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2014 Preferred Drug List Exclusions

2014 Preferred Drug List Exclusions

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Published by Matthew Hibbard
The medications listed here will no longer be covered by Express Scripts. On Jan. 1, patients that fill certain prescriptions on the list will pay full price unless they switch to a covered alternative.
The medications listed here will no longer be covered by Express Scripts. On Jan. 1, patients that fill certain prescriptions on the list will pay full price unless they switch to a covered alternative.

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Published by: Matthew Hibbard on Oct 11, 2013
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05/15/2014

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2014 Preerred Drug List Exclusions
As o Jan. 1, 2014, the excluded medications shown below are not covered on the Express Scripts drug list.*In most cases, i you ll a prescription or one o these drugs ater Jan. 1, you will pay the ull retail price.
Take action to avoid paying ull price.
I you are currently using one o the excluded medications, please ask your doctor to consider writing a newprescription or one o the ollowing sae and eective covered alternatives.
Drug ClassExcluded Medications Covered Alternatives
ANTINEOPLASTIC/ IMMUNOSUPPRESSANT
Biologics – Injectable Tumor NecrosisFactor Antagonists and Other Drugsor Infammatory ConditionsCimzia, Simponi, Stelara, Xeljanz Enbrel, Humira
AUTONOMIC & CENTRALNERVOUS SYSTEM
Intereron Beta Medications orMultiple SclerosisBetaseronAvonex, Extavia, RebiLong-Acting OpioidOral AnalgesicsAvinza, Exalgo, Kadianmorphine sulate ER, oxymorphone ER,Nucynta ER, Opana ER, Oxycontin
CARDIOVASCULAR
Angiotensin II Receptor Antagonists +Diuretic CombinationsEdarbi/Edarbyclor, Micardis/Micardis HCT,Teveten/Teveten HCTcandesartan/hydrochlorothiazide (HCTZ),irbesartan/HCTZ, losartan/HCTZ,valsartan/HCTZ, Benicar/HCT
DIABETES
Blood Glucose Meters & StripsAbbott (Freestyle, Precision),Bayer (Breeze, Contour), Nipro (TRUEtrack,TRUEtest), Roche (Accu-Chek)LieScan (OneTouch)Dipeptidyl Peptidase-IV Inhibitors& CombosJentadueto, Kazano, Nesina, TradjentaJanumet, Janumet XR, Januvia,Kombiglyze XR, OnglyzaIncretin Mimetics(Glucagon-Like Peptide-1 Agonists)VictozaBydureon, ByettaInsulinsNovolinHumulinApidra, NovoLogHumalog
EAR/NOSE
Nasal SteroidsBeconase AQ, Omnaris, Rhinocort Aqua,Veramyst, Zetonnafunisolide, futicasone propionate,triamcinolone acetonide,Nasonex, Qnasl
ENDOCRINE (OTHER)
Androgen Drugs(Topical Testosterone Products)Fortesta, TestimAndrogel, AxironGrowth HormonesNutropin/Nutropin AQ, Omnitrope,Saizen, Tev-TropinGenotropin, Humatrope, Norditropin
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*These changes apply to most Express Scripts national drug lists; does not apply to Medicare plans.

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