2014 Chronic and Preventive Medicine List
|
|
- Mitchell Manning
- 8 years ago
- Views:
Transcription
1 Quality health plans & benefits Healthier living Financial well-being Intelligent solutions 2014 Chronic and Preventive Medicine List TIER ONE ACE inhibitors (hypertension, diabetes) benazepril benazepril/hctz captopril captopril/hctz enalapril enalapril/hctz fosinopril fosinopril/hctz lisinopril lisinopril/hctz moexipril moexipril/hctz perindopril quinapril quinapril/hctz ramipril trandolapril ACCUPRIL ACCURETIC ACEON ALTACE LOTENSIN LOTENSIN HCT MAVIK PRINIVIL PRINZIDE UNIRETIC UNIVASC VASERETIC VASOTEC ZESTORETIC ZESTRIL ACE inhibitors/calcium channel blocker combination (hypertension/diabetes) amlodipine/ benazepril LOTREL TARKA Angiotensin ii receptor antagonists (hypertension) candesartan candesartan/hctz eprosartan irbesartan irbesartan/hctz losartan losartan/hctz valsartan valsartan/hctz EXFORGE EXFORGE HCT MICARDIS MICARDIS HCT ATACAND ATACAND HCT AVALIDE AVAPRO AZOR BENICAR BENICAR HCT COZAAR DIOVAN DIOVAN HCT EDARBI EDARBYCLOR HYZAAR TEVETEN TEVETEN HCT TRIBENZOR TWYNSTA VALTURNA Health benefits and health insurance plans are offered, administered and/or underwritten by Aetna Health Inc., Aetna Health Insurance Company of New York, Aetna Health Insurance Company and/or Aetna Life Insurance Company (Aetna). In Florida, by Aetna Health Inc. and/or Aetna Life Insurance Company. In Maryland, by Aetna Health Inc., 151 Farmington Avenue, Hartford, CT Each insurer has sole financial responsibility for its own products C (9/13)
2 Antiadrenergic antihypertensives (hypertension) clonidine doxazosin guanabenz guanfacine methyldopa methyldopa/hctz prazosin reserpine terazosin CARDURA CATAPRES CATAPRES-TTS CLORPRES MINIPRESS NEXICLON XR TENEX VECAMYL Antianginal agents (heart disease) amyl nitrite isosorbide dinitrate isosorbide dinitrate ER isosorbide mononitrate isosorbide mononitrate ER minitran nitro-time nitroglycerin nitroglycerin CR nitroglycerin SL NITROSTAT RANEXA DILATRATE SR IMDUR ISORDIL MONOKET NITRO-BID NITRO-DUR NITROLINGUAL NITROMIST Antiasthmatics (asthma) albuterol albuterol/ ipratropium aminophylline budesonide inhalation suspension cromolyn ipratropium inhaler levalbuterol inhalation solution montelukast terbutaline theochron theophylline er zafirlukast ASMANEX COMBIVENT RESPIMAT DULERA FLOVENT DISKUS FLOVENT HFA FORADIL PERFOROMIST PROAIR HFA PROVENTIL HFA QVAR SEREVENT DISKUS SPIRIVA SYMBICORT XOLAIR ACCOLATE ACCUNEB ADVAIR DISKUS ADVAIR HFA ALVESCO ARCAPTA NEOHALER ATROVENT HFA BREO ELLIPTA BROVANA COMBIVENT DALIRESP DUONEB ELIXOPHYLLIN LUFYLLIN MAXAIR AUTOHALER metaproterenol PULMICORT FLEXHALER PULMICORT RESPULES SINGULAIR THEO-24 TUDORZA VENTOLIN HFA VOSPIRE ER XOPENEX XOPENEX HFA ZYFLO ZYFLO CR Antidepressants (depression) amitriptyline amitriptyline/ chlodiazepoxide amoxapine budeprion budeprion XL buproprion buproprion SR citalopram clomipramine desipramine doxepin escitalopram fluoxetine fluoxetine delayed release fluvoxamine imipramine maprotiline mirtazapine mirtazapine ODT nortriptyline paroxetine paroxetine ER phenelzine protriptyline sertraline tranylcypromine trazodone trimipramine venlafaxine venlafaxine ER (cap) venlafaxine SR (tab) WELLBUTRIN XL ANAFRANIL APLENZIN CELEXA CYMBALTA EFFEXOR XR EMSAM FLUOXETINE 60 mg FORVIVO LEXAPRO LUVOX CR MARPLAN NARDIL nefazodone NORPRAMIN OLEPTRO PAMELOR PARNATE PAXIL PAXIL CR PEXEVA PRISTIQ PROZAC PROZAC WEEKLY REMERON REMERON SOLUTAB SURMONTIL TOFRANIL TOFRANIL PM VENLAFAXINE ER (tab) VIIBRYD VIIBRYD KIT VIVACTIL WELLBUTRIN WELLBUTRIN SR ZOLOFT
3 Antidiabetic drugs (diabetes) acarbose chlorpropamide glimepiride glipizide glipizide er glipizide xl glipizide/metformin glucose tab glyburide glyburide micronized glyburide/ metformin metformin metformin er nateglinide pioglitazone pioglitazone/ metformin pioglitazone/ glimepiride repaglinide tolazamide tolbutamide BYDUREON CYCLOSET HUMALOG HUMULIN JANUMET JANUMET XR JANUVIA JENTADUETO JUVISYNC KOMBIGLYZE LANTUS LANTUS SOLOSTAR LEVEMIR LEVEMIR FLEXPEN NOVOLOG ONGLYZA PROGLYCEM SYMLIN SYMLINPEN TRADJENTA VICTOZA ACTOPLUS MET ACTOPLUS MET XR ACTOS AMARYL APIDRA AVANDAMET AVANDARYL AVANDIA BYETTA DIABETA DIABINESE DUETACT FORTAMET GLUCAGEN GLUCAGON GLUCOPHAGE GLUCOPHAGE XR GLUCOTROL GLUCOTROL XL GLUCOVANCE GLUMETZA GLYNASE GLYSET INVOKANA KAZANO KORLYM METAGLIP NESINA NOVOLIN OSENI PRANDIN PRANDIMET PRECOSE RELION RIOMET STARLIX Antihyperlipidemics (high cholesterol) amlodipine/ atorvastatin atorvastatin cholestyramine cholestyramine light colestipol fenofibrate fenofibrate delayed-release fenofibrate