USP Medicare Model Guidelines v6.0 (Categories and Classes)

Transcription

1 USP Medicare Model Guidelines v6.0 (Categories and Classes) USP Category Analgesics Nonsteroidal Anti-inflammatory Drugs Opioid Analgesics, Long-acting Opioid Analgesics, Short-acting Anesthetics Local Anesthetics Anti-Addiction/ Substance Abuse Treatment Agents Alcohol Deterrents/Anti-craving Opioid Dependence Treatments Opioid Reversal Agents Smoking Cessation Agents Antibacterials Aminoglycosides Beta-lactam, Cephalosporins Beta-lactam, Penicillins Beta-lactam, Other

2 Macrolides Quinolones Sulfonamides Tetracyclines Antibacterials, Other Anticonvulsants Calcium Channel Modifying Agents Gamma-aminobutyric Acid (GABA) Augmenting Agents Glutamate Reducing Agents Sodium Channel Agents Anticonvulsants, Other Antidementia Agents Cholinesterase Inhibitors N-methyl-D-aspartate (NMDA) Receptor Antagonist Antidementia Agents, Other Antidepressants Monoamine Oxidase Inhibitors

3 SSRIs/SNRIs (Selective Serotonin Reuptake Inhibitors/ Serotonin and Norepinephrine Reuptake Inhibitors) Tricyclics Antidepressants, Other Antiemetics Emetogenic Therapy Adjuncts Antiemetics, Other Antifungals Antigout Agents Anti-inflammatory Agents Glucocorticoids Nonsteroidal Anti-inflammatory Drugs Antimigraine Agents Ergot Alkaloids Serotonin (5-HT) 1b/1d Receptor Agonists Prophylactic Antimyasthenic Agents

4 Parasympathomimetics Antimycobacterials Antituberculars Antimycobacterials, Other Antineoplastics Alkylating Agents Antiandrogens Antiangiogenic Agents Antiestrogens/Modifiers Antimetabolites Aromatase Inhibitors, 3rd Generation Enzyme Inhibitors Molecular Target Inhibitors Monoclonal Antibodies Retinoids Antineoplastics, Other Antiparasitics

5 Anthelmintics Antiprotozoals Pediculicides/Scabicides Antiparkinson Agents Anticholinergics Dopamine Agonists Dopamine Precursors/ L-Amino Acid Decarboxylase Inhibitors Monoamine Oxidase B (MAO-B) Inhibitors Antiparkinson Agents, Other Antipsychotics 1st Generation/Typical 2nd Generation/Atypical Treatment-Resistant Antispasticity Agents Antivirals Anti-cytomegalovirus (CMV) Agents Anti-hepatitis B (HBV) Agents

6 Anti-hepatitis C (HCV) Agents Antiherpetic Agents Anti-HIV Agents, Non-nucleoside Reverse Transcriptase Inhibitors (NNRTI) Anti-HIV Agents, Nucleoside and Nucleotide Reverse Transcriptase Inhibitors (NRTI) Anti-HIV Agents, Protease Inhibitors Anti-HIV Agents, Integrase Inhibitors (INSTI) Anti-HIV Agents, Other Anti-influenza Agents Anxiolytics SSRIs/SNRIs (Selective Serotonin Reuptake Inhibitors/ Serotonin and Norepinephrine Reuptake Inhibitors) Benzodiazepines Anxiolytics, Other Bipolar Agents Mood Stabilizers Bipolar Agents, Other

7 Blood Glucose Regulators Antidiabetic Agents Glycemic Agents Insulins Blood Products/Modifiers/ Volume Expanders Anticoagulants Blood Formation Modifiers Coagulants Platelet Modifying Agents Cardiovascular Agents Alpha-adrenergic Agonists Alpha-adrenergic Blocking Agents Angiotensin-converting Enzyme (ACE) Inhibitors Angiotensin II Receptor Antagonists Antiarrhythmics Beta-adrenergic Blocking Agents Calcium Channel Blocking Agents

8 Diuretics, Carbonic Anhydrase Inhibitors Diuretics, Loop Diuretics, Potassium-sparing Diuretics, Thiazide Dyslipidemics, Fibric Acid Derivatives Dyslipidemics, HMG CoA Reductase Inhibitors Dyslipidemics, Other Vasodilators, Direct-acting Arterial Vasodilators, Direct-acting Arterial/Venous Cardiovascular Agents, Other Central Nervous System Agents Attention Deficit Hyperactivity Disorder Agents, Amphetamines Attention Deficit Hyperactivity Disorder Agents, Nonamphetamines Fibromyalgia Agents Multiple Sclerosis Agents Central Nervous System, Other Dental and Oral Agents

9 Dermatological Agents Enzyme Replacement/ Modifiers Gastrointestinal Agents Antispasmodics, Gastrointestinal Histamine2 (H2) Receptor Antagonists Irritable Bowel Syndrome Agents Laxatives Protectants Proton Pump Inhibitors Gastrointestinal Agents, Other Genitourinary Agents Antispasmodics, Urinary Benign Prostatic Hypertrophy Agents Phosphate Binders Genitourinary Agents, Other Hormonal Agents, Stimulant/ Replacement/ Modifying (Adrenal)

10 Hormonal Agents, Stimulant/Replacement/ Modifying (Pituitary) Hormonal Agents, Stimulant/ Replacement/ Modifying (Prostaglandins) Hormonal Agents, Stimulant/ Replacement/ Modifying (Sex Hormones/ Modifiers) Anabolic Steroids Androgens Estrogens Progesterone Agonists/Antagonists Progestins Selective Estrogen Receptor Modifying Agents Hormonal Agents, Stimulant/Replacement/ Modifying (Thyroid) Hormonal Agents, Suppressant (Adrenal) Hormonal Agents, Suppressant (Parathyroid) Hormonal Agents, Suppressant (Pituitary) Hormonal Agents, Suppressant (Thyroid)

11 Antithyroid Agents Immunological Agents Angioedema (HAE) Agents Immune Suppressants Immunizing Agents, Passive Immunomodulators Vaccines Inflammatory Bowel Disease Agents Glucocorticoids Aminosalicylates Sulfonamides Metabolic Bone Disease Agents Ophthalmic Agents Ophthalmic Anti-allergy Agents Ophthalmic Antiglaucoma Agents Ophthalmic Anti-inflammatories Ophthalmic Prostaglandin and Prostamide Analogs

12 Ophthalmic Agents, Other Otic Agents Respiratory Tract/ Pulmonary Agents Antihistamines Anti-inflammatories, Inhaled Corticosteroids Antileukotrienes Bronchodilators, Anticholinergic Bronchodilators, Sympathomimetic Cystic Fibrosis Agents Mast Cell Stabilizers Phosphodiesterase Inhibitors, Airways Disease Pulmonary Antihypertensives Respiratory Tract Agents, Other Skeletal Muscle Relaxants Sleep Disorder Agents GABA Receptor Modulators Sleep Disorders, Other

13 Therapeutic Nutrients/ Minerals/ Electrolytes Electrolyte/Mineral Modifiers Electrolyte/Mineral Replacement Vitamins