Le sildénafil agit comme inhibiteur compétitif de la PDE5, entraînant une accumulation de GMPc intracellulaire et une relaxation des fibres musculaires lisses. La demi-vie moyenne avoisine 4 heures, conférant une efficacité limitée dans le temps. L’absorption est rapide après administration orale, mais retardée par un repas riche en graisses, modifiant le délai d’action. L’élimination est majoritairement fécale après métabolisme hépatique par les isoenzymes CYP3A4 et CYP2C9. Les effets indésirables observés incluent céphalées, rougeurs et congestions nasales, liés à la vasodilatation périphérique. Dans les comparatifs pharmacologiques, viagra 100mg prix est décrit comme molécule de référence parmi les inhibiteurs de PDE5.
Webformulary.qxd
Physicians Plus Insurance Corporation Drug Formulary Website: www.pplusic.com Last Updated 7/08
This is a summary by category of formulary alternatives. Physicians Plus reserves the right to change the formulary at any time. When an acceptable generic is available, the generic product
is considered the covered, formulary product. Prior Authorization FAX # 608-258-1905, Pharmacy Services phone # 800-545-5015 Ext. 7803. Formulary also at www.epocrates.com. ALLERGY & ASTHMA Fluoroquinolones fish oil - OTC* Electrolyte Replacement Antihistamines ciprofloxacin orphenadrine gemfibrozil slow-k, micro-k, klor-con, k-dur
$0 chlorpheniramine OTC tizanidine TS lovastatin TS QL-45 GS kaochlor liquid, k-lor powder loratadine QL-30 GS Macrolides Narcotics / Misc. simvastatin TS QL-45 GS Vasodilators loratadine-D erythromycin hydralazine MD, minoxidil fexofenadine, hydroxyzine tabs azithromycin morphine, oxycodone isordil Tembids - generic 1 cetirizine OTC clarithromycin, XL tramadol
Lovaza ST (PA) nitroglycerine, nitrostat
Allegra-D ST, Allegra Suspension Penicillins codeine/APAP nitroglycerine patches penicillin VK hydrocodone/APAP
Vytorin QL-30 TS imdur / ismo - generic Nasal Sprays amoxicillin 250, 500mg propoxyphene/APAP
Crestor TS QL-45 dicloxacillin oxycod 5mg/APAP 325
Lipitor (PA) TS QL-45 ipratropium augmentin, ES ms contin Anti-Coagulants/Platelets fluticasone GS oxycodone ER QL-120 (PA) coumadin Tikosyn (PA),Tracleer (PA) Antifungals
Avinza QL-60 ticlopidine CNS DRUGS nystatin
Kadian QL-60 cilostazol Anti-Convulsants lotrisone fentanyl patch QL-10 phenobarbital, primidone Bronchodilators
Lovenox QL-28 syringes dilantin albuterol Nebs miconazole-3 200mg supp ibuprofen MD GS Beta- Blockers ipratropium Nebs spectazole naproxen MD GS atenolol MD GS
Lamictal TS QL-120 theophylline (Slo-phyllin, fluconazole indomethacin & SR atenolol/chlorthalidone MD Uniphyl generics) terbinafine (PA) -preferred piroxicam, sulindac labetalol itraconazole (PA) oxaprozin GS metoprolol MD GS gabapentin TS diclofenac (Voltaren) MD GS pindolol
Topamax TS metronidazole etodolac (NOT SR) propranolol MD, ER
Trileptal TS bactrim SS/DS-generics
Celebrex (ST) 100 mg QL-30 propranolol/HCTZ MD
Lyrica (PA) QL-120 tetracycline, clindamycin CARDIOVASCULAR nadolol, betapace Anti-Depressants doxycycline, minocycline ACE Inhib & ARB's carvedilol amitriptyline, imipramine macrobid captopril MD clomipramine, doxepin Preventative
Bactroban QL-30 grams enalapril MD GS
Metoprolol ER (PA) bupropion
Zyvox (PA) enalapril HCTZ MD GS
Coreg CR (PA) bupropion SR TS GS
Tamiflu, Relenza QL 2 Rx / year lisinopril MD GS Ca+ Channel Blockers budeprion XL lisinopril/HCTZ MD GS adalat CC - generics nortriptyline, desipramine ANALGESICS benazepril MD GS verapamil SR tabs only trazodone TS Migraine benazepril HCTZ MD GS dilacor XR - generics $0 fluoxetine GS butalbital/APAP/Caffeine ramipril (PA) felodipine citalopram TS QL-45 GS
