Preferred Drug List 2013 Standard Formulary with ... - Express Scripts
Preferred Drug List 2013 Standard Formulary with ... - Express Scripts Preferred Drug List 2013 Standard Formulary with ... - Express Scripts
DRUG NAME1 2 3 4TIKOSYN XTIERSUGGESTED PREFFERED ALTERNATIVES4.8.1 HYPOLIPOPROTEINEMICScholestyramine Xcolestipol hcl Xfenofibrate Xfenofibric acid Xgemfibrozil XANTARA X fenofibrate, TRICOR, TRILPIXFENOGLIDE X fenofibrate, TRICOR, TRILPIXFIBRICOR X fenofibric acidLIPOFEN X fenofibrate, TRICOR, TRILPIXLOVAZA XNIASPAN XTRICOR XTRIGLIDE X fenofibrate, TRICOR, TRILPIXTRILIPIX XWELCHOL XZETIA X4.8.2 HMG‐COA REDUCTASE INHIBITORSatorvastatin calcium Xfluvastatin sodium Xlovastatin Xpravastatin sodium Xsimvastatin XALTOPREV ST X atorvastatn,simvastatn,CRESTORCRESTOR ST XLESCOL ST X fluvastatinLESCOL XL ST X atorvastatn,simvastatn,CRESTORLIPITOR ST X atorvastatinLIVALO ST X atorvastatn,simvastatn,CRESTOR4.8.2.1 HMG‐COA COMBINATIONSamlodipine‐atorvastatin XADVICOR ST XCADUET ST X amlodipine/atorvastatinCADUET ST X amlodipine/atorvastatinSIMCOR ST XVYTORIN ST X simvastatin + ZETIA, CRESTORVYTORIN ST X simvastatin + ZETIA, CRESTOR4.9 OTHER CARDIOVASCULAR DRUGSpentoxifylline XRANEXA XCHAPTER 5: AUTONOMIC AND CNS MEDICATIONS5.1.1 ANALGESICSbutorphanol tartrate X
DRUG NAME1 2 3 4tramadol hcl/er Xtramadol hcl‐acetaminophen XTIERSUGGESTED PREFFERED ALTERNATIVES5.1.1.1 CLASS II NARCOTICSendocet Xfentanyl Xhydromorphone hcl Xmethadone hcl Xmorphine sulfate/er Xoxycodone hcl Xoxycodone‐acetaminophen Xoxymorphone hcl Xroxicet XABSTRAL XAVINZA X gen,NUCYN ER,OPANA ER,OXYCONTNEXALGO X gen,NUCYN ER,OPANA ER,OXYCONTNFENTORA XKADIAN X gen,NUCYN ER,OPANA ER,OXYCONTNLAZANDA X fentanyl citra,ABSTRAL,FENTORANUCYNTA/ER XONSOLIS X fentanyl citra,ABSTRAL,FENTORAOPANA X oxymorphoneOPANA ER XOXYCONTIN XSUBSYS X fentanyl citra,ABSTRAL,FENTORA5.1.1.2 CLASS III NARCOTICSacetaminophen‐codeine Xbuprenorphine hcl Xhydrocodone bit‐ibuprofen Xhydrocodone‐acetaminophen Xreprexain Xzamicet XBUTRANS XSUBOXONE X5.1.1.3 CLASS IV NARCOTICSbuprenorphine hcl X5.1.2 DRUGS TO PREVENT AND TREAT HEADACHESbutalbital compound‐codeine Xbutalbital‐aspirin‐caffeine Xnaratriptan hcl Xsumatriptan XAXERT ST X sumatriptan, RELPAX, ZOMIG/ZMTFROVA ST X sumatriptan, RELPAX, ZOMIG/ZMTIMITREX ST X sumatriptanMAXALT/MLT ST X sumatriptan, RELPAX, ZOMIG/ZMT
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- Page 26 and 27: DRUG NAME1 2 3 4salsalate XTIERSUGG
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- Page 34 and 35: DRUG NAMETIER1 2 3 415.1.4 LEUKOTRI
- Page 36 and 37: DRUG NAME1 2 3 4PARADIGM XPARADIGM
- Page 38 and 39: IndexABILIFY 5.8ABILIFY DISCMELT 5.
- Page 40 and 41: carbidopa‐levodopaentacapone5.7.2
- Page 42 and 43: EVISTA 13.4.3EXALGO 5.1.1.1EXELDERM
- Page 44 and 45: LEXIVA 2.5.1LIALDA 9.6lidocaine hcl
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- Page 48 and 49: SUMAVEL DOSEPRO 5.1.2SUPRAX 2.1.1SU
DRUG NAME1 2 3 4TIKOSYN XTIERSUGGESTED PREFFERED ALTERNATIVES4.8.1 HYPOLIPOPROTEINEMICScholestyramine Xcolestipol hcl Xfenofibrate Xfenofibric acid Xgemfibrozil XANTARA X fenofibrate, TRICOR, TRILPIXFENOGLIDE X fenofibrate, TRICOR, TRILPIXFIBRICOR X fenofibric acidLIPOFEN X fenofibrate, TRICOR, TRILPIXLOVAZA XNIASPAN XTRICOR XTRIGLIDE X fenofibrate, TRICOR, TRILPIXTRILIPIX XWELCHOL XZETIA X4.8.2 HMG‐COA REDUCTASE INHIBITORSatorvastatin calcium Xfluvastatin sodium Xlovastatin Xpravastatin sodium Xsimvastatin XALTOPREV ST X atorvastatn,simvastatn,CRESTORCRESTOR ST XLESCOL ST X fluvastatinLESCOL XL ST X atorvastatn,simvastatn,CRESTORLIPITOR ST X atorvastatinLIVALO ST X atorvastatn,simvastatn,CRESTOR4.8.2.1 HMG‐COA COMBINATIONSamlodipine‐atorvastatin XADVICOR ST XCADUET ST X amlodipine/atorvastatinCADUET ST X amlodipine/atorvastatinSIMCOR ST XVYTORIN ST X simvastatin + ZETIA, CRESTORVYTORIN ST X simvastatin + ZETIA, CRESTOR4.9 OTHER CARDIOVASCULAR DRUGSpentoxifylline XRANEXA XCHAPTER 5: AUTONOMIC AND CNS MEDICATIONS5.1.1 ANALGESICSbutorphanol tartrate X