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iKnowMed™ ContentOct_2013
October 25, 2013
Copyright © 2013 McKesson Specialty Health. All rights reserved
Content Release Notes
McKesson Specialty Health. All rights reserved.
iKnowMed™ Content Release Notes
Oct_2013
October 25, 2013
Table of Contents
1. Physician Documentation ................................
2. New Orders ................................................................
3. Directives & Considerations ................................
4. Medications ................................................................
5. Regimens ................................................................
6. Clinical Trials ................................................................
7. Charge Capture ................................................................
8. Labs and Panels ................................................................
Appendix A: Brand Name Drug Inactivation’s
Appendix B: Generic Drug Inactivations ................................
2 Copyright © 2013 McKesson Specialty Health. All rights reserved
Release NotesiKnowMed™ Content Release Notes
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A: Brand Name Drug Inactivation’s ................................................................................................
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Release Notes
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1. Physician Documentation
1.1 All Progress Notes
The following changes apply to all of the progress note types available.
1.1.1 Diagnosis Charting
• The Neuroendocrine Carcinoma stagingand to ensure alignment with values for iKnowMed Generation 2. It now contains staging for Duodenum, Ampulla of Vater, Jejunum, Ileum, Colon, and Rectum
• Breast Cancer>Current status > Metastasis
1.1.2 In-house Procedure Documentation
The following new procedures are available for selection under
• Anoscopy (captures CPT code 46600)
• Anoscopy w/biopsy (captures CPT code
• Anoscopy w/dilation (captures CPT code
• Chemical cauterization of granulation tissue (proud flesh, sinus or fistula)
• Debridement of extensive eczematous or infected skin; up to 10% of body surface
• Destruction of internal hemorrhoid(s) by therma
• Destruction of lesion(s), anus, extensive
• Destruction of lesion(s), anus, simple; chemical
• Destruction of lesion(s), anus, simple; electrodesiccation
• Destruction of lesion(s), anus, simple; surgical excision
• Excision of single external papilla or tag, anus
• Excision of multiple external papillae or tags, anus
• Excision of thrombosed hemorrhoid, external
• Hemorrhoidectomy, internal and external, single column/groups
• Hemorrhoidectomy, internal, by rubber band ligation(s)
• Incision and drainage of ischiorectal and/or perirectal abscess
• Injection of sclerosing solution, hemorrhoids
• Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing
(captures CPT code 45300)
• Proctosigmoidoscopy, rigid; with biopsy, single or multiple
• Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique
(captures CPT code 45309)
• Removal of fecal impaction under anesthesia
• Sigmoidoscopy, flexible; diagnostic with or without collection of specimen(s) by brushing or washing
CPT code 45330)
• Sigmoidoscopy, flexible; with biopsy, single or multiple
3 Copyright © 2013 McKesson Specialty Health. All rights reserved
The following changes apply to all of the progress note types available.
staging template has been reviewed for accuracy in preparation for migration ensure alignment with values for iKnowMed Generation 2. It now contains staging for
Duodenum, Ampulla of Vater, Jejunum, Ileum, Colon, and Rectum.
Metastasis now includes the option to document Visceral status
ocumentation
The following new procedures are available for selection under My Preferences > General:
)
(captures CPT code 46606)
(captures CPT code 46604)
Chemical cauterization of granulation tissue (proud flesh, sinus or fistula) (captures CPT code
Debridement of extensive eczematous or infected skin; up to 10% of body surface (captures CPT code
Destruction of internal hemorrhoid(s) by thermal energy (captures CPT code 46930)
Destruction of lesion(s), anus, extensive (captures CPT code 46924)
Destruction of lesion(s), anus, simple; chemical (captures CPT code 46900)
Destruction of lesion(s), anus, simple; electrodesiccation (captures CPT code 46910)
Destruction of lesion(s), anus, simple; surgical excision (captures CPT code 46922)
Excision of single external papilla or tag, anus (captures CPT code 46220)
Excision of multiple external papillae or tags, anus (captures CPT code 46230)
Excision of thrombosed hemorrhoid, external (captures CPT code 46320)
Hemorrhoidectomy, internal and external, single column/groups (captures CPT code 46255)
Hemorrhoidectomy, internal, by rubber band ligation(s) (captures CPT code 46221)
nage of ischiorectal and/or perirectal abscess (captures CPT code 46040)
Injection of sclerosing solution, hemorrhoids (captures CPT code 46500)
Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (captures CPT code 45305)
Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique
on under anesthesia (captures CPT code 45915)
Sigmoidoscopy, flexible; diagnostic with or without collection of specimen(s) by brushing or washing
Sigmoidoscopy, flexible; with biopsy, single or multiple (captures CPT code 45331)
McKesson Specialty Health. All rights reserved.
r accuracy in preparation for migration ensure alignment with values for iKnowMed Generation 2. It now contains staging for Stomach,
Visceral status
(captures CPT code 17250)
(captures CPT code 11000)
46255)
46040)
Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing
Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique
Sigmoidoscopy, flexible; diagnostic with or without collection of specimen(s) by brushing or washing (captures
1.2 Progress Note 2
The following changes apply only to the Progress Note 2 template.
