| Document Date: 2012-08-07 13:03:46
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Facility Antihemophilic Factor/von Willebrand Factor Complex / / IndustryTerm corn oil / iso-osmotic solution / metal / castor oil / natural rubber/natural latex / soybean oil / mineral oil / / MedicalCondition Diphtheria / Allergy / Fever Children / Children's Allergy / tetanus / Sore Throat / pertussis / Pain / acellular pertussis / / MedicalTreatment active immunization / / Person Dosage Forms Acyclovir (Systemic) / Al Plus / Armodafinil Azelastine / Dosage Forms Azithromycin (Ophthalmic) / / Product Tramadol Outpatient Dosage Forms Tablet / Cleocin T / Fosamax / Astelin / Cephalexin / Acetaminophen / Dosage Forms Chlorthalidone Tablet / Cilostazol Outpatient Dosage Forms Cefdinir Tablet / CeFAZolin / Outpatient Dosage Forms Apraclonidine Tablet / Bentyl / benazepril hydrochloride / Abacavir sulfate / Adderall XR / Marcaine / Lotronex / Aranesp / Acetylcysteine / CycloSPORINE / Campral / Vistide / tramadol hydrochloride / Alfentanil / Bicalutamide / calcitonin-salmon / Dexedrine / Casodex / Captopril Outpatient Dosage Forms Cephalexin Tablet / Tylenol / Zyban / Desonide / Catapres / Dextrose / Soma / Xeloda / Hepsera / Wellbutrin XL / Ampicillin / Fortical / Danazol / ClonazePAM / Topicort / Dosage Forms Cisatracurium Tablet / CefOXitin / Alfenta / Outpatient Dosage Forms Cefepime Outpatient Dosage Forms Tablet / Allopurinol / Avastin / ChlorproMAZINE Outpatient Dosage Forms Injection / Norpace / Albuterol / AcetaZOLAMIDE / KlonoPIN / Symbicort / Outpatient Dosage Forms Suspension / Betaxolol / Edex / Ziagen / Miochol / Regranex / Rhinocort / Dantrium / Colestid / Outpatient Dosage Forms Outpatient Dosage Forms Injection / Amicar / Outpatient Dosage Forms Dexmethylphenidate Injection / Soriatane / Outpatient Dosage Forms Cisatracurium Tablet / Outpatient Dosage Forms AtorvaSTATin Tablet / Finacea / Anastrozole / Pulmicort Flexhaler / Parlodel / Atacand HCT / Diazepam / Outpatient Dosage Forms Clorazepate Injection / Fosamax Plus D / Bacitracin / Coenzyme Q-10 Outpatient Dosage Forms Capsule / CloZAPine / Cefdinir / Suboxone / Colazal / BCG Outpatient Dosage Forms Suspension / Coreg CR / Voltaren / CeleXA / Chlordiazepoxide Tablet / PerioGard / Desoximetasone / Duac / edetate disodium / Migranal / Baclofen / Sensipar / Digoxin / Amoxapine / Carbachol / Amoxicillin / Survanta / calcium chloride / Ciprodex / Albenza / Boric Acid Outpatient Dosage Forms Outpatient Dosage Forms Capsule / Acetadote / Epinephrine / Outpatient Dosage Forms Capecitabine Injection / amphetamine sulfate / Amitriptyline Outpatient Dosage Forms Outpatient Dosage Forms Tablet / Acetic Acid / Chlorhexidine Gluconate / Dosage Forms Celecoxib Tablet / ANAGRELIDE Outpatient Dosage Forms AMILoride Injection / BSS / Bupivacaine hydrochloride / Cabergoline / Zovirax / Maxidex / Abilify / ALPRAZolam / Calcipotriene / Cipro / Diamox / Alphagan / Captopril / AzaTHIOprine / Didanosine / CIPROFLOXACIN / PhosLo / Calcium Carbonate Outpatient Dosage Forms Suspension / Solaraze / Carvedilol / Muse / Atenolol / Domeboro / pseudoephedrine hydrochloride / Lotrel / Clindamycin phosphate / Calcitriol / potassium chloride / Zidovudine / Outpatient Dosage Forms Citalopram Tablet / Wellbutrin SR / Biaxin / Videx / Alprostadil / dextroamphetamine