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Pharmacy | PDL | California

2020 California Advantage Large Group 4-Tier PPO List

Please note: This Prescription Drug List (PDL) is accurate as of June 1, 2020 and is subject to change after this date. All previous versions of this PDL are no longer in effect. Your estimated coverage and copay/coinsurance may vary based on the benefit plan you choose and the effective date of the plan.

This PDL can also be accessed online at myuhc.com > Pharmacy Information > Prescription Drug Lists > California plans > Large Group - Advantage. Plan-specific coverage documents may be accessed online at uhc.com/statedruglists > Large Group Plans > California. If you are a UnitedHealthcare member, please register or log on to myuhc.com, or call the toll-free number on your health plan ID card to find pharmacy information specific to your benefit plan. This PDL is applicable to the following health insurance products offered by UnitedHealthcare: • Navigate • Navigate Plus • Choice • Choice Plus • Select • Select Plus • Core • Core Essential • Options PPO • Non-Differential PPO

Updated 4/23/2020

WF1393114-G 4/20 ©2020 United HealthCare Services, Inc. 85625-072019 1 Contents

At UnitedHealthcare, we want to help you better understand your medication options...... 3

How do I use my PDL? ...... 4

What are tiers? ...... 5

When does the PDL change?...... 5

Utilization Management Programs ...... 6

Your Right to Request Access to a Non-formulary Drug ...... 6

Requesting a Prior Authorization or Step Therapy Exception...... 7

How do I locate and fill a prescription through a retail network pharmacy?...... 7

How do I locate and fill a prescription through the mail order pharmacy? ...... 7

How do I locate and fill a prescription at a specialty pharmacy? ...... 8

How do I get updated information about my pharmacy benefit?...... 8

Nondiscrimination notice and access to communication services...... 9

Prescription Drug List...... 12

2 At UnitedHealthcare, we want to help you better understand your medication options. Your pharmacy benefit offers flexibility and choice in determining the right medication for you. To help you get the most out of your pharmacy benefit, we’ve included some of the most commonly used terms and their definitions as well as frequently asked questions: Brand-name drug means a Prescription Drug Product (1) which is manufactured and marketed under a trademark or name by a specific drug manufacturer; or (2) that we identify as a brand-name product, based on available data resources. This includes data sources such as Medi-Span, that classify drugs as either brand or generic based on a number of factors. Not all products identified as a “brand-name” by the manufacturer, pharmacy, or your Physician will be classified as brand-name by us. A brand-name drug is listed in this PDL in all CAPITAL letters. Coinsurance means a percentage of the cost of a covered health care benefit that you pay after you have paid the deductible, if a deductible applies to the health care benefit. Copayment means a fixed dollar amount that you pay for a covered health care benefit after you have paid the deductible, if a deductible applies to the health care benefit. Deductible means the amount you pay for covered health care benefits that are subject to the deductible before your health insurer begins to pay. If your health insurance policy has a deductible, it may have either one deductible or separate deductibles for medical benefits and prescription drug benefits. After you pay your deductible, you usually pay only a copayment or coinsurance for covered health care benefits. Your insurance company pays the rest. Drug Tier means a group of Prescription Drug Products that correspond to a specified cost sharing tier in your health insurance policy. The drug tier in which a Prescription Drug Product is placed determines your portion of the cost for the drug. Exception request means a request for coverage of a non-formulary drug. If you, your designee, or your prescribing health care provider submits a request for coverage of a non-formulary drug, your insurer must cover the non-formulary drug when it is medically necessary for you to take the drug. Exigent circumstances means when you are suffering from a medical condition that may seriously jeopardize your life, health, or ability to regain maximum function, or when you are undergoing a current course of treatment using a non-formulary drug. Formulary or Prescription Drug List (PDL) means a list that categorizes into tiers medications or products that have been approved by the U.S. Food and Drug Administration (FDA). This list is subject to our periodic review and modification (generally quarterly, but no more than six times per calendar year). means a Prescription Drug Product: (1) that is chemically equivalent to a brand-name drug; or (2) that we identify as a generic product based on available data resources. This includes, data sources such as Medi-Span, that classify drugs as either brand or generic based on a number of factors. Not all products identified as a “generic” by the manufacturer, pharmacy or your Physician will be classified as a generic by us. A generic drug is listed in this PDL in italicized lowercase letters. Medically Necessary means health care benefits needed to diagnose, treat, or prevent a medical condition or its symptoms and that meet accepted standards of medicine. Health insurance usually does not cover health care benefits that are not medically necessary. Non-formulary drug means a Prescription Drug Product that is not listed on this PDL. Out-of-pocket costs means your expenses for health care benefits that aren’t reimbursed by your health insurance. Out-of-pocket costs include deductibles, copayments, and coinsurance for covered health care benefits, plus all costs for health care benefits that are not covered. Prescribing provider means a health care provider who can write a prescription for a drug to diagnose, treat, or prevent a medical condition. Prescription means an oral, written, or electronic order from a prescribing provider authorizing a Prescription Drug Product to be provided to a specific individual. Prescription Drug Product means a medication or product that has been approved by the U.S. Food and Drug Administration (FDA) and that can, under federal or state law, be dispensed only according to a Prescription Order or Refill. A Prescription Drug Product includes a medication that, due to its characteristics, is appropriate for self-administration or administration by a non-skilled caregiver. We will provide coverage for a Prescription Drug Product which includes a medication that, due to its characteristics, is appropriate for self-administration or administration by a non-skilled caregiver. This definition includes: Inhalers (with spacers); ; the following diabetic supplies: standard insulin syringes with needles; blood-testing strips - ; urine-testing strips - glucose; ketone-testing strips and tablets; lancets and lancet devices; and glucose meters (including continuous glucose monitors); disposable devices which

3 are medically necessary for the administration of a covered outpatient Prescription Drug Product. Benefits also include FDA-approved contraceptive drugs, devices, and products available over-the-counter when prescribed by a Network provider. Prior Authorization means a process by your health insurer to determine that a health care benefit is medically necessary for you. If a Prescription Drug Product is subject to prior authorization in this PDL, your prescribing provider must request approval from your health insurer to cover the drug. Your health insurer must grant a prior authorization request when it is medically necessary for you to take the drug. Step therapy means a specific sequence in which Prescription Drug Products for a particular medical condition must be tried. If a drug is subject to step therapy in this PDL, you may have to try one or more other drugs before your health insurance policy will cover that drug for your medical condition. If your prescribing provider submits a request for an exception to the step therapy requirement, your health insurer must grant the request when it is medically necessary for you to take the drug.

How do I use my PDL? When choosing a medication, you and your doctor should consult the PDL. It will help you and your doctor choose the most cost- effective prescription drugs. This guide tells you if special programs apply. Bring this list with you when you see your doctor. It is organized by therapeutic category and class. The therapeutic category and class are based on the American Hospital Formulary Service (AHFS) Pharmacologic-Therapeutic Classification. You may also find a drug by its brand or generic name in the alphabetical index. If a generic equivalent for a brand-name drug is not available on the market or is not covered, the drug will not be separately listed by its generic name. This is the way Prescription Drug Products appear in the PDL: 1. A drug is listed alphabetically by its brand and generic names in the therapeutic category and class to which it belongs; 2. The generic name for a brand-name drug is included after the brand-name in parentheses and all lowercase italicized letters; 3. If a generic equivalent for a brand-name drug is both available and covered, the generic drug will be listed separately from the brand-name drug in all lowercase italicized letters; and

4. If a generic drug is marketed under a proprietary, trademark-protected brand-name, the brand-name will be listed after the generic name in parentheses and regular typeface with the first letter of each word capitalized. Example: Coverage Requirements & Prescription Drug Name Drug Tier Limits AVAPRO ORAL TABLET 150 MG, 300 MG, 75 MG (irbesartan) 4 irbesartan oral tablet 150 mg, 300 mg, 75 mg 1

If your medication is not listed in this document, please visit myuhc.com or call the toll-free member phone number on your health plan ID card. Below is a list of drug tier numbers, abbreviations, and designations used in the PDL as well as an explanation for each.

Drug Tier 1 Your lowest cost medications Drug Tier 2 Your mid-range cost medications Drug Tier 3 Your mid-range cost medications Drug Tier 4 Your highest cost medications PA Prior authorization required SL Supply Limit ST Step Therapy H May be part of health care reform preventive H-PA May be part of health care reform preventive with prior authorization SP Specialty medication CM Orally administered anti- medication

4 What are tiers? Tiers are the different cost levels you pay for a medication. Each tier is assigned a cost, which is determined by your employer or health plan. This is how much you will pay when you fill a prescription. Tier 1 medications are your lowest-cost options. If your medication is placed in Tier 2, 3 or 4, look to see if there is a Tier 1 option available. Discuss these options with your doctor. For orally administered anti-cancer medications on any Tier, the total amount of copayments and/or coinsurance shall not exceed $250 for an individual prescription of up to a 30-day supply. For high deductible health plans, the $250 maximum only applies once the deductible has been met. Check your benefit plan documents to find out your specific pharmacy plan costs, including any maximum dollar amount of cost sharing that may apply to a drug. Preferred medications are found in tier 1, tier 2 or tier 3 and may vary depending on the medication and the condition it treats. $ Drug tier Includes Helpful tips

Tier 1 Medications that provide the highest overall value. Mostly generic Use Tier 1 drugs for the lowest $ Your lowest cost drugs. Some brand-name drugs may also be included. out‑of-pocket costs.

Tier 2 and 3 Medications that provide good overall value. A mix of brand-name Use Tier 2 or Tier 3 drugs Your mid-range and generic drugs. instead of Tier 4 to help reduce $$ your out-of-pocket costs. cost

Tier 4 Medications that provide the lowest overall value. Mostly brand- Many Tier 4 drugs have Your highest name drugs, as well as some generics. lower‑cost options in Tier 1, 2 or 3. Ask your doctor if they $$$ cost could work for you.

Please note: If you have a high deductible plan, the tier cost levels may apply once you reach your deductible. Refer to your enrollment and plan materials on myuhc.com, or call the toll-free number on your health plan ID card for more information about your benefit plan. When does the PDL change? This PDL is required to be updated on a monthly basis. • Medications may move to a lower tier at any time. • Medications may move to a higher tier when a generic becomes available. • Medications may move to a higher tier or become non-formulary most often on January 1 or May 1. • Medications may become subject to new or revised utilization management procedures, such as prior authorization, step therapy or supply limits, at any time but most often upon FDA approval of the medication or its generic, January 1, or May 1. When a medication changes tiers, you may have to pay a different amount for that medication. The presence of a Prescription Drug Product on the PDL does not guarantee that you will be prescribed that Prescription Drug Product by your provider for a particular medical condition.

5 Utilization Management Programs

Prior authorization required — Your doctor is required to provide additional information to us to determine coverage. For specific prior authorization requirements, please refer to your Evidence of Coverage.

Supply limit — Amount of medication covered per copayment or in a specific time period.

Step therapy — Requires you to try one or more other medications before the medication you are requesting may be covered. For specific step therapy requirements, please refer to your Evidence of Coverage.

Health Care Reform Preventive with Prior Authorization — This medication is part of a health care reform preventive benefit and may be available at no cost to you if prior authorization criteria is met. For more information, please refer to the California Advantage and Essential HMO and PPO Prescription Drug List (PDL) PPACA $0 Cost-Share Preventive Care Medications list.

Designated specialty program — For certain Specialty Prescription Drug Products, we may direct you to a Designated Pharmacy with whom we have an arrangement to provide those Prescription Drug Products, which are identified in the Coverage Requirements and Limits column of the Prescription Drug List (PDL). If you choose not to obtain your Prescription Drug Product from the Designated Pharmacy, you may opt-out of the Designated Pharmacy program by contacting us at myuhc.com or the telephone number on your ID card.

To learn more about a pharmacy program or to find out if it applies to you, please visitmyuhc.com or call the toll-free member phone number on your health plan ID card. If you are a pre-enrollee and you would like to learn more about your specific pharmacy benefit, please contact your employer. Drugs administered by a healthcare professional are generally covered under the medical benefit while drugs that are self-administered are covered under the pharmacy benefit. In order to obtain medical benefits for drugs that are administered by a healthcare professional, your provider may also be required to obtain a prior authorization. The provider may contact UnitedHealthcare for more information or uhcprovider.com. Your Right to Request Access to a Non-formulary Drug This plan must cover all Medically Necessary Prescription Drug Products. When a Prescription Drug Product is not on our PDL, you or your representative may request an exception to gain access to that Prescription Drug Product. To make a request, contact us in writing or call the toll-free number on your ID card. We will notify you of our determination within 72 hours. If approved, we will cover the Prescription Drug Product for the duration of the prescription, including refills. Urgent Requests If your request requires immediate action and a delay could significantly increase the risk to your health, or the ability to regain maximum function, call us as soon as possible. We will provide a written or electronic determination within 24 hours. If approved, we will cover the Prescription Drug Product for the duration of the exigency. External Review If you are not satisfied with our determination of your exception request, you may be entitled to request an external review. You or your representative may request an external review by sending a written request to us to the address set out in the determination letter or by calling the toll-free number on your ID card. The Independent Review Organization (IRO) will notify you of its determination within 72 hours. Expedited External Review If you are not satisfied with our determination of your exception request and it involves an urgent situation, you or your representative may request an expedited external review by calling the toll-free number on your ID card or by sending a written request to the address set out in the determination letter. The IRO will notify you of our determination within 24 hours. If we deny your exception request, you may appeal. Please refer to your Evidence of coverage for details. The complaint and appeals process, including independent review, is described under Section 6: Questions, Complaints and Appeals. You may also call the telephone number listed on your identification (ID) card.

6 Requesting a Prior Authorization or Step Therapy Exception Before certain Prescription Drug Products are dispensed to you, your prescribing provider or your pharmacist is required to obtain prior authorization or step therapy exception from us. Your prescribing provider can submit a request by phone to OptumRx or electronically by contacting us at uhcprovider.com. The Prior Authorization staff of qualified pharmacists and technicians is available Monday through Friday from 5:00 a.m. to 10:00 p.m. PST and Saturday from 6:00 a.m. to 3:00 p.m. PST to assist licensed physicians. Most authorizations are completed within 24 hours. The most common reason for delay in the authorization process is insufficient information. Your licensed physician may need to provide information on diagnosis and medication history and/or evidence in the form of documents, records or lab tests which establish that the use of the requested Prescription Drug Product meets plan criteria. You may determine whether a particular Prescription Drug Product is subject to prior authorization or step therapy requirements by going online at myuhc.com or by calling at the toll-free phone number on the back of your health plan ID card. If you are changing policies, we will not require you to repeat step therapy when you are already being treated for a medical condition by a Prescription Drug Product provided the Prescription Drug Product is appropriately prescribed and considered safe and effective for your medical condition. However, we may impose a prior authorization requirement for the continued coverage of a Prescription Drug Product prescribed pursuant to step therapy requirements imposed by the former policy. Your prescribing provider may also prescribe another Prescription Drug Product covered under your policy that is medically appropriate for your medical condition. If you are currently taking a Prescription Drug Product which was approved by UnitedHealthcare for a specific medical condition and that drug is removed from the Prescription Drug List (PDL) and the prescribing provider continues to prescribe the Prescription Drug Product for your medical condition, we will continue to cover the Prescription Drug Product provided that the drug is appropriately prescribed and is considered safe and effective for treating your medical condition. In the case of a standard prior authorization or step therapy exception request, we will notify you, your designee, or your prescribing provider of the Benefit determination no later than 72 hours following receipt of the request. In the case of an expedited prior authorization or step therapy exception request based on exigent circumstances, we will notify you, your designee, or your prescribing provider of the Benefit determination no later than 24 hours following receipt of the request. If we fail to respond to you, your designee, or your prescribing provider within the prescribed time limits, the request is deemed approved and we may not deny the request thereafter. If you disagree with a determination, you can request an appeal. The complaint and appeals process, including independent medical review, is described in the Evidence of Coverage under Section 6: Questions, Complaints and Appeals. You may also call at the telephone number on your ID card. How do I locate and fill a prescription through a retail network pharmacy? UnitedHealthcare has a well-established network of pharmacies including most major pharmacy and supermarket chains as well as many independent pharmacies. For a listing of network pharmacies, call the toll-free phone number on your health plan ID card to help locate a network pharmacy near you or visit our website at myuhc.com for an up-to-date list. How do I locate and fill a prescription through the mail order pharmacy? UnitedHealthcare offers a Mail Order Pharmacy Program through OptumRx®. Here’s how to fill prescriptions through the Mail Order Pharmacy Program. 1. Call your prescribing provider to obtain a new prescription for each medication. When you call, ask the Physician to write the prescription for a 90-day supply which represents three prescription units with up to three additional refills. The doctor will tell you when to pick up the written prescription. (Note: OptumRx must have a new prescription to process any new Mail Order request.) 2. After picking up the prescription, complete the Mail Order Form included in your enrollment materials. (To obtain additional forms or for assistance in completing the form, contact UnitedHealthcare’s Customer Service Department by calling the telephone number on the back of your ID card. You can also find the form atoptumrx.com .) 3. Enclose the prescription and appropriate copayment via check, money order, or credit card. Your Pharmacy Schedule of Benefits will have the applicable copayment for the Mail Order Pharmacy Program. Make the check or money order payable to OptumRx. No cash please.

7 Important Tip: If you are starting a new Prescription Drug Product, please request two prescriptions from your physician. Have one filled immediately at a network pharmacy while mailing the second prescription to UnitedHealthcare’s Mail Order Pharmacy. Once you receive your medication through the Mail Order Pharmacy Program, you should stop filling the prescription at the network pharmacy. How do I locate and fill a prescription at a specialty pharmacy? Call the phone number on the back of your health plan ID card or visit specialty.optumrx.com to locate a designated specialty pharmacy for your medication.

Designated Pharmacies If you require certain Specialty Prescription Drug Products, we may direct you to a Designated Pharmacy with whom we have an arrangement to provide those Specialty Prescription Drug Products. There are both retail and mail pharmacies in the Designated Pharmacy network. Note that not all contracted retail pharmacies are in the Designated Pharmacy network. Only retail pharmacies that are in the Designated Pharmacy network will provide access to these Specialty Prescription Drug Products. If you choose not to obtain your Specialty Prescription Drug Product from the Designated Pharmacy, you may opt-out of the Designated Pharmacy program through the Internet at [myuhc.com] or by calling the telephone number on your ID card. If you want to opt-out of the program and fill your Specialty Prescription Drug Product at a non-Designated Pharmacy but do not inform us, you will be responsible for the entire cost of the Specialty Prescription Drug Product and no Benefits will be paid. In urgent or emergent circumstances, you may contact Customer Service by calling the telephone number on the back of your ID card. This will allow you access to the retail network override process and allow the urgent or emergent prescription claim to pay at your local pharmacy for same day access if they have the Prescription Drug Product available. How do I get updated information about my pharmacy benefit? Since the PDL may change during your plan year, we encourage you to visit myuhc.com or call the toll-free member phone number on your health plan ID card for more current information.

Log in to myuhc.com for the following pharmacy And, if mail order services are included in your information and tools: pharmacy benefit, you can also: • Pharmacy benefit and coverage information • Refill prescriptions • Possible lower-cost medication options • Check the status of your order • Medication interactions and side effects • Set up reminders for refills • Participating retail pharmacies by ZIP code • Manage your account • Your prescription history

To learn more: Call the toll-free member phone number on your health plan ID card, or visit myuhc.com.

8 Nondiscrimination notice and access to communication services

UnitedHealthcare Services, Inc. on behalf of itself and its affiliates does not discriminate on the basis of race, color, national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, or disability. If you think you were treated unfairly for any of these reasons, you can send a complaint to: Online: [email protected] Mail: Civil Rights Coordinator UnitedHealthcare Civil Rights Grievance P.O. Box 30608 Salt Lake City, UTAH 84130

You must send the complaint within 60 days of when you found out about it. A decision will be sent to you within 30 days. If you disagree with the decision, you have 15 days to ask us to look at it again. If you need help with your complaint, please call the toll-free phone number listed on your ID card. If you think you were treated unfairly because of your race, color, national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, or disability, you can also send a complaint to the California Department of Insurance: California Department of Insurance Consumer Communications Bureau 300 South Spring Street, South Tower Los Angeles, CA 90013 1-800-927-HELP (1-800-927-4357) 1-800-482-4833 (TTY) Internet Website: www.insurance.ca.gov

If you think you were treated unfairly because of your sex, age, race, color, national origin, or disability, you can also file a complaint with the U.S. Dept. of Health and Human services: Online: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html. Phone: Toll-free 1-800-368-1019, 800-537-7697 (TDD) Mail: U.S. Dept. of Health and Human Services. 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201

9 English IMPORTANT: You can get an interpreter at no cost to talk to your doctor or health insurance company. To get an interpreter or to ask about written information in your language, first call your insurance company’s phone number at 1-800-842-2656. Someone who speaks your language can help you. If you need more help, call the Department of Insurance Hotline at 1-800-927-4357.

Español IMPORTANTE: Puede obtener la ayuda de un intérprete sin costo alguno para hablar con su médico o con su compañía de seguros. Para obtener la ayuda de un intérprete o preguntar sobre información escrita en español, primero llame al número de teléfono de su compañía de seguros al 1-800-842-2656. Alguien que habla español puede ayudarle. Si necesita ayuda adicional, llame a la línea directa del Departamento de seguros al 1-800-927-4357. (Spanish)

中文

重要事項﹕您與您的醫生或醫療保險公司交談時,可獲得免費口譯服務。如欲請翻譯員提供口譯, 或欲查詢中文書面資料,請先致電您的保險公司,電話號碼1-800-842-2656

說中文人士將為您提供協助。如需更多協助,請致電保險部熱線 1-800-927-4357 (Chinese)

10 ATENCIÓN: Si habla español (Spanish), hay servicios de asistencia de idiomas, sin cargo, a su disposición. Llame al 1-866-260-2723.

請注意:如果您說中文 (Chinese),我們免費為您提供語言協助服務。請致電:1-866-260-2723.

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ﺗﻨﺒﯿﮫ: إذا ﻛﻨﺖ ﺗﺘﺤﺪث اﻟﻌﺮﺑﯿﺔ (Arabic)، ﻓﺈن ﺧﺪﻣﺎت اﻟﻤﺴﺎﻋﺪة اﻟﻠﻐﻮﯾﺔ اﻟﻤﺠﺎﻧﯿﺔ ﻣﺘﺎﺣﺔ ﻟﻚ. اﻟﺮﺟﺎء اﻻﺗﺼﺎل ﻋﻠﻰ رﻗﻢ اﻟﮭﺎﺗﻒ اﻟﻤﻮﺟﻮد ﻋﻠﻰ ّﻣﻌﺮف اﻟﻌﻀﻮﯾﺔ. اﻟﻤﺠﺎﻧﻲ

注意事項:日本語(Japanese)を話される場合、無料の言語支援サービスをご利用いただけ ます。健康保険証に記載されているフリーダイヤルにお電話ください。

ﺗﻮﺟﮫ: اﮔﺮ زﺑﺎن ﺷﻤﺎ ﻓﺎرﺳﯽ (Farsi) اﺳﺖ، ﺧﺪﻣﺎت اﻣﺪاد زﺑﺎﻧﯽ ﺑﮫ طﻮر راﯾﮕﺎن در اﺧﺘﯿﺎر ﺷﻤﺎ ﻣﯽ ﺑﺎﺷﺪ. ﻟﻄﻔﺎ ﺑﺎ ﺷﻤﺎره ﺗﻠﻔﻦ راﯾﮕﺎﻧﯽ ﮐﮫ روی ﮐﺎرت ﺷﻨﺎﺳﺎﯾﯽ ﺷﻤﺎ ﻗﯿﺪ ﺷﺪه ﺗﻤﺎس ﺑﮕﯿﺮﯾﺪ.

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ѱюічъіѥэўѥдзѫцёѬчภาษาไทย (Thai) єѨэіѧдѥізњѥєнњѕѯўҕ јѪѠч ҖѥьѓѥќѥѲў ҖѰдҕзѫцѱчѕъѨѷ зѫцѳєҕш ҖѠкѯѝѕзҕѥѲнѨ лҕѥѕѰшҕѠѕҕѥкѲчѱюҖ ічѱъіћёъҙщѩкўѤ єѥѕѯјеѱъіђіѨъѨѷѠѕѬҕэьэѤшіюіѣлѼѥшѤњеѠкзѫц 11 11 Table of Contents of Prescription Drug List

Informational Section...... 1 DRUGS - Drugs for Allergy...... 12 ANTI-INFECTIVE AGENTS - Drugs for ...... 13 ANTINEOPLASTIC AGENTS - Drugs for Cancer...... 32 ANTITOXINS,IMMUNE GLOB,TOXOIDS,VACCINES - DRUGS FOR THE IMMUNE SYSTEM...... 42 AUTONOMIC DRUGS - Drugs for the Nervous System...... 44 BLOOD FORMATION, COAGULATION, THROMBOSIS - Drugs for the Blood...... 54 CARDIOVASCULAR DRUGS - Drugs for the Heart...... 64 CENTRAL NERVOUS SYSTEM AGENTS - Drugs for the Nervous System...... 96 CONTRACEPTIVES (E.G. FOAMS, DEVICES) - Drugs for Women...... 134 DEVICES - Medical Supplies and Durable Medical Equipment...... 134 DIAGNOSTIC AGENTS...... 138 DISINFECTANTS (FOR NON-DERMATOLOGIC USE) - Disinfectants...... 139 ELECTROLYTIC, CALORIC, AND WATER BALANCE...... 139 ENZYMES...... 147 EYE, EAR, NOSE AND THROAT (EENT) PREPS...... 147 GASTROINTESTINAL DRUGS...... 156 GASTROINTESTINAL DRUGS - Drugs for the Stomach...... 156 GOLD COMPOUNDS...... 163 HEAVY METAL ANTAGONISTS - Drugs to Reduce Iron...... 163 HORMONES AND SYNTHETIC SUBSTITUTES - Hormones...... 163 MISCELLANEOUS THERAPEUTIC AGENTS...... 194 OXYTOCICS - Drugs for Women...... 212 PHARMACEUTICAL AIDS...... 212 RESPIRATORY TRACT AGENTS - Drugs for the Lungs...... 212 SKIN AND MUCOUS MEMBRANE AGENTS - Drugs for the Skin...... 223 SMOOTH MUSCLE RELAXANTS - Drugs to Relax Muscles...... 248 VITAMINS...... 248

TOC-1 Coverage Requirements & Prescription Drug Name Drug Tier Limits ANTIHISTAMINE DRUGS - Drugs for Allergy ETHANOLAMINE DERIVATIVES - Drugs for Allergy carbinoxamine maleate oral solution 4 mg/5ml 1 carbinoxamine maleate oral tablet 4 mg 1 clemastine fumarate oral tablet 2.68 mg 1 DICOPANOL FUSEPAQ ORAL SUSPENSION 3 PA RECONSTITUTED 5 MG/ML (diphenhydramine hcl) diphen oral elixir 12.5 mg/5ml 1 diphenhydramine hcl oral elixir 12.5 mg/5ml 1 duraxin oral capsule 300-200-20 mg 1 FIRST GEN. ANTIHIST. DERIVATIVES, MISC. - Drugs for Allergy cyproheptadine hcl oral syrup 2 mg/5ml 1 cyproheptadine hcl oral tablet 4 mg 1 FIRST GENERATION - Drugs for Allergy brompheniramine tannate oral tablet chewable 12 mg 1 carbinoxamine maleate oral solution 4 mg/5ml 1 carbinoxamine maleate oral tablet 4 mg 1 clemastine fumarate oral tablet 2.68 mg 1 cyproheptadine hcl oral syrup 2 mg/5ml 1 cyproheptadine hcl oral tablet 4 mg 1 DICOPANOL FUSEPAQ ORAL SUSPENSION 3 PA RECONSTITUTED 5 MG/ML (diphenhydramine hcl) diphen oral elixir 12.5 mg/5ml 1 diphenhydramine hcl oral elixir 12.5 mg/5ml 1 PHENOTHIAZINE DERIVATIVES - Drugs for Allergy promethazine hcl (Phenadoz Rectal Suppository 12.5 Mg, 25 1 Mg) promethazine hcl oral solution 6.25 mg/5ml 1 promethazine hcl oral syrup 6.25 mg/5ml 1 promethazine hcl oral tablet 12.5 mg, 25 mg, 50 mg 1 promethazine hcl rectal suppository 12.5 mg, 25 mg 1 promethazine-dm oral syrup 6.25-15 mg/5ml 1 promethazine-phenyleph- oral syrup 6.25-5-10 mg/5ml 1 PA; SL (360 ml per month) promethazine-phenylephrine oral syrup 6.25-5 mg/5ml 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 12 Coverage Requirements & Prescription Drug Name Drug Tier Limits promethazine hcl (Promethegan Rectal Suppository 12.5 Mg, 1 25 Mg) promethegan rectal suppository 50 mg 1 PIPERAZINE DERIVATIVES - Drugs for Allergy hydroxyzine hcl oral syrup 10 mg/5ml 1 hydroxyzine hcl oral tablet 10 mg, 25 mg, 50 mg 1 hydroxyzine pamoate oral capsule 100 mg, 25 mg, 50 mg 1 VISTARIL ORAL CAPSULE 25 MG, 50 MG (hydroxyzine 4 pamoate) PROPYLAMINE DERIVATIVES - Drugs for Allergy brompheniramine tannate oral tablet chewable 12 mg 1 polst-cpm polst er oral suspension extended 3 PA; SL (360 ml per month) release 10-8 mg/5ml NEOTUSS PLUS ORAL LIQUID 7.5-4-30 MG/5ML 3 (phenylephrine-chlorphen-dm) PA; SL (10 capsules per TUSSICAPS ORAL CAPSULE EXTENDED RELEASE 12 3 prescription and 30 capsules HOUR 10-8 MG (hydrocod polst-chlorphen polst) per month) SECOND GENERATION ANTIHISTAMINES - Drugs for Allergy levocetirizine dihydrochloride oral solution 2.5 mg/5ml 3 levocetirizine dihydrochloride oral tablet 5 mg 1 SEMPREX-D ORAL CAPSULE 8-60 MG (acrivastine- 3 pseudoephedrine) ANTI-INFECTIVE AGENTS - Drugs for Infections 1ST GENERATION CEPHALOSPORIN ANTIBIOTICS - Antibiotics cefadroxil oral capsule 500 mg 1 cefadroxil oral suspension reconstituted 250 mg/5ml, 500 1 mg/5ml cefadroxil oral tablet 1 gm 1 cephalexin oral capsule 250 mg, 500 mg, 750 mg 1 cephalexin oral suspension reconstituted 125 mg/5ml, 250 1 mg/5ml cephalexin oral tablet 250 mg, 500 mg 1 KEFLEX ORAL CAPSULE 250 MG, 500 MG, 750 MG 4 (cephalexin)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 13 Coverage Requirements & Prescription Drug Name Drug Tier Limits 2ND GENERATION CEPHALOSPORIN ANTIBIOTICS - Antibiotics cefaclor er oral tablet extended release 12 hour 500 mg 1 cefaclor oral capsule 250 mg, 500 mg 1 cefaclor oral suspension reconstituted 125 mg/5ml, 250 mg/5ml, 1 375 mg/5ml cefprozil oral suspension reconstituted 125 mg/5ml, 250 mg/5ml 1 cefprozil oral tablet 250 mg, 500 mg 1 cefuroxime axetil oral tablet 250 mg, 500 mg 1 3RD GENERATION CEPHALOSPORIN ANTIBIOTICS - Antibiotics cefdinir oral capsule 300 mg 1 cefdinir oral suspension reconstituted 125 mg/5ml, 250 mg/5ml 1 cefditoren pivoxil oral tablet 200 mg, 400 mg 1 cefixime oral capsule 400 mg 3 cefixime oral suspension reconstituted 100 mg/5ml, 200 mg/5ml 3 cefpodoxime proxetil oral suspension reconstituted 100 mg/5ml, 1 50 mg/5ml cefpodoxime proxetil oral tablet 100 mg, 200 mg 1 SPECTRACEF ORAL TABLET 400 MG (cefditoren pivoxil) 4 SUPRAX ORAL CAPSULE 400 MG (cefixime) 4 SUPRAX ORAL SUSPENSION RECONSTITUTED 100 4 MG/5ML, 200 MG/5ML, 500 MG/5ML (cefixime) SUPRAX ORAL TABLET CHEWABLE 100 MG, 200 MG 4 (cefixime) ADAMANTANE ANTIVIRALS - Drugs for Viral Infections amantadine hcl oral capsule 100 mg 1 amantadine hcl oral syrup 50 mg/5ml 1 amantadine hcl oral tablet 100 mg 1 rimantadine hcl oral tablet 100 mg 1 ALLYLAMINE - Drugs for Fungus terbinafine hcl oral tablet 250 mg 1 SL (90 tablets per 365 days) AMEBICIDES - Drugs for the Mouth and Throat FLAGYL ORAL CAPSULE 375 MG () 4 FLAGYL ORAL TABLET 250 MG, 500 MG (metronidazole) 4

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 14 Coverage Requirements & Prescription Drug Name Drug Tier Limits metronidazole oral capsule 375 mg 1 metronidazole oral tablet 250 mg, 500 mg 1 paromomycin sulfate oral capsule 250 mg 1 PYLERA ORAL CAPSULE 140-125-125 MG (bis subcit- SL (120 capsules per 180 3 metronid-tetracyc) days) AMINOGLYCOSIDE ANTIBIOTICS - Antibiotics ARIKAYCE INHALATION SUSPENSION 590 MG/8.4ML 4 PA; SL (8.4 ml per day); SP (amikacin sulfate liposome) BETHKIS INHALATION NEBULIZATION SOLUTION 300 PA; SL (224 ml per 56 days); 2 MG/4ML (tobramycin) SP sulfate oral tablet 500 mg 1 paromomycin sulfate oral capsule 250 mg 1 TOBI PODHALER INHALATION CAPSULE 28 MG PA; SL (224 capsules per 56 3 (tobramycin) days); SP AMINOMETHYLCYCLINES - Antibiotics SL (30 tablets per NUZYRA ORAL TABLET 150 MG (omadacycline tosylate) 4 prescription) AMINOPENICILLIN ANTIBIOTICS - Antibiotics amoxicillin oral capsule 250 mg, 500 mg 1 amoxicillin oral suspension reconstituted 125 mg/5ml, 200 1 mg/5ml, 250 mg/5ml, 400 mg/5ml amoxicillin oral tablet 500 mg, 875 mg 1 amoxicillin oral tablet chewable 125 mg, 250 mg 1 amoxicillin-potassium clavulanate oral suspension reconstituted 200-28.5 mg/5ml, 250-62.5 mg/5ml, 400-57 mg/5ml, 600-42.9 1 mg/5ml amoxicillin-potassium clavulanate oral tablet 250-125 mg, 500- 1 125 mg, 875-125 mg amoxicillin-potassium clavulanate oral tablet chewable 200-28.5 1 mg, 400-57 mg ampicillin oral capsule 500 mg 1 SL (1 carton (10 OMECLAMOX-PAK ORAL 500-500-20 MG (amoxicill-clarithro- 3 administrative cards, 80 ) tablets) per 6 months) ANTHELMINTICS - Drugs for Parasites PA; SL (124 tablets per albendazole oral tablet 200 mg 3 month)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 15 Coverage Requirements & Prescription Drug Name Drug Tier Limits PA; SL (124 tablets per ALBENZA ORAL TABLET 200 MG (albendazole) 4 month) BILTRICIDE ORAL TABLET 600 MG (praziquantel) 4 EGATEN ORAL TABLET 250 MG (triclabendazole) 3 EMVERM ORAL TABLET CHEWABLE 100 MG (mebendazole) 4 PA; SL (6 tablets per 3 days) ivermectin oral tablet 3 mg 1 praziquantel oral tablet 600 mg 2 STROMECTOL ORAL TABLET 3 MG (ivermectin) 4 ANTIFUNGALS, MISCELLANEOUS - Drugs for Fungus microsize oral suspension 125 mg/5ml 1 griseofulvin microsize oral tablet 500 mg 1 griseofulvin ultramicrosize oral tablet 125 mg, 250 mg 1 IODINE STRONG ORAL SOLUTION 5 % 2 SSKI ORAL SOLUTION 1 GM/ML (potassium iodide 3 (expectorant)) ANTIMALARIALS - Drugs for the Mouth and Throat ARAKODA ORAL TABLET 100 MG (tafenoquine succinate) 4 SL (16 tablets per month) atovaquone-proguanil hcl oral tablet 250-100 mg, 62.5-25 mg 2 chloroquine phosphate oral tablet 250 mg 1 SL (40 tablets per 90 days) chloroquine phosphate oral tablet 500 mg 1 SL (30 tablets per 90 days) COARTEM ORAL TABLET 20-120 MG (artemether- 2 lumefantrine) DARAPRIM ORAL TABLET 25 MG (pyrimethamine) 4 PA; SP hydroxychloroquine sulfate oral tablet 200 mg 1 SL (30 tablets per 90 days) SL (2 tablets per KRINTAFEL ORAL TABLET 150 MG (tafenoquine succinate) 1 prescription) MALARONE ORAL TABLET 250-100 MG, 62.5-25 MG 4 (atovaquone-proguanil hcl) mefloquine hcl oral tablet 250 mg 1 primaquine phosphate oral tablet 26.3 mg 1 PYLERA ORAL CAPSULE 140-125-125 MG (bis subcit- SL (120 capsules per 180 3 metronid-tetracyc) days) pyrimethamine oral tablet 25 mg 2 PA; SP QUALAQUIN ORAL CAPSULE 324 MG (quinine sulfate) 4 quinidine gluconate er oral tablet extended release 324 mg 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 16 Coverage Requirements & Prescription Drug Name Drug Tier Limits quinidine sulfate oral tablet 200 mg, 300 mg 1 quinine sulfate oral capsule 324 mg 1 ANTIMYCOBACTERIALS, MISCELLANEOUS - Antibiotics dapsone oral tablet 100 mg, 25 mg 2 ANTIPROTOZOALS, MISCELLANEOUS - Drugs for the Mouth and Throat ALINIA ORAL SUSPENSION RECONSTITUTED 100 MG/5ML 2 SL (60 ml per prescription) (nitazoxanide) SL (6 tablets per ALINIA ORAL TABLET 500 MG (nitazoxanide) 2 prescription) atovaquone oral suspension 750 mg/5ml 2 PA; SL (248 tablets per 720 BENZNIDAZOLE ORAL TABLET 100 MG 2 days) PA; SL (360 tablets per 720 BENZNIDAZOLE ORAL TABLET 12.5 MG 2 days) dapsone oral tablet 100 mg, 25 mg 2 FLAGYL ORAL CAPSULE 375 MG (metronidazole) 4 FLAGYL ORAL TABLET 250 MG, 500 MG (metronidazole) 4 IMPAVIDO ORAL CAPSULE 50 MG () 2 PA; SL (3 capsules per day) metronidazole oral capsule 375 mg 1 metronidazole oral tablet 250 mg, 500 mg 1 NEBUPENT INHALATION SOLUTION RECONSTITUTED 300 4 MG (pentamidine isethionate) pentamidine isethionate inhalation solution reconstituted 300 2 mg PYLERA ORAL CAPSULE 140-125-125 MG (bis subcit- SL (120 capsules per 180 3 metronid-tetracyc) days) ST; SL (1 packet per SOLOSEC ORAL PACKET 2 GM (secnidazole) 4 prescription) tinidazole oral tablet 250 mg, 500 mg 3 ANTITUBERCULOSIS AGENTS - Antibiotics CIPRO ORAL SUSPENSION RECONSTITUTED 250 MG/5ML 3 (5%), 500 MG/5ML (10%) (ciprofloxacin) CIPRO ORAL TABLET 250 MG, 500 MG (ciprofloxacin hcl) 4 ciprofloxacin hcl oral tablet 100 mg, 250 mg, 500 mg, 750 mg 1 er oral tablet extended release 24 hour 500 mg 2

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 17 Coverage Requirements & Prescription Drug Name Drug Tier Limits clarithromycin oral suspension reconstituted 125 mg/5ml, 250 2 mg/5ml clarithromycin oral tablet 250 mg, 500 mg 1 cycloserine oral capsule 250 mg 1 ethambutol hcl oral tablet 100 mg, 400 mg 1 isoniazid oral syrup 50 mg/5ml 1 isoniazid oral tablet 100 mg, 300 mg 1 LEVAQUIN ORAL TABLET 500 MG, 750 MG (levofloxacin) 4 levofloxacin oral solution 25 mg/ml 1 levofloxacin oral tablet 250 mg, 500 mg, 750 mg 1 moxifloxacin hcl oral tablet 400 mg 3 MYAMBUTOL ORAL TABLET 400 MG (ethambutol hcl) 4 MYCOBUTIN ORAL CAPSULE 150 MG (rifabutin) 4 PASER ORAL PACKET 4 GM (aminosalicylic acid) 3 PRETOMANID ORAL TABLET 200 MG 4 PRIFTIN ORAL TABLET 150 MG (rifapentine) 2 pyrazinamide oral tablet 500 mg 1 rifabutin oral capsule 150 mg 1 RIFADIN ORAL CAPSULE 150 MG (rifampin) 3 RIFADIN ORAL CAPSULE 300 MG (rifampin) 4 RIFAMATE ORAL CAPSULE 150-300 MG (isoniazid-rifampin) 3 rifampin oral capsule 150 mg, 300 mg 1 RIFATER ORAL TABLET 50-120-300 MG (isoniazid-rifamp- 2 pyrazinamide) SIRTURO ORAL TABLET 100 MG (bedaquiline fumarate) 2 TRECATOR ORAL TABLET 250 MG (ethionamide) 2 ANTIVIRALS, MISCELLANEOUS - Drugs for Viral Infections PREVYMIS ORAL TABLET 240 MG, 480 MG (letermovir) 2 PA XOFLUZA (40 MG DOSE) ORAL TABLET THERAPY PACK 2 3 SL (2 tablets per month) X 20 MG (baloxavir marboxil) XOFLUZA (80 MG DOSE) ORAL TABLET THERAPY PACK 2 3 SL (2 tablets per month) X 40 MG (baloxavir marboxil) AZOLE ANTIFUNGALS - Drugs for Fungus CRESEMBA ORAL CAPSULE 186 MG (isavuconazonium 3 sulfate)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 18 Coverage Requirements & Prescription Drug Name Drug Tier Limits DIFLUCAN ORAL SUSPENSION RECONSTITUTED 10 4 MG/ML, 40 MG/ML () DIFLUCAN ORAL TABLET 100 MG, 150 MG, 200 MG 4 (fluconazole) DIFLUCAN ORAL TABLET 50 MG (fluconazole) 3 fluconazole oral suspension reconstituted 10 mg/ml, 40 mg/ml 1 fluconazole oral tablet 100 mg, 150 mg, 200 mg, 50 mg 1 SL (180 capsules per 365 itraconazole oral capsule 100 mg 1 days) itraconazole oral solution 10 mg/ml 2 SL (1800 ml per 365 days) oral tablet 200 mg 1 NOXAFIL ORAL SUSPENSION 40 MG/ML (posaconazole) 2 posaconazole oral tablet delayed release 100 mg 2 SL (180 capsules per 365 SPORANOX ORAL CAPSULE 100 MG (itraconazole) 4 days) SPORANOX ORAL SOLUTION 10 MG/ML (itraconazole) 4 SL (1800 ml per 365 days) SPORANOX PULSEPAK ORAL CAPSULE 100 MG SL (180 capsules per 365 4 (itraconazole) days) VFEND ORAL SUSPENSION RECONSTITUTED 40 MG/ML 4 (voriconazole) SL (62 tablets per VFEND ORAL TABLET 200 MG (voriconazole) 4 prescription) SL (124 tablets per VFEND ORAL TABLET 50 MG (voriconazole) 3 prescription) voriconazole oral suspension reconstituted 40 mg/ml 1 SL (62 tablets per voriconazole oral tablet 200 mg 1 prescription) SL (124 tablets per voriconazole oral tablet 50 mg 1 prescription) ANTIBIOTICS - Antibiotics E.E.S. GRANULES ORAL SUSPENSION RECONSTITUTED 3 200 MG/5ML (erythromycin ethylsuccinate) ERYPED 200 ORAL SUSPENSION RECONSTITUTED 200 3 MG/5ML (erythromycin ethylsuccinate) ERYPED 400 ORAL SUSPENSION RECONSTITUTED 400 4 MG/5ML (erythromycin ethylsuccinate)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 19 Coverage Requirements & Prescription Drug Name Drug Tier Limits erythromycin base (Ery-Tab Oral Tablet Delayed Release 250 4 Mg, 333 Mg, 500 Mg) ERYTHROCIN STEARATE ORAL TABLET 250 MG 2 (erythromycin stearate) erythromycin base oral capsule delayed release particles 250 1 mg erythromycin base oral tablet 250 mg, 500 mg 1 erythromycin base oral tablet delayed release 250 mg, 333 mg, 3 500 mg erythromycin ethylsuccinate oral suspension reconstituted 200 1 mg/5ml erythromycin ethylsuccinate oral suspension reconstituted 400 3 mg/5ml erythromycin ethylsuccinate oral tablet 400 mg 1 erythromycin oral tablet delayed release 250 mg, 333 mg, 500 3 mg GLYCOPEPTIDE ANTIBIOTICS - Antibiotics FIRVANQ ORAL SOLUTION RECONSTITUTED 25 MG/ML, 50 1 MG/ML (vancomycin hcl) VANCOCIN HCL ORAL CAPSULE 125 MG (vancomycin hcl) 4 SL (56 capsules per 11 days) SL (112 capsules per 11 VANCOCIN ORAL CAPSULE 250 MG (vancomycin hcl) 4 days) vancomycin hcl oral capsule 125 mg 1 SL (56 capsules per 11 days) SL (112 capsules per 11 vancomycin hcl oral capsule 250 mg 1 days) HCV POLYMERASE INHIBITOR ANTIVIRALS - Drugs for Viral Infections PA; SL (84 tablets per 720 EPCLUSA ORAL TABLET 400-100 MG (sofosbuvir-velpatasvir) 2 days) PA; SL (84 tablets per 720 HARVONI ORAL TABLET 45-200 MG (ledipasvir-sofosbuvir) 2 days) PA; SL (56 tablets per 720 HARVONI ORAL TABLET 90-400 MG (ledipasvir-sofosbuvir) 2 days) PA; SL (56 tablets per 720 LEDIPASVIR-SOFOSBUVIR ORAL TABLET 90-400 MG 2 days) PA; SL (84 tablets per 720 SOFOSBUVIR-VELPATASVIR ORAL TABLET 400-100 MG 2 days)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 20 Coverage Requirements & Prescription Drug Name Drug Tier Limits PA; ST; SL (84 tablets per SOVALDI ORAL TABLET 200 MG (sofosbuvir) 4 720 days) PA; ST; SL (84 tablets per SOVALDI ORAL TABLET 400 MG (sofosbuvir) 4 720 days); SP VIEKIRA PAK ORAL TABLET THERAPY PACK 12.5-75-50 PA; ST; SL (336 tablets per 4 &250 MG (ombitas-paritapre-ritona-dasab) 720 days); SP VOSEVI ORAL TABLET 400-100-100 MG (sofosbuv-velpatasv- PA; SL (84 tablets per 720 2 voxilaprev) days); SP HCV PROTEASE INHIBITOR ANTIVIRALS - Drugs for Viral Infections MAVYRET ORAL TABLET 100-40 MG (glecaprevir- PA; SL (168 tablets per 720 2 pibrentasvir) days); SP VIEKIRA PAK ORAL TABLET THERAPY PACK 12.5-75-50 PA; ST; SL (336 tablets per 4 &250 MG (ombitas-paritapre-ritona-dasab) 720 days); SP PA; SL (84 tablets per 720 ZEPATIER ORAL TABLET 50-100 MG (elbasvir-grazoprevir) 2 days (12 weeks)); SP HCV REPLICATION COMPLEX INHIBITORS - Drugs for Viral Infections PA; SL (84 tablets per 720 EPCLUSA ORAL TABLET 400-100 MG (sofosbuvir-velpatasvir) 2 days) PA; SL (84 tablets per 720 HARVONI ORAL TABLET 45-200 MG (ledipasvir-sofosbuvir) 2 days) PA; SL (56 tablets per 720 HARVONI ORAL TABLET 90-400 MG (ledipasvir-sofosbuvir) 2 days) PA; SL (56 tablets per 720 LEDIPASVIR-SOFOSBUVIR ORAL TABLET 90-400 MG 2 days) MAVYRET ORAL TABLET 100-40 MG (glecaprevir- PA; SL (168 tablets per 720 2 pibrentasvir) days); SP PA; SL (84 tablets per 720 SOFOSBUVIR-VELPATASVIR ORAL TABLET 400-100 MG 2 days) VIEKIRA PAK ORAL TABLET THERAPY PACK 12.5-75-50 PA; ST; SL (336 tablets per 4 &250 MG (ombitas-paritapre-ritona-dasab) 720 days); SP VOSEVI ORAL TABLET 400-100-100 MG (sofosbuv-velpatasv- PA; SL (84 tablets per 720 2 voxilaprev) days); SP PA; SL (84 tablets per 720 ZEPATIER ORAL TABLET 50-100 MG (elbasvir-grazoprevir) 2 days (12 weeks)); SP

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 21 Coverage Requirements & Prescription Drug Name Drug Tier Limits HIV ENTRY AND FUSION INHIBITORS - Drugs for Viral Infections FUZEON SUBCUTANEOUS SOLUTION RECONSTITUTED 90 2 MG () SELZENTRY ORAL SOLUTION 20 MG/ML () 2 PA SELZENTRY ORAL TABLET 150 MG, 25 MG, 300 MG, 75 MG 2 PA (maraviroc) HIV ANTIRETROVIRALS - Drugs for Viral Infections BIKTARVY ORAL TABLET 50-200-25 MG (- 3 SL (1 tablet per day) emtricitab-tenofov) DOVATO ORAL TABLET 50-300 MG (-) 2 SL (1 tablet per day) GENVOYA ORAL TABLET 150-150-200-10 MG (elviteg-cobic- 2 SL (1 tablet per day) emtricit-tenofaf) ISENTRESS HD ORAL TABLET 600 MG ( 2 potassium) ISENTRESS ORAL PACKET 100 MG (raltegravir potassium) 2 ISENTRESS ORAL TABLET 400 MG (raltegravir potassium) 2 ISENTRESS ORAL TABLET CHEWABLE 100 MG, 25 MG 2 (raltegravir potassium) JULUCA ORAL TABLET 50-25 MG (dolutegravir-) 2 SL (1 tablet per day) STRIBILD ORAL TABLET 150-150-200-300 MG (elviteg-cobic- 2 SL (1 tablet per day) emtricit-tenofdf) TIVICAY ORAL TABLET 50 MG (dolutegravir sodium) 3 TRIUMEQ ORAL TABLET 600-50-300 MG (- 2 SL (1 tablet per day) dolutegravir-lamivud) HIV NONNUCLEOSIDE REV.TRANSCRIP. INHIB. - Drugs for Viral Infections ATRIPLA ORAL TABLET 600-200-300 MG (- 2 SL (1 tablet per day) emtricitab-tenofovir) COMPLERA ORAL TABLET 200-25-300 MG (emtricitab-rilpivir- 3 SL (1 tablet per day) tenofovir) DELSTRIGO ORAL TABLET 100-300-300 MG (doravirin- 2 SL (1 tablet per day) lamivudin-tenofov df) EDURANT ORAL TABLET 25 MG (rilpivirine hcl) 2 efavirenz oral capsule 200 mg, 50 mg 2 efavirenz oral tablet 600 mg 2

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 22 Coverage Requirements & Prescription Drug Name Drug Tier Limits INTELENCE ORAL TABLET 100 MG, 200 MG, 25 MG 2 () JULUCA ORAL TABLET 50-25 MG (dolutegravir-rilpivirine) 2 SL (1 tablet per day) nevirapine oral suspension 50 mg/5ml 1 nevirapine oral tablet 200 mg 1 ODEFSEY ORAL TABLET 200-25-25 MG (emtricitab-rilpivir- 3 SL (1 tablet per day) tenofov af) PIFELTRO ORAL TABLET 100 MG () 3 SUSTIVA ORAL CAPSULE 200 MG, 50 MG (efavirenz) 4 SUSTIVA ORAL TABLET 600 MG (efavirenz) 4 SYMFI LO ORAL TABLET 400-300-300 MG (efavirenz- 2 SL (1 tablet per day) lamivudine-tenofovir) SYMFI ORAL TABLET 600-300-300 MG (efavirenz-lamivudine- 2 SL (1 tablet per day) tenofovir) VIRAMUNE ORAL SUSPENSION 50 MG/5ML (nevirapine) 4 HIV NUCLEOSIDE, NUCLEOTIDE RT INHIBITORS - Drugs for Viral Infections abacavir sulfate oral solution 20 mg/ml 1 abacavir sulfate oral tablet 300 mg 1 abacavir sulfate-lamivudine oral tablet 600-300 mg 2 SL (1 tablet per day) abacavir-lamivudine- oral tablet 300-150-300 mg 1 ATRIPLA ORAL TABLET 600-200-300 MG (efavirenz- 2 SL (1 tablet per day) emtricitab-tenofovir) BIKTARVY ORAL TABLET 50-200-25 MG (bictegravir- 3 SL (1 tablet per day) emtricitab-tenofov) CIMDUO ORAL TABLET 300-300 MG (lamivudine-tenofovir) 2 SL (1 tablet per day) COMBIVIR ORAL TABLET 150-300 MG (lamivudine- 4 zidovudine) COMPLERA ORAL TABLET 200-25-300 MG (emtricitab-rilpivir- 3 SL (1 tablet per day) tenofovir) DELSTRIGO ORAL TABLET 100-300-300 MG (doravirin- 2 SL (1 tablet per day) lamivudin-tenofov df) DESCOVY ORAL TABLET 200-25 MG (-tenofovir 3 ST; SL (1 tablet per day) af) oral capsule delayed release 200 mg, 250 mg, 400 1 mg DOVATO ORAL TABLET 50-300 MG (dolutegravir-lamivudine) 2 SL (1 tablet per day)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 23 Coverage Requirements & Prescription Drug Name Drug Tier Limits EMTRIVA ORAL CAPSULE 200 MG (emtricitabine) 2 EMTRIVA ORAL SOLUTION 10 MG/ML (emtricitabine) 2 EPIVIR HBV ORAL SOLUTION 5 MG/ML (lamivudine) 2 EPIVIR HBV ORAL TABLET 100 MG (lamivudine) 4 EPIVIR ORAL SOLUTION 10 MG/ML (lamivudine) 4 EPIVIR ORAL TABLET 150 MG, 300 MG (lamivudine) 4 GENVOYA ORAL TABLET 150-150-200-10 MG (elviteg-cobic- 2 SL (1 tablet per day) emtricit-tenofaf) lamivudine oral solution 10 mg/ml 1 lamivudine oral tablet 100 mg, 150 mg, 300 mg 1 lamivudine-zidovudine oral tablet 150-300 mg 1 ODEFSEY ORAL TABLET 200-25-25 MG (emtricitab-rilpivir- 3 SL (1 tablet per day) tenofov af) RETROVIR ORAL CAPSULE 100 MG (zidovudine) 4 RETROVIR ORAL SYRUP 50 MG/5ML (zidovudine) 3 oral capsule 15 mg, 20 mg, 30 mg, 40 mg 1 STRIBILD ORAL TABLET 150-150-200-300 MG (elviteg-cobic- 2 SL (1 tablet per day) emtricit-tenofdf) SYMFI LO ORAL TABLET 400-300-300 MG (efavirenz- 2 SL (1 tablet per day) lamivudine-tenofovir) SYMFI ORAL TABLET 600-300-300 MG (efavirenz-lamivudine- 2 SL (1 tablet per day) tenofovir) SYMTUZA ORAL TABLET 800-150-200-10 MG (darun-cobic- 3 SL (1 tablet per day) emtricit-tenofaf) fumarate oral tablet 300 mg 2 TRIUMEQ ORAL TABLET 600-50-300 MG (abacavir- 2 SL (1 tablet per day) dolutegravir-lamivud) TRIZIVIR ORAL TABLET 300-150-300 MG (abacavir- 4 lamivudine-zidovudine) TRUVADA ORAL TABLET 100-150 MG, 133-200 MG, 167-250 2 SL (1 tablet per day) MG, 200-300 MG (emtricitabine-tenofovir df) VIREAD ORAL POWDER 40 MG/GM (tenofovir disoproxil 3 fumarate) VIREAD ORAL TABLET 150 MG, 200 MG, 250 MG (tenofovir 2 disoproxil fumarate) ZIAGEN ORAL SOLUTION 20 MG/ML (abacavir sulfate) 4

