A The following Preferred Drug List is an abbreviated version of commonly prescribed medications. This list is intended to be a guide and prescribers should still use generics when possible. Drugs listed in CAPS and Italics are Brand Drugs and generic products are listed in lowercase letters. ABSORICA ACANYA acetaminophen/codeine ACTEMRA [INJ] acyclovir ADDERALL XR APRISO ARCAPTA NEOHALER aripiprazole ARISTADA [INJ] ARNUITY ELLIPTA ASMANEX HFA ASMANEX TWISTHALER budesonide nebulization bupropion bupropion ext-release buspirone butalbital/ acetaminophen/ caffeine BYSTOLIC clobetasol propionate clomiphene citrate clonazepam clonidine clopidogrel clotrimazole/ betamethasone dipropionate ADEMPAS atenolol BYVALSON COLCRYS ADVAIR DISKUS atenolol/chlorthalidone C COMBIGAN ADVAIR HFA atorvastatin CABOMETYX COMBIPATCH AFSTYLA [INJ] AUBAGIO CANASA COMBIVENT RESPIMAT AIMOVIG [INJ] AVONEX [INJ] CARAC CONCERTA AKYNZEO AZASITE carbidopa/levodopa COPAXONE 40 MG [INJ] albuterol nebulization solution allopurinol ALPHAGAN P 0.1% alprazolam ALREX amiodarone AMITIZA amitriptyline amlodipine amlodipine/benazepril amlodipine/valsartan amoxicillin amoxicillin/potassium clavulanate AMPYRA anastrozole ANDRODERM ANDROGEL 1.62% azelastine nasal spray azithromycin B baclofen BD AUTOSHIELD DUO NEEDLES BD ULTRAFINE INSULIN SYRINGES BD ULTRAFINE PEN NEEDLES BELBUCA BELSOMRA BELVIQ, BELVIQ XR benazepril benzonatate BEPREVE BETHKIS BEVESPI AEROSPHERE bisoprolol/hctz BOSULIF carvedilol/er cefdinir cefuroxime axetil celecoxib cephalexin CERDELGA CEREZYME [INJ] CETROTIDE [INJ] chlorhexidine gluconate chlorthalidone CIMDUO CIPRODEX ciprofloxacin citalopram clarithromycin CLENPIQ clindamycin hcl clindamycin phosphate CORLANOR COSENTYX [INJ] CREON CRINONE cyanocobalamin [INJ] cyclobenzaprine D DALIRESP DAYTRANA DESCOVY desloratadine desonide desvenlafaxine succinate er dexamethasone DEXCOM G4/G5/G6 DEXILANT dexmethylphenidate extrelease ANORO ELLIPTA apri BREO ELLIPTA BRILINTA clindamycin phosphate/benzoyl peroxide dextroamphetamine/ amphetamine diazepam 1
diclofenac sodium delayed-release dicyclomine digoxin diltiazem ext-release diphenoxylate/atropine divalproex delayed-release divalproex ext-release DIVIGEL donepezil doxazosin doxycycline hyclate doxycycline monohydrate DUAVEE DULERA duloxetine delayed-release DYMISTA E ELIDEL ELIGARD ELIQUIS EMBEDA enalapril ENBREL [INJ] enoxaparin [INJ] ENSTILAR ENTRESTO EPCLUSA EPIDUO FORTE EPIPEN, EPIPEN JR [INJ] ergocalciferol ERLEADA erythromycin eye ointment ESBRIET escitalopram esomeprazole magnesium delayed-release estradiol estradiol patch ESTRING eszopiclone etodolac EUFLEXXA [INJ] EVEKEO F famotidine FARXIGA fenofibrate fenofibrate micronized fenofibric acid delayedrelease fentanyl patch FETZIMA FIASP FINACEA finasteride FLOVENT DISKUS FLOVENT HFA fluconazole fluocinonide fluoxetine 60 mg tab fluticasone nasal spray FOCALIN XR 25 MG, 35 MG folic acid FORTEO [INJ] FRAGMIN [INJ] furosemide FYCOMPA G gabapentin gemfibrozil GENVOYA gildess fe GILENYA GILOTRIF glimepiride glipizide glipizide ext-release GLUCAGEN [INJ] GLUCAGON [INJ] glyburide GLYXAMBI GONAL-F GRALISE GRANIX [INJ] GRASTEK guanfacine ext-release H HARVONI HUMIRA [INJ] HUMULIN R U-500 [INJ] hydralazine hydrochlorothiazide hydrocodone/ acetaminophen hydrocodone/ chlorpheniramine polistirex ext-release hydrocodone/homatropine hydrocortisone topical hydromorphone hydroxychloroquine hydroxyzine hcl hydroxyzine pamoate HYSINGLA ER I ibandronate IBRANCE ibuprofen ILEVRO indomethacin INLYTA irbesartan IRESSA isosorbide mononitrate extrelease J JANUMET, JANUMET XR JANUVIA JARDIANCE JENTADUETO, JENTADUETO XR JUBLIA junel fe K ketoconazole topical KISQALI KITABIS PAK KOVALTRY [INJ] L labetalol lamotrigine lansoprazole delayedrelease LANTUS [INJ] latanoprost eye solution LATUDA LETAIRIS 2
