Administration

Drug Criteria for Outpatient Use

Important Disclaimer: The information contained at this site and available for download is for the convenience of the public. Some documents are made available in specific file formats to respond to specific requests. The Health and Human Services Commission is not responsible for any errors in transmission or any errors or omissions in the documents.

  1. Acetylcholinesterase Inhibitors
  2. Aerosolized Agents - Metered-Dose Inhalers: Anticholinergic Drugs
  3. Aerosolized Agents (Metered-Dose Inhalers) – Inhaled anti-inflammatory drugs: Corticosteroids
  4. Aerosolized Agents - Metered-Dose Inhalers: Beta2-Adrenergic Drugs (long-acting)
  5. Aerosolized Agents - Metered-Dose Inhalers:Beta2-Adrenergic Drugs (short-acting)
  6. Angiotensin-Converting Enzyme (ACE) Inhibitors 
  7. Angiotensin II Receptor Antagonists - Losartan (Cozaar® )  
  8. Antidepressant Drugs 
  9. Antidiabetic Agents, Oral  
  10. Antihistamines, Nonsedating
  11. Aprepitant (Emend® )
  12. Attention Deficit Disorder (ADD)/ Attention Deficit Hyperactivity Disorder (ADHD) Medications
  13. Atypical Antipsychotics  
  14. Benzodiazepines  
  15. Cyclooxygenase-2 (COX-2) Inhibitors
  16. Enzyme Replacement Therapy 
  17. Exenatide (Byetta®) 
  18. Fentanyl Transmucosal Lozenges and Buccal Tablets 
  19. Fluoroquinolones 
  20. Dolasetron (Anzemet®), Granisetron (Kytril®), Ondansetron (Zofran®) - 5-Hydroxytryptamine Subtype 3 (5-HT3 ) Receptor Antagonists
  21. Gabapentin (Neurontin®)
  22. Histamine H2 - Receptor Antagonists
  23. HMG-CoA Reductase Inhibitors
  24. Hydrocodone Bitartrate
  25. Ketorolac (Toradol® ), Oral 
  26. Leukotriene Receptor Antagonists 
  27. Low-Dose Quetiapine
  28. Low Molecular- Weight Heparins(LMWH) 
  29. Mecasermin
  30. Memantine (Namenda®)
  31. Nebulized Bronchodilators
  32. Nitazoxanide
  33. Nonsedating Antihistamines
  34. Non-Steroidal Anti-Inflammatory Drugs
  35. Pramlintide (Symlin®)
  36. Promethazine Use In Children < 2 Years of Age
  37. Proton Pump Inhibitors
  38. Rifaximin (Xifaxan®)
  39. Sedative/Hypnotics
  40. Serotonin 5-HT1B/1D Receptor Agonists 
  41. Skeletal Muscle Relaxants
  42. Sucralfate (Carafate®)
  43. Topical Calcineurin Inhibitors: Elidel®, Protopic®
  44. Tramadol (Ultram® )