Preferred Drug List (PDL)

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

Updated May 1, 2017. See list of non-covered drugs below.

DrugBrand / GenericCategorySubcategoryRestrictions
cortisone acetateGenericAdrenal Hormones
dexamethasoneGenericAdrenal Hormones
fludrocortisone acetateGenericAdrenal Hormones
hydrocortisoneGenericAdrenal Hormones
methylprednisoloneGenericAdrenal Hormones
prednisoloneGenericAdrenal Hormones
prednisolone sodium phosphateGenericAdrenal Hormones
prednisoneGenericAdrenal 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
bicalutamideGenericAntiandrogensDo 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.
flutamideGenericAntiandrogensWeigh 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.
nilutamideGenericAntiandrogensThis 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 NameAntiandrogensSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851. Subject to Quantity Duration Programs. 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.
ZytigaBrand NameAntiandrogensSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851. Subject to Quantity Duration Programs. 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.
carbamazepineGenericAnticonvulsantsWeigh the risk of birth defects or other adverse outcomes.
carbamazepine XRGenericAnticonvulsantsWeigh the risk of birth defects or other adverse outcomes.
clonazepamGenericAnticonvulsantsWeigh the risk of birth defects or other adverse outcomes.
diazepam kitGenericAnticonvulsantsWeigh the risk of birth defects or other adverse outcomes.
divalproex sodiumGenericAnticonvulsantsWeigh the risk of birth defects or other adverse outcomes.
divalproex sodium ERGenericAnticonvulsantsWeigh the risk of birth defects or other adverse outcomes.
divalproex sodium sprinklesGenericAnticonvulsantsWeigh the risk of birth defects or other adverse outcomes.
ethosuximideGenericAnticonvulsantsWeigh the risk of birth defects or other adverse outcomes.
felbamateGenericAnticonvulsants
gabapentinGenericAnticonvulsants
lamotrigineGenericAnticonvulsants
lamotrigine ODTGenericAnticonvulsants
lamotrigine XRGenericAnticonvulsants
levetiracetamGenericAnticonvulsants
levetiracetam XRGenericAnticonvulsants
oxcarbazepineGenericAnticonvulsants
phenobarbitalGenericAnticonvulsantsWeigh the risk of birth defects or other adverse outcomes.
phenytoin chewable tabletGenericAnticonvulsantsWeigh the risk of birth defects or other adverse outcomes.
phenytoin extended-releaseGenericAnticonvulsantsWeigh the risk of birth defects or other adverse outcomes.
phenytoin suspensionGenericAnticonvulsantsWeigh the risk of birth defects or other adverse outcomes.
primidoneGenericAnticonvulsantsWeigh the risk of birth defects or other adverse outcomes.
tiagabineGenericAnticonvulsants
topiramateGenericAnticonvulsantsWeigh 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 acidGenericAnticonvulsantsWeigh the risk of birth defects or other adverse outcomes.
zonisamideGenericAnticonvulsants
Banzel TabletBrand NameAnticonvulsantsWeigh the risk of birth defects or other adverse outcomes.
CelontinBrand NameAnticonvulsantsWeigh the risk of birth defects or other adverse outcomes.
DiastatBrand NameAnticonvulsantsWeigh the risk of birth defects or other adverse outcomes.
Dilantin 30mgBrand NameAnticonvulsantsWeigh the risk of birth defects or other adverse outcomes.
Gabitril 12mg, 16mgBrand NameAnticonvulsants
LyricaBrand NameAnticonvulsantsSubject to the Step Therapy and Quantity Duration Programs.
PeganoneBrand NameAnticonvulsantsWeigh the risk of birth defects or other adverse outcomes.
VimpatBrand NameAnticonvulsants
cefaclorGenericAnti-Infectives (Antibiotics)Oral Cephalosporins
cefaclor ERGenericAnti-Infectives (Antibiotics)Oral Cephalosporins
cefadroxil hydrateGenericAnti-Infectives (Antibiotics)Oral Cephalosporins
cefdinirGenericAnti-Infectives (Antibiotics)Oral Cephalosporins
cefditoren pivoxilGenericAnti-Infectives (Antibiotics)Oral Cephalosporins
cefixime 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
Ceftin SuspensionBrand NameAnti-Infectives (Antibiotics)Oral Cephalosporins
azithromycinGenericAnti-Infectives (Antibiotics)Oral Erythromycins and other Macrolides
clarithromycinGenericAnti-Infectives (Antibiotics)Oral Erythromycins and other Macrolides
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 suspension 200mg/5mlGenericAnti-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
Eryped SuspensionBrand 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
Avelox ABC PackBrand NameAnti-Infectives (Antibiotics)Oral Quinolones
demeclocycline HClGenericAnti-Infectives (Antibiotics)Oral TetracyclinesWeigh the risk of birth defects or other adverse outcomes.
doxycycline hyclate capsuleGenericAnti-Infectives (Antibiotics)Oral TetracyclinesWeigh the risk of birth defects or other adverse outcomes.
doxycycline hyclate enteric coated tabletGenericAnti-Infectives (Antibiotics)Oral TetracyclinesWeigh the risk of birth defects or other adverse outcomes.
doxycycline hyclate tabletGenericAnti-Infectives (Antibiotics)Oral TetracyclinesWeigh the risk of birth defects or other adverse outcomes.
doxycycline monohydrateGenericAnti-Infectives (Antibiotics)Oral TetracyclinesWeigh the risk of birth defects or other adverse outcomes.
minocycline HClGenericAnti-Infectives (Antibiotics)Oral TetracyclinesWeigh the risk of birth defects or other adverse outcomes.
minocycline XRGenericAnti-Infectives (Antibiotics)Oral TetracyclinesWeigh the risk of birth defects or other adverse outcomes.
tetracycline HClGenericAnti-Infectives (Antibiotics)Oral TetracyclinesWeigh 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
rasagiline mesylateGenericAntiparkinsonism Agents
ropiniroleGenericAntiparkinsonism Agents
selegilineGenericAntiparkinsonism Agents
tolcaponeGenericAntiparkinsonism Agents
trihexylphenidylGenericAntiparkinsonism Agents
ApokynBrand NameAntiparkinsonism AgentsMust be obtained through Accredo.
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
aprepitantGenericAntivertigo & Antiemetic DrugsSubject to Quantity Duration Programs. 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.
granisetron HClGenericAntivertigo & Antiemetic DrugsSubject to Quantity Duration Programs. 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.
ondansetron HClGenericAntivertigo & Antiemetic DrugsSubject to Quantity Duration Programs. 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.
ondansetron ODTGenericAntivertigo & Antiemetic DrugsSubject to Quantity Duration Programs. 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.
Emend 40mg, 125mg Brand NameAntivertigo & Antiemetic DrugsSubject to Quantity Duration Programs. 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.
Emend suspensionBrand NameAntivertigo & Antiemetic DrugsSubject to Quantity Duration Programs. 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.
alfuzosin HCl ERGenericBenign Prostate Hyperplasia (BPH) Therapy
doxazosinGenericBenign Prostate Hyperplasia (BPH) Therapy
dutasterideGenericBenign Prostate Hyperplasia (BPH) TherapyDo not use during pregnancy.
dutasteride-tamsulosinGenericBenign Prostate Hyperplasia (BPH) TherapyDo not use during pregnancy.
finasterideGenericBenign Prostate Hyperplasia (BPH) TherapyDo not use during pregnancy.
tamsulosin HClGenericBenign Prostate Hyperplasia (BPH) Therapy
terazosinGenericBenign Prostate Hyperplasia (BPH) Therapy
AranespBrand NameBiotechnology DrugsErythroid StimulantsSubject 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 StimulantsSubject 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.
