Lloyd F. Moss Free Clinic Pharmacy Formulary
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Lloyd F. Moss Free Clinic Community Pharmacy Formulary
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Brand Name (Generic)StrengthClassCategory
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Atarax (Hydroxyzine HCl)25mg1st generation H1 antagonist; AntiemeticAllergies & Cold
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Beconase AQ (Beclomethasone spray)42 mcgCorticosteroidAllergies & Cold
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Benadryl (Diphenhydramine)25mg OR 12.5mg/5ml solution1st generation H1 antagonistAllergies & Cold
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Nasonex nasal spray (Mometasone)50mcgCorticosteroidAllergies & Cold
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Sudafed (Pseudoephedrine HCl)60mgAlpha/beta agonistAllergies & Cold
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Tessalon (Benzonatate)100mgAntitussiveAllergies & Cold
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Zyrtec (Cetirizine)10mgAntihistamineAllergies & Cold
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Caduet (Amlodipine / Atorvastatin)5/(10,20,40 or 80)mg, 10/(10,20,40 or 80)mgCalcium Channel Blocker / StatinCholesterol
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Fish Oil (Omega-3/EPA/DHA)1 gramAntilipemicCholesterol
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Lipitor (Atorvasatin)10mg, 20mg, 40mg Antilipemic/ StatinCholesterol
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Lofibra (Fenofibrate)54mgAntilipemic Agent/Fibric acidCholesterol
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Lopid (Gemfibrozil)600mgFibrateCholesterol
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Tricor (Fenofibrate)145mgAntilipemic Agent/Fibric acidCholesterol
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Vytorin (Ezetimibe / Simvastatin)10/10mg, 10/20mg, 10/40mg, 10/80mgAntilipemic/ StatinCholesterol
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Zetia (Ezetimibe)10mgAntilipemicCholesterol
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Glucophage (Metformin) *NOT extended release*500mg, 1000mgBiguanideDiabetes
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Glucotrol (Glipizide) *NOT extended release*5mg, 10mgSulfonylureaDiabetes
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Humalog (Insulin Lispro Recombinant)100 units/mLInsulin, rapid-actingDiabetes
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Humulin 70/30 (Insulin Human Isophane-Insulin Human Regular)100 units/mLInsulin, intermediate-acting / short-actingDiabetes
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Humulin N (Insulin Human Isophane (NPH))100 units/mLInsulin, intermediate-actingDiabetes
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Humulin R (Insulin Human Regular)100 units/mLInsulin, short-actingDiabetes
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Insulin syringes 30g 8mm length1/2 CC or 1 CC Diabetes suppliesDiabetes
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Janumet (Sitagliptin / Metformin)50/500mg, 50/1000mgDPP-IV inhibitor / BiguanideDiabetes
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Janumet XR (Sitagliptin / Metformin)50/500mg, 50/1000mgDPP-IV inhibitor / BiguanideDiabetes
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Januvia (Sitagliptin)25mg, 50mg, 100mgDPP-IV inhibitorDiabetes
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Lancets 30g100/boxDiabetes suppliesDiabetes
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TrueMetrix glucose meter1 meterDiabetes suppliesDiabetes
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TrueMetrix test strips50 test strips/boxDiabetes suppliesDiabetes
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Diflucan (Fluconazole)150mg ONLY!Synthetic triazole antifungalFungal Infections
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Lotrimine (Clotrimazole cream)1%AntifungalFungal Infections
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Lotrisone (Clotrimazole / Betamethasone cream)1%/0.05%Topical antifungal/steroidFungal Infections
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Nystatin Oral Solution100,000 Units/mlOral antifungalFungal Infections
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Bentyl (Dicyclomine HCl)10mg, 20mgAntispasmodic/ AnticholinergicGastrointestinal
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Carafate (Sucralfate)1gm tablet ONLY (no suspension)
Protective coating to protect gastric lining
Gastrointestinal
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Colace (Docusate sodium)100mgStool SoftenerGastrointestinal
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Emend (Aprepitant)80mg & TriPack available Antiemetic Gastrointestinal
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GoLytely (Polyethylene glycol electrolyte solution)3350Osmotic laxativeGastrointestinal
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Immodium (Loperamide HCl)2mgAntidiarrheaGastrointestinal
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Levsin (Hyoscyamine sulfate)0.125mgAnticholinergic/ AntispamodicGastrointestinal
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Prilosec (Omeprazole)20mgProton pump inhibitorGastrointestinal
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Protonix (Pantoprazole)40mgProton pump inhibitorGastrointestinal
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Reglan (Metoclopramide)10mgProkinetic antiemeticGastrointestinal
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Zantac (Ranitidine)150mgH2 receptor antagonistGastrointestinal
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Aldactone (Spironolactone)25mg, 50mgCorticosteroid / Beta2 agonist, long-actingHeart Health & Blood Pressure
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Apresoline (Hydralazine)10mg, 25mg, 50mgVasodilatorHeart Health & Blood Pressure
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Aspirin81mgNSAIDHeart Health & Blood Pressure
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Betapace AF (Sotalol HCl)120mg, 160mgAntiarrhythmic; Nonselective Beta blockerHeart Health & Blood Pressure
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Bumex (Bumetanide)1mg, 2mgDiuretic, LoopHeart Health & Blood Pressure
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Calan (Verapamil)80mg, 120mgCCB - Non-DHPHeart Health & Blood Pressure
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Cardura (Doxazosin)4mgAlpha1-blockerHeart Health & Blood Pressure
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Catapres (Clonidine HCl)0.1mg, 0.2mg, 0.3mgAlpha2 adrenergic agonistHeart Health & Blood Pressure
