Pinellas County Indigent Health Program Formulary

March 7, 2024

A-B

ACARBOSE
ACCURETIC
ACETAMINOPHEN
ACETAMINOPHEN WITH CODEINE
ACETAZOLAMIDE
ACETAZOLAMIDE ER
ACYCLOVIR
AEROCHAMBER
AKTEN
ALBUTEROL SULFATE
ALBUTEROL SULFATE HFA
ALCLOMETASONE DIPROPIONATE
ALENDRONATE SODIUM
ALLOPURINOL
AMANTADINE HCL
AMILORIDE HCL
AMIODARONE HCL
AMITRIPTYLINE HCL
AMLODIPINE BESYLATE
AMLODIPINE BESYLATE/BENAZEPRIL
AMLODIPINE-VALSARTAN-HCTZ
AMOXICILLIN
AMOXICILLIN-POT CLAVULANATE
AMPICILLIN TRIHYDRATE
ARIPIPRAZOLE
ARMOUR THYROID
ASA-BUTALB-CAFF-COD
ASCOMP WITH CODEINE
ASPIRIN
ATENOLOL
ATENOLOL W/CHLORTHALIDONE
ATENOLOL/CHLORTHALIDONE
ATROPINE SULFATE
AZITHROMYCIN
BACITRACIN
BACITRACIN/POLYMYXIN
BACLOFEN
BENAZEPRIL HCL
BENAZEPRIL HCL-HCTZ
BENZONATATE
BENZTROPINE MESYLATE
BETAMETHASONE DIPROPIONATE
BETAMETHASONE VALERATE
BETAXOLOL HCL
BETHANECHOL CHLORIDE
BRIMONIDINE TARTRATE
BRIMONIDINE TARTRATE/TIMOLOL
BUDESONIDE-FORMOTEROL FUMARATE
BUMETANIDE
BUPROPION HCL
BUPROPION SR
BUPROPION XL
BUSPIRONE HCL
BUTALB/ACETAMINOPHEN/CAFFEINE
BUTALBITAL COMPOUND W/CODEINE
BUTALBITAL-ASPIRIN-CAFFEINE

C-D

CALCITRIOL
CAPTOPRIL
CAPTOPRIL/HYDROCHLOROTHIAZIDE
CARBAMAZEPINE
CARBAMAZEPINE ER
CARBIDOPA/LEVODOPA
CARVEDILOL
CEFUROXIME AXETIL
CEPHALEXIN
CHLORDIAZEPOXIDE HCL
CHLORHEXIDINE GLUCONATE
CHLORPHENIRAMINE MALEATE
CHLORPROMAZINE HCL
CHLORTHALIDONE
CIPRO
CIPROFLOXACIN HCL
CIPROFLOXACIN-DEXAMETHASONE
CITALOPRAM HBR
CLARITHROMYCIN
CLINDAMYCIN HCL
CLINDAMYCIN PHOSPHATE
CLOBETASOL EMULSION
CLOBETASOL PROPIONATE
CLONAZEPAM
CLONIDINE HCL
CLOPIDOGREL
CLOTRIMAZOLE
CLOTRIMAZOLE/BETAMETHASONE DIP
CLOZAPINE
CROTAN
CYCLOBENZAPRINE HCL
CYCLOPENTOLATE HCL
CYPROHEPTADINE HCL
DESIPRAMINE HCL
DESMOPRESSIN ACETATE
DESVENLAFAXINE ER
DESVENLAFAXINE SUCCINATE ER
DEXAMETHASONE
DEXAMETHASONE SODIUM PHOSPHATE
DIAZEPAM
DICLOFENAC POTASSIUM
DICLOFENAC SODIUM
DICLOXACILLIN SODIUM
DICYCLOMINE HCL
DIGOXIN
DILANTIN
DILTIAZEM HCL
DIPHENHYDRAMINE HCL
DIPYRIDAMOLE
DISOPYRAMIDE PHOSPHATE
DIVALPROEX SODIUM
DIVALPROEX SODIUM ER
DOCUSATE SODIUM
DOXAZOSIN MESYLATE
DOXEPIN HCL
DOXYCYCLINE HYCLATE
DOXYCYCLINE MONOHYDRATE
DULOXETINE HCL

