BRAND-TO-GENERIC- TO-BRAND - drreddys.com · is because we manage the entire value chain – from...

Section 1 .................................................2-6 Introduction

Section 2 ................................................7-14 Dr. Reddy’s Product Portfolio

Section 3 ............................................. 15-52 Generic Names To Brand Names

Section 4 ......................................... 53-90 Brand Names To Generic Names

Section 5 ..........................................91-110 Clinical Resources

Table Of Contents

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SEC 1

3

Introduction

SECTION ONE

1

Dear Healthcare Professional,

At Dr. Reddy’s North American Generics, we strive every day to do what matters most to patients –accelerating access to the affordable medicines they need, because Good Health Can't Wait. Each of us is driven by the urgency for good health and committed to providing you with the most affordable products at the best value every day.

The medicines we provide to patients and our customers are among the more than 1000 products listed in the Dr. Reddy’s Brand-to-Generic-to-Brand Conversion Guide. The complimentary pocket guide features an easy-to-use conversion guide and other clinical resources to assist you with conversions, calculations, assessments and more. It includes:

• Generic-to-Brand Conversion Guide An alphabetical listing of generic products, cross-referenced to the corresponding brand names

• Brand-to-Generic Conversion Guide An alphabetical listing of brand products, cross-referenced to the corresponding generic names

• Clinical Resource Section Resources such as charts on liver function assessment, equi-analgesic doses, and high-alert drugs

• Product Portfolio The complete Dr. Reddy’s product portfolio is presented in Section 2 of the guide. Throughout the guide, Dr. Reddy’s products are printed in color.

As the Brand-to-Generic-to-Brand Conversion Guide earns its place as a valuable tool in your clinical setting, know that all of us at Dr. Reddy’s take great pride in, and are committed to, providing you with important resources for the care of your patients.

Sincerely,

Dr. Reddy’s Laboratories, Inc.

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5

SEC 1

The need for good health continues to propel our business strategies at Dr. Reddy’s. We are in the business of facilitating good health – driven by a companywide imperative to accelerate access to affordable and innovative medicines to people who need them. With this conviction, we continue to invest in product development, acquisitions, and advances in research, processes, and technologies that help us deliver on our promise. We don’t see medicines as just molecules, but as tools that will help people get back to health and promote wellness among them.

As we look ahead, we’re committed to meet the needs of consumers by resolving challenges. Our goal is to make good health possible.

Important NoticeThe Brand-to-Generic-to-Brand Conversion Guide has been produced to provide an easy-to-use reference source of generic names, brand names, and other selected drug information. While the Brand-to-Generic-to-Brand Conversion Guide is an extensive list, it is not a complete list of all the generic and brand-name drugs currently available.

The Brand-to-Generic-to-Brand Conversion Guide should not be relied upon in making generic substitution determinations. It is the healthcare professional’s responsibility to consult and follow all applicable federal and state laws and regulations when prescribing or dispensing pharmaceuticals and, as always, the full prescribing information should be consulted. In reaching a professional judgment, healthcare professionals should thoroughly understand the options available for any clinical application, the potential effectiveness of each product, the associated risks and side effects, and possible interactions. This knowledge should be considered in light of the special circumstances of the patient, for each patient is unique.

Good Health Can't Wait. Access to many of today’s expensive, life-changing medicines remains a hurdle for countless Americans. Helping overcome these barriers to good health and wellness is what drives each and every one of us who work at Dr. Reddy’s North American Generics.

Each day, we strive to do what matters most to patients, determined to find the best way to answer their unmet and under-met needs innovatively and with agility.

Our 5 promises: • We bring expensive medicine within reach • We address unmet patient needs • We help patients manage disease better• We enable partners to ensure our medicines are

available where needed• We work with partners to help them succeed

Uncovering new opportunities for good health has helped us build one of the most expansive offerings in the industry and bring value to the pharmacy and its customers.

Dr. Reddy’s products span across major therapeutic categories including gastrointestinal, cardiovascular, pain management, oncology, anti-infectives, pediatrics, and dermatology. More than 80 prescription products are marketed under the Dr. Reddy’s label in over 350 dosing presentations, supported by an aggressive product pipeline.

One reason that we’re able to make our medicines affordable is because we manage the entire value chain – from producing the active ingredients to developing formulations to distributing them through our streamlined supply chain.

Dr. Reddy’s manufacturing facilities follow cGMP guidelines in the production of API’s and finished dosage forms. Five finished dosage facilities and 8 API facilities currently serve North American Generics. The strategic benefits of vertical integration help ensure that Dr. Reddy’s products are delivered on time.

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Important Notice – cont'dDr. Reddy’s Laboratories, Inc. does not assume and hereby expressly disclaims any liability whatsoever for any errors or omissions in such information or for any of the products listed.

All brand names listed in the “BRAND” columns are trademarks and are the property of their respective owners. To request additional copies, please contact Customer Service at:

CUSTOMER SERVICE

TELEPHONE1-866-733-3952

CUSTOMER SERVICE FAX

1-866-733-3939

MEDICAL INFORMATIONReport Adverse

Events/Side Effects Report Product Complaints

Submit Medical Inquiries

CONTACT US:By Phone:

1-888-375-3784 (1-888-DRL-DRUG)

By Email: [email protected]

2Dr. Reddy’s

Product Portfolio

SECTION TWO

Dr. Reddy’s Generic Brand Dr. Reddy’s Generic Brand

Purple text indicates product is available from Dr. Reddy’s Purple text indicates product is available from Dr. Reddy’s8

SEC 2

9

SEC 2

AAllopurinol Tablets, USP Zyloprim®

Amlodipine Besylate and Atorvastatin Calcium Tablets Caduet®

Amlodipine Besylate and Benazepril Hydrochloride Capsules, USP Lotrel®

Aripiprazole Orally Disintegrating Tablets, USP Abilify® Discmelt

Aripiprazole Tablets, USP Abilify®

Aspirin/Extended-Release Dipyridamole Capsules Aggrenox®

Atomoxetine Capsules, USP Strattera®

Atorvastatin Calcium Tablets Lipitor®

Azacitidine for Injection Vidaza®

BBivalirudin for Injection Angiomax®

Buprenorphine and Naloxone Sublingual Film CIII Suboxone®

Bupropion Hydrochloride Extended-Release Tablets, USP (SR) Wellbutrin SR®

Bupropion Hydrochloride Extended-Release Tablets, USP (XL) Wellbutrin XL®

CCefixime Powder for Oral Suspension Suprax®

Chlorthalidone Tablets, USP Thalitone®

Ciprofloxacin Tablets, USP Cipro®

Clofarabine Injection for Intravenous Use Clolar®

Clopidogrel Bisulfate Tablets, USP Plavix®

Colesevelam Hydrochloride Tablets, USP Welchol®

DDecitabine for Injection Dacogen®

Desloratadine Orally Disintegrating Tablets

Clarinex® RediTabs®

Divalproex Sodium Delayed-Release Capsules, USP (Sprinkle)

Depakote® Sprinkle

CapsulesDivalproex Sodium Extended-Release Tablets, USP Depakote® ER

Docetaxel Injection, USP Taxotere®

Donepezil Hydrochloride Tablets Aricept®

DOXOrubicin Hydrocloride Liposome for Injection Doxil®

EEsomeprazole Magnesium Delayed-Release Capsules, USP

Nexium® Delayed-Release

Eszopiclone Tablets CIV Lunesta®

Ezetimibe and Simvastatin Tablets Vytorin®



SEC 2

11

SEC 2

FFinasteride Tablets, USP Propecia®

Finasteride Tablets, USP Proscar®

Fluconazole Tablets, USP Diflucan®

Fluoxetine Delayed-Release Capsules, USP Prozac® Weekly

Fluoxetine Tablets, USP Prozac®

Fondaparinux Sodium Injection Arixtra®

GGlimepiride Tablets, USP Amaryl®

HHydroxychloroquine Sulfate Tablets, USP Plaquenil®

IIbandronate Sodium Tablets Boniva®

IBU™ Ibuprofen Tablets, USP Motrin®

Imatinib Tablets, USP Gleevec®

LLamotrigine Extended-Release Tablets Lamictal® XR™

Lamotrigine Orally Disintegrating Tablets Lamictal ODT®

Lansoprazole Delayed-Release Capsules, USP Prevacid®

Levetiracetam in Sodium Chloride Solution for Injection Levetiracetam®

Levofloxacin Tablets Levaquin®

Levoleucovorin for Injection Fusilev®

MMelphalan Hydrochloride for Injection Alkeran®

Memantine Hydrochloride Tablets, USP Namenda®

Metaxalone Tablets, USP Skelaxin®

Methocarbamol Injection, USP Robaxin®

Metoprolol Succinate Extended-Release Tablets, USP Toprol-XL®

Minocycline Hydrochloride Tablets, USP Dynacin®

Montelukast Sodium Tablets Singulair®

Moxifloxacin Hydrochloride Tablets Avelox®

NNaproxen Sodium Tablets, USP Anaprox®

Naproxen Sodium Tablets, USP Anaprox DS®



SEC 2

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SEC 2

Nateglinide Tablets, USP Starlix®

Neostigmine Methylsulfate for Injection Bloxiverz®

Nitroglycerin Sublingual Tablets, USP Nitrostat®

OOlanzapine Orally Disintegrating Tablets Zyprexa® Zydis®

Olanzapine Tablets, USP Zyprexa®

Omeprazole and Sodium Bicarbonate Capsules Zegerid®

Omeprazole Delayed-Release Capsules, USP Prilosec®

Ondansetron Hydrochloride Tablets, USP Zofran®

Oxaprozin Tablets, USP Daypro®

PPalonosetron Hydrochloride for Injection Aloxi®

Pantoprazole Sodium Delayed-Release Tablets, USP Protonix®

Pramipexole Dihydrochloride Extended-Release Tablets Mirapex ER®

Pravastatin Sodium Tablets, USP Pravachol®

Progesterone Capsules Prometrium®

Propofol Injectable Emulsion, USP Diprivan®

RRaloxifene Hydrochloride Tablets, USP Evista®

Ranitidine Hydrochloride Capsules Zantac®

Rivastigmine Tartrate Capsules, USP Exelon®

Ropinirole Extended-Release Tablets Requip XL®

SSevelamer Carbonate Sachet for Oral Suspension

Renvela® for Oral Suspension

Sevelamer Carbonate Tablets Renvela®

Sirolimus Tablets Rapamune®

SSD™ (1% Silver Sulfadiazine Cream)

SSD™ (1% Silver Sulfadiazine

Cream)Sumatriptan Injection, USP, Autoinjector System

Imitrex STATdose Pen®

Sumatriptan Succinate Tablets, USP Imitrex®

TTacrolimus Capsules, USP Prograf®

Tetrabenazine Tablets, USP Xenazine®

Thiotepa for Injection Thioplex®

Tizanidine Tablets, USP Zanaflex®

Dr. Reddy’s Generic Brand


SEC 2

VValganciclovir Tablets, USP Valcyte®

ZZafirlukast Tablets Accolate®

Zenatane™ (Isotretinoin Capsules, USP) Accutane®

Ziprasidone Hydrochloride Capsules Geodon®

Zoledronic Acid Injection Reclast®

Zoledronic Acid Injection Zometa®

Generic-To-Brand Conversions

SECTION THREE

3

Generic Brand Generic Brand

16

SEC 3

17

SEC 3Purple text indicates product is available from Dr. Reddy’s Purple text indicates product is available from Dr. Reddy’s

AAbacavir ZiagenAbacavir Besylate, Lamivudine & Zidovudine Trizivir

Abacavir Sulfate & Lamivudine EpzicomAbatacept OrenciaAbiraterone Acetate ZytigaAcamprosate Calcium CampralAcarbose PrecoseAcebutolol SectralAcetazolamide Sodium Extended-Release

Diamox Sequels XR

Acetohydroxamic Acid LithostatAcetylcholine Chloride Miochol-EAcitretin SoriataneAclidinium Bromide Tudorza PressairAcrivastine & Pseudoephedrine Semprex-DAcyclovir ZoviraxAdalimumab HumiraAdapalene DifferinAdapalene & Benzoyl Peroxide EpiduoAdefovir Dipivoxil HepseraAdenosine Adenocard I.V.Ado-Trastuzumab Emtansine KadcylaAgalsidase Beta FabrazymeAlbendazole AlbenzaAlbuterol Sulfate Proventil HFAAlbuterol Sulfate Ventolin Albuterol Sulfate & Ipratropium Bromide Combivent

Alcaftadine LastacaftAldesleukin Proleukin

Alendronate Sodium FosamaxAlendronate Sodium & Colecalciferol (Vitamin D) Fosamax Plus D

Alfuzosin UroxatralAlglucosidase Alfa LumizymeAliskiren TekturnaAliskiren & Amlodipine Besylate TekamloAliskiren & HCTZ Tekturna HCTAliskiren & Valsartan ValturnaAliskiren, Amlodipine & HCTZ AmturnideAllopurinol ZyloprimAlmotriptan AxertAlogliptin Benzoate & Metformin KazanoAlogliptin Benzoate & Pioglitazone OseniAlosetron LotronexAlprazolam XanaxAlprazolam Extended-Release Xanax XRAlprostadil Caverject

Alprostadil Prostin VR Pediatric

Alteplase ActivaseAlteplase Cathflo ActivaseAltretamine HexalenAlvimopan EnteregAmbrisentan LetairisAmiodarone CordaroneAmlexanox AphthasolAmlodipine & Olmesartan AzorAmlodipine Besylate NorvascAmlodipine Besylate & Atorvastatin Calcium Caduet

Amlodipine Besylate & Benazepril Hydrochloride Lotrel


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Atovaquone MepronAtovaquone & Proguanil MalaroneAuranofin RidauraAxitinib InlytaAzacitidine VidazaAzathioprine ImuranAzelaic Acid AzelexAzelastine AsteproAzelastine AstelinAzelastine OptivarAzelastine & Fluticasone Propionate DymistaAzilsartan Kamedoxomil EdarbiAzilsartan Kamedoxomil & Chlorthalidone Edarbyclor

