Subject:

 Specific Special Authority Requests:

ACETAMINOPHEN   Reason: Osteoarthritis    Monotherapy Adjunct to NSAID ACLIDINIUM ALENDRONATE / RISEDRONATE   Reason:    Osteoporotic fracture Steroid-induced osteoporosis AMLODIPINE ANGIOTENSIN-2 RECEPTOR BLOCKER (ARB) ANTIFUNGALS-TOPICAL   Reason: lower extremity dermatomycosis with    Diabetes Mellitus Peripheral vascular disease BUPROPION CARVEDILOL CELECOXIB   Reason:    Osteoarthritis Rheumatoid Arthritis CIPRO/DEXAMETHASONE   Reason:    AOM + vent tube AOE + vent tube    AOE + perforation    Failure/Intolerance to aminoglycoside CLOPIDOGREL   Reason:    Secondary Prevention    High risk ACS, and ASA use    Post-BMS (30 d) Post-DES (1 yr) DETEMIR / GLARGINE   Reason:    Nocturnal hypoglycemia    Allergic reaction- need to document DUTASTERIDE / FINASTERIDE

FORMOTEROL GLICLAZIDE GLYCOPYRRONIUM INDAPAMIDE LEVETIRACETAM INDACATEROL INH CORTICOSTEROID/LABA       (Advair/ Symbicort/ Breo/ Zenhale)   Reason:    Asthma    COPD METHYLPHENIDATE LONG-ACTING MOMETASONE NASAL PAMIDRONATE PERINDOPRIL RALOXIFENE   Reason: osteoporotic fracture and    Intolerance Treatment failure RIVAROXABAN   Reason: DVT without symptomatic PTE SALMETEROL   Reason:    Asthma    COPD TERBINFINE TESTOSTERONE INJECTION TIOTROPIUM VANCOMYCIN ZOPICLONE   Reason:    HIV-AIDS Depression    Failed Benzodiazepine/hypnotic    Alcohol-Drug Addiction Elderly

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  ACLIDINIUM / GLYCOPYRRONIUM / TIOTROPIUM