The following is a list of the most commonly prescribed drugs. It represents an abbreviatedversion of the drug list (formulary) that is at the core of your prescription-drug benefit plan. The list is not all-inclusive and does not guarantee coverage. In addition to using this list,you are encouraged to ask your doctor to prescribe generic drugs whenever appropriate. PLEASE NOTE: The symbol * next to a drug signifies that it is subject to nonformulary status 2013 Express Scripts when a generic is available throughout the year. Not all the drugs listed are covered by all prescription-drug benefit programs; check your benefit materials for the specific drugs National Preferred Formulary covered and the copayments for your prescription-drug benefit program. For specific questions about your coverage, please call the phone number printed on your ID card. A B D G O H C E M I P J F K N L THIS DOCUMENT LIST IS EFFECTIVE JANUARY 1, 2013 THROUGH DECEMBER 31, 2013. THIS LIST IS SUBJECT TO CHANGE. You can get more information and updates to this document at our website at www.express-scripts.com. 2013 Express Scripts Holding Company #393 NP-A All Rights Reserved PRMT22157-13 (12/20/12) Examples of Nonformulary Medications With Selected Formulary Alternatives
The following is a list of some nonformulary brand-name medications with examples of selected alternatives that are on the formulary.
Column 1 lists examples of nonformulary medications.
Column 2 lists some alternatives that can be prescribed. Nonformulary Formulary Alternative Nonformulary Formulary Alternative Q R U
ciprofloxacin/er, levofloxacin, ofloxacin,
V
ORTHO EVRA, ORTHO generic oral contraceptives, Beyaz,
S
ciprofloxacin/er, levofloxacin, ofloxacin,
ciprofloxacin/er, levofloxacin, ofloxacin,
W X Z T
The symbol [INJ] next to a drug name indicates that the drug is available in injectable form only. For the member: Generic medications contain the same active ingredients as their corresponding brand-name medications, although
they may look different in color or shape. They have been FDA-approved under strict standards. For the physician: Please prescribe preferred products and allow generic substitutions when medically appropriate. Thank you.
Brand-name drugs are listed in CAPITAL letters.
Generic drugs are listed in lower case letters. THIS DOCUMENT LIST IS EFFECTIVE JANUARY 1, 2013 THROUGH DECEMBER 31, 2013. THIS LIST IS SUBJECT TO CHANGE. You can get more information and updates to this document at our website at www.express-scripts.com. 2013 Express Scripts Holding Company #393 NP-A All Rights Reserved PRMT22157-13 (12/20/12)
KILLINGLY PUBLIC SCHOOLS Employee of the Month 2011-12 SEPTEMBER Employees of the Month Joanne Lefevre - As Administrative Assistant at Killingly Intermediate School, Joanne went above and beyond expectations during the summer. While another co-worker was out for most of the summer on medical leave, Joanne found herself having to do most of the scheduling for the upcoming school y
Knapp, W.M., R.F.C. Naczi, W.D. Longbottom, C.A. Davis, W.A. McAvoy, C.T. Frye, J.W. Harrison, and P. Stango, III. 2011. Floristic discoveries in Delaware, Maryland, and Virginia. Phytoneuron 2011-64: 1–26. Published 15 December 2011. ISSN 2153 733X FLORISTIC DISCOVERIES IN DELAWARE, MARYLAND, AND VIRGINIA ESLEY M. KNAPP Maryland Department of Natural Resources ROBERT F. C. NACZI