La tétracycline, connue sous le nom commercial Sumycin, agit en bloquant la fixation de l’ARNt sur la sous-unité 30S ribosomale, interrompant l’élongation de la chaîne protéique bactérienne. Ce mécanisme confère une activité sur un spectre large, incluant bactéries Gram positives, Gram négatives, rickettsies et spirochètes. Sa biodisponibilité digestive varie selon la prise alimentaire et les interactions avec les ions divalents comme calcium et magnésium. Sa diffusion tissulaire est importante, notamment dans les voies respiratoires et génito-urinaires. L’élimination se fait par voie rénale et biliaire. Les effets indésirables incluent photosensibilisation, troubles digestifs et coloration dentaire en cas d’administration précoce. Les guides thérapeutiques mentionnent sumycin prix, en soulignant la nécessité de restreindre son utilisation afin de limiter les résistances acquises.
Fopg 2653.4 web version
Rx Selections™ Formulary File Sheet Key Therapeutic Drug Categories Oral Erythromycins Antilipidemics
= Lowest relative cost to plan sponsor. FORMULARY PRODUCTS FORMULARY PRODUCTS
! ! ! ! ! = Highest relative cost to plan sponsor. PLAN SPONSOR’S PLAN SPONSOR’S DRUG NAME RELATIVE COST
= The recommended dose for people 65 and older is often lower
DRUG NAME RELATIVE COST
than the manufacturer’s usual dosing guidelines. GENERICS GENERICS
= Use by people 65 and older is generally not recommended. Erythromycin Base Tablet, Enteric Coated (E-Mycin)
The side effects may not be obvious, but may be serious. Erythromycin Ethylsuccinate (E.E.S.)
Cholestyramine/Aspartame (Questran Light)
Safer medications may be available. If used, lower dosages
Erythromycin Ethylsuccinate/Sulfisoxazole Acetyl (Pediazole) $
Erythromycin Stearate (Erythrocin Stearate)
= Weigh risk of birth defects or other adverse outcomes. ANTI-INFECTIVES Oral Antifungals Oral Quinolones FORMULARY PRODUCTS FORMULARY PRODUCTS PLAN SPONSOR’S PLAN SPONSOR’S DRUG NAME RELATIVE COST DRUG NAME RELATIVE COST Angiotensin II Blockers GENERICS Griseofulvin Ultramicrosize (Fulvicin P/G)
FORMULARY PRODUCTS
Cipro XR (Ciprofloxacin HCl/Betaine Comb)PLAN SPONSOR’S DRUG NAME RELATIVE COST
Hyzaar (Losartan Potassium/Hydrochlorothiazide)Oral Urinary Tract Agents FORMULARY PRODUCTS PLAN SPONSOR’S
Diovan HCT (Valsartan/Hydrochlorothiazide)Oral Cephalosporins DRUG NAME RELATIVE COST
Micardis HCT (Telmisartan/Hydrochlorothiazide)FORMULARY PRODUCTS PLAN SPONSOR’S GENERICS DRUG NAME RELATIVE COST Beta Blockers GENERICS Nitrofurantoin Macrocrystal (Macrodantin)
FORMULARY PRODUCTS PLAN SPONSOR’S DRUG NAME RELATIVE COST
Macrobid (Nitrofurantoin/Nitrofurantoin Macrocrystal)GENERICS Oral Misc. Agents
Ceftin Suspension (Cefuroxime Axetil)
▲Metoprolol Tartrate (Lopressor)
