Please wait while the formulary information is being retrieved.
SUMATRIPTAN SUCC-NAPROXEN SOD (sumatriptan succinate/naproxen sodium)
- Migraine
85 mg-500 mg tablet
- 1 tablet by oral route once ; if headache returns, the dose may be repeated after 2 hours, no more than two doses per 24 hrs
sumatriptan 85 mg-naproxen 500 mg tablet
- 1 tablet by oral route once ; if headache returns, the dose may be repeated after 2 hours, no more than two doses per 24 hrs
Migraine
- 1 tablet by oral route once ; if headache returns, the dose may be repeated after 2 hours, no more than two doses per 24 hrs
- Azilect
- bromocriptine
- Cafergot
- cidofovir
- Cycloset
- D.h.e.45
- dihydroergotamine
- Eldepryl
- ergoloid
- Ergomar
- ergotamine tartrate
- ergotamine-caffeine
- isocarboxazid
- ketorolac
- linezolid
- Marplan
- Matulane
- methylene blue (antidote)
- methylergonovine
- Migergot
- Migranal
- Nardil
- Parlodel
- Parnate
- phenelzine
- procarbazine
- rasagiline
- selegiline HCl
- Sprix
- tranylcypromine
- Vistide
- Zelapar
- Zyvox
Contraindicated
- Alimta
- apixaban
- Conzip
- Coumadin
- Curad Enema
- Disposable Enema
- Eliquis
- Enema
- Enema Disposable
- Fleet Enema
- Fleet Enema Extra
- Fleet Pediatric
- Folotyn
- Jantoven
- Methotrexate (anti-rheumatic)
- methotrexate sodium
- methotrexate sodium (PF)
- Nucynta
- Nucynta Er
- Oral Saline Laxative
- Osmoprep
- pemetrexed
- Phosphate Laxative
- pralatrexate
- Preparation Cleansing
- Ready-to-use Enema
- Rheumatrex
- rivaroxaban
- sod phos mono-sod phos dibasic
- sodium phosphates
- Synapryn
- tapentadol
- tramadol
- tramadol-acetaminophen
- tramadol-glucosamine
- Trexall
- Ultracet
- Ultram
- Ultram Er
- warfarin
- Xarelto
Severe
Moderate
- A-hydrocort
- A-methapred
- abciximab
- Accolate
- Accupril
- Accuretic
- acebutolol
- Aceon
- adefovir
- Adult Low Dose Aspirin
- Aggrenox
- Alka-seltzer
- Alka-seltzer Extra Strength
- Alka-seltzer Original
- Alka-seltzer Pm
- Altace
- amiloride
- amiloride-hydrochlorothiazide
- amiodarone
- amiodarone in dextrose,iso-osm
- amlodipine-benazepril
- amlodipine-olmesartan
- amlodipine-valsartan
- amlodipine-valsartan-hcthiazid
- Angeliq
- Antacid & Pain Relief
- Anucort-hc
- Anusol-hc
- Aristospan Intra-articular
- Aristospan Intralesional
- Arixtra
- ASA-acetaminophen-caff-buffers
- Aspir-81
- Aspir-low
- Aspir-trin
- aspirin
- Aspirin Childrens
- Aspirin Low Dose
- Aspirin Low-strength
- aspirin, buffered
- aspirin-calcium carbonate
- aspirin-diphenhydramine
- aspirin-sod bicarb-citric acid
- Astagraf Xl
- Atacand
- Atacand Hct
- atenolol
- atenolol-chlorthalidone
- Atripla
- Avalide
- Avapro
- azilsartan med-chlorthalidone
- azilsartan medoxomil
- Azor
- Bayer Advanced
- Bayer Aspirin
- Bayer Chewable Aspirin
- Bayer Childrens Aspirin
- Bayer Plus Extra Strength
- benazepril
- benazepril-hydrochlorothiazide
- Benicar
- Benicar Hct
- betamethasone acet & sod phos
- Betapace
- Betapace Af
- betaxolol
- Beyaz
- bisoprolol fumarate
- bisoprolol-hydrochlorothiazide
- Brevibloc
- Brevibloc In Nacl (iso-osm)
- Brilinta
- Brintellix
- Brisdelle
- budesonide
- Buffered Aspirin
- Bufferin
- bumetanide
- Bystolic
- candesartan
- candesartan-hydrochlorothiazid
- captopril
