Drug Benefit List
24:00 CARDIOVASCULAR DRUGS
24:04.04 ANTIARRHYTHMIC AGENTS
AMIODARONE HCL
- 200MG Tablet
- 02246194 APO-AMIODARONE APX
- 02036282 CORDARONE WAY
- 02240604 GEN-AMIODARONE GEN
- 02239835 NOVO-AMIODARONE NOP
- 02242472 PMS-AMIODARONE PMS
- 02240071 RATIO-AMIODARONE RPH
- 02243836 RHOXAL-AMIODARONE SDZ
- 02245781 RIVA-AMIODARONE PHH
DISOPYRAMIDE
- 100MG Capsule
- 02224801 RYTHMODAN SAC
- 150MG Capsule
- 02224828 RYTHMODAN SAC
- 150MG Controlled Release Tablet
- 02030810 NORPACE CR SHI
- 250MG Tablet
- 02224836 RYTHMODAN LA SAC
FLECAINIDE ACETATE
- 50MG Tablet
- 02275538 APO-FLECAINIDE APX
- 01966197 TAMBOCOR MMH
- 100MG Tablet
- 02275546 APO-FLECAINIDE APX
- 01966200 TAMBOCOR MMH
MEXILETINE HCL
- 100MG Capsule
- 02230359 NOVO-MEXILETINE NOP
- 200MG Capsule
- 02230360 NOVO-MEXILETINE NOP
PROCAINAMIDE HCL
- 250MG Sustained Release Tablet
- 00638692 PROCAN
SR PFI
- 500MG Sustained Release Tablet
- 00638676 PROCAN
SR PFI
- 750MG Sustained Release Tablet
- 00638684 PROCAN
SR PFI
PROPAFENONE HCL
- 150MG Tablet
- 02243324 APO-PROPAFENONE APX
- 02245372 GEN-PROPAFENONE GEN
- 02249480 NU-PROPAFENONE NXP
- 02243727 PMS-PROPAFENONE PMS
- 00603708 RYTHMOL ABB
- 300MG Tablet
- 02243325 APO-PROPAFENONE APX
- 02245373 GEN-PROPAFENONE GEN
- 02243728 PMS-PROPAFENONE PMS
- 00603716 RYTHMOL ABB
QUINIDINE SULFATE
- 200MG Tablet
- 00441740 APO-QUINIDINE APX
24:04.08 CARDIOTONIC AGENTS
DIGOXIN
- 0.05MG/ML Elixir
- 02242320 LANOXIN VIR
- 0.0625MG Tablet
- 02242321 LANOXIN VIR
- 0.125MG Tablet
- 02242322 LANOXIN VIR
- 0.25MG Tablet
- 02242323 LANOXIN VIR
24:06.04 BILE ACID SEQUESTRANTS
CHOLESTYRAMINE RESIN
- 4G Powder
- 00999968 NOVO-CHOLAMINE NOP *
- 00999967 NOVO-CHOLAMINE
LIGHT NOP *
- 02139197 NOVO-CHOLAMINE
LIGHT NOP
- 09853502 NOVO-CHOLAMINE
LIGHT NOP
- 02139189 NOVO-CHOLAMINE
REGULAR NOP
- 02141795 PMS-CHOLESTYRAMINE PMS
- 00890960 PMS-CHOLESTYRAMINE
LIGHT PMS
- 02125463 PMS-CHOLESTYRAMINE
LIGHT PMS
- 02207745 PMS-CHOLESTYRAMINE
REGULAR PMS
- 02210320 PMS-CHOLESTYRAMINE
REGULAR PMS
- 01918486 QUESTRAN LIGHT BMS
COLESTIPOL HCL
- 5G Granules
- 00642975 COLESTID PFI
- 02132699 COLESTID ORANGE PFI
- 1G Tablet
- 02132680 COLESTID PFI
24:06.05 CHOLESTEROL ABSORPTION INHIBITORS
EZETIMIBE
Limited use benefit (prior approval required).
a.- For use in combination with a HMG-CoA reductase inhibitor ('statin')
in patients with hypercholesterolemia who have not reached target LDL
levels despite the use of maximally tolerated “statin” doses.
b.- For use as monotherapy in the management of hypercholesterolemia
in patients intolerant to HMG-CoA reductase inhibitors.
- 10MG Tablet
- 02247521 EZETROL MSP
24:06.06 FIBRIC ACID DERIVATIVES
BEZAFIBRATE
- 400MG Sustained Release Tablet
- 02083523 BEZALIP SR HLR
- 200MG Tablet
- 02240331 PMS-BEZAFIBRATE PMS
FENOFIBRATE
- 67MG Capsule
- 02243180 APO-FENO-MICRO APX
- 02243551 NOVO-FENOFIBRATE NOP
- 100MG Capsule
- 02225980 APO-FENOFIBRATE APX
- 02231495 NOVO-FENOFIBRATE NOP
- 02223600 NU-FENOFIBRATE NXP
- 200MG Capsule
- 02239864 APO-FENO-MICRO APX
- 02240360 FENO-MICRO PDL
- 02240210 GEN-FENOFIBRATE GEN
- 02146959 LIPIDIL MICRO FOU
- 02243552 NOVO-FENOFIBRATE NOP
- 02249715 NU-FENO-MICRO NXP
- 02231780 PMS-FENOFIBRATE PMS
- 02273551 PMS-FENOFIBRATE
MICRO PMS
- 02250039 RATIO-FENOFIBRATE RPH
- 02247306 RIVA-FENOFIBRATE
MICRO RIV
- 48MG Tablet
- 02269074 LIPIDIL EZ FOU
- 100MG Tablet
- 02246859 APO-FENO-SUPER APX
- 02241601 LIPIDIL SUPRA FOU
- 145MG Tablet
- 02269082 LIPIDIL EZ FOU
- 160MG Tablet
- 02246860 APO-FENO-SUPER APX
- 02241602 LIPIDIL SUPRA FOU
GEMFIBROZIL
- 300MG Capsule
- 01979574 APO-GEMFIBROZIL APX
- 02241608 DOM-GEMFIBROZIL DPC
- 02136031 GEMFIBROZIL PDL
- 02242390 GEMFIBROZIL SCN
- 02185407 GEN-FIBRO GEN
- 00599026 LOPID PFI
- 02241704 NOVO-GEMFIBROZIL NOP
- 02058456 NU-GEMFIBROZIL NXP
- 02239951 PMS-GEMFIBROZIL PMS
- 600MG Tablet
- 01979582 APO-GEMFIBROZIL APX
- 02230580 DOM-GEMFIBROZIL DPC
- 02136058 GEMFIBROZIL PDL
