Brief Formulary - Boise VAMC Pharmacy - Boise VA Medical Center
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Boise VA Medical Center

 

Brief Formulary - Boise VAMC Pharmacy

Brief Formulary - Boise VAMC Pharmacy
Last Updated October 2020

*This is an abbreviated formulary list and represents commonly prescribed outpatient medications.

Allergy | Antidepressants | Antidiabetics | Cardiovascular | Gastrointestinal | Genitourinary | Musculoskeletal | Neurologic | Respiratory 

ALLERGY
  • cetirizine
  • chlorpheniramine
  • cromolyn nasal spray
  • diphenhydramine
  • hydroxyzine
  • ipratropium nasal spray
  • loratadine
  • fluticasone nasal spray (second line)
  • ketotifen ophthalmic solution
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CARDIOVASCULAR
ACE Inhibitors
  • benazepril
  • enalapril
  • lisinopril & lisinopril/hydrochlorothiazide

Angiotensin II Receptor Blockers
(only if ACE-inhibitor intolerant)

  • losartan
  • valsartan (restricted to congestive heart failure)
  • Telmisartan
  • Candesartan
  • Irbesartan

Alpha-Blockers

  • doxazosin
  • prazosin
  • tamsulosin
  • terazosin

Antianginals

  • isosorbide dinitrate
  • isosorbide mononitrate sustained-release
  • nitroglycerin patch
  • sublingual nitroglycerin tablets

Antihyperlipidemics

  • colestipol
  • gemfibrozil
  • pravastatin
  • simvastatin
  • Atorvastatin
  • Rosuvastatin

Antihypertensives, Other

  • clonidine , oral and patch
  • hydralazine
  • methyldopa
  • minoxidil

Beta-Blockers

  • atenolol
  • carvedilol
  • metoprolol tartrate immediate-release
  • metoprolol succinate sustained-release (For Heart Failure Only)
  • propranolol, IR, LA

Calcium Channel Blockers

  • diltiazem
  • amlodipine
  • nifedipine XL (extended release)
  • verapamil

Diuretics

  • bumetanide
  • chlorthalidone & atenolol/chlorthalidone
  • furosemide
  • hydrochlorothiazide
  • indapamide
  • metolazone
  • spironolactone
  • hydrochlorothiazide/triamterene
  • torsemide

Platelet Aggregation Inhibitors

  • clopidogrel (restricted to CFU)
  • dipyridamole/asa (Clopidogrel preferred)
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ANTIDEPRESSANTS
SSRIs
  • citalopram
  • fluoxetine
  • paroxetine
  • sertraline
  • escitalopram

TCAs

  • amitriptyline
  • clomipramine
  • desipramine
  • doxepin
  • imipramine
  • nortriptyline

Other Antidepressants

  • bupropion
  • mirtazapine
  • trazadone
  • venlafaxine
  • venlafaxine extended release (capsules only)
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ANTIDIABETICS
Oral agents
  • acarbose
  • glipizide
  • glimepiride
  • metformin (IR & SA)

Insulins

  • aspart
  • glargine
  • NPH
  • regular
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GASTROINTESTINAL
Acid-reducers
  • omeprazole
  • famotidine
  • pantoprazole (second line after omeprazole)

Anti-nausea

  • ondansetron
  • prochlorperazine
  • promethazine

Other

  • misoprostol
  • sucralfate (tablets only)
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GENITOURINARY
  • doxazosin
  • terazosin
  • finasteride
  • oxybutynin ER
  • Trospium
  • phenazopyridine
  • tamsulosin
  • sildenafil (ED only)
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MUSCULOSKELETAL
Anti-gout
  • allopurinol
  • colchicine (not for chronic use)
  • probenecid

Anti-osteoporosis

  • alendronate
  • calcium with vitamin D
  • calcitonin nasal spray
  • cholecalciferol
  • pamidronate

NSAIDs

  • diclofenac
  • etodolac
  • ibuprofen
  • indomethacin
  • meloxicam
  • naproxen
  • sulindac
  • celecoxib (second line)

Opioids

  • codeine/apap and codeine sulfate
  • fentanyl patch (restricted - must fail other long acting options)
  • hydrocodone/apap 5/325mg tab
  • hydromorphone
  • methadone
  • morphine sulfate IR, SR, soln and concentrated soln
  • oxycodone and oxycodone/apap (immediate-release only)
  • tramadol

Salicylates

  • aspirin
  • salsalate

Skeletal Muscle Relaxants

  • baclofen
  • cyclobenzaprine
  • methocarbamol
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NEUROLOGIC AGENTS
Anti-Alzheimers Agents
  • donepezil
  • galantamine (second line)
  • memantine

Anti-migraine

  • propranolol (prophylaxis)
  • sumatriptan
  • topiramate (prophylaxis)
  • Eletriptan

Anti-Parkinsonian Agents

  • amantadine
  • entacapone
  • levodopa/carbidopa immediate-release & sustained-release
  • ropinirole immediate release
  • pramipexole
  • selegiline (oral)
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RESPIRATORY
Anticholinergics
  • ipratropium oral inhaler
  • tiotropium oral inhaler

Anti-Asthma, Other

  • montelukast

Corticosteroid, Oral Inhalation

  • mometasone oral inhaler

Sympathomimetics

  • albuterol, oral inhaler and tablet

Combination

  • albuterol/ipratropium oral inhaler
  • budesonide/formoterol oral inhaler
  • olodaterol/tiotropium
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