- captopril-hydrochlorothiazide
- Celestone Soluspan
- Celexa
- Child Aspirin
- Children's Aspirin
- cilostazol
- citalopram
- clopidogrel
- colchicine-probenecid
- Colocort
- Complera
- Cordarone
- Corgard
- Cortef
- Cortenema
- Cortifoam
- cortisone
- Corzide
- Cozaar
- cyclosporine
- cyclosporine modified
- Cymbalta
- Daflonex-xl
- dalteparin (porcine)
- Demadex
- Depo-medrol
- desvenlafaxine
- desvenlafaxine fumarate
- desvenlafaxine succinate
- dexamethasone
- Dexamethasone Intensol
- dexamethasone sodium phos (PF)
- dexamethasone sodium phosphate
- Dexpak 10 Day
- Dexpak 13 Day
- Dexpak 6 Day
- Diflucan
- diosmin complex no.1
- Diovan Hct
- dipyridamole-aspirin
- drospirenone-e.estradiol-lm.FA
- drospirenone-estradiol
- drospirenone-ethinyl estradiol
- duloxetine
- Dutoprol
- Dyazide
- Dyrenium
- E.c. Prin
- Ecotrin
- Ecotrin Low Strength
- Edarbi
- Edarbyclor
- efavirenz-emtricitabin-tenofov
- Efferves Pain Relief Antacid
- Effervescent Antacid
- Effervescent Pain Relief
- Effervescent Pain Reliever
- Effexor Xr
- Elmiron
- elvitegr-cobicist-emtric-tenof
- emtricitab-rilpivirine-tenofov
- emtricitabine-tenofovir
- enalapril maleate
- enalapril-hydrochlorothiazide
- enalaprilat
- enoxaparin
- Enteric Coated Aspirin
- Entocort Ec
- Epaned
- eprosartan
- eprosartan-hydrochlorothiazide
- eptifibatide
- erlotinib
- escitalopram oxalate
- esmolol
- esmolol in NaCl (iso-osm)
- ethacrynate sodium
- Exforge
- Exforge Hct
- Extra Strength Bayer
- Ez Use Joint-tunnel-trigger
- Fetzima
- First-duke's
- First-mary's Mouthwash
- Flo-pred
- fluconazole
- fluconazole in dextrose(iso-o)
- fluconazole in NaCl (iso-osm)
- fludrocortisone
- fluoxetine
- fluvoxamine
- fondaparinux
- fosinopril
- fosinopril-hydrochlorothiazide
- Fragmin
- furosemide
- Gengraf
- Gianvi (28)
- Grx Hicort 25
- Hecoria
- Hemril-30
- heparin (porcine)
- heparin (porcine) in D5W
- heparin(porcine) in 0.45% NaCl
- heparin, porcine (PF)
- Hepsera
- hesp-diosm hyd-Ca dobe-diosmin
- hesperid-diosmin-grape seed xt
- hydrocortisone
- hydrocortisone acetate
- hydrocortisone sod succ (PF)
- hydrocortisone sod succinate
- Hyzaar
- Inderal La
- Inderal Xl
- Innopran Xl
- Integrilin
- irbesartan
- irbesartan-hydrochlorothiazide
- Kenalog
- ketoconazole
- Khedezla
- Lasix
- Levatol
- levomilnacipran
- Lexapro
- lisinopril
- lisinopril-hydrochlorothiazide
- Lite Coat Aspirin
- lithium carbonate
- lithium citrate
- Lithobid
- Lo-dose Aspirin
- Lopressor
- Lopressor Hct
- Loryna (28)
- losartan
- losartan-hydrochlorothiazide
- Lotensin
- Lotrel
- Lovenox
- Luvox Cr
- Mavik
- Maxzide
- Maxzide-25Mg
- Medi-seltzer
- Medrol
- Medrol (pak)
- methylprednisolone
- methylprednisolone acetate
- methylprednisolone sod suc(PF)
- methylprednisolone sodium succ
- methylprednisolone-bupivacaine
- metoprolol su-hydrochlorothiaz
- metoprolol succinate
- metoprolol ta-hydrochlorothiaz
- metoprolol tartrate
- Micardis
- Micardis Hct
- miconazole
- Millipred
- Millipred Dp
- milnacipran
- moexipril
- moexipril-hydrochlorothiazide
- nadolol
- nadolol-bendroflumethiazide
- nebivolol
- Neoral
- Nexterone
- nystatin-hydrocortisone-diphen
- nystatin-TCN-HC-diphenhydramin
- Ocella
- olanzapine-fluoxetine
- olmesartan
