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PDL search tool and updates

Stay up to date with your medicine. A preferred drug list (PDL) is a list of medicines we cover. It can help you manage your medicines. 

Questions?

Call us at 1-844-365-4385 (TTY: 711). We’re here for you 24 hours a day, 7 days a week. 

Your PDL search tool

There are many different things that you can do with your PDL search tool. You can:

 

  • Search for your medicine by name or class

  • Find generic alternatives to your medicine

  • See if your medicine has quantity limits, has age limits or needs prior authorization

 

November 2024

 

Additions:

  • None

 

Removals:

  • None

 

Other Updates:

  • None

 

October 2024

 

Additions:

  • None

 

Removals:

  • None

 

Other Updates:

  • None

 

September 2024

 

Additions:

  • None

 

Removals:

  • Oxbryta 300 mg soluble tablet
  • Oxbryta 300 mg tablet
  • Oxbryta 500 mg tablet

 

Other Updates:

  • Alclometasone 0.05% ointment (Updated to Tier 2)
  • Calcipotriene 0.005% / betamethasone dipropionae 0.064% ointment (Updated to Tier 3)
  • Calcipotriene 0.005% / betamethasone dipropionae 0.064% suspension (Updated to Tier 3)
  • Clindacin ETZ 1% cleanser kit (Updated to Special PA)
  • Clobetasol 0.05% spray (Updated to Tier 2)
  • Clocortolone 0.1% cream (Updated to Tier 3)
  • Cloderm 0.1% cream (Updated to Tier 3)
  • Halcinonide 0.1% cream (Updated to Tier 3)
  • Halog 0.1% cream (Updated to Tier 3)
  • Halog 0.1% ointment (Updated to Tier 3)
  • Halog 0.1% solution (Updated to Tier 3)
  • Hydrocodone 10 mg / acetaminophen 300 mg tablet (Updated to Special PA)
  • Hydrocodone 5 mg / acetaminophen 300 mg tablet (Updated to Special PA)
  • Hydrocodone 7.5 mg / acetaminophen 300 mg tablet (Updated to Special PA)
  • Hydrocodone 7.5 mg / acetaminophen 325 mg per 15 mL solution (Updated to Special PA)
  • Hydrocortisone 0.1% lotion (Updated to Tier 3)
  • Hydrocortisone butyrate 0.1% cream (Updated to Tier 3)
  • Hydrocortisone valerate 0.2% cream (Updated to Tier 1)
  • Locoid 0.1% lotion (Updated to Tier 3)
  • Methadone 10 mg per 5 mL solution (Updated to Special PA)
  • Methadone 5 mg per 5 mL solution (Updated to Special PA)
  • Nalocet 2.5 mg/300 mg tablet (Updated to Special PA)
  • Prolate 10 mg / 300 mg per 5 mL solution (Updated to Special PA)
  • Prolate 10 mg / 300 mg tablet (Updated to Special PA)
  • Prolate 5 mg / 300 mg tablet (Updated to Special PA)
  • Prolate 7.5 mg / 300 mg tablet (Updated to Special PA)
  • Taclonex 0.005% / 0.064% ointment (Updated to Tier 3)
  • Taclonex 0.005% / 0.064% suspension (Updated to Tier 3)

 

August 2024

 

Additions:

 

  • None

 

Removals:

 

  • None

 

Other Updates:

 

  • None

 

July 2024

 

Additions:

 

  • None

 

Removals:

 

  • None

 

Other Updates:

 

