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Formulary for Clinics WITH Pharmacies
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Brand Medications Available From RxP
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Last Updated: 5/25/2022
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ManufacturerBrand NameStrengthClassCategory
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GSKBeconase AQ Spray (qty of 12)0.042 %CorticosteroidAllergies & Cold
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PFZAromasin® 25mgAromatase InhibitorCancer
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MERJanumet 50/500mg, 50/1000mgDPP-IV inhibitor / BiguanideDiabetes
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MERJanumet XR 50/500mg, 50/1000mg, 100/1000mgDPP-IV inhibitor / BiguanideDiabetes
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MERJanuvia 25mg, 50mg, 100mgDPP-IV inhibitorDiabetes
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MEREmend 80mg, 125mg combo packAntiemetic Gastrointestinal
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MEREmend unit dose40mg, 80mg and 125mgAntiemetic Gastrointestinal
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GSKMepron SuspensionAntifungalFungal Infection
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NOVAEntresto (discontinued 6/10/22)24/26mg, 49/51mg, 97/103mg Neprilysin Inhibitor; Angiotensin II Receptor BlockerHeart Health & Blood Pressure
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PFZTikosyn0.125mg, 0.250mg, 0.500mgAntiarrhythmic agentHeart Health & Blood Pressure
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MERDelstrigo (HIV)100/300/300mgNon-nucleoside reverse transcriptase inhibator (NNRTIs)Infectious Disease
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MERIsentress chewable25mg, 100mgIntergrase InhibitorInfectious Disease
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MERIsentress400mgIntergrase InhibitorInfectious Disease
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GSKMalarone 100sAntimalarialInfectious Disease
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PFZMycobutin® (rifabutin USP) 150mgAntitubercular AgentInfectious Disease
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MERPifeltro (HIV)100mgNon-nucleoside reverse transcriptase inhibator (NNRTIs)Infectious Disease
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GSKRelenza Inhalation powderAntiviralInflenza
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ABBDepakote® ER Tablets 250mg, 500mgAntiepileptic (AED)Mental Health
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ABBDepakote® Tablets 125mg, 250mg, 500mgAntiepileptic (AED)Mental Health
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GSKLamictal 25mg (chewable), 100mg, 150mg, 200mg AnticonvulsantMental Health
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PFZPristiq® Extended-Release 50mg, 100mgSelective Serotonin and Norepinephrine Reuptake Inhibitors (SNRI)Mental Health
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GSKImitrex Nasal Spray5mg, 20mg
Selective Serotonin Receptor Agonist
Migraine
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NOVAAzopt Eye Drops (discontinued 6/10/22)1%Carbonic Anhydrase InhibitorsOphthalmic
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NOVADurezol Ophthalmic Emulsion .05% (8ml) (discontinued 6/10/22)0.05 %CorticosteroidOphthalmic
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NOVAILEVRO (discontinued 6/10/22)0.3 %Nonsteroidal Anti-Inflammatory Drug (NSAIDs)Ophthalmic
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NOVATRAVATAN Z Eye drop (discontinued 6/10/22)0.004 %Antiglaucoma; ProstaglandinOphthalmic
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NOVAVigamox Eye Drops (discontinued 6/10/22)0.5 %Fluoroquinolone AntibioticOphthalmic
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NOVACiprodex OTIC Suspension (discontinued 6/10/22)0.3% /0.1%Antibiotic/CorticosteroidOther
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PFZArthrotec® 50/200mcg, 75/200mcgNSAID / Mucosal protective agentPain & Arthritis
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PFZFeldene® 10mg, 20mgNSAIDPain & Arthritis
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GSKAdvair Diskus 100/50, 250/50, 500/50Corticosteroid / Beta2 agonist, long-actingRespiratory
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GSKAdvair HFA 45/21, 115/21, 230/21Corticosteroid / Beta2 agonist, long-actingRespiratory
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GSKAnoro Ellipta 62.5/25mcgLong acting anticholinergic / Beta2 agonist, long-actingRespiratory
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GSKArnuity Ellipta 100mcg100mcgCorticosteroidRespiratory
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GSKBreo Ellipta INH PWDR #14/ #30100/25mcg, 200/25mcgCorticosteroid / Beta2 agonist, long-actingRespiratory
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GSKFlovent Diskus50mcg, 100mcg, 250mcgCorticosteroidRespiratory
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GSKFlovent HFA 110mcg/ac -13gm44mcg/ac, 100mcg/ac, 220mcg/acCorticosteroidRespiratory
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GSKIncruse Ellipta62.5mcgLong acting anticholinergic Respiratory
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GSKSerevent Diskus0.46mcgBeta 2 agonist ,long-actingRespiratory
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GSK Trelegy ElliptaAnticholinergic/ Corticosteroid/ Beta 2 agonist, long-actingRespiratory
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NOVATegretol XR (discontinued 6/10/22)100mg, 200mg, 400mgAnticonvulsantSeizure
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NOVATrileptal (discontinued 6/10/22)150mg, 300mg, 600mgAnticonvulsantSeizure
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PFZNicotrol® Nasal Spray 10mg/10mlSmoking Cessation AidSmoking Cessation
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PFZNicotrol® Inhalation System10mg/mlSmoking Cessation AidSmoking Cessation
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ABBSynthroid® Tablets 25mcg, 50mcg, 75mcg, 88mcg, 100mcg, 112mcg, 125mcg, 137mcg, 150mcg, 175mcg, 200mcg, 300mcgThyroid productThyroid
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PFZToviaz™4mg, 8mgUrinary AnticholinergicUrinary
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PFZDepo-Provera® Contraceptive Injection150mg/mlContraceptive injectionWomen's Health
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PFZDUAVEE TAB BLST US (bazedoxifene and conjugated estrogens)0.45/20mgEstrogen/SERMWomen's Health
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PFZPremarin® Tablets0.3mg, 0.45mg, 0.625mg, 0.9mg, 1.25mgEstrogensWomen's Health
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PFZPremarin® Vaginal Cream Tube 0.625mg/30mgEstrogensWomen's Health
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PFZPremphase® 0.625/5mgEstrogensWomen's Health
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PFZPrempro® Tablets0.3/1.5mg, 0.45/1.5mg, 0.625/2.5mgEstrogen/ProgestinWomen's Health
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MER-VACGardasil 9 VaccineVaccine
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MER-VACM-M-R II Vaccine with Diluent VaccineVaccine
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MER-VACPneumovax 23 VaccineVaccine
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MER-VACRecombivax HB 10mcg/mlVaccineVaccine
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MER-VACRecombivax HB 40mccg/mlVaccineVaccine
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MER-VACVAQTA (Hep A Vaccine) 25U/0.5mlVaccineVaccine
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MER-VACVAQTA (Hep A Vaccine) 50U/mlVaccineVaccine
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MER-VACVarivax Vaccine with DiluentVaccineVaccine
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MER-VACVaxneuvance (Pneumococcal 15-valent Conjugate Vaccine)0.5ml prefilled syringeVaccineVaccine
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PFZPrevnar 13® (Pneumococcal 13-valent Conjugate Vaccine [Diphtheria CRM197])VaccineVaccine
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PFZPrevnar 20® (Pneumococcal 20-valent Conjugate Vaccine)0.5ml syringe in carton of 10VaccineVaccine
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