MANAGED MEDICAID AUTHORIZATION LIST The following prescription drugs require PRIOR AUTHORIZATION
|
|
- Elisabeth McLaughlin
- 5 years ago
- Views:
Transcription
1 MANAGED MEDICAID AUTHORIZATION LIST The following prescription drugs require PRIOR AUTHORIZATION Certain medications require prior authorization, which means approval is needed before the prescriptioncan be filled. If approval is not received, the drug may not be covered. abiraterone acetate ABSORICA ABSTRAL ACANYA ACIPHEX SPRINKLE ACTEMRA ACTICLATE ACTIMMUNE ACTIQ adapalene ADCIRCA ADEMPAS ADZENYS ER ADZENYS XR-ODT AFINITOR AIMOVIG AUTOINJECTOR AJOVY ALECENSA ALUNBRIG amlodipine-valsartan amlodipine-valsartan-hctz AMPYRA AMRIX ANDRODERM ANDROGEL ANDROID ANDROXY ANODYNE LPT APTIOM ARCALYST ARIKAYCE ARYMO ER ASTAGRAF XL AUSTEDO AUVI-Q AVITA AXIRON BENLYSTA BERINERT bexarotene BONJESTA BOSULIF BRAFTOVI BRIVIACT budesonide er buprenorphine patch BUTRANS CABOMETYX CALQUENCE CAPRELSA CARAC CARBAGLU carisoprodol 250mg CENTANY AT CERDELGA chlorzoxazone 250mg CHOLBAM CIMZIA CINRYZE CLINDACIN ETZ CLINDACIN PAC clindamycin phos-benzoyl perox clindamycin phos-tretinoin CLODAN COMETRIQ COMFORT PAC-CYCLOBENZAPRINE COMFORT PAC-MELOXICAM COMFORT PAC-NAPROXEN COMFORT PAC-TIZANIDINE COPEGUS COPIKTRA COSENTYX COTELLIC COTEMPLA XR-ODT CUPRIMINE CUVPOSA cyclobenzaprine hcl 7.5mg cyproheptadine hcl syrup CYSTARAN PAGE 1
2 DAKLINZA dalfampridine er DAURISMO DERMACINRX CINLONE-I CPI DERMACINRX CLORHEXACIN DERMACINRX EMPRICAINE DERMACINRX LEXITRAL DERMACINRX PRIZOPAK DERMACINRX SILAPAK DERMACINRX SILAZONE DERMACINRX SURGICAL PHARMAPAK DERMACINRX THERAZOLE PAK DERMAZONE dexamethasone therapy pack DICLEGIS DICLO GEL DICLO GEL-XRYLIX SHEET diclofenac sodium 3% DICLOPR DICLOTRAL DICLOZOR DITHOL DOLOTRANZ DOPTELET doxycycline hyclate DUEXIS DUPIXENT DURAGESIC DUZALLO DYANAVEL XR DYMISTA EGRIFTA ELLZIA PAK EMBEDA EMFLAZA EMGALITY EMVERM ENBREL ENBREL MINI ENBREL SURECLICK ENDARI ENSTILAR ENVARSUS XR EPANDED SOLUTION EPCLUSA EPIDIOLEX ERIVEDGE ERLEADA ESBRIET ESOMEP-EZS esomeprazole strontium EXALGO EXTAVIA ENTERAL FORMULA REQUIRES PRIOR AUTHORIZATION. FABIOR FARYDAK fenoprofen calcium FENORTHO fentanyl patch fentanyl citrate FENTORA FEXMID FIRAZYR FLECTOR FLEXIPAK fluorouracil 0.5% cream FORTEO FORTESTA FULYZAQ GALAFOLD GATTEX GENOTROPIN GIAZO GILOTRIF GLYCATE glycopyrrolate 1.5mg GOCOVRI GONITRO GRALISE GRANIX H.P. ACTHAR HAEGARDA PAGE 2
3 HARVONI HETLIOZ HORIZANT HUMATROPE HYCAMTIN hydromorphone er HYSINGLA ER HUMIRA IBRANCE ICLUSIG IDHIFA IMBRUVICA IMPAVIDO INCRELEX INFLAMMACIN INGREZZA INLYTA IRESSA JAKAFI JUBLIA JUXTAPID JYNARQUE KADIAN KALYDECO KERYDIN KEVEYIS KEVZARA KINERET KISQALI KISQALI FEMARA CO-PACK KORLYM KRISTALOSE KUVAN KYNAMRO lactulose packet LAMISIL GRANULES LAZANDA ledipasvir-sofosbuvir LENVIMA LETAIRIS levorphanol tartrate LEXIXRYL LIDO-PRILO CAINE PACK LIDOPAC LIDOPRIL LIDOPRIL XR LIDOTRANS 5 PAK LIPROZONEPAK LONSURF LOPROX LORBRENA LORZONE LYNPARZA LYRICA CR MAVYRET MEDOLOR PAK MEKINIST MEKTOVI mesalamine kit methadone hcl METHADONE INTENSOL METHADOSE METHITEST methyltestosterone miglustat minocycline hcl er MINOLIRA ER MODERIBA MORGIDOX MORPHABOND ER morphine sulfate er MOXATAG MOZOBIL MULPLETA MYALEPT MYTESI NALFON NAMZARIC NATESTO NATPARA NERLYNX PAGE 3
