MEDICAMENTOS GASTROINTESTINALES
MEDICAMENTOS ANTIDIARREICOS
diphenoxylate/atropine
|
|
1
|
|
lonox
|
|
1
|
|
loperamide hcl
|
|
1
|
|
paregoric
|
|
1
|
|
©2008 Express Scripts, Inc. 27
(10/15/2007)
Nombre del medicamento
|
Composición química
|
Nivel
|
Requisitos/
Límites
|
ANTIESPASMÓDICOS Y MEDICAMENTOS QUE AFECTAN LA MOTILIDAD GI
colidrops [CARE]
|
|
1
|
|
colytrol tab [CARE]
|
|
1
|
|
dexpanthenol [INJ]
|
|
1
|
|
dicyclomine hcl [CARE]
|
|
1
|
|
dispas [CARE]
|
|
1
|
|
glycopyrrolate
|
|
1
|
|
hyoscyamine,sulfate [CARE]
|
|
1
|
|
hyospaz [CARE]
|
|
1
|
|
hyosyne [CARE]
|
|
1
|
|
maldemar
|
|
1
|
|
methscopolamine bromide
|
|
1
|
|
metoclopramide hcl
|
|
1
|
|
pro-hyo [CARE]
|
|
1
|
|
propantheline bromide [CARE]
|
|
1
|
|
spacol i.d. [CARE]
|
|
1
|
|
symax,-sl,-sr [CARE]
|
|
1
|
|
MEDICAMENTOS ANTIULCEROSOS
cimetidine
|
|
1
|
|
famotidine
|
|
1
|
|
nizatidine
|
|
1
|
|
ranitidine, hcl
|
|
1
|
|
ZANTAC syrup [G]
|
ranitidine
|
2
|
|
MEDICAMENTOS PARA EL INTESTINO IRRITABLE
LAXANTES Y CATÁRTICOS
glycerin
|
|
1
|
|
glycolax
|
|
1
|
|
polyethylene glycol
|
|
1
|
|
VISICOL
|
sodium phosphate/na biphos
|
2
|
|
OTROS MEDICAMENTOS ANTIULCEROSOS
CARAFATE oral susp [G]
|
sucralfate
|
2
|
|
misoprostol
|
|
1
|
|
sucralfate
|
|
1
|
|
OTROS MEDICAMENTOS GI
ASACOL
|
mesalamine
|
2
|
|
CANASA
|
mesalamine
|
2
|
|
COLAZAL
|
balsalazide disodium
|
2
|
|
CORTIFOAM
|
hydrocortisone acetate
|
2
|
|
©2008 Express Scripts, Inc. 28
(10/15/2007)
Nombre del medicamento
|
Composición química
|
Nivel
|
Requisitos/
Límites
|
CREON 10,20,5
|
amylase/lipase/protease
|
2
|
|
dygase
|
|
1
|
|
ENTOCORT EC
|
budesonide
|
2
|
|
hydrocortisone
|
|
1
|
|
hydrocortisoneacetate
|
|
1
|
|
lapase
|
|
1
|
|
LIALDA
|
mesalamine
|
2
|
|
lidocaine/hydrocortisone rectal 2.5 %
|
|
1
|
|
lipram, -pn10, -pn16, -pn20, -ul12, -ul18, -ul20
|
|
1
|
|
mesalamine
|
|
1
|
|
palcaps 10,20
|
|
1
|
|
pancrelipase, 8,000
|
|
1
|
|
pangestyme cn 10, cn 20, ec, mt 16, ul 12, ul 18, ul 20
|
|
1
|
|
panocaps, mt 16, mt 20
|
|
1
|
|
panokase, -16
|
|
1
|
|
peg 3350/electrolyte
|
|
1
|
|
PENTASA
|
mesalamine
|
2
|
|
plaretase 8000
|
|
1
|
|
procto-kit crema 1 %
|
|
1
|
|
procto-pak
|
|
1
|
|
proctozone/hc
|
|
1
|
|
SUCRAID
|
sacrosidase
|
3
|
|
sulfasalazine, dr
|
|
1
|
|
sulfazine, ec
|
|
1
|
|
ultracaps mt 20
|
|
1
|
|
URSO, FORTE
|
ursodiol
|
2
|
|
ursodiol
|
|
1
|
| |
