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HIGH BLOOD PRESSURE Tier 1 Tier 2 Tier 3 acebutolol cap DIURIL SUSP ACCUPRIL TAB aliskiren tab ENTRESTO TAB ACCURETIC TAB amiloride tab MULTAQ TAB ACEON TAB amiloride/hydrochlorothiazide tab NITRO-BID OINT ADALAT CC TAB amiodarone tab NORPACE CR CAP ALDACTAZIDE TAB amlodipine tab ALDACTAZIDE TAB 50-50mg amlodipine/benazepril cap ALDACTONE TAB amlodipine/olmesartan tab ALTACE CAP amlodipine/valsartan tab ALTACE TAB atenolol tab AMTURNIDE TAB atenolol/chlorthalidone tab ATACAND TAB benazepril tab AVALIDE TAB benazepril/hydrochlorothiazide tab AVAPRO TAB betaxolol tab AZOR TAB bisoprolol tab BENICAR HCT TAB bisoprolol/hydrochlorothiazide tab BETAPACE AF TAB bumetanide tab BETAPACE TAB candesartan tab CALAN SR TAB captopril tab CALAN TAB captopril/hydrochlorothiazide tab CARDENE SR CAP carvedilol tab CARDIZEM CD CAP chlorothiazide tab CARDIZEM LA TAB chlorthalidone tab CARDIZEM TAB clonidine patch CARDURA TAB clonidine tab CAROSPIR SUSP digoxin soln CATAPRES TAB digoxin tab CATAPRES-TTS PATCH diltiazem ER cap CORDARONE TAB diltiazem ER tab COREG TAB diltiazem tab CORGARD TAB disopyramide cap CORZIDE TAB Page 6 of 10

HSA Preventive Drug List - Page 6 HSA Preventive Drug List Page 5 Page 7