Mais la polymyxine n'est pas du tout absorbée dans le sang du système gastro-intestinal et n'a d'effet que dans l'intestin et est utile pour le traitement des infections intestinales amoxicilline prix Internet en y faisant des achats permettant d’économiser jusqu'à soixante-dix pour cent, tout en étant sûr de la qualité des produits pharmaceutiques.
Introduction
DRUGS FOR INFECTIONS Drugs for Parasites. . . . . . . . . . . . . . . . . . . . . . . . . . ANTIBIOTICS------------------------------------------------- CONTRACEPTIVES Penicillins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ORAL------------------------------------------------------------------
ampicillin, amoxicillin, cloxacillin, dicloxacillin,
multiple generic options (ex. Apri, etc.)
Miscellaneous Antiinfectives. . . . . . . . . . . . . . . . . . . .
amoxicllin w/ potassium clavulanate, penicillin
clindamycin, metronidazole, nitrofurantoin
Cephalosporins. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
cefaclor, cefadroxil, cefdinir, cefradine,
Dapsone, NebuPent, TOBI, Vancocin, Zyvox
2013 FOCUS Drug Formulary
Necon 10/11, Ogestrel,Ortho Tri-Cyclen Lo,
DRUGS FOR CANCER and Pharmacy Benefit Guidelines OTHER CONTRACEPTIVES---------------------------------- Macrolides . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
cyclophosphamide, etoposide, exemestane,
The MedBen Focus Drug Formulary
azithromycin, clarithromycin, erythromycin ethyl
defines the copayment tier status of the
leucovorin, leuprolide acetate, tretinoin,
PROGESTIN ONLY------------------------------------------------ medicines most commonly prescribed for MedBen members. It may not include all Tetracyclines. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Afinitor, Alkeran, CeeNu, Emcyt, Fareston,
DRUGS FOR DIABETES drugs covered by your prescription drug INSULINS -------------------------------------------------------- benefit. For benefit coverage or restrictions please check your benefit plan Quinolones . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . document(s). This listing is revised from time to time as new drugs and new prescribing information becomes Aminoglycosides. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . available. IMMUNOMODULATORS Sulfonamides. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The coverage tier for each medication has
sulfisoxazole w erythromycin ethylsuccinate
been indicated. Members pay a Tier 1
sulfamethoxazole w trimethoprim (SMX-TMP)
cyclosporine, cyclosporine modified, Azasan, Enbrel(PA), Humira(PA),
copay for most generic drugs and selected Drugs for Tuberculosis. . . . . . . . . . . . . . . . . . . . . . . . . OTC medicines. Members pay a Tier 2 ORAL ------------------------------------------------------------ copay for higher cost generic drugs and
acarbose, glimepiride, glipizide, glipizide XL,
Revlimid(PA), Simponi(PA) , Thalomid(PA),
formulary (“preferred”) brand name drugs. Members pay a Tier 3 copay for non-
glyburide w/ metformin, glipizide w/ metformin
Drugs for Fungal Infections. . . . . . . . . . . . . . . . . . . . . HORMONES formulary and highest cost brand name GLUCOCORTICOIDS --------------------------------------------- It is recommended that you have this list of Drugs For Viral Infections - Influenza & RSV. . . . . . medications available when you are with ANDROGENS--------------------------------------------------- your physician and a prescription drug is going to be part of the treatment for a ESTROGENS --------------------------------------------------- clinical condition. Drugs For Viral Infections - Herpes. . . . . . . . . . . . . . .
Cenestin, Climara, Divigel, Enjuvia, Evamist,
Key to Notations: Drugs For Viral Infections - Hepatitis. . . . . . . . . . . . . PA: Prior authorization to ensure clinical DIABETES RELATED DRUGS & SUPPLIES--------------
Incivek(PA), Pegasys, Peg-Intron, ribavirin,
appropriateness of this or previous therapy with other similar medications may ESTROGEN COMBINATIONS------------------------------ be needed before claims for one of these Drugs For Viral Infections – HIV/AIDS. . . . . . . . . . . . . medications will be accepted.
ethinyl estradiol & norethindrone acetate
esterified estrogens & methyltestosterone
Basic, One Touch II, One Touch Profile, One
ST: A step therapy protocol is in place for
Touch Ultra,One, Touch Ultra System, One
this medication. If prior medication history
Touch UltraMini, One Touch Verio,and Verio
ganciclovir, Hivid, Intelence, Invirase,
does not meet clinical guidelines,
Isentress, Kaletra, lamivudine, lamivudine w/
PROGESTINS ----------------------------------------------- authorization may be required prior to
zidovudine. Lexiva, Prezista, Rescriptor,
Accu-Chek Meter, Accu-Chek Miscellaneous.,
acceptance of claims. MISCELLANEOUS OB/GYN DRUGS-----------------------
Minimed, Surestep Meter, NovoFine Insulin
QL: Quantity limitations (maximum number of tablets/capsules, etc. per month
Bravelle (PA), Follistim(PA), Menopur(PA)
Drugs for Malaria. . . . . . . . . . . . . . . . . . . . . . . . . . or year) are in place for this medication. GROWTH HORMONES ---------------------------------------
This document is in effect January 1, 2013. Formulary consultation and administrative support to provided by:
Engineering Efficient + Effective Drug Therapy ™
THYROID AND ANTITHYROID AGENTS DIURETICS ------------------------------------------------------ CENTRAL NERVOUS SYSTEM
acetazolamide ER, amiloride, bumetanide,
Antileukotrienes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . THYROID --------------------------------------------------------- PSYCHOTHERAPEUTIC AGENTS ----------------------- Antidepressants . . . . . . . . . . . . . . . . . . . . . . . . . . .