- 02230476 GEN-GEMFIBROZIL GEN
- 00659606 LOPID PFI
- 02237292 MED-GEMFIBROZIL MEC
- 02142074 NOVO-GEMFIBROZIL NOP
- 02058464 NU-GEMFIBROZIL NXP
- 02229604 PENTA-GEMFIBROZIL PEN
- 02230183 PMS-GEMFIBROZIL PMS
- 02242126 RIVA-GEMFIBROZIL RIV
24:06.08 HMG-COA REDUCTASE INHIBITORS
ATORVASTATIN CALCIUM
- 10MG Tablet
- 02230711 LIPITOR PFI
- 20MG Tablet
- 02230713 LIPITOR PFI
- 40MG Tablet
- 02230714 LIPITOR PFI
- 80MG Tablet
- 02243097 LIPITOR PFI
FLUVASTATIN SODIUM
- 20MG Capsule
- 02061562 LESCOL NVR
- 40MG Capsule
- 02061570 LESCOL NVR
- 80MG Extended Release Tablet
- 02250527 LESCOL
XL NOV
LOVASTATIN
- 20MG Tablet
- 02220172 APO-LOVASTATIN APX
- 02248572 CO-LOVASTATIN COB
- 02243127 GEN-LOVASTATIN GEN
- 02239955 LOVASTATIN-20 PDL
- 00795860 MEVACOR FRS
- 02246542 NOVO-LOVASTATIN NOP
- 02231434 NU-LOVASTATIN NXP *
- 02246013 PMS-LOVASTATIN PMS
- 02267969 RAN-LOVASTATIN RBY
- 02245822 RATIO-LOVASTATIN RPH
- 02247056 RHOXAL-LOVASTATIN RHO
- 40MG Tablet
- 02220180 APO-LOVASTATIN APX
- 02248573 CO-LOVASTATIN COB
- 02243129 GEN-LOVASTATIN GEN
- 02239956 LOVASTATIN-40 PDL
- 00795852 MEVACOR FRS
- 02246543 NOVO-LOVASTATIN NOP
- 02246014 PMS-LOVASTATIN PMS
- 02267977 RAN-LOVASTATIN RBY
- 02245823 RATIO-LOVASTATIN RPH
- 02247057 RHOXAL-LOVASTATIN RHO
PRAVASTATIN SODIUM
- 10MG Tablet
- 02243506 APO-PRAVASTATIN APX
- 02265613 BCI-PRAVASTATIN BCI
- 02242865 BIOPRAVASTATIN BIH *
- 02249723 DOM-PRAVASTATIN DPC
- 02257092 GEN-PRAVASTATIN GEN
- 02247008 NOVO-PRAVASTATIN NOP
- 02244350 NU-PRAVASTATIN NXP
- 02247655 PMS-PRAVASTATIN PMS
- 00893749 PRAVACHOL BMS
- 02243824 PRAVASTATIN-10 PDL
- 02246930 RATIO-PRAVASTATIN RPH
- 02247856 RHOXAL-PRAVASTATIN RHO
- 20MG Tablet
- 02243507 APO-PRAVASTATIN APX
- 02265621 BCI-PRAVASTATIN BCI
- 02242866 BIOPRAVASTATIN BIH *
- 02249731 DOM-PRAVASTATIN DPC
- 02257106 GEN-PRAVASTATIN GEN
- 02247009 NOVO-PRAVASTATIN NOP
- 02244351 NU-PRAVASTATIN NXP
- 02247656 PMS-PRAVASTATIN PMS
- 00893757 PRAVACHOL BMS
- 02243825 PRAVASTATIN-20 PDL
- 02246931 RATIO-PRAVASTATIN RPH
- 02247857 RHOXAL-PRAVASTATIN RHO
- 40MG Tablet
- 02243508 APO-PRAVASTATIN APX
- 02265648 BCI-PRAVASTATIN BCI
- 02242867 BIOPRAVASTATIN BIH *
- 02249758 DOM-PRAVASTATIN DPC
- 02257114 GEN-PRAVASTATIN GEN
- 02247010 NOVO-PRAVASTATIN NOP
- 02244352 NU-PRAVASTATIN NXP
- 02247657 PMS-PRAVASTATIN PMS
- 02222051 PRAVACHOL BMS
- 02243826 PRAVASTATIN-40 PDL
- 02246932 RATIO-PRAVASTATIN RPH
- 02247858 RHOXAL-PRAVASTATIN RHO
ROSUVASTATIN CALCIUM
- 5MG Tablet
- 02265540 CRESTOR AZC
- 10MG Tablet
- 02247162 CRESTOR AZC
- 20MG Tablet
- 02247163 CRESTOR AZC
- 40MG Tablet
- 02247164 CRESTOR AZC
SIMVASTATIN
- 5MG Tablet
- 02247011 APO-SIMVASTATIN APX
- 02265656 BCI-SIMVASTATIN BCI
- 02248103 CO-SIMVASTATIN COB
- 02253747 DOM-SIMVASTATIN DPC
- 02246582 GEN-SIMVASTATIN GEN
- 02250144 NOVO-SIMVASTATIN NOP
- 02247072 NU-SIMVASTATIN NXP
- 02252619 PMS-SIMVASTATIN PMS
- 02269252 PMS-SIMVASTATIN PMS
- 02247067 RATIO-SIMVASTATIN RPH
- 02247827 RHOXAL-SIMVASTATIN RHO
- 02247297 RIVA-SIMVASTATIN RIV
- 02247531 SIMVASTATIN PRE
- 00884324 ZOCOR FRS
- 10MG Tablet
- 02247012 APO-SIMVASTATIN APX
- 02265664 BCI-SIMVASTATIN BCI
- 02248104 CO-SIMVASTATIN COB
- 02253755 DOM-SIMVASTATIN DPC
- 02246583 GEN-SIMVASTATIN GEN
- 02250152 NOVO-SIMVASTATIN NOP
- 02247075 NU-SIMVASTATIN NXP
- 02252635 PMS-SIMVASTATIN PMS
- 02269260 PMS-SIMVASTATIN PMS
- 02247068 RATIO-SIMVASTATIN RPH
- 02247828 RHOXAL-SIMVASTATIN RHO
- 02247298 RIVA-SIMVASTATIN RIV
- 02247532 SIMVASTATIN PRE
- 02247221 SIMVASTATIN-10 PDL
- 02265885 TARO-SIMVASTATIN TAR
- 00884332 ZOCOR FRS
- 20MG Tablet
- 02247013 APO-SIMVASTATIN APX
- 02265672 BCI-SIMVASTATIN BCI
- 02248105 CO-SIMVASTATIN COB
- 02253763 DOM-SIMVASTATIN DPC
- 02246737 GEN-SIMVASTATIN GEN
- 02250160 NOVO-SIMVASTATIN NOP
- 02247076 NU-SIMVASTATIN NXP
- 02252643 PMS-SIMVASTATIN PMS
- 02269279 PMS-SIMVASTATIN PMS
- 02247069 RATIO-SIMVASTATIN RPH
- 02247830 RHOXAL-SIMVASTATIN RHO
- 02247299 RIVA-SIMVASTATIN RIV
