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J health syst pharm 1995; 39– 4 malloy mj, kane jp, kunitake st, tun complimentarity of colestipol, niacin, and lovastatin in treatment of severe familial hypercholesterolemia.
Gabapentin GABITRIL GANTRISIN SUSP. gemfibrozil gentamicin sulfate glipizide glyburide guaifenesin la lidocaine hcl viscous LIPITOR lisinopril hctz LIVOSTIN LOTREL lovastatin LOVENOX [CS] Norethindrone ethinyl estradiol [PA * ] norethindrone mestranol [PA * ] norgestrel ethinyl estadiol [PA * ] NORVASC NOVOFINE 30 NOVOLIN NOVOLOG NUTROPIN, AQ, DEPOT [PA] nystatin nystatin w triamcinolone. And gradual process toward reducing restraints e.g., gradually increasing the time for ambulation and muscle strengthening activities ; . This systematic process would also apply to recently admitted residents for whom restraints were used in the previous setting. Consideration of Treatment Plan In order for the resident to be fully informed, the facility must explain, in the context of the individual resident's condition and circumstances, the potential risks and benefits of all options under consideration including using a restraint, not using a restraint, and alternatives to restraint use. Whenever restraint use is considered, the facility must explain to the resident how the use of restraints would treat the resident's medical symptoms and assist the resident in attaining or maintaining his her highest practicable level of physical or psychological well-being. In addition, the facility must also explain the potential negative outcomes of restraint use which include, but are not limited to, declines in the resident's physical functioning e.g., ability to ambulate ; and muscle condition, contractures, increased incidence of infections and development of pressure sores ulcers, delirium, agitation, and incontinence. Moreover, restraint use may constitute an accident hazard. Restraints have been found in some cases to increase the incidence of falls or head trauma due to falls and other accidents e.g., strangulation, entrapment ; . Finally, residents who are restrained may face a loss of autonomy, dignity and self respect, and may show symptoms of withdrawal, depression, or reduced social contact. In effect, restraint use can reduce independence, functional capacity, and quality of life. Alternatives to restraint use should be considered and discussed with the resident. Alternatives to restraint use might include modifying the resident's environment and or routine. In the case of a resident who is incapable of making a decision, the legal surrogate or representative may exercise this right based on the same information that would have been provided to the resident. See 483.10 a ; 3 ; and 4 ; . ; However, the legal surrogate or representative cannot give permission to use restraints for the sake of discipline or staff convenience or when the restraint is not necessary to treat the resident's medical symptoms. That is, the facility may not use restraints in violation of the regulation solely based on a legal surrogate or representative's request or approval. Assessment and Care Planning for Restraint Use There are instances where, after assessment and care planning, a least restrictive restraint may be deemed appropriate for an individual resident to attain or maintain his or her highest practicable physical and psychosocial well-being. This does not alter the facility's responsibility to assess and care plan restraint use on an ongoing basis. Before using a device for mobility or transfer, assessment should include a review of the resident's. Figure 3. Labeling of Tobacco Cells with 14C-Mevalonic Acid Reveals High Molecular Mass Isoprenoid Products. Cultured tobacco cells were pretreated for 16 hr with various concentrations of lovastatin as indicated ; and then incubated with "C-mevalonic acid as described in Methods. Cells were washed twice in homogenization buffer and either lysed directly by incubation at 90C for 4 min in SDS-sample buffer or were homogenized, fractionated by sequential centrifugation at 2, 000g and 70, 000g, and then heated in SDS-sample buffer. Coomassie blue-stained gels right side ; and the corresponding fluorograms left side ; are shown. Protein concentrations Bradford, 1976 ; , determined on membrane fractions 70, 000g pellets ; , were used to normalize both pellets and supernatants for SDSPAGE. Twice as much membrane-associated protein as soluble protein relative to settled cell volume ; was loaded on the gel. Molecular mass markers MW ; are shown and correspond in descending order ; to rabbit muscle phosphorylase b 97.4 kD ; , BSA 66.2 kD ; , chicken egg white ovalbumin 45.0 kD ; , bovine carbonic anhydrase 31.0 kD ; , soybean trypsin inhibitor 21.5 kD ; , and chicken egg white lysozyme. For example, the column, a message from titanic, illustrated how tdm can be used to detect the persistent risk of a drug-drug interaction after a long-lived drug had been discontinued.