micronized fenofibric acid fluvastatin gemfibrozil lovastatin pravastatin prevalite simvastatin CRESTOR LIPTRUZET LOVAZA NIASPAN SIMCOR WELCHOL ZETIA ANTARA ADVICOR ALTOPREV CADUET COLESTID FENOGLIDE FIBRICOR LESCOL LESCOL XL LIPITOR LIPOFEN LIVALO LOFIBRA LOPID MEVACOR PRAVACHOL QUESTRAN QUESTRAN LITE TRICOR TRIGLIDE TRILIPIX VYTORIN ZOCOR Antipsychotics (mental illness) chlorpromazine clozapine compro fluphenazine haloperidol lithium lithium carbonate lithium carbonate ER lithium citrate loxapine olanzapine olanzapine/ fluoxetine olanzapine ODT perphenazine perphenazine/ amitriptyline prochlorperazine quetiapine risperidone risperidone ODT thioridazine thiothixene trifluoperazine ziprasidone SEROQUEL XR ABILIFY ABILIFY DISC CLOZARIL EQUETRO FANAPT FAZACLO GEODON INVEGA LATUDA LITHOBID LOXITANE ORAP RISPERDAL RISPERDAL M SAPHRIS SEROQUEL SYMBYAX ZYPREXA ZYPREXA ZYDIS
4 Beta-blockers (hypertension) acebutolol atenolol atenolol/ chlorthalidone betaxolol bisoprolol bisoprolol/hctz carvedilol labetalol metoprolol metoprolol/hctz nadolol nadolol/ bendroflumethiazide pindolol propranolol propranolol SR propranolol/hctz sorine sotalol, sotalol AF timolol BYSTOLIC COREG CR DUTOPROL BETAPACE BETAPACE AF COREG CORGARD CORZIDE INDERAL LA INNOPRAN XL KERLONE LEVATOL LOPRESSOR LOPRESSOR HCT metoprolol sr SECTRAL TENORETIC TENORMIN TOPROL XL TRANDATE ZEBETA ZIAC Blood thinning agents anagrelinde cilostazol clopidogrel dipyridamole enoxaparin fondaparinux jantoven ticlopidine warfarin AGGRENOX EFFIENT PRADAXA XARELTO AGRYLIN ARIXTRA BRILINTA COUMADIN ELIQUIS FRAGMIN IPRIVASK LOVENOX PERSANTINE PLAVIX PLETAL Cardiac glycosides (heart disease) digoxin LANOXIN Calcium channel blockers (heart disease, hypertension) afeditab amlodipine amlodipine/ benazepril cartia xt dilt-cd dilt-xr diltiazem diltiazem cd diltiazem Cr diltiazem er diltiazem sr diltiazem XT felodipine isradapine matzim la nicardipine nifediac cc nifedical xl nifedipine nifedipine cr nifedipine er nifedipine sr nimodipine nisoldipine taztia xt verapamil verapamil Cr verapamil er verapamil sr ADALAT CC CADUET CALAN CALAN SR CARDENE SR CARDIZEM CARDIZEM CD CARDIZEM LA COVERA-HS DILACOR XR DYNACIRC CR ISOPTIN SR LOTREL NIMOTOP NORVASC NYMALIZE PROCARDIA PROCARDIA XL SULAR TARKA TIAZAC VERELAN VERELAN PM VERELAN SR Direct renin inhibitor (hypertension) AMTURNIDE TEKAMLO TEKTURNA TEKTURNA HCT
5 Diabetic supplies (diabetes) insulin syringes any generic lancets any generic pen needles any generic BD INSULIN SYRINGES BD LANCETS BD PEN NEEDLES FREESTYLE GLUCOSE TEST FREESTYLE INSULINX FREESTYLE LITE BASIC FAST TAKE GLUCOSE TEST PROFILE ULTRA VERIO VERIO IQ PRECISION Q-I-D PRECISION SOF-TACT PRECISION XTRA KETONE TEST SURESTEP ALL OTHER INSULIN SYRINGES ALL OTHER LANCETS ALL OTHER PEN NEEDLES ALL OTHER Diuretics (hypertension) acetazolamide amiloride amiloride/hctz bumetanide chlorothiazide chlorthalidone eplere furosemide hydrochlorothiazide indapamide methazolamide methyclothiazide metolazone spironolactone spironolactone/ hctz torsemide triamterene/hctz ALDACTAZIDE ALDACTONE DEMADEX DIAMOX DIURIL DYAZIDE DYRENIUM EDECRIN INSPRA LASIX MAXZIDE MICROZIDE MIDAMOR THALITONE ZAROXOLYN Miscellaneous antihypertensives (hypertension) hydralazine hydralazine/hctz minoxidil DIBENZYLINE DEMSER Osteoporosis drugs (osteoporosis) alendronate calcitonin etidronate fortical ibandronate pamidronate ACTONEL ATELVIA EVISTA AREDIA BINOSTO BONIVA DIDRONEL FORTEO FOSAMAX FOSAMAX + D GANITE MIACALCIN INJ MIACALCIN SPRAY PROLIA RECLAST SKELID XGEVA ZOMETA
6 Prenatal multivitamin with chewable multivitamin/ multiple vitamins/ poly-vitamin/ tri-vitamin/ vitamins A/D/C/ Prenatal multivitamin with iron and folic acid mynatal tab MYNATAL CAP Smoking cessation medications (tobacco cessation) buproban buproban sr bupropion bupropion SR CHANTIX NICOTROL INHALER NICOTROL NS ZYBAN Please remember that this is not a complete list of medications covered under your plan. Because there are thousands of medications included in your pharmacy benefit, we only list the most common ones. Certain drugs such as those for smoking cessation or vitamins may not be covered by your particular pharmacy plan. Diabetic supplies may be covered under your medical plan. If you have any questions about your pharmacy benefits, please visit and log in to your Aetna Navigator member website. If you don t have access to our website, call the toll-free number on your member ID card. To check coverage and copay information for a specific medicine, visit and log in to Aetna Navigator. For more details, please call the toll-free number on your member