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.