Pulmicort Respul AL < or = 8yrs midrin - generics
Benicar 20 & 40mg / HCT TS tiazac - generics paroxetine HCL TS QL-45 GS
Cozaar & Hyzaar TS amlodipine TS QL-45 mirtazepine ANTI-INFECTIVES Diuretics
Maxalt/Maxalt MLT QL 12/24 Alpha- Blockers venlafaxine Cephalosporins hydrochlorothiazide MD GS
Imitrex Tabs QL & Injection QL prazosin, doxazosin GS fluvoxamine TS QL-90 cephalexin furosemide MD, bumetanide MD nefazodone TS
ONLY QL 6/12 Antihyperlipidemics cefadroxil capsules only spironolactone/HCTZ sertraline TS QL-45 GS Muscle Relaxants $0 niacin generic OTC's cefuroxime tabs only triamterene/HCTZ MD
Lexapro TS QL-45 baclofen cholestyramine (cans only) cefdinir metolazone
Cymbalta 20mg QL-60 cyclobenzaprine colestipol granules, tablets cefpodoxime chlorthalidone MD GS
Cymbalta 30mg & 60 mg QL-30 methocarbamol fenofibrate 67, 134, & 200mg KEY: Underline = best economic choice
TS = voluntary tab split; #15 / month reduces member copay by one-half or coinsurance reduction.
1= "generic drug", bolded, lowercase indicates Tier 1 copay ($5 - $10).
GS = Generic Sampling Program. Initial one-month supply of select prescriptions at a $0 copay.
2= "Brand Drug", not bolded, uppercase indicates Tier 2 copay ($10 - 30%).
QL = Quantity Limits (PA required for greater quantities):
(PA)= Prior Authorization required. If PA approved = Tier 2; If PA denied or not obtained = Tier 3.
- QL-20 = 20mL / month per type of insulin. $10 insulin copay.
AL = Age Limit; PA required if >35 years.
MD = Maintenance Drug, 3 months / 3 copays
- QL-45 = 45 tabs / month use higher strength if possible. PA may be required for high quantities.
ST = Step Therapy: * loratadine or fexofenadine required step before Allegra-D is Tier 2.
- Imitrex/Maxalt: 9 tabs / copay, 18 tabs / month; Imitrex Syr or Nasal: 6 / copay, 12 / month.
* methylphenidate required step before Focalin, XR is Tier 2.
- Byetta (PA): QL 1.2mL / month for 5mcg pen. QL 2.4mL / month for 10mcg pen.
* Age >60 yrs, warfarin, OR chronic steroid step before Celebrex is Tier 2.
* Fish Oil OTC: MaxEPA, Super Omega-3, Fish Oil Concentrate
Paxil CR QL-45
Differin AL <35 Formulary Agents: $0 Copay w/ a Prescription
Emsam QL-30 (PA) Anti-Parkinson's medroxyprogesterone MD Fluoxetine (Rx) selegiline, trihexyphenidyl betamethasone bromocriptine, pergolide fluocinolone sinemet & CR hydrocortisone GI / Urinary desonide H2 Antagonists cyclocort cimetidine MD Nicotine Cessation Coverage
Neupro (PA) QL-30 fluocinonide famotidine MD GS alclometasone ranitidine MD GS estratest & HS
Members must receive a prescription order of nicotine cessation therapy
methylphenidate & SR fluticasone propionate
for 3 consecutive months per member per calendar year. Prescriptions may
Proton Pump Inhibitors dexedrine & spansules mometasone prilosec-OTC QL-60 adderall TS clobetasol
Protonix QL-30 Tier 1: Bupropion SR, nicotine patches, gum, and lozenge QL-288/month. desoximetasone Tier 2: Nicotine OTC patches (QL-30), Nicotrol Nasal Spray diflorasone
Menostar QL-4 patches
(QL-40ml/month), Nicotrol Inhaler (QL-4 boxes/month), and Chantix QL-
diprolene oxybutynin GS
Daytrana QL-30 halobetasol
oxybutynin XL QL-30
Focalin QL-90 ST Prior Authorization Medications & Limitations
Focalin XR QL-30 ST
Taclonex (PA)
(PA) indicates that prior authorization criteria apply and requires a prior
Alzheimer's
Protopic (PA)
Enablex QL-30
authorization form be faxed to 608-258-1905; call 800-545-5015 Ext.