ID card. Aetna Pharmacy Management refers to an internal business unit of Aetna Health Management, LLC. This is not an inclusive list. Products that are not represented on this list may be subject to plan-specific copayment or coinsurance. Void where prohibited by law. Specific prescription benefits plan design may not cover certain categories or may be subject to additional charges or restrictions, regardless of their appearance in this document. Aetna may receive rebates, discounts and service fees from pharmaceutical manufacturers for certain listed products. Your privacy is important to us. Our employees are trained regarding the appropriate way to handle your private health information. Information is believed to be accurate as of the production date; however, it is subject to change. For questions, please call the toll-free number on your member ID card Aetna Inc C (9/13)
2014 Preventive Medicine List
Quality health plans & benefits Healthier living Financial well-being Intelligent solutions 2014 Preventive Medicine List 05.03.393.1 F (2/14) ACE inhibitors (hypertension, diabetes) benazepril benazepril/hctz
More information2014 Chronic Medicine List
Quality health plans & benefits Healthier living Financial well-being Intelligent solutions 2014 Chronic Medicine List TIER ONE ACE inhibitors (hypertension, diabetes) benazepril benazepril/hctz captopril
More informationReducing your out-of-pocket costs for the medicine you need Preventive Medicine List
Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Reducing your out-of-pocket costs for the medicine you need Preventive Medicine List 05.03.393.1 G (10/14) Receive
More informationHow to use your pharmacy benefits for better health
cholestyramine fenofibrate gemfibrozil lovastatin pravastatin sodium simvastatin Crestor Niaspan Simcor Tricor Vytorin Frequently Asked Questions about Preventive Care Drugs High Cholesterol alendronate
More informationSAVE ON MEDICAL SERVICES and PRESCRIPTION DRUGS for ongoing conditions
SAVE ON MEDICAL SERVICES and PRESCRIPTION DRUGS for ongoing conditions With Dickinson College s Value Based Insurance Design (VBID) If you have an ongoing condition, you can live well. You will need to
More informationMedicines To Help You High Blood Pressure
Medicines To Help You High Blood Pressure Use this guide to help you talk to your doctor, pharmacist, or nurse about your blood pressure medicines. The guide lists all of the FDA-approved products now
More informationTo Learn More: Medicines To Help You High Blood Pressure
Medicines To Help You High Blood Pressure Use this guide to help you talk to your doctor, pharmacist, or nurse about your blood pressure medicines. The guide lists all of the FDA-approved products now
More informationBlueSaver Generic Preventive Care Drug Program List
An independent licensee of the Blue Cross and Blue Shield Association. BlueSaver Generic Preventive Care Drug Program List Preventive care drugs are drugs that can help keep you from developing a health
More informationAvoid paying too much for your prescriptions
Quality health plans & benefits Healthier living Financial well-being Intelligent solutions 2016 Aetna Rx Step Program Medicine List Avoid paying too much for your prescriptions It s important to try to
More informationMedication Review. Cardiovascular Drugs. Pharmacy Technician Training Systems Passassured, LLC
Medication Review Cardiovascular Drugs Pharmacy Technician Training Systems Passassured, LLC Medication Review, Cardiovascular Drugs PassAssured's Pharmacy Technician Training Program Medication Review
More informationAngiotensin-converting enzyme (ACE) inhibitors Angiotensin II receptor blockers (ARBs) Beta-blockers Calcium channel blockers Diuretics
Angiotensin-converting enzyme (ACE) inhibitors Angiotensin II receptor blockers (ARBs) Beta-blockers Calcium channel blockers Diuretics This brochure gives you information about high blood pressure and
More informationUnitedHealthcare Group Medicare Advantage (PPO)
Your Plan Explained UnitedHealthcare Group Medicare Advantage (PPO) UHEX11MP3230855_001 Y0066_100616_09113 Your Medicare. This brochure explains your Medicare Advantage plan, a type of health plan also
More information612 Program Midtown Express Pharmacy
ALENDRONATE SOD TAB 35MG (max 1 per week) $37.00 $70.00 ALENDRONATE SOD TAB 70MG (max 1 per week) $37.00 $70.00 ALLOPURINOL TAB 100MG $20.00 $38.00 ALLOPURINOL TAB 300MG $20.00 $38.00 AMITRIPTYLINE TAB
More informationPrescription Medications &Weight Gain What You Need to Know
