Our Provider Directory can help! All doctors who take care of our members are listed in the directory. The directory will tell you the addresses, specialties, whether or not they are accepting new patients, and other important information. You can search our online provider directory at bcbsra or call ExpressLine at 585 ; 454-5010 or 1 800 ; 548-6428 to request a copy.
Blockers were formerly considered to be contraindicated in heart failure therapy because they depressed left ventricular function. Despite this short-term effect, it is now evident that long-term -adrenergic blockade reduces damage to heart and blood vessels caused by prolonged activation of the sympathetic nervous system in heart failure. The mechanisms of cardiotoxicity mediated by norepinephrine and epinephrine include: 27 1. Dysfunction and death of cardiac myocytes 2. Increased ventricular size and pressures, caused by peripheral vasoconstriction and increased intravascular volume resulting from sympathetic impairment of renal salt and water excretion ; 3. Provocation of arrhythmias 4. Increased heart rate through stimulation of 1- and 2-receptors.
Adverse event elevation of blood urea nitrogen [BUN] and creatinine on day 9 ; prior to day 14. The fever leading to the withdrawal of the IDV RTV patient was assessed as not drug related by the investigator. The elevation of BUN leading to the withdrawal of the IDV-alone patient was assessed as possibly drug related by the investigator. Twenty-four patients 12 per treatment arm ; had evaluable data on day 14. These patients had a mean age of 42 years, 63% were male, 50% were black, 25% were white, 21% were Hispanic American, and 4% were of other ethnicities. The weights of the patients in each treatment group were similar, with means of 186 SD, 29.3 ; and 181 SD, 62 ; lb in groups 1 and 2, respectively. Pharmacokinetic profile. Mean IDV concentration-overtime curves are provided for 24 h on day 14 for both IDV RTV and IDV alone Fig. 1 ; . As illustrated by Fig. 1, the mean IDV level for the IDV RTV regimen was maintained above 1, 000 nM throughout the 24-h dosing cycle, well above minimum levels maintained with the IDV-alone regimen. The morning IDV trough levels on days 12, 13, and 14 for both regimens are provided in Fig. 2. The day 12, 13, and 14 values were relatively similar within each treatment group. Thus, these values were important in confirming the achievement of steady state by the time the day 14 analyses were performed. Primary hypothesis. The IDV Cmin ratio IDV RTV at 667 100 mg q12h compared to IDV at 800 mg q8h ; was 6.05 and was statistically significant P 0.001 ; Table 1 ; . The lower.
KN15 Capillary Electrophoresis Analysis of Carbohydrate-deficient Transferrin in Human Serum, a Marker for Chronic Alcohol Abuse W. Thormann, C. Lanz University of Bern, Bern, Switzerland During the past decade, the use of capillary electrophoresis in clinical and forensic analysis has been actively explored and successfully introduced to the routine arena. Area of applications include i ; analysis of drug seizures, ii ; monitoring of drugs in body fluids, iii ; screening for serum proteins, iv ; analysis of specific blood proteins, such as transferrins and hemoglobins, and iv ; DNA fingerprinting and mutation analysis. In this lecture, capillary electrophoresis with a dynamic double coating formed by charged polymeric reagents is shown to represent a very effective tool for the separation of iron-saturated Tf isoforms and thus the determination of carbohydratedeficient transferrin CDT ; , a marker for chronic alcohol abuse, in human serum [1-4]. CDT encompasses isoforms of the glycoprotein transferrin Tf ; with zero up to two sialic acid residues in the carbohydrate side chains of the molecule and is determined in relation to total Tf. The highresolution CE assay used in our laboratory is demonstrated to provide reliable data for patient screening, long-term monitoring of individuals and confirmation analysis. It features simpler sample preparation, faster analysis time and higher isoform resolution compared to the most recent HPLC approach and is thus regarded as a candidate of a reference method for CDT. [1] Lanz, C., Kuhn, M., Bortolotti, F., Tagliaro, F., Thormann, W., J. Chromatogr. A 2002, 979, 43-57. [2] Legros, F.J., Nuyens, V., Minet, E., Emonts, P., Zouaoui Boudjeltia, K., Courbe, A., Ruelle, J.L., Colicis, J., de L'Escaille, F., Henry, J.-P., Clin. Chem. 2002, 48, 2177-2186. [3] Legros, F.J., Nuyens, V., Baudoux, M., Zouaoui Boudjeltia, K., Ruelle, J.-L., Colicis, J., Cantraine, F., Henry, J.-P., Clin. Chem. 2003, 49, 440-449. [4] Lanz, C., Kuhn, M., Deiss, V., Thormann, W., Electrophoresis 2004, 25, 2309-2318.
