Abilify tablet | No longer covered | aripiprazole tablet |
Abilify Mycite tablet with sensor | No longer covered | Consult doctor |
Acanya gel with pump | No longer covered | Consult doctor |
Aczone gel with pump | No longer covered | dapsone gel |
Adcirca tablet | No longer covered | tadalafil tablet |
Adderall tablet | No longer covered | dextroamphetamine/amphetamine tablet |
Admelog Solostar insulin pen | No longer covered | Novolog pen |
Akynzeo capsule | No longer covered | Consult doctor |
Ala-Cort cream | No longer covered | hydrocortisone cream |
Alogliptin tablet | No longer covered | Consult doctor |
Ambien tablet | No longer covered | zolpidem tablet |
Ambien CR extended-release tablet | No longer covered | zolpidem extended-release tablet |
Ampyra extended-release tablet | No longer covered | dalfampridine extended-release tablet |
Apadaz tablet | No longer covered | Consult doctor |
Apexicon E cream | No longer covered | triamcinolone cream |
Aubagio tablet | No longer covered | Consult doctor |
Azelex cream | No longer covered | azelaic acid gel |
Baraclude solution | No longer covered | Consult doctor |
Baraclude tablet | No longer covered | entecavir tablet |
Benzefoam foam | No longer covered | benzoyl peroxide topical |
Benzefoam ultra foam | No longer covered | benzoyl peroxide topical |
Benzhydrocodone-acetaminophen tablet | No longer covered | Consult doctor |
Bryhali lotion | No longer covered | halobetasol propionate cream |
calcipotriene-betamethasone dipropionate ointment | No longer covered | Consult doctor |
Capex shampoo | No longer covered | clobetasol shampoo |
Cleansing wash cleanser | No longer covered | sulfacetamide sodium-sulfur topical |
clindamycin phosphate foam | No longer covered | clindamycin phosphate solution |
clindamycin phosphate-tretinoin gel | No longer covered | Consult doctor |
clindamycin-benzoyl peroxide gel with pump | No longer covered | Consult doctor |
Clobex shampoo | No longer covered | clobetasol shampoo |
Clobex spray | No longer covered | clobetasol spray |
Clocortolone pivalate cream | No longer covered | triamcinolone cream |
Cloderm cream | No longer covered | triamcinolone cream |
Coremino extended-release tablet | No longer covered | minocycline capsule |
Cuprimine capsule | No longer covered | penicillamine capsule |
Cymbalta capsule | No longer covered | duloxetine capsule |
Delstrigo tablet | No longer covered | Consult doctor |
Desonate gel | No longer covered | desonide ointment |
Diclosaicin solution and cream | No longer covered | Consult doctor |
diflorasone diacetate cream | No longer covered | triamcinolone cream |
diflorasone diacetate ointment | No longer covered | triamcinolone ointment |
Ecoza foam | No longer covered | econazole nitrate cream |
Effexor XR extended-release capsule | No longer covered | venlafaxine extended-release capsule |
Elidel cream | No longer covered | pimecrolimus cream |
Emend capsule | No longer covered | aprepitant capsule |
Emend suspension | No longer covered | Consult doctor |
esomeprazole magnesium capsule | No longer covered | omeprazole capsule |
Evenity syringe | No longer covered | Consult doctor |
Evoclin foam | No longer covered | clindamycin phosphate foam |
Exelderm cream | No longer covered | ketoconazole cream |
Exelderm solution | No longer covered | ketoconazole cream |
Exjade dispersible tablet | No longer covered | deferasirox dispersible tablet |
Extina foam | No longer covered | ketoconazole cream |
Ezallor sprinkle capsule | No longer covered | rosuvastatin tablet |
flunisolide spray aerosol | No longer covered | fluticasone spray aerosol |
flurandrenolide cream | No longer covered | triamcinolone cream |
flurandrenolide lotion | No longer covered | triamcinolone lotion |
flurandrenolide ointment | No longer covered | triamcinolone ointment |
Focalin tablet | No longer covered | dexmethylphenidate tablet |
Focalin XR extended-release capsule | No longer covered | dexmethylphenidate extended-release capsule |
Ganirelix acetate syringe [brand] | No longer covered | ganirelix acetate syringe [generic] |
Gleevec tablet | No longer covered | imatinib tablet |
Glucotrol tablet | No longer covered | glipizide tablet |
Glucotrol XL extended-release tablet | No longer covered | glipizide extended-release tablet |
Ingrezza capsule | No longer covered | Consult doctor |
Intuniv extended-release tablet | No longer covered | guanfacine extended-release tablet |
iodoquinol-hydrocortisone-aloe gel | No longer covered | Consult doctor |
Kapspargo sprinkle extended-release capsule | No longer covered | metoprolol succinate extended-release tablet |
Katerzia suspension | No longer covered | Consult doctor |
Keppra solution | No longer covered | levetiracetam solution |
Keppra tablet | No longer covered | levetiracetam tablet |
Keppra XR extended-release tablet | No longer covered | levetiracetam extended-release tablet |
