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628TH MEDICAL SUPPORT SQUADRON

Posted 2/13/2013 Printable Fact Sheet

628TH MEDICAL SUPPORT SQUADRON

Ensures wing personnel are medically prepared for deployments. Supports comprehensive care to over 36K eligible beneficiaries by participation in $19.7B managed-care contract. Provides support through diagnostics/therapeutics, logistics, resource management, readiness, and managed care services. Executes $12M budget sustaining 241 personnel spanning 40 specialties, 27 readiness UTCs and 300K in outpatient visits annually. Trains/deploys support personnel for contingency operations.

NOTICE OF PRIVACY PRACTICES

http://www.charleston.af.mil/shared/media/document/AFD-100803-070.pdf

CONTACT

- Appointment Desk: (843) 963-6880
- Pharmacy: (843) 963-6808
- Prescription Refills: (843) 963-6833

HOURS OF OPERATION:

Pharmacy 7:30 a.m. - 4:30 p.m.
Laboratory 7:30 a.m. - 4:30 p.m.
Diagnostic Imaging Department 7:30 a.m. - 4:30 p.m.
TRICARE 7:30 a.m. - 4:30 p.m.
Outpatient Records 7:30 a.m. - 4:30 p.m.
Family Practice Check IN window 7:15 a.m. - 4:30 p.m.
Family Practice Check Out window 7:30 a.m. - 4:30 p.m.
The appointment line for AD sick Call 6:30 a.m. - 7:30 a.m.
Beneficiary Enrollment 7:30 a.m. - 4:30 p.m.
Logistics 7:30 a.m. - 4:30 p.m.

TRICARE Online

https://www.tricareonline.com/welcome.do


Joint Base Charleston Pharmacy Formulary

GENERAL INFORMATION

· CAFB pharmacy is open Monday-Friday 0730-1630
· Closed on weekends, Federal Holidays, and Wing Family Days
· Closed the first TUESDAY of each month at 1200 for training

DISPENSING

· The pharmacy accepts both military and civilian prescriptions for eligible beneficiaries. New prescriptions will be filled for any item on the pharmacy formulary. A hard copy prescription with the physician's written signature is required for all new prescriptions. Hard copy prescriptions with stamped or electronic prescriber signatures are not accepted. Telephone, fax prescriptions, and renewal requests are not accepted. Drug information and patient education are available from the pharmacy staff upon request.
· The pharmacy must use generic medications whenever possible. A prescription written as "Dispense as written" may not be accepted.
· Non-controlled prescriptions are honored up to 365 days from the date the prescription was written. These prescriptions may be written for up to a 90 day supply with a maximum of 3 refills.
· Controlled III-V medications are limited to a 30 day supply with a maximum of 5 refills in 6 months. *Note: These prescriptions must be turned in within 180 days of being written.*
· Controlled II medications are limited to a 30 day supply or less with no refills. *Note: These prescriptions must be turned in within 90 days of being written.*
· Controlled medications will not be filled early and post-dated prescriptions will not be filled.

REFILLS

· All refills MUST be called in through the automated telephone refill system and can be picked up Monday-Friday from 0730-1630. Patients with touch-tone telephones must use this system by calling (843) 963-6833 (local) or 866-410-4670 (toll-free #). The refill is typically ready in two duty days. Prescriptions not picked up within 7 calendar days will be placed back in stock.

TRANSFERS

· Prescription transfers can be done for prescriptions filled at other military facilities only, providing that CAFB carries the medication and the original dispensing facility can be reached by telephone during CAFB duty hours.
· Patient must bring prescription bottles at the time of the transfer request. Transfers will be ready in 2-3 duty days.
· The following requirements apply to all transfers:
o Prescription must have refills remaining
o Prescription must be less than one year old
o Prescription cannot be a controlled drug

PRESCRIPTION PICK-UP

· Patients must present a valid military ID at the time of pick-up.
· The patient is the only person authorized to pick up his/her own prescription. A person desiring to pick up prescriptions for another individual must possess 1) a valid photo identification card, 2) a copy of the patients military identification card (front and back), and 3) a signed note from the patient authorizing that individual to pick up medications for the patient.
· EXCEPTION: A parent or legal guardian may pick up prescriptions for patients who are less than 18 years old without the above required items.

MISCELLANEOUS

· Prescription Drop-Off: Individuals who are unable to wait for their medication are able to fill out a request form at the pharmacy kiosk to leave prescriptions to be filled. The prescriptions will be ready for pick-up the following day after 0730. This also applies for individuals seen here in the clinic.

Recent formulary additions: Altace, Coreg CR, Diovan, Nasonex , Patanol & Janumet

Recent formulary deletions: Avandia and Avandamet

**PLEASE NOTE: Due to space constraints, filled prescriptions can only be stored in the pharmacy for 7 calendar days before being returned to stock. Patients who do not pick up their prescriptions within the 7 day window must request next fill in person and return the next day to retrieve the medications. If you have a special circumstance and you need us to hold your prescriptions a little longer, please give us a call and we will make every reasonable effort to accommodate you.

