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Microsoft word - qhp_st web file effective 6-1-2013

STEP THERAPY ALGORITHMS – QHP MAPD Formulary
Treatment Group
Description
Step 1: One of the following:

Step 2: Actoplus Met
Step 1: One of the following:
a. Metformin b. Sulfonylurea c. Insulin d. Byetta
Step 2: Formulary Actos
Step 1: One of the following:

Step 2: Advair Diskus or Advair HFA
2013-0601
Treatment Group
Description
Step 1: Two of the following:

Step 2: Glyset or Precose (including acarbose)
Step 1: One of the following:
c. ACE inhibitor/calcium channel blocker combination d. Losartan Step 2: Micardis or Micardis HCT
Step 1: One of the following:
c. ACE inhibitor/calcium channel blocker combination Step 2: Benicar, Benicar HCT, or Diovan, Diovan HCT
Step 1: One of the following Tier 1 or Tier 2 antidepressants:
Step 2: Emsam or Pexeva or Fluoxetine 90 mg DR
Step 1: One of the following:

Step 2: Aricept 23 mg
2013-0601
Treatment Group
Description
Step 1: One of the following:
c. ACE inhibitor/calcium channel blocker combination d. Angiotensin II Receptor Antagonist e. Angiotensin II Receptor Antagonist Combination Step 2: Azor
Step 1: Alendronate
Step 2: Atelvia or Actonel
Step 1: One of the following:
a. Metformin b. Sulfonylurea c. Thiazolidinedione d. Insulin
Step 2:
Bydureon
Step 1: Pilocarpine

Step 2: Evoxac
Step 1: One of the following:
b. Dextroamphetamine c. Dexmethylphenidate d. Methylphenidate
Step 2: Strattera
2013-0601
Treatment Group
Description
Dipeptidyl Peptidase 4 Inhibitor Therapy Step 1: One of the following:
a. Metformin b. Sulfonylurea c. Thiazolidinedione
Step 2: Januvia or Onglyza
Janumet, Janumet Dipeptidyl Peptidase 4 Inhibitor/ Metformin Step 1: One of the following:

Step 2: Janumet or Janumet XR or Kombiglyze XR
Step 1: One of the following:

Step 2: Duetact
Step 1: One of the following atypical antipsychotics:
Step 2: Fanapt
Step 1: Generic atypical antipsychotic

Step 2
: Geodon
2013-0601
Treatment Group
Description
Step 1: One of the following:
b. Sulfonylurea c. Insulin d. Thiazolidinedione
Step 2: Byetta or Victoza
Step 1: One tier 1 or tier 2 inhaled corticosteroid

Step 2: Alvesco
Step 1: Any one formulary ADHD stimulant

Step 2
: Intuniv
Step 1: One of the following:
b. Formulary Inhaled corticosteroid c. Formulary Inhaled Beta-agonist/Corticosteroid combination d. Formulary Oral Corticosteroid
Step 2
: Zyflo or Zyflo CR
Step 1: One of the following:

Step 2: Foradil or Serevent
Step 1: Two of the following:
a. Metformin b. Sulfonylurea c. Thiazolidinedione (TZD) d. Insulin e. Byetta.
Step 2: Prandin
2013-0601
Treatment Group
Description
Step 1: One of the following:

Step 2: Emadine
Step 1: Ophthalmic prednisolone acetate
Step 2: FML Forte or Vexol
Step 1: Generic morphine sulfate ER
Step 2: Oxycontin
Step 1: One of the following:
b. Beta-blocker c. Calcium-channel blocker
Step 2: Ranexa
Step 1: Renvela.
Step 2: Renagel.
Step 1: Cyclobenzaprine (immediate-release)
Step 2: Cyclobenzaprine (extended-release) or generic Cyclobenzaprine IR
Step 1: Carbidopa/levodopa (immediate release) AND Comtan
Step 2: Stalevo
2013-0601
Treatment Group
Description
Step 1: One of the following:
a. Simvastatin b. Lovastatin c. Pravastatin d. Lipitor/Atorvastatin e. Crestor
Step 2: Altoprev
Step 1: One of the following:
a. Lipitor/Atorvastatin b. Crestor c. Fluvastatin
Step 2: Vytorin
Step 1: One of the following:
a. Inhaled corticosteroid b. Long-acting beta agonist c. Inhaled anticholinergic agent d. Theophylline Step 2: Symbicort
Step 1: Topical Corticosteroid

Step 2: Elidel or Protopic
Step 1: One of the following:
a. ACE inhibitor b. ACE inhibitor combination c. Angiotensin II receptor blocker d. Angiotensin II receptor blocker combination
Step 2: Tribenzor
2013-0601
Treatment Group
Description
Step 1: Naratriptan or Sumatriptan

Step 2: Axert, Frova, or Relpax
Step 1: One of the following:
b. ACE inhibitor combination c. Angiotensin II Receptor Blocker d. Angiotensin II Receptor Blocker Combination
Step 2:
Twynsta
Step 1: Allopurinol

Step 2: Uloric
Step 1: One Tier 1 or Tier 2 SSRI or SNRI
Step 2:
Viibryd
Step 1: Albuterol (nebulizer)

Step 2: Xopenex Nebulizer
Step 1: Cetirizine syrup

Step 2 Levocetirizine Syrup
Step 1: Selegiline

Step 2: Zelapar
*Step therapy applies to new starts only
2013-0601

Source: http://qualityhealthplansny.com/13398_QHP_ST%20Web%20File%20Effective%201-1-2013.pdf

C:\documents and settings\disp\my documents\media releases\media release - undercover drug operation nets 163 indictments - 4-2

Office of the SheriffAnderson County, Tennessee FOR IMMEDIATE RELEASE Undercover Drug Operation Nets 163 Indictments One hundred sixty-three indictments for eighty-eight persons on drug related charges havebeen returned by an Anderson County Grand Jury after investigations by the AndersonCounty Sheriff’s Department in cooperation with the Tennessee Bureau of Investigation,the Oak Ridge, La

eerstekamer.nl

Voorzitter - Wijziging van de begroting - Wijziging van de begroting van de uitgaven en de ontvang- van de uitgaven en de ontvang- sten van het Ministerie van sten van het Infrastructuurfonds Financie ¨ n (IXB) voor het jaar voor het jaar 1995 (wijziging 1995 (wijziging samenhangende samenhangende met de Najaars- met de Najaarsnota) (24526); nota) (24536);

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