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Cordarone (Amiodarone)200 mgAntiarrhythmicHeart Health & Blood Pressure
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Coreg CR (Carvedilol)10mg, 20mg, 40mg, 80mgBeta blocker, alpha-selectiveHeart Health & Blood Pressure
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Coumadin (Warfarin)2mg, 2.5mg, 5mg, 6mg, 10mgAnticoagulantHeart Health & Blood Pressure
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Cozaar (Losartan)25mg, 50mg, 100mgARBHeart Health & Blood Pressure
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Demadex (Torsemide)20mg, 40mgDiuretic, LoopHeart Health & Blood Pressure
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Entresto (Sacubitril / Valsartan)24mg/26mg, 49mg/51mg, 97mg/103mg Neprilysin Inhibitor; Angiotensin II Receptor BlockerHeart Health & Blood Pressure
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Hydrodiuril (Hydrochlorothiazide)12.5mg, 25mgDiuretic, ThiazideHeart Health & Blood Pressure
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Imdur (Isosorbide mononitrate)20mg, 30mg ER, 60mg ER, 120mg ERVasodilatorHeart Health & Blood Pressure
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Inderal (Propranolol HCl)20mg, 40mg, 80mgNon-selective Beta blocker; AntiarrythmicHeart Health & Blood Pressure
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Inspra (Eplerenone)25mg, 50mgAldosterone antagonistHeart Health & Blood Pressure
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Lanoxin (Digoxin)0.25mgAntiarrhythmicHeart Health & Blood Pressure
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Lasix (Furosemide)20mg, 40mg, 80mgDiuretic, LoopHeart Health & Blood Pressure
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Loniten (Minoxidil)2.5mg, 10mgVasodilatorHeart Health & Blood Pressure
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Lopressor (Metoprolol tartrate)25mg, 50mg, 100mgBeta blocker, Beta1-selective Heart Health & Blood Pressure
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Nitrostat (Nitroglycerin) *Can not dispense more then 1 bottle (100 ct) every 30 days0.4mgVasodilator, Antiangina agentHeart Health & Blood Pressure
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Norvasc (Amlodipine)2.5mg, 5mg, 10mgCCB -DHPHeart Health & Blood Pressure
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Plavix (Clopidogrel)75mgAntiplateletHeart Health & Blood Pressure
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Prinivil (Lisinopril)2.5mg, 5mg, 10mg, 20mg, 40mgACE inhibitorHeart Health & Blood Pressure
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Prinzide (Lisinopril / Hydrochlorothiazide)10/12.5mg, 20/12.5mg, 20/25mgACE inhibitor / Thiazide diureticHeart Health & Blood Pressure
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Proamatine (Midodrine HCl)2.5mg, 5mg, 10mgAlpha1 agonistHeart Health & Blood Pressure
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Tambocor (Flecainide)50mg, 100mgAntiarrhythmicHeart Health & Blood Pressure
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Tenormin (Atenolol)25mg, 50mgBeta1 blockerHeart Health & Blood Pressure
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Trandate (Labetolol)200mgBeta blocker with Alpha blocking activityHeart Health & Blood Pressure
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Trental (Pentoxifylline ER)400mgBlood viscosity reducer agentHeart Health & Blood Pressure
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Zaroxolyn (Metolazone)2.5mg, 5mgDiuretic, Thiazide-related Heart Health & Blood Pressure
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Amoxil (Amoxicillin)500mgAntibiotic, PenicillinInfectious Disease
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Augmentin (Amoxicillin / Clavulanate)500/125mg, 875/125mgAntibiotic, PenicillinInfectious Disease
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Bactrim DS (Sulfamethoxazole / Trimethoprim)800/160mgSulfonamide derivative antibiotic Infectious Disease
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Ceftin (Cefuroxime Axetil)250mg, 500mg2nd generation Cephalosporin antibiotic Infectious Disease
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Cipro (Ciprofloxacin)250mg, 500mgQuinolone antibioticInfectious Disease
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Cleocin (Clindamycin)150mg, 300mgLincosamide antibioticInfectious Disease
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Flagyl (Metronidazole)250mg, 500mgAntibiotic, miscellaneousInfectious Disease
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Keflex (Cephalexin)250mg, 500mg1st generation Cephalosporin AntibioticInfectious Disease
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Levaquin (Levofloxacin)500mg, 750mg Fluoroquinolone antibioticInfectious Disease
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Macrobid (Nitrofurantoin monohydrate/macrocrystals)100mgAntibiotic, miscellaneousInfectious Disease
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Macrodantin (Nitrofurantoin macrostalline)50mgAntibiotic, miscellaneousInfectious Disease
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Minocin (Minocycline HCl)100mgAntibiotic, tetracycline derivativeInfectious Disease
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Monodox (Doxycycline Monohydrate)100mgAntibiotic, tetracycline derivativeInfectious Disease
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Penicillin VK (Penicillin V potassium)500mgPenicillin antibioticInfectious Disease
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Valtrex (Valacyclovir)500mg, 1000mgAntiviralInfectious Disease
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Zithromax (Azithromycin)250mgAntibiotic, Macrolide (has anti-inflammatory properties)Infectious Disease
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Zovirax (Acyclovir)200mg, 400mg, 800mgAntiviralInfectious Disease
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Avodart (Dutasteride)0.5mg5-Alpha reductase inhibitorMen's Health
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Flomax (Tamsulosin)0.4mgAlpha1 antagonistMen's Health
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Jalyn (Dutasteride / Tamsulosin)0.5mg/0.4mg5-Alpha reductase inhibitor / Alpha1 blockerMen's Health
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Proscar (Finasteride)5mg5-Alpha reductase inhibitorMen's Health
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Viagra (Sildenafil) *Can not dispense more than 10 tablets every 30 days, no early refills!25mg, 50mg, 100mgPhosphodiesterase type-5 enzyme inhibitor Men's Health
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