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
DRUG NAME 1 2 3 SUGGESTED PREFFERED ALTERNATIVES flurbiprofen X ibuprofen X indomethacin X ketoprofen X ketorolac tromethamine X meloxicam X nabumetone X naproxen X naproxen sodium X oxaprozin X piroxicam X sulindac X CAMBIA X diclofenac potassium CELEBREX X DUEXIS X ibuprofen plus famotidine NAPRELAN X naproxen sodium VIMOVO X 11.2 DRUGS TO PREVENT AND TREAT GOUT allopurinol X probenecid X COLCRYS X ULORIC ST X 11.3.1 DIRECT MUSCLE RELAXANTS baclofen X tizanidine hcl X 11.3.2 CNS MUSCLE RELAXANTS chlorzoxazone X cyclobenzaprine hcl X metaxalone X methocarbamol X orphenadrine citrate X AMRIX X immed‐release cyclobenzaprine SKELAXIN X metaxalone SOMA X metaxalone, tizanidine CHAPTER 12: NUTRITION,BLOOD 12.1.2 VITAMINS & MINERALS & RELATED PRODUCTS BIFERA RX X hemetab iron supplement tabs CEREFOLIN X folic acid CEREFOLIN NAC X folic acid 12.1.3 THERAPEUTIC VITAMINS & MINERALS calcitriol X calcium acetate X eliphos X folic acid X TIER
DRUG NAME 1 2 3 SUGGESTED PREFFERED ALTERNATIVES levocarnitine X vitamin d X DEPLIN X folic acid HECTOROL X NASCOBAL X PHOSLYRA X calcium acetate caps, ELIPHOS ZEMPLAR X 12.1.4 FLUORIDE PRODUCTS sodium fluoride X 12.2 POTASSIUM SUPPLEMENTS potassium chloride X 12.3.1 ORAL ANTICOAGULANTS, VITAMIN K warfarin sodium X COUMADIN X warfarin sodium 12.3.2 HEPARIN AND HEPARIN ANTAGONISTS enoxaparin sodium X fondaparinux sodium X heparin sodium X ARIXTRA X fondaparinux sodium FRAGMIN X enoxaparin, fondaparinux LOVENOX X enoxaparin 12.3.3 OTHER DRUGS AFFECTING COAGULATION XARELTO X 12.3.5 THROMBIN INHIBITORS PRADAXA X 12.4 ANTIPLATELET DRUGS cilostazol X dipyridamole X AGGRENOX X BRILINTA X EFFIENT X PLAVIX X clopidogrel 12.5 HEMOSTATICS LYSTEDA X 12.7 BLOOD DETOXICANTS enulose X lactulose X FOSRENOL X RENAGEL X RENVELA X CHAPTER 13: OBSTETRICAL & GYNECOLOGICAL MEDICATIONS 13.1.1 PRENATAL VITAMINS NEEVO DHA X generic Rx prenatal vitamans PREFERA OB X hemenatal ob tabs TIER
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DRUG NAME<br />
1 2 3 SUGGESTED PREFFERED ALTERNATIVES<br />
levocarnitine X<br />
vitamin d X<br />
DEPLIN X folic acid<br />
HECTOROL X<br />
NASCOBAL X<br />
PHOSLYRA X calcium acetate caps, ELIPHOS<br />
ZEMPLAR X<br />
12.1.4 FLUORIDE PRODUCTS<br />
sodium fluoride X<br />
12.2 POTASSIUM SUPPLEMENTS<br />
potassium chloride X<br />
12.3.1 ORAL ANTICOAGULANTS, VITAMIN K<br />
warfarin sodium X<br />
COUMADIN X warfarin sodium<br />
12.3.2 HEPARIN AND HEPARIN ANTAGONISTS<br />
enoxaparin sodium X<br />
fondaparinux sodium X<br />
heparin sodium X<br />
ARIXTRA X fondaparinux sodium<br />
FRAGMIN X enoxaparin, fondaparinux<br />
LOVENOX X enoxaparin<br />
12.3.3 OTHER DRUGS AFFECTING COAGULATION<br />
XARELTO X<br />
12.3.5 THROMBIN INHIBITORS<br />
PRADAXA X<br />
12.4 ANTIPLATELET DRUGS<br />
cilostazol X<br />
dipyridamole X<br />
AGGRENOX X<br />
BRILINTA X<br />
EFFIENT X<br />
PLAVIX X clopidogrel<br />
12.5 HEMOSTATICS<br />
LYSTEDA X<br />
12.7 BLOOD DETOXICANTS<br />
enulose X<br />
lactulose X<br />
FOSRENOL X<br />
RENAGEL X<br />
RENVELA X<br />
CHAPTER 13: OBSTETRICAL & GYNECOLOGICAL MEDICATIONS<br />
13.1.1 PRENATAL VITAMINS<br />
NEEVO DHA X generic Rx prenatal vitamans<br />
PREFERA OB X hemenatal ob tabs<br />
TIER
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