Vytorin 10/80 mg (ezetimibe / simvastatin 10/80 mg) — CareFirst (Caremark)
Primary hyperlipidemia
Initial criteria
- The patient has been taking the 10/80 mg strength of ezetimibe/simvastatin (Vytorin) OR the 80 mg strength of simvastatin (Zocor) chronically for 12 months or more.
Approval duration
36 months