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- Part D Prescription Drug Benefit
- Formulary Search Tool
- Drugs Covered by MCA
- Enrollee Request for Medicare Prescription Drug Coverage Determination(Electronic Version) (Click here for Printable Version)
- Low-Income Subsidy Information
- Formulary
- Monthly Drug Formulary Updates
- Part D Information
- Part D Grievance, Determinations and Appeals
- Medication Therapy Management Program
- Transition of Care
- 2013 Step Therapy Criteria
- 2013 Prior Authorization Criteria
- 2013 Quantity Limit Criteria
Formulary Updates
May 2013 Formulary Updates
Generics Added:
- OXCARBAZEPINE 60 MG/ML ORAL SUSPENSION
- CLINDAMYCIN 75 MG ORAL CAPSULE
- BETAMETHASONE 0.0005 MG/MG AUGMENTED TOPICAL GEL
- Mupirocin topical cream
- TRANEXAMIC ACID 650 MG ORAL TABLET
- Misoprostol 100mcg oral
Brands Added:
- POMALYST
April 2013 Formulary Updates
Generics Added:
- P. 43: Montelukast (generic Singulair)
- P. 29: ibandronate 150mg (generic Boniva)
- P. 29: pioglitazone (generic Actos)
- P. 29: pioglitazone/metformin (generic Actoplus met)
- P. 15: modafinil (generic Provigil)
- P. 43: trospium XR ( generic Sanctura XR)
- P. 16: tiagabine (generic Gabitril)
- P. 14 : oxycodone 10 & 20mg
- P. 42: levalbuterol nebulizing solution ( generic Xopenex) with B vs. D PA
- P. 42: albuterol/ipratropium nebulizing Solution (generic Duoneb) with B vs. D PA
- P. 15: phenytoin 50mg Chewable tabs ( generic Dilantin Infatabs)
Brands Added:
- P. 9: Stivarga
- P. 8: Bosulif
- P. 2: Xtandi
- P. 2: Prezista 800mg
- P. 8: Iclusig
- P. 2: Stribild
- P. 8: Cometriq
- P. 9: Synribo
- P. 9: Perjeta
Removed:
- Amevive
- Hizentra
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Last Updated 08/05/2012