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Hormone Replacement
36
Name AETNA BCBSMA BMCHP FCHP HPHC HNE NHP NTWK MAHLTH THP
PROgEsTERONE vaginal [Prochieve] X X* X X X X
RALOXIFENE [Evista] X* X* X PA sT X X X X X X*
Lipid-Lowering Drugs
ATORVAsTATIN [Lipitor] DL FE DL sT PA DL X PA PA sT
sT
ATORVAsTATIN/AMLODIPINE DL FE NC PA X X NC PA PA X
[Caduet] sT DL sT
CHOLEsTyRAMINE X* X* X X X X X X X X
CHOLEsTyRAMINE [Prevalite] X* X* X X X X X X PA X
COLEsEVELAM [Welchol] X* NC X X X X X X
COLEsTIPOL X* X* X X X X X X X X
COLEsTIPOL [Colestid] FE X PA X X NC PA X
EzETIMIBE [zetia] DL* PA DL sT PA DL sT DL sT PA PA sT
FENOFIBRATE X* X* X X X X X X X X*
FENOFIBRATE [Antara] X* NC X X X PA PA X
FENOFIBRATE [Fenoglide] sT NC X X X PA PA NC
FENOFIBRATE [Lipofen] FE sT NC X X X PA PA NC
FENOFIBRATE [Lofibra] FE sT NC PA X X PA PA X
FENOFIBRATE [Tricor] FE NC X X X X X PA PA X*
FENOFIBRATE [Triglide] sT NC X PA X
FENOFIBRIC ACID [Fibricor] FE sT NC PA X PA NC
FENOFIBRIC ACID [Trilipix] X NC PA X NC PA NC
FLUVAsTATIN [Lescol] DL* NC PA X X PA PA sT
DL sT
FLUVAsTATIN [Lescol XL] DL* NC PA X X PA PA sT
DL sT
gEMFIBROzIL X* X* X X X X X X X X
gEMFIBROzIL [Lopid] FE sT X PA X X NC PA X
LOVAsTATIN DL* DL* X X X DL DL X DL X*
LOVAsTATIN ER [Altoprev] DL FE NC sT PA PA X PA NC sT
sT
LOVAsTATIN/NIACIN [Advicor] DL* FE DL sT PA PA X X X PA X
NIACIN (OTC) NC NC DL PA NC X X X
NIACIN ER X* X* X X X X X X X*