Scottafbd_519_index 1.10

SCOTT AFB
OUTPATIENT FORMULARY
Alphabetical Listing by Therapeutic Category
The availability of formulary items is subject to change.
ACETYLCHOLINESTERASE INHIBITOR
Acetylcholinesterase Inhibitor
Acetylcholinesterase Inhibitor (Central)
Analgesic, Topical
Acne Products
Analgesic, Urinary
Clindamycin and Benzoyl Peroxide .
Erythromycin (Topical) .
Androgen
Anesthetic/Corticosteroid
Adrenergic Agonist Agent
Angiotensin II Receptor Blocker
Alkalinizing Agent, Oral
Telmisartan .
Telmisartan and Hydrochlorothiazide .
Alkylamine Derivative
Chlorpheniramine and Pseudoephedrine .
Naphazoline and Pheniramine .
Angiotensin-Converting Enzyme (ACE) Inhibitor
Amlodipine and Benazepril .
Captopril .
Alpha1 Agonist
Alpha1 Blocker
Lisinopril and Hydrochlorothiazide .
Anthelmintic
Antianxiety Agent, Miscellaneous
2-Adrenergic Agonist
Antiarrhythmic Agent, Class II
2 Agonist, Ophthalmic
Antiarrhythmic Agent, Class III
Alpha-Adrenergic Inhibitor
Antiarrhythmic Agent, Class IV
Alpha/Beta Agonist
Chlorpheniramine and Pseudoephedrine .
Antiarrhythmic Agent, Class Ic
Fexofenadine and Pseudoephedrine .
Guaifenesin and Pseudoephedrine .
Antiarrhythmic Agent, Miscellaneous
Antibiotic, Aminoglycoside
5 Alpha-Reductase Inhibitor
Amebicide
Antibiotic, Cephalosporin (First Generation)
Aminoquinoline (Antimalarial)
Antibiotic, Cephalosporin (Second Generation)
5-Aminosalicylic Acid Derivative
Antibiotic, Cephalosporin (Third Generation)
Antibiotic/Corticosteroid, Ophthalmic
Ammonium Detoxicant
Neomycin, Polymyxin B, and Dexamethasone .
Sulfacetamide and Prednisolone .
Analgesic Combination (Opioid)
Antibiotic/Corticosteroid, Otic
Neomycin, Colistin, Hydrocortisone, and Thonzonium .
Neomycin, Polymyxin B, and Hydrocortisone .
Analgesic, Miscellaneous
Antibiotic, Lincosamide
Acetaminophen, Isometheptene, and Dichloralphenazone .
Clindamycin (Systemic) .
Clindamycin (Topical) .
Analgesic, Opioid
Antibiotic, Macrolide
ANTIEMETIC
Antibiotic, Macrolide Combination
Anticonvulsant, Hydantoin
Antibiotic, Miscellaneous
Anticonvulsant, Miscellaneous
Antibiotic, Ophthalmic
Antidepressant, Alpha-2 Antagonist
Bacitracin, Neomycin, and Polymyxin B .
Antidepressant, Dopamine-Reuptake Inhibitor
Erythromycin (Ophthalmic) .
Gentamicin (Ophthalmic) .
Antidepressant, Monoamine Oxidase Inhibitor
Neomycin, Polymyxin B, and Gramicidin .
Antidepressant, Selective Serotonin Reuptake Inhibitor
Neomycin, Polymyxin B, and Hydrocortisone .
Antibiotic, Oral Rinse
Antidepressant, Serotonin/Norepinephrine Reuptake Inhibitor
Antibiotic, Otic
Neomycin, Colistin, Hydrocortisone, and Thonzonium .
Antidepressant, Serotonin Reuptake Inhibitor/Antagonist
Neomycin, Polymyxin B, and Hydrocortisone .
Antibiotic, Penicillin
Antidepressant, Tricyclic (Secondary Amine)
Amoxicillin and Clavulanate Potassium .
Antidepressant, Tricyclic (Tertiary Amine)
Antibiotic, Quinolone
Levofloxacin (Systemic) .
