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Informed Rx Full Formulary - The University of Toledo

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ANTACIDS<br />

GENERIC<br />

diphenoxylate/atropine<br />

I<strong>of</strong>ene<br />

Ionox<br />

Ioperamide hcl<br />

opium<br />

opium tincture<br />

paregoric<br />

PREFERRED BRAND<br />

Motefen<br />

NON PREFERRED<br />

Lomotil<br />

Rezyst Im<br />

Rezyst Sb<br />

Vsl#3 Ds<br />

GENERIC<br />

sodium bicarbonate<br />

ULCER DRUGS GENERIC<br />

Atropine Sulfate<br />

belladonna & opium<br />

belladonna alkaloids<br />

belladonna alkaloids & opium<br />

cimetidine<br />

cimetidine hcl<br />

colidrops pediatric<br />

dicyclomine hcl<br />

EffEctive January 1,2013<br />

ed-spaz<br />

famotidine<br />

gastrinex nf<br />

glycopyrrolate<br />

hyomax -dr<br />

hyomax-sl<br />

hyomax-sr<br />

hyoscyamine sulfate<br />

hyoscyamine sulfate er<br />

hyoscyamine sulfate odt<br />

hyoscyamine sulfate sr<br />

hyosyne<br />

lansoprazole<br />

Lansoprazole Odt<br />

Methscopolamine Bromide<br />

misoprostol<br />

nizatidine<br />

nulev<br />

omeprazole<br />

omeprazole/sodium bicarbonate<br />

oscimin<br />

oscimin sr<br />

Pantoprazole Sodium<br />

propantheline bromide<br />

ranitidine hcl<br />

scopolamine hydrobromide<br />

sucralfate<br />

symax fastabs<br />

symax-sl<br />

symax-sr<br />

PREFERRED BRAND<br />

Carafate<br />

Nexium<br />

Pylera<br />

NON PREFERRED<br />

Aciphex<br />

Anaspaz<br />

Atropen<br />

Axid<br />

Bentyl<br />

Cantil<br />

Cuvposa<br />

Cytotec<br />

Dexilant<br />

Digex Nf<br />

First-lansoprazole<br />

First-omeprazole<br />

Gabitidine<br />

Glycopyrroate<br />

Helidac<br />

Levbid<br />

Levsin<br />

Levsin/sl<br />

Omeclamox-pak<br />

Pamine<br />

Pamine Forte<br />

Pamine Fq<br />

Pepcid<br />

Prevacid<br />

Prevacid Solutab<br />

Prevpac<br />

Prilosec<br />

Protonix<br />

Robinul<br />

Robinul Forte<br />

Sentradine<br />

Symax Duotab<br />

Zantac<br />

Zegerid<br />

ANTIEMETICS GENERIC.<br />

dimenhydrinate<br />

dronabinol<br />

granisetron hcl<br />

meclizine hcl<br />

ondansetron hcl<br />

ondansetron odt<br />

trimethobenzamide hcl<br />

univert<br />

PREFERRED BRAND<br />

Anzemet<br />

Emend<br />

Sancuso<br />

Transderm-scop<br />

NON PREFERRED<br />

Antivert<br />

Cesamet<br />

Coca Cola Syurp<br />

Granisol<br />

Marinol<br />

Tigan<br />

Z<strong>of</strong>ran<br />

Z<strong>of</strong>ran Odt<br />

Zuplenz<br />

DIGESTIVE AIDS<br />

GENERIC<br />

Pancrelipase<br />

PREFERRED BRAND<br />

Creon<br />

Zenpep<br />

NON PREFERRED<br />

Pancreaze<br />

Pertzye<br />

Sucraid<br />

Ultresa<br />

Viokace<br />

15

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