Drug Formulary

Acetaminophen (Tylenol) 325mg Tab
Acetaminophen (Tylenol) Drops 80mg/0.8ml & 160mg/5ml
Acetic Acid-Hydrocortisone (VoSol HC) 2%/1% Soln
Acyclovir (Zovirax) 200mg Cap, 400mg, 800mg Tab & 200mg/5ml
Adapalene (Differin) 0.1% Cream
Albuterol (Proventil) 0.083% Premix Neb Soln 3ml Vials
Albuterol (Proventil) 0.5% neb solution
Albuterol (Proventil) 2mg Tab & 2mg/5ml Syrup
Albuterol (Ventolin HFA) 90mcg Inhaler
Alcohol Prep Pads (200/box)
Alendronate (Fosamax) 10mg, 35mg,70mg Tab & 70mg/75ml
Alendronate/Vitamin D (Fosamax Plus D) 70mg/2800 IU & 70mg/5600 IU Tab
Alfuzosin (Uroxatrol) 10mg Tab
Allopurinol (Zyloprim) 100mg & 300mg Tab
Alprazolam (Xanax) 0.5mg Tab
Amantadine (Symmetrel) 50mg & 100mg Cap, 50mg/5ml
Amiodarone (Cordarone) 200mg Tab
Amitriptyline (Elavil) 10mg, 25mg & 50mg Tab
Amlodipine (Norvasc) 5mg & 10mg Tab
Amlodipine/Benazepril (Lotrel) 2.5mg/10mg, 5mg/10mg, 5mg/20mg, 10mg/20mg, 5mg/40mg, 10/40mg Cap
Amlodipine/Benazepril (Lotrel) 2.5mg/10mg, 5mg/10mg, 5mg/20mg, 10mg/20mg, 5mg/40mg, 10/40mg Cap
Ammonium Lactate (Lac-Hydrin) 12% Lotion & Cream
Amoxicillin (Amoxil) 125mg/5ml, 250mg/5ml, 400mg/5ml
Amoxicillin (Amoxil) 250mg & 500mg Cap, 875mg Tab
Amoxicillin-Pot. Clav. (Augmentin) 200mg/57mg/5ml, 400/57mg/5ml & 600mg/42.9mg/ 5mg Susp
Amoxicillin-Pot. Clav. (Augmentin) 250mg, 500mg, 875mgTab
APAP/Codeine (Tylenol #3) 300mg/30mgTab & 120mg/12mg/5ml Elixir
Aspirin, Enteric Coated (Ecotrin) 81mg, 325mg Tab
Atenolol (Tenormin) 25 mg, 50mg, 100mg Tab
Atorvastatin (Lipitor) 10mg, 20mg, 40mg & 80mg Tab
Azathioprine (Imuran) 50mg Tab
Azelastine (Astelin) 137mcg Nasal Spray
Azithromycin (Zithromax) 100mg/5ml & 200mg/5ml Susp
Azithromycin (Zithromax, Tri-Pak) 500mg Tab
Azithromycin (Zithromax, Z-Pak) 250mg Tab **
Bacitracin Ointment
Bacitracin Zinc-Polymyxin B (Polysporin) Oint
Baclofen (Lioresal) 10mg Tab
Belladonna/Phenobarbital (Donnatal) Tab & Elixir
Benazepril (Lotensin) 10, 20 & 40mg Tab
Benazepril/hctz (Lotensin HCT) 20/12.5mg &20/25 mg Tab
Benzocaine-Antipyrine (Auralgan) 1.4%/5.4% Soln
Benzonatate (Tessalon Pearles) 100mg Cap
Benzoyl peroxide 5% & 10% Gel & Wash
Benztropine Mesylate (Cogentin) 0.5mg, 1mg & 2mg Tab
Betaxalol (Betoptic-S) 0.25% Susp
Bisacodyl (Dulcolax) 5mg Tab & Supp
Bismuth subsalicylate (Pepto-Bismol) 262mg Chewable
Brimonidine Tartrate (Alphagan-P) 0.02% & 0.15% Soln
Bromocriptine (Parlodel) 2.5mg Tab
Budesonide (Pulmicort Respules) 0.25mg/2mL, 0.5mg/2mL Inhalation Susp 2 ml/vials
Budesonide/Formoterol (Symbicort) 80/4.5 & 160/4.5mcg Inhaler
Bupropion (Wellbutrin SR) 100mg, 150mg & 200mg Tab
Bupropion (Wellbutrin) 75mg, 100mg Tab
Buspirone (Buspar) 5mg, 10mg & 15mg Dividose Tab
Butalbital-APAP-Caffeine (Fioricet) 50mg/325mg/40mg Tab
Butalbital-ASA-Caffeine (Fiorinal) 50mg/325mg/40mg Tab
Calcium Carbonate (Oscal-D) 500mg &200U Tab
Candesatan (Atacand) 4mg, 8mg, 16mg & 32 mg Tab
Candesatan/hctz (Atacand HCT) 16/12.5 &32/12.5 mg
Captopril (Capoten) 25mg Tab
Carbamazepine (Tegretol XR) 400mg Tab
Carbamazepine (Tegretol) 100mg Chew Tab & 200mg Tab
