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FORMULARY PRODUCT QUICK REFERENCE

NonFormulary Product Formulary Alternatives
Actos Avandia (GSK)
Allegra OTC loratadine products only
Allegra-D OTC loratadine/pseudoephedrine products only
Ambien temazepam (generic), triazolam (generic)
Axert Amerge (GlaxoSmithKline), Maxalt (Merck & Co.), Imitrex (GSK)
Carbatrol Tegretol XR (Novartis)
Clarinex OTC loratadine products only
Diprolene betamethasone (generic)
Flomax doxazosin (generic), terazosin (generic), Uroxatral (Sanofi)
Meclomen diclofenac (generic), etodolac (generic), flurbiprofen (generic)
Micardis Benicar (Sankyo), Diovan (Novartis)
Micardis HCT Benicar HCT (Sankyo), Diovan HCT (Novartis)
Nexium Prilosec OTC (Procter & Gamble), Aciphex (Janssen)
omeprazole (generic) Prilosec OTC (Procter & Gamble)
PCE erythromycin (various generics)
Pravachol lovastatin (generic), Lipitor (Pfizer)
Prevacid Prilosec OTC (Procter & Gamble), Aciphex (Janssen)
Proscar Avodart (GSK)
Protonix Prilosec OTC (Procter & Gamble), Aciphex (Janssen)
Provigil dextroamphetamine sulfate (generic)
Renagel Phoslo (Braintree)
Retin-A Micro tretinoin (generic)
tizanidine HCl (generic) baclofen (generic), cyclobenzaprine (generic), chlorzoxazone (generic)
Tolectin, Tolectin DS diclofenac (generic), etodolac (generic), flurbiprofen (generic)
Trileptal carbamazepine (generic), phenytoin (generic), Depakote (Abbott)
Xopenex albuterol (generic)
Zetia cholestyramine light (generic), lovastatin (generic)
Zocor lovastatin (generic), Lipitor (Pfizer)
Zyrtec OTC loratadine products only
Zyrtec-D OTC loratadine/pseudoephedrine products only

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