InterQual® Criteria Drug List
The following drug list is provided as a tool to assist users of Change Healthcare’s products by categorizing drug names and classes mentioned within the criteria and notes. It is organized using a combined alphabetical listing of common generic and trade names with their associated chemical class (e.g., Beta-Blockers) and functional class (e.g., Antihypertensive). Multi-drug combinations are represented using slashes. For a more comprehensive listing of available agents, users are referred to standard drug references.
Drug Name Class
abacavir Nucleoside Reverse Transcriptase Inhibitor
abatacept Immunomodulators
Abbokinase Thrombolytic Agent
abciximab Antiplatelest agent, GP IIb/IIIa
Abelcet Antifungals
Abilify Antipsychotics
abotulinumtoxin A Neuromuscular blockers
acamprosate Alcohol Abstinence Enhancers
acarbose Diabetic Agents
Accolate Antileukotrienes
Accupril ACE Inhibitors
acebutolol Beta-Blockers
Aceon ACE Inhibitors
acetaminophen/codeine Analgesics, Opiates
acetazolamide Carbonic Anhydrase Inhibitors, Diuretics
acetohexamide Diabetic Agents, Sulfonylureas
acetylcysteine Antidote, Mucolytic
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Drug Name Class
Achromycin Anti-Infectives
Aciphex Proton Pump Inhibitors
Aclasta Bisphosphonates
Actemra Immunomodulator, Rheumatic agent
Acthar Corticosteroids, Hormonal Agents
Actimmune Immunomodulators
Activase Thrombolytics
Actonel Bisphosphonates
Actoplus Met Diabetic Agents, Thiazolidinediones
Actos Diabetic Agents
acyclovir Anti-Herpes Agents, Antivirals
Adalat Calcium Channel Blockers
adalimumab Immunomodulators, Rheumatic Agents
adapalene Acne Agents, Retinoids
Adderall Amphetamines, CNS Stimulants
Adenocard Antiarrhythmics
adenosine Antiarrhythmics
Adipex-P Appetite Suppressants, Stimulants
Adrenalin Bronchodilators, Vasopressors
Adrenaline chloride Alpha-Agonists, Vasopressors
adrenocorticotropic hormone (ACTH) Corticosteroid, Hormonal Agents
Adriamycin Chemotherapeutic Agents, Anthracyclines
Adrucil Chemotherapeutic Agents, Pyrimidine Antagonists
Advair Anti-Inflammatory, Beta-Agonists
Advicor Lipid Regulating Agents
Aerobid Corticosteroids
Aggrastat Antiplatelet Agents
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Drug Name Class
Aggrenox Antiplatelet Agents
Agrylin Antiplatelet Agents
A-hydroCort Corticosteroids
albendazole Anti-Infectives, Anthelmintics
Albenza Anti-Infectives, Anthelmintics
albumin 5% Volume Expanders
Albuminar-5 Volume Expanders
Albutein 5% Volume Expanders
albuterol Beta-Agonists, Bronchodilators
albuterol sulfate/ipratropium bromide Anticholinergic, Bronchodilator
Aldactone Antihypertensives, Diuretics
Aldara Dermatologic Agents, Immunomodulators
aldesleukin Chemotherapeutic Agents
Aldomet Antihypertensives
alemtuzumab Chemotherapeutic Agent, Monoclonal Antibody
alendronate Bisphosphonates
Alesse Hormonal Agents, Oral Contraceptive
Alfenta Analgesics, Opiates
alfentanil Analgesics, Opiates
Alferon N Immunomodulators
alfuzosin Alpha-Blockers
Alimta Antimetabolite, Chemotherapeutic Agents
alitretinoin Chemotherapeutic Agents, Retinoids
Alkeran Antineoplastic Alkylating Agent
Allegra Antihistamines, Peripherally Selective
allopurinol Anti-Gout Agents, Xanthine Oxidase Inhibitors
almotriptan Serotonin Agonists
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Drug Name Class
Alogliptin DPP-4 inhibitors
Aloxi Antiemetics
alprazolam Antianxiety Agents, Benzodiazepines
alprostadil Impotence Agents, Prostaglandin analogue
Altace ACE Inhibitors
Alteplace Thrombolytic Agent
alteplase/t-PA Thrombolytics, Tissue Plasminogen Activators
altretamine Chemotherapeutic Agents, Alkylating Agents
Alupent Beta-Agonists, Bronchodilators
amantadine Anti-Infectives, Antiviral, Parkinson's Agent
Amaryl Diabetic Agents, Sulfonylureas
Amatine Antihypotensive, Vasopressor
Ambien Nonbarbiturates, Sedatives
Amerge Serotonin Agonists
Amevive immunodepressants
amifostine Chemotherapeutic Agents, Cytoprotectives
amikacin Aminoglycosides, Anti-Infectives
Amikin Aminoglycosides, Anti-Infectives
amiloride Diuretics
aminophylline Asthma Agents, Bronchodilators
amiodarone Antiarrhythmics
amitriptyline Tricyclic Antidepressants
amlodipine Calcium Channel Blockers
amobarbital Barbiturates, Sedatives
amoxapine Tricyclic Antidepressants
amoxicillin Anti-Infectives, Penicillins
amoxicillin clavulanate Aminopenicillins, Anti-Infectives
Amoxil Anti-Infectives, Penicillins
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 4 Drug List
Drug Name Class
amphetamine mixed salts Amphetamines, Stimulants
amphotericin B Anti-Infective, Antifungals
ampicillin Anti-Infectives, Penicillins
ampicillin/sulbactam Aminopenicillins, Anti-Infectives
amrinone Inotropene Vasodilator
Amytal Barbiturates, Sedatives
Anafranil Tricyclic Antidepressants
anagrelide Antiplatelet Agents
anakinra Immunomodulators, Rheumatic Agents
Anaprox NSAIDs
Ancef Anti-Infectives, Cephalosporins
Ancobon Anti-Infectives, Antifungals
Anectine Neuromuscular Blockers, Depolarizing
anhydrous morphine Antidiarrheal, Neonatal Drug Withdrawal Therapy (Off Label)
anidulafungin Anti-Infectives, Antifungals
Ansaid NSAIDs
Antabuse Alcohol Sensitizing Agents
anthralin Anti-Psoratic, Dermatologic Agents
Antilirium Cholinergic Agents
Antivert Antihistamines
Anturane Uricosuric agent
Anzemet Antiemetics
Apidra Insulins
apixiban Non-vitamin K oral anticoagulant
Aplenzin Antidepressants
Apokyn Parkinson’s Agents
apomorphine Parkinson’s Agents
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 5 Drug List
Drug Name Class
aprepitant Antiemetics
Apresoline Antihypertensives, Vasodilators
Apri Hormonal Agents, Oral Contraceptive
Aquacare Dermatologic Agents
Aquachloral Sedatives, Non-Barbiturate
Aralen Anti-Infectives, Anti-Malarials, Amebicide
Aramine Adrenergic Agents, Vasopressors
Aranesp Hematopoetic Growth Factor
Arava Rheumatic Agents
Arduan Neuromuscular Blockers
Aredia Bisphosphonates
Argatroban Anticoagulants
Aricept Cognitive Enhancers
aripiprazole Antipsychotics
Aristocort Corticosteroids
Arixtra Anticoagulants
Arranon Chemotherapeutic Agents, DNA Demethylation Agents
Arthrotec NSAIDs, Prostaglandin analogue
Asacol Aminosalicytates (5-ASA)
asenapine Antipsychotics
asparaginase Chemotherapeutic Agents
Astelin Antihistamines
Astramorph Analgesics, Narcotic
Atacand Angiotensin Receptor Blocker
atanazar Protease inhibitor
Atarax Antihistamines, Non-Selective
atenolol Beta-Blockers
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 6 Drug List
Drug Name Class
Ativan Antianxiety Agents, Anticonvulsants, Benzodiazepines
atomoxetine Selective Norepinephrine Reuptake Inhibitors (SNRI)
atorvastatin Lipid Regulating Agents
atovaquone Anti-Infectives, Antiprotozoals
Atromid-S Lipid Regulating Agents
atropine Anticholinergics
Atrovent Anticholinergics, Bronchodilators
Augmentin Aminopenicillins, Anti-Infectives
auranofin Gold Compounds, Anti-Rheumatic
aurothioglucose Gold Compounds, Anti-Rheumatic
Avandamet Diabetic Agents
Avandaryl Diabetic Agents
Avandia Diabetic Agents, Thiazolidinediones
Avapro Angiotensin Receptor Blocker
Avastin Chemotherapeutic Agents, Monoclonal Antibody
Avelox Anti-Infectives, Fluroquinolones
Avita Acne Agents, Retinoids
Avodart Androgen Antagonists
Avonex Immunomodulators
azacitidine Chemotherapeutic Agents, DNA Demethylation Agents
Azactam Anti-Infectives, Monobactams
azatadine Antihistamines
azathioprine Immunosuppressants
azelaic acid Anti-Infectives, Dermatologic Agent
azelastine Antihistamines
Azelex Anti-Infectives, Dermatologic Agent
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 7 Drug List
Drug Name Class
Azilect Monamine Oxidase-B Inhibitor
azithromycin Anti-Infectives, Macrolides
Azmacort Corticosteroids
AZT (zidovudine) Antiretrovirals, NRTI
aztreonam Anti-Infectives, Monobactams
Azulfidine Aminosalicytates (5-ASA)
bacitracin Anti-Infectives
baclofen Muscle Relaxants
Bactrim Anti-Infectives
Bactroban Anti-Infectives
basilximab Immunosuppressants
BCG vaccine Chemotherapeutic Agents
beclomethasone Corticosteroids
Beclovent Corticosteroids
Benadryl Antiemetics, Antihistamines
benazepril ACE Inhibitors
Benicar Angiotensin Receptor Blocker
Bentyl Anticholinergics
Benzamycin Acne Agents
benzoyl peroxide Acne Agents
benzoyl peroxide and hydrocortisone Acne Agents
benztropine Anticholinergics, Parkinson’s Agents
Beraprost Synthetic Prostaglandin
betamethasone Corticosteroids
betamethasone dipropionate Dermatologic Agents
Betapace Antiarrhythmics, Beta-Blockers
Betaseron Immunomodulators
betaxolol Beta-Blockers
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Drug Name Class
bethanechol Cholinergic Agents
bevacizumab Monoclonal Antibody
bexarotene Chemotherapeutic Agents, Retinoids
Biaxin Anti-Infectives, Macrolides
bicalutumide Androgen Antagonists
bichloracetic acid Keratolytic Agents
Bicillin Anti-Infectives, Penicillins
BiCNU Alkylating Agents, Chemotherapeutic Agents
bifonazole Antifungals, Anti-Infectives
Biltricide Anti-Infectives, Anthelmintics
bisacodyl Laxatives, Stimulant Laxatives
bisoprolol Beta-Blockers
Blenoxane Antibiotics, Chemotherapeutic Agents
bleomycin Antibiotics, Chemotherapeutic Agents
Blocadren Beta-Blockers
Boniva Bisphosphonates
bortezomib Chemotherapeutic Agents, Proteasome Inhibitor
Botox Neuromuscular Blockers
botulinum toxin type A Neuromuscular Blockers