4 NEUPOGEN NEUPRO NEURCAINE NEXAVAR NINLARO nitroglycerin spray NITYR NIVESTYM NORDITROPIN FLEXPRO NORTHERA nortriptyline dose cup NUCYNTA ER NUDICLO NUDROXIPAK NUDROXIPAK DSDR-50 NUDROXIPAK DSDR-75 NUDROXIPAK E-400 NUDROXIPAK I-800 NUDROXIPAK N-500 NUEDEXTA NUPLAZID NUTRESTORE NUTRIARX NUTROPIN AQ OCALIVA ODOMZO OFEV OLUMIANT OLYSIO OMECLAMOX-PAK OMNITROPE ONEXTON ONMEL OPSUMIT ORAVIG ORENCIA ORENITRAM ER ORFADIN ORILISSA ORKAMBI OSMOLEX ER OTEZLA OTREXUP OXERVATE OXTELLAR XR oxycodone hcl er OXYCONTIN oxymorphone hcl er PAINGO KFT PALYNZIQ paroxetine mesylate 7.5mg PEDIADERM HC PEGASYS PEGASYS PROCLICK PEGINTRON PEGINTRON REDIPEN PENNSAID POMALYST PRALUENT PREVIDOLRX PLUS ANALGESIC PAK PRILOLID PROCYSBI PROFENO PROMACTA PURIXAN QBRELIS QUALAQUIN QUDEXY XR QUILLICHEW ER QUILLIVANT XR quinine sulfate RASUVO RAVICTI RAYOS REBETOL RELADOR PAK REPATHA REVATIO REVLIMID RIBASPHERE RIBASPHERE RIBAPAK RIBATAB PAGE 4
5 ribavirin ROSADAN ROWASA RUBRACA RUCONEST RYDAPT RYTARY SABRIL SAIZEN SANADERMRX SEROSTIM SIGNIFOR SIKLOS SILALITE PAK SILAZONE-II sildenafil 20mg SILIQ SIMPONI SITAVIG SIVEXTRO sofosbuvir-velpatasvir SOLARAZE SOLODYN SOLTAMOX SOLUPAK SOMA SOMAVERT SORILUX SOTYLIZE SOVALDI SPRITAM SPRIX SPRYCEL STELARA STIVARGA STRENSIQ STRIANT SUBSYS SUCRAID SUTENT SYLATRON SYMDEKO SYNALAR TS SYNDROS SYPRINE TACLONEX SUSP tadalafil 20mg TAFINLAR TAGRISSO TAKHZYRO TALZENNA TAPERDEX TARCEVA TARGRETIN TASIGNA TAVALISSE TECHNIVIE TEGSEDI TESTIM testosterone - topical TESTRED tetrabenazine TIBSOVO TICALAST TICANASE TICASPRAY TIVORBEX topiramate er TRACLEER tramadol er caps tramadol hcl er TREMFYA TRETIN-X tretinoin cream 0.05% tretinoin microsphere TRI-SILA trientine hcl PAGE 5
6 TRIXYLITRAL TROKENDI XR TYKERB TYMLOS TALTZ TYVASO UCERIS ULTRAVATE X UPTRAVI VACUSTIM BLACK VACUSTIM SILVER VALCHLOR VELTIN VENCLEXTA VERZENIO VIEKIRA PAK VIEKIRA XR vigabatrin VIMOVO VITRAKVI VIVLODEX VIZIMPRO VOGELXO VOSEVI VOTRIENT WHYTEDERM TRILASIL PAK XALKORI XARTEMIS XR XATMEP XELITRAL XELJANZ XELJANZ XR XENAFLAMM XERESE XERMELO XHANCE XIMINO XOSPATA XRYLIX XTAMPZA ER XTANDI XURIDEN XYOSTED XYREM YONSA ZEJULA ZELAPAR ZELBORAF ZEPATIER ZEYOCAINE ZIANA ZIPSOR ZODEX ZOHYDRO ER ZOLINZA ZOMACTON ZONTIVITY ZORBTIVE ZORVOLEX ZURAMPIC ZYDELIG ZYKADIA ZYTIGA PAGE 6
7 MANAGED MEDICAID STEP THERAPY LIST The following prescription drugs require STEP THERAPY Step Therapy requires that members try certain First Line options before other medications will be considered medically necessary for treatment of a specific condition. Step therapy requirements may apply to both brand and generics. Typically First Line medications are classified as generics, but there are instances where brand name medications may be preferred. ALOGLIPTIN BENZOATE ALOGLIPTIN BENZOATE/PIOGLITAZONE HCL ALTABAX AMITIZA APLENZIN AUBAGIO BETASERON BIMATOPROST 0.03 % DROPS BYDUREON BYDUREON BCISE BYDUREON PEN BYETTA BYSTOLIC CAMBIA CIMZIA CLOCORTOLONE PIVALATE 0.1 %CREAM(G) CLODERM COSENTYX DAKLINZA DESONATE DESVENLAFAXINE FUMARATE DIFICID DURAGESIC EDLUAR EMSAM ENTRESTO EPCLUSA FANAPT FOSAMAX PLUS D GENOTROPIN HALOG HARVONI HUMATROPE INVOKAMET INVOKAMET XR INVOKANA KADIAN KEVZARA KHEDEZLA KINERET LATUDA PAGE 1 LEVALBUTEROL TARTRATE HFA LUMIGAN LYRICA MORPHINE SULFATE NORDITROPIN FLEXPRO NUTROPIN AQ OLEPTRO ER OLYSIO ORENCIA PANDEL PEXEVA RAPAFLO REXULTI ROZEREM SAIZEN SANCUSO SAPHRIS SAVELLA SEGLUROMET SILENOR SILIQ SIMPONI STEGLATRO TECHNIVIE TREMFYA TRIANEX TUZISTRA XR TALTZ ULORIC VERDESO VICTOZA 2-PAK VICTOZA 3-PAK VIEKIRA PAK VIEKIRA XR XOPENEX HFA ZEPATIER ZINBRYTA ZOLPIMIST Please submit completed PA and Step Therapy forms to: Pharmacy Help Desk Mail to: 165 Court Street, Rochester, NY Fax: 1 (800) Phone: 1 (800)
Prior authorization. Member education. Why do some drugs need review and approval? How do I get approval?
