Preferred Drug List

Avoid out-of-pocket costs by using only preferred drugs on the Funds’ Preferred Drug List.

For Long-Term Medications, Members Must Use the 90-Day RX Solution

Print-friendly PDL
(October 2019 update)

Updated October 1, 2019. See list of non-covered drugs below.

DrugBrand / GenericCategorySubcategoryRestrictions
ClaravisGenericAcne TherapyOral Acne Therapy
  • Do not use during pregnancy.
MyorisanGenericAcne TherapyOral Acne Therapy
  • Do not use during pregnancy.
ZenataneGenericAcne TherapyOral Acne Therapy
  • Do not use during pregnancy.
adapaleneGenericAcne TherapyTopical Acne Therapy
adapalene / benzoyl peroxideGenericAcne TherapyTopical Acne Therapy
azelaic acid gelGenericAcne TherapyTopical Acne Therapy
benzoyl peroxideGenericAcne TherapyTopical Acne Therapy
benzoyl peroxide microspheresGenericAcne TherapyTopical Acne Therapy
clindamycin / benzoyl peroxideGenericAcne TherapyTopical Acne Therapy
clindamycin phosphateGenericAcne TherapyTopical Acne Therapy
clindamycin phosphate/tretinoinGenericAcne TherapyTopical Acne Therapy
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
erythromycin base / benzoyl peroxideGenericAcne TherapyTopical Acne Therapy
erythromycin base / ethyl alcoholGenericAcne TherapyTopical Acne Therapy
erythromycin base / ethyl alcohol gelGenericAcne TherapyTopical Acne Therapy
erythromycin base / ethyl alcohol swabsGenericAcne TherapyTopical Acne Therapy
metronidazole cream, gel, lotionGenericAcne TherapyTopical Acne Therapy
Neuac GelGenericAcne TherapyTopical Acne Therapy
sulfacetamide sodium / sulfurGenericAcne TherapyTopical Acne Therapy
sulfacetamide sodium / sulfur / ureaGenericAcne TherapyTopical Acne Therapy
tazarotene 0.1% creamGenericAcne TherapyTopical Acne Therapy
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
tretinoinGenericAcne TherapyTopical Acne Therapy
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
tretinoin microspheresGenericAcne TherapyTopical Acne Therapy
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
AzelexBrand NameAcne TherapyTopical Acne Therapy
Finacea foamBrand NameAcne TherapyTopical Acne Therapy
cortisone acetateGenericAdrenal Hormones
dexamethasone tablet, dose packGenericAdrenal Hormones
fludrocortisone acetateGenericAdrenal Hormones
hydrocortisoneGenericAdrenal Hormones
methylprednisoloneGenericAdrenal Hormones
prednisoloneGenericAdrenal Hormones
prednisolone sodium phosphateGenericAdrenal Hormones
prednisoneGenericAdrenal Hormones
Celestone SolutionBrand NameAdrenal Hormones
Medrol Tablet 2mgBrand NameAdrenal Hormones
donepezilGenericAlzheimer's Agents
galantamineGenericAlzheimer's Agents
memantineGenericAlzheimer's Agents
rivastigmineGenericAlzheimer's Agents
Exelon SolutionBrand NameAlzheimer's Agents
Namenda Dose PakBrand NameAlzheimer's Agents
Namenda XRBrand NameAlzheimer's Agents
NamzaricBrand NameAlzheimer's Agents
abiraterone acetate 250mg tabletGenericAntiandrogens
  • Do not use during pregnancy.
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
  • Subject to Quantity Duration Programs.
bicalutamideGenericAntiandrogens
  • Do not use during pregnancy.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
flutamideGenericAntiandrogens
  • Weigh the risk of birth defects or other adverse outcomes.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
nilutamideGenericAntiandrogens
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
XtandiBrand NameAntiandrogens
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
  • Subject to Quantity Duration Programs.
Zytiga 500mg tabletBrand NameAntiandrogens
  • Do not use during pregnancy.
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
  • Subject to Quantity Duration Programs.
carbamazepineGenericAnticonvulsants
  • Weigh the risk of birth defects or other adverse outcomes.
carbamazepine XRGenericAnticonvulsants
  • Weigh the risk of birth defects or other adverse outcomes.
clobazamGenericAnticonvulsants
  • Weigh the risk of birth defects or other adverse outcomes.
clonazepamGenericAnticonvulsants
  • Weigh the risk of birth defects or other adverse outcomes.
diazepam kitGenericAnticonvulsants
  • Weigh the risk of birth defects or other adverse outcomes.
divalproex sodiumGenericAnticonvulsants
  • Weigh the risk of birth defects or other adverse outcomes.
divalproex sodium ERGenericAnticonvulsants
  • Weigh the risk of birth defects or other adverse outcomes.
divalproex sodium sprinklesGenericAnticonvulsants
  • Weigh the risk of birth defects or other adverse outcomes.
ethosuximideGenericAnticonvulsants
  • Weigh the risk of birth defects or other adverse outcomes.
felbamateGenericAnticonvulsants
gabapentinGenericAnticonvulsants
lamotrigineGenericAnticonvulsants
lamotrigine dose packGenericAnticonvulsants
lamotrigine ODTGenericAnticonvulsants
lamotrigine XRGenericAnticonvulsants
levetiracetamGenericAnticonvulsants
levetiracetam XRGenericAnticonvulsants
oxcarbazepineGenericAnticonvulsants
phenobarbitalGenericAnticonvulsants
  • Weigh the risk of birth defects or other adverse outcomes.
phenytoin chewable tabletGenericAnticonvulsants
  • Weigh the risk of birth defects or other adverse outcomes.
phenytoin extended-releaseGenericAnticonvulsants
  • Weigh the risk of birth defects or other adverse outcomes.
phenytoin suspensionGenericAnticonvulsants
  • Weigh the risk of birth defects or other adverse outcomes.
pregabalinGenericAnticonvulsants
primidoneGenericAnticonvulsants
  • Weigh the risk of birth defects or other adverse outcomes.
RoweepraGenericAnticonvulsants
tiagabineGenericAnticonvulsants
topiramateGenericAnticonvulsants
  • Weigh the risk of birth defects or other adverse outcomes.
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
valproic acidGenericAnticonvulsants
  • Weigh the risk of birth defects or other adverse outcomes.
zonisamideGenericAnticonvulsants
Banzel TabletBrand NameAnticonvulsants
  • Weigh the risk of birth defects or other adverse outcomes.
CelontinBrand NameAnticonvulsants
  • Weigh the risk of birth defects or other adverse outcomes.
DiastatBrand NameAnticonvulsants
  • Weigh the risk of birth defects or other adverse outcomes.
Dilantin 30mgBrand NameAnticonvulsants
  • Weigh the risk of birth defects or other adverse outcomes.
EpidiolexBrand NameAnticonvulsants
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
PeganoneBrand NameAnticonvulsants
  • Weigh the risk of birth defects or other adverse outcomes.
VimpatBrand NameAnticonvulsants
cefaclor, ERGenericAnti-Infectives (Antibiotics)Oral Cephalosporins
cefadroxil hydrateGenericAnti-Infectives (Antibiotics)Oral Cephalosporins
cefdinirGenericAnti-Infectives (Antibiotics)Oral Cephalosporins
cefditoren pivoxilGenericAnti-Infectives (Antibiotics)Oral Cephalosporins
cefixime capsule, suspensionGenericAnti-Infectives (Antibiotics)Oral Cephalosporins
cefpodoxime proxetilGenericAnti-Infectives (Antibiotics)Oral Cephalosporins
cefprozilGenericAnti-Infectives (Antibiotics)Oral Cephalosporins
ceftibutenGenericAnti-Infectives (Antibiotics)Oral Cephalosporins
cefuroxime axetilGenericAnti-Infectives (Antibiotics)Oral Cephalosporins
cephalexin monohydrateGenericAnti-Infectives (Antibiotics)Oral Cephalosporins
azithromycinGenericAnti-Infectives (Antibiotics)Oral Erythromycins and other Macrolides
clarithromycin, clarithromycin ERGenericAnti-Infectives (Antibiotics)Oral Erythromycins and other Macrolides
erythromycin baseGenericAnti-Infectives (Antibiotics)Oral Erythromycins and other Macrolides
erythromycin ethylsuccinate / sulfisoxazole acetylGenericAnti-Infectives (Antibiotics)Oral Erythromycins and other Macrolides
erythromycin ethylsuccinate suspensionGenericAnti-Infectives (Antibiotics)Oral Erythromycins and other Macrolides
erythromycin ethylsuccinate tabletGenericAnti-Infectives (Antibiotics)Oral Erythromycins and other Macrolides
erythromycin stearateGenericAnti-Infectives (Antibiotics)Oral Erythromycins and other Macrolides
DificidBrand NameAnti-Infectives (Antibiotics)Oral Erythromycins and other Macrolides
amoxicillin trihydrateGenericAnti-Infectives (Antibiotics)Oral Penicillins
amoxicillin trihydrate / potassium clavulanate chewableGenericAnti-Infectives (Antibiotics)Oral Penicillins
amoxicillin trihydrate / potassium clavulanate suspensionGenericAnti-Infectives (Antibiotics)Oral Penicillins
amoxicillin trihydrate / potassium clavulanate, ERGenericAnti-Infectives (Antibiotics)Oral Penicillins
ampicillin trihydrateGenericAnti-Infectives (Antibiotics)Oral Penicillins
dicloxacillin sodiumGenericAnti-Infectives (Antibiotics)Oral Penicillins
penicillin v potassiumGenericAnti-Infectives (Antibiotics)Oral Penicillins
Augmentin Suspension 125 - 31.25mg / 5mlBrand NameAnti-Infectives (Antibiotics)Oral Penicillins
ciprofloxacin ERGenericAnti-Infectives (Antibiotics)Oral Quinolones
ciprofloxacin HCl tabletGenericAnti-Infectives (Antibiotics)Oral Quinolones
ciprofloxacin suspensionGenericAnti-Infectives (Antibiotics)Oral Quinolones
levofloxacinGenericAnti-Infectives (Antibiotics)Oral Quinolones
moxifloxacinGenericAnti-Infectives (Antibiotics)Oral Quinolones
ofloxacinGenericAnti-Infectives (Antibiotics)Oral Quinolones
demeclocycline HClGenericAnti-Infectives (Antibiotics)Oral Tetracyclines
  • Weigh the risk of birth defects or other adverse outcomes.
doxycycline hyclate capsuleGenericAnti-Infectives (Antibiotics)Oral Tetracyclines
  • Weigh the risk of birth defects or other adverse outcomes.
doxycycline hyclate enteric coated tabletGenericAnti-Infectives (Antibiotics)Oral Tetracyclines
  • Weigh the risk of birth defects or other adverse outcomes.
doxycycline hyclate tabletGenericAnti-Infectives (Antibiotics)Oral Tetracyclines
  • Weigh the risk of birth defects or other adverse outcomes.
doxycycline monohydrateGenericAnti-Infectives (Antibiotics)Oral Tetracyclines
  • Weigh the risk of birth defects or other adverse outcomes.
minocycline HClGenericAnti-Infectives (Antibiotics)Oral Tetracyclines
  • Weigh the risk of birth defects or other adverse outcomes.
minocycline HCl ERGenericAnti-Infectives (Antibiotics)Oral Tetracyclines
  • Weigh the risk of birth defects or other adverse outcomes.
tetracycline HClGenericAnti-Infectives (Antibiotics)Oral Tetracyclines
  • Weigh the risk of birth defects or other adverse outcomes.
amantadineGenericAntiparkinsonism Agents
benztropineGenericAntiparkinsonism Agents
bromocriptineGenericAntiparkinsonism Agents
carbidopaGenericAntiparkinsonism Agents
carbidopa / levadopaGenericAntiparkinsonism Agents
carbidopa / levadopa / entacaponeGenericAntiparkinsonism Agents
carbidopa / levadopa ERGenericAntiparkinsonism Agents
entacaponeGenericAntiparkinsonism Agents
pramipexole Di-HClGenericAntiparkinsonism Agents
pramipexole ERGenericAntiparkinsonism Agents
ropiniroleGenericAntiparkinsonism Agents
selegilineGenericAntiparkinsonism Agents
tolcaponeGenericAntiparkinsonism Agents
trihexylphenidylGenericAntiparkinsonism Agents
ApokynBrand NameAntiparkinsonism Agents
calcipotrieneGenericAntipsoriatic / AntiseborrheicAntipsoriatic / Antiseborrheic Topical Agents
calcipotriene / betamethasoneGenericAntipsoriatic / AntiseborrheicAntipsoriatic / Antiseborrheic Topical Agents
calcitriol ointmentGenericAntipsoriatic / AntiseborrheicAntipsoriatic / Antiseborrheic Topical Agents
Drithocreme HPGenericAntipsoriatic / AntiseborrheicAntipsoriatic / Antiseborrheic Topical Agents
hydrocortisone acetate / pramoxineGenericAntipsoriatic / AntiseborrheicAntipsoriatic / Antiseborrheic Topical Agents
selenium sulfideGenericAntipsoriatic / AntiseborrheicAntipsoriatic / Antiseborrheic Topical Agents
sodium sulfacetamideGenericAntipsoriatic / AntiseborrheicAntipsoriatic / Antiseborrheic Topical Agents
EnstilarBrand NameAntipsoriatic / AntiseborrheicAntipsoriatic / Antiseborrheic Topical Agents
PramosoneBrand NameAntipsoriatic / AntiseborrheicAntipsoriatic / Antiseborrheic Topical Agents
Pramosone EBrand NameAntipsoriatic / AntiseborrheicAntipsoriatic / Antiseborrheic Topical Agents
doxylamine succinate/ pyridoxine HClGenericAntivertigo and Antiemetic Drugs
granisetron HClGenericAntivertigo and Antiemetic Drugs
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
  • Subject to Quantity Duration Programs.
ondansetron HClGenericAntivertigo and Antiemetic Drugs
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
  • Subject to Quantity Duration Programs.
ondansetron ODTGenericAntivertigo and Antiemetic Drugs
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
  • Subject to Quantity Duration Programs.
