Health Insurance Exchanges Essential Drug List Individual (Public ) Drugs that Require Step Therapy LABEL NAME CRITERIA
A documented trial of one month of one of the covered alternatives: ADAPALENE, BENZOYL PEROXIDE/ERYTHROMYCIN, BENZOYL PEROXIDE/CLINDAMYCIN, TRETINOIN
A documented trial of one month of one of the covered alternatives: ADAPALENE, BENZOYL PEROXIDE/ERYTHROMYCIN, BENZOYL PEROXIDE/CLINDAMYCIN, TRETINOIN
A documented trial of one month of the covered alternative: OXANDROLONE
A documented trial of one month of one of the covered alternatives: EPROSARTAN, IRBESARTAN, LOSARTAN, IRBESARTAN/HCTZ, LOSARTAN/HCTZ, VALSARTAN/HCTZ, CANDESARTAN, CANDESARTAN/HCTZ
A documented trial of one month of one of the covered alternatives: ENOXAPARIN, FONDAPARINUX
A documented trial of one month of one of the covered alternatives: buproprion/ SR/ XL, citalopram, escitalopram, fluvoxamine, fluoxetine, mirtazapine/ ODT, paroxetine/ CR, sertraline, venlafaxine, or venlafaxine SR
A documented trial of one month of one of the covered alternatives: buproprion/ SR/ XL, citalopram, escitalopram, fluvoxamine, fluoxetine, mirtazapine/ ODT, paroxetine/ CR, sertraline, venlafaxine, or venlafaxine SR
A documented trial of one month of one of the covered alternatives: buproprion/ SR/ XL, citalopram, escitalopram, fluvoxamine, fluoxetine, mirtazapine/ ODT, paroxetine/ CR, sertraline, venlafaxine, or venlafaxine SR
A documented trial of one month of one of the covered alternatives: MONTELUKAST, ZAFIRLUKAST
A documented trial of one month of one of the covered alternative: ATORVASATATIN, FLUVASTATIN, LOVASTATIN, SIMVASTATIN, PRAVASTATIN
A documented trial of one month of one of the covered alternative: ATORVASATATIN, FLUVASTATIN, LOVASTATIN, SIMVASTATIN, PRAVASTATIN
A documented trial of one month of one of the covered alternative: ATORVASATATIN, FLUVASTATIN, LOVASTATIN, SIMVASTATIN, PRAVASTATIN
A documented trial of one month of one of the covered alternative: ATORVASATATIN, FLUVASTATIN, LOVASTATIN, SIMVASTATIN, PRAVASTATIN
A documented trial of one month of one of the covered alternatives: HALOPERIDOL, LOXAPINE, CHLORPROMAZINE, FLUPHENAZINE, PERPHENAZINE,PROCHLORPERAZINE, THIORIDAZINE HCL, TRIFLUOPERAZINE HCL,
A documented trial of one day or one course of one of the covered alternatives: GRANISETRON, ONDANSETRON
A documented trial of one day or one course of one of the covered alternatives: GRANISETRON, ONDANSETRON
A documented trial of one month of one of the covered alternatives: CANDESARTAN, CANDESARTAN/HCTZ, EPROSARTAN MESYLATE, IRBESARTAN, LOSARTAN POTASSIUM, IRBESARTAN/HCTZ, LOSARTAN
A documented trial of one month of one of the covered alternatives: CANDESARTAN, CANDESARTAN/HCTZ, EPROSARTAN MESYLATE, IRBESARTAN, LOSARTAN POTASSIUM, IRBESARTAN/HCTZ, LOSARTAN
A documented trial of one month of one of the covered alternatives: CANDESARTAN, CANDESARTAN/HCTZ, EPROSARTAN MESYLATE, IRBESARTAN, LOSARTAN POTASSIUM, IRBESARTAN/HCTZ, LOSARTAN
A documented trial of one month of one of the covered alternatives: CANDESARTAN, CANDESARTAN/HCTZ, EPROSARTAN MESYLATE, IRBESARTAN, LOSARTAN POTASSIUM, IRBESARTAN/HCTZ, LOSARTAN
A documented trial of one month of one of the covered alternatives: CANDESARTAN, CANDESARTAN/HCTZ, EPROSARTAN MESYLATE, IRBESARTAN, LOSARTAN POTASSIUM, IRBESARTAN/HCTZ, LOSARTAN