ketoconazole foam | No longer covered | ketoconazole cream |
Lamictal tablet | No longer covered | lamotrigine tablet |
Lamictal chewable tablet | No longer covered | lamotrigine chewable tablet |
Lamictal disintegrating tablet | No longer covered | lamotrigine disintegrating tablet |
Lamictal XR extended-release tablet | No longer covered | lamotrigine extended-release tablet |
Lidocaine-tetracaine cream | No longer covered | lidocaine-prilocaine cream |
Locoid lipocream cream | No longer covered | hydrocortisone butyrate cream |
Loprox shampoo | No longer covered | ciclopirox shampoo |
Lucemyra tablet | No longer covered | Consult doctor |
Luliconazole cream | No longer covered | ketoconazole cream |
Lunesta tablet | No longer covered | eszopiclone tablet |
Luxiq foam | No longer covered | betamethasone valerate foam |
Luzu cream | No longer covered | ketoconazole cream |
Lyrica capsule | No longer covered | pregabalin capsule |
Lyrica solution | No longer covered | pregabalin solution |
Lyrica CR extended-release tablet | No longer covered | pregabalin capsule |
metoprolol succinate-hctz extended-release tablet | No longer covered | Consult doctor |
Metrogel gel with pump | No longer covered | metronidazole gel |
metronidazole gel with pump | No longer covered | metronidazole gel |
Miconazole-zinc oxide ointment | No longer covered | ketoconazole cream |
Mondoxyne NL capsule | No longer covered | doxycycline capsule |
Mulpleta tablet | No longer covered | Consult doctor |
Naftin gel | No longer covered | naftifine cream |
Nalfon tablet | No longer covered | fenoprofen tablet |
Neurontin capsule | No longer covered | gabapentin capsule |
Neurontin solution | No longer covered | gabapentin solution |
Neurontin tablet | No longer covered | gabapentin tablet |
Okebo capsule | No longer covered | doxycycline capsule |
Olux foam | No longer covered | clobetasol propionate foam |
Olux-E foam | No longer covered | clobetasol propionate foam |
oxiconazole nitrate cream | No longer covered | ketoconazole cream |
Oxistat lotion | No longer covered | ketoconazole cream |
Pataday drops | No longer covered | olopatadine drops |
Pifeltro tablet | No longer covered | Consult doctor |
Pravachol tablet | No longer covered | pravastatin tablet |
Pristiq extended-release tablet | No longer covered | desvenlafaxine extended-release tablet |
Prizotral cream | No longer covered | lidocaine-prilocaine cream |
Provigil tablet | No longer covered | modafinil tablet |
rabeprazole capsule | No longer covered | omeprazole capsule |
Rhofade cream | No longer covered | Consult doctor |
Sandostatin LAR depot vial | No longer covered | Consult doctor |
Scalacort lotion | No longer covered | triamcinolone lotion |
Sernivo aerosol spray | No longer covered | clobetasol spray |
Seroquel tablet | No longer covered | quetiapine tablet |
Seroquel XR extended-release tablet | No longer covered | quetiapine extended-release tablet |
Signifor LAR vial | No longer covered | Consult doctor |
Siklos tablet | No longer covered | hydroxyurea capsule |
Soloxide tablet | No longer covered | Consult doctor |
Strattera capsule | No longer covered | atomoxetine capsule |
Striverdi Respimat inhaler | No longer covered | Consult doctor |
Synera adhesive patch | No longer covered | lidocaine-prilocaine cream |
Tikosyn capsule | No longer covered | dofetilide capsule |
Topamax capsule | No longer covered | topiramate capsule |
Topamax tablet | No longer covered | topiramate tablet |
tretinoin microsphere gel with pump | No longer covered | tretinoin gel |
triamcinolone acetonide aerosol | No longer covered | triamcinolone cream |
Triderm cream | No longer covered | triamcinolone cream |
Trileptal suspension | No longer covered | oxcarbazepine suspension |
Trileptal tablet | No longer covered | oxcarbazepine tablet |
Valium tablet | No longer covered | diazepam tablet |
Victoza pen injector | No longer covered | Consult doctor |
Vivlodex capsule | No longer covered | meloxicam tablet |
Vizimpro tablet | No longer covered | Consult doctor |
Vusion ointment | No longer covered | ketoconazole cream |
Wellbutrin SR sustained-release tablet | No longer covered | bupropion sustained-release tablet |
Xanax tablet | No longer covered | alprazolam tablet |
Xanax XR extended-release tablet | No longer covered | alprazolam extended-release tablet |
Xatmep solution | No longer covered | Consult doctor |
Xelpros eye drops | No longer covered | latanoprost eye drops |
Zavesca capsule | No longer covered | miglustat capsule |
Zilacaine patch | No longer covered | lidocaine patch |
Zithranol shampoo | No longer covered | Consult doctor |
Zithranol rapid-release cream | No longer covered | Consult doctor |
Zorvolex capsule | No longer covered | diclofenac tablet |
Zytiga tablet | No longer covered | abiraterone acetate tablet |