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 24 Coverage Requirements & Prescription Drug Name Drug Tier Limits ZIAGEN ORAL TABLET 300 MG (abacavir sulfate) 4 zidovudine oral capsule 100 mg 1 zidovudine oral syrup 50 mg/5ml 1 zidovudine oral tablet 300 mg 1 HIV PROTEASE INHIBITOR ANTIRETROVIRALS - Drugs for Viral Infections APTIVUS ORAL CAPSULE 250 MG () 2 APTIVUS ORAL SOLUTION 100 MG/ML (tipranavir) 3 sulfate oral capsule 150 mg, 200 mg, 300 mg 2 CRIXIVAN ORAL CAPSULE 200 MG, 400 MG ( 2 sulfate) EVOTAZ ORAL TABLET 300-150 MG (atazanavir-) 2 oral tablet 700 mg 2 INVIRASE ORAL TABLET 500 MG ( mesylate) 2 KALETRA ORAL SOLUTION 400-100 MG/5ML (- 4 ) KALETRA ORAL TABLET 100-25 MG, 200-50 MG (lopinavir- 2 ritonavir) LEXIVA ORAL SUSPENSION 50 MG/ML (fosamprenavir 2 calcium) LEXIVA ORAL TABLET 700 MG (fosamprenavir calcium) 4 lopinavir-ritonavir oral solution 400-100 mg/5ml 2 NORVIR ORAL PACKET 100 MG (ritonavir) 2 NORVIR ORAL SOLUTION 80 MG/ML (ritonavir) 2 PREZCOBIX ORAL TABLET 800-150 MG (-cobicistat) 2 PREZISTA ORAL SUSPENSION 100 MG/ML (darunavir 2 ethanolate) PREZISTA ORAL TABLET 150 MG, 600 MG, 75 MG, 800 MG 2 (darunavir ethanolate) REYATAZ ORAL PACKET 50 MG (atazanavir sulfate) 2 ritonavir oral tablet 100 mg 2 SYMTUZA ORAL TABLET 800-150-200-10 MG (darun-cobic- 3 SL (1 tablet per day) emtricit-tenofaf) VIEKIRA PAK ORAL TABLET THERAPY PACK 12.5-75-50 PA; ST; SL (336 tablets per 4 &250 MG (ombitas-paritapre-ritona-dasab) 720 days); SP

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 25 Coverage Requirements & Prescription Drug Name Drug Tier Limits VIRACEPT ORAL TABLET 250 MG, 625 MG ( 2 mesylate) INTERFERON ANTIVIRALS - Drugs for Viral Infections ALFERON N INJECTION SOLUTION 5000000 UNIT/ML 2 (interferon alfa-n3) INTRON A INJECTION SOLUTION 10000000 UNIT/ML, 4 PA; SP 6000000 UNIT/ML (interferon alfa-2b) INTRON A INJECTION SOLUTION RECONSTITUTED 10000000 UNIT, 18000000 UNIT, 50000000 UNIT (interferon 4 PA; SP alfa-2b) PEGASYS PROCLICK SUBCUTANEOUS SOLUTION 180 PA; SL (2 auto-injectors per 2 MCG/0.5ML (peginterferon alfa-2a) month); SP PEGASYS SUBCUTANEOUS SOLUTION 180 MCG/0.5ML PA; SL (2 auto-injectors per 2 (peginterferon alfa-2a) month); SP PEGASYS SUBCUTANEOUS SOLUTION 180 MCG/ML PA; SL (4 auto-injectors per 2 (peginterferon alfa-2a) month); SP PEGINTRON SUBCUTANEOUS KIT 50 MCG/0.5ML PA; SL (4 redipens per 30 4 (peginterferon alfa-2b) days); SP SYLATRON SUBCUTANEOUS KIT 200 MCG, 300 MCG, 600 PA; SL (4 vials per month); 2 MCG (peginterferon alfa-2b) SP LINCOMYCIN ANTIBIOTICS - Antibiotics CLEOCIN ORAL CAPSULE 150 MG, 300 MG ( hcl) 4 CLEOCIN ORAL CAPSULE 75 MG (clindamycin hcl) 2 CLEOCIN ORAL SOLUTION RECONSTITUTED 75 MG/5ML 4 (clindamycin palmitate hcl) clindamycin hcl oral capsule 150 mg, 300 mg, 75 mg 1 clindamycin palmitate hcl oral solution reconstituted 75 mg/5ml 2 MACROLIDE ANTIBIOTICS - Antibiotics E.E.S. GRANULES ORAL SUSPENSION RECONSTITUTED 3 200 MG/5ML (erythromycin ethylsuccinate) ERYPED 200 ORAL SUSPENSION RECONSTITUTED 200 3 MG/5ML (erythromycin ethylsuccinate) ERYPED 400 ORAL SUSPENSION RECONSTITUTED 400 4 MG/5ML (erythromycin ethylsuccinate) erythromycin base (Ery-Tab Oral Tablet Delayed Release 250 4 Mg, 333 Mg, 500 Mg) ERYTHROCIN STEARATE ORAL TABLET 250 MG 2 (erythromycin stearate)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 26 Coverage Requirements & Prescription Drug Name Drug Tier Limits erythromycin base oral capsule delayed release particles 250 1 mg erythromycin base oral tablet 250 mg, 500 mg 1 erythromycin base oral tablet delayed release 250 mg, 333 mg, 3 500 mg erythromycin ethylsuccinate oral suspension reconstituted 200 1 mg/5ml erythromycin ethylsuccinate oral suspension reconstituted 400 3 mg/5ml erythromycin ethylsuccinate oral tablet 400 mg 1 erythromycin oral tablet delayed release 250 mg, 333 mg, 500 3 mg MONOBACTAM ANTIBIOTICS - Antibiotics CAYSTON INHALATION SOLUTION RECONSTITUTED 75 PA; SL (84 vials per 56 2 MG (aztreonam lysine) days); SP NATURAL PENICILLIN ANTIBIOTICS - Antibiotics penicillin v potassium oral solution reconstituted 125 mg/5ml, 1 250 mg/5ml penicillin v potassium oral tablet 250 mg, 500 mg 1 NEURAMINIDASE INHIBITOR ANTIVIRALS - Drugs for Viral Infections oseltamivir phosphate oral capsule 30 mg, 45 mg, 75 mg 2 oseltamivir phosphate oral suspension reconstituted 6 mg/ml 2 SL (180 ml per month) RELENZA DISKHALER INHALATION AEROSOL POWDER 3 BREATH ACTIVATED 5 MG/BLISTER (zanamivir) NUCLEOSIDE AND NUCLEOTIDE ANTIVIRALS - Drugs for Viral Infections acyclovir oral capsule 200 mg 1 acyclovir oral suspension 200 mg/5ml 1 acyclovir oral tablet 400 mg, 800 mg 1 adefovir dipivoxil oral tablet 10 mg 2 BARACLUDE ORAL SOLUTION 0.05 MG/ML (entecavir) 2 entecavir oral tablet 0.5 mg, 1 mg 1 famciclovir oral tablet 125 mg, 500 mg 2 SL (62 tablets per famciclovir oral tablet 250 mg 2 prescription)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 27 Coverage Requirements & Prescription Drug Name Drug Tier Limits HEPSERA ORAL TABLET 10 MG (adefovir dipivoxil) 4 PREVYMIS ORAL TABLET 240 MG, 480 MG (letermovir) 2 PA ribavirin inhalation solution reconstituted 6 gm 3 ribavirin oral capsule 200 mg 1 ribavirin oral tablet 200 mg 1 SYMTUZA ORAL TABLET 800-150-200-10 MG (darun-cobic- 3 SL (1 tablet per day) emtricit-tenofaf) SL (31 tablets per valacyclovir hcl oral tablet 1 gm 1 prescription) SL (62 tablets per valacyclovir hcl oral tablet 500 mg 1 prescription) VALCYTE ORAL SOLUTION RECONSTITUTED 50 MG/ML 4 (valganciclovir hcl) valganciclovir hcl oral solution reconstituted 50 mg/ml 1 valganciclovir hcl oral tablet 450 mg 1 SL (2 tablets per day) VEMLIDY ORAL TABLET 25 MG ( 4 ST fumarate) VIRAZOLE INHALATION SOLUTION RECONSTITUTED 6 GM 4 (ribavirin) ZOVIRAX ORAL SUSPENSION 200 MG/5ML (acyclovir) 4 OTHER MACROLIDE ANTIBIOTICS - Antibiotics azithromycin oral packet 1 gm 1 azithromycin oral suspension reconstituted 100 mg/5ml, 200 1 mg/5ml azithromycin oral tablet 250 mg, 500 mg, 600 mg 1 clarithromycin er oral tablet extended release 24 hour 500 mg 2 clarithromycin oral suspension reconstituted 125 mg/5ml, 250 2 mg/5ml clarithromycin oral tablet 250 mg, 500 mg 1 DIFICID ORAL TABLET 200 MG (fidaxomicin) 3 SL (20 tablets per 7 days) SL (1 carton (10 OMECLAMOX-PAK ORAL 500-500-20 MG (amoxicill-clarithro- 3 administrative cards, 80 omeprazole) tablets) per 6 months) ZITHROMAX ORAL PACKET 1 GM (azithromycin) 4 ZITHROMAX ORAL SUSPENSION RECONSTITUTED 100 4 MG/5ML, 200 MG/5ML (azithromycin)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 28 Coverage Requirements & Prescription Drug Name Drug Tier Limits ZITHROMAX ORAL TABLET 250 MG, 500 MG (azithromycin) 4 ZITHROMAX TRI-PAK ORAL TABLET 500 MG (azithromycin) 4 ZITHROMAX Z-PAK ORAL TABLET 250 MG (azithromycin) 4 OTHER MISC. ANTIBACTERIAL AGENTS - Antibiotics PYLERA ORAL CAPSULE 140-125-125 MG (bis subcit- SL (120 capsules per 180 3 metronid-tetracyc) days) OXAZOLIDINONE ANTIBIOTICS - Antibiotics linezolid oral suspension reconstituted 100 mg/5ml 2 SL (900 ml per 11 days) linezolid oral tablet 600 mg 2 SL (28 tablets per 11 days) SL (6 tablets per SIVEXTRO ORAL TABLET 200 MG (tedizolid phosphate) 3 prescription) ZYVOX ORAL SUSPENSION RECONSTITUTED 100 MG/5ML 4 SL (900 ml per 11 days) (linezolid) PENICILLINASE-RESISTANT PENICILLINS - Antibiotics sodium oral capsule 250 mg, 500 mg 1 PLEUROMUTILINS - Antibiotics XENLETA ORAL TABLET 600 MG (lefamulin acetate) 3 POLYENE ANTIFUNGALS - Drugs for Fungus nystatin mouth/throat suspension 100000 unit/ml 1 nystatin oral tablet 500000 unit 1 POLYMYXIN ANTIBIOTICS - Antibiotics colistimethate sodium (cba) injection solution reconstituted 150 1 mg COLY-MYCIN M INJECTION SOLUTION RECONSTITUTED 4 150 MG (colistimethate sodium) PYRIMIDINE ANTIFUNGALS - Drugs for Fungus ANCOBON ORAL CAPSULE 250 MG (flucytosine) 4 ANCOBON ORAL CAPSULE 500 MG (flucytosine) 3 flucytosine oral capsule 250 mg, 500 mg 1 QUINOLONE ANTIBIOTICS - Antibiotics BAXDELA ORAL TABLET 450 MG (delafloxacin meglumine) 3 CIPRO ORAL SUSPENSION RECONSTITUTED 250 MG/5ML 3 (5%), 500 MG/5ML (10%) (ciprofloxacin) CIPRO ORAL TABLET 250 MG, 500 MG (ciprofloxacin hcl) 4 ciprofloxacin hcl oral tablet 100 mg, 250 mg, 500 mg, 750 mg 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 29 Coverage Requirements & Prescription Drug Name Drug Tier Limits LEVAQUIN ORAL TABLET 500 MG, 750 MG (levofloxacin) 4 levofloxacin oral solution 25 mg/ml 1 levofloxacin oral tablet 250 mg, 500 mg, 750 mg 1 moxifloxacin hcl oral tablet 400 mg 3 ofloxacin oral tablet 300 mg, 400 mg 1 RIFAMYCIN ANTIBIOTICS - Antibiotics MYCOBUTIN ORAL CAPSULE 150 MG (rifabutin) 4 PRIFTIN ORAL TABLET 150 MG (rifapentine) 2 rifabutin oral capsule 150 mg 1 RIFADIN ORAL CAPSULE 150 MG (rifampin) 3 RIFADIN ORAL CAPSULE 300 MG (rifampin) 4 RIFAMATE ORAL CAPSULE 150-300 MG (isoniazid-rifampin) 3 rifampin oral capsule 150 mg, 300 mg 1 RIFATER ORAL TABLET 50-120-300 MG (isoniazid-rifamp- 2 pyrazinamide) PA; SL (9 tablets per XIFAXAN ORAL TABLET 200 MG () 3 prescription) PA; SL (62 tablets per XIFAXAN ORAL TABLET 550 MG (rifaximin) 3 month) SULFONAMIDE ANTIBIOTICS (SYSTEMIC) - Antibiotics AZULFIDINE EN-TABS ORAL TABLET DELAYED RELEASE 4 500 MG (sulfasalazine) AZULFIDINE ORAL TABLET 500 MG (sulfasalazine) 4 BACTRIM DS ORAL TABLET 800-160 MG (sulfamethoxazole- 4 trimethoprim) BACTRIM ORAL TABLET 400-80 MG (sulfamethoxazole- 4 trimethoprim) sulfadiazine oral tablet 500 mg 1 sulfamethoxazole-trimethoprim oral suspension 200-40 mg/5ml 1 sulfamethoxazole-trimethoprim oral tablet 400-80 mg, 800-160 1 mg sulfasalazine oral tablet 500 mg 1 sulfasalazine oral tablet delayed release 500 mg 1 sulfamethoxazole-trimethoprim (Sulfatrim Pediatric Oral 1 Suspension 200-40 Mg/5Ml)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 30 Coverage Requirements & Prescription Drug Name Drug Tier Limits ANTIBIOTICS - Antibiotics AVIDOXY DK COMBINATION KIT 100 MG (- 3 suncreen-sal acid) avidoxy oral tablet 100 mg 1 demeclocycline hcl oral tablet 150 mg, 300 mg 1 doxycycline hyclate oral capsule 100 mg, 50 mg 2 doxycycline hyclate oral tablet 100 mg 2 doxycycline monohydrate oral capsule 100 mg, 50 mg 1 doxycycline monohydrate oral suspension reconstituted 25 3 mg/5ml doxycycline monohydrate oral tablet 100 mg, 150 mg, 50 mg, 1 75 mg hcl oral capsule 100 mg, 50 mg, 75 mg 1 doxycycline monohydrate (Mondoxyne Nl Oral Capsule 100 Mg) 1 doxycycline hyclate (Morgidox Oral Capsule 100 Mg) 2 NUTRIDOX ORAL KIT 75 MG (doxycycline monohyd-omega 3- 3 e) PYLERA ORAL CAPSULE 140-125-125 MG (bis subcit- SL (120 capsules per 180 3 metronid-tetracyc) days) tetracycline hcl oral capsule 250 mg, 500 mg 3 VIBRAMYCIN ORAL CAPSULE 100 MG (doxycycline hyclate) 4 VIBRAMYCIN ORAL SUSPENSION RECONSTITUTED 25 4 MG/5ML (doxycycline monohydrate) VIBRAMYCIN ORAL SYRUP 50 MG/5ML (doxycycline calcium) 3 URINARY ANTI-INFECTIVES - Drugs for the Urinary System HIPREX ORAL TABLET 1 GM (methenamine hippurate) 4 hyophen oral tablet 81.6 mg 1 MACROBID ORAL CAPSULE 100 MG (nitrofurantoin monohyd 4 macro) MACRODANTIN ORAL CAPSULE 100 MG, 25 MG, 50 MG 4 (nitrofurantoin macrocrystal) me/naphos/mb/hyo1 oral tablet 81.6 mg 1 methenamine hippurate oral tablet 1 gm 1 methenamine mandelate oral tablet 0.5 gm, 1 gm 1 MONUROL ORAL PACKET 3 GM (fosfomycin tromethamine) 3 nitrofurantoin macrocrystal oral capsule 100 mg, 25 mg, 50 mg 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 31 Coverage Requirements & Prescription Drug Name Drug Tier Limits nitrofurantoin monohydrate macrocrystals oral capsule 100 mg 1 nitrofurantoin oral suspension 25 mg/5ml 1 meth-hyo-m bl-na phos- sal (Phosphasal Oral Tablet 81.6 1 Mg) PRIMSOL ORAL SOLUTION 50 MG/5ML (trimethoprim hcl) 3 trimethoprim oral tablet 100 mg 1 meth-hyo-m bl-na phos-ph sal (Urelle Oral Tablet 81 Mg) 3 meth-hyo-m bl-na phos-ph sal (Uretron D/S Oral Tablet) 1 meth-hyo-m bl-na phos-ph sal (Uribel Oral Capsule 118 Mg) 3 URIMAR-T ORAL TABLET 120 MG (meth-hyo-m bl-na phos-ph 2 sal) urin ds oral tablet 1 URO-458 ORAL TABLET 81 MG 3 UROGESIC-BLUE ORAL TABLET 81.6 MG (methen-hyosc- 2 meth blue-na phos) uro-mp oral capsule 118 mg 1 methen-hyosc-meth blue-na phos (Uryl Oral Tablet 81.6 Mg) 2 meth-hyo-m bl-na phos-ph sal (Ustell Oral Capsule 120 Mg) 1 uticap oral capsule 120 mg 1 meth-hyo-m bl-na phos-ph sal (Utira-C Oral Tablet 81.6 Mg) 1 meth-hyo-m bl-na phos-ph sal (Utrona-C Oral Tablet 81.6 Mg) 1 meth-hyo-m bl-na phos-ph sal (Vilamit Mb Oral Capsule 118 1 Mg) meth-hyo-m bl-na phos-ph sal (Vilevev Mb Oral Tablet 81 Mg) 3 ANTINEOPLASTIC AGENTS - Drugs for Cancer ANTINEOPLASTIC AGENTS - Drugs for Cancer AFINITOR DISPERZ ORAL TABLET SOLUBLE 2 MG, 3 MG, 5 PA; SL (1 tablet per day); 2 MG (everolimus) SP; CM PA; SL (1 tablet per day); AFINITOR ORAL TABLET 10 MG (everolimus) 2 SP; CM PA; SL (1 tablet per day); AFINITOR ORAL TABLET 2.5 MG, 5 MG, 7.5 MG (everolimus) 4 SP; CM PA; SL (8 capsules per day); ALECENSA ORAL CAPSULE 150 MG ( hcl) 2 SP; CM ALFERON N INJECTION SOLUTION 5000000 UNIT/ML 2 (interferon alfa-n3)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 32 Coverage Requirements & Prescription Drug Name Drug Tier Limits ALKERAN ORAL TABLET 2 MG (melphalan) 4 CM PA; SL (1 tablet per day); ALUNBRIG ORAL TABLET 180 MG () 2 SP; CM PA; SL (4 tablets per day); ALUNBRIG ORAL TABLET 30 MG (brigatinib) 2 SP; CM anastrozole oral tablet 1 mg 1 AROMASIN ORAL TABLET 25 MG (exemestane) 4 AYVAKIT ORAL TABLET 100 MG, 200 MG, 300 MG 4 PA; SL (1 tablet per day); CM () PA; SL (3 tablets per day); BALVERSA ORAL TABLET 3 MG (erdafitinib) 2 SP; CM PA; SL (2 tablets per day); BALVERSA ORAL TABLET 4 MG (erdafitinib) 2 SP; CM PA; SL (1 tablet per day); BALVERSA ORAL TABLET 5 MG (erdafitinib) 2 SP; CM bicalutamide oral tablet 50 mg 1 PA; ST; SL (4 tablets per BOSULIF ORAL TABLET 100 MG () 2 day); SP; CM PA; ST; SL (1 tablet per day); BOSULIF ORAL TABLET 400 MG, 500 MG (bosutinib) 2 SP; CM PA; ST; SL (6 capsules per BRAFTOVI ORAL CAPSULE 75 MG () 4 day); SP; CM PA; SL (4 capsules per day); BRUKINSA ORAL CAPSULE 80 MG (zanubrutinib) 2 CM CABOMETYX ORAL TABLET 20 MG, 40 MG, 60 MG PA; SL (1 tablet per day); 2 ( s-malate) SP; CM PA; SL (2 capsules per day); CALQUENCE ORAL CAPSULE 100 MG (acalabrutinib) 2 SP; CM PA; SL (2 tablets per day); CAPRELSA ORAL TABLET 100 MG () 2 SP; CM PA; SL (1 tablet per day); CAPRELSA ORAL TABLET 300 MG (vandetanib) 2 SP; CM CARAC EXTERNAL 0.5 % (fluorouracil) 2 CASODEX ORAL TABLET 50 MG (bicalutamide) 4 COMETRIQ (100 MG DAILY DOSE) ORAL KIT 1 X 80 & 1 X 20 PA; SL (62 capsules per 2 MG (cabozantinib s-malate) month); SP; CM COMETRIQ (140 MG DAILY DOSE) ORAL KIT 1 X 80 & 3 X 20 PA; SL (124 capsules per 2 MG (cabozantinib s-malate) month); SP; CM

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 33 Coverage Requirements & Prescription Drug Name Drug Tier Limits COMETRIQ (60 MG DAILY DOSE) ORAL KIT 20 MG PA; SL (93 capsules per 2 (cabozantinib s-malate) month); SP; CM PA; SL (2 capsules per day); COPIKTRA ORAL CAPSULE 15 MG, 25 MG (duvelisib) 4 SP; CM oral capsule 25 mg, 50 mg 2 PA; SL (1 tablet per day); DAURISMO ORAL TABLET 100 MG (glasdegib maleate) 2 SP; CM PA; SL (2 tablets per day); DAURISMO ORAL TABLET 25 MG (glasdegib maleate) 2 SP; CM PA; SL (100 grams per sodium transdermal gel 3 % 3 prescription) DROXIA ORAL CAPSULE 200 MG, 300 MG, 400 MG 2 (hydroxyurea) EFUDEX EXTERNAL CREAM 5 % (fluorouracil) 4 ELIGARD SUBCUTANEOUS KIT 22.5 MG (leuprolide acetate 3 PA (3 month)) ELIGARD SUBCUTANEOUS KIT 30 MG (leuprolide acetate (4 3 PA month)) ELIGARD SUBCUTANEOUS KIT 45 MG (leuprolide acetate (6 3 PA month)) ELIGARD SUBCUTANEOUS KIT 7.5 MG (leuprolide acetate) 3 PA EMCYT ORAL CAPSULE 140 MG (estramustine phosphate 2 sodium) PA; SL (1 capsule per day); ERIVEDGE ORAL CAPSULE 150 MG (vismodegib) 2 SP; CM PA; SL (4 tablets per day); ERLEADA ORAL TABLET 60 MG (apalutamide) 2 SP; CM PA; SL (1 tablet per day); hcl oral tablet 100 mg, 150 mg, 25 mg 2 SP; CM etoposide oral capsule 50 mg 1 SP; CM PA; SL (1 tablet per day); everolimus oral tablet 2.5 mg, 5 mg, 7.5 mg 2 SP; CM exemestane oral tablet 25 mg 2 FARESTON ORAL TABLET 60 MG (toremifene citrate) 4 FARYDAK ORAL CAPSULE 10 MG, 20 MG ( PA; SL (6 capsules per 2 lactate) prescription); SP; CM FIRMAGON (240 MG DOSE) SUBCUTANEOUS SOLUTION 3 SP RECONSTITUTED 120 MG/VIAL (degarelix acetate)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 34 Coverage Requirements & Prescription Drug Name Drug Tier Limits FIRMAGON SUBCUTANEOUS SOLUTION RECONSTITUTED 3 SP 80 MG (degarelix acetate) FLUOROPLEX EXTERNAL CREAM 1 % (fluorouracil) 4 FLUOROURACIL EXTERNAL CREAM 0.5 % 4 fluorouracil external cream 5 % 1 fluorouracil external solution 2 %, 5 % 1 flutamide oral capsule 125 mg 1 GILOTRIF ORAL TABLET 20 MG, 30 MG, 40 MG ( PA; SL (1 tablet per day); 3 dimaleate) SP; CM GLEOSTINE ORAL CAPSULE 10 MG, 100 MG, 40 MG 2 SP (lomustine) PA; SL (180 capsules per HYCAMTIN ORAL CAPSULE 0.25 MG (topotecan hcl) 2 prescription); SP; CM PA; SL (40 capsules per HYCAMTIN ORAL CAPSULE 1 MG (topotecan hcl) 2 prescription); SP; CM HYDREA ORAL CAPSULE 500 MG (hydroxyurea) 4 hydroxyurea oral capsule 500 mg 1 IBRANCE ORAL CAPSULE 100 MG, 125 MG, 75 MG PA; SL (21 capsules per 2 (palbociclib) month); SP; CM IBRANCE ORAL TABLET 100 MG, 125 MG, 75 MG 2 PA; CM (palbociclib) PA; SL (1 tablet per day); ICLUSIG ORAL TABLET 15 MG ( hcl) 3 SP; CM PA; SL (2 tablets per day); ICLUSIG ORAL TABLET 45 MG (ponatinib hcl) 3 SP; CM PA; SL (1 tablet per day); IDHIFA ORAL TABLET 100 MG, 50 MG ( mesylate) 2 SP; CM PA; SL (6 tablets per day); mesylate oral tablet 100 mg 1 SP; CM PA; SL (1 tablet per day); imatinib mesylate oral tablet 400 mg 1 SP; CM PA; SL (3 capsules per day); IMBRUVICA ORAL CAPSULE 140 MG (ibrutinib) 2 SP; CM PA; SL (1 capsule per day); IMBRUVICA ORAL CAPSULE 70 MG (ibrutinib) 2 SP; CM IMBRUVICA ORAL TABLET 140 MG, 280 MG, 420 MG, 560 PA; SL (1 tablet per day); 2 MG (ibrutinib) SP; CM

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 35 Coverage Requirements & Prescription Drug Name Drug Tier Limits PA; SL (4 tablets per day); INLYTA ORAL TABLET 1 MG () 3 SP; CM PA; SL (124 tablets per 30 INLYTA ORAL TABLET 5 MG (axitinib) 3 days); SP; CM PA; ST; SL (4 capsules per INREBIC ORAL CAPSULE 100 MG (fedratinib hcl) 4 day); SP INTRON A INJECTION SOLUTION 10000000 UNIT/ML, 4 PA; SP 6000000 UNIT/ML (interferon alfa-2b) INTRON A INJECTION SOLUTION RECONSTITUTED 10000000 UNIT, 18000000 UNIT, 50000000 UNIT (interferon 4 PA; SP alfa-2b) PA; SL (1 tablet per day); IRESSA ORAL TABLET 250 MG () 3 SP; CM JAKAFI ORAL TABLET 10 MG, 15 MG, 20 MG, 25 MG, 5 MG PA; SL (2 tablets per day); 2 (ruxolitinib phosphate) SP; CM KISQALI (200 MG DOSE) ORAL TABLET THERAPY PACK PA; ST; SL (21 tablets per 4 200 MG (ribociclib succinate) month); SP; CM KISQALI (400 MG DOSE) TABLET THERAPY PACK 200 MG 4 PA; ST; SP; CM ORAL 200 MG (ribociclib succinate) KISQALI (400 MG DOSE) TABLET THERAPY PACK 200 MG PA; ST; SL (42 tablets per 4 ORAL 200 MG (ribociclib succinate) month); SP; CM KISQALI (600 MG DOSE) TABLET THERAPY PACK 200 MG 4 PA; ST; SP; CM ORAL 200 MG (ribociclib succinate) KISQALI (600 MG DOSE) TABLET THERAPY PACK 200 MG PA; ST; SL (63 tablets per 4 ORAL 200 MG (ribociclib succinate) month); SP; CM KISQALI FEMARA (400 MG DOSE) ORAL TABLET THERAPY 4 PA; ST; CM PACK 200 & 2.5 MG (ribociclib-letrozole) KISQALI FEMARA (600 MG DOSE) ORAL TABLET THERAPY 4 PA; ST; CM PACK 200 & 2.5 MG (ribociclib-letrozole) KISQALI FEMARA(200 MG DOSE) ORAL TABLET THERAPY 4 PA; ST; CM PACK 200 & 2.5 MG (ribociclib-letrozole) LENVIMA (10 MG DAILY DOSE) ORAL CAPSULE THERAPY PA; SL (1 capsule per day); 3 PACK 10 MG ( mesylate) SP; CM LENVIMA (12 MG DAILY DOSE) ORAL CAPSULE THERAPY PA; SL (3 capsules per day); 3 PACK 3 X 4 MG (lenvatinib mesylate) SP; CM LENVIMA (14 MG DAILY DOSE) ORAL CAPSULE THERAPY PA; SL (2 capsules per day); 3 PACK 10 & 4 MG (lenvatinib mesylate) SP; CM LENVIMA (18 MG DAILY DOSE) ORAL CAPSULE THERAPY PA; SL (3 capsules per day); 3 PACK 10 MG & 2 X 4 MG (lenvatinib mesylate) SP; CM

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 36 Coverage Requirements & Prescription Drug Name Drug Tier Limits LENVIMA (20 MG DAILY DOSE) ORAL CAPSULE THERAPY PA; SL (2 capsules per day); 3 PACK 2 X 10 MG (lenvatinib mesylate) SP; CM LENVIMA (24 MG DAILY DOSE) ORAL CAPSULE THERAPY PA; SL (3 capsules per day); 3 PACK 2 X 10 MG & 4 MG (lenvatinib mesylate) SP; CM LENVIMA (4 MG DAILY DOSE) ORAL CAPSULE THERAPY PA; SL (1 capsule per day); 3 PACK 4 MG (lenvatinib mesylate) SP; CM LENVIMA (8 MG DAILY DOSE) ORAL CAPSULE THERAPY PA; SL (2 capsules per day); 3 PACK 2 X 4 MG (lenvatinib mesylate) SP; CM letrozole oral tablet 2.5 mg 1 LEUKERAN ORAL TABLET 2 MG (chlorambucil) 2 leuprolide acetate injection 1 mg/0.2ml 1 PA LONSURF ORAL TABLET 15-6.14 MG, 20-8.19 MG PA; SL (100 tablets per 2 (trifluridine-tipiracil) month); SP; CM LORBRENA ORAL TABLET 100 MG, 25 MG () 3 PA; SP; CM PA; SL (4 tablets per day); LYNPARZA ORAL TABLET 100 MG, 150 MG (olaparib) 2 SP; CM LYSODREN ORAL TABLET 500 MG (mitotane) 2 MATULANE ORAL CAPSULE 50 MG (procarbazine hcl) 2 SP; CM MEGACE ES ORAL SUSPENSION 625 MG/5ML (megestrol 4 acetate) megestrol acetate oral suspension 40 mg/ml 1 megestrol acetate oral suspension 625 mg/5ml 3 megestrol acetate oral tablet 20 mg, 40 mg 1 MEKINIST ORAL TABLET 0.5 MG ( dimethyl PA; SL (2 tablets per day); 3 sulfoxide) SP; CM PA; SL (1 tablet per day); MEKINIST ORAL TABLET 2 MG (trametinib ) 3 SP; CM PA; ST; SL (6 tablets per MEKTOVI ORAL TABLET 15 MG () 4 day); SP; CM melphalan oral tablet 2 mg 2 CM mercaptopurine oral tablet 50 mg 1 methotrexate oral tablet 2.5 mg 1 methotrexate sodium (pf) injection solution 1 gm/40ml, 250 1 mg/10ml, 50 mg/2ml methotrexate sodium injection solution 250 mg/10ml, 50 mg/2ml 1 methotrexate sodium injection solution reconstituted 1 gm 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 37 Coverage Requirements & Prescription Drug Name Drug Tier Limits methotrexate sodium oral tablet 2.5 mg 1 MYLERAN ORAL TABLET 2 MG (busulfan) 2 PA; SL (6 tablets per day); NERLYNX ORAL TABLET 40 MG ( maleate) 2 SP; CM PA; SL (4 tablets per day); NEXAVAR ORAL TABLET 200 MG ( tosylate) 2 SP; CM nilutamide oral tablet 150 mg 3 SP NINLARO ORAL CAPSULE 2.3 MG, 3 MG, 4 MG (ixazomib PA; SL (3 capsules per 2 citrate) prescription); SP; CM PA; SL (4 tablets per day); NUBEQA ORAL TABLET 300 MG (darolutamide) 2 SP; CM PA; SL (1 capsule per day); ODOMZO ORAL CAPSULE 200 MG (sonidegib phosphate) 2 SP; CM PANRETIN EXTERNAL GEL 0.1 % (alitretinoin) 3 PICATO EXTERNAL GEL 0.015 % (ingenol mebutate) 3 SL (3 grams per prescription) SL (1 carton (2 tubes) per PICATO EXTERNAL GEL 0.05 % (ingenol mebutate) 3 prescription) PIQRAY (200 MG DAILY DOSE) ORAL TABLET THERAPY PA; SL (1 tablet per day); 2 PACK 200 MG (alpelisib) SP; CM PIQRAY (250 MG DAILY DOSE) ORAL TABLET THERAPY PA; SL (2 tablets per day); 2 PACK 200 & 50 MG (alpelisib) SP; CM PIQRAY (300 MG DAILY DOSE) ORAL TABLET THERAPY PA; SL (2 tablets per day); 2 PACK 2 X 150 MG (alpelisib) SP; CM POMALYST ORAL CAPSULE 1 MG, 2 MG, 3 MG, 4 MG PA; SL (21 capsules per 3 (pomalidomide) prescription); SP; CM PURIXAN ORAL SUSPENSION 2000 MG/100ML 4 PA; SP (mercaptopurine) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR 10 ST; SL (0.8 ml (4 auto- 4 MG/0.2ML (methotrexate (anti-rheumatic)) injectors) per month) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR ST; SL (1 ml (4 auto- 4 12.5 MG/0.25ML (methotrexate (anti-rheumatic)) injectors) per month) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR 15 ST; SL (1.2 ml (4 auto- 4 MG/0.3ML (methotrexate (anti-rheumatic)) injectors) per month) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR ST; SL (1.4 ml (4 auto- 4 17.5 MG/0.35ML (methotrexate (anti-rheumatic)) injectors) per month) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR 20 ST; SL (1.6 ml (4 auto- 4 MG/0.4ML (methotrexate (anti-rheumatic)) injectors) per month)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 38 Coverage Requirements & Prescription Drug Name Drug Tier Limits RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR ST; SL (1.8 ml (4 auto- 4 22.5 MG/0.45ML (methotrexate (anti-rheumatic)) injectors) per month) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR 25 ST; SL (2 ml (4 auto- 4 MG/0.5ML (methotrexate (anti-rheumatic)) injectors) per month) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR 30 ST; SL (2.4 ml (4 auto- 4 MG/0.6ML (methotrexate (anti-rheumatic)) injectors) per month) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR 7.5 ST; SL (0.6 ml (4 auto- 4 MG/0.15ML (methotrexate (anti-rheumatic)) injectors) per month) REVLIMID ORAL CAPSULE 10 MG, 2.5 MG, 5 MG PA; SL (28 capsules per 2 (lenalidomide) prescription); SP; CM REVLIMID ORAL CAPSULE 15 MG, 20 MG, 25 MG PA; SL (21 capsules per 2 (lenalidomide) prescription); SP; CM PA; SL (1 capsule per day); ROZLYTREK ORAL CAPSULE 100 MG () 2 SP; CM PA; SL (3 capsules per day); ROZLYTREK ORAL CAPSULE 200 MG (entrectinib) 2 SP; CM PA; ST; SL (2 tablets per RUBRACA ORAL TABLET 200 MG (rucaparib camsylate) 3 day); SP; CM RUBRACA ORAL TABLET 250 MG, 300 MG (rucaparib PA; ST; SL (4 tablets per 3 camsylate) day); SP; CM PA; SL (8 capsules per day); RYDAPT ORAL CAPSULE 25 MG (midostaurin) 2 SP; CM SPRYCEL ORAL TABLET 100 MG, 140 MG, 50 MG, 70 MG, PA; ST; SL (1 tablet per day); 4 80 MG () SP; CM PA; ST; SL (2 tablets per SPRYCEL ORAL TABLET 20 MG (dasatinib) 4 day); SP; CM PA; SL (84 tablets per STIVARGA ORAL TABLET 40 MG () 2 prescription); SP; CM SUTENT ORAL CAPSULE 12.5 MG, 25 MG, 37.5 MG, 50 MG PA; SL (1 capsule per day); 2 ( malate) SP; CM SYLATRON SUBCUTANEOUS KIT 200 MCG, 300 MCG, 600 PA; SL (4 vials per month); 2 MCG (peginterferon alfa-2b) SP SYNRIBO SUBCUTANEOUS SOLUTION RECONSTITUTED PA; SL (28 vials per month); 2 3.5 MG (omacetaxine mepesuccinate) SP TABLOID ORAL TABLET 40 MG (thioguanine) 2 SP TAFINLAR ORAL CAPSULE 50 MG, 75 MG ( PA; SL (4 capsules per day); 3 mesylate) SP; CM

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 39 Coverage Requirements & Prescription Drug Name Drug Tier Limits TAGRISSO ORAL TABLET 40 MG, 80 MG ( PA; SL (1 tablet per day); 3 mesylate) SP; CM PA; ST; SL (3 capsules per TALZENNA ORAL CAPSULE 0.25 MG (talazoparib tosylate) 4 day); SP; CM PA; ST; SL (1 capsule per TALZENNA ORAL CAPSULE 1 MG (talazoparib tosylate) 4 day); SP; CM tamoxifen citrate oral tablet 10 mg 1 tamoxifen citrate oral tablet 20 mg 1 H-PA TARCEVA ORAL TABLET 100 MG, 150 MG, 25 MG (erlotinib PA; SL (1 tablet per day); 4 hcl) SP; CM SL (60 grams per TARGRETIN EXTERNAL GEL 1 % (bexarotene) 3 prescription); SP TARGRETIN ORAL CAPSULE 75 MG (bexarotene) 2 CM TASIGNA ORAL CAPSULE 150 MG, 200 MG, 50 MG ( PA; ST; SL (4 capsules per 2 hcl) day); SP; CM TAZVERIK ORAL TABLET 200 MG (tazemetostat hbr) 4 PA; CM TEMODAR ORAL CAPSULE 100 MG, 140 MG, 180 MG, 20 4 PA; SP; CM MG, 250 MG, 5 MG (temozolomide) temozolomide oral capsule 100 mg, 140 mg, 180 mg, 20 mg, 1 PA; SP; CM 250 mg, 5 mg PA; SL (2 tablets per day); TIBSOVO ORAL TABLET 250 MG (ivosidenib) 2 SP; CM toremifene citrate oral tablet 60 mg 2 SL (279 capsules per tretinoin oral capsule 10 mg 2 prescription); SP; CM TREXALL ORAL TABLET 10 MG, 15 MG, 5 MG, 7.5 MG 2 (methotrexate sodium) PA; SL (4 capsules per day); TURALIO ORAL CAPSULE 200 MG (pexidartinib hcl) 2 SP; CM PA; SL (186 tablets per TYKERB ORAL TABLET 250 MG ( ditosylate) 2 prescription); SP; CM VALCHLOR EXTERNAL GEL 0.016 % (mechlorethamine hcl PA; SL (120 grams per 2 (topical)) prescription); SP PA; SL (4 tablets per day); VENCLEXTA ORAL TABLET 10 MG, 100 MG (venetoclax) 2 SP; CM PA; SL (1 tablet per day); VENCLEXTA ORAL TABLET 50 MG (venetoclax) 2 SP; CM

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 40 Coverage Requirements & Prescription Drug Name Drug Tier Limits VENCLEXTA STARTING PACK ORAL TABLET THERAPY PA; SL (42 tablets per year); 2 PACK 10 & 50 & 100 MG (venetoclax) SP; CM VERZENIO ORAL TABLET 100 MG, 150 MG, 200 MG, 50 MG PA; SL (2 tablets per day); 2 (abemaciclib) SP; CM PA; SL (2 capsules per day); VITRAKVI ORAL CAPSULE 100 MG ( sulfate) 2 SP; CM PA; SL (6 capsules per day); VITRAKVI ORAL CAPSULE 25 MG (larotrectinib sulfate) 2 SP; CM PA; SL (10 mL per day); SP; VITRAKVI ORAL SOLUTION 20 MG/ML (larotrectinib sulfate) 2 CM PA; SL (1 tablet per day); VIZIMPRO ORAL TABLET 15 MG, 30 MG, 45 MG () 3 SP; CM PA; SL (4 tablets per day); VOTRIENT ORAL TABLET 200 MG ( hcl) 2 SP; CM PA; SL (2 capsules per day); XALKORI ORAL CAPSULE 200 MG, 250 MG () 2 SP; CM XATMEP ORAL SOLUTION 2.5 MG/ML (methotrexate) 4 PA; SL (4 ml per day) SL (84 tablets per XELODA ORAL TABLET 150 MG (capecitabine) 1 prescription); SP; CM SL (140 tablets per XELODA ORAL TABLET 500 MG (capecitabine) 1 prescription); SP; CM PA; SL (3 tablets per day); XOSPATA ORAL TABLET 40 MG (gilteritinib fumarate) 3 SP; CM XPOVIO (100 MG ONCE WEEKLY) ORAL TABLET THERAPY 4 PA; SP; CM PACK 20 MG (selinexor) XPOVIO (60 MG ONCE WEEKLY) ORAL TABLET THERAPY 4 PA; SP; CM PACK 20 MG (selinexor) XPOVIO (80 MG ONCE WEEKLY) ORAL TABLET THERAPY 4 PA; SP; CM PACK 20 MG (selinexor) XPOVIO (80 MG TWICE WEEKLY) ORAL TABLET THERAPY PA; SL (1.143 tablets per 4 PACK 20 MG (selinexor) day); SP; CM PA; ST; SL (4 tablets per XTANDI ORAL CAPSULE 40 MG (enzalutamide) 4 day); SP; CM PA; SL (3 capsules per day); ZEJULA ORAL CAPSULE 100 MG (niraparib tosylate) 2 SP; CM PA; SL (8 tablets per day); ZELBORAF ORAL TABLET 240 MG () 2 SP; CM

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 41 Coverage Requirements & Prescription Drug Name Drug Tier Limits SL (124 capsules per ZOLINZA ORAL CAPSULE 100 MG () 2 prescription); SP; CM PA; SL (60 tablets per ZYDELIG ORAL TABLET 100 MG, 150 MG (idelalisib) 4 month); SP; CM PA; SL (3 tablets per day); ZYKADIA ORAL TABLET 150 MG () 2 SP; CM PA; SL (4 tablets per day); ZYTIGA ORAL TABLET 250 MG (abiraterone acetate) 2 SP; CM ZYTIGA ORAL TABLET 500 MG (abiraterone acetate) 2 PA; SP; CM ANTITOXINS,IMMUNE GLOB,TOXOIDS,VACCINES - DRUGS FOR THE IMMUNE SYSTEM ALLERGENIC EXTRACTS (THERAPEUTIC) - DRUGS FOR THE IMMUNE SYSTEM GRASTEK SUBLINGUAL TABLET SUBLINGUAL 2800 BAU 4 PA; SL (1 tablet per day) (timothy grass pollen allergen) ODACTRA SUBLINGUAL TABLET SUBLINGUAL 12 SQ-HDM 4 PA; SL (1 tablet per day) (dust mite mixed allergen ext) ORALAIR ADULT SAMPLE KIT SUBLINGUAL TABLET 4 PA; SL (1 tablet per day) SUBLINGUAL 300 IR (grass mix pollens allergen ext) ORALAIR ADULT STARTER PACK SUBLINGUAL TABLET 4 PA; SL (1 tablet per day) SUBLINGUAL 300 IR (grass mix pollens allergen ext) ORALAIR CHILDRENS SAMPLE KIT SUBLINGUAL THERAPY 3 PACK 3 X 100 IR & 6 X 300 IR (grass mix pollens allergen ext) ORALAIR CHILDRENS STARTER PACK SUBLINGUAL 4 PA; SL (3 tablets per year) TABLET SUBLINGUAL 100 IR (grass mix pollens allergen ext) ORALAIR SUBLINGUAL TABLET SUBLINGUAL 300 IR (grass 4 PA; SL (1 tablet per day) mix pollens allergen ext) RAGWITEK SUBLINGUAL TABLET SUBLINGUAL 12 AMB A 4 PA; SL (1 tablet per day) 1-U (short ragweed pollen ext) TOXOIDS - Vaccines ADACEL INTRAMUSCULAR SUSPENSION 5-2-15.5 LF- 3 H MCG/0.5 (tetanus-diphth-acell pertussis) BOOSTRIX INTRAMUSCULAR SUSPENSION 5-2.5-18.5 LF- 2 H MCG/0.5 (tetanus-diphth-acell pertussis) TENIVAC INTRAMUSCULAR INJECTABLE 5-2 LFU (tetanus- 3 H diphtheria toxoids td)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 42 Coverage Requirements & Prescription Drug Name Drug Tier Limits VACCINES - Vaccines ACTHIB INTRAMUSCULAR SOLUTION RECONSTITUTED 2 H (haemophilus b polysac conj vac) AFLURIA QUADRIVALENT INTRAMUSCULAR SUSPENSION 3 H (influenza vac split quad) AFLURIA QUADRIVALENT INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE 0.25 ML, 0.5 ML (influenza vac split 3 H quad) BEXSERO INTRAMUSCULAR SUSPENSION PREFILLED 3 H SYRINGE (meningococcal b recomb omv adj) ENGERIX-B INJECTION SUSPENSION 10 MCG/0.5ML, 20 2 H MCG/ML ( b vac recombinant) FLUAD INTRAMUSCULAR SUSPENSION PREFILLED 3 H SYRINGE 0.5 ML (influenza vac a&b surf ant adj) FLUARIX QUADRIVALENT INTRAMUSCULAR SUSPENSION 3 H PREFILLED SYRINGE 0.5 ML (influenza vac split quad) FLULAVAL QUADRIVALENT INTRAMUSCULAR 3 H SUSPENSION (influenza vac split quad) FLULAVAL QUADRIVALENT INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE 0.5 ML (influenza vac 3 H split quad) FLUZONE HIGH-DOSE INTRAMUSCULAR SUSPENSION 3 H PREFILLED SYRINGE 0.5 ML (influenza vac split high-dose) FLUZONE QUADRIVALENT INTRAMUSCULAR 3 H SUSPENSION , 0.5 ML (influenza vac split quad) FLUZONE QUADRIVALENT INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE 0.25 ML, 0.5 ML 3 H (influenza vac split quad) GARDASIL 9 INTRAMUSCULAR SUSPENSION (hpv 9-valent 3 H recomb vaccine) GARDASIL 9 INTRAMUSCULAR SUSPENSION PREFILLED 3 H SYRINGE (hpv 9-valent recomb vaccine) HAVRIX INTRAMUSCULAR SUSPENSION 1440 EL U/ML, 720 3 H EL U/0.5ML (hepatitis a vaccine) HEPLISAV-B INTRAMUSCULAR SOLUTION PREFILLED 3 H SYRINGE 20 MCG/0.5ML (hepatitis b vac recomb adj) HIBERIX INJECTION SOLUTION RECONSTITUTED 10 MCG 3 H (haemophilus b polysac conj vac) IPOL INJECTION INJECTABLE (poliovirus vaccine inactivated) 2 H

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 43 Coverage Requirements & Prescription Drug Name Drug Tier Limits MENACTRA INTRAMUSCULAR INJECTABLE (meningococcal 3 H a c y&w-135 conj) MENVEO INTRAMUSCULAR SOLUTION RECONSTITUTED 3 H (meningococcal a c y&w-135 olig) M-M-R II INJECTION SOLUTION RECONSTITUTED (measles, 2 H mumps & rubella vac) PEDVAX HIB INTRAMUSCULAR SUSPENSION 7.5 2 H MCG/0.5ML (haemophilus b polysac conj vac) PNEUMOVAX 23 INJECTION INJECTABLE 25 MCG/0.5ML 2 H (pneumococcal vac polyvalent) PREVNAR 13 INTRAMUSCULAR SUSPENSION 3 H (pneumococcal 13-val conj vacc) RECOMBIVAX HB INJECTION SUSPENSION 10 MCG/ML, 40 2 H MCG/ML, 5 MCG/0.5ML (hepatitis b vac recombinant) SHINGRIX INTRAMUSCULAR SUSPENSION RECONSTITUTED 50 MCG/0.5ML (zoster vac recomb 3 H adjuvanted) TRUMENBA INTRAMUSCULAR SUSPENSION PREFILLED 3 H SYRINGE (meningococcal b vac (recomb)) TWINRIX INTRAMUSCULAR SUSPENSION PREFILLED 3 H SYRINGE 720-20 ELU-MCG/ML (hepatitis a-hep b recomb vac) VAQTA INTRAMUSCULAR SUSPENSION 25 UNIT/0.5ML, 50 2 H UNIT/ML (hepatitis a vaccine) VARIVAX SUBCUTANEOUS INJECTABLE 1350 PFU/0.5ML 3 H (varicella virus vaccine live) ZOSTAVAX SUBCUTANEOUS SUSPENSION 3 H RECONSTITUTED 19400 UNT/0.65ML (zoster vaccine live) AUTONOMIC DRUGS - Drugs for the Nervous System ALPHA- AND BETA-ADRENERGIC AGONISTS - Drugs for Heart and Lungs pseudoeph-bromphen-dm (Bromfed Dm Oral Syrup 30-2-10 1 Mg/5Ml) epinephrine solution auto-injector 0.15 mg/0.3ml injection 0.15 SL (4 injections per 2 mg/0.3ml prescription) epinephrine solution auto-injector 0.3 mg/0.3ml injection 0.3 SL (2 injections per 2 mg/0.3ml prescription) PA; SL (90 tablets per NORTHERA ORAL CAPSULE 100 MG () 4 month); SP

