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Alternatives to Non-Formulary Medications

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Research shows that the more involved you are in your health care, the better the results and the more satisfied you'll feel. That is why it is very important for you to work with your doctor when a treatment is selected. There are often many medications available that treat the same condition.

Your pharmacist may be able to direct you and your doctor to a medication that is similar to the one you are already on, but costs less. If you are taking a non-preferred product, discuss these preferred alternatives with your doctor.

Please take a moment to review this list to help lower your prescription costs.

Alternatives to Non-Formulary Medications

  • Generic medications are listed in lower-case, bold print. Brand-name medications in parentheses after a generic are provided only as a reference. Example: lisinopril (Zestril®, Prinivil®).
  • Exact generic equivalents are marked with a "†" symbol. Example: simvastatin
  • Brand-name medications are designated with a "®" symbol.
  • Sustained action/release, extended-release or long-acting products are indicated as "SA", "SR", "ER" or "LA".
  • Other, less-expensive options may be available over the counter (OTC) without a prescription. OTC products generally are not a covered prescription benefit unless listed.

Please Note: This is not a complete list of preferred medication alternatives. Please refer to our Preferred Medication List/Formulary for a complete listing of covered medications.

Select the first letter in the name of the medication for which you would like to find a preferred alternative:

A   B   C   D   E   F   G   H   I   J   K   L   M   N   O   P   Q   R   S   T   U   V   W   X   Y   Z 

Effective February 28, 2014
Updated March 3, 2014

Non-Preferred/Non-Formulary Brand Name Generic and Preferred Brand Alternatives

A
Acanya® topical gel clindamycin-benzoyl peroxide gel (BenzaClin®)
Accolate® tablet zafirlukast
Accu-Chek® test strips OneTouch® test strips*
AccuNeb® inhalation solution albuterol inhalation solution
Accupril® quinapril
Accuretic® quinapril-HCTZ
Aceon® perindopril erbumine
Aciphex® omeprazole (Prilosec®), pantoprazole (Protonix®), Dexilant®
Actigall® capsule ursodiol
Actiq® lollipop fentanyl citrate
Activella® estradiol-norethindrone†, mimvey
Actoplus Met® pioglitazone-metformin
Actos® pioglitazone
Acular® ketorolac 0.5% ophthalmic solution
Acular LS® ketorolac 0.4% ophthalmic solution
Acuvail® ketorolac ophthalmic solution (Acular®, Acular LS®)
Aczone® clindamycin solution, clindamycin/benzoyl peroxide (BenzaClin®), erythromycin gel, erythromycin base/benzoyl peroxide (Benzamycin®), sulfacetamide/sulfur formulations
Adalat CC® nifedipine ER
Adderall® tablet amphetamine salt combo tablet
Adoxa® doxycycline monohydrate
Advicor® simvastatin (Zocor®), pravastatin (Pravachol®), lovastatin (Mevacor®) + niacin ER (Niaspan®)
Afinitor® Nexavar®, Sutent®
Aggrenox® cilostazol (Pletal®), dipyridamole (Persantine®) + aspirin (OTC), clopidogrel (Plavix®), ticlopidine
Aldactazide® tablet spironolactone/HCTZ
Aldactone® tablet spironolactone
Aldara® imiquimod
Alomide® cromolyn ophthalmic (Crolom®), ketotifen fumarate ophthalmic solution ( Zaditor®), Alocril®, Patanol®
Alphagan® ophthalmic solution brimonidine
Altabax® mupirocin (Bactroban®)
Altace® ramipril
Altoprev® atorvastatin (Lipitor®), lovastatin (Mevacor®), pravastatin sodium (Pravachol®), simvastatin (Zocor®)
Amaryl® glimepiride
Ambien® zolpidem tartrate
Ambien CR® zolpidem tartrate ER
Amerge® naratriptan
Amicar® tablet aminocaproic acid
Amitiza® lactulose, polyethylene glycol/electrolyte solution
Amrix® cyclobenzaprine ER
Anafranil® capsule clomipramine
Ancobon® flucytosine
Androderm® testosterone cypionate (Depo-Testosterone®), testosterone enanthate (Delatestryl®)
Angeliq® FemHrt®, Premphase®, Prempro®
Antabuse® disulfiram
Antara® fenofibrate, gemfibrozil (Lopid®)
Anzemet® tablet granisetron HCL (Kytril®), metoclopramide (Reglan®), ondansetron (Zofran®, Zofran ODT®), prochlorperazine, promethazine
Apidra® Humalog®, Novolog®
Aplenzin® budeprion XL, bupropion XL
Aptivus® Crixivan®, Invirase®, Lexiva®, Norvir®, Reyataz®, Viracept®
Aralen® tablet  chloroquine
Arava® leflunomide
Aricept® tablet donepezil
Aricept ODT® tablet donepezil ODT
Arimidex® tablet anastrozole
Arixtra® fondaparinux
Aromasin® tablet exemestane
Arthrotec® diclofenac-misoprostol
Astelin® nasal spray azelastine
Astepro® nasal spray azelastine (Astelin®)
Atacand® candesartan
Atacand HCT® candesartan-HCTZ
Ativan® tablet lorazepam