- 02247533 SIMVASTATIN PRE
- 02247222 SIMVASTATIN-20 PDL
- 02265893 TARO-SIMVASTATIN TAR
- 00884340 ZOCOR FRS
- 40MG Tablet
- 02247014 APO-SIMVASTATIN APX
- 02265680 BCI-SIMVASTATIN BCI
- 02248106 CO-SIMVASTATIN COB
- 02253771 DOM-SIMVASTATIN DPC
- 02246584 GEN-SIMVASTATIN GEN
- 02250179 NOVO-SIMVASTATIN NOP
- 02247077 NU-SIMVASTATIN NXP
- 02252651 PMS-SIMVASTATIN PMS
- 02269287 PMS-SIMVASTATIN PMS
- 02247070 RATIO-SIMVASTATIN RPH
- 02247831 RHOXAL-SIMVASTATIN RHO
- 02247300 RIVA-SIMVASTATIN RIV
- 02247534 SIMVASTATIN PRE
- 02247223 SIMVASTATIN-40 PDL
- 02265907 TARO-SIMVASTATIN TAR
- 00884359 ZOCOR FRS
- 80MG Tablet
- 02247015 APO-SIMVASTATIN APX
- 02265699 BCI-SIMVASTATIN BCI
- 02248107 CO-SIMVASTATIN COB
- 02253798 DOM-SIMVASTATIN DPC
- 02246585 GEN-SIMVASTATIN GEN
- 02250187 NOVO-SIMVASTATIN NOP
- 02247078 NU-SIMVASTATIN NXP
- 02252678 PMS-SIMVASTATIN PMS
- 02269295 PMS-SIMVASTATIN PMS
- 02247071 RATIO-SIMVASTATIN RAT
- 02247833 RHOXAL-SIMVASTATIN RHO
- 02247301 RIVA-SIMVASTATIN RIV
- 02247535 SIMVASTATIN PRE
- 02240332 ZOCOR FRS
24:08.16 CENTRAL ALPHA-AGONISTS
CLONIDINE HCL
- 0.025MG Tablet
- 02248732 APO-CLONIDINE APX
- 00519251 DIXARIT BOE
- 0.1MG Tablet
- 00868949 APO-CLONIDINE APX
- 00259527 CATAPRES BOE
- 01910396 CLONIDINE PRO
- 02046121 NOVO-CLONIDINE NOP
- 01913786 NU-CLONIDINE NXP
- 0.2MG Tablet
- 00868957 APO-CLONIDINE APX
- 00291889 CATAPRES BOE
- 01908162 CLONIDINE PRO
- 02046148 NOVO-CLONIDINE NOP
- 01913220 NU-CLONIDINE NXP
METHYLDOPA
- 125MG Tablet
- 00360252 APO-METHYLDOPA APX
- 00456365 METHYLDOPA PDL
- 250MG Tablet
- 00360260 APO-METHYLDOPA APX
- 00453714 METHYLDOPA PDL
- 500MG Tablet
- 00426830 APO-METHYLDOPA APX
- 00456373 METHYLDOPA PDL
METHYLDOPA, HYDROCHLOROTHIAZIDE
- 250MG & 15MG Tablet
- 00441708 APO-METHAZIDE-15 APX
- 250MG & 25MG Tablet
- 00441716 APO-METHAZIDE-25 APX
24:08.20 DIRECT VASODILATORS
DIAZOXIDE
- 100MG Capsule
- 00503347 PROGLYCEM SCH
HYDRALAZINE HCL
- 10MG Tablet
- 00441619 APO-HYDRALAZINE APX
- 01913638 HYDRALAZINE PDL
- 00759465 NOVO-HYLAZIN NOP
- 01913204 NU-HYDRAL NXP
- 25MG Tablet
- 00441627 APO-HYDRALAZINE APX
- 02082071 HYDRALAZINE PDL
- 00759473 NOVO-HYLAZIN NOP
- 02004828 NU-HYDRAL NXP
- 50MG Tablet
- 00441635 APO-HYDRALAZINE APX
- 02082098 HYDRALAZINE PDL
- 00759481 NOVO-HYLAZIN NOP
- 02004836 NU-HYDRAL NXP
MINOXIDIL
- 2.5MG Tablet
- 00514497 LONITEN PFI
- 10MG Tablet
- 00514500 LONITEN PFI
24:12.08 NITRATES AND NITRITES
ISOSORBIDE DINITRATE
- 5MG Sublingual Tablet
- 00670944 APO-ISDN APX
- 00658812 ISOSORBIDE PDL
- 10MG Tablet
- 00441686 APO-ISDN APX
- 00584266 ISOSORBIDE PDL
- 00786667 PMS-ISOSORBIDE PMS
- 30MG Tablet
- 00441694 APO-ISDN APX
- 00786640 PMS-ISOSORBIDE PMS
NITROGLYCERIN
- 2% Ointment
- 01926454 NITROL SQU
- 0.2MG Patch
- 02162806 MINITRAN MMH
- 01911910 NITRO-DUR KEY
- 00584223 TRANSDERM-NITRO NVR
- 02230732 TRINIPATCH TRT
- 0.4MG Patch
- 02163527 MINITRAN MMH
- 01911902 NITRO-DUR KEY
- 00852384 TRANSDERM-NITRO NVR
- 02230733 TRINIPATCH TRT
- 0.6MG Patch
- 02163535 MINITRAN MMH
- 01911929 NITRO-DUR KEY
- 02046156 TRANSDERM-NITRO NVR
- 02230734 TRINIPATCH TRT
- 0.8MG Patch
- 02011271 NITRO-DUR KEY
- 0.4MG Spray
- 02243588 GEN-NITRO GEN
- 02238998 RHO-NITRO PUMPSPRAY SAC
- 0.4MG/DOSE Spray CFC-Free
- 02231441 NITROLINGUAL
PUMPSPRAY SAC
- 0.3MG Sublingual Tablet
- 00037613 NITROSTAT PFI
- 0.6MG Sublingual Tablet
- 00037621 NITROSTAT PFI
24:12.92 MISCELLANEOUS VASODILATING AGENTS
DIPYRIDAMOLE
- 25MG Tablet
- 00895644 APO-DIPYRIDAMOLE APX
- 02229396 PDL-DIPYRIDAMOLE PDL
- 50MG Tablet
- 00895652 APO-DIPYRIDAMOLE APX
- 02229397 PDL-DIPYRIDAMOLE PDL
- 00067393 PERSANTINE BOE
- 75MG Tablet
- 00895660 APO-DIPYRIDAMOLE APX
- 02229398 PDL-DIPYRIDAMOLE PDL
- 00452092 PERSANTINE BOE
DIPYRIDAMOLE, ACETYLSALICYLIC ACID
Limited use benefit (prior approval required).
For secondary prevention of stroke or transient ischemic attacks (TIAs)
in patients who have failed therapy with ASA alone.