Branchedchain amino acids (BCAA) amino acid supplement
Brethine Beta-Agonists, Bronchodilators, Tocolytics
bretylium tosylate Antiarrhythmic
Bretylol Antiarrhythmic
Brevibloc Antiarrhythmics, Beta-Blockers
Bromfed Antihistamines, Decongestants
bromocriptine Parkinson’s Agents
brompheniramine/pseudoephedrine Antihistamines, Decongestants
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 9 Drug List
Drug Name Class
budesonide Corticosteroids
bumetanide Diuretics, Loop Diuretics
Bumex Diuretics, Loop Diuretics
bupivacaine Anesthetics, Local
Buprenex Analgesics, Opiate Agonist-Antagonists
buprenorphine Analgesics, Opiate Agonist-Antagonists
bupropion Antidepressants
bupropion hydrobromide Antidepressants
BuSpar Antianxiety Agents
buspirone Antianxiety Agents
busulfan Alkylating Agents, Chemotherapeutic Agents
butabarbital Barbiturates, Sedatives
butalbital/caffeine/acetaminophen Analgesics
butalbital/caffeine/aspirin Analgesics
butorphanol Agonis-Antagonists, Analgesics, Opiates
Byetta Incretin
cabergoline Endocrine Metobolic Agents
Cafergot Ergotamine Compounds
Calan Calcium Channel Blockers
calcipotriene Anti-Psoratic, Dermatologic Agents
calcitonin Anti-Resorptives
calcium acetate Fluid and Electrolyte Replacement, Mineral
calcium chloride Fluid and Electrolyte Replacement, Mineral
calcium gluceptate Fluid and Electrolyte Replacement, Mineral
calcium gluconate Fluid and Electrolyte Replacement, Mineral
Campath Chemotherapeutic Agents, Monoclonal Antibody
Campral Alcohol Abstinence Enhancers
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Drug Name Class
Camptosar Chemotherapeutic Agents, DNA Topoisomerase Inihibitors
Cancidas Anti-Infectives, Antifungals
candesartan Angiotensin Receptor Blocker
cantharidin Anti-Infectives
Capastat Sulfate Anti-Infectives, Antituberculosis Agents
capecitabine Chemotherapeutic Agents, Antimetabolite
Capoten ACE Inhibitors
capreomycin Anti-Infectives, Antituberculosis Agents
capsaicin Counterirritant, Dermatologic Agents
captopril ACE Inhibitors
carbamazepine Anticonvulsants, Mood Stabilizers
carbidopa/levodopa Parkinson’s Agents
carbinoxamine Antihistamines, Non-Selective
Carbocaine Anesthetics, Local
carboplatin Chemotherapeutic Agents, Platinum Co- ordination Complex
carboprost Prostaglandin analogue, Uterine active Agents
Cardene Calcium Channel Blockers
Cardioquin Antiarrhythmics
Cardizem Calcium Channel Blockers
Cardura Alpha-Blockers
carisoprodol Muscle Relaxants
carmustine Alkylating Agents, Chemotherapeutic Agents
carteolol Beta-Blockers
Cartrol Beta-Blockers
carvedilol Alph-Beta Blocking Agents, Beta-Blockers
Casodex Androgen Antagonists
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Drug Name Class
caspofungin Anti-Infectives, Antifungals
Cataflam NSAIDs
Catapres Antihypertensives, Centrally-Acting
Caverject Impotence Agents, Prostaglandin analogue
Ceclor Anti-Infectives, Cephalosporins
Cedax Anti-Infectives, Cephalosporins
CeeNU Alkylating Agents, Chemotherapeutic Agents
cefaclor Anti-Infectives, Cephalosporins
cefadroxil Anti-Infectives, Cephalosporins
cefazolin Anti-Infectives, Cephalosporins
cefdinir Anti-Infectives, Cephalosporins
cefditoren Anti-Infectives, Cephalosporins
cefepime Anti-Infectives, Cephalosporins
cefixime Anti-Infectives, Cephalosporins
Cefizox Anti-Infectives, Cephalosporins
Cefobid Anti-Infectives, Cephalosporins
cefoperazone Anti-Infectives, Cephalosporins
Cefotan Anti-Infectives, Cephalosporins
cefotaxime Anti-Infectives, Cephalosporins
cefotetan Anti-Infectives, Cephalosporins
cefoxitin Anti-Infectives, Cephalosporins
cefpodoxime Anti-Infectives, Cephalosporins
cefprozil Anti-Infectives, Cephalosporins
ceftazidime Anti-Infectives, Cephalosporins
ceftibuten Anti-Infectives, Cephalosporins
Ceftin Anti-Infectives, Cephalosporins
ceftizoxime Anti-Infectives, Cephalosporins
ceftriaxone Anti-Infectives, Cephalosporins
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 12 Drug List
Drug Name Class
cefuroxime Anti-Infectives, Cephalosporins
Cefzil Anti-Infectives, Cephalosporins
Celebrex NSAIDs, Selective COX-2 Inhibitors
celecoxib NSAIDs, Selective COX-2 Inhibitors
Celestone Corticosteroids
Celexa Antidepressants, SSRIs
CellCept Immunosuppressants
Celontin Anticonvulsants, Succinimides
Cena K Fluid and Electrolyte Replacement
cephalexin Anti-Infectives, Cephalosporins
cephradrine Anti-Infectives, Cephalosporins
Cerebyx Anticonvulsants, Hydantoins
Cerezyme Enzyme replacement
Cerubidine Chemotherapeutic Agents, Anthracyclines
Cervidil Prostaglandin analogue
cetirizine Antihistamines
cetuximab Chemotherapeutic Agents, Monoclonal Antibody
cevimeline Cholinergic Agents
chloral hydrate Sedatives, Non-Barbiturate
chlorambucil Alkylating Agents, Chemotherapeutic Agents
chloramphenicol Anti-Infectives
chlordiazepoxide Antianxiety Agents, Benzodiazepines
Chloromycetin Anti-Infectives
chloroprocaine Anesthetics, Local
chloroquine Anti-Malarials
chloroquine phosphate Amebicide
chlorothiazide Diuretics, Thiazides
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Drug Name Class
chlorpheniramine Antihistamines, Non-Selective
chlorpromazine Antiemetics, Antipsychotics
chlorpropamide Diabetic Agents, Sulfonylureas
chlorthalidone Diuretics, Thiazides
chlorzoxazone Muscle Relaxants
cholestyramine Lipid Regulating Agents
Cialis Impotence Agents
ciclopirox Antifungals, Anti-Infectives
cilastatin Anti-Infectives, Carbapenems
cilostazol Antiplatelet Agents
cimetidine Histamine receptor antagonist
Cimzia Immunomodulator, Rheumatic agent
Cinobac Anti-Infectives, Quinolones
cinoxacin Anti-Infectives, Quinolones
Cipro Anti-Infectives, Fluroquinolones
ciprofloxacin Anti-Infectives, Fluroquinolones
cisatracurium Neuromuscular Blockers,
cisplatin Chemotherapeutic Agents, Platinum Co- ordination Complex
citalopram Antidepressants, SSRIs
Citrucel Laxatives, Bulk Producing
cladribine Chemotherapeutic Agents, Antimetabolite
Claforan Anti-Infectives, Cephalosporins
Clarinex Antihistamines, Piperidine
clarithromycin Anti-Infectives, Macrolides
Cleocin Acne Agents, Anti-Infectives, Lincosamides
Climara Hormonal Agents
clindamycin Acne Agents, Anti-Infectives, Lincosamides
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Drug Name Class
Clinoril NSAIDs
clobetasol Corticosteroids, Dermatologic Agents
clofarabine Chemotherapeutic Agents, Antimetabolite
clofibrate Lipid Regulating Agents
Clolar Chemotherapeutic Agents, Antimetabolite
clomipramine Tricyclic Antidepressants
clonazepam Antianxiety Agents, Anticonvulsants, Benzodiazepines
clonidine Antihypertensives, Centrally-Acting
clopidogrel Antiplatelet Agents
clorazepate Benzodiazepines, Sedatives
clotrimazole Antifungals, Anti-Infectives
cloxacillin Anti-Infectives, Penicillins
Cloxapen Anti-Infectives, Penicillins
clozapine Antipsychotics, Dibenamines
Clozaril Antipsychotics
codeine Analgesics, Opiates
Cogentin Anticholinergics, Parkinson’s Agents
Cognex Cognitive Enhancers
colchicine Anti-Gout Agents
colesevelam Lipid Regulating Agents
Colestid Lipid Regulating Agents
colestipol Lipid Regulating Agents
colistimethate Anti-Infectives
Coly-Mycin M Anti-Infectives
Colyte Bowel Evacuants, Laxatives
Combivent Anticolinergics, Bronchodilators
Compazine Antiemetics, Neuroleptic
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Drug Name Class
Comtan Parkinson’s Agents
Concerta Stimulants
Condylox Dermatologic Agents
conivaptan Vasopressin antagonists
Copaxone Immunomodulators, Immunosuppressants
Cordarone Antiarrhythmics
Coreg Beta-Blockers
Corgard Beta-Blockers
Corlopam Vasoactive
cortisone acetate Corticosteroids
Cortone Corticosteroids
Cortrosyn Hormonal Agents, Adrenocorticosteroid
Corvert Antiarrhythmics
Cosmegen Antibiotics, Chemotherapeutic Agents
cosyntropin Hormonal Agents, Adrenocorticosteroid
Coumadin Anticoagulants
Cozaar Angiotensin Receptor Blocker
Crestor Lipid Regulating Agents
Crinone Hormonal Agents, Progestins
Crixivan Protease inhibitor
cromolyn Antiallergic, Asthma Agents, Mast Cell Stabilizer
Crystodigin Cardiac Glycosides
Cubicin Anti-Infectives
Cyclessa Hormonal Agents, Oral Contraceptive
cyclobenzaprine Muscle Relaxants
cyclophosphamide Alkylating Agents, Chemotherapeutic Agents
cycloserine Anti-Infectives, Antituberculosis Agents
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Drug Name Class
cyclosporine Immunosuppressants
Cyklokapron Antifibrinolytic
Cymbalta Antidepressants, Selective Serotonin and Norepinephrine Reuptake Inhibitor (SSNRI)
cyproheptadine Antihistamines, Non-Selective, Piperidines
cytarabine Chemotherapeutic Agents, Antimetabolite
Cytomel Thyroid Agents
Cytosar-U Chemotherapeutic Agents, Antimetabolite
Cytotec Prostaglandin analogue
Cytovene Anti-Infectives, Antiviral
Cytoxan Alkylating Agents, Chemotherapeutic Agents
dabigatran Non-vitamin K oral anticoagulant
dacarbazine Alkylating Agents, Chemotherapeutic Agents
daclizumab Immunosuppressants
dactinomycin Antibiotics, Chemotherapeutic Agents
Dalmane Benzodiazepines, Non-Barbiturates
dalteparin Anticoagulants
danazol Hormonal Agents
Danocrine Hormonal Agents
Dantrium Skeletal Muscle Relaxants
dantrolene Skeletal Muscle Relaxants
dapagliflozin SGLT2 inhibitors
dapsone Anti-Infectives, Leprostatic
daptomycin Anti-Infectives, Leptopeptides
Daraprim Anti-Infectives, Anti-Malarials
daunorubicin Chemotherapeutic Agents, Antimetabolite
Daypro NSAIDs
Daytrana Stimulants
