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2017 Formulary drug removals for Express Scripts and CVS

The list of drugs below have been removed from CVS and Express scripts formulary for 2017. This list is effective January 1, 2017.

If you continue using one of the drugs listed below that is identified as a Formulary Drug Removal, you may be required to pay the full cost.

If you are currently using one of the formulary drug removals, ask your doctor to choose one of the generic or brand formulary options.

We have provided links to our cheaper brand and generic versions of the drugs below, so that even if you have to pay full price, it will be upto 90% less than the typical USA pharmacy price.

EXPRESS SCRIPTS 2017 EXCLUDED DRUG LIST

Abbott (FreeStyle, Precision)
Abstral
Acuvail
ADV MED TECH (TRUEtest, TRUEtrack)
Advocate
Alogliptin
Alogliptin/Metformin
Alvesco
Apidra
Aranesp
Asacol HD
Bayer (Breeze, Contour)
Beconase AQ
Bravelle
Cetraxal
Cimzia
Colchicine
Daklinza
Delzicol
Dipentum
Doxycycline 40 MG Capsules
Duexis
Endometrin
Epogen
Estrogel
Evzio
Fentora
Fluorouracil 0.5% Cream
Follistim AQ
Fortesta
Ganirelix Acetate Gel-One
Genvisc 850
Glumetza
Hyalgan
Hymovis
Istalol
Kazano
Kineret (Exclude for RA)
Kombiglyze XR
Levitra
Mircera
Natesto
Nesina
Novolin
NovoLog
Nutropin AQ
Olysio
Omnaris
Omnis Health (Embrace, Victory)
Omnitrope
Onglyza
Orencia
Pancreaze
Pertzye
Proventil HFA
Qsymia
ribasphere
ribapak
RibaTab
Roche (Accu-Chek)
Saizen
Simponi 50 MG
Sovaldi
Staxyn
Stendra
Subsys
Supartz
Supartz FX
Synvisc
Synvisc-One
Taltz
Tanzeum
Testim
Testosterone Gel
Ultresa
UniStrip
Veltin
Veramyst
Victoza
Vimovo
Vogelxo
Xopenex HFA
Zepatier
Zetonna
Zioptan
Zomacton
Zyclara

CVS 2017 EXCLUDED DRUG LIST

Abstral;
Alcortin A gel,
All non-Becton Dickinson pen needles and syringes;
Aloquin gel,
Amitiza;
Butalbital/APAP/Caffeine Capsules (All Brands and Generics, not tablets);
Carnitor/ Carnitor SF oral solution (MSB);
Crestor (MSB);
Daklinza,
DexPak oral tablets,
Duexis,
Dutoprol oral tablets;
Dymista,
Enablex (MSB),
Evzio;
Gelnique,
Gleevec (MSB),
Helixate FS,
Klor-Con oral pack for solution;
Lantus,
Millipred/ Millipred DP oral tablets, dose pack and oral solution;
Neupogen,
Nexium (MSB),
Nilandron oral tablets;
Novacort gel;
Olysio,
Opsumit;
Pradaxa;
Proventil,
SNRI’s Venlafaxine ER Tablets, except 225mg (All Brands and Generics);
Tasigna;
Technivie,
Tobi Podhaler/ Tobi (MSB),
Toujeo;
Toviaz;
Ventolin
Vimovo;
Xenazine (MSB);
Xtandi,
Zegerid oral suspension and capsules (MSB);
Zepatier;

For a full list of exclusions and further information please see here

http://www.caremark.com/portal/asset/Formulary_Exclusion_Drug_List.pdf

You can quickly check the price of any of your medications by entering the brand or generic name into the search bar at the top of our pages


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