Prefix, Root, Suffix Examples (Generic Names) Drug Class Or

Total Page:16

File Type:pdf, Size:1020Kb

Prefix, Root, Suffix Examples (Generic Names) Drug Class Or prefix, root, drug class or drug examples (generic names) suffix category avanafil; sildenafil; tadalafil; phosphodiesterase -afil vardenafil (PDE) inhibitor betamethasone; dexamethasone; -asone diflorasone; fluticasone; corticosteroid mometasone doxorubicin; epirubicin; antineoplastic; -bicin idarubicin; valrubicin cytotoxic agent butabarbital; butalbital; barbiturate -bital phenobarbital; secobarbital (sedative) bupivacaine; lidocaine; -caine mepivacaine; prilocaine; local anesthetic proparacaine cefaclor; cefdinir; cefixime; cephalosporin cef-, ceph- cefprozil; cephalexin antibiotic amoxicillin; ampicillin; penicillin -cillin dicloxacillin; nafcillin; oxacillin antibiotic clocortolone; fludrocortisone; cort corticosteroid hydrocortisone demeclocycline; doxycycline; tetracycline -cycline minocycline; tetracycline antibiotic anthelmintic; albendazole; mebendazole; -dazole antibiotic; metronidazole; tinidazole antibacterial amlodipine; felodipine; nifedipine; calcium channel -dipine nimodipine; nisoldipine blocker bisphosphonate; alendronate; etidronate; -dronate bone resorption ibandronate; risedronate inhibitor esomeprazole; omeprazole; proton pump -eprazole rabeprazole inhibitor (PPI) -fenac bromfenac; diclofenac; nepafenac NSAID besifloxacin; ciprofloxacin; -floxacin levofloxacin; moxifloxacin; quinolone ofloxacin antibiotic antidiabetic; -gliptin saxagliptin; sitagliptin; linagliptin inhibitor of the DPP-4 enzyme pioglitazone; rosiglitazone; antidiabetic; -glitazone troglitazone thiazolidinedione brompheniramine; -iramine antihistamine chlorpheniramine; pheniramine carbonic acetazolamide; brinzolamide; -lamide anhydrase dorzolamide; methazolamide inhibitor adalimumab; daclizumab; monoclonal -mab infliximab; omalizumab; antibody trastuzumab carmustine; estramustine; alkylating agent -mustine lomustine; bendamustine (antineoplastic) azithromycin; clarithromycin; antibiotic; -mycin clindamycin; erythromycin antibacterial muscarinic -nacin darifenacin; solifenacin antagonist (anticholinergic) fluconazole; ketoconazole; -nazole miconazole; terconazole; antifungal tioconazole atenolol; metoprolol; nadolol; -olol beta blocker pindolol; propranolol; timolol fluocinolone; fluorometholone; -olone corticosteroid prednisolone; triamcinolone nandrolone; oxandrolone; -olone anabolic steroid oxymetholone budesonide; ciclesonide; desonide; -onide fluocinonide; halcinonide corticosteroid dexlansoprazole; lansoprazole; proton pump -oprazole pantoprazole inhibitor (PPI) antithrombotic; dalteparin; enoxaparin; parin; -parin anticoagulant fondaparinux; heparin; tinzaparin (blood thinner) xanthine aminophylline; dyphylline; -phylline derivative oxtriphylline; theophylline (bronchodilator) tricyclic clomipramine; desipramine; -pramine antidepressant imipramine; trimipramine (TCA) loteprednol; prednicarbate; pred; pred- corticosteroid prednisolone; prednisone benazepril; captopril; enalapril; -pril ACE inhibitor lisinopril; moexipril; ramipril fenoprofen; flurbiprofen; -profen NSAID ibuprofen; ketoprofen iloperidone; paliperidone; atypical -ridone risperidone antipsychotic angiotensin II candesartan; irbesartan; losartan; -sartan receptor olmesartan; valsartan antagonist; ARB loop diuretic -semide furosemide; torsemide (water pill) serotonin 5-HT3 alosetron; dolasetron; granisetron; -setron receptor ondansetron; palonosetron antagonist dolasetron; granisetron; antiemetic and -setron ondansetron; palonosetron antinauseant atorvastatin; lovastatin; HMG-CoA -statin pitavastatin; pravastatin; reductase rosuvastatin; simvastatin