M-CARE drug lists updated M-CARE has updated both the Performance Drug List and Maintenance Drug List for 2004. The lists are available in the M-CARE Provider Manual or can be viewed on our website at mcare . Effective March 1, the new medication Seasonale has been added to the Maintenance Drug List. Pepfid AC Maximum Strength now OTC Pepcie AC Maximum Strength is now available and approved by the FDA as an over-the-counter OTC ; product for the treatment of heartburn. Therefore, M-CARE no longer covers the 20 mg prescription strength of famotidine for Pepcic ; under the prescription drug benefit, effective December 15, 2003. Famotidine or Pepfid ; in the 40 mg strength is still covered. When a prescription H2RA is required, generic ranitidine is preferred by M-CARE. Special pharmacy requirements for 2004 To promote appropriate medication use, M-CARE has special requirements in 2004 that affect HMO, POS, and GradCare members with an M-CARE prescription drug benefit. If your M-CARE patient needs prior authorization for one of the medications listed below, contact M-CARE's Authorization Department at 734 ; 332-2271 or 800 ; 527-5549, ext. 2271, to request a review. M-CARE members who were using an angiotensin II receptor blocker ARB ; prior to December 31, 2003 may continue to do so. Prior authorization will not be required for these members. Category Examples Special requirement. PHYSICIAN MUST COMPLETE THIS SECTION AND INSTRUCT THE PATIENT AS TO WHAT MEDICATIONS SHOULD BE STOPPED PRIOR TO PROCEDURE 1. Esophageal Manometry - Drugs such as nitrates, calcium channel blockers, theophylline, metoclopramide ReglanTM ; or diazepam ValiumTM ; may affect esophageal motor activity. It is preferable to stop these drugs 24 hours prior to the test, if it is safe for your patient to do so. I have instructed my patient to stop the above drugs 24 hours prior to the test. Perform the test with the patient on the above drugs. Not applicable 2. Bernstein or Tensilon - Standard esophageal manometry with the addition of provocative testing may be performed. Provocative testing is used to help identify chest pain of esophageal origin and is done by administering Bernstein solution or injecting edrophonium TensilonTM ; . Drugs such as nitrates, calcium channel blockers, theophylline, metoclopramide ReglanTM ; or anxiolytics such as diazepam ValiumTM ; may affect esophageal motor activity. It is preferable to stop these drugs 24 hours prior to the test, if it is safe for your patient to do so. I have instructed my patient to stop the above drugs 24 hours prior to the test. Perform the test with the patient on the above drugs. Not applicable 3. Pharyngeal Manometry - Patients with oropharyngeal dysphagia in whom poor cricopharyngeal opening or relaxation is suspected from x-ray studies may benefit from pharyngeal manometry to document abnormalities. Drugs such as metoclopramide, domperidone, calcium channel blockers and nitrates may affect test results. I have instructed my patient to stop the above drugs 24 hours prior to the test. Do the test with the patient on the above drugs. Not applicable 4. 24-Hour pH Monitoring nasal catheter ; - In order to perform 24-Hour pH monitoring, esophageal manometry must first be done to locate the lower esophageal sphincter. Drugs such as proton pump inhibitors AciphexTM, NexiumTM, PrevacidTM, PrilosecTM, ProtonixTM ; or H2 blockers ZantacTM , PepcidTM, AxidTM , TagametTM ; affect test results. It is preferable that these drugs be withheld 7 days prior to the test. If you want to see results while on medical therapy, you may continue the medications. I have instructed my patient to hold the above drugs for 7 days prior to the test patient may take Rolaids, Tums, Mylanta ; . Do the test while on acid suppressive medication. Not applicable 5. 48-Hour Bravo pH capsule ; - In order to perform 48-Hour Bravo pH monitoring, location of the Z line must be known or esophageal manometry must first be done to locate the lower esophageal sphincter. Drugs such as proton pump inhibitors AciphexTM, NexiumTM, PrevacidTM, PrilosecTM, ProtonixTM ; or H2 blockers ZantacTM, PepcidTM, AxidTM, TagametTM ; affect test results. It is preferable that these drugs be withheld 7 days prior to the test. If you want to see results while on medical therapy, you may continue the medications. I have instructed my patient to hold the above drugs for 7 days prior to the test patient may take Rolaids, Tums, Mylanta ; . Do the test while on acid suppressive medication. Not applicable 6. 