Member education Prior authorization Some drugs need to be reviewed before they re covered by your plan. This review helps make sure they re safe and affordable for you. Why do some drugs need review and
More information2016 Formulary Exclusion List for Essential Formulary
2016 Formulary Exclusion List for Essential Formulary The medications shown below are not covered on the 2016 Essential Formulary. An exclusion does not mean you cannot have a particular drug. It simply
More informationPharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2017
Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2017 SELECT PRODUCTS EXCLUDED FROM RX COVERAGE Effective Oct. 1, 2017, select prescription drugs that are available over-the-counter
More information2017 Formulary Annual Notice of Change Medicare Advantage Plans (MAPD)
Updated: October 1, 2016 2017 Formulary Annual Notice of Change Medicare Advantage Plans (MAPD) This is a listing of the changes that have occurred to the 2017 MAPD formulary. For a complete list, please
More informationCommunity Flex-Plan (HMO-POS) 2018 Formulary. List of Covered Drugs
Community Flex-Plan (HMO-POS) 2018 Formulary List of Covered Drugs Formulary ID: 00018199 Version: 15 PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN This formulary
More informationNALC Health Benefit Plan High Option 2018 Prescription Benefits Overview
NALC Health Benefit Plan High Option 2018 Prescription Benefits Overview This booklet is a summary of some of the features of the NALC Health Benefit Plan High Option. Detailed information on the benefits
More information2017 Medicare Part D Step Therapy Requirements. Effective: November 01, 2017
2017 Medicare Part D Step Therapy Requirements Effective: November 01, 2017 Formulary ID 17192, Version 19 Last Updated: 10/24/2017 BISPHOSPHONATE THERAPY FOSAMAX PLUS D 70 MG-2,800 UNIT FOSAMAX PLUS D
More informationPHARMACY TIMES BY IEHP PHARMACEUTICAL SERVICES DEPARTMENT January 1, 2019
PHARMACY TIMES BY IEHP PHARMACEUTICAL SERVICES DEPARTMENT January 1, 2019 IEHP FORMULARY CHANGES: January 2019 P&T UPDATE We would like to inform you of the following changes to the 2019 IEHP Formulary
More informationOral Dosage Forms That Should Not Be Crushed 2016
Drug Product Active Ingredient(s) Dosage Form(s) Reasons/Comments Absorica (isotretinoin) Capsule Mucous membrane irritant Accutane (isotretinoin) Capsule Mucous membrane irritant AcipHex (rabeprazole)
More informationNALC Health Benefit Plan High Option 2017 Prescription Benefits Overview
NALC Health Benefit Plan High Option 2017 Prescription Benefits Overview This booklet is a summary of some of the features of the NALC Health Benefit Plan High Option. Detailed information on the benefits
More informationNALC Health Benefit Plan High Option 2016 Prescription Benefits Overview
NALC Health Benefit Plan High Option 2016 Prescription Benefits Overview This booklet is a summary of some of the features of the NALC Health Benefit Plan High Option. Detailed information on the benefits
More informationPrescription Medications Alphabetical Listing
Prescription Medications Alphabetical Listing INTRODUCTION The Prescription Savings Club provides its members with significant savings on prescription medications. The medications listed are available
More informationWichita Public Schools USD259 Summary of Drug Coverage Covered Items Excluded Items
Covered Items Accutane Acne topical products- generics only Aerochambers Anaphylactic Kits Antifungal topical products- generic only Aspirin oral -Rx and OTC Compounded medications of which at least one
More informationCOMMUNITY MEDICINE PHARMACY
COMMUNITY MEDICINE PHARMACY SELECTED GENERIC PLAN AVAILABLE IN 30, 60, AND 90 DAY SUPPLIES 1 P age *ALLERGIES & COLD & FLU $3.99,30 DAY $7.98,60 DAY $9.99 90 DAY BENZONATATE 100 MG CAPS 15 30 45 CETIRIZINE
More informationQUALITY HEALTH CARE YOUR PREFERRED PARTNER IN. For better health
YOUR PREFERRED PARTNER IN QUALITY HEALTH CARE For better health Manufacturer of Pharmaceutical Products Eka Pharma 308, Samanvay Zillion, Gotri - Sevasi Road, Opp. Shaishav School, Vadodara-391 101, (Guj.)
More informationYfirlit yfir samninga eftir útboð, verðfyrirspurnir og samningskaup. Gildistími frá 1. janúar 2017 Orra
ATC - flokkur Yfirlit yfir samninga eftir útboð, verðfyrirspurnir og samningskaup. Gildistími frá 1. janúar 2017 NVN Orra númer Heiti lyfs Gildistími samnings B05XA05 035113 1125541 Addex-Magnesium 31.08.2017
More informationReminder to Pharmacists. Issuance of Bulletin #58
Corporate and Provincial Program Support 300 Carlton, Winnipeg MB R3B 3M9 www.manitoba.ca/health Reminder to Pharmacists Issuance of Bulletin #58 Bulletin #58, effective April 29, 2008, completes the initial
More informationJASPER DRUGS AT FOOTHILLS
JASPER DRUGS AT FOOTHILLS Low-cost prescriptions make a difference At Jasper Drug, we think medications should be affordable for everyone. Our $4.99 prescriptions can save families hundreds of dollars
More informationMaxorPlus: Wichita Public Schools USD259 Coverage Period: 01/01/ /31/2016 Summary of Drug Coverage: What drugs this Plan Covers & What it Costs
This is only a summary. If you want more detail about your coverage and costs, you can get additional information at www.maxorplus.com or by calling 1-800-687-0707. Prescription Benefit Important Questions
More informationALPHABETICAL REFERENCE GUIDE
ACEPROMAZINE ACETAZOLAMIDE ALBUTEROL SULFATE ALENDRONATE ALLOPURINOL ALUMINUM HYDROXIDE AMANTADINE AMINOCAPROIC ACID AMINOPHYLLINE AMITRIPTYLINE AMITRIPTYLINE/PREDNISOLONE COMBINATION AMLODIPINE AMLODIPINE/BENAZEPRIL
More informationChanges to your pharmacy plan
151 Farmington Avenue Hartford, CT 06156 September, 2015 Changes to your pharmacy plan The enclosed chart shows changes that start on January 1, 2016. We re adding some brand-name and generic drugs to
More informationWe would love to work with you so you can prescribe the best treatments for your patients.