Prescription Medications & Weight Gain What You Need to Know by Ted Kyle, RPh, MBA, and Bonnie Kuehl, PhD How can I be gaining weight? I m eating smarter, I m walking more. What am I doing wrong? You might
More informationAvoid paying too much for your prescriptions 2015 Aetna Rx Step Program Medicine List
Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Avoid paying too much for your prescriptions 2015 Aetna Rx Step Program Medicine List 05.03.392.1 C (10/14) It
More informationAETNA BETTER HEALTH Prior Authorization guidelines for Step Therapy
AETNA BETTER HEALTH Prior Authorization guidelines for Step Therapy Definition A form of automated Prior Authorization whereby one or more prerequisite medications, which may or may not be in the same
More informationSafety issues. Any stress test may have some risks, and you should consult with your physician prior to the test if you have any concerns.
Instructions for Nuclear Cardiology Stress Tests An intravenous catheter (I.V.) will be placed in your arm. Several electrodes will also be placed on your chest in order to record your heart rhythm (as
More informationDEPARTMENT OF ANESTHESIOLOGY Preoperative Medication Management Guidelines
FMLH Preoperative Medication Management Guidelines DEPARTMENT OF ANESTHESIOLOGY Preoperative Medication Management Guidelines Purpose: To provide recommendations regarding medication management for patients
More informationTrinity Clinic Whitehouse Automatic Refill Policy April, 2007
Trinity Clinic Whitehouse Automatic Refill Policy April, 2007 Overview The following pages contain details on how to administer our automatic refill policy. Our intent is to streamline, standardize and
More informationMEDICATION(S) SUBJECT TO STEP THERAPY
ACE/ARB COMBO AZOR 5-20 MG TABLET, AZOR 5-40 MG TABLET, BENICAR HCT, MICARDIS HCT, TARKA, TEKTURNA HCT, TELMISARTAN-HYDROCHLOROTHIAZID, TRIBENZOR Claims for formulary step 2 ACE Inhibitor combination products
More informationThe 365-day period begins with the first dispensing transaction for each Ontario Drug Benefit (ODB) recipient on or after October 1, 2015.
Ontario Public Drug Programs, Ministry of Health and Long-Term Care Chronic-use Medications List by In accordance with subsection 18 (11.1) of Ontario Regulation 201/96 made under the Ontario Drug Benefit
More informationMeasuring Generic Efficiency in Part D
Measuring in Part D Rates among Medicare Part D Generic efficiency rate is a measurement of the total number of prescrip=ons filled as a generic for products with a direct generic subs=tute within a therapeu=c
More informationIf your drug is not on the list just give us a call for a price. Ask us for details on how to avoid the higher deductible generic price.
If your drug is not on the list just give us a call for a price. Ask us for details on how to avoid the higher deductible generic price. FREE SHIPPING TO AL, CT, DE, FL, GA, IN, KS, MA, MO, MS, NC, NH,
More informationHealthyBlue Select Generics
Certain drugs are considered generic preventive by CareFirst BlueCross BlueShield and CareFirst BlueChoice, Inc. s Pharmacy Management Team. As a HealthyBlue CDH member, the drugs listed below are not
More informationInsulin Injection, Rapid-Acting
IN-su-lin \*\*Illustration of how to give a subcutaneous shot with a syringe What are other names for this medicine? Type of medicine: antidiabetic Generic and brand names: rapid-acting insulin aspart,
More informationMembers enjoy more Pharmacy savings *
Sam s Plus Members enjoy more Pharmacy savings 5 prescription drugs available for FREE Generic medications: Donepezil, Pioglitazone, Escitalopram, Finasteride and Vitamin D2 50,000IU are $ 0 for a 30-day
More informationBlood Pressure Medication. Barbara Pfeifer Diabetes Programs Manager
United Indian Health Services Blood Pressure Medication Titration Program Barbara Pfeifer Diabetes Programs Manager Why a Medication titration program? Despite the many antihypertensive medications available,
More informationMedicines for Heart Disease
Medicines for Heart Disease There are many medicines to treat heart disease. Ask your doctor, nurse or pharmacist if you have questions about your medicines. Take medicines as directed. Do NOT stop taking
More informationPSYCHOSOMATIC INSTITUTE OF SAN ANTONIO New Patient Information
PSYCHOSOMATIC INSTITUTE OF SAN ANTONIO New Patient Information Name: Last: First: MI: Birth Date: Sex: M F Marital Status: Single Married Divorced Separated Widowed Partnered Other Preferred name: Emergency
More informationHealth Plan & Formulary A Simple Resource to Help You Understand Your Benefits. Comparison Guide