Moxifloxacin (Ophthalmic) .
Antidiabetic Agent, Biguanide
Glyburide and Metformin .
MetFORMIN .
Antibiotic, Sulfonamide Derivative
Antidiabetic Agent, Dipeptidyl Peptidase IV (DPP-IV) Inhibitor
Antidiabetic Agent, Dopamine Agonist
Antibiotic, Tetracycline Derivative
Antidiabetic Agent, Glucagon-Like Peptide-1 (GLP-1) Receptor Agonist
Antidiabetic Agent, Insulin
Antibiotic, Topical
Insulin Aspart Protamine and Insulin Aspart .
Bacitracin, Neomycin, and Polymyxin B .
Antidiabetic Agent, Sulfonylurea
Neomycin, Polymyxin B, and Hydrocortisone .
Anticholinergic Agent
Antidiabetic Agent, Thiazolidinedione
Antidiarrheal
Hyoscyamine, Atropine, Scopolamine, and Phenobarbital .
Antidote
Anticholinergic Agent, Ophthalmic
Antiemetic
Anticoagulant, Coumarin Derivative
Anticonvulsant, Barbiturate
ANTIEMETIC
Antineoplastic Agent, Hormone
Antifungal Agent, Oral
Antiparasitic Agent, Topical
Anti-Parkinson's Agent, Anticholinergic
Antifungal Agent, Oral Nonabsorbed
Anti-Parkinson's Agent, Decarboxylase Inhibitor
Anti-Parkinson's Agent, Dopamine Agonist
Antifungal Agent, Parenteral
Antifungal Agent, Topical
Anti-Parkinson's Agent, Dopamine Precursor
Ketoconazole (Topical) .
Naftifine .
Anti-Parkinson's Agent, MAO Type B Inhibitor
Antiplatelet Agent
Antifungal Agent, Vaginal
Antiplatelet Agent, Thienopyridine
Antihemophilic Agent
Antiprotozoal, Nitroimidazole
Anti-inflammatory Agent
Antipsychotic Agent, Atypical
Antilipemic Agent, 2-Azetidinone
Antilipemic Agent, Bile Acid Sequestrant
Antipsychotic Agent, Typical
Antilipemic Agent, Fibric Acid
Antipsychotic Agent, Typical, Phenothiazine
Antilipemic Agent, HMG-CoA Reductase Inhibitor
Antiretroviral Agent, Reverse Transcriptase Inhibitor (Nucleoside)
Antirheumatic, Disease Modifying
Antirheumatic Miscellaneous
Antilipemic Agent, Miscellaneous
Antispasmodic Agent, Gastrointestinal
Antimalarial Agent
Hyoscyamine, Atropine, Scopolamine, and Phenobarbital .
Antimanic Agent
Antispasmodic Agent, Urinary
Antithyroid Agent
Antitubercular Agent
Antimigraine Agent
Antineoplastic Agent, Antiandrogen
Antitussive
Antineoplastic Agent, Antimetabolite
Antiviral Agent
Antineoplastic Agent, Antimetabolite (Antifolate)
Antineoplastic Agent, Antimetabolite (Purine Analog)
Antiviral Agent, Adamantane
Antineoplastic Agent, Antimetabolite (Pyrimidine Analog)
Antiviral Agent, Ophthalmic
Antineoplastic Agent, Estrogen Receptor Antagonist
Antiviral Agent, Oral
Antineoplastic Agent, Gonadotropin-Releasing Hormone Agonist
Appetite Stimulant
DIURETIC, LOOP
Barbiturate
Chelating Agent
Butalbital, Acetaminophen, and Caffeine .
Chemotherapy Modulating Agent
Benzodiazepine
Cholinergic Agonist
Colchicine
Beta2-Adrenergic Agonist
Contraceptive
Ethinyl Estradiol and Drospirenone .
Ethinyl Estradiol and Ethynodiol Diacetate .
Ethinyl Estradiol and Etonogestrel .
