Preferred Prescriptions RX Selections™ Member Guide Medco Formulary (Preferred Drug List).pdfPreferred Prescriptions®/RX Selections™is a formulary list of medications that may

Preferred Prescriptions®/RX Selections™Member GuidePlease bring this guide with you on your next doctor visit.

Medco manages your prescription drug benefit for your health plan.

NOTES

Preferred Prescriptions®/RX Selections™ is a formulary list of medications that may be covered under your prescription drugplan.This list was reviewed by an independent group of practicingdoctors and pharmacists, and it contains medications made bymost pharmaceutical manufacturers. It includes medications formany covered conditions.

SAVING MONEY ON PRESCRIPTIONSYour plan may prefer some medications over others. These arecalled preferred drugs.

You may pay:• Lowest co-payment/co-insurance for generic drugs• Higher co-payment/co-insurance for preferred brand-name

drugs• Highest co-payment/co-insurance for nonpreferred

brand-name drugs

Your doctor may be able to help you save money by prescribinggeneric and preferred brand-name drugs if appropriate. So be sureto bring this guide with you on every visit to your doctor. Somecommonly prescribed nonpreferred drugs are also listed in thisguide for your reference.

Please note: This guide does not contain a complete list of preferred and nonpreferred drugs. It only lists the mostcommonly prescribed drugs. For an updated and complete listing of your prescription benefit, you can visit the “BenefitHighlights” section of our website—www.medco.com—andclick on the View your preferred drug list link. Not all medica-tions listed here are covered by every prescription drug plan.

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FINDING MEDICATIONS WITH LOWERCO-PAYMENTS/CO-INSURANCEThis guide lists medications two ways to help you find somegeneric, preferred, and nonpreferred brand-name drugs.

SECTION I - ALPHABETICALLY BY DRUG CATEGORY (SUCH AS RESPIRATORY)Within each category, medications are listed in alphabetical order, with generic, preferred brand-name, and nonpreferredbrand-name drugs sorted separately:

G Means a preferred generic medicationP Means a preferred brand-name medicationNP Means a nonpreferred brand-name medication

SECTION II - ALPHABETICALLY BY BRAND NAMEAfter each nonpreferred brand-name drug, you will find possible generic and preferred brand-name alternatives.

SAFETY CONSIDERATION SYMBOLSHere is a quick guide for you and your doctor, which explains our safety symbols. These symbols appear next to certain medications.

Means weigh risk of birth defects or other adverse outcomes.

Means do not use in pregnancy.

The information in this guide was in effect at the time of printing and maybe subject to change.

Key:G = Means a preferred generic medication.P = Means a preferred brand-name medication.NP = Means a nonpreferred brand-name medication.

= Means weigh risk of birth defects or other adverse outcomes.= Means do not use in pregnancy.

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SECTION I:THERAPEUTIC DRUG CATEGORIES

Oral PenicillinsG amoxicillin trihydrateG amoxicillin trihydrate/

potassium clavulanateG ampicillin trihydrateG dicloxacillin sodiumG penicillin v

potassiumP Augmentin Chewable

Tablet 250 - 62.5mgP Augmentin

Suspension 125 - 31.25mg/5

NP AmoxilNP Augmentin Chewable

Tablet 200 - 28.5mg,400 - 57mg

NP Augmentin ESNP Augmentin

Suspension 200 - 28.5mg/5,250 - 62.5mg/5,400 - 57mg/5

NP Augmentin TabletNP Augmentin XRNP Moxatag

Oral TetracyclinesG doxycycline hyclateG doxycycline

monohydrateG minocycline HClG tetracycline HCl

P AdoxaP Adoxa PakP OraceaNP DoryxNP DynacinNP MinocinNP MonodoxNP PeriostatNP SolodynNP Vibramycin

Oral CephalosporinsG cefaclorG cefadroxil hydrateG cefdinirG cefpodoxime proxetilG cefprozilG cefuroxime axetilG cephalexin

monohydrateG cephradineNP Ceclor CDNP CedaxNP CeftinNP CefzilNP DuricefNP KeflexNP OmnicefNP RaniclorNP SpectracefNP SupraxNP Vantin

ANTI-INFECTIVES (Antibiotics/Antifungals)



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Oral ErythromycinsG azithromycinG clarithromycinG clarithromycin ERG erythromycin baseG erythromycin

ethylsuccinateG erythromycin

ethylsuccinate/sulfisoxazole acetyl

G erythromycin stearateNP BiaxinNP Biaxin XLNP EryPedNP PCENP ZithromaxNP Zmax

Oral QuinolonesG ciprofloxacin HClG ofloxacinP Cipro SuspensionP LevaquinP NoroxinNP AveloxNP Cipro TabletNP Cipro XRNP FactiveNP FloxinNP Proquin XR

Oral SulfasG erythromycin

ethylsuccinate/sulfisoxazole acetyl

G sulfadiazineG sulfamethoxazole/

trimethoprimG sulfisoxazole

NP Bactrim DSNP GantrisinNP Septra DS

Oral Urinary TractAgentsG methenamine

hippurateG methenamine

mandelateG nitrofurantoinG nitrofurantoin

macrocrystalG phenazopyridine HClG trimethoprimP FuradantinNP HiprexNP MacrobidNP MacrodantinNP MonurolNP Primsol

Oral AntifungalAgentsG clotrimazoleG fluconazoleG griseofulvin G griseofulvin

ultramicrosizeG itraconazoleG ketoconazoleG nystatinG terbinafine HClP AncobonP Lamisil Oral GranulesP NoxafilP Sporanox Oral

SolutionP Vfend Tablet

Hypnotic AgentsG chloral hydrateG estazolamG flurazepam HClG temazepamG triazolamG zaleplonG zolpidem tartrateNP AmbienNP Ambien CRNP DalmaneNP DoralNP EdluarNP HalcionNP LunestaNP ProSom

NP Restoril NP RozeremNP Sonata

TricyclicAntidepressantsG amitriptyline HClG amoxapineG clomipramine HClG desipramine HClG doxepin HClG imipramine HClG imipramine

pamoate G nortriptyline HClG protriptyline HClG trimipramine maleate



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NP DiflucanNP Grifulvin VNP Gris-PegNP Lamisil TabletNP MycostatinNP Mycelex Troche NP NizoralNP OravigNP Sporanox CapsuleNP Vfend Suspension

Oral MiscellaneousAgentsG clindamycin HClG neomycin sulfateP Dapsone

P Tobi Ampul forNebulization

P Xifaxan 550mgP ZyvoxNP Cleocin HClNP KetekNP Xifaxan 200mg

Vaginal AntifungalsG fluconazoleG miconazole nitrate

vaginal suppositoryG nystatinG terconazoleP Gynazole-1NP Terazol

PSYCHOTHERAPEUTICS (Anxiety/Depression)



