North Carolina Division Of Health Benefits North Carolina .
North Carolina Division of Health BenefitsNorth Carolina Medicaid and Health Choice Preferred Drug List (PDL)Effective: January 1, 2021Trial and failure of two Preferred drugs are required unless only one Preferred option is listed or is otherwise indicated.Not all therapeutic drug classes are included on the PDL. All drugs in the classes not included are considered Preferred. In addition totrial and failure criteria, clinical criteria (indicated in RED) may also apply. New to market products typically default to Non-Preferred status untilreviewed by the PDL Panel. These drugs are listed as NOT REVIEWED. Drugs requiring prior authorization, clinical criteria and prior authorization request forms can be found iders/pharmacy.htmlMore information on the PDL can be found at: cesYellow shade signifies a new product being added as a new to market Non-Preferred product OR current coverage is being clarifiedOrange shade signifies a significant change to the drug, category, or a clinical recommendationPink Shade signifies an Off-Cycle PDL move from Preferred to Non-Preferred or vice versaGreen shade signifies a Brand / Generic switch within the same categoryPurple shade signifies a product either no longer covered (rebatable) or no longer available from the manufacturerALZHEIMER’S AGENTSPreferredNon-Preferreddonepezil 5mg, 10mg tablet / ODT (generic for Aricept / ODT)Aricept TabletExelon Patchdonepezil 23mg tablet (generic for Aricept )memantine tablet / titration pack (generic for Namenda )galantamine ER capsule / solution / tablet (generic for Razadyne / ER)rivastigmine capsule (generic for Exelon )memantine ER capsule / solution (generic for Namenda XR / Solution)Namenda Titration Pack / XR Capsule / XR Titration PackNamenda TabletNamzaric Capsule / Titration Packrivastigmine (Transdermal) (generic for Exelon Patch)Razadyne ER CapsuleANALGESICSOPIOID ANALGESICSLong Acting OpioidsClinical criteria apply to all drugs in this classPreferredNon-PreferredButrans PatchArymo ERfentanyl patch 12mcg / 25mcg / 50mcg / 75mcg / 100mcg (generic for Duragesic )Belbuca (Buccal) Filmmorphine sulfate ER tablet (generic for MS Contin )buprenorphine patch (generic for Butrans Patch)tramadol ER tablet (generic for Ultram ER , Ryzolt )Conzip CapsuleXtampza ER CapsuleDuragesic Patchfentanyl patch (37.5. / 62.5 / 87.5mcg dosages) (generic for Duragesic )hydrocodone ER capsule (generic for Zohydro ER)hydromorphone ER tablet (generic for Exalgo )Hysingla ER TabletKadian Capsulemorphine sulfate ER capsule (generic for Avinza , Kadian )MorphaBond ERMS Contin TabletNucynta ER Tabletoxycodone ER tablet (generic for OxyContin )OxyContin Tabletoxymorphone ER tablettramadol ER capsule (generic for Conzip Capsule)Zohydro ER CapsuleOrally Disintegrating / Oral Spray Schedule II OpioidsClinical criteria apply to all drugs in this classPreferredActiq LozengeNon-PreferredAbstral SL Tablet Dsuvia SL Tabletfentanyl citrate buccal tablet (generic for Fentora )fentanyl citrate lozenge (generic for Actiq )Fentora Buccal TabletShort Acting Schedule II OpioidsClinical criteria apply to all drugs in this classPreferredNon-Preferred Endocet Tablet (branded generic for Percocet )Apadaz Tablethydrocodone-acetaminophen solution / tablet (generic for Hycet , Lorcet , Lortab , Norco , Vicodin )hydrocodone-ibuprofen tablet (generic for Ibudone , Reprexain , Vicoprofen )benzhydrocodone-acetaminophen tablet (generic for Apadaz Tablet)codeine sulfate tablethydromorphone tablet (generic for Dilaudid Tablet)Dilaudid Liquid / Tabletmorphine solution / tablet (generic for MSIR )hydromorphone solution / suppository (generic for Dilaudid )oxycodone solution / tablet (generic for Roxicodone )levorphanol tablet (generic for Levo-Dromoran )oxycodone-acetaminophen capsules (generic for Tylox )Lorcet Tablet / HD Tablet / Plus Tabletoxycodone-acetaminophen tablets (generic for Percocet )Lortab Elixir meperidine solution / tablet (generic for Demerol )morphine oral syringemorphine suppositories (generic for Roxanol )Nalocet TabletNorco TabletPage 1 of 29