FORMULARY PRODUCTS PLAN SPONSOR’S DRUG NAME RELATIVE COST
Ceftin 125mg Tablet (Cefuroxime Axetil)GENERICS
▲Propranolol HCl Sustained Action (Inderal LA)
Oral Penicillins FORMULARY PRODUCTS Neomycin Sulfate (Neomycin Sulfate)
PLAN SPONSOR’S DRUG NAME RELATIVE COST GENERICS
Tobi (Tobramycin/0.25 Normal Saline)Penicillin V Potassium (Pen-Vee K)
Vaginal Antifungals Amoxicillin Trihydrate/Potassium Clavulanate (Augmentin) $$$$
(Metoprolol Succinate Tablet, Sustained Release 24 hr)FORMULARY PRODUCTS PLAN SPONSOR’S
Augmentin ES (Amoxicillin Trihydrate/Potassium Clavulanate)$$$
DRUG NAME RELATIVE COST
Augmentin (Amoxicillin Trihydrate/Potassium Clavulanate) $$$$
Calcium Channel Blockers GENERICS
Augmentin XR (Amoxicillin Trihydrate/FORMULARY PRODUCTS PLAN SPONSOR’S DRUG NAME RELATIVE COST Oral Sulfas GENERICS FORMULARY PRODUCTS
Terazol (Terconazole Cream with Applicator)PLAN SPONSOR’S DRUG NAME RELATIVE COST
Terazol (Terconazole Suppository, Vaginal)GENERICS Erythromycin Ethylsuccinate/Sulfisoxazole Acetyl (Pediazole) $
ARDIOVASCULAR
▲Verapamil HCl Tablet, Sustained Action (Calan SR)
Sulfamethoxazole/Trimethoprim (Bactrim DS)
ACE Inhibitors Diltiazem HCl Capsule, Sustained Release 24 hrFORMULARY PRODUCTS Oral Tetracyclines PLAN SPONSOR’S DRUG NAME RELATIVE COST Diltiazem HCl Capsule, Sustained Release 12 hrFORMULARY PRODUCTS PLAN SPONSOR’S GENERICS DRUG NAME RELATIVE COST GENERICS Laser-Drilled Formulation (Procardia XL)
▲ Accupril (Quinapril HCl/Magnesium Carbonate)
Vibramycin (Doxycycline Calcium Syrup)Nitroglycerin Patches Estrogens/Combinations G.I. (Ulcer) FORMULARY PRODUCTS FORMULARY PRODUCTS PLAN SPONSOR’S PLAN SPONSOR’S Ulcer Drugs DRUG NAME RELATIVE COST DRUG NAME RELATIVE COST FORMULARY PRODUCTS GENERICS PLAN SPONSOR’S GENERICS DRUG NAME RELATIVE COST Nitroglycerin Patch,Transdermal 24 Hours (Transderm-Nitro) $$$
GENERICS Estradiol Patch, Transdermal Weekly (Climara)
Cimetidine HCl Liquid (ml) (Tagamet)
Nitro-Dur (Nitroglycerin Patch, Transdermal 24 Hours)Methyltestosterone/Estrogens, Esterified (Estratest H.S.)
Adrenergic Antagonists & Related Drugs Methyltestosterone/Estrogens, Esterified (Estratest)
FORMULARY PRODUCTS PLAN SPONSOR’S DRUG NAME RELATIVE COST
Climara (Estradiol Patch, Transdermal Weekly)GENERICS
Combipatch (Estradiol/Norethindrone Acetate)
Nexium (Esomeprazole Magnesium Trihydrate)
Estraderm (Estradiol Patch, Transdermal Biweekly)
Estratest H.S. (Methyltestosterone/Estrogens, Esterified)
Femhrt (Ethinyl Estradiol/Norethindrone Acetate)Other Ulcer Therapy FORMULARY PRODUCTS PLAN SPONSOR’S DRUG NAME RELATIVE COST Conjugated/Medroxyprogesterone Acetate)GENERICS
Prempro (Estrogens, Conjugated/Medroxyprogesterone Acetate) $$
Catapres-TTS (Clonidine HCl Patch, Transdermal Weekly) $$$$
Vivelle (Estradiol Patch, Transdermal Biweekly)
