Unique Plan Description: Pain Clinic Medications (In Office)
Plan Selection Display: Pain Clinic Medications (In Office)
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2025-02-21 08:44:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2025-03-05 12:59:49
Available at all facilities: No

Pain Clinic Medications (In Office)
Medications
	lidocaine 1% (5 mL) (Xylocaine) (In Office)
		5 mL, Injection, SUBCUTANEOUS, Once, T;N
		5 mL, Injection, Epidural, Once, T;N
		5 mL, Injection, IntraArticular, Once, T;N
	lidocaine 1% (30 mL) (Xylocaine) (In Office)
		30 mL, Injection, SUBCUTANEOUS, Once, T;N
		30 mL, Injection, Epidural, Once, T;N
		30 mL, Injection, IntraArticular, Once, T;N
	lidocaine 2% in 2mL Vial (Xylocaine) (In Office)
		2 mL, Injection, Epidural, Once, T;N
		2 mL, Injection, IntraArticular, Once, T;N
	lidocaine 2% in 5mL Vial (Xylocaine) (In Office)
		5 mL, Injection, Epidural, Once, T;N
		5 mL, Injection, IntraArticular, Once, T;N
	lidocaine 4% PF 5mL Ampule (In Office)
		5 mL, Injection, Epidural, Once, T;N
		5 mL, Injection, IntraArticular, Once, T;N
	iopamidol (Isovue-M) 41% 10mL (In Office)
		2 mL, Injection, Epidural, Once, T;N
		2 mL, Injection, IntraArticular, Once, T;N
	dexamethasone (Decadron) 10mg/mL (In Office)
		10 mg, Injection, Epidural, Once, T;N
		10 mg, Injection, IntraArticular, Once, T;N
		20 mg, Injection, Epidural, Once, T;N
		20 mg, Injection, IntraArticular, Once, T;N
	methylPREDNISolone (Depo-Medrol 40 mg/mL) (In Office)
		40 mg, Suspension-Injection, Epidural, Once, T;N
		40 mg, Suspension-Injection, IntraArticular, Once, T;N
		80 mg, Suspension-Injection, Epidural, Once, T;N
		80 mg, Suspension-Injection, IntraArticular, Once, T;N
	methylPREDNISolone (Depo-Medrol 80 mg/mL) (In Office)
		80 mg, Suspension-Injection, Epidural, Once, T;N
		80 mg, Suspension-Injection, IntraArticular, Once, T;N
	triamcinolone 40mg/mL (Kenalog-40)(In Office)
		40 mg, Injection, Epidural, Once, T;N
		80 mg, Injection, IntraArticular, Once, T;N
	bupivacaine 0.25% (Marcaine/Sensorcaine) (In Office)
		30 mL, Injection, Epidural, Once, T;N
		30 mL, Injection, IntraArticular, Once, T;N
		50 mL, Injection, Epidural, Once, T;N
		50 mL, Injection, IntraArticular, Once, T;N
	bupivacaine 0.5% (Marcaine/Sensorcaine) 30 mL vial (In Office)
		10 mL, Injection, Epidural, Once, T;N
		10 mL, Injection, IntraArticular, Once, T;N
	bupivacaine 0.75% MPF inj 30mL solution (In Office)
		30 mL, Injection, Epidural, Once, T;N
		30 mL, Injection, IntraArticular, Once, T;N
	ropivacaine 0.5% injectable solution (In Office)
		30 mL, Injection, Epidural, Once, T;N
		30 mL, Injection, IntraArticular, Once, T;N
	ropivacaine (Naropin) 0.2% injection (In Office)
		20 mL, Injection, Epidural, Once, T;N
		20 mL, Injection, IntraArticular, Once, T;N
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	fentaNYL injection (In Office)
		50 mcg, Injection, IV Push, Once, T;N
		100 mcg, Injection, IV Push, Once, T;N
	midazolam (Versed) ( In Office)
		1 mg, Injection, IV Push, Once, T;N
		2 mg, Injection, IV Push, Once, T;N
	Sodium Chloride 0.9% IV (In Office)
		500 mL, IV, T;N, 1 Dose(s)/Time(s), 100 ml/hr

*Report Legend:
DEF - This order sentence is the default for the selected order
GOAL - This component is a goal
IND - This component is an indicator
INT - This component is an intervention
IVS - This component is an IV Set
NOTE - This component is a note
Rx - This component is a prescription
SUB - This component is a sub phase