A documented trial of one month of one of the covered alternatives: CANDESARTAN, CANDESARTAN/HCTZ, EPROSARTAN MESYLATE, IRBESARTAN, LOSARTAN POTASSIUM, IRBESARTAN/HCTZ, LOSARTAN
A documented trial of one month of one of the covered alternatives: CANDESARTAN, CANDESARTAN/HCTZ, EPROSARTAN MESYLATE, IRBESARTAN, LOSARTAN POTASSIUM, IRBESARTAN/HCTZ, LOSARTAN
A documented trial of one month of one of the covered alternatives: CANDESARTAN, CANDESARTAN/HCTZ, EPROSARTAN MESYLATE, IRBESARTAN, LOSARTAN POTASSIUM, IRBESARTAN/HCTZ, LOSARTAN
A documented trial of one month of one of the covered alternatives: AMPHETAMINE/DEXTROAMPHETAMINE, DEXTROAMPHETAMINE, DEXMETHYLPHENIDATE, METHYLPHENIDATE, METHAMPHETAMINE
A documented trial of one month of one of the covered alternatives: RISPERIDONE, QUETIAPINE, OLANZAPINE, ZIPRASIDONE,OLANZAPINE/FLUOXETINE
A documented trial of one month of one of the covered alternatives: RISPERIDONE, QUETIAPINE, OLANZAPINE, ZIPRASIDONE,OLANZAPINE/FLUOXETINE
A documented trial of one month of one of the covered alternatives: RISPERIDONE, QUETIAPINE, OLANZAPINE, ZIPRASIDONE,OLANZAPINE/FLUOXETINE
A documented trial of one month of one of the covered alternatives: RISPERIDONE, QUETIAPINE, OLANZAPINE, ZIPRASIDONE,OLANZAPINE/FLUOXETINE
A documented trial of one month of one of the covered alternatives: RISPERIDONE, QUETIAPINE, OLANZAPINE, ZIPRASIDONE,OLANZAPINE/FLUOXETINE
A documented trial of one month of one of the covered alternatives: RISPERIDONE, QUETIAPINE, OLANZAPINE, ZIPRASIDONE,OLANZAPINE/FLUOXETINE
A documented trial of one month of one of the covered alternatives: RISPERIDONE, QUETIAPINE, OLANZAPINE, ZIPRASIDONE,OLANZAPINE/FLUOXETINE
A documented trial of one month of one of the covered alternatives: RISPERIDONE, QUETIAPINE, OLANZAPINE, ZIPRASIDONE,OLANZAPINE/FLUOXETINE
A documented trial of one month of one of the covered alternatives: RISPERIDONE, QUETIAPINE, OLANZAPINE, ZIPRASIDONE,OLANZAPINE/FLUOXETINE
A documented trial of one month of the covered alternative: PIOGLITAZONE
A documented trial of one month of the covered alternative: SELEGILINE HCL
A documented trial of one month of one of the covered alternatives: ALFUZOSIN, TAMSULOSIN, FINASTERIDE, DOXAZOSIN
A documented trial of one month of one of the covered alternatives: ALFUZOSIN, TAMSULOSIN, FINASTERIDE, DOXAZOSIN
A documented trial of one month of one of the covered alternatives: ALFUZOSIN, TAMSULOSIN, FINASTERIDE, DOXAZOSIN
A documented trial of one month of one of the covered alternatives: ALFUZOSIN, TAMSULOSIN, FINASTERIDE, DOXAZOSIN
A documented trial of one month of the covered alternative: ZOLEDRONIC ACID MONOHYDRATE
A documented trial of one month of the covered alternative: ZOLEDRONIC ACID MONOHYDRATE
A documented trial of one month of one of the covered alternatives: ALENDRONATE SODIUM, ETIDRONATE DISODIUM, IBANDRONATE
A documented trial of one month of one of the covered alternatives: ALENDRONATE SODIUM, ETIDRONATE DISODIUM, IBANDRONATE
A documented trial of one month of one of the covered alternatives: ALENDRONATE SODIUM, ETIDRONATE DISODIUM, IBANDRONATE
A documented trial of one month of the covered alternative : CALCIPOTRIENE
