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*Denotes a generic available in at least one dosage form or strength - page 24 / 26

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  • Women’s Health

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.

Cenestin Menest Premarin (tablets only)

estradiol

estradiol

estradiol

estropipate estropipate

Activella Alora Angeliq Climara* Climara Pro Combipatch Delestrogen Depo-Estradiol Divigel Elestrin Enjuvia Esclim Estrace* Estrace Cream Estraderm Estrasorb Estring Estrogel Evamist Femhrt Femring Femtrace Gynodiol* Menostar Ogen* Ortho-Est* Ortho-Prefest Prefest Premarin Cream Premphase Prempro Vagifem Vivelle Vivelle-Dot

none

prenatal vitamins, iron, folic acid, DHA, docusate prenatal vitamins, iron, folic acid, DHA, docusate

prenatal vitamins, iron, folic acid, DHA, docusate prenatal vitamins, iron, folic acid, docusate

prenatal vitamins, iron, folic acid, omega-3 fatty acids

Citranatal 90 DHA* Citranatal Assure* Citranatal B-Calm Citranatal DHA* Citranatal Rx* Concept DHA Concept OB Duet DHA*

prenatal vitamins, iron, folic acid, omega-3 fatty acids

Duet DHA Complete Duet DHA EC*

prenatal vitamins, iron, folic acid folic acid, calcium, b vitamins

Duet DHA with Ferrazone Duet StuartNatal* Folbecal*

*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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