- olmesartan-amlodipin-hcthiazid
- olmesartan-hydrochlorothiazide
- Orapred
- Orapred Odt
- Oravig
- Oxandrin
- oxandrolone
- Pacerone
- paroxetine HCl
- paroxetine mesylate
- Paxil
- Paxil Cr
- Pediapred
- penbutolol
- pentosan polysulfate sodium
- perindopril erbumine
- Pexeva
- Physicians Ez Use M-pred
- pindolol
- Plavix
- Pletal
- prednisolone
- prednisolone acetate
- prednisolone sodium phosphate
- prednisone
- Prednisone Intensol
- Prinivil
- Pristiq
- probenecid
- Proctocort
- Prograf
- propranolol
- propranolol-hydrochlorothiazid
- Prozac
- Prozac Weekly
- quinapril
- quinapril-hydrochlorothiazide
- ramipril
- Rapamune
- Rayos
- Rectacort-hc
- Reopro
- Safyral
- Sandimmune
- Sarafem
- Savella
- Sectral
- sertraline
- sirolimus
- Sodium Edecrin
- Solu-cortef
- Solu-cortef (pf)
- Solu-medrol
- Solu-medrol (pf)
- Sorine
- sotalol
- Sotalol Af
- St Joseph Aspirin
- St. Joseph Aspirin
- Stribild
- Syeda
- Symbyax
- tacrolimus
- Tarceva
- Tarka
- telmisartan
- telmisartan-amlodipine
- telmisartan-hydrochlorothiazid
- tenofovir disoproxil fumarate
- Tenoretic 100
- Tenoretic 50
- Tenormin
- Teveten
- Teveten Hct
- ticagrelor
- timolol maleate
- Toprol Xl
- torsemide
- trandolapril
- trandolapril-verapamil
- Tri-buffered Aspirin
- triamcinolone acetonide
- triamcinolone hexacetonide
- triamcinolone-lidocaine
- triamterene
- triamterene-hydrochlorothiazid
- Tribenzor
- Trombonex-d
- Truvada
- Twynsta
- Uceris
- Uniretic
- Univasc
- valsartan-hydrochlorothiazide
- Vanquish
- Vasculera
- Vaseretic
- Vasoflex Hd
- Vasotec
- Venaliv
- venlafaxine
- Veripred 20
- Vestura (28)
- Vfend
- Vfend Iv
- Viibryd
- vilazodone
- Viread
- vit C-but.broom-hesperidn-dios
- vit C-dios-rut-bioflav-butc br
- voriconazole
- vortioxetine
- Women's Aspirin With Calcium
- Yasmin (28)
- Yaz 28
- zafirlukast
- Zarah
- Zebeta
- Zestoretic
- Zestril
- Ziac
- Zoloft
- Acute myocardial infarction
- Angina
- Aspirin exacerbated respiratory disease
- Cerebral ischemia
- Cerebrovascular accident
- Chronic kidney disease stage 4 (severe) GFR 15-29 ml/min
- Chronic kidney disease stage 5 (failure) GFr<15 ml/min
- Coronary artery disease
- Hemiplegic migraine
- History of roux-en-Y gastric bypass
- Ischemic bowel disease
- Myocardial ischemia
- Peripheral vascular disease
- Post-operative from CABG surgery
- Pregnancy
- Prinzmetal angina
- Serotonin syndrome
- Severe hepatic disease
- Severe uncontrolled hypertension
Contraindicated
- Acute myocardial infarction
- Alcoholism
- Anemia
- Cerebrovascular accident
- Chronic heart failure
- Disease of liver
- Edema
- Esophageal dysmotility
- Gastrointestinal hemorrhage
- Gastrointestinal perforation
- Gastrointestinal ulcer
- Hypertension
- Increased cardiovascular event risk
- Increased risk of bleeding
- Kidney disease with likely reduction in GFR
- Systemic mastocytosis
- Tachyarrhythmia
- Thrombotic disorder
- Tobacco smoker
Severe
Moderate
- Abnormal hepatic function tests
- Increased risk of bleeding due to coagulation disorder
- Seizure disorder
SUMATRIPTAN SUCC-NAPROXEN SOD (sumatriptan succinate/naproxen sodium)
- Migraine
- Abnormal hepatic function tests
- Body fluid retention
- Skin rash
- Tinnitus
- Urticaria
- Constipation
- Dizziness