The following represents our main compounded medications and forms. If you do not see what you re looking for, please contact us as we may be able to help. We would love to work with you so you can prescribe
More informationMONEY MAKER. Volume 20, Issue 10 March 12, 2017
MONEY MAKER Volume 20, Issue 10 March 12, 2017 Routing List Owner Front Manager Pharmacy Manager Other Phone... (919) 596-2151 Toll-Free... (800) 800-8551 Fax... (919) 596-1453 CII Fax... (919) 598-4994
More informationSASKATCHEWAN FORMULARY COMMITTEE BULLETIN UPDATE TO THE 54th EDITION
Saskatchewan Health Drug Plan and Extended Benefits Branch October, 2004 Bulletin #100 ISSN 0708-3246 SASKATCHEWAN FORMULARY COMMITTEE BULLETIN UPDATE TO THE 54th EDITION NEW FULL FORMULARY LISTING The
More informationSl. No. NAME OF PRODUCT GENERIC NAME CATEGORIES 1. ACTION PLUS Paracetamol BP, Aspirin BP, & Caffeine (Anhydrous) BP
Sl. No. NAME OF PRODUCT GENERIC NAME CATEGORIES 1. ACTION PLUS Paracetamol, Aspirin, & Caffeine (Anhydrous), Antipyretic 2. AKBAR Paracetamol & Diclofenac Sodium Tablets, Antipyretic 3. AMLODIPINE TABLETS
More informationINJECTION GMP FSC AMPICILLIN SODIUM 500mg/1 g+ SULBACTAM DRY POWDER INJECTION GMP FSC
1 S.NO COMPOSITION DOSAGE FORM PLANT CERTIFICATION DOCUMENTS 1 AZITHROMYCIN 500mg AMOXYCILLIN 250mg/500 mg/1 g+ POTASSIUM 2 CLAVULANIC 50mg/100mg/200mg AMPICILLIN SODIUM 500mg/1 g+ SULBACTAM 3 250mg/0.5g
More informationG - M G L O B A L UNIT: 426, 4 th Floor, Gundecha Industrial Complex Premises, Akurli Road, Kandivali-East, Mumbai,
Sl. No. NAME OF PRODUCT GENERIC NAME CATEGORIES 1. ACTION PLUS Paracetamol, Aspirin, & Caffeine (Anhydrous) Anti-inflammatory,, Antipyretic 2. AKBAR Paracetamol & Diclofenac Sodium Tablets, Antipyretic
More informationGriseofulvin 500 mg microsize tablet Grifulvin V
MEDICATION COVERAGE POLICY PHARMACY AND THERAPEUTICS ADVISORY COMMITTEE POLICY Fungal Infections P&T DATE 12/14/2016 THERAPEUTIC CLASS Infectious Diseases REVIEW HISTORY 5/15, 9/13, 6/08 LOB AFFECTED MediCal,
More informationGENERICS ONLY. January 2017
January 2017 GENERICS ONLY prescription drug list Choosing the medication that is right for you is between you and your doctor. Your prescription drug list offers you an extensive list of generic medications
More informationAlphabetical Formulary List
Acetaminophen 120mg, 325mg, and 650mg Suppositories 12 $5.00 Antipyrine and Benzocaine Otic Solution 10 $5.00 Acetic Acid/Aluminum Acetate 2% Solution 60 $5.00 Anucort-HC 25mg Suppositories 12 $5.00 Acyclovir
More informationMEDICINES CONTROL COUNCIL
MEDICINES CONTROL COUNCIL NOTIFICATION OF REGISTRATION OF MEDICINES BY THE REGISTRAR IN TERMS OF SECTION 17 OF THE MEDICINES AND RELATED SUBSTANCES CONTROL ACT 101 OF 1965 31/5.2/0332 BE-TABS 32/5.2/0670
More informationVeterinary Pharmacy An Introduction Jennifer A. Kelleher, PharmD, BCPS, FSVHP Compounding Pharmacist
Veterinary Pharmacy An Introduction Jennifer A. Kelleher, PharmD, BCPS, FSVHP Compounding Pharmacist IVG Veterinary Compounding Pharmacy Massachusetts Veterinary Referral Hospital - Woburn, MA Disclosure
More informationSubject: Updated and Revised Federal Upper Limits List
P R O V I D E R B U L L E T I N BT200220 MAY 24, 2002 To: All Pharmacy Providers Subject: Note: The information in this bulletin is not directed to those providers rendering services in the riskbased managed
More informationHLM CLIA Upp95 HLM CLIA SEM. HLM CLIA Mean HLM CLIA SD HLM CLIA CV
TradeName Set Ceff (total Ceff (free hfu,p OP SD CV Candidate-001 Candidate-001 Candidates 0.91 Candidate-002 Candidate-002 Candidates < 50.8 31.6 62.2 14.1 90.3 11.2 5 98.4 0.52 = 2.6 1.0 38.1 0.5 4.2
More informationRegistered Drug Product List:
354 Aguirre Ave. Phase III BF Homes Parañaque City, Metro Manila Philippines +63 2 829 7294/ 826 4902 +63 2 820 4151 Email: info@saharint.com / private_2ii@hotmail.com Antibiotic Line Products: 1 P age
More informationYOUR COMPLETE SOURCE FOR MEDICAL MISSIONS SUPPLIES.