24-Hour pH Impedence nasal catheter ; - In order to perform 24-Hour pH monitoring, esophageal manometry must first be done to locate the lower esophageal sphincter. Drugs such as proton pump inhibitors AciphexTM, NexiumTM, PrevacidTM, PrilosecTM, ProtonixTM ; or H2 blockers ZantacTM, PepcidTM, AxidTM, TagametTM ; affect test results. It is preferable that these drugs be withheld 7 days prior to the test. If you want to see results while on medical therapy, you may continue the medications. I have instructed my patient to hold the above drugs for 7 days prior to the test patient may take Rolaids, Tums, Mylanta ; . Do the test while on acid suppressive medication. Not applicable 7. Electrogastrography EGG ; - Discontinue 48 hours prior to your test all drugs that can affect gastric motility such as prokinetics Reglan, Propulsid, domperidone, erythromycin, Zelnorm ; , narcotics, anticholinergics Bentyl, Levsin donnatal ; , antiemetics Compazine, Tigan, Zofran ; , NSAID's Motrin, Advil ; , antidepressants, oral contraceptives, tobacco and alcohol. 8. Anorectal Manometry and EMG - Performing anorectal manometry requires an alert and conscious patient. Local application of nitrates may affect pressure results. I have instructed my patient to stop the above drugs 24 hours prior to the test. Do the test with the patient on the above drugs. Not applicable , M.D. Signature , M.D. Date Printed Name FAX TO TMH CENTRALIZED SCHEDULING 713-790-4455. H2 blockers i.e., Zantac, Pepcid, Tagamet, and Axid ; are older drugs that have been shown to be effective in treating GERD and other gastrointestinal conditions Van Pinxteren; DeVault ; . Most H2 blockers have generic options available.3 Proton pump inhibitors PPIs ; are a newer class of drugs that have been shown to achieve better control of reflux symptoms than H2 blockers DeVault ; . The PPI class includes Prilosec, Prevacid, Nexium, Protonix, and omeprazole the generic form of Prilosec ; . Most of the studies that directly compare the efficacy of different PPIs have found that the various PPIs have similar efficacy when given in equivalent doses and that all are effective in treating GERD Vakil and Fennerty ; . Because of the relative homogeneity of GERD and the similarity in efficacy of the PPIs, patients are less likely to select a plan on the basis of whether the plan has the PPI they currently take on its formulary. Thus, selection issues may be less of a concern for drugs used to treat GERD, and patients should be more likely to switch medications in response to financial incentives than users of other drug classes like antidepressants or antiretrovirals. Therefore, formulary structure and cost-sharing requirements may be useful in encouraging the use of lower-cost H2 blockers or the generic PPI omeprazole. A plan might choose to restrict formulary coverage to one PPI or use a fail first program that would require patients to fail on an H2 blocker before using omeprazole or fail omeprazole before receiving coverage for a brand-name PPI. Such a program would be more acceptable to GERD patients than similar programs for certain other drug classes, as long as the reconsideration process is not too burdensome for those that do not respond well to the preferred drug and phenergan.

Gppe Gel Kolanticon S F Kolanticon Gel S F Hyoscine Butylbrom Inj 20mg ml 1ml Amp Hyoscine Butylbrom Tab 10mg Buscopan Tab 10mg Buscopan Inj 20mg ml 1ml Amp Mebeverine HCl Oral Susp 50mg 5ml S F Mebeverine HCl Tab 135mg Mebeverine HCl Cap 200mg M R Colofac Tab 135mg Colofac MR Cap 200mg Peppermint Oil Cap E C 0.2ml Peppermint Oil Cap E C 0.2ml M R Colpermin Cap E C 0.2ml M R Mintec Cap E C 0.2ml Ispag Mebeverine Gran Eff 3.5g 135mg S F Fybogel Mebeverine Eff Gran Sach S F Propantheline Brom Tab 15mg Pro-Banthine Tab 15mg Cimetidine Tab 200mg Cimetidine Tab 400mg Cimetidine Tab 800mg Cimetidine Oral Soln 200mg 5ml Cimetidine Tab Eff 400mg Orange ; Tagamet Tab 400mg Famotidine Tab 20mg Famotidine Tab 40mg Pspcid Tab 20mg Nizatidine Cap 150mg Nizatidine Cap 300mg Axid Cap 150mg Ranitidine HCl Tab 150mg Ranitidine HCl Tab 300mg Ranitidine HCl Oral Soln 75mg 5ml S F Ranitidine HCl Tab Eff 150mg Zantac Tab 150mg.

