{
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        "version": "1.0",
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        "docs": "https://www.newschoolworks.online/api/",
        "generated": "2026-09-26T09:11:32+00:00",
        "license": "Curriculum text © newSchoolWorks.com (Urbanicity). Free for study and non-commercial reuse with attribution to https://votechworks.com; commercial licensing on request.",
        "review": "Lesson pages, practice questions and resource lists are AI-drafted and carry status=draft until reviewed by a licensed professional in that trade or the certifying body; status=reviewed marks verified material.",
        "client": "anonymous",
        "rate_limit_per_hour": 300
    },
    "program": {
        "id": 41,
        "slug": "pharmacy-tech",
        "name": "Pharmacy Technician"
    },
    "kind": "top-200 drug table",
    "count": 200,
    "drugs": [
        {
            "id": 1,
            "program_id": 41,
            "list_no": 1,
            "generic": "atorvastatin",
            "brand": "Lipitor",
            "drug_class": "HMG-CoA reductase inhibitor (statin)",
            "stem": "-statin",
            "indication": "hyperlipidemia, cardiovascular risk reduction",
            "key_caution": "check for interacting drugs that raise statin levels (e.g., clarithromycin); counsel patient to report muscle pain",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablets",
            "lasa_note": "pravastatin",
            "status": "draft"
        },
        {
            "id": 2,
            "program_id": 41,
            "list_no": 2,
            "generic": "levothyroxine",
            "brand": "Synthroid",
            "drug_class": "thyroid hormone",
            "stem": "",
            "indication": "hypothyroidism",
            "key_caution": "brand and generic are not automatically interchangeable; take on empty stomach 30–60 min before food",
            "storage": "room temperature, protect from light and moisture",
            "dea_schedule": "",
            "route_forms": "tablets, oral solution, injection",
            "lasa_note": "liothyronine",
            "status": "draft"
        },
        {
            "id": 3,
            "program_id": 41,
            "list_no": 3,
            "generic": "lisinopril",
            "brand": "Zestril",
            "drug_class": "ACE inhibitor",
            "stem": "-pril",
            "indication": "hypertension, heart failure, post-MI",
            "key_caution": "do not use in pregnancy; counsel patient to report persistent dry cough or swelling of face/tongue (angioedema)",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablets, oral solution",
            "lasa_note": "fosinopril",
            "status": "draft"
        },
        {
            "id": 4,
            "program_id": 41,
            "list_no": 4,
            "generic": "metformin",
            "brand": "Glucophage",
            "drug_class": "biguanide antidiabetic",
            "stem": "",
            "indication": "type 2 diabetes",
            "key_caution": "hold before iodinated contrast procedures; risk of lactic acidosis with renal impairment",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablets, extended-release tablets, oral solution",
            "lasa_note": "metronidazole",
            "status": "draft"
        },
        {
            "id": 5,
            "program_id": 41,
            "list_no": 5,
            "generic": "amlodipine",
            "brand": "Norvasc",
            "drug_class": "dihydropyridine calcium channel blocker",
            "stem": "-dipine",
            "indication": "hypertension, angina",
            "key_caution": "peripheral edema is common; grapefruit juice may increase drug levels",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablets",
            "lasa_note": "amiloride",
            "status": "draft"
        },
        {
            "id": 6,
            "program_id": 41,
            "list_no": 6,
            "generic": "metoprolol succinate",
            "brand": "Toprol-XL",
            "drug_class": "cardioselective beta-1 blocker",
            "stem": "-olol",
            "indication": "hypertension, heart failure, angina",
            "key_caution": "do not abruptly discontinue; metoprolol succinate (ER) and metoprolol tartrate (IR) are NOT interchangeable dose-for-dose",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "extended-release tablets",
            "lasa_note": "metoprolol tartrate",
            "status": "draft"
        },
        {
            "id": 7,
            "program_id": 41,
            "list_no": 7,
            "generic": "metoprolol tartrate",
            "brand": "Lopressor",
            "drug_class": "cardioselective beta-1 blocker",
            "stem": "-olol",
            "indication": "hypertension, angina, post-MI",
            "key_caution": "do not abruptly discontinue; IR formulation—not interchangeable with ER succinate salt",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablets, injection",
            "lasa_note": "metoprolol succinate",
            "status": "draft"
        },
        {
            "id": 8,
            "program_id": 41,
            "list_no": 8,
            "generic": "albuterol",
            "brand": "ProAir HFA",
            "drug_class": "short-acting beta-2 agonist (SABA)",
            "stem": "",
            "indication": "bronchospasm, asthma rescue",
            "key_caution": "shake inhaler before each use; prime new inhalers before first use; overuse may signal poorly controlled asthma",
            "storage": "room temperature; store inhaler with mouthpiece down",
            "dea_schedule": "",
            "route_forms": "metered-dose inhaler, nebulizer solution, tablets, syrup",
            "lasa_note": "Atrovent (ipratropium)",
            "status": "draft"
        },
        {
            "id": 9,
            "program_id": 41,
            "list_no": 9,
            "generic": "omeprazole",
            "brand": "Prilosec",
            "drug_class": "proton pump inhibitor (PPI)",
            "stem": "-prazole",
            "indication": "GERD, peptic ulcer disease, H. pylori eradication",
            "key_caution": "take 30–60 min before a meal; long-term use linked to magnesium deficiency and C. difficile risk",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "delayed-release capsules, tablets, oral suspension",
            "lasa_note": "esomeprazole",
            "status": "draft"
        },
        {
            "id": 10,
            "program_id": 41,
            "list_no": 10,
            "generic": "losartan",
            "brand": "Cozaar",
            "drug_class": "angiotensin II receptor blocker (ARB)",
            "stem": "-sartan",
            "indication": "hypertension, diabetic nephropathy, stroke prevention in LVH",
            "key_caution": "contraindicated in pregnancy; monitor potassium levels",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablets",
            "lasa_note": "valsartan",
            "status": "draft"
        },
        {
            "id": 11,
            "program_id": 41,
            "list_no": 11,
            "generic": "gabapentin",
            "brand": "Neurontin",
            "drug_class": "anticonvulsant / neuropathic pain agent",
            "stem": "",
            "indication": "neuropathic pain, partial seizures",
            "key_caution": "causes sedation and dizziness; do not abruptly stop; some states have added scheduling",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "capsules, tablets, oral solution",
            "lasa_note": "pregabalin",
            "status": "draft"
        },
        {
            "id": 12,
            "program_id": 41,
            "list_no": 12,
            "generic": "hydrocodone/acetaminophen",
            "brand": "Vicodin",
            "drug_class": "opioid analgesic combination",
            "stem": "",
            "indication": "moderate-to-severe pain",
            "key_caution": "CII—requires written Rx; warn about acetaminophen dose limit (≤4 g/day total); risk of respiratory depression and dependence",
            "storage": "room temperature",
            "dea_schedule": "CII",
            "route_forms": "tablets, oral solution",
            "lasa_note": "oxycodone/acetaminophen",
            "status": "draft"
        },
        {
            "id": 13,
            "program_id": 41,
            "list_no": 13,
            "generic": "sertraline",
            "brand": "Zoloft",
            "drug_class": "selective serotonin reuptake inhibitor (SSRI)",
            "stem": "",
            "indication": "depression, anxiety disorders, OCD, PTSD",
            "key_caution": "black box warning for suicidality in children/young adults; do not abruptly discontinue",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablets, oral concentrate",
            "lasa_note": "sertraline vs. cetirizine (sound-alike)",
            "status": "draft"
        },
        {
            "id": 14,
            "program_id": 41,
            "list_no": 14,
            "generic": "simvastatin",
            "brand": "Zocor",
            "drug_class": "HMG-CoA reductase inhibitor (statin)",
            "stem": "-statin",
            "indication": "hyperlipidemia, cardiovascular risk reduction",
            "key_caution": "80 mg dose restricted due to myopathy risk; avoid grapefruit juice; many drug interactions",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablets",
            "lasa_note": "atorvastatin",
            "status": "draft"
        },
        {
            "id": 15,
            "program_id": 41,
            "list_no": 15,
            "generic": "montelukast",
            "brand": "Singulair",
            "drug_class": "leukotriene receptor antagonist",
            "stem": "-lukast",
            "indication": "asthma maintenance, allergic rhinitis",
            "key_caution": "FDA boxed warning for neuropsychiatric events (mood changes, suicidal thinking); take in evening for asthma",
            "storage": "room temperature, protect from moisture",
            "dea_schedule": "",
            "route_forms": "tablets, chewable tablets, granules",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 16,
            "program_id": 41,
            "list_no": 16,
            "generic": "pantoprazole",
            "brand": "Protonix",
            "drug_class": "proton pump inhibitor (PPI)",
            "stem": "-prazole",
            "indication": "GERD, erosive esophagitis, Zollinger-Ellison syndrome",
            "key_caution": "swallow tablets whole; do not crush delayed-release tablets; long-term use linked to bone fracture risk",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "delayed-release tablets, powder for oral suspension, injection",
            "lasa_note": "omeprazole",
            "status": "draft"
        },
        {
            "id": 17,
            "program_id": 41,
            "list_no": 17,
            "generic": "amoxicillin",
            "brand": "Amoxil",
            "drug_class": "aminopenicillin antibiotic",
            "stem": "",
            "indication": "bacterial infections (otitis media, sinusitis, pharyngitis, UTI)",
            "key_caution": "ask about penicillin allergy before dispensing; complete full course",
            "storage": "room temperature; reconstituted suspension: refrigeration preferred but not required, discard after 14 days",
            "dea_schedule": "",
            "route_forms": "capsules, tablets, chewable tablets, oral suspension",
            "lasa_note": "amoxicillin/clavulanate",
            "status": "draft"
        },
        {
            "id": 18,
            "program_id": 41,
            "list_no": 18,
            "generic": "furosemide",
            "brand": "Lasix",
            "drug_class": "loop diuretic",
            "stem": "",
            "indication": "edema (heart failure, renal, hepatic), hypertension",
            "key_caution": "monitor for electrolyte imbalances (hypokalemia); sulfonamide allergy cross-reactivity possible; take in morning to avoid nocturia",
            "storage": "room temperature, protect from light",
            "dea_schedule": "",
            "route_forms": "tablets, oral solution, injection",
            "lasa_note": "torsemide",
            "status": "draft"
        },
        {
            "id": 19,
            "program_id": 41,
            "list_no": 19,
            "generic": "fluticasone propionate nasal",
            "brand": "Flonase",
            "drug_class": "intranasal corticosteroid",
            "stem": "-asone",
            "indication": "allergic rhinitis",
            "key_caution": "prime before first use; direct spray away from nasal septum; effect may take days to weeks",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "nasal spray",
            "lasa_note": "fluticasone furoate nasal",
            "status": "draft"
        },
        {
            "id": 20,
            "program_id": 41,
            "list_no": 20,
            "generic": "amlodipine/benazepril",
            "brand": "Lotrel",
            "drug_class": "calcium channel blocker / ACE inhibitor combination",
            "stem": "",
            "indication": "hypertension",
            "key_caution": "contraindicated in pregnancy; monitor for angioedema and cough (ACE inhibitor component)",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "capsules",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 21,
            "program_id": 41,
            "list_no": 21,
            "generic": "azithromycin",
            "brand": "Zithromax",
            "drug_class": "macrolide antibiotic",
            "stem": "-thromycin",
            "indication": "community-acquired pneumonia, skin infections, STIs",
            "key_caution": "QT prolongation risk; drug interaction with other QT-prolonging agents; complete full course",
            "storage": "room temperature; reconstituted suspension also room temperature (do not refrigerate), discard after 10 days",
            "dea_schedule": "",
            "route_forms": "tablets, oral suspension, injection",
            "lasa_note": "azathioprine",
            "status": "draft"
        },
        {
            "id": 22,
            "program_id": 41,
            "list_no": 22,
            "generic": "hydrochlorothiazide",
            "brand": "Microzide",
            "drug_class": "thiazide diuretic",
            "stem": "",
            "indication": "hypertension, edema",
            "key_caution": "monitor electrolytes (hypokalemia, hyponatremia); sulfonamide allergy; photosensitivity",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablets, capsules",
            "lasa_note": "hydralazine",
            "status": "draft"
        },
        {
            "id": 23,
            "program_id": 41,
            "list_no": 23,
            "generic": "alprazolam",
            "brand": "Xanax",
            "drug_class": "benzodiazepine anxiolytic",
            "stem": "-zolam",
            "indication": "anxiety disorders, panic disorder",
            "key_caution": "CIV—requires valid Rx; risk of dependence, respiratory depression especially with opioids; do not abruptly stop",
            "storage": "room temperature",
            "dea_schedule": "CIV",
            "route_forms": "tablets, extended-release tablets, oral solution",
            "lasa_note": "lorazepam",
            "status": "draft"
        },
        {
            "id": 24,
            "program_id": 41,
            "list_no": 24,
            "generic": "zolpidem",
            "brand": "Ambien",
            "drug_class": "non-benzodiazepine sedative-hypnotic (Z-drug)",
