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Preferred Drug List 2013 Standard Formulary with ... - Express Scripts

Preferred Drug List 2013 Standard Formulary with ... - Express Scripts

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DRUG NAMETIER1 2 3 45.4.4 VALPROIC ACID AND DERIVATIVESdivalproex sodium/er XVALPROIC ACID XDEPAKOTE ER X divalproex sodium er5.4.6 ANTICONVULSANT BARBITURATESphenobarbital Xprimidone XSUGGESTED PREFFERED ALTERNATIVES5.4.7 OTHER ANTICONVULSANTSgabapentin Xlamotrigine Xlevetiracetam Xtopiramate Xzonisamide XGRALISE ST X gabapentinHORIZANT ST X gabapentinKEPPRA X levetiracetamKEPPRA XR X levetiracetam erLAMICTAL X lamotrigineLAMICTAL ODT XLAMICTAL XR XLYRICA ST XPOTIGA XTOPAMAX X topiramate sprinkle capsVIMPAT PA X5.5.1.1 TERTIARY AMINESamitriptyline hcl Xclomipramine hcl Xdoxepin hcl Ximipramine hcl X5.5.1.2 SECONDARY AMINESdesipramine hcl Xnortriptyline hcl X5.5.1.3 SELECTIVE SEROTONIN REUPTAKE INHIBITORScitalopram Xcitalopram hbr Xescitalopram oxalate Xfluoxetine hcl Xfluvoxamine maleate Xparoxetine hcl Xsertraline hcl XLEXAPRO X escitalopramLUVOX CR X generic SSRIs, VIIBRYDVIIBRYD ST X

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