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HealthSpring Formulary Change Notification
HealthSpring may add or remove drugs from our formulary during the year. If we remove drugs from our formulary, or add prior authorization, quantity limits and/or step therapy restrictions on a drug (and/or move a drug to a higher cost-sharing tier), we will notify you of the change at least 60 days before the date that the change becomes effective. However, if the Food and Drug Administration deems a drug on our formulary to be unsafe or the drug’s manufacturer removes the drug from the market or Medicare no longer covers a drug previously covered, we will immediately remove the drug from our formulary.
Prospective (60-day) Formulary Change Notification for National Prescription Drug Plan, Medicare Advantage Prescription Drug Plans, and TotalCare Plans. Every month, the Preferred Drug List (formulary) is updated. Medications on the preferred drug list include both generic and brand-name drugs.
Effective April 19, 2012
On April 19, 2012, Novartis announced that they will cease marketing Valturna® (aliskiren and valsartan, USP) tablets in the US. This announcement was made after consultations with the FDA due to preliminary results of the halted ALTITUDE study.
Valturna® has been used for controlling high blood pressure and to ensure an orderly transition of patients to alternate therapies. Novartis will make Valturna available until July 20, 2012 to allow physicians to transition patients to another medication. Patients taking Valturna should not stop their high blood pressure treatment without consulting their prescribing healthcare provider.
If you are a patient on Valturna®, we encourage you to discuss this information with your prescribing healthcare provider at your next (non-urgent) visit, prior to July 20, 2012, or to make an appointment before this time, to determine the appropriate alternate medication for you.
Effective February 24, 2012
On February 24, 2012, Glenmark Generics announced a voluntary, lot-specific recall of Norgestimate/Ethinyl Estradiol tablets, 0.18mg/0.035 mg, 0.215mg/0.035 mg, 0.25mg/0.035mg:
Norgestimate/Ethinyl Estradiol Tablets, NDC 68462-565-29
- Lot Numbers 04110101, 04110106, 04110107, Expiration date: 7/31/2013
- Lot Numbers 04110114, 04110124, 04110129, Expiration date: 8/31/2013
- Lot Number 04110134, Expiration date: 9/31/2013
This recall was initiated because of a packaging error, where select blisters were rotated 180 degrees within the card, reversing the weekly tablet orientation and making the lot number and expiry date visible only on the outer pouch. Any blister for which the lot number and expiry date is not visible is subject to recall.
Effective January 31, 2012
On January 31, 2012, Pfizer Inc. initiated a voluntary recall of 14 lots of Lo/Ovral®-28 (norgestrel/ethinyl estradiol) Tablets, NDC 24090-801-84, and 14 Lots of Norgestrel and Ethinyl Estradiol Tablets (generic) because some blister packs may contain an inexact count of inert or active ingredient tablets and the tablets may be out of sequence. Click here for more information.
Effective September 1, 2011
Effective September 1, 2011, the HealthSpring formulary (list of covered drugs) will be changing. Every month, the Preferred Drug List (formulary) is updated. Medications on the preferred drug list include both generic and brand-name drugs.
|
Name of Affected Drug
|
Reasons for Change
|
Alternative Drugs
|
| ACCOLATE |
Generic Available |
ZAFIRLUKAST |
| ARICEPT |
Generic Availalbe |
DONEPEZIL HYDROCHLORIDE |
| ARIMIDEX |
Generic Available |
ANASTROZOLE |
| EFFEXOR |
Generic Available |
VENLAFAXINE |
| EXELON |
Generic Available |
RIVASTIGMINE |
| HYCAMTIN |
Generic Available |
TOPOTECAN |
| KEPPRA |
Generic Available |
LEVETIRACETAM |
| LOTREL |
Generic Available |
AMLODIPINE / BENAZEPRIL HYDROCHLORIDE |
| LOVENOX |
Generic Available |
ENOXAPARIN SODIUM |
| MERREM |
Generic Available |
MEROPENEM |
| PREVACID |
Generic Available |
LANSOPRAZOLE |
Effective June 22, 2011
Recently the U.S. Food and Drug Administration (FDA) issued a public health advisory alerting patients, caregivers, and health care professionals that Endocet (oxycodone/acetaminophen, USP) Tablets, 10 mg/325 mg would be withdrawn from the market. The U.S. Food and Drug Administration (FDA) recalled Endocet (oxycodone/acetaminophen, USP) Tablets, 10 mg/325 mg drugs for the following reason: some bottles may contain a different strength within tablets than stated on the product label, resulting in patients taking more than the intended acetaminophen dose.