Health Plan & Formulary A Simple Resource to Help You Understand Your Benefits Comparison Guide Contents What Does Rx Formulary Mean?... 3 How To Use This Comparison Guide... 3 A Note To Members... 3 Health
More information$4, 30-day $10, 90-day
$4 Prescriptions - Choose from hundreds of generic drugs and over the counter medications. Free Home Delivery Mailed right to your home Free shipping Prescription Program includes up to a 30-day supply
More informationGuidance for Industry Hypertension Indication: Drug Labeling for Cardiovascular Outcome Claims
Guidance for Industry Hypertension Indication: Drug Labeling for Cardiovascular Outcome Claims U.S. Department of Health and Human Services Food and Drug Administration Center for Drug Evaluation and Research
More informationATRIO s Top Ten most prescribed High Risk Medications (HRM) with Formulary Alternatives:
ATRIO s Top Ten most prescribed High Risk Medications (HRM) with Formulary Alternatives: High Risk Medication to Avoid: Generic (Brand) Alternatives for Consideration Reason to Avoid Prescribing Parameters
More informationPREFERRED GENERIC DRUG LIST
These discount programs are NOT health insurance policies and are not intended as a substitute for insurance. The programs do not qualify as a minimum creditable coverage under Massachusetts law or where
More informationHypertension: The Silent Killer: Updated JNC-8 Guideline Recommendations
Hypertension: The Silent Killer: Updated JNC-8 Guideline Recommendations Authors: Kayce Bell, Pharm.D. Candidate 2015 Harrison School of Pharmacy, Auburn University; June Twiggs, Pharm.D. Candidate 2015
More informationSurgery Scheduling Process
Pre-op Instructions Our surgery scheduler will contact you within one week of leaving our office. Your availability for surgery will be determined during that phone call. Our scheduler will then call the
More informationGEORGIA MEDICAID FEE-FOR-SERVICE ASTHMA and COPD AGENTS PA SUMMARY
GEORGIA MEDICAID FEE-FOR-SERVICE ASTHMA and COPD AGENTS PA SUMMARY Preferred Anticholinergics and Combinations Atrovent HFA (ipratropium) Combivent Respimat (ipratropium/albuterol) Ipratropium neb inhalation
More informationCOMPARING TWO KINDS OF BLOOD PRESSURE PILLS:
COMPARING TWO KINDS OF BLOOD PRESSURE PILLS: ACEIs and ARBs A Guide for Adults Fast Facts ACEIs and ARBs are two of the many kinds of blood pressure pills. Both kinds of pills (ACEIs and ARBs) do a good
More informationHome Delivery Prescription Program Drug List
Home Delivery Prescription Program Drug List Low-cost prescriptions, right in your mailbox. Now you can have your generic prescriptions mailed right to your home, no matter where you live. Because we think
More information$10.00 PRESCRIPTION PROGRAM DETAILS
$10.00 PRESCRIPTION PROGRAM DETAILS 1. The $10.00 program applies only to certain generic drugs at commonly prescribed 90 day usage dosages. (See list). 2. The Program may change without notification and
More informationPRESCRIPTION DRUG GUIDE
2007 PRESCRIPTION DRUG GUIDE Humana Formulary (List of Covered Drugs) GH-21346 9/06 PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN. 2 Welcome to Humana! PLEASE READ:
More informationMembers enjoy more Pharmacy savings *
Sam s Plus Members enjoy more Pharmacy savings 5 prescription drugs available for FREE Generic medications: Donepezil, Pioglitazone, Escitalopram, Finasteride and Vitamin D2 50,000IU are $ 0 for a 30-day
More informationRetail Prescription Program Drug List
Retail Prescription Program Drug List Price Matters New Men s Health Category Convenience Free Home Delivery Our 4 prescriptions have saved our customers over 3 billion The program is available to everyone,
More informationWe plan to open in June 2013! (Our contact information and hours of operation are contained in your packet).
Northwestern Consolidated Schools of Shelby County, Shelby Eastern Schools Corporation, Southwestern Consolidated School District and Hancock Madison Shelby Education Services benefit eligible employees/dependents:
More information12629 LIBRIUM CHLORDIAZEPOXIDE HCL 12637 LIBRIUM CHLORDIAZEPOXIDE HCL 12645 LIBRIUM CHLORDIAZEPOXIDE HCL 13110 VALIUM DIAZEPAM 13277 VALIUM DIAZEPAM 24406 LITHANE LITHIUM CARBONATE 25836 SURMONTIL TRIMIPRAMINE
More informationGeneric Pharmacy Discount
Generic Pharmacy Discount 83 Park Place Blvd Suite 101 Clearwater, FL 33759 Fourth Quarter 2014 727.461.6044 800.314.0088 Pharmacies Generic Discount Program Information Enclosed information provided
More informationPsychiatric Medications: Pearls and Pitfalls. The majority of medications used in patients with psychiatric diagnoses have more than one use.
