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2020 STANDARD ALTERNATIVE DRUG LIST(January - March 2020)
Product Name ALTERNATIVE DRUG7TOPIC EMU Epiceram, Prumyx
ABILIFY MYCI TAB aripiprazole tab
ABSORICA CAP Claravis, Myorisan, Zenatane
ACANYA GEL adapalene, clindamycin, tretinoin
ACTOPLUS MET TAB XR metformin/ER, pioglitazone
ACUVAIL SOL ketorolac ophthalmic
ACZONE GEL adapalene, clindamycin, tretinoin
ADAZIN CRE lidocaine, lidocaine-tetracaine, lidocaine-prilocaine
ADLYXIN INJ Byetta, Bydureon, Ozempic, Trulicity, Victoza
ADVANCED MIS AM/PM BP Vit 3 Plus
AEMCOLO TAB Xifaxan
AEROSPAN AER Asmanex, Flovent, QVAR RediHaler
AFREZZA POW Humulin/Humalog Products
ALA-QUIN CRE econazole, mupirocin, hydrocortisone valerate
ALBUTEROL AER HFA Ventolin HFA, ProAir HFA
ALCORTIN A GEL oxiconazole cream, ketoconazole, hydrocortisone valerate
ALDACTAZIDE TAB spironolactone-HCTZ, amlodipine-valsartan-HCTZ, atenolol-chlorthalidone, benazepril-HCTZ
ALEVICYN SOL DERMAL doxepin cream, triamcinolone cream, mometasone cream
The alternatives listed are suggestions based on how the drug works and the condition it treats. You should discuss your therapy with your doctor of health care provider. Some alternatives may require prior authorization or have quantity limits.
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Product Name ALTERNATIVE DRUGALLZITAL TAB butalbital/acetaminophen tablet 50-325MG
ALOCRIL SOL cromolyn, ketotifen
ALOG/PIOGLIP TAB Janumet, Janumet XR, Jentadueto
ALOG/PIOGLIT TAB Janumet, Janumet XR, Jentadueto
ALOGLIPTIN TAB Januvia, Tradjenta
ALOGLIPTIN/ TAB METFORM Janumet, Janumet XR, Jentadueto
ALOQUIN GEL oxiconazole cream, ketoconazole, econzaole
ALORA DIS estradiol once weekly patch, estradiol twice-weekly patch, estradiol tablets
ALREX SUS dexamethasone ophthalmic, prednisolone ophthalmic, triamcinolone ophthalmic
ALTABAX OIN mupirocin
ALTOPREV TAB ER lovastatin
ALVESCO AER Asmanex, Flovent, QVAR RediHaler
AMICAR SOL aminocaproic acid, tranexamic acid
AMICAR TAB aminocaproic acid, tranexamic acid
AMRIX CAP cyclobenzaprine tablet
ANACAINE OIN lidocaine, lidocaine-tetracaine
ANADROL-50 TAB Procrit, Epogen
ANALPRAM E KIT hydrocortisone/pramoxine, hydrocortisone aloe
ANALPRAM KIT ADVANCED hydrocortisone/pramoxine, hydrocortisone aloe
ANALPRAM-HC LOT hydrocortisone/pramoxine, hydrocortisone aloe
ANGELIQ TAB estradiol-norethindrone acetate tablets, Jinteli tablets
ANIMI-3 CAP folbic
ANIMI-3 CAP VIT D folbic
ANTARA CAP fenofibrate, gemfibrozil
APADAZ TAB hydrocodone/APAP, oxycodone, oxycodone/APAP, morphine sulfate ER
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Product Name ALTERNATIVE DRUGAPAP/CAFFEIN TAB DIHYDROC butalbital-APAP-caffeine-codeine, APAP-codeine
APIDRA INJ SOLOSTAR Humulin/Humalog Products
APIDRA INJ U-100 Humulin/Humalog Products
AQUORAL AER Magic Mouthwash, Lidocaine 2%, Mouth Kote
AQUORAL SPR Magic Mouthwash, Lidocaine 2%, Mouth Kote
ARCAPTA CAP Serevent
ARIKAYCE SUS amikacin sulfate solution
ARNUITY ELPT INH Asmanex, Flovent, QVAR RediHaler
ARYMO ER TAB hydrocodone/APAP, oxycodone, oxycodone/APAP, morphine sulfate ER
ASTAGRAF XL CAP tacrolimus, Prograf
ASTERO GEL lidocaine 3% gel/cream/lotion
ATENDIA PAD lidocaine, lidocaine-tetracaine, lidocaine-prilocaine
ATOPADERM CRE Hylatopic Plus, HPR Plus, Neosalus
AUVI-Q INJ epinephrine solution auto-injector
AVAILNEX CHW Nortuss-Ex liquid
AVANDIA TAB pioglitazone
AVAR AER sulfacetamide sodium w/ sulfur foam 10-5%
AVAR LS AER sulfacetamide sodium w/ sulfur foam 10-5%
AVAR LS PAD sulfacetamide sodium w/ sulfur pad 10-4%
AVAR PAD sulfacetamide sodium w/ sulfur pad 10-4%
AZASAN TAB azathioprine, cyclosporine, mycophenolate, tacrolimus
AZASAN TAB MG azathioprine, cyclosporine, mycophenolate, tacrolimus
AZASITE SOL bacitracin ointment ophthalmic, ciprofloxacin ophthalmic
AZELEX CRE adapalene, clindamycin, tretinoin
AZENASE PAK MIS azelastine nasal spray, fluticasone nasal spray, budesonide nasal spray
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Product Name ALTERNATIVE DRUGAZESCO TAB 13-1MG Prenatal Plus, Protect Plus
