appendix c medication tables - home - centers … manual for national appendix c-1 hospital quality...

Specifications Manual for National Appendix C-1 Hospital Quality Measures

Appendix C Medication Tables

Note: The medication tables are not meant to be inclusive lists of all available therapeutic agents. Approved

medication tables will be updated regularly. Discrepancies must be reported. See Resource Section of this manual for additional contact information.

Table 1.1 Aspirin and Aspirin-Containing Medications Acetylsalicylic Acid Acuprin 81 Alka-Seltzer Alka-Seltzer Morning Relief Anacin Arthritis Foundation Aspirin Arthritis Pain Ascriptin Arthritis Pain Formula ASA ASA Baby ASA Baby Chewable ASA Baby Coated ASA Bayer ASA Bayer Children's ASA Buffered ASA Children's ASA EC ASA Enteric Coated ASA/Maalox Ascriptin Aspergum Aspir-10 Aspir-Low Aspir-Lox Aspir-Mox Aspir-Trin Aspirbuf Aspircaf Aspirin Aspirin Baby Aspirin Bayer Aspirin Bayer Children's Aspirin Buffered Aspirin Child Aspirin Child Chewable Aspirin Children's Aspirin EC Aspirin Enteric Coated

Release Notes: Aspirin Table Version 1.0


Table 1.1 Aspirin and Aspirin-Containing Medications (continued) Aspirin Litecoat Aspirin Lo-Dose Aspirin Low Strength Aspirin Tri-Buffered Aspirin, Extended Release Aspirin/butalbital/caffeine Aspirin/caffeine Aspirin/pravachol Aspirin/pravastatin Aspirtab Bayer Aspirin Bayer Aspirin PM Extra Strength Bayer Children’s Bayer EC Bayer Enteric Coated Bayer Low Strength Bayer Plus Buffered ASA Buffered Aspirin Buffered Baby ASA Bufferin Bufferin Arthritis Strength Bufferin Extra Strength Buffex Cama Arthritis Reliever Child’s Aspirin Coated Aspirin Cosprin CTD Aspirin Dasprin Doans Pills Easprin EC ASA Ecotrin Ecotrin Low Strength Adult Effervescent Pain & Antacid Empirin Encaprin Entab Entaprin Entercote Enteric Coated Aspirin Enteric Coated Baby Aspirin Excedrin


Table 1.1 Aspirin and Aspirin-Containing Medications (continued) Excedrin Extra Strength Excedrin Geltab Excedrin Migraine Extra Strength Bayer Fiorinal Fiormor Fiortal Fortabs Genacote Genprin Halfprin Lifecoat Aspirin Low Dose ASA Magnaprin Med Aspirin Norwich Aspirin Pain Relief (Effervescent) Pain Relief with Aspirin Pravigard Pravigard PAC Sloprin St. Joseph Aspirin Stanback Analgesic Therapy Bayer Tri Buffered Aspirin Uni-As Uni-Buff Uni-Tren Zorprin


Table 1.2 ACEIs Accupril Accuretic Aceon Altace Benazepril Benazepril Hydrochloride Benazepril/amlodipine Benazepril/hydrochlorothiazide Capoten Capozide Capozide 25/15 Capozide 25/25 Capozide 50/15 Capozide 50/25 Captopril Captopril HCT Captopril/hydrochlorothiazide Enalapril Enalapril Maleate/diltiazem Enalapril Maleate/hydrochlorothiazide Enalapril/diltiazem Enalapril/felodipine Enalapril/hydrochlorothiazide Enalaprilat Fosinopril Fosinopril Sodium/ hydrochlorothiazide Lexxel Lisinopril Lisinopril/hydrochlorothiazide Lotensin Lotensin HCT Lotrel Mavik Moexipril Moexipril Hydrochloride Moexipril Hydrochloride/hydrochlorothiazide Moexipril/hydrochlorothiazide Monopril Monopril HCT Monopril HCT 10/12.5 Perindopril Perindopril erbumine

Release Notes: ACEI Table

Version 1.0


Table 1.2 ACEIs (continued) Prinivil Prinzide Quinapril Quinapril HC1 Quinapril HC1/HCT Quinapril Hydrochloride/hydrochlorothiazide Quinapril/hydrochlorothiazide Ramipril Tarka Teczem Trandolapril Trandolapril/verapamil Trandolapril/verapamil hydrochloride Uniretic Univasc Vaseretic Vasotec Zestoretic Zestril


