Physician Preferred Drug List - Catalyst Rx
Physician Preferred Drug List - Catalyst Rx
Physician Preferred Drug List - Catalyst Rx
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<strong>Physician</strong> <strong>Preferred</strong> <strong>Drug</strong> <strong>List</strong> (cont.)<br />
MISC.<br />
ANTIHYPERTENSIVES<br />
& COMBINATIONS (cont.)<br />
hydralazine/hctz<br />
lisinopril/hctz<br />
losartan/hctz<br />
methyldopa<br />
methyldopa/hctz<br />
metoprolol/hctz<br />
minoxidil<br />
moexipril/hctz<br />
prazosin<br />
quinapril/hctz<br />
terazosin<br />
AZOR<br />
DIBENZYLINE<br />
DIOVAN HCT<br />
EXFORGE<br />
EXFORGE HCT<br />
MICARDIS HCT<br />
TEKAMLO<br />
TEKTURNA<br />
TEKTURNA HCT<br />
VALTURNA<br />
MISC. CARDIOVASCULAR/<br />
ANTIARRHYTHMICS<br />
amiodarone<br />
disopyramide<br />
flecainide<br />
isosorbide dinitrate<br />
isosorbide mononitrate<br />
mexiletine<br />
nitroglycerin<br />
procainamide<br />
propafenone<br />
quinidine gluconate<br />
quinidine sulfate<br />
BIDIL<br />
ETHMOZINE<br />
RANEXA<br />
TIKOSYN<br />
DERMATOLOGICAL<br />
ACNE, ECZEMA,<br />
PSORIASIS<br />
benzoyl peroxide<br />
benzoyl peroxide/<br />
clindamycin<br />
benzoyl peroxide/urea<br />
clindamycin phosphate<br />
ACNE, ECZEMA,<br />
PSORIASIS (cont.)<br />
erythromycin base<br />
erythromycin base/<br />
benzoyl peroxide<br />
isotretinoin<br />
metronidazole<br />
selenium sulfide<br />
sulfacetamine lotion<br />
sulfacetamide/sulfur<br />
tretinoin<br />
ACANYA<br />
AKNE MYCIN<br />
ALDARA<br />
AZELEX<br />
CAPEX SHAMPOO<br />
DOVONEX<br />
DRITHO SCALP<br />
DUAC<br />
ELIDEL<br />
FINACEA<br />
PROTOPIC<br />
SORIATANE<br />
TAZORAC<br />
TOPICAL<br />
CORTICOSTEROIDS<br />
alclometasone dipropionate<br />
amcinonide<br />
betameth/propylene glycol<br />
betameth/dipropionate<br />
betamethasone valerate<br />
clobetasol propionate<br />
desonide<br />
desoximetasone<br />
diflorasone<br />
diflorasone diacetate cr<br />
fluocinonide<br />
fluocinolone acetonide<br />
fluticasone propionate<br />
halobetasol propionate<br />
hydrocortisone<br />
hydrocortisone butyrate<br />
hydrocortisone valerate<br />
mometasone furoate<br />
prednicarbate<br />
CLOBEX<br />
LOCOID LIPOCREAM<br />
EAR, NOSE & THROAT<br />
acetic acid<br />
acetic acid/aluminum<br />
acetate<br />
acetic acid/hydrocortisone<br />
antipyrine/benzocaine<br />
azelastine<br />
chlorhexidine<br />
doxycycline<br />
fluticasone<br />
ipratropium nasal spray<br />
lidocaine<br />
neomycin suf/polymy<br />
buff/hc<br />
neomycin suf/polymyxin hc<br />
ofloxacin otic<br />
pilocarpine<br />
triamcinolone acetonide<br />
triamcinolone aqueous<br />
triethanolamine<br />
ASTEPRO<br />
CIPRODEX<br />
EVOXAC<br />
NASONEX<br />
ENDOCRINE<br />
Diabetic Therapy<br />
acarbose<br />
glimepiride<br />
glipizide/XR<br />
glipizide/metformin<br />
glyburide<br />
glyburide/metformin<br />
metformin/XR<br />
nateglinide<br />
ACTOPLUS MET<br />
ACTOS<br />
BYETTA<br />
DUETACT<br />
HUMALOG/PEN<br />
HUMALOG MIX/PEN<br />
HUMULIN<br />
Janumet<br />
JANUVIA<br />
KOMBIGLYZE XR<br />
LANTUS<br />
LEVEMIR<br />
NOVOLIN<br />
NOVOLOG<br />
NOVOLOG MIX/PEN<br />
PRANDIN<br />
SYMLIN<br />
OTHER ENDOCRINE<br />
DRUGS<br />
alendronate<br />
calcitonin salmon nasal<br />
desmopressin acetate<br />
etidronate<br />
levothyroxine<br />
methimazole<br />
propylthiouracil<br />
BONIVA<br />
CYTOMEL<br />
SYNTHROID<br />
GASTROINTESTINAL<br />
ACID REFLUX & ULCERS<br />
cimetidine<br />
famotidine<br />
misoprostol<br />
nizatidine<br />
omeprazole<br />
pantoprazole<br />
ranitidine<br />
sucralfate<br />
CARAFATE SUSP<br />
Prilosec OTC<br />
(Note: Prilosec OTC is available<br />
at the generic copayment level;<br />
written prescription required)<br />
ANTISPASMODICS/ DRUGS<br />
AFFECTING GI MOTILITY<br />
belladonna alkaloids<br />
belladonna/phenobarbital<br />
clidinium/chlordiazepoxide<br />
dicyclomine<br />
diphenoxylate/atropine sulf<br />
glycopyrrolate<br />
hyoscyamine<br />
hyoscyamine<br />
sulf/phenobarb<br />
loperamide<br />
methscopolamine<br />
propantheline bromide<br />
AMITIZA<br />
RELISTOR<br />
OTHER GI PRODUCTS<br />
balsalazide<br />
hydrocortisone<br />
mesalamine<br />
misoprostol<br />
sulfasalazine<br />
ursodial<br />
ASACOL<br />
OTHER GI PRODUCTS<br />
(cont.)<br />
CREON<br />
KRISTALOSE<br />
LIALDA<br />
PANCREAZE<br />
PENTASA<br />
PYLERA<br />
ZENPEP<br />
HORMONES<br />
ANDROGENS<br />
danocrine<br />
fluoxymesterone<br />
ANDROGEL<br />
CONTRACEPTIVES<br />
All generics<br />
ELLA<br />
NUVARING<br />
ESTROGEN PATCHES &<br />
MISC.<br />
estradiol<br />
estradiol transdermal<br />
patches<br />
ENJUVIA<br />
ESTRADERM<br />
ESTRING<br />
EVISTA<br />
VAGIFEM<br />
VIVELLE/-DOT<br />
ESTROGEN/ PROGESTIN<br />
COMBINATION<br />
estradiol/norethindrone<br />
acetate<br />
estradiol transdermal<br />
COMBIPATCH<br />
PREMPHASE<br />
PREMPRO<br />
PREMPRO LOW DOSE<br />
ESTROGENS<br />
estradiol<br />
estropipate<br />
CENESTIN<br />
DIVIGEL<br />
ESTRACE VAG CR<br />
EVAMIST<br />
PREMARIN<br />
PREMARIN LOW DOSE
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