ODspecs  (Med Tables)


 ANTI-INFECTIVES  GENERIC NAME SIG QTY'S COST 2
AzaSite azithromycin 1% bid x 2d then qd x 5d 2.5ml 255.62
Bacitracin (ung) 500 units bacitracin per gram ung tid x 7d 1gm, 3.5gm 112.91/3.5g  g
Besivance besifloxacin 0.6% tid x 7d¹ 5ml 224.84
Ciloxan ciprofloxacin HCL 0.3% q15min x 6hr, then q30min 1st day
then qhr x 1dy, then q4hr to 14d (ulcer)
¹
2.5, 5, 10ml 23.83/5ml  g
Ciloxan (ung) ciprofloxacin HCL 0.3% ung 1-3x/d 3.5 gm tube 277.77
Ilotycin (ung) erythromycin 0.5% ung bid-qid 3.5 gm tube 23.60  g
Garamycin gentamicin 0.3% qid x 7-10d¹ 5ml, 15ml 25.43  g
Moxeza moxifloxacin 0.5% bid x 7 d 3ml 184.00
Ocuflox ofloxacin 0.3% q2-4 hr x 2d, qid next 5d¹ 5, 10ml 51.28/5ml  g
Neosporin neomycin, polymyxin b, gramicidin qid x 7-10d¹ 10ml 55.70  g
Polysporin  (Polycin ung) bacitracin zinc, polymixin b q 3-4hr x 7d (or often qhs) 3.5 gm 26.62  g
Polytrim trimethoprim 0.1% polymixin b q 3hr 10ml 22.57  g
Quixin levofloxacin 0.5% q2hr x 2d, q4hr x 5d 5ml 192.66  g
Tobrex tobramycin 0.3% q 4hr 5ml 22.85  g
Tobrex (ung) tobramycin 0.3% ung bid or tid¹ 3.5 gm tube 232.00
Fortified Vancomycin vancomycin 5% qhr 1st day then adjust 10ml/500mg 866.38  g
Vigamox moxifloxacin 0.5% tid x 7 d 3ml 123.00  g
Zymaxid (0.5%) / Zymar (0.3%) 0.5% or 0.3% gatifloxacin q2-3 hr, qid 5ml/2.5ml¹ 115.05  g

Anti Fungal

  Natacyn     natamycin 5%     q1-2hrx3d then q2-3hr        15ml        450.00 
Anti Viral
Famvir famciclovir 500mg po tid x 7d, zoster
250mg po tid x 7d, simplex
125, 250, 500mg 156.07/21tab/500mg  g
Valtrex valcyclovir 1000mg po tid x 7d, zoster
500mg po tid x 7d, simplex
500mg, 1g 168.51 / 30 / 1g   g
Viroptic trifluridine 1.0% q 2hr x 24-48hr then qid 7.5ml 229.02  g
Zirgan (gel)    ganciclovir 0.15% 1gt 5x/d then tidx7d 5gm tube 463.00
Zovirax acyclovir 800mg po 5x/d zoster x 7d
400mg po 5x/d simplex¹ x 7d
200, 400, 800mg 24.78/30tab/400mg g

 ANTIBIOTIC/STEROID  ANTIBIOTIC STEROID SIG QTY'S COST
Blephamide sulfacetamide 10% prednisolone acetate 0.2% q4hr 5, 10ml 206.51/5ml g
Blephamide (ung) sulfacetamide 10% prednisolone acetate 0.2% ung tid or qid 3.5 gm tube 192.84 
'Cortisporin'  neomycin 0.35%, polymyxin B   hydrocortisone 1% q3-4hr¹ 7.5ml 156.33 g
Maxitrol  neomycin 0.35%, polymyxin B   dexamethasone 0.1% qhr¹ 2.5, 5ml 22.5/5ml  g
Maxitrol  (ung)  neomycin 0.35%, polymyxin B   dexamethasone 0.1% ung tid or qid 3.5g 29.22  g
Pred-G gentamicin sulfate 0.3% prednisolone acetate 1% qhr¹ then 2-4x/dy 5ml 192.00
Pred-G  (ung) gentamicin sulfate 0.3% prednisolone acetate 1% ung 1-3x/dy 3.5g 222.73
Tobradex tobramycin 0.3% dexamethasone 0.1% q4-6 hrs 2.5, 5, 10ml 93.51/5ml   g
Tobradex ST tobramycin 0.3% dexamethasone 0.05% q4-6 hrs 2.5, 5, 10ml 234.00/5ml
Tobradex (ung) tobramycin 0.3% dexamethasone 0.1% ung tid or qid 3.5 gm tube 289.11  g
'Vasocidin' sulfacetamide 10% prednisolone phosphate 0.23% q4hr 5ml 21.44  g
