Additional Updates
Exclusions to Your Dean Health Plan Drug Benefit

Our drug benefit does not automatically cover every new drug that the U.S. Food and Drug Administration approves. We have a panel of physicians from many different specialties to evaluate new drugs. If an excluded drug has been prescribed for you, ask your physician or pharmacist if he or she can substitute it for one of the medications we cover. Please call Customer Service for an updated list or for more information about your prescription drug benefit. The following drugs are not covered by Dean Health Plan:

A Acarbose (PRECOSE) Acrivastine/pseudoephedrine (SEMPREX-D) Alosetron (LOTRONEX) Ardeparin (NORMIFLO) Appetite suppressants Azelastine hydrochloride ophthalmic solution (OPTIVAR) B Bepridil (VASCOR) BIAXIN XL Bitolterol inhaler (TORNALATE) BRONTEX (Guaifenesin/codeine) Butorphanol nasal spray (STADOL NS) C Candesartan (ATACAND) Cefaclor Cefixime tablets (SUPRAX) Cefprozil tablets (CEFZIL) Ceftibuten (CEDAX) Celicoxib (CELEBREX) CENESTIN (synthetic conjugated estrogens) Cephradine COVERA-HS D D.A. II Dalteparin (FRAGMIN) Dexamethasone inhaler (DECADRON TURBINAIRE) Diclofenac/Misoprostol (ARTHROTEC) Diclofenac potassium (CATAFLAM) Diflunisol Diltiazem HCI (CARDIZEM CD) Diltiazem SR (DILACOR XR) Dirithromycin (DYNABAC) DYAZIDE E EC-NAPROSYN or NAPRELAN Eflornithine (VANIQA) Emadastine diflumarate (EMADINE) Enalapril/felodipine (LEXXEL) Enoxacin (PENETREX) Estradiol/norethindrone transdermal system (COMBIPATCH) Ethinyl estradiol/noreth AC (FemHRT) Ethynodiol-mestranol (OVULEN) Etodolac F Famciclovir (FAMVIR) Famotidine (PEPCID) except generic 20 mg and 40 mg tablets Fenofibrate (LIPIDIL) Fenoprofen Fexofenadine hydrochloride (ALLEGRA) Fexofenadine/pseudoephedrine (ALLEGRA D) Flunisolide nasal inhaler (NASALIDE, NASAREL) Flunisolide oral inhaler (AEROBID, AEROBID-M) Fluoxetine HCl (tablets) Flurbiprofen Fluticasone nasal inhaler (FLONASE AQ) Fosfomycin (MONUROL) Fosinopril (MONOPRIL) G Gatifloxacin (TEQUIN) H HELIDAC I Ibuprofen/hydrocodone (VICOPROFEN) Irbesartan (AVAPRO) Isoproterenol inhaler (MEDIHALER-ISO or ISUPREL) Isosorbide mononitrate (ISMO) Isradipine (DYNACIRC CR) K Ketoprofen Ketotifen fumarate ophthalmic solution (ZADITOR) L Levalbuterol (XOPENEX) Levofloxacin (LEVAQUIN) LODINE XL Lomefloxacin (MAXAQUIN) Loracarbef capsules (LORABID) Loratadine melting tablets (CLARITIN REDITABS)    (Ages > 6) Lovastatin (MEVACOR) M Mefenamic acid (PONSTEL) Metaproterenol Inhaler (ALUPENT INHALER) Minoxidil topical solution (ROGAINE) N Naphazoline/antazoline ophthalmic solution Naphazoline HCL/pheniramine maleate ophthalmic solution Nicardipine (CARDENE and CARDENE SR) Nifedipine (PROCARDIA XL) Nisoldipine (SULAR) Nizatidine (AXID) NOVOLIN 70/30 NOVOLIN L NOVOLIN N NOVOLIN R O Omeprazole (PRILOSEC) Over-the-counter drugs Oxaprozin (DAYPRO) P Pemirolast potassium ophthalmic solution (ALAMAST) Phenylpropanolamine-containing products Phenytoin (all generics) Pravastatin (PRAVACHOL) Progesterone—oral (other than PROMETRIUM, which requires prior authorization) PROPECIA Q Quinapril (ACCUPRIL) R Rabeprazole (ACIPHEX) Ramipril (ALTACE) Ranitidine capsules S Sildenafil (VIAGRA) Smoking cessation products Sparfloxacin (ZAGAM) T Tacrine (COGNEX) Telmisartan (MICARDIS) Terbutaline inhaler (BRETHAIRE) Tiludronate (SKELID) Tinzaparin (INNOHEP) Tolmetin Toremifene (FARESTON) Torsemide (DEMADEX) Trandolapril (MAVIK) Trandolapril/verapamil (TARKA) Triamcinolone nasal inhaler (NASACORT) TRITEC Troglitazone (REZULIN) Trovafloxacin (TROVAN) U Unoprostone isopropyl (RESCULA) V Verapamil HCl (VERELAN) VOLTAREN XR Z Zaleplon (SONATA) Zanamivir (RELENZA) Zileuton (ZYFLO)

Please note: Some members may have coverage for one of these drugs based on an exception in their pharmacy benefit or an authorization from Dean Health Plan.

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