Informed Rx Full Formulary - The University of Toledo
Informed Rx Full Formulary - The University of Toledo
Informed Rx Full Formulary - The University of Toledo
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Effective January 1, 2013<br />
Carbamazepine Er<br />
clonazepam<br />
clonazepam odt<br />
Diazepam<br />
divalproex sodium<br />
divalproex sodium dr<br />
divalproex sodium er<br />
epitol<br />
ethosuximide<br />
Felbamate<br />
fosphenytoin sodium<br />
gabapentin<br />
lamotrigine<br />
levetiracetam<br />
levetiracetam er<br />
oxcarbazepine<br />
phenytoin<br />
phenytoin sodium<br />
phenytoin sodium extended<br />
primidone<br />
tiagabine hydrochloride<br />
topiragen<br />
topiramate<br />
valproic acid<br />
zonisamide<br />
PREFERRED BRAND<br />
Banzel<br />
Celontin<br />
diastat pediatric<br />
Dilantin Infatabs<br />
Lamictal Odt<br />
Lamictal Xr<br />
Lyrica<br />
Peganone<br />
Potiga<br />
Tegretol-xr<br />
Vimpat<br />
NON PREFERRED<br />
Carbatrol<br />
Depakene<br />
Depakote<br />
Depakote Er<br />
Depakote Sprinkles<br />
diastat acudial<br />
Dilantin<br />
Felbatol<br />
Gabitril<br />
Keppra<br />
Keppra Xr<br />
Klonopin<br />
Lamictal<br />
Lamictal Chewable Dispersible<br />
Lamictal Starter/not Taking Carbamazepine<br />
Lamictal Starter/taking Carbamazepine/not Taking<br />
Valproate<br />
Lamictal Starter/taking Valproate<br />
Mysoline<br />
Neurontin<br />
Onfi<br />
Phenytek<br />
Sabril<br />
Stavzor<br />
Tegretol<br />
<strong>The</strong>rapentin-60<br />
<strong>The</strong>rapentin-90<br />
Topamax<br />
Topamax Sprinkle<br />
Trileptal<br />
Zarontin<br />
Zonegran<br />
ANTIPARKINSON AGENTS<br />
GENERIC<br />
amantadine hcl<br />
benztropine mesylate<br />
bromocriptine mesylate<br />
carbidopa/levodopa<br />
carbidopa/levodopa cr<br />
carbidopa/levodopa er<br />
carbidopa/levodopa odt<br />
carbidopa/levodopa sr<br />
Carbidopa/levodopa/entacapone<br />
Entacapone<br />
pramipexole dihydrochloride<br />
ropinirole er<br />
ropinirole hcl<br />
selegiline hcl<br />
trihexyphenidyl hcl<br />
PREFERRED BRAND<br />
Apokyn<br />
Azilect<br />
Lodosyn<br />
Mirapex Er<br />
NON PREFERRED<br />
Cogentin<br />
Comtan<br />
Eldepryl<br />
Mirapex<br />
Neupro<br />
Parcopa<br />
Parlodel<br />
Requip<br />
Requip ×1<br />
Sinemet<br />
Sinemet Cr<br />
Stalevo 100<br />
Stalevo 125<br />
Stalevo 150<br />
Stalevo 200<br />
Stalevo 50<br />
Stalevo 75<br />
Tasmar<br />
Zelapar<br />
NEUROLOGY, PSYCH - MISC.<br />
GENERIC<br />
chlordiazepoxide/amitriptyline<br />
disulfiram<br />
donepezil hcl<br />
ergoloid mesylates<br />
fluoxetine<br />
galantamine<br />
galantamine hydrobromide<br />
olanzapine/fluoxetine<br />
perphenazine/amitriptyline<br />
rivastigmine tartrate<br />
PREFERRED BRAND<br />
Ampyra<br />
Avonex<br />
Avonex Pen<br />
Copaxone<br />
Namenda<br />
Namenda Titration Pak<br />
Nuedexta<br />
Orap<br />
Rebif<br />
Rebif Titration Pack<br />
Savella<br />
Xenazine<br />
Xyrem<br />
2l
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