Generic Name Brand Name Strengths Form 30 Day Qty 90 Day Qty
Acyclovir Zovirax 200mg Capsule 30 90
Acyclovir Zovirax 400mg Tablet 30 90
Albuterol Proventil Inh Solution 0.083% Ampule 75 ML 225ML
Albuterol Proventil /Ventolin 0.5% Solution 20 ML 60ML
Albuterol Proventil /Ventolin NULL Syrup 120 ML 360ML
Amiloride/HCTZ Moduretic 5/50mg Tablet 30 90
Amlodipine Norvasc 5mg, 10mg Tablet 30 90
Gentamicin Garamycin 0.3% Solution 5 ML 15 ML
Atenolol Tenormin 25mg, 50mg, 100mg Tablet 30 90
Belladonna Alk W/Pb Donnatal NULL Tablet 60 180
Benazepril Lotensin 5mg, 10mg, 20mg, 40mg Tablet 30 90
Benzonatate Tessalon 100mg Capsule 14 42
Benztropine Mes Cogentin 2mg Tablet 30 90
Buspirone Buspar 5mg, 10mg Tablet 60 180
Bisoprolol/HCTZ Ziac 5/6.25mg, 10/6.25mg Tablet 30 90
Carvedilol Coreg 3.125mg, 6.25mg, 12.5mg, 25mg Tablet 60 180
Ceron-DM Rondec DM NULL Syrup 120 ML 360ML
Chlorhexidine Peridex Solution 0.12% Solution 473 ML 1419ML
Citalopram Celexa 20mg, 40mg Tablet 30 90
Clindamycin Cleocin 150mg Capsule 28 *
Clonidine Catapres 0.1mg, 0.2mg Tablet 30 90
Cyclobenzaprine Flexeril 5mg, 10mg Tablet 30 90
Cytra-2 Bicitra Sf NULL Solution 473 ML 1419 ML
Dexamethasone Decadron 0.5mg Tablet 30 90
Dexamethasone Decadron 0.75mg Tablet 18 54
Dexamethasone Decadron 4mg Tablet 12 36
Dicyclomine Bentyl 10mg Capsule 90 270
Dicyclomine Bentyl 20mg Tablet 60 180
Antipyrine-Benzocaine Auralgan 5.4/1.4% Solution 10 30
Ferrous Sulfate Feosol 325(65 FE)mg Tablet 90 270
Diltiazem Cardizem 120mg Tablet 30 90
Glyburide Micronase 5mg Tablet 30 90
Doxepin Sinequan 10mg, 25mg Capsule 30 90
Enalapril/HCTZ Vaseretic 5/12.5mg Tablet 30 90
Erythromycin A T S 2% Topical Solution 60 ML 180ML
Estradiol Estrace 0.5mg, 1mg, 2mg Tablet 30 90
Ethedent Chew Luride Chew 0.25mg Chew Tab 30 90
Famotidine Pepcid 20mg Tablet 30 90
Fluconazole Diflucan 150mg U/U Tablet 1 3
Fluocinonide-E Lidex E 0.05% Cream 15GM 60GM
Fluoxetine Prozac 10mg Capsule 30 90
Fluoxetine Prozac 20mg Capsule 60 180
Fluphenazine Prolixin 1mg Tablet 60 180
Folic Acid Folic Acid 1mg Tablet 30 90
Furosemide Lasix 20mg, 40mg, 80mg Tablet 30 90
Gentamicin Garamycin 0.1% Cream 15 GM 45 GM
Gentamicin Garamycin 0.1% Ointment 15 GM 45 GM
Guaifenesin DM Robitussin DM NULL Syrup 120 ML 360 ML
Guanfacine Tenex 1mg Tablet 30 90
HCTZ Cap Microzide 12.5mg Capsule 30 90
HCTZ Tab Hydrodiuril 25mg, 50mg Tablet 30 90
Hydralazine Apresoline 10mg, 25mg Tablet 30 90
