The following is a list of the most commonly prescribed drugs. It representsan abbreviated version of the drug list (formulary) that is at the core ofyour prescription-drug benefit plan. The list is not all-inclusive and doesnot guarantee coverage. In addition to using this list, you are encouragedto ask your doctor to prescribe generic drugs whenever appropriate. 2012 Express Scripts PLEASE NOTE: The symbol * next to a drug signifies that it is subject to National Preferred Formulary nonformulary status when a generic is available throughout the year. For specific questions about your coverage, please call the phone For Kentucky Employees’ Health Plan number printed on your ID card. A B G
MULTICLIX, SOFT TOUCH, BETASERON [INJ] [PA] [QLL] donepezil, odt
O
CURVE, COMPACT DRUM budesonide neb susp [QLL] doxepin
H M E C I P J K F N L
naproxen, naproxen sodium potassium chloride, er
D THIS DOCUMENT LIST IS EFFECTIVE JANUARY 1, 2012 THROUGH DECEMBER 31, 2012. THIS LIST IS SUBJECT TO CHANGE. You can get more information and updates to this document at our website at www.express-scripts.com. 2012 Express Scripts, Inc. PRMTCKYANP-12 (08/05/11) All Rights Reserved Examples of Nonformulary Medications With Selected Formulary Alternatives
The following is a list of some nonformulary brand-name medications with examples of selected alternatives that are on the formulary.
Column 1 lists examples of nonformulary medications.
Column 2 lists some alternatives that can be prescribed. Nonformulary Formulary Alternative Nonformulary Formulary Alternative Q R
ciprofloxacin/er, levofloxacin, ofloxacin,
U V
ciprofloxacin/er, levofloxacin, ofloxacin,
S
Detrol/LA* [ST], Enablex [ST], Toviaz [ST],
ciprofloxacin/er, levofloxacin, ofloxacin,
W X
simvastatin [QLL] or Crestor [QLL] [ST] or
Z
The symbol [INJ] next to a drug name indicates that the drug is available in injectable form only. T
The symbol [PA] next to a drug name indicates that Prior Authorization is required. The symbol [QLL] next to a drug name indicates that quantity or therapy limits exist.
The symbol [ST] next to a drug name indicates that Step Therapy applies. For the member: Generic medications contain the same active ingredients as their corresponding brand-name medications, although
they may look different in color or shape. They have been FDA-approved under strict standards. For the physician: Please prescribe preferred products and allow generic substitutions when medically appropriate. Thank you.
Brand-name drugs are listed in CAPITAL letters. Generic drugs are listed in lower case letters. THIS DOCUMENT LIST IS EFFECTIVE JANUARY 1, 2012 THROUGH DECEMBER 31, 2012. THIS LIST IS SUBJECT TO CHANGE. You can get more information and updates to this document at our website at www.express-scripts.com. 2012 Express Scripts, Inc. PRMTCKYANP-12 (08/05/11) All Rights Reserved
answer that, I would like to return full circle tothe excellent introduction by Gary Kupfer. I fullyagree that lessons learned in pediatric psycho-oncology can, indeed should, be used by practi-child psychiatry attendings at the Massachusettstioners in any field who deal with medically illGeneral Hospital Psychiatric Emergency Room. children. I no longer work exclusively—rarely atThe m
Diabetes Youth New Zealand PO Box 67 – 041 Mt Eden Auckland Natalie Davis Therapeutic Group Manager PHARMAC PO Box 10 254 Wellington 6143 Diabetes Youth New Zealand (DYNZ) represents children and young people up to the age of 18 years and their families living with diabetes. DYNZ is closely affiliated with Diabetes New Zealand, and the DYNZ President sits on the DNZ National Board. At pre
The following is a list of the most commonly prescribed drugs. It representsan abbreviated version of the drug list (formulary) that is at the core ofyour prescription-drug benefit plan. The list is not all-inclusive and doesnot guarantee coverage. In addition to using this list, you are encouragedto ask your doctor to prescribe generic drugs whenever appropriate.