Livalo — Blue Cross Blue Shield of Alabama
FDA-labeled indications for reduction of LDL-C and cardiovascular risk as listed in policy for each product.
Preferred products
- Lipitor
- Zocor
- Vytorin (generic available)
Initial criteria
- Coverage is based on step therapy program.
- Patient must have tried or have a contraindication or intolerance to at least one preferred statin product before coverage of a non-preferred agent.