Emend suspensionBrand NameAntivertigo and Antiemetic Drugs
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
  • Subject to Quantity Duration Programs.
DupixentBrand NameAtopic DermatitisInjectable
pimecrolimusGenericAtopic DermatitisTopical
tacrolimus ointmentGenericAtopic DermatitisTopical
Eucrisa ointmentBrand NameAtopic DermatitisTopical
alfuzosin HCl ERGenericBenign Prostate Hyperplasia (BPH) Therapy
doxazosinGenericBenign Prostate Hyperplasia (BPH) Therapy
dutasterideGenericBenign Prostate Hyperplasia (BPH) Therapy
  • Do not use during pregnancy.
dutasteride-tamsulosinGenericBenign Prostate Hyperplasia (BPH) Therapy
  • Do not use during pregnancy.
finasterideGenericBenign Prostate Hyperplasia (BPH) Therapy
  • Do not use during pregnancy.
silodosinGenericBenign Prostate Hyperplasia (BPH) Therapy
tamsulosin HClGenericBenign Prostate Hyperplasia (BPH) Therapy
terazosinGenericBenign Prostate Hyperplasia (BPH) Therapy
  • Weigh the risk of birth defects or other adverse outcomes.
AranespBrand NameBiotechnology DrugsErythroid Stimulants
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
ProcritBrand NameBiotechnology DrugsErythroid Stimulants
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
FirazyrBrand NameBiotechnology DrugsHereditary Angioedema - Bradykinin Receptor Antagonist
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
BerinertBrand NameBiotechnology DrugsHereditary Angioedema - C1 Esterase Inhibitors
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
CinryzeBrand NameBiotechnology DrugsHereditary Angioedema - C1 Esterase Inhibitors
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
HaegardaBrand NameBiotechnology DrugsHereditary Angioedema - C1 Esterase Inhibitors
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
RuconestBrand NameBiotechnology DrugsHereditary Angioedema - C1 Esterase Inhibitors
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
KalbitorBrand NameBiotechnology DrugsHereditary Angioedema - Plasma Kallikrein Inhibitors
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
TakhzyroBrand NameBiotechnology DrugsHereditary Angioedema - Plasma Kallikrein Inhibitors
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
benazepril HClGenericCardiovascular (Blood Pressure / Heart / Cholesterol)ACE Inhibitors
  • Weigh the risk of birth defects or other adverse outcomes.
captoprilGenericCardiovascular (Blood Pressure / Heart / Cholesterol)ACE Inhibitors
  • Weigh the risk of birth defects or other adverse outcomes.
enalapril maleateGenericCardiovascular (Blood Pressure / Heart / Cholesterol)ACE Inhibitors
  • Weigh the risk of birth defects or other adverse outcomes.
fosinopril sodiumGenericCardiovascular (Blood Pressure / Heart / Cholesterol)ACE Inhibitors
  • Weigh the risk of birth defects or other adverse outcomes.
lisinoprilGenericCardiovascular (Blood Pressure / Heart / Cholesterol)ACE Inhibitors
  • Weigh the risk of birth defects or other adverse outcomes.
moexipril HClGenericCardiovascular (Blood Pressure / Heart / Cholesterol)ACE Inhibitors
  • Weigh the risk of birth defects or other adverse outcomes.
perindopril erbumineGenericCardiovascular (Blood Pressure / Heart / Cholesterol)ACE Inhibitors
  • Weigh the risk of birth defects or other adverse outcomes.
quinaprilGenericCardiovascular (Blood Pressure / Heart / Cholesterol)ACE Inhibitors
  • Weigh the risk of birth defects or other adverse outcomes.
ramipril capsulesGenericCardiovascular (Blood Pressure / Heart / Cholesterol)ACE Inhibitors
  • Weigh the risk of birth defects or other adverse outcomes.
trandolaprilGenericCardiovascular (Blood Pressure / Heart / Cholesterol)ACE Inhibitors
  • Weigh the risk of birth defects or other adverse outcomes.
aliskirenGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Angiotensin II Blockers
  • Weigh the risk of birth defects or other adverse outcomes.
candesartanGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Angiotensin II Blockers
  • Weigh the risk of birth defects or other adverse outcomes.
candesartan / hydrochlorothiazideGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Angiotensin II Blockers
  • Weigh the risk of birth defects or other adverse outcomes.
eprosartan mesylate 600mgGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Angiotensin II Blockers
  • Weigh the risk of birth defects or other adverse outcomes.
irbesartanGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Angiotensin II Blockers
  • Weigh the risk of birth defects or other adverse outcomes.
irbesartan / hydrochlorothiazideGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Angiotensin II Blockers
  • Weigh the risk of birth defects or other adverse outcomes.
losartan / hydrochlorothiazideGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Angiotensin II Blockers
  • Weigh the risk of birth defects or other adverse outcomes.
losartan potassiumGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Angiotensin II Blockers
  • Weigh the risk of birth defects or other adverse outcomes.
olmesartanGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Angiotensin II Blockers
  • Weigh the risk of birth defects or other adverse outcomes.
olmesartan / hydrochlorothiazideGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Angiotensin II Blockers
  • Weigh the risk of birth defects or other adverse outcomes.
telmisartanGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Angiotensin II Blockers
  • Weigh the risk of birth defects or other adverse outcomes.
telmisartan / HCTZGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Angiotensin II Blockers
  • Weigh the risk of birth defects or other adverse outcomes.
valsartanGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Angiotensin II Blockers
  • Weigh the risk of birth defects or other adverse outcomes.
valsartan / hydrochlorothiazideGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Angiotensin II Blockers
  • Weigh the risk of birth defects or other adverse outcomes.
warfarinGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Anticoagulants (oral)
EliquisBrand NameCardiovascular (Blood Pressure / Heart / Cholesterol)Anticoagulants (oral)
PradaxaBrand NameCardiovascular (Blood Pressure / Heart / Cholesterol)Anticoagulants (oral)
SavaysaBrand NameCardiovascular (Blood Pressure / Heart / Cholesterol)Anticoagulants (oral)
XareltoBrand NameCardiovascular (Blood Pressure / Heart / Cholesterol)Anticoagulants (oral)
PraxbindBrand NameCardiovascular (Blood Pressure / Heart / Cholesterol)Antidotes
amlodipine / atorvastatinGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Antilipidemics - Statin Drugs
atorvastatin calciumGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Antilipidemics - Statin Drugs
colesevelam powder packetGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Antilipidemics - Statin Drugs
colesevelam tabletGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Antilipidemics - Statin Drugs
ezetimibe/simvastatinGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Antilipidemics - Statin Drugs
fluvastatin, ERGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Antilipidemics - Statin Drugs
lovastatinGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Antilipidemics - Statin Drugs
pravastatinGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Antilipidemics - Statin Drugs
rosuvastatinGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Antilipidemics - Statin Drugs
simvastatinGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Antilipidemics - Statin Drugs
aspirin / dipyridamoleGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Antiplatelet Agents (oral)
cilostazolGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Antiplatelet Agents (oral)
clopidogrel bisulfateGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Antiplatelet Agents (oral)
dipyridamoleGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Antiplatelet Agents (oral)
prasugrel HCIGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Antiplatelet Agents (oral)
BrilintaBrand NameCardiovascular (Blood Pressure / Heart / Cholesterol)Antiplatelet Agents (oral)
ZontivityBrand NameCardiovascular (Blood Pressure / Heart / Cholesterol)Antiplatelet Agents (oral)
acebutolol HClGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Beta Blockers
atenololGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Beta Blockers
  • Weigh the risk of birth defects or other adverse outcomes.
betaxolol HClGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Beta Blockers
bisoprolol fumarateGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Beta Blockers
carvedilolGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Beta Blockers
carvedilol ERGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Beta Blockers
labetalol HClGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Beta Blockers
metoprolol succinate XLGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Beta Blockers
metoprolol tartrateGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Beta Blockers
nadololGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Beta Blockers
pindololGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Beta Blockers
propranolol HClGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Beta Blockers
propranolol HCl capsule, sustained action 24 hrGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Beta Blockers
timolol maleateGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Beta Blockers
HemangeolBrand NameCardiovascular (Blood Pressure / Heart / Cholesterol)Beta Blockers
diltiazem HClGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Calcium Channel Blockers
diltiazem HCl capsule, sustained release 12 hrGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Calcium Channel Blockers
diltiazem HCl capsule, sustained release 24 hrGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Calcium Channel Blockers
nimodipineGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Calcium Channel Blockers
verapamil ERGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Calcium Channel Blockers
verapamil ER PMGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Calcium Channel Blockers
verapamil HClGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Calcium Channel Blockers
verapamil HCl capsule, 24 hr sustained release pelletsGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Calcium Channel Blockers
amlodipine besylateGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Dihydropyridines
felodipineGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Dihydropyridines
isradipineGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Dihydropyridines
nicardipineGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Dihydropyridines
nifedipine tablet, sustained actionGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Dihydropyridines
nifedipine tablet, sustained release osmotic pushGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Dihydropyridines
nisoldipineGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Dihydropyridines
nitroglycerin patches, ointmentGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Long-Acting Nitrates (Topical)
cholestyramine / aspartameGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Other Antilipidemics
cholestyramine / sucroseGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Other Antilipidemics
colestipol HClGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Other Antilipidemics
fenofibrateGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Other Antilipidemics
fenofibrate, micronizedGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Other Antilipidemics
fenofibrate, nanocrystalGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Other Antilipidemics
fenofibric acidGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Other Antilipidemics
gemfibrozilGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Other Antilipidemics
niacin ERGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Other Antilipidemics
omega-3 acid ethyl estersGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Other Antilipidemics
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
ColestidBrand NameCardiovascular (Blood Pressure / Heart / Cholesterol)Other Antilipidemics
JuxtapidBrand NameCardiovascular (Blood Pressure / Heart / Cholesterol)Other Antilipidemics
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
ZetiaBrand NameCardiovascular (Blood Pressure / Heart / Cholesterol)Other Antilipidemics
Praluent Pen (Sanofi US)Brand NameCardiovascular (Blood Pressure / Heart / Cholesterol)PCSK9 Inhibitors
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
Praluent Syringe (Sanofi US)Brand NameCardiovascular (Blood Pressure / Heart / Cholesterol)PCSK9 Inhibitors
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
Repatha Pushtronex (Amgen USA)Brand NameCardiovascular (Blood Pressure / Heart / Cholesterol)PCSK9 Inhibitors
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
Repatha Sureclick (Amgen USA)Brand NameCardiovascular (Blood Pressure / Heart / Cholesterol)PCSK9 Inhibitors
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
Repatha Syringe (Amgen USA)Brand NameCardiovascular (Blood Pressure / Heart / Cholesterol)PCSK9 Inhibitors
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
amlodipine / olmesartanGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Select Combination Antihypertensives
  • Weigh the risk of birth defects or other adverse outcomes.
amlodipine / valsartanGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Select Combination Antihypertensives
  • Weigh the risk of birth defects or other adverse outcomes.
amlodipine / valsartan / HCTZGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Select Combination Antihypertensives
  • Weigh the risk of birth defects or other adverse outcomes.
amlodipine besylate / benazeprilGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Select Combination Antihypertensives
  • Weigh the risk of birth defects or other adverse outcomes.
atenolol / chlorthalidoneGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Select Combination Antihypertensives
  • Weigh the risk of birth defects or other adverse outcomes.
benazepril HCl / HCTZGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Select Combination Antihypertensives
  • Weigh the risk of birth defects or other adverse outcomes.
bisoprolol fumarate / hydrochlorothiazideGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Select Combination Antihypertensives
captopril / hydrochlorothiazideGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Select Combination Antihypertensives
  • Weigh the risk of birth defects or other adverse outcomes.
enalapril maleate / HCTZGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Select Combination Antihypertensives
  • Weigh the risk of birth defects or other adverse outcomes.
fosinopril / hydrochlorothiazideGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Select Combination Antihypertensives
  • Weigh the risk of birth defects or other adverse outcomes.
lisinopril / hydrochlorothiazideGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Select Combination Antihypertensives
  • Weigh the risk of birth defects or other adverse outcomes.
methyldopa / hydrochlorothiazideGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Select Combination Antihypertensives
metoprolol / hydrochlorothiazideGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Select Combination Antihypertensives
metoprolol succinate/ HCTZ ERGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Select Combination Antihypertensives
moexipril / hydrochlorothiazideGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Select Combination Antihypertensives
  • Weigh the risk of birth defects or other adverse outcomes.
nadolol / bendroflumethiazideGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Select Combination Antihypertensives
olmesartan / amlodipine / hydrochlorothiazideGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Select Combination Antihypertensives
  • Weigh the risk of birth defects or other adverse outcomes.
propranolol / hydrochlorothiazideGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Select Combination Antihypertensives
quinapril / hydrochlorothiazideGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Select Combination Antihypertensives
  • Weigh the risk of birth defects or other adverse outcomes.
telmisartan / amlodipineGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Select Combination Antihypertensives
  • Weigh the risk of birth defects or other adverse outcomes.