YOUR COMPLETE SOURCE FOR MEDICAL MISSIONS SUPPLIES. When disasters strike, Blessings International provides pharmaceuticals and medical supplies quickly, so you can bring healing to the hurting. Where
More informationAetna Commercial Formulary for Fully-Insured Members January 1, 2016 Updates
Abbreviation Key UPPERCASE = brand-name drug; lower case italics = generic drug Age Limit These drugs have an age limit requirement. You must meet the age requirement before the drug will be covered. Expect
More informationYOUR COMPLETE SOURCE FOR MEDICAL MISSIONS SUPPLIES.
YOUR COMPLETE SOURCE FOR MEDICAL MISSIONS SUPPLIES. When disasters strike, Blessings International provides pharmaceuticals and medical supplies quickly, so you can bring healing to the hurting. Where
More informationGOVERNMENT GAZETTE OF THE REPUBLIC OF NAMIBIA. N$2.40 WINDHOEK - 18 August 2008 No CONTENTS
GOVERNMENT GAZETTE OF THE REPUBLIC OF NAMIBIA N$2.40 WINDHOEK - 18 August 2008 No. 4103 GOVERNMENT NOTICES CONTENTS No. 196 Medicines and Related Substances Control Act, 1965: Registration of certain medicines...
More informationCommonly Used Analgesics
Commonly Used Analgesics The following analgesics are intended for general use in the species of laboratory animals commonly used at NEOUCOM. The animals genetic background and other factors may have a
More informationLatest Press Release. Tumblr proxy for school
corp@stantec.com Latest Press Release Tumblr proxy for school S Jan 23, 2008. Though it is indeed possible to usher your pet from this world on an overdose of oral barbiturates or expired oxycodone prescribed
More informationApproved Drug Product List - Orange Book Reference Listed Drugs by ANDA Reference Standard List. April 2017 Page 1 of 6
April 2017 Page 1 of 6 DESCRIPTION This list refers to drug products approved under an Abbreviated New Drug Application (ANDA) that FDA has selected as reference standards and the associated reference
More informationGOBIERNO DE PUERTO RICO Administración de Servicios Médicos de Puerto Rico
1 Acetylcysteine Solution 20% Vial 10ml 2 Acetylcysteine Solution 20% Vial 30ml 3 Activated Charcoal Bottle 4 fl oz or 8 fl oz 4 Adenosine 6mg/2ml Inj Solution Syringe / Vial 2ml 5 Albuterol Sulfate Inhalation
More informationBulletin #33. Manitoba Drug Benefits and Interchangeability Formulary Amendments.
Bulletin #33 Manitoba Drug Benefits and Interchangeability Formulary Amendments Copies of the consolidated regulations for Pharmacare benefits and interchangeable drugs (including the enclosed amendments),
More informationNew Maryland Racing Medication Guidelines
New Maryland Racing Medication Guidelines January 1, 2014 NEW MEDICATION REFORMS EFFECTIVE JANUARY 1, 2014 The Mid Atlantic racing states have joined together to implement a uniform medication and drug
More informationBIO4 Antibiotics Expert Committee
ANTIBIOTICS-MICROBIAL ASSAYS AMOXICILLIN INTRAMAMMARY INFUSION AMPHOTERICIN B AMPHOTERICIN B CREAM AMPHOTERICIN B FOR INJECTION AMPHOTERICIN B LOTION AMPHOTERICIN B BACITRACIN BIO4 Antibiotics Expert
More informationISMP Canada HYDROmorphone Knowledge Assessment Survey
ISMP Canada HYDROmorphone Knowledge Assessment Survey Knowledge Assessment Questions 1. In an equipotent dose, HYDROmorphone is more potent than morphine. True False Unsure 2. HYDROmorphone can be given
More informationCompounded Ophthalmic Formulations
Compounded Ophthalmic Formulations Pricing is updated as of April 2018 and may be subject to change PCAB-ACCREDITED 503A PHARMACY PATIENT SPECIFIC Injectable Formulations Dropless Formulations Concentration
More informationUAB Controlled Substances Program Catalog Numbers by Vendor. Catalog # Brand Name Generic Name Schedule Amount Manufacturer Unit Cost Henry Schein
UAB Controlled Substances Program Catalog Numbers by Vendor Henry Schein Animal Health Henry Schein O55175 Buprenex Buprenorphine.3mg/ml Ampule III 5 count Generic $96.69 charges a $5 fee O54888 Buprenorphine
More informationTable 2 - Medications and their ideal route of administration
Table 2 - Medications and their ideal route of administration Pharmacologic-Therapeutic Classification Drug Route Antihistamines First-Generation Antihistamines Diphenhydramine Promethazine Anti-infective
More informationUAB Controlled Substances Program Catalog Numbers by Vendor. Henry Schein charges a $5 fee for any order under $75
UAB Controlled Substances Program Catalog Numbers by Vendor Henry Schein Animal Health O55175 Buprenex Buprenorphine.3mg/ml Ampule III 5 count Generic $96.69 O54888 Buprenorphine Hydrochloride InjectioBuprenorphine
More informationSIMAGCHEM CORPORATION
SIMAGCHEM CORPORATION Corporation SIMAGCHEM was established in 1996. We are a dynamic and innovative chemical supplier company based in China. In term of our teamwork and EPR -BDL database, we are professional