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CURRICULUM VITAE Daniel Luna Venarske, M.D. 214 Bellewood Ct. Ridgeland, MS 39157 Business Address: 1600 North State Street Suites 101 and 201 Jackson, MS 39216 601 ; 354-4836 email dven msaac Private Practice Mississippi Asthma & Allergy Clinic, P.A. July 5, 2005 present Education Baylor College of Medicine, Houston, Texas M.D., May 1999 The University of Texas at Austin B.A., Plan II, May 1995 Post Graduate Training Vanderbilt University Allergy Immunology Fellowship Program July 2003-June 2005 University of Mississippi Medical Center Combined Internal Medicine and Pediatrics Residency Program July 1999-June 2003 Honors and Awards Cystic Fibrosis Foundation Research Grant 1998 ; American Cancer Society Grant 1995 ; Certifications Board Certified, Internal Medicine 2003 ; Board Certified, Pediatrics 2004 ; Board Certified, Allergy and Immunology 2005 and procardia.
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MEDICINES YOU SHOULD NOT TAKE WITH ATRIPLA The following medicines may cause serious and life-threatening side effects when taken with ATRIPLA. You should not take any of these medicines while taking ATRIPLA: Vascor bepridil ; , Propulsid cisapride ; , Versed midazolam ; , Orap pimozide ; , Halcion triazolam ; , ergot medications for example, Wigraine and Cafergot ; . ATRIPLA also should not be used with Combivir lamivudine zidovudine ; , EMTRIVA, Epivir, Epivir-HBV lamivudine ; , Epzicom abacavir sulfate lamivudine ; , Trizivir abacavir sulfate lamivudine zidovudine ; , SUSTIVA, TRUVADA, or VIREAD. Vfend voriconazole ; should not be taken with ATRIPLA since it may lose its effect or may increase the chance of having side effects from ATRIPLA. Do not take St. John's wort Hypericum perforatum ; , or products containing St. John's wort with ATRIPLA. St. John's wort is an herbal product sold as a dietary supplement. Talk with your healthcare provider if you are taking or are planning to take St. John's wort. Taking St. John's wort may decrease ATRIPLA levels and lead to increased viral load and possible resistance to ATRIPLA or crossresistance to other anti-HIV-1 drugs. Fortovase, Invirase saquinavir ; , Biaxin clarithromycin or Sporanox itraconazole these medicines may need to be replaced with another medicine when taken with ATRIPLA. Calcium channel blockers such as Cardizem or Tiazac diltiazem ; , Covera HS or Isoptin verapamil ; and others; Crixivan indinavir Methadone; Mycobutin rifabutin Rifampin; cholesterol-lowering medicines such as Lipitor atorvastatin ; , Pravachok pravastatin sodium ; , and Zocor simvastatin or Zoloft sertraline these medicines may need to have their dose changed when taken with ATRIPLA. Videx, Videx EC didanosine tenofovir DF a component of ATRIPLA ; may increase the amount of didanosine in your blood, which could result in more side effects. You may need to be monitored more carefully if you are taking ATRIPLA and didanosine together. Also, the dose of didanosine may need to be changed. Reyataz atazanavir sulfate ; or Kaletra lopinavir ritonavir these medicines may increase the amount of tenofovir DF a component of ATRIPLA ; in your blood, which could result in more side effects. Reyataz is not recommended with ATRIPLA. You may need to be monitored more carefully if you are taking ATRIPLA and Kaletra together. Also, the dose of Kaletra may need to be changed. Medicine for seizures [for example, Dilantin phenytoin ; , Tegretol carbamazepine ; , or phenobarbital]; your healthcare provider may want to switch you to another medicine or check drug levels in your blood from time to time and trandate.
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The PROSPER trial, a randomised controlled trial designed to assess the effect of pravastatin Pravachok ; on coronary heart disease and stroke, assigned 5, 804 study participants 2, 804 men and 3, 000 women ; aged 7082 years with a history of, or risk factors for, vascular disease to pravastatin 40 mg per day; n 2, 891 ; or placebo [n 2, 913; Shepherd et al., 2002 ; ]. Cognitive function was measured by four different tests including the Mini-mental Status Examination MMSE ; and the results at threeyear follow-up indicated that overall cognitive function declined at the same rate in both groups. The largest randomised controlled trial of a statin the Heart Protection Study, enrolled more than 20, 000 people and randomised them into treatment with simvastatin or placebo. After a median of five years follow-up, the results indicated that there was no difference in cognitive scores or the incidence of dementia between the two groups Heart Protection Study Collaborative Group, 2004 ; . Thus, a firm conclusion regarding the effects of statins on cognitive function has not been determined although the draft guidelines of the National Institute of Health and Clinical Excellence National Institute for Health and Clinical Excellence, 2006 ; state that statins should not be prescribed for the prevention of dementia.
