Student Health Formulary
BrandNameGenericNameScheduleSizes
Actos 15mg TabletPioglitazone Hcl 15mg Tablet030s,90s
Actos 30mg TabletPioglitazone 30mg Tablet030s
Advair 100/50 Diskus 60 DoseFlutica-Salmet Inh 100/50 60 Dose0 
Advair 250/50mcg Diskus 60 DosesFluticasone/Salmeterol 250/50mcg 60 Doses0Package
Aldactone 25mg TabletSpironolactone 25 mg Tablet030s
Amoxicillin 250mg Capsule #30 AurobindoAmoxicillin 250mg Capsule #30 Aurobindo0 
Amoxil 250mg Capsule #30 SandozAmoxicillin 250mg Capsule #300 
Amoxil 500mg Capsule #30 AurobindoAmoxicillin 500mg Capsule #30 Aurobindo0 
Atrovent HFA Inhaller 200 actuations 0Package
Augmentin 500/125mg Tablet #20Amoxicillin/Clavulanate 500/125mg #200 
Augmentin 875mg Tablet #20Amoxicillin / Clavu. 875/125mg Tab.0 
Bactrim DS TabletSulfamethoxazole /TMP DS 800mg/160mg020s,14s,10s,28s,40s,6s,60s
Budesonide/Form Fum 80/4.5mcg Inh. #120Budesonide/Form Fum 80/4.5mcg Inh. #1200 
Calan SR 120mg TabletVerapamil HCl ER 120mg Tablet0 
Calan SR 180mg TabletVerapamil ER 180mg Tablet0 
Calan SR 240MG TabletVerapamil ER 240mg tablet030s,90s
Catapres 0.1 mg TabletClonidine HCL 0.1 mg Tablet0100s,30s,20s,60s
Catapres 0.2 mg TabletClonidine HCl 0.2 mg Tablet030s,60s,100s
Celexa 10mg TabletCitalopram 10mg Tablet030s
Celexa 20mg TabletCitalopram 20mg Tablet030s,60s
Celexa 40mg TabletCitalopram 40mg Tablet030s
Cephalexin 500mg Capsule #28 AurobindoCephalexin 500mg Capsule #28 Aurobindo0 
Cetirizine Hcl 10mg Tablet #14Cetirizine Hcl 10mg Tablet #140 
Chlorthalidone 25mg TabletChlorthalidone 25mg Tablet0 
Ciloxan 0.3% Ophthalmic Sln 5mlCiprofloxacin 0.3% opth. Sol. 5ml0Package
Cipro 250mg TabletCiprofloxacin 250mg Tablet020s,10s
Cipro 500mg TabletCiprofloxacin 500mg Tablet014s,30s,20s,60s,6s,10s,28s
Coreg 12.5mg tabCarvedilol 12.5mg tab030s,60s
Coreg 25mg TabletCarvedilol 25mg Tablet0 
Coreg 3.125mg TabletCarvedilol 3.125mg Tablet0 
Coreg 6.25mg tab.Carvedilol 6.25mg tab030s,60s
Cortisporin Otic Susp.10mLNeo-Poly B-HC otic susp.10mL0Package
Cozaar 100mg TabletLosartan Potassium 100mg Tablet0 
Cozaar 25mg TabletLosartan Potassium 25mg Tablet0 
Cozaar 50mg TabletLosartan Potassium 50mg Tablet0 
Cyclessa Tablet (1x28)Velivet Tablet (1x28)0 
Cymbalta 30mg Capsule 0 
Cymbalta 30mg CapsuleDuloxetine DR 30mg Capsule0 
Cymbalta 60 mg DR CapsuleDuloxetine Hydrochloride 60 mg DR Capsule0 
Cyred EQ® (3pk) 0 
Cyred EQ® (cycle) 0 
Debrox 6.5% 15mLCarbamide Peroxide 6.5 % #15mL0Package
Depo-Provera 150mg/mL Inj. Sol. PFS (1mL)Medroxyprogestrone 150mg/mL Inj. Sol. 1mL0Package
Desyrel 100mg TabletTrazodone Hcl 100mg Tablet030s,60s,90s,180s
