Formulary (Class)
| The following is a listing by class 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.) | |
| Angiotensin II Receptor Blockers | |
| Avalide | 150/12.5 mg, 300/12.5, 300/25 tablets |
| Avapro | 150 mg, 300 mg tablets |
| Angiotensin-Converting Enzyme (ACE) Inhibitors & Combinations | |
| Accupril | 5 mg, 10 mg, 20 mg, 40 mg tablets |
| Anti-Hyperlipidemic Agents | |
| Gemfibrozil | 600 mg tablets |
| Lipitor | 10 mg, 20 mg, 40 mg, 80 mg |
| Tricor | 48 mg, 145 mg tablets |
| Zetia | 10 mg |
| Antiadrenergic Agents (Alpha & Beta Blockers & Combinations) | |
| Atenolol | 50 mg tablets |
| Cardura | 1 mg, 2 mg, 4 mg, 8 mg tablets |
| Carvedilol | 3.125mg, 6.25mg, 12.5mg, 25mg tablets |
| Clonidine | 0.1 mg, 0.2 mg, 0.3 mg tablets |
| Flomax | 0.4 mg capsules |
| Metoprolol | 25mg, 50 mg, 100 mg tablets |
| Propanolol | 10 mg, 20 mg, 40 mg tablets |
| Anti-anxiety Agent | |
| Vistaril | 25mg capsules |
| Antiarrhythmic Drugs | |
| Cordarone | 200 mg tablets |
| Digoxin | 0.125 mg, 0.25 mg tablets |
| Anti-Asthmatic Agents | |
| Aerobid Inhaler | |
| Albuterol Inhaler | |
| Combivent Inhaler | |
| Singulair | 10 mg |
| Theophylline ER | 200 mg, 300 mg tablets |
| Antibiotics | |
| Amoxicillin | 500 mg capsules |
| Cephalexin | 500 mg capsules |
| Ciprofloxacin | 250 mg, 500 mg tablets |
| Doxycycline | 100 mg capsules |
| Erythromycin | 250mg, 500mg tablets |
| Metronidazole | 250 mg, 500 mg tablets |
| Penicillin VK | 250 mg, 500 mg tablets |
| Sulfamethoxazole/TMP | 800/160 mg tablets |
| Tetracycline | 250 mg capsules |
| Anticholinergic Agent | |
| Atrovent HFA Inhaler | – |
| Anti-Depressants | |
| Amitriptyline | 25mg, 100mg tablets |
| Effexor | 75 mg tablets |
| Effexor XR | 37.5 mg, 75 mg, 150 mg capsules |
| Lexapro | 10 mg, 20 mg tablets |
| Trazodone | 50mg, 150 mg tablets |
| Anti-Diabetic Agents | |
| Actos | 15 mg, 30 mg, 45 mg |
| Glipizide | 5 mg, 10 mg |
| Glipizide ER | 2.5 mg, 5 mg, 10 mg |
| Glucophage | 500 mg, 850 mg, 1000 mg |
| Glucophage XR | 500 mg |
| Glucovance | 1.25/250 mg, 2.5/500 mg, 5/500 mg |
| Glyburide | 5 mg |
| Humalog 75/25 | |
| Humalog Insulin | |
| Humulin 70/30 | |
| Humulin L | |
| Humulin N | |
| Humulin R | |
| Levemir Insulin | Vials & Flexpens |
| Novolog | Vials & Flexpens |
| Novolog Mix 70/30 | Vials & Flexpens |
| Anti-Fungals | |
| Clotrimazole | 1% cream (30 g) |
| Econazole | 1% cream (30 g) |
| Fluconazole | 100mg, 150 mg tablets |
| Anti-Gout Agents | |
| Allopurinol | 100 mg, 300 mg tablets |
| Colchicine | 0.6 mg tablets |
| Antihistamine | |
| Diphenhydramine | 25mg capsules |
| Anti-Inflammatory/Anti-Arthritic | |
