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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NON PREFERRED<br />
Antabuse<br />
Aricept<br />
Aricept Odt<br />
Aubagio<br />
Betaseron<br />
Campral<br />
Exelon<br />
Extavia<br />
Gilenya<br />
Gralise<br />
Gralise Starter<br />
Horizant<br />
Razadyne<br />
Razadyne Er<br />
Sarafem<br />
Savella Titration Pack<br />
Symbyax<br />
NEUROMUSCULAR AGENTS<br />
PREFERRED BRAND<br />
Rilutek<br />
NON PREFERRED<br />
Anectine<br />
Botox<br />
Dysport<br />
Myobloc<br />
Quelicin<br />
Quelicin 1000<br />
Xeomin<br />
MUSCULOSKELETAL AGENTS<br />
GENERIC<br />
bacl<strong>of</strong>en<br />
carisoprodol<br />
carisoprodol/aspirin<br />
carisoprodol/aspirin/codeine<br />
chlorzoxazone<br />
cyclobenzaprine hcl<br />
cyclobenzaprine hcl er<br />
dantrolene sodium<br />
ed bacl<strong>of</strong>en<br />
Metaxalone<br />
methocarbamol<br />
orphenadrine citrate<br />
orphenadrine citrate er<br />
orphenadrine compound ds<br />
orphenadrine/asa/caffeine<br />
tizanidine hcl<br />
NON PREFERRED<br />
Amrix<br />
Cyclobenzaprine Comfort Pac<br />
Dantrium<br />
Fexmid<br />
Flexeril<br />
Lorzone<br />
Norflex<br />
Parafon Forte Dsc<br />
Prazolamine<br />
Robaxin<br />
Robaxin-750<br />
Skelaxin<br />
Soma<br />
<strong>The</strong>rabenzaprine-60<br />
<strong>The</strong>rabenzaprine-90<br />
<strong>The</strong>rabenzaprine-90-5<br />
Tizanidine Comfort Pac<br />
Zanaflex<br />
Effective January 1, 2013<br />
ANTIMYASTHENIC AGENTS<br />
GENERIC<br />
Guanidine Hcl<br />
neostigmine methylsulfate<br />
pyridostigmine bromide<br />
PREFERRED BRAND<br />
Mestinon Timespan<br />
Prostigmin<br />
NON PREFERRED<br />
Enlon<br />
Mestinon<br />
Mytelase<br />
Regonol<br />
ANTI-INFECTIVES<br />
GENERIC.<br />
ak-poly-bac<br />
bacitracin<br />
bacitracin/polymyxin b<br />
cipr<strong>of</strong>loxacin hcl<br />
erythromycin<br />
garamycin<br />
gentak<br />
gentamicin sulfate<br />
ilotycin<br />
lev<strong>of</strong>loxacin<br />
neo-polycin<br />
neomycin/bacitracin/polymyxin<br />
neomycin/polymyxin/bacitracin zinc<br />
neomycin/polymyxin/gramicidin<br />
<strong>of</strong>loxacin<br />
polycin b<br />
Polymyxin B Sulfate/trimethoprim Sulfate<br />
romycin<br />
sodium sulfacetamide<br />
sulfacetamide sodium<br />
tobramycin sulfate<br />
tobrasol<br />
Trifluridine<br />
trimethoprim sulfate/polymyxin b sulfate<br />
PREFERRED BRAND<br />
Besivance<br />
Ciloxan<br />
Moxeza<br />
Natacyn<br />
Vigamox<br />
Zymaxid<br />
NON PREFERRED<br />
Azasite<br />
Betadine Ophthalmic Prep<br />
Bleph-10<br />
Iquix<br />
Mitosol<br />
Neosporin<br />
Ocuflox<br />
Polytrim<br />
Quixin<br />
Tobrex<br />
Viroptic<br />
Zirgan<br />
ARTIFICIAL TEAR/LUBRICANT<br />
PREFERRED BRAND<br />
Lacrisert<br />
BETA-BLOCKERS<br />
GENERIC<br />
betaxolol hcl<br />
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