Docstoc

Alabama Medicaid Agency Over-the-Counter _OTC_ Quick List

Document Sample
Alabama Medicaid Agency Over-the-Counter _OTC_ Quick List Powered By Docstoc
					                                                 Alabama Medicaid Agency
                                             Over-the-Counter (OTC) Quick List
Prescribing of these covered OTC drugs is strongly encouraged whenever clinically appropriate. Example brand names are included in
parenthesis ( ) for reference purposes only. Various strengths, dosage forms, generics, and brands of the OTC drugs are covered.

 Analgesics/NSAIDs                                                          Alum Hydrox/Mag Hydrox/Simeth (Maalox, Mylanta)
 Acetaminophen (Tylenol)                                                    Bismuth Subsalicylate (Pepto Bismol)
 Acetaminophen/Aspirin/Caffeine (Excedrin, Goody’s)                         Calcium Carbonate (Titralac, Tums)
 Aspirin (St. Joseph, Ecotrin)                                              Calcium Carbonate/Magn Carbonate (Mylanta)
 Aspirin/Caffeine (Anacin)                                                  Cimetidine (Tagamet HB)
 Aspirin/Caffeine/Salicylamide (BC)                                         Famotidine (Pepcid AC)
 ASA/Alum hydrox/Calcium Carb/Magn (Ascriptin, Bufferin)                    Famotidine/Calcium Carb/Magn (Pepcid Complete)
 ASA/Calcium Carb/Magn (Buffered Aspirin)                                   Loperamide (Immodium AD)
 Ibuprofen (Advil, Motrin, Nuprin)                                          Nizatidine (Axid AR)
 Ketoprofen (Orudis)                                                        Omeprazole (Prilosec OTC)
 Naproxen (Aleve)                                                           Ranitidine (Zantac 75)
                                                                            Sorbitol
 Anthelmintics
 Pyrantel Pamoate (Pin-X, Reese)                                            Nutritionals
                                                                            See Specialized Nutritional List
 Antidiabetic Agents
 Insulin (Humulin, Novolin)                                                 Respiratory Agents
 Insulin syringes                                                           Sodium Chloride for Inhalation

 Antihistamines: Single Entity                                              Skin and Mucous Membrane (Topical) Agents
 Brompheniramine (Dimetapp Allergy)                                         Bacitracin/Polymyxin B (Polysporin)
 Chlorpheniramine (Chlor-Trimeton)                                          Bacitracin/Neomycin/Polymyxin B (Neosporin)
 Clemastine (Tavist-1)                                                      Clotrimazole (Cruex, Femcare, Gyne-Lotrimin, Lotrimin AF, Mycelex)
 Diphenhydramine (Benadryl, Unisom)                                         Coal tar (Balnetar, Denorex, Doak Tar, Ionil-T, Pentrax, Tegrin, Zetar)
 Loratadine (Alavert, Claritin)                                             Hydrocortisone (Cortaid, Dr. Smiths, Nupercainal HC, Preparation H)
 Dimenhydrinate (Dramamine)                                                 Hydrocortisone w/ Aloe (Cortaid w/ Aloe)
                                                                            Lidocaine (Ela-Max)
 Cough/Cold/Combinations                                                    Miconazole (Baza, Carrington, Micatin, Monistat)
 APAP/DM/Guaifen (Contac)                                                   Phenylephrine/MO/Petrolat/Shark Liv (Preparation H, Rectacaine)
 APAP/DM/Guaifen/Pseudoeph (Contac)                                         Permethrin (Nix, Rid)
 Brompheniramine maleate (Dimetapp Allergy)                                 Piperonyl Butoxide/Pyrethrins (A-200, Lice Treatment, Nix, Pyrinyl Plus)
 Brompheniramine/Pseudoephedrine (Bromfed, Drixoral)                        Terbinafine (Lamisil AT)
 Brompheniramine/Dextromethorphan/Pseudoephedrine (Robitussin)              Tioconazole (Monistat-1, Vagistat-1)
 Chlorpheniramine maleate (CPM, Diabetic Tussin, Uni-Cortrom)               Tolnaftate (Tinactin)
 Chlorpheniramine/DM (Scot-Tussin DM)
 Chlorpheniramine/DM/Pseudoephedrine (Triaminic Cough/Cold)                 Vitamin Supplement/Replacements
 Chlorpheniramine/Phenylephrine (Novahistine)                               Ascorbic Acid/Carbonyl Iron (Icar-C)
 Chlorpheniramine/Phenylpropanolamine (PPA) (Silaminic)                     B6/Calcium Cit/Magn/Vit D3 (Citracal)
 Chlorpheniramine/Pseudoephedrine (Chlortrimeton D, Sudafed Cold/Allergy)   Biotin
 Dextromethorphan (DM) (Benylin, Delsym, Sucrets)                           Calcium Carbonate (Caltrate, Oscal, Tums)
 DM/Guaifenesin (Diabetic Tussin DM, Naldecon DX, Robitussin DM)            Calcium Citrate (Citracal)
 DM/Guaifen/Pseudoephedrine (Anatuss DM, Novahistine DMX, Ru-Tuss)          Calcium Citrate/Vitamin D (Citrical + D)
 DM/Pseudoephedrine (Vicks 44E)                                             Calcium Gluconate
 Guaifenesin (Mucinex, Robitussin)                                          Carbonyl Iron (Feosol, Icar)
 Guaifenesin/Pseudoephedrine (Robitussin Severe Congestion)                 Ferrous Fumarate (Feostat, Hemocyte)
 Loratadine/Pseudoephedrine (Alavert, Claritin D)                           Ferrous Fumarate/Docusate Sod (Ferro-Sequels)
 Pseudoephedrine (Pediacare, Sudafed)                                       Ferrous Gluconate (Fergon)
 Triprolidine/Pseudoephedrine (Actifed)                                     Ferrous Sulfate (Feosol, Slow FE)
                                                                            Ferrous Sulfate/Ascorbic Acid (Ferro-Grad 500)
 Antilipemic Agents                                                         Folic Acid/Iron Carbonyl/VitB Complex/VitC (Iron-Folic)
 Niacin (Slo-Niacin, Nicotinex)                                             Iron/Liver extract/VitB Complaex (ILX)
                                                                            Iron/Manganese/VitB Complex/VitE/Zinc (Red Roosters)
 EENT Agents                                                                Multivitamin/Iron (Centrum, Stress Formula)
 Antazoline/Naphazoline (Vasocon-A)                                         Prenatal Vitamins, <1mg folic acid (Stuart Prenatal)
 Cromolyn Sodium (Nasalcrom)                                                Polysaccharide/Iron Complex (Niferex, Niferex 150)
 Hypromellose (Genteal)                                                     Potassium Phosphate/Sodium Phosphate (Neutra-Phos)
                                                                            VitB Complex/Iron (Stress Formula)
 Electrolyte Replacement                                                    Vitamin D (Calciferol, Ergocalciferol)
 Electrolytes, Oral (Pediapops, Pedialyte)                                  Vitamin E (Aquasol E)

 Gastrointestinal Agents                                                    Miscellaneous Medical Supplies
 Alumimum Hydroxide (Alu-Cap, Amphogel)                                     Pill splitter, pill divider, tablet cutter
 Alunimium Hydrox/Mag Hydrox (Alamag, Mintox)



                                                                                                                                Revised 12/15/06

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:189
posted:7/31/2011
language:English
pages:1