Atopiclair® betamethasone (Diprolene®), desonide (DesOwen®), fluocinolone acetonide, triamcinolone acetonide
Atrovent® nasal spray ipratropium
Atrovent® solution ipratropium bromide
Augmentin XR® amoxicillin-clavulanate
Augmentin® tabs, chews, suspension amoxicillin/pot. clavulanate
Aurodex® otic benzocaine/antipyrine
Avalide® irbesartan/hctz
Avandamet® glyburide (Diabeta®), glipizide (Glucotrol®), metformin (Glucophage®)
Avandia® glimepiride (Amaryl®), glipizide (Glucotrol®), glyburide (Diabeta®), metformin (Glucophage®)
Avapro® irbesartan
Avinza® morphine sulfate ER capsule
Axert® sumatriptan (Imitrex®), rizatriptan (Maxalt®), rizatriptan ODT (Maxalt-MLT®), Relpax®
Axid® nizatidine
AzaSite® ophthalmic solution bacitracin, bacitracin/polymyxin, ciprofloxacin HCL (Ciloxan®), erythromycin, gentamicin, ofloxacin (Ocuflox®), sulfacetamide, tobramycin,
Azor® benazepril (Lotensin®), captopril, enalapril (Vasotec®), fosinopril, lisinopril (Zestril®, Prinivil®), losartan (Cozaar®), moexipril (Univasc®), quinapril (Accupril®), trandolapril (Mavik®), Benicar®, telmisartan (Micardis®)
Azulfidine® EN-tabs® sulfasalazine
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B
Bactrim® tablet, suspension sulfamethoxazole/trimethoprim
Bactroban® cream, ointment mupirocin
Bayer Breeze® 2, Contour® Next EZ test strips OneTouch® test strips
Beconase AQ® flunisolide, fluticasone propionate (Flonase®), triamcinolone (Nasacort AQ®)
Bentyl® capsule, tablet dicyclomine
BenzaClin® clindamycin/benzoyl peroxide
Benzamycin® gel erythromycin base/benzoyl peroxide
Bepreve® ophthalmic solution cromolyn ophthalmic solution, ketorolac 0.5% (Acular®), Alocril®, Pataday®, Patanol®
Betagan® ophthalmic solution levobunolol
Betapace® tablet sotalol
Betaseron® Avonex®, Copaxone®, Rebif®
Biaxin® clarithromycin
Biaxin XL® clarithromycin ER
Bleph-10® ophthalmic solution sulfacetamide
Blephamide® ophthalmic suspension sulfacetamide/prednisolone
Boniva® ibandronate
Brintellix™ bupropion XL (Wellbutrin XL®), citalopram (Celexa®), fluoxetine (Prozac®), fluvoxamine (Luvox®), fluvoxamine ER (Luvox CR®), mirtazapine (Remeron, ®), paroxetine (Paxil®), sertraline (Zoloft®), venlafaxine (Effexor®), venlafaxine ER (Effexor XR®)
Brovana® Foradil®, Serevent Diskus®
Buphenyl® oral powder phenylbutyrate sodium
Bystolic® atenolol (Tenormin®), metoprolol (Lopressor®, Toprol XL®), propranolol (Inderal®), propranolol HCL SA (Inderal LA®)
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C
Caduet® amlodipine-atorvastatin
Calan® tablet verapamil
Campral® disulfiram (Antabuse®), naltrexone (ReVia®)
Carafate® suspension sucralfate tablet (Carafate®)
Carafate® tablet sucralfate
Carbatrol® carbamazepine ER
Cardene SR® capsule nicardipine
Cardizem CD® diltiazem SR
Cardizem® tablet diltiazem
Cardura® tablet doxazosin
Casodex® tablet bicalutamide
Cataflam® diclofenac potassium
Catapres-TTS® patch clonidine patch
Catapres® tablet clonidine
Ceftin® cefuroxime
Celebrex® diclofenac, etodolac, meloxicam (Mobic®), naproxen (Naprosyn®), salsalate
Celexa® tablet citalopram
Cellcept® capsule, tablet mycophenolate mofetil
Cenestin® tablet estradiol, estropipate, Enjuvia®
Cesamet® granisetron HCL (Kytril®), metoclopramide (Reglan®), ondansetron (Zofran®, Zofran ODT®), prochlorperazine, promethazine
Chantix®* buproban (Zyban®*), bupropion HCL SR (Zyban®*)
Ciloxan® ophthalmic solution ciprofloxacin HCL
Cimzia® Enbrel®, Humira®
Cipro® ciprofloxacin
Cipro XR® ciprofloxacin ER
Clarinex® desloratadine
Cleocin® capsule clindamycin
Cleocin® topical gel, lotion, solution clindamycin
Cleocin® vaginal suppository clindamycin vaginal cream (Cleocin®), metronidazole vaginal gel (MetroGel-Vaginal®)
Climara Pro® FemHRT®, Prempro®, Premphase®
Climara® transdermal patch estradiol transdermal patch
Clindesse® clindamycin vaginal cream (Cleocin®), metronidazole vaginal gel (MetroGel-Vaginal®)
Clobex® clobetasol propionate
Clomid® tablet* clomiphene citrate*
Clozaril® tablet clozapine
Colazal® balsalazide disodium
Colestid® granules, tablet colestipol HCL granules, tablet
Coly-Mycin S® hydrocort/polymyx/neomycin (Cortisporin® Otic), Cipro HC®, Ciprodex®
Combigan® brimonidine tartrate (Alphagan P®) + timolol maleate, dorzolamide/timolol (Cosopt®)
Combipatch® FemHRT®, Prempro®, Premphase®
Combivir® lamivudine/zidovudine
Comtan® entacapone
Concerta® methylphenidate ER tablet
Copegus® tablet ribavirin tablet
Cordarone® tablet amiodarone
Coreg CR® capsule carvedilol (Coreg®)
Coreg® tablet carvedilol
Corgard® tablet nadolol
Cortef® hydrocortisone
Cortisporin® Otic hydrocort/polymyx/neomycin
Corzide® bisoprolol/hctz, Lotensin Hct®, Zestoretic®
Cosopt® ophthalmic solution dorzolamide-timolol