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P SurmontilNP AnafranilNP AsendinNP Aventyl HClNP ElavilNP NorpraminNP PamelorNP SinequanNP TofranilNP Tofranil-PMNP Vivactil

MiscellaneousAntidepressantsG bupropion HCl tabletG bupropion HCl tablet,

sustained actionG maprotiline HClG mirtazapineG trazodone HClG venlafaxine HClP CymbaltaP PristiqNP DesyrelNP EffexorNP Effexor XRNP LudiomilNP Oleptro ERNP RemeronNP SerzoneNP WellbutrinNP Wellbutrin SRNP Wellbutrin XL

AntipsychoticsG chlorpromazine HClG clozapineG fluphenazine HClG haloperidol

G haloperidol lactateconcentrate, oral

G loxapine succinateG perphenazineG risperidoneG thiothixeneG trifluoperazine HClP ClozarilP GeodonP MobanP OrapP SeroquelP Seroquel XRP ZyprexaP Zyprexa ZydisNP AbilifyNP FanaptNP InvegaNP RisperdalNP SaphrisNP Symbyax

AnxiolyticsG alprazolamG alprazolam XRG buspirone HClG chlordiazepoxide

HClG clorazepate

dipotassiumG diazepamG lorazepamG oxazepamNP AtivanNP BusparNP LibriumNP NiravamNP SeraxNP Tranxene SD



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NP Tranxene T-TabNP ValiumNP XanaxNP Xanax XR

MAOIAntidepressantsG tranylcypromine

sulfateP NardilNP EmsamNP Parnate

SSRI AntidepressantsG citalopram HBrG fluoxetine HCl

G fluvoxamine maleateG paroxetine HClG sertraline HClNP CelexaNP LexaproNP LuvoxNP Luvox CRNP PaxilNP Paxil CRNP PexevaNP ProzacNP Prozac WeeklyNP SarafemNP Zoloft

Beta BlockersG acebutolol HClG atenololG betaxolol HClG bisoprolol fumarateG carvedilolG labetalol HClG metoprolol succinateG metoprolol tartrateG nadololG pindololG propranolol HClG propranolol HCl

capsule, sustainedaction 24 hr

G timolol maleate

P BystolicP Coreg CRNP CoregNP CorgardNP InderalNP Inderal LANP Innopran XLNP KerloneNP LevatolNP LopressorNP NormodyneNP SectralNP TenorminNP Toprol XLNP TrandateNP Zebeta

CARDIOVASCULAR(Blood Pressure/Heart/Cholesterol)



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Calcium BlockersG diltiazem HClG diltiazem HCl capsule,

sustained release 12 hrG diltiazem HCl capsule,

sustained release 24 hr

G diltiazem HCl tablet,sustained release

G nimodipineG verapamil HClG verapamil HCl

capsule, 24 hr sustained release

G verapamil HCl tablet,sustained action

P Cardizem LA 120mgNP Calan SRNP CardizemNP Cardizem CDNP Cardizem LA 180mg,

240mg, 300mg,360mg, 420mg

NP Cardizem SRNP Covera-HSNP Isoptin S.R.NP NimotopNP TiazacNP VerelanNP Verelan PM

DihydropyridinesG amlodipine besylateG felodipineG isradipineG nifedipineG nifedipine tablet,

sustained releaseG nisoldipineNP Adalat CC

NP Cardene SRNP DynaCircNP DynaCirc CRNP NorvascNP PlendilNP Procardia XLNP Sular

Nitroglycerin PatchesG nitroglycerin patchP Minitran PatchNP Nitro-Dur Patch

AdrenergicAntagonists &Related DrugsG clonidine HClG doxazosin mesylateG guanfacine HClG methyldopaG prazosin HClG reserpineG terazosin HClNP CarduraNP Cardura XLNP CatapresNP Catapres-TTSNP HytrinNP MinipressNP Tenex

Angiotensin IIBlockers & ReninInhibitorsG losartan potassiumG losartan/

hydrochlorothiazideP AtacandP Atacand HCTP Benicar



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P Benicar HCTP DiovanP Diovan HCTP MicardisP Micardis HCTP TekturnaP Tekturna HCTP ValturnaNP AvalideNP AvaproNP CozaarNP HyzaarNP TevetenNP Teveten HCT

AntilipidemicsG cholestyramine/

aspartameG cholestyramine/

sucroseG colestipol HClG fenofibrate,

micronizedG gemfibrozilG lovastatinG pravastatinG simvastatinP AltoprevP AntaraP CrestorP LipitorP LovazaP NiaspanP SimcorP TricorP TriglideP TrilipixP VytorinP WelcholP ZetiaNP Advicor

NP CaduetNP ColestidNP FenoglideNP FibricorNP LescolNP Lescol XLNP LivaloNP LofibraNP LopidNP MevacorNP PravacholNP QuestranNP Questran LightNP Zocor

ACE InhibitorsG benazepril HClG captoprilG enalapril maleateG fosinopril sodiumG lisinoprilG moexiprilG perindopril erbumineG quinaprilG ramiprilG trandolaprilNP AccuprilNP AceonNP AltaceNP CapotenNP LotensinNP MavikNP MonoprilNP PrinivilNP UnivascNP VasotecNP Zestril



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Insulin TherapyP ApidraP Apidra SolostarP HumalogP Humalog Mix 50/50

P Humalog Mix 75/25P HumulinP LantusP Lantus SoloStarP LevemirP NovoLog

ENDOCRINE (Diabetes/Hormones/Contraceptives)

CombinationAntihypertensivesG amlodipine

besylate/benazeprilG atenolol/

chlorthalidoneG benazepril HCl/

hydrochlorothiazideG bisoprolol fumarate/

hydrochlorothiazideG captopril/

hydrochlorothiazideG enalapril maleate/

hydrochlorothiazideG fosinopril/

hydrochlorothiazideG hydralazine HCl/

hydrochlorothiazideG lisinopril/

hydrochlorothiazideG methyldopa/

hydrochlorothiazideG metoprolol/

hydrochlorothiazideG moexipril/

hydrochlorothiazideG propranolol HCl/

hydrochlorothiazide

G quinapril/hydrochlorothiazide

G trandolapril/verapamil

P AzorP ExforgeP Exforge HCTP Lotrel 5-40mg,

10-40mgP TwynstaNP AccureticNP CapozideNP ClorpresNP CorzideNP LexxelNP Lopressor HCTNP Lotensin HCTNP Lotrel 2.5-10mg,

5-10mg, 5-20mg,10-20mg

NP Monopril HCTNP PrinzideNP TarkaNP TenoreticNP UnireticNP VasereticNP ZestoreticNP Ziac



