L.A. Care Covered Drug Formulary (pdf)
L.A. Care Covered Drug Formulary (pdf)
L.A. Care Covered Drug Formulary (pdf)
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Commercial <strong>Formulary</strong>Irritable Bowel Agents,guanylate Cylase-cAgonistT2 linaclotide LINZESS QLLocal Anorectal Nitrate PreparationsT3 nitroglycerinRectal PreparationsT3 homeopathic drugsT1 hydrocortisoneT1 hydrocortisoneacetateT1 hydrocortisoneacetateRECTIVCHILDRENS FEVERPROCTOSOL-HCHYDROCORTISONEACETATEPROCTOCORTRectal/lower Bowel Prep.,glucocort.T1 hydrocortisone CORTENEMAT3 hydrocortisone acetate CORTIFOAMUnknownT3 hydrocortisoneac/lidocaineANAMANTLE HCLOWER GASTROINTESTINALDISORDERS - OTHERAmmonia InhibitorsT3 acetohydroxamic acid LITHOSTATT4 carglumic acid CARBAGLUT4 glycerol phenylbutyrateRAVICTIT1 lactuloseGENERLACT3 sodium benzoate/na UCEPHANph-acetateT4 sodium phenylbutyrate BUPHENYLAntidiarrheal - G.i. Chloride ChannelInhibitorsT3 crofelemer FULYZAQ QL, STAntidiarrhealsT3 difenoxin hcl/atropinesulfateT1 diphenoxylatehcl/atropineT1 loperamide hclT1 opium tinctureT1 paregoricMOTOFENPABile SaltsT3 chenodiolT1 ursodiolT1 ursodiolT1 ursodiolCHENODALACTIGALLURSOURSO FORTEIrritable Bowel Synd. Agent,5ht-3Antagonist-typeT3 alosetron hclLaxatives And CatharticsLOTRONEXT1 hydrocortisone/pram HYDROCORTISONEoxinePRAMOXINET1 hydrocortisone/pram PRAMCORToxineT3 hydrocortisone/pramox PROCORTineT2 hydrocortisone/pramox PROCTOFOAM-HCineT3 lidocaine/hydrocort/psyXYRALID RClliumDIPHENOXYLATE-ATROPINELOPERAMIDEOPIUM TINCTUREPAREGORICT3 bisac/nacl/nahco3/kcl/peg 3350HALFLYTELY-BISACODYLT2 lactuloseKRISTALOSET1 lactuloseLACTULOSET2 lubiprostone AMITIZA QLT3 na phosVISICOLmono&dibasic/celluloseT3 naphos m-b m-h/na OSMOPREPphos,di-baT1 peg 3350/na GAVILYTE-Csulf,bicarb,cl/kclT2 peg 3350/na GOLYTELYsulf,bicarb,cl/kclT3 peg3350/sod MOVIPREPsul/nacl/asb/c/kclT1 polyethylene glycol3350POLYETHYLENEGLYCOL 3350T3 sod picosulf/mag PREPOPIKox/citric acT2 sodOCLsulf/sodium/nahco3/kcl/pegT1 sodiumNULYTELY WITHchloride/nahco3/kcl/pFLAVOR PACKSegT3 sodium,potassium,&m SUPREPag sulfatesNarcotic Antagonists, Peripherally-actingT3 alvimopanT2 methylnaltrexonebromideENTEREGRELISTORSbs - Glucagon-like Peptide-2 (glp-2)AnalogsPAT4 teduglutide GATTEX PAMISCELLANEOUS AGENTSAnaphylaxis Therapy AgentsT1 epinephrine ADRENACLICK(AUTOINJECT)(0.15/0.15)T2 epinephrine ADRENACLICK(AUTOINJECT)(0.3MG/0.3)T3 epinephrine AUVI-Q STT2 epinephrineEPIPENT2 epinephrineEPIPEN 2-PAKPage 44 of 91
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