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ARBs

DrugAngiotensin Receptor Blocker (ARB); ARB – diuretic combinations

April 2012

Therapeutic area - CV

Drugs

Angiotensin receptor blockers (ARBs)

Preferred Nonpreferred
losartan
Diovan (valsartan)
Atacand (candasartan)
Avapro (irbesartan)
Benicar (olmesartan)
Cozaar (losartan)
irbesartan
Micardis (telmisartan)
Teveten (eprosartan)
Edarbi (azilsartan)
ARB-diuretic combinations
Preferred Nonpreferred
losartan/HCTZ
Diovan HCT (valsartan/HCTZ)
Atacand HCT (candasartan/HCTZ)
Avalide (irbesartan/HCTZ)
Benicar HCT (olmesartan/HCTZ)
Hyzaar (losartan/HCTZ)
irbesartan/HCTZ
Micardis HCT (telmisartan/HCTZ)
Teveten HCT (eprosartan/HCTZ)
Tribenzor (olmesartan/amlodipine/HCTZ)

HCTZ = hydrochlorothiazide

Criteria

Recipient must try and fail both of the preferred drugs in the respective class [ARB or ARB combination].

The requestor must provide some reasonable explanation of the nature of the failure.

Questions?

MHCP Provider Call Center 651-431-2700 or 800-366-5411

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