This Preferred Drug List (PDL) is a guide to care- and cost-effective medications covered on the QualChoice Enhanced
Formulary. This list is not al -inclusive nor a guarantee of coverage. Plan benefit design is the final determinate of coverage.
Certain medications may be subject to Quantity Limits (QL), Prior Authorization (PA) or Step Therapy (ST). The use of generic
drugs can save both you and your health plan money. This list is subject to change at any time wihtout notice. Please check
www.qualchoice.com for the most up-to-date information.
Aterisk (*) denotes a generic equivalent is available. When a member chooses a brand name drug when a generic
equivalent is available, the member cost share will equal the applicable brand copayment plus the difference in cost
between the brand and generic. For HDHP members, the cost difference does not apply to deductible or out-of-pocket
cephalexinciprofloxacin, ciprofloxacin ER,
ACE Inhibitors and ACE inhibitor captopril, enalapril, enalapril
2012 Catamaran Inc. All rights reserved. Catamaran is a registered trademark of Catamaran Inc.
Atacand*, Atacand HCT*, Avalide*,Avapro*, Benicar,
Other Antihyperlipidemic Agents cholestryramine, colestipol,
Adderall* (PA), Adderall XR* (PA), Concerta (PA), Daytrana
Provigil* (PA), Ritalin LA (PA), Ritalin(PA)
2012 Catamaran Inc. All rights reserved. Catamaran is a registered trademark of Catamaran Inc.
Requip*, Requip XL, Sinemet*, Sinemet CR*, Stalevo, Tasmar
Seroquel XR, Symbyax, Zyprexa*, Zyprexa Zydis*
Imitrex*, Maxalt*, Maxalt-MLT*, Treximet
glipizide, glyburide, nateglinide, Prandin
2012 Catamaran Inc. All rights reserved. Catamaran is a registered trademark of Catamaran Inc.
Glyset, Juvisync, Kombiglyze XR, Cycloset, Janumet
Levitra (PA), Muse (PA), Staxyn (PA), Viagra (PA) Androderm (PA), Axiron (PA),
fexofenadine, fexofenadine-D, levocetirizine,
Allegra, Allegra D*, Clarinex, Clarinex D, Xyzal
Maxair Autohaler, Xopenex HFA Proventil HFA
Asthma-Leukotriene Modulators montelukast (CT), zafirlukast
2012 Catamaran Inc. All rights reserved. Catamaran is a registered trademark of Catamaran Inc.
Betoptic S, Combigan, Cosopt*, Zioptan, Cosopt PF
Natacyn, Quixin, Tobrex*, Vexol, Zymar, Zymaxid
Aldara*, Altabax, Bactroban*, Desonate Gel, Diprolene*, Diprolene AF*, Efudex, Elocon*, Ertaczo, Eurax, Finacea,
Halonate, Locoid Lipocream, Lotrisone Lotion*, Mentax, Picato, Pramosone, Protopic, Solaraze, Tazorac, Ulesfia, Vectical, Veregen, Zoderm
Natazia, Necon 1/50, Nuvaring, Fe, Loestrin Fe, LoSeasonique,
Ortho Tri-Cyclen Lo, Safyral, Seasonique, Yasmin*, Yaz
2012 Catamaran Inc. All rights reserved. Catamaran is a registered trademark of Catamaran Inc.
Rapamune, Sandimmune*, Simulect, Zortress
Brand-names are the property of their respective manufacturers.
For Information on drugs not listed, call Catamaran at 1-877-629-3118.
For information on your prescription benefit program, please visit www.qualchoice.com
2012 Catamaran Inc. All rights reserved. Catamaran is a registered trademark of Catamaran Inc.
DIENST INTERNE EN EXTERNE COMMUNICATIE Wenche JANSSENS Pleinlaan 2 - 1050 Brussel Tel. +32 (0)2 629 21 37 - Fax. +32 (0)2 629 12 10 wenche.janssens@vub.ac.be - www.vub.ac.be Datum: 28 januari 2008 Betreft: Onderzoek verklaart waarom inname van Zyban (bupropion) gevaarlijk is bijMiddel om te stoppen met roken is risicovol bij Prof. dr. Romain Meeusen, verbonden aan de vakgroep Menselijke
Stuart J. Salasche, MD Surgical Pearls EditorMark G. Lebwohl, MD Medical Pearls EditorJeffrey D. Bernhard, MD, and Jeremy S. Bordeaux, MDPatientswithbrachioradialpruritus(BRP)often application may be counterproductive, but thisreport that their itch feels ‘‘deep,’’ that scratch-remains to be determined. There are anecdotaling only makes it worse, and that the onlyreports that treatm
This Preferred Drug List (PDL) is a guide to care- and cost-effective medications covered on the QualChoice Enhanced
Formulary. This list is not al -inclusive nor a guarantee of coverage. Plan benefit design is the final determinate of coverage.
Certain medications may be subject to Quantity Limits (QL), Prior Authorization (PA) or Step Therapy (ST). The use of generic
drugs can save both you and your health plan money. This list is subject to change at any time wihtout notice. Please check
www.qualchoice.com for the most up-to-date information.