North Carolina Division of Health BenefitsNorth Carolina Medicaid and Health Choice Preferred Drug List (PDL)Effective: January 1, 2021Trial and failure of two Preferred drugs are required unless only one Preferred option is listed or is otherwise indicated.Not all therapeutic drug classes are included on the PDL. All drugs in the classes not included are considered Preferred. In addition totrial and failure criteria, clinical criteria (indicated in RED) may also apply. New to market products typically default to Non-Preferred status untilreviewed by the PDL Panel. These drugs are listed as NOT REVIEWED. Drugs requiring prior authorization, clinical criteria and prior authorization request forms can be found iders/pharmacy.htmlMore information on the PDL can be found at: cesNucynta TabletOxaydo Tabletoxycodone-aspirin tablet (generic for Endodan , Percodan )oxycodone concentrated solution (generic for Roxicodone Intensol)oxycodone-ibuprofen tablet (generic for Combunox )oxycodone oral syringeoxymorphone tablet (generic for Opana )oxycodone capsule (generic for OxyIR )Percocet TabletPrimlev TabletProlate TabletRoxicodone TabletRoxyBond TabletShort Acting Schedule III – IV Opioids / Analgesic CombinationsClinical criteria apply to all drugs in this classPreferredcodeine-acetaminophen solution / tablet (generic for Tylenol with Codeine ) Non-PreferredAscomp Capsule (branded generic for Fiorinal with Codeine )tramadol tablet (generic for Ultram )butalbital compound with codeine capsule (generic for Fiorinal with Codeine )tramadol-acetaminophen tablet (generic for Ultracet )butalbital-caffeine-APAP with codeine tablet (generic for Fioricet with Codeine )butorphanol spray (generic for Stadol )dihydrocodeine-acetaminophen-caffeine tablet (generic for Panlor SS )Fioricet with Codeine CapsuleFiorinal with Codeine Capsulepentazocine-naloxone tablet (generic for Talwin NX )Ultracet TabletUltram TabletNSAIDSPreferredNon-Preferredibuprofen suspension / tablet (generic for Motrin )Arthrotec Tabletindomethacin capsule (generic for Indocin )Daypro Capletketorolac tablet (generic for Toradol )diclofenac potassium tablet (generic for Cataflam )meloxicam tablet (generic for Mobic Tablet )diclofenac sodium tablet / ER tablet (generic for Voltaren / XR)naproxen EC tablet (generic for Naprosyn EC)diclofenac sodium-misoprostol tablet (generic for Arthrotec )naproxen tablet (generic for Naprosyn Tablet)diflunisal tablet (generic for Dolobid )sulindac tablet (generic for Clinoril )etodolac capsule / tablet / ER tablet(generic for Lodine / XL)Feldene Capsulefenoprofen capsule/ tablet (generic for Nalfon )flurbiprofen tablet (generic for Ansaid )Indocin Suppository / Suspensionindomethacin ER capsule (generic for Indocin SR )ketoprofen capsule (generic for Orudis )ketoprofen ER capsule (generic for Oruvail )ketorolac tromethamine nasal spray (generic for Sprix )meclofenamate capsule (generic for Meclomen )mefenamic acid capsule (generic for Ponstel )Mobic Tabletnabumetone tablet (generic for Relafen )Nalfon Capsule / TabletNaprelan Tabletnaproxen CR / DR tabletnaproxen sodium ER tablet (generic for Naprelan )naproxen sodium tablet (generic for Anaprox )naproxen suspension (generic for Naprosyn )oxaprozin tablet (generic for DayPro )piroxicam capsule (generic for Feldene ) Qmiiz ODT Tablet Relafen DS TabletSprix Nasal SprayPage 2 of 29
