Drug List Changes

  • Preferred B3 drug list changes effective April 1, 2024

    Drug Name Description of Change Cost-effective Alternatives
    Balcoltra tabletMoving to Tier 3levonorgestrel/ethinyl estradiol tablet
    Mitigare capsule Moving to Tier 3
    colchicine capsule
    Votrient tabletMoving to Tier 3pazopanib tablet
  • M4 drug list changes effective April 1, 2024

    Drug Name Description of Change Cost-effective Alternatives
    Alphagan P 0.1% eye drop No longer covered brimonidine 0.1% eye drop
    Balcoltra tablet No longer covered levonorgestrel/ethinyl estradiol tablet
    Daytrana patch No longer covered methylphenidate patch
    Mitigare capsule No longer covered colchicine capsule
    Mydayis extended-release capsule No longer covered amphetamine mixed salts extended-release capsule
    Voltrient tabletNo longer coveredpazopanib tablet
    Vyvanse capsuleNo longer coveredlisdexamfetamine capsule