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PROPULSID () Limited Access Program Disallowed and Foods List by Generic Name

NOTE: THIS IS A LIST OF AND FOODS THAT HAVE THE POTENTIAL FOR INTERACTION WITH CISAPRIDE. Formal studies have not proven the interaction of all of these drugs and foods.

THIS LIST IS NOT COMPREHENSIVE AND IS SUBJECT TO REVISION AS ADDITIONAL INFORMATION BECOMES AVAILABLE.

GENERIC NAME BRAND NAME CATEGORY Medications abiraterone ZYTIGA® A,C aclarubicin (only on Non Aclacin, Aclacinomycine, Aclacinon, Aclaplastin, A US Market) Jaclacin UROXATRAL® A Symmetrel®, Symadine® A CORDARONE®, PACERONE®, GENERICS A,B,D , Solian®, Barnotil, Topral, Barnetil A,E , alone or in Elavil®, Tryptomer®, Tryptizol®, Laroxyl®, A,D any combination product Saroten®, Sarotex® Lentizol®, Endep®, GENERICS amphotericin B Fungilin®, Fungizone®, Abelcet®, AmBisome®, A,C Fungisome®, Amphocil®, Amphotec® amprenavir AGENERASE® A,B,D,E amsacrine (acridinyl Amsidine® A,B anisidide) anagrelide AGRYLIN®, XAGRID® A apalutamide ERLEADA™ A Apokyn®, Ixense®, Spontane®, Uprima® A aprepitant Emend® B Abilify®, Aripiprex® A Aristada™ A arsenic trioxide TRISENOX® A artemether and Coartem® A lumefantrine Saphris®, Sycrest® A HISMANAL® A,E REYATAZ® A,B Strattera® A azithromycin ZITHROMAX® A bedaquiline SIRTURO(TM) A bendroflumethiazide Aprinox, Naturetin® C ANQUIL®, GLIANIMON® A,E VASCOR® A,D betrixaban BEVYXXA® A binimetinib and Mektovi™ in combination with Braftovi™ A encorafenib

Category: A=Proven or possible QT/ risk; B=cytochrome P450 (CYP) 3A4 inhibitor; C=Possible risk due to hypokalemia or other electrolyte imbalance; D=Listed as contraindicated as specified in Propulsid labeling; E=Not available in United States

June 2019 1

PROPULSID (cisapride) Limited Access Program Disallowed Medications and Foods List by Generic Name

GENERIC NAME BRAND NAME CATEGORY boceprevir VICTRELIS(TM) B bortezomib VELCADE®, BORTECAD® A bosutinib BOSULIF® A BRETYLOL® A,D,E bumetanide, IV BUMEX® IV C bumetanide, oral single BUMEX® C agent ONLY (combination use of loop or diuretics with potassium replacement or with potassium- sparing drugs is ALLOWABLE, monitoring is recommended) Belbuca®, Butrans®, Bunavail®, Buprenex®, A Suboxone®, Zubsolv® cabozantinib COMETRIQ® A capecitabine Xeloda® A ceritinib ZykadiaTM A,B chloral hydrate Aquachloral®, Novo-Chlorhydrate®, Somnos®, A Noctec®, Somnote® chloroquine ARALEN® A chlorothiazide, IV DIURIL® IV C chlorothiazide, oral single DIURIL® C agent ONLY (combination use of loop or thiazide diuretics with potassium replacement or with potassium-sparing drugs is ALLOWABLE, monitoring is recommended) ORMAZINE, THORAZINE® A,D cilostazol Pletal® A Tagamet ® A cinacalcet Sensipar® A ciprofloxacin, any CIPRO® A formulation CELEXA® A BIAXIN® A,B,D TAVIST® A clofazimine LAMPRENE® A,E ANAFRANIL® A,D

Category: A=Proven or possible QT/torsades de pointes risk; B=cytochrome P450 (CYP) 3A4 inhibitor; C=Possible risk due to hypokalemia or other electrolyte imbalance; D=Listed as contraindicated as specified in Propulsid labeling; E=Not available in United States

