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Informed Rx Full Formulary - The University of Toledo

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Asmanex 30 Metered Doses<br />

Asmanex 60 Metered Doses<br />

Asmanex 7 Metered Doses<br />

Atrovent Hfa<br />

Combivent<br />

Combivent Respimat<br />

Daliresp<br />

Dulera<br />

Elixophyllin<br />

Foradil Aerolizer<br />

Perforomist<br />

Proair Hfa<br />

Pulmicort Flexhaler<br />

Qvar<br />

Serevent Diskus<br />

Spiriva Handihaler<br />

Symbicort<br />

Tudorza Pressair<br />

Ventolin Hfa<br />

NON PREFERRED<br />

Accolate<br />

Accuneb<br />

Adrenalin<br />

Arcapta Neohaler<br />

Broncomar-1<br />

Brondil<br />

Brovana<br />

Dilex-g 200<br />

Dilex-g 400<br />

Duoneb<br />

Ed-bron G<br />

FIovent Diskus<br />

Flovent Hfa<br />

Isuprel<br />

Lufyllin<br />

Maxair Autohaler<br />

Proventil Hfa<br />

Pulmicort<br />

Pulmophylline<br />

Senophylline<br />

Singulair<br />

<strong>The</strong>o-24<br />

Vospire Er<br />

Xolair<br />

Xopenex<br />

Xopenex Concentrate<br />

Xopenex Hfa<br />

Zyflo<br />

Zyflo Cr<br />

RESPIRATORY AGENTS - MISC<br />

PREFERRED BRAND<br />

Kalydeco<br />

Pulmozyme<br />

NON PREFERRED<br />

Curosurf<br />

Infasurf<br />

Survanta Intratracheal<br />

Effective January 1,2013<br />

oÿo]lÿ-ÿJ<br />

GENERIC<br />

decavac<br />

diphtheria/tetanus toxoid pediatric<br />

diphtheria/tetanus toxoids adsorbed pediatric<br />

tetanus toxoid adsorbed<br />

tetanus/diphtheria toxoids-adsorbed adult<br />

PREFERRED BRAND<br />

Adacel<br />

Boostrix<br />

Daptacel<br />

Infanrix<br />

Kinrix<br />

Pediarix<br />

Pentacel<br />

Tenivac<br />

Trihibit<br />

Tripedia<br />

GENERIC<br />

influenza a (hlnl) monovalent 2009<br />

influenza a (hlnl) monovalent 2009 pf<br />

pneumovax 23/1 dose<br />

pneumovax 23/5 dose<br />

yf-vax<br />

PREFERRED BRAND<br />

Acthib<br />

Afluria Pf 2010-2011<br />

Afluria Pf 2011-2012<br />

Afluria Pf 2012-2013<br />

Afluria 2009-2010<br />

Afluria 2011-2012<br />

Afluria 2012-2013<br />

Agriflu 2010-2011<br />

Biothrax<br />

Cervarix<br />

Comvax<br />

Engerix-b<br />

Fluarix 2010-2011<br />

Fluarix 2011-2012<br />

Fluarix 2012-2013<br />

Flucelvax 2012-2013<br />

Flulaval 2010-2011<br />

Flulaval 2011-2012<br />

Flulaval 2012-2013<br />

Flumist Nasal Vaccine 2010-2011<br />

Flumist Nasal Vaccine 2011-2012<br />

Flumist Nasal Vaccine 2012-2013<br />

Fluvirin Pf 2011-2012<br />

Fluvirin Pf 2012-2013<br />

Fluvirin 2010-2011<br />

Fluvirin 2011-2012<br />

Fluvirin 2012-2013<br />

Fluzone High-dose Pf 2010-2011<br />

Fluzone High-dose Pf 2011-2012<br />

Fluzone High-dose Pf 2012-2013<br />

Fluzone Pediatric Pf 2010-2011<br />

Fluzone Pediatric Pf 2011-2012<br />

Fluzone Pediatric Pf 2012-2013<br />

Fluzone Pf 2010-2011<br />

Fluzone Pf 2011-2012<br />

Fluzone Pf 2012-2013<br />

Fluzone Split 2010-2011<br />

Fluzone Split 2011-2012<br />

Fluzone Split 2012-2013<br />

Gardasil<br />

Havrix<br />

Hiberix<br />

Imovax Rabies (h.d.c.v.)<br />

Influenza Vaccine For Safeway Dependants<br />

Ipol Inactivated Ipv<br />

Ixiaro<br />

Je-vax<br />

M-m-r li W/diluent 10 Dose<br />

Menactra<br />

Menhibrix<br />

3O

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