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*Denotes a generic available in at least one dosage form or strength - page 1 / 26

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This PDL reference tool is to aid a prescribing physician with generic availability and preferred product status. A "substitution allowed" physician signature on a prescription should not require a PA to be obtained if a generic agent is available.

none

rimantadine amantadine

Flumadine*

none none

paromomycin

none TOBI

amikacin gentamicin kanamycin neomycin streptomycin tobramycin

none

Albenza Biltricide Stromectol

mebendazole pyrantel pamoate

Gris-Peg

fluconazole

griseofulvin microsize terbinafine

nystatin

itraconazole

Abelcet Ambisome Amphotec Ancobon Cancidas Diflucan* Eraxis Grifulvin V* Lamisil* Mycamine Mycostatin* Noxafil Sporanox* Vfend

amphotericin B ketoconazole

Daraprim

chloroquine

mefloquine

hydroxychloroquine

Aralen Phosphate* Coartem Fansidar Lariam* Malarone Plaquenil* Qualaquin

primaquine

*Denotes a generic available in at least one dosage form or strength **Will be reviewed at a future time when eligible

Effective 4/1/2010

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