Zylet tobramycin 0.3% loteprednol etabonate 0.5% q4-6 hr 2.5, 5, 10ml 322.03.00/5ml
 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 166.22/15ml  g
Azopt   (suspension) cai brinzolamide 1% tid 10, 15ml 400.93/10ml
Betagan beta blocker levobunolol HCL 0.25, 0.5% bid or qd 5, 10, 15ml 23.83/5ml  g
Betoptic-S beta blocker betaxolol 0.25% bid 5, 10, 15ml 394.00/10ml
Combigan alpha-2 agonist/beta blocker brimonidine0.2%/timolol0.5% bid 5, 10ml 232.44/5ml
Cosopt  (and PF) cai/beta blocker dorzolamide 2%/timolol 0.5% bid 5, 10ml 90.60/10ml  g
Diamox oral cai acetazolamide 500mg po 125, 250mg¹ 63.15/250/30tab  g
Iopidine alpha agonist apraclonidine 0.5%¹ tid 5, 10ml 87.33/5ml  g
Lumigan prostaglandin bimatoprost 0.01%,0.03% qhs 2.5, 5, 7.5ml 131.48/2.5ml  g
Neptazane oral cai methazolamide 50mg po 25, 50mg tab 268.11/30/50tab  g
Ocupress beta blocker carteolol HCL 1% bid 5, 10, 15ml 27.32/5ml  g
Pilocarpine cholinergic agonist pilocarpine HCL 1%, 2%, 4% qid¹ 15ml 95.81  g
Rhopressa rho kinase inhibitor netarsudil dimesylate 0.02% qpm 2.5ml 333.01 
Rocklatan rho kinase inhibitor/prostaglandin netarsudil 0.02%/latanoprost 0.005% qpm 2.5ml 349.07 
Simbrinza cai/alpha 2 agonist brinzolamide 1%/brimonidine 0.2% tid 8ml 211.75 
Timoptic (and Ocudose) beta blocker timolol maleate 0.25, 0.5% bid or qd 5, 10, 15ml¹ 31.97/5ml  g
Timoptic XE gel beta blocker timolol maleate 0.25, 0.5% qd 2.5, 5ml 210.94/0.5%/5ml 
Travatan prostaglandin travoprost 0.004% qhs 2.5, 5ml 164.38 / 5ml  g
Travatan z prostaglandin travoprost 0.004% qhs 2.5 5ml 248.90 / 2.5ml 
Trusopt   (solution) cai dorzolamide 2.0% tid or bid(adj)¹ 5, 10ml 59.71 / 10ml  g
Vyzulta prostaglandin / NO donor latanoprostene bunod 0.024% qhs 5ml 248.93 
Xalatan prostaglandin latanoprost 0.005% qpm 2.5ml 47.06  g
Xelpros (BAK free)  prostaglandin latanoprost 0.005% qpm 2.5ml 75.63 
Zioptan prostaglandin tafluprost 0.0015% qhs 30 90 pk 211.25 
Prepared Combinations Action Generic Name sig Qty's Cost
OMNI™ by OSRX® Tim + Lat
beta blocker / prostaglandin timolol maleate / latanoprost (0.5 / 0.005)% qpm 3.5ml 50.00 
OMNI™ by OSRX® Tim + Brim + Dor
 beta blocker / alpha-2 agonist / cai   timolol /brimonidine/dorzolamide (0.5/0.15/2)% qam* 3.5ml 55.00 
OMNI™ by OSRX® Tim + Brim + Dor + Lat
 beta blocker / alpha-2 agonist / cai / prostaglandin   timolol/brimonidine/dorzolamide/latanoprost (0.5/0.15/2/0.005)% qpm* 3.5ml 60.00 
Brim-Dor™ PF alpha-2 agonist / cai brimonidine / dorzolamide (0.15/2)% bid 10ml 39.00 
Tim-Lat™ PF beta blocker / prostaglandin timolol maleate / latanoprost (0.5/0.005)% qpm 5ml 39.00 
Tim-Dor-Lat™ PF  beta blocker / cai / prostaglandin   timolol/dorzolamide/latanoprost (0.5/2/0.005)% qpm** 5ml 39.00 
Tim-Brim-Dor™ PF  beta blocker / alpha-2 agonist / cai   timolol/brimonidine/dorzolamide (0.5/0.15/2)% qam* 10ml 78.00 
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 78.00 
* Two bottle combination forms the "Triple/Quad" AM - PM pairing.