LEVEMIR [INJ] metformin MYRBETRIQ OFEV levetiracetam metformin ext-release N olanzapine levocetirizine methimazole nabumetone olmesartan levofloxacin methocarbamol NAMENDA XR olmesartan/hctz levothyroxine sodium methotrexate NAMZARIC olmesartan/amlodipine/hct LIALDA methylphenidate naproxen, naproxen olopatadine sodium lidocaine patches methylphenidate ext- omeprazole delayedrelease NARCAN release LINZESS methylprednisolone NASCOBAL ondansetron liothyronine metoclopramide hcl neomycin/polymyxin/ ondansetron orally LIPOFEN metoprolol succinate exthydrocortisone ear drops disintegrating tablets lisinopril release NEXIUM PACKETS ONETOUCH TEST STRIPS; lisinopril/hctz metoprolol tartrate niacin ext-release ULTRA, VERIO (all other test strips excluded) LIVALO metronidazole nifedipine ext-release ONEXTON LOKELMA LO LOESTRIN FE metronidazole topical metronidazole vaginal gel nitrofurantoin monohydrate/ macrocrystal OPSUMIT ORACEA lorazepam microgestin fe NITYR ORENITRAM ER losartan MINIVELLE NORDITROPIN [INJ] ORTHOVISC [INJ] losartan/hctz minocycline nortriptyline OTEZLA LOTEMAX MIRENA NOVOEIGHT [INJ] OTREXUP [INJ] lovastatin mirtazapine NOVOFINE AUTOSHIELD OVIDREL [INJ] LUPRON DEPOT [INJ] LUZU LYRICA M MAKENA MULTIDOSE VIAL [INJ] MAVYRET meclizine medroxyprogesterone meloxicam MEPHYTON mesalamine MESTINON SYRUP metaxalone MIRVASO MITIGARE moderiba mometasone mononessa MONOVISC [INJ] montelukast morphine sulfate extrelease MOVANTIK MOXEZA multivitamins/fluoride mupirocin MUSE NEEDLES NOVOFINE NEEDLES NOVOTWIST NEEDLES NOVOLIN [INJ] NOVOLOG [INJ] NUCYNTA, NUCYNTA ER NUEDEXTA NUVARING NUWIQ [INJ] nystatin oral nystatin topical O ODACTRA ODEFSEY oxcarbazepine OXTELLAR XR oxybutynin ext-release oxycodone oxycodone/ acetaminophen OXYCONTIN OZEMPIC [INJ] P pantoprazole delayedrelease paroxetine PAZEO penicillin v potassium 3
PENTASA PERFOROMIST PHOSLYRA PICATO pioglitazone PLEGRIDY [INJ] polymyxin/trimethoprim eye solution potassium chloride extrelease PRALUENT [INJ] pramipexole pravastatin prednisolone acetate eye prednisolone sodium phosphate prednisone PREMARIN CREAM PREMARIN TABS PREMPHASE PREMPRO PREPOPIK PROAIR HFA PROAIR RESPICLICK PROCRIT [INJ] PROCTOFOAM-HC progesterone micronized PROLASTIN C [INJ] PROLENSA promethazine promethazine/ dextromethorphan propranolol propranolol ext-release PULMICORT FLEXHALER PYLERA Q QBREXZA QUDEXY quetiapine QUILLICHEW ER QUILLIVANT XR quinapril QVAR R rabeprazole delayedrelease RAGWITEK raloxifene ramipril RANEXA ranitidine RAPAFLO RASUVO [INJ] REBIF [INJ] RECTIV RELISTOR [INJ] REMICADE [INJ] RENVELA Tablets REPATHA [INJ] RESTASIS risperidone rizatriptan ropinirole rosuvastatin RUCONEST [INJ] RYTARY S SANCUSO SAPHRIS SAVELLA SAXENDA SEREVENT DISKUS sertraline sildenafil SILENOR simvastatin SOLIQUA [INJ] SOLODYN SOMATULINE DEPOT [INJ] SOOLANTRA SOVALDI SPIRIVA HANDIHALER SPIRIVA RESPIMAT spironolactone sprintec SPRYCEL STELARA [INJ] STIOLTO RESPIMAT STRIVERDI RESPIMAT SUBOXONE SL FILM sulfamethoxazole/ trimethoprim sumatriptan SUPREP SYMBICORT SYMFI SYMFI LO SYMLINPEN [INJ] SYMPROIC SYNJARDY, SYNJARDY XR T TACLONEX SUSPENSION tamoxifen tamsulosin ext-release TARCEVA TASIGNA TAZORAC (gel and 0.05% cream) TECFIDERA TEKTURNA TEKTURNA HCT temazepam terazosin terconazole vaginal testosterone cypionate [INJ] timolol maleate eye solution tizanidine TOBI PODHALER TOBRADEX OINTMENT TOBRADEX ST tobramycin eye solution tobramycin/ dexamethasone eye topiramate TOUJEO SOLOSTAR [INJ] TOVIAZ TRACLEER TRADJENTA tramadol TRAVATAN Z trazodone TREMFYA [INJ] TRESIBA [INJ] triamcinolone topical triamterene/hctz 4
trinessa TRINTELLIX tri-sprintec TROKENDI XR TRULANCE TRULICITY [INJ] VICTOZA [INJ] VIIBRYD VIMPAT VIOKACE VOSEVI VYVANSE ZOMIG NASAL ZONTIVITY ZOVIRAX CREAM ZUBSOLV ZYLET ZYTIGA TYMLOS [INJ] W TYSABRI [INJ] warfarin U WELCHOL UCERIS RECTAL FOAM X ULORIC XARELTO UPTRAVI XELJANZ, XELJANZ XR V XIFAXAN valacyclovir XIGDUO XR valsartan XIIDRA valsartan/hctz XTANDI VASCEPA XULTOPHY [INJ] VELPHORO Y VELTASSA venlafaxine venlafaxine ext-release VENTOLIN HFA verapamil ext-release VESICARE VIBERZI YONSA Z ZARXIO [INJ] ZELAPAR ZENPEP zolpidem zolpidem ext-release 5