Medication Therapy Management

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1 Medication Therapy Management Drug & COPD & COPD, Other ATROVENT HFA cromolyn inhalation DALIRESP ORAL TABLET ipratropium bromide inhalation montelukast oral granules in packet montelukast oral tablet montelukast oral tablet,chewable Bronchodilators, Inhaled albuterol sulfate inhalation solution for nebulization 0.63 mg/3 ml, 1.25 mg/3 ml, 2.5 mg /3 ml (0.083 %), 5 mg/ml INCRUSE ELLIPTA SEREVENT DISKUS STRIVERDI RESPIMAT VENTOLIN HFA Bronchodilators, Oral albuterol sulfate oral theophylline oral tablet extended release 12 hr theophylline oral tablet extended release 24 hr 400 mg theophylline oral tablet extended release 600 mg Combination Agents, Inhaled ADVAIR DISKUS ADVAIR HFA ANORO ELLIPTA BREO ELLIPTA Preventive Preventive Preventive Preventive & COPD & COPD & COPD

2 COMBIVENT RESPIMAT DULERA fluticasone-salmeterol ipratropium-albuterol TRELEGY ELLIPTA Corticosteroids, Inhaled ARNUITY ELLIPTA ASMANEX HFA ASMANEX TWISTHALER INHALATION AEROSOL POWDR BREATH ACTIVATED 110 MCG (30 DOSES), 220 MCG (120 DOSES), 220 MCG (30 DOSES), 220 MCG (60 DOSES) Preventive Preventive budesonide inhalation FLOVENT DISKUS FLOVENT HFA PULMICORT FLEXHALER QVAR QVAR REDIHALER Behavioral Health Antipsychotic aripiprazole clozapine fluphenazine hcl oral concentrate fluphenazine hcl oral elixir fluphenazine hcl oral tablet haloperidol haloperidol lactate oral loxapine succinate olanzapine oral perphenazine quetiapine risperidone oral solution risperidone oral tablet risperidone oral tablet,disintegrating thioridazine

3 thiothixene trifluoperazine VERSACLOZ ziprasidone hcl Bipolar Disorder lithium carbonate lithium citrate oral solution 8 meq/5 ml Depression, Atypical Antidepressants bupropion hcl mirtazapine oral tablet Depression, MAOIS EMSAM phenelzine tranylcypromine Depression, Serotonin Modulators nefazodone trazodone Depression, SNRIS duloxetine oral capsule,delayed release(dr/ec) 20 mg, 30 mg, 60 mg venlafaxine oral capsule,extended release 24hr venlafaxine oral tablet Depression, SSRIS citalopram oral solution citalopram oral tablet escitalopram oxalate oral solution escitalopram oxalate oral tablet fluoxetine oral capsule fluoxetine oral solution fluvoxamine oral tablet paroxetine hcl oral tablet PAXIL ORAL SUSPENSION sertraline oral concentrate sertraline oral tablet Depression, Tricyclic & Tetracyclic Antidepressants amitriptyline clomipramine desipramine doxepin oral capsule doxepin oral concentrate imipramine hcl nortriptyline Depression Depression

4 Blood Thinner ELIQUIS enoxaparin fondaparinux heparin (porcine) injection cartridge heparin (porcine) injection solution heparin (porcine) injection syringe 5,000 unit/ml heparin, porcine (pf) injection syringe jantoven PRADAXA warfarin XARELTO Platelet Inhibitors aspirin-dipyridamole BRILINTA cilostazol clopidogrel oral tablet 75 mg dipyridamole oral prasugrel Corticosteroids Corticosteroids, Oral hydrocortisone oral MEDROL ORAL TABLET 2 MG methylprednisolone MILLIPRED ORAL TABLET prednisolone oral solution 15 mg/5 ml prednisolone sodium phosphate oral solution 15 mg/5 ml (3 mg/ml), 5 mg base/5 ml (6.7 mg/5 ml) Preventive & Preventive & Preventive & Preventive Preventive PREDNISONE INTENSOL prednisone oral solution prednisone oral tablet prednisone oral tablets,dose pack Diabetes Supplies Diabetes Supplies, Other ACCU-CHEK AVIVA SOLUTION ACCU-CHEK COMPACT BLUE CONTROL ACCU-CHEK COMPACT PLUS CONTROL ACCU-CHEK FASTCLIX