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Drug Name Class
DDAVP Hormonal Agents
Decadron Anti-Emetic, Anti-Inflammatory, Corticosteroids
Decadron Phosphate Corticosteroids
Decaject Corticosteroids
Declomycin Anti-Infectives, Tetracyclines
Deltasone Corticosteroids
Demadex Diuretics, Loop Diuretics
demeclocycline Anti-Infectives, Tetracyclines
Demerol Analgesics, Opiates
Demulen Hormonal Agents, Oral Contraceptive
denileukin diftitox Chemotherapeutic Agents, Response Modifier
denosumab RANK ligand inhibitor
Depakene Anticonvulsants, Mood Stabilizers
Depakote Anticonvulsants, Mood Stabilizers
Depen Rheumatic Agents
Depoject Corticosteroids
Depo-Medrol Corticosteroids
Depo-Provera Hormonal Agents
Derbac-M pediculoside
Desferal Chelating Agents
desferoxamine Chelating Agents
desipramine Tricyclic Antidepressants
desloratadine Antihistamines, Piperidine
desmopressin Hormonal Agents
Desoxyn CNS Stimulants, Stimulants
desvenlafaxine Antidepressants, Serotonin Norepinephrine Reuptake Inhibitors (SNRI)
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Drug Name Class
Detrol Anticholinergics
dexamethasone Anti-Emetic, Anti-Inflammatory, Corticosteroids
dexchlorpheniramine Antihistamines, Non-Selective
Dexedrine Appetite Suppressants, Stimulants
dexmethylphenidate Stimulants
dexrazoxane Chemotherapeutic Agents, Cytoprotectives
dextran Volume Expanders
Dextran 40 Volume Expanders
dextroamphetamine Appetite Suppressants, Stimulants
DHE-45 Ergotamine Compounds
Diabinese Diabetic Agents, Sulfonylureas
Diamox Carbonic Anhydrase Inhibitors, Diuretics
diazepam Antianxiety Agents, Anticonvulsants, Benzodiazepines, Muscle Relaxants
diazoxide Antihypertensives
dichlorphenamide Diuretics
diclofenac NSAIDs
diclofenac sodium/misoprotol NSAIDs, Prostaglandin analogue
dicloxacillin Anti-Infectives, Penicillins
dicyclomine Anticholinergics
Didronel Bisphosphonates
diethylcarbamazine Anthelmintics
diethylpropion Appetite Suppressants
diethylstilbestrol (DES) Hormones & Synthetic Substitutes
Differin Acne Agents, Retinoids
Diflucan Anti-Infectives, Antifungals
diflunisal NSAIDs
digitoxin Cardiac Glycosides
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 19 Drug List
Drug Name Class
digoxin Cardiac Glycosides
dihydroergotamine Ergotamine Compounds
Dilacor Calcium Channel Blockers
Dilantin Anticonvulsants
Dilatrate Nitrates
Dilaudid Analgesics, Opiates
Dilor Bronchodilators, Xanthine Derivatives
diltiazem Calcium Channel Blockers
dinoprostone Prostaglandin analogue
Diovan Angiotensin Receptor Blocker
Dipentum Aminosalicytates (5-ASA)
diphenhydramine Antiemetics, Antihistamines
diphenoxylate/atropine loperamide Antidiarrheals
Diprolene Corticosteroids, Dermatologic Agents
dipyridamole Antiplatelet Agents
Disalcid NSAIDs
disopyramide Antiarrhythmics
disulfiram Alcohol Sensitizing Agent
Ditropan Anticholinergics
Diuril Diuretics, Thiazides
divalproex sodium Anticonvulsants, Mood Stabilizers
dobutamine Adrenergic Agents, Inotropic Agents, Vasopressors
Dobutrex Adrenergic Agents, Inotropic Agents, Vasopressors
docetaxel Chemotherapeutic Agents, Antmetabolite
dofetilide Antiarrhythmics
dolasteron Antiemetics, Serotonin Antagonist
Dolobid NSAIDs
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 20 Drug List
Drug Name Class
Dolophine Analgesics, Opiates
domperidone Prokinetic
donepezil Cognitive Enhancers
dopamine Adrenergic Agents, Vasopressors
Dopram Stimulants
Doral Benzodiazepines, Non-Barbiturates
Doribax Anti-Infectives, Beta-lactam
doripenem Anti-Infectives, Beta-lactam
dornase alpha Mucolytic
Doryx Anti-Infectives, Tetracyclines
Dostinex Endocrine Metobolic Agents
Dovonex Dermatologic Agents, Anti-Psoratic
doxacurium Neuromuscular Blockers
doxapram Stimulants
doxazosin Alpha-Blockers
doxepin Antianxiety Agents, Tricyclic Antidepressants
doxorubicin Anthracyclines, Chemotherapeutic Agents
doxycycline Anti-Infectives, Tetracyclines
dronabinol Antiemetics
dronedarone Antiarrhythmic
droperidol Antiemetics
drotrecogin alfa Thombolytics
DTIC-Dome Alkylating Agents, Chemotherapeutic Agents
duloxetine Antidepressants, Selective Serotonin and Norepinephrine Reuptake Inhibitor (SSNRI)
DuoFilm Dermatologic Agents
DuoPlant Dermatologic Agents
Duphalac Hyperosmotic Agents, Laxatives, Synthetic Disaccharide
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 21 Drug List
Drug Name Class
Duragesic Analgesics, Opiates
Duramorph Analgesics, Opiates
Duricef Anti-Infectives, Cephalosporins
dutasteride Androgen Antagonists
Dyazide Diuretics
Dynacin Anti-Infectives, Tetracyclines
DynaCirc Calcium Channel Blockers
dyphylline Bronchodilators, Xanthine Derivatives
Dyrenium Diuretics,
Dysport Neuromuscular blockers
E.E.S. Anti-Infectives, Macrolides
Echothiophate Miotics
econazole Antifungals, Anti-Infectives
Edecrin Diuretics, Loop Diuretics
edetate disodium (EDTA) Chelating Agents
edoxaban Factor Xa Inhibitor, Non-vitamin K oral anticoagulant
edrophonium Cholinergic Agents
efalizumab Immunosuppressants
Effexor Antidepressants, SNRI
Effient Platelet Inhibitor
eflornithine Dermatologic Agent
Elavil Tricyclic Antidepressants
Eldepryl Parkinson’s Agents
eletriptan Serotonin Agonists
Eleyso Enzyme replacement
Elimite Dermatologic Agents, Scabacide/Pediculoside
Elitek Chemotherapeutic Agents, Antimetabolite
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 22 Drug List
Drug Name Class
Ellence Anthracyclines, Chemotherapeutic Agents
Eloxatin Chemotherapeutic Agents, Platinum Co- ordination Complex
Elspar Chemotherapeutic Agents, Enzyme
Emcyt Alkylating Agents, Chemotherapeutic Agents
Emend Antiemetics
Eminase Thrombolytics
empaglifozin SGLT2 inhibitors
Emsam Monoamine Oxidase Inhibitors (MAOIs), Parkinson’s Agents
enalapril ACE Inhibitors
Enbrel Immunomodulators, Rheumatic Agents
Enduron Diuretics, Thiazides
enoxaparin Anticoagulants
entacapone Parkinson’s Agents
Entex LA Decongestants
Entresto Angiotensin Receptor Blocker
ephedrine Bronchodilators, Vasopressors
epinephrine Alpha-Agonists, Bronchodilators, Vasopressors
epirubicin Anthracyclines, Chemotherapeutic Agents
epoetin alfa Hematopoietic Growth Factor
Epogen Hematopoietic Growth Factor
epoprostenol Prostaglandin analogue
eprosartan Angiotensin Receptor Blocker
eptifibatide Antiplatelest agent, GP IIb/IIIa
Equetro Anticonvulsants, Mood Stabilizer
Eraxis Antifungals
Erbitux Chemotherapeutic Agents, Monoclonal Antibody
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 23 Drug List
Drug Name Class
Ergomar Ergotamine Compounds
ergonovine Oxytocics
Ergostat Ergotamine Compounds
ergotamine tartrate Ergotamine Compounds
ergotamine tartrate/caffeine Ergotamine Compounds
erlotinib Chemotherapeutic Agents, Epidermal Growth Factor Inhibitor
ertapenem Anti-Infectives, Carbapenems
Erythrocin Anti-Infectives, Macrolides
erythromycin Anti-Infectives, Carbapenems
erythromycin and benzoyl peroxide Acne Agents
escitalopram oxalate Antidepressants, SSRIs
Esgic Analgesics, Non-Narcotic
Esidrix Diuretics, Thiazides
Eskalith Mood Stabilizers
esmolol Antiarrhythmics, Beta-Blockers
esomeprazole Proton Pump Inhibitors
estazolam Benzodiazepines
Estrace Hormonal Agents
Estraderm Hormonal Agents
estramustine Alkylating Agents, Chemotherapeutic Agents
Estratab Hormonal Agents
estrogen Hormonal Agents
eszopiclone Sedatives, Non-Barbiturate
etanercept Immunomodulators, Rheumatic Agents
ethacrynic acid Diuretics, Loop Diuretics
ethambutol Anti-Infectives, Antituberculosis Agents
ethosuximide Anticonvulsants, Succinimides
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 24 Drug List
Drug Name Class
ethotoin Anticonvulsants, Hydantoins
Ethyol Chemotherapeutic Agents, Cytoprotectives
etidronate Bisphosphonates
etodolac NSAIDs
etoposide/VP-16 Chemotherapeutic Agents, Podopyllotoxin Derivatives
Eulexin Chemotherapeutic Agents, Androgen Antagonists
Evista Anti-Resorptives, Hormonal Agents
Evoxac Cholinergic Agents
Exelon Cognitive Enhancers
exenatide Diabetic Agents, Incretin Mimetic Agents, GLP-1 receptor agonists
Exubera Diabetic Agents, Insulins
ezetimibe Lipid Regulating Agents
ezetimibe/simvastatin Lipid Regulating Agents
Fabrazyme Endocrine metabolic agent
Factive Anti-Infectives, Fluroquinolones
famciclovir Anti-Herpes Agents, Anti-Infectives
famotidine GI Agent, H2 Blockers
Famvir Anti-Herpes Agents, Anti-Infectives
Fanapt Antipsychotics
Fansidar Anti-Infective, Anti-Malarials
felbamate Anticonvulsants
Felbatol Anticonvulsants
Feldene NSAIDs
felodipine Calcium Channel Blockers
fendolopam Vasoactive
fenofibrate Lipid Regulating Agents
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 25 Drug List
Drug Name Class
fenoprofen NSAIDs
fentanyl Analgesics, Opiates
fexofenadine Antihistamines
finasteride Androgen Antagonists
Finevin Acne Agents
Fioricet Analgesics, Non-Narcotic
Fiorinal Analgesics, Non-Narcotic
Flagyl Anti-Infectives, Amebicide, Antiprotozoals
flecainide Antiarrhythmics
Flexeril Muscle Relaxants
Flolan Prostaglandin analogue
Flomax Alpha-Blockers
Flonase Corticosteroids
Flovent Corticosteroids
Floxin Anti-Infectives, Fluroquinolones
floxuridine Chemotherapeutic Agents, Antimetabolite
fluconazole Anti-Infectives, Antifungals
flucytosine Anti-Infectives, Antifungals
Fludara Chemotherapeutic Agents, Antimetabolite
fludarabine Chemotherapeutic Agents, Antimetabolite
fludrocortisone Adrenocorticosteroid
Flumadine Anti-Infectives, Antiviral Agents
flunisolide Corticosteroids