Table 1.3 Beta Blockers Acebutolol Atenolol Atenolol/chlorthalidone Betapace Betapace AF Betaxolol Bisoprolol Bisoprolol/fumarate Bisopropol/hydrochlorothiazide Blocadren Brevibloc Carteolol Cartrol Carvedilol Coreg Corgard Corzide 40/5 Corzide 80/5 Esmolol Inderal Inderal LA Inderide Inderide LA Kerlone Labetalol Levatol Lopressor Lopressor HCT Lopressor/hydrochlorothiazide Metoprolol Metoprolol/hydrochlorothiazide Metoprolol Tartrate/hydrochlorothiazide Nadolol Nadolol/bendroflumethiazide Normodyne Penbutolol Pindolol Propranolol Propranolol HC1 Propranolol Hydrochloride Propranolol/hydrochlorothiazide Sectral Sorine Sotalol Sotalol HC1

Release Notes: Beta Blockers Table Version 1.0


Table 1.3 Beta Blockers (cont.) Tenoretic Tenormin Tenormin I.V. Timolide Timolol Timolol Maleate/hydrochlorothiazide Timolol/hydrochlorothiazide Toprol Toprol-XL Trandate Trandate HCl Visken Zebeta Ziac


Table 1.4 Warfarin Anisindione Barr Warfarin Sodium Coumadin Dicumarol Jantoven Liquamar Marevam Miradon Panwarfin Warfarin Table 1.5 Thrombolytic Agents Abbokinase Activase Alteplase Anistreplase Anisoylated Plasminogen-Streptokinase Activator Complex APSAC Eminase Kabikinase Retavase Reteplase rPA (RPA) Streptase Streptokinase Tenecteplase Tissue plasminogen activator TNKase tPA (TPA) UK Urokinase

Release Notes: Warfarin Table Version 1.0

Release Notes: Thrombolytic Table Version 1.0


Table 1.6 Lipid Lowering Agents Abitrate Advicor Altocor Atorvastatin Atorvastatin/amlodipine Atromid-S B-3-50 B3-500-Gr Caduet Cholestyramine Cholestyramine Light Choloxin Clofibrate Colesevelam Colestid Colestid Flavored Colestipol Crestor Dextrothyroxine Sodium Ezetimibe Fenofibrate Fluvastatin Gemcor Gemfibrozil Lescol Lescol XL Lipitor Locholest Locholest Light Lofibra Lopid Lorelco Lovastatin Mevacor Niacin Niacin ER Niacin ER Starter Pack Niacin Extended Release Niacin SR Niacin TD Niacin TR Niacor Niacor B3 Niaspan Niaspan ER Niaspan ER Starter Pack

Release Notes: Lipid Lowering Agents Table - Version 1.0


Table 1.6 Lipid Lowering Agents (cont.) Nico-400 Nicobid Tempules Nicolar Nicotinex Nicotinic Acid Pravachol Pravachol/aspirin Pravastatin Pravastatin/aspirin Pravigard Pravigard PAC Prevalite Prevalite Powder Probucol Questran Questran Light Rosuvastatin Simvastatin Slo-Niacin Tricor Welchol Zetia Zocor


Table 2.1 Antimicrobial Medications Table Abacavir Abacavir Sulfate Achromycin Achromycin V Acyclovir Acyclovir Sodium Adoxa Agenerase Alatrofloxacin Alatrofloxacin Mesylate Amantadine Amantadine Hydrochloride Ambisome Amficot Amikacin Amikacin Sulfate Amikin Amoxicillin Amoxicillin (astryhydrate) Amoxicillin/Clavulanate Potassium Amoxicillin Trihydrate Amoxicillin as Trihydrate Amoxicillin (trihydrate) Amoxil Amoxil Pediatric Drops Amoxillin Amphocin Amphotec Amphotericin-B Ampicillin Ampicillin (Anhydrous) Ampicillin-Probenecid Ampicillin Sodium Ampicillin-Sulbactam Ampicillin Trihydrate Ampicin Amprenavir Ancef Anspor Antibiotic Not Otherwise Specified (NOS) Apo-Ampi Apo-Sulfatrim Aralen HCL Aralen Phosphate

Release Notes: Antimicrobial Medications Table Version 1.0


Table 2.1 Antimicrobial Medications Table (cont.) Atovaquone Augmentin Augmentin XR Avelox Avlosulfon Azactam Azithromycin Aztreonam Azulfidine Bacampicillin Bacampicillin Hydrochloride Bacitracin Baci-IM Bactocill Bactrim Bactrim DS Beepen-VK Benzylpenicillin Biaxin Biaxin XL Bicillin-C-R Bicillin L-A Biocef Biomox C-Lexin Carbapenem Carbapenems Carbenicillin Carbenicillin Indanyl Sodium Ceclor Ceclor CD Ceclor Pulvules Cedax Cefaclor Cefaclor ER Cefadroxil Cefadroxil Monohydrate Cefadyl Cefamandole Cefamandole Nafate Cefanex Cefazolin Cefazolin Sodium Cefdinir Cefditoren Cefditoren Pivoxil Cefepime Cefepime Hydrochloride Cefixime


