Thanks for the tips folks. I'm going to start whittling it down today.
The Gravol is an anti-nausiant and a must have IMO. There's only one thing worse than wanting to vomit during a hike...and I have Immodium for that

The gauze rope (the only name I have for it) came with the road rash kit. I just looked at it more closely and realized that it is in fact a tube. I've been considering getting rid of it anyhow as it's not separately packaged and might not be sterile if I ever wanted to use it (I've certainly handled it enough times packing and repacking the kit)
One of the reasons I'm packing so many meds is just from my experience and because this isn't an emergency only kit. I often take week long camping trips and sometimes it's not just my wife and I. There have been many occasions when we're with another couple and they're completely ill prepared. Something that can sooth the symptoms of a cold or the flu (or whatever discomfort it happens to be) can make the difference between toughing it out and going home early because somebodies wife is a little sick.
The 1060 is the largest 'micro' case in the line up and has the interior dimensions of 8.25" x 4.25" x 2.25". Purely from a SAK point of view I'd rather have something like the Adventure Medical Pelican kit but that's a pricey kit and is too big. This case fits like a glove in my motorcycle bags and all three of my backpacks.
Thanks for the help so far...Keep that feedback coming guys!