TABLA DE CONTENIDO ABILIFY... 2 ALDOSTERONE ANTAGONISTS... 3 ATYPICAL ANTIPSYCHOTICS... 4 BISPHOSPHONATES... 5 CALCINEURIN INHIBITORS... 6 CELECOXIB... 7 H1 BLOCKING AGENTS, NON-SEDATING... 8 INCRETIN MIMETICS... 9 OCULAR ALLERGIES... 10 PROTON PUMP INHIBITORS... 11 REXULTI... 12 SSRIS/SNRIS... 13 STRATTERA... 14 TOPICAL ANTIVIRALS... 15 TRIPTANS... 16 ULORIC... 17 VIIBRYD... 18 TSA 2018 Formulario High Control Página 1 de 18
ABILIFY ABILIFY IM ARIPIPRAZOLE Citalopram, Escitalopram, Fluoxetine, Geodon Injectable Solution, Haloperidol, Olanzapine, Quetiapine, Risperidone, Sertraline o Ziprasidone TSA 2018 Formulario High Control Página 2 de 18
ALDOSTERONE ANTAGONISTS EPLERENONE Spironolactone o Spironolactone-HCTZ TSA 2018 Formulario High Control Página 3 de 18
ATYPICAL ANTIPSYCHOTICS CLOZAPINE FANAPT INVEGA LATUDA PALIPERIDONE RISPERDAL CONSTA SAPHRIS VERSACLOZ VRAYLAR ZYPREXA RELPREVV Geodon Injectable Solution, Olanzapine, Quetiapine, Risperidone o Ziprasidone TSA 2018 Formulario High Control Página 4 de 18
BISPHOSPHONATES IBANDRONATE SODIUM RISEDRONATE SODIUM Alendronate TSA 2018 Formulario High Control Página 5 de 18
CALCINEURIN INHIBITORS ELIDEL TACROLIMUS UNGUENTO Alclometasone, Ammonium Lactate, Betamethasone, Desonide, Desoximetasone, Fluocinolone Topical, Fluocinonide, Fluticasone Topical, Hydrocortisone Topical, Lokara, Mometasone Topical o Triamcinolone Topical TSA 2018 Formulario High Control Página 6 de 18
CELECOXIB CELECOXIB Si el paciente ha tratado dos medicamentos del Paso 1, entonces se podrá brindar Diclofenac Potassium, Diclofenac Sodium DR, Diclofenac Sodium ER, Flurbiprofen, Ibuprofen, Ketoprofen, Meloxicam, Nabumetone, Naproxen DR, Naproxen Oral Tablet o Sulindac. TSA 2018 Formulario High Control Página 7 de 18
H1 BLOCKING AGENTS, NON-SEDATING DESLORATADINE LEVOCETIRIZINE DIHYDROCHLORIDE Alavert-OTC, Alavert Allergy/Sinus - OTC, All Day Allergy-OTC, Allegra Allergy-OTC, Allegra Allergy Childrens-OTC, Allegra D 12 Hour-OTC, Allergy Relief Child - OTC, Allergy Relief Childrens-OTC, Allergy Relief-OTC, Cetirizine Oral Solution-RX, Cetirizine-OTC, Cetirizine/Pseudoephedrine-OTC, Claritin-OTC, Claritin D 12 Hour- OTC, Claritin D 24 Hour-OTC, Claritin Reditabs-OTC, Fexofenadine HCl/Pseudoephedrine HCl ER-OTC, Levocetirizine, Loratadine-OTC, Loratadine D 24 Hour-OTC, SM Allergy Relief-OTC, Wal-fex-OTC, Zyrtec Allergy-OTC, Zyrtec Childrens Allergy-OTC o Zyrtec-D allergy/congestion-otc TSA 2018 Formulario High Control Página 8 de 18
INCRETIN MIMETICS BYDUREON SYMLIN TRULICITY Acarbose, Glimepiride, Glipizide, Glipizide ER, Glipizide-Metformin, Humalog, Humulin, Invokamet, Invokamet XR, Invokana, Janumet, Janumet XR, Januvia, Jardiance, Jentadueto, Jentadueto XR, Lantus, Metformin, Metformin ER, Nateglinide, Pioglitazone, Pioglitazone-Glimepiride, Pioglitazone-Metformin, Repaglinide, Riomet, Synjardy o Tradjenta TSA 2018 Formulario High Control Página 9 de 18
OCULAR ALLERGIES OLOPATADINE Alaway-OTC, Claritin Eye-OTC, Ketotifen Fumarate-OTC o Zaditor-OTC TSA 2018 Formulario High Control Página 10 de 18
PROTON PUMP INHIBITORS LANSOPRAZOLE Para la reducción del riesgo de úlcera gástrica asociada a NSAID: Lansoprazole DR- OTC Para otras indicaciones: Lansoprazole DR-OTC, Omeprazole-RX, Omeprazole-OTC, Pantoprazole-RX o Prevacid 24HR-OTC TSA 2018 Formulario High Control Página 11 de 18
REXULTI REXULTI Citalopram, Escitalopram, Fluoxetine, Geodon Injectable Solution, Olanzapine, Quetiapine, Risperidone, Sertraline, Venlafaxine o Ziprasidone TSA 2018 Formulario High Control Página 12 de 18
SSRIS/SNRIS DESVENLAFAXINE ER DESVENLAFAXINE SUCCINATE ER FETZIMA PAROXETINE HCl PAXIL SUSP Citalopram, Duloxetine, Escitalopram, Fluoxetine, Fluvoxamine, Sertraline o Venlafaxine TSA 2018 Formulario High Control Página 13 de 18
STRATTERA ATOMOXETINE HCl Amphetamine-Dextroamphetamine, Metadate ER o Methylphenidate TSA 2018 Formulario High Control Página 14 de 18
TOPICAL ANTIVIRALS DENAVIR Abreva-OTC TSA 2018 Formulario High Control Página 15 de 18
TRIPTANS NARATRIPTAN SUMATRIPTAN SQ 6MG/0.5ML Rizatriptan o Sumatriptan Oral Tablet TSA 2018 Formulario High Control Página 16 de 18
ULORIC ULORIC Allopurinol TSA 2018 Formulario High Control Página 17 de 18
VIIBRYD VIIBRYD Citalopram, Escitalopram, Fluoxetine, Fluvoxamine o Sertraline TSA 2018 Formulario High Control Página 18 de 18