Formulary Changes

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From time to time, there may be a change in tiered costs and/or removal made in the formulary. CareMore will post a 60-day advance notice of any changes to our formulary below.

CareMore Health Plan - Formulary V1 - Notice of Formulary Changes 7-7-2010

CareMore Health Plan -Formulary v2 - Notice of Formulary Changes 7-7-2010

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Generic Drugs Added: Acarbose (Precose) Acetylcysteine (Mucomyst) Dorzolamide (Trusopt) Dorzolamide/ Timolol (Cosopt) Galantamine ER (Razadyne ER) Hyoscyamine Tablets Lamotrigine (Lamictal) Levetiracetam (Keppra) Lamotrigine (Lamictal) Ramipril (Altace) Topiramate Tablets (Topamax) Brand Drugs Added to the Formulary: Afinitor – Tier 7 Asacol HD – Tier 4 Astepro – Tier 4 Banzel – Tier 5 Cymbalta – Tier 4 Dilantin – Tier 4 Duetact – Tier 4 Exforge – Tier 4 Tekturna (HCT) – Tier 4

Generic Drugs Added:

Acarbose (Precose)

Acetylcysteine (Mucomyst)

Dorzolamide (Trusopt)

Dorzolamide/ Timolol (Cosopt)

Galantamine ER (Razadyne ER)

Hyoscyamine Tablets

Lamotrigine (Lamictal)

Levetiracetam (Keppra)

Lamotrigine (Lamictal)

Ramipril (Altace)

Topiramate Tablets (Topamax)

Brand Drugs Added to the Formulary:

Afinitor – Tier 7

Asacol HD – Tier 4

Astepro – Tier 4

Banzel – Tier 5

Cymbalta – Tier 4

Dilantin – Tier 4

Duetact – Tier 4

Exforge – Tier 4

Tekturna (HCT) – Tier 4

H0544_110808A CHP (05/09)
Last Updated On 08/27/2010