            "stem": "",
            "indication": "insomnia",
            "key_caution": "CIV; lower dose recommended for women and older adults; complex sleep behaviors possible; avoid alcohol",
            "storage": "room temperature",
            "dea_schedule": "CIV",
            "route_forms": "tablets, extended-release tablets, sublingual tablets",
            "lasa_note": "zaleplon",
            "status": "draft"
        },
        {
            "id": 25,
            "program_id": 41,
            "list_no": 25,
            "generic": "atorvastatin/amlodipine",
            "brand": "Caduet",
            "drug_class": "statin / calcium channel blocker combination",
            "stem": "",
            "indication": "hypertension with hyperlipidemia",
            "key_caution": "grapefruit juice interaction; report muscle pain; not for use in pregnancy",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablets",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 26,
            "program_id": 41,
            "list_no": 26,
            "generic": "metformin/sitagliptin",
            "brand": "Janumet",
            "drug_class": "biguanide / DPP-4 inhibitor combination antidiabetic",
            "stem": "",
            "indication": "type 2 diabetes",
            "key_caution": "hold before iodinated contrast; risk of lactic acidosis; pancreatitis warning for sitagliptin component",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablets, extended-release tablets",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 27,
            "program_id": 41,
            "list_no": 27,
            "generic": "clopidogrel",
            "brand": "Plavix",
            "drug_class": "P2Y12 platelet aggregation inhibitor",
            "stem": "-grel",
            "indication": "prevention of thrombotic events (ACS, stroke, MI)",
            "key_caution": "bleeding risk; CYP2C19 poor metabolizers have reduced efficacy; do not give with omeprazole if avoidable",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablets",
            "lasa_note": "Pradaxa (dabigatran) — name confusion risk",
            "status": "draft"
        },
        {
            "id": 28,
            "program_id": 41,
            "list_no": 28,
            "generic": "prednisone",
            "brand": "Deltasone",
            "drug_class": "systemic corticosteroid",
            "stem": "",
            "indication": "inflammation, autoimmune conditions, allergic reactions",
            "key_caution": "do not abruptly stop after prolonged use (adrenal suppression); take with food; raises blood glucose",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablets, oral solution",
            "lasa_note": "prednisolone",
            "status": "draft"
        },
        {
            "id": 29,
            "program_id": 41,
            "list_no": 29,
            "generic": "esomeprazole",
            "brand": "Nexium",
            "drug_class": "proton pump inhibitor (PPI)",
            "stem": "-prazole",
            "indication": "GERD, erosive esophagitis, H. pylori eradication",
            "key_caution": "swallow capsules whole or open and sprinkle on applesauce; long-term use linked to magnesium and B12 deficiency",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "delayed-release capsules, oral suspension, injection",
            "lasa_note": "omeprazole",
            "status": "draft"
        },
        {
            "id": 30,
            "program_id": 41,
            "list_no": 30,
            "generic": "tramadol",
            "brand": "Ultram",
            "drug_class": "opioid analgesic (mixed mechanism)",
            "stem": "",
            "indication": "moderate-to-moderately severe pain",
            "key_caution": "CIV; lowers seizure threshold; serotonin syndrome risk with SSRIs/SNRIs; abuse potential",
            "storage": "room temperature",
            "dea_schedule": "CIV",
            "route_forms": "tablets, extended-release tablets",
            "lasa_note": "trazodone",
            "status": "draft"
        },
        {
            "id": 31,
            "program_id": 41,
            "list_no": 31,
            "generic": "duloxetine",
            "brand": "Cymbalta",
            "drug_class": "serotonin-norepinephrine reuptake inhibitor (SNRI)",
            "stem": "",
            "indication": "depression, anxiety, diabetic peripheral neuropathy, fibromyalgia",
            "key_caution": "black box warning for suicidality; do not abruptly stop; do not crush or chew capsules",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "delayed-release capsules",
            "lasa_note": "fluoxetine",
            "status": "draft"
        },
        {
            "id": 32,
            "program_id": 41,
            "list_no": 32,
            "generic": "lisinopril/hydrochlorothiazide",
            "brand": "Zestoretic",
            "drug_class": "ACE inhibitor / thiazide diuretic combination",
            "stem": "",
            "indication": "hypertension",
            "key_caution": "contraindicated in pregnancy; monitor renal function and electrolytes; cough from ACE inhibitor component",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablets",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 33,
            "program_id": 41,
            "list_no": 33,
            "generic": "warfarin",
            "brand": "Coumadin",
            "drug_class": "vitamin K antagonist anticoagulant",
            "stem": "",
            "indication": "prevention/treatment of thromboembolic events, atrial fibrillation",
            "key_caution": "narrow therapeutic index; many food (vitamin K) and drug interactions; regular INR monitoring required; bleeding risk",
            "storage": "room temperature, protect from light",
            "dea_schedule": "",
            "route_forms": "tablets",
            "lasa_note": "Avandia (rosiglitazone) — name confusion",
            "status": "draft"
        },
        {
            "id": 34,
            "program_id": 41,
            "list_no": 34,
            "generic": "carvedilol",
            "brand": "Coreg",
            "drug_class": "non-selective beta blocker / alpha-1 blocker",
            "stem": "-olol",
            "indication": "heart failure, hypertension, post-MI",
            "key_caution": "take with food to slow absorption and reduce orthostatic hypotension; do not abruptly discontinue",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablets, extended-release capsules",
            "lasa_note": "carbamazepine",
            "status": "draft"
        },
        {
            "id": 35,
            "program_id": 41,
            "list_no": 35,
            "generic": "clonazepam",
            "brand": "Klonopin",
            "drug_class": "benzodiazepine",
            "stem": "-zepam",
            "indication": "seizure disorders, panic disorder",
            "key_caution": "CIV; dependence and withdrawal risk; CNS depression; avoid abrupt discontinuation",
            "storage": "room temperature",
            "dea_schedule": "CIV",
            "route_forms": "tablets, orally disintegrating tablets",
            "lasa_note": "clonidine",
            "status": "draft"
        },
        {
            "id": 36,
            "program_id": 41,
            "list_no": 36,
            "generic": "rosuvastatin",
            "brand": "Crestor",
            "drug_class": "HMG-CoA reductase inhibitor (statin)",
            "stem": "-statin",
            "indication": "hyperlipidemia, cardiovascular risk reduction",
            "key_caution": "Asian patients may need lower starting doses; report muscle pain; avoid in pregnancy",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablets",
            "lasa_note": "atorvastatin",
            "status": "draft"
        },
        {
            "id": 37,
            "program_id": 41,
            "list_no": 37,
            "generic": "cyclobenzaprine",
            "brand": "Flexeril",
            "drug_class": "skeletal muscle relaxant",
            "stem": "",
            "indication": "acute musculoskeletal pain/spasm (short-term)",
            "key_caution": "causes significant sedation and anticholinergic effects; avoid in elderly; avoid with MAOIs",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablets, extended-release capsules",
            "lasa_note": "cyproheptadine",
            "status": "draft"
        },
        {
            "id": 38,
            "program_id": 41,
            "list_no": 38,
            "generic": "amoxicillin/clavulanate",
            "brand": "Augmentin",
            "drug_class": "aminopenicillin / beta-lactamase inhibitor antibiotic",
            "stem": "",
            "indication": "bacterial infections (sinusitis, otitis media, skin, pneumonia)",
            "key_caution": "check penicillin allergy; refrigerate reconstituted suspension; take with food to reduce GI upset",
            "storage": "room temperature (tablets); refrigerate reconstituted suspension",
            "dea_schedule": "",
            "route_forms": "tablets, chewable tablets, oral suspension, extended-release tablets",
            "lasa_note": "amoxicillin",
            "status": "draft"
        },
        {
            "id": 39,
            "program_id": 41,
            "list_no": 39,
            "generic": "sitagliptin",
            "brand": "Januvia",
            "drug_class": "DPP-4 inhibitor antidiabetic",
            "stem": "-gliptin",
            "indication": "type 2 diabetes",
            "key_caution": "pancreatitis warning; dose adjustment required in renal impairment; watch for joint pain (arthralgia)",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablets",
            "lasa_note": "saxagliptin",
            "status": "draft"
        },
        {
            "id": 40,
            "program_id": 41,
            "list_no": 40,
            "generic": "tamsulosin",
            "brand": "Flomax",
            "drug_class": "alpha-1 adrenergic blocker (uroselective)",
            "stem": "-osin",
            "indication": "benign prostatic hyperplasia (BPH)",
            "key_caution": "orthostatic hypotension, especially with first dose; swallow capsules whole; avoid with strong CYP3A4 inhibitors",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "capsules",
            "lasa_note": "tamoxifen",
            "status": "draft"
        },
        {
            "id": 41,
            "program_id": 41,
            "list_no": 41,
            "generic": "fluoxetine",
            "brand": "Prozac",
            "drug_class": "selective serotonin reuptake inhibitor (SSRI)",
            "stem": "",
            "indication": "depression, OCD, panic disorder, bulimia, PMDD",
            "key_caution": "long half-life (active metabolite); black box warning for suicidality; serotonin syndrome risk; many drug interactions",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "capsules, tablets, oral solution",
            "lasa_note": "fluvoxamine",
            "status": "draft"
        },
        {
            "id": 42,
            "program_id": 41,
            "list_no": 42,
            "generic": "alendronate",
            "brand": "Fosamax",
            "drug_class": "bisphosphonate",
            "stem": "-dronate",
            "indication": "osteoporosis, Paget's disease",
            "key_caution": "take with full glass of water on empty stomach; remain upright 30 min after dose to prevent esophageal irritation",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablets, oral solution",
            "lasa_note": "risedronate",
            "status": "draft"
        },
        {
            "id": 43,
            "program_id": 41,
            "list_no": 43,
            "generic": "valsartan",
            "brand": "Diovan",
            "drug_class": "angiotensin II receptor blocker (ARB)",
            "stem": "-sartan",
            "indication": "hypertension, heart failure, post-MI",
            "key_caution": "contraindicated in pregnancy; monitor potassium and renal function",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablets",
            "lasa_note": "losartan",
            "status": "draft"
        },
        {
            "id": 44,
            "program_id": 41,
            "list_no": 44,
            "generic": "citalopram",
            "brand": "Celexa",
            "drug_class": "selective serotonin reuptake inhibitor (SSRI)",
            "stem": "",
            "indication": "depression",
            "key_caution": "dose-dependent QT prolongation limits maximum daily dose; black box warning for suicidality",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablets, oral solution",
            "lasa_note": "escitalopram",
            "status": "draft"
        },
        {
            "id": 45,
            "program_id": 41,
            "list_no": 45,
            "generic": "escitalopram",
            "brand": "Lexapro",
            "drug_class": "selective serotonin reuptake inhibitor (SSRI)",
            "stem": "",
            "indication": "depression, generalized anxiety disorder",
            "key_caution": "black box warning for suicidality; do not abruptly stop; serotonin syndrome risk",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablets, oral solution",
            "lasa_note": "citalopram",
            "status": "draft"
        },
        {
            "id": 46,
            "program_id": 41,
            "list_no": 46,
            "generic": "oxycodone",
            "brand": "OxyContin",
            "drug_class": "opioid analgesic",
            "stem": "",
            "indication": "moderate-to-severe pain",
            "key_caution": "CII; abuse-deterrent formulations must not be crushed/chewed; high risk of respiratory depression and dependence",
            "storage": "room temperature",
            "dea_schedule": "CII",
            "route_forms": "tablets, extended-release tablets, oral solution, capsules",
            "lasa_note": "oxycodone/acetaminophen",
            "status": "draft"
        },
        {
            "id": 47,
            "program_id": 41,
            "list_no": 47,
            "generic": "glipizide",
            "brand": "Glucotrol",
            "drug_class": "sulfonylurea antidiabetic",
            "stem": "",
            "indication": "type 2 diabetes",
            "key_caution": "hypoglycemia risk, especially if meal is missed; take 30 min before meal (IR); sulfonamide allergy cross-reactivity possible",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablets, extended-release tablets",
            "lasa_note": "glyburide",
            "status": "draft"
        },
        {
            "id": 48,
            "program_id": 41,
            "list_no": 48,
            "generic": "pravastatin",
            "brand": "Pravachol",
            "drug_class": "HMG-CoA reductase inhibitor (statin)",
            "stem": "-statin",
            "indication": "hyperlipidemia, cardiovascular risk reduction",
            "key_caution": "fewer drug interactions than other statins (not metabolized by CYP3A4); report muscle pain",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablets",
            "lasa_note": "atorvastatin",
            "status": "draft"
        },
        {
            "id": 49,
            "program_id": 41,
            "list_no": 49,
            "generic": "doxycycline",
            "brand": "Vibramycin",
            "drug_class": "tetracycline antibiotic",
            "stem": "-cycline",
            "indication": "bacterial infections, acne, malaria prophylaxis, Lyme disease",
            "key_caution": "photosensitivity—use sunscreen; avoid dairy and antacids within 2 hours; do not use in children under 8 or in pregnancy",
