE/NEO OPHTH OINTMENT 3.5G | MAXITROL |
| DEXAMETHASONE/NEO/POLY OPHTH.SUSP. 5ML | DEXACIDIN |
| DEXAMETHASONE/NEO/POLY OPHTH.SUSP. 5ML | MAXITROL |
| DIAPHRAGM ARCING SPRING | ALL-FLEX |
| DIAPHRAGM INTRODUCER UNIVERSAL | INTRODUCER |
| DIAZEPAM TAB C4 | VALIUM |
| DICLOXACILLIN CAP | DYNAPEN |
| DICYCLOMINE CAP | BENTYL |
| DIPHENHYDRAMINE CAP | BENADRYL |
| DIVALPROEX DISODIUM DELAYED REL TAB | DEPAKOTE |
| DOXEPIN CAP | SINEQUAN |
| DOXYCYCLINE | VIBRAMYCIN |
| ENALAPRIL TAB | VASOTEC |
| EPINEPHRINE 0.3MG/0.3ML SOL AUTO-SYRINGE | EPIPEN |
| ERGOTAMINE 1MG/CAFFEINE 100MG TABLET | CAFERGOT |
| ERGOTAMINE 1MG/CAFFEINE 100MG TABLET | ERCAF |
| ERGOTAMINE 1MG/CAFFEINE 100MG TABLET | WIGRAINE |
| ERYTHROMYCIN 0.5% OPHTH.OINT 3.5G | ILOTYCIN |
| ERYTHROMYCIN 2% SOL 60ML | A/T/S |
| ERYTHROMYCIN 2% TOP GEL 27G | EMGEL |
| ERYTHROMYCIN BASE EC TAB | ERY-TAB |
| ERYTHROMYCIN ETHYLSUCC TAB | EES |
| ESTRADIOL TRANSDERMAL DISK | ESTRADERM |
| ESTROGEN CONJ TABLET | PREMARIN |
| ETHYNODIOL 1MG/EE 35MCG TAB 28s | DEMULEN 1/35 |
| FEXOFENADINE 60MG CAP | ALLEGRA |
| FLUCONAZOLE TAB | DIFLUCAN |
| FLUNISOLIDE 250MCG/DOSE ORAL INH 100 DOSES | AEROBID |
| FLUOCINONIDE 0.05% CREAM/OINTMENT/SOLN | LIDEX |
| FLUOROMETHOLONE 0.1% OPHTH. OINT 3.5G | FML |
| FLUOROURACIL 5% CREAM 25G | EFUDEX |
| FLUOXETINE CAP | PROZAC |
| FLURANDRENOLIDE 4MCG/CM2 TAPE 3"x80" | CORDRAN TAPE |
| FLUTICASONE PROPIONATE NASAL SPRAY | FLONASE |
| FLUTICASONE PSROPIONATE 110 MCG INHALER | FLOVENT |
| FLUVOXAMINE TAB | LUVOX |
| FOLIC ACID 1MG TAB | FOLATE |
| GABAPENTIN | NEURONTIN |
| GLYBURIDE TAB | DIABETA |
| GLYBURIDE TAB | MICRONASE |
| GUAIF 400MG/PHENYLPROP 75MG LA TAB | ENTEX-LA |
| GUAIFENESIN/COD 10MG/5ML 120ML SYR C5 | ROBITUSSIN AC |
| HALOPERIDOL SCORED TABLET | HALDOL |
| HYDROCHLORTHIAZIDE TABLET | ESIDRIX |
| HYDROCHLORTHIAZIDE TABLET | HCTZ |
| HYDROCHLORTHIAZIDE TABLET | HYDRODIURIL |
| HYDROCODONE 5MG/ACETAM 500MG TAB C3 | VICODIN |
| HYDROCORT 1%/POLY/BAC/NEO OPHTH OINT | CORTISPORIN |
| HYDROCORT 1%/POLY/NEO OTIC SOL 10ML | CORTISPORIN |
| HYDROCORT 100MG/60ML RET ENEMAS 7s | CORTENEMA |
| HYDROCORTISONE 2.5% CREAM OR OINTMENT | ANUSOL-HC |
| HYDROCORTISONE 25MG SUPPOSITORY | ANUSOL-HC |
| HYDROQUINONE USP 4% | LUSTRA |
