OPTIMA HEALTH Preferred Drugs List Oct – Dec 2014
OPTIMA HEALTH Preferred Drugs List Oct – Dec 2014 Dear Doctor: Please refer to this list when prescribing for your patient. Your patient will have lower drug costs if you prescribe generic drugs and allow brand substitution for dual-branded products. PA= prior authorization required Qty= quantity limit SE= step edit required Small Case Letters= tier 1 Uppercase First Letter=tier 2 P=Brand obtained at tier 2, 3, or 4 ANESTHETICS terbinafine lidocaine ANTIVIRALS-ORAL abacavir acyclovir Atripla amantadine Combivir Complera didanosine EC Emtriva Epivir Epzicom Intelence Isentress Kaletra Lexiva Norvir Olysio (PA) Prezista Rescriptor Reyataz Ribavirin Sovaldi (PA) stavudine Stribild Sustiva Tivicay Trizivir Truvada Valtrex Viracept Viramune, XR Viread zidovudine ANTIBIOTICS amox/clavulanate amoxicillin ampicillin azithromycin cefdinir cefuroxime cephalexin cefprozil cefuroxime ciprofloxacin clarithromycin, ER clindamycin dapsone dicloxacillin Dificid (PA) doxycycline erythromycin base erythromycin stearate erythro ethylsuccinate erythro/sulfa ethambutol hydroxychloroquine isoniazid levofloxacin Mepron metronidazole minocycline moxifloxacin nitrofurantoin penicillin VK rifampin smz/tmp Suprax tetracycline trimethoprim Vancocin Vibramycin susp, syr Voriconazole susp Zyvox ANTIFUNGALS-ORAL clotrimazole troche fluconazole griseofulvin susp ketoconazole nystatin TOPICAL ANTIINFECTIVES acyclovir Bactroban cream ciclopirox clotrimazole/betameth dip econazole Gentamicin imiquimod mupirocin oint ketoconazole nystatin silver sulfadiazine terconazole ONCOLOGY DRUGS Alkylating Agents Alkeran cyclophosphamide hydroxyurea Leukeran lomustine Myleran temozolomide Antimetabolites mercaptopurine methotrexate Androgen Androxy Progestins leuprolide megestrol Antiandrogens bicalutamide flutamide Antiestrogen tamoxifen Miscellaneous Antineoplastics anastrozole capecitabine Emcyt Gleevec leucovorin octreotide Tarceva Xalkori (PA) Zelboraf (PA) IMMUNOSUPPRESSANTS azathioprine cyclosporine mycophenolic acid mycophenolate mofetil tacrolimus sirolimus CARDIAC ANTIARRHYTHMICS Class Ia disopyramide, SA procainamide, SR quinidine gluconate quinidine sulfate irbesartan, HCTZ valsartan, HCTZ eprosartan candesartan, HCTZ Class Ib mexiletine Drugs for Pheochromocytoma Dibenzyline Class Ic flecainide propafenone Rythmol SR Combination Antihypertensives atenolol/chlorthal benazepril/amlodipine benazepril/HCTZ bisoprolol/HCTZ captopril/HCTZ Clorpres enalapril/HCTZ fosinopril/HCTZ losartan/HCTZ lisinopril/HCTZ methyldopa/HCTZ moexipril/HCTZ propranolol/HCTZ quinapril/HCTZ Class III amiodarone sotalol, AF Tikosyn Multaq ANTIHYPERTENSIVES Vasodilators/Nitrates doxazosin hydralazine isosorbide mononitrate isosorbide dinitrate minoxidil ntg ointment ntg patches ntg SL prazosin terazosin Centrally-Acting Catapres-TTS clonidine, ER guanfacine methyldopa ACE Inhibitors benazepril captopril enalapril fosinopril lisinopril moexipril perindopril quinapril ramipril trandolapril Angiotensin II Receptor Antagonists Edarbi (Tier 3) (SE) Edarbyclor (Tier 3) (SE) CHOLESTEROL LOWERING DRUGS atorvastatin cholestyramine, light coletsipol fenofibric acid gemfibrozil Liptruzet (SE) lovastatin niacin pravastatin simvastatin Welchol BETA BLOCKERS Cardioselective acebutolol atenolol bisoprolol metoprolol metoprolol XL Non-Cardioselective nadolol pindolol propranolol, SR timolol Alpha/Beta Antagonists Page 1 carvedilol labetalol CALCIUM CHANNEL BLOCKERS diltiazem, CD, SR, felodipine isradipine nicardipine nifedipine, CC, XL nimodipine amlodipine verapamil, SR verelan PM DIURETICS Potassium-Sparing Diuretics amiloride/HCTZ spirono/HCTZ spironolactone triamterene/HCTZ Thiazide Diuretics chlorothiazide chlorthalidone hydrochlorothiazide indapamide metolazone Loop Diuretics bumetanide furosemide torsemide CARDIAC GLYCOSIDES Digoxin OTHER CARDIAC cilostazol midodrine pentoxifylline PULMONARY HTN AGENTS Adcirca (PA) Letairis Revatio (PA) Tracleer Tyvaso Ventavis Adempas Opsumit ANTIPLATELET DRUGS Aggrenox clopidogrel dipyridamole Effient ANTICOAGULANTS Eliquis (SE) enoxaparin fondaparinux heparin warfarin Xarelto (PA) HEMOSTATICS aminocaproic acid CNS DRUGSDRUGS Anxiolytics alprazolam buspirone clorazepate diazepam lorazepam meprobamate oxazepam Sedative/Hypnotics chloral hydrate hydroxyzine HCL hydroxyzine pam temazepam (qty limits) triazolam (qty limits) zaleplon (qty limits) zolpidem, SR (qty limits) Anticonvulsants carbamazepine Celontin clonazepam Diastat Divalproex sodium, ethosuximide Felbatol gabapentin Gabitril Lamictal XR lamotrigine levetiracetam oxcarbazepine phenobarbital phenytoin primidone Tegretol XR tiagabine topiramate valproic acid Antidepressants amitriptyline amoxapine bupropion, SR, XL citalopram clomipramine desipramine doxepin duloxetine fluoxetine fluvoxamine, ER imipramine mirtazapine nefazodone nortriptyline paroxetine sertraline trazodone venlafaxine, ER Antipsychotics Abilify (SE) chlorpromazine clozapine fluphenazine haloperidol loxapine olanzapine olanzapine/fluoxetine perphenazine quetiapine risperidone Seroquel XR (SE) thioridazine thiothixene trifluoperazine ziprasidone Drugs for Parkinsonism amantadine Apokyn benztropine bromocriptine carbidopa/levodopa, SA entacapone pramipexole ropinirole, SR selegiline Stalevo trihexyphenidyl Drugs for Mania lithium Drugs for Vertigo/Emesis granisetron (qty=15 tabs/Rx) ondansetron prochlorperazine promethazine Transderm-Scop trimethobenazmide CNS Stimulants Use for appetite suppressants not covered Dexemethyphenidate, ER dextroamphetamine dextroamphetamine/amphetamine, XR methamphetamine methylphenidate, SR, ER, LA Vyvanse (Commercial 3rd tier) Miscellaneous CNS Drugs Weight loss medications are not covered. acamprosate disulfiram Mestinon Syrup naltrexone neostigmine Orap pyridostigmine Alzheimer’s Drugs donepezil rivastigmine Exelon Patch Namenda Razadyne, ER rivastigmine Headache Drugs apap/butalbital apap/butalbital/caffeine apap/butalbital/caffeine/codeine asa/butalbital/caffeine asa/butalbital/caffeine/codeine butorphanol (PA, qty=2 bottles/mo) dihydroergotamine (qty = 1 box/mo) divalproex sodium ergotamine/caffeine isometh/dichlphen/apap rizatriptan, ODT (qty=12/mo) sumatriptan inj (qty=4 syr/mo) sumatriptan nasal (qty=6 bottles/mo) sumatriptan tabs zolmitriptan, ODT (qty=12/mo) NARCOTICS Class II codeine fentanyl patch hydromorphone meperidine methadone morphine sulfate, SA