Drug Lists for “Use of High Risk Medications in the ...
DRUG LISTS FOR "USE OF HIGH RISK MEDICATIONS IN THE ELDERLY" MEASURE IN THE 2012 GROUP PRACTICE QUALITY AND RESOURCE USE
REPORTS
Document Length: 442 pages
CONTENTS
Table 1. Drugs Used in the Numerator Calculation for the Use of High Risk Medications in the Elderly Measure: Dispensed Drug Criterion...................................1
Table 2. Drugs Used in the Numerator Calculation for the Use of High Risk Medications in the Elderly Measure: Calculated Days Supply > 90 Days ................394
Table 3. Drugs Used in the Numerator Calculation for the Use of High Risk Medications in the Elderly Measure: Average Daily Dose Criterion .........................424
Table 1. Drugs Used in the Numerator Calculation for the Use of High Risk Medications in the Elderly Measure: Dispensed Drug Criterion
NDC Code
Generic Product Name
Category
00121065816 trihexyphenidyl 2 mg/5 mL oral elixir
Anticholinergics (excludes TCAs), antiParkinson agents
00143176301 trihexyphenidyl 5 mg oral tablet
Anticholinergics (excludes TCAs), antiParkinson agents
00143176310 trihexyphenidyl 5 mg oral tablet
Anticholinergics (excludes TCAs), antiParkinson agents
00143176401 trihexyphenidyl 2 mg oral tablet
Anticholinergics (excludes TCAs), antiParkinson agents
00143176410 trihexyphenidyl 2 mg oral tablet
Anticholinergics (excludes TCAs), antiParkinson agents
00182129900 benztropine 0.5 mg oral tablet
Anticholinergics (excludes TCAs), antiParkinson agents
00182129989 benztropine 0.5 mg oral tablet
Anticholinergics (excludes TCAs), antiParkinson agents
00182170000 benztropine 1 mg oral tablet
Anticholinergics (excludes TCAs), antiParkinson agents
00182170089 benztropine 1 mg oral tablet
Anticholinergics (excludes TCAs), antiParkinson agents
00182170100 benztropine 2 mg oral tablet
Anticholinergics (excludes TCAs), antiParkinson agents
00182170189 benztropine 2 mg oral tablet
Anticholinergics (excludes TCAs), antiParkinson agents
September 2013
1
Centers for Medicare and Medicaid Services
NDC Code 00247080607
Generic Product Name trihexyphenidyl 2 mg oral tablet
00247080614 trihexyphenidyl 2 mg oral tablet
00247080630 trihexyphenidyl 2 mg oral tablet
00247080704 trihexyphenidyl 5 mg oral tablet
00247080707 trihexyphenidyl 5 mg oral tablet
00247080708 trihexyphenidyl 5 mg oral tablet
00247080714 trihexyphenidyl 5 mg oral tablet
00247080730 trihexyphenidyl 5 mg oral tablet
00247142503 benztropine 1 mg oral tablet
00247142506 benztropine 1 mg oral tablet
00247142507 benztropine 1 mg oral tablet
00247184808 benztropine 2 mg oral tablet
00247184816 benztropine 2 mg oral tablet
00440719630 benztropine 2 mg oral tablet
00591533501 trihexyphenidyl 2 mg oral tablet
00591533510 trihexyphenidyl 2 mg oral tablet
00591533701 trihexyphenidyl 5 mg oral tablet
00591533710 trihexyphenidyl 5 mg oral tablet
00603243321 benztropine 0.5 mg oral tablet
Category
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
September 2013
2
Centers for Medicare and Medicaid Services
NDC Code 00603243332
Generic Product Name benztropine 0.5 mg oral tablet
00603243421 benztropine 1 mg oral tablet
00603243432 benztropine 1 mg oral tablet
00603243521 benztropine 2 mg oral tablet
00603243532 benztropine 2 mg oral tablet
00603624021 trihexyphenidyl 2 mg oral tablet
00603624032 trihexyphenidyl 2 mg oral tablet
00603624121 trihexyphenidyl 5 mg oral tablet
00603624132 trihexyphenidyl 5 mg oral tablet
00832108000 benztropine 0.5 mg oral tablet
00832108100 benztropine 1 mg oral tablet
00832108110 benztropine 1 mg oral tablet
00832108200 benztropine 2 mg oral tablet
00832108210 benztropine 2 mg oral tablet
00904105560 benztropine 0.5 mg oral tablet
00904105561 benztropine 0.5 mg oral tablet
00904105660 benztropine 1 mg oral tablet
00904105661 benztropine 1 mg oral tablet
00904105680 benztropine 1 mg oral tablet
Category
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
September 2013
3
Centers for Medicare and Medicaid Services
NDC Code 00904105760
Generic Product Name benztropine 2 mg oral tablet
00904105761 benztropine 2 mg oral tablet
00904105780 benztropine 2 mg oral tablet
16571016010 trihexyphenidyl 2 mg oral tablet
16571016110 trihexyphenidyl 5 mg oral tablet
17236084711 benztropine 1 mg oral tablet
17236084811 benztropine 2 mg oral tablet
21695028630 benztropine 2 mg oral tablet
23490513601 benztropine 2 mg oral tablet
23629007501 trihexyphenidyl 2 mg oral tablet