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 44 Coverage Requirements & Prescription Drug Name Drug Tier Limits PA; SL (180 tablets per NORTHERA ORAL CAPSULE 200 MG, 300 MG (droxidopa) 4 month); SP pseudoephedrine-bromphen-dm oral syrup 30-2-10 mg/5ml 1 SEMPREX-D ORAL CAPSULE 8-60 MG (acrivastine- 3 pseudoephedrine) SYMJEPI INJECTION SOLUTION PREFILLED SYRINGE 0.15 2 SL (2 pens per prescription) MG/0.3ML, 0.3 MG/0.3ML (epinephrine) ALPHA-ADRENERGIC AGONISTS - Drugs for Heart and Lungs CATAPRES ORAL TABLET 0.1 MG, 0.2 MG, 0.3 MG ( 4 hcl) CATAPRES-TTS-1 TRANSDERMAL PATCH WEEKLY 0.1 4 MG/24HR (clonidine) CATAPRES-TTS-2 TRANSDERMAL PATCH WEEKLY 0.2 4 MG/24HR (clonidine) CATAPRES-TTS-3 TRANSDERMAL PATCH WEEKLY 0.3 4 MG/24HR (clonidine) clonidine hcl oral tablet 0.1 mg, 0.2 mg, 0.3 mg 1 clonidine transdermal patch weekly 0.1 mg/24hr, 0.2 mg/24hr, 3 0.3 mg/24hr GILPHEX TR ORAL TABLET 10-388 MG (phenylephrine- 3 guaifenesin) GILTUSS TR ORAL TABLET 10-28-388 MG (phenylephrine- 3 dm-gg) LUCEMYRA ORAL TABLET 0.18 MG (lofexidine hcl) 4 PA; SL (192 tablets per year) methyldopa oral tablet 250 mg, 500 mg 1 methyldopa-hydrochlorothiazide oral tablet 250-15 mg, 250-25 1 mg midodrine hcl oral tablet 10 mg, 2.5 mg, 5 mg 1 NEOTUSS PLUS ORAL LIQUID 7.5-4-30 MG/5ML 3 (phenylephrine-chlorphen-dm) promethazine-phenyleph-codeine oral syrup 6.25-5-10 mg/5ml 1 PA; SL (360 ml per month) promethazine-phenylephrine oral syrup 6.25-5 mg/5ml 1 ANTIMUSCARINICS/ANTISPASMODICS - Drugs for Parkinson ANASPAZ ORAL TABLET DISPERSIBLE 0.125 MG 2 (hyoscyamine sulfate)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 45 Coverage Requirements & Prescription Drug Name Drug Tier Limits ANORO ELLIPTA INHALATION AEROSOL POWDER BREATH ACTIVATED 62.5-25 MCG/INH (umeclidinium- 3 SL (2 blisters per day) vilanterol) ATROVENT HFA INHALATION AEROSOL SOLUTION 17 3 SL (0.87 grams per day) MCG/ACT (ipratropium bromide hfa) BEVESPI AEROSPHERE INHALATION AEROSOL 9-4.8 2 SL (0.36 grams per day) MCG/ACT (glycopyrrolate-formoterol) chlordiazepoxide-clidinium oral capsule 5-2.5 mg 4 COMBIVENT RESPIMAT INHALATION AEROSOL SOLUTION 3 SL (0.28 grams per day) 20-100 MCG/ACT (ipratropium-albuterol) CUVPOSA ORAL SOLUTION 1 MG/5ML (glycopyrrolate) 3 dicyclomine hcl oral capsule 10 mg 1 dicyclomine hcl oral solution 10 mg/5ml 1 dicyclomine hcl oral tablet 20 mg 1 diphenoxylate-atropine oral liquid 2.5-0.025 mg/5ml 1 diphenoxylate-atropine oral tablet 2.5-0.025 mg 1 ed-spaz oral tablet dispersible 0.125 mg 1 glycopyrrolate oral tablet 1 mg, 2 mg 1 PA; SL (120 mL per hydrocodone-homatropine oral syrup 5-1.5 mg/5ml 1 prescription and 360 ml per month) hydrocodone-homatropine oral tablet 5-1.5 mg 1 PA PA; SL (120 mL per hydromet oral syrup 5-1.5 mg/5ml 1 prescription and 360 ml per month) hyoscyamine sulfate er oral tablet extended release 12 hour 1 0.375 mg hyoscyamine sulfate oral elixir 0.125 mg/5ml 1 hyoscyamine sulfate oral solution 0.125 mg/ml 1 hyoscyamine sulfate oral tablet 0.125 mg 1 hyoscyamine sulfate oral tablet dispersible 0.125 mg 1 hyoscyamine sulfate sl sublingual tablet sublingual 0.125 mg 1 hyoscyamine sulfate sublingual tablet sublingual 0.125 mg 1 hyosyne oral elixir 0.125 mg/5ml 1 hyosyne oral solution 0.125 mg/ml 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 46 Coverage Requirements & Prescription Drug Name Drug Tier Limits INCRUSE ELLIPTA INHALATION AEROSOL POWDER 2 SL (1 blister per day) BREATH ACTIVATED 62.5 MCG/INH (umeclidinium bromide) ipratropium bromide inhalation solution 0.02 % 1 ipratropium-albuterol inhalation solution 0.5-2.5 (3) mg/3ml 2 LEVBID ORAL TABLET EXTENDED RELEASE 12 HOUR 4 0.375 MG (hyoscyamine sulfate) LEVSIN ORAL TABLET 0.125 MG (hyoscyamine sulfate) 4 LEVSIN/SL SUBLINGUAL TABLET SUBLINGUAL 0.125 MG 4 (hyoscyamine sulfate) LOMOTIL ORAL TABLET 2.5-0.025 MG (diphenoxylate- 4 atropine) methscopolamine bromide oral tablet 2.5 mg, 5 mg 1 hyoscyamine sulfate (Nulev Oral Tablet Dispersible 0.125 Mg) 4 oscimin oral tablet 0.125 mg 1 oscimin sr oral tablet extended release 12 hour 0.375 mg 1 oscimin sublingual tablet sublingual 0.125 mg 1 propantheline bromide oral tablet 15 mg 1 SEEBRI NEOHALER INHALATION CAPSULE 15.6 MCG 4 ST; SL (2 capsules per day) (glycopyrrolate) SPIRIVA HANDIHALER INHALATION CAPSULE 18 MCG 2 SL (1 capsule per day) (tiotropium bromide monohydrate) SPIRIVA RESPIMAT INHALATION AEROSOL SOLUTION 1.25 2 SL (0.15 grams per day) MCG/ACT, 2.5 MCG/ACT (tiotropium bromide monohydrate) SYMAX DUOTAB ORAL TABLET EXTENDED RELEASE 0.375 3 MG (hyoscyamine sulfate) hyoscyamine sulfate (Symax-Sl Sublingual Tablet Sublingual 1 0.125 Mg) hyoscyamine sulfate (Symax-Sr Oral Tablet Extended Release 1 12 Hour 0.375 Mg) TRELEGY ELLIPTA INHALATION AEROSOL POWDER BREATH ACTIVATED 100-62.5-25 MCG/INH (fluticasone- 3 SL (2 blisters per day) umeclidin-vilant) YUPELRI INHALATION SOLUTION 175 MCG/3ML 4 PA; SL (3 ml per day) (revefenacin) ANTIPARKINSONIAN AGENTS - Drugs for Parkinson benztropine mesylate oral tablet 0.5 mg, 1 mg, 2 mg 1 trihexyphenidyl hcl oral solution 0.4 mg/ml 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 47 Coverage Requirements & Prescription Drug Name Drug Tier Limits trihexyphenidyl hcl oral tablet 2 mg, 5 mg 1 AUTONOMIC DRUGS, MISCELLANEOUS - Drugs for the Nervous System CHANTIX CONTINUING MONTH PAK ORAL TABLET 1 MG 4 H (varenicline tartrate) CHANTIX ORAL TABLET 0.5 MG, 1 MG (varenicline tartrate) 4 H CHANTIX STARTING MONTH PAK ORAL TABLET 0.5 MG X 4 H 11 & 1 MG X 42 (varenicline tartrate) NICORETTE MOUTH/THROAT GUM 2 MG ( polacrilex) 4 H nicotine polacrilex mouth/throat gum 2 mg, 4 mg 1 H nicotine polacrilex mouth/throat lozenge 2 mg, 4 mg 1 H nicotine step 1 transdermal patch 24 hour 21 mg/24hr 1 H nicotine step 2 transdermal patch 24 hour 14 mg/24hr 1 H nicotine step 3 transdermal patch 24 hour 7 mg/24hr 1 H NICOTROL INHALATION INHALER 10 MG (nicotine) 4 H NICOTROL NS NASAL SOLUTION 10 MG/ML (nicotine) 4 H CENTRALLY ACTING RELAXNT - Drugs for Relaxing Muscles oral tablet 350 mg 1 carisoprodol- oral tablet 200-325 mg 1 carisoprodol-aspirin-codeine oral tablet 200-325-16 mg 1 oral tablet 500 mg 1 hcl oral tablet 10 mg, 5 mg, 7.5 mg 1 FEXMID ORAL TABLET 7.5 MG (cyclobenzaprine hcl) 4 metaxalone oral tablet 400 mg, 800 mg 3 oral tablet 500 mg, 750 mg 1 ROBAXIN-750 ORAL TABLET 750 MG (methocarbamol) 4 SOMA ORAL TABLET 350 MG (carisoprodol) 3 tizanidine hcl oral capsule 2 mg, 4 mg, 6 mg 3 tizanidine hcl oral tablet 2 mg, 4 mg 1 ZANAFLEX ORAL CAPSULE 2 MG, 4 MG, 6 MG (tizanidine 4 hcl) ZANAFLEX ORAL TABLET 4 MG (tizanidine hcl) 4

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 48 Coverage Requirements & Prescription Drug Name Drug Tier Limits DIRECT-ACTING SKELETAL MUSCLE RELAXANTS - Drugs for Relaxing Muscles DANTRIUM ORAL CAPSULE 25 MG, 50 MG (dantrolene 4 sodium) dantrolene sodium oral capsule 100 mg, 25 mg, 50 mg 1 GABA-DERIVATIVE SKELETAL - Drugs for Relaxing Muscles baclofen oral tablet 10 mg, 20 mg, 5 mg 1 OZOBAX ORAL SOLUTION 5 MG/5ML (baclofen) 4 PA NON-SEL. BETA-ADRENERGIC BLOCKING AGENTS - Drugs for the Heart BETAPACE AF ORAL TABLET 120 MG, 160 MG, 80 MG 4 (sotalol hcl af) BYSTOLIC ORAL TABLET 10 MG, 2.5 MG, 20 MG, 5 MG 2 (nebivolol hcl) oral tablet 12.5 mg, 25 mg, 3.125 mg, 6.25 mg 1 COREG ORAL TABLET 12.5 MG, 25 MG, 3.125 MG, 6.25 MG 4 (carvedilol) CORGARD ORAL TABLET 20 MG, 40 MG, 80 MG (nadolol) 4 INDERAL XL ORAL CAPSULE EXTENDED RELEASE 24 3 HOUR 120 MG, 80 MG (propranolol hcl sr beads) INNOPRAN XL ORAL CAPSULE EXTENDED RELEASE 24 3 HOUR 120 MG, 80 MG (propranolol hcl sr beads) labetalol hcl oral tablet 100 mg, 200 mg, 300 mg 1 nadolol oral tablet 20 mg, 40 mg, 80 mg 1 pindolol oral tablet 10 mg, 5 mg 1 propranolol hcl er oral capsule extended release 24 hour 120 2 mg, 160 mg, 60 mg, 80 mg propranolol hcl oral solution 20 mg/5ml, 40 mg/5ml 1 propranolol hcl oral tablet 10 mg, 20 mg, 40 mg, 60 mg, 80 mg 1 propranolol-hctz oral tablet 40-25 mg, 80-25 mg 1 sotalol hcl (af) oral tablet 120 mg, 160 mg, 80 mg 1 sotalol hcl oral tablet 120 mg, 160 mg, 240 mg, 80 mg 1 SOTYLIZE ORAL SOLUTION 5 MG/ML (sotalol hcl) 4 PA timolol maleate oral tablet 10 mg, 20 mg, 5 mg 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 49 Coverage Requirements & Prescription Drug Name Drug Tier Limits NON-SEL.ALPHA-1-ADRENERGIC BLOCKING AGTS - Drugs for the Heart CARDURA ORAL TABLET 1 MG, 2 MG, 4 MG, 8 MG 4 (doxazosin mesylate) CARDURA XL ORAL TABLET EXTENDED RELEASE 24 3 HOUR 4 MG, 8 MG (doxazosin mesylate) doxazosin mesylate oral tablet 1 mg, 2 mg, 4 mg, 8 mg 1 MINIPRESS ORAL CAPSULE 1 MG, 2 MG, 5 MG (prazosin 4 hcl) prazosin hcl oral capsule 1 mg, 2 mg, 5 mg 1 terazosin hcl oral capsule 1 mg, 10 mg, 2 mg, 5 mg 1 NON-SEL.ALPHA-ADRENERGIC BLOCKING AGENTS - Drugs for the Heart CAFERGOT ORAL TABLET 1-100 MG (ergotamine-caffeine) 4 dihydroergotamine mesylate injection solution 1 mg/ml 1 PA; SL (8 mL per dihydroergotamine mesylate nasal solution 4 mg/ml 4 prescription) ergoloid mesylates oral tablet 1 mg 1 ERGOMAR SUBLINGUAL TABLET SUBLINGUAL 2 MG PA; SL (5 tablets per 4 (ergotamine tartrate) prescription) ergotamine-caffeine oral tablet 1-100 mg 3 MIGERGOT RECTAL SUPPOSITORY 2-100 MG (ergotamine- 3 caffeine) phenoxybenzamine hcl oral capsule 10 mg 2 PARASYMPATHOMIMETIC (CHOLINERGIC AGENTS) - Drugs for Bladder Incontinence ARICEPT ORAL TABLET 10 MG, 5 MG (donepezil hcl) 3 bethanechol chloride oral tablet 10 mg, 25 mg, 5 mg, 50 mg 1 cevimeline hcl oral capsule 30 mg 1 donepezil hcl oral tablet 10 mg, 5 mg 1 donepezil hcl oral tablet dispersible 10 mg, 5 mg 1 EVOXAC ORAL CAPSULE 30 MG (cevimeline hcl) 4 galantamine hydrobromide er oral capsule extended release 24 1 hour 16 mg, 24 mg, 8 mg galantamine hydrobromide oral solution 4 mg/ml 1 galantamine hydrobromide oral tablet 12 mg, 4 mg, 8 mg 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 50 Coverage Requirements & Prescription Drug Name Drug Tier Limits GUANIDINE HCL ORAL TABLET 125 MG 3 MESTINON ORAL SOLUTION 60 MG/5ML (pyridostigmine 4 bromide) MESTINON ORAL TABLET 60 MG (pyridostigmine bromide) 4 MESTINON ORAL TABLET EXTENDED RELEASE 180 MG 3 (pyridostigmine bromide) pilocarpine hcl oral tablet 5 mg, 7.5 mg 1 pyridostigmine bromide er oral tablet extended release 180 mg 1 pyridostigmine bromide oral solution 60 mg/5ml 3 pyridostigmine bromide oral tablet 60 mg 1 RAZADYNE ER ORAL CAPSULE EXTENDED RELEASE 24 4 HOUR 16 MG, 24 MG, 8 MG (galantamine hydrobromide) RAZADYNE ORAL TABLET 4 MG (galantamine hydrobromide) 4 rivastigmine tartrate oral capsule 1.5 mg, 3 mg, 4.5 mg, 6 mg 1 rivastigmine transdermal patch 24 hour 13.3 mg/24hr, 4.6 3 mg/24hr, 9.5 mg/24hr SALAGEN ORAL TABLET 5 MG, 7.5 MG (pilocarpine hcl) 4 URECHOLINE ORAL TABLET 25 MG (bethanechol chloride) 4 URECHOLINE ORAL TABLET 50 MG (bethanechol chloride) 3 SELECTIVE ALPHA-1-ADRENERGIC BLOCK.AGENT - Drugs for the Heart alfuzosin hcl er oral tablet extended release 24 hour 10 mg 1 carvedilol oral tablet 12.5 mg, 25 mg, 3.125 mg, 6.25 mg 1 COREG ORAL TABLET 12.5 MG, 25 MG, 3.125 MG, 6.25 MG 4 (carvedilol) labetalol hcl oral tablet 100 mg, 200 mg, 300 mg 1 silodosin oral capsule 4 mg, 8 mg 3 tamsulosin hcl oral capsule 0.4 mg 1 UROXATRAL ORAL TABLET EXTENDED RELEASE 24 HOUR 4 10 MG (alfuzosin hcl) SELECTIVE BETA-2-ADRENERGIC AGONISTS - Drugs for Heart and Lungs ADVAIR DISKUS INHALATION AEROSOL POWDER BREATH ACTIVATED 100-50 MCG/DOSE, 250-50 MCG/DOSE, 500-50 3 SL (2 blisters per day) MCG/DOSE (fluticasone-salmeterol)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 51 Coverage Requirements & Prescription Drug Name Drug Tier Limits ADVAIR HFA INHALATION AEROSOL 115-21 MCG/ACT, 230- 3 SL (0.4 grams per day) 21 MCG/ACT, 45-21 MCG/ACT (fluticasone-salmeterol) albuterol sulfate er oral tablet extended release 12 hour 4 mg, 8 1 mg albuterol sulfate hfa aerosol solution 108 (90 base) mcg/act 1 inhalation 108 (90 base) mcg/act albuterol sulfate hfa aerosol solution 108 (90 base) mcg/act SL (8.5 grams per 3 inhalation 108 (90 base) mcg/act prescription) ALBUTEROL SULFATE HFA AEROSOL SOLUTION 108 (90 SL (6.7 grams per 3 BASE) MCG/ACT INHALATION 108 (90 BASE) MCG/ACT prescription) albuterol sulfate inhalation nebulization solution (2.5 mg/3ml) 0.083%, (5 mg/ml) 0.5%, 0.63 mg/3ml, 1.25 mg/3ml, 2.5 1 mg/0.5ml albuterol sulfate oral syrup 2 mg/5ml 1 albuterol sulfate oral tablet 2 mg, 4 mg 1 ANORO ELLIPTA INHALATION AEROSOL POWDER BREATH ACTIVATED 62.5-25 MCG/INH (umeclidinium- 3 SL (2 blisters per day) vilanterol) ARCAPTA NEOHALER INHALATION CAPSULE 75 MCG 3 SL (1 capsule per day) (indacaterol maleate) BEVESPI AEROSPHERE INHALATION AEROSOL 9-4.8 2 SL (0.36 grams per day) MCG/ACT (glycopyrrolate-formoterol) BREO ELLIPTA INHALATION AEROSOL POWDER BREATH 3 SL (2 inhalers per day) ACTIVATED 100-25 MCG/INH (fluticasone furoate-vilanterol) BREO ELLIPTA INHALATION AEROSOL POWDER BREATH 3 SL (2 blisters per day) ACTIVATED 200-25 MCG/INH (fluticasone furoate-vilanterol) BROVANA INHALATION NEBULIZATION SOLUTION 15 3 SL (2 nebules per day) MCG/2ML (arformoterol tartrate) COMBIVENT RESPIMAT INHALATION AEROSOL SOLUTION 3 SL (0.28 grams per day) 20-100 MCG/ACT (ipratropium-albuterol) FLUTICASONE-SALMETEROL INHALATION AEROSOL POWDER BREATH ACTIVATED 113-14 MCG/ACT, 232-14 2 SL (0.04 mcg per day) MCG/ACT, 55-14 MCG/ACT ipratropium-albuterol inhalation solution 0.5-2.5 (3) mg/3ml 2 levalbuterol hcl inhalation nebulization solution 0.31 mg/3ml, 3 SL (90 ml per prescription) 0.63 mg/3ml, 1.25 mg/3ml levalbuterol hcl inhalation nebulization solution 1.25 mg/0.5ml 3 SL (30 vials per prescription)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 52 Coverage Requirements & Prescription Drug Name Drug Tier Limits SL (15 grams per LEVALBUTEROL HFA INHALATION AEROSOL 45 MCG/ACT 3 prescription) metaproterenol sulfate oral syrup 10 mg/5ml 1 PERFOROMIST INHALATION NEBULIZATION SOLUTION 20 3 SL (2 vials per day) MCG/2ML (formoterol fumarate) PROAIR HFA INHALATION AEROSOL SOLUTION 108 (90 SL (8.5 grams per 3 BASE) MCG/ACT (albuterol sulfate) prescription) PROAIR RESPICLICK INHALATION AEROSOL POWDER SL (1 inhaler per BREATH ACTIVATED 108 (90 BASE) MCG/ACT (albuterol 3 prescription) sulfate) PROVENTIL HFA INHALATION AEROSOL SOLUTION 108 (90 SL (6.7 grams per 3 BASE) MCG/ACT (albuterol sulfate) prescription) SEREVENT DISKUS INHALATION AEROSOL POWDER 3 SL (2 blisters per day) BREATH ACTIVATED 50 MCG/DOSE (salmeterol xinafoate) STRIVERDI RESPIMAT INHALATION AEROSOL SOLUTION 2 SL (0.14 grams per day) 2.5 MCG/ACT (olodaterol hcl) SYMBICORT INHALATION AEROSOL 160-4.5 MCG/ACT, 80- 3 SL (0.34 grams per day) 4.5 MCG/ACT (budesonide-formoterol fumarate) terbutaline sulfate oral tablet 2.5 mg, 5 mg 1 TRELEGY ELLIPTA INHALATION AEROSOL POWDER BREATH ACTIVATED 100-62.5-25 MCG/INH (fluticasone- 3 SL (2 blisters per day) umeclidin-vilant) VENTOLIN HFA INHALATION AEROSOL SOLUTION 108 (90 SL (18 grams per 2 BASE) MCG/ACT (albuterol sulfate) prescription) XOPENEX HFA INHALATION AEROSOL 45 MCG/ACT SL (15 grams per 3 (levalbuterol tartrate) prescription) SELECTIVE BETA-ADRENERGIC BLOCKING AGENT - Drugs for the Heart acebutolol hcl oral capsule 200 mg, 400 mg 1 atenolol oral tablet 100 mg, 25 mg, 50 mg 1 atenolol-chlorthalidone oral tablet 100-25 mg, 50-25 mg 1 betaxolol hcl oral tablet 10 mg, 20 mg 1 bisoprolol fumarate oral tablet 10 mg, 5 mg 1 bisoprolol-hydrochlorothiazide oral tablet 10-6.25 mg, 2.5-6.25 1 mg, 5-6.25 mg KAPSPARGO SPRINKLE ORAL CAPSULE ER 24 HOUR SPRINKLE 100 MG, 200 MG, 25 MG, 50 MG (metoprolol 4 succinate)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 53 Coverage Requirements & Prescription Drug Name Drug Tier Limits LOPRESSOR HCT ORAL TABLET 50-25 MG (metoprolol- 4 hydrochlorothiazide) LOPRESSOR ORAL TABLET 100 MG, 50 MG (metoprolol 4 tartrate) metoprolol succinate er oral tablet extended release 24 hour 2 100 mg, 200 mg, 50 mg metoprolol succinate er oral tablet extended release 24 hour 25 1 mg metoprolol tartrate oral tablet 100 mg, 25 mg, 50 mg 1 metoprolol-hydrochlorothiazide oral tablet 100-25 mg, 100-50 1 mg, 50-25 mg TOPROL XL ORAL TABLET EXTENDED RELEASE 24 HOUR 4 100 MG, 200 MG, 25 MG, 50 MG (metoprolol succinate) ZIAC ORAL TABLET 10-6.25 MG, 2.5-6.25 MG (bisoprolol- 3 hydrochlorothiazide) ZIAC ORAL TABLET 5-6.25 MG (bisoprolol- 4 hydrochlorothiazide) SKELETAL MUSCLE RELAXANTS, MISCELLANEOUS - Drugs for Relaxing Muscles citrate er oral tablet extended release 12 hour 100 2 mg orphenadrine-aspirin-caffeine oral tablet 50-770-60 mg 2 BLOOD FORMATION, COAGULATION, THROMBOSIS - Drugs for the Blood ANTICOAGULANTS - Drugs to Prevent Blood Clots TRICITRASOL IN VITRO CONCENTRATE 46.7 % 3 (anticoagulant sodium citrate) ANTICOAGULANTS, MISCELLANEOUS - Drugs to Prevent Blood Clots ACD-A NOCLOT-50 IN VITRO SOLUTION 0.73-2.45-2.2 3 GM/100ML (anticoagulant cit dext soln a) anticoagulant cit dext soln a in vitro solution 0.8-2.45-2.2 1 gm/100ml ANTICOAGULANT SODIUM CITRATE IN VITRO SOLUTION 4 3 GM/100ML ARIXTRA SUBCUTANEOUS SOLUTION 10 MG/0.8ML SL (24 ml (30 syringes) per 4 (fondaparinux sodium) prescription)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 54 Coverage Requirements & Prescription Drug Name Drug Tier Limits ARIXTRA SUBCUTANEOUS SOLUTION 2.5 MG/0.5ML SL (15 ml (30 syringes) per 4 (fondaparinux sodium) prescription) ARIXTRA SUBCUTANEOUS SOLUTION 5 MG/0.4ML SL (12 ml (30 syringes) per 4 (fondaparinux sodium) prescription) ARIXTRA SUBCUTANEOUS SOLUTION 7.5 MG/0.6ML SL (18 ml (30 syringes) per 4 (fondaparinux sodium) prescription) SL (24 ml (30 syringes) per fondaparinux sodium subcutaneous solution 10 mg/0.8ml 2 prescription) SL (15 ml (30 syringes) per fondaparinux sodium subcutaneous solution 2.5 mg/0.5ml 2 prescription) SL (12 ml (30 syringes) per fondaparinux sodium subcutaneous solution 5 mg/0.4ml 2 prescription) SL (18 ml (30 syringes) per fondaparinux sodium subcutaneous solution 7.5 mg/0.6ml 2 prescription) ANTITHROMBOTIC AGENTS, MISCELLANEOUS - Drugs to Prevent Blood Clots PA; SL (1 vial per day and 58 CABLIVI INJECTION KIT 11 MG (caplacizumab-yhdp) 2 vials per 120 days); SP BLOOD FORM.,COAG,THROMBOSIS AGENTS MISC. - Drugs to Prevent Bleeding TAVALISSE ORAL TABLET 100 MG, 150 MG (fostamatinib PA; ST; SL (2 tablets per 4 disodium) day); SP DERIVATIVES - Drugs to Prevent Blood Clots COUMADIN ORAL TABLET 1 MG, 10 MG, 2 MG, 2.5 MG, 3 3 MG, 4 MG, 5 MG, 6 MG, 7.5 MG (warfarin sodium) warfarin sodium (Jantoven Oral Tablet 1 Mg, 10 Mg, 2 Mg, 2.5 1 Mg, 3 Mg, 4 Mg, 5 Mg, 6 Mg, 7.5 Mg) warfarin sodium oral tablet 1 mg, 10 mg, 2 mg, 2.5 mg, 3 mg, 4 1 mg, 5 mg, 6 mg, 7.5 mg DIRECT FACTOR XA INHIBITORS - Drugs to Prevent Blood Clots ARIXTRA SUBCUTANEOUS SOLUTION 10 MG/0.8ML SL (24 ml (30 syringes) per 4 (fondaparinux sodium) prescription) ARIXTRA SUBCUTANEOUS SOLUTION 2.5 MG/0.5ML SL (15 ml (30 syringes) per 4 (fondaparinux sodium) prescription) ARIXTRA SUBCUTANEOUS SOLUTION 5 MG/0.4ML SL (12 ml (30 syringes) per 4 (fondaparinux sodium) prescription)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 55 Coverage Requirements & Prescription Drug Name Drug Tier Limits ARIXTRA SUBCUTANEOUS SOLUTION 7.5 MG/0.6ML SL (18 ml (30 syringes) per 4 (fondaparinux sodium) prescription) BEVYXXA ORAL CAPSULE 40 MG, 80 MG (betrixaban 3 SL (43 capsules per year) maleate) ELIQUIS DVT/PE STARTER PACK ORAL TABLET 5 MG 2 SL (2.5 tablets per day) (apixaban) ELIQUIS ORAL TABLET 2.5 MG (apixaban) 2 SL (2 tablets per day) ELIQUIS ORAL TABLET 5 MG (apixaban) 2 SL (2.5 tablets per day) SL (24 ml (30 syringes) per fondaparinux sodium subcutaneous solution 10 mg/0.8ml 2 prescription) SL (15 ml (30 syringes) per fondaparinux sodium subcutaneous solution 2.5 mg/0.5ml 2 prescription) SL (12 ml (30 syringes) per fondaparinux sodium subcutaneous solution 5 mg/0.4ml 2 prescription) SL (18 ml (30 syringes) per fondaparinux sodium subcutaneous solution 7.5 mg/0.6ml 2 prescription) SAVAYSA ORAL TABLET 15 MG, 30 MG, 60 MG (edoxaban 4 SL (1 tablet per day) tosylate) XARELTO ORAL TABLET 10 MG (rivaroxaban) 2 SL (1 tablet per day) SL (52 tablets per month XARELTO ORAL TABLET 15 MG (rivaroxaban) 2 initial 1 tablet per day for maintenance) XARELTO ORAL TABLET 2.5 MG (rivaroxaban) 2 SL (2 tablets per day) XARELTO ORAL TABLET 20 MG (rivaroxaban) 2 SL (31 tablets per 31 days) XARELTO STARTER PACK ORAL TABLET THERAPY PACK 2 15 & 20 MG (rivaroxaban) DIRECT THROMBIN INHIBITORS - Drugs to Prevent Blood Clots PRADAXA ORAL CAPSULE 110 MG (dabigatran etexilate 2 SL (2 tablets per day) mesylate) PRADAXA ORAL CAPSULE 150 MG, 75 MG (dabigatran 2 SL (62 capsules per 31 days) etexilate mesylate) HEMATOPOIETIC AGENTS - Drugs for Anemia ARANESP (ALBUMIN FREE) INJECTION SOLUTION 100 SL (2 syringes per month); 2 MCG/ML, 300 MCG/ML (darbepoetin alfa) SP ARANESP (ALBUMIN FREE) INJECTION SOLUTION 200 SL (4 syringes per month); MCG/ML, 25 MCG/ML, 40 MCG/ML, 60 MCG/ML (darbepoetin 2 SP alfa)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 56 Coverage Requirements & Prescription Drug Name Drug Tier Limits ARANESP (ALBUMIN FREE) INJECTION SOLUTION 2 SL (1.6 ml per month); SP PREFILLED SYRINGE 10 MCG/0.4ML (darbepoetin alfa) ARANESP (ALBUMIN FREE) INJECTION SOLUTION SL (1 prefill syringe per 2 PREFILLED SYRINGE 100 MCG/0.5ML (darbepoetin alfa) month); SP ARANESP (ALBUMIN FREE) INJECTION SOLUTION PREFILLED SYRINGE 150 MCG/0.3ML, 60 MCG/0.3ML 2 SL (2 vials per month); SP (darbepoetin alfa) ARANESP (ALBUMIN FREE) INJECTION SOLUTION PREFILLED SYRINGE 200 MCG/0.4ML, 25 MCG/0.42ML, 40 2 SL (4 vials per month); SP MCG/0.4ML (darbepoetin alfa) ARANESP (ALBUMIN FREE) INJECTION SOLUTION SL (2 vials per prescription); 2 PREFILLED SYRINGE 300 MCG/0.6ML (darbepoetin alfa) SP ARANESP (ALBUMIN FREE) INJECTION SOLUTION SL (2 syringes per month); 2 PREFILLED SYRINGE 500 MCG/ML (darbepoetin alfa) SP PA; ST; SL (15 tablets per DOPTELET ORAL TABLET 20 MG (avatrombopag maleate) 4 month); SP LEUKINE INJECTION SOLUTION RECONSTITUTED 250 2 SP MCG () MOZOBIL SUBCUTANEOUS SOLUTION 24 MG/1.2ML 2 SP (plerixafor) PA; SL (7 tablets per MULPLETA ORAL TABLET 3 MG (lusutrombopag) 2 prescription); SP NEULASTA SUBCUTANEOUS SOLUTION PREFILLED 3 SP SYRINGE 6 MG/0.6ML () PROMACTA ORAL PACKET 12.5 MG (eltrombopag olamine) 4 PA; SP PROMACTA ORAL PACKET 25 MG (eltrombopag olamine) 4 PA PROMACTA ORAL TABLET 12.5 MG, 25 MG, 50 MG, 75 MG 4 PA; SP (eltrombopag olamine) RETACRIT INJECTION SOLUTION 10000 UNIT/ML (epoetin 2 SL (8 ml per 21 days); SP alfa-epbx) RETACRIT INJECTION SOLUTION 2000 UNIT/ML, 3000 2 SL (12 ml per 21 days); SP UNIT/ML, 4000 UNIT/ML (epoetin alfa-epbx) RETACRIT INJECTION SOLUTION 40000 UNIT/ML (epoetin 2 SL (4 ml per 21 days); SP alfa-epbx) ZARXIO INJECTION SOLUTION PREFILLED SYRINGE 300 2 SP MCG/0.5ML, 480 MCG/0.8ML (-sndz) HEMORRHEOLOGIC AGENTS - Drugs for Blood Flow pentoxifylline er oral tablet extended release 400 mg 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 57 Coverage Requirements & Prescription Drug Name Drug Tier Limits HEMOSTATICS - Drugs to Prevent Bleeding ADVATE INTRAVENOUS SOLUTION RECONSTITUTED 1000 UNIT, 1500 UNIT, 2000 UNIT, 250 UNIT, 3000 UNIT, 4000 4 PA; ST; SP UNIT, 500 UNIT (antihemophilic factor rahf-pfm) AFSTYLA INTRAVENOUS KIT 1000 UNIT, 1500 UNIT, 2000 UNIT, 250 UNIT, 2500 UNIT, 3000 UNIT, 500 UNIT 4 PA; SP (antihemophil fact single chain) ALPHANATE/VWF COMPLEX/HUMAN INTRAVENOUS SOLUTION RECONSTITUTED 1000 UNIT, 1500 UNIT, 2000 2 SP UNIT, 250 UNIT, 500 UNIT (antihemophilic factor-vwf) ALPHANINE SD INTRAVENOUS SOLUTION 2 RECONSTITUTED 1000 UNIT (coagulation factor ix) ALPHANINE SD INTRAVENOUS SOLUTION 2 SP RECONSTITUTED 1500 UNIT, 500 UNIT (coagulation factor ix) ALPROLIX INTRAVENOUS SOLUTION RECONSTITUTED 1000 UNIT, 2000 UNIT, 250 UNIT, 3000 UNIT, 4000 UNIT, 500 3 SP UNIT (coagulation factor ix (rfixfc)) AMICAR ORAL SOLUTION 0.25 GM/ML (aminocaproic acid) 4 AMICAR ORAL TABLET 1000 MG (aminocaproic acid) 3 AMICAR ORAL TABLET 500 MG (aminocaproic acid) 4 aminocaproic acid oral solution 0.25 gm/ml 3 aminocaproic acid oral tablet 1000 mg, 500 mg 3 BENEFIX INTRAVENOUS KIT 1000 UNIT, 2000 UNIT, 250 2 SP UNIT, 3000 UNIT, 500 UNIT (coagulation factor ix (recomb)) COAGADEX INTRAVENOUS SOLUTION RECONSTITUTED 2 SP 250 UNIT, 500 UNIT (coagulation factor x (human)) CORIFACT INTRAVENOUS KIT 1000-1600 UNIT (factor xiii 2 SP concentrate human) DDAVP INJECTION SOLUTION 4 MCG/ML (desmopressin 4 acetate) DDAVP ORAL TABLET 0.1 MG, 0.2 MG (desmopressin 4 acetate) DDAVP RHINAL TUBE NASAL SOLUTION 0.01 % 3 (desmopressin ace refrigerated) desmopressin ace spray refrig nasal solution 0.01 % 1 desmopressin acetate injection solution 4 mcg/ml 1 desmopressin acetate oral tablet 0.1 mg, 0.2 mg 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 58 Coverage Requirements & Prescription Drug Name Drug Tier Limits ELOCTATE INTRAVENOUS SOLUTION RECONSTITUTED 1000 UNIT, 1500 UNIT, 2000 UNIT, 250 UNIT, 3000 UNIT, 4 PA; SP 4000 UNIT, 500 UNIT, 5000 UNIT, 6000 UNIT, 750 UNIT (antihem fact (bdd-rfviiifc)) FEIBA INTRAVENOUS SOLUTION RECONSTITUTED 1000 2 SP UNIT, 2500 UNIT, 500 UNIT (antiinhibitor coagulant cmplx) HEMLIBRA SUBCUTANEOUS SOLUTION 105 MG/0.7ML, 150 2 PA; SP MG/ML, 30 MG/ML, 60 MG/0.4ML (emicizumab-kxwh) HEMOFIL M INTRAVENOUS SOLUTION RECONSTITUTED 2 1000 UNIT, 250 UNIT, 500 UNIT (antihemophilic factor) HEMOFIL M INTRAVENOUS SOLUTION RECONSTITUTED 2 SP 1700 UNIT (antihemophilic factor) HUMATE-P INTRAVENOUS SOLUTION RECONSTITUTED 1000-2400 UNIT, 250-600 UNIT, 500-1200 UNIT 2 SP (antihemophilic factor-vwf) IDELVION INTRAVENOUS SOLUTION RECONSTITUTED 1000 UNIT, 2000 UNIT, 250 UNIT, 3500 UNIT, 500 UNIT 4 SP (coagulation factor ix (rix-fp)) JIVI INTRAVENOUS SOLUTION RECONSTITUTED 1000 UNIT, 2000 UNIT, 3000 UNIT, 500 UNIT (antihemoph fact rcmb 4 PA; SP peg-aucl) KOATE INTRAVENOUS SOLUTION RECONSTITUTED 1000 2 UNIT, 250 UNIT, 500 UNIT (antihemophilic factor) KOATE-DVI INTRAVENOUS SOLUTION RECONSTITUTED 2 1000 UNIT, 250 UNIT, 500 UNIT (antihemophilic factor) KOGENATE FS INTRAVENOUS KIT 1000 UNIT, 2000 UNIT, 250 UNIT, 3000 UNIT, 500 UNIT (antihemophilic factor 2 (recomb)) KOVALTRY INTRAVENOUS SOLUTION RECONSTITUTED 1000 UNIT, 2000 UNIT, 250 UNIT, 3000 UNIT, 500 UNIT 2 PA; ST; SP (antihemophilic factor rahf-pfm) LYSTEDA ORAL TABLET 650 MG (tranexamic acid) 3 SL (30 tablets per 5 days) MONONINE INTRAVENOUS SOLUTION RECONSTITUTED 2 1000 UNIT (coagulation factor ix) monsels ferric subsulfate external solution 1 NOCDURNA SUBLINGUAL TABLET SUBLINGUAL 27.7 MCG, 3 PA; SL (1 tablet per day) 55.3 MCG (desmopressin acetate)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 59 Coverage Requirements & Prescription Drug Name Drug Tier Limits NOVOEIGHT INTRAVENOUS SOLUTION RECONSTITUTED 1000 UNIT, 2000 UNIT, 250 UNIT, 3000 UNIT, 500 UNIT 2 (antihemophil fact bd truncated) NOVOEIGHT INTRAVENOUS SOLUTION RECONSTITUTED 2 SP 1500 UNIT (antihemophil fact bd truncated) NOVOSEVEN RT INTRAVENOUS SOLUTION RECONSTITUTED 1 MG, 2 MG, 5 MG, 8 MG (coagulation 2 SP factor viia recomb) NUWIQ INTRAVENOUS KIT 1000 UNIT, 2000 UNIT, 250 UNIT, 2500 UNIT, 3000 UNIT, 4000 UNIT, 500 UNIT (antihem fact 2 SP (bdd-rfviii,sim)) NUWIQ INTRAVENOUS SOLUTION RECONSTITUTED 1000 UNIT, 2000 UNIT, 250 UNIT, 2500 UNIT, 3000 UNIT, 4000 2 SP UNIT, 500 UNIT (antihem fact (bdd-rfviii,sim)) PROFILNINE INTRAVENOUS SOLUTION RECONSTITUTED 2 SP 1000 UNIT, 1500 UNIT, 500 UNIT (factor ix complex) PROFILNINE SD INTRAVENOUS SOLUTION 2 SP RECONSTITUTED 1000 UNIT, 1500 UNIT (factor ix complex) RECOMBINATE INTRAVENOUS SOLUTION RECONSTITUTED 1241-1800 UNIT, 1801-2400 UNIT, 220-400 4 PA; ST; SP UNIT, 401-800 UNIT, 801-1240 UNIT (antihemophilic factor (recomb)) RECOTHROM EXTERNAL SOLUTION RECONSTITUTED 3 20000 UNIT, 5000 UNIT (thrombin (recombinant)) RECOTHROM SPRAY KIT EXTERNAL SOLUTION 3 RECONSTITUTED 20000 UNIT (thrombin (recombinant)) RIXUBIS INTRAVENOUS SOLUTION RECONSTITUTED 1000 2 UNIT, 2000 UNIT, 250 UNIT, 3000 UNIT, 500 UNIT STIMATE NASAL SOLUTION 1.5 MG/ML (desmopressin 3 acetate) THROMBIN-JMI EPISTAXIS EXTERNAL KIT 5000 UNIT 3 (thrombin) THROMBIN-JMI EXTERNAL KIT 20000 UNIT, 5000 UNIT 3 (thrombin) tranexamic acid oral tablet 650 mg 2 SL (30 tablets per 5 days) TRETTEN INTRAVENOUS SOLUTION RECONSTITUTED 3 SP 2000-3125 UNIT (coagulation factor xiii a-sub) VONVENDI INTRAVENOUS SOLUTION RECONSTITUTED 2 SP 1300 UNIT, 650 UNIT (von willebrand factor (recomb))

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 60 Coverage Requirements & Prescription Drug Name Drug Tier Limits WILATE INTRAVENOUS KIT 1000-1000 UNIT, 500-500 UNIT 2 SP (antihemophilic factor-vwf) XYNTHA INTRAVENOUS KIT 1000 UNIT, 2000 UNIT, 250 4 PA; ST UNIT, 500 UNIT (antihemophilic factor rahf-paf) XYNTHA SOLOFUSE INTRAVENOUS KIT 1000 UNIT, 2000 4 PA; ST UNIT, 250 UNIT, 500 UNIT (antihemophilic factor rahf-paf) XYNTHA SOLOFUSE INTRAVENOUS KIT 3000 UNIT 4 PA; ST; SP (antihemophilic factor rahf-paf) HEPARINS - Drugs to Prevent Blood Clots SL (42 ml (14 vials) per enoxaparin sodium injection solution 300 mg/3ml 2 prescription) enoxaparin sodium subcutaneous solution 100 mg/ml, 150 SL (30 syringes per 2 mg/ml prescription) enoxaparin sodium subcutaneous solution 120 mg/0.8ml, 80 SL (24 ml (30 syringes) per 2 mg/0.8ml prescription) SL (9 ml (30 syringes) per enoxaparin sodium subcutaneous solution 30 mg/0.3ml 2 prescription) SL (12 ml (30 syringes) per enoxaparin sodium subcutaneous solution 40 mg/0.4ml 2 prescription) SL (18 ml (30 syringes) per enoxaparin sodium subcutaneous solution 60 mg/0.6ml 2 prescription) FRAGMIN SUBCUTANEOUS SOLUTION 10000 UNIT/ML SL (10 ml (10 syringes) per 4 (dalteparin sodium) prescription) FRAGMIN SUBCUTANEOUS SOLUTION 12500 UNIT/0.5ML SL (5 ml (10 syringes) per 4 (dalteparin sodium) prescription) FRAGMIN SUBCUTANEOUS SOLUTION 15000 UNIT/0.6ML SL (6 ml (10 syringes) per 4 (dalteparin sodium) prescription) FRAGMIN SUBCUTANEOUS SOLUTION 18000 UNT/0.72ML SL (8 ml (10 syringes) per 4 (dalteparin sodium) prescription) FRAGMIN SUBCUTANEOUS SOLUTION 2500 UNIT/0.2ML, SL (2 ml (10 syringes) per 4 5000 UNIT/0.2ML (dalteparin sodium) prescription) FRAGMIN SUBCUTANEOUS SOLUTION 7500 UNIT/0.3ML SL (3 ml (10 syringes) per 4 (dalteparin sodium) prescription) FRAGMIN SUBCUTANEOUS SOLUTION 95000 UNIT/3.8ML 4 (dalteparin sodium) heparin lock flush intravenous solution 10 unit/ml 1 heparin sodium (porcine) injection solution 1000 unit/ml, 10000 1 unit/ml, 20000 unit/ml, 5000 unit/ml

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 61 Coverage Requirements & Prescription Drug Name Drug Tier Limits heparin sodium (porcine) injection solution prefilled syringe 1 5000 unit/0.5ml heparin sodium (porcine) pf injection solution 5000 unit/0.5ml, 1 5000 unit/ml heparin sodium lock flush intravenous solution 100 unit/ml 1 IRON PREPARATIONS - Vitamins and Minerals BACMIN ORAL TABLET (multiple vitamins-minerals) 3 b-plex plus oral tablet 1 CITRANATAL BLOOM ORAL TABLET 90-1 MG (prenatal-dss- 3 fecb-fegl-fa) ELITE-OB ORAL TABLET 50-1.25 MG (prenatal vit-iron 3 carbonyl-fa) ENBRACE HR ORAL CAPSULE (prenat vit-fe gly cys-fa- 3 omega) FORTAVIT ORAL CAPSULE (multiple vitamins-minerals) 3 hematinic/folic acid oral tablet 324-1 mg 1 ferrous fumarate-folic acid (Hemocyte-F Oral Tablet 324-1 Mg) 1 M-NATAL PLUS ORAL TABLET 27-1 MG 3 multi-vit/iron/fluoride oral solution 0.25-10 mg/ml 1 multivitamin/fluoride/iron oral solution 0.25-10 mg/ml 1 multi-vitamin/fluoride/iron oral solution 0.25-10 mg/ml 1 NESTABS ORAL TABLET 32-1 MG (prenat-fe bisgly-fa-w/o vit 3 a) NUTRICAP ORAL TABLET (multiple vitamins-minerals) 3 pnv prenatal plus multivit+dha oral 27-1 & 312 mg 1 POLY-VI-FLOR/IRON ORAL SUSPENSION 0.25-7 MG/ML 3 (ped multivitamins-fl-iron) POLY-VI-FLOR/IRON ORAL TABLET CHEWABLE 0.5-10 MG 3 (ped multivitamins-fl-iron) PRENAISSANCE ORAL CAPSULE 29-1.25-325 MG 2 PRENATA ORAL TABLET CHEWABLE 29-1 MG (prenatal w/o 3 a vit-fe fum-fa) prenatal oral tablet 27-1 mg 1 prenatal plus iron oral tablet 29-1 mg 1 PRENATE DHA ORAL CAPSULE 18-0.6-0.4-300 MG (prenat- 3 feasp-meth-fa-dha w/o a)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 62 Coverage Requirements & Prescription Drug Name Drug Tier Limits PRENATE ELITE ORAL TABLET 20-0.6-0.4 MG (prenatal- 3 feaspgly-methylfol-fa) PRENATE ENHANCE ORAL CAPSULE 28-0.6-0.4-400 MG 3 (prenat w/o a-fe-methfol-fa-dha) PRENATE ESSENTIAL ORAL CAPSULE 18-0.6-0.4-300 MG 3 (prenat-feasp-meth-fa-dha w/o a) PRENATE MINI ORAL CAPSULE 18-0.6-0.4-350 MG (prenat- 3 fecbn-feasp-meth-fa-dha) PRENATE PIXIE ORAL CAPSULE 10-0.6-0.4-200 MG (prenat- 3 feasp-meth-fa-dha w/o a) PRENATE RESTORE ORAL CAPSULE 27-0.6-0.4-400 MG 3 (prenat w/o a-fe-methfol-fa-dha) PRIMACARE ORAL CAPSULE 30-1-470 MG (pren-fe-meth-fa- 3 omeg w/o a) RELNATE DHA ORAL CAPSULE 28-1-200 MG 3 REMEDIENT ORAL CAPSULE 1 MG (multiple vitamins- 3 minerals-fa) SELECT-OB ORAL TABLET CHEWABLE 29-1 MG (prenatal 4 vit-fe psac cmplx-fa) SIDEROL ORAL TABLET (multiple vitamins-minerals) 3 STROVITE FORTE ORAL SYRUP (multiple vitamins-minerals- 2 fa) STROVITE FORTE ORAL TABLET (multiple vitamins-minerals) 4 TRICARE PRENATAL DHA ONE ORAL CAPSULE 27-1-500 3 MG (prenatal-fefum-fa-dss-fish oil) trinate oral tablet 1 multiple vitamins-minerals (Vita S Forte Oral Tablet) 1 VITAFOL FE+ ORAL CAPSULE 90-0.6-0.4-200 MG (prenat-fe 3 poly-methfol-fa-dha) VITAFOL-OB+DHA ORAL 65-1 & 250 MG (prenatal mv-min-fe 3 fum-fa-dha) vp-pnv-dha oral capsule 28-1-215.8 mg 1 PLATELET-AGGREGATION INHIBITORS - Drugs to Prevent Blood Clots AGGRENOX ORAL CAPSULE EXTENDED RELEASE 12 4 HOUR 25-200 MG (aspirin-dipyridamole) aspirin-dipyridamole er oral capsule extended release 12 hour 3 25-200 mg