fluorouracil/5-FU Chemotherapeutic Agents, Antimetabolite
fluoxetine Antidepressants, SSRIs
fluphenazine Antipsychotics
flurazepam Benzodiazepines
flurbiprofen NSAIDs
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 26 Drug List
Drug Name Class
flutamide Androgen Antagonists, Chemotherapeutic Agents
fluticasone Corticosteroids
fluvastatin Lipid Regulating Agents
fluvoxamine Antidepressants, SSRIs
Focalin Stimulants
Folinic acid Antineoplastic Adjunct
fondaparinux Anticoagulants
Foradil Beta-Agonists, Bronchodilators
Foradil Aerolizer Beta-Agonists, Bronchodilators
formoterol Beta-Agonists, Bronchodilators
Fortaz Anti-Infectives, Cephalosporins
Forteo Parathyroid hormone
Fosamax Bisphosphonates
foscarnet Anti-Infectives, Antiviral Agents
Foscavir Anti-Infectives, Antiviral Agents
fosfomycin Anti-Infectives
fosinopril ACE Inhibitors
fosphenytoin Anticonvulsants, Hydantoins
Fragmin Anticoagulants
Frova Serotonin Agonists
frovatriptan Serotonin Agonists
FUDR Chemotherapeutic Agents, Antimetabolite
Fulvicin Anti-Infectives, Antifungals
Fungizone Anti-Infectives, Antifungals
furazolidone Anti-Infectives, Antiprotazoans
furosemide Diuretics, Loop Diuretics
Furoxone Anti-Infectives, Antiprotazoans
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 27 Drug List
Drug Name Class
fusidic acid Anti-Infectives
gabapentin Anticonvulsants, Mood Stabilizers
Gabitril Anticonvulsants
galantamine Cognitive Enhancers
gamma-globulin Immunomodulators
Gammar-P.I.V. Immunomodulators
ganciclovir Anti-Infectives, Antiviral Agents
gefitinib Chemotherapeutic Agents, Epidermal Growth Factor Inhibitor
gemcitabine Chemotherapeutic Agents, Antimetabolite
gemfibrozil Lipid Regulating Agents
gemifloxacin Anti-Infectives, Fluroquinolones
gemtuzumab Chemotherapeutic Agents, Monoclonal Antibody
Gemzar Chemotherapeutic Agents, Antimetabolite
gentamicin Aminoglycosides, Anti-Infectives
Gentran 40 Volume Expanders
Gentran 70 Volume Expanders
Geodon Antipsychotics
glatiramer acetate Immunomodulators, Immunosupressants
Gleevec Chemotherapeutic Agents, Protein-Tyrosine Kinase Inhibitor
glimepiride Diabetic Agents, Sulfonylureas
glipizide Diabetic Agents, Sulfonylureas
glipizide/metformin Diabetic Agents
Glucophage Diabetic Agents, Biguanides
Glucotrol Diabetic Agents, Sulfonylureas
Glucovance Diabetic Agents
glyburide Diabetic Agents, Sulfonylureas
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 28 Drug List
Drug Name Class
glyburide/metformin Diabetic Agents
glycerin suppository Laxatives
GlycoLax Laxatives
glycopyrrolate Anticholinergics, Antispasmodics
Glynase Diabetic Agents, Sulfonylureas
Glyset Diabetic Agents, Alpha-Glucosidase Inhibitors
gold sodium thiomalate Anti-Rheumatic Agents, Gold Compounds
Go-Lytely Bowel Evacuants, Laxatives
goserelin acetate Chemotherapeutic Agents, GnRH Agonists
granisetron Antiemetics, Serotonin Antagonist
griseofulvin Anti-Infectives, Antifungals
Gris-peg Anti-Infectives, Antifungals
guanethidine Antihypertensives
guanfacine Antihypertensives
Halaven Microtubule Inhibitor, Antineoplastic Agent
Halcion Benzodiazepines, Non-Barbiturates
Haldol Antipsychotics
Haldol Decanoate Antipsychotics
halobetasol Corticosteroids, Dermatologic Agents
haloperidol Antipsychotics
Healon Osteoarthritis Agents
Hemabate Prostaglandin analogue, Uterine Active Agents
heparin Anticoagulants
Herceptin Chemotherapeutic Agents, Monoclonal Antibody
Hespan Volume Expanders
hetastarch Volume Expanders
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 29 Drug List
Drug Name Class
Hetrazan Anthelmintics
Hexalen Alkylating Agents, Chemotherapeutic Agents
Hiprex Anti-Infectives, Methenamines
Humalog Diabetic Agents, Insulins
Humira Immunomodulators, Rheumatic Agents
Humulin Diabetes Agents, Insulins
Hyalgan Osteoarthritis Agents
Hycamtin Chemotherapeutic Agents, DNA Topoisomerase Inihibitors
hydralazine Antihypertensives, Vasodilators
Hydrea Chemotherapeutic Agents, Ureas
hydrochlorothiazide Diuretics, Thiazides
hydrocodone w/ APAP Analgesics, Opiates
hydrocodone/acetaminophen Analgesics, Opiates
Hydrocortone (hydrocortisone) Corticosteroids
HydroDIURIL Diuretics, Thiazides
hydromorphone Analgesics, Opiates
Hydropres Antihypertensives
hydroxychloroquine Anti-Infectives, Anti-Malarials, Rheumatic Agents
hydroxyurea Chemotherapeutic Agents, Ureas
hydroxyzine Antianxiety Agents, Antiemetics, Antihistamines
Hygroton Diuretics, Thiazides
hylan G-F 20 Osteoarthritis Agents
hyoscyamine Anticholinergics
Hyperstat Antihypertensives
Hytrin Alpha-Blockers
ibandronate sodium Bisphosphonates
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 30 Drug List
Drug Name Class
ibritumomab Chemotherapeutic Agents, Monoclonal Antibody
ibutilide Antiarrhythmics
idarubicin Anthracyclines, Chemotherapeutic Agents
Ifex Alkylating Agents, Chemotherapeutic Agents
ifosfamide Alkylating Agents, Chemotherapeutic Agents
Iletin II Diabetic Agents, Insulins
iloperidone Antipsychotics
iloprost Prostaglandin Analogue, Vasodilators
imatinib Chemotherapeutic Agents, Protein-Tyrosine Kinase Inhibitor
imipenem/cilastatin Anti-Infectives, Carbapenems
imipramine Tricyclic Antidepressants
imiquimod Dermatologic Agents, Immunomodulators
Imitrex Serotonin Agonists
Imodium Anti-diarrheal
Imotil Anti-diarrheal
Imuran Immunosuppressants
inamrinone Inotropic Agents
Inapsine Antiemetics
indapamide Diuretics, Thiazides
Inderal Beta-Blockers
indinavir Protease inhibitor
Indocin NSAIDs
indomethacin NSAIDs
Infergen Immunomodulators
infliximab Immunomodulators, Rheumatic Agents
Innohep Anticoagulants
Inocor Inotropene Vasodilator
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 31 Drug List
Drug Name Class
insulin Diabetic Agents, Insulins
insulin aspart Diabetic Agents, Insulins
insulin aspart protamine and insulin aspart Diabetic Agents, Insulins
insulin detemir Diabetic Agents, Insulins
insulin glargine Diabetic Agents, Insulins
insulin glulisine Diabetic Agents, Insulins
insulin lispro Diabetic Agents, Insulins
insulin lispro protamine and insulin lispro Diabetic Agents, Insulins
Intal Antiallergic, Asthma Agents, Mast Cell Stabilizer
Integrilin Antiplatelet Agents
interferon alfa-2b/ribavirin Immunomodulators
interferon alfa-N3 Immunomodulators
interferon alpha-2a Immunomodulators
interferon alpha-2b Immunomodulators
interferon alphacon-1 Immunomodulators
interferon beta 1-b Immunomodulators
interferon beta-1A Immunomodulators
interferon gamma-1b Immunomodulators
Intron A Immunomodulators
Invanz Anti-Infectives, Carbapenems
Invega Antipsychotics, Benzisoxazole Derivative
iodine Anti-Infectives
Iodopen Fluid and Electrolyte Replacement
iodoquinol Amebicide, Anti-Infectives
Ionamin Appetite Suppressants
ipecac Emetics
ipratropium bromide Anticholinergics, Bronchodilators
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 32 Drug List
Drug Name Class
irbesartan Angiotensin Receptor Blocker
Iressa Chemotherapeutic Agents, Epidermal Growth Factor Inhibitor
irinotecan Chemotherapeutic Agents, DNA Topoisomerase Inihibitors
Isentress Integrase inhibitor
Ismo Nitrates
isoetharine Bronchodilators
isometheptene/dichloralphenazone/acetaminophen Analgesics
isoniazid Anti-Infectives, Antituberculosis Agents
isoproterenol Adrenergic Agents, Bronchodilators, Vasopressors
Isoptin Calcium Channel Blockers
IsoptoCarpine Cholinergic Agents
Isordil Nitrates
isosorbide dinitrate Nitrates
isosorbide mononitrate Nitrates
isotretinoin Acne Agents, Retinoids
isoxsuprine Vasodilators
isradipine Calcium Channel Blockers
Isuprel Adrenergic Agents, Bronchodilators, Vasopressors
itraconazole Anti-Infectives, Antifungals
ivermectin Anthelmintics, Anti-Infectives
Ixempra Microtubule Inhibitor, Antineoplastic Agent
Jadelle Hormonal Agents
Januvia Incretin
Jevtana Taxane, Antineoplastic Agent
kanamycin Aminoglycosides, Anti-Infectives
Kantrex Aminoglycosides, Anti-Infectives
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 33 Drug List
Drug Name Class
Kaochlor 10% Fluid and Electrolyte Replacement
Keflex Anti-Infectives, Cephalosporins
Kefzol Anti-Infectives, Cephalosporins
Kemadrin Anticholinergics, Parkinson’s Agents
Kemstro Muscle Relaxants
Keppra Anticonvulsants
Kerlone Beta-Blockers
Ketek Anti-Infectives, Ketolides
ketoconazole Anti-Infectives, Antifungals
ketorolac Analgesics, NSAIDs
Kineret Immunomodulators, Rheumatic Agents
Klonopin Antianxiety Agents, Anticonvulsants, Benzodiazepines
Kwell Dermatologic Agents, Scabicies/Pediculosides
Kytril Antiemetics, Serotonin Antagonist
Lornithine Laspartate (LOLA) amino acid supplement
labetalol Beta-Blockers
Lactugal Laxatives, Synthetic Disaccharide
lactulose Laxatives, Synthetic Disaccharide
Lamictal Anticonvulsants, Mood Stabilizers
Lamisil Anti-Infectives, Antifungals
lamotrigine Anticonvulsants, Mood Stabilizers
Laniazid Anti-Infectives, Antituberculosis Agents
Lanoxin Cardiac Glycosides
lansoprazole Proton Pump Inhibitors
Lantus Insulins
Lariam Anti-Infectives, Anti-Malarials
Larodopa Parkinson’s Agents
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 34 Drug List
Drug Name Class
Lasix Diuretics, Loop Diuretics
Latuda Antipsychotic
leflunomide Immunomodulators, Rheumatic Agents
Lente Anti-Diabetic Agents, Insulins
Lescol Lipid Regulating Agents
leucovorin Chemotherapeutic Agents, Vitamins, Antineoplastic Adjunct
leucovorin calcium Chemotherapeutic Agents, Vitamins
Leukeran Alkylating Agents, Chemotherapeutic Agents
