6.25 mg 1 tab, PO, BIDMEALS, Take with Meals, Duration: 30 day (DEF)*

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1 DRUG AND TREATMENT Available at: BMC-B BMC-D BMC-N BMC-S Medications Antiarrhythmics amiodarone 200 mg oral tablet (Rx)* 200 mg 2 tab, PO, BID, Duration: 30 day (DEF)* 200 mg 2 tab, PO, BID, Duration: 90 day amiodarone 200 mg oral tablet (Rx)* 200 mg 0.5 tab, PO, BID, Duration: 30 day (DEF)* 200 mg 0.5 tab, PO, BID, Duration: 90 day 200 mg 0.5 tab, PO, DAILY, Duration: 30 day 200 mg 0.5 tab, PO, DAILY, Duration: 90 day Aspirin Reason Aspirin Not Prescribed at Discharge (Rx)* aspirin 81 mg oral tablet (Rx)* 81 mg 1 tab, PO, DAILY, # 1 bottle aspirin 325 mg oral tablet (Rx)* 325 mg 1 tab, PO, DAILY, # 1 bottle Beta Blockers Reason Beta-Blocker Not Prescribed at Discharge (Rx)* metoprolol (Lopressor 25 mg oral tablet) (Rx)* 25 mg 0.5 tab, PO, BID, Duration: 30 day (DEF)* 25 mg 0.5 tab, PO, BID, Duration: 90 day 25 mg 1 tab, PO, BID, Duration: 30 day 25 mg 1 tab, PO, BID, Duration: 90 day metoprolol (Lopressor 50 mg oral tablet) (Rx)* 50 mg 1 tab, PO, BID, Duration: 30 day (DEF)* 50 mg 1 tab, PO, BID, Duration: 90 day metoprolol (Toprol XL 25 mg oral tablet, extended release) (Rx)* 25 mg 1 tab, PO, DAILY, Duration: 30 day (DEF)* 25 mg 1 tab, PO, DAILY, Duration: 90 day metoprolol (Toprol XL 50 mg oral tablet, extended release) (Rx)* 50 mg 1 tab, PO, DAILY, Duration: 30 day (DEF)* 50 mg 1 tab, PO, DAILY, Duration: 90 day carvedilol (Coreg mg oral tablet) (Rx)* mg 1 tab, PO, BIDMEALS, Take with Meals, Duration: 30 day (DEF)* mg 1 tab, PO, BIDMEALS, Take with Meals, Duration: 90 day carvedilol (Coreg 6.25 mg oral tablet) (Rx)* 6.25 mg 1 tab, PO, BIDMEALS, Take with Meals, Duration: 30 day (DEF)* 6.25 mg 1 tab, PO, BIDMEALS, Take with Meals, Duration: 90 day Page 1 of 5

2 DRUG AND TREATMENT carvedilol (Coreg 12.5 mg oral tablet) (Rx)* 12.5 mg 1 tab, PO, BIDMEALS, Take with Meals, Duration: 30 day (DEF)* 12.5 mg 1 tab, PO, BIDMEALS, Take with Meals, Duration: 90 day carvedilol (Coreg 25 mg oral tablet) (Rx)* 25 mg 1 tab, PO, BIDMEALS, Take with Meals, Duration: 30 day (DEF)* 25 mg 1 tab, PO, BIDMEALS, Take with Meals, Duration: 90 day carvedilol (Coreg CR 10 mg oral capsule, extended release) (Rx)* 10 mg 1 tab, PO, DAILY, Take with Meal, Duration: 30 day (DEF)* 10 mg 1 tab, PO, DAILY, Take with Meal, Duration: 90 day carvedilol (Coreg CR 20 mg oral capsule, extended release) (Rx)* 20 mg 1 tab, PO, DAILY, Take with Meal, Duration: 30 day (DEF)* 20 mg 1 tab, PO, DAILY, Take with Meal, Duration: 90 day carvedilol (Coreg CR 40 mg oral capsule, extended release) (Rx)* 40 mg 1 tab, PO, DAILY, Take with Meal, Duration: 30 day (DEF)* 40 mg 1 tab, PO, DAILY, Take with Meal, Duration: 90 day carvedilol (Coreg CR 80 mg oral capsule, extended release) (Rx)* 80 mg 1 tab, PO, DAILY, Take with Meal, Duration: 30 day (DEF)* 80 mg 1 tab, PO, DAILY, Take with Meal, Duration: 90 day Statins Reason Statin Not Prescribed at Discharge (Rx)* simvastatin (Zocor 20 mg oral tablet) (Rx)* 20 mg 1 tab, PO, BEDTIME, Duration: 30 day (DEF)* 20 mg 1 tab, PO, BEDTIME, Duration: 90 day simvastatin (Zocor 40 mg oral tablet) (Rx)* 40 mg 1 tab, PO, BEDTIME, Duration: 30 day (DEF)* 40 mg 1 tab, PO, BEDTIME, Duration: 90 day atorvastatin (Lipitor 10 mg oral tablet) (Rx)* atorvastatin (Lipitor 20 mg oral tablet) (Rx)* atorvastatin (Lipitor 40 mg oral tablet) (Rx)* atorvastatin (Lipitor 80 mg oral tablet) (Rx)* 80 mg 1 tab, PO, DAILY, Duration: 30 day (DEF)* 80 mg 1 tab, PO, DAILY, Duration: 90 day rosuvastatin (Crestor 5 mg oral tablet) (Rx)* 5 mg 1 tab, PO, DAILY, Duration: 30 day (DEF)* 5 mg 1 tab, PO, DAILY, Duration: 90 day Page 2 of 5

