CrossOver Pharmacy Formulary
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 FormularyWal-Mart Formulary
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**Lines in Yellow are being discontinued and will be removed when there is no longer any stock**
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Bottle SizeAllergies & Asthma & COPDStrength
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12g,120 dosesAdvair HFA
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60 dosesAdvair Diskus100/50, 250/50, 500/50
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120 dosesAdvair HFA 45/21
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60Anoro Ellipta62.5mcg/25mcg
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30doses;120 dosesAsmanex Twist Inhaler220mcg
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Beconase AQ
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60Breo100mcg/25mcg
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90Daliresp500mcgNo Longer given from RXP
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13g,120 dosesAvelo100mcg/5mcg,200mcg/5mcg
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12 g,120 dosesFlovent HFA 44mcg,110mcg,220mcg
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60 dosesFlovent Diskus50mcg,100mcg,250mcg
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30Grastek
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30 dosesIncruse Ellipta62.5 mcg
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17g, 120 spraysNasonex50 mcg
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30.5 gPatanase Nasal Spray
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6.7gProventil HFA90mcg
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60 dosesTudorza Pressair Inhaler400mcgNo Longer given from RXP
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18 gVentolin HFA 90 mcg
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10 gVeramyst Nasal Spray 27.5mcgNo Longer given from RXP
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Bottle SizeAntibioticsStrength
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500Amoxicillin500mg
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5Avelox400mgNo Longer given from RXP
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Bactroban Nasal Ointment2%
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bulkCiprofloxacin250mg, 500mg
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bulkClindamyacin Hydrochloride150 mg
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Clindamyacin Hydrochloride300 mg
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50Doxycycline100 mg
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100Macrobid100mg
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bulkMetronidazole500 mg
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bulkNitofurantoin100mg
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bulkSulfomethoxazole and Trimethoprim
(double strength)
800/160 mg
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Bottle SizeArthritis/PainStrength
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60Arthrotec50mg/200mcg,75mg/200mcg
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100Celebrex100mg,200mg,400mg
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Bottle SizeBladder & ProstateStrength
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30Avodart0.5mg
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60Detrol1mg
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90Detrol LA2mg,4mg
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100Jalyn0.5mg/0.4mg
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30Toviaz4mg,8mg
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Bottle SizeCholestrol Lowering AgentsStrength
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90Atorvastatin 20mg,40mg
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90Advicor500/20mg, 750/20, 1000, 20mg, 1000/40mgNo Longer given from RXP
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90Crestor10mg, 20mg, 40mgNo Longer given from RXP
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120Lovaza1gm
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90Niaspan 500mg,750mg,1000mgNo Longer given from RXP
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90Simcor500mg/20mg, 500mg/40mg, 750mg/20mg, 1000mg/20mg, 1000mg/40mgNo Longer given from RXP
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90Trilipix45mg, 135mgNo Longer given from RXP
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90Vytorin10/20mg,10/40mg
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90Zetia10mg
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Bottle SizeCreams & Ointments & LotionsStrength
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45gmDuac Gel1.2%/5%
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30gmPremarin Vaginal Cream
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Bottle SizeDiabetesStrength
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Byetta5mg,10mg
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bulkGlimepiride 1mg,2mg,4mg
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60,180Janumet50/500mg,50/1000mg
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60, 180Janumet XR50/500mg,50/1000mg
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30, 90Janumet XR100/1000mg
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90Januvia 25mg, 50mg,100mg
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bulkMetformin 500mg,1000mg
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4 Injection PensTanzeum30mg,50mg
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30Xigduo XR5/500mg, 10/500mg, 10/1000mgNo Longer given from RXP
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Bottle SizeEar MedicationsStrength
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10mLCipro HC Otic Suspension (Ear)No Longer given from RXP
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7.5mLCiprodex Otic Suspension (Ear)
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Bottle SizeEye MedicationsStrength
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15mL, 10 mLAzopt(brizolamide)1%      
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15mLBetoptic S0.25%No Longer given from RXP
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28 vialsBion Tears LubricantNo Longer given from RXP
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5mLCiloxan(ciprofloxacin HCL)  eye drops0.3%No Longer given from RXP
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3.5gCiloxan(ciprofloxacin HCL)  eye ointment0.3%No Longer given from RXP
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15mLCyclogyl Ophth Solution0.5%,1%, 2% No Longer given from RXP
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5mLCyclomydril Ophthalmic SolutionNo Longer given from RXP
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5mLDurezol0.05%No Longer given from RXP
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5mLEmadine0.05%No Longer given from RXP
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5mLFlarex (FML Forte(fluorometholone opth susp)0.1%No Longer given from RXP
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5mLIsopto Hyoscine0.25%
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5mLMaxidex (dexamethasone)0.10%No Longer given from RXP
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15mlMydriacyl (tropicamide) Solution1%No Longer given from RXP
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10mL, 15mLNaphcon A Eye Drops No Longer given from RXP
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15mlNatacyn(natamycin) Opthalmic Suspension5%No Longer given from RXP
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3mLNevanac Ophthalmic Suspension0.1%No Longer given from RXP
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10mlOmnipred1%
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2.5mLPataday0.2%
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30mLTears Naturale IINo Longer given from RXP
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