leuprolide acetate GnRH Agonists
Leustatin Chemotherapeutic Agents, Antimetabolite
levabuterol hydrochloride Beta-Agonists, Bronchodilators
levamisole Chemotherapeutic Agents
Levaquin Anti-Infectives, Fluroquinolones
Levatol Beta-Blockers
Levemir Anti-Diabetic Agents, Insulins
levetiracetam Anticonvulsants
Levitra Impotence Agents
levodopa Parkinson’s Agents
Levo-Dromoran Analgesics, Opiates
levofloxacin Anti-Infectives, Fluroquinolones
levonorgestrel Hormonal Agents
Levophed Adrenergic Agents, Vasopressors
levorphanol Analgesics, Opiates
Levothroid Thyroid Agents
levothyroxine sodium Thyroid Agents
Levoxyl Thyroid Agents
Levsin Anticholinergics
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 35 Drug List
Drug Name Class
Levsinex Anticholinergics
Lexapro Antidepressants, SSRIs
Librium Antianxiety Agents, Benzodiazepines
lidocaine Anesthetics, Local; Antiarrhythmics
linagliptin DPP-4 inhibitors
Lincocin Anti-Infectives, Lincosamides
lincomycin Anti-Infectives, Lincosamides
lindane Dermatologic Agents, Scabicies/Pediculosides
linezolid Anti-Infectives, Oxazolidinones
Lioresal Muscle Relaxants
liothyronine Thyroid Agents
liotrix Thyroid Agents
Lipitor Lipid Regulating Agents
lisdexamfetamine dimesylate Stimulants
lisinopril ACE Inhibitors
lithium Mood Stabilizers
Lithobid Mood Stabilizers
Lithonate Mood Stabilizers
lixisenatide GLP-1 receptor agonists
Lo/Ovral Hormonal Agents, Oral Contraceptive
Loestrin Hormonal Agents, Oral Contraceptive
Lomotil Antidiarrheals
lomustine Alkylating Agents, Chemotherapeutic Agents
Loniten Antihypertensives, Vasodilators
loperamide Anti-diarrheal
Lopid Lipid Regulating Agents
Lopressor Beta-Blockers
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 36 Drug List
Drug Name Class
Lopurin Anti-Gout Agents
lorazepam Antianxiety Agents, Anticonvulsants, Benzodiazepines
Lortab Analgesics, Opiates
losartan Angiotensin Receptor Blocker
Lotensin ACE Inhibitors
lovastatin Lipid Regulating Agents
Lovenox Anticoagulants
loxapine Antipsychotics
Loxitane Antipsychotics
Lozol Diuretics, Thiazides
Lufyllin Bronchodilators, Xanthines
Lunesta Sedatives, Non-Barbiturate
Lupron GnRH Agonists
lurasidone Antipsychotic
Luvox Antidepressants
Lyrica Anticonvulsants
Lysodren Chemotherapeutic Agents
Macrodantin Anti-Infectives, Nitrofurans
mafenide acetate Anti-Infectives
magnesium chloride (MgCl) Fluid and Electrolyte Replacement, Minerals
magnesium citrate, magnesium hydroxide Laxatives
Magnesium sulfate Fluid and Electrolyte Replacement, Minerals, Tocolytics
mannitol Diuretics, Osmotic Diuretics
maprotiline Antidepressants
maraviroc CCR5 Entry Inhibitors
Marax Bronchodilators
Marcaine Anesthetics, Local
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 37 Drug List
Drug Name Class
Marinol Antiemetics
Matulane Chemotherapeutic Agents, Methylhydrazine Derivatives
Mavik ACE Inhibitors
Maxair Beta-Agonists, Bronchodilators
Maxalt Serotonin Agonists
Maxipime Anti-Infectives, Cephalosporins
Maxzide Diuretics
Mebaral Anticonvulsants, Sedatives, Barbiturates
mebendazole Anthelmintics, Anti-Infectives
mechlorethamine Alkylating Agents, Chemotherapeutic Agents
meclizine Antiemetics, Antihistamines
meclofenamate NSAIDs
medroxyprogesterone Hormonal Agents
mefenamic acid NSAIDs
mefloquine Anti-Infectives, Anti-Malarials
Mefoxin Anti-Infectives, Cephalosporins
meloxicam NSAIDs
melphalan Alkylating Agents, Chemotherapeutic Agents
memantine Cognitive Enhancers
Menest Hormonal Agents
meperidine Analgesics, Opiates
mephobarbital Anticonvulsants, Barbiturates, Sedatives
mepivacaine Anesthetics, Local
Mepron Anti-Infectives, Anti-Malarials
mercaptopurine Chemotherapeutic Agents, Antimetabolite
Meridia Appetite Suppressants
meropenem Anti-Infectives, Carbapenems
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 38 Drug List
Drug Name Class
Merrem Anti-Infectives, Carbapenems
mesalamine Aminosalicytates (5-ASA)
mesna Chemotherapeutic Agents, Cytoprotectives
Mesnex Chemotherapeutic Agents, Cytoprotectives
Mestinon Cholinergic Agents
Metadate Stimulants
Metaglip Diabetic Agents
metaproterenol Beta-Agonists
metaraminol Adrenergic Agents, Vasopressors
metaxalone Muscle Relaxants,
metformin Diabetic Agents, Biguanides
methacholine Cholinergic Agents
methadone Analgesics, Opiates
Methadose Analgesics, Opiates
methamphetamine Stimulants
methamphetamine hydrochloride CNS Stimulants
methenamine Anti-Infectives, Methanamines
Methergine Oxytocics
methicillin Anti-Infectives, Penicillins
methimazole Thyroid Antagonists
methocarbamol Muscle Relaxants
methotrexate Chemotherapeutic Agents, Folic Acid Antagonists
methsuximide Anticonvulsants
methyclothiazide Diuretics, Thiazides
methylcellulose Laxatives
methyldopa Antihypertensives
methylene blue Monoamine Oxidase Inhibitors
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 39 Drug List
Drug Name Class
methylergonovine Oxytocics
methylphenidate Stimulants
methylprednisolone Corticosteroids
metoclopramide Antiemetics, Prokinetic Agents
metolazone Diuretics, Thiazides
metoprolol Beta-Blockers
metproterenol Bronchodilators
metronidazole Amebicide, Anti-Infectives, Antiprotozoals
Mevacor Lipid Regulating Agents
mexiletine Antiarrhythmics
Mexitil Antiarrhythmics
Miacalcin Anti-Resorptives
micafungin Anti-Infectives, Antifungals
Micardis Angiotensin Receptor Blocker
miconazole Anti-Infectives, Antifungals
Micronase Diabetic Agents, Sulfonylureas
Midamor Diuretics
midazolam Benzodiazepines
midodrine HCL Antihypotensive, Vasopressor
Midrin Analgesics
Mifeprex Antiprogestin
mifepristone Antiprogestin
miglitol Diabetic Agents, Alpha-Glucosidase Inhibitors
Migranal Ergotamine Compounds
milnacipran Anti-depressant
milrinone Inotropic Agents
Minipress Alpha-Blockers, Antihypertensives
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 40 Drug List
Drug Name Class
Minirin Hormonal Agents
Minocin Anti-Infectives, Tetracyclines
minocycline Anti-Infectives, Tetracyclines
minoxidil Antihypertensives, Dermatologic Agents, Vasodilators
Mintezol Anthelmintics, Anti-Infectives
MiraLax Bowel Evacuants, Laxatives
Mirapex Parkinson’s Agents
Mircette Hormonal Agents, Oral Contraceptive
Mirena Hormonal Agents
mirtazapine Antidepressants
misoprostol Prostaglandin analogue
Mithracin Chemotherapeutic Agents
mitomycin Antibiotics, Chemotherapeutic Agents
mitotane Chemotherapeutic Agents
mitoxantrone Anthracenediones, Chemotherapeutic Agents, Immunomodulators
Mivacron Neuromuscular Blockers
mivacurium Neuromuscular Blockers
Moban Antipsychotics
Mobic NSAIDs
modafinil CNS Stimulants
Modicon Hormonal Agents, Oral Contraceptive
moexipril ACE Inhibitors
molindone Antipsychotics
Monistat Anti-Infectives, Antifungals
Monodox Anti-Infectives, Tetracyclines
Monoket Nitrates
Monopril ACE Inhibitors
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 41 Drug List
Drug Name Class
montelukast Antileukotrienes
Monurol Anti-Infectives
morphine Analgesics, Opiates
Morphine Sulfate Analgesics, Opiates
Motilium Prokinetic
Motrin NSAIDs
moxifloxacin Anti-Infectives, Fluroquinolones
MS Contin Analgesics, Opiates
MSIR Analgesics, Opiates
Mucomyst Antidote for Acetaminophen Overdose, Mucolytic
Multaq Antiarrhythmic
mupirocin Anti-Infectives
muromonab-CD3 Immunosuppressants
muromonab-CN3 Immunosuppressants
Muse Impotence Agents
Mustargen Alkylating Agents, Chemotherapeutic Agents
Mutamycin Antibiotics, Chemotherapeutic Agents
Myambutol Anti-Infectives, Antituberculosis Agents
Mycamine Anti-Infectives, Antifungals
Mycobutin Anti-Infectives, Antituberculosis Agents
mycophenolate Immunosuppressants
Myleran Alkylating Agents, Chemotherapeutic Agents
Mylotarg Chemotherapeutic Agents, Monoclonal Antibody
Myobloc Neuromuscular blockers
Mysoline Anticonvulsants
nabumetone NSAIDs
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 42 Drug List
Drug Name Class
N-Acetylcysteine (NAC) Antidote for Acetaminophen Overdose, Mucolytic
nadolol Beta-Blockers
nafarelin Hormonal Agents
nafcillin Anti-Infectives, Penicillins
naftifine Antifungals, Anti-Infectives
nalbuphine Analgesics, Opiates
Nalfon NSAIDs
nalidixic acid Anti-Infectives, Quinolones
naloxone Narcotic Antagonists
naltrexone Narcotic Antagonists
Namenda Cognitive Enhancers
Naprosyn NSAIDs
naproxen NSAIDs
naratriptan Serotonin Agonists
Narcan Narcotic Antagonists
Nardil Monoamine Oxidase Inhibitors (MAOIs)
Naropin Anesthetics, Local
natalizumab Immunomodulators
nateglinide Diabetic Agents, Meglitamides
Natrecor Endogenous B-type Natriuretic Peptide (hBNP), Vasodilators
Natroba pediculoside
Navane Antipsychotics
Navelbine Chemotherapeutic Agents, Antimetabolite
NebuPent Anti-Infectives, Antiprotazoans
nedocromil Antiallergic, Asthma Agents
nefazodone Antidepressants
NegGram Anti-Infectives, Quinolones
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 43 Drug List
Drug Name Class
nelarabine Chemotherapeutic Agents, DNA Demylation Agents
Nembutal Barbiturates, Sedatives
neomycin Aminoglycosides, Anti-Infectives
Neoral Immunosuppressants
Neosar Alkylating Agents, Chemotherapeutic Agents
neostigmine Cholinergic Agents
Nesacaine Anesthetics, Local
nesiritide Endogenous B-type Natriuretic Peptide (hBNP), Vasodilators
Neulasta Colony Stimulating Factor
Neupogen Colony Stimulating Factor
Neurontin Anticonvulsants, Mood Stabilizers
NeuTrexin Anti-infectives, Folate Antagonist
Nexium Proton Pump Inhibitors
