TOP$ MULTI-STATE DIVISIONS OF MEDICAID

Size: px
Start display at page:

Download "TOP$ MULTI-STATE DIVISIONS OF MEDICAID"

Transcription

1 MANUFACTURER BRAND NAME (ROUTE) THERAPEUTIC CLASS ABBOTT LABS. HUMIRA (INJECTION) CYTOKINE AND CAM ANTAGONISTS ADVANCED VISION NUTRIDOX (ORAL) TETRACYCLINES ALCON LABS. ALOMIDE (OPHTHALMIC) OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS ALCON LABS. AZOPT (OPHTHALMIC) OPHTHALMICS, GLAUCOMA AGENTS ALCON LABS. BETOPTIC S (OPHTHALMIC) OPHTHALMICS, GLAUCOMA AGENTS ALCON LABS. CILOXAN OINTMENT (OPHTHALMIC) OPHTHALMIC ANTIBIOTICS ALCON LABS. EMADINE (OPHTHALMIC) OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS ALCON LABS. FLAREX (OPHTHALMIC) OPHTHALMICS, ANTI-INFLAMMATORIES ALCON LABS. MAXIDEX (OPHTHALMIC) OPHTHALMICS, ANTI-INFLAMMATORIES ALCON LABS. NATACYN (OPHTHALMIC) OPHTHALMIC ANTIBIOTICS ALCON LABS. NEVANAC (OPHTHALMIC) OPHTHALMICS, ANTI-INFLAMMATORIES ALCON LABS. PATADAY (OPHTHALMIC) OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS ALCON LABS. PATANASE (NASAL) INTRANASAL RHINITIS AGENTS ALCON LABS. PATANOL (OPHTHALMIC) OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS ALCON LABS. TOBREX OINTMENT (OPHTHALMIC) OPHTHALMIC ANTIBIOTICS ALCON LABS. TRAVATAN / TRAVATAN Z 2.5 ML (OPHTHALMIC) OPHTHALMICS, GLAUCOMA AGENTS ALCON LABS. TRAVATAN / TRAVATAN Z 5 ML (OPHTHALMIC) OPHTHALMICS, GLAUCOMA AGENTS ALCON LABS. TRIESENCE (INTRAOCULR) OPHTHALMICS, ANTI-INFLAMMATORIES ALCON LABS. VEXOL (OPHTHALMIC) OPHTHALMICS, ANTI-INFLAMMATORIES ALCON LABS. VIGAMOX (OPHTHALMIC) OPHTHALMIC ANTIBIOTICS ALLERGAN INC. ACUVAIL (OPHTHALMIC) OPHTHALMICS, ANTI-INFLAMMATORIES ALLERGAN INC. ALOCRIL (OPHTHALMIC) OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS ALLERGAN INC. ALPHAGAN P (OPHTHALMIC) OPHTHALMICS, GLAUCOMA AGENTS ALLERGAN INC. COMBIGAN (OPHTHALMIC) OPHTHALMICS, GLAUCOMA AGENTS ALLERGAN INC. ELESTAT (OPHTHALMIC) OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS ALLERGAN INC. FML FORTE (OPHTHALMIC) OPHTHALMICS, ANTI-INFLAMMATORIES ALLERGAN INC. FML S.O.P. (OPHTHALMIC) OPHTHALMICS, ANTI-INFLAMMATORIES ALLERGAN INC. LUMIGAN 2.5ML (OPHTHALMIC) OPHTHALMICS, GLAUCOMA AGENTS ALLERGAN INC. LUMIGAN 5ML (OPHTHALMIC) OPHTHALMICS, GLAUCOMA AGENTS ALLERGAN INC. LUMIGAN 7.5ML (OPHTHALMIC) OPHTHALMICS, GLAUCOMA AGENTS ALLERGAN INC. OZURDEX (INTRAOCULR) OPHTHALMICS, ANTI-INFLAMMATORIES ALLERGAN INC. PRED MILD (OPHTHALMIC) OPHTHALMICS, ANTI-INFLAMMATORIES ALLERGAN INC. PROPINE (OPHTHALMIC) OPHTHALMICS, GLAUCOMA AGENTS ALLERGAN INC. ZYMAR (OPHTHALMIC) OPHTHALMIC ANTIBIOTICS ALLERGAN/BOTOX BOTOX (INTRAMUSC) BOTULINUM TOXINS ALLERGAN/BOTOX BOTOX COSMETIC (INTRAMUSC) BOTULINUM TOXINS AMGEN ENBREL (INJECTION) CYTOKINE AND CAM ANTAGONISTS AMYLIN PHARMACE BYETTA PENS (SUBCUTANE.) HYPOGLYCEMICS, INCRETIN MIMETICS/ENHANCERS

2 AMYLIN PHARMACE SYMLIN (SUBCUTANE.) HYPOGLYCEMICS, INCRETIN MIMETICS/ENHANCERS AMYLIN PHARMACE SYMLIN PENS (SUBCUTANE.) HYPOGLYCEMICS, INCRETIN MIMETICS/ENHANCERS AQUA PHARMACEUT CORDRAN (TOPICAL) STEROIDS, TOPICAL MEDIUM AR SCIENTIFIC COLCRYS (ORAL) ANTIHYPERURICEMICS ARBOR PHARMACEU PEDIADERM HC (TOPICAL) STEROIDS, TOPICAL LOW ASTELLAS PHARMA AMEVIVE (INJECTION) CYTOKINE AND CAM ANTAGONISTS ASTELLAS PHARMA PROTOPIC (TOPICAL) ATOPIC DERMATITIS ASTRAZENECA ACCOLATE (ORAL) LEUKOTRIENE MODIFIERS ASTRAZENECA IRESSA (ORAL) ONCOLOGY AGENTS, ORAL ASTRAZENECA PULMICORT FLEXHALER (INHALATION) GLUCOCORTICOIDS, INHALED ASTRAZENECA PULMICORT RESPULES (INHALATION) GLUCOCORTICOIDS, INHALED ASTRAZENECA RHINOCORT AQUA (NASAL) INTRANASAL RHINITIS AGENTS ASTRAZENECA SEROQUEL (ORAL) ANTIPSYCHOTICS ASTRAZENECA SEROQUEL XR (ORAL) ANTIPSYCHOTICS ASTRAZENECA SYMBICORT (INHALATION) GLUCOCORTICOIDS, INHALED AUXILIUM PHARM TESTIM (TRANSDERM.) ANDROGENIC AGENTS AXCAN SCANDIPHA ULTRASE (ORAL) PANCREATIC ENZYMES AXCAN SCANDIPHA URSO (ORAL) BILE SALTS AXCAN SCANDIPHA URSO FORTE (ORAL) BILE SALTS AXCAN SCANDIPHA VIOKASE (ORAL) PANCREATIC ENZYMES AZUR PHARMA FAZACLO (ORAL) ANTIPSYCHOTICS BAUSCH &LOMB RX ALREX (OPHTHALMIC) OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS BAUSCH &LOMB RX BESIVANCE (OPHTHALMIC) OPHTHALMIC ANTIBIOTICS BAUSCH &LOMB RX LOTEMAX (OPHTHALMIC) OPHTHALMICS, ANTI-INFLAMMATORIES BAUSCH &LOMB RX RETISERT (INTRAOCULR) OPHTHALMICS, ANTI-INFLAMMATORIES BAYER,PHARM DIV NEXAVAR (ORAL) ONCOLOGY AGENTS, ORAL BIOVAIL ZOVIRAX CREAM (TOPICAL) ANTIVIRALS, TOPICAL BIOVAIL ZOVIRAX OINTMENT (TOPICAL) ANTIVIRALS, TOPICAL BIOVITRIM KINERET (INJECTION) CYTOKINE AND CAM ANTAGONISTS BMS PRIMARYCARE ONGLYZA (ORAL) HYPOGLYCEMICS, INCRETIN MIMETICS/ENHANCERS BMS PRIMARYCARE SPRYCEL (ORAL) ONCOLOGY AGENTS, ORAL BOEHRINGER ING. AGGRENOX (ORAL) PLATELET AGGREGATION INHIBITORS BOEHRINGER ING. ATROVENT HFA (INHALATION) BRONCHODILATORS, ANTICHOLINERGIC BOEHRINGER ING. COMBIVENT (INHALATION) BRONCHODILATORS, ANTICHOLINERGIC BOEHRINGER ING. MIRAPEX (ORAL) ANTIPARKINSON'S AGENTS BOEHRINGER ING. MIRAPEX ER (ORAL) ANTIPARKINSON'S AGENTS BOEHRINGER ING. SPIRIVA (INHALATION) BRONCHODILATORS, ANTICHOLINERGIC BRISTOL-MYERS SQUIBB ABILIFY (ORAL) ANTIPSYCHOTICS BRISTOL-MYERS SQUIBB ORENCIA (INJECTION) CYTOKINE AND CAM ANTAGONISTS