            "storage": "room temperature, protect from light",
            "dea_schedule": "",
            "route_forms": "capsules, tablets, oral suspension, injection",
            "lasa_note": "digoxin (name confusion in some settings)",
            "status": "draft"
        },
        {
            "id": 50,
            "program_id": 41,
            "list_no": 50,
            "generic": "celecoxib",
            "brand": "Celebrex",
            "drug_class": "selective COX-2 inhibitor (NSAID)",
            "stem": "-coxib",
            "indication": "osteoarthritis, rheumatoid arthritis, acute pain, ankylosing spondylitis",
            "key_caution": "cardiovascular and GI risk (black box warning); avoid in patients with sulfonamide allergy; use lowest effective dose",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "capsules",
            "lasa_note": "Celebrex vs. Celexa (citalopram) — well-known ISMP pair",
            "status": "draft"
        },
        {
            "id": 51,
            "program_id": 41,
            "list_no": 51,
            "generic": "bupropion",
            "brand": "Wellbutrin",
            "drug_class": "aminoketone antidepressant / smoking cessation aid",
            "stem": "",
            "indication": "depression, smoking cessation",
            "key_caution": "lowers seizure threshold; contraindicated in eating disorders and abrupt alcohol/benzodiazepine withdrawal",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, extended-release tablet",
            "lasa_note": "buspirone",
            "status": "draft"
        },
        {
            "id": 52,
            "program_id": 41,
            "list_no": 52,
            "generic": "meloxicam",
            "brand": "Mobic",
            "drug_class": "NSAID (preferential COX-2 inhibitor)",
            "stem": "-oxicam",
            "indication": "osteoarthritis, rheumatoid arthritis",
            "key_caution": "cardiovascular and GI bleeding risk; avoid in late pregnancy",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, oral suspension",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 53,
            "program_id": 41,
            "list_no": 53,
            "generic": "trazodone",
            "brand": "",
            "drug_class": "serotonin antagonist and reuptake inhibitor (SARI)",
            "stem": "",
            "indication": "depression, insomnia",
            "key_caution": "priapism risk; advise patient to seek immediate care if prolonged erection occurs",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet",
            "lasa_note": "tramadol",
            "status": "draft"
        },
        {
            "id": 54,
            "program_id": 41,
            "list_no": 54,
            "generic": "atenolol",
            "brand": "Tenormin",
            "drug_class": "cardioselective beta-1 blocker",
            "stem": "-olol",
            "indication": "hypertension, angina",
            "key_caution": "do not stop abruptly; may mask hypoglycemia signs in diabetics",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet",
            "lasa_note": "albuterol",
            "status": "draft"
        },
        {
            "id": 55,
            "program_id": 41,
            "list_no": 55,
            "generic": "clonidine",
            "brand": "Catapres",
            "drug_class": "central alpha-2 agonist / antihypertensive",
            "stem": "",
            "indication": "hypertension, ADHD",
            "key_caution": "do not stop abruptly; rebound hypertension possible",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, transdermal patch",
            "lasa_note": "clonazepam",
            "status": "draft"
        },
        {
            "id": 56,
            "program_id": 41,
            "list_no": 56,
            "generic": "glimepiride",
            "brand": "Amaryl",
            "drug_class": "sulfonylurea / antidiabetic",
            "stem": "",
            "indication": "type 2 diabetes",
            "key_caution": "hypoglycemia risk; advise patient not to skip meals",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet",
            "lasa_note": "glipizide",
            "status": "draft"
        },
        {
            "id": 57,
            "program_id": 41,
            "list_no": 57,
            "generic": "paroxetine",
            "brand": "Paxil",
            "drug_class": "selective serotonin reuptake inhibitor (SSRI)",
            "stem": "-oxetine",
            "indication": "depression; anxiety disorders",
            "key_caution": "Do not stop abruptly; flag MAOI or other serotonergic drugs to the pharmacist",
            "storage": "room temperature",
            "dea_schedule": null,
            "route_forms": "tablets, oral suspension",
            "lasa_note": "Paxil / Plavix / Taxol",
            "status": "draft"
        },
        {
            "id": 58,
            "program_id": 41,
            "list_no": 58,
            "generic": "famotidine",
            "brand": "Pepcid",
            "drug_class": "H2 receptor antagonist",
            "stem": "",
            "indication": "GERD, peptic ulcer disease",
            "key_caution": "dose adjustment required in renal impairment",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, oral suspension, injection",
            "lasa_note": "famciclovir",
            "status": "draft"
        },
        {
            "id": 59,
            "program_id": 41,
            "list_no": 59,
            "generic": "methylphenidate",
            "brand": "Ritalin",
            "drug_class": "CNS stimulant",
            "stem": "",
            "indication": "ADHD, narcolepsy",
            "key_caution": "high abuse potential; verify DEA schedule II prescription requirements",
            "storage": "room temperature",
            "dea_schedule": "CII",
            "route_forms": "tablet, extended-release tablet/capsule, transdermal patch",
            "lasa_note": "methadone",
            "status": "draft"
        },
        {
            "id": 60,
            "program_id": 41,
            "list_no": 60,
            "generic": "amphetamine salts (mixed amphetamine salts)",
            "brand": "Adderall",
            "drug_class": "CNS stimulant",
            "stem": "",
            "indication": "ADHD, narcolepsy",
            "key_caution": "schedule II; no refills permitted; monitor for cardiovascular effects",
            "storage": "room temperature",
            "dea_schedule": "CII",
            "route_forms": "tablet, extended-release capsule",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 61,
            "program_id": 41,
            "list_no": 61,
            "generic": "insulin glargine",
            "brand": "Lantus",
            "drug_class": "long-acting insulin analog",
            "stem": "",
            "indication": "type 1 and type 2 diabetes",
            "key_caution": "do not mix with other insulins in the same syringe; refrigerate unopened vials",
            "storage": "refrigerate unopened; opened vial or pen room temperature up to 28 days",
            "dea_schedule": "",
            "route_forms": "injection (vial, pen)",
            "lasa_note": "insulin detemir",
            "status": "draft"
        },
        {
            "id": 62,
            "program_id": 41,
            "list_no": 62,
            "generic": "amlodipine/valsartan",
            "brand": "Exforge",
            "drug_class": "calcium channel blocker / ARB combination",
            "stem": "",
            "indication": "hypertension",
            "key_caution": "avoid in pregnancy (ARB component teratogenic)",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 63,
            "program_id": 41,
            "list_no": 63,
            "generic": "spironolactone",
            "brand": "Aldactone",
            "drug_class": "potassium-sparing diuretic / aldosterone antagonist",
            "stem": "",
            "indication": "heart failure, hypertension, edema",
            "key_caution": "hyperkalemia risk; avoid high-potassium foods and potassium supplements",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, oral suspension",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 64,
            "program_id": 41,
            "list_no": 64,
            "generic": "oxycodone/acetaminophen",
            "brand": "Percocet",
            "drug_class": "opioid analgesic combination",
            "stem": "",
            "indication": "moderate to severe pain",
            "key_caution": "schedule II; counsel on acetaminophen total daily dose limit (4 g/day); high abuse potential",
            "storage": "room temperature",
            "dea_schedule": "CII",
            "route_forms": "tablet",
            "lasa_note": "oxycodone",
            "status": "draft"
        },
        {
            "id": 65,
            "program_id": 41,
            "list_no": 65,
            "generic": "diltiazem",
            "brand": "Cardizem",
            "drug_class": "calcium channel blocker (non-dihydropyridine)",
            "stem": "",
            "indication": "hypertension, angina, atrial fibrillation",
            "key_caution": "do not crush or chew extended-release forms; multiple formulations with different release rates",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, extended-release capsule, injection",
            "lasa_note": "Cardene (nicardipine)",
            "status": "draft"
        },
        {
            "id": 66,
            "program_id": 41,
            "list_no": 66,
            "generic": "linagliptin",
            "brand": "Tradjenta",
            "drug_class": "DPP-4 inhibitor / antidiabetic",
            "stem": "-gliptin",
            "indication": "type 2 diabetes",
            "key_caution": "risk of pancreatitis; advise patient to report persistent abdominal pain",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 67,
            "program_id": 41,
            "list_no": 67,
            "generic": "pregabalin",
            "brand": "Lyrica",
            "drug_class": "alpha-2-delta ligand / anticonvulsant",
            "stem": "",
            "indication": "neuropathic pain, fibromyalgia, epilepsy",
            "key_caution": "schedule V; dizziness and sedation; do not stop abruptly",
            "storage": "room temperature",
            "dea_schedule": "CV",
            "route_forms": "capsule, oral solution",
            "lasa_note": "gabapentin",
            "status": "draft"
        },
        {
            "id": 68,
            "program_id": 41,
            "list_no": 68,
            "generic": "topiramate",
            "brand": "Topamax",
            "drug_class": "anticonvulsant",
            "stem": "",
            "indication": "epilepsy, migraine prophylaxis",
            "key_caution": "teratogenic (cleft palate); patients of childbearing age should use effective contraception",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, sprinkle capsule",
            "lasa_note": "Toprol XL (metoprolol succinate)",
            "status": "draft"
        },
        {
            "id": 69,
            "program_id": 41,
            "list_no": 69,
            "generic": "lamotrigine",
            "brand": "Lamictal",
            "drug_class": "anticonvulsant",
            "stem": "",
            "indication": "epilepsy, bipolar disorder",
            "key_caution": "risk of serious rash (Stevens-Johnson syndrome); dose escalation must be gradual",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, chewable tablet, extended-release tablet, orally disintegrating tablet",
            "lasa_note": "labetalol",
            "status": "draft"
        },
        {
            "id": 70,
            "program_id": 41,
            "list_no": 70,
            "generic": "fluticasone/salmeterol",
            "brand": "Advair",
            "drug_class": "inhaled corticosteroid / long-acting beta-2 agonist (ICS/LABA)",
            "stem": "",
            "indication": "asthma, COPD",
            "key_caution": "LABA monotherapy contraindicated in asthma; rinse mouth after inhalation to prevent oral candidiasis",
            "storage": "room temperature; store diskus in dry place",
            "dea_schedule": "",
            "route_forms": "dry-powder inhaler (diskus), metered-dose inhaler (HFA)",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 71,
            "program_id": 41,
            "list_no": 71,
            "generic": "venlafaxine",
            "brand": "Effexor",
            "drug_class": "serotonin-norepinephrine reuptake inhibitor (SNRI)",
            "stem": "",
            "indication": "depression, anxiety disorders",
            "key_caution": "do not stop abruptly; discontinuation syndrome common; monitor blood pressure (dose-related hypertension)",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, extended-release capsule",
            "lasa_note": "Effexor vs. Effient confusion reported",
            "status": "draft"
        },
        {
            "id": 72,
            "program_id": 41,
            "list_no": 72,
            "generic": "metronidazole",
            "brand": "Flagyl",
            "drug_class": "nitroimidazole antibiotic/antiprotozoal",
            "stem": "",
            "indication": "anaerobic infections, C. difficile, Trichomonas",
            "key_caution": "disulfiram-like reaction with alcohol; advise patient to avoid alcohol during and 48 hours after therapy",
            "storage": "room temperature; protect from light",
            "dea_schedule": "",
            "route_forms": "tablet, capsule, topical gel, vaginal gel",
            "lasa_note": "metformin",
            "status": "draft"
        },
        {
            "id": 73,
            "program_id": 41,
            "list_no": 73,
            "generic": "allopurinol",
            "brand": "Zyloprim",
            "drug_class": "xanthine oxidase inhibitor / antigout agent",
            "stem": "",
            "indication": "gout prophylaxis, hyperuricemia",
            "key_caution": "do not initiate during acute gout attack; serious hypersensitivity reactions possible (especially with HLA-B*5801 allele in Asian patients)",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet",
            "lasa_note": "Zyrtec (cetirizine)",
            "status": "draft"
        },
        {
            "id": 74,
            "program_id": 41,
            "list_no": 74,
            "generic": "cetirizine",
            "brand": "Zyrtec",
            "drug_class": "second-generation antihistamine",
            "stem": "",
            "indication": "allergic rhinitis, urticaria",
            "key_caution": "may cause drowsiness; use caution when driving",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, chewable tablet, oral syrup",
            "lasa_note": "Zyprexa (olanzapine)",
            "status": "draft"
        },
        {
            "id": 75,
            "program_id": 41,
            "list_no": 75,
            "generic": "loratadine",
            "brand": "Claritin",
            "drug_class": "second-generation antihistamine",
            "stem": "",
            "indication": "allergic rhinitis, urticaria",
            "key_caution": "generally non-sedating; adjust dose in hepatic or renal impairment",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, chewable tablet, orally disintegrating tablet, oral syrup",
            "lasa_note": "lorazepam",
            "status": "draft"
        },
        {
            "id": 76,
            "program_id": 41,
            "list_no": 76,
            "generic": "fexofenadine",
            "brand": "Allegra",
            "drug_class": "second-generation antihistamine",
            "stem": "",
