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