1.2.1 Physical Exam (PE)
Under PE > Eyes > Normal negatives the following choice
• Pupils equal and round
1.2.2 Completed treatment details
Completed treatment details for the following diagnoses now represent current Pathway treatment options
• Breast cancer, female
• Breast cancer, female, second primary
• Breast cancer, male
• Ovarian cancer
• Ovarian cancer, second primary
1.3 Radiation Oncology Note
The following E/M is now available:
• 77435: Stereotactic body radiation therapy, treatment management
1.4 *Surgical Note
A new template has been created for Surgeon dictation. The name of the template is called
flowsheet category has been created as well, called
assist with adding this Category to flowsheet view.
The template will display the following services:
4 Copyright © 2013 McKesson Specialty Health. All rights reserved
The following changes apply only to the Progress Note 2 template.
the following choice is now available:
Completed treatment details
for the following diagnoses now represent current Pathway treatment options
Breast cancer, female, second primary
77435: Stereotactic body radiation therapy, treatment management
Surgeon dictation. The name of the template is called Surgical Note
n created as well, called Surgical. Note: iKnowMed Super Users or Account Managers can
assist with adding this Category to flowsheet view.
The template will display the following services:
McKesson Specialty Health. All rights reserved.
for the following diagnoses now represent current Pathway treatment options:
Surgical Note. A new
iKnowMed Super Users or Account Managers can
1.5 Problem List Tool
1.5.1 Additions
The following items are now available for documentation in the Problem List Tool and appear on the Charge Capture
Report (CCR).
Problem List Term
Granulosa cell tumor
Granulosa cell-theca cell tumor
Malignant neoplasm without specification of site;
disseminated
1.5.2 Problem Terms No Longer Available
The following term is no longer available in the
• Agammaglobulinemia
2. New Orders
2.1 Additions
• PET/CT with Sodium Floride-18 (PET/CT NaF
• Gynecology Oncologist Consult
3. Directives & Considerations
3.1 Insurance Alert
The following selections are added to the
• Indigent patient
• Mail order prescriptions
• Medicare only
• Patient has a pre-existing clause
3.2 Special Clinical Considerations
The following selections are added to the Special clinical considerations
• Deaf
• Dementia
3.3 Allergies The following service is added to Allergies
• Monocryl sutures
5 Copyright © 2013 McKesson Specialty Health. All rights reserved
available for documentation in the Problem List Tool and appear on the Charge Capture
CCR Display (ICD9 Code)
Granulosa cell tumor 236.2
Granulosa cell-theca cell tumor 236.2
Malignant neoplasm without specification of site; Malignant neoplasm without specification of site;
disseminated 199.0
Problem Terms No Longer Available
no longer available in the Problem List Tool:
18 (PET/CT NaF-18)
Directives & Considerations
are added to the Insurance alert:
onsiderations
Special clinical considerations:
s:
McKesson Specialty Health. All rights reserved.
available for documentation in the Problem List Tool and appear on the Charge Capture
236.2
Malignant neoplasm without specification of site;
4. Medications
4.1 FDB Drug Update
The iKnowMed drug library is updated with First Data Bank’s (FDB) most recent drug information. Inactivated drugs
are replaced with active drugs when appropriate in all regimen templates. Regimens already in charts are not
changed. Attempting to chart on inactivated drugs will display one of the prompts below. Follow the instructions in
the prompt to continue with your order. The alerts are as follows:
1. “The generic drug is no longer available. Please create a new order."
2. "This brand has been discontinued. Do you want to prescribe the generic drug?"
