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USP Category USP Class Example Drugs (included for illustrative purposes only and inclusion does not infer Part D coverage) Analgesics Nonsteroidal Anti-inflammatory Drugs Celecoxib Diclofenac Diflunisal Etodolac Fenoprofen Flurbiprofen Ibuprofen Indomethacin Ketoprofen Ketorolac Meclofenamate Mefenamic Acid Meloxicam Nabumetone Naproxen Oxaprozin Piroxicam Sulindac Tolmetin Opioid Analgesics, Long-acting Hydromorphone Fentanyl Levorphanol Methadone Morphine Oxycodone Oxymorphone Tramadol Opioid Analgesics, Short-acting Butorphanol Codeine Fentanyl Hydromorphone Meperidine Nalbuphine Oxycodone Oxymorphone Pentazocine Tapentadol Tramadol Anesthetics Local Anesthetics Lidocaine Lidocaine and Prilocaine Anti-Addiction/Substance Abuse Treatment Agents Alcohol Deterrents/Anti-craving Acamprosate Disulfiram Naltrexone Opioid Antagonists Buprenorphine Naloxone Naltrexone Smoking Cessation Agents Bupropion Nicotine Varenicline USP Model Guidelines v5.0 (with Example Drugs) Page 1
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USP Model Guidelines v5.0 (with Example Drugs)/media/Supporting... · USP Category USP Class Example Drugs ... Aprepitant Dronabinol Nabilone Antiemetics, Other Chlorpromazine Diphenhydramine

Aug 28, 2018

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Page 1: USP Model Guidelines v5.0 (with Example Drugs)/media/Supporting... · USP Category USP Class Example Drugs ... Aprepitant Dronabinol Nabilone Antiemetics, Other Chlorpromazine Diphenhydramine

USP Category USP ClassExample Drugs

(included for illustrative purposes only and

inclusion does not infer Part D coverage)

Analgesics

Nonsteroidal Anti-inflammatory DrugsCelecoxib

Diclofenac

Diflunisal

Etodolac

Fenoprofen

Flurbiprofen

Ibuprofen

Indomethacin

Ketoprofen

Ketorolac

Meclofenamate

Mefenamic Acid

Meloxicam

Nabumetone

Naproxen

Oxaprozin

Piroxicam

Sulindac

Tolmetin

Opioid Analgesics, Long-actingHydromorphone

Fentanyl

Levorphanol

Methadone

Morphine

Oxycodone

Oxymorphone

Tramadol

Opioid Analgesics, Short-actingButorphanol

Codeine

Fentanyl

Hydromorphone

Meperidine

Nalbuphine

Oxycodone

Oxymorphone

Pentazocine

Tapentadol

Tramadol

Anesthetics

Local Anesthetics

Lidocaine

Lidocaine and Prilocaine

Anti-Addiction/Substance

Abuse Treatment Agents

Alcohol Deterrents/Anti-craving Acamprosate

Disulfiram

Naltrexone

Opioid AntagonistsBuprenorphine

Naloxone

Naltrexone

Smoking Cessation AgentsBupropion

Nicotine

Varenicline

USP Model Guidelines v5.0 (with Example Drugs)

Page 1

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USP Category USP ClassExample Drugs

(included for illustrative purposes only and

inclusion does not infer Part D coverage)

USP Model Guidelines v5.0 (with Example Drugs)

Antibacterials

AminoglycosidesAmikacin

Gentamicin

Kanamycin

Neomycin

Paromomycin

Streptomycin

Tobramycin

Tobramycin and Dexamethasone

Beta-lactam, CephalosporinsCefadroxil

Cefazolin

Cephalexin

Cefaclor

Cefoxitin

Cefprozil

Cefuroxime

Cefdinir

Cefditoren

Cefixime

Cefotaxime

Cefpodoxime

Ceftazidime

Ceftibuten

Ceftriaxone

Cefepime

Beta-lactam, PenicillinsAmoxicillin

Amoxicillin and Clavulanate Potassium

Ampicillin

Ampicillin Sodium and Sulbactam Sodium

Piperacillin

Piperacillin Sodium and Tazobactam Sodium

Ticarcillin Disodium and Clavulanate

Potassium

Penicillin G

Penicillin V

Dicloxacillin

Nafcillin

Oxacillin

Beta-lactam, OtherAztreonam

Doripenem

Ertapenem

Imipenem and Cilastatin Sodium

Meropenem

MacrolidesAzithromycin

Clarithromycin

Erythromycin

Telithromycin

QuinolonesBesifloxacin

Ciprofloxacin

Page 2

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USP Category USP ClassExample Drugs

(included for illustrative purposes only and

inclusion does not infer Part D coverage)

USP Model Guidelines v5.0 (with Example Drugs)