BASAGLAR INJ Lantus, Toujeo
BECONASE AQ SUS fluticasone nasal spray
BELSOMRA TAB zolpidem, zaleplon, eszopiclone
BENSAL HP OIN ketoconazole, econzaole, topical corticosteroids
BENZHY/ACETA TAB hydrocodone/APAP, oxycodone, oxycodone/APAP, morphine sulfate ER
BENZIQ GEL benzoyl peroxide gel (4%, 8%)
BENZIQ LS GEL benzoyl peroxide gel (4%, 8%)
BEPREVE DRO azelastine, ketotifen, olopatadine
BESIVANCE SUS ciprfloxacin ophthalmic, ofloxacin ophthalmic
BIDIL TAB isosorbide, hydralazine
BIFERARX TAB iron asp gly/polysacch compl/ascorb CAL/b12/fa/c
BIONECT AER hyaluronate sodium 0.2% cream/gel
BIO-STATIN CAP nystatin tab
BP VIT CAP PLUS folbic
BRINTELLIX TAB paroxetine, fluoxetine, escitalopram
BROVANA NEB Serevent
B-SERENE PAD folbic, ondansetron
BUNAVAIL MIS buprenorphine/naloxone
BUPAP TAB butalbital/acetaminophen tablet 50-325MG
BUTISOL SOD TAB zolpidem, zaleplon, eszopiclone
BUTRANS DIS morphine sulfate ER
BYSTOLIC TAB atenolol, betaxolol, bisoprolol, carvedilol, metoprolol
BYVALSON TAB amlodipine/valsartan, telmisartan/amlodipine, trandolapril, verapamil
CAMPHOMEX SPR diclofenac topical
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Product Name ALTERNATIVE DRUGCAPEX SHA fluocinolone oil/solution
CAPHOSOL SOL Magic Mouthwash, Lidocaine 2%, Mouth Kote
CAPITAL/COD SUS acetaminophen/codeine sol 120-12/5
CARAFATE SUS sucralfate
CARDIZEM LA TAB diltiazem ER, Taztia XT, Cartia XT, Matzim LA, verapamil ER
CARDURA XL TAB alfuzosin, tamsulosin, doxazosin, terazosin
CENFOL TAB folbic
CEQUA SOL Restasis, Xiidra
CETACAINE AER lidocaine, lidocaine-tetracaine, lidocaine-prilocaine
CIALIS TAB Sildenafil 25mg, 50mg, 100mg, tadalafil 2.5mg, 5mg
CIFEREX CAP Vitamin D 50,000 units and Folbic
CLIMARA PRO DIS WEEKLY estradiol once weekly patch, estradiol twice-weekly patch, estradiol tablets
CLINDAGEL GEL adapalene, clindamycin, tretinoin
CLINDESSE CRE clindamycin vaginal cream, metronidazole vaginal gel
CODAR AR LIQ hydrocodone-chlorpheniramine suspension
COLY-MYCIN S SUS OTIC Cipro HC Otic
COLYTE/FLAVR SOL PACKS Gavilyte-G, Gavilyte-C, PEG-3350
COMBIGAN SOL dorzolamide/timolol ophthalmic
CONDYLOX GEL podofilox 0.5% solution
CONZIP CAP tramadol
CORDRAN TAP mometasone, triamcinolone, fluocinolone
CORDRAN CRE betamethasone dipropionate, mometasone, hydrocortisone valerate
CORDRAN LOT mometasone, triamcinolone, fluocinolone
CORDRAN OIN mometasone, triamcinolone, fluocinolone
COREMINO TAB doxycycline, minocycline
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Product Name ALTERNATIVE DRUGCORTANE-B LOT pramoxine-HC cream 1-2.5%
CORTIFOAM AER hydrocortisone, hemril-30, hydrocortisone/lidocaine, hydrocortisone/pramoxine, proctosol HC
CORTISPORIN CRE mupirocin, fluocinolone acetate
CYCLOMYDRIL SOL OP tropicamide, atropine
DEBACTEROL SOL Episil, triamcinolone oral paste
DENAVIR CRE acyclovir ointment, famciclovir, valacyclovir
DEPLIN CAP l-methylfolate tab 15mg, folbic
DERMACINRX PAK DUOPATCH lidocaine, lidocaine-tetracaine, lidocaine-prilocaine
DERMASORB HC KIT hydrocortisone 2.5% cream, lotion
DERMASORB TA KIT triamcinolone
DESONATE GEL mometasone, hydrocortisone valerate, fluocinolone
DEXAMETHASON TAB PAK prednisone, methylprednisolone, dexamethasone
DEXILANT CAP DR omeprazole 40mg, lansoprazole 30mg pantoprazole 20, 40mg, rabeprazole 20mg
DEXPAK PAK prednisone, methylprednisolone, dexamethasone
DIALYVITE TAB 3000 Dialyvite tablets, Dialyvite Supreme D, Nephronex, Triphrocaps, Virt-Caps
DIALYVITE TAB 5000 Dialyvite tablets, Dialyvite Supreme D, Nephronex, Triphrocaps, Virt-Caps
DIALYVITE/ TAB ZINC Dialyvite tablets, Dialyvite Supreme D, Nephronex, Triphrocaps, Virt-Caps
DICLEGIS TAB ondansetron, prochlorperzine, metoclopramide, promethazine
DICLOVIX KIT diclofenac topical
DIVIGEL GEL estradiol once weekly patch, estradiol twice-weekly patch, estradiol tablets
DORYX MPC TAB DOXYCYCLINE HYCLATE TAB
DOXYCYCLINE TAB HYCL ER doxycycline hyclate, doxycycline monohydrate
DUEXIS TAB etodolac, diclofenac, ibuprofen, omeprazole 40mg, lansoprazole 30mg pantoprazole 20mg
DUOPA SUS carbidopa/levodopa
DURACHOL CAP 1-3775IU Vitamin D 50,000 units and Folbic
