
TRILIPIX is contraindicated in patients with severe renal impairment, active liver disease, gallbladder disease, and in nursing mothers. TRILIPIX is associated with myopathy, rhabdomyolysis, increases in serum transaminases and serum creatinine levels, and risk of cholelithiasis. The risks for myopathy and rhabdomyolysis are increased when fibrates are co-administered with a statin. TRILIPIX may increase the effects of oral coumarin anticoagulants. Pancreatitis, hypersensitivity reactions, hematological changes, and venothromboembolic events have also been reported with fibrates.
| Find your state's Dispense as Written language to ensure that your patients get the TRILIPIX you prescribe | |
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| Select your state’s two-letter postal abbreviation: FIND | |
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Prescriber's signature on appropriate line of two-line prescription
Handwrite Brand Necessary
Prescriber must expressly indicate that Substitution is Not Allowed
Handwrite Brand Necessary
Handwrite or indicate orally Do Not Substitute or similar words or initial box labeled Do Not Substitute
Handwrite Dispense As Written or initial the Dispense as Written box
Handwrite Dispense As Written or DAW or Brand Medically Necessary
Handwrite Brand Necessary or Brand Medically Necessary
Prescriber must expressly indicate in some manner Dispense As Written
Prescriber must expressly indicate in some manner Dispense As Written
Handwrite Brand Necessary or Brand Medically Necessary
Handwrite Brand Necessary or Brand Medically Necessary
Check the Brand Only box
Prescriber must indicate May Not Substitute by marking the designated box
Prescriber's signature on appropriate line of two-line prescription
Prescriber must expressly indicate that Substitution is Not Allowed
Prescriber's signature on appropriate line of two-line prescription or must expressly indicate that Substitution is Not Allowed
Prescriber must expressly indicate in some manner Do Not Substitute. Must handwrite Brand Medically Necessary on Rx for Medicaid patients.
Check the appropriate box on the prescription to prevent drug product substitution
Prescriber must expressly indicate in some manner Dispense As Written and check the appropriate box on the prescription to prevent drug product substitution
Prescriber must expressly indicate Substitution is Not Allowed and must handwrite Brand Medically Necessary on Rx for Medicaid patients
Prescriber must expressly indicate No Substitution
Handwrite DAW or Dispense As Written
Handwrite DAW or Dispense As Written unless the Rx is transmitted electronically in accordance with the Code of Federal Regulations, Title 42, Section 423
Prescriber's signature on appropriate line of two-line prescription
Prescriber's signature on appropriate line of two-line prescription
Prescriber must expressly indicate in some manner Dispense As Written
Prescriber must expressly indicate in some manner Dispense As Written
Handwrite Dispense as Written
Handwrite or communicate in another manner Medically Necessary
Prescriber's signature on appropriate line of two-line prescription
Handwrite No Substitution or No Sub
Prescriber must indicate Dispense As Written in the designated box and handwrite Brand Medically Necessary on Rx for Medicaid patients
Prescriber's signature on appropriate line of two-line prescription or must expressly indicate in some manner Dispense As Written
Handwrite Brand Necessary
Handwrite DAW or Dispense as Written
Prescriber should expressly indicate in some manner Dispense As Written or Substitution is Not Allowed
Handwrite, verbalize, or electronically communicate No Substitution
Handwrite Brand Necessary or Brand Medically Necessary
Handwrite Brand Necessary or Brand Medically Necessary or patient may request in writing Brand Name be Dispensed
Prescriber's signature on appropriate line of two-line prescription
Handwrite Brand Necessary
Handwrite Dispense As Written, DAW, Brand Medically Necessary, No Generic, or similar phrase
Handwrite Brand Necessary or Brand Medically Necessary
Prescriber must expressly indicate in some manner Dispense As Written or check the Do Not Substitute box
Handwrite Brand Necessary or No Substitution or Dispense As Written or DAW
Indicate Brand Medically Necessary
Prescriber's signature on appropriate line of two-line prescription
Handwrite Brand Medically Necessary or Medically Necessary
Prescriber must expressly indicate in some manner Dispense as Written
Prescriber must expressly indicate that Substitution is Not Allowed
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Eligible patients receive special savings on their TRILIPIX prescription
Please see full Prescribing Information for TRILIPIX.
References:
1. Drugs@FDA [database online]. US Food and Drug Administration. Available at: http://www.accessdata.fda.gov/scripts/cder/drugsatfda/index.cfm. Accessed October 19, 2011.
2. National Association of Boards of Pharmacy. Drug Product Selection Laws. In: Survey of Pharmacy Law - 2011. Mount Prospect, IL: National Association of Boards of Pharmacy; 2010: 63-66.