Informed Rx Full Formulary - The University of Toledo

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NON PREFERRED Antabuse Aricept Aricept Odt Aubagio Betaseron Campral Exelon Extavia Gilenya Gralise Gralise Starter Horizant Razadyne Razadyne Er Sarafem Savella Titration Pack Symbyax NEUROMUSCULAR AGENTS PREFERRED BRAND Rilutek NON PREFERRED Anectine Botox Dysport Myobloc Quelicin Quelicin 1000 Xeomin MUSCULOSKELETAL AGENTS GENERIC baclofen carisoprodol carisoprodol/aspirin carisoprodol/aspirin/codeine chlorzoxazone cyclobenzaprine hcl cyclobenzaprine hcl er dantrolene sodium ed baclofen Metaxalone methocarbamol orphenadrine citrate orphenadrine citrate er orphenadrine compound ds orphenadrine/asa/caffeine tizanidine hcl NON PREFERRED Amrix Cyclobenzaprine Comfort Pac Dantrium Fexmid Flexeril Lorzone Norflex Parafon Forte Dsc Prazolamine Robaxin Robaxin-750 Skelaxin Soma Therabenzaprine-60 Therabenzaprine-90 Therabenzaprine-90-5 Tizanidine Comfort Pac Zanaflex Effective January 1, 2013 ANTIMYASTHENIC AGENTS GENERIC Guanidine Hcl neostigmine methylsulfate pyridostigmine bromide PREFERRED BRAND Mestinon Timespan Prostigmin NON PREFERRED Enlon Mestinon Mytelase Regonol ANTI-INFECTIVES GENERIC. ak-poly-bac bacitracin bacitracin/polymyxin b ciprofloxacin hcl erythromycin garamycin gentak gentamicin sulfate ilotycin levofloxacin neo-polycin neomycin/bacitracin/polymyxin neomycin/polymyxin/bacitracin zinc neomycin/polymyxin/gramicidin ofloxacin polycin b Polymyxin B Sulfate/trimethoprim Sulfate romycin sodium sulfacetamide sulfacetamide sodium tobramycin sulfate tobrasol Trifluridine trimethoprim sulfate/polymyxin b sulfate PREFERRED BRAND Besivance Ciloxan Moxeza Natacyn Vigamox Zymaxid NON PREFERRED Azasite Betadine Ophthalmic Prep Bleph-10 Iquix Mitosol Neosporin Ocuflox Polytrim Quixin Tobrex Viroptic Zirgan ARTIFICIAL TEAR/LUBRICANT PREFERRED BRAND Lacrisert BETA-BLOCKERS GENERIC betaxolol hcl 22
carteolol hcl dorzolamide hcl/timolol maleate levobunolol hcl Metipranolol timolol maleate Timolol Maleate Ophthalmic Gel Forming PREFERRED BRAND Betoptic-s Combigan NON PREFERRED Betagan Betimol Cosopt Cosopt Pf Istalol Optipranolol Timoptic Timoptic Ocudose Timoptic-xe OPHTHALMIC STEROIDS GENERIC dexamethasone sodium phosphate fluor-op Fluorometholone neomycin/polymyxin/bacitracin/hyd rocortisone neomycin/polymyxin/dexamethasone neomycin/polymyxin/hydrocortisone poly-dex Prednisolone Acetate prednisolone sodium phosphate sulfacetamide sodium/prednisolone sodium phosphate tobramycin/dexamethasone PREFERRED BRAND Alrex Blephamide S.o.p. Durezol Fml Lotemax Pred Mild Tobradex St Zylet NON PREFERRED Blephamide Flarex Fml Forte Fml Liquifilm Maxidex Maxitrol Omnipred Poly-pred Pred Forte Pred-g Pred-g S.o.p. Tobradex Vexol PROSTAGLANDINS GENERIC latanoprost PREFERRED BRAND Lumigan Travatan Z NON PREFERRED Xalatan Zioptan CYCLOPLEGIC MYDRIATICS Effective January 1, 2013 GENERIC ak-pentolate atropine sulfate atropine-care cyclopentolate hcl cylate homatropaire homatropine hbr mydral tropicamide NON PREFERRED Cyclogyl Cyclomydril Isopto Atropine Isopto Homatropine Isopto Hyoscine Mydriacyl DECONGESTANTS GENERIC MIOTICS ak-con altafrin neofrin phenylephrine hcl NON PREFERRED Mydfrin GENERIC pilocarpine hcl PREFERRED BRAND Isopto Carbachol Phospholine Iodide Pilopine Hs NON PREFERRED Isopto Carpine ADRENERGIC AGENTS GENERIC apraclonidine brimonidine tartrate NON PREFERRED Alphagan P Iopidine IMMUNOMODULATORS PREFERRED BRAND Restasis LOCAL ANESTHETICS GENERIC altacaine parcaine proparacaine hcl tetcaine tetracaine hcl tetravisc tetravisc forte NON PREFERRED Akten Alcaine OPHTHALMICS - MISC. GENERIC akorn balanced salt solution azelastine hcl balanced salt solution bromfenac cromoiyn sodium 23
Page 1 and 2: catamaranTM
Page 3 and 4: CONSIDERING PREFERRED ALTERNATIVES
Page 5 and 6: ACE INHIBITORS ....................
Page 7 and 8: NEUROLOGY, CNS, PSYCH .............
Page 9 and 10: PENIClLLINS January 2013 GENERIC am
Page 11 and 12: Flumadine Infergen Rebetol Retrovir
Page 13 and 14: Ranexa NON PREFERRED Imdur Isordil
Page 15 and 16: Diamox Diuril Dyazide Dyrenium Edec
Page 17 and 18: GENERIC ciclodan ciclopirox ciclopi
Page 19 and 20: salacyn salicylic acid salicylic ac
Page 21 and 22: glyburide micronized tolazamide tol
Page 23 and 24: ANTACIDS GENERIC diphenoxylate/atro
Page 25 and 26: miconazole 3 combo pack nystatin va
Page 27 and 28: First-dukes Mouthwash First-marys M
Page 29: Effective January 1, 2013 Carbamaze
Page 33 and 34: Orbivan Cf Phrenilin Forte Relagesi
Page 35 and 36: GENERIC bd pudendal/local block tra
Page 37 and 38: Dallergy Jr Da!lergy Pe Dallergy Ps
Page 39 and 40: VITAMINS Menomune-alclylw-135 Menve
Page 41 and 42: VITAMINS Menomune-a/c/y/w-135 Menve
Page 43 and 44: Poly-vMIor/iron Prenaissance Prenai
Page 45 and 46: Effective January 1,2013 Haemolance
Page 47 and 48: Index A a-hydrocort, 11 a-methapred
Page 49 and 50: acitracin/polymyxin b, 22 baclofen,
Page 51 and 52: Citranatal Assure, 32 Citranatal B-
Page 53 and 54: Duoneb, 30 Durabac, 24 Durabac Fort
Page 55 and 56: Gaboxetine, 19 galantamine, 21 gala
Page 57 and 58: Kinney Lancets, 35 Kinney Thin Lanc
Page 59 and 60: Monoject Bone Marrow Biopsy Tray/bi
Page 61 and 62: Oxytocin, 24 Oxytrol, 16 P p chlor
Page 63 and 64: Radigel, 11 ramipril, 5 Ranexa, 5 r
Page 65 and 66: Sylatron, 4 Symax Duotab, 15 symax
Page 67 and 68: urea nail kit, 11 urea topical, 11

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