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Drug name

COVERED OTC DRUG
REFERENCE DRUG
REQUIREMENTS/LIMITS
TOPICAL ANTIBACTERIAL/ANTIFUNAL OTC DRUGS
OTC bacitracin topical ointment

OTC clotrimazole (vaginal use)
OTC clotrimazole (topical use)
OTC miconazole 2% ointment
OTC miconazole vaginal suppositories,
cream
OTC tolnaftate

OTC triple antibiotic cream
PAIN RELIEVER OTC DRUGS
OTC acetaminophen tablets, capsules,
suppositories, liquids, drops
OTC EC aspirin 81 mg, 325 mg,

OTC aspirin 325 mg
OTC ibuprofen

OTC naproxen
SMOKING CESSATION OTC DRUGS
OTC nicotine patch

TOPICAL DERMATOLOGICAL (“SKIN/SCALP”) OTC DRUGS
OTC capsaicin
OTC DOAK TAR DISTILLATE, OIL
hydrocortisone
(prescription and OTC forms covered)
OTC permethrin 1% lotion

OTC Pyrethrin 0.33%
OTC zinc oxide ointment
DIABETES OTC DRUGS
INSULIN OTC VIALS
OTC HUMULIN 50/50 VIAL
OTC HUMULIN N
OTC HUMULIN R (100 U/ML VIAL)
OTC HUMULIN 70/30 VIAL
OTC NOVOLIN 70/30 VIAL
OTC NOVOLIN R VIAL
OTC NOVOLIN N VIAL
OTHER OTC DRUGS FOR DIABETES
OTC glucose chewable tablets
DIGESTION OTC DRUGS
ANTIDIARRHEAL DRUGS
OTC loperamide
ANTI-HEMORRHOIDAL DRUGS
OTC hemorrhoidal cream
ANTIULCER DRUGS
Page 1
COVERED OTC DRUG
REFERENCE DRUG
REQUIREMENTS/LIMITS
OTC cimetidine
OTC famotidine
OTC nizatidine
OTC ranitidine
PROTON PUMP INHIBITORS (“PPI”)
OTC omeprazole
LAXATIVES AND CATHARTICS
OTC bisacodyl
OTC docusate
OTC glycerin
OTC MIRALAX
OTC psyllium
OTC SENOKOT (brand and generic
dosage forms covered)
OTC SORBITOL 70% ORAL SOLN

OTHER DIGESTION DRUGS
OTC acidophilus
OTC aluminum hydroxide gel
OTC antacid liquid, suspension
OTC calcium antacid tablet
OTC effervescent pain relief
OTC simethicone drops
OTC VITAMINS
OTC calciferol, OTC ergocalciferol drops
OTC calcium carbonate,
OTC calcium carbonate 600 mg + D
OTC calcium citrate

OTC ferrous fumerate
OTC ferrous gluconate
OTC ferrous sulfate
OTC magnesium oxide
OTC multivitamins (generic, adult
multivitamins)
OTC niacin

OTC pyridoxine (vitamin B6)
OTC SLO NIACIN
OTC sodium bicarbonate
OTC vitamin C 500, 1000 mg
OTC vitamin D
OTC thiamine (vitamin B1)
FAMILY PLANNING OTC DRUGS
OTC levonorgestrel

OTC PLAN B ONE STEP
OTC NEXT CHOICE
EYE CARE OTC DRUGS
Page 2
COVERED OTC DRUG
REFERENCE DRUG
REQUIREMENTS/LIMITS
OTC artificial tears
OTC REFRESH TEARS, LIQUIGEL
(15 ML AND 30 ML BOTTLE ONLY)
OTC sodium chloride 5% drops,

ointment
OTC SYSTANE

(15 ML AND 30 ML BOTTLE ONLY)
OTC ZADITOR

COUGH/COLD/ALLERGY OTC DRUGS
ANTIHISTAMINES
cetirizine OTC tablets,
cetirizine-D OTC tablets,
cetirizine solution, Syrup
OTC diphenhydramine
OTC loratadine,
OTC loratadine-D
ANTIHISTAMINE/DECONGESTANT COMBINATIONS
OTC brompheniramine-pseudoephedrine
elixir
ANTITUSSIVE AND EXPECTORANT DRUGS
OTC CHERATUSSIN AC
OTC MUCINEX, DM
OTC tussin syrup, softgel, liquicap
OTC tussin DM
OTHER DRUGS FOR COUGH/COLD ALERGY
OTC nasal spray
OTC pseudoephedrine (all generic
dosage forms covered)
DIABETIC OTC SUPPLIES
(GLUCOMETERS, INSULIN SYRINGES, TEST STRIPS, LANCETS)
ACCU-CHEK ACTIVE

GLUCOMETER/TEST STRIPS
ACCU-CHEK ADVANTAGE
GLUCOMETER/TEST STRIPS
ACCU-CHEK AVIVA GLUCOMETER/TEST
ACCU-CHEK COMPACT
GLUCOMETER/TEST STRIPS
ACCU-CHEK COMPLETE GLUCOMETER
ACCU-CHEK SIMPLICITY
ACCU-CHEK COMFORT CURVE TEST
ACCU-CHEK MULTICLIX LANCET
DEVICE/LANCETS
ACCU-CHEK SOFTCLIX LANCET

DEVICE/LANCETS
MICROLET LANCING DEVICE/LANCETS

AUTOJECT 2 INJECTION DEVICE
Page 3
COVERED OTC DRUG
REFERENCE DRUG
REQUIREMENTS/LIMITS
insulin syringes
ONE TOUCH ULTRA2, UKTRALINK,
ULTRAMINI, ULTRASMART
ONE TOUCH SELECT

ONE TOUCH TEST STRIPS, CONTROL
SOLUTION
SOFT TOUCH
SOFTCLIX
CHEMSTRIP
KETOSTIX
ASTHMA OTC SUPPLIES (PEAK FLOW METERS, SPACERS)
AEROCHAMBER, MICROCHAMBER

ASSESS PEAK FLOW METER
MICROCHAMBER PEAK FLOW METER
PERSONAL BEST PEAK FLOW METER
OTHER OTC DRUGS
sodium chloride 0.9%

nebulizer solution OTC
Page 4

Source: http://www.majestacare.com/assets/pdf/providers/pharmacy/OTC-List-VA.pdf

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Hoofdluis Protocol voor Sociaal verpleegkundigen & ouderwerkgroepen Landelijke commissie infectieziektebestrijding 1. Algemeen Bij opgravingen in duizend jaar oude Vikingnederzettingen in Groenland werden in de resten al luizen aangetroffen. Maar hoofdluis lijkt een nog veel ouder probleem. De derde Bijbelse plaag wordt in de oorspronkelijke teksten 'luizen' genoemd. Hoof

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Seminars in Integrative Medicine, Vol 1, No 2 (June), 2003: pp 106-111 domized, placebo-controlled trials found no benefit of echinacea-only benefit for several extracts echina- cea in treating URIs— E. pallida no effect). Echinacea extracts con- tain alkylamides, caffeic acid de- rivatives, ketoalkenes/ketoalkynes associated with allergic skin reac- Echinaceaextractsarewidelys

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