Formulary (Alpha)
| The following is an alphabetical list of medications that the Anderson Free Clinic purchases or obtains through patient assistance programs. The list is subject to change and does not contain items that may be available as samples only. (Last updated 6/14/10.) | ||
| Medication | Strength | Class |
| Accupril | 5mg, 10mg, 20mg, 40mg tablets | Angiotensin-Converting Enzyme (ACE) Inhibitors & Combinations |
| Acetaminophin | 500mg tablets | Analgesic |
| Actos (difficult to get) | 15 mg, 30 mg, 45 mg | Anti-Diabetic Agents |
| Aerobid Inhaler | – | Anti-Asthmatic Agents |
| Albuterol Inhaler | – | Anti-Asthmatic Agents |
| Allopurinol | 100 mg, 300 mg tablets | Anti-Gout Agents |
| Amiodarone | 200 mg tablets | Antiarrythmic Drugs |
| Amitriptyline | 25 mg, 100mg tablets | Anti-Depressants |
| Amoxicillin | 500 mg capsules | Antibiotics |
| Atenolol | 50 mg tablets | Antiadrenergic Agents (Alpha & Beta Blockers & Combinations |
| Atrovent HFA Inhaler | – | Anti-Asthmatic Agents |
| Avalide | 150/12.5 mg, 300/12.5mg, 300/25mg tablets | Angiotensin II Receptor Blockers |
| Avapro | 150 mg, 300 mg tablets | Angiotensin II Receptor Blockers |
| Azathioprine | 50 mg | Miscellaneous |
| Azithromycin | 250 mg Z-Pak | Antibiotics |
| Carbidopa/Levodopa | 10/100, 25/100, 25/250 tablets | Miscellaneous |
| Cardura | 1 mg, 2 mg, 4 mg, 8 mg tablets | Antiadrenergic Agents (Alpha & Beta Blockers & Combinations) |
| Carvedilol | 3.125mg, 6.25mg, 12.5mg, 25mg tablets | Antiadrenergic Agents (Alpha & Beta Blockers & Combinations |
| Cephalexin | 500 mg capsules | Antibiotics |
| Cetirizine | 10 mg tablets | Antihitamines |
| Chlorzoxazone | 500mg tablets | Muscle Relaxer |
| Ciprofloxacin | 250 mg, 500 mg tablets | Antibiotics |
| Clonidine | 0.1 mg, 0.2 mg, 0.3 mg tablets | Antiadrenergic Agents (Alpha & Beta Blockers & Combinations) |
| Clotrimazole | 1% cream (30 g) | Anti-Fungals |
| Colchicine | 0.6 mg tablets | Anti-Gout Agents |
| Combivent Inhaler | – | Anti-Asthmatic Agents |
| Cortisporin Otic Suspension | – | Otic Drops |
| Coumadin | 1 mg, 2 mg, 2.5 mg, 3 mg, 4 mg, 5 mg, 6 mg, 7.5 mg, 10 mg tablets | Anti-Platelet Agents |
| Creon (special order–takes 4-6 weeks) | 6, 12, 24 | Gastrointestinals |
| Cyanocobalamin | 1000 mcg/ml Injection | Miscellaneous |
| Cyclobenzaprine | 10mg tablets | Muscle Relaxer |
| Depakote (special order–takes 4-6 weeks) | 125 mg, 250 mg, 500 mg tablets | CNS Agents |
| Depakote ER (special order–takes 4-6 weeks) | 500 mg tablets | CNS Agents |
| Digoxin | 0.125 mg, 0.25 mg tablets | Antiarrhythmic Drugs |
| Dilantin | 100 mg capsules | CNS Agents |
| Diphenhydramine | 25mg capsules | Antihistamine |
| Docusate | 100mg capsules | Miscellaneous |
| Doxycycline | 100 mg capsules | Antibiotics |
| Econazole | 1% cream (30 g) | Anti-Fungals |
| Effexor XR | 37.5 mg, 75 mg, 150 mg capsules | Anti-Depressants |
| Erythromycin | 500mg tablets | Antibiotics |
| Ferrous Sulfate | 325 mg tablets | Vitamins |
| Flomax | 0.4 mg capsules | Antiadrenergic Agents (Alpha & Beta Blockers & Combinations) |
| Fluconazole | 150 mg tablets | Anti-Fungals |
| Folic Acid | 1 mg | Vitamins |
| Furosemide | 20 mg, 40 mg, 80 mg tablets | Diuretics |
| Gemfibrozil | 600 mg tablets | Anti-Hyperlipidemic Agents |
| Glipizide | 5 mg, 10 mg | Anti-Diabetic Agents |
| Glipizide ER | 2.5 mg, 5 mg, 10 mg | Anti-Diabetic Agents |
| Glucovance | 1.25/250 mg, 2.5/500 mg, 5/500 mg | Anti-Diabetic Agents |
| Glyburide | 5 mg | Anti-Diabetic Agents |
| HCTZ | 25 mg tablets | Diuretics |
| Humalog | – | Anti-Diabetic Agents |