And occurs only when the drug is administered for longer than 24 hours, starting after induction of IR. The decrease of MPO activity suggests that neutrophil infiltration is involved in the pathogenesis of cerebral IR injury, a process that can be alleviated by iNOS inhibitor such as AG. These observations provide evidence that iNOS inhibitors may be useful in the treatment of ischemic stroke. Shimomura I, Bashmakov Y, Shimano H, Horton JD, Golstein JL, Brown MS. Cholesterol feeding reduces nuclear forms of sterol regulatory element binding proteins in hamster liver. Proceedings of the National Academy of Sciences USA ; 1997, 94 23 ; : 12354-12359. Lennerns H, Fager G. Pharmacodynamics and pharmacokinetics of the HMG-CoA reductase inhibitors. Similarities and differences. Clinical Pharmacokinetics 1997, 32 5 ; : 403-425. Pedreo J, Snchez JL, Zambn D, Ros E. In-vitro effect of 3-hydroxy-3methylglutaryl coenzyme A HMG-CoA ; reductase inhibitors on non-hepatic LDL receptor activity: evidence of lack of stimulatory effect of pravastatin. Coronary Artery Disease 1994, 5 12 ; : 971-977. Glinn MA, Lee CP, Ernster L. Pro- and anti-oxidant activities of the mitochondrial respiratory chain: factors influencing NAD P ; H-induced lipid peroxidation. Biochimica et Biophysica Acta 1997, 1318: 246-254. Schnurr K, Hellwing M, Seidemann B, Jungblut P, Khn H, Rapoport SM, Schewe T. Oxygenation of biomembranes by mammalian lipoxygenases: the role of ubiquinone. Free Radical Biology & Medicine 1996, 20 1 ; : 11-21. Hoffman R, Brook GJ, Aviram M. Hypolipidemic drugs reduce lipoprotein susceptibility to undergo lipid peroxidation: in vitro and in vivo studies. Atherosclerosis 1992, 93: 105-113. Salonen R, Nyyssnen K, Porkkala-Sarataho E, Salonen JT. The kuopio atherosclerosis prevention study KAPS ; : effect of pravastatin treatment on lipids, oxidation resistance of lipoproteins, and atherosclerotic progression. American Journal of Cardiology 1995, 76 Suppl ; : 34C-39C. Singh RB, Singh NK, Rastogi SS, Wander GS, Aslam M, Onouchi Z, Kummerow FA, Nangia S. Antioxidant effects of lovastatin and vitamin E on experimental atherosclerosis in rabbits. Cardiovascular Drugs and Therapeutics 1997, 11 4 ; : 575-580. Leonhardt W, Kurktschiev T, Meissner D, Lattke P, Abletshauser C, Weidinger G, Jaross W, Hanefeld M. Effects of fluvastatin therapy on lipids, antioxidants, oxidation of low density lipoproteins and trace metals. European Journal of Clinical Pharmacology 1997, 53: 65-69. Aviram M, Hussein O, Rosenblat M, Schlesinger S, Hayek T, Keidar S. Interactions of platelets, macrophages, and lipoproteins in hypercholesterolemia: antiatherogenic effects of HMG-CoA reductase inhibitor therapy. Journal of Cardiovascular Pharmacology 1998, 31: 39-45 and rizatriptan.
Figure 3. Regions of SUR associated with meglitinideMgADP interactions A, schematic diagram of SUR1 and SUR2A chimeras. Regions of SUR1 are shown in grey and those of SUR2A in black. B, mean conductance recorded for channels comprising Kir6.2 and either wild-type or chimeric SUR as indicated, in the presence of 10 mM meglitinide open bars ; or 10 mM meglitinide plus 100 mM MgADP filled bars ; . All solutions contained 1.2 mM free Mg2 + . Conductance G ; is expressed relative to the mean of the conductances in control solution before and after addition of drug or nucleotide Gc ; . The number of patches is given beside each bar. All groups were initially compared by ANOVA. Significant differences were followed up by t tests, as indicated, comparing SUR1-based chimeras with SUR1, and SUR2based chimeras with SUR2. Significance levels are indicated next to the bars. n.s., not significant, * P 0.05, * P 0.001. C, mean conductance recorded for channels comprising Kir6.2 and either wild-type or chimeric SUR as indicated, in the presence of 10 mM meglitinide open bars ; or 10 mM meglitinide plus 100 mM ADP filled bars ; . All solutions contained 10 mM EDTA to remove free Mg2 + . Conductance G ; is expressed relative to the mean of the conductances in control solution before and after addition of drug or nucleotide Gc ; . The number of patches is given beside each bar. There were no significant differences between channel types by ANOVA.