June 2019 2

PROPULSID (cisapride) Limited Access Program Disallowed Medications and Foods List by Generic Name

GENERIC NAME BRAND NAME CATEGORY Clozaril®, Fazaclo®, Versacloz® A conivaptan VAPRISOL® B crizotinib XALKORI® A,B Tercian® A,E dabrafenib TAFINLAR® A dacomitinib VIZIMPRO® C darunavir/cobicistat PrezcobixTM A,B dasatinib SPRYCEL® A,B delamanid Deltyba® A,E NORPRAMIN® A,D AUSTEDO™ A,B,C dexamphetamine Dexedrine®, Zenzedi®, ProCentra®, Dextrostat®, A Liquadd®, Spansules® PRECEDEX, DEXDOR, DEXDOMITOR (IV sedative) A , alone or in any CARDIZEM®, TECZEM® A,B combination disopyramide NORPACE®, NORPACE CR® A,D TIKOSYN® A,D ANZEMET® A MOTILIUM® A, E donepezil Aricept® A ADAPIN®, SILENOR®, SINEQUAN®, ZONALON® A,D TOPICAL dronedarone MULTAQ® A,B Inapsine®, Droleptan®, Dridol®, Xomolix® A duvelisib COPIKTRA (not trademarked) B,C Sustiva® A eliglustat CERDELGA® A elotuzumab Empliciti™ C enasidenib IDHIFA® C ENKAID® A,E encorafenib Braftovi™ A,B epirubicin ELLENCE® A E.E.S.®, Robimycin®, EMycin®, Erymax®, Ery-Tab®, A,B,D Eryc Ranbaxy®, Erypar®, Eryped®, Erythrocin Stearate Filmtab®, Erythrocot®, E-Base®, Erythroped®, Ilosone®, MY-E®, Pediamycin®, Zineryt®, Abboticin®, Abboticin-ES®, Erycin®, PCE Dispertab®, Stiemycine®, Acnasol®, Tiloryth®, Generics Lexapro® A esomeprazole Nexium®, Nexium® 24HR, Nexium® I.V. C ethacrynic acid EDECRIN® IV C

Category: A=Proven or possible QT/torsades de pointes risk; B=cytochrome P450 (CYP) 3A4 inhibitor; C=Possible risk due to hypokalemia or other electrolyte imbalance; D=Listed as contraindicated as specified in Propulsid labeling; E=Not available in United States

June 2019 3

PROPULSID (cisapride) Limited Access Program Disallowed Medications and Foods List by Generic Name

GENERIC NAME BRAND NAME CATEGORY ezogabine POTIGA® A Pepcid OTC® A felbamate FELBATOL® A fingolimod GILENYA(TM) A TAMBOCOR® A DIFLUCAN® A,B,D fluorouracil injection (5- ADRUCIL®, EFUDEX® A FU) Prozac®, Sarafem®, Fontex® A Depixol®, Fluanxol® A,E APO-FLUPHENAZINE®, MODECATE A,D CONCENTRATE®, MODITEN®, PERMITIL®, PMS- FLUPHENAZINE®, PROLIXIN®, RHO- FLUPHENAZINE LUVOX®, Faverin®, Fevarin®, Floxyfral®, A,B Dumyrox® fosamprenavir LEXIVA B fosnetupitant, AKYNZEO™ B iv and oral fosphenytoin CEREBYX® A fostamatinib disodium TAVALISSE™ B hexahydrate furosemide, IV LASIX® IV C furosemide, oral single LASIX® C agent ONLY (combination use of loop or thiazide diuretics with potassium replacement or with potassium-sparing drugs is ALLOWABLE, monitoring is recommended) RAZADYNE® A garenoxacin Geninax® C,E gatifloxacin TEQUIN® A gemifloxacin FACTIVE® A gilteritinib XOSPATA® A,C glasdegib DAURISMO® A GRANISOL®, KYTRIL®, SANCUSO® A grepafloxacin RAXAR® A,B,F halofantrine HALFAN® A HALDOL® A

