QUARTETTE (LEVONORGESTREL/ETHINYL ESTRADIOL AND ETHINYL ESTRADIOL)

Moderate

• A-hydrocort

• A-methapred

• Adoxa

• aminophylline

• amoxicil-clarithromy-lansopraz

• amoxicillin

• amoxicillin-pot clavulanate

• ampicillin

• ampicillin sodium

• ampicillin-sulbactam

• Anucort-hc

• Anusol-hc

• aprepitant

• Aristospan Intra-articular

• Aristospan Intralesional

• Augmentin

• Augmentin Es-600

• Augmentin Xr

• Avidoxy

• betamethasone acet & sod phos

• Bicillin C-r

• Bicillin L-a

• Bivigam

• budesonide

• Carimune Nf Nanofiltered

• ceftazidime

• ceftazidime in D5W

• ceftazidime-dextrose (iso-osm)

• Ceftin

• cefuroxime axetil

• cefuroxime in sterile water

• cefuroxime sodium

• cefuroxime-dextrose (iso-osm)

• Celestone Soluspan

• colesevelam

• Colocort

• Cortef

• Cortenema

• Cortifoam

• cortisone

• demeclocycline

• Depo-medrol

• dexamethasone

• Dexamethasone Intensol

• dexamethasone sodium phos (PF)

• dexamethasone sodium phosphate

• Dexpak 10 Day

• Dexpak 13 Day

• Dexpak 6 Day

• dicloxacillin

• Doryx

• Doxy-100

• doxycycline calcium

• doxycycline hyclate

• doxycycline monohydrate

• Elixophyllin

• Emend

• Entocort Ec

• Evista

• Ez Use Joint-tunnel-trigger

• First-duke's

• First-mary's Mouthwash

• Flebogamma Dif

• Flo-pred

• fludrocortisone

• Fortaz

• Fortaz In Dextrose 5 %

• Zosyn In Dextrose (iso-osm)

• Zosyn

• Zinacef In Sterile Water

• Zinacef

• Welchol

• Vibramycin

• Veripred 20

• Unasyn

• Uceris

• Tygacil

• triamcinolone-lidocaine

• triamcinolone hexacetonide

• triamcinolone acetonide

• Timentin

• tigecycline

• ticarcillin-clavulanate

• theophylline in dextrose 5 %

• theophylline

• Theochron

• Theo-24

• tetracycline

• Tazicef

• Solu-medrol (pf)

• Solu-medrol

• Solu-cortef (pf)

• Solu-cortef

• Solodyn

• Rectacort-hc

• Rayos

• raloxifene

• Proctocort

• Privigen

• Prevpac

• Prednisone Intensol

• prednisone

• prednisolone sodium phosphate

• prednisolone acetate

• prednisolone

• piperacillin-tazobactam-dextrs

• piperacillin-tazobactam

• Physicians Ez Use M-pred

• Pfizerpen-g

• penicillin V potassium

• penicillin G sodium

• penicillin G procaine

• penicillin G potassium

• penicillin G pot in dextrose

• penicillin G benzathine & proc

• penicillin G benzathine

• Pediapred

• oxacillin in dextrose(iso-osm)

• oxacillin

• Orapred Odt

• Orapred

• Oracea

• omeprazole-clarith-amoxicillin

• Omeclamox-pak

• Octagam

• nystatin-TCN-HC-diphenhydramin

• nystatin-hydrocortisone-diphen

• nafcillin in dextrose iso-osm

• nafcillin

• Morgidox

• Monodox

• minocycline

• Minocin

• Millipred Dp

• Millipred

• methylprednisolone-bupivacaine

• methylprednisolone sodium succ

• methylprednisolone sod suc(PF)

• methylprednisolone acetate

• methylprednisolone

• Medrol (pak)

• Medrol

• lomitapide

• lamotrigine

• Lamictal Xr Starter (orange)

• Lamictal Xr Starter (green)

• Lamictal Xr Starter (blue)

• Lamictal Xr

• Lamictal Starter (orange) Kit

• Lamictal Starter (green) Kit

• Lamictal Starter (blue) Kit

• Lamictal Odt Starter (orange)

• Lamictal Odt Starter (green)

• Lamictal Odt Starter (blue)

• Lamictal Odt

• Lamictal

• Kenalog

• Juxtapid

• immune globulin(hum),capr(IgG)

• immune globulin (human) (IgG)

• immune glob(IgG)(hum)-maltose

• hydrocortisone sod succinate

• hydrocortisone sod succ (PF)

• hydrocortisone acetate

• hydrocortisone

• Hizentra

• Hemril-30

• Grx Hicort 25

• Gamunex-c

• Gammaplex

• Gammaked

• Gammagard S/d

• Gammagard S-d (iga < 1 Mcg/ml)

• Gammagard Liquid

• Gamastan S/d

• fosaprepitant

Moderate

• Depression

• Gallbladder disease

• Hypertriglyceridemia

• Hypoparathyroidism

• Hypothyroidism

Combination Oral Contraceptives

• Severity Level:

  2

• Additional Notes: Avail data no known risk for developmental toxicity after inadvertent exposure

Contraindicated

None

General	Excretion Potential	Effect on Infant	Notes
			None

Precaution Exists

Ethinyl Estradiol

May decrease milk production, use lowest dose

General	Excretion Potential	Effect on Infant	Notes
Evaluate use carefully	Excreted	Drug shown to have adverse effect	May decrease milk production, use lowest dose

No Known Risk

None

General	Excretion Potential	Effect on Infant	Notes
			None

Contraindicated

None

Precaution Exists

None

No Known Risk

None

0-9	A-Z
Z30	Encounter for contraceptive management
Z30.01	Encounter for initial prescription of contraceptives
Z30.011	Encounter for initial prescription of contraceptive pills
Z30.013	Encounter for initial prescription of injectable contraceptive
Z30.014	Encounter for initial prescription of intrauterine contraceptive device
Z30.015	Encounter for initial prescription of vaginal ring hormonal contraceptive
Z30.016	Encounter for initial prescription of transdermal patch hormonal contraceptive device
Z30.017	Encounter for initial prescription of implantable subdermal contraceptive
Z30.018	Encounter for initial prescription of other contraceptives
Z30.019	Encounter for initial prescription of contraceptives, unspecified
Z30.4	Encounter for surveillance of contraceptives
Z30.40	Encounter for surveillance of contraceptives, unspecified
Z30.41	Encounter for surveillance of contraceptive pills
Z30.42	Encounter for surveillance of injectable contraceptive
Z30.43	Encounter for surveillance of intrauterine contraceptive device
Z30.430	Encounter for insertion of intrauterine contraceptive device
Z30.431	Encounter for routine checking of intrauterine contraceptive device
Z30.433	Encounter for removal and reinsertion of intrauterine contraceptive device
Z30.44	Encounter for surveillance of vaginal ring hormonal contraceptive device
Z30.45	Encounter for surveillance of transdermal patch hormonal contraceptive device
Z30.46	Encounter for surveillance of implantable subdermal contraceptive
Z30.49	Encounter for surveillance of other contraceptives
Z30.8	Encounter for other contraceptive management
Z30.9	Encounter for contraceptive management, unspecified
Z79.3	Long term (current) use of hormonal contraceptives
Z97.5	Presence of (intrauterine) contraceptive device