3 START CLINIC The START Clinic was launched last year at the site of the former inpatient unit at St. Clare's Mercy Hospital. It was one of three new initiatives of the Mental Health Program of the Health Care Corporation of St. John's, along with a short-stay and psychiatric assessment unit at the Waterford Site and the move of the centralized psychiatric emergency service from St. Clare's Mercy Hospital to The General Hospital. This latter move has facilitated psychiatry residents on call covering both the emergency department and The General Hospital's inpatient unit during on-call coverage. The START Clinic has completed its first full year of operation and is now the core training rotation site for residents completing adult general psychiatry outpatients training. Residents participate as members of an interdisciplinary team providing rapid access and brief therapy to individuals referred by family physicians, the emergency room and consultation liaison services. Faculty at the clinic are now actively involved in an evaluation of this new service being conducted by a community medicine graduate student, Jill Burrage, under the supervision of Dr. Proton Rahman and an interdisciplinary clinic group. The clinic is also participating in a collaborative project with the Discipline of Family Medicine for the development of a psychotherapy training program in interpersonal therapy. This new training opportunity will be available to residents from both disciplines in January 2005. RESIDENCY TRAINING PROGRAM Dr. Barbara Maddigan has announced that she will step down after five years as Program Director following our accreditation survey from the Royal College of Physicians and Surgeons of Canada in October this year. Under her leadership, the Discipline has introduced core training programs in documentation, career planning and conducted the Faculty of Medicine's third annual communication skills workshop in conjunction with the Discipline of Family Medicine. Dr. Maddigan has piloted the Discipline through a revision of all core training programs and an integration of the Royal College's CanMEDS core roles and competencies as a framework for our residency program. Current Psychiatry Residents as of July 1, 2004 and mellaril. References 1. Norman DJ, Illingworth DR, Munson J, Hosenpud J. Myolysis and acute renal failure in a heart-transplant patient receiving lovastatin. N Engl J Med. 1988; 318: 46-7. East C, Alivizatos PA, Grundy SM, Jones PH, Farmer JA. Rhabdomyolysis in patients with lovastatin after cardiac transplantation. N Engl J Med. 1988; 318: 47-8. Rush P, Baron M, Kapusta M. Clofibrate myopathy: a case report and review of the literature. Semin Arthritis Rheum. 1986; 15: 226-9. Marais GE, Larson KK. Rhabdomyolysis and acute renal failure induced by combination lovastatin and gemfibrozil therapy. Ann Intern Med. 1990; 112: 228-30. Pierce LR, Wysowski DK, Gross TP. Myopathy and rhabdomyolysis associated with lovastatin-gemfibrozil combination therapy. JAMA. 1990; 264: 71-5.
Lipid values have been established by the National Cholesterol Education Program NCEP ; 15 ; . * Lovastaatin was initiated following this test 20 mg QD, titrated to 40 mg QD ; HDL-C high-density lipoprotein cholesterol LDL-C low-density lipoprotein cholesterol PVD peripheral vascular disease STG serum triglycerides TSC total serum cholesterol VLDL-C very low-density lipoprotein cholesterol and thioridazine. More from healthwise what is the most important information i should know about lovastatin. The antique market will not support an increase in his hourly rate to cover the expense of insurance premiums, so Walker took on additional work to raise the extra money to pay for health insurance. "People forget that it's not a tax-free ride to pay for insurance, " Walker said. "I figure that it took 25 percent of our income trying to make sure we have health care protection." The Walkers' health insurance premiums continued to increase every year. In January of 2002, they were forced to make a drastic decision to cancel their health insurance coverage all together. "We had already started to borrow money to buy insurance, " he said. "The only choice we had was to cancel our policies and take our chances a somewhat scary thought now that we are getting older." The couple exhausted every option before making such a difficult choice, Gail Walker said. She looked into a variety policies and even considered refinancing their home to cover the cost of monthly premiums. "We don't need to be covered for every little thing, " Gail Walker agreed. "We just need a plan that offers good, basic coverage. I want that choice and mexitil.

Rent-a-quote medical doctors simply follow orders by mandating prescription drug addiction, for example, lovastatin 20 mg.
