The following is a list of the most commonly prescribed drugs. It represents an abbreviatedversion of the drug list (formulary) that is at the core of your prescription-drug benefit plan. The list is not all-inclusive and does not guarantee coverage. In addition to using this list,you are encouraged to ask your doctor to prescribe generic drugs whenever appropriate. PLEASE NOTE: The symbol * next to a drug signifies that it is subject to nonformulary status 2010 Express Scripts when a generic is available throughout the year. Not all the drugs listed are covered by all prescription-drug benefit programs; check your benefit materials for the specific drugs National Preferred Formulary covered and the copayments for your prescription-drug benefit program. For specific questions about your coverage, please call the phone number printed on your ID card. ANTIINFECTIVES Psychotherapeutic Combinations Antivirals NOTE: All brand oral antiviral moexipril/hctz
Sedative/Hypnotics ENDOCRINE MEDICATIONS Angiotensin II Receptor Antagonists + HCT Combos Amylin Analogues Selective Serotonin Reuptake Inhibitors Dipeptidyl Peptidase-IV Inhibitors & Combos Cephalosporins Anti-Arrhythmic Drugs Antidementia Drugs Beta-Adrenergic Antagonists Glucocorticoids Antidepressants Tertiary Amines IMMUNOLOGICALS Macrolides Glucose Elevating Drugs Other Autonomic/CNS Drugs GLUCAGEN [INJ] Incretin Mimetics Growth Hormones Oral Antifungals Other Drugs For ADHD Calcium Antagonists Antiparkinson Drugs Insulins DERMATOLOGICAL Erythroid Stimulants MEDICATIONS Antiacne Drugs Interferons Penicillins Antipsychotic Drugs Insulin Sensitizers Pegylated Interferons/ Endothelin Receptor Oral Ribavirin Agents Quinolones Antagonists HMG-CoA Reductase Oral Hypoglycemics MUSCULOSKELETAL Inhibitors Antivertigo & Antiemetics MEDICATIONS Topical Antibacterials Antipsoriasis & Antieczema CNS Muscle Relaxants Topical Antifungals Drugs HMG-CoA Combinations Class II Narcotics Urinary Antiinfectives Hypolipoproteinemics Corticosteroid Drugs Drugs to Prevent & Treat Gout Thyroid Supplements ANTINEOPLASTIC/IMMUNO- Injectable Drugs For Arthritis SUPPRESSANT DRUGS Class III Narcotics Non-Steroidal Anti- Other Endocrine Drugs Inflammatory Agents considered formulary, unless WELCHOL
Miscellaneous Dermatologicals Nitrates CNS Stimulants Thiazide & Related Drugs GASTROINTESTINAL Topical Anti-Inflammatory MEDICATIONS Salicylates & Related Drugs Drugs Other Antihypertensives Antispasmodics/Drugs Affecting GI Motility Drugs to Prevent & Treat EAR-NOSE MEDICATIONS NUTRITION & BLOOD Headaches MODIFIERS Drugs Affecting The Ear Antiplatelet Drugs Other Cardiovascular Drugs MIGRANAL nasal spray H. Pylori Drugs CARDIOVASCULAR Proton Pump Inhibitors MEDICATIONS AUTONOMIC & CNS MEDICATIONS Drugs to Treat Multiple ACE Inhibitors + HCT Combos Sclerosis Blood Detoxicants Anticonvulsants Drugs Affecting The Nose Other GI Drugs THIS DOCUMENT LIST IS EFFECTIVE JANUARY 1, 2010 THROUGH DECEMBER 31, 2010. THIS LIST IS SUBJECT TO CHANGE. You can get more information and updates to this document at our web site at www.express-scripts.com. 2010 Express Scripts, Inc. PRMT22037-10 (05/01/10) All Rights Reserved Examples of Nonformulary Medications With Selected Formulary Alternatives
The following is a list of some nonformulary brand-name medications with examples of selected alternatives that are on the formulary. Oral and Inj. Anticoagulants ZYLET
Column 1 lists examples of nonformulary medications. RESPIRATORY MEDICATIONS
Column 2 lists some alternatives that can be prescribed.
warfarin Therapeutic Vitamins & Antihistamines Minerals Nonformulary Formulary Alternative Nonformulary Formulary Alternative Antihistamine/Decongestants OBSTETRICAL & GYNECOLOGICAL MEDICATIONS Antitussive & Expectorants Androgen Drugs Contraceptives Beta-2 Adrenergics Estrogen Drugs Leukotriene Modifiers Methyl Xanthines Other Drugs For Asthma Estrogen/Progestin Combinations Ovulatory Stimulants Prenatal Vitamins UROLOGICAL MEDICATIONS generic prenatal vitamins are Anticholinergic Antispasmodics
amlodipine, felodipine er, nifedipine er,
Progestin Drugs
medroxyprogesterone acetate Drugs Used For BPH Specialized OB/GYN Drugs Erectile Dysfunction Agents OPHTHALMIC MEDICATIONS Antibacterial Drugs WEIGHT MANAGEMENT Appetite Suppressants DIABETIC SUPPLIES Antiglaucoma Drugs Meters & Strips Corticosteroid Drugs Miscellaneous Supplies
The symbol [INJ] next to a drug name indicates that the drug is available in injectable form only. Other Ophthalmic Drugs For the member: Generic medications contain the same active ingredients as their corresponding brand-name medications, although
they may look different in color or shape. They have been FDA-approved under strict standards. For the physician: Please prescribe preferred products and allow generic substitutions when medically appropriate. Thank you.
Brand-name drugs are listed in CAPITAL letters.
Generic drugs are listed in lower case letters. THIS DOCUMENT LIST IS EFFECTIVE JANUARY 1, 2010 THROUGH DECEMBER 31, 2010. THIS LIST IS SUBJECT TO CHANGE. You can get more information and updates to this document at our web site at www.express-scripts.com. 2010 Express Scripts, Inc. PRMT22037-10 (05/01/10) All Rights Reserved
s"xc CHABAD JEWISH CENTER This year we will be celebrating the holiday of Purim on Saturday and Sun-28041 Hawthorne Blvd., Suite 202-203 Rancho Palos Verdes, CA 90275 day, February 23rd & 24th . On Purim It is a special Mitzvah to send gifts of food to friends known as Mishloach Manot. This beautiful tradition promotes unity and friendship amongst the community at large! To
Revista Latinoamericana de Ortodoncia y Odontopediatría Depósito Legal Nº: pp200102CS997 - ISSN: 1317-5823 – www.ortodoncia.ws P á g i n a | 1 ESTUDIO DESCRIPTIVO DE SIGNOS Y SÍNTOMAS, EN NIÑOS Y ADOLESCENTES, CON TRASTORNOS TÉMPOROMANDIBULARES Para efectos de referencia bibliográfica este trabajo debe ser citado de la siguiente manera: Wurgaft R., Rappoport K., Zeñ