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Product Name ALTERNATIVE DRUGDUREZOL EMU fluorometholone susp
DURLAZA CAP clopidogrel, prasugrel
DUTOPROL TAB atenolol/Chlorthalidone, bisoprolol/HCTZ, metoprolol/HCTZ
DVORAH TAB butalbital-APAP-caffeine-codeine, APAP-codeine
DXEVO PAK dexamethasone, prednisone
DYMISTA SPR azelastine nasal spray, fluticasone nasal spray, budesonide nasal spray
ECOZA AER ketoconazole, econazole
EDLUAR SUB zolpidem, zaleplon, eszopiclone
ELESTRIN GEL estradiol once weekly patch, estradiol twice-weekly patch, estradiol tablets
ELFOLATE TAB PLUS l-methylfolate tab 15mg, folbic
ELIDEL CRE tacrolimus
ELIGEN B12 TAB folbic
ELMIRON CAP amitriptyline, cimetidine, hydroxyzine
EMBEDA CAP morphine sulfate ER
EMEND SUS aprepitant oral capsule/therapy pack
EMSAM DIS sertraline, escitalopram, venlafaxine ER
ENDOMETRIN SUP progesterone capsules, Crinone
ENSTILAR AER mometasone, hydrocortisone valerate, fluocinolone
ENTTY EMU SPRAY Epiceram, Prumyx
EPIDUO FORTE GEL adapalene, clindamycin, tretinoin
EPIDUO GEL adapalene, clindamycin, tretinoin
EPIFOAM AER pramoxine-HC cream 1-2.5%
EQUETRO CAP carbamazepine ER tab, risperidone, quetiapine
ERTACZO CRE oxiconazole cream, ketoconazole, econzaole
ESCAVITE D CHW TRI-VIT/FL DRO 0.25MG, MVC-Fluoride CHW, Floriva Plus, Vitamax Pediatric
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Product Name ALTERNATIVE DRUGESCAVITE LQ DRO TRI-VIT/FL DRO 0.25MG, MVC-Fluoride CHW, Floriva Plus, Vitamax Pediatric
ESOMEPRAZOLE CAP omeprazole 40mg, lansoprazole 30mg pantoprazole 20, 40mg, rabeprazole 20mg
ESTRACE VAG CRE estradiol tablets, Premarin vaginal cream
ESTRING MIS estradiol tablets, Premarin vaginal cream
ESTROGEL GEL estradiol once weekly patch, estradiol twice-weekly patch, estradiol tablets
EURAX CRE permethrin
EURAX LOT permethrin
EVAMIST SPR estradiol once weekly patch, estradiol twice-weekly patch, estradiol tablets
EXELDERM CRE oxiconazole cream, ketoconazole, econzaole
EXELDERM SOL oxiconazole cream, ketoconazole, econzaole
EZALLOR SPR CAP rosuvastatin tablets, atorvastatin tablets
FABIOR AER Claravis, Myorisan, Zenatane
FACTIVE TAB levofloxaxin, ciprofloxacin, moxifloxacin
FANAPT PAK risperidone, quetiapine, olanzapine, ziprasidone
FANAPT TAB risperidone, quetiapine, olanzapine, ziprasidone
FE 90 PLUS TAB multi-vit/iron/fluoride, vinate care
FEMRING MIS estradiol tablets, Premarin vaginal cream
FENORTHO CAP naproxen, etodolac
FERIVA TAB multi-vit/iron/fluoride, vinate care
FERIVAFA CAP multi-vit/iron/fluoride, vinate care
FERRALET TAB multi-vit/iron/fluoride, vinate care
FERRO-PLEX TAB Ferrex 150 Forte Plus
FERROTRIN CAP Ferrex 150 Forte Plus
FETZIMA CAP paroxetine, fluoxetine, escitalopram
FETZIMA CAP TITRATIO paroxetine, fluoxetine, escitalopram
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Product Name ALTERNATIVE DRUGFINACEA AER metronidazole 0.75%
FINACEA GEL metronidazole 0.75%
FLECTOR DIS meloxicam, ibuprofen, naproxen
FLORIVA CHW TRI-VIT/FL DRO 0.25MG, MVC-Fluoride CHW, Floriva Plus, Vitamax Pediatric
FLORIVA DRO TRI-VIT/FL DRO 0.25MG, MVC-Fluoride CHW, Floriva Plus, Vitamax Pediatric
FLOWTUSS SOL Nortuss-Ex liquid
FLUORABON DRO TRI-VIT/FL DRO 0.25MG, MVC-Fluoride CHW, Floriva Plus, Vitamax Pediatric
FLUORAC CRE fluroruracil 5% cream
FLUORIDEX GEL SENSITIV fluoridex dd pst sensitive
FLUOROPLEX CRE fluorouracil cream 0.5%, 5%
FML OIN OP fluorometholone susp
FOCALGIN DSS TAB 90-1MG multi-vit/iron/fluoride, vinate care
FOLGARD OS TAB multi-vit/iron/fluoride, Virt-Gard, Folbee, Folplex, CalciFol
FOLIVANE-F CAP tri-vit/fluoride/iron, vitamins a/c/d/fluoride
FOLIXAPURE TAB 1-5000 Vitamin D 50,000 units and Folbic
FOLTRATE TAB folbic
FOLVITE-D TAB Folbic, Vitamin D 50,000 units
FORFIVO XL TAB bupriopion, bupropion SR/XL
FOSRENOL CHW Renvela tablet/packet, calcium acetate 667mg capsules, velphoro, auryxia, phoslyra, sevelamer HCL tablet, sevelamer carbonate tablet/packet
FOSRENOL POW Renvela tablet/packet, calcium acetate 667mg capsules, velphoro, auryxia, phoslyra, sevelamer HCL tablet, sevelamer carbonate tablet/packet