  • Aveed 750 gm per 3 mL intramuscular injection (Updated to Special PA)
  • Baclofen 5 mg tablet (Updated to Special PA)
  • Bismuth 140 mg /metronidazole 125 mg/ tetracycline 125 mg capsule (Removed Brand Preferred, Updated to Special PA)
  • Combogesic 1000 mg/300 mg per 100 mL intravenous solution (Updated to Special PA)
  • Elyxyb 120 mg per 4.8 mL oral solution (Updated to Special PA)
  • Farxiga 10 mg tablet (Added to Brand Preferred)
  • Farxiga 5 mg tablet (Added to Brand Preferred)
  • Insulin glargine-yfgn 100 unit per mL injection (Removed Prior Authorization)
  • Insulin glargine-yfgn 100 unit per mL pen-injector solution (Removed Prior Authorization)
  • Invokamet 150/1000 mg tablet (Updated to Tier 2)
  • Invokamet 150/500 mg tablet (Updated to Tier 2)
  • Invokamet 50/1000 mg tablet (Updated to Tier 2)
  • Invokamet 50/500 mg tablet (Updated to Tier 2)
  • Invokamet XR 150/1000 mg tablet (Updated to Tier 2)
  • Invokamet XR 150/500 mg tablet (Updated to Tier 2)
  • Invokamet XR 50/1000 mg tablet (Updated to Tier 2)
  • Invokamet XR 50/500 mg tablet (Updated to Tier 2)
  • Invokana 100 mg tablet (Updated to Tier 2)
  • Invokana 300 mg tablet (Updated to Tier 2)
  • Kombiglyze XR 2.5/1000 mg tablet (Updated to Special PA)
  • Kombiglyze XR 5/1000 mg tablet (Updated to Special PA)
  • Kombiglyze XR 5/500 mg tablet (Updated to Special PA)
  • Natesto 5.5 mg per actuation nasal gel (Updated to Special PA)
  • Neo-synalar 0.5/0.025% cream (Updated to Tier 2)
  • Olopatadine 0.6 % nasal spray (Updated to Tier 2)
  • Omnaris 50 mcg nasal spray (Updated to Tier 1)
  • Onglyza 2.5 mg tablet (Updated to Special PA)
  • Onglyza 5 mg tablet (Updated to Special PA)
  • Saxagliptin 2.5 mg tablet (Updated to Special PA)
  • Saxagliptin 2.5 mg/ metformin 1000 mg ER tablet (Updated to Special PA)
  • Saxagliptin 5 mg tablet (Updated to Special PA)
  • Saxagliptin 5 mg/ metformin 1000 mg ER tablet (Updated to Special PA)
  • Saxagliptin 5 mg/ metformin 500 mg ER tablet (Updated to Special PA)
  • Xigduo XR 10/1000 mg tablet (Added to Brand Preferred)
  • Xigduo XR 10/500 mg tablet (Added to Brand Preferred)
  • Xigduo XR 2.5/1000 mg tablet (Added to Brand Preferred)
  • Xigduo XR 5/1000 mg tablet (Added to Brand Preferred)
  • Xigduo XR 5/500 mg tablet (Added to Brand Preferred)
  • Zetonna 37 mcg nasal solution (Updated to Tier 1)

 

June 2024

 

Additions:

 

  • None

 

Removals:

 

  • None

 

Other Updates:

 