trandolapril / verapamilGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Select Combination Antihypertensives
  • Weigh the risk of birth defects or other adverse outcomes.
darifenacin hydrobromideGenericDrugs to Treat Overactive Bladder
flavoxateGenericDrugs to Treat Overactive Bladder
oxybutynin chloride, ERGenericDrugs to Treat Overactive Bladder
solifenacinGenericDrugs to Treat Overactive Bladder
tolterodine tartrate, ERGenericDrugs to Treat Overactive Bladder
trospium chloride, ERGenericDrugs to Treat Overactive Bladder
MyrbetriqBrand NameDrugs to Treat Overactive Bladder
ACCU-CHEK Aviva PlusBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Blood Glucose Monitoring Devices
ACCU-CHEK Guide Monitor SystemBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Blood Glucose Monitoring Devices
ACCU-CHEK Nano SmartViewBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Blood Glucose Monitoring Devices
Contour Next EZ MonitorBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Blood Glucose Monitoring Devices
Contour Next MeterBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Blood Glucose Monitoring Devices
Contour Next MonitorBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Blood Glucose Monitoring Devices
Contour Next USB MeterBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Blood Glucose Monitoring Devices
Contour Next USB MonitorBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Blood Glucose Monitoring Devices
Contour USB MeterBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Blood Glucose Monitoring Devices
True Metrix Air Glucose MeterBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Blood Glucose Monitoring Devices
True Metrix Blood Glucose MeterBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Blood Glucose Monitoring Devices
ACCU-CHEK Aviva Plus Test StripsBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Blood Glucose Test Strips
ACCU-CHEK SmartView Test StripBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Blood Glucose Test Strips
Breeze 2Brand NameEndocrine (Diabetes / Hormones / Contraceptives)Blood Glucose Test Strips
Contour Next Test StripsBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Blood Glucose Test Strips
Contour Test StripsBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Blood Glucose Test Strips
True Metrix Glucose Test StripsBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Blood Glucose Test Strips
FreeStyle Libre SystemBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Continuous Glucose Monitoring (CGM) Systems
Amethia, Amethia LoGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive Agents
  • Do not use during pregnancy.
CryselleGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive Agents
  • Do not use during pregnancy.
FayosimGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive Agents
  • Do not use during pregnancy.
GianviGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive Agents
  • Do not use during pregnancy.
Gildess 24 FEGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive Agents
  • Do not use during pregnancy.
Gildess FEGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive Agents
  • Do not use during pregnancy.
Junel FEGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive Agents
  • Do not use during pregnancy.
Lomedia 24 FEGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive Agents
  • Do not use during pregnancy.
LorynaGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive Agents
  • Do not use during pregnancy.
Mibelas 24 FEGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive Agents
  • Do not use during pregnancy.
Microgestin, Microgestin FEGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive Agents
  • Do not use during pregnancy.
MononessaGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive Agents
  • Do not use during pregnancy.
NeconGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive Agents
  • Do not use during pregnancy.
Next ChoiceGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive Agents
  • Do not use during pregnancy.
Next Choice One DoseGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive Agents
  • Do not use during pregnancy.
Norethindrone-e.estriadol-ironGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive Agents
  • Do not use during pregnancy.
Norgestimate-Ethinyl EstradiolGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive Agents
  • Do not use during pregnancy.
OrsythiaGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive Agents
  • Do not use during pregnancy.
PrevifemGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive Agents
  • Do not use during pregnancy.
RajaniGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive Agents
  • Do not use during pregnancy.
RivelsaGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive Agents
  • Do not use during pregnancy.
SyedaGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive Agents
  • Do not use during pregnancy.
Trinessa, Trinessa LoGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive Agents
  • Do not use during pregnancy.
Tri-PrevifemGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive Agents
  • Do not use during pregnancy.
Wymzya FEGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive Agents
  • Do not use during pregnancy.
Xulane PatchGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive Agents
  • Do not use during pregnancy.
Zenchent FEGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive Agents
  • Do not use during pregnancy.
EllaBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive Agents
  • Do not use during pregnancy.
Lo Loestrin FEBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive Agents
  • Do not use during pregnancy.
NuvaringBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive Agents
  • Do not use during pregnancy.
JanumetBrand NameEndocrine (Diabetes / Hormones / Contraceptives)DPP-4 Inhibitors
Janumet XRBrand NameEndocrine (Diabetes / Hormones / Contraceptives)DPP-4 Inhibitors
JanuviaBrand NameEndocrine (Diabetes / Hormones / Contraceptives)DPP-4 Inhibitors
JentaduetoBrand NameEndocrine (Diabetes / Hormones / Contraceptives)DPP-4 Inhibitors
Jentadueto XRBrand NameEndocrine (Diabetes / Hormones / Contraceptives)DPP-4 Inhibitors
TradjentaBrand NameEndocrine (Diabetes / Hormones / Contraceptives)DPP-4 Inhibitors
OrilissaBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Endometriosis
  • Do not use during pregnancy.
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
estradiol cream, tabletsGenericEndocrine (Diabetes / Hormones / Contraceptives)Estrogen Agents (oral / vaginal)
  • Do not use during pregnancy.
estropipateGenericEndocrine (Diabetes / Hormones / Contraceptives)Estrogen Agents (oral / vaginal)
  • Do not use during pregnancy.
YuvafemGenericEndocrine (Diabetes / Hormones / Contraceptives)Estrogen Agents (oral / vaginal)
  • Do not use during pregnancy.
EstringBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Estrogen Agents (oral / vaginal)
  • Do not use during pregnancy.
EstringBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Estrogen Agents (oral / vaginal)
  • Do not use during pregnancy.
OsphenaBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Estrogen Agents (oral / vaginal)
  • Do not use during pregnancy.
OsphenaBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Estrogen Agents (oral / vaginal)
  • Do not use during pregnancy.
estradiolGenericEndocrine (Diabetes / Hormones / Contraceptives)Estrogen Patches
  • Do not use during pregnancy.
Bydureon BciseBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Injectable Hypoglycemic Agents (GLP-1 receptor agonist)
Bydureon, Bydureon PenBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Injectable Hypoglycemic Agents (GLP-1 receptor agonist)
ByettaBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Injectable Hypoglycemic Agents (GLP-1 receptor agonist)
OzempicBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Injectable Hypoglycemic Agents (GLP-1 receptor agonist)
TrulicityBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Injectable Hypoglycemic Agents (GLP-1 receptor agonist)
SoliquaBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Injectable Insulin / GLP-1 receptor agonist Combination
Humalog Mix 50-50Brand NameEndocrine (Diabetes / Hormones / Contraceptives)Insulin Therapy - Intermediate Acting
Humalog Mix 75-25Brand NameEndocrine (Diabetes / Hormones / Contraceptives)Insulin Therapy - Intermediate Acting
Humulin 70 / 30, Humulin 70 / 30 KwikpenBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Insulin Therapy - Intermediate Acting
Humulin N, Humulin KwikpenBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Insulin Therapy - Intermediate Acting
Lantus, Lantus SolostarBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Insulin Therapy - Long Acting
Levemir, Levemir FlextouchBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Insulin Therapy - Long Acting
Toujeo Max SolostarBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Insulin Therapy - Long Acting
Toujeo SolostarBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Insulin Therapy - Long Acting
Tresiba FlextouchBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Insulin Therapy - Long Acting
AfrezzaBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Insulin Therapy - Rapid Acting
HumalogBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Insulin Therapy - Rapid Acting
Humulin RBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Insulin Therapy - Short Acting
Humulin R KwikpenBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Insulin Therapy - Short Acting
LilettaBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Intrauterine Devices / Subdermal Implants
  • Do not use during pregnancy.
  • Must be obtained through Accredo.
NexplanonBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Intrauterine Devices / Subdermal Implants
  • Do not use during pregnancy.
  • Must be obtained through Accredo.
methyltestosterone capsuleGenericEndocrine (Diabetes / Hormones / Contraceptives)Oral / Transdermal Testosterone Replacement Agents
  • Do not use during pregnancy.
testosterone gel in packet 25mg (1%), 50mg (1%). 1.25gm (1.62%), 2.5gm (1.62%)GenericEndocrine (Diabetes / Hormones / Contraceptives)Oral / Transdermal Testosterone Replacement Agents
  • Do not use during pregnancy.
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
testosterone gel pump 1.25gm (1%), 10mg (2%)GenericEndocrine (Diabetes / Hormones / Contraceptives)Oral / Transdermal Testosterone Replacement Agents
  • Do not use during pregnancy.
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
testosterone solution metered pumpGenericEndocrine (Diabetes / Hormones / Contraceptives)Oral / Transdermal Testosterone Replacement Agents
  • Do not use during pregnancy.
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
Androderm PatchBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Oral / Transdermal Testosterone Replacement Agents
  • Do not use during pregnancy.
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
MethitestBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Oral / Transdermal Testosterone Replacement Agents
  • Do not use during pregnancy.
acarboseGenericEndocrine (Diabetes / Hormones / Contraceptives)Oral Hypoglycemic Agents
glimepirideGenericEndocrine (Diabetes / Hormones / Contraceptives)Oral Hypoglycemic Agents
glipizide / metformin HClGenericEndocrine (Diabetes / Hormones / Contraceptives)Oral Hypoglycemic Agents
glipizide, glipizide ERGenericEndocrine (Diabetes / Hormones / Contraceptives)Oral Hypoglycemic Agents
glyburideGenericEndocrine (Diabetes / Hormones / Contraceptives)Oral Hypoglycemic Agents
glyburide / metforminGenericEndocrine (Diabetes / Hormones / Contraceptives)Oral Hypoglycemic Agents
glyburide micronizedGenericEndocrine (Diabetes / Hormones / Contraceptives)Oral Hypoglycemic Agents
metformin HCl, metformin HCl ERGenericEndocrine (Diabetes / Hormones / Contraceptives)Oral Hypoglycemic Agents
miglitolGenericEndocrine (Diabetes / Hormones / Contraceptives)Oral Hypoglycemic Agents
nateglinideGenericEndocrine (Diabetes / Hormones / Contraceptives)Oral Hypoglycemic Agents
pioglitazone / glimepirideGenericEndocrine (Diabetes / Hormones / Contraceptives)Oral Hypoglycemic Agents
pioglitazone / metforminGenericEndocrine (Diabetes / Hormones / Contraceptives)Oral Hypoglycemic Agents
pioglitazone HClGenericEndocrine (Diabetes / Hormones / Contraceptives)Oral Hypoglycemic Agents
repaglinideGenericEndocrine (Diabetes / Hormones / Contraceptives)Oral Hypoglycemic Agents
repaglinide / metforminGenericEndocrine (Diabetes / Hormones / Contraceptives)Oral Hypoglycemic Agents
tolazamideGenericEndocrine (Diabetes / Hormones / Contraceptives)Oral Hypoglycemic Agents
tolbutamideGenericEndocrine (Diabetes / Hormones / Contraceptives)Oral Hypoglycemic Agents
AvandametBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Oral Hypoglycemic Agents
AvandarylBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Oral Hypoglycemic Agents
AvandiaBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Oral Hypoglycemic Agents
InvokametBrand NameEndocrine (Diabetes / Hormones / Contraceptives)SGLT2 - Sodium Glucose Co-transporter Agents
Invokamet XRBrand NameEndocrine (Diabetes / Hormones / Contraceptives)SGLT2 - Sodium Glucose Co-transporter Agents
InvokanaBrand NameEndocrine (Diabetes / Hormones / Contraceptives)SGLT2 - Sodium Glucose Co-transporter Agents
JardianceBrand NameEndocrine (Diabetes / Hormones / Contraceptives)SGLT2 - Sodium Glucose Co-transporter Agents
SynjardyBrand NameEndocrine (Diabetes / Hormones / Contraceptives)SGLT2 - Sodium Glucose Co-transporter Agents
Synjardy XRBrand NameEndocrine (Diabetes / Hormones / Contraceptives)SGLT2 - Sodium Glucose Co-transporter Agents
GlyxambiBrand NameEndocrine (Diabetes / Hormones / Contraceptives)SGLT2 / DPP4 Inhibitor Combinations
FarxigaBrand NameEndocrine (Diabetes / Hormones / Contraceptives)SGLT2- Sodium Glucose Co-transporter Agents
XigduoBrand NameEndocrine (Diabetes / Hormones / Contraceptives)SGLT2- Sodium Glucose Co-transporter Agents
epinephrine autoinjectorGenericEpinephrine Autoinjectors
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
Epi PenBrand NameEpinephrine Autoinjectors
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
Epi Pen Jr.Brand NameEpinephrine Autoinjectors
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
Gavilyte-CGenericGastrointestinalBowel Evacuants
Gavilyte-GGenericGastrointestinalBowel Evacuants
Gavilyte-H with bisacodylGenericGastrointestinalBowel Evacuants
Gavilyte-NGenericGastrointestinalBowel Evacuants
PEG 3350 bowel preparationGenericGastrointestinalBowel Evacuants
Peg-PrepGenericGastrointestinalBowel Evacuants
Trilyte w/ flavor packetGenericGastrointestinalBowel Evacuants
ClenpiqBrand NameGastrointestinalBowel Evacuants
PrepopikBrand NameGastrointestinalBowel Evacuants
SuprepBrand NameGastrointestinalBowel Evacuants
lansoprazole / amoxicillin / clarithromycinGenericGastrointestinalH-Pylori Agents
PyleraBrand NameGastrointestinalH-Pylori Agents
AmitizaBrand NameGastrointestinalIrritable Bowel Syndrome
LinzessBrand NameGastrointestinalIrritable Bowel Syndrome
MotegrityBrand NameGastrointestinalIrritable Bowel Syndrome
TrulanceBrand NameGastrointestinalIrritable Bowel Syndrome
CreonBrand NameGastrointestinalPancreatic Enzymes
ZenpepBrand NameGastrointestinalPancreatic Enzymes
calcium acetateGenericGastrointestinalPhosphate Binders
lanthanum carbonate chewable tabletGenericGastrointestinalPhosphate Binders
sevelamer carbonateGenericGastrointestinalPhosphate Binders
cimetidine tabletGenericGastrointestinalUlcer Drugs
esomeprazole capsuleGenericGastrointestinalUlcer Drugs
famotidine, famotidine suspensionGenericGastrointestinalUlcer Drugs
lansoprazoleGenericGastrointestinalUlcer Drugs
misoprostolGenericGastrointestinalUlcer Drugs
  • Do not use during pregnancy.