- 200MG & 25MG Capsule
- 02242119 AGGRENOX BOE
NIMODIPINE
- 30MG Capsule
- 02155923 NIMOTOP BAY
24:20.00 ALPHA ADRENERGIC BLOCKING AGENTS
DOXAZOSIN MESYLATE
- 1MG Tablet
- 02240588 APO-DOXAZOSIN APX
- 01958100 CARDURA 1 AZC
- 02240978 DOXAZOSIN PDL
- 02240498 GEN-DOXAZOSIN GEN
- 02242728 NOVO-DOXAZOSIN NOP
- 02244527 PMS-DOXAZOSIN PMS
- 02243215 RATIO-DOXAZOSIN RPH
- 2MG Tablet
- 02240589 APO-DOXAZOSIN APX
- 01958097 CARDURA 2 AZC
- 02240979 DOXAZOSIN PDL
- 02240499 GEN-DOXAZOSIN GEN
- 02242729 NOVO-DOXAZOSIN NOP
- 02244528 PMS-DOXAZOSIN PMS
- 02243216 RATIO-DOXAZOSIN RPH
- 4MG Tablet
- 02240590 APO-DOXAZOSIN APX
- 01958119 CARDURA 4 AZC
- 02240980 DOXAZOSIN PDL
- 02240500 GEN-DOXAZOSIN GEN
- 02242730 NOVO-DOXAZOSIN NOP
- 02244529 PMS-DOXAZOSIN PMS
- 02243217 RATIO-DOXAZOSIN RPH
PRAZOSIN HCL
- 1MG Tablet
- 00882801 APO-PRAZO APX
- 00560952 MINIPRESS ERF
- 01934198 NOVO-PRAZIN NOP
- 01913794 NU-PRAZO NXP
- 01907158 PRAZOSIN PDL
- 2MG Tablet
- 00882828 APO-PRAZO APX
- 00560960 MINIPRESS ERF
- 01934201 NOVO-PRAZIN NOP
- 01913808 NU-PRAZO NXP
- 01910302 PRAZOSIN PDL
- 5MG Tablet
- 00882836 APO-PRAZO APX
- 00560979 MINIPRESS ERF
- 01934228 NOVO-PRAZIN NOP
- 01913816 NU-PRAZO NXP
- 01910310 PRAZOSIN PDL
TERAZOSIN HCL
- 1MG Tablet
- 02234502 APO-TERAZOSIN APX
- 02243746 DOM-TERAZOSIN DPC
- 00818658 HYTRIN ABB
- 02230805 NOVO-TERAZOSIN NOP
- 02233047 NU-TERAZOSIN NXP
- 02237476 PDL-TERAZOSIN PDL
- 02243518 PMS-TERAZOSIN PMS
- 02218941 RATIO-TERAZOSIN RPH
- 2MG Tablet
- 02234503 APO-TERAZOSIN APX
- 02243747 DOM-TERAZOSIN DPC
- 00818682 HYTRIN ABB
- 02230806 NOVO-TERAZOSIN NOP
- 02233048 NU-TERAZOSIN NXP
- 02237477 PDL-TERAZOSIN PDL
- 02243519 PMS-TERAZOSIN PMS
- 02218968 RATIO-TERAZOSIN RPH
- 5MG Tablet
- 02234504 APO-TERAZOSIN APX
- 02243748 DOM-TERAZOSIN DPC
- 00818666 HYTRIN ABB
- 02230807 NOVO-TERAZOSIN NOP
- 02233049 NU-TERAZOSIN NXP
- 02237478 PDL-TERAZOSIN PDL
- 02243520 PMS-TERAZOSIN PMS
- 02218976 RATIO-TERAZOSIN RPH
- 10MG Tablet
- 02234505 APO-TERAZOSIN APX
- 02243749 DOM-TERAZOSIN DPC
- 00818674 HYTRIN ABB
- 02230808 NOVO-TERAZOSIN NOP
- 02233050 NU-TERAZOSIN NXP
- 02237479 PDL-TERAZOSIN PDL
- 02243521 PMS-TERAZOSIN PMS
- 02218984 RATIO-TERAZOSIN RPH
- 7x1MG & 7x2MG & 14x5MG Tablet - Starter Pak
- 02187876 HYTRIN ABB
24:24.00 BETA ADRENERGIC BLOCKING AGENTS
ACEBUTOLOL HCL
- 100MG Tablet
- 02164396 ACEBUTOLOL PDL
- 02147602 APO-ACEBUTOLOL APX
- 02237721 GEN-ACEBUTOLOL GEN
- 02237885 GEN-ACEBUTOLOL
(TYPE S) GEN
- 02239758 MED-ACEBUTOLOL MEC
- 02239754 MED-ACEBUTOLOL
(TYPE S) MEC
- 02204517 NOVO-ACEBUTOLOL NOP
- 02165546 NU-ACEBUTOLOL NXP
- 02231251 PENTA-ACEBUTOLOL PEN
- 01910140 RHOTRAL SAC
- 02257599 RHOXAL-ACEBUTOLOL RHO
- 01926543 SECTRAL SAC
- 200MG Tablet
- 02164418 ACEBUTOLOL PDL
- 02147610 APO-ACEBUTOLOL APX
- 02237722 GEN-ACEBUTOLOL GEN
- 02237886 GEN-ACEBUTOLOL
(TYPE S) GEN
- 02239759 MED-ACEBUTOLOL MEC
- 02239755 MED-ACEBUTOLOL
(TYPE S) MEC
- 02036436 MONITAN WAY
- 02204525 NOVO-ACEBUTOLOL NOP
- 02165554 NU-ACEBUTOLOL NXP
- 02231252 PENTA-ACEBUTOLOL PEN
- 01910159 RHOTRAL SAC
- 02257602 RHOXAL-ACEBUTOLOL RHO
- 01926551 SECTRAL SAC
- 400MG Tablet
- 02164426 ACEBUTOLOL PDL
- 02147629 APO-ACEBUTOLOL APX
- 02237723 GEN-ACEBUTOLOL GEN
- 02237887 GEN-ACEBUTOLOL
(TYPE S) GEN
- 02239760 MED-ACEBUTOLOL MEC
- 02239756 MED-ACEBUTOLOL
(TYPE S) MEC
- 02036444 MONITAN WAY
- 02204533 NOVO-ACEBUTOLOL NOP
- 02165562 NU-ACEBUTOLOL NXP
- 02231253 PENTA-ACEBUTOLOL PEN
- 01910167 RHOTRAL SAC
- 02257610 RHOXAL-ACEBUTOLOL RHO
- 01926578 SECTRAL SAC
ATENOLOL
- 25MG Tablet
- 02266660 NOVO-ATENOL NOP
- 02246581 PMS-ATENOLOL PMS
- 50MG Tablet
- 00773689 APO-ATENOL APX
- 00828807 ATENOLOL PDL
- 02220679 ATENOLOL IVX
- 02257629 BCI-ATENOLOL BCI
- 02255545 CO-ATENOLOL COB
- 02229467 DOM-ATENOLOL DPC
- 02146894 GEN-ATENOLOL GEN
- 02188961 MED-ATENOLOL MEC
- 01912062 NOVO-ATENOL NOP
- 00886114 NU-ATENOL NXP
- 02229585 PENTA-ATENOLOL PEN
- 02238316 PHL-ATENOLOL PHH
- 02237600 PMS-ATENOLOL PMS
- 02267985 RAN-ATENOLOL RBY
- 02171791 RATIO-ATENOLOL RPH
- 02231731 RHO-ATENOLOL SDZ
- 02242094 RIVA-ATENOLOL RIV
- 02039532 TENORMIN AZC
- 100MG Tablet
- 00773697 APO-ATENOL APX
- 00828793 ATENOLOL PDL
- 02220687 ATENOLOL IVX
- 02257637 BCI-ATENOLOL BCI
- 02255553 CO-ATENOLOL COB
- 02229468 DOM-ATENOLOL DPC
- 02238570 FTP-ATENOLOL FTP
- 02147432 GEN-ATENOLOL GEN
- 02188988 MED-ATENOLOL MEC
- 01912054 NOVO-ATENOL NOP
- 00886122 NU-ATENOL NXP
- 02229586 PENTA-ATENOLOL PEN
- 02238318 PHL-ATENOLOL PHH
- 02237601 PMS-ATENOLOL PMS
- 02267993 RAN-ATENOLOL RBY
- 02171805 RATIO-ATENOLOL RPH
- 02231733 RHO-ATENOLOL SDZ
- 02242093 RIVA-ATENOLOL RIV
- 02039540 TENORMIN AZC
ATENOLOL, CHLORTHALIDONE
- 50MG & 25MG Tablet
- 02248763 APO-ATENIDONE APX
- 02049961 TENORETIC AZC
- 100MG & 25MG Tablet
- 02248764 APO-ATENIDONE APX
- 02049988 TENORETIC AZC
BISOPROLOL FUMARATE
- 5MG Tablet
- 02256134 APO-BISOPROLOL APX
- 02241148 MONOCOR BPC
- 02267470 NOVO-BIPOPROLOL NOP
- 02247439 SANDOZ-BISOPROLOL SDZ
- 10MG Tablet
- 02256177 APO-BISOPROLOL APX
- 02267489 NOVO-BIPOPROLOL NOP
- 02247440 SANDOZ-BISOPROLOL SDZ
CARVEDILOL
Limited use benefit (prior approval required).
a.- For patients with systolic heart failure of ischemic or non-ischemic
origin, with or without digoxin, PLUS
b.- Concurrent treatment with diuretics and angiotension converting enzyme
inhibitors or angiotensin receptor blockers, unless contraindicated.