3 BRISTOL-MYERS SQUIBB PLAVIX (ORAL) PLATELET AGGREGATION INHIBITORS CENTOCOR REMICADE (INJECTION) CYTOKINE AND CAM ANTAGONISTS CENTOCOR SIMPONI (INJECTION) CYTOKINE AND CAM ANTAGONISTS CENTOCOR ORTHO STELARA (INJECTION) CYTOKINE AND CAM ANTAGONISTS CEPHALON,INC. NUVIGIL (ORAL) STIMULANTS AND RELATED AGENTS CEPHALON,INC. PROVIGIL (ORAL) STIMULANTS AND RELATED AGENTS CORIA LABORATOR CLODERM (TOPICAL) STEROIDS, TOPICAL MEDIUM CORNERSTONE FACTIVE (ORAL) FLUOROQUINOLONES, ORAL CRITICAL THERAP ZYFLO CR (ORAL) LEUKOTRIENE MODIFIERS DEPOMED, INC. PROQUIN XR (ORAL) FLUOROQUINOLONES, ORAL DEY LABS. EMSAM (TRANSDERMAL) ANTIDEPRESSANTS, OTHER DEY LABS. EPIPEN (INTRAMUSC) EPINEPHRINE, SELF-INJECTED DEY LABS. EPIPEN JR (INTRAMUSC) EPINEPHRINE, SELF-INJECTED DEY LABS. PERFOROMIST (INHALATION) BRONCHODILATORS, BETA AGONIST DIGESTIVE CARE PANCRECARB MS (ORAL) PANCREATIC ENZYMES DOAK DERM. ADOXA CK (ORAL) TETRACYCLINES DOAK DERM. ADOXA TT (ORAL) TETRACYCLINES EISAI ARICEPT / ARICEPT ODT (ORAL) ALZHEIMER'S AGENTS ELI LILLY & CO. EFFIENT (ORAL) PLATELET AGGREGATION INHIBITORS ELI LILLY & CO. EVISTA (ORAL) BONE RESORPTION SUPPRESSION AND RELATED AGENTS ELI LILLY & CO. FORTEO (SUBCUTANE.) BONE RESORPTION SUPPRESSION AND RELATED AGENTS ELI LILLY & CO. HUMALOG (SUBCUTANE.) HYPOGLYCEMICS, INSULIN AND RELATED AGENTS ELI LILLY & CO. HUMALOG MIX (SUBCUTANE.) HYPOGLYCEMICS, INSULIN AND RELATED AGENTS ELI LILLY & CO. HUMALOG MIX PENS (SUBCUTANE.) HYPOGLYCEMICS, INSULIN AND RELATED AGENTS ELI LILLY & CO. HUMALOG PENS (SUBCUTANE.) HYPOGLYCEMICS, INSULIN AND RELATED AGENTS ELI LILLY & CO. HUMULIN (SUBCUTANE.) HYPOGLYCEMICS, INSULIN AND RELATED AGENTS ELI LILLY & CO. HUMULIN PENS (SUBCUTANE.) HYPOGLYCEMICS, INSULIN AND RELATED AGENTS ELI LILLY & CO. STRATTERA (ORAL) STIMULANTS AND RELATED AGENTS ELI LILLY & CO. SYMBYAX (ORAL) ANTIPSYCHOTICS ELI LILLY & CO. ZYPREXA (INTRAMUSC) ANTIPSYCHOTICS ELI LILLY & CO. ZYPREXA (ORAL) ANTIPSYCHOTICS ELI LILLY & CO. ZYPREXA RELPREVV (INTRAMUSC) ANTIPSYCHOTICS ENDO PHARM INC. LIDODERM (TOPICAL) ANALGESICS/ANESTHETICS, TOPICAL ENDO PHARM INC. MOBAN (ORAL) ANTIPSYCHOTICS ENDO PHARM INC. VOLTAREN (TOPICAL) ANALGESICS/ANESTHETICS, TOPICAL EURAND PHARMACE ZENPEP (ORAL) PANCREATIC ENZYMES FOREST PHARM AEROBID / AEROBID-M (INHALATION) GLUCOCORTICOIDS, INHALED FOREST PHARM LEXAPRO (ORAL) ANTIDEPRESSANTS, SSRIs FOREST PHARM NAMENDA (ORAL) ALZHEIMER'S AGENTS

4 GALDERMA CAPEX SHAMPOO (TOPICAL) STEROIDS, TOPICAL LOW GALDERMA CLOBEX (TOPICAL) STEROIDS, TOPICAL VERY HIGH GALDERMA ORACEA (ORAL) TETRACYCLINES GATE PHARM ORAP (ORAL) ANTIPSYCHOTICS GENENTECH, INC. ACTEMRA (INJECTION) CYTOKINE AND CAM ANTAGONISTS GENENTECH, INC. TARCEVA (ORAL) ONCOLOGY AGENTS, ORAL GILEAD SCIENCES CAYSTON (INHALATION) ANTIBIOTICS, INHALED GLAXOSMITHKLINE ADVAIR / ADVAIR HFA (INHALATION) GLUCOCORTICOIDS, INHALED GLAXOSMITHKLINE AUGMENTIN 125 SUSPENSION (ORAL) CEPHALOSPORINS AND RELATED ANTIBIOTICS GLAXOSMITHKLINE AUGMENTIN 250 SUSPENSION (ORAL) CEPHALOSPORINS AND RELATED ANTIBIOTICS GLAXOSMITHKLINE AUGMENTIN XR (ORAL) CEPHALOSPORINS AND RELATED ANTIBIOTICS GLAXOSMITHKLINE BECONASE AQ (NASAL) INTRANASAL RHINITIS AGENTS GLAXOSMITHKLINE CEFTIN SUSPENSION (ORAL) CEPHALOSPORINS AND RELATED ANTIBIOTICS GLAXOSMITHKLINE FLOVENT / FLOVENT HFA (INHALATION) GLUCOCORTICOIDS, INHALED GLAXOSMITHKLINE PARNATE (ORAL) ANTIDEPRESSANTS, OTHER GLAXOSMITHKLINE RELENZA (INHALATION) ANTIVIRALS, ORAL GLAXOSMITHKLINE REQUIP XL (ORAL) ANTIPARKINSON'S AGENTS GLAXOSMITHKLINE SEREVENT (INHALATION) BRONCHODILATORS, BETA AGONIST GLAXOSMITHKLINE TYKERB (ORAL) ONCOLOGY AGENTS, ORAL GLAXOSMITHKLINE VALTREX (ORAL) ANTIVIRALS, ORAL GLAXOSMITHKLINE VENTOLIN HFA (INHALATION) BRONCHODILATORS, BETA AGONIST GLAXOSMITHKLINE VERAMYST (NASAL) INTRANASAL RHINITIS AGENTS GLAXOSMITHKLINE VOTRIENT (ORAL) ONCOLOGY AGENTS, ORAL GRACEWAY MAXAIR (INHALATION) BRONCHODILATORS, BETA AGONIST GSK EXTINA (TOPICAL) ANTIFUNGALS, TOPICAL GSK LUXIQ (TOPICAL) STEROIDS, TOPICAL MEDIUM GSK OLUX-E (TOPICAL) STEROIDS, TOPICAL VERY HIGH GSK OLUX-OLUX-E (TOPICAL) STEROIDS, TOPICAL VERY HIGH GSK VERDESO (TOPICAL) STEROIDS, TOPICAL LOW GSK VUSION (TOPICAL) ANTIFUNGALS, TOPICAL GSK XOLEGEL (TOPICAL) ANTIFUNGALS, TOPICAL GSK CONSUMER ABREVA (TOPICAL) ANTIVIRALS, TOPICAL HILL DERM DERMA-SMOOTHE-FS (TOPICAL) STEROIDS, TOPICAL LOW INSPIRE PHARMAC AZASITE (OPHTHALMIC) OPHTHALMIC ANTIBIOTICS IROKO PHARMACEU INDOCIN (RECTAL) NSAIDS IROKO PHARMACEU INDOCIN SUSPENSION (ORAL) NSAIDS ISTA PHARMACEUT BEPREVE (OPHTHALMIC) OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS ISTA PHARMACEUT ISTALOL (OPHTHALMIC) OPHTHALMICS, GLAUCOMA AGENTS ISTA PHARMACEUT XIBROM (OPHTHALMIC) OPHTHALMICS, ANTI-INFLAMMATORIES