Table 1. Recommended Dosages for Subconjunctival Injections and premarin. NOVOLIN R 18 NOVOLOG 18 NOVOLOG MIX 70 30 18 NYDRAZID inj 11 OMNICEF 7 ONCASPAR 13 ONTAK 12 ORAP 14 OVIDE 14 OXSORALEN-ULTRA 22 OXYTROL 24 PACERONE 19 PANCRELIPASE 23 PARCOPA 14 PARNATE 9 PATANOL 28 PAXIL susp 10 PEGANONE 9 PENICILLIN G BENZATHINE 7 PENICILLIN G PROCAINE 7 PEPCID susp 23 PHOSLO 25 PHOTOFRIN 13 PLAVIX 19 PLEXION SCT crm 21 podofilox soln 22 POLIOVIRUS VACCINE INACTIVATED ; 27 PONTOCAINE soln 21 potassium chloride ext-rel 32 PRAMOSONE 22 PRANDIN 18 PRECOSE 18 PREDNISONE INTENSOL 25 PREMARIN 26 PREMARIN crm 26 PREMARIN inj 26 PREMPHASE 26 PREMPRO 26 prenatal vitamins 32 PREVACID 23 PREVACID inj 23 PREVPAC 23 PRILOSEC 40 mg 23 PROCAINAMIDE 750 mg, 1000 mg 19 PROCANBID 19 PROCHLORPERAZINE supp 2.5 mg, 5 mg 10. Price Tab-Cap 1.5 G 2.64 0.0026 200 MG TABLETS 2.71 0.0027 200 MG TABLETS 3.00 0.0030 200 MG TABLETS 3.30 0.0033 250 MG TABLETS 3.36 0.0034 250 MG TABLETS 3.40 0.0034 200 MG TABLETS 3.40 0.0034 250 MG TABLETS 3.70 0.0037 250 MG TABLETS 3.99 0.0040 250 MG TABLETS 4.01 0.0040 250 MG TABLETS 16.34 0.0065 200 MG TABLETS 13.23 0.0132 250 MG TABLETS EUR. ; Supplier Median Price Tab-Cap 0.0034 High Low Ratio 5.08 3.18 0.0032 MG TABLETS 3.65 0.0037 250 MG TABLETS 0.00 0.0042 250 MG TABLET 7.50 0.0075 250 MG TABLETS 7.87 0.0078 200 MG TABLETS Buyer Median Price Tab-Cap 0.0042 High Low Ratio 2.44 5.06 Price Tab-Cap 0.0051 400 MG TABLETS and prempro. Allergies anti-depressants anti-infectives anti-psychotics anti-smoking antibiotics asthma cancer cardio & blood cholesterol diabetes epilepsy gastrointestinal hair loss herpes hiv hormonal men's health muscle relaxers other pain relief parkinson's rheumatic skin care weight loss women's health allegra atarax benadryl clarinex claritin clemastine periactin phenergan pheniramine promethazine zyrtec anafranil celexa cymbalta desyrel dosulepin effexor elavil, endep luvox moclobemide pamelor paxil prozac reboxetine remeron sinequan tianeptine tofranil wellbutrin zoloft albenza amantadine aralen flagyl grisactin isoniazid myambutol pyrazinamide sporanox tamiflu tinidazole vermox abilify clozaril compazine flupenthixol geodon haldol lamictal lithobid loxitane mellaril risperdal seroquel zyprexa nicotine nicotine polacrilex zyban achromycin augmentin bactrim biaxin ceclor cefepime ceftin chloromycetin cipro, ciloxan cleocin duricef floxin, ocuflox gatifloxacin ilosone keftab levaquin macrobid minomycin noroxin omnicef omnipen-n oxytetracycline prevpac rifater rulide suprax tegopen trimox vantin vibramycin zithromax advair aerolate, theo-24 brethine, bricanyl foradil ketotifen metaproterenol proventil, ventolin serevent singulair arimidex casodex decadron eulexin femara levothroid, synthroid nolvadex provera, cycrin ultram vepesid zofran acenocoumarol aceon adalat, procardia altace atenolol amlodipine avapro caduet calan, isoptin capoten captopril hctz cardizem cardura catapres cilexetil, atacand clonidine, hctz combipres cordarone coreg coumadin cozaar dibenzyline diovan fosinopril fosinopril hctz hydrochlorothiazide hytrin hyzaar inderal ismo, imdur isordil, sorbitrate lanoxin lasix lercanidipine lopressor lotensin lozol metoprolol hctz