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APIPA Personal Care Plus (HMO) STEP THERAPY ALGORITHMS – Formulary 4 Treatment Group Description Step 1 : Metformin Step 2 : Actoplus Met Step 1 : Metformin Step 2 : Actos Step 1 : One of the following: Inhaled corticosteroid or long-acting beta agonist or anticholinergic agent. Step 2 : Advair Diskus or Advair HFA Step 1 : lactulose or polyethylene glyco