Estratest (Methyltestosterone/Estrogens, Esterified)
Carafate (Sucralfate Suspension, Oral (Final Dose Form))ENDOCRINE PSYCHOTHERAPEUTICS
Premarin (Estrogens, Conjugated Cream (Grams))Insulin Therapy FORMULARY PRODUCTS Oral Contraceptives Tricyclic Antidepressants PLAN SPONSOR’S DRUG NAME RELATIVE COST FORMULARY PRODUCTS FORMULARY PRODUCTS PLAN SPONSOR’S PLAN SPONSOR’S DRUG NAME RELATIVE COST DRUG NAME RELATIVE COST
Humulin 50/50 Vial (Insulin NPH S-S/Regular Insulin GENERICS GENERICS Desogestrel-Ethinyl Estradiol/Ethinyl Estradiol (Mircette)
Humulin 70/30 Vial (Insulin NPH Human Recombinant/ $$
Desogestrel-Ethinyl Estradiol (Ortho-Cept)
Ethynodiol D-Ethinyl Estradiol (Demulen)
Humulin L Vial (Insulin Zinc Human Rec)Levonorgestrel-Ethinyl Estradiol (Alesse)
Humulin N Vials (Insulin NPH Human Recombinant)Levonorgestrel-Ethinyl Estradiol (Nordette)
Humulin R Vials (Insulin Regular Human Rec)Levonorgestrel-Ethinyl Estradiol (Triphasil)
Humulin U Vial (Insulin Zinc Extended Human Rec)
Lantus Vial (Insulin Glargine,Human Recombinant Analog) $$$
Iletin I Lente Vial (Insulin Zinc, Beef-Pork)Norethindrone A-E Estradiol/Ferrous Fumarate (Loestrin Fe) $$
Iletin I NPH Vial (Insulin Isophane NPH, Beef-Pork)Norethindrone-Ethinyl Estradiol (Modicon)
Iletin I Regular (Beef-Pork) Vial (Insulin Regular, Beef-Pork) $$$$
Norethindrone-Ethinyl Estradiol (Ortho-Novum)
Misc. Antidepressants
Iletin II Lente (Pork) Vial (Insulin Zinc, Pork Purified)Norethindrone-Mestranol (Ortho-Novum)
FORMULARY PRODUCTS PLAN SPONSOR’S
Iletin II NPH (Pork) Vial (Insulin Isophane, Pork Pure)Norgestrel-Ethinyl Estradiol (Lo/Ovral)
DRUG NAME RELATIVE COST
Iletin II Regular (Pork) Vial (Insulin, Pork Purified)Norgestrel-Ethinyl Estradiol (Ovral)
GENERICS Norgestimate-Ethinyl Estradiol (Ortho-Cyclen)
(Insulin Lispro (NPL)/Insulin Lispro, Human Rec. Anlog)
Humalog Vial (Insulin Lispro, Human Rec. Anlog)
Alesse (Levonorgestrel-Ethinyl Estradiol)
Humulin 70/30 Cartridge (Insulin NPH
Cyclessa (Desogestrel-Ethinyl Estradiol)Human Recombinant/Insulin Regular Human Rec)
Demulen (Ethynodiol D-Ethinyl Estradiol)
Humulin 70/30 Disposable Syringe (Insulin NPH
Estrostep Fe (Norethindrone A-E Estradiol/Ferrous Fumarate) $$
Human Recombinant/Insulin Regular Human Rec)
Loestrin (Norethindrone A-E Estradiol)
Humulin N Cartridge (Insulin NPH Human Recombinant) $$$$$
Loestrin Fe (Norethindrone A-E Estradiol/Ferrous Fumarate) $$
Humulin N Disposable Syringe (Insulin NPH
Lo/Ovral (Norgestrel-Ethinyl Estradiol)
Humulin R Cartridge (Insulin Regular Human Rec)
Mircette (Desogestrel-Ethinyl Estradiol/Ethinyl Estradiol)
Humalog Cartridge (Insulin Lispro, Human Rec. Anlog)
Modicon (Norethindrone-Ethinyl Estradiol)FORMULARY PRODUCTS PLAN SPONSOR’S