niacin Lipid Regulating Agents
niacin/lovastatin Lipid Regulating Agents
niacinamide Nutritional supplements, Vitamins
Niaspan Lipid Regulating Agents
nicardipine Calcium Channel Blockers
nifedipine Calcium Channel Blockers
Nilandron Androgen Antagonists, Chemotherapeutic Agents
nilutamide Androgen Antagonists, Chemotherapeutic Agents
Nimbex Neuromuscular Blockers
nimodipine Calcium Channel Blockers
Nipent Chemotherapeutic Agents, Purine Anologs
Nipride Antihypertensives
nisoldipine Calcium Channel Blockers
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 44 Drug List
Drug Name Class
nitrazepam Anti-Anxiety Agents, Anticonvulsants
Nitro-Bid Nitrates, Vasoactive (IV)
Nitro-Dur Nitrates
nitrofurantoin Anti-Infectives, Nitrofurans
nitroglycerin (IV) Nitrates, Vasoactive (IV)
Nitropress Antihypertensives
nitroprusside Antihypertensives
Nitrostat Nitrates
Nix Dermatologic Agents, Scabicies/Pediculosides
Nizoral Anti-Infectives, Antifungals
Nolahist Antihistamines, Piperidines, Non-Selective
norepinephrine Adrenergic Agents, Vasopressors
Norflex Muscle Relaxants, Parkinson’s Agents
norfloxacin Anti-Infectives, Fluroquinolones
Norinyl Hormonal Agents, Oral Contraceptive
Normodyne Beta-Blockers
Noroxin Anti-Infectives, Fluroquinolones
Norpace Antiarrhythmics
Norplant Hormonal Agents
Norpramin Tricyclic Antidepressants
nortriptyline Tricyclic Antidepressants
Norvasc Calcium Channel Blockers
Novantrone Anthracenediones, Chemotherapeutic Agents, Immunomodulators
Novocain Anesthetics, Local
Novolin Diabetic Agents, Insulins
NovoLog Diabetic Agents, Insulins
NPH Diabetic Agents, Insulins
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 45 Drug List
Drug Name Class
Nubain Analgesics, Opiates
Numorphan Analgesics, Opiates
Nuprin NSAIDs
nystatin Anti-Infectives, Antifungals
octreotide Antidiarrheals, Hormonal Agents
ondanestron Antiemetics, Serotonin Antagonist
ofloxacin Anti-Infectives, Fluroquinolones
Ogen Hormonal Agents
OKT3 Immunosupressant
olanzapine Antipsychotics
Oleptro Antidepressants
olmesartan Angiotensin Receptor Blocker
olsalazine Aminosalicytates (5-ASA)
omalizumab Monoclonal antibodies
omeprazole PPI Inhibitor
Omnicef Anti-Infectives, Cephalosporins
Oncaspar Chemotherapeutic Agents, Enzymes
ondanestron Antiemetics, Serotonin Antagonist
Ontak Biological Response Modifiers, Chemotherapeutic Agents
Oramorph Analgesics, Opiates
Orap Antipsychotics
Orasone Corticosteroids
Orencia Immunomodulators
Orinase Diabetic Agents, Sulfonylureas
orphenadrine Muscle Relaxants
orphenadrine citrate Muscle Relaxants
Ortho-Cept Hormonal Agents, Oral Contraceptive
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 46 Drug List
Drug Name Class
Ortho-Novum Hormonal Agents, Oral Contraceptive
Ortho-Tricyclen Hormonal Agents, Oral Contraceptive
oseltamivir Anti-Viral
Osmitrol Diuretics, Osmotic Diuretics
Ovide pediculoside
oxacillin Anti-Infectives, Penicillins
oxaliplatin Chemotherapeutic Agents, Platinum Co- ordination Complex
oxaprozin NSAIDs
oxazepam Antianxiety Agents, Benzodiazepines
oxcarbazepine Anticonvulsants
oxybutynin Anticholinergics
oxycodone Analgesics, Opiates
oxycodone/acetaminophen Analgesics
oxycodone/aspirin Analgesics
OxyContin Analgesics, Opiates
oxymetazoline Decongestants, Ophthalmics
oxymorphone Analgesics, Opiates
oxytetracycline Anti-Infectives, Tetracyclines
oxytocin Oxytocics
Pacerone Antiarrhythmics
paclitaxel Chemotherapeutic Agents, Antimetabolite
paliperidone Antipsychotics
palonosetron Antiemetics
Pamelor Tricyclic Antidepressants
pamidronate Bisphosphonates
pancuronium Neuromuscular Blockers
panitumumab Chemotherapeutic Agents, Monoclonal Antibody
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 47 Drug List
Drug Name Class
Panretin Dematological Agents, Retinoids
pantoprazole Proton Pump Inhibitors
papaverine Vasodilators
Paraflex Muscle Relaxants
Parafon Forte DSC Muscle Relaxants
Paraplatin Chemotherapeutic Agents, Platinum Co- ordination Complex
Paregoric Antidiarrheals, Neonatal Drug Withdrawal Therapy (Off Label)
Parlodel Parkinson’s Agents
Parnate Monoamine Oxidase Inhibitors (MAOIs)
paromomycin Amebicide, Anti-Infectives
paroxetine Antidepressants, SSRIs
Paxil Antidepressants, SSRIs
PBZ Antihistamines
Pediapred Corticosteroids
Peganone Anticonvulsants, Hydantoins
pegaspargase Chemotherapeutic Agents, Enzymes
Pegasys Immunomodulators
peginterferon alfa-2a Immunomodulators
peginterferon alfa-2B Immunomodulators
PEG-Intron Immunomodulators
pemetrexed Chemotherapeutic Agents, Antimetabolite
Pen VK Anti-Infectives, Penicillins
penbutolol Beta-Blockers
penicillamine Rheumatic Agents
penicillin G Anti-Infectives, Penicillins
penicillin V potassium Anti-Infectives, Penicillins
Pentam Anti-Infectives, Antiprotazoans
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 48 Drug List
Drug Name Class
pentamidine Anti-Infectives, Antiprotazoans
Pentasa Aminosalicytates (5-ASA)
pentazocine Analgesics, Opiates
pentobarbital Anticonvulsants, Barbiturates, Sedatives
pentostatin Chemotherapeutic Agents, Antimetabolite
pentoxifylline Hematologic Agents
Percocet Analgesics, Opiates
Percodan Analgesics, Opiates
Periactin Antihistamines, Non-Selective, Piperidine
Peri-Colace Laxatives
perindopril ACE Inhibitors
Perjeta HER-2 Receptor Antagonist
permethrin Dermatologic Agents, Scabicies/Pediculosides
perphenazine Antipsychotics
Persantine Antiplatelet Agents
Pexeva Antidepressants, SSRIs
phenazopyridine Urogesic
phenelzine Monoamine Oxidase Inhibitors (MAOIs)
Phenergan Antiemetics, Antihistamines
phenindamine Antihistamines, Piperidines, Non-Selective
phenobarbital Anticonvulsants, Barbiturates, Sedatives
phenoxybenzamine Antihypertensives
phentermine hydrochloride Appetite Suppressants
phentolamine Antihypertensives
phenylephrine Adrenergic Agents, Alpha-Agonists, Vasopressors
phenylephrine/guaifenesin Decongestants
phenytoin Anticonvulsants
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 49 Drug List
Drug Name Class
phospholine iodine Miotics
physostigmine Cholinergic Agents
Pilocar Cholinergic Agents
pilocarpine Cholinergic Agents
pimecrolimus Calcineurin Inhibitors
pimozide Antipsychotics
pindolol Beta-Blockers
pioglitazone Diabetic Agents, Thiazolidinediones
pioglitazone/metformin Diabetic Agents, Thiazolidinediones
piperacillin Anti-Infectives, Extended Spectrum Penicillins
piperacillin/tazobactam Anti-Infectives, Extended Spectrum Penicillins
pirbuterol Beta-Agonists, Bronchodilators
piroxicam NSAIDs
pirubuterol Beta-Agonists, Bronchodilators
Pitocin Oxytocics
Pitressin Hormonal Agents
Plan B Hormonal Agents
Plaquenil Anti-Infectives, Anti-Malarials, Rheumatic Agents
Plasmanate Volume Expanders
Plasma-Plex Volume Expanders
Platinol Chemotherapeutic Agents, Platinum Co- ordination Complex
Plavix Antiplatelet Agents
Plendil Calcium Channel Blockers
Pletal Antiplatelet Agents
Podoben Dermatologic Agents, Destructive Agents
Podocon Dermatologic Agents, Destructive Agents
podofilox Dermatologic Agents, Destructive Agents
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 50 Drug List
Drug Name Class
Podofin Dermatologic Agents, Destructive Agents
podophyllin Dermatologic Agents, Destructive Agents
podophyllum Dermatologic Agents, Destructive Agents
Polaramine Antihistamines
polyethylene glycol-electrolyte solution Bowel Evacuants, Laxatives
Polymixin B Anti-Infectives
polymyxin Anti-Infectives
polythiazide Diuretics, Thiazides
Ponstel NSAIDs
Pontocaine Anesthetics, Local
potassium acetate Fluid and Electrolyte Replacement
potassium chloride Fluid and Electrolyte Replacement
potassium iodide Thyroid Antagonists
pramipexole Parkinson’s Agents
pramlintide Diabetic Agents, Amylin Analogs
Prandin Diabetic Agents, Meglitanides
prasugrel Platelet Inhibitor
Pravachol Lipid Regulating Agents
pravastatin Lipid Regulating Agents
praziquantel Anthelmintics, Anti-Infectives
prazosin Alpha-Blockers
Precose Alpha-Glucosidase Inhibitors, Diabetic Agents
PredForte Corticosteroids
prednisolone Corticosteroids
prednisone Corticosteroids
pregabalin Anticonvulsants
Prevacid Proton Pump Inhibitors
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 51 Drug List
Drug Name Class
Prilosec PPI Inhibitor
Primacor Inotropic Agents
primaquine Anti-Infectives, Anti-Malarials
Primaxin Anti-Infectives, Carbapenems
primidone Anti-Anxiety Agents, Anticonvulsants
Principen Anti-Infectives, Penicillins
Prinivil ACE Inhibitors
Prioderm pediculoside
Pristiq Antidepressants, Serotonin Norepinephrine Reuptake Inhibitors (SNRI)
Pro-Banthine Anticholinergics
probenecid Anti-Gout Agents, Uricosuric Agents
procainamide Antiarrhythmics
procaine Anesthetics, Local
procarbazine Chemotherapeutic Agents, Methylhydrazine Derivatives
Procardia Calcium Channel Blockers
prochlorperazine Antiemetics, Neuroleptic
Procrit Hematopoietic Growth Factor
procyclidine Anticholinergics, Parkinson’s Agents
Progestasert Contraceptive, Hormonal Agents, Intruterine Progesterone
progesterone Hormonal Agents
progestin Hormonal Agents
Prograf Immunosuppressants
Proleukin Biological Response Modifiers, Chemotherapeutic Agents
Prolia RANK Ligand Inhibitor
Prolixin Antipsychotics
promethazine Antiemetics, Antihistamines
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 52 Drug List
Drug Name Class
Prometrium Hormonal Agents
Pronestyl Antiarrhythmics
propafenone Antiarrhythmics
propantheline Anticholinergics