3. "The database has been updated. Please click OK to order the alternative: [alternative drug]"
4.2 Additions
• INCB024360 invest, po solid
• INCB024360 invest or placebo, po solid
• Chlorella, po solid
• OraSoothe Oral Rinse, po liq
• Eagle-BDM invest, inj
• Eagle-BDM invest or placebo, inj
• Teva-BDM, invest, inj
• Teva-BDM, invest or placebo, inj
• T-VEC invest, inj
• Talimogene laherparepvec invest, inj
• Palbociclib invest, po solid
• Palbociclib invest or placebo, po solid
• Niraparib invest, po solid
• Niraparib invest or placebo, po solid
• MSB0010718C invest, inj
• MSB0010718C invest or placebo, inj
• Tbo-filgrastim, syringe
• Axitinib or placebo, po solid
• Topical for neuropathic pain with a large inflammatory compone
• Omeprazole magnesium, po solid [supplied by sponsor]
4.3 Updates
• DCDS4501A invest, inj: 1.0 mg/kg, 1.5 mg/kg, 2.0 mg/kg
• Exemestane, po solid [supplied by sponsor]:
• Mekinist, po solid: 1 mg Tablet(s) is no longer an available form
• Topical for Radiation Inflammation & Musculoskeletal, Top; added additional instructions
Baclofen 2%, Bupivacaine 1%, gabapentin 6%, Pentoxifylline 5%, Ibuprofen 3%
Capsule(s) and 80 mg Capsule(s) are
• Trastuzumab, inj: route IT-Ommaya is now available
• XL184 invest or placebo, po solid: 20 mg Capsule(s)
6 Copyright © 2013 McKesson Specialty Health. All rights reserved
The iKnowMed drug library is updated with First Data Bank’s (FDB) most recent drug information. Inactivated drugs
are replaced with active drugs when appropriate in all regimen templates. Regimens already in charts are not
ed. Attempting to chart on inactivated drugs will display one of the prompts below. Follow the instructions in
the prompt to continue with your order. The alerts are as follows:
“The generic drug is no longer available. Please create a new order."
and has been discontinued. Do you want to prescribe the generic drug?"
"The database has been updated. Please click OK to order the alternative: [alternative drug]"
INCB024360 invest or placebo, po solid
cebo, po solid
Topical for neuropathic pain with a large inflammatory component, top
Omeprazole magnesium, po solid [supplied by sponsor]
1.0 mg/kg, 1.5 mg/kg, 2.0 mg/kg are now available amounts
Exemestane, po solid [supplied by sponsor]: blinded capsule(s) is now an available form
is no longer an available form
Topical for Radiation Inflammation & Musculoskeletal, Top; added additional instructions
Baclofen 2%, Bupivacaine 1%, gabapentin 6%, Pentoxifylline 5%, Ibuprofen 3%XL184 invest, po solid:
now available forms
is now available
20 mg Capsule(s) and 80 mg Capsule(s) are now available forms
McKesson Specialty Health. All rights reserved.
The iKnowMed drug library is updated with First Data Bank’s (FDB) most recent drug information. Inactivated drugs
are replaced with active drugs when appropriate in all regimen templates. Regimens already in charts are not
ed. Attempting to chart on inactivated drugs will display one of the prompts below. Follow the instructions in
"The database has been updated. Please click OK to order the alternative: [alternative drug]"
Topical for Radiation Inflammation & Musculoskeletal, Top; added additional instructions - Diclofenac 3%,
XL184 invest, po solid: 20 mg
now available forms
5. Regimens
This section does not include clinical trial regimens.
5.1 Updates
Regimens for the following diagnoses have been updated based on the Collaborative Care Committee voting. Changes
include but are not limited to reference update, drug infusion instruction updates, renaming of regimens,
premedication template updates and number of cycles.
• LMWH (All Diagnoses)
• MAID (Soft Tissue Sarcoma)
5.2 Additions
The following regimens were added to the Regimen Library:
Regimen Name
Fluorouracil (CIV) + Leucovorin + Oxaliplatin +
Irinotecan (FOLFOXIRI)
Capecitabine + Bevacizumab
Irinotecan + Oxaliplatin (IROX)
Ferric Carboxymaltose (Injectafer)
Tbo-filgrastim (Granix)
Liposomal cytarabine (DepoCyt)
Liposomal Vincristine (Marqibo)
6. Clinical Trials
6.1 Updates
The USON Clinical Trials listed in the table below are updated:
USON 12160 Sotatercept Q21D
USON 12160 Extension Period Sotatercept Q21D
USON 13053 BBI608 (PO daily) + Paclitaxel (D3,10,17) Q28D
USON 08223 Trastuzumab + Vinorelbine +
or Placebo
7 Copyright © 2013 McKesson Specialty Health. All rights reserved
trial regimens.
Regimens for the following diagnoses have been updated based on the Collaborative Care Committee voting. Changes
include but are not limited to reference update, drug infusion instruction updates, renaming of regimens,
e updates and number of cycles.