oxycodone oxycodone/apap oxycodone/asa Class III apap/codeine #2, 3, 4 asa/codeine #2,3,4 hydrocodone/apap, ES Miscellaneous Pain Medications Suboxone tramadol tramadol/apap DERMATOLOGY permethrin 5% Corticosteroids alclometasone amcinonide betamethasone dip bethmethasone val clobetasol Cloderm Cordran, SP desonide desoximetasone diflorasone fluocinolone fluocinonide, E fluticasone halobetasol Halog hydrocortisone 2.5% hydrocortisone butyrate hydrocortisone val mometasone prednicarbate triamcinolone triamcin/nystatin Topical Immunosuppressant Elidel ENT DRUGS Otic Medications acetic acid, HC acetic acid/aluminum acetate benzocaine/antipyrine Cipro HC CiproDex neo/polymyxin/hc tobramycin / dexamethasone Acne Drugs adapalene (PA >age 29) calcipotriene clindamycin topical erythro/benzoyl peroxide erythromycin topical isotretinoin metronidazole Retin-A Micro (PA >age 29) sulfacetamide/sulfur tretinoin (PA > age 29) Nasal Sprays azelastine fluticasone Nasonex Keratolytics podofilox ENDOCRINE DRUGS Miscellaneous Epiceram fluorouracil mupirocin Oxsoralen, -Ultra Umecta mousse 40 urea cream 39-40-50 urea gel 40 urea lotion 40 vasolex Scabicides Eurax Throat/Mouth Medications chlorhexidine lidocaine viscous pilocarpine triamcinolone paste Corticosteroids dexamethasone hydrocortisone methylprednisolone prednisolone prednisone Mineralocorticoids fludrocortisone Androgens Androgel (PA) Axiron (PA) danazol testosterone cypionate (PA) Page 2 Hypoglycemics Avandamet Avandaryl Avandia Byetta (Tier 3) Bydureon (Tier 3) glimepiride glipizide, ER glyburide, micro glyburide-metformin Glyset Janumet, XR Januvia Jentadueto Humalog Humulin insulins Lantus SoloStar Lantus vial metformin, ER nateglinide pioglitazone Pioglitazone/glimepiride pioglitazone and metformin Repaglinide Tradjenta Miscellaneous alendronate cabergoline calcitonin nasal spray calcitonin salmon injectable desmopressin etidronate Fosamax Plus D Glucagon raloxifene Proglycem (diazoxide) Sensipar Thyroid Medications levothyroxine methimazole propylthiouracil Caprelsa GI DRUGS Diarrhea Medications diphenoxylate/atropine GI Motility Drugs belladonna/Pb bethanecol chlordiaxepoxide/clidinium dicyclomine hyoscyamine, metoclopramide propantheline Ulcer/GERD Medications Amoxil/claritho/lansopraz (Prevpac) Carafate susp Dexilant (Tier 3) (SE) lansoprazole misoprostol nizatadine omeprazole pantoprazole Rabeprazole sucralfate Miscellaneous GI Drugs amylase/lipase/protease balsalazide Cortifoam Delzicol Dipentum hydrocortisone lactulose mesalamine Na/K/NaHCO3/PEG Pentasa Sucraid sulfasalazine ursodiol Viokace Zenpep BIOTECH DRUGS Alferon N Avonex Copaxone Erivedge Epogen, Procrit (PA) Inlyta Intron A Jakafi Kalydeco (PA) Neumega (PA) Neupogen (PA) Omnitrope (PA) PegIntron Rebif Zytiga MUSCULO-SKELETAL MEDICATIONS Gout Drugs Allopurinol Colcrys probenecid Uloric (Tier 2) Salicylates choline mag trisalicylate salsalate NSAIDS diclofenac potassium diclofenac sodium etodolac ibuprofen indomethacin, SR ketoprofen, SR ketorolac tabs (qty=20) meclofenamate meloxicam nabumetone naproxen naproxen sodium oxaprozin piroxicam sulindac tolmetin Arthritis Drugs Cuprimine Depen hydroxychloroquine leflunomide Ridaura Skeletal Muscle Relaxants Baclofen