Women of childbearing potential Before valproate is prescribed for use in women with epilepsy of any form, who could become pregnant, they should receive specialist advice. Because of the potential risks to the fetus, the benefits of its use should be weighed against the risks. When valproate treatment is deemed necessary, precautions to minimize the potential teratogenic risk should be followed see below "Considering these data " ; Pregnancy 1 Risk related to epilepsy and to anti-epileptic medications: With regard to all anti-epileptic medications combined, it has been shown that in the offspring of epileptic women treated, the overall rate of malformations is 2 to times higher than that of the general population about 3% ; . An increase in the number of children with a malformation is observed with multi-drug therapy, The most commonly observed malformations are cleft palate and cardiovascular malformations. The sudden discontinuation of an anti-epileptic treatment may result in worsening of the disease in the mother, which is harmful for the fetus. 2 Risk related to valproate: In animals: animal experiments have demonstrated a teratogenic effect in the mouse, rat and rabbit. In humans: An increased incidence of minor or major malformations including neural tube defects, craniofacial defects, malformation of the limbs, cardiovascular malformations and multiple anomalies involving various body systems has been reported in offspring born to mothers with epilepsy treated with valproate. Some data have suggested an association between in-utero valproate exposure and the risk of developmental delay frequently associated with craniofacial abnormalities ; , particularly of verbal IQ and vasotec.
Pfizer made it clear it is not going to give market share to Crestor and Zetia without a fight. The company held a briefing for reporters to outline the program it has underway to counter new agents e.g., Crestor and Zetia ; with a series of Lipitor trials. A Senior Pfizer official offered these three key counter-marketing points about Lipitor: 1. extensive R&D 2. extensive acceptance worldwide 3. experience -- over 57 million patient-years The linchpin of this program is probably the REVERSAL trial, which will be presented at the American Heart Association meeting on Wednesday, November 12, 2003. This trial has the potential to deliver either a serious blow to Pfizer or give it a huge marketing advantage. REVERSAL is a 600-patient, prospective, randomized, double-blind, head-to-head trial comparing 80 mg Lipitor and 40 mg Pravastatin Bristol-Myers Squibb's Pravacholl ; . What makes REVERSAL unique is that the primary endpoint is percent change in total atheroma volume neointimal volume ; as measured by IVUS. The data from this trial is being tightly held; even Pfizer only knows the top-line data. There are 23 pre-specified sub-group analyses of this trial. Among the questions they should be able to answer are: 1. How much is disease progression reduced by lowering cholesterol, how much is due to other factors, and what some of those factors are CRP, etc. ; ? 2. Are there important differences in the effects of different statins on the atherosclerotic disease process? 3. Do statins merely slow atherosclerosis progression, or can they actually stop the disease process? Other Lipitor points include: Data from the CARDS diabetic trial will probably be at the American College of Cardiology in 2004. A Pfizer officials said he believes it is probably unethical to do placebo-controlled statin trials any more.
Label communications about who should not use Pravwchol 10 mg, conveyed less strongly as those described above i.e. 75% ; , include: "consumers with Total cholesterol level more than 240" 73% ; , "consumers taking prescription cholesterol and lisinopril.