Carbamazepine (Tegretol) 100mg/5ml Susp
Carbamide Peroxide (Debrox) 6.5% Soln
Carbidopa-Levodopa (Sinemet) 10mg/100mg, 25mg/100mg & 25mg/250mg Tab
Carisoprodol (Soma) 350mg Tab
Carvedilol (Coreg) 3.125mg, 6.25mg, 12.5mg & 25mg Tab
Carvedilol CR (Coreg CR) 10mg, 20mg, 40mg and 80mg SR Cap
Cefdinir (Omnicef) 125mg/5ml, 250mg/5ml Susp
Cefdinir (Omnicef) 300mg Cap
Cefprozil (Cefzil) 250mg/5ml Susp
Cefuroxime (Ceftin) 250mg Tab & 250mg/5ml Susp
Celecoxib (Celebrex) 200mg Cap
Cephalexin (Keflex) 250mg, 500mg Cap, & 250mg/5ml
Chlordiazepoxide/Clidinium (Librax) 5mg/2.5mg Cap
Chlorhexidine (Periogard) 0.12% Oral Rinse
Chloroquine Phosphate (Aralen) 500mg Tab
Chlorpheniramine (ChlorTrimeton (CTM)) 4mg Tab
Chlorpromazine (Thorazine) 25mg Tab
Chlorthalidone (Hygroton) 25mg & 50mg Tab
Ciprofloxacin (Cipro) 250mg ,500mg,750mg tab & 250mg/5ml
Ciprofloxacin/Dexamethasone (Ciprodex) Otic Susp (10ml/Btl)
Citalopram (Celexa) 10mg,20mg, 40mg Tab & 10mg/5ml
Clarithromycin (Biaxin) 250mg, 500mg, 500mgXL Tab
Clindamycin (Cleocin) 150mg Cap
Clindamycin (Cleocin) 2% Vaginal Cream
Clindamycin (Cleocin-T) 1% Soln
Clobetasol (Temovate) 0.05% Cream
Clonazepam (Klonopin) 0.5mg, 1mg Tab
Clonidine (Catapres) 0.1mg & 0.2mg Tab
Clopidogrel (Plavix) 75mg Tab
Clorazepate (Tranxene-T) 7.5mg Tab
Clotrimazole (Lotrimin) 1% Cream & solution
Coal tar (PC Tar) 1% Shampoo
Colchicine 0.6mg Tab
Colestipol Micronized (Colestid) 1gm Tab
Cromolyn sodium (Crolom) 4% Soln (10ml/Btl)
Cromolyn Sodium nasal spray (Nasalcrom)
Cyanocobalamin (Vitamin B-12) 1mg/ml Inj (1ml/vial)
Cyclobenzaprine (Flexeril) 10mg Tab
Cyclopentolate (Cyclogyl) 1% Soln (15ml/Btl)
Cyproheptadine (Periactin) 4mg Tab & 2mg/5ml
Desipramine (Norpramin) 25mg & 50mg Tab
Desmopressin Acetate (DDAVP) 0.1 &0.2MG Tab
Desogestrel/Etinyl Estradiol (Desogen) Tab, 28/Pack
Desonide (Desowen) 0.05% Cream (15gm/tube)
Desoximetasone (Topicort) 0.25% Cream (15gm/tube)
Dextroamphetamine (Dexedrine or Dextrostat) 5mg Tab
Dextroamphetamine/Amphetamine (Adderall) tabs all strengths
Dextroamphetamine/Amphetamine Extended Release (Adderall XR) Caps all strengths
Diazepam (Valium) 5mg Tab
Diclofenac (Voltaren) 0.1 % Soln (5ml/Btl)
Dicloxacillin (Dynapen) 250mg Cap
Dicyclomine (Bentyl) 10mg Cap, 20mg Tab & 10mg/5ml Soln
Digoxin (Lanoxin) 0.125mg & 0.25mg Tab
Diltiazem (Cardizem) 30mg & 60mg Tab
Diltiazem Extended Release (Tiazac) 120mg, 180mg, 240mg, 300mg, 360mg & 420mg Cap
Diphenhydramine (Benadryl) 25mg Cap, 12.5mg/5ml Sol'n (120ml/Btl)
Dipivefrin (Propine) 0.1% Soln (10ml/Btl)
Dipyridamole (Persantine) 25mg Tab
Divalproex Sodium (Depakote ER) 250mg & 500mg Tab
Divalproex Sodium (Depakote) 125mg, 250mg, 500mg Tab
Docusate Sodium (Colace) 100mg Cap
Donepezil (Aricept) 5mg &10mg Tab
Dorzolamide (Tru-Sopt) 2% Soln (10ml/Btl)
Doxazosin Mesylate (Cardura) 2mg, 4mg & 8mg Tab
Doxepin (Sinequan) 10mg, 25mg,50mg, 75mg, 100mg Cap&10mg/ml
Doxycycline (Vibra-Tabs) 100mg Cap &Tab
Enoxaparin (Lovenox) 40mg/0.4ml Prefilled Inj Syringe
Epinephrine (Epi-Pen) 0.3mg/0.3ml and (Epi-Pen Jr.) 0.15mg/0.3ml Autoinjector