carisoprodol chlorzoxazone cylcobenzaprine dantrolene diazepam methocarbamol orphenadrine tizanidine VITAMINS AND MINERALS Vitamins Affecting Coagulation Mephyton Potassium Supplements KCl liquid, pkts, tabs, ER potassium bicarb/cit ac Potassium-Removing Resins sodium polystyrene sulfonate Phosphorous Reducer calcium acetate (phosphate binder) sevelamer carbonate Renvela Miscellaneous Multivitamins are not included since OTC products are available. calcitriol cyanocobalamin/FA/pyridoxine DHT fluoride vitamins A,D,C fluoride/polyvitamins folbic (folic acid;B12;B6) folic acid folic acid/vit b comp w-c sodium fluoride drops, tablets SSKI OB/GYN MEDICATIONS Infertility medications are not covered. Estrogens estradiol estropipate Premarin Estrogen/Androgen Combinations methytest/ester estrogens Estrogen/Progestin Combinations CombiPatch Prefest Premphase Prempro Contraceptives apri aviane balziva cryselle enpresse jolessa junel, FE lessina levora low-ogestrel lutera microgestin, FE mononessa necon nortrel Nuvaring ocella ogestrel Ortho Tri-Cyclen Lo Ovcon-50 portia previfem Quasense solia sprintec tilia fe trinessa tri-previfem tri-sprintec trivora xulane zarah zenchent Oxytocics Methylergonovine Prenatal Vitamins prenatal 1/1 prenatal w/FA & iron prenatal w/Zinc Marnatal-F Multi-Nate DHA Extra Venatal FA Vinate ONE Vitafol Vol-Plus Progestins medroxyprogesterone norethindrone progesterone inj OB/GYN Topical Anti-infective Drugs clindamycin vaginal metronidazole vaginal Miscellaneous Synarel (PA) terbutaline OPHTHALMIC MEDICATIONS Oral acetazolamide methazolamide Cardioselective Beta-Blockers betaxolol Non-Selective Beta-Blockers levobunolol timolol Miscellaneous Topical Alphagan P Azopt brimonidine dipivefrin dorzolamide/timolol latanoprost homatropine Iopidine Isopto Carbachol 1.5% Phospholine pilocarpine Pilopine HS Gel Travaprost Zirgan Anti-infectives/Corticosteroids Ciprodex dex/neo/poly Poly-Pred prednisolone/sulfacetamide sodium sulfacetamide tobramycin/dexamethasone Tobradex Ointment/ST Anti-infectives bacitracin bacitracin/polymixin B ciprofloxacin erythromycin gentamicin Moxeza neo/baci/poly sulfacetamide tobramycin trimethoprim/polymixin Vigamox Antivirals Trifluridine Zirgan Miscellaneous Alomide atropine cromolyn cyclopentolate homatropine ketorolac phenylephrine tropicamide Voltaren Topical Corticosteroids dexamethasone fluorometholone prednisolone ANTIGLAUCOMA DRUGS Page 3 RESPIRATORY MEDICATIONS Anesthetics phenazopyridine Antihistamines clemastine syrup cyproheptadine desloratadine dexchlorpheniramine hydroxyzine HCL levocetirizine promethazine promethazine VC Miscellaneous doxazosin finasteride tamsulosin Na/K cit/CA terazosin Viagra (qty=4 tabs/30 days) (not covered for OFC) Antitussives, Expectorants Narcotic-Containing guaifenesin AC guaifenesin DAC promethazine VC w/cod promethazine w/codeine hydrocod polst-chlorphen polst ANTIDOTES NonNarcotic Containing carbinoxamine/pseudo/DM guaifenesin LA guaifenesin/DM guaifenesin/PSE promethazine DM Beta-2 Agonists Foradil metaproterenol Ventolin HFA Serevent terbutaline Methylxanthines theophylline, SR Corticosteroids Asmanex budesonide Flovent Qvar Miscellaneous Auvi-Q acetylcysteine Advair Combivent cromolyn