In 2006, several significant generics became available for the first time, totaling more than billion in annual sales potential. Generics to Bristol-Myers Squibb's Pravachol pravastatin ; and Merck's Zocor simvastatin ; top the list. These drugs belong to the cholesterol-reducing class of medications known as HMG-CoA reductase inhibitors, or "statins." Express Scripts worked with its plan sponsors in 2006 to initiate a major formulary change designed to take advantage of these generic introductions. The initiative met with great success. For the statin class, we started the year at a generic-fill rate of just over 8%. With aggressive formulary changes, plus utilization-management programs to complement the changes, we have achieved unprecedented success in preserving and even expanding the market share of products which lost patent protection. By the end of the year, our generic-fill rate for statins stood at 40%. Although the patent for Pfizer's Zoloft sertraline ; expired at the end of June, the first generic was launched in mid-August. Following the market entrance of Teva's generic, Pfizer launched an "authorized" generic through their Greenstone generic unit. Additional generics may be delayed beyond Teva's 180 days of generic exclusivity due to an active patent listed in FDA's Orange Book. Annual U.S. sales of Zoloft are approximately billion, with a per-member-per-year PMPY ; cost of .67. GlaxoSmithKline's market-leading nasal steroid Flonase fluticasone propionate nasal spray ; experienced first-time generic competition during the first half of 2006. Flonase is used to treat nasal symptoms of seasonal and chronic allergic and nonallergic rhinitis. Annual U.S. sales for Flonase reached nearly billion with a PMPY cost of approximately .20. In July 2006, FDA approved multiple generics to Boehringer-Ingelheim's Mobic meloxicam ; , a product indicated for the relief of arthritis symptoms. Mobic belongs to a class of medications known as non-steroidal anti-inflammatory drugs NSAIDs ; , which includes the cyclo-oxygenase-2 COX-2 ; inhibitors. Mobic's market share significantly increased following public awareness of safety concerns about the use of the COX-2 inhibitors and market removal of Vioxx rofecoxib Merck ; and Bextra valdecoxib Pfizer ; . In 2005, annual U.S. sales for Mobic reached approximately .2 billion, and the PMPY cost of Mobic was .89. Other significant branded medications that experienced generic competition for the first time in 2006 include Ditropan XL oxybutynin e.r. Johnson & Johnson ; , Proscar finasteride Merck ; , Zithromax suspension azithromycin Pfizer ; , and Actiq fentanyl Cephalon.
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3: 45 P.M. S36.001 Neural Basis for Impaired Action Knowledge in Amyotrophic Lateral Sclerosis Murray Grossman, Chivon Anderson, Alea Khan, Brian Avants, Lauren Elman, Leo McCluskey 4: 00 P.M. S36.002 Naming Nouns and Verbs in Types of Primary Progressive Aphasia Eleanor Pitz, Jennifer Heidler-Gary, Melissa Newhart, Cameron Davis, Argye Hillis 4: 15 P.M. S36.003 Sarcasm Appreciation: A Test of Lateral Orbitofrontal Cortex Functioning in Frontotemporal Dementia Christopher Kipps, Peter J. Nestor, Arnold J. Robert, J. J. Acosta-Cabronero, John Hodges 4: 30 P.M. S36.004 A Network Graph Analysis of Category Fluency Testing Alan J. Lerner, Paula K. Ogrocki, Peter J. Thomas 4: 45 P.M. S36.005 Human Relational Memory: Give It Time and Sleep Jeffrey M. Ellenbogen, Peter T. Hu, Jessica D. Payne, Matthew P. Walker.
Zocor now second tier. Lipitor now third tier. Simvastatin Zocor ; and Pravastatin Pravachol ; are expected to be approved as generics in mid-2006 and will be available on first tier when that occurs. Seasonale now third tier. The other current generic and second tier choices remain unchanged. Geodon now third tier. Current users may stay on Geodon with second tier co-pay. New prescriptions for Geodon will require a third tier co-pay. The other agents in this class remain unchanged and zebeta.
Of course, not all environmental exposures are harmful. In fact, some seem to impart a protective effect against other sources of damage. That's the core of the theory behind senior scientist Coral Lamartiniere's study of prostate cancer at the University of Alabama at Birmingham. His group has discovered that dietary exposure to genistein a phytoestrogen component of soy ; starting at puberty suppressed the development of spontaneous prostate cancer in transgenic mice bred to be highly susceptible to the disease. That laboratory observation correlates with other findings that Asian men who consume a traditional diet high in soy products have a low incidence of prostate cancer. Lamartiniere hypothesizes that this reduced susceptibility to prostate cancer is dependent on a process called "imprinting." In imprinting, the consumption of genistein at a particular time of development--in transgenic mice this time was before or at the onset of puberty--determines the biochemical blueprint of how the prostate will respond later in life to hormone and growth factor stimuli, which can trigger cancer. Imprinting of the prostate can apparently also render an individual more susceptible to prostate cancer in his adult years. Gail Prins, an associate professor in the University of Illinois at Chicago Department of Urology, has shown that brief exposure of rodents to high doses of natural or synthetic estrogens during development results in permanent alterations in growth and differentiation of the prostate gland. This estrogen imprinting is associated with prostatic lesions and cancer later in life. Estrogen imprinting could sensitize males to later estrogen exposures, increasing susceptibility to estrogen-induced prostatic tumors. Because estrogen levels rise in the aging male, this "two-hit" scenario could help explain the high incidence of prostate cancer in older men. Prins's group is exploring this scenario in animal models, and investigating the genetic basis of the suspected estrogen imprinting.
