OVER THE COUNTER DRUGS - SACRAMENTO COUNTY |
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| GENERIC (A-Z) |
| DRUG NAME | Strengths Available | Medi-Cal |
| Al Hydroxide/Mg Hydroxide/Simethicone (Mylanta Extra Strength) | 400-400-40 (mg/ 5mL) | Y |
| Aluminum Acetate (Domeboro) | 1191(mg) of aluminum sulfate and 938 (mg) of calcium acetate per packet | N |
| Artificial Tears | 1.4 (%) | N |
| Ascorbic Acid (Vit C) | 250, 500 (mg) | N |
| Aspirin | 81, 325 (mg) | Y |
| Bacitracin | 500 (units/gram) | Y |
| Bisacodyl (Dulcolax) | tab: 5 (mg) supp: 10 (mg) | Y |
| Bowel Evacuants (X-Prep Bowel Kit) | | N |
| Calamine | | Y |
| Calcium Carbonate | 650, 1250 (mg) | Y |
| Calcium Carbonate | Oscal: 500 (mg) Oscal D: 500/200 (mg) | Y |
| Capsaisin | 0.025 (%) | N |
| Carbamide Peroxide (Debrox) | 6.5 (%) | N |
| Chlorhexidine (Hibiclens) | | N |
| Chlorpheniramine (Chlor-Trimeton) | 4 (mg) | Y |
| Cholecalciferol (Vit D) | 400, 1000 (IU) | N |
| Clotrimazole (Gyne-Lotrimin) | 45, 90 (Gram) | Y |
| Clotrimazole (Lotrimin) | 1 (%) | Y |
| Coal Tar Shampoo | Neutrogena T-Gel is 0.5 (%) coal tar | N |
| Cyanocobalamin (Vit B-12) | tab:500, 1000 (mcg) | N |
| Diphenhydramine (Benadryl) | 25, 50 (mg) | Y |
| Docusate Sodium (Colace) | 100, 250 (mg) | Y |
| Enemas (Fleets Phospha) | 7.2 g monobasic sodium phosphate, 2.7 g dibasic sodium phosphate | N |
| Glucose Gel | 24 (grams/tube) | N |
| Glucose Tablets | 5 (gram) | N |
| Guaifenesin (Robitussin) | | Y |
| Guaifenesin/Dextromethorphan (Robitussin DM/Diabetic DM) | | Y |
| Hemorrhoidal Suppositories (Anusol) | 0.25 (%) | N |
| Hemorrhoidal Suppositories with HC (Anusol HC) | 25 (mg) | N |
| Hydrocortisone | 1(%) | Y |
| Ibuprofen (Motrin) | 200 (mg) | Y |
| Kaolin/Pectin (Kaopectate) | | N |
| Ketotifen (Zaditor) | 0.025 (%) | N |
| Loperamide (Immodium) | 2 (mg) | N |
| Loratadine (Claritin) | 10 (mg) | N |
| Meclizine (Antivert) | 12.5, 25 (mg) | Y |
| Miconazole (Monistat-7) | Supp: 200 (mg) cream: 2 (%) | Y |
| Miconazole (Monistat-Derm) | 2 (%) | Y |
| Milk of Magnesium (MOM) | Susp: 400mg/5cc, 800mg/5cc | N |
| Mineral Oil | 99.9 (%) | N |
| Multivitamins | | N |
| Multivitamins with minerals | | N |
| Muro 128 5% Ointment and Solution | oint: 5 (%), soln: 2, 5 (%) | Y |
| Naphazoline (Naphcon) | 0.1(%) | Y |
| Naphazoline/Antazoline (Naphcon A) | 0.05-0.5 (%) | Y |
| Neomycin/Bacitracin/Polymixin (Neosporin) | 3.5 (gram)-400(units)-5000(units) per (Gram) | N |
| Normal Saline (Ocean Spray) | 0.65% | N |
| Petrolatum/Mineral Wax (Eucerin) | | N |
| Phenol/Menthol Lozenges (Cepastat) | 29 mg phenol/lozenge | N |
| Phenylephrine (Sudogest PE) | 10 (mg) | Y |
| Povidine/Iodine (Betadine) | 10 (%) | N |
| Prenatal Vitamins with minerals | | Y |
| Pseudoephedrine (Sudafed) | 30, 60 (mg) | Y |
| Psyllium Powder (Genfiber) | 3.4 (gram/teaspoon) | N |
| Puralube | 150 (mg) light mineral oil and 850 (mg) white petrolatum per (gram) | N |
| Pyridoxine (Vit B-6) | 25, 50 (mg) | Y |
| Selenium Sulfide 2.5% (Selsun) | lotion/shampoo: 2.5 (%) | N |
| Simethicone (Mylicon) | 80, 125 (mg) | N |
| Sodium Hypochlorite (Dakins Solution) | 0.25, 0.5 (%) | N |
| Thiamine (Vit B-1) | 50, 100 (mg) | N |
| Tolnaftate (Tinactin) | 1 (%) | Y |
| Tripolidine/Phenylephrine (Actifed PE) | | Y |