More informationSee Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: Doxycycline Hyclate (Acticlate, Doryx), Doxycline (Oracea), Minocycline (Solodyn, Ximino) Reference Number: CP.CPA.120 Effective Date: 11.16.16 Last Review Date: 11.17 Line of Business:
More informationComprehensive PREFERRED DRUG LIST. Peach State Health Plan
Comprehensive REFERRED DRUG LIST each State Health lan each State Health lan: referred List (DL) This referred List is searchable. Here is how to search for a drug: 1. ress Control F to open the search
More informationPHLOX LABORATORIES PRIVATE LIMITED 1. Hematinic Syrup of Iron, Folic acid and Vitamin B12 (For therapeutic use)
1. Hematinic Syrup of Iron, Folic acid and Vitamin B12 (For therapeutic use) Composition; Each 15 ml contains: Ferric Ammonium Citrate I.P. 160 mg e.q. to Elemental Iron 32.8 mg Cyanocobalamin I.P. 7.5
More informationTelephone Max dose amoxicillin pediatrics P.O. Box 189 Navan, ON, K4B 1J4 Canada. Sitemap
Telephone 613-835-9490 Max dose amoxicillin pediatrics P.O. Box 189 Navan, ON, K4B 1J4 Canada Sitemap 25 mg/kg/ dose ( Max : 500 mg/ dose ) PO twice daily for 10 days is recommended by the Infectious Diseases
More informationHow to take dog off tramadol
P ford residence southampton, ny How to take dog off tramadol 19-8-2012 98 Answers - Posted in: tramadol, withdrawal - Answer: Gonna take upwards of a couple of weeks to begin to gradually feel better..
More informationTherapeutic Area Generic Composition Dosage Form Pack Type
Albendazole USP Albendazole USP Suspension Anthelmentics Mebendazole BP Mebendazole BP Suspension Albendazole BP+ Ivermectin BP Ketorolac Tromethamine USP Tramadol Hydrochloride BP Tramadol Hydrochloride
More informationMedicaid and Child Welfare List of Drugs Requiring Prior Authorization
Medicaid and Child Welfare List of Drugs Requiring Prior Authorization The following is the list of drugs that Sunshine Health s utilization management department must approve prior to the drug being given.
More informationMANUFACTURING PROBLEMS AS OF 22nd June 2018
3 MANUFACTURING PROBLEMS AS OF 22nd June 2018 If you know of any stock Issues that are not on this list please get in touch at ahope@nhs.net The information contained in this bulletin is based on information
More informationSAMPLE. Certificate in Understanding the Safe Handling of Medication in Health and Social Care PRESCRIPTION. Workbook 1 LEGISLATION.
NCFE Level 2 Certificate in Understanding the Safe Handling of Medication in Health and Social Care ACCOUNTABILITY PRESCRIPTION ADMINISTRATION STORAGE SUPPLY LEGISLATION 1 LCG 2015 This section will introduce
More informationCOS List. Page 1. trading & distribution excellence since Product CEP no. CoS status Country. Acamprosate OBTAINED Korea
Page 1 trading & distribution excellence since 1986 Acamprosate 2001-160 OBTAINED Korea Acarbose* pending pending China Acetyl Salicylic Acid (Aspirin) * 2001-399 OBTAINED China Acyclovir 2001-283 OBTAINED
More informationWhat s New NPPA has fixed/revised ceiling prices/retail Prices of 65 formulations under Drugs
What s New 8.2.207 NPPA has fixed/revised ceiling prices/retail Prices of 65 formulations under Drugs (Prices Control) Order, 203 NPPA has fixed/revised ceiling prices/retail Prices of 65 scheduled formulations
More informationPharmacy Program Preferred Drug List Pharmacy Benefit Manager Specialty Drugs Dispensing Limits
referred List The Absolute Total Care Formulary includes a list of drugs covered by your prescription benefit. The formulary is updated often and may change. To get the most up-to-date information, you
More informationFedley healthcare Pvt. Ltd.
Fedley healthcare Pvt. Ltd. (An ISO 9001:2008 Certified Company) S.C.F. - 495, 1st. Floor, Motor Market, Manimajra -160101, Chandigarh. Contact nos.: 098886-56719, 09467946767 Email: fedleycare@gmail.com
More information20mL, 50mL, 100mL. 20mL, 50mL, 100mL. 20mL, 50mL, 100mL. 20mL, 50mL, 100mL. 20mL, 50mL, 100mL. 50mL, 100mL. 50mL, 100mL.
VETERINARY PHARMACEUTICALS PRODUCTS / ACTIVE INGREDIENTS PRESENTATION TARGET SPECIES ANTIBIOTICS ENROZOL SOLUTION FOR INJECTION ENROFLOXACIN 100 mg/ml ZOLIGEN SOLUTION FOR INJECTION GENTAMICIN SULPHATE
More information50mg per 1000 tablets. 300mg per 1000 tablets. 100mg/ml 10ml per 100 amps. 200mg per 1000 tablets 400mg per 1000 tablets. 500mg per 1000 tablets
info@diagimaging.com DIAGNOSTIC IMAGING LTD Elkington Lodge, Welford, Northants NN6 6HE UK T el +44 (0)845 226 0520 Fax +44 (0)845 226 0521 Acetazolamide Adrenaline injection 1mg/ml Albendazole Albendazole
More informationAn Information Service of the Division of Medical Assistance. North Carolina Medicaid Pharmacy Newsletter. Number 229 April In This Issue...
