Approved PDL List
Approved PDL List
Approved PDL List
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DRUG CLASSPREFERREDGENERIC/OTCPREFERREDBRANDSYMPATHOMIMETIC All covered products ALUPENT* ACCUNEBAGENTS SINGLE BRETHINE* FORADILENTITY PROVENTIL HFA ISUPREL* Denotes genericavailable in at least onedosage form or strengthDrug name denotes alldosage forms andstrengthsPROVENTIL*SEREVENTVENTOLIN HFAVENTOLIN*NON-PREFERREDBRANDMAXAIR AUTOHALERVOLMAXVOSPIRE ERXOPENEXDRUG CLASSPREFERREDGENERIC/OTCPREFERREDBRANDNON-PREFERREDBRANDSYMPATHOMIMETIC All covered products ADVAIR DISKUS COMBIVENTCOMBINATIONDUONEBPRODUCTS* Denotes genericavailable in at least onedosage form or strengthDrug name denotes alldosage forms andstrengthsUpdated 4/15/04
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