FOSTEUM CAP Vitamin D 50,000 units
FUSION PAK SPRINKLE Ferrex 150 Forte Plus
FUSION PLUS CAP Ferrex 150 Forte Plus
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Product Name ALTERNATIVE DRUGGATIFL-DEXAM SOL 0.5-0.1% bacitracin-neo-poly-HC
GELNIQUE GEL oxybutynin IR or ER, tolterodine IR or ER, trospium IR or ER, darifenacin hydrobromide tablet or ER, solifenacin
GENICIN TAB VITA-D Vitamin D 50,000 units and Folbee Plus
GENICIN TAB VITA-Q Folbee, Folbee Plus, Prenatal Plus
GENICIN TAB VITA-S Folbee, Folbee Plus, Prenatal Plus
GOCOVRI CAP amantadine immediate-release
GOLYTELY SOL gavilyte-h, peg-prep, lactulose, polyethylene glycol
GORDOFILM SOL salicylic acid film forming liquid 27.5%
GORDONS UREA OIN Urea 40% cream/gel/lotion
GRALISE STAR MIS gabapentin
GRALISE TAB gabapentin
GYNAZOLE-1 CRE terconazole vaginal cream, terconazole vaginal suppository
HALOG CRE betamethasone dipropionate, mometasone furoate, fluocinonide
HALOG OIN betamethasone dipropionate, mometasone furoate, fluocinonide
HEMATOGEN FA CAP Ferrex 150 Forte Plus
HEMETAB TAB iron asp gly/polysacch compl/ascorb CAL/b12/fa/c
HORIZANT TAB gabapentin
HPR AER Nivatopic Plus, Prumyx
HPR PLUS AER Nivatopic Plus, Prumyx
HYCOFENIX SOL Promethazine-phenylephrine-codeine syrup
HYDROC/APAP hydrocodone/APAP 7.5/325/15mL
HYGEL GEL hyaluronate sodium gel 0.2%
HYLATOPIC AER PLUS Nivatopic Plus, Prumyx
HYLIRA LOT hyaluronate sodium (emollient) lotion 0.1%
ILEVRO DRO OP ketorolac ophthalmic
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Product Name ALTERNATIVE DRUGIMVEXXY SUP Premarin vaginal cream
INDERAL XL CAP 120MG propranolol ER
INNOPRAN XL CAP propranolol ER
INSULIN LISP INJ Humulin/Humalog Products
INTEGRA F CAP tri-vit/fluoride/iron, vitamins a/c/d/fluoride
INVELTYS SUS dexamethasone ophthalmic, prednisolone ophthalmic, fluorometholone ophthalmic
IROSPAN 24/6 MIS mv fe asparto gly/vit c/vit b12/ca threonate/succ
IS MIS mv fe asparto gly/vit c/vit b12/ca threonate/succ
ISORDIL TAB 40MG isosorbide dinitrate, isosorbide mononitrate
JUBLIA SOL ciclopirox
KADIAN CAP hydrocodone/APAP, oxycodone, oxycodone/APAP, morphine sulfate ER
KAMDOY EMU Epiceram, Prumyx
KAPSPARGO CAP metoprolol succinate ER tablets, metoprolol tartrate tablets
KAZANO TAB Janumet, Janumet XR, Jentadueto
KERALYT KIT SCALP salicylic acid shampoo 6%
KERYDIN SOL ciclopirox
KOMBIGLYZE TAB Janumet, Janumet XR, Jentadueto
KRISTALOSE PAK lactulose
LANOXIN TAB Digoxin
LASTACAFT SOL azelastine, olopatadine
LDO PLUS GEL lidocaine 3% gel/cream/lotion
LEVALBUTEROL AER Ventolin HFA, Proair HFA
LEVITRA TAB Sildenafil 25mg, 50mg, 100mg
LEVOMEFOLATE CAP /ALGAL l-methylfolate tab 15mg, folbic
LEXETTE AER halobetasol propionate cream/ointment, clotbetasol cream
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Product Name ALTERNATIVE DRUGLIDOCAINE HC CRE lidocaine 5% ointment, lidocaine 4% solution
LIDO-K LOT lidocaine 3% gel/cream/lotion
LIDOPIN CRE lidocaine 3% gel/cream/lotion
LIDO-RX CRE lidocaine, lidocaine-tetracaine, lidocaine-prilocaine
LIDOTHOL GEL lidocaine 5% ointment, lidocaine 5% patches
LIDOTHOL PAD lidocaine, lidocaine-tetracaine, lidocaine-prilocaine
LIDOTRAL CRE lidocaine 3% gel/cream/lotion
LIDOVEX CRE lidocaine 3% gel/cream/lotion
LIDOVIN CRE lidocaine 3% gel/cream/lotion
LIDOZOL CRE lidocaine 3% gel/cream/lotion
LIMBREL CAP ibuprofen, naproxen, meloxicam
LITHOSTAT TAB amitriptyline, cimetidine, hydroxyzine
LIVALO TAB atorvastatin, fluvastatin, lovastatin, pravastatin, simvastatin, rosuvastatin
L-METHYLFOLA CAP FORM 15 l-methylfolate tab 15mg, folbic
LOCOID LOT mometasone, hydrocortisone valerate, fluocinolone
LOCORT PAK prednisone, methylprednisolone, dexamethasone
LORTAB ELX hydrocodone/acetaminophen
LORZONE TAB chlorzoxazone
LOTEMAX GEL dexamethasone ophthalmic, prednisolone ophthalmic, triamcinolone ophthalmic
LOTEMAX SM GEL loteprednol etabonate 0.5% suspension, prednisolone opthalmic 1% suspension
LOTEMAX OIN dexamethasone ophthalmic, prednisolone ophthalmic, triamcinolone ophthalmic
LUCEMYRA TAB clonidine
LUZU CRE mometasone, hydrocortisone valerate, fluocinolone