5 JAZZ PHARMACEUT LUVOX CR (ORAL) ANTIDEPRESSANTS, SSRIs JSJ PHARMACEUTI CNL 8 (TOPICAL) ANTIFUNGALS, TOPICAL JSJ PHARMACEUTI HALONATE (TOPICAL) STEROIDS, TOPICAL VERY HIGH JSJ PHARMACEUTI MOMEXIN (TOPICAL) STEROIDS, TOPICAL MEDIUM JSJ PHARMACEUTI TERBINEX (MISCELL) ANTIFUNGALS, ORAL LUPIN PHARMACEU SUPRAX (ORAL) CEPHALOSPORINS AND RELATED ANTIBIOTICS MALLINCKRODT BR PENNSAID (TOPICAL) ANALGESICS/ANESTHETICS, TOPICAL MANCHESTER PHAR CHENODAL (ORAL) BILE SALTS MC NEIL PANCREASE MT (ORAL) PANCREATIC ENZYMES MEDA ASTELIN (NASAL) INTRANASAL RHINITIS AGENTS MEDA OPTIVAR (OPHTHALMIC) OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS MEDA ASTEPRO (NASAL) INTRANASAL RHINITIS AGENTS MEDA CESAMET (ORAL) ANTIEMETICS MEDICIS DERM SOLODYN (ORAL) TETRACYCLINES MEDICIS DERM VANOS (TOPICAL) STEROIDS, TOPICAL HIGH MERCK & CO. EMEND (ORAL) ANTIEMETICS MERCK & CO. FOSAMAX PLUS D (ORAL) BONE RESORPTION SUPPRESSION AND RELATED AGENTS MERCK & CO. FOSAMAX SOLUTION (ORAL) BONE RESORPTION SUPPRESSION AND RELATED AGENTS MERCK & CO. JANUMET (ORAL) HYPOGLYCEMICS, INCRETIN MIMETICS/ENHANCERS MERCK & CO. JANUVIA (ORAL) HYPOGLYCEMICS, INCRETIN MIMETICS/ENHANCERS MERCK & CO. NOROXIN (ORAL) FLUOROQUINOLONES, ORAL MERCK & CO. SINGULAIR (ORAL) LEUKOTRIENE MODIFIERS MERZ NAFTIN (TOPICAL) ANTIFUNGALS, TOPICAL MONARCH FLECTOR (TOPICAL) ANALGESICS/ANESTHETICS, TOPICAL MYLAN PHARMACEUTICALS MENTAX (TOPICAL) ANTIFUNGALS, TOPICAL NOVARTIS AFINITOR (ORAL) ONCOLOGY AGENTS, ORAL NOVARTIS COMTAN (ORAL) ANTIPARKINSON'S AGENTS NOVARTIS DENAVIR (TOPICAL) ANTIVIRALS, TOPICAL NOVARTIS ELIDEL (TOPICAL) ATOPIC DERMATITIS NOVARTIS EXELON (TRANSDERM.) ALZHEIMER'S AGENTS NOVARTIS EXELON CAPSULES (ORAL) ALZHEIMER'S AGENTS NOVARTIS EXELON SOLUTION (ORAL) ALZHEIMER'S AGENTS NOVARTIS FAMVIR (ORAL) ANTIVIRALS, ORAL NOVARTIS FANAPT (ORAL) ANTIPSYCHOTICS NOVARTIS FOCALIN (ORAL) STIMULANTS AND RELATED AGENTS NOVARTIS FOCALIN XR (ORAL) STIMULANTS AND RELATED AGENTS NOVARTIS GLEEVEC (ORAL) ONCOLOGY AGENTS, ORAL NOVARTIS LAMISIL GRANULES (ORAL) ANTIFUNGALS, ORAL NOVARTIS MIACALCIN (NASAL) BONE RESORPTION SUPPRESSION AND RELATED AGENTS

6 NOVARTIS RITALIN LA (ORAL) STIMULANTS AND RELATED AGENTS NOVARTIS STALEVO (ORAL) ANTIPARKINSON'S AGENTS NOVARTIS TASIGNA (ORAL) ONCOLOGY AGENTS, ORAL NOVARTIS TOBI (INHALATION) ANTIBIOTICS, INHALED NOVEN THERAPEUTICS PEXEVA (ORAL) ANTIDEPRESSANTS, SSRIs NOVO NORDISK LEVEMIR (SUBCUTANE.) HYPOGLYCEMICS, INSULIN AND RELATED AGENTS NOVO NORDISK LEVEMIR PENS (SUBCUTANE.) HYPOGLYCEMICS, INSULIN AND RELATED AGENTS NOVO NORDISK NOVOLIN (SUBCUTANE.) HYPOGLYCEMICS, INSULIN AND RELATED AGENTS NOVO NORDISK NOVOLOG (SUBCUTANE.) HYPOGLYCEMICS, INSULIN AND RELATED AGENTS NOVO NORDISK NOVOLOG MIX 70/30 (SUBCUTANE.) HYPOGLYCEMICS, INSULIN AND RELATED AGENTS NOVO NORDISK NOVOLOG MIX 70/30 PENS (SUBCUTANE.) HYPOGLYCEMICS, INSULIN AND RELATED AGENTS NOVO NORDISK NOVOLOG PENS (SUBCUTANE.) HYPOGLYCEMICS, INSULIN AND RELATED AGENTS NOVO NORDISK VICTOZA (SUBCUTANE.) HYPOGLYCEMICS, INCRETIN MIMETICS/ENHANCERS OMJPI CONCERTA (ORAL) STIMULANTS AND RELATED AGENTS OMJPI ERTACZO (TOPICAL) ANTIFUNGALS, TOPICAL OMJPI GRIFULVIN V TABLETS (ORAL) ANTIFUNGALS, ORAL OMJPI INVEGA (ORAL) ANTIPSYCHOTICS OMJPI INVEGA SUSTENNA (INTRAMUSC) ANTIPSYCHOTICS OMJPI LEVAQUIN (ORAL) FLUOROQUINOLONES, ORAL OMJPI RISPERDAL CONSTA (INTRAMUSC.) ANTIPSYCHOTICS OVATION PHARM DESOXYN (ORAL) STIMULANTS AND RELATED AGENTS PEDINOL PHARM. GRIS-PEG (ORAL) ANTIFUNGALS, ORAL PERNIX THERAPEUTICS CEDAX (ORAL) CEPHALOSPORINS AND RELATED ANTIBIOTICS PFIZER US PHARM ARTHROTEC (ORAL) NSAIDS PFIZER US PHARM CELEBREX (ORAL) NSAIDS PFIZER US PHARM GEODON (INTRAMUSC) ANTIPSYCHOTICS PFIZER US PHARM GEODON (ORAL) ANTIPSYCHOTICS PFIZER US PHARM NARDIL (ORAL) ANTIDEPRESSANTS, OTHER PFIZER US PHARM SUTENT (ORAL) ONCOLOGY AGENTS, ORAL PFIZER US PHARM VFEND (ORAL) ANTIFUNGALS, ORAL PFIZER US PHARM VIBRAMYCIN SUSPENSION (ORAL) TETRACYCLINES PFIZER US PHARM XALATAN 2.5 ML (OPHTHALMIC) OPHTHALMICS, GLAUCOMA AGENTS PFIZER US PHARM ZMAX (ORAL) MACROLIDES/KETOLIDES PHARMACIA/UPJHN CLEOCIN OVULES (VAGINAL) ANTIBIOTICS, VAGINAL PHARMADERM CUTIVATE LOTION (TOPICAL) STEROIDS, TOPICAL MEDIUM PHARMADERM OXISTAT (TOPICAL) ANTIFUNGALS, TOPICAL PHARMADERM PANDEL (TOPICAL) STEROIDS, TOPICAL MEDIUM PROCTER&GAMBLE ACTONEL (ORAL) BONE RESORPTION SUPPRESSION AND RELATED AGENTS PROCTER&GAMBLE ACTONEL W/CALCIUM (ORAL) BONE RESORPTION SUPPRESSION AND RELATED AGENTS

7 PROCTER&GAMBLE DIDRONEL (ORAL) BONE RESORPTION SUPPRESSION AND RELATED AGENTS PROSTRAKAN INC. SANCUSO (TRANSDERMAL) ANTIEMETICS RANBAXY BRAND D EURAX (TOPICAL) ANTIPARASITICS, TOPICAL RANBAXY BRAND D EXELDERM (TOPICAL) ANTIFUNGALS, TOPICAL RANBAXY BRAND D HALOG (TOPICAL) STEROIDS, TOPICAL HIGH RANBAXY BRAND D KENALOG AEROSOL (TOPICAL) STEROIDS, TOPICAL HIGH ROCHE LABS. BONIVA (ORAL) BONE RESORPTION SUPPRESSION AND RELATED AGENTS ROCHE LABS. TAMIFLU (ORAL) ANTIVIRALS, ORAL ROCHE LABS. XELODA (ORAL) ONCOLOGY AGENTS, ORAL SANOFI-AVENTIS APLENZIN (ORAL) ANTIDEPRESSANTS, OTHER SANOFI-AVENTIS ANZEMET (ORAL) ANTIEMETICS SANOFI-AVENTIS APIDRA (SUBCUTANE.) HYPOGLYCEMICS, INSULIN AND RELATED AGENTS SANOFI-AVENTIS APIDRA PENS (SUBCUTANE.) HYPOGLYCEMICS, INSULIN AND RELATED AGENTS SANOFI-AVENTIS KETEK (ORAL) MACROLIDES/KETOLIDES SANOFI-AVENTIS LANTUS (SUBCUTANE.) HYPOGLYCEMICS, INSULIN AND RELATED AGENTS SANOFI-AVENTIS LANTUS PENS (SUBCUTANE.) HYPOGLYCEMICS, INSULIN AND RELATED AGENTS SANOFI-AVENTIS NASACORT AQ (NASAL) INTRANASAL RHINITIS AGENTS SCHERING CORP. ASMANEX (INHALATION) GLUCOCORTICOIDS, INHALED SCHERING CORP. AVELOX (ORAL) FLUOROQUINOLONES, ORAL SCHERING CORP. CIPRO SUSPENSION (ORAL) FLUOROQUINOLONES, ORAL SCHERING CORP. FORADIL (INHALATION) BRONCHODILATORS, BETA AGONIST SCHERING CORP. NASONEX (NASAL) INTRANASAL RHINITIS AGENTS SCHERING CORP. NOXAFIL (ORAL) ANTIFUNGALS, ORAL SCHERING CORP. PROVENTIL HFA (INHALATION) BRONCHODILATORS, BETA AGONIST SCHERING CORP. SAPHRIS (SUBLINGUAL) ANTIPSYCHOTICS SCIELE PHARMA COGNEX (ORAL) ALZHEIMER'S AGENTS SCIELE PHARMA ULESFIA (TOPICAL) ANTIPARASITICS, TOPICAL SEPRACOR ALVESCO (INHALATION) GLUCOCORTICOIDS, INHALED SEPRACOR BROVANA (INHALATION) BRONCHODILATORS, BETA AGONIST SEPRACOR OMNARIS (NASAL) INTRANASAL RHINITIS AGENTS SEPRACOR XOPENEX (INHALATION) BRONCHODILATORS, BETA AGONIST SEPRACOR XOPENEX HFA (INHALATION) BRONCHODILATORS, BETA AGONIST SEVEN OAKS BENSAL HP (TOPICAL) ANTIFUNGALS, TOPICAL SHIONOGI METHYLIN CHEWABLE AND SOLUTION (ORAL) STIMULANTS AND RELATED AGENTS SHIONOGI ADRENACLICK (INTRAMUSC) EPINEPHRINE, SELF-INJECTED SHIONOGI TWINJECT (INTRAMUSC) EPINEPHRINE, SELF-INJECTED SHIRE US INC. DAYTRANA (TRANSDERMAL) STIMULANTS AND RELATED AGENTS SHIRE US INC. INTUNIV (ORAL) STIMULANTS AND RELATED AGENTS SHIRE US INC. VYVANSE (ORAL) STIMULANTS AND RELATED AGENTS

