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
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TIER<br />
DRUG NAME<br />
1 2 3<br />
ACTONEL ST X<br />
ATELVIA ST X<br />
BINOSTO ST X<br />
FORTEO PA X<br />
SUGGESTED PREFFERED ALTERNATIVES<br />
alendronate, ibandronate, ACTONEL,<br />
ATELVIA<br />
FOSAMAX PLUS D ST X<br />
alendronate, ibandronate, ACTONEL,<br />
ATELVIA<br />
SENSIPAR X<br />
CHAPTER 9: GASTROINTESTINAL MEDICATIONS<br />
9.1.2 OTC H2 ANTAGONISTS<br />
famotidine X<br />
9.2 ANTIDIARRHEAL DRUGS<br />
diphenoxylate‐atropine X<br />
loperamide X<br />
9.3 ANTISPASMODICS/DRUGS AFFECT GI MOTILITY<br />
chlordiazepoxide‐clidinium X<br />
dicyclomine hcl X<br />
hyoscyamine sulfate X<br />
metoclopramide hcl X<br />
9.4 ANTIULCER DRUGS<br />
cimetidine X<br />
famotidine X<br />
nizatidine X<br />
ranitidine hcl X<br />
9.4.1 OTHER ANTIULCER DRUGS<br />
misoprostol X<br />
sucralfate X<br />
CARAFATE X sucralfate<br />
9.4.2 PROTON PUMP INHIBITORS<br />
lansoprazole X<br />
omeprazole X<br />
omeprazole‐sodium bicarbonate ST X<br />
pantoprazole sodium X<br />
ACIPHEX ST X generics, NEXIUM<br />
DEXILANT ST X generics, NEXIUM<br />
NEXIUM ST X<br />
PREVACID ST X lansoprazole<br />
PROTONIX ST X pantoprazole sodium<br />
ZEGERID ST X generics, NEXIUM<br />
9.4.2.1 PROTON PUMP INHIBITORS ‐ OTC<br />
omeprazole X<br />
9.4.3 HELICOBACTER PYLORI DRUGS<br />
HELIDAC X bismuth+metroni+tetracy, PYLERA<br />
OMECLAMOX‐PAK X omepraz+clarithro+amox, PYLERA