Drug List Changes

  • M4 Drug List Changes Effective October 1, 2018

    Drug Name Description of Change Cost-effective Alternatives
    Biltricide tablet No longer covered praziquantel tablet
    DermacinRx Lexitral PharmaPak solution No longer covered diclofenac 1.5% solution
    Lido-K 3% lotion No longer covered lidocaine 3% cream
    Lidopril 2.5%-2.5% cream No longer covered lidocaine 2.5%/prilocaine 2.5% cream
    LidoRx 3% gel No longer covered lidocaine 3% cream
    Lidozion 3% lotion No longer covered lidocaine 3% cream
    Welchol tablet No longer covered colesevelam tablet
    Zavesca capsule No longer covered miglustat capsule