ODspecs  (Med Tables)


 ANTIBIOTIC/STEROID  ANTIBIOTIC STEROID SIG QTY'S COST
Blephamide sulfacetamide 10% prednisolone acetate 0.2% q4hr 5, 10ml 158.00/5ml  g
Blephamide (ung) sulfacetamide 10% prednisolone acetate 0.2% ung tid or qid 3.5 gm tube 158.00 
Maxitrol  neomycin 0.35%,   polymyxin B   dexamethasone 0.1% qhr¹ 2.5, 5ml 18.00/5ml  g
Maxitrol ung  neomycin 0.35%,   polymyxin B   dexamethasone 0.1% ung tid or qid 3.5g 18.00  g
Tobradex tobramycin 0.3% dexamethasone 0.1% q4-6 hrs 2.5, 5, 10ml 55.00/5ml  g
Tobradex ST tobramycin 0.3% dexamethasone 0.05% q4-6 hrs 2.5, 5, 10ml 220.00/5ml
Tobradex ung tobramycin 0.3% dexamethasone 0.1% ung tid or qid 3.5 gm tube 190.00  g
'Vasocidin' sulfacetamide 10% prednisolone phosphate 0.23% q4hr 5ml 15.00  g
Zylet tobramycin 0.3% loteprednol etabonate 0.5% q4-6 hr 2.5, 5, 10ml 250.00/5ml
 Glaucoma  ACTION GENERIC NAME SIG QTY'SCOST
Alphagan-P alpha-2 agonist brimonidine 0.1, 0.15% (0.2%)¹ tid or bid(adj)¹ 5, 10, 15ml 58.00/15ml  g
Azopt   (suspension) cai brinzolamide 1% tid 10, 15ml 324.00/10ml
Betagan beta blocker levobunolol HCL 0.25, 0.5% bid or qd 5, 10, 15ml 9.22/5ml  g
Betoptic-S beta blocker betaxolol 0.25% bid 5, 10, 15ml 328.00/10ml
Combigan alpha-2 agonist/beta blocker brimonidine0.2%/timolol0.5% bid 5, 10ml 187.00/5ml
Cosopt  (and PF) cai/beta blocker dorzolamide 2%/timolol 0.5% bid 5, 10ml 22.00/10ml  g
Diamox oral cai acetazolamide 500mg po 125, 250mg¹ 36.00/250/30tab  g
Iopidine alpha agonist apraclonidine 0.5%¹ tid 5, 10ml 37.00/5ml  g
Lumigan prostaglandin bimatoprost 0.01%,0.03% qhs 2.5, 5, 7.5ml 50.00/2.5ml  g
Neptazane oral cai methazolamide 50mg po 25, 50mg tab 82.00/30/50tab  g
Ocupress beta blocker carteolol HCL 1% bid 5, 10, 15ml 14.00/5ml  g
Pilocarpine cholinergic agonist pilocarpine HCL 1%, 2%, 4% qid¹ 15ml 38.00  g
Rhopressa rho kinase inhibitor netarsudil dimesylate 0.02% qpm 2.5ml 264.00 
Rocklatan rho kinase inhibitor/prostaglandin netarsudil 0.02%/latanoprost 0.005% qpm 2.5ml 277.00 
Simbrinza cai/alpha 2 agonist brinzolamide 1%/brimonidine 0.2% tid 8ml 175.00 
Timoptic (and Ocudose) beta blocker timolol maleate 0.25, 0.5% bid or qd 5, 10, 15ml¹ 7.00/5ml  g
Timoptic XE gel beta blocker timolol maleate 0.25, 0.5% qd 2.5, 5ml 83.00/0.5%/5ml 
travoprost prostaglandin travoprost 0.004% qhs 2.5, 5ml 75.00 / 5ml  g
Travatan z prostaglandin travoprost 0.004% qhs 2.5 5ml 197.00 / 2.5ml 
Trusopt   (solution) cai dorzolamide 2.0% tid or bid(adj)¹ 5, 10ml 23.00 / 10ml  g
Vyzulta prostaglandin / NO donor latanoprostene bunod 0.024% qhs 5ml 381.00 
Xalatan prostaglandin latanoprost 0.005% qpm 2.5ml 13.00  g
Xelpros prostaglandin latanoprost 0.005% qpm 2.5ml 63.00 
Zioptan prostaglandin tafluprost 0.0015% qhs 30 90 pk 197.00 
Prepared Combinations Action Generic Name sig Qty's Cost
Brim-Dor™ PF alpha-2 agonist / cai brimonidine / dorzolamide (0.15/2)% bid 10ml 98.00
Tim-Lat™ PF beta blocker / prostaglandin timolol maleate / latanoprost (0.5/0.005)% qpm 5ml 98.00
Tim-Brim-Dor™ PF  beta blocker / alpha-2 agonist / cai   timolol/brimonidine/dorzolamide (0.5/0.15/2)% qAM* 10ml 118.00
Tim-Dor-Lat™ PF  beta blocker / cai / prostaglandin   timolol/dorzolamide/latanoprost (0.5/2/0.005)% qPM** 5ml 118.00
Tim-Brim-Dor-Lat™ PF  beta blocker / alpha-2 agonist / cai / prostaglandin   timolol/brimonidine/dorzolamide/latanoprost (0.5/0.15/2/0.005)% qPM* 5ml 138.00
* Two bottle combination forms the "Triple/Quad" AM - PM pairing.
** Tim-Dor-Lat (PM) pairs with Cosopt (AM).

