Michigan Department of Community Health Changes to the Michigan Pharmaceutical Product List Effective January 14, 2002 Bolded Drugs do not require prior authorization
Morphine Sulfate Piroxicam Morphine Sulfate Solution Oxaprozin Allegra D® Morphine Sulfate ER Sulindac Allegra Tolmetin Sodium Claritin® Nalbuphine HCL Toradol® Claritin D 12 hour® Nubain® Claritin D 24 hour® Claritin Syrup® Oxycodone HCL Claritin Redi-Tab® Oxycodone/ APAP Oxycodone/ ASA Panlor DC® Phenaphen W/Codeine® Propoxyphene HCL Compound Propoxyphene HCL/ APAP Propoxyphene Napsylate/ APAP Roxicet® Butalbital Compound W/Codeine Roxilox® Capital W/Codeine® Zydone® Codeine Phosphate Codeine/ APAP Codeine/ASA Diclofenac Potassium Darvon-N® Diclofenac Sodium Dolophine HCL® Etodolac Fiorinal W/Codeine #3® Fenoprofen Calcium Fiortal W/Codeine # 3® Flurbiprofen Hydrocodone/APAP Ibuprofen Hydromorphone Indomethacin Kadian® Ketoprofen Meperidine Ketorolac Trimethamine Methadone Meclofenamate Sodium Methadone HCL Naproxen Methadose® Naproxen Sodium
1 Prior Authorization Not Required for Beneficiaries Under the Age of 12
2 Prior Authorization Not Required for Beneficiaries Over the Age of 60
3 Prior Authorization Required if Beneficiary is over the age of 65
Michigan Department of Community Health Changes to the Michigan Pharmaceutical Product List Effective January 14, 2002 Bolded Drugs do not require prior authorization
Antibiotics Broad Spectrum Cephalosporin Valcyte®
Monopril HCT® Monopril® Cephalexin Unirectic® Cefadroxil Univasc® Cinobac® Zestoretic® Levaquin® Maxaquin® Zestril® Cholestyramine Neggram® Cholestyramine Light Noroxin® Colestid® Tequin® Gemfibrozil Lescol XL® Lescol® Niacor® Cefaclor Niaspan® Cefaclor ER Pravachol® Ceftin® Cefzil® Ceptaz® Actonel® Rocephin® Evista® Fosamax® Atacand HCT ® Atacand® Micardis HCT® Antibiotics & Antiviral - Antivirals Micardis® Captopril Captopril/Hydrochlorothiazide Teveten® Acyclovir Enalapril Valtrex® Enalapril/Hydrochlorothiazide Lotensin HCT® Acebutolol Lotensin® Atenolol
1 Prior Authorization Not Required for Beneficiaries Under the Age of 12
2 Prior Authorization Not Required for Beneficiaries Over the Age of 60
3 Prior Authorization Required if Beneficiary is over the age of 65
Michigan Department of Community Health Changes to the Michigan Pharmaceutical Product List Effective January 14, 2002 Bolded Drugs do not require prior authorization
Atenolol/HCT Plavix® Betaxolol Cardene® Pletal® Psychiatric Anti-Depressants – Other Bisoprolol Fumarate Diltiazem Ticlopidine Remeron® [sol tab] Bisoprolol HCT Diltiazem-SR Trazodone Dynacirc® Wellbutrin SR® Metoprolol Nicardipine Nifedical XL® Pindolol Nifedipine Propranolol Norvasc® Gastrointestinal Proton Pump Inhibitors Propranolol/HCT Verapamil Prevacid® Verapamil SR Protonix® Histamine-2 Receptor Antagonists (H-Cimetidine Fluoxetine Famotidine Ranitidine Aggrenox® Dipyridamole
1 Prior Authorization Not Required for Beneficiaries Under the Age of 12
2 Prior Authorization Not Required for Beneficiaries Over the Age of 60
3 Prior Authorization Required if Beneficiary is over the age of 65
Michigan Department of Community Health Changes to the Michigan Pharmaceutical Product List Effective January 14, 2002 Bolded Drugs do not require prior authorization
Central Nervous System Stimulants Amitriptyline3 Concerta® Amoxapine 3 Chlorpromazine Dexedrine® Clomipramine Fluphenazine Dextrostat® Desipramine Haloperidol Dextroamphetamine Sulfate Doxepin3 Loxapine Methylin® Elavil® Methylphenidate Imipramine 3 Perphenazine Methylphenidate SR Nortriptyline Thiothixene Protriptyline Trifluperazine Sinequan® Sedative Hypnotic Non-Barbiturates Chloral Hydrate Chloral Hydrate Syrup Diphenhydramine3 Estazolam Flurazepam3 Alprazolam Temazepam3 Buspar® Triazolam3 Buspirone Chlordiazepoxide 3 Clorazepate Risperdal® Diazepam3 Eskalith® Seroquel® Doxepin3 Lithobid® Zyprexa® Hydroxyzine HCL Lithium Carbonate Hydroxyzine Pamoate Lithium Citrate Lorazepam Meprobamate Oxazepam