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 63 Coverage Requirements & Prescription Drug Name Drug Tier Limits BRILINTA ORAL TABLET 60 MG, 90 MG (ticagrelor) 4 SL (2 tablets per day) butalbital-aspirin-caffeine oral capsule 50-325-40 mg 1 butalbital-aspirin-caffeine oral tablet 50-325-40 mg 1 cilostazol oral tablet 100 mg, 50 mg 1 clopidogrel bisulfate oral tablet 300 mg, 75 mg 1 dipyridamole oral tablet 25 mg, 50 mg, 75 mg 1 FIORINAL ORAL CAPSULE 50-325-40 MG (butalbital-aspirin- 4 caffeine) prasugrel hcl oral tablet 10 mg, 5 mg 3 SL (31 tablets per 31 days) ZONTIVITY ORAL TABLET 2.08 MG (vorapaxar sulfate) 4 SL (1 tablet per day) PLATELET-REDUCING AGENTS - Drugs to Prevent Blood Clots AGRYLIN ORAL CAPSULE 0.5 MG (anagrelide hcl) 4 anagrelide hcl oral capsule 0.5 mg, 1 mg 1 THROMBOLYTIC AGENTS - Drugs to Prevent Blood Clots butalbital-aspirin-caffeine oral capsule 50-325-40 mg 1 butalbital-aspirin-caffeine oral tablet 50-325-40 mg 1 FIORINAL ORAL CAPSULE 50-325-40 MG (butalbital-aspirin- 4 caffeine) CARDIOVASCULAR DRUGS - Drugs for the Heart ALPHA-ADRENERGIC BLOCKING AGENTS - Drugs for High Blood Pressure CARDURA ORAL TABLET 1 MG, 2 MG, 4 MG, 8 MG 4 (doxazosin mesylate) CARDURA XL ORAL TABLET EXTENDED RELEASE 24 3 HOUR 4 MG, 8 MG (doxazosin mesylate) carvedilol oral tablet 12.5 mg, 25 mg, 3.125 mg, 6.25 mg 1 COREG ORAL TABLET 12.5 MG, 25 MG, 3.125 MG, 6.25 MG 4 (carvedilol) doxazosin mesylate oral tablet 1 mg, 2 mg, 4 mg, 8 mg 1 labetalol hcl oral tablet 100 mg, 200 mg, 300 mg 1 MINIPRESS ORAL CAPSULE 1 MG, 2 MG, 5 MG (prazosin 4 hcl) prazosin hcl oral capsule 1 mg, 2 mg, 5 mg 1 terazosin hcl oral capsule 1 mg, 10 mg, 2 mg, 5 mg 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 64 Coverage Requirements & Prescription Drug Name Drug Tier Limits ALPHA-ADRENERGIC BLOCKING AGT.(HYPOTEN) - Drugs for High Blood Pressure & Angina CARDURA ORAL TABLET 1 MG, 2 MG, 4 MG, 8 MG 4 (doxazosin mesylate) CARDURA XL ORAL TABLET EXTENDED RELEASE 24 3 HOUR 4 MG, 8 MG (doxazosin mesylate) doxazosin mesylate oral tablet 1 mg, 2 mg, 4 mg, 8 mg 1 labetalol hcl oral tablet 100 mg, 200 mg, 300 mg 1 MINIPRESS ORAL CAPSULE 1 MG, 2 MG, 5 MG (prazosin 4 hcl) prazosin hcl oral capsule 1 mg, 2 mg, 5 mg 1 terazosin hcl oral capsule 1 mg, 10 mg, 2 mg, 5 mg 1 ANGIOTENSIN II RECEPTOR ANTAGON.(HYPOTN) - Drugs for High Blood Pressure & Angina besylate-valsartan oral tablet 10-160 mg, 10-320 2 mg, 5-160 mg, 5-320 mg ATACAND HCT ORAL TABLET 16-12.5 MG, 32-12.5 MG, 32- 4 25 MG (candesartan cilexetil-hctz) ATACAND ORAL TABLET 16 MG, 32 MG, 4 MG, 8 MG 4 (candesartan cilexetil) AVALIDE ORAL TABLET 150-12.5 MG, 300-12.5 MG 4 (irbesartan-hydrochlorothiazide) AVAPRO ORAL TABLET 150 MG, 300 MG, 75 MG (irbesartan) 4 candesartan cilexetil oral tablet 16 mg, 32 mg, 4 mg, 8 mg 3 candesartan cilexetil-hctz oral tablet 16-12.5 mg, 32-12.5 mg, 3 32-25 mg COZAAR ORAL TABLET 100 MG, 25 MG, 50 MG (losartan 4 potassium) EDARBI ORAL TABLET 40 MG, 80 MG (azilsartan medoxomil) 3 EDARBYCLOR ORAL TABLET 40-12.5 MG, 40-25 MG 3 (azilsartan-chlorthalidone) HYZAAR ORAL TABLET 100-12.5 MG, 100-25 MG, 50-12.5 4 MG (losartan potassium-hctz) irbesartan oral tablet 150 mg, 300 mg, 75 mg 1 irbesartan-hydrochlorothiazide oral tablet 150-12.5 mg, 300- 1 12.5 mg losartan potassium oral tablet 100 mg, 25 mg, 50 mg 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 65 Coverage Requirements & Prescription Drug Name Drug Tier Limits losartan potassium-hctz oral tablet 100-12.5 mg, 100-25 mg, 1 50-12.5 mg olmesartan medoxomil oral tablet 20 mg, 40 mg, 5 mg 2 olmesartan medoxomil-hctz oral tablet 20-12.5 mg, 40-12.5 mg, 2 40-25 mg oral tablet 20 mg, 40 mg, 80 mg 2 telmisartan-hctz oral tablet 40-12.5 mg, 80-12.5 mg, 80-25 mg 2 valsartan oral tablet 160 mg, 320 mg, 40 mg, 80 mg 2 valsartan-hydrochlorothiazide oral tablet 160-12.5 mg, 160-25 1 mg, 320-12.5 mg, 320-25 mg, 80-12.5 mg ANGIOTENSIN II RECEPTOR ANTAGONISTS - Drugs for the Heart amlodipine besylate-valsartan oral tablet 10-160 mg, 10-320 2 mg, 5-160 mg, 5-320 mg ATACAND HCT ORAL TABLET 16-12.5 MG, 32-12.5 MG, 32- 4 25 MG (candesartan cilexetil-hctz) ATACAND ORAL TABLET 16 MG, 32 MG, 4 MG, 8 MG 4 (candesartan cilexetil) AVALIDE ORAL TABLET 150-12.5 MG, 300-12.5 MG 4 (irbesartan-hydrochlorothiazide) AVAPRO ORAL TABLET 150 MG, 300 MG, 75 MG (irbesartan) 4 candesartan cilexetil oral tablet 16 mg, 32 mg, 4 mg, 8 mg 3 candesartan cilexetil-hctz oral tablet 16-12.5 mg, 32-12.5 mg, 3 32-25 mg COZAAR ORAL TABLET 100 MG, 25 MG, 50 MG (losartan 4 potassium) EDARBI ORAL TABLET 40 MG, 80 MG (azilsartan medoxomil) 3 EDARBYCLOR ORAL TABLET 40-12.5 MG, 40-25 MG 3 (azilsartan-chlorthalidone) ENTRESTO ORAL TABLET 24-26 MG, 49-51 MG, 97-103 MG 4 PA; SL (2 tablets per day) (sacubitril-valsartan) HYZAAR ORAL TABLET 100-12.5 MG, 100-25 MG, 50-12.5 4 MG (losartan potassium-hctz) irbesartan oral tablet 150 mg, 300 mg, 75 mg 1 irbesartan-hydrochlorothiazide oral tablet 150-12.5 mg, 300- 1 12.5 mg losartan potassium oral tablet 100 mg, 25 mg, 50 mg 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 66 Coverage Requirements & Prescription Drug Name Drug Tier Limits losartan potassium-hctz oral tablet 100-12.5 mg, 100-25 mg, 1 50-12.5 mg olmesartan medoxomil oral tablet 20 mg, 40 mg, 5 mg 2 olmesartan medoxomil-hctz oral tablet 20-12.5 mg, 40-12.5 mg, 2 40-25 mg telmisartan oral tablet 20 mg, 40 mg, 80 mg 2 telmisartan-hctz oral tablet 40-12.5 mg, 80-12.5 mg, 80-25 mg 2 valsartan oral tablet 160 mg, 320 mg, 40 mg, 80 mg 2 valsartan-hydrochlorothiazide oral tablet 160-12.5 mg, 160-25 1 mg, 320-12.5 mg, 320-25 mg, 80-12.5 mg ANGIOTENSIN-CONVERT.ENZYME INHIB(HYPOTN) - Drugs for High Blood Pressure & Angina ACCUPRIL ORAL TABLET 10 MG, 20 MG, 40 MG, 5 MG 4 (quinapril hcl) ACCURETIC ORAL TABLET 10-12.5 MG, 20-12.5 MG, 20-25 4 MG (quinapril-hydrochlorothiazide) ALTACE ORAL CAPSULE 1.25 MG, 10 MG, 2.5 MG, 5 MG 4 (ramipril) amlodipine besylate-benazepril hcl oral capsule 10-20 mg, 10- 1 40 mg, 2.5-10 mg, 5-10 mg, 5-20 mg, 5-40 mg benazepril hcl oral tablet 10 mg, 20 mg, 40 mg, 5 mg 1 benazepril-hydrochlorothiazide oral tablet 10-12.5 mg, 20-12.5 1 mg, 20-25 mg, 5-6.25 mg captopril oral tablet 100 mg, 12.5 mg, 25 mg, 50 mg 1 captopril-hydrochlorothiazide oral tablet 25-15 mg, 25-25 mg, 1 50-15 mg, 50-25 mg enalapril maleate oral tablet 10 mg, 2.5 mg, 20 mg, 5 mg 1 enalapril-hydrochlorothiazide oral tablet 10-25 mg, 5-12.5 mg 1 EPANED ORAL SOLUTION 1 MG/ML (enalapril maleate) 4 PA fosinopril sodium oral tablet 10 mg, 20 mg, 40 mg 1 fosinopril sodium-hctz oral tablet 10-12.5 mg, 20-12.5 mg 1 lisinopril oral tablet 10 mg, 2.5 mg, 20 mg, 30 mg, 40 mg, 5 mg 1 lisinopril-hydrochlorothiazide oral tablet 10-12.5 mg, 20-12.5 1 mg, 20-25 mg LOTENSIN HCT ORAL TABLET 10-12.5 MG, 20-12.5 MG, 20- 4 25 MG (benazepril-hydrochlorothiazide)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 67 Coverage Requirements & Prescription Drug Name Drug Tier Limits LOTENSIN ORAL TABLET 10 MG, 20 MG, 40 MG (benazepril 4 hcl) LOTREL ORAL CAPSULE 10-20 MG, 10-40 MG, 5-10 MG, 5- 4 20 MG (amlodipine besy-benazepril hcl) moexipril hcl oral tablet 15 mg, 7.5 mg 1 perindopril erbumine oral tablet 2 mg, 4 mg, 8 mg 2 PRINIVIL ORAL TABLET 10 MG, 20 MG (lisinopril) 4 QBRELIS ORAL SOLUTION 1 MG/ML (lisinopril) 4 PA quinapril hcl oral tablet 10 mg, 20 mg, 40 mg, 5 mg 1 quinapril-hydrochlorothiazide oral tablet 10-12.5 mg, 20-12.5 2 mg, 20-25 mg ramipril oral capsule 1.25 mg, 10 mg, 2.5 mg, 5 mg 1 TARKA ORAL TABLET EXTENDED RELEASE 2-180 MG, 2- 4 240 MG, 4-240 MG (trandolapril-verapamil hcl) trandolapril oral tablet 1 mg, 2 mg, 4 mg 1 trandolapril-verapamil hcl er oral tablet extended release 1-240 3 mg, 2-180 mg, 2-240 mg, 4-240 mg ANGIOTENSIN-CONVERTING ENZYME INHIBITORS - Drugs for the Heart ACCUPRIL ORAL TABLET 10 MG, 20 MG, 40 MG, 5 MG 4 (quinapril hcl) ACCURETIC ORAL TABLET 10-12.5 MG, 20-12.5 MG, 20-25 4 MG (quinapril-hydrochlorothiazide) ALTACE ORAL CAPSULE 1.25 MG, 10 MG, 2.5 MG, 5 MG 4 (ramipril) amlodipine besylate-benazepril hcl oral capsule 10-20 mg, 10- 1 40 mg, 2.5-10 mg, 5-10 mg, 5-20 mg, 5-40 mg benazepril hcl oral tablet 10 mg, 20 mg, 40 mg, 5 mg 1 benazepril-hydrochlorothiazide oral tablet 10-12.5 mg, 20-12.5 1 mg, 20-25 mg, 5-6.25 mg captopril oral tablet 100 mg, 12.5 mg, 25 mg, 50 mg 1 captopril-hydrochlorothiazide oral tablet 25-15 mg, 25-25 mg, 1 50-15 mg, 50-25 mg enalapril maleate oral tablet 10 mg, 2.5 mg, 20 mg, 5 mg 1 enalapril-hydrochlorothiazide oral tablet 10-25 mg, 5-12.5 mg 1 EPANED ORAL SOLUTION 1 MG/ML (enalapril maleate) 4 PA fosinopril sodium oral tablet 10 mg, 20 mg, 40 mg 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 68 Coverage Requirements & Prescription Drug Name Drug Tier Limits fosinopril sodium-hctz oral tablet 10-12.5 mg, 20-12.5 mg 1 lisinopril oral tablet 10 mg, 2.5 mg, 20 mg, 30 mg, 40 mg, 5 mg 1 lisinopril-hydrochlorothiazide oral tablet 10-12.5 mg, 20-12.5 1 mg, 20-25 mg LOTENSIN HCT ORAL TABLET 10-12.5 MG, 20-12.5 MG, 20- 4 25 MG (benazepril-hydrochlorothiazide) LOTENSIN ORAL TABLET 10 MG, 20 MG, 40 MG (benazepril 4 hcl) LOTREL ORAL CAPSULE 10-20 MG, 10-40 MG, 5-10 MG, 5- 4 20 MG (amlodipine besy-benazepril hcl) moexipril hcl oral tablet 15 mg, 7.5 mg 1 perindopril erbumine oral tablet 2 mg, 4 mg, 8 mg 2 PRINIVIL ORAL TABLET 10 MG, 20 MG (lisinopril) 4 QBRELIS ORAL SOLUTION 1 MG/ML (lisinopril) 4 PA quinapril hcl oral tablet 10 mg, 20 mg, 40 mg, 5 mg 1 quinapril-hydrochlorothiazide oral tablet 10-12.5 mg, 20-12.5 2 mg, 20-25 mg ramipril oral capsule 1.25 mg, 10 mg, 2.5 mg, 5 mg 1 TARKA ORAL TABLET EXTENDED RELEASE 2-180 MG, 2- 4 240 MG, 4-240 MG (trandolapril-verapamil hcl) trandolapril oral tablet 1 mg, 2 mg, 4 mg 1 trandolapril-verapamil hcl er oral tablet extended release 1-240 3 mg, 2-180 mg, 2-240 mg, 4-240 mg ANTIARRHYTHMICS, MISCELLANEOUS - Drugs for Angina digoxin (Digitek Oral Tablet 125 Mcg, 250 Mcg) 1 digoxin (Digox Oral Tablet 125 Mcg, 250 Mcg) 1 digoxin oral solution 0.05 mg/ml 1 digoxin oral tablet 125 mcg, 250 mcg 1 LANOXIN ORAL TABLET 125 MCG, 250 MCG, 62.5 MCG 3 (digoxin) ANTILIPEMIC AGENTS, MISCELLANEOUS - Drugs for JUXTAPID ORAL CAPSULE 10 MG, 5 MG (lomitapide PA; ST; SL (1 tablet per day); 4 mesylate) SP JUXTAPID ORAL CAPSULE 20 MG, 30 MG, 40 MG, 60 MG PA; ST; SL (1 capsule per 4 (lomitapide mesylate) day); SP

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 69 Coverage Requirements & Prescription Drug Name Drug Tier Limits niacin (antihyperlipidemic) oral tablet 500 mg 2 niacin er (antihyperlipidemic) oral tablet extended release 1000 4 mg, 500 mg, 750 mg niacor oral tablet 500 mg 2 NIASPAN ORAL TABLET EXTENDED RELEASE 1000 MG, 2 500 MG, 750 MG (niacin (antihyperlipidemic)) omega-3-acid ethyl esters oral capsule 1 gm 3 VASCEPA ORAL CAPSULE 0.5 GM (icosapent ethyl) 4 PA VASCEPA ORAL CAPSULE 1 GM (icosapent ethyl) 3 PA BETA-ADRENERGIC BLOCKING AGENTS - Drugs for Abnormal Heart Rhythms acebutolol hcl oral capsule 200 mg, 400 mg 1 atenolol oral tablet 100 mg, 25 mg, 50 mg 1 atenolol-chlorthalidone oral tablet 100-25 mg, 50-25 mg 1 BETAPACE AF ORAL TABLET 120 MG, 160 MG, 80 MG 4 (sotalol hcl af) betaxolol hcl oral tablet 10 mg, 20 mg 1 bisoprolol fumarate oral tablet 10 mg, 5 mg 1 bisoprolol-hydrochlorothiazide oral tablet 10-6.25 mg, 2.5-6.25 1 mg, 5-6.25 mg BYSTOLIC ORAL TABLET 10 MG, 2.5 MG, 20 MG, 5 MG 2 (nebivolol hcl) carvedilol oral tablet 12.5 mg, 25 mg, 3.125 mg, 6.25 mg 1 COREG ORAL TABLET 12.5 MG, 25 MG, 3.125 MG, 6.25 MG 4 (carvedilol) CORGARD ORAL TABLET 20 MG, 40 MG, 80 MG (nadolol) 4 INDERAL XL ORAL CAPSULE EXTENDED RELEASE 24 3 HOUR 120 MG, 80 MG (propranolol hcl sr beads) INNOPRAN XL ORAL CAPSULE EXTENDED RELEASE 24 3 HOUR 120 MG, 80 MG (propranolol hcl sr beads) KAPSPARGO SPRINKLE ORAL CAPSULE ER 24 HOUR SPRINKLE 100 MG, 200 MG, 25 MG, 50 MG (metoprolol 4 succinate) labetalol hcl oral tablet 100 mg, 200 mg, 300 mg 1 LOPRESSOR HCT ORAL TABLET 50-25 MG (metoprolol- 4 hydrochlorothiazide)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 70 Coverage Requirements & Prescription Drug Name Drug Tier Limits LOPRESSOR ORAL TABLET 100 MG, 50 MG (metoprolol 4 tartrate) metoprolol succinate er oral tablet extended release 24 hour 2 100 mg, 200 mg, 50 mg metoprolol succinate er oral tablet extended release 24 hour 25 1 mg metoprolol tartrate oral tablet 100 mg, 25 mg, 50 mg 1 metoprolol-hydrochlorothiazide oral tablet 100-25 mg, 100-50 1 mg, 50-25 mg nadolol oral tablet 20 mg, 40 mg, 80 mg 1 pindolol oral tablet 10 mg, 5 mg 1 propranolol hcl er oral capsule extended release 24 hour 120 2 mg, 160 mg, 60 mg, 80 mg propranolol hcl oral solution 20 mg/5ml, 40 mg/5ml 1 propranolol hcl oral tablet 10 mg, 20 mg, 40 mg, 60 mg, 80 mg 1 propranolol-hctz oral tablet 40-25 mg, 80-25 mg 1 sotalol hcl (af) oral tablet 120 mg, 160 mg, 80 mg 1 sotalol hcl oral tablet 120 mg, 160 mg, 240 mg, 80 mg 1 SOTYLIZE ORAL SOLUTION 5 MG/ML (sotalol hcl) 4 PA timolol maleate oral tablet 10 mg, 20 mg, 5 mg 1 TOPROL XL ORAL TABLET EXTENDED RELEASE 24 HOUR 4 100 MG, 200 MG, 25 MG, 50 MG (metoprolol succinate) ZIAC ORAL TABLET 10-6.25 MG, 2.5-6.25 MG (bisoprolol- 3 hydrochlorothiazide) ZIAC ORAL TABLET 5-6.25 MG (bisoprolol- 4 hydrochlorothiazide) BETA-ADRENERGIC BLOCKING AGT.(HYPOTEN) - Drugs for High Blood Pressure & Angina acebutolol hcl oral capsule 200 mg, 400 mg 1 atenolol oral tablet 100 mg, 25 mg, 50 mg 1 atenolol-chlorthalidone oral tablet 100-25 mg, 50-25 mg 1 BETAPACE AF ORAL TABLET 120 MG, 160 MG, 80 MG 4 (sotalol hcl af) betaxolol hcl oral tablet 10 mg, 20 mg 1 bisoprolol fumarate oral tablet 10 mg, 5 mg 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 71 Coverage Requirements & Prescription Drug Name Drug Tier Limits bisoprolol-hydrochlorothiazide oral tablet 10-6.25 mg, 2.5-6.25 1 mg, 5-6.25 mg CORGARD ORAL TABLET 20 MG, 40 MG, 80 MG (nadolol) 4 INDERAL XL ORAL CAPSULE EXTENDED RELEASE 24 3 HOUR 120 MG, 80 MG (propranolol hcl sr beads) INNOPRAN XL ORAL CAPSULE EXTENDED RELEASE 24 3 HOUR 120 MG, 80 MG (propranolol hcl sr beads) KAPSPARGO SPRINKLE ORAL CAPSULE ER 24 HOUR SPRINKLE 100 MG, 200 MG, 25 MG, 50 MG (metoprolol 4 succinate) labetalol hcl oral tablet 100 mg, 200 mg, 300 mg 1 LOPRESSOR HCT ORAL TABLET 50-25 MG (metoprolol- 4 hydrochlorothiazide) LOPRESSOR ORAL TABLET 100 MG, 50 MG (metoprolol 4 tartrate) metoprolol succinate er oral tablet extended release 24 hour 2 100 mg, 200 mg, 50 mg metoprolol succinate er oral tablet extended release 24 hour 25 1 mg metoprolol tartrate oral tablet 100 mg, 25 mg, 50 mg 1 metoprolol-hydrochlorothiazide oral tablet 100-25 mg, 100-50 1 mg, 50-25 mg nadolol oral tablet 20 mg, 40 mg, 80 mg 1 pindolol oral tablet 10 mg, 5 mg 1 propranolol hcl er oral capsule extended release 24 hour 120 2 mg, 160 mg, 60 mg, 80 mg propranolol hcl oral solution 20 mg/5ml, 40 mg/5ml 1 propranolol hcl oral tablet 10 mg, 20 mg, 40 mg, 60 mg, 80 mg 1 propranolol-hctz oral tablet 40-25 mg, 80-25 mg 1 sotalol hcl (af) oral tablet 120 mg, 160 mg, 80 mg 1 sotalol hcl oral tablet 120 mg, 160 mg, 240 mg, 80 mg 1 SOTYLIZE ORAL SOLUTION 5 MG/ML (sotalol hcl) 4 PA timolol maleate oral tablet 10 mg, 20 mg, 5 mg 1 TOPROL XL ORAL TABLET EXTENDED RELEASE 24 HOUR 4 100 MG, 200 MG, 25 MG, 50 MG (metoprolol succinate) ZIAC ORAL TABLET 10-6.25 MG, 2.5-6.25 MG (bisoprolol- 3 hydrochlorothiazide)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 72 Coverage Requirements & Prescription Drug Name Drug Tier Limits ZIAC ORAL TABLET 5-6.25 MG (bisoprolol- 4 hydrochlorothiazide) SEQUESTRANTS - Drugs for Cholesterol cholestyramine light oral packet 4 gm 1 cholestyramine light oral powder 4 gm/dose 1 cholestyramine oral packet 4 gm 1 cholestyramine oral powder 4 gm/dose 1 COLESTID FLAVORED ORAL GRANULES 5 GM (colestipol 3 hcl) COLESTID FLAVORED ORAL PACKET 5 GM (colestipol hcl) 4 COLESTID ORAL GRANULES 5 GM (colestipol hcl) 3 COLESTID ORAL PACKET 5 GM (colestipol hcl) 4 COLESTID ORAL TABLET 1 GM (colestipol hcl) 4 colestipol hcl oral granules 5 gm 1 colestipol hcl oral packet 5 gm 1 colestipol hcl oral tablet 1 gm 1 cholestyramine light (Prevalite Oral Packet 4 Gm) 1 cholestyramine light (Prevalite Oral Powder 4 Gm/Dose) 1 QUESTRAN LIGHT ORAL POWDER 4 GM/DOSE 4 (cholestyramine light) QUESTRAN ORAL PACKET 4 GM (cholestyramine) 4 QUESTRAN ORAL POWDER 4 GM/DOSE (cholestyramine) 4 WELCHOL ORAL PACKET 3.75 GM (colesevelam hcl) 2 WELCHOL ORAL TABLET 625 MG (colesevelam hcl) 2 CALCIUM-CHANNEL BLOCK.AGT,MISC(HYPOTEN) - Drugs for High Blood Pressure & Angina CALAN SR ORAL TABLET EXTENDED RELEASE 120 MG, 4 180 MG, 240 MG (verapamil hcl) diltiazem hcl coated beads (Cartia Xt Oral Capsule Extended 2 Release 24 Hour 120 Mg, 180 Mg, 240 Mg, 300 Mg) diltiazem hcl er beads oral capsule extended release 24 hour 2 120 mg, 180 mg, 240 mg, 300 mg, 360 mg, 420 mg diltiazem hcl er coated beads oral capsule extended release 24 2 hour 120 mg, 180 mg, 240 mg, 300 mg, 360 mg diltiazem hcl er coated beads oral tablet extended release 24 2 hour 180 mg, 240 mg, 300 mg, 360 mg, 420 mg

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 73 Coverage Requirements & Prescription Drug Name Drug Tier Limits diltiazem hcl er oral capsule extended release 12 hour 120 mg, 1 60 mg, 90 mg diltiazem hcl oral tablet 120 mg, 30 mg, 60 mg, 90 mg 1 dilt-xr oral capsule extended release 24 hour 120 mg, 180 mg, 1 240 mg diltiazem hcl coated beads (Matzim La Oral Tablet Extended 2 Release 24 Hour 180 Mg, 240 Mg, 300 Mg, 360 Mg, 420 Mg) TARKA ORAL TABLET EXTENDED RELEASE 2-180 MG, 2- 4 240 MG, 4-240 MG (trandolapril-verapamil hcl) diltiazem hcl er beads (Taztia Xt Oral Capsule Extended 2 Release 24 Hour 120 Mg, 180 Mg, 240 Mg, 300 Mg, 360 Mg) diltiazem hcl er beads (Tiadylt Er Oral Capsule Extended Release 24 Hour 120 Mg, 180 Mg, 240 Mg, 300 Mg, 360 Mg, 2 420 Mg) TIAZAC ORAL CAPSULE EXTENDED RELEASE 24 HOUR 120 MG, 180 MG, 240 MG, 300 MG, 360 MG, 420 MG 4 (diltiazem hcl er beads) trandolapril-verapamil hcl er oral tablet extended release 1-240 3 mg, 2-180 mg, 2-240 mg, 4-240 mg verapamil hcl er oral capsule extended release 24 hour 100 mg, 3 200 mg, 300 mg verapamil hcl er oral capsule extended release 24 hour 120 mg, 1 180 mg, 240 mg, 360 mg verapamil hcl er oral tablet extended release 120 mg, 180 mg, 1 240 mg verapamil hcl oral tablet 120 mg, 40 mg, 80 mg 1 VERELAN ORAL CAPSULE EXTENDED RELEASE 24 HOUR 4 120 MG, 180 MG, 240 MG, 360 MG (verapamil hcl) VERELAN PM ORAL CAPSULE EXTENDED RELEASE 24 4 HOUR 100 MG, 200 MG, 300 MG (verapamil hcl) CALCIUM-CHANNEL BLOCKING AGENTS - Drugs for High Blood Pressure & Angina ADALAT CC ORAL TABLET EXTENDED RELEASE 24 HOUR 4 60 MG () amlodipine besylate oral tablet 10 mg, 2.5 mg, 5 mg 1 amlodipine besylate-benazepril hcl oral capsule 10-20 mg, 10- 1 40 mg, 2.5-10 mg, 5-10 mg, 5-20 mg, 5-40 mg

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 74 Coverage Requirements & Prescription Drug Name Drug Tier Limits amlodipine besylate-valsartan oral tablet 10-160 mg, 10-320 2 mg, 5-160 mg, 5-320 mg CALAN SR ORAL TABLET EXTENDED RELEASE 120 MG, 4 180 MG, 240 MG (verapamil hcl) diltiazem hcl coated beads (Cartia Xt Oral Capsule Extended 2 Release 24 Hour 120 Mg, 180 Mg, 240 Mg, 300 Mg) diltiazem hcl er beads oral capsule extended release 24 hour 2 120 mg, 180 mg, 240 mg, 300 mg, 360 mg, 420 mg diltiazem hcl er coated beads oral capsule extended release 24 2 hour 120 mg, 180 mg, 240 mg, 300 mg, 360 mg diltiazem hcl er coated beads oral tablet extended release 24 2 hour 180 mg, 240 mg, 300 mg, 360 mg, 420 mg diltiazem hcl er oral capsule extended release 12 hour 120 mg, 1 60 mg, 90 mg diltiazem hcl oral tablet 120 mg, 30 mg, 60 mg, 90 mg 1 dilt-xr oral capsule extended release 24 hour 120 mg, 180 mg, 1 240 mg er oral tablet extended release 24 hour 10 mg, 2.5 1 mg, 5 mg isradipine oral capsule 2.5 mg, 5 mg 1 KATERZIA ORAL SUSPENSION 1 MG/ML (amlodipine 4 PA benzoate) LOTREL ORAL CAPSULE 10-20 MG, 10-40 MG, 5-10 MG, 5- 4 20 MG (amlodipine besy-benazepril hcl) diltiazem hcl coated beads (Matzim La Oral Tablet Extended 2 Release 24 Hour 180 Mg, 240 Mg, 300 Mg, 360 Mg, 420 Mg) hcl oral capsule 20 mg, 30 mg 1 nifedipine er oral tablet extended release 24 hour 30 mg, 60 mg, 1 90 mg nifedipine er osmotic release oral tablet extended release 24 1 hour 30 mg, 60 mg, 90 mg nifedipine oral capsule 10 mg, 20 mg 1 nimodipine oral capsule 30 mg 1 er oral tablet extended release 24 hour 17 mg, 20 2 mg, 25.5 mg, 30 mg, 34 mg, 40 mg, 8.5 mg NYMALIZE ORAL SOLUTION 30 MG/10ML, 60 MG/20ML 2 (nimodipine) PROCARDIA ORAL CAPSULE 10 MG (nifedipine) 4

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 75 Coverage Requirements & Prescription Drug Name Drug Tier Limits PROCARDIA XL ORAL TABLET EXTENDED RELEASE 24 4 HOUR 30 MG, 60 MG, 90 MG (nifedipine) SULAR ORAL TABLET EXTENDED RELEASE 24 HOUR 17 4 MG, 34 MG, 8.5 MG (nisoldipine) TARKA ORAL TABLET EXTENDED RELEASE 2-180 MG, 2- 4 240 MG, 4-240 MG (trandolapril-verapamil hcl) diltiazem hcl er beads (Taztia Xt Oral Capsule Extended 2 Release 24 Hour 120 Mg, 180 Mg, 240 Mg, 300 Mg, 360 Mg) diltiazem hcl er beads (Tiadylt Er Oral Capsule Extended Release 24 Hour 120 Mg, 180 Mg, 240 Mg, 300 Mg, 360 Mg, 2 420 Mg) TIAZAC ORAL CAPSULE EXTENDED RELEASE 24 HOUR 120 MG, 180 MG, 240 MG, 300 MG, 360 MG, 420 MG 4 (diltiazem hcl er beads) trandolapril-verapamil hcl er oral tablet extended release 1-240 3 mg, 2-180 mg, 2-240 mg, 4-240 mg verapamil hcl er oral capsule extended release 24 hour 100 mg, 3 200 mg, 300 mg verapamil hcl er oral capsule extended release 24 hour 120 mg, 1 180 mg, 240 mg, 360 mg verapamil hcl er oral tablet extended release 120 mg, 180 mg, 1 240 mg verapamil hcl oral tablet 120 mg, 40 mg, 80 mg 1 VERELAN ORAL CAPSULE EXTENDED RELEASE 24 HOUR 4 120 MG, 180 MG, 240 MG, 360 MG (verapamil hcl) VERELAN PM ORAL CAPSULE EXTENDED RELEASE 24 4 HOUR 100 MG, 200 MG, 300 MG (verapamil hcl) CALCIUM-CHANNEL BLOCKING AGENTS(HYPOTEN) - Drugs for High Blood Pressure & Angina CALAN SR ORAL TABLET EXTENDED RELEASE 120 MG, 4 180 MG, 240 MG (verapamil hcl) diltiazem hcl coated beads (Cartia Xt Oral Capsule Extended 2 Release 24 Hour 120 Mg, 180 Mg, 240 Mg, 300 Mg) diltiazem hcl er beads oral capsule extended release 24 hour 2 120 mg, 180 mg, 240 mg, 300 mg, 360 mg, 420 mg diltiazem hcl er coated beads oral capsule extended release 24 2 hour 120 mg, 180 mg, 240 mg, 300 mg, 360 mg diltiazem hcl er coated beads oral tablet extended release 24 2 hour 180 mg, 240 mg, 300 mg, 360 mg, 420 mg

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 76 Coverage Requirements & Prescription Drug Name Drug Tier Limits diltiazem hcl er oral capsule extended release 12 hour 120 mg, 1 60 mg, 90 mg diltiazem hcl oral tablet 120 mg, 30 mg, 60 mg, 90 mg 1 dilt-xr oral capsule extended release 24 hour 120 mg, 180 mg, 1 240 mg diltiazem hcl coated beads (Matzim La Oral Tablet Extended 2 Release 24 Hour 180 Mg, 240 Mg, 300 Mg, 360 Mg, 420 Mg) diltiazem hcl er beads (Taztia Xt Oral Capsule Extended 2 Release 24 Hour 120 Mg, 180 Mg, 240 Mg, 300 Mg, 360 Mg) diltiazem hcl er beads (Tiadylt Er Oral Capsule Extended Release 24 Hour 120 Mg, 180 Mg, 240 Mg, 300 Mg, 360 Mg, 2 420 Mg) TIAZAC ORAL CAPSULE EXTENDED RELEASE 24 HOUR 120 MG, 180 MG, 240 MG, 300 MG, 360 MG, 420 MG 4 (diltiazem hcl er beads) verapamil hcl er oral capsule extended release 24 hour 100 mg, 3 200 mg, 300 mg verapamil hcl er oral capsule extended release 24 hour 120 mg, 1 180 mg, 240 mg, 360 mg verapamil hcl er oral tablet extended release 120 mg, 180 mg, 1 240 mg verapamil hcl oral tablet 120 mg, 40 mg, 80 mg 1 VERELAN ORAL CAPSULE EXTENDED RELEASE 24 HOUR 4 120 MG, 180 MG, 240 MG, 360 MG (verapamil hcl) VERELAN PM ORAL CAPSULE EXTENDED RELEASE 24 4 HOUR 100 MG, 200 MG, 300 MG (verapamil hcl) CALCIUM-CHANNEL BLOCKING AGENTS, MISC. - Drugs for High Blood Pressure & Angina CALAN SR ORAL TABLET EXTENDED RELEASE 120 MG, 4 180 MG, 240 MG (verapamil hcl) diltiazem hcl coated beads (Cartia Xt Oral Capsule Extended 2 Release 24 Hour 120 Mg, 180 Mg, 240 Mg, 300 Mg) diltiazem hcl er beads oral capsule extended release 24 hour 2 120 mg, 180 mg, 240 mg, 300 mg, 360 mg, 420 mg diltiazem hcl er coated beads oral capsule extended release 24 2 hour 120 mg, 180 mg, 240 mg, 300 mg, 360 mg diltiazem hcl er coated beads oral tablet extended release 24 2 hour 180 mg, 240 mg, 300 mg, 360 mg, 420 mg

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 77 Coverage Requirements & Prescription Drug Name Drug Tier Limits diltiazem hcl er oral capsule extended release 12 hour 120 mg, 1 60 mg, 90 mg diltiazem hcl oral tablet 120 mg, 30 mg, 60 mg, 90 mg 1 dilt-xr oral capsule extended release 24 hour 120 mg, 180 mg, 1 240 mg diltiazem hcl coated beads (Matzim La Oral Tablet Extended 2 Release 24 Hour 180 Mg, 240 Mg, 300 Mg, 360 Mg, 420 Mg) TARKA ORAL TABLET EXTENDED RELEASE 2-180 MG, 2- 4 240 MG, 4-240 MG (trandolapril-verapamil hcl) diltiazem hcl er beads (Taztia Xt Oral Capsule Extended 2 Release 24 Hour 120 Mg, 180 Mg, 240 Mg, 300 Mg, 360 Mg) diltiazem hcl er beads (Tiadylt Er Oral Capsule Extended Release 24 Hour 120 Mg, 180 Mg, 240 Mg, 300 Mg, 360 Mg, 2 420 Mg) TIAZAC ORAL CAPSULE EXTENDED RELEASE 24 HOUR 120 MG, 180 MG, 240 MG, 300 MG, 360 MG, 420 MG 4 (diltiazem hcl er beads) trandolapril-verapamil hcl er oral tablet extended release 1-240 3 mg, 2-180 mg, 2-240 mg, 4-240 mg verapamil hcl er oral capsule extended release 24 hour 100 mg, 3 200 mg, 300 mg verapamil hcl er oral capsule extended release 24 hour 120 mg, 1 180 mg, 240 mg, 360 mg verapamil hcl er oral tablet extended release 120 mg, 180 mg, 1 240 mg verapamil hcl oral tablet 120 mg, 40 mg, 80 mg 1 VERELAN ORAL CAPSULE EXTENDED RELEASE 24 HOUR 4 120 MG, 180 MG, 240 MG, 360 MG (verapamil hcl) VERELAN PM ORAL CAPSULE EXTENDED RELEASE 24 4 HOUR 100 MG, 200 MG, 300 MG (verapamil hcl) CARBONIC ANHYDRASE INHIBITORS(HYPOTEN) - Drugs for High Blood Pressure & Angina acetazolamide er oral capsule extended release 12 hour 500 1 mg acetazolamide oral tablet 125 mg, 250 mg 1 CARDIAC DRUGS, MISCELLANEOUS - Drugs for Angina CORLANOR ORAL SOLUTION 5 MG/5ML (ivabradine hcl) 3 PA; SL (20 ml per day) CORLANOR ORAL TABLET 5 MG, 7.5 MG (ivabradine hcl) 3 PA; SL (2 tablets per day)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 78 Coverage Requirements & Prescription Drug Name Drug Tier Limits ranolazine er oral tablet extended release 12 hour 1000 mg, 2 500 mg PA; SL (1 capsule per day); VYNDAMAX ORAL CAPSULE 61 MG (tafamidis) 2 SP VYNDAQEL ORAL CAPSULE 20 MG (tafamidis meglumine PA; SL (4 capsules per day); 2 (cardiac)) SP CARDIOTONIC AGENTS - Drugs for Angina digoxin (Digitek Oral Tablet 125 Mcg, 250 Mcg) 1 digoxin (Digox Oral Tablet 125 Mcg, 250 Mcg) 1 digoxin oral solution 0.05 mg/ml 1 digoxin oral tablet 125 mcg, 250 mcg 1 LANOXIN ORAL TABLET 125 MCG, 250 MCG, 62.5 MCG 3 (digoxin) CENTRAL ALPHA-AGONISTS - Drugs for High Blood Pressure & Angina CATAPRES ORAL TABLET 0.1 MG, 0.2 MG, 0.3 MG (clonidine 4 hcl) CATAPRES-TTS-1 TRANSDERMAL PATCH WEEKLY 0.1 4 MG/24HR (clonidine) CATAPRES-TTS-2 TRANSDERMAL PATCH WEEKLY 0.2 4 MG/24HR (clonidine) CATAPRES-TTS-3 TRANSDERMAL PATCH WEEKLY 0.3 4 MG/24HR (clonidine) clonidine hcl oral tablet 0.1 mg, 0.2 mg, 0.3 mg 1 clonidine transdermal patch weekly 0.1 mg/24hr, 0.2 mg/24hr, 3 0.3 mg/24hr guanfacine hcl er oral tablet extended release 24 hour 1 mg, 2 2 SL (1 tablet per day) mg, 4 mg guanfacine hcl er oral tablet extended release 24 hour 3 mg 2 SL (2 tablets per day) guanfacine hcl oral tablet 1 mg, 2 mg 1 methyldopa oral tablet 250 mg, 500 mg 1 methyldopa-hydrochlorothiazide oral tablet 250-15 mg, 250-25 1 mg CHOLESTEROL ABSORPTION INHIBITORS - Drugs for Cholesterol ezetimibe oral tablet 10 mg 2

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 79 Coverage Requirements & Prescription Drug Name Drug Tier Limits ezetimibe- oral tablet 10-10 mg, 10-20 mg, 10-40 3 mg, 10-80 mg CLASS IA ANTIARRHYTHMICS - Drugs for Angina disopyramide phosphate oral capsule 100 mg, 150 mg 1 NORPACE CR ORAL CAPSULE EXTENDED RELEASE 12 2 HOUR 100 MG, 150 MG (disopyramide phosphate) NORPACE ORAL CAPSULE 100 MG, 150 MG (disopyramide 4 phosphate) quinidine gluconate er oral tablet extended release 324 mg 1 quinidine sulfate oral tablet 200 mg, 300 mg 1 CLASS IB ANTIARRHYTHMICS - Drugs for Angina DILANTIN INFATABS ORAL TABLET CHEWABLE 50 MG 3 () DILANTIN ORAL CAPSULE 100 MG, 30 MG (phenytoin sodium 3 extended) DILANTIN ORAL SUSPENSION 125 MG/5ML (phenytoin) 3 hcl oral capsule 150 mg, 200 mg, 250 mg 1 PHENYTEK ORAL CAPSULE 200 MG, 300 MG (phenytoin 4 sodium extended) phenytoin (Phenytoin Infatabs Oral Tablet Chewable 50 Mg) 1 phenytoin oral suspension 125 mg/5ml 1 phenytoin oral tablet chewable 50 mg 1 phenytoin sodium extended oral capsule 100 mg, 200 mg, 300 1 mg CLASS IC ANTIARRHYTHMICS - Drugs for Angina flecainide acetate oral tablet 100 mg, 150 mg, 50 mg 1 propafenone hcl er oral capsule extended release 12 hour 225 3 mg, 325 mg, 425 mg propafenone hcl oral tablet 150 mg, 225 mg, 300 mg 1 RYTHMOL SR ORAL CAPSULE EXTENDED RELEASE 12 4 HOUR 225 MG, 325 MG, 425 MG (propafenone hcl) CLASS II ANTIARRHYTHMICS - Drugs for Angina acebutolol hcl oral capsule 200 mg, 400 mg 1 atenolol oral tablet 100 mg, 25 mg, 50 mg 1 atenolol-chlorthalidone oral tablet 100-25 mg, 50-25 mg 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 80 Coverage Requirements & Prescription Drug Name Drug Tier Limits BETAPACE AF ORAL TABLET 120 MG, 160 MG, 80 MG 4 (sotalol hcl af) betaxolol hcl oral tablet 10 mg, 20 mg 1 bisoprolol fumarate oral tablet 10 mg, 5 mg 1 bisoprolol-hydrochlorothiazide oral tablet 10-6.25 mg, 2.5-6.25 1 mg, 5-6.25 mg carvedilol oral tablet 12.5 mg, 25 mg, 3.125 mg, 6.25 mg 1 COREG ORAL TABLET 12.5 MG, 25 MG, 3.125 MG, 6.25 MG 4 (carvedilol) CORGARD ORAL TABLET 20 MG, 40 MG, 80 MG (nadolol) 4 INDERAL XL ORAL CAPSULE EXTENDED RELEASE 24 3 HOUR 120 MG, 80 MG (propranolol hcl sr beads) INNOPRAN XL ORAL CAPSULE EXTENDED RELEASE 24 3 HOUR 120 MG, 80 MG (propranolol hcl sr beads) KAPSPARGO SPRINKLE ORAL CAPSULE ER 24 HOUR SPRINKLE 100 MG, 200 MG, 25 MG, 50 MG (metoprolol 4 succinate) labetalol hcl oral tablet 100 mg, 200 mg, 300 mg 1 LOPRESSOR HCT ORAL TABLET 50-25 MG (metoprolol- 4 hydrochlorothiazide) LOPRESSOR ORAL TABLET 100 MG, 50 MG (metoprolol 4 tartrate) metoprolol succinate er oral tablet extended release 24 hour 2 100 mg, 200 mg, 50 mg metoprolol succinate er oral tablet extended release 24 hour 25 1 mg metoprolol tartrate oral tablet 100 mg, 25 mg, 50 mg 1 metoprolol-hydrochlorothiazide oral tablet 100-25 mg, 100-50 1 mg, 50-25 mg nadolol oral tablet 20 mg, 40 mg, 80 mg 1 pindolol oral tablet 10 mg, 5 mg 1 propranolol hcl er oral capsule extended release 24 hour 120 2 mg, 160 mg, 60 mg, 80 mg propranolol hcl oral solution 20 mg/5ml, 40 mg/5ml 1 propranolol hcl oral tablet 10 mg, 20 mg, 40 mg, 60 mg, 80 mg 1 propranolol-hctz oral tablet 40-25 mg, 80-25 mg 1 sotalol hcl (af) oral tablet 120 mg, 160 mg, 80 mg 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 81 Coverage Requirements & Prescription Drug Name Drug Tier Limits sotalol hcl oral tablet 120 mg, 160 mg, 240 mg, 80 mg 1 SOTYLIZE ORAL SOLUTION 5 MG/ML (sotalol hcl) 4 PA timolol maleate oral tablet 10 mg, 20 mg, 5 mg 1 TOPROL XL ORAL TABLET EXTENDED RELEASE 24 HOUR 4 100 MG, 200 MG, 25 MG, 50 MG (metoprolol succinate) ZIAC ORAL TABLET 10-6.25 MG, 2.5-6.25 MG (bisoprolol- 3 hydrochlorothiazide) ZIAC ORAL TABLET 5-6.25 MG (bisoprolol- 4 hydrochlorothiazide) CLASS III ANTIARRHYTHMICS - Drugs for Angina hcl oral tablet 100 mg, 200 mg, 400 mg 1 BETAPACE AF ORAL TABLET 120 MG, 160 MG, 80 MG 4 (sotalol hcl af) dofetilide oral capsule 125 mcg, 250 mcg, 500 mcg 2 MULTAQ ORAL TABLET 400 MG (dronedarone hcl) 4 PA amiodarone hcl (Pacerone Oral Tablet 100 Mg, 400 Mg) 3 amiodarone hcl (Pacerone Oral Tablet 200 Mg) 1 sotalol hcl (af) oral tablet 120 mg, 160 mg, 80 mg 1 sotalol hcl oral tablet 120 mg, 160 mg, 240 mg, 80 mg 1 SOTYLIZE ORAL SOLUTION 5 MG/ML (sotalol hcl) 4 PA TIKOSYN ORAL CAPSULE 125 MCG, 250 MCG, 500 MCG 4 (dofetilide) CLASS IV ANTIARRHYTHMICS - Drugs for Angina CALAN SR ORAL TABLET EXTENDED RELEASE 120 MG, 4 180 MG, 240 MG (verapamil hcl) diltiazem hcl coated beads (Cartia Xt Oral Capsule Extended 2 Release 24 Hour 120 Mg, 180 Mg, 240 Mg, 300 Mg) diltiazem hcl er beads oral capsule extended release 24 hour 2 120 mg, 180 mg, 240 mg, 300 mg, 360 mg, 420 mg diltiazem hcl er coated beads oral capsule extended release 24 2 hour 120 mg, 180 mg, 240 mg, 300 mg, 360 mg diltiazem hcl er coated beads oral tablet extended release 24 2 hour 180 mg, 240 mg, 300 mg, 360 mg, 420 mg diltiazem hcl er oral capsule extended release 12 hour 120 mg, 1 60 mg, 90 mg diltiazem hcl oral tablet 120 mg, 30 mg, 60 mg, 90 mg 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 82 Coverage Requirements & Prescription Drug Name Drug Tier Limits dilt-xr oral capsule extended release 24 hour 120 mg, 180 mg, 1 240 mg diltiazem hcl coated beads (Matzim La Oral Tablet Extended 2 Release 24 Hour 180 Mg, 240 Mg, 300 Mg, 360 Mg, 420 Mg) diltiazem hcl er beads (Taztia Xt Oral Capsule Extended 2 Release 24 Hour 120 Mg, 180 Mg, 240 Mg, 300 Mg, 360 Mg) diltiazem hcl er beads (Tiadylt Er Oral Capsule Extended Release 24 Hour 120 Mg, 180 Mg, 240 Mg, 300 Mg, 360 Mg, 2 420 Mg) TIAZAC ORAL CAPSULE EXTENDED RELEASE 24 HOUR 120 MG, 180 MG, 240 MG, 300 MG, 360 MG, 420 MG 4 (diltiazem hcl er beads) verapamil hcl er oral capsule extended release 24 hour 100 mg, 3 200 mg, 300 mg verapamil hcl er oral capsule extended release 24 hour 120 mg, 1 180 mg, 240 mg, 360 mg verapamil hcl er oral tablet extended release 120 mg, 180 mg, 1 240 mg verapamil hcl oral tablet 120 mg, 40 mg, 80 mg 1 VERELAN ORAL CAPSULE EXTENDED RELEASE 24 HOUR 4 120 MG, 180 MG, 240 MG, 360 MG (verapamil hcl) VERELAN PM ORAL CAPSULE EXTENDED RELEASE 24 4 HOUR 100 MG, 200 MG, 300 MG (verapamil hcl) DIHYDROPYRIDINES - Drugs for High Blood Pressure & Angina ADALAT CC ORAL TABLET EXTENDED RELEASE 24 HOUR 4 60 MG (nifedipine) amlodipine besylate oral tablet 10 mg, 2.5 mg, 5 mg 1 amlodipine besylate-benazepril hcl oral capsule 10-20 mg, 10- 1 40 mg, 2.5-10 mg, 5-10 mg, 5-20 mg, 5-40 mg amlodipine besylate-valsartan oral tablet 10-160 mg, 10-320 2 mg, 5-160 mg, 5-320 mg felodipine er oral tablet extended release 24 hour 10 mg, 2.5 1 mg, 5 mg isradipine oral capsule 2.5 mg, 5 mg 1 KATERZIA ORAL SUSPENSION 1 MG/ML (amlodipine 4 PA benzoate)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 83 Coverage Requirements & Prescription Drug Name Drug Tier Limits LOTREL ORAL CAPSULE 10-20 MG, 10-40 MG, 5-10 MG, 5- 4 20 MG (amlodipine besy-benazepril hcl) nicardipine hcl oral capsule 20 mg, 30 mg 1 nifedipine er oral tablet extended release 24 hour 30 mg, 60 mg, 1 90 mg nifedipine er osmotic release oral tablet extended release 24 1 hour 30 mg, 60 mg, 90 mg nifedipine oral capsule 10 mg, 20 mg 1 nimodipine oral capsule 30 mg 1 nisoldipine er oral tablet extended release 24 hour 17 mg, 20 2 mg, 25.5 mg, 30 mg, 34 mg, 40 mg, 8.5 mg NYMALIZE ORAL SOLUTION 30 MG/10ML, 60 MG/20ML 2 (nimodipine) PROCARDIA ORAL CAPSULE 10 MG (nifedipine) 4 PROCARDIA XL ORAL TABLET EXTENDED RELEASE 24 4 HOUR 30 MG, 60 MG, 90 MG (nifedipine) SULAR ORAL TABLET EXTENDED RELEASE 24 HOUR 17 4 MG, 34 MG, 8.5 MG (nisoldipine) DIHYDROPYRIDINES (ANTIHYPERTENSIVE) - Drugs for High Blood Pressure & Angina ADALAT CC ORAL TABLET EXTENDED RELEASE 24 HOUR 4 60 MG (nifedipine) amlodipine besylate oral tablet 10 mg, 2.5 mg, 5 mg 1 amlodipine besylate-benazepril hcl oral capsule 10-20 mg, 10- 1 40 mg, 2.5-10 mg, 5-10 mg, 5-20 mg, 5-40 mg amlodipine besylate-valsartan oral tablet 10-160 mg, 10-320 2 mg, 5-160 mg, 5-320 mg felodipine er oral tablet extended release 24 hour 10 mg, 2.5 1 mg, 5 mg isradipine oral capsule 2.5 mg, 5 mg 1 KATERZIA ORAL SUSPENSION 1 MG/ML (amlodipine 4 PA benzoate) LOTREL ORAL CAPSULE 10-20 MG, 10-40 MG, 5-10 MG, 5- 4 20 MG (amlodipine besy-benazepril hcl) nicardipine hcl oral capsule 20 mg, 30 mg 1 nifedipine er oral tablet extended release 24 hour 30 mg, 60 mg, 1 90 mg

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 84 Coverage Requirements & Prescription Drug Name Drug Tier Limits nifedipine er osmotic release oral tablet extended release 24 1 hour 30 mg, 60 mg, 90 mg nifedipine oral capsule 10 mg, 20 mg 1 nimodipine oral capsule 30 mg 1 nisoldipine er oral tablet extended release 24 hour 17 mg, 20 2 mg, 25.5 mg, 30 mg, 34 mg, 40 mg, 8.5 mg NYMALIZE ORAL SOLUTION 30 MG/10ML, 60 MG/20ML 2 (nimodipine) PROCARDIA ORAL CAPSULE 10 MG (nifedipine) 4 PROCARDIA XL ORAL TABLET EXTENDED RELEASE 24 4 HOUR 30 MG, 60 MG, 90 MG (nifedipine) SULAR ORAL TABLET EXTENDED RELEASE 24 HOUR 17 4 MG, 34 MG, 8.5 MG (nisoldipine) DIRECT VASODILATORS - Drugs for High Blood Pressure & Angina BIDIL ORAL TABLET 20-37.5 MG (isosorb dinitrate- 2 hydralazine) hydralazine hcl oral tablet 10 mg, 100 mg, 25 mg, 50 mg 1 minoxidil oral tablet 10 mg, 2.5 mg 1 DIURETICS, MISCELLANEOUS (HYPOTENSIVE) - Drugs for High Blood Pressure & Angina ELIXOPHYLLIN ORAL ELIXIR 80 MG/15ML (theophylline) 3 THEO-24 ORAL CAPSULE EXTENDED RELEASE 24 HOUR 3 100 MG, 200 MG, 300 MG, 400 MG (theophylline) theophylline er oral tablet extended release 12 hour 300 mg, 1 450 mg theophylline er oral tablet extended release 24 hour 400 mg, 1 600 mg theophylline oral solution 80 mg/15ml 1 FIBRIC ACID DERIVATIVES - Drugs for Cholesterol fenofibrate oral tablet 160 mg, 54 mg 2 gemfibrozil oral tablet 600 mg 1 LOPID ORAL TABLET 600 MG (gemfibrozil) 4 HMG-COA REDUCTASE INHIBITORS - Drugs for Cholesterol calcium oral tablet 10 mg, 20 mg 1 SL (3 tablets per day); H-PA atorvastatin calcium oral tablet 40 mg, 80 mg 1 SL (31 tablets per 31 days)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 85 Coverage Requirements & Prescription Drug Name Drug Tier Limits EZALLOR SPRINKLE ORAL CAPSULE SPRINKLE 10 MG, 20 3 PA MG, 40 MG, 5 MG (rosuvastatin calcium) ezetimibe-simvastatin oral tablet 10-10 mg, 10-20 mg, 10-40 3 mg, 10-80 mg FLOLIPID ORAL SUSPENSION 20 MG/5ML, 40 MG/5ML 4 PA fluvastatin sodium er oral tablet extended release 24 hour 80 3 ST mg fluvastatin sodium oral capsule 20 mg, 40 mg 1 oral tablet 10 mg, 20 mg, 40 mg 1 H PRAVACHOL ORAL TABLET 20 MG, 40 MG (pravastatin 4 sodium) pravastatin sodium oral tablet 10 mg, 20 mg, 40 mg, 80 mg 1 rosuvastatin calcium oral tablet 10 mg 2 SL (3 tablets per day) rosuvastatin calcium oral tablet 20 mg, 40 mg, 5 mg 2 SL (1 tablet per day) simvastatin oral tablet 10 mg, 20 mg, 40 mg, 5 mg 1 H-PA simvastatin oral tablet 80 mg 1 ZOCOR ORAL TABLET 10 MG, 20 MG, 40 MG, 80 MG 4 (simvastatin) HYPOTENSIVE AGENTS, MISCELLANEOUS - Drugs for High Blood Pressure & Angina acebutolol hcl oral capsule 200 mg, 400 mg 1 ADALAT CC ORAL TABLET EXTENDED RELEASE 24 HOUR 4 60 MG (nifedipine) amlodipine besylate oral tablet 10 mg, 2.5 mg, 5 mg 1 amlodipine besylate-benazepril hcl oral capsule 10-20 mg, 10- 1 40 mg, 2.5-10 mg, 5-10 mg, 5-20 mg, 5-40 mg amlodipine besylate-valsartan oral tablet 10-160 mg, 10-320 2 mg, 5-160 mg, 5-320 mg BETAPACE AF ORAL TABLET 120 MG, 160 MG, 80 MG 4 (sotalol hcl af) betaxolol hcl oral tablet 10 mg, 20 mg 1 CARDURA ORAL TABLET 1 MG, 2 MG, 4 MG, 8 MG 4 (doxazosin mesylate) CARDURA XL ORAL TABLET EXTENDED RELEASE 24 3 HOUR 4 MG, 8 MG (doxazosin mesylate) carvedilol oral tablet 12.5 mg, 25 mg, 3.125 mg, 6.25 mg 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 86 Coverage Requirements & Prescription Drug Name Drug Tier Limits COREG ORAL TABLET 12.5 MG, 25 MG, 3.125 MG, 6.25 MG 4 (carvedilol) doxazosin mesylate oral tablet 1 mg, 2 mg, 4 mg, 8 mg 1 felodipine er oral tablet extended release 24 hour 10 mg, 2.5 1 mg, 5 mg INDERAL XL ORAL CAPSULE EXTENDED RELEASE 24 3 HOUR 120 MG, 80 MG (propranolol hcl sr beads) INNOPRAN XL ORAL CAPSULE EXTENDED RELEASE 24 3 HOUR 120 MG, 80 MG (propranolol hcl sr beads) isradipine oral capsule 2.5 mg, 5 mg 1 KATERZIA ORAL SUSPENSION 1 MG/ML (amlodipine 4 PA benzoate) LOTREL ORAL CAPSULE 10-20 MG, 10-40 MG, 5-10 MG, 5- 4 20 MG (amlodipine besy-benazepril hcl) nicardipine hcl oral capsule 20 mg, 30 mg 1 nifedipine er oral tablet extended release 24 hour 30 mg, 60 mg, 1 90 mg nifedipine er osmotic release oral tablet extended release 24 1 hour 30 mg, 60 mg, 90 mg nifedipine oral capsule 10 mg, 20 mg 1 nimodipine oral capsule 30 mg 1 nisoldipine er oral tablet extended release 24 hour 17 mg, 20 2 mg, 25.5 mg, 30 mg, 34 mg, 40 mg, 8.5 mg NYMALIZE ORAL SOLUTION 30 MG/10ML, 60 MG/20ML 2 (nimodipine) phenoxybenzamine hcl oral capsule 10 mg 2 pindolol oral tablet 10 mg, 5 mg 1 PROCARDIA ORAL CAPSULE 10 MG (nifedipine) 4 PROCARDIA XL ORAL TABLET EXTENDED RELEASE 24 4 HOUR 30 MG, 60 MG, 90 MG (nifedipine) propranolol hcl er oral capsule extended release 24 hour 120 2 mg, 160 mg, 60 mg, 80 mg propranolol hcl oral solution 20 mg/5ml, 40 mg/5ml 1 propranolol hcl oral tablet 10 mg, 20 mg, 40 mg, 60 mg, 80 mg 1 sotalol hcl (af) oral tablet 120 mg, 160 mg, 80 mg 1 sotalol hcl oral tablet 120 mg, 160 mg, 240 mg, 80 mg 1 SOTYLIZE ORAL SOLUTION 5 MG/ML (sotalol hcl) 4 PA

