Drug List Changes

  • Effective April 01, 2015

    Formulary Changes to the Preferred B2 Drug List

    Drug Name Description of Change Cost-effective Alternatives*
    Baraclude tabletMoving to Non-preferredentecavir tablet in Tier 1
    Detrol LA capsuleMoving to Non-preferredtolterodine extended-release capsule in Tier 1

    Formulary Changes to the Preferred B3 & B4 Drug List

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

    Formulary Changes to the X1, X3 & X4 Drug List

    Drug Name Description of Change Cost-effective Alternatives*
    Baraclude tabletMoving to Non-preferredentecavir tablet in Tier 1
    Detrol LA capsuleMoving to Non-preferredtolterodine extended-release capsule in Tier 1
    Patanase sprayMoving to Non-preferredolopatadine spray in Tier 1
    Rapamune tabletMoving to Non-preferredsirolimus tablet in Tier 1

    Formulary Changes to the Select C4 Drug List

    Drug Name Description of Change Cost-effective Alternatives*
    Baraclude tabletMoving to Tier 3 from Tier 2entecavir 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.