            "indication": "allergic rhinitis, chronic urticaria",
            "key_caution": "avoid taking with fruit juices (grapefruit, orange, apple) — reduces absorption significantly",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, oral suspension",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 77,
            "program_id": 41,
            "list_no": 77,
            "generic": "ondansetron",
            "brand": "Zofran",
            "drug_class": "5-HT3 antagonist / antiemetic",
            "stem": "-setron",
            "indication": "nausea and vomiting",
            "key_caution": "QT prolongation risk; avoid in patients with congenital long QT syndrome",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, orally disintegrating tablet, oral solution, injection",
            "lasa_note": "Zosyn (piperacillin/tazobactam)",
            "status": "draft"
        },
        {
            "id": 78,
            "program_id": 41,
            "list_no": 78,
            "generic": "thyroid (desiccated)",
            "brand": "Armour Thyroid",
            "drug_class": "thyroid hormone (natural T4/T3)",
            "stem": null,
            "indication": "hypothyroidism",
            "key_caution": "Not interchangeable with levothyroxine dose-for-dose; flag any switch to the pharmacist",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 79,
            "program_id": 41,
            "list_no": 79,
            "generic": "lisdexamfetamine",
            "brand": "Vyvanse",
            "drug_class": "CNS stimulant (prodrug of dextroamphetamine)",
            "stem": "",
            "indication": "ADHD; binge-eating disorder",
            "key_caution": "schedule II; no refills permitted; monitor heart rate and blood pressure",
            "storage": "room temperature",
            "dea_schedule": "CII",
            "route_forms": "capsule, chewable tablet",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 80,
            "program_id": 41,
            "list_no": 80,
            "generic": "triamcinolone acetonide (nasal)",
            "brand": "Nasacort",
            "drug_class": "intranasal corticosteroid",
            "stem": "",
            "indication": "allergic rhinitis",
            "key_caution": "prime pump before first use; shake well; may take 1–2 weeks for full effect",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "nasal spray",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 81,
            "program_id": 41,
            "list_no": 81,
            "generic": "mometasone furoate (nasal)",
            "brand": "Nasonex",
            "drug_class": "intranasal corticosteroid",
            "stem": "",
            "indication": "allergic rhinitis, nasal polyps",
            "key_caution": "prime and shake before use; onset may take several days",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "nasal spray",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 82,
            "program_id": 41,
            "list_no": 82,
            "generic": "budesonide (nasal)",
            "brand": "Rhinocort",
            "drug_class": "intranasal corticosteroid",
            "stem": "",
            "indication": "allergic rhinitis",
            "key_caution": "available OTC; remind patients to prime before first use",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "nasal spray",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 83,
            "program_id": 41,
            "list_no": 83,
            "generic": "tiotropium",
            "brand": "Spiriva",
            "drug_class": "long-acting anticholinergic bronchodilator (LAMA)",
            "stem": "-tropium",
            "indication": "COPD maintenance",
            "key_caution": "for inhalation only; do not swallow capsule; capsules must stay in blister pack until use",
            "storage": "room temperature; protect from moisture",
            "dea_schedule": "",
            "route_forms": "dry-powder inhaler capsule, soft-mist inhaler",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 84,
            "program_id": 41,
            "list_no": 84,
            "generic": "ipratropium",
            "brand": "Atrovent",
            "drug_class": "short-acting anticholinergic bronchodilator",
            "stem": "-tropium",
            "indication": "COPD, bronchospasm",
            "key_caution": "avoid spraying in eyes; use caution in narrow-angle glaucoma",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "metered-dose inhaler, nasal spray, inhalation solution",
            "lasa_note": "Alupent (metaproterenol)",
            "status": "draft"
        },
        {
            "id": 85,
            "program_id": 41,
            "list_no": 85,
            "generic": "fluticasone (inhaled)",
            "brand": "Flovent",
            "drug_class": "inhaled corticosteroid",
            "stem": "",
            "indication": "asthma maintenance",
            "key_caution": "rinse mouth and gargle after each use to prevent oral candidiasis; not for acute bronchospasm",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "metered-dose inhaler, dry-powder inhaler",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 86,
            "program_id": 41,
            "list_no": 86,
            "generic": "budesonide/formoterol",
            "brand": "Symbicort",
            "drug_class": "inhaled corticosteroid / LABA combination",
            "stem": "",
            "indication": "asthma, COPD",
            "key_caution": "rinse mouth after use; not for acute relief; LABA use requires ICS in asthma",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "metered-dose inhaler",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 87,
            "program_id": 41,
            "list_no": 87,
            "generic": "dulaglutide",
            "brand": "Trulicity",
            "drug_class": "GLP-1 receptor agonist / antidiabetic",
            "stem": "-tide",
            "indication": "type 2 diabetes",
            "key_caution": "Weekly injection; GI effects; flag history of pancreatitis or thyroid C-cell tumors to the pharmacist",
            "storage": "refrigerate; may be kept at room temperature up to 14 days",
            "dea_schedule": null,
            "route_forms": "single-dose pen for subcutaneous injection",
            "lasa_note": null,
            "status": "draft"
        },
        {
            "id": 88,
            "program_id": 41,
            "list_no": 88,
            "generic": "fenofibrate",
            "brand": "TriCor",
            "drug_class": "fibric acid derivative / antilipemic",
            "stem": "-fibrate",
            "indication": "hypertriglyceridemia, mixed dyslipidemia",
            "key_caution": "myopathy risk increased when combined with statins; monitor renal function",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, capsule",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 89,
            "program_id": 41,
            "list_no": 89,
            "generic": "ezetimibe",
            "brand": "Zetia",
            "drug_class": "cholesterol absorption inhibitor",
            "stem": "",
            "indication": "hypercholesterolemia",
            "key_caution": "often used with a statin; monitor LFTs if combined with statin",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet",
            "lasa_note": "Zestril (lisinopril)",
            "status": "draft"
        },
        {
            "id": 90,
            "program_id": 41,
            "list_no": 90,
            "generic": "tirzepatide",
            "brand": "Mounjaro",
            "drug_class": "GIP/GLP-1 receptor agonist / antidiabetic",
            "stem": "-tide",
            "indication": "type 2 diabetes",
            "key_caution": "Weekly injection; GI effects; flag history of pancreatitis or thyroid C-cell tumors to the pharmacist",
            "storage": "refrigerate; may be kept at room temperature up to 21 days",
            "dea_schedule": null,
            "route_forms": "single-dose pen/vial for subcutaneous injection",
            "lasa_note": null,
            "status": "draft"
        },
        {
            "id": 91,
            "program_id": 41,
            "list_no": 91,
            "generic": "empagliflozin",
            "brand": "Jardiance",
            "drug_class": "SGLT2 inhibitor / antidiabetic",
            "stem": "-gliflozin",
            "indication": "type 2 diabetes, heart failure, CKD",
            "key_caution": "increased risk of urinary tract and genital yeast infections; counsel on genital hygiene",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 92,
            "program_id": 41,
            "list_no": 92,
            "generic": "canagliflozin",
            "brand": "Invokana",
            "drug_class": "SGLT2 inhibitor / antidiabetic",
            "stem": "-gliflozin",
            "indication": "type 2 diabetes, diabetic nephropathy",
            "key_caution": "risk of lower-limb amputation and fractures; advise patient to inspect feet regularly",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 93,
            "program_id": 41,
            "list_no": 93,
            "generic": "dapagliflozin",
            "brand": "Farxiga",
            "drug_class": "SGLT2 inhibitor / antidiabetic",
            "stem": "-gliflozin",
            "indication": "type 2 diabetes, heart failure, CKD",
            "key_caution": "hold before surgery; risk of diabetic ketoacidosis even with near-normal glucose",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 94,
            "program_id": 41,
            "list_no": 94,
            "generic": "liraglutide",
            "brand": "Victoza",
            "drug_class": "GLP-1 receptor agonist / antidiabetic",
            "stem": "-glutide",
            "indication": "type 2 diabetes, cardiovascular risk reduction",
            "key_caution": "refrigerate until first use; after first use store at room temperature up to 30 days; risk of pancreatitis",
            "storage": "refrigerate until opened; then room temperature up to 30 days",
            "dea_schedule": "",
            "route_forms": "subcutaneous injection (pen)",
            "lasa_note": "semaglutide",
            "status": "draft"
        },
        {
            "id": 95,
            "program_id": 41,
            "list_no": 95,
            "generic": "semaglutide",
            "brand": "Ozempic",
            "drug_class": "GLP-1 receptor agonist / antidiabetic",
            "stem": "-glutide",
            "indication": "type 2 diabetes, cardiovascular risk reduction, weight management",
            "key_caution": "refrigerate until first use; after opening use within 56 days; risk of thyroid C-cell tumors (black box warning)",
            "storage": "refrigerate until first use; after first use room temperature up to 56 days",
            "dea_schedule": "",
            "route_forms": "subcutaneous injection (pen), oral tablet",
            "lasa_note": "liraglutide",
            "status": "draft"
        },
        {
            "id": 96,
            "program_id": 41,
            "list_no": 96,
            "generic": "methotrexate",
            "brand": "Trexall",
            "drug_class": "antimetabolite / DMARD",
            "stem": "",
            "indication": "rheumatoid arthritis, psoriasis, cancer",
            "key_caution": "high-alert medication; weekly dosing for arthritis/psoriasis (daily dosing is a common fatal error); folic acid supplementation required",
            "storage": "room temperature; protect from light",
            "dea_schedule": "",
            "route_forms": "tablet, injection",
            "lasa_note": "methohexital",
            "status": "draft"
        },
        {
            "id": 97,
            "program_id": 41,
            "list_no": 97,
            "generic": "hydroxychloroquine",
            "brand": "Plaquenil",
            "drug_class": "antimalarial / DMARD",
            "stem": "",
            "indication": "rheumatoid arthritis, lupus, malaria",
            "key_caution": "annual ophthalmologic exam required (retinal toxicity); take with food or milk",
            "storage": "room temperature; protect from light",
            "dea_schedule": "",
            "route_forms": "tablet",
            "lasa_note": "hydrocortisone",
            "status": "draft"
        },
        {
            "id": 98,
            "program_id": 41,
            "list_no": 98,
            "generic": "nitrofurantoin",
            "brand": "Macrobid",
            "drug_class": "nitrofuran antibiotic",
            "stem": "",
            "indication": "uncomplicated urinary tract infection",
            "key_caution": "take with food to reduce GI upset; avoid in patients with CrCl < 30 mL/min (ineffective and may accumulate)",
            "storage": "room temperature; protect from light",
            "dea_schedule": "",
            "route_forms": "capsule (monohydrate/macrocrystalline), oral suspension",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 99,
            "program_id": 41,
            "list_no": 99,
            "generic": "sulfamethoxazole/trimethoprim",
            "brand": "Bactrim",
            "drug_class": "sulfonamide / antibiotic combination",
            "stem": "",
            "indication": "UTI, skin infections, Pneumocystis pneumonia prophylaxis",
            "key_caution": "adequate hydration required; can cause severe hypersensitivity (Stevens-Johnson syndrome); monitor potassium (hyperkalemia risk)",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet (single- and double-strength), oral suspension",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 100,
            "program_id": 41,
            "list_no": 100,
            "generic": "amlodipine/olmesartan",
            "brand": "Azor",
            "drug_class": "calcium channel blocker / angiotensin II receptor blocker combination",
            "stem": "-sartan",
            "indication": "hypertension",
            "key_caution": "verify correct combination product; olmesartan associated with sprue-like enteropathy with long-term use",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet",
            "lasa_note": "Zocor",
            "status": "draft"
        },
        {
            "id": 101,
            "program_id": 41,
            "list_no": 101,
            "generic": "olmesartan",
            "brand": "Benicar",
            "drug_class": "angiotensin II receptor blocker",
            "stem": "-sartan",
            "indication": "hypertension",
            "key_caution": "may cause sprue-like enteropathy; counsel patients to report severe chronic diarrhea",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet",
            "lasa_note": "Mevacor",
            "status": "draft"
        },
        {
            "id": 102,
            "program_id": 41,
            "list_no": 102,
            "generic": "naproxen",
            "brand": "Naprosyn",
            "drug_class": "NSAID",
            "stem": null,
            "indication": "pain, inflammation, arthritis",
            "key_caution": "GI bleeding and kidney risk; flag anticoagulants, other NSAIDs and pregnancy to the pharmacist",
            "storage": "room temperature",
            "dea_schedule": null,
            "route_forms": "tablets, suspension; OTC as Aleve",
            "lasa_note": null,
            "status": "draft"
        },
        {
            "id": 103,
            "program_id": 41,
            "list_no": 103,
            "generic": "quetiapine",
            "brand": "Seroquel",
            "drug_class": "atypical antipsychotic",
            "stem": "-apine",
            "indication": "schizophrenia, bipolar disorder, adjunct for depression",
