It is usually administered in association with other drugs, particularly thiazide diuretics.
Gastric ulcer, duodenal ulcer, or esophagitis The patient must have an appropriate diagnosis confirmed by testing barium contrast or double contrast radiography, or endoscopy ; within the past 12 months and meet prior usage requirements. If these requirements are met, up to 8 weeks of acute therapy may be approved. If on completion of 8 weeks of acute treatment for esophagitis erosive or non-erosive ; symptoms persist, approval may be given for up to 6 months of maintenance treatment. After 12 months, approval will require documentation of persistent symptoms and the results of retesting. Hypersecretory Conditions If the patient is diagnosed with Barrett's Esophagitis, Zollinger-Ellison, or other hypersecretory disorders, which have been confirmed by testing barium contrast or double contrast radiography, or endoscopy ; , then approval of up to months of acute treatment may be issued, with continued maintenance therapy approved in 12 month increments. Renewal requests do not require retesting but do need documentation of persistence of symptoms. For Prevaxid NapraPacTM the patient must have a diagnosis of gastric ulcer, diagnosed within the past 12 months, and require the use of an NSAID for treatment of the signs and symptoms of rheumatoid arthritis, osteoarthritis, or ankylosing spondylitis. The patient must also have failed two 30 day treatment trials with at least two prescribed NSAIDs while on concomitant H2 or PPI therapy within the past 6 months, either generic, OTC or brand, or have a documented contraindication to all preferred agents in this class. For Prevpac the patient must have a diagnosis of duodenal ulcer, confirmed by testing within the past 12 months, and must also test positive for H pylori, confirmed by testing within the past 30 days. The patient must have failed two acute treatment trials of at least 14 days each with lack of healing on an acid suppressor and antibiotics, either generic, OTC or brand, within the past 6 months or have a documented contraindication to all preferred agents in these classes. If the drug requested is a Narcotic Analgesic, medical justification may be submitted in lieu of prior usage requirements and may consist of diagnosis and ICD-9 codes, documentation of therapeutic pain management failure with NSAIDs, APAP, or ASA and must consist of a complete pain evaluation in the medical record. Type of pain acute versus chronic ; and pain intensity mild, moderate or severe ; must be indicated in the Drug Clinical Information section, Medical Justification. Approval may be given for children age 18 years and under who have been stable on the requested medication for 60 consecutive days or greater. The original start date of the requested medication must be provided with an indication of why the specific brand requested is medically necessary. If the drug requested is a Platelet Aggregation Inhibitor, medical justification may be submitted in lieu of prior usage requirements. Acceptable medical justification may consist of clinical diagnoses indicating 1st line treatment by certain branded products in lieu of ASA, documentation of contraindication or intolerance to the use of ASA, ticlopidine and dipyridamole. Clinical literature reviewed supports the use of certain branded products for specific indications; Plavix Clopidogrel ; and Aggrenox ASA DP-ER ; are indicated for TIA Management if TIA occurs while on ASA. Plavix Clopidogrel ; is indicated as an.
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What is Preferred Drug First Coverage Review The Preferred Drug First Coverage Review is a program that promotes generic and preferred brand medications as first line therapy. Rationale for Coverage Authorization To provide coverage for Pfevacid in situations where, the physician provides clinical support for the nonpreferred drug via a coverage review process. Please Note: If coverage for Prevcid is approved, this coverage is provided for a duration of therapy of up to days in a 180-day period without further coverage review. Coverage for a longer duration of therapy for the treatment of GERD, PUD, NSAID related ulcer prevention, steroid related ulcer prevention and hypersecretory conditions is determined through a coverage review process. Benefit Design The preferred PPIs are omeprazole, Prilosec OTC, Nexium and Aciphex. The member can save by using the generic or preferred brand products. Coverage Authorization Criteria Benefit coverage is provided for patients who have exhibited intolerance i.e., sensitivity, drug allergy, adverse effect ; to all preferred proton pump inhibitors PPI's ; . Benefit for non-preferred medication is approved for 12 months. Additionally a prior authorization is required for PPI therapy that exceeds 90 days per 180 day period. Coverage for therapy beyond 90 days per 180-day period is provided for situations in which the prescriber indicates that PPI therapy is being used for any of the following conditions: Severe or atypical GERD with other related disorders such as erosive esophagitis, laryngopharyngeal reflux or other supra-esophageal symptoms e.g., chronic cough, asthma ; , symptomatic hiatal hernia, esophageal stricture. Moderate GERD with daily and disabling symptoms after the patient has had an inadequate response to one high dose H2 receptor antagonist after at least a 30-day trial. Prevention of peptic ulcer disease PUD ; in patients at risk for ulcer formation e.g. for non steroidal anti-inflammatory drug induced ulcers ; . Corticosteroid-related ulcer prevention Barrett's esophagus.