Category: A=Proven or possible QT/torsades de pointes risk; B=cytochrome P450 (CYP) 3A4 inhibitor; C=Possible risk due to hypokalemia or other electrolyte imbalance; D=Listed as contraindicated as specified in Propulsid labeling; E=Not available in United States

June 2019 4

PROPULSID (cisapride) Limited Access Program Disallowed Medications and Foods List by Generic Name

GENERIC NAME BRAND NAME CATEGORY Hawthorn, Crataegus FAROS 300®, Hawthorn®, Cardiplant®, A laevigata Crataegisan®, Crataegutt®, English hawthorn, Faros®, haw, Korodin®, LI 132, maybush, whitethorn, WS 1442 hydrochlorothiazide and UNIRETIC® C moexipril hydrochlorothiazide, oral, Apo-Hydro®, Aquazide H®, BP Zide®, Dichlotride®, C single ingredient Hydrodiuril®, HydroSaluric®, Hydrochlorot®, Microzide®, Esidrex®, Oretic®, generics hydrocodone extended- Hysingla™ ER, Zohydro ER® A release Atarax®, Vistaril®, Aterax®, Alamon®, Durrax®, A,C Equipose®, Masmoran®, Orgatrax®, Paxistil® Quiess®, Tran-Q®, Tranquizine®, generics ibandronic acid, Boniva® A ibandronate None A,E CORVERT® A idelalisib Zydelig® B Fanapt®, Fanapta®, Zomaril® B imatinib GLEEVEC B JANIMINE®, TOFRANIL®, VARIOUS A,D ARCAPTA(TM) INHALER A , IV LOZOL® IV (in an acute setting) C indapamide, oral single LOZOL®, others C agent ONLY (combination use of loop or thiazide diuretics with potassium replacement or with potassium-sparing drugs is ALLOWABLE, monitoring is recommended) indinavir CRIXIVAN® B,D inotersen injection TEGSEDI™ A inotuzumab ozogamicin BESPONSA® A,B IV isavuconazonium sulfate Cresemba ® B DYNACIRC® A SPORANOX® A,B,D ivabradine Procoralan®, Coralan®, Corlentor®, Coraxan®, A,E Ivabid®, Bradia® ivacaftor KALYDECOTM B

Category: A=Proven or possible QT/torsades de pointes risk; B=cytochrome P450 (CYP) 3A4 inhibitor; C=Possible risk due to hypokalemia or other electrolyte imbalance; D=Listed as contraindicated as specified in Propulsid labeling; E=Not available in United States

June 2019 5

PROPULSID (cisapride) Limited Access Program Disallowed Medications and Foods List by Generic Name

GENERIC NAME BRAND NAME CATEGORY ivosidenib TIBSOVO® A,C (systemic) Sufrexal® C,E NIZORAL® A,B,D lansoprazole Prevacid®, Prevacid® SoluTabTM, Prevacid® C 24HR, Prevacid® I.V. lapatinib TYKERB® A larotrectinib VITRAKVI® B lenvatinib mesylate LenvimaTM A letermovir PREVYMISTM B levofloxacin LEVAQUIN® A / Nosinan®, Nozinan®, Levoprome® A,B,E methotrimeprazine levomethadyl ORLAAM® A Lesuride®, Levazeo®, Enliva® A,E lithium ESKALITH®, Lithobid® A LUCEMYRA™ A loperamide (at very high Imodium®, Imodium A-D®, Imotil®, generics A doses) available lopinavir / KALETRA® A,B lutetium Lu 177 dotatate LUTATHERA™ C injection macimorelin oral solution MACRILENTM A LUDIOMIL® A,D Namenda®, Namenda XR®, Namzaric® (as a A combination product containing Donepezil, Memantine) meropenem / VABOMERE® C vaborbactam intravenous SERENTIL® A,D DOLOPHINE® A Reglan®, Afipran®, Maxolon®, Cerucal®, A Clopamon®, Clopra®, Maxeran®, Maxolon®, Metozolv®, Plasil®, Pramin®, Primperan®, Perinorm®, generics metolazone ZYTANIX®, ZAROXOLY®, MYKROX® C MEXITIL® A POSICOR® B,E micafungin Mycamine® B miconazole ORAVIG® B midostaurin RYDAPT® A,B Korlym®, Mifeprex® A Myrbetriq® A Remeron® A