neb soln Dulera Epipen, Adrenalin (2/copay) ipratropium br montelukast Pulmozyme Spiriva zafrilukast UROLOGICALS Anticholinergic/Antispasmodics flavoxate hyoscyamine, ext. rel oxybutinin, XL tolterodine trospium, SR Cholinergic Stimulants bethanecol Chemet QTY FORMULARY FOR OTC PRODUCTS-OPTIMA FAMILY CARE ONLY GENERIC PRODUCTS MUST BE USED WHERE AVAILABLE. A prescription is required for OTC products to be covered by the plan. Prescriptions may be written or phoned to the pharmacy. PLEASE NOTE QUANTITY LIMITS PER DISPENSING. Members of FAMIS do not have this OTC benefit. QTY FORMULATION ANALGESICS & ANTIFLAMMATORIES ACETAMINOPHEN 100 100 100 100 4 OZ 4 OZ ½ OZ 1/2 OZ 2 OZ 30 30 6 CAPSULES: 500 MG TABLETS: 325 MG TABLETS: 500MG TABLETS: 650MG ELIXIR: 160MG/5ML SUSP: 160 MG/5 ML SUSP: 100MG/ML DROPS: 100 MG/ML DROPS: 80MG/0.8ML CHEW TABS: 80MG CHEW TABS: 160MG SUPP: 120 MG ASPIRIN 100 36 TABLETS: 325 MG TABLETS: 81 MG IBUPROFEN 100 4 OZ ½ OZ 24 24 TABLETS: 200 MG SUSP: 100MG/5ML SUSP: 50MG /1.25M L CHEW TABS: 50MG CHEW TABS: 100MG GASTROINTESTINALS AL & MG HYDROXIDE 12 OZ SUSPENSION AL & MG HYDROXIDE SIMETHICONE 12 OZ SUSPENSION LOPERAMIDE 24 4 OZ BISACODYL 12 4 CAPLETS: 2 MG LIQUID 1MG/5ML TABLETS: 5 MG SUPPOS: 10 MG PSYLLIUM 210 FORMULATION POWDER SENNA 20 1/2 OZ TABLET SYRUP SIMETHICONE 36 2 OZ CHEW TAB:80MG SUSP: 40MG/0.6ML CIMETIDINE 64 TABLETS: 100 MG RANITIDINE 20 24 TABLETS: 75 MG TABLETS: 150 MG PRILOSEC 42 TABLETS: 20 MG COUGH / COLD / ALLERGY CHLORPHENIRAMINE 24 TABLETS: 4 MG LORATADINE 20 4 OZ TABLETS: 10 MG SYRUP: 5 MG/5 ML ZYRTEC 14 10 5 4 OZ TABLETS: 10MG CHEW TABS: 10MG CHEW TABS: 5MG SYRUP DIPHENHYDRAMINE 24 CAPSULES: 25 MG 4 OZ ELIXIR: 12.5MG/5ML PSEUDOEPHEDRINE 24 TABLETS: 30 MG 10 TABLETS: 120MG 4 OZ LIQUID 30MG/5ML ½ OZ DROPS BROMP/PSEUDOEPHEDRINE 4 0Z ELIXIR LORATADINE/PSEUDOEPHEDRINE 10 TABLETS: 240/10 MG ZYRTEC – D 12 TABLETS TRIPROL/PSEUDOEPHEDRINE 24 TABLETS GUAIFENESIN 4 OZ SYRUP GUAIFENESIN DM 4 OZ SYRUP DOCUSATE CALCIUM 60 TABLETS: 240 MG CP/PSEUDOEPHEDRINE/DM 4 OZ LIQUID DOCUSATE SODIUM 60 CAPSULES: 100 MG 10 CAPSULES: 250 MG 8 OZ SYRUP: 60 MG/15 ML 1 OZ LIQUID: 50MG/5ML GUAIFENESIN/PSEUDOEPHEDRINE 4 OZ SYRUP SALINE NASAL SPRAY ENEMA DELSYM 3 OZ 5 OZ 2.5 OZ FIBER 36 TABLETS: 625 MG ½ OZ TOPICALS MILK OF MAGNESIA 4 OZ SUSP: 400 MG/5 ML AQUAPHOR 396 GM MIRALAX 4 OZ EUCERIN 120 GM POWDER SUSPENSION LIQUID OINTMENT CREAM QTY BACITRACIN 1 0Z FORMULATION OINTMENT BACITRACIN/NEOMYCIN/POLYMIXIN 1 0Z OINTMENT CLOTRIMAZOLE 15 GM 30 GM 45 GM 10 ML 45 GM 7 CREAM: 1% CREAM: 1% CREAM: 1% SOLUTION: 1% VAG CREAM: 1 % VAG TAB 100MG MICONAZOLE 1 0Z 45 GM 7 1 CREAM: 2% VAG CREAM: 2% VAG SUP 100MG COMBO PKG TERBENAFINE 30GM 1% CREAM HYROCORTISONE 1 0Z CREAM: 1% 1 OZ OINTMENT: 1% 1 OZ CREAM: 0.5% 1 OZ OINTMENT: 0.5% DIAPER RASH MEDICATION 120GM OINTMENT VITAMIN A & D OINTMENT 120GM OINTMENT VITAMINS, MINERALS AND RELATED DRUGS: CENTRUM 180 TABS CENTRUM SILVER 150 TABS POLY-VI-SOL 50 ML DROPS POLY-VI-SOL W/ IRON 50 ML DROPS DRISDOL 8000 U/ML DROPS NIACIN 100 TABS.250, 500MG FERROUS SULFATE 16 OZ ELIXIR 100 TABLETS: 325 MG 1.5 OZ DROPS ERGOCALCIFEROL 2 OZ. DROPS 60 TABLETS MULTIVITAMINS 50 TABLETS 1.5 OZ LIQUID PRENATAL VITAMINS 100 TABLETS CALCIUM CARBONATE 100 