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 87 Coverage Requirements & Prescription Drug Name Drug Tier Limits SULAR ORAL TABLET EXTENDED RELEASE 24 HOUR 17 4 MG, 34 MG, 8.5 MG (nisoldipine) terazosin hcl oral capsule 1 mg, 10 mg, 2 mg, 5 mg 1 timolol maleate oral tablet 10 mg, 20 mg, 5 mg 1 VECAMYL ORAL TABLET 2.5 MG (mecamylamine hcl) 4 PA LOOP DIURETICS (HYPOTENSIVE AGENTS) - Drugs for High Blood Pressure & Angina bumetanide oral tablet 0.5 mg, 1 mg, 2 mg 1 EDECRIN ORAL TABLET 25 MG (ethacrynic acid) 4 ethacrynic acid oral tablet 25 mg 3 furosemide oral solution 10 mg/ml, 8 mg/ml 1 furosemide oral tablet 20 mg, 40 mg, 80 mg 1 LASIX ORAL TABLET 20 MG, 40 MG, 80 MG (furosemide) 4 torsemide oral tablet 10 mg, 100 mg, 20 mg, 5 mg 1 MINERALOCORTICOID (ALDOSTERONE) ANTAGNTS - Drugs for the Heart ALDACTAZIDE ORAL TABLET 25-25 MG (-hctz) 4 ALDACTAZIDE ORAL TABLET 50-50 MG (spironolactone-hctz) 2 ALDACTONE ORAL TABLET 100 MG, 25 MG, 50 MG 4 (spironolactone) CAROSPIR ORAL SUSPENSION 25 MG/5ML (spironolactone) 4 PA eplerenone oral tablet 25 mg, 50 mg 2 INSPRA ORAL TABLET 25 MG, 50 MG (eplerenone) 4 spironolactone oral tablet 100 mg, 25 mg, 50 mg 1 spironolactone-hctz oral tablet 25-25 mg 1 MINERALOCORTICOID(ALDOSTER.)ANTAG(HYPOT) - Drugs for High Blood Pressure & Angina ALDACTAZIDE ORAL TABLET 25-25 MG (spironolactone-hctz) 4 ALDACTAZIDE ORAL TABLET 50-50 MG (spironolactone-hctz) 2 ALDACTONE ORAL TABLET 100 MG, 25 MG, 50 MG 4 (spironolactone) CAROSPIR ORAL SUSPENSION 25 MG/5ML (spironolactone) 4 PA eplerenone oral tablet 25 mg, 50 mg 2 INSPRA ORAL TABLET 25 MG, 50 MG (eplerenone) 4 spironolactone oral tablet 100 mg, 25 mg, 50 mg 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 88 Coverage Requirements & Prescription Drug Name Drug Tier Limits spironolactone-hctz oral tablet 25-25 mg 1 AND NITRITES - Drugs for the Heart BIDIL ORAL TABLET 20-37.5 MG (isosorb dinitrate- 2 hydralazine) DILATRATE-SR ORAL CAPSULE EXTENDED RELEASE 40 3 MG () ISORDIL TITRADOSE ORAL TABLET 40 MG, 5 MG 4 (isosorbide dinitrate) isosorbide dinitrate oral tablet 10 mg, 20 mg, 30 mg, 5 mg 1 isosorbide dinitrate oral tablet 40 mg 2 isosorbide mononitrate er oral tablet extended release 24 hour 1 120 mg, 30 mg, 60 mg isosorbide mononitrate oral tablet 10 mg, 20 mg 1 nitroglycerin (Minitran Transdermal Patch 24 Hour 0.1 Mg/Hr, 1 0.2 Mg/Hr, 0.4 Mg/Hr, 0.6 Mg/Hr) NITRO-BID TRANSDERMAL OINTMENT 2 % (nitroglycerin) 2 NITRO-DUR TRANSDERMAL PATCH 24 HOUR 0.1 MG/HR, 0.2 MG/HR, 0.3 MG/HR, 0.4 MG/HR, 0.6 MG/HR, 0.8 MG/HR 3 (nitroglycerin) nitroglycerin sublingual tablet sublingual 0.3 mg, 0.4 mg, 0.6 mg 1 nitroglycerin transdermal patch 24 hour 0.1 mg/hr, 0.2 mg/hr, 1 0.4 mg/hr, 0.6 mg/hr NITROMIST TRANSLINGUAL AEROSOL SOLUTION 400 SL (4.1 grams (1 package) 4 MCG/SPRAY (nitroglycerin) per prescription) NITROSTAT SUBLINGUAL TABLET SUBLINGUAL 0.3 MG, 4 0.4 MG, 0.6 MG (nitroglycerin) nitro-time oral capsule extended release 2.5 mg, 6.5 mg, 9 mg 1 PCSK9 INHIBITORS - Drugs for Cholesterol PRALUENT SUBCUTANEOUS SOLUTION AUTO-INJECTOR PA; ST; SL (2 ml (2 pens) 2 150 MG/ML, 75 MG/ML (alirocumab) per 28 days) REPATHA PUSHTRONEX SYSTEM SUBCUTANEOUS PA; ST; SL (3.5 ml (1 2 SOLUTION CARTRIDGE 420 MG/3.5ML (evolocumab) cartridge) per month) REPATHA SUBCUTANEOUS SOLUTION PREFILLED PA; ST; SL (2 syringes per 2 SYRINGE 140 MG/ML (evolocumab) 28 days) REPATHA SURECLICK SUBCUTANEOUS SOLUTION AUTO- 2 PA; ST; SL (2 ml per month) INJECTOR 140 MG/ML (evolocumab)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 89 Coverage Requirements & Prescription Drug Name Drug Tier Limits PHOSPHODIESTERASE TYPE 5 INHIBITORS - Drugs for the Heart PA; SL (2 tablets per day); tadalafil (pah) (Alyq Oral Tablet 20 Mg) 3 SP cilostazol oral tablet 100 mg, 50 mg 1 REVATIO ORAL SUSPENSION RECONSTITUTED 10 MG/ML PA; SL (186 ml per month); 4 (sildenafil citrate) SP PA; SL (186 ml per month); sildenafil citrate oral suspension reconstituted 10 mg/ml 3 SP sildenafil citrate oral tablet 100 mg, 25 mg, 50 mg 2 SL (6 tablets per month) sildenafil citrate oral tablet 20 mg 1 SL (0.5 tablet per day) STENDRA ORAL TABLET 100 MG, 200 MG, 50 MG (avanafil) 4 PA; SL (3 tablets per month) PA; SL (2 tablets per day); tadalafil (pah) oral tablet 20 mg 3 SP tadalafil oral tablet 10 mg, 20 mg 2 SL (6 tablets per month) tadalafil oral tablet 2.5 mg, 5 mg 2 ST; SL (6 tablets per month) vardenafil hcl oral tablet 10 mg, 2.5 mg, 20 mg, 5 mg 3 SL (3 tablets per month) POTASSIUM-SPARING DIURETICS (HYPOTEN) - Drugs for High Blood Pressure & Angina ALDACTAZIDE ORAL TABLET 25-25 MG (spironolactone-hctz) 4 ALDACTAZIDE ORAL TABLET 50-50 MG (spironolactone-hctz) 2 ALDACTONE ORAL TABLET 100 MG, 25 MG, 50 MG 4 (spironolactone) amiloride hcl oral tablet 5 mg 1 amiloride-hydrochlorothiazide oral tablet 5-50 mg 1 CAROSPIR ORAL SUSPENSION 25 MG/5ML (spironolactone) 4 PA DYAZIDE ORAL CAPSULE 37.5-25 MG (triamterene-hctz) 4 DYRENIUM ORAL CAPSULE 100 MG, 50 MG (triamterene) 4 eplerenone oral tablet 25 mg, 50 mg 2 INSPRA ORAL TABLET 25 MG, 50 MG (eplerenone) 4 MAXZIDE ORAL TABLET 75-50 MG (triamterene-hctz) 4 MAXZIDE-25 ORAL TABLET 37.5-25 MG (triamterene-hctz) 4 spironolactone oral tablet 100 mg, 25 mg, 50 mg 1 spironolactone-hctz oral tablet 25-25 mg 1 triamterene oral capsule 100 mg, 50 mg 3

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 90 Coverage Requirements & Prescription Drug Name Drug Tier Limits triamterene-hctz oral capsule 37.5-25 mg 1 triamterene-hctz oral tablet 37.5-25 mg, 75-50 mg 1 RENIN INHIBITORS - Drugs for the Heart aliskiren fumarate oral tablet 150 mg, 300 mg 3 TEKTURNA HCT ORAL TABLET 150-12.5 MG, 150-25 MG, 3 300-12.5 MG, 300-25 MG (aliskiren-hydrochlorothiazide) TEKTURNA ORAL TABLET 150 MG, 300 MG (aliskiren 3 fumarate) RENIN-ANGIOTEN.-ALDOST. SYS. INHIB, MISC - Drugs for the Heart ENTRESTO ORAL TABLET 24-26 MG, 49-51 MG, 97-103 MG 4 PA; SL (2 tablets per day) (sacubitril-valsartan) THIAZIDE DIURETICS(HYPOTENSIVE AGENTS) - Drugs for High Blood Pressure & Angina ACCURETIC ORAL TABLET 10-12.5 MG, 20-12.5 MG, 20-25 4 MG (quinapril-hydrochlorothiazide) ALDACTAZIDE ORAL TABLET 25-25 MG (spironolactone-hctz) 4 ALDACTAZIDE ORAL TABLET 50-50 MG (spironolactone-hctz) 2 amiloride-hydrochlorothiazide oral tablet 5-50 mg 1 ATACAND HCT ORAL TABLET 16-12.5 MG, 32-12.5 MG, 32- 4 25 MG (candesartan cilexetil-hctz) AVALIDE ORAL TABLET 150-12.5 MG, 300-12.5 MG 4 (irbesartan-hydrochlorothiazide) benazepril-hydrochlorothiazide oral tablet 10-12.5 mg, 20-12.5 1 mg, 20-25 mg, 5-6.25 mg bisoprolol-hydrochlorothiazide oral tablet 10-6.25 mg, 2.5-6.25 1 mg, 5-6.25 mg candesartan cilexetil-hctz oral tablet 16-12.5 mg, 32-12.5 mg, 3 32-25 mg captopril-hydrochlorothiazide oral tablet 25-15 mg, 25-25 mg, 1 50-15 mg, 50-25 mg chlorothiazide oral tablet 250 mg, 500 mg 1 DIURIL ORAL SUSPENSION 250 MG/5ML (chlorothiazide) 2 DYAZIDE ORAL CAPSULE 37.5-25 MG (triamterene-hctz) 4 enalapril-hydrochlorothiazide oral tablet 10-25 mg, 5-12.5 mg 1 fosinopril sodium-hctz oral tablet 10-12.5 mg, 20-12.5 mg 1 hydrochlorothiazide oral capsule 12.5 mg 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 91 Coverage Requirements & Prescription Drug Name Drug Tier Limits hydrochlorothiazide oral tablet 12.5 mg, 25 mg, 50 mg 1 HYZAAR ORAL TABLET 100-12.5 MG, 100-25 MG, 50-12.5 4 MG (losartan potassium-hctz) irbesartan-hydrochlorothiazide oral tablet 150-12.5 mg, 300- 1 12.5 mg lisinopril-hydrochlorothiazide oral tablet 10-12.5 mg, 20-12.5 1 mg, 20-25 mg LOPRESSOR HCT ORAL TABLET 50-25 MG (metoprolol- 4 hydrochlorothiazide) losartan potassium-hctz oral tablet 100-12.5 mg, 100-25 mg, 1 50-12.5 mg LOTENSIN HCT ORAL TABLET 10-12.5 MG, 20-12.5 MG, 20- 4 25 MG (benazepril-hydrochlorothiazide) MAXZIDE ORAL TABLET 75-50 MG (triamterene-hctz) 4 MAXZIDE-25 ORAL TABLET 37.5-25 MG (triamterene-hctz) 4 methyldopa-hydrochlorothiazide oral tablet 250-15 mg, 250-25 1 mg metoprolol-hydrochlorothiazide oral tablet 100-25 mg, 100-50 1 mg, 50-25 mg olmesartan medoxomil-hctz oral tablet 20-12.5 mg, 40-12.5 mg, 2 40-25 mg propranolol-hctz oral tablet 40-25 mg, 80-25 mg 1 quinapril-hydrochlorothiazide oral tablet 10-12.5 mg, 20-12.5 2 mg, 20-25 mg spironolactone-hctz oral tablet 25-25 mg 1 TEKTURNA HCT ORAL TABLET 150-12.5 MG, 150-25 MG, 3 300-12.5 MG, 300-25 MG (aliskiren-hydrochlorothiazide) telmisartan-hctz oral tablet 40-12.5 mg, 80-12.5 mg, 80-25 mg 2 triamterene-hctz oral capsule 37.5-25 mg 1 triamterene-hctz oral tablet 37.5-25 mg, 75-50 mg 1 valsartan-hydrochlorothiazide oral tablet 160-12.5 mg, 160-25 1 mg, 320-12.5 mg, 320-25 mg, 80-12.5 mg ZIAC ORAL TABLET 10-6.25 MG, 2.5-6.25 MG (bisoprolol- 3 hydrochlorothiazide) ZIAC ORAL TABLET 5-6.25 MG (bisoprolol- 4 hydrochlorothiazide)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 92 Coverage Requirements & Prescription Drug Name Drug Tier Limits THIAZIDE-LIKE DIURETICS(HYPOTENSIVE AGT) - Drugs for High Blood Pressure & Angina atenolol-chlorthalidone oral tablet 100-25 mg, 50-25 mg 1 chlorthalidone oral tablet 25 mg, 50 mg 1 EDARBYCLOR ORAL TABLET 40-12.5 MG, 40-25 MG 3 (azilsartan-chlorthalidone) indapamide oral tablet 1.25 mg, 2.5 mg 1 metolazone oral tablet 10 mg, 2.5 mg, 5 mg 1 VASODILATING AGENTS, MISCELLANEOUS - Drugs for the Heart ADALAT CC ORAL TABLET EXTENDED RELEASE 24 HOUR 4 60 MG (nifedipine) ADEMPAS ORAL TABLET 0.5 MG, 1 MG, 1.5 MG, 2 MG, 2.5 PA; SL (3 tablets per day); 2 MG (riociguat) SP AGGRENOX ORAL CAPSULE EXTENDED RELEASE 12 4 HOUR 25-200 MG (aspirin-dipyridamole) oral tablet 10 mg, 5 mg 2 PA; SL (1 tablet per day); SP amlodipine besylate oral tablet 10 mg, 2.5 mg, 5 mg 1 amlodipine besylate-benazepril hcl oral capsule 10-20 mg, 10- 1 40 mg, 2.5-10 mg, 5-10 mg, 5-20 mg, 5-40 mg amlodipine besylate-valsartan oral tablet 10-160 mg, 10-320 2 mg, 5-160 mg, 5-320 mg aspirin-dipyridamole er oral capsule extended release 12 hour 3 25-200 mg PA; SL (2 tablets per day); oral tablet 125 mg, 62.5 mg 2 SP CALAN SR ORAL TABLET EXTENDED RELEASE 120 MG, 4 180 MG, 240 MG (verapamil hcl) diltiazem hcl coated beads (Cartia Xt Oral Capsule Extended 2 Release 24 Hour 120 Mg, 180 Mg, 240 Mg, 300 Mg) CAVERJECT IMPULSE INTRACAVERNOSAL KIT 10 MCG, 20 3 SL (6 units per month) MCG (alprostadil (vasodilator)) CAVERJECT INTRACAVERNOSAL SOLUTION 3 SL (6 units per month) RECONSTITUTED 40 MCG (alprostadil (vasodilator)) diltiazem hcl er beads oral capsule extended release 24 hour 2 120 mg, 180 mg, 240 mg, 300 mg, 360 mg, 420 mg diltiazem hcl er coated beads oral capsule extended release 24 2 hour 120 mg, 180 mg, 240 mg, 300 mg, 360 mg

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 93 Coverage Requirements & Prescription Drug Name Drug Tier Limits diltiazem hcl er coated beads oral tablet extended release 24 2 hour 180 mg, 240 mg, 300 mg, 360 mg, 420 mg diltiazem hcl er oral capsule extended release 12 hour 120 mg, 1 60 mg, 90 mg diltiazem hcl oral tablet 120 mg, 30 mg, 60 mg, 90 mg 1 dilt-xr oral capsule extended release 24 hour 120 mg, 180 mg, 1 240 mg dipyridamole oral tablet 25 mg, 50 mg, 75 mg 1 EDEX INTRACAVERNOSAL KIT 10 MCG, 20 MCG, 40 MCG 3 SL (6 units per month) (alprostadil (vasodilator)) felodipine er oral tablet extended release 24 hour 10 mg, 2.5 1 mg, 5 mg isoxsuprine hcl oral tablet 10 mg, 20 mg 1 isradipine oral capsule 2.5 mg, 5 mg 1 KATERZIA ORAL SUSPENSION 1 MG/ML (amlodipine 4 PA benzoate) LETAIRIS ORAL TABLET 10 MG, 5 MG (ambrisentan) 4 PA; SL (1 tablet per day); SP LOTREL ORAL CAPSULE 10-20 MG, 10-40 MG, 5-10 MG, 5- 4 20 MG (amlodipine besy-benazepril hcl) diltiazem hcl coated beads (Matzim La Oral Tablet Extended 2 Release 24 Hour 180 Mg, 240 Mg, 300 Mg, 360 Mg, 420 Mg) MUSE URETHRAL PELLET 1000 MCG, 125 MCG, 250 MCG, 3 SL (6 units per month) 500 MCG (alprostadil (vasodilator)) nicardipine hcl oral capsule 20 mg, 30 mg 1 nifedipine er oral tablet extended release 24 hour 30 mg, 60 mg, 1 90 mg nifedipine er osmotic release oral tablet extended release 24 1 hour 30 mg, 60 mg, 90 mg nifedipine oral capsule 10 mg, 20 mg 1 nimodipine oral capsule 30 mg 1 nisoldipine er oral tablet extended release 24 hour 17 mg, 20 2 mg, 25.5 mg, 30 mg, 34 mg, 40 mg, 8.5 mg NYMALIZE ORAL SOLUTION 30 MG/10ML, 60 MG/20ML 2 (nimodipine) OPSUMIT ORAL TABLET 10 MG (macitentan) 2 PA; SL (1 tablet per day); SP ORENITRAM ORAL TABLET EXTENDED RELEASE 0.125 PA; SL (6 tablets per day); 4 MG, 0.25 MG, 1 MG, 2.5 MG, 5 MG (treprostinil diolamine) SP

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 94 Coverage Requirements & Prescription Drug Name Drug Tier Limits PROCARDIA ORAL CAPSULE 10 MG (nifedipine) 4 PROCARDIA XL ORAL TABLET EXTENDED RELEASE 24 4 HOUR 30 MG, 60 MG, 90 MG (nifedipine) SULAR ORAL TABLET EXTENDED RELEASE 24 HOUR 17 4 MG, 34 MG, 8.5 MG (nisoldipine) TARKA ORAL TABLET EXTENDED RELEASE 2-180 MG, 2- 4 240 MG, 4-240 MG (trandolapril-verapamil hcl) diltiazem hcl er beads (Taztia Xt Oral Capsule Extended 2 Release 24 Hour 120 Mg, 180 Mg, 240 Mg, 300 Mg, 360 Mg) diltiazem hcl er beads (Tiadylt Er Oral Capsule Extended Release 24 Hour 120 Mg, 180 Mg, 240 Mg, 300 Mg, 360 Mg, 2 420 Mg) TIAZAC ORAL CAPSULE EXTENDED RELEASE 24 HOUR 120 MG, 180 MG, 240 MG, 300 MG, 360 MG, 420 MG 4 (diltiazem hcl er beads) PA; SL (2 tablets per day); TRACLEER ORAL TABLET 125 MG, 62.5 MG (bosentan) 2 SP TRACLEER ORAL TABLET SOLUBLE 32 MG (bosentan) 2 PA; SP trandolapril-verapamil hcl er oral tablet extended release 1-240 3 mg, 2-180 mg, 2-240 mg, 4-240 mg TYVASO INHALATION SOLUTION 0.6 MG/ML (treprostinil) 2 PA TYVASO REFILL INHALATION SOLUTION 0.6 MG/ML 2 PA (treprostinil) TYVASO STARTER INHALATION SOLUTION 0.6 MG/ML 2 PA (treprostinil) UPTRAVI ORAL TABLET 1000 MCG, 1200 MCG, 1400 MCG, PA; SL (2 tablets per day); 1600 MCG, 200 MCG, 400 MCG, 600 MCG, 800 MCG 4 SP (selexipag) UPTRAVI ORAL TABLET THERAPY PACK 200 & 800 MCG PA; SL (200 tablets per 4 (selexipag) year); SP VENTAVIS INHALATION SOLUTION 10 MCG/ML, 20 MCG/ML 2 PA; SP (iloprost) verapamil hcl er oral capsule extended release 24 hour 100 mg, 3 200 mg, 300 mg verapamil hcl er oral capsule extended release 24 hour 120 mg, 1 180 mg, 240 mg, 360 mg verapamil hcl er oral tablet extended release 120 mg, 180 mg, 1 240 mg

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 95 Coverage Requirements & Prescription Drug Name Drug Tier Limits verapamil hcl oral tablet 120 mg, 40 mg, 80 mg 1 VERELAN ORAL CAPSULE EXTENDED RELEASE 24 HOUR 4 120 MG, 180 MG, 240 MG, 360 MG (verapamil hcl) VERELAN PM ORAL CAPSULE EXTENDED RELEASE 24 4 HOUR 100 MG, 200 MG, 300 MG (verapamil hcl) CENTRAL NERVOUS SYSTEM AGENTS - Drugs for the Nervous System ADAMANTANES (CNS) - Drugs for Parkinson amantadine hcl oral capsule 100 mg 1 amantadine hcl oral syrup 50 mg/5ml 1 amantadine hcl oral tablet 100 mg 1 AMPHETAMINE DERIVATIVES - Drugs for the Nervous System ADIPEX-P ORAL CAPSULE 37.5 MG (phentermine hcl) 4 PA ADIPEX-P ORAL TABLET 37.5 MG (phentermine hcl) 4 PA diethylpropion hcl er oral tablet extended release 24 hour 75 mg 1 PA diethylpropion hcl oral tablet 25 mg 1 PA LOMAIRA ORAL TABLET 8 MG (phentermine hcl) 3 PA phendimetrazine tartrate er oral capsule extended release 24 1 PA hour 105 mg phendimetrazine tartrate oral tablet 35 mg 1 PA phentermine hcl oral capsule 15 mg, 30 mg, 37.5 mg 1 PA phentermine hcl oral tablet 37.5 mg 1 PA QSYMIA ORAL CAPSULE EXTENDED RELEASE 24 HOUR 11.25-69 MG, 15-92 MG, 3.75-23 MG, 7.5-46 MG 3 PA (phentermine-topiramate) AMPHETAMINES - Drugs for the Nervous System ADDERALL XR ORAL CAPSULE EXTENDED RELEASE 24 HOUR 10 MG, 15 MG, 20 MG, 25 MG, 30 MG, 5 MG 2 SL (1 capsule per day) (amphetamine-dextroamphetamine) AMPHETAMINE ER ORAL SUSPENSION EXTENDED 4 PA; SL (15 ml per day) RELEASE 1.25 MG/ML amphetamine-dextroamphetamine oral tablet 10 mg, 12.5 mg, 1 PA 15 mg, 20 mg, 30 mg, 5 mg, 7.5 mg benzphetamine hcl oral tablet 25 mg, 50 mg 1 PA DESOXYN ORAL TABLET 5 MG (methamphetamine hcl) 4 PA

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 96 Coverage Requirements & Prescription Drug Name Drug Tier Limits dextroamphetamine sulfate er oral capsule extended release 24 3 PA hour 10 mg, 15 mg, 5 mg dextroamphetamine sulfate oral solution 5 mg/5ml 1 PA dextroamphetamine sulfate oral tablet 10 mg, 5 mg 3 PA methamphetamine hcl oral tablet 5 mg 1 PA dextroamphetamine sulfate (Procentra Oral Solution 5 Mg/5Ml) 3 PA VYVANSE ORAL CAPSULE 10 MG, 20 MG, 30 MG, 40 MG, 50 2 PA; SL (1 capsule per day) MG, 60 MG, 70 MG (lisdexamfetamine dimesylate) VYVANSE ORAL TABLET CHEWABLE 10 MG, 20 MG, 30 MG, 2 PA; SL (1 tablet per day) 40 MG, 50 MG, 60 MG (lisdexamfetamine dimesylate) AND ANTIPYRETICS, MISC. - Drugs for Pain acetaminophen-codeine #2 oral tablet 300-15 mg 1 acetaminophen-codeine #3 oral tablet 300-30 mg 1 acetaminophen-codeine #4 oral tablet 300-60 mg 1 acetaminophen-codeine oral solution 120-12 mg/5ml 1 acetaminophen-codeine oral tablet 300-15 mg, 300-30 mg, 300- 1 60 mg SL (40 capsules per apap-caff- oral capsule 320.5-30-16 mg 4 prescription) SL (40 tablets per apap-caff-dihydrocodeine oral tablet 325-30-16 mg 1 prescription) -ACETAMINOPHEN ORAL TABLET 3 4.08-325 MG, 6.12-325 MG, 8.16-325 MG butalbital-acetaminophen (Bupap Oral Tablet 50-300 Mg) 4 butalbital-acetaminophen oral tablet 50-300 mg 3 butalbital-acetaminophen oral tablet 50-325 mg 1 butalbital-apap-caff-cod oral capsule 50-325-40-30 mg 1 SL (6 capsules per day) butalbital-apap-caffeine oral capsule 50-300-40 mg 3 SL (6 capsules per day) butalbital-apap-caffeine oral capsule 50-325-40 mg 1 SL (6 capsules per day) butalbital-apap-caffeine oral tablet 50-325-40 mg 1 SL (6 tablets per day) duraxin oral capsule 300-200-20 mg 1 -acetaminophen (Endocet Oral Tablet 10-325 Mg, 1 2.5-325 Mg, 5-325 Mg, 7.5-325 Mg) butalbital-apap-caffeine (Esgic Oral Capsule 50-325-40 Mg) 4 SL (6 capsules per day) ESGIC ORAL TABLET 50-325-40 MG (butalbital-apap-caffeine) 4 SL (6 tablets per day)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 97 Coverage Requirements & Prescription Drug Name Drug Tier Limits FIORICET ORAL CAPSULE 50-300-40 MG (butalbital-apap- 4 SL (6 capsules per day) caffeine) oral capsule 100 mg, 300 mg, 400 mg 1 gabapentin oral solution 250 mg/5ml, 300 mg/6ml 1 gabapentin oral tablet 600 mg, 800 mg 1 hydrocodone-acetaminophen oral solution 10-325 mg/15ml 1 hydrocodone-acetaminophen oral solution 7.5-325 mg/15ml 2 hydrocodone-acetaminophen oral tablet 10-325 mg, 5-325 mg, 1 7.5-325 mg hydrocodone-acetaminophen (Lorcet Hd Oral Tablet 10-325 1 Mg) hydrocodone-acetaminophen (Lorcet Oral Tablet 5-325 Mg) 1 hydrocodone-acetaminophen (Lorcet Plus Oral Tablet 7.5-325 1 Mg) LORTAB ORAL ELIXIR 10-300 MG/15ML (hydrocodone- 4 acetaminophen) LYRICA ORAL CAPSULE 100 MG, 150 MG, 200 MG, 25 MG, PA; ST; SL (93 capsules per 4 50 MG, 75 MG () 31 days) PA; ST; SL (62 capsules per LYRICA ORAL CAPSULE 225 MG, 300 MG (pregabalin) 4 31 days) PA; ST; SL (30.52 ml per LYRICA ORAL SOLUTION 20 MG/ML (pregabalin) 4 day) NEURONTIN ORAL CAPSULE 100 MG, 300 MG, 400 MG 4 PA; ST (gabapentin) NEURONTIN ORAL SOLUTION 250 MG/5ML (gabapentin) 4 PA; ST NEURONTIN ORAL TABLET 600 MG, 800 MG (gabapentin) 4 PA; ST NORCO ORAL TABLET 10-325 MG, 5-325 MG, 7.5-325 MG 4 (hydrocodone-acetaminophen) oxycodone-acetaminophen oral tablet 10-325 mg, 2.5-325 mg, 1 5-325 mg, 7.5-325 mg pregabalin oral capsule 100 mg, 150 mg, 200 mg, 25 mg, 50 2 SL (93 capsules per 31 days) mg, 75 mg pregabalin oral capsule 225 mg, 300 mg 2 SL (62 capsules per 31 days) pregabalin oral solution 20 mg/ml 3 SL (30.52 ml per day) tencon oral tablet 50-325 mg 1 SL (40 tablets per -acetaminophen oral tablet 37.5-325 mg 1 prescription)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 98 Coverage Requirements & Prescription Drug Name Drug Tier Limits TREZIX ORAL CAPSULE 320.5-30-16 MG (apap-caff- SL (40 capsules per 4 dihydrocodeine) prescription) TYLENOL WITH CODEINE #3 ORAL TABLET 300-30 MG 4 (acetaminophen-codeine) ULTRACET ORAL TABLET 37.5-325 MG (tramadol- SL (40 tablets per 4 acetaminophen) prescription) butalbital-apap-caffeine (Vanatol Lq Oral Solution 50-325-40 PA; SL (180 ml per 2 Mg/15Ml) prescription) butalbital-apap-caffeine (Vanatol S Oral Solution 50-325-40 PA; SL (180 ml per 2 Mg/15Ml) prescription) butalbital-apap-caffeine (Vtol Lq Oral Solution 50-325-40 PA; SL (180 ml per 2 Mg/15Ml) prescription) butalbital-apap-caffeine (Zebutal Oral Capsule 50-325-40 Mg) 4 SL (6 capsules per day) ANOREXIGENIC AGENTS, MISCELLANEOUS - Drugs for the Nervous System CONTRAVE ORAL TABLET EXTENDED RELEASE 12 HOUR 3 PA 8-90 MG (naltrexone-bupropion hcl) ANTICHOLINERGIC AGENTS (CNS) - Drugs for Parkinson benztropine mesylate oral tablet 0.5 mg, 1 mg, 2 mg 1 trihexyphenidyl hcl oral solution 0.4 mg/ml 1 trihexyphenidyl hcl oral tablet 2 mg, 5 mg 1 ANTICONVULSANTS, MISCELLANEOUS - Drugs for Seizures APTIOM ORAL TABLET 200 MG, 400 MG, 600 MG, 800 MG 3 PA (eslicarbazepine acetate) BANZEL ORAL SUSPENSION 40 MG/ML (rufinamide) 3 BANZEL ORAL TABLET 200 MG, 400 MG (rufinamide) 3 PA BRIVIACT ORAL SOLUTION 10 MG/ML (brivaracetam) 4 PA BRIVIACT ORAL TABLET 10 MG, 100 MG, 25 MG, 50 MG, 75 3 PA MG (brivaracetam) er oral capsule extended release 12 hour 100 2 mg, 200 mg, 300 mg carbamazepine er oral tablet extended release 12 hour 100 mg, 3 200 mg, 400 mg carbamazepine oral suspension 100 mg/5ml 1 carbamazepine oral tablet 200 mg 1 carbamazepine oral tablet chewable 100 mg 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 99 Coverage Requirements & Prescription Drug Name Drug Tier Limits CARBATROL ORAL CAPSULE EXTENDED RELEASE 12 4 HOUR 100 MG, 200 MG, 300 MG (carbamazepine) DEPAKOTE ER ORAL TABLET EXTENDED RELEASE 24 4 PA; ST HOUR 250 MG, 500 MG (divalproex sodium) DEPAKOTE ORAL TABLET DELAYED RELEASE 125 MG, 250 4 PA MG, 500 MG (divalproex sodium) DEPAKOTE SPRINKLES ORAL CAPSULE DELAYED 4 PA; ST RELEASE SPRINKLE 125 MG (divalproex sodium) DIACOMIT ORAL CAPSULE 250 MG, 500 MG (stiripentol) 3 PA; SP DIACOMIT ORAL PACKET 250 MG, 500 MG (stiripentol) 3 PA; SP divalproex sodium er oral tablet extended release 24 hour 250 2 mg, 500 mg divalproex sodium oral capsule delayed release sprinkle 125 mg 2 divalproex sodium oral tablet delayed release 125 mg, 250 mg, 1 500 mg EPIDIOLEX ORAL SOLUTION 100 MG/ML () 3 PA; SP carbamazepine (Epitol Oral Tablet 200 Mg) 1 EQUETRO ORAL CAPSULE EXTENDED RELEASE 12 HOUR 3 100 MG, 200 MG, 300 MG (carbamazepine (antipsychotic)) felbamate oral suspension 600 mg/5ml 1 felbamate oral tablet 400 mg, 600 mg 1 FELBATOL ORAL SUSPENSION 600 MG/5ML (felbamate) 4 PA; ST FELBATOL ORAL TABLET 400 MG, 600 MG (felbamate) 4 PA; ST FYCOMPA ORAL SUSPENSION 0.5 MG/ML (perampanel) 4 PA FYCOMPA ORAL TABLET 10 MG, 12 MG, 2 MG, 4 MG, 6 MG, 3 PA 8 MG (perampanel) gabapentin oral capsule 100 mg, 300 mg, 400 mg 1 gabapentin oral solution 250 mg/5ml, 300 mg/6ml 1 gabapentin oral tablet 600 mg, 800 mg 1 GABITRIL ORAL TABLET 12 MG, 16 MG, 2 MG, 4 MG 4 (tiagabine hcl) KEPPRA ORAL SOLUTION 100 MG/ML (levetiracetam) 4 PA; ST KEPPRA ORAL TABLET 1000 MG, 250 MG, 500 MG, 750 MG 4 PA; ST (levetiracetam) KEPPRA XR ORAL TABLET EXTENDED RELEASE 24 HOUR 4 PA; ST 500 MG, 750 MG (levetiracetam)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 100 Coverage Requirements & Prescription Drug Name Drug Tier Limits LAMICTAL ODT ORAL KIT 21 X 25 MG & 7 X 50 MG, 25 & 50 3 PA; ST & 100 MG, 42 X 50 MG & 14X100 MG (lamotrigine) LAMICTAL ODT ORAL TABLET DISPERSIBLE 100 MG, 200 4 PA; ST MG, 25 MG, 50 MG (lamotrigine) LAMICTAL ORAL TABLET 100 MG, 150 MG, 200 MG, 25 MG 4 PA; ST (lamotrigine) LAMICTAL ORAL TABLET CHEWABLE 25 MG, 5 MG 4 PA; ST (lamotrigine) LAMICTAL STARTER ORAL KIT 35 X 25 MG, 42 X 25 MG & 7 4 PA; ST X 100 MG, 84 X 25 MG & 14X100 MG (lamotrigine) LAMICTAL XR ORAL KIT 21 X 25 MG & 7 X 50 MG, 25 & 50 & 3 PA; ST 100 MG, 50 & 100 & 200 MG (lamotrigine) LAMICTAL XR ORAL TABLET EXTENDED RELEASE 24 HOUR 100 MG, 200 MG, 25 MG, 250 MG, 300 MG, 50 MG 3 PA; ST (lamotrigine) lamotrigine er oral tablet extended release 24 hour 100 mg, 200 3 PA; ST mg, 25 mg, 250 mg, 300 mg, 50 mg lamotrigine oral tablet 100 mg, 150 mg, 200 mg, 25 mg 1 lamotrigine oral tablet chewable 25 mg, 5 mg 1 lamotrigine oral tablet dispersible 100 mg, 200 mg, 25 mg, 50 3 PA; ST mg lamotrigine starter kit-blue oral kit 35 x 25 mg 1 lamotrigine starter kit-green oral kit 84 x 25 mg & 14x100 mg 1 lamotrigine starter kit-orange oral kit 42 x 25 mg & 7 x 100 mg 1 levetiracetam er oral tablet extended release 24 hour 500 mg, 2 750 mg levetiracetam oral solution 100 mg/ml 1 levetiracetam oral tablet 1000 mg, 250 mg, 500 mg, 750 mg 1 LYRICA ORAL CAPSULE 100 MG, 150 MG, 200 MG, 25 MG, PA; ST; SL (93 capsules per 4 50 MG, 75 MG (pregabalin) 31 days) PA; ST; SL (62 capsules per LYRICA ORAL CAPSULE 225 MG, 300 MG (pregabalin) 4 31 days) PA; ST; SL (30.52 ml per LYRICA ORAL SOLUTION 20 MG/ML (pregabalin) 4 day) NEURONTIN ORAL CAPSULE 100 MG, 300 MG, 400 MG 4 PA; ST (gabapentin) NEURONTIN ORAL SOLUTION 250 MG/5ML (gabapentin) 4 PA; ST

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 101 Coverage Requirements & Prescription Drug Name Drug Tier Limits NEURONTIN ORAL TABLET 600 MG, 800 MG (gabapentin) 4 PA; ST oxcarbazepine oral suspension 300 mg/5ml 1 oxcarbazepine oral tablet 150 mg, 300 mg, 600 mg 1 pregabalin oral capsule 100 mg, 150 mg, 200 mg, 25 mg, 50 2 SL (93 capsules per 31 days) mg, 75 mg pregabalin oral capsule 225 mg, 300 mg 2 SL (62 capsules per 31 days) pregabalin oral solution 20 mg/ml 3 SL (30.52 ml per day) QSYMIA ORAL CAPSULE EXTENDED RELEASE 24 HOUR 11.25-69 MG, 15-92 MG, 3.75-23 MG, 7.5-46 MG 3 PA (phentermine-topiramate) levetiracetam (Roweepra Oral Tablet 1000 Mg, 500 Mg, 750 1 Mg) levetiracetam (Roweepra Xr Oral Tablet Extended Release 24 2 Hour 500 Mg, 750 Mg) PA; SL (6 tablets per day); SABRIL ORAL TABLET 500 MG (vigabatrin) 4 SP lamotrigine (Subvenite Oral Tablet 100 Mg, 150 Mg, 200 Mg, 25 1 Mg) lamotrigine (Subvenite Starter Kit-Blue Oral Kit 35 X 25 Mg) 1 lamotrigine (Subvenite Starter Kit-Green Oral Kit 84 X 25 Mg & 1 14X100 Mg) lamotrigine (Subvenite Starter Kit-Orange Oral Kit 42 X 25 Mg & 1 7 X 100 Mg) TEGRETOL ORAL SUSPENSION 100 MG/5ML 3 (carbamazepine) TEGRETOL ORAL TABLET 200 MG (carbamazepine) 3 TEGRETOL-XR ORAL TABLET EXTENDED RELEASE 12 4 HOUR 100 MG, 200 MG, 400 MG (carbamazepine) tiagabine hcl oral tablet 12 mg, 16 mg, 2 mg, 4 mg 1 TOPAMAX ORAL TABLET 100 MG, 200 MG, 25 MG, 50 MG 4 PA; ST (topiramate) TOPAMAX SPRINKLE ORAL CAPSULE SPRINKLE 15 MG, 25 4 PA; ST MG (topiramate) topiramate oral capsule sprinkle 15 mg, 25 mg 1 topiramate oral tablet 100 mg, 200 mg, 25 mg, 50 mg 1 TRILEPTAL ORAL SUSPENSION 300 MG/5ML 4 PA; ST (oxcarbazepine)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 102 Coverage Requirements & Prescription Drug Name Drug Tier Limits TRILEPTAL ORAL TABLET 150 MG, 300 MG, 600 MG 4 PA; ST (oxcarbazepine) valproic acid oral capsule 250 mg 1 valproic acid oral solution 250 mg/5ml 1 vigabatrin oral packet 500 mg 2 PA; SL (6 packets per day) PA; SL (6 tablets per day); vigabatrin oral tablet 500 mg 2 SP vigabatrin (Vigadrone Oral Packet 500 Mg) 2 PA; SL (6 packets per day) VIMPAT ORAL SOLUTION 10 MG/ML () 3 PA VIMPAT ORAL TABLET 100 MG, 150 MG, 200 MG, 50 MG 3 PA (lacosamide) ZONEGRAN ORAL CAPSULE 100 MG, 25 MG (zonisamide) 4 PA; ST zonisamide oral capsule 100 mg, 25 mg, 50 mg 1 ANTIDEPRESSANTS, MISCELLANEOUS - Drugs for Depression & Psychosis bupropion hcl er (smoking det) oral tablet extended release 12 1 H hour 150 mg bupropion hcl er (sr) oral tablet extended release 12 hour 100 1 mg, 150 mg, 200 mg bupropion hcl er (xl) oral tablet extended release 24 hour 150 1 mg, 300 mg bupropion hcl oral tablet 100 mg, 75 mg 1 mirtazapine oral tablet 15 mg, 30 mg, 45 mg, 7.5 mg 1 mirtazapine oral tablet dispersible 15 mg, 30 mg, 45 mg 1 REMERON ORAL TABLET 15 MG, 30 MG (mirtazapine) 4 REMERON SOLTAB ORAL TABLET DISPERSIBLE 15 MG, 30 4 MG, 45 MG (mirtazapine) SPRAVATO (56 MG DOSE) NASAL SOLUTION THERAPY PA; SL (8 devices (4 kits) per 4 PACK 28 MG/DEVICE (esketamine hcl) month) SPRAVATO (84 MG DOSE) NASAL SOLUTION THERAPY PA; SL (12 devices (4 kits) 4 PACK 28 MG/DEVICE (esketamine hcl) per month) ANTIMANIC AGENTS - Drugs for Personality Disorder aripiprazole oral solution 1 mg/ml 3 aripiprazole oral tablet 10 mg, 15 mg, 20 mg, 30 mg 2 SL (1 tablet per day) aripiprazole oral tablet 2 mg 2 SL (2 tablets per day) aripiprazole oral tablet 5 mg 2 SL (1.5 tablets per day)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 103 Coverage Requirements & Prescription Drug Name Drug Tier Limits aripiprazole oral tablet dispersible 10 mg, 15 mg 2 SL (1 tablet per day) carbamazepine er oral capsule extended release 12 hour 100 2 mg, 200 mg, 300 mg carbamazepine er oral tablet extended release 12 hour 100 mg, 3 200 mg, 400 mg carbamazepine oral suspension 100 mg/5ml 1 carbamazepine oral tablet 200 mg 1 carbamazepine oral tablet chewable 100 mg 1 CARBATROL ORAL CAPSULE EXTENDED RELEASE 12 4 HOUR 100 MG, 200 MG, 300 MG (carbamazepine) DEPAKOTE ER ORAL TABLET EXTENDED RELEASE 24 4 PA; ST HOUR 250 MG, 500 MG (divalproex sodium) DEPAKOTE ORAL TABLET DELAYED RELEASE 125 MG, 250 4 PA MG, 500 MG (divalproex sodium) DEPAKOTE SPRINKLES ORAL CAPSULE DELAYED 4 PA; ST RELEASE SPRINKLE 125 MG (divalproex sodium) divalproex sodium er oral tablet extended release 24 hour 250 2 mg, 500 mg divalproex sodium oral capsule delayed release sprinkle 125 mg 2 divalproex sodium oral tablet delayed release 125 mg, 250 mg, 1 500 mg carbamazepine (Epitol Oral Tablet 200 Mg) 1 EQUETRO ORAL CAPSULE EXTENDED RELEASE 12 HOUR 3 100 MG, 200 MG, 300 MG (carbamazepine (antipsychotic)) LAMICTAL ODT ORAL KIT 21 X 25 MG & 7 X 50 MG, 25 & 50 3 PA; ST & 100 MG, 42 X 50 MG & 14X100 MG (lamotrigine) LAMICTAL ODT ORAL TABLET DISPERSIBLE 100 MG, 200 4 PA; ST MG, 25 MG, 50 MG (lamotrigine) LAMICTAL ORAL TABLET 100 MG, 150 MG, 200 MG, 25 MG 4 PA; ST (lamotrigine) LAMICTAL ORAL TABLET CHEWABLE 25 MG, 5 MG 4 PA; ST (lamotrigine) LAMICTAL STARTER ORAL KIT 35 X 25 MG, 42 X 25 MG & 7 4 PA; ST X 100 MG, 84 X 25 MG & 14X100 MG (lamotrigine) lamotrigine oral tablet 100 mg, 150 mg, 200 mg, 25 mg 1 lamotrigine oral tablet chewable 25 mg, 5 mg 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 104 Coverage Requirements & Prescription Drug Name Drug Tier Limits lamotrigine oral tablet dispersible 100 mg, 200 mg, 25 mg, 50 3 PA; ST mg lamotrigine starter kit-blue oral kit 35 x 25 mg 1 lamotrigine starter kit-green oral kit 84 x 25 mg & 14x100 mg 1 lamotrigine starter kit-orange oral kit 42 x 25 mg & 7 x 100 mg 1 lithium carbonate er oral tablet extended release 300 mg, 450 1 mg lithium carbonate oral capsule 150 mg, 300 mg, 600 mg 1 lithium carbonate oral tablet 300 mg 1 lithium oral solution 8 meq/5ml 1 LITHOBID ORAL TABLET EXTENDED RELEASE 300 MG 4 (lithium carbonate) olanzapine oral tablet 10 mg, 15 mg, 20 mg, 7.5 mg 1 SL (1 tablet per day) olanzapine oral tablet 2.5 mg 1 SL (2 tablets per day) olanzapine oral tablet 5 mg 1 SL (3 tablets per day) olanzapine oral tablet dispersible 10 mg, 15 mg, 20 mg 2 SL (1 tablet per day) olanzapine oral tablet dispersible 5 mg 2 SL (3 tablets per day) quetiapine fumarate er oral tablet extended release 24 hour 150 3 SL (31 tablets per 31 days) mg quetiapine fumarate er oral tablet extended release 24 hour 200 3 SL (1 tablet per day) mg quetiapine fumarate er oral tablet extended release 24 hour 300 3 SL (62 tablets per 31 days) mg, 400 mg SL (13 tablets per year for quetiapine fumarate er oral tablet extended release 24 hour 50 3 initial fill 3 tablets per day for mg maintenance fill) quetiapine fumarate oral tablet 100 mg, 200 mg, 25 mg, 300 1 mg, 400 mg, 50 mg risperidone oral solution 1 mg/ml 1 risperidone oral tablet 0.25 mg, 0.5 mg, 1 mg, 2 mg, 3 mg, 4 mg 1 risperidone oral tablet dispersible 0.25 mg, 0.5 mg, 1 mg, 2 mg, 1 3 mg, 4 mg SAPHRIS SUBLINGUAL TABLET SUBLINGUAL 10 MG, 2.5 3 SL (2 tablets per day) MG, 5 MG (asenapine maleate) lamotrigine (Subvenite Oral Tablet 100 Mg, 150 Mg, 200 Mg, 25 1 Mg) lamotrigine (Subvenite Starter Kit-Blue Oral Kit 35 X 25 Mg) 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 105 Coverage Requirements & Prescription Drug Name Drug Tier Limits lamotrigine (Subvenite Starter Kit-Green Oral Kit 84 X 25 Mg & 1 14X100 Mg) lamotrigine (Subvenite Starter Kit-Orange Oral Kit 42 X 25 Mg & 1 7 X 100 Mg) TEGRETOL ORAL SUSPENSION 100 MG/5ML 3 (carbamazepine) TEGRETOL ORAL TABLET 200 MG (carbamazepine) 3 TEGRETOL-XR ORAL TABLET EXTENDED RELEASE 12 4 HOUR 100 MG, 200 MG, 400 MG (carbamazepine) valproic acid oral capsule 250 mg 1 valproic acid oral solution 250 mg/5ml 1 ziprasidone hcl oral capsule 20 mg, 40 mg, 60 mg, 80 mg 2 SL (62 capsules per 31 days) ANTIMIGRAINE AGENTS, MISCELLANEOUS - Migraine Treatment AIMOVIG SUBCUTANEOUS SOLUTION AUTO-INJECTOR 2 PA; ST 140 MG/ML (erenumab-aooe) AIMOVIG SUBCUTANEOUS SOLUTION AUTO-INJECTOR 70 2 PA; ST; SL (1 ml per month) MG/ML (erenumab-aooe) butalbital-asa-caff-codeine (Ascomp-Codeine Oral Capsule 50- 1 325-40-30 Mg) butalbital-apap-caff-cod oral capsule 50-325-40-30 mg 1 SL (6 capsules per day) butalbital-apap-caffeine oral capsule 50-300-40 mg 3 SL (6 capsules per day) butalbital-apap-caffeine oral capsule 50-325-40 mg 1 SL (6 capsules per day) butalbital-apap-caffeine oral tablet 50-325-40 mg 1 SL (6 tablets per day) butalbital-asa-caff-codeine oral capsule 50-325-40-30 mg 1 butalbital-aspirin-caffeine oral capsule 50-325-40 mg 1 butalbital-aspirin-caffeine oral tablet 50-325-40 mg 1 CAFERGOT ORAL TABLET 1-100 MG (ergotamine-caffeine) 4 DEPAKOTE ER ORAL TABLET EXTENDED RELEASE 24 4 PA; ST HOUR 250 MG, 500 MG (divalproex sodium) DEPAKOTE ORAL TABLET DELAYED RELEASE 125 MG, 250 4 PA MG, 500 MG (divalproex sodium) DEPAKOTE SPRINKLES ORAL CAPSULE DELAYED 4 PA; ST RELEASE SPRINKLE 125 MG (divalproex sodium) dihydroergotamine mesylate injection solution 1 mg/ml 1 PA; SL (8 mL per dihydroergotamine mesylate nasal solution 4 mg/ml 4 prescription)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 106 Coverage Requirements & Prescription Drug Name Drug Tier Limits divalproex sodium er oral tablet extended release 24 hour 250 2 mg, 500 mg divalproex sodium oral capsule delayed release sprinkle 125 mg 2 divalproex sodium oral tablet delayed release 125 mg, 250 mg, 1 500 mg EMGALITY SUBCUTANEOUS SOLUTION AUTO-INJECTOR 2 PA; ST; SL (0.04 ml per day) 120 MG/ML (galcanezumab-gnlm) EMGALITY SUBCUTANEOUS SOLUTION PREFILLED 2 PA; ST; SL (0.04 ml per day) SYRINGE 120 MG/ML (galcanezumab-gnlm) ERGOMAR SUBLINGUAL TABLET SUBLINGUAL 2 MG PA; SL (5 tablets per 4 (ergotamine tartrate) prescription) ergotamine-caffeine oral tablet 1-100 mg 3 butalbital-apap-caffeine (Esgic Oral Capsule 50-325-40 Mg) 4 SL (6 capsules per day) ESGIC ORAL TABLET 50-325-40 MG (butalbital-apap-caffeine) 4 SL (6 tablets per day) FIORICET ORAL CAPSULE 50-300-40 MG (butalbital-apap- 4 SL (6 capsules per day) caffeine) FIORINAL ORAL CAPSULE 50-325-40 MG (butalbital-aspirin- 4 caffeine) FIORINAL/CODEINE #3 ORAL CAPSULE 50-325-40-30 MG 4 (butalbital-asa-caff-codeine) INDERAL XL ORAL CAPSULE EXTENDED RELEASE 24 3 HOUR 120 MG, 80 MG (propranolol hcl sr beads) INNOPRAN XL ORAL CAPSULE EXTENDED RELEASE 24 3 HOUR 120 MG, 80 MG (propranolol hcl sr beads) MIGERGOT RECTAL SUPPOSITORY 2-100 MG (ergotamine- 3 caffeine) propranolol hcl er oral capsule extended release 24 hour 120 2 mg, 160 mg, 60 mg, 80 mg propranolol hcl oral solution 20 mg/5ml, 40 mg/5ml 1 propranolol hcl oral tablet 10 mg, 20 mg, 40 mg, 60 mg, 80 mg 1 timolol maleate oral tablet 10 mg, 20 mg, 5 mg 1 SL (40 tablets per tramadol-acetaminophen oral tablet 37.5-325 mg 1 prescription) ULTRACET ORAL TABLET 37.5-325 MG (tramadol- SL (40 tablets per 4 acetaminophen) prescription) valproic acid oral capsule 250 mg 1 valproic acid oral solution 250 mg/5ml 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 107 Coverage Requirements & Prescription Drug Name Drug Tier Limits butalbital-apap-caffeine (Vanatol Lq Oral Solution 50-325-40 PA; SL (180 ml per 2 Mg/15Ml) prescription) butalbital-apap-caffeine (Vanatol S Oral Solution 50-325-40 PA; SL (180 ml per 2 Mg/15Ml) prescription) butalbital-apap-caffeine (Vtol Lq Oral Solution 50-325-40 PA; SL (180 ml per 2 Mg/15Ml) prescription) butalbital-apap-caffeine (Zebutal Oral Capsule 50-325-40 Mg) 4 SL (6 capsules per day) ANTIPSYCHOTICS, MISCELLANEOUS - Drugs for Depression & Psychosis ADASUVE INHALATION AEROSOL POWDER BREATH 3 ACTIVATED 10 MG (loxapine) loxapine succinate oral capsule 10 mg, 25 mg, 5 mg, 50 mg 1 molindone hcl oral tablet 10 mg, 25 mg, 5 mg 3 pimozide oral tablet 1 mg, 2 mg 2 ANXIOLYTICS,SEDATIVES,AND HYPNOTICS,MISC - Drugs for Anxiety & Sleep Disorder BELSOMRA ORAL TABLET 10 MG, 15 MG, 20 MG, 5 MG 4 ST; SL (1 tablet per day) (suvorexant) buspirone hcl oral tablet 10 mg, 15 mg, 30 mg, 5 mg, 7.5 mg 1 eszopiclone oral tablet 1 mg, 2 mg, 3 mg 2 SL (1 tablet per day) PA; SL (1 capsule per day); HETLIOZ ORAL CAPSULE 20 MG (tasimelteon) 4 SP hydroxyzine hcl oral syrup 10 mg/5ml 1 hydroxyzine hcl oral tablet 10 mg, 25 mg, 50 mg 1 hydroxyzine pamoate oral capsule 100 mg, 25 mg, 50 mg 1 meprobamate oral tablet 200 mg, 400 mg 1 promethazine hcl (Phenadoz Rectal Suppository 12.5 Mg, 25 1 Mg) promethazine hcl oral solution 6.25 mg/5ml 1 promethazine hcl oral syrup 6.25 mg/5ml 1 promethazine hcl oral tablet 12.5 mg, 25 mg, 50 mg 1 promethazine hcl rectal suppository 12.5 mg, 25 mg 1 promethazine hcl (Promethegan Rectal Suppository 12.5 Mg, 1 25 Mg) promethegan rectal suppository 50 mg 1 ramelteon oral tablet 8 mg 3 ST; SL (1 tablet per day)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 108 Coverage Requirements & Prescription Drug Name Drug Tier Limits ROZEREM ORAL TABLET 8 MG (ramelteon) 4 ST; SL (1 tablet per day) VISTARIL ORAL CAPSULE 25 MG, 50 MG (hydroxyzine 4 pamoate) zaleplon oral capsule 10 mg, 5 mg 1 SL (1 tablet per day) zolpidem tartrate oral tablet 10 mg, 5 mg 1 SL (1 tablet per day) ST; SL (8 ml (1 canister) per ZOLPIMIST ORAL SOLUTION 5 MG/ACT (zolpidem tartrate) 4 month) ATYPICAL ANTIPSYCHOTICS - Drugs for Depression & Psychosis aripiprazole oral solution 1 mg/ml 3 aripiprazole oral tablet 10 mg, 15 mg, 20 mg, 30 mg 2 SL (1 tablet per day) aripiprazole oral tablet 2 mg 2 SL (2 tablets per day) aripiprazole oral tablet 5 mg 2 SL (1.5 tablets per day) aripiprazole oral tablet dispersible 10 mg, 15 mg 2 SL (1 tablet per day) clozapine oral tablet 100 mg, 200 mg, 25 mg, 50 mg 1 clozapine oral tablet dispersible 100 mg, 12.5 mg, 150 mg, 200 1 mg, 25 mg CLOZARIL ORAL TABLET 100 MG, 200 MG, 25 MG, 50 MG 4 (clozapine) FANAPT ORAL TABLET 1 MG (iloperidone) 4 SL (86 tablets per year) FANAPT ORAL TABLET 10 MG, 12 MG, 4 MG, 6 MG, 8 MG 4 SL (2 tablets per day) (iloperidone) FANAPT ORAL TABLET 2 MG (iloperidone) 4 SL (56 tablets per year) FANAPT TITRATION PACK ORAL TABLET 1 & 2 & 4 & 6 MG SL (8 tablets (1 pack) per 3 (iloperidone) 365 days) LATUDA ORAL TABLET 120 MG, 20 MG, 40 MG, 60 MG 4 SL (1 tablet per day) (lurasidone hcl) LATUDA ORAL TABLET 80 MG (lurasidone hcl) 4 SL (2 tablets per day) NUPLAZID ORAL CAPSULE 34 MG (pimavanserin tartrate) 4 PA NUPLAZID ORAL TABLET 10 MG (pimavanserin tartrate) 4 PA olanzapine oral tablet 10 mg, 15 mg, 20 mg, 7.5 mg 1 SL (1 tablet per day) olanzapine oral tablet 2.5 mg 1 SL (2 tablets per day) olanzapine oral tablet 5 mg 1 SL (3 tablets per day) olanzapine oral tablet dispersible 10 mg, 15 mg, 20 mg 2 SL (1 tablet per day) olanzapine oral tablet dispersible 5 mg 2 SL (3 tablets per day)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 109 Coverage Requirements & Prescription Drug Name Drug Tier Limits olanzapine-fluoxetine hcl oral capsule 12-25 mg, 12-50 mg, 3- 2 SL (1 capsule per day) 25 mg, 6-25 mg, 6-50 mg paliperidone er oral tablet extended release 24 hour 1.5 mg, 3 3 SL (1 tablet per day) mg, 9 mg paliperidone er oral tablet extended release 24 hour 6 mg 3 SL (2 tablets per day) quetiapine fumarate er oral tablet extended release 24 hour 150 3 SL (31 tablets per 31 days) mg quetiapine fumarate er oral tablet extended release 24 hour 200 3 SL (1 tablet per day) mg quetiapine fumarate er oral tablet extended release 24 hour 300 3 SL (62 tablets per 31 days) mg, 400 mg SL (13 tablets per year for quetiapine fumarate er oral tablet extended release 24 hour 50 3 initial fill 3 tablets per day for mg maintenance fill) quetiapine fumarate oral tablet 100 mg, 200 mg, 25 mg, 300 1 mg, 400 mg, 50 mg REXULTI ORAL TABLET 0.25 MG, 0.5 MG, 1 MG, 2 MG, 3 4 PA; ST; SL (1 tablet per day) MG, 4 MG (brexpiprazole) risperidone oral solution 1 mg/ml 1 risperidone oral tablet 0.25 mg, 0.5 mg, 1 mg, 2 mg, 3 mg, 4 mg 1 risperidone oral tablet dispersible 0.25 mg, 0.5 mg, 1 mg, 2 mg, 1 3 mg, 4 mg SAPHRIS SUBLINGUAL TABLET SUBLINGUAL 10 MG, 2.5 3 SL (2 tablets per day) MG, 5 MG (asenapine maleate) SYMBYAX ORAL CAPSULE 12-50 MG, 3-25 MG, 6-25 MG, 6- 4 SL (1 capsule per day) 50 MG (olanzapine-fluoxetine hcl) VRAYLAR ORAL CAPSULE 1.5 MG, 3 MG, 4.5 MG, 6 MG 4 ST; SL (1 capsule per day) (cariprazine hcl) VRAYLAR ORAL CAPSULE THERAPY PACK 1.5 & 3 MG 4 ST; SL (7 capsules per year) (cariprazine hcl) ziprasidone hcl oral capsule 20 mg, 40 mg, 60 mg, 80 mg 2 SL (62 capsules per 31 days) BARBITURATES (ANTICONVULSANTS) - Drugs for Seizures MYSOLINE ORAL TABLET 250 MG, 50 MG (primidone) 2 PA; ST oral elixir 20 mg/5ml 1 phenobarbital oral solution 20 mg/5ml 1 phenobarbital oral tablet 100 mg, 15 mg, 16.2 mg, 30 mg, 32.4 1 mg, 60 mg, 64.8 mg, 97.2 mg

