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S TEP T HERAPY P OLICY P OLICY : Antidepressants – Serotonin and Norepinephrine Reuptake Inhibitors Step Therapy Policy • Cymbalta ® (duloxetine HCl delayed-release capsules − Lilly, generic) • Desvenlafaxine extended-release tablets (Alembic /Ranbaxy [brand product]) • Drizalma Sprinkle ™ (duloxetine delayed-release capsules – Sun Pharma) • Effexor ® XR (venlafaxine HCl extended-release capsules – Wyeth, generic) • Fetzima ® (levomilnacipran HCl extended-release capsules – Forest) • Pristiq ® (desvenlafaxine succinate extended-release tablets – Wyeth, generic) • Savella ®（Milnacipran HCl片 - 森林）•Venlafaxine besylate延长释放片（Almatica）•Venlafaxine HCl片剂（仅使用仿制药）•Venlafaxine Hcl Extend-Release-Release片（通用）
抗抑郁药 - 5-羟色胺和去甲肾上腺素再摄取抑制剂步骤治疗政策
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