North Carolina Division of Health BenefitsNorth Carolina Medicaid and Health Choice Preferred Drug List (PDL)Effective: January 1, 2021Trial and failure of two Preferred drugs are required unless only one Preferred option is listed or is otherwise indicated.Not all therapeutic drug classes are included on the PDL. All drugs in the classes not included are considered Preferred. In addition totrial and failure criteria, clinical criteria (indicated in RED) may also apply. New to market products typically default to Non-Preferred status untilreviewed by the PDL Panel. These drugs are listed as NOT REVIEWED. Drugs requiring prior authorization, clinical criteria and prior authorization request forms can be found iders/pharmacy.htmlMore information on the PDL can be found at: cesTivorbex Capsuletolmetin capsule / tablet (generic for Tolectin )Vivlodex CapsuleZipsor CapsuleZorvolex CapsulePreferredcelecoxib capsule (generic for Celebrex ) - Clinical criteria applyNon-PreferredCelebrex Capsule - Clinical criteria applyDuexis Tablet - Trial and failure of celecoxib requiredVimovo Tablet - Trial and failure of celecoxib requirednaproxen-esomeprazole tablet (generic for Vimovo Tablet) - Trial and failure of celecoxib required NOT REVIEWEDNEUROPATHIC PAINPreferredNon-Preferredduloxetine capsule (generic for Cymbalta )Cymbalta Capsulegabapentin capsule / solution / tablet (generic for Neurontin )Drizalma Sprinklepregabalin capsule /solution (generic for Lyrica Capsule / Solution)Gralise Tablet Horizant TabletLyrica Capsule / SolutionLyrica CR TabletNeurontin Capsule / Solution / TabletQutenza KitSavella Tablet / Titration Packlidocaine patch (generic for Lidoderm ) - Clinical criteria applyLidoderm Patch - Clinical criteria apply ZTLido Patch - Clinical criteria applyANTICONVULSANTSCARBAMAZEPINE DERIVATIVESPatients with a diagnosis of seizure disorder are exempt from trial and failure criteria and may use any carbamazepine product.PreferredAptiom TabletNon-PreferredCarbatrol Capsule carbamazepine chewable tablet (generic for Tegretol )carbamazepine suspension / tablet (generic for Tegretol )carbamazepine ER capsule (generic for Carbatrol )carbamazepine XR tablet (generic for Tegretol XR )Equetro CapsuleEpitol Tabletoxcarbazepine tablet / suspension (generic for Trileptal )Trileptal Tablet / Suspension (oral)Oxtellar XR TabletTegretol Suspension / Tablet / XR TabletFIRST GENERATIONPatients with a diagnosis of seizure disorder are exempt from trial and failure criteria and may use any first generation product.PreferredNon-PreferredCelontin KapsealDepakote ER Tablet / Sprinkle CapsuleDilantin Capsule / Infatab / SuspensionDepakote Tabletdivalproex sprinkle capsule / ER tablet / tablet (generic for Depakote / ER / Sprinkle)felbamate suspension / tablet (generic for Felbatol )ethosuximide capsule / solution (generic for Zarontin )phenobarbital tablet / elixir / solutionFelbatol Suspension / TabletPhenytek CapsulePeganone Tabletphenytoin chewable / extended capsules / infatab / suspension (generic for Dilantin )Zarontin Capsule / SolutionMysoline Tabletphenytoin extended capsules (generic for Phenytek )primidone Tablet (generic for Mysoline )valproic acid capsule / solution (generic for Depakene )SECOND GENERATIONPatients with a diagnosis of seizure disorder are exempt from trial and failure criteria and may use any second generation product.PreferredNon-Preferredclonazepam tablet (generic for