nizatidineGenericGastrointestinalUlcer Drugs
omeprazoleGenericGastrointestinalUlcer Drugs
pantoprazoleGenericGastrointestinalUlcer Drugs
rabeprazoleGenericGastrointestinalUlcer Drugs
ranitidine HClGenericGastrointestinalUlcer Drugs
Nexium OTCBrand NameGastrointestinalUlcer Drugs
Nexium Rx SuspensionBrand NameGastrointestinalUlcer Drugs
balsalazide disodiumGenericGastrointestinalUlcerative Colitis Agents
mesalamine delayed release capsuleGenericGastrointestinalUlcerative Colitis Agents
mesalamine enemaGenericGastrointestinalUlcerative Colitis Agents
mesalamine enteric coated tabletGenericGastrointestinalUlcerative Colitis Agents
mesalamine suppositoryGenericGastrointestinalUlcerative Colitis Agents
sulfasalazineGenericGastrointestinalUlcerative Colitis Agents
AprisoBrand NameGastrointestinalUlcerative Colitis Agents
CerezymeBrand NameGaucher Disease
VprivBrand NameGaucher Disease
allopurinolGenericGout Therapy
febuxostatGenericGout Therapy
probenecidGenericGout Therapy
probenecid w/ colchicineGenericGout Therapy
ColcrysBrand NameGout Therapy
KrystexxaBrand NameGout Therapy
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
UloricBrand NameGout Therapy
GranixBrand NameGranulocyte Colony Stimulating Factor
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
NeupogenBrand NameGranulocyte Colony Stimulating Factor
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
ZarxioBrand NameGranulocyte Colony Stimulating Factor
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
EgriftaBrand NameGrowth Hormones
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
Norditropin FlexproBrand NameGrowth Hormones
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
Norditropin NordiflexBrand NameGrowth Hormones
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
ZomactonBrand NameGrowth Hormones
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
ZorbtiveBrand NameGrowth Hormones
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
MayvretBrand NameHepatitis C Antivirals (Direct-Acting / Protease Inhibitors)Genotype 1
ZepatierBrand NameHepatitis C Antivirals (Direct-Acting / Protease Inhibitors)Genotype 1
MayvretBrand NameHepatitis C Antivirals (Direct-Acting / Protease Inhibitors)Genotype 2
MayvretBrand NameHepatitis C Antivirals (Direct-Acting / Protease Inhibitors)Genotype 3
MayvretBrand NameHepatitis C Antivirals (Direct-Acting / Protease Inhibitors)Genotype 4
ZepatierBrand NameHepatitis C Antivirals (Direct-Acting / Protease Inhibitors)Genotype 4
MayvretBrand NameHepatitis C Antivirals (Direct-Acting / Protease Inhibitors)Genotype 5, 6
VoseviBrand NameHepatitis C Antivirals (Direct-Acting / Protease Inhibitors)Treatment Experienced
SelzentryBrand NameHIV Antiretroviral Therapy (ART)CCR5 Antagonists
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
abacavir / lamivudineGenericHIV Antiretroviral Therapy (ART)Combination Agents
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
abacavir / lamivudine /zidovudineGenericHIV Antiretroviral Therapy (ART)Combination Agents
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
lamivudine/zidovudineGenericHIV Antiretroviral Therapy (ART)Combination Agents
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
SymfiBrand NameHIV Antiretroviral Therapy (ART)Combination Agents
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
AtriplaBrand NameHIV Antiretroviral Therapy (ART)Combination Agents
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
BiktarvyBrand NameHIV Antiretroviral Therapy (ART)Combination Agents
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
CimduoBrand NameHIV Antiretroviral Therapy (ART)Combination Agents
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
CompleraBrand NameHIV Antiretroviral Therapy (ART)Combination Agents
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
DelstrigoBrand NameHIV Antiretroviral Therapy (ART)Combination Agents
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
DescovyBrand NameHIV Antiretroviral Therapy (ART)Combination Agents
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
DovatoBrand NameHIV Antiretroviral Therapy (ART)Combination Agents
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
EvotazBrand NameHIV Antiretroviral Therapy (ART)Combination Agents
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
GenvoyaBrand NameHIV Antiretroviral Therapy (ART)Combination Agents
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
JulucaBrand NameHIV Antiretroviral Therapy (ART)Combination Agents
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
KaletraBrand NameHIV Antiretroviral Therapy (ART)Combination Agents
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
OdefseyBrand NameHIV Antiretroviral Therapy (ART)Combination Agents
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
PrezcobixBrand NameHIV Antiretroviral Therapy (ART)Combination Agents
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
StribildBrand NameHIV Antiretroviral Therapy (ART)Combination Agents
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
Symfi LoBrand NameHIV Antiretroviral Therapy (ART)Combination Agents
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
SymtuzaBrand NameHIV Antiretroviral Therapy (ART)Combination Agents
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
TriumeqBrand NameHIV Antiretroviral Therapy (ART)Combination Agents
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
TruvadaBrand NameHIV Antiretroviral Therapy (ART)Combination Agents
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
FuzeonBrand NameHIV Antiretroviral Therapy (ART)Fusion Inhibitors
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
IsentressBrand NameHIV Antiretroviral Therapy (ART)Integrase Inhibitors
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
Isentress HDBrand NameHIV Antiretroviral Therapy (ART)Integrase Inhibitors
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
TivicayBrand NameHIV Antiretroviral Therapy (ART)Integrase Inhibitors
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
efavirenzGenericHIV Antiretroviral Therapy (ART)Non-Nucleoside Reverse Transcriptase Inhibitors (NNRTIs)
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
nevirapineGenericHIV Antiretroviral Therapy (ART)Non-Nucleoside Reverse Transcriptase Inhibitors (NNRTIs)
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
nevirapine ERGenericHIV Antiretroviral Therapy (ART)Non-Nucleoside Reverse Transcriptase Inhibitors (NNRTIs)
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
EdurantBrand NameHIV Antiretroviral Therapy (ART)Non-Nucleoside Reverse Transcriptase Inhibitors (NNRTIs)
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
IntelenceBrand NameHIV Antiretroviral Therapy (ART)Non-Nucleoside Reverse Transcriptase Inhibitors (NNRTIs)
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
PifeltroBrand NameHIV Antiretroviral Therapy (ART)Non-Nucleoside Reverse Transcriptase Inhibitors (NNRTIs)
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
abacavirGenericHIV Antiretroviral Therapy (ART)Nucleoside Reverse Transcriptase Inhibitors (NRTIs)
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
lamivudineGenericHIV Antiretroviral Therapy (ART)Nucleoside Reverse Transcriptase Inhibitors (NRTIs)
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
tenofovir disoproxil fumarateGenericHIV Antiretroviral Therapy (ART)Nucleoside Reverse Transcriptase Inhibitors (NRTIs)
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
zidovudineGenericHIV Antiretroviral Therapy (ART)Nucleoside Reverse Transcriptase Inhibitors (NRTIs)
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
EmtrivaBrand NameHIV Antiretroviral Therapy (ART)Nucleoside Reverse Transcriptase Inhibitors (NRTIs)
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
TybostBrand NameHIV Antiretroviral Therapy (ART)Pharmacokinetic Enhancers
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
TrogarzoBrand NameHIV Antiretroviral Therapy (ART)Post-Attachment Inhibitors
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
atazanavir sulfateGenericHIV Antiretroviral Therapy (ART)Protease Inhibitors (PIs)
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
fosamprenavir calciumGenericHIV Antiretroviral Therapy (ART)Protease Inhibitors (PIs)
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
ritonavirGenericHIV Antiretroviral Therapy (ART)Protease Inhibitors (PIs)
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
AptivusBrand NameHIV Antiretroviral Therapy (ART)Protease Inhibitors (PIs)
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
InviraseBrand NameHIV Antiretroviral Therapy (ART)Protease Inhibitors (PIs)
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
PrezistaBrand NameHIV Antiretroviral Therapy (ART)Protease Inhibitors (PIs)
  • This category is based on current guidelines from the U.S. Department of Health and Human Services (HHS). It is not comprehensive and is for reference only.
calcium gluconateGenericHyperkalemia Agents
LokelmaBrand NameHyperkalemia Agents
VeltassaBrand NameHyperkalemia Agents
Carimune NF NanofilteredBrand NameImmunoglobulin Agents (injectables)
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
Flebogamma DIFBrand NameImmunoglobulin Agents (injectables)
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
GamunexBrand NameImmunoglobulin Agents (injectables)
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
Gamunex-CBrand NameImmunoglobulin Agents (injectables)
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
HizentraBrand NameImmunoglobulin Agents (injectables)
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
GrastekBrand NameImmunotherapy (Oral)
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
OralairBrand NameImmunotherapy (Oral)
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
RagwitekBrand NameImmunotherapy (Oral)
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
glatiramer acetate 40mg/mlGenericMultiple Sclerosis Injectables
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
Glatopa 20mg/mlGenericMultiple Sclerosis Injectables
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
AvonexBrand NameMultiple Sclerosis Injectables
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
BetaseronBrand NameMultiple Sclerosis Injectables
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
Copaxone 40mg/mlBrand NameMultiple Sclerosis Injectables
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
ExtaviaBrand NameMultiple Sclerosis Injectables
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
PlegridyBrand NameMultiple Sclerosis Injectables
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
Rebif, Rebif RebidoseBrand NameMultiple Sclerosis Injectables
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
baclofenGenericMuscle Relaxants
carisoprodol cmpd / codeineGenericMuscle Relaxants
  • Weigh the risk of birth defects or other adverse outcomes.
chlorzoxazoneGenericMuscle Relaxants
cyclobenzaprine, XRGenericMuscle Relaxants
dantrolene sodiumGenericMuscle Relaxants
meprobamateGenericMuscle Relaxants
  • Weigh the risk of birth defects or other adverse outcomes.
metaxaloneGenericMuscle Relaxants
methocarbamolGenericMuscle Relaxants
orphenadrine citrateGenericMuscle Relaxants
tizanidineGenericMuscle Relaxants
tramadolGenericNarcotic Analgesics (Pain Relievers)Miscellaneous Analgesic Therapy
tramadol / acetaminophenGenericNarcotic Analgesics (Pain Relievers)Miscellaneous Analgesic Therapy
tramadol ER tabletsGenericNarcotic Analgesics (Pain Relievers)Miscellaneous Analgesic Therapy
acetaminophen / butalbitalGenericNarcotic Analgesics (Pain Relievers)Narcotics
  • Weigh the risk of birth defects or other adverse outcomes.
acetaminophen / caffeine / butalbitalGenericNarcotic Analgesics (Pain Relievers)Narcotics
  • Weigh the risk of birth defects or other adverse outcomes.
aspirin / caffeine / butalbitalGenericNarcotic Analgesics (Pain Relievers)Narcotics
  • Weigh the risk of birth defects or other adverse outcomes.
