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TIAZAC CAP quinapril tab TIKOSYN CAP quinapril/hydrochlorothiazide tab TOPROL XL TAB quinidine gluconate CR tab TRANDATE TAB quinidine sulfate tab UNIRETIC TAB ramipril cap VALTURNA TAB ranolazine tab VASERETIC TAB sotalol AF tab VASOTEC TAB sotalol tab VERELAN CAP spironolactone tab VERELAN PM CAP spironolactone/hydrochlorothiazide tab VERELAN PM ER CAP 100mg, telmisartan tab 300mg terazosin cap VERELAN SR CAP 360mg timolol maleate tab ZAROXOLYN TAB torsemide tab ZEBETA TAB trandolapril tab ZESTORETIC TAB triamterene cap ZIAC TAB triamterene/hydrochlorothiazide cap / tab valsartan tab valsartan/hydrochlorothiazide tab verapamil SR cap / tab verapamil SR cap 360mg verapamil tab HIGH CHOLESTEROL Tier 1 Tier 2 Tier 3 atorvastatin tab* COLESTID GRANULE cholestyramine lite powder COLESTID POWDER PACK cholestyramine lite powder pack COLESTID TAB cholestyramine powder CRESTOR TAB cholestyramine powder pack FENOFIBRIC TAB, FIBRICOR TAB colesevelam pack LESCOL CAP colesevelam tab LESCOL XL TAB colestipol granule / powder packet LIPITOR TAB Page 9 of 10

HSA Preventive Drug List - Page 9 HSA Preventive Drug List Page 8 Page 10