 Cycloplegics  GENERIC NAME SIG QTY'S COST
Atropine atropine sulfate 0.5%, 1%, 2% bid 2,5,15ml 35.00/1%/5ml  g
Atropine Ung atropine sulfate 1% bid 3.5gm 60.00   g
Cyclogyl cyclopentolate 0.5%, 1%, 2% bid 2, 5¹, 15ml 40.00/1%/15ml  g
Homatropine homatropine HBr 2%, 5% qid 5ml 23.00 / 5ml / 5%  g
Mydriacyl tropicamide 0.5, 1% 1 or 2gtt 2, 3, 15ml 12.00/1%/15ml  g
Paremyd hydroxyamphetamine1%/tropicamide0.25% 1 or 2gtt 15ml 110.00 / 15ml  g
MISCACTION GENERIC NAME SIGQTY'SCOST
Betadine 5% microbicide povidone-iodine 5% 4-5gtt 1 oz (20) 22.00  g
Cequa immunomodulator cyclosporine 0.09% q 12hr 0.25 ml (60 vial box) 526.00 / box(60)
Klarity-C   (503-B)3 immunomodulator cyclosporine 0.1% q 12hr 5.5 ml (10 bottles/box) 440.00 / box
Lacrisert tear film stabilizer hydroxypropyl cellulose 1 rod qd 60/bx 499.00 
Latisse prostaglandin analog bimatoprost 0.03% 1 gt qhs 3ml, 5ml(generic) 66.00/5ml g
Lumify (otc) alpha-2 agonist brimonidine 0.025% 1 gt q 6-8 hr 2.5, 7.5ml 12.00/2.5ml 
Mucomyst compounded mucolytic acetylcysteine 2-20% qid 4, 10, 30ml 13.00/20%/30ml  g
Muro-128 (otc) hyperosmotic sodium chloride 2%, 5% sol/ung q 3-4 hr 15, 30ml / 3.5, 7gm ung 23.00 / 15ml 
Restasis  immunomodulator cyclosporine 0.05% q 12hr 0.4 ml (30 or 60 / tray)
5.5 ml in 10 ml bottle
578.00 / 60 (tray)
579.00 / 5.5ml
g
Xiidra LFA-1 antagonist lifitegrast 5% bid 60/bx 529.00 / 60 
NSAIDS GENERIC NAME SIGQTY'SCOST
Acular, ketorolac tromethamin 0.5% qid 5ml 20.00 / 5ml  g
Acular LS ketorolac tromethamin 0.4% qid 5ml 40.00 / 5ml  g
Acuvail ketorolac tromethamin 0.45% bid 30 x 0.4ml vial 334.00 
Bromday bromfenac 0.09% qd 1.7, 2.5, 5ml 87.00 / 1.7ml  g
BromSite bromfenac 0.075% bid 5ml 194.00 
Ilevro nepafenac suspension 0.3% qd¹ 1.7ml, 3ml 290.00 / 1.7ml 
Nevanac nepafenac suspension 0.1% tid 3ml 286.00 
Prolensa bromfenac 0.07% qd¹ 1.6, 3ml 266.00 / 3ml 
Voltaren diclofenac sodium 0.1% qid 2.5, 5ml 17.00 / 5ml  g
Oral Pain GENERIC NAME SIGQTY'SCOST
Tylenol #3 30mg codeine, 300mg acetaminophen 1 or 2 q4hr to q6hr 12-24(typical) 10.00 / 20  g
Lortab / Norco 5mg hydrocodone / 325 acetaminophen 1 or 2 po q4hr to q6hr 5,7.5,10 / 325mg 8.00 / 20 / 5,325mg  g
Ultracet 37.5 mg tramadol / 325 mg acetaminophen 1 tablet po q4hr to q6hr¹ 12-24(typical) 11.00 / 20  g
Ultram tramadol hydrochloride 25 or 50mg po q4hr to q6hr¹ 12-24(typical) 11.00 / 60  g
Vicodin 5mg hydrocodone, 300mg acetaminophen 1 or 2 q4hr to q6hr 8-16(typical) 7.00 / 12  g
STEROIDS GENERIC NAME SIGQTY'SCOST
Alrex                   (suspension) loteprednol etabonate 0.2% qid, taper 5,10ml 226.00 / 5ml 