BerinertBrand NameBiotechnology DrugsHereditary Angioedema - Plasma derived C1 Esterase InhibitorsSubject 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 InhibitorsWeigh the risk of birth defects or other adverse outcomes.
captoprilGenericCardiovascular (Blood Pressure / Heart / Cholesterol)ACE InhibitorsWeigh the risk of birth defects or other adverse outcomes.
enalapril maleateGenericCardiovascular (Blood Pressure / Heart / Cholesterol)ACE InhibitorsWeigh the risk of birth defects or other adverse outcomes.
fosinopril sodiumGenericCardiovascular (Blood Pressure / Heart / Cholesterol)ACE InhibitorsWeigh the risk of birth defects or other adverse outcomes.
lisinoprilGenericCardiovascular (Blood Pressure / Heart / Cholesterol)ACE InhibitorsWeigh the risk of birth defects or other adverse outcomes.
moexipril HClGenericCardiovascular (Blood Pressure / Heart / Cholesterol)ACE InhibitorsWeigh the risk of birth defects or other adverse outcomes.
perindopril erbumineGenericCardiovascular (Blood Pressure / Heart / Cholesterol)ACE InhibitorsWeigh the risk of birth defects or other adverse outcomes.
quinaprilGenericCardiovascular (Blood Pressure / Heart / Cholesterol)ACE InhibitorsWeigh the risk of birth defects or other adverse outcomes.
ramipril capsulesGenericCardiovascular (Blood Pressure / Heart / Cholesterol)ACE InhibitorsWeigh the risk of birth defects or other adverse outcomes.
trandolaprilGenericCardiovascular (Blood Pressure / Heart / Cholesterol)ACE InhibitorsWeigh the risk of birth defects or other adverse outcomes.
candesartanGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Angiotensin II BlockersWeigh the risk of birth defects or other adverse outcomes.
candesartan / hydrochlorothiazideGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Angiotensin II BlockersWeigh the risk of birth defects or other adverse outcomes.
eprosartan mesylateGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Angiotensin II BlockersWeigh the risk of birth defects or other adverse outcomes.
irbesartanGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Angiotensin II BlockersWeigh the risk of birth defects or other adverse outcomes.
irbesartan / hydrochlorothiazideGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Angiotensin II BlockersWeigh the risk of birth defects or other adverse outcomes.
losartan / hydrochlorothiazideGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Angiotensin II BlockersWeigh the risk of birth defects or other adverse outcomes.
losartan potassiumGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Angiotensin II BlockersWeigh the risk of birth defects or other adverse outcomes.
olmesartanGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Angiotensin II BlockersWeigh the risk of birth defects or other adverse outcomes.
olmesartan / hydrochlorothiazideGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Angiotensin II BlockersWeigh the risk of birth defects or other adverse outcomes.
telmisartanGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Angiotensin II BlockersWeigh the risk of birth defects or other adverse outcomes.
telmisartan / hydrochlorothiazideGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Angiotensin II BlockersWeigh the risk of birth defects or other adverse outcomes.
valsartanGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Angiotensin II BlockersWeigh the risk of birth defects or other adverse outcomes.
valsartan / hydrochlorothiazideGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Angiotensin II BlockersWeigh 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 DrugsDo not use during pregnancy. Subject to Quantity Duration Programs.
atorvastatin calciumGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Antilipidemics - Statin DrugsDo not use during pregnancy. Subject to Quantity Duration Programs.
fluvastatinGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Antilipidemics - Statin DrugsDo not use during pregnancy. Subject to Quantity Duration Programs.
fluvastatin ERGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Antilipidemics - Statin DrugsDo not use during pregnancy. Subject to Quantity Duration Programs.
lovastatinGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Antilipidemics - Statin DrugsDo not use during pregnancy. Subject to Quantity Duration Programs.
pravastatinGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Antilipidemics - Statin DrugsDo not use during pregnancy. Subject to Quantity Duration Programs.
rosuvastatinGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Antilipidemics - Statin DrugsDo not use during pregnancy. Subject to Quantity Duration Programs.
simvastatinGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Antilipidemics - Statin DrugsDo not use during pregnancy. Subject to Quantity Duration Programs.
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)
BrilintaBrand NameCardiovascular (Blood Pressure / Heart / Cholesterol)Antiplatelet Agents (oral)
EffientBrand 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 BlockersWeigh 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
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
ezetimibeGenericCardiovascular (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 AntilipidemicsSubject 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
WelcholBrand NameCardiovascular (Blood Pressure / Heart / Cholesterol)Other Antilipidemics
Praluent PenBrand NameCardiovascular (Blood Pressure / Heart / Cholesterol)PCSK9 InhibitorsSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851. Must be obtained through Accredo.
Praluent SyringeBrand NameCardiovascular (Blood Pressure / Heart / Cholesterol)PCSK9 InhibitorsSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851. Must be obtained through Accredo.
Repatha PushtronexBrand NameCardiovascular (Blood Pressure / Heart / Cholesterol)PCSK9 InhibitorsSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851. Must be obtained through Accredo.
Repatha SureclickBrand NameCardiovascular (Blood Pressure / Heart / Cholesterol)PCSK9 InhibitorsSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851. Must be obtained through Accredo.
Repatha SyringeBrand NameCardiovascular (Blood Pressure / Heart / Cholesterol)PCSK9 InhibitorsSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851. Must be obtained through Accredo.
amlodipine / olmesartanGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Select Combination AntihypertensivesWeigh the risk of birth defects or other adverse outcomes.
amlodipine / valsartanGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Select Combination AntihypertensivesWeigh the risk of birth defects or other adverse outcomes.
amlodipine / valsartan / HCTZGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Select Combination AntihypertensivesWeigh the risk of birth defects or other adverse outcomes.
amlodipine besylate / benazeprilGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Select Combination AntihypertensivesWeigh the risk of birth defects or other adverse outcomes.
atenolol / chlorthalidoneGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Select Combination AntihypertensivesWeigh the risk of birth defects or other adverse outcomes.
benazepril HCl / HCTZGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Select Combination AntihypertensivesWeigh 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 AntihypertensivesWeigh the risk of birth defects or other adverse outcomes.
enalapril maleate / HCTZGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Select Combination AntihypertensivesWeigh the risk of birth defects or other adverse outcomes.
fosinopril / hydrochlorothiazideGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Select Combination AntihypertensivesWeigh the risk of birth defects or other adverse outcomes.
lisinopril / hydrochlorothiazideGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Select Combination AntihypertensivesWeigh 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
moexipril / hydrochlorothiazideGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Select Combination AntihypertensivesWeigh 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 AntihypertensivesWeigh 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 AntihypertensivesWeigh the risk of birth defects or other adverse outcomes.
telmisartan / amlodipineGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Select Combination AntihypertensivesWeigh the risk of birth defects or other adverse outcomes.
trandolapril / verapamilGenericCardiovascular (Blood Pressure / Heart / Cholesterol)Select Combination AntihypertensivesWeigh the risk of birth defects or other adverse outcomes.
darifenacin hydrobromideGenericDrugs to Treat Overactive Bladder
flavoxateGenericDrugs to Treat Overactive Bladder
oxybutynin chlorideGenericDrugs to Treat Overactive Bladder
oxybutynin chloride ERGenericDrugs to Treat Overactive Bladder
tolterodine tartrateGenericDrugs to Treat Overactive Bladder
tolterodine tartrate ERGenericDrugs to Treat Overactive Bladder
trospium chlorideGenericDrugs to Treat Overactive Bladder
trospium chloride ERGenericDrugs to Treat Overactive Bladder
MyrbetriqBrand NameDrugs to Treat Overactive Bladder
VesicareBrand NameDrugs to Treat Overactive Bladder
ACCU-CHEK Aviva PlusBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Blood Glucose Monitoring Devices
ACCU-CHEK Compact 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 One MeterBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Blood Glucose Monitoring Devices
Contour Next One 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
True Metrix Go 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 Compact Plus Test StripsBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Blood Glucose Test Strips
ACCU-CHEK Guide 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 One Test StripsBrand 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
AmethiaGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive AgentsDo not use during pregnancy.
Amethia LoGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive AgentsDo not use during pregnancy.
CryselleGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive AgentsDo not use during pregnancy.
GianviGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive AgentsDo not use during pregnancy.
Gildess 24 FEGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive AgentsDo not use during pregnancy.
Gildess FEGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive AgentsDo not use during pregnancy.
Junel FEGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive AgentsDo not use during pregnancy.
