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Appendix C Medication Tables

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Appendix C Medication Tables Note: The medication tables are not meant to be inclusive lists of all available therapeutic agents. Approved medication tables will be updated regularly. Discrepancies must be reported. See Resource Section of this manual for additional contact information. Release Notes: Aspirin Table Version 1.0 Table 1.1 Aspirin and Aspirin-Containing Medications Acetylsalicylic Acid Acuprin 81 Alka-Seltzer Alka-Seltzer Morning Relief Anacin Arthritis Foundation Aspirin Arthritis Pain Ascriptin Arthritis Pain Formula ASA ASA Baby ASA Baby Chewable ASA Baby Coated ASA Bayer ASA Bayer Children's ASA Buffered ASA Children's ASA EC ASA Enteric Coated ASA/Maalox Ascriptin Aspergum Aspir-10 Aspir-Low Aspir-Lox Aspir-Mox Aspir-Trin Aspirbuf Aspircaf Aspirin Aspirin Baby Aspirin Bayer Aspirin Bayer Children's Aspirin Buffered Aspirin Child Aspirin Child Chewable Aspirin Children's Aspirin EC Aspirin Enteric Coated Specifications Manual for National Appendix C-1 Hospital Quality Measures Table 1.1 Aspirin and Aspirin-Containing Medications (continued) Aspirin Litecoat Aspirin Lo-Dose Aspirin Low Strength Aspirin Tri-Buffered Aspirin, Extended Release Aspirin/butalbital/caffeine Aspirin/caffeine Aspirin/pravachol Aspirin/pravastatin Aspirtab Bayer Aspirin Bayer Aspirin PM Extra Strength Bayer Children’s Bayer EC Bayer Enteric Coated Bayer Low Strength Bayer Plus Buffered ASA Buffered Aspirin Buffered Baby ASA Bufferin Bufferin Arthritis Strength Bufferin Extra Strength Buffex Cama Arthritis Reliever Child’s Aspirin Coated Aspirin Cosprin CTD Aspirin Dasprin Doans Pills Easprin EC ASA Ecotrin Ecotrin Low Strength Adult Effervescent Pain & Antacid Empirin Encaprin Entab Entaprin Entercote Enteric Coated Aspirin Enteric Coated Baby Aspirin Excedrin Specifications Manual for National Appendix C-2 Hospital Quality Measures Table 1.1 Aspirin and Aspirin-Containing Medications (continued) Excedrin Extra Strength Excedrin Geltab Excedrin Migraine Extra Strength Bayer Fiorinal Fiormor Fiortal Fortabs Genacote Genprin Halfprin Lifecoat Aspirin Low Dose ASA Magnaprin Med Aspirin Norwich Aspirin Pain Relief (Effervescent) Pain Relief with Aspirin Pravigard Pravigard PAC Sloprin St. Joseph Aspirin Stanback Analgesic Therapy Bayer Tri Buffered Aspirin Uni-As Uni-Buff Uni-Tren Zorprin Specifications Manual for National Appendix C-3 Hospital Quality Measures Release Notes: ACEI Table Version 1.0 Table 1.2 ACEIs Accupril Accuretic Aceon Altace Benazepril Benazepril Hydrochloride Benazepril/amlodipine Benazepril/hydrochlorothiazide Capoten Capozide Capozide 25/15 Capozide 25/25 Capozide 50/15 Capozide 50/25 Captopril Captopril HCT Captopril/hydrochlorothiazide Enalapril Enalapril Maleate/diltiazem Enalapril Maleate/hydrochlorothiazide Enalapril/diltiazem Enalapril/felodipine Enalapril/hydrochlorothiazide Enalaprilat Fosinopril Fosinopril Sodium/ hydrochlorothiazide Lexxel Lisinopril Lisinopril/hydrochlorothiazide Lotensin Lotensin HCT Lotrel Mavik Moexipril Moexipril Hydrochloride Moexipril Hydrochloride/hydrochlorothiazide Moexipril/hydrochlorothiazide Monopril Monopril HCT Monopril HCT 10/12.5 Perindopril Perindopril erbumine Specifications Manual for National Appendix C-4 Hospital Quality Measures Table 1.2 ACEIs (continued) Prinivil