| Drug Name |
Description of Change |
Cost-effective Alternatives |
| Albenza tablet |
No longer covered |
albendazole tablet |
| Amicar tablet |
No longer covered |
aminocaproic acid tablet |
| Ampyra extended-release tablet |
No longer covered |
dalfampridine extended-release tablet |
| Androgel gel packet |
No longer covered |
testosterone gel packet |
| Butrans patch |
No longer covered |
buprenorphine patch |
| Canasa suppository |
No longer covered |
mesalamine suppository |
| Elidel topical cream |
No longer covered |
pimecrolimus topical cream |
| Evekeo tablet |
No longer covered |
amphetamine tablet |
| Finacea topical gel |
No longer covered |
azelaic acid topical gel |
| Fortesta topical gel |
No longer covered |
testosterone topical gel |
| Onfi suspension |
No longer covered |
clobazam suspension |
| Onfi tablet |
No longer covered |
clobazam tablet |
| Rapaflo capsule |
No longer covered |
silodosin capsule |
| Zytiga tablet |
No longer covered |
abiraterone acetate tablet |