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Pdl_011908.xls

A
Drug Name

Generic Name
FSC Description
Adult Strength/Dose/Form
Restricted to DERM. Must have 'yellow sticker'.
A topical immune stimulator for warts. Restricted to Infections Disease, Dermatology, and OB/GYN departments. Reserved for immunocompromised patients and cases refractory to standard therapies.
Limit: 2 Inhalers or 50 vials neb sol per copay.
2nd line agent for Rheumatoid arthritis (RA) 250/125, 500/125, 875/125; 125/31.25, 200/28.5, 250/62.5, 400/57 CH; 125/31.25/5 mL, 200/28.5/5 mL, 250/62.5/5 mL, 2nd line agent. Must have tried/failed sulfasalazine B
Drug Name

Generic Name
FSC Description
Adult Strength/Dose/Form
Limit: 22 grams/copay. Note: ONLY stock ointment.
Limit: 80 grams oint/cream or 60mls lotion.
Limit: 80 grams oint/cream or 60mls lotion.
Generic (qty limited to 14 day treatment/30days) Restricted for patients who are not candidates for C
Drug Name

Generic Name
FSC Description
Adult Strength/Dose/Form
Restricted to ID/Ortho for pseudomonas specific or resistant organisms. For UTI's, Levaquin (levofloxacin) QL: 30 tablets per copay/month. Loratidine liquid not 150,200 Must fail Tier 1 NSAIDS (ibuprofen, naproxen).
2nd line agent. For patients with COPD on a regular aerosol bronchodilator who continue to have evidence of bronchospasm and require a second bronchodilator. D
Drug Name

Generic Name
FSC Description
Adult Strength/Dose/Form
Limit: 1 month supply. 30 caps per copay Limit: 100 tabs per copay; Only stock Darvon 65mg Must fail Tier 1 Depakote tablets before using IM; IV; intra-articular; intra-lesional Stock: 4mg/ml #30ml MDV Limit: 100 tabs per copay; Restricted to Cancer center, 250 2nd line agent. For patients intolerant to sulfasalzaine.
E
Drug Name

Generic Name
FSC Description
Adult Strength/Dose/Form
Limit: 80 grams/copay. Note: do not stock gel F
Drug Name

Generic Name
FSC Description
Adult Strength/Dose/Form
Must fail Tier 1 NSAIDS (ibuprofen, naproxen).
2nd line agent. Must have failed Cardura (doxazosin) Must fail Tier 1 Nasarel. QL 1 container per copay per G
Drug Name

Generic Name
FSC Description
Adult Strength/Dose/Form
H
Drug Name

Generic Name
FSC Description
Adult Strength/Dose/Form
Restricted to GI and Infectious Disease. Oral agent for Limit: 80 grams/copay. Note: 2.5% is restricted to I
Drug Name

Generic Name
FSC Description
Adult Strength/Dose/Form
Limit: 2 injections or 1 box/copay/month. Note: Do NOT stock Imitrex tablets. see Relpax.
Must fail Tier 1 NSAIDS (ibuprofen, naproxen).
Limit: 2 MDI's or #120 ampules for nebulization K
Drug Name

Generic Name
FSC Description
Adult Strength/Dose/Form
0.1%,0.5% crm; 0.025%,0.1% lot; Limit: 80gm per copay Note: 0.1% tier 1, 0.025% tier 2 L
Drug Name

Generic Name
FSC Description
Adult Strength/Dose/Form
Limit: 2 bottles of 946mls or 1,892mls.
Limit: 1 pack per copay Formulary alternative(s): M
Drug Name

Generic Name
FSC Description
Adult Strength/Dose/Form
Limit: 100 tabs/copay. Rx must indicate "for pain" to be filled at UNMH OP Pharmacy. For Methadone maintenance, take Rx to a licensed Methadone Limit: 100 tabs per copay; Criteria: Diagnosis of ADHD Limit: 100 tabs per copay; Criteria: Diagnosis of ADHD 15,30; 10,15,30 sol tab; 15,30,60,100,200 ER; 2,4,20/mL Stock: suspension. DO NOT STOCK the troches N
Drug Name

