GENERIC NAME BRAND NAME
ACETAMINOPHEN TYLENOL # 3 TAB (Limited to 20, post-op only) 
ACETAZOLAMIDE DIAMOX 250 MG TAB
ACETAZOLAMIDE DIAMOX 500 MG SEQUELS
ACYCLOVIR ZOVIRAX 200 MG CAP 
ACYCLOVIR ZOVIRAX 800 MG CAP
ALBUTEROL (30 days of brand name may be dispensed, ONE TIME if generic is not available) PROVENTIL INHALER (17 GM)
ALLOPURINOL ZYLOPRIM 100 MG TAB
ALLOPURINOL ZYLOPRIM 300 MG TAB
AMITRIPTYLENE ELAVIL
ATENOLOL TENORIMIN 100 MG TAB
ATENOLOL TENORIMIN 50 MG TAB
BENZTROPINE MESYLATE COGENTIN 0.6 MG TAB
BENZTROPINE MESYLATE COGENTIN 1 MG TAB
BENZTROPINE MESYLATE COGENTIN 2 MG TAB
CAPTOPRIL CAPOTEN 100 MG TAB
CAPTOPRIL CAPOTEN 12.5 MG TAB
CAPTOPRIL CAPOTEN 25 MG TAB
CAPTOPRIL CAPOTEN 50 MG TAB
CARBAMAZEPINE TEGRETOL 200 MG TAB
CHLORTHALIDONE HYGROTON 25 MG TAB
CHLORTHALIDONE HYGROTON 50 MG TAB
CLONIDINE CATAPRES 0.1 MG TAB
CLONIDINE CATAPRES 0.2 MG TAB
CLONIDINE CATAPRES 0.3 MG TAB
COLCHICINE COLCHICINE 0.6 MG TAB
CONJUGATED ESTROGEN PREMARIN 0.3 MG TAB
CONJUGATED ESTROGEN PREMARIN 0.625 MG TAB
CONJUGATED ESTROGEN PREMARIN 1.25 MG TAB
CONJUGATED ESTROGEN PREMARIN 2.5 MG TAB
DESIPRAMINE NORPRAMIN
DIGOXIN  LANOXIN 0.125MG TAB
DIGOXIN  LANOXIN 0.25 MG TAB
DIGOXIN PED. ELIXIR LANOXIN 0.05 MG/ML PEDIATRIC ELIXIR
DILTIAZEM CARDIZEM 30 MG TAB
DILTIAZEM CARDIZEM 60 MG TAB
DILTIAZEM CD CARDIZEM CD 180 MG CAP
DILTIAZEM CD CARDIZEM CD 240 MG CAP
DILTIAZEM CD CARDIZEM CD 300 MG CAP
DIPIVEFRIN HCL 0PHTH SOLN PROPINE 0.1 % OPHTH SOLN (MD must write letter)
DIPYRIDAMOLE PERSANTINE 25 MG TAB
DIPYRIDAMOLE PERSANTINE 50 MG TAB
DOXEPIN SINEQUAN
DOXYCYCLINE  VIBRAMYCIN 100 MG CAP
DOXYCYCLINE  VIBRAMYCIN 50 MG CAP
ERGOTAMINE TARTRATE/CAFFEINE CAFERGOT TAB
FLUOXETINE PROZAC 10MG
FLUOXETINE PROZAC 20MG
FOLIC ACID FOLIC ACID 1 MG TAB
FUROSEMIDE LASIX 20 MG TAB
FUROSEMIDE LASIX 40 MG TAB
GEMFIBROZIL LOPID 600 MG TAB
GENTAMICIN GENTAMICIN OPHTH DROPS
GLIPIZIDE GLUCOTROL 10 MG TAB
GLIPIZIDE GLUCOTROL 5 MG TAB
GLYBURIDE MICRONASE 1.25 MG TAB
GLYBURIDE MICRONASE 2.5 MG TAB
GLYBURIDE MICRONASE 5 MG TAB
GRISEOFULVIN V GRIFULVIN V 250 MG TAB