The following regimens were added to the Regimen Library:
Diagnosis
Fluorouracil (CIV) + Leucovorin + Oxaliplatin + Colon Cancer, Rectal Cancer
Colon Cancer, Rectal Cancer
Colon Cancer, Rectal Cancer
Iron Deficiency Anemia
All Diagnoses
Lymphoma, Non-Hodgkins
Acute Lymphoblastic Leukemia
listed in the table below are updated:
Updated Reference Information
Updated Drug Service Order
Updated Regimen Instructions
Other Changes
X X X
USON 12160 Extension Period Sotatercept Q21D X X X
USON 13053 BBI608 (PO daily) + Paclitaxel (D3,10,17) Q28D X
USON 08223 Trastuzumab + Vinorelbine + Everolimus (PO) X X
McKesson Specialty Health. All rights reserved.
Regimens for the following diagnoses have been updated based on the Collaborative Care Committee voting. Changes
include but are not limited to reference update, drug infusion instruction updates, renaming of regimens,
Updated Reference Information
Updated Drug Service Order Information
Updated Regimen Instructions
Other Changes
USON 12120 BKM120 or Placebo (PO) + Fulvestrant
USON 11027 BKM120 or Placebo (PO) + Paclitaxel (D1,8,15,22)
Q28D
USON 11278 (Cycle 1) Fulvestrant (D1,15) + BKM120 or
Placebo (D15+)
USON 11278 (Cycle 2+) Fulvestrant (D1) + BKM120 or Placebo
(Daily) Q28D
USON 12073 Phase 2 Arm A Everolimus (PO) Lead
USON 12073 Phase 2 Arm A Everolimus (PO) + BNC105P
(D1,8) Q21D
USON 12073 Phase 2 Arm B Everolimus (PO) Daily
USON 12073 Phase 2 Arm B BNC105P Monotherapy
6.2 Additions
This release includes additional USON Clinical Trial regimens based on information published by the USON Research
Department's Weekly Regulatory Memorandums and Site Approval Notifications for participatin
regimens are created and clinical trial screening in the physician note templates has been updated.
7. Charge Capture
7.1 ICD-9 Codes
The following Problem List terms have been updated capture the ICD
• Atypical fibroxanthoma 238.1
• Goodpasture’s syndrome 446.21
• Hypercalcemia of malignancy 275.42
• Malignant lymphoma, lymphoplasmacytic 200.80
• Myelodysplasia 238.75
7.2 HCPCS and CPT Code Updates
• Belatacept, inj Nulojix, inj – Captures
• Liposomal doxorubicin – The description that prints on the
text (in italics): Q 2050 Doxorubicin hcl, Liposomal, inj 10 mg
8 Copyright © 2013 McKesson Specialty Health. All rights reserved
Updated Reference Information
Updated Drug Service Order
Updated Regimen Instructions
Other Changes
USON 12120 BKM120 or Placebo (PO) + Fulvestrant X X
USON 11027 BKM120 or Placebo (PO) + Paclitaxel (D1,8,15,22) X X
USON 11278 (Cycle 1) Fulvestrant (D1,15) + BKM120 or X X X
2+) Fulvestrant (D1) + BKM120 or Placebo X X X
USON 12073 Phase 2 Arm A Everolimus (PO) Lead-In X X
USON 12073 Phase 2 Arm A Everolimus (PO) + BNC105P X X
USON 12073 Phase 2 Arm B Everolimus (PO) Daily X X
Phase 2 Arm B BNC105P Monotherapy X X
This release includes additional USON Clinical Trial regimens based on information published by the USON Research
Department's Weekly Regulatory Memorandums and Site Approval Notifications for participatin
regimens are created and clinical trial screening in the physician note templates has been updated.
The following Problem List terms have been updated capture the ICD-9 codes indicated:
Malignant lymphoma, lymphoplasmacytic 200.80
HCPCS and CPT Code Updates
aptures J0485 per 1 mg
he description that prints on the CCR has been updated to include the following new
Doxorubicin hcl, Liposomal, inj 10 mg (Commercial payors may use J9002)
McKesson Specialty Health. All rights reserved.
Updated Reference Information
Updated Drug Service Order Information
Updated Regimen Instructions
Other Changes
This release includes additional USON Clinical Trial regimens based on information published by the USON Research
Department's Weekly Regulatory Memorandums and Site Approval Notifications for participating customers. New
regimens are created and clinical trial screening in the physician note templates has been updated.
has been updated to include the following new
rcial payors may use J9002)
8. Labs and Panels
8.1 Additions
• Citrobacter koseri sensitivity
• Fresh frozen plasma panel
• HIV rapid test
• Interleukin-2 receptor soluble
• Lower respiratory culture panel
• Lyme antibodies, IgG/IgM, TV
• Macrophage, perionteal fluid
• Plasma cell, peritoneal fluid
8.2 Updates
• ABG panel
• Platelet aggegration panel
• CBC w/ man diff: Extra red top is added to Instructions
• CBC w/ auto diff: Extra red top is added to Instr
• Complete blood count without differential:
9 Copyright © 2013 McKesson Specialty Health. All rights reserved
• Other cell, peritoneal fluid
• Patient antigen information
• PFA screen, Epinephrine
• Protein S deficiency profile
• Reference lab panel
• Vancomycin dose finish time
• Vancomycin dose start time
Extra red top is added to Instructions
Extra red top is added to Instructions
Complete blood count without differential: Extra red top is added to Instructions
McKesson Specialty Health. All rights reserved.
