Preferred Drug List 2013 Standard Formulary (3 ... - Express Scripts
Preferred Drug List 2013 Standard Formulary (3 ... - Express Scripts
Preferred Drug List 2013 Standard Formulary (3 ... - Express Scripts
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
DRUG NAME<br />
1 2 3 SUGGESTED PREFFERED ALTERNATIVES<br />
LOCOID X hydrocortisone butyrate<br />
LOCOID LIPOCREAM X hydrocortisone butyrate<br />
OLUX X clobetasol propion 0.05% foam<br />
OLUX‐E X clobetasol propionate crm,oint<br />
PRAMOSONE X hydrocort 2.5/pramoxine 1% crm<br />
PRAMOSONE E X hydrocort 2.5/pramoxine 1% crm<br />
ULTRAVATE PAC X halobetasol propionate oint<br />
6.2 ANTIPRURITIC DRUGS<br />
hydroxyzine X<br />
6.3 ANTIACNE DRUGS<br />
adapalene X<br />
benzoyl peroxide X<br />
clindamycin phosphate X<br />
clindamycin‐benzoyl peroxide X<br />
erythromycin X<br />
erythromycin‐benzoyl peroxide X<br />
metronidazole X<br />
sodium sulfacetamide‐sulfur X<br />
tretinoin X<br />
ACANYA X<br />
ATRALIN X<br />
BENZACLIN X<br />
DIFFERIN X adapalene<br />
DUAC X clindamycin phos/benzoyl perox<br />
EPIDUO X<br />
FINACEA X<br />
METROGEL X<br />
RETIN‐A MICRO X generics, ATRALIN, DIFFERIN LOTN, EPIDUO<br />
RETIN‐A MICRO PUMP X generics, ATRALIN, DIFFERIN LOTN, EPIDUO<br />
VELTIN X<br />
ZIANA X generics, ACANYA, BENZACLIN, VELTIN<br />
6.3.1 ACCUTANES<br />
isotretinoin X<br />
6.7 KERATOLYTIC DRUGS<br />
CONDYLOX X podofilox<br />
6.8 ANTIPSORIASIS AND ANTIECZEMA DRUGS<br />
calcipotriene X<br />
calcitrene X<br />
selenium sulfide X<br />
sulfacetamide sodium X<br />
DOVONEX X calcipotriene<br />
SORILUX X calcipotriene,TACLONEX<br />
TACLONEX X<br />
TAZORAC X<br />
TIER