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Prescription Drugs

Therapeutic Class Drug List

VIII. GASTROINTESTINAL
A. Diarrhea
GENERIC NAME RELATIVE COST BRAND NAME
loperamide $ IMODIUM®
diphenoxylate/atropine $ LOMOTIL®
B. Emesis
GENERIC NAME RELATIVE COST BRAND NAME
meclizine $ ANTIVERT®
promethazine $ PHENERGAN®
metoclopramide $ REGLAN®
thiethylperazine $ TORECAN®
trimethobenzamide $ TIGAN®
prochlorperazine $$ COMPAZINE®
granisetron (MDL) $$$$$$$$ KYTRIL® (MDL)
ondansetron (MDL) $$$$$$$$$$ ZOFRAN® (MDL)
C. Inflammatory Bowel Disease
GENERIC NAME RELATIVE COST BRAND NAME
sulfasalazine $$$ AZULFIDINE®
sulfasalazine delayed-rel $$$$ AZULFIDINE EN-TABS®
olsalazine sodium $$$$$$ DIPENTUM®
mesalamine tabs delayed-rel $$$$$$ ASACOL®
mesalamine caps ext-rel $$$$$$$$ PENTASA
hydrocortisone acetate foam $$$$$$$$$ CORTIFOAM®
hydrocortisone enema $$$$$$$$$ CORTENEMA®
mesalamine rectal supp $$$$$$$$$$ ROWASA®
D. Pancreatic Enzymes
GENERIC NAME RELATIVE COST BRAND NAME
pancrelipase $$$$$$ VIOKASE®
pancrelipase $$$$$$$$ PANCREASE®
pancrelipase delayed-rel $$$$$$$$ PANCREASE® MT
pancrelipase delayed-rel $$$$$$$$ CREON®
pancrelipase delayed-rel $$$$$$$$$$ ULTRASE®
pancrelipase delayed-rel $$$$$$$$$$ ULTRASE® MT
E. Reflux (GERD)
GENERIC NAME RELATIVE COST BRAND NAME
cimetidine $$ TAGAMET®
metoclopramide $$$ REGLAN®
ranitidine tabs $$$ ZANTAC®
famotidine, except orally disintegrating tabs $$$$ PEPCID®
pantoprazole delayed-rel $$$$$ PROTONIX®
rabeprazole delayed-rel $$$$$$ ACIPHEX®
esomeprazole delayed-rel $$$$$$$$$ NEXIUM®
omeprazole delayed-rel (10mg and 40mg only) $$$$$$$$$$ PRILOSEC® (10mg and 40mg only)
F. Spasm
GENERIC NAME RELATIVE COST BRAND NAME
atropine/hyoscyamine/
scopolamine/phenobarbital
$ DONNATAL®
hyoscyamine sulfate $ LEVSIN®
dicyclomine $$ BENTYL®
hyoscyamine sulfate ext-rel $$$ LEVSINEX®
hyoscyamine sulfate ext-rel $$$$ LEVBID®
G. Ulcers
GENERIC NAME RELATIVE COST BRAND NAME
Peptic Ulcer/H Pylori Treatment
ranitidine tabs $ ZANTAC®
cimetidine $$ TAGAMET®
famotidine, except orally distintegrating tabs $$$$ PEPCID®
sucralfate $$$$$ CARAFATE®
rabeprazole delayed-rel $$$$$$ ACIPHEX®
esomeprazole delayed-rel $$$$$$$$$ NEXIUM®
omeprazole delayed-rel (10mg and 40mg only) $$$$$$$$$$ PRILOSEC® (10mg and 40mg only)
H. Miscellaneous
GENERIC NAME RELATIVE COST BRAND NAME
lactulose $ CHRONULAC®
peg 3350/electrolytes $$ GOLYTELY®
peg 3350/sod bicarbonate/
sod chloride/pot chloride
$$$ NULYTELY®
sodium phosphates $$$$ VISICOL™
lactulose $$$$$ CEPHULAC®
bismuth subsalicylate + metronidazole + tetracycline $$$$$ HELIDAC®
ursodiol $$$$$$$$ ACTIGALL®
misoprostol $$$$$$$$ CYTOTEC®
ursodiol $$$$$$$$ URSO®

 

 
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