Drug List Changes

Effective April 01, 2015

Formulary Changes to the Preferred B2 Drug List

Drug Name	Description of Change	Cost-effective Alternatives*
Baraclude tablet	Moving to Non-preferred	entecavir tablet in Tier 1
Detrol LA capsule	Moving to Non-preferred	tolterodine extended-release capsule in Tier 1

Formulary Changes to the Preferred B3 & B4 Drug List

Drug Name	Description of Change	Cost-effective Alternatives*
Baraclude tablet	Moving to Tier 3 from Tier 2	entecavir tablet in Tier 1
Detrol LA capsule	Moving to Tier 3 from Tier 2	tolterodine extended-release capsule in Tier 1

Formulary Changes to the X1, X3 & X4 Drug List

Drug Name	Description of Change	Cost-effective Alternatives*
Baraclude tablet	Moving to Non-preferred	entecavir tablet in Tier 1
Detrol LA capsule	Moving to Non-preferred	tolterodine extended-release capsule in Tier 1
Patanase spray	Moving to Non-preferred	olopatadine spray in Tier 1
Rapamune tablet	Moving to Non-preferred	sirolimus tablet in Tier 1

Formulary Changes to the Select C4 Drug List

Drug Name	Description of Change	Cost-effective Alternatives*
Baraclude tablet	Moving to Tier 3 from Tier 2	entecavir tablet in Tier 1

*These drugs have been selected by an independent group of experts made up of doctors and pharmacists. This group reviews drugs to see how well they work relative to their cost. They also compare their effectiveness to similar drugs used to treat the same condition. Please talk with your doctor to see if these new options are right for you.