43063026790 benztropine 1 mg oral tablet
49884016401 benztropine 0.5 mg oral tablet
49884016501 benztropine 1 mg oral tablet
49884016510 benztropine 1 mg oral tablet
49884016601 benztropine 2 mg oral tablet
49884016610 benztropine 2 mg oral tablet
50111039301 benztropine 0.5 mg oral tablet
50111039401 benztropine 1 mg oral tablet
50111039403 benztropine 1 mg oral tablet
Category
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
September 2013
4
Centers for Medicare and Medicaid Services
NDC Code 50111039501
Generic Product Name benztropine 2 mg oral tablet
50111039503 benztropine 2 mg oral tablet
51079022001 benztropine 0.5 mg oral tablet
51079022020 benztropine 0.5 mg oral tablet
51079022101 benztropine 1 mg oral tablet
51079022119 benztropine 1 mg oral tablet
51079022120 benztropine 1 mg oral tablet
51079022201 benztropine 2 mg oral tablet
51079022220 benztropine 2 mg oral tablet
51079040401 benztropine 0.5 mg oral tablet
51079040420 benztropine 0.5 mg oral tablet
51079040601 benztropine 1 mg oral tablet
51079040617 benztropine 1 mg oral tablet
51079040619 benztropine 1 mg oral tablet
51079040620 benztropine 1 mg oral tablet
51079040701 benztropine 2 mg oral tablet
51079040720 benztropine 2 mg oral tablet
51285082870 benztropine 1 mg oral tablet
51285082970 benztropine 2 mg oral tablet
Category
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
September 2013
5
Centers for Medicare and Medicaid Services
NDC Code 51655023424
Generic Product Name benztropine 2 mg oral tablet
54569286200 benztropine 2 mg oral tablet
54738055401 trihexyphenidyl 2 mg oral tablet
54738055403 trihexyphenidyl 2 mg oral tablet
54738055501 trihexyphenidyl 5 mg oral tablet
54738055503 trihexyphenidyl 5 mg oral tablet
54868229200 benztropine 2 mg oral tablet
54868229202 benztropine 2 mg oral tablet
54868230100 benztropine 1 mg oral tablet
54868230102 benztropine 1 mg oral tablet
54868234002 trihexyphenidyl 2 mg oral tablet
54868234003 trihexyphenidyl 2 mg oral tablet
57866337101 benztropine 1 mg oral tablet
57866337102 benztropine 1 mg oral tablet
57866337103 benztropine 1 mg oral tablet
57866337104 benztropine 1 mg oral tablet
57866337201 benztropine 2 mg oral tablet
57866337202 benztropine 2 mg oral tablet
57866337203 benztropine 2 mg oral tablet
Category
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
September 2013
6
Centers for Medicare and Medicaid Services
NDC Code 57866337204
Generic Product Name benztropine 2 mg oral tablet
58016001800 benztropine 1 mg oral tablet
58016001830 benztropine 1 mg oral tablet
58016001860 benztropine 1 mg oral tablet
58016001890 benztropine 1 mg oral tablet
58864005506 benztropine 1 mg oral tablet
58864005630 benztropine 2 mg oral tablet
61392016445 benztropine 2 mg oral tablet
61392016456 benztropine 2 mg oral tablet
61392016491 benztropine 2 mg oral tablet
61392016756 benztropine 0.5 mg oral tablet
61392016791 benztropine 0.5 mg oral tablet
61392017045 benztropine 1 mg oral tablet
61392017056 benztropine 1 mg oral tablet
61392017091 benztropine 1 mg oral tablet
61748005416 trihexyphenidyl 2 mg/5 mL oral elixir
62584088601 trihexyphenidyl 2 mg oral tablet
62584088611 trihexyphenidyl 2 mg oral tablet
62584088711 trihexyphenidyl 5 mg oral tablet
Category
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
September 2013
7
Centers for Medicare and Medicaid Services
NDC Code 62584088721
Generic Product Name trihexyphenidyl 5 mg oral tablet
63739003301 benztropine 0.5 mg oral tablet
63739003303 benztropine 0.5 mg oral tablet
63739003310 benztropine 0.5 mg oral tablet
63739003401 benztropine 1 mg oral tablet
63739003403 benztropine 1 mg oral tablet
63739003410 benztropine 1 mg oral tablet
63739003510 benztropine 2 mg oral tablet
63874056501 benztropine 2 mg oral tablet
63874056510 benztropine 2 mg oral tablet
63874056512 benztropine 2 mg oral tablet
63874056515 benztropine 2 mg oral tablet
63874056520 benztropine 2 mg oral tablet
63874056530 benztropine 2 mg oral tablet
63874056560 benztropine 2 mg oral tablet
63874060010 benztropine 1 mg oral tablet
63874060014 benztropine 1 mg oral tablet
63874060015 benztropine 1 mg oral tablet
63874060020 benztropine 1 mg oral tablet
Category
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
Anticholinergics (excludes TCAs), antiParkinson agents
September 2013
8
Centers for Medicare and Medicaid Services
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