- 3.125MG Tablet
- 02247933 APO-CARVEDILOL APX
- 02229650 COREG GSK
- 02248748 DOM-CARVEDILOL DPC
- 02246529 NOVO-CARVEDILOL NOP
- 02245914 PMS-CARVEDILOL PMS
- 02268027 RAN-CARVEDILOL RBY
- 02252309 RATIO-CARVEDILOL RPH
- 6.25MG Tablet
- 02247934 APO-CARVEDILOL APX
- 02229651 COREG GSK
- 02248749 DOM-CARVEDILOL DPC
- 02246530 NOVO-CARVEDILOL NOP
- 02245915 PMS-CARVEDILOL PMS
- 02268035 RAN-CARVEDILOL RBY
- 02252317 RATIO-CARVEDILOL RPH
- 12.5MG Tablet
- 02247935 APO-CARVEDILOL APX
- 02229652 COREG GSK
- 02248750 DOM-CARVEDILOL DPC
- 02246531 NOVO-CARVEDILOL NOP
- 02245916 PMS-CARVEDILOL PMS
- 02268043 RAN-CARVEDILOL RBY
- 02252325 RATIO-CARVEDILOL RPH
- 25MG Tablet
- 02247936 APO-CARVEDILOL APX
- 02229653 COREG GSK
- 02248751 DOM-CARVEDILOL DPC
- 02246532 NOVO-CARVEDILOL NOP
- 02245917 PMS-CARVEDILOL PMS
- 02268051 RAN-CARVEDILOL RBY
- 02252333 RATIO-CARVEDILOL RPH
LABETALOL HCL
- 100MG Tablet
- 02243538 APO-LABETALOL APX
- 02106272 TRANDATE SHI
- 200MG Tablet
- 02243539 APO-LABETALOL APX
- 02106280 TRANDATE SHI
METOPROLOL TARTRATE
- 100MG Sustained Release Tablet
- 00658855 LOPRESOR SR NVR
- 200MG Sustained Release Tablet
- 00497827 BETALOC DURULES AZC
- 00534560 LOPRESOR SR NVR
- 25MG Tablet
- 02246010 APO-METOPROLOL APX
- 02252252 DOM-METOPROLOL-L DPC
- 02261898 NOVO-METOPROL
CT NOP
- 02248855 PMS-METOPROLOL-L PMS
- 50MG Tablet
- 00618632 APO-METOPROLOL APX
- 00749354 APO-METOPROLOL-L APX
- 00402605 BETALOC AZC
- 02172550 DOM-METOPROLOL-B DPC
- 02231121 DOM-METOPROLOL-L DPC
- 02230448 GEN-METOPROLOL GEN
- 02174545 GEN-METOPROLOL-L GEN
- 00397423 LOPRESOR NVR
- 02239771 MED-METOPROLOL MEC
- 00648019 METOPROLOL PDL
- 00842648 NOVO-METOPROL NOP
- 00648035 NOVO-METOPROL NOP
- 00865605 NU-METOP NXP
- 02232546 PENTA-METOPROLOL PEN
- 02145413 PMS-METOPROLOL-B PMS
- 02230803 PMS-METOPROLOL-L PMS
- 02247875 RHOXAL-METOPROLOL-L RHO
- 100MG Tablet
- 00618640 APO-METOPROLOL APX
- 00751170 APO-METOPROLOL-L APX
- 00402540 BETALOC AZC
- 02172569 DOM-METOPROLOL-B DPC
- 02231122 DOM-METOPROLOL-L DPC
- 02230449 GEN-METOPROLOL GEN
- 02174553 GEN-METOPROLOL-L GEN
- 00397431 LOPRESOR NVR
- 02239772 MED-METOPROLOL MEC
- 00648027 METOPROLOL PDL
- 00648043 NOVO-METOPROL NOP
- 00842656 NOVO-METOPROL-B NOP
- 00865613 NU-METOP NXP
- 02232547 PENTA-METOPROLOL PEN
- 02145421 PMS-METOPROLOL-B PMS
- 02230804 PMS-METOPROLOL-L PMS
- 02247876 RHOXAL-METOPROLOL-L RHO
NADOLOL
- 40MG Tablet
- 00782505 APO-NADOL APX
- 00828815 NADOLOL PDL
- 02126753 NOVO-NADOLOL NOP
- 00851663 RATIO-NADOLOL RPH
- 80MG Tablet
- 00782467 APO-NADOL APX
- 00463256 CORGARD BMS
- 00818704 NADOLOL PDL
- 02126761 NOVO-NADOLOL NOP
- 00851671 RATIO-NADOLOL RPH
- 160MG Tablet
- 00782475 APO-NADOL APX
- 00851698 RATIO-NADOLOL RPH
OXPRENOLOL HCL
- 40MG Tablet
- 00402575 TRASICOR NVR
- 80MG Tablet
- 00402583 TRASICOR NVR
PINDOLOL
- 5MG Tablet
- 00755877 APO-PINDOL APX
- 02231650 DOM-PINDOLOL DPC
- 02057808 GEN-PINDOLOL GEN
- 02084376 MED-PINDOLOL MEC
- 00869007 NOVO-PINDOL NOP
- 00886149 NU-PINDOL NXP
- 00828416 PINDOLOL PDL
- 02231536 PMS-PINDOLOL PMS
- 02261782 SANDOZ-PINDOLOL SDZ
- 00417270 VISKEN NVR
- 10MG Tablet
- 00755885 APO-PINDOL APX
- 02238046 DOM-PINDOLOL DPC
- 02057816 GEN-PINDOLOL GEN
- 02084384 MED-PINDOLOL MEC
- 00869015 NOVO-PINDOL NOP
- 00886009 NU-PINDOL NXP
- 00828424 PINDOLOL PDL
- 02231537 PMS-PINDOLOL PMS
- 02261790 SANDOZ-PINDOLOL SDZ
- 00443174 VISKEN NVR
- 15MG Tablet
- 00755893 APO-PINDOL APX
- 02238047 DOM-PINDOLOL DPC
- 02057824 GEN-PINDOLOL GEN
- 02084392 MED-PINDOLOL MEC
- 00869023 NOVO-PINDOL NOP
- 00886130 NU-PINDOL NXP
- 00828432 PINDOLOL PDL
- 02231539 PMS-PINDOLOL PMS
- 02261804 SANDOZ-PINDOLOL SDZ
- 00417289 VISKEN NVR
PINDOLOL, HYDROCHLOROTHIAZIDE
- 10MG & 25MG Tablet
- 00568627 VISKAZIDE NVR
- 10MG & 50MG Tablet
- 00568635 VISKAZIDE NVR
PROPRANOLOL HCL
- 60MG Long Acting Capsule
- 02042231 INDERAL LA WAY
- 80MG Long Acting Capsule
- 02042258 INDERAL LA WAY
- 120MG Long Acting Capsule
- 02042266 INDERAL LA WAY
- 160MG Long Acting Capsule
- 02042274 INDERAL LA WAY
- 10MG Tablet
- 00402788 APO-PROPRANOLOL APX
- 02137313 DOM-PROPRANOLOL DPC
- 02042177 INDERAL WAY
- 00496480 NOVO-PRANOL NOP
- 00582255 PMS-PROPRANOLOL PMS
- 00512575 PROPRANOLOL PDL
- 20MG Tablet
- 00663719 APO-PROPRANOLOL APX
- 00740675 NOVO-PRANOL NOP