- Drowsy
- Dysgeusia
- Edema
- Flushing
- Headache disorder
- Heartburn
- Hypesthesia
- Injection site sequelae
- Nasal passage irritation
- Nausea
- Paresthesia
- Sensation of warmth
- Stinging of skin
- Vertigo
- Vomiting
More Frequent
Severe
Less Severe
- Blurred vision
- Bruising
- Ecchymosis
- Hemorrhage
- Polydipsia
- Purpura
- Visual changes
- Diarrhea
- Drowsy
- Dyspepsia
- Hearing loss
- Hyperhidrosis
- Palpitations
- Upper abdominal pain
- Vertigo
Less Frequent
Severe
Less Severe
Rare / Very Rare
Severe
- Abdominal pain with cramps
- Acquired dystonia
- Acute confusion
- Acute myocardial infarction
- Acute pancreatitis
- Agranulocytosis
- Allergic dermatitis
- Anaphylaxis
- Anemia
- Angioedema
- Aplastic anemia
- Bacterial sepsis
- Bloody vomit
- Bronchospastic pulmonary disease
- Cardiac arrhythmia
- Cerebrovascular accident
- Chest pain
- Chest tightness
- Chronic heart failure
- Colitis
- Coma
- Corneal opacity
- Coronary artery spasm
- Cystitis
- Depression
- Dysphagia
- Dyspnea
- Eosinophilia
- Eosinophilic pneumonia
- Erythema multiforme
- Exfoliative dermatitis
- Fever
- Gastric ulcer
- Gastrointestinal hemorrhage
- Gastrointestinal obstruction
- Gastrointestinal perforation
- Gastrointestinal ulcer
- Glomerulonephritis
- Heart failure
- Hematuria
- Hemolytic anemia
- Hepatic failure
- Hepatitis
- Hyperglycemia
- Hyperkalemia
- Hypersensitivity drug reaction
- Hypertension
- Hypoglycemic disorder
- Hypotension
- Interstitial nephritis
- Intracerebral hemorrhage
- Ischemic bowel disease
- Jaundice
- Kidney disease with reduction in GFR
- Leukopenia
- Loeffler syndrome
- Lupus-like syndrome
- Lymphadenopathy
- Myalgias
- Myocardial ischemia
- Neck stiffness
- Nephrotic syndrome
- Neutropenic disorder
- Non-infective meningitis
- Optic neuritis
- Pancytopenia
- Peptic ulcer
- Peripheral ischemia
- Pneumonia
- Polyuria
- Proteinuria
- Pruritus of skin
- Pulmonary edema
- Raynaud's phenomenon
- Rectal bleeding
- Renal failure
- Renal papillary necrosis
- Renal tubular necrosis
- Respiratory depression
- Seizure disorder
- Serotonin syndrome
- Splenic infarction
- Stevens-johnson syndrome
- Subarachnoid intracranial hemorrhage
- Syncope
- Tachycardia
- Thrombocytopenic disorder
- Thrombotic disorder
- Toxic epidermal necrolysis
- Vasculitis
- Ventricular fibrillation
- Ventricular tachycardia
- Vision loss
- Wheezing
Less Severe
- Alopecia
- Appetite changes
- Black tarry stools
- Concentration difficulty
- Conjunctivitis
- Cramps
- Dysuria
- Eructation
- Erythema nodosum
- Esophagitis
- Fatigue
- Gastritis
- General weakness
- Glossitis
- Hallucinations
- Insomnia
- Jaw pain
- Lichen planus
- Medication overuse headache
- Menstrual disorder
- Mouth irritation
- Muscle rigidity
- Muscle weakness
- Myalgias
- Nasal pain
- Nervousness
- Oliguria
- Palpitations
- Papilledema
- Paresthesia
- Sinusitis
- Skin photosensitivity
- Sore tongue
- Stomatitis
- Symptoms of anxiety
- Tremor
- Visual changes
- Vomiting
- Weight gain
- Weight loss
- Xerostomia
Contraindicated
None
Severe Precaution
Sumatriptan
Efficacy not established over placebo for treatment of migraine. Adverse event risk similar to adults including visual loss and stroke.