Table 2.1 Antimicrobial Medications Table (cont.) Cefizox Cefmetazole Cefmetazole Sodium Cefobid Cefonicid Cefonicid Sodium Cefoperazone Cefoperazone Sodium Cefotan Cefotaxime Cefotaxime Sodium Cefotetan Cefotetan Disodium Cefoxitin Cefoxitin Sodium Cefpodoxime Cefpodoxime Proxetil Cefprozil Ceftazidime Ceftazidime Sodium Ceftibuten Ceftin Ceftizoxime Ceftizoxime Sodium Ceftriaxone Ceftriaxone Sodium Cefuroxime Cefuroxime Axetil Cefuroxime Sodium Cefzil Cephalexin Cephalexin Hydrochloride Cephalexin Monohydrate Cephalothin Cephalothin Sodium Cephapirin Cephapirin Sodium Cephradine Cephradine Sodium Ceptaz Chloroquine Cilastatin Cilastatin Sodium Cipro Cipro IV Ciprofloxacin Ciprofloxacin Hydrochloride Claforan Clarithromycin


Table 2.1 Antimicrobial Medications Table (cont.) Clavulanate Potassium Cleocin Cleocin HCL Cleocin Phosphate Clindamycin Clindamycin Hydrochloride Clindamycin Phosphate Cloxacillin Cloxacillin Sodium Cloxapen Combivir Co-Trimoxazone Cotrim Cotrim DS Crystapen Cytovene Dapsone Declomycin Demeclocycline Dicloxacillin Dicloxacillin Sodium Diflucan Dirithromycin Doryx Doxy Caps Doxycycline Doxycycline Calcium Doxycycline Hyclate Doxycycline Hydrochloride Doxycycline Monohydrate Duricef Dycill Dynabac Dynacin Dynapen E-Mycin Ed A-Ceph EES E.E.S EES 200 EES 200/400 EES 400 Ertapenem Ertapenem Sodium Eryc EryPed EryPed 200 EryPed 200/400 EryPed 400


Table 2.1 Antimicrobial Medications Table (cont.) Erytab Erythrocin Erythromycin Erythromycin Base Erythromycin Estolate Erythromycin Ethylsuccinate Erythromycin Lactobionate Erythromycin Stearate Erythromycin/Sulfisoxazole Factive Famciclovir Famvir Flagyl Flagyl IV Floxin Floxin IV fluconazole Fluconazole Fortaz Furadantin Furalan Furatoin G-Mycin Ganciclovir Ganciclovir Sodium Gantanol Gantrisin Garamycin Gatifloxacin Gemifloxacin Gentamicin Gentamicin Sulfate Gentamicin Sulfate Sodium Chloride Geocillin Grepafloxacin HIVID Ilosone Ilotycin Imipenem Imipenem-Cilastatin Invanz Kanamycin Kantrax Kantrex Keflet Keflex Keflin Keftab Kefurox


Table 2.1 Antimicrobial Medications Table (cont.) Kefzol Ketek Ketoconazole Lariam Ledercillin VK Levaquin Levofloxacin Lincocin Lincomycin Linezolid Lomefloxacin Lomefloxacin Hydrochloride Lorabid Lorabid Pulvules Loracarbef Macrobid Macrodantin Mandol Marcillin Maxaquin Maxipime Mefloquine Mefloquine Hydrochloride Mefoxin Meropenem Mepron Merrem Merrem IV Methicillin Methicillin Sodium Metizol Metronidazole Mezlin Mezlocillin Mezlocillin Sodium Minocin Minocycline Minocycline HCL Monocid Monodox Moxifloxacin Moxifloxacin Hydrochloride Mycifradin Mycostatin Nafcil Nafcillin Nafcillin Sodium Nalidixic Acid Nallpen Nebcin


Table 2.1 Antimicrobial Medications Table (cont.) Neggram Neo-fradin Neomycin Neomycin Sulfate Neo-Tabs Nilstat Nitrofurantoin Nizoral Norfloxacin Noroxin Novo Ampicillin Novodoxylin Nu-Ampi Nystatin Ofloxacin Omnicef Omnipen Omnipen-N Oseltamivir Oseltamivir Phosphate Oxacillin Oxacillin Sodium Oxytetracycline Panmycin Pathocil PC Pen VK PCE Pediazole Pefloxacin Pen Vee K Pen-V Penbritin Penicillin Penicillin G Penicillin G Benzathine Penicillin G Potassium Penicillin G Procaine Penicillin G Sodium Penicillin V Penicillin V Potassium Permapen Pfizerpen Piperacillin Piperacillin Sodium Piperacillin-Tazobactam Pipracil Plaquenil Plaquenil Sulfate Polycillin