Lomedia 24 FEGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive AgentsDo not use during pregnancy.
LorynaGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive AgentsDo not use during pregnancy.
MicrogestinGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive AgentsDo not use during pregnancy.
Microgestin FEGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive AgentsDo not use during pregnancy.
MononessaGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive AgentsDo not use during pregnancy.
NeconGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive AgentsDo not use during pregnancy.
Next ChoiceGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive AgentsDo not use during pregnancy.
Next Choice One DoseGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive AgentsDo not use during pregnancy.
Norethindrone-e.estriadol-ironGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive AgentsDo not use during pregnancy.
Norgestimate-Ethinyl EstradiolGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive AgentsDo not use during pregnancy.
OrsythiaGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive AgentsDo not use during pregnancy.
PrevifemGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive AgentsDo not use during pregnancy.
RajaniGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive AgentsDo not use during pregnancy.
SyedaGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive AgentsDo not use during pregnancy.
TrinessaGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive AgentsDo not use during pregnancy.
Trinessa LoGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive AgentsDo not use during pregnancy.
Tri-PrevifemGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive AgentsDo not use during pregnancy.
Wymzya FEGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive AgentsDo not use during pregnancy.
XulaneGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive AgentsDo not use during pregnancy.
Zenchent FEGenericEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive AgentsDo not use during pregnancy.
EllaBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Contraceptive AgentsDo 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 InhibitorsSubject to Quantity Duration Programs.
Jentadueto XRBrand NameEndocrine (Diabetes / Hormones / Contraceptives)DPP-4 InhibitorsSubject to Quantity Duration Programs.
TradjentaBrand NameEndocrine (Diabetes / Hormones / Contraceptives)DPP-4 InhibitorsSubject to Quantity Duration Programs.
estradiol tabsGenericEndocrine (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.
CenestinBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Estrogen Agents (oral / vaginal)Do not use during pregnancy.
EnjuviaBrand 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.
estradiolGenericEndocrine (Diabetes / Hormones / Contraceptives)Estrogen PatchesDo not use during pregnancy.
BydureonBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Injectable Hypoglycemic Agents (GLP-1 receptor agonist)Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851. Subject to Quantity Duration Programs.
Bydureon PenBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Injectable Hypoglycemic Agents (GLP-1 receptor agonist)Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851. Subject to Quantity Duration Programs.
ByettaBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Injectable Hypoglycemic Agents (GLP-1 receptor agonist)Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851. Subject to Quantity Duration Programs.
TrulicityBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Injectable Hypoglycemic Agents (GLP-1 receptor agonist)Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851. Subject to Quantity Duration Programs.
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 70/30Brand NameEndocrine (Diabetes / Hormones / Contraceptives)Insulin Therapy - Intermediate Acting
Humulin 70/30 KwikpenBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Insulin Therapy - Intermediate Acting
Humulin NBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Insulin Therapy - Intermediate Acting
Humulin N KwikpenBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Insulin Therapy - Intermediate Acting
Basaglar KwikpenBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Insulin Therapy - Long Acting
LantusBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Insulin Therapy - Long Acting
Lantus SolostarBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Insulin Therapy - Long Acting
LevemirBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Insulin Therapy - Long Acting
Levemir FlextouchBrand 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 ImplantsMust be obtained through Accredo. Do not use during pregnancy.
NexplanonBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Intrauterine Devices / Subdermal ImplantsMust be obtained through Accredo. Do not use during pregnancy.
methyltestosterone capsuleGenericEndocrine (Diabetes / Hormones / Contraceptives)Oral / Transdermal Testosterone Replacement AgentsDo not use during pregnancy.
testosterone gel in packet 25mg (1%), 50mg (1%) GenericEndocrine (Diabetes / Hormones / Contraceptives)Oral / Transdermal Testosterone Replacement AgentsDo 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%)GenericEndocrine (Diabetes / Hormones / Contraceptives)Oral / Transdermal Testosterone Replacement AgentsDo 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 AgentsSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851. Do not use during pregnancy.
Androgel packet 1.62%Brand NameEndocrine (Diabetes / Hormones / Contraceptives)Oral / Transdermal Testosterone Replacement AgentsSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851. Do not use during pregnancy.
Androgel pump 20.25 / 1.25Brand NameEndocrine (Diabetes / Hormones / Contraceptives)Oral / Transdermal Testosterone Replacement AgentsSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851. Do not use during pregnancy.
AxironBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Oral / Transdermal Testosterone Replacement AgentsSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851. Do not use during pregnancy.
MethitestBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Oral / Transdermal Testosterone Replacement AgentsDo not use during pregnancy.
acarboseGenericEndocrine (Diabetes / Hormones / Contraceptives)Oral Hypoglycemic Agents
glimepirideGenericEndocrine (Diabetes / Hormones / Contraceptives)Oral Hypoglycemic Agents
glipizideGenericEndocrine (Diabetes / Hormones / Contraceptives)Oral Hypoglycemic Agents
glipizide / metformin HClGenericEndocrine (Diabetes / Hormones / Contraceptives)Oral Hypoglycemic AgentsSubject to Quantity Duration Programs.
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 HClGenericEndocrine (Diabetes / Hormones / Contraceptives)Oral Hypoglycemic Agents
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 AgentsSubject to Quantity Duration Programs.
pioglitazone / metforminGenericEndocrine (Diabetes / Hormones / Contraceptives)Oral Hypoglycemic AgentsSubject to Quantity Duration Programs.
pioglitazone HClGenericEndocrine (Diabetes / Hormones / Contraceptives)Oral Hypoglycemic AgentsSubject to Quantity Duration Programs.
repaglinideGenericEndocrine (Diabetes / Hormones / Contraceptives)Oral Hypoglycemic Agents
repaglinide / metforminGenericEndocrine (Diabetes / Hormones / Contraceptives)Oral Hypoglycemic AgentsSubject to Quantity Duration Programs.
tolazamideGenericEndocrine (Diabetes / Hormones / Contraceptives)Oral Hypoglycemic Agents
tolbutamideGenericEndocrine (Diabetes / Hormones / Contraceptives)Oral Hypoglycemic Agents
AvandametBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Oral Hypoglycemic AgentsSubject to Quantity Duration Programs.
AvandarylBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Oral Hypoglycemic AgentsSubject to Quantity Duration Programs.
AvandiaBrand NameEndocrine (Diabetes / Hormones / Contraceptives)Oral Hypoglycemic AgentsSubject to Quantity Duration Programs.
InvokametBrand NameEndocrine (Diabetes / Hormones / Contraceptives)SGLT2 - Sodium Glucose Co-transporter AgentsSubject to Quantity Duration Programs.
Invokamet XRBrand NameEndocrine (Diabetes / Hormones / Contraceptives)SGLT2 - Sodium Glucose Co-transporter AgentsSubject to Quantity Duration Programs.
InvokanaBrand NameEndocrine (Diabetes / Hormones / Contraceptives)SGLT2 - Sodium Glucose Co-transporter AgentsSubject to Quantity Duration Programs.
JardianceBrand NameEndocrine (Diabetes / Hormones / Contraceptives)SGLT2 - Sodium Glucose Co-transporter AgentsSubject to Quantity Duration Programs.
SynjardyBrand NameEndocrine (Diabetes / Hormones / Contraceptives)SGLT2 - Sodium Glucose Co-transporter AgentsSubject to Quantity Duration Programs.
GlyxambiBrand NameEndocrine (Diabetes / Hormones / Contraceptives)SGLT2 / DPP4 Inhibitor Combinations
epinephrine injection, USP auto-injector 0.3mg , 0.15mg (Impax )GenericEpinephrine AutoinjectorsThis 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.
epinephrine injection, USP auto-injector 0.3mg, 0.15mg (Mylan)GenericEpinephrine AutoinjectorsThis 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.
EpiPen 0.3mg (Mylan)Brand NameEpinephrine AutoinjectorsThis 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.
