KP Wellness
12:58 PM - Public
14. Urologicals
14.1 Cholinergic Stimulants
TIER 1
Bethanechol Chloride (Urecholine)
14.2 Anticholinergics & Antispasmodics
TIER 1
Dicyclomine HCl Tablet (Bentyl)
Flavoxate HCl (Urispas)
Hyoscyamine Sulfate (Levsin, Levsin/SL)
Hyoscyamine Sulfate Capsule, Sustained-Release 12 Hour (Levsinex)
Hyoscyamine Sulfate Drops (Gastrosed)
Hyoscyamine Sulfate Tablet, Rapid Dissolve (Nulev)
Hyoscyamine Sulfate Tablet, Sustained-Release 12 Hour (Levbid)
Oxybutynin Chloride (Ditropan)
Oxybutynin Chloride Tablet, Sustained-Release (Ditropan XL)
Trospium Chloride (Sanctura)
TIER 2
Enablex (Darifenacin)
Gelnique (Oxybutynin Chloride)
Oxytrol (Oxybutynin Transdermal System)
Sanctura XR (Trospium Chloride, Capsule,
Sustained-Release, 24 Hour)
Vesicare (Solifenacin)
TIER 3
Tolterodine (Detrol)
Tolterodine Tartrate (Detrol LA)
Fesoterodine fumarate (Toviaz)
14.1 Cholinergic Stimulants
TIER 1
Bethanechol Chloride (Urecholine)
14.2 Anticholinergics & Antispasmodics
TIER 1
Dicyclomine HCl Tablet (Bentyl)
Flavoxate HCl (Urispas)
Hyoscyamine Sulfate (Levsin, Levsin/SL)
Hyoscyamine Sulfate Capsule, Sustained-Release 12 Hour (Levsinex)
Hyoscyamine Sulfate Drops (Gastrosed)
Hyoscyamine Sulfate Tablet, Rapid Dissolve (Nulev)
Hyoscyamine Sulfate Tablet, Sustained-Release 12 Hour (Levbid)
Oxybutynin Chloride (Ditropan)
Oxybutynin Chloride Tablet, Sustained-Release (Ditropan XL)
Trospium Chloride (Sanctura)
TIER 2
Enablex (Darifenacin)
Gelnique (Oxybutynin Chloride)
Oxytrol (Oxybutynin Transdermal System)
Sanctura XR (Trospium Chloride, Capsule,
Sustained-Release, 24 Hour)
Vesicare (Solifenacin)
TIER 3
Tolterodine (Detrol)
Tolterodine Tartrate (Detrol LA)
Fesoterodine fumarate (Toviaz)
KP Wellness
12:57 PM - Public
14.3 Urinary Anesthetics
TIER 1
+ Phenazopyridine HCl (Pyridium)
14.4 Miscellaneous Urologicals
TIER 1
+ Citric Acid/Sodium Citrate (Bicitra)
+ Citric Acid/Potassium Citrate Packet (Polycitra-K)
+ Citric Acid/Potassium Citrate Solution, Oral (Polycitra-K)
+ Potassium Citrate Tablet, Sustained-Action (Urocit-K)
TIER 2
Elmiron (Pentosan Polysulfate Sodium)
K-Phos M .F . (Sodium Phosphate,Monobasic/ Phosphate, Monobasic)
K-Phos Original (Sodium Phosphate, Monobasic)
Oracit (Citric Acid/Sodium Citrate)
Renacidin (Gluconic Acid/Citric Acid)
TIER 3
Alprostadil Injection (Caverject)
Tadalafil (Cialis)
Vardenafil (Levitra)
Alprostadil injectable and transurethral (Muse)
Sildenafil (Viagra)
14.5 Benign Prostatic Hyperplasia (BPH) Therapy
TIER 1
Doxazosin Mesylate (Cardura)
Finasteride (Proscar)
Tamsulosin HCl (Flomax)
Terazosin HCl (Hytrin)
TIER 3
Alfuzosin HCl (Uroxatral)
Dutasteride (Avodart)
Dutasteride and Tamsulosin Hydrochloride Capsules (Jalyn)
Silodosin Capsules (Rapaflo Capsules)
TIER 1
+ Phenazopyridine HCl (Pyridium)
14.4 Miscellaneous Urologicals
TIER 1
+ Citric Acid/Sodium Citrate (Bicitra)
+ Citric Acid/Potassium Citrate Packet (Polycitra-K)
+ Citric Acid/Potassium Citrate Solution, Oral (Polycitra-K)
+ Potassium Citrate Tablet, Sustained-Action (Urocit-K)
TIER 2
Elmiron (Pentosan Polysulfate Sodium)
K-Phos M .F . (Sodium Phosphate,Monobasic/ Phosphate, Monobasic)
K-Phos Original (Sodium Phosphate, Monobasic)
Oracit (Citric Acid/Sodium Citrate)
Renacidin (Gluconic Acid/Citric Acid)
TIER 3
Alprostadil Injection (Caverject)
Tadalafil (Cialis)
Vardenafil (Levitra)
Alprostadil injectable and transurethral (Muse)
Sildenafil (Viagra)
14.5 Benign Prostatic Hyperplasia (BPH) Therapy
TIER 1
Doxazosin Mesylate (Cardura)
Finasteride (Proscar)
Tamsulosin HCl (Flomax)
Terazosin HCl (Hytrin)
TIER 3
Alfuzosin HCl (Uroxatral)
Dutasteride (Avodart)
Dutasteride and Tamsulosin Hydrochloride Capsules (Jalyn)
Silodosin Capsules (Rapaflo Capsules)