| 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 |