HYDRALAZINE APRESOLINE 10 MG TAB
HYDRALAZINE APRESOLINE 25 MG TAB
HYDRALAZINE APRESOLINE 50 MG TAB
HYDROCHLOROTHIAZIDE HCTZ 25 MG TAB
HYDROCHLOROTHIAZIDE HCTZ 50 MG TAB
HYDROCODONE/APAP VICODIN 5/500 MG TAB (Limited to 20, no refills, post-op only)
INDOMETHACIN INDOCIN 25 MG CAP
INDOMETHACIN INDOCIN 50 MG CAP
INSULIN HUMAN 70/30 NOVOLIN 70/30 INS 100 U/CC (10 CC)
INSULIN HUMAN N NOVOLIN N INS 100 U/CC (10 CC)
INSULIN HUMAN R NOVOLIN R INS 100 U/CC (10 CC)
INSULIN HUMAN U NOVOLIN U INS 1OO U/CC (10 CC)
ISRADIPINE DYNACIRC 2.5 MG CAP
ISRADIPINE DYNACIRC 5 MG CAP
KETOCONAZOLE NIZORAL 200 MG TAB
LABETALOL HCL NORMODYNE 100 MG TAB
LABETALOL HCL NORMODYNE 200 MG TAB
LEVODOPA/CARBIDOPA SINEMET 10/100 MG TAB
LEVODOPA/CARBIDOPA SINEMET 25/100 MG TAB
LEVODOPA/CARBIDOPA SINEMET 25/250 MG TAB
LEVOTHYROXINE SODIUM LEVOTHROID 100 MCG TAB
LEVOTHYROXINE SODIUM LEVOTHROID 150 MCG TAB
LEVOTHYROXINE SODIUM LEVOTHROID 200 MCG TAB
LEVOTHYROXINE SODIUM LEVOTHROID 25 MCG TAB
LEVOTHYROXINE SODIUM LEVOTHROID 300 MCG TAB
LEVOTHYROXINE SODIUM LEVOTHROID 50 MCG TAB
LISINOPRIL PRINIVIL 10 MG TAB
LISINOPRIL PRINIVIL 20 MG TAB
LISINOPRIL PRINIVIL 40 MG TAB
LISINOPRIL PRINIVIL 5 MG TAB
LITHIUM CARBONATE LITHOBID 300 MG CAP
MEDROXYPROGESTERONE ACETATE PROVERA 10 MG TAB
METHYLDOPA ALDOMET 250 MG TAB
METHYLDOPA ALDOMET 500 MG TAB
METHYLERGONOVINE MALEATE METHERGINE 0.2 MG TAB
METOCLOPRAMIDE HCL REGLAN 10 MG TAB
METOPROLOL TARTRATE LOPRESSOR 100 MG TAB
METOPROLOL TARTRATE LOPRESSOR 50 MG TAB
MINOXIDIL LONITEN 10 MG TAB
MINOXIDIL LONITEN 2.5 MG TAB
NADOLOL CORGARD 120 MG TAB
NADOLOL CORGARD 160 MG TAB
NADOLOL CORGARD 40 MG TAB
NADOLOL CORGARD 80 MG TAB
NIFEDIPINE PROCARDIA 10 MG CAP
NITROFURANTOIN MACROCRYSTALS MACRODANTIN 50 MG CAP
NITROGLYCERIN NITROGLYCERIN 0.15 MG TAB
NITROGLYCERIN NITROGLYCERIN 0.3 MG TAB
NITROGLYCERIN NITROGLYCERIN 0.4 MG TAB
NITROGLYCERIN NITROGLYCERIN 0.6 MG TAB
NITROGLYCERIN OINTMENT NITROL OINT (30 GM)
NITROGLYCERIN OINTMENT NITROL OINT (60 GM)
NYSTATIN NYSTATIN 500 MU TAB
NYSTATIN SUSP. NYSTATIN 100 MU SUSP
PANCRELIPASE VIOKASE 5 GR.