            "key_caution": "black box warning: increased mortality in elderly patients with dementia-related psychosis",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, extended-release tablet",
            "lasa_note": "Sinequan",
            "status": "draft"
        },
        {
            "id": 104,
            "program_id": 41,
            "list_no": 104,
            "generic": "aripiprazole",
            "brand": "Abilify",
            "drug_class": "atypical antipsychotic",
            "stem": "-piprazole",
            "indication": "schizophrenia, bipolar disorder, adjunct for major depressive disorder",
            "key_caution": "black box warning: increased mortality in elderly patients with dementia-related psychosis; monitor for impulse-control problems",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, orally disintegrating tablet, oral solution, injection",
            "lasa_note": "probenecid",
            "status": "draft"
        },
        {
            "id": 105,
            "program_id": 41,
            "list_no": 105,
            "generic": "risperidone",
            "brand": "Risperdal",
            "drug_class": "atypical antipsychotic",
            "stem": "-idone",
            "indication": "schizophrenia, bipolar mania, irritability associated with autism",
            "key_caution": "black box warning: increased mortality in elderly patients with dementia-related psychosis; monitor for extrapyramidal symptoms",
            "storage": "room temperature; oral solution protect from light",
            "dea_schedule": "",
            "route_forms": "tablet, orally disintegrating tablet, oral solution, long-acting injection",
            "lasa_note": "ropinirole",
            "status": "draft"
        },
        {
            "id": 106,
            "program_id": 41,
            "list_no": 106,
            "generic": "olanzapine",
            "brand": "Zyprexa",
            "drug_class": "atypical antipsychotic",
            "stem": "-apine",
            "indication": "schizophrenia, bipolar disorder",
            "key_caution": "black box warning: increased mortality in elderly patients with dementia-related psychosis; significant weight gain and metabolic changes",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, orally disintegrating tablet, injection",
            "lasa_note": "Zyrtec",
            "status": "draft"
        },
        {
            "id": 107,
            "program_id": 41,
            "list_no": 107,
            "generic": "clobetasol propionate",
            "brand": "Temovate",
            "drug_class": "topical corticosteroid (super-high potency)",
            "stem": "",
            "indication": "inflammatory skin conditions, psoriasis",
            "key_caution": "super-high potency; limit use to 2 weeks on face or intertriginous areas; adrenal suppression possible with overuse",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "cream, ointment, foam, solution, shampoo, gel, spray",
            "lasa_note": "clotrimazole",
            "status": "draft"
        },
        {
            "id": 108,
            "program_id": 41,
            "list_no": 108,
            "generic": "amitriptyline",
            "brand": "Elavil",
            "drug_class": "tricyclic antidepressant",
            "stem": "-triptyline",
            "indication": "depression, neuropathic pain, migraine prevention",
            "key_caution": "anticholinergic effects; cardiotoxic in overdose; black box warning for suicidality in pediatric patients",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet",
            "lasa_note": "amoxapine",
            "status": "draft"
        },
        {
            "id": 109,
            "program_id": 41,
            "list_no": 109,
            "generic": "lorazepam",
            "brand": "Ativan",
            "drug_class": "benzodiazepine",
            "stem": "-azepam",
            "indication": "anxiety, seizures, preoperative sedation",
            "key_caution": "DEA Schedule IV; risk of dependence, abuse, and respiratory depression; avoid abrupt discontinuation",
            "storage": "room temperature; injectable form refrigerate",
            "dea_schedule": "CIV",
            "route_forms": "tablet, oral concentrate, injection",
            "lasa_note": "alprazolam",
            "status": "draft"
        },
        {
            "id": 110,
            "program_id": 41,
            "list_no": 110,
            "generic": "diazepam",
            "brand": "Valium",
            "drug_class": "benzodiazepine",
            "stem": "-azepam",
            "indication": "anxiety, muscle spasms, alcohol withdrawal, seizures",
            "key_caution": "DEA Schedule IV; risk of dependence and respiratory depression; long half-life increases accumulation risk in elderly",
            "storage": "room temperature; protect from light",
            "dea_schedule": "CIV",
            "route_forms": "tablet, oral solution, rectal gel, nasal spray, injection",
            "lasa_note": "Ditropan",
            "status": "draft"
        },
        {
            "id": 111,
            "program_id": 41,
            "list_no": 111,
            "generic": "morphine sulfate",
            "brand": "MS Contin",
            "drug_class": "opioid analgesic",
            "stem": "",
            "indication": "moderate-to-severe pain",
            "key_caution": "DEA Schedule II; high risk for misuse, addiction, respiratory depression; extended-release tablets must not be crushed",
            "storage": "room temperature",
            "dea_schedule": "CII",
            "route_forms": "tablet, extended-release tablet, oral solution, injection, suppository",
            "lasa_note": "hydromorphone",
            "status": "draft"
        },
        {
            "id": 112,
            "program_id": 41,
            "list_no": 112,
            "generic": "fentanyl transdermal",
            "brand": "Duragesic",
            "drug_class": "opioid analgesic",
            "stem": "-anyl",
            "indication": "chronic severe pain requiring around-the-clock opioid",
            "key_caution": "DEA Schedule II; patches contain large reservoir of drug; fatal if chewed, swallowed, or applied to cut skin; used patches still contain active drug",
            "storage": "room temperature; used patches must be disposed of properly by folding adhesive side together",
            "dea_schedule": "CII",
            "route_forms": "transdermal patch",
            "lasa_note": "fentanyl buccal film (separate product; do not interchange)",
            "status": "draft"
        },
        {
            "id": 113,
            "program_id": 41,
            "list_no": 113,
            "generic": "methylprednisolone",
            "brand": "Medrol",
            "drug_class": "corticosteroid",
            "stem": "",
            "indication": "inflammatory and allergic conditions",
            "key_caution": "taper dose with prolonged use; adrenal suppression; Medrol Dosepak—counsel patient on the decreasing-dose regimen card",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet (dose pack), injection",
            "lasa_note": "medroxyprogesterone",
            "status": "draft"
        },
        {
            "id": 114,
            "program_id": 41,
            "list_no": 114,
            "generic": "triamterene/hydrochlorothiazide",
            "brand": "Dyazide",
            "drug_class": "potassium-sparing diuretic / thiazide diuretic combination",
            "stem": "",
            "indication": "hypertension, edema",
            "key_caution": "monitor potassium—triamterene component spares potassium while HCTZ wastes it; risk of hyperkalemia if combined with other K-sparing agents or ACE inhibitors",
            "storage": "room temperature; protect from light",
            "dea_schedule": "",
            "route_forms": "capsule, tablet",
            "lasa_note": "triamcinolone",
            "status": "draft"
        },
        {
            "id": 115,
            "program_id": 41,
            "list_no": 115,
            "generic": "amlodipine/valsartan/hydrochlorothiazide",
            "brand": "Exforge HCT",
            "drug_class": "calcium channel blocker / angiotensin II receptor blocker / thiazide diuretic combination",
            "stem": "-sartan",
            "indication": "hypertension (add-on therapy)",
            "key_caution": "verify all three components; contraindicated with aliskiren in diabetic patients; monitor electrolytes and renal function",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet",
            "lasa_note": "Exforge (two-drug combination)",
            "status": "draft"
        },
        {
            "id": 116,
            "program_id": 41,
            "list_no": 116,
            "generic": "potassium chloride",
            "brand": "Klor-Con",
            "drug_class": "electrolyte supplement",
            "stem": "",
            "indication": "hypokalemia prevention and treatment",
            "key_caution": "extended-release tablets must not be crushed; GI irritation common—take with food and full glass of water; IV form is a high-alert medication",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, extended-release tablet, oral solution, powder packet",
            "lasa_note": "potassium phosphate",
            "status": "draft"
        },
        {
            "id": 117,
            "program_id": 41,
            "list_no": 117,
            "generic": "insulin aspart",
            "brand": "NovoLog",
            "drug_class": "rapid-acting insulin analog",
            "stem": "",
            "indication": "diabetes mellitus (mealtime glucose control)",
            "key_caution": "high-alert medication; administer within 5–10 minutes before a meal; refrigerate unopened vials/pens; discard open vials per manufacturer guidelines",
            "storage": "refrigerate unopened; opened vials/pens room temperature up to 28 days",
            "dea_schedule": "",
            "route_forms": "vial, pen injector, cartridge",
            "lasa_note": "insulin lispro",
            "status": "draft"
        },
        {
            "id": 118,
            "program_id": 41,
            "list_no": 118,
            "generic": "insulin lispro",
            "brand": "Humalog",
            "drug_class": "rapid-acting insulin analog",
            "stem": "",
            "indication": "diabetes mellitus (mealtime glucose control)",
            "key_caution": "high-alert medication; administer within 15 minutes before or immediately after a meal; refrigerate unopened; LASA risk with other insulins",
            "storage": "refrigerate unopened; opened vials/pens room temperature up to 28 days",
            "dea_schedule": "",
            "route_forms": "vial, pen injector, cartridge",
            "lasa_note": "insulin aspart",
            "status": "draft"
        },
        {
            "id": 119,
            "program_id": 41,
            "list_no": 119,
            "generic": "insulin NPH",
            "brand": "Humulin N",
            "drug_class": "intermediate-acting insulin",
            "stem": "",
            "indication": "diabetes mellitus",
            "key_caution": "high-alert medication; cloudy suspension—gently roll/invert to mix, do not shake; LASA risk with other insulin formulations",
            "storage": "refrigerate unopened; opened vials room temperature up to 28–31 days per manufacturer",
            "dea_schedule": "",
            "route_forms": "vial, pen injector",
            "lasa_note": "Humulin R (regular insulin)",
            "status": "draft"
        },
        {
            "id": 120,
            "program_id": 41,
            "list_no": 120,
            "generic": "insulin regular",
            "brand": "Humulin R",
            "drug_class": "short-acting insulin",
            "stem": "",
            "indication": "diabetes mellitus, hyperkalemia (IV)",
            "key_caution": "high-alert medication; only insulin formulation routinely used IV—verify concentration carefully; U-500 concentration available and must not be confused with U-100",
            "storage": "refrigerate unopened; opened vials room temperature up to 28–31 days per manufacturer",
            "dea_schedule": "",
            "route_forms": "vial, pen injector",
            "lasa_note": "insulin NPH (Humulin N)",
            "status": "draft"
        },
        {
            "id": 121,
            "program_id": 41,
            "list_no": 121,
            "generic": "pioglitazone",
            "brand": "Actos",
            "drug_class": "thiazolidinedione",
            "stem": "-glitazone",
            "indication": "type 2 diabetes mellitus",
            "key_caution": "black box warning: may cause or exacerbate heart failure; associated with increased risk of bladder cancer with prolonged use",
            "storage": "room temperature; protect from moisture and light",
            "dea_schedule": "",
            "route_forms": "tablet",
            "lasa_note": "Actonel",
            "status": "draft"
        },
        {
            "id": 122,
            "program_id": 41,
            "list_no": 122,
            "generic": "metoclopramide",
            "brand": "Reglan",
            "drug_class": "dopamine antagonist / prokinetic",
            "stem": "",
            "indication": "gastroparesis, GERD, nausea/vomiting",
            "key_caution": "black box warning: irreversible tardive dyskinesia with long-term use; limit treatment to 12 weeks",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, orally disintegrating tablet, oral solution, injection",
            "lasa_note": "metolazone",
            "status": "draft"
        },
        {
            "id": 123,
            "program_id": 41,
            "list_no": 123,
            "generic": "olopatadine nasal",
            "brand": "Patanase",
            "drug_class": "antihistamine (nasal)",
            "stem": "-adine",
            "indication": "allergic rhinitis",
            "key_caution": "prime pump before first use and after periods of non-use; avoid spraying into eyes",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "nasal spray",
            "lasa_note": "olopatadine ophthalmic (Pataday)",
            "status": "draft"
        },
        {
            "id": 124,
            "program_id": 41,
            "list_no": 124,
            "generic": "azelastine nasal",
            "brand": "Astelin",
            "drug_class": "antihistamine (nasal)",
            "stem": "-astine",
            "indication": "allergic rhinitis, vasomotor rhinitis",
            "key_caution": "may cause somnolence; instruct patient on proper nasal administration technique; prime pump",
            "storage": "room temperature; upright position",
            "dea_schedule": "",
            "route_forms": "nasal spray",
            "lasa_note": "Astepro (azelastine different concentration)",
            "status": "draft"
        },
        {
            "id": 125,
            "program_id": 41,
            "list_no": 125,
            "generic": "propranolol",
            "brand": "Inderal",
            "drug_class": "beta-adrenergic blocker (non-selective)",
            "stem": "-olol",
            "indication": "hypertension, angina, migraine prevention, essential tremor, arrhythmias",
            "key_caution": "do not abruptly discontinue—risk of rebound hypertension and angina; use with caution in asthma/COPD due to bronchospasm",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, extended-release capsule, oral solution, injection",
            "lasa_note": "Pindolol",
            "status": "draft"
