Release Notes:
Appendix CTJC
Version 2018B1
Appendix C
Medication Tables
Index of 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 |