Azithromycin ZithromaxAzithromycin Extended-Release ZmaxAztreonam Azactam

BBalsalazide Sodium ColazalBecaplermin RegranexBeclomethasone Dipropionate Monohydrate Beconase AQ

Belimumab BenlystaBenazepril LotensinBenazepril & HCTZ Lotensin HCTBendamustine TreandaBenzonatate TessalonBenzphetamine Sodium DidrexBepotastine Besilate BepreveBesifloxacin BesivanceBetamethasone Celestone

Amlodipine Besylate & Telmisartan TwynstaAmlodipine Besylate, Olmesartan Medoxomil & HCTZ Tribenzor

Amoxicillin AmoxilAmoxicillin & Clavulanate Potassium AugmentinAmoxicillin & Clavulanate Potassium Extended-Release Augmentin XR

Amoxicillin & Clavulanate Potassium Suspension

Augmentin for Oral Suspension

Amoxicillin For Oral Suspension AmoxilAmoxicillin, Clarithromycin & Lansoprazole Prevpac

Ampicillin Sodium & Sulbactam Sodium Unasyn

Anagrelide AgrylinAnakinra KineretAnastrozole Arimidex Anidulafungin EraxisApixaban EliquisApraclonidine IopidineAprepitant EmendArformoterol Tartrate BrovanaAripiprazole Orally Disintegrating Abilify DiscmeltAripiprazole AbilifyArmodafinil NuvigilArtemether & Lumefantrine CoartemAsenapine Maleate SaphrisAspirin & Extended-Release Dipyridamole Aggrenox

Atazanavir Sulfate ReyatazAtenolol TenorminAtenolol & Chlorthalidone TenoreticAtomoxetine StratteraAtorvastatin Calcium Lipitor


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Betamethasone Dipropionate DiproleneBetamethasone Dipropionate & Calcipotriene Hydrate Taclonex

Betamethasone Dipropionate & Clotrimazole Lotrisone

Betaxolol Suspension Betoptic SBethanechol Chloride UrecholineBevacizumab AvastinBexarotene TargretinBicalutamide CasodexBimatoprost LatisseBimatoprost LumiganBisoprolol Fumarate & Hydrochlorothiazide Ziac

Bivalirudin AngiomaxBoceprevir VictrelisBortezomib VelcadeBosentan TracleerBosutinib Monohydrate BosulifBrimonidine Tartrate Alphagan PBrimonidine Tartrate & Brinzolamide Simbrinza

Brimonidine Tartrate & Timolol Maleate Combigan

Brinzolamide AzoptBromocriptine Mesylate ParlodelBudesonide Entocort ECBudesonide Rhinocort AquaBudesonide & Formoterol Fumarate Dihydrate Symbicort

Budesonide Powder Metered Dose

Pulmicort Flexhaler

Budesonide Suspension Metered Dose

Pulmicort Respules

Bupivacaine Marcaine

Bupivacaine & Marplan Epinephrine Bitartrate

Marcaine w/Epinephrine

Buprenorphine Buprenex

Buprenorphine & Naloxone CIII SuboxoneBupropion ZybanBupropion Hydrochloride Extended-Release Wellbutrin XL

Bupropion Hydrochloride Extended-Release (SR) Wellbutrin SR

Busulfan MyleranButabarbital Sodium Butisol SodiumButenafine Mentax

CCalcipotriene DovonexCalcitriol RocaltrolCanagliflozin InvokanaCandesartan Cilexetil AtacandCandesartan & HCTZ Atacand HCTCapecitabine XelodaCarbamazepine EquetroCarbamazepine TegretolCarbamazepine Extended-Release Tegretol-XRCarbidopa & Levodopa SinemetCarbidopa & Levodopa Extended-Release Sinemet CR

Carbidopa, Entacapone & Levodopa StalevoCarfilzomib KyprolisCarisoprodol SomaCarvedilol CoregCarvedilol Phosphate Extended-Release Coreg CR

Caspofungin Acetate CancidasCefazolin Ancef


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Cefditoren Pivoxil SpectracefCefepime MaxipimeCefixime SupraxCeftaroline Fosamil TeflaroCeftazidime FortazCeftibuten Dihydrate CedaxCeftriaxone Sodium RocephinCefuroxime Axetil CeftinCefuroxime Sodium ZinacefCelecoxib CelebrexCephalexin KeflexCertolizumab Pegol CimziaCetrorelix CetrotideCetuximab ErbituxCevimeline EvoxacChlorambucil LeukeranChlorthalidone ThalitoneChlorothiazide Sodium DiurilChlorzoxazone Parafon Forte DSCCholestyramine QuestranCholine Fenofibrate TrilipixCiclesonide AlvescoCiclesonide OmnarisCiclesonide ZetonnaCiclopirox LoproxCidofovir VistideCilastatin Sodium, Imipenem PrimaxinCilostazol PletalCinacalcet SensiparCiprofloxacin Cipro

Ciprofloxacin & Hydrocortisone Cipro HCCisatracurium NimbexCitalopram Hydrobromide CelexaClarithromycin Extended-Release Biaxin XLClavulanic Potassium & Ticarcillin Disodium Timentin

Clindamycin CleocinClobazam OnfiClobetasol Propionate TemovateClocortolone Pivalate 0.1% Cloderm, 0.1%Clofarabine ClolarClomipramine AnafranilClonazepam KlonopinClonidine CatapresClonidine Transdermal Patch Catapres TTSClopidogrel Bisulfate PlavixClorazepate Dipotassium TranxeneClozapine ClozarilColesevelam WelcholColestipol ColestidColistimethate Sodium Coly-Mycin M Colistin, Hydrocortisone, Neomycin, Thonzonium Suspension Coly-Mycin S

Cosyntropin CortrosynCrizotinib XalkoriCrofelemer FulyzaqCromolyn Sodium GastrocromCrotamiton EuraxCyclopentolate CyclogylCycloserine SeromycinCyclosporine Neoral


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Cyclosporine SandimmuneCystamine Bitartrate Cystagon

DDabigatran Etexilate Mesylate PradaxaDabrafenib Mesylate TafinlarDalfampridine AmpyraDalfopristin & Quinupristin SynercidDalteparin Sodium FragminDantrolene Sodium DantriumDaptomycin CubicinDarbepoetin Alfa AranespDarifenacin Hydrobromide EnablexDarunavir Ethanolate PrezistaDasatinib SprycelDecitabine DacogenDeferasirox ExjadeDeferoxamine Mesylate DesferalDegarelix Acetate FirmagonDelavirdine Mesylate RescriptorDenosumab ProliaDenosumab XgevaDesflurane SupraneDesloratadine ClarinexDesloratadine & Pseudoephedrine 12 Hour

Clarinex-D 12 Hour

Desloratadine & Pseudoephedrine 24 Hour

Clarinex-D 24 Hour

Desloratadine Orally Disintegrating Clarinex Reditabs

Desmopressin Acetate DDAVPDesogestrel & Ethinyl Estradiol Ortho-CeptDesoximetasone Topicort

Desvenlafaxine Succinate PristiqDexlansoprazole DexilantDexmedetomidine PrecedexDexmethylphenidate Extended-Release Focalin XR

Dextroamphetamine Sulfate DexedrineDextromethorphan Hydrobromide & Quinidine Sulfate Nuedexta

Diazepam ValiumDiazoxide ProglycemDiclofenac & Misoprostol ArthrotecDiclofenac Potassium CataflamDiclofenac Sodium VoltarenDiclofenac Sodium Extended-Release Voltaren-XRDicyclomine BentylDidanosine VidexDidanosine Videx ECDienogest & Estradiol Valerate Natazia Difenoxin & Atropine MotofenDifluprednate DurezolDigoxin LanoxinDiltiazem CardizemDiltiazem Extended-Release Dilacor XRDiltiazem Extended-Release Cardizem CDDiltiazem Extended-Release Cardizem LADimethyl Fumarate TecfideraDiphenoxylate & Atropine LomotilDipyridamole PersantineDisopyramide Phosphate NorpaceDisopyramide Phosphate Extended-Release Norpace CR

Disulfiram Antabuse


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Divalproex Sodium Delayed-Release (Sprinkle)

Depakote Sprinkles

Divalproex Sodium Delayed-Release DepakoteDivalproex Sodium Extended-Release Depakote ER

Docetaxel TaxotereDofetilide TikosynDolasetron AnzemetDonepezil Hydrochloride AriceptDoripenem DoribaxDorzolamide TrusoptDorzolamide & Timolol Maleate CosoptDoxapram DopramDoxazosin Extended-Release Cardura XLDoxazosin Mesylate CarduraDoxercalciferol HectorolDOXOrubicin Hydrochloride Liposome Doxil

Doxycycline VibramycinDronedarone MultaqDrospirenone & Ethinyl Estradiol YasminDrospirenone, Ethinyl Estradiol & Levomefolate Calcium Beyaz

Duloxetine CymbaltaDutasteride AvodartDutasteride & Tamsulosin JalynDyphylline Lufyllin

EEculizumab SolirisEfavirenz SustivaEfavirenz, Emtricitabine & Tenofovir Disoproxil Fumarate Atripla

Eletriptan Hydrobromide Relpax

Eltrombopag Olamine PromactaEmtricitabine EmtrivaEmtricitabine & Tenofovir Disoproxil Fumarate Truvada

Emtricitabine, Rilpivirine, Tenofovir & Disoproxil Fumarate Complera

Enalapril Maleate VasotecEnalapril Maleate & HCTZ VasereticEnfuvirtide FuzeonEnoxaparin Sodium LovenoxEntacapone ComtanEntecavir BaracludeEnzalutamide XtandiEpinastine ElestatEpirubicin EllenceEplerenone InspraEpoprostenol Sodium FlolanEprosartan TevetenEprosartan Mesylate & HCTZ Teveten HCTErgocalciferol DrisdolEribulin Mesylate HalavenErlotinib TarcevaErtapenem Sodium InvanzErythromycin Ery-TabErythromycin Ethylsuccinate E.E.S. Erythromycin Ethylsuccinate ErypedErythromycin Particle Coated PCEErythropoietin Alphax Epogen/ProcritEscitalopram Oxalate LexaproEsmolol BreviblocEsomeprazole Magnesium Delayed-Release

Nexium Delayed-Release


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Esomeprazole Magnesium & Naproxen Vimovo

Estradiol ClimaraEstradiol & Norethindrone Acetate CombiPatchEstradiol Acetate FemtraceEstradiol Acetate Vaginal Ring FemringEstradiol Cypionate Depo-EstradiolEstradiol Valerate DelestrogenEstramustine Phosphate Sodium EmcytEstrogens, Conjugated PremarinEstrogens, Conjugated & Medroxyprogesterone Acetate Premphase

Estrogens, Conjugated & Medroxyprogesterone Acetate Prempro

Eszopiclone CIV LunestaEtanercept EnbrelEthacrynic Acid EdecrinEthambutol MyambutolEthinyl Estradiol & Etonogestrel NuvaRingEthinyl Estradiol & Norelgestromin Patch Ortho Evra

Ethinyl Estradiol & Norgestimate Ortho Tri-Cyclen

Ethinyl Estradiol & Norgestimate Ortho Tri-Cyclen Lo

Ethinyl Estradiol & Norgestrel Lo/Ovral-28Ethinyl Estradiol, Norethindrone Acetate & Ferrous Fumarate Loestrin-Fe

Ethionamide TrecatorEthosuximide ZarontinEthotoin PeganoneEtomidate AmidateEtonogestrel ImplanonEtonogestrel Nexplanon

Etravirine IntelenceEverolimus AfinitorEverolimus ZortressExemestane AromasinExenatide Synthetic ByettaExenatide Synthetic XR Suspension BydureonEzetimibe ZetiaEzetimibe & Simvastatin Vytorin

FFamciclovir FamvirFamotidine PepcidFebuxostat UloricFelbamate FelbatolFenofibrate AntaraFenofibrate TricorFenoldopam Mesylate CorlopamFenoprofen Calcium NalfonFentanyl DuragesicFentanyl Citrate SublimazeFesoterodine Fumarate ToviazFidaxomicin DificidFilgrastim NeupogenFinasteride PropeciaFinasteride ProscarFingolimod GilenyaFlecainide Acetate TambocorFluconazole DiflucanFlucytosine AncobonFluocinolone Acetonide SynalarFluorometholone FML Forte


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Fluorouracil EfudexFluoxetine ProzacFluoxetine SarafemFluoxetine & Olanzapine SymbyaxFluoxetine Delayed-Release Prozac WeeklyFlurandrenolide Cordran SPFlurandrenolide CordranFlurandrenolide Cordran TapeFluticasone Furoate VeramystFluticasone Propionate CutivateFluticasone Propionate MDI Flovent HFAFluticasone Propionate FlonaseFluticasone Proprionate & Salmeterol Xinafoate Advair

Fluvastatin Sodium LescolFluvastatin Sodium Extended-Release Lescol XLFondaparinux Sodium ArixtraFormoterol Fumarate ForadilFosamprenavir Calcium LexivaFoscarnet Sodium FoscavirFosfomycin Tromethamine MonurolFrovatriptan Succinate FrovaFulvestrant FaslodexFurosemide Lasix

GGabapentin NeurontinGabapentin Enacarbil HorizantGadobenate Dimeglumine MultihanceGadodiamide OmniscanGadopentetate Dimeglumine Magnevist

Gadoteridol ProHanceGadoversetamide OptimarkGalantamine Hydrobromide RazadyneGalantamine Hydrobromide Extended-Release Razadyne ER