Psychiatric Medications: Pearls and Pitfalls Rule #1 The majority of medications used in patients with psychiatric diagnoses have more than one use. Without access to the patient s medical record, to review
More informationDRUG FOOD INTERACTIONS
ANTIHYPERTENSIVES Natural licorice in large amounts can aggravate high blood pressure and can lower potassium levels. Natural licorice should be avoided with all antihypertensive medications. (Read food
More informationListing Updated: December 2007 ANALGESIC ANTI-INFECTIVE CARDIOVASCULAR
ANALGESIC NSAIDs Diclofenac Potassium Diclofenac Sodium Diflunisal Etodolac Fenoprofen Flurbiprofen Ibuprofen Indomethacin Indomethacin SR Ketoprofen Ketoprofen ER Ketorolac Meclofenamate Sod. Nabumetone
More informationDirectory of Generic Medications Eligible for Rx Savings Program Flat Fees
Directory of Generic Medications Eligible for Rx Savings Program Flat Fees CONNECTICUT VERSION If you re already enrolled in the FREE* Rx Savings Program, use this guide to find your best choices. And,
More informationMedications Requiring Prior Authorization for Medical Necessity
January 2015 Medications Requiring Medical Necessity Below is a list of medicines by drug class that will not be covered without a prior authorization for medical necessity, effective January 1, 2015.
More informationHEALTH PLAN & FORMULARY COMPARISON GUIDE. A Simple Resource to Help You Understand Your Benefits
HEALTH PLAN & FORMULARY COMPARISON GUIDE A Simple Resource to Help You Understand Your s Contents PAGE What Does Rx Formulary Mean?....................................3 How To Use This Comparison Guide.................................3
More informationCommunity TouchPoint
Community TouchPoint Advice from a Pharmacist: Vitamins, Supplements, and Medication Safety Cassie Spray, PharmD Clinical Pharmacist Kathryn Hauenstein, PharmD PGY1 Community Pharmacy Resident Megan Kline,
More informationCountyCare Appropriate Uses and Safety Edits
CountyCare Appropriate Uses and Safety Edits The health and safety of our members are top priorities for CountyCare. One of the ways we address patient safety is through point-of-sale (POS) edits at the
More informationPREVENTIVE DRUGS BY CONDITION
PREVENTIVE DRUGS BY CONDITION January 2015 Preventive care coverage is an integral part of a comprehensive health care plan that includes preventive drug therapies. Under some plans, you may not be required
More information2011 Benefits Guide. Benefits Guide
2011 Benefits Guide 2012 Benefits Guide Emory Healthcare is proud to be a vital part of the Atlanta community. One of the reasons we are an employer of choice is the rich benefits package that we offer
More informationPSYCHOPHARMACOLOGY AND WORKING WITH PSYCHIATRY PROVIDERS. Juanaelena Garcia, MD Psychiatry Director Institute for Family Health
PSYCHOPHARMACOLOGY AND WORKING WITH PSYCHIATRY PROVIDERS Juanaelena Garcia, MD Psychiatry Director Institute for Family Health Learning Objectives Learn basics about the various types of medications that
More informationNoninsulin Diabetes Medications Summary Chart Medications marked with an asterisk (*) can cause hypoglycemia MED GROUP DESCRIPTOR
Noninsulin Diabetes Medications Summary Chart Medications marked with an asterisk (*) can cause MED GROUP DESCRIPTOR INSULIN SECRETAGOGUES Sulfonylureas* GLYBURIDE* (Diabeta) (Micronase) MICRONIZED GLYBURIDE*
More informationMonthly Copays. Union Copays Crestor 20MG - Tier 2,10% Eliquis 5mg - Tier 3, 20% Non-Union Copays Crestor 20MG - Tier 2, $25
Introduction: MCSMeds is an international mail order option for eligible Employees, Retirees and Dependents of Muncie Community Schools. Your list of qualified maintenance medications is on the reverse.
More informationEXCHANGES_CVSC_NY3 eff 10/01/2015
EXCHANGES_CVSC_NY3 eff 10/01/2015 Drug Name ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS Amphetamines amphetamine-dextroamphetamine cap sr 1 QL (90 caps / 25 days) 24hr 5 amphetamine-dextroamphetamine
More information2015 Medicare Part D Step Therapy Requirements. Effective: November 01, 2015
2015 Medicare Part D Step Therapy Requirements Effective: November 01, 2015 Formulary ID 15293, Version 17 Last Updated: 10/27/2015 BISPHOSPHONATE THERAPY ACTONEL 30 MG TABLET ACTONEL 35 MG TABLET ACTONEL
More informationBurlington Scripts Vs. Current local purchase plan. Current Copays
Introduction: Burlington Scripts is a voluntary prescription drug program that is available to eligible Employees, Retirees and their Dependents of the Town of Burlington, MA. For your convenience, a list
More informationMedicines Used to Treat Type 2 Diabetes
Goodman Diabetes Service Medicines Used to Treat Type 2 Diabetes People who have type 2 diabetes may need to take medicine to help lower their blood glucose, in addition to being active & choosing healthy
More informationArizona Department of Health Services/ Division of Behavioral Health Services Behavioral Health Drug List Effective 1/1/2014
Arizona Department of Health Services/ Division of Behavioral Health Services Behavioral Health Drug List Effective 1/1/2014 The Arizona Department of Health Services, Division of Behavioral Health Services,
