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 />
CARBA-XP GUAIFENESIN/CARBETAPENTANE CIT 3 Liquid (ml)<br />
EXPECTUSS GUAIFENESIN/CARBETAPENTANE CIT 1 Liquid (ml)<br />
ORATUSS GUAIFENESIN/CARBETAPENTANE CIT 3 Liquid (ml)<br />
BETAVENT GUAIFENESIN/CARBETAPENTANE CIT 1 Syrup<br />
PULMARI-GP GUAIFENESIN/CARBETAPENTANE CIT 1 Syrup<br />
ALLRES G GUAIFENESIN/CARBETAPENTANE TAN 1 Suspension, Oral (Final Dose Form)<br />
RESPI-TANN G GUAIFENESIN/CARBETAPENTANE TAN 3 Suspension, Oral (Final Dose Form)<br />
DURATUSS DM 12 GUAIFENESIN/DM TANNATE 3 Suspension, Oral (Final Dose Form)<br />
ALBATUSSIN DM GUAIFENESIN/D-METHORPHAN HB 3 Drops<br />
TRISPEC DMX GUAIFENESIN/D-METHORPHAN HB 3 Drops<br />
HT-TUSS DM GUAIFENESIN/D-METHORPHAN HB 1 Elixir<br />
HYDRO-TUSSIN DM GUAIFENESIN/D-METHORPHAN HB 1 Elixir<br />
SU-TUSS DM GUAIFENESIN/D-METHORPHAN HB 1 Elixir<br />
DEX-TUSS DM GUAIFENESIN/D-METHORPHAN HB 1 Liquid (ml)<br />
DM-GUAI GUAIFENESIN/D-METHORPHAN HB 1 Liquid (ml)<br />
GANI-TUSS-DM NR GUAIFENESIN/D-METHORPHAN HB 1 Liquid (ml)<br />
GUAIFENESIN DM NR GUAIFENESIN/D-METHORPHAN HB 1 Liquid (ml)<br />
GUAL-DEX GUAIFENESIN/D-METHORPHAN HB 1 Liquid (ml)<br />
IOPHEN DM GUAIFENESIN/D-METHORPHAN HB 1 Liquid (ml)<br />
MAXI-TUSS DM GUAIFENESIN/D-METHORPHAN HB 3 Liquid (ml)<br />
NORTUSS-EX GUAIFENESIN/D-METHORPHAN HB 1 Liquid (ml)<br />
TRISPEC DMX GUAIFENESIN/D-METHORPHAN HB 3 Liquid (ml)<br />
TUSNEL DIABETIC GUAIFENESIN/D-METHORPHAN HB 1 Liquid (ml)<br />
TUSSIDEN DM GUAIFENESIN/D-METHORPHAN HB 1 Liquid (ml)<br />
TUSSI-ORGANIDIN DM NR GUAIFENESIN/D-METHORPHAN HB 3 Liquid (ml)<br />
TUSSI-ORGANIDIN DM-S NR GUAIFENESIN/D-METHORPHAN HB 3 Liquid (ml)<br />
DURATUSS DM GUAIFENESIN/D-METHORPHAN HB 3 Solution, Oral<br />
SIMUC-DM GUAIFENESIN/D-METHORPHAN HB 1 Solution, Oral<br />
VITA-NUMONYL DM GUAIFENESIN/D-METHORPHAN HB 3 Solution, Oral<br />
GUIADEX DM POT GUAIACO/D-METHORPHAN HB 1 Liquid (ml)<br />
PROLEX DM POT GUAIACO/D-METHORPHAN HB 3 Liquid (ml)<br />
NON-NARCOTIC ANTITUS-1ST GEN ANTIHIST-DECONGEST-EXPECT<br />
BROMHIST-DM GUAIFEN/DM HB/P-EPHEDRINE/BPM 1 Syrup<br />
HISTACOL DM GUAIFEN/DM HB/P-EPHEDRINE/BPM 1 Syrup<br />
PEDIAHIST DM GUAIFEN/DM HB/P-EPHEDRINE/BPM 1 Syrup<br />
NEOTUSS-D GUAIFEN/DM HB/P-EPHEDRINE/CP 3 Liquid (ml)<br />
