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*Denotes a generic available in at least one dosage form or strength - page 8 / 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.

Aceon*

perindopril quinapril ramipril captopril benazepril trandolapril fosinopril lisinopril moexipril enalapril lisinopril

Accupril* Altace* Capoten* Lotensin* Mavik* Monopril* Prinivil* Univasc* Vasotec* Zestril*

none

quinapril and HCTZ captopril and HCTZ

benazepril and HCTZ amlodipine and benazepril fosinopril and HCTZ lisinopril and HCTZ

moexepril and HCTZ enalapril and HCTZ lisinopril and HCTZ

Accuretic* Capozide* Lexxel Lotensin HCT* Lotrel* Monopril HCT* Prinzide* Tarka Uniretic* Vaseretic* Zestoretic*

Avapro Benicar Cozaar Diovan Micardis

none

Atacand Teveten

Avalide Benicar HCT Diovan HCT Hyzaar Micardis HCT

none

Atacand HCT Teveten HCT

none

doxazosin mesylate

terazosin HCl prazosin HCl

Cardura* Cardura XL Hytrin* Minipress*

Norpace* Norpace CR*

disopyramide phosphate disopyramide phosphate amiodarone HCl

amiodarone HCl

propafenone HCl

flecainide acetate

Cordarone* Ethmozine Pacerone* Procanbid Rythmol* Rythmol SR Tambocor* Tikosyn

mexiletine hydrochloride procainamide HCl quinidine gluconate quinidine sulfate

*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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