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    Quinolones

    Drugs - Levaquin/Factive

    April 2012

    Therapeutic area - Antibacterial

    Preferred drug list – Quinolones

    Preferred
    levofloxacin
    ciprofloxacin

    Nonpreferred
    Factive (gatifloxacin)
    Levaquin*
    Cipro
    Avelox (moxifloxacin)

    *PA Required

    Levaquin/Cipro

    • Brand Levaquin and Cipro will only be authorized if the recipient meets Brand DAW criteria.**

    Factive/Avelox

    • Clinician must document clinical failure or intolerance to levofloxacin before authorization of Factive or Avelox OR
    • Cultures show sensitivity to gatifloxacin and moxifloxacin but  not levofloxacin for respiratory tract infections

    Background information

    In the majority of clinical cases levofloxacin will treat suspected fluroquinolone susceptible respiratory infections and are therefore the preferred agents.

    **Refer to Brand DAW criteria for Levaquin and Cipro authorization

    Questions?

    MHCP Provider Call Center 651-431-2700 or 800-366-5411

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