Drug List Changes

  • M4 Drug List Changes Effective July 1, 2019

    Drug Name Description of Change Cost-effective Alternatives
    Advair Diskus inhaler No longer covered fluticasone-salmeterol inhaler
    Emend capsule No longer covered aprepitant capsule
    Fareston tablet No longer covered toremifene tablet
    Mestinon syrup No longer covered pyridostigmine syrup
    Ranexa extended-release tablet No longer covered ranolazine extended-release tablet
    Rapamune solution No longer covered sirolimus solution
    Remodulin vial No longer covered treprostinil vialt
    Renagel tablet No longer covered sevelamer hydrochloride tablet
    Sabril tablet No longer covered vigabatrin tablet
    Sensipar tablet No longer covered cinacalcet tablet
    Solodyn extended-release tablet No longer covered minocycline extended-release tablet
    Suboxone film No longer covered buprenorphine/naloxone film
    Tekturna tablet No longer covered aliskiren tablet
    Zovirax 5% cream No longer covered acyclovir 5% cream