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Xxxxxx Antihistamines Xxxxxx (Non-sedating/Low-Sedating)<br />
10<br />
Name AETNA BCBSMA BMCHP FCHP HPHC HNE NHP NTWK MAHLTH THP<br />
CETIRIzINE [zyrtec] (OTC) NC NC PA NC X NC X<br />
CETIRIzINE [zyrtec syrup] (OTC) NC NC PA 1 NC X DL 2 sT X<br />
CETIRIzINE/PsEUDOEPHEDRINE NC NC sT NC X DL X<br />
[zyrtec-D] (OTC)<br />
CLEMAsTINE (Rx) X* NC X X X X X X X X<br />
CLEMAsTINE [Tavist] (Rx) X* NC PA X NC PA X<br />
DEsLORATADINE [Clarinex] DL FE NC sT X PA PA<br />
PA<br />
DEsLORATADINE/PsEUDOEPHEDRINE DL FE NC sT X PA PA<br />
[Clarinex-D] PA<br />
FEXOFENADINE DL FE NC sT DL X DL DL sT PA PA<br />
PA<br />
FEXOFENADINE PsE ER 12 hr DL FE NC X DL sT PA<br />
PA<br />
FEXOFENADINE/PsEUDOEPHEDRINE DL FE NC sT X DL sT PA PA<br />
[Allegra-D] PA<br />
LEVOCETIRIzINE [Xyzal] DL FE NC sT X PA PA<br />
PA<br />
LORATADINE (OTC) NC NC X* NC X DL X* X<br />
LORATADINE, orally disintegrating NC NC X* NC X DL X PA<br />
tablet (OTC)<br />
LORATADINE/PsEUDOEPHEDRINE (OTC) NC NC X NC X DL X* X<br />
OLOPATADINE [Patanase] FE NC DL PA X X PA NC DL<br />
Antihistamines (Sedating)<br />
BROMPHENIRAMINE (OTC) NC NC NC X<br />
BROMPHENIRAMINE (Rx) X* NC X X X X X X X<br />
BROMPHENIRAMINE/<br />
PsEUDOEPHEDRINE (Rx)<br />
X* NC X X X X X X X X<br />
CARBINOXAMINE X* X* X X X X PA X<br />
CHLORPHENIRAMINE X* NC X X X X X X X<br />
CHLORPHENIRAMINE (OTC) NC NC X NC X X X<br />
CHLORPHENIRAMINE/<br />
PsEUDOEPHEDRINE (Rx)<br />
X* NC X X X X X X X X<br />
CyPROHEPTADINE X* X* X X X X X X X X<br />
1 Excludes Altace tabs<br />
2
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