1 Prior Authorization Not Required for Beneficiaries Under the Age of 12
2 Prior Authorization Not Required for Beneficiaries Over the Age of 60
3 Prior Authorization Required if Beneficiary is over the age of 65
Michigan Department of Community Health Changes to the Michigan Pharmaceutical Product List Effective January 14, 2002 Bolded Drugs do not require prior authorization
Respiratory Beta Adrenergic Inhalers Nystantin W/Triamcinolone Clobevate Advair Diskus® Tri-Statin II Desonide Albuterol Desoximetasone Albuterol Sulfate Diflorasone Diacetate Brethine® Fluocinolone Acetate Maxair® Fluocinonide Metaproterenol Fluocinonide-E Serevent® FS Shampoo® Volmax® Halog-E® Hydrocortisone Acetate Hydrocortisone Valerate Acetohexamide Pandel® Chlorpropamide Trimacinolone Acetonide Glipizide Glucovance® Glyburide Glyburide Micronized Prandin® Amphosin® Precose® Amphotericin B Tolazamide Anti-Fungal Tolbutamide Carrington Antifungal® Clotrim Antifungal® Clotrimazole Clotrimazole/Betamethasone Fungizone® Fungoid® Griseofulvin Ultramicrosize Ketoconazole Augmented Betamethasone Dipropionate Micaderm® Betamethasone Dipropionate Miconazole Nitrate Betamethasone Valerate Micro-Guard® Capex Shampoo® N.T.A.® Clobetasol Propionate Nystantin
1 Prior Authorization Not Required for Beneficiaries Under the Age of 12
2 Prior Authorization Not Required for Beneficiaries Over the Age of 60
3 Prior Authorization Required if Beneficiary is over the age of 65
Michigan Department of Community Health Changes to the Michigan Pharmaceutical Product List Effective January 14, 2002 Bolded Drugs do not require prior authorization
Erythrocin Stearate Erythromycin Base Amantadine Beconase® Erythromycin Estolate Flumadine® Flonase® Erythromycin Ethylsuccinate Tamiflu® Nasarel® Erythromycin Stearate Relenza® Nasonex® Erythromycin w/Sulfisoxazole Tri-Nasal® Zithromax® Cytovene® (CMV Retinitis) Dilatrate-SR® Isosorbide Dinitrate Isosorbide Mononitrate Agenerase® Isotrate ER Crixivan® Monoket® Exelon® Fortovase® Nitroglycerin Reminyl® Invirase® Nitroglyn Kaletra® Nitroquick® Autoplex T® Norvir® Nitrostat® Bioclate® Viracept® Nitrotab® Feiba Vh Immuno® Nitro-Time Helixate® Hemofil-M® Cortisone Acetate Humate-P® Azathioprine Dexamethasone Kogenate® Cellcept® Methylprednisolone Monoclate-P® Cyclosporine Prednisolone Recombinate® Gengraf® Aristocort® Refacto® Imuran® Celestone® Neoral® Hydrocortisone Prograf® Orapred® Biaxin® Rapamune® Pediapred® Biaxin XL® Sandimmune® Prednisone Dynabac® Simulect® Prelone®
1 Prior Authorization Not Required for Beneficiaries Under the Age of 12
2 Prior Authorization Not Required for Beneficiaries Over the Age of 60
3 Prior Authorization Required if Beneficiary is over the age of 65
Michigan Department of Community Health Changes to the Michigan Pharmaceutical Product List Effective January 14, 2002 Bolded Drugs do not require prior authorization
1 Prior Authorization Not Required for Beneficiaries Under the Age of 12
2 Prior Authorization Not Required for Beneficiaries Over the Age of 60
3 Prior Authorization Required if Beneficiary is over the age of 65
The Journal of the Libertarian AllianceVol. 3 : No.1 1982 - Article 1 of 6 useful in the prevention of anaemia. This Contraceptives and is especially beneficial in regions of theworld where health care is fairly drug regulation rudimentary. Its clinical record is betterthan the Pill at a comparable stage ofdevelopment. n May 1980 Upjohn Limited, amajor international drug companyIapplie
The Pontifical Anthem or Papal Anthem The Pontifical Anthem or Papal Anthem is the official anthem of the Pope, the Holy See and the Vatican City State. It is played at solemn occasions of the State and ceremonies in which the Pope or one of his representatives, such as a nuncio, is present. When the Vatican's flag is ceremonially raised, only the first eight bars are played. The music was c