Hydrocortisone Hydrocortisone 1%, 2.5% Cream 30 GM 90 GM
Hydroxyzine Atarax NULL Syrup 120 ML 360 ML
Ibuprofen Motrin 100mg/5ML Suspension 120 ML 360 ML
Ibuprofen Motrin 400mg, 600mg, 800mg Tablet 90 270
Indapamide Lozol 1.25mg, 2.5mg Tablet 30 90
Indomethacin Indocin 25mg Capsule 60 180
Ipratropium Sol Atrovent 0.02% Ampule 62.5 ML 187.5 ML
Isoniazid Isoniazid TAC 300 mg Tablet 30 90
Lactulose Enulose 10G/15ML Solution 473 ML 1419ML
Levobunolol Ophth Betagan Ophth 0.5% Solution 5 ML 15 ML
Lidocaine Viscous Xylocaine Viscous 2% Solution 100 ML 300 ML
Lisinop/HCTZ Zestoretic /Prinzide 10/12.5mg, 20/12.5mg, 20/25mg Tablet 30 90
Lisinopril Zestril /Prinivil 2.5mg, 5mg, 10mg, 20mg Tablet 30 90
Lithium Carb Eskalith 300mg Capsule 90 270
Loratadine Claritin 10mg Tablet 30 90
Lovastatin Mevacor 10mg, 20mg Tablet 30 90
Magnesium Oxide Mag-Ox 400mg Tablet 60 180
Mag-SR Slow-Mag 64mg Tablet 30 90
Medroxyprogesterone Provera 2.5mg, 5mg, 10mg Tablet 30 90
Megestrol Megace 20mg Tablet 30 90
Meloxicam Mobic 7.5mg, 15mg Tablet 30 90
Methyldopa Aldomet 250mg Tablet 60 180
Methyldopa Aldomet 500mg Tablet 30 90
Metoclopramide Reglan 5mg Syrup 120 ML 360ML
Metoclopramide Reglan 10mg Tablet 60 180
Metoprolol Tartrate Lopressor 25mg, 50mg, 100mg Tablet 60 180
Metronidazole Flagyl 250mg Tablet 28 *
Mirtazipine Remeron 15mg Tablet 30 90
Multivitamin/Fl Poly Vi Flor 0.25mg, 0.5mg, 1mg Chew Tab 30 90
Naproxen Naprosyn 375mg, 500mg Tablet 60 180
Natalcare PIC Niferex Pn NULL Tablet 30 90
Natalcare Plus Stuartnatal Plus NULL Tablet 30 90
Nortriptyline Pamelor 10mg, 25mg Capsule 30 90
Paroxetine Paxil 10mg, 20mg Tablet 30 90
Prazosin Minipres 1mg, 2mg, 5mg Capsule 30 90
Prednisone Deltasone 2.5mg, 5mg, 10mg, 20mg Tablet 30 90
Prednisone Dspk Sterapred 5mg Tablet 21 *
Prochlorperazine Compazine 10mg Tablet 30 90
Prometh DM Phenergan DM NULL Syrup 120 ML 360 ML
Prometh Plain Phenergan NULL Syrup 120 ML 360 ML
Promethazine Phenergan 25mg Tablet 30 90
Ranitidine Zantac 150mg, 300mg Tablet 60 180
Aspirin Aspirin 81mg Chewable, Tablet 90 270
Selenium Sulfide Lot Selsun Lotion 2.5% Lotion 120 ML 360 ML
Sertraline Zoloft 50mg, 100mg Tablet 30 90
Silver Sulfadiazene Silvadene NULL Cream 25GM 50GM
Simvastatin Zocor 10mg Tablet 30 90
Sotalol Betapace 80mg Tablet 30 90
Spironolactone Aldactone 25mg Tablet 30 90
Tamoxifen Nolvadex 10mg Tablet 30 90
Terazosin Hytrin 1mg, 2mg, 5mg, 10mg Capsule 30 90