More informationProduct Catalog. 65862-0073-60 Abacavir Tablets 300 mg 60 80 80 AB Ziagen Yellow
65862-0073-60 Abacavir Tablets 300 mg 60 80 80 AB Ziagen Yellow 13107-0058-01 Acetaminophen & Codeine Tablets, C-III 300 mg / 15 mg 100 216 216 AA Tylenol-Codeine White/Off-White 13107-0059-01 Acetaminophen
More informationUpdated MAR 26, 2013 Myelography Seizures:
Updated MAR 26, 2013 Myelography Medications to be evaluated prior to myelography. This list is to assist the radiologist, pharmacist, and radiology technologist in evaluating medication risk associated
More informationJuly 2015 P & T Updates
Commercial Triple Tier 4th Tier Applicable Traditional CORLANOR 3 2 2 tablets per day GLYXAMBI 3 2 1 tablet per day Alternatives carvedilol, bisoprolol, metoprolol succinate, digoxin, hydralazine, isosorbide
More informationFOOD/DRUG INTERACTIONS
FOOD/DRUG INTERACTIONS Some medications can be affected by foods. Following some precautions can help your medicine to work better and prevent some potential side effects. This pamphlet includes only some
More information(List of Covered Drugs)
(List of Covered Drugs) This formulary was updated on 8/19/2015. For more recent information or other questions, please contact Florida Health Care Plans Member Services at 1-877-615-4022 or, for TTY users,
More informationNLPDP Coverage Status Table December 2015. Initial and maintenance fills are limited to a maximum 30 days
Coverage Table December 2015 02238646 282 MEP TABLET OPEN No 500 0.2103 02234510 282 TABLET OPEN No 500 0.0726 02238645 292 TABLET OPEN No 50 0.1877 02192691 3TC 10 MG/ML SOLUTION OPEN No 240 0.3454 02192683
More informationFollow-up Medical History (FH-1)
9FH126 Jan 10 Citalopram for Agitation in Alzheimer s Disease CitAD (FH-1) Reference #: Purpose: Record the interval medical history. When: At F3, F6, and F9. Completed by: CitAD certified clinician. Instructions:
More informationFYI: (Acceptable range for blood glucose usually 70-110 mg/dl. know your institutions policy.)
How Insulin Works: Each type of insulin has an onset, a peak, and a duration time. Onset is the length of time before insulin reaches the bloodstream and begins lowering blood Peak is the time during which
More informationHMO and PPO Updates May 2013- Commercial Results
HMO and PPO Updates May 2013- Commercial Results ELIQUIS Non Triple Tier Formular y 4th Tier Applicable Traditional Alternatives warfarin, Xarelto, Pradaxa TAMIFLU - EXPANDED INDICATION 2 No 2 No No None
More informationCareATC Generic Formulary Medications Available (2015)
Allergic Reactions EPINEPHRINE** Ephinephrine, EpiPen CETIRIZINE 10MG Zyrtec FEXOFENADINE180MG TABS 100ct Allegra Allergies LORATADINE 10MG Claritin MONTELUKAST 4MG 30CT Singulair PROMETHAZINE 25MG AMP
More informationDepression. Medicines To Help You
Medicines To Help You Depression Use this guide to help you talk to your doctor, pharmacist, or nurse about your medicines for depression. The guide lists all of the FDA-approved products now available
More informationEarly Morning Waking Excessively Orderly or Perfectionistic
COLLEGE OF MEDICINE Jacksonville 580 W 8 th St T-2 6 th Fl Ste 6005 6266 Dupont Station Ct Department of Psychiatry Jacksonville, FL 32209 Jacksonville, Fl 32217 Division of Adult Psychiatry Phone 904-383-1038
More informationMedications Used in the Management of Disruptive Behavior Disorders
The following medication chart is provided as a brief guide to some of the medications used in the management of various behavior disorders, along with their potential benefits and possible side effects.
More informationHealth Plan & Formulary A Simple Resource to Help You Understand Your Benefits. Comparison Guide
Health Plan & Formulary A Simple Resource to Help You Understand Your s Comparison Guide Contents What Does Rx Formulary Mean?... 3 How To Use This Comparison Guide... 3 A Note To Members... 3 Health Plan
More informationFormulary Drug Removals
January 2015 Below is a list of medicines by drug class that have been removed from your plan s formulary. This list is effective January 1, 2015. If you continue using one of the drugs listed below and
More informationEffective January 1, 2016
Effective January 1, 2016 CONTENTS Prescription Benefit Changes...2 2016 Prescription Drug Benefit Highlights...3 Comparing Your Options...4 Filling Your Prescriptions...4 Benefit Coverage Tiers...5 Prescription
More informationPREFERRED GENERIC DRUG LIST
ALLERGIES & COLD AND FLU Preferred generic drugs MARCH 2013 supply* for $5 supply* for $10 and $15 * The day supply is based upon the average dispensing patterns for the specific drug and strength. 90-
More informationHEALTH PLAN & FORMULARY COMPARISON GUIDE. A Simple Resource to Help You Understand Your Benefits
HEALTH PLAN & FORMULARY COMPARISON GUIDE A Simple Resource to Help You Understand Your s Contents PAGE What Does Rx Formulary Mean?......................... 3 How To Use This Comparison Guide......................
More informationLamictal, lamotrigine Lithium, lithobid, eskalith Depakote, valproate Trileptal, oxcarbazepine Tegretol, equetro, carbamazepine Atypicals (aripiprazole, abilify, olanzapine, zyprexa, invega, risperdal,
More informationWhat are the best treatments?
