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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.

Name of Affected Drug

Reasons for Change

Alternative Drugs

ACULAR, LS

Generic Available

ketorolac tromethamine

ADRENACLICK

Brand /Generic Alternative(s) Available

EPIPEN; epinephrine

ADVICOR

Brand /Generic Alternative(s) Available

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