8 SIRION THERAPEU DUREZOL (OPHTHALMIC) OPHTHALMICS, ANTI-INFLAMMATORIES SKINMEDICA DESONATE (TOPICAL) STEROIDS, TOPICAL LOW SOLSTICE NEUROS MYOBLOC (INTRAMUSC) BOTULINUM TOXINS SOLVAY PHARM CREON (ORAL) PANCREATIC ENZYMES TAKEDA PHARM ULORIC (ORAL) ANTIHYPERURICEMICS TARO PHARM USA OVIDE (TOPICAL) ANTIPARASITICS, TOPICAL TERCICA INC DYSPORT (INTRAMUSC) BOTULINUM TOXINS TEVA NEUROSCIENCES AZILECT (ORAL) ANTIPARKINSON'S AGENTS TEVA SPECIALTY PROAIR HFA INHALER (INHALATION) BRONCHODILATORS, BETA AGONIST TEVA SPECIALTY QVAR (INHALATION) GLUCOCORTICOIDS, INHALED THER-RX CLINDESSE (VAGINAL) ANTIBIOTICS, VAGINAL TIBER PHARMACEU PROCENTRA (ORAL) STIMULANTS AND RELATED AGENTS TRIAX PHARMACEU LOCOID LIPOCREAM (TOPICAL0 STEROIDS, TOPICAL MEDIUM UCB PHARMA CIMZIA (INJECTION) CYTOKINE AND CAM ANTAGONISTS UCB PHARMA METADATE CD (ORAL) STIMULANTS AND RELATED AGENTS UNIMED ANDROGEL (TRANSDERM.) ANDROGENIC AGENTS UPSHER SMITH FORTICAL (NASAL) BONE RESORPTION SUPPRESSION AND RELATED AGENTS UPSTATE VENLAFAXINE ER TABLETS (ORAL) ANTIDEPRESSANTS, OTHER VALEANT ANCOBON (ORAL) ANTIFUNGALS, ORAL VALEANT TASMAR (ORAL) ANTIPARKINSON'S AGENTS VALEANT ZELAPAR (ORAL) ANTIPARKINSON'S AGENTS VALIDUS PHARMAC MARPLAN (ORAL) ANTIDEPRESSANTS, OTHER VISTAKON ALAMAST (OPHTHALMIC) OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS VISTAKON BETIMOL (OPHTHALMIC) OPHTHALMICS, GLAUCOMA AGENTS VISTAKON IQUIX (OPHTHALMIC) OPHTHALMIC ANTIBIOTICS VISTAKON QUIXIN (OPHTHALMIC) OPHTHALMIC ANTIBIOTICS WATSON ANDRODERM (TRANSDERM.) ANDROGENIC AGENTS WATSON CORDRAN TAPE (TOPICAL) STEROIDS, TOPICAL MEDIUM WC PROF PRODS DORYX (ORAL) TETRACYCLINES WYETH PHARM EFFEXOR XR (ORAL) ANTIDEPRESSANTS, OTHER WYETH PHARM PRISTIQ (ORAL) ANTIDEPRESSANTS, OTHER XANODYNE PHARM ZIPSOR (ORAL) NSAIDS

MISSISSIPPI MEDICAID 10 November Provider Synergies, L.L.C. MSM P&T COMMITTEE MEETING Page 1 of 7

MISSISSIPPI MEDICAID 10 November Provider Synergies, L.L.C. MSM P&T COMMITTEE MEETING Page 1 of 7 ABBOTT LABS. HUMIRA (INJECTION) CYTOKINE AND CAM ANTAGONISTS ACORDA THERAPEU ZANAFLEX CAPSULES (ORAL) SKELETAL MUSCLE RELAXANTS ACTAVIS KADIAN (ORAL) ANALGESICS, NARCOTICS LONG ALLERGAN INC. ACZONE (TOPICAL)

More information

Virginia Medicaid April 18, 2013

Virginia Medicaid April 18, 2013 ABBVIE US LLC ANDROGEL GEL PACKET (TRANSDERM.) ANDROGENIC AGENTS ABBVIE US LLC ANDROGEL GEL PUMP (TRANSDERM) ANDROGENIC AGENTS ABBVIE US LLC HUMIRA KIT (INJECTION) CYTOKINE AND CAM ANTAGONISTS ABBVIE US

More information

MO HealthNet September 2012 Meeting

MO HealthNet September 2012 Meeting ABBOTT ADVICOR (ORAL) LIPOTROPICS, STATINS ABBOTT CREON (ORAL) PANCREATIC ENZYMES ABBOTT HUMIRA KIT (INJECTION) CYTOKINE AND CAM ANTAGONISTS ABBOTT HUMIRA PEN IJ KIT (INJECTION) CYTOKINE AND CAM ANTAGONISTS

More information

TOP$ Product Review Listing

TOP$ Product Review Listing ABBOTT LABS. HUMIRA (INJECTION) CYTOKINE AND CAM ANTAGONISTS ACELLA PHARMACE ESOCOR P (ORAL) COUGH AND COLD, NON NARCOTIC ACELLA PHARMACE HALAC (TOPICAL) STEROIDS, TOPICAL VERY HIGH ALCON LABS. ALOMIDE

More information

TOP$ Product Review Listing

TOP$ Product Review Listing ABBOTT LABS. ADVICOR (ORAL) LIPOTROPICS, STATINS ABBOTT LABS. ANDROGEL (TRANSDERM.) ANDROGENIC AGENTS ABBOTT LABS. CREON (ORAL) PANCREATIC ENZYMES ABBOTT LABS. GENGRAF (ORAL) IMMUNOSUPPRESSIVES, ORAL ABBOTT

More information

Texas Medicaid July 2015

Texas Medicaid July 2015 Texas Medicaid ACELLA PHARMACE INFANATE BALANCE (ORAL) PRENATAL VITAMINS ACELLA PHARMACE PNV-DHA (ORAL) PRENATAL VITAMINS ACELLA PHARMACE PRENAISSANCE BALANCE (ORAL) PRENATAL VITAMINS ACELLA PHARMACE PRENAISSANCE

More information

Texas Medicaid July 2016

Texas Medicaid July 2016 ACTAVIS U.S. BR CANASA (RECTAL) ULCERATIVE COLITIS AGENTS ACTAVIS U.S. BR DELZICOL (ORAL) ULCERATIVE COLITIS AGENTS ACTAVIS U.S. BR NAMENDA SOLUTION (ORAL) ALZHEIMER'S AGENTS ACTAVIS U.S. BR NAMENDA TABLET

More information

TennCare Product List

TennCare Product List ABBVIE US LLC ADVICOR (ORAL) LIPOTROPICS, STATINS ABBVIE US LLC ANDROGEL GEL PACKET (TRANSDERM.) ANDROGENIC AGENTS ABBVIE US LLC ANDROGEL GEL PUMP (TRANSDERM) ANDROGENIC AGENTS ABBVIE US LLC CARDIZEM LA

More information

TennCare Product List

TennCare Product List ABBVIE US LLC ADVICOR (ORAL) LIPOTROPICS, STATINS ABBVIE US LLC ANDROGEL GEL PACKET (TRANSDERM.) ANDROGENIC AGENTS ABBVIE US LLC ANDROGEL GEL PUMP (TRANSDERM) ANDROGENIC AGENTS ABBVIE US LLC CREON (ORAL)

More information

MANUFACTURER BRAND NAME THERAPEUTIC CLASS

MANUFACTURER BRAND NAME THERAPEUTIC CLASS ABBVIE US LLC ANDROGEL GEL PACKET (TRANSDERM.) ANDROGENIC AGENTS ABBVIE US LLC ANDROGEL GEL PUMP (TRANSDERM) ANDROGENIC AGENTS ABBVIE US LLC CREON (ORAL) PANCREATIC ENZYMES ABBVIE US LLC DUOPA (MISCELL)

More information

MANUFACTURER BRAND NAME THERAPEUTIC CLASS

MANUFACTURER BRAND NAME THERAPEUTIC CLASS ABBVIE US LLC DUOPA (MISCELL) ANTIPARKINSON'S AGENTS ABBVIE US LLC HUMIRA KIT (INJECTION) CYTOKINE AND CAM ANTAGONISTS ABBVIE US LLC HUMIRA PEN KIT (INJECTION) CYTOKINE AND CAM ANTAGONISTS ABBVIE US LLC

More information

Virginia Department of Medical Assistance Services April 19, 2012 Meeting

Virginia Department of Medical Assistance Services April 19, 2012 Meeting ABBOTT ANDROGEL GEL PACKET (TRANSDERM.) ANDROGENIC AGENTS ABBOTT ANDROGEL GEL PUMP (TRANSDERM) ANDROGENIC AGENTS ABBOTT HUMIRA KIT (INJECTION) CYTOKINE AND CAM ANTAGONISTS ABBOTT HUMIRA PEN IJ KIT (INJECTION)