Propecia Androgen Antagonists
propranolol Beta-Blockers
propylthiouracil (PTU) Thyroid Antagonists
Proscar Androgen Antagonists
prostacyclin Synthetic Prostaglandin
Prostacyclin Flolan Synthetic Prostaglandin
Prostigmin Cholinergic Agents
Protenate Volume Expanders
Protonix Proton Pump Inhibitors
protriptyline Tricyclic Antidepressants
Provenge Immunomodulator, Antineoplastic Agent
Proventil Beta-Agonists, Bronchodilators
Provocholine Cholinergic Agents
Prozac Antidepressants, SSRIs
psyllium Laxatives, Bulk Producing
Pulmozyme Mucolytic
Purinethol Chemotherapeutic Agents, Antimetabolite
pyrantel Anthelmintics, Anti-Infectives
Pyrazinamide Anti-Infectives
pyrethrin Dermatologic Agents, Scabicies/Pediculosides
Pyridium Urogesic
pyridostigmine Cholinergic Agents
pyrimethamine Anti-Infectives, Anti-Malarials
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 53 Drug List
Drug Name Class
quazepam Benzodiazepines, Non-Barbiturates
Quellada-M pediculoside
Questran Bile Acid Sequesterants, Lipid Regulating Agents
quetiapine Antipsychotics
Quibron Bronchodilators
Quinaglute Antiarrhythmics
quinapril ACE Inhibitors
Quinidex Antiarrhythmics
quinidine Antiarrhythmics
quinine Anti-Infectives, Anti-Malarials
quinupristin/dalfopristin Anti-Infectives, Streptogramins
QVAR Corticosteroids
rabeprozole Proton Pump Inhibitors
racemic epinephrine Bronchodilators
raloxifene Anti-Resorptives, Hormonal Agents
raltegravir Integrase inhibitor
ramipril ACE Inhibitors
ranitidine H2 Blockers
Rapamune Immunosuppressants
Raptiva Immunosuppressants
rasagiline Monamine Oxidase-B Inhibitor
rasburicase Chemotherapeutic Agents, Antimetabolite
Razadyne Cognitive Enhancers
Rebetron Immunomodulators
Rebif Immunomodulators
Reclast Bisphosphonates
Reglan Antiemetics, Prokinetic Agents
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 54 Drug List
Drug Name Class
Regular Iletin Insulins
Relafen NSAIDs
Relpax Serotonin Agonists
Rember Monoamine Oxidase Inhibitors
Remeron Antidepressants
Remicade Immunomodulators, Rheumatic Agents
remifentanil Analgesics, Opiates
Remodulin Synthetic Prostaglandin
Renese Diuretics, Thiazides
Renova Dematologic Agents, Retinoids
ReoPro Antiplatelet Agents
repaglinide Diabetic Agents, Meglitanides
Requip Parkinson’s Agents
reserpine Antihypertensives
Restasis Immunosuppressants
Restoril Benzodiazepines, Sedatives, Non-Barbiturate
retapamulin Anti-Infectives
Retavase Thrombolytics, Tissue Plasminogen Activators
reteplase Thrombolytics, Tissue Plasminogen Activators
Retin-A Dermatologic Agents, Retinoids
retinoic acid (isotretinoin) Dermatologic Agents, Retinoids
Retrovir Anti-Infectives, Antiretroviral, NRTI
ReVia Narcotic Antagonists
Revlimid Immunomodulators
Reyataz Protease inhibitor
Rhinocort Corticosteroids
ribavirin Anti-Infectives, Antiviral Agents
Ridaura Anti-Rheumatic Agents, Gold Compounds
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 55 Drug List
Drug Name Class
rifabutin Anti-Infectives, Antituberculosis Agents
Rifadin Anti-Infectives, Antituberculosis Agents
rifampin Anti-Infectives, Antituberculosis Agents
rifaximin Antibiotic
Rilutek ALS Agents
riluzole ALS Agents
rimabotulinumtoxin B Neuromuscular blockers
rimantadine Anti-Infectives, Antiviral Agents
Ringer’s injection, lactated Volume Expanders
Ringer’s lactate solution Volume Expanders
risendronate Bisphosphonates
Risperdal Antipsychotics
risperidone Antipsychotics
Ritalin Stimulants
ritodrine Tocolytics
Rituxan Neuromuscular Blockers
rituximab Monoclonal Antibody
rivaroxaban Non-vitamin K oral anticoagulant
rivastigmine Cognitive Enhancers
rizatriptan Serotonin Agonists
Robaxin Muscle Relaxants
Robinul Anticholinergics
Rocephin Anti-Infectives, Cephalosporins
rocuronium Neuromuscular Blockers
Rogaine Dermatologic Agents
ropinirole Parkinson’s Agents
ropivacaine Anesthetics, Local
rosiglitazone Diabetic Agents, Thiazolidinediones
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 56 Drug List
Drug Name Class
rosuvastatin Lipid Regulating Agents
Rovamycin Antibiotic
Rowasa Aminosalicytates (5-ASA)
Roxanol Analgesics, Opiates
Roxicet Analgesics, Opiates
Roxicodone Analgesics, Opiates
Rt-PA Thrombolytic Agent
Rubex Antracyclines, Chemotherapeutic Agents
Rythmol Antiarrhythmics
salicylic acid Dermatologic Agents, Keratolytic Agents
salmeterol Beta-Agonists, Bronchodilators
salmeterol/fluticasone Anti-Inflammatory, Beta-Agonists
salsalate NSAIDs
Sandimmune Immunosuppressants
Sandostatin Antidiarrheals, Hormonal Agents
Saphris Antipsychotics
Savella Anti-depressant
saxagliptin DPP-4 inhibitors
scopolamine Anticholinergics, Antiemetics
scopolamine/hyoscine Anticholinergics
secobarbital Barbiturates, Sedatives
Seconal Barbiturates, Sedatives
Sectral Beta-Blockers
selegiline Monoamine Oxidase Inhibitors (MAOIs), Parkinson’s Agents
selenium sulfide Dermatologic Agents, Anti-Psoratic
Selzentry CCR5 Entry Inhibitors
Sensorcaine Anesthetics, Local
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 57 Drug List
Drug Name Class
Septra Anti-Infectives
Serax Antianxiety Agents, Benzodiazepines
Serevent Beta-Agonists, Bronchodilators
Seromycin Anti-Infectives, Antituberculosis Agents
Seroquel Antipsychotics
sertraline Antidepressants, SSRIs
sibutramine Appetite Suppressants
sildenafil Impotence Agents
Silvadene Antimicrobial
Simponi Immunomodulator, Rheumatic agent
Simulect Immunosuppressants
simvastatin Lipid Regulating Agents
Sinemet Parkinson’s Agents
Sinequan Antianxiety Agents, Tricyclic Antidepressants
Singulair Antileukotrienes
sirolimus Immunosuppressants
sitigliptin Incretin
Skelaxin Muscle Relaxants
Skelid Bisphosphonates
Slo-Niacin Lipid Regulating Agents
Slow-Mag Fluid and Electrolyte Replacement
sodium acetate Fluid and Electrolyte Replacement
sodium bicarbonate Fluid and Electrolyte Replacement
sodium chloride 0.45%/0.9% Fluid and Electrolyte Replacement, Volume Expanders
sodium chloride 3% hypertonic Fluid and Electrolyte Replacement, Volume Expanders
sodium hyaluronate Osteoarthritis Agents
sodium oxybate CNS depressant
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 58 Drug List
Drug Name Class
sodium phosphate Fluid and Electrolyte Replacement
sodium phosphates Laxatives
sodium sulfacetamide Acne Agents, Dermatologic Agents
Solfoton Anticonvulsants, Barbiturates, Sedatives
Solganal Anti-Rheumatic Agents, Gold Compounds
Solu-Cortef Corticosteroids
Solu-Medrol Corticosteroids
Soma Muscle Relaxants
somastatin Antidiarrheals, Hormonal Agents
Sonata Sedatives, Non-Barbiturate
sorbitol Laxatives
Sorbitrate Nitrates
sotalol Beta-Blockers
spectinomycin Anti-Infectives
Spectracef Anti-Infectives
spiramycin Antibiotic
Spiriva Anticholingerics, Bronchodilators
spironolactone Antihypertensives, Diuretics
Sporanox Anti-Infectives, Antifungals
Sprycel Chemotherapeutic Agents, Protein-Tyrosine Kinase Inhibitor
SSKI Thyroid Antagonists
Stadol Analgesics, Opiates
Staphcillin Anti-Infectives, Penicillins
Starlix Diabetic Agents, Meglitanides
Stavzor Anticonvulsant, Mood Stabilizer
Stelara Monoclonal antibody
Stelazine Antipsychotics
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 59 Drug List
Drug Name Class
Stilbestrol Hormones & Synthetic Substitutes
Strattera Selective Norepinephrine Reuptake Inhibitor (SNRI)
Streptase Thrombolytics
streptokinase Thrombolytics
streptomycin Aminoglycosides, Anti-Infectives
Streptomycin Sulfate Aminoglycosides, Anti-Infectives
streptozocin Alkyating Agents, Chemotherapeutic Agents
Stromectol Anthelmintics, Anti-Infectives
Sublimaze Analgesics, Opiates
Suboxone Opiate Agonist-Antagonists
Subutex Opiate Agonist-Antagonists
succinylcholine Neuromuscular Blockers, Depolarizing
Sufenta Analgesics, Opiates
sufentanil Analgesics, Opiates
Sular Calcium Channel Blockers
sulfadiazine Antimicrobial
sulfadoxine/pyrimethamine Anti-Infectives, Anti-Malarials
sulfamethoxazole Anti-Infectives
Sulfamylon Anti-Infectives
sulfanilamide Antibacterial
sulfasalazine Aminosalicytates (5-ASA)
sulfinpyrazone Uricosuric Agents
sulindac NSAIDs
sumatriptan Serotonin Agonists
Sumycin Anti-Infectives, Tetracyclines
sunitinib Chemotherapeutic Agents, Protein-Tyrosine Kinase Inhibitor
Surmontil Tricyclic Antidepressants
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 60 Drug List
Drug Name Class
Sutent Chemotherapeutic Agents, Protein-Tyrosine Kinase Inhibitor
Symbyax SSRI & Antipsychotic
Symlin Diabetic Agents, Amylin Analogs
Symmetrel Anti-Infectives, Parkinson’s Agents
Synagis Monoclonal antibody
Synarel Hormonal Agents
Synercid Anti-Infectives, Streptogramins
Synvisc Osteoarthritis Agents
tacrine Cognitive Enhancers
tacrolimus Immunosuppressants
tadalafil Impotence Agents
Tagamet Histamine receptor antagonist
Talwin Analgesics, Opiates
Tambocor Antiarrhythmics
Tamiflu Anti-Viral
tamoxifen Chemotherapeutic Agents, Hormonal Agents
tamsulosin Alpha-Blockers
Tapazole Thyroid Antagonists
Tarceva Chemotherapeutic Agents, Epidermal Growth Factor Inhibitor
Targretin Chemotherapeutic Agents, Retinoids
Tasigna Chemotherapeutic Agents, Protein-Tyrosine Kinase Inhibitor
Tasmar Parkinson’s Agents
Taxol Antimitotic Agent, Chemotherapeutic Agents
Taxotere Antimitotic Agent, Chemotherapeutic Agents
tazarotene Dermatologic Agents, Retinoids
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 61 Drug List
Drug Name Class
Tazicef Anti-Infectives, Cephalosporins
Tazidime Anti-Infectives, Cephalosporins