        },
        {
            "id": 126,
            "program_id": 41,
            "list_no": 126,
            "generic": "nebivolol",
            "brand": "Bystolic",
            "drug_class": "beta-adrenergic blocker (selective beta-1)",
            "stem": "-olol",
            "indication": "hypertension",
            "key_caution": "do not abruptly discontinue; use with caution in patients with severe hepatic impairment",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet",
            "lasa_note": "metoprolol",
            "status": "draft"
        },
        {
            "id": 127,
            "program_id": 41,
            "list_no": 127,
            "generic": "bisoprolol",
            "brand": "Zebeta",
            "drug_class": "beta-adrenergic blocker (selective beta-1)",
            "stem": "-olol",
            "indication": "hypertension, heart failure",
            "key_caution": "do not abruptly discontinue; cardioselective at low doses but selectivity decreases at higher doses",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet",
            "lasa_note": "metoprolol",
            "status": "draft"
        },
        {
            "id": 128,
            "program_id": 41,
            "list_no": 128,
            "generic": "amlodipine/telmisartan",
            "brand": "Twynsta",
            "drug_class": "calcium channel blocker / angiotensin II receptor blocker combination",
            "stem": "-sartan",
            "indication": "hypertension",
            "key_caution": "contraindicated in pregnancy; monitor renal function and electrolytes",
            "storage": "room temperature; protect from moisture",
            "dea_schedule": "",
            "route_forms": "tablet",
            "lasa_note": "Micardis (telmisartan alone)",
            "status": "draft"
        },
        {
            "id": 129,
            "program_id": 41,
            "list_no": 129,
            "generic": "telmisartan",
            "brand": "Micardis",
            "drug_class": "angiotensin II receptor blocker",
            "stem": "-sartan",
            "indication": "hypertension, cardiovascular risk reduction",
            "key_caution": "contraindicated in pregnancy; avoid concomitant use with ACE inhibitors in patients with diabetes or renal impairment",
            "storage": "room temperature; store in original blister packaging",
            "dea_schedule": "",
            "route_forms": "tablet",
            "lasa_note": "olmesartan",
            "status": "draft"
        },
        {
            "id": 130,
            "program_id": 41,
            "list_no": 130,
            "generic": "irbesartan",
            "brand": "Avapro",
            "drug_class": "angiotensin II receptor blocker",
            "stem": "-sartan",
            "indication": "hypertension, diabetic nephropathy",
            "key_caution": "contraindicated in pregnancy; monitor renal function and potassium",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet",
            "lasa_note": "valsartan",
            "status": "draft"
        },
        {
            "id": 131,
            "program_id": 41,
            "list_no": 131,
            "generic": "nifedipine",
            "brand": "Procardia XL",
            "drug_class": "dihydropyridine calcium channel blocker",
            "stem": "-dipine",
            "indication": "hypertension, angina",
            "key_caution": "extended-release tablet shell may appear in stool—counsel patient this is normal and does not mean the medication is not working",
            "storage": "room temperature; protect from light and moisture",
            "dea_schedule": "",
            "route_forms": "capsule, extended-release tablet",
            "lasa_note": "nicardipine",
            "status": "draft"
        },
        {
            "id": 132,
            "program_id": 41,
            "list_no": 132,
            "generic": "isosorbide mononitrate",
            "brand": "Imdur",
            "drug_class": "nitrate",
            "stem": "",
            "indication": "angina prophylaxis",
            "key_caution": "requires nitrate-free interval (10–14 hours) to prevent tolerance; do not crush extended-release tablets; can cause severe hypotension with PDE-5 inhibitors",
            "storage": "room temperature; protect from moisture",
            "dea_schedule": "",
            "route_forms": "tablet, extended-release tablet",
            "lasa_note": "isosorbide dinitrate",
            "status": "draft"
        },
        {
            "id": 133,
            "program_id": 41,
            "list_no": 133,
            "generic": "nitroglycerin sublingual",
            "brand": "Nitrostat",
            "drug_class": "nitrate",
            "stem": "",
            "indication": "acute angina",
            "key_caution": "store in original glass bottle away from heat and light; replace 6 months after opening bottle; counsel patient on proper sublingual administration and when to call 911",
            "storage": "room temperature; original glass amber bottle; protect from heat and light",
            "dea_schedule": "",
            "route_forms": "sublingual tablet, sublingual spray",
            "lasa_note": "nitrofurantoin",
            "status": "draft"
        },
        {
            "id": 134,
            "program_id": 41,
            "list_no": 134,
            "generic": "digoxin",
            "brand": "Lanoxin",
            "drug_class": "cardiac glycoside",
            "stem": "",
            "indication": "heart failure, atrial fibrillation",
            "key_caution": "narrow therapeutic index; toxicity signs include nausea, visual changes (yellow-green halos), and bradycardia; monitor serum levels and renal function",
            "storage": "room temperature; protect from light",
            "dea_schedule": "",
            "route_forms": "tablet, oral solution, injection",
            "lasa_note": "Desoxyn",
            "status": "draft"
        },
        {
            "id": 135,
            "program_id": 41,
            "list_no": 135,
            "generic": "amiodarone",
            "brand": "Cordarone",
            "drug_class": "antiarrhythmic (class III)",
            "stem": "",
            "indication": "ventricular arrhythmias, atrial fibrillation",
            "key_caution": "numerous serious adverse effects including pulmonary toxicity, thyroid dysfunction, and hepatotoxicity; multiple significant drug interactions; extremely long half-life",
            "storage": "room temperature; protect from light",
            "dea_schedule": "",
            "route_forms": "tablet, injection",
            "lasa_note": "amrinone (inamrinone)",
            "status": "draft"
        },
        {
            "id": 136,
            "program_id": 41,
            "list_no": 136,
            "generic": "apixaban",
            "brand": "Eliquis",
            "drug_class": "direct oral anticoagulant (factor Xa inhibitor)",
            "stem": "-xaban",
            "indication": "stroke prevention in atrial fibrillation, DVT/PE treatment and prevention",
            "key_caution": "no routine antidote widely available (andexanet alfa exists but limited availability); counsel patient never to stop without physician guidance; interacts with strong CYP3A4/P-gp inhibitors",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet",
            "lasa_note": "Arixtra (fondaparinux)",
            "status": "draft"
        },
        {
            "id": 137,
            "program_id": 41,
            "list_no": 137,
            "generic": "rivaroxaban",
            "brand": "Xarelto",
            "drug_class": "direct oral anticoagulant (factor Xa inhibitor)",
            "stem": "-xaban",
            "indication": "stroke prevention in atrial fibrillation, DVT/PE treatment and prevention",
            "key_caution": "take with evening meal for AFib indication; no routine monitoring but interacts with CYP3A4/P-gp inhibitors and inducers; no reversal agent universally available",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, oral suspension",
            "lasa_note": "Pradaxa (dabigatran)",
            "status": "draft"
        },
        {
            "id": 138,
            "program_id": 41,
            "list_no": 138,
            "generic": "dabigatran",
            "brand": "Pradaxa",
            "drug_class": "direct oral anticoagulant (direct thrombin inhibitor)",
            "stem": "-gatran",
            "indication": "stroke prevention in atrial fibrillation, DVT/PE treatment and prevention",
            "key_caution": "store capsules in original bottle—moisture-sensitive; discard 4 months after opening bottle; reversal agent idarucizumab (Praxbind) available; avoid crushing",
            "storage": "room temperature; original bottle; discard 4 months after opening",
            "dea_schedule": "",
            "route_forms": "capsule",
            "lasa_note": "rivaroxaban",
            "status": "draft"
        },
        {
            "id": 139,
            "program_id": 41,
            "list_no": 139,
            "generic": "ibuprofen",
            "brand": "Motrin",
            "drug_class": "NSAID",
            "stem": "-profen",
            "indication": "pain, fever, inflammation",
            "key_caution": "GI bleeding and kidney risk; flag anticoagulants and other NSAIDs to the pharmacist",
            "storage": "room temperature",
            "dea_schedule": null,
            "route_forms": "tablets, capsules, suspension; OTC as Advil/Motrin",
            "lasa_note": null,
            "status": "draft"
        },
        {
            "id": 140,
            "program_id": 41,
            "list_no": 140,
            "generic": "simvastatin/ezetimibe",
            "brand": "Vytorin",
            "drug_class": "HMG-CoA reductase inhibitor / cholesterol absorption inhibitor combination",
            "stem": "-statin",
            "indication": "hyperlipidemia",
            "key_caution": "simvastatin 80 mg dose restricted due to myopathy risk; avoid grapefruit juice; multiple drug interactions with simvastatin component",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet",
            "lasa_note": "Liptruzet",
            "status": "draft"
        },
        {
            "id": 141,
            "program_id": 41,
            "list_no": 141,
            "generic": "colchicine",
            "brand": "Colcrys",
            "drug_class": "antigout agent",
            "stem": "",
            "indication": "acute gout flares, gout prophylaxis, familial Mediterranean fever",
            "key_caution": "narrow therapeutic index; toxicity (GI, myopathy) possible; significant interactions with CYP3A4/P-gp inhibitors (e.g., clarithromycin)",
            "storage": "room temperature; protect from light",
            "dea_schedule": "",
            "route_forms": "tablet",
            "lasa_note": "Cortef (hydrocortisone)",
            "status": "draft"
        },
        {
            "id": 142,
            "program_id": 41,
            "list_no": 142,
            "generic": "febuxostat",
            "brand": "Uloric",
            "drug_class": "xanthine oxidase inhibitor",
            "stem": "",
            "indication": "chronic gout (hyperuricemia)",
            "key_caution": "black box warning: cardiovascular death risk; use only in patients unresponsive to or intolerant of allopurinol; do not use during acute gout flare",
            "storage": "room temperature; protect from light",
            "dea_schedule": "",
            "route_forms": "tablet",
            "lasa_note": "allopurinol",
            "status": "draft"
        },
        {
            "id": 143,
            "program_id": 41,
            "list_no": 143,
            "generic": "fluconazole",
            "brand": "Diflucan",
            "drug_class": "triazole antifungal",
            "stem": "-conazole",
            "indication": "candidiasis, cryptococcal meningitis, tinea infections",
            "key_caution": "significant drug interactions via CYP2C9 and CYP3A4 inhibition; single-dose 150 mg for vaginal candidiasis—counsel patient",
            "storage": "room temperature; oral suspension refrigerate or room temperature up to 2 weeks",
            "dea_schedule": "",
            "route_forms": "tablet, oral suspension, injection",
            "lasa_note": "Flagyl (metronidazole)",
            "status": "draft"
        },
        {
            "id": 144,
            "program_id": 41,
            "list_no": 144,
            "generic": "levofloxacin",
            "brand": "Levaquin",
            "drug_class": "fluoroquinolone antibiotic",
            "stem": "-floxacin",
            "indication": "respiratory, urinary tract, and skin infections",
            "key_caution": "black box warning: tendinitis/tendon rupture, peripheral neuropathy, CNS effects, and aortic aneurysm; avoid in patients with history of tendon problems; take with full glass of water",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, oral solution, injection",
            "lasa_note": "levothyroxine",
            "status": "draft"
        },
        {
            "id": 145,
            "program_id": 41,
            "list_no": 145,
            "generic": "ciprofloxacin",
            "brand": "Cipro",
            "drug_class": "fluoroquinolone antibiotic",
            "stem": "-floxacin",
            "indication": "broad-spectrum bacterial infections including UTI, respiratory, skin",
            "key_caution": "black box warning: tendinitis/tendon rupture, peripheral neuropathy, CNS effects; separate from antacids, calcium, iron, and zinc by 2 hours; interacts with theophylline and warfarin",
            "storage": "room temperature; reconstituted suspension refrigerated or at room temperature, discard after 14 days",
            "dea_schedule": "",
            "route_forms": "tablet, extended-release tablet, oral suspension, injection, otic, ophthalmic",
            "lasa_note": "cephalexin",
            "status": "draft"
        },
        {
            "id": 146,
            "program_id": 41,
            "list_no": 146,
            "generic": "cephalexin",
            "brand": "Keflex",
            "drug_class": "first-generation cephalosporin antibiotic",
            "stem": "cef-",
            "indication": "skin, soft tissue, respiratory, and urinary tract infections",
            "key_caution": "use with caution in penicillin-allergic patients (cross-reactivity rare but possible); take with or without food",
            "storage": "room temperature; oral suspension refrigerate; discard after 14 days",
            "dea_schedule": "",
            "route_forms": "capsule, tablet, oral suspension",
            "lasa_note": "cefadroxil",
            "status": "draft"
        },
        {
            "id": 147,
            "program_id": 41,
            "list_no": 147,
            "generic": "clindamycin",
            "brand": "Cleocin",
            "drug_class": "lincosamide antibiotic",
            "stem": "",
            "indication": "skin, soft tissue, bone infections; bacterial vaginosis; dental prophylaxis",
            "key_caution": "risk of Clostridioides difficile-associated diarrhea; counsel patients to report severe diarrhea; topical forms available for acne and BV",
            "storage": "room temperature; reconstituted oral solution at room temperature (do not refrigerate — it thickens), discard after 14 days",
            "dea_schedule": "",
            "route_forms": "capsule, oral solution, injection, topical gel, foam, lotion, vaginal cream, suppository",
            "lasa_note": "clarithromycin",
            "status": "draft"
        },
        {