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 110 Coverage Requirements & Prescription Drug Name Drug Tier Limits primidone oral tablet 250 mg, 50 mg 1 BARBITURATES (ANXIOLYTIC, SEDATIVE/HYP) - Drugs for Anxiety & Sleep Disorder butalbital-asa-caff-codeine (Ascomp-Codeine Oral Capsule 50- 1 325-40-30 Mg) butalbital-acetaminophen (Bupap Oral Tablet 50-300 Mg) 4 butalbital-acetaminophen oral tablet 50-300 mg 3 butalbital-acetaminophen oral tablet 50-325 mg 1 butalbital-apap-caff-cod oral capsule 50-325-40-30 mg 1 SL (6 capsules per day) butalbital-apap-caffeine oral capsule 50-300-40 mg 3 SL (6 capsules per day) butalbital-apap-caffeine oral capsule 50-325-40 mg 1 SL (6 capsules per day) butalbital-apap-caffeine oral tablet 50-325-40 mg 1 SL (6 tablets per day) butalbital-asa-caff-codeine oral capsule 50-325-40-30 mg 1 butalbital-aspirin-caffeine oral capsule 50-325-40 mg 1 butalbital-aspirin-caffeine oral tablet 50-325-40 mg 1 butalbital-apap-caffeine (Esgic Oral Capsule 50-325-40 Mg) 4 SL (6 capsules per day) ESGIC ORAL TABLET 50-325-40 MG (butalbital-apap-caffeine) 4 SL (6 tablets per day) FIORICET ORAL CAPSULE 50-300-40 MG (butalbital-apap- 4 SL (6 capsules per day) caffeine) FIORINAL ORAL CAPSULE 50-325-40 MG (butalbital-aspirin- 4 caffeine) FIORINAL/CODEINE #3 ORAL CAPSULE 50-325-40-30 MG 4 (butalbital-asa-caff-codeine) phenobarbital oral elixir 20 mg/5ml 1 phenobarbital oral solution 20 mg/5ml 1 phenobarbital oral tablet 100 mg, 15 mg, 16.2 mg, 30 mg, 32.4 1 mg, 60 mg, 64.8 mg, 97.2 mg SECONAL ORAL CAPSULE 100 MG (secobarbital sodium) 3 tencon oral tablet 50-325 mg 1 butalbital-apap-caffeine (Vanatol Lq Oral Solution 50-325-40 PA; SL (180 ml per 2 Mg/15Ml) prescription) butalbital-apap-caffeine (Vanatol S Oral Solution 50-325-40 PA; SL (180 ml per 2 Mg/15Ml) prescription) butalbital-apap-caffeine (Vtol Lq Oral Solution 50-325-40 PA; SL (180 ml per 2 Mg/15Ml) prescription) butalbital-apap-caffeine (Zebutal Oral Capsule 50-325-40 Mg) 4 SL (6 capsules per day)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 111 Coverage Requirements & Prescription Drug Name Drug Tier Limits BENZODIAZEPINES (ANTICONVULSANTS) - Drugs for Seizures clobazam oral suspension 2.5 mg/ml 3 PA clobazam oral tablet 10 mg, 20 mg 2 PA clonazepam oral tablet 0.5 mg, 1 mg, 2 mg 1 clonazepam oral tablet dispersible 0.125 mg, 0.25 mg, 0.5 mg, 1 1 mg, 2 mg clorazepate dipotassium oral tablet 15 mg, 3.75 mg, 7.5 mg 1 SL (1 box (2 doses/box) per DIASTAT ACUDIAL RECTAL GEL 10 MG, 20 MG (diazepam) 4 prescription) SL (1 box (2 doses/box) per DIASTAT PEDIATRIC RECTAL GEL 2.5 MG (diazepam) 2 prescription) diazepam (Diazepam Intensol Oral Concentrate 5 Mg/Ml) 1 diazepam oral concentrate 5 mg/ml 1 diazepam oral solution 5 mg/5ml 1 diazepam oral tablet 10 mg, 2 mg, 5 mg 1 SL (1 box (2 doses/box) per diazepam rectal gel 10 mg, 2.5 mg, 20 mg 1 prescription) lorazepam (Lorazepam Intensol Oral Concentrate 2 Mg/Ml) 1 lorazepam oral concentrate 2 mg/ml 1 lorazepam oral tablet 0.5 mg, 1 mg, 2 mg 1 NAYZILAM NASAL SOLUTION 5 MG/0.1ML (midazolam PA; SL (1 box per 3 (anticonvulsant)) prescription) ONFI ORAL SUSPENSION 2.5 MG/ML (clobazam) 4 PA; ST ONFI ORAL TABLET 10 MG, 20 MG (clobazam) 4 PA; ST TRANXENE-T ORAL TABLET 7.5 MG (clorazepate 4 dipotassium) VALTOCO 10 MG DOSE NASAL LIQUID 10 MG/0.1ML 3 (diazepam) VALTOCO 15 MG DOSE NASAL LIQUID THERAPY PACK 7.5 3 MG/0.1ML (diazepam) VALTOCO 20 MG DOSE NASAL LIQUID THERAPY PACK 10 3 MG/0.1ML (diazepam) VALTOCO 5 MG DOSE NASAL LIQUID 5 MG/0.1ML 3 (diazepam)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 112 Coverage Requirements & Prescription Drug Name Drug Tier Limits BENZODIAZEPINES (ANXIOLYTIC,SEDATIV/HYP) - Drugs for Anxiety & Sleep Disorder alprazolam er oral tablet extended release 24 hour 0.5 mg, 1 1 mg, 2 mg, 3 mg alprazolam intensol oral concentrate 1 mg/ml 1 alprazolam oral tablet 0.25 mg, 0.5 mg, 1 mg, 2 mg 1 alprazolam oral tablet dispersible 0.25 mg, 0.5 mg, 1 mg, 2 mg 1 alprazolam xr oral tablet extended release 24 hour 0.5 mg, 1 1 mg, 2 mg, 3 mg chlordiazepoxide hcl oral capsule 10 mg, 25 mg, 5 mg 1 chlordiazepoxide- oral tablet 10-25 mg, 5-12.5 mg 1 chlordiazepoxide-clidinium oral capsule 5-2.5 mg 4 clobazam oral suspension 2.5 mg/ml 3 PA clobazam oral tablet 10 mg, 20 mg 2 PA clonazepam oral tablet 0.5 mg, 1 mg, 2 mg 1 clonazepam oral tablet dispersible 0.125 mg, 0.25 mg, 0.5 mg, 1 1 mg, 2 mg clorazepate dipotassium oral tablet 15 mg, 3.75 mg, 7.5 mg 1 SL (1 box (2 doses/box) per DIASTAT ACUDIAL RECTAL GEL 10 MG, 20 MG (diazepam) 4 prescription) SL (1 box (2 doses/box) per DIASTAT PEDIATRIC RECTAL GEL 2.5 MG (diazepam) 2 prescription) diazepam (Diazepam Intensol Oral Concentrate 5 Mg/Ml) 1 diazepam oral concentrate 5 mg/ml 1 diazepam oral solution 5 mg/5ml 1 diazepam oral tablet 10 mg, 2 mg, 5 mg 1 SL (1 box (2 doses/box) per diazepam rectal gel 10 mg, 2.5 mg, 20 mg 1 prescription) DORAL ORAL TABLET 15 MG (quazepam) 3 estazolam oral tablet 1 mg, 2 mg 1 flurazepam hcl oral capsule 15 mg, 30 mg 1 HALCION ORAL TABLET 0.25 MG (triazolam) 4 lorazepam (Lorazepam Intensol Oral Concentrate 2 Mg/Ml) 1 lorazepam oral concentrate 2 mg/ml 1 lorazepam oral tablet 0.5 mg, 1 mg, 2 mg 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 113 Coverage Requirements & Prescription Drug Name Drug Tier Limits midazolam hcl oral syrup 2 mg/ml 1 NAYZILAM NASAL SOLUTION 5 MG/0.1ML (midazolam PA; SL (1 box per 3 (anticonvulsant)) prescription) ONFI ORAL SUSPENSION 2.5 MG/ML (clobazam) 4 PA; ST ONFI ORAL TABLET 10 MG, 20 MG (clobazam) 4 PA; ST oxazepam oral capsule 10 mg, 15 mg, 30 mg 1 quazepam oral tablet 15 mg 1 RESTORIL ORAL CAPSULE 15 MG, 22.5 MG, 30 MG, 7.5 MG 4 (temazepam) temazepam oral capsule 15 mg, 22.5 mg, 30 mg, 7.5 mg 1 TRANXENE-T ORAL TABLET 7.5 MG (clorazepate 4 dipotassium) triazolam oral tablet 0.125 mg, 0.25 mg 1 VALTOCO 10 MG DOSE NASAL LIQUID 10 MG/0.1ML 3 (diazepam) VALTOCO 15 MG DOSE NASAL LIQUID THERAPY PACK 7.5 3 MG/0.1ML (diazepam) VALTOCO 20 MG DOSE NASAL LIQUID THERAPY PACK 10 3 MG/0.1ML (diazepam) VALTOCO 5 MG DOSE NASAL LIQUID 5 MG/0.1ML 3 (diazepam) BUTYROPHENONES - Drugs for Depression & Psychosis haloperidol lactate oral concentrate 2 mg/ml 1 haloperidol oral tablet 0.5 mg, 1 mg, 10 mg, 2 mg, 20 mg, 5 mg 1 CALCITONIN GENE-RELATED PEPTIDE ANTAG. - Migraine Treatment AIMOVIG SUBCUTANEOUS SOLUTION AUTO-INJECTOR 2 PA; ST 140 MG/ML (erenumab-aooe) AIMOVIG SUBCUTANEOUS SOLUTION AUTO-INJECTOR 70 2 PA; ST; SL (1 ml per month) MG/ML (erenumab-aooe) EMGALITY (300 MG DOSE) SUBCUTANEOUS SOLUTION 2 PA; ST; SL (0.1 mL per day) PREFILLED SYRINGE 100 MG/ML (galcanezumab-gnlm) EMGALITY SUBCUTANEOUS SOLUTION AUTO-INJECTOR 2 PA; ST; SL (0.04 ml per day) 120 MG/ML (galcanezumab-gnlm) EMGALITY SUBCUTANEOUS SOLUTION PREFILLED 2 PA; ST; SL (0.04 ml per day) SYRINGE 120 MG/ML (galcanezumab-gnlm)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 114 Coverage Requirements & Prescription Drug Name Drug Tier Limits CATECHOL-O-METHYLTRANSFERASE(COMT)INHIB. - Drugs for Parkinson carbidopa-levodopa-entacapone oral tablet 12.5-50-200 mg, 18.75-75-200 mg, 25-100-200 mg, 31.25-125-200 mg, 37.5- 1 150-200 mg, 50-200-200 mg COMTAN ORAL TABLET 200 MG (entacapone) 4 entacapone oral tablet 200 mg 1 STALEVO 100 ORAL TABLET 25-100-200 MG (carbidopa- 4 levodopa-entacapone) STALEVO 125 ORAL TABLET 31.25-125-200 MG (carbidopa- 4 levodopa-entacapone) STALEVO 150 ORAL TABLET 37.5-150-200 MG (carbidopa- 4 levodopa-entacapone) STALEVO 200 ORAL TABLET 50-200-200 MG (carbidopa- 4 levodopa-entacapone) STALEVO 50 ORAL TABLET 12.5-50-200 MG (carbidopa- 4 levodopa-entacapone) STALEVO 75 ORAL TABLET 18.75-75-200 MG (carbidopa- 4 levodopa-entacapone) tolcapone oral tablet 100 mg 2 CENTRAL NERVOUS SYSTEM AGENTS, MISC. - Drugs for Attention Deficit Disorder acamprosate calcium oral tablet delayed release 333 mg 1 ADDYI ORAL TABLET 100 MG (flibanserin) 4 PA; SL (1 tablet per day) atomoxetine hcl oral capsule 10 mg, 18 mg, 25 mg, 40 mg 3 SL (2 capsules per day) atomoxetine hcl oral capsule 100 mg, 60 mg, 80 mg 3 SL (1 capsule per day) PA; SL (4 tablets per day); AUSTEDO ORAL TABLET 12 MG, 9 MG (deutetrabenazine) 2 SP PA; SL (2 tablets per day); AUSTEDO ORAL TABLET 6 MG (deutetrabenazine) 2 SP carbidopa oral tablet 25 mg 1 guanfacine hcl er oral tablet extended release 24 hour 1 mg, 2 2 SL (1 tablet per day) mg, 4 mg guanfacine hcl er oral tablet extended release 24 hour 3 mg 2 SL (2 tablets per day) guanfacine hcl oral tablet 1 mg, 2 mg 1 INGREZZA ORAL CAPSULE 40 MG, 80 MG (valbenazine PA; ST; SL (1 capsule per 4 tosylate) day); SP

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 115 Coverage Requirements & Prescription Drug Name Drug Tier Limits memantine hcl oral solution 2 mg/ml 3 memantine hcl oral tablet 10 mg, 28 x 5 mg & 21 x 10 mg, 5 mg 2 NAMENDA ORAL TABLET 10 MG, 5 MG (memantine hcl) 4 NAMENDA TITRATION PAK ORAL TABLET 28 X 5 MG & 21 X 4 10 MG (memantine hcl) NUEDEXTA ORAL CAPSULE 20-10 MG (dextromethorphan- 2 PA quinidine) RILUTEK ORAL TABLET 50 MG (riluzole) 4 riluzole oral tablet 50 mg 1 tetrabenazine oral tablet 12.5 mg 2 PA tetrabenazine oral tablet 25 mg 2 PA; SP TIGLUTIK ORAL SUSPENSION 50 MG/10ML (riluzole) 4 PA; SP VYLEESI SUBCUTANEOUS SOLUTION AUTO-INJECTOR PA; SL (4 autoinjector pens 4 1.75 MG/0.3ML (bremelanotide acetate) (1.2mls) per month) XYREM ORAL SOLUTION 500 MG/ML () 4 PA; SL (18 ml per day); SP CYCLOOXYGENASE-2 (COX-2) INHIBITORS - Drugs for Pain oral capsule 100 mg, 200 mg, 50 mg 2 SL (2 capsules per day) celecoxib oral capsule 400 mg 2 SL (31 capsules per 31 days) DOPAMINE PRECURSORS - Drugs for Parkinson carbidopa-levodopa er oral tablet extended release 25-100 mg, 1 50-200 mg carbidopa-levodopa oral tablet 10-100 mg, 25-100 mg, 25-250 1 mg carbidopa-levodopa oral tablet dispersible 10-100 mg, 25-100 1 mg, 25-250 mg carbidopa-levodopa-entacapone oral tablet 12.5-50-200 mg, 18.75-75-200 mg, 25-100-200 mg, 31.25-125-200 mg, 37.5- 1 150-200 mg, 50-200-200 mg DUOPA ENTERAL SUSPENSION 4.63-20 MG/ML (carbidopa- 4 PA levodopa) PA; SL (10 tablets per day); INBRIJA INHALATION CAPSULE 42 MG (levodopa) 3 SP SINEMET ORAL TABLET 10-100 MG, 25-100 MG, 25-250 MG 4 (carbidopa-levodopa) STALEVO 100 ORAL TABLET 25-100-200 MG (carbidopa- 4 levodopa-entacapone)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 116 Coverage Requirements & Prescription Drug Name Drug Tier Limits STALEVO 125 ORAL TABLET 31.25-125-200 MG (carbidopa- 4 levodopa-entacapone) STALEVO 150 ORAL TABLET 37.5-150-200 MG (carbidopa- 4 levodopa-entacapone) STALEVO 200 ORAL TABLET 50-200-200 MG (carbidopa- 4 levodopa-entacapone) STALEVO 50 ORAL TABLET 12.5-50-200 MG (carbidopa- 4 levodopa-entacapone) STALEVO 75 ORAL TABLET 18.75-75-200 MG (carbidopa- 4 levodopa-entacapone) ERGOT-DERIV. DOPAMINE RECEPTOR AGONISTS - Drugs for Parkinson bromocriptine mesylate oral capsule 5 mg 1 bromocriptine mesylate oral tablet 2.5 mg 1 cabergoline oral tablet 0.5 mg 2 CYCLOSET ORAL TABLET 0.8 MG (bromocriptine mesylate) 3 FIBROMYALGIA AGENTS - Drugs for Nerve Pain DRIZALMA SPRINKLE ORAL CAPSULE DELAYED RELEASE 4 PA; SL (2 capsules per day) SPRINKLE 20 MG, 30 MG, 60 MG (duloxetine hcl) DRIZALMA SPRINKLE ORAL CAPSULE DELAYED RELEASE 4 PA; SL (1 capsule per day) SPRINKLE 40 MG (duloxetine hcl) duloxetine hcl oral capsule delayed release particles 20 mg, 60 2 SL (2 capsules per day) mg duloxetine hcl oral capsule delayed release particles 30 mg 2 SL (1 capsule per day) LYRICA ORAL CAPSULE 100 MG, 150 MG, 200 MG, 25 MG, PA; ST; SL (93 capsules per 4 50 MG, 75 MG (pregabalin) 31 days) PA; ST; SL (62 capsules per LYRICA ORAL CAPSULE 225 MG, 300 MG (pregabalin) 4 31 days) PA; ST; SL (30.52 ml per LYRICA ORAL SOLUTION 20 MG/ML (pregabalin) 4 day) pregabalin oral capsule 100 mg, 150 mg, 200 mg, 25 mg, 50 2 SL (93 capsules per 31 days) mg, 75 mg pregabalin oral capsule 225 mg, 300 mg 2 SL (62 capsules per 31 days) pregabalin oral solution 20 mg/ml 3 SL (30.52 ml per day) SAVELLA ORAL TABLET 100 MG, 12.5 MG, 25 MG, 50 MG 4 SL (2 tablets per day) (milnacipran hcl)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 117 Coverage Requirements & Prescription Drug Name Drug Tier Limits SAVELLA TITRATION PACK ORAL 12.5 & 25 & 50 MG 4 SL (1 pack per 365 days) (milnacipran hcl) HYDANTOINS - Drugs for Seizures DILANTIN INFATABS ORAL TABLET CHEWABLE 50 MG 3 (phenytoin) DILANTIN ORAL CAPSULE 100 MG, 30 MG (phenytoin sodium 3 extended) DILANTIN ORAL SUSPENSION 125 MG/5ML (phenytoin) 3 PEGANONE ORAL TABLET 250 MG (ethotoin) 2 PHENYTEK ORAL CAPSULE 200 MG, 300 MG (phenytoin 4 sodium extended) phenytoin (Phenytoin Infatabs Oral Tablet Chewable 50 Mg) 1 phenytoin oral suspension 125 mg/5ml 1 phenytoin oral tablet chewable 50 mg 1 phenytoin sodium extended oral capsule 100 mg, 200 mg, 300 1 mg INHALATION ANESTHETICS - Anesthetics FORANE INHALATION SOLUTION (isoflurane) 2 isoflurane inhalation solution 1 sevoflurane inhalation solution 1 isoflurane (Terrell Inhalation Solution) 1 ULTANE INHALATION SOLUTION (sevoflurane) 3 MONOAMINE OXIDASE B INHIBITORS - Drugs for Parkinson EMSAM TRANSDERMAL PATCH 24 HOUR 12 MG/24HR, 6 3 MG/24HR, 9 MG/24HR () rasagiline mesylate oral tablet 0.5 mg, 1 mg 3 selegiline hcl oral capsule 5 mg 1 selegiline hcl oral tablet 5 mg 1 ZELAPAR ORAL TABLET DISPERSIBLE 1.25 MG (selegiline 3 hcl) MONOAMINE OXIDASE INHIBITORS - Drugs for Depression & Psychosis EMSAM TRANSDERMAL PATCH 24 HOUR 12 MG/24HR, 6 3 MG/24HR, 9 MG/24HR (selegiline) MARPLAN ORAL TABLET 10 MG (isocarboxazid) 3

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 118 Coverage Requirements & Prescription Drug Name Drug Tier Limits NARDIL ORAL TABLET 15 MG (phenelzine sulfate) 4 PARNATE ORAL TABLET 10 MG (tranylcypromine sulfate) 4 phenelzine sulfate oral tablet 15 mg 1 rasagiline mesylate oral tablet 0.5 mg, 1 mg 3 selegiline hcl oral capsule 5 mg 1 selegiline hcl oral tablet 5 mg 1 tranylcypromine sulfate oral tablet 10 mg 1 ZELAPAR ORAL TABLET DISPERSIBLE 1.25 MG (selegiline 3 hcl) NONERGOT-DERIV.DOPAMINE RECEPTOR AGONIST - Drugs for Parkinson APOKYN SUBCUTANEOUS SOLUTION CARTRIDGE 30 2 SP MG/3ML (apomorphine hcl) MIRAPEX ORAL TABLET 0.125 MG, 0.5 MG, 0.75 MG, 1 MG, 4 1.5 MG (pramipexole dihydrochloride) NEUPRO TRANSDERMAL PATCH 24 HOUR 1 MG/24HR, 2 MG/24HR, 3 MG/24HR, 4 MG/24HR, 6 MG/24HR, 8 MG/24HR 3 (rotigotine) pramipexole dihydrochloride oral tablet 0.125 mg, 0.25 mg, 0.5 1 mg, 0.75 mg, 1 mg, 1.5 mg ropinirole hcl oral tablet 0.25 mg, 0.5 mg, 1 mg, 2 mg, 3 mg, 4 1 mg, 5 mg AGONISTS - Drugs for Pain acetaminophen-codeine #2 oral tablet 300-15 mg 1 acetaminophen-codeine #3 oral tablet 300-30 mg 1 acetaminophen-codeine #4 oral tablet 300-60 mg 1 acetaminophen-codeine oral solution 120-12 mg/5ml 1 acetaminophen-codeine oral tablet 300-15 mg, 300-30 mg, 300- 1 60 mg SL (40 capsules per apap-caff-dihydrocodeine oral capsule 320.5-30-16 mg 4 prescription) SL (40 tablets per apap-caff-dihydrocodeine oral tablet 325-30-16 mg 1 prescription) butalbital-asa-caff-codeine (Ascomp-Codeine Oral Capsule 50- 1 325-40-30 Mg) belladonna - rectal suppository 16.2-30 mg, 16.2- 1 60 mg

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 119 Coverage Requirements & Prescription Drug Name Drug Tier Limits BENZHYDROCODONE-ACETAMINOPHEN ORAL TABLET 3 4.08-325 MG, 6.12-325 MG, 8.16-325 MG butalbital-apap-caff-cod oral capsule 50-325-40-30 mg 1 SL (6 capsules per day) butalbital-asa-caff-codeine oral capsule 50-325-40-30 mg 1 carisoprodol-aspirin-codeine oral tablet 200-325-16 mg 1 codeine sulfate oral tablet 30 mg, 60 mg 1 DILAUDID ORAL LIQUID 1 MG/ML ( hcl) 4 DILAUDID ORAL TABLET 2 MG, 4 MG, 8 MG (hydromorphone 4 hcl) DOLOPHINE ORAL TABLET 10 MG ( hcl) 3 PA; SL (2 tablets per day) DOLOPHINE ORAL TABLET 5 MG (methadone hcl) 3 PA; SL (4 tablets per day) oxycodone-acetaminophen (Endocet Oral Tablet 10-325 Mg, 1 2.5-325 Mg, 5-325 Mg, 7.5-325 Mg) citrate buccal lozenge on a handle 1200 mcg, 1600 2 PA; SL (4 lozenges per day) mcg, 200 mcg, 400 mcg, 600 mcg, 800 mcg fentanyl transdermal patch 72 hour 100 mcg/hr, 50 mcg/hr, 75 PA; SL (0.34 patches per 2 mcg/hr day) PA; SL (15 patches per 31 fentanyl transdermal patch 72 hour 12 mcg/hr, 25 mcg/hr 2 days) FIORINAL/CODEINE #3 ORAL CAPSULE 50-325-40-30 MG 4 (butalbital-asa-caff-codeine) guaiatussin ac oral syrup 100-10 mg/5ml 1 guaifenesin ac oral syrup 100-10 mg/5ml 1 hydrocodone bitartrate er oral capsule er 12 hour abuse- PA; ST; SL (2 capsules per 3 deterrent 10 mg, 15 mg, 20 mg, 30 mg, 40 mg day) PA; ST; SL (0 capsules per hydrocodone bitartrate er oral capsule er 12 hour abuse- 3 100 days, diagnosis review deterrent 50 mg required.) hydrocodone polst-cpm polst er oral suspension extended 3 PA; SL (360 ml per month) release 10-8 mg/5ml hydrocodone-acetaminophen oral solution 10-325 mg/15ml 1 hydrocodone-acetaminophen oral solution 7.5-325 mg/15ml 2 hydrocodone-acetaminophen oral tablet 10-325 mg, 5-325 mg, 1 7.5-325 mg PA; SL (120 mL per hydrocodone-homatropine oral syrup 5-1.5 mg/5ml 1 prescription and 360 ml per month)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 120 Coverage Requirements & Prescription Drug Name Drug Tier Limits hydrocodone-homatropine oral tablet 5-1.5 mg 1 PA hydrocodone- oral tablet 10-200 mg, 5-200 mg, 7.5- 1 200 mg PA; SL (120 mL per hydromet oral syrup 5-1.5 mg/5ml 1 prescription and 360 ml per month) hydromorphone hcl er oral tablet er 24 hour abuse-deterrent 12 PA; ST; SL (2 tablets per 4 mg day) hydromorphone hcl er oral tablet er 24 hour abuse-deterrent 16 4 PA; ST; SL (1 tablet per day) mg, 8 mg PA; ST; SL (0 tablets per 100 hydromorphone hcl er oral tablet er 24 hour abuse-deterrent 32 4 days, diagnosis review mg required.) hydromorphone hcl oral liquid 1 mg/ml 1 hydromorphone hcl oral tablet 2 mg, 4 mg, 8 mg 1 hydromorphone hcl rectal suppository 3 mg 1 LAZANDA NASAL SOLUTION 100 MCG/ACT, 400 MCG/ACT PA; SL (15 bottles per 4 (fentanyl citrate) month) LAZANDA NASAL SOLUTION 300 MCG/ACT (fentanyl citrate) 4 PA; SL (0.5 bottle per day) tartrate oral tablet 2 mg, 3 mg 4 SL (4 tablets per day) hydrocodone-acetaminophen (Lorcet Hd Oral Tablet 10-325 1 Mg) hydrocodone-acetaminophen (Lorcet Oral Tablet 5-325 Mg) 1 hydrocodone-acetaminophen (Lorcet Plus Oral Tablet 7.5-325 1 Mg) LORTAB ORAL ELIXIR 10-300 MG/15ML (hydrocodone- 4 acetaminophen) meperidine hcl oral solution 50 mg/5ml 1 meperidine hcl oral tablet 100 mg, 50 mg 1 methadone hcl (Methadone Hcl Intensol Oral Concentrate 10 1 SL (6 ml per day) Mg/Ml) methadone hcl oral concentrate 10 mg/ml 1 SL (6 ml per day) methadone hcl oral solution 10 mg/5ml 1 PA; SL (11.3 ml per day) methadone hcl oral solution 5 mg/5ml 1 PA; SL (22.6 ml per day) methadone hcl oral tablet 10 mg 1 PA; SL (2 tablets per day) methadone hcl oral tablet 5 mg 1 PA; SL (4 tablets per day) methadone hcl oral tablet soluble 40 mg 1 SL (1.5 tablets per day)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 121 Coverage Requirements & Prescription Drug Name Drug Tier Limits methadose oral concentrate 10 mg/ml 1 SL (6 ml per day) methadone hcl (Methadose Oral Tablet Soluble 40 Mg) 1 SL (1.5 tablets per day) methadose sugar-free oral concentrate 10 mg/ml 1 SL (6 ml per day) sulfate (concentrate) oral solution 100 mg/5ml, 20 1 mg/ml PA; ST; SL (0 morphine sulfate er beads oral capsule extended release 24 [capsules/tablets] per 100 4 hour 120 mg days, diagnosis review required.) morphine sulfate er beads oral capsule extended release 24 PA; ST; SL (1 capsule per 4 hour 30 mg, 45 mg, 60 mg, 75 mg, 90 mg day) PA; SL (0 capsules per 100 morphine sulfate er oral tablet extended release 100 mg, 200 1 days, diagnosis review mg, 60 mg required.) PA; SL (93 tablets per 31 morphine sulfate er oral tablet extended release 15 mg, 30 mg 1 days) morphine sulfate oral solution 10 mg/5ml, 20 mg/5ml 1 morphine sulfate oral tablet 15 mg, 30 mg 1 morphine sulfate rectal suppository 10 mg, 20 mg, 30 mg, 5 mg 1 PA; ST; SL (0 capsules per MS CONTIN ORAL TABLET EXTENDED RELEASE 100 MG, 3 100 days, diagnosis review 200 MG, 60 MG (morphine sulfate) required.) MS CONTIN ORAL TABLET EXTENDED RELEASE 15 MG, 30 PA; ST; SL (93 tablets per 31 3 MG (morphine sulfate) days) NORCO ORAL TABLET 10-325 MG, 5-325 MG, 7.5-325 MG 4 (hydrocodone-acetaminophen) NUCYNTA ER ORAL TABLET EXTENDED RELEASE 12 3 PA; SL (2 tablets per day) HOUR 100 MG, 50 MG ( hcl) PA; SL (0 capsules per 100 NUCYNTA ER ORAL TABLET EXTENDED RELEASE 12 3 days, diagnosis review HOUR 150 MG, 200 MG, 250 MG (tapentadol hcl) required.) NUCYNTA ORAL TABLET 100 MG, 50 MG, 75 MG (tapentadol 4 SL (6 tablets per day) hcl) OPANA ORAL TABLET 10 MG ( hcl) 4 SL (6 tablets per day) opium oral tincture 10 mg/ml (1%) 1 oxycodone hcl oral capsule 5 mg 1 oxycodone hcl oral concentrate 100 mg/5ml 1 oxycodone hcl oral solution 5 mg/5ml 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 122 Coverage Requirements & Prescription Drug Name Drug Tier Limits oxycodone hcl oral tablet 10 mg, 15 mg, 20 mg, 30 mg, 5 mg 1 oxycodone-acetaminophen oral tablet 10-325 mg, 2.5-325 mg, 1 5-325 mg, 7.5-325 mg oxycodone-aspirin oral tablet 4.8355-325 mg 1 oxycodone-ibuprofen oral tablet 5-400 mg 1 oxymorphone hcl er oral tablet extended release 12 hour 10 mg, PA; ST; SL (2 tablets per 4 15 mg, 20 mg, 5 mg, 7.5 mg day) oxymorphone hcl er oral tablet extended release 12 hour 30 mg, PA; ST; SL (0 capsule per 4 40 mg 100 days) oxymorphone hcl oral tablet 10 mg, 5 mg 2 SL (6 tablets per day) promethazine-codeine oral solution 6.25-10 mg/5ml 1 PA; SL (360 ml per month) promethazine-codeine oral syrup 6.25-10 mg/5ml 1 PA; SL (360 ml per month) promethazine-phenyleph-codeine oral syrup 6.25-5-10 mg/5ml 1 PA; SL (360 ml per month) ROXICODONE ORAL TABLET 15 MG, 30 MG (oxycodone hcl) 4 ROXICODONE ORAL TABLET 5 MG (oxycodone hcl) 3 SYNAPRYN FUSEPAQ ORAL SUSPENSION 3 PA RECONSTITUTED 10 MG/ML (tramadol hcl) tramadol hcl er oral capsule extended release 24 hour 150 mg 1 SL (1 capsule per day) tramadol hcl er oral tablet extended release 24 hour 100 mg, 2 SL (1 tablet per day) 200 mg, 300 mg tramadol hcl oral tablet 50 mg 1 SL (40 tablets per tramadol-acetaminophen oral tablet 37.5-325 mg 1 prescription) TREZIX ORAL CAPSULE 320.5-30-16 MG (apap-caff- SL (40 capsules per 4 dihydrocodeine) prescription) PA; SL (10 capsules per TUSSICAPS ORAL CAPSULE EXTENDED RELEASE 12 3 prescription and 30 capsules HOUR 10-8 MG (hydrocod polst-chlorphen polst) per month) TYLENOL WITH CODEINE #3 ORAL TABLET 300-30 MG 4 (acetaminophen-codeine) ULTRACET ORAL TABLET 37.5-325 MG (tramadol- SL (40 tablets per 4 acetaminophen) prescription) ULTRAM ORAL TABLET 50 MG (tramadol hcl) 4 virtussin ac w/alc oral liquid 100-10 mg/5ml 1 XTAMPZA ER ORAL CAPSULE ER 12 HOUR ABUSE- 2 PA; SL (2 tablets per day) DETERRENT 13.5 MG, 18 MG, 27 MG, 9 MG (oxycodone)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 123 Coverage Requirements & Prescription Drug Name Drug Tier Limits PA; SL (0 capsules per 100 XTAMPZA ER ORAL CAPSULE ER 12 HOUR ABUSE- 2 days, diagnosis review DETERRENT 36 MG (oxycodone) required.) ZOHYDRO ER ORAL CAPSULE ER 12 HOUR ABUSE- PA; ST; SL (2 capsules per DETERRENT 10 MG, 15 MG, 20 MG, 30 MG, 40 MG 4 day) (hydrocodone bitartrate) PA; ST; SL (0 capsules per ZOHYDRO ER ORAL CAPSULE ER 12 HOUR ABUSE- 4 100 days, diagnosis review DETERRENT 50 MG (hydrocodone bitartrate) required.) OPIATE ANTAGONISTS - Drugs for Overdose or Poisoning EVZIO INJECTION SOLUTION AUTO-INJECTOR 2 MG/0.4ML PA; SL (0.8 ml per 4 (naloxone hcl) prescription) naloxone hcl injection solution 0.4 mg/ml, 4 mg/10ml 1 NALOXONE HCL INJECTION SOLUTION AUTO-INJECTOR 2 PA; SL (0.8 ml per 4 MG/0.4ML prescription) naloxone hcl injection solution cartridge 0.4 mg/ml 1 naloxone hcl injection solution prefilled syringe 2 mg/2ml 1 naltrexone hcl oral tablet 50 mg 1 SL (2 auto-injectors per NARCAN NASAL LIQUID 4 MG/0.1ML (naloxone hcl) 2 prescription) OPIATE PARTIAL AGONISTS - Drugs for Pain BELBUCA BUCCAL FILM 150 MCG, 300 MCG, 450 MCG, 600 3 PA; SL (2 Films per day) MCG, 75 MCG, 900 MCG ( hcl) BELBUCA BUCCAL FILM 750 MCG (buprenorphine hcl) 3 PA; SL (2 films per day) BUNAVAIL BUCCAL FILM 2.1-0.3 MG (buprenorphine hcl- PA; ST; SL (1 buccal film per 4 naloxone hcl) day) BUNAVAIL BUCCAL FILM 4.2-0.7 MG, 6.3-1 MG PA; ST; SL (2 buccal films 4 (buprenorphine hcl-naloxone hcl) per day) SL (3 sublingual tablets per buprenorphine hcl sublingual tablet sublingual 2 mg 1 day) buprenorphine hcl sublingual tablet sublingual 8 mg 1 SL (3 tablets per day) buprenorphine hcl-naloxone hcl sublingual film 12-3 mg 1 SL (2 films per day) buprenorphine hcl-naloxone hcl sublingual film 2-0.5 mg, 4-1 1 SL (1 film per day) mg buprenorphine hcl-naloxone hcl sublingual film 8-2 mg 1 SL (3 films per day) buprenorphine hcl-naloxone hcl sublingual tablet sublingual 2- 1 SL (3 tablets per day) 0.5 mg, 8-2 mg

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 124 Coverage Requirements & Prescription Drug Name Drug Tier Limits SL (7.5 ml (3 bottles) per tartrate nasal solution 10 mg/ml 2 prescription) -naloxone hcl oral tablet 50-0.5 mg 1 SUBOXONE SUBLINGUAL FILM 12-3 MG (buprenorphine hcl- 4 PA; ST; SL (2 films per day) naloxone hcl) SUBOXONE SUBLINGUAL FILM 2-0.5 MG, 4-1 MG 4 PA; ST; SL (1 film per day) (buprenorphine hcl-naloxone hcl) SUBOXONE SUBLINGUAL FILM 8-2 MG (buprenorphine hcl- 4 PA; ST; SL (3 films per day) naloxone hcl) ZUBSOLV SUBLINGUAL TABLET SUBLINGUAL 0.7-0.18 MG, 1 SL (1 tablet per day) 2.9-0.71 MG (buprenorphine hcl-naloxone hcl) ZUBSOLV SUBLINGUAL TABLET SUBLINGUAL 1.4-0.36 MG, 1 SL (3 tablets per day) 5.7-1.4 MG (buprenorphine hcl-naloxone hcl) ZUBSOLV SUBLINGUAL TABLET SUBLINGUAL 11.4-2.9 MG, 1 SL (2 tablets per day) 8.6-2.1 MG (buprenorphine hcl-naloxone hcl) OTHER NONSTEROIDAL ANTI-INFLAM. AGENTS - Drugs for Pain ARTHROTEC ORAL TABLET DELAYED RELEASE 50-0.2 MG, 3 75-0.2 MG (diclofenac-misoprostol) DAYPRO ORAL TABLET 600 MG () 4 diclofenac potassium oral tablet 50 mg 1 diclofenac sodium er oral tablet extended release 24 hour 100 1 mg diclofenac sodium oral tablet delayed release 25 mg, 50 mg, 75 1 mg diclofenac sodium transdermal gel 1 % 2 diclofenac-misoprostol oral tablet delayed release 50-0.2 mg, 3 75-0.2 mg oral tablet 500 mg 1 EC-NAPROSYN ORAL TABLET DELAYED RELEASE 375 MG 3 () ec-naproxen oral tablet delayed release 375 mg, 500 mg 1 er oral tablet extended release 24 hour 400 mg, 500 1 mg, 600 mg etodolac oral capsule 200 mg, 300 mg 1 etodolac oral tablet 400 mg, 500 mg 1 FELDENE ORAL CAPSULE 10 MG, 20 MG () 4

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 125 Coverage Requirements & Prescription Drug Name Drug Tier Limits oral tablet 100 mg, 50 mg 1 hydrocodone-ibuprofen oral tablet 10-200 mg, 5-200 mg, 7.5- 1 200 mg ibuprofen (Ibu Oral Tablet 400 Mg, 600 Mg, 800 Mg) 1 ibuprofen oral tablet 400 mg, 600 mg, 800 mg 1 INDOCIN ORAL SUSPENSION 25 MG/5ML (indomethacin) 3 INDOCIN RECTAL SUPPOSITORY 50 MG (indomethacin) 3 indomethacin er oral capsule extended release 75 mg 1 indomethacin oral capsule 25 mg, 50 mg 1 er oral capsule extended release 24 hour 200 mg 3 ketoprofen oral capsule 25 mg, 50 mg, 75 mg 1 tromethamine oral tablet 10 mg 1 meclofenamate sodium oral capsule 100 mg, 50 mg 1 oral capsule 250 mg 3 oral tablet 15 mg, 7.5 mg 1 MOBIC ORAL TABLET 15 MG, 7.5 MG (meloxicam) 4 oral tablet 500 mg, 750 mg 1 NAPROSYN ORAL SUSPENSION 125 MG/5ML (naproxen) 4 PA naproxen dr oral tablet delayed release 375 mg, 500 mg 1 naproxen oral suspension 125 mg/5ml 1 PA naproxen oral tablet 250 mg, 375 mg, 500 mg 1 naproxen sodium oral tablet 275 mg, 550 mg 1 oxaprozin oral tablet 600 mg 1 oxycodone-ibuprofen oral tablet 5-400 mg 1 piroxicam oral capsule 10 mg, 20 mg 1 SPRIX NASAL SOLUTION 15.75 MG/SPRAY (ketorolac 3 tromethamine) oral tablet 150 mg, 200 mg 1 sodium oral capsule 400 mg 2 tolmetin sodium oral tablet 600 mg 2 VOLTAREN TRANSDERMAL GEL 1 % (diclofenac sodium) 2 PHENOTHIAZINES - Drugs for Depression & Psychosis hcl oral tablet 10 mg, 100 mg, 200 mg, 25 mg, 1 50 mg

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 126 Coverage Requirements & Prescription Drug Name Drug Tier Limits prochlorperazine (Compro Rectal Suppository 25 Mg) 1 fluphenazine hcl oral concentrate 5 mg/ml 1 fluphenazine hcl oral elixir 2.5 mg/5ml 1 fluphenazine hcl oral tablet 1 mg, 10 mg, 2.5 mg, 5 mg 1 perphenazine oral tablet 16 mg, 2 mg, 4 mg, 8 mg 1 perphenazine-amitriptyline oral tablet 2-10 mg, 2-25 mg, 4-10 1 mg, 4-25 mg, 4-50 mg prochlorperazine maleate oral tablet 10 mg, 5 mg 1 prochlorperazine rectal suppository 25 mg 1 thioridazine hcl oral tablet 10 mg, 100 mg, 25 mg, 50 mg 1 trifluoperazine hcl oral tablet 1 mg, 10 mg, 2 mg, 5 mg 1 RESPIRATORY AND CNS STIMULANTS - Drugs for the Nervous System SL (40 capsules per apap-caff-dihydrocodeine oral capsule 320.5-30-16 mg 4 prescription) SL (40 tablets per apap-caff-dihydrocodeine oral tablet 325-30-16 mg 1 prescription) butalbital-asa-caff-codeine (Ascomp-Codeine Oral Capsule 50- 1 325-40-30 Mg) butalbital-apap-caff-cod oral capsule 50-325-40-30 mg 1 SL (6 capsules per day) butalbital-apap-caffeine oral capsule 50-300-40 mg 3 SL (6 capsules per day) butalbital-apap-caffeine oral capsule 50-325-40 mg 1 SL (6 capsules per day) butalbital-apap-caffeine oral tablet 50-325-40 mg 1 SL (6 tablets per day) butalbital-asa-caff-codeine oral capsule 50-325-40-30 mg 1 butalbital-aspirin-caffeine oral capsule 50-325-40 mg 1 butalbital-aspirin-caffeine oral tablet 50-325-40 mg 1 caffeine citrate oral solution 20 mg/ml, 60 mg/3ml 1 CONCERTA ORAL TABLET EXTENDED RELEASE 18 MG, 27 2 PA; SL (1 tablet per day) MG, 54 MG (methylphenidate hcl) CONCERTA ORAL TABLET EXTENDED RELEASE 36 MG 2 PA; SL (2 tablets per day) (methylphenidate hcl) dexmethylphenidate hcl er oral capsule extended release 24 PA; SL (31 capsules per 31 3 hour 10 mg, 15 mg, 20 mg, 25 mg, 30 mg, 35 mg, 40 mg, 5 mg days) dexmethylphenidate hcl oral tablet 10 mg, 2.5 mg, 5 mg 1 PA butalbital-apap-caffeine (Esgic Oral Capsule 50-325-40 Mg) 4 SL (6 capsules per day) ESGIC ORAL TABLET 50-325-40 MG (butalbital-apap-caffeine) 4 SL (6 tablets per day)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 127 Coverage Requirements & Prescription Drug Name Drug Tier Limits FIORICET ORAL CAPSULE 50-300-40 MG (butalbital-apap- 4 SL (6 capsules per day) caffeine) FIORINAL ORAL CAPSULE 50-325-40 MG (butalbital-aspirin- 4 caffeine) FIORINAL/CODEINE #3 ORAL CAPSULE 50-325-40-30 MG 4 (butalbital-asa-caff-codeine) FOCALIN ORAL TABLET 10 MG, 2.5 MG, 5 MG 4 PA (dexmethylphenidate hcl) methylphenidate hcl (Metadate Er Oral Tablet Extended 4 PA; SL (3 tablets per day) Release 20 Mg) METHYLIN ORAL SOLUTION 10 MG/5ML, 5 MG/5ML 4 PA (methylphenidate hcl) methylphenidate hcl er (cd) oral capsule extended release 10 PA; SL (31 tablets per 31 2 mg, 20 mg, 30 mg days) methylphenidate hcl er (cd) oral capsule extended release 40 PA; SL (31 capsules per 31 2 mg, 50 mg, 60 mg days) methylphenidate hcl er (la) oral capsule extended release 24 2 PA; SL (1 capsule per day) hour 10 mg, 20 mg, 40 mg methylphenidate hcl er (la) oral capsule extended release 24 2 PA; SL (2 capsules per day) hour 30 mg methylphenidate hcl er (la) oral capsule extended release 24 2 PA hour 60 mg methylphenidate hcl er oral tablet extended release 10 mg 4 PA; SL (6 tablets per day) methylphenidate hcl er oral tablet extended release 20 mg 4 PA; SL (3 tablets per day) methylphenidate hcl oral solution 10 mg/5ml, 5 mg/5ml 1 PA methylphenidate hcl oral tablet 10 mg, 20 mg, 5 mg 1 PA methylphenidate hcl oral tablet chewable 10 mg, 2.5 mg, 5 mg 3 PA RITALIN ORAL TABLET 10 MG, 20 MG, 5 MG 4 PA (methylphenidate hcl) TREZIX ORAL CAPSULE 320.5-30-16 MG (apap-caff- SL (40 capsules per 4 dihydrocodeine) prescription) butalbital-apap-caffeine (Vanatol Lq Oral Solution 50-325-40 PA; SL (180 ml per 2 Mg/15Ml) prescription) butalbital-apap-caffeine (Vanatol S Oral Solution 50-325-40 PA; SL (180 ml per 2 Mg/15Ml) prescription) butalbital-apap-caffeine (Vtol Lq Oral Solution 50-325-40 PA; SL (180 ml per 2 Mg/15Ml) prescription) butalbital-apap-caffeine (Zebutal Oral Capsule 50-325-40 Mg) 4 SL (6 capsules per day)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 128 Coverage Requirements & Prescription Drug Name Drug Tier Limits SALICYLATES - Drugs for Pain AGGRENOX ORAL CAPSULE EXTENDED RELEASE 12 4 HOUR 25-200 MG (aspirin-dipyridamole) butalbital-asa-caff-codeine (Ascomp-Codeine Oral Capsule 50- 1 325-40-30 Mg) aspirin-dipyridamole er oral capsule extended release 12 hour 3 25-200 mg butalbital-asa-caff-codeine oral capsule 50-325-40-30 mg 1 butalbital-aspirin-caffeine oral capsule 50-325-40 mg 1 butalbital-aspirin-caffeine oral tablet 50-325-40 mg 1 carisoprodol-aspirin oral tablet 200-325 mg 1 carisoprodol-aspirin-codeine oral tablet 200-325-16 mg 1 choline-mag trisalicylate oral liquid 500 mg/5ml 1 FIORINAL ORAL CAPSULE 50-325-40 MG (butalbital-aspirin- 4 caffeine) FIORINAL/CODEINE #3 ORAL CAPSULE 50-325-40-30 MG 4 (butalbital-asa-caff-codeine) external liquid 1 orphenadrine-aspirin-caffeine oral tablet 50-770-60 mg 2 oxycodone-aspirin oral tablet 4.8355-325 mg 1 oral tablet 500 mg, 750 mg 1 SEL.SEROTONIN,NOREPI REUPTAKE INHIBITOR - Drugs for Depression & Psychosis desvenlafaxine succinate er oral tablet extended release 24 2 SL (1 tablet per day) hour 100 mg, 25 mg, 50 mg DRIZALMA SPRINKLE ORAL CAPSULE DELAYED RELEASE 4 PA; SL (2 capsules per day) SPRINKLE 20 MG, 30 MG, 60 MG (duloxetine hcl) DRIZALMA SPRINKLE ORAL CAPSULE DELAYED RELEASE 4 PA; SL (1 capsule per day) SPRINKLE 40 MG (duloxetine hcl) duloxetine hcl oral capsule delayed release particles 20 mg, 60 2 SL (2 capsules per day) mg duloxetine hcl oral capsule delayed release particles 30 mg 2 SL (1 capsule per day) FETZIMA ORAL CAPSULE EXTENDED RELEASE 24 HOUR 4 ST; SL (1 capsule per day) 120 MG, 20 MG, 40 MG, 80 MG (levomilnacipran hcl) FETZIMA TITRATION ORAL CAPSULE ER 24 HOUR ST; SL (28 capsules per 4 THERAPY PACK 20 & 40 MG (levomilnacipran hcl) year)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 129 Coverage Requirements & Prescription Drug Name Drug Tier Limits SAVELLA ORAL TABLET 100 MG, 12.5 MG, 25 MG, 50 MG 4 SL (2 tablets per day) (milnacipran hcl) SAVELLA TITRATION PACK ORAL 12.5 & 25 & 50 MG 4 SL (1 pack per 365 days) (milnacipran hcl) venlafaxine hcl er oral capsule extended release 24 hour 150 1 mg, 37.5 mg, 75 mg venlafaxine hcl oral tablet 100 mg, 25 mg, 37.5 mg, 50 mg, 75 1 mg SELECTIVE SEROTONIN AGONISTS - Migraine Treatment SL (4 tablets per almotriptan malate oral tablet 12.5 mg, 6.25 mg 3 prescription) SL (4 tablets per AMERGE ORAL TABLET 1 MG, 2.5 MG (naratriptan hcl) 4 prescription) SL (4 tablets per eletriptan hydrobromide oral tablet 20 mg, 40 mg 2 prescription) SL (4 tablets per FROVA ORAL TABLET 2.5 MG (frovatriptan succinate) 4 prescription) SL (4 tablets per frovatriptan succinate oral tablet 2.5 mg 3 prescription) IMITREX NASAL SOLUTION 20 MG/ACT, 5 MG/ACT SL (6 spray bottles per 4 (sumatriptan) prescription) SL (4 tablets per naratriptan hcl oral tablet 1 mg, 2.5 mg 1 prescription) SL (4 tablets per rizatriptan benzoate oral tablet 10 mg, 5 mg 1 prescription) SL (4 tablets per rizatriptan benzoate oral tablet dispersible 10 mg, 5 mg 1 prescription) SL (6 spray bottles per sumatriptan nasal solution 20 mg/act, 5 mg/act 2 prescription) SL (10 tablets per sumatriptan succinate oral tablet 100 mg, 25 mg, 50 mg 1 prescription) sumatriptan succinate refill subcutaneous solution cartridge 4 1 SL (2 kits per prescription) mg/0.5ml, 6 mg/0.5ml sumatriptan succinate subcutaneous solution 6 mg/0.5ml 1 SL (2 kits per prescription) sumatriptan succinate subcutaneous solution auto-injector 4 1 SL (2 kits per prescription) mg/0.5ml, 6 mg/0.5ml sumatriptan succinate subcutaneous solution prefilled syringe 6 1 SL (2 kits per prescription) mg/0.5ml