More information

Texas Medicaid April 26, 2019 Meeting

Texas Medicaid April 26, 2019 Meeting ABBVIE US LLC CREON (ORAL) PANCREATIC ENZYMES ABBVIE US LLC DUOPA (MISCELL) ANTIPARKINSON'S AGENTS ABBVIE US LLC HUMIRA KIT (INJECTION) CYTOKINE AND CAM ANTAGONISTS ABBVIE US LLC HUMIRA PEN KIT (INJECTION)

More information

Texas Medicaid April 2016

Texas Medicaid April 2016 ABBVIE US LLC ADVICOR (ORAL) LIPOTROPICS, STATINS ABBVIE US LLC CREON (ORAL) PANCREATIC ENZYMES ABBVIE US LLC DUOPA (MISCELL) ANTIPARKINSON'S AGENTS ABBVIE US LLC NIASPAN (ORAL) LIPOTROPICS, OTHER ABBVIE

More information

Texas Drug Utilization Review April 28, 2017 Meeting

Texas Drug Utilization Review April 28, 2017 Meeting Texas Drug Utilization Review Meeting ABBVIE US LLC CREON (ORAL) PANCREATIC ENZYMES ABBVIE US LLC DUOPA (MISCELL) ANTIPARKINSON'S AGENTS ABBVIE US LLC NIASPAN (ORAL) LIPOTROPICS, OTHER ABBVIE US LLC TECHNIVIE

More information

MANUFACTURER BRAND NAME THERAPEUTIC CLASS

MANUFACTURER BRAND NAME THERAPEUTIC CLASS ABBVIE US LLC ADVICOR (ORAL) LIPOTROPICS, STATINS ABBVIE US LLC ANDROGEL GEL PACKET (TRANSDERM.) ANDROGENIC AGENTS ABBVIE US LLC ANDROGEL GEL PUMP (TRANSDERM) ANDROGENIC AGENTS ABBVIE US LLC CREON (ORAL)

More information

TOP$ May 2014 Product Listing

TOP$ May 2014 Product Listing ABBVIE US LLC ADVICOR (ORAL) LIPOTROPICS, STATINS ABBVIE US LLC ANDROGEL GEL PACKET (TRANSDERM.) ANDROGENIC AGENTS ABBVIE US LLC ANDROGEL GEL PUMP (TRANSDERM) ANDROGENIC AGENTS ABBVIE US LLC CREON (ORAL)

More information

MANUFACTURER BRAND NAME THERAPEUTIC CLASS

MANUFACTURER BRAND NAME THERAPEUTIC CLASS ABBVIE US LLC CREON (ORAL) PANCREATIC ENZYMES ABBVIE US LLC DUOPA (MISCELL) ANTIPARKINSON'S AGENTS ABBVIE US LLC NIASPAN (ORAL) LIPOTROPICS, OTHER ABBVIE US LLC TRICOR (ORAL) LIPOTROPICS, OTHER ABBVIE

More information

HHSC TX MEDICAID PREFERRED DRUG LIST (PDL) OCTOBER 26, 2018

HHSC TX MEDICAID PREFERRED DRUG LIST (PDL) OCTOBER 26, 2018 ANDROGENIC AGENTS ANDRODERM (TRANSDERM) NPD NPD For this, the Board believed that the drug ANDROGEL GEL PACKET (TRANSDERM.) NPD NPD X being recommended as preferred meets the fiscal requirements of ANDROGEL

More information

Georgia Department of Community Health. May 2018 Meeting

Georgia Department of Community Health. May 2018 Meeting ABBVIE US LLC ANDROGEL GEL PACKET (TRANSDERM.) ANDROGENIC AGENTS ABBVIE US LLC ANDROGEL GEL PUMP (TRANSDERM) ANDROGENIC AGENTS ABBVIE US LLC HUMIRA KIT (INJECTION) CYTOKINE AND CAM ANTAGONISTS ABBVIE US

More information

Step Therapy Criteria Last Updated 6/1/2018

Step Therapy Criteria Last Updated 6/1/2018 Step Therapy Last Updated 6/1/2018 For information on obtaining an updated coverage determination or an exception to a coverage determination please call Freedom Health Member Services at 1-800-401-2740

More information

Texas Medicaid April 2015

Texas Medicaid April 2015 ABBVIE US LLC ADVICOR (ORAL) LIPOTROPICS, STATINS ABBVIE US LLC CREON (ORAL) PANCREATIC ENZYMES ABBVIE US LLC NIASPAN (ORAL) LIPOTROPICS, OTHER ABBVIE US LLC SIMCOR (ORAL) LIPOTROPICS, STATINS ABBVIE US

More information

MANUFACTURER BRAND NAME THERAPEUTIC CLASS

MANUFACTURER BRAND NAME THERAPEUTIC CLASS ABBVIE US LLC ANDROGEL GEL PACKET (TRANSDERM.) ANDROGENIC AGENTS ABBVIE US LLC ANDROGEL GEL PUMP (TRANSDERM) ANDROGENIC AGENTS ABBVIE US LLC CREON (ORAL) PANCREATIC ENZYMES ABBVIE US LLC KALETRA SOLUTION

More information

Texas August 16, 2013 Meeting

Texas August 16, 2013 Meeting ABBVIE US LLC CARDIZEM LA (ORAL) CALCIUM CHANNEL BLOCKERS ACELLA PHARMACE AURAX (OTIC) OTIC ANTI-INFECTIVES & ANESTHETICS ACELLA PHARMACE ENTRE-B OTC (ORAL) COUGH AND COLD, COLD ACELLA PHARMACE ESOCOR

More information

Magellan Medicaid Administration - TOP$

Magellan Medicaid Administration - TOP$ ABBVIE US LLC ANDROGEL GEL PACKET (TRANSDERM.) ANDROGENIC AGENTS ABBVIE US LLC ANDROGEL GEL PUMP (TRANSDERM) ANDROGENIC AGENTS ABBVIE US LLC CREON (ORAL) PANCREATIC ENZYMES ABBVIE US LLC KALETRA SOLUTION

More information

Georgia Medicaid Meeting November 6, 2018

Georgia Medicaid Meeting November 6, 2018 ABBVIE US LLC DUOPA (MISCELL) ANTIPARKINSON'S AGENTS ABBVIE US LLC VENCLEXTA (ORAL) ONCOLOGY, ORAL - HEMATOLOGIC ABBVIE US LLC VENCLEXTA STARTING PACK (ORAL) ONCOLOGY, ORAL - HEMATOLOGIC ACADIA PHARMACE

More information

Information for Vermont Prescribers of Prescription Drugs (Long Form)

Information for Vermont Prescribers of Prescription Drugs (Long Form) Information for Vermont Prescribers of Prescription Drugs (Long Form) LONSURF (tipiracil and trifluridine) tablets This list does not imply that the products on this chart are interchangeable or have the

More information

Schedule 1 Product Category Listing Revision Date:

Schedule 1 Product Category Listing Revision Date: Schedule 1 400 ACNE AGENTS, TOPICAL ACZONE (TOPICAL) ALLERGAN INC. 400 ACNE AGENTS, TOPICAL AVAR (TOPICAL) & AVAR LS (TOPICAL) MISSION PHARM. 400 ACNE AGENTS, TOPICAL CLINDACIN PAC KIT (TOPICAL) MEDIMETRIKS

More information

TOP$ Medicaid February 2009 Meetings

TOP$ Medicaid February 2009 Meetings MANUFACTURER BRAND NAME THERAPEUTIC CLASS ABBOTT LABS. ADVICOR (ORAL) LIPOTROPICS, STATINS ABBOTT LABS. CARDIZEM LA (ORAL) CALCIUM CHANNEL BLOCKERS ABBOTT LABS. DEPAKOTE ER (ORAL) ANTICONVULSANTS ABBOTT

More information

Connecticut Medicaid P&T Meeting Minutes November 14, 2012

Connecticut Medicaid P&T Meeting Minutes November 14, 2012 Connecticut Medicaid P&T Meeting Minutes November 14, 2012 The meeting started at 6:10 pm Attendance Present Members: Carl Sherter, MD Charles Thompson, MD Emmett Sullivan, RPh Stella Cretella Hilda Slivka,

More information

Acyclovir Ointment. Aetna Better Health Virginia Medallion/FAMIS 3.0. Products Affected. acyclovir ointment 5 % external Details.

