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    Maryland Department of Health
    Maryland Commission on Kidney Disease

    The Kidney Disease Program of Maryland: List of Commonly Prescribed Medications

    *Medication trade names are italicized
    *Generic medications are supplied by many various companies


    Analgesics “Pain Medications”

    Analgesic Narcotics

    oxycodone (Roxicodone, Oxycontin)
    oxycodone w/acetaminophen (Percocet, Tylox, Roxicet)
    oxycodone w/aspirin (Percodan)
    propoxyphene napsylate/acetaminophen (Darvocet)
    hydrocodone w/acetaminophen (Lortab, Norco, Vicodin)
    morphine Sulfate

    NSAIDS and COX II Inhibitors

    celecoxib (Celebrex)
    aspirin
    ibuprofen (Motrin)
    indomethacin (Indocin)

    Anti-Infectives “Antibiotics”

    Antifungals (oral)

    fluconazole (Diflucan)
    ketoconazole (Nizoral)
    itraconazole (Sporanox)
    nystatin (Mycostatin)

    Antifungals (topical)

    clotrimazole

    Antivirals (Transplant Patients Only)

    valganciclovir Hydrochloride (Valcyte)
    ganciclovir (Cytovene)
    acyclovir (Zovirax)

    Cephalosporins

    cefadroxil hydrate (Duracef)
    cephalexin monohydrate (Keflex, Keftab)
    cefuroxime Axetil (Ceftin)
    cefprozil (Cefzil)
    cefdinir (Omnicef)
    cefixime (Suprax)
    cefpodoxime proxetil (Vantin)

    Fluorquinolones

    ciprofloxacin HCL (Cipro, Cipro XR)
    levofloxacin (Levaquin)
    gatifloxacin (Tequin)
    moxifloxacin HCL (Avelox)

    Macrolides

    azithromycin (Zithromax)
    clarithromycin (Biaxin, Biaxin XL)
    erthromycin stearate (Erythromycin)
    erthromycin ethylsuccinate (Erythromycin)

    Penicillins

    amoxicillin trihydrate (Amoxil, DisperMox, Trimox)
    amoxicillin trihydrate/Potassium Clavulanate (Augmentin, Augmentin ES, Augmentin XR)
    ampicillin trihydrate (Omnipen)
    dicloxacillin
    penicillin V potassium (Pen-Vee K, Veetids)

    Antimalarials

    quinine sulfate

    Other Miscellaneous Antibiotics

    vancomycin HCL
    linezolid (Zyvox)
    sulfamethoxazole/trimethoprim (Bactrim, Bactrim DS, Cotrim, Cotrim DS, Septra, Septra DS, Sulfatrim)
    clindamycin (Cleocin)
    rifampin (Rifampin)

    Cardiovascular Medications “Heart and Blood Pressure Medications”

    ACE Inhibitors (ACE-I)

    enalapril (Vasotec)
    lisinopril (Prinivil, Zestril)
    fosinopril (Monopril)
    quinapril HCL (Accupril)
    benazepril HCL (Lotensin)
    captopril (Capoten)
    perindopril erbumine (Aceon)

    [ramipril (Altace) is not covered]

    Angiotension II Receptor Blockers (ARB)

    candesartan (Atacand)
    olmesartan (Benicar)
    telmisartan (Micardis)
    irbesartan (Avapro)
    valsartan (Diovan)

    [ losartan (Cozaar) is not covered]

    Anti-Arrythmic Agents (for non-transplant patient’s only)

    amiodarone (Cordarone, Pacerone)
    quinidine sulfate

    Beta-Blockers

    carvedilol (Coreg)
    metoprolol (Lopressor, Toprol XL)
    labetolol HCL
    atenolol (Tenormin)
    propranolol HCL

    Calcium Channel Blockers

    nifedipine (Adalat, Adalat CC, Procardia, Procardia XL)
    amlodipine (Norvasc)
    felodipine (Plendil)
    verapamil HCL (Calan, Covera-HS, Isoptin, Verelan)
    isradipine (Dynacirc)
    nisoldipine (Sular)
    diltiazem (Cartia XT, Dilacor XR, Taztia XT, Tiazac)

    [Cardizem CD and Cardizem SR are not covered but other generic forms of diltiazem are available]

    Calcium Channel Blocker Combination Medications

    amlodipine besylate/benazepril (Lotrel)

    Diuretics “Fluid Pills” (Transplant Patients Only)

    furosemide (Lasix)
    metolazone (Zaroxolyn)
    hydrochlorothiazide (Diuril)
    bumetanide (Bumex)

    Intermittent Claudication Agents “Blood Circulation Medications”

    clopidogrel bisulfate (Plavix)
    aspirin/dipyridamole

    Nitrates

    nitroglycerin patch (Nitro-Dur)
    isosorbide mononitrate (Imdur, ISMO, Monoket)
    isosorbide dinitrate (Isordil, Dilatrate-SR, Sorbitrate)

    Lipotropics “Cholesterol Lowering Agents”

    Lipotropics, Other

    gemfibrozil (Lopid)

    Lipotropics, Statins

    atorvastatin calcium (Lipitor)
    pravastatin (Pravachol)
    lovastatin (Mevacor)
    fluvastatin (Lescol, Lescol XL)

