Nyp.org

NYP ACN-PAP Formulary
Summer 2010
A.
8-MOP (methoxsalen)
Abraxane (paclitaxel protein bound particles) Analpram (hydrocortisone acetate and pramoxine hydrochloride) Accuretic (quinapril with hydrochlorothiazide) Anusol-HC Suppository 25mg (hydrocortisone) Aplenzin Extended Release Tablets 174mg, 348mg, 522mg (bupropion hydrobromide) Actoplus met (pioglitazone hci/metformin hci) Adacel (tetanus toxoid/reduced diptheria toxoid/acellular pertussis) Advair Diskus (fluticasone with salmeterol) Atacand HCT (candesartan cilexetil with hydrochlorothiazide) Atripla (efavirenz/emtricitabine/enofovir disoproxil fumarate) Atrovent HFA Inhalation Aerosole 12.9gm (ipratropium bromide hfa) Atrovent Inhalation Aerosol Spray (ipratropium) Augmentin (amoxicillin/clavulante postassium) Augmentin ES-600 (amoxicillin/clavulante postassium) Aldactazide (spironolactone/hydrochlorthiazide) Augmentin XR (amoxicillin/clavulante postassium) Avandamet (rosiglitazone maleate & metformin hydrochloride) Avandaryl (rosiglitazone maleate and glimepiride) Allegra D (fexofenadine with pseudoephedrine) Azulfidine (sulfasalazine, enteric coated) NYP ACN-PAP Formulary
Summer 2010
B.
Bactroban (mupirocin)
Beconase AQ (beclomethasone dipropionate) BiDil (isosorbide dinitrate and hydralazine hydrochloride) Bion Tears (dextran/hydroxypropyl methylcellulose) BenzaClin (clindamycin with benzoyl peroxide) NYP ACN-PAP Formulary
Summer 2010
C.
Caduet (amlodipine besylate/atorvastatin calcium)
Cleocin Pediatric (clindamycin palmitate hydrochloride) Climara Pro (estradiol transdermal system) Clindagel Topical Gel 40ml (clinclamycin phosphate gel) Carteolol (carteolol ophthalmic solution) Combigan (brimonidine tartrate/timolol maleate) Caverject (alprostadil injection- aqueous) Cenestin (synthetic conjugated estrogens) Ciloxan (ciprofloxacin hcl ophthalmic solution) Cipro HC (ciprofloxacin with hydrocortisone) Ciprodex (ciprofloxacin with dexamethasone) Clarinex-D (desloratadine 5mg/pseudoephedrine sulfate) Cytomel (liothyronine) Cytotec (misoprostol) NYP ACN-PAP Formulary
Summer 2010
D.
Dacarbazine (dacarbazine)
Diflucan Tablets 100mg, 200mg (fluconazole) Decavac (tetanus toxoid/diptheria toxoid vaccine) Diovan HCT (valsartan with hydrochlorothiazide) Depo-Medrol Injection 20mg/ml, 40mg/ml, 80mg/ml (methylprednisolone acetate) Duetact (pioglitazone hci and glimedpiride) Depo-Provera Injection 150mg/ml (medroxyprogesterone acetate) DuoTrav (40 micrograms/ml +5mg/ml eye drops) Dyazide (triamterene with hydrochlorothiazide) Dexedrine Spansule (dextroamphetamine sulfate) NYP ACN-PAP Formulary
Summer 2010
E.
Econopred Plus (corticosteriod)
Ensure High Calcium (nutritional supplement) Enfamil Premature LIPIL with Iron (formula infant) Ensure High Protein (nutritional supplement) Epiduo (adapalene 0.1% benzoyl peroxide 2.5%) Epzicom (abacavir sulfate & lamivudine) Eloxatin Injection 50mg, 100mg (oxaliplatin) Exforge HCT (amiodipine,valsartan,hydrochlorothiazide) Enfamil Human Milk Fortifer (formula infant) Enjuvia (synthetic conjugated estrogens, b) NYP ACN-PAP Formulary
Summer 2010
F.