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 130 Coverage Requirements & Prescription Drug Name Drug Tier Limits SL (4 tablets per zolmitriptan oral tablet 2.5 mg, 5 mg 2 prescription) SL (4 tablets per zolmitriptan oral tablet dispersible 2.5 mg, 5 mg 3 prescription) ZOMIG NASAL SOLUTION 2.5 MG (zolmitriptan) 3 SL (6 units per prescription) ZOMIG NASAL SOLUTION 5 MG (zolmitriptan) 4 SL (1 box per prescription) SL (4 tablets per ZOMIG ORAL TABLET 2.5 MG, 5 MG (zolmitriptan) 4 prescription) ZOMIG ZMT ORAL TABLET DISPERSIBLE 2.5 MG, 5 MG SL (4 tablets per 4 (zolmitriptan) prescription) SELECTIVE-SEROTONIN REUPTAKE INHIBITORS - Drugs for Depression & Psychosis citalopram hydrobromide oral solution 10 mg/5ml 1 citalopram hydrobromide oral tablet 10 mg, 20 mg, 40 mg 1 escitalopram oxalate oral solution 5 mg/5ml 3 escitalopram oxalate oral tablet 10 mg, 20 mg, 5 mg 1 fluoxetine hcl oral capsule 10 mg, 20 mg, 40 mg 1 fluoxetine hcl oral capsule delayed release 90 mg 3 SL (4 capsules per 28 days) fluoxetine hcl oral solution 20 mg/5ml 1 fluoxetine hcl oral tablet 10 mg 3 SL (1 tablet per day) fluoxetine hcl oral tablet 20 mg 3 fluvoxamine maleate er oral capsule extended release 24 hour 3 SL (2 capsules per day) 100 mg, 150 mg fluvoxamine maleate oral tablet 100 mg, 25 mg, 50 mg 1 olanzapine-fluoxetine hcl oral capsule 12-25 mg, 12-50 mg, 3- 2 SL (1 capsule per day) 25 mg, 6-25 mg, 6-50 mg paroxetine hcl er oral tablet extended release 24 hour 12.5 mg 3 SL (1 tablet per day) paroxetine hcl er oral tablet extended release 24 hour 25 mg, 3 SL (2 tablets per day) 37.5 mg paroxetine hcl oral tablet 10 mg, 20 mg, 30 mg, 40 mg 1 PAXIL CR ORAL TABLET EXTENDED RELEASE 24 HOUR 4 SL (1 tablet per day) 12.5 MG (paroxetine hcl) PAXIL CR ORAL TABLET EXTENDED RELEASE 24 HOUR 25 4 SL (2 tablets per day) MG, 37.5 MG (paroxetine hcl) PAXIL ORAL SUSPENSION 10 MG/5ML (paroxetine hcl) 3

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 131 Coverage Requirements & Prescription Drug Name Drug Tier Limits PAXIL ORAL TABLET 10 MG, 20 MG, 30 MG, 40 MG 4 (paroxetine hcl) sertraline hcl oral concentrate 20 mg/ml 1 sertraline hcl oral tablet 100 mg, 25 mg, 50 mg 1 SYMBYAX ORAL CAPSULE 12-50 MG, 3-25 MG, 6-25 MG, 6- 4 SL (1 capsule per day) 50 MG (olanzapine-fluoxetine hcl) SEROTONIN MODULATORS - Drugs for Depression & Psychosis hcl oral tablet 100 mg, 150 mg, 200 mg, 250 mg, 50 1 mg trazodone hcl oral tablet 100 mg, 150 mg, 300 mg, 50 mg 1 TRINTELLIX ORAL TABLET 10 MG, 20 MG, 5 MG (vortioxetine 4 ST; SL (1 tablet per day) hbr) VIIBRYD ORAL TABLET 10 MG, 20 MG, 40 MG (vilazodone 4 SL (1 tablet per day) hcl) VIIBRYD STARTER PACK ORAL KIT 10 & 20 MG (vilazodone 4 hcl) SUCCINIMIDES - Drugs for Seizures CELONTIN ORAL CAPSULE 300 MG (methsuximide) 2 ethosuximide oral capsule 250 mg 1 ethosuximide oral solution 250 mg/5ml 1 ZARONTIN ORAL CAPSULE 250 MG (ethosuximide) 4 ZARONTIN ORAL SOLUTION 250 MG/5ML (ethosuximide) 4 THIOXANTHENES - Drugs for Depression & Psychosis thiothixene oral capsule 1 mg, 10 mg, 2 mg, 5 mg 1 TRICYCLICS, OTHER NOREPI-RU INHIBITORS - Drugs for Depression & Psychosis amitriptyline hcl oral tablet 10 mg, 100 mg, 150 mg, 25 mg, 50 1 mg, 75 mg amoxapine oral tablet 100 mg, 150 mg, 25 mg, 50 mg 1 chlordiazepoxide-amitriptyline oral tablet 10-25 mg, 5-12.5 mg 1 clomipramine hcl oral capsule 25 mg, 50 mg, 75 mg 4 desipramine hcl oral tablet 10 mg, 100 mg, 150 mg, 25 mg, 50 1 mg, 75 mg doxepin hcl oral capsule 10 mg, 100 mg, 150 mg, 25 mg, 50 1 mg, 75 mg

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 132 Coverage Requirements & Prescription Drug Name Drug Tier Limits doxepin hcl oral concentrate 10 mg/ml 1 enovarx-amitriptyline external kit 2 % 1 PA imipramine hcl oral tablet 10 mg, 25 mg, 50 mg 1 imipramine pamoate oral capsule 100 mg, 125 mg, 150 mg, 75 1 mg maprotiline hcl oral tablet 25 mg, 50 mg, 75 mg 1 NORPRAMIN ORAL TABLET 10 MG, 25 MG (desipramine hcl) 4 nortriptyline hcl oral capsule 10 mg, 25 mg, 50 mg, 75 mg 1 nortriptyline hcl oral solution 10 mg/5ml 1 PAMELOR ORAL CAPSULE 10 MG, 25 MG, 50 MG, 75 MG 4 (nortriptyline hcl) perphenazine-amitriptyline oral tablet 2-10 mg, 2-25 mg, 4-10 1 mg, 4-25 mg, 4-50 mg protriptyline hcl oral tablet 10 mg, 5 mg 1 trimipramine maleate oral capsule 100 mg, 25 mg, 50 mg 3 VESICULAR MONOAMINE TRANSPORT2 INHIBITOR - Drugs for the Nervous System PA; SL (4 tablets per day); AUSTEDO ORAL TABLET 12 MG, 9 MG (deutetrabenazine) 2 SP PA; SL (2 tablets per day); AUSTEDO ORAL TABLET 6 MG (deutetrabenazine) 2 SP INGREZZA ORAL CAPSULE 40 MG, 80 MG (valbenazine PA; ST; SL (1 capsule per 4 tosylate) day); SP INGREZZA ORAL CAPSULE THERAPY PACK 40 & 80 MG PA; ST; SL (1 kit (28 tablets) 4 (valbenazine tosylate) per year); SP tetrabenazine oral tablet 12.5 mg 2 PA tetrabenazine oral tablet 25 mg 2 PA; SP WAKEFULNESS-PROMOTING AGENTS - Drugs for the Nervous System armodafinil oral tablet 150 mg, 200 mg, 250 mg, 50 mg 2 PA; SL (1 tablet per day) modafinil oral tablet 100 mg, 200 mg 2 PA; SL (1 tablet per day) SUNOSI ORAL TABLET 150 MG, 75 MG (solriamfetol hcl) 3 PA; SL (1 tablet per day) PA; SL (2 tablets per day); WAKIX ORAL TABLET 17.8 MG, 4.45 MG (pitolisant hcl) 4 SP

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 133 Coverage Requirements & Prescription Drug Name Drug Tier Limits CONTRACEPTIVES (E.G. FOAMS, DEVICES) - Drugs for Women CONTRACEPTIVES (E.G. FOAMS, DEVICES) - Drugs for Women CAYA VAGINAL DIAPHRAGM (diaphragm arc-spring) 3 H WIDE-SEAL DIAPHRAGM 60 VAGINAL DIAPHRAGM 2 % 2 H (diaphragm wide seal) WIDE-SEAL DIAPHRAGM 65 VAGINAL DIAPHRAGM 2 % 2 H (diaphragm wide seal) WIDE-SEAL DIAPHRAGM 70 VAGINAL DIAPHRAGM 2 % 2 H (diaphragm wide seal) WIDE-SEAL DIAPHRAGM 75 VAGINAL DIAPHRAGM 2 % 2 H (diaphragm wide seal) WIDE-SEAL DIAPHRAGM 80 VAGINAL DIAPHRAGM 2 % 2 H (diaphragm wide seal) WIDE-SEAL DIAPHRAGM 85 VAGINAL DIAPHRAGM 2 % 2 H (diaphragm wide seal) WIDE-SEAL DIAPHRAGM 90 VAGINAL DIAPHRAGM 2 % 2 H (diaphragm wide seal) WIDE-SEAL DIAPHRAGM 95 VAGINAL DIAPHRAGM 2 % 2 H (diaphragm wide seal) DEVICES - Medical Supplies and Durable Medical Equipment DEVICES - Medical Supplies and Durable Medical Equipment ACCU-CHEK AVIVA IN VITRO SOLUTION (blood glucose 1 calibration) ACCU-CHEK COMPACT PLUS CONTROL IN VITRO 1 SOLUTION (blood glucose calibration) ACCU-CHEK FASTCLIX LANCET KIT KIT (lancets misc.) 1 ACCU-CHEK GUIDE CONTROL IN VITRO LIQUID (blood 1 glucose calibration) ACCU-CHEK MULTICLIX LANCET DEVICE KIT KIT (lancets 1 misc.) ACCU-CHEK SMARTVIEW CONTROL IN VITRO LIQUID 1 (blood glucose calibration) ACCU-CHEK SOFTCLIX LANCET DEVICE KIT KIT (lancets 1 misc.)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 134 Coverage Requirements & Prescription Drug Name Drug Tier Limits AUTOLET II CLINISAFE KIT (lancets misc.) 3 AUTOLET LANCING DEVICE (lancet devices) 3 SL (1 device per prescription) CARETOUCH LANCING/EJECTOR (lancet devices) 3 SL (1 device per prescription) CEQUR SIMPLICITY 2U DEVICE (injection device for insulin) 3 CONTOUR CONTROL IN VITRO LIQUID HIGH (blood glucose 3 calibration) CONTOUR CONTROL IN VITRO LIQUID LOW , NORMAL 2 (blood glucose calibration) CONTOUR NEXT CONTROL IN VITRO SOLUTION LOW , 2 NORMAL (blood glucose calibration) CONTOUR NEXT MONITOR KIT W/DEVICE (blood glucose 2 monitoring suppl) DEXCOM G4 / G5 / G6 RECEIVER, TRANSMITTER, SENSOR (INCLUDING PLATINUM, PLATINUM PEDIATRIC) (continuous 3 PA; SL (1 kit per 999 days) blood gluc transmit) DEXCOM G4 / G5 / G6 RECEIVER, TRANSMITTER, SENSOR PA; SL (4 sensors per (INCLUDING PLATINUM, PLATINUM PEDIATRIC) (continuous 3 month) blood gluc sensor) PA; SL (1 transmitter per 6 DEXCOM G4 / G5 / G6 RECEIVER, TRANSMITTER, SENSOR months for Dexcom G4 (INCLUDING PLATINUM, PLATINUM PEDIATRIC) DEVICE 3 Transmitter. 2 transmitter per (continuous blood gluc receiver) 6 months for Dexcom G5 Transmitter.) EASIVENT (spacer/aero-holding chambers) 3 EASYMAX CONTROL IN VITRO SOLUTION HIGH , LOW , 3 NORMAL (blood glucose calibration) ENLITE GLUCOSE SENSOR (continuous blood gluc sensor) 3 PA FLEXICHAMBER ADULT MASK/SMALL (spacer/aero-hold 2 chamber mask) FLEXICHAMBER CHILD MASK/LARGE (spacer/aero-hold 2 chamber mask) FLEXICHAMBER CHILD MASK/SMALL (spacer/aero-hold 2 chamber mask) FORTISCARE CONTROL IN VITRO SOLUTION HIGH , LOW , 2 NORMAL (blood glucose calibration) FREESTYLE LIBRE 14 DAY READER DEVICE (continuous 3 PA blood gluc receiver)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 135 Coverage Requirements & Prescription Drug Name Drug Tier Limits FREESTYLE LIBRE 14 DAY SENSOR (continuous blood gluc 3 PA sensor) FREESTYLE LIBRE READER DEVICE (continuous blood gluc 3 PA; SL (1 kit per 999 days) receiver) FREESTYLE LIBRE SENSOR SYSTEM (continuous blood gluc 3 PA sensor) GUARDIAN CONNECT TRANSMITTER (continuous blood gluc 3 transmit) GUARDIAN CONNECT TRANSMITTER (continuous blood gluc PA; SL (10 sensors per 3 transmit) month) GUARDIAN LINK 3 TRANSMITTER (continuous blood gluc 3 transmit) heparin lock flush intravenous solution 10 unit/ml 1 heparin sodium lock flush intravenous solution 100 unit/ml 1 HYPERSAL INHALATION NEBULIZATION SOLUTION 3.5 %, 2 7 % (sodium chloride) HYPOCYN EXTERNAL SOLUTION (eyelid cleansers) 3 INSPIREASE RESERVOIR BAGS (spacer/aero-hold chamber 2 bags) INSULIN PEN NEEDLES 29G X 12.7MM , 32G X 4 MM (insulin 2 pen needle) INSULIN PEN NEEDLES 29G X 12MM , 31G X 5 MM , 31G X 6 2 MM , 31G X 8 MM INSULIN PEN NEEDLES 29G X 5MM , 29G X 8MM (insulin pen 3 needle) INSULIN PEN NEEDLES 33G X 4 MM 3 INSULIN SYRINGES 28G X 1/2" 0.5 ML, 28G X 1/2" 1 ML, 29G X 1/2" 0.3 ML, 29G X 1/2" 0.5 ML, 29G X 1/2" 1 ML, 30G X 1/2" 0.3 ML, 30G X 1/2" 0.5 ML, 30G X 1/2" 1 ML, 30G X 5/16" 0.3 2 ML, 30G X 5/16" 0.5 ML, 30G X 5/16" 1 ML, 31G X 15/64" 0.3 ML, 31G X 15/64" 0.5 ML, 31G X 5/16" 0.3 ML, 31G X 5/16" 0.5 ML, 31G X 5/16" 1 ML (insulin syringe-needle u-100) LANCETS (lancets misc.) 3 LANCETS (lancets) 1 MASK VORTEX (spacer/aero-hold chamber mask) 2 MAXICOMFORT SYR 27G X 1/2" 27G X 1/2" 0.5 ML, 27G X 2 1/2" 1 ML (insulin syringe-needle u-100) MICROLET NEXT LANCING DEVICE (lancet devices) 3 SL (1 device per prescription)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 136 Coverage Requirements & Prescription Drug Name Drug Tier Limits MUCOSITISRX MOUTH/THROAT PACKET (artificial saliva) 3 sodium chloride (Nebusal Inhalation Nebulization Solution 3 %) 1 NEBUSAL INHALATION NEBULIZATION SOLUTION 6 % 3 (sodium chloride) NOVOFINE AUTOCOVER PEN NEEDLE 30G X 8 MM (insulin 2 pen needle) NOVOFINE PEN NEEDLE 32G X 6 MM (insulin pen needle) 2 NOVOFINE PLUS PEN NEEDLE 32G X 4 MM (insulin pen 2 needle) NOVOPEN ECHO DEVICE (injection device for insulin) 3 NOVOTWIST PEN NEEDLE 32G X 5 MM (insulin pen needle) 2 NUVAIL EXTERNAL SOLUTION (dermatological products, 3 misc.) ONETOUCH DELICA LANCING DEV (lancet devices) 1 SL (1 device per prescription) ONETOUCH DELICA PLUS LANCING (lancet devices) 1 SL (1 device per prescription) ONETOUCH ULTRA 2 KIT W/DEVICE (blood glucose 1 monitoring suppl) ONETOUCH ULTRA MINI KIT W/DEVICE (blood glucose 1 monitoring suppl) ONETOUCH VERIO FLEX SYSTEM KIT W/DEVICE KIT 1 W/DEVICE (blood glucose monitoring suppl) ONETOUCH VERIO IN VITRO SOLUTION HIGH (blood 1 glucose calibration) ONETOUCH VERIO IQ SYSTEM KIT W/DEVICE (blood 1 glucose monitoring suppl) ONETOUCH VERIO KIT W/DEVICE (blood glucose monitoring 1 suppl) ONETOUCH VERIO SYNC SYSTEM KIT W/DEVICE KIT 1 W/DEVICE (blood glucose monitoring suppl) PRECISION XTRA KETONE IN VITRO STRIP (ketone blood 3 test) PROMISEB CREAM EXTERNAL (antiseborrheic products, 4 misc.) PROMISEB CREAM EXTERNAL (antiseborrheic products, 4 PA misc.) sodium chloride (Pulmosal Inhalation Nebulization Solution 7 %) 1 SHARPS CONTAINER 3

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 137 Coverage Requirements & Prescription Drug Name Drug Tier Limits sodium chloride inhalation nebulization solution 0.9 %, 10 %, 3 1 %, 7 % sodium hyaluronate external gel 0.2 % 1 PA; SL (10 sensors per SOF-SENSOR (continuous blood gluc sensor) 3 month) SURESTEP PRO HIGH GLUCOSE IN VITRO LIQUID (blood 3 glucose calibration) SURESTEP PRO LOW GLUCOSE IN VITRO LIQUID (blood 3 glucose calibration) SURESTEP PRO NORMAL GLUCOSE IN VITRO LIQUID 3 (blood glucose calibration) TRUE METRIX LEVEL 1 IN VITRO SOLUTION LOW (blood 2 glucose calibration) TRUE METRIX LEVEL 2 IN VITRO SOLUTION NORMAL 2 (blood glucose calibration) TRUE METRIX LEVEL 3 IN VITRO SOLUTION HIGH (blood 2 glucose calibration) UNISTRIP CONTROL IN VITRO SOLUTION LOW (blood 3 glucose calibration) DIAGNOSTIC AGENTS ADRENOCORTICAL INSUFFICIENCY PA; ST; SL (20 ml per 24 ACTHAR INJECTION GEL 80 UNIT/ML (corticotropin) 4 days); SP CORTROSYN INJECTION SOLUTION RECONSTITUTED 0.25 4 MG (cosyntropin) cosyntropin injection solution reconstituted 0.25 mg 1 MELLITUS SL (51 strips per prescription CONTOUR NEXT TEST IN VITRO STRIP (glucose blood) 2 without history 204 strips per prescription with history) SL (51 strips per prescription EASYPLUS BLOOD GLUCOSE TEST IN VITRO STRIP 3 without history 204 strips per prescription with history) SL (51 strips per prescription ONETOUCH ULTRA BLUE TEST STRIPS IN VITRO STRIP 1 without history 204 strips per (glucose blood) prescription with history)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 138 Coverage Requirements & Prescription Drug Name Drug Tier Limits SL (51 strips per prescription ONETOUCH VERIO IN VITRO STRIP (glucose blood) 1 without history 204 strips per prescription with history) SL (51 strips per prescription RELION ULTIMA TEST IN VITRO STRIP (glucose blood) 3 without history 204 strips per prescription with history) KETONES KETONE TEST IN VITRO STRIP 2 KETOSTIX IN VITRO STRIP (acetone (urine) test) 2 URINE AND FECES CONTENTS CHEMSTRIP UGK IN VITRO STRIP (urine glucose-ketones 3 test) DISINFECTANTS (FOR NON-DERMATOLOGIC USE) - Disinfectants DISINFECTANTS (FOR NON-DERMATOLOGIC USE) - Disinfectants GLUTARALDEHYDE EXTERNAL SOLUTION 25 % 3 ELECTROLYTIC, CALORIC, AND WATER BALANCE ACIDIFYING AGENTS K-PHOS NO 2 ORAL TABLET 305-700 MG (pot & sod ac 2 phosphates) K-PHOS ORAL TABLET 500 MG (potassium phosphate 2 monobasic) K-PHOS-NEUTRAL ORAL TABLET 155-852-130 MG (k phos 2 mono-sod phos di & mono) k phos mono-sod phos di & mono (Phospha 250 Neutral Oral 1 Tablet 155-852-130 Mg) phosphorous oral tablet 155-852-130 mg 1 k phos mono-sod phos di & mono (Phospho-Trin 250 Neutral 1 Oral Tablet 155-852-130 Mg) virt-phos 250 neutral oral tablet 155-852-130 mg 1 ALKALINIZING AGENTS ANTICOAGULANT SODIUM CITRATE IN VITRO SOLUTION 4 3 GM/100ML cytra k crystals oral packet 3300-1002 mg 1 ORACIT ORAL SOLUTION 490-640 MG/5ML (sod citrate-citric 2 acid)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 139 Coverage Requirements & Prescription Drug Name Drug Tier Limits potassium citrate er oral tablet extended release 10 meq (1080 1 mg), 15 meq (1620 mg), 5 meq (540 mg) potassium citrate-citric acid oral solution 1100-334 mg/5ml 1 sod citrate-citric acid oral solution 500-334 mg/5ml 1 SODIUM BICARBONATE ORAL POWDER 3 potassium citrate-citric acid (Taron-Crystals Oral Packet 3300- 1 1002 Mg) TRICITRASOL IN VITRO CONCENTRATE 46.7 % 3 (anticoagulant sodium citrate) tricitrates oral solution 550-500-334 mg/5ml 1 UROCIT-K 10 ORAL TABLET EXTENDED RELEASE 10 MEQ 4 (1080 MG) (potassium citrate) UROCIT-K 15 ORAL TABLET EXTENDED RELEASE 15 MEQ 4 (1620 MG) (potassium citrate) UROCIT-K 5 ORAL TABLET EXTENDED RELEASE 5 MEQ 4 (540 MG) (potassium citrate) AMMONIA DETOXICANTS BUPHENYL ORAL POWDER 3 GM/TSP (sodium 4 PA phenylbutyrate) BUPHENYL ORAL TABLET 500 MG () 4 PA CARBAGLU ORAL TABLET 200 MG (carglumic acid) 2 PA; SP constulose oral solution 10 gm/15ml 1 enulose oral solution 10 gm/15ml 1 generlac oral solution 10 gm/15ml 1 KRISTALOSE ORAL PACKET 20 GM (lactulose) 3 lactulose encephalopathy oral solution 10 gm/15ml 1 lactulose oral solution 10 gm/15ml, 20 gm/30ml 1 LITHOSTAT ORAL TABLET 250 MG (acetohydroxamic acid) 3 PA; ST; SL (17.5 ml per day); RAVICTI ORAL LIQUID 1.1 GM/ML (glycerol phenylbutyrate) 4 SP sodium phenylbutyrate oral powder 3 gm/tsp 1 PA sodium phenylbutyrate oral tablet 500 mg 3 PA CALORIC AGENTS - Drugs for Nutrition anticoagulant cit dext soln a in vitro solution 0.8-2.45-2.2 1 gm/100ml L-CYSTINE POWDER 3

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 140 Coverage Requirements & Prescription Drug Name Drug Tier Limits multiple vitamins-minerals (Lysiplex Plus Oral Tablet) 1 CARBONIC ANHYDRASE INHIBITORS - Drugs for Water Balance acetazolamide er oral capsule extended release 12 hour 500 1 mg acetazolamide oral tablet 125 mg, 250 mg 1 DIURETICS, MISCELLANEOUS - Drugs for Water Balance ELIXOPHYLLIN ORAL ELIXIR 80 MG/15ML (theophylline) 3 THEO-24 ORAL CAPSULE EXTENDED RELEASE 24 HOUR 3 100 MG, 200 MG, 300 MG, 400 MG (theophylline) theophylline er oral tablet extended release 12 hour 300 mg, 1 450 mg theophylline er oral tablet extended release 24 hour 400 mg, 1 600 mg theophylline oral solution 80 mg/15ml 1 LOOP DIURETICS - Drugs for Water Balance bumetanide oral tablet 0.5 mg, 1 mg, 2 mg 1 EDECRIN ORAL TABLET 25 MG (ethacrynic acid) 4 ethacrynic acid oral tablet 25 mg 3 furosemide oral solution 10 mg/ml, 8 mg/ml 1 furosemide oral tablet 20 mg, 40 mg, 80 mg 1 LASIX ORAL TABLET 20 MG, 40 MG, 80 MG (furosemide) 4 torsemide oral tablet 10 mg, 100 mg, 20 mg, 5 mg 1 OTHER -REMOVING AGENTS RADIOGARDASE ORAL CAPSULE 0.5 GM (prussian blue 3 insoluble) PHOSPHATE-REMOVING AGENTS AURYXIA ORAL TABLET 1 GM 210 MG(FE) (ferric citrate) 3 calcium acetate (phos binder) oral capsule 667 mg 1 calcium acetate (phos binder) oral tablet 667 mg 1 calcium acetate oral tablet 667 mg 1 FOSRENOL ORAL PACKET 1000 MG, 750 MG ( 3 carbonate) lanthanum carbonate oral tablet chewable 1000 mg, 500 mg, 3 750 mg

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 141 Coverage Requirements & Prescription Drug Name Drug Tier Limits MAGNEBIND 400 ORAL TABLET 400-200-1 MG (magnesium- 2 calcium-folic acid) PHOSLYRA ORAL SOLUTION 667 MG/5ML (calcium acetate 3 (phos binder)) RENAGEL ORAL TABLET 800 MG (sevelamer hcl) 4 RENVELA ORAL PACKET 0.8 GM, 2.4 GM (sevelamer 4 carbonate) sevelamer carbonate oral packet 0.8 gm, 2.4 gm 2 sevelamer carbonate oral tablet 800 mg 2 sevelamer hcl oral tablet 400 mg, 800 mg 3 VELPHORO ORAL TABLET CHEWABLE 500 MG (sucroferric 2 oxyhydroxide) POTASSIUM-REMOVING AGENTS sodium polystyrene sulfonate (Kionex Oral Suspension 15 1 Gm/60Ml) LOKELMA ORAL PACKET 10 GM (sodium zirconium 3 PA; SL (3 packets per day) cyclosilicate) LOKELMA ORAL PACKET 5 GM (sodium zirconium 3 PA; SL (1 packet per day) cyclosilicate) sodium polystyrene sulfonate oral powder 1 sodium polystyrene sulfonate oral suspension 15 gm/60ml 1 sodium polystyrene sulfonate rectal suspension 30 gm/120ml, 1 50 gm/200ml sodium polystyrene sulfonate (Sps Oral Suspension 15 1 Gm/60Ml) VELTASSA ORAL PACKET 16.8 GM, 25.2 GM, 8.4 GM 3 PA; SL (1 Packet per day) (patiromer sorbitex calcium) POTASSIUM-SPARING DIURETICS - Drugs for Water Balance ALDACTAZIDE ORAL TABLET 25-25 MG (spironolactone-hctz) 4 ALDACTAZIDE ORAL TABLET 50-50 MG (spironolactone-hctz) 2 ALDACTONE ORAL TABLET 100 MG, 25 MG, 50 MG 4 (spironolactone) amiloride hcl oral tablet 5 mg 1 amiloride-hydrochlorothiazide oral tablet 5-50 mg 1 CAROSPIR ORAL SUSPENSION 25 MG/5ML (spironolactone) 4 PA DYAZIDE ORAL CAPSULE 37.5-25 MG (triamterene-hctz) 4

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 142 Coverage Requirements & Prescription Drug Name Drug Tier Limits DYRENIUM ORAL CAPSULE 100 MG, 50 MG (triamterene) 4 MAXZIDE ORAL TABLET 75-50 MG (triamterene-hctz) 4 MAXZIDE-25 ORAL TABLET 37.5-25 MG (triamterene-hctz) 4 spironolactone oral tablet 100 mg, 25 mg, 50 mg 1 spironolactone-hctz oral tablet 25-25 mg 1 triamterene oral capsule 100 mg, 50 mg 3 triamterene-hctz oral capsule 37.5-25 mg 1 triamterene-hctz oral tablet 37.5-25 mg, 75-50 mg 1 REPLACEMENT PREPARATIONS calcium acetate (phos binder) oral tablet 667 mg 1 calcium-folic acid plus d oral wafer 1342-1 mg 1 EFFER-K ORAL TABLET EFFERVESCENT 10 MEQ, 20 MEQ 2 (potassium bicarb-citric acid) potassium bicarbonate (Effer-K Oral Tablet Effervescent 25 1 Meq) HYPERSAL INHALATION NEBULIZATION SOLUTION 3.5 %, 2 7 % (sodium chloride) potassium chloride (Klor-Con 10 Oral Tablet Extended Release 1 10 Meq) potassium chloride crys er (Klor-Con M10 Oral Tablet Extended 1 Release 10 Meq) KLOR-CON M15 ORAL TABLET EXTENDED RELEASE 15 3 MEQ (potassium chloride crys er) potassium chloride crys er (Klor-Con M20 Oral Tablet Extended 1 Release 20 Meq) potassium chloride (Klor-Con Oral Packet 20 Meq) 1 potassium chloride (Klor-Con Oral Tablet Extended Release 8 1 Meq) potassium chloride (Klor-Con Sprinkle Oral Capsule Extended 1 Release 10 Meq, 8 Meq) potassium bicarbonate (Klor-Con/Ef Oral Tablet Effervescent 25 1 Meq) potassium bicarbonate (K-Prime Oral Tablet Effervescent 25 1 Meq) K-TAB ORAL TABLET EXTENDED RELEASE 10 MEQ, 20 3 MEQ, 8 MEQ (potassium chloride) M-NATAL PLUS ORAL TABLET 27-1 MG 3

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 143 Coverage Requirements & Prescription Drug Name Drug Tier Limits sodium chloride (Nebusal Inhalation Nebulization Solution 3 %) 1 NEBUSAL INHALATION NEBULIZATION SOLUTION 6 % 3 (sodium chloride) NESTABS ORAL TABLET 32-1 MG (prenat-fe bisgly-fa-w/o vit 3 a) pot bicarb-pot chloride oral tablet effervescent 25 meq 1 potassium bicarbonate oral tablet effervescent 25 meq 1 potassium chloride crys er oral tablet extended release 10 meq, 1 20 meq potassium chloride er oral capsule extended release 10 meq, 8 1 meq potassium chloride er oral tablet extended release 10 meq, 20 1 meq, 8 meq potassium chloride oral packet 20 meq 1 potassium chloride oral solution 20 meq/15ml (10%), 40 1 meq/15ml (20%) PRENAISSANCE ORAL CAPSULE 29-1.25-325 MG 2 prenatal oral tablet 27-1 mg 1 prenatal plus iron oral tablet 29-1 mg 1 PRENATE ORAL TABLET CHEWABLE 0.6-0.4 MG (prenat mv- 3 min-methylfolate-fa) sodium chloride (Pulmosal Inhalation Nebulization Solution 7 %) 1 sodium chloride inhalation nebulization solution 0.9 %, 10 %, 3 1 %, 7 % trinate oral tablet 1 VITAFOL-OB+DHA ORAL 65-1 & 250 MG (prenatal mv-min-fe 3 fum-fa-dha) THIAZIDE DIURETICS - Drugs for Water Balance ACCURETIC ORAL TABLET 10-12.5 MG, 20-12.5 MG, 20-25 4 MG (quinapril-hydrochlorothiazide) ALDACTAZIDE ORAL TABLET 25-25 MG (spironolactone-hctz) 4 ALDACTAZIDE ORAL TABLET 50-50 MG (spironolactone-hctz) 2 amiloride-hydrochlorothiazide oral tablet 5-50 mg 1 ATACAND HCT ORAL TABLET 16-12.5 MG, 32-12.5 MG, 32- 4 25 MG (candesartan cilexetil-hctz) AVALIDE ORAL TABLET 150-12.5 MG, 300-12.5 MG 4 (irbesartan-hydrochlorothiazide)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 144 Coverage Requirements & Prescription Drug Name Drug Tier Limits benazepril-hydrochlorothiazide oral tablet 10-12.5 mg, 20-12.5 1 mg, 20-25 mg, 5-6.25 mg bisoprolol-hydrochlorothiazide oral tablet 10-6.25 mg, 2.5-6.25 1 mg, 5-6.25 mg candesartan cilexetil-hctz oral tablet 16-12.5 mg, 32-12.5 mg, 3 32-25 mg captopril-hydrochlorothiazide oral tablet 25-15 mg, 25-25 mg, 1 50-15 mg, 50-25 mg chlorothiazide oral tablet 250 mg, 500 mg 1 DIURIL ORAL SUSPENSION 250 MG/5ML (chlorothiazide) 2 DYAZIDE ORAL CAPSULE 37.5-25 MG (triamterene-hctz) 4 enalapril-hydrochlorothiazide oral tablet 10-25 mg, 5-12.5 mg 1 fosinopril sodium-hctz oral tablet 10-12.5 mg, 20-12.5 mg 1 hydrochlorothiazide oral capsule 12.5 mg 1 hydrochlorothiazide oral tablet 12.5 mg, 25 mg, 50 mg 1 HYZAAR ORAL TABLET 100-12.5 MG, 100-25 MG, 50-12.5 4 MG (losartan potassium-hctz) irbesartan-hydrochlorothiazide oral tablet 150-12.5 mg, 300- 1 12.5 mg lisinopril-hydrochlorothiazide oral tablet 10-12.5 mg, 20-12.5 1 mg, 20-25 mg LOPRESSOR HCT ORAL TABLET 50-25 MG (metoprolol- 4 hydrochlorothiazide) losartan potassium-hctz oral tablet 100-12.5 mg, 100-25 mg, 1 50-12.5 mg LOTENSIN HCT ORAL TABLET 10-12.5 MG, 20-12.5 MG, 20- 4 25 MG (benazepril-hydrochlorothiazide) MAXZIDE ORAL TABLET 75-50 MG (triamterene-hctz) 4 MAXZIDE-25 ORAL TABLET 37.5-25 MG (triamterene-hctz) 4 methyldopa-hydrochlorothiazide oral tablet 250-15 mg, 250-25 1 mg metoprolol-hydrochlorothiazide oral tablet 100-25 mg, 100-50 1 mg, 50-25 mg olmesartan medoxomil-hctz oral tablet 20-12.5 mg, 40-12.5 mg, 2 40-25 mg propranolol-hctz oral tablet 40-25 mg, 80-25 mg 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 145 Coverage Requirements & Prescription Drug Name Drug Tier Limits quinapril-hydrochlorothiazide oral tablet 10-12.5 mg, 20-12.5 2 mg, 20-25 mg spironolactone-hctz oral tablet 25-25 mg 1 TEKTURNA HCT ORAL TABLET 150-12.5 MG, 150-25 MG, 3 300-12.5 MG, 300-25 MG (aliskiren-hydrochlorothiazide) telmisartan-hctz oral tablet 40-12.5 mg, 80-12.5 mg, 80-25 mg 2 triamterene-hctz oral capsule 37.5-25 mg 1 triamterene-hctz oral tablet 37.5-25 mg, 75-50 mg 1 valsartan-hydrochlorothiazide oral tablet 160-12.5 mg, 160-25 1 mg, 320-12.5 mg, 320-25 mg, 80-12.5 mg ZIAC ORAL TABLET 10-6.25 MG, 2.5-6.25 MG (bisoprolol- 3 hydrochlorothiazide) ZIAC ORAL TABLET 5-6.25 MG (bisoprolol- 4 hydrochlorothiazide) THIAZIDE-LIKE DIURETICS - Drugs for Water Balance atenolol-chlorthalidone oral tablet 100-25 mg, 50-25 mg 1 chlorthalidone oral tablet 25 mg, 50 mg 1 EDARBYCLOR ORAL TABLET 40-12.5 MG, 40-25 MG 3 (azilsartan-chlorthalidone) indapamide oral tablet 1.25 mg, 2.5 mg 1 metolazone oral tablet 10 mg, 2.5 mg, 5 mg 1 URICOSURIC AGENTS colchicine- oral tablet 0.5-500 mg 1 probenecid oral tablet 500 mg 1 VASOPRESSIN ANTAGONISTS - Drugs for Water Balance PA; SL (2 tablets per day); JYNARQUE ORAL TABLET 15 MG, 30 MG (tolvaptan) 2 SP JYNARQUE ORAL TABLET THERAPY PACK 45 & 15 MG, 60 PA; SL (2 tablets per day); 2 & 30 MG, 90 & 30 MG (tolvaptan) SP PA; SL (90 tablets per 365 SAMSCA ORAL TABLET 15 MG (tolvaptan) 2 days); SP PA; SL (60 tablets per 365 SAMSCA ORAL TABLET 30 MG (tolvaptan) 2 days); SP

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 146 Coverage Requirements & Prescription Drug Name Drug Tier Limits ENZYMES ENZYMES PALYNZIQ SUBCUTANEOUS SOLUTION PREFILLED 3 PA; SL (0.5 ml per day); SP SYRINGE 10 MG/0.5ML (pegvaliase-pqpz) PALYNZIQ SUBCUTANEOUS SOLUTION PREFILLED 3 PA; SP SYRINGE 2.5 MG/0.5ML (pegvaliase-pqpz) PALYNZIQ SUBCUTANEOUS SOLUTION PREFILLED 3 PA; SL (1 ml per day); SP SYRINGE 20 MG/ML (pegvaliase-pqpz) PULMOZYME INHALATION SOLUTION 1 MG/ML (dornase 2 PA; SL (5 ml per day); SP alfa) STRENSIQ SUBCUTANEOUS SOLUTION 18 MG/0.45ML PA; SL (5.4 ml per month); 2 (asfotase alfa) SP STRENSIQ SUBCUTANEOUS SOLUTION 28 MG/0.7ML PA; SL (8.4 ml per month); 2 (asfotase alfa) SP STRENSIQ SUBCUTANEOUS SOLUTION 40 MG/ML PA; SL (12 ml tablets per 2 (asfotase alfa) month); SP STRENSIQ SUBCUTANEOUS SOLUTION 80 MG/0.8ML PA; SL (9.6 ml (12 vials) per 2 (asfotase alfa) month); SP SUCRAID ORAL SOLUTION 8500 UNIT/ML (sacrosidase) 2 PA; SP EYE, EAR, NOSE AND THROAT (EENT) PREPS. ALPHA-ADRENERGIC AGONISTS (EENT) - Drugs for the Eye ALPHAGAN P OPHTHALMIC SOLUTION 0.1 % (brimonidine 2 SL (10 ml per prescription) tartrate) ALPHAGAN P OPHTHALMIC SOLUTION 0.15 % (brimonidine 4 SL (10 ml per prescription) tartrate) brimonidine tartrate ophthalmic solution 0.15 % 2 SL (10 ml per prescription) brimonidine tartrate ophthalmic solution 0.2 % 1 COMBIGAN OPHTHALMIC SOLUTION 0.2-0.5 % (brimonidine 2 SL (5 ml per prescription) tartrate-timolol) ANTIALLERGIC AGENTS - Drugs for Allergy ALOCRIL OPHTHALMIC SOLUTION 2 % (nedocromil sodium) 3 ALOMIDE OPHTHALMIC SOLUTION 0.1 % (lodoxamide 3 tromethamine) azelastine hcl nasal solution 0.1 %, 137 mcg/spray 3 azelastine hcl ophthalmic solution 0.05 % 1 cromolyn sodium ophthalmic solution 4 % 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 147 Coverage Requirements & Prescription Drug Name Drug Tier Limits LASTACAFT OPHTHALMIC SOLUTION 0.25 % (alcaftadine) 3 SL (3 ml per prescription) SL (30.5 grams (1 box) per olopatadine hcl nasal solution 0.6 % 3 prescription) olopatadine hcl ophthalmic solution 0.1 % 3 SL (5 ml per prescription) SL (30.5 grams (1 box) per PATANASE NASAL SOLUTION 0.6 % (olopatadine hcl) 4 prescription) ANTIBACTERIALS (EENT) - Drugs for Infections ak-poly-bac ophthalmic ointment 500-10000 unit/gm 1 AZASITE OPHTHALMIC SOLUTION 1 % (azithromycin) 3 bacitracin ophthalmic ointment 500 unit/gm 1 bacitracin-polymyxin b ophthalmic ointment 500-10000 unit/gm 1 bacitra-neomycin-polymyxin-hc ophthalmic ointment 1 % 1 BESIVANCE OPHTHALMIC SUSPENSION 0.6 % (besifloxacin 3 hcl) BLEPH-10 OPHTHALMIC SOLUTION 10 % (sulfacetamide 3 sodium) BLEPHAMIDE OPHTHALMIC SUSPENSION 10-0.2 % 3 (sulfacetamide-) BLEPHAMIDE S.O.P. OPHTHALMIC OINTMENT 10-0.2 % 2 (sulfacetamide-prednisolone) CETRAXAL OTIC SOLUTION 0.2 % (ciprofloxacin hcl) 3 CILOXAN OPHTHALMIC OINTMENT 0.3 % (ciprofloxacin hcl) 3 CILOXAN OPHTHALMIC SOLUTION 0.3 % (ciprofloxacin hcl) 4 CIPRO HC OTIC SUSPENSION 0.2-1 % (ciprofloxacin- 3 hydrocortisone) CIPRODEX OTIC SUSPENSION 0.3-0.1 % (ciprofloxacin- 3 ) ciprofloxacin hcl ophthalmic solution 0.3 % 1 ciprofloxacin hcl otic solution 0.2 % 1 COLY-MYCIN S OTIC SUSPENSION 3.3-3-10-0.5 MG/ML 3 (neomycin-colist-hc-thonzonium) doxycycline hyclate oral tablet 20 mg 1 erythromycin ophthalmic ointment 5 mg/gm 1 H gatifloxacin ophthalmic solution 0.5 % 3 gentak ophthalmic ointment 0.3 % 1 gentamicin sulfate ophthalmic solution 0.3 % 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 148 Coverage Requirements & Prescription Drug Name Drug Tier Limits levofloxacin ophthalmic solution 0.5 % 1 MAXITROL OPHTHALMIC OINTMENT 3.5-10000-0.1 4 (neomycin-polymyxin-dexameth) MAXITROL OPHTHALMIC SUSPENSION 3.5-10000-0.1 4 (neomycin-polymyxin-dexameth) MOXEZA OPHTHALMIC SOLUTION 0.5 % (moxifloxacin hcl) 4 moxifloxacin hcl (2x day) ophthalmic solution 0.5 % 3 moxifloxacin hcl ophthalmic solution 0.5 % 3 neomycin-bacitracin zn-polymyx ophthalmic ointment 3.5-400- 1 10000 , 5-400-10000 neomycin-polymyxin-dexameth ophthalmic ointment 3.5-10000- 1 0.1 neomycin-polymyxin-dexameth ophthalmic suspension 3.5- 1 10000-0.1 neomycin-polymyxin-gramicidin ophthalmic solution 1.75- 1 10000-.025 neomycin-polymyxin-hc ophthalmic suspension 3.5-10000-1 1 neomycin-polymyxin-hc otic solution 1 %, 3.5-10000-1 1 neomycin-polymyxin-hc otic suspension 3.5-10000-1 1 bacitracin-polymyx-neo-hc (Neo-Polycin Hc Ophthalmic 1 Ointment 1 %) neomycin-bacitracin zn-polymyx (Neo-Polycin Ophthalmic 1 Ointment 3.5-400-10000) OCUFLOX OPHTHALMIC SOLUTION 0.3 % (ofloxacin) 4 ofloxacin ophthalmic solution 0.3 % 1 ofloxacin otic solution 0.3 % 2 bacitracin-polymyxin b (Polycin Ophthalmic Ointment 500- 1 10000 Unit/Gm) polymyxin b-trimethoprim ophthalmic solution 10000-0.1 unit/ml- 1 % POLYTRIM OPHTHALMIC SOLUTION 10000-0.1 UNIT/ML-% 4 (polymyxin b-trimethoprim) PRED-G OPHTHALMIC SUSPENSION 0.3-1 % (gentamicin- 3 prednisolone acet) PRED-G S.O.P. OPHTHALMIC OINTMENT 0.3-0.6 % 3 (gentamicin-prednisolone acet) sulfacetamide sodium ophthalmic ointment 10 % 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 149 Coverage Requirements & Prescription Drug Name Drug Tier Limits sulfacetamide sodium ophthalmic solution 10 % 1 sulfacetamide-prednisolone ophthalmic solution 10-0.23 % 1 TOBRADEX OPHTHALMIC OINTMENT 0.3-0.1 % (tobramycin- 3 dexamethasone) TOBRADEX OPHTHALMIC SUSPENSION 0.3-0.1 % 4 (tobramycin-dexamethasone) tobramycin ophthalmic solution 0.3 % 1 tobramycin-dexamethasone ophthalmic suspension 0.3-0.1 % 2 TOBREX OPHTHALMIC OINTMENT 0.3 % (tobramycin) 3 TOBREX OPHTHALMIC SOLUTION 0.3 % (tobramycin) 4 ZYLET OPHTHALMIC SUSPENSION 0.5-0.3 % (loteprednol- 3 tobramycin) ZYMAXID OPHTHALMIC SOLUTION 0.5 % (gatifloxacin) 4 ANTIFUNGALS (EENT) - Drugs for Infections NATACYN OPHTHALMIC SUSPENSION 5 % () 3 ANTIGLAUCOMA AGENTS, MISCELLANEOUS - Drugs for the Eye MITOSOL OPHTHALMIC KIT 0.2 MG (mitomycin) 3 RHOPRESSA OPHTHALMIC SOLUTION 0.02 % (netarsudil 3 SL (2.5 ml per prescription) dimesylate) ROCKLATAN OPHTHALMIC SOLUTION 0.02-0.005 % 3 SL (2.5 mL per prescription) (netarsudil-latanoprost) ANTIVIRALS (EENT) - Drugs for Infections trifluridine ophthalmic solution 1 % 1 ZIRGAN OPHTHALMIC GEL 0.15 % (ganciclovir) 3 BETA-ADRENERGIC BLOCKING AGENTS (EENT) - Drugs for the Eye betaxolol hcl ophthalmic solution 0.5 % 1 BETIMOL OPHTHALMIC SOLUTION 0.25 %, 0.5 % (timolol 2 SL (5 ml per prescription) hemihydrate) BETOPTIC-S OPHTHALMIC SUSPENSION 0.25 % (betaxolol 3 hcl) carteolol hcl ophthalmic solution 1 % 1 COMBIGAN OPHTHALMIC SOLUTION 0.2-0.5 % (brimonidine 2 SL (5 ml per prescription) tartrate-timolol)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 150 Coverage Requirements & Prescription Drug Name Drug Tier Limits COSOPT OPHTHALMIC SOLUTION 22.3-6.8 MG/ML 4 (dorzolamide hcl-timolol mal) dorzolamide hcl-timolol mal ophthalmic solution 22.3-6.8 mg/ml 2 ISTALOL OPHTHALMIC SOLUTION 0.5 % (timolol maleate) 4 levobunolol hcl ophthalmic solution 0.5 % 1 timolol maleate ophthalmic gel forming solution 0.25 %, 0.5 % 1 timolol maleate ophthalmic solution 0.25 %, 0.5 % 1 timolol maleate ophthalmic solution 0.5 % (daily) 3 TIMOPTIC OCUDOSE OPHTHALMIC SOLUTION 0.25 %, 0.5 2 % (timolol maleate) TIMOPTIC OPHTHALMIC SOLUTION 0.25 %, 0.5 % (timolol 4 maleate) TIMOPTIC-XE OPHTHALMIC GEL FORMING SOLUTION 0.25 4 %, 0.5 % (timolol maleate) CARBONIC ANHYDRASE INHIBITORS (EENT) - Drugs for the Eye acetazolamide er oral capsule extended release 12 hour 500 1 mg acetazolamide oral tablet 125 mg, 250 mg 1 AZOPT OPHTHALMIC SUSPENSION 1 % (brinzolamide) 2 SL (10 ml per prescription) COSOPT OPHTHALMIC SOLUTION 22.3-6.8 MG/ML 4 (dorzolamide hcl-timolol mal) DORZOLAMIDE HCL SOLUTION 2 % OPHTHALMIC 2 % 4 dorzolamide hcl solution 2 % ophthalmic 2 % 1 dorzolamide hcl-timolol mal ophthalmic solution 22.3-6.8 mg/ml 2 PA; SL (4 tablets per day); KEVEYIS ORAL TABLET 50 MG (dichlorphenamide) 2 SP methazolamide oral tablet 25 mg, 50 mg 1 TRUSOPT OPHTHALMIC SOLUTION 2 % (dorzolamide hcl) 4 (EENT) - Drugs for Inflammation ALREX OPHTHALMIC SUSPENSION 0.2 % (loteprednol 4 SL (5 ml per prescription) etabonate) bacitra-neomycin-polymyxin-hc ophthalmic ointment 1 % 1 CIPRO HC OTIC SUSPENSION 0.2-1 % (ciprofloxacin- 3 hydrocortisone)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 151 Coverage Requirements & Prescription Drug Name Drug Tier Limits CIPRODEX OTIC SUSPENSION 0.3-0.1 % (ciprofloxacin- 3 dexamethasone) CORTANE-B EXTERNAL LOTION 10-10-1 MG/ML (hc- 4 pramoxine-chloroxylenol) DERMOTIC OTIC OIL 0.01 % (fluocinolone acetonide) 4 dexamethasone sodium phosphate ophthalmic solution 0.1 % 1 DEXTENZA OPHTHALMIC INSERT 0.4 MG (dexamethasone) 3 DUREZOL OPHTHALMIC EMULSION 0.05 % (difluprednate) 4 exotic-hc otic solution 10-10-1 mg/ml 1 fluocinolone acetonide (Flac Otic Oil 0.01 %) 1 FLAREX OPHTHALMIC SUSPENSION 0.1 % ( 2 acetate) flunisolide nasal solution 25 mcg/act (0.025%) 3 fluocinolone acetonide otic oil 0.01 % 1 fluorometholone ophthalmic suspension 0.1 % 1 SL (16 grams (1 bottle) per fluticasone propionate nasal suspension 50 mcg/act 2 prescription) FML FORTE OPHTHALMIC SUSPENSION 0.25 % 3 (fluorometholone) FML LIQUIFILM OPHTHALMIC SUSPENSION 0.1 % 4 (fluorometholone) FML OPHTHALMIC OINTMENT 0.1 % (fluorometholone) 3 hydrocortisone-acetic acid otic solution 1-2 % 1 INVELTYS OPHTHALMIC SUSPENSION 1 % (loteprednol 3 etabonate) LOTEMAX OPHTHALMIC OINTMENT 0.5 % (loteprednol 3 etabonate) LOTEMAX OPHTHALMIC SUSPENSION 0.5 % (loteprednol 4 SL (5 ml per prescription) etabonate) LOTEMAX SM OPHTHALMIC GEL 0.38 % (loteprednol 3 SL (5 grams per prescription) etabonate) loteprednol etabonate ophthalmic suspension 0.5 % 3 SL (5 ml per prescription) MAXIDEX OPHTHALMIC SUSPENSION 0.1 % 2 (dexamethasone) MAXITROL OPHTHALMIC OINTMENT 3.5-10000-0.1 4 (neomycin-polymyxin-dexameth)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 152 Coverage Requirements & Prescription Drug Name Drug Tier Limits MAXITROL OPHTHALMIC SUSPENSION 3.5-10000-0.1 4 (neomycin-polymyxin-dexameth) neomycin-polymyxin-dexameth ophthalmic ointment 3.5-10000- 1 0.1 neomycin-polymyxin-dexameth ophthalmic suspension 3.5- 1 10000-0.1 neomycin-polymyxin-hc ophthalmic suspension 3.5-10000-1 1 bacitracin-polymyx-neo-hc (Neo-Polycin Hc Ophthalmic 1 Ointment 1 %) OTICIN HC NR OTIC SOLUTION 10-10-1 MG/ML (pramoxine- 2 hc-chloroxylenol) PRED FORTE OPHTHALMIC SUSPENSION 1 % 4 (prednisolone acetate) PRED MILD OPHTHALMIC SUSPENSION 0.12 % 3 (prednisolone acetate) PRED-G OPHTHALMIC SUSPENSION 0.3-1 % (gentamicin- 3 prednisolone acet) PRED-G S.O.P. OPHTHALMIC OINTMENT 0.3-0.6 % 3 (gentamicin-prednisolone acet) prednisolone acetate ophthalmic suspension 1 % 1 prednisolone sodium phosphate ophthalmic solution 1 % 1 TOBRADEX OPHTHALMIC OINTMENT 0.3-0.1 % (tobramycin- 3 dexamethasone) TOBRADEX OPHTHALMIC SUSPENSION 0.3-0.1 % 4 (tobramycin-dexamethasone) tobramycin-dexamethasone ophthalmic suspension 0.3-0.1 % 2 ZETONNA NASAL AEROSOL SOLUTION 37 MCG/ACT SL (6.1 grams per 3 (ciclesonide) prescription) ZYLET OPHTHALMIC SUSPENSION 0.5-0.3 % (loteprednol- 3 tobramycin) EENT ANTI-INFECTIVES, MISCELLANEOUS - Drugs for Infections acetic acid otic solution 2 % 1 BETADINE OPHTHALMIC PREP OPHTHALMIC SOLUTION 5 3 % (povidone-iodine) gluconate mouth/throat solution 0.12 % 1 hydrocortisone-acetic acid otic solution 1-2 % 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 153 Coverage Requirements & Prescription Drug Name Drug Tier Limits chlorhexidine gluconate (Paroex Mouth/Throat Solution 0.12 %) 1 PERIDEX MOUTH/THROAT SOLUTION 0.12 % (chlorhexidine 4 gluconate) chlorhexidine gluconate (Periogard Mouth/Throat Solution 0.12 1 %) PRAMOTIC OTIC LIQUID 1-0.1 % (pramoxine-chloroxylenol) 3 EENT ANTI-INFLAMMATORY AGENTS, MISC. - Drugs for Inflammation PA; SL (60 vials per RESTASIS OPHTHALMIC EMULSION 0.05 % (cyclosporine) 4 prescription) PA; SL (60 vials per XIIDRA OPHTHALMIC SOLUTION 5 % (lifitegrast) 4 prescription) EENT DRUGS, MISCELLANEOUS apraclonidine hcl ophthalmic solution 0.5 % 1 CYSTARAN OPHTHALMIC SOLUTION 0.44 % (cysteamine PA; SL (60 ml (4 bottles) per 2 hcl) month); SP GELFILM OPHTHALMIC FILM (gelatin adsorbable) 2 IOPIDINE OPHTHALMIC SOLUTION 1 % (apraclonidine hcl) 3 ipratropium bromide nasal solution 0.03 %, 0.06 % 1 LACRISERT OPHTHALMIC INSERT 5 MG (artificial tear insert) 2 OXERVATE OPHTHALMIC SOLUTION 0.002 % (- PA; SL (1 ml per day and 56 4 bkbj) ml per 365 days); SP PHOTREXA-PHOTREXA VISCOUS KIT OPHTHALMIC SOLUTION PREFILLED SYRINGE 0.146 &0.146-20 % 3 (riboflav5 & riboflav5-dextran) EENT NONSTEROIDAL ANTI-INFLAM. AGENTS - Drugs for Inflammation ACULAR LS OPHTHALMIC SOLUTION 0.4 % (ketorolac 4 tromethamine) ACULAR OPHTHALMIC SOLUTION 0.5 % (ketorolac 4 tromethamine) diclofenac sodium ophthalmic solution 0.1 % 1 flurbiprofen sodium ophthalmic solution 0.03 % 1 ketorolac tromethamine ophthalmic solution 0.4 %, 0.5 % 1 NEVANAC OPHTHALMIC SUSPENSION 0.1 % (nepafenac) 4 LOCAL ANESTHETICS (EENT) - Drugs for Numbing AKTEN OPHTHALMIC GEL 3.5 % ( hcl) 3

