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*Denotes a generic available in at least one dosage form or strength - page 12 / 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 none

acarbose none

Precose* Symlin

metformin HCl metformin HCl

Fortamet Glucophage* Glucophage XR* Glumetza Glumetza ER Riomet

none

none

Januvia Onglyza**

none

none

Byetta Victoza**

Glyset

Humulin N Humulin R Humulin U Humulin 50/50 Humulin 70/30 Novolin N Novolin R Novolin 70/30

Apidra Exubera Humalog Mix 50/50 Humalog Mix 75/25 Humulin R (U-500) Novolog Novolog Mix 70/30

none nateglinide glimepiride glyburide chlorpropamide glipizide glipizide glyburide glyburide glyburide tolazamide none

Starlix* Amaryl* Diabeta* Diabinese* Glucotrol* Glucotrol XL* Glycron* Glynase* Micronase* Tolinase* none

Humalog Lantus Levemir

Prandin

none

Actos Avandia

*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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