Release Notes:
Appendix CTJC
Version 2015A
Appendix C
Medication Tables
Index of Appendix C Medication Tables
Table Number 1.1: Aspirin and Aspirin-Containing Medications (Ver. 2015A)
| Medication |
| ASA |
| ASA Baby |
| ASA Baby Chewable |
| ASA Baby Coated |
| ASA Bayer |
| ASA Bayer Children's |
| ASA Buffered |
| ASA Children's |
| ASA EC |
| ASA Enteric Coated |
| ASA/Maalox |
| Acetylsalicylic Acid |
| Acuprin 81 |
| Alka-Seltzer |
| Alka-Seltzer Morning Relief |
| Anacin |
| Arthritis Foundation Aspirin |
| Arthritis Pain Ascriptin |
| Arthritis Pain Formula |
| Ascriptin |
| Aspergum |
| Aspir-10 |
| Aspir-Low |
| Aspir-Lox |
| Aspir-Mox |
| Aspir-Trin |
| Aspirbuf |
| Aspircaf |
| Aspirin |
| Aspirin Baby |
| Aspirin Bayer |
| Aspirin Bayer Children's |
| Aspirin Buffered |
| Aspirin Child |
| Aspirin Child Chewable |
| Aspirin Children's |
| Aspirin EC |
| Aspirin Enteric Coated |
| Aspirin Litecoat |
| Aspirin Lo-Dose |
| Aspirin Low Strength |
| Aspirin Tri-Buffered |
| Aspirin, Extended Release |
| Aspirin/butalbital/caffeine |
| Aspirin/butalbital/caffeine/Codeine Phosphate |
| Aspirin/caffeine |
| Aspirin/caffeine/Orphenadrine Citrate |
| Aspirin/carisoprodol |
| Aspirin/carisoprodol/Codeine Phosphate |
| Aspirin/methocarbamol |
| Aspirin/oxycodone |
| Aspirtab |
| Azdone |
| BC Allergy Sinus Cold Powder |
| BC Arthritis Strength Powder |
| BC Powder |
| BC Sinus Cold Powder |
| Bayer Aspirin |
| Bayer Aspirin PM Extra Strength |
| Bayer Children’s |
| Bayer EC |
| Bayer Enteric Coated |
| Bayer Low Strength |
| Bayer Plus |
| Buffered ASA |
| Buffered Aspirin |
| Buffered Baby ASA |
| Bufferin |
| Bufferin Arthritis Strength |
| Bufferin Extra Strength |
| Buffex |
| CTD Aspirin |
| Cama Arthritis Reliever |
| Child’s Aspirin |
| Coated Aspirin |
| Cosprin |
| Dasprin |
| Doans Pills |
| EC ASA |
| Easprin |
| Ecotrin |
| Ecotrin Low Strength Adult |
| Effervescent Pain & Antacid |
| Empirin |
| Encaprin |
| Endodan |
| Entab |
| Entaprin |
| Entercote |
| Enteric Coated Aspirin |
| Enteric Coated Baby Aspirin |
| Equagesic |
| Excedrin |
| Excedrin Extra Strength |
| Excedrin Geltab |
| Excedrin Migraine |
| Extra Strength Bayer |
| Fiorinal |
| Genacote |
| Genprin |
| Goody’s Body Pain Formula Powder |
| Goody’s Extra Strength Headache Powder |
| Goody’s Extra Strength Pain Relief Tablets |
| Halfprin |
| Litecoat Aspirin |
| Low Dose ASA |
| Magnaprin |
| Med Aspirin |
| Norgesic |
| Norgesic Forte |
| Norwich Aspirin |
| Pain Relief (Effervescent) |
| Pain Relief with Aspirin |
| Percodan |
| Percodan-Demi |
| Sloprin |
| Soma Compound |
| Soma Compound W/ Codeine |
| St. Joseph Aspirin |
| Stanback Analgesic |
| Synalgos-DC |
| Therapy Bayer |
| Tri Buffered Aspirin |
| Uni-As |
| Uni-Buff |
| Uni-Tren |
| Vanquish |