Durezol               (emulsion) difluprednate 0.05% qid x14 dy, taper 5 ml 200.00 
Flarex                 (suspension) fluorometholone acetate 0.1% qid, taper 5 ml 79.00  
FML                   (suspension) fluorometholone alcohol 0.1% qid-bid, taper 5,10,15ml 56.00 / 5ml  g
FML ointment fluorometholone alcohol 0.1% ung 1-3 x/dy 3.5 gm tube 168.00 
FML Forte          (suspension) fluorometholone alcohol 0.25% q 4hrs, taper 5,10,15ml 165.00 / 5ml 
Inflamase Forte   (solution) prednisolone sodium phosphate 1.0% qhr to tid, taper 5,10,15ml 54.00 / 10ml  g
Lotemax Drops   (suspension) loteprednol etabonate 0.5% qid¹, taper 2.5, 5, 10, 15ml 238.00 / 5ml 
Lotemax Ointment & gel loteprednol etabonate 0.5% qid¹, taper 3.5gm ung / 5ml gel 193.00 gel 
Lotemax SM (gel) loteprednol etabonate 0.38% tid¹, taper 3.5gm ung / 5ml gel 204.00 
Maxidex             (suspension) dexamethasone 0.1% 4-6 x/dy, taper 5ml 50.00 / 5ml g
Pred Forte         (suspension) prednisolone acetate 1.0% 2-4 x/dy, taper 5,10,15ml 26.00 / 5ml g
prednisone         (tablet) prednisone anhydrous tablet 10-20 mg bid x 5 dy 5, 10, 20,50mg 6.00/ 10 / 20mg g
Triamcinolone     (cream) triamcinolone 0.1% tid 15,80gm 6.00 / 15g  g
TOPICAL ALLERGY GENERIC NAME SIGQTY'SCOST
Alaway  (otc)   (Combination) ketotifen 0.025% bid 10ml 13.00 g
Alocril              (Mast Cell Stabilizer) nedocromil sodium 2.0% bid 5ml 228.00 
Alomide         (Mast Cell Stabilizer) lodoxamide tromethamine 0.1% qid 10ml 184.00 
Alrex               (Steroid) loteprednol etabonate 0.2% qid 5, 10ml 226.00 / 5ml 
Bepreve       (Combination) bepotastine besilate 1.5% bid 5, 10ml 220.00 / 5ml 
Crolom           (Mast Cell Stabilizer) cromolyn sodium 4.0% qid 10, 15ml 16.00 / 10ml g
Elestat            (Combination) epinastine HCL 0.05% bid 5ml 40.00 / 5ml g
Lastacaft     (Combination) alcaftadine 0.25% qd 3ml 240.00 
Lotemax    (ointment) & (gel)    (steroid) loteprednol etabonate 0.5% qid¹ 3.5gm ung / 5ml gel 193.00 gel 
Optivar         (Combination) azelastine HCL 0.05% bid 6ml 25.00 g
Pataday         (Combination) olopatadine HCL 0.2% qd 2.5ml 35.00 g
Patanol          (Combination) olopatadine HCL 0.1% bid 5ml 32.00  g
Pazeo              (Combination) olopatadine HCL 0.7% qd 2.5ml 208.00  
Zaditor  (otc)   (Combination) ketotifen 0.025% bid 5ml 14.00  g
Opcon-A       (otc)
Naphcon-A(otc)   Antihistamine/Decongestant
Visine-A     (otc)
naphazoline 0.025%
pheniramine 0.3%
qid 0.5 fl. oz. 7.00  g
ORALS GENERIC NAME SIGQTY'SCOST
