ODspecs  (Med Tables)


ALLERGY GENERIC NAME SIGQTY'SCOST
Alaway  (otc)   (Combination) ketotifen 0.025%, 0.035% bid 10ml 12.50 g
Alocril              (Mast Cell Stabilizer) nedocromil sodium 2.0% bid 5ml 250.00 
Alomide         (Mast Cell Stabilizer) lodoxamide tromethamine 0.1% qid 10ml 225.94 
Alrex               (Steroid) loteprednol etabonate 0.2% qid 5, 10ml 141.00 / 5ml g
Bepreve       (Combination) bepotastine besilate 1.5% bid 5, 10ml 93.00 / 5ml 
Crolom           (Mast Cell Stabilizer) cromolyn sodium 4.0% qid 10, 15ml 26.00 / 10ml g
Elestat            (Combination) epinastine HCL 0.05% bid 5ml 53.00 / 5ml g
Lastacaft     (otc) (Combination) alcaftadine 0.25% qd 3ml 262.00  g
Lotemax    (ointment) & (gel)    (steroid) loteprednol etabonate 0.5% qid¹ 5ml gel 70.00 gel g
Optivar         (Combination) azelastine HCL 0.05% bid 6ml 29.00  g
Pataday Once Daily Relief (otc)  (Combination) olopatadine HCL 0.2% qd 2.5ml 17.50 g
Pataday Twice Daily Relief (otc)  (Combination) olopatadine HCL 0.1% bid 5ml 15.00  g
Pataday Extra Strength Once Daily Relief (otc) (Combination) (formerly Pazeo) olopatadine HCL 0.7% qd 2.5ml 493.00  
Zaditor  (otc)   (Combination) ketotifen 0.025% bid 5ml 8.50  g
Zerviate   (Antihistamine) cetirizine 0.24% bid 5ml, 7.5ml, 30 0.2 mL units $150.00 (30 unit)
Opcon-A       (otc)
Naphcon-A(otc)   Antihistamine/Decongestant
Visine-A     (otc) 		naphazoline 0.025%
pheniramine 0.3% 		qid 0.5 fl. oz. 7.00  g
 ANTI-INFECTIVES  GENERIC NAME SIG QTY'S COST 2
AzaSite azithromycin 1% bid x 2d then qd x 5d 2.5ml 224.00
Bacitracin (ung) 500 units bacitracin per gram ung tid x 7d 1gm, 3.5gm 122.00/3.5g  g
Besivance besifloxacin 0.6% tid x 7d¹ 5ml 241.45
Ciloxan ciprofloxacin HCL 0.3% q15min x 6hr, then q30min 1st day
then qhr x 1dy, then q4hr to 14d (ulcer) ¹ 		2.5, 5, 10ml 23.83/5ml  g
Ciloxan (ung) ciprofloxacin HCL 0.3% ung 1-3x/d 3.5 gm tube 277.77
Fortisite tobramycin 1.5%, vancomycin 5% q15min x 1hr, then qh 1st day
then q1or2hr till resolved ¹ 		7ml 299.00
Ilotycin (ung) erythromycin 0.5% ung bid-qid 3.5 gm tube 19.11  g
Garamycin gentamicin 0.3% qid x 7-10d¹ 5ml, 15ml 26.79  g
Moxeza moxifloxacin 0.5% bid x 7 d 3ml 194.00
Ocuflox ofloxacin 0.3% q2-4 hr x 2d, qid next 5d¹ 5, 10ml 15.00/5ml  g
Neosporin neomycin, polymyxin b, gramicidin qid x 7-10d¹ 10ml 41.00  g
Polysporin  (Polycin ung) bacitracin zinc, polymixin b q 3-4hr x 7d (or often qhs) 3.5 gm 27.00  g
Polytrim trimethoprim 0.1% polymixin b q 3hr 10ml 17.99  g
Quixin levofloxacin 0.5% q2hr x 2d, q4hr x 5d 5ml 75.00  g
Tobrex tobramycin 0.3% q 4hr 5ml 14.00  g
Tobrex (ung) tobramycin 0.3% ung bid or tid¹ 3.5 gm tube 283.00    
Fortified Vancomycin vancomycin 5% qhr 1st day then adjust 10ml/500mg 866.38     g
Vigamox moxifloxacin 0.5% tid x 7 d 3ml 21.00  g
Zymaxid (0.5%) / Zymar (0.3%) 0.5% or 0.3% gatifloxacin q2-3 hr, qid 5ml/2.5ml¹ 38.00  g