Coumadin® tablet** warfarin
Covera-HS® verapamil (Calan SR®), verapamil 24-hr (Verelan®)
Cozaar® losartan
Crestor® atorvastatin (Lipitor®), lovastatin (Mevacor®), pravastatin (Pravachol®), simvastatin (Zocor®)
Crolom® ophthalmic solution cromolyn
Cutivate® fluticasone propionate
Cyclessa® caziant†*, cesia†*, velivet†*
Cymbalta® duloxetine†)
Cytomel® liothyronine sodium
Cytotec® tablet misoprostil
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D
Dantrium® dantrolene
Daypro® oxaprozin
Daytrana® methylphenidate ER 10mg, 20mg (Ritalin SR®), Adderall XR®, Metadate CD®
DDAVP®tablet desmopressin
Demerol® tablet, syrup meperidine
Denavir® acyclovir capsule (Zovirax®)
Depakene® capsule, syrup valproic acid
Depakote® tablet divalproex sodium
Depakote® ER tablet divalproex sodium ER tablet
Depakote Sprinkle® capsule divalproex sodium sprinkle capsule
Derma-Smoothe/FS® oil fluocinolone acetonide oil
Dermatop® cream, ointment prednicarbate
Desonate® gel desonide (DesOwen®)
Desoxyn® amphetamine salt combo tablet, dextroamphetamine tablet, methylphenidate tablet
Detrol® tolterodine tablet
Detrol LA® tolterodine ER capsule
Dexedrine Spansule® dextroamphetamine SR
Dexedrine® tablet dextroamphetamine
Diabeta® tablet glyburide
Diamox Sequels® capsule acetazolamide SR
Didronel® tablet etidronate disodium
Differin® cream adapalene
Diflucan® tablet, oral suspension fluconazole
Dilacor® XR capsule diltiazem SR
Dilantin® capsule** phenytoin sodium
Dilatrate®-SR capsule isosorbide dinitrate ER
Dilaudid® tablet hydromorphone
Diovan® benazepril (Lotensin®), captopril, enalapril (Vasotec®), fosinopril, lisinopril (Zestril®, Prinivil®), losartan (Cozaar®), moexipril (Univasc®), quinapril (Accupril®), trandolapril (Mavik®), Benicar®, telmisartan (Micardis®)
Diovan HCT® benazepril/HCTZ (Lotensin HCT®), captopril/HCTZ, enalapril/HCTZ (Vaseretic®), fosinopril/HCTZ, lisinopril/HCTZ (Zestoretic®), losartan/hctz (Hyzaar®), moexipril/HCTZ (Uniretic®), quinapril/HCTZ (Accuretic®), valsartan/HCTZ†, Benicar HCT®, Micardis HCT®
Diprolene® AF cream betamethasone dipropionate augmented
Diprolene® cream, gel, lotion, ointment betamethasone dipropionate
Ditropan® tablet oxybutynin
Ditropan® XL tablet oxybutynin chloride ER
Dolgic Plus® acetaminophen/butalbital/caffeine (Fioricet®)
Dolophine® tablet methadone
Doryx® doxycycline hyclate (Vibramycin®)
Dovonex® solution calcipotriene solution
Duac CS® clindamycin/benzoyl peroxide (BenzaClin®), erythromycin/benzoyl peroxide (Benzamycin®)
Duetact® pioglitazone-glimepiride
Duoneb® ipratropium-albuterol
Duragesic®  fentanyl patch
Duricef® capsule, tablet cefadroxil
DynaCirc CR® diltiazem SR (Cardizem SR®), felodipine (Plendil®), isradipine (DynaCirc®), nifedipine ER (Adalat CC®), verapamil SA (Calan SR®)
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E
E.E.S.® tablet, suspension erythromycin ethylsuccinate
Effexor® tablet venlafaxine HCL
Effexor XR® capsule venlafaxine ER
Effient® Plavix®
Efudex® cream, solution fluorouracil
Eldepryl® tablet, capsule selegiline
Elestat® ophthalmic solution epinastine
Elestrin® estradiol, estradiol transdermal (Vivelle DOT®), estropipate, Premarin® vaginal cream, Vagifem®
Elidel® betamethasone (Diprolene®), fluocinolone acetonide, triamcinolone acetonide
Elimite® 5% cream permethrin
Elocon® cream, lotion, ointment mometasone
Emadine® cromolyn (Crolom®), ketorolac 0.5% (Acular®), ketotifen fumarate (Zaditor®), OTC naphazoline HCL/pheniramine maleate (Naphcon-A)*, Alocril®, Patanol®
Emycin® tablet erythromycin base EC
Enablex® oxybutynin (Ditropan®), oxybutynin ER (Ditropan XL®), tolterodine ER (Detrol LA®)
Entocort EC® prednisone
Enulose® solution lactulose
Epiduo® clindamycin/benzoyl peroxide (BenzaClin®), erythromycin base/benzoyl peroxide (Benzamycin®)
Ertaczo® clotrimazole, econazole, ketoconazole, nystatin, OTC terbinafine
Estrace® estradiol
Estrace® vaginal cream estradiol, Premarin® vaginal cream, Vagifem®
Estring® estradiol, Premarin® vaginal cream, Vagifem®
Estrogel® estradiol, estropipate, Vivelle Dot®
Estrostep® FE tilia FE†, tri-legest FE
Evamist® estradiol, estropipate, Vivelle Dot®
Evoxac® cevimeline
Exalgo® fentanyl patch (Duragesic®), morphine SR (MS Contin®)
Exelderm® cream, solution clotrimazole, econazole, ketoconazole, nystatin, OTC terbinafine
Exelon® capsule rivastigmine
Exforge® benazepril (Lotensin®), captopril, enalapril (Vasotec®), fosinopril, lisinopril (Zestril®, Prinivil®), losartan (Cozaar®), moexipril (Univasc®), quinapril (Accupril®), trandolapril (Mavik®), Benicar®, telmisartan (Micardis®)