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Fig. 1. Proposed model of the molecular events associated with the PC initiation and progression through the malignant transformation of prostatic stem progenitor cells. This scheme shows A ; the anatomic localization of undifferentiated prostatic adult stem progenitor cells expressing different stem cell-like markers including CD133 CD44 21high in basal cell compartment in normal prostate epithelium and their possible symmetric division in homeostatic conditions. Moreover, this scheme also shows B ; the possible malignant transformation of prostate stem progenitor cells induced through genetic and or epigenic alterations resulting via their asymmetric division to the generation of a heterogenous population of poorly-, moderately- and welldifferentiated PC stem progenitor cells and PC initiation as well as C ; the possible accumulation of genetic and or epigenetic alterations in tumorigenic PC stemprogenitor cells leading to the sustained activation of numerous growth factor signaling cascades and their acquisition a migratory phenotype during epithelialmesenchymal transition EMT ; program and PC progression to the invasive and metastatic disease stages.
29. 2 pts ; Which of the antibacterial drugs above inhibits the enzyme MurA that is required for peptidoglycan biosynthesis? 30. 2 pts ; Which antibiotic above inhibits the loading of isoleucine onto the tRNA? 31. 2 pts ; Which antibiotic above prevents the formation of the D-Alanine required for peptidoglycan biosynthesis? 32. 2 pts ; Poor metabolism and clearance of this agent in neonates can lead to `gray baby' syndrome? 33. 2 pts ; Use of this compound has been associated with potentially fatal superinfections caused by a drugresistant strain of a toxin producing Clostridium sp and norvasc.
Dean Health Plan Formulary cont' Therapeutic Interchange List Note: Suggested interchange is product appropriate for MOST indications. Last Updated * 10 24 2006 Non-Preferred Not Covered Alternative * OVRETTE nora-be OXYTROL DETROL LA ENABLEX oxybutynin morphine sulfate ER PALLADONE OXYCONTIN PANDEL hydrocortisone PCE erythromycin amphetamine dextroamp pemoline methylphenidate PENETREX ciprofloxacin smx-tmp PENLAC Not Covered ; clotrimazole betamethasone cr econazole cr LAMISIL LOPROX GEL PENTASA ASACOL PERCOCET 2.5 325, 7.5 ; oxycodone APAP 5 325 only strength covered ; PERIOSTAT doxycycline 100mg PEXEVA citalopram paroxetine PHENTERMINE Plan Exclusion PLENDIL nifedipine ER NORVASC POLYCITRA sodium citrate and citric acid soln PONDIMIN Plan Exclusion PONSTEL diclofenac ibuprofen naproxen PRANDIN glipizide glyburide PRAVACHOL CRESTOR LESCOL LESCOL XL lovastatin VYTORIN ZOCOR PRECISION QID METERS & STRIPS ACCU-CHEK METER ACCU-CHEK TEST STRIPS FREESTYLE FLASH METER FREESTYLE TEST STRIPS PRECISION TEST STRIPS PRECISION XTRA METER PREVACID CAP ACIPHEX PRILOSEC OTC PROTONIX PREVPAC ACIPHEX PRILOSEC OTC PROTONIX.
Fibric acid derivatives antara fenofibrate ; lofibra fenofibrate ; lopid gemfibrozil ; triglide fenofibrate ; niacin niacels niacin ; niadelay niacin ; slo-niacin niacin ; statins lipitor atorvastatin ; mevacor lovastatin ; pravachol pravastatin ; nr pravastatin simvastatin statin combinations caduet atorvastatin amlodipine ; one of the preferred statins must be tried before a non-preferred agent will be authorized unless one of the exceptions on the pa form is present.
In the past, malformations of cortical development were thought to be extremely rare disorders, seen primarily in patients at mental institutions. The advent of MR imaging has revolutionized our understanding of these malformations, which are now known to cause about one-third of all cases of intractable partial epilepsy in childhood, up to one-half of cases of congenital hemiplegia, and a significant portion of patients with developmental delay 13 ; . Although conventional high-spatial-resolution MR imaging readily identifies the malformed cortex in most cases, recent investigations have begun to focus on the associated abnormalities of the white matter 4 6 ; . Because connectivity problems may be as important as, or more important than, the cortical abnormalities themselves in the clinical outcome of affected patients, the development of new tools to assess brain connectivity is vital to our understanding of affected patients. In this report, we describe our use of highspatial-resolution anatomic imaging, diffusion tensor imaging, and white matter tractography at 3 T patient with schizencephaly and other malformations of cortical development.