Desyrel 50mg TabletTrazodone HCl 50mg Tablet020s,30s,60s,90s
Dyazide 37.5/25mg CapsuleTriamterene/ HCTZ 37.5/25mg Capsule0100s,30s,60s,90s
Ecotrin 81 mg TabletsAspirin 81 mg EC Tablets0120s,30s,100s
Effexor XR 37.5mg CapsuleVenlafaxine ER 37.5mg Capsule0 
Effexor XR 75mg CapsuleVenlafaxine HCL ER 75mg Capsule090s
Elavil 25mg TabletAmitriptyline HCL 25mg Tablet020s,30s,100s,60s,50s
Ferrous Sulfate 325 mg TabletFerrous Sulfate 325 mg Tablet0100s,50s,30s
Flagyl 500mg TabletMetronidazole 500mg Tablet020s,30s,14s,56s,21s,4s,28s
Flovent HFA 110mcg Inhaler 0 
Flovent HFA 44mcg 10.6g 0Package
Floxin Otic 0.3% 5mlOfloxacin Otic 0.3%Sol 5 ml0Package
Glucophage 1000mg TabletMetformin HCL 1000mg Tablet060s,100s,30s,120s
Glucophage 500 mg TabletmetFORMIN HCL 500mg Tablet030s,60s,100s
Glucophage 850mg TabletmetFORMIN HCL 850mg Tab060s,30s
Glucotrol 10 mg TabletGlipizide 10 mg Tablet060s,30s,100s
Glucotrol 5mg TabletGlipizide 5mg Tablet0100s,30s,60s
Glutose 15 Oral Gel #3x37.5gGlutose 15 Oral Gel #3x37.5g0 
Hydrochlorothiazide 25 mg TabletHydrochlorothiazide 25 mg Tablet0 
Hydrodiuril 25mg TabletHydrochlorothiazide 25mg Tablet0100s,30s,7s,14s,60s
Hytrin 10mg CapsuleTerazosin 10mg Capsule0 
Hytrin 1mg CapsuleTerazosin HCl 1mg Capsule0 
Hytrin 2mg CapsuleTerazosin Hcl 2mg Capsule0 
Hytrin 5mg CapsuleTerazosin Hcl 5mg Capsule0100s,30s
Imdur 30 mg ER TabletIsosorbide Mononitrate 30 mg ER Tablet030s
Influenza Vaccine afluria 0.5mLx10Influenza Vaccine afluria 0.5mLx100 
Insulin Pen Needle 29g 1/2in #100Insulin Pen Needle 29g 1/2in #1000 
Insulin Pen Needles 31g 1/4in #100Insulin Pen Needles 31g 1/4in #1000 
Insulin Syringe 0.3cc 30g 5/16in #100Insulin Syringe 0.3cc 30g 5/16in #1000 
Insulin Syringe 1cc 30g x 5/16 #100Insulin Syringe 1cc 30g x 5/16 #1000 
Isoptin 120mg TabletVerapamil HCL 120mg Tablet0 
K-Dur 10 mEq K TabletPotassium Chloride ER 10 mEq K Tablet030s,60s
K-Dur 20 mEq K TabletPotassium chloride ER 20 mEq K Tablet030s,60s,100s
K-Tab 10mEq (750mg) TabletPotassium Chloride ER 10mEq(750mg) Tab0 
Keflex 500mg Capsule #28- AlkemCephalexin 500 Capsule #280 
Kenalog 0.1% cream 15gmTriamcinolone 0.1% Cream 15gm0Package
Lamictal 100mg TabletLamotrigine 100mg Tablet0 
Lamictal 25mg TabletLamotrigine 25mg Tablet0 
Lantus SoloStar 5x3mL Prefilled PensInsulin Glargine Injection 5x3mL0 
Lasix 40mg TabletFurosemide 40mg Tablet040s,30s,100s
Lexapro 10mg TabletEscitalopram 10mg Tablet0 
Lexapro 20mg TabletEscitalopram 20mg Tablet0 
Lidocaine Hcl Injection 1% (10mg/mL) #10Lidocaine Hcl Injection 1% (10mg/mL) #100 
Lipitor 10mg TabletAtorvastatin Calcium 10mg Tablet0 
