URGENT CARE VIA RETAIL FORMULARY

ANTIBIOTIC

  • AMOXICILLIN, 250 MG CAP, Max Qty: 60 (Amoxil)
  • AMOXICILLIN, 500 MG CAP, Max Qty: 30 (Amoxil)
  • AMOXICILLIN, 875 MG TAB, Max Qty: 28 (Amoxil)
  • AMOXICILLIN, 250 MG/5ML SUSP, Max Qty: 200 (Amoxil)
  • AMOXICILLIN, 400 MG/5ML SUSP, Max Qty: 200 (Amoxil)
  • AMOXICILLIN/CLAVULANIC ACID, 500-125 MG TAB, Max Qty: 28 (Augmentin)
  • AMOXICILLIN/CLAVULANIC ACID, 875-125 MG TAB, Max Qty: 28 (Augmentin)
  • AMOXICILLIN/CLAVULANIC ACID, 400-57 MG/5ML SUSP, Max Qty: 200 (Augmentin)
  • AMOXICILLIN/CLAVULANIC ACID, 600-42.9 MG/5ML SUSP, Max Qty: 200 (Augmentin)
  • AZITHROMYCIN, 250 MG TAB, Max Qty: 6 (Zithromax)
  • AZITHROMYCIN, 500 MG TAB, Max Qty: 3 (Zithromax)
  • AZITHROMYCIN, 100 MG/5ML SUSP, Max Qty: 15 (Zithromax)
  • AZITHROMYCIN, 200 MG/5ML SUSP, Max Qty: 30 (Zithromax)
  • CEFDINIR, 300 MG CAP, Max Qty: 14 (Omnicef)
  • CEPHALEXIN, 250 MG CAP, Max Qty: 56 (Keflex)
  • CEPHALEXIN, 500 MG CAP, Max Qty: 28 (Keflex)
  • CEPHALEXIN, 250 MG/5ML SUSP, Max Qty: 200 (Keflex)
  • CIPROFLOXACIN, 250 MG TAB, Max Qty: 28 (Cipro)
  • CIPROFLOXACIN, 500 MG TAB, Max Qty: 28 (Cipro)
  • CLINDAMYCIN, 150 MG CAP, Max Qty: 28 (Cleocin)
  • CLINDAMYCIN, 300 MG CAP, Max Qty: 28 (Cleocin)
  • DOXYCYCLINE HYCLATE, 100 MG TAB, Max Qty: 28 (Vibramycin)
  • LEVOFLOXACIN, 250 MG TAB, Max Qty: 21 (Levaquin)
  • LEVOFLOXACIN 500 MG TAB, Max Qty: 21 (Levaquin)
  • METRONIDAZOLE 500 MG TAB, Max Qty: 28 (Flagyl)
  • NITROFURANTOIN 100 MG CAP, Max Qty: 28 (Macrobid)
  • PENICILLIN VK 500 MG TAB, Max Qty: 28 (Veetids)
  • PENICILLIN VK 250 MG/5ML SUSP, Max Qty: 200 (Veetids)
  • SMZ/TMP DS 800-160 MG TAB, Max Qty: 28 (Bactrim)
  • SMZ/TMP 200-40 MG/5ML SUSP, Max Qty: 120 (Bactrim)

ANTIBIOTIC TOPICAL

  • ERYTHROMYCIN 0.5% OPTH OINT, Max Qty: 3.5 (Ilotycin)
  • MUPIROCIN 2% OINT, Max Qty: 22 (Bactroban)
  • NEO/POLY/HC OTIC SOLN, Max Qty: 10 (Cortisporin)
  • POLYMYXIN B/TRIMETH OPTH SOLN, Max Qty: 10 (Polytrim)
  • SILVER SULFADIAZINE 1% CREAM, Max Qty: 50 (Silvadene)
  • TOBRAMYCIN 0.3% OPTH SOLN, Max Qty: 5 (Tobrex)

ANTIFUNGAL

  • FLUCONAZOLE 150 MG TAB, Max Qty: 1 (Diflucan)
  • NYSTATIN 100,000 USP CREAM, Max Qty: 30 (Mycostatin)
  • NYSTATIN 100,000 USP OINT, Max Qty: 30 (Mycostatin)

ANTIHISTAMINE

  • HYDROXYZINE 25 MG TAB, Max Qty: 30 (Atarax)

CADIOVASULAR

  • NITROGLYCERIN 0.4 MG SL TAB, Max Qty: 25 (Nitrostat)

CORTICOSTEROID

  • METHYLPREDNISOLONE 4 MG PACK, Max Qty: 21 (Medrol Dosepak)
  • PREDNISONE 10 MG TAB, Max Qty: 20 (Deltasone)
  • PREDNISONE 20 MG TAB, Max Qty: 20 (Deltasone)
  • PREDNISOLONE 15 MG/5ML SOLN, Max Qty: 120 (Orapred)

CORTICOSTEROID TOPICAL

  • HYDROCORTISONE 2.5% CREAM, Max Qty: 30 (Hytone)
  • PREDNISOLONE 1% OPTH SUSP, Max Qty: 5 (Pred Forte)
  • TRIAMCINOLONE 0.1% CREAM, Max Qty: 30 (Kenalog)
  • TRIAMCINOLONE 0.1% OINT, Max Qty: 30 (Kenalog)

COUGH SUPPRESSANT

  • BENZONATATE 100 MG CAP, Max Qty: 20 (Tessalon Perles)
  • BENZONATATE 200 MG CAP, Max Qty: 20 (Tessalon Perles)

GASTROINTESTINAL

  • DICYCLOMINE 20 MG TAB, Max Qty: 60 (Bentyl)
  • DIPHENOX-ATROPINE 2.5-0.025 MG TAB, Max Qty: 30 (Lomotil)
  • PANTOPRAZOLE 40 MG TAB, Max Qty: 21 (Protonix)
  • PROMETHAZINE 25 MG TAB, Max Qty: 30 (Phenergan)

GOUT

  • ALLOPURINOL 100 MG TAB, Max Qty: 21 (Zyloprim)
  • ALLOPURINOL 300 MG TAB, Max Qty: 21 (Zyloprim)

MIGRAINE

  • SUMATRIPTAN 50 MG TAB, Max Qty: 9 (Imitrex)
  • SUMATRIPTAN 100 MG TAB, Max Qty: 9 (Imitrex)

MUSCLE RELAXANT

  • CYCLOBENZAPRINE 10 MG TAB, Max Qty: 30 (Flexeril)

PAIN MANAGEMENT

  • IBUPROFEN 800 MG TAB, Max Qty: 60 (Motrin)
  • NAPROXEN 500 MG TAB, Max Qty: 30 (Naprosyn)
  • TRAMADOL 50 MG TAB, Max Qty: 30 (Ultram)