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Xxxxxx Antihistamines Xxxxxx (Sedating)<br />

Name AETNA BCBSMA BMCHP FCHP HPHC HNE NHP NTWK MAHLTH THP<br />

DEXCHLORPHENIRAMINE MALEATE X* X* X X X X X X X X<br />

DEXCHLORPHENIRAMINE MALEATE CR X* X* X X X X X X X X<br />

DIPHENHyDRAMINE (OTC) NC NC X NC X X X<br />

DIPHENHyDRAMINE (Rx) NC NC X X X X X X X X<br />

HyDROXyzINE X* X* X X X X X X X X<br />

HyDROXyzINE PAMOATE X* X* X X X X X X X X<br />

PROMETHAzINE X* X* X X X X X X X X<br />

Antihypertensives (ACE Inhibitors)<br />

BENAzEPRIL X* X* X X X X X X X X<br />

BENAzEPRIL/AMLODIPINE X* X* X X X X X DL PA X<br />

BENAzEPRIL/AMLODIPINE [Lotrel] FE sT X PA X NC PA X<br />

BENAzEPRIL/HCTz X* X* X X X X X X X X<br />

CAPTOPRIL X* X* X X X X X X X X<br />

CAPTOPRIL/HCTz X* X* X X X X X X X X<br />

ENALAPRIL X* X* X X X X X X X X<br />

ENALAPRIL/HCTz X* X* X X X X X X X X<br />

FOsINOPRIL X* X* X X X X X sT X X*<br />

FOsINOPRIL/HCTz X* X* X X X X X sT X X*<br />

LIsINOPRIL X* X* X X X X X X X X*<br />

LIsINOPRIL/HCTz X* X* X X X X X X X X*<br />

MOEXIPRIL X* X* X X X X X sT X X<br />

MOEXIPRIL/HCTz X* X* X X X X X X X<br />

PERINDOPRIL ERBUMINE X* X* X X X<br />

PERINDOPRIL ERBUMINE [Aceon] FE NC PA X NC PA X<br />

QUINAPRIL X* X* X X X X X sT X X*<br />

QUINAPRIL/HCTz X* X* X X X X X sT X X*<br />

RAMIPRIL X* X* X X X X X sT 1 X X* 1<br />

RAMIPRIL capsules [Altace] FE sT PA X X NC X X<br />

TRANDOLAPRIL X* X* X X X X X sT X X<br />

TRANDOLAPRIL/VERAPAMIL [Tarka] FE X* X X X PA X<br />

11

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