SDPI Diabetes Prevention Program and Healthy Heart Project Medications Recorded on the C1 Form, Q39-Q43 Medications for diabetes, hypertension, anticoagulant therapy, and lipid lowering – question and box to be checked on the C1 form Notes: ◊ indicates a combination drug – in some cases 2 boxes should be checked. In general, generic names are listed followed by brand names in parentheses. Acarbose (Precose) – Q39, box 6 Accuretic ( ◊ :Quinapril + HCTZ) – Q40, box 1 and Q41, box 1 Actoplus Met XR ( ◊ : Metformin + Pioglitazone) – Q39, boxes 5 and 7 Actos – Q39, box 7 Advicor ( ◊ :Lovastatin + Niacin) – Q43, box 3 (both) Aggrenox ( ◊ :Aspirin + Dipyridamole) – Q42, box 1 Aldactazide ( ◊ :Spironolactone + HCTZ) – Q41, box 1 only Amiloride (Midamor) – Q41, box 1 Amlodipine (Norvasc) – Q41, box 1 ASA (abbreviation for aspirin) (if taken daily for heart health) -- Q42, box 1 Aspart (NovoLog) – Q39, box 3 Aspirin (if taken daily for heart health) – Q42, box 1 Atacand – Q40, box 1 Atacand HCT ( ◊ :Candesartan + HCTZ) – Q40, box 1 and Q41, box 1 Atenolol (Tenormin) – Q41, box 1 Atorvastatin (Lipitor) – Q43, box 1 Avalide ( ◊ :Irbesartan + HCTZ) – Q40, box 1 and Q41, box 1 Avandamet ( ◊ :Metformin + Rosiglitazone) – Q39, boxes 5 and 7 Avandaryl ( ◊ :Glimepiride + Rosiglitazone) – Q39, boxes 4 and 7 Avandia – Q39, box 7 Azor ( ◊ :Olmesartan + Amlodipine) – Q40, box 1 and Q41, box 1 Benazepril (Lotensin) – Q40, box 1 Benicar – Q40, box 1 Benicar HCT ( ◊ :Olmesartan + HCTZ) – Q40, box 1 and Q41, box 1 Bumetanide (Bumex) – Q41, box 1 Byetta – Q39, box 8 Caduet ( ◊ :Amlodipine + Atorvastatin) – Q41, box 1 and Q43, box 1 Candesartan (Atacand) – Q40, box 1 Capozide ( ◊ :Captopril + HCTZ) – Q40, box 1 and Q41, box 1 Captopril (Capoten) – Q40, box 1 Carvedilol (Coreg CR) – Q41, box 1 Chlorpropamide (Diabinese) – Q39, box 4 Chlorthalidone (Thalitone) – Q41, box 1 Cholestyramine (Cholybar, Questran, Locholest, Prevalite) – Q43, box 2 Clonidine (Iopidine, Clorpres, Catapres-TTS-(1, 2, or 3), Jenloga) – Q41, box 1 Clopidogrel (Plavix) – Q42, box 1 Colesevelam (Welchol) – Q43, box 2 Colestipol (Colestid) – Q43, box 2 Cozaar – Q40, box 1 Dabigatran (Pradaxa) – Q42, box 1 Janumet ( ◊ :Metformin + Sitagliptin) – Q39, boxes 5 and 9 Detemir (Levemir) – Q39, box 3 Diltiazem (Dilt-CD, Diltzac, Cardizem CD, Cardizem LA, Tiazac, DilacorXR, Cartia XT, TaztiaXT) – Q41, box 1 Diovan – Q40, box 1 Diovan HCT ( ◊ :Valsartan + HCTZ) – Q40, box 1 and Q41, box 1 Doxazosin (Cardura XL) – Q41, box 1 Duetact ( ◊ :Glimepiride + Pioglitazone) – Q39, boxes 4 and 7 Enalapril (Vasotec) – Q40, box 1 Eprosartan (Teventen) – Q40, box 1 Ethacrynic Acid (Edecrin) – Q41, box 1 Exenatide synthetic (Byetta) – Q39, box 8 Exforge ( ◊ :Valsartan + Amlodipine) – Q40, box 1 and Q41, box 1 Exforge HCT ( ◊ :Valsartan + Amlodipine + HCTZ) – Q40, box 1 and Q41, box 1 Ezetimibe (Zetia) – Q43, box 2 Felodipine (Lexxel) – Q41, box 1 Fenofibrate (Tricor, Anatara) – Q43, box 2 Fluvastatin (Lescol) – Q43, box 1 Fosinopril (Monopril) – Q40, box 1 Furosemide (Lasix) – Q41, box 1 Gemfibrozil (Lopid) – Q43, box 2 Glargine (Lantus) – Q39, box 3 Glimepiride (Amaryl) – Q39, box 4 Glipizide (Glucotrol, Glucotrol XL) – Q39, box 4 Glucophage – Q39, box 5 Glucovance ( ◊ :Glyburide + Metformin) – Q39, boxes 4 and 5 Glulisine (Apidra) – Q39, box 3 Glyburide (Diabeta, Micronase, Glynase) – Q39, box 4 Glyset – Q39, box 6 Guanfacine (Tenex, Intuniv) – Q41, box 1 HCT: Abbreviation often listed after another antihypertensive med to indicate a combination drug with HCTZ, such as Benicar HCT – add Q41, box 1 HCTZ (Hydrochlorothiazide, Apo-Hydro, Aquazide H, Dichlotride, Hydrodiuril, HydroSaluric, Microzide, Esidrex, Oretic) – Q41, box 1 Hyzaar ( ◊ :Losartan + HCTZ) – Q40, box 1 and Q41, box 1 Indapamide (Lozol) – Q41, box 1 Inderide ( ◊ :Propranolol + HCTZ) – Q41, box 1 only Insulin (any type) – Q39, box 3 Irbesartan (Avapro) – Q40, box 1 Isradipine (Dynacirc CR) – Q41, box 1 Medications List and Codes for Comprehensive Assessment Form Special Diabetes Program for Indians