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P NovoLog Mix 70/30NP Novolin

Non-InsulinHypoglycemic AgentsG acarboseG chlorpropamideG glimepirideG glipizideG glipizide/

metformin HClG glyburideG glyburide/

metformin HClG glyburide, micronizedG metformin HClG metformin HCl tablet,

sustained release 24 hr

G nateglinideG tolazamideG tolbutamideP Actoplus MetP ActosP AvandametP AvandarylP AvandiaP ByettaP DuetactP JanumetP JanuviaP OnglyzaP PrandinP SymlinNP Actoplus Met XRNP AmarylNP DiabineseNP DiaBetaNP FortametNP Glucophage

NP Glucophage XRNP GlucotrolNP Glucotrol XLNP GlucovanceNP GlumetzaNP GlynaseNP GlysetNP MetaglipNP MicronaseNP OrinaseNP PrandimetNP PrecoseNP RiometNP StarlixNP TolinaseNP Victoza

Blood Glucose TestStripsG alcohol antiseptic

padsP Accu-Chek Active Test

StripsP Accu-Chek Aviva Test

StripsP Accu-Chek Comfort

Curve Test StripsP Accu-Chek Compact

Test StripsP Fast Take Test StripsP One Touch Test StripsP One Touch Ultra Test

Strips P Surestep Pro Test

StripsP Surestep Test Strips

Contraceptive AgentsG desogestrel-ethinyl

estradiol



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G desogestrel-ethinylestradiol/ethinylestradiol

G ethinyl estradiol/drospirenone

G ethynodiol d-ethinylestradiol

G levonorgestrelG levonorgestrel-

ethinyl estradiolG norethindroneG norethindrone a-e

estradiolG norethindrone a-e

estradiol/ferrousfumarate

G norethindrone-ethinyl estradiol

G norethindrone-mestranol

G norgestimate-ethinyl estradiol

G norgestrel-ethinylestradiol

P LybrelP NuvaRingP Plan B One-StepP SeasoniqueP YazNP AlesseNP BreviconNP CyclessaNP DemulenNP DesogenNP Estrostep FeNP LevlenNP LevliteNP LoestrinNP Loestrin FeNP Loestrin 24 Fe

NP Lo/OvralNP LoSeasoniqueNP MircetteNP ModiconNP NataziaNP NordetteNP NorinylNP Ortho-CeptNP Ortho-CyclenNP Ortho EvraNP Ortho MicronorNP Ortho-NovumNP Ortho Tri-CyclenNP Ortho Tri-Cyclen LoNP OvconNP OvralNP SeasonaleNP Tri-LevlenNP Tri-NorinylNP TriphasilNP Yasmin

Estrogens/EstrogenCombinationsG estradiol patchG estradiol tabletG estradiol/

norethindroneacetate

G estropipateG methyl-

testosterone/estrogens, esterified

P CenestinP ClimaraP CombipatchP DivigelP EnjuviaP Estrace Vaginal

Cream



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Ulcer DrugsG cimetidine HCl liquidG cimetidine tabletG famotidineG lansoprazoleG misoprostolG nizatidineG omeprazoleG omeprazole/sodium

bicarbonateG pantoprazole sodiumG ranitidine HClP Axid Oral SolutionP Nexium NP AciphexNP Axid CapsuleNP CytotecNP Dexilant

NP KapidexNP PepcidNP PrevacidNP Prilosec RxNP ProtonixNP TagametNP Zantac RxNP Zegerid Rx

Other G I DrugsG sucralfate tabletP Carafate Suspension P PyleraNP Carafate Tablet

G I (Ulcer)

P EstradermP EstringP EvamistP Premarin TabletP PremphaseP PremproP VagifemP VivelleP Vivelle-DotNP ActivellaNP AloraNP AngeliqNP Climara ProNP ElestrinNP Estrace Tablet

NP EstrasorbNP EstratestNP Estratest H.S.NP EstrogelNP FemhrtNP FemringNP FemtraceNP MenestNP MenostarNP OgenNP Ortho-PrefestNP Premarin Vaginal

Cream



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NSAIDsG etodolacG flurbiprofenG ibuprofenG indomethacinG ketoprofenG meclofenamate

sodiumG meloxicamG nabumetoneG naproxenG naproxen sodiumG oxaprozinG piroxicamG sulindacG tolmetin sodiumP VimovoNP Anaprox DSNP AnsaidNP ArthrotecNP CambiaNP ClinorilNP Daypro

NP diclofenac potassium

NP diclofenac sodiumNP EC-NaprosynNP FeldeneNP FlectorNP IndocinNP LodineNP Lodine XLNP MobicNP MotrinNP NaprelanNP NaprosynNP PennsaidNP RelafenNP ToradolNP VoltarenNP Voltaren-XR

NSAID COX-2InhibitorsP Celebrex

NSAIDS (Pain Relievers)

G acetaminophen/butalbital

G acetaminophen/caffeine/butalbital

G aspirin/caffeine/butalbital

G dihydroergotaminemesylate

G ergotamine/caffeineG isometheptene

mucate/acetaminophen/dichloralphenazone

MIGRAINE/HEADACHE THERAPY



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G naratriptan HClG sumatriptan succinateP ErgomarP FrovaP MaxaltP Maxalt MLTP RelpaxP TreximetP ZomigP Zomig ZMTNP Amerge

NP AxertNP Cafergot tabletNP ImitrexNP MidrinNP MigranalNP PhrenilinNP Phrenilin Forte

G galantamine HBrG rivastigmine tartrateP AriceptP Aricept ODTP Exelon SolutionP NamendaNP CognexNP Exelon Capsules

NP RazadyneNP Razadyne ER

DRUGS TO TREAT ALZHEIMER’S DISEASE

G flavoxateG oxybutynin chloride G trospium chlorideP DetrolP Detrol LAP EnablexP GelniqueP Oxytrol

P Sanctura XRP VesicareNP DitropanNP Ditropan XLNP SancturaNP Toviaz

DRUGS TO TREAT OVERACTIVE BLADDER



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Beta Agonists OralG albuterol sulfateG metaproterenol

sulfateG terbutaline sulfateNP AlupentNP BrethineNP ProventilNP Ventolin

Beta Agonist InhalersG albuterolG albuterol sulfateG isoetharine HCl

solutionG levalbuterol HClG metaproterenol

sulfateP ForadilP Maxair AutohalerP PerforomistP Proair HFAP Serevent DiskusP Xopenex 0.31mg/3mL,

0.63mg/3mL,1.25mg/3mL

P Xopenex HFANP AccunebNP AlupentNP BrovanaNP ProventilNP Proventil HFANP Xopenex 1.25mg/0.5NP Ventolin NP Ventolin HFA