Klonopin )Banzel Suspension / TabletDiastat Acudial / Pedi SystemBriviact Tablet and Solutiongabapentin capsule / solution (generic for Neurontin )clobazam suspension / tablet (generic for Onfi Suspension / Tablet)gabapentin tablet (generic for Neurontin Tablet)clonazepam ODT (generic for Klonopin Wafer)Gabitril Tabletdiazepam rectal / system (generic for Diastat Accudial / Pedi System)lamotrigine chewable / tablet (generic for Lamictal )Diacomit Capsule / Powder Packlevetiracetam tablet / ER tablet / solution (generic for Keppra / XR)Epidiolex Solution - Exception for 2 years old with Lennox-Gastaut Syndrome or Dravet Syndrome Roweepra Tablet / XR TabletFintepla Solution NOT REVIEWEDSabril Powder PacketFycompa Tablet / Suspensiontopiramate sprinkle capsule / tablet (generic for Topamax )Gralise Tabletzonisamide capsule (generic for Zonegran )Keppra Tablet / Solution / XR TabletKlonopin TabletLamictal Chewable / ODT / ODT Starter Kit / Starter Kit / Tablet / XR / XR Starter Kitlamotrigine starter kits (generic for Lamictal )lamotrigine ER tablet / ODT / ODT Starter Kit / Starter Kit (generic for Lamictal XR / ODT)Lyrica Capsule / SolutionNayzilam Nasal SprayPage 3 of 29
North Carolina Division of Health BenefitsNorth Carolina Medicaid and Health Choice Preferred Drug List (PDL)Effective: January 1, 2021Trial and failure of two Preferred drugs are required unless only one Preferred option is listed or is otherwise indicated.Not all therapeutic drug classes are included on the PDL. All drugs in the classes not included are considered Preferred. In addition totrial and failure criteria, clinical criteria (indicated in RED) may also apply. New to market products typically default to Non-Preferred status untilreviewed by the PDL Panel. These drugs are listed as NOT REVIEWED. Drugs requiring prior authorization, clinical criteria and prior authorization request forms can be found iders/pharmacy.htmlMore information on the PDL can be found at: cesNeurontin Capsule / Solution / TabletOnfi Suspension / TabletQudexy XR CapsuleSabril TabletSpritam TabletSympazan Filmtiagabine tablet (generic for Gabitril )Topamax Sprinkle Capsule / Tablettopiramate ER capsule (generic for Qudexy )Trokendi XR CapsuleValtoco Nasal Spray NOT REVIEWEDvigabatrin powder packet / tablet (generic for Sabril Powder Packet / Tablet)Vigadrone Powder PacketVimpat Solution / Starter Kit / TabletXcopri Tablet / Titration Pack NOT REVIEWEDANTI-INFECTIVES - SYSTEMICANTIBIOTICSPenicillins, Cephalosporins and RelatedPreferredNon-Preferredamoxicillin capsule / chewable / suspension / tablet (generic for Amoxil , Trimox )amoxicillin-clavulanate chewable tablet (generic for Augmentin )amoxicillin-clavulanate suspension / tablet / XR tablet (generic for Augmentin / XR)ampicillin capsule / injection / vialAugmentin Suspension / XR Tabletampicillin-sulbactam injection / vialcefadroxil tablet (generic for Duricef )Bicillin C-R injectioncefixime capsule / suspension (generic for Suprax Capsule / Suspension)cefadroxil capsule / suspension (generic for Duricef )cefpodoxime suspension / tablet (generic for Vantin )cefdinir capsule / suspension (generic for Omnicef )Keflex Capsulecefaclor capsule / suspension / ER tablet (generic for Ceclor / CD)cefprozil suspension / tablet (generic for Cefzil )cefuroxime tablet (generic for Ceftin )cephalexin capsule / suspension / tablet (generic for Keflex )dicloxacillin capsulenafcillin injection / vialoxacillin injection / vialpenicillin G injection / vialpenicillin V suspension / tabletpiperacillin - tazobactam injection / vialPfizerpen injection / vialSuprax Capsule / Chewable / SuspensionUnasyn