Table 2.1 Antimicrobial Medications Table (cont.) Polycillin-PRB Polymox Polymyxin Primaxin Primaxin IM Primaxin IV Principen Proloprim Prostaphlin Protostat Quinupristin/Dalfopristin Raxar Relenza Retrovir Rifadin Rifadin IV Rifampin Rimactane Robicillin VK Robimycin Rocephin Rocephin IM Convenience Kit Senox Septra Septra DS Septra IV SMZ-TMP Sparfloxacin Spectrobid Spectracef Staphcillin Stavudine Streptograminis Streptomycin Streptomycin sulfate Sulbactam sodium Sulfamethoxazole Sulfamethoxazole Trimethoprim Sulfasalazine Sulfasoxazole Sulfatrim Sulfisoxazole Sulfisoxazole/Erythromycin Ethylsuccinate Sumycin Suprax Symmetrel Synercid TAO Tamiflu


Table 2.1 Antimicrobial Medications Table (cont.) Tamivir Tazicef Tazidime Tazobactam Tazobactam Sodium TCN TEC-PAQ Tegopen Telithromycin Tequin Terramycin Tetracycline Tetracycline Hydrochloride Ticar Ticarcillin Ticarcillin-Clavulanate Ticarcillin Disodium Timentin Tobi Tobra Tobramycin Tobramycin Sulfate Totacillin Totacillin-N Trimethoprim Trimox Trimpex Troleandomycin Trovafloxacin Trovafloxacin/Alatrofloxacin Trovafloxacin Mesylate Trovan Ultracef Unasyn Unipen Uroplus DS Uroplus SS V-Cillin K Vancocin Vancoled Vancomycin Vancomycin Hydrochloride Vantin Vectrin Veetids Velosef Vibramycin Vibra-Tabs Wycillin


Table 2.1 Antimicrobial Medications Table (cont.) Wymox ZDV+3TC Z-pak Zagam Zalcitabine Zanamivir Zefazone Zerit Ziagen Zidovudine Zinacef Zithromax Zithromax TRI-PAK Zolicef Zosyn Zosyn Add-Vantage Zovirax Zyvok Zyvox


Table 2.2 Immunosuppressive Medications 141W94 1592U89 3TC 5 + 2 5-FU 7 +3 Abacavir ABC ABT-378 ABV AC Ace Acetocot Acthrel Actinomycin D Adbeon Adefovir ADF Adlone-40 Adlone-80 Adrenocot Adrenocot L.A. Adriamycin PFS Adriamycin RDF Adriamycin RDF/PFS Adrucil AF1549 Agenerase A-Hydrocort Aldesleukin Alferon N Alkeran Alkeran I.V. Altretamine Amcort Amdoxovir A-Methapred Amethopterin Amifostine Amprenavir Anastrozole AP Antithymocyte Globulin APV Arabinasyl Cytosine Ara-C Arimidex

Release Notes: Immunosuppressive Medications Table Version 1.0


Aristocort Aristocort for Injection Aristocort Forte Aristopak Aristopan Injection Aromasin Arsenic Trioxide Asparaginase Atazanavir ATG Atrgam ATV Azasan Azathioprine Azathioprine sodium AZT Basiliximab BCG BCNU BCVPP BEP Betamethasone Betamethasone acetate Betamethasone Dipropionate Betamethasone Dipropionate Powder Betamethasone Sodium Phosphate Beta-Phos/AC Bexarotene Bexxar bicalutamide BiCNU BiCnu BIP Bis-Pom PMEA Blenoxane Bleomycin Bleomycin Sulfate BOMP Bortezomib Budesonide Busulfan CAE CAF CAL-G CAM Camptosar CAP Capecitabine Capravirine Carboplatin Carimune Carmustine


CAV CAVE CBV CC CCNU CDDP/VP Ceenu CeeNu Celestone Celestone Phosphate Celestone Soluspan Cellcept Cerubidine CEV CF CFM CHAP ChIVPP ChIVPP/EVA Chlorambucil CHOP CHOP-BLEO Chromic phosphate P32 CISCA CISCA/VB Cisplatin Cisplatinum Citrororum Factor Cladribine CMF CMFP CMFVP Combivir COMLA COMP COP COPE COPP Cortef Corticorelin corticorelin ovine (as trifluoracetate) Cortisone Cortisone Acetate Cort-K Cortone Acetate Cortrosyn Cosmegan Cosmegen cosyntropin Cotolone Coviracil CP