Anti Fungal

  Natacyn     natamycin 5%     q1-2hrx3d then q2-3hr        15ml        956.00 

Anti Viral

Famvir famciclovir 500mg po tid x 7d, zoster
250mg po tid x 7d, simplex 		125, 250, 500mg 28.00/21tab/500mg  g
Valtrex valacyclovir 1000mg po tid x 7d, zoster
500mg po tid x 7d, simplex 		500mg, 1g 30.00 / 30 / 1g   g
Viroptic trifluridine 1.0% q 2hr x 24-48hr then qid 7.5ml 135.00  g
Zirgan (gel)    ganciclovir 0.15% 1gt 5x/d then tidx7d 5gm tube 463.00
Zovirax acyclovir 800mg po 5x/d zoster x 7d
400mg po 5x/d simplex¹ x 7d		 200, 400, 800mg 24.78/30tab/400mg g

 ANTIBIOTIC+STEROID  ANTIBIOTIC STEROID SIG QTY'S COST
Blephamide sulfacetamide 10% prednisolone acetate 0.2% q4hr 5, 10ml 180.00/5ml g
'Cortisporin'  neomycin 0.35%, polymyxin B   hydrocortisone 1% q3-4hr¹ 7.5ml 156.33 g
Maxitrol  neomycin 0.35%, polymyxin B   dexamethasone 0.1% qhr¹ 2.5, 5ml 22.5/5ml  g
Maxitrol  (ung)  neomycin 0.35%, polymyxin B   dexamethasone 0.1% ung tid or qid 3.5g 18.00  g
Pred-G gentamicin sulfate 0.3% prednisolone acetate 1% qhr¹ then 2-4x/dy 5ml 182.00
Pred-G  (ung) gentamicin sulfate 0.3% prednisolone acetate 1% ung 1-3x/dy 3.5g 182.00
Tobradex tobramycin 0.3% dexamethasone 0.1% q4-6 hrs 2.5, 5, 10ml 37.00/5ml   g
Tobradex ST tobramycin 0.3% dexamethasone 0.05% q4-6 hrs 2.5, 5, 10ml 149.00/5ml
Tobradex (ung) tobramycin 0.3% dexamethasone 0.1% ung tid or qid 3.5 gm tube 289.11  g
'Vasocidin' sulfacetamide 10% prednisolone phosphate 0.23% q4hr 5ml 21.44  g
Zylet tobramycin 0.3% loteprednol etabonate 0.5% q4-6 hr 2.5, 5, 10ml 349.00/5ml


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Cycloplegics GENERIC NAME SIG QTY'S COST
Atropine  (myopia control) atropine sulfate 0.05% ¹ qhs¹ 3.5, 5ml 45.00/3.5ml  g
Atropine  (cycloplegia etc.) atropine sulfate 0.5%, 1%, 2% bid or qhs¹ 2,5,15ml 42.00/1%/5ml  g
Atropine  OSRX® Prepared atropine sulfate 0.01%, 0.025%, 0.05% qhs¹ 3.5ml 45.00/3.5ml
Atropine Ung    d atropine sulfate 1% bid 3.5gm   g
Cyclogyl cyclopentolate 0.5%, 1%, 2% bid 2, 5¹, 15ml 42.00/1%/15ml  g
Mydriacyl tropicamide 0.5, 1% 1 or 2gtt 2, 3, 15ml 33.00/1%/15ml  g
Paremyd    d hydroxyamphetamine1%/tropicamide0.25% 1 or 2gtt 15ml   g

