Maintenancedruglist.pdf

FORM #DL909737
Effective January 1, 2004
BRAND/TRADE NAME✹✹ See Note
GENERIC NAME
BRAND/TRADE NAME✹✹ See Note
GENERIC NAME
ACCURETIC
QUINAPRIL/HCTZ
DIOVAN HCT
VALSARTAN/HCTZ
PIOGLITAZONE
NIACIN XR / LOVASTATIN
AGGRENOX
DIPYRIDAMOLE, ASPIRIN
ETH. ESTRADIOL; NORETH. ACE.
ATACAND HCT
CANDESARTAN/HCTZ
GLUCOPHAGE XR
METFORMIN
IRBESARTAN/HCTZ
ROSIGLITAZONE
GLUCOVANCE
GLYBURIDE/METFORMIN
VALDECOXIB
CENESTIN
SYN. ESTROG., CONJ. A
ENTACAPONE
LESCOL XL
FLUVASTATIN SODIUM
Effective January 1, 2004
BRAND/TRADE NAME✹✹ See Note
GENERIC NAME
BRAND/TRADE NAME✹✹ See Note
GENERIC NAME
FORM #DL909737
MEVACOR / ALTOPREV
MICARDIS
TELMISARTAN
MICARDIS HCT
TELMISARTAN/HCTZ
MELOXICAM
NATEGLINIDE
FENOFIBRATE
ORTHO-PREFEST
ESTRAD.; ESTRAD./NORGEST.
ROFECOXIB
CILOSTAZOL
ZILEUTON
✹✹ Note: If either the brand-name or the generic equivalent is on this MDL, the drug is applicable to the mandatory MDL program. This list only includes the most frequently prescribed brand/trade
name drugs for each available generic. All applicable drug names may not be included on this list. Your pharmacist can verify if a drug has a generic equivalent available on this list.
* Denotes product is available as a generic since brand-name patent has expired. New additions listed in bold.
This list is subject to change upon mutual agreement between DaimlerChrysler and the UAW.
FORM #DL909790
Effective January 1, 2004
GENERIC NAME
BRAND/TRADE NAME✹✹ See Note
GENERIC NAME
BRAND/TRADE NAME✹✹ See Note
ETH. ESTRADIOL; NORETH. ACE.
FENOFIBRATE
FLUVASTATIN SODIUM
LESCOL XL
GLYBURIDE/METFORMIN
GLUCOVANCE
CANDESARTAN/HCTZ
ATACAND HCT
CILOSTAZOL
IRBESARTAN/HCTZ
DIPYRIDAMOLE, ASPIRIN
AGGRENOX
MEVACOR / ALTOPREV
ENTACAPONE
MELOXICAM
ESTRAD.; ESTRAD./NORGEST.
ORTHO-PREFEST
METFORMIN
GLUCOPHAGE XR
Effective January 1, 2004
GENERIC NAME
BRAND/TRADE NAME✹✹ See Note
GENERIC NAME
BRAND/TRADE NAME✹✹ See Note
FORM #DL909790
QUINAPRIL/HCTZ
ACCURETIC
ROFECOXIB
ROSIGLITAZONE
SYN. ESTROG., CONJ. A
CENESTIN
TELMISARTAN
MICARDIS
NATEGLINIDE
TELMISARTAN/HCTZ
MICARDIS HCT
NIACIN XR / LOVASTATIN
PIOGLITAZONE
VALDECOXIB
VALSARTAN/HCTZ
DIOVAN HCT
ZILEUTON
✹✹Note: If either the brand-name or the generic equivalent is on this MDL, the drug is applicable to the mandatory MDL program. This list only includes the most frequently prescribed brand/trade
name drugs for each available generic. All applicable drug names may not be included on this list. Your pharmacist can verify if a drug has a generic equivalent available on this list.
* Denotes product is available as a generic since brand-name patent has expired. New additions listed in bold.
This list is subject to change upon mutual agreement between DaimlerChrysler and the UAW.

Source: http://chryslerretirees.com/benefits2/Dashboard/Dash/Dash_Images/Dash_Benefits/maintenancedruglist.pdf

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