Exforge HCT® tablet benazepril/HCTZ (Lotensin HCT®), captopril/HCTZ, enalapril/HCTZ (Vaseretic®), fosinopril/HCTZ, lisinopril/HCTZ (Zestoretic®), losartan/hctz (Hyzaar®), moexipril/HCTZ (Uniretic®), quinapril/HCTZ (Accuretic®), Benicar HCT®, Micardis HCT®
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F
Factive® moxifloxacin (Avelox®), ofloxacin
Famvir® famciclovir
Farxiga™ inhalation solution glimepiride (Amaryl®), glipizide (Glucotrol®), glyburide (Diabeta®), insulin, metformin (Glucophage®)
Felbatol® felbamate
Feldene® capsule piroxicam
Femara® tablet letrozole
Femcon Fe®* zenchent fe†*, zeosa†*
Femring® estradiol, estradiol transdermal (Climara®), estropipate, Premarin®, Vivelle DOT®
Fenoglide® fenofibrate, gemfibrozil (Lopid®)
Fentora® codeine sulfate, fentanyl citrate, hydromorphone (Dilaudid®), morphine sulfate, oxycodone 
Fetzima™ bupropion XL (Wellbutrin XL®), citalopram (Celexa®), fluoxetine (Prozac®), fluvoxamine (Luvox®), fluvoxamine ER (Luvox CR®), mirtazapine (Remeron®), paroxetine (Paxil®), sertraline (Zoloft®), venlafaxine (Effexor®), venlafaxine ER (Effexor XR®)
Finacea® Azelex®
Flagyl® tablet metronidazole
Flarex® fluorometholone (Fluor-Op®), prednisolone sodium acetate (PredForte®), Alrex®
Flector® patch Voltaren® gel
Flexeril® tablet cyclobenzaprine
Flomax® tamsulosin
Flonase®nasal spray fluticasone propionate
Flumadine® tablet rimantadine
Fluor-Op®ophthalmic suspension fluorometholone
Focalin® dexmethylphenidate hydrochloride
Focalin XR® dexmethylphenidate ER capsule
Foltx® folbic†, folic acid + Vitamin B12 + Vitamin B6
Fortamet® metformin (Glucophage®), metformin ER (Glucophage® XR)
Fortical® nasal spray calcitonin-salmon
Fosamax® alendronate sodium
Fosamax Plus D® alendronate sodium (Fosamax®) + vitamin D (OTC)
Fosrenol® calcium acetate capsule (Phoslo®), Eliphos™
Freestyle® test strips OneTouch® test strips*
Frova® sumatriptan (Imitrex®), rizatriptan (Maxalt®), rizatriptan ODT (Maxalt-MLT®), Relpax®
Furadantin® oral suspension nitrofurantoin oral suspension
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G
Genotropin®*‡ Nutropin®*‡, Nutropin AQ®*‡, Omnitrope®*‡
Gilenya™ Avonex®, Copaxone®, Rebif®
Glucophage XR® metformin ER
Glucophage® metformin
Glucotrol® tablet glipizide
Glucotrol® XL tablet glipizide ER
Glucovance® glyburide/metformin
Glumetza® tablet metformin (Glucophage®), metformin ER (Glucophage® XR)
Glynase® tablet glyburide, micronized
Glyset® glyburide (Diabeta®), glipizide (Glucotrol®), metformin (Glucophage®)
Gralise™ gabapentin (Neurontin®)
Grifulvin V® tablet griseofulvin microsize
Gris-Peg® griseofulvin
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H
Halcion® tablet triazolam
Half-Lytely® polyethylene glycol/electrolyte solution
Hectorol® calcitriol (Rocaltrol®)
Hepsera® adefovir dipivoxil
Hiprex® tablet methenamine hippurate
Humatrope®*‡ Nutropin®*‡, Nutropin AQ®*‡, Omnitrope®*‡
Hydrea® capsule hydroxyurea
Hyzaar® losartan/hctz
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I
Imdur® tablet isosorbide mononitrate ER
Imitrex® injection, tablet sumatriptan succinate
Imitrex® nasal spray sumatriptan
Imuran® tablet azathioprine
Inderal® LA capsule propranolol HCL SA
Infergen® Pegasys®, Peg-Intron®
Invokana™ glimepiride (Amaryl®), glipizide (Glucotrol®), glyburide (Diabeta®), insulin, metformin (Glucophage®)
Innohep® injection enoxaparin (Lovenox®), heparin sodium
Inspra® spironolactone (Aldactone®)
Intuniv® methylphenidate ER (Ritalin® SR), Adderall XR®, Metadate® CD, Vyvanse®
Invega® clozapine (Clozaril®), haloperidol, olanzapine (Zyprexa®), quetiapine (Seroquel®), risperidone (Risperdal®)
Iopidine® ophthalmic solution apraclonidine
Ismo® tablet isosorbide mononitrate
Isopto Carpine® ophthalmic solution pilocarpine
Isordil® tablet isosorbide dinitrate
Istalol® betaxolol HCL, carteolol HCL, metipranolol, timolol maleate
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J
Jentadueto™ glimepiride (Amaryl®), glipizide (Glucotrol®), glyburide (Diabeta®), insulin, metformin (Glucophage®)
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K
Kadian® capsule codeine sulfate, fentanyl transdermal (Duragesic®), hydromorphone (Dilaudid®), morphine SR (MS Contin®), morphine sulfate, oxycodone
Keflex® capsule cephalexin
Kenalog® aerosol triamcinolone acetonide
Keppra® tablet, solution levetiracetam†
Kerlone® tablet betaxolol
Kerol® urea cream, gel, lotion
Ketek® amoxicillin/clavulanate (Augmentin®), clarithromycin (Biaxin®), doxycycline (Vibramycin®), azithromycin (Zithromax®)
Khedezla™ bupropion SR (Wellbutrin SR®), citalopram (Celexa®), fluoxetine (Prozac®), paroxetine (Paxil®), sertraline (Zoloft®), venlafaxine (Effexor®), venlafaxine ER (Effexor XR®)
Kineret® methotrexate (Rheumatrex®), Enbrel®, Humira®, Simponi®