Inhaled SteroidsG budesonideP AsmanexP Flovent DiskusP Flovent HFAP Pulmicort FlexhalerP Pulmicort 1mg/2mL

RespulesP QVARNP AerobidNP Aerobid-MNP AlvescoNP AzmacortNP Pulmicort 0.25mg/2mLNP Pulmicort 0.5mg/2mL

Nasal CorticosteroidsG flunisolideG fluticasone propionateP Nasacort AQP NasonexP Rhinocort AquaP VeramystNP Beconase AQNP FlonaseNP NasacortNP NasalideNP NasarelNP Omnaris

MiscellaneousPulmonary AgentsG acetylcysteineG cromolyn sodium

ampul for nebulization

RESPIRATORY (Allergy/Asthma)



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G ipratropium/albuterolsulfate

G ipratropium bromidesolution

P Advair DiskusP Advair HFAP Atrovent HFAP BerinertP CinryzeP CombiventP Intal InhalerP LetairisP PulmozymeP RevatioP SingulairP SpirivaP SymbicortP TiladeP TracleerP TyvasoP VentavisNP AccolateNP AdcircaNP Atrovent Inhalation

SolutionNP DuleraNP DuonebNP KalbitorNP XolairNP ZyfloNP Zyflo CR

Antihistamine/DecongestantCombinationsG pseudoephedrine HCl/

brompheniraminemaleate

G pseudoephedrine HCl/brompheniraminemaleate capsule,sustained release 12 hr

G pseudoephedrine HCl/chlorpheniraminemaleate

G pseudoephedrine HCl/chlorpheniraminemaleate capsule,sustained release 12 hr

G pseudoephedrine HCl/fexofenadine HCl

G pseudoephedrine tannate/chlorpheniramine tannate

P Allegra-D 24 HourP Clarinex-D 12 hrP Clarinex-D 24 hrP Deconamine LiquidP Deconamine SRNP Allegra-D 12 HourNP Deconamine TabletNP HistexNP Histex SRNP RynatanNP RynatussNP Semprex-D



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AntihistaminesG clemastine fumarateG cyproheptadine HClG diphenhydramine HClG fexofenadine HClG hydroxyzine HClG hydroxyzine pamoateG promethazine HClP Allegra Oral

Suspension

P ClarinexNP Allegra TabletNP Allegra ODTNP AtaraxNP PhenerganNP VistarilNP Xyzal

G alendronate sodiumG calcitonin, salmon,

syntheticP Actonel 30mgP BonivaP EvistaP ForteoP Fosamax Plus DP Fosamax SolutionNP Actonel 5mgNP Actonel 35mgNP Actonel 75mgNP Actonel 150mgNP Actonel with CalciumNP Fosamax TabletNP Miacalcin Nasal Spray

OSTEOPOROSIS/PAGET’S DISEASE

Nonpreferred Possible Preferred ProductsProduct

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SECTION II:NONPREFERRED DRUGS AND THEIR POSSIBLE PREFERRED

ALTERNATIVES

Abilify® clozapine (generic), risperidone (generic), Geodon®

(Pfizer), Seroquel® (AstraZeneca), Seroquel XR®

(AstraZeneca), Zyprexa® (Eli Lilly)Accolate® Singulair® (Merck)

Accuneb® albuterol sulfate (generic)

Accupril® quinapril (generic)Accuretic® quinapril/hydrochlorothiazide (generic)Aceon® perindopril erbumine (generic)Aciphex® omeprazole (generic), Nexium® (AstraZeneca)Activella® 1-0.5mg estradiol/norethindrone acetate (generic)Activella® estradiol/norethindrone acetate (generic), Premphase®

0.5-0.1mg (Wyeth), Prempro® (Wyeth)Actonel® 5mg alendronate sodium 5mg (generic), alendronate

sodium 10mg (generic), Boniva® (Roche)Actonel® 35mg alendronate sodium 35mg (generic), alendronate

75mg, 150mg sodium 70mg (generic), Boniva® (Roche)Actonel® alendronate sodium (generic), Boniva® (Roche)

with CalciumActoplus Met XR® metformin HCl ER (generic), Actos® (Takeda)Adalat CC® nifedipine ER (generic), amlodipine besylate (generic)Adcirca® Revatio® (Pfizer)Advicor® lovastatin (generic), pravastatin (generic), simvastatin

(generic), Crestor® (AstraZeneca), Lipitor® (Pfizer),Niaspan® (Abbott), VytorinTM (Merck/Schering)

Aerobid® Asmanex® (Schering), Flovent HFA® (GlaxoSmithKline),Pulmicort Inhaler® (AstraZeneca), QVAR® (Ivax)

Aerobid-M® Asmanex® (Schering), Flovent HFA® (GlaxoSmithKline),Pulmicort Inhaler® (AstraZeneca), QVAR® (Ivax)

Alesse® Aviane® (Barr-branded generic*), Lessina® (Barr-branded generic*), Lutera® (Watson-branded generic*),Lybrel® (Wyeth)

Allegra® ODT fexofenadine HCl (generic)Allegra® Tablet fexofenadine HCl (generic), Clarinex® (Schering)Allegra-D® 12 Hour pseudoephedrine HCl/fexofenadine HCl (generic)

*Branded generics have the same co-payment as regular generics.


20*Branded generics have the same co-payment as regular generics.

Alora® estradiol patch (generic), Climara® (Berlex), Estraderm®

(Novartis), Vivelle® (Novartis)Altace® ramipril (generic)Alupent® Maxair Autohaler® (Graceway), Proair HFA® (Teva),

Xopenex HFA® (Sepracor)Alvesco® Asmanex® (Schering), Flovent HFA® (GlaxoSmithKline),

Pulmicort Flexhaler® (AstraZeneca)Amaryl® glimepiride (generic)Ambien® zolpidem tartrate (generic)Ambien CR® zolpidem tartrate (generic)Amerge® naratriptan HCl (generic)Amoxil® amoxicillin trihydrate (generic)Anafranil® clomipramine HCl (generic)Anaprox DS® naproxen sodium (generic)Angeliq® estradiol/norethindrone acetate (generic),

Premphase® (Wyeth), Prempro® (Wyeth)Ansaid® flurbiprofen (generic)Arthrotec® ibuprofen (generic), naproxen (generic), Celebrex®

(Pfizer)Asendin® amoxapine (generic)Atarax® hydroxyzine HCl (generic)Ativan® lorazepam (generic)Atrovent® ipratropium bromide (generic)

solutionAugmentin® amoxicillin trihydrate/potassium clavulanate (generic)chewable tablet200-28.5mg,400-57mg

Augmentin® amoxicillin trihydrate/potassium clavulanate (generic)suspension200-28.5mg/5,250-62.5mg/5,400-57mg/5

