Alternative Generic Drugs - Health Net

Alternative Generic Drugs

Drugs Not Available As

Possible Alternatives On The Recommended Drug List

A Generic

Aciphex

Omeprazole (PRILOSEC), Pantoprazole (PROTONIX)

ACTONEL TABLETS

Alendronate (FOSAMAX)

ACTONEL with CALCIUM

TABLETS

Alendronate (FOSAMAX) with Calcium OTC

Aggrenox

Clopidogrel (PLAVIX), Ticlodipine (TICLID)

Alrex

Dexamethasone (DEXASOL, MAXIDEX), Fluorometholone (FML, FML FORTE, FML S.O.P.,

FLAREX), Prednisolone (Pred MILD, PRED FORTE, INFLAMASE FORTE)

Atacand

Lostartan (COZAAR), Irbesartan (AVAPRO)

Atacand HCT

Losartan / Hydrochlorothiazide (HYZAAR), Irbesartan / HCTZ (AVALIDE)

Avandia

Pioglitazone (ACTOS), Tolazamide (TOLINASE), Glimepiride (AMARYL), Glipizide/SR

(GLUCOTROL/XL), Glyburide (DIABETA, MICRONASE), Metformin/SR (GLUCOPHAGE/XR)

Avelox

Ciprofloxacin (CIPRO)

Avinza

Acetaminophen /Codeine (TYLENOL/CODEINE), Fentanyl (DURAGESIC), Fioricet, Fiorinal,

Hydrocodone/Acetaminophen (LORTAB/ LORCET/ VICODIN/ VICODIN ES), Hydrormorphone

(DILAUDID), Meperidine (DEMEROL), Methadone (DOLOPHINE), Morphine sulfate (MSIR),

Morphine Sulfate Controlled Release (MS CONTIN), Oxycodone/ Acetaminophen

(PERCOCET), Oxycodone/ Aspirin (PERCODAN)

B&O Suppository

Acetaminophen /Codeine (TYLENOL/CODEINE), Fentanyl (DURAGESIC), Fioricet, Fiorinal,

Hydrocodone/Acetaminophen (LORTAB/LORCET/VICODIN/VICODIN ES), Hydrormorphone

(DILAUDID), Meperidine (DEMEROL), Methadone (DOLOPHINE), Morphine sulfate (MSIR),

Morphine Sulfate Controlled Release (MS CONTIN), Oxycodone/ Acetaminophen

(PERCOCET), Oxycodone/ Aspirin (PERCODAN)

Benicar

Lostartan (COZAAR), Irbesartan (AVAPRO)

Benicar HCT

Losartan / Hydrochlorothiazide (HYZAAR), Irbesartan / HCTZ (AVALIDE), Valsartan / HCTZ

(DIOVAN HCT)

Cardene, Cardene SR Nifedipine SR (ADALAT CC, PROCARDIA XL), Verapamil (CALAN), Verapamil SA (CALAN

SR, ISOPTIN SR, VERELAN), Diltiazem (CARDIZEM), Diltiazem CD (CARDIZEM CD,

DILACOR), Felodipine (PLENDIL)

Cartrol

Acebutolol (SECTRAL), Atenolol (TENORMIN), Metoprolol (LOPRESSOR), Nadolol

(CORGARD), Pindolol (VISKEN), Propranolol (INDERAL), Sotalol (BETAPACE /AF), Timolol

(BLOCADREN)

Cataflam

Ibuprofen (MOTRIN), Etodolac Immediate Release (LODINE), Meloxicam (MOBIC), Naproxen

(NAPROSYN), Oxaprozin (DAYPRO), Indomethacin (INDOCIN / INDOCIN SR), Sulindac

(CLINORIL), Diclofenac (VOLTAREN), Piroxicam (FELDENE), Ketoprofen (ORUDIS), Tolmetin

(TOLECTIN/TOLECTIN DS)

Cedax

Cephradine (VELOSEF), Cefaclor (CECLOR)

Celebrex

Ibuprofen (MOTRIN), Etodolac Immediate Release (LODINE), Meloxicam (MOBIC), Naproxen

(NAPROSYN), Oxaprozin (DAYPRO), Indomethacin (INDOCIN / INDOCIN SR), Sulindac

(CLINORIL), Diclofenac (VOLTAREN), Piroxicam (FELDENE), Ketoprofen (ORUDIS), Tolmetin

(TOLECTIN/TOLECTIN DS)

Celestone

Prednisolone (PRELONE), Prednisone (DELTASONE), Cortisone (CORTONE),

Methylprednisolone (MEDROL), Dexamethasone (DECADRON), Hydrocortisone (CORTEF)

