(continued)
DRUG CLASS
EXCLUDED MEDICATIONS
PREFERRED ALTERNATIVES
Ophthalmic Quinolone Antibiotics
BESIFLOXACIN, BESIVANCE, CILOXAN OINTMENT pilocarpine 1.25% drops, QLOSI, VIZZ, VUITY, YUVEZZI DUROLANE, EUFLEXXA, GEL-ONE, GELSYN-3, GENVISC 850, HYALGAN, HYMOVIS, HYMOVIS ONE, SUPARTZ FX, SYNOJOYNT, SYNVISC, SYNVISC-ONE, TRILURON, TRIVISC, VISCO-3
ciprofloxacin drops, gatifloxacin drops, levofloxacin drops, moxifloxacin drops, ofloxacin drops
Presbyopia Agents
No alternatives recommended
OSTEOARTHRITIS Hyaluronic Acid Derivatives
MONOVISC, ORTHOVISC
RENAL Nephropathic Cystinosis Agents Overactive Bladder Agents
PROCYSBI
CYSTAGON
OXYBUTYNIN 2.5MG
oxybutynin solution or syrup, oxybutynin 5mg tablets
VESICARE LS
oxybutynin solution or syrup, mirabegron er suspension
Phosphate Binders
FERRIC CITRATE, FOSRENOL POWDER PACKETS, VELPHORO, XPHOZAH
calcium acetate, lanthanum, sevelamer carbonate, sevelamer hcl methenamine/sodium phosphate/phenyl salicylate/ methylene blue/hyoscyamine carbinoxamine liquid and 4mg tablets; cetirizine solution and syrup; desloratidine tablets; hydroxyzine hcl solution, syrup and tablets; levocetirizine solution and tablets epinephrine auto-injector (by Mylan, Teva), AUVI-Q nintedanib, pirfenidone 267mg capsules or tablets, pirfenidone 801mg tablets, JASCAYD DUPIXENT, FASENRA, NUCALA, TEZSPIRE, XOLAIR LAMA/LABAs: ANORO ELLIPTA, STIOLTO RESPIMAT LAMAs: tiotropium inhaler, INCRUSE ELLIPTA, SPIRIVA RESPIMAT LABAs: formoterol inhalation solution, STRIVERDI RESPIMAT ICS/LABAs: budesonide/formoterol inhaler, fluticasone/salmeterol inhalation powder, ADVAIR HFA, BREO ELLIPTA, DULERA
Miscellaneous Urologicals
URIMAR-T CAPSULES, URNEVA
RESPIRATORY Antihistamines (Oral)
clemastine, CARBINOXAMINE ER 4MG/5ML SUSPENSION, DESLORATADINE SOLUTION, KARBINAL ER SUSPENSION
Epinephrine Auto-Injector Systems
EPINEPHRINE AUTO-INJECTOR (by Amneal Pharma, Avkare) PIRFENIDONE 534MG TABLETS
Idiopathic Pulmonary Fibrosis Agents
Immunological Agents for Asthma
CINQAIR, EXDENSUR
Inhaled Phosphodiesterase (PDE)-3 and PDE-4 Inhibitors
OHTUVAYRE
Leukotriene Pathway Inhibitors Long-Acting Beta Agonist Inhalers
zileuton er, ZYFLO SEREVENT DISKUS
montelukast, zafirlukast STRIVERDI RESPIMAT
Long-Acting Muscarinic Antagonist Inhalers
TUDORZA PRESSAIR, UMECLIDINIUM ELLIPTA tiotropium inhaler, INCRUSE ELLIPTA, SPIRIVA RESPIMAT
Long-Acting Muscarinic Antagonist/ Long-Acting Beta-Agonist Combination Inhalers
BEVESPI AEROSPHERE, DUAKLIR PRESSAIR, UMECLIDINIUM/VILANTEROL ALVESCO, ARNUITY ELLIPTA, FLUTICASONE ELLIPTA, FLUTICASONE PROPIONATE DISKUS, FLUTICASONE PROPIONATE HFA 110MCG, FLUTICASONE PROPIONATE HFA 220MCG, PULMICORT FLEXHALER AIRDUO RESPICLICK, FLUTICASONE/ SALMETEROL DPI, FLUTICASONE/SALMETEROL HFA, FLUTICASONE/VILANTEROL
ANORO ELLIPTA, STIOLTO RESPIMAT
Pulmonary Anti-Inflammatory Inhalers
beclomethasone hfa, fluticasone propionate hfa 44mcg, ASMANEX HFA, ASMANEX TWISTHALER, QVAR REDIHALER
Pulmonary Anti-Inflammatory/ Beta-Agonist Combination Inhalers
budesonide/formoterol inhaler, fluticasone/ salmeterol inhalation powder, ADVAIR HFA, BREO ELLIPTA, DULERA
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