  • Amoxicillin 500 mg capsule/clarithromycin 500 mg tablet/lansoprazole 30 mg capsule (Updated to Special PA)
  • Bismuth 140 mg/metronidazole 125 mg/tetracycline 125 mg capsule (Updated to Special PA)
  • Dapagliflozin 10 mg tablet (Updated to Special PA)
  • Dapagliflozin 10mg/metformin 1000 mg ER tablet (Updated to Special PA)
  • Dapagliflozin 5 mg tablet (Updated to Special PA)
  • Dapagliflozin 5mg/metformin 1000 mg ER tablet (Updated to Special PA)
  • Farxiga 10 mg tablet (Added to Brand Preferred)
  • Farxiga 5 mg tablet (Added to Brand Preferred)
  • Glipizide 2.5 mg tablet (Updated to Special PA)
  • Inpefa 200 mg tablet (Updated to Special PA)
  • Inpefa 400 mg tablet (Updated to Special PA)
  • Invokamet 150/1000 mg tablet (Updated to Tier 2)
  • Invokamet 150/500 mg tablet (Updated to Tier 2, Added Step Therapy)
  • Invokamet 50/1000 mg tablet (Updated to Tier 2, Added Step Therapy)
  • Invokamet 50/500 mg tablet (Updated to Tier 2, Added Step Therapy)
  • Invokamet XR 150/1000 mg tablet (Updated to Tier 2, Added Step Therapy)
  • Invokamet XR 150/500 mg tablet (Updated to Tier 2, Added Step Therapy)
  • Invokamet XR 50/1000 mg tablet (Updated to Tier 2, Added Step Therapy)
  • Invokamet XR 50/500 mg tablet (Updated to Tier 2, Added Step Therapy)
  • Invokana 100 mg tablet (Updated to Tier 2, Added Step Therapy)
  • Invokana 300 mg tablet (Updated to Tier 2, Added Step Therapy)
  • Kombiglyze XR 2.5/1000 mg tablet (Updated to Special PA, Removed Step Therapy))
  • Kombiglyze XR 5/1000 mg tablet (Updated to Special PA, Removed Step Therapy))
  • Kombiglyze XR 5/500 mg tablet (Updated to Special PA, Removed Step Therapy))
  • Ngenla 24 mg per 1.2 mL injection (Updated to Tier 2)
  • Ngenla 60 mg per 1.2 mL injection (Updated to Tier 2)
  • Onglyza 2.5 mg tablet (Updated to Special PA, Removed Step Therapy)
  • Onglyza 5 mg tablet (Updated to Special PA, Removed Step Therapy)
  • Pylera capsule (Updated to Special PA, Removed from Brand Preferred)
  • Saxagliptin 2.5 mg tablet (Updated to Special PA)
  • Saxagliptin 2.5 mg/metformin 1000 mg tablet (Updated to Special PA)
  • Voquenza 10 mg tablet (Updated to Special PA)
  • Voquenza 20 mg tablet (Updated to Special PA)
  • Voquenza dual pak (Updated to Special PA)
  • Voquenza triple pak (Updated to Special PA)
  • Xigduo XR 10/1000 mg tablet (Added to Brand Preferred)
  • Xigduo XR 10/500 mg tablet (Added to Brand Preferred)
  • Xigduo XR 2.5/1000 mg tablet (Added to Brand Preferred)
  • Xigduo XR 5/1000 mg tablet (Added to Brand Preferred)
  • Xigduo XR 5/500 mg tablet (Added to Brand Preferred)
  • Zituvio 100 mg tablet (Updated to Special PA)
  • Zituvio 25 mg tablet (Updated to Special PA)
  • Zituvio 50 mg tablet (Updated to Special PA)

 

May 2024

 

Additions:

 

  • None

 

Removals:

 

  • None

 

Other Updates:

 

  • Aptensio XR 10 mg capsule (Removed from Brand preferred)
  • Aptensio XR 15 mg capsule (Removed from Brand preferred)
  • Aptensio XR 20 mg capsule (Removed from Brand preferred)
  • Aptensio XR 30 mg capsule (Removed from Brand preferred)
  • Aptensio XR 40 mg capsule (Removed from Brand preferred)
  • Aptensio XR 50 mg capsule (Removed from Brand preferred)
  • Aptensio XR 60 mg capsule (Removed from Brand preferred)
  • Dynavel XR 2.5 mg per mL suspension (Updated to Tier 3)
  • Nuvigil 150mg tablet (Removed from Brand preferred)
  • Nuvigil 200mg tablet (Removed from Brand preferred)
  • Nuvigil 250mg tablet (Removed from Brand preferred)
  • Nuvigil 50mg tablet (Removed from Brand preferred)

 

April 2024

 

Additions

 

  • To come


Removals

 

  • To come


Other updates

 

  • To come

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