APPENDIX C. EXCLUSIONS BASED ON MEDICATIONS (continued)
Class
Code Class Name Generic Drug Name
ANTIHYPERTENSIVE/*Antihypertensive Combinations/Beta Blocker & Diuretic
Combinations
369920 Atenolol & Chlorthalidone ATENOLOL & CHLORTHALIDONE
369920 Atenolol & Chlorthalidone ATENOLOL/CHLORTHALIDONE
369920 Bisoprolol & Hydrochlorothiazide BISOPROLOL & HYDROCHLOROTHIAZIDE
369920 Bisoprolol & Hydrochlorothiazide
BISOPROLOL FUMARATE &
HYDROCHLOROTHIAZIDE
369920 Bisoprolol & Hydrochlorothiazide BISOPROLOL FUMARATE/HCTZ
369920 Bisoprolol & Hydrochlorothiazide BISOPROLOL/HCTZ
369920 Nadolol & Bendroflumethiazide CORZIDE
369920 Propranolol & Hydrochlorothiazide INDERIDE
369920 Propranolol & Hydrochlorothiazide CR INDERIDE LA
369920 Metoprolol & Hydrochlorothiazide LOPRESSOR HCT
369920 Metoprolol & Hydrochlorothiazide
METOPROLOL &
HYDROCHLOROTHIAZIDE
369920 Nadolol & Bendroflumethiazide NADOLOL & BENDROFLUMETHIAZIDE
369920 Propranolol & Hydrochlorothiazide
PROPRANOLOL &
HYDROCHLOROTHIAZIDE
369920 Propranolol & Hydrochlorothiazide CR
PROPRANOLOL &
HYDROCHLOROTHIAZIDE CR
369920 Propranolol & Hydrochlorothiazide PROPRANOLOL/HYDROCHLOROTHIAZIDE
369920 Atenolol & Chlorthalidone TENORETIC
369920 Timolol & Hydrochlorothiazide TIMOLIDE
369920 Timolol & Hydrochlorothiazide TIMOLOL & HYDROCHLOROTHIAZIDE
369920 Bisoprolol & Hydrochlorothiazide ZIAC
OPHTHALMIC/*Beta-blockers - Ophthalmic**
862500 Levobunolol HCl Ophth BETAGAN
862500 Levobunolol HCl Ophth BETAGAN C BID
862500 Levobunolol HCl Ophth BETAGAN C QD
862500 Levobunolol HCl Ophth BETAGAN WITHOUT C
862500 Betaxolol HCl Ophth BETAXOLOL HCL OPHTH
862500 Timolol Ophth BETIMOL
862500 Betaxolol HCl Ophth BETOPTIC
862500 Betaxolol HCl Ophth BETOPTIC-S
862500 Carteolol HCl Ophth CARTEOLOL HCL OPHTH