SAMPLE FORMULARY

PAIN/ORTHO

PRODUCT
PORTFOLIO
FDA Approved
OUR OBJECTIVE
We pride ourselves in offering a full package of onboarding and
credentialing services, hands on training, and excellent customer
service to ensure your Point-of-Care Dispensing experience is best
in class.
• Improved Patient Care And Compliance
• Increased Revenue
• Large Medication Formulary And Competitive Pricing
• Inventory Management
• Simple Ordering And Quick Processing
• Practice Efficiency

WE OFFER WEB-BASED SOFTWARE

Our web based dispense system facilitates compliance by allowing
customers to manage, order, track, and dispense medications
directly from any computer. A simple internet connection allows for
the practice to print labels and all associated compliance materials.

WE CREDENTIAL DOCTORS
Our experienced team will guide you through the onboarding
process to ensure the practice collects the necessary documents to
dispense medications in your office. We understand the state laws
and requirements and are available for any questions the practice
has during their partnership with In-Office Dispensing Solutions.
The team then works on the behalf of the practice to license and
contract with 45+ Pharmacy Benefit Managers, and provides
detailed status updates and next steps throughout the process.

REVENUE CYCLE MANAGEMENT

All the data from each dispense the practice executes is collected
and fed into the billing system where a claim is submitted
to the patient’s insurance carrier. Each practice is provided
monthly invoices indicating all their dispenses for that calendar
month utilizing the data within the system. In-Office Dispensing
Solutions can aid in reconciling dispensing costs and insurance
reimbursements to ensure all adjudicated amounts are collected.
 PAIN/ORTHO
SERVICES
IN-OFFICE PHYSICIAN DISPENSING OF MEDICATIONS
We guide you through all of the necessary paperwork for
you to become legally credentialed to dispense.

WEB-BASED SOFTWARE
A simple internet connection allows the practice to
manage, order, track and dispense medications.
POINT OF CARE DISPENSING
In-office physician dispensing of medications.

FORMULARY MANAGEMENT
We will support your team with selection and maintenance
of medications in the practice formulary.

TRAINING
In-office dispensing solutions offers training and ongoing
customer service to our partners.

REVENUE CYCLE MANAGEMENT & RECONCILIATION

In-Office Dispensing Solutions will aid in reconciling
dispensing costs and insurance reimbursements.

PP-PAIN IODS 1JN22

 FEATURED PRODUCT

DICLOFENAC 25MG TABLETS

NDC: 74157-007-60

Lowest Effective Dose, Non-Controlled,

Path To Pain Relief...

DESCRIPTION
Diclofenac potassium is a benzeneacetic
acid derivative, designated chemically as
2-[(2,6-dichlorophenyl) amino] benzeneacetic acid,
INDICATIONS AND USAGE monopotassium salt. The molecular weight is 334.25.
• Treatment of primary dysmenorrhea Its molecular formula is C 14H 10C l2NKO 2.
(150mg or 6 pills/day) DOSAGE AND ADMINISTRATION
• Relief of mild to moderate pain For treatment of pain or primary dysmenorrhea
(150mg or 6 pills/day) the recommended dosage is 50 mg three times a
day. With experience, physicians may find that in
• Relief of the signs and symptoms of osteoarthritis some patients an initial dose of 100 mg of diclofenac
(200mg or 8 pills/day) potassium tablets, followed by 50-mg doses, will
• Relief of the signs and symptoms of rheumatoid provide better relief.
arthritis (200mg or 8 pills/day) For the relief of osteoarthritis the recommended
ADVERSE REACTIONS dosage is 100 to 150 mg/day in divided doses,
The following adverse reactions are discussed in 50 mg twice a day or three times a day.
greater detail in other sections of the labeling: For the relief of rheumatoid arthritis the
Cardiovascular Thrombotic Events (see WARNINGS) recommended dosage is 150 to 200 mg/day in divided
doses,
GI Bleeding, Ulceration and Perforation (see 50 mg three times a day or four times a day.
WARNINGS)
HOW SUPPLIED
Hepatotoxicity (see WARNINGS) Diclofenac potassium tablets, USP 25 mg are round,
white to off-white, biconvex coated tablets, debossed
Hypertension (see WARNINGS) ‘Λ’ on one side and plain other side are supplied as
Heart Failure and Edema (see WARNINGS) follows:
NDC 74157-007-60 in bottles of 60 tablets
Renal Toxicity and Hyperkalemia (see WARNINGS) Store at 20° to 25°C (68° to 77°F) [see USP Controlled
Anaphylactic Reactions (see WARNINGS) Room Temperature].

