| Drug Name |
Description of Change |
Cost-effective Alternatives |
| Azopt eye drops |
No longer covered |
brinzolamide eye drops |
| Hysingla ER tablet |
No longer covered |
hydrocodone bitartrate ER tablet |
| Lotemax 0.5% ophthalmic gel |
No longer covered |
loteprednol 0.5% ophthalmic gel |
| Saphris sublingual tablet |
No longer covered |
asenapine sublingual tablet |
| Truvada tablet |
No longer covered |
emtricitabine/tenofovir disoproxil tablet |
| Zytiga 500 mg tablet |
No longer covered |
abiraterone 500 mg tablet |
| Pexeva |
No longer covered |
PAROXETINE MESYLATE |
| Viibryd |
No longer covered |
Citalopram, Escitalopram, Paroxetine or Sertraline |