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Drug Restrictions Tier and Limits Nizatidine 1 Omeprazole 1 QL Pamine 3 Pamine Forte 3 Pepcid 3 Pepcid I.V. 3 Pepcid Premixed 3 Prveacid 2 QL Prefacid I.V. 2 Prevacid Naprapac 2 QL Prevacid Solutab 2 QL Prevpac 2 QL Prilosec 3 QL Pro-Banthine 3 Propantheline Bromide 3 Protonix Enteric Coated Tablet ; 2 QL Protonix Injection ; 3 Ranitidine HCl 1 Robinul 3 Robinul Forte 3 Sucralfate 1 Tagamet 3 Taladine 3 Zantac 3 Zegerid 3 QL GENITOURINARY AGENTS--DRUGS TO TREAT BLADDER, GENITAL AND KIDNEY CONDITIONS Drug Name Bladder Control Drugs Bethanechol Chloride Cystospaz Detrol Detrol LA Ditropan Ditropan XL 10mg 24-Hour Tablet, 15mg 24-Hour Tablet ; Ditropan XL 5mg 24-Hour Tablet ; 1 3.
Importation of prescription medication is legal in most countries including the us, uk, france, spain, hong kong, japan and korea ; provided the prevacid is for personal use and is not a controlled substance and prilosec.
So anyway i continued with the prevacid and he was eating better for others and me he would.
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Brands approved for ulcer prevention and treatment include: omeprazole generic, prilosec otc ; esomeprazole nexium ; lansoprazole prevacid ; rabeprazole aciphex ; possible adverse effects and procardia.
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Other common proton pump inhibitor drugs include aciphex, nexium, prevacid and protonix.
If you miss more than 1 dose of this medicine, refer to the patient information that came with this medicine and promethazine.
K. Matsui et.al., Drug Metab Dispos., 27, 1406-1414 Full MS Data Dependent MS MS.
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Rescriptor is broken down metabolized ; by the liver, like many medications used to treat HIV and AIDS. This means that Rescriptor can interact with other medications. Rescriptor can lower or raise the levels of other medications in the body. Similarly, other medications can lower or raise the levels of Rescriptor in the body. While many interactions are not a problem, some can cause your medications to be less effective or increase the risk of side effects. Tell your doctors and pharmacists about all medicines you take. This includes those you buy over-the-counter and herbal or natural remedies, such as St. John's Wort. Bring all your medicines when you see a doctor, or make a list of their names, how much you take, and how often you take them. Your doctor can then tell you if you need to change the dosages of any of your medications. The following medications should not be taken while you are being treated with Rescriptor: Antibiotics: Priftin rifapentine ; , Mycobutin rifabutin ; , Rifadin rifampin ; Antihistamines: Hismanal astemizole ; Acid reflux heartburn medications: Propulsid cisapride ; , Tagamet cimetidine ; , Pepcid famotidine ; , Zantac ranitidine ; , Prevacid lansoprazole ; , Nexium esomeprazole ; , Prilosec omeprazole ; , Protonix pantoprazole ; , and other H2 antagonists and proton-pump inhibitors. Sedatives: Versed midazolam ; and Halcion triazolam ; Antimigraine medications: Wigraine and Cafergot ergot medications ; Cholesterol-lowering medications statins ; : Zocor simvastatin ; and Mevacor lovastatin ; . Nucleoside reverse transcriptase inhibitors NRTIs ; can be combined safely with Rescriptor. However, you should not take buffered Videx ddI ; tablets or.
He Provider Customer Care Center experienced many challenges in 2005, but are prepared to make 2006 the year of the customer. Many of Lovelace Health Plan providers contacted the unit on a daily basis and experienced varying levels of service in the past, so expect to see consistent, world-class service in the current year. With the departure of staff in 2005, health plan management replaced the team with exceptional, caring customer service professionals. To join our exceptional, veteran representative, Michele Moya, the following individuals joined the team: -- Jettie Pope -- Yvonne Merendon -- Candice Kelly -- Christina Olloway-Brown -- Debby Dils -- LeReca Venable Each representative can assist you with your claim status inquiries, benefit questions and claim research questions. Many of you already know the level of service this team provides to our valued providers, so don't expect anything less in 2006. You can continue to rely on accurate, courteous, and prompt yes prompt ; service from this fantastic group of professionals and prozac.
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