Dental Office Formulary
BrandNameGenericNameScheduleSizes
Amoxil 250mg Capsule #30Amoxicillin 250mg Capsule #300 
Amoxil 250mg/5ml Susp.150mlAmoxicillin 250mg/5ml Susp.0Package
Amoxil 500mg Capsule #30Amoxicillin 500mg Capsule #300 
Amoxil 875mg Tablet #20Amoxicillin 875mg Tablet #200 
Ativan 1mg (CIV) TabletLorazepam 1mg (CIV) Tablet430s,15s,14s,90s,50s,60s,45s,100s
Ativan 2mg (CIV) TabletLorazepam 2mg (CIV) Tablet430s,60s,40s
Augmentin 500/125mg Tablet #20Amoxicillin/Clavulanate 500/125mg #200 
Augmentin 875mg Tablet #20Amoxicillin / Clavulanate 875/125mg0 
Cleocin 150mg CapsulesClindamycin HCL 150mg Capsules012s,28s,42s,100s,30s,21s,4s,56s
Decadron 4mg TabletDexamethasone 4mg Tablet030s,6s,3s
Hydrocodone/ APAP 2.5/325mg (CII) TabHydrocodone/ APAP 2.5/325mg (CII) Tab2 
Keflex 125mg/5ml 200mlCephalexin 125mg/5ml oral susp.0Package
Keflex 250mg Capsule #30 AlkemCephalexin 250mg Capsule #30 Alkem0 
Keflex 500mg Capsule #30Cephalexin 500mg Capsule #300 
Medrol Dosepak 4mg Box(21 Tab)Methylprednisolone 4mg0Package
Motrin 200mg TabletIbuprofen 200mg Tablet020s,15s,30s,100s,60s,50s,40s
Motrin 400mg TabletIbuprofen 400mg Tablet020s,30s,40s,60s,90s
Motrin 600mg TabletIbuprofen 600mg Tablet020s,30s,40s,60s,90s,120s,50s,100s,21s
Motrin 800mg TabletIbuprofen 800mg Tablet020s,42s,40s,21s,30s,90s,100s,120s,60s,45s
Motrin Drops(15ml)Ibuprofen Drops(15ml)0Package
Naprosyn 250mg TabletNaproxen 250mg Tablet030s,60s,20s
Naprosyn 375mg TabletNaproxen 375mg Tablet020s,30s,40s,120s,60s,90s
Naprosyn 500mg TabletNaproxen 500mg Tablet030s,60s,10s,90s,20s,120s,50s,42s,40s
Norco 10/325mg (CII) TabletHydrocodone/ Apap 10/325mg (CII) Tab.2 
Norco 5/325mg (CII) TabletHydrocodone/ APAP 5/325mg (CII) Tablet2 
Norco 7.5/325 mg (CII) TabletHydrocodone/ Apap 7.5/325 mg (CII) Tab2 
Nystatin Oral Susp. Drops 60ML.Nystatin Susp.Drop.(100,000 units/ML0Package
Pen-VK 500mg #30Penicillin 500mg Tablet #300 
Peridex 0.12% Oral Rinse 16ozChlorhexidine 0.12% Oral Rinse 16oz0Package
Tri-pak 500mg Tab. 1 Box(3 Tab)Azithromycin 500mg 1 Box(3 Tab)0Package
Tylenol #3 (CIII) TabletApap/w Codeine 300/30mg(CIII) Tablet36s,20s,30s,84s,15s,120s,100s,60s,90s,50s
Tylenol 325 mg TabletAcetaminophen 325 mg. Tablet020s,100s,30s
Tylenol 500mg TabletAcetaminophen 500mg Tablet020s,15s,40s,100s,30s,45s,50s,60s
Ultracet 37.5/325mg (CIV) TabletTramadol/Apap 37.5/325mg (CIV)Tablet4 
Ultram 50mg (CIV) TabletTramadol 50mg (CIV) Tablet4 
Valium 10mg (CIV) TabletDiazepam 10mg (CIV) Tablet420s,30s,40s,50s,60s,90s,100s
Valium 5mg (CIV) TabletDiazepam 5mg (CIV) Tablet412s,15s,20s,30s,60s,90s,10s,100s,1s
Vibramycin 100mg CapsuleDoxycycline Hyclate 100mg Capsule010s,20s,30s,40s,60s,28s,14s
Xanax 0.25mg (CIV) TabletAlprazolam 0.25mg (CIV) Tablet430s,100s,60s,20s,90s
Xanax 0.5mg (CIV) TabletAlprazolam 0.5mg (CIV) Tablet4 
Xanax 1mg (CIV) TabletAlprazolam 1mg (CIV) Tablet410s,20s,30s,60s,90s,50s,120s
Xylocaine Viscous 2% sol.Lidocaine Viscous0Package
Z-pak 250mg Tab. 1 Box(6 Tab)Azithromycin Pak 250mgTab.Box(6 Tab)0Package
Zovirax 200mg CapsuleAcyclovir 200mg Capsule030s,25s,35s,50s