| HYDROXYZINE | ATARAX |
| HYDROXYZINE | VISTARIL |
| IBUPROFEN TABLET | MOTRIN |
| IMIPRAMINE TABLET | TOFRANIL |
| IMIQUIMOD 5% CREAM (single use pack) #12/box | ALDARA |
| INDOMETHACIN CAPSULE | INDOCIN |
| INSULIN HUM BIOSYN ISOPHANE 100U/ML 10ML | HUMULIN NPH |
| INSULIN HUM BIOSYN REG 100U/ML 10ML | HUMULIN REG |
| INSULIN HUM BIOSYN ZINC 100U/ML 10ML | HUMULIN LENTE |
| INSULIN HUM BIOSYN ZINC EXT 100U/ML 10ML | HUMULIN ULTRA |
| INSULIN LISPRO INJECTION | HUMALOG |
| INSULIN LISPRO INJECTION CARTRIDGES | HUMALOG |
| IODOQUINOL 650MG TAB | YODOXIN |
| ISOMETHEPTENE/DICHLORAL/ACETAM CAP | IDA |
| ISOMETHEPTENE/DICHLORAL/ACETAM CAP | MIDCHLOR |
| ISOMETHEPTENE/DICHLORAL/ACETAM CAP | MIDRIN |
| ISONIAZID 300MG TABLET | INH |
| ISOTRETINOIN CAPSULES | ACCUTANE |
| ITRACONAZOLE CAPSULE | SPORANOX |
| ITRACONAZOLE CAPSULE 100MG #28/PAK | SPORANOX PULSE PAK |
| KETOCONAZOLE 2% CREAM/SHAMPOO | NIZORAL |
| KETOCONAZOLE 200MG TAB | NIZORAL |
| LAMOTRIGINE 25MG TABLETS | LAMICTAL |
| LANCET HOLDER | SOFTTOUCH HOLDER |
| LANCETS STERILE 100s | SOFTTOUCH LANCET |
| LANCETS STERILE 200s | ONE-TOUCH LANCET |
| LEVOCABASTINE 0.05% OPHTH SUSP 5ML | LIVOSTIN |
| LEVOFLOXACIN 250MG & 500MG TABLET | LEVAQUIN |
| LEVONORGESTREL 0.1MG/EE 0.02MG TAB 28s | ALESSE |
| LEVONORGESTREL 0.75MG #2 tabs/pkt | PLAN B |
| LEVONORGESTREL/EE TRIPHASIC TAB 28s | TRIPHASIL |
| LEVOTHYROXINE TABLET | LEVOTHROID |
| LEVOTHYROXINE TABLET | LEVOXYL |
| LEVOTHYROXINE TABLET | SYNTHROID |
| LIDOCAINE 2% JELLY OR VISCOUS ORAL SOL | XYLOCAINE |
| LINDANE 1% LOTION 60ML | KWELL |
| LIOTHYRONINE TABLET | CYTOMEL |
| LITHIUM CARBONATE 300MG CAP | ESKALITH |
| LITHIUM CARBONATE 300MG CAP | LITHIUM |
| LODOXAMIDE 0.1% OPHTH SOL 10ML | ALOMIDE |
| LORATADINE 10MG TAB | CLARITIN |
| LOSARTAN 25MG/50MG | COZAAR |
| MEBENDAZOLE 100MG CHEWTAB | VERMOX |
| MEDROXYPROGESTERONE TABLET | PROVERA |
| MEFLOQUINE 250MG TABLET | LARIAM |
| MESALAMINE 400MG DEL REL TAB | ASACOL |
| MESALAMINE 4G/60ML RETENTION ENEMAS 7s | ROWASA |
| METFORMIN TABLET | GLUCOPHAGE |
| METHIMAZOLE 10MG TAB | TAPAZOLE |
| METHOCARBAMOL TABLET | ROBAXIN |
| METRONIDAZOLE 0.75% TOPICAL GEL 28G | METROGEL |
| METRONIDAZOLE 0.75% VAGINAL GEL 70G | METROGEL |
