Table 2.
Therapeutic Interchange rules
| Trigger(s) | Recommended | Pre-checked |
|---|---|---|
| Statins | ||
| Crestor 40 mg tablet | atorvastatin 80 mg tablet | X |
| Crestor 20 mg tablet | atorvastatin 40 mg tablet | X |
| Crestor 10 mg tablet Livalo 4 mg tablet |
atorvastatin 20 mg tablet simvastatin 40 mg tablet pravastatin 80 mg tablet |
X |
| Crestor 5 mg tablet Livalo 2 mg tablet |
atorvastatin 10 mg tablet simvastatin 20 mg tablet pravastatin 40 mg tablet |
X |
| Livalo 1 mg tablet | pravastatin 20 mg tablet simvastatin 10 mg tablet |
X |
| Pravachol 80 mg tablet | pravastatin 80 mg tablet | X |
| Pravachol 40 mg tablet | pravastatin 40 mg tablet | X |
| Pravachol 20 mg tablet | pravastatin 20 mg tablet | X |
| Lipitor 80 mg tablet | atorvastatin 80 mg tablet | X |
| Lipitor 40 mg tablet | atorvastatin 40 mg tablet | X |
| Lipitor 20 mg tablet | atorvastatin 20 mg tablet | X |
| Lipitor 10 mg tablet | atorvastatin 10 mg tablet | X |
| Triptans | ||
| Axert 6.25 mg tablet Axert 12.5 mg tablet Maxalt 5 mg tablet Maxalt 10 mg tablet Maxalt-MLT 5 mg disintegrating tablet Maxalt-MLT 10 mg disintegrating tablet Relpax 20 mg tablet Relpax 40 mg tablet Zomig 2.5 mg tablet Zomig 5 mg tablet Zomig ZMT 2.5 mg disintegrating tablet Zomig ZMT 5 mg disintegrating tablet |
sumatriptan 25 mg tablet sumatriptan 50 mg tablet sumatriptan 100 mg tablet |
|
| Triptans | ||
| Imitrex 25 mg tablet Imitrex 50 mg tablet Imitrex 100 mg tablet rizatriptan 5 mg tablet rizatriptan 10 mg tablet rizatriptan 5 mg disintegrating tablet rizatriptan 10 mg disintegrating tablet |
||
| Frova 2.5 mg tablet Amerge 1 mg tablet Amerge 2.5 mg tablet |
naratriptan 1 mg tablet naratriptan 2.5 mg tablet |
|
| Zomig nasal spray Maxalt nasal spray Imitrex nasal spray |
sumatriptan 5 mg nasal spray sumatriptan 10 mg nasal spray |
|
| Proton-Pump Inhibitors | ||
| Nexium 20 mg tablet Nexium 40 mg tablet Aciphex 20 mg tablet Dexilant 30 mg tablet Dexilant 60 mg tablet Nexium Packet 10 mg oral suspension Nexium Packet 20 mg oral suspension Nexium Packet 40 mg oral suspension |
pantoprazole 20 mg tablet pantoprazole 40 mg tablet omeprazole 20 mg tablet omeprazole 40 mg tablet |
X |
| Nasal Steroids | ||
| Beconase AQ 42 mcg (0.042%) nasal spray QNASL 80 mcg/actuation nasal HFA inhaler Rhinocort 32 mcg/actuation nasal spray Veramyst 27.5 mcg/actuation nasal spray Nasonex 50 mcg/actuation spray Omnaris 50 mcg nasal spray Zetonna 37 mcg/actuation nasal HFA inhaler Nasacort AQ 55 mcg nasal spray aerosolflu triamcinolone acetonide 55 mcg nasal spray aerosol Flonase 50 mcg/actuation nasal spray |
fluticasone 50 mcg/actuation nasal spray, susp |
|