Galsulfase NaglazymeGanciclovir Sodium CytoveneGatifloxacin ZymarGemcitibine GemzarGemfibrozil LopidGemifloxacin Mesylate FactiveGlatiramer Acetate CopaxoneGlimepiride AmarylGlipizide Extended-Release Glucotrol XLGlyburide DiabetaGlyburide & Metformin GlucovanceGlycopyrrolate CuvposaGlycopyrrolate RobinulGolimumab SimponiGoserelin Acetate Zoladex

HHalcinonide HalogHalobetasol Propionate UltravateHaloperidol HaldolHexachlorophene PhisohexHydrocortisone CortefHydrocortisone Sodium Succinate Solu-CortefHydroxychloroquine Sulfate PlaquenilHydroxyurea HydreaHydroxyzine Vistaril


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IIbandronate Sodium BonivaIbuprofen AdvilIBU Ibuprofen MotrinIbutilide Fumarate CorvertIcosapent Ethyl VascepaIdarubicin IdamycinIloperidone FanaptIloprost VentavisImatinib GleevecImiglucerase CerezymeImipramine TofranilImiquimod ZyclaraImmune Globulin CytogamIndacaterol Arcapta NeohalerIndinavir Sulfate CrixivanIndomethacin IndocinInfliximab RemicadeIngenol Mebutate PicatoInsulin Aspart Recombinant NovologInsulin Aspart Recombinant+Insulin Aspart Protamine Recombinant

Novolog Mix 70/30

Insulin Detemir Recombinant LevemirInsulin Glargine Recombinant LantusInsulin Glulisine ApidraInsulin Lispro Protamine Recombinant & Insulin Lispro Recombinant

Humalog Mix 50/50

Insulin Lispro Recombinant HumalogInsulin Lispro Recombinant Humalog PenInsulin Lispro Recombinant & Insulin Lispro Protamine Recombinant

Humalog Mix 75/25

Insulin Lispro Recombinant & Insulin Lispro Protamine Recombinant

Humalog Mix 75/25 Pen

Insulin Recombinant Human Humulin RInsulin Recombinant Human Novolin RInsulin Recombinant Human & Insulin Suspension Isophane Recombinant Human

Humulin 70/30

Insulin Recombinant Human, Insulin Suspension Isophane Recombinant Human

Novolin 70/30

Insulin Suspension Isophane Recombinant Human Novolin N

Insulin Suspension Isophane Recombinant Human Humulin N

Interferon Alfa-2B Intron-AInterferon Beta-1A AvonexInterferon Beta-1B BetaseronIodixanol VisipaqueIohexol OmnipaqueIopamidol IsovueIopromide UltravistIothalamic Sodium Conray Ipilimumab YervoyIpratropium Bromide AtroventIrbesartan AvaproIrbesartan & HCTZ AvalideIrinotecan CamptosarIron Sucrose VenoferIsoflurane ForaneIsoniazid & Rifampin RifamateIsosorbide Dinitrate IsordilIsotretinoin Accutane

Isotretinoin Zenatane (isotretinoin)


34

SEC 3

35


Isradipine Extended-Release Dynacirc CRItraconazole SporanoxIvacaftor KalydecoIvermectin StromectolIxabepilone Ixempra Kit

KKetamine KetalarKetoconazole Nizoral

LLacosamide VimpatLamivudine EpivirLamivudine & Zidovudine CombivirLamotrigine Chewable Lamictal CDLamotrigine Extended-Release Lamictal XRLamotrigine LamictalLamotrigine Orally Disintegrating Lamictal ODT

Lansoprazole Delayed-Release PrevacidLanthanum Carbonate FosrenolLapatinib Ditosylate TykerbLaronidase AldurazymeLatanoprost XalatanLenalidomide RevlimidLetrozole FemaraLeuprolide Acetate Lupron DepotLevalbuterol XopenexLevalbuterol MDI Xopenex HFALevetiracetam KeppraLevetiracetam in Sodium Chloride Solution Levetiracetam

Levobunolol Betagan

Levocarnitine CarnitorLevocarnitine Sugar-Free Carnitor SFLevocetirizine Dihydrochloride XyzalLevofloxacin LevaquinLevoleucovorin FusilevLevonorgestrel Plan B One StepLevonorgestrel & Ethinyl Estradiol NordetteLevothyroxine Sodium SynthroidLidocaine XylocaineLinaclotide LinzessLinagliptin TradjentaLinagliptin & Metformin JentaduetoLincomycin LincocinLinezolid ZyvoxLiothyronine Sodium CytomelLiraglutide Recombinant VictozaLisdexamfetamine Dimesylate VyvanseLisinopril PrinivilLisinopril ZestrilLisinopril & HCTZ ZestoreticLithium Carbonate LithobidLodoxamide AlomideLomustine CeenuLopinavir & Ritonavir KaletraLoratadine Claritin ReditabsLoratadine & Pseudoephedrine 12 Hour Claritin-D 12 Hour

Lorazepam AtivanLorcaserin Belviq Losartan CozaarLosartan & HCTZ Hyzaar


36

SEC 3

37


Loteprednol Etabonate AlrexLoteprednol Etabonate LotemaxLoteprednol Etabonate & Tobramycin ZyletLovastatin MevacorLovastatin & Niacin AdvicorLoxapine Succinate LoxitaneLubiprostone Amitiza

Lurasidone LatudaMMagnesium Hydroxide, Omeprazole & Sodium Bicarbonate Zegerid

Maraviroc SelzentryMecasermin Recombinant IncrelexMedroxyprogesterone Depo-ProveraMedroxyprogesterone Acetate ProveraMedroxyprogesterone Subcutaneous

Depo-SubQ Provera

Mefenamic Acid PonstelMegestrol Acetate Megace ESMeloxicam MobicMelphalan Hydrochloride AlkeranMemantine Hydrochloride NamendaMemantine Extended-Release Namenda XRMepenzolate Bromide CantilMeperidine DemerolMepivacaine Carbocaine

Meprobamate CIV MiltownMercaptopurine PurinetholMeropenem Merrem IVMesalamine SF RowasaMesna Mesnex

Metaxalone SkelaxinMetformin GlucophageMethamphetamine DesoxynMethazolamide NeptazaneMethenamine Hippurate HiprexMethimazole TapazoleMethocarbamol RobaxinMethohexital Sodium Brevital SodiumMethoxsalen Oxsoralen UltraMethsuximide CelontinMethylergonovine Maleate MethergineMethylnaltrexone Bromide RelistorMethylphenidate RitalinMethylphenidate Extended-Release Ritalin LA

Methylphenidate Extended-Release Ritalin-SR

Methylprednisolone Depo-MedrolMethylprednisolone MedrolMethylprednisolone Sodium Succinate Solu-Medrol

Metolazone ZaroxolynMetoprolol Succinate & HCTZ DutoprolMetoprolol Succinate Extended-Release Toprol-XL

Metoprolol Tartrate LopressorMetoprolol Tartrate & HCTZ Lopressor HCTMetronidazole Flagyl ERMetyrosine DemserMicafungin Sodium MycamineMiconazole Nitrate Monistat 3Miglitol Glyset


38

SEC 3

39


Miglustat ZavescaMilnacipran SavellaMinocycline Hydrochloride DynacinMinocycline MinocinMirabegron MyrbetriqMirtazapine RemeronMirtazapine Orally Disintegrating Remeron Soltab

Misoprostol CytotecMitotane LysodrenModafinil ProvigilMoexipril UnivascMoexipril & HCTZ UnireticMometasone Furoate EloconMometasone Furoate AsmanexMometasone Furoate & Formoterol Fumarate Dihydrate Dulera

Mometasone Furoate Monohydrate NasonexMontelukast Sodium Singulair

Montelukast Sodium Chewable Singulair Chewable

Montelukast Sodium Oral Granules Singulair Oral Granules

Moxifloxacin Hydrochloride AveloxMupirocin Calcium BactrobanMycophenolate Mofetil CellCeptMycophenolic Acid Myfortic

NNabilone CesametNadolol CorgardNadolol & Bendroflumethiazide CorzideNaftifine NaftinNaproxen Naprosyn

Naproxen Sodium Anaprox Naproxen Sodium Anaprox DS Naproxen Sodium Enteric Coated EC-NaprosynNaratriptan AmergeNatalizumab TysabriNatamycin NatacynNateglinide StarlixNebivolol BystolicNedocromil AlocrilNelfinavir Mesylate ViraceptNeostigmine Methysulfate BloxiverzNepafenac IlevroNepafenac NevanacNevirapine ViramuneNevirapine Extended-Release Viramune XRNicardipine CardeneNicardipine Extended-Release Cardene SRNifedipine ProcardiaNifedipine Extended-Release Adalat CCNifedipine Extended-Release Procardia XLNilotinib TasignaNilutamide NilandronNimodipine NymalizeNisoldipine SularNitazoxanide AliniaNitrofurantoin FuradantinNitrofurantoin, Macrocrystalline MacrobidNitrofurantoin, Macrocrystalline MacrodantinNitroglycerin Sublingual NitrostatNizatidine Axid


40

SEC 3

41


Norethindrone Ortho MicronorNorethindrone & Ethinyl Estradiol ModiconNorethindrone & Ethinyl Estradiol Ortho-Novum 1/35

Norethindrone & Ethinyl Estradiol Ortho-Novum 7/7/7

Norethindrone Acetate & Ethinyl Estradiol Loestrin

Norethindrone Acetate, Ethinyl Estradiol & Ferrous Fumarate Lo Loestrin Fe

Norfloxacin NoroxinNorgestimate & Estradiol PrefestNorgestimate & Ethinyl Estradiol Ortho-CyclenNortriptyline Pamelor

Nystatin & Triamcinolone Acetonide

Nystatin & Triamcinolone

AcetonideOOctreotide Acetate SandostatinOfatumumab ArzerraOlanzapine ZyprexaOlanzapine Orally Disintegrating Zyprexa Zydis

Olmesartan Medoxomil BenicarOlmesartan Medoxomil & HCTZ Benicar HCTOlopatadine Nasal Spray PatanaseOlopatadine Ophthalmic Solution PatadayOlopatadine Ophthalmic Solution PatanolOlsalazine Sodium DipentumOmalizumab XolairOmeprazole & Sodium Bicarbonate ZegeridOmeprazole Delayed-Release PrilosecOndansetron Hydrochloride ZofranOrlistat XenicalOseltamavir Phosphate Tamiflu

Ospemifene OsphenaOxaliplatin EloxatinOxandrolone OxandrinOxaprozin DayproOxcarbazepine TrileptalOxiconazole Nitrate OxistatOxybutynin Extended-Release Ditropan XLOxycodone & Acetaminophen PercocetOxycodone & Aspirin PercodanOxycodone Extended-Release OxycontinOxymetholone Anadrol-50Oxymorphone OpanaOxymorphone Extended-Release Opana EROxytocin Pitocin

PPaclitaxel AbraxanePaliperidone InvegaPalivizumab SynagisPalonosetron Hydrochloride AloxiPanitumumab VectibixPantoprazole Sodium Delayed-Release Protonix

Paricalcitol ZemplarParoxetine PaxilParoxetine Extended-Release Paxil CRPazopanib VotrientPegaspargase OncasparPegfilgrastim NeulastaPeginterferon Alfa-2A PegasysPegvisomant SomavertPemetrexed Alimta


42

SEC 3

43


Penbutolol Sulfate LevatolPenciclovir Sodium DenavirPenicillin G Benzathine Bicillin L-APenicillin G Benzathine & Penicillin G Procaine Bicillin C-R

Pentamidine Isethionate Pentam-300Pentazocine Lactate TalwinPentosan Polysulfate Sodium ElmironPerindopril AceonPertuzumab PerjetaPhenelzine Sulfate NardilPhenoxybenzamine DibenzylinePhenytoin Sodium DilantinPhytonadione MephytonPimecrolimus ElidelPimozide OrapPioglitazone ActosPioglitazone & Glimepiride DuetactPioglitazone & Metformin Actoplus MetPioglitazone & Metformin, Extended-Release Actoplus Met XR

Piperacillin Sodium & Tazobactam Sodium Zosyn

Pirbuterol Acetate Maxair AutohalerPiroxicam FeldenePitavastatin Calcium LivaloPodofilox Condylox

Polyethylene Glycol 3350, Potassium Chloride, Sodium Bicarbonate, Sodium Chloride & Sodium Sulfate Anhydrous

Colyte with Flavor Packs

Pomalidomide PomalystPonatinib Iclusig

Posaconazole NoxafilPramipexole Dihydrochloride MirapexPramipexole Dihydrochloride Extended-Release Mirapex ER

Pramlintide Acetate SymlinPrasugrel EffientPravastatin Sodium PravacholPraziquantel BiltricidePrazosin MinipressPrednicarbate Dermatop EmollientPregabalin LyricaPrilocaine CitanestPrimidone MysolineProgesterone CrinoneProgesterone PrometriumPromethazine PhenerganPropafenone RythmolPropafenone Extended-Release Rythmol SRPropofol DiprivanPropranolol Extended-Release Inderal LAProtriptyline VivactilPyridostigmine Bromide MestinonPyrimethamine Daraprim

QQuazepam DoralQuetiapine Fumarate SeroquelQuetiapine Fumarate Extended-Release Seroquel XR

Quinapril AccuprilQuinapril & HCTZ Accuretic


44

SEC 3

45


RRabeprazole Sodium AciphexRaloxifene Hydrochloride EvistaRaltegravir Potassium IsentressRamelteon RozeremRamipril AltaceRanibizumab LucentisRanitidine Hydrochloride Zantac Ranolazine RanexaRasagiline AzilectRasburicase ElitekRegadenoson LexiscanRegorafenib StivargaRemifentanil UltivaRepaglinide PrandinRepaglinide & Metformin PrandiMetRetapamulin AltabaxRetigabine PotigaRibavirin RebetolRifabutin MycobutinRifampin RifadinRifapentine PriftinRifaximin XifaxanRilpivirine EdurantRiluzole RilutekRimeloxone VexolRisedronate Sodium ActonelRisperidone Orally Disintegrating Risperdal M-Tab