Generic Name
FSC Description
Adult Strength/Dose/Form
bacitracin/neomycin/polymyxin B topical Y ferrous bis-glycinate chelate/polysaccharide iron complex/calcium ascorbate and ferrous bis-glycinate chelate/polysaccharide iron complex/calcium ascorbate and Limit: 1 bottle or 25 tabs/copay Stock 0.4mg tabletes O
Drug Name

Generic Name
FSC Description
Adult Strength/Dose/Form
P
Drug Name

Generic Name
FSC Description
Adult Strength/Dose/Form
Stock 25mg tabs, 12.5 & 25mg suppositories HMG CoA reductase inhibitor that does not interact with cytochrome P-450 metabolized drugs such as azole antifunals, macrolide antibiotics, cyclosporine, 0.3/1.5,0.45/1.5,0.625/2.5,0.625/5 Limit: 1 pack per copay Limit: 24 suppositories per copay. Stock 5 and 25mg Limit: 24 suppositories/copay. Note: stock 12.5mg Q
Drug Name

Generic Name
FSC Description
Adult Strength/Dose/Form
R
Drug Name

Generic Name
FSC Description
Adult Strength/Dose/Form
Limit: 2 boxes (60 single-unit containers) Limit: 15 or 20gm tube per copay. NOT covered for 0.025,0.05,0.1% crm; 0.01,0.025% cosmetic conditions. A diagnosis must be obtainable Limit: 15 or 20gm tube per copay. NOT covered for cosmetic conditions. A diagnosis must be obtainable 100,150,200,300 Must have current UNM Care / MIP Limit: 100 tabs per copay; Stock ONLY 5mg tabs and S
Drug Name

Generic Name
FSC Description
Adult Strength/Dose/Form
500,750 Must fail Tier 1 NSAIDS (ibuprofen, naproxen).
Limit: 120mls/copay. NOTE: only stock 2.5% 2nd line agent for asthma. NOT covered for Chronic T
Drug Name

Generic Name
FSC Description
Adult Strength/Dose/Form
2nd line agent. Must have failed carbamazepine bacitracin/neomycin/polymyxin B topical Y mineral oil/pramoxine/zinc oxide topical QL U
Drug Name

Generic Name
FSC Description
Adult Strength/Dose/Form
V
Drug Name

Generic Name
FSC Description
Adult Strength/Dose/Form
5,001,000 2nd line agent. Must have failed acyclovir.
W
Drug Name

Generic Name
FSC Description
Adult Strength/Dose/Form
2nd line agent for depression. Smoking Cessation 2nd line agent for depression. Smoking Cessation X
Drug Name

Generic Name
FSC Description
Adult Strength/Dose/Form
Z
Drug Name

Generic Name
FSC Description
Adult Strength/Dose/Form
Stock: 250mg tabs and suspension strengths.
Criteria: Must have failed/tried 2 other atypical

Source: http://hospitals.unm.edu/sci/documents/pdl_alpha.pdf

Mo-phys exam & integ path.v5

Physical Examination & Integrated Pathology DESCRIPTION This module is designed to expose students to a wide range of tests that are currently being used in Wholistic Practice - techniques which from an integral part of the modern Naturopathic Clinic. Current pathology skills are also discussed. Students will learn physical examination techniques for the digestive and respiratory systems

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Aphrodisiacs: For Sex Arousal Philip S. Chua, M.D. What are Aphrodisiacs? Aphrodisiacs are prosexual drugs or substances that will heighten (libido) sexual desire, (orgasm) pleasure and performance in both males and females. Are these subtances new? No, the cultural quest for aphrodisiacs has been the obsession of man, from ancient to modern times. Natural substances such as

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