Category: A=Proven or possible QT/torsades de pointes risk; B=cytochrome P450 (CYP) 3A4 inhibitor; C=Possible risk due to hypokalemia or other electrolyte imbalance; D=Listed as contraindicated as specified in Propulsid labeling; E=Not available in United States

June 2019 6

PROPULSID (cisapride) Limited Access Program Disallowed Medications and Foods List by Generic Name

GENERIC NAME BRAND NAME CATEGORY moricizine ETHMOZINE® A,D,E moxetumomab LUMOXITI™ C pasudotox-tdfk injection moxifloxacin AVELOX® A AMERGE® A necitumumab Portrazza™ C SERZONE® B,D nelfinavir VIRACEPT® A,B CARDENE® A nilotinib TASIGNA® A norfloxacin CHIBROXIN®, NOROXIN® A AVENTYL® HYDROCHLORIDE, PAMELOR® A,D octreotide SANDOSTATIN® A ofloxacin FLOXIN® A ombitasvir/paritaprevir/ Viekira PakTM A,B ritonavir/dasabuvir omeprazole Losec®, Prilosec®, Zegerid® C ZOFRAN® A osimertinib Tagrisso™ A oxaliplatin Eloxatin® A oxytocin PITOCIN®, Syntocinon® A palbociclib Ibrance® B INVEGA® A palonosetron ALOXI® A pamidronate Aredia ® A panobinostat lactate Farydak ® A,C HCl (when various, generic A given by IV infusion) PAXIL® A pasireotide SIGNIFOR® A patiromer for oral Veltassa™ C suspension pazopanib VOTRIENT® A pentamidine IV PENTACARINAT®, PENTAM® A perflutren DEFINITY® A TRILAFON®, Etrafon/Triavil®, Decentan® A,D Sunrythm (not ® in USA) A,E Nuplazid® A ORAP® A piperacillin / tazobactam ZOSYN® C plazomicin Zemdri™ C posaconazole NOXAFIL® A,B primaquine No Brand Name A Category: A=Proven or possible QT/torsades de pointes risk; B=cytochrome P450 (CYP) 3A4 inhibitor; C=Possible risk due to hypokalemia or other electrolyte imbalance; D=Listed as contraindicated as specified in Propulsid labeling; E=Not available in United States

June 2019 7

PROPULSID (cisapride) Limited Access Program Disallowed Medications and Foods List by Generic Name

GENERIC NAME BRAND NAME CATEGORY probucol Lorelco® A,E procainamide PROCAN®, PROCANBID®, PRONESTYL®, VARIOUS A,D COMPAZINE® A,D SPARINE A,D PHENERGAN® A,D RYTHMOL SR ®, RYTMONORM ® A propofol (Diprivan®, Propoven®, and other brands) A Dominal®, Largophren, Timoval, Timovan, C,E Tumovan SEROQUEL® A CARDIOQUIN®, Quinaglute®, Duraquin®, A,D Quinact®, Quinidex®, Cin-Quin®, Quinora®, VARIOUS quinidine sulfate with NUEDEXTA® A,B,D HBr quinine QUININE SULFATE A,B,E quinupristin and SYNERCID® B dalfopristin RANEXA® A resveratrol Various (-forte, -max, -ultra) B ribociclib KISQALI® A rilpivirine EDURANT® A RISPERDAL® A ritonavir NORVIR® B,D romidepsin ISTODAX® A roxithromycin Rulide®, Xthrocin®, Roxl-150®, Roxo®, Surlid®, A,E Rulide®, Biaxsig®, Roxar®, Roximycin®, Roxomycin®, Rulid®, Tirabicin®, Coroxin® SEREVENT® A saquinavir FORTOVASE®, INVIRASE® A,B,D,E Serdolect®, Serlect® A,D,E ZOLOFT® A Ulane®, Sojourn® A sodium zirconium LOKELMA™ C cyclosilicate VESICARE® A sorafenib NEXAVAR® A BETAPACE® A,D sparfloxacin ZAGAM® A,D stiripentol DIACOMIT (not trademarked) B Dogmatil® and others A,E IMITREX® A sunitinib SUTENT® A Category: A=Proven or possible QT/torsades de pointes risk; B=cytochrome P450 (CYP) 3A4 inhibitor; C=Possible risk due to hypokalemia or other electrolyte imbalance; D=Listed as contraindicated as specified in Propulsid labeling; E=Not available in United States