Epinephrine (Twinjet) 0.3mg/0.3ml and 0.15mg/0.15ml Autoinjector
Ergotamine tartrate/Caffeine (Cafergot) 2mg/100mg Tab
Ergotamine/Caffeine (Cafergot)
Erthromycin Base 250mg tabs
Erthromycin Stearate (Erythrocin) 250mg Tab
Erythromycin (T-Stat) 2% Soln & gel
Erythromycin Ethyl Succ (EES) 200mg/5ml Susp
Erythromycin Ointment 5mg/Gm (3.5gm/Tube )
Erythromycin/Sulfisoxazole (Pediazole) 200mg/600mg/5ml
Esomeprazole (Nexium) 20mg & 40mg Cap
Estradiol (Climara) Patch all strengths
Estrogen Conj. / Medroxyprogesterone (Prempro) all strengths
Estrogens Conj. (Premarin) all strengths
Estrogens Conj. (Premarin) 0.625mg/Gm Vaginal Cream
Eszopiclone (Lunesta) 1mg, 2mg & 3mg Tab*Must be on Ambien for 30 days*
Ethambutol (Myambutol) 100mg, 400mg Tab
Ethinyl Estradiol/Drospirenone 0.02-3MG (Yaz) 28/pack
Ethinyl Estradiol/Drospirenone 0.03-3MG (Yasmin) 28/pack
Ethynodiol-Ethinyl Estradiol (Demulen/Kelnor/Zovia) 1/35 & 1/50 Tab 28/Pack
Etonogestrel/Ethinyl Estradiol 120mcg/15mcg (Nuvaring) 3/pack
Eye irrigation solution
Ezetimibe (Zetia) 10mg Tab
Ezetimibe/Simvastatin (Vytorin) 10/10mg, 10/20mg, 10/40mg, 10/80mg Tab
Felodipine Extended Release (Plendil) 5mg Tab
Fenofibrate 160mg Tab
Ferrous Sulfate 325mg Tab & 15mg/0.6ml Soln
Fexofenadine (Allegra) 180mg Tab
Fexofenadine/PSE (Allegra-D 24 hour) 180mg/120mg Tab
Finasteride (Proscar) 5mg Tab
Flucatisone / Salmeterol (Advair ) HFA 115/21mcg Inhaler
Flucatisone / Salmeterol (Advair) 100/50mcg, 250/50mcg & 500/50mcg Diskus Inhaler
Fluconazole (Diflucan) 100mg, 150mg Tab (Vaginal Candidiasis) & 200mg
Fluocinonide (Lidex) 0.05% Cream, ointment & scalp solution (30 gm, 60ml/btl)
Fluorouracil (Efudex) 5% Cream
Fluoxetine (Prozac) 10mg, 20mg, 40mg Cap & 20mg/5ml
Flurometholone (FML) 0.1% Soln
Fluticasone (Flovent HFA) 44mcg, 110mcg, & 220mcg Inhaler
Fluticasone Proprionate (Flonase) Nasal Spray 50mcg/spray
Folic Acid 1mg Tab
Furosemide (Lasix) 20mg, 40mg, 80mg Tab & 10mg/1ml Oral Soln
Fluticasone Proprionate (Flovent Diskus) 50mcg, 100mcg & 250cmg
Gabapentin (Neurontin) 100mg, 300mg, 400mg, 600mg, 800mg
Gemfibrozil (Lopid) 600mg Tab
Gentamicin (Garamycin) 0.3% Soln & 0.3% Oint
Glimepiride (Amaryl) 1mg, 2mg and 4mg Tab
Glipizide (Glucotrol) 5mg, 10mg Tab
Glipizide XL (Glucotrol XL) 5mg, 10mg Tab
Glucagon Emergency Kit, 1mg Inj
Glyburide (Micronase) 2.5mg & 5mg Tab
Glyburide, Micronized (Glynase PresTabs) 3mg Tab
Glyburide/Metformin (Glucovance) 1.25mg/250mg, 2.5mg/500mg, 5mg/500mg Tab
Griseofulvin Microsize (Grifulvin V) 125mg/5ml Susp (120ml/bottle)
Griseofulvin Ultramicrosize (Gris-Peg) 125mg Tab
Guaifenesin Extended Release (Mucinex) 600 Tab
Guaifenesin/Codeine (Robitussin A-C) 100mg/10mg/5ml Guaifenesin/Dextromethorphan (Robitussin DM) 100mg/10mg/5ml
Haloperidol (Haldol) 1mg & 5mg Tab
Triamterene-Hctz (Maxzide) 25mg/37.5mg & 50mg/75mg
Homatropine (Isopto Homatropine) 5% Soln
Hydralazine (Apresoline) 10mg, 25mg Tab
Hydrochlorothiazide 12.5mg Cap, 25mg Tab
Hydrocodone/APAP (Vicodin) 5mg/500mg Tab
Hydrocortisone (Proctozone-HC) 2.5% Cream
Hydrocortisone 1%, (30gm/tube)
