Schenectadymeds.com

Schenectady Meds 2 -- CanaRx Formulary for MVP POPULATION Members
as of OCTOBER 1, 2013
NOTE: Medication names/strengths in BOLD ITALICS {those with the (G) indicator} are "Multi-Source Brand" drugs --
they are also available in a generic version. CanaRx will only dispense these medications if "Dispense As Written"
(DAW) is indicated by the physician on the prescription. The generic equivalents for these medications are available
via Express Scripts mail order pharmacy. For a greater savings to the Schenectady Meds program, ask your physician
about taking a generic equivalent of your medication.
FOR MORE INFORMATION CALL: CanaRx, 1-866-893-MEDS (6337)
U.S. NAME
AVAILABLE
STRENGTHS
U.S. NAME
AVAILABLE
STRENGTHS
BACTROBAN CREAM (G)
ACTIVELLA (G)
0.5 MG/0.1 MG
ACTIVELLA (G)
1MG/0.5MG
ACTOPLUS (G)
15MG-850MG
ACTOS (G)
ACTOS (G)
ACTOS (G)
CADUET (G)
CADUET (G)
CADUET (G)
CADUET (G)
CAPOZIDE (G)
CARDIZEM LA (G)
CARDIZEM LA (G)
CARDIZEM LA (G)
AMERGE (G)
CARNITOR
AMERGE (G)
AROMASIN (G)
ARTHROTEC (G)
ARTHROTEC (G)
CLARINEX (G)
COLAZAL (G)
COMTAN (G)
ATACAND HCT (G)
16MG/12.5MG
CUTIVATE CREAM (G)
CUTIVATE OINTMENT (G)
CYTOTEC (G)
Schenectady Meds 2 -- CanaRx Formulary for MVP POPULATION Members
as of OCTOBER 1, 2013
NOTE: Medication names/strengths in BOLD ITALICS {those with the (G) indicator} are "Multi-Source Brand" drugs --
they are also available in a generic version. CanaRx will only dispense these medications if "Dispense As Written"
(DAW) is indicated by the physician on the prescription. The generic equivalents for these medications are available
via Express Scripts mail order pharmacy. For a greater savings to the Schenectady Meds program, ask your physician
about taking a generic equivalent of your medication.
FOR MORE INFORMATION CALL: CanaRx, 1-866-893-MEDS (6337)
U.S. NAME
AVAILABLE
STRENGTHS
U.S. NAME
AVAILABLE
STRENGTHS
DETROL (G)
DETROL (G)
DIFFERIN GEL (G)
IMITREX (G)
EFFEXOR XR (G)
EFFEXOR XR (G)
INDERAL LA (G)
INSPRA (G)
INSPRA (G)
ENTOCORT EC (G)
EPIVIR (G)
EPIVIR (G)
EXELON (G)
EXELON (G)
LAMICTAL DISPERSIBLE (G)
LESCOL (G)
LESCOL (G)
FELDENE (G)
FELDENE (G)
Schenectady Meds 2 -- CanaRx Formulary for MVP POPULATION Members
as of OCTOBER 1, 2013
NOTE: Medication names/strengths in BOLD ITALICS {those with the (G) indicator} are "Multi-Source Brand" drugs --
they are also available in a generic version. CanaRx will only dispense these medications if "Dispense As Written"
(DAW) is indicated by the physician on the prescription. The generic equivalents for these medications are available
via Express Scripts mail order pharmacy. For a greater savings to the Schenectady Meds program, ask your physician
about taking a generic equivalent of your medication.
FOR MORE INFORMATION CALL: CanaRx, 1-866-893-MEDS (6337)
U.S. NAME
AVAILABLE
STRENGTHS
U.S. NAME
AVAILABLE
STRENGTHS
LOCOID OINTMENT (G)
PREVACID SOLUTAB (G)
PREVACID SOLUTAB (G)
MAXALT (G)
MAXALT (G)
MAXALT MLT (G)
PROMETRIUM (G)
REVATIO (G)
SALAGEN (G)
SANCTURA (G)
SANCTURA XR (G)
SEROQUEL (G)
PAMELOR (G)
PAMELOR (G)
STALEVO (G)
STALEVO (G)
STALEVO (G)
Schenectady Meds 2 -- CanaRx Formulary for MVP POPULATION Members
as of OCTOBER 1, 2013
NOTE: Medication names/strengths in BOLD ITALICS {those with the (G) indicator} are "Multi-Source Brand" drugs --
they are also available in a generic version. CanaRx will only dispense these medications if "Dispense As Written"
(DAW) is indicated by the physician on the prescription. The generic equivalents for these medications are available
via Express Scripts mail order pharmacy. For a greater savings to the Schenectady Meds program, ask your physician
about taking a generic equivalent of your medication.
FOR MORE INFORMATION CALL: CanaRx, 1-866-893-MEDS (6337)
U.S. NAME
AVAILABLE
STRENGTHS
U.S. NAME
AVAILABLE
STRENGTHS
UROCIT-K (G)
VECTICAL (G)
TARKA (G)
VIRAMUNE (G)
VIRAMUNE XR (G)
TEVETEN (G)
TOPROL XL (G)
YASMIN 28 (G)
3-0.02 MG
TRICOR (G)
ZERIT (G)
TRICOR (G)
ZIAGEN (G)
ZYPREXA ZYDIS (G)

Source: http://schenectadymeds.com/Documents/MVP%20Carve%20Out%20Member%20Formulary.pdf