- 1 Day – 18 Years
- Efficacy not established over placebo for treatment of migraine. Adverse event risk similar to adults including visual loss and stroke.
Management or Monitoring Precaution
Naproxen
Safety and efficacy not established in children age less than 2 years.
- 1 Day – 2 Years
- Safety and efficacy not established in children age less than 2 years.
Naproxen
- Severity Level:
1
- Additional Notes: Fda c before 30wks;premature closure of ductus arteriosus;early miscarriage risk
Sumatriptan
- Severity Level:
2
- Additional Notes: Insufficient human data avail, consider maternal tx benefit vs pot fetal risk
Contraindicated
None
| General | Excretion Potential | Effect on Infant | Notes |
| None |
Precaution Exists
Naproxen
Insufficient data available; low levels found in breastmilk
Insufficient data available
| General | Excretion Potential | Effect on Infant | Notes |
| Evaluate use carefully | Excreted | Not known; no or inclusive data | Insufficient data available; low levels found in breastmilk |
Sumatriptan (tab)
Insufficient data available; low levels found in breastmilk
Insufficient data available
| General | Excretion Potential | Effect on Infant | Notes |
| Evaluate use carefully | Unknown | Not known; no or inclusive data | Insufficient data available |
No Known Risk
None
| General | Excretion Potential | Effect on Infant | Notes |
| None |
Contraindicated
None
Precaution Exists
Naproxen
Gastrointestinal-Risk for ulceration or serious GI bleed; highest with history of PUD or GI bleed. Renal-Risk of AKI and exacerbation of CKD. Avoid with CrCl <30 mL/min. Cardiovascular-May exacerbate pre-existing hypertension or CHF. Risk of MI and stroke. This risk may occur early in treatment and increases with duration of use. Risk for reinfarction with minimal NSAID use post-MI. Contraindicated with CABG. Hepatic-Elevated hepatic transaminases may occur with chronic use.
Hepatic-Elderly patients are more likely to have decreased hepatic function thus decreasing drug clearance. Cardiovascular-Hypertensive effects may be more pronounced in the elderly and increase the risk for cardiovascular events in those with cardiovascular disease. A cardiovascular evaluation is recommended in those with CV risk factors, Avoid use of the drug in any patient with a cerebrovascular syndrome.
| Organ / System | HEP | REN | CARD | ENDO | NEURO / PSYCH | PULM |
| Increased Risk / Adverse Effects | Y | Y | Y | N | N | N |
BEERS: Y HEDIS: Y STOPP: Y
Sumatriptan
Gastrointestinal-Risk for ulceration or serious GI bleed; highest with history of PUD or GI bleed. Renal-Risk of AKI and exacerbation of CKD. Avoid with CrCl <30 mL/min. Cardiovascular-May exacerbate pre-existing hypertension or CHF. Risk of MI and stroke. This risk may occur early in treatment and increases with duration of use. Risk for reinfarction with minimal NSAID use post-MI. Contraindicated with CABG. Hepatic-Elevated hepatic transaminases may occur with chronic use.
