• Formulary Changes Effective April 01, 2014

    Formulary Changes to the Preferred B2 Drug List

    Drug Name Description of Change Cost-effective Alternatives*
    Lidoderm patchMoving to Non-preferredlidocaine patch in Tier 1
    Niaspan tabletMoving to Non-preferredniacin extended-release tablet in Tier 1

    Formulary Changes to the Preferred B3 Drug List

    Drug Name Description of Change Cost-effective Alternatives*
    Lidoderm patchMoving to Tier 3 from Tier 2lidocaine patch in Tier 1
    Niaspan tabletMoving to Tier 3 from Tier 2niacin extended-release tablet in Tier 1

    Formulary Changes to the Preferred B4 Drug List

    Drug Name Description of Change Cost-effective Alternatives*
    Lidoderm patchMoving to Tier 3 from Tier 2lidocaine patch in Tier 1
    Niaspan tabletMoving to Tier 3 from Tier 2niacin extended-release tablet in Tier 1

    Formulary Changes to the Value-Based V1 Drug List

    Drug Name Description of Change Cost-effective Alternatives*
    Cedax capsuleMoving to Tier 4 from Tier 3 ceftibuten capsule in Tier 1
    Cedax suspensionMoving to Tier 4 from Tier 3ceftibuten suspension in Tier 1
    Kadian capsuleMoving to Tier 4 from Tier 3morphine sulfate extended-release capsule in Tier 1
    Lidoderm patchMoving to Tier 4 from Tier 2lidocaine patch in Tier 1
    Locoid Lipocream topicalMoving to Tier 4 from Tier 3hydrocortisone butyrate topical in Tier 1
    Niaspan tabletMoving to Tier 4 from Tier 2niacin extended-release tablet in Tier 1
    Zemplar capsuleMoving to Tier 4 from Tier 3paricalcitol capsule in Tier 1
    Zymaxid eye dropsMoving to Tier 4 from Tier 3gatifloxacin eye drops 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.