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The following medications require a Step Therapy. Changes to this list can occur any time during the plan year.
| Brand Name |
| Abilify |
| Accolate |
| Aciphex |
| Atacand |
| Atacand HCT |
| Avapro |
| Avalide |
| Benicar |
| Benicar HCT |
| Betoptic S |
| Celebrex |
| Copegus |
| Cozaar |
| Diovan |
| Diovan HCT |
| Duragesic |
| Exforge |
| Fuzeon |
| Hyzaar |
| Inspra |
| Ketek |
| Micardis |
| Micardis HCT |
| Namenda |
| Nexium |
| Opana |
| Oxycontin |
| Prevacid |
| Protonix |
| Rebetol |
| Ribavirin |
| Singulair |
| Teveten |
| Teveten HCT |
| Trileptal |
| Wellbutrin XL |
| Xopenex |
| Zegerid |