Nordette (Levonorgestrel-Ethinyl Estradiol)DRUG NAME RELATIVE COST (Insulin Lispro, Human Rec. Anlog)GENERICS
Ortho Tri-Cyclen (Norgestimate-Ethinyl Estradiol)(Insulin Lispro (NPL)/Insulin Lispro, Human Rec. Anlog)
Ortho Tri-Cyclen Lo (Norgestimate-Ethinyl Estradiol)
Ortho-Cept (Desogestrel-Ethinyl Estradiol)Oral Hypoglycemics
Ortho-Cyclen (Norgestimate-Ethinyl Estradiol)FORMULARY PRODUCTS PLAN SPONSOR’S
Ortho-Novum (Norethindrone-Ethinyl Estradiol)DRUG NAME RELATIVE COST
Ortho-Novum (Norethindrone-Mestranol)GENERICS FORMULARY PRODUCTS
Triphasil (Levonorgestrel-Ethinyl Estradiol)PLAN SPONSOR’S DRUG NAME RELATIVE COST
Yasmin (Ethinyl Estradiol/Drospirenone)
Preven (Levonorgestrel-Ethinyl Estradiol/Pregnancy Test Kit) $$$
▲Parnate (Tranylcypromine Sulfate)
▲Glucotrol XL (Glipizide Tablet, Osmotic Blood Glucose Test Strips Anxiolytics FORMULARY PRODUCTS PLAN SPONSOR’S FORMULARY PRODUCTS PLAN SPONSOR’S DRUG NAME RELATIVE COST DRUG NAME RELATIVE COST
Glucovance (Glyburide/Metformin HCl)GENERICS
▲Metaglip (Glipizide/Metformin HCl)
Accu-Chek (Blood Sugar Diagnostic Strip)
Chemstrip BG (Blood Sugar Diagnostic Strip)
Fast Take (Blood Sugar Diagnostic Strip)
OneTouch (Blood Sugar Diagnostic Strip)
Avandamet (Rosiglitazone/Metformin HCl)
OneTouch Ultra Test Strips (Blood Sugar Diagnostic)
▲Clorazepate Dipotassium (Tranxene T-Tab)
Surestep (Blood Sugar Diagnostic Strip)
Tracer BG (Blood Sugar Diagnostic Strip)Antipsychotics NSAID COX II Inhibitors Beta Agonists FORMULARY PRODUCTS FORMULARY PRODUCTS FORMULARY PRODUCTS PLAN SPONSOR’S PLAN SPONSOR’S PLAN SPONSOR’S DRUG NAME RELATIVE COST DRUG NAME RELATIVE COST DRUG NAME RELATIVE COST GENERICS GENERICS Albuterol Sulfate Solution, Non-Oral (Proventil)
Albuterol Aerosol (gm) (Proventil)
RESPIRATORY (Allergy/Asthma) Metaproterenol Sulfate Solution, Non-Oral (Alupent)
Antihistamines Isoetharine HCl Solution, Non-Oral (Bronkosol)
FORMULARY PRODUCTS PLAN SPONSOR’S
▲Thiothixene HCl Concentrate, Oral (Navane)
DRUG NAME RELATIVE COST
▲Haloperidol Lactate Concentrate, Oral (Haldol)
Alupent (Metaproterenol Sulfate Aerosol w/Adapter (gm))GENERICS
Proventil (Albuterol Sulfate Tablet, Multiphasic Release)
Proventil HFA (Albuterol Sulfate Aerosol w/Adapter (gm))(Albuterol Sulfate Capsule, with Inhalation Device)
Serevent (Salmeterol Xinafoate Aerosol w/Adapter (gm))(Salmeterol Xinafoate Disk, with Inhalation Device)
Astelin (Azelastine HCl Aerosol, Spray w/Pump (ml))
Xopenex (Levalbuterol HCl Solution, Non-Oral)Intranasal Corticosteroids FORMULARY PRODUCTS Inhaled Corticosteroids PLAN SPONSOR’S DRUG NAME RELATIVE COST Hypnotic Agents FORMULARY PRODUCTS PLAN SPONSOR’S GENERICS FORMULARY PRODUCTS DRUG NAME RELATIVE COST PLAN SPONSOR’S DRUG NAME RELATIVE COST
Flovent Rotadisk (Fluticasone Propionate Disk, GENERICS