June 2019 8

PROPULSID (cisapride) Limited Access Program Disallowed Medications and Foods List by Generic Name

GENERIC NAME BRAND NAME CATEGORY tacrolimus Prograf® A tagraxofusp-erzs ELZONRIS™ C injection tamoxifen Nolvadex®(discontinued), Istubal®, Valodex® A telaprevir INCIVEK® B telavancin VIBATIV® A telithromycin KETEK® A,B SELDANE® A,E Micturin®, Mictrol® (not ) A,E Nitoman®, Xenazine® A maleate NORZINE®, TORECAN® A,D MELLARIL®, MELLARIL-S® A Tiapridal®, Italprid®, Sereprile®, Tialaread®, A,E Tiaryl®, Tiaprim®, Tiaprizal®, Sereprid®, Tiapridex® tipiracil and trifluridine LONSURF® A ZANAFLEX® A Detrol®, Detrol LA® A toremifene FARESTON® A torsemide DEMADEX® IV A,C ULTRAM ® A trastuzumab-dttb ONTRUZANT™ C DESYREL®, OLEPTRO® A STELAZINE® A,D trimethoprim- BACTRIM® A sulfamethoxazole SURMONTIL® A,D troleandomycin TAO® B,D INGREZZA™ A vardenafil LEVITRA® A vemurafenib ZELBORAF® A EFFEXOR® A , alone or in CALAN®, TARKA® A,B any combination trifenatate Breo® Ellipta® A voriconazole VFEND® A,B zafirlukast ACCOLATE® B GEODON® A zoledronic acid, Reclast®, Zometa® A zolendronate ZOMIG® A Losizopilon, Lodopin, Setous, Zoleptil A,E

Category: A=Proven or possible QT/torsades de pointes risk; B=cytochrome P450 (CYP) 3A4 inhibitor; C=Possible risk due to hypokalemia or other electrolyte imbalance; D=Listed as contraindicated as specified in Propulsid labeling; E=Not available in United States

June 2019 9

PROPULSID (cisapride) Limited Access Program Disallowed Medications and Foods List by Generic Name

GENERIC NAME BRAND NAME CATEGORY

GENERIC NAME BRAND NAME CATEGORY Foods Bitter orange Bitter Orange, Bitter Orange Extract, Bitter B Orange Herb, Bitter Orange Standardized

Common names: bitter orange, bitter orange flower, bitter orange peel, green orange, kijitsu, neroli oil, Seville orange, shangzhou zhiqiao, sour orange, bigarade, neroli flowers, laranja-amarga, laranja-azeda, laranja-cavalo, zhi shi, zhi qiao

Scientific: Citrus aurantium, Citrus aurantium amara, Citrus bergamia, Citrus bigaradia, Citrus vulgaris, or Aurantii pericarpium Grapefruit juice Various fruits, juices, extracts, supplements. B,D Scientific: Citrus paradisi Pomelo Common names: pomelo, pommelo, pummelo, B shaddock, or lusho fruit

Scientific: Citrus decumana, Citrus grandis, Citrus maxima Red wine Various A Shikonin botanical food additive, colorant, herbal B medicine

Chemical names: 54952-43-1; Anchusin; SHIKALKIN; Alkanet extract; Anchusa acid; Alkanna Red

Category: A=Proven or possible QT/torsades de pointes risk; B=cytochrome P450 (CYP) 3A4 inhibitor; C=Possible risk due to hypokalemia or other electrolyte imbalance; D=Listed as contraindicated as specified in Propulsid labeling; E=Not available in United States

June 2019 10