Klaron® sulfacetamide sodium topical suspension
Klonopin® tablet clonazepam
Kombiglyze XR™ glimepiride (Amaryl®), glipizide (Glucotrol®), glyburide (Diabeta®), insulin, metformin (Glucophage®)
Kytril® granisetron HCL
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L
Lamictal® lamotrigine
Lamisil®* terbinafine HCL tablet
Lanoxin® tablet, elixir** digoxin
Lasix® tablet furosemide
Lavoclen-4® benzoyl peroxide (Benzac®)
Lescol® capsule atorvastatin (Lipitor®), lovastatin (Mevacor®), pravastatin sodium (Pravachol®), simvastatin (Zocor®)
Lescol® XL tablet atorvastatin (Lipitor®), lovastatin (Mevacor®), pravastatin sodium (Pravachol®), simvastatin (Zocor®)
Levaquin® levofloxacin
Lexapro® escitalopram
Lialda® sulfasalazine (Azulfidine® EN-tabs®), Asacol®, Dipentum®, Pentasa®
Lidoderm® amitriptyline, gabapentin (Neurontin®), nortriptyline (Pamelor®)
Lipofen® fenofibrate, gemfibrozil (Lopid®)
Lipitor® atorvastatin
Liptruzet™ atorvastatin (Lipitor®), lovastatin (Mevacor®), pravastatin (Pravachol®), simvastatin (Zocor®)
Livalo® atorvastatin (Lipitor®), lovastatin (Mevacor®), pravastatin (Pravachol®), simvastatin (Zocor®)
Locoid®  hydrocortisone/butyrate cream, ointment and solution
Loestrin® tablet gildess†*, junel†*, microgestin†*
Lomotil® tablet diphenoxylate/atropine
Lopid® capsule gemfibrozil
Lopressor® tablet metoprolol
Loprox® cream, gel, shampoo, topical suspension ciclopirox
Lortab® hydrocodone/acetaminophen
Lotensin® benazepril HCL
Lotrel® amlodipine besylate/benazepril
Lotrisone® cream betamethasone/clotrimazole
Lovaza® atorvastatin (Lipitor®), fenofibrate, gemfibrozil (Lopid®), lovastatin (Mevacor®), pravastatin (Pravachol®), simvastatin (Zocor®)
Lovenox® injection enoxaparin
Loxitane® capsule loxapine succinate
Lufyllin® tablet dyphylline
Lumigan® ophthalmic solution lantanoprost ophth soln (Xalatan®), Travatan Z®
Lunesta® flurazepam, temazepam (Restoril®), triazolam (Halcion®), zolpidem tartrate (Ambien®)
Luvox® fluvoxamine
Luvox® CR fluvoxamine ER capsule
Lybrel®* amethyst†*
Lyrica®* amitriptyline, cyclobenzaprine (Flexeril®), doxepin, gabapentin (Neurontin®), nortriptyline (Pamelor®)
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M
Macrobid® capsule nitrofurantoin
Macrodantin® capsule nitrofurantoin
Malarone® atovaquone-proguanil
Marinol® dronabinol†, granisetron HCL (Kytril®), metoclopramide (Reglan®), ondansetron (Zofran®, Zofran ODT®), prochlorperazine, promethazine
Maxair® ProAir® HFA, Ventolin® HFA
Maxzide® tablet triamterene/HCTZ
Mavik® trandolapril
Medrol® tablet methylprednisolone
Megace® syrup megestrol
Methergine® tablet methylergonovine
MetroCream® metronidazole cream
MetroGel® metronidazole gel
MetroGel-Vaginal® metronidazole vaginal gel
MetroLotion® metronidazole lotion
Mevacor® lovastatin
Miacalcin® nasal spray calcitonin-salmon
Micardis® telmisartan
Minipress® capsule prazosin
Minocin® capsule minocycline
Mirapex® tablet pramipexole
Mirapex® ER tablet pramipexole
Mircette® azurette†*, kariva†*, viorele†*
Mobic® meloxicam
Monurol® nitrofurantoin (Macrobid®), sulfamethoxazole/trimethoprim (Bactrim®)
Motrin® tablet ibuprofen
MoviPrep® polyethylene glycol/electrolyte solution (CoLyte®, GoLytely®, NuLYTELY®, TriLYTE™)
MS Contin® tablet morphine SR
Myambutol® tablet ethambutol
Mycelex® Troche clotrimazole troche
Myfortic® mycophenolic acid tablet
Mysoline® tablet** primidone
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N
Nalfon® capsule fenoprofen tablet
Naftin® clotrimazole, econazole, ketoconazole, miconazole, nystatin
Namenda® donepezil (Aricept®), galantamine HBR tablet (Razadyne®), rivastigmine (Exelon®)
Naprosyn® tablet naproxen
Nardil® tablet phenelzine
Nasacort AQ® nasal spray triamcinolone
Nascobal® cyanocobalamin injection
Nasonex® flunisolide, fluticasone propionate (Flonase®), triamcinolone (Nasacort AQ®)
Natelle® generic prenatal vitamins with folic acid
Neoral® capsule, solution cyclosporine, modified
Nesina® glimepiride (Amaryl®), glipizide (Glucotrol®), glyburide (Diabeta®), insulin, metformin (Glucophage®)
Nexium® omeprazole (Prilosec®), pantoprazole (Protonix®), Dexilant™
Nevanac® flurbiprofen (Ocufen®), ketorolac 0.4% (Acular LS®), ketorolac 0.5% (Acular®)
Niaspan® niacin ER tablet
Nimotop® nimodipine
Niravam® alprazolam ODT
Nitro-Dur® patch nitroglycerin
Nizoral® shampoo ketoconazole
Norditropin®*‡ Nutropin®*‡, Nutropin AQ®*‡, Omnitrope®*‡
Norditropin Nordiflex®*‡ Nutropin®*‡, Nutropin AQ®*‡, Omnitrope®*‡
Norpace® capsule disopyramide
Norpace® CR capsule** disopyramide ER
Norpramin® tablet desipramine
Norvasc® amlodipine besylate tablet
Nulytely® peg-3350/kcl sol/sodium
Nucynta® acetaminophen/oxycodone (Percocet®), codeine sulfate, hydromorphone (Dilaudid®), morphine sulfate, oxycodone*