            "id": 148,
            "program_id": 41,
            "list_no": 148,
            "generic": "mupirocin",
            "brand": "Bactroban",
            "drug_class": "topical antibiotic",
            "stem": "",
            "indication": "impetigo, nasal decolonization of MRSA",
            "key_caution": "for external use only; nasal and topical formulations are different products and not interchangeable; not for ophthalmic use",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "topical ointment, topical cream, nasal ointment",
            "lasa_note": "bacitracin",
            "status": "draft"
        },
        {
            "id": 149,
            "program_id": 41,
            "list_no": 149,
            "generic": "benzonatate",
            "brand": "Tessalon",
            "drug_class": "non-opioid antitussive",
            "stem": "",
            "indication": "symptomatic relief of cough",
            "key_caution": "capsules must be swallowed whole—do not chew or crush; numbing of oropharynx can cause choking and aspiration; keep out of reach of children",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "capsule",
            "lasa_note": "benztropine",
            "status": "draft"
        },
        {
            "id": 150,
            "program_id": 41,
            "list_no": 150,
            "generic": "promethazine",
            "brand": "Phenergan",
            "drug_class": "phenothiazine antihistamine / antiemetic",
            "stem": "",
            "indication": "nausea/vomiting, motion sickness, allergic conditions, sedation",
            "key_caution": "black box warning: respiratory depression in children under 2 years—contraindicated; IV injection associated with severe tissue injury; prefer oral or rectal route in outpatient setting",
            "storage": "room temperature; protect from light",
            "dea_schedule": "",
            "route_forms": "tablet, oral syrup, suppository, injection",
            "lasa_note": "chlorpromazine",
            "status": "draft"
        },
        {
            "id": 151,
            "program_id": 41,
            "list_no": 151,
            "generic": "hydralazine",
            "brand": "Apresoline",
            "drug_class": "direct-acting vasodilator",
            "stem": "",
            "indication": "hypertension, heart failure",
            "key_caution": "monitor for lupus-like syndrome with prolonged use; flag to pharmacist",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, injectable",
            "lasa_note": "hydroxyzine",
            "status": "draft"
        },
        {
            "id": 152,
            "program_id": 41,
            "list_no": 152,
            "generic": "hydroxyzine",
            "brand": "Vistaril",
            "drug_class": "antihistamine / anxiolytic",
            "stem": "",
            "indication": "anxiety, pruritus, nausea",
            "key_caution": "causes sedation; counsel patient not to drive",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, capsule, oral syrup, injectable",
            "lasa_note": "hydralazine",
            "status": "draft"
        },
        {
            "id": 153,
            "program_id": 41,
            "list_no": 153,
            "generic": "buspirone",
            "brand": "Buspar",
            "drug_class": "anxiolytic (azapirone)",
            "stem": "",
            "indication": "generalized anxiety disorder",
            "key_caution": "not effective for acute anxiety; takes weeks for full effect",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet",
            "lasa_note": "bupropion",
            "status": "draft"
        },
        {
            "id": 154,
            "program_id": 41,
            "list_no": 154,
            "generic": "mirtazapine",
            "brand": "Remeron",
            "drug_class": "antidepressant (NaSSA)",
            "stem": "",
            "indication": "depression",
            "key_caution": "causes significant sedation and weight gain; counsel patient",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, orally disintegrating tablet",
            "lasa_note": "metronidazole",
            "status": "draft"
        },
        {
            "id": 155,
            "program_id": 41,
            "list_no": 155,
            "generic": "nortriptyline",
            "brand": "Pamelor",
            "drug_class": "tricyclic antidepressant",
            "stem": "",
            "indication": "depression, neuropathic pain",
            "key_caution": "anticholinergic effects; risk of QT prolongation; avoid abrupt discontinuation",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "capsule, oral solution",
            "lasa_note": "amitriptyline",
            "status": "draft"
        },
        {
            "id": 156,
            "program_id": 41,
            "list_no": 156,
            "generic": "doxazosin",
            "brand": "Cardura",
            "drug_class": "alpha-1 blocker",
            "stem": "-zosin",
            "indication": "hypertension, benign prostatic hyperplasia",
            "key_caution": "first-dose orthostatic hypotension; advise patient to rise slowly",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, extended-release tablet",
            "lasa_note": "doxepin",
            "status": "draft"
        },
        {
            "id": 157,
            "program_id": 41,
            "list_no": 157,
            "generic": "terazosin",
            "brand": "Hytrin",
            "drug_class": "alpha-1 blocker",
            "stem": "-zosin",
            "indication": "hypertension, benign prostatic hyperplasia",
            "key_caution": "first-dose orthostatic hypotension; take first dose at bedtime",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "capsule",
            "lasa_note": "temazepam",
            "status": "draft"
        },
        {
            "id": 158,
            "program_id": 41,
            "list_no": 158,
            "generic": "finasteride",
            "brand": "Proscar",
            "drug_class": "5-alpha reductase inhibitor",
            "stem": "-asteride",
            "indication": "benign prostatic hyperplasia, male pattern baldness",
            "key_caution": "women who are or may be pregnant must not handle crushed tablets; teratogenic",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet",
            "lasa_note": "furosemide",
            "status": "draft"
        },
        {
            "id": 159,
            "program_id": 41,
            "list_no": 159,
            "generic": "dutasteride",
            "brand": "Avodart",
            "drug_class": "5-alpha reductase inhibitor",
            "stem": "-asteride",
            "indication": "benign prostatic hyperplasia",
            "key_caution": "pregnancy exposure risk; do not donate blood for 6 months after use",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "capsule",
            "lasa_note": "finasteride",
            "status": "draft"
        },
        {
            "id": 160,
            "program_id": 41,
            "list_no": 160,
            "generic": "sildenafil",
            "brand": "Viagra",
            "drug_class": "PDE-5 inhibitor",
            "stem": "-afil",
            "indication": "erectile dysfunction, pulmonary arterial hypertension",
            "key_caution": "absolutely contraindicated with nitrates; can cause severe hypotension",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, oral suspension (Revatio)",
            "lasa_note": "silodosin",
            "status": "draft"
        },
        {
            "id": 161,
            "program_id": 41,
            "list_no": 161,
            "generic": "tadalafil",
            "brand": "Cialis",
            "drug_class": "PDE-5 inhibitor",
            "stem": "-afil",
            "indication": "erectile dysfunction, benign prostatic hyperplasia, pulmonary arterial hypertension",
            "key_caution": "contraindicated with nitrates; counsel on 36-hour duration of action",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet",
            "lasa_note": "sildenafil",
            "status": "draft"
        },
        {
            "id": 162,
            "program_id": 41,
            "list_no": 162,
            "generic": "testosterone (topical/transdermal)",
            "brand": "AndroGel",
            "drug_class": "androgen",
            "stem": "",
            "indication": "hypogonadism (males)",
            "key_caution": "secondary exposure risk to women and children via skin contact; wash hands after application",
            "storage": "room temperature; flammable gel",
            "dea_schedule": "CIII",
            "route_forms": "topical gel, transdermal patch, solution",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 163,
            "program_id": 41,
            "list_no": 163,
            "generic": "levonorgestrel/ethinyl estradiol",
            "brand": "Seasonique",
            "drug_class": "combination oral contraceptive",
            "stem": "",
            "indication": "contraception",
            "key_caution": "increased risk of VTE; contraindicated in smokers over 35 years old",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet (various pack configurations)",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 164,
            "program_id": 41,
            "list_no": 164,
            "generic": "norethindrone",
            "brand": "Camila",
            "drug_class": "progestin-only oral contraceptive",
            "stem": "",
            "indication": "contraception",
            "key_caution": "must be taken at the same time each day; no estrogen-related VTE concern",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 165,
            "program_id": 41,
            "list_no": 165,
            "generic": "medroxyprogesterone acetate",
            "brand": "Depo-Provera",
            "drug_class": "progestin",
            "stem": "",
            "indication": "contraception, abnormal uterine bleeding, endometriosis",
            "key_caution": "prolonged use associated with bone density loss; counsel on return of fertility delay",
            "storage": "room temperature (injectable); refrigerate if specified on label",
            "dea_schedule": "",
            "route_forms": "injectable suspension, tablet",
            "lasa_note": "methylprednisolone",
            "status": "draft"
        },
        {
            "id": 166,
            "program_id": 41,
            "list_no": 166,
            "generic": "estradiol (oral/transdermal)",
            "brand": "Estrace",
            "drug_class": "estrogen",
            "stem": "",
            "indication": "menopausal symptoms, hormone replacement therapy",
            "key_caution": "increased risk of VTE, stroke, and breast cancer with prolonged use; counsel patient",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, transdermal patch, topical gel, topical cream, vaginal cream/ring",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 167,
            "program_id": 41,
            "list_no": 167,
            "generic": "conjugated estrogens",
            "brand": "Premarin",
            "drug_class": "estrogen",
            "stem": "",
            "indication": "menopausal symptoms, hormone replacement therapy, osteoporosis prevention",
            "key_caution": "Black Box Warning for cardiovascular events and malignancy; use lowest effective dose",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, vaginal cream, injectable",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 168,
            "program_id": 41,
            "list_no": 168,
            "generic": "calcitonin (salmon)",
            "brand": "Miacalcin",
            "drug_class": "bone resorption inhibitor (calcitonin)",
            "stem": "",
            "indication": "osteoporosis (postmenopausal), Paget's disease, hypercalcemia",
            "key_caution": "nasal spray: alternate nostrils daily; injectable: risk of hypersensitivity",
            "storage": "unopened: refrigerate; opened nasal spray: room temperature up to 35 days",
            "dea_schedule": "",
            "route_forms": "nasal spray, injectable",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 169,
            "program_id": 41,
            "list_no": 169,
            "generic": "risedronate",
            "brand": "Actonel",
            "drug_class": "bisphosphonate",
            "stem": "-dronate",
            "indication": "osteoporosis, Paget's disease",
            "key_caution": "take with full glass of water, remain upright 30 minutes; risk of esophageal irritation",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet",
            "lasa_note": "alendronate",
            "status": "draft"
        },
        {
            "id": 170,
            "program_id": 41,
            "list_no": 170,
            "generic": "denosumab",
            "brand": "Prolia",
            "drug_class": "RANK ligand inhibitor (monoclonal antibody)",
            "stem": "-mab",
            "indication": "osteoporosis, bone loss prevention",
            "key_caution": "refrigerate; do not freeze; given by healthcare professional every 6 months",
            "storage": "refrigerate; do not freeze",
            "dea_schedule": "",
            "route_forms": "subcutaneous injection (prefilled syringe)",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 171,
            "program_id": 41,
            "list_no": 171,
            "generic": "calcium carbonate",
            "brand": "Tums",
            "drug_class": "antacid / calcium supplement",
            "stem": "",
            "indication": "heartburn, calcium supplementation, hyperphosphatemia",
            "key_caution": "take with food for best calcium absorption; interacts with many drugs (spacing required)",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, chewable tablet, suspension",
            "lasa_note": "calcium acetate",
            "status": "draft"
        },
        {
            "id": 172,
            "program_id": 41,
            "list_no": 172,
            "generic": "cholecalciferol (vitamin D3)",
            "brand": "",
            "drug_class": "vitamin / fat-soluble vitamin",
            "stem": "",
            "indication": "vitamin D deficiency, osteoporosis prevention",
            "key_caution": "high doses can cause hypercalcemia; advise patient not to take excessive amounts",
            "storage": "room temperature; protect from light",
            "dea_schedule": "",
            "route_forms": "tablet, capsule, oral solution, chewable tablet",
            "lasa_note": "ergocalciferol",
            "status": "draft"
        },
        {
            "id": 173,
            "program_id": 41,
            "list_no": 173,
            "generic": "folic acid",
            "brand": "",
            "drug_class": "water-soluble vitamin / hematopoietic agent",
            "stem": "",
            "indication": "folate deficiency, prevention of neural tube defects",
            "key_caution": "high doses may mask vitamin B12 deficiency anemia; assess B12 status",
            "storage": "room temperature; protect from light",
            "dea_schedule": "",
            "route_forms": "tablet, injectable",
            "lasa_note": "folinic acid (leucovorin)",
            "status": "draft"
        },
        {
            "id": 174,
            "program_id": 41,
            "list_no": 174,
            "generic": "cyanocobalamin (vitamin B12)",
            "brand": "",
            "drug_class": "water-soluble vitamin",
            "stem": "",
            "indication": "vitamin B12 deficiency, pernicious anemia",
