Use one or more filters below to find covered medications.
Search by drug name, category, tier, prior authorization, or step therapy.
octreotide 0.5mg/ml inj
Tier: 2
Prior Auth: Yes
Category: ENDOCRINE AND METABOLIC AGENTS - MISC.
Sub Category: SOMATOSTATIC AGENTS
METHYLPHENIDATE 54MG SR TAB
Tier: 2
Category: ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS
Sub Category: STIMULANTS - MISC.
CREON 120000-76000-24000UNIT DR CAP
Tier: 3
Category: GASTROINTESTINAL AGENTS
Sub Category: GASTROINTESTINAL AGENTS, OTHER
zelvysia 100mg powder
Tier: NC
Category: ENDOCRINE AND METABOLIC AGENTS - MISC.
Sub Category: METABOLIC MODIFIERS
mirtazapine 30mg odt
Tier: 2
Category: ANTIDEPRESSANTS
Sub Category: ANTIDEPRESSANTS - MISC.
sertraline 100mg tab
Tier: 1
Category: ANTIDEPRESSANTS
Sub Category: SELECTIVE SEROTONIN REUPTAKE INHIBITORS (SSRIS)
eplerenone 50mg tab
Tier: 2
Category: ANTIHYPERTENSIVES
Sub Category: ANTIHYPERTENSIVES - MISC.
haloperidol 5mg tab
Tier: 1
Category: ANTIPSYCHOTICS/ANTIMANIC AGENTS
Sub Category: ANTIPSYCHOTICS - MISC.
estradiol 0.01mg vaginal insert
Tier: 2
Category: VAGINAL AND RELATED PRODUCTS
Sub Category: VAGINAL ESTROGENS
lidocan 5% patch
Tier: NC
Category: DERMATOLOGICALS
Sub Category: LOCAL ANESTHETICS - TOPICAL
