San Diego County Medical Services Drug Formulary
San Diego County Medical Services Drug Formulary
San Diego County Medical Services Drug Formulary
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<strong>San</strong> <strong>Diego</strong> <strong>County</strong> <strong>Medical</strong> <strong>Services</strong> <strong>Drug</strong> <strong>Formulary</strong>Generic NameRepresentativeBrand NameUtilization ManagementAmoxapine OralClomipramine HCL OralDesipramine HCL OralDoxepin HCL OralImipramine HCL OralNortriptyline HCL OralProtriptyline HCL OralTrimipramine Maleate OralAscendinAnafranilNorpraminSinequanTofranilPamelorVivactilSurmontilPhenothiazinesProchlorperazine SupposRectalProchlorperazine MaleateOral ProchlorperazineMaleate Cap CR & Tab OralProchlorperazine EdisylateOralCompazineCompazineCompazineBarbiturate HypnoticsPhenobarbital Oral Phenobarbital Code 1 Restriction: For diagnosis of seizuresSalicylatesAspirin OralAspirin Suppos RectalSalsalate OralANALGESICS AND ANESTHETICSBayer ASA, Empirin,Ascriptin, ASA LowDose, Ecotrin,GenacoteAspirin SuppSalflex, Disalcid,AmigesicDoes not include single source brandedproductsDoes not include single source brandedproductsSalicylate CombinationsAspirin Buffered (mgCarbonate-Al Glycinate)325mg Tab OralAspirin Buffered 325mg TabOralAspirin Buffered,Gennin –FCBuffaprin, BufferedASAAnalgesics OtherAcetaminophen OralAcetaminophen SupposRectalTylenolFeverall, AcephenAnalgesic-SedativesJune 2009 Page 17 of 42
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