Effective June 15, 2011
Recently the U.S. Food and Drug Administration (FDA) issued a public health advisory alerting patients, caregivers, and health care professionals that Glyburide Tablets, USP 2.5mg; NDC 64720-0124-10 Lot; 105912; Exp. Date 11/2013 Ropinirole Hydrochloride Tablets, 1mg; NDC: 64720-0203-10; Lot; 105912; Exp. Date 11/2013 would be withdrawn from the market. The U.S. Food and Drug Administration (FDA) recalled Glyburide tablets and Ropinirole Hydrochloride tablets for the following reason: A single bottle of Glyburide Tablets was found to be incorrectly labeled with a Ropinirone Hydrochloride label.
Please talk to your physician or pharmacist about your alternatives.
Effective May 2, 2011
Recently the U.S. Food and Drug Administration (FDA) issued a public health advisory alerting patients, caregivers, and health care professionals that one lot of 1,000 count bottles of Coumadin (warfarin sodium) 5mg Tablets (lot number affected in the United States is 9H49374A with an expiration date of September 30, 2012) would be withdrawn from the market. The U.S. Food and Drug Administration (FDA) recalled this drug for the following reason: a single tablet was found to be higher in potency than expected during testing and is a precautionary measure.
Effective April 1, 2011
Recently the U.S. Food and Drug Administration (FDA) issued a public health advisory alerting patients, caregivers, and health care professionals that single-ingredient oral colchicine products that have not been evaluated by the FDA would be withdrawn from the market. The U.S. Food and Drug Administration (FDA) recalled these drugs for the following reason(s): Unapproved single-ingredient oral colchicine products have never been evaluated by the U.S. Food and Drug Administration (FDA) to ensure they are safe and effective.
The therapeutic options on HealthSpring’s formulary are listed below:
- Colcrys (colchicine), which received FDA approval in 2009. Prior Authorization is required.
Effective January 1, 2011
Effective January 1, 2011, the HealthSpring formulary (list of covered drugs) will be changing. Every month, the Preferred Drug List (formulary) is updated. Medications on the preferred drug list include both generic and brand-name drugs.
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Name of Affected Drug
|
Reasons for Change
|
Alternative Drugs
|
|
ACULAR, LS
|
Generic Available
|
ketorolac tromethamine
|
|
ADRENACLICK
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Brand /Generic Alternative(s) Available
|
EPIPEN; epinephrine
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|
ADVICOR
|
Brand /Generic Alternative(s) Available
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NIASPAN; lovastatin; niacor
|
|
ALDARA
|
Generic Available
|
imiquimod
|
|
AMEVIVE
|
Brand Alternative(s) Available
|
HUMIRA(Prior Authorization Required); ENBREL (Prior Authorization Required)
|
|
ANDRODERM
|
Brand /Generic Alternative(s) Available
|
ANDROGEL; testosterone enanthate
|
|
APIDRA
|
Brand Alternative(s) Available
|
HUMALOG; HUMULIN
|
|
APRISO
|
Brand /Generic Alternatives(s) Available
|
ASACOL; LIALDA; PENTASA; mesalamine
|
|
ASTELIN
|
Generic Available
|
azelastine
|
|
AVINZA
|
Generic Alternative(s) Available
|
fentanyl patch; morphine sulfate er; methadone
|
|
AZILECT
|
Generic Alternative(s) Available
|
selegiline
|
|
AZOPT
|
Generic Alternative(s) Available
|
dorzolamide
|
|
BETASERON
|
Brand Alternative Available
|
REBIF (Prior Authorization Required); AVONEX (Prior Authorization Required)
|
|
BONIVA TABS
|
Brand /Generic Alternative(s) Available
|
ACTONEL; alendronate
|
|
BUPRENEX
|
Generic Available
|
buprenorphine
|
|
CANASA
|
Brand /Generic Alternative(s) Available
|
ASACOL; LIALDA; PENTASA; mesalamine
|
|
CARDENE I.V.
|
Generic Available
|
nicardipine (Prior Authorization Required)
|
|
CARNITOR INJ
|
Generic Available
|
levocarnitine INJ (Prior Authorization Required)
|
|
CATAPRES-TTS
|
Generic Available
|
clonidine
|
|
CLARINEX SYP, TAB, RDT
|
Generic Alternative(s) Available
|
fexofenadine; clemastine
|
|
COGENTIN
|
Generic Available
|
benztropine mesylate
|
|
CUTIVATE
|
Generic Available
|
fluticasone propionate
|
| |
|
|
| |
|
|
|
DEPO-TESTOST
|
Generic Available
|
testosterone cypionate
|
|
DIURIL I.V.