Serious Skin Reactions (see WARNINGS) Manufactured for:

INA Pharmaceutics Inc,
Hematologic Toxicity (see WARNINGS) Fairmont, WV 26554

All trademarks are the property of their respective owners. Quantities are determined by prescriber.
SAMPLE FORMULARY PAIN/ORTHO
Topical Anesthetic

+
LIDOCAINE 5% OINTMENT 50G DOXEPIN 5% CREAM 45G
PHARMACEUTICALLY EQUIVALENT TO PHARMACEUTICALLY EQUIVALENT
XYLOCAINE® TO ZONALON®, PRUDOXIN®

Topical Steroid

DIFLORASONE 0.05% OINTMENT / HALCINONIDE 0.1% CREAM 30G HYDROCORTISONE BUTYRATE 0.1%
CREAM 60G LOTION 60ML / CREAM 60G
BIOEQUIVALENT TO HALOG®
BIOEQUIVALENT TO LOCOID®
BIOEQUIVALENT TO PSORCON®

DESOXIMETASONE 0.05% OINTMENT / TRIAMCINOLONE OINTMENT FLURANDRENOLIDE 0.05%

CREAM 100G 0.05% 430G LOTION 120ML
PHARMACEUTICALLY EQUIVALENT TO BIOEQUIVALENT TO CORDRAN®
BIOEQUIVALENT TO TOPICORT®
TRIANEX®

Dermatitis/Pruritus

TACROLIMUS OINTMENT 0.03% OR 0.1% 100G SALICYLIC ACID/BENZOIC ACID 3-6% 30GM
BIOEQUIVALENT TO PROTOPIC® PHARMACEUTICALLY EQUIVALENT TO BENSAL HP®

PIMECROLIMUS 1% CREAM 60G DOXEPIN 5% CREAM 45G

BIOEQUIVALENT TO ELIDEL® PHARMACEUTICALLY EQUIVALENT TO ZONALON®, PRUDOXIN®
 Oral NSAID/Steroid

ORPHENADRINE / ASPIRIN / KETOPROFEN ER 200MG KETOPROFEN 25MG

CAFFEINE 50 / 770 / 60 MG CAPSULES 30 CAPS CAPSULES 60 CAPS
TABLETS 60 TABS PHARMACEUTICALLY EQUIVALENT TO PHARMACEUTICALLY EQUIVALENT
PHARMACEUTICALLY EQUIVALENT TO ORUVAIL® TO ORUDIS®
NORGESIC FORTE®

FENOPROFEN 200MG 100 CAPS NAPROXEN SUSPENSION EC-NAPROXEN 375/500MG

AND 400MG CAPSULES 60 CAPS 125MG/5ML 500ML 100 TABLETS
PHARMACEUTICALLY EQUIVALENT BIOEQUIVALENT TO NAPROSYN® BIOEQUIVALENT TO EC-NAPROSYN®
TO NALFON®

NAPROXEN SODIUM NAPROXEN/ESOMEPRAZOLE DICLOFENAC 25MG DICLOFENAC 25MG

CR 375/500MG 500/75 375-20/500-20 ER TABLETS 60 TABS 60 CAPS
TABLETS 30 TABS PHARMACEUTICALLY PHARMACEUTICALLY
BIOEQUIVALENT TO NAPRELAN® BIOEQUIVALENT TO VIMOVO® EQUIVALENT TO EQUIVALENT TO ZIPSOR®
ZIPSOR®

DICLOFENAC 35MG 90 CAPS MELOXICAM 5MG 30 CAPS IBUPROFEN/FAMOTIDINE PREDNISOLONE SODIUM

PHARMACEUTICALLY EQUIVALENT AND 10MG 30 CAPS 800/26.6MG 90 TABS PHOSPHATE ORAL SOLUTION,
TO ZORVOLEY® PHARMACEUTICALLY BIOEQUIVALENT TO DUEXIS® USP 20MG/5ML 237ML SOL
EQUIVALENT TO VIVLODEX®
 Muscle Relaxant

ORPHENADRINE / ASPIRIN / CHLORZOXAZONE 250MG CYCLOBENZAPRINE 7.5MG TABLETS

CAFFEINE 50 / 770 / 60 MG TABLETS 60 TABS 100 TABS
60 TABS PHARMACEUTICALLY EQUIVALENT TO PHARMACEUTICALLY EQUIVALENT TO
PHARMACEUTICALLY EQUIVALENT TO PARAFON®, LORZONE® FEXMID®
NORGESIC FORTE®

METAXALONE 400MG TABLETS 100 BACLOFEN ORAL SOLUTION

TABS 5MG/ML 473ML
PHARMACEUTICALLY EQUIVALENT TO SIMILAR TO OZOBAX®
NORGESIC SKELAXIN®

Tension Headache/Neck Shoulder Pain/Migraine

VTOL LIQUID 473ML DIHYDROERGOTAMINE 4MG/ML ERGOTAMINE/CAFFEINE 1MG/100MG

PHARMACEUTICALLY EQUIVALENT NASAL SPRAY 8 DOSES TABLETS 100 TABS
TO VANATOL® BIOEQUIVALENT TO MIGRANAL®
BIOEQUIVALENT TO CAFFERGOT®

SUMATRIPTAN/NAPROXEN SODIUM BUTALBITAL/APAP/CAFFEINE

LIDOCAINE PATCHES 5%
TABLETS 85 MG/500 MG TABLETS 9 50MG/300MG/40GM TABLETS
30 PATCHES
TABS 100 TABS
BIOEQUIVALENT TO LIDODERM®
PHARMACEUTICALLY EQUIVALENT TO PHARMACEUTICALLY EQUIVALENT TO
TREXIMET® FIORICET®
 Topical NSAID

DICLOFENAC 3% GEL 100G DICLOFENAC 1.3% PATCH DICLOFENAC 1.5% SOLUTION

30 PATCHES 150ML
PHARMACEUTICALLY EQUIVALENT TO SOLARAZE®
PHARMACEUTICALLY EQUIVALENT TO PHARMACEUTICALLY EQUIVALENT TO
FLECTOR® PENNSAID®

Medical Moisturizer & Wound Care

HYLAGUARD SKIN BARRIER PROTYL AG GEL 45G MUPIROCIN 2% CREAM 30G

CREAM 450G
SIMILAR TO PROTYL AG® PHARMACEUTICALLY EQUIVALENT TO
SIMILAR TO HYLATOPIC PLUS® BACTROBAN®

Scar Care

or +
CALCIPOTRIENE 0.005%/ DIFLORASONE 0.05% OINTMENT / CALCIPOTRIENE 0.005% FOAM 60G
BETAMETHASONE DIP 0.064% CREAM 60G
PHARMACEUTICALLY EQUIVALENT TO
OINTMENT 60G AND 100G
PHARMACEUTICALLY EQUIVALENT TO SORILUX®
BIOEQUIVALENT TO TACLONEX® PSORCON®

Ulcer Prevention/Constipation

OMEPRAZOLE/SODIUM BICARBONATE LACTULOSE ORAL SOLUTION 10G

GLYCATE-GLYCOPYRROLATE 40MG-1680MG POWDER PACKET 30 PACKETS PACKETS 30 PACKETS
1.5MG 30 TBAS
BIOEQUIVALENT TO ZEGERID® PHARMACEUTICALLY EQUIVALENT TO
KRISTALOSE®

All trademarks are the property of their respective owners. Quantities are determined by prescriber.
 www.IODRX.com
Phone 1.210.541.7844

Fax 1.210.610.5274