Prinzide Quinapril Quinapril HC1 Quinapril HC1/HCT Quinapril Hydrochloride/hydrochlorothiazide Quinapril/hydrochlorothiazide Ramipril Tarka Teczem Trandolapril Trandolapril/verapamil Trandolapril/verapamil hydrochloride Uniretic Univasc Vaseretic Vasotec Zestoretic Zestril Specifications Manual for National Appendix C-5 Hospital Quality Measures Release Notes: Beta Blockers Table Version 1.0 Table 1.3 Beta Blockers Acebutolol Atenolol Atenolol/chlorthalidone Betapace Betapace AF Betaxolol Bisoprolol Bisoprolol/fumarate Bisopropol/hydrochlorothiazide Blocadren Brevibloc Carteolol Cartrol Carvedilol Coreg Corgard Corzide 40/5 Corzide 80/5 Esmolol Inderal Inderal LA Inderide Inderide LA Kerlone Labetalol Levatol Lopressor Lopressor HCT Lopressor/hydrochlorothiazide Metoprolol Metoprolol/hydrochlorothiazide Metoprolol Tartrate/hydrochlorothiazide Nadolol Nadolol/bendroflumethiazide Normodyne Penbutolol Pindolol Propranolol Propranolol HC1 Propranolol Hydrochloride Propranolol/hydrochlorothiazide Sectral Sorine Sotalol Sotalol HC1 Specifications Manual for National Appendix C-6 Hospital Quality Measures Table 1.3 Beta Blockers (cont.) Tenoretic Tenormin Tenormin I.V. Timolide Timolol Timolol Maleate/hydrochlorothiazide Timolol/hydrochlorothiazide Toprol Toprol-XL Trandate Trandate HCl Visken Zebeta Ziac Specifications Manual for National Appendix C-7 Hospital Quality Measures Release Notes: Warfarin Table Version 1.0 Table 1.4 Warfarin Anisindione Barr Warfarin Sodium Coumadin Dicumarol Jantoven Liquamar Marevam Miradon Panwarfin Warfarin Release Notes: Thrombolytic Table Version 1.0 Table 1.5 Thrombolytic Agents Abbokinase Activase Alteplase Anistreplase Anisoylated Plasminogen-Streptokinase Activator Complex APSAC Eminase Kabikinase Retavase Reteplase rPA (RPA) Streptase Streptokinase Tenecteplase Tissue plasminogen activator TNKase tPA (TPA) UK Urokinase Specifications Manual for National Appendix C-8 Hospital Quality Measures Release Notes: Lipid Lowering Agents Table - Version 1.0 Table 1.6 Lipid Lowering Agents Abitrate Advicor Altocor Atorvastatin Atorvastatin/amlodipine Atromid-S B-3-50 B3-500-Gr Caduet Cholestyramine Cholestyramine Light Choloxin Clofibrate Colesevelam Colestid Colestid Flavored Colestipol Crestor Dextrothyroxine Sodium Ezetimibe Fenofibrate Fluvastatin Gemcor Gemfibrozil Lescol Lescol XL Lipitor Locholest Locholest Light Lofibra Lopid Lorelco Lovastatin Mevacor Niacin Niacin ER Niacin ER Starter Pack Niacin Extended Release Niacin SR Niacin TD Niacin TR Niacor Niacor B3 Niaspan Niaspan ER Niaspan ER Starter Pack Specifications Manual for National Appendix C-9 Hospital Quality Measures Table 1.6 Lipid Lowering Agents (cont.) Nico-400 Nicobid Tempules Nicolar Nicotinex Nicotinic Acid Pravachol Pravachol/aspirin Pravastatin Pravastatin/aspirin Pravigard Pravigard PAC Prevalite Prevalite Powder Probucol Questran Questran Light Rosuvastatin Simvastatin Slo-Niacin Tricor Welchol Zetia Zocor Specifications Manual for National Appendix C-10 Hospital Quality Measures Release Notes: Antimicrobial Medications Table Version 1.0 Table 2.1 Antimicrobial Medications Table Abacavir Abacavir Sulfate Achromycin Achromycin V Acyclovir Acyclovir Sodium Adoxa Agenerase Alatrofloxacin Alatrofloxacin Mesylate Amantadine Amantadine Hydrochloride Ambisome Amficot Amikacin Amikacin Sulfate Amikin Amoxicillin Amoxicillin (astryhydrate) Amoxicillin/Clavulanate