Anti Fungal
| Natacyn | natamycin 5% | q1-2hrx3d then q2-3hr | 15ml | 540.00 |
|---|
Anti Viral
| MISC | ACTION | GENERIC NAME | SIG | QTY'S | COST |
|---|---|---|---|---|---|
| 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 | 15.74/2.5ml |
| 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 |
| Oxervate | recombinant NGF | cenegermin-bkbj 0.002% | 6x/day x 8 wks | 7 vials / weekly ctn | 23,000.00 / 8ctn |
| phenylephrine | alpha-1 agonist | phenylephrine 2.5%, 10% | 1 or 2 gt q3-5 min | 10ml,15ml (2.5%), 5ml, (10%) | 55.00 / 10ml |
| Restasis | immunomodulator | cyclosporine 0.05% | q 12hr | 0.4 ml 30 or 60 / tray 5.5 ml bottle |
66.46 / 30 vials 0.4ml 610.00 / 5.5ml g |
| Ryzumvi | alpha 1, 2 antagonist | phentolamine 0.75% | 1 or 2 gtt¹ | 30 vials / box | 295.00 |
| Tyrvaya | cholinergic agonist | varenicline 0.06% | bid | 2 (4.2ml)spray bottles/ctn | 741.00 / carton |
| Upneeq | alpha agonist | oxymetazoline HCL 0.1% | qd | 30/bx | 252.42 / box |
| Verkazia | immunomodulator | 0.1% cyclosporine emulsion | qid | 120/bx | 1460.00 / box |
| Vuity | cholinergic agonist | pilocarpine HCL 1.25% | qd | 2.5ml | 96.00 |
| Xdemvy | chloride channel inhibitor | lotilaner 0.25% | bid | 10ml | 1,850 |
| Xiidra | LFA-1 antagonist | lifitegrast 5% | bid | 60/box | 705.03 / 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 | SIG | QTY'S | COST |
| 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 |
| ORALS | GENERIC NAME | SIG | QTY'S | COST |
|---|---|---|---|---|
| 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 |
| Topical STEROIDS | GENERIC NAME | SIG | QTY'S | COST |
|---|---|---|---|---|
| Alrex (suspension) | loteprednol etabonate 0.2% | qid, taper | 5,10ml | 293.10 / 5ml |
| Dextenza (insert) | dexamethasone 0.4mg | 1 insert / 30 days | 0.4mg | 630.00 |
| Durezol (emulsion) | difluprednate 0.05% | qid x14 dy, taper | 5 ml | 72.00 g |
| Eysuvis (suspension) | loteprednol etabonate 0.25% | qid x 2wks | 8.3ml | 500.82 |
| 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 |
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
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