A documented trial of one month of the covered alternative : CALCIPOTRIENE
A documented trial of one month of the covered alternative : CALCIPOTRIENE
A documented trial of one month of the covered alternative : CALCIPOTRIENE
A documented trial of one month of the covered alternative : CALCIPOTRIENE
A documented trial of one week or one course of the covered alternatives: HYDROCORTISONE ACETATE and UREA
A documented trial of one month of one of the covered alternatives: ETHOSUXIMIDE, ZONISAMIDE
A documented trial of one day or one course of one of the covered alternatives: GRANISETRON, ONDANSETRON
A documented trial of one month of the covered alternative: CHOLESTYRAMINE
A documented trial of one month of the covered alternative: CHOLESTYRAMINE
A documented trial of one month of one of the covered alternatives: CIDOFOVIR, GANCICLOVIR
A documented trial of one month of each of the covered alternatives: TIMOLOL and BRIMONIDINE
A documented trial of one month of the covered alternative:ENTACAPONE
A documented trial of one month of the covered alternative:ENTACAPONE
A documented trial of one month of one of the covered alternatives: IPRATROPIUM/ SOL ALBUTEROL, IPRATROPIUM, ALBUTEROL
A documented trial of one month of one of the covered alternatives: CALCIPOTRIENE, TOPICAL CORTICOSTEROIDS
A documented trial of one month of one of the covered alternatives: CALCIPOTRIENE, TOPICAL CORTICOSTEROIDS
A documented trial of one month of one of the covered alternatives: CALCIPOTRIENE, TOPICAL CORTICOSTEROIDS
A documented trial of one month of one of the covered alternatives: CALCIPOTRIENE, TOPICAL CORTICOSTEROIDS
A documented trial of one week of the covered alternative: VANCOMYCIN
Health Insurance Exchanges Essential Drug List Individual (Public ) Drugs that Require Step Therapy LABEL NAME CRITERIA
A documented trial of one month of one of the covered alternatives: APRISO
A documented trial of one day or one course of one of the covered alternatives: GRANISETRON, ONDANSETRON
A documented trial of one day or one course of one of the covered alternatives: GRANISETRON, ONDANSETRON
A documented trial of one day or one course of one of the covered alternatives: GRANISETRON, ONDANSETRON
A documented trial of one day or one course of one of the covered alternatives: GRANISETRON, ONDANSETRON
A documented trial of one application (1 day) of the covered alternative: LIDOCAINE-PRILOCAINE
A documented trial of one month of one of the covered alternatives: phenelzine, tranylcypromine
A documented trial of one month of the covered alternative: ESTRADIOL
A documented trial of one month of the covered alternative: ESTRADIOL
A documented trial of one month of the covered alternative: ESTRADIOL
A documented trial of one month of each of the covered alternatives: ESTRADIOL, PROGESTERONE MICRONIZED CAP
A documented trial of one month of each of the covered alternatives: ESTRADIOL, PROGESTERONE MICRONIZED CAP
A documented trial of one month of one of the covered alternatives: ALENDRONATE SODIUM, ETIDRONATE DISODIUM, IBANDRONATE
A documented trial of one month of one of the covered alternatives: APRACLONIDINE, BRIMONIDINE, DORZOLAMIDE
A documented trial of one month of one of the covered alternatives: LATANOPROST, TRAVOPROST
