Specifications Manual for Joint Commission National Quality Measures (v2017B2)
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Appendix CTJC
Version 2017B2

Appendix C

Medication Tables

Table Number 1.2: ACEIs

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
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
PRINZIDE
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

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
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/HYDROCHLOROTHIAZIDE
VALTURNA
VERDIA

Table Number 8.1: Statin Medications

Medication
Altoprev
Atorvastatin
Atorvastatin/amlodipine
Caduet
Crestor
Fluvastatin
Fluvastatin XL
Lescol
Lescol XL
Lipitor
Livalo
Lovastatin
Mevacor
Pitavastatin
Pravachol
Pravastatin
Rosuvastatin
Simvastatin
Simvastatin/ezetimibe
Vytorin
Zocor

Table Number 8.2: Antithrombotic Medications - Stroke

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
ASA/dipyridamole
Acetylsalicylic Acid
Acova
Acuprin 81
Aggrenox
Alka-Seltzer
Alka-Seltzer Morning Relief
Anacin
Apixaban
Argatroban
Arixtra
Arthritis Foundation Aspirin
Arthritis Pain Ascriptin
Arthritis Pain Formula
Ascriptin
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/caffeine
Aspirtab
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
Clopidogrel
Coated Aspirin
Cosprin
Coumadin
Dabigatran
Dabigatran etexilate
Dalteparin
Dasprin
EC ASA
Easprin
Ecotrin
Ecotrin Low Strength Adult
Edoxaban
Effervescent Pain & Antacid
Eliquis
Empirin
Enoxaparin
Entab
Entaprin
Entercote
Enteric Coated Aspirin
Enteric Coated Baby Aspirin
Excedrin
Excedrin Extra Strength
Excedrin Geltab
Excedrin Migraine
Extra Strength Bayer
Fondaparinux
Fragmin
Genacote
Genprin
Halfprin
Heparin sodium I.V.
Hirudin
Jantoven
Lepirudin
Litecoat Aspirin
Lovenox
Low Dose ASA
Magnaprin
Med Aspirin
Norwich Aspirin
Pain Relief (Effervescent)
Pain Relief with Aspirin
Plavix
Pradaxa
Refludan
Rivaroxaban
Savaysa
Sloprin
St. Joseph Aspirin
Stanback Analgesic
Therapy Bayer
Ticlopidine
Tri Buffered Aspirin
Uni-As
Uni-Buff
Uni-Tren
Warfarin
Warfarin Sodium
Xarelto
Zorprin

Table Number 8.3: Anticoagulant Medications - Stroke

Medication
Acova
Apixaban
Argatroban
Arixtra
Coumadin
Dabigatran
Dabigatran etexilate
Dalteparin
Edoxaban
Eliquis
Enoxaparin
Fondaparinux
Fragmin
Heparin I.V.
Hirudin
Jantoven
Lepirudin
Lovenox
Pradaxa
Refludan
Rivaroxaban
Savaysa
Warfarin
Warfarin Sodium
Xarelto

Table Number 10.0: Antipsychotic Medications

Medication Generic
Abilify Discmelt Aripiprazole
Abilify Maintena 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
Aristada Aripiprazole Lauroxil
Aristada Injectable-Long Acting Aripiprazole Lauroxil
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
Rexulti Brexpiprazole
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 Thioridazine
Thiothixene Capsules Thiothixene
Thorazine Oral Solution Chlorpromazine
Thorazine Oral Syrup Chlorpromazine
Thorazine Tablets Chlorpromazine
Triavil Amitriptyline + Perphenazine
Trifluroperazine HCL Tablets Trifluoperazine
Trilafon Tablets Perphenazine
Vraylar Cariprazine
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

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

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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Appendix CTJC
Specifications Manual for Joint Commission National Quality Measures (v2017B2)
Discharges 01-01-18 (1Q18) through 06-30-18 (2Q18)
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