Fabrazyme (agalsidase beta)
Flovent HFA Inhalation Aerosol 44mcg, 110mcg, 220mcg (fluticasone) Foradil (formoterol fumerate inhalation powder) Forteo (teriparatide (rdna origin) injection) NYP ACN-PAP Formulary
Summer 2010
G.
Gabitril (tiagabine)
Gammagard (immune globulin intravenous (human)) Gardasil (quadrivalent human papillomavirus) Glucotrol XL (glipizide extended release) Genotropin Miniquick (somatropin (recombinant) NYP ACN-PAP Formulary
Summer 2010
H.
Haldol (haloperidol)
Humatrope (growth horrmone with somatropin) Hyzaar (losartan with hydrochlorothiazide) NYP ACN-PAP Formulary
Summer 2010
I.
I-Caps Eye Vitamin AREDS Formula (eye vitamin & mineral supplement)
I-Caps Multivitamin Formula (eye vitamin & mineral supplement) Isopto Homatropine (homatropine hydrobromide) NYP ACN-PAP Formulary
Summer 2010
J.
Janumet (sitagliptin/metformin hcl)
Jevtana Injection 60mg (cabazitaxel)Juven (nutritional supplement) NYP ACN-PAP Formulary
Summer 2010
K.
Kadian C-II (morphine sulfate sustained release)
Kayexalate (sodium polystyrene sulfonate) NYP ACN-PAP Formulary
Summer 2010
L.
Lacrisert (hydroxypropyl cellulose opthalmic insert)
Lodrane 24D (brompheniramine/pseudoephedrine) Lotrisone (clotrimazole with betamethasone) Levemir FlexPen cartridges (insulin detemir rdna origin) Lupron Depot PED (leuprolide acetate for depot injection) NYP ACN-PAP Formulary
Summer 2010
M.
Macrobid (nitrofurantoin)
Malarone (atovaquone and proguanil hydrochloride) Micardis HCT (telmisartan with hydrochlorothiazide) Malarone Pedatric (atovaquone and proguanil hydrochloride) Mirena (levonorgestrel-releasing intrauterine system) Maxitrol (dexamethasone with neomycin and polymyxin b) M-M-R II (measles, mumps, rebella virus vaccine live) Menactra (diphtheria toxid conjugate vaccine) Menomune (meningococcal polysacchaaide vaccine) Mustargen (mechlorethamine hcl for injection) Mylotarg (gemtuzumab ozogamicin for injection) NYP ACN-PAP Formulary
Summer 2010
N.
Namenda (memantine)
Nitrolingual (nitroglycerin lingual spray) Nepro with Carb Steady (nutritional supplement) Novolin N InnoLet (recombinant human insulin) Novolin R InnoLet (recombinant human insulin) Novolin R Vials (recombinant human insulin) Nevanac (nepafenac ophthalmic suspension) NovoLog Mix 70/30 PenFill 3mL Cartridges (insulin aspart) NYP ACN-PAP Formulary
Summer 2010
O.
Ocupress (carteolol
Oracea (flucinolone acetonide/hydroquinone/tretinoin) Olux/Olux-E Complete Pack (clobetasol propionate/clobetasol emulsion) Osmolite 1.2 cal (nutritional supplement) Osmolite 1.5 cal (nutritional supplement) OsmoPrep (sodium phospahte monobasic monohydrate) Oxsoralen (methoxsalen capsules)Oxsoralen-Ultra (methoxsalen capsules) NYP ACN-PAP Formulary
Summer 2010
P.