injection / vialZosyn injection / vialLincosamides and OxazolidinonesPreferredNon-PreferredCleocin GranulesCleocin Capsules / Injectionclindamycin capsules / solution (generic for Cleocin )clindamycin injection (generic for Cleocin Injection)linezolid suspension (oral) / tablet (generic for Zyvox )Lincocin Viallincomycin injection (generic for Lincocin Vial )linezolid IV solution (generic for Zyvox )Sivextro Tablet / VialSynercid VialZyvox Tablet / IV Solution / SuspensionMacrolides and KetolidesPreferredNon-Preferredazithromycin powder packet / suspension / tablet (generic for Zithromax )clarithromycin ER tablet (generic for Biaxin XL )clarithromycin suspension / tablet (generic for Biaxin )erythromycin e.s. 200mg suspension (generic for E.E.S. Suspension)E.E.S. Granules / FilmtabEry-Tab TabletEryped SuspensionZithromax Powder Packet / Suspension / Tablet / Tri-Pak / Z-PakErythrocin Filmtaberythromycin EC capsule (generic for Eryc )erythromycin filmtaberythromycin e.s. tablet (generic for E.E.S idazole tablet (generic for Flagyl )Dificid Tablet - Trial and failure of vancomycin only for treatment of Clostridium difficilevancomycin capsule (generic for Vancocin )Firvanq Solution Flagyl Capsule / Tabletmetronidazole capsule (generic for Flagyl )neomycin tablet (generic for Mycifradin )paromomycin capsule (generic for Humatin ) Solosec Granulestinidazole tablet (generic for Tindamax )Vancocin CapsulePage 4 of 29
North Carolina Division of Health BenefitsNorth Carolina Medicaid and Health Choice Preferred Drug List (PDL)Effective: January 1, 2021Trial and failure of two Preferred drugs are required unless only one Preferred option is listed or is otherwise indicated.Not all therapeutic drug classes are included on the PDL. All drugs in the classes not included are considered Preferred. In addition totrial and failure criteria, clinical criteria (indicated in RED) may also apply. New to market products typically default to Non-Preferred status untilreviewed by the PDL Panel. These drugs are listed as NOT REVIEWED. Drugs requiring prior authorization, clinical criteria and prior authorization request forms can be found iders/pharmacy.htmlMore information on the PDL can be found at: cesXifaxan Tablet - Exemption for a diagnosis of Hepatic EncephalopathyQuinolonesPreferredNon-Preferred Cipro SuspensionBaxdela Tabletciprofloxacin tablet (generic for Cipro )Cipro Tabletlevofloxacin tablet (generic for Levaquin )ciprofloxacin ER tablet / suspension (generic for Cipro XR / Suspension)moxifloxacin tablet (generic for Avelox )levofloxacin solution (generic for Levaquin Solution)ofloxacin tablet (generic for Floxin )Tetracycline DerivativesPreferredNon-Preferreddoxycycline hyclate capsule / tablet (generic for Vibramycin , Vibra-Tab )demeclocycline tablet (generic for Declomycin )doxycycline monohydrate 50mg, 100mg capsule (generic for Monodox )Doryx DR / MPC Tabletminocycline 50mg, 75mg, 100mg capsule (generic for Minocin )doxycycline hyclate DR tablet (generic for Doryx DR)doxycycline monohydrate 75mg, 150mg capsule (generic for Monodox , Adoxa )doxycycline monohydrate 40mg IR-DR capsule (generic for Oracea )doxycycline monohydrate 50mg, 75mg, 100mg, 150mg tabletminocycline ER tablet (generic for Solodyn ER)minocycline 50mg, 75mg, 100mg tablet Minolira ER TabletMorgidox Capsule / Kit Nuzyra TabletOracea Capsuletetracycline capsule (generic for Sumycin )Vibramycin Capsule / Suspension / Syrup Ximino ER Capsuledoxycycline suspension (generic for Vibramycin Suspension ) - Exemption for patients 12 years of ageSolodyn ER Tablet - Clinical justification and failure of doxycycline and