ABCD
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UNC-CH CAMPUS HEALTH SERVICES FORMULARY
Updated 7/27/2022		Note: OTC items stocked in OTC Pharmacy are NOT listed. Brand Names for information only-
NOT all brand names listed below are stocked, generics are used when possible
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Generic Drug NameDEA CSFormulary Dosage Forms Brand Names
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Acetaminophen and CodeineIII •Tablet: Acetaminophen 300 mg and codeine phosphate 30 mgTylenol® With Codeine #3
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Acetaminophen and HydrocodoneII •Tablet: Hydrocodone bitartrate 5 mg and acetaminophen 325 mgLortab®; Norco®, Vicodin®
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Acetaminophen and OxycodoneII •Tablet: Acetaminophen 325 mg and oxycodone hydrochloride 5 mg; acetaminophen 325 mg and oxycodone hydrochloride 10 mg Percocet® 5/325; Roxicet® 5/325; Percocet® 10/325; Roxicet® 10/325
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Acetazolamide •Tablet, immediate release: 250 mg
•Capsule, 12-hour release: 500 mg		Diamox®, Diamox® Sequels
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Acetic acid-hydrocortisone •Otic solution: (10 mL) [contains benzethonium chloride]Acetasol®HC Otic, VoSol®HC Otic [DSC]
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Acyclovir •Ointment: 5% (15 g)
•Tablet: 400 mg 		Zovirax®
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Adapalene •Cream, topical: 0.1% (45 g)
•Gel, topical: 0.1%, 0.3% (45 g) [alcohol free]		Differin®
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Adapalene and Benzoyl Peroxide •Gel: 0.1%/2.5% (45 g) Epiduo®
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Albendazole •Tablet: 200mg Albenza®
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Albuterol •Aerosol, for oral inhalation: 90 mcg/metered inhalation (18 g) [200 metered inhalations; chlorofluorocarbon free]
•Solution for nebulization: 0.083% (3 mL) 		Ventolin® HFA
ProAir® HFA
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Alcohol (Isopropyl) •Swabs: 70% (200/box)
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Alendronate •Tablet: 70 mgFosamax®
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Allopurinol •Tablet: 100 mg, 300 mgZyloprim®
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Almotriptan •Tablet: 12.5 mg Axert®
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Alosetron •Tablet: 0.5 mg Lotronex®
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AlprazolamIV •Tablet: 0.25 mg, 0.5 mg, 1 mgXanax®
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Aluminum Chloride Hexahydrate •Solution, topical: 20% in SD alcohol 40 (30 mL) Drysol™
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amantadine HCl •Capsule: 100 mg
•Solution: 50 mg/5 mL
•Tablet: 100 mg
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AmiTRIPtyline Hydrochloride •Tablet: 10 mg, 25 mg, 75 mg, 100 mgElavil® [DSC]
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Amlodipine •Tablet: 2.5 mg, 5 mg, 10 mgNorvasc®
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Amlodipine-Benazapril •Tablet: 2.5-10 mg, 5-40 mg, 10-20 mg, 10-40 mgLotrel®
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Amlodipine/Valsartan •Tablet: 10-320 mgExforge®
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Amoxicillin •Capsule: 500 mg
•Tablet: 875 mg
•Powder for oral suspension: 250 mg/5 mL (150 mL)
•Powder for oral suspension: 400 mg/5 mL 		Amoxil®
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Amoxicillin and Clavulanic Acid •Tablet: 500: Amoxicillin trihydrate 500 mg & clavulanic acid 125 mg
•Tablet: 875: Amoxicillin trihydrate 875 mg & clavulanic acid 125 mg
•Tablet, extended release: Amoxicillin 1000 mg and clavulanic acid 62.5 mg
•Powder for oral suspension: 250-62.5 mg/5 mL, 400-57 mg/5 mL		Augmentin XR™; Augmentin®
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Ampicillin •Capsule: 500 mg
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Ampicillin Sodium and Sulbactam Sodium •Infusion [ADD-Vantage® vial]: 3 g [ampicillin sodium 2 g and sulbactam sodium 1 g] Unasyn®
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Apixaban •Tablet: 2.5 mgEliquis®
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Aripiprazole •Tablet: 2 mg, 5 mg, 10 mg, 15 mg
•Injection, extended release (Abilify Maintena - pre-filled syringe): 300 mg, 400 mg		Abilify®
Abilify® Maintena
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ArmodafinilIV •Tablet: 50 mg, 150 mg, 250 mgNuvigil®
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Atenolol •Tablet: 25 mg, 50 mg Tenormin®
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Atogepant •Tablet: 30 mg, 60 mgQulipta®
