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

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DRUG NAME1 2 3 4 SUGGESTED PREFFERED ALTERNATIVEScyclosporine modified other doseforms Xexemestane Xhydroxyurea Xleflunomide Xletrozole Xleucovorin calcium inj Xleucovorin calcium tab, pwd Xmegestrol acetate Xmercaptopurine Xmethotrexate inj Xmethotrexate tab, pwd Xmycophenolate mofetil Xtacrolimus Xtamoxifen citrate Xtretinoin XARIMIDEX X anastrozoleCELLCEPT vial X mycophenolate mofetilCELLCEPT oral X mycophenolate mofetilCIMZIA PA X ENBREL, HUMIRAELIGARD PA XENBREL PA XFEMARA X letrozoleGLEEVEC XHUMIRA PA XMEGACE ES X megestrol acetateMYFORTIC XORENCIA PA XPROGRAF inj X tacrolimusPROGRAF cap, susp X tacrolimusRAPAMUNE XREVLIMID XSANDOSTATIN LAR XSIMPONI PA X ENBREL, HUMIRASOMATULINE DEPOT XSTELARA PA XTYKERB XXELODA XCHAPTER 4: CARDIOVASCULAR MEDICATIONS4.1 CARDIAC GLYCOSIDESdigoxin XLANOXIN X digoxin4.2 CALCIUM ANTAGONISTSamlodipine besylate XTIER
DRUG NAME1 2 3 4 SUGGESTED PREFFERED ALTERNATIVEScartia xt Xdiltiazem/er Xfelodipine er Xnifediac cc Xnifedical xl Xnifedipine er Xnisoldipine Xverapamil Xverapamil er pm XCARDENE SR X immediate‐release nicardipineCARDIZEM LA X diltiazem 24 hr erSULAR X nisoldipine er4.3.1 LOOP DIURETICSbumetanide Xfurosemide Xtorsemide X4.3.2 THIAZIDE AND RELATED DRUGSchlorthalidone Xhydrochlorothiazide Xindapamide Xmetolazone X4.3.3 POTASSIUM SPARING DIURETICSamiloride hcl Xeplerenone Xspironolactone Xspironolactone‐hctz Xtriamterene‐hctz Xtriamterene‐hydrochlorothiazid X4.4 BETA‐ADRENERGIC ANTAGONIST DRUGSacebutolol hcl Xatenolol Xbisoprolol fumarate Xcarvedilol Xlabetalol hcl Xmetoprolol succinate Xmetoprolol tartrate Xnadolol Xpindolol Xpropranolol hcl Xtimolol maleate XBYSTOLIC XCOREG CR XTOPROL XL X metoprolol succinate erTIER
Page 4: TABLE OF CONTENTSChapterChapter 1Ch
Page 10 and 11: DRUG NAMETIER1 2 3 4SUGGESTED PREFF
Page 12 and 13: DRUG NAME1 2 3 4TIKOSYN XTIERSUGGES
Page 14 and 15: DRUG NAME1 2 3 4MIGRANAL XRELPAX ST
Page 16 and 17: DRUG NAMETIER1 2 3 4SUGGESTED PREFF
Page 18 and 19: DRUG NAME1 2 3 4 SUGGESTED PREFFERE
Page 26 and 27: DRUG NAME1 2 3 4salsalate XTIERSUGG
Page 34 and 35: DRUG NAMETIER1 2 3 415.1.4 LEUKOTRI
Page 36 and 37: DRUG NAME1 2 3 4PARADIGM XPARADIGM
Page 38 and 39: IndexABILIFY 5.8ABILIFY DISCMELT 5.
Page 40 and 41: carbidopa‐levodopaentacapone5.7.2
Page 42 and 43: EVISTA 13.4.3EXALGO 5.1.1.1EXELDERM
Page 44 and 45: LEXIVA 2.5.1LIALDA 9.6lidocaine hcl
Page 46 and 47: oxycodone‐acetaminophen 5.1.1.1OX
Page 48 and 49: SUMAVEL DOSEPRO 5.1.2SUPRAX 2.1.1SU

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

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