PO EKIT MASTER

MED-PLUS PHARMACY LTC
281 E. Rowland St. Covina, CA 91723

Tel# (866)463-3757

ORAL EMERGENCY DRUG SUPPLY PO EKIT #

*PLEASE NOTIFY PHARMACY BEFORE OPENING*

**PLEASE CHECK PATIENT’S ALLERGIES**

# BRAND NAME or GENERIC DRUG # of cap/tab EARLIEST EXPIRATION

1 AMBIEN (ZOLPIDEM) 5MG TAB 4X5MG Manufacturer
2 AMOXIL (AMOXICILLIN) 250MG CAP 6X250MG Unavailable
3 AMPICILLIN 250MG CAP 0X250MG

4 ATIVAN (LORAZEPAM) 0.5MG 4X0.5MG

5 AUGMENTIN (AMOX/CLAVULANATE) 500MG TAB 2X500MG
6 AUGMENTIN (AMOX/CLAVULANATE) 875MG TAB 2X875MG
7 BACTRIM/SEPTRA DS (SULFA/TRIME) 800/160MG TAB 4X800MG/160 MG
8 CATAPRESS (CLONIDINE) 0.1MG TAB 2X0.1MG
9 CIPRO (CIPROFLOXACIN) 250MG TAB 4X250MG
10 CLINDAMYCIN (CLEOCIN) 150MG CAP 4X150MG
11 COUMADIN/JANTOVEN (WARFARIN) 1MG TAB 4X1MG

12 COUMADIN/JANTOVEN (WARFARIN) 2MG TAB 4X2MG

13 COUMADIN/JANTOVEN (WARFARIN) 5MG TAB 4X5MG
14 FLAGYL (METRODONIDAZOLE) 250MG TAB 6X250MG

15 FLUCONAZOLE (DIFLUCAN) 100MG TAB 2X100MG
16 KEFLEX (CEPHALEXIN) 250MG CAP 6X250MG
17 LASIX (FUROSEMIDE) 20MG TAB 4X20MG
18 LEVAQUIN (LEVOFLOXACIN) 250MG TAB 4X250MG
19 LOMOTIL (DIPHENOXYLATE HCL/ATROPINE SULF.) 2.5MG TAB 4X2.5MG
20 MACROBID (NITROFURANTOIN MONO) 100MG CAP 4X100MG
21 MACRODANTIN (NITROFURANTOIN) 50MG CAP 4X50MG

22 NITROSTAT (NITROGLYCERIN) 0.4MG (1/150gr) 25 TABS

23 POTASSIUM CHLORIDE 10Meq CAP 4X10Meq
24 POTASSIUM CHLORIDE 20Meq TAB 4X20Meq
25 PYRIDIUM (PHENAZOPYRIDINE) 100MG TAB 2X100MG
26 RESTORIL (TEMAZEPAM) 15MG CAP 4X15MG

27 TYLENOL #3 (ACETAMINOPHEN/CODEINE) 30MG TAB 4X30MG
28 ULTRAM (TRAMADOL) 50MG TAB 4X50MG
29 VEETIDS (PEN VK) 250MG TAB 2X250MG
30 VIBRAMYCIN (DOXYCYCLINE) 100MG TAB 4X100MG
31 ZITHROMAX (AZITHROMYCIN) 250MG TAB 4X250MG

32 ZOFRAN (ONDANSETRON) 4MG TAB 4X4MG
33 KAYEXALATE (SPS) 15GM/60ML SUSPENSION 2X15MG/60ML

***ATTENTION: PLEASE RESEAL WITH TWO RED TIES AFTER OPENING!!!***