| METRONIDAZOLE TABLET | FLAGYL |
| MINOCYCLINE CAPSULE | MINOCIN |
| MONTELUKAST SODIUM 10MG | SINGULAIR |
| MUPIROCIN 2% OINT 15G | BACTROBAN |
| NAPROXEN SODIUM 275MG TAB | ANAPROX |
| NAPROXEN SODIUM 550MG TAB | ANAPROX DS |
| NAPROXEN TABLET | NAPROSYN |
| NEFAZODONE TABLET | SERZONE |
| NEOMYCIN/POLY B/BAC OPHTH OINT 3.5G | NEOSPORIN |
| NEOMYCIN/POLY B/GRAM OPHTH.SOL 10ML | NEOSPORIN |
| NITROFURANTOIN 100MG MACROCRYSTAL SR CAP | MACROBID |
| NITROFURANTOIN MACROCRYSTAL CAPSULE | MACRODANTIN |
| NORETHINDRONE 0.35MG | MICRONOR |
| NORETHINDRONE 0.35MG | NOR-Q.D. |
| NORETHINDRONE 0.5MG/EE 35MCG TAB 28s | BREVICON |
| NORETHINDRONE 0.5MG/EE 35MCG TAB 28s | MODICON |
| NORETHINDRONE 1MG/EE 20/30/35MCG for 5/7/9 days | ESTROSTEP |
| NORETHINDRONE 1MG/EE 35MCG TAB 28s | ORTHONOVUM 1/35 |
| NORETHINDRONE/EE TRIPHASIC TAB 28s | ORTHO 7/7/7 |
| NORGESTIMATE/EE TAB | ORTHO-CYCLEN |
| NORGESTIMATE/EE TRIPHASIC TAB | TRI-CYCLEN |
| NORGESTREL 0.3MG/EE 30MCG TAB 28s | LO/OVRAL |
| NORTRIPTYLINE CAPSULE | PAMELOR |
| NYSTATIN 100,000U/ML ORAL SUSP/500,000 TAB | MYCOSTATIN |
| OFLOXACIN 0.3% OTIC SOLUTION | FLOXIN |
| OMEPRAZOLE 20MG DEL.REL CAP | PRILOSEC |
| OXAPROZIN 600MG TABLET | DAYPRO |
| OXYBUTYNIN TABLET | DITROPAN |
| PAROXETINE TABLET | PAXIL |
| PENICILLIN V POTASSIUM TABLET | PEN VK |
| PENICILLIN V POTASSIUM TABLET | VEETIDS |
| PERMETHRIN 5% CREAM 60G | ELIMITE |
| PHENAZOPYRIDINE TABLET | PYRIDIUM |
| PHENYTOIN SOD 100MG EXTENDED CAPSULE | DILANTIN |
| PODOFILOX 0.5% SOL'N 3.5ML | CONDYLOX |
| POTASSIUM CHLORIDE 10mEq=750MG SR CAP | KCL |
| PREDNISOLONE/SULFACET OPHTH OINT OR SOL | BLEPHAMIDE |
| PREDNISOLONE/SULFACETAMIDE OPHTH.OINT/SOLN | CETAPRED |
| PREDNISONE TABLET | DELTASONE |
| PROGESTERONE 100MG | PROMETRIUM |
| PROPANTHELINE 15MG TAB | PRO-BANTHINE |
| PROPOXYPHENE 65MG/ACETAM 650MG TAB C4 | WYGESIC |
| PROPRANOLOL TABLET | INDERAL |
| PROPYLTHIOURACIL TAB | PTU |
| RANITIDINE TABLET | ZANTAC |
| RIFAMPIN 300MG CAP | RIFAMPIN |
| RIMANTADINE 100MG TAB | FLUMADINE |
| RISPERIDONE TABLET | RISPERDAL |
| RIZATRIPTAN BENZOATE 5MG/10MG TABS #6/PKT | MAXALT |
| SALMETEROL 25MCG/DOSE 120 DOSE INH | SEREVENT |
| SALSALATE TABLET | DISALCID |
| SCOPOLAMINE TRANSDERMAL SYSTEM 4s | TRANSDERM SCOP |