micardis minipress moduretic normadate norpace norvasc plavix plendil prinivil, zestril prinzide rythmol tenoretic tenormin trental valsartan hctz vaseretic vasodilan vasotec zebeta crestor lipitor lopid mevacor pravachol tricor zocor accupril actos alpha-lipoic acid amaryl avandia diamicron mr gliclazide metformin glucophage glucotrol glucotrol xl glucovance lyrica micronase orinase prandin precose starlix depakote dilantin lamictal neurontin sodium valproate tegretol topamax trileptal valparin aciphex antivert asacol bentyl cinnarizine colace colospa compazine cromolyn sodium cytotec imodium motilium nexium nexium fast pecpid ac pepci complete prevacid prilosec propulsid protonix reglan stugil tagamet zantac zelnorm zofran propecia, proscar famvir rebetol valtrex zovirax combivir duovir-n epivir pyrazinamide retrovir sustiva triomune videx viramune zerit ziagen aldactone calciferol danocrine decadron prednisone provera, cycrin synthroid avodart cialis flomax hytrin levitra propecia, proscar viagra lioresal soma tizanidine ibuprofen zanaflex accupril alpha-lipoic acid amantadine aralen arcalion aricept ascorbic acid benadryl bentyl betahistine calciferol carbimazole compazine cyklokapron ddavp, stimate detrol dihydroergotoxine ditropan dramamine exelon florinef imitrex imuran isoniazid lasix melatonin myambutol nimotop orap persantine piracetam pletal quinine rifampin rifater rocaltrol sandimmune strattera ticlid tiotropium urecholine urispas urso vermox zyloprim acetylsalicylic acid advil, medipren celebrex flunarizine imitrex ketorolac maxalt ponstel tylenol ultram benadryl ditropan eldepryl requip sinemet trivastal advil, medipren arava colchicine decadron feldene indocin sr mobic naprelan naprosyn zyloprim betamethasone differin meticorten nizoral oxsoralen prograf retin-a xenical advil, medipren allyloestrenol clomid, serophene depo-provera diflucan drospirenone ethinyl estradiol evista folic acid fosamax isoflavone levonorgestrel lunelle nexium parlodel ponstel prevacid prilosec progesterone provera, cycrin rocaltrol tibolone generic glucophage generic name: metformin ; qty. Medications Your doctor may prescribe medication to reduce acid. These include Zantac, Pepcid, Axid, Prevacid, Prilosec, Aciphex, Protonix, and Nexium. These medications reduce exposing the esophagus to acid, thereby eliminating or reducing symptoms of heartburn and regurgitation. However, no scientific evidence suggests that taking these medications will prevent the development of esophageal dysplasia or cancer. Fundoplication Surgery and prevacid and pepcid.

Researchers are hopeful that a protein that is critical in prenatal heart development will prove effective in preventing damage caused by heart attacks. Thymosin beta4 RegeneRx Biopharmaceuticals ; , when given to mice that were induced to have heart attacks, protected heart muscle cells from dying and was associated with improved heart function. After several weeks, the proteintreated mice had less muscle damage and stronger hearts than mice that were given saline solution. Sources: Nature 2004; 432: 466472; The Wall Street Journal, November 26, 2004; medicalprogresstoday.

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