To order additional copies, please call Massachusetts Medical

Xxxxxx Anti-infectives Xxxxxx (Cephalosporins)
Name AETNA BCBSMA BMCHP FCHP HPHC HNE NHP NTWK MAHLTH THP
CEFDINIR [Omnicef ] FE NC PA X NC PA X
CEFDITOREN [spectracef] FE NC X X X X X
CEFIXIME [suprax] FE X* X X X X X
CEFPODOXIME X* X* X X X X X X X X
CEFPROzIL X* X* X X X X X X X X
CEFTIBUTEN [Cedax] FE NC X X X X X
CEFUROXIME X* X* X X X X X X X X
CEFUROXIME [Ceftin suspension] X X PA X PA X
CEPHALEXIN X* X* X 10 X 10 X X 10 X X X X*
Anti-infectives (Fluoroquinolones)
CIPROFLOXACIN PA* 10 X* X X X X X X X X*
CIPROFLOXACIN extended release PA* 10 X* X X X X X X PA X*
CIPROFLOXACIN extended release FE PA10 [Cipro XR]
NC PA X NC PA X
gEMIFLOXACIN [Factive] FE PA10 NC X X X X NC
LEVOFLOXACIN [Levaquin] FE PA10 NC X X X X X NC
MOXIFLOXACIN [Avelox] PA* 10 X* X X X X X X*
NORFLOXACIN [Noroxin] FE PA10 NC X X X X X X
OFLOXACIN PA* 10 X* X X X X X X X X
Anti-Infectives (Macrolides)
AzITHROMyCIN X* X* X X X X X X X X*
AzITHROMyCIN [zithromax] FE NC X X PA X
AzITHROMyCIN [zmax] FE NC X X X X X X
CLARITHROMyCIN X* X* X X X X X X X X*
CLARITHROMyCIN XL X* X* X X X X X X PA X*
ERyTHROMyCIN oral X* X* X X X X X X X X*
ERyTHROMyCIN/sULFIsOXAzOLE X* X* X X X X X X X X
Anti-infectives (Miscellaneous)
ARTEMETHER/LUMEFANTRINE
[Coartem]
PA X* DL DL DL
ATOVAQUONE [Mepron] X* X* X X X X DL X X X
10 ≤10 yrs old
17