MAFENIDE ACE PAK silver sulfadiazine cream, mupirocin
MAGNEBIND TAB calcium acetate 667mg
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Product Name ALTERNATIVE DRUGMAL PATCH PAD lidocaine, lidocaine-tetracaine, lidocaine-prilocaine
MARPLAN TAB phenelzine, tranylcypromine sulfate
MAXARON TAB FORTE Ferrex 150 Forte Plus
MAXIDEX SUS OP dexamethasone ophthalmic, prednisolone ophthalmic, triamcinolone ophthalmic
MEDROL TAB methylprednisolone, prednisone
MEDROX-RX OIN diclofenac topical
MENEST TAB estradiol tablets, estropipate tablets, estradiol weekly patches
MENOSTAR DIS estradiol once weekly patch, estradiol twice-weekly patch, estradiol tablets
MENTHOCIN PAD LIDOCAIN lidocaine, lidocaine-tetracaine, lidocaine-prilocaine
MESTINON SYP pyridostigmine tablet
METHITEST TAB methyltestosterone oral tab 10mg
METOPRO/HCTZ TAB atenolol/Chlorthalidone, bisoprolol/HCTZ, metoprolol/HCTZ
METRONIDAZOLE JELLY metronidazole 0.75%
MIGERGOT SUP sumatriptan, digydroergotamine nasal spray
MILLIPRED DP PAK prednisone, methylprednisolone, dexamethasone
MILLIPRED SOL prednisone, methylprednisolone, dexamethasone
MILLIPRED TAB prednisone, methylprednisolone, dexamethasone
MINIVELLE DIS estradiol once weekly patch, estradiol twice-weekly patch, estradiol tablets
MINOLIRA TAB minocycline immediate-release tablets and capsules
MONUROL PAK GRANULES sulfamethoxazole/trimethoprim, ciprofloxacin, nitrofurantoin
MORPHABOND TAB ER hydrocodone/APAP, oxycodone, oxycodone/APAP, morphine sulfate ER
MYKIDZ IRON SUS FL TRI-VIT/FL DRO 0.25MG, MVC-Fluoride CHW, Floriva Plus, Vitamax Pediatric
MYRBETRIQ TAB oxybutynin IR or ER, tolterodine IR or ER, trospium IR or ER, darifenacin hydrobromide tablet or ER, solifenacin
NAFRINSE DLY SOL /NEUTRAL denta 5000 cre plu, sf 5000 plus cre 1.1%
NAFRINSE WK SOL denta 5000 cre plu, sf 5000 plus cre 1.1%
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Product Name ALTERNATIVE DRUGNAFTIN GEL oxiconazole cream, ketoconazole, econzaole
NALOCET TAB hydrocodone/APAP, oxycodone, oxycodone/APAP, morphine sulfate ER
NAMZARIC CAP memantine, donepezil HCl
NAPRELAN TAB CR naproxen sodium
NASCOBAL SPR cyanocobalamin vial for injection, Folbic
NATESTO GEL Androderm, testosterone topical gel
NATURE THROI TAB levothyroxine, Synthroid, Armour Thyroid
NATURE-THROI TAB levothyroxine, Synthroid, Armour Thyroid
NEOSALUS AER Nivatopic Plus, Prumyx
NEO-SYNALAR CRE mupirocin, fluocinolone acetate
NEPHRON FA TAB Ferrex 150 Forte Plus
NEPHPLEX RX TAB Dialyvite tablets, Dialyvite Supreme D, Nephronex, Triphrocaps, Virt-Caps
NESINA TAB Januvia, Tradjenta
NEUPRO DIS pramipexole ER
NEUTRASAL POW Magic Mouthwash, Lidocaine 2%, Mouth Kote
NEVANAC SUS ketorolac ophthalmic
NEXIUM CAP omeprazole 40mg, lansoprazole 30mg pantoprazole 20, 40mg, rabeprazole 20mg
NEXIUM GRA DR omeprazole 40mg, lansoprazole 30mg pantoprazole 20, 40mg, rabeprazole 20mg
NICOMIDE TAB L-methylfolate tablets, niacin ER, Nicadan, Nicazel
NORITATE CRE metronidazole 0.75%
NOROXIN TAB levofloxaxin, ciprofloxacin, moxifloxacin
NORPACE CAP 100MG CR disopyramide phosphate
NOVACORT GEL pramoxine-HC cream 1-2.5%
NOVOLIN N INJ RELION Humulin/Humalog Products
NOVOLIN R INJ RELION Humulin/Humalog Products
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Product Name ALTERNATIVE DRUGNOVOLIN70/30 INJ RELION Humulin/Humalog Products
NOVOLOG INJ Humulin/Humalog Products
NOVOLOG INJ FLEXPEN Humulin/Humalog Products
NOVOLOG INJ PENFILL Humulin/Humalog Products
NOVOLOG MIX INJ Humulin/Humalog Products
NOVOLOG MIX INJ FLEXPEN Humulin/Humalog Products
NOXIFOL-D TAB Vitamin D 50,000 units and Folbic
NP THYROID TAB levothyroxine, Synthroid, Armour Thyroid
NUCORT LOT mometasone, hydrocortisone valerate, fluocinolone
NUTRIVIT LIQ Dialyvite tablets, Dialyvite Supreme D, Nephronex, Triphrocaps, Virt-Caps
NUVESSA GEL clindamycin vaginal cream, metronidazole vaginal gel
OBREDON SOL Nortuss-Ex liquid
OMNARIS SPR fluticasone nasal spray
ONEXTON GEL adapalene, clindamycin, tretinoin
ONGLYZA TAB Januvia, Tradjenta
ONZETRA XSAI MIS sumatriptan
OPANA ER TAB morphine sulfate ER
