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Drug List Changes
Effective April 1, 2025
Preferred B3 drug list changes
Drug Name
Description of Change
Cost-effective Alternatives
ANALPRAM-HC 2.5 %-1 % CREAM
Moving to Tier 3
hydrocortisone-pramoxine 2.5%-1% cream
SPRYCEL TABLETS
Moving to Tier 3
dasatinib tablets
M4 drug list changes
Drug Name
Description of Change
Cost-effective Alternatives
isotretinoin capsules (select NDCs)
No longer covered
Accutane, Amnesteem, Claravis, Zenatane
MIPLYFFA CAPSULES
No longer covered
AQNEURSA PACKETS
PONVORY TABLETS
No longer covered
fingolimod capsules, dimethyl fumarate capsules
SPRYCEL TABLETS
No longer covered
dasatinib tablets
Effective March 1, 2025
No changes
Effective February 1, 2025
No changes