Drug List Changes

  • M4 Drug List Changes Effective April 1, 2019

    Drug Name Description of Change Cost-effective Alternatives
    Albenza tablet No longer covered albendazole tablet
    Amicar tablet No longer covered aminocaproic acid tablet
    Ampyra extended-release tablet No longer covered dalfampridine extended-release tablet
    Androgel gel packet No longer covered testosterone gel packet
    Butrans patch No longer covered buprenorphine patch
    Canasa suppository No longer covered mesalamine suppository
    Elidel topical cream No longer covered pimecrolimus topical cream
    Evekeo tablet No longer covered amphetamine tablet
    Finacea topical gel No longer covered azelaic acid topical gel
    Fortesta topical gel No longer covered testosterone topical gel
    Onfi suspension No longer covered clobazam suspension
    Onfi tablet No longer covered clobazam tablet
    Rapaflo capsule No longer covered silodosin capsule
    Zytiga tablet No longer covered abiraterone acetate tablet