Augmentin® amoxicillin trihydrate/potassium clavulanate (generic)tablet

Augmentin ES® amoxicillin trihydrate/potassium clavulanate (generic)Augmentin XR® amoxicillin trihydrate/potassium clavulanate (generic)Avalide® losartan/hydrochlorothiazide (generic), Atacand HCT®

(AstraZeneca), Benicar HCT® (Daiichi Sankyo), DiovanHCT® (Novartis), Micardis HCT® (BIPI)


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Avapro® losartan potassium (generic), Atacand® (AstraZeneca),Benicar® (Daiichi Sankyo), Diovan® (Novartis),Micardis® (BIPI)

Avelox® Levaquin® (J&J)Aventyl HCl® nortriptyline HCl (generic)Axert® naratriptan HCl (generic), sumatriptan succinate

(generic), Frova® (Endo), Maxalt® (Merck), Relpax® (Pfizer),Zomig® (AstraZeneca)

Axid® Capsule nizatidine (generic)Azmacort® Asmanex® (Schering), Flovent HFA® (GlaxoSmithKline),

Pulmicort Inhaler® (AstraZeneca), QVAR® (Ivax)Bactrim DS® sulfamethoxazole/trimethoprim (generic)Beconase AQ® flunisolide (generic), fluticasone propionate (generic),

Nasacort AQ® (Aventis), Nasonex® (Schering), RhinocortAqua® (AstraZeneca), Veramyst® (GlaxoSmithKline)

Biaxin® clarithromycin (generic)Biaxin XL® clarithromycin ER (generic)Brethine® terbutaline sulfate (generic)Brevicon® Necon® (Watson-branded generic*), Nortrel®

(Barr-branded generic*)Brovana® Foradil® (Schering), Perforomist® (Dey Labs), Proair HFA®

(Teva), Serevent Diskus® (GlaxoSmithKline)Buspar® buspirone HCl (generic)Butisol Sodium® chloral hydrate (generic), temazepam (generic),

triazolam (generic)Caduet® amlodipine besylate (generic), Lipitor® (Pfizer)Calan SR® verapamil HCl tablet, sustained action (generic)Cambia® etodolac (generic), ibuprofen (generic), naproxen

(generic)Capoten® captopril (generic)Capozide® captopril/hydrochlorothiazide (generic)Carafate Tablet® sucralfate (generic)Cardene SR® amlodipine besylate (generic), nifedipine ER (generic)Cardizem® diltiazem HCl (generic)Cardizem CD® diltiazem HCl capsule, sustained release 24 hr

(generic)Cardizem LA® diltiazem ER (generic)180mg, 240mg,300mg, 360mg,420mg


22

Cardizem SR® diltiazem HCl capsule, sustained release 12 hr (generic)

Cardura® doxazosin mesylate (generic)Cataflam® etodolac (generic), ibuprofen (generic), naproxen

(generic)Catapres® clonidine HCl tablet (generic)Catapres-TTS® clonidine HCl patch (generic)Ceclor CD® cefaclor (generic), cefdinir (generic),

cefuroxime axetil (generic)Cedax® cefaclor (generic), cefdinir (generic),

cefuroxime axetil (generic)Ceftin® cefuroxime axetil (generic)Cefzil® cefaclor (generic), cefdinir (generic),

cefuroxime axetil (generic)Celexa® citalopram (generic)Cipro Tablet® ciprofloxacin HCl tablet (generic)Cleocin HCl® clindamycin HCl (generic)Climara Pro® Combipatch® (Novartis)Clinoril® sulindac (generic)Clorpres® chlorthalidone (generic), clonidine HCl (generic)Cognex® galantamine (generic), rivastigmine tartrate (generic),

Aricept® (Eisai)Colestid® cholestyramine (generic), Welchol® (Sankyo)Coreg® carvedilol (generic)Corgard® nadolol (generic)Corzide® bisoprolol fumarate/hydrochlorothiazide (generic),

metoprolol/hydrochlorothiazide (generic), propranololHCl/hydrochlorothiazide (generic)

Covera-HS® verapamil HCl capsule, 24 hr sustained release (generic)Cozaar® losartan potassium (generic)Cyclessa® Caziant® (Watson-branded generic*), Cesia® (Prasco

Labs-branded generic*), Velivet® (Barr-branded generic*)Cytotec® misoprostol (generic)Dallergy® syrup pseudoephedrine HCl/brompheniramine maleate

(generic)Dalmane® flurazepam HCl (generic)Daypro® oxaprozin (generic)Deconamine® pseudoephedrine w/chlorpheniramine (generic)

tabletDemulen® Zovia® (Watson-branded generic*)




23

Desogen® Apri® (Barr-branded generic*),Solia® (Prasco Labs-branded generic*)

Desyrel® trazodone HCl (generic)Dexilant® omeprazole (generic), Nexium® (AstraZeneca)DiaBeta® glyburide (generic)Diclofenac etodolac (generic), ibuprofen (generic), naproxen

Potassium (generic)Diclofenac etodolac (generic), ibuprofen (generic), naproxen

Sodium (generic)Diflucan® fluconazole (generic)Dilacor XR® diltiazem XR (generic)Ditropan® oxybutynin chloride (generic)Ditropan XL® oxybutynin chloride ER (generic)Doral® temazepam (generic), triazolam (generic), zaleplon

(generic), zolpidem tartrate (generic)Doryx® doxycycline hyclate (generic)Duoneb® ipratropium/albuterol sulfate (generic)Dulera® Asmanex® (Schering Corp), Foradil® (Schering Corp)Duricef® cefadroxil hydrate (generic)Dynacin® minocycline HCl (generic)DynaCirc® isradipine (generic), amlodipine besylate (generic),

nifedipine ER (generic)DynaCirc CR® amlodipine besylate (generic), nifedipine ER (generic)EC-Naprosyn® naproxen (generic)Edluar® zolpidem tartrate (generic)Effexor® venlafaxine HCl (generic)Effexor XR® venlafaxine HCl (generic)Elavil® amitriptyline HCl (generic)Elestrin® estradiol patch (generic), Climara® (Berlex), Divigel®

(Upsher Smith), Estraderm® (Novartis), Vivelle®

(Novogyne)Emsam® tranylcypromine sulfate (generic), Nardil® (Parke-Davis)EryPed erythromycin ethylsuccinate (generic)Suspension®

400mg/5mlEstrace Tablet® estradiol (generic)Estrasorb® estradiol patch (generic), Divigel® (Upsher Smith)Estratest® estrogen/methyltestosterone(generic)Estratest H.S.® estrogen/methyltestosterone(generic)