aspirin / caffeine / dihydrocodeineGenericNarcotic Analgesics (Pain Relievers)Narcotics
buprenorphine 5mcg, 10mcg, 15mcg, 20mcg patchGenericNarcotic Analgesics (Pain Relievers)Narcotics
buprenorphine HCl SL tabletsGenericNarcotic Analgesics (Pain Relievers)Narcotics
codeineGenericNarcotic Analgesics (Pain Relievers)Narcotics
codeine / acetaminophenGenericNarcotic Analgesics (Pain Relievers)Narcotics
codeine / acetaminophen / caffeine / butalbitalGenericNarcotic Analgesics (Pain Relievers)Narcotics
codeine / aspirin / caffeine / butalbitalGenericNarcotic Analgesics (Pain Relievers)Narcotics
codeine phosphate / acetaminophenGenericNarcotic Analgesics (Pain Relievers)Narcotics
codeine sulfate tabletGenericNarcotic Analgesics (Pain Relievers)Narcotics
dihydrocodeine / acetaminophen / caffeineGenericNarcotic Analgesics (Pain Relievers)Narcotics
dihydrocodeine / APAP / caffeineGenericNarcotic Analgesics (Pain Relievers)Narcotics
fentanyl citrate lozengesGenericNarcotic Analgesics (Pain Relievers)Narcotics
fentanyl patchGenericNarcotic Analgesics (Pain Relievers)Narcotics
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
hydrocodone / ibuprofenGenericNarcotic Analgesics (Pain Relievers)Narcotics
hydrocodone bit / acetaminophenGenericNarcotic Analgesics (Pain Relievers)Narcotics
hydromorphoneGenericNarcotic Analgesics (Pain Relievers)Narcotics
hydromorphone ERGenericNarcotic Analgesics (Pain Relievers)Narcotics
levorphanol tartrateGenericNarcotic Analgesics (Pain Relievers)Narcotics
meperidine tabs, solutionGenericNarcotic Analgesics (Pain Relievers)Narcotics
methadoneGenericNarcotic Analgesics (Pain Relievers)Narcotics
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
morphine sulfateGenericNarcotic Analgesics (Pain Relievers)Narcotics
morphine sulfate, sustained actionGenericNarcotic Analgesics (Pain Relievers)Narcotics
oxycodone / acetaminophenGenericNarcotic Analgesics (Pain Relievers)Narcotics
oxycodone / aspirinGenericNarcotic Analgesics (Pain Relievers)Narcotics
oxycodone / ibuprofenGenericNarcotic Analgesics (Pain Relievers)Narcotics
oxycodone HClGenericNarcotic Analgesics (Pain Relievers)Narcotics
oxymorphoneGenericNarcotic Analgesics (Pain Relievers)Narcotics
oxymorphone ERGenericNarcotic Analgesics (Pain Relievers)Narcotics
OxycontinBrand NameNarcotic Analgesics (Pain Relievers)Narcotics
naloxone syringeGenericNarcotic Analgesics (Pain Relievers)Opiate Antagonist-Naloxone Products
naloxone vialGenericNarcotic Analgesics (Pain Relievers)Opiate Antagonist-Naloxone Products
Narcan nasal sprayBrand NameNarcotic Analgesics (Pain Relievers)Opiate Antagonist-Naloxone Products
AimovigBrand NameNon-Narcotic Analgesics (Pain Relievers)Calcitonin Gene-Related Peptide Inhibitor (CGRP-1) Injectable Migraine Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
AnjovyBrand NameNon-Narcotic Analgesics (Pain Relievers)Calcitonin Gene-Related Peptide Inhibitor (CGRP-1) Injectable Migraine Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
EmgalityBrand NameNon-Narcotic Analgesics (Pain Relievers)Calcitonin Gene-Related Peptide Inhibitor (CGRP-1) Injectable Migraine Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
almotriptan malateGenericNon-Narcotic Analgesics (Pain Relievers)Migraine / Headache Therapy - Triptans
eletriptan HBrGenericNon-Narcotic Analgesics (Pain Relievers)Migraine / Headache Therapy - Triptans
frovatriptan succinateGenericNon-Narcotic Analgesics (Pain Relievers)Migraine / Headache Therapy - Triptans
naratriptanGenericNon-Narcotic Analgesics (Pain Relievers)Migraine / Headache Therapy - Triptans
rizatriptan (tabs, disintegrating tabs)GenericNon-Narcotic Analgesics (Pain Relievers)Migraine / Headache Therapy - Triptans
sumatriptan (tabs, nasal spray)GenericNon-Narcotic Analgesics (Pain Relievers)Migraine / Headache Therapy - Triptans
sumatriptan injectionGenericNon-Narcotic Analgesics (Pain Relievers)Migraine / Headache Therapy - Triptans
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
  • Subject to Quantity Duration Programs.
sumatriptan succinate / naproxen sodiumGenericNon-Narcotic Analgesics (Pain Relievers)Migraine / Headache Therapy - Triptans
zolmitriptanGenericNon-Narcotic Analgesics (Pain Relievers)Migraine / Headache Therapy - Triptans
zolmitriptan ODTGenericNon-Narcotic Analgesics (Pain Relievers)Migraine / Headache Therapy - Triptans
celecoxibGenericNon-Narcotic Analgesics (Pain Relievers)NSAID COX-2 Inhibitors
diclofenac / misoprostolGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDs
  • Weigh the risk of birth defects or other adverse outcomes.
diclofenac potassiumGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDs
  • Weigh the risk of birth defects or other adverse outcomes.
diclofenac sodiumGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDs
  • Weigh the risk of birth defects or other adverse outcomes.
diclofenac sodium topical drops, gelGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDs
  • Weigh the risk of birth defects or other adverse outcomes.
etodolacGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDs
  • Weigh the risk of birth defects or other adverse outcomes.
etodolac tablet, sustained release 24 hrGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDs
  • Weigh the risk of birth defects or other adverse outcomes.
fenoprofen calcium 600mgGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDs
  • Weigh the risk of birth defects or other adverse outcomes.
flurbiprofenGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDs
  • Weigh the risk of birth defects or other adverse outcomes.
ibuprofenGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDs
  • Weigh the risk of birth defects or other adverse outcomes.
indomethacinGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDs
indomethacin capsule, sustained actionGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDs
ketoprofenGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDs
  • Weigh the risk of birth defects or other adverse outcomes.
ketoprofen capsule, 24 hr sustained release pelletsGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDs
  • Weigh the risk of birth defects or other adverse outcomes.
ketorolac tabletsGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDs
  • Weigh the risk of birth defects or other adverse outcomes.
meclofenamate sodiumGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDs
  • Weigh the risk of birth defects or other adverse outcomes.
mefenamic acidGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDs
  • Weigh the risk of birth defects or other adverse outcomes.
meloxicamGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDs
nabumetoneGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDs
  • Weigh the risk of birth defects or other adverse outcomes.
naproxenGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDs
  • Weigh the risk of birth defects or other adverse outcomes.
naproxen sodium, ERGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDs
  • Weigh the risk of birth defects or other adverse outcomes.
oxaprozinGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDs
  • Weigh the risk of birth defects or other adverse outcomes.
piroxicamGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDs
  • Weigh the risk of birth defects or other adverse outcomes.
sulindacGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDs
  • Weigh the risk of birth defects or other adverse outcomes.
tolmetin sodiumGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDs
  • Weigh the risk of birth defects or other adverse outcomes.
EuflexxaBrand NameNon-Narcotic Analgesics (Pain Relievers)Osteoarthritis Agents (Injectable)
MonoviscBrand NameNon-Narcotic Analgesics (Pain Relievers)Osteoarthritis Agents (Injectable)
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
OrthoviscBrand NameNon-Narcotic Analgesics (Pain Relievers)Osteoarthritis Agents (Injectable)
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
bacitracinGenericOphthalmics (Eye Preparations)Antibiotic-Ophthalmics
bacitracin / polymyxin BGenericOphthalmics (Eye Preparations)Antibiotic-Ophthalmics
ciprofloxacin dropsGenericOphthalmics (Eye Preparations)Antibiotic-Ophthalmics
erythromycin base ointmentGenericOphthalmics (Eye Preparations)Antibiotic-Ophthalmics
gatifloxacinGenericOphthalmics (Eye Preparations)Antibiotic-Ophthalmics
gentamicin sulfate ointment, dropsGenericOphthalmics (Eye Preparations)Antibiotic-Ophthalmics
levofloxacinGenericOphthalmics (Eye Preparations)Antibiotic-Ophthalmics
moxifloxacin HCL dropsGenericOphthalmics (Eye Preparations)Antibiotic-Ophthalmics
neomycin sulfate / bacitracin / polymyxin B ointmentGenericOphthalmics (Eye Preparations)Antibiotic-Ophthalmics
neomycin sulfate / gramicidin D / polymyxin B dropsGenericOphthalmics (Eye Preparations)Antibiotic-Ophthalmics
ofloxacin dropsGenericOphthalmics (Eye Preparations)Antibiotic-Ophthalmics
polymyxin B / trimethoprim dropsGenericOphthalmics (Eye Preparations)Antibiotic-Ophthalmics
tobramycin sulfate dropsGenericOphthalmics (Eye Preparations)Antibiotic-Ophthalmics
Ciloxan Oph OintmentBrand NameOphthalmics (Eye Preparations)Antibiotic-Ophthalmics
Tobrex Oph OintmentBrand NameOphthalmics (Eye Preparations)Antibiotic-Ophthalmics
RestasisBrand NameOphthalmics (Eye Preparations)Dry Eye Therapy
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
Restasis MultidoseBrand NameOphthalmics (Eye Preparations)Dry Eye Therapy
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
azelastineGenericOphthalmics (Eye Preparations)Miscellaneous Ophthalmics-Antihistamine and Mast-Cell Stabilizers
cromolynGenericOphthalmics (Eye Preparations)Miscellaneous Ophthalmics-Antihistamine and Mast-Cell Stabilizers
epinastine HClGenericOphthalmics (Eye Preparations)Miscellaneous Ophthalmics-Antihistamine and Mast-Cell Stabilizers
olopatadine HClGenericOphthalmics (Eye Preparations)Miscellaneous Ophthalmics-Antihistamine and Mast-Cell Stabilizers
apraclonidine HCLGenericOphthalmics (Eye Preparations)Ophthalmic Alpha Agonists
brimonidine 0.15%GenericOphthalmics (Eye Preparations)Ophthalmic Alpha Agonists
Alphagan-P 0.1%Brand NameOphthalmics (Eye Preparations)Ophthalmic Alpha Agonists
bromfenac sodiumGenericOphthalmics (Eye Preparations)Ophthalmic Anti-Inflammatory Agents (NSAIDs)
diclofenac sodiumGenericOphthalmics (Eye Preparations)Ophthalmic Anti-Inflammatory Agents (NSAIDs)
flurbiprofen sodiumGenericOphthalmics (Eye Preparations)Ophthalmic Anti-Inflammatory Agents (NSAIDs)
ketorolac tromethamineGenericOphthalmics (Eye Preparations)Ophthalmic Anti-Inflammatory Agents (NSAIDs)
betaxolol HCLGenericOphthalmics (Eye Preparations)Ophthalmic Beta-Blockers
carteololGenericOphthalmics (Eye Preparations)Ophthalmic Beta-Blockers
levobunololGenericOphthalmics (Eye Preparations)Ophthalmic Beta-Blockers
metipranololGenericOphthalmics (Eye Preparations)Ophthalmic Beta-Blockers
timolol maleateGenericOphthalmics (Eye Preparations)Ophthalmic Beta-Blockers
dorzolamideGenericOphthalmics (Eye Preparations)Ophthalmic Carbonic Anhydrase Inhibitors
CombiganBrand NameOphthalmics (Eye Preparations)Ophthalmic Combination Alpha Agonists / Beta Antagonists
dorzolamide / timololGenericOphthalmics (Eye Preparations)Ophthalmic Combination Carbonic Anhydrase Inhibitors / Beta Antagonists
dorzolamide / timolol PFGenericOphthalmics (Eye Preparations)Ophthalmic Combination Carbonic Anhydrase Inhibitors / Beta Antagonists
bimatoprostGenericOphthalmics (Eye Preparations)Ophthalmic Prostaglandin-Analogues
latanoprostGenericOphthalmics (Eye Preparations)Ophthalmic Prostaglandin-Analogues
neomycin / bacitracin / polymyxin B / HCGenericOphthalmics (Eye Preparations)Ophthalmic Steroid-Antibiotic Combinations
neomycin / polymyxin B / dexamethasoneGenericOphthalmics (Eye Preparations)Ophthalmic Steroid-Antibiotic Combinations
neomycin / polymyxin B / HCGenericOphthalmics (Eye Preparations)Ophthalmic Steroid-Antibiotic Combinations
tobramycin-dexamethasone suspensionGenericOphthalmics (Eye Preparations)Ophthalmic Steroid-Antibiotic Combinations
TobraDex OintBrand NameOphthalmics (Eye Preparations)Ophthalmic Steroid-Antibiotic Combinations
dexamethasoneGenericOphthalmics (Eye Preparations)Ophthalmics-Steroids
fluorometholoneGenericOphthalmics (Eye Preparations)Ophthalmics-Steroids
prednisolone acetateGenericOphthalmics (Eye Preparations)Ophthalmics-Steroids
prednisolone sodium phosphateGenericOphthalmics (Eye Preparations)Ophthalmics-Steroids
FML S.O.P.Brand NameOphthalmics (Eye Preparations)Ophthalmics-Steroids
loteprednol suspension dropsGenericOphthalmics (Eye Preparations)Ophthalmics-Steroids
alendronate solutionsGenericOsteoporosis / Paget's DiseaseBisphosphonates
alendronate tabGenericOsteoporosis / Paget's DiseaseBisphosphonates
alendronate weeklyGenericOsteoporosis / Paget's DiseaseBisphosphonates
ibandronateGenericOsteoporosis / Paget's DiseaseBisphosphonates
risedronate sodium DRGenericOsteoporosis / Paget's DiseaseBisphosphonates
risedronate sodium tabletGenericOsteoporosis / Paget's DiseaseBisphosphonates
calcitonin-salmon nasal sprayGenericOsteoporosis / Paget's DiseaseCalcitonin Salmon Agents
Miacalcin injectionBrand NameOsteoporosis / Paget's DiseaseCalcitonin Salmon Agents
ForteoBrand NameOsteoporosis / Paget's DiseaseParathyroid Hormone Analogs
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
TymlosBrand NameOsteoporosis / Paget's DiseaseParathyroid Hormone Analogs
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
raloxifene HClGenericOsteoporosis / Paget's DiseaseSelective Estrogen Receptor Modifiers
  • Do not use during pregnancy.
alendronate solutionGenericOsteoporosis / Paget's Disease
alendronate tabGenericOsteoporosis / Paget's Disease
alendronate weeklyGenericOsteoporosis / Paget's Disease
ibandronateGenericOsteoporosis / Paget's Disease
risedronate sodium DRGenericOsteoporosis / Paget's Disease
risedronate sodium tabletGenericOsteoporosis / Paget's Disease
Miacalcin InjectionBrand NameOsteoporosis / Paget's Disease
neomycin / polymyxin / HCGenericOtics (Ear Preparations)
ofloxacinGenericOtics (Ear Preparations)
chlorpromazine injectionGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Injectable)
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
fluphenazine decanoate injectionGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Injectable)
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
fluphenazine injectionGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Injectable)
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
haloperidol decanoate injectionGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Injectable)
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
haloperidol injectionGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Injectable)
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
haloperidol lactate concentrateGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Injectable)
olanzapine injectionGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Injectable)
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
  • Subject to Quantity Duration Programs.
