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Medication Company Program Details
Buspar (buspirone)
Serzone (nefazodone)
  Bristol-Meyers Squibb toll-free 800.736.0003  
  • provider signature
  • copy form
  • three-month supply and one refill
Celexa (citalopram) Forest toll-free 800.851.0758
  • patient and provider signature
  • financial disclosure
  • three-month supply
Consta (risperidone long- acting) Constant Access Janssen phone -- 877.747.7524, extension 5339
  • patient and provider signature
  • three months approved at a time
Clozaril (clozapine)
Tegretol XR (carbamazepine)
Novartis toll-free 800.277.2254
  • patient and provider complete
  • one-month approval
  • 60 and 90 day refills
  • $5 co-payment
Depakote (divalproex sodium) Abbott toll-free 800.441.4987, extension 4
  • call for individual form
  • financial disclosure
  • three-month supply
Effexor Effexor XR (venlafaxine) Wyeth-Ayerst toll-free 800.568.9938
  • patient and provider signature
  • three-month supply
  • copy form
Gabitril (tiagabine) Cephalon toll-free 800.511.2120
  • patient and provider signature
  • financial disclosure
  • three-month supply with coupon
Lamictal (lamotrigine)
Paxil (paroxetine)
Wellbutrin SR (bupropion)
Glaxo-SmithKline "Bridges to Access" toll-free 866.728.4368
  • patient and provider signature
  • $10 co-payment for 60-day supply
  • two free mail order 90-day supplies
  • one form all drugs
Zoloft (sertraline) Pfizer "Connection to Care" toll-free 800.707.8990
  • financial disclosure on form
  • provider signature
Risperdal (risperidone) Janssen toll-free 800.652.6227
  • patient and provider signature
  • one year approval sent monthly
Seroquel (quetiapine fumarate) Astra Zeneca (patient assistance not needed)
  • BJCBH & BHP patients have full access to Seroquel through an inventory replenishment program
Zyprexa (olanzapine) Zyprexa toll-free 800.488.2133
  • financial disclosure
  • copy form
  • four-month supply
Abbreviations to Avoid
These abbreviations are not accepted in progress notes or by the BJCBH Pharmacy.

Do Not Use Recommended
U Units
Ug mcg
Q.D Use "Q day" or "Q 24 hours"
Q.O.D. Write out "every other day"
TIW Write out "three times a week" or specify days (Q M-W-F)
HS Write "half strength" or "at bed time"
AU, AS or AD Write "both ears" or "left ear" or "right ear"
IU Write out "international units"
MS/MSO4/MgSO4 Write out "magnesium sulfate" or "morphine sulfate"
1.0 mg (zero after decimal) 1 mg (do not use terminal zeros after decimals for doses)
.5mg (no zero before decimal) 0.5mg (Always use zero before decimal when the dose is less than a whole number)

 


    
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