| Vitamin A and D Ointment | | N |
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| BRAND (A-Z) |
| DRUG NAME | Strengths Available | Medi-Cal |
| Actifed PE (Tripolidine/Phenylephrine) | | Y |
| Antivert (Meclizine) | 12.5, 25 (mg) | Y |
| Anusol (Hemorrhoidal Suppositories) | 0.25 (%) | N |
| Anusol HC (Hemorrhoidal Suppositories with HC) | 25 (mg) | N |
| Artificial Tears | 1.4 (%) | N |
| Aspirin | 81, 325 (mg) | Y |
| Bacitracin | 500 (units/gram) | Y |
| Benadryl (Diphenhydramine) | 25, 50 (mg) | Y |
| Betadine (Povidine/Iodine) | 10 (%) | N |
| Calamine | | Y |
| Calcium Carbonate | 650, 1250 (mg) | Y |
| Calcium Carbonate | Oscal: 500 (mg) Oscal D: 500/200 (mg) | Y |
| Capsaisin | 0.025 (%) | N |
| Cepastat (Phenol/Menthol Lozenges) | 29 mg phenol/lozenge | N |
| Chlor-Trimeton (Chlorpheniramine) | 4 (mg) | Y |
| Claritin (Loratadine) | 10 (mg) | N |
| Colace (Docusate Sodium) | 100, 250 (mg) | Y |
| Dakins Solution (Sodium Hypochlorite) | 0.25, 0.5 (%) | N |
| Debrox (Carbamide Peroxide) | 6.5 (%) | N |
| Domeboro (Aluminum Acetate) | 1191(mg) of aluminum sulfate and 938 (mg) of calcium acetate per packet | N |
| Dulcolax (Bisacodyl) | tab: 5 (mg) supp: 10 (mg) | Y |
| Eucerin (Petrolatum/Mineral Wax) | | N |
| Fleets Phospha (Enemas) | 7.2 g monobasic sodium phosphate, 2.7 g dibasic sodium phosphate | N |
| Gefiber (Psyllium Powder) | 3.4 (gram/teaspoon) | N |
| Glucose Gel | 24 (grams/tube) | N |
| Glucose Tablets | 5 (gram) | N |
| Gyne-Lotrimin (Clotrimazole) | 45, 90 (Gram) | Y |
| Hibiclens (Chlorhexidine) | 4 (%) | N |
| Hydrocortisone | 1 (%) | Y |
| Immodium (Loperamide) | 2 (mg) | N |
| Kaopectate (Kaolin/Pectin) | | N |
| Lotrimin (Clotrimazole) | 1 (%) | Y |
| Mineral Oil | 99.9 (%) | N |
| MOM (Milk of Magnesium) | Susp: 400mg/5cc, 800mg/5cc | N |
| Monistat 7 (Miconazole) | Supp: 200 (mg) cream: 2 (%) | Y |
| Monistat-Derm (Miconazole) | 2 (%) | Y |
| Motrin (Ibuprofen) | 200 (mg) | Y |
| Multivitamins | | N |
| Multivitamins with minerals | | N |
| Muro 128 5% Ointment and Solution | oint: 5 (%), soln: 2, 5 (%) | Y |
| Mylanta Extra Strength (Al Hydroxide/Mg Hydroxide/Simethicone) | 400-400-40 (mg/ 5mL) | Y |
| Mylicon (Simethicone) | 80, 125 (mg) | N |
| Naphcon (Naphazoline) | 0.1(%) | Y |
| Naphcon A (Naphazoline/Antazoline) | 0.05-0.5 (%) | Y |
| Neosporin (Neomycin/Bacitracin/Polymixin) | 3.5 (gram)-400(units)-5000(units) per (Gram) | N |
| Neutrogen T-Gel (Coal Tar Shampoo) | Neutrogena T-Gel is 0.5 (%) coal tar | N |
| Ocean Spray (Normal Saline) | 0.65% | N |
| Prenatal Vitamins with minerals | | Y |
| Puralube | 150 (mg) light mineral oil and 850 (mg) white petrolatum per (gram) | N |
| Robitussin (Guaifenesin) | | Y |
| Robitussin DM/Diabetic DM (Guaifenesin/Dextromethorphan) | | Y |
| Selsun (Selenium Sulfide) | lotion/shampoo: 2.5 (%) | N |
| Sudafed (Pseudoephedrine) | 30, 60 (mg) | Y |
| Sudogest PE (Phenylephrine) | 10 (mg) | Y |
| Tinactin (Tolnaftate) | 1 (%) | Y |
| Vitamin A and D Ointment | | N |
| Vitamin B-1 (Thiamine) | 50, 100 (mg) | N |
| Vitamin B-6 (Pyridoxine) | 25, 50 (mg) | Y |
| Vitamin C (Ascorbic Acid) | 250, 500 (mg) | N |
| Vitamin D (Cholecalciferol) | 400, 1000 (IU) | N |
| X-Prep Bowel Kit (Bowel Evacuants) | | N |
| Zaditor (Ketotifen) | 0.025 (%) | N |