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Formulary Changes
Formulary Changes
Here you will find a listing of the drugs that have been changed on our formulary for the current year.
Carefree Medicare.
Drug Name:
chloral hydrate
Date Changed:
02/19/2008
Type of Change:
Drug removed
Reason Changed:
CMS mandated removal of drug from Part D benefit
Alternative Drugs
Drug
Tier
Restrictions
Therapy Class
LUNESTA
Brand
More Info
Sedative/hypnotic Drugs
ROZEREM
Brand
More Info
Sedative/hypnotic Drugs
zolpidem
Generic
More Info
Sedative/hypnotic Drugs
How to request an exception to the Clear Choice Health Plans Formulary (Oregon)
How to request an exception to the Clear Choice Health Plans Formulary (Montana)
Drug Name:
fomepizole (injection)
Date Changed:
04/13/2008
Type of Change:
Cost sharing change
Reason Changed:
Alternative Drugs
Drug
Tier
Restrictions
Therapy Class
How to request an exception to the Clear Choice Health Plans Formulary (Oregon)
How to request an exception to the Clear Choice Health Plans Formulary (Montana)
Drug Name:
fosphenytoin (injection)
Date Changed:
04/13/2008
Type of Change:
Cost sharing change
Reason Changed:
Alternative Drugs
Drug
Tier
Restrictions
Therapy Class
How to request an exception to the Clear Choice Health Plans Formulary (Oregon)
How to request an exception to the Clear Choice Health Plans Formulary (Montana)
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| Last Updated: 02/01/2008
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