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ROBITUSSIN AC SYRUP 120mL bottles ; * TAZORAC 0.1% & 0.5% CREAM 180gm 90 days ; SERAX 10mg, 15mg, & 30mg CAP TEMOVATE 0.05% CRM, OINTMENT, & SOLUTION TESTOSTERONE TRANSDERM SYSTEM WESTCORT 0.2% CREAM 2.5mg day & 5mg day TYLENOL #3 TABS * & ELIXIR VAGINAL PREPARARTIONS VALIUM 2mg, 5mg & 10mg TAB * ACIJEL VAGINAL JELLY VICODIN 5 500mg & 7.5 750mg TAB RESPIRATORY AGENTS CLEOCIN VAGINAL CREAM * * ADVAIR DISKUS all strengths ; 3 disk 90days ; * XANAX 0.25mg, 0.5mg, 1mg & 2mg TAB CLOTRIMAZOLE VAGINAL CREAM AEROBID INHALER METROGEL 0.75% VAGINAL GEL * * ATROVENT HFA INHALER 6 inhalers 90days ; * SKELETAL MUSCLE RELAXANTS PREMARIN VAGINAL CREAM * * ATROVENT INH SOL 0.02% 540 amps 90 days ; * FLEXERIL 10mg TAB * TERAZOL-7 VAGINAL CREAM * AZMACORT INHALER 6 inhalers 90 days ; * LIORESAL 10mg & 20mg TAB BRETHINE 5mg TAB NORFLEX 100mg TAB COMBIVENT INHALER * VASODILATING AGENTS ROBAXIN 500mg & 750mg TAB * IMDUR 30mg, 60mg &120mg TAB * * FLOVENT HFA INH 44mcg, 110mcg & 220mcg ISORDIL 10mg & 20mg TAB & 40mg SR TAB * 6 inhalers 90 days ; * SMOOTH MUSCLE RELAXANTS NITROBID 6.5mg CAP * INTAL INHALER 6 inhalers 90days ; DETROL LA 2mg & 4mg CAP * NITRO-DUR TDRM PATCHES * * INTAL SOL FOR NEBULIZER 540 amps 90days ; DITROPAN 5mg TAB * NITROGYLCERIN 0.1mg, 0.2mg & 0.4mg h TDRM NORMAL SALINE 5mL BULLETS URISPAS 100mg TAB NITROGLYCERIN 0.3mg & 0.4mg SL TAB * * PROVENTIL 0.083% NEB SOLOLUTION NITROLINGUAL SPRAY * 500 amps 90 days ; * SUPPOSITORIES ENEMAS PERSANTINE 25mg, 50mg & 75mg TAB * PROVENTIL 0.5% NEB SOL 9 boxes 90 days ; * ANUSOL HC 25mg SUPP & 2.5% CREAM * PROVENTIL 2mg TAB COMPAZINE 25mg SUPP * PROVENTIL INHALER 6 inhalers 90days ; * VITAMINS MINERALS CORTENEMA CYANOCOBALAMIN 1mg mL INJ VIAL * PROVENTIL HFA INHALER 6 inhalers 90days ; PHENERGAN 12.5mg & 25mg SUPP * FOLIC ACID 1mg TAB * PROVENTIL 2mg 5mL SYRUP PRAMOSONE CREAM LURIDE 2.2mg TAB * PULMICORT 200mcg INHALER PROCTOFOAM HC FOAM MEPHYTON 5mg TAB 6 inhalers 90days ; ROWASA ENEMA MULTIVITAMIN WITH AND WITHOUT IRON * PULMICORT RESPULES 0.25mg & 0.5mg TIGAN 100mg & 200mg SUPP MULTIVITAMIN SOL WITH FLUOR & IRON 360 amps or 720 amps 90 days ; * MULTIVITAMIN DROP * SEREVENT DISKUS * 3 diskus 90 days ; TOPICALS PRENATAL VIT W FOLIC ACID 1mg TAB * ALDARA 5% CREAM SINGULAIR 5mg & 10mg TABS * limited to women up to and including age 45 BACITRACIN OINTMENT SINGULAIR 4mg CHEW TABS & GRANULES * NIACIN 50mg & 500mg TAB SLO-BID 200mg & 300mg CAP * BACTROBAN OINTMENT * NIASPAN 500mg, 750mg & 1000mg TAB * SPIRIVA 18mcg HANDIHALER 90 caps 90 days ; BENZOYL PEROXIDE 10% GEL PYRIDOXINE 50mg TAB THEOPHYLLINE 80mg 5mL LIQUID * BENZACLIN GEL 1% 5% ROCALTROL 0.25mg CAP * TILADE INHALER 9 inhalers 90 days ; CAPITROL SHAMPOO THIAMINE 50mg TAB VOLMAX ER 4MG CARAC 0.5% CREAM VITAMIN B-12 1000mcg ml INJ CARMOL 