ODspecs  (Med Tables)


 ANTIBIOTIC/STEROID  ANTIBIOTIC STEROID SIG QTY'S COST
Blephamide sulfacetamide 10% prednisolone acetate 0.2% q4hr 5, 10ml 127.00/5ml  g
Blephamide (ung) sulfacetamide 10% prednisolone acetate 0.2% ung tid or qid 3.5 gm tube 100.00
Maxitrol  neomycin 0.35%,   polymyxin B   dexamethasone 0.1% qhr¹ 2.5, 5ml 4.00/5ml  g
Maxitrol ung  neomycin 0.35%,   polymyxin B   dexamethasone 0.1% ung tid or qid 3.5g 4.00  g
Tobradex tobramycin 0.3% dexamethasone 0.1% q4-6 hrs 2.5, 5, 10ml 55.00/5ml  g
Tobradex ST tobramycin 0.3% dexamethasone 0.05% q4-6 hrs 2.5, 5, 10ml 194.00/5ml
Tobradex ung tobramycin 0.3% dexamethasone 0.1% ung tid or qid 3.5 gm tube 190.00  g
'Vasocidin' sulfacetamide 10% prednisolone phosphate 0.23% q4hr 5ml 16.00  g
Zylet tobramycin 0.3% loteprednol etabonate 0.5% q4-6 hr 2.5, 5, 10ml 210.00/5ml
 Glaucoma  ACTION GENERIC NAME SIG QTY'SCOST
Alphagan-P alpha agonist brimonidine 0.1, 0.15% (0.2%)¹ tid¹ 5, 10, 15ml 26.00/5ml  g
Azopt   (suspension) cai brinzolamide 1% tid 2.5, 5, 10, 15ml 264.00/10ml
Betagan beta blocker levobunolol HCL 0.25, 0.5% bid or qd 5, 10, 15ml 4.00/5ml  g
Betoptic-S beta blocker betaxolol 0.25% bid 2.5, 5, 10, 15ml 288.00/10ml
Combigan alpha agonist/beta blocker brimonidine0.2%/timolol0.5% bid 5, 10ml 146.00/5ml
Cosopt  (and PF) cai/beta blocker dorzolamide 2%/timolol 0.5% bid 5, 10ml 21.00/10ml  g
Diamox oral cai acetazolamide 500mg po 125, 250mg¹ 71.00/250/120tab  g
Iopidine alpha agonist apraclonidine 0.5%¹ tid 5, 10ml 67.00/5ml  g
Lumigan prostaglandin bimatoprost 0.01%,0.03% qhs 2.5, 5, 7.5ml 100.00/2.5ml  g
Neptazane oral cai methazolamide 50mg po 25, 50 mg tab 180.00/60/50tab  g
Ocupress beta blocker carteolol HCL 1% bid 5, 10, 15ml 16.00/5ml  g
Pilocarpine cholinergic agonist pilocarpine HCL 1%, 2%, 4% qid¹ 15ml 53.00  g
Rescula   d docosanoid unoprostone 0.15% bid 5ml
Simbrinza cai/alpha 2 agonist brinzolamide 1%/brimonidine 0.2% tid 8ml 143.00 
Timoptic (and Ocudose) beta blocker timolol maleate 0.25, 0.5% bid or qd 5, 10, 15ml¹ 4.00/5ml  g
Timoptic XE gel beta blocker timolol maleate 0.25, 0.5% qd 2.5, 5ml 73.00/0.5%/5ml 
Travatan prostaglandin travoprost 0.004% qhs 2.5 5ml 80.00 / 2.5ml  g
Travatan (z) prostaglandin travoprost 0.004% qhs 2.5 5ml 162.00 / 2.5ml 
Trusopt   (solution) cai dorzolamide 2.0% bid / tid 5, 10ml 25.00 / 10ml  g
Xalatan prostaglandin latanaprost 0.005% qhs 2.5ml 14.00  g
Zioptan prostaglandin tafluprost 0.0015% qhs 30 pk 175.00 
 Cycloplegics  GENERIC NAME SIG QTY'S COST
Atropine atropine sulfate 0.5%, 1%, 2% bid 2,5,15ml 30.00/1%/5ml  g
Atropine Ung atropine sulfate 1% bid 3.5gm 9.00   g
Cyclogyl cyclopentolate 0.5%, 1%, 2% bid 2, 5, 15ml 35.00/1%/15ml  g
Homatropine homatropine HBr 2%, 5% qid 5ml 23.00 / 5ml  g
Mydriacyl tropicamide 0.5, 1% 1 or 2gtt 2, 3, 15ml 25.00/1%/15ml  g
Paremyd hydroxyamphetamine1%/tropicamide0.25% 1 or 2gtt 15ml 25.00 / 15ml  g
MISCACTION GENERIC NAME SIGQTY'SCOST