Amoxil amoxicillin 500mg po bid or tid x 10d 250, 500, 875mg 8.00 / 30 /500mg g
Augmentin amoxicillin / clavulanate 500mg po bid or tid x 10d 250, 500, 875 mg 25.00/20/875mg g
azithromycin azithromycin 500mg po then 250mg x 4d 250mg 12.00 / 6 / 250mg g
Ceclor cefaclor 500mg po q12hr 250, 500mg, suspn 44.00 / 30 / 500mg g
Diamox acetazolamide 500mg po 125, 250mg¹ 42.00 / 30 / 250mg g
dicloxacillin dicloxacillin 250mg po q6hr 250 500mg 27.00 / 30 / 500mg g
doxycycline doxycycline 100mg¹ po bid 20, 100mg 18.00 / 20 / 100mg g
Famvir famciclovir 500mg po tid x 7d, (zoster)
250mg po tid x 7d, (simplex)
125, 250, 500mg 41.00 / 21 / 500mg  g
Keflex cephalexin 500mg po q6hr x 5d 250, 500, 750mg 8.00 / 20 / 500mg  g
Lortab / Norco hydrocodone / acetaminophen 1 or 2 po q4hr to q6hr 5,7.5,10 / 325mg 9.00 / 20 / 5,325mg  g
prednisone   prednisone 10-20 mg bid x 5 dy 5, 10, 20,50mg 7.00/ 10 / 20mg g
Septra DS / (Bactrim)  800mg sulfamethoxazole / 160 trimethoprim 1 tab po q12hr x 10d DS 800/160mg¹ 8.00 / 20  g
Tylenol #3 30mg codein, 300mg acetaminophen 1 or 2 po q4hr to q6hr 12-24(typical) 10.00 / 20  g
Ultracet 37.5 mg tramadol / 325 mg acetaminophen 1 tablet po q4hr to q6hr¹ 12-24(typical) 11.00 / 20  g
Ultram tramadol hydrochloride 25 or 50mg po q4hr to q6hr¹ 12-24(typical) 10.00 / 60  g
Valtrex valcyclovir 1000mg po tid x 7d, (zoster)
500mg po tid x 7d, (simplex)
250, 500mg, 1g 45.00 / 30 / 1g  g
Vicodin 5mg hydrocodone, 300mg acetaminophen 1 or 2 po q4hr to q6hr 8-16(typical) 7.00 / 12  g
Zmax azithromycin single dose po¹ 1.0 gm 26.00 / 1g packet  g
Z-Pak azithromycin 2 tabs po then 1tb x 4d 6 x 250mg 16.00 / 6 / 250g  g
Zovirax acyclovir 800mg po 5x/d  (zoster)
400mg po 5x/d   (simplex)
200, 400, 800mg 14.00/60tab/400mg g

1. For clarification click the drug name (which is a link to the associated detail page).
2. Column with current prices. "Click" will usually open Good Rx price page for that drug .
3. 503-A = Customized compounding of FDA approved drugs. Facility not necessarily inspected by the FDA. Resulting product not FDA approved.
4. 503-B = Customized compounding of FDA approved drugs in quantity and in an FDA approved facility. Resulting product not FDA approved.

  g = generic

d = discontinued

Click any row and you will jump to that drug's detail page. Click the heading on any detail page to open
N.L.M (U.S.National Library of Medicine) page for that drug.(Looks like the package insert.) For children's dosages
click "Dosage and Administration" on the N.L.M. page.

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