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|  The Preferred Medication List is a
guide for members with three-tier
prescription plans. Quarterly, pharmacists
and medical professionals
review the list to ensure it includes
safe, cost-effective medications and
reflects changes in the availability of
certain drugs. The generic equivalents
of brand-name drugs deleted
continue to be covered at the lowest
copayment. They are safe, effective
and can save you money. Ask your
doctor or pharmacist if a generic
is available when you receive a
prescription.
Effective 11/30/04
Tarceva
Effective 01/08/05
Duac
Nasonex
Omnicef
Effective 01/15/05
Avelox
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| Biaxin | clarithromycin |
| Biaxin XL Filmtab | clarithromycin extended release |
| Nasacort nasal aerosol (†) | Flonase, Nasonex*** |
| Nasacort AQ nasal aerosol (†) | Flonase, Nasonex*** |
| Neurontin tablets and capsules | gabapentin |
| Plendil | felodipine |
| Rowasa rectal enema | mesalamine |
| Sporanox (capsules only) | itraconazole |
Tobrex 0.3%
(ophthalmic drops only) | tobramycin |
| Videx EC (capsules only) | didanosine delayed release capsules |
| Wellbutrin SR | bupropion sustained release |
* Brand name deleted only unless indicated by(†)
** Covered at the lowest copayment level
*** Potential covered brand-name alternative; discuss with your physician
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