Home  |  Contact Us  |  Site Index  | 
Search Site  >>  
Members  |  Providers  |  Employers  |  Producers
Prescription Drugs

Therapeutic Class Drug List

XIV. RESPIRATORY
A. Asthma/COPD
GENERIC NAME RELATIVE COST BRAND NAME
Asthma
Information about asthma is available at: www.nlm.nih.gov.
Chronic Obstructive Pulmonary Disease (COPD)
Information about COPD is available at: www.health.nih.gov.
Inhalers
albuterol $$$ PROVENTIL®
pirbuterol, autohaler $$$$ MAXAIR™
metaproteranol $$$$$ ALUPENT®
formoterol $$$$$$$ FORADIL®
salmeterol xinafoate $$$$$$$$ SEREVENT® DISKUS®
Corticosteroids
budesonide powder $$$$$ PULMICORT® TURBUHALER®
beclomethasone $$$$$ QVAR®
triamcinolone acetonide $$$$$ AZMACORT®
fluticasone powder
(based on 100 mcg)
$$$$$$ FLOVENT® ROTADISK®
fluticasone (based on 110 mcg) $$$$$$$ FLOVENT®
Others
ipratropium bromide $$$$$$$ ATROVENT®
ipratropium bromide/albuterol sulfate $$$$$$$$$ COMBIVENT®
nedocromil $$$$$$$$$ TILADE®
cromolyn sodium $$$$$$$$$$ INTAL®
salmeterol/fluticasone powder (based on 250 mcg) $$$$$$$$$$ ADVAIR DISKUS®
Oral Agents
Beta Agonists
albuterol sulfate $$$$ PROVENTIL®
metaproterenol tabs $$$$ ALUPENT®
terbutaline $$$$$$ BRETHINE®
Leukotriene Modifiers
zafirlukast $$$$$$$ ACCOLATE®
montelukast $$$$$$$$ SINGULAIR®
Theophyllines
theophylline ext-rel tabs $$$$$ THEOCHRON®
theophylline liquid $$$$$ THEOPHYLLINE
theophylline caps $$$$$ SLO-BID®
theophylline tabs $$$$$ THEO-DUR®
theophylline ext-rel caps
(12 hr)
$$$$$$$ THEOPHYLLINE
EXT-REL
theophylline ext-rel caps $$$$$$$ THEO-24®
theophylline ext-rel tabs $$$$$$$ UNIPHYL®
Inhalations for Nebulization
albuterol sulfate soln $$$ PROVENTIL®
cromolyn sodium soln $$$$$$ INTAL®
metaproterenol soln $$$$$$$ ALUPENT®
ipratropium bromide soln $$$$$$$$ ATROVENT®
albuterol sulfate/ipratropium bromide soln $$$$$$$$$$ DUONEB
budesonide susp $$$$$$$$$$ PULMICORT® RESPULES
B. Antihistamines and Decongestants
GENERIC NAME RELATIVE COST BRAND NAME
First Generation
Antihistamines
promethazine $ PHENERGAN®
diphenhydramine $$ DIPHENHYDRAMINE
hydroxyzine hcl $$$ ATARAX®
hydroxyzine pamoate $$$$ VISTARIL®
clemastine 2.68mg $$$$ TAVIST®
cyproheptadine $$$$$ PERIACTIN®
Antihistamine/Decongestant Combinations
chlorpheniramine 8mg/ pseudoephedrine 120mg
ext-rel
$$$ DECONAMINE® SR
brompheniramine 6mg/ pseudoephedrine 60mg
ext-rel
$$$ BROMFED-PD®
brompheniramine 12mg/ pseudoephedrine 120mg
ext-rel
$$$ BROMFED®
carbinoxamine 4mg/ pseudoephedrine 60mg $$$$$$$ RONDEC® DROPS
carbinoxamine 8mg/
pseudoephedrine 120mg ext-rel
$$$$$$$ RONDEC®-TR
azatadine/pseudoephedrine
ext-rel
$$$$$$$$ TRINALIN® REPETABS
C. Antitussives and Expectorants
GENERIC NAME RELATIVE COST BRAND NAME
guaifenesin ext-rel $ HUMIBID® L.A.
dextromethorphan/
carbinoxamine/pseudoephedrine drops
$ CARDEC®-DM
dextromethorphan/
promethazine
$ PHENERGAN® DM
codeine/promethazine $ PHENERGAN® w/CODEINE
hydrocodone/homatropine $ HYCODAN®
codeine/promethazine/ phenylephrine $ PHENERGAN® VC w/CODEINE
codeine/guaifenesin $ ROBITUSSIN A-C®
codeine/chlorpheniramine/
pseudoephedrine
$ NOVAHISTINE® DH
codeine/pseudoephedrine/
guaifenesin
$ ROBITUSSIN®-DAC
benzonatate $$ TESSALON®
guaifenesin/
pseudoephedrine ext-rel
$$ ENTEX® PSE
dextromethorphan/
brompheniramine/pseudoephedrine
$$ DIMETANE®-DX

 

 
Members  |  Providers  |  Employers  |  Brokers