Benefits Plans - Prescription Drug Plan: Drug Plan Updates and New Drug Releases - Drug Reviews

Page last updated: Wednesday, 26-May-2010 20:51:30 EDT

April–July 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 April–July 2003 drug releases.

Drug Name Indication Preferred Drug List Action
Cardizem LA Angina Yes Tier 3
RelPax Migraine Yes Tier 2
Alinia Diarrhea No Tier 2, ages 1-11 years only
Emend Nausea No Tier 2, prior authorization required
Restasis Tear Production No Tier 2
Ciprofloxacin Antibiotic Yes Tier 3
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