OSRX®
Prepared Atropine
0.01%, 0.025%, 0.05%
OSRX®
0.05% Atropine

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Dry EyeACTION GENERIC NAME SIGQTY'SCOST
Cequa immunomodulator cyclosporine 0.09% q 12hr 0.25 ml (60 vial box) 645.00 / box(60)
Eysuvis steroid loteprednol etabonate 0.25% qid x 2wks 8.3ml 534.00
Klarity-C    (503-B)3 immunomodulator cyclosporine 0.1% q 12hr 5.5 ml (10 bottles/box) 480.00 / box
Miebo anti evaporative perfluorohexyloctane 100% qid 3 ml 814.00
Restasis immunomodulator cyclosporine 0.05% q 12hr .04ml in .09ml vial 30 or 60 pkg 349.00 / 30 vials 0.4ml
610.00 / 5.5ml g
Tyrvaya cholinergic agonist varenicline 0.06% bid 2 (4.2ml)spray bottles/ctn 700.00 / carton
Vevye   calcineurin inhibitor 0.1% cyclosporine bid 2 ml 299.00  ?  
Xiidra LFA-1 antagonist lifitegrast 5% bid 60/box 743.00 / 60 

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 Glaucoma  ACTION GENERIC NAME SIG QTY'SCOST
Alphagan-P alpha-2 agonist brimonidine 0.1, 0.15% (0.2%)¹ tid or bid(adj)¹ 5, 10, 15ml 74.00/15ml  g
Azopt   (suspension) cai brinzolamide 1% tid 10, 15ml 153.00/10ml
Betagan beta blocker levobunolol HCL 0.25, 0.5% bid or qd 5, 10, 15ml 27.12/5ml  g
Betoptic-S beta blocker betaxolol 0.25% bid 5, 10, 15ml 428.00/10ml
Combigan alpha-2 agonist/beta blocker brimonidine0.2%/timolol0.5% bid 5, 10ml 44.00/5ml
Cosopt  (and PF) cai/beta blocker dorzolamide 2%/timolol 0.5% bid 5, 10ml 12.00/10ml  g
Diamox oral cai acetazolamide 500mg po 125, 250mg¹ 14.00/250/30tab  g
Iopidine alpha agonist apraclonidine 0.5%¹ tid 5, 10ml 38.00/5ml  g
Iyuzeh (preservative free) prostaglandin latanoprost 0.005% qpm 30 pk 285.00 
Lumigan prostaglandin bimatoprost 0.01%,0.03% qhs 2.5, 5, 7.5ml 290.00/2.5ml  g
Neptazane oral cai methazolamide 50mg po 25, 50mg tab 52.00/30/50tab  g
Ocupress beta blocker carteolol HCL 1% bid 5, 10, 15ml 21.00/5ml  g
Pilocarpine cholinergic agonist pilocarpine HCL 1%, 2%, 4% qid¹ 15ml 35.00  g
Rhopressa rho kinase inhibitor netarsudil dimesylate 0.02% qpm 2.5ml 333.01 
Rocklatan rho kinase inhibitor/prostaglandin netarsudil 0.02%/latanoprost 0.005% qpm 2.5ml 370.00 
Simbrinza cai/alpha 2 agonist brinzolamide 1%/brimonidine 0.2% tid 8ml 211.75 
Timoptic (and Ocudose) beta blocker timolol maleate 0.25, 0.5% bid or qd 5, 10, 15ml¹ 10.00/5ml  g
Timoptic XE gel beta blocker timolol maleate 0.25, 0.5% qd 2.5, 5ml 90.00/0.5%/5ml 
Travatan prostaglandin travoprost 0.004% qhs 2.5, 5ml 35.93 / 5ml  g
Travatan z prostaglandin travoprost 0.004% qhs 2.5 5ml 38.00 / 2.5ml 
Trusopt   (solution) cai dorzolamide 2.0% tid or bid(adj)¹ 5, 10ml 18.00 / 10ml  g
