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

Page last updated: Wednesday, 26-May-2010 20:51:33 EDT

September - December, 2004

The following drug considerations were reviewed and determined for formulary inclusion and tier placement by the U-M Pharmaceutical Benefits Advisory Committee in September through December, 2004.

Drug Name Indication PDL Class
Yes/No
Action
Cybalta Antidepressant Yes Tier 3
Vytorin Cholestrerol Yes Tier 2, preferred
Caduet Hypertension/
cholesterol
Yes Tier 3
Ketek Antibiotic No Tier 3
Menostar Hormone Replacement Yes Tier 2
Sanctura Incontinence Yes Tier 3
Tindamax Antiprotozoal No Tier 3
Xifaxin Travelers Diarrhea No Tier 3, QL = 9
The following list of medications were moved to Tier 3 because of the availability of generice equivalents.

Remeron Soltab
Benzamycin Gel
Rebetol
Cipro
Quindex

Accuretic
Glucovance
Uniphyll
Mycolog II
Betapace AF
Terazol 3
Macrobid
Cutivate
Quinaglute
Trental
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.