amitriptyline, bupropion, SR, XL, citalopram,
Theophyllines…. . . . . . . . . . . . . . . . . . . . . . . . DRUGS FOR OSTEOPOROSIS
doxepin, escitalopram, fluoxetine, imipramine,
ANTILIPEMICS ----------------------------------------------
alendronate sodium (generic for Fosamax)
GASTROINTESTINAL
paroxetine CR, protriptyline, trazodone,
ANTIULCER -----------------------------------------------------
Actonel, Actonel-D, Atelvia, Boniva, Evista,
Advicor, Altoprev, Antara, Lescol, Lescol XL,
Livalo, Lovaza, Niaspan, Tricor, TriLipix,
Antipsychotic Agents . . . . . . . . . . . . . . . . . . . . . . . MISCELLANEOUS ENDOCRINE
chlorpromazine, haloperidol, olanzapine,
MISCELLANEOUS CARDIOVASCULAR DRUGS--------- ANTICOAGULANTS/ANTITHROMBOTICS-------------
Aciphex, Dexilant, PrevPac, Pylera, Zegerid
ANTIEMETIC/ANTIVERTIGO -----------------------------
Abilify, clozapine, Latuda, risperidone ODT,
CARDIOVASCULAR DRUGS
dipyridamole, pentoxifylline, ticlopidine,
Fanapt, Fazaclo, Geodon, Invega, Saphris,
CARDIOTONICS ---------------------------------------------- ANXIOLYTICS, SEDATIVES, AND HYPNOTICS---- ANTI-ANGINA ----------------------------------------------
Aggrenox, Arixtra(PA), Brilinta, Effient,
isosorbide dinitrate, isosorbide mononitrate
DIGESTANTS ---------------------------------------------------
temazepam, triazolam, zaleplon, zolpidem
DRUGS FOR MISCELLANEOUS BLOOD DISORDERS--
Creon, Pancreaze DR, Ultrase, Ultrase MT,
BETA-ADRENERGIC BLOCKERS----------------------
Ultrase MT12, Ultrase MT18, Ultrase MT20,
CEREBRAL STIMULANTS / ADD-ADHD------------
metoprolol XL, propranolol, propranololLA
OTHER GI PRODUCTS ----------------------------------- RESPIRATORY / ASTHMA
balsalazide, lactulose, mesalamine rectal
CALCIUM CHANNEL BLOCKERS ----------------------- DRUGS FOR ALLERGY -------------------------------
amlodipine, diltiazemCD, diltiazemSR 24,
Oral Antihistamines and Combinations. . . . . . . .
Amitiza(PA), Apriso, Asacol, budesonide EC
Alavert, Claritin, loratadine, cetirizine,
levocetirizine, montelukast, Zyrtec, Zyrtec-D
Nuvigil, Provigil (PA) , Ritalin-LA, Strattera,
Cimzia(PA), Dipentum, Fosrenol, Lotronex,
ANTIARRHYTHMICS ----------------------------------------
Metozolv ODT, Pentasa, Relistor, Renagel,
DRUGS FOR ALZHEIMER’S DISEASE-----------------------
mexiletine, propafenone, quinidine, sotalol
NASAL MEDICATIONS -------------------------------------
Aricept-23, galantamine, galantamine ER,
GENITO-URINARY ACE INHIBITORS --------------------------------------------- ANTI-INFECTIVES------------------------------------------
benazepril, captopril, enalapril, fosinopril,
Astapro, azelastine nasal spray, Nasonex,
MISCELLANEOUS DRUGS FOR CNS----------------------
lisinopril, moexipril, perindopril, quinapril,
INCONTINENCE AGENTS------------------------------- ANGIOTENSIN II ANTAGONISTS------------------------- DRUGS FOR ASTHMA / COPD -------------------------------
Detrol, Detrol LA, Gelnique, Oxytrol Patch,
Corticosteroids. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . VAGINAL ANTIINFECTIVES ------------------------------- ANALGESICS, NARCOTIC--------------------------------------- DIRECT RENIN INHIBITOR----------------------------------
clindamycin cream, nystatin, metronidazole,
morphine IR, oxycodone IR, fentanyl patch,
ANTI-ADRENERGIC BLOCKERS–CENTRAL------ Sympathomimetics. . . . . . . . . . . . . . . . . . . . . . . .