Acyclovir Ointment. Aetna Better Health Virginia Medallion/FAMIS 3.0. Products Affected. acyclovir ointment 5 % external Details. Aetna Better Health Virginia Medallion/FAMIS 3.0 Acyclovir Ointment acyclovir ointment 5 % external Use of oral acyclovir in the previous 130 days 1 Adcirca tadalafil (pah) tablet 20 mg oral Use of sildenafil

More information

Acyclovir Ointment. Aetna Better Health New Jersey. Products Affected. acyclovir ointment 5 % external Details. Criteria

Acyclovir Ointment. Aetna Better Health New Jersey. Products Affected. acyclovir ointment 5 % external Details. Criteria Acyclovir Ointment acyclovir ointment 5 % external Aetna Better Health New Jersey Use of oral acyclovir or Abreva in the previous 130 days 1 Adcirca tadalafil (pah) tablet 20 mg oral Use of sildenafil

More information

BALTIC STATES PHARMA MARKET OVERVIEW. Secondary sales analysis

BALTIC STATES PHARMA MARKET OVERVIEW. Secondary sales analysis BALTIC STATES PHARMA MARKET OVERVIEW Secondary sales analysis Content Introduction General overview Sales dynamics in Baltic states 2009 2014 Generic / Originator drugs market share in Baltic states 2013

More information

Acyclovir Ointment. Aetna Better Health Kentucky. Products Affected. acyclovir ointment 5 % external Details. Criteria

Acyclovir Ointment. Aetna Better Health Kentucky. Products Affected. acyclovir ointment 5 % external Details. Criteria Acyclovir Ointment acyclovir ointment 5 % external Aetna Better Health Kentucky Use of oral acyclovir or Abreva in the previous 130 days 1 Adcirca ADCIRCA TABLET 20 MG ORAL Use of sildenafil in previous

More information

MO HealthNet December 2011 Meeting

MO HealthNet December 2011 Meeting ACELLA ESOCOR P OTC (ORAL) COUGH AND COLD, NON-NARCOTIC ACTAVIS BETAMETHASONE DIPROPIONATE OINT. (TOPICAL) STEROIDS, TOPICAL HIGH ACTAVIS PROMETHAZINE VC SYRUP (ACTAVIS) (ORAL) COUGH AND COLD, COLD ACTAVIS

More information

Connecticut Medicaid P&T Meeting Minutes November 19, 2014

Connecticut Medicaid P&T Meeting Minutes November 19, 2014 The meeting started at 6:07pm Attendance Connecticut Medicaid P&T Meeting Minutes November 19, 2014 Present Members: Carl Sherter, MD Manage Nissanka, MD Emmett Sullivan, RPh Stella Cretella Kevin Chamberlin,

More information

Texas Medicaid October 28, 2011 Meeting Addendum

Texas Medicaid October 28, 2011 Meeting Addendum ACELLA ENTRE-B (ORAL) COUGH AND COLD, COLD ACELLA ENTRE-S (ORAL) COUGH AND COLD, NON-NARCOTIC ACELLA ESOCOR P OTC (ORAL) COUGH AND COLD, NON-NARCOTIC ALLEGIS ENDACON OTC (ORAL) COUGH AND COLD, NON-NARCOTIC

More information

IPR ,318, Dec-13 PRISM Pharma Co., Ltd. CHOONGWAE PHARMA CORP. N/A Settled pre-institution N/A

IPR ,318, Dec-13 PRISM Pharma Co., Ltd. CHOONGWAE PHARMA CORP. N/A Settled pre-institution N/A Trial Drug (if applicable) Patent No. Filed Date Petitioner(s) Patent Owner(s) Inst. Dec. Outcome Details of FWD

More information

Connecticut Medicaid P&T Meeting Minutes November 18 th, 2015

Connecticut Medicaid P&T Meeting Minutes November 18 th, 2015 Connecticut Medicaid P&T Meeting Minutes November 18 th, 2015 The meeting was called to order at 6:29 PM. Attendance: P&T Members Present: DSS: HP/Magellan: Carl Sherter Herman Kranc Jason Young Manage

More information

MANUFACTURING PROBLEMS AS OF 20th June 2017

MANUFACTURING PROBLEMS AS OF 20th June 2017 MANUFACTURING PROBLEMS AS OF 20th June If you know of any stock Issues that are not on this list please get in touch at ahope@nhs.net The information contained in this bulletin is based on information

More information

IPR Rituxan 8,545,843 2-Nov-17 Pfizer, Inc. Biogen, Inc. Denied Pending N/A

IPR Rituxan 8,545,843 2-Nov-17 Pfizer, Inc. Biogen, Inc. Denied Pending N/A Trial Drug (if applicable) Patent No. Filed Date Petitioner(s) Patent Owner(s) Inst. Dec. Outcome Details of FWD

More information

Foundation; Initiative for Medicines, Access & Eli Lilly & Co.; Avid. Vosevi 7,429, Oct-17

Foundation; Initiative for Medicines, Access & Eli Lilly & Co.; Avid. Vosevi 7,429, Oct-17 Trial Drug (if applicable) Patent No. Filed Date Petitioner(s) Patent Owner(s) Inst. Dec. Outcome Details of FWD

More information

MALE HORMONE THERAPY OPTIONS

MALE HORMONE THERAPY OPTIONS MALE HORMONE THERAPY OPTIONS The following tables have been compiled by Women s International Pharmacy staff pharmacists to represent some of the more frequently prescribed regimens for men. The Women

More information

Quarterly pharmacy formulary change notice

Quarterly pharmacy formulary change notice Provider Bulletin December 2017 Quarterly pharmacy formulary notice The formulary s listed in the table below apply to all Anthem HealthKeepers Plus members. These s were reviewed and approved at the third

More information

Acyclovir Ointment. Aetna Better Health Louisiana. Products Affected. acyclovir ointment 5 % external Details. Criteria

Acyclovir Ointment. Aetna Better Health Louisiana. Products Affected. acyclovir ointment 5 % external Details. Criteria Acyclovir Ointment acyclovir ointment 5 % external Aetna Better Health Louisiana Use of oral acyclovir in the previous 130 days 1 Adcirca ADCIRCA TABLET 20 MG ORAL Use of sildenafil in previous 30 days

More information

Gastrointestinal Drugs

Gastrointestinal Drugs Gastrointestinal Drugs Gastrointestinal Drugs 56:08 ANTIDIARRHEA AGENTS DIPHENOXYLATE HCL/ ATROPINE SULFATE 2.5 MG * 0.025 MG ORAL TABLET 00000036323 LOMOTIL PFI 0.4994 56:14 CHOLELITHOLYTIC AGENTS URSODIOL

More information

Therapeutic Drug Class Brand Name (Route) State Final Decisions ALZHEIMER'S AGENTS

Therapeutic Drug Class Brand Name (Route) State Final Decisions ALZHEIMER'S AGENTS Pennsylvania November 2014 Pharmacy and Therapeutics Final Status Decision: = Preferred Agent on Preferred Drug List; = Non-Preferred Drug Therapeutic Drug Class Brand Name (Route) State Final Decisions

More information

Information for Vermont Prescribers of Prescription Drugs (Long Form)

Information for Vermont Prescribers of Prescription Drugs (Long Form) Information for Vermont Prescribers of Prescription Drugs (Long Form) Cipro (Ciprofloxacin-Ciprofloxacin HCl) This list does not imply that the products on this chart are interchangeable or have the same

More information

2016 Aetna Pharmacy Drug Guide Four Tier Open Aetna Premier Plus Plan

2016 Aetna Pharmacy Drug Guide Four Tier Open Aetna Premier Plus Plan Quality health plans & benefits Healthier living Financial well-being Intelligent solutions 2016 Aetna Pharmacy Drug Guide Four Tier Open Aetna Premier Plus Plan www.aetna.com 2016 Aetna Inc. 05.05.341.1

More information

Qualified Health Plans 2018 Drug Formulary for HMOs and PPOs

Qualified Health Plans 2018 Drug Formulary for HMOs and PPOs Qualified Health Plans 2018 Drug Formulary for HMOs and PPOs THIS DOCUMENT HAS INFORMATION ABOUT THE PRESCRIPTION DRUGS WE COVER FOR QUALIFIED HEALTH PLANS. Qualified Health Plans (QHP) are Affordable

More information

WELLCARE HEALTH PLAN 2015 STEP THERAPY CRITERIA (No Changes Made Since: 10/2014)

WELLCARE HEALTH PLAN 2015 STEP THERAPY CRITERIA (No Changes Made Since: 10/2014) WELLCARE HEALTH PLAN 2015 STEP THERAPY CRITERIA (No Changes Made Since: 10/2014) **To get updated information about the drugs covered by WellCare, please visit our website (https://www.wellcare.com) or

More information

National Alliance on Mental Illness Testimony Antidepressants, Other - Pristiq Aniello Marotta, PharmD MBA Pfizer

National Alliance on Mental Illness Testimony Antidepressants, Other - Pristiq Aniello Marotta, PharmD MBA Pfizer The meeting started at 6:00pm Attendance Connecticut Medicaid P&T Meeting Minutes October 23, 2013 Present Members: Carl Sherter, MD Charles Thompson, MD Emmett Sullivan, RPh Cynthia Conrad, MD Manage

More information

2017 Drug List for Qualified Health Plans

2017 Drug List for Qualified Health Plans 207 Drug List for Qualified Health Plans HAP Personal Alliance and small group Use this drug list also known as a formulary to learn about the prescription drugs we cover in all qualified health plans.