- 02044692 NU-PROPRANOLOL NXP
- 00667072 PROPRANOLOL PDL
- 40MG Tablet
- 00402753 APO-PROPRANOLOL APX
- 02137321 DOM-PROPRANOLOL DPC
- 00496499 NOVO-PRANOL NOP
- 02044706 NU-PROPRANOLOL NXP
- 00582263 PMS-PROPRANOLOL PMS
- 00512532 PROPRANOLOL PDL
- 80MG Tablet
- 00402761 APO-PROPRANOLOL APX
- 02137348 DOM-PROPRANOLOL DPC
- 00496502 NOVO-PRANOL NOP
- 00582271 PMS-PROPRANOLOL PMS
- 00512540 PROPRANOLOL PDL
- 120MG Tablet
- 00504335 APO-PROPRANOLOL APX
- 00582298 PMS-PROPRANOLOL PMS
- 00667064 PROPRANOLOL PDL
SOTALOL HCL
- 80MG Tablet
- 02210428 APO-SOTALOL APX
- 02238634 DOM-SOTALOL DPC
- 02229778 GEN-SOTALOL GEN
- 02170833 LIN-SOTALOL LIN
- 02237269 MED-SOTALOL MEC
- 02231181 NOVO-SOTALOL NOP
- 02200996 NU-SOTALOL NXP
- 02238326 PMS-SOTALOL PMS
- 02084228 RATIO-SOTALOL RPH
- 02234008 RHOXAL-SOTALOL RHO
- 02257831 RHOXAL-SOTALOL RHO
- 02238768 RIVA-SOTALOL PHH
- 02222019 SOTALOL PDL
- 02238417 SOTAMOL RPH
- 160MG Tablet
- 02167794 APO-SOTALOL APX
- 02238635 DOM-SOTALOL DPC
- 02229779 GEN-SOTALOL GEN
- 02170841 LIN-SOTALOL LIN
- 02237270 MED-SOTALOL MEC
- 02231182 NOVO-SOTALOL NOP
- 02163772 NU-SOTALOL NXP
- 02238327 PMS-SOTALOL PMS
- 02084236 RATIO-SOTALOL RPH
- 02234013 RHOXAL-SOTALOL RHO
- 02257858 RHOXAL-SOTALOL RHO
- 02238769 RIVA-SOTALOL PHH
- 02222027 SOTALOL PDL
- 02238415 SOTAMOL RPH
- 240MG Tablet
- 02229780 GEN-SOTALOL GEN
TIMOLOL MALEATE
- 5MG Tablet
- 00755842 APO-TIMOL APX
- 01947796 NOVO-TIMOL NOP
- 02044609 NU-TIMOLOL NXP
- 00812455 TIMOLOL PDL
- 10MG Tablet
- 00755850 APO-TIMOL APX
- 01947818 NOVO-TIMOL NOP
- 02044617 NU-TIMOLOL NXP
- 00812447 TIMOLOL PDL
- 20MG Tablet
- 00755869 APO-TIMOL APX
- 01947826 NOVO-TIMOL NOP
- 00812439 TIMOLOL PDL
24:28.08 DIHYDROPYRIDINES
AMLODIPINE
- 5MG Tablet
- 00878928 NORVASC PFI
- 10MG Tablet
- 00878936 NORVASC PFI
FELODIPINE
- 2.5MG Sustained Release Tablet
- 02057778 PLENDIL AZC
- 02221985 RENEDIL SAC
- 5MG Sustained Release Tablet
- 00851779 PLENDIL AZC
- 02221993 RENEDIL SAC
- 10MG Sustained Release Tablet
- 00851787 PLENDIL AZC
- 02222000 RENEDIL SAC
NIFEDIPINE
- 5MG Capsule
- 00725110 APO-NIFED APX
- 02047462 NOVO-NIFEDIN NOP
- 02235897 PMS-NIFEDIPINE PMS
- 10MG Capsule
- 00755907 APO-NIFED APX
- 02236758 DOM-NIFEDIPINE DPC
- 00865591 NU-NIFED NXP
- 02235898 PMS-NIFEDIPINE PMS
- 20MG Extended Release Tablet
- 02237618 ADALAT
XL BAY
- 30MG Extended Release Tablet
- 02155907 ADALAT
XL BAY
- 60MG Extended Release Tablet
- 02155990 ADALAT
XL BAY
- 10MG Sustained Release Tablet
- 02197448 APO-NIFED PA APX
- 02211092 NIFEDIPINE PA PDL
- 02212102 NU-NIFEDIPINE
PA NXP
- 20MG Sustained Release Tablet
- 02181525 APO-NIFED PA APX
- 02211106 NIFEDIPINE PA PDL
- 02200937 NU-NIFEDIPINE
PA NXP
24:28.92 MISCELLANEOUS CALCIUM-CHANNEL BLOCKING AGENTS
DILTIAZEM HCL
- 120MG Controlled Delivery Capsule
- 02230997 APO-DILTIAZ
CD APX
- 02097249 CARDIZEM CD BPC
- 02231472 DILTIAZEM CD PDL
- 02254808 GEN-DILTIAZEM GEN
- 02242538 NOVO-DILTAZEM
CD NOP
- 02231052 NU-DILTIAZ CD NXP
- 02229781 RATIO-DILTIAZEM
CD RPH
- 02243338 RHOXAL-DILTIAZEM
CD SDZ
- 180MG Controlled Delivery Capsule
- 02230998 APO-DILTIAZ
CD APX
- 02097257 CARDIZEM CD BPC
- 02231474 DILTIAZEM CD PDL
- 02254816 GEN-DILTIAZEM GEN
- 02242539 NOVO-DILTAZEM
CD NOP
- 02231053 NU-DILTIAZ CD NXP
- 02229782 RATIO-DILTIAZEM
CD RPH
- 02243339 RHOXAL-DILTIAZEM
CD SDZ
- 240MG Controlled Delivery Capsule
- 02230999 APO-DILTIAZ
CD APX
- 02097265 CARDIZEM CD BPC
- 02231475 DILTIAZEM CD PDL
- 02254824 GEN-DILTIAZEM GEN
- 02242540 NOVO-DILTAZEM
CD NOP
- 02231054 NU-DILTIAZ CD NXP
- 02229783 RATIO-DILTIAZEM
CD RPH
- 02243340 RHOXAL-DILTIAZEM
CD SDZ
- 300MG Controlled Delivery Capsule
- 02229526 APO-DILTIAZ
CD APX
- 02097273 CARDIZEM CD BPC
- 02231057 DILTIAZEM CD PDL
- 02254832 GEN-DILTIAZEM GEN
- 02242541 NOVO-DILTAZEM
CD NOP
- 02229784 RATIO-DILTIAZEM
CD RPH
- 02243341 RHOXAL-DILTIAZEM
CD SDZ
- 120MG Extended Release Capsule
- 02231150 TIAZAC BPC
- 180MG Extended Release Capsule
- 02231151 TIAZAC BPC
- 240MG Extended Release Capsule
- 02231152 TIAZAC BPC
- 300MG Extended Release Capsule
- 02231154 TIAZAC BPC
- 360MG Extended Release Capsule
- 02231155 TIAZAC BPC
- 120MG Extended Release Tablet
- 02256738 TIAZAC
XC BPC
- 180MG Extended Release Tablet
- 02256746 TIAZAC
XC BPC
- 240MG Extended Release Tablet
- 02256754 TIAZAC
XC BPC