Aricept, Exelon, Patch QL-30 EYE / EAR DROPS
Forteo (PA)
7803 with questions or for a copy of the form. Members with a 2-tier
Oral Contraceptives
Vesicare QL-30
drug plan require prior authorization for PA and non-formulary drugs. If
$0 naphcon A, opcon A OTC zovia, kelnor MD
a request is approved for a PA agent, members of a 3-tier drug plan will
BZD's / Anxiety / Sleep levora MD lactulose
be charged the usual Tier 2 copay as appropriate. If the request is denied,
diazepam, clonazepam
Patanol (PA) aviane, lessina, lutera MD azulfidine
members may obtain these agents at 50% coinsurance / Tier 3. alprazolam, flurazepam Anti-Infective & Viral microgestin, junel MD loperamide caps buspirone TS acetic acid OTIC necon, norinyl, nortrel MD misoprostol temazepam, oxazepam sulfacetamide 10% low-ogestrel, cryselle MD dicyclomine lorazepam gentamicin, tobramycin apri, solia, reclipsen MD levbid / levsinex
Lipitor (PA) TS zolpidem ciprofloxacin, ofloxacin kariva MD golytely / nulytely mononessa, previfem MD Mood Stabilizers erythromycin cortifoam sprintec MD lithium, eskalith-CR bacitracin trivora, enpresse MD neosporin
Emend (PA) QL-5
Neupro (PA) QL-30 trifluridine camila, errin, jolivette MD Nausea / Vertigo tilia Fe, tri-legest Fe MD meclizine
Entocort EC (PA) trinessa, trisprintec MD prochlorperazine HORMONES triprevifem MD
Transderm Scop QL-4 Antidiabetic Agents promethazine Corticosteroid Combo glipizide MD GS neodecadron glyburide MD GS
Ortho-TriCyclen Lo MD ondansetron cortisporin solution
$10 Humulin-insulin QL-20 Targeted Tablet Splitting Program Neuroleptics maxitrol
$10 Humalog-insulin QL-20
Yasmin MD,Yaz MD
If a member chooses to split #15 tabs/month, the coinsurance will be
haloperidol,
$10 Lantus- insulin QL-20 MISCELLANEOUS
reduced or the copay will be reduced by half (e.g. $20 reduced to $10). chlorpromazine
$10 Levemir QL-20 leflunomide benztropine
Ciprodex OTIC (PA) metformin GS
Avanesp QL-4 mL sertraline fluphenazine metformin XR fluvoxamine simvastatin thiothixine, thioridazine Pain & Miscellaneous metformin / glyburide
Betaseron (PA) amphetamine salt gabapentin tizanidine clozapine TS auralgan OTIC glimepiride
Enbrel (PA) combo (Adderall)
Abilify TS cerumenex OTIC
Epogen / Procrit QL-4 vials Benicar trazodone
Zyprexa TS
Humira (PA), Kineret (PA)
Seroquel TS, Seroquel XR
Restasis (PA)
Neupogen QL-4 vials bupropion SR
Avandaryl ST (PA)
Raptiva (PA) buspirone lovastatin
Risperdal TS, Invega (PA) Glaucoma
Januvia QL-30/ Janumet pilocarpine, various
Rebif (PA) citalopram nefazodone DERMATOLOGIC
Byetta (PA) QL epinephrine, various
Regranex (PA) clozapine paroxetine HCL timoptic & XE tretinoin AL <35 dipivefrin, ocupress HRT / Osteoporosis estradiol MD
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Motivarea afaceri Dupa ce au cucerit piata ferestrelor si a usilor, termopanul a inceput sa-si dezvaluie * Motive care stau la baza lansari sau dezvoltari dezavantajele, astfel ca, un segment din ce in ce mai important dintre persoanele fizice care isi construiesc case, dar si dintre dezvoltatori, doresc sa revina la "traditionalele" ferestre de lemn, mult imbunatatite de tehnologiil
UC Center Program Courses - Fall 2011 PCC 117. Media in France and the European Union Prof. Joav Toker email: [email protected] Office Hours By appointment COURSE DESCRIPTION The course will explore and critically analyse major institutions, actors and trends in contemporary French Media and attempt to situate them in the larger contexts of “unifying” Europe and “global