More information

Preventive Drug List. More Details. Alcohol Dependency Alcohol Dependency acamprosate oral tablet,delayed release (dr/ec) disulfiram oral tablet

Preventive Drug List. More Details. Alcohol Dependency Alcohol Dependency acamprosate oral tablet,delayed release (dr/ec) disulfiram oral tablet Preventive Drug List Preventive drugs are used to help avoid disease and maintain health. Some insurance plans have a benefit that allows you to buy preventive drugs at a copay. Check your plan details

More information

HARVARD PILGRIM HEALTH CARE RECOMMENDED MEDICATION REQUEST GUIDELINES

HARVARD PILGRIM HEALTH CARE RECOMMENDED MEDICATION REQUEST GUIDELINES Generic Brand HICL GCN Exception/Other METHYL ANDROID METHITEST METHYL TESTRED 01404 ROUTE MISCELL. CYPIONATE ENANTHATE GUIDELINES FOR USE ANDRODERM ANDROGEL AXIRON FORTESTA NATESTO STRIANT TESTIM VOGELXO

More information

AMERICAN PSYCHIATRIC ASSOCIATION CONTINUING MEDICAL EDUCATION POLICY ON FULL DISCLOSURE

AMERICAN PSYCHIATRIC ASSOCIATION CONTINUING MEDICAL EDUCATION POLICY ON FULL DISCLOSURE AMERICAN PSYCHIATRIC ASSOCIATION CONTINUING MEDICAL EDUCATION POLICY ON FULL DISCLOSURE The American Psychiatric Association requires disclosure, by presenters at CME activities, of any significant financial

More information

2017 Aetna Pharmacy Drug Guide Five Tier Open Aetna Value Plus Plan

2017 Aetna Pharmacy Drug Guide Five Tier Open Aetna Value Plus Plan Quality health plans & benefits Healthier living Financial well-being Intelligent solutions 2017 Aetna Pharmacy Drug Guide Five Tier Open Aetna Value Plus Plan www.aetna.com 2017 Aetna Inc. 05.05.354.1

More information

Oregon Drug Use Review / Pharmacy & Therapeutics Committee Thursday, September 28, 2017, 1:00-5:00 PM Human Services Building Salem, OR 97301

Oregon Drug Use Review / Pharmacy & Therapeutics Committee Thursday, September 28, 2017, 1:00-5:00 PM Human Services Building Salem, OR 97301 Drug Use Research & Management Program OHA Health Systems Division 500 Summer Street NE, E35; Salem, OR 97301-1079 Phone 503-947-5220 Fax 503-947-1119 Oregon Drug Use Review / Pharmacy & Therapeutics Committee

More information

MANUFACTURING PROBLEMS AS OF 11th January 2018

MANUFACTURING PROBLEMS AS OF 11th January 2018 3 MANUFACTURING PROBLEMS AS OF 11th January 2018 If you know of any stock Issues that are not on this list please get in touch at ahope@nhs.net Dumfries and Galloway on the date displayed and may not apply

More information

Texas Medicaid Drug Utilization Board Decisions July 27, 2018

Texas Medicaid Drug Utilization Board Decisions July 27, 2018 ALZHEIMER'S AGENTS ARICEPT (ORAL) NPD NPD NPD For this therapeutic drug class, the Board believed that all of the drugs ARICEPT 23 MG (ORAL) NPD NPD NPD being recommended as preferred demonstrated the

More information

MALE HORMONE THERAPY OPTIONS

MALE HORMONE THERAPY OPTIONS MALE HORMONE THERAPY OPTIONS The following tables have been compiled by Women s staff pharmacists to represent some of the more frequently prescribed regimens for men. The Women s logo is placed throughout

More information

2017 Drug List for Commercial Health Plans

2017 Drug List for Commercial Health Plans 2017 Drug List for Commercial Health Plans Use this drug list also known as a formulary to learn about the prescription drugs we cover in all commercial health plans. Commercial health plans are a type

More information

2017 Aetna Pharmacy Drug Guide Four Tier Open Aetna Value Plus Plan

2017 Aetna Pharmacy Drug Guide Four Tier Open Aetna Value Plus Plan Quality health plans & benefits Healthier living Financial well-being Intelligent solutions 2017 Aetna Pharmacy Drug Guide Four Tier Open Aetna Value Plus Plan www.aetna.com 2017 Aetna Inc. 05.05.352.1

More information

Provider Partners Pennsylvania Advantage Plan Offered by Provider Partners Health Plan April 2019 Formulary Addendum

Provider Partners Pennsylvania Advantage Plan Offered by Provider Partners Health Plan April 2019 Formulary Addendum Provider Partners Pennsylvania Advantage Plan Offered by Provider Partners Health Plan April 2019 Formulary Addendum Below is a list formulary changes for the benefit year 2019. This is not a complete

More information

HHSC Preferred Drug List (PDL) Recommendations April 27, of 17

HHSC Preferred Drug List (PDL) Recommendations April 27, of 17 ANTI-ALLERGENS, ORAL GRASTEK (SUBLINGUAL) NPD NPD NPD For this, the Board believed ORALAIR (SUBLINGUAL) NPD NPD NPD that none of the drugs meet the fiscal requirements of the state and are the most safe

More information

Genesis Clinical Research Tampa, FL Medical Director. Fresenius Medical Care Tampa, FL Medical Director. 10/31/1997 to Present

Genesis Clinical Research Tampa, FL Medical Director. Fresenius Medical Care Tampa, FL Medical Director. 10/31/1997 to Present Jesus Ovidio Navarro, MD Genesis Clinical Research 4710 N Habana Avenue, Suite 300 Tampa, FL 33614 Phone: 813-873-1016 Fax: 813-879-1336 genclin@aol.com Licenses and Certifications: Florida ME 0057891

More information

with the Use of RABS and Isolators Barcelona, Spain October 27, 2015

with the Use of RABS and Isolators Barcelona, Spain October 27, 2015 Aseptic Processing Barrier Technology Trends with the Use of RABS and Isolators Barcelona, Spain October 27, 2015 Jack Lysfjord, Principal Consultant 952 546 2082 jlysfjord@q.com Agenda Background - Diagrams

More information

PA Prior authorization ST Step therapy QL Quantity limit AE Age Edit. More Details. Last Update: July 1,

PA Prior authorization ST Step therapy QL Quantity limit AE Age Edit. More Details. Last Update: July 1, Preventive Drug List Preventive drugs are used to help avoid disease and maintain health. Some insurance plans have a benefit that allows you to buy preventive drugs at a copay. Check your plan details

More information

2017 Aetna Pharmacy Drug Guide Four Tier Open Aetna Premier Plus Plan

2017 Aetna Pharmacy Drug Guide Four Tier Open Aetna Premier Plus Plan Quality health plans & benefits Healthier living Financial well-being Intelligent solutions 2017 Aetna Pharmacy Drug Guide Four Tier Open Aetna Premier Plus Plan www.aetna.com 2017 Aetna Inc. 05.05.341.1

More information

HHSC Preferred Drug List (PDL) Recommendations April 27, of 19

HHSC Preferred Drug List (PDL) Recommendations April 27, of 19 ANTI-ALLERGENS, ORAL GRASTEK (SUBLINGUAL) NPD NPD ORALAIR (SUBLINGUAL) NPD NPD For this, the Board believed that none of the drugs meet the fiscal requirements of the state RAGWITEK (SUBLINGUAL) NPD NPD

More information

SUMMACARE COMMERCIAL MEDICATION REQUEST GUIDELINES TESTOSTERON. Generic Brand HICL GCN Exception/Other ROUTE MISCELL.

SUMMACARE COMMERCIAL MEDICATION REQUEST GUIDELINES TESTOSTERON. Generic Brand HICL GCN Exception/Other ROUTE MISCELL. Generic Brand HICL GCN Exception/Other ANDRODERM 01403 ROUTE MISCELL. ANDROGEL AXIRON FORTESTA NATESTO STRIANT TESTIM VOGELXO DEPO- 01400 ROUTE MISCELL. CYPIONATE TESTOSTERON E GCN 38586 DELATESTRYL 01401

More information

Effective: August 1, 2015 Non-QHP Commercial and TPA Plans 5 Tier Formulary (List of Covered Drugs)

Effective: August 1, 2015 Non-QHP Commercial and TPA Plans 5 Tier Formulary (List of Covered Drugs) Effective: August 1, 2015 Non-QHP Commercial and TPA Plans 5 Tier Formulary (List of Covered Drugs) What is the Drug List? Also called a formulary by doctors and pharmacists, the Drug List is an extensive

More information

PHP Commercial Large Group Plans (Non-Metal Plans) Formulary Therapeutic Class Listing

PHP Commercial Large Group Plans (Non-Metal Plans) Formulary Therapeutic Class Listing Presbyterian Health Plan Presbyterian Insurance Company, Inc. PHP Commercial Large Group Plans (Non-Metal Plans) Formulary Therapeutic Class Listing This list is in order by therapeutic class. To find

More information

Commercial Metal 5-Tier Formulary (List of Covered Drugs)

Commercial Metal 5-Tier Formulary (List of Covered Drugs) Updated: September 15, 2017 Small Group Metal Plans Individual Metal Plans Commercial Metal 5-Tier Formulary (List of Covered Drugs) What is the Drug List? Also called a formulary by doctors and pharmacists,

More information

Established in 1901 in Jerusalem by three young pharmacists selling drugs in a small store

Established in 1901 in Jerusalem by three young pharmacists selling drugs in a small store Teva overview 2011 Established in 1901 in Jerusalem by three young pharmacists selling drugs in a small store More than 100 years later, we are among the top 15 pharmaceutical companies and the world leader

More information

ATRIO Health Plans 2018 PPO Plans Formulary Change Notice

ATRIO Health Plans 2018 PPO Plans Formulary Change Notice Formulary ID: 18032 ATRIO Bronze Rx (Basin) ATRIO Silver Rx ATRIO Gold Rx ATRIO Bronze Rx (Umpqua) ATRIO Bronze Rx (Rogue) ATRIO Silver Rx (Rogue) ATRIO Gold Rx (Willamette) ATRIO Silver Rx (Willamette)

More information

PA Prior authorization ST Step therapy QL Quantity limit AE Age Edit. More Details. Last Updated: April 1,

PA Prior authorization ST Step therapy QL Quantity limit AE Age Edit. More Details. Last Updated: April 1, Preventive Drug List Preventive drugs are used to help avoid disease and maintain health. Some insurance plans have a benefit that allows you to buy preventive drugs at a copay. Check your plan details

More information

Samaritan Choice Plans F O R M U L A R Y List of Covered Drugs for 2016

Samaritan Choice Plans F O R M U L A R Y List of Covered Drugs for 2016 Samaritan Choice Plans F O R M U L A R Y List of Covered Drugs for 2016 TABLE OF CONTENTS INTRODUCTION... 15 The Samaritan Health Plans Operations (SHPO)... 15 Pharmacy and Therapeutics (P & T) Committee...