Vyzulta prostaglandin / NO donor latanoprostene bunod 0.024% qhs 5ml 248.93 
Xalatan prostaglandin latanoprost 0.005% qpm 2.5ml 14.00  g
Xelpros (BAK free)  prostaglandin latanoprost 0.005% qpm 2.5ml 75.63 
Zioptan prostaglandin tafluprost 0.0015% qhs 30 90 pk 54.00 
Prepared Combinations Action Generic Name sig Qty's Cost
OMNI™ by OSRX® Tim + Lat
beta blocker / prostaglandin timolol maleate / latanoprost (0.5 / 0.005)% qpm 3.5ml 50.00 
OMNI™ by OSRX® Tim + Brim + Dor
 beta blocker / alpha-2 agonist / cai   timolol  / brimonidine / dorzolamide (0.5/0.15/2)% qam* 3.5ml 55.00 
OMNI™ by OSRX® Tim + Brim + Dor + Lat
 beta blocker / alpha-2 agonist / cai / prostaglandin   timolol / brimonidine / dorzolamide / latanoprost (0.5/0.15/2/0.005)% qpm* 3.5ml 60.00 
* Two bottle combination forms the "Triple/Quad" AM - PM pairing.
MISCACTION GENERIC NAME SIGQTY'SCOST
Betadine 5% microbicide povidone-iodine 5% 4-5gtt 1 oz (30ml) 20.00  g
Cequa immunomodulator cyclosporine 0.09% q 12hr 0.25 ml (60 vial box) 645.00 / box(60)
Klarity-C   (503-B)3 immunomodulator cyclosporine 0.1% q 12hr 5.5 ml (10 bottles/box) 440.00 / box
Lacrisert tear film stabilizer hydroxypropyl cellulose 1 rod qd 60/bx 635.55 
Latisse prostaglandin analog bimatoprost 0.03% 1 gt qhs 3ml, 5ml(generic) 136.00/5ml g
Lumify (otc) alpha-2 agonist brimonidine 0.025% 1 gt q 6-8 hr 2.5, 7.5ml 15.74/2.5ml 
Mucomyst compounded mucolytic acetylcysteine 2-20% qid 4, 10, 30ml 37.98/20%/30ml  g
Muro-128 (otc) hyperosmotic sodium chloride 2%, 5% sol/ung q 3-4 hr 15, 30ml / 3.5, 7gm ung 28.43 / 15ml 
Oxervate recombinant NGF cenegermin-bkbj 0.002% 6x/day x 8 wks 7 vials / weekly ctn 29,000.00 / 8ctn 
phenylephrine alpha-1 agonist phenylephrine 2.5%, 10% 1 or 2 gt q3-5 min 10ml,15ml (2.5%),  5ml, (10%) 42.00  / 10ml 
Restasis  immunomodulator cyclosporine 0.05% q 12hr 0.4 ml 30 or 60 / tray
5.5 ml bottle 		366.00 / 30 vials 0.4ml
610.00 / 5.5ml g
Ryzumvi  alpha 1, 2 antagonist phentolamine 0.75% 1 or 2 gtt¹ 30 vials / box 290.00
Tyrvaya  cholinergic agonist varenicline 0.06% bid 2 (4.2ml)spray bottles/ctn 718.00 / carton
Upneeq alpha agonist oxymetazoline HCL 0.1% qd 30/bx 223.00 / box 
Verkazia immunomodulator 0.1% cyclosporine emulsion qid 120/bx 1880.00 / box 
Vuity  cholinergic agonist pilocarpine HCL 1.25% qd 2.5ml 96.00
Xdemvy chloride channel inhibitor lotilaner 0.25% bid 10ml 2,092.00 
Xiidra LFA-1 antagonist lifitegrast 5% bid 60/box 748.00 / 60 
NSAIDS GENERIC NAME SIG QTY'S COST
Acular, ketorolac tromethamin 0.5% qid 5ml 21.00 / 5ml  g
Acular LS ketorolac tromethamin 0.4% qid 5ml 44.00 / 5ml  g