Cenestin

Estradiol (ESTRACE), Estradiol patch (CLIMARA, VIVELLE/DOT), Estropipate (OGEN,

ORTHO-EST)

Claritin

CLARITIN OTC AVAILABLE - NOT COVERED, Cetirizine (ZYRTEC) OTC AVAILABLE - NOT

COVERED, Fexofenadine (ALLEGRA) OTC AVAILABLE - NOT COVERED

Cloderm

Betamethasone valerate 0.1% (BETA-VAL), Desoximetasone (TOPICORT LP), Fluocinolone

0.025% (SYNALAR), Mometasone (ELOCON), Triamcinolone 0.025%, 0.1% (ARISTOCORT,

KENALOG)

CombiPatch

Estradiol (ESTRACE), Estradiol patch (CLIMARA, VIVELLE/DOT), Estropipate (OGEN,

ORTHO-EST) AND Medroxyprogesterone (PROVERA)

Cordran ointment/cream Betamethasone valerate 0.1% (BETA-VAL), Desoximetasone (TOPICORT LP), Fluocinolone

0.025% (SYNALAR), Mometasone (ELOCON), Triamcinolone 0.025%, 0.1% (ARISTOCORT,

KENALOG)

Covera-HS

Verapamil SA (CALAN SR, ISOPTIN SR, VERELAN)

1 of 4

Rev. 2/1/13

Alternative Generic Drugs

Drugs Not Available As

Possible Alternatives On The Recommended Drug List

A Generic

Cutivate

Betamethasone valerate 0.1% (BETA-VAL), Desoximetasone (TOPICORT LP), Fluocinolone

0.025% (SYNALAR), Mometasone (ELOCON), Triamcinolone 0.025%, 0.1% (ARISTOCORT,

KENALOG)

Cyclocort

Augmented betamethasone dipropionate. (DIPROLENE AF), Betamethasone valerate 0.1%,

Desoximetasone (TOPICORT), Diflorasone (MAXIFLOR), Fluocinolone 0.2% (SYNALAR HP),

Fluocinonide (LIDEX/E), Triamcinolone 0.5% (ARISTOCORT, KENALOG)

Denavir

ABREVA (OTC AVAILABLE - NOT COVERED), Acyclovir (ZOVIRAX (oral))

Deponit

Nitroglycerin Patches (NITRO-DUR), Nitroglycerin Ointment, Nitroglycerin Oral Capsules

Detrol LA

Tolterodine (Detrol Tablets), Oxybutynin Immediate Release (DITROPAN)

Diovan

Lostartan (COZAAR), Irbesartan (AVAPRO)

Ditropan XL

Tolterodine (DETROL), Oxybutynin Immediate Release (DITROPAN)

Dynabac

Erythromycin (ERYTHROCIN, ERY-TAB, ERYC, E-MYCIN), Clarithromycin (BIAXIN)

DynaCirc, DynaCirc CR Nifedipine SR (ADALAT CC, PROCARDIA XL), Verapamil (CALAN), Verapamil SA (CALAN

SR, ISOPTIN SR, VERELAN), Diltiazem (CARDIZEM), Diltiazem CD (CARDIZEM CD,

DILACOR), Felodipine (PLENDIL)

Enablex

Oxybutynin Immediate Release (DITROPAN)

Estring

Estradiol (ESTRACE), Estradiol patch (CLIMARA, VIVELLE/DOT), Estropipate (OGEN,

ORTHO-EST)

Estrovis

Estradiol (ESTRACE), Estradiol patch (CLIMARA, VIVELLE/DOT), Estropipate (OGEN,

ORTHO-EST)

Fempatch

Estradiol (ESTRACE), Estradiol patch (CLIMARA, VIVELLE/DOT), Estropipate (OGEN,

ORTHO-EST)

Fentanyl Oralet

Acetaminophen /Codeine (TYLENOL/CODEINE), Fentanyl (DURAGESIC), Fioricet, Fiorinal,

Hydrocodone/Acetaminophen (LORTAB/LORCET/VICODIN/VICODIN ES), Hydrormorphone

(DILAUDID), Meperidine (DEMEROL), Methadone (DOLOPHINE), Morphine sulfate (MSIR),

Morphine Sulfate Controlled Release (MS CONTIN), Oxycodone/ Acetaminophen

(PERCOCET), Oxycodone/ Aspirin (PERCODAN)

Floxin

Ciprofloxacin (CIPRO), Levofloxacin (LEVAQUIN)

Geodon

Haloperidol (HALDOL), Clozapine (CLOZARIL), Olanzapine (ZYPREXA)

Halog

Augmented betamethasone dipropionate. (DIPROLENE AF), Betamethasone valerate 0.1%,

Desoximetasone (TOPICORT), Diflorasone (MAXIFLOR), Fluocinolone 0.2% (SYNALAR HP),