    [simvastatin (Zocor) is not covered]

    Central Nervous System

    Antidepressants

    amitriptyline HCL (Elavil)
    paroxetine HCL (Paxil)
    sertraline HCL (Zoloft)
    venlafaxine HCL (Effexor, Effexor XR)

    Benzodiazepines “Anxiety and Sleeping Meds”

    alprazolam (Xanax)
    temazepam (Restoril)
    [Valium and Librium are not covered] Miscellaneous anxiolytics, sedatives, and hypnotics hydroxyzine HCL (Atarax, Vistaril)
    diphenhydramine HCL (Benadryl)

    [zolpidem (Ambien) is not covered]

    Endocrine “Diabetes and Bone Agents”

    Bone Resorption Suppression and Related Agents

    risedronate sodium (Actonel)
    alendronate sodium (Fosamax)

    Estrogen Agents, Combination (Estrogenic Agents)

    ME-testosterone/estrogen,ester

    Hypoglycemics, Insulin

    Insulin NPH Insulin Lispro Insulin Glargine Insulin NPH/Insulin Lispro 75/25 Insulin NPH/Regular Insulin 70/30
    [Lantus insulin is not covered]

    Hypoglycemics, Meglitinides

    repaglinide (Prandin)
    nateglinide (Starlix)

    Hypoglycemics, TZDs

    rosiglitazone maleate (Avandia)
    pioglitazone HCL (Actos)

    [Amaryl is not covered]

    Gastrointestinal “GI Meds”

    Antiemetics, Oral (Antiemetic/Antivertigo Agents) “Nausea Medications”

    prochlorperazine maleate (Compazine)
    trimethobenzamide HCL (Tigan)

    Phosphate Binders and Potassium Lowering Agents

    sodium polystyrene sulfonate (generic of Kayexalate is only covered)
    sevelamer (Renagel)**
    calcium acetate (Phoslo)
    calcium carbonate (Tums)

    ** Renagel can be prescribed only after a failed trail of Phoslo. If the physician does not want to prescribe Phoslo or has tried other phosphate binders he/she may still prescribe Renagel with the preauthorization from KDP

    [Os-cal is not covered]

    Proton Pump Inhibitors and H2-Antagonists “Reflux and Stomach Ulcer Meds”

    omeprazole (Prilosec)
    pantoprazole (Protonix)
    esomeprazole (Nexium)
    nizatidine (Axid)
    famotidine (Pepcid)
    randitidine (Zantac)
    cimetidine (Tagamet)

    [Prevacid is not covered]

    Prokinetic Drugs

    metoclopramide HCL (Reglan)

    Antidiarrhea “Diarrhea Meds”

    diphenoxylate HCL/atropine sulfate (Lomotil)
    loperamide HCL (Immodium)

    Laxatives “Constipation Meds”

    docusate sodium (Colace)
    polyethylene glycol 3350 powder (Miralax)
    casanthranol/docusate sodium (Peri-Colace)

    Antihistamines

    Antihistamines

    diphenhdramine HCL (Benadryl)
    hydroxyzine HCL (Atarax, Vistaril)
    promethazine HCL (Phenergan)

    Seizure Medications

    Misc. Anticonvulsants

    phenytoin sodium (Dilantin)
    divalproex sodium (Depakote, Depakote Sprinkle)
    clonazepam (Klonopin)
    carbamazepine (Tegretol)

    Barbituates

    phenobarbital
    [Neurontin is not covered]

    Anti-Coagulants “Blood Thinners”

    warfarin sodium (Coumadin)

    Hematopoietic Agents

    Epoetin alfa (Procrit brand only) (Transplant Patients Only)

    [Epogen brand not covered]

    Alkalinizing Agents

    citric acid/sodium citrate (Bicitra) (Transplant Patients Only)
    citric acid monohydrate, potassium citrate monohydrate and sodium citrate dihydrate (Polycitra)

    Magnesium Replacement  (Transplant Patients Only)

    magnesium oxide (Mag-Ox)

    Potassium and Zinc Replacements

    potassium chloride (Klor-Con, K-Dur)
    zinc sulfate
    zinc gluconate

    Caloric Agents

    Boost Plus
    Procel

    Adrenals “Steroids”

    prednisone

    Basic Lotions and Liniments

    ammonium lactate 12% lotion (Lac-Hydrin)

    Oral Iron Preparations

    iron polysaccharides complex (Niferex)
    ferrous sulfate
    FE PS complex/cyanocobalamin/FA
    FE fumarate/vitamin C/vitamin B12/FA

    Multivitamins

    Multivitamins, Stress Formula/zinc Tablet
    Multivitamins, Stress Formula Tablet

    Vitamin D

    calcitriol (Rocaltrol)
    doxercalciferol (Hectoral)

    Transplant Medications

    acrolimus anhydrous (Prograf)
    mycophenolate mofetil (Cellcept)
    mycophenolate sodium (Myfortic)
    sirolimus (Rapamune)
    cyclosporine (Neoral, Sandimmune)
    azathioprine (Imuran)
    prednisone

    Disclaimer:
    This List was comprised by the Maryland Kidney Commission and not distributed by KDP. This is not a comprehensive or complete list. The drug coverage status is subject to formulary changes and based on current manufacturer rebate contracts.