Drug Class Medications not on the National Drug List Preferred alternatives
Diabetes - rapid-acting insulin Admelog, Apidra, Fiasp, Novolin, Novolog Humulin, Humalog
Diabetes - SGLT2/combos Farxiga, Glyxambi, Invokana, Invokamet/XR, Qtern, Segluromet, Steglatro, Steglujyan, Xigduo XR Jardiance, Synjardy/XR
Diabetic Test Strips and Glucometers All Except Accu-Chek and One Touch Products Accu-Chek and One Touch Products
Dry Eye Lacrisert Xiidra
Erectile dysfunction Levitra, Staxyn, Stendra Cialis, sildenafil citrate (generic Viagra)
Growth hormone Genotropin, Norditropin, Omnitrope, Saizen, Zomacton Humantrope, Nutropin/AQ
Immunologicals Actemra, Cimizia, Inflectra, Kevzara, Orencia, Tremfya, Renflexis Enbrel, Humira, Remicade, Simponi/Aria, Stelara
Lipid/Cholesterol lowering - fibric acid Antara, fenofibrate capsule (50mg, 150mg), Triglide fenofibrate tablet, fenofibrate acid, gemfibrozil
Lipid/Cholesterol lowering - Fish Oils (Omega-3 Fatty Acids) Lovaza (brand and generic), Vascepa fenofibrate, fenofibric acid, gemfibrozil
Lipid/Cholesterol lowing - statin Lipitor astorvastatin, rosuvastatin, simvastatin
Multiple sclerosis Extavia, Rebif Avonex/Pen, Betaseron, Plegridy
Narcotic antagonists Evzio auto-injector naloxone injection, Narcan
Non-Steroidal Anti-Inflammatories diclofenac sodium 1.5% topical solution, Duexis, Fenoprofen capsules, Fenortho, Flector, Indocin Suppository & Suspension, klofensaid, Nalfon, Naprelan CR 750mg, Pennsaid 2% Pump, Sprix, Tivorbex, Vimovo, Vivlodex, Zipsor, Zorvolex diclofenac 1% gel, diclofenac tablet, fenoprofen tablet, ibuprofen tablet & suspension, indomethacin capsule, meloxicam tablet & suspension, misoprostol, naproxen tablet & suspension
Ophthalmologic - Antihistamine Bepreve, Pataday, Patanol, Pazeo azelastine, epinastine
Ovulatory Stimulants Follistim AQ Gonal-F
Pain management - transmucosal fentanyl Abstral, Lazanda, Subsys fentanyl citrate, Fentora
Pain management - narcotic analgesics Arymo ER, Embeda, Hysingla ER, Kadian, Morphabond ER, Nucynta ER, Opana ER, Oxycodone ER, Xartemis XR, Xtampza ER, Zohydro ER hydromorphone er, morphine sulfate er, oxymorphone er
Proton Pump Inhibitors Aciphex (brand and generic), Dexilant, Esomeprazole Strontium, Nexium (brand and generic), Prevacid/ODT (brand and generic), Prilosec, Protonix, Zegerid (brand and generic) omeprazole, pantoprazole
Respiratory - anti-inflammatory Aerospan, Alvesco, Armonair Respiclick, Asmanex HFA/Twisthaler, Pulmicort Flexhaler Arnuity Ellipta, Flovent HFA/Diskus, Qvar Redihaler
Skeletal muscle relaxants Amrix ER cyclobenzaprine
Steriods - intranasal Nasonex, Qnasi mometasone
Steriods - oral Rayos hydocortisone, methylprednisolone, prednisone, prednisolone
Steriods - topical low potency Desonate gel, Tridesilon cream, Verdeso foam hydrocortisone 2.5% (cream, lotion, ointment), alclometasone (cream, ointment)
Steriods - topical medium potency Locoid lotion mometasone (cream, ointment, solution), triamcinolone (cream, ointment, solution)
Steriods- topical high potency Sernivo betamethasone dp aug cream, fluocinonide (cream, gel, ointment, solution), triamcinolone (cream, ointment)
Testosterone - topical Axiron, Fortesta, Natesto, Testim, Testosterone Gel 1% (brand versions2), Vogelxo testosterone gel 1% (generic versions3), testosterone gel 30mg/1.5mi, Androgel 1.62%
Allergic Reaction Treatment Adrenaclick Auvi-Q, EpiPen, EpiPen JR Epinephrine auto-injector (Authorized generic EpiPen from Mylan)
Antiviral - oral Sitavig acyclovir (oral solution, capsule, tablet), valacyclovir tablet
Antiviral - topical Zovirax cream acyclovir (ointment, oral solution, capsule, tablet), valacyclovir tablet
Constipation Trulance Amitiza, Linzess, Movantik
Dermatologic - acne topical Clindagel clindamycin phosphate (gel, lotion, solution)
Dermatologic - oral anti-infectives Acticlate, Adoxa, Doryx, Doryx MPC, Doxycycline IR-DR 40 mg Capsule, Minocin, Monodox, Vibramycin 50mg/5ml Syrup, Solodyn, Ximino ER doxcycline hyclate, doxycycline monohydrate (immediate release), doxycycline 25ml/5ml suspension, minocycline, Oracea
Diabetes - Biguanides Glumetza (brand and generic) metoformin ER (generic Glucophage XR)
Diabetes - DPP4s Alogliptin, Alogliptin/metformin, Kazano, Kombiglyze XR, Nesina, Onglyza Januvia, Janumet/XR, Tradjenta, Jentadueto
Diabetes - GLP1s Adlyxin, Tanzeum Byett, Bydureion/Pen, Ozempic, Trulicity, Toujeo
Diabetes - long-acting insulin Basaglar, Tresiba Lantus, Levemir, Toujeo
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