Cancer linked to inflammation. Researchers at the University of Leicester in the UK have reached the conclusion that chronic inflammation is the underlying cause of most common cancers. They believe that chronic inflammation leads to excessive oxidative stress that, in turn, induces DNA damage and harmful mutations. They conclude that therapeutic intervention aimed at inhibiting inflammation and stimulating immune responses may have a major role in preventing most cancers. British Journal of Cancer, Vol. 85, No. 4, August 2001, pp. 473-83 Warning concerning statin drugs. The cholesterol-lowering drug Baycol cerivastatin ; was recently withdrawn from the market in Italy, Japan, Germany, the United States, and many other countries following reports of numerous deaths related to its use. Baycol has been linked to rhabdomyolysis, an often fatal muscle disease. The FDA is now considering the requirement for "black box" warning labels on all statin drugs including pravastatin Pravachol ; , atorvastin Lipitor ; , fluvastatin Lescol ; , lovastatin Mevacor ; and simvastatin Zocor ; . Several of these drugs have also been linked to rhabdomyolysis. Says Sidney Smith, MD of the American Heart Association, "Doctors should warn their patients to watch for dark urine and muscle aches and pains if they are taking statins." Medscape News, August 24, 2001 Asthma linked to diet. Australian researchers have discovered that children whose diet includes a high level of polyunsaturated margarines and cooking oils are more than twice as likely to have asthma than children who consume less of these polyunsaturated fats. The researchers believe that omega-6 fatty acids, which metabolize into inflammation-causing prostaglandins, are the culprits. They estimate that as many as 17 per cent of all childhood asthma cases may be related to a high intake of omega-6 fatty acids. New Scientist, July 28, 2001, p. 19 Second thoughts on folic acid. Swedish researchers have found that women who take and mexiletine.
The forcible injection of medication into a nonconsenting person's body, we said, represents a substantial interference with that person's liberty.
Deliriumin the Eldedy 195 etiologies. During the Investigation of delirium, the following probable etiologies were noted: infection was the most common 63.6% ; followed by metabolic causes 36.4% ; , neurological 27.3% ; , electrolytes 18.2% ; , drug induced 9.0% ; , and low perfusion state 9.0% ; . Dementia and Delirium are 2 separate syndromes that are not uncommon in the elderly. Several studies have connoted an overlap between these two disorders. Oftentimes a detailed history and clinical examination make it possible to distinguish between these illnesses, This study had six patients 54.5% ; with pre-exis, ring dementias and 2 of them were diagnosed to have Alzheimer's disease. All of whom developed delirium while in the hospital. Table il ; . ability to write a sentence, name objects, follow verbai and written commands, and copy a complex polywon design. The maximum score is 30 and the test is not timed. The sensitivity of the test ranges from 50%87% and its specificity approximates 90%. 6 The use of this instrument in the detection of deIlrium is valid and reliable. A score of less than 24 plus the clinical observation of an abnormal level of consciousness is considered a delirious process. The test is however limited in its ability to assess other features of delirium especially in non cognitive aspects such as sleep wake cycle disturbance, fluctuating behaviour, psychomotor disturbances and speech disturbances. In the studies done by Rockwood, he noted a low MMSE score of 12 plus or minus 8 among the delirious patients compared to the non delirious patients who scored 19 plus or minus 8. In the delirious population in this study we noted lower score of MMSE ave. ] 0.36 ; compared to those who did hot develop delirium. Clouding of consciousness is the most important hallmark symptom during delirious states. In fact, the level of consciousness becomes an important feature in distinguishing delirium from dementing processes. Among the delirious population in several studies Lipowski, ]983; Rockwood, 1989 ; , variations in the presentation of delirium were noted. On top of the clouding of consciousness and alteration of alertness, other manifestations are drowsiness or hyper alertness. In several researches, disturbances of sleep cycle such as insomia or hyperinsomia are associated with great majority of elderly patients. Delirium In the elderly are often quiet le. hypoactive somnolent type ; . This study likewise revealed a high percentage of hypoactivity 54% ; . It was interpreted that delirium in this age group are more of the silent type than agitated type of delirium. The importance of this findings should be highly emphasized since the disorder is considered life threatening and atypical compared to adult delirium, physicians not trained in elderly care may miss out on the diagnosis. It might also be important to note the findings that majority of the delerious patients experienced visual hallucination, a symptom which several studies claim to be a differentiating symptom from the agitated type of delirium. As much as 75% of aged individuals have significant sensory dysfunction mostly visual and auditory. These physiological and functional changes affect the perception of the environment of the elderly usually at night resulting in sundowning and acute confusion. The study showed that most of the delirious patient had visual hallucinations and micardis.
