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*Denotes a generic available in at least one dosage form or strength - page 19 / 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.

Aerobid Aerobid-M Asmanex Twisthaler Azmacort Flovent Diskus Flovent HFA Qvar

none

Advair Diskus Advair HFA Symbicort

none

Atrovent HFA Spiriva

ipratropium bromide none

Accolate Singulair

none

cromolyn sodium

Alvesco** Pulmicort none

none

Zyflo Zyflo CR Intal* Tilade

none

none

aminophylline

theophylline

Elixophyllin*

dyphylline

Lufyllin*

Theo-24

theophylline

Uniphyl*

Various

Broncomar-1

dyphylline/guaifenesin and

Dilex-G*

theophylline/guaifenesin products available; some "Branded Generic"

Lufyllin-GG* Myci Bron-G*

Foradil Maxair Autohaler ProAir HFA Proventil HFA Serevent Diskus Ventolin HFA Xopenex HFA

albuterol sulfate terbutaline sulfate

albuterol sulfate

Accuneb* Brethine* Brovana Perforomist Proventil* Xopenex

levalbuterol metaproterenol sulfate

Combivent

albuterol/ipratropium

Duoneb*

*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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