** Timolol-Dorzolamide-Latanoprost (PM) pairs with Cosopt (AM).

 Cycloplegics  GENERIC NAME SIG QTY'S COST
Atropine  (myopia control) atropine sulfate 0.05% ¹ qhs¹ 3.5, 5ml 45.00/3.5ml  g
Atropine  (cycloplegia etc.) atropine sulfate 0.5%, 1%, 2% bid or qhs¹ 2,5,15ml 67.10/1%/5ml  g
Atropine  OSRX® Prepared atropine sulfate 0.01%, 0.025%, 0.05% qhs¹ 3.5ml 45.00/3.5ml
Atropine Ung atropine sulfate 1% bid 3.5gm 60.00   g
Cyclogyl cyclopentolate 0.5%, 1%, 2% bid 2, 5¹, 15ml 39.14/1%/15ml  g
Homatropine homatropine HBr 2%, 5% qid 5ml 33.00 / 5ml / 5%  g
Mydriacyl tropicamide 0.5, 1% 1 or 2gtt 2, 3, 15ml 45.88/1%/15ml  g
Paremyd hydroxyamphetamine1%/tropicamide0.25% 1 or 2gtt 15ml 110.00 / 15ml  g

OSRX®
Prepared Atropine
0.01%, 0.025%, 0.05%
Jason Yam, et. al., LAMP II.
OSRX®
0.05% Atropine

Jason Yam,
LAMP II.
MISCACTION GENERIC NAME SIGQTY'SCOST
Betadine 5% microbicide povidone-iodine 5% 4-5gtt 1 oz (30ml) 20.00  g
Cequa immunomodulator cyclosporine 0.09% q 12hr 0.25 ml (60 vial box) 700.88 / 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 635.55 
Latisse prostaglandin analog bimatoprost 0.03% 1 gt qhs 3ml, 5ml(generic) 175.00/5ml g
Lumify (otc) alpha-2 agonist brimonidine 0.025% 1 gt q 6-8 hr 2.5, 7.5ml 15.00/2.5ml 
Mucomyst compounded mucolytic acetylcysteine 2-20% qid 4, 10, 30ml 37.98/20%/30ml  g
Muro-128 (otc) hyperosmotic sodium chloride 2%, 5% sol/ung q 3-4 hr 15, 30ml / 3.5, 7gm ung 28.43 / 15ml 
Restasis  immunomodulator cyclosporine 0.05% q 12hr 0.4 ml 30 or 60 / tray
5.5 ml bottle
702.17 / 60 (tray)
610.00 / 5.5ml
g
Xiidra LFA-1 antagonist lifitegrast 5% bid 60/bx 679.57 / 60 
NSAIDS GENERIC NAME SIG QTY'S COST
Acular, ketorolac tromethamin 0.5% qid 5ml 72.80 / 5ml  g
Acular LS ketorolac tromethamin 0.4% qid 5ml 75.43 / 5ml  g
Acuvail ketorolac tromethamin 0.45% bid 30 x 0.4ml vial 392.77 
Bromday bromfenac 0.09% qd 1.7, 2.5, 5ml 205.01 / 1.7ml g
BromSite bromfenac 0.075% bid 5ml 325.71 
indomethacin indomethacin 75mg er po bid x14d 25, 50, 75, 75mg 15.32/ 30/50mg g
Ilevro nepafenac suspension 0.3% qd¹ 1.7ml, 3ml 389.38 / 1.7ml 
Nevanac nepafenac suspension 0.1% tid 3ml 337.06 
Prolensa bromfenac 0.07% qd¹ 1.6, 3ml 342.68 / 3ml 
Voltaren diclofenac sodium 0.1% qid 2.5, 5ml 64.93 / 5ml  g
Oral Pain GENERIC NAME SIGQTY'SCOST
Tylenol #3 30mg codeine, 300mg acetaminophen 1 or 2 q4hr to q6hr 12-24(typical) 14.74 / 20  g
Lortab / Norco 5mg hydrocodone / 325 acetaminophen 1 or 2 po q4hr to q6hr 5,7.5,10 / 325mg 23.20 / 20 / 5,325mg  g
Ultracet 37.5 mg tramadol / 325 mg acetaminophen 1 tablet po q4hr to q6hr¹ 12-24(typical) 71.59 / 20  g