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O
O-Cal FA® generic prenatal vitamins with folic acid
Ocufen® ophthalmic solution flurbiprofen
Ocuflox® ofloxacin
Olux® clobetasol
Omnaris® flunisolide, fluticasone (Flonase®), triamcinolone (Nasacort AQ®)
Onglyza™ glimepiride (Amaryl®), glipizide (Glucotrol®), glyburide (Diabeta®), insulin, metformin (Glucophage®)
Opana® oxymorphone
Opana® ER oxymorphone
OptiPranolol® ophthalmic solution metipranolol
Optivar® azelastine
Orapred®  prednisolone sod phosphate oral solution
Oracea® doxycycline (Periostat®, Vibramycin®), minocycline (Minocin®), tetracycline
Orencia SQ® methotrexate (Rheumatrex®), Enbrel®, Humira®, Simponi®
Ovide® lotion malathion
Ovcon-35®* briellyn†*, balziva†*, gildagia†*, philith†*, zenchent†*
Oxistat® clotrimazole, econazole, ketoconazole, nystatin, OTC terbinafine
Oxycontin® fentanyl patch (Duragesic®), morphine SR (MS Contin®)
Oxytrol® oxybutynin (Ditropan®), oxybutynin ER (Ditropan® XL), tolterodine ER (Detrol LA®)
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P
Pamelor® capsule nortriptyline
Parlodel® tablet bromocriptine
Parnate® tablet tranylcypromine sulfate
Patanase® azelastine (Astelin®), flunisolide, fluticasone (Flonase®)
Paxil® tablet paroxetine
Paxil CR® tablet citalopram (Celexa®), fluoxetine (Prozac®), paroxetine ER†, sertraline (Zoloft®)
Penlac® ciclopirox topical solution
Pennsaid® Voltaren® gel
Pepcid® famotidine
Percocet® tablet oxycodone/APAP
Percodan® tablet oxycodone/ASA
Perforomist® Foradil®, Serevent® Diskus®
Peridex® oral rinse chlorhexidine gluconate
Persantine® tablet dipyridamole
PhosLo® capsule calcium acetate capsule
Plan B tablet®* next choice tablet†*
Plaquenil® tablet hydroxychloroquine
Pletal® cilostazol
Ponstel® mefenamic acid capsule
Prandin® repaglinide
Pravachol® pravastatin
Precision Xtra®teststrips OneTouch® test strips*
Precision QID® test strips OneTouch® test strips*
Precose® acarbose
Pred Forte® ophthalmic suspension prednisolone acetate
Prelone®15mg/5ml syrup prednisolone
Prenate Elite® generic prenatal vitamins with folic acid
Prevacid® capsule lansoprazole capsule
Prevacid® solutab lansoprazole capsule (Prevacid®)
Prevident 5000®plus sodium fluoride cream
Prevpac® lansoprazole-amoxicillin-clarithro
Prilosec® omeprazole
Prinivil® lisinopril
Prinzide® lisinopril/HCTZ
Pristiq® bupropion SR (Wellbutrin SR®), citalopram (Celexa®), fluoxetine (Prozac®), paroxetine (Paxil®), sertraline (Zoloft®), venlafaxine (Effexor®), venlafaxine ER (Effexor XR®)
Procardia XL® nifedipine ER
Procardia® capsule nifedipine
Prograf® tacrolimus
Prometrium® medroxyprogesterone (Provera®)
Proscar® tablet finasteride
Prosed® DS utira-C
Protonix® pantoprazole
Proventil® oral inhaler, inhalation solution, tablet, syrup albuterol
Proventil HFA® oral inhaler ProAir® HFA and Ventolin® HFA
Provera® medroxyprogesterone
Provigil® amphetamine salt combo tablet, methylphenidate ER 10mg, 20mg (Ritalin SR®), dextroamphetamine (Dexedrine®)
Prozac Weekly® fluoxetine DR
Prozac® fluoxetine
Pylera® Helidac®, PrevPac®
Pyridium® tablet phenazopyridine
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Q
Questran® powder cholestyramine/sucrose
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R
Ranexa® amlodipine besylate (Norvasc®), atenolol (Tenormin®), isosorbide mononitrate, verapamil (Calan®)
Rapaflo® alfuzosin (Uroxatral®), doxazosin (Cardura®), finasteride (Proscar®), prazosin (Minipress®), terazosin
Rapamune® tablet sirolimus tablet
Razadyne® tablet, oral solution galantamine HBR
Rebetol® capsule ribavirin
Reglan® tablet, syrup metoclopramide
Relistor® OTC laxatives
Remeron® tablet mirtazapine
Renagel® calcium acetate capsule (Phoslo®), Eliphos™
Renvela® calcium acetate capsule (Phoslo®), Eliphos™
Requip® ropinirole HCL
Restasis® OTC Akwa Tears®, OTC Artificial Tears®, OTC Freshkote®, OTC GenTeal®, OTC HypoTears®, OTC Isopto Tears®, OTC Puralube Tears®, OTC Refresh P.M.®, OTC Systane®
Restoril® capsule temazepam
Retin A® cream, gel, lotion*  tretinoin†*
Retin-A Micro® gel* tretinoin microsphere gel†*
Retrovir® capsule, tablet, syrup zidovudine capsule, tablet, syrup
Revatio® sildenafil
Rheumatrex® tablet methotrexate
Rhinocort® Aqua® flunisolide, fluticasone propionate (Flonase®), triamcinolone (Nasacort AQ®)
Rifadin® capsule rifampin
Rilutek® tablet riluzole
Risperdal® tablet, solution risperidone
Risperdal Consta® risperidone (Risperdal®), risperidone ODT (Risperdal M-Tab®)
Risperdal M-Tab® risperidone ODT tablet
Ritalin LA® methylphenidate ER†, Metadate CD®
Ritalin® methylphenidate
Ritalin® SR tablet methylphenidate ER
Robaxin® tablet methocarbamol