| Humalog 75/25 | – | Anti-Diabetic Agents |
| Humulin 70/30 | – | Anti-Diabetic Agents |
| Humulin L | – | Anti-Diabetic Agents |
| Humulin N | – | Anti-Diabetic Agents |
| Humulin R | – | Anti-Diabetic Agents |
| Hydralazine | 25 mg, 50 mg tablets | Vasodilators |
| Isosorbide Mononitrate | 30 mg, 60 mg tablets | Vasodilators |
| Levmir | Vials & Flexpens | Anti-Diabetic Agents |
| Lexapro | 10 mg, 20 mg tablets | Anti-Depressants |
| Lipitor | 10 mg, 20 mg, 40 mg, 80 mg | Anti-Hyperlipidemic Agents |
| Meclizine | 12.5 mg, 25 mg tablets | Anti-Vertigo Agents |
| Medroxyprogesterone | 2.5 mg, 10 mg tablets | Hormone Replacement |
| Metformin | 500 mg, 850 mg, 1000 mg | Anti-Diabetic Agents |
| Metformin XR | 500 mg | Anti-Diabetic Agents |
| Methotrexate | 2.5mg tablets | Antimetabolites |
| Methylprednisolone | 4 mg Dosepak | Steroids |
| Metoclopramide | 10 mg tablets | Gastrointestinals |
| Metronidazole | 250 mg, 500 mg tablets | Antibiotics |
| Metroprolol | 25mg, 50 mg, 100 mg tablets | Antiadrenergic Agents (Alpha & Beta Blockers & Combinations) |
| Multivitamin | – | Vitamins |
| Neurontin | 100 mg, 300 mg, 400 mg, 600 mg, 800 mg | CNS Agents |
| Nitroglycerin Tablets | 0.4 mg tablets | Vasodilators |
| Norvasc | 2.5 mg, 5 mg, 10 mg tablets | Calcium Channel Blockers |
| Novolog | Vials & Flexpens | Anti-Diabetic Agents |
| Novolog 70/30 | Vials & Flexpens | Anti-Diabetic Agents |
| Oxybutynin | 5mg tablets | Renal Agents/Urinary Analgesics |
| Penicillin VK | 250 mg, 500 mg tablets | Antibiotics |
| Permethrin | 5% cream (60 g) | Scabicidal Agent |
| Phenazopyridine | 200 mg tablets | Renal Agents/Urinary Analgesics |
| Plavix | 75 mg tablets | Anti-Platelet Agents |
| Polymyxin B/Trimethoprim Solution | – | Opthalmic Drops |
| Potassium Chloride ER | 10 mEq, 20 mEq tablets | Miscellaneous |
| Prednisone | 5 mg, 10 mg, 20 mg tablets | Steroids |
| Premarin | 0.3 mg, 0.45 mg, 0.625 mg, 0.9 mg, 1.25 mg tablets | Hormone Replacement |
| Prempro | 0.45/1.5 mg, 0.625/2.5 mg, 0.625/5 mg tablets | Hormone Replacement |
| Procardia XL | 30 mg, 60 mg, 90 mg | Calcium Channel Blockers |
| Promethazine (limited to 30 tablets per month) | 25 mg tablets | Anti-Vertigo Agents |
| Propanolol | 10 mg, 20 mg, 40 mg tablets | Antiadrenergic Agents (Alpha & Beta Blockers & Combinations) |
| Ranitidine | 150 mg tablets | Gastrointestinals |
| Singulair | 10 mg | Anti-Asthmatic Agents |
| Sodium Bicarbonate | 10 gr tablets | Miscellaneous |
| Spironolactone | 25 mg tablets | Diuretics |
| Sulfamethoxazole/TMP D.S. | 800/160 mg tablets | Antibiotics |
| Synthroid | 25 mcg, 50 mcg, 75 mcg, 88 mcg, 100 mcg, 112 mcg, 125 mcg, 137 mcg, 150 mcg, 175 mcg, 200 mcg | Thyroid Replacement Therapy |
| Tegretol | 200 mg tablets | CNS Agents |
| Tetracycline | 250 mg capsules | Antibiotics |
| Theophylline ER | 200 mg, 300 mg tablets | Anti-Asthmatic Agents |
| Tiazac | 120 mg, 180 mg, 240 mg, 300 mg, 360 mg, 420 mg capsules | Calcium Channel Blockers |
| Tramadol | 50mg tablets | Analgesic |
| Trazodone | 50 mg, 150 mg tablets | Anti-Depressants |
| Triamcinolone .1% cream | 30 g, 80 g, 1 lb | Topical Steroids |
| Triamterene/HCTZ | 37.5/25 mg capsules | Diuretics |
| Tricor (difficult to get) | 48 mg, 145 mg tablets | Anti-Hyperlipidemic Agents |
| Verapamil | 80mg, 120 mg tablets | Calcium Channel Blockers |
| Verapamil ER | 120 mg, 180 mg, 240 mg tablets | Calcium Channel Blockers |
| Vistaril | 25 mg capsules | Anti-anxiety Agents |
| Vitamin D | 1000 IU | Vitamins |
| Zetia | 10 mg | Anti-Hyperlipidemic Agents |