Acuvail ketorolac tromethamin 0.45% bid 30 x 0.4ml vial 354.00 
Bromday bromfenac 0.09% qd 1.7, 2.5, 5ml 43.00 / 1.7ml g
BromSite bromfenac 0.075% bid 5ml 96.00g
indomethacin indomethacin 75mg er po bid x14d 25, 50, 75, 75mg 15.32/ 30/50mg g
Ilevro nepafenac suspension 0.3% qd¹ 1.7ml, 3ml 149.00 / 1.7ml 
Nevanac nepafenac suspension 0.1% tid 3ml 337.06 
Prolensa bromfenac 0.07% qd¹ 1.6, 3ml 342.68 / 3ml 
Voltaren diclofenac sodium 0.1% qid 2.5, 5ml 24.00 / 5ml  g
Oral Pain GENERIC NAME SIGQTY'SCOST
Tylenol #3 30mg codeine, 300mg acetaminophen 1 or 2 q4hr to q6hr 12-24(typical) 20.15 / 20  g
Lortab / Norco 5mg hydrocodone / 325 acetaminophen 1 or 2 po q4hr to q6hr 5,7.5,10 / 325mg 23.20 / 20 / 5/325mg  g
Ultracet 37.5 mg tramadol / 325 mg acetaminophen 1 tablet po q4hr to q6hr¹ 12-24(typical) 23.00 / 20  g
Ultram tramadol hydrochloride 25 or 50mg po q4hr to q6hr¹ 12-24(typical) 24.00 / 60  g
Vicodin 5mg hydrocodone, 300mg acetaminophen 1 or 2 q4hr to q6hr 8-16(typical) 17.00 / 12  g
ORALS GENERIC NAME SIGQTY'SCOST
Amoxil amoxicillin 500mg po bid or tid x 10d 250, 500, 875mg 12.12 / 30 /500mg g
Augmentin amoxicillin / clavulanate 500mg po bid or tid x 10d 250, 500, 875 mg 23.00/20/875mg g
azithromycin azithromycin 500mg po then 250mg x 4d 250mg 12.00 / 6 / 250mg g
Ceclor cefaclor 500mg po q12hr 250, 500mg, suspn 42.00 / 30 / 500mg g
Diamox acetazolamide 500mg po 125, 250mg¹ 26.00 / 30 / 250mg g
doxycycline doxycycline 100mg¹ po bid 20, 100mg 41.19 / 20 / 100mg g
Dynapen dicloxacillin 250mg po q6hr 250 500mg 40.00 / 30 / 500mg g
Famvir famciclovir 500mg po tid x 7d, (zoster)
250mg po tid x 7d, (simplex) 		125, 250, 500mg 34.00 / 21 / 500mg  g
indomethacin indomethacin er 75mg er po bid x14d 25, 50, 75, 75mg er 15.30 / 30 / 50mg g
Keflex cephalexin 500mg po q12hr x 5d 250, 500, 750mg 17.11 / 20 / 500mg  g
Lortab / Norco hydrocodone / acetaminophen 1 or 2 po q4hr to q6hr 5,7.5,10 / 325mg 14.00 / 20 / 5,325mg  g
prednisone   prednisone 10-20 mg bid x 5 dy 5, 10, 20,50mg 9.55/ 10 / 20mg g
Septra DS / (Bactrim)  800mg sulfamethoxazole / 160 trimethoprim 1 tab po q12hr x 10d DS 800/160mg¹ 16.93 / 20  g
Tylenol #3 30mg codein, 300mg acetaminophen 1 or 2 po q4hr to q6hr 12-24(typical) 14.78 / 20  g
Ultracet 37.5 mg tramadol / 325 mg acetaminophen 1 tablet po q4hr to q6hr¹ 12-24(typical) 24.00 / 20  g
Ultram tramadol hydrochloride 25 or 50mg po q4hr to q6hr¹ 12-24(typical) 19.00 / 60  g
Valtrex valcyclovir 1000mg po tid x 7d, (zoster)
500mg po tid x 7d, (simplex) 		250, 500mg, 1g 30.00 / 30 / 1g  g
Vicodin 5mg hydrocodone, 300mg acetaminophen 1 or 2 po q4hr to q6hr 8-16(typical) 17.00 / 12  g