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Atomoxetine •Capsule: 10 mg, 18 mg, 25 mg, 40 mg, 60 mg, 80 mg, 100 mg Strattera™
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Atorvastatin •Tablet: 10 mg, 20 mg, 40 mg, 80 mgLipitor®
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Atovaquone and Proguanil •Tablet: Atovaquone 250 mg and proguanil hydrochloride 100 mg Malarone™
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Atropine Sulfate •Injection: 0.1 mg/mL (10 mL syringe)
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Azathioprine •Tablet: 50 mgImuran®
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Azelaic Acid •Cream: 20% (30 g)
•Gel: 15% (50 g) 		Azelex®
Finacea®
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Azelastine •Spray, intranasal solution, 0.1%: 1 mg/mL [137 mcg/spray] (30 mL) [contains benzalkonium chloride]
•Spray, intranasal solution, 0.15%: 1.5 mg/mL (30 mL) [contains benzalkonium chloride]		Astelin®
Astepro®
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Azithromycin •Tablet, as dihydrate: 250 mg, 500 mg
•Tablet Tri-Pack [unit-dose pack]: 500 mg (3s)
•Tablet Z-Pack [unit-dose pack]: 250 mg (6s)
•Suspension: 100 mg/5 mL, 200 mg/5 mL		Zithromax®, Z-pack®
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Baclofen •Tablet: 10 mg, 20 mg
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Baloxavir marboxil •Tablet: 20 mg, 40 mgXofluza®
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Balsalazide •Capsule: 750 mg Colazal®
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Beclomethasone dipropionate •Spray, aerosol, oral inhalation (QVAR RediHaler 80®): 80 mcg/actuation (10.6 g = 120 actuations)
•Spray, aerosol, oral inhalation (QVAR RediHaler 40®): 40 mcg/actuation (10.6 g = 120 actuations)		QVAR RediHaler®
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Benzonatate •Capsule: 100 mg, 200 mg Tessalon® Perles
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Benztropine •Tablet: 1 mg Cogentin®
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Betamethasone •Injection, as sodium phosphate and acetate: 3 mg/mL (5 mL)Celestone Soluspan®
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Bicalutamide •Tablet: 50 mgCasodex®
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Bisoprolol Fumarate •Tablet: 5 mgZebeta®
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Blood Glucose Monitor •Kit (contents vary with brand): OneTouch® Ultra-2®, OneTouch® Verio Reflect, Contour® One: in stock. Precision Xtra™ and ACCU-CHEK® Guide meter-Ordered on as needed basisOne Touch Ultra-2®; OneTouch® Verio Reflect, Contour® Next ONE, Precision Xtra™, ACCU-CHEK® Guide meter
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Brexiprazole •Tablet: 1 mgRexulti®
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Brimonidine Tartrate •Ophthalmic solution, 0.15%, 10 mLAlphagan P®
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Brinzolamide •Ophthalmic suspension, 1%, 10 mLAzopt®
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Budesonide •Capsule, oral, delayed release particles: 3 mg
•Powder for oral inhalation: 180 mcg/inhalation (225 mg) [delivers approx.160 mcg/inhalation; 120 metered doses]
•Powder for oral inhalation: 90 mcg/inhalation (60 metered doses)
•Suspension, nasal [spray]: 32 mcg/inhalation (5 mL) [60 metered doses]
•Suspension for nebulization: 0.5 mg/2 mL 		Entocort®
Pulmicort Flexhaler®;
Rhinocort® Allergy (OTC ONLY)
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Budesonide and Formoterol HFA •Aerosol, oral inhalation: 80/4.5 mcg per inhalation 10.2 g (120 inhalations), 160/4.5 mcg per inhalation 10.2 g (120 inhalations)Symbicort HFA®
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Bupivacaine Hydrochloride •Injection: 0.5% [5 mg/mL] (10 mL) Marcaine®
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Buprenorphine and naloxoneIII •Tablet, sublingual: 2-0.5 mg Suboxone®
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Bupropion Hydrochloride •Tablet, immediate release: 75 mg, 100 mg
•Tablet, extended release: (24 hour): 150 mg, 300 mg
•Tablet, sustained release (12 hour): 100 mg, 150 mg, 200 mg		Wellbutrin SR®; Wellbutrin XL™; Wellbutrin®; Zyban®
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BusPIRone •Tablet, as hydrochloride: 5 mg, 10 mg, 15 mg, 30 mg BuSpar®
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Cabergoline •Tablet: 0.5 mgDostinex®
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Calcipotriene •Cream: 0.005% (60 g)
•Solution (scalp): 0.005% (60 mL)		Dovonex
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Calcitonin (salmon) •Spray, intranasal: 200 units/actuation (3.7 mL = 30 actuations)Fortical®
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Canagliflozin •Tablet: 100 mg, 300 mgInvokana®
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Carbarmazepine •Capsule, extended release, 300 mg