- 300MG Extended Release Tablet
- 02256762 TIAZAC
XC BPC
- 360MG Extended Release Tablet
- 02256770 TIAZAC
XC BPC
- 60MG Sustained Release Capsule
- 02222957 APO-DILTIAZ
SR APX
- 02097214 CARDIZEM SR BPC
- 02229406 NOVO-DILTAZEM
SR NOP
- 90MG Sustained Release Capsule
- 02222965 APO-DILTIAZ
SR APX
- 02097222 CARDIZEM SR BPC
- 02229407 NOVO-DILTAZEM
SR NOP
- 120MG Sustained Release Capsule
- 02222973 APO-DILTIAZ
SR APX
- 02097230 CARDIZEM SR BPC
- 02229408 NOVO-DILTAZEM
SR NOP
- 02271605 NOVO-DILTIAZEM
HCL ER BOV
- 02245918 SANDOZ-DILTIAZEM
T SDZ
- 180MG Sustained Release Capsule
- 02271613 NOVO-DILTIAZEM
HCL ER BOV
- 02245919 SANDOZ-DILTIAZEM
T SDZ
- 240MG Sustained Release Capsule
- 02271621 NOVO-DILTIAZEM
HCL ER BOV
- 02245920 SANDOZ-DILTIAZEM
T SDZ
- 300MG Sustained Release Capsule
- 02271648 NOVO-DILTIAZEM
HCL ER BOV
- 02245921 SANDOZ-DILTIAZEM
T SDZ
- 360MG Sustained Release Capsule
- 02271656 NOVO-DILTIAZEM
HCL ER BOV
- 02245922 SANDOZ-DILTIAZEM
T SDZ
- 30MG Tablet
- 00771376 APO-DILTIAZ APX
- 02097370 CARDIZEM BPC
- 00828785 DILTIAZEM PDL
- 02146916 GEN-DILTIAZEM GEN
- 02189038 MED-DILTIAZEM MEC
- 00862924 NOVO-DILTIAZEM NOP
- 00886068 NU-DILTIAZ NXP
- 02229593 PENTA-DILTIAZEM PEN
- 60MG Tablet
- 00771384 APO-DILTIAZ APX
- 02097389 CARDIZEM BPC
- 00828777 DILTIAZEM PDL
- 02146924 GEN-DILTIAZEM GEN
- 02189046 MED-DILTIAZEM MEC
- 00862932 NOVO-DILTIAZEM NOP
- 00886076 NU-DILTIAZ NXP
- 02229594 PENTA-DILTIAZEM PEN
VERAPAMIL HCL
- 180MG Extended Release Tablet
- 02231676 COVERA-HS PFI
- 240MG Extended Release Tablet
- 02231677 COVERA-HS PFI
- 120MG Sustained Release Tablet
- 02246893 APO-VERAP SR APX
- 02210347 GEN-VERAPAMIL
SR GEN
- 01907123 ISOPTIN SR ABB
- 180MG Sustained Release Tablet
- 02246894 APO-VERAP SR APX
- 02210355 GEN-VERAPAMIL
SR GEN
- 01934317 ISOPTIN SR ABB
- 240MG Sustained Release Tablet
- 02246895 APO-VERAP SR APX
- 02240321 DOM-VERAPAMIL
SR DPC
- 02210363 GEN-VERAPAMIL
SR GEN
- 00742554 ISOPTIN SR ABB
- 02211920 NOVO-VERAMIL
SR NOP
- 02249812 NU-VERAP SR NXP
- 02237791 PMS-VERAPAMIL
SR PMS
- 02238276 RIVA-VERAPAMIL PHH
- 80MG Tablet
- 00782483 APO-VERAP APX
- 02237921 GEN-VERAPAMIL GEN
- 00554316 ISOPTIN ABB
- 02239769 MED-VERAPAMIL MEC
- 00812331 NOVO-VERAMIL NOP
- 00886033 NU-VERAP NXP
- 02229597 PENTA-VERAPAMIL PEN
- 00871028 VERAPAMIL PDL
- 120MG Tablet
- 00782491 APO-VERAP APX
- 02237922 GEN-VERAPAMIL GEN
- 02239770 MED-VERAPAMIL MEC
- 00812358 NOVO-VERAMIL NOP
- 00886041 NU-VERAP NXP
- 02229598 PENTA-VERAPAMIL PEN
- 00871036 VERAPAMIL PDL
24:32.04 ANGIOTENSIN-CONVERTING ENZYME INHIBITORS
BENAZEPRIL HCL
- 5MG Tablet
- 00885835 LOTENSIN NVR
- 10MG Tablet
- 00885843 LOTENSIN NVR
- 20MG Tablet
- 02273918 APO-BENAZEPRIL APX
- 00885851 LOTENSIN NVR
CAPTOPRIL
- 6.25MG Tablet
- 01999559 APO-CAPTO APX
- 02237230 NOVO-CAPTOPRIL NOP
- 12.5MG Tablet
- 00893595 APO-CAPTO APX
- 00695661 CAPOTEN BMS
- 01910329 CAPTOPRIL PDL
- 02242788 CAPTOPRIL ZYM
- 02238551 DOM-CAPTOPRIL DPC
- 02238449 FTP-CAPTOPRIL FTP
- 02163551 GEN-CAPTOPRIL GEN
- 02188929 MED-CAPTOPRIL MEC
- 01942964 NOVO-CAPTORIL NOP
- 01913824 NU-CAPTO NXP
- 02234254 PENTA-CAPTOPRIL PEN
- 02230203 PMS-CAPTOPRIL PMS
- 00851639 RATIO-CAPTOPRIL RPH
- 25MG Tablet
- 00893609 APO-CAPTO APX
- 00546283 CAPOTEN BMS
- 01910337 CAPTOPRIL PDL
- 02242789 CAPTOPRIL ZYM
- 02238552 DOM-CAPTOPRIL DPC
- 02238450 FTP-CAPTOPRIL FTP
- 02163578 GEN-CAPTOPRIL GEN
- 02188937 MED-CAPTOPRIL MEC
- 01942972 NOVO-CAPTORIL NOP
- 01913832 NU-CAPTO NXP
- 02234255 PENTA-CAPTOPRIL PEN
- 02230204 PMS-CAPTOPRIL PMS
- 00851833 RATIO-CAPTOPRIL RPH
- 50MG Tablet
- 00893617 APO-CAPTO APX
- 00546291 CAPOTEN BMS
- 01910361 CAPTOPRIL PDL
- 02242790 CAPTOPRIL ZYM
- 02238553 DOM-CAPTOPRIL DPC
- 02238451 FTP-CAPTOPRIL FTP
- 02163586 GEN-CAPTOPRIL GEN
- 02188945 MED-CAPTOPRIL MEC
- 01942980 NOVO-CAPTORIL NOP
- 01913840 NU-CAPTO NXP
- 02234256 PENTA-CAPTOPRIL PEN
- 02230205 PMS-CAPTOPRIL PMS
- 00851647 RATIO-CAPTOPRIL RPH
- 100MG Tablet
- 00893625 APO-CAPTO APX
- 00546305 CAPOTEN BMS
- 02242791 CAPTOPRIL ZYM
- 02238554 DOM-CAPTOPRIL DPC
- 02163594 GEN-CAPTOPRIL GEN
- 02188953 MED-CAPTOPRIL MEC
- 01942999 NOVO-CAPTORIL NOP
- 01913859 NU-CAPTO NXP
- 02234257 PENTA-CAPTOPRIL PEN
- 02230206 PMS-CAPTOPRIL PMS
- 00851655 RATIO-CAPTOPRIL RPH
CILAZAPRIL
- 1MG Tablet
- 01911465 INHIBACE HLR