24

Estrogel® estradiol patch (generic), Climara® (Berlex), Divigel®

(Upsher Smith), Estraderm® (Novartis), Vivelle®

(Novartis)Estrostep Fe® Apri® (Barr-branded generic*), Kariva® (Barr-branded

generic*), Microgestin Fe® (Watson-branded generic*)Exelon® Capsules rivastigmine tartrate (generic)Factive® ciprofloxacin (generic), Levaquin® (J&J)Fanapt® clozapine (generic), risperidone (generic), Geodon®


(AstraZeneca), Zyprexa® (Eli Lilly)Feldene® piroxicam (generic)Femhrt® estradiol/norethindrone acetate (generic),

Premphase® (Wyeth), Prempro® (Wyeth)Femring® Estrace Vaginal Cream® (Warner Chilcott), Estring®

(Pfizer)Femtrace® estradiol (generic)Fenoglide® fenofibrate (generic), Tricor® (Abbott), Triglide® (Sciele),

Trilipix® (Abbott)Fibricor® fenofibrate (generic), Tricor® (Abbott), Triglide® (Sciele),

Trilipix® (Abbott)Flonase® fluticasone propionate (generic)Floxin® ofloxacin (generic)Fortamet® metformin HCl ER (generic), metformin HCl tablet

(generic)Fosamax® Tablets alendronate sodium (generic)Gantrisin® sulfisoxazole (generic)Glucophage® metformin HCl (generic)Glucophage XR® metformin HCl ER (generic), metformin HCl tablet

(generic)Glucotrol® glipizide (generic)Glucotrol XL® glipizide ER (generic)Glucovance® glyburide/metformin HCl (generic)Glynase® glyburide, micronized (generic)Glyset® acarbose (generic)Grifulvin V® griseofulvin ultramicrosize (generic), itraconazole

(generic), ketoconazole (generic), terbinafine HCl(generic)

Gris-Peg® griseofulvin ultramicrosize (generic), itraconazole(generic), ketoconazole (generic), terbinafine HCl(generic)




25

Guanabenz clonidine HCl (generic), methyldopa (generic)Acetate®

Halcion® triazolam (generic)Hiprex® methenamine hippurate (generic)Histex® pseudoephedrine w/chlorpheniramine (generic)Histex SR® pseudoephedrine w/chlorpheniramine (generic)Hytrin® terazosin (generic)Hyzaar® losartan/hydrochlorothiazide (generic)Imitrex® sumatriptan succinate (generic)Inderal® propranolol HCl (generic)Inderal LA® propranolol capsule, sustained action (generic)Indocin® indomethacin (generic)Innopran XL® propranolol capsule, sustained action (generic)Invega® risperidone (generic), Geodon® (Pfizer), Seroquel®

(AstraZeneca), Seroquel XR® (AstraZeneca),Zyprexa® (Eli Lilly)

Isoptin S.R.® verapamil HCl tablet, sustained action (generic)Kalbitor® Berinert® (CSL Behring)Kapidex® omeprazole (generic), Nexium® (AstraZeneca)Keflex® cephalexin monohydrate (generic)Kerlone® betaxolol HCl (generic)Ketek® amoxicillin trihydrate/potassium clavulanate (generic),

azithromycin (generic), Levaquin® (J&J)Lamisil® tablet terbinafine HCl (generic)Lescol® lovastatin (generic), simvastatin (generic), Altoprev®

(Andrx), Crestor® (AstraZeneca), Lipitor® (Pfizer),VytorinTM (Merck/Schering)

Lescol XL® lovastatin (generic), simvastatin (generic), Altoprev®

(Andrx), Crestor® (AstraZeneca), Lipitor® (Pfizer),VytorinTM (Merck/Schering)

Levatol® acebutolol HCl (generic), atenolol (generic),metoprolol tartrate (generic)

Levlen® Levora® (Watson-branded generic*), Portia®

(Barr-branded generic*)Levlite® Aviane® (Barr-branded generic*), Lessina®

(Barr-branded generic*), Lybrel® (Wyeth) Lexapro® citalopram (generic), fluoxetine HCl (generic),

paroxetine HCl (generic), sertraline HCl (generic),venlafaxine HCl ER (generic), Cymbalta® (Eli Lilly),Pristiq® (Wyeth)


26

Lexapro Solution® citalopram solution (generic), fluoxetine HCl solution(generic), paroxetine HCl suspension (generic)

Lexxel® amlodipine besylate/benazepril (generic)Librium® chlordiazepoxide HCl (generic)Livalo® lovastatin (generic), pravastatin (generic), simvastatin

(generic), Crestor® (AstraZeneca), Lipitor® (Pfizer)Lodine® etodolac (generic)Lodine XL® etodolac (generic)Loestrin® Junel® (Barr-branded generic*), Microgestin®

(Watson-branded generic*)Loestrin Fe® Junel Fe® (Barr-branded generic*), Microgestin Fe®

(Watson-branded generic*)Loestrin 24 Fe® Junel Fe® (Barr-branded generic*), Microgestin Fe®

(Watson-branded generic*)Lofibra® fenofibrate (generic), Tricor® (Abbott), Triglide® (First

Horizon), Trilipix® (Abbott)Lo/Ovral® Low-Ogestrel® (Watson-branded generic*)Lopid® gemfibrozil (generic)Lopressor® metoprolol tartrate (generic)Lopressor HCT® metoprolol/hydrochlorothiazide (generic)LoSeasonique® Aviane® (Barr-branded generic*), Lutera® (Watson-

branded generic*)Lotensin® benazepril HCl (generic)Lotensin HCT® benazepril HCl/hydrochlorothiazide (generic)Lotrel® 2.5-10mg, amlodipine besylate/benazepril (generic)5-10mg, 5-20mg,10-20mg

Ludiomil® maprotiline HCl (generic)Lunesta® temazepam (generic), zolpidem tartrate (generic)Luvox® fluvoxamine maleate (generic)Luvox CR® fluvoxamine maleate (generic)Macrobid® nitrofurantoin macrocrystal (generic)Macrodantin® nitrofurantoin (generic)Mandelamine® methenamine mandelate (generic)Mavik® trandolapril HCl (generic)Menest® estradiol (generic), estropipate (generic), Cenestin®

(Duramed/Barr), Enjuvia® (Duramed/Barr),Premarin® (Wyeth)

Menostar Patch® Climara Patch® (Berlex), Vivelle Patch® (Novartis)Metaglip® glipizide/metformin (generic)




27

Mevacor® lovastatin (generic)Miacalcin® calcitonin-salmon (generic)Micronase® glyburide (generic)Midrin® isometheptene/apap/dichloralphenazone (generic)Migranal® naratriptan HCl (generic), sumatriptan nasal spray

(generic), Frova® (Endo), Maxalt® (Merck), Relpax® (Pfizer),Zomig® Nasal Spray (AstraZeneca),