E-F
ENALAPRIL MALEATE
ENALAPRIL MALEATE/HCTZ
EPITOL
ERY-TAB
ERYTHROMYCIN
ESCITALOPRAM OXALATE
ETHOSUXIMIDE
FAMOTIDINE
FELODIPINE ER
FENTANYL
FINASTERIDE
FLECAINIDE ACETATE
FLUCONAZOLE
FLUOCINONIDE
FLUOROMETHOLONE
FLUOXETINE HCL
FLUPHENAZINE HCL
FLURANDRENOLIDE
FLUTICASONE PROPIONATE
FOLIC ACID
FUROSEMIDE

G-H
GABAPENTIN
GAVILYTE-C
GAVILYTE-G
GEMFIBROZIL
GENTAMICIN SULFATE
GLIMEPIRIDE
GLIPIZIDE
GLIPIZIDE ER
GLIPIZIDE XL
GLIPIZIDE-METFORMIN HCL
GLYBURIDE
GLYBURIDE-METFORMIN HCL
GRISEOFULVIN
GRISEOFULVIN ULTRAMICROSIZE
HALOPERIDOL
HALOPERIDOL LACTATE
HUMALOG
HUMALOG MIX 50-50
HUMALOG MIX 75-25
HUMULIN 70-30
HUMULIN N
HUMULIN R
HYDRALAZINE HCL
HYDROCHLOROTHIAZIDE
HYDROCODONE W/ACETAMINOPHEN
HYDROCORTISONE
HYDROCORTISONE ACETATE
HYDROMORPHONE HCL
HYDROXYCHLOROQUINE SULFATE
HYDROXYZINE HCL
HYDROXYZINE PAMOATE

I-J
IBUPROFEN
IMIPRAMINE HCL
INDAPAMIDE
INDOMETHACIN
INSULIN GLARGINE-YFGN
INSULIN LISPRO
INSULIN SYRINGES
IPRATROPIUM BROMIDE
IPRATROPIUM/ALBUTEROL SULFATE
ISOSORBIDE DINIT/HYDRALAZINE
ISOSORBIDE DINITRATE
ISOSORBIDE MONONITRATE
JANTOVEN

K-L
KETOCONAZOLE
KETODAN
KLARITY-A(AZITHROMYCIN-CHONDR)
LABETALOL HCL
LACTULOSE
LAMOTRIGINE
LANSOPRAZOLE
LATANOPROST
LEUCOVORIN CALCIUM
LEVETIRACETAM
LEVETIRACETAM ER
LEVOBUNOLOL HCL
LEVOCARNITINE
LEVOFLOXACIN
LEVOTHYROXINE SODIUM
LIDOCAINE HCL
LISINOPRIL
LISINOPRIL-HCTZ
LITHIUM CARBONATE
LOPERAMIDE HCL
LORAZEPAM
LOSARTAN POTASSIUM
LOSARTAN-HYDROCHLOROTHIAZIDE
LOVASTATIN
LURASIDONE HCL

M-N
MECLIZINE HCL
MEDROXYPROGESTERONE ACETATE
MELOXICAM
MEPERIDINE HCL
METFORMIN HCL
METFORMIN HCL ER
METHIMAZOLE
METHOCARBAMOL
METHOTREXATE
METHOTREXATE SODIUM
METHYLDOPA
METHYLPHENIDATE HCL
METHYLPREDNISOLONE
METOLAZONE
METOPROLOL SUCCINATE
METOPROLOL TARTRATE
METOPROLOL-HYDROCHLOROTHIAZIDE
METRONIDAZOLE
MEXILETINE HCL
MINOXIDIL
MIRTAZAPINE
MORPHINE SULFATE
MORPHINE SULFATE ER
MUPIROCIN
NADOLOL
NAPROXEN
NAPROXEN SODIUM
NEOMYCIN SULFATE
NEOMYCIN/BACITRACIN/POLY/HC
NEOMYCIN/POLYMYXIN/HC
NEO-POLYCIN HC
NICOTINE
NIFEDIPINE
NIFEDIPINE ER
NITRO-BID
NITRO-DUR
NITROFURANTOIN
NITROFURANTOIN MONO-MACRO
NITROGLYCERIN
NIZORAL A-D
NP THYROID
NYAMYC
NYSTATIN
NYSTATIN-TRIAMCINOLONE