AVC Cream, Cleocin Vaginal Tab, Gynazole
COMBINATION ANTIHYPERTENSIVES--------------
Arcapta, Foradil, levalbuterol for inhalation,
DRUGS FOR BPH-------------------------------------------
alfuzosin, doxazosin, tamsulosin, terazosin,
ANALGESICS, NSAIDs ----------------------------------------
diclofenac, diflunisal, etodolac, ibuprofen,
Combination Drugs and Others. . . . . . . . . . . . . . . . . MISCELLANEOUS UROLOGICALS-----------------------
Caverject, Cialis(ST)(QL), Levitra (QL)(ST),
Arthrotec, Celebrex (ST)(QL) Flector Patch,
Diovan HCT, Edarbyclor, Exforge, Exforge
Advair, Atrovent HFA, Combivent, Daliresp,
This document is in effect January 1, 2013. Formulary consultation and administrative support to provided by:
Engineering Efficient + Effective Drug Therapy ™
MIGRAINE AGENTS------------------------------------------- NSAIDS----------------------------------------------------------- SPECIALTY DRUGS
Relpax (QL), sumatriptan(QL) nasal spray
Coverage for “Specialty Drugs” varies from
and injection, Zomig (QL), Zomig ZMT (QL),
plan to plan. Your prescription benefit may ANTI-INFECTIVE AND ANTI-INFLAMMATORY not cover some or all of these items. Please COMBINATIONS ------------------------------------------------ check your pharmacy benefit information if
multiple medicines w/ generics, ofloxacin
you have questions. ANALGESICS, MISCELLANEOUS ----------------------------
Specialty Drugs are “bioengineered” oral or injectable
medicines that target and treat complex medical
Cuprimine, Cymbalta, Nucynta, Nucynta ER
DERMATOLOGICALS
conditions including: blood disorders, cancers,
ACNE -------------------------------------------------------------
infertility, hormone or enzyme deficiencies, multiple
ANTICONVULSANTS ---------------------------------------
sclerosis, rheumatoid arthritis, and a growing list of
sulfacetamide sodium external suspension
sulfacetamide w sulfur external emulsion
Specialty drugs are complex compounds and some
have unique “handling” requirements. The FDA in
selected situations has required dispensing from a
single pharmacy or a limited set of “approved”
Carbatrol, Diastat, Felbatol, Gabitril, Sabril
Epiduo, Finacea, Metrogel, Retin-A Micro
pharmacies. Some “specialty” drugs are oral tablets
DRUGS FOR DEPENDENCY -------------------------------
or capsules while others require injection. The result
ANTIBIOTICS ---------------------------------------------------
is that many drugs can be distributed directly to
Campral, Chantix(QL), Suboxone, Subutex
erythromycin, clindamycin, metronidazole,
patients, while others will be sent to physicians or
DRUGS FOR PARKINSONS DISEASE ----------------------
home health companies or other professional settings
Altabax, Bactroban Nasal Ointment, Noritate
carbidopa/levodopa, pramipexole, ropinirole,
ANTIVIRALS ----------------------------------------------------
Most plan sponsors will apply “step edits” or prior
Azilect, carbidopa/entacapone/levodopa,
authorization criteria prior to the dispensing or
administration of a specialty drug. These
FUNGICIDES ----------------------------------------------------
requirements ensure appropriate use of a specialty
SKELETAL MUSCLE RELAXANTS -------------------------
baclofen, carisoprodol, cyclobenzaprine
dantrolene, methocarbamol, tizanidine, etc.
Exelderm, Mentax, Naftin, Oxistat, Xolegel
TOPICAL ANTI-INFLAMMATORY AGENTS--------- OPHTHALMIC ANTI-ALLERGIC & RELATED AGENTS--------------------- TOPICAL SCABICIDES/PEDICULICIDES -------------------
lindane lotion or shampoo, malathion lotion,
OTHER DERMATOLOGICALS ----------------------------
calcipotriene, Condylox, Elidel, imiquimod,
ANTI-GLAUCOMA AGENTS -----------------------------
brimonidine, dipivefrin, betaxolol, carteolol
Anamantle HC, Anamantle HC Forte, Anusol
latanoprost, levobunolol, metipranolol, timolol,
HC, Atopiclair, Dovonex, Fluoroplex, Ovace,
Pramosone, Protopic, Solaraze, Soriatane,
MISCELLANEOUS ANTI-INFECTIVE AGENTS-------------------------------- ANTI-INFLAMMATORY AGENTS--------------------------- ANTI-INFECTIVE AND ANTI-INFLAMMATORY COMBINATIONS ---------------------------------------------
This document is in effect January 1, 2013. Formulary consultation and administrative support to provided by:
Engineering Efficient + Effective Drug Therapy ™
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