Hepatic-Elderly patients are more likely to have decreased hepatic function thus decreasing drug clearance. Cardiovascular-Hypertensive effects may be more pronounced in the elderly and increase the risk for cardiovascular events in those with cardiovascular disease. A cardiovascular evaluation is recommended in those with CV risk factors, Avoid use of the drug in any patient with a cerebrovascular syndrome.
| Organ / System | HEP | REN | CARD | ENDO | NEURO / PSYCH | PULM |
| Increased Risk / Adverse Effects | N | Y | Y | N | N | N |
BEERS: N HEDIS: N STOPP: N
No Known Risk
None
- See also Side Effects and Precautions sections. Nonsteroidal anti-inflammatory drugs (including naproxen) may rarely increase the risk for a heart attack or stroke. This effect can happen at any time while taking this drug but is more likely if you take it for a long time.<br /><br />The risk may be greater if you have heart disease or increased risk for heart disease (for example, due to smoking, family history of heart disease, or conditions such as high blood pressure or diabetes). Do not take this drug right before or after heart bypass surgery (CABG). This drug may rarely cause serious (rarely fatal) bleeding from the stomach or intestines.<br /><br />This effect can occur without warning at any time while taking this drug. Older adults may be at higher risk for this effect. Stop taking this medication and get medical help right away if you notice any of these rare but serious side effects: black/tarry stools, persistent stomach/abdominal pain, vomit that looks like coffee grounds, chest/jaw/left arm pain, shortness of breath, unusual sweating, confusion, weakness on one side of the body, slurred speech, sudden vision changes.
| Migraine | |
| G43 | Migraine |
| G43.0 | Migraine without aura |
| G43.00 | Migraine without aura, not intractable |
| G43.001 | Migraine without aura, not intractable, with status migrainosus |
| G43.009 | Migraine without aura, not intractable, without status migrainosus |
| G43.01 | Migraine without aura, intractable |
| G43.011 | Migraine without aura, intractable, with status migrainosus |
| G43.019 | Migraine without aura, intractable, without status migrainosus |
| G43.1 | Migraine with aura |
| G43.10 | Migraine with aura, not intractable |
| G43.101 | Migraine with aura, not intractable, with status migrainosus |
| G43.109 | Migraine with aura, not intractable, without status migrainosus |
| G43.11 | Migraine with aura, intractable |
| G43.111 | Migraine with aura, intractable, with status migrainosus |
| G43.119 | Migraine with aura, intractable, without status migrainosus |
| G43.4 | Hemiplegic migraine |
| G43.40 | Hemiplegic migraine, not intractable |
| G43.41 | Hemiplegic migraine, intractable |
| G43.7 | Chronic migraine without aura |
| G43.70 | Chronic migraine without aura, not intractable |
| G43.701 | Chronic migraine without aura, not intractable, with status migrainosus |
| G43.709 | Chronic migraine without aura, not intractable, without status migrainosus |
| G43.71 | Chronic migraine without aura, intractable |
| G43.711 | Chronic migraine without aura, intractable, with status migrainosus |
| G43.719 | Chronic migraine without aura, intractable, without status migrainosus |
| G43.8 | Other migraine |
| G43.80 | Other migraine, not intractable |
| G43.801 | Other migraine, not intractable, with status migrainosus |
| G43.809 | Other migraine, not intractable, without status migrainosus |
| G43.81 | Other migraine, intractable |
| G43.811 | Other migraine, intractable, with status migrainosus |
| G43.819 | Other migraine, intractable, without status migrainosus |
| G43.82 | Menstrual migraine, not intractable |
| G43.821 | Menstrual migraine, not intractable, with status migrainosus |
| G43.829 | Menstrual migraine, not intractable, without status migrainosus |
| G43.83 | Menstrual migraine, intractable |
| G43.831 | Menstrual migraine, intractable, with status migrainosus |
| G43.839 | Menstrual migraine, intractable, without status migrainosus |
| G43.9 | Migraine, unspecified |
| G43.90 | Migraine, unspecified, not intractable |
