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Preferred Drug List
Source: www.dbm.maryland.gov
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Short Description: for a complete Preferred Drug list, please visit www.catalystrx.com/statemd. ask your docTor For GeNeric druGs wheNever Possible.
Content Inside: 2007 state of maryland Preferred drug list Take This lisT wiTh you each Time you visiT a docTor This is a condensed version of the prefer ed formulary. Please be aware that this is not an al -inclusive list. Changes may occur throughout the year and plan exclusions may over ide this list. Benefit designs may vary with respect to drug coverage, quantity limits, step therapy, days supply and prior authorization. Brand Drugs = CAPitAl lEttERs Generic Drugs = lower case 14983STMDPDL aNTi-iNFecTive aGeNTs AngiOtEnsin ii ceNTral Nervous AntifungAls BlOCKERs sysTem aGeNTs clotrimazole AVAPRO AntiDEPREssAnts fluconazole COZAAR amitriptyline griseofulvin DIOVAN bupropion/extended-release itraconazole citalopram ketoconazole AntiHYPERliPiDEMiCs clomipramine nystatin cholestyramine desipramine GRIS-PEG gemfibrozil doxepin LAMISIL lovastatin pravastatin fluoxetine AntiViRAls simvastatin fluvoxamine acyclovir ADVICOR imipramine amantadine CADUET maprotiline rimantadine COLESTID mirtazapine TAMIFLU LIPITOR nefazodone VALTREX NIASPAN nortriptyline paroxetine CEPHAlOsPORins OMACOR sertraline cefaclor/extended-release TRICOR trazodone cefadroxil VYTORIN trimipramine cefprozil WELCHOL venlafaxine cefuroxime ZETIA CYMBALTA cephalexin AntiHYPERtEnsiVEs & EFFEXOR XR cephradine COMBinAtiOns LEXAPRO OMNICEF atenolol/ HCTZ PAXIL CR fluOROQuinOlOnEs benazepril/ HCTZ TOFRANIL-PM ciprofloxacin bisoprolol/ HCTZ VIVACTIL ofloxacin captopril/ HCTZ WELLBUTRIN XL AVELOX clonidine AntiPsYCHOtiCs CIPRO SUSPENSION doxazosin chlorpromazine CIPRO XR enalapril/ HCTZ clozapine LEVAQUIN fosinopril/ HCTZ fluphenazine MACROliDE AntiBiOtiCs guanfacine hydralazine/HCTZ haloperidol azithromycin (tablets and lisinopril/ HCTZ loxapine suspension only) methyldopa/ HCTZ perphenazine clarithromycin (tablets only) metoprolol/ HCTZ thioridazine erythromycin minoxidil thiothixene ZMAXTM prazosin trifluoperazine PEniCillins propranolol/ HCTZ ABILIFY amoxicillin terazosin GEODON amoxicillin/ clavulanate AVALIDE MOBAN potassium CATAPRES-TTS ORAP ampicillin DIOVAN HCT RISPERDAL/M-TAB dicloxacillin HYZAAR SERENTIL penicillin LOTREL SEROQUEL AUGMENTIN XR ZYPREXA/ZYDIS BEtA BlOCKERs MisC. Anti-infECtiVEs acebutolol Cns stiMulAnts doxycycline atenolol amphetamine- erythromycin & sulfisoxazole betaxolol dextroamphetamine metronidazole bisoprolol dextroamphetamine minocycline labetalol methamphetamine nitrofurantoin metoprolol methylphenidate tetracycline nadolol ADDERALL XR trimethoprim pindolol CONCERTA trimethoprim/sulfamethoxazole propranolol STRATTERA FURADANTIN timolol HYPnOtiCs / AnXiOlYtiCs KETEK COREG alprazolam INDERAL LA buspirone cardiovascular aGeNTs INNOPRAN XL chloral hydrate ACE inHiBitORs TOPROL XL chlordiazepoxide benazepril clorazepate captopril CAlCiuM BlOCKERs diazepam enalapril diltiazem/extended-release estazolam fosinopril felodipine flurazepam lisinopril nicardipine lorazepam quinapril nifedipine/extended-release oxazepam ALTACE verapamil/extended-release CARDIZEM LA temazepam NORVASC triazolam SULAR RESTORIL 7.5mg VERELAN PM DL 01 363 0707
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