Crixivan CT Curretab CVD CVI CVP CVPP Cyclophosphamide Cyclophosphamide Lyophilized Cyclosporine Cyclosporine A Cycrin Cystosine Arabinoside Cytarabine Cytosar-U Cytoxan Cytoxan Lyophilized D4T DA Dacarbazine Daclizumab Dactinomycin DAL Dalalone Dalalone D.P. Dalalone L.A. DAPD Darcarbazine DAT Daunomycin Daunorubicin Daunorubicin Citrate Liposome Daunorubicin Hydrochloride Daunorubicin Liposomal Daunoxome DaunoXome DAV DCT DDC DDI Decadron Decadron Phosphate, Injectable Decadron with Xylocaine Decadron-LA Deca-Durabolin Decaject Decaject L.A. Delatest Delatestryl Delavirdine Deltasone Dep Medalone 80


Depandro 100 Depmedalone Depoject-80 Depo-Medrol Depopred Depo-Predate De-Sone LA Dexacen-4 Dexacorten Dexamethasone Dexamethasone Acetate Dexamethasone Intensol Dexamethasone Sodium Phosphate Dexamethasone Lidocaine Dexasone Dexasone LA Dexone Dexone LA Dexrazoxane DHAP DI Didanosine DLV DMP-266 Docetaxel Dororubicin Doxil Doxorubicin Doxorubicin HCI Doxorubicin Hydrochloride Doxorubicin Hydrochlorideliposome Doxorubicin Liposomal Droxia Dtic-Dome DTIC-Dome Durabolin Durabolin-50 Duralone Duratest Durathate 200 DVP EAP EC Efavirenz EFP EFV ELF Eligard Elspar EMA 86 Emcyt Endoxan


EP Epirubicin Epivir Ergamisol ESHAP Estramustine Estramustine Phosphate Sodium Ethoyl Etopophos Etoposide Etoposide (as Phosphate) EVA Everone Exemestane FAC FAM FAMe FAMTX FAP Fareston F-CL FED Femara FK-506 FL Fle Florinef Acetate Floxuridine Fludara Fludarabine Fludarabine Phosphate Fludrocortisone Fludrocortisone Acetate Fluorouracil Fluorouracil, Systemic Flutamide FOAM Folex Folex PFS Folinic Acid Fortase FTC FTV FUDR FZ Gemcitabine Gemcitabine HCI Gemtuzumab Gemzar Gliadel Goserelin Goserelin Acetate


Halotestin HDMTX Herceptin Hexadrol Hexadrol Phosphate Hexalen Hexamethylmelamine HIVID HN2 Hybolin Decanoate Hybolin-Improved Hycamtin Hydeltrasol Hydeltra-T.B.A. Hydrea Hydrocort SS Hydrocortisone Hydrocortisone Acetate Hydrocortisone Cypionate Hydrocortisone Sodium Phosphate Hydrocortisone Sodium Succinate Hydrocortone Hydrocortone Acetate Hydrocortone Phosphate Hydroxyurea Ibritumomab Idamycin Idarubicin Idarubicin HCl Idarubicin Hydrochloride IDV IE Ifex Ifosfamide IfoVP Imuran Indinavir Interferon Alfa-2a Interferon Alfa-2b Interferon Alfa-n3 Intron A Intron A HAS Free Invirase Iodine I 131 Iodine I 131 Tositumomab Iodotope Irinotecan Kaletra Kenaject-40 Kenalog-10 Kenalog-40 Key-Pred


Key-Pred SP KLT Lamivudine Letrozole Leukeran Leukovoren Leuprolide Leuprolide Acetate Leustatin Levamisole Levamisole HCl Levamisole Hydrochloride Liquid Pred Lomustine Lopinavir/Ritonavir LPV/RTV Lysodren M-2 MAID Matulane m-BACOD MBC MC Mechlorethamine Mechlorethamine HCl Mechlorethamine Hydorchloride Medicort Medidex Medidex LA Medipred Meditest Medralone Medralone 40 Medralone 80 Medrol Megestrol Megestrol Acetate Melphalan Mercaptopurine Mesnex Metastron Methotrexate Methotrexate LPF Methotrexate LPF Sodium Methotrexate Sodium Methylcotol Methylone 40 Methylone 80 Methylpredniso-lone Methylprednisolone Acetate Methylprednisol-One Sodium Succinate Meticorten


MF MINE-ESHAP Mini-BEAM Mithracin Mithramycin Mitomycin Mitotane Mitoxanthrone HCl Mitoxantrone Mitoxantrone Hydrochloride MIV MK-639 MOPP MOPP/ABV MP M-Prednisolone MTXCP-PDAdr Muromonab-CD3 Mustargen Mustargen HC Mutamycin MV M-VAC MVP MVPP Mycophenolate Mofetil Mycophenolate Mofetil Hydrochloride Myleran Navelbine Nelfinavir Neoral Neosar Nevirapine NFL NFV Nipent Nitrogen Mustard Nolvadex Norvir Novantrone NOVP NVP Oncaspar Oncovin OPA OPPA Orasone Orthoclone Okt 3 Oxandrin oxandrolone oxymetholone PAC


