/Resources << �յ�=g�����������%%4����|����G��*��z����̤����M��P;;Hr��$��@��r���8� ;moP�� Sq2c������� �� �����e�����0?54�Z'�l5�#ϑ1� �r`d�+to�ڀ; The brand name and generic drugs included in the SilverScript formularies are categorized into cost-sharing tiers that are numbered from 1 to 5. We are pleased to provide the 2020 Value Formulary as a useful reference and informational tool. 2286 0 obj <> endobj h�Ę[o�6�� 2305 0 obj <>/Filter/FlateDecode/ID[<6F0C8D3CC8B61C4FAA171F68540821EF><47F9F97396B49B42ABB27DBD22E2564D>]/Index[2286 51]/Info 2285 0 R/Length 104/Prev 417876/Root 2287 0 R/Size 2337/Type/XRef/W[1 3 1]>>stream

2019 PRESCRIPTION DRUG FORMULARY EFFECTIVE February 1, 2019 Your physician is the person best suited to help you make decisions about prescription drugs, and the prescription drug information below is intended for consumer guidance only. CVS Caremark is committed to helping you get the most effective medications at the best price and keeping access to prescription medications affordable. 1 0 obj 9 0 obj PROVIDER: PLEASE READ . 2020 PRESCRIPTION DRUG FORMULARY EFFECTIVE January 1, 2020 Your physician is the person best suited to help you make decisions about prescription drugs, and the prescription drug information below is intended for consumer guidance only. /Resources << You will receive notice when necessary. Please note: This list represents brand products in CAPS, branded generics in upper- and lowercase Italics, and generic products in lowercase italics. h�b```�n�'� cb��� >?��0l,``��h I3�����cڱ#J�R��DCGÙ�:�������b!��W ;�QӁ-!��� �v.� �,F�y��E'}l�����v�e�Y��l��8CAܱjlq� W�m� �?2q

Y0080_4006_16825 Last Updated: 10/01/2019 %PDF-1.5 %���� Generics should be considered the first line of prescribing. The Formulary can assist practitioners in selecting clinically appropriate and cost-effective products for their patients. Uniform preferred drug list (PDL) and preferred drug list changes .

��+��b�5��6���,�����f;?�"�6c��E���wQ�dz�͠M�47�U���V#]e[ԧ�Z. Why are generic medications so widely used? All Rights Reserved [�HR�"�s[4�d� AJ�9ېݭ��;��Ֆ��6�(��H~:"-���3 �0)]%Š��e`�g:���wB��`���Р���#'2aY� k�g_P��,�r���a��$'%�\ /V�e�FRM3 +2d�y��V"V99˔p��3%#�Ք� The drugs represented have been reviewed by a National Pharmacy and Therapeutics (P&T) Committee and are approved for inclusion. 3 0 obj

Formulary Lookup. 6 0 obj (2 character minimum) Learn more about Drug Coverage & Exceptions. CVS Caremark ® on behalf of HealthTrust, is a guide within select therapeutic categories for clients, plan members and health care providers. ��\g뼳�s�^?�3( ~�b�5�~�g� stream /Filter/DCTDecode /BitsPerComponent 8 You will receive notice when necessary.© 2020 SilverScript Insurance Company. '%��Ō��I��

Managed Care Organizations (MCOs) that offer drug benefits to Minnesota Health Care Programs (MHCP) members must use the Minnesota Department of Human Services’ (DHS) Uniform PDL beginning July 1, 2019. July 2020 Advanced Control Formulary™ The Advanced Control Formulary™ is a guide within select therapeutic categories for clients, plan members and health care providers. <> SilverScript plans use a system with five Medicare formulary tiers. /Type/XObject /ProcSet 1 0 R endobj 2020 CDH Preventive Medications - Standard Plus CRP1910_00900.1 DL48480K SMOKING-CESSATION* CHANTIX NICOTROL NICODERM CQ (nicotine patches) NICORETTE (nicotine gum and lozenges) ZYBAN (bupropion SR 150mg) VACCINATION* Anthrax, BCG, Cholera, Diphtheria, Haemophilus Influenza B, Hepatitis A and B, Human Papillomavirus, Influenza, endstream /FormType 1 endstream endstream endobj startxref 0 stream This document can assist practitioners in selecting clinically appropriate and cost-effective products for their patients. << endstream endobj 2287 0 obj <>/Metadata 36 0 R/Pages 2284 0 R/StructTreeRoot 48 0 R/Type/Catalog>> endobj 2288 0 obj <>/MediaBox[0 0 612 792]/Parent 2284 0 R/Resources<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 2289 0 obj <>stream We are pleased to provide the 2020 Value Formulary as a useful reference and informational tool. Altace: CARDIOVASCULAR # Altoprev (lovastatin extended-release) PA: LIPID LOWERING AGENTS: Altreno (tretinoin 0.05% lotion) PA: DERMATOLOGICAL: aluminum carbonate: GASTROINTESTINAL AGENT * aluminum hydroxide: ANTACIDS * Alunbrig (brigatinib) PA: CHEMOTHERAPY: Alvesco (ciclesonide inhaler) PA You’ve come to the right place to get important information about your drug coverage. /FormType 1 July 2020 Drug List of Preferred Products. >> /Type/XObject This document can assist practitioners in selecting clinically appropriate and cost-effective products for their patients. /Length 134 /ProcSet 1 0 R Generics should be considered the first line of prescribing. %PDF-1.4

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