A documented trial of one month of one of the covered alternatives: LATANOPROST, TRAVOPROST
A documented trial of one month of one of the covered alternatives: ALLOPURINOL, PROBENECID, PROBENECID-COLCHICINE
A documented trial of one month of one of the covered alternatives: ALLOPURINOL, PROBENECID, PROBENECID-COLCHICINE
A documented trial of one month of one of the covered alternatives: VICTRELIS
A documented trial of one month of one of the covered alternatives: PEG-INTRON
A documented trial of one month of the covered alternative: BUDESONIDE SUSP
A documented trial of one month of the covered alternative: BUDESONIDE SUSP
A documented trial of one course (1 day) of one of the covered alternatives: LACTULOSE, PEG 3350
A documented trial of one month of one of the covered alternatives: AMPHETAMINE/DEXTROAMPHETAMINE, DEXMETHYLPHENIDATE, METHYLPHENIDATE, METHAMPHETAMINE, AND CLONIDINE, OR GUANFACINE
A documented trial of one month of one of the covered alternatives: AMPHETAMINE/DEXTROAMPHETAMINE, DEXMETHYLPHENIDATE, METHYLPHENIDATE, METHAMPHETAMINE, AND CLONIDINE, OR GUANFACINE
A documented trial of one month of one of the covered alternatives: AMPHETAMINE/DEXTROAMPHETAMINE, DEXMETHYLPHENIDATE, METHYLPHENIDATE, METHAMPHETAMINE, AND CLONIDINE, OR GUANFACINE
A documented trial of one month of the covered alternative: LACTULOSE
A documented trial of one month of one of the covered alternatives: LEVIMIR
A documented trial of one month of one of the covered alternatives: LEVIMIR
A documented trial of 14 days of one of the covered alternative(s) : NARATRIPTAN, SUMATRIPTAN, RIZATRIPTAN /RIZATRIPTAN ODT, ZOLMITRIPTAN / ZOLMITRIPTAN ODT
A documented trial of 14 days of one of the covered alternative(s) : NARATRIPTAN, SUMATRIPTAN, RIZATRIPTAN /RIZATRIPTAN ODT, ZOLMITRIPTAN / ZOLMITRIPTAN ODT
A documented trial of 14 days of one of the covered alternative(s) : NARATRIPTAN, SUMATRIPTAN, RIZATRIPTAN /RIZATRIPTAN ODT, ZOLMITRIPTAN / ZOLMITRIPTAN ODT
A documented trial of 14 days of one of the covered alternative(s) : NARATRIPTAN, SUMATRIPTAN, RIZATRIPTAN /RIZATRIPTAN ODT, ZOLMITRIPTAN / ZOLMITRIPTAN ODT
A documented trial of 14 days of one of the covered alternative(s) : NARATRIPTAN, SUMATRIPTAN, RIZATRIPTAN /RIZATRIPTAN ODT, ZOLMITRIPTAN / ZOLMITRIPTAN ODT
A documented trial of 14 days of one of the covered alternative(s) : NARATRIPTAN, SUMATRIPTAN, RIZATRIPTAN /RIZATRIPTAN ODT, ZOLMITRIPTAN / ZOLMITRIPTAN ODT
A documented trial of 14 days of one of the covered alternative(s) : NARATRIPTAN, SUMATRIPTAN, RIZATRIPTAN /RIZATRIPTAN ODT, ZOLMITRIPTAN / ZOLMITRIPTAN ODT
A documented trial of 14 days of one of the covered alternative(s) : NARATRIPTAN, SUMATRIPTAN, RIZATRIPTAN /RIZATRIPTAN ODT, DIHYDROERGOTAMINE NASAL SPRAY, ZOLMITRIPTAN / ZOLMITRIPTAN ODT
A documented trial of two days of the preferred generic: morphine sr 24hr
A documented trial of two days of the preferred generic: morphine sr 24hr
A documented trial of one course (1 day) of the covered alternative: DIPHENOXYLATE/ATROPINE TAB
A documented trial of one month of one of the covered alternative: EXTAVIA
A documented trial of one month of one of the covered alternative: EXTAVIA
A documented trial of one month of one of the covered alternative: EXTAVIA
A documented trial of one month of one of the covered alternative: EXTAVIA