ORAVIG TAB clotrimazole, fluconazole
ORTHO D CAP 1-3775IU Vitamin D 50,000 units and Folbic
ORTHO-FOLIC Vitamin D 50,000 units, Folbee, Folplex tablets
OSENI TAB Janumet, Janumet XR, Jentadueto
OSMOLEX ER TAB amantadine immediate-release
OSMOPREP TAB Gavilyte-G, Gavilyte-C, PEG-3350
OSPHENA TAB Premarin vaginal cream, estradiol tablets, estradiol patches
OTOVEL DRO ciprofloxacin
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Product Name ALTERNATIVE DRUGOVACE PLUS AER sulfacetamide sodium 10% liquid/gel/shampoo
OVACE PLUS CRE sulfacetamide sodium 10% liquid/gel/shampoo
OVACE PLUS LOT sulfacetamide sodium 10% liquid/gel/shampoo
OXAYDO TAB hydrocodone/APAP, oxycodone, oxycodone/APAP, morphine sulfate ER
OXISTAT LOT oxiconazole cream, ketoconazole, econzaole
OXYTROL DIS oxybutynin IR or ER, tolterodine IR or ER, trospium IR or ER, darifenacin hydrobromide tablet or ER, solifenacin
PAIN RELIEF PAD PATCH lidocaine, lidocaine-tetracaine, lidocaine-prilocaine
PANDEL CRE mometasone, hydrocortisone valerate, fluocinolone
PANLOR TAB butalbital-APAP-caffeine-codeine, APAP-codeine
PAXIL SUS paroxetine, fluoxetine, escitalopram
PAZEO DRO azelastine, olopatadine
PCP KIT Gavilyte-G, Gavilyte-C, PEG-3350
PEDIADERM HC KIT hydrocortisone 2.5% cream, lotion
PEDIADERM TA KIT triamcinolone
PENNSAID SOL meloxicam, ibuprofen, naproxen
PERFOROMIST NEB Serevent
PERMAVAN PAD lidocaine, lidocaine-tetracaine, lidocaine-prilocaine
PHLAG SPR Epiceram, Prumyx
PICATO GEL fluorouracil, imiquimod
PLEXION CLTH PAD sulfacetamide sodium w/ sulfur pad 10-4%
PLIXDA PAD SWAB adapalene 0.1% cream, clindamycin/benzoyl peroxide gel 1.2-5%
POLY-VI-FLOR CHW multi-vit/iron/fluoride, MVC-Fluoride CHW, Floriva Plus, Vitamax Pediatric
POLY-VI-FLOR MIS FS multi-vit/iron/fluoride, MVC-Fluoride CHW, Floriva Plus, Vitamax Pediatric
POLY-VI-FLOR SUS multi-vit/iron/fluoride, MVC-Fluoride CHW, Floriva Plus, Vitamax Pediatric
PRADAXA CAP Xarelto
17
Product Name ALTERNATIVE DRUGPRAMOSONE CRE hydrocortisone acetate/pramoxine
PRAMOSONE E CRE pramoxine-HC cream 1-2.5%
PRAMOSONE LOT pramoxine-HC cream 1-2.5%
PRAMOSONE OIN pramoxine-HC cream 1-2.5%
PRED-GATI SUS bacitracin-neo-poly-HC
PREDN GATI SOL bacitracin-neo-poly-HC
PRE-FOLIC TAB Prenatabs Rx
PREGENNA TAB Prental Plus, Prenate
PRENA 1 TRUE MIS Mynatal Plus tablets, Virt-PN DHA, Prenatal 19 CHW, Citranaral, Duet DHA 400, Prefera OB
PREPOPIK PAK gavilyte-h, peg-prep, lactulose, polyethylene glycol
PRESERA AER Nivatopic Plus, Prumyx
PRESTALIA TAB Lisinopril - Amlodipine as separate agents
PRILOSEC POW omeprazole 40mg, lansoprazole 30mg pantoprazole 20, 40mg, rabeprazole 20mg
PRIMLEV TAB hydrocodone/APAP, oxycodone, oxycodone/APAP, morphine sulfate ER
PROCORT CRE hydrocortisone acetate/pramoxine
PROFERRIN- TAB FORTE Ferrex 150 Forte Plus
PROLENSA SOL bromfenac 0.09%
PROTECTIRON TAB Ferrex 150 Forte Plus
PROVENTIL AER HFA Ventolin HFA, Proair HFA
PSORCON CRE diflorasone diacetate cream 0.05%
PULMICORT INH Asmanex, Flovent, QVAR RediHaler
PUREFOLIX TAB Vitamin D 50,000 units and Folbic
PYLERA CAP amoxicillin-clarithromycin-lansoprazole therapy pack
QBRELIS SOL captopril, enalapril, lisinopril, quinapril
QBREXZA PAD Drysol, Xerac AC
18
Product Name ALTERNATIVE DRUGQMIIZ ODT TAB meloxicam, diclofenac
QNASL AER fluticasone nasal spray
QNASL CHILD SPR fluticasone nasal spray
QUFLORA FE CHW TRI-VIT/FL DRO 0.25MG, MVC-Fluoride CHW, Floriva Plus, Vitamax Pediatric
RAYOS TAB prednisone, methylprednisolone, dexamethasone
RECTIV OIN hydrocortisone acetate/pramoxine
RECURA CRE oxiconazole cream, ketoconazole, econzaole
RELENZA MIS DISKHALE oseltamivir
RELION R INJ 100/ML Humulin/Humalog Products
RELPAX TAB sumatriptan, rizatriptan
REMATEX CRE diclofenac topical
REMAXAZON PAD lidocaine, lidocaine-tetracaine, lidocaine-prilocaine
RENATABS MIS IRON Dialyvite tablets, Dialyvite Supreme D, Nephronex, Triphrocaps, Virt-Caps
RENATABS TAB Dialyvite tablets, Dialyvite Supreme D, Nephronex, Triphrocaps, Virt-Caps
RENOVO LIDO5 CRE lidocaine, lidocaine-tetracaine, lidocaine-prilocaine
RENUU PAD lidocaine, lidocaine-tetracaine, lidocaine-prilocaine
