THERAPEUTIC INTERCHANGES Revised May 2012 ***Not Applied to patients 18 years of age*** Proton Pump Inhibitors Formulary Medication Ordered Medication Page 5 of 29 MEDICATION ORDERED DOSE/FREQUENCY THERAPEUTIC INTERCHANGE DOSE/FREQUENCY Budesonide/Fometerol Inhaler (Symbicort®) Hello my question is I’m going to a pain clinic I’m on hydrocodone 7.5 mg and Neurontin 100mg 3 times a day. I take it just like it says. Today they gave me a warning and said that it was not showing up in my urine test. Hydrocodone bitartrate and acetaminophen are available in liquid form for oral administration. Hydrocodone bitartrate is an opioid analgesic and occurs as fine, white crystals or as a crystalline powder. I have been taking hydrocodone for about 2 1/2 years at an increasing rate, ending up with the 7.5 strength and about 18-20 per day. I do have severe arthitis pain and am a 51 year old woman. description price. rt demonstration ismdiippb $175.00. rt flutter instruction initial $395.00. rt interpulm percus vent initl $192.00 My doctor reccomends that i change to this, from regular Hydrocodone (Lortab) 10/500 MG's. I take 5 of the regular hydrocodones per day. But he said the 10/500 are wearing off a bit, after i told him i was getting break through pain before i was scheduled to take another pain med. The Pink, One-Piece Wrap Style 1 ( Pink Stripe) Size - Small - Medium - Large Length (neck to base of tail) - 10 inches - 14 inches - 20 inches Width (without side tabs) - 9 inches - 12 inches - 18 inches The instructions are given for the smallest size. PA - Prior Authorization QL - Quantity Limits ST - Step Therapy B/D - Covered under Medicare B or D LA - Limited Access NDS - Non-Extended Days Supply DP Drug Name Drug Tier Requirements/Limits NALOCET ORAL TABLET 2.5-300 MG Preferred oxycodone hcl oral capsule 5 mg Preferred QL (6 EA per 1 day) oxycodone hcl oral solution 5 mg/5ml Preferred QL (30 ML per 1 day).