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OVER THE COUNTER DRUGS - SACRAMENTO COUNTY

GENERIC  (A-Z)
DRUG NAMEStrengths AvailableMedi-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 packetN
Artificial Tears 1.4 (%)N
Ascorbic Acid (Vit C)250, 500 (mg)N
Aspirin81, 325 (mg)Y
Bacitracin500 (units/gram)Y
Bisacodyl (Dulcolax)tab: 5 (mg)                                                                   supp: 10 (mg)Y
Bowel Evacuants (X-Prep Bowel Kit) N  
Calamine Y
Calcium Carbonate650, 1250 (mg)Y
Calcium Carbonate Oscal:  500 (mg)                                               Oscal D:  500/200 (mg)Y
Capsaisin0.025 (%)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 tarN
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 phosphateN  
Glucose Gel24 (grams/tube)N
Glucose Tablets5 (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
Hydrocortisone1(%)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/5ccN
Mineral Oil99.9 (%)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/lozengeN
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  
Puralube150 (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
BRAND  (A-Z)
DRUG NAMEStrengths AvailableMedi-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
Aspirin81, 325 (mg)Y
Bacitracin500 (units/gram)Y
Benadryl (Diphenhydramine)25, 50 (mg)Y
Betadine (Povidine/Iodine)10 (%)N
Calamine Y
Calcium Carbonate650, 1250 (mg)Y
Calcium Carbonate Oscal:  500 (mg)                                                                 Oscal D:  500/200 (mg)Y
Capsaisin0.025 (%)N
Cepastat (Phenol/Menthol Lozenges)29 mg phenol/lozengeN
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 packetN
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 phosphateN  
Gefiber (Psyllium Powder)3.4 (gram/teaspoon)N  
Glucose Gel24 (grams/tube)N
Glucose Tablets5 (gram)N
Gyne-Lotrimin (Clotrimazole)45, 90 (Gram)Y
Hibiclens (Chlorhexidine)4 (%)N
Hydrocortisone1 (%)Y
Immodium (Loperamide)2 (mg)N
Kaopectate (Kaolin/Pectin) N
Lotrimin (Clotrimazole)1 (%)Y
Mineral Oil99.9 (%)N  
MOM (Milk of Magnesium)Susp: 400mg/5cc, 800mg/5ccN
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 tarN
Ocean Spray (Normal Saline)0.65%N
Prenatal Vitamins with minerals Y
Puralube150 (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