Hydrocortisone Acetate (Anusol-HC) cream 2.5% & 25mg Supp
Hydrocortisone valerate (Westcort) 0.2% cream (30mg/tube)
Hydroquinone (Lustra) 4% Cream
Hydroquinone/Sunblocks ( Solaquin Forte) 4% Cream
Hydroxychloroquine (Plaquenil) 200mg Tab
Hydroxyzine (Atarax) 10mg & 25mg Tab, 10mg/5ml Syrup
Hyoscyamine sulfate ER (Levbid) 0.375mg Tab
Hypromelose (Genteal) 0.3% soln
Ibandronate (Boniva) 2.5mg & 150mg Tab
Ibuprofen (Motrin) 400mg, 600mg, 800mg Tab
Ibuprofen (Motrin) Oral Susp 100mg/5ml
Imipramine HCl (Tofranil) 10mg, 25mg & 75mg
Indapamide (Lozol) 2.5MG Tab
Indomethacin (Indocin) 25mg Cap
Insulin Aspart vial & pen (Novolog, Novolog Flex Pen &Novolog 70/30)
Insulin Glargine vial & pen (Lantus & Lantus Solo Pens
Insulin Human (Novolin) vial and pen Reg, NPH, 70/30
Insulin Syringes 0.5cc, 31 gauge,5/16 inch
Insulin Syringes 1cc, 31 gauge, 5/16 inch
Ipratropium (Atrovent HFA) 17mcg/Dose
Ipratropium/Albuterol (Combivent) Inhaler
Ipratropium Bromide 0.02% nebs
Isoniazid (INH) 100mg & 300mg Tab
Isosorbide Dinitrate (Isordil) 5mg & 10mg Tab
Isosorbide Dinitrate Sustained Release (Isordil SR) 40mg Tab
Isosorbide Mononitrate Extended Release (Imdur) 20mg, 30mg, 60mg & 120mg Tab
Ketoconazole (Nizoral) 2% shampoo
Ketoconazole (Nizoral) 2% topical cream
Ketoconazole (Nizoral) 200mg Tab
Ketotifen fumarate( Zaditor)0.025% soln
Lactulose (Cephulac) 10gm/15ml Syrup
Lancets (Medisense Thin)
Latanoprost (Xalatan) 0.005% Sol
Levofloxacin (Levaquin) 250mg, 500mg, 750mg Tab& 250mg/10ml
Levonorgestrel-Ethinyl Estradiol (Lessina/Levlite/Alesse) 28/Pack
Levonorgestrel-Ethinyl Estradiol (Levlen or Nordette) 28/Pack
Levonorgestrel-Ethinyl Estradiol (Tri-Levlen or Trivora) 28/Pack
Levothyroxine (Synthroid) 25mcg, 50mcg, 75mcg, 88mcg, 100mcg, 112mcg, 125mcg, 137mcg, 150mcg, 175mcg, 200mcg & 300mcg
Lidocaine (Xylocaine) 2% Oral Viscous (100ml/btl)
Lidocaine (Xylocaine) 2% Topical Jelly (30ml/tube)
Lindane 1% Lotion
Lisinopril (Zestril) Tab all strengths
Lisinopril-HCTZ (Zestoretic) 10/12.5mg, 20/12.5mg, 20/25mg Tab
Lithium Carbonate (Lithonate) 150mg & 300mg Cap
Lithium Citrate 8meq/5ml
Loperamide (Imodium) 2mg Cap
Loratadine (Claritin) 10mg Tab, 5mg/5ml Syrup
Loratadine/PSE (Claritin-D 24 hours) 10mg/120mg Tab
Lorazepam (Ativan) 0.5mg & 1mg Tab
Losartan (Cozaar) 25mg, 50mg & 100mg Tab
Losartan-HCTZ (Hyzaar) 50mg/12.5mg, 100mg/12.5mg, 100mg/25mg Tab
Mebendazole (Vermox) 100mg Chew Tab
Meclizine (Antivert) 25mg Tab
Medroxyprogesterone (Provera) 2.5mg, 5mg & 10mg Tab
Medroxyprogesterone Acetate (Depo-Provera) 150mg/ml Inj
Mefloquine (Lariam) 250mg Tab **For deployers only**
Meloxicam (Mobic) 7.5mg, 15mg Tab
Meperidine (Demerol) 50mg Tab
Mesalamine (Asacol) 400mg Tab
Metaxalone (Skelaxin) 800mg Tab
Metformin (Glucophage) 500mg, 850mg, 1000mg Tab
Metformin Extended Release (Glucophage XR) 500mg Tab
Methocarbamol (Robaxin) 500mg Tab
Methotrexate (MTX) 2.5mg Tab
Methyldopa (Aldomet) 250mg Tab
Methylphenidate (Ritalin) 5mg, 10mg & 20mg Tab
Methylphenidate Controlled Release (Concerta) 18mg, 27mg, 36mg, 54mg Tab
Methylphenidate Sustained Release (Ritalin SR) 20mg Tab