EpiPen Jr. 0.15mg (Mylan)Brand NameEpinephrine AutoinjectorsThis 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.
peg 3350 bowel preparationGenericGastrointestinalBowel Evacuants
lansoprazole / amoxicillin / clarithromycinGenericGastrointestinalH-Pylori Agents
PyleraBrand NameGastrointestinalH-Pylori Agents
LinzessBrand NameGastrointestinalIrritable Bowel Syndrome
CreonBrand NameGastrointestinalPancreatic Enzymes
ZenpepBrand NameGastrointestinalPancreatic Enzymes
calcium acetateGenericGastrointestinalPhosphate Binders
RenvelaBrand NameGastrointestinalPhosphate Binders
cimetidine tabletGenericGastrointestinalUlcer Drugs
esomeprazole capsuleGenericGastrointestinalUlcer DrugsSubject to Quantity Duration Programs.
famotidine tab, suspensionGenericGastrointestinalUlcer Drugs
lansoprazoleGenericGastrointestinalUlcer DrugsSubject to Quantity Duration Programs.
misoprostolGenericGastrointestinalUlcer DrugsDo not use during pregnancy.
nizatidineGenericGastrointestinalUlcer Drugs
omeprazoleGenericGastrointestinalUlcer DrugsSubject to Quantity Duration Programs.
omeprazole/sodium bicarbonate capsule, packetGenericGastrointestinalUlcer DrugsSubject to Quantity Duration Programs.
pantoprazoleGenericGastrointestinalUlcer DrugsSubject to Quantity Duration Programs.
rabeprazoleGenericGastrointestinalUlcer DrugsSubject to Quantity Duration Programs.
ranitidine HClGenericGastrointestinalUlcer Drugs
Nexium OTCBrand NameGastrointestinalUlcer DrugsSubject to Quantity Duration Programs.
Nexium Rx SuspensionBrand NameGastrointestinalUlcer DrugsSubject to Quantity Duration Programs.
balsalazide disodiumGenericGastrointestinalUlcerative Colitis Agents
mesalamine enemaGenericGastrointestinalUlcerative Colitis Agents
sulfasalazineGenericGastrointestinalUlcerative Colitis Agents
AprisoBrand NameGastrointestinalUlcerative Colitis Agents
CanasaBrand NameGastrointestinalUlcerative Colitis Agents
LialdaBrand NameGastrointestinalUlcerative Colitis Agents
allopurinolGenericGout Therapy
probenecidGenericGout Therapy
probenecid w/ colchicineGenericGout Therapy
ColcrysBrand NameGout Therapy
KrystexxaBrand NameGout TherapySubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851. Must be obtained through Accredo.
UloricBrand NameGout TherapySubject to the Step Therapy and Quantity Duration Programs.
EgriftaBrand NameGrowth HormonesSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
Norditropin FlexproBrand NameGrowth HormonesSubject 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 HormonesSubject 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 HormonesSubject 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 HormonesSubject 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.
ZepatierBrand NameHepatitis C Antivirals (Direct-Acting / Protease Inhibitors)Genotype 1Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851. Subject to Quantity Duration Programs. Must be obtained through Accredo.
EpclusaBrand NameHepatitis C Antivirals (Direct-Acting / Protease Inhibitors)Genotype 2Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851. Subject to Quantity Duration Programs. Must be obtained through Accredo.
EpclusaBrand NameHepatitis C Antivirals (Direct-Acting / Protease Inhibitors)Genotype 3Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851. Subject to Quantity Duration Programs. Must be obtained through Accredo.
ZepatierBrand NameHepatitis C Antivirals (Direct-Acting / Protease Inhibitors)Genotype 4Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851. Subject to Quantity Duration Programs. Must be obtained through Accredo.
EpclusaBrand NameHepatitis C Antivirals (Direct-Acting / Protease Inhibitors)Genotype 5, 6Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851. Subject to Quantity Duration Programs. Must be obtained through Accredo.
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. Must be obtained through Accredo.
RagwitekBrand NameImmunotherapy (Oral)Subject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
Glatopa 20mg/mlGenericMultiple Sclerosis InjectablesSubject 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 InjectablesSubject 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 InjectablesSubject 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 InjectablesSubject 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 InjectablesSubject 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 InjectablesSubject 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.
RebifBrand NameMultiple Sclerosis InjectablesSubject 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 RebidoseBrand NameMultiple Sclerosis InjectablesSubject 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.
ZinbrytaBrand NameMultiple Sclerosis InjectablesSubject 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 RelaxantsWeigh the risk of birth defects or other adverse outcomes.
chlorzoxazoneGenericMuscle Relaxants
cyclobenzaprineGenericMuscle Relaxants
cyclobenzaprine XRGenericMuscle Relaxants
dantrolene sodiumGenericMuscle Relaxants
meprobamateGenericMuscle RelaxantsWeigh the risk of birth defects or other adverse outcomes.
metaxaloneGenericMuscle Relaxants
methocarbamolGenericMuscle Relaxants
orphenadrine citrateGenericMuscle Relaxants
orphenadrine cmpdGenericMuscle RelaxantsWeigh the risk of birth defects or other adverse outcomes.
orphenadrine cmpd forteGenericMuscle RelaxantsWeigh the risk of birth defects or other adverse outcomes.
tizanidineGenericMuscle Relaxants
tramadolGenericNarcotic Analgesics (Pain Relievers)Miscellaneous Analgesic TherapySubject to Quantity Duration Programs.
tramadol / acetaminophenGenericNarcotic Analgesics (Pain Relievers)Miscellaneous Analgesic TherapySubject to Quantity Duration Programs.
tramadol ER tabletsGenericNarcotic Analgesics (Pain Relievers)Miscellaneous Analgesic TherapySubject to Quantity Duration Programs.
acetaminophen / butalbitalGenericNarcotic Analgesics (Pain Relievers)NarcoticsWeigh the risk of birth defects or other adverse outcomes.
acetaminophen / caffeine / butalbitalGenericNarcotic Analgesics (Pain Relievers)NarcoticsWeigh the risk of birth defects or other adverse outcomes.
aspirin / caffeine / butalbitalGenericNarcotic Analgesics (Pain Relievers)NarcoticsWeigh the risk of birth defects or other adverse outcomes.
aspirin / caffeine / dihydrocodeineGenericNarcotic Analgesics (Pain Relievers)NarcoticsWeigh the risk of birth defects or other adverse outcomes.
buprenorphine HCl SL tabletsGenericNarcotic Analgesics (Pain Relievers)NarcoticsSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851. Subject to Quantity Duration Programs.
codeine / APAP / caffeine / butalbitalGenericNarcotic Analgesics (Pain Relievers)NarcoticsWeigh the risk of birth defects or other adverse outcomes.
codeine / aspirin / caffeine / butalbitalGenericNarcotic Analgesics (Pain Relievers)NarcoticsWeigh the risk of birth defects or other adverse outcomes.
codeine phosphate / acetaminophenGenericNarcotic Analgesics (Pain Relievers)Narcotics
codeine sulfate tabletGenericNarcotic Analgesics (Pain Relievers)Narcotics
dihydrocodeine / APAP / caffeineGenericNarcotic Analgesics (Pain Relievers)Narcotics
fentanyl citrate lozengesGenericNarcotic Analgesics (Pain Relievers)NarcoticsSubject to Quantity Duration Programs.
fentanyl patchGenericNarcotic Analgesics (Pain Relievers)NarcoticsSubject 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)NarcoticsSubject to Quantity Duration Programs.
levorphanol tartrateGenericNarcotic Analgesics (Pain Relievers)Narcotics
meperidine tabs, solutionGenericNarcotic Analgesics (Pain Relievers)Narcotics
methadoneGenericNarcotic Analgesics (Pain Relievers)Narcotics
morphine sulfateGenericNarcotic Analgesics (Pain Relievers)Narcotics
morphine sulfate, sustained action GenericNarcotic Analgesics (Pain Relievers)NarcoticsSubject to Quantity Duration Programs.
oxycodone / acetaminophenGenericNarcotic Analgesics (Pain Relievers)Narcotics
oxycodone / aspirinGenericNarcotic Analgesics (Pain Relievers)NarcoticsWeigh the risk of birth defects or other adverse outcomes.
oxycodone / ibuprofenGenericNarcotic Analgesics (Pain Relievers)Narcotics
oxycodone HClGenericNarcotic Analgesics (Pain Relievers)NarcoticsSubject to Quantity Duration Programs.
oxymorphoneGenericNarcotic Analgesics (Pain Relievers)Narcotics
oxymorphone ERGenericNarcotic Analgesics (Pain Relievers)NarcoticsSubject to Quantity Duration Programs.
