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

DRUG NAME1 2 3 4 SUGGESTED PREFFERED ALTERNATIVESLO LOESTRIN FE XLOESTRIN 24 FE XLOSEASONIQUE X amethia lo, camrese loNATAZIA XNUVARING XORTHO EVRA X generics, BEYAZ, LOESTRIN 24/LO LOESTRIN,NATAZIA, NUVARING, SAFYRALORTHO TRI‐CYCLEN X trinesa, tri‐previ, tri‐sprintORTHO TRI‐CYCLEN LO X generics, BEYAZ, LOESTRIN 24/LO LOESTRIN,NATAZIA, NUVARING, SAFYRALSAFYRAL XSEASONIQUE X amethia, camreseYASMIN 28 X ocella,syeda,zarahYAZ X gianvi, loryna, vesturaCHAPTER 14: OPHTHALMIC MEDICATIONS14.1.1 OPHTHALMIC TOPICAL ANTIBACTERIAL DRUGSbacitracin Xbacitracin‐polymyxin Xciprofloxacin hcl Xerythromycin Xgentamicin sulfate Xneomycin‐bacitracin‐polymyxin Xofloxacin Xpolymyxin b sul‐trimethoprim Xsulfacetamide sodium XAZASITE XBESIVANCE X generic, MOXEZA, VIGAMOX, ZYMAXIDMOXEZA XVIGAMOX XZYMAXID X14.1.2 OPHTHALMIC TOPICAL ANTIVIRAL DRUGStrifluridine X14.2 OPHTHALMIC CORTICOSTEROID DRUGSfluorometholone Xprednisolone acetate XALREX X azelastine, PATADAY, PATANOLDUREZOL XFML FORTE X generics, DUREZOL, LOTEMAX SOLNLOTEMAX XVEXOL X generics, DUREZOL, LOTEMAX SOLN14.3 OPHTHALMIC ANTIINFECTIVE/CORTICOSTEROIDSneomycin‐polymyxin‐dexameth Xneomycin‐polymyxin‐hc Xtobramycin‐dexamethasone XTIER