More information

Connecticut Medicaid P&T Meeting Minutes May 11, 2011

Connecticut Medicaid P&T Meeting Minutes May 11, 2011 The meeting started at 6:00 pm Attendance Connecticut Medicaid P&T Meeting Minutes May 11, 2011 Present Members: Carl Sherter, MD Lawrence Sobel, RPh Emmett Sullivan, RPh Stella Cretella Richard Carbray

More information

PA Prior authorization ST Step therapy QL Quantity limit AE Age Edit. Last Updated: January 1,

PA Prior authorization ST Step therapy QL Quantity limit AE Age Edit. Last Updated: January 1, Preventive Drug List Preventive drugs are used to help avoid disease and maintain health. Some insurance plans have a benefit that allows you to buy preventive drugs at a copay. Check your plan details

More information

2018 Ohana Community Care Services (CCS) Comprehensive Preferred Drug List (List of Covered Drugs)

2018 Ohana Community Care Services (CCS) Comprehensive Preferred Drug List (List of Covered Drugs) 2018 Ohana Community Care Services (CCS) Comprehensive referred Drug List (List of Covered Drugs) Ohana Health lan 00 lease read: This document contains information about the drugs we cover in this plan.

More information

68:00. Hormones and Synthetic Substitutes. 68:00 Hormones and Synthetic Substitutes

68:00. Hormones and Synthetic Substitutes. 68:00 Hormones and Synthetic Substitutes Hormones and Synthetic Substitutes Hormones and Synthetic Substitutes COMPOUND PRESCRIPTION 00000999111 COMPOUND HORMONES (ESTROGEN PROGEST TESTOSTERONE) To determine eligibility of a compound, pharmacies

More information

Current as of November 1, 2017

Current as of November 1, 2017 Current as of November 1, 2017 ZYTIGA 500 MG ORAL TABLETS Formulary Addition TIER 5 QL = 2 PER DAY BENLYSTA 200 MG/ML AUTO- INJECTOR Formulary Addition TIER 5 BENLYSTA 200 MG/ML PREFILLED SYRINGE Formulary

More information

AETNA BETTER HEALTH Formulary Guide. Aetna Better Health of Florida Florida Healthy Kids Formulary Guide January 2019

AETNA BETTER HEALTH Formulary Guide. Aetna Better Health of Florida Florida Healthy Kids Formulary Guide January 2019 AETNA BETTER HEALTH Formulary Guide Aetna Better Health of Florida Florida Healthy Kids Formulary Guide January 2019 AETNA BETTER HEALTH Formulary Guide www.aetnabetterhealth.com/florida What is a Formulary?

More information

ATRIO Health Plans 2018 SNP Plans Formulary Change Notice

ATRIO Health Plans 2018 SNP Plans Formulary Change Notice Formulary ID: 18007 ATRIO Special Needs Plan ATRIO Special Needs Plan (Rogue) ATRIO Special Needs Plan (Willamette) ATRIO Health Plans 2018 SNP Plans Formulary Change Notice ATRIO Health Plans may remove

More information

2015 Coventry Prescription Drug List

2015 Coventry Prescription Drug List 2015 Coventry Prescription Drug List www.coventryhealth.com 2014 Aetna Inc. 80.05.341.1 (10/14) Do you have questions? Call the toll-free number on your member ID card. Or visit www.coventryhealth.com

More information

2019 Ohana Community Care Services (CCS) Comprehensive Preferred Drug List (List of Covered Drugs)

2019 Ohana Community Care Services (CCS) Comprehensive Preferred Drug List (List of Covered Drugs) 2019 Ohana Community Care Services (CCS) Comprehensive referred Drug List (List of Covered Drugs) Ohana Health lan 00 lease read: This document contains information about the drugs we cover in this plan.

More information

AETNA BETTER HEALTH Formulary Guide Aetna Better Health Pennsylvania Formulary Guide April 2018

AETNA BETTER HEALTH Formulary Guide Aetna Better Health Pennsylvania Formulary Guide April 2018 AETNA BETTER HEALTH Formulary Guide 2018 Aetna Better Health Pennsylvania Formulary Guide April 2018 AETNA BETTER HEALTH Formulary Guide 2018 What is the Aetna Better Health in Pennsylvania Formulary?

More information

Four-Tier Blue Selections Rx Member Guide

Four-Tier Blue Selections Rx Member Guide Four-Tier Blue Selections Rx Member Guide 2018 04HR1216 R08/17 Blue Cross and Blue Shield of Louisiana is incorporated as Louisiana Health Service & Indemnity Company. HMO Louisiana, Inc. is a subsidiary

More information

Aetna Better Health Virginia. Table of Contents

Aetna Better Health Virginia. Table of Contents Aetna Better Health Virginia Table of Contents *ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS*...4 *ALTERNATIVE MEDICINES*...6 *AMINOGLYCOSIDES*... 6 *ANALGESICS - ANTI-INFLAMMATORY*...7 *ANALGESICS -

More information

Dr. Carl Sherter thanked the attendees for coming and called meeting to order at 6:24 pm.

Dr. Carl Sherter thanked the attendees for coming and called meeting to order at 6:24 pm. The meeting started at 6:24pm Attendance Connecticut Medicaid P&T Meeting Minutes April 30, 2014 Present Members: Carl Sherter, MD Charles Thompson, MD Emmett Sullivan, RPh Stella Cretella Kevin Chamberlin,

More information

5 Tier Commercial Formulary (List of Covered Drugs)

5 Tier Commercial Formulary (List of Covered Drugs) Effective: August 1, 2015 Small Group Qualified Health Plans Individual Qualified Health Plans What is the Drug List? Also called a formulary by doctors and pharmacists, the Drug List is an extensive list

More information

PROGRAM 2003 ANNUAL MEETING. American Psychiatric Association. The Promise of Science The Power of Healing AMERICAN PSYCHIATRIC ASSOCIATION

PROGRAM 2003 ANNUAL MEETING. American Psychiatric Association. The Promise of Science The Power of Healing AMERICAN PSYCHIATRIC ASSOCIATION PROGRAM AMERICAN PSYCHIATRIC ASSOCIATION 2003 ANNUAL MEETING American Psychiatric Association 10 I 674 I The Promise of Science The Power of Healing 156th Annual Meeting + May 17-22, 2003 San Francisco,

More information

SPONSORSHIP 2008 guide

SPONSORSHIP 2008 guide SPONSORSHIP 2008guide Prix Galien USA Committee Michael S. Brown, M.D. Professor of Molecular Genetics and Internal Medicine, UT Southwestern Medical Center at Dallas Prix Galien in the wor l d Prix Galien

More information

zovirax ointment for cold sores directions, zovirax generic capsule zovirax zovirax oral rinse adult intraoral herpes. zovirax powered by vbulletin

zovirax ointment for cold sores directions, zovirax generic capsule zovirax zovirax oral rinse adult intraoral herpes. zovirax powered by vbulletin zovirax ointment for cold sores directions, zovirax generic capsule zovirax zovirax oral rinse adult intraoral herpes. zovirax powered by vbulletin version 2.2.5 lowest cost zovirax 200mg 100 tablets.

More information

Name of Company Involved. Exact or Estimated Value. Accepted / Refused

Name of Company Involved. Exact or Estimated Value. Accepted / Refused 202 Simon Duckett Cardiology Consultant 25/09/2017 Sponsorship 232 N/A N/A N/A 06/11/2017 Sponsorship 241 N/A N/A N/A 14/11/2017 Sponsorship 245 N/A N/A N/A 17/11/2017 Sponsorship 246 N/A N/A N/A 17/11/2017

More information

Commercial Metal 5-Tier Formulary (List of Covered Drugs)

Commercial Metal 5-Tier Formulary (List of Covered Drugs) Updated: January 1, 2019 Small Group Metal Plans Individual Metal Plans Commercial Metal 5-Tier Formulary (List of Covered Drugs) What is the Drug List? Also called a formulary by doctors and pharmacists,

More information

Comprehensive Drug List (List of Covered Drugs)

Comprehensive Drug List (List of Covered Drugs) 2017 Comprehensive Drug List (List of Covered Drugs) WellCare of Nebraska- Family lanning 00 lease read: This document contains information about the drugs we cover in this plan. lease note that the Nebraska

More information

AETNA BETTER HEALTH Formulary Guide. Aetna Better Health of Florida Florida Healthy Kids Formulary Guide October 2017

AETNA BETTER HEALTH Formulary Guide. Aetna Better Health of Florida Florida Healthy Kids Formulary Guide October 2017 AETNA BETTER HEALTH Formulary Guide Aetna Better Health of Florida Florida Healthy Kids Formulary Guide October 2017 AETNA BETTER HEALTH Formulary Guide https://www.aetnabetterhealth.com/florida What is

More information

Commercial Metal 5-Tier Formulary (List of Covered Drugs)

Commercial Metal 5-Tier Formulary (List of Covered Drugs) Updated: September 1, 2018 Small Group Metal Plans Individual Metal Plans Commercial Metal 5-Tier Formulary (List of Covered Drugs) What is the Drug List? Also called a formulary by doctors and pharmacists,

More information