inhibitor; statins antibiotic; anti- sulfacetamide; sulfadiazine; sulfa- infective; anti- sulfamethoxazole; sulfasalazine inflammatory alcaftadine; cyproheptadine; -tadine desloratadine; loratadine; antihistamine olopatadine antiviral; anti- -tadine amantadine; rimantadine influenza-A albuterol; arformoterol; formoterol; beta agonist; -terol levalbuterol; salmeterol bronchodilator chlorothiazide; thiazide diuretic -thiazide hydrochlorothiazide; (water pill) methyclothiazide crizotinib; dasatinib; erlotinib; antineoplastic -tinib gefitinib; imatinib (kinase inhibitor) desogestrel; etonogestrel; female hormone -trel levonorgestrel; norgestrel (progestin) retinoid; tretin-; tretin; - acitretin; alitretinoin; isotretinoin; dermatologic tretin tretinoin agent; form of vitamin A antimigraine; almotriptan; eletriptan; rizatriptan; -triptan selective 5-HT sumatriptan; zolmitriptan receptor agonist tricyclic amitriptyline; nortriptyline; -tyline antidepressant protriptyline (TCA) abacavir; efavirenz; enfuvirtide; vir; -vir nevirapine; ritonavir; tenofovir antiviral; anti-HIV adefovir; entecavir; ribavirin antiviral; anti- vir; -vir (along with interferon) hepatitis acyclovir; famciclovir; penciclovir; antiviral; anti- -vir valacyclovir herpes cidofovir; ganciclovir; antiviral; anti- -vir valganciclovir CMV -vir oseltamivir; zanamivir antiviral; anti-flu antiviral; lamivudine; stavudine; telbivudine; -vudine nucleoside zidovudine analogues clonazepam; diazepam; -zepam benzodiazepine flurazepam; lorazepam; temazepam -zodone nefazodone, trazodone, vilazodone antidepressant alprazolam; estazolam; midazolam; -zolam benzodiazepine triazolam alfuzosin; doxazosin; prazosin; -zosin alpha blocker terazosin.
Recommended publications
  • (CD-P-PH/PHO) Report Classification/Justifica
    COMMITTEE OF EXPERTS ON THE CLASSIFICATION OF MEDICINES AS REGARDS THEIR SUPPLY (CD-P-PH/PHO) Report classification/justification of medicines belonging to the ATC group D07A (Corticosteroids, Plain) Table of Contents Page INTRODUCTION 4 DISCLAIMER 6 GLOSSARY OF TERMS USED IN THIS DOCUMENT 7 ACTIVE SUBSTANCES Methylprednisolone (ATC: D07AA01) 8 Hydrocortisone (ATC: D07AA02) 9 Prednisolone (ATC: D07AA03) 11 Clobetasone (ATC: D07AB01) 13 Hydrocortisone butyrate (ATC: D07AB02) 16 Flumetasone (ATC: D07AB03) 18 Fluocortin (ATC: D07AB04) 21 Fluperolone (ATC: D07AB05) 22 Fluorometholone (ATC: D07AB06) 23 Fluprednidene (ATC: D07AB07) 24 Desonide (ATC: D07AB08) 25 Triamcinolone (ATC: D07AB09) 27 Alclometasone (ATC: D07AB10) 29 Hydrocortisone buteprate (ATC: D07AB11) 31 Dexamethasone (ATC: D07AB19) 32 Clocortolone (ATC: D07AB21) 34 Combinations of Corticosteroids (ATC: D07AB30) 35 Betamethasone (ATC: D07AC01) 36 Fluclorolone (ATC: D07AC02) 39 Desoximetasone (ATC: D07AC03) 40 Fluocinolone Acetonide (ATC: D07AC04) 43 Fluocortolone (ATC: D07AC05) 46 2 Diflucortolone (ATC: D07AC06) 47 Fludroxycortide (ATC: D07AC07) 50 Fluocinonide (ATC: D07AC08) 51 Budesonide (ATC: D07AC09) 54 Diflorasone (ATC: D07AC10) 55 Amcinonide (ATC: D07AC11) 56 Halometasone (ATC: D07AC12) 57 Mometasone (ATC: D07AC13) 58 Methylprednisolone Aceponate (ATC: D07AC14) 62 Beclometasone (ATC: D07AC15) 65 Hydrocortisone Aceponate (ATC: D07AC16) 68 Fluticasone (ATC: D07AC17) 69 Prednicarbate (ATC: D07AC18) 73 Difluprednate (ATC: D07AC19) 76 Ulobetasol (ATC: D07AC21) 77 Clobetasol (ATC: D07AD01) 78 Halcinonide (ATC: D07AD02) 81 LIST OF AUTHORS 82 3 INTRODUCTION The availability of medicines with or without a medical prescription has implications on patient safety, accessibility of medicines to patients and responsible management of healthcare expenditure. The decision on prescription status and related supply conditions is a core competency of national health authorities.