As total HMG-CoA reductase inhibitory activity in extracted plasma ; . Tumor increases were not seen at 20 and 100 mg kg day, doses that produced drug exposures of 0.3 to 2 times that of humans at the 80 mg day dose. A statistically significant increase in pulmonary adenomas was seen in female mice at approximately 4 times the human drug exposure. Although mice were given 300 times the human dose on a mg kg body weight basis, plasma levels of total inhibitory activity were only 4 times higher in mice than in humans given 80 mg of lovastatin. ; There was an increase in incidence of papilloma in the non-glandular mucosa of the stomach of mice beginning at exposures of 1 to times that of humans. The glandular mucosa was not affected. The human stomach contains only glandular mucosa. In a 24-month carcinogenicity study in rats, there was a positive dose-response relationship for hepatocellular carcinogenicity in males at drug exposures between 2 to 7 times that of human exposure at 80 mg day doses in rats were 5, 30, and 180 mg kg day ; . An increased incidence of thyroid neoplasms in rats appears to be a response that has been seen with other HMG-CoA reductase inhibitors. A drug in this class chemically similar to ovastatin was administered to mice for 72 weeks at 25, 100, and 400 mg kg body weight, which resulted in mean serum drug levels approximately 3, 15, and 33 times higher than the mean human serum drug concentration as total inhibitory activity ; after a 40 mg oral dose. Liver carcinomas were significantly increased in high-dose females and mid- and high-dose males, with a maximum incidence of 90% in males. The incidence of adenomas of the liver was significantly increased in mid- and high-dose females. Drug treatment also significantly increased the incidence of lung adenomas in mid- and high-dose males and females. Adenomas of the Harderian gland a gland of the eye of rodents ; were significantly higher in high-dose mice than in controls. No evidence of mutagenicity was observed in a microbial mutagen test using mutant strains of Salmonella typhimurium with or without rat or mouse liver metabolic activation. In addition, no evidence of damage to genetic material was noted in an in vitro alkaline elution assay using rat or mouse hepatocytes, a V-79 mammalian cell forward mutation 25.

Increased. According to the annual trends in dietary intake by food categories presented in the Survey, the intake of grains has decreased substantially while an increase of close to 4 fold was observed for meat including chicken ; and dairy products in 1993 as against intake in 1960 Table 4 ; . Such westernization of dietary life, that is, increased intakes of animal fat and protein and decreased edible fiber intake, is considered to be chiefly responsible for the increase in the incidence of colorectal cancer in Japan.
PROCEDURE There are certain circumstances when communication with medical control is not possible due to failure of the normal communication methods. In these unusual circumstances, the paramedic or RN may follow protocols marked as requiring medical control contact if this is in the best interest of patient care. When utilizing the Communication Failure Procedure, the crew-member providing patient care must complete a Communication Failure Form immediately after completing the call and must turn the form in to Clinical Services, along with a copy of the PCR, at the end of shift. Forms will be reviewed by Clinical Services and or the Medical Director and minipress.

