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 />
LIDOX CLIDINIUM BR/CHLORDIAZEPOXIDE 1 Capsule (Hard, Soft, etc.)<br />
QUARZAN CLIDINIUM BROMIDE 3 Capsule (Hard, Soft, etc.)<br />
GLYCOPYRROLATE GLYCOPYRROLATE 1 Tablet<br />
ROBINUL GLYCOPYRROLATE 3 Tablet<br />
ROBINUL FORTE GLYCOPYRROLATE 3 Tablet<br />
CANTIL MEPENZOLATE BROMIDE 3 Tablet<br />
PRO-BANTHINE PROPANTHELINE BROMIDE 2 Tablet<br />
PROPANTHELINE BROMIDE PROPANTHELINE BROMIDE 1 Tablet<br />
ANTICHOLINERGICS/ANTISPASMODICS<br />
BENTYL DICYCLOMINE HCL 2 Capsule (Hard, Soft, etc.)<br />
DICYCLOMINE HCL DICYCLOMINE HCL 1 Capsule (Hard, Soft, etc.)<br />
BENTYL DICYCLOMINE HCL 3 Syrup<br />
DICYCLOMINE HCL DICYCLOMINE HCL 1 Syrup<br />
BENTYL DICYCLOMINE HCL 3 Tablet<br />
DICYCLOMINE HCL DICYCLOMINE HCL 1 Tablet<br />
INTESTINAL MOTILITY STIMULANTS<br />
METOCLOPRAMIDE HCL INTENSOL METOCLOPRAMIDE HCL 2 Concentrate, Oral<br />
METOCLOPRAMIDE HCL METOCLOPRAMIDE HCL 1 Solution, Oral<br />
METOCLOPRAMIDE HCL METOCLOPRAMIDE HCL 1 Tablet<br />
REGLAN METOCLOPRAMIDE HCL 3 Tablet<br />
LIPOTROPICS<br />
LECITHIN LECITHIN 3 Granules; Power-Like, Non-Effervescent (gm)<br />
LOVAZA OMEGA-3 ACID ETHYL ESTERS 2 Capsule (Hard, Soft, etc.)<br />
RECTAL PREPARATIONS<br />
PROCTOFOAM-HC HC ACETATE/PRAMOXINE HCL 2 Foam (gm)<br />
CHILDRENS FEVER HOMEOPATHIC DRUGS 3 Suppository, Rectal<br />
ANUSOL-HC HYDROCORTISONE 3 Cream (Grams)<br />
PROCTOCORT HYDROCORTISONE 3 Cream (Grams)<br />
PROCTOCREAM-HC HYDROCORTISONE 1 Cream (Grams)<br />
PROCTO-Kit HYDROCORTISONE 1 Cream (Grams)<br />
PROCTO-PAK HYDROCORTISONE 1 Cream (Grams)<br />
PROCTOSOL-HC HYDROCORTISONE 1 Cream (Grams)<br />
PROCTOZONE-HC HYDROCORTISONE 1 Cream (Grams)<br />
PROCTO-Kit HYDROCORTISONE 3 Cream with Applicator<br />
HYDROCORTISONEACETATE HYDROCORTISONE ACETATE 3 Cream with Applicator<br />
ANUCORT-HC HYDROCORTISONE ACETATE 1 Suppository, Rectal<br />
ANUDIL HC HYDROCORTISONE ACETATE 1 Suppository, Rectal<br />
ANUMED-HC HYDROCORTISONE ACETATE 1 Suppository, Rectal<br />
ANUSOL-HC HYDROCORTISONE ACETATE 3 Suppository, Rectal<br />
ENCORT HYDROCORTISONE ACETATE 1 Suppository, Rectal<br />
HEMORRHOIDAL HC HYDROCORTISONE ACETATE 1 Suppository, Rectal<br />
HEMRIL HYDROCORTISONE ACETATE 1 Suppository, Rectal<br />
HYDROCORTISONE ACETATE HYDROCORTISONE ACETATE 1 Suppository, Rectal<br />
PROCTOCORT HYDROCORTISONE ACETATE 1 Suppository, Rectal<br />
PROCTOSERT HC HYDROCORTISONE ACETATE 1 Suppository, Rectal<br />
HEMORRHOIDAL PREPARATIONS<br />
ANALPRAM-HC HC ACETATE/PRAMOXINE HCL 3 Cream with Applicator<br />
ANALPRAM-HC HC ACETATE/PRAMOXINE HCL 3 Lotion (ml)<br />
PROCTOFOAM PRAMOXINE HCL 3 Foam (gm)<br />
ANTI-ULCER-H.PYLORI AGENTS<br />
HELIDAC BISMUTH SAL/METRONID/TETRACYC 3 Combination Package (EA)<br />
PYLERA BISMUTH/METRONID/TETRACYCLINE 3 Capsule (Hard, Soft, etc.)<br />
PREVPAC LANSOPRAZOLE/AMOX TR/CLARITH 2 Combination Package (EA)<br />
ANTIDIARRHEAL MICROORGANISMS AGENTS<br />
VSL#3 DS LACT CMB2/S.THERMOPHL/BIF CMB1 3 Packet<br />
DRUGS TO TX CHRONIC INFLAMM. DISEASE OF COLON<br />
REMICADE INFLIXIMAB 3 Vial (SDV, MDV or Additive) (EA)<br />
GASTRIC ACID SECRETION REDUCERS<br />
CIMETIDINE CIMETIDINE 1 Tablet<br />
TAGAMET CIMETIDINE 3 Tablet<br />
CIMETIDINE CIMETIDINE HCL 1 Liquid (ml)<br />
NEXIUM ESOMEPRAZOLE MAG TRIHYDRATE 2 Capsule,Delayed Release (Enteric Coated)<br />
NEXIUM ESOMEPRAZOLE MAG TRIHYDRATE 3 Susp for Recon, Delayed Rel. in a Packet<br />
PEPCID FAMOTIDINE 3 Suspension, Oral (Final Dose Form)<br />
FAMOTIDINE FAMOTIDINE 1 Tablet<br />
FAMOTIDINE FAMOTIDINE 3 Tablet<br />
PEPCID FAMOTIDINE 3 Tablet<br />
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