What are the best treatments? Description of Condition Depression is a common medical condition with a lifetime prevalence in the United States of 15% among adults. Symptoms include feelings of sadness,
More informationVantage Health Plan. Nationwide Coverage. Nationwide Care. Nationwide Service. 2016 OGB Medical Home HMO Plan. OGB Approved. VHP517 R090415 Approved
Vantage Health Plan 2016 OGB Medical Home HMO Plan Nationwide Coverage. Nationwide Care. Nationwide Service. VHP517 R090415 Approved OGB Approved Welcome to Vantage Dear OGB Member: Vantage Health Plan
More informationTHP WV Medicaid Quantity Limit Coverage Rules
THP WV Medicaid Quantity Limit Coverage Rules ABILIFY SOLUTION LIMITED TO A DAILY DOSE OF 30ML PER DAY ABILIFY VIAL LIMITED TO A DAILY DOSE OF 1.3ML PER DAY ABILIFY/DISCMELT TABLET LIMITED TO A DAILY DOSE
More informationMedicare Part D. Take Control of Your Prescription Drug Costs. Inside: information you need to enroll.
2010 Take Control of Your Prescription Drug Costs Medicare Part D Inside: information you need to enroll. IBPDP3179522_XACE000 C0009_PDP3179522_000 When you are ready to enroll: Call 1-866-804-3860, TTY
More informationManagement of Hypertension in Adults Age 18 Years and Older Clinical Practice Guidelines
Management of Hypertension in Adults Age 18 Years and Older Clinical Practice Guidelines General Principles: Uncontrolled hypertension can cause significant morbidity and mortality. The judicious control
More informationHEALTH PLAN & FORMULARY COMPARISON GUIDE. A Simple Resource to Help You Understand Your Benefits
HEALTH PLAN & FORMULARY COMPARISON GUIDE A Simple Resource to Help You Understand Your s Contents PAGE What Does Formulary Mean?... 3 How To Use This Comparison Guide... 3 A Note To Members... 3 Health
More informationMedications A detailed booklet that describes mental disorders and the medications for treating them includes a comprehensive list of medications.
A detailed booklet that describes mental disorders and the medications for treating them includes a comprehensive list of medications. 2014 Contents Introduction: Mental Health Medications...1 What are
More informationApproximate Cost Reference List i for Antihyperglycemic Agents
Alpha Glucosidase Inhibitor Acarbose (Glucobay ) Biguanides Metformin (Glucophage, generic) Metformin ER (Glumetza ) Approximate Cost Reference List i for Antihyperglycemic Agents Incretin Agents - DPP-4
More informationType 2 Diabetes Medicines: What You Need to Know
Type 2 Diabetes Medicines: What You Need to Know Managing diabetes is complex because many hormones and body processes are at work controlling blood sugar (glucose). Medicines for diabetes include oral
More informationUVA OUTPATIENT SURGERY CENTER (OPSC) PREPARING FOR SURGERY HANDBOOK
Surgeon Name/PIC: Surgery Name: Surgery Date: Patient Label or Patient NAME Patient UVA MRN ARRIVAL TIME: (provided by OPSC nurse during phone call) UVA OUTPATIENT SURGERY CENTER (OPSC) PREPARING FOR SURGERY
More informationHEALTH PLAN & FORMULARY COMPARISON GUIDE. A Simple Resource to Help You Understand Your Benefits
HEALTH PLAN & FORMULARY COMPARISON GUIDE A Simple Resource to Help You Understand Your s Contents PAGE What Does Formulary Mean?... 3 How To Use This Comparison Guide... 3 A Note To Members... 3 Health
More informationMonthly Copays. Medications must be tried for 30 days before ordering through Aspire Indiana CanaRx.
Introduction: Aspire Indiana CanaRx is an international mail order option for eligible Employees and their Dependents of Aspire Indiana, Inc. For your convenience, a list of eligible medications is located
More informationDIABETES EDUCATION. *Read package insert each time you refill your medications in case there is new information SULFONYLUREAS
DIABETES EDUCATION *Read package insert each time you refill your medications in case there is new information SULFONYLUREAS ACTION: Sulfonylureas stimulate the pancreas to make more insulin (pancreas
More informationMEDICATIONS COMMONLY USED IN CHRONIC KIDNEY DISEASE. HealthPartners Kidney Health Clinic 2011
MEDICATIONS COMMONLY USED IN CHRONIC KIDNEY DISEASE HealthPartners Kidney Health Clinic 2011 People with chronic kidney disease (CKD) require multiple medications. This handout will help explain the reason
More informationValue-Priced Medication List
Value-Priced Medication List In addition to the discounts on thousands of brand-name and most other generic medications that Walgreens Prescription Savings Club members enjoy, club members receive greater
More informationCHAPTER 8 ANTIHYPERTENSIVE DRUGS
CHAPTER 8 ANTIHYPERTENSIVE DRUGS Classification 1. Diuretics. 2. Beta adrenergic blockers. 3. Calcium channel blockers. 4. Angiotensin converting enzyme inhibitors. 5. Angiotensin receptor blockers. 6.
More informationMental Health Medications
Mental Health Medications National Institute of Mental Health U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Contents Mental Health Medications..............................................................1
More information