Ethinyl Estradiol and Levonorgestrel .
Ethinyl Estradiol and Norelgestromin .
Ethinyl Estradiol and Norethindrone .
Ethinyl Estradiol and Norgestimate .
2-Adrenergic Agonist, Long-Acting
Beta-Adrenergic Blocker, Nonselective
Corticosteroid, Inhalant (Oral)
Budesonide (Systemic, Oral Inhalation) .
Fluticasone (Oral Inhalation) .
Mometasone and Formoterol .
Beta Blocker, Beta-1 Selective
Atenolol .
Atenolol and Chlorthalidone .
Corticosteroid, Nasal
Fluticasone (Nasal) .
Mometasone (Nasal) .
Beta Blocker, Nonselective
Corticosteroid, Ophthalmic
Beta Blocker With Alpha-Blocking Activity
Neomycin, Polymyxin B, and Hydrocortisone .
Bisphosphonate Derivative
Corticosteroid, Otic
Neomycin, Colistin, Hydrocortisone, and Thonzonium .
Neomycin, Polymyxin B, and Hydrocortisone .
Corticosteroid, Rectal
Blood Viscosity Reducer Agent
Corticosteroid, Systemic
Betamethasone .
Budesonide (Systemic, Oral Inhalation) .
Calcineurin Inhibitor
Calcium Channel Blocker
Corticosteroid, Topical
Calcium Channel Blocker, Dihydropyridine
Hydrocortisone (Topical) .
Mometasone (Topical) .
Calcium Channel Blocker, Nondihydropyridine
Neomycin, Polymyxin B, and Hydrocortisone .
Calcium Salt
Cough Preparation
Carbonic Anhydrase Inhibitor
Decongestant
Chlorpheniramine and Pseudoephedrine .
Cardiac Glycoside
Cathartic
Diagnostic Agent
Central Nervous System Stimulant
Diuretic, Carbonic Anhydrase Inhibitor
DIURETIC, LOOP
Diuretic, Loop
Promethazine .
Triprolidine and Pseudoephedrine .
Diuretic, Potassium-Sparing
Hydrochlorothiazide and Triamterene .
Histamine H1 Antagonist, First Generation
Diuretic, Thiazide
Chlorpheniramine and Pseudoephedrine .
Cyproheptadine .
Aliskiren and Hydrochlorothiazide .
Atenolol and Chlorthalidone .
Hydrochlorothiazide and Spironolactone .
Hydrochlorothiazide and Triamterene .
Lisinopril and Hydrochlorothiazide .
Histamine H1 Antagonist, Second Generation
Telmisartan and Hydrochlorothiazide .
Diuretic, Thiazide-Related
Fexofenadine .
Fexofenadine and Pseudoephedrine .
Electrolyte Supplement, Oral
Potassium Phosphate and Sodium Phosphate .
Histamine H
Electrolyte Supplement, Parenteral
2 Antagonist
Sodium Chloride .
Sodium Phosphates .
Histone Deacetylase Inhibitor
Ergot Derivative
Hypnotic, Benzodiazepine
Estrogen and Progestin Combination
Estrogens (Conjugated/Equine) and Medroxyprogesterone .
Estrogens (Esterified) and Methyltestosterone .
Hypnotic, Nonbenzodiazepine
Ethinyl Estradiol and Drospirenone .
Ethinyl Estradiol and Ethynodiol Diacetate .
Ethinyl Estradiol and Etonogestrel .
Hypoglycemic Agent, Oral
Ethinyl Estradiol and Levonorgestrel .
Ethinyl Estradiol and Norelgestromin .
Imidazoline Derivative
Ethinyl Estradiol and Norethindrone .
Ethinyl Estradiol and Norgestimate .
Immunosuppressant Agent
Estrogen Derivative
Estrogens (Conjugated/Equine, Systemic) .
Estrogens (Conjugated/Equine, Topical) .
CycloSPORINE (Systemic) .
Mercaptopurine .
Ethanolamine Derivative
Expectorant
Iron Salt
Guaifenesin and Codeine .