| G43.901 | Migraine, unspecified, not intractable, with status migrainosus |
| G43.909 | Migraine, unspecified, not intractable, without status migrainosus |
| G43.91 | Migraine, unspecified, intractable |
| G43.911 | Migraine, unspecified, intractable, with status migrainosus |
| G43.919 | Migraine, unspecified, intractable, without status migrainosus |
| G43.B | Ophthalmoplegic migraine |
| G43.B0 | Ophthalmoplegic migraine, not intractable |
| G43.B1 | Ophthalmoplegic migraine, intractable |
| G43.C | Periodic headache syndromes in child or adult |
| G43.C0 | Periodic headache syndromes in child or adult, not intractable |
| G43.C1 | Periodic headache syndromes in child or adult, intractable |
| G43.D | Abdominal migraine |
| G43.D0 | Abdominal migraine, not intractable |
| G43.D1 | Abdominal migraine, intractable |
| 0-9 | A-Z |
|---|---|
| G43 | Migraine |
| G43.0 | Migraine without aura |
| G43.00 | Migraine without aura, not intractable |
| G43.001 | Migraine without aura, not intractable, with status migrainosus |
| G43.009 | Migraine without aura, not intractable, without status migrainosus |
| G43.01 | Migraine without aura, intractable |
| G43.011 | Migraine without aura, intractable, with status migrainosus |
| G43.019 | Migraine without aura, intractable, without status migrainosus |
| G43.1 | Migraine with aura |
| G43.10 | Migraine with aura, not intractable |
| G43.101 | Migraine with aura, not intractable, with status migrainosus |
| G43.109 | Migraine with aura, not intractable, without status migrainosus |
| G43.11 | Migraine with aura, intractable |
| G43.111 | Migraine with aura, intractable, with status migrainosus |
| G43.119 | Migraine with aura, intractable, without status migrainosus |
| G43.4 | Hemiplegic migraine |
| G43.40 | Hemiplegic migraine, not intractable |
| G43.41 | Hemiplegic migraine, intractable |
| G43.7 | Chronic migraine without aura |
| G43.70 | Chronic migraine without aura, not intractable |
| G43.701 | Chronic migraine without aura, not intractable, with status migrainosus |
| G43.709 | Chronic migraine without aura, not intractable, without status migrainosus |
| G43.71 | Chronic migraine without aura, intractable |
| G43.711 | Chronic migraine without aura, intractable, with status migrainosus |
| G43.719 | Chronic migraine without aura, intractable, without status migrainosus |
| G43.8 | Other migraine |
| G43.80 | Other migraine, not intractable |
| G43.801 | Other migraine, not intractable, with status migrainosus |
| G43.809 | Other migraine, not intractable, without status migrainosus |
| G43.81 | Other migraine, intractable |
| G43.811 | Other migraine, intractable, with status migrainosus |
| G43.819 | Other migraine, intractable, without status migrainosus |
| G43.82 | Menstrual migraine, not intractable |
| G43.821 | Menstrual migraine, not intractable, with status migrainosus |
| G43.829 | Menstrual migraine, not intractable, without status migrainosus |
| G43.83 | Menstrual migraine, intractable |
| G43.831 | Menstrual migraine, intractable, with status migrainosus |
| G43.839 | Menstrual migraine, intractable, without status migrainosus |
| G43.9 | Migraine, unspecified |
| G43.90 | Migraine, unspecified, not intractable |
| G43.901 | Migraine, unspecified, not intractable, with status migrainosus |
| G43.909 | Migraine, unspecified, not intractable, without status migrainosus |
| G43.91 | Migraine, unspecified, intractable |
| G43.911 | Migraine, unspecified, intractable, with status migrainosus |
| G43.919 | Migraine, unspecified, intractable, without status migrainosus |
| G43.B | Ophthalmoplegic migraine |
| G43.B0 | Ophthalmoplegic migraine, not intractable |
| G43.B1 | Ophthalmoplegic migraine, intractable |
| G43.C | Periodic headache syndromes in child or adult |
| G43.C0 | Periodic headache syndromes in child or adult, not intractable |
| G43.C1 | Periodic headache syndromes in child or adult, intractable |
| G43.D | Abdominal migraine |
| G43.D0 | Abdominal migraine, not intractable |
| G43.D1 | Abdominal migraine, intractable |
Formulary Reference Tool