Appendix A: Brand Name Drug
Drug Name
Acetaminophen
Acetaminophen
Acetaminophen, drops
Acetaminophen, drops
Acetaminophen, po solid
Acetaminophen/chlorpheniramine, po solid
Acetaminophen/dp-hydramine, po solid
Alfentanil hcl, inj
Aluminum hydroxide, top
Antihemophilic factor, hum rec, kit
Antihemophilic factor, human, kit
Antipyrine/benzocaine, drops
Aspirin, po solid
Aspirin/acetaminophen/caffeine, po solid
Aspirin/calcium carbonate/mag, po solid
Benazepril hcl, po solid
Benazepril/hydrochlorothiazide, po solid
Bromfenac sodium, drops Butalb/acetaminophen/caffeine, po solid
Butalbital/acetaminophen, po solid
Butalbital/acetaminophen, po solid
Calcium carb & lact/vitamin d3, po solid
Calcium carbonate/vitamin d3, po solid
Calcium carbonate/vitamin d3, po solid
Chloroquine phosphate, po solid
Clotrimazole, top
Clotrimazole, top
Cyanocobalamin/fa/pyridoxine, po solid
D-methorphan/acetamin/doxylamn
D-methorphan/pe/acetaminophen
D-methorphan/pe/acetaminophen, po solid
10 Copyright © 2013 McKesson Specialty Health. All rights reserved
: Brand Name Drug Inactivation’s
Removed Brand Name
Child triaminic fever reducer (acetaminophen)
Infant triaminic fever reducer (acetaminophen)
Infant's acetaminophen, drops (acetaminophen)
Silapap, drops (acetaminophen)
Genapap, po solid (acetaminophen)
chlorpheniramine, po solid Coricidin, po solid (acetaminophen/chlorpheniramine)
Excedrin pm, po solid (acetaminophen/dp
Alfentanil hydrochloride, inj (alfentanil hcl)
Dermadrox, top (aluminum hydroxide)
Refacto, kit (antihemophilic factor, hum rec)
Koate-dvi, kit (antihemophilic factor, human)
Aurax, drops (antipyrine/benzocaine)
Halfprin, po solid (aspirin)
Aspirin/acetaminophen/caffeine, po solid Excedrin menstrual complete, po solid (aspirin/acetaminophen/caffeine)
Aspirin/calcium carbonate/mag, po solid Bufferin, po solid (aspirin/calcium carbonate/mag)
Lotensin, po solid (benazepril hcl)
Benazepril/hydrochlorothiazide, po solid Lotensin hct, po solid (benazepril/hydrochlorothiazide)
Bromday, drops (bromfenac sodium) Butalb/acetaminophen/caffeine, po solid Orbivan, po solid (butalb/acetaminophen/caffeine)
Bupap, po solid (butalbital/acetaminophen)
Orbivan cf, po solid (butalbital/acetaminophen)
Calcet, po solid (calcium carb & lact/vitamin d3)
Calcarb 600 with vitamin d, po solid (calcium carbonate/vitamin d3)
Oysco 500+d, po solid (calcium carbonate/vitamin d3)
Aralen phosphate, po solid (chloroquine phosphate)
Desenex, top (clotrimazole)
Gyne-lotrimin, top (clotrimazole)
/pyridoxine, po solid Folastin, po solid (cyanocobalamin/fa/pyridoxine)Delsym nighttime multi-symptom (d-methorphan/acetamin/doxylamn) Theraflu severe cold & cough (d-methorphan/pe/acetaminophen)
methorphan/pe/acetaminophen, po solid Comtrex cold & cough, po solid (d-methorphan/pe/acetaminophen)
McKesson Specialty Health. All rights reserved.