Minipress® prazosin HCl (generic)Minocin® minocycline HCl (generic)Mircette® Kariva® (Barr-branded generic*)Mobic® meloxicam (generic)Modicon® Necon® (Watson-branded generic*), Nortrel®

(Barr-branded generic*)Monistat 3 Vaginal miconazole 3 vaginal suppository (generic)

Suppository®

Monodox® doxycycline monohydrate (generic)Monopril® fosinopril sodium (generic)Monopril HCT® fosinopril/hydrochlorothiazide (generic)Monurol® ciprofloxacin HCl (generic), sulfamethoxazole/

trimethoprim (generic), trimethoprim (generic),Noroxin® (Merck)

Motrin® ibuprofen (generic)Moxatag® amoxicillin (generic)Nalfon® etodolac (generic), ibuprofen (generic), indomethacin

(generic), meclofenamate sodium (generic),naproxen (generic), sulindac (generic)

Naprelan® naproxen sodium (generic)Naprosyn® naproxen (generic)Nasalide® flunisolide (generic)Nasarel® flunisolide (generic)Natazia® Necon 10-11® (Watson-branded generic*)Nembutal chloral hydrate (generic), temazepam (generic),

Sodium® triazolam (generic)Nimotop® nimodipine (generic)Niravam® alprazolam (generic)Nitro-Dur® nitroglycerin patch (generic), Minitran® (3M)Nizoral® ketoconazole (generic)Nordette® Levora® (Watson-branded generic*), Portia®

(Barr-branded generic*)


28

Norinyl® Necon® (Watson-branded generic*), Nortrel®

(Barr-branded generic*)Normodyne® labetalol HCl (generic)Norpramin® desipramine HCl (generic)Norvasc® amlodipine besylate (generic)Novolin® Humulin® (Eli Lilly)Ogen® estropipate (generic)Oleptro ER® trazodone HCl (generic)Omnaris® flunisolide (generic), fluticasone propionate (generic),

Nasacort AQ® (Aventis), Nasonex® (Schering), RhinocortAqua® (AstraZeneca), Veramyst® (GlaxoSmithKline)

Omnicef® cefdinir (generic)Oravig® clotrimazole (generic), fluconazole (generic), nystatin

suspension (generic)Orinase® tolbutamide (generic)Ortho-Cept® Apri®(Barr-branded generic*), Solia®

(Prasco Labs-branded generic*)Ortho-Cyclen® MonoNessa® (Watson-branded generic*), Previfem®

(Teva-branded generic*), Sprintec® (Barr-branded generic*)

Ortho Evra® MonoNessa® (Watson-branded generic*), TriNessa®

(Watson-branded generic*)Ortho Micronor® norethindrone acetate (generic)Ortho-Novum® Necon® (Watson-branded generic*), Nortrel®

1/35, 7/7/7 (Barr-branded generic*)Ortho-Novum® Necon® (Watson-branded generic*)

1/50Ortho-Prefest® estradiol/norethindrone acetate (generic),

Premphase® (Wyeth), Prempro® (Wyeth)Ortho Tri-Cyclen® TriNessa® (Watson-branded generic*), Tri-Previfem®

(Teva-branded generic*), Tri-Sprintec® (Barr-brandedgeneric*)

Ortho Tri-Cyclen TriNessa® (Watson-branded generic*), Tri-Previfem®

Lo® (Teva-branded generic*), Tri-Sprintec® (Barr-brandedgeneric*)

Ovcon® Necon® (Watson-branded generic*)Ovral® Ogestrel® (Watson-branded generic*)Pamelor® nortriptyline HCl (generic)Parnate® tranylcypromine sulfate (generic)Paxil® paroxetine HCl (generic)Paxil CR® paroxetine HCl sustained release tab (generic)




29

PCE® erythromycin (generic)Pennsaid® etodolac (generic), ibuprofen (generic), naproxen

(generic)Pepcid famotidine (generic), cimetidine HCl liquid (generic),

Suspension® Axid Oral Solution® (Braintree)Pepcid Tablet® famotidine (generic)Periostat® doxycycline hyclate (generic)Pexeva® paroxetine HCl (generic)Phenergan® promethazine HCl (generic)Phrenilin® acetaminophen/butalbital (generic)Plendil® felodipine ER (generic)Ponstel® etodolac (generic), ibuprofen (generic), indomethacin


Prandimet® metformin HCl (generic), Prandin® (Novo Nordisk)Pravachol® pravastatin (generic)Precose® acarbose (generic)Premarin® Estrace® Vaginal Cream (Warner Chilcott)Vaginal Cream

Prevacid® lansoprazole (generic), omeprazole (generic), Nexium®

(AstraZeneca)Prilosec Rx® omeprazole (generic), Nexium® (AstraZeneca)Primsol® trimethoprim (generic)Prinivil® lisinopril (generic)Prinzide® lisinopril/hydrochlorothiazide (generic)Procardia XL® nifedipine ER tablet, sustained release osmotic push

(generic)Proquin XR® ciprofloxacin HCl (generic)ProSom® estazolam (generic)Protonix® Nexium® Suspension (AstraZeneca)

SuspensionProtonix® Tablet pantoprazole sodium (generic), omeprazole (generic),

Nexium® (AstraZeneca)Proventil® albuterol (generic)Proventil HFA® Proair HFA® (Teva), Xopenex HFA® (Sepracor)Prozac® fluoxetine HCl (generic)Prozac Weekly® fluoxetine HCl (generic)Pulmicort® budesonide (generic)0.25mg/2mL,0.5mg/2mL


30

Questran® cholestyramine (generic), prevalite (generic)Questran Light® cholestyramine/aspartame (generic), prevalite (generic)Raniclor® cefaclor suspension (generic), cefaclor capsule

(generic)Razadyne® galantamine (generic)Razadyne ER® galantamine ER (generic)Relafen® nabumetone (generic)Remeron® mirtazapine soltabs (generic), mirtazapine tabs

(generic)Restoril® temazepam (generic)Riomet Solution® metformin HCl (generic)Risperdal risperidone (generic)

Oral Solution®

Risperdal Tablet® risperidone (generic)Rozerem® estazolam (generic), temazepam (generic), triazolam

(generic), zolpidem tartrate (generic)Rynatan® phenclor tannate pediatric (generic),

brompheniramine/pseudoephedrine (generic),pseudoephedrine HCl/chlorpheniramine maleate(generic)

Rynatuss® carbetapentane/ephed/phenyleph/CP (generic)Sanctura® trospium chloride (generic)Saphris® clozapine (generic), risperidone (generic), Geodon®


(AstraZeneca), Zyprexa® (Eli Lilly)Sarafem® fluoxetine HCl (generic)Seasonale® Jolessa® (Barr-branded generic*), Quasense®