Betadine 5% microbicide povidone-iodine 5% 4-5gtt 1 oz (30ml) 20.00  g
FreshKote (otc) lubricant   2% polyvinyl pyrrolidone, polyvinyl alcohol prn 3.5, 15ml 36.00 / 3.5ml 
Lacrisert tear film stabilizer hydroxypropyl cellulose 1 rod qd 60/bx 418.00 
Latisse prostaglandin analog brimatoprost 0.03% 1 gt qhs 3ml 144.00 
Mucomyst compounded mucolytic acetylcysteine 2-20% qid 4, 10, 30ml 18.00/20%/30ml  g
Muro-128 hyperosmotic sodium chloride 2%, 5% sol/ung q 3-4 hr 15, 30ml / 3.5, 7gm ung 20.00 / 15ml 
Restasis immunomodulator cyclosporine 0.05% q 12hr 0.4 mL (30 or 60 / tray) 227.00 / 30 
Xiidra LFA-1 antagonist lifitegrast 5% bid 60/bx 446.00 
NSAIDS GENERIC NAME SIGQTY'SCOST
Acular, Acular PF ketorolac tromethamin 0.5% qid 3, 5ml, 12 x 0.4ml 20.00 / 5ml  g
Acular LS ketorolac tromethamin 0.4% qid 5ml 40.00 / 5ml  g
Acuvail ketorolac tromethamin 0.45% bid 30 x 0.4ml vial 266 
Bromday bromfenac 0.09% qd 1.7, 2.5, 5ml 198.00 / 5ml  g
Ilevro nepafenac suspension 0.3% qd¹ 1.7ml, 3ml 240.00 / 1.7ml 
Nevanac nepafenac suspension 0.1% tid 3ml 238.00 
Prolensa bromfenac 0.07% qd¹ 1.6, 3ml 226.00 / 3ml 
Voltaren diclofenac sodium 0.1% qid 2.5, 5ml 17.00 / 5ml  g
Oral Pain GENERIC NAME SIGQTY'SCOST
Tylenol #3 30mg codeine, 300mg acetaminophen 1 or 2 q4hr to q6hr 12-24(typical) 10.00 / 20  g
Lortab / Norco 5mg hydrocodone / 325 acetaminophen 1 or 2 po q4hr to q6hr 5,7.5,10 / 325mg 9.00 / 20 / 5,325mg  g
Vicodin 5mg hydrocodone, 300mg acetaminophen 1 or 2 q4hr to q6hr 8-16(typical) 9.00 / 12  g
STEROIDS GENERIC NAME SIGQTY'SCOST
Alrex                  (suspension) loteprednol etabonate 0.2% qid, taper 5,10ml 192.00 / 5ml 
Durezol              (emulsion) difluprednate 0.05% qid x14 dy, taper 5 ml 164.00 
Flarex                (suspension) fluorometholone acetate 0.1% qid, taper 5 ml 72.00  
FML                   (suspension) fluorometholone alcohol 0.1% qid-bid, taper 5,10,15ml 56.00 / 5ml  g
FML ointment fluorometholone alcohol 0.1% ung 1-3 x/dy 3.5 gm tube 110.00 
FML Forte          (suspension) fluorometholone alcohol 0.25% q 4hrs, taper 5,10,15ml 132.00 / 5ml 
Inflamase Forte   (solution) prednisolone sodium phosphate 1.0% qhr to tid, taper 5,10,15ml 47.00 / 10ml  g
Lotemax Drops   (suspension) loteprednol etabonate 0.5% qid¹, taper 2.5, 5, 10, 15ml 202.00 / 5ml 
Lotemax Ointment & gel loteprednol etabonate 0.5% qid¹, taper 3.5gm ung / 5ml gel 164.00 gel 
Maxidex             (suspension) dexamethasone 0.1% 4-6 x/dy, taper 5ml 26.00 / 5ml g
Pred Forte         (suspension) prednisolone acetate 1.0%, 1/8% 2-4 x/dy, taper 5,10,15ml 43.00 / 5ml g
Vexol                  (suspension) rimexolone 1.0% q2hr, taper 5,10ml 96.00 / 5ml 
Triamcinolone    (cream) triamcinolone 0.1% tid 15,80gm 4.00 / 15g 
TOPICAL ALLERGY GENERIC NAME SIGQTY'SCOST
Alaway (otc)  (Combination) ketotifen 0.025% bid 10ml 17.00 g
Alocril             (Mast Cell Stabilizer) nedocromil sodium 2.0% bid 5ml 194.00 