5 ACCU-CHEK FASTCLIX KIT ACCU-CHEK MULTICLIX LANCET ACCU-CHEK MULTICLIX LANCET KIT ACCU-CHEK SMARTVIEW CONTRL SOL ACCU-CHEK SOFT DEV LANCETS ACCU-CHEK SOFTCLIX LANCETS CHEMSTRIP K CHEMSTRIP UGK DEXCOM G4 TRANSMITTER KIT DEXCOM G5 TRANSMITTER KIT DEXCOM G5-G4 SENSOR KIT MOBILE/PLATINUM DIASTIX REAGENT STRIPS FREESTYLE LIBRE READER FREESTYLE LIBRE SENSOR KETOSTIX REAGENT STRIPS ONETOUCH DELICA LANCING DEV ONETOUCH SURESOFT LANCING DEV SOFT TOUCH LANCETS SOFTCLIX LANCET DEVICE TRUE METRIX LEVEL 1 TRUE METRIX LEVEL 2 TRUE METRIX LEVEL 3 TRUEPLUS KETONE TEST STRIPS TRUETEST CONTROL SOLN HIGH TRUETEST CONTROL SOLN NORMAL TRUETEST CONTROL SOLUTION LOW VGO 20 VGO 30 VGO 40 Test Strips & Meters ACCU-CHEK AVIVA CONNECT METER ACCU-CHEK AVIVA PLUS METER ACCU-CHEK AVIVA PLUS TEST STRP ACCU-CHEK COMPACT PLUS STRIPS 3 TEST DRUMS ACCU-CHEK GUIDE MONITOR SYSTEM ACCU-CHEK GUIDE TEST STRIP ACCU-CHEK NANO ACCU-CHEK SMARTVIEW TEST STRIP TRUE METRIX AIR GLUCOSE METER HRI TRUE METRIX GLUCOSE METER TRUE METRIX GLUCOSE TEST STRIP TRUE METRIX GLUCOSE TEST STRIP

6 TRUE METRIX GLUCOSE TEST STRIP STRIP TRUETEST TEST STRIPS Diabetes Diabetes, Alpha-Glucosidase Inhibitors acarbose miglitol Diabetes, Biguanides metformin oral tablet metformin oral tablet extended release 24 hr Diabetes, Dpp-4 Inhibitor / Biguanide Combinations JENTADUETO JENTADUETO XR Diabetes, Dpp-4 Inhibitors TRADJENTA Diabetes, Glp-1 Agonists BYDUREON BYDUREON BCISE BYETTA TRULICITY VICTOZA 2-PAK VICTOZA 3-PAK Diabetes, Intermediate-Acting Insulins HUMULIN N NPH INSULIN KWIKPEN HUMULIN N NPH U-100 INSULIN Diabetes, Long-Acting Insulins BASAGLAR KWIKPEN U-100 INSULIN LEVEMIR FLEXTOUCH U-100 INSULN LEVEMIR U-100 INSULIN Diabetes, Meglitinides nateglinide repaglinide Diabetes, Other Oral Agents CYCLOSET Diabetes, Pre-Mixed Insulins HUMALOG MIX INSULN U-100 HUMALOG MIX KWIKPEN HUMALOG MIX KWIKPEN HUMALOG MIX 75-25(U-100)INSULN HUMULIN 70/30 U-100 INSULIN HUMULIN 70/30 U-100 KWIKPEN Diabetes, Rapid-Acting Insulins