RESCULA SOL latanoprost, Travatan Z
RESTORA RX CAP Folbic
RESTORA SPRI PAK Folbic
RETIN-A MICR GEL adapalene, clindamycin, tretinoin
REXAPHENAC CRE Ibuprofen, diclofenac, meloxicam
REZESOL LOT sodium sulfacetamide-sulfer suspension/lotion, salicylic acid 6% cream
REZIRA SOL Promethazine-phenylephrine-codeine syrup
RIAX AER benzoyl peroxide foam (9.8%), benzoyl peroxide liquid (7%)
RIFAMATE CAP isoniazid tablet and rifampin capsule
19
Product Name ALTERNATIVE DRUGRIFATER TAB isoniazid tablet and rifampin capsule and pyrazinamide tablet
ROCKLATAN DRO bimatoprost, latanoprost, travoprost, Lumigan 0.01%
RIOMET SOL metformin, metformin ER
ROSULA LIQ sulfacetamide sodium w/ sulfur wash 9-4%
ROXIFOL-D TAB Vitamin D 50,000 units and Folbic
ROXYBOND TAB hydrocodone/APAP, oxycodone, oxycodone/APAP, morphine sulfate ER
ROZEREM TAB zolpidem, zaleplon, eszopiclone
RYNODERM CRE Urea Cream (39%, 40%, 41%, 45%, 47%, 50%)
RYTARY CAP carbodopa/levodopa ER
SALIVAMAX POW Magic Mouthwash, Lidocaine 2%, Mouth Kote
SANCUSO DIS ondansetron oral solution, tablet, odt
SAPHRIS SUB risperidone, quetiapine, olanzapine, ziprasidone
SAVAYSA TAB Xarelto
SAVELLA MIS TITR PAK duloxetine
SAVELLA TAB duloxetine
SCAR PATCH PAD lidocaine, lidocaine-tetracaine, lidocaine-prilocaine
SCAR PATCH PAD PREMIUM lidocaine, lidocaine-tetracaine, lidocaine-prilocaine
SECONAL SOD CAP zolpidem, zaleplon, eszopiclone
SELRX SHA selenium sulfide-pyrthione zinc in urea shampoo 2.25%
SERNIVO SPR betamethasone dipropionate, mometasone furoate, fluocinonide
SEYSARA TAB doxycycline immediate-release tablets/capsules, minocycline immediate-release tablets/capsules
SIKLOS TAB hydroxyurea
SILENOR TAB doxepin
SILMANIX CRE diclofenac topical
SILVERA PAIN PAD RELIEF lidocaine, lidocaine-tetracaine, lidocaine-prilocaine
20
Product Name ALTERNATIVE DRUGSIMBRINZA SUS brimonidine
SITAVIG TAB acyclovir ointment, acyclovir tablets and capsules, valacyclovir tablets
SKLICE LOT permethrin
SODIUM SULFA LIQ WASH sulfacetamide sodium 10% liquid/gel/shampoo
SOLMARA PAD lidocaine, lidocaine-tetracaine, lidocaine-prilocaine
SOOLANTRA CRE metronidazole 0.75%
SOOTHEE PAD lidocaine, lidocaine-tetracaine, lidocaine-prilocaine
SORILUX AER calcipotriene cream/ointment
SPRIX SPR ketorolac
STAXYN TAB Sildenafil 25mg, 50mg, 100mg
STENDRA TAB Sildenafil 25mg, 50mg, 100mg
STRIANT MIS Androderm, testosterone topical gel
STRIVERDI AER Serevent
SUCLEAR KIT Gavilyte-G, Gavilyte-C, PEG-3350
SULFAMYLON CRE silver sulfadiazine cream
SUMAVEL DOSE INJ sumatriptan
SUPERVITE EC TAB Dialyvite tablets, Dialyvite Supreme D, Triphrocaps, Virt-Caps
SUPREP BOWEL SOL PREP gavilyte-h, peg-prep, lactulose, polyethylene glycol
SUVICORT EMU Epiceram, Prumyx
SYMPAZAN MIS clobazam suspension, clobazam tablets
SYNERA DIS lidocaine-tetracaine cream
SYNERDERM EMU Epiceram, Prumyx
SYNVEXIA TC CRE lidocaine, lidocaine-tetracaine, lidocaine-prilocaine
TACLONEX SUS calcipotriene, topical corticosteroids
21
Product Name ALTERNATIVE DRUGTALIVA CAP Folbee, Folbic
TAPERDEX PAK prednisone, methylprednisolone, dexamethasone
TARGADOX TAB doxycycline, minocycline
TARON FORTE CAP Ferrex 150 Forte Plus
TAYTULLA CAP Microgestin 1/20, Larin 1/20, Junel 1/20
TEKTURNA HCT TAB losartan HCTZ, valsartan HCTZ
TERSI FOAM AER selenium sulfide lotion 2.5%
TETRAMEX SPR lidocaine, lidocaine-tetracaine, lidocaine-prilocaine
TETRAVEX GEL lidocaine 5% ointment, lidocaine 4% solution
TEXACORT SOL hydrocortisone 2.5% cream, lotion
TEXAVITE LQ LIQ TRI-VIT/FL DRO 0.25MG, MVC-Fluoride CHW, Floriva Plus, Vitamax Pediatric
THEO-24 CAP CR theophylline ER 12 hr 100mg
THEO-24 CAP ER theophylline ER 12 hr 100mg
TIMOPTIC OCU SOL OP timolol ophthalmic
TIROSINT CAP levothyroxine, Synthroid, Armour Thyroid
TIROSINT-SOL SOL levothyroxine, Synthroid, Armour Thyroid
TIVORBEX CAP indomethacin
TL G-FOL OS TAB multi-vit/iron/fluoride, Virt-Gard, Folbee, Folplex, CalciFol
TOBRADEX OIN tobramcyin/dexamethasone
TOBREX OIN OP tobramycin, gentamicin
TOLAK CRE fluorouracil cream 0.5%, 5%
TOLSURA CAP itraconazole capsules/oral solution
