We’ve written to Medicare Advantage members with Part D coverage who may be affected by changes in how drugs are covered starting Jan. 1, 2018. We urged them to talk to their doctors about any possible prescription changes they may need before the new year.
Please support your patients who may be affected by:
- Anticipating any changes in medications that may be needed,
- Answering your patients’ questions, and
- Writing new prescription orders for them, when needed, before Jan. 1.
The changes to the formulary effective Jan. 1, 2018, will be:
| Drugs no longer covered: | ||
|---|---|---|
| ABILIFY | DESONIDE | NITROSTAT |
| ACETAMINOPHEN-CODEINE SOLUTION | ENABLEX | PATADAY |
| AGGRENOX | EPZICOM | PREDNICARBATE |
| ALPRAZOLAM ER | FLUOCINOLONE ACETONIDE 0.01% and 0.025% CREAM | PRISTIQ ER |
| ALPRAZOLAM XR | FLUOCINONIDE-E | SEROQUEL XR |
| AZILECT | GALANTAMINE ER | SIMBRINZA |
| BENICAR | GLEEVEC | STRATTERA |
| BENICAR HCT | HALOBETASOL PROPIONATE | TAZORAC |
| BETAMETHASONE DIPROPIONATE AUGMENTED | KLOR-CON M10 | TEGRETOL XR |
| BETOPTIC S | MIRTAZAPINE ODT | TIKOSYN |
| BYETTA | NAMENDA | VOLTAREN GEL |
| CLOTRIMAZOLE 1% SOLUTION | NASONEX | VYTORIN |
| COPAXONE | CRESTOR | XARELTO |
| Drugs moving to a higher tier: | ||
|---|---|---|
| CLARAVIS | JANTOVEN | MOMETASONE FUROATE 50 MCG SPRAY |
| DICLOFENAC SODIUM GEL and TOPICAL SOLUTION | LEVOXYL | OLOPATADINE HCL |
| Drugs that will require preauthorization: | |
|---|---|
| BUTALBIT-ACETAMINOPHEN-CAFF CP | BUTALBITAL-ASA-CAFFEINE CAP |
| Drugs added to formulary: | |
|---|---|
| CIPRODEX | EPINEPHRINE AUTO-INJECT |
| CORLANOR | NARCAN |
| COSENTYX PEN |
| Drugs moving to a lower tier: | ||
|---|---|---|
| AMLODIPINE BESYLATE-BENAZEPRIL | ENOXAPARIN SODIUM | METHOTREXATE 2.5 MG TABLET |
| AMOXICILLIN | FOSINOPRIL SODIUM | QUINAPRIL HCL |
| BENAZEPRIL-HYDROCHLOROTHIAZIDE | FOSINOPRIL-HYDROCHLOROTHIAZIDE | QUINAPRIL HYDROCHLOROTHIAZIDE |
| CEPHALEXIN | HYDROXYCHLOROQUINE SULFATE | REPAGLINIDE |
| ENALAPRIL MALEATE | IRBESARTAN | VALSARTAN |
| ENALAPRIL-HYDROCHLOROTHIAZIDE | IRBESARTAN-HYDROCHLOROTHIAZIDE | VALSARTAN-HYDROCHLOROTHIAZIDE |