Fluocinonide (LIDEX/E), Triamcinolone 0.5% (ARISTOCORT, KENALOG)

Keftab

Amoxicillin (TRIMOX), Cephradine (VELOSEF), Cefaclor (CECLOR), Erythromycin

Levatol

Acebutolol (SECTRAL), Atenolol (TENORMIN), Metoprolol (LOPRESSOR), Nadolol

(CORGARD), Pindolol (VISKEN), Propranolol (INDERAL), Sotalol (BETAPACE/AF), Timolol

(BLOCADREN)

Lexxel

Captopril (CAPOTEN) and Nifedipine SR (ADALAT CC) OR Verapamil SA (CALAN SR),

Felodipine (PLENDIL) and Benazepril (LOTENSIN) or Lisinopril (ZESTRIL, PRINIVIL)

Locoid

Betamethasone valerate (BETA-VAL), Desoximetasone (TOPICORT LP), Fluocinolone

(SYNALAR), Mometasone (ELOCON), Triamcinolone (ARISTOCORT, KENALOG)

Lotemax

Dexamethasone (DEXASOL, MAXIDEX), Fluorometholone (FML, FML FORTE, FML S.O.P.,

FLAREX), Prednisolone (Pred MILD, PRED FORTE, INFLAMASE FORTE)

Lufyllin, Lufyllin-GG

Theophylline SR (THEO-DUR)

Lumigan

Lantanoprost (XALATAN)

Lunesta

Alprazolam (XANAX), Diazepam (VALIUM), Lorazepam (ATIVAN), Flurazepam (DALMANE),

Oxazepam ( SERAX), Temazepam (RESTORIL), Triazolam (HALCION), Zolpidem (AMBIEN),

Zaleplon (SONATA)

Maxidex Ophthalmic

Dexamethasone (DEXASOL, MAXIDEX), Fluorometholone (FML, FML FORTE, FML S.O.P.,

FLAREX), Prednisolone (Pred MILD, PRED FORTE, INFLAMASE FORTE)

Micardis

Lostartan (COZAAR), Irbesartan (AVAPRO)

Micardis HCT

Losartan / Hydrochlorothiazide (HYZAAR), Irbesartan / HCTZ (AVALIDE), Valsartan / HCTZ

(DIOVAN HCT)

Monodox

Doxycycline Hyclate (VIBRAMYCIN)

2 of 4

Rev. 2/1/13

Alternative Generic Drugs

Drugs Not Available As

Possible Alternatives On The Recommended Drug List

A Generic

Naftin

Nystatin (MYCOSTATIN), LAMISIL AT CREAM (OTC AVAILABLE - NOT COVERED),

Clotrimazole (LOTRIMIN), Clotrimazole/ Betamethasone Dipropionate (LOTRISONE),

Econazole (SPECTAZOLE)

Naprelan

Ibuprofen (MOTRIN), Etodolac Immediate Release (LODINE), Naproxen (NAPROSYN),

Oxaprozin (DAYPRO), Indomethacin (INDOCIN / INDOCIN SR), Sulindac (CLINORIL),

Diclofenac (VOLTAREN), Piroxicam (FELDENE), Ketoprofen (ORUDIS), Tolmetin

(TOLECTIN/TOLECTIN DS)

Naprosyn EC

Ibuprofen (MOTRIN), Etodolac Immediate Release (LODINE), Naproxen (NAPROSYN),

Oxaprozin (DAYPRO), Indomethacin (INDOCIN / INDOCIN SR), Sulindac (CLINORIL),

Diclofenac (VOLTAREN), Piroxicam (FELDENE), Ketoprofen (ORUDIS), Tolmetin (TOLECTIN /

TOLECTIN DS)

Nasonex

Fluticasone Nasal (FLONASE)

Nexium

Omeprazole (PRILOSEC), Pantoprazole (PROTONIX)

Noroxin

Ciprofloxacin (CIPRO), Levofloxacin (LEVAQUIN)

Ocupress

Timolol Maleate (TIMOPTIC), Betaxolol (BETOPIC), Levobunolol (BETAGAN)

OptiPranolol

Timolol Maleate (TIMOPTIC), Betaxolol (BETOPIC), Levobunolol (BETAGAN)

Ibuprofen (MOTRIN), Etodolac Immediate Release (LODINE), Naproxen (NAPROSYN),

Oruvail

Oxaprozin (DAYPRO), Indomethacin (INDOCIN / INDOCIN SR), Sulindac (CLINORIL), Diclofenac (VOLTAREN), Piroxicam (FELDENE), Ketoprofen (ORUDIS), Tolmetin

(TOLECTIN/TOLECTIN DS)