(Watson-branded generic*), Lybrel® (Wyeth),Seasonique® (Duramed/Barr)

Seconal Sodium® chloral hydrate (generic), temazepam (generic),triazolam (generic)

Sectral® acebutolol HCl (generic)Semprex-D® pseudoephedrine HCl/brompheniramine (generic),

pseudoephedrine HCl/chlorpheniramine (generic)Septra DS® sulfamethoxazole/trimethoprim (generic)Serax® oxazepam (generic)Serzone® fluoxetine HCl (generic), paroxetine HCl (generic)Sinequan® doxepin HCl (generic)Solodyn® minocycline HCl (generic), doxycycline monohydrate

(generic)Sonata® zaleplon (generic)




31

Spectracef® cefaclor (generic), cefdinir (generic), cefuroxime axetil(generic)

Sporanox® itraconazole (generic)capsule

Starlix® nateglinide (generic)Sular® nisoldipine (generic), amlodipine besylate (generic),

isradipine (generic), nifedipine ER (generic)Suprax® cefdinir (generic), cefuroxime axetil (generic)Symbyax® fluoxetine HCl (generic), risperidone (generic),

Seroquel® (AstraZeneca), Seroquel XR® (AstraZeneca),Zyprexa® (Eli Lilly)

Tagamet® cimetidine (generic)Tarka® tranodolapril/verapamil (generic)Tenex® guanfacine HCl (generic)Tenoretic® atenolol/chlorthalidone (generic)Tenormin® atenolol (generic)Terazol® terconazole (generic)Teveten® losartan potassium (generic), Atacand® (AstraZeneca),

Benicar® (Daiichi Sankyo), Diovan® (Novartis), Micardis®

(BIPI)Teveten HCT® losartan/hydrochlorothiazide (generic), Atacand HCT®

(AstraZeneca), Benicar HCT® (Daiichi Sankyo), DiovanHCT® (Novartis), Micardis HCT® (BIPI)

Thioridazine HCl® chlorpromazine HCl (generic), haloperidol (generic),risperidone (generic), Seroquel® (AstraZeneca)

Tiazac® diltiazem HCl capsule, sustained release 24 hr (generic)Tofranil® imipramine HCl (generic)Tofranil-PM® imipramine pamoate (generic)Toprol XL® metoprolol succinate (generic)Toradol® etodolac (generic), ibuprofen (generic), indomethacin


Toviaz® oxybutynin chloride ER (generic), Detrol®

(Pharmacia/Upjohn), Detrol LA® (Pharmacia/Upjohn),Enablex® (Novartis), Gelnique® (Watson), Vesicare®

(GlaxoSmithKline)Trandate® labetalol HCl (generic)Tranxene SD® clorazepate dipotassium (generic)Tranxene T-Tab® clorazepate dipotassium (generic)Tri-Levlen® Enpresse® (Barr-branded generic*), Trivora®

(Watson-branded generic*)


32

Tri-Norinyl® Necon® (Watson-branded generic*), Nortrel®

(Barr-branded generic*)Triphasil® Enpresse® (Barr-branded generic*), Trivora®

(Watson-branded generic*)Uniretic® moexipril/hydrochlorothiazide (generic)Univasc® moexipril HCl (generic)Valium® diazepam (generic)Vantin® cefpodoxime proxetil (generic)Vaseretic® enalapril maleate/hydrochlorothiazide (generic)Vasotec® enalapril maleate (generic)Ventolin® Proair HFA® (Teva), Xopenex HFA® (Sepracor)Ventolin HFA® Proair HFA® (Teva), Xopenex HFA® (Sepracor)Verelan® verapamil ER (generic)Verelan PM® verapamil ER PM (generic)Vfend Suspension® Vfend Tablet® (Pfizer)Vibramycin Syrup® doxycycline monohydrate suspension (generic)Victoza® metformin HCl (generic), Actos® (Takeda), Byetta®

(Amylin), Januvia® (Merck), Onglyza® (Bristol-MyersSquibb)

Vistaril® hydroxyzine pamoate (generic)Vivactil® protriptyline HCl (generic)Voltaren® etodolac (generic), ibuprofen (generic), naproxen

(generic)Voltaren-XR® etodolac (generic), ibuprofen (generic), naproxen

(generic)Wellbutrin® bupropion HCl (generic)Wellbutrin SR® bupropion HCl tablet, sustained release (generic)Wellbutrin XL® bupropion tablet, sustained release (generic)Wytensin® clonidine HCl (generic), methyldopa (generic)Xanax® alprazolam (generic)Xanax XR® alprazolam XR (generic)Xifaxan® 200mg azithromycin (generic), ciprofloxacin HCl (generic)Xolair® Asmanex® (Schering), Flovent HFA® (GlaxoSmithKline),

Pulmicort Flexhaler® (AstraZeneca), QVAR® (Ivax)Xopenex® levalbuterol HCl (generic)

1.25mg/0.5Xyzal Solution® fexofenadine HCl (generic), Allegra Suspension®

(Aventis), Clarinex® Rapid Dissolve Tabs (Schering)Xyzal Tablet® fexofenadine HCl (generic), Clarinex® Tablet (Schering)Yasmin® Ocella® (Barr-branded generic*)



33

Zantac Rx Syrup® ranitidine HCl tablet (generic), Axid Oral Solution®

(Braintree)Zantac Rx Tablet® ranitidine HCl tablet (generic)Zebeta® bisoprolol fumarate (generic)Zegerid Rx® omeprazole/sodium bicarbonate (generic), omeprazole

(generic), Nexium® (AstraZeneca)Zestoretic® lisinopril/hydrochlorothiazide (generic)Zestril® lisinopril (generic)Ziac® bisoprolol fumarate/hydrochlorothiazide (generic)Zithromax® azithromycin (generic)Zmax® azithromycin (generic)Zocor® simvastatin (generic)Zoloft® sertraline HCl (generic)Zyflo® Singulair® (Merck)Zyflo CR® Singulair® (Merck)



This guide does not contain a complete list of formulary and nonformulary drugs. It only liststhe most commonly prescribed drugs. For anupdated and complete listing of your prescriptionbenefit, you can visit the “Benefit highlights”section of our website, www.medco.com, and click on “Learn about formularies” or by callingcustomer service at the phone number on theback of your prescription card.

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Medco, Preferred Prescriptions and Rx Selections are trademarks of Medco Health Solutions, Inc.© 2010 Medco Health Solutions, Inc.All rights reserved.MG40761O MEIPG (Ed. 10/10)

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Preferred Prescriptions RX Selections™ Member Guide Medco Formulary (Preferred Drug List).pdfPreferred Prescriptions®/RX Selections™is a formulary list of medications that may