Removed Brand Name
Child triaminic fever reducer (acetaminophen)
Infant triaminic fever reducer (acetaminophen)
Infant's acetaminophen, drops (acetaminophen)
Coricidin, po solid (acetaminophen/chlorpheniramine)
Excedrin pm, po solid (acetaminophen/dp-hydramine)
Alfentanil hydrochloride, inj (alfentanil hcl)
Refacto, kit (antihemophilic factor, hum rec)
dvi, kit (antihemophilic factor, human)
solid (aspirin/calcium carbonate/mag)
Lotensin hct, po solid (benazepril/hydrochlorothiazide)
Orbivan, po solid (butalb/acetaminophen/caffeine)
Bupap, po solid (butalbital/acetaminophen)
/acetaminophen)
Calcet, po solid (calcium carb & lact/vitamin d3) Calcarb 600 with vitamin d, po solid (calcium
Oysco 500+d, po solid (calcium carbonate/vitamin d3)
Aralen phosphate, po solid (chloroquine phosphate)
Folastin, po solid (cyanocobalamin/fa/pyridoxine)
D-methorphan/pe/dexbromphenir, po liq
Dextran 70/hypromellose, drops
Dextromethorphan hbr, po liq
Diltiazem hcl, po solid SR
Diphenhydra/phenyleph/acetamin
Diphenhydra/phenyleph/acetamin
Dm hb/pe/acetaminophen/chlorph, po solid
Dm hb/pe/acetaminophen/chlorph, po solid
Docosahexanoic acid, po solid
Fat emulsions
Fexofenadine hcl
Flecainide acetate, po solid
Flu vacc qs 2013-14(36mos+)/pf, inj
Flu vacc qs 2013-14(36mos+)/pf, syringe
Flu vaccine 2013(6-35mos)/pf, syringe
Folic acid/vit bcomp&c/cu/znox, po solidGlucagon,human recombinant, kit
Glycerin/witch hazel leaf
Guaifen/phenyleph/acetaminophn
Guaifenesin
Guaifenesin
Guaifenesin, po solid
Guaifenesin/d-methorphan hb/pe Guaifenesin/d-methorphan hb/pe
Guaifenesin/d-methorphan hb/pe, po liq
Guaifenesin/dextromethorphan
Guaifenesin/dextromethorphan Guaifenesin/dm/pseudoephedrine, po liq
Hepatitis b virus vaccine/pf, inj
Hepatitis b virus vaccine/pf, syringe
Hydrocodone bit/acetaminophen, po solid
Hydrocortisone, top
Hydroquinone, top
Hydroquinone, top
Hydroquinone/ferric oxide, top
Iron polysaccharides complex, po solid
Levothyroxine sodium, po solid
11 Copyright © 2013 McKesson Specialty Health. All rights reserved
methorphan/pe/dexbromphenir, po liq Panatuss dxp, po liq (d-methorphan/pe/dexbromphenir)
Akwa tears renewed, drops (dextran 70/hypromellose)
Triaminic, po liq (dextromethorphan hbr)
Diltia xt, po solid sr (diltiazem hcl)
Theraflu (diphenhydra/phenyleph/acetamin)
Theraflu warming relief (diphenhydra/phenyleph/acetamin)
Dm hb/pe/acetaminophen/chlorph, po solid Comtrex cold-cough day-night, po solid (dm hb/pe/acetaminophen/chlorph)
Dm hb/pe/acetaminophen/chlorph, po solid Comtrex cold-cough nighttime, po solid (dm hb/pe/acetaminophen/chlorph)
Prenatal dha, po solid (docosahexanoic acid)
Liposyn ii (fat emulsions)
Allegra odt (fexofenadine hcl)
Tambocor, po solid (flecainide acetate)
Fluzone 2013-2014, inj (flu vacc qs 2013-14(36mos+)/pf)
14(36mos+)/pf, syringe Fluzone 2013-2014, syringe (flu vacc qs 2013Fluzone pedi 2013-2014, syringe (flu vaccine 2013(635mos)/pf)
Folic acid/vit bcomp&c/cu/znox, po solid Diatx zn, po solid (folic acid/vit bcomp&c/cu/znox)Glucagen, kit (glucagon,human recombinant)
Peries 40 pads (glycerin/witch hazel leaf)
Theraflu (guaifen/phenyleph/acetaminophn)
Buckley's chest congest mix (guaifenesin)
Children's mucinex (guaifenesin)
Diabetic tussin ex, po solid (guaifenesin)
Bio-tussi (guaifenesin/d-methorphan hb/pe)Bio-tussi pediatric (guaifenesin/d-methorphan hb/pe)
methorphan hb/pe, po liq Broncotron-d, po liq (guaifenesin/d-methorphan hb/pe)
Broncotron (guaifenesin/dextromethorphan)
Recofen d (guaifenesin/dextromethorphan)/dm/pseudoephedrine, po liq Entre-cough, po liq (guaifenesin/dm/pseudoephedrine)
Engerix-b, inj (hepatitis b virus vaccine/pf)
Engerix-b, syringe (hepatitis b virus vaccine/pf)
