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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TABLE OF CONTENTS<br />
Chapter<br />
Chapter 1<br />
Chapter 2<br />
Chapter 3<br />
Chapter 4<br />
Chapter 5<br />
Chapter 6<br />
Chapter 7<br />
Chapter 8<br />
Chapter 9<br />
Chapter 10<br />
Chapter 11<br />
Chapter 12<br />
Chapter 13<br />
Chapter 14<br />
Chapter 15<br />
Chapter 16<br />
Chapter 17<br />
Chapter 18<br />
Name<br />
ANESTHETICS<br />
ANTIINFECTIVES<br />
ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS<br />
CARDIOVASCULAR MEDICATIONS<br />
AUTONOMIC & CNS MEDICATIONS<br />
DERMATOLOGICAL MEDICATIONS<br />
EAR-NOSE-THROAT MEDICATIONS<br />
ENDOCRINE MEDICATIONS<br />
GASTROINTESTINAL MEDICATIONS<br />
IMMUNOLOGICALS & VACCINES<br />
MUSCULOSKELETAL MEDICATIONS<br />
NUTRITION, BLOOD<br />
OBSTETRICAL & GYNECOLOGICAL MEDICATIONS<br />
OPHTHALMIC MEDICATIONS<br />
RESPIRATORY MEDICATIONS<br />
UROLOGICAL MEDICATIONS<br />
DIAGNOSTIC & MISCELLANEOUS MEDICATIONS<br />
MEDICAL (MISCELLANEOUS) SUPPLIES<br />
DRUG NAME<br />
TIER<br />
1 2 3<br />
CHAPTER 1: ANESTHETICS<br />
1.2 TOPICAL ANESTHETICS<br />
lidocaine hcl X<br />
lidocaine‐prilocaine X<br />
LIDODERM X<br />
CHAPTER 2: ANTIINFECTIVES<br />
SUGGESTED PREFFERED ALTERNATIVES<br />
2.1.1 CEPHALOSPORINS<br />
cefaclor er X<br />
cefadroxil X<br />
cefdinir X<br />
cefpodoxime proxetil X<br />
cefprozil X<br />
cefuroxime X<br />
cephalexin X<br />
CEDAX X cefpodoxime,cefuroxime,cefdinr<br />
SUPRAX X cefpodoxime,cefuroxime,cefdinr<br />
2.1.3 CLINDAMYCINS<br />
clindamycin hcl X<br />
clindamycin phosphate X<br />
2.1.4 ERYTHROMYCINS<br />
erythromycin X<br />
2.1.4.1 OTHER MACROLIDES<br />
azithromycin X<br />
clarithromycin/er X
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