minocycline required. Limited to 12 week le troche (generic for Mycelex Troche)Ancobon Capsulefluconazole suspension / tablet (generic for Diflucan )Cresemba Capsulegriseofulvin suspension (generic for Grifulvin V )Diflucan Suspension / Tabletgriseofulvin ultra tablet (generic for Gris-Peg )flucytosine capsule (generic for Ancobon )nystatin suspension (generic for Nilstat )griseofulvin micro tablets (generic for Grifulvin V )nystatin tablet (generic for Mycostatin )itraconazole capsule / solution (generic for Sporanox )terbinafine tablet (generic for Lamisil )ketoconazole tablet (generic for Nizoral )Noxafil Suspension / TabletOnmel TabletOravig Buccal Tabletposaconazole suspension / tablet (generic for Noxafil )Sporanox Capsule / Solution Tolsura CapsuleVfend Suspension / Tabletvoriconazo
North Carolina Division of Health Benefits North Carolina Medicaid and Health Choice Preferred Drug List (PDL) Effective: January 1, 2021 Trial and failure of two Preferred drugs are required unless only one Preferred option is listed or is ot
KLOPFER v, NORTH CAROLINA. Syllabus. KLOPFER v. NORTH CAROLINA. CERTIORARI TO THE SUPREME COURT OF NORTH CAROLINA. No. 100. Argued December 8, 1966.-Decided March 13, 1967. Petitioner's trial on a North Carolina criminal trespass indictment ended with a declarati
Wadesboro, North Carolina W adesb or, N th C lin XXX Washington, North Carolina W as h ing t o, N rC l XXX Case Studies IV: Small towns adjacent to a metropolitan area or an interstate highwayC as eS tu d iIV: m l o wnj c rp hg y XXX Davidson, North Carolina* Davidson, North Carolina* XXX X Farmville, North Carolina
Aquaculture in North Carolina Catfish North Carolina Catfish Farms, By County, 2000 Mountain Piedmont Coastal Plain ˇˆ ˆ . Aquaculture in North Carolina Catfish By Year 2, net returns before tax to the farmer's labor, land, and capital is 42,520, or 850 per water acre.
North Carolina New Hire Reporting Form (North Carolina) - North Carolina and Federal law require that all new hires and rehires be reported to the North Carolina Child Support Services Directory of New Hires within 20 days of their hire or rehire date. Employers are required to submit their EIN, corporate name, and address, as well as the new .
North Carolina's population growth has exceeded that of the United States each year from 2016 through 2020. Projections show that North Carolina's growth rates will outpace that of the nation through 2021 population projections. Per Capita Personal Income 2 2000 2005 2010 2015 2019 North Carolina 27,540 32,283 35,682 41,839 47,766
2016 NHDOT Division 600 Construction Manual Link to: Division 100 Division 200 Division 300 Division 400 Division 500 Division 600 Division 700 Division 800 Division 900 Master Table of Contents 600-6 The following table list design requirements for 3750-D RCP pipe. Design Requirements For Reinforced Concrete Pipe (3) .
2016 NHDOT Division 400 Construction Manual Link to: Division 100 Division 200 Division 300 Division 400 Division 500 Division 600 Division 700 Division 800 Division 900 Master Table of Contents 400-6 The State's Asphalt Plant Inspector should visit the commercial plant operation or portable plant as soon as it is set up and ready to operate .
Ann Sutherland Harris . H. Anne Weis . and . David Wilkins . 1 1.0 INTRODUCTION Caravaggio (Michelangelo Merisi da Caravaggio 1571 - 1610) has been praised and criticized for rejecting traditional painting methods in favor of a dramatic, stark realism that derived its subject matter from daily life. 1 1 Early biographers Giovanni Baglioni and Giovanni Pietro Bellori both write about the artist .
