OTC Formulary
| Drug |
NDC |
| Acetaminophen 160mg/5ml syrup |
00904-7014-20 |
| Acetaminophen 500mg tablet |
49483-0341-50 |
| Aspirin 81mg chewable tablet |
00904-6794-80 |
| Aspirin EC 81mg tablet |
49483-0481-12 |
| Baby D3 400 unit/drop conc |
88395-0012-50 |
| Bacitracin antibiotic ointment |
45802-0060-01 |
| Bisacodyl EC 5mg tablet |
49483-0003-01 |
| Carbamide Peroxide (Debrox) 6.5% |
00904-6627-35 |
| Children’s multivitamin chewable |
80681-0049-00 |
| Chlorhexidine 4% (Hibiclens) |
16571-0111-24 |
| Clotrimazole 1% Vaginal (7-day) |
51672-2003-06 |
| Daily-Vite |
00536-3547-10 |
| Diphenhydramine 25mg tablet |
00536-1214-29 |
| Ferrous Sulfate 15mg/ml drops |
54838-0011-50 |
| Ferrous Sulfate 325mg tablet |
00536-1009-01 |
| Hydrocortisone 1% cream (topical/non-rectal) |
45802-0438-03 |
| Hydrocortisone 1% ointment (topical/non-rectal) |
45802-0276-03 |
| Ibuprofen 200mg tablet |
00904-6747-40 |
| Lidocaine 4% patch |
00536-1202-07 |
| Loperamide 1mg/7.5ml solution |
00904-6836-20 |
| Loperamide 2mg tablet |
00904-7725-24 |
| Meclizine 25mg chewable |
00536-1299-01 |
| Melatonin 3mg tablet |
80681-0148-00 |
| Melatonin 5mg tablet |
00761-0155-40 |
| M-Natal plus 27 FE/1 folate |
58657-0170-01 |
| Mucus Relief DM ER 600/30 |
00536-1161-34 |
| Mucus Relief ER 600mg |
00536-1163-61 |
| Naproxen Sodium 220mg |
45802-0490-75 |
| Oxymetazoline 0.05% nasal spray |
45802-0410-59 |
| PEG 3350 packets |
00904-6931-81 |
| Pediatric glycerin suppositories |
58980-0409-12 |
| Prenatal 27 FE/0.8 folate |
07610-0104-18 |
| Prenatal 28 FE/0.8 folate |
00536-4085-01 |
| Prenatabs Rx 29 FE/1 folate |
60258-0193-09 |
| Riboflavin 400mg tablet (Vitamin B2) |
63948-0168-43 |
| Thiamin (Vitamin B1) 100mg tablet |
11845-0056-51 |
| Vitamin B-12 1000mcg tablet |
20555-0016-00 |
| Vitamin C 500mg tablet |
00904-0523-60 |
| Vitamin D3 1,000 unit capsule |
11845-0147-70 |
| Vitamin D3 1,000 unit tablet |
80681-0168-01 |
| Vitamin D3 2,000 unit capsule |
00536-1353-01 |
| Vitamin D3 2,000 unit tablet |
80681-0132-00 |
| Vitamin D3 5,000 unit tablet |
07610-0178-40 |
| Vitamin D3 5,000 unit capsule |
74312-0193-77 |
| Vitamin D3 50,000 unit capsule |
53191-0362-01 |