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
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DRUG NAME1 2 3 4 SUGGESTED PREFFERED ALTERNATIVESPROTONIX ST X pantoprazole sodiumZEGERID ST X generics, NEXIUM9.4.2.1 PROTON PUMP INHIBITORS ‐ OTComeprazole X9.4.3 HELICOBACTER PYLORI DRUGSHELIDAC X bismuth+metroni+tetracy, PYLERAOMECLAMOX‐PAK X omepraz+clarithro+amox, PYLERAPREVPAC X amox+clarith+lansoprazo, PYLERAPYLERA X9.5 LAXATIVES AND CATHARTICSOSMOPREP X generic, HALFLYT, MOVIPRP,SUPREP9.6 OTHER GI DRUGSanucort‐hc Xbalsalazide disodium Xbudesonide ec Xhydrocortisone Xhydrocortisone acetate Xpancrelipase 5,000 Xpeg 3350‐electrolyte Xproctosol‐hc Xproctozone‐hc Xsulfasalazine Xtrilyte <strong>with</strong> flavor packets Xursodiol XANALPRAM ADVANCED X hydrocortisone/pramoxine creamANALPRAM E X hydrocortisone/pramoxine creamANALPRAM HC X hydrocortisone/pramoxine creamAPRISO X balsalazide, ASACOL/HD, LIALDA, PENTASAASACOL XASACOL HD XCANASA XCREON XDIPENTUM X balsalazide, ASACOL/HD, LIALDA, PENTASAGOLYTELY X generics, HALFLYTELY, MOVIPREP, SUPREPHALFLYTELY‐BISACODYL XLIALDA XMOVIPREP XNULYTELY WITH FLAVOR PACKS X peg‐3350 w/flavor packs solnPANCREAZE X generics, CREON, ZENPEPPENTASA XPERTZYE X generics, CREON, ZENPEPPREPOPIK X generics, HALFLYTELY, MOVIPREP, SUPREPRELISTOR XSFROWASA X mesalamine 4 gm/60 ml enemaTIER
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