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

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DRUG NAME1 2 3 4salsalate XTIERSUGGESTED PREFFERED ALTERNATIVES11.1.2 NON‐STEROIDAL ANTIINFLAMMATORY AGENTSdiclofenac potassium Xdiclofenac sodium Xetodolac Xflurbiprofen Xibuprofen Xindomethacin Xketoprofen Xketorolac tromethamine Xmeloxicam Xnabumetone Xnaproxen Xnaproxen sodium Xoxaprozin Xpiroxicam Xsulindac XCAMBIA X diclofenac potassiumCELEBREX XDUEXIS X ibuprofen plus famotidineNAPRELAN X naproxen sodiumVIMOVO X11.2 DRUGS TO PREVENT AND TREAT GOUTallopurinol Xprobenecid XCOLCRYS XULORIC ST X11.3.1 DIRECT MUSCLE RELAXANTSbaclofen Xtizanidine hcl X11.3.2 CNS MUSCLE RELAXANTSchlorzoxazone Xcyclobenzaprine hcl Xmetaxalone Xmethocarbamol Xorphenadrine citrate XAMRIX X immed‐release cyclobenzaprineSKELAXIN X metaxaloneSOMA X metaxalone, tizanidineCHAPTER 12: NUTRITION,BLOOD12.1.2 VITAMINS & MINERALS & RELATED PRODUCTSBIFERA RX X hemetab iron supplement tabsCEREFOLIN X folic acidCEREFOLIN NAC X folic acid
DRUG NAMETIER1 2 3 4SUGGESTED PREFFERED ALTERNATIVES12.1.3 THERAPEUTIC VITAMINS & MINERALScalcitriol Xcalcium acetate Xeliphos Xfolic acid Xlevocarnitine Xvitamin d XDEPLIN X folic acidHECTOROL XNASCOBAL XPHOSLYRA X calcium acetate caps, ELIPHOSZEMPLAR X12.1.4 FLUORIDE PRODUCTSsodium fluoride X12.2 POTASSIUM SUPPLEMENTSpotassium chloride X12.3.1 ORAL ANTICOAGULANTS, VITAMIN Kwarfarin sodium XCOUMADIN X warfarin sodium12.3.2 HEPARIN AND HEPARIN ANTAGONISTSenoxaparin sodium Xfondaparinux sodium Xheparin sodium XARIXTRA X fondaparinux sodiumFRAGMIN X enoxaparin, fondaparinuxLOVENOX X enoxaparin12.3.3 OTHER DRUGS AFFECTING COAGULATIONXARELTO X12.3.5 THROMBIN INHIBITORSPRADAXA X12.4 ANTIPLATELET DRUGScilostazol Xdipyridamole XAGGRENOX XBRILINTA XEFFIENT XPLAVIX X clopidogrel12.5 HEMOSTATICSLYSTEDA X12.7 BLOOD DETOXICANTSenulose Xlactulose XFOSRENOL XRENAGEL X
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 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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