Fluconazole ql

. HCT (PA) famotidine felodipine FEMARA (QL) fenofibrate fentanyl patch (PA) ferrous sulfate (otc) fexofenadine (PA) finasteride FLOMAX (QL) FLOVENT HFA (QL) fluconazole fluconazole 150mg (QL) .

 

Drug Name Drug Tier Notes Drug Name Drug Tier Notes 2 Azoles fluconazole (QL) itraconazole (PA) ketoconazole (PA) SPORANOX (PA) Polyenes nystatin nystatin (mouth-throat) (QL) Antifungals, Miscellaneous .

. cefaclor cefaclor ext. rel. cefadroxil cefuroxime cephalexin cephradine ciprofloxacin clindamycin dicloxacillin doxycycline erythromycin erythromycin sulfisoxazole fluconazole QL .

fluconazole QL: 150mg strength 2 tablets/30 Fluconazole ql days RSuS , .TABS P GRIFuLVIN .V TABS P griseofulvin microsize SuSP P GRIS-PEG TABS P itraconazole PA Required CAPS P

QL: Quantity Limit may apply - you may only obtain coverage for a limited amount of . fluconazole (QL: 150 mg only) griseofulvin metronidazole minocycline nitrofurantoin nystatin ofloxacin .

(QL): Quantity Limit may apply - you may only obtain coverage for a limited amount . Fentanyl Citrate (Lollipop) Fexofenadine Finasteride Fluconazole (QL: 150 Mg Only) Flunisolide .

fluconazole QL. Grifulvin V � griseofulvin . Gris-Peg � ketoconazole . nystatin . terbinafine CC, QL. Ancobon � CC : Diflucan � QL. flucytosine CC. itraconazole

fluconazole (QL) ketoconazole nystatin Urinary Anti-Infective and Analgesics nitrofurantoin macrocrystals Phenazopyridine Plus Urogesic-Blue ANTIDEPRESSANTS

TennCare Preferred Drug List. January 1, 2010 : CC - Clinical Criteria, QL - Quantity Limit, ST - Step Therapy (CC and ST require a PA before dispensing)

. ext-rel dicloxacillin doxycycline erythromycin metronidazole minocycline nitrofurantoin macrocrystals penicillin VK sulfamethoxazole/trimethoprim tetracycline Antifungal fluconazole (QL) .

fluconazole (QL) ketoconazole nystatin Antiviral (Herpes only) acyclovir famciclovir valacyclovir Vaginal Preparations clindamycin cream nystatin Fluconazole ql vaginal tabs

QL: Quantity Limit means you may have coverage for a limited amount of a specific . fluconazole (QL: 150 mg only) griseofulvin metronidazole minocycline nitrofurantoin nystatin ofloxacin .

(QL): Quantity Limit may apply - you may only obtain coverage for a limited amount . fluconazole (QL: 150 mg only) griseofulvin metronidazole minocycline nitrofurantoin nystatin ofloxacin .

QL: Quantity Limit means you may have coverage for a limited amount of a specific . fentanyl (QL) fentanyl citrate (lollipop)(PA) fexofenadine finasteride fluconazole (QL: 150 mg only) .

. rel. cefadroxil cefprozil cefuroxime cephalexin cephradine ciprofloxacin clarithomycin clindamycin dicloxacillin doxycycline erythromycin erythromycin sulfisoxazole fluconazole QL .

. Fluconazole ql diltia xt ql
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