Drug List Changes

  • M4 Drug List Changes Effective October 1, 2021

    Drug Name Description of Change Cost-effective Alternatives
    Banzel tablet No longer covered rufinamide tablet
    Bepreve eye drops No longer covered bepotastine eye drops
    Ferriprox 500 mg tablet No longer covered deferiprone 500 mg tablet
    Lyrica CR extended-release tablet No longer covered pregabalin extended-release tablet
    Miacalcin vial No longer covered calcitonin vial