Ritonavir NorvirRituximab Rituxan

Rivaroxaban XareltoRivastigmine Tartrate ExelonRizatriptan MaxaltRizatriptan Orally Disintegrating Maxalt-MLT

Rocuronium Bromide ZemuronRoflumilast DalirespRomiplostim NPlateRopinirole RequipRopinirole Extended-Release Requip XLRopivacaine NaropinRosiglitazone AvandiaRosiglitazone & Glimepiride AvandarylRosiglitazone & Metformin AvandametRosuvastatin CrestorRotigotine NeuproRufinamide BanzelRuxolitinib Phosphate Jakafi

SSalmeterol Xinafoate Metered Dose Serevent Diskus

Sapropterin Dihydrochloride KuvanSaquinavir Mesylate InviraseSargramostim LeukineSaxagliptin OnglyzaSaxagliptin & Metformin Extended-Release Kombiglyze XR

Scopolamine Transderm ScopSelegiline EmsamSelegiline EldeprylSertaconazole Nitrate ErtaczoSertraline Zoloft


46

SEC 3

47


Sevelamer RenagelSevelamer Carbonate Sachet for Oral Suspension

Renvela for Oral Suspension

Sevelamer Carbonate RenvelaSevoflurane UltaneSibutramine MeridiaSildenafil RevatioSildenafil Citrate ViagraSilodosin RapafloSilver Sulfadiazine SilvadeneSimvastatin ZocorSimvastatin & Sitagliptin JuvisyncSincalide KinevacSirolimus RapamuneSitagliptin Januvia Sitagliptin & Metformin JanumetSodium Phenylbutyrate BuphenylSodium Polystyrene Sulfonate Kayexalate

Solifenacin Succinate VesicareSorafenib Tosylate NexavarSotalol HCL BetapaceSpinosad NatrobaSpironolactone AldactoneSpironolactone & HCTZ AldactazideSSD 1% Silver Sulfadiazine

SSD 1% Silver Sulfadiazine

Stavudine ZeritSuccimer ChemetSucralfate CarafateSulconazole Nitrate ExeldermSulfamethoxazole & Trimethoprim (SMZ/TMP) Bactrim

Sulfasalazine Azulfidine

Sulfasalazine Delayed-Release Azulfidine En-Tabs

Sumatriptan, Autoinjection System

Imitrex STATdose Pen

Sumatriptan Succinate ImitrexSumatriptan Succinate & Naproxen Sodium Treximet

Sunitinib Malate Sutent

TTacrolimus PrografTacrolimus ProtopicTadalafil AdcircaTadalafil CialisTafluprost ZioptanTamsulosin FlomaxTapentadol NucyntaTapentadol Extended-Release Nucynta ERTazarotene AvageTazarotene TazoracTelaprevir IncivekTelbivudine TyzekaTelithromycin KetekTelmisartan MicardisTelmisartan & HCTZ Micardis HCTTemazepam RestorilTemozolomide TemodarTemsirolimus ToriselTenofovir Disoproxil Fumarate VireadTerbinafine LamisilTerconazole Terazol 3Terconazole Terazol 7


48

SEC 3

49


Teriflunomide AubagioTeriparatide Recombinant Human ForteoTesamorelin Acetate Egrifta

Testosterone Cypionate Depo-Testosterone

Tetrabenazine XenazineTheophylline ElixophyllinThiotepa ThioplexTiagabine GabitrilTicagrelor BrilintaTigecycline TygacilTimolol BetimolTimolol TimopticTimolol Extended-Release Timoptic-XETinidazole TindamaxTiopronin ThiolaTiotropium Bromide Monohydrate SpirivaTipranavir AptivusTizanidine ZanaflexTobramycin MDI Tobi PodhalerTocilizumab ActemraTofacitinib Citrate XeljanzTolcapone TasmarTolterodine Tartrate DetrolTolterodine Tartrate Extended-Release Detrol LA

Tolvaptan SamscaTopiramate TopamaxTopotecan HycamtinToremifene Citrate FarestonTorsemide DemadexTramadol Ultram

Tramadol & Acetaminophen UltracetTrandolapril MavikTrandolapril & Verapamil TarkaTranexamic Acid CyklokapronTranylcypromine Sulfate ParnateTrastuzumab HerceptinTravoprost Travatan ZTreprostinil RemodulinTreprostinil Sodium TyvasoTretinoin Retin-ATretinoin Retin-A MicroTriamcinolone Hexacetonide AristospanTriamterene DyreniumTriamterene & HCTZ DyazideTriazolam HalcionTrientine SyprineTrimethobenzamide TiganTrimipramine SurmontilTriptorelin Pamoate TrelstarTropicamide MydriacylTrospium Chloride SancturaTrospium Chloride Extended-Release Sanctura XR

UUlipristal Acetate EllaUrsodiol ActigallUstekinumab Stelara

VValacyclovir ValtrexValganciclovir ValcyteValproic Acid Depakene


50

SEC 3

51


Valproic Sodium DepaconValsartan DiovanValsartan & Amlodipine Besylate ExforgeValsartan & HCTZ Diovan HCTValsartan, Amlodipine Besylate & HCTZ Exforge HCT

Vancomycin VancocinVardenafil LevitraVardenafil StaxynVarenicline Tartrate ChantixVemurafenib ZelborafVenlafaxine EffexorVenlafaxine Extended-Release Effexor XRVerapamil CalanVerapamil Extended-Release Calan SRVigabatrin SabrilVilazodone ViibrydVinorelbine Tartrate NavelbineVismodegib ErivedgeVoriconazole VfendVoriconazole Vfend IVVorinostat Zolinza

WWarfarin Coumadin

ZZafirlukast AccolateZaleplon SonataZanamivir RelenzaZenatane (isotretinoin) AccutaneZiconotide Prialt

Zidovudine RetrovirZileuton ZyfloZileuton Extended-Release Zyflo CRZiprasidone Hydrochloride GeodonZiv-Aflibercept ZaltrapZoledronic Acid ReclastZoledronic Acid ZometaZolmitriptan ZomigZolpidem Tartrate AmbienZolpidem Tartrate Extended-Release Ambien CRZonisamide Zonegran

Brand-To-Generic Conversions

SECTION FOUR

4

Notes

54

SEC 4

55

SEC 4

Brand Generic Brand Generic

Purple text indicates product is available from Dr. Reddy’s Purple text indicates product is available from Dr. Reddy’s

AAbilify AripiprazoleAbilify Discmelt Aripiprazole Orally DisintegratingAbraxane PaclitaxelAccolate ZafirlukastAccupril Quinapril Accuretic Quinapril & HCTZAccutane IsotretinoinAccutane Zenatane (isotretinoin)Aceon Perindopril Aciphex Rabeprazole SodiumActemra TocilizumabActigall UrsodiolActivase AlteplaseActonel Risedronate SodiumActoplus Met Pioglitazone & Metformin

Actoplus Met XR Pioglitazone & Metformin, Extended-Release

Actos Pioglitazone Adalat CC Nifedipine Extended-ReleaseAdcirca TadalafilAdenocard I.V. Adenosine

Advair Fluticasone Proprionate & Salmeterol Xinafoate

Advicor Lovastatin & NiacinAdvil IbuprofenAfinitor Everolimus

Aggrenox Aspirin & Extended-Release Dipyridamole

Agrylin Anagrelide Albenza AlbendazoleAldactazide Spironolactone & HCTZ

Aldactone SpironolactoneAldurazyme LaronidaseAlimta Pemetrexed Alinia NitazoxanideAlkeran Melphalan HydrochlorideAlocril Nedocromil Alomide Lodoxamide Aloxi Palonosetron HydrochlorideAlphagan P Brimonidine TartrateAlrex Loteprednol EtabonateAltabax RetapamulinAltace RamiprilAlvesco CiclesonideAmaryl GlimepirideAmbien Zolpidem Tartrate

Ambien CR Zolpidem Tartrate Extended-Release

Amerge Naratriptan Amidate EtomidateAmitiza LubiprostoneAmoxil AmoxicillinAmoxil Amoxicillin For Oral SuspensionAmpyra DalfampridineAmturnide Aliskiren, Amlodipine & HCTZAnadrol-50 OxymetholoneAnafranil ClomipramineAnaprox Naproxen SodiumAnaprox DS Naproxen SodiumAncef Cefazolin Ancobon FlucytosineAngiomax Bivalirudin

56

SEC 4

57

SEC 4



Antabuse DisulfiramAntara FenofibrateAnzemet Dolasetron Aphthasol AmlexanoxApidra Insulin GlulisineAptivus TipranavirAranesp Darbepoetin AlfaArcapta Neohaler Indacaterol Aricept Donepezil HydrochlorideArimidex AnastrozoleAristospan Triamcinolone HexacetonideArixtra Fondaparinux SodiumAromasin ExemestaneArthrotec Diclofenac & MisoprostolArzerra OfatumumabAsmanex Mometasone Furoate Astelin Azelastine Astepro Azelastine Atacand Candesartan CilexetilAtacand HCT Candesartan & HCTZAtivan Lorazepam

Atripla Efavirenz, Emtricitabine & Tenofovir Disoproxil Fumarate

Atrovent Ipratropium BromideAubagio Teriflunomide

Augmentin Amoxicillin & Clavulanate Potassium

Augmentin for Oral Suspension

Amoxicillin & Clavulanate Potassium Suspension

Augmentin XR Amoxicillin & Clavulanate Potassium Extended-Release

Avage TazaroteneAvalide Irbesartan & HCTZ

Avandamet Rosiglitazone & MetforminAvandaryl Rosiglitazone & GlimepirideAvandia Rosiglitazone Avapro IrbesartanAvastin BevacizumabAvelox Moxifloxacin HydrochlorideAvodart DutasterideAvonex Interferon Beta-1AAxert Almotriptan Axid NizatidineAzactam AztreonamAzelex Azelaic AcidAzilect Rasagiline Azopt BrinzolamideAzor Amlodipine & Olmesartan Azulfidine SulfasalazineAzulfidine En-Tabs Sulfasalazine Delayed-Release

B

Bactrim Sulfamethoxazole & Trimethoprim (SMZ/TMP)

Bactroban Mupirocin CalciumBanzel RufinamideBaraclude Entecavir

Beconase AQ Beclomethasone Dipropionate Monohydrate

Belviq Lorcaserin Benicar Olmesartan MedoxomilBenicar HCT Olmesartan Medoxomil & HCTZBenlysta BelimumabBentyl Dicyclomine Bepreve Bepotastine Besilate

58

SEC 4

59

SEC 4



Besivance Besifloxacin Betagan LevobunololBetapace Sotalol HCLBetaseron Interferon Beta-1BBetimol TimololBetoptic S Betaxolol Suspension

Beyaz Drospirenone, Ethinyl Estradiol & Levomefolate Calcium

Biaxin XL Clarithromycin Extended-Release

Bicillin C-R Penicillin G Benzathine & Penicillin G Procaine

Bicillin L-A Penicillin G BenzathineBiltricide PraziquantelBloxiverz Neostigmine MethysulfateBoniva Ibandronate SodiumBosulif Bosutinib MonohydrateBrevibloc Esmolol Brevital Sodium Methohexital SodiumBrilinta TicagrelorBrovana Arformoterol TartrateBuphenyl Sodium PhenylbutyrateBuprenex Buprenorphine Butisol Sodium Butabarbital SodiumBydureon Exenatide Synthetic XR SuspensionByetta Exenatide SyntheticBystolic Nebivolol

C

Caduet Amlodipine Besylate & Atorvastatin Calcium

Calan Verapamil Calan SR Verapamil Extended-Release

Campral Acamprosate CalciumCamptosar Irinotecan Cancidas Caspofungin AcetateCantil Mepenzolate BromideCarafate SucralfateCarbocaine MepivacaineCardene NicardipineCardene SR Nicardipine Extended-ReleaseCardizem Diltiazem Cardizem CD Diltiazem Extended-ReleaseCardizem LA Diltiazem Extended-ReleaseCardura Doxazosin MesylateCardura XL Doxazosin Extended-ReleaseCarnitor LevocarnitineCarnitor SF Levocarnitine Sugar-FreeCasodex BicalutamideCataflam Diclofenac PotassiumCatapres Clonidine Catapres TTS Clonidine Transdermal PatchCathflo Activase AlteplaseCaverject AlprostadilCedax Ceftibuten DihydrateCeenu LomustineCeftin Cefuroxime AxetilCelebrex CelecoxibCelestone BetamethasoneCelexa Citalopram HydrobromideCellCept Mycophenolate MofetilCelontin MethsuximideCerezyme Imiglucerase

60

SEC 4

61

SEC 4



Cesamet NabiloneCetrotide CetrorelixChantix Varenicline TartrateChemet SuccimerCialis TadalafilCimzia Certolizumab PegolCipro Ciprofloxacin Cipro HC Ciprofloxacin & HydrocortisoneCitanest Prilocaine Clarinex Desloratadine

Clarinex Reditabs Desloratadine Orally Disintegrating

Clarinex-D 12 Hour Desloratadine & Pseudoephedrine 12 Hour

Clarinex-D 24 Hour Desloratadine & Pseudoephedrine 24 Hour

Claritin Reditabs Loratadine

Claritin-D 12 Hour Loratadine & Pseudoephedrine 12 Hour

Cleocin Clindamycin Climara EstradiolCloderm, 0.1% Clocortolone Pivalate 0.1%Clolar ClofarabineClozaril ClozapineCoartem Artemether & LumefantrineColazal Balsalazide SodiumColestid Colestipol Coly-Mycin M Colistimethate Sodium

