Approved PDL List
Approved PDL List
Approved PDL List
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DRUG CLASSPREFERREDGENERIC/OTCPREFERREDBRANDNON-PREFERREDBRANDNITRATES and All covered products ISORDIL* DILATRATE-SRNITRITES NITRO-BID IMDUR*NITROSTAT*ISMO*ISOCHRON*MONOKET*NITRO-DUR*NITROGLYN*NITROGUARDNITROLNITROLINGUAL* Denotes generic TRANSDERM NITRO*available in at least onedosage form or strengthDrug name denotes alldosage forms andstrengthsTRIDILUpdated 4/15/04
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