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Xxxxxx Asthma Xxxxxx Inhalers (Steroids)
Name AETNA BCBSMA BMCHP FCHP HPHC HNE NHP NTWK MAHLTH THP
BUDEsONIDE suspension X* DL* DL X X X X DL sT2 [Pulmicort Respules]
BUDEsONIDE/FORMOTEROL
[symbicort]
X* DL sT* DL sT* DL DL X X PA DL*
CICLEsONIDE [Alvesco] FE NC DL X PA X X X X DL
FLUNIsOLIDE [Aerobid/M] X* NC DL DL X X X DL
FLUTICAsONE [Flovent HFA] X* DL* DL X X X X X X DL*
FLUTICAsONE DIsKUs
[Flovent Diskus]
X* DL* X X X DL
FLUTICAsONE/sALMETEROL [Advair] X* DL sT DL sT X DL DL X X PA DL*
MOMETAsONE [Asmanex] X* NC DL X X X X X X DL*
TRIAMCINOLONE [Azmacort] FE NC DL DL X X X X DL
Attention Deficit Hyperactivity Disorder
ATOMOXETINE [strattera] DL FE
sT
DL PA DL PA X PA PA DL
DEXMETHyLPHENIDATE DL* X* DL X X X X X DL X
DEXMETHyLPHENIDATE [Focalin] DL FE
sT
NC PA X X NC PA X
DEXMETHyLPHENIDATE ER DL FE NC PA DL X DL DL DL sT
[Focalin XR] sT
DEXTROAMPHETAMINE DL* PA* DL X X X X X DL X
DEXTROAMPHETAMINE ER DL* PA* DL X X X X X DL X
DEXTROAMPHETAMINE/
AMPHETAMINE XR
DL* sT X X X X DL X
DEXTROAMPHETAMINE solution
[Procentra]
DL sT NC PA X NC sT
DEXTROAMPHETAMINE/
AMPHETAMINE
DL* DL* DL X X X X X DL X
DEXTROAMPHETAMINE/
AMPHETAMINE [Adderall XR]
DL FE DL DL X X NC PA X
gUANFACINE ER [Intuniv] DL sT NC PA X sT DL
LIsDEXAMFETAMINE [Vyvanse] DL* NC DL PA PA X DL X PA sT
METHAMPHETAMINE [Desoxyn] DL FE
sT
PA X X NC PA X
METHyLIN ER DL* X* DL X X X X X DL X
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