An Information Service of the Division of Medical Assistance North Carolina Medicaid Pharmacy Newsletter Number 229 April 2014 In This Issue... N.C. Medicaid and N.C. Health Choice Preferred Drug List
More informationARCI Controlled Therapeutic Medication Schedule for Horses - Version 2.2 Revised April 2015
ARCI Schedule for Horses - Version 2.2 Revised April 2015 Acepromazine 10 nanograms per milliliter as 2-(1- hydroxyethyl) promazine sulfoxide (HEPS) in urine Single intravenous dose of acepromazine at
More informationAn Introduction to: Mahban Group
An Introduction to: Mahban Group No.30,Mahban Building, 3 rd. floor, # 6 & 7, Esfandiar Blvd, Valiasr Ave, Postal code. :1968654137- Tehran / Iran Tele fax : +98-21-88678712-13 www.mahbangroup.com Mahban
More informationDoxycycline dose for diverticulitis doxycycline dose for diverticulitis diverticulitis Doxycycline dosage Diverticulitis Diverticular dose
Your browser does not support script Antibiotics: choices for common infections. The following information is a consensus guide. It is intended to aid selection of an appropriate antibiotic for typical.
More informationhttps://www.indiamart.com/healthbiotech/
+91-8079454100 Health Biotech Limited https://www.indiamart.com/healthbiotech/ The top most leading manufacturing company offers best quality range of broad portfolio of finished Pharmaceutical Formulations.
More informationLot # Exp. Date Product Description / Strength Bottle Size NDC. 23X017 11/2018 Amlodipine and Valsartan Tablets 5 mg/160 mg 90 Count
Teva Pharmaceuticals USA Issues Voluntary Nationwide Recall of All Amlodipine/Valsartan Combination Tablets and Amlodipine/Valsartan/ Hydrochlorothiazide Combination Tablets That Are Within Expiry November
More informationDOSE ROUTE FREQUENCYREFERENCENOTES
Published on UC Davis Safety Services (https://safetyservices.ucdavis.edu) List of Formularies Rabbit Formulary Dog Formulary Cat Formulary Guinea Pig Formulary Rat Formulary Mouse Formulary Hamster Formulary
More informationPharmaceutical Form SYRUP PEDIATRIC SUGAR FREE AMBROXOL HYDROCHLORIDE 6 MG/ML SYRUP ADULT SUGAR FREE BOTTLE X 100ML EXPECTORANTS BRAND
01001 PRODUCT LIST THIAMINE HYDROCHLORIDE + RIBOFLAVIN + PYRIDOXINE HYDROCHLORIDE + NICOTINAMIDE + ASCORBIC ACID 01015 AMBROXOL HYDROCHLORIDE 3 MG/ML N/A SYRUP BOTTLE X 240ML APPETITE STIMULANTS SYRUP
More informationFDA MedWatch. KCER Release Date: November
KCER Release : November 2018 FDA MedWatch www.kcercoalition.com/alerts Teva Pharmaceuticals USA Issues Voluntary Nationwide Recall of All Amlodipine/Valsartan Combination Tablets and Amlodipine/Valsartan/Hydrochlorothiazide
More informationUpdates to the Alberta Drug Benefit List. Effective December 1, 2014
Updates to the Alberta Drug Benefit List Effective December 1, 2014 Inquiries should be directed to: Pharmacy Services Alberta Blue Cross 10009 108 Street NW Edmonton AB T5J 3C5 Telephone Number: (780)
More informationARCI Controlled Therapeutic Medication Schedule for Horses - Version 3.2 Revised December 9, 2016.
ARCI Schedule for Horses - Version 3.2 Revised December 9, 2016. Acepromazine 10 nanograms per milliliter as 2-(1- hydroxyethyl) promazine sulfoxide (HEPS) in urine Single intravenous dose of acepromazine
More informationIs Amoxicillin 500 Mg Good For Strep Throat
Is Amoxicillin 500 Mg Good For Strep Throat amoxicillin 250 mg dosage for dogs amoxicillin 1000 mg dosage amoxicillin 500mg dosage ear infection amoxicillin 500mg dosage for cats amoxicillin trihydrate
More informationARCI Controlled Therapeutic Medication Schedule for Horses - Version 4.1 Revised January, 2019
ARCI Schedule for Horses - Version 4.1 Revised January, 2019 Acepromazine 10 nanograms per milliliter as 2-(1- hydroxyethyl) promazine sulfoxide (HEPS) in urine Single intravenous dose of acepromazine
More informationHalloween Royal Icings
ALL EDIBLES ARE CERTIFIED KOSHER Halloween Royal Icings R O Y A L I C I N G H A L L O W E E N M I N I S 460001 HALLOWEEN ASSORTMENT 500/BOX 1/2 16.60 460201 PUMPKIN CHARMS 500/BOX 1/2 13.75 460010 MINI
More informationWITHDRAWAL TIME RECOMMENDATIONS ARIZONA RACE TRACKS MEET
WITHDRAWAL TIME RECOMMENDATIONS ARIZONA RACE TRACKS 2018-19 MEET IMPORTANT WARNING: The information on drug withdrawal times does not constitute and is not a warranty, guarantee, assurance, undertaking,
More informationCompounded Ophthalmic Formulations
Compounded Ophthalmic Formulations Pricing is updated as of February 2018 and may be subject to change PCAB-ACCREDITED 503A PHARMACY PATIENT SPECIFIC Topical Formulations (Con't) Simple Drops Formulations
More informationPOST-OPERATIVE ANALGESIA AND FORMULARIES
POST-OPERATIVE ANALGESIA AND FORMULARIES An integral component of any animal protocol is the prevention or alleviation of pain or distress, such as that associated with surgical and other procedures. Pain
More informationPrecision Compounding - Nationwide. The Stokes Difference
TM Precision Compounding - Nationwide. p: 800-754-5222 f: 800-440-5899 w: stokespharmacy.com REDEFINING QUALITY The Stokes Difference Specialties Dosage Forms Injectables Medi-Turn Transdermal Pens Petibles
More informationMaryland Racing Commission Medication Guidelines
Maryland Racing Commission Medication Guidelines August 1, 2015 Maryland Racing Medication Guidelines The Mid Atlantic racing states have joined together to implement a uniform medication and drug testing
More informationManufacturer and Marketing Company respectively M/s Unison Pharmaceuticals Pvt. Ltd. M/s Unison Pharmaceuticals Pvt. Ltd.