    [Show full text]
  • Clinical Policy: Topical Agents: Corticosteroids
    Clinical Policy: Topical Agents: Corticosteroids Reference Number: OH.PHAR.PPA.92 Effective Date: 01/01/2020 Revision Log Last Review Date: Line of Business: Medicaid See Important Reminder at the end of this policy for important regulatory and legal information. Description TOPICAL AGENTS: CORTICOSTEROIDS – LOW POTENCY NO PA REQUIRED “PREFERRED” PA REQUIRED “NON- PREFERRED” DESONIDE cream, ointment (generic of Desowen®) ALCLOMETASONE cream, ointment (generic of FLUOCINOLONE ACETONIDE 0.01% cream, solution Aclovate®) (generic of Synalar®) CAPEX® shampoo (fluocinolone acetonide) FLUOCINOLONE body oil, scalp oil (generic of Derma- DESONATE®gel (desonide) Smoothe/ FS®) DESONIDE lotion (generic of Desowen®) HYDROCORTISONE cream, lotion, ointment HYDROCORTISONE ACETATE WITH ALOE gel HYDROCORTISONE WITH UREA cream (generic of Carmol HC®) PANDEL® cream (hydrocortisone probutate) PEDIADERM HC® kit TOPICAL AGENTS: CORTICOSTEROIDS – MEDIUM POTENCY NO PA REQUIRED “PREFERRED” PA REQUIRED “NON--PREFERRED” BETAMETHASONE DIPROPIONATE-CALCIPOTRIENE BETAMETHASONE DIPROPIONATE lotion (generic of Ointment Diprolene®) BETAMETHASONE VALERATE cream, lotion (generic of CLOCORTOLONE PIVALATE (generic of Cloderm®) Valisone®) CORDRAN® tape (flurandrenolide) FLUTICASONE PROPIONATE cream, ointment (generic of DESOXIMETASONE cream, gel, ointment (generic of Cutivate®) Topicort®) MOMETASONE FUROATE cream, ointment, solution FLUOCINOLONE ACETONIDE 0.025% cream, ointment (generic of Elocon®) (generic of Synalar®) PREDNICARBATE cream (generic of Dermatop®) FLUTICASONE
    [Show full text]
  • Steroids Topical
    Steroids, Topical Therapeutic Class Review (TCR) September 18, 2020 No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, digital scanning, or via any information storage or retrieval system without the express written consent of Magellan Rx Management. All requests for permission should be mailed to: Magellan Rx Management Attention: Legal Department 6950 Columbia Gateway Drive Columbia, Maryland 21046 The materials contained herein represent the opinions of the collective authors and editors and should not be construed to be the official representation of any professional organization or group, any state Pharmacy and Therapeutics committee, any state Medicaid Agency, or any other clinical committee. This material is not intended to be relied upon as medical advice for specific medical cases and nothing contained herein should be relied upon by any patient, medical professional or layperson seeking information about a specific course of treatment for a specific medical condition. All readers of this material are responsible for independently obtaining medical advice and guidance from their own physician and/or other medical professional in regard to the best course of treatment for their specific medical condition. This publication, inclusive of all forms contained herein, is intended to be educational in nature and is intended to be used for informational purposes only. Send comments and suggestions to [email protected]. September
    [Show full text]
  • Allergies Your Amerigroup Community Care Patients May Experience a Pharmacy Claim Rejection When Prescribed Nonpreferred Products
    Provider update Hot Tip: Allergies Your Amerigroup Community Care patients may experience a pharmacy claim rejection when prescribed nonpreferred products. To avoid additional steps or delays at the pharmacy, consider prescribing preferred products whenever possible. Utilization Management edits may apply to select preferred products. Coverage should be verified by reviewing the Preferred Drug List (PDL) on the Amerigroup provider website. The PDL is subject to change quarterly. Therapeutic class Preferred products Nonpreferred products Oral • Fexofenadine (generic Allegra) • Cetirizine (generic Zyrtec) antihistamines1 • Fexofenadine/ pseudoephedrine • Cetirizine/pseudoephedrine (generic Allegra-D) (generic Zyrtec D) • Loratadine (generic Claritin) • Zyrtec (cetirizine) • Loratadine/pseudoepherine • Zyrtec D (cetirizine/ (generic Claritin D) pseudoephedrine) • Clarinex (desloratadine) • Desloratadine (generic Clarinex) • Alegra (fexofenadine) • Allegra D (fexofenadine/ pseudoephedrine) • Levocetirizine (generic Xyzal) • Xyzal (levocetirizine) • Claritin (loratadine) • Claritin D (loratadine/ pseudoephedrine) Nasal steroids2 • OTC budesonide nasal spray • Flonase Sensimist (fluticasone (generic Rhinocort) furoate) • OTC Rhinocort Allergy • Flonase (fluticasone propionate) (budesonide) • Rx fluticasone propionate (generic • OTC fluticasone propionate Rx Flonase) (generic Flonase) • Mometasone furoate (generic • OTC triamcinolone acetonide Nasonex) (generic Nasacort) • Nasacort (triamcinolone acetonide) • Nasonex (mometasone furoate) • Omnaris