OxycontinBrand NameNarcotic Analgesics (Pain Relievers)NarcoticsSubject to Quantity Duration Programs.
almotriptan malateGenericNon-Narcotic Analgesics (Pain Relievers)Migraine / Headache TherapySubject to Quantity Duration Programs.
frovatriptan succinateGenericNon-Narcotic Analgesics (Pain Relievers)Migraine / Headache TherapySubject to Quantity Duration Programs.
naratriptanGenericNon-Narcotic Analgesics (Pain Relievers)Migraine / Headache TherapySubject to Quantity Duration Programs.
rizatriptan (tabs, disintegrating tabs) GenericNon-Narcotic Analgesics (Pain Relievers)Migraine / Headache TherapySubject to Quantity Duration Programs.
sumatriptan (tabs, nasal spray) GenericNon-Narcotic Analgesics (Pain Relievers)Migraine / Headache TherapySubject to Quantity Duration Programs.
sumatriptan injectionGenericNon-Narcotic Analgesics (Pain Relievers)Migraine / Headache TherapySubject to Quantity Duration Programs. 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.
zolmitriptanGenericNon-Narcotic Analgesics (Pain Relievers)Migraine / Headache TherapySubject to Quantity Duration Programs.
zolmitriptan ODTGenericNon-Narcotic Analgesics (Pain Relievers)Migraine / Headache TherapySubject to Quantity Duration Programs.
RelpaxBrand NameNon-Narcotic Analgesics (Pain Relievers)Migraine / Headache TherapySubject to Quantity Duration Programs.
celecoxibGenericNon-Narcotic Analgesics (Pain Relievers)NSAID COX-2 Inhibitors
diclofenac / misoprostolGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDsWeigh the risk of birth defects or other adverse outcomes.
diclofenac potassiumGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDsWeigh the risk of birth defects or other adverse outcomes.
diclofenac sodiumGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDsWeigh the risk of birth defects or other adverse outcomes.
diclofenac sodium topical drops, gelGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDsWeigh the risk of birth defects or other adverse outcomes.
etodolacGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDsWeigh the risk of birth defects or other adverse outcomes.
etodolac tablet, sustained release 24 hrGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDsWeigh the risk of birth defects or other adverse outcomes.
fenoprofen calcium 600mgGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDsWeigh the risk of birth defects or other adverse outcomes.
flurbiprofenGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDsWeigh the risk of birth defects or other adverse outcomes.
ibuprofenGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDsWeigh the risk of birth defects or other adverse outcomes.
indomethacinGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDsWeigh the risk of birth defects or other adverse outcomes. Subject to Quantity Duration Programs.
indomethacin capsule, sustained action GenericNon-Narcotic Analgesics (Pain Relievers)NSAIDsWeigh the risk of birth defects or other adverse outcomes. Subject to Quantity Duration Programs.
ketoprofenGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDsWeigh the risk of birth defects or other adverse outcomes.
ketoprofen capsule, 24 hr sustained release pelletsGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDsWeigh the risk of birth defects or other adverse outcomes.
ketorolac tabletsGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDsWeigh the risk of birth defects or other adverse outcomes.
meclofenamate sodiumGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDsWeigh the risk of birth defects or other adverse outcomes.
mefenamic acidGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDsWeigh the risk of birth defects or other adverse outcomes.
meloxicamGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDsWeigh the risk of birth defects or other adverse outcomes. Subject to Quantity Duration Programs.
nabumetoneGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDsWeigh the risk of birth defects or other adverse outcomes.
naproxenGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDsWeigh the risk of birth defects or other adverse outcomes.
naproxen sodiumGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDsWeigh the risk of birth defects or other adverse outcomes.
naproxen sodium ERGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDsWeigh the risk of birth defects or other adverse outcomes.
oxaprozinGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDsWeigh the risk of birth defects or other adverse outcomes.
piroxicamGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDsWeigh the risk of birth defects or other adverse outcomes.
sulindacGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDsWeigh the risk of birth defects or other adverse outcomes.
tolmetin sodiumGenericNon-Narcotic Analgesics (Pain Relievers)NSAIDsWeigh the risk of birth defects or other adverse outcomes.
EuflexxaBrand 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. Subject to Quantity Duration Programs. Must be obtained through Accredo.
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
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
VigamoxBrand NameOphthalmics (Eye Preparations)Antibiotic-Ophthalmics
RestasisBrand NameOphthalmics (Eye Preparations)Dry Eye TherapySubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
Restasis MultidoseBrand NameOphthalmics (Eye Preparations)Dry Eye TherapySubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
azelastineGenericOphthalmics (Eye Preparations)Miscellaneous Ophthalmics-Antihistamine & Mast-Cell Stabilizers
cromolynGenericOphthalmics (Eye Preparations)Miscellaneous Ophthalmics-Antihistamine & Mast-Cell Stabilizers
epinastine HClGenericOphthalmics (Eye Preparations)Miscellaneous Ophthalmics-Antihistamine & Mast-Cell Stabilizers
olopatadine HClGenericOphthalmics (Eye Preparations)Miscellaneous Ophthalmics-Antihistamine & Mast-Cell Stabilizers
PatadayBrand NameOphthalmics (Eye Preparations)Miscellaneous Ophthalmics-Antihistamine & 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
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
alendronate solutionGenericOsteoporosis / Paget's DiseaseSubject to Quantity Duration Programs.
alendronate tabGenericOsteoporosis / Paget's DiseaseSubject to Quantity Duration Programs.
alendronate weeklyGenericOsteoporosis / Paget's DiseaseSubject to Quantity Duration Programs.
calcitonin-salmon nasal sprayGenericOsteoporosis / Paget's Disease
ibandronateGenericOsteoporosis / Paget's DiseaseSubject to Quantity Duration Programs.
raloxifene HClGenericOsteoporosis / Paget's DiseaseDo not use during pregnancy.
risedronate sodium DRGenericOsteoporosis / Paget's DiseaseSubject to Quantity Duration Programs.
risedronate sodium tabletGenericOsteoporosis / Paget's DiseaseSubject to Quantity Duration Programs.
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 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.
olanzapine injectionGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Injectable)Subject to Quantity Duration Programs. 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.
AristadaBrand 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)Subject to Quantity Duration Programs.
aripiprazole ODTGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Oral)Subject to Quantity Duration Programs.
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)Subject to Quantity Duration Programs.
olanzapine ODTGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Oral)Subject to Quantity Duration Programs.
olanzapine-fluoxetineGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Oral)Subject to Quantity Duration Programs.
paliperidoneGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Oral)Subject to Quantity Duration Programs.
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)Subject to Quantity Duration Programs.
risperidone tabGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Oral)Subject to Quantity Duration Programs.
thioridazineGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Oral)
thiothixeneGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Oral)
trifluoperazine HClGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Oral)
ziprasidone HClGenericPsychotherapeutics (Anxiety / Depression)Antipsychotics (Oral)Subject to Quantity Duration Programs.