Paclitaxel Paraplatin PC PCV Pediapred Pegaspargase Pentostatin PFL Phenylalanine Mustard Phosphocol P32 Photofrin Pipobroman Platinol Platinol-AQ Platinol-Q Plicamycin PNU-14069 POC Porfimer Porfimer sodium Predacort 50 Predacorten Predaject-50 Predalone 50 Predate-50 Predcor Prednisolone Prednisolone Sodium Prednisone Prelone Preveon Pri-Cortin 50 Primethasone Procarbazine Procarbazine HCl Procarbazine Hydrochloride Prograf Proleukin ProMACE ProMACE/cytaBOM Purinethol PVB PVDA PVP-16 Rapamune Rescriptor Retrovir Rheumatrex Rheumatrex Dose Pack Ritonavir Rituxan Rituximab


Roferon-A Rubex RTV Samarium SM 153 Sandimmune Saquinavir Selestoject Semustine Simulect Sirolimus Sodcium Iodide I 131 Sodium Phosphate P32 Solu-Cortef Solu-Medrol Solurex Solurex LA SQV Stanford V stanozolol Stavudine Sterapred Sterapred DS Stilphostrol Streptozocin Strontiun-89 Chloride Sustiva TAC 3 Tacrolimus tamoxifen tamoxifen citrate Tarabine PFS Taxol Taxotere Taz Temozolomide Teniposide Teslac TheraCys Theracys 3 TheraCys Intravesical Thioguanine Thioplex Thiotepa Thymoglobulin TICE BCG Tice BCG Vaccine Tipranavir Toposar Topotecan Topotecan Hydrochoride Toremifene Toremifene Citrate


Tositumomab TPV Tramacort-D Trastuzumab Tretinoin Triam-A Triamcinolone Triamcinolone Diacetate Triamcinolone Hexacetonide Triamcort Triam-Forte triamicinolone Acetonide Triamonide 40 Tri-Kort Trilog Trilone Tri-Med Tristoject Trizivir TZV Uracil Mustard U-Tri-Lone VAC VACAdr-lfoVP VAD VadrC Valrubicin VATH VBAP VC VCAP VCR VDA VDP Velban Velcade Vepesid VePesid Vercyte Vesanoid Videx Vinblastine Vinblastine Sulfate Vincristine Vincristine Sulfate Vinorelbine Vinorelbine Tartrate VIP VIP-1/2 Viracept Viramune VM


VP16 V-TAD Vumon VX-478 Xeloda Zalcitabine Zanosar ZDV Zenapex Zerit Zevalin Ziagen Zidovudine Zoladex


Table 2.3 Beta-Lactams Ampicillin-Sulbactam Cefotaxime Cefotaxime Sodium Ceftriaxone Ceftriaxone Sodium Claforan Rocephin Rocephin IM Convenience Kit Unasyn

Table 2.4 Beta-Lactams (Pseudomonal Risk) Cefepime Cefepime Hydrochloride Imipenem Imipenem-Cilastatin Maxipime Meropenem Merrem Piperacillin-Tazobactam Primaxin Primaxin IV Zosyn Zosyn Add-Vantage

Table 2.5 Macrolides (Non-ICU) Azithromycin Biaxin Biaxin XL Clarithromycin EES E.E.S. E-Mycin ERYC EryPed Erytab Erythromycin Erythromycin Base Erythromycin Estolate Erythromycin Ethylsuccinate

Release Notes: Beta-Lactam Table Version 1.0

Release Notes: Beta-Lactams (Pseudomonal Risk) Version 1.0

Release Notes: Macrolides Table (Non-ICU) Version 1.0


Erythromycin Lactobionate Erythromycin Stearate Ilosone Ilotycin PCE Pediazole Robimycin Susfisoxazole/Erythromycin Ethylsuccinate Sufisoxazole/Erythromycin Ethylsuccinate Zithromax Zithromax TRI-PAK Z-pak

Table 2.6 Macrolides (ICU) Azithromycin EES Eryped Erytab Erythromycin Erythromycin Base Erythromycin Estolate Erythromycin Ethylsuccinate Ilosone Ilotycin Pediazole Robimycin Susfisoxazole/Erythromycin Ethylsuccinate Sufisoxazole/Erythromycin Ethylsuccinate Zithromax Zithromax TRI-PAK Z-pak Table 2.7 Aztreonam (PN-Pseudomonal Risk/SIP-Colon or Hysterectomy β-lactam Allergy) Aztreonam Azactam

Release Notes: Macrolides Table (ICU) Version 1.0

Release Notes: Aztreonam Table (PN-Pseudomonal Risk/SIP-Colon or Hysterectomy β-lactam Allergy) Version 1.0