|
Generic Available
|
chlorothiazide sodium (Prior Authorization Required)
|
|
ELOXATIN
|
Generic Available
|
oxaliplatin (Prior Authorization Required)
|
|
FLOMAX
|
Generic Available
|
tamsulosin
|
|
FORTAZ
|
Generic Available
|
ceftazidime
|
|
GLUCAGON
|
Brand Alternative(s) Available
|
GLUCAGEN; PROGLYCEM
|
|
HUMATROPE
|
Brand Alternative(s) Available
|
GENOTROPIN (Prior Authorization Required)
|
|
IQUIX
|
Brand /Generic Alternative(s) Available
|
VIGAMOX; ciprofloxacin; ofloxacin
|
|
ISTALOL
|
Generic Available
|
timolol maleate
|
|
LAC-HYDRIN
|
Generic Available
|
ammonium lactate
|
|
LEVEMIR
|
Brand Alternative(s) Available
|
LANTUS
|
|
LUNESTA
|
Generic Alternative(s) Available
|
zaleplon; zolpidem
|
|
MESTINON
|
Generic Available
|
pyridostigmine bromide
|
|
MIRAPEX
|
Generic Available
|
pramipexole
|
|
NIPENT
|
Generic Available
|
pentostatin (Prior Authorization Required)
|
|
NORDITROPIN
|
Brand Alternative(s) Available
|
GENOTROPIN (Prior Authorization Required)
|
|
NOVOLIN, N, R
|
Brand Alternative(s) Available
|
HUMALOG; HUMULIN
|
|
NOVOLOG, MIX
|
Brand Alternative(s) Available
|
HUMALOG; HUMULIN
|
|
Name of Affected Drug
|
Reasons for Change
|
Alternative Drugs
|
|
NUTROPIN, AQ
|
Brand Alternative(s) Available
|
GENOTROPIN (Prior Authorization Required)
|
|
OPTIVAR
|
Brand Alternative(s) Available
|
PATADAY; PATANOL
|
|
ORAMORPH
|
Generic Available
|
morphine sulfate er
|
|
OVIDE
|
Generic Available
|
malathion
|
|
PANCREASE MT
|
Brand Alternative(s) Available
|
CREON
|
|
PANCRECARB
|
Brand Alternative(s) Available
|
CREON
|
|
PANCRELIPASE
|
Brand Alternative(s) Available
|
CREON
|
|
PROTONIX PAK
|
Brand Alternative(s) Available
|
PREVACID SOLUTAB; NEXIUM PACK
|
|
PULMICORT
|
Brand Alternative(s) Available
|
FLOVENT; QVAR
|
|
QUIXIN
|
Brand /Generic Alternative(s) Available
|
VIGAMOX; ciprofloxacin; ofloxacin
|
|
RIFAMATE
|
Generic Available
|
isonarif
|
|
RISPERDAL M
|
Generic Available
|
risperidone odt
|
|
SAIZEN
|
Brand Alternative(s) Available
|
GENOTROPIN (Prior Authorization Required)
|
|
SEROSTIM
|
Brand Alternative(s) Available
|
GENOTROPIN (Prior Authorization Required)
|
|
SIMCOR
|
Brand /Generic Alternative(s) Available
|
NIASPAN; niacor; simvastatin
|
|
SKELAXIN
|
Generic Available
|
metaxalone
|
|
SOLARAZE
|
Brand /Generic Alternative(s) Available
|
ZYCLARA; imiquimod
|
|
SOLU-MEDROL
|
Generic Available
|
methylprednisolone sodium succinate
|
|
SUBUTEX
|
Generic Available
|
buprenorphine HCL (Prior Authorization Required)
|
|
TRIGLIDE
|
Brand /Generic Alternative(s) Available
|
TRILIPIX; TRICOR; fenofibrate
|
|
UROCIT-K
|
Generic Available
|
potassium citrate
|
|
VENLAFAXINE ER TABS
|
Brand /Generic Alternative(s) Available
|
EFFEXOR ER; venlafaxine er cp24
|
|
VESICARE
|
Brand /Generic Alternative(s) Available
|
ENABLEX; TOVIAZ; oxybutynin
|
|
VYTORIN
|
Brand /Generic Alternative(s) Available
|
ZETIA; simvastatin
|
|
ZORBTIVE
|
Brand Alternative(s) Available
|
GENOTROPIN (Prior Authorization Required)
|
|
Name of Affected Drug
|
Reasons for Change
|
Alternative Drugs
|
|
ZOSYN
|
Generic Available
|
piperacillin sodium/ tazobactam sodium
|
|
ZYMAR
|
Brand /Generic Alternative(s) Available
|
VIGAMOX; ciprofloxacin; ofloxacin
|
Effective July 1, 2010
Effective July 1, 2010 the HealthSpring formulary (list of covered drugs) will be changing. Every month, the Preferred Drug List (formulary) is updated. Medications on the preferred drug list include both generic and brand-name drugs.