Methylprednisolone (Medrol Dose Pak) 4mg Tab (#21 tabs/pak)
Metoclopramide (Reglan) 10mg Tab and 5mg/5ml Soln
Metoprolol Succinate Extended Release (Toprol XL) 25mg, 50mg, 100mg, 200mg Tab
Metoprolol Tartrate (Lopressor) 50mg & 100mg Tab
Metronidazole (Flagyl) 250mg, 500mg Tab
Metronidazole (Metrogel) 1% topical gel (60gm/tube)
Metronidazole (Metrogel) Vaginal Gel 0.75% (70 gm/Tube)
Micro-K 10Meq caps
Miconazole (Monistat-7) 2% Vaginal Cream (45gm/Tube
Mometasone (Nasonex) Nasal Spray 50mcg/spray
Mometasone Furoate (Asmanex Twisthaler) 110mcg &
Montelukast (Singular) 4mg & 5mg Chew Tab,10mg Tab, 4mg Oral Granules
Morphine Controlled Release (MS Contin) 15mg, 30mg, 60mg Tab
Morphine Sulfate Immediate Release (MSIR) 15mg & 30mg Tab
Moxifloxacin (Avelox) 400mg Tab
Mupirocin (Bactroban) 2% Oint
Naproxen (Naprosyn) 250mg, 275mg, 550mg, 500mg Tab& 125mg/ml
Neomycin-Poly B-Gramicidin (Neosporin) Ophthalmic Soln
Neomycin-Polymyxin B-Hydrocortisone (Cortisporin) Susp
Niacin Extended Release (Niaspan) 500mg, 750mg & 1000mg Tab
Nicotine (Nicoderm) 7mg/24hr, 14mg/24hr, 21mg/24hr Patch (Must be enrolled in American Lung Association Program)
Nicotine Polacrilex (Nicorette) 2mg Buccal Gum (Must be enrolled in American Lung Association Program)
Nifedipine (Procardia) 10mg Cap
Nifedipine Extended Release (Adalat CC) 30mg, 60mg, 90mg Tab
Nitrofurantoin (Macrodantin) 50mg Cap
Nitrofurantoin Monohydrate (Macrobid) 100mg Cap
Nitroglycerin (NitroDur) 0.2mg, 0.4mg & 0.6 mg Transdermal Patches
Nitroglycerin (Nitrostat) 0.4mg SL Tab
Nitroglycerin 0.4mg Translingual Spray
Nitroglycerin 2% oint
Norelgestromin/Ethinyl Estradiol (Ortho Evra) Patch 4/box
Norethindrone 0.35mg (Micronor or Nor-QD) 28/pack
Norethindrone/Ethinyl estradiol (Loestrin FE 1.5/30) Tab, 28/Pack
Norethindrone-Ethinyl Estradiol (Loestrin FE 1/20) Tab, 28/pack
Norethindrone-Ethinyl Estradiol (Ortho-Novum 1/35 or Norinyl 1+35) Tab, 28/Pack
Norethindrone-Ethinyl Estradiol (Ortho-Novum/Necon 7/7/7) Tab, 28/Pack
Norgestimate/Ethinyl Estradiol (Ortho Tri-Cyclen/TriNessa) 28/Pack
Norgestimate/Ethinyl Estradiol (Ortho-Cyclen/MonoNessa) 28/Pack
Norgestimate/Ethinyl Estradiol (Ortho-Tri-Cyclen Lo) 28/Pack
Norgestrel/Ethinyl Estradiol (Ogestrel or Ovral) Tab, 28/Pack
Norgestrel-Ethinyl Estradiol (Lo-Ovral/Low-Ogestrel) Tab, 28/Pack
Nortriptyline (Pamelor) 10mg, 25mg, 50mg Cap & 10mg/5ml
Novofine (Pen needles)
Nystatin (Mycostatin) 100,000 U/Gm Cream (30gm/tube)
Nystatin (Mycostatin) 100,000u/ml Susp
Nystatin (Nystop) 100,000 U/gm Powder
Nystatin 100,000 U/Gm Ointment (15gm/tube)
Nystatin 500,000 U Tab
Nystatin/Triamcinolone (Mycolog II) 100,000 U/mg Cream (15gm/tube)
Ofloxacin (Floxin) 0.3% Soln (10ml/btl)
Ofloxacin (Ocuflox) 0.3% Soln (5ml/blt)
Olopatadine (Patanol) 0.1% Soln (5ml/Btl)
Omeprazole (Prilosec) 20mg Cap
Oxybutynin (Ditropan) 5mg Tab
Oxybutynin XL (Ditropan XL) 5mg, 10mg, 15mg Tab
Oxycodone/Acetaminophen (Percocet) 5mg/325mg Tab
Oxycodone/Acetaminophen (Tylox) 5mg/500mg Cap
Oxymetazoline (Afrin) 0.05% Nasal Spray (15ml/Btl )
Pancrelipase (Pancrease) EC Caps