| Aspirin EC | 81 mg, 325 mg tablets |
| Ibuprofen | 800 mg |
| Antimetabolite | |
| Methotrexate | 2.5mg tablets |
| Anti-Platelet Agents | |
| Coumadin | 1 mg, 2 mg, 2.5 mg, 3 mg, 4 mg, 5 mg, 6 mg, 7.5 mg, 10 mg tablets |
| Plavix | 75 mg tablets |
| Anti-Vertigo Agents | |
| Meclizine | 12.5 mg, 25 mg tablets |
| Promethazine | 25 mg tablets |
| Calcium Channel Blockers | |
| Norvasc | 2.5 mg, 5 mg, 10 mg tablets |
| Procardia XL | 30 mg, 60 mg, 90 mg |
| Tiazac | 120 mg, 180 mg, 240 mg, 300 mg, 360 mg, 420 mg capsules |
| Verapamil | 40 mg, 80mg, 120 mg tablets |
| Verapamil ER | 120 mg, 180 mg, 240 mg tablets |
| CNS Agents | |
| Depakote | 125 mg, 250 mg, 500 mg tablets (Special order–takes 4 to 6 weeks to arrive) |
| Depakote ER | 250mg, 500 mg tablets (Special order–takes 4 to 6 weeks to arrive) |
| Dilantin | 50 mg tablets, 100 mg capsules |
| Neurontin | 100 mg, 300 mg, 400 mg, 600 mg, 800 mg |
| Tegretol | 200 mg tablets |
| Topamax | 25, 100 mg tablets (Special order–takes 4 to 6 weeks to arrive) |
| Diuretics | |
| Furosemide | 20 mg, 40 mg, 80 mg tablets |
| HCTZ | 25 mg tablets |
| Spironolactone | 25 mg tablets |
| Triamterene/HCTZ | 37.5/25 mg capsules |
| Gastrointestinals | |
| Creon | 10, 20 |
| Metoclopramide | 10 mg tablets |
| Zantac | 150 mg tablets |
| Hormone Replacement | |
| Medroxyprogesterone | 2.5 mg, 10 mg tablets |
| Premarin | 0.3 mg, 0.45 mg, 0.625 mg, 0.9 mg, 1.25 mg tablets |
| Prempro | 0.45/1.5 mg, 0.625/2.5 mg, 0.625/5 mg tablets |
| Muscle Relaxer | |
| Chlorzoxazone | 500mg tablets |
| Cyclobenzaprine | 10mg tablets |
| Opthalmic Drops | |
| Polymyxin B/Trimethoprim Solution | |
| Osteoporosis Prevention / Biphosphonate | |
| Fosamax | 70mg tablets |
| Otic Drops | |
| Cortisporin Otic Suspension | |
| Pain Management/Analgesic | |
| Tramadol | 50 mg |
| Scabicidal Agents | |
| Permethrin | 5% cream (60 g) |
| Steroids | |
| Methylprednisolone | 4 mg Dosepak |
| Prednisone | 5 mg, 10 mg, 20 mg tablets |
| Thyroid Replacement Therapy | |
| Synthroid | 25 mcg, 50 mcg, 75 mcg, 88 mcg, 100 mcg, 112 mcg, 125 mcg, 137 mcg, 150 mcg, 175 mcg, 200 mcg |
| Topical Steroid | |
| Triamcinolone | 0.1% cream |
| Urinary Antispasmodic | |
| Oxybutynin | 5mg tablets |
| Vasodilators | |
| Hydralazine | 25 mg, 50 mg tablets |
| Isosorbide Mononitrate | 30 mg, 60 mg tablets |
| Nitroglycerin Patches | 0.2 mg/hr, 0.4 mg/hr, 0.6 mg/hr |
| Nitroglycerin Tablets | 0.4 mg tablets |
| Miscellaneous | |
| Ferrous Sulfate | 325 mg tablets |
| Folic Acid | 1 mg |
| Potassium Chloride ER | 10mEq, 20mEq tablets |
| Sodium Bicarbonate | 10 gr tablets |
