Drug List Changes

  • Effective October 01, 2020

    Formulary Changes to the Preferred B4 Drug List

    Drug Name Description of Change Cost-effective Alternatives*
    Colcrys tabletMoving to a higher levelcolchicine tablet
    EpiPen auto-injectorMoving to a higher levelepinephrine auto-injector
    EpiPen Jr. auto-injectorMoving to a higher levelepinephrine auto-injector
    K-Tab 20 MEQ extended-release tabletMoving to a higher levelpotassium chloride 20 MEQ extended-release tablet
    Nebupent inhalantMoving to a higher levelpentamidine inhalant
    Nexium DR 10 mg, 20 mg, 40 mg packetsMoving to a higher levelesomeprazole DR 10 mg, 20 mg, 40 mg packets
    Plaquenil tabletMoving to a higher levelhydroxychloroquine tablet
    ProAir HFA inhalerMoving to a higher levelalbuterol HFA inhaler
    Proglycem suspensionMoving to a higher leveldiazoxide suspension
    Zortress 0.25 mg, 0.5 mg, 0.75 mg tabletsMoving to a higher leveleverolimus 0.25 mg, 0.5 mg, 0.75 mg tablets

    Formulary Changes to the E4 Drug List

    Drug Name Description of Change Cost-effective Alternatives*
    Colcrys tabletMoving to a higher levelcolchicine tablet
    EpiPen auto-injectorMoving to a higher levelepinephrine auto-injector
    EpiPen Jr. auto-injectorMoving to a higher levelepinephrine auto-injector
    K-Tab 20 MEQ extended-release tabletMoving to a higher levelpotassium chloride 20 MEQ extended-release tablet
    Orkambi tabletMoving to a higher levelSymdeko tablet, Trikafta tablet
    Orkambi oral granulesMoving to a higher levelSymdeko tablet, Trikafta tablet
    Plaquenil tabletMoving to a higher levelhydroxychloroquine tablet
    ProAir HFA inhalerMoving to a higher levelalbuterol HFA inhaler
    Proglycem suspensionMoving to a higher leveldiazoxide suspension
    Zortress 0.25 mg, 0.5 mg, 0.75 mg tabletsMoving to a higher leveleverolimus 0.25 mg, 0.5 mg, 0.75 mg tablets

    *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.