Zmax azithromycin single dose po¹ 1.0 gm 30.71 / 1g packet  g
Z-Pak azithromycin 2 tabs po then 1tb x 4d 6 x 250mg 12.00 / 6 / 250g  g
Zovirax acyclovir 800mg po 5x/d  (zoster)
400mg po 5x/d   (simplex)		 200, 400, 800mg 24.26/60tab/400mg g
Topical  STEROIDS GENERIC NAME SIG QTY'S COST
Alrex                   (suspension) loteprednol etabonate 0.2% qid, taper 5,10ml 293.10 / 5ml 
Dextenza               (insert) dexamethasone 0.4mg 1 insert / 30 days 0.4mg 630.00 
Durezol               (emulsion) difluprednate 0.05% qid x14 dy, taper 5 ml 72.00  g
Eysuvis                  (suspension) loteprednol etabonate 0.25% qid x 2wks 8.3ml 500.82
Flarex                 (suspension) fluorometholone acetate 0.1% qid, taper 5 ml 119.71  
FML                   (suspension) fluorometholone alcohol 0.1% qid-bid, taper 5,10,15ml 98.66 / 5ml  g
FML ointment fluorometholone alcohol 0.1% ung 1-3 x/dy 3.5 gm tube 195.28 
FML Forte          (suspension) fluorometholone alcohol 0.25% q 4hrs, taper 5,10,15ml 199.81 / 5ml 
Inflamase Forte   (solution) prednisolone sodium phosphate 1.0% qhr to tid, taper 5,10,15ml 67.33 / 10ml  g
Inveltys (micro particle suspension) loteprednol etabonate 1% bid¹, taper 2.8ml 332.50  
Lotemax Drops    (suspension) loteprednol etabonate 0.5% qid¹, taper 2.5, 5, 10, 15ml 198.97 / 5ml  g
Lotemax Ointment & gel loteprednol etabonate 0.5% qid¹, taper 3.5gm ung / 5ml gel 250.63   gel g
Lotemax SM         (gel) loteprednol etabonate 0.38% tid¹, taper 3.5gm ung / 5ml gel 245.31   ung 
Maxidex             (suspension) dexamethasone 0.1% 4-6 x/dy, taper 5ml 69.00 / 5ml g
Pred Forte         (suspension) prednisolone acetate 1.0% 2-4 x/dy, taper 5,10,15ml 43.28 / 5ml g
prednisone         (tablet) prednisone anhydrous tablet 10-20 mg bid x 5 dy 5, 10, 20,50mg 9.58/ 10 / 20mg g
Triamcinolone     (cream) triamcinolone 0.1% tid 15,80gm 14.00 / 15g  g
.

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1. For clarification click the drug name (which is a link to the associated detail page).
2. "Cost" column links to Good Rx price page for that drug.
3. 503-A = Customized compounding of FDA approved drugs. Facility not necessarily inspected by the FDA. Resulting product not FDA approved.
4. 503-B = Customized compounding of FDA approved drugs in quantity and in an FDA approved facility. Resulting product not FDA approved.

  g = generic

d = discontinued

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click "Dosage and Administration" on the N.L.M. page.

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