FazacloBrand NamePsychotherapeutics (Anxiety / Depression)Antipsychotics (Oral)
alprazolamGenericPsychotherapeutics (Anxiety / Depression)AnxiolyticsWeigh the risk of birth defects or other adverse outcomes.
alprazolam ERGenericPsychotherapeutics (Anxiety / Depression)AnxiolyticsWeigh the risk of birth defects or other adverse outcomes.
alprazolam ODTGenericPsychotherapeutics (Anxiety / Depression)AnxiolyticsWeigh the risk of birth defects or other adverse outcomes.
buspirone HClGenericPsychotherapeutics (Anxiety / Depression)Anxiolytics
chlordiazepoxide HClGenericPsychotherapeutics (Anxiety / Depression)AnxiolyticsWeigh the risk of birth defects or other adverse outcomes.
clorazepate dipotassiumGenericPsychotherapeutics (Anxiety / Depression)AnxiolyticsWeigh the risk of birth defects or other adverse outcomes.
diazepamGenericPsychotherapeutics (Anxiety / Depression)AnxiolyticsWeigh the risk of birth defects or other adverse outcomes.
lorazepamGenericPsychotherapeutics (Anxiety / Depression)AnxiolyticsWeigh the risk of birth defects or other adverse outcomes.
oxazepamGenericPsychotherapeutics (Anxiety / Depression)AnxiolyticsWeigh the risk of birth defects or other adverse outcomes.
amphetamine and dextroamphetamine saltsGenericPsychotherapeutics (Anxiety / Depression)Attention Deficit Hyperactivity DisorderSubject 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 DisorderSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
clonidine ERGenericPsychotherapeutics (Anxiety / Depression)Attention Deficit Hyperactivity DisorderSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
d-amphetamine tabletGenericPsychotherapeutics (Anxiety / Depression)Attention Deficit Hyperactivity DisorderSubject 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 DisorderSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
dexmethylphenidateGenericPsychotherapeutics (Anxiety / Depression)Attention Deficit Hyperactivity DisorderSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
dexmethylphenidate ERGenericPsychotherapeutics (Anxiety / Depression)Attention Deficit Hyperactivity DisorderSubject 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 CDGenericPsychotherapeutics (Anxiety / Depression)Attention Deficit Hyperactivity DisorderSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
methylphenidate ERGenericPsychotherapeutics (Anxiety / Depression)Attention Deficit Hyperactivity DisorderSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
methylphenidate LAGenericPsychotherapeutics (Anxiety / Depression)Attention Deficit Hyperactivity DisorderSubject 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, chewable GenericPsychotherapeutics (Anxiety / Depression)Attention Deficit Hyperactivity DisorderSubject 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
StratteraBrand NamePsychotherapeutics (Anxiety / Depression)Attention Deficit Hyperactivity DisorderSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
VyvanseBrand NamePsychotherapeutics (Anxiety / Depression)Attention Deficit Hyperactivity DisorderSubject 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 AntidepressantsSubject to Quantity Duration Programs.
bupropion HCl tablet, sust. action GenericPsychotherapeutics (Anxiety / Depression)Miscellaneous AntidepressantsSubject to Quantity Duration Programs.
clomipramine HClGenericPsychotherapeutics (Anxiety / Depression)Miscellaneous Antidepressants
desipramine HClGenericPsychotherapeutics (Anxiety / Depression)Miscellaneous Antidepressants
doxepin HClGenericPsychotherapeutics (Anxiety / Depression)Miscellaneous Antidepressants
duloxetine HClGenericPsychotherapeutics (Anxiety / Depression)Miscellaneous AntidepressantsSubject to Quantity Duration Programs.
imipramine HClGenericPsychotherapeutics (Anxiety / Depression)Miscellaneous AntidepressantsWeigh the risk of birth defects or other adverse outcomes.
imipramine pamoateGenericPsychotherapeutics (Anxiety / Depression)Miscellaneous AntidepressantsWeigh 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 HClGenericPsychotherapeutics (Anxiety / Depression)Miscellaneous AntidepressantsSubject to Quantity Duration Programs.
venlafaxine HCl ERGenericPsychotherapeutics (Anxiety / Depression)Miscellaneous AntidepressantsSubject to Quantity Duration Programs.
desvenlafaxine succinateBrand NamePsychotherapeutics (Anxiety / Depression)Miscellaneous AntidepressantsSubject to Quantity Duration
MarplanBrand NamePsychotherapeutics (Anxiety / Depression)Miscellaneous Antidepressants
NuplazidBrand NamePsychotherapeutics (Anxiety / Depression)Miscellaneous AntidepressantsMust be obtained through Accredo.
estazolamGenericPsychotherapeutics (Anxiety / Depression)Oral Hypnotic AgentsWeigh the risk of birth defects or other adverse outcomes. Subject to Quantity Duration Programs.
eszopicloneGenericPsychotherapeutics (Anxiety / Depression)Oral Hypnotic AgentsSubject to Quantity Duration Programs.
flurazepam HClGenericPsychotherapeutics (Anxiety / Depression)Oral Hypnotic AgentsWeigh the risk of birth defects or other adverse outcomes. Subject to Quantity Duration Programs.
temazepamGenericPsychotherapeutics (Anxiety / Depression)Oral Hypnotic AgentsWeigh the risk of birth defects or other adverse outcomes. Subject to Quantity Duration Programs.
triazolamGenericPsychotherapeutics (Anxiety / Depression)Oral Hypnotic AgentsWeigh the risk of birth defects or other adverse outcomes. Subject to Quantity Duration Programs.
zaleplonGenericPsychotherapeutics (Anxiety / Depression)Oral Hypnotic AgentsSubject to Quantity Duration Programs.
zolpidemGenericPsychotherapeutics (Anxiety / Depression)Oral Hypnotic AgentsSubject to Quantity Duration Programs.
zolpidem ERGenericPsychotherapeutics (Anxiety / Depression)Oral Hypnotic AgentsSubject to Quantity Duration Programs.
zolpidem SL tabletGenericPsychotherapeutics (Anxiety / Depression)Oral Hypnotic AgentsSubject to Quantity Duration Programs.
citalopram HBrGenericPsychotherapeutics (Anxiety / Depression)SSRI AntidepressantsSubject to Quantity Duration Programs.
escitalopram oxalateGenericPsychotherapeutics (Anxiety / Depression)SSRI AntidepressantsSubject to Quantity Duration Programs.
fluoxetine DR 90mgGenericPsychotherapeutics (Anxiety / Depression)SSRI AntidepressantsSubject to Quantity Duration Programs.
fluoxetine HCl capsules 10mg, 20mg, 40mg GenericPsychotherapeutics (Anxiety / Depression)SSRI AntidepressantsSubject to Quantity Duration Programs.
fluoxetine HCl oral solutionGenericPsychotherapeutics (Anxiety / Depression)SSRI AntidepressantsSubject to Quantity Duration Programs.
fluoxetine HCl tablet 10mg, 20mg GenericPsychotherapeutics (Anxiety / Depression)SSRI AntidepressantsSubject to Quantity Duration Programs.
fluvoxamine maleate ERGenericPsychotherapeutics (Anxiety / Depression)SSRI AntidepressantsSubject to Quantity Duration Programs.
paroxetine HClGenericPsychotherapeutics (Anxiety / Depression)SSRI AntidepressantsWeigh the risk of birth defects or other adverse outcomes. Subject to Quantity Duration Programs.
sertraline HClGenericPsychotherapeutics (Anxiety / Depression)SSRI AntidepressantsSubject to Quantity Duration Programs.
Spiriva InhalerBrand NameRespiratory (Allergy / Asthma / COPD)Anticholinergic / Muscarinic Agents - Long-Acting Agents (LAMA)Subject to Quantity Duration Programs.
Spiriva RespimatBrand NameRespiratory (Allergy / Asthma / COPD)Anticholinergic / Muscarinic Agents - Long-Acting Agents (LAMA)Subject to Quantity Duration Programs.
Tudorza PressairBrand NameRespiratory (Allergy / Asthma / COPD)Anticholinergic / Muscarinic Agents - Long-Acting Agents (LAMA)Subject to Quantity Duration Programs.
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)Subject to Quantity Duration Programs.
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)
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)
budesonide solnGenericRespiratory (Allergy / Asthma / COPD)Inhaled Corticosteroid TherapySubject to Quantity Duration Programs.
AlvescoBrand NameRespiratory (Allergy / Asthma / COPD)Inhaled Corticosteroid TherapySubject to Quantity Duration Programs.
AsmanexBrand NameRespiratory (Allergy / Asthma / COPD)Inhaled Corticosteroid TherapySubject to Quantity Duration Programs.
Asmanex HFABrand NameRespiratory (Allergy / Asthma / COPD)Inhaled Corticosteroid TherapySubject to Quantity Duration Programs.
