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All drugs NOT listed are paid <br />as generic or preferred. <br />Key Allergy -Oral & Inhaled <br />c : P NP <br />Allegra $$$$ Antidel <br /> <br />amitriptylin <br /> * - Quantity limits based on FDA Allegra-D $$$$ amoxapine <br /> dosing guidelines Astelin $$ bupropion <br /> ~ _ Paid as Preferred with Prior chlor~,. ~„~~:,~;:~,~~ OTC Celexa <br /> Authorization (PA) approval Clarin :: $$$$ desipramine <br /> Clariti n OTC ' doxepin <br />Augmentin ES $$ <br />Augmentin XR <br />___ <br />$$ <br />Avelox $$ <br /> <br />Biaxin __ <br />$$$$ <br /> <br />Biaxin XL - --- <br />$$$$ <br />Ceclor CD $$ <br />Cedax <br />__ <br />$$ <br /> <br />cefaclor _.- - <br />cefadroxil <br />__- -- <br />cefuroxime <br />Cefzil ~$ <br />cephalexin <br />Cinobac $$S$ <br />Cipro $$ <br />Cipro XR $$ <br />clindamycin <br />dicloxacillin <br />Dor3'x $$$S _ <br />doxycycline <br />Dynabac $ $ <br />erythromycin <br />erythromycin base <br />erythromycin estolate <br />(suspension only) <br />erythromycin stearate <br />ethvlsuccinate <br />Penetrex <br />penicillin VK <br /> $$$S <br /> $$$$ - <br />~x <br />- __-- <br />$$$$ <br /> <br /> $$$$ <br />$$ <br />- <br /> $$$$ <br /> $$$$ <br />~$ <br /> <br />$$ ___ _ <br /> $$$$ <br /> $$$$ <br />$$ _ <br /> S$$$ <br />Clartin-ll O`PC Effexor <br /> <br />cyproheptadine ~ -- <br />Effexor XR <br />dexchlorpheniramu~ ~ fluoxetine <br /> <br />diphenhydraniirn, _ _ __ <br />OTG <br />fluvoxamine <br />Flonase $$ imipramine <br /> <br />hydroxyzine __ <br />Lexapro <br />Nasacort $~ maprotiline <br />NasacortAQ $$ mirtazapine <br />Nasalide $$$$ nefazodone <br />Nasarel $$$$ nortriptyline <br />Nasonex $$$$ paroxetine <br />Rhinocort $$ Paxil CR <br />Rhinocort AQ $$ Remeron Sol Tab <br />Tri-Nasal $$$$ Sarafem <br />Vancenase AQ $$$$ Tofranil PM <br />Zyrtec $$$$ trazodone <br /> Wellbutrin SR <br />Hormone Replacement <br />[, P NP <br />Activella $$ <br />Cenestin $$ <br />estradiol <br />estradiol patch <br />Estratest $ S <br />__ <br />estropipate <br />Evista $$ <br />Fem HRT ~$ <br /> <br />medroxyprogesterone -- <br />Premarin $$ <br />Premphase $;~ <br />Prempro $$' <br />Syntest H.S. $$$$ <br />Anti-Ulcer Gastrointestinal <br /> G P NP <br />Aciphex * $$$$ <br /> <br />Axid ___ <br />$$$$ <br />cimetidine <br />_-_ <br />famotidine <br />Helidac ~,$ <br />ranitidine , <br />metoclopramide <br />misoprostol <br />Nexium * _ $$$$ <br />iuepra:; ~~ ......OTC "' <br />_ <br />Prer:ui~1' - _ _ _ <br />$$$$ <br />Pri7~~a~~~~ OTC <br />Protonix * $$$$ <br />aucralfate <br />I4~itec $$ <br />Wellbutrin XL <br />$$$$ <br />$$$$ <br />$$$$ <br />$$$$ <br />$$ <br />$~ - - <br />$4 - <br />Cardiovascular -ACE Inhibitors/ <br />Combinations/ACE II Antagonists <br /> C; P " NP <br />Accupril $ $ <br />Aceon $$ _ <br />Altace $$ <br />__ <br />Atacand $$$$ <br />Atacand HCT _ <br />$$$$ <br />Avalide _ <br />$$$$ <br />Avapro $$$$ <br />Benicar $$ <br />__- <br />Benicar HCT $$ <br />Ca ozide $$ <br />_ _ --- <br />captopril <br />Cozaar $$ <br />Diovan $ $ <br />_ ___ <br />Diovan HCT g$ <br />emalapriUHCTZ <br />__ <br />enalapril _ _ <br />Hyzaar $$ <br />lisinopril <br />lisinopriUHCTZ <br />Lotensin HCT $$ <br />Mavik $ $ _ _ <br />Micardis $$$$ <br />Micardis HCT $$$$ <br />__ <br />moexipril <br />_ _ -- <br />Monopril _$~ , <br />Teveten $$$$ <br />Teveten HCT $$$$ <br />Uniretic $$$$ <br />