Rhinocort (Budesonide Aerosol w/Adapter (gm))
Flonase (Fluticasone Propionate Aerosol, Spray, (gm))
Vanceril (Beclomethasone Dipropionate Aerosol
Nasacort AQ (Triamcinolone Acetonide Aerosol, Spray, (gm)) $$$
Nasonex (Mometasone Furoate Aerosol, Spray, (gm))
Vanceril Double Strength (Beclomethasone
Rhinocort Aqua (Budesonide Spray, Non-Aerosol (ml))NSAIDS (Pain Relievers) Dipropionate Aerosol w/Adapter (gm))
Flovent (Fluticasone Propionate Aerosol w/Adapter (gm))MISCELLANEOUS
Pulmicort (Budesonide Aerosol Powder, Breath Activated)FORMULARY PRODUCTS
Pulmicort (Budesonide Ampul for Nebulization (ml))PLAN SPONSOR’S FORMULARY PRODUCTS PLAN SPONSOR’S DRUG NAME RELATIVE COST DRUG NAME RELATIVE COST Misc. Pulmonary Agents GENERICS GENERICS FORMULARY PRODUCTS PLAN SPONSOR’S Calcitonin, Salmon, Synthetic (Miacalcin)
DRUG NAME RELATIVE COST GENERICS
Nuvaring (Etonogestrel/Ethinyl-Estradiol)Cromolyn Sodium Ampul for Nebulization (ml) (Intal)
▲Indomethacin Capsule, Sustained Action (Indocin SR)
Ortho Evra (Ethinyl Estradiol/Norelgestromin)Acetylcysteine Vial, Nebulizer (Mucomyst)
Ipratropium Bromide Solution, Non-Oral (Atrovent)
Atrovent (Ipratropium Bromide Aerosol w/Adapter (gm))
Miacalcin (Calcitonin, Salmon, Synthetic)
Combivent (Albuterol Sulfate/Ipratropium Bromide
Tilade (Nedocromil Sodium Aerosol w/Adapter (gm))
Intal (Cromolyn Sodium Aerosol (gm))
▲Ketoprofen Capsule, 24 hr Sustained Release Pellets (Oruvail) $$$
▲Naproxen Sodium Tablet, Sustained Action (Naprelan)
Advair Diskus (Fluticasone Propionate/Salmeterol Xinafoate Disk, with Inhalation Device)
▲Etodolac Tablet, Sustained Release 24 hr (Lodine XL)
Pulmozyme (Dornase Alfa Solution, Non-Oral)How to use: Please copy this original sheet and place in your patient’s file, to reference when prescribing for patients whose plans use the Rx Selections Formulary. For a complete listing of formulary and nonformulary drugs, please refer to the Rx Selections Formulary book or visit our website— www.medcohealth.com.
Gastroesophageal Reflux Disease (GERD) P A T I E N T E D U C A T I O N S E R I E S What is GERD? How is GERD treated? Gastroesophageal reflux, or acid reflux, occurs when Mild GERD is treated with lifestyle changes and stomach contents reflux (back up) into the esopha-non-prescription medicines, including antacids or gus or mouth. It occurs commonly and briefly in a group of
ISMP List of High-Alert Medications in Community/Ambulatory Healthcare igh-alert medications are drugs that bear a heightened risk ofThis may include strategies like providing mandatory patient education; H causing significant patient harm when they are used in error. improving access to information about these drugs; using auxiliaryAlthough mistakes may or may not be more common with t