Alomide        (Mast Cell Stabilizer) lodoxamide tromethamine 0.1% qid 10ml 168.00 
Alrex               (Steroid) loteprednol etabonate 0.2% qid 5, 10ml 192.00 / 5ml 
Bepreve       (Combination) bepotastine besilate 1.5% bid 10ml 184.00 
Crolom          (Mast Cell Stabilizer) cromolyn sodium 4.0% qid 10, 15ml 16.00 / 10ml 
Elestat           (Combination) epinastine HCL 0.05% bid 5ml 53.00 / 5ml g
Lastacaft     (Combination) alcaftadine 0.25% qd 3ml 192.00 
Livostin        (Antihistamine) levocabastine HCL 0.05% qid 2.5, 5, 10ml 18.50 / 5ml  g
Lotemax    (ointment) & (gel)    (steroid) loteprednol etabonate 0.5% qid¹ 3.5gm ung / 5ml gel 164.00 gel 
Optivar          (Combination) azelastine HCL% bid 6ml 42.00  g
Pataday        (Combination) olopatadine HCL 0.2% qd 2.5ml 170.00 
Patanol         (Combination) olopatadine HCL 0.1% bid 5ml 60.00  g
Pazeo             (Combination) olopatadine HCL 0.7% qd 2.5ml 162.00  
Zaditor (otc)  (Combination) ketotifen 0.025% bid 5ml 14.00  g
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
ORALS GENERIC NAME SIGQTY'SCOST
Amoxil amoxicillin 500mg po bid or tid 250, 500, 875mg 4.00 / 30 /500mg g
Augmentin amoxicillin / clavulanate 500mg po bid or tid 250, 500, 875 mg 26.00/20/875mg g
azithromycin azithromycin 500mg po then 250mg x 4d 250mg 10.00 / 6 / 250mg g
Ceclor cefaclor 500mg po q12hr 250, 500mg, suspn 65.00 / 30 / 500mg g
Diamox acetazolamide 500mg po 125, 250mg¹ 25.00 / 30 / 250mg g
Dicloxacillin dicloxacillin 250mg po q6hr 250 500mg 27.00 / 30 / 500mg g
Doxycycline doxycycline 100mg¹ po bid 20, 50, 100mg 18.00 / 20 / 100mg g
Famvir famciclovir 500mg po tid x 7d, (zoster)
250mg po tid x 7d, (simplex)
125, 250, 500mg 56.00 / 21 / 500mg  g
Keflex cephalexin 500mg po q6hr x 5d 250, 500, 750mg 4.00 / 20 / 500mg  g
Lortab / Norco hydrocodone / acetaminophen 1 or 2 po q4hr to q6hr 5,7.5,10 / 325mg 9.00 / 20 / 5,325mg  g
Septra DS / (Bactrim) 800mg sulfamethoxazole / 160 trimethoprim 1 tab po q12hr x 10d DS 800/160mg¹ 4.00 / 20  g
Tylenol #3 30mg codein, 300mg acetaminophen 1 or 2 po q4hr to q6hr 12-24(typical) 10.00 / 20  g
Valtrex valcyclovir 1000mg po tid x 7d, (zoster)
500mg po tid x 7d, (simplex)
250, 500mg, 1g 86.00 / 30 / 1g  g
Vicodin 5mg hydrocodone, 300mg acetaminophen 1 or 2 po q4hr to q6hr 8-16(typical) 9.00 / 12  g
Zmax azithromycin single dose po¹ 1.0 gm 26.00 / 1g packet  g
Z-Pak azithromycin 2 tabs po then 1tb x 4d 6 x 250mg 10.00 / 6 / 250g  g
Zovirax acyclovir 800mg po 5x/d  (zoster)
400mg po 5x/d   (simplex)
200, 400, 800mg 16.00/60tab/400mg g

1. For clarification click the link.
2. Column with current prices. "Click" will open Good Rx price page for that drug.

  g = generic

d = discontinued

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N.L.M (U.S.National Library of Medicine) page for that drug. For children's dosages
click "Dosage and Administration" on the N.L.M. page.

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