Cycloset 0.8 Mg Tablet | Moving to Tier 3 | meformin, glimperide, glipizide, or glyburide |
Exelderm 1 % Cream | Moving to Tier 3 | ciclopirox cream |
Exelderm 1 % Topical Solution | Moving to Tier 3 | ciclopirox topical solution |
Fenofibrate 150 Mg Capsule Brand | Moving to Tier 3 | fenofibrate generic |
Fenofibrate 160 Mg Tablet Brand | Moving to Tier 3 | fenofibrate generic |
Methylphenidate Er 72 Mg Tablet Brand | Moving to Tier 3 | methylphenidate generic |
Multaq Tablet | Moving to Tier 3 | amiodarone, dofetilide, flecainide, propafenone, or sotalol |
Narcan Nasal Spray | Moving to Tier 3 | naloxone nasal spray |
Noritate 1 % Cream | Moving to Tier 3 | metronidazole cream |
Plexion 9.8%-4.8% Cleanser | Moving to Tier 3 | sulfacetamide-sulfur cleanser |
Plexion 9.8%-4.8% Cream | Moving to Tier 3 | sulfacetamide-sulfur cream |
Plexion 9.8%-4.8% Lotion | Moving to Tier 3 | sulfacetamide-sulfur lotion |
Selrx 2.3 % Shampoo | Moving to Tier 3 | selenium sulfide shampoo |
Tazorac 0.05 % Cream And Gel | Moving to Tier 3 | tazarotene cream |
Tazorac 0.1 % Gel | Moving to Tier 3 | tazarotene cream |
Testosterone 50 Mg (1%) Gel In Packet Brand | Moving to Tier 3 | testosterone gel generic |
Theo-24 Capsule | Moving to Tier 3 | theophylline anhydrous ER tablet |
Trezix Capsule | Moving to Tier 3 | acetaminophen-caffeine-dihydrocodeine capsule |