| IV. CENTRAL NERVOUS SYSTEM |
| A. Alzheimer's Disease |
| GENERIC NAME |
RELATIVE COST |
BRAND NAME |
| donepezil |
$$$$$$ |
ARICEPT® |
| rivastigmine |
$$$$$$$ |
EXELON® |
| B. Analgesics |
| GENERIC NAME |
RELATIVE COST |
BRAND NAME |
| NSAIDs |
| ibuprofen |
$ |
MOTRIN® |
| naproxen |
$ |
NAPROSYN® |
| naproxen sodium |
$ |
ANAPROX® |
| diflunisal |
$$$$ |
DOLOBID® |
| ketoprofen |
$$$$ |
ORUDIS® |
| etodolac |
$$$$ |
LODINE® |
| meclofenamate |
$$$$$ |
MECLOFENAMATE |
| Opioids |
| oxycodone/acetaminophen |
$ |
TYLOX® |
| codeine/aspirin |
$ |
ASPIRIN/CODEINE 3/4 |
| hydrocodone/acetaminophen tabs 5/500 |
$ |
LORTAB® 5/500 |
| oxycodone/acetaminophen 5/325 only |
$ |
PERCOCET® |
hydrocodone/
acetaminophen 7.5/750 |
$ |
VICODIN ES® |
hydrocodone/
acetaminophen 7.5/500 |
$ |
LORTAB® 7.5/500 |
hydrocodone/
acetaminophen 7.5/650 |
$$ |
LORCET® PLUS |
| codeine/acetaminophen |
$$ |
TYLENOL® w/CODEINE |
| oxycodone/aspirin |
$$ |
PERCODAN® |
propoxyphene nap/
acetaminophen |
$$ |
DARVOCET-N® |
| oxycodone |
$$$$$ |
ROXICODONE™ |
| oxycodone |
$$$$$$ |
OXYIR® |
codeine/acetaminophen susp
(alcohol-free) |
$$$$$$ |
CAPITAL® w/CODEINE® |
| hydromorphone |
$$$$$$$ |
DILAUDID® |
| morphine |
$$$$$$$ |
MSIR® |
| oxycodone ext-rel |
$$$$$$$$ |
OXYCONTIN® |
| morphine ext-rel |
$$$$$$$$ |
MS CONTIN® |
| codeine sulfate |
$$$$$$$$$ |
CODEINE |
| meperidine |
$$$$$$$$$$ |
DEMEROL® |
| morphine, rectal |
$$$$$$$$$$ |
RMS® SUPPOSITORIES |
| butorphanol nasal spray (MDL) |
$$$$$$$$$$ |
STADOL NS® (MDL) |
| Miscellaneous |
| aspirin/butalbital/caffeine |
$$$$ |
FIORINAL® |
acetaminophen/butalbital/
caffeine |
$$$$$ |
FIORICET® |
| C. Migraine |
| GENERIC NAME |
RELATIVE COST |
BRAND NAME |
| Abortive Therapy |
| ibuprofen |
$ |
MOTRIN® |
acetaminophen/
dichloralphenazone/ isometheptene |
$ |
MIDRIN® |
| ergotamine/caffeine tabs |
$$ |
CAFERGOT® |
| ergotamine/caffeine suppositories |
$$ |
CAFERGOT® |
| zolmitriptan (MDL) |
$$$$ |
ZOMIG®/ZOMIG ZMT® /ZOMIG® NS (MDL) |
| rizatriptan (MDL) |
$$$$ |
MAXALT® (MDL) |
| rizatriptan MLT (MDL) |
$$$$ |
MAXALT-MLT® (MDL) |
| Prophylactic Therapy |
| amitriptyline |
$ |
ELAVIL® |
| propranolol |
$ |
INDERAL® |
| verapamil |
$ |
CALAN® |
| propranolol ext-rel |
$$$$ |
INDERAL® LA |
| divalproex sodium delayed-rel |
$$$$$$ |
DEPAKOTE® |
| divalproex extended release |
$$$$$$ |
DEPAKOTE® ER |
| D. Parkinson's Disease |
| GENERIC NAME |
RELATIVE COST |
BRAND NAME |
| benztropine |
$ |
COGENTIN® |
| diphenhydramine |
$ |
DIPHENHYDRAMINE |
| amantadine, except tabs |
$$ |
AMANTADINE |
| trihexyphenidyl |
$$ |
ARTANE® |
| carbidopa/levodopa |
$$$$ |
SINEMET® |
| selegiline tabs |
$$$$ |
SELEGILINE |
| selegiline caps |
$$$$$$ |
ELDEPRYL® |
| pramipexole |
$$$$$$$ |
MIRAPEX® |
| ropinirole |
$$$$$$$$ |
REQUIP® |
| tolcapone |
$$$$$$$$ |
TASMAR® |
| bromocriptine |
$$$$$$$$ |
PARLODEL® |
| carbidopa/levodopa ext-rel |
$$$$$$$$ |
SINEMET® CR |
| pergolide |
$$$$$$$$$ |
PERMAX® |
| E. Seizures |
| GENERIC NAME |
RELATIVE COST |
BRAND NAME |
| phenobarbital |
$ |
PHENOBARBITAL |
| carbamazepine |
$$ |
TEGRETOL® |
| phenytoin sodium extended |
$$ |
DILANTIN® |
| clonazepam |
$$$ |
KLONOPIN® |
| phenytoin |
$$$ |
DILANTIN® INFATABS® |
| primidone |
$$$ |
MYSOLINE® |
| carbamazepine ext-rel |
$$$ |
CARBATROL® |
| mephobarbital |
$$$$ |
MEBARAL® |
| carbamazepine ext-rel |
$$$$$ |
TEGRETOL®-XR |
| valproic acid |
$$$$$ |
DEPAKENE® |
| ethosuximide |
$$$$$ |
ZARONTIN® |
| tiagabine |
$$$$$$$ |
GABITRIL® |
| gabapentin |
$$$$$$$ |
NEURONTIN® |
| felbamate |
$$$$$$$$ |
FELBATOL® |
| divalproex sodium delayed-rel |
$$$$$$$$ |
DEPAKOTE® |
| lamotrigine |
$$$$$$$$ |
LAMICTAL® |
| topiramate |
$$$$$$$$ |
TOPAMAX® |
|
|
