Table 1. The Taiwan National Health Insurance reimbursement policy for lipid-lowering treatments in 2008.
LDL-C goal or TC goal | Pharmacological treatment* | |
CHD or CHD risk equivalents# | LDL-C ≤ 100 mg/dL | LDL-C ≥ 130 mg/dL‡ |
TC < 160 mg/dL | TC ≥ 200 mg/dL‡ | |
≥ 2 risk factors, 10-year risk > 20%† | LDL-C < 130 mg/dL | LDL-C ≥ 130 mg/dL§ |
TC < 200 mg/dL | TC ≥ 200 mg/dL§ | |
≥ 2 risk factors, 10-year risk 10-20%† | LDL-C < 130 mg/dL | LDL-C ≥ 130 mg/dL§ |
TC < 200 mg/dL | TC ≥ 200 mg/dL§ | |
≥ 2 risk factors, 10-year risk < 10%† | LDL-C < 130 mg/dL | LDL-C ≥ 130 mg/dL§ |
TC < 200 mg/dL | TC ≥ 200 mg/dL§ | |
0-1 risk factor† | LDL-C < 160 mg/dL | LDL-C ≥ 160 mg/dL§ |
TC < 240 mg/dL | TC ≥ 240 mg/dL§ |
* Down-titration of lipid-lowering drugs once patients are at the therapeutic goals is mandated. # Abdominal aortic aneurysm, > 50% carotid stenosis without previous stroke, and asymptomatic peripheral artery disease are not included; brain hemorrhage is included. † Risk factors do not include low high-density lipoprotein cholesterol. ‡ A lipid-lowering drug is indicated simultaneously with therapeutic lifestyle modification. § A lipid-lowering drug is indicated after therapeutic lifestyle modification fails.
CHD, coronary heart disease; LDL-C, low-density lipoprotein cholesterol; TC, total cholesterol.