    [Show full text]
  • Medication List
    Medication List Walgreens Plus™ members receive discounts on thousands of generic and brand-name medications included on this Medication List, which is divided into two sections, “Value Priced” Medications and “Discounted” Medications*. The price for a medication identified as “Value-Priced” is listed below: Get savings up to 85% off Cash Prices • 30-day-supply drugs cost $5 (tier 1), $10 (tier 2) or $15 (tier 3) on Atorvastatin (generic Lipitor) and • 90-day-supply drugs cost $10 (tier 1), $20 (tier 2) or $30 (tier 3) Rosuvastatin (generic Crestor) †† The Discounted Medications section lists the discounts offered to Walgreens Plus members on other generic and brand-name medications not included in the Value-Priced Medication section. The price for a medication is based on its tier and whether it is a 30-day or 90-day supply†. There may be an additional cost for quanities greater than those listed. This discount prescription pricing applies only to Walgreen Plus members on prescriptions purchased in select Walgreens stores that are not billed to insurance and/or used in combination with other health or pharmacy benefit programs. For further details, see your pharmacist or Walgreens.com/Plus. VALUE GENERICS NAPROXEN 250MG TAB 2 60 180 Antifungal NAPROXEN 500MG TAB 2 60 180 Quantity NAPROXEN 375MG TAB 2 60 180 Drug Name Tier 30 90 NAPROXEN DR 500MG TAB 3 60 180 FLUCONAZOLE 150MG TAB 2 1 3 TERBINAFINE 250MG TAB 2 30 90 Asthma Quantity Antiviral Drug Name Tier 30 90 Quantity ALBUTEROL 0.083% INH SOLN 25X3ML 2 75 225 Drug Name Tier 30 90 AMINOPHYLLINE
    [Show full text]
  • A New Robust Technique for Testing of Glucocorticosteroids in Dogs and Horses Terry E
    Iowa State University Capstones, Theses and Retrospective Theses and Dissertations Dissertations 2007 A new robust technique for testing of glucocorticosteroids in dogs and horses Terry E. Webster Iowa State University Follow this and additional works at: https://lib.dr.iastate.edu/rtd Part of the Veterinary Toxicology and Pharmacology Commons Recommended Citation Webster, Terry E., "A new robust technique for testing of glucocorticosteroids in dogs and horses" (2007). Retrospective Theses and Dissertations. 15029. https://lib.dr.iastate.edu/rtd/15029 This Thesis is brought to you for free and open access by the Iowa State University Capstones, Theses and Dissertations at Iowa State University Digital Repository. It has been accepted for inclusion in Retrospective Theses and Dissertations by an authorized administrator of Iowa State University Digital Repository. For more information, please contact [email protected]. A new robust technique for testing of glucocorticosteroids in dogs and horses by Terry E. Webster A thesis submitted to the graduate faculty in partial fulfillment of the requirements for the degree of MASTER OF SCIENCE Major: Toxicology Program o f Study Committee: Walter G. Hyde, Major Professor Steve Ensley Thomas Isenhart Iowa State University Ames, Iowa 2007 Copyright © Terry Edward Webster, 2007. All rights reserved UMI Number: 1446027 Copyright 2007 by Webster, Terry E. All rights reserved. UMI Microform 1446027 Copyright 2007 by ProQuest Information and Learning Company. All rights reserved. This microform edition is protected against unauthorized copying under Title 17, United States Code. ProQuest Information and Learning Company 300 North Zeeb Road P.O. Box 1346 Ann Arbor, MI 48106-1346 ii DEDICATION I want to dedicate this project to my wife, Jackie, and my children, Shauna, Luke and Jake for their patience and understanding without which this project would not have been possible.