Repaglinide (Prandin) – Q39, box 10 – Other DM med (write in name) Januvia – Q39, box 9 Kombiglyze XR ( ◊ :Metformin + Saxagliptin) – Q39, boxes 5 and 9 Labetalol (Trandate) – Q41, box 1 Lantus – Q39, box 3 Linagliptin (Tradjenta) – Q39, box 9 Lipitor – Q43, box 1 Liraglutide (Victoza) – Q39, box 8 Lisinopril (Prinivil, Zestril) – Q40, box 1 Lispro (Humalog) – Q39, box 3 Lopressor – Q41, box 1 Lopressor HCT ( ◊ :Metaprolol Tartrate + HCTZ) – Q41, box 1 only Losartan (Cozaar) – Q40, box 1 Lotensin – Q40, box 1 Lotensin HCT ( ◊ :Benazepril + HCTZ) – Q40, box 1 and Q41, box 1 Lotrel ( ◊ :Benazepril + Amlodipine) – Q40, box 1 and Q41, box 1 Lovastatin (Mevacor) – Q43, box 1 Lovaza – Q43, box 2 Maxzide ( ◊ :Triamterene + HCTZ) – Q41, box 1 only Metaglip ( ◊ :Glipizide + Metformin) – Q39, boxes 4 and 5 Metformin (Glumetza, Glucophage, Fortamet, Riomet) – Q39, box 5 Methyldopa – Q41, box 1 Metolazone (Zaroxolyn) – Q41, box 1 Metoprolol Succinate (Toprol XL) – Q41, box 1 Metoprolol Tartrate (Lopressor) – Q41, box 1 Micardis – Q40, box 1 Micardis HCT ( ◊ :Telmisartan + HCTZ) – Q40, box 1 and Q41, box 1 Miglitol (Glyset) – Q39, box 6 Moexipril (Univasc) – Q40, box 1 Nadolol (Corgard) – Q41, box 1 Nateglinide (Starlix) – Q39, box 10 – Other DM med (write in name) Niacin (Niaspan, Niacor) (if prescribed) – Q43, box 2 Nicradipine (Cardene SR) – Q41, box 1 Nifedipine (Procardia, Procardia XL, Adalt CC, Afeditab CR) – Q41, box 1 Nimodipine (Nimotop) – Q41, box 1 NPH (Humulin N, Novolin N, Novolin NPH, Isophane Insulin) – Q39, box 3 Olmesartan medoxomil (Benicar, Olmetec) – Q40, box 1 Perindopril (Aceon) – Q40, box 1 Pioglitazone (Actos) – Q39, box 7 Pramlintide (Symlin) – Q39, box 10 – Other DM med (write in name) Prandimet ( ◊ :Repaglinide + Metformin) – Q39, boxes 5 and 10 (write in name) Pravastatin (Pravachol) – Q43, box 1 Prazosin (Minipress) – Q41, box 1 Precose – Q39, box 6 Prinzide ( ◊ :Lisinopril + HCTZ) – Q40, box 1 and Q41, box 1 Propranolol (Inderal LA) – Q41, box 1 Quinapril (Accupril) – Q40, box 1 Quinaretic ( ◊ :Quinapril + HCTZ) – Q40, box 1 and Q41, box 1 Ramipril (Altace) – Q40, box 1 Reserpine (Serpalan) – Q41, box 1 Rivaroxaban (Xarelto) – Q42, box 1 Rosiglitazone (Avandia) – Q39, box 7 Rosuvastatin (Crestor) – Q43, box 1 Saxagliptin (Onglyza) – Q39, box 9 Simcor ( ◊ :Simvastatin + Niacin) – Q43, box 3 (both) Simvastatin (Zocor) – Q43, box 1 Sitagliptin (Januvia) – Q39, box 9 Spironolactone (Aldactone) – Q41, box 1 Tarka ( ◊ :Trandolapril + Verapamil) – Q40, box 1 and Q41, box 1 Telmisartan (Micardis) – Q40, box 1 Tenoretic ( ◊ :Atentolol + HCTZ) – Q41, box 1 only Terazosin (Hytrin) – Q41, box 1 Teventen – Q40, box 1 Teventen HCT ( ◊ :Eprosartan + HCTZ) – Q40, box 1 and Q41, box 1 Ticlopidine (Ticlid) – Q42, box 1 Torsemide (Demadex) – Q41, box 1 Tradjenta – Q39, box 9 Trandolapril (Mavik) – Q40, box 1 Triamterene (Dyazide, Dyrenium) – Q41, box 1 Twynsta ( ◊ :Telmisartan + Amlodipine) – Q40, box 1 and Q41, box 1 Uniretic ( ◊ :Moexipril + HCTZ) – Q40, box 1 and Q41, box 1 Valsartan (Diovan) – Q40, box 1 Vaseretic ( ◊ :Enalapril + HCTZ) – Q40, box 1 and Q41, box 1 Verapamil (Calan, Verelan, Covera-HS, Isoptin Sr) – Q41, box 1 Warfarin (Coumadin) – Q42, box 1 Zestoretic ( ◊ :Lisinopril + HCTZ) – Q40, box 1 and Q41, box 1