Coly-Mycin SColistin, Hydrocortisone, Neomycin, Thonzonium

Suspension

Colyte with Flavor Packs

Polyethylene Glycol 3350, Potassium Chloride, Sodium

Bicarbonate, Sodium Chloride & Sodium Sulfate Anhydrous

Combigan Brimonidine Tartrate & Timolol Maleate

CombiPatch Estradiol & Norethindrone Acetate

Combivent Albuterol Sulfate & Ipratropium Bromide

Combivir Lamivudine & Zidovudine

Complera Emtricitabine, Rilpivirine, Tenofovir & Disoproxil Fumarate

Comtan EntacaponeCondylox PodofiloxConray Iothalamic SodiumCopaxone Glatiramer AcetateCordarone Amiodarone Cordran FlurandrenolideCordran SP FlurandrenolideCordran Tape FlurandrenolideCoreg Carvedilol

Coreg CR Carvedilol Phosphate Extended-Release

Corgard NadololCorlopam Fenoldopam MesylateCortef HydrocortisoneCortrosyn CosyntropinCorvert Ibutilide FumarateCorzide Nadolol & BendroflumethiazideCosopt Dorzolamide & Timolol MaleateCoumadin Warfarin Cozaar Losartan Crestor Rosuvastatin Crinone ProgesteroneCrixivan Indinavir SulfateCubicin DaptomycinCutivate Fluticasone Propionate

62

SEC 4

63

SEC 4



Cuvposa GlycopyrrolateCyclogyl Cyclopentolate Cyklokapron Tranexamic AcidCymbalta Duloxetine Cystagon Cystamine BitartrateCytogam Immune GlobulinCytomel Liothyronine SodiumCytotec MisoprostolCytovene Ganciclovir Sodium

D

Dacogen DecitabineDaliresp RoflumilastDantrium Dantrolene SodiumDaraprim PyrimethamineDaypro OxaprozinDDAVP Desmopressin AcetateDelestrogen Estradiol ValerateDemadex TorsemideDemerol Meperidine Demser MetyrosineDenavir Penciclovir SodiumDepacon Valproic SodiumDepakene Valproic Acid

Depakote Divalproex Sodium Delayed-Release

Depakote ER Divalproex Sodium Extended-Release

Depakote Sprinkles Divalproex Sodium Delayed-Release (Sprinkle)

Depo-Estradiol Estradiol CypionateDepo-Medrol MethylprednisoloneDepo-Provera Medroxyprogesterone

Depo-SubQ Provera Medroxyprogesterone Subcutaneous

Depo-Testosterone Testosterone CypionateDermatop Emollient PrednicarbateDesferal Deferoxamine MesylateDesoxyn Methamphetamine Detrol Tolterodine Tartrate

Detrol LA Tolterodine Tartrate Extended-Release

Dexedrine Dextroamphetamine SulfateDexilant DexlansoprazoleDiabeta Glyburide

Diamox Sequels XR Acetazolamide Sodium Extended-Release

Dibenzyline Phenoxybenzamine Didrex Benzphetamine SodiumDifferin AdapaleneDificid FidaxomicinDiflucan FluconazoleDilacor XR Diltiazem Extended-ReleaseDilantin Phenytoin SodiumDiovan ValsartanDiovan HCT Valsartan & HCTZDipentum Olsalazine SodiumDiprivan PropofolDiprolene Betamethasone DipropionateDitropan XL Oxybutynin Extended-ReleaseDiuril Chlorothiazide SodiumDopram Doxapram Doral QuazepamDoribax DoripenemDovonex Calcipotriene

64

SEC 4

65

SEC 4



Doxil DOXOrubicin Hydrochloride Liposome

Drisdol ErgocalciferolDuetact Pioglitazone & Glimepiride

Dulera Mometasone Furoate & Formoterol Fumarate Dihydrate

Duragesic Fentanyl Durezol DifluprednateDutoprol Metoprolol Succinate & HCTZDyazide Triamterene & HCTZ

Dymista Azelastine & Fluticasone Propionate

Dynacin Minocycline HydrochlorideDynacirc CR Isradipine Extended-Release

Dyrenium Triamterene

EE.E.S. Erythromycin EthylsuccinateEC-Naprosyn Naproxen Sodium Enteric CoatedEdarbi Azilsartan Kamedoxomil

Edarbyclor Azilsartan Kamedoxomil & Chlorthalidone

Edecrin Ethacrynic AcidEdurant RilpivirineEffexor Venlafaxine Effexor XR Venlafaxine Extended-ReleaseEffient PrasugrelEfudex FluorouracilEgrifta Tesamorelin AcetateEldepryl Selegiline Elestat EpinastineElidel PimecrolimusEliquis ApixabanElitek Rasburicase

Elixophyllin TheophyllineElla Ulipristal AcetateEllence Epirubicin Elmiron Pentosan Polysulfate SodiumElocon Mometasone FuroateEloxatin OxaliplatinEmcyt Estramustine Phosphate SodiumEmend AprepitantEmsam SelegilineEmtriva EmtricitabineEnablex Darifenacin HydrobromideEnbrel EtanerceptEntereg AlvimopanEntocort EC BudesonideEpiduo Adapalene & Benzoyl PeroxideEpivir LamivudineEpogen/Procrit Erythropoietin AlphaxEpzicom Abacavir Sulfate & LamivudineEquetro CarbamazepineEraxis AnidulafunginErbitux CetuximabErivedge VismodegibErtaczo Sertaconazole NitrateEry-Tab ErythromycinEryped Erythromycin EthylsuccinateEurax CrotamitonEvista Raloxifene HydrochlorideEvoxac CevimelineExelderm Sulconazole NitrateExelon Rivastigmine Tartrate

66

SEC 4

67

SEC 4



Exforge Valsartan & Amlodipine Besylate

Exforge HCT Valsartan, Amlodipine Besylate & HCTZ

Exjade Deferasirox

FFabrazyme Agalsidase BetaFactive Gemifloxacin MesylateFamvir FamciclovirFanapt IloperidoneFareston Toremifene CitrateFaslodex FulvestrantFelbatol FelbamateFeldene PiroxicamFemara LetrozoleFemring Estradiol Acetate Vaginal RingFemtrace Estradiol AcetateFirmagon Degarelix AcetateFlagyl ER MetronidazoleFlolan Epoprostenol SodiumFlomax Tamsulosin Flonase Fluticasone PropionateFlovent HFA Fluticasone Propionate MDIFML Forte Fluorometholone

Focalin XR Dexmethylphenidate Extended-Release

Foradil Formoterol FumarateForane IsofluraneFortaz CeftazidimeForteo Teriparatide Recombinant HumanFosamax Alendronate Sodium

Fosamax Plus D Alendronate Sodium & Colecalciferol (Vitamin D)

Foscavir Foscarnet SodiumFosrenol Lanthanum CarbonateFragmin Dalteparin SodiumFrova Frovatriptan SuccinateFulyzaq CrofelemerFuradantin NitrofurantoinFusilev LevoleucovorinFuzeon Enfuvirtide

GGabitril Tiagabine Gastrocrom Cromolyn SodiumGemzar GemcitibineGeodon Ziprasidone HydrochlorideGilenya FingolimodGleevec ImatinibGlucophage Metformin Glucotrol XL Glipizide Extended-ReleaseGlucovance Glyburide & Metformin Glyset Miglitol

H

Halaven Eribulin MesylateHalcion TriazolamHaldol HaloperidolHalog HalcinonideHectorol DoxercalciferolHepsera Adefovir DipivoxilHerceptin TrastuzumabHexalen AltretamineHiprex Methenamine HippurateHorizant Gabapentin Enacarbil

68

SEC 4

69

SEC 4



Humalog Insulin Lispro Recombinant

Humalog Mix 50/50Insulin Lispro Protamine

Recombinant & Insulin Lispro Recombinant

Humalog Mix 75/25Insulin Lispro Recombinant & Insulin Lispro Protamine

Recombinant

Humalog Mix 75/25 Pen

Insulin Lispro Recombinant & Insulin Lispro Protamine

RecombinantHumalog Pen Insulin Lispro RecombinantHumira Adalimumab

Humulin 70/30Insulin Recombinant Human

& Insulin Suspension Isophane Recombinant Human

Humulin N Insulin Suspension Isophane Recombinant Human

Humulin R Insulin Recombinant HumanHycamtin Topotecan Hydrea HydroxyureaHyzaar Losartan & HCTZ I

Iclusig Ponatinib Idamycin Idarubicin Ilevro NepafenacImitrex Sumatriptan SuccinateImitrex STATdose Pen

Sumatriptan, Autoinjection System

Implanon EtonogestrelImuran AzathioprineIncivek TelaprevirIncrelex Mecasermin RecombinantInderal LA Propranolol Extended-ReleaseIndocin IndomethacinInlyta Axitinib

Inspra EplerenoneIntelence EtravirineIntron-A Interferon Alfa-2BInvanz Ertapenem SodiumInvega PaliperidoneInvirase Saquinavir MesylateInvokana CanagliflozinIopidine Apraclonidine Isentress Raltegravir PotassiumIsordil Isosorbide DinitrateIsovue IopamidolIxempra Kit IxabepiloneJ

Jakafi Ruxolitinib PhosphateJalyn Dutasteride & Tamsulosin Janumet Sitagliptin & MetforminJanuvia SitagliptinJentadueto Linagliptin & Metformin Juvisync Simvastatin & Sitagliptin K

Kadcyla Ado-Trastuzumab EmtansineKaletra Lopinavir & RitonavirKalydeco IvacaftorKayexalate Sodium Polystyrene SulfonateKazano Alogliptin Benzoate & Metformin Keflex CephalexinKeppra LevetiracetamKetalar Ketamine Ketek TelithromycinKineret Anakinra

70

SEC 4

71

SEC 4



Kinevac SincalideKlonopin Clonazepam

Kombiglyze XR Saxagliptin & Metformin Extended-Release

Kuvan Sapropterin DihydrochlorideKyprolis Carfilzomib

L

Lamictal LamotrigineLamictal CD Lamotrigine ChewableLamictal ODT Lamotrigine Orally DisintegratingLamictal XR Lamotrigine Extended-ReleaseLamisil Terbinafine Lanoxin DigoxinLantus Insulin Glargine RecombinantLasix FurosemideLastacaft AlcaftadineLatisse BimatoprostLatuda LurasidoneLescol Fluvastatin Sodium

Lescol XL Fluvastatin Sodium Extended-Release

Letairis AmbrisentanLeukeran ChlorambucilLeukine SargramostimLevaquin LevofloxacinLevatol Penbutolol SulfateLevemir Insulin Detemir Recombinant

Levetiracetam Levetiracetam in Sodium Chloride Solution

Levitra Vardenafil Lexapro Escitalopram OxalateLexiscan Regadenoson

Lexiva Fosamprenavir CalciumLincocin LincomycinLinzess LinaclotideLipitor Atorvastatin CalciumLithobid Lithium CarbonateLithostat Acetohydroxamic AcidLivalo Pitavastatin Calcium

Lo Loestrin Fe Norethindrone Acetate, Ethinyl Estradiol & Ferrous Fumarate

Lo/Ovral-28 Ethinyl Estradiol & Norgestrel

Loestrin Norethindrone Acetate & Ethinyl Estradiol

Loestrin-Fe Ethinyl Estradiol, Norethindrone Acetate & Ferrous Fumarate

Lomotil Diphenoxylate & Atropine Lopid GemfibrozilLopressor Metoprolol TartrateLopressor HCT Metoprolol Tartrate & HCTZLoprox CiclopiroxLotemax Loteprednol EtabonateLotensin Benazepril Lotensin HCT Benazepril & HCTZ

Lotrel Amlodipine Besylate & Benazepril Hydrochloride

Lotrisone Betamethasone Dipropionate & Clotrimazole

Lotronex Alosetron Lovenox Enoxaparin SodiumLoxitane Loxapine SuccinateLucentis RanibizumabLufyllin DyphyllineLumigan BimatoprostLumizyme Alglucosidase Alfa

72

SEC 4

73

SEC 4



Lunesta Eszopiclone CIV Lupron Depot Leuprolide AcetateLyrica PregabalinLysodren Mitotane

MMacrobid Nitrofurantoin, MacrocrystallineMacrodantin Nitrofurantoin, MacrocrystallineMagnevist Gadopentetate DimeglumineMalarone Atovaquone & Proguanil Marcaine Bupivacaine Marcaine w/Epinephrine

Bupivacaine & Marplan Epinephrine Bitartrate

Mavik TrandolaprilMaxair Autohaler Pirbuterol AcetateMaxalt Rizatriptan Maxalt-MLT Rizatriptan Orally DisintegratingMaxipime Cefepime Medrol MethylprednisoloneMegace ES Megestrol AcetateMentax Butenafine Mephyton PhytonadioneMepron AtovaquoneMeridia Sibutramine Merrem IV MeropenemMesnex MesnaMestinon Pyridostigmine BromideMethergine Methylergonovine MaleateMevacor LovastatinMicardis TelmisartanMicardis HCT Telmisartan & HCTZMiltown Meprobamate

Minipress Prazosin Minocin Minocycline Miochol-E Acetylcholine ChlorideMirapex Pramipexole Dihydrochloride

Mirapex ER Pramipexole Dihydrochloride Extended-Release

Mobic MeloxicamModicon Norethindrone & Ethinyl EstradiolMonistat 3 Miconazole NitrateMonurol Fosfomycin TromethamineMotofen Difenoxin & Atropine Motrin IBU IbuprofenMultaq Dronedarone Multihance Gadobenate DimeglumineMyambutol EthambutolMycamine Micafungin SodiumMycobutin RifabutinMydriacyl TropicamideMyfortic Mycophenolic AcidMyleran BusulfanMyrbetriq MirabegronMysoline Primidone

N

Naftin Naftifine Naglazyme GalsulfaseNalfon Fenoprofen CalciumNamenda Memantine HydrochlorideNamenda XR Memantine Extended-ReleaseNaprosyn NaproxenNardil Phenelzine SulfateNaropin Ropivacaine