20% & 40% CREAM VITAMIN D 50, 000 UNIT CAP SCHEDULE II DRUGS no refills allowed ; CLEOCIN 1% TOPICAL SOLUTION * WELLCOVORIN 5mg TAB ADDERALL 5mg, 10mg, 20mg & 30mg TAB CORDRAN TAPE ADDERALL XR CAP all strengths ; * DERMA-SMOOTHE FS ITEMS REMOVED B & O SUPPOSITORIES DESONIDE 0.05% CREAM & OINTMENT EPIPEN & EPIPEN JR.AUTOINJECTOR CONCERTA 18mg, 27mg, 36mg & 54mg TAB * DIFFERIN 0.1% GEL CODEINE SULFATE 15mg, 30mg & 60mg TAB * DOVONEX OINTMENT 900gm 90 days ; ITEMS ADDED DEMEROL 50mg & 100mg TAB * DOVONEX SOLUTION 900mL 90 days ; ALLEGRA 30mg, 60mg, & 180mg TAB DEXEDRINE 5mg TAB DRYSOL 20% SOLUTION ALLEGRA-D 12 HR & 24 HR TAB DEXTROSTAT 10mg TAB DUAC GEL CLEOCIN 75mg 5mL SUSPENSION DILAUDID 2mg & 4mg TAB EFUDEX 2% SOL & 5% CREAM LIPITOR 10mg, 20mg, 40mg, & 80mg TAB DURAGESIC 25mcg, 50mcg, 75mcg & 100mcg hr ELDOPAQUE FORTE 4% CREAM * LEVITRA all strengths ; TAB 18 tabs 90 days ; METHADONE 5mg & 10mg TAB ELDOQUIN 2% CREAM * age 50 requires Prior Authorization Form METHYLIN ER 10mg & 20mg TAB ELIDEL 1% CREAM METHYLPHENIDATE 5mg, 10mg TAB * ELIMITE 5% CREAM * METHYLPHENIDATE 20mg SR TAB ELOCON 0.1% CREAM MORPHINE SULF MSIR ; 15mg & 30mg TAB ERYTHROMYCIN TOPICAL SOLUTION 2% * MS CONTIN TAB all strengths ; * FLUOROPLEX 1% CREAM OXYCONTIN 10mg, 20mg, 40mg & 80mg TAB HYDROCORTISONE 1% CREAM & OINTMENT PERCOCET 5 325mg TAB * KENALOG 0.1% CREAM * & OINTMENT ROXICODONE 5mg TAB KENALOG SPRAY ROXANOL 20mg mL SOLUTION KLARON 10% LOTION LAC-HYDRIN 12% LOTION.
The suggested data collection period for the audit is 1 month. The audit population is anyone who receives prescribed aspirin 75mg and anyone purchasing aspirin 75mg OTC during the audit period. The data to be collected is listed within the content of the audit and a data collection form is provided. After completing the audit, data should be transferred to the results sheet. Action to be taken after the audit and conclusions are discussed. A section on looking to the future, report writing and the audit cycle are included. This audit is based upon the RPSGB Aspirin audit available at rpsgb audhome Further resources on audit and the audit cycle are available from: Guide to Audit: Pharmaceutical Journal Vol 275 ; 13 August 2005 Royal Pharmaceutical Society of Great Britain CD-ROM: "Audit to Excellence" Royal Pharmaceutical Society of Great Britain website: rpsgb.
To the prescribing practitioner: This is not a complete list of medications covered by McLaren Health Plan. These medications, with a prescription, are readily available at participating pharmacies without any prior authorization requirement or step therapy protocols. If you need more information please call McLaren Health Plan for a complete list of non-formulary medications and formulary alternatives, for instance, ortho mcneil.
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