|
Name of Affected Drug
|
Reason for Change
|
Alternative Drug
|
|
ACULAR
|
Generic now available
|
Ketorolac
|
|
DOVONEX
|
Generic now available
|
Calcipotriene
|
|
PROGRAF
|
Generic now available
|
Tacrolimus
|
|
STARLIX
|
Generic now available
|
Nateglinide
|
|
TRILEPTAL
|
Generic now available
|
Oxcarbazepine
|
|
VALTREX
|
Generic now available
|
Valacyclovir
|
Effective January 1, 2010
Effective January 1, 2010 the drugs listed in the following table will be removed from all of the HealthSpring formularies. Changes to the formulary have been approved by Medicare. Please contact your physicians and ask them to prescribe alternative formulary medications.
|
Name of Affected Drug
|
Reasons for Change
|
Alternative Drugs
|
|
ACEON
|
Generic Alternative(s) Available
|
benazepril; enalapril maleate; lisinopril hcl
|
|
ADDERALL XR
|
Generic Available
|
amphetamine salt combo
|
|
ALTACE
|
Generic Available
|
ramipril
|
|
BALACET
|
Safety Concerns
|
acetaminophen; NSAIDS; tramadol
|
|
BENICAR HCT
|
Brand Alternative Available
|
AVALIDE; DIOVAN HCT
|
|
BENICAR
|
Brand Alternative Available
|
AVAPRO; DIOVAN
|
|
CASODEX
|
Generic Available
|
bicalutamide
|
|
CELLCEPT
|
Generic Available
|
mycophenolate
|
|
COSOPT
|
Generic Available
|
dorzolamide hcl/timolol maleate
|
|
CUTIVATE
|
Generic Available
|
fluticasone
|
|
DECLOMYCIN
|
Generic Available
|
demeclocycline
|
|
DEPAKOTE
|
Generic Available
|
divalproex sodium
|
|
DEPAKOTE ER
|
Generic Available
|
divalproex sodium
|
|
DEPAKOTE SPRINKLE
|
Generic Available
|
divalproex sodium
|
|
DETROL LA
|
Brand Alternative Available
|
ENABLEX; VESICARE
|
|
DETROL
|
Brand Alternative Available
|
ENABLEX; VESICARE
|
|
DIAMOX
|
Generic Available
|
acetazolamide
|
|
EFUDEX
|
Generic Available
|
fluorouracil
|
|
ETHYOL
|
Generic Available
|
amifostine
|
|
IMITREX
|
Generic Available
|
sumatriptan
|
|
KEPPRA
|
Generic Available
|
levetiracetam
|
|
KINERET
|
Brand Alternative(s) Available
|
ENBREL (PA); HUMIRA (PA)
|
|
LAMICTAL
|
Generic Available
|
lamotrigine
|
|
MEDROL
|
Generic Available
|
methylprednisolone
|
|
NOR-QD 28 DAY
|
Generic Available
|
norethindrone
|
|
PARCOPA
|
Generic Available
|
carbidopa/levodopa
|
|
PHOSLO
|
Generic Available
|
calcium acetate
|
|
PRECOSE
|
Generic Available
|
acarbose
|
|
PREVACID NAPRAPAC KIT
|
Brand /Generic Alternative(s) Available
|
NEXIUM/naproxen; omeprazole/naproxen
|
|
PROAIR HFA
|
Brand Alternative Available
|
VENTOLIN HFA
|
|
PROPOXYPHENE HCL
|
Safety Concerns
|
acetaminophen; NSAIDS; tramadol
|
|
PROPOXYPHENE-N /ACETAMINOPHEN
|
Safety Concerns
|
acetaminophen; NSAIDS; tramadol
|
|
PROTONIX
|
Generic Available
|
pantoprazole sodium
|
|
RISPERDAL
|
Generic Available
|
risperidone
|
|
RISPERDAL M-TAB
|
Generic Available
|
risperidone
|
|
SULAR
|
Generic Available
|
nisoldipine
|
|
TOBRADEX
|
Generic Available
|
tobramycin
|
|
TOPAMAX
|
Generic Available
|
topiramate
|
|
TOPAMAX SPRINKLE
|
Generic Available
|
topiramate
|
|
TRUSOPT
|
Generic Available
|
dorzolamide hcl
|
|
URSO
|
Generic Available
|
ursodiol
|
|
URSO FORTE
|
Generic Available
|
ursodiol
|
|
VESANOID
|
Generic Available
|
tretinoin
|
|
VIDEX EC
|
Generic Available
|
didanosine
|
|
VIVACTIL
|
Generic Available
|
protriptyline
|
|
WELLBUTRIN
|
Generic Available
|
bupropion
|
|
ZERIT
|
Generic Available
|
stavudine
|
|
ZINECARD
|
Generic Available
|
dexrazoxane
|
|