Table 2.8 Quinolones (PN-Pseudomonal Risk/SIP-Colon or Hysterectomy β-lactam Allergy) Cipro Ciprofloxacin Ciprofloxacin Hydrochloride Levaquin Levofloxacin Table 2.9 Quinolones Avelox Gatifloxacin Levaquin Levofloxacin Moxifloxacin Moxifloxacin Hydrochloride Tec-Paq Tequin

Release Notes: Quinolones Table (PN-Pseudomonal Risk/ Risk/SIP-Colon or Hysterectomy β-lactam Allergy ) Version 1.0

Release Notes: Quinolones Table Version 1.0


Table 2.10 Tetracyclines Doryx Doxycycline Doxycycline Calcium Doxycycline Hyclate Doxycycline Hydrochloride Doxycycline Monohydrate Monodox Novodoxylin Vibra-Tabs Vibramycin

Table 2.11 Aminoglycosides (Pseudomonal Risk) Amikacin Amikacin Sodium Amikacin Sulfate Amikin Garamycin Gentamicin Gentamycin Sulfate Gentamicin Sulfate Gentamycin Sulfate-Sodium Chloride Gentamicin Sulfate Sodium Chloride Nebcin Tobra Tobramycin Tobramycin Sulfate Table 2.12 Clindamycin Cleocin Clindamycin Clindamycin Hydrochloride Clindamycin Phosphate

Release Notes: Tetracyclines Table

Version 1.0

Release Notes: Aminoglycosides Table (Pseudomonal Risk) Version 1.0

Release Notes: Clindamycin Table Version 1.0


Table 2.13 Glycopeptides Vancocin Vancoled Vancomycin Vancomycin Hydrochloride Table 3.1 Cardiac or Vascular - Antibiotics Ancef Cefamandole Cefamandole Nafate Cefazolin Cefazolin Sodium Ceftin Cefuroxime Cefuroxime Axetil Cefuroxime Sodium Kefurox Kefzol Mandol Zinacef Zolicef Table 3.2 Hip/Knee Arthroplasty - Antibiotics Ancef Cefazolin Cefazolin Sodium Ceftin Cefuroxime Cefuroxime Axetil Cefuroxime Sodium Kefurox Kefzol Zinacef Zolicef

Release Notes: Glycopeptide Table Version 1.0

Release Notes: Cardiac or Vascular Antibiotic Table Version 1.0

Release Notes: Hip/Knee Arthroplasty Antibiotic Table Version 1.0


Table 3.3 Colon – Oral Antibiotics - I Mycifradin Neo-Fradin Neo-Tabs Neomycin Neomycin Sulfate Table 3.4 Colon – Oral Antibiotics – II E-Mycin EES E.E.S. Eryc EryPed Erytab Erythrocin Erythromycin Erythromycin Base Erythromycin Estolate Erythromycin Ethylsuccinate Erythromycin Lactobionate Erythromycin Stearate Flagy Flagyl Ilosone Ilotycin Metizol Metronidazole PCE Pediazole Prostat Protostat Robimycin Sulfisoxazole/Erythromycin Ethylsuccinate

Release Notes: Colon - Oral Antibiotic Table Version 1.0

Release Notes: Colon – Oral Antibiotic Table Version 1.0


Table 3.5 Colon - Parenteral – Antibiotics - I Cefmetazole Cefmetazole Sodium Cefotan Cefotetan Cefotetan Disodium Cefotetan Cefozitin Cefoxitin Cefoxitin Sodium Mefoxin Zefazone Table 3.6 Colon – Parenteral – Antibiotics - II Ancef Cefazolin Cefazolin Sodium Kefzol Zolicef Table 3.6a Colon – Parenteral – Antibiotics - III Flagyl Metizol Metronidazole Protostat

Release Notes: Colon - Parenteral Antibiotic Table Version 1.0




Table 3.7 Hysterectomy – Antibiotics Ancef Cefazolin Cefazolin Sodium Cefotan Cefotetan Cefotetan Disodium Cefoxitin Cefoxitin Sodium Ceftin Cefuroxime Cefuroxime Axetil Cefuroxime Sodium Kefurox Kefzol Mefoxin Zinacef Zolicef Table 3.8 CABG, Cardiac or Vascular, Hip/Knee Arthroplasty - Antibiotics Vancocin Vancoled Vancomycin Vancomycin Hydrochloride

Table 3.9 CABG, Cardiac or Vascular, Hip/Knee Arthroplasty, β-lactam allergic Colon and Hysterectomy - Antibiotics Cleocin Clindamycin Clindamycin Hydrochloride Clindamycin Phosphate

Release Notes: Hysterectomy Antibiotic Table Version 1.0

Release Notes: CABG, Cardiac or Vascular, Hip/Knee Arthroplasty Antibiotic Table Version 1.0