PHENOBARBITAL PHENOBARBITAL 100 MG TAB
PHENOBARBITAL PHENOBARBITAL 15 MG TAB
PHENOBARBITAL PHENOBARBITAL 30 MG TAB
PHENOBARBITAL PHENOBARBITAL 60 MG TAB
PHENOBARBITAL PHENOBARBITAL 90 MG TAB
PHENOBARBITAL ELIXIR PHENOBARBIAL 20 MG/5 ML ELIXIR 
PHENYTOIN DILANTIN 100 MG CAP
PHENYTOIN INFATAB DILANTIN 50 MG INFATABS
PHENYTOIN PED. SUSP DILANTIN 30 MG/5 ML PEDIATRIC SUSP
PHENYTOIN SUSP DILANTIN 125 MG/5 ML SUSP
PIRBUTERROL  MAXAIR INHALER (LIMIT 2/MONTH)
POTASSIUM CHLORIDE MICRO K 8 MEQ TAB
POTASSIUM CHLORIDE POTASSIUM CHL 10 % SOLN
POTASSIUM CHLORIDE POTASSIUM CHL 20 % SOLN
PRAZOSIN HCL MINIPRESS 1 MG CAP
PRAZOSIN HCL MINIPRESS 2 MG CAP
PRAZOSIN HCL MINIPRESS 5 MG CAP
PREDNISOLONE ACETATE PRED FORTE 1 % OPHTH SOLN
PREDNISONE PREDNISONE 10 MG TAB
PREDNISONE PREDNISONE 20 MG TAB
PREDNISONE PREDNISONE 5 MG TAB
PROBENECID BENEMID 0.5 GM TAB
PROPANTHELINE BROMIDE PROBANTHINE 15 MG TAB
PROPOXYPHENE NAPSYLATE/APAP DARVOCET N-100 MG TAB (20 tab max. post-op)
PROPRANOLOL INDERAL 10 MG TAB
PROPRANOLOL INDERAL 20 MG TAB
PROPRANOLOL INDERAL 40 MG TAB
PROPRANOLOL INDERAL 80 MG TAB
QUINDINE GLUCONATE QUINIDINE GLUCONATE 324 MG TAB
QUINDINE SULFATE QUINIDINE SULFATE 200 MG TAB
QUINIDINE SULFATE ER QUINIDEX ER 300 MG TAB
SPIRONOLACTONE ALDACTONE 25 MG TAB
SUCRALFATE CARAFATE 1 GM TAB
THEOPHYLLINE SA THEO-DUR 100 MG TAB
THEOPHYLLINE SA THEO-DUR 200 MG TAB
THEOPHYLLINE SA THEO-DUR 300 MG TAB
TOLAZAMIDE  TOLINASE 100 MG TAB
TOLAZAMIDE  TOLINASE 250 MG TAB
TRAZADONE DESYREL 100 MG TAB
TRAZADONE DESYREL 50 MG TAB
TRIAMTERENE/HCTZ MAXZIDE 75/50 MG TAB
VALPROIC ACID DEPAKOTE 250MG
VERAPAMIL  CALAN 120 MG TAB
VERAPAMIL  CALAN 80 MG TAB
VERAPAMIL SR CALAN SR 180 MG TAB
VERAPAMIL SR CALAN SR 240 MG TAB
WAFARIN SODIUM COUMADIN 10 MG TAB
WAFARIN SODIUM COUMADIN 2 MG TAB
WAFARIN SODIUM COUMADIN 2.5 MG TAB
WAFARIN SODIUM COUMADIN 5 MG TAB
WAFARIN SODIUM COUMADIN 7.5 MG TAB