Sr.No. S.O.No Date Formulation based on bulk drugs 7 2.2.208 Telmisartan + Amlodipine + Hydrochlorthaiazide Retail Price (excluding local taxes, if any,) fixed under Para 5, and 5 of DPCO, 203 208 Name
More informationDoxycycline hyclate vs monohydrate
Doxycycline hyclate vs monohydrate Search Pictures of Doryx ( Doxycycline Hyclate ), drug imprint information, side effects for the patient. Generic name: Doxycycline Calcium, Doxycycline Hyclate, Doxycycline
More informationUltra Chiron Pharmaceuticals Pvt.Ltd. 575, Phase-IX Industrial Area, Mohali
Tablet Section:- 1. ACEPRIL-A Rampril B.P. 2.5mg 2X5X10 Amlodipine Besylate Eq to Amlodipine 5mg Each uncoated Tablet contains 2. ACEPRIL-2.5 Rampril B.P. 2.5mg 2X5X10 Each uncoated Tablet contains 3.
More informationH.L. HEALTHCARE PVT. LTD.
H.L. HEALTHCARE PVT. LTD. CONTACT DETAIL :- H.L. HEALTHCARE PVT. LTD. SCF-320, IST FLOOR, MOTOR MARKET,, CHANDIGARH-160 101 (UT) For Franchisee query - Miss Jaskiran PH. 9216230025, Toll Free Number: 1800
More informationOral oxycodone for dog euthanasia
P ford residence southampton, ny Oral oxycodone for dog euthanasia Aug 2, 2012. Euthanasia requires taking many factors into consideration in order to put an animal down peacefully, including the animal's
More informationTopical antibacterial and antiviral agents: prescribing and resistance
THERAPY FOCUS Topical antibacterial and antiviral agents: prescribing and resistance STEVE CHAPLIN This article describes the current prescribing patterns for topical antibacterial and antiviral preparations
More informationMEDICINES CONTROL COUNCIL
MEDICINES CONTROL COUNCIL NOTIFICATION OF REGISTRATION OF MEDICINES BY THE REGISTRAR IN TERMS OF SECTION 17 OF THE MEDICINES AND RELATED SUBSTANCES ACT 101 OF 1965 Application Number Holder of registration
More informationGENEDA PHARMA SCO 496 SECOND FLOOR, MOTOR MARKET, MANIMAJRA, CHANDIGARH. PIN mail: no :
GENEDA PHARMA SCO 496 SECOND FLOOR, MOTOR MARKET, MANIMAJRA, CHANDIGARH. PIN 160101 mail: genedapharma@gmail.com no : 9780585039 BRAND NAME COMPOSITION 1 CICLOGEN-P ACECLOFENAC 100MG + PARACETAMOL 325MG
More informationHow quickly does doxycycline work for acne
How quickly does doxycycline work for acne The Borg System is 100 % How quickly does doxycycline work for acne They unfortunately don't do much harm to blackheads. Your dose depends on the severity of
More informationKnowledge list Avian/Exotic Pharmacology and Commonly Used Drugs
Knowledge list Avian/Exotic Pharmacology and Commonly Used Drugs For each species on the Species List, the following pharmacology topics should be mastered. Knowledge of potential drug side effects and
More informationmelatonin amlodipine generic for amlodipine benazepril amlodipine angioedema amlodipine feline amlodipine 5 mg description
Follow all directions on your computer even when amlodipine for sale you buy Ambien. Call your doctor or dial 911 immediately. Ativan can cause tolerance, physical dependence, addiction and withdrawal
More informationWelcome to MK Medicine
S.no. Composition Packing 1 Aceclofenac 100 mg Paracetamol 325 mg Chlorzoxazone 250 mg 2 Aceclofenac 100 mg Paracetamol 325 mg Serratiopeptidase 15 mg ( / Blister) 3 Aceclofenac 100 mg Paracetamol 325
More informationALICIA HEALTHCARE 1st Floor Bansal Honda Automobile Near Pnb Bank Vpo. & Teh. Bilaspur Distt. Yamunanager (H.R)
ALICIA HEALTHCARE 1st Floor Bansal Honda Automobile Near Pnb Bank Vpo. & Teh. Bilaspur Distt. Yamunanager (H.R)-135102 MOB. 7419087312, 13 E-Mail-aliciahealthcare1@gmail.com TABLETS No. Brand Name Composition
More informationWAL-MART BRINGS $4 GENERICS PROGRAM TO WASHINGTON
WAL-MART BRINGS $4 GENERICS PROGRAM TO WASHINGTON Customer demand leads to $4 prescription program launching in 11 more states today; 17 new prescriptions added to the program. BENTONVILLE, Ark. Nov. 16,
More information