Rocaltrol® capsule calcitriol
Rowasa® mesalamine
Rozerem™ flurazepam, temazepam (Restoril®), triazolam (Halcion®), zolpidem tartrate (Ambien®)
Rythmol® tablet propafenone
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S
Saizen®*‡ injection Nutropin®*‡, Nutropin AQ®*‡, Omnitrope®*‡
Salagen®tablet pilocarpine
Sanctura® trospium
Sanctura® XR trospium ER capsule
Sandimmune® capsule, solution cyclosporine
Sandostatin® injection octreotide acetate injection
Sarafem® fluoxetine† (Prozac®)
Savella® amitriptyline, cyclobenzaprine (Flexeril®), doxepin, gabapentin (Neurontin®), nortriptyline (Pamelor®)
Seasonale® introvale†*, jolessa†*, quasense†*
Seasonique® amethia†*, camrese†*, daysee†*
Sectral® capsule acebutolol
Serostim®*‡ Nutropin®*‡, Nutropin AQ®*‡, Omnitrope®*‡
Silvadene® cream silver sulfadiazine
Simcor® tablet atorvastatin (Lipitor®), lovastatin (Mevacor®), pravastatin (Pravachol®), simvastatin (Zocor®) + niacin
Sinemet® tablet carbidopa/levodopa
Singulair® montelukast
Skelaxin® metaxalone
Solaraze® gel fluorouracil cream or solution
Solodyn® minocycline ER
Soma® tablet carisoprodol
Sonata® capsule zaleplon† capsule
Spectracef® cefditoren
Sporanox® capsule* itraconazole capsule†*
Sprix® diclofenac, etodolac, meloxicam (Mobic®), naproxen (Naprosyn®), salsalate
Starlix® nateglinide tablet
Strattera® methylphenidate ER 10mg, 20mg (Ritalin SR®), Metadate CD®, Vyvanse®, Adderall XR®
Suboxone® tablet Suboxone® SL film
Sular® tablet nisoldipine
Symbicort® Advair Diskus®, Advair® HFA
Symbyax® olanzapine/fluoxetine
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T
Taclonex® ointment betamethasone diproprionate (Diprolene®), calcipotriene solution (Dovonex® solution), Dovonex® cream
Tambocor® flecainide
Tapazole® tablet methimazole
Tarka®
benazepril (Lotensin®), captopril, enalapril (Vasotec®), fosinopril, lisinopril (Prinivil®, Zestril®), moexipril (Univasc®), trandolapril (Mavik®), verapamil (Calan®)
Tasmar® bromocriptine (Parlodel®), entacapone (Comtan®), pramipexole (Mirapex®), ropinirole HCL (Requip®), selegiline (Eldepryl®)
Tavist® tablet clemastine
Tegretol® tablet, chews, suspension carbamazepine
Tekturna® benazepril (Lotensin®), captopril, enalapril (Vasotec®), fosinopril, lisinopril (Prinivil®, Zestril®), losartan (Cozaar®), moexipril (Univasc®), quinapril (Accupril®), trandolapril (Mavik®), Benicar®, telmisartan (Micardis®)
Tekturna HCT® tablet benazepril/HCTZ (Lotensin HCT®), captopril/HCTZ, enalapril/HCTZ (Vaseretic®), fosinopril/HCTZ, lisinopril/HCTZ (Zestoretic®), losartan/hctz (Hyzaar®), moexipril/HCTZ (Uniretic®), quinapril/HCTZ (Accuretic®), Benicar HCT® , Micardis HCT®
Temovate® cream, lotion, ointment clobetasol propionate
Tenex® tablet guanfacine
Tenoretic® tablet atenolol/chlorthalidone
Tenormin® tablet atenolol
Tessalon® capsule benzonatate
Testim® testosterone cypionate (Depo-Testosterone®), testosterone enanthate (Delatestryl®)
Tev-Tropin®*‡ Nutropin®*‡, Nutropin AQ®*‡, Omnitrope®*‡
Teveten® benazepril (Lotensin®), captopril, enalapril (Vasotec®), fosinopril, lisinopril (Zestril®, Prinivil®), losartan (Cozaar®), moexipril (Univasc®), quinapril (Accupril®), trandolapril (Mavik®), Benicar®, telmisartan (Micardis®)
Teveten HCT® tablet benazepril/HCTZ (Lotensin HCT®), captopril/HCTZ, enalapril/HCTZ (Vaseretic®), fosinopril/HCTZ, lisinopril/HCTZ (Zestoretic®), losartan/hctz (Hyzaar®), moexipril/HCTZ (Uniretic®), quinapril/HCTZ (Accuretic®), Benicar HCT®, Micardis HCT®
Tiazac® diltiazem SR†, diltzac ER†, taztia XT
Tigan® capsule trimethobenzamide
Timoptic® ophthalmic solution timolol maleate
Timoptic-XE® ophthalmic gel solution timolol maleate ophthalmic gel solution
Tindamax® tinidazole tablet
Tobrex® ophthalmic solution tobramycin
Tofranil® tablet imipramine
Topamax® tablet, sprinkle topiramate
Topicort® gel, ointment, cream desoximetasone
Toposar® capsule etoposide
Toprol XL® metoprolol succinate
Trandate® tablet labetalol
Tradjenta™ glimepiride (Amaryl®), glipizide (Glucotrol®), glyburide (Diabeta®), insulin, metformin (Glucophage®)
Trans-Derm Scop® meclizine (Antivert®)
Tranxene® tablet clorazepate
Trental® tablet pentoxifylline
Treximet® sumatriptan (Imitrex®), rizatriptan (Maxalt®), rizatriptan ODT (Maxalt-MLT®), Relpax®
Tribenzor® benazepril/HCTZ (Lotensin HCT®), captopril/HCTZ, enalapril/HCTZ (Vaseretic®), fosinopril/HCTZ, lisinopril/HCTZ (Zestoretic®), losartan/hctz (Hyzaar®), moexipril/HCTZ (Uniretic®), quinapril/HCTZ (Accuretic®), Benicar HCT®, Micardis HCT®
Tricor® fenofibrate, gemfibrozil (Lopid®)
Triglide® fenofibrate, gemfibrozil (Lopid®)
Trileptal® oxcarbazepine
Trilipix® fenofibrate, gemfibrozil (Lopid®)
Trizivir® abacavir-lamivud-zidovud