| SELENIUM SULFIDE 2.5% LOTION 120ML | SELSUN |
| SERTRALINE SCORED TABLET | ZOLOFT |
| SILVER SULFADIAZINE 1% CREAM | SILVADENE |
| SPIRONOLACTONE TABLET | ALDACTONE |
| SULFACETAMIDE SOD 10% OPHTH OINT/SOLN | SULAMYD |
| SULFACETAMIDE SOD 10% OPHTH.OINT OR SOL | BLEPH-10 |
| SULFAMETHOXAZOLE/TRIMETHOPRIM 800/160 | BACTRIM-DS |
| SULFAMETHOXAZOLE/TRIMETHOPRIM 800/160 | COTRIM DS |
| SULFASALAZINE TABLET | AZULFIDINE |
| SUMATRIPTAN SUCC TABLET | IMITREX |
| SYRINGE INSULIN 0.3ML=30u 100s ULTRA FINE | INSULIN SYRINGE |
| SYRINGE INSULIN 0.5ML=50u 100s ULTRA FINE | INSULIN SYRINGE |
| SYRINGE INSULIN 1ML=100u 100s ULTRA FINE | INSULIN SYRINGE |
| TEMAZEPAM CAP C4 | RESTORIL |
| TERCONAZOLE 0.4% VAGINAL CREAM 45G | TERAZOL-7 |
| TERCONAZOLE 0.8% VAGINAL CREAM 20G | TERAZOL-3 |
| TERCONAZOLE 80MG VAGINAL SUPPOS 3s | TERAZOL-3 |
| TEST STRIPS GLUCOSE ADVANTAGE 50s | ADVANTAGE |
| TEST STRIPS GLUCOSE CHEMSTRIP VISUAL 25s | EASY STRIPS |
| TEST STRIPS GLUCOSE EASY 100s | EASY STRIPS |
| TEST STRIPS GLUCOSE EASY 50s | EXACTECH |
| TEST STRIPS GLUCOSE EXACTECH 100s | GLUCOSTIX |
| TEST STRIPS GLUCOSE FOR ACCU-CHEK 50s | ACCU-CHEK |
| TEST STRIPS GLUCOSE ONE TOUCH 50s | ONE TOUCH |
| TEST STRIPS GLUCOSE VISUAL 50s | CHEMSTRIP |
| TETRACYCLINE CAPSULE | ACHROMYCIN |
| TETRACYCLINE CAPSULE | SUMYCIN |
| THEOPHYLLINE SR TABLET | THEODUR |
| TOBRAMYCIN 0.3% OPHTH.OINT OR SOLUTION | AKTOB |
| TOBRAMYCIN 0.3% OPHTH.OINT OR SOLUTION | TOBREX |
| TRAZODONE TABLET | DESYREL |
| TRETINOIN 0.1% MICROSPHERE GEL | RETIN-A MICRO |
| TRETINOIN CREAM | RETIN-A |
| TRIAMCINOLONE 0.1% CREAM or OINTMENT | ARISTOCORT |
| TRIAMCINOLONE 0.1% CREAM or OINTMENT | KENALOG |
| TRIAMCINOLONE 0.1% DENT.PASTE 5G | KENALOG IN ORABASE |
| TRIAMCINOLONE 0.1% LOTION 60ML | KENALOG |
| TRIAMCINOLONE ORAL INH AEROSOL | AZMACORT |
| TRIMETHOBENZAMIDE RECTAL SUPPOS OR CAPSULE | TIGAN |
| TYPHOID ORAL VACCINE EC CAP 4s | VIVOTIF |
| VALACYCLOVIR 500MG | VALTREX |
| VALPROIC ACID CAPSULE | DEPAKENE |
| VENLAXAFINE SCORED TABLET | EFFEXOR |
| VENLAXAFINE ER | EFFEXOR-XR |
| VERAPAMIL 240MG SUSTAINED RELEASE TAB | ISOPTIN SR |
| VERAPAMIL SUSTAINED RELEASE TABLET | CALAN SR |
| ZAFIRLUKAST 20MG TABLET | ACCOLATE |
| ZOLPIDEM TABLET | AMBIEN |