Paroxetine (Paxil) 10mg, 20mg, 40mg Tab
Peakflow Meter (Adult & Pediatric)
PEG Electrolytes Solution (Colyte) 4000Ml
Penicillin VK (Pen VK) 250mg & 500mg Tab,125mg/5ml& 250mg/5ml
Permethrine (Elimite) 5% Cream
Phenazopyridine (Pyridium) 100mg & 200mg Tab
Phenelzine (Nardil) 15mg Tab
Pheniramine/Naphazoline (Naphon-A) Soln
Phenobarbital Tabs all strengths & 20mg/5ml Elixir
Phenytoin Sodium (Dilantin Infatab) 50mg Chew Tab
Phenytoin Sodium (Dilantin) 100mg Cap,100mg/4ml & 125mg/5ml Susp
Phospho-Soda (Fleet Oral) Soln
Pilocarpine (Isopto Carpine) 2%, 4% Soln
Pilocarpine (Pilopine HS) 4% gel
Pimecrolimus (Elidel) 1% Cream
Piroxicam (Feldene) 20mg Cap
Podofilox (Condylox) 0.5% Soln
Polyethylene Glycol 3350 (Miralax) powder 255gm/btl, 527gm/btl
Polyvinyl Alcohol (LiquiTears) 1.4% soln
Poly-Vitamin (Poly-Vi-Sol) drops
Poly-Vitamin with Iron(Poly-Vi-Sol w/ Iron)) drops
Potassium Chloride (K-tab) 10meq
Potassium Chloride (K-DUR) 20mEq Tab
Potassium Chloride (Klor-Con) 8mEq
Potassium Chloride 20meq/15ml
Potassium 20meq packets
Pramoxine/Hydrocortisone (Proctofoam-HC) Rectal Foam (10gm/box)
Pravastatin (Pravachol) 10mg, 20mg, 40mg, 80mg Tab
Prazosin (Minipress) 1mg, 2mg, 5mg Cap
Precision Xtra Glucometers *Limit #1/per patient *No refills
Precision Xtra Test Strips (#50/Box)
Prednisolone (Pred Mild) 0.12% Susp (5ml/btl)
Prednisolone (Pred-Forte) 1% Susp (5ml/btl)
Prednisolone (Prelone) 15mg/5ml Syrup
Prednisolone sodium phosphate (Orapred) 15mg/5ml syrup
Prednisone (Deltasone) 1mg, 5mg, 10mg & 20mg Tab
Prenatal Vitamin with Folic Acid (OB Only) Tab
Primaquine Phosphate 26.3mg (Equiv 15 mg Base) Tab
Primidone (Mysoline) 250mg Tab
Probenecid (Benemid) 500mg Tab
Prochlorperazine (Compazine) 5mg Tab
Promethazine (Phenergan) 25mg Tab, 6.25mg/5ml Syrup & 12.5mg & 25mg Supp
Propranolol (Inderal LA) 80mg, 120mg & 160mg Cap
Propranolol (Inderal) 10mg & 40mg Tab
Propylthiouracil (PTU) 50mg Tab
Pseudoephedrine (Sudafed) 30mg Tab, 30mg/5ml Syrup
Pyrazinamide 500mg Tab
Pyridoxine (Vitamin B-6) 50mg Tab
Quetiapine Fumarate (Seroquel XR) 200mg, 300mg & 400mg Tab
Quetiapine Fumarate (Seroquel) tabs all strengths
Raloxifene (Evista) 60mg Tab
Ramipril (Altace) 1.25mg, 2.5mg, 5mg and 10 mg Cap
Ranitidine (Zantac) 150mg Tab, 15mg/ml Syrup
Rifampin (Rifadin) 300mg Cap
Risperidone (Risperdal) 0.25mg, 0.5mg, 1mg, 2mg & 3mg Tab
Risperidone (Risperdal) 1mg/ml Sol'n
Rizatriptan (Maxalt & Maxalt MLT) 5mg & 10mg Tab (12/box) *Max #12/30 days
Salicylic Acid (Mediplast) 40% Pads
Saline laxative (Fleet Enema) 133ml/blt
Saline laxative (Pedia-Lax) 66ml/btl
Saline Nasal Spray (Ocean Spray)
Salmeterol Xinafoate (Serevent Diskus) 50mcg/dose
Salsalate (Disalcid) 500mg & 750mg Tab
Selenium Sulfide (Selsun) 2.5% Lotion
Sertraline (Zoloft) 25 mg, 50mg, 100mg Tab & 20mg/ml
Silver Sulfadiazine (Silvadene) 1% Cream
Simvastatin (Zocor) 5mg, 10mg, 20mg, 40mg & 80mg Tab
Sitagliptin (Januvia) 50mg & 100mg Tab
Sitagliptin/Metformin (Janumet) 50/500mg & 50/1000mg Tab
Sodium chloride (Muro-128) 5% soln & ointment