Trusopt® ophthalmic solution dorzolamide HCL
Tussionex® Pennkinetic Suspension hydrocodone/chlorpheniramine
Twynsta® telmisartan-amlodipine
Tylenol® #3 tablet codeine/APAP
Tyvaso® inhalation solution Ventavis®
Tyzeka® adefovir dipivoxil (Hepsera®), Baraclude®, Epivir® HBV, Intron A®, Pegasys®
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U
   
Ultracet® tramadol/APAP
Ultram® tramadol
Ultram ER® tramadol ER
Ultravate® cream, ointment halobetasol propionate
Uniretic® moexipril/HCTZ
Univasc® moexipril HCL
Urecholine® tablet bethanechol
Urelle® utira-C
Urocit-K® potassium citrate
Uroxatral® alfuzosin
Urso 250® ursodiol tablets
Urso Forte® ursodiol tablets
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V
Valium® tablet, solution diazepam
Valtrex® tablet valacyclovir HCL
Valturna® tablet benazepril (Lotensin®), captopril, enalapril (Vasotec®), fosinopril, lisinopril (Zestril®, Prinivil®), losartan (Cozaar®), moexipril (Univasc®), quinapril (Accupril®), trandolapril (Mavik®), Benicar®, telmisartan (Micardis®)
Vaseretic® tablet enalapril/HCTZ
Vasotec® enalapril
Vectical® betamethasone (Diprolene®), fluocinolone acetonide, triamcinolone acetonide
Veramyst® flunisolide, fluticasone (Flonase®), triamcinolone (Nasacort AQ®)
Verdeso® desonide (DesOwen®), fluocinolone acetonide, triamcinolone acetonide
Veregen® podofilox (Condylox®)
Verelan® verapamil 24-hr
Vesanoid® tretinoin
Vfend® voriconazole
Vibramycin® capsule, tablet doxycycline
Vicoprofen® hydrocodone/ibuprofen
Victoza® glimepiride (Amaryl®), glipizide (Glucotrol®), glyburide (Diabeta®), insulin, metformin (Glucophage®)
Videx EC® didanosine
Vigamox® ciprofloxacin (Ciloxan®), ofloxacin (Ocuflox®)
Vimovo® omeprazole (Prilosec®), pantoprazole (Protonix®), Dexilant™
Viramune® nevirapine
Viroptic® trifluridine
Vistaril® capsule hydroxyzine pamoate
Vivactil® tablet protriptyline
Vivitrol® disulfiram (Antabuse®), naltrexone (ReVia®)
Voltaren XR® diclofenac SR
Vusion® OTC miconazole nitrate cream*
Vytorin® tablet atorvastatin (Lipitor®), lovastatin (Mevacor®), pravastatin sodium (Pravachol®), simvastatin (Zocor®)
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W
Welchol® cholestyramine (Questran®), colestipol hcl (Colestid®)
Wellbutrin SR® budeprion SR†, bupropion HCL SR
Wellbutrin XL® budeprion XL†, bupropion XL
Wellbutrin® bupropion
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X
Xalatan® latanoprost
Xanax® alprazolam
Xanax XR® alprazolam ER
Xibrom® bromfenac ophthalmic solution
Xifaxan® azithromycin (Zithromax®), ciprofloxacin (Cipro®), metronidazole (Flagyl®), neomycin sulfate, ofloxacin
Xopenex® concentrate, solution albuterol, levalbuterol
Xopenex HFA® ProAir HFA®, Ventolin® HFA
Xylocaine® viscous solution  lidocaine
Xyzal® levocetirizine
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Y
Yasmin® drospirenone/ethinyl estradiol†*, ocella†*, syeda†*, zarah†*
Yaz® gianvi†*, loryna†*, vestura†*
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Z
Zaditor® ophthalmic solution ketotifen fumarate
Zantac® ranitidine
Zarontin® capsule, syrup** ethosuximide
Zaroxolyn® tablet metolazone
Zegerid® omeprazole (Prilosec®), pantoprazole (Protonix®)
Zelapar® bromocriptine (Parlodel®), entacapone (Comtan®), pramipexole (Mirapex®), ropinirole HCL (Requip®), selegiline (Eldepryl®)
Zerit® stavudine
Zestoretic® lisinopril/HCTZ
Zestril® lisinopril
Zetia® atorvastatin (Lipitor®), lovastatin (Mevacor®), pravastatin (Pravachol®), simvastatin (Zocor®)
Ziagen® tablet abacavir
Ziana® adapalene (Differin®), clindamycin (Cleocin®), clindamycin/benzoyl peroxide (BenzaClin®), erythromycin base/benzoyl peroxide (Benzamycin®), erythromycin gel, sulfacetamide sodium (Klaron®), tretinoin (Retin A®), Tazorac®
Zioptan™ ophthalmic solution lantanoprost ophth soln (Xalatan®), Travatan Z®
Zithromax® azithromycin
Zocor® simvastatin
Zofran® ondansetron HCL
Zofran ODT® ondansetron ODT
Zoloft® sertraline
Zomig® zolmitriptan
Zomig-ZMT® zolmitriptan ODT
Zonegran® capsule zonisamide
Zorbtive®*‡ Nutropin®*‡, Nutropin AQ®*‡, Omnitrope®*‡
Zovirax® ointment acyclovir (Zovirax®) tablet, capsule or suspension, valacyclovir HCL tablet (Valtrex®)
Zovirax® tablet, capsule, suspension acyclovir
Zyloprim® tablet allopurinol
Zylet™ tobramycin/dexamethasone ophthalmic suspension (Tobradex®)
Zyflo® montelukast (Singulair®), zafirlukast (Accolate®)
Zyflo CR® montelukast (Singulair®), zafirlukast (Accolate®)
Zyprexa® tablet olanzapine
Zyprexa Zydis® tablet olanzapine ODT
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* May not be a covered benefit under some plans.
** This brand is preferred/formulary.
‡ Obtain from designated Specialty Pharmacy.