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APIPA Personal Care Plus (HMO)
STEP THERAPY ALGORITHMS – Formulary 4
Treatment Group
Description
Step 1: Metformin
Step 2: Actoplus Met
Step 1: Metformin
Step 2: Actos
Step 1: One of the following: Inhaled corticosteroid or long-acting beta agonist or
anticholinergic agent.
Step 2: Advair Diskus or Advair HFA
Step 1: lactulose or polyethylene glycol.
Step 2: Amitiza
Step 1: tier 1 ACE inhibitor.
Step 2: Diovan or Diovan HCT or Benicar or Benicar HCT or Cozaar or Hyzaar
The federal government has approved APIPA Personal Care Plus (HMO) as a Special Needs Plan for people with Medicare (Parts A and B) and Medicaid. APIPA Personal Care Plus (HMO)
Treatment Group
Description
Step 1: At least 2 of the following: fluoxetine, citalopram, sertraline, paroxetine, or
Step 2: Cymbalta or Effexor XR or Lexapro or Emsam or Pristiq
Step 1: Metformin.
Step 2: Avandamet
Step 1: Metformin
Step 2: Avandaryl
Step 1: Metformin
Step 2: Avandia
Step 1: alendronate.
Step 2: Boniva tablets
Step 1: (2) tier 1 NSAIDs.
Step 2: Celebrex
Dipeptidyl Peptidase-4 Inhibitor Therapy Step 1: metformin
Step 2: Januvia
Dipeptidyl Peptidase-4 Inhibitor/Metformin Step 1: metformin.

Step 2: Janumet
APIPA Personal Care Plus (HMO) is offered by UnitedHealthcare Insurance Company and its affiliated companies, Medicare Advantage organizations with a Medicare contract. APIPA Personal Care Plus (HMO)
Treatment Group
Description
Step 1: metformin.
Step 2: Duetact
Step 1: Prednisone.
Step 2: Entocort EC
Step 1: Permethrin 5% cream.
Step 2: Eurax cream or lotion
Step 1: risperidone and One of the following: Seroquel, Abilify, Geodon, or Zyprexa.
Step 2: Invega
Step 1: Inhaled corticosteroid.
Step 2: Singluair or Accolate or Zyflo CR
Step 1: ropinirole.
Step 2: Mirapex
Step 1: Fluticasone and Flunisolide.
Step 2: Nasonex
Step 1: Morphine sulfate ER and Fentanyl Transdermal.
Step 2: Opana ER
APIPA Personal Care Plus (HMO) is offered by UnitedHealthcare Insurance Company and its affiliated companies, Medicare Advantage organizations with a Medicare contract. APIPA Personal Care Plus (HMO)
Treatment Group
Description
Step 1: rifampin and isoniazid.
Step 2: Paser
Step 1: Astelin.
Step 2: Patanase
Step 1: Zaditor OTC.
Step 2: Patanol
Step 1: omeprazole.
Step 2: Protonix
Step 1: Long-acting nitrate, Beta-blocker, or Calcium-channel blocker.
Step 2: Ranexa
Step 1: Inhaled corticosteroid or Long-acting beta agonist or anticholinergic agent.
Step 2: Symbicort
Step 1: tier 1 ACE inhibitor.

Step 2: Tekturna or Tekturna HCT
Step 1: Topical Corticosteroid.
Step 2: Elidel
APIPA Personal Care Plus (HMO) is offered by UnitedHealthcare Insurance Company and its affiliated companies, Medicare Advantage organizations with a Medicare contract. APIPA Personal Care Plus (HMO)
Treatment Group
Description
Step 1: rifampin and isoniazid.
Step 2: Trecator
Step 1: Sumatriptan.

Step 2: Maxalt or Maxalt MLT
Step 1: Baraclude or Hepsera.
Step 2: Tyzeka
Step 1: Allopurinol.
Step 2: Uloric
Step 1: Lumigan or Travatan.
Step 2: Xalatan
Step 1: Albuterol (Nebulizer).
Step 2: Xopenex Nebulizer
Step 1: Zolpidem.
Step 2: Zaleplon

*Step therapy applies to new starts only
APIPA Personal Care Plus (HMO) is offered by UnitedHealthcare Insurance Company and its affiliated companies, Medicare Advantage organizations with a Medicare contract.

Source: http://www.americhoice.com/edocs/en/physicians/pdls/uhcaz_medicare_step_therapy_2010.pdf

Formulary publish dec 2013_ss.xls

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Q& A on anticoagulants and warfarin What are the anticoagulants? When are they required in Children? Anticoagulants interfere with the process of clot formation by inhibiting vitamin K. Sometimes, children have more than normal capacity to form clots inside the heart or circulatory system and may suffer due to that. Any such condition would require the anticoagulant to maintain normal bl

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