Trustmark/Starmark Formulary Drug List April 2008 - Resource ...
Trustmark/Starmark Formulary Drug List April 2008 - Resource ...
Trustmark/Starmark Formulary Drug List April 2008 - Resource ...
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Brand Name Generic Name Tier Form<br />
KEFLEX CEPHALEXIN MONOHYDRATE 3 Capsule (Hard, Soft, etc.)<br />
KEFLEX CEPHALEXIN MONOHYDRATE 3 Capsule (Hard, Soft, etc.)<br />
CEPHALEXIN CEPHALEXIN MONOHYDRATE 1 Suspension, Reconstituted, Oral (ml)<br />
CEPHALEXIN CEPHALEXIN MONOHYDRATE 1 Tablet<br />
VELOSEF CEPHRADINE 3 Capsule (Hard, Soft, etc.)<br />
CEPHALOSPORINS - 2ND GENERATION<br />
CEFACLOR CEFACLOR 1 Capsule (Hard, Soft, etc.)<br />
CEFACLOR CEFACLOR 1 Suspension, Reconstituted, Oral (ml)<br />
CEFACLOR CEFACLOR 1 Suspension, Reconstituted, Oral (ml)<br />
RANICLOR CEFACLOR 3 Tablet, Chewable<br />
CEFACLOR ER CEFACLOR 1 Tablet, Sustained Release 12 Hr<br />
CEFPROZIL CEFPROZIL 1 Suspension, Reconstituted, Oral (ml)<br />
CEFZIL CEFPROZIL 3 Suspension, Reconstituted, Oral (ml)<br />
CEFPROZIL CEFPROZIL 1 Tablet<br />
CEFZIL CEFPROZIL 3 Tablet<br />
CEFTIN CEFUROXIME AXETIL 2 Suspension, Reconstituted, Oral (ml)<br />
CEFTIN CEFUROXIME AXETIL 3 Tablet<br />
CEFUROXIME CEFUROXIME AXETIL 1 Tablet<br />
CEPHALOSPORINS - 3RD GENERATION<br />
CEFDINIR CEFDINIR 1 Capsule (Hard, Soft, etc.)<br />
OMNICEF CEFDINIR 2 Capsule (Hard, Soft, etc.)<br />
CEFDINIR CEFDINIR 1 Suspension, Reconstituted, Oral (ml)<br />
OMNICEF CEFDINIR 2 Suspension, Reconstituted, Oral (ml)<br />
SPECTRACEF CEFDITOREN PIVOXIL 3 Tablet<br />
SUPRAX CEFIXIME 3 Suspension, Reconstituted, Oral (ml)<br />
CEFPODOXIME PROXETIL CEFPODOXIME PROXETIL 1 Suspension, Reconstituted, Oral (ml)<br />
CEFPODOXIME PROXETIL CEFPODOXIME PROXETIL 1 Tablet<br />
VANTIN CEFPODOXIME PROXETIL 2 Tablet<br />
CEDAX CEFTIBUTEN DIHYDRATE 3 Capsule (Hard, Soft, etc.)<br />
CEDAX CEFTIBUTEN DIHYDRATE 3 Suspension, Reconstituted, Oral (ml)<br />
KETOLIDES<br />
KETEK TELITHROMYCIN 2 Tablet<br />
PERIODONTAL TETRACYCLINE ANTIINFECTIVE, LOCAL<br />
ATRIDOX DOXYCYCLINE HYCLATE 3 GEL, Sustained Release (EA)<br />
ARESTIN MINOCYCLINE HCL MICROSPHERES 3 Cartridge (EA)<br />
ANTIINFECTIVES/MISCELLANEOUS<br />
VAGINAL ANTISEPTICS<br />
ACID JELLY ACETIC AC/RICINOLEIC/OXYQUINOL 3 Jelly with Applicator (gm)<br />
FEM PH ACETIC ACID/OXYQUIN SO4 1 Jelly with Applicator (gm)<br />
RELAGARD ACETIC ACID/OXYQUIN SO4 3 Jelly with Applicator (gm)<br />
ANTI-MYCOBACTERIUM AGENTS<br />
PASER AMINOSALICYLIC ACID 3 Packet<br />
ETHAMBUTOL HCL ETHAMBUTOL HCL 1 Tablet<br />
ETHAMBUTOL HYDROCHLORIDE ETHAMBUTOL HCL 1 Tablet<br />
MYAMBUTOL ETHAMBUTOL HCL 2 Tablet<br />
TRECATOR ETHIONAMIDE 3 Tablet<br />
ISONIAZID ISONIAZID 2 Syrup<br />
ISONIAZID ISONIAZID 1 Tablet<br />
PYRAZINAMIDE PYRAZINAMIDE 1 Tablet<br />
PYRAZINAMIDE PYRAZINAMIDE 2 Tablet<br />
MYCOBUTIN RIFABUTIN 2 Capsule (Hard, Soft, etc.)<br />
CHEMOTHERAPEUTICS, ANTIBACTERIAL, MISC.<br />
MONUROL FOSFOMYCIN TROMETHAMINE 3 Packet<br />
PROSED/DS METH/METH BLUE/BA/SALICY/HYOS 3 Tablet<br />
HIPREX METHENAMINE HIPPURATE 3 Tablet<br />
METHENAMINE HIPPURATE METHENAMINE HIPPURATE 1 Tablet<br />
MANDELAMINE METHENAMINE MANDELATE 2 Tablet<br />
MANDELAMINE HAFGRAMS METHENAMINE MANDELATE 2 Tablet<br />
METHENAMINE MANDELATE METHENAMINE MANDELATE 1 Tablet<br />
UROLENE BLUE METHYLENE BLUE 3 Tablet<br />
UTA MTH/ME BLUE/SALICY/NA PHOS/HYO 3 Capsule (Hard, Soft, etc.)<br />
URELLE MTH/ME BLUE/SALICY/NA PHOS/HYO 3 Tablet<br />
URETRON D/S MTH/ME BLUE/SALICY/NA PHOS/HYO 1 Tablet<br />
URIMAR-T MTH/ME BLUE/SALICY/NA PHOS/HYO 1 Tablet<br />
UROGESIC-BLUE MTH/ME BLUE/SALICY/NA PHOS/HYO 1 Tablet<br />
UTIRA-C MTH/ME BLUE/SALICY/NA PHOS/HYO 1 Tablet<br />
UTRONA MTH/ME BLUE/SALICY/NA PHOS/HYO 1 Tablet<br />
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