Acetaminophen /Codeine (TYLENOL/CODEINE), Fentanyl (DURAGESIC), Fioricet, Fiorinal,

Hydrocodone/Acetaminophen (LORTAB/LORCET/VICODIN/VICODIN ES), Hydrormorphone

Oxycontin

(DILAUDID), Meperidine (DEMEROL), Methadone (DOLOPHINE), Morphine sulfate (MSIR),

Morphine Sulfate Controlled Release (MS CONTIN), Oxycodone/ Acetaminophen

(PERCOCET), Oxycodone/ Aspirin (PERCODAN)

Oxytrol

Tolterodine (DETROL), Oxybutynin Immediate Release (DITROPAN)

PCE Disperstab

Erythromycin (ERYTHROCIN, E-MYCIN)

Pilopine HS

Pilocarpine (PILOCAR, ISOPTO CARPINE)

Premarin

Estradiol (ESTRACE), Estradiol patch (CLIMARA), Estropipate (OGEN, ORTHO-EST)

Prempro

Estradiol (ESTRACE), Estropipate (OGEN, ORTHO-EST) AND Medroxyprogesterone

(PROVERA)

Procardia XL

Nifedipine SR (ADALAT CC), Verapamil SA (CALAN SR), Diltiazem CD (CARDIZEM CD,

DILACOR), Felodipine (PLENDIL)

Provigil

Amphetamine mixture, immediate release (ADDERALL), Methylphenidate (RITALIN, RITALIN

SR, METADATE ER), dextroamphetamine (DEXEDRINE, DESTROSTAT)

Requip XL

Carbidopa / Levodopa (SINEMET, SINEMET SR), Ropinirole (REQUIP), Selegiline

(ELDEPRYL)

Ritalin LA

Amphetamine mixture, immediate release (ADDERALL), Methylphenidate (RITALIN, RITALIN

SR, METADATE ER), Methylphenidate SR Tabs (CONCERTA), dextroamphetamine

(DEXEDRINE, DESTROSTAT)

Sanctura

Oxybutynin Immediate Release (DITROPAN)

Skelaxin

Methocarbamol (ROBAXIN), Carisprodol (SOMA), Cyclobenzaprine (FLEXERIL)

Strattera

Amphetamine mixture, immediate release (ADDERALL), Methylphenidate (RITALIN, RITALIN

SR, METADATE ER), Methylphenidate SR Tabs (CONCERTA), dextroamphetamine

(DEXEDRINE, DESTROSTAT)

Surmontil

Amitriptyline (ELAVIL), Amoxapine, Bupropion (WELLBUTRIN, WELLBUTRIN SR), Citalopram

(CELEXA), Clomipramine (ANAFRANIL), Desipramine (NORPRAMIN), Fluoxetine (PROZAC),

Imipramine (TOFRANIL), Maprotiline (DESYREL), Mirtazapine/soltab (REMERON/ SOLTAB),

Nortriptyline (AVENTYL, PAMELOR), Paroxetine (PAXIL), Sertraline (ZOLOFT)

Tarka

Lisonpril (ZESTRIL), Benazepril (LOTENSIN), Captopril (CAPOTEN) and Verapamil SA

(CALAN SR), or Nifedipine SA (ADALAT CC), Felodipine (PLENDIL)

Teveten

Lostartan (COZAAR), Irbesartan (AVAPRO)

Teveten HCT

Losartan / Hydrochlorothiazide (HYZAAR), Irbesartan / HCTZ (AVALIDE), Valsartan / HCTZ

(DIOVAN HCT)

3 of 4

Rev. 2/1/13

Alternative Generic Drugs

Drugs Not Available As

Possible Alternatives On The Recommended Drug List

A Generic

Theolair-SR

Theophylline SR (THEO-DUR)

Thyrolar

Levothyroxine (SYNTHROID), Thyroid

Transderm-Nitro

Nitroglycerin Patches

Tranxene-SD

Alprazolam (XANAX), Diazepam (VALIUM), Lorazepam (ATIVAN), Flurazepam (DALMANE),

Oxazepam ( SERAX), Temazepam (RESTORIL), Triazolam (HALCION), Zolpidem (AMBIEN),

Zaleplon (SONATA)

Travatan-Z

Lantanoprost (XALATAN)

Vagifem

Estradiol (ESTRACE), Estradiol patch (CLIMARA, VIVELLE/DOT), Estropipate (OGEN,

ORTHO-EST)

Vesicare

Tolterodine (DETROL), Oxybutynin Immediate Release (DITROPAN)

Welchol

Cholestyramine Powder (QUESTRAN, QUESTRAN LIGHT) -BULK POWDER ONLY

4 of 4

Rev. 2/1/13

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