Gatifloxacin

Gemifloxacin

Levofloxacin

Moxifloxacin

Norfloxacin

Ofloxacin

SulfonamidesSulfacetamide

Sulfadiazine

Sulfamethoxazole and Trimethoprim

TetracyclinesDemeclocycline

Doxycycline

Minocycline

Tetracycline

Antibacterials, OtherTrimethoprim

Vancomycin

Clindamycin

Lincomycin

Nitrofurantoin

Linezolid

Acetic Acid

Bacitracin

Chloramphenicol

Daptomycin

Fosfomycin

Gramicidin

Mafenide

Methenamine

Metronidazole

Mupirocin

Polymyxin B

Retapamulin

Rifaximin

Telavancin

Tigecycline

Anticonvulsants

Calcium Channel Modifying AgentsEthosuximide

Methsuximide

Pregabalin

Zonisamide

Gamma-aminobutyric Acid (GABA) Augmenting Agents

Divalproex

Gabapentin

Primidone

Tiagabine

Valproate

Vigabatrin

Glutamate Reducing AgentsFelbamate

Lamotrigine

Topiramate

Page 3

Page 4: USP Model Guidelines v5.0 (with Example Drugs)/media/Supporting... · USP Category USP Class Example Drugs ... Aprepitant Dronabinol Nabilone Antiemetics, Other Chlorpromazine Diphenhydramine

USP Category USP ClassExample Drugs

(included for illustrative purposes only and

inclusion does not infer Part D coverage)

USP Model Guidelines v5.0 (with Example Drugs)

Sodium Channel AgentsCarbamazepine

Ethotoin

Fosphenytoin

Lacosamide

Oxcarbazepine

Phenytoin

Rufinamide

Anticonvulsants, OtherLevetiracetam

Antidementia Agents

Cholinesterase InhibitorsDonepezil

Galantamine

Rivastigmine

Tacrine

N-methyl-D-aspartate (NMDA) Receptor AntagonistMemantine

Antidementia Agents, Other

Ergoloid Mesylates

Antidepressants

Monoamine Oxidase InhibitorsPhenelzine

Selegiline

Tranylcypromine

Serotonin/Norepinephrine Reuptake Inhibitors Citalopram

Desvenlafaxine

Duloxetine

Escitalopram

Fluoxetine

Fluvoxamine

Paroxetine

Sertraline

Venlafaxine

TricyclicsAmitriptyline

Amoxapine

Clomipramine

Desipramine

Doxepin

Imipramine

Nortriptyline

Protriptyline

Trimipramine

Antidepressants, OtherBupropion

Maprotiline

Mirtazapine

Nefazodone

Trazodone

Aripiprazole

Quetiapine

Antiemetics

Emetogenic Therapy AdjunctsDolasetron

Granisetron

Ondansetron

Page 4

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USP Category USP ClassExample Drugs

(included for illustrative purposes only and

inclusion does not infer Part D coverage)

USP Model Guidelines v5.0 (with Example Drugs)

Palonosetron

Aprepitant

Dronabinol

Nabilone

Antiemetics, OtherChlorpromazine

Diphenhydramine

Hydroxyzine

Meclizine

Metoclopramide

Perphenazine

Prochlorperazine

Promethazine

Scopolamine

Trimethobenzamide

Antifungals

Naftifine

Terbinafine

Butoconazole

Clotrimazole

Econazole

Fluconazole

Itraconazole

Ketoconazole

Miconazole

Oxiconazole

Posaconazole

Sertaconazole

Sulconazole

Terconazole

Voriconazole

Anidulafungin

Caspofungin

Micafungin

Natamycin

Nystatin

Butenafine

Ciclopirox

Flucytosine

Griseofulvin

Antigout Agents

Probenecid

Allopurinol

Febuxostat

Colchicine

Anti-inflammatory Agents

Glucocorticoids

Nonsteroidal Anti-inflammatory DrugsCelecoxib

Diclofenac

Diflunisal

Etodolac

Fenoprofen

Page 5

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USP Category USP ClassExample Drugs

(included for illustrative purposes only and

inclusion does not infer Part D coverage)

USP Model Guidelines v5.0 (with Example Drugs)

Flurbiprofen

Ibuprofen

Indomethacin

Ketoprofen

Ketorolac

Meclofenamate

Mefenamic Acid

Meloxicam

Nabumetone

Naproxen

Oxaprozin

Piroxicam

Sulindac

Tolmetin

Antimigraine Agents

Ergot AlkaloidsDihydroergotamine

Ergotamine

Serotonin (5-HT) 1b/1d Receptor AgonistsAlmotriptan

Eletriptan

Frovatriptan

Naratriptan

Rizatriptan

Sumatriptan

Zolmitriptan

Prophylactic Timolol

Divalproex

Topiramate

Valproic Acid

Antimyasthenic Agents

ParasympathomimeticsAmbenonium

Guanidine

Pyridostigmine

Antimycobacterials

AntitubercularsCapreomycin

Cycloserine

Ethambutol

Ethionamide

Isoniazid

Pyrazinamide

Rifampin

Rifampin and Isoniazid

Rifampin, Isoniazid, and Pyrazinamide

Rifapentine

Antimycobacterials, OtherDapsone

Rifabutin

Antineoplastics

Alkylating Agents

Altretamine

Chlorambucil

Melphalan

Lomustine

Page 6

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USP Category USP ClassExample Drugs

(included for illustrative purposes only and

inclusion does not infer Part D coverage)

USP Model Guidelines v5.0 (with Example Drugs)

Busulfan

Cyclophosphamide

Procarbazine

Antiangiogenic AgentsLenalidomide

Thalidomide

Antiestrogens/ModifiersEstramustine

Tamoxifen

Toremifene

AntimetabolitesMercaptopurine

Thioguanine

Hydroxyurea

Aromatase Inhibitors, 3rd GenerationAnastrozole

Exemestane

Letrozole

Enzyme InhibitorsEtoposide

Topotecan

Molecular Target InhibitorsErlotinib

Gefitinib

Everolimus

Dasatinib

Imatinib

Nilotinib

Lapatinib

Pazopanib

Sorafenib

Sunitinib

Monoclonal AntibodiesRituximab

RetinoidsAlitretinoin

Bexarotene

Tretinoin

Antineoplastics, OtherFludarabine

Leucovorin

Mitoxantrone

Antiparasitics

AnthelminticsAlbendazole

Ivermectin

Mebendazole

Praziquantel

AntiprotozoalsArtemether and Lumefantrine

Atovaquone and Proguanil Hydrochloride

Chloroquine

Hydroxychloroquine

Page 7

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USP Category USP ClassExample Drugs

(included for illustrative purposes only and

inclusion does not infer Part D coverage)

USP Model Guidelines v5.0 (with Example Drugs)

Mefloquine

Primaquine

Pyrimethamine

Quinine

Atovaquone

Nitazoxanide

Pentamidine

Pediculicides/ScabicidesBenzyl alcohol

Crotamiton

Lindane

Malathion

Permethrin

Antiparkinson Agents

AnticholinergicsBenztropine

Diphenhydramine

Trihexyphenidyl

Dopamine AgonistsApomorphine

Bromocriptine

Pramipexole

Ropinirole

Dopamine Precursors/ L-Amino Acid Decarboxylase

InhibitorsCarbidopa

Carbidopa and Levodopa

Monoamine Oxidase B (MAO-B) InhibitorsRasagiline

Selegiline

Antiparkinson Agents, OtherEntacapone

Tolcapone

Amantadine

Antipsychotics

1st Generation/Typical Chlorpromazine

Fluphenazine

Haloperidol

Loxapine

Perphenazine

Pimozide

Prochlorperazine

Thioridazine

Thiothixene

Trifluoperazine

2nd Generation/Atypical Aripiprazole

Asenapine

Iloperidone

Lurasidone

Olanzapine

Quetiapine

Paliperidone

Risperidone

Ziprasidone

Treatment-Resistant

Clozapine

Antispasticity Agents

Page 8

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USP Category USP ClassExample Drugs

(included for illustrative purposes only and

inclusion does not infer Part D coverage)

USP Model Guidelines v5.0 (with Example Drugs)

Baclofen

Dantrolene

Tizanidine

Antivirals

Anti-cytomegalovirus (CMV) AgentsCidofovir

Foscarnet

Ganciclovir

Valganciclovir

Antihepatitis AgentsAdefovir

Entecavir

Lamivudine

Ribavirin

Telbivudine

Tenofovir

Interferon Alfa-2b, Recombinant

Interferon Alfa-2b and Ribavirin

Interferon Alfa-n3

Interferon Alfacon-1

Peginterferon Alfa-2a

Peginterferon Alfa-2b

Antiherpetic AgentsAcyclovir

Famciclovir

Foscarnet

Idoxuridine

Trifluridine

Penciclovir

Valacyclovir

Anti-HIV Agents, Non-nucleoside Reverse Transcriptase

Inhibitors Delavirdine

Efavirenz

Etravirine

Nevirapine

Anti-HIV Agents, Nucleoside and Nucleotide Reverse

Transcriptase Inhibitors Abacavir

Abacavir and Lamivudine

Abacavir, Lamivudine, and Zidovudine

Didanosine

Emtricitabine

Emtricitabine and Tenofovir

Lamivudine

Lamivudine and Zidovudine

Stavudine

Tenofovir

Zidovudine

Anti-HIV Agents, Protease Inhibitors Atazanavir

Darunavir

Fosamprenavir

Indinavir

Lopinavir and Ritonavir

Nelfinavir

Ritonavir

Saquinavir

Tipranavir

Page 9

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USP Category USP ClassExample Drugs

(included for illustrative purposes only and

inclusion does not infer Part D coverage)

USP Model Guidelines v5.0 (with Example Drugs)

Anti-HIV Agents, Other Enfuvirtide

Maraviroc

Raltegravir

Anti-influenza AgentsAmantadine

Oseltamivir

Rimantadine

Zanamivir

Anxiolytics

SSRIs/SNRIs (Selective Serotonin Reuptake Inhibitors/

Serotonin and Norepinephrine Reuptake Inhibitors)Duloxetine

Escitalopram

Paroxetine

Sertraline

Venlafaxine

Anxiolytics, OtherBuspirone

Doxepin

Hydroxyzine

Meprobamate

Bipolar Agents

Mood StabilizersCarbamazepine

Divalproex

Lamotrigine

Lithium

Valproic Acid

Bipolar Agents, OtherAripiprazole

Asenapine

Olanzapine

Quetiapine

Risperidone

Ziprasidone

Blood Glucose Regulators

Antidiabetic AgentsAcarbose

Miglitol

Pramlintide

Metformin

Colesevelam

Saxagliptin

Sitagliptin

Bromocriptine

Exenatide

Liraglutide

Nateglinide

Repaglinide

Chlorpropamide

Glimepiride

Page 10

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USP Category USP ClassExample Drugs

(included for illustrative purposes only and

inclusion does not infer Part D coverage)

USP Model Guidelines v5.0 (with Example Drugs)

Glipizide

Glyburide

Tolazamide

Tolbutamide

Pioglitazone

Rosiglitazone

Glycemic AgentsDiazoxide

Glucagon

InsulinsInsulin Aspart

Insulin Glulisine

Insulin Lispro

Insulin Human (Regular)

Isophane Insulin (Human)

Insulin Detemir

Insulin Glargine

Insulin Aspart Rapid-acting and Insulin Aspart

Protamine

Insulin Lispro Rapid-acting and Insulin Lispro

Protamine

Insulin Human Regular and Isophane Insulin

Blood Products/Modifiers/

Volume Expanders

AnticoagulantsDabigatran

Fondaparinux

Dalteparin

Enoxaparin

Tinzaparin

Warfarin

Blood Formation ModifiersFilgrastim

Pegfilgrastim

Sargramostim

Darbepoetin Alfa

Epoetin Alfa

Anagrelide

Eltrombopag Olamine

Romiplostim

Plerixafor

CoagulantsTranexamic Acid

Platelet Modifying AgentsClopidogrel

Prasugrel

Ticlopidine

Page 11

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USP Category USP ClassExample Drugs

(included for illustrative purposes only and

inclusion does not infer Part D coverage)

USP Model Guidelines v5.0 (with Example Drugs)

Dipyridamole

Dipyridamole and Aspirin

Cilostazol

Cardiovascular Agents

Alpha-adrenergic AgonistsClonidine

Guanabenz

Guanfacine

Methyldopa

Methyldopate

Midodrine

Phenylephrine

Alpha-adrenergic Blocking AgentsDoxazosin

Phenoxybenzamine

Prazosin

Terazosin

Angiotensin-converting Enzyme (ACE) InhibitorsBenazepril

Captopril

Enalapril

Fosinopril

Lisinopril

Moexipril

Perindopril

Quinapril

Ramipril

Trandolapril

Angiotensin II Receptor AntagonistsCandesartan

Eprosartan

Irbesartan

Losartan

Olmesartan

Telmisartan

Valsartan

AntiarrhythmicsAmiodarone

Disopyramide

Dofetilide

Dronedarone

Flecainide

Mexiletine

Procainamide

Propafenone

Quinidine

Sotalol

Beta-adrenergic Blocking AgentsAcebutolol

Atenolol

Betaxolol

Bisoprolol

Carvedilol

Labetalol

Metoprolol

Nadolol

Nebivolol

Penbutolol

Pindolol

Propranolol

Page 12

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USP Category USP ClassExample Drugs

(included for illustrative purposes only and

inclusion does not infer Part D coverage)

USP Model Guidelines v5.0 (with Example Drugs)

Timolol

Calcium Channel Blocking Agents Amlodipine

Felodipine

Isradipine

Nicardipine

Nifedipine

Nimodipine

Nisoldipine

Diltiazem

Verapamil

Diuretics, Carbonic Anhydrase InhibitorsAcetazolamide

Methazolamide

Diuretics, LoopBumetanide

Ethacrynate

Ethacrynic Acid

Furosemide

Torsemide

Diuretics, Potassium-sparing Amiloride

Eplerenone

Spironolactone

Triamterene

Diuretics, Thiazide Bendroflumethiazide

Chlorothiazide

Chlorthalidone

Hydrochlorothiazide

Indapamide

Methyclothiazide

Metolazone

Dyslipidemics, Fibric Acid DerivativesCholine Fenofibrate

Fenofibrate

Fenofibric Acid

Gemfibrozil

Dyslipidemics, HMG CoA Reductase InhibitorsAtorvastatin

Fluvastatin

Lovastatin

Pitavastatin

Pravastatin

Rosuvastatin

Simvastatin

Dyslipidemics, OtherCholestyramine

Colesevelam

Colestipol

Ezetimibe

Niacin

Omega-3-acid Ethyl Esters

Vasodilators, Direct-acting ArterialHydralazine

Minoxidil

Vasodilators, Direct-acting Arterial/VenousIsosorbide Dinitrate

Isosorbide Mononitrate

Nitroglycerin

Page 13

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USP Category USP ClassExample Drugs

(included for illustrative purposes only and

inclusion does not infer Part D coverage)

USP Model Guidelines v5.0 (with Example Drugs)

Cardiovascular Agents, OtherAliskiren

Digoxin

Pentoxifylline

Ranolazine

Central Nervous System

Agents

Attention Deficit Hyperactivity Disorder Agents,

AmphetaminesDextroamphetamine

Dextroamphetamine and Amphetamine

Lisdexamfetamine

Methamphetamine

Attention Deficit Hyperactivity Disorder Agents, Non-

amphetaminesAtomoxetine

Clonidine

Dexmethylphenidate

Guanfacine

Methylphenidate

Fibromyalgia AgentsDuloxetine

Milnacipran

Pregabalin

Multiple Sclerosis AgentsInterferon Beta-1a

Interferon Beta-1b

Dalfampridine

Fingolimod

Glatiramer

Mitoxantrone

Natalizumab

Central Nervous System, Other

Tetrabenazine

Riluzole

Dextromethorphan/Quinidine

Dental and Oral AgentsAmlexanox

Cevimeline

Chlorhexidine

Doxycycline

Minocycline

Palifermin

Pilocarpine

Prilocaine

Triamcinolone

Dermatological AgentsIsotretinoin

Adapalene

Azelaic Acid

Benzoyl Peroxide

Tazarotene

Doxycycline

Doxepin

Page 14

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USP Category USP ClassExample Drugs

(included for illustrative purposes only and

inclusion does not infer Part D coverage)

USP Model Guidelines v5.0 (with Example Drugs)

Pimecrolimus

Tacrolimus

Podofilox

Ammonium Lactate

Imiquimod

Sinecatechins

Selenium

Diclofenac

Fluorouracil

Imiquimod

Methoxsalen

Acitretin

Alefacept

Calcitriol

Ustekinumab

Calcipotriene

Becaplermin

Collagenase

Enzyme Replacement/

Modifiers

Cysteamine

Agalsidase Beta

Alglucerase

Imiglucerase

Miglustat

Nitisinone

Betaine

Idursulfase

Galsulfase

Laronidase

Pancrelipase

Sapropterin

Pegademase Bovine

Sodium Phenylbutyrate

Gastrointestinal Agents

Antispasmodics, GastrointestinalAtropine

Dicyclomine

Glycopyrrolate

Mepenzolate

Methscopolamine

Page 15

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USP Category USP ClassExample Drugs

(included for illustrative purposes only and

inclusion does not infer Part D coverage)

USP Model Guidelines v5.0 (with Example Drugs)

Scopolamine

Histamine2 (H2) Receptor Antagonists

Cimetidine

Famotidine

Nizatidine

Ranitidine

Irritable Bowel Syndrome AgentsAlosetron

Lubiprostone

LaxativesLactulose

Polyethylene Glycol 3350 NF

ProtectantsMisoprostol

Sucralfate

Proton Pump InhibitorsDexlansoprazole

Esomeprazole

Lansoprazole

Omeprazole

Pantoprazole

Rabeprazole

Gastrointestinal Agents, OtherAlvimopan

Difenoxin Hydrochloride and Atropine Sulfate

Diphenoxylate Hydrochloride and Atropine

Sulfate

Loperamide

Methylnaltrexone

Metoclopramide

Rifaximin

Ursodiol

Genitourinary Agents

Antispasmodics, UrinaryDarifenacin

Fesoterodine

Flavoxate

Oxybutynin

Solifenacin

Tolterodine

Trospium

Benign Prostatic Hypertrophy AgentsAlfuzosin

Doxazosin

Prazosin

Silodosin

Tamsulosin

Terazosin

Dutasteride

Finasteride

Phosphate BindersCalcium Acetate

Lanthanum

Sevelamer

Genitourinary Agents, OtherBethanechol

Penicillamine

Pentosan Polysulfate

Page 16

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USP Category USP ClassExample Drugs

(included for illustrative purposes only and

inclusion does not infer Part D coverage)

USP Model Guidelines v5.0 (with Example Drugs)

Hormonal Agents,

Stimulant/ Replacement/

Modifying (Adrenal)

Glucocorticoids/MineralocorticoidsBetamethasone

Budesonide

Cortisone

Dexamethasone

Hydrocortisone

Methylprednisolone

Prednisolone

Prednisone

Triamcinolone

Alclometasone

Clocortolone

Desonide

Dexamethasone

Hydrocortisone

Betamethasone

Desoximetasone

Fluocinolone

Flurandrenolide

Fluticasone

Hydrocortisone

Mometasone

Prednicarbate

Triamcinolone

Amcinonide

Betamethasone

Desoximetasone

Diflorasone

Fluocinolone

Fluocinonide

Halcinonide

Triamcinolone

Betamethasone

Clobetasol

Diflorasone

Halobetasol

Fludrocortisone

Hormonal Agents,

Stimulant/Replacement/

Modifying (Pituitary)

Chorionic Gonadotropin

Somatropin, Recombinant

Tesamorelin

Mecasermin

Page 17

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USP Category USP ClassExample Drugs

(included for illustrative purposes only and

inclusion does not infer Part D coverage)

USP Model Guidelines v5.0 (with Example Drugs)

Desmopressin

Hormonal Agents,

Stimulant/ Replacement/

Modifying (Prostaglandins)

Alprostadil

Carboprost

Misoprostol

Hormonal Agents,

Stimulant/ Replacement/

Modifying (Sex Hormones/

Modifiers)

Anabolic Steroids

Oxandrolone

Oxymetholone

Androgens

Danazol

Fluoxymesterone

Methyltestosterone

Testosterone

Estrogens

Estradiol

Estrogens, Conjugated

Estrogens, Conjugated Synthetic

Estrogens, Esterified

Estrone

Estropipate

Ethinyl Estradiol

Progesterone Agonists/Antagonists

Ulipristal

Progestins

Levonorgestrel

Medroxyprogesterone

Megestrol

Norethindrone

Norgestrel

Progesterone

Selective Estrogen Receptor Modifying Agents

Raloxifene

Hormonal Agents,

Stimulant/Replacement/

Modifying (Thyroid)

Levothyroxine

Liothyronine

Liotrix

Hormonal Agents,

Suppressant (Adrenal)

Mitotane

Hormonal Agents,

Suppressant (Parathyroid)

Cinacalcet

Hormonal Agents,

Suppressant (Pituitary)

Bromocriptine

Cabergoline

Page 18

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USP Category USP ClassExample Drugs

(included for illustrative purposes only and

inclusion does not infer Part D coverage)

USP Model Guidelines v5.0 (with Example Drugs)

Leuprolide

Nafarelin

Triptorelin

Degarelix

Pegvisomant

Lanreotide

Octreotide

Hormonal Agents,

Suppressant (Sex

Hormones/ Modifiers)

Antiandrogens

Bicalutamide

Dutasteride

Finasteride

Flutamide

Nilutamide

Hormonal Agents,

Suppressant (Thyroid)

Antithyroid Agents

Methimazole

Propylthiouracil

Immunological Agents

Immune Suppressants Mycophenolic Acid

Tacrolimus

Cyclosporine

Sirolimus

6- mercaptopurine

Abatacept

Anakinra

Everolimus

Methotrexate

Penicillamine

Pimecrolimus

Temsirolimus

Azathioprine

Adalimumab

Certolizumab Pegol

Etanercept

Golimumab

Infliximab

Immunizing Agents, PassiveAnti-thymocyte Globulin

Immune Globulin Intramuscular (Human)

Immune Globulin Intravenous (Human)

ImmunomodulatorsInterferon Beta-1a

Interferon Beta-1b

Interferon Gamma-1b, Recombinant

Page 19

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USP Category USP ClassExample Drugs

(included for illustrative purposes only and

inclusion does not infer Part D coverage)

USP Model Guidelines v5.0 (with Example Drugs)

Canakinumab

Rilonacept

Tocilizumab

Auranofin

Leflunomide

Natalizumab

VaccinesDiphtheria and Tetanus Toxoids Adsorbed

(DT)

Diphtheria and Tetanus Toxoids and Acellular

Pertussis Vaccine Adsorbed (DTaP)

Diphtheria and Tetanus Toxoids and Acellular

Pertussis Vaccine Adsorbed, Hepatitis B

(Recombinant) and Inactivated Poliovirus

Vaccine

Diphtheria and Tetanus Toxoids and Acellular

Pertussis Absorbed and Inactivated

Poliovirus (DTaP-IPV) Vaccine Tetanus and Diphtheria Toxoids Adsorbed for

Adult Use (Td)

Tetanus Toxoid, Reduced Diphtheria Toxoid

and Acellular Pertussis Vaccine, Adsorbed

(Tdap)

Haemophilus B Conjugate Vaccine

Haemophilus B Conjugate Vaccine and

Hepatitis B Vaccine (Recombinant)

Hepatitis A Vaccine Inactivated

Hepatitis A Virus Vaccine Inactivated and

Hepatitis B Virus Vaccine Recombinant

Diphtheria and Tetanus Toxoids and Acellular

Pertussis Vaccine Adsorbed, Hepatitis B

(Recombinant) and Inactivated Poliovirus

Vaccine

Haemophilus B Conjugate Vaccine and

Hepatitis B Vaccine (Recombinant)

Hepatitis B Virus Vaccine Recombinant

Japanese Encephalitis Virus Vaccine

Inactivated

Measles Virus Vaccine Live

Measles, Mumps, and Rubella Virus Vaccine

Live

Measles, Mumps, Rubella, and Varicella

Virus Vaccine Live

Meningococcal Oligosaccharide Diphtheria

CRM197 Conjugate Vaccine

Meningococcal Polysaccharide Vaccine

Meningococcal Polysaccharide Diphtheria

Toxoid Conjugate Vaccine

Measles, Mumps, and Rubella Virus Vaccine

Live

Measles, Mumps, Rubella, and Varicella

Virus Vaccine Live

Human Papillomavirus Bivalent (type 16 and

18) Vaccine Recombinant

Human Papillomavirus Quadrivalent (types 6,

11, 16 and 18) Vaccine Recombinant

Page 20

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USP Category USP ClassExample Drugs

(included for illustrative purposes only and

inclusion does not infer Part D coverage)

USP Model Guidelines v5.0 (with Example Drugs)

Diphtheria and Tetanus Toxoids and Acellular

Pertussis Vaccine Adsorbed (DTaP)

Diphtheria and Tetanus Toxoids and Acellular

Pertussis Vaccine Adsorbed, Hepatitis B

(Recombinant) and Inactivated Poliovirus

Vaccine

Diphtheria and Tetanus Toxoids and Acellular

Pertussis Absorbed and Inactivated

Poliovirus (DTaP-IPV) VaccineTetanus Toxoid, Reduced Diphtheria Toxoid,

and Acellular Pertussis Vaccine, Adsorbed

(Tdap)Diphtheria and Tetanus Toxoids and Acellular

Pertussis Absorbed and Inactivated

Poliovirus (DTaP-IPV) Vaccine

Diphtheria and Tetanus Toxoids and Acellular

Pertussis Vaccine Adsorbed, Hepatitis B

(Recombinant) and Inactivated Poliovirus

Vaccine

Poliovirus Vaccine Inactivated

Rabies Vaccine

Rotavirus Vaccine Live

Measles, Mumps, and Rubella Virus Vaccine

Live

Measles, Mumps, Rubella, and Varicella

Virus Vaccine Live

Rubella Virus Vaccine

Diphtheria and Tetanus Toxoids Adsorbed

(DT)

Diphtheria and Tetanus Toxoids and Acellular

Pertussis Vaccine Adsorbed (DTaP)

Diphtheria and Tetanus Toxoids and Acellular

Pertussis Vaccine Adsorbed, Hepatitis B

(Recombinant) and Inactivated Poliovirus

Vaccine

Diphtheria and Tetanus Toxoids and Acellular

Pertussis Absorbed and Inactivated

Poliovirus (DTaP-IPV) VaccineTetanus and Diphtheria Toxoids Adsorbed for

Adult Use (Td)

Tetanus Toxoid

Tetanus Toxoid Adsorbed

Tetanus Toxoid, Reduced Diphtheria Toxoid,

and Acellular Pertussis Vaccine, Adsorbed

(Tdap)

Typhoid Vaccine Live Oral

Typhoid Vi Polysaccharide Vaccine

Measles, Mumps, Rubella, and Varicella

Virus Vaccine Live

Varicella Virus Vaccine

Yellow Fever Vaccine

Zoster Virus Vaccine Live

Inflammatory Bowel Disease

Agents

Glucocorticoids

Betamethasone

Budesonide

Cortisone

Dexamethasone

Hydrocortisone

Page 21

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USP Category USP ClassExample Drugs

(included for illustrative purposes only and

inclusion does not infer Part D coverage)

USP Model Guidelines v5.0 (with Example Drugs)

Methylprednisolone

Prednisolone

Prednisone

Triamcinolone

Aminosalicylates

Balsalazide

Mesalamine

Olsalazine

Sulfonamides

Sulfasalazine

Metabolic Bone Disease

Agents

Alendronate

Etidronate

Ibandronate

Risedronate

Tiludronate

Ibandronate

Pamidronate

Zoledronic Acid

Calcitonin, Salmon

Teriparatide

Denosumab

Calcitriol

Doxercalciferol

Paricalcitol

Ophthalmic Agents

Ophthalmic Anti-allergy Agents

Azelastine

Bepotastine

Cromolyn

Emedastine

Epinastine

Lodoxamide

Nedocromil

Olopatadine

Pemirolast

Ophthalmic Antiglaucoma Agents

Apraclonidine

Brimonidine

Dipivefrin

Betaxolol

Carteolol

Levobunolol

Metipranolol

Timolol

Acetazolamide

Brinzolamide

Dorzolamide

Page 22

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USP Category USP ClassExample Drugs

(included for illustrative purposes only and

inclusion does not infer Part D coverage)

USP Model Guidelines v5.0 (with Example Drugs)

Methazolamide

Echothiophate

Pilocarpine

Ophthalmic Anti-inflammatories

Dexamethasone

Difluprednate

Fluorometholone

Loteprednol

Prednisolone

Rimexolone

Bromfenac

Diclofenac

Flurbiprofen

Ketorolac

Nepafenac

Ophthalmic Prostaglandin and Prostamide Analogs

Bimatoprost

Latanoprost

Travoprost

Ophthalmic Agents, Other

Hydroxypropyl Cellulose

Naphazoline

Cyclosporine

Otic Agents

Fluocinolone

Respiratory Tract Agents

AntihistaminesAzelastine

Cetirizine

Desloratadine

Fexofenadine

Levocetirizine

Olopatadine

Carbinoxamine

Clemastine

Cyproheptadine

Dexchlorpheniramine

Diphenhydramine

Hydroxyzine

Promethazine

Anti-inflammatories, Inhaled CorticosteroidsBeclomethasone

Budesonide

Ciclesonide

Flunisolide

Fluticasone

Mometasone

Triamcinolone

AntileukotrienesMontelukast

Zafirlukast

Zileuton

Page 23

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USP Category USP ClassExample Drugs

(included for illustrative purposes only and

inclusion does not infer Part D coverage)

USP Model Guidelines v5.0 (with Example Drugs)

Bronchodilators, AnticholinergicIpratropium

Tiotropium

Bronchodilators, Phosphodiesterase Inhibitors

(Xanthines)Aminophylline

Dyphylline

Theophylline

Bronchodilators, SympathomimeticAlbuterol

Arformoterol

Epinephrine

Formoterol

Levalbuterol

Metaproterenol

Pirbuterol

Salmeterol

Terbutaline

Mast Cell StabilizersCromolyn

Pulmonary AntihypertensivesAmbrisentan

Bosentan

Sildenafil

Tadalafil

Epoprostenol

Iloprost

Treprostinil

Respiratory Tract Agents, OtherAcetylcysteine

Alpha-1 Proteinase Inhibitor, Human

Tetrahydrozoline

Skeletal Muscle Relaxants

Carisoprodol

Chlorzoxazone

Cyclobenzaprine

Metaxalone

Methocarbamol

Orphenadrine

Sleep Disorder Agents

GABA Receptor ModulatorsEszopiclone

Zaleplon

Zolpidem

Sleep Disorders, OtherArmodafinil

Doxepin

Modafinil

Ramelteon

Sodium Oxybate

Therapeutic Nutrients/

Minerals/ Electrolytes

Electrolyte/Mineral ModifiersDeferasirox

Penicillamine

Sodium Polystyrene Sulfonate

Succimer

Page 24

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USP Category USP ClassExample Drugs

(included for illustrative purposes only and

inclusion does not infer Part D coverage)

USP Model Guidelines v5.0 (with Example Drugs)

Tolvaptan

Trientine

Electrolyte/Mineral Replacement

Ammonium

Carglumic Acid

Chromic

Citric Acid, Potassium Citrate, and Sodium

Citrate

Fluoride

Magnesium

Manganese

Potassium

Potassium Bicarbonate and Potassium

CitratePotassium Citrate and Citric Acid

Potassium Citrate and Sodium Citrate

Potassium Gluconate and Potassium

ChloridePotassium Gluconate and Potassium Citrate

Potassium Phosphate and Sodium

PhosphateSelenium

Sodium

Vitamins

Page 25