Hydrocodone bit/acetaminophen, po solid Co-gesic, po solid (hydrocodone bit/acetaminophen)
Itch-x hc, top (hydrocortisone)
Eldoquin forte, top (hydroquinone)
Eldoquin, top (hydroquinone)
Eldopaque forte, top (hydroquinone/ferric oxide)
Pic 200, po solid (iron polysaccharides complex)
Levothroid, po solid (levothyroxine sodium)
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methorphan/pe/dexbromphenir)
tears renewed, drops (dextran 70/hypromellose)
Triaminic, po liq (dextromethorphan hbr)
acetamin)
Theraflu warming relief (diphenhydra/phenyleph/acetamin) night, po solid (dm
cough nighttime, po solid (dm
Prenatal dha, po solid (docosahexanoic acid)
14(36mos+)/pf)
2014, syringe (flu vacc qs 2013-14(36mos+)/pf) 2014, syringe (flu vaccine 2013(6-
Diatx zn, po solid (folic acid/vit bcomp&c/cu/znox) glucagon,human recombinant)
Theraflu (guaifen/phenyleph/acetaminophn)
methorphan hb/pe) methorphan hb/pe)
methorphan hb/pe)
Broncotron (guaifenesin/dextromethorphan)
Recofen d (guaifenesin/dextromethorphan) cough, po liq (guaifenesin/dm/pseudoephedrine)
b, inj (hepatitis b virus vaccine/pf)
b, syringe (hepatitis b virus vaccine/pf)
gesic, po solid (hydrocodone bit/acetaminophen)
Eldopaque forte, top (hydroquinone/ferric oxide)
Pic 200, po solid (iron polysaccharides complex)
Levothroid, po solid (levothyroxine sodium)
Lomustine, po solid
Loratadine, po solid
Loxapine succinate, po solid Magnesium salicylate, po solid
Menthol, po solid
Menthol, top Methylprednisolone sod succ, inj
Metoprolol tartrate, po solid
Metoprolol/hydrochlorothiazide, po solid
Miconazole nitrate, aero
Milk based formula/corn starch
Morphine sulfate/pf, inj
Multivitamin w/iron, minerals, po solid
Multivitamin with minerals, po solid
Multivitamin, po solid
Multivitamin/iron/folic acid, po solid
Multivitamins with iron, po solid Mv,iron,min/fa/dietary cmb.24, po solid
Nicotine polacrilex, po solid
Nifedipine, po solid SR
Norethindrone, po solid
Nut.tx.glucose intolerance,soy
Nutritional supplement
Om-3/dha/epa/b12/fa/b6/phytost, po solid
Opium tincture
Oxymetazoline hcl
Pentoxifylline, po solid SR
Petrolat,wht/min oil/sod chl, top
Phenazopyridine hcl, po solid
Phenylephrine hcl
Phenylephrine hcl/acetaminophn, po solid
Phenylephrine/acetaminophen/cp, po solid
Phenylephrine/acetaminophen/cp, po solid
Phenylephrine/acetaminophen/cp, po solid
12 Copyright © 2013 McKesson Specialty Health. All rights reserved
Ceenu, po solid (lomustine)
Alavert, po solid (loratadine)
Loxitane, po solid (loxapine succinate) Doan's extra strength, po solid (magnesium salicylate)
Cough drops, po solid (menthol)
Berri-freez, top (menthol) A-methapred, inj (methylprednisolone sod succ)
Lopressor, po solid (metoprolol tartrate)
/hydrochlorothiazide, po solid Lopressor hct, po solid (metoprolol/hydrochlorothiazide)
Cruex, aero (miconazole nitrate)
Resource dairy thick (milk based formula/corn starch)
Morphine sulfate, inj (morphine sulfate/pf)
Complete multivitamin, po solid (multivitamin w/iron, minerals)
Super vikaps, po solid (multivitamin with minerals)
Daily diet support, po solid (multivitamin)
Sentry perform, po solid (multivitamin/iron/folic acid)
Chewable multivitamin w-iron, po solid (multivitamins withiron)
Mv,iron,min/fa/dietary cmb.24, po solid Super multiple, po solid (mv,iron,min/fa/dietary cmb.24)
Nicorelief, po solid (nicotine polacrilex)
Nifediac cc, po solid sr (nifedipine)
Micronor, po solid (norethindrone)
Glucerna hunger smart (nut.tx.glucose intolerance,soy)
Boost breeze (nutritional supplement)
3/dha/epa/b12/fa/b6/phytost, po solid Mi-omega nf, po solid (om-3/dha/epa/b12/fa/b6/phytost)
Opium (opium tincture)
Mucinex (oxymetazoline hcl)
Trental, po solid SR (pentoxifylline)
