Summary of the VA Formulary

Examples of Providence VA Formulary and Medication Guidelines

Revised: April 12, 2004 (subject to change)
Key: Preferred Agent

Statins:
Simvastatin
Lovastatin

ACE inhibitors:
Fosinopril
Enalapril, Lisinopril, Captopril


ARB if ACEI-cough:
Losartin
Irbesartan

Beta blockers:
Atenolol, Metoprolol Tartrate, Propranolol,
Labetolol
Metoprolol Succinate (Toprol XL)

Non-DHP Calcium channel blockers:
Diltiazem, Verapamil

DHP Calcium channel blockers:
Nifedipine (long acting only)
Felodipine

Alpha blockers:
Terazosin
Doxazosin

COPD/Asthma Medications: Albuterol MDI
Atrovent MDI (and Combivent MDI)
Flunisolide (Aerobid) MDI
Fluticasone (Flovent) MDI
Monoleukast (Singulair)/Zafirlukast (Accolate)

GI medications:
Ranitidine
Cimetidine
Omeprazole
Rabeprazole for omeprazole failure
Diabetes Medications:
Glyburide
Glipizide
Metformin (requires close lab eval from VA)
Glucovance
Rosiglitazone

NSAIDs
Ibuprofen, Naprosyn, Meloxicam, Piroxicam
Sulindac, Indomethacin, Diclofenac
etodolac, salsalate
(nabumetone [Relafen] is restricted to VA rheumatology)

SSRI:
Fluoxetine
Citalopram, Sertraline and paroxetine

Zolpidem- (Ambien) is restricted to psychiatry
Sildenafil Citrate-(Viagra) (max four per month)


Non-sedating antihistamines are prescribed only after trial of regular antihistamines
Loratidine (change as of 5/03)

Antibiotics or narcotics for acute conditions will not be prescribed unless the patient is evaluated by their VA PCP. Generally not prescribed unless closely managed by VA provider: chronic narcotics, BZD, warfarin, amiodarone, antimetabolites.

Non-Formulary Drugs: atorvastatin & pravastatin; esomeprazole, & pantoprazole; amlodipine; Advair Discus, tamsulosin; COX-II inhibitors; combination anti-HTN agents; glargine insulin (Lantus).

Page updated: 04-12-04

Contact Information

Nitin S. Damle, MD, FACP
ACP Governor for Rhode Island

Nancy Baker-Hobin
ACP Rhode Island Chapter
Ph: 401-725-8671
Email: NBaker4@cox.net