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 154 Coverage Requirements & Prescription Drug Name Drug Tier Limits ALCAINE OPHTHALMIC SOLUTION 0.5 % (proparacaine hcl) 3 tetracaine hcl (Altacaine Ophthalmic Solution 0.5 %) 1 lidocaine hcl external solution 4 % 1 lidocaine hcl urethral/mucosal external gel 2 % 1 lidocaine hcl urethral/mucosal external prefilled syringe 2 % 1 lidocaine viscous hcl mouth/throat solution 2 % 1 PRAMOTIC OTIC LIQUID 1-0.1 % (pramoxine-chloroxylenol) 3 proparacaine hcl ophthalmic solution 0.5 % 1 tetracaine hcl ophthalmic solution 0.5 % 1 MIOTICS - Drugs for the Eye ISOPTO CARPINE OPHTHALMIC SOLUTION 1 %, 2 % 4 (pilocarpine hcl) ISOPTO CARPINE OPHTHALMIC SOLUTION 4 % (pilocarpine 3 hcl) PHOSPHOLINE IODIDE OPHTHALMIC SOLUTION 2 RECONSTITUTED 0.125 % (echothiophate iodide) pilocarpine hcl ophthalmic solution 1 %, 2 %, 4 % 1 MYDRIATICS - Drugs for the Eye atropine sulfate ophthalmic ointment 1 % 1 CYCLOGYL OPHTHALMIC SOLUTION 0.5 %, 1 %, 2 % 4 (cyclopentolate hcl) CYCLOMYDRIL OPHTHALMIC SOLUTION 0.2-1 % 3 (cyclopentolate-phenylephrine) cyclopentolate hcl ophthalmic solution 0.5 %, 1 %, 2 % 1 homatropaire ophthalmic solution 5 % 1 PROSTAGLANDIN ANALOGS - Drugs for the Eye latanoprost ophthalmic solution 0.005 % 1 LUMIGAN OPHTHALMIC SOLUTION 0.01 % (bimatoprost) 2 ROCKLATAN OPHTHALMIC SOLUTION 0.02-0.005 % 3 SL (2.5 mL per prescription) (netarsudil-latanoprost) TRAVATAN Z OPHTHALMIC SOLUTION 0.004 % (travoprost) 4 SL (3 ml per prescription) travoprost (bak free) ophthalmic solution 0.004 % 2 SL (3 ml per prescription) XELPROS OPHTHALMIC EMULSION 0.005 % (latanoprost) 3 SL (2.5 ml per prescription) ST; SL (30 unit of use ZIOPTAN OPHTHALMIC SOLUTION 0.0015 % (tafluprost) 3 droppers per prescription)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 155 Coverage Requirements & Prescription Drug Name Drug Tier Limits RHO KINASE INHIBITORS - Drugs for the Eye RHOPRESSA OPHTHALMIC SOLUTION 0.02 % (netarsudil 3 SL (2.5 ml per prescription) dimesylate) ROCKLATAN OPHTHALMIC SOLUTION 0.02-0.005 % 3 SL (2.5 mL per prescription) (netarsudil-latanoprost) VASOCONSTRICTORS ADRENALIN NASAL SOLUTION 0.1 % (epinephrine hcl 2 (nasal)) phenylephrine hcl (Altafrin Ophthalmic Solution 10 %, 2.5 %) 1 phenylephrine hcl ophthalmic solution 10 %, 2.5 % 1 GASTROINTESTINAL DRUGS ANTACIDS AND ADSORBENTS SODIUM BICARBONATE ORAL POWDER 3 GASTROINTESTINAL DRUGS - Drugs for the Stomach 5-HT3 RECEPTOR ANTAGONISTS - Drugs for Vomiting and Nausea AKYNZEO ORAL CAPSULE 300-0.5 MG (netupitant- SL (1 capsule per 4 palonosetron) prescription) SL (4 tablets per ANZEMET ORAL TABLET 100 MG (dolasetron mesylate) 3 prescription) ANZEMET ORAL TABLET 50 MG (dolasetron mesylate) 3 SL (1 tablet per prescription) granisetron hcl oral tablet 1 mg 2 ondansetron hcl oral solution 4 mg/5ml 1 ondansetron hcl oral tablet 24 mg, 4 mg, 8 mg 1 ondansetron odt oral tablet dispersible 4 mg, 8 mg 1 ZOFRAN ORAL TABLET 4 MG, 8 MG (ondansetron hcl) 4 ANTIDIARRHEA AGENTS - Drugs for Diarrhea diphenoxylate-atropine oral liquid 2.5-0.025 mg/5ml 1 diphenoxylate-atropine oral tablet 2.5-0.025 mg 1 LOMOTIL ORAL TABLET 2.5-0.025 MG (diphenoxylate- 4 atropine) MYTESI ORAL TABLET DELAYED RELEASE 125 MG 4 PA; SL (2 tablets per day) (crofelemer) opium oral tincture 10 mg/ml (1%) 1 PA; SL (3 tablets per day); XERMELO ORAL TABLET 250 MG (telotristat etiprate) 3 SP

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 156 Coverage Requirements & Prescription Drug Name Drug Tier Limits ANTIEMETICS, MISCELLANEOUS - Drugs for Vomiting and Nausea oral capsule 10 mg, 2.5 mg, 5 mg 1 scopolamine transdermal patch 72 hour 1 mg/3days 3 SYNDROS ORAL SOLUTION 5 MG/ML (dronabinol) 4 PA; SL (4 ml per day) TRANSDERM SCOP (1.5 MG) TRANSDERMAL PATCH 72 4 HOUR 1 MG/3DAYS (scopolamine base) TRANSDERM-SCOP (1.5 MG) TRANSDERMAL PATCH 72 4 HOUR 1 MG/3DAYS (scopolamine base) ANTIHISTAMINES (GI DRUGS) - Drugs for Vomiting and Nausea prochlorperazine (Compro Rectal Suppository 25 Mg) 1 prochlorperazine maleate oral tablet 10 mg, 5 mg 1 prochlorperazine rectal suppository 25 mg 1 TIGAN ORAL CAPSULE 300 MG (trimethobenzamide hcl) 4 trimethobenzamide hcl oral capsule 300 mg 1 ANTI-INFLAMMATORY AGENTS (GI DRUGS) - Drugs for Inflammation alosetron hcl oral tablet 0.5 mg, 1 mg 2 PA; SL (2 tablets per day) APRISO ORAL CAPSULE EXTENDED RELEASE 24 HOUR 2 0.375 GM (mesalamine) AZULFIDINE EN-TABS ORAL TABLET DELAYED RELEASE 4 500 MG (sulfasalazine) AZULFIDINE ORAL TABLET 500 MG (sulfasalazine) 4 balsalazide disodium oral capsule 750 mg 1 DIPENTUM ORAL CAPSULE 250 MG (olsalazine sodium) 3 LIALDA ORAL TABLET DELAYED RELEASE 1.2 GM 2 (mesalamine) mesalamine rectal enema 4 gm 1 mesalamine rectal suppository 1000 mg 2 mesalamine-cleanser rectal kit 4 gm 1 SL (4 grams per month) ROWASA RECTAL KIT 4 GM (mesalamine-cleanser) 4 SL (4 grams per month) SFROWASA RECTAL ENEMA 4 GM/60ML (mesalamine) 4 sulfasalazine oral tablet 500 mg 1 sulfasalazine oral tablet delayed release 500 mg 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 157 Coverage Requirements & Prescription Drug Name Drug Tier Limits ANTIULCER AGENTS AND ACID SUPPRESS.,MISC - Drugs for Ulcers and Stomach Acid PYLERA ORAL CAPSULE 140-125-125 MG (bis subcit- SL (120 capsules per 180 3 metronid-tetracyc) days) CATHARTICS AND LAXATIVES - Drugs for Constipation PA; ST; SL (62 capsules per AMITIZA ORAL CAPSULE 24 MCG, 8 MCG (lubiprostone) 4 month) cascara sagrada oral fluid extract 1 gm/ml 1 CLENPIQ ORAL SOLUTION 10-3.5-12 MG-GM -GM/160ML 3 (sod picosulfate-mag ox-cit acd) gavilyte-c oral solution reconstituted 240 gm 1 H peg 3350-kcl-nabcb-nacl-nasulf (Gavilyte-G Oral Solution SL (400 mL per prescription); 1 Reconstituted 236 Gm) H bisacodyl-peg-kcl-nabicar-nacl (Gavilyte-H Oral Kit 5-210 Mg- 1 Gm) peg 3350-kcl-na bicarb-nacl (Gavilyte-N With Flavor Pack Oral SL (4000 ml per 1 Solution Reconstituted 420 Gm) prescription); H GOLYTELY ORAL SOLUTION RECONSTITUTED 227.1 GM SL (1 packet per 2 (peg 3350-kcl-nabcb-nacl-nasulf) prescription) GOLYTELY ORAL SOLUTION RECONSTITUTED 236 GM 4 SL (400 mL per prescription) (peg 3350-kcl-nabcb-nacl-nasulf) mineral oil heavy oral oil 1 MOVIPREP ORAL SOLUTION RECONSTITUTED 100 GM 3 SL (1 kit per prescription) (peg-kcl-nacl-nasulf-na asc-c) NULYTELY WITH FLAVOR PACKS ORAL SOLUTION 4 SL (4000 ml per prescription) RECONSTITUTED 420 GM (peg 3350-kcl-na bicarb-nacl) OSMOPREP ORAL TABLET 1.102-0.398 GM (sod phos mono- 3 sod phos dibasic) SL (4000 ml per peg 3350-kcl-na bicarb-nacl oral solution reconstituted 420 gm 1 prescription); H SL (400 mL per prescription); peg-3350/electrolytes oral solution reconstituted 236 gm 1 H bisacodyl-peg-kcl-nabicar-nacl (Peg-Prep Oral Kit 5-210 Mg- 1 Gm) PLENVU ORAL SOLUTION RECONSTITUTED 140 GM (peg- SL (3 cartons per 3 kcl-nacl-nasulf-na asc-c) prescription) PRENAISSANCE ORAL CAPSULE 29-1.25-325 MG 2

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 158 Coverage Requirements & Prescription Drug Name Drug Tier Limits PREPOPIK ORAL PACKET 10-3.5-12 MG-GM-GM (sod SL (2 packets per 3 picosulfate-mag ox-cit acd) prescription) SUPREP BOWEL PREP KIT ORAL SOLUTION 17.5-3.13-1.6 3 SL (354 ml per prescription) GM/177ML (na sulfate-k sulfate-mg sulf) TRICARE PRENATAL DHA ONE ORAL CAPSULE 27-1-500 3 MG (prenatal-fefum-fa-dss-fish oil) peg 3350-kcl-na bicarb-nacl (Trilyte Oral Solution Reconstituted SL (4000 ml per 1 420 Gm) prescription); H CHOLELITHOLYTIC AGENTS - Drugs for the Stomach ACTIGALL ORAL CAPSULE 300 MG (ursodiol) 4 CHENODAL ORAL TABLET 250 MG (chenodiol) 3 SP URSO 250 ORAL TABLET 250 MG (ursodiol) 4 URSO FORTE ORAL TABLET 500 MG (ursodiol) 4 ursodiol oral capsule 300 mg 1 ursodiol oral tablet 250 mg, 500 mg 1 DIGESTANTS - Drugs for the Stomach CREON ORAL CAPSULE DELAYED RELEASE PARTICLES 12000 UNIT, 24000-76000 UNIT, 3000-9500 UNIT, 36000 2 UNIT, 6000 UNIT (pancrelipase (lip-prot-amyl)) PANCREAZE ORAL CAPSULE DELAYED RELEASE PARTICLES 10500 UNIT, 16800 UNIT, 21000 UNIT, 2600 3 ST UNIT, 4200 UNIT (pancrelipase (lip-prot-amyl)) PERTZYE ORAL CAPSULE DELAYED RELEASE PARTICLES 16000 UNIT, 24000-86250 UNIT, 4000 UNIT, 8000 UNIT 4 ST (pancrelipase (lip-prot-amyl)) VIOKACE ORAL TABLET 10440 UNIT, 20880 UNIT 4 ST (pancrelipase (lip-prot-amyl)) ZENPEP ORAL CAPSULE DELAYED RELEASE PARTICLES 10000-32000 UNIT, 15000-47000 UNIT, 20000-63000 UNIT, 2 25000-79000 UNIT, 3000-14000 UNIT, 40000-126000 UNIT, 5000-24000 UNIT (pancrelipase (lip-prot-amyl)) GI DRUGS, MISCELLANEOUS - Drugs for the Stomach PA; SL (4 capsules per day); CHOLBAM ORAL CAPSULE 250 MG, 50 MG (cholic acid) 2 SP CIMZIA PREFILLED KIT SUBCUTANEOUS KIT 2 X 200 PA; SL (1 kit per 21 days); 2 MG/ML (certolizumab pegol) SP CIMZIA STARTER KIT SUBCUTANEOUS KIT 6 X 200 MG/ML PA; SL (6 mL per 365 days); 2 (certolizumab pegol) SP

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 159 Coverage Requirements & Prescription Drug Name Drug Tier Limits ENDARI ORAL PACKET 5 GM (glutamine (sickle cell)) 4 PA; SL (6 packets per day) ENTEREG ORAL CAPSULE 12 MG (alvimopan) 3 GATTEX SUBCUTANEOUS KIT 5 MG (teduglutide (rdna)) 2 PA; SL (1 vial per day); SP HUMIRA PEDIATRIC CROHNS START SUBCUTANEOUS PA; SL (3 syringes per year); 2 PREFILLED SYRINGE KIT 80 MG/0.8ML (adalimumab) SP HUMIRA PEDIATRIC CROHNS START SUBCUTANEOUS PREFILLED SYRINGE KIT 80 MG/0.8ML & 40MG/0.4ML 2 PA; SL (2 kits per year); SP (adalimumab) HUMIRA PEN SUBCUTANEOUS PEN-INJECTOR KIT 40 PA; SL (2 pens per month); 2 MG/0.4ML (adalimumab) SP HUMIRA PEN SUBCUTANEOUS PEN-INJECTOR KIT 40 PA; SL (2 syringes per 2 MG/0.8ML (adalimumab) month); SP HUMIRA PEN-CD/UC/HS STARTER SUBCUTANEOUS PEN- PA; SL (6 pens (1 kit) per 2 INJECTOR KIT 40 MG/0.8ML (adalimumab) year); SP HUMIRA PEN-CD/UC/HS STARTER SUBCUTANEOUS PEN- 2 PA; SL (3 pens per year); SP INJECTOR KIT 80 MG/0.8ML (adalimumab) HUMIRA PEN-PS/UV/ADOL HS START SUBCUTANEOUS PA; SL (4 pens (1 kit) per 2 PEN-INJECTOR KIT 40 MG/0.8ML (adalimumab) year); SP HUMIRA PEN-PS/UV/ADOL HS START SUBCUTANEOUS PEN-INJECTOR KIT 80 MG/0.8ML & 40MG/0.4ML 2 PA; SL (3 pens per year); SP (adalimumab) HUMIRA SUBCUTANEOUS PREFILLED SYRINGE KIT 10 PA; SL (2 syringes per MG/0.1ML, 10 MG/0.2ML, 20 MG/0.2ML, 20 MG/0.4ML, 40 2 month); SP MG/0.4ML (adalimumab) HUMIRA SUBCUTANEOUS PREFILLED SYRINGE KIT 40 PA; SL (2 syringes per 2 MG/0.8ML (adalimumab) month) LINZESS ORAL CAPSULE 145 MCG, 290 MCG, 72 MCG 2 PA; SL (1 capsule per day) (linaclotide) PA; ST; SL (1 tablet per day); OCALIVA ORAL TABLET 10 MG, 5 MG (obeticholic acid) 4 SP RELISTOR SUBCUTANEOUS SOLUTION 12 MG/0.6ML 4 PA; SL (0.6 ml per day) (methylnaltrexone bromide) RELISTOR SUBCUTANEOUS SOLUTION 8 MG/0.4ML 4 PA; SL (0.4 ml per day) (methylnaltrexone bromide) SIMPONI SUBCUTANEOUS SOLUTION AUTO-INJECTOR PA; SL (1 syringe per 21 2 100 MG/ML (golimumab) days); SP SIMPONI SUBCUTANEOUS SOLUTION AUTO-INJECTOR 50 PA; SL (0.5 ml (1 syringe) 2 MG/0.5ML (golimumab) per month); SP

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 160 Coverage Requirements & Prescription Drug Name Drug Tier Limits SIMPONI SUBCUTANEOUS SOLUTION PREFILLED PA; SL (1 syringe per 21 2 SYRINGE 100 MG/ML (golimumab) days); SP SIMPONI SUBCUTANEOUS SOLUTION PREFILLED PA; SL (0.5 ml (1 syringe) 2 SYRINGE 50 MG/0.5ML (golimumab) per month); SP SYMPROIC ORAL TABLET 0.2 MG (naldemedine tosylate) 2 PA; SL (1 tablet per day) TRULANCE ORAL TABLET 3 MG (plecanatide) 4 PA; ST; SL (1 tablet per day) VIBERZI ORAL TABLET 100 MG, 75 MG (eluxadoline) 4 PA; SL (2 tablets per day) XENICAL ORAL CAPSULE 120 MG () 3 PA PA; ST; SL (2 tablets per ZELNORM ORAL TABLET 6 MG (tegaserod maleate) 3 day) HISTAMINE H2-ANTAGONISTS - Drugs for Ulcers and Stomach Acid cimetidine hcl oral solution 300 mg/5ml 1 cimetidine oral tablet 200 mg, 300 mg, 400 mg, 800 mg 1 famotidine oral suspension reconstituted 40 mg/5ml 1 nizatidine oral solution 15 mg/ml 2 NEUROKININ-1 RECEPTOR ANTAGONISTS - Drugs for Vomiting and Nausea AKYNZEO ORAL CAPSULE 300-0.5 MG (netupitant- SL (1 capsule per 4 palonosetron) prescription) SL (1 capsule per aprepitant oral capsule 125 mg, 40 mg 2 prescription) SL (3 capsules per aprepitant oral capsule 80 & 125 mg 2 prescription) SL (2 capsules per aprepitant oral capsule 80 mg 2 prescription) SL (2 capsules per EMEND ORAL CAPSULE 80 MG (aprepitant) 4 prescription) EMEND ORAL SUSPENSION RECONSTITUTED 125 MG SL (3 pouches per 2 (aprepitant) prescription) SL (3 capsules per EMEND TRI-PACK ORAL CAPSULE 80 & 125 MG (aprepitant) 4 prescription) PROKINETIC AGENTS - Drugs for the Stomach metoclopramide hcl oral solution 5 mg/5ml 1 metoclopramide hcl oral tablet 10 mg, 5 mg 1 MOTEGRITY ORAL TABLET 1 MG, 2 MG (prucalopride 3 PA; SL (1 tablet per day) succinate)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 161 Coverage Requirements & Prescription Drug Name Drug Tier Limits REGLAN ORAL TABLET 10 MG, 5 MG (metoclopramide hcl) 4 PA; ST; SL (2 tablets per ZELNORM ORAL TABLET 6 MG (tegaserod maleate) 3 day) PROSTAGLANDINS - Drugs for Ulcers and Stomach Acid ARTHROTEC ORAL TABLET DELAYED RELEASE 50-0.2 MG, 3 75-0.2 MG (diclofenac-misoprostol) CYTOTEC ORAL TABLET 100 MCG, 200 MCG (misoprostol) 4 diclofenac-misoprostol oral tablet delayed release 50-0.2 mg, 3 75-0.2 mg misoprostol oral tablet 100 mcg, 200 mcg 1 PROTECTANTS - Drugs for Ulcers and Stomach Acid CARAFATE ORAL SUSPENSION 1 GM/10ML (sucralfate) 4 CARAFATE ORAL TABLET 1 GM (sucralfate) 4 sucralfate oral suspension 1 gm/10ml 3 sucralfate oral tablet 1 gm 1 -PUMP INHIBITORS - Drugs for Ulcers and Stomach Acid DEXILANT ORAL CAPSULE DELAYED RELEASE 30 MG, 60 3 SL (1 capsule per day) MG (dexlansoprazole) PA; ST; SL (1 packet per esomeprazole magnesium oral packet 10 mg, 20 mg, 40 mg 3 day) FIRST-LANSOPRAZOLE ORAL SUSPENSION 3 MG/ML 3 PA (lansoprazole) FIRST-OMEPRAZOLE ORAL SUSPENSION 2 MG/ML 3 PA (omeprazole) lansoprazole oral tablet delayed release dispersible 15 mg, 30 3 PA; ST; SL (1 tablet per day) mg NEXIUM ORAL PACKET 10 MG, 2.5 MG, 20 MG, 40 MG, 5 MG PA; ST; SL (1 packet per 4 (esomeprazole magnesium) day) SL (1 carton (10 OMECLAMOX-PAK ORAL 500-500-20 MG (amoxicill-clarithro- 3 administrative cards, 80 omeprazole) tablets) per 6 months) omeprazole oral capsule delayed release 10 mg, 20 mg, 40 mg 1 OMEPRAZOLE+SYRSPEND SF ALKA ORAL SUSPENSION 2 3 PA MG/ML (omeprazole) pantoprazole sodium oral tablet delayed release 20 mg, 40 mg 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 162 Coverage Requirements & Prescription Drug Name Drug Tier Limits PREVACID SOLUTAB ORAL TABLET DELAYED RELEASE 4 PA; ST; SL (1 tablet per day) DISPERSIBLE 15 MG, 30 MG (lansoprazole) rabeprazole sodium oral tablet delayed release 20 mg 2 SL (1 tablet per day) GOLD COMPOUNDS GOLD COMPOUNDS RIDAURA ORAL CAPSULE 3 MG (auranofin) 3 SP HEAVY METAL ANTAGONISTS - Drugs to Reduce Iron HEAVY METAL ANTAGONISTS - Drugs to Reduce Iron CHEMET ORAL CAPSULE 100 MG (succimer) 2 CUPRIMINE ORAL CAPSULE 250 MG (penicillamine) 4 SP deferasirox oral tablet 360 mg, 90 mg 2 PA; SP deferasirox oral tablet soluble 125 mg, 250 mg, 500 mg 2 PA; SP DEPEN TITRATABS ORAL TABLET 250 MG (penicillamine) 2 SP FERRIPROX ORAL SOLUTION 100 MG/ML (deferiprone) 2 PA; SP FERRIPROX ORAL TABLET 1000 MG (deferiprone) 4 FERRIPROX ORAL TABLET 500 MG (deferiprone) 4 PA; SP GALZIN ORAL CAPSULE 25 MG, 50 MG (zinc acetate (oral)) 3 JADENU ORAL TABLET 180 MG (deferasirox) 2 PA; SP JADENU ORAL TABLET 360 MG, 90 MG (deferasirox) 4 PA; SP JADENU SPRINKLE ORAL PACKET 180 MG, 360 MG, 90 MG 2 PA; SP (deferasirox) penicillamine oral capsule 250 mg 4 SP penicillamine oral tablet 250 mg 2 SP SYPRINE ORAL CAPSULE 250 MG (trientine hcl) 3 PA; SP HORMONES AND SYNTHETIC SUBSTITUTES - Hormones ADRENALS - Hormones ADVAIR DISKUS INHALATION AEROSOL POWDER BREATH ACTIVATED 100-50 MCG/DOSE, 250-50 MCG/DOSE, 500-50 3 SL (2 blisters per day) MCG/DOSE (fluticasone-salmeterol) ADVAIR HFA INHALATION AEROSOL 115-21 MCG/ACT, 230- 3 SL (0.4 grams per day) 21 MCG/ACT, 45-21 MCG/ACT (fluticasone-salmeterol) ALVESCO INHALATION AEROSOL SOLUTION 160 MCG/ACT 1 SL (12.2 grams per month) (ciclesonide) ALVESCO INHALATION AEROSOL SOLUTION 80 MCG/ACT 1 SL (6.1 grams per month) (ciclesonide)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 163 Coverage Requirements & Prescription Drug Name Drug Tier Limits ARNUITY ELLIPTA INHALATION AEROSOL POWDER BREATH ACTIVATED 100 MCG/ACT, 200 MCG/ACT 3 SL (1 blister per day) (fluticasone furoate) ARNUITY ELLIPTA INHALATION AEROSOL POWDER 3 SL (1 packet per day) BREATH ACTIVATED 50 MCG/ACT (fluticasone furoate) ASMANEX (120 METERED DOSES) INHALATION AEROSOL POWDER BREATH ACTIVATED 220 MCG/INH (mometasone 1 SL (1 box per 24 days) furoate) ASMANEX (14 METERED DOSES) INHALATION AEROSOL POWDER BREATH ACTIVATED 220 MCG/INH (mometasone 1 SL (1 box per 24 days) furoate) ASMANEX (30 METERED DOSES) INHALATION AEROSOL POWDER BREATH ACTIVATED 110 MCG/INH, 220 MCG/INH 1 SL (1 box per 24 days) (mometasone furoate) ASMANEX (60 METERED DOSES) INHALATION AEROSOL POWDER BREATH ACTIVATED 220 MCG/INH (mometasone 1 SL (1 box per 24 days) furoate) ASMANEX (7 METERED DOSES) INHALATION AEROSOL POWDER BREATH ACTIVATED 110 MCG/INH (mometasone 1 SL (1 box per 24 days) furoate) ASMANEX HFA INHALATION AEROSOL 100 MCG/ACT, 200 SL (13 grams (1 box) per 1 MCG/ACT (mometasone furoate) month) ASMANEX HFA INHALATION AEROSOL 50 MCG/ACT 1 (mometasone furoate) BREO ELLIPTA INHALATION AEROSOL POWDER BREATH 3 SL (2 inhalers per day) ACTIVATED 100-25 MCG/INH (fluticasone furoate-vilanterol) BREO ELLIPTA INHALATION AEROSOL POWDER BREATH 3 SL (2 blisters per day) ACTIVATED 200-25 MCG/INH (fluticasone furoate-vilanterol) SL (120 ml (2 boxes) per 30 budesonide inhalation suspension 0.25 mg/2ml, 0.5 mg/2ml 2 days) SL (60 ml (1 box) per 30 budesonide inhalation suspension 1 mg/2ml 2 days) budesonide oral capsule delayed release particles 3 mg 2 CORTEF ORAL TABLET 10 MG, 20 MG, 5 MG 4 (hydrocortisone) cortisone acetate oral tablet 25 mg 1 dexamethasone intensol oral concentrate 1 mg/ml 1 dexamethasone oral elixir 0.5 mg/5ml 1 dexamethasone oral solution 0.5 mg/5ml 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 164 Coverage Requirements & Prescription Drug Name Drug Tier Limits dexamethasone oral tablet 0.5 mg, 0.75 mg, 1 mg, 1.5 mg, 2 1 mg, 4 mg, 6 mg dexamethasone oral tablet therapy pack 1.5 mg (21), 1.5 mg 3 (35), 1.5 mg (51) dexamethasone (Dexpak 10 Day Oral Tablet Therapy Pack 1.5 4 Mg (35)) dexamethasone (Dexpak 13 Day Oral Tablet Therapy Pack 1.5 4 Mg (51)) dexamethasone (Dexpak 6 Day Oral Tablet Therapy Pack 1.5 4 Mg (21)) FLOVENT DISKUS INHALATION AEROSOL POWDER BREATH ACTIVATED 100 MCG/BLIST, 50 MCG/BLIST 3 SL (2 packages per day) (fluticasone propionate (inhal)) FLOVENT DISKUS INHALATION AEROSOL POWDER BREATH ACTIVATED 250 MCG/BLIST (fluticasone propionate 3 SL (4 packages per day) (inhal)) FLOVENT HFA INHALATION AEROSOL 110 MCG/ACT, 44 3 SL (1 inhaler per month) MCG/ACT (fluticasone propionate hfa) FLOVENT HFA INHALATION AEROSOL 220 MCG/ACT 3 SL (2 inhalers per month) (fluticasone propionate hfa) fludrocortisone acetate oral tablet 0.1 mg 1 FLUTICASONE-SALMETEROL INHALATION AEROSOL POWDER BREATH ACTIVATED 113-14 MCG/ACT, 232-14 2 SL (0.04 mcg per day) MCG/ACT, 55-14 MCG/ACT hydrocortisone oral tablet 10 mg, 20 mg, 5 mg 1 INTRAROSA VAGINAL INSERT 6.5 MG () 3 SL (1 insert per day) MEDROL ORAL TABLET 16 MG, 4 MG, 8 MG 4 () MEDROL ORAL TABLET 2 MG (methylprednisolone) 2 MEDROL ORAL TABLET 32 MG (methylprednisolone) 3 MEDROL ORAL TABLET THERAPY PACK 4 MG 4 (methylprednisolone) methylprednisolone oral tablet 16 mg, 32 mg, 4 mg, 8 mg 1 methylprednisolone oral tablet therapy pack 4 mg 1 MILLIPRED DP ORAL TABLET THERAPY PACK 5 MG (21), 5 2 MG (48) (prednisolone) MILLIPRED ORAL TABLET 5 MG (prednisolone) 2

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 165 Coverage Requirements & Prescription Drug Name Drug Tier Limits ORAPRED ODT ORAL TABLET DISPERSIBLE 10 MG, 15 MG, 4 30 MG (prednisolone sodium phosphate) PEDIAPRED ORAL SOLUTION 6.7 (5 BASE) MG/5ML 2 (prednisolone sodium phosphate) prednisolone oral solution 15 mg/5ml 1 prednisolone sodium phosphate oral solution 10 mg/5ml, 15 1 mg/5ml, 20 mg/5ml, 25 mg/5ml, 6.7 (5 base) mg/5ml prednisolone sodium phosphate oral tablet dispersible 10 mg, 1 15 mg, 30 mg prednisone intensol oral concentrate 5 mg/ml 1 prednisone oral solution 5 mg/5ml 1 prednisone oral tablet 1 mg, 10 mg, 2.5 mg, 20 mg, 5 mg, 50 1 mg prednisone oral tablet therapy pack 10 mg (21), 10 mg (48), 5 1 mg (21), 5 mg (48) PULMICORT FLEXHALER INHALATION AEROSOL POWDER ST; SL (2 inhalers per BREATH ACTIVATED 180 MCG/ACT, 90 MCG/ACT 4 month) (budesonide) QVAR REDIHALER INHALATION AEROSOL BREATH ACTIVATED 40 MCG/ACT, 80 MCG/ACT (beclomethasone 1 diprop hfa) SYMBICORT INHALATION AEROSOL 160-4.5 MCG/ACT, 80- 3 SL (0.34 grams per day) 4.5 MCG/ACT (budesonide-formoterol fumarate) TAPERDEX 12-DAY ORAL TABLET THERAPY PACK 1.5 MG 3 (49) (dexamethasone) dexamethasone (Taperdex 6-Day Oral Tablet Therapy Pack 1.5 4 Mg) dexamethasone (Taperdex 6-Day Oral Tablet Therapy Pack 1.5 3 Mg (21)) TAPERDEX 7-DAY ORAL TABLET THERAPY PACK 1.5 MG 3 (27) (dexamethasone) TRELEGY ELLIPTA INHALATION AEROSOL POWDER BREATH ACTIVATED 100-62.5-25 MCG/INH (fluticasone- 3 SL (2 blisters per day) umeclidin-vilant) UCERIS ORAL TABLET EXTENDED RELEASE 24 HOUR 9 3 MG (budesonide) UCERIS RECTAL FOAM 2 MG/ACT (budesonide) 2

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 166 Coverage Requirements & Prescription Drug Name Drug Tier Limits ALPHA-GLUCOSIDASE INHIBITORS - Drugs for Diabetes acarbose oral tablet 100 mg, 25 mg, 50 mg 1 GLYSET ORAL TABLET 100 MG, 25 MG, 50 MG (miglitol) 4 miglitol oral tablet 100 mg, 25 mg, 50 mg 2 PRECOSE ORAL TABLET 100 MG, 25 MG, 50 MG (acarbose) 4 AMYLINOMIMETICS - Drugs for Diabetes SYMLINPEN 120 SUBCUTANEOUS SOLUTION PEN- SL (4 pens (10.8 ml) per 3 INJECTOR 2700 MCG/2.7ML (pramlintide acetate) month) SYMLINPEN 60 SUBCUTANEOUS SOLUTION PEN- 3 SL (4 pens (6 ml) per month) INJECTOR 1500 MCG/1.5ML (pramlintide acetate) ANDROGENS - Hormones ANADROL-50 ORAL TABLET 50 MG (oxymetholone) 3 ANDRODERM TRANSDERMAL PATCH 24 HOUR 2 2 PA; SL (1 patch per day) MG/24HR, 4 MG/24HR () est estrogens-methyltest (Covaryx Hs Oral Tablet 0.625-1.25 1 Mg) est estrogens-methyltest (Covaryx Oral Tablet 1.25-2.5 Mg) 1 danazol oral capsule 100 mg, 200 mg, 50 mg 1 DEPO-TESTOSTERONE INTRAMUSCULAR SOLUTION 100 3 MG/ML (testosterone cypionate) DEPO-TESTOSTERONE INTRAMUSCULAR SOLUTION 200 4 MG/ML (testosterone cypionate) est estrogens-methyltest (Eemt Hs Oral Tablet 0.625-1.25 Mg) 1 est estrogens-methyltest (Eemt Oral Tablet 1.25-2.5 Mg) 1 est estrogens-methyltest ds oral tablet 1.25-2.5 mg 1 est estrogens-methyltest hs oral tablet 0.625-1.25 mg 1 est estrogens-methyltest oral tablet 1.25-2.5 mg 1 METHITEST ORAL TABLET 10 MG 2 methyltestosterone oral capsule 10 mg 2 oxandrolone oral tablet 10 mg, 2.5 mg 2 STRIANT BUCCAL 30 MG (testosterone) 3 PA; SL (2 tablets per day) PA; SL (100 mg TESTIM TRANSDERMAL GEL 50 MG/5GM (1%) (testosterone) 2 Testosterone (2 X 5 grams tubes = 10 grams) per day) testosterone cypionate intramuscular solution 100 mg/ml, 200 1 mg/ml

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 167 Coverage Requirements & Prescription Drug Name Drug Tier Limits testosterone enanthate intramuscular solution 200 mg/ml 1 ANTIDIABETIC AGENTS, MISCELLANEOUS - Drugs for Diabetes KORLYM ORAL TABLET 300 MG () 3 PA; SP WELCHOL ORAL PACKET 3.75 GM (colesevelam hcl) 2 WELCHOL ORAL TABLET 625 MG (colesevelam hcl) 2 ANTIESTROGENS - Drugs for Women anastrozole oral tablet 1 mg 1 AROMASIN ORAL TABLET 25 MG (exemestane) 4 exemestane oral tablet 25 mg 2 KISQALI FEMARA (400 MG DOSE) ORAL TABLET THERAPY 4 PA; ST; CM PACK 200 & 2.5 MG (ribociclib-letrozole) KISQALI FEMARA (600 MG DOSE) ORAL TABLET THERAPY 4 PA; ST; CM PACK 200 & 2.5 MG (ribociclib-letrozole) KISQALI FEMARA(200 MG DOSE) ORAL TABLET THERAPY 4 PA; ST; CM PACK 200 & 2.5 MG (ribociclib-letrozole) letrozole oral tablet 2.5 mg 1 ANTIGONADTROPINS - Hormones FIRMAGON (240 MG DOSE) SUBCUTANEOUS SOLUTION 3 SP RECONSTITUTED 120 MG/VIAL (degarelix acetate) FIRMAGON SUBCUTANEOUS SOLUTION RECONSTITUTED 3 SP 80 MG (degarelix acetate) ORILISSA ORAL TABLET 150 MG (elagolix sodium) 4 PA; SL (1 tablet per day) ORILISSA ORAL TABLET 200 MG (elagolix sodium) 4 PA; SL (2 tablets per day) ANTIHYPOGLYCEMIC AGENTS, MISCELLANEOUS - Hormones diazoxide oral suspension 50 mg/ml 1 PROGLYCEM ORAL SUSPENSION 50 MG/ML (diazoxide) 3 ANTIPARATHYROID AGENTS - Drugs for Bones calcitonin (salmon) nasal solution 200 unit/act 2 cinacalcet hcl oral tablet 30 mg, 60 mg, 90 mg 3 PA MIACALCIN INJECTION SOLUTION 200 UNIT/ML (calcitonin 3 (salmon)) SENSIPAR ORAL TABLET 30 MG, 60 MG, 90 MG (cinacalcet 4 PA hcl)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 168 Coverage Requirements & Prescription Drug Name Drug Tier Limits ANTITHYROID AGENTS - Drugs for the Thyroid IODINE STRONG ORAL SOLUTION 5 % 2 methimazole oral tablet 10 mg, 5 mg 1 propylthiouracil oral tablet 50 mg 1 SSKI ORAL SOLUTION 1 GM/ML (potassium iodide 3 (expectorant)) TAPAZOLE ORAL TABLET 10 MG, 5 MG (methimazole) 4 BIGUANIDES - Drugs for Diabetes ACTOPLUS MET ORAL TABLET 15-500 MG, 15-850 MG 4 SL (3 tablets per day) (pioglitazone hcl-metformin hcl) glipizide-metformin hcl oral tablet 2.5-250 mg, 2.5-500 mg, 5- 2 500 mg GLUCOVANCE ORAL TABLET 5-500 MG (glyburide- 4 metformin) glyburide-metformin oral tablet 1.25-250 mg, 2.5-500 mg, 5-500 1 mg INVOKAMET ORAL TABLET 150-1000 MG, 150-500 MG, 50- 2 SL (2 tablets per day) 1000 MG, 50-500 MG (canagliflozin-metformin hcl) INVOKAMET XR ORAL TABLET EXTENDED RELEASE 24 HOUR 150-1000 MG, 150-500 MG, 50-1000 MG, 50-500 MG 2 SL (2 tablets per day) (canagliflozin-metformin hcl) JANUMET ORAL TABLET 50-1000 MG, 50-500 MG (sitagliptin- 4 ST; SL (2 tablets per day) metformin hcl) JANUMET XR ORAL TABLET EXTENDED RELEASE 24 4 ST; SL (1 tablet per day) HOUR 100-1000 MG, 50-500 MG (sitagliptin-metformin hcl) JANUMET XR ORAL TABLET EXTENDED RELEASE 24 4 ST; SL (2 tablets per day) HOUR 50-1000 MG (sitagliptin-metformin hcl) JENTADUETO ORAL TABLET 2.5-1000 MG, 2.5-500 MG, 2.5- 2 SL (2 tablets per day) 850 MG (linagliptin-metformin hcl) JENTADUETO XR ORAL TABLET EXTENDED RELEASE 24 2 SL (2 tablets per day) HOUR 2.5-1000 MG (linagliptin-metformin hcl) JENTADUETO XR ORAL TABLET EXTENDED RELEASE 24 2 SL (1 tablet per day) HOUR 5-1000 MG (linagliptin-metformin hcl) KAZANO ORAL TABLET 12.5-1000 MG, 12.5-500 MG 2 SL (2 tablets per day) (alogliptin-metformin hcl) KOMBIGLYZE XR ORAL TABLET EXTENDED RELEASE 24 2 SL (62 tablets per month) HOUR 2.5-1000 MG (saxagliptin-metformin)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 169 Coverage Requirements & Prescription Drug Name Drug Tier Limits KOMBIGLYZE XR ORAL TABLET EXTENDED RELEASE 24 2 SL (31 tablets per month) HOUR 5-1000 MG, 5-500 MG (saxagliptin-metformin) metformin hcl er oral tablet extended release 24 hour 500 mg, 1 750 mg metformin hcl oral tablet 1000 mg, 500 mg, 850 mg 1 metformin hcl solution 500 mg/5ml oral 500 mg/5ml 1 METFORMIN HCL SOLUTION 500 MG/5ML ORAL 500 3 MG/5ML pioglitazone hcl-metformin hcl oral tablet 15-500 mg, 15-850 mg 2 SL (3 tablets per day) RIOMET ER ORAL SUSPENSION RECONSTITUTED ER 500 3 MG/5ML (metformin hcl) RIOMET ORAL SOLUTION 500 MG/5ML (metformin hcl) 3 SYNJARDY ORAL TABLET 12.5-1000 MG, 12.5-500 MG, 5- 2 SL (2 tablets per day) 1000 MG, 5-500 MG (empagliflozin-metformin hcl) SYNJARDY XR ORAL TABLET EXTENDED RELEASE 24 2 SL (1 tablet per day) HOUR 10-1000 MG, 25-1000 MG (empagliflozin-metformin hcl) SYNJARDY XR ORAL TABLET EXTENDED RELEASE 24 2 SL (2 tablets per day) HOUR 12.5-1000 MG, 5-1000 MG (empagliflozin-metformin hcl) CONTRACEPTIVES - Drugs for Women levonorgestrel-ethinyl estrad (Afirmelle Oral Tablet 0.1-20 Mg- 1 H Mcg) levonorgestrel-ethinyl estrad (Altavera Oral Tablet 0.15-30 Mg- 1 H Mcg) alyacen 1/35 oral tablet 1-35 mg-mcg 1 H alyacen 7/7/7 oral tablet 0.5/0.75/1-35 mg-mcg 1 H levonorgest-eth estrad 91-day (Amethia Lo Oral Tablet 0.1-0.02 3 H & 0.01 Mg) levonorgest-eth estrad 91-day (Amethia Oral Tablet 0.15-0.03 3 H &0.01 Mg) levonorgestrel-ethinyl estrad (Amethyst Oral Tablet 90-20 Mcg) 3 H ANNOVERA VAGINAL RING 0.013-0.15 MG/24HR SL (1 vaginal ring per 365 4 (segesterone-ethinyl ) days); H -ethinyl estradiol (Apri Oral Tablet 0.15-30 Mg-Mcg) 1 H norethin-eth estrad triphasic (Aranelle Oral Tablet 0.5/1/0.5-35 1 H Mg-Mcg) levonorgest-eth estrad 91-day (Ashlyna Oral Tablet 0.15-0.03 3 H &0.01 Mg)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 170 Coverage Requirements & Prescription Drug Name Drug Tier Limits levonorgestrel-ethinyl estrad (Aubra Eq Oral Tablet 0.1-20 Mg- 1 H Mcg) levonorgestrel-ethinyl estrad (Aubra Oral Tablet 0.1-20 Mg-Mcg) 1 H norethindrone acet-ethinyl est (Aurovela 1.5/30 Oral Tablet 1.5- 2 H 30 Mg-Mcg) norethindrone acet-ethinyl est (Aurovela 1/20 Oral Tablet 1-20 2 H Mg-Mcg) norethin ace-eth estrad-fe (Aurovela 24 Fe Oral Tablet 1-20 Mg- 3 H Mcg(24)) norethin ace-eth estrad-fe (Aurovela Fe 1.5/30 Oral Tablet 1.5- 1 H 30 Mg-Mcg) norethin ace-eth estrad-fe (Aurovela Fe 1/20 Oral Tablet 1-20 1 H Mg-Mcg) levonorgestrel-ethinyl estrad (Aviane Oral Tablet 0.1-20 Mg- 1 H Mcg) levonorgestrel-ethinyl estrad (Ayuna Oral Tablet 0.15-30 Mg- 1 H Mcg) desogestrel-ethinyl estradiol (Azurette Oral Tablet 0.15- 2 H 0.02/0.01 Mg (21/5)) BALCOLTRA ORAL TABLET 0.1-20 MG-MCG(21) 4 H (levonorgest-eth estrad-fe bisg) norethindrone-eth estradiol (Balziva Oral Tablet 0.4-35 Mg-Mcg) 2 H desogestrel-ethinyl estradiol (Bekyree Oral Tablet 0.15- 2 H 0.02/0.01 Mg (21/5)) norethin ace-eth estrad-fe (Blisovi 24 Fe Oral Tablet 1-20 Mg- 3 H Mcg(24)) norethin ace-eth estrad-fe (Blisovi Fe 1.5/30 Oral Tablet 1.5-30 1 H Mg-Mcg) norethin ace-eth estrad-fe (Blisovi Fe 1/20 Oral Tablet 1-20 Mg- 1 H Mcg) briellyn oral tablet 0.4-35 mg-mcg 2 H norethindrone (Camila Oral Tablet 0.35 Mg) 1 H levonorgest-eth estrad 91-day (Camrese Lo Oral Tablet 0.1- 3 H 0.02 & 0.01 Mg) levonorgest-eth estrad 91-day (Camrese Oral Tablet 0.15-0.03 3 H &0.01 Mg) desogestrel-ethinyl estradiol (Caziant Oral Tablet 0.1/0.125/0.15 1 H -0.025 Mg)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 171 Coverage Requirements & Prescription Drug Name Drug Tier Limits levonorgestrel-ethinyl estrad (Chateal Eq Oral Tablet 0.15-30 1 H Mg-Mcg) levonorgestrel-ethinyl estrad (Chateal Oral Tablet 0.15-30 Mg- 1 H Mcg) norgestrel-ethinyl estradiol (Cryselle-28 Oral Tablet 0.3-30 Mg- 1 H Mcg) norethindrone-eth estradiol (Cyclafem 1/35 Oral Tablet 1-35 1 H Mg-Mcg) norethin-eth estrad triphasic (Cyclafem 7/7/7 Oral Tablet 1 H 0.5/0.75/1-35 Mg-Mcg) desogestrel-ethinyl estradiol (Cyred Eq Oral Tablet 0.15-30 Mg- 1 H Mcg) desogestrel-ethinyl estradiol (Cyred Oral Tablet 0.15-30 Mg- 1 H Mcg) norethindrone-eth estradiol (Dasetta 1/35 Oral Tablet 1-35 Mg- 1 H Mcg) norethin-eth estrad triphasic (Dasetta 7/7/7 Oral Tablet 1 H 0.5/0.75/1-35 Mg-Mcg) levonorgest-eth estrad 91-day (Daysee Oral Tablet 0.15-0.03 3 H &0.01 Mg) norethindrone (Deblitane Oral Tablet 0.35 Mg) 1 H levonorgestrel-ethinyl estrad (Delyla Oral Tablet 0.1-20 Mg- 1 H Mcg) desogestrel-ethinyl estradiol oral tablet 0.15-0.02/0.01 mg (21/5) 2 H desogestrel-ethinyl estradiol oral tablet 0.15-30 mg-mcg 1 H drospiren-eth estrad-levomefol oral tablet 3-0.02-0.451 mg, 3- 4 H 0.03-0.451 mg drospirenone-ethinyl estradiol oral tablet 3-0.02 mg, 3-0.03 mg 3 norgestrel-ethinyl estradiol (Elinest Oral Tablet 0.3-30 Mg-Mcg) 1 H ELLA ORAL TABLET 30 MG (ulipristal acetate) 1 SL (1 tablet per 21 days); H desogestrel-ethinyl estradiol (Emoquette Oral Tablet 0.15-30 1 H Mg-Mcg) levonorg-eth estrad triphasic (Enpresse-28 Oral Tablet 50- 1 H 30/75-40/ 125-30 Mcg) desogestrel-ethinyl estradiol (Enskyce Oral Tablet 0.15-30 Mg- 1 H Mcg) norethindrone (Errin Oral Tablet 0.35 Mg) 1 H

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 172 Coverage Requirements & Prescription Drug Name Drug Tier Limits norgestimate-eth estradiol (Estarylla Oral Tablet 0.25-35 Mg- 1 H Mcg) ESTROSTEP FE ORAL TABLET 1-20/1-30/1-35 MG-MCG 4 (norethindron-ethinyl estrad-fe) ethynodiol diac-eth estradiol oral tablet 1-35 mg-mcg, 1-50 mg- 1 H mcg levonorgestrel-ethinyl estrad (Falmina Oral Tablet 0.1-20 Mg- 1 H Mcg) levonorgest-eth estrad 91-day (Fayosim Oral Tablet 42-21-21-7 4 H Days) norgestimate-eth estradiol (Femynor Oral Tablet 0.25-35 Mg- 1 H Mcg) drospirenone-ethinyl estradiol (Gianvi Oral Tablet 3-0.02 Mg) 3 norethindrone acet-ethinyl est (Hailey 1.5/30 Oral Tablet 1.5-30 2 H Mg-Mcg) norethin ace-eth estrad-fe (Hailey 24 Fe Oral Tablet 1-20 Mg- 3 H Mcg(24)) norethindrone (Heather Oral Tablet 0.35 Mg) 1 H norethindrone (Incassia Oral Tablet 0.35 Mg) 1 H levonorgest-eth estrad 91-day (Introvale Oral Tablet 0.15-0.03 2 H Mg) desogestrel-ethinyl estradiol (Isibloom Oral Tablet 0.15-30 Mg- 1 H Mcg) levonorgest-eth estrad 91-day (Jaimiess Oral Tablet 0.15-0.03 3 H &0.01 Mg) drospirenone-ethinyl estradiol (Jasmiel Oral Tablet 3-0.02 Mg) 3 norethindrone (Jencycla Oral Tablet 0.35 Mg) 1 H levonorgest-eth estrad 91-day (Jolessa Oral Tablet 0.15-0.03 2 H Mg) desogestrel-ethinyl estradiol (Juleber Oral Tablet 0.15-30 Mg- 1 H Mcg) norethindrone acet-ethinyl est (Junel 1.5/30 Oral Tablet 1.5-30 2 H Mg-Mcg) norethindrone acet-ethinyl est (Junel 1/20 Oral Tablet 1-20 Mg- 2 H Mcg) norethin ace-eth estrad-fe (Junel Fe 1.5/30 Oral Tablet 1.5-30 1 H Mg-Mcg)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 173 Coverage Requirements & Prescription Drug Name Drug Tier Limits norethin ace-eth estrad-fe (Junel Fe 1/20 Oral Tablet 1-20 Mg- 1 H Mcg) norethin ace-eth estrad-fe (Junel Fe 24 Oral Tablet 1-20 Mg- 3 H Mcg(24)) norethin-eth estradiol-fe (Kaitlib Fe Oral Tablet Chewable 0.8-25 4 H Mg-Mcg) desogestrel-ethinyl estradiol (Kalliga Oral Tablet 0.15-30 Mg- 1 H Mcg) desogestrel-ethinyl estradiol (Kariva Oral Tablet 0.15-0.02/0.01 2 H Mg (21/5)) ethynodiol diac-eth estradiol (Kelnor 1/35 Oral Tablet 1-35 Mg- 1 H Mcg) ethynodiol diac-eth estradiol (Kelnor 1/50 Oral Tablet 1-50 Mg- 1 H Mcg) levonorgestrel-ethinyl estrad (Kurvelo Oral Tablet 0.15-30 Mg- 1 H Mcg) norethindrone acet-ethinyl est (Larin 1.5/30 Oral Tablet 1.5-30 2 H Mg-Mcg) norethindrone acet-ethinyl est (Larin 1/20 Oral Tablet 1-20 Mg- 2 H Mcg) norethin ace-eth estrad-fe (Larin 24 Fe Oral Tablet 1-20 Mg- 3 H Mcg(24)) norethin ace-eth estrad-fe (Larin Fe 1.5/30 Oral Tablet 1.5-30 1 H Mg-Mcg) norethin ace-eth estrad-fe (Larin Fe 1/20 Oral Tablet 1-20 Mg- 1 H Mcg) levonorgestrel-ethinyl estrad (Larissia Oral Tablet 0.1-20 Mg- 1 H Mcg) norethin-eth estradiol-fe (Layolis Fe Oral Tablet Chewable 0.8- 4 H 25 Mg-Mcg) norethin-eth estrad triphasic (Leena Oral Tablet 0.5/1/0.5-35 1 H Mg-Mcg) levonorgestrel-ethinyl estrad (Lessina Oral Tablet 0.1-20 Mg- 1 H Mcg) levonorg-eth estrad triphasic (Levonest Oral Tablet 50-30/75- 1 H 40/ 125-30 Mcg) levonorgest-eth est & eth est oral tablet 42-21-21-7 days 4 H

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 174 Coverage Requirements & Prescription Drug Name Drug Tier Limits levonorgest-eth estrