Attachment 1- NOAA Fleet Formulary and Medical Inventory checklist.pdf

Item Dosage Unable to supply item Comments

1 Epinephrine Auto-Injector (EpiPen) 0.3 mg 2 Acetaminophen tablets (Tylenol) 325 mg 3 Aspirin tablets 325 mg 4 Benzocaine 20% topical swabs (Orajel) - 5 Codeine Sulfate tablets (C-II) 30 mg 6 Ibuprofen tablets (Motrin) 200 mg 7 Ketorolac injection (Toradol) 30 mg/ml 8 Morphine Sulfate injection (C-II) 1mg/ml, 10ml Vial 10 mg 9 Lidocaine HCl injection, 1%, 20 ml 10 mg/ml

10 Albuterol inhalation aerosol, (Proventil or Ventolin)metered dose inhaler unit

11 Albuterol inhalation solution, (Proventil or 0.083%, 3 ml individual vial Ventolin)

12 Ipratropium Bromide Inhalation Solution 0.02% (0.5mg/2.5mL) (Atrovent) 0.02%

13 Amoxicillin/Clavulanate tablets (Augmentin) 875/125 mg

14 Azithromycin HCL tablets (Zithromax) 250 mg 15 Cephalexin capsules (Keflex) 500 mg 16 Ceftriaxone Sodium injection (Rocephin) 1 g 17 Clindamycin HCL capsules 150 mg 18 Ciprofloxacin HCl tablets (Cipro) 500 mg 19 Doxycycline capsules 100 mg 20 Metronidazole tablets (Flagyl) 500 mg

21 Sulfamethoxazole / (Bactrim Trimethoprim DS tablets or Septra) 800 /160 mg 22 Phenytoin Sodium capsules (Dilatin) 100 mg 23 Loperamide HCl capsules 2 mg 24 Bismuth subsalicylate tablets (Pepto-Bismol, individually sealed) - 25 Permethrin cream, 5% (Elimite) Human Use Only 60 g 26 Permethrin cream rinse, 1% (Nix) Human Use Only - 27 Fluconazole tablets (Diflucan) 150 mg 28 Clotrimazole cream, 1% (Lotrimin) 30 g 29 Clotrimazole vaginal cream (Vagisil) (with applicator) 45 g 30 Tolnaftate powder, 1% (Tinactin) 45 g 31 Hydrocortisone acetate (Anusol-HC) (Hemorrhoidal suppositories) - 32 Diphenhydramine HCl capsules (Benadryl) 25 mg 33 Diphenhydramine HCl injection (Benadryl) 50 mg/ml 34 Loratadine tablets (Claritin) 10 mg 35 Meclizine HCl tablets (Bonine) 25 mg 36 Promethazine HCl injection (Phenergan) 50 mg 37 Promethazine HCl tablets (Phenergan) 25 mg 38 Ondansetron ODT tablets (Zofran) 4 mg 39 Naloxone HCl injection (Narcan) 0.4 mg/ml 40 Narcan Nasal Spray 41 Activated charcoal, aqueous suspension (single dose, 240 ml bottle) 50 g 42 Haloperidol injection (Haldol) (single dose vials) 5 mg/ml 43 Povidone-Iodine 10% solution (Betadine) - 44 Chlorhexidine Gluconate 4% (Hibiclens) (Scrub Brush) 4% 45 Hydrogen peroxide (H2O2 ) solution (16 oz. bottle) - 46 Famotidine 20 mg 47 Acyclovir tablets 800 mg 48 Paxlovid (COVID-19 Treatment) 49 Oseltamivir (Tamiflu) - Influenza Treatment 75 mg 50 Silver Sulfadiazine cream, 1% (Silvadene) 50 g 51 Water-Jel burn kit or equivalent (DO NOT SEPARATE KIT) - 52 * Adenosine Sulfate injection (single dose syringe/needle) 3 mg/ml 53 * Amiodarone HCl intravenous (3 ml ampules) 50 mg/ml 54 * Atropine Sulfate injection (single dose syringe/needle) 0.1 mg/ml 55 Lisinopril tablets 10 mg 56 Clonidine tablets 0.1 mg 57 * Diltiazem injection (10 ml single dose vials) 50mg/10ml 58 * Diltiazem tablets 30 mg 59 * Epinephrine injection 1:10,000 (single dose syringe/needle) 1 mg/10ml

60 * Lidocaine Hydrochloride injection 2% (single dose syringe/needle, vial or ampule) 20mg/ml

.1g

61 * Magnesium Sulfate injection (5 ml syringe-needle unit) 40mg/ml 62 *Metoprolol injection 5 mg/5 ml

Attachment 1: NOAA Fleet Formulary and Medical Inventory (NFFMI) checklist

63 *Metoprolol tablets 50mg 64 Nitroglycerin ointment, 2% (at least half full) 20 g 65 Nitroglycerin tablets, sublingual 0.4 mg 66 Cetylpyridinium Chloride throat lozenges - 67 Guaifenesin/Dextromethorphan (Robitussin) Cough syrup - 68 Pseudoephedrine HCl tablets (Sudafed) or phenylephrine tablets 30 mg 69 Benzonatate 100 mg Capsule (Tessalon Perles) 100 mg 70 Saline nasal spray - 71 Emergency Dental Kit - 72 Glucagon injection kit (single dose syringe/needle) 1 mg 73 Glucose, Liquid Gel, 40% (Glucagel) 30 g 74 Insulin, injection, human regular (Refrigerated) (multi-dose vial) 10 ml 75 * Furosemide injection (Lasix) (single dose vial, 4 ml) 10 mg/ml 76 Furosemide tablets (Lasix) 40 mg 77 Hydrochlorothiazide tablets (HCTZ) 25 mg 78 White Vinegar and Isopropyl alcohol 1 oz 79 Curettes, plastic - 80 Carbamide Peroxide 0.5oz 6.5% (Debrox) 6.50% 81 Neomycin/Polymyxin/ (Cortisporin) Hydrocortisone Otic 10 ml 82 Oral Rehydration Salts, WHO formula (individually sealed packets) 10 ml 83 Towelette, Antiseptic (BZK) - 84 Boric Acid, Potassium Chloride (Dacriose) and Sodium Carbonate 120 ml 85 Fluorescein Sodium ophthalmic strips (individually sealed envelopes) -

86 Bacitracin-polymyxin B (Polycin, AK-POLY-BAC) ophthalmic ointment 500/10,000 units/gram

3.5 gm

87 Trimethoprim-Polymyxin B ophthalmic solution/drops 0.1%-10,000 units/mL

10 ml

88 Prednisolone Acetate 1% ophthalmic suspension/drops 5 ml 89 Proparacaine HCl 0.5% ophthalmic solution/drops Refrigerated 15 ml 90 Ciprofloxacin 0.3% ophthalmic solution/drops 2.5 ml 91 Timolol Maleate 0.25% (Timoptic) ophthalmic solution/drops 5 ml 92 Pregnancy test kit - 93 Tetanus and Diphtheria Toxoid 94 Lactated Ringers solution (flexible plastic bags) 1000 ml

95 Sodium Chloride 0.9%, Normal Saline (single dose vial for injection, sterile) 10 ml

96 IV Flush Solution Sodium Chloride, 0.9% Injection Prefilled Sterile Syringe 10 mL

10 ml

97 Sodium Chloride 0.9% (flexible plastic bags) 1000 ml 98 * D5W solution, 500ml (flexible plastic bags) 500 ml 99 Bisacodyl (Dulcolax) 5 mg

100 Docusate Sodium capsules (Colace) 100 mg 101 Magnesium Hydroxide (Milk of Magnesia) (individually sealed cups) 30 ml 102 Sodium Phosphate enema (Fleets) 4.5 oz 103 Cyclobenzaprine (Flexeril) 10 mg 104 Menthol/Methyl Salicylate & (Ben-Gay) Eucalyptus ointment 60 g 105 Diazepam injection (C-IV) (syringe units of 10mg/2ml) 5 mg/ml 106 Diazepam tablets (C-IV) 5 mg 107 Bacitracin topical ointment (individually sealed packets) 0.9 g 108 Benzoin Tincture compound 60 ml 109 Skin Adhesive (Dermabond) 10/Box 0.4ml 110 Hydrocortisone cream, 1% (individually sealed packets) 1 g 111 Insect repellant, 31.5% DEET - 112 Isopropyl Alcohol (16 oz. bottle) - 113 Isopropyl Alcohol, pads - 114 Lubricant, surgical, sterile (Surgilube) (individually sealed packets) 115 Triamcinolone Acetonide cream 0.1% 15 g 116 Water, sterile for irrigation 1000 ml 117 Zinc Oxide ointment 30 g 118 Methylprednisolone Sodium injection (2 ml single dose vial) 125 mg 119 Methylprednisolone 4mg Tablets (21/Pk) (Medrol Dose Pack) 4 mg 120 Prednisone tablets 10 mg 121 Adhesive tape, surgical, 2" x 10 yds - 122 Adhesive tape, Rayon back, 1" x 10 yds - 123 Bandage, adhesive (Band-Aid) 1" x 3" - 124 Bandage, fabric fingertip, 2" x 1½" - 125 Bandage, fabric knuckle, 1½" x 3" - 126 Bandage, cotton elastic, 2" x 5 yds (Ace Wrap or similar) - 127 Bandage, cotton elastic, 4" x 5 yds (Ace Wrap or similar) - 128 Bandage, cotton elastic, 6" x 5 yds (Ace Wrap or similar) - 129 Bandage, sterile, Kling, 2" x 131" - 130 Bandage, sterile, Kling, 4" x 131" - 131 Bandage,tubular,⅞"x5yds -

132 Bandage,triangular,withpins - 133 Pad,eye,sterile - 134 Pad,Telfa,sterile3"x4"(non-stick) - 135 Pad,multi trauma,10"x30" 136 (individuallywrapped) 137 Skinclosure,adhesivestrips¼"x4" - 138 Sponge,surgical,sterile4"x4" - 139 Sponge,surgical,non-sterile4"x4" - 140 AutomaticExternal Defibrillator(AED) - 141 AEDpads - 142 *Monitor/Defibrillator(variousmodels) - 143 Monitor/DefibrillatorPads(Quick-Combo) - 144 Mirrorandhandle - 145 Airway,Nasopharyngeal (assorted sizes, disposable) - 146 Airway,Oropharyngeal (assorted sizes, disposable) - 147 EMTJumpKit - 148 QuikClot (individuallysealedpackets) 149 Ringcutter 150 Suctionapparatus (manual orpowered) - 151 Suctioncatheters,16Fr - 152 Suctioncatheters,18Fr - 153 Suctioncatheter,Yankuer - 154 Suctionconnectingtubing - 155 Tube,Nasogastric,No. 16 - 156 Tube,Nasogastric,No. 18 - 157 Thermometer,paper,waterproof (temperature indicators) - 158 *Airway,Endotracheal (assorted sizes) - 159 *Laryngoscopekit (handle, lightbulb,size3&4blades) - 160 SupraglotticAirway, I gel Size3 - 161 SupraglotticAirway, I gel Size4 - 162 SupraglotticAirway, I gel Size5 - 163 NebulizingMachine -

Sheet1