Coalition Of Community Health Clinics
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formulary

  • Pharmacy Bridge Formulary

Pharmacy Bridge Formulary

Only medications on this formulary will be covered.



Category
Analgesics
Analgesics
Analgesics
Analgesics
Analgesics
Anticonvulsant
Anticonvulsant
Anticonvulsant
Anticonvulsant
Anticonvulsant
Antidepressant
Antidepressant
Antidepressant
Antidepressant
Antidepressant
anti-Gout
anti-Gout
Anti-HTN
Anti-HTN
Anti-HTN
Anti-HTN
Anti-HTN
Anti-HTN
Anti-HTN
Anti-HTN
Anti-HTN
Anti-HTN
Anti-HTN
Anti-HTN
Anti-HTN
Anti-HTN
Anti-HTN
antihyperlipidemic
antihyperlipidemic
antihyperlipidemic
Antimicrobials
Antimicrobials
Antimicrobials
Antimicrobials
Antimicrobials
Antimicrobials
Antimicrobials
Antimicrobials
Antimicrobials
Antimicrobials
Antimicrobials
Antimicrobials
Antimicrobials
Antimicrobials
Antimicrobials
Antimicrobials
Antimicrobials
Antimicrobials
Antimicrobials
Antimicrobials
Cardiac
Cardiac
Cardiac
Cardiac
cardiac
Cardiac
Cardiac
cough/cold/allergy
cough/cold/allergy
cough/cold/allergy
cough/cold/allergy
cough/cold/allergy
cough/cold/allergy
cough/cold/allergy
cough/cold/allergy
cough/cold/allergy
Dermatological
Dermatological
Dermatological
Dermatological
Dermatological
Dermatological
Dermatological
Dermatological
Dermatological
Dermatological
Dermatological
Dermatological
Diabetes
Diabetes
Diabetes
Diabetes
Diabetes
Diabetes
Diabetes
Diabetes
Diabetes
Diabetes
Diabetes
Diabetes
Diabetes
Diabetes
Diabetes
Diabetes
Diabetes
Diabetes
Diabetes
Glaucoma
Glaucoma
Glaucoma
Glaucoma
Glaucoma
Glaucoma
GU/GI
GU/GI
GU/GI
GU/GI
GU/GI
GU/GI
GU/GI
GU/GI
GU/GI
GU/GI
GU/GI
GU/GI
GU/GI
Migraine
Muscle Relaxants
Ophthalmic
Ophthalmic
Ophthalmic
Otic
Otic
Respiratory
Respiratory
Respiratory
Respiratory
Respiratory
Respiratory
Respiratory
Respiratory
Respiratory
Supplements
Supplements
Supplements
SystemicCorticosteroids
SystemicCorticosteroids
Thyroid
Thyroid
Women Health
Women Health



Brand Name
IBUPROFEN
INDOMETHACIN
NAPROXEN
Acetaminophen
SALSALATE
Carbamazepine
clonezepam
Phenobarbital
Phenytoin
Valproic Acid
Trazodone
CITALOPRAM
FLUOXETINE HCL
Paroxetine
Amitriptyline
ALLOPURINOL
Colchicine
CAPTOPRIL
ENALAPRIL MALEATE
LISINOPRIL
ATENOLOL
METOPROLOL TARTRATE
DILTIAZEM HCL
VERAPAMIL HCL
PROPRANOLOL HCL W/HCTZ
triamterene / HCTZ
CHLORTHALIDONE
FUROSEMIDE
HYDROCHLOROTHIAZIDE
INDAPAMIDE
CLONIDINE HCL
POTASSIUM CHLORIDE
Gemfibrozil
LOVASTATIN
SIMVASTATIN
FLUCONAZOLE
Terbinafine
Mebendazole
ACYCLOVIR
CEPHALEXIN
EES/Sulfisoxazole (liquid)
SULFAMETHOXAZOLE-TRIMETHOPRIM
CIPROFLOXACIN HCL
Azithromycin
Clarithromycin
ERYTHROMYCIN
ERYTHROMYCIN ETHYLSUCCINATE
Clindamycin
Metronidazole
AMOXICILLIN
Amoxicillin/clav
Dicloxacillin
PENICILLIN V POTASSIUM
DOXYCYCLINE HYCLATE
TETRACYCLINE HCL
Aspirin
Digoxin
Isosorbide dinitrate
Isosorbide mononitrate
NITROGLYCERIN
Nitroglycerin SL
WARFARIN SODIUM
diphenhydramine
hydroxyzine
loratadine
GuaIfenesin/Codeine Phos
Guaifenesin
Flunisolide (Nasarel)
fluticasone (Flonase)
Phyenylephrine
Saline nasal spray
Bacitracin
Mupirocin
Neomycin/Bacitracin/Polymyxin
Clotrimazole
Miconazole
Nystatin topical
NYSTATIN-TRIAMCINOLONE
BETAMETHASONE DIPROPIONATE
HYDROCORTISONE
TRIAMCINOLONE ACETONIDE
Permethrin (Elimite; Rid)
SELENIUM SULFIDE
ULTRA Comfort
True Track
NovoLog
NovoLog Mix 70/30
Humulin N
Novolin N
Humulin 50/50
Humulin 70/30
Novolin 70/30
Humalog
Humalog Mix 75/25
Humalog Mix 50/50
Humulin R
Novolin R