Release Notes: CABG, Cardiac or Vascular, Hip/Knee Arthroplasty Antibiotic Table Version 1.0


Table 3.10 All Surgeries – Antibiotics/Fluroquinolone Alatrofloxacin Ciprofloxacin Cipro IV Gatifloxacin Levaquin Levofloxacin Moxifloxacin Trovafloxacin/Alatrofloxacin Ofloxacin Tequin Trovafloxacin

Table 3.11 Colon, Hysterectomy β-lactam Allergy - Antibiotics Garamycin Gentamicin Gentamycin Sulfate Gentamicin Sulfate Gentamycin Sulfate-Sodium Chloride Gentamicin Sulfate Sodium Chloride

Table 4.0 Antibiotic Allergy Table Amficot Amoxicillin Amoxicillin Trihydrate Amoxicillin/Clavulanate-Potassium Amoxil Amoxil Pediatric drops Ampicillin Ampicillin as (Anhydrous) Ampicillin-Probenecid Ampicillin Sodium Ampicillin-Sulbactam Ancef Augmentin Bacampicillin Bacampicillin Hydrochloride Hydrochloride Bactocill Beepen-VK Benzylpenicillin Bicillin C-R Bicillin L-A

Release Notes: All Surgeries - Antibiotic Table Version 1.0

Release Notes: Colon, Hysterectomy β-lactam Allery-Antibiotc Table Version 1.0

Release Notes: Antibiotic Allergy Table Version 1.0


Biocef Biomox C-Lexin Carbapenems Carbenicillin Carbenicillin Indanyl Sodium Ceclor Ceclor CD Ceclor Pulvules Cedax Cefaclor Cefadroxil Cefadroxil Monohydrate Monohydrate Cefadyl Cefamandole Cefamandole Naftate Nafate Cefanex Cefazolin Cefazolin Sodium Cefdinir Cefditoren Cefditoren Pivoxil Cefepime Cefepime Hydrochloride Hydrochloride Cefixime Cefizox Cefmetazole Cefmetazole Sodium Cefobid Cefonicid Cefonicid Sodium Cefoperazone Cefoperazone Sodium Cefotan Cefotaxime Cefotaxime Sodium Cefotetan Cefotetan Disodium Cefoxitin Cefoxitin Sodium Cefpodoxime Cefpodoxime Proxetil Cefprozil Ceftazidime Ceftazidime Sodium Ceftibuten Ceftin Ceftizoxime Ceftizoxime Sodium Ceftriaxone Ceftriaxone Sodium Cefuroxime Cefuroxime Axetil Cefuroxime Sodium Cefzil Cephalexin Cephalexin Hydrochloride Hydrochloride


Cephalexin Monohydrate Monohydrate Cephalothin Cephalothin Sodium Cephapirin Cephapirin Sodium Cephradine Ceptaz Cilastatin Sodium Claforan Clavulanate Potassium Cloxacillin Cloxacillin Sodium Cloxapen Combivir Dextrose-Mefoxin Dicloxacillin Dicloxacillin Sodium Duricef Dycill Dynapen Ed A-Ceph Ertapenem Fortaz Geocillin Imipenem Imipenem-Cilastatin Invanz Isoject Permapen Keflex Keflin Keftab Kefurox Kefzol Ledercillin VK Lorabid Lorabid Pulvules Loracarbef Mandol Marcillin Maxipime Mefoxin Meropenem Merrem Methicillin Methicillin Sodium Mezlin Mezlocillin Mezlocillin Sodium Monocid Nafcillin Nafcillin Sodium Nallpen Novo Ampicillin Nu-Ampi Omnicef Omnipen Omnipen-N Oxacillin Oxacillin Sodium


PC Pen VK Pen-V Pen Vee K Penicillin Penicillin G Penicillin G Benzathine Penicillin G Potassium Penicillin G Procaine Penicillin G Sodium Penicillin V Penicillin V Potassium Permapen Pfizerpen Piperacillin Piperacillin Sodium Piperacillin-Tazobactam Pipracil Polycillin-PRB Primaxin Principen Rocephin Rocephin IM Convenience Kit Senox Spectracef Spectrobid Staphcillin Sulbactam Sodium Suprax Tazicef Tazidime Tazobactam Sodium Tegopen Ticar Ticarcillin Ticarcillin Disodium Ticarcillin-Clavulanate Timentin Totacillin Totacillin-N Trimox Ultracef Unasyn Unipen Vantin V-Cillin K Veetids Velosef Wycillin Wymox ZDV+3TC Zefazone Zinacef Zolicef Zosyn Zosyn Add-Vantage

appendix c medication tables - home - centers … manual for national appendix c-1 hospital quality...

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