74

SEC 4

75

SEC 4



Nasonex Mometasone Furoate Monohydrate

Natacyn NatamycinNatazia Dienogest & Estradiol ValerateNatroba SpinosadNavelbine Vinorelbine TartrateNeoral CyclosporineNeptazane MethazolamideNeulasta PegfilgrastimNeupogen FilgrastimNeupro RotigotineNeurontin GabapentinNevanac NepafenacNexavar Sorafenib TosylateNexium Delayed-Release

Esomeprazole Magnesium Delayed-Release

Nexplanon EtonogestrelNilandron NilutamideNimbex CisatracuriumNitrostat Nitroglycerin SublingualNizoral KetoconazoleNordette Levonorgestrel & Ethinyl EstradiolNoroxin NorfloxacinNorpace Disopyramide Phosphate

Norpace CR Disopyramide Phosphate Extended-Release

Norvasc Amlodipine Besylate

Novolin 70/30Insulin Recombinant Human, Insulin Suspension Isophane

Recombinant Human

Novolin N Insulin Suspension Isophane Recombinant Human

Novolin R Insulin Recombinant HumanNovolog Insulin Aspart Recombinant

Novolog Mix 70/30 Insulin Aspart Recombinant+Insulin Aspart Protamine Recombinant

Noxafil PosaconazoleNPlate RomiplostimNucynta Tapentadol Nucynta ER Tapentadol Extended-Release

Nuedexta Dextromethorphan Hydrobromide & Quinidine Sulfate

NuvaRing Ethinyl Estradiol & EtonogestrelNuvigil ArmodafinilNymalize NimodipineNystatin & Triamcinolone Acetonide

Nystatin & Triamcinolone Acetonide

OOmnaris CiclesonideOmnipaque IohexolOmniscan GadodiamideOncaspar PegaspargaseOnfi ClobazamOnglyza Saxagliptin Opana Oxymorphone Opana ER Oxymorphone Extended-ReleaseOptimark GadoversetamideOptivar Azelastine Orap PimozideOrencia Abatacept

Ortho Evra Ethinyl Estradiol & Norelgestromin Patch

Ortho Micronor NorethindroneOrtho Tri-Cyclen Ethinyl Estradiol & NorgestimateOrtho Tri-Cyclen Lo Ethinyl Estradiol & NorgestimateOrtho-Cept Desogestrel & Ethinyl Estradiol

76

SEC 4

77

SEC 4



Ortho-Cyclen Norgestimate & Ethinyl EstradiolOrtho-Novum 1/35 Norethindrone & Ethinyl EstradiolOrtho-Novum 7/7/7 Norethindrone & Ethinyl EstradiolOseni Alogliptin Benzoate & PioglitazoneOsphena OspemifeneOxandrin OxandroloneOxistat Oxiconazole NitrateOxsoralen Ultra MethoxsalenOxycontin Oxycodone Extended-Release

PPamelor Nortriptyline Parafon Forte DSC ChlorzoxazoneParlodel Bromocriptine MesylateParnate Tranylcypromine SulfatePataday Olopatadine Ophthalmic SolutionPatanase Olopatadine Nasal SprayPatanol Olopatadine Ophthalmic SolutionPaxil Paroxetine Paxil CR Paroxetine Extended-ReleasePCE Erythromycin Particle CoatedPeganone EthotoinPegasys Peginterferon Alfa-2APentam-300 Pentamidine IsethionatePepcid FamotidinePercocet Oxycodone & AcetaminophenPercodan Oxycodone & AspirinPerjeta PertuzumabPersantine DipyridamolePhenergan PromethazinePhisohex Hexachlorophene

Picato Ingenol MebutatePitocin OxytocinPlan B One Step LevonorgestrelPlaquenil Hydroxychloroquine SulfatePlavix Clopidogrel Bisulfate Pletal CilostazolPomalyst PomalidomidePonstel Mefenamic AcidPotiga RetigabinePradaxa Dabigatran Etexilate MesylatePrandiMet Repaglinide & Metformin Prandin RepaglinidePravachol Pravastatin SodiumPrecedex Dexmedetomidine Precose AcarbosePrefest Norgestimate & EstradiolPremarin Estrogens, Conjugated

Premphase Estrogens, Conjugated & Medroxyprogesterone Acetate

Prempro Estrogens, Conjugated & Medroxyprogesterone Acetate

Prevacid Lansoprazole Delayed-Release

Prevpac Amoxicillin, Clarithromycin & Lansoprazole

Prezista Darunavir EthanolatePrialt ZiconotidePriftin RifapentinePrilosec Omeprazole Delayed-ReleasePrimaxin Cilastatin Sodium, ImipenemPrinivil LisinoprilPristiq Desvenlafaxine SuccinateProcardia Nifedipine

78

SEC 4

79

SEC 4



Procardia XL Nifedipine Extended-ReleaseProglycem DiazoxidePrograf TacrolimusProHance GadoteridolProleukin AldesleukinProlia DenosumabPromacta Eltrombopag OlaminePrometrium ProgesteronePropecia FinasterideProscar FinasterideProstin VR Pediatric Alprostadil

Protonix Pantoprazole Sodium Delayed-Release

Protopic TacrolimusProventil HFA Albuterol SulfateProvera Medroxyprogesterone AcetateProvigil ModafinilProzac Fluoxetine Prozac Weekly Fluoxetine Delayed-Release Pulmicort Flexhaler Budesonide Powder Metered Dose

Pulmicort Respules Budesonide Suspension Metered Dose

Purinethol Mercaptopurine

QQuestran Cholestyramine

R

Ranexa RanolazineRapaflo SilodosinRapamune SirolimusRazadyne Galantamine Hydrobromide

Razadyne ER Galantamine Hydrobromide Extended-Release

Rebetol RibavirinReclast Zoledronic Acid Regranex BecaplerminRelenza ZanamivirRelistor Methylnaltrexone BromideRelpax Eletriptan HydrobromideRemeron MirtazapineRemeron Soltab Mirtazapine Orally DisintegratingRemicade InfliximabRemodulin TreprostinilRenagel Sevelamer Renvela Sevelamer CarbonateRenvela for Oral Suspension

Sevelamer Carbonate Sachet for Oral Suspension

Requip Ropinirole Requip XL Ropinirole Extended-ReleaseRescriptor Delavirdine MesylateRestoril TemazepamRetin-A TretinoinRetin-A Micro TretinoinRetrovir ZidovudineRevatio SildenafilRevlimid LenalidomideReyataz Atazanavir SulfateRhinocort Aqua BudesonideRidaura AuranofinRifadin RifampinRifamate Isoniazid & RifampinRilutek RiluzoleRisperdal M-Tab DisintegratingRisperdal M-Tab Risperidone Orally Disintegrating

80

SEC 4

81

SEC 4



Ritalin Methylphenidate

Ritalin LA Methylphenidate Extended-Release

Ritalin-SR Methylphenidate Extended-Release

Rituxan RituximabRobaxin MethocarbamolRobinul GlycopyrrolateRocaltrol CalcitriolRocephin Ceftriaxone SodiumRozerem RamelteonRythmol Propafenone Rythmol SR Propafenone Extended-Release

SSabril VigabatrinSamsca TolvaptanSanctura Trospium Chloride

Sanctura XR Trospium Chloride Extended-Release

Sandimmune CyclosporineSandostatin Octreotide AcetateSaphris Asenapine MaleateSarafem Fluoxetine Savella Milnacipran Sectral Acebutolol Selzentry MaravirocSemprex-D Acrivastine & Pseudoephedrine Sensipar Cinacalcet

Serevent Diskus Salmeterol Xinafoate Metered Dose

Seromycin CycloserineSeroquel Quetiapine Fumarate

Seroquel XR Quetiapine Fumarate Extended-Release

SF Rowasa MesalamineSilvadene Silver Sulfadiazine

Simbrinza Brimonidine Tartrate & Brinzolamide

Simponi GolimumabSinemet Carbidopa & Levodopa

Sinemet CR Carbidopa & Levodopa Extended-Release

Singulair Montelukast SodiumSingulair Chewable Montelukast Sodium ChewableSingulair Oral Granules Montelukast Sodium Oral GranulesSkelaxin MetaxaloneSoliris EculizumabSolu-Cortef Hydrocortisone Sodium Succinate

Solu-Medrol Methylprednisolone Sodium Succinate

Soma CarisoprodolSomavert PegvisomantSonata ZaleplonSoriatane AcitretinSpectracef Cefditoren PivoxilSpiriva Tiotropium Bromide MonohydrateSporanox ItraconazoleSprycel DasatinibSSD 1% Silver Sulfadiazine SSD 1% Silver Sulfadiazine

Stalevo Carbidopa, Entacapone & Levodopa

Starlix NateglinideStaxyn Vardenafil Stelara UstekinumabStivarga Regorafenib

82

SEC 4

83

SEC 4



Strattera Atomoxetine Stromectol IvermectinSublimaze Fentanyl CitrateSuboxone Buprenorphine & Naloxone Sular NisoldipineSuprane DesfluraneSuprax CefiximeSurmontil TrimipramineSustiva EfavirenzSutent Sunitinib Malate

Symbicort Budesonide & Formoterol Fumarate Dihydrate

Symbyax Fluoxetine & OlanzapineSymlin Pramlintide AcetateSynagis PalivizumabSynalar Fluocinolone AcetonideSynercid Dalfopristin & QuinupristinSynthroid Levothyroxine SodiumSyprine Trientine

T

Taclonex Betamethasone Dipropionate & Calcipotriene Hydrate

Tafinlar Dabrafenib MesylateTalwin Pentazocine LactateTambocor Flecainide AcetateTamiflu Oseltamavir PhosphateTapazole MethimazoleTarceva Erlotinib Targretin BexaroteneTarka Trandolapril & Verapamil Tasigna Nilotinib

Tasmar TolcaponeTaxotere DocetaxelTazorac TazaroteneTecfidera Dimethyl FumarateTeflaro Ceftaroline FosamilTegretol CarbamazepineTegretol-XR Carbamazepine Extended-ReleaseTekamlo Aliskiren & Amlodipine BesylateTekturna Aliskiren Tekturna HCT Aliskiren & HCTZTemodar TemozolomideTemovate Clobetasol PropionateTenoretic Atenolol & ChlorthalidoneTenormin AtenololTerazol 3 TerconazoleTerazol 7 TerconazoleTessalon BenzonatateTeveten EprosartanTeveten HCT Eprosartan Mesylate & HCTZThalitone ChlorthalidoneThiola TioproninThioplex ThiotepaTigan TrimethobenzamideTikosyn Dofetilide

Timentin Clavulanic Potassium & Ticarcillin Disodium

Timoptic Timolol Timoptic-XE Timolol Extended-ReleaseTindamax TinidazoleTobi Podhaler Tobramycin MDITofranil Imipramine

84

SEC 4

85

SEC 4



Topamax TopiramateTopicort Desoximetasone

Toprol-XL Metoprolol Succinate Extended-Release

Torisel TemsirolimusToviaz Fesoterodine FumarateTracleer BosentanTradjenta LinagliptinTransderm Scop ScopolamineTranxene Clorazepate DipotassiumTravatan Z TravoprostTreanda Bendamustine Trecator EthionamideTrelstar Triptorelin Pamoate

Treximet Sumatriptan Succinate & Naproxen Sodium

Tribenzor Amlodipine Besylate, Olmesartan Medoxomil & HCTZ

Tricor FenofibrateTrileptal OxcarbazepineTrilipix Choline Fenofibrate

Trizivir Abacavir Besylate, Lamivudine & Zidovudine

Trusopt Dorzolamide

Truvada Emtricitabine & Tenofovir Disoproxil Fumarate

Tudorza Pressair Aclidinium BromideTwynsta Amlodipine Besylate & TelmisartanTygacil TigecyclineTykerb Lapatinib DitosylateTysabri NatalizumabTyvaso Treprostinil SodiumTyzeka Telbivudine

UUloric FebuxostatUltane SevofluraneUltiva Remifentanil Ultracet Tramadol & AcetaminophenUltram TramadolUltravate Halobetasol PropionateUltravist Iopromide

Unasyn Ampicillin Sodium & Sulbactam Sodium

Uniretic Moexipril & HCTZUnivasc MoexiprilUrecholine Bethanechol ChlorideUroxatral Alfuzosin

VValcyte Valganciclovir Valium DiazepamValtrex Valacyclovir Valturna Aliskiren & ValsartanVancocin VancomycinVascepa Icosapent EthylVaseretic Enalapril Maleate & HCTZVasotec Enalapril MaleateVectibix PanitumumabVelcade BortezomibVenofer Iron SucroseVentavis IloprostVentolin Albuterol SulfateVeramyst Fluticasone FuroateVesicare Solifenacin Succinate

86

SEC 4

87

SEC 4



Vexol RimeloxoneVfend VoriconazoleVfend IV VoriconazoleViagra Sildenafil CitrateVibramycin DoxycyclineVictoza Liraglutide RecombinantVictrelis BoceprevirVidaza AzacitidineVidex DidanosineVidex EC DidanosineViibryd Vilazodone

Vimovo Esomeprazole Magnesium & Naproxen

Vimpat LacosamideViracept Nelfinavir MesylateViramune NevirapineViramune XR Nevirapine Extended-ReleaseViread Tenofovir Disoproxil FumarateVisipaque IodixanolVistaril HydroxyzineVistide CidofovirVivactil Protriptyline Voltaren Diclofenac Sodium

Voltaren-XR Diclofenac Sodium Extended-Release

Votrient Pazopanib Vytorin Ezetimibe & SimvastatinVyvanse Lisdexamfetamine Dimesylate

WWelchol Colesevelam

Wellbutrin SR Bupropion Hydrochloride Extended-Release (SR)