A documented trial of one month of one of the covered alternative: EXTAVIA
A documented trial of one month of one of the covered alternative: EXTAVIA
A documented trial of one month of one of the covered alternatives: AMIODARONE, DISOPYRAMIDE, FLECAINIDE, MEXILETINE, PROCAINAMIDE, PROPAFENONE, QUINIDINE GL, QUINIDINE SU, SORINE, SOTALOL AF,
A documented trial of one month of one of the covered alternatives: pramipexole, ropinirole / ER
A documented trial of two weeks of one of the covered alternatives: DESLORATADINE, LEVOCETIRIZINE
A documented trial of one month of one of the covered alternatives: LEVIMIR
A documented trial of one month of one of the covered alternatives: Humalog/Humalog Kwik/Humalog Mix, Humulin R U-100/N/Mix
A documented trial of one month of one of the covered alternatives: Humalog/Humalog Kwik/Humalog Mix, Humulin R U-100/N/Mix
A documented trial of one month of one of the covered alternatives: Humalog/Humalog Kwik/Humalog Mix, Humulin R U-100/N/Mix
A documented trial of one month of one of the covered alternatives: Humalog/Humalog Kwik/Humalog Mix, Humulin R U-100/N/Mix
A documented trial of one month of one of the covered alternatives: Humalog/Humalog Kwik/Humalog Mix, Humulin R U-100/N/Mix
A documented trial of one month of one of the covered alternatives: Humalog/Humalog Kwik/Humalog Mix, Humulin R U-100/N/Mix
A documented trial of one month of one of the covered alternatives: Humalog/Humalog Kwik/Humalog Mix, Humulin R U-100/N/Mix
A documented trial of one month of one of the covered alternatives: Humalog/Humalog Kwik/Humalog Mix, Humulin R U-100/N/Mix
NOVOLOG MIX INJ FLEXPEN A documented trial of one month of one of the covered alternatives: Humalog/Humalog Kwik/Humalog Mix, Humulin R U-100/N/Mix
A documented trial of two weeks each of two preferred generic nonsteroidal anti-inflammatory agents: DICLOFENAC, ETODOLAC, FENOPROFEN, IBUPROFEN, INDOMETHACIN, KETOROLAC, MEFANAMIC ACID,
A documented trial of two weeks each of two preferred generic nonsteroidal anti-inflammatory agents: DICLOFENAC, ETODOLAC, FENOPROFEN, IBUPROFEN, INDOMETHACIN, KETOROLAC, MEFANAMIC ACID,
A documented trial of one month of the covered alternative: MODAFINIL
A documented trial of one month of the covered alternative: MODAFINIL
A documented trial of one month of one of the covered alternatives: AZELASTINE, CROMOLYN, EPINASTINE
A documented trial of one month of one of the covered alternatives: AZELASTINE, CROMOLYN, EPINASTINE
Health Insurance Exchanges Essential Drug List Individual (Public ) Drugs that Require Step Therapy LABEL NAME CRITERIA
A documented trial of one month of one of the covered alternatives: AZELASTINE, CROMOLYN, EPINASTINE
A documented trial of one month of one of the covered alternatives: AZELASTINE, CROMOLYN, EPINASTINE
A documented trial of one month of one of the covered alternatives: AZELASTINE, CROMOLYN, EPINASTINE
A documented trial of one month of one of the covered alternatives: AZELASTINE, CROMOLYN, EPINASTINE
A documented trial of one month of one of the covered alternatives: AZELASTINE, CROMOLYN, EPINASTINE
A documented trial of 3 DAYS of one of the covered alternatives: BROMFENAC, DICLOFENAC, FLURBIPROFEN, KETOROLAC