O-P
OFLOXACIN
OLANZAPINE
OMEPRAZOLE
ONDANSETRON HCL
ONDANSETRON ODT
ONE TOUCH ULTRA TEST STRIPS
ONE TOUCH VERIO TEST STRIPS
ONETOUCH DELICA PLUS LANCET
ONETOUCH ULTRASOFT 2 LANCET
OSELTAMIVIR PHOSPHATE
OXAPROZIN
OXCARBAZEPINE
OXYBUTYNIN CHLORIDE
OXYBUTYNIN CHLORIDE ER
OXYCODONE HCL/ACETAMINOPHEN
PAROXETINE ER
PAROXETINE HCL
PEG 3350-ELECTROLYTE
PEG3350-SOD SUL-NACL-KCL-ASB-C
PEGASYS
PENICILLIN V POTASSIUM
PENTOXIFYLLINE
PERIOGARD
PERMETHRIN
PERPHENAZINE
PHENAZOPYRIDINE HCL
PHENOBARBITAL
PHENOBARBITAL-HYOSC-ATROP-SCOP
PHENOHYTRO
PHENYTEK
PHENYTOIN SODIUM
PILOCARPINE HCL
PIOGLITAZONE HCL
POLYETHYLENE GLYCOL
POLYMYXIN B SUL-TRIMETHOPRIM
POTASSIUM CHLORIDE
POTASSIUM CHLORIDE ER
PRAVASTATIN SODIUM
PRAZOSIN HCL
PREDNISOLONE ACETATE
PREDNISONE
PREGABALIN
PRIMIDONE
PROCHLORPERAZINE MALEATE
PROMETHAZINE HCL
PROPAFENONE HCL
PROPRANOLOL HCL
PROPRANOLOL HCL ER

Q-R
QUETIAPINE FUMARATE
QUETIAPINE FUMARATE ER
QUINAPRIL HCL
QUINAPRIL-HYDROCHLOROTHIAZIDE
QUINIDINE SULFATE
RAMIPRIL
REGENECARE HA
RISPERIDONE
ROSUVASTATIN CALCIUM

S-T
SERTRALINE HCL
SILVER SULFADIAZINE
SIMVASTATIN
SPIRONOLACTONE
SPIRONOLACTONE-HCTZ
SUCRALFATE
SULFACETAMIDE SODIUM
SULFACETAMIDE W/PREDNISOLONE
SULFADIAZINE
SULFAMETHOXAZOLE-TRIMETHOPRIM
SULFASALAZINE
SUMATRIPTAN SUCCINATE
TAMOXIFEN CITRATE
TAMSULOSIN HCL
TEMAZEPAM
TERAZOSIN HCL
TERBINAFINE HCL
TERBUTALINE SULFATE
TERCONAZOLE
TETRACYCLINE HCL
THIOTHIXENE
TIMOLOL MALEATE
TOBRADEX
TOBRAMYCIN SULFATE
TOBRAMYCIN-DEXAMETHASONE
TOBREX
TOPIRAMATE
TOVET EMOLLIENT
TRAMADOL HCL
TRAZODONE HCL
TRIAMCINOLONE ACETONIDE
TRIAMTERENE-HCTZ
TRIAZOLAM
TRIDERM
TRIFLUOPERAZINE HCL
TRIFLURIDINE
TRIHEXYPHENIDYL HCL
TRIMETHOPRIM

U-V
UNITHROID
VALPROIC ACID
VENLAFAXINE HCL
VENLAFAXINE HCL ER
VERAPAMIL ER
VERAPAMIL ER PM
VERAPAMIL HCL
VILAZODONE HCL

W-X
WARFARIN SODIUM

Y-Z
ZIPRASIDONE HCL
ZOLPIDEM TARTRATE
ZOLPIDEM TARTRATE ER
ZONISAMIDE