DEKA GUAIFEN/DM HB/P-EPHEDRINE/D-BP 3 Liquid (ml)<br />
PANATUSS DXP GUAIFEN/DM HB/PHENYLEPH/D-BP 3 Drops<br />
PANATUSS DXP GUAIFEN/DM HB/PHENYLEPH/D-BP 3 Liquid (ml)<br />
ALLANHIST PDX GUAIFEN/D-METHORPHAN HB/PE/BPM 1 Syrup<br />
BROMHIST-PDX GUAIFEN/D-METHORPHAN HB/PE/BPM 1 Syrup<br />
DONATUSSIN GUAIFEN/D-METHORPHAN HB/PE/CP 3 Liquid (ml)<br />
QUARTUSS GUAIFEN/D-METHORPHAN HB/PE/CP 1 Liquid (ml)<br />
CHLORDEX GP GUAIFEN/D-METHORPHAN HB/PE/CP 1 Syrup<br />
QUAL-TUSSIN GUAIFEN/D-METHORPHAN HB/PE/CP 3 Syrup<br />
ZOTEX-DM GUAIFEN/D-METHORPHAN HB/PE/CP 3 Syrup<br />
ALBATUSSIN SR SENIOR POT GUAIACO/DM HB/PE/PYRIL 3 Capsule (Hard, Soft, etc.)<br />
VITA-NUMONYL POT GUAIACO/DM HB/PE/PYRIL 1 Liquid (ml)<br />
VITA-NUMONYL POT GUAIACO/DM HB/PE/PYRIL 3 Liquid (ml)<br />
ALBATUSSIN-NN POT GUAIACO/DM HB/PE/PYRIL 3 Solution, Oral<br />
1ST GEN ANTIHIST-DECONGEST-ANTICHOLINERGIC COMBINATION<br />
SYMPAK II BROMPHEN/PSE - CPM/PE/METHSCOP 3 Tablet,Sustained Release 12 Hr Sequential<br />
DALLERGY PE CHLOR-MAL/PHENYLEPH/METHSCOP 3 Liquid (ml)<br />
RESPA A.R. P-EPHED HCL/CHLOR-MAL/BELL ALK 3 Tablet, Sustained Release 12 Hr<br />
RU-TUSS P-EPHED HCL/CHLOR-MAL/BELL ALK 1 Tablet, Sustained Release 12 Hr<br />
ALLERX P-EPHED HCL/CHLOR-MAL/SCOP 3 Tablet, Sequential<br />
VISRX P-EPHED HCL/CHLOR-MAL/SCOP 1 Tablet, Sequential<br />
AMDRY-C P-EPHED HCL/CHLOR-MAL/SCOP 1 Tablet, Sustained Release 12 Hr<br />
COLDAMINE P-EPHED HCL/CHLOR-MAL/SCOP 1 Tablet, Sustained Release 12 Hr<br />
CPM 8-PSE 90-MSC 2.5 P-EPHED HCL/CHLOR-MAL/SCOP 1 Tablet, Sustained Release 12 Hr<br />
DURAHIST P-EPHED HCL/CHLOR-MAL/SCOP 3 Tablet, Sustained Release 12 Hr<br />
HISTA-VENT PSE P-EPHED HCL/CHLOR-MAL/SCOP 1 Tablet, Sustained Release 12 Hr<br />
PCM LA P-EPHED HCL/CHLOR-MAL/SCOP 1 Tablet, Sustained Release 12 Hr<br />
PSEUDO CM P-EPHED HCL/CHLOR-MAL/SCOP 1 Tablet, Sustained Release 12 Hr<br />
RELCOF PSE P-EPHED HCL/CHLOR-MAL/SCOP 1 Tablet, Sustained Release 12 Hr<br />
SCOPOHIST P-EPHED HCL/CHLOR-MAL/SCOP 1 Tablet, Sustained Release 12 Hr<br />
TIME-HIST QD P-EPHED HCL/CHLOR-MAL/SCOP 3 Tablet, Sustained Release 24 Hr<br />
STAHIST P-EPHED HCL/CPMM/ATP/SCOP/HYOS 3 Tablet, Sustained Release 12 Hr<br />
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