2012 Medicare Defined Standard Assured® HMO StepTherapy Last Update: 09/21/2012
Brand Name: ACTOplus Met Generic Name: Pioglitazone / Metformin ActoPlus Met(pioglitazone/metformin) Step Therapy Criteria · Coverage is provided for a diagnosis of type 2 diabetic mellitus in patients whose blood glucose is not adequately controlled on or
had intolerance to metformin or a sulfonyurea (determined by pharmacy claims review or through the exception review process).
Brand Name: Actos Generic Name: Pioglitazone Actos(pioglitazone)Step Therapy Criteria · Coverage is provided for a diagnosis of type 2 diabetic mellitus in patients whose blood glucose is not adequately controlled on or
had intolerance to metformin or a sulfonyurea (determined by pharmacy claims review or through the exceptions review process).
Brand Name: Avandamet Generic Name: Rosiglitazone/Metformin HCl Avandamet (rosiglitazone/metformin) Step Therapy Criteria · Coverage is provided for a diagnosis of type 2 diabetic mellitus in patients whose blood glucose is not adequately controlled on or
had intolerance to metformin or a sulfonyurea (determined by pharmacy claims review or through the exceptions review process).
Brand Name: Avandaryl Generic Name: Rosiglitazone/Glimepiride Avandaryl (rosiglitazone/glimepiride) Step Therapy Criteria · Coverage is provided for a diagnosis of type 2 diabetic mellitus in patients whose blood glucose is not adequately controlled on or
had intolerance to metformin or a sulfonyurea (determined by pharmacy claims review or through the exceptions review process).
Brand Name: Avandia Generic Name: Rosiglitazone Maleate Avandia (rosiglitazone) Step Therapy Criteria · Coverage is provided for a diagnosis of type 2 diabetic mellitus in patients whose blood glucose is not adequately controlled on or
had intolerance to metformin or a sulfonyurea (determined by pharmacy claims review or through the exceptions review process).
Brand Name: Duetact Generic Name: Pioglitazone / Glimepiride Duetact (pioglitazone/glimepiride) Step Therapy Criteria · Coverage is provided for a diagnosis of type 2 diabetic mellitus in patients whose blood glucose is not adequately controlled on or
had intolerance to metformin or a sulfonyurea (determined by pharmacy claims review or through the exceptions review process).
Brand Name: Janumet Generic Name: Sitagliptin/Metformin Janumet (sitagliptin/metformin) Step Therapy Criteria
· Coverage is provided for members with a diagnosis of type 2 diabetic mellitus whose blood glucose is not adequately controlled on
metformin or a sulfonyurea (determined by pharmacy claims review or through the exceptions review process).
Brand Name: Janumet XR Generic Name: Sitagliptin/Metformin ER Janumet XR (sitagliptin/metformin ER) Step Therapy Criteria · Coverage is provided for members with a diagnosis of type 2 diabetic mellitus whose blood glucose is not adequately controlled on
metformin or a sulfonyurea (determined by pharmacy claims review or through the exceptions review process).
Brand Name: Januvia Generic Name: Sitagliptin Januvia (sitagliptin) Step Therapy Criteria
· Coverage is provided for members with a diagnosis of type 2 diabetic mellitus whose blood glucose is not adequately controlled on
metformin or a sulfonyurea (determined by pharmacy claims review or through the exceptions review process).
Brand Name: Zetia Generic Name: Ezetimibe Zetia (ezetimibe) Step Therapy Criteria
· Zetia is provided for the treatment of dyslipidemia if the member had an inadequate response or intolerance to simvastatin (generic
Zocor), lovastatin (generic Mevacor), pravastatin (generic Pravachol) determined by pharmacy claims review or through the exceptions review process.
Can wave–particle duality be based on the uncertainty relation? Stephan Du¨rr and Gerhard Rempea) Max-Planck-Institut fu¨r Quantenoptik, Hans-Kopfermann-Strasse 1, 85748 Garching, Germany ͑Received 28 July 1999; accepted 27 January 2000͒Wave and particle properties of a quantum object cannot be observed simultaneously. In particular,the fringe visibility in an interferometer is limited
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