TABLETS:500 MG OS-CAL+D 120 TABLETS OS-CAL+D 75 TABLETS OS-CAL+D 60 CHEWS Page 4 QTY CALTRATE 60 FORMULATION TABLETS CALTRATE PLUS 60 TABLETS CALTRATE 600 60 TABLETS CALTRATE 600+D PLUS 60 TABLETS MAGNESIUM 100 QTY TABLETS:500 MG FORMULATION Generic Drug Policy For Prior Authorization Requests: Drugs which have FDA approved generic equivalents are covered at a generic reimbursement level (maximum allowable cost, or MAC). If a member or prescriber insists on the brand name product when an approved generic is available, the member must pay the cost difference between the brand name drug and the MAC amount (an ancillary charge) in addition to the copay. Optima Health Plans Attention: Pharmacy Dept. 4456 Corporation Lane, Ste 210 Virginia Beach, VA 23462 Telephone: 1-800-229-5522 or 757-552-7540 (option 3) Fax: 1-800-750-9692 or 757-552-7516 FAMILY PLANNING: NONOXYNOL 9 18 12 10 GM 126 GM 10 12 SUPPOS: 100 MG VAG FILM: 28% VAG FOAM 8% VAGINAL JEL VAG GEL: 4% SPONGE CONDOMS 36 PLAN B 2 3 TABLETS PEDICULOCIDES/SCABICIDES: RID 4 OZ LOTION PYRETHRIN 4 OZ SHAMPOO PYRETHRIN 4 OZ LIQUID PERMETHRIN 60ML LIQUID SMOKING CESSATION: NICOTINE 7MG/24HR PATCH NICOTINE 14MG/24HR PATCH NICOTINE 21MG/24HR PATCH NICOTINE 2MG GUM NICOTINE 4MG GUM NICOTINE 2MG LOZENGE NICOTINE 4MG LOZENGE Prior Authorization Requests: To promote the most appropriate utilization, selected medications require prior authorization by the plan to be eligible for coverage. Prior authorization criteria are established by the Pharmacy and Therapeutics Committee with input from plan physicians and consideration of the current medical literature. The physician must call or write the plan and provide patient clinical information. The Committee may establish preauthorization requirements for formulary medications. Quantity Limits: To promote the most appropriate utilization, selected medications have monthly quantity limits. These limitations are established by the Pharmacy and Therapeutics Committee with input from plan physicians and considerations of current medical literature. For Step-Edits: The claims system will electronically search for the required first-line drugs. Claims will reject if the required first-line agents are not present. To request a drug not meeting the step-edit requirement contact: Optima Health Plan Attention: Pharmacy Dept 4456 Corporation Lane, Ste 210 Virginia Beach, VA 23462 Telephone: 1-800-229-5522 or 757-552-7540 (option 3) Fax: 1-800-750-9692 or 757-552-7516 This list is provided as a reference and is subject to change. Updates are published in the Provider Relations Newsletter. © Sentara Health Care Pharmacy Services, October 16, 2014. No portion of this document may be reprinted without permission of the Director of Pharmacy, Sentara Health Plans, Inc. For a complete list of Utilization Management criteria, see the “Prior Authorization, Step-Edit, and Quantity Limits Drug List” in the ‘Provider’ portal at www.optimahealth.com MISCELLANEOUS: CARBAMIDE ½ OZ DROPS: 6.5% SODIUM CHLORIDE 100 3 ML VIALS For information on Premium Tier and Premium Plus Tier medications, please utilize the ‘Drug Search Tool’ at www.optimahealth.com Page 5
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