Drug - Statins
June 2012
Therapeutic Area - Cardiovascular
Statin Preferred Drug List - High Potency
Preferred - atorvastatin-generic, simvastatin-generic
Nonpreferred - Crestor (rosuvastatin), Lipitor (atorvastatin), Livalo (pitvastatin), Zocor (simvastatin)
Statin Preferred Drug List - Low Potency
Preferred - Lescol, Lescol XL, lovastatin-generic, pravastatin-generic
Nonpreferred - Mevacor, Pravachol
Equivalent Statin Dosing Chart
Simvastatin
(Zocor) |
fluvastatin
Lescol Lescol XL |
Pravastatin
(Pravachol) |
Lovastatin
(Mevacor) |
Crestor
(rosuvastatin) |
(atorvastatin)
Lipitor |
Livalo
(pitavastatin) Avail: 1, 2, 4 mg |
10 mg | 40 mg | 20 mg | 20 mg | [1 mg] | ||
20 mg | 80 mg
(Lescol XL) |
40 mg | 40 or 80 mg | 5 or 10 mg | 10 mg | [2 mg] |
40 mg | 80 mg | 80 mg | 20 mg | [4 mg] | ||
80 mg | 40 mg | |||||
20 mg | 80 mg | |||||
40 mg |
[Livalo comparative potency based on head-to-head trial data with pravastatin, head-to-head with atorvastatin and head-to-head trial data with simvastatin]
Statins are also subject to quantity limit restrictions.
MHCP Provider Call Center 651-431-2700 or 800-366-5411