AristadaBrand NamePsychotherapeutics (Anxiety / Depression)Antipsychotics (Injectable)
Aristada InitioBrand NamePsychotherapeutics (Anxiety / Depression)Antipsychotics (Injectable)
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
Risperdal ConstaBrand NamePsychotherapeutics (Anxiety / Depression)Antipsychotics (Injectable)
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
aripiprazoleGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Oral)
aripiprazole ODTGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Oral)
chlorpromazine tabletGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Oral)
clozapineGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Oral)
clozapine ODTGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Oral)
fluphenazineGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Oral)
haloperidolGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Oral)
haloperidol lactate concentrateGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Oral)
loxapineGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Oral)
molindoneGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Oral)
olanzapineGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Oral)
olanzapine ODTGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Oral)
olanzapine-fluoxetineGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Oral)
paliperidoneGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Oral)
perphenazineGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Oral)
pimozideGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Oral)
quetiapine fumarateGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Oral)
quetiapine fumarate ERGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Oral)
risperidone ODTGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Oral)
risperidone tabGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Oral)
thioridazineGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Oral)
thiothixeneGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Oral)
trifluoperazine HClGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Oral)
ziprasidone HClGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Oral)
FazacloBrand NamePsychotherapeutics (Anxiety / Depression)Antipsychotics (Oral)
alprazolam, alprazolam ER, ODTGenericPsychotherapeutics (Anxiety / Depression)Anxiolytics
  • Weigh the risk of birth defects or other adverse outcomes.
buspirone HClGenericPsychotherapeutics (Anxiety / Depression)Anxiolytics
chlordiazepoxide HClGenericPsychotherapeutics (Anxiety / Depression)Anxiolytics
  • Weigh the risk of birth defects or other adverse outcomes.
clorazepate dipotassiumGenericPsychotherapeutics (Anxiety / Depression)Anxiolytics
  • Weigh the risk of birth defects or other adverse outcomes.
diazepamGenericPsychotherapeutics (Anxiety / Depression)Anxiolytics
  • Weigh the risk of birth defects or other adverse outcomes.
lorazepamGenericPsychotherapeutics (Anxiety / Depression)Anxiolytics
  • Weigh the risk of birth defects or other adverse outcomes.
oxazepamGenericPsychotherapeutics (Anxiety / Depression)Anxiolytics
  • Weigh the risk of birth defects or other adverse outcomes.
amphetamineGenericPsychotherapeutics (Anxiety / Depression)Attention Deficit Hyperactivity Disorder
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
amphetamine and dextroamphetamine saltsGenericPsychotherapeutics (Anxiety / Depression)Attention Deficit Hyperactivity Disorder
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
amphetamine and dextroamphetamine salts ERGenericPsychotherapeutics (Anxiety / Depression)Attention Deficit Hyperactivity Disorder
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
atomoxetine HCLGenericPsychotherapeutics (Anxiety / Depression)Attention Deficit Hyperactivity Disorder
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
clonidine ERGenericPsychotherapeutics (Anxiety / Depression)Attention Deficit Hyperactivity Disorder
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
d-amphetamine tablet, ERGenericPsychotherapeutics (Anxiety / Depression)Attention Deficit Hyperactivity Disorder
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
dexmethylphenidate, ERGenericPsychotherapeutics (Anxiety / Depression)Attention Deficit Hyperactivity Disorder
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
guanfacine ERGenericPsychotherapeutics (Anxiety / Depression)Attention Deficit Hyperactivity Disorder
methylphenidate CD, ERGenericPsychotherapeutics (Anxiety / Depression)Attention Deficit Hyperactivity Disorder
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
methylphenidate solutionGenericPsychotherapeutics (Anxiety / Depression)Attention Deficit Hyperactivity Disorder
methylphenidate tablet, chewableGenericPsychotherapeutics (Anxiety / Depression)Attention Deficit Hyperactivity Disorder
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
Zenzedi 5mg, 10mgGenericPsychotherapeutics (Anxiety / Depression)Attention Deficit Hyperactivity Disorder
VyvanseBrand NamePsychotherapeutics (Anxiety / Depression)Attention Deficit Hyperactivity Disorder
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
amitriptyline HClGenericPsychotherapeutics (Anxiety / Depression)Miscellaneous Antidepressants
amitriptyline-chlordiazepoxideGenericPsychotherapeutics (Anxiety / Depression)Miscellaneous Antidepressants
amitriptyline-perphenazineGenericPsychotherapeutics (Anxiety / Depression)Miscellaneous Antidepressants
amoxapineGenericPsychotherapeutics (Anxiety / Depression)Miscellaneous Antidepressants
bupropion HCl tabletGenericPsychotherapeutics (Anxiety / Depression)Miscellaneous Antidepressants
bupropion HCl tablet, sust. actionGenericPsychotherapeutics (Anxiety / Depression)Miscellaneous Antidepressants
clomipramine HClGenericPsychotherapeutics (Anxiety / Depression)Miscellaneous Antidepressants
desipramine HClGenericPsychotherapeutics (Anxiety / Depression)Miscellaneous Antidepressants
doxepin HClGenericPsychotherapeutics (Anxiety / Depression)Miscellaneous Antidepressants
duloxetine HClGenericPsychotherapeutics (Anxiety / Depression)Miscellaneous Antidepressants
imipramine HClGenericPsychotherapeutics (Anxiety / Depression)Miscellaneous Antidepressants
  • Weigh the risk of birth defects or other adverse outcomes.
imipramine pamoateGenericPsychotherapeutics (Anxiety / Depression)Miscellaneous Antidepressants
  • Weigh the risk of birth defects or other adverse outcomes.
maprotiline HClGenericPsychotherapeutics (Anxiety / Depression)Miscellaneous Antidepressants
mirtazapine tabletGenericPsychotherapeutics (Anxiety / Depression)Miscellaneous Antidepressants
mirtazapine tablet, rapid dissolveGenericPsychotherapeutics (Anxiety / Depression)Miscellaneous Antidepressants
nortriptyline HClGenericPsychotherapeutics (Anxiety / Depression)Miscellaneous Antidepressants
phenylzine sulfateGenericPsychotherapeutics (Anxiety / Depression)Miscellaneous Antidepressants
protriptyline HClGenericPsychotherapeutics (Anxiety / Depression)Miscellaneous Antidepressants
tranylcypromine sulfateGenericPsychotherapeutics (Anxiety / Depression)Miscellaneous Antidepressants
trazodone HClGenericPsychotherapeutics (Anxiety / Depression)Miscellaneous Antidepressants
trimipramine maleateGenericPsychotherapeutics (Anxiety / Depression)Miscellaneous Antidepressants
venlafaxine HCl, ERGenericPsychotherapeutics (Anxiety / Depression)Miscellaneous Antidepressants
MarplanBrand NamePsychotherapeutics (Anxiety / Depression)Miscellaneous Antidepressants
NuplazidBrand NamePsychotherapeutics (Anxiety / Depression)Miscellaneous Antidepressants
estazolamGenericPsychotherapeutics (Anxiety / Depression)Oral Hypnotic Agents
eszopicloneGenericPsychotherapeutics (Anxiety / Depression)Oral Hypnotic Agents
flurazepam HClGenericPsychotherapeutics (Anxiety / Depression)Oral Hypnotic Agents
temazepamGenericPsychotherapeutics (Anxiety / Depression)Oral Hypnotic Agents
triazolamGenericPsychotherapeutics (Anxiety / Depression)Oral Hypnotic Agents
zaleplonGenericPsychotherapeutics (Anxiety / Depression)Oral Hypnotic Agents
zolpidem SL tabletGenericPsychotherapeutics (Anxiety / Depression)Oral Hypnotic Agents
zolpidem, zolpidem ERGenericPsychotherapeutics (Anxiety / Depression)Oral Hypnotic Agents
citalopram HBrGenericPsychotherapeutics (Anxiety / Depression)SSRI Antidepressants
escitalopram oxalateGenericPsychotherapeutics (Anxiety / Depression)SSRI Antidepressants
fluoxetine DR 90mgGenericPsychotherapeutics (Anxiety / Depression)SSRI Antidepressants
fluoxetine HCl capsules, oral solution, tabletsGenericPsychotherapeutics (Anxiety / Depression)SSRI Antidepressants
fluvoxamine maleate, ERGenericPsychotherapeutics (Anxiety / Depression)SSRI Antidepressants
paroxetine HClGenericPsychotherapeutics (Anxiety / Depression)SSRI Antidepressants
sertraline HClGenericPsychotherapeutics (Anxiety / Depression)SSRI Antidepressants
Incruse ElliptaBrand NameRespiratory (Allergy / Asthma / COPD)Anticholinergic / Muscarinic Agents - Long-Acting Agents (LAMA)
Spiriva InhalerBrand NameRespiratory (Allergy / Asthma / COPD)Anticholinergic / Muscarinic Agents - Long-Acting Agents (LAMA)
Spiriva RespimatBrand NameRespiratory (Allergy / Asthma / COPD)Anticholinergic / Muscarinic Agents - Long-Acting Agents (LAMA)
ipratropium inhalant solnGenericRespiratory (Allergy / Asthma / COPD)Anticholinergic / Muscarinic Agents - Short-Acting Agents
Atrovent HFA InhalerBrand NameRespiratory (Allergy / Asthma / COPD)Anticholinergic / Muscarinic Agents - Short-Acting Agents
Arcapta NeohalerBrand NameRespiratory (Allergy / Asthma / COPD)Beta Agonist Agents - Long-Acting Beta Agonist (inhalers)
Serevent DiskusBrand NameRespiratory (Allergy / Asthma / COPD)Beta Agonist Agents - Long-Acting Beta Agonist (inhalers)
ProAir HFABrand NameRespiratory (Allergy / Asthma / COPD)Beta Agonist Agents - Short-Acting Beta Agonist (inhalers)
ProAir RespiclickBrand NameRespiratory (Allergy / Asthma / COPD)Beta Agonist Agents - Short-Acting Beta Agonist (inhalers)
Ventolin HFABrand NameRespiratory (Allergy / Asthma / COPD)Beta Agonist Agents - Short-Acting Beta Agonist (inhalers)
albuterol sulfate inhalant solutionGenericRespiratory (Allergy / Asthma / COPD)Beta Agonist Agents - Short-Acting Beta Agonist (nebulized solutions)
levalbuterol inhalation solutionGenericRespiratory (Allergy / Asthma / COPD)Beta Agonist Agents - Short-Acting Beta Agonist (nebulized solutions)
EsbrietBrand NameRespiratory (Allergy / Asthma / COPD)Idiopathic Pulmonary Fibrosis
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
OfevBrand NameRespiratory (Allergy / Asthma / COPD)Idiopathic Pulmonary Fibrosis
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
fluticasone/salmeterolGenericRespiratory (Allergy / Asthma / COPD)Inhaled Corticosteroid / Long Acting Beta Agonist
Advair DiskusBrand NameRespiratory (Allergy / Asthma / COPD)Inhaled Corticosteroid / Long Acting Beta Agonist
Advair HFABrand NameRespiratory (Allergy / Asthma / COPD)Inhaled Corticosteroid / Long Acting Beta Agonist
AirduoBrand NameRespiratory (Allergy / Asthma / COPD)Inhaled Corticosteroid / Long Acting Beta Agonist
Breo ElliptaBrand NameRespiratory (Allergy / Asthma / COPD)Inhaled Corticosteroid / Long Acting Beta Agonist
DuleraBrand NameRespiratory (Allergy / Asthma / COPD)Inhaled Corticosteroid / Long Acting Beta Agonist
SymbicortBrand NameRespiratory (Allergy / Asthma / COPD)Inhaled Corticosteroid / Long Acting Beta Agonist
budesonide solnGenericRespiratory (Allergy / Asthma / COPD)Inhaled Corticosteroid Therapy
AlvescoBrand NameRespiratory (Allergy / Asthma / COPD)Inhaled Corticosteroid Therapy
Asmanex, Asmanex HFABrand NameRespiratory (Allergy / Asthma / COPD)Inhaled Corticosteroid Therapy
Pulmicort FlexhalerBrand NameRespiratory (Allergy / Asthma / COPD)Inhaled Corticosteroid Therapy
QVAR RedihalerBrand NameRespiratory (Allergy / Asthma / COPD)Inhaled Corticosteroid Therapy
Trelegy ElliptaBrand NameRespiratory (Allergy / Asthma / COPD)Inhaled Corticosteroid/Anticholinergic/Long-acting Beta Agonist Agents
Anoro ElliptaBrand NameRespiratory (Allergy / Asthma / COPD)Long-Acting Muscarinic / Beta 2 combination Agents
Bevespi AerosphereBrand NameRespiratory (Allergy / Asthma / COPD)Long-Acting Muscarinic / Beta 2 combination Agents
Stiolto RespimatBrand NameRespiratory (Allergy / Asthma / COPD)Long-Acting Muscarinic / Beta 2 combination Agents
Utibron NeohalerBrand NameRespiratory (Allergy / Asthma / COPD)Long-Acting Muscarinic / Beta 2 combination Agents
budesonideGenericRespiratory (Allergy / Asthma / COPD)Nasal Corticosteroids
flunisolideGenericRespiratory (Allergy / Asthma / COPD)Nasal Corticosteroids
fluticasone propionateGenericRespiratory (Allergy / Asthma / COPD)Nasal Corticosteroids
mometasone furoateGenericRespiratory (Allergy / Asthma / COPD)Nasal Corticosteroids
triamcinolone acetonideGenericRespiratory (Allergy / Asthma / COPD)Nasal Corticosteroids
abrisentanGenericRespiratory (Allergy / Asthma / COPD)Pulmonary Arterial Hypertension (PAH) Agents (Endothelial Receptor Antagonist)
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
bosentan tabletGenericRespiratory (Allergy / Asthma / COPD)Pulmonary Arterial Hypertension (PAH) Agents (Endothelial Receptor Antagonist)
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
OpsumitBrand NameRespiratory (Allergy / Asthma / COPD)Pulmonary Arterial Hypertension (PAH) Agents (Endothelial Receptor Antagonist)
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
Tracleer tablet for suspensionBrand NameRespiratory (Allergy / Asthma / COPD)Pulmonary Arterial Hypertension (PAH) Agents (Endothelial Receptor Antagonist)
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
CinqairBrand NameRespiratory (Allergy / Asthma / COPD)Severe Asthma
DupixentBrand NameRespiratory (Allergy / Asthma / COPD)Severe Asthma
FasenraBrand NameRespiratory (Allergy / Asthma / COPD)Severe Asthma
NucalaBrand NameRespiratory (Allergy / Asthma / COPD)Severe Asthma
XolairBrand NameRespiratory (Allergy / Asthma / COPD)Severe Asthma
Combivent RespimatBrand NameRespiratory (Allergy / Asthma / COPD)Short-Acting Beta Agonist / Anticholinergic Combination Agent
CosentyxBrand NameSelect Biologic and Immunologic AgentsAnkylosing Spondylitis Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
EnbrelBrand NameSelect Biologic and Immunologic AgentsAnkylosing Spondylitis Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
HumiraBrand NameSelect Biologic and Immunologic AgentsAnkylosing Spondylitis Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
  • Subject to Quantity Duration Programs.