Thioridazine Mellaril 25mg, 50mg Tablet 30 90
Timolol Mal Ophth Timoptic Ophth 0.25%, 0.5% Solution 5 ML 15 ML
Tobramycin Ophth Tobrex Ophth 0.03% Solution 5 ML 15 ML
Trazodone Desyrel 50mg, 100mg, 150mg Tablet 30 90
Triamcinolone Ace Kenalog 0.1% 15GM Cream 15 GM *
Triamcinolone Ace Kenalog 0.1% 80GM Cream 80 GM *
Triamcinolone Ace Kenalog 0.025% 15GM Cream 15 GM *
Triamcinolone Ace Kenalog 0.025% 80GM Cream 80 GM *
Triamcinolone Ace Kenalog 0.1% 15GM Ointment 15 GM *
Triamcinolone Ace Kenalog 0.1% 80GM Ointment 80 GM *
Triamterene/HCTZ Dyazide 37.5/25mg Capsule 30 90
Triamterene/HCTZ Maxzide 37.5/25mg, 75/50mg Tablet 30 90
Trihexyphenidyl Artane 2mg Tablet 60 120
Trimeth/Polyxin Ophth Polytrim Ophth NULL Solution 10ML *
Verapamil Calan 80mg, 120mg Tablet 60 180
Warfarin Sodium Coumadin 1mg, 2mg, 2.5mg, 3mg, 4mg, 5mg, 6mg, 7.5mg, 10mg Tablet 30 90
Generic Name Brand Name Strength Form Max Qty
Amoxicillin Amoxil 250mg Capsule 42 caps
Amoxicillin Amoxil 500mg Capsule 42 caps
Amoxicillin Amoxil 250mg Chew Tab 42 caps
Amoxicillin Amoxil 125mg Suspension 150 ml
Amoxicillin Amoxil 200mg Suspension 200 ml
Amoxicillin Amoxil 250mg Suspension 150 ml
Amoxicillin Amoxil 400mg Suspension 200 ml
Ampicillin Principen 250mg Capsule 56 caps
Ampicillin Principen 500mg Capsule 56 caps
Cephalexin Keflex 250mg Capsule 42 caps
Cephalexin Keflex 500mg Capsule 42 caps
Ciprofloxacin Cipro 250mg Tablet 28 tabs
Ciprofloxacin Cipro 500mg Tablet 28 tabs
Ciprofloxacin Cipro 750 mg Tablet 28 tabs
Penicillin Vk V-Cillin K 125mg Solution 200 ml
Penicillin Vk V-Cillin K 250mg Solution 200 ml
Penicillin Vk V-Cillin K 250mg Tablet 56 tabs
Penicillin Vk V-Ciillin K 500mg Tablet 56 tabs
Sulfmeth/Trimeth DS Bactrim DS NULL Tablet 28 tabs
Sulfmeth/Trimeth Bactrim NULL Tablet 28 tabs
Generic Name Brand Name Strength Form Max Qty
Metformin ER Glucophage XL 500mg Tablet 180
Metformin Glucophage 500mg Tablet 180
Metformin Glucophage 850mg Tablet 180
Metformin Glucophage 1000mg Tablet 180
Glimepiride Amaryl 1mg Tablet 90
Glimepiride Amaryl 2mg Tablet 90
Glimepiride Amaryl 4mg Tablet 90
Glipizide Glucotrol 5mg Tablet 180
Glipizide Glucotrol 10mg Tablet 180
Glipizide XL Glucotrol XL 5mg Tablet 90
Glyburide Micronase 1.25mg Tablet 90
Glyburide Micronase 2.5mg Tablet 90
Generic Name Strength Form Max Qty
Prenatal Plus 27-1mg Tablet 90
Prenatal Rx 29-1mg Tablet 90
Prenatal Plus/Iron 27-1mg Tablet 90
Vol Plus 27-1 27-1 Tablet 90