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ANTI-INFECTIVE AGENTS (ORAL)
OTHER ANTI-INFECTIVES
ANTIPARKINSON ARKINSON AGENTS
CARDIOVASCULAR
ANTIBIOTICS, CEPHALOSPORINS
MEDICATIONS
ACE INHIBITORS
Erythromycins & Other Macrolides
Clarithromycin (generic Biaxin, Biaxin XL) TOPICAL ANTIBACTERIAL DRUGS
ANTIPSYCHOTICS
ALPHA BLOCKERS
Erythromycin Base (generic Ery-Tab, E-Mycin) Erythromycin Ethylsuccinate (generic E.E.S., TOPICAL ANTIFUNGAL AGENTS
Erythromycin Stearate (generic Erythrocin) ANTIARRHYTHMICS
Penicillins
AUTONOMIC and CENTRAL
CENTRAL NERVOUS SYSTEM AGENTS
Amoxicillin/ Pot. Clav. (generic Augmentin) ANALGESICS, ANTIMIGRAINAL
ANXIOLYTICS, SEDATIVES
AND HYPNOTICS
BETA-ADRENERGIC ANTAGONIST
Quinolones
ANTIVERTIGO/ANTIEMETICS
Sulfonamides
Tetracyclines
Doxycycline (generic Vibramycin, Monodox) ANALGESICS, NARCOTIC
Sotalol (generic Betapace)Timolol (generic Blocadren) ANTIFUNGAL AGENTS
APAP/ Codeine (generic Tylenol w/ Codeine) STIMULANTS/ DRUGS
APAP/ Hydrocodone (generic Vicodin/ Norco) TO TREAT ATTENTION DEFICIT DISORDER
CALCIUM CHANNEL BLOCKERS
ASA/ Codeine (generic Empirin w/ Codeine) Butabital/ Acetaminophen/ Caffeine (generic Griseofulvin (generic Gris-PEG/ Grifulvin) Methylphenidate (generic Ritalin/ Methylin) Hydrocodone/ Ibuprofen (generic Vicoprofen) DRUGS TO PREVENT AND TREAT GOUT
CARDIAC GLYCOSIDES
Meperidine/ Promethazine (generic Mepergan) CHOLESTEROL-LOWERING
ANTIFUNGAL (VAGINAL)
MUSCLE RELAXANTS/
ANTISPASMODICS
ANALGESICS, NON-STEROIDAL
ANTIHELMINICS
ANTI-INFLAMMATORY
ANTI-INFECTIVE AGENTS-
Caffeine (generic Soma Compound with Codeine) SPECIALIZED INDICATIONS
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Hydrochlorothiazide Indapamide (generic Lozol) ANTINEOPLASTIC/
ANTIDEPRESSANTS
IMMUNOSUPPRESANTS
ANTICONVULSANTS
Amitriptyline/ Perphenazine (generic Triavil) Bupropion (generic Wellbutrin Wellbutrin SR, Phenytoin/ Phenytoin Extended (genericDilantin) 70% of Generics
Valproic Acid/ Valproate Sodium (generic are $10 or less
ANTI-TUBERCULAR AGENT
Divalproex Sodium (generic Depakote, Sprinkle, Brand Member Responsibility
ANTIVIRAL AGENTS
from $20.00 to $75.00
most average $35.00
Nortriptyline (generic Pamelor)Paroxetine (generic Paxil)Sertraline (generic Zoloft)Trazadone (generic Desyrel) For a complete formulary vist our
website at www.BroadreachRx.com
or call 1-866-718-2375
DIURETIC COMBINATIONS
DRUGS AFFECTING THE
OPHTHALMIC AGENTS
BETA AGONIST INHALERS
THROAT AND MOUTH
GLAUCOMA AGENTS
Inhaled Corticosteroids
ENDOCRINE MEDICATIONS
Intranasal Steroids
CORTICOSTEROID DRUGS
OPHTHALMIC
MOST PRESCRIPTION ONLY
ANTI-INFECTIVES/
GENERICS IN THE FOLLOWING
CORTICOSTEROID DRUGS
CATEGORIES ARE COVERED
EXPECTORANT COMBINATIONS
DECONGESTANTS/ANTIHISTAMINES
ANTI-TUSSIVE COMBINATIONS
RESPIRATORY, ALLERGY,
ANTIDIABETIC AGENTS
COUGH & COLD
PRENATAL VITAMINS
ANTIHYPERTENSIVES
Brand Formulary
Therapeutic
Brand
Category
THYROID AND
Name
ANTI-THYROID DRUGS
OTHER CARDIOVASCULAR
Levothyroxine (generic Synthroid/ Levoxyl) OPHTHALMIC DRUGS
VASODILATING DRUGS
Atropine Sulfate (generic Isopto Atropine) GASTROINTESTINAL
MEDICATIONS
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DERMATOLOGICALS
ANTI-ACNE
OPHTHALMIC TOPICAL
ANTIBACTERIAL DRUGS
ANTIPSORIASIS
OPHTHALMIC TOPICAL
ANTIVIRAL DRUGS
OTHER DERMATOLOGICAL DRUGS
GASTROINTESTINAL
OBSTETRICAL AND
CORTICOSTEROIDS
GYNECOLOGICAL
MEDICATIONS
ANDROGENS
CONTRACEPTIVES
Ethinyl Estradiol and Desogestrel (generic Ethinyl Estradiol and Ethynodiol Diacetate Ethinyl Estradiol and Levonorgesterel (generic PROTON PUMP INHIBITORS
MISCELLANEOUS UROLOGICALS
Norethindrone/ Ethinyl Estradiol (generic Norethindrone/ EthinylEstradiol (generic NUTRITION, BLOOD MODIFIERS,
ELECTROLYTES DRUGS AND VITAMINS
EAR, NOSE, AND THROAT MEDICA-
AFFECTING COAGULATION
TIONS DRUGS AFFECTING THE EAR
Norgestimate/ Ethinyl Estradiol (generic Ortho Antipyrine/Benzocaine (generic Auralgan/ FLUORIDE PRODUCTS
ORAL ESTROGEN DRUGS
POTASSIUM SUPPLEMENTS
Potassium Chloride (generic K-DUR/ Micro-K) PROGESTIN DRUGS
VITAMINS/ MINERALS
PULMONARY and ASTHMA

Source: https://www.broadreachrx.com/files/BroadreachChoiceRx--FCE-Form-brand-generic0607.pdf