•Tablet, extended release, 100 mg, 200 mg, 400 mg		Carbatrol®
Tegretol® XL
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Carvedilol •Tablet, immediate release: 3.125 mg, 6.25 mg, 12.5 mg, 25 mgCoreg®
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Cefadroxil •Capsule, as monohydrate: 500 mg Duricef®
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Cefdinir •Capsule: 300 mgOmnicef®
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Cefpodoxime •Tablet [film coated]: 200 mg Vantin®
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Ceftriaxone Sodium •Infusion, as sodium [ADD-Vantage® vial]: 1 g
•Powder for injection: 500 mg, 1 g 		Rocephin®
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Cefuroxime •Tablet, as axetil: 250 mg, 500 mg Ceftin®
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Celecoxib •Capsule: 100 mg, 200 mg Celebrex®
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Cervical Cap •Device 22mm; 26mm; 30mm (Ordered as needed on an individual basis)FemCap®
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Cephalexin Monohydrate •Capsule: 250 mg, 500 mg Keflex®
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Cetirizine •Tablet: 10 mg
•Syrup: 1 mg/1 mL, 120 mL bottle		Zyrtec®
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Cevimeline •Capsule: 30 mg Evoxac®
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Charcoal •Liquid, activated, with sorbitol: 50 g (240 mL)
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Chlorhexidine Gluconate •Rinse, oral (mint flavor): 0.12% with alcohol 11.6% (480 mL) Peridex®; PerioGard®
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Chloroquine •Tablet, as phosphate: 500 mg [300 mg base] Aralen®
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Chlorthalidone •Tablet: 25 mg Thalitone® [DSC]
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Cholecalciferol (vitamin D3) •Capsule: 50,000 international units (IU)Decara™
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Cholera, Attenuated Live Oral Vaccine •Suspension for oral administration supplied as a packet of the buffer component and a packet of the active component (lyophilized V. cholerae CVD 103-HgR). After preparation, a single dose of VAXCHORA is 100 mL.Vaxchora®
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Cholestyramine •Powder: 4 g packetsQuestran®
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Ciclopirox •Gel: 0.77% (45 g)
•Solution, topical (nail lacquer): 8% (6.6 mL)
•Shampoo: 1% (120 mL) 		Penlac®, Loprox®
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Ciprofloxacin and Dexamethasone •Suspension, sterile, otic: Ciprofloxacin hydrochloride 0.3% and dexamethasone 0.1% (7.5 mL) Ciprodex®
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Ciprofloxacin •Solution, ophthalmic: 0.3% (5 mL)
•Tablet: 250 mg, 500 mg 		Ciloxan®; Cipro®
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Citalopram •Tablet, as hydrobromide: 10 mg, 20 mg, 40 mg Celexa®
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Clarithromycin •Capsule: 250 mg, 500 mgBiaxin®
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Clindamycin •Capsule, as hydrochloride: 150 mg, 300 mg
•Cream, vaginal: 2% (40 g tube with 7 applicators)
•Gel, topical, as phosphate: 1% [10 mg/g] (30 g)
•Lotion, topical, as phosphate: 1% [10 mg/mL] (60 mL)
•Pledgets/swabs, topical, as phosphate: 1% (60 count)
•Solution, topical, as phosphate: 1% [10 mg/mL] (60 mL) 		Cleocin T®; Cleocin®; Clindagel®
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Clindamycin and Benzoyl Peroxide •Gel: clindamycin phosphate 1.2% and benzoyl peroxide 5% (45 g)Duac®
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Clobetasol Dipropionate •Cream: 0.05% (15 g, 30 g)
•Ointment, topical: 0.05% (15 g, 30 g)
•Solution, topical: 0.05% (50 ml) 		Temovate®
Cormax®
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Clobetasol Propionate •Foam, emollient: 0.05% (15 g)Olux-E®
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Clomiphene •Tablet: 50 mgClomid®
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Clomipramine •Capsule: 50 mg Anafranil®
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ClonazepamIV •Tablet: 0.5 mg, 1 mgKlonopin®
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Clonidine •Tablet: 0.1 mg
•Tablet ER (12 hour): 0.1 mg
•Transdermal patch: 0.1 mg/24 hour		Catapres®
Kapvay®
Catapres®-TTS
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Clopidogrel •Tablet: 75 mgPlavix®
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Clotrimazole •Troche: 10 mg
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Clotrimazole-Betamethasone •Cream, topical: 1%-0.05% (15 g)Lotrisone®
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Colchicine •Capsule: 0.6 mg
•Tablet: 0.6 mg		Mitigare®
Colcrys®