The Select Drug Program Formulary is a list of medications approved by the U.S. Food and Drug Administration that were chosen for formulary coverage based on their medical effectiveness, safety, and value. The list changes periodically as the Pharmacy and Therapeutics Committee reviews the formulary to ensure its continued effectiveness. The most recent changes are listed below.

Generic additions

These generic drugs recently became available in the marketplace. When these generic drugs became available, we began covering them at the appropriate generic formulary level of cost-sharing: Generic drug Brand Drug Formulary chapter Effective date cevimeline hcl Evoxac^? 16. Diagnostics & Miscellaneous Agents October 12, 2012 entacapone Comtan^? 3. Pain, Nervous System, & Psych September 28, 2012 mb hydrogel Aurstat^TM 5. Skin Medications October 12, 2012 methylphenidate hcl Metadate CD^? 3. Pain, Nervous System, & Psych September 28, 2012 tiagabine hcl Gabitril^? 3. Pain, Nervous System, & Psych October 26, 2012 trospium chloride Sanctura XR^? 14. Urinary & Prostate Meds October 19, 2012 valsartan/hydrochlorothiazide Diovan HCT^? 4. Heart, Blood Pressure, & Cholesterol September 28, 2012

Brand addition

These brand drugs were added to the formulary and are covered at the appropriate brand formulary level of cost-sharing: Generic drug Formulary chapter Effective date Stribild^TM 1. Antibiotics & Other Drugs Used for Infection August 30, 2012 Vytorin^? 4. Heart, Blood Pressure, & Cholesterol January 1, 2012

Brand deletions

These brand drugs will be covered at the appropriate non-formulary level of cost-sharing:
Effective April 1, 2013.
Generic drug Formulary chapter Effective date Diovan HCT^? valsartan/hydrochlorothiazide 4. Heart, Blood Pressure, & Cholesterol Levaquin^? levofloxacin 1. Antibiotics & Other Drugs Used for Infection Nardil^? phenelzine sulfate 3. Pain, Nervous System, & Psych Neurontin Solution^? gabapentin solution 3. Pain, Nervous System, & Psych Vfend^? voriconazole 1. Antibiotics & Other Drugs Used for Infection Xalatan^? latanoprost 12. Eye Medications The generic drugs for the above brand drugs are on our formulary and available at the generic formulary level of cost-sharing..