GLIPIZIDE
METFORMIN HCL
METFORMIN HCL ER
GLYBURIDE
Betaxolol
Carteolol
Levobunolol
Timolol
Dipivefrin
Pilocarpine
Dicyclomine
Hyoscyamine
Meclizine
METOCLOPRAMIDE HCL
Promethazine
CIMETIDINE
FAMOTIDINE
RANITIDINE HCL
hydrocortisone rectal cream
hydrocortisone rectal supp
Omeprazole
Nitrofurantoin
Phenazopyridine
Imitrex
Cyclobenzaprine
Erythromycin ophth oint
GENTAMICIN SULFATE
Sulfacetamide sodium
Cortisporin Otic
Floxin
Atrovent
ALBUTEROL
Proventil HFA
ProAir HFA
Ventolin HFA
Flovent HFA
Azmacort
Albuterol syrup
Albuterol tab
Folic acid
Multivitamin w/ Flouride
Prenatal Vitamins (prenatal plus)
DEXAMETHASONE
PREDNISONE
LEVOTHYROXINE SODIUM
Armour Thyroid
ESTRADIOL
Medroxyprogesterone

Generic Name
IBUPROFEN
INDOMETHACIN
NAPROXEN
Acetaminophen
SALSALATE
Carbamazepine
clonazepam
Phenobarbital
Phenytoin
Valproic Acid
Trazodone
CITALOPRAM HYDROBROMIDE
FLUOXETINE HCL
Paroxetine
Amitriptyline 25 mg
ALLOPURINOL
Colchicine
CAPTOPRIL
ENALAPRIL MALEATE
LISINOPRIL
ATENOLOL
METOPROLOL TARTRATE
DILTIAZEM HCL
VERAPAMIL HCL
PROPRANOLOL/HYDROCHLOROTHIAZID
triamterene / HCTZ
CHLORTHALIDONE
FUROSEMIDE
HYDROCHLOROTHIAZIDE
INDAPAMIDE
CLONIDINE HCL
POTASSIUM CHLORIDE
Gemfibrozil
LOVASTATIN
SIMVASTATIN
FLUCONAZOLE
Terbinafine 250 mg
Mebendazole
ACYCLOVIR
CEPHALEXIN MONOHYDRATE
EES/Sulfisoxazole (liquid)
SULFAMETHOXAZOLE/TRIMETHOPRIM
CIPROFLOXACIN HCL
Azithromycin
Clarithromycin
ERYTHROMYCIN BASE
ERYTHROMYCIN ETHYLSUCCINATE
Clindamycin
Metronidazole
AMOXICILLIN TRIHYDRATE
Amoxicillin/clav
Dicloxacillin
PENICILLIN V POTASSIUM
DOXYCYCLINE HYCLATE
TETRACYCLINE HCL
Aspirin
Digoxin
Isosorbide dinitrate
Isosorbide mononitrate
NITROGLYCERIN
Nitroglycerin
WARFARIN SODIUM
diphenhydramine
hydroxyzine
loratadine
GuaIfenesin/Codeine
Guaifenesin
Flunisolide nasal
fluticasone nasal
Phenylephrine
Saline nasal spray
Bacitracin
Mupirocin
Neomycin/Bacitracin/Polymyxin
Clotrimazole
Miconazole (monistat 3)
Nystatin topical
NYSTATIN/TRIAMCIN
BETAMETHASONE DIPROPIONATE
HYDROCORTISONE
TRIAMCINOLONE ACETONIDE
Permethrin
SELENIUM SULFIDE
Insulin Syringes (1ml w/ndl)
Lancets
Test Strips 50 ct
Insulin Aspart
Insulin Aspart Protamine/Insulin Aspart
Insulin Isophane Suspension
Insulin Isophane Suspension
Insulin Isophane/Insulin Regular
Insulin Isophane/Insulin Regular
Insulin Isophane/Insulin Regular
Insulin Lispro
Insulin Lispro Protamine/Insuin Lispro
Insulin Lispro Protamine/Insuin Lispro
Insulin Regular
Insulin Regular
GLIPIZIDE
METFORMIN HCL
METFORMIN HCL
GLYBURIDE
Betaxolol
Carteolol
Levobunolol
Timolol
Dipivefrin
Pilocarpine
Dicyclomine
Hyoscyamine Sulfate
Meclizine
METOCLOPRAMIDE HCL
Promethazine
CIMETIDINE
FAMOTIDINE
RANITIDINE HCL
hydrocortisone rectal cream (prepH)
hydrocortisone rectal supp (anucort-hc)
omeprazole
Nitrofurantoin
Phenazopyridine
Imitrex
Cyclobenzaprine
Erythromycin ophth oint
GENTAMICIN SULFATE
Sulfacetamide sodium
Neomycin/Polymyxin/Hydrocortisone
Ofloxacin otic
Ipratropium
ALBUTEROL
Albuterol
Albuterol
Albuterol
Floticasone inh
Triamcinolone inh
Albuterol syrup
Albuterol tab
Folic acid
Multivitamin w/ Flouride
Prenatal Vitamins
DEXAMETHASONE
PREDNISONE
LEVOTHYROXINE SODIUM
Thyroid
ESTRADIOL
Medroxyprogesterone

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