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Prescription Drug Step Therapy

 

Our Step Therapy Program saves members money be encouraging their doctors to try less expensive drugs before using the newest, most expensive ones.

Check this list for the specific drugs and procedures for review

 

SSRIs guidelines form
Cymbalta Cymbalta GuidelinesDownload PDF Cymbalta PA FormDownload PDF
Effexor XR Effexor XR GuidelinesDownload PDF Effexor XR PA FormDownload PDF
Lexapro Lexapro GuidelinesDownload PDF Lexapro PA FormDownload PDF
Paxil CR Paxil CR GuidelinesDownload PDF Paxil CR PA FormDownload PDF
Prozac Weekly Prozac Weekly GuidelinesDownload PDF Prozac Weekly PA FormDownload PDF
     
Non Sedating Anti Histamines guidelines form
Allegra Allegra GuidelinesDownload PDF Allegra PA FormDownload PDF
Clarinex Clarinex GuidelinesDownload PDF Clarinex PA FormDownload PDF
Zyrtec Zyrtec GuidelinesDownload PDF Zyrtec PA FormDownload PDF
     
COX-2 Inhibitors guidelines form
Celebrex Celebrex GuidelinesDownload PDF Celebrex PA FormDownload PDF
     
Proton Pump Inhibitors guidelines form
Aciphex Aciphex GuidelinesDownload PDF Aciphex PA Form
Nexium Nexium Guidelines Nexium PA FormDownload PDF
Prevacid Prevacid GuidelinesDownload PDF Prevacid PA FormDownload PDF
Prilosec Prilosec GuidelinesDownload PDF Prilosec PA FormDownload PDF
Protonix Protonix GuidelinesDownload PDF Protonix PA FormDownload PDF
Zegerid Zegerid GuidelinesDownload PDF Zegerid PA FormDownload PDF
     
Angiotensin Receptor Blockers guidelines form
Atacand Atacand GuidelinesDownload PDF Atacand PA FormDownload PDF
Atacand HCT Atacand HCT GuidelinesDownload PDF Atacand HCT PA FormDownload PDF
Avalide Avalide GuidelinesDownload PDF Avalide PA FormDownload PDF
Avapro Avapro GuidelinesDownload PDF Avapro PA FormDownload PDF
Benicar Benicar GuidelinesDownload PDF Benicar PA FormDownload PDF
Benicar HCT Benicar HCT GuidelinesDownload PDF Benicar HCT PA FormDownload PDF
Cozaar Cozaar GuidelinesDownload PDF Cozaar PA FormDownload PDF
Diovan Diovan GuidelinesDownload PDF Diovan PA FormDownload PDF
Diovan HCT Diovan HCT GuidelinesDownload PDF Diovan HCT PA FormDownload PDF
Hyzaar Hyzaar GuidelinesDownload PDF Hyzaar PA FormDownload PDF
Micardis Micardis GuidelinesDownload PDF Micardis PA FormDownload PDF
Micardis HCT Micardis HCT GuidelinesDownload PDF Micardis HCT PA FormDownload PDF
Teveten Teveten GuidelinesDownload PDF Teveten PA FormDownload PDF
Teveten HCT Teveten HCT GuidelinesDownload PDF Teveten HCT PA FormDownload PDF