Lipitor 20mg TabletAtorvastatin Calcium 20mg Tablet0 
Lipitor 40mg TabletAtorvastatin Calcium 40mg Tablet0 
Lopid 600mg TabletGemfibrozil 600mg Tablet060s,30s,100s
Lopressor 100mg TabletMetoprolol Tartrate 100mg Tablet030s,100s
Lopressor 50mg TabletMetoprolol tartrate 50mg Tablet0100s,30s,60s,120s
Loratadine 10mg Tablet #10Loratadine 10mg Tablet #100 
Loratadine 10mg Tablet #30Loratadine 10mg Tablet #300 
Lotensin 10mg TabletBenazepril Hcl 10mg Tablet030s,60s
Lotensin 20mg TabletBenazepril Hcl 20mg Tablet030s,60s,100s
Lotensin 40mg TabletBenazepril Hcl 40mg Tablet030s
LOVASTATIN 10mg TabletLOVASTATIN 10mg Tablet0 
Lyleq® (3pk) 0 
Lyleq® (cycle) 0 
Macrobid 100 mg CapsuleNitrofur. Mono/Macro 100 mg Capsule020s,14s
Mevacor 10mg TabletLovastatin 10mg Tablet030s,60s
Mevacor 20mg TabletLovastatin 20mg Tablet030s,100s,60s
Mobic 15mg TabletMeloxicam 15mg Tablet030s,60s,90s,14s,100s
Mobic 7.5mg TabletMeloxicam 7.5mg Tablet030s,60s,100s,90s,14s
Motrin 200 mg TabletIbuprofen 200 mg Tablet020s,15s,30s,100s,60s,50s,40s
Naprosyn 500mg TabletNaproxen 500mg Tablet030s,60s,10s,90s,20s,120s,50s,42s,40s
Neurontin 100mg CapsuleGabapentin 100mg Capsule0 
Neurontin 100mg CapsuleGabapentin 100mg Capsule020s,90s,30s,60s,270s,360s,120s
Neurontin 300mg CapsuleGabapentin 300mg Capsule030s,90s,60s,120s,100s,270s,360s,540s,180s
Norvasc 10mg TabletAmlodipine Besylate 10mg Tablet030s,90s
Norvasc 2.5mg TabletAmlodipine Besylate 2.5mg Tablet030s
Norvasc 5mg TabletAmlodipine Besylate 5mg Tablet030s,90s,60s,100s,180s
Novolin 70/30 Injectable Suspension 10mL 0Package
Novolin N Inj. Susp.100[iu]/mL #10mLInsulin Human Inj. Susp. 100[iu]/mL #10mL0 
Novolin R u-100 Inj. Suspension 10mL 0Package
Ocean Spray 0.65% 44mLNasal Moisturizing Spray 44mL0Package
Ocuflox 0.3% Ophthalmic Solution 5mLOfloxacin 0.3% Ophthalmic Solution 5mL0Package
PEAK FLOW METER (Full Range) #1PEAK FLOW METER (Full Range) #10 
PEAKFLOW DISP MOUTHPIECE ADULT #100PEAKFLOW DISP MOUTHPIECE ADULT #1000 
Pen Needle 31g x 3/16 #100Pen Needle 31g x 3/16 #1000 
Pen Needle 32g x 1/4 #100Pen Needle 32g x 1/4 #1000 
Pen-VK 500mg #30 Rising HealthPenicillin 500mg Tab#300 
Pepto Bismol Chewables (#30)Bismuth Tablets Chewable 300Package
Pepto Bismol Susp. 8oz(237mL)Pink Bismuth Suspension 8oz(237mL)0Package
Plavix 75mg TabletClopidogrel 75mg Tablet0 
PredniSONE 10mg TabletPredniSONE 10mg Tablet0 
Prednisone 10mg TabletpredniSONE 10mg Tablet021s,40s,30s,20s
PredniSONE 20mg TabletPredniSONE 20mg Tablet0 
Prednisone 20mg tabletpredniSONE 20mg Tablet020s,30s,40s,15s,10s,21s
Prilosec 20mg Caps.Omeprazole DR 20mg Capsule030s,60s,56s,90s