Time Period 1 Time Period 2 Percent Change 07 01 03 -07 01 04 -Brand Name from Period 1 to 06 Cost per Unit * Cost per Unit * Period 2 Lescol fluvastatin $1.74 $1.92 10.37% Lescol XL fluvastatin $2.19 $2.44 11.10% Pravachol pravastatin $3.40 $3.90 14.89% Caduet atorvastatin $4.20 Lipitor atorvastatin $2.80 $3.25 16.31% Advicor lovastattin $1.99 $2.32 16.79% Lovsstatin lovastatin $2.26 $2.02 -10.47% Mevacor lovastatin $2.59 $4.32 67.20% Crestor rosuvastatin $2.35 $2.60 10.70% Vytorin simvastatin $2.56 Zocor simvastatin $3.96 $4.10 3.55% Average % change in cost per unit 15.61% Weighted average % change in cost per unit 13.35% * A unit is a tablet or capsule Active Ingredient. Castano G, et al., Effects of policosanol and pravastatin on lipid profile, platelet aggregation and endothelemia. Int J Clin Pharmacol Res 1999; 19 4 ; : 105-16. Castano G, et al., Comparison of the efficacy and tolerability of policosanol with atorvastatin. Drugs Aging 2003; 20 2 ; : 153-63. Menendez R, et al., Effects of policosanol treatment on .LDL. oxidative modification. Br J Clin Pharmacol 2000 Sep; 50 3 ; : 255-62. Castano G, et al., A long-term study of policosanol in the treatment of intermittent claudication. Angiology 2001 Feb; 52 2 ; : 115-25. Noa M, A comparative study of policosanol vs lovastatin on intimal thickening. Pharmacol Res 2001 Jan; 43 1 ; : 31-7. Castano G, et al., Effects of policosanol and lovastatin in patients with intermittent claudication. Angiology 2003 Jan; 54 1 ; : 25-38. Omar MA, Wilson JP, FDA adverse event reports on statin-associated rhabdomyolysis. Ann Pharmacother 2002 Feb; 36 2 ; : 288-95. ALLHAT.Research Group, Major outcomes in.patients .pravastatin vs usual care. JAMA 2002 Dec 18; 288 23 ; : 2998-3007. TRADE DESCRIPTION PACKAGING REMARKS LOVASTATIN 20 MG TABLET 1000EA x 1 CALCITRIOL 0.25 MCG CAPSULE 100EA x 1 CALCITRIOL 0.5 MCG CAPSULE 100EA x 1 LAMOTRIGINE 5 MG DISPER TABLET 100EA x 1 DIFLUNISAL 500 MG TABLET 100EA x 1 DIFLUNISAL 500 MG TABLET 500EA x 1 DIFLUNISAL 500 MG TABLET 60EA x 1 PIROXICAM 10 MG CAPSULE 100EA x 1 PIROXICAM 20 MG CAPSULE 100EA x 1 PIROXICAM 20 MG CAPSULE 500EA x 1 NORTRIPTYLINE HCL 75 MG CAP 500EA x 1 NIFEDICAL XL 30 MG TABLET 100EA x 1 NIFEDICAL XL 30 MG TABLET 300EA x 1 NAPROXEN 500 MG TABLET EC 500EA x 1 NIFEDIAC CC 60 MG TABLET 100EA x 1 NIFEDIAC CC 90 MG TABLET 100EA x 1 NEFAZODONE HCL 100 MG TABLET 60EA x 1 NEFAZODONE HCL 200 MG TABLET 60EA x 1.
14.1"10 experienced at least 1 medication discrepancy 25% experienced 2 discrepancies 8% experienced 3 dlscrepandes 5% experienced 4 or more discrepancies, for example, lovastatin and niacin. Weigh the risk versus benefit when combining any of these drugs with lovastatin and mevacor. Lovastatin in a ten-subject study, coadministration of diltiazem 120 mg bid ; with lovastatin resulted in a 3-4 times increase in mean lovastatin auc and cmax vs lovastatin alone; no change in pravastatin auc and cmax was observed during diltiazem coadministration. 10000-37500 Standard : rxsolutions. corn pdpclientforrnulary ForrnularyByEntireBrand ?state PDP2. 12 7 2005 Formulary Search Results RxSolutions.corn Page 55 of 245 unit Capsule Brand or Generic Tier 3-- 66400- Standard CREON 20 amylase-lipase-protease 20000-75000 Brand or unit Capsule Generic Formulary Alternative s ; : Creon 10, Creon 20 16600-5000- Tier 5 CREON-5 amylase-lipase-protease 18750 unit NonCapsule Formulary Formulary Alternative s ; : Creon 10, Creon 20 Tier 5-- CRESTOR rosuvastatin 10 mg Tablet Non Formulary Formulary Alternative s ; : lovastatin, Zocor, Lipitor, Vytorin Tier 5-- CRESTOR rosuvastatin 20 mg Tablet Non Formulary Formulary Alternative s ; : lovastatin, Zocor, Lipitor, Vytorin Tier 5-- CRESTOR rosuvastatin 40 mg Tablet Non Formulary Formulary Alternative s ; : lovastatin, Zocor, Lipitor, Vytorin Tier 5-- CRESTOR rosuvastatin 5 mg Tablet Non Formulary Formulary Alternative s ; : lovastatin, Zocor, Lipitor, Vytorin Tier 5-- CRESYLATE cresyl acetate 25% Solution Non Formulary Formulary Alternative s ; : acetic acid 200 mg Tier 4.

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