Class
Class
Brand/ Gen
Brand/ Gen
Formulations
100

Methylprednisolone/Medrol

Adrenal Corticosteroid

100

Allopurinol/Zyloprim

Antigout, Xanthine Oxidase Inhibitor

100

Insulin

Humulin
100

Latanoprost

Xalatan
100

Fluticasone-Salmeterol/ Advair HFA

MDI

200

Testosterone/ AndroGel

Androgen

200

Niacin/ Niaspan

Antihyperlipidemic

200

Clindamycin Oral

Cleocin

200

Esomeprazole

Nexium

200

Chlorhexidine/ Peridex

Solution, oral rinse

300

Losartan/ Cozaar

Angiotensin 2 Receptor Antagonist

300

Eletriptan/Relpax

Antimigraine, Serotonin Receptor Agonist

300

Furosemide

Lasix

300

Adapalene

Differin, Plixda

300

Mupirocin

Bactroban

400

Amiodarone/ Cordarone

Antiarrhythmic

400

Carbidopa Levodopa/ Rytary

Antiparkinsonian

400

Sacubitril-Valsartan

Entresto

400

Desvenlafaxin

Pristiq

400

Hydrocortisone Topical/ Cortisone

Rectal cream, rectal enema, rectal foam, topical cream, topical lotion, topical ointment

500

Dapagliflozin/ Farxiga

Antidiabetic Agent, Sodium- Glucose Cotransporter 2 (SGLT2) inhibitor

500

Imiquimod/ Zyclara

Immune Response Modifier (anti-infective)

500

Buprenorphine-Naloxone

Suboxone, Zubsolv, Bunavail

500

Doxepin

Sinequan, Silenor

500

Nystatin Systemic/ Bio-Statin

Suspension, tablet, capsule