Wellbutrin XL Bupropion Hydrochloride Extended-Release

XXalatan LatanoprostXalkori CrizotinibXanax AlprazolamXanax XR Alprazolam Extended-ReleaseXarelto RivaroxabanXeljanz Tofacitinib CitrateXeloda CapecitabineXenazine TetrabenazineXenical OrlistatXgeva DenosumabXifaxan RifaximinXolair OmalizumabXopenex LevalbuterolXopenex HFA Levalbuterol MDIXtandi EnzalutamideXylocaine LidocaineXyzal Levocetirizine Dihydrochloride

YYasmin Drospirenone & Ethinyl EstradiolYervoy Ipilimumab

ZZaltrap Ziv-AfliberceptZanaflex Tizanidine Zantac Ranitidine HydrochlorideZarontin EthosuximideZaroxolyn MetolazoneZavesca Miglustat

88

SEC 4

89

SEC 4



ZegeridMagnesium Hydroxide,

Omeprazole & Sodium Bicarbonate

Zegerid Omeprazole & Sodium Bicarbonate

Zelboraf VemurafenibZemplar ParicalcitolZemuron Rocuronium BromideZenatane (isotretinoin) IsotretinoinZerit StavudineZestoretic Lisinopril & HCTZZestril LisinoprilZetia EzetimibeZetonna Ciclesonide

Ziac Bisoprolol Fumarate & Hydrochlorothiazide

Ziagen AbacavirZinacef Cefuroxime SodiumZioptan TafluprostZithromax Azithromycin Zmax Azithromycin Extended-ReleaseZocor SimvastatinZofran Ondansetron HydrochlorideZoladex Goserelin AcetateZolinza VorinostatZoloft Sertraline Zometa Zoledronic Acid Zomig ZolmitriptanZonegran ZonisamideZortress Everolimus

Zosyn Piperacillin Sodium & Tazobactam Sodium

Zovirax Acyclovir

Zyban Bupropion Zyclara ImiquimodZyflo ZileutonZyflo CR Zileuton Extended-Release

Zylet Loteprednol Etabonate & Tobramycin

Zyloprim AllopurinolZymar GatifloxacinZyprexa OlanzapineZyprexa Zydis Olanzapine Orally DisintegratingZytiga Abiraterone AcetateZyvox Linezolid

Clinical Resources

SECTION FIVE

5

Notes

92

SEC 5 SEC 5

93

The abbreviations, symbols, and dose designations found in this table have been reported to ISMP through the ISMP National Medication Errors Reporting Program (ISMP MERP) as being frequently misinterpreted and involved in harmful medication errors. They should NEVER be used when communicating medical information. This includes internal communications, telephone/verbal prescriptions, computer-generated labels, labels for drug storage bins, medication administration records, as well as pharmacy and prescriber computer order entry screens.

ABBREVIATIONS INTENDED MEANING MISINTERPRETATION CORRECTION

µg Microgram Mistaken as “mg” Use “mcg”

AD, AS, AU Right ear, left ear, each ear

Mistaken as OD, OS, OU (right eye, left

eye, each eye)

Use “right ear,”

“left ear,” or “each ear”

OD, OS, OURight eye, left eye, each eye

Mistaken as AD, AS, AU (right ear, left ear,

each ear)

Use “right eye,” “left eye,” or “each eye”

BTBedtime Mistaken as “BID”

(twice daily) Use “bedtime”

cc Cubic centimeters

Mistaken as “u” (units) Use “mL”

D/C

Discharge or discontinue

Premature discontinuation of medications if D/C (intended to mean

“discharge”) has been misinterpreted as

“discontinued” when followed by a list of

discharge medications

Use “discharge” and

“discontinue”

IJ Injection Mistaken as “IV” or “intrajugular” Use “injection”

INIntranasal Mistaken as “IM”

or “IV”Use “intranasal”

or “NAS”HS

Half-strength Mistaken as bedtime

Use “half-strength” or “bedtime”

hs At bedtime, hours of sleep

Mistaken as half-strength

IU**International unit

Mistaken as IV (intravenous)

or 10 (ten)Use “units”

ISMP’s List of Error-Prone Abbreviations, Symbols, and Dose Designations

Lists


o.d. or OD

Once daily

Mistaken as “right eye” (OD-oculus

dexter), leading to oral liquid medications

administered in the eye

Use “daily”

OJ

Orange juice

Mistaken as OD or OS (right or left eye);

drugs meant to be diluted in orange

juice may be given in the eye

Use “orange juice”

Per osBy mouth, orally

The “os” can be mistaken as “left eye” (OS-oculus sinister)

Use “PO,” “by mouth,” or “orally”

q.d. or QD**

Every day

Mistaken as q.i.d., especially if the

period after the “q” or the tail of the “q” is

misunderstood as an “i”

Use “daily”

qhs Nightly at bedtime

Mistaken as “qhr” or every hour Use “nightly”

qn Nightly or at bedtime

Mistaken as “qh” (every hour)

Use “nightly” or

“at bedtime”

q.o.d. or

QOD**Every other day

Mistaken as “q.d.” (daily) or “q.i.d. (four times daily) if the “o”

is poorly written

Use “every other day”

q1dDaily Mistaken as q.i.d.

(four times daily) Use “daily”

q6PM, etc.Every evening

at 6 PMMistaken as every

6 hoursUse “daily at

6 PM” or “6 PM daily”

ISMP’s List of Error-Prone Abbreviations, Symbols, and Dose Designations – cont'd

94

SEC 5 SEC 5

95


SC, SQ, sub q Subcutaneous

SC mistaken as SL (sublingual); SQ

mistaken as “5 every;” the “q”

in “sub q” has been mistaken as “every”

(e.g., a heparin dose ordered “sub q 2 hours

before surgery” misunderstood

as every 2 hours before surgery)

Use “subcut” or “subcuta-

neously”

ssSliding scale

(insulin) or 1⁄2 (apothecary)

Mistaken as “55” Spell out

“sliding scale;” use “one-half”

or “1⁄2”

SSRI

SSI

Sliding scale regular insulin

Sliding scale insulin

Mistaken as selective-serotonin reuptake inhibitor

Mistaken as

Strong Solution of Iodine (Lugol’s)

Spell out “sliding scale

(insulin)”

i/d One daily Mistaken as “tid” Use “1 daily”

TIW or tiw 3 times a week Mistaken as

“3 times a day” or "twice in a week"

Use “3 times weekly”

U or u** Unit

Mistaken as the number 0 or 4,

causing a 10-fold overdose or greater

(e.g., 4U seen as “40” or 4u seen as “44”); mistaken as “cc” so

dose given in volume instead of units (e.g.,

4u seen as 4cc)

Use “unit”

UDAs directed

(“ut dictum”)

Mistaken as unit dose (e.g., diltiazem 125 mg IV infusion

“UD” misinterpreted as meaning to give

the entire infusion as a unit [bolus] dose)

Use “as directed”

DOSE DESIGNATIONS AND OTHER INFO

INTENDED MEANING MISINTERPRETATION CORRECTION

Trailing zero after decimal

point (e.g., 1.0 mg)**

1 mgMistaken as 10 mg if the

decimal point is not seen

Do not use trailing zeros

for doses expressed in whole numbers

“Naked” decimal point (e.g., .5 mg)**

0.5 mgMistaken as 5 mg if the

decimal point is not seen

Use zero before

a decimal point when the dose is less than a whole unit

Abbreviations such as mg. or

mL. with a period following the abbreviation

mg

mL

The period is unnecessary and

could be mistaken as the number 1 if written poorly

Use mg, mL, etc. without a terminal

period

Drug name and dose run together

(especially problematic for drug names that end in “l” such

as Inderal40 mg; Tegretol300 mg)

Inderal 40 mg

Tegretol 300 mg

Mistaken as Inderal 140 mg

Mistaken as Tegretol 1300 mg

Place adequate

space between the drug

name, dose, and unit of measure

Numerical dose and unit

of measure run together (e.g., 10mg, 100mL)

10 mg

100 mL

The “m” is sometimes mistaken as a

zero or two zeros, risking a 10- to

100-fold overdose

Place adequate

space between the dose and unit

of measure

Large doses without properly placed commas

(e.g., 100000 units;

1000000 units)

100,000 units

1,000,000 units

100000 has been mistaken as 10,000

or 1,000,000;

1000000 has been mistaken

as 100,000

Use commas for dosing units at or

above 1,000, or use words such as 100

“thousand” or 1 “million” to improve readability

ISMP’s List of Error-Prone Abbreviations, Symbols, and Dose Designations – cont'dISMP’s List of Error-Prone Abbreviations, Symbols, and Dose Designations – cont'd

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DRUG NAME ABBREVIATIONS INTENDED MEANING MISINTERPRETATION CORRECTION

APAP acetaminophen Not recognized as acetaminophen

Use complete

drug name

ARA A vidarabine Mistaken as cytarabine (ARA C)

Use complete

drug name

AZTzidovudine (Retrovir)

Mistaken as azathioprine or

aztreonam

Use complete

drug name

CPZCompazine

(prochlorperazine)Mistaken as

chlorpromazineUse

complete drug name

DPTDemerol-

Phenergan-Thorazine

Mistaken as diphtheria-

pertussis-tetanus (vaccine)

Use complete

drug name

DTO

Diluted tincture of opium, or deodorized

tincture of opium (Paregoric)

Mistaken as tincture of opium

Use complete

drug name

HClhydrochloric acid or

hydrochloride

Mistaken as potassium chloride

(The “H” is misinterpreted

as “K”)

Use complete

drug name unless

expressed as a salt of a drug

HCT hydrocortisone Mistaken as hydrochlorothiazide

Use complete

drug name

HCTZhydrochloro-

thiazide

Mistaken as hydrocortisone

(seen as HCT250 mg)

Use complete

drug name

MgSO4**magnesium

sulfateMistaken as

morphine sulfateUse

complete drug name

MS, MS04**morphine

sulfateMistaken as

magnesium sulfateUse

complete drug name

To avoid confusion, do not abbreviate drug names when communicating medical information. Examples of drug name abbreviations involved in medication errors include:

DRUG NAME ABBREVIATIONS INTENDED MEANING MISINTERPRETATION CORRECTION

MTX methotrexate Mistaken as mitoxantrone

Use complete

drug name

NoAcnovel/new oral anticoagulant No anticoagulant

Use complete

drug name

PCA procainamide Mistaken as patient controlled analgesia

Use complete

drug name

PTU propylthiouracil Mistaken as mercaptopurine

Use complete

drug name

T3Tylenol with

codeine No. 3 Mistaken as liothyronine

Use complete

drug name

TAC triamcinoloneMistaken as tetracaine,

Adrenalin, cocaine

Use complete

drug name

TNK TNKase Mistaken as “TPA”Use

complete drug name

TPA ot tPA

tissue plasminogen activator, Activase

(atteplase)

Mistaken as TNKase (tenecteplase), or

less often as another tissue plasminogen activator, Retavase

(retaplase)

Use complete

drug names

ZnS04 zinc sulfate Mistaken as morphine sulfate

Use complete

drug name

STEMMED DRUG NAMES INTENDED MEANING MISINTERPRETATION CORRECTION

“Nitro” dripnitroglycerin

infusionMistaken as sodium

nitroprusside infusionUse

complete drug name

“Norflox” norfloxacin Mistaken as NorflexUse

complete drug name

“IV Vanc”intravenous vancomycin Mistaken as Invanz

Use complete

drug name

ISMP’s List of Error-Prone Abbreviations, Symbols, and Dose Designations – cont'dISMP’s List of Error-Prone Abbreviations, Symbols, and Dose Designations – cont'd

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SYMBOLS INTENDED MEAN-ING MISINTERPRETATION CORRECTION

Dram Symbol for dram mistaken as “3”

Use the metric system

Minim Symbol for minim mistaken as “mL”

Use the metric system

x3d For three days Mistaken as “3 doses”

Use “for three days”

> and <More than

and less than

Mistaken as opposite of intended;

mistakenly use incorrect symbol;

“<10” mistaken as “40”

Use “more than”

or “less than”

/ (slash mark)

Separates two doses

or indicates “per”

Mistaken as the number 1 (e.g.,

“25 units/10 units” misread as “25 units

and 110” units)

Use “per” rather than a slash

mark to separate doses

@ At Mistaken as “2” Use “at”

& And Mistaken as “2” Use “and”

+ Plus or and Mistaken as “4” Use “and”

° HourMistaken as a zero (e.g., q2° seen as q 20)

Use “hr,” “h,” or “hour”

φ or ∅ zero, null signMistaken as

numerals 4, 6, 8, and 9

0 or zero, or describe intent using whole words

** These abbreviations are included on The Joint Commission’s “minimum list” of dangerous abbreviations, acronyms, and symbols that must be included on an organization’s “Do Not Use” list, effective January 1, 2004. Visit www.jointcommission.org for more information about this Joint Commission requirement.

© ISMP 2015. Permission is granted to reproduce material with proper attribution for internal use within healthcare organizations. Other reproduction is prohibited without written permission from ISMP. Report actual and potential medication errors to the ISMP National Medication Errors Reporting Program (ISMP MERP) via the Web at www.ismp.org or by calling 1-800-FAIL-SAF(E).

www.ismp.org

Conversion TablesTables

METRICAPPROXIMATE APOTHECARY EQUIVALENTS

1000 mL 1 quart

750 mL 1½ pints

500 mL 1 pint

250 mL 8 fluid ounces

200 mL 7 fluid ounces

100 mL 3½ fluid ounces

50 mL 1¾ fluid ounces

30 mL 1 fluid ounce

15 mL 4 fluid drams

10 mL 2½ fluid drams

8 mL 2 fluid drams

5 mL 1¼ fluid drams

4 mL 1 fluid dram


3 mL 45 minims

2 mL 30 minims

1 mL 15 minims

0.75 mL 12 minims

0.6 mL 10 minims

0.5 mL 8 minims

0.3 mL 5 minims

0.25 mL 4 minims

0.2 mL 3 minims

0.1 mL 1½ minims

0.06 mL 1 minim

0.05 mL ¾ minim

0.03 mL ½ minim

LIQUID MEASURE*

The approximate dose equivalents used in the following Conversion Tables have been adopted by the United States Pharmacopeia and the National Formulary, and have the approval of the federal Food and Drug Administration.