Guaifenesin and Dextromethorphan .
Irrigant
Gastrointestinal Agent, Miscellaneous
Keratolytic Agent
Gastrointestinal Agent, Prokinetic
Laxative, Bowel Evacuant
Genitourinary Irrigant
Laxative, Osmotic
Gonadotropin Releasing Hormone Agonist
Polyethylene Glycol-Electrolyte Solution .
Laxative, Saline
Hemostatic Agent
Laxative, Stimulant
Histamine H1 Antagonist
Azelastine (Nasal) .
Cetirizine .
Leukotriene-Receptor Antagonist
Chlorpheniramine .
Chlorpheniramine and Pseudoephedrine .
Local Anesthetic
Low Molecular Weight Heparin
Lubricant, Ocular
TOPICAL SKIN PRODUCT
Magnesium Salt
Progestin
Mast Cell Stabilizer
Nonsteroidal Anti-inflammatory Drug (NSAID), COX-2 Selective
Prostaglandin
Nonsteroidal Anti-inflammatory Drug (NSAID), Ophthalmic
Prostaglandin, Ophthalmic
Nonsteroidal Anti-inflammatory Drug (NSAID), Oral
Proton Pump Inhibitor
Nonsteroidal Anti-inflammatory Drug (NSAID), Parenteral
Renin Inhibitor
Norepinephrine Reuptake Inhibitor, Selective
Rescue Agent (Chemotherapy)
Nutritional Supplement
Respiratory Fluoroquinolone
Ophthalmic Agent, Antiglaucoma
Retinoic Acid Derivative
Salicylate
Dorzolamide .
Dorzolamide and Timolol .
Scabicidal Agent
Phenylephrine (Ophthalmic) .
Pilocarpine (Ophthalmic) .
Selective 5-HT3 Receptor Antagonist
Ophthalmic Agent, Miotic
Selective Aldosterone Blocker
Hydrochlorothiazide and Spironolactone .
Spironolactone .
Ophthalmic Agent, Miscellaneous
Selective Estrogen Receptor Modulator (SERM)
Ophthalmic Agent, Mydriatic
Homatropine .
Phenylephrine (Ophthalmic) .
Serotonin 5-HT1B, 1D Receptor Agonist
Ophthalmic Agent, Vasoconstrictor
Skeletal Muscle Relaxant
Ophthalmic Agent, Viscoelastic
Otic Agent, Analgesic
Otic Agent, Anti-infective
Skin and Mucous Membrane Agent
Acetic Acid, Propylene Glycol Diacetate, and Hydrocortisone .
Otic Agent, Cerumenolytic
Skin and Mucous Membrane Agent, Miscellaneous
Ovulation Stimulator
Smoking Cessation Aid
Pediculocide
Sodium Salt
Phenothiazine Derivative
Stimulant
Phosphate Binder
Phosphodiesterase-5 Enzyme Inhibitor
Stool Softener
Piperazine Derivative
Substituted Benzimidazole
Theophylline Derivative
Piperidine Derivative
Thioamide
Fexofenadine .
Fexofenadine and Pseudoephedrine .
Thyroid Product
TOPICAL SKIN PRODUCT
Topical Skin Product
Vasodilator, Direct-Acting
Vasopressin Analog, Synthetic
Calcipotriene .
Clindamycin and Benzoyl Peroxide .
Lactic Acid and Ammonium Hydroxide .
Vitamin D Analog
Alendronate and Cholecalciferol .
Calcipotriene .
Topical Skin Product, Acne
Clindamycin and Benzoyl Peroxide .
Clindamycin (Topical) .
Vitamin, Fat Soluble
Sulfacetamide (Topical) .
Tazarotene .
Vitamin K Antagonist
Uricosuric Agent
Vitamin, Water Soluble
Vasodilator
Isosorbide Dinitrate .
Isosorbide Mononitrate .
Xanthine Oxidase Inhibitor

Source: http://raolibrary.org/documents/AlphaByCat-May11.pdf