Drug List Changes

  • Effective January 01, 2018

    Formulary Changes to the Preferred B2 Drug List

    Drug Name Description of Change Cost-effective Alternatives*
    Lexiva tabletNo longer coveredfosamprenavir tablet
    Relpax tabletNo longer coveredeletriptan tablet
    Transderm Scop patchNo longer coveredscopolamine patch
    Ziagen oral solutionNo longer coveredabacavir oral solution

    Formulary Changes to the Preferred B3 and B4 Drug Lists

    Drug Name Description of Change Cost-effective Alternatives*
    Lexiva tabletMoving to a higher levelfosamprenavir tablet
    Relpax tabletMoving to a higher leveleletriptan tablet
    Transderm Scop patchMoving to a higher levelscopolamine patch
    Ziagen oral solutionMoving to a higher levelabacavir oral solution

    Formulary Changes to the E1 and E4 Drug Lists

    Drug Name Description of Change Cost-effective Alternatives*
    Lexiva tabletMoving to a higher levelfosamprenavir tablet
    Relpax tabletMoving to a higher leveleletriptan tablet
    Ziagen oral solutionMoving to a higher levelabacavir oral solution

    Formulary Changes to the M1, M2 and M4 Drug Lists

    Drug Name Description of Change Cost-effective Alternatives*
    Effient tabletNo longer coveredprasugrel tablet
    Epiduo topical gelNo longer coveredadapalene/benzoyl peroxide topical gel
    Fosrenol tabletNo longer coveredlanthanum tablet
    Lexiva tabletNo longer coveredfosamprenavir tablet
    Relpax tabletNo longer coveredeletriptan tablet
    Transderm Scop patchNo longer coveredscopolamine patch
    Zyflo CR controlled release tabletNo longer coveredzileuton controlled release tablet

    Formulary Changes to the Select C4 Drug List

    Drug Name Description of Change Cost-effective Alternatives*
    Lexiva tabletMoving to a higher levelfosamprenavir tablet
    Relpax tabletMoving to a higher leveleletriptan tablet
    Ziagen oral solutionMoving to a higher levelabacavir oral solution

    Formulary Changes to the Value-Based V1 Drug List

    Drug Name Description of Change Cost-effective Alternatives*
    Effient tabletMoving to a higher levelprasugrel tablet
    Epiduo topical gelMoving to a higher leveladapalene/benzoyl peroxide topical gel
    Fosrenol tabletMoving to a higher levellanthanum tablet
    Lexiva tabletMoving to a higher levelfosamprenavir tablet
    Relpax tabletMoving to a higher leveleletriptan tablet
    Transderm Scop patchMoving to a higher levelscopolamine patch
    Ziagen oral solutionMoving to a higher levelabacavir oral solution

    *These drugs have been selected by an independent group of experts made up of doctors and pharmacists. This group reviews drugs to see how well they work relative to their cost. They also compare their effectiveness to similar drugs used to treat the same condition. Please talk with your doctor to see if these new options are right for you.