*Metric Doses (With Approximate Apothecary Equivalents)

ISMP’s List of Error-Prone Abbreviations, Symbols, and Dose Designations – cont'd

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30 g 1 ounce

15 g 4 drams

10 g 2½ drams

7.5 g 2 drams

6 g 90 grains

5 g 75 grains

4 g 60 grains (1 dram)

3 g 45 grains

2 g 30 grains (½ dram)

1.5 g 22 grains

1 g 15 grains

750 mg 12 grains

600 mg 10 grains

500 mg 7½ grains

400 mg 6 grains

300 mg 5 grains

250 mg 4 grains

200 mg 3 grains

150 mg 2½ grains

125 mg 2 grains

100 mg 1½ grains

75 mg 1¼ grains

60 mg 1 grain

50 mg ¾ grain

40 mg 2⁄3 grain


30 mg ½ grain

25 mg 3⁄8 grain

20 mg 1⁄3 grain

15 mg ¼ grain

12 mg ¹⁄₅ grain

10 mg 1⁄6 grain

8 mg 1⁄8 grain

6 mg 1⁄₁₀ grain

5 mg 1⁄₁₂ grain

4 mg 1⁄₁₅ grain

3 mg 1⁄₂₀ grain

2 mg 1⁄₃₀ grain

1.5 mg 1⁄₄₀ grain

1.2 mg 1⁄₅₀ grain

1 mg 1⁄₆₀ grain

800 µg 1⁄₈₀ grain

600 µg 1⁄₁₀₀ grain

500 µg 1⁄₁₂₀ grain

400 µg 1⁄₁₅₀ grain

300 µg 1⁄₂₀₀ grain

250 µg 1⁄₂₅₀ grain

200 µg 1⁄₃₀₀ grain

150 µg 1⁄₄₀₀ grain

120 µg 1⁄₅₀₀ grain

100 µg 1⁄₆₀₀ grain

WEIGHT*

*Metric Doses (With Approximate Apothecary Equivalents)

1 centimeter = 0.3937 inch

1 fluid ounce = 29.57353 milliliters

1 gallon = 4 quarts

1 gallon = 3.7854 liters

1 gram = 1,000 milligrams

1 grain = 64.79891 milligrams

1 inch = 2.54 centimeters

1 kilogram = 2.205 pounds

1 kilogram = 1,000 grams

1 liter = 1,000 milliliters

1 meter = 39.37 inches

1 millimeter = 0.03937 inch

1 ounce, avoirdupois (oz avdp) = 28.35 grams

1 pint = 16 fluid ounces

1 pound, avoirdupois (lb avdp) = 453.60 grams

1 quart = 2 pints

1 tablespoon, measuring = 15 milliliters

1 teaspoon, measuring = 5 milliliters

WEIGHTS, MEASURES, AND EQUIVALENTS

Fahrenheit degrees to Celcius = Subtract 32, multipy by 5, divide by 9

Celcius degrees to Fahrenheit = Multiply by 9, divide by 5, add 32

WEIGHTS, MEASURES, AND EQUIVALENTS

Conversion Tables– cont'dConversion Tables– cont'd

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The Child-Turcotte-Pugh Scoring System is used to stratify disease severity, surgical risk, and overall prognosis in patients with cirrhosis.

CLINICAL / LABORATORY FACTOR

DEGREE OF ABNORMALITY POINTS ASSIGNED

EncephalopathyaNone

1-23-4

123

Ascites

NoneMild or controlled

on diureticsAt least moderate

despite diuretic treatment

12

3

Prothrombin Time (PT), seconds prolonged

OR

International Normalized Ratio (INR)

<44-6>6

__________

<1.71.7-2.3>2.3

123

__________

123

Albumin (g/dL)>3.5

2.8-3.5<2.8

123

Bilirubin (mg/dL)<22-3>3

123

CHILD-TURCOTTE-PUGH SCORING SYSTEM

a Encephalopathy is graded based on symptoms: 1: Sleep disturbances; impaired concentration; depression,

anxiety, or irritability 2: Drowsiness, disorientation, poor short-term memory,

uninhibited behavior 3: Somnolence; confusions; amnesia; anger, paranoia, or other

bizarre behavior 4: Coma

Child-Turcotte-Pugh Risk (grade) based on the total number of points. • Low (A): 5-6 points • Moderate (B): 7-9 points • High (C): 10-15 points

Assessment Of Liver FunctionTables

NUMBER OF TOTAL POINTS CHILD-TURCOTTE-PUGH RISK (GRADE) 2-YEAR SURVIVAL RATE (%)

5-6 Low (A) 85

7-9 Moderate (B) 60

10-15 High (C) 35

INTERPRETATION OF THE CHILD-TURCOTTE-PUGH SCORING SYSTEM

Assessment of Liver Function– cont'd

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Formulas

Measuring creatinine clearance using serum concentration level and timed urine collection provides an estimate of glomerular filtration rate (GFR):

Creatinine Clearance (ClCr) = (urine creatinine x volume) ___________________________

serum creatinine

CREATININE CLEARANCE FORMULA

The estimated creatinine clearance rate using Cockcroft-Gault equation is as follows:

ClCr(est) (mL/min) = [140 – age (yrs)] x weight (kilograms) x 0.85 if female __________________________________ 72 x serum creatinine (mg/dL)

COCKCROFT-GAULT EQUATION

The original MDRD Study Equation – suitable for use with creatinine methods that DO NOT have calibration traceable to isotope dilution mass spectrometry (IDMS):

GFR(est) (mL/min per 1.73 m2) = 186 x [serum creatinine (mg/dL)]-1.154 x [age (yrs)]-0.203 x (0.742 if female) x (1.212 if African American)

The MDRD Study Equation – re-expressed for use with standardized serum creatinine levels:

GFR(est) (mL/min per 1.73 m2) = 175 x [standardized serum creatinine (mg/dL)]-1.154 x [age (yrs)]-0.203 x (0.742 if female) x (1.212 if African American)

MODIFICATION OF DIET ON RENAL DISEASE (MDRD) STUDY EQUATION

Formulas For Body Surface AreaFormulas

BSA (m2) = ([Height (cm) x Weight (kg)]/3600)(½)

THE MOSTELLER FORMULA

BSA (m2) = 0.007184 x Height (cm) 0.725 x Weight (kg) 0.425

THE DUBOIS AND DUBOIS FORMULA


THE HAYCOCK FORMULA


THE GEHAN AND GEORGE FORMULA

Lean Body Weight (men) = (1.10 x weight (kg)) - 128 (weight2/height (cm)2)

Lean Body Weight (women) = (1.07 x weight (kg)) - 148 (weight2/height (cm)2)

FORMULAS FOR LEAN BODY WEIGHT

BMI = Weight (kg) / Height (meters)2

BODY MASS INDEX (BMI) FORMULA

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Codes For Therapeutic Equivalence Evaluations

Codes

“A” codes are used for drug products considered to be therapeutically equivalent to other pharmaceutically equivalent products.

"B” codes are used for drug products that FDA, at this time, considers not to be therapeutically equivalent to other pharmaceutically equivalent products.

"A" CODES

AA Products in conventional dosage forms not presenting bioequivalence problems

AB Products meeting necessary bioequivalence requirements [AB1, AB2, AB3…]

AN Solutions and powders for aerosolization

AO Injectable oil solutions

AP Injectable aqueous solutions and, in certain instances, intravenous non-aqueous solutions

AT Topical products

"B" CODES

B* Drug products requiring further FDA investigation and review to determine therapeutic equivalence

BC Extended-release dosage forms (capsules, injectables and tablets)

BD Active ingredients and dosage forms with documented bioequivalence problems

BE Delayed-release oral dosage formsBN Products in aerosol-nebulizer drug delivery systems

BP Active ingredients and dosage forms with potential bioequivalence problems

BR Suppositories or enemas that deliver drugs for systemic absorption

BS Products having drug standard deficienciesBT Topical products with bioequivalence issues

BX Drug products for which the data are insufficient to determine therapeutic equivalence

High-Alert MedicationsAlert

CLASSES/CATEGORIES OF MEDICATIONS

adrenergic agonists, IV (e.g., EPINEPHrine, phenylephrine, norepinephrine)

adrenergic antagonists, IV (e.g., propranolol, metoprolol, labetalol)

anesthetic agents, general, inhaled and IV (e.g., propofol, ketamine)

antiarrhythmics, IV (e.g., lidocaine, amiodarone)

antithrombotic agents, including:• anticoagulants (e.g., warfarin, low molecular weight heparin,

unfractionated heparin)• direct thrombin inhibitors (e.g., argatroban, bivalirudin, dabigatran)• glycoprotein IIb/IIIa inhibitors (e.g., eptifibatide)• thrombolytics (e.g., alteplase, reteplase, tenecteplase)

cardioplegic solutions

chemotherapeutic agents, parenteral and oral

dextrose, hypertonic, 20% or greater

dialysis solutions, peritoneal and hemodialysis

High-alert medications are drugs that bear a heightened risk of causing significant patient harm when they are used in error. Although mistakes may or may not be more common with these drugs, the consequences of an error are clearly more devastating to patients. We hope you will use this list to determine which medications require special safeguards to reduce the risk of errors. This may include strategies such as standardizing the ordering, storage, preparation, and administration of these products; improving access to information about these drugs; limiting access to high-alert medications; using auxiliary labels; employing clinical decision support and automated alerts; and using redundancies such as automated or independent double-checks when necessary. (Note: manual independent double-checks are not always the optimal error-reduction strategy and may not be practical for all of the medications on the list).

INSTITUTE FOR SAFE MEDICATION PRACTICES (ISMP) LIST OF HIGH-ALERT MEDICATIONS IN ACUTE CARE SETTINGS

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epidural or intrathecal medications

inotropic medications, IV (e.g., digoxin, milrinone)

insulin, subcutaneous and IV

liposomal forms of drugs (e.g., liposomal amphotericin B) and conventional counterparts (e.g., amphotericin B desoxycholate)

moderate sedation agents, IV (e.g., dexmedetomidine, LORazepam, midazolam, ketamine [suing the parental form])

moderate sedation agents, oral, for children (e.g., chloral hydrate)

opioids, including:• IV• oral (including liquid concentrates, immediate and

sustained-release formulations)• transdermal

neuromuscular blocking agents (e.g., succinylcholine, rocuronium, vecuronium)

parenteral nutrition preparations

sodium chloride for injection, hypertonic, greater than 0.9% concentration

sterile water for injection, inhalation, and irrigation (excluding pour bottles) in containers of 100 mL or more

sulfonylurea hypoglycemics, oral (e.g., chlorproPAMIDE, glimepiride, glyBURIDE, glipiZIDE, TOLBUTamide)

SPECIFIC MEDICATIONS

EPINEPHrine, subcutaneous

epoprostenol (e.g.,Flolan), IV

insulin U-500 (special emphasis*)

magnesium sulfate injection

methotrexate, oral, non-oncologic use

nitroprusside sodium for injection

opium tincture

oxytocin, IV

potassium chloride for injection concentrate

potassium phosphates injection

promethazine injection

vasopressin, IV or intraosseous

*All forms of insulin, subcutaneous and IV, are considered a class of high-alert medications. Insulin U-500 has been singled out for special emphasis to bring attention to the need for distinct strategies to prevent the types of errors that occur with this concentrated form of insulin.

High-Alert Medications– cont'dHigh Alert Medications– cont'd

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At all ages, at all stages.

W O M E N ’ S H E A L T H

© Dr. Reddy’s Laboratories, Inc. All rights reserved. RDY-0618-208

Dr. Reddy’s Laboratories, Inc.107 College Road East, Princeton, NJ 08540Tel: 866-733-3952

www.drreddys.com

Women are different from men. When it comes to healthcare, women have unique needs that impact their entire family. At Dr. Reddy’s, we understand these differences. We are committed to providing affordable and innovative medicines that women and their doctors can count on. Our generic products meet the high standards of brand-name drugs. For more than 20,000 committed employees at Dr. Reddy’s, we know that Women’s Health Can’t Wait.

Women are different from men. When it comes to healthcare, women have unique needs that impact their entire family. At Dr. Reddy’s, we understand these differences. We are committed to providing affordable and innovative medicines that women and their doctors can count on. Our generic products meet the high standards of brand-name drugs.For more than 20,000 committed employees at Dr. Reddy’s, we know that Women’s Health Can’t Wait.

Dr. Reddy’s Laboratories, Inc. All rights reserved. RDY-0618-208

Based on error reports submitted to the ISMP National Medication Errors Reporting Program (ISMP MERP), reports of harmful errors in the literature, studies that identify the drugs most often involved in harmful errors, and input from practitioners and safety experts, ISMP created and periodically updates a list of potential high-alert medications. During June and July 2018, practitioners responded to an ISMP survey designed to identify which medications were most frequently considered high-alert. Further, to assure relevance and completeness, the clinical staff at ISMP and members of the ISMP advisory board, were asked to review the potential list. This list of medications and medication categories reflects the collective thinking of all who provided input.

BACKGROUND

© ISMP 2018. Permission is granted to reproduce material with proper attribution for internal use within healthcare organizations. Other reproduction is prohibited without written permission from ISMP. Report medication errors to the ISMP National Medication Errors Reporting Program (ISMP MERP) at www.ismp.org/MERP.

A reference list for this Clinical Resources section can be requested from Dr. Reddy’s Laboratories, Inc.

High Alert Medications– cont'd

Dr. Reddy’s Laboratories, Inc. 107 College Road East, Princeton, NJ 08540 Tel: 866-733-3952www.drreddys.com

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