A documented trial of one month of one of the covered alternatives: DEXAMETHASONE OP, FLUOROMETHOLONE, PREDNISOLONE ACETATE, PREDNISOLONE SOD PHOS
A documented trial of one month of one of the covered alternatives: DEXAMETHASONE OP, FLUOROMETHOLONE, PREDNISOLONE ACETATE, PREDNISOLONE SOD PHOS
A documented trial of one month of one of the covered alternatives: DEXAMETHASONE OP, FLUOROMETHOLONE, PREDNISOLONE ACETATE, PREDNISOLONE SOD PHOS
A documented trial of one month of one of the covered alternatives: DEXAMETHASONE OP, FLUOROMETHOLONE, PREDNISOLONE ACETATE, PREDNISOLONE SOD PHOS
A documented trial of one month of one of the covered alternatives: DEXAMETHASONE OP, FLUOROMETHOLONE, PREDNISOLONE ACETATE, PREDNISOLONE SOD PHOS
A documented trial of two days of one of the covered alternatives: FENTANYL PATCH, OXYCODONE, OXYMORPHONE, METHADONE, MORPHINE SULFATE SR, TRAMADOL ER
A documented trial of two days of one of the covered alternatives: FENTANYL PATCH, OXYCODONE, OXYMORPHONE, METHADONE, MORPHINE SULFATE SR, TRAMADOL ER
A documented trial of one month of one of the covered alternatives: Tradjenta.
A documented trial of one month of one of the covered alternatives: Tradjenta.
A documented trial of one day or one course of one of the covered alternatives: LINDANE, MALATHION, PERMETHRIN
A documented trial of one day or one course of one of the covered alternatives: LINDANE, MALATHION, PERMETHRIN
A documented trial of one day or one course of one of the covered alternatives: LINDANE, MALATHION, PERMETHRIN
A documented trial of one course of the covered alternative: PEG-3350
A documented trial of one month of one of the covered alternatives: PEG-INTRON
A documented trial of one month of one of the covered alternatives: PEG-INTRON
A documented trial of one month of one of the covered alternatives: PEG-INTRON
A documented trial of one month of one of the covered alternatives: ZENPEP
A documented trial of one month of the covered alternative :PODOFILOX
A documented trial of one month of one of the covered alternatives: gabapentin, lamotrigine, levetiracetam, oxcarbazepine, tiagabine, topiramate,zonisamide
ORAPRED SOL 15MG/5ML A documented adeqiate trial of up to a month of of the covered alternative: PREDNISOLONE SODIUM PHOSPHATE
A documented trial of one month of one of the covered alternatives: AMPHETAMINE/DEXTROAMPHETAMINE, DEXTROAMPHETAMINE, DEXMETHYLPHENIDATE, METHYLPHENIDATE, METHAMPHETAMINE
A documented trial of one month of one of the covered alternatives: LANSOPRAZOLE, OMEPRAZOLE, PANTOPRAZOLE
A documented trial of one month of one of the covered alternatives: LANSOPRAZOLE, OMEPRAZOLE, PANTOPRAZOLE
A documented trial of one month of one of the covered alternatives: LANSOPRAZOLE, OMEPRAZOLE, PANTOPRAZOLE
A documented trial of one month of one of the covered alternatives: LANSOPRAZOLE, OMEPRAZOLE, PANTOPRAZOLE
A documented trial of one month of one of the covered alternatives: LANSOPRAZOLE, OMEPRAZOLE, PANTOPRAZOLE
A documented trial of one month of the covered alternative: SILDENAFIL
A documented trial of one month of the covered alternative: SILDENAFIL
A documented trial of one month of the covered alternative: SILDENAFIL
A documented trial of one month of the covered alternative: SILDENAFIL
A documented trial of one month of the covered alternative: SILDENAFIL