Tazorac Dermatologic Agents, Retinoids
Tegretol Anticonvulsants, Mood Stabilizers
telithromycin Anti-Infectives, Ketolides
telmisartan Angiotensin Receptor Blocker
temazepam Benzodiazepines, Sedatives, Non-Barbiturate
Temodar Chemotherapeutic Agents, Imidazotetrazine Derivatives
Temovate Dermatologic Agents, Anti-Inflamatory, Corticosteroids
temozolomide Chemotherapeutic Agents, Imidazotetrazine Derivatives
tenecteplase Thombolytics
Tenex Antihypertensives,
teniposide Chemotherapeutic Agents, Epipopophyllotoxins
Tenormin Beta-Blockers
Tensilon Cholinergic Agents
Tenuate Appetite Suppressants
terazosin Alpha-Blockers,
terbinafine Anti-Infectives, Antifungals
terbutaline Beta-Agonists, Bronchodilators, Tocolytics
teriparatide Parathyroid hormone
Terramycin Anti-Infectives, Tetracyclines
Teslac Chemotherapeutic Agents, Hormones
testolactone Chemotherapeutic Agents, Hormones
tetracaine Anesthetics, Local
tetracycline Anti-Infectives, Tetracyclines
Teveten Angiotensin Receptor Blocker
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 62 Drug List
Drug Name Class
thalidomide Immunosuppressants
Thalomid Immunosuppressants
Theo-Dur Bronchodilators
Theolair Bronchodilators
theophylline Bronchodilators
TheraCys Biological Response Modifiers, Chemotherapeutic Agents
thiabendazole Anti-Infectives, Anthelmintics
thiethylperazine Antiemetics
thioguanine Chemotherapeutic Agents, Antimetabolite
thioridazine Antipsychotics
Thiosulfil Antibacterial
thiotepa Alkyating Agents, Chemotherapeutic Agents
thiothixene Antipsychotics, Thioxanthene Derivatives
Thorazine Antiemetics, Antipsychotics
Thyroid (thyroid) Thyroid Agents
Thyrolar Thyroid Agents
tiagabine Anticonvulsants
Ticar Anti-Infectives, Extended Spectrum Penicillins
ticarcillin Anti-Infectives, Extended Spectrum Penicillins
ticarcillin/clavulante Anti-Infectives, Extended Spectrum Penicillins
Ticlid Antiplatelet Agents
ticlopidine Antiplatelet Agents
Tigan Antiemetics
tigecycline Anti-Infectives, Glycylcyclines
Tikosyn Antiarrhythmics
Tilade Antiallergic, Asthma Agents
tiludronate Bisphosphonates
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 63 Drug List
Drug Name Class
Timentin Anti-Infectives, Extended Spectrum Penicillins
timolol Beta-Blockers
tincture of opium Antidiarrheals
tinzaparin Anticoagulants
tiotropium bromide Anticholingerics, Bronchodilators
tirofiban Antiplatelest agent, GP IIb/IIIa
tizanidine Muscle Relaxants
TNKase Thombolytics
tobramycin Anti-Infectives, Aminoglycosides
tocainide Antiarrhythmics
Tofranil Tricyclic Antidepressants
tolazamide Diabetic Agents, Sulfonylureas
tolbutamide Diabetic Agents, Sulfonylureas
tolcapone Parkinson’s Agents
Tolectin NSAIDs
tolmetin NSAIDs
tolterodine Anticholinergics
tolvaptan Vasopressin antagonists
Tonocard Antiarrhythmics
topiramate Anticonvulsants
Topomax Anticonvulsants
topotecan Chemotherapeutic Agents, DNA Topoisomerase Inihibitors
Toprol Beta-Blockers
Toradol Analgesics, NSAIDs
Torecan Antiemetics
torsemide Diuretics, Loop Diuretics
Tracrium Neuromuscular Blockers
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 64 Drug List
Drug Name Class
tramadol Analgesics
Trandate Beta-Blockers
trandolapril ACE Inhibitors
tranexamic acid Antifibrinolytic
Transderm nitro Nitrates
Transderm Scop Anticholinergics
Tranxene Benzodiazepines, Sedatives
tranylcypromine Monoamine Oxidase Inhibitors (MAOIs)
trastuzumab Chemotherapeutic Agents, Monoclonal Antibody
trazodone Antidepressants
Trental Hematologic Agents
treprostinil Prostaglandin
tretinoin Chemotherapeutic Agents, Dermatologic Agents, Retinoids
triamcinolone acetonide Corticosteroids
triamterene Diuretics
triamterene/hydrochlorothiazide Diuretics
triazolam Benzodiazepines, Non-Barbiturates
trichloroacetic acid Dermatologic Agents, Destructive Agents
TriCor Lipid Regulating Agents
TriDil
trifluoperazine Antipsychotics
trihexyphenidyl Anticholinergics, Parkinson’s Agents
Trileptal Anticonvulsants
trimethobenzamide Anti-Infectives, Antiemetics
trimethoprim Anti-Infectives, Folate Antagonist
trimethoprim-sulfamethoxazole Anti-Infectives
trimetrexate Anti-Infectives, Folate Antagonist
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 65 Drug List
Drug Name Class
trimipramine Tricyclic Antidepressants
Trimpex Anti-Infectives, Folate Antagonist
Tri-Norinyl Hormonal Agents, Oral Contraceptive
tripelennamine Antihistamines
Trobicin Anti-Infectives, Spectinomycins
tubocurarine Neuromuscular Blockers
Tygacil Anti-Infectives, Glycylclyclines
Tylenol #3 Analgesics, Opiates
Tysabri Immunomodulators
Ultiva Analgesics, Opiates
Ultralente Insulins
Ultram Analgesics
Ultravate Corticosteroids, Dermatologic Agents
Unasyn Anti-Infectives, Penicillins
Unipen Anti-Infectives, Penicillins
Uniprost Synthetic Prostaglandin
Univasc ACE Inhibitors
uracil mustard Alkyating Agents, Chemotherapeutic Agents
Urecholine Cholinergic Agents
urokinase Thrombolytic Agent
Uroxatral Alpha-Blockers
UT-15 Synthetic Prostaglandin
valacyclovir Anti-Infectives, Antiviral Agents
Valcyte Anti-Infectives, Antiviral Agents
valdecoxib NSAIDs
valganiciclovir Anti-Infectives, Antiviral Agents
Valium Antianxiety Agents, Anticonvulsants, Benzodiazepines, Muscle Relaxants
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 66 Drug List
Drug Name Class
valproic acid Anticonvulsants, Mood Stabilizers
valrubicin Antibiotics, Chemotherapeutic Agents
valsartan Angiotensin Receptor Blocker
valsartan/sacubitril ARNI
Valstar Antibiotics, Chemotherapeutic Agents
Valtrex Anti-Infectives, Antiviral Agents
Vancocin Anti-Infectives
vancomycin Anti-Infectives
Vanoxide-HC Acne Agents
Vantin Anti-Infectives, Cephalosporins
vardenafil HCl Impotence Agents
Vasodilan Vasodilators
vasopressin Hormonal Agents
Vasotec ACE Inhibitors
Vectibix Chemotherapeutic Agents, Monoclonal Antibody
vecuronium Neuromuscular Blockers
Velcade Chemotherapeutic Agents, Proteosome Inhibitors
Velosef Anti-Infectives, Cephalosporins
Velosulin Diabetic Agents, Insulins
venlafaxine Antidepressants, SNRI
Ventavis Prostaglandin analogue, Vasodilators
Ventolin Beta-Agonists
VePesid Chemotherapeutic Agents, Epipopophyllotoxins
verapamil Calcium Channel Blockers
Verelan Calcium Channel Blockers
Vermox Anti-Infectives, Anthelmintics
© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 67 Drug List
Drug Name Class
Versed Benzodiazepines
verteporfin Opthamic Phototherapy Agents, Ophthalmics
Vesanoid Chemotherapeutic Agents, Retinoids
Vfend Anti-Infectives, Antifungals
Viagra Impotence Agents
Vibramycin Anti-Infectives, Tetracyclines
Vicodin Analgesics, Opiates
vidarabine Anti-Infectives, Antiviral Agents
Vidaza Chemotherapeutic Agents, DNA Demylation Agents
Viibryd Antidepressant
vilazodone Antidepressant
vinblastine Antimitotic Agent, Chemotherapeutic Agents
vincristine Antimitotic Agent, Chemotherapeutic Agents
vinorelbine Antimitotic Agent, Chemotherapeutic Agents
Vira-A Anti-Infectives, Antiviral Agents
Virazole Anti-Infectives, Antiviral Agents
Vistaril Antianxiety Agents, Antiemetics, Antihistamines
Visudyne Opthamic Phototherapy Agent, Ophthalmics
Vivactil Tricyclic Antidepressants
Vivelle Hormonal Agents
Vivitrol Narcotic Antagonists
Voltaren NSAIDs
voriconazole Anti-Infectives, Antifungals
Vumon Chemotherapeutic Agents, Epipopophyllotoxins
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Drug Name Class
Vytorin Lipid Regulating Agents
Vyvanse Stimulants
warfarin Anticoagulants
WelChol Lipid Regulating Agents
Wellbutrin Antidepressants
Wigraine Ergotamine Compounds
Xanax Antianxiety Agents, Benzodiazepines
Xeloda Antimetabolites, Chemotherapeutic Agents
Xgeva RANK ligand inhibitor
Xifaxan Antibiotic
Xolair Monoclonal antibodies
Xopenex Beta-Agonists, Bronchodilators
Xylocaine Antiarrhythmics, Anesthetics Local
Xyrem CNS depressant
Yasmin Hormonal Agents, Oral Contraceptive
Yodoxin Amebicide, Anti-Infectives
yohimbine Impotence Agents
zafirlukast Antileukotrienes
zaleplon Sedatives, Non-Barbiturate
Zanaflex Muscle Relaxants
Zanosar Alkyating Agents, Chemotherapeutic Agents
Zantac H2 Blockers
Zarontin Anticonvulsants, Succinimides
Zaroxolyn Diuretics, Thiazides
Zebeta Beta-Blockers
Zemuron Neuromuscular Blockers
Zenapax Immunosuppressants
Zestril ACE Inhibitors
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Drug Name Class
Zetia Lipid Regulating Agents
Zevalin Monoclonal Antibody
Ziagen Nucleoside Reverse Transcriptase Inhibitor
Zinacef Anti-Infectives, Cephalosporins
zinc pyrithione Antifungals, Anti-Infectives
Zinecard Chemotherapeutic Agents, Cytoprotectives
ziprasidone Antipsychotics
Zithromax Anti-Infectives, Macrolides
Zocor Lipid Regulating Agents
Zofran Antiemetics, Serotonin Antagonist
Zoladex GnRH Agonists
zoledronate Bisphosphonates
zoledronic acid Bisphosphonates
zolmitriptan Serotonin Agonists
Zoloft SSRIs, Antidepressants
zolpidem tartrate Sedatives, Non-Barbiturate
Zometa Bisphosphonates
Zomig Serotonin Agonists
Zonegran Anticonvulsants
zonisamide Anticonvulsants
Zostrix Osteoarthritis Agents
Zosyn Anti-Infectives, Extended Spectrum Penicillins
Zovia Hormonal Agents, Oral Contraceptive
Zovirax Anti-Infectives, Antiviral Agents
Zyloprim Anti-Gout Agents, Xanthine Oxidase Inhibitors
Zyprexa Antipsychotics
Zyrtec Antihistamines
Zyvox Anti-Infectives, Oxazolidinones
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© 2019 Change Healthcare, LLC and/or its subsidiaries. All Rights Reserved. 71