TOPICORT SPR betamethasone dipropionate, mometasone furoate, fluocinonide
TOVIAZ TAB oxybutynin IR or ER, tolterodine IR or ER, trospium IR or ER, darifenacin hydrobromide tablet or ER, solifenacin
TRAMADOL HCL CAP ER tramadol
22
Product Name ALTERNATIVE DRUGTRETIN-X CRE adapalene, clindamycin, tretinoin (generic Retin-A)
TREXIMET TAB sumatriptan, rizatriptan
TRIANEX OIN mometasone, hydrocortisone valerate, fluocinolone
TRICARE CHW PRENATAL Mynatal Plus tablets, Virt-PN DHA, Prenatal 19 CHW, Citranaral, Duet DHA 400, Prefera OB
TRINTELLIX TAB paroxetine, fluoxetine, escitalopram
TRI-VI-FLORO SUS TRI-VIT/FL DRO 0.25MG, MVC-Fluoride CHW, Floriva Plus, Vitamax Pediatric
TROKENDI XR CAP topiramate
TUDORZA PRES AER Spiriva
TUSSICAPS CAP hydrocodone-chlorpheniramine suspension
TUZISTRA XR SUS hydrocodone-chlorpheniramine suspension
UCERIS AER BUDESONIDE (SYSTEMIC)
ULESFIA LOT malathion
ULTRAVATE LOT betamethasone dipropionate, mometasone furoate, fluocinonide
ULTRAVATE X KIT halobetasol propionate
UMECTA PD EMU Urea 40% cream/gel/lotion
URALISS CRE Urea 40% cream/gel/lotion
UREA NAIL MIS urea emu 50%
UREVAZ CRE Urea Cream (39%, 40%, 41%, 45%, 47%, 50%)
VANOXIDE-HC LOT benzoyl peroxide gel (4%, 8%), benzoyl peroxide cloth (6%, 9%)
VASCEPA CAP omega 3 fatty acid
VAYARIN CAP vitamins
VELMA PAD lidocaine, lidocaine-tetracaine, lidocaine-prilocaine
VELTIN GEL adapalene, clindamycin, tretinoin
VERAMYST SPR fluticasone nasal spray
VERDESO AER mometasone, hydrocortisone valerate, fluocinolone
23
Product Name ALTERNATIVE DRUGVEREGEN OIN fluorouracil, imiquimod 5%
VERIPRED SOL prednisone, methylprednisolone, dexamethasone
VEXA PAD lidocaine, lidocaine-tetracaine, lidocaine-prilocaine
VIBRAMYCIN SYP DOXYCYCLINE HYCLATE TAB
VIIBRYD KIT paroxetine, fluoxetine, escitalopram
VIIBRYD KIT STARTER paroxetine, fluoxetine, escitalopram
VIIBRYD TAB paroxetine, fluoxetine, escitalopram
VIMOVO TAB naproxen, omeprazole 40 mg
VITAL-D RX TAB Dialyvite tablets, Dialyvite Supreme D, Nephronex, Triphrocaps, Virt-Caps
VITAMEZ CAP Folbee, Folbic
VITATRUE MIS Mynatal Plus tablets, Virt-PN DHA, Prenatal 19 CHW, Citranaral, Duet DHA 400, Prefera OB
VIVLODEX CAP meloxicam, diclofenac
VOPAC MDS KIT meloxicam, ibuprofen, naproxen
VP-GSTN CAP Vitamin D 50,000 units
VRAYLAR CAP risperidone, quetiapine, olanzapine, ziprasidone
VUSION OIN nystatin
WESTHROID TAB levothyroxine, Synthroid, Armour Thyroid
WP THYROID TAB levothyroxine, Synthroid, Armour Thyroid
XAQUIL XR TAB l-methylfolate tab 15mg
XELPROS EMU 0.005% latanoprost, Travatan Z, bimatoprost
XEPI CRE mupirocin 2% cream or ointment
XERESE CRE acyclovir ointment, famciclovir, valacyclovir
XIMINO CAP doxycycline, minocycline
XOLEGEL GEL ketoconazole cream/foam/shampoo
XOPENEX HFA AER Ventolin HFA, ProAir HFA
24
Product Name ALTERNATIVE DRUGYOSPRALA TAB aspirin, omeprazole 40 mg
YUPELRI SOL Lonhala Magnair, Incurse Ellipta, Spiriva Handihaler/Respimat
ZAVARA CAP Vitamin D 50,000 units and Folbic
ZECUITY PAD sumatriptan, rizatriptan
ZEMBRACE SYM INJ sumatriptan
ZETONNA AER fluticasone nasal spray
ZILEUTON ER TAB montelukast, zafirlukast
ZINBRYTA INJ Avonex, Copaxone or Tecfidera
ZIOPTAN DRO latanoprost, Travatan Z
ZIPSOR CAP diclofenac
ZODEX PAK prednisone, methylprednisolone, dexamethasone
ZOLATE CAP Vitamin D 50,000 units and Folbic
ZOMIG NASAL SPR sumatriptan nasal spray
ZOMIG SPR sumatriptan nasal spray
ZONACORT PAK prednisone, methylprednisolone, dexamethasone
ZORVOLEX CAP diclofenac
ZOVIRAX CRE acyclovir ointment, famciclovir, valacyclovir
ZTLIDO PAD lidocaine 5% patch, gabapentin, nortripyline
ZUBSOLV SUB buprenorphine/naloxone
ZUPLENZ MIS ondansetron oral solution, tablet, odt
ZURAMPIC TAB allopurinol, colchicine
ZYCLARA CRE fluorouracil, imiquimod 5%
ZYCLARA PUMP CRE fluorouracil, imiquimod 5%
ZYFLO CR TAB montelukast
ZYFLO TAB montelukast
25
Product Name ALTERNATIVE DRUGZYLET SUS tobramcyin/dexamethasone
This document is updated quarterly. It is provided as a reference and is subject to change. Please check the website www.optimahealth.com for updates. Sentara Health Care Pharmacy Services, January 1, 2020 Revised: 12/17/2019