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 ManagementAdrenolytics-CentralClonidine HCL OralMethyldopa OralCatapresAldometAvoid in elderly patientsAlpha-BlockersDoxazosin Mesylate OralPrazosin HCL OralTerazosin OralCarduraMinipressHytrinAngiotensin II InhibitorsOlmesartan OralValsartan OralBenicarDiovanCode 1 Restriction: For patient failingtherapy with or intolerant to ACE Inhibitors.Limited to 1/dayCode 1 Restriction: For patient failingtherapy with or intolerant to ACE Inhibitors.Limited to 1/dayAngiotensin II Inhibitor CombinationsOlmesartan-HCTZ Oral Benicar HCTValsartan OralDiovan HCTCode 1 Restriction: For patient failingtherapy with or intolerant to ACE Inhibitors.Limited to 1/dayCode 1 Restriction: For patient failingtherapy with or intolerant to ACE Inhibitors.Limited to 1/dayAnti-Anginals, OtherDipyridamole OralPersantineBeta-Blockers Non-SelectivePropranolol HCL OralSotalol HCl OralInderal, Inderal LABetapace,Betapace AFPatients with asthma or COPD at any levelof severity should not receive non-selectivebeta blockers.BetaBlockers Cardio-SelectiveAtenolol OralMetoprolol Succinate SR OralMetoprolol Tartrate OralTenorminToprol XLLopressorBeta-Blockers may worsen airway diseases.Use caution when using these medicationsin asthma/COPD patients.Code 1 Restriction: For Heart Failure.Limited to 1 tablet/dayAlpha-Beta BlockersPatients with asthma or COPD at any levelof severity should not receive non-selectivebeta blockers.June 2009 Page 8 of 42
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