Formulary Alert Preferred drug products 2004

 

      Instead of                   Consider using                                Approximate Conversion                            Benefits

Accupril, Altace, Lotensin, Monopril

Lisinopril or Captopril (for diabetic use)

Accupril 2.5-5mg QD

Altace 2.5-5mg QD

Lotensin 5-10mg QD

Monopril 5-10mg QD

Lisinopril 2.5-5 mg QD

Captopril 12.5-25 mg TID

Cost savings

Atacand, Avapro, Cozaar, Micardis

Diovan

Atacand 16mg QD

Avapro 150mg QD

Cozaar 50mg QD

Micardis 20 mg QD

Divovan 80-160mg QD

Cost savings

Axid, Pepcid, Zantac

Ranitidine

Maintenance

Ranitidine 150 mg QHS

Cost savings

Celexa, Paxil, Prozac

Zoloft  1st Choice
Lexapro

(SSRI Antidepressants)

Celexa 40mg QD

Paxil 10-20mg QD

Prozac 10-20mg QD

Lexapro 10 mg QD or

Zoloft 25-50mg QD

Minimum SE, Cost savings

Darvocet, Ultracet

Hydrocodone/APAP

Darvocet N-100 1-2 tabs Q4-6H

Ultracet 2 tabs Q4 6H

Hydrocodone 5/500 1-2 tabs Q4-6H

Reduced SE, Cost savings

Depakote EC

Depakote ER

MG per MG conversion up to 1000mg dose

Depakote EC 1000mg

 

 

Depakote ER 1000-1250mg

Reduced SE & Med Pass time

Ditropan XL

Detrol LA

Ditropan XL 5mg QD

Ditropan XL 10mg QD

Detrol LA 2mg QD

Detrol LA 4mg QD

QD Dosing, Cost savings

Duragesic, Kadian

Avinza

See dosage conversion chart

 

Cost savings

Epogen, Procrit

Aranesp

Procrit 2-3 times weekly

Procrit once a week

(See dosage conversion chart)

Aranesp once a week

Aranesp every 2 weeks

Cost savings

Fosamax

Actonel

Fosamax 10mg QD

Fosamax 70 mg weekly

Actonel 35mg weekly

Reduced SE & Med Pass time, cost savings

Fragmin 5000 IU BID or Lovenox 30 mg BID

Lovenox 40 mg QD

Fragmin 5000 IU SQ BID

Lovenox 30mg SQ BID

Lovenox 40mg SQ QD (7-10 days)

Cost savings

Humulin Insulin

Novolin Insulin

Unit per Unit dose conversion

 

Cost savings

Levaquin, Floxin, Cipro 500mg BID

Avelox (Broad Spectrum Antibiotic) or Cipro XR (for UTI)

For Broad Spectrum Antibiotic

Levaquin 500 mg Q24h

For UTI

Levaquin 250 QD x 3 days QD

Floxin 200-400mg Q12h x 3-10 days

 

 

Avelox 400mg Q24h

 

Cipro XR 500mg QD x 3 days

Effectiveness, cost savings

Oxycontin, MS Contin

Morphine SO4 ER

MG per MG dose conversion

 

Cost savings

Prevacid, Nexium, Aciphex, or Protonix

Prilosec OTC

(Proton Pump Inhibitor)

Protonix 40mg QD

Prevacid 15-30mg QD

Aciphex 20mg QD

Floxin 200-400mg Q12h x 3-10 days

Prilosec OTC 20 mg QD

Cost savings

Synthroid, Levothroid

Levothyroxine

MG per MG dose conversion

 

Cost savings

Vioxx

Celebrex/Bextra

For Osteoarthritis

 

For Rheumatoid Arthritis

Celebrex 200mg QD

Celebrex 200 mg BID

Reduced GI/CV SE, cost savings

Zocor, Pravachol

Lipitor or Caduet*

For all doses except

Zocor 80mg QD

Lipitor 10mg QD

Lipitor 20mg QD

Cost savings

 

*If patient is taking both Anti-hyperlipidemics and CCBs or other Anti-hypertensives, then Caduet is preferred.