HIGH RISK MEDICATIONS as specified by NCQA’s HEDIS Measure: Use of High Risk Medications in the Elderly Description Prescription Antianxiety (includes • aspirin-meprobamate • meprobamate combination drugs) Antiemetics • scopolamine • trimethobenzamide Analgesics (includes • acetaminophen-diphenhydramine • ketorolac combination drugs) • diphenhydramine-magnesium salicylate Antihistamines (includes • APAP/dextromethorphan/diphenhydramine • dexchlorpheniramine-pseudoephedrine combination drugs) • APAP/diphenhydramine/phenylephrine • dextromethorphan-promethazine • APAP/diphenhydramine/pseudoephedrine • diphenhydramine • acetaminophen-diphenhydramine • diphenhydramine/hydrocodone/phenylephrine • atropine/CPM/hyoscyamine/PE/PPA/scopolamine • diphenhydramine-tripelennamine • carbetapentane/diphenhydramine/phenylephrine • diphenhydramine-magnesium salicylate • codeine/phenylephrine/promethazine • diphenhydramine-phenylephrine • codeine-promethazine • diphenhydramine-pseudoephedrine • cyproheptadine • hydroxyzine hydrochloride • dexchlorpheniramine • hydroxyzine pamoate • dexchlorpheniramine/dextromethorphan/PSE • phenylephrine-promethazine • dexchlorpheniramine/guaifenesin/PSE • promethazine • dexchlorpheniramine/hydrocodone/phenylephrine • tripelennamine • dexchlorpheniramine/methscopolamine/PSE Antipsychotic, typical • mesoridazine • thioridazine Amphetamines • amphetamine- • dextroamphetamine • pemoline dextroamphetamine • diethylpropion • phendimetrazine • benzphetamine • methamphetamine • phentermine • dexmethylphenidate • methylphenidate Barbiturates • amobarbital • mephobarbital • secobarbital • amobarbital-secobarbital • pentobarbital • butabarbital • phenobarbital Long-acting benzodiazepines • amitriptyline-chlordiazepoxide • chlordiazepoxide-clidinium • flurazepam (includes combination drugs) • chlordiazepoxide • diazepam Calcium channel blockers • nifedipine—short-acting only Gastrointestinal • dicyclomine • propantheline antispasmodics Belladonna alkaloids • atropine • belladonna/ergotamine/phenobarbital (includes combination drugs) • atropine/hyoscyamine/PB/scopolamine • butabarbital/hyoscyamine/phenazopyridine • atropine-difenoxin • digestive enzymes/hyoscyamine/ • atropine-diphenoxylate phenyltoloxamine • atropine-edrophonium • hyoscyamine • belladonna • hyoscyamine/methenam/m-blue/phenyl salicyl • belladonna/caffeine/ergotamine/pentobarbital • hyoscyamine-phenobarbital Skeletal muscle relaxants • ASA/caffeine/orphenadrine • aspirin-methocarbamol • metaxalone (includes combination drugs) • ASA/carisoprodol/codeine • carisoprodol • methocarbamol • aspirin-carisoprodol • chlorzoxazone • orphenadrine • aspirin-meprobamate • cyclobenzaprine Oral estrogens (includes • conjugated estrogen • esterified estrogen • estropipate combination drugs) • conjugated estrogen- • esterified estrogen- medroxyprogesterone methyltestosterone Oral hypoglycemics • chlorpropamide Narcotics (includes • ASA/caffeine/propoxyphene • meperidine-promethazine combination drugs) • acetaminophen-pentazocine • naloxone-pentazocine • acetaminophen-propoxyphene • pentazocine • belladonna-opium • propoxyphene hydrochloride • meperidine • propoxyphene napsylate • cyclandelate • ergot mesyloid Vasodilators • dipyridamole—short-acting only • isoxsuprine Others (including androgens • methyltestosterone • nitrofurantoin macrocrystals- and anabolic steroids, thyroid • nitrofurantoin monohydrate drugs, urinary anti-infectives) • nitrofurantoin macrocrystals • thyroid desiccated .