InflectraBrand NameSelect Biologic and Immunologic AgentsAnkylosing Spondylitis Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
RemicadeBrand NameSelect Biologic and Immunologic AgentsAnkylosing Spondylitis Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
RenflexisBrand NameSelect Biologic and Immunologic AgentsAnkylosing Spondylitis Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
HumiraBrand NameSelect Biologic and Immunologic AgentsCrohn's Disease Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
  • Subject to Quantity Duration Programs.
Humira PediatricBrand NameSelect Biologic and Immunologic AgentsCrohn's Disease Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
  • Subject to Quantity Duration Programs.
InflectraBrand NameSelect Biologic and Immunologic AgentsCrohn's Disease Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
RemicadeBrand NameSelect Biologic and Immunologic AgentsCrohn's Disease Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
RenflexisBrand NameSelect Biologic and Immunologic AgentsCrohn's Disease Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
Stelara SCBrand NameSelect Biologic and Immunologic AgentsCrohn's Disease Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
EnbrelBrand NameSelect Biologic and Immunologic AgentsJuvenile Idiopathic Arthritis Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
HumiraBrand NameSelect Biologic and Immunologic AgentsJuvenile Idiopathic Arthritis Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
  • Subject to Quantity Duration Programs.
CosentyxBrand NameSelect Biologic and Immunologic AgentsPlaque Psoriasis Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
HumiraBrand NameSelect Biologic and Immunologic AgentsPlaque Psoriasis Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
  • Subject to Quantity Duration Programs.
InflectraBrand NameSelect Biologic and Immunologic AgentsPlaque Psoriasis Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
OtezlaBrand NameSelect Biologic and Immunologic AgentsPlaque Psoriasis Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
RemicadeBrand NameSelect Biologic and Immunologic AgentsPlaque Psoriasis Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
RenflexisBrand NameSelect Biologic and Immunologic AgentsPlaque Psoriasis Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
Stelara SCBrand NameSelect Biologic and Immunologic AgentsPlaque Psoriasis Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
CosentyxBrand NameSelect Biologic and Immunologic AgentsPsoriatic Arthritis Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
EnbrelBrand NameSelect Biologic and Immunologic AgentsPsoriatic Arthritis Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
HumiraBrand NameSelect Biologic and Immunologic AgentsPsoriatic Arthritis Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
  • Subject to Quantity Duration Programs.
InflectraBrand NameSelect Biologic and Immunologic AgentsPsoriatic Arthritis Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
RemicadeBrand NameSelect Biologic and Immunologic AgentsPsoriatic Arthritis Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
RenflexisBrand NameSelect Biologic and Immunologic AgentsPsoriatic Arthritis Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
Stelara SCBrand NameSelect Biologic and Immunologic AgentsPsoriatic Arthritis Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
Xeljanz, Xeljanz XRBrand NameSelect Biologic and Immunologic AgentsPsoriatic Arthritis Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
Actemra SCBrand NameSelect Biologic and Immunologic AgentsRheumatoid Arthritis Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
EnbrelBrand NameSelect Biologic and Immunologic AgentsRheumatoid Arthritis Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
HumiraBrand NameSelect Biologic and Immunologic AgentsRheumatoid Arthritis Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
  • Subject to Quantity Duration Programs.
InflectraBrand NameSelect Biologic and Immunologic AgentsRheumatoid Arthritis Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
RemicadeBrand NameSelect Biologic and Immunologic AgentsRheumatoid Arthritis Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
RenflexisBrand NameSelect Biologic and Immunologic AgentsRheumatoid Arthritis Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
Xeljanz, Xeljanz XRBrand NameSelect Biologic and Immunologic AgentsRheumatoid Arthritis Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
HumiraBrand NameSelect Biologic and Immunologic AgentsUlcerative Colitis Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
  • This specialty drug is available through the NYC Municipal Program called PICA. NYC municipal employees can contact Accredo Customer Service at (800) 467-2006 and inquire about drug coverage.
  • Subject to Quantity Duration Programs.
InflectraBrand NameSelect Biologic and Immunologic AgentsUlcerative Colitis Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
RemicadeBrand NameSelect Biologic and Immunologic AgentsUlcerative Colitis Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
RenflexisBrand NameSelect Biologic and Immunologic AgentsUlcerative Colitis Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
XeljanzBrand NameSelect Biologic and Immunologic AgentsUlcerative Colitis Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
  • Must be obtained through Accredo.
bupropion HCl tablet, sust. actionGenericSmoking Cessation
ChantixBrand NameSmoking Cessation
Nicotrol InhalerBrand NameSmoking Cessation
Nicotrol Nasal SprayBrand NameSmoking Cessation
fluorouracil cream 5%GenericTopical Actinic Keratosis Agents
fluorouracil solution 2%, 5%GenericTopical Actinic Keratosis Agents
imiquimod 5%GenericTopical Actinic Keratosis Agents
Picato Gel 0.015%, 0.05%Brand NameTopical Actinic Keratosis Agents
ciclopiroxGenericTopical Antifungals
ciclopirox solutionGenericTopical Antifungals
clotrimazoleGenericTopical Antifungals
clotrimazole / betamethasoneGenericTopical Antifungals
econazole nitrateGenericTopical Antifungals
ketoconazoleGenericTopical Antifungals
naftifine cream 2%GenericTopical Antifungals
nystatinGenericTopical Antifungals
nystatin w/ triamcinoloneGenericTopical Antifungals
oxiconazole nitrate 1% creamGenericTopical Antifungals
acyclovir ointmentGenericTopical Antiviral Therapy
Denavir CreamBrand NameTopical Antiviral Therapy
amcinonide (cream, ointment, lotion)GenericTopical Corticosteroids (Topical Skin Products)Topical Corticosteroids - High Potency
apexicon E (cream)GenericTopical Corticosteroids (Topical Skin Products)Topical Corticosteroids - High Potency
betamethasone dipropionate (cream, gel, lotion, ointment)GenericTopical Corticosteroids (Topical Skin Products)Topical Corticosteroids - High Potency
betamethasone DP augmented (cream, lotion)GenericTopical Corticosteroids (Topical Skin Products)Topical Corticosteroids - High Potency
betamethasone valerate 0.1% (ointment)GenericTopical Corticosteroids (Topical Skin Products)Topical Corticosteroids - High Potency
desoximetasone (cream, ointment, spray 0.25%, gel 0.05%)GenericTopical Corticosteroids (Topical Skin Products)Topical Corticosteroids - High Potency
diflorasone diacetate 0.05% (cream)GenericTopical Corticosteroids (Topical Skin Products)Topical Corticosteroids - High Potency
fluocinonide (gel, cream, ointment, solution)GenericTopical Corticosteroids (Topical Skin Products)Topical Corticosteroids - High Potency
fluocinonide-E (cream)GenericTopical Corticosteroids (Topical Skin Products)Topical Corticosteroids - High Potency
triamcinolone acetonide 0.5% (cream, ointment)GenericTopical Corticosteroids (Topical Skin Products)Topical Corticosteroids - High Potency
alclometasone (cream, ointment)GenericTopical Corticosteroids (Topical Skin Products)Topical Corticosteroids - Low Potency
desonide 0.05% (cream, lotion, ointment)GenericTopical Corticosteroids (Topical Skin Products)Topical Corticosteroids - Low Potency
fluocinolone (cream, ointment)GenericTopical Corticosteroids (Topical Skin Products)Topical Corticosteroids - Low Potency
hydrocortisone (cream, ointment, lotion)GenericTopical Corticosteroids (Topical Skin Products)Topical Corticosteroids - Low Potency
Capex Shampoo 0.01%Brand NameTopical Corticosteroids (Topical Skin Products)Topical Corticosteroids - Low Potency
betamethasone valerate (cream lotion, foam)GenericTopical Corticosteroids (Topical Skin Products)Topical Corticosteroids - Medium Potency
desoximetasone 0.05% (cream, ointment)GenericTopical Corticosteroids (Topical Skin Products)Topical Corticosteroids - Medium Potency
fluocinolone 0.025% (cream, ointment)GenericTopical Corticosteroids (Topical Skin Products)Topical Corticosteroids - Medium Potency
flurandrenolide 0.05% (cream, ointment, lotion)GenericTopical Corticosteroids (Topical Skin Products)Topical Corticosteroids - Medium Potency
fluticasone (cream, ointment, lotion)GenericTopical Corticosteroids (Topical Skin Products)Topical Corticosteroids - Medium Potency
hydrocortisone butyrate (cream, ointment, solution)GenericTopical Corticosteroids (Topical Skin Products)Topical Corticosteroids - Medium Potency
hydrocortisone butyrate / emollient (cream)GenericTopical Corticosteroids (Topical Skin Products)Topical Corticosteroids - Medium Potency
hydrocortisone valerate (cream)GenericTopical Corticosteroids (Topical Skin Products)Topical Corticosteroids - Medium Potency
mometasone 0.1% (cream, ointment, solution)GenericTopical Corticosteroids (Topical Skin Products)Topical Corticosteroids - Medium Potency
prednicarbate 0.1% (cream, ointment)GenericTopical Corticosteroids (Topical Skin Products)Topical Corticosteroids - Medium Potency
triamcinolone 0.025%, 0.1% (cream, ointment, lotion, aerosol)GenericTopical Corticosteroids (Topical Skin Products)Topical Corticosteroids - Medium Potency
Cordran TapeBrand NameTopical Corticosteroids (Topical Skin Products)Topical Corticosteroids - Medium Potency
betamethasone augmented (ointment)GenericTopical Corticosteroids (Topical Skin Products)Topical Corticosteroids - Very High Potency
clobetasol E (cream)GenericTopical Corticosteroids (Topical Skin Products)Topical Corticosteroids - Very High Potency
clobetasol propionate (cream, ointment, lotion, solution, spray, foam, gel, shampoo)GenericTopical Corticosteroids (Topical Skin Products)Topical Corticosteroids - Very High Potency
clodan shampooGenericTopical Corticosteroids (Topical Skin Products)Topical Corticosteroids - Very High Potency
diflorasone diacetate (ointment)GenericTopical Corticosteroids (Topical Skin Products)Topical Corticosteroids - Very High Potency
halobetasol propionate (cream, ointment)GenericTopical Corticosteroids (Topical Skin Products)Topical Corticosteroids - Very High Potency
lidocaine (cream, oint, gel, patch)GenericTopical Miscellaneous Anesthetic Preparations
Ferrex 150 ForteGenericVitaminsIron Supplement Therapy
  • All generics are preferred. Only commonly used vitamins are listed.
Ferrex 150 Forte PlusGenericVitaminsIron Supplement Therapy
  • All generics are preferred. Only commonly used vitamins are listed.
Ferrex 28GenericVitaminsIron Supplement Therapy
  • All generics are preferred. Only commonly used vitamins are listed.
Multigen PlusGenericVitaminsIron Supplement Therapy
  • All generics are preferred. Only commonly used vitamins are listed.
Poly-Iron 150 ForteGenericVitaminsIron Supplement Therapy
  • All generics are preferred. Only commonly used vitamins are listed.
CorvitaGenericVitaminsMultivitamin Therapy
  • All generics are preferred. Only commonly used vitamins are listed.
V-C ForteGenericVitaminsMultivitamin Therapy
  • All generics are preferred. Only commonly used vitamins are listed.
PNV-DHAGenericVitaminsPrenatal Vitamin Therapy
  • All generics are preferred. Only commonly used vitamins are listed.
Prenatal PlusGenericVitaminsPrenatal Vitamin Therapy
  • All generics are preferred. Only commonly used vitamins are listed.
Zatean-PN DHAGenericVitaminsPrenatal Vitamin Therapy
  • All generics are preferred. Only commonly used vitamins are listed.