    [Show full text]
  • Medication Instructions for Allergy Patients
    MEDICATION INSTRUCTIONS FOR ALLERGY PATIENTS Drugs which contain antihistamine or have antihistaminic effects can result in negative reactions to skin testing. As a result, it may not be possible to properly interpret skin test results, and testing may have to be repeated at a later date. While this list is extensive, it is NOT all inclusive (particularly of the various brand names). Discontinue ALL antihistamines including the following medications seven (7) days prior to skin testing (unless longer time specified): Antihistamines – Generic name (Brand name(s)): Cetirizine (Zyrtec, Zyrtec-D) Hydroxyzine (Vistaril, Atarax) Desloratadine (Clarinex) Levocetirizine (Xyzal) Fexofenadine (Allegra, Allegra-D) Loratadine (Claritin, Claritin-D, Alavert) Diphenhydramine (Aleve PM, Benadryl, Bayer P.M., Benylin, Contac P.M., Doans P.M, Excedrin PM, Legatrin P.M.. Nytol, Tylenol Nighttime, Unisom, Zzzquil) Chlorpheniramine (Aller-Chlor, Allerest, Alka Seltzer Plus, Chlor-Trimeton, Comtrex, Contac, Co-Pyronil, Coricidin, CTM, Deconamine, Dristan, Dura-tap, Naldecon, Ornade Spansules, Rondec, Sinutab, Teldrin, Triaminic, Triaminicin, Tylenol Allergy) Azatadine (Optimine, Trinalin) Doxylamine (Nyquil) Brompheniramine (Bromfed, Dimetane, Dimetapp) Meclizine (Antivert) Carbinoxamine (Clistin, Rondec) Pheniramine Clemastine (Tavist) Phenyltoloxamine (Nadecon) Cyclizine (Marezine) Promethazine (Phenergan) Cyprohepatidine (Periactin) (9 days) Pyrilamine (Mepyramine) Dexbrompheniramine (Drixoral) Quinacrine (Atabrine) Dexchlorpheniramine (Extendryl, Polaramine)
    [Show full text]
  • 22134 Alcaftadine Clinical PREA
    Clinical Review Martin P Nevitt M.D., M.P.H NDA 22-134 (b) (4) (alcaftadine ophthalmic solution) 0.25% CLINICAL REVIEW Application Type NDA Application Number(s) 22-134 Priority or Standard S Submit Date(s) September 29, 2009 Received Date(s) September 29, 2009 PDUFA Goal Date July 28, 2010 Division / Office DAIOP Reviewer Name(s) Martin P. Nevitt, M.D.,M.P.H. Review Completion Date April 2, 2010 Established Name alcaftadine ophthalmic solution, 0.25% (Proposed) Trade Name Lastacaft Therapeutic Class histamine H1 receptor antagonist Applicant Vistakon Pharmaceuticals, LLC Formulation(s) Topical ophthalmic Dosing Regimen One drop each eye daily Indication(s) Prevention of itching associated with allergic conjunctivitis Intended Population(s) Patients ≥ 2 years old 1 Clinical Review Martin P Nevitt M.D., M.P.H NDA 22-134 (b) (4) (alcaftadine ophthalmic solution) 0.25% Table of Contents 1 RECOMMENDATIONS/RISK BENEFIT ASSESSMENT......................................... 5 1.1 Recommendation on Regulatory Action ............................................................. 5 1.2 Risk Benefit Assessment.................................................................................... 5 1.3 Recommendations for Postmarket Risk Evaluation and Mitigation Strategies ... 5 1.4 Recommendations for Postmarket Requirements and Commitments ................ 5 2 INTRODUCTION AND REGULATORY BACKGROUND ........................................ 5 2.1 Product Information ...........................................................................................