7 HUMALOG JUNIOR KWIKPEN U-100 HUMALOG KWIKPEN INSULIN HUMALOG U-100 INSULIN Diabetes, Rescue Agents GLUCAGEN GLUCAGEN HYPOKIT GLUCAGON EMERGENCY KIT (HUMAN) Diabetes, Sglt2 Inhibitor / Biguanide Combinations INVOKAMET INVOKAMET XR SYNJARDY SYNJARDY XR Diabetes, Sglt2 Inhibitors INVOKANA JARDIANCE Diabetes, Short-Acting Insulins HUMULIN R REGULAR U-100 INSULN HUMULIN R U-500 (CONC) INSULIN HUMULIN R U-500 (CONC) KWIKPEN Diabetes, Sulfonylurea / Biguanide Combination glipizide-metformin Diabetes, Sulfonylureas glimepiride glipizide oral tablet glipizide oral tablet extended release 24hr Diabetes, Thiazolidinedione / Biguanide Combinations pioglitazone-metformin Diabetes, Thiazolidinedione / Sulfonylurea Combinations pioglitazone-glimepiride Diabetes, Thiazolidinediones pioglitazone Heart Health Angina ISORDIL isosorbide dinitrate oral isosorbide mononitrate oral tablet isosorbide mononitrate oral tablet extended release 24 hr NITRO-BID NITRO-DUR TRANSDERMAL PATCH 24 HOUR 0.3 MG/HR, 0.8 MG/HR nitroglycerin sublingual nitroglycerin transdermal patch 24 hour

8 Blood Pressure, ACEI & ARB amlodipine-benazepril amlodipine-valsartan amlodipine-valsartan-hcthiazid benazepril benazepril-hydrochlorothiazide captopril captopril-hydrochlorothiazide enalapril maleate enalapril-hydrochlorothiazide fosinopril fosinopril-hydrochlorothiazide irbesartan irbesartan-hydrochlorothiazide lisinopril lisinopril-hydrochlorothiazide losartan losartan-hydrochlorothiazide moexipril moexipril-hydrochlorothiazide perindopril erbumine quinapril quinapril-hydrochlorothiazide ramipril trandolapril valsartan valsartan-hydrochlorothiazide Blood Pressure, Beta Blockers atenolol atenolol-chlorthalidone bisoprolol fumarate bisoprolol-hydrochlorothiazide carvedilol carvedilol phosphate labetalol oral metoprolol succinate metoprolol ta-hydrochlorothiaz metoprolol tartrate oral tablet 100 mg, 25 mg, 50 mg nadolol propranolol oral capsule,extended release 24 hr propranolol oral solution propranolol oral tablet

9 propranolol-hydrochlorothiazid Blood Pressure, Calcium Channel Blockers amlodipine amlodipine-benazepril amlodipine-valsartan amlodipine-valsartan-hcthiazid cartia xt diltiazem hcl oral capsule,ext.rel 24h degradable diltiazem hcl oral capsule,extended release 24 hr diltiazem hcl oral capsule,extended release 24hr 120 mg, 180 mg, 240 mg, 300 mg diltiazem hcl oral tablet dilt-xr oral capsule,ext.rel 24h degradable 120 mg, 180 mg nifedipine oral tablet extended release nifedipine oral tablet extended release 24hr taztia xt verapamil oral capsule,ext rel. pellets 24 hr verapamil oral tablet verapamil oral tablet extended release Blood Pressure, Other clonidine clonidine hcl oral tablet doxazosin guanfacine oral tablet hydralazine oral methyldopa minoxidil oral prazosin reserpine terazosin Cholesterol Lowering, Bile Acid Resins cholestyramine (with sugar) cholestyramine light colestipol oral tablet prevalite Cholesterol Lowering, Other ezetimibe Cholesterol Lowering, Statins atorvastatin lovastatin pravastatin rosuvastatin

10 simvastatin Diuretics ALDACTAZIDE ORAL TABLET MG amiloride amiloride-hydrochlorothiazide bumetanide oral chlorothiazide chlorthalidone oral tablet 25 mg, 50 mg DIURIL eplerenone furosemide oral solution 10 mg/ml, 40 mg/5 ml (8 mg/ml) furosemide oral tablet hydrochlorothiazide indapamide metolazone spironolactone spironolacton-hydrochlorothiaz torsemide oral triamterene-hydrochlorothiazid Triglyceride Lowering fenofibrate micronized oral capsule 134 mg, 200 mg, 67 mg fenofibrate nanocrystallized fenofibrate oral tablet 160 mg, 54 mg gemfibrozil omega-3 acid ethyl esters Antithyroid Agents methimazole oral tablet 10 mg, 5 mg propylthiouracil Agents levothyroxine oral liothyronine oral SYNTHROID

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