Zatean-PN PlusGenericVitaminsPrenatal Vitamin Therapy
  • All generics are preferred. Only commonly used vitamins are listed.
FolbeeGenericVitaminsVitamin B Therapy
  • All generics are preferred. Only commonly used vitamins are listed.
Folbee PlusGenericVitaminsVitamin B Therapy
  • All generics are preferred. Only commonly used vitamins are listed.
FolbicGenericVitaminsVitamin B Therapy
  • All generics are preferred. Only commonly used vitamins are listed.
Renal CapsGenericVitaminsVitamin B Therapy
  • All generics are preferred. Only commonly used vitamins are listed.
TriphrocapsGenericVitaminsVitamin B Therapy
  • All generics are preferred. Only commonly used vitamins are listed.
calcitriolGenericVitaminsVitamin D Analog Agents
  • All generics are preferred. Only commonly used vitamins are listed.
doxercalciferolGenericVitaminsVitamin D Analog Agents
  • All generics are preferred. Only commonly used vitamins are listed.
paricalcitolGenericVitaminsVitamin D Analog Agents
  • All generics are preferred. Only commonly used vitamins are listed.
benzphetamine HCLGenericWeight Loss Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
diethylpropion HCL, ERGenericWeight Loss Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
phendimetrazine tartrateGenericWeight Loss Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
phentermine HCLGenericWeight Loss Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
ContraveBrand NameWeight Loss Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
QsymiaBrand NameWeight Loss Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
SaxendaBrand NameWeight Loss Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
XenicalBrand NameWeight Loss Agents
  • Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
NONPREFERRED PRODUCT:Abilify Maintena
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POSSIBLE PREFERRED ALTERNATIVES:
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POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:alogliptin (Perrigo)
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NONPREFERRED PRODUCT:alogliptin-metformin (Perrigo)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:alogliptin-pioglitazone (Perrigo)
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NONPREFERRED PRODUCT:Alomide
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NONPREFERRED PRODUCT:Alora
POSSIBLE PREFERRED ALTERNATIVES:
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POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Altoprev
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POSSIBLE PREFERRED ALTERNATIVES:
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POSSIBLE PREFERRED ALTERNATIVES:
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POSSIBLE PREFERRED ALTERNATIVES:
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POSSIBLE PREFERRED ALTERNATIVES:
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POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Antara 30mg, 90mg
POSSIBLE PREFERRED ALTERNATIVES:
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POSSIBLE PREFERRED ALTERNATIVES:
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POSSIBLE PREFERRED ALTERNATIVES:
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POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Apidra Solostar
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Aplenzin
POSSIBLE PREFERRED ALTERNATIVES:
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POSSIBLE PREFERRED ALTERNATIVES:
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POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Armonair Respiclick
POSSIBLE PREFERRED ALTERNATIVES:
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POSSIBLE PREFERRED ALTERNATIVES:
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POSSIBLE PREFERRED ALTERNATIVES:
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NONPREFERRED PRODUCT:Bacmin
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NONPREFERRED PRODUCT:Belviq
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NONPREFERRED PRODUCT:Belviq XR
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NONPREFERRED PRODUCT:Benzamycin Pak
POSSIBLE PREFERRED ALTERNATIVES:
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POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Besivance
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Betimol
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Betoptic S
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NONPREFERRED PRODUCT:Bifera Rx
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NONPREFERRED PRODUCT:Binosto
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NONPREFERRED PRODUCT:Bivigam
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Briviact
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Bromsite
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Brovana Solution
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Bryhali
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:buprenorphine 7.5 mcg patch (Rhodes Pharmaceutical)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:buproprion 450mg XL tablet
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Butisol
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Butrans 7.5 mcg patch
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Bystolic
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Byvalson
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Cambia
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Capital w/ codeine
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Carac
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Cardizem LA 120mg
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Cequa
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Cimzia (Ankylosing Spondylitis indication only)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Cimzia (Crohn's Disease Indication only)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Cimzia (Plaque Psoriasis indication only)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Cimzia (Psoriatic Arthritis indication only)
POSSIBLE PREFERRED ALTERNATIVES:
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NONPREFERRED PRODUCT:Cipro HC
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NONPREFERRED PRODUCT:Desonate Gel
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NONPREFERRED PRODUCT:Fentora
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Ferralet 90
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Fetzima
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Fiasp
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Fiasp Flextouch
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:First-Lansoprazole
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:First-Omeprazole
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:First-Testosterone
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Flarex
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Flector Patch
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Flo-Pred
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Flovent Diskus
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Flovent HFA
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Fluoroplex
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:fluoxetine 60mg tablet (Edgemont Pharmaceuticals)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:FML-Forte
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Foradil
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Forfivo XL
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Fosamax D
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Fosrenol Powder Packet
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Freestyle
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Frotek Cream
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Fycompa
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Gamastan S-D
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Gammagard Liquid
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Gammagard S-D
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Gammaked
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Gammaplex
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Gelnique 10% Packets
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Gelnique Metered Dose Gel
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Gel-One
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Gelsyn-3
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Genotropin
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Genvisc-850
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Geodon vial
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Gialax
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Giazo
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Gocovri
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Golytely Packet
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Gralise
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:halobetasol propionate foam 0.05% (Mayne Pharmaceutical)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Halog
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Harvoni (Genotype 1,4)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Harvoni (Genotype 5,6)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Helidac
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Hetlioz
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Humatrope
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Hyalgan
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Hymovis
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:HyQvia
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Hysingla ER
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Ilevro
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Ilumya (Plaque Psoriasis indication only)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Imvexxy
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Inderal XR
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Indocin Suspension
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Innopran XL
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Insulin lispro (Eli Lilly)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Insulin lispro Kwikpen (Eli Lilly)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Invega Sustenna
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Invega Trinza
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Inveltys
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Ionsys
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Istalol
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Jornay PM
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Jublia
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Kadian ER 200mg Capsule
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Kapspargo
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Kazano
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Kerydin
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Kevzara (Rheumatoid Arthritis indication only)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Khedezla
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Kineret (Rheumatoid Arthritis indication only)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Klarity
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Kombiglyze XR
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:L.E.T. (LIDO-EPINEPH-TETRA) Gel
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Lamictal XR Dosepak
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Lastacaft
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Latuda
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Lazanda
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Ledipasvir / Sofosbuvir (Genotype 1, 4)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Ledipasvir / Sofosbuvir (Genotype 5, 6)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:levalbuterol tartrate HFA
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Levatol
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Lexette
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Lidovir
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Lipofen
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Liptruzet
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Livalo
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Locort tablet, Dosepak
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Lomaira
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Lo-Minastrin FE
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Loprox Cream Kit
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Lorzone
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Lotemax gel drop, ointment
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Luliconazole
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Lumigan 0.01%
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Luzu
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Magnacet
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Maxidex
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Mayzent
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Menest
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Menostar
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Mentax
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Metanx Capsule
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:miconazole / zinc oxide/petroleum (Mylan)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Minitran Patch
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Minolira ER
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Mircera
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Mirvaso
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Mitigare
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Momexin
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Morgidox
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Morphabond ER
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Morphine sulfate oral syringe
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:MoviPrep
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Moxatag
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Moxeza
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Mydayis
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Naftin gel
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Nalfon
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Nalocet
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Naprelan 750mg
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Natacyn
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Natazia
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Natesto
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Nesina
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Neuac Kit
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Neupro Patch
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Nevanac
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Nitro-Dur Patch
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Nonpreferred Product
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Noritate
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Novolin
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Novolog
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Novolog Mix
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Nucort
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Nucynta, Nucynta ER
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Nuox
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Nutropin AQ Nuspin
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Nuzyra
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Nyata
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Nymalize
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:OB Complete One
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Octagam
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Oleptro ER
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Olumiant (Rheumatoid Arthritis indication only)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Olysio
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Omeclamox-Pak
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Omeprazole + SyrSpend SF Alka
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Omnaris
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Omnitrope
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:One Touch
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Onexton
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Onglyza
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Onzetra Xsail
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Opana ER
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Oracea
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Orencia SC (Juvenile Idiopathic Arthritis Indication only)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Orencia SC (Psoriatic Arthritis indication only)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Orencia SC, Orencia Clickject (Rheumatoid Arthritis indication only)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Oseni
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Osmolex
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:OsmoPrep
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Otezla (Psoriatic Arthritis indication only)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Otovel
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Otrexup
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Ovace 10% Plus Cleanser
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Ovace 10% Plus Cream
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Ovace 10% Plus Shampoo
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Ovace 9.8% Plus Lotion
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Ovace Plus Foam
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Oxaydo
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Oxecta
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Oxistat lotion
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Oxtellar XR
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:oxycodone HCl ER
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Oxytrol
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Pacnex MX, HP, LP
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Pancreaze
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Pandel
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Paxil Suspension
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Pazeo
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:PCE
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Pennsaid Solution
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Pentasa
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Perforomist
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Pertzye
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Pexeva
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Phoslyra
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Phrenilin Forte
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Plexion
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Plixda
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Potaba
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Potiga
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Praluent Pen & Syringe (Sanofi-Aventis)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Precision
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Pred Mild
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Pred-G
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Prefera-OB One
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Premarin Tabs
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Premarin Vaginal Cream
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Prenate Essential
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Prilosec Suspension
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Primlev
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Privigen
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Prolensa
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Promiseb Complete
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Protonix granules
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Proventil HFA
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Qbrelis
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Qmiz ODT
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Qnasl
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Qroxin
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Qudexy XR
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Quillichew ER
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Quillivant XR
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:rabeprazole
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Rayaldee
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Rayos
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Reciphexamine
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Relexxii
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Relyyks
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Relyyt
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Renovo
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Repatha Pushtronex & Sureclick & Syringe (Amgen)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Retacrit
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Rexulti
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Rhofade
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Riomet Solution
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Ritalin LA 10mg
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Rocklatan
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Rosadan
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Rosula Cleanser
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Roxybond
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Rozerem
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Rytary
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Sabril
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Saizen
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Saizenprep
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Sancuso
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Saphris
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Seebri Neohaler
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Segluromet
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:SelRx
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Sernivo
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Serostim
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Silalite Pak
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Silenor
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Siliq (Plaque Psoriasis Indication Only)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Simbrinza
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Simcor
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Simponi SC (Ankylosing Spondylitis indication only)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Simponi SC (Psoriatic Arthritis indication only)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Simponi SC (Rheumatoid Arthritis indication only)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Simponi SC (Ulcerative Colitis indication only)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Sinelee
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Slynd
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Sofosbuvir / Velpatasvir (Genotype 1,2,3,4,5,6)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Soolantra
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Sorilux
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Sovaldi (Genotype 1,4)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Sovaldi (Genotype 2,3)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Spectracef
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Spritam
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Sprix
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Steglatro
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Striant
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Striverdi Respimat
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Strovite One
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Subsys
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Suclear
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Sumavel DosePro
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Sumaxin TS
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Supartz
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Supartz Fx
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Suprax chewable tablet, oral suspension
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Suprenza ODT
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Sympazan
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Synalar TS, Synalar
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Synalgos-DC
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Synapryn
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Synvexia
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Synvisc
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Synvisc-One
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Taclonex Suspension
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Taltz (Plaque Psoriasis Indication only)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Taltz (Psoriatic Arthritis indication only)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Taperdex tablet, Dosepak
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Targadox
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Taytulla
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Tazorac Gel / Tazorac 0.05% cream (Acne Use Only)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Tekamlo
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Tekturna / HCT
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Tersi Foam
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Testim
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Texacort
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Ticanase
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Timoptic PF
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Tivorbex
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:TobraDex ST
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Tolak
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Topiramate ER
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Toviaz
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Tramadol ER Capsules
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Travatan Z
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Tremfya (Plaque Psoriasis indication only)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Tretin-X Cream, Kit
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Treximet
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Triglide
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Trintellix
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Trivisc
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Trokendi XR
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Tudorza Pressair
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Ultravate Lotion
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Vanoxide HC
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Varubi
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Vascepa
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Velphoro
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Veltin
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Veramyst
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Verdeso
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Versacloz
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Vexol
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Vibramycin Syrup
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Victoza
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Viekira Pak (Genotype 1)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Viibryd
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Vimovo
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Viokace
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Vitafol-OB + DHA
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Vitafol-One
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Vital-D Rx
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Vivlodex
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Vogelxo
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Vraylar
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Xadago
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Xartemis XR
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Xerese
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Xiidra
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Xolegel
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Xopenex HFA
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Xtampza ER
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Xultophy
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Xyosted
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Yupelri
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Zecuity
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Zelapar
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Zembrace Symtouch
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Zenzedi 2.5mg, 7.5mg, 15mg, 20mg, 30mg
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Zetonna
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Zioptan
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Zipsor
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Zithranol , Zithranol-RR
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Zmax
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Zodex
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Zohydro ER
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Zolpimist
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Zomig Nasal Spray
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Zorvolex
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Zovirax Cream
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Zuplenz
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Zurampic
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Zyclara
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Zydone
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Zylet
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Zypitamag
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Zyprexa Relprevv
POSSIBLE PREFERRED ALTERNATIVES:

Drugs Not Covered by the 1199SEIU Benefit Funds

  • Cosmetic Drugs
  • Non-sedating Antihistamines
  • Fertility Drugs
  • Over-the-Counter Drugs (except for diabetic supplies) or as mandated by PPACA legislation
  • Investigational/Experimental Drugs
  • Select Cough & Cold Drugs
  • Erectile Dysfunction Drugs
Please refer to your Summary Plan Description for a complete list of excluded drugs.
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