    [Show full text]
  • A List of Medications That May Lower Your Patients' Costs
    A list of medications that may lower your patients’ costs INTRODUCTION Catamaran utilizes a Pharmacy and Therapeutics Committee (P & T Committee), made up of practicing physicians, pharmacists, and nurses to help ensure that our formulary is medically sound and that it supports patient health. This committee reviews and evaluates medications on the formulary based on safety and efficacy to help maintain clinical integrity in all therapeutic categories. FORMULARY DESIGN There are numerous formulary designs that can be used by a pharmacy benefits administrator. Catamaran has chosen a formulary structure which is open and incentive based. Open Formulary: features co‐payments for medications that are preferred and non‐ preferred brands, plus lower co‐payments for generic drugs. Incentive Based: features different co‐payments for medications that are on or off the formulary. In this type of formulary, the patient cost structure may be two‐tier, three‐ tier, or four‐tier design. USING THIS FORMULARY REFERENCE GUIDE TO HELP CONTAIN COSTS Many benefit sponsors use the Catamaran formulary to help manage the overall cost of providing prescription drug benefits. This formulary offers a wide range of medications from which to choose. We realize that this formulary reference guide may not include every drug from every manufacturer. However, choosing a preferred drug when it is appropriate can provide access to the necessary medications to stay healthy, at a cost that is more affordable. KNOWING HOW THE FORMULARY INFORMATION IS ORGANIZED The following formulary reference guide is designed so that generic products are listed first in each drug category. The preferred brand name products are listed next, and non‐preferred brand products are listed last.
    [Show full text]
  • Medications That May Interfere with Skin Testing
    MEDICATIONS THAT MAY INTERFERE WITH SKIN TESTING • Due to continued advances, not all medications may be listed at time of printing. • For your safety and accurate results, at each visit, please list all your current medications (including non-prescription and those prescribed elsewhere). • It is important to let us know if you are pregnant or could be pregnant. STOP THESE MEDICATIONS FIVE DAYS BEFORE SKIN TESTING: ORAL ANTIHISTAMINES: ANTIHISTAMINE NOSE SPRAYS: • Allegra (Fexofenadine) • Astelin, Astepro, Dymista (Azelastine) • Benadryl (Diphenhydramine) • Patanase (Olopatadine) • Claritin, Alavert (Loratadine) • Clarinex (Desloratadine) ANTIHISTAMINE EYE DROPS: • Xyzal (Levocetirizine) • Alaway, Claritin, Zaditor, Zyrtec (Ketotifen) • Zyrtec (Cetirizine) • Bepreve (Bepotastine) • Cyproheptadine • Elestat (Epinastine) · All over-the-counter medications for allergy, cough, cold, sleep, • Emadine (Emedastine) or nausea that include: • Lastacaft (Alcaftadine) oAcrivastine (ex. Semprex) • Livostin (Levocabastine) oAzatadine (ex. Optimine, Trinalin) • Naphcon-A, Opcon-A, Visine-A oBrompheniramine (ex. Dimetapp) (Pheniramine) oCarbinoxamine (ex. Palgic, Arbinoxa) • Optivar (Azelastine) oChlorpheniramine (ex. Actifed, Aller-chlor, Chlor- • Pataday, Patanol (Olopatadine) Trimeton, Tylenol Allergy) oDimenhydrinate (ex. Dramamine) HEARTBURN MEDICATIONS (H2 BLOCKERS): oDiphenhydramine (ex. Unisom, Sominex, • Axid (Nizatidine) Triaminic, many with “PM” in the title) • Pepcid, Tums Dual Action (Famotidine) oDoxylamine (ex. Nyquil, Unisom) • Tagament
    [Show full text]
  • Ehealth DSI [Ehdsi V2.2.2-OR] Ehealth DSI – Master Value Set
