Benefits Plans - Prescription Drug Plan: Drug Plan Updates and New Drug Releases - Drug Reviews
Page last updated: Wednesday, 26-May-2010 20:51:25 EDT
March 2003
Following are the drug considerations that were reviewed and determined for formulary inclusion and tier placement by the U-M Pharmaceutical Benefits Advisory Committee. The chart combines the January, February and March 2003 drug releases.
| Drug Name | Indication | Preferred Drug List | Action |
|---|---|---|---|
| Altocor | Cholesterol | Yes | Tier 3 |
| Augmentin XR | Infections | Yes | Tier 3 |
| Depo-Testosterone | Androgen Replacement Therapy | No | Tier 3, quantity limit |
| Hepsera | Hepatitis B Infection | No | Tier 2, PA* |
| Lexapro | Depression | Yes | Tier 3, review data in 6 months |
| Omnicef | Infections | Yes | Tier 2 |
| Suprax | Infections | Yes | Remove from formulary - product discontinued |
| Vfend | Aspergillosis Infections | No | Tier 2, monitor utilization |
| Xyrem | Narcolepsy associated cataplexy | No | Tier 2 |
| Zelnorm | Irritable Bowel Syndrome | No | Tier 2, monitor utilization |
| Avandamet | Diabetes | Yes | Tier 2 |
| Avodart | Benign Prostatic Hyperplasia | Yes | Tier 2 |
| Cipro XR | Acute Cystitis | Yes | Tier 2; quantity limit |
| Forteo | Osteoporosis | Yes | Tier 2 |
| Humira | Rheumatoid Arthritis | No | Tier 2 with PA* |
| Metaglip | Diabetes | Yes | Tier 3 |
| Pegasys | Chronic Hepatitis C | No | Tier 2 |
| Stratterra | ADHD | No | Tier 3 |
| Zetia | Cholesterol | Yes | Tier 2 |
| Abilify | Schizophrenia | No | Tier 3 |
*PA = Prior Authorization
Limitations
The University of Michigan in its sole discretion may modify, amend, or terminate the benefits provided with respect to any individual receiving benefits, including active employees, retirees, and their dependents. Although the university has elected to provide these benefits this year, no individual has a vested right to any of the benefits provided. Nothing in these materials gives any individual the right to continued benefits beyond the time the university modifies, amends, or terminates the benefit. Anyone seeking or accepting any of the benefits provided will be deemed to have accepted the terms of the benefits programs and the university's right to modify, amend or terminate them.
The University of Michigan in its sole discretion may modify, amend, or terminate the benefits provided with respect to any individual receiving benefits, including active employees, retirees, and their dependents. Although the university has elected to provide these benefits this year, no individual has a vested right to any of the benefits provided. Nothing in these materials gives any individual the right to continued benefits beyond the time the university modifies, amends, or terminates the benefit. Anyone seeking or accepting any of the benefits provided will be deemed to have accepted the terms of the benefits programs and the university's right to modify, amend or terminate them.
Every effort has been made to ensure the accuracy of the benefits information in this site. However, if any provision on the benefits plans is unclear or ambiguous, the Benefits Office reserves the right to interpret the plan and resolve the problem. If any inconsistency exists between this site and the written plans or contracts, the actual provisions of each benefit plan will govern. The University of Michigan in its sole discretion may modify, amend, or terminate the benefits provided with respect to any individual receiving benefits, including active employees, retirees, and their dependents.