Pulmicort FlexhalerBrand NameRespiratory (Allergy / Asthma / COPD)Inhaled Corticosteroid TherapySubject to Quantity Duration Programs.
QVARBrand NameRespiratory (Allergy / Asthma / COPD)Inhaled Corticosteroid TherapySubject to Quantity Duration Programs.
Stiolto RespimatBrand NameRespiratory (Allergy / Asthma / COPD)Long-Acting Muscarinic / Beta 2 combination Agents Subject to Quantity Duration Programs.
CombiventBrand NameRespiratory (Allergy / Asthma / COPD)Miscellaneous Pulmonary Agents
Combivent RespimatBrand NameRespiratory (Allergy / Asthma / COPD)Miscellaneous Pulmonary Agents
DuleraBrand NameRespiratory (Allergy / Asthma / COPD)Miscellaneous Pulmonary AgentsSubject to Quantity Duration Programs.
SymbicortBrand NameRespiratory (Allergy / Asthma / COPD)Miscellaneous Pulmonary AgentsSubject to Quantity Duration Programs.
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
OpsumitBrand NameRespiratory (Allergy / Asthma / COPD)Pulmonary Arterial Hypertension (PAH) Agents (Endothelial Receptor Antagonist)Subject to the Step Therapy and Prior Authorization Programs. Must be obtained through Accredo.
TracleerBrand NameRespiratory (Allergy / Asthma / COPD)Pulmonary Arterial Hypertension (PAH) Agents (Endothelial Receptor Antagonist)Subject to the Step Therapy and Prior Authorization Programs. Must be obtained through Accredo.
CosentyxBrand NameSelect Biologic and Immunologic AgentsAnkylosing Spondylitis AgentsSubject 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 AgentsSubject 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 AgentsSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851. Subject to Quantity Duration Programs. 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.
InflectraBrand NameSelect Biologic and Immunologic AgentsAnkylosing Spondylitis AgentsSubject 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 AgentsSubject to the Step Therapy and Prior Authorization Programs. Must be obtained through Accredo.
HumiraBrand NameSelect Biologic and Immunologic AgentsCrohn's Disease AgentsSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851. Subject to Quantity Duration Programs. 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.
Humira PediatricBrand NameSelect Biologic and Immunologic AgentsCrohn's Disease AgentsSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851. Subject to Quantity Duration Programs. 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.
InflectraBrand NameSelect Biologic and Immunologic AgentsCrohn's Disease AgentsSubject 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 AgentsSubject to the Step Therapy and Prior Authorization Programs. Must be obtained through Accredo.
EnbrelBrand NameSelect Biologic and Immunologic AgentsJuvenile Idiopathic Arthritis AgentsSubject 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 AgentsSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851. Subject to Quantity Duration Programs. 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 AgentsPlaque Psoriasis AgentsSubject 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 AgentsSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851. Subject to Quantity Duration Programs. 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.
InflectraBrand NameSelect Biologic and Immunologic AgentsPlaque Psoriasis AgentsSubject 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 AgentsSubject 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 AgentsSubject to the Step Therapy and Prior Authorization Programs. Must be obtained through Accredo.
Stelara SCBrand NameSelect Biologic and Immunologic AgentsPlaque Psoriasis AgentsSubject 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 AgentsSubject 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 AgentsSubject 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 AgentsSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851. Subject to Quantity Duration Programs. 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.
InflectraBrand NameSelect Biologic and Immunologic AgentsPsoriatic Arthritis AgentsSubject 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 AgentsSubject to the Step Therapy and Prior Authorization Programs. Must be obtained through Accredo.
Stelara SCBrand NameSelect Biologic and Immunologic AgentsPsoriatic Arthritis AgentsSubject 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.
Actemra SCBrand NameSelect Biologic and Immunologic AgentsRheumatoid Arthritis AgentsSubject 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 AgentsSubject 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 AgentsSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851. Subject to Quantity Duration Programs. 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.
InflectraBrand NameSelect Biologic and Immunologic AgentsRheumatoid Arthritis AgentsSubject 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 AgentsSubject to the Step Therapy and Prior Authorization Programs. Must be obtained through Accredo.
XeljanzBrand NameSelect Biologic and Immunologic AgentsRheumatoid Arthritis AgentsSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851. Must be obtained through Accredo.
Xeljanz XRBrand NameSelect Biologic and Immunologic AgentsRheumatoid Arthritis AgentsSubject 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 AgentsSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851. Subject to Quantity Duration Programs. 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.
InflectraBrand NameSelect Biologic and Immunologic AgentsUlcerative Colitis AgentsSubject 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 AgentsSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851. Must be obtained through Accredo.
adapaleneGenericTopical Acne Therapy
clindamycin / benzoyl peroxideGenericTopical Acne Therapy
clindamycin phosphateGenericTopical Acne Therapy
clindamycin phosphate/tretinoinGenericTopical Acne TherapySubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
erythromycin base / benzoyl peroxideGenericTopical Acne Therapy
erythromycin base / ethyl alcoholGenericTopical Acne Therapy
erythromycin base / ethyl alcohol gelGenericTopical Acne Therapy
erythromycin base / ethyl alcohol swabsGenericTopical Acne Therapy
metronidazole cream, gel, lotionGenericTopical Acne Therapy
Neuac GelGenericTopical Acne Therapy
sulfacetamide sodium / sulfurGenericTopical Acne Therapy
sulfacetamide sodium / sulfur / ureaGenericTopical Acne Therapy
tretinoinGenericTopical Acne TherapySubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
tretinoin microspheresGenericTopical Acne TherapySubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
AzelexBrand NameTopical Acne Therapy
FinaceaBrand NameTopical Acne Therapy
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 creamGenericTopical 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 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, 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
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 PreparationsSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851. Subject to Quantity Duration Programs.
Ferrex 150 ForteGenericVitaminsIron Supplement TherapyOnly commonly used vitamins are listed.
Ferrex 150 Forte PlusGenericVitaminsIron Supplement TherapyOnly commonly used vitamins are listed.
Ferrex 28GenericVitaminsIron Supplement TherapyOnly commonly used vitamins are listed.
Multigen PlusGenericVitaminsIron Supplement TherapyOnly commonly used vitamins are listed.
Poly-Iron 150 ForteGenericVitaminsIron Supplement TherapyOnly commonly used vitamins are listed.
CorvitaGenericVitaminsMultivitamin TherapyOnly commonly used vitamins are listed.
V-C ForteGenericVitaminsMultivitamin TherapyOnly commonly used vitamins are listed.
PNV-DHAGenericVitaminsPrenatal Vitamin TherapyOnly commonly used vitamins are listed.
Prenatal PlusGenericVitaminsPrenatal Vitamin TherapyOnly commonly used vitamins are listed.
Zatean-PN DHAGenericVitaminsPrenatal Vitamin TherapyOnly commonly used vitamins are listed.
Zatean-PN PlusGenericVitaminsPrenatal Vitamin TherapyOnly commonly used vitamins are listed.
FolbeeGenericVitaminsVitamin B TherapyOnly commonly used vitamins are listed.
Folbee PlusGenericVitaminsVitamin B TherapyOnly commonly used vitamins are listed.
FolbicGenericVitaminsVitamin B TherapyOnly commonly used vitamins are listed.
Renal CapsGenericVitaminsVitamin B TherapyOnly commonly used vitamins are listed.
TriphrocapsGenericVitaminsVitamin B TherapyOnly commonly used vitamins are listed.
calcitriolGenericVitaminsVitamin D Analog AgentsOnly commonly used vitamins are listed.
doxercalciferolGenericVitaminsVitamin D Analog AgentsOnly commonly used vitamins are listed.
paricalcitolGenericVitaminsVitamin D Analog AgentsOnly commonly used vitamins are listed.
benzphetamine HCLGenericWeight Loss AgentsSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
diethylpropion ERGenericWeight Loss AgentsSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
diethylpropion HCLGenericWeight Loss AgentsSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
phendimetrazine tartrateGenericWeight Loss AgentsSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
phentermine HCLGenericWeight Loss AgentsSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
ContraveBrand NameWeight Loss AgentsSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
QsymiaBrand NameWeight Loss AgentsSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
SaxendaBrand NameWeight Loss AgentsSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
XenicalBrand NameWeight Loss AgentsSubject to prior authorization at express-path.com or by calling Express Scripts at (800) 753-2851.