Ultram tramadol hydrochloride 25 or 50mg po q4hr to q6hr¹ 12-24(typical) 43.99 / 60  g
Vicodin 5mg hydrocodone, 300mg acetaminophen 1 or 2 q4hr to q6hr 8-16(typical) 17.00 / 12  g
Topical  STEROIDS GENERIC NAME SIG QTY'S COST
Alrex                   (suspension) loteprednol etabonate 0.2% qid, taper 5,10ml 293.10 / 5ml 
Durezol               (emulsion) difluprednate 0.05% qid x14 dy, taper 5 ml 244.92 
Eysuvis                  (suspension) loteprednol etabonate 0.25% qid x 2wks 8.3ml 554.58 / 5ml
Flarex                 (suspension) fluorometholone acetate 0.1% qid, taper 5 ml 119.71  
FML                   (suspension) fluorometholone alcohol 0.1% qid-bid, taper 5,10,15ml 98.66 / 5ml  g
FML ointment fluorometholone alcohol 0.1% ung 1-3 x/dy 3.5 gm tube 195.28 
FML Forte          (suspension) fluorometholone alcohol 0.25% q 4hrs, taper 5,10,15ml 199.81 / 5ml 
Inflamase Forte   (solution) prednisolone sodium phosphate 1.0% qhr to tid, taper 5,10,15ml 67.33 / 10ml  g
Inveltys (micro particle suspension) loteprednol etabonate 1% bid¹, taper 2.8ml 332.50  
Lotemax Drops    (suspension) loteprednol etabonate 0.5% qid¹, taper 2.5, 5, 10, 15ml 198.97 / 5ml  g
Lotemax Ointment & gel loteprednol etabonate 0.5% qid¹, taper 3.5gm ung / 5ml gel 250.63   gel g
Lotemax SM         (gel) loteprednol etabonate 0.38% tid¹, taper 3.5gm ung / 5ml gel 245.31   ung 
Maxidex             (suspension) dexamethasone 0.1% 4-6 x/dy, taper 5ml 69.00 / 5ml g
Pred Forte         (suspension) prednisolone acetate 1.0% 2-4 x/dy, taper 5,10,15ml 43.28 / 5ml g
prednisone         (tablet) prednisone anhydrous tablet 10-20 mg bid x 5 dy 5, 10, 20,50mg 9.58/ 10 / 20mg g
Triamcinolone     (cream) triamcinolone 0.1% tid 15,80gm 14.00 / 15g  g
TOPICAL ALLERGY GENERIC NAME SIGQTY'SCOST
Alaway  (otc)   (Combination) ketotifen 0.025%, 0.035% bid 10ml 15.50 g
Alocril              (Mast Cell Stabilizer) nedocromil sodium 2.0% bid 5ml 286.43 
Alomide         (Mast Cell Stabilizer) lodoxamide tromethamine 0.1% qid 10ml 225.94 
Alrex               (Steroid) loteprednol etabonate 0.2% qid 5, 10ml 293.10 / 5ml 
Bepreve       (Combination) bepotastine besilate 1.5% bid 5, 10ml 281.77 / 5ml 
Crolom           (Mast Cell Stabilizer) cromolyn sodium 4.0% qid 10, 15ml 38.35 / 10ml g
Elestat            (Combination) epinastine HCL 0.05% bid 5ml 111.32 / 5ml g
Lastacaft     (Combination) alcaftadine 0.25% qd 3ml 286.99 
Lotemax    (ointment) & (gel)    (steroid) loteprednol etabonate 0.5% qid¹ 3.5gm ung / 5ml gel 250.00 gel g