Prilosec 40mg CapsuleOmeprazole DR 40mg Capsule0 
ProAir HFA INH 90mcg 6.7gm 200MIAlbuterol Sulf INH.HFA 90mcg 6.7gm 200MI0 
ProAir HFA INH 90mcg 8.5gm 200MIAlbuterol Sulfate HFA 90mcg 8.5gm 200MI0 
Provera 10 mg TabletmedroxyPROGESTERone Acetate Tab 10mg010s,30s
Prozac 10mg CapsuleFluoxetine Hydrochloride 10mg Capsule030s,90s,60s
Prozac 20mg CapsuleFluoxetine 20mg Capsule030s,100s,60s,15s
Remeron 15mg TabletMirtazapine 15mg Tablet030s,60s
Remeron 30mg TabletMirtazapine 30mg Tablet030s
Remeron 45mg TabletMirtazapine 45mg Tablet030s
Rocephin 500mg IM/IV Box(1x10 vial)Ceftriaxone 500mg IM/IV Box(1x10 Vial)0Package
Seroquel 50mg TabletQuetiapine Fumarate 50mgTablet0 
Shipping Charge Express#4 0 
Sore Throat Lozanges (Cherry) #18Benzocaine/Menthol 15/3.6mg Lozenge #180 
Surecomfort Pen Needles 31g x 5/16 #100Surecomfort Pen Needles 31g x 5/16 #1000 
Symbicort 160/4.5mcg INH. 10.2gBudesonide/Formoterol Fumarate Dihy0 
Synthroid 100 mcg TabletLevothyroxine Sodium 100 mcg Tablet0100s,30s,60s
Synthroid 50 mcg TabletLevothyroxine Sodium 50 mcg Tablet030s,90s
Tamiflu 75mg capsule #10Oseltamivir Phosphate 75mg Caps.#100 
Tenormin 100mg TabletAtenolol 100 mg Tablet0100s,30s
Tenormin 25mg TabletAtenolol 25mg Tablet030s,100s,60s
Tenormin 50mg TabletAtenolol 50mg Tablet030s,100s,60s
Tobrex Ophthalmic sol. 5mlTobramycin Opth 0.3% Sol. 5ml0Package
Toprol XL 25mg TabletMetoprolol Succinate ER 25mg Tablet0 
Toprol XL 50mg TabletMetoprolol Succinate ER 50mg Tablet0 
Toprol XL 50mg Tablet #100 Metoprolol ER 50mg Tablet #1000 
Tri-VyLibra® (3pk) 0 
Tri-VyLibra® (cycle) 0 
Triple Antibiotic Ointment #144 0 
Valtrex 1gm TabletValacyclovir Hcl 1gm Tablet0 
Velivet (3pk) 0 
Vibramycin 100mg TabletDoxycycline Hyclate 100mg Tablet0 
VyLibra® (3pk) 0 
VyLibra® (cycle) 0 
Wellbutrin XL(24h) 150mg ER TabletBupropion XL (24) 150mg ER Tablet0 
Z-pak 250mg Tab. 1 Box(6 Tab)Azithromycin 250mgTablets0Package
Zestoretic 10/12.5mg TabletLisinopril/HCTZ 10/12.5mg Tablet090s,60s,30s,100s
Zestoretic 20/12.5mg TabletLisinopril HCTZ 20/ 12.5mg Tablet0 
Zestril 10mg tabletLisinopril 10mg tablet030s,100s,60s
Zestril 20 mg TabletLisinopril 20 mg Tablet030s,60s,90s
Zestril 5mg TabletLisinopril 5mg Tablet030s
Zocor 10mg TabletSimvastatin 10 mg Tablet030s
Zocor 20mg tabletSimvastatin 20mg tab.030s,60s,100s
Zocor 40mg TabletSimvastatin 40mg Tablet030s,60s,90s,180s,100s
Zoloft 100mg TabletSertraline HCl 100mg Tablet030s,60s,90s,180s
Zoloft 25mg TabletSertraline Hcl 25mg Tablet030s,60s,90s,180s
Zoloft 50mg TabletSertraline Hcl 50mg Tablet030s,60s,90s,180s
Zyloprim 300mg TabletAllopurinol 300mg Tablet030s,60s