sulfate / Emend / Butalbital / Aspirin / and Caffeine / Carisoprodol / Trizivir / Outpatient Dosage Forms Celecoxib Tablet / Valsartan / DDAVP / Benadryl / Outpatient Dosage Forms Outpatient Dosage Forms Capsule / Tranxene / Plasbumin®-5 Outpatient Dosage Forms Injection / Betamethasone sodium phosphate / Delsym / Focalin / Darbepoetin Alfa Capsule / DEXAMETHASONE / Neoral / Bacitracin 400 / Enablex / Myleran / Sodium chloride / Clotrimazole / Acyclovir / Cleocin / Outpatient Dosage Forms Capsule / Ridaura / Dexamethasone Intensol / Outpatient Dosage Forms Tablet / Lotensin / chlordiazepoxide hydrochloride / Cetirizine hydrochloride / Ampicillin and Sulbactam / Activase / Xanax / Cyclophosphamide / ANAGRELIDE Outpatient Dosage Forms AtoMOXetine Capsule / Zithromax / CarBAMazepine / Dosage Forms AtorvaSTATin Tablet / Polyethylene glycol / Gengraf / Proventil / Demeclocycline Outpatient Dosage Forms Tablet / Outpatient Dosage Forms Outpatient Dosage Forms Tablet / Benzonatate / Calcium Acetate / Vitamin D / Gyne-Lotrimin / Antabuse / Miostat / Lipitor / Betoptic S / Exforge / Clarithromycin / Nuvigil / Divalproex / Amrix / atropine sulfate / Diphenoxylate hydrochloride / Aminocaproic Acid / Azopt / Augmentin / Azactam / Restasis / Atenolol Outpatient Dosage Forms Tablet / sodium acetate / Clarinex / Atacand / Beconase AQ / Dapsone / Outpatient Formulary Brands Available Vectical™ Outpatient Dosage Forms Outpatient Dosage Forms Capsule / Nimbex / Outpatient Formulary Brands Available Humate-P® Outpatient Dosage Forms Atovaquone Injection / Precose / Cleocin Phosphate / Dovonex / Brimonidine tartrate / Sectral / CeleBREX / Wellbutrin / Catapres-TTS / Lanoxin / Azelex / Naloxone / Acephen / Brovana / Balanced Salt / AK-Pentolate / Bumetanide / Targretin / Combigan / Questran / Prezista / Outpatient Dosage Forms Injection / Luxiq / TEGretol / DEXTROAMPHETAMINE AND AMPHETAMINE Outpatient Dosage Forms Desipramine Capsule / Mepron / Amcinonide / Chloroquine Outpatient Dosage Forms Tablet / Azithromycin / Diastat / Carbidopa and Levodopa / Bethanechol Outpatient Dosage Forms Becaplermin Tablet / Prevalite / Cefpodoxime Suspension / ChlordiazePOXIDE Outpatient Dosage Forms Capsule / Cyclogyl / Pristiq / Agrylin / Uroxatral / Bupivacaine / Disulfiram / Butalbital / Cefprozil / Norpramin / Strattera / Cilostazol / Pulmicort Respules / Candesartan cilexetil / Clopidogrel / Dipyridamole / ABACAVIR / Plavix / Ciloxan / Chlorthalidone / Outpatient Dosage Forms Amiodarone Outpatient Dosage Forms Tablet / Dosage Forms Apraclonidine Tablet / Lamivudine / Atropine / AzaSite / Differin / Axert / Lumigan / Celestone / Aggrenox / Cyanocobalamin / Tekturna / Arimidex / Miacalcin / Dexlansoprazole Outpatient Dosage Forms Outpatient Formulary Brands Available Dexilant™ Outpatient Dosage Forms Tablet / Santyl / Tiazac / Hydrocortisone / Hour Outpatient Dosage Forms Injection / Cholestyramine / ClomiPRAMINE Outpatient Dosage Forms Outpatient Dosage Forms Injection / Reyataz / Depakote / Ventolin / Hydrochlorothiazide / Malarone / Iopidine / CefTRIAXone / /
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Wilford Hall Ambulatory Surgical Center Outpatient Formulary Alphabetical Listing by Name This document is current as of July 5 , 2012. The availability of formulary items is subject to change. 1