Optivar         (Combination) azelastine HCL 0.05% bid 6ml 104.23  g
Pataday Once Daily Relief (otc)  (Combination) olopatadine HCL 0.2% qd 2.5ml 139.44 g
Pataday Twice Daily Relief (otc)  (Combination) olopatadine HCL 0.1% bid 5ml 190.05  g
Pataday Extra Strength Once Daily Relief (otc) (Combination) (formerly Pazeo) olopatadine HCL 0.7% qd 2.5ml 204.55  
Zaditor  (otc)   (Combination) ketotifen 0.025% bid 5ml 16.14  g
Zerviate   (Antihistamine) cetirizine 0.24% bid 5ml, 7.5ml, 30 0.2 mL units $277.23 (30 unit)
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 12.12 / 30 /500mg g
Augmentin amoxicillin / clavulanate 500mg po bid or tid x 10d 250, 500, 875 mg 61.07/20/875mg g
azithromycin azithromycin 500mg po then 250mg x 4d 250mg 31.31 / 6 / 250mg g
Ceclor cefaclor 500mg po q12hr 250, 500mg, suspn 77.02 / 30 / 500mg g
Diamox acetazolamide 500mg po 125, 250mg¹ 62.75 / 30 / 250mg g
dicloxacillin dicloxacillin 250mg po q6hr 250 500mg 50.00 / 30 / 500mg g
doxycycline doxycycline 100mg¹ po bid 20, 100mg 41.19 / 20 / 100mg g
Famvir famciclovir 500mg po tid x 7d, (zoster)
250mg po tid x 7d, (simplex)
125, 250, 500mg 154.68 / 21 / 500mg  g
indomethacin indomethacin er 75mg er po bid x14d 25, 50, 75, 75mg er 15.30 / 30 / 50mg g
Keflex cephalexin 500mg po q12hr x 5d 250, 500, 750mg 17.11 / 20 / 500mg  g
Lortab / Norco hydrocodone / acetaminophen 1 or 2 po q4hr to q6hr 5,7.5,10 / 325mg 23.16 / 20 / 5,325mg  g
prednisone   prednisone 10-20 mg bid x 5 dy 5, 10, 20,50mg 9.55/ 10 / 20mg g
Septra DS / (Bactrim)  800mg sulfamethoxazole / 160 trimethoprim 1 tab po q12hr x 10d DS 800/160mg¹ 16.93 / 20  g
Tylenol #3 30mg codein, 300mg acetaminophen 1 or 2 po q4hr to q6hr 12-24(typical) 14.78 / 20  g
Ultracet 37.5 mg tramadol / 325 mg acetaminophen 1 tablet po q4hr to q6hr¹ 12-24(typical) 71.39 / 20  g
Ultram tramadol hydrochloride 25 or 50mg po q4hr to q6hr¹ 12-24(typical) 44.14 / 60  g
Valtrex valcyclovir 1000mg po tid x 7d, (zoster)
500mg po tid x 7d, (simplex)
250, 500mg, 1g 167.62 / 30 / 1g  g
Vicodin 5mg hydrocodone, 300mg acetaminophen 1 or 2 po q4hr to q6hr 8-16(typical) 17.00 / 12  g
Zmax azithromycin single dose po¹ 1.0 gm 30.71 / 1g packet  g
Z-Pak azithromycin 2 tabs po then 1tb x 4d 6 x 250mg 31.31 / 6 / 250g  g
Zovirax acyclovir 800mg po 5x/d  (zoster)
400mg po 5x/d   (simplex)
200, 400, 800mg 24.26/60tab/400mg g
.




1. For clarification click the drug name (which is a link to the associated detail page).
2. "Cost" column links to 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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