Sodium Chloride (Ocean Nasal Spray) 0.65% Nasal Spray (45ml/btl)
Sodium Chloride Inhalation Sol 0.9%, 3ml vial (100 vials/box)
Sodium Fluoride (Prevident 5000 Plus) 1.1% Toothpaste
Spacer Device (Aerochamber with mask) Small, Medium, Large
Spirololactone/hctz (Aldactazide) 25/25mg Tab
Spironolactone (Aldactone) 25mg Tab
Sulfacetamide (Sulamyd) 10% Soln
Sulfamethoxazole/trimethoprim 400/80mg & 800/160mg tab
Sulfasalazine (Azulfidine) EN 500mg Tab
Sulfisoxazole (Gantrisin) 500mg/5ml Susp
Sulindac (Clinoril) 150mg & 200mg Tab
Sumatriptan (Imitrex) 50mg *Max #27/30 days & 100mg * Max #18/30 days
Sumatriptan (Imitrex) 6mg/0.5ml Inj * Max 8 inj/30 days
Syrup (120ml/btl)
Tamoxifen (Nolvadex) 10mg & 20mg Tab
Tamsulosin (Flomax) 0.4 mg Cap
Telmisartan (Micardis) 20mg, 40mg & 80mg Tab
Telmisartan-HCTZ (Micardis HCT) 40/12.5mg, 80/12.5mg, 80/25mg
Temazepam (Restoril) 15mg & 30mg Cap
Temazepam (Restoril) 15mg & 30mg Cap
Terazosin (Hytrin) 1mg, 2mg, 5mg & 10mg Cap
Terbinafine (Lamisil) 250mg tablets
Terbutaline (Brethine) 5mg Tab
Testosterone Cypionate (Depo-Testosterone) 200mg/ml Inj (1ml/Vial )
Testosterone Cypionate (Depo-Testosterone) 200mg/ml Inj (1ml/Vial )
Tetracycline 250mg & 500mg Cap
Theophylline (Elixophyllin) 80mg/15ml Elixir
Theophylline (Theochron) 200mg, 300mg Tab
Thiamine (Vitamin B-1) 50mg tab
Thioridazine (Mellaril) 10mg, 25mg & 100mg Tab
Timolol (Timoptic) 0.25% & 0.5% Soln
Timolol Gel Forming (Timoptic XE) 0.25% & 0.5% Soln
Tiotropium (Spiriva HandiHaler) 18mcg/cap
TMP-SMZ (Septra) 40mg/200mg per 5ml susp
Tobramycin (Tobrex) 0.3% Soln (5ml/btl
Tobramycin-Dexamethasone (Tobradex) Susp (5ml/btl) & Oint (3.5mg/tube)
Tolterodine extended release (Detrol LA) 2mg & 4mg Cap
Tramadol (Ultram) 50mg Tab
Trazodone (Desyrel) 50mg, 150mg, &300mg tab
Tretinoin (Retin-A) 0.025%, 0.05%, 0.1% Cream * Must be under 35 years of age*
Triamcinolone (Kenalog In Orabase) 0.1% Dental Paste
Triamcinolone (Kenalog) 0.1%, 0.5% Cream & 0.1% Oint (15gm/tube or 454gm/jar)
Trihexyphenidyl (Artane) 2mg & 2mg/5ml
Trimethoprim-Polymyxin B (Polytrim) Soln (10ml/btl)
Triptolidine/pseudoephedrine (Actifed) 2.5mg/60mg Tab
Tropicamide (Mydriacyl) 1% Soln (15ml/Btl)
Valacyclovir (Valtrex) 500mg & 1gm Tab
Valsartan (Diovan) 40mg, 80mg, 160mg and 320mg Tab
Valsartan-HCTZ (Diovan HCT) 80/12.5mg, 160/12.5mg and 160/25mg Tab
Vardenafil (Levitra) 2.5mg,5mg,10mg & 20mg Tab *Max # 6 / 30 days up to # 18 per 90 days -DoD Policy
Varenicline (Chantix) Starter and Continuation Paks (Must be enrolled in HAWC Program prior to receiving this medication)
Venlafaxine (Effexor XR) 37.5mg, 75mg & 150mg Cap
Verapamil (Calan) 80mg, 120mg Tab
Verapamil Sustained Release (Calan SR) 120mg, 180mg, 240mg Tab
Warfarin Sodium (Coumadin) all strength tabs
White petrolatum/Mineral oil (Lacrilube) oint
Zolmitriptan (Zomig) 2.5mg (#6/box) & 5mg Tab( #3/box) *Max #12/30days
Zolpidem (Ambien) 5mg & 10mg Tab**30 day supply**

*Some restrictions apply


102 East Hill Blvd
Joint Base Charleston, S.C. 29404
(843) 963-1110 DSN: 673-1110





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