A documented trial of one month of one of the covered alternatives: FOSRENOL
A documented trial of one month of one of the covered alternatives: RILUZOLE
A documented trial of two days of one of the covered alternatives: ZALEPLON, ZOLPIDEM
A documented trial of two days of one of the covered alternatives: ZALEPLON, ZOLPIDEM
A documented trial of one month of one of the covered alternatives: CARISOPRODOL, CHLORZOXAZONE, CYCLOBENZAPRINE, METAXALONE, METHOCARBAMOL, ORPHENADRINE, TIZANIDINE
A documented trial of one month of the covered alternative: BUPRENORPHINE/NALOXONE SL
A documented trial of one month of the covered alternative: BUPRENORPHINE/NALOXONE SL
A documented trial of one month of one of the covered alternatives: DANAZOL, METHITEST, TESTOSTERONE CYPIONATE, TESTOSTERONE ENANTHATE
A documented trial of one week or one course of one of the covered alternatives: AMCINONIDE, BETAMETHASONE, DESONIDE, FLUTICASONE, ALCLOMETASONE
A documented trial of one week or one course of one of the covered alternatives: AMCINONIDE, BETAMETHASONE, DESONIDE, FLUTICASONE, ALCLOMETASONE
A documented trial of one week or one course of one of the covered alternatives: FLUCONAZOLE, ITRACONAZOLE, KETOCONAZOLE, VORICONAZOLE
A documented trial of one month of one of the covered alternatives: OXYBUTYNIN, TOLTERODINE, TROSPIUM
A documented trial of one month of one of the covered alternatives: OXYBUTYNIN, TOLTERODINE, TROSPIUM
A documented trial of one month of one of the covered alternatives: OXYBUTYNIN, TOLTERODINE, TROSPIUM
A documented trial of one month of one of the covered alternatives: CIDOFOVIR, GANCICLOVIR
A documented trial of one month of one of the covered alternatives: CIDOFOVIR, GANCICLOVIR
A documented trial of one month of the covered alternative: CALCITRIOL
A documented trial of one month of one of the covered alternatives: CARBAMAZEPINE, DIVALPROEX SODIUM, ETHOSUXAMIDE, FOSPHENYTOIN, GABAPENTIN, LAMOTRIGINE, LEVTIRACETAM, OXCARBAZEPINE,
A documented trial of two weeks of one covered alternative indicated for the member's condition: LACTULOSE,AZITHROMYCIN, CIPROFLOXACIN
A documented trial of one week of the covered alternative: ACYCLOVIR OINTMENT
A documented trial of one week of the covered alternative: ACYCLOVIR OINTMENT
A documented trial of one month of the covered alternative: BUPROPION HCL
A documented trial of one month of the covered alternative: BUPROPION HCL
A documented trial of one month of the covered alternative: BUPROPION HCL
LIST OF PUBLICATIONS REFERRED TO IN THE 23RD EDITION (2012 – 2013) OF THE BELGIUM – LUXEMBOURG VERSION OF THE SANFORDGUIDE TO ANTIMICROBIAL THERAPY TABLE 14D PARASITIC INFECTIONS: TREATMENT OF INFECTIONS DUE TO CESTODES Walker MD, Zunt JR. Neuroparasitic infections: cestodes, trematodes and protozoan García HH (Cysticercosis Working Group in Peru). Neurocysticercosis i
Upsala J Med Sci 110 (3): 267–273, 2005 A Low Carbohydrate Diet in Type 1 Diabetes: Clinical Experience – A Brief Report Jørgen Vesti Nielsen, Eva Jönsson, Anette Ivarsson Department of Medicine, Blekingesjukhuset, Karlshamn, Sweden Due to failure to achieve control twenty-two patients with type 1 diabetes with sympto-matic fluctuating blood glucose started on a diet limited to 7