Dry eyes, top (petrolat,wht/min oil/sod chl)
Re-azo, po solid (phenazopyridine hcl)
4 way (phenylephrine hcl)
Phenylephrine hcl/acetaminophn, po solid Excedrin sinus headache, po solid (phenylephrine hcl/acetaminophn)
/acetaminophen/cp, po solid Comtrex flu therapy, po solid (phenylephrine/acetaminophen/cp)
Phenylephrine/acetaminophen/cp, po solid Comtrex severe cold-sinus, po solid (phenylephrine/acetaminophen/cp)
Phenylephrine/acetaminophen/cp, po solid Effervescent cold relief, po solid (phenylephrine/acetaminophen/cp)
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Doan's extra strength, po solid (magnesium salicylate)
methapred, inj (methylprednisolone sod succ)
Lopressor hct, po solid (metoprolol/hydrochlorothiazide)
Resource dairy thick (milk based formula/corn starch)
Morphine sulfate, inj (morphine sulfate/pf) Complete multivitamin, po solid (multivitamin w/iron,
Super vikaps, po solid (multivitamin with minerals)
Daily diet support, po solid (multivitamin)
Sentry perform, po solid (multivitamin/iron/folic acid)
iron, po solid (multivitamins with
Super multiple, po solid (mv,iron,min/fa/dietary cmb.24)
Glucerna hunger smart (nut.tx.glucose intolerance,soy)
3/dha/epa/b12/fa/b6/phytost)
/min oil/sod chl)
Excedrin sinus headache, po solid (phenylephrine
Phenylephrine/chlorpheniramine, drops
Phenylephrine/diphenhydramine
Phenylephrine/diphenhydramine
Phenylephrine/diphenhydramine
Phenylephrine/shk lv/mo/pet,wh, top
Pnv,ca42/iron/fa/lmefol ca/dha, po solid
Pnv106/iron/fa/om3/dha/epa
Pnv66/iron fumarate/fa/dss/dha, po solid
Pseudoephedrine/brompheniramin, drops
Psyllium seed
Psyllium seed
Psyllium seed (with dextrose)
Risperidone
Salicylic acid, top
Simethicone, drops
Sodium chloride, drops
Sodium ferric gluconat/sucrose, inj
Teniposide, inj
Thyroid,pork, po solid
Thyroid,pork, po solid
Vitamin e, po solid
Appendix B: Generic Drug Inactivations
Enfuvirtide, kit
Guaifenesin/acetaminophen
Hydromorphone hcl/pf, syringe
Inulin
Multivitamins with iron, drops
Nut. tx for pku, #8, po solid
Sodium bicarbonate/sodium cit
13 Copyright © 2013 McKesson Specialty Health. All rights reserved
Phenylephrine/chlorpheniramine, drops Trigofen, drops (phenylephrine/chlorpheniramine)
Child delsym nighttime c-c (phenylephrine/diphenhydramine) Delsym nighttime cough-cold (phenylephrine/diphenhydramine)
Zoden pd (phenylephrine/diphenhydramine)
Preparation h, top (phenylephrine/shk lv/mo/pet,wh)
Pnv,ca42/iron/fa/lmefol ca/dha, po solid L-methylfolate pnv dha, po solid (pnv,ca42/iron/fa/lmefol ca/dha)
Duet dha (pnv106/iron/fa/om3/dha/epa)
Pnv66/iron fumarate/fa/dss/dha, po solid Prenexa, po solid (pnv66/iron fumarate/fa
Pseudoephedrine/brompheniramin, drops Tl-hist pd, drops (pseudoephedrine/brompheniramin)
Konsyl (psyllium seed)
Metamucil (psyllium seed)
Natural psyllium fiber (psyllium seed (with dextrose))
Risperidone m-tab (risperidone)
Rapid clear, top (salicylic acid)
Equalizer gas relief, drops (simethicone)
Children's saline, drops (sodium chloride)
Nulecit, inj (sodium ferric gluconat/sucrose)
Vumon, inj (teniposide)
Westhroid, po solid (thyroid,pork)
Westhroid-p, po solid (thyroid,pork)
Formula e, po solid (vitamin e)
: Generic Drug Inactivations
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Trigofen, drops (phenylephrine/chlorpheniramine)
Zoden pd (phenylephrine/diphenhydramine)
Preparation h, top (phenylephrine/shk lv/mo/pet,wh) methylfolate pnv dha, po solid (pnv,ca42/iron/fa/lmefol
Duet dha (pnv106/iron/fa/om3/dha/epa)
Prenexa, po solid (pnv66/iron fumarate/fa/dss/dha)
hist pd, drops (pseudoephedrine/brompheniramin)
seed (with dextrose))
Children's saline, drops (sodium chloride)
Nulecit, inj (sodium ferric gluconat/sucrose)