3 DRUG AND TREATMENT rosuvastatin (Crestor 10 mg oral tablet) (Rx)* rosuvastatin (Crestor 20 mg oral tablet) (Rx)* rosuvastatin (Crestor 40 mg oral tablet) (Rx)* AntiPlatelets clopidogrel (Plavix 75 mg oral tablet) (Rx)* 75 mg 1 tab, PO, DAILY, Duration: 30 day (DEF)* 75 mg 1 tab, PO, DAILY, Duration: 90 day prasugrel (Effient 10 mg oral tablet) (Rx)* ticagrelor (Brilinta 90 mg oral tablet) (Rx)* 90 mg 1 tab, PO, BID, Duration: 30 day (DEF)* 90 mg 1 tab, PO, BID, Duration: 90 day Anticoagulants warfarin 2 mg oral tablet (Rx)* 2 mg 1 tab, PO, DAILY, Duration: 30 day warfarin 2.5 mg oral tablet (Rx)* 2.5 mg 1 tab, PO, DAILY, Duration: 30 day warfarin 5 mg oral tablet (Rx)* 5 mg 1 tab, PO, DAILY, Duration: 30 day warfarin 7.5 mg oral tablet (Rx)* 7.5 mg 1 tab, PO, DAILY, Duration: 30 day rivaroxaban (Xarelto 10 mg oral tablet) (Rx)* 10 mg 1 tab, PO, DAILY, Duration: 30 day rivaroxaban (Xarelto 15 mg oral tablet) (Rx)* 15 mg 1 tab, PO, DAILY, Duration: 30 day rivaroxaban (Xarelto 20 mg oral tablet) (Rx)* 20 mg 1 tab, PO, DAILY, Duration: 30 day dabigatran (Pradaxa 75 mg oral capsule) (Rx)* 75 mg 1 tab, PO, DAILY, Duration: 30 day dabigatran (Pradaxa 150 mg oral capsule) (Rx)* 150 mg 1 tab, PO, DAILY, Duration: 30 day apixaban (Eliquis 2.5 mg oral tablet) (Rx)* 2.5 mg 1 tab, PO, DAILY, Duration: 30 day apixaban (Eliquis 5 mg oral tablet) (Rx)* 5 mg 1 tab, PO, DAILY, Duration: 30 day Page 3 of 5

4 DRUG AND TREATMENT ACE Inhibitors Reason ACEI Not Prescribed at Discharge (Rx)* lisinopril 2.5 mg oral tablet (Rx)* 2.5 mg 1 tab, PO, DAILY, Duration: 30 day (DEF)* 2.5 mg 1 tab, PO, DAILY, Duration: 90 day lisinopril 5 mg oral tablet (Rx)* 5 mg 1 tab, PO, DAILY, Duration: 30 day (DEF)* 5 mg 1 tab, PO, DAILY, Duration: 90 day lisinopril 10 mg oral tablet (Rx)* lisinopril 20 mg oral tablet (Rx)* lisinopril 30 mg oral tablet (Rx)* 30 mg 1 tab, PO, DAILY, Duration: 30 day (DEF)* 30 mg 1 tab, PO, DAILY, Duration: 90 day lisinopril 40 mg oral tablet (Rx)* Angiotensin Receptor Blockers (ARBS) Reason ARB Not Prescribed at Discharge (Rx)* losartan 50 mg oral tablet (Rx)* 50 mg 1 tab, PO, DAILY, Duration: 30 day (DEF)* 50 mg 1 tab, PO, DAILY, Duration: 90 day losartan 100 mg oral tablet (Rx)* 100 mg 1 tab, PO, DAILY, Duration: 30 day (DEF)* 100 mg 1 tab, PO, DAILY, Duration: 90 day Antianginals ranolazine (Ranexa 500 mg oral tablet, extended release) (Rx)* 500 mg 1 tab, PO, DAILY, Duration: 30 day (DEF)* 500 mg 1 tab, PO, DAILY, Duration: 90 day ranolazine (Ranexa 1000 mg oral tablet, extended release) (Rx)* 1,000 mg 1 tab, PO, DAILY, Duration: 30 day (DEF)* 1,000 mg 1 tab, PO, DAILY, Duration: 90 day nitroglycerin (Nitrolingual 0.4 mg sublingual spray) (Rx)* 1 spray, PO, Q5MINS Int, For chest pain take 1 spray under the tongue. If no relief, repeat 1 spray in 5 minutes. If still no relief, repeat an additional 1 spay in 5 minutes. And Dial 911., # 40 spray, 1 Refill(s) (DEF)* 1 spray, PO, Q5MINS Int, For chest pain take 1 spray under the tongue. If no relief, repeat 1 spray in 5 minutes. If still no relief, repeat an additional 1 spay in 5 minutes. And Dial 911., # 100 spray, 1 Refill(s) Page 4 of 5

5 DRUG AND TREATMENT nitroglycerin 0.4 mg sublingual tablet (Rx)* 0.4 mg 1 tab, PO, Q5MINS Int, For chest pain place 1 tablet under the tongue. If no relief, repeat 1 tablet under the tongue in 5 minutes. If still no relief, repeat 1 tablet under the tongue in 5 minutes. And Dial 911., # 25 tab, 1 Page 5 of 5

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