Potassium Amoxicillin Trihydrate Amoxicillin as Trihydrate Amoxicillin (trihydrate) Amoxil Amoxil Pediatric Drops Amoxillin Amphocin Amphotec Amphotericin-B Ampicillin Ampicillin (Anhydrous) Ampicillin-Probenecid Ampicillin Sodium Ampicillin-Sulbactam Ampicillin Trihydrate Ampicin Amprenavir Ancef Anspor Antibiotic Not Otherwise Specified (NOS) Apo-Ampi Apo-Sulfatrim Aralen HCL Aralen Phosphate Specifications Manual for National Appendix C-11 Hospital Quality Measures Table 2.1 Antimicrobial Medications Table (cont.) Atovaquone Augmentin Augmentin XR Avelox Avlosulfon Azactam Azithromycin Aztreonam Azulfidine Bacampicillin Bacampicillin Hydrochloride Bacitracin Baci-IM Bactocill Bactrim Bactrim DS Beepen-VK Benzylpenicillin Biaxin Biaxin XL Bicillin-C-R Bicillin L-A Biocef Biomox C-Lexin Carbapenem Carbapenems Carbenicillin Carbenicillin Indanyl Sodium Ceclor Ceclor CD Ceclor Pulvules Cedax Cefaclor Cefaclor ER Cefadroxil Cefadroxil Monohydrate Cefadyl Cefamandole Cefamandole Nafate Cefanex Cefazolin Cefazolin Sodium Cefdinir Cefditoren Cefditoren Pivoxil Cefepime Cefepime Hydrochloride Cefixime Specifications Manual for National Appendix C-12 Hospital Quality Measures Table 2.1 Antimicrobial Medications Table (cont.) Cefizox Cefmetazole Cefmetazole Sodium Cefobid Cefonicid Cefonicid Sodium Cefoperazone Cefoperazone Sodium Cefotan Cefotaxime Cefotaxime Sodium Cefotetan Cefotetan Disodium Cefoxitin Cefoxitin Sodium Cefpodoxime Cefpodoxime Proxetil Cefprozil Ceftazidime Ceftazidime Sodium Ceftibuten Ceftin Ceftizoxime Ceftizoxime Sodium Ceftriaxone Ceftriaxone Sodium Cefuroxime Cefuroxime Axetil Cefuroxime Sodium Cefzil Cephalexin Cephalexin Hydrochloride Cephalexin Monohydrate Cephalothin Cephalothin Sodium Cephapirin Cephapirin Sodium Cephradine Cephradine Sodium Ceptaz Chloroquine Cilastatin Cilastatin Sodium Cipro Cipro IV Ciprofloxacin Ciprofloxacin Hydrochloride Claforan Clarithromycin Specifications Manual for National Appendix C-13 Hospital Quality Measures Table 2.1 Antimicrobial Medications Table (cont.) Clavulanate Potassium Cleocin Cleocin HCL Cleocin Phosphate Clindamycin Clindamycin Hydrochloride Clindamycin Phosphate Cloxacillin Cloxacillin Sodium Cloxapen Combivir Co-Trimoxazone Cotrim Cotrim DS Crystapen Cytovene Dapsone Declomycin Demeclocycline Dicloxacillin Dicloxacillin Sodium Diflucan Dirithromycin Doryx Doxy Caps Doxycycline Doxycycline Calcium Doxycycline Hyclate Doxycycline Hydrochloride Doxycycline Monohydrate Duricef Dycill Dynabac Dynacin Dynapen E-Mycin Ed A-Ceph EES E.E.S EES 200 EES 200/400 EES 400 Ertapenem Ertapenem Sodium Eryc EryPed EryPed 200 EryPed 200/400 EryPed 400 Specifications Manual for National Appendix C-14 Hospital Quality Measures Table 2.1 Antimicrobial Medications Table (cont.) Erytab Erythrocin Erythromycin Erythromycin Base Erythromycin Estolate Erythromycin Ethylsuccinate Erythromycin Lactobionate
