| Document Date: 2015-01-12 18:05:36
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Company Exelon / Antara / / Facility Pharmacy Preferred Drug List / / IndustryTerm solution paroxetine sertraline tablet sertraline solution / caps/solution / / MedicalCondition SGLT2 Inhibitors Diabetes / ENDOCRINE AND METABOLIC AGENTS Drug Class Preferred Requires Prior Authorization Diabetes / N Diabetes / Diabetes / Ulcerative Colitis / u/ml Diabetes / Herpes / raloxifene Diabetes / HBV / Hepatitis B / Gout / vial Diabetes / BPH / MS / / MedicalTreatment Antibiotics / enema / / Organization District of Columbia Department of Health Care Finance Pharmacy Preferred Drug List / / Person Reductase Inhibitors / / Product Tamiflu / Gris-Peg / Sorine / Femring / Zofran Tablet / Antara / Alphagan P / probenecid / Niacor / Procardia / Methylin / reserpine / Janumet / Sarafem / sumatriptan / carisoprodol compound / Asacol / Vagifem / Muscle Relaxants / Invega / itraconazole / Duragesic / Anzemet / ofloxacin / Lotronex / ketoprofen / Corzide / Diflucan / Aranesp / modafinil / Frova / Humalog / Lopid / Effexor XR / Betagan / divalproex sodium / glimepiride / Evista / Androgel / sodium bicarbonate / Catapres / Lantus / Zomig / Soma / metoprolol tartrate / mupirocin / Novolin R / Sonata / Nadolol / Questran Light / levatol / Imitrex / clonazepam / Protopic / ethosuximide / Ambien CR / allopurinol / cimetidine / Flomax / Lipofen / Clindesse / Axid / metipranolol / Pylera / betaxolol / Sanctura XR / indomethacin / Xalatan / Kadian / Colestid / pantoprazole / Glucophage XR / Cardene SR / HBV tablet / Requip / Glumetza / diazepam / Betimol / clozapine / Orencia / Lovaza / phenytoin / telmisartan / Kineret / diflunisal / Pentasa / Coreg CR / Zofran / Restoril / Voltaren / Vytorin / Keppra / Timoptic / Celexa / Copaxone / HT1 Receptor Agonists / metronidazole / ibuprofen / baclofen / Tyzeka / Ancobon / Tekturna HCT / lamotrigine / Dilantin / amoxicillin / Copegus / Metrogel-Vaginal / Vyvanse / gabapentin / Micardis HCT / Gabitril / Glucophage / quinapril / Vaseretic / Pegasys / Altabax / Ansaid / Estring / Skelaxin / Peganone / diclofenac potassium / Norvasc / Abilify / Xifaxan / Paxil / Aldara / Fragmin / pindolol / Tenex / Januvia / trandolapril / Tenormin / Omnitrope / rabeprazole / nateglinide / Niaspan / Aricept / metoclopramide / Ritalin / Lamictal / Proscar / zaleplon / Corgard / venlafaxine / Noroxin / Humira / Emadine / granisetron / DuetAct / Vesicare / Estrace / Avinza / Emend / methocarbamol / Carbatrol / Sanctura / valsartan / irbesartan / Serostim / Humatrope / Focalin / estazolam / Enablex / Avandamet / mesalamine / Mysoline / clotrimazole / Cipro XR / acyclovir / Rozerem / Arixtra / Reglan / Lotensin / Coreg / Novolin / Flagyl ER / Persantine / Ultram ER / Carbamazepine / HCl tablet / Lialda / meloxicam / Afeditab CR / Azasan / Vasotec / Celontin / Betoptic S / triazolam / Alomide / Relenza / Famvir / Premarin / gemfibrozil / Detrol LA / Epivir / clarithromycin / Zetia / Nuvigil / Amrix / divalproex / repaglinide / Avelox / omeprazole / Actos / nifedipine / Ambien / Rebif / Riomet / fluconazole / Detrol / Luvox CR / nizatidine / Sectral / Catapres-TTS / Anti-Depressants / levofloxacin / Diovan HCT / Seroquel XR / Olanzapine / Opana ER / glipizide / ramipril / Tricor / Questran / Coumadin / Oxytrol / isradipine / Accupril / Enbrel / Helidac / Alsuma / Diastat / Prevalite / Equetro / Rowasa / Aciphex / Lunesta / Cozaar / Accuretic / Adderall / Ultracet / Pristiq / Uroxatral / Uniretic / donepezil / Strattera / Daytrana / diclofenac sodium / Boniva / Robaxin / clopidogrel / Aricept ODT / dipyridamole / Lansoprazole / Altoprev / Prograf / Plavix / Genotropin / ketoconazole / nystatin / Rescula / Lyrica / Neupro / Lumigan / Grifulvin / Axert / Azulfidine / Levaquin / Trileptal / Maxalt / Tekturna / Miacalcin / piroxicam / Avandia / Valacyclovir / Lescol XL / lovastatin / cholestyramine / Renvela / Denavir / Epitol / Depakote / ondansetron / Avalide / Anaprox / Dutoprol / Clozaril / NovoLog / Flagyl / Fosamax / topiramate / Lovenox / quinaretic / Lopressor HCT / Valtrex / Nexium / Byetta / Doral / Adderall XR / Pravachol / Centany / sulindac / Neurontin / Amerge / simvastatin / escitalopram / ActoPlus Met / Starlix / Daypro / cyclosporine / Zorbtive / Risperdal / Zestril / Dexedrine / tamsulosin / Azor / Renagel / cholestyramine light / etodolac / Cymbalta / Gentamicin / Crestor / Hepsera / zonisamide / Fortical / Lopressor / Sular / Advicor / Lescol / Timoptic-XE / Zegerid / Pexeva / Glucovance / Klonopin / Mobic / Elidel / Betapace AF / Avonex / Dantrium / losartan / Avodart / rivastigmine / Ponstel / Welchol / Atacand HCT / Adalat CC / fluoxetine / Suboxone / megestrol acetate / Colazal / Zyloprim / Sandimmune / Lidoderm / Depakene / lisinopril / Zofran ODT / tolterodine / Lotensin HCT / Prinivil / Nutropin / Alrex / Tev-Tropin / Testim / chlorzoxazone / famotidine / Saizen / famciclovir / Symbyax / Humulin / Forteo / lidocaine / Remeron / Actonel / Cosopt / Factive / Vfend / Amitiza / Zovirax / methyldopa / Ranexa / Cipro / Metadate ER / Mavik / Flumadine / fentanyl / captopril / azathioprine / flurbiprofen / Imuran / ciprofloxacin / PhosLo / Avandaryl / Altace / Exelon / nabumetone / Nutropin AQ / carvedilol / atenolol / Dipentum / Hyzaar / Halcion / Zaditor / Zocor / Istalol / timolol maleate / Baraclude / Lotrel / pioglitazone / Effexor / Zantac / Zestoretic / Betapace / Ritalin LA / carisoprodol / Sporanox / Arthrotec / Bidil / primidone / ranitidine / Concerta / Ultram / Neoral / Ditropan XL / Phenytek / finasteride / Alocril / Trusopt / Prevacid / Cleocin / zolpidem tartrate / Zonegran / Nalfon / Novolin N / Niacin / metoprolol succinate / Mirapex / Optivar / sulfasalazine / Clorpres / Zebeta / Gengraf / Fortamet / Alinia / Zoloft / temazepam / Cataflam / calcium acetate / Ribasphere / Zanaflex / Fosrenol / dantrolene sodium / Tarka / Prozac / Levemir / Razadyne / risperidone / Vandazole / Lipitor / Mevacor / Topamax / Teveten / Ziac / Prandin / Simcor / Azulfidine EN-tabs / Exforge / Androderm / Tindamax / Apidra / naproxen / Naprelan / Azopt / Protonix / Teveten HCT / Betaseron / Parafon Forte DSC / feldene / Rapamune / Atacand / Pepcid / Cellcept / Norditropin / Focalin XR / Avapro / Paxil CR / Celebrex / Wellbutrin / Oramorph SR / Prevpac / Canasa / naloxone / Pataday / Bystolic / oxaprozin / Diovan / Desoxyn / MS Contin / Combigan / Benicar HCT / Tegretol / Inderal LA / Megace / Triglide / Lexapro / Travatan Z / Noxafil / Patanol / Felbatol / Myfortic / Naprosyn / Prilosec / testosterone / Benicar / Namenda / valproic acid / griseofulvin / Tenoretic / Elestat / Seroquel / Symlin / Trandate / Indocin / chlorthalidone / glyburide / oxcarbazepine / Caduet / Geodon / Viread / Saphris / Aggrenox / Relpax / Micardis / felodipine / Bactroban / Lamisil / phenytoin sodium / OxyContin / Innopran XL / Flector / Zarontin / misoprostol / Provigil / zolpidem / Metadate CD / HCl capsule / Iopidine / Zyprexa / / ProgrammingLanguage ABC / / ProvinceOrState Columbia Department of Health Care Finance Pharmacy Preferred Drug List / District of Columbia / Columbia Department of Health Care / / Technology ANTI-INFECTIVES / Alpha / CRM / /
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District of Columbia Department of Health Care Finance Pharmacy Preferred Drug List (PDL) Effective January 09, 2015 ANALGESICS