    MTC eHealth DSI [eHDSI v2.2.2-OR] eHealth DSI – Master Value Set Catalogue Responsible : eHDSI Solution Provider PublishDate : Wed Nov 08 16:16:10 CET 2017 © eHealth DSI eHDSI Solution Provider v2.2.2-OR Wed Nov 08 16:16:10 CET 2017 Page 1 of 490 MTC Table of Contents epSOSActiveIngredient 4 epSOSAdministrativeGender 148 epSOSAdverseEventType 149 epSOSAllergenNoDrugs 150 epSOSBloodGroup 155 epSOSBloodPressure 156 epSOSCodeNoMedication 157 epSOSCodeProb 158 epSOSConfidentiality 159 epSOSCountry 160 epSOSDisplayLabel 167 epSOSDocumentCode 170 epSOSDoseForm 171 epSOSHealthcareProfessionalRoles 184 epSOSIllnessesandDisorders 186 epSOSLanguage 448 epSOSMedicalDevices 458 epSOSNullFavor 461 epSOSPackage 462 © eHealth DSI eHDSI Solution Provider v2.2.2-OR Wed Nov 08 16:16:10 CET 2017 Page 2 of 490 MTC epSOSPersonalRelationship 464 epSOSPregnancyInformation 466 epSOSProcedures 467 epSOSReactionAllergy 470 epSOSResolutionOutcome 472 epSOSRoleClass 473 epSOSRouteofAdministration 474 epSOSSections 477 epSOSSeverity 478 epSOSSocialHistory 479 epSOSStatusCode 480 epSOSSubstitutionCode 481 epSOSTelecomAddress 482 epSOSTimingEvent 483 epSOSUnits 484 epSOSUnknownInformation 487 epSOSVaccine 488 © eHealth DSI eHDSI Solution Provider v2.2.2-OR Wed Nov 08 16:16:10 CET 2017 Page 3 of 490 MTC epSOSActiveIngredient epSOSActiveIngredient Value Set ID 1.3.6.1.4.1.12559.11.10.1.3.1.42.24 TRANSLATIONS Code System ID Code System Version Concept Code Description (FSN) 2.16.840.1.113883.6.73 2017-01 A ALIMENTARY TRACT AND METABOLISM 2.16.840.1.113883.6.73 2017-01
    [Show full text]
  • Pre - PA Allowance Age 18 Years of Age Or Older Quantity 60 Grams Every 90 Days ______
    DOXEPIN CREAM 5% (Prudoxin, Zonalon) Pre - PA Allowance Age 18 years of age or older Quantity 60 grams every 90 days _______________________________________________________________ Prior-Approval Requirements Age 18 years of age or older Diagnosis Patient must have the following: Moderate pruritus, due to atopic dermatitis (eczema) or lichen simplex chronicus AND the following: 1. Inadequate response, intolerance or contraindication to ONE medication in EACH of the following categories: a. Topical antihistamine (see Appendix I) b. High potency topical corticosteroid (see Appendix II) 2. Physician agrees to taper patient’s dose to the FDA recommended dose, and after tapered will only use for short-term pruritus relief (up to 8 days) a. Patients using over 60 grams of topical doxepin in 90 days be required to taper to 60 grams topical doxepin within 90 days Prior - Approval Limits Quantity 180 grams for 90 days Duration 3 months ___________________________________________________________________ Prior – Approval Renewal Requirements None (see appendix below) Doxepin 5% cream FEP Clinical Rationale DOXEPIN CREAM 5% (Prudoxin, Zonalon) APPENDIX I Drug Dosage Form Diphenhydramine Cream Phenyltoloxamine Lotion/ Cream Tripelennamine Cream Phendiamine Cream APPENDIX II Relative Potency of Selected Topical Corticosteroid Drug ProductsDosage Form Strength I. Very high potency Augmented betamethasone Ointment, Gel 0.05% dipropionate Clobetasol propionate Cream, Ointment 0.05% Diflorasone diacetate Ointment 0.05% Halobetasol propionate Cream, Ointment 0.05% II. High potency Amcinonide Cream, Lotion, 0.1% Augmented betamethasone Cream,Ointment Lotion 0.05% dipropionate Betamethasone Cream, Ointment 0.05% Betamethasonedipropionate valerate Ointment 0.1% Desoximetasone Cream, Ointment 0.25% Gel 0.05% Diflorasone diacetate Cream, Ointment 0.05% (emollient base) Fluocinonide Cream, Ointment, Gel 0.05% Halcinonide Cream, Ointment 0.1% Triamcinolone acetonide Cream, Ointment 0.5% III.
    [Show full text]