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    NEW BRUNSWICK PRESCRIPTION DRUG PROGRAM FORMULARY Copyright - 2003 The Queen In the right of The Province of New Brunswick as represented by The Honourable Elvy Robichaud Minister of Health and Wellness ADMINISTERED BY ATLANTIC BLUE CROSS CARE ON BEHALF OF THE GOVERNMENT OF NEW BRUNSWICK TABLE OF CONTENTS Page Introduction to the New Brunswick Prescription Drug Program Formulary I The New Brunswick Prescription Drug Program I New Brunswick Prescription Drug Program Plans II - III Exclusions IV - V Extemporaneous Preparations and Placebos VI Benefit Review Process VII Product Deletion VII Submission Requirements VIII Legend IX Comment Sheet X Pharmacologic - Therapeutic Classification of Drugs 4:00 Antihistamines 1 8:00 Anti-Infective Agents 3 10:00 Antineoplastic Agents 28 12:00 Autonomic Drugs 33 20:00 Blood Formation and Coagulation 43 24:00 Cardiovascular Agents 49 28:00 Central Nervous System Agent 76 40:00 Electrolytic, Caloric and Water Balance 128 48:00 Antitussives, Expectorants & Mucolytic Agents 133 52:00 Eye, Ear, Nose and Throat (EENT) Preparations 135 56:00 Gastrointestinal Drugs 149 60:00 Gold Compounds 159 64:00 Heavy Metal Antagonists 160 68:00 Hormones and Synthetic Substitutes 161 80:00 Serums, Toxoids, and Vaccines 179 84:00 Skin and Mucous Membrane Agents 180 86:00 Smooth Muscle Relaxants 198 88:00 Vitamins 201 92:00 Unclassified Therapeutic Agents 205 TABLE OF CONTENTS Page Appendices I-A Abbreviations of Dosage Forms A-1 - A-3 I-B Abbreviations of Routes A-4 - A-5 I-C Abbreviations of Units A-6 - A-7 II Abbreviations of Manufacturers' Names A-8 - A-9 III Extemporaneous Preparations A-10 IV Special Authorization A-11 IV Special Authorization Drug Criteria A-12 NEW BRUNSWICK PRESCRIPTION DRUG PROGRAM FORMULARY Introduction The New Brunswick Prescription Drug Program Formulary is a listing of all drugs and drug products which have been determined by the Minister of Health and Wellness to be entitled services.
  • Biomarkers in Glioblastoma HIVE

    Biomarkers in Glioblastoma HIVE

    Development of Integrated Imaging Techniques for Investigating Biomarkers in Glioblastoma HIVE HEISOOG KIM B.S., Nuclear Engineering (2004) Seoul National University M.D. Certificate, Graduate Education in Medical Sciences (2011) Harvard-MIT Division of Health Sciences and Technology SUBMITTED TO THE DEPARTMENT OF NUCLEAR SCIENCE AND ENGINEERING IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF DOCTOR OF PHILOSOPHY IN NUCLEAR SCIENCE AND ENGINEERING AT THE MASSACHUSETTS INSTITUTE OF TECHNOLOGY SEPTEMBER 2011 @ 2011 Massachusetts Institute of Technology All rights reserved Signature of Author: Heisoog Kim Department of Nuclear Science and Engineering A.. ust 8"', 2011 Certified by Bruce R. n, Professor of Health Science and Technology/Nuclear Engineering All/7 Thesis Supervisor Certified by A. Gregory Sorensen, Professor at Harvard Medical School, Thesis Supervisor Reviewed by Elfar Adalsteinsson, Associate professor of Health Science and Technology, Thesis Reader Accepted by Mujid S. Kazimi, TEPCO P fess f Nuclear Engineering Chair, Department Committee on Graduate Students Table of Contents Abstract 5 Acknowledgements 7 List of Figures 9 List of Tables 11 1. Introduction 15 1.1. Significance of Developing Biomarkers 15 2. Cancer Physiology 19 2.1. Glioblastoma 19 2.2. Vascular Structure and Function in Brain Tumors 20 2.3. Angiogenesis in Tumor 22 2.4. Oxidative Metabolism in Tumors 23 2.5. Hypoxia in Tumors 26 3. Treatment Philosophies 33 3.1. Surgery 33 3.2. Radiotherapy 33 3.3. Chemotherapy 35 3.4. Antiangiogenic Therapy 37 4. Basics of Advanced Imaging Techniques 41 4.1. Magnetic Resonance Imaging Techniques 41 Simultaneous Blood Oxygenation Level Dependent (BOLD) and Arterial Spin Labeling (ASL) Imaging 42 Proton Magnetic Resonance Spectroscopy ('H MRS) Imaging 44 4.2.