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Nexium® to be removed from Select Drug Program® Formulary

August 28, 2014

Effective October 1, 2014, Nexium® will be removed from the Select Drug Program® Formulary. This change will move the drug from Tier 2 (formulary level of cost-sharing) to Tier 3 (non-formulary level of cost-sharing). Additionally, Nexium® (40 mg capsules and packets for suspension) will now require prior authorization.

Generic proton pump inhibitors (PPI), such as lansoprazole, omeprazole, pantoprazole, and rabeprazole, are available on Tier 1 (the lowest level of cost-sharing) with no requirement for prior authorization. Nexium® is also available over-the-counter (OTC), along with other PPIs such as Prevacid® and Prilosec®.

Please discuss the generic PPI alternatives and the proper use of OTC products with your patients to determine the most appropriate plan of action. As a reminder, using the lowest dose possible for the shortest duration will help to minimize potential long-term adverse effects from these agents. Also, patients can help to alleviate symptoms by incorporating lifestyle modifications including, but not limited to:

  • weight loss
  • smoking cessation
  • not overeating
  • avoiding acidic foods

To learn more about PPI alternatives for Nexium® or tips for an appropriate plan of action, call 1-800-ASK-BLUE.


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