- 02266350 NOVO-CILAZAPRIL NOP
- 02280442 PMS-CILAZAPRIL PMS
- 2.5MG Tablet
- 01911473 INHIBACE HLR
- 02266369 NOVO-CILAZAPRIL NOP
- 02280450 PMS-CILAZAPRIL PMS
- 5MG Tablet
- 01911481 INHIBACE HLR
- 02266377 NOVO-CILAZAPRIL NOP
- 02280469 PMS-CILAZAPRIL PMS
CILAZAPRIL, HYDROCHLOROTHIAZIDE
- 5MG & 12.5MG Tablet
- 02181479 INHIBACE PLUS HLR
ENALAPRIL MALEATE
- 2.5MG Tablet
- 00851795 VASOTEC FRS
- 5MG Tablet
- 00708879 VASOTEC FRS
- 10MG Tablet
- 00670901 VASOTEC FRS
- 20MG Tablet
- 00670928 VASOTEC FRS
ENALAPRIL MALEATE, HYDROCHLOROTHIAZIDE
- 5MG & 12.5MG Tablet
- 02242826 VASERETIC FRS
- 10MG & 25MG Tablet
- 00657298 VASERETIC FRS
FOSINOPRIL SODIUM
- 10MG Tablet
- 02266008 APO-FOSINOPRIL APX
- 02262401 GEN-FOSINOPRIL GEN
- 02242733 LIN-FOSINOPRIL LIN
- 01907107 MONOPRIL BMS
- 02247802 NOVO-FOSINOPRIL NOP
- 02255944 PMS-FOSINOPRIL PMS
- 02275252 RATIO-FOSINOPRIL RPH
- 20MG Tablet
- 02266016 APO-FOSINOPRIL APX
- 02262428 GEN-FOSINOPRIL GEN
- 02242734 LIN-FOSINOPRIL LIN
- 01907115 MONOPRIL BMS
- 02247803 NOVO-FOSINOPRIL NOP
- 02255952 PMS-FOSINOPRIL PMS
- 02275260 RATIO-FOSINOPRIL RPH
LISINOPRIL
- 5MG Tablet
- 09853685 APO-LISINOPRIL APX *
- 02217481 APO-LISINOPRIL
(TYPE Z) APX
- 00839388 PRINIVIL FRS
- 02049333 ZESTRIL AZC
- 10MG Tablet
- 09853960 APO-LISINOPRIL APX *
- 02217503 APO-LISINOPRIL
(TYPE Z) APX
- 00839396 PRINIVIL FRS
- 02049376 ZESTRIL AZC
- 20MG Tablet
- 09854010 APO-LISINOPRIL APX *
- 02217511 APO-LISINOPRIL
(TYPE Z) APX
- 00839418 PRINIVIL FRS
- 02049384 ZESTRIL AZC
LISINOPRIL, HYDROCHLOROTHIAZIDE
- 10MG & 12.5MG Tablet
- 02108194 PRINZIDE FRS
- 02103729 ZESTORETIC AZC
- 20MG & 12.5MG Tablet
- 00884413 PRINZIDE FRS
- 02045737 ZESTORETIC AZC
- 20MG & 25MG Tablet
- 00884421 PRINZIDE FRS
- 02045729 ZESTORETIC AZC
PERINDOPRIL ERBUMINE
- 2MG Tablet
- 02123274 COVERSYL SEV
- 4MG Tablet
- 02123282 COVERSYL SEV
- 8MG Tablet
- 02246624 COVERSYL SEV
PERINDOPRIL ERBUMINE, INDAPAMIDE
- 4MG & 1.25MG Tablet
- 02246569 COVERSYL PLUS SEV
QUINAPRIL HCL
- 5MG Tablet
- 01947664 ACCUPRIL PFI
- 10MG Tablet
- 01947672 ACCUPRIL PFI
- 20MG Tablet
- 01947680 ACCUPRIL PFI
- 40MG Tablet
- 01947699 ACCUPRIL PFI
QUINAPRIL HCL, HYDROCHLOROTHIAZIDE
- 10MG & 12.5MG Tablet
- 02237367 ACCURETIC PFI
- 20MG & 12.5MG Tablet
- 02237368 ACCURETIC PFI
- 20MG & 25MG Tablet
- 02237369 ACCURETIC PFI
RAMIPRIL
- 1.25MG Capsule
- 02221829 ALTACE SAC
- 2.5MG Capsule
- 02221837 ALTACE SAC
- 5MG Capsule
- 02221845 ALTACE SAC
- 10MG Capsule
- 02221853 ALTACE SAC
TRANDOLAPRIL
- 0.5MG Capsule
- 02231457 MAVIK ABB
- 1MG Capsule
- 02231459 MAVIK ABB
- 2MG Capsule
- 02231460 MAVIK ABB
- 4MG Capsule
- 02239267 MAVIK ABB
24:32.08 ANGIOTENSIN II RECEPTOR ANTAGONISTS
CANDESARTAN CILEXETIL
- 8MG Tablet
- 02239091 ATACAND AZC
- 16MG Tablet
- 02239092 ATACAND AZC
CANDESARTAN CILEXETIL, HYDROCHLOROTHIAZIDE
- 16MG/12.5MG Tablet
- 02244021 ATACAND PLUS AZC
EPOSARTAN MESYLATE
- 400MG Tablet
- 02240432 TEVETEN SPH
- 600MG Tablet
- 02243942 TEVETEN SPH
EPOSARTAN MESYLATE, HYDROCHLOROTHIAZIDE
- 600MG/12.5MG Tablet
- 02253631 TEVETEN PLUS SPH
IRBESARTAN
- 75MG Tablet
- 02237923 AVAPRO SAC
- 150MG Tablet
- 02237924 AVAPRO SAC
- 300MG Tablet
- 02237925 AVAPRO SAC
IRBESARTAN, HYDROCHLOROTHIAZIDE
- 150MG & 12.5MG Tablet
- 02241818 AVALIDE SAC
- 300MG & 12.5MG Tablet
- 02241819 AVALIDE SAC
- 300MG & 25MG Tablet
- 02280213 AVALIDE SAC
LOSARTAN POTASSIUM
- 25MG Tablet
- 02182815 COZAAR FRS
- 50MG Tablet
- 02182874 COZAAR FRS
- 100MG Tablet
- 02182882 COZAAR FRS
LOSARTAN POTASSIUM, HYDROCHLOROTHIAZIDE
- 50MG & 12.5MG Tablet
- 02230047 HYZAAR FRS
- 100MG & 25MG Tablet
- 02241007 HYZAAR
DS FRS
TELMISARTAN
- 40MG Tablet
- 02240769 MICARDIS BOE
- 80MG Tablet
- 02240770 MICARDIS BOE
TELMISARTAN, HYDROCHLOROTHIAZIDE
- 80MG & 12.5MG Tablet
- 02244344 MICARDIS PLUS BOE
VALSARTAN
- 40MG Tablet
- 02270528 DIOVAN NVR
- 80MG Tablet
- 02244781 DIOVAN NVR
- 160MG Tablet
- 02244782 DIOVAN NVR
VALSARTAN, HYDROCHLOROTHIAZIDE
- 80MG & 12.5MG Tablet
- 02241900 DIOVAN-HCT NVR
- 160MG & 12.5MG Tablet
- 02241901 DIOVAN-HCT NVR
- 160MG & 25MG Tablet
- 02246955 DIOVAN-HCT NVR
24:32.20 MINERALOCORTICOIDE (ALDOSTERONE) RECEPTOR
ANTAGONISTS
SPIRONOLACTONE
- 25MG Tablet
- 00028606 ALDACTONE PFI
- 00613215 NOVO-SPIROTON NOP
- 100MG Tablet
- 00285455 ALDACTONE PFI
- 00613223 NOVO-SPIROTON NOP
|