NONPREFERRED PRODUCT:Abilify Maintena
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Abilify vial
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Abstral
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NONPREFERRED PRODUCT:Acanya
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Aciphex Sprinkle
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Actemra IV (Juvenile Idiopathic Arthritis indication only)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Actemra IV (RA indication only)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Acticlate
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Actoplus Met XR
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Acuvail
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Aczone
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Adasuve Inhaler
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Adlyxin
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Adrenaclick
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Advair Diskus
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Advair HFA
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Advicor
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Adzenys XR-ODT
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NONPREFERRED PRODUCT:Aerospan
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NONPREFERRED PRODUCT:Akne-Mycin
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NONPREFERRED PRODUCT:Akynzeo
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NONPREFERRED PRODUCT:Allzital
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Alocril
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Alodox
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:alogliptin (Perrigo)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:alogliptin-metformin (Perrigo)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:alogliptin-pioglitazone (Perrigo)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Alomide
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Alora
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Alrex
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Altoprev
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Amitiza
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Amrix
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Amturnide
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Anastia
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Anoro Ellipta
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Antara 30mg, 90mg
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Anzemet
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Apidra Solostar
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Apidra
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NONPREFERRED PRODUCT:Aplenzin
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:APOP
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Aptensio XR
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Aptiom
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NONPREFERRED PRODUCT:Arnuity Ellipta
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NONPREFERRED PRODUCT:Asacol HD
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Asmalpred, Asmalpred Plus
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NONPREFERRED PRODUCT:Auvi-Q
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Avar (foam, pads), Avar-E, Avar LS
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NONPREFERRED PRODUCT:Azasite
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Azopt
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NONPREFERRED PRODUCT:Bacmin
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NONPREFERRED PRODUCT:Banzel Suspension
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NONPREFERRED PRODUCT:Beconase AQ
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NONPREFERRED PRODUCT:Belbuca
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NONPREFERRED PRODUCT:Belsomra
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Belviq XR
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NONPREFERRED PRODUCT:Belviq
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NONPREFERRED PRODUCT:Benzamycin Pak
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:BenzEFoam / BenzEFoam Ultra
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Bepreve
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Besivance
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Betimol
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Betoptic S
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Bevespi Aerosphere
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Bifera Rx
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Binosto
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Bivigam
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Breo Ellipta
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Brisdelle
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Briviact
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Bromsite
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Brovana Solution
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Butisol
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Butrans
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:Cardene SR
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Cardizem LA 120mg
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Cimzia (Ankylosing Spondylitis indication only)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Cimzia (Crohn's indication only)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Cimzia (Psoriatic Arthritis indication only)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Cimzia (RA indication only)
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NONPREFERRED PRODUCT:Cinryze
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NONPREFERRED PRODUCT:Cipro HC
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NONPREFERRED PRODUCT:Ciprodex
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NONPREFERRED PRODUCT:Citranatal Rx
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NONPREFERRED PRODUCT:Clindacin ETZ, Clindacin PAC
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NONPREFERRED PRODUCT:Clindagel
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NONPREFERRED PRODUCT:Clodan
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NONPREFERRED PRODUCT:Cloderm
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NONPREFERRED PRODUCT:clozapine ODT 150mg, 200mg
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NONPREFERRED PRODUCT:codeine solution
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NONPREFERRED PRODUCT:colchicine tablet, capsule
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NONPREFERRED PRODUCT:Coly-Mycin S
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NONPREFERRED PRODUCT:Colyte 227.1-21.5
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NONPREFERRED PRODUCT:Conzip
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Cordran ointment
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Coreg CR
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Cortisporin-TC
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Corvite FE
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Corvite
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Cosopt PF
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Cuvitru
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Cycloset
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Daklinza (Genotype 1)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Daklinza (Genotype 3)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Daxbia
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Daytrana
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Delzicol
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Desonate Gel
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:desvenlafaxine ER
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Dexilant
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:DexPak
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Diclegis
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Differin Lotion
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Dipentum
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Divigel
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Dolgic Plus
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Doral
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:doxycycline IR-DR
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Duexis
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Durezol
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Durlaza
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Dutoprol
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Dyanavel XR
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Dymista
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:E.E.S. suspension
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Ecoza
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Edarbi
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Edarbyclor
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Edluar
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Elenza Patch
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Elestrin
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Emadine
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Embeda
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Emsam
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Enbrel (Plaque Psoriasis Indication only)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Epaned
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Epiduo, Epiduo Forte
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Epifoam
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Epogen
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Equetro
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Ertaczo
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Ery-Tab 500mg
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:esomeprazole strontium
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Estrace Vaginal Cream
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Estrasorb
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Estrogel
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Evamist
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Evekeo
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Exelderm
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Fabior
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Factive
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Fanapt
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Farxiga
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Femring
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Fenoprofen calcium capsule
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Fenortho
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:fentanyl patch 37.5mcg / hr, 62.5mcg / hr, 87.5mcg / hr
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Fentora
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Ferralet 90
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Fetzima
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:Fortesta
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Fosamax D
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Fosrenol
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Freestyle
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:Golytely 227.1-21.5
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Gralise
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:Incruse Ellipta
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:Invega Sustenna
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Invega Trinza
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Ionsys
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Istalol
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Jublia
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Kadian
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Kazano
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Kerydin
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Khedezla
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Kineret (RA Indication only)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Kombiglyze XR
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Kynamro
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Lamictal Dosepak
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:Letairis
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:levalbuterol tartrate HFA
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Levatol
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:Lo-Loestrin FE
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Lomaira
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Lo-Minastrin FE
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Lorzone
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Lotemax
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: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:Millipred Solution
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Minastrin 24 FE
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Minitran Patch
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Minivelle
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Mircera
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Mirvaso
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Mitigare
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Moderiba
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Momexin
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Morgidox
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:Naftin gel
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Nalfon
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:Noritate
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Noroxin
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Novolin
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Novolog Mix
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Novolog
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:Nutropin AQ
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Nuvaring
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: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:Onfi
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 IV (Juvenile Idiopathic Arthritis indication only)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Orencia IV/SC, Orencia Clickject (RA Indication only)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Osensi
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:Pediapak
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:Potaba
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Potiga
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:Prepopik
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Prevacid Rx disintegrating tab
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:Qnasl
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Qroxin
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Quarette
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:Rapaflo
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Rayaldee
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Rayos
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Reciphexamine
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Regimex
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Relyyks
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Relyyt
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Renagel
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Renovo
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Rexulti
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Riomet Solution
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Ritalin LA 10mg, 60mg
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Rituxan (RA Indication Only)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Rosadan
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Rosula Cleanser
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Roxicet oral solution
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Rozerem
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Ruconest
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Rytary
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Sabril
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Safyral
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Saizen
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Sancuso
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Saphris
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Seebri Neohaler
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:SelRx
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Sernivo
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Serostim
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Silenor
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 (Ulcerative Colitis indication only)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Simponi SC, Simponi Aria SC (RA Indication Only)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Sinelee
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Solodyn
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:Stavzor
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 Fx
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Supartz
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Suprax
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Suprenza ODT
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Suprep
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:Tanzeum
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Targadox
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Taytulla
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Tazorac (Acne use only)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Technivie (Genotype 4)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Tekamlo
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Tekturna / HCT
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Tekturna
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Tersi Foam
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Testim
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:testosterone gel, gel in pump 2% (Upsher-Smith)
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Teveten HCT
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Texacort
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Ticalast
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:Topicort spray
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: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:Trokendi XR
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Trulance
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Ultravate Lotion
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Ultresa
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Utibron Neohaler
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:Ventolin HFA
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:Viekira XR (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:Vytorin
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Xartemis XR
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Xerese
POSSIBLE PREFERRED ALTERNATIVES:
NONPREFERRED PRODUCT:Xigduo XR
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: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: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: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