The most significant new drug story in this class is the Lipitor and torcetrapib combination product that is being developed. Known chemically as a cholesteryl ester transfer protein CETP ; inhibitor, torcetrapib blocks one of the proteins that transports cholesterol in the blood. Unlike statins and most other currently-available cholesterol agents, which lower LDL, or "bad" cholesterol, torcetrapib raises HDL, or "good" cholesterol. It will not be available as a stand-alone product, so it cannot be combined with any statin other than Lipitor. The combination product also represents a patentextension strategy for Lipitor, which faces patent expiration in 2010. A 2007 launch for Lipitor and torcetrapib is possible, but optimistic. JTT-705 is also a CETP inhibitor. Other drugs in the lipid-control pipeline affect blood components other than 3-hydroxy-3-methylglutaryl coenzyme A HMG-CoA ; reductase -- the enzyme blocked by statins. Eflucimibe blocks acyl-coA cholesterol acyltransferase ACAT implitapide is an inhibitor of microsomal triglyceride transfer protein MTTP GW 590735 is an agonist for peroxisome proliferation-activated receptors PPARs ; . Another significant story in this class is the probable availability in 2006 of generics for Pravachol and Zocor, statins that together represent approximately 20% of the total market for lipid-lowering drugs. The generic for Zocor will also be the most potent statin available generically. Over-the-counter OTC ; versions of statin drugs are unlikely in the near term, after an early 2005 vote by members of two FDA Advisory Committees repeated an earlier committee recommendation against the switch.
PRAVACHOL pravastatin sodium ; may elevate creatine phosphokinase and transaminase levels see ADVERSE REACTIONS ; . This should be considered in the differential diagnosis of chest pain in a patient on therapy with pravastatin. Homozygous Familial Hypercholesterolemia. Pravastatin has not been evaluated in patients with rare homozygous familial hypercholesterolemia. In this group of patients, it has been reported that HMG-CoA reductase inhibitors are less effective because the patients lack functional LDL receptors. Renal Insufficiency. A single 20 mg oral dose of pravastatin was administered to 24 patients with varying degrees of renal impairment as determined by creatinine clearance ; . No effect was observed on the pharmacokinetics of pravastatin or its 3hydroxy isomeric metabolite SQ 31, 906 ; . A small increase was seen in mean AUC values and half-life t ; for the inactive enzymatic ring hydroxylation metabolite SQ 31, 945 ; . Given this small sample size, the dosage administered, and the degree of individual variability, patients with renal impairment who are receiving pravastatin should be closely monitored and buy procardia.
UPHP Pricing is confidential, but more favorable than the Drugstore pricing outlined below. Generic preferred agents of simvastatin and lovastatin offer up to a 90% cost savings over branded products. See May 2007 Provider Newsletter. Drugstore price Medication mg ; Monthly cost Mean LDL lowering Reduction Needed Up to 20% reduction Lescol 20 .99 -17 Zetia 10mg * .98 -18 pravastatin 10mg .99 -19 20 to 30% reduction simvastatin 5mg * .99 -26 simvastatin 10mg .99 -28 lovastatin 20 .99 -29 lovastatin 10 * .99 -21 Lescol 40 .51 -23 pravastatin 20mg .99 -24 30 to 40% reduction simvastatin 20mg .99 -35 lovastatin 40 .99 -31 Lipitor 10 .99 -38 Lescol XL 80 * 5.49 -35 pravastatin 40mg .99 -34 Pravachol 80 * 9.12 -37 40 t0 50% reduction simvastatin 40mg .99 -41 simvastatin 80mg * .99 -47 Crestor 5 * 8.99 -45 Vytorin 10 * 3.99 -45 1.99 -46 Lipitor 20 50 to 60% reduction Crestor 20 * 9.99 -55 Crestor 10 * 7.60 -52 Vytorin 10 40 * 0.99 -55 Vytorin 10 20 * 0.99 -52 Lipitor 80 9.99 -54 9.99 -51 Lipitor 40 greater than 60% Crestor 40 * 9.99 -63 Vytorin 10 80 * 0.99 -60.
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