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2019 Table of Drugs – CMS.gov

Oct 26, 2018 … 100 mg. IV. J0132. Acetylcysteine, unit dose form per gram. INH. J7604 …
Intravenous administration includes all methods, such as gravity infusion,
injections, and timed pushes. … A-methaPred, see Methylprednisolone sodium
succinate. Amgen, see ….. DepMedalone 80, see Methylprednisolone acetate.

DEPO-MEDROL Label – FDA

DEPO-MEDROL®. (methylprednisolone acetate injectable suspension, USP) …
40 mg. 29.1 mg. 1.94 mg. 6.8 mg. 1.42 mg. 9.16 mg. 80 mg. 28.2 mg. 1.88 mg.

Depo-Provera – FDA

Provera Contraceptive Injection (Depo-Provera CI) safely and effectively. See full
… The recommended dose is 150 mg of Depo-Provera CI every 3 months (13.

State of WV 0719 eff 07/01/2019 – PEIA

State of WV 0719 eff 07/01/2019. Drug Name. Drug Tier ….. tobramycin sulfate inj
80 mg/2ml (40 mg/ml) (base equiv). 1 …… DEPO-MEDROL INJ 20MG/ML. 3.

PHYSICIAN ADMINISTERED DRUG FEE SCHEDULE Effective 7/1 …

999 04/01/2019 12/31/9999. 4. 6.46. J1040. Fee on File. INJECTION,
METHYLPREDNISOLONE. ACETATE, 80 MG. 0. 999 04/01/2019 12/31/9999.
954. 12.49.

Humana – PEIA

Sep 27, 2018 … 2019. Prescription Drug Guide. Humana Medicare Employer Plan Formulary …..
astramorph-pf 1 mg/ml injection solutionDL. 1. QL (3600 ….. KADIAN 100 MG,
200 MG, 40 MG, 50 MG, 60 MG, 80 MG CAP SULE,EXTENDED ……
methylprednisolone ss 1 gm vl; methylprednisolone ss 1,000 mg, 125 mg, 40.

2019 Drug Formulary – NC.gov

Jul 1, 2019 … Plan 2019 Custom Formulary …. Traditional Pharmacy Benefit (which includes
the 80/20 Plan and 70/30 …… DEPO-MEDROL INJ 80MG/ML. 3.

CCHCS Formulary (June 2019)

Jun 25, 2019 … 80 – 86. CCHCS Use Restrictions for Nonformulary Agents. 87 – 90. CCHCS …..
methylprednisolone prednisone …. Injectable: 6 mg/2 ml vial.

AHCCCS ACUTE – LONG TERM CARE DRUG LIST EFFECTIVE …

Oct 1, 2018 … ADHD AGENTS. Amphetamines. Stimulants. Miscellaneous Agents. 2/4/2019. 1
….. ENOXAPARIN SODIUM INJ 80 MG/0.8ML. VARIOUS VIAL …

2019 Basic Drug Formulary – AustinTexas.gov

Jan 18, 2019 … Blue Cross and Blue Shield of Texas January 2019 Basic Drug List – Updated as
of 10/1/18 …… methylprednisolone tab 4 mg. (Medrol) methylprednisolone tab 8
mg. (Medrol) ….. subcutaneous inj 80 mg/0.8ml. • •. TYMLOS – …

emergency medical services pre-hospital statewide … – Mass.gov

Apr 12, 2019 … June 17, 2019 …… Protocol 6.6 Check and Inject Epinephrine for BLS Providers.
… Hydrocortisone 100 mg IV/IO/IM, or methylprednisolone 125 mg ……
Furosemide 20-40mg IV/IO, or 40-80mg IV/IO if patient is already on …

2019PY Express Scripts Medicare Formulary – NDPERS

Aug 24, 2018 … Generally, if you are taking a drug covered by your plan in 2019, Express …..
ceftazidime injection …. ml, 80 mg/50 ml. 1 …… methylprednisolone.

Express Scripts Medicare (PDP) 2018 Formulary (List of … – CT.gov

Aug 14, 2017 … 2. MO didanosine oral capsule,delayed release(dr/ec) 125 mg. 1 …. ceftazidime
injection …. mg/100 ml, 80 mg/50 ml. 1 …… methylprednisolone.

lrafb formulary mar 2019 – Defense.gov

Mar 29, 2019 … 80mg. Tablet. Lipitor. Lovastatin. 10mg, 20mg, 40mg. Tablet. Mevacor. BCF
Pravastatin. 10mg ….. Testosterone cypionate. 200mg/mL. Injection. Depo
Testosterone. Only stock 1mL vials … Medrol Dose-Pak. BCF Prednisolone.

Blue MedicareRxSM (PDP) 3-tier 2018 Formulary – City of Holyoke …

on January 1, 2019, and from time to time during the year. S2893_1703_GRP.
P.O. Box ….. tobramycin inj 80mg/2ml. Tier 3 …… of SOLU-MEDROL). Tier 3. B/D.

PIMC Formulary – Indian Health Service

May 28, 2019 … Saxagliptin to Alogliptin conversion (formulary changed 2/20/2019) …..
ATORVASTATIN 10MG TAB, 20MG TAB, 40MG TAB, 80MG TAB ……
METHYLPREDNISOLONE SOD SUCCINATE INJ 40MG VIAL, 125MG VIAL,
500MG …

State of New Hampshire Patient Care Protocols – NH.gov

*EMTs must have completed the Ready, Check & Inject training, click here. The
EMTs will need to …… o Methylprednisolone 1 mg/kg IV (maximum dose 125 mg).
…… Generic: 40 mg/mL (50 mL, 100 mL, 500 mL, 1000 mL); 80 mg/mL (50.

alabama ems patient care protocols ninth edition january 2018

4.22 Magnesium Sulfate. 105. 4.23 Midazolam. 106 …. Administration of aspirin,
glucose paste, auto-injection epinephrine, and naloxone. 2. …. <80 mm/Hg in a
child five or younger. This includes any ….. succinate, Methylprednisolone, and.



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