            "key_caution": "intranasal or injectable route required if GI absorption is impaired (pernicious anemia)",
            "storage": "room temperature; protect from light",
            "dea_schedule": "",
            "route_forms": "tablet, sublingual tablet, nasal spray, injectable",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 175,
            "program_id": 41,
            "list_no": 175,
            "generic": "ferrous sulfate",
            "brand": "Feosol",
            "drug_class": "iron supplement",
            "stem": "",
            "indication": "iron deficiency anemia",
            "key_caution": "stools will appear dark or black; take on empty stomach if tolerated; keep away from children (iron poisoning risk)",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, liquid",
            "lasa_note": "ferrous gluconate",
            "status": "draft"
        },
        {
            "id": 176,
            "program_id": 41,
            "list_no": 176,
            "generic": "polyethylene glycol 3350",
            "brand": "MiraLax",
            "drug_class": "osmotic laxative",
            "stem": "",
            "indication": "constipation",
            "key_caution": "do not use more than 7 days without physician guidance; ensure adequate fluid intake",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "oral powder for solution",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 177,
            "program_id": 41,
            "list_no": 177,
            "generic": "lactulose",
            "brand": "Enulose",
            "drug_class": "osmotic laxative / ammonia detoxicant",
            "stem": "",
            "indication": "constipation, hepatic encephalopathy",
            "key_caution": "may cause flatulence and cramping; dose titrated to produce 2-3 soft stools per day for encephalopathy",
            "storage": "room temperature; do not freeze",
            "dea_schedule": "",
            "route_forms": "oral solution, rectal solution",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 178,
            "program_id": 41,
            "list_no": 178,
            "generic": "docusate sodium",
            "brand": "Colace",
            "drug_class": "stool softener",
            "stem": "",
            "indication": "constipation prevention",
            "key_caution": "does not stimulate bowel movement; adequate fluid intake enhances effect",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "capsule, tablet, liquid, syrup",
            "lasa_note": "docusate calcium",
            "status": "draft"
        },
        {
            "id": 179,
            "program_id": 41,
            "list_no": 179,
            "generic": "senna",
            "brand": "Senokot",
            "drug_class": "stimulant laxative",
            "stem": "",
            "indication": "constipation, opioid-induced constipation",
            "key_caution": "may cause abdominal cramping; prolonged use not recommended without medical supervision",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, syrup",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 180,
            "program_id": 41,
            "list_no": 180,
            "generic": "loperamide",
            "brand": "Imodium",
            "drug_class": "antidiarrheal (opioid receptor agonist - peripheral)",
            "stem": "",
            "indication": "diarrhea",
            "key_caution": "do not use in infectious diarrhea with fever or blood in stool; high doses associated with cardiac arrhythmia",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, capsule, liquid",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 181,
            "program_id": 41,
            "list_no": 181,
            "generic": "dicyclomine",
            "brand": "Bentyl",
            "drug_class": "anticholinergic / antispasmodic",
            "stem": "",
            "indication": "irritable bowel syndrome",
            "key_caution": "anticholinergic side effects (dry mouth, urinary retention, constipation); avoid in elderly",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, capsule, syrup, injectable",
            "lasa_note": "doxycycline",
            "status": "draft"
        },
        {
            "id": 182,
            "program_id": 41,
            "list_no": 182,
            "generic": "sulfasalazine",
            "brand": "Azulfidine",
            "drug_class": "aminosalicylate / DMARD",
            "stem": "",
            "indication": "ulcerative colitis, rheumatoid arthritis",
            "key_caution": "sulfa allergy contraindication; monitor CBC and LFTs; take with food and plenty of water",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, delayed-release tablet",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 183,
            "program_id": 41,
            "list_no": 183,
            "generic": "mesalamine",
            "brand": "Asacol HD",
            "drug_class": "aminosalicylate",
            "stem": "",
            "indication": "ulcerative colitis, Crohn's disease",
            "key_caution": "do not crush or chew delayed-release tablets; renal monitoring recommended",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "delayed-release tablet, extended-release capsule, rectal suppository, rectal enema",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 184,
            "program_id": 41,
            "list_no": 184,
            "generic": "lansoprazole",
            "brand": "Prevacid",
            "drug_class": "proton pump inhibitor",
            "stem": "-prazole",
            "indication": "GERD, peptic ulcer disease, H. pylori eradication",
            "key_caution": "take 30-60 minutes before a meal for best effect; long-term use may decrease magnesium and B12",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "delayed-release capsule, orally disintegrating tablet",
            "lasa_note": "dexlansoprazole",
            "status": "draft"
        },
        {
            "id": 185,
            "program_id": 41,
            "list_no": 185,
            "generic": "dexlansoprazole",
            "brand": "Dexilant",
            "drug_class": "proton pump inhibitor",
            "stem": "-prazole",
            "indication": "GERD, erosive esophagitis",
            "key_caution": "capsule may be opened and sprinkled on food; do not crush granules",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "delayed-release capsule",
            "lasa_note": "lansoprazole",
            "status": "draft"
        },
        {
            "id": 186,
            "program_id": 41,
            "list_no": 186,
            "generic": "sucralfate",
            "brand": "Carafate",
            "drug_class": "mucosal protectant",
            "stem": "",
            "indication": "duodenal ulcer, stress ulcer prophylaxis",
            "key_caution": "take on empty stomach 1 hour before meals; separates many drugs (give other meds 2 hours apart)",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, oral suspension",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 187,
            "program_id": 41,
            "list_no": 187,
            "generic": "acyclovir",
            "brand": "Zovirax",
            "drug_class": "antiviral (nucleoside analog)",
            "stem": "-vir",
            "indication": "herpes simplex, herpes zoster (shingles), varicella",
            "key_caution": "adequate hydration required; adjust dose in renal impairment",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, capsule, oral suspension, topical cream/ointment, injectable",
            "lasa_note": "valacyclovir",
            "status": "draft"
        },
        {
            "id": 188,
            "program_id": 41,
            "list_no": 188,
            "generic": "valacyclovir",
            "brand": "Valtrex",
            "drug_class": "antiviral (prodrug of acyclovir)",
            "stem": "-vir",
            "indication": "herpes simplex, herpes zoster, genital herpes suppression",
            "key_caution": "ensure adequate fluid intake; dose adjustment needed for renal impairment",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet",
            "lasa_note": "acyclovir",
            "status": "draft"
        },
        {
            "id": 189,
            "program_id": 41,
            "list_no": 189,
            "generic": "oseltamivir",
            "brand": "Tamiflu",
            "drug_class": "antiviral (neuraminidase inhibitor)",
            "stem": "-vir",
            "indication": "influenza treatment and prophylaxis",
            "key_caution": "most effective when started within 48 hours of symptom onset; oral suspension requires refrigeration",
            "storage": "capsules: room temperature; reconstituted suspension: refrigerate",
            "dea_schedule": "",
            "route_forms": "capsule, oral suspension",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 190,
            "program_id": 41,
            "list_no": 190,
            "generic": "latanoprost ophthalmic",
            "brand": "Xalatan",
            "drug_class": "prostaglandin analog (ophthalmic)",
            "stem": "-prost",
            "indication": "glaucoma; ocular hypertension",
            "key_caution": "Can darken iris color; remove contact lenses before use",
            "storage": "refrigerate unopened bottles; after opening room temperature up to 6 weeks",
            "dea_schedule": null,
            "route_forms": "ophthalmic solution",
            "lasa_note": null,
            "status": "draft"
        },
        {
            "id": 191,
            "program_id": 41,
            "list_no": 191,
            "generic": "nystatin",
            "brand": "Mycostatin",
            "drug_class": "polyene antifungal",
            "stem": "",
            "indication": "oral and mucocutaneous candidiasis",
            "key_caution": "swish and swallow for oral thrush; not absorbed systemically when given orally",
            "storage": "room temperature; refrigerate suspension if specified",
            "dea_schedule": "",
            "route_forms": "oral suspension, tablet, topical cream/powder",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 192,
            "program_id": 41,
            "list_no": 192,
            "generic": "baclofen",
            "brand": "Lioresal",
            "drug_class": "skeletal muscle relaxant (GABA-B agonist)",
            "stem": "",
            "indication": "spasticity (multiple sclerosis, spinal cord injury)",
            "key_caution": "do not abruptly discontinue (risk of seizures, hallucinations); causes CNS depression",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, injectable (intrathecal)",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 193,
            "program_id": 41,
            "list_no": 193,
            "generic": "tizanidine",
            "brand": "Zanaflex",
            "drug_class": "central alpha-2 agonist / muscle relaxant",
            "stem": "",
            "indication": "muscle spasticity",
            "key_caution": "significant first-pass variability; tablets and capsules are NOT interchangeable dose-for-dose on empty vs. full stomach",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, capsule",
            "lasa_note": "tiZANidine vs. tiagaBINE (ISMP)",
            "status": "draft"
        },
        {
            "id": 194,
            "program_id": 41,
            "list_no": 194,
            "generic": "carbamazepine",
            "brand": "Tegretol",
            "drug_class": "anticonvulsant / mood stabilizer",
            "stem": "",
            "indication": "epilepsy, trigeminal neuralgia, bipolar disorder",
            "key_caution": "many drug interactions (potent CYP inducer); autoinduction of its own metabolism; monitor CBC",
            "storage": "room temperature; store away from humidity",
            "dea_schedule": "",
            "route_forms": "tablet, chewable tablet, extended-release tablet/capsule, oral suspension",
            "lasa_note": "oxcarbazepine",
            "status": "draft"
        },
        {
            "id": 195,
            "program_id": 41,
            "list_no": 195,
            "generic": "oxcarbazepine",
            "brand": "Trileptal",
            "drug_class": "anticonvulsant",
            "stem": "",
            "indication": "epilepsy (partial seizures)",
            "key_caution": "monitor sodium levels (risk of hyponatremia); cross-hypersensitivity with carbamazepine possible",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, extended-release tablet, oral suspension",
            "lasa_note": "carbamazepine",
            "status": "draft"
        },
        {
            "id": 196,
            "program_id": 41,
            "list_no": 196,
            "generic": "levetiracetam",
            "brand": "Keppra",
            "drug_class": "anticonvulsant",
            "stem": "-acetam",
            "indication": "epilepsy (various seizure types)",
            "key_caution": "behavioral/psychiatric side effects (irritability, aggression); dose adjust in renal impairment",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, extended-release tablet, oral solution, injectable",
            "lasa_note": "levofloxacin",
            "status": "draft"
        },
        {
            "id": 197,
            "program_id": 41,
            "list_no": 197,
            "generic": "lithium carbonate",
            "brand": "Lithobid",
            "drug_class": "mood stabilizer",
            "stem": "",
            "indication": "bipolar disorder",
            "key_caution": "narrow therapeutic index; toxicity risk with dehydration, NSAIDs, or diuretics; regular serum level monitoring required",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "capsule, tablet, extended-release tablet, oral solution",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 198,
            "program_id": 41,
            "list_no": 198,
            "generic": "memantine",
            "brand": "Namenda",
            "drug_class": "NMDA receptor antagonist",
            "stem": "",
            "indication": "moderate-to-severe Alzheimer's disease",
            "key_caution": "dose titration required; use caution in severe renal impairment",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, extended-release capsule, oral solution",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 199,
            "program_id": 41,
            "list_no": 199,
            "generic": "donepezil",
            "brand": "Aricept",
            "drug_class": "acetylcholinesterase inhibitor",
            "stem": "",
            "indication": "Alzheimer's disease (all stages)",
            "key_caution": "take at bedtime to reduce GI side effects; may cause vivid dreams or insomnia if taken in morning",
            "storage": "room temperature",
            "dea_schedule": "",
            "route_forms": "tablet, orally disintegrating tablet",
            "lasa_note": "",
            "status": "draft"
        },
        {
            "id": 200,
            "program_id": 41,
            "list_no": 200,
            "generic": "sumatriptan",
            "brand": "Imitrex",
            "drug_class": "triptan (selective serotonin 5-HT1B/1D agonist)",
            "stem": "-triptan",
            "indication": "acute migraine, cluster headache",
            "key_caution": "contraindicated in ischemic heart disease, uncontrolled hypertension, or within 24 hours of ergotamine; not for migraine prevention",
            "storage": "room temperature; protect from light",
            "dea_schedule": "",
            "route_forms": "tablet, nasal spray, subcutaneous injection",
            "lasa_note": "zolmitriptan",
            "status": "draft"
        }
    ]
}