Paclitaxel (paclitaxel)
Pamidronate Disodium (pamidronate disodium) Pancrease MT 10 (lipase/amylase/protease) Pancrease MT 20 (lipase/amylase/protease) Pancrecarb MS-16 (amylase with lipase pancrelipase protease) Premphase (estrogens conjugated with medroxyprogesterone acetate) Pancrecarb MS-4 (amylase with lipase pancrelipase protease) Prempro (estrogens, conjugated and medroxyprogesterone) Pancrecarb MS-8 (amylase with lipase pancrelipase protease) ParaGard T 380A (intrauterine copper contraceptive) Privigen 10% (immune globulin intravenous (human)) Procardia XL (nifedipine extended release) PediaSure Enteral Formula (nutritional supplement) PediaSure Enteral Formula w/Fiber (nutritional supplement) PediaSure w/Fiber (nutritional supplement) Promote with Fiber (nutritional supplement) Phospholine Iodide (echothiophate iodide) Pneumovax 23 (pneumococcal polyvalent vaccine) Pramosone (pramoxine with hydrocortisone) NYP ACN-PAP Formulary
Summer 2010
Q.
Quadramet (samarium sm 153 lexdronam)
Quinidine Gluconate (quinidine glucomate) NYP ACN-PAP Formulary
Summer 2010
R.
R-Gene (arginine)
RCF (Ross Carbohydrate Free) (medical food) Recombivax HB (hepatitis b vaccine [recombinant]) Risperdal Consta Long Acting (risperidone) NYP ACN-PAP Formulary
Summer 2010
S.
Saizen (somatropin (rdna origin))
Stalevo (carbidopa with levodopa and entacapone) Seasonique (ethinyl estradiol/levonorgestrel) Suplena with Carb Steady (nutritional supplement) SymlinPen 60mcg, 120mcg (pramlintide acetate) NYP ACN-PAP Formulary
Summer 2010
T.
Tabloid (thioguanine)
Timentin (ticarcillin disodium and clavulanate potassium) Tears Again Hydrate (tears again hydrate) Toprol XL (metoprolol succinate extended release tablets) Tekturna HCT (aliskiren/hydrochlorothiazide) TriLuma (gluocinolone acetonide, hydroquinone, tretinoin) Trizivir (abacavir with lamivudine and zidovudine) Truvada (emtricitabine and tenofovir disoproxil fumarate) Thyrolar 1 (levothyroxine and liothyronine) TussiCaps (chlorpheniramine/hydrocodone) Thyrolar 1/2 (levothyroxine and liothyronine) Twinrix Vaccine (hepatitis a/hepatitis b (recombinanat)) Thyrolar 1/4 (levothyroxine and liothyronine) Thyrolar 2 (levothyroxine and liothyronine) Thyrolar 3 (levothyroxine and liothyronine) Tysabri (natalizumab)Tyzeka (telbivudine) NYP ACN-PAP Formulary
Summer 2010
U.
ULORIC (febuxostat)
Urocit-K (citrate, potassium and potassium citrate) NYP ACN-PAP Formulary
Summer 2010
V.
Vagifem 18 (estradiol vaginal tablets)
Vimpat Tablets 50mg, 100mg, 150mg, 200mg (lacosamide) Viokase 16 (amylase with lipase and pancrelipase and protease) Viokase 8 (amylase/lipase/pancrelipase/protease) Vivaglobin (immune globulin subcutaneous) Voltaren Ophthalmic (diclofenac ophthalmic) Vytorin (ezetimibelsimvastatin)Vyvanse (lisdexamfetamine dimesylate) NYP ACN-PAP Formulary
Summer 2010
W.
WelChol (colesevelam hcl)
NYP ACN-PAP Formulary
Summer 2010
X.
Xalatan (latanoprost)
Xyntha (antihemophiliac factor (recombinant)) NYP ACN-PAP Formulary
Summer 2010
Y.
Yttrium-90 Zevalin Kit (ilritumamab tiuxetan)
NYP ACN-PAP Formulary
Summer 2010
Z.
Zanaflex ()
Zantac EFFERdose (ranitidine hydrochloride effervescent) Zevalin Kit-Indium-111 (ibritumomab tiuxetan) Zylet (loteprednol etabonate/tobramycin) Zinecard (dexrazoxane for injection)ZMax (azithromycin)

Source: http://nyp.org/pdf/PAP_Formulary_0810.pdf