| Zorprin |
Table Number 1.2: ACEIs (Ver. 2015A)
| Medication |
| Accupril |
| Accuretic |
| Aceon |
| Altace |
| Benazepril |
| Benazepril Hydrochloride |
| Benazepril/amlodipine |
| Benazepril/hydrochlorothiazide |
| Capoten |
| Capozide |
| Capozide 25/15 |
| Capozide 25/25 |
| Capozide 50/15 |
| Capozide 50/25 |
| Captopril |
| Captopril HCT |
| Captopril/hydrochlorothiazide |
| Enalapril |
| Enalapril Maleate/hydrochlorothiazide |
| Enalapril/hydrochlorothiazide |
| Enalaprilat |
| Epaned |
| Fosinopril |
| Fosinopril Sodium/hydrochlorothiazide |
| Lisinopril |
| Lisinopril/hydrochlorothiazide |
| Lotensin |
| Lotensin HCT |
| Lotrel |
| Mavik |
| Moexipril |
| Moexipril Hydrochloride |
| Moexipril Hydrochloride/hydrochlorothiazide |
| Moexipril/hydrochlorothiazide |
| Monopril |
| Perindopril |
| Perindopril Erbumine |
| Prinivil |
| Quinapril |
| Quinapril HCL |
| Quinapril HCL/HCT |
| Quinapril Hydrochloride/hydrochlorothiazide |
| Quinapril/hydrochlorothiazide |
| Quinaretic |
| Ramipril |
| Tarka |
| Trandolapril |
| Trandolapril/verapamil |
| Trandolapril/verapamil hydrochloride |
| Uniretic |
| Univasc |
| Vaseretic |
| Vasotec |
| Zestoretic |
| Zestril |
Table Number 1.7: ARBs (Ver. 2015A)
| Medication |
| Atacand |
| Atacand HCT |
| Avalide |
| Avapro |
| Azilsartan |
| Azilsartan/chlorthalidone |
| Azor |
| Benicar |
| Benicar HCT |
| Candesartan |
| Candesartan/hydrochlorothiazide |
| Cozaar |
| Diovan |
| Diovan HCT |
| Edarbi |
| Edarbyclor |
| Eprosartan |
| Eprosartan/hydrochlorothiazide |
| Exforge |
| Exforge HCT |
| Hyzaar |
| Irbesartan |
| Irbesartan/hydrochlorothiazide |
| Losartan |
| Losartan/hydrochlorothiazide |
| Micardis |
| Micardis HCT |
| Olmesartan |
| Olmesartan Medoxomil |
| Olmesartan Medoxomil/amlodipine |
| Olmesartan/amlodipine |
| Olmesartan/amlodipine/hydrochlorothiazide |
| Olmesartan/hydrochlorothiazide |
| Tasosartan |
| Telmisartan |
| Telmisartan/amlodipine |
| Telmisartan/hydrochlorothiazide |
| Teveten |
| Teveten HCT |
| Tribenzor |
| Twynsta |
| Valsartan |
| Valsartan/aliskiren |
| Valsartan/amlodipine |
| Valsartan/amlodipine/hydrochlorothiazide |
| Valsartan/hydrochlorothiazide |
| Valturna |
Table Number 8.1: Statin Medications (Ver. 2015A)
| Medication |
| Advicor |
| Altoprev |
| Atorvastatin |
| Atorvastatin/amlodipine |
| Atorvastatin/ezetimibe |
| Caduet |
| Crestor |
| Fluvastatin |
| Fluvastatin XL |
| Juvisync |
| Lescol |
| Lescol XL |
| Lipitor |
| Liptruzet |
| Livalo |
| Lovastatin |
| Lovastatin/niacin |
| Mevacor |
| Pitavastatin |
| Pravachol |
| Pravastatin |
| Rosuvastatin |
| Simcor |
| Simvastatin |
| Simvastatin/ezetimibe |
| Simvastatin/niacin |
| Simvastatin/sitagliptin |
| Vytorin |
| Zocor |
Table Number 10.0: Antipsychotic Medications (Ver. 2011B)
| Medication |
Generic |
| Abilify Discmelt |
Aripiprazole |
| Abilify Oral Solution |
Aripiprazole |
| Abilify Tablets |
Aripiprazole |
| Antipsychotic Not Otherwise Specified (NOS) |
Antipsychotic Not Otherwise Specified (NOS) |
| Aripiprazole Oral Solution |
Aripiprazole |
| Aripiprazole Tablets |
Aripiprazole |
| Asenapine |
Asenapine |
| Chlorpromazine Oral Solution |
Chlorpromazine |
| Chlorpromazine Oral Syrup |
Chlorpromazine |
| Chlorpromazine Tablets |
Chlorpromazine |
| Clozapine Tablets |
Clozapine |
| Clozaril Tablets |
Clozapine |
| Etrafon |
Amitriptyline + Perphenazine |
| Fanapt |
Iloperidone |
| FazaClo Orally Disintegrating Tablets |
Clozapine |
| Fluphenazine |
Fluphenazine |
| Fluphenazine Decanoate Injectable |
Fluphenazine |
| Fluphenazine HCL Oral Solution |
Fluphenazine |
| Fluphenazine HCL Tablets |
Fluphenazine |
| Geodon Capsules |
Ziprasidone |
| Haldol Decanoate Injectable-Long Acting |
Haloperidol |
| Haldol Oral Solution |
Haloperidol |
| Haldol Tablets |
Haloperidol |
| Haloperidol Decanoate Injectable Long-Acting |
Haloperidol |
| Haloperidol Oral Solution |
Haloperidol |
| Haloperidol Tablets |
Haloperidol |
| Iloperidone |
Iloperidone |
| Invega Sustenna Injectable |
Paliperidone Palmitate |
| Invega Tablets |
Paliperidone |
| Latuda |
Lurasidone |
| Loxapine Capsules |
Loxapine |
| Loxitane Capsules |
Loxapine |
| Lurasidone |
Lurasidone |
| Mellaril Tablets |
Thioridazine |
| Mesoridazine |
Mesoridazine |
| Navane Capsules |
Thiothixene |
| Olanzapine + Fluoxetine Capsules |
Olanzapine + Fluoxetine |
| Olanzapine Tablets |
Olanzapine |
| Olanzapine ZYDIS Orally Disintegrating Tablets |
Olanzapine |
| Orap Tablets |
Pimozide |
| Paliperidone Tablets |
Paliperidone |
| Permitril |
Fluphenazine |
| Perphenazine Tablets |
Perphenazine |
| Pimozide Tablets |
Pimozide |
| Prolixin Decanoate Injectable- Long Acting |
Fluphenazine |
| Prolixin Oral Solution |
Fluphenazine |
| Prolixin Tablets |
Fluphenazine |
| Quetiapine Fumarate |
Quetiapine |
| Quetiapine Tablets |
Quetiapine |
| Risperal Consta Injectable- Long Acting |
Risperidone |
| Risperdal M-Tab Orally Disintegrating Tablets |
Risperidone |
| Risperdal Oral Solution |
Risperidone |
| Risperdal Tablets |
Risperidone |
| Risperidone Injectable - Long Acting |
Risperidone |
| Risperidone M- Tab Orally Disintegrating Tablets |
Risperidone |
| Risperidone Tablets |
Risperidone |
| Saphris |
Asenapine |
| Serentil |
Mesoridazine |
| Seroquel Tablets |
Quetiapine |
| Seroquel XR Tablets |
Quetiapine |
| Stelazine Tablets |
Trifluoperazine |
| Symbyax Capsules |
Olanzapine + Fluoxetine |
| Thioridazine HCL Tablets |
Thiothixene |
| Thiothixene Capsules |
Thioridazine |
| Thorazine Oral Solution |
Chlorpromazine |
| Thorazine Oral Syrup |
Chlorpromazine |
| Thorazine Tablets |
Chlorpromazine |
| Triavil |
Amitriptyline + Perphenazine |
| Trifluroperazine HCL Tablets |
Trifluoperazine |
| Trilafon Tablets |
Perphenazine |
| Ziprasidone HCL Tablets |
Ziprasidone |
| Zyprexa Relprevv Injectable |
Olanzapine |
| Zyprexa Tablets |
Olanzapine |
| Zyprexa ZYDIS Orally Disintegrating Tablets |
Olanzapine |
Table Number 10.1: Short-Acting Intramuscular Antipsychotic Medications (Ver. 2010A)
| Medication |
Generic |
| Abilify Injectable- Short Acting |
Aripiprazole |
| Aripiprazole Injectable- Short Acting |
Aripiprazole |
| Chlorpromazine Injectable- Short Acting |
Chlorpromazine |
| Geodon Injectable- Short Acting |
Ziprasidone |
| Haldol Injectable- Short Acting |
Haloperidol |
| Haloperidol Injectable- Short Acting |
Haloperidol |
| Olanzapine Injectable- Short Acting |
Olanzapine |
| Prolixin Injectable- Short Acting |
Fluphenazine |
| Thorazine Injectable- Short Acting |
Chlorpromazine |
| Ziprasidone Mesylate Injectable- Short Acting |
Ziprasidone |
| Zyprexa Injectable- Short Acting |
Olanzapine |
Table Number 11.0: Antenatal Steroid Medications (Ver. 2010A)
| Medication |
Generic |
| Betamethasone |
Betamethasone |
| Betamethasone Sodium Phosphate |
Betamethasone Sodium Phosphate |
| Betamethasone Sodium Phosphate and Betamethasone Acetate |
Betamethasone Sodium Phosphate and Betamethasone Acetate |
| Celestone |
Betamethasone |
| Celestone Phosphate |
Betamethasone Sodium Phosphate |
| Celestone Soluspan |
Betamethasone Sodium Phosphate and Betamethasone Acetate |
| Cortastat |
Dexamethasone Sodium Phosphate |
| Dalalone |
Dexamethasone Sodium Phosphate |
| Dalalone DP |
Dexamethasone Acetate |
| Dalalone LA |
Dexamethasone Acetate |
| Decadron |
Dexamethasone |
| Decadron LA |
Dexamethasone Acetate |
| Decadron Phosphate |
Dexamethasone Sodium Phosphate |
| Decadron w/Xylocaine |
Dexamethasone Sodium Phosphate with Lidocaine HCL |
| Decaject |
Dexamethasone Sodium Phosphate |
| Decaject LA |
Dexamethasone Sodium Phosphate |
| Dexamethasone |
Dexamethasone |
| Dexamethasone Acetate |
Dexamethasone Acetate |
| Dexamethasone Intensol |
Dexamethasone |
| Dexamethasone Sodium Phosphate |
Dexamethasone Sodium Phosphate |
| Dexamethasone Sodium Phosphate with Lidocaine |
Dexamethasone Sodium Phosphate with Lidocaine |
| Dexamethasone Sodium Phosphate with Lidocaine HCL |
Dexamethasone Sodium Phosphate with Lidocaine HCL |
| Dexasone |
Dexamethasone Sodium Phosphate |
| Dexasone LA |
Dexamethasone Acetate |
| Dexone |
Dexamethasone |
| Dexone LA |
Dexamethasone Acetate |
| Hexadrol |
Dexamethasone |
| Hexadrol Phosphate |
Dexamethasone Sodium Phosphate |
| Solurex |
Dexamethasone Sodium Phosphate |
| Solurex LA |
Dexamethasone Acetate |
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