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

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DRUG NAME1 2 3 4 SUGGESTED PREFFERED ALTERNATIVEScalcitrene Xselenium sulfide Xsulfacetamide sodium XDOVONEX X calcipotrieneSORILUX X calcipotriene,TACLONEXTACLONEX XTAZORAC XVECTICAL X calcitriol6.9.2 TOPICAL DERMATOLOGICAL DRUGSfluorouracil Ximiquimod Xtretinoin XCARAC XELIDEL XEPICERAM X emulsion sb, tl‐cermideFLUOROPLEX X fluorouracil, imiquimod, ZYCLARAPICATO X fluorouracil, imiquimod, ZYCLARAPROMISEB X selenium sulfide, sod sulfacetPROTOPIC XSANTYL XSOLARAZE XVEREGEN X imiquimod, podofiloxZYCLARA X6.9.3 SCABICIDESpermethrin XEURAX XULESFIA X permethrin6.9.5 TOPICAL ANTI‐INFLAMMATORY DRUGSFLECTOR XPENNSAID X FLECTOR, VOLTAREN GELVOLTAREN XCHAPTER 7: EAR‐NOSE‐THROAT MEDICATIONS7.1 DRUGS AFFECTING THE EARantipyrine‐benzocaine Xneomycin‐polymyxin‐hc Xneomycin‐polymyxin‐hydrocort Xofloxacin XCETRAXAL X ciprofloxacin 0.2% oticCIPRO HC X CIPRODEXCIPRODEX X7.2 DRUGS AFFECTING THE NOSEazelastine hcl Xflunisolide Xfluticasone propionate XTIER
DRUG NAME1 2 3 4 SUGGESTED PREFFERED ALTERNATIVESipratropium bromide Xtriamcinolone acetonide XASTELIN X azelastineASTEPRO XBECONASE AQ ST X flunisoli, flutic, NASONEX,QNASLDYMISTA ST X azelastine + fluticasoneNASACORT AQ ST X triamcinolone acetonideNASONEX ST XOMNARIS ST X flunisoli, flutic, NASONEX,QNASLPATANASE X azelastine, ASTEPROQNASL ST XRHINOCORT AQUA ST X flunisoli, flutic, NASONEX, QNASLVERAMYST ST X flunisoli, flutic, NASONEX, QNASLZETONNA ST X flunisoli, flutic, NASONEX, QNASL7.3 DRUGS AFFECTING THE THROAT AND MOUTHdoxycycline hyclate Xpilocarpine hcl Xtriamcinolone acetonide XCHAPTER 8: ENDOCRINE MEDICATIONS8.1.1 INSULINAPIDRA/SOLOSTAR X HUMALOG, NOVOLOGHUMALOG products XHUMULIN products XLANTUS/SOLOSTAR XLEVEMIR/FLEXPEN XNOVOLIN products X HUMULINNOVOLOG products X8.1.2 ORAL HYPOGLYCEMIC DRUGSacarbose Xglimepiride Xglipizide/er Xglipizide‐metformin Xglyburide Xglyburide micronized Xglyburide‐metformin hcl Xmetformin hcl Xmetformin hcl er Xnateglinide XFORTAMET X metformin hcl erPRANDIMET XPRANDIN XRIOMET X8.1.3 INSULIN SENSITIZERSACTOPLUS MET X pioglitazone/metforminTIER
Page 4: TABLE OF CONTENTSChapterChapter 1Ch
Page 8 and 9: DRUG NAME1 2 3 4 SUGGESTED PREFFERE
Page 10 and 11: DRUG NAMETIER1 2 3 4SUGGESTED PREFF
Page 12 and 13: DRUG NAME1 2 3 4TIKOSYN XTIERSUGGES
Page 14 and 15: DRUG NAME1 2 3 4MIGRANAL XRELPAX ST
Page 16 and 17: DRUG NAMETIER1 2 3 4SUGGESTED PREFF
Page 26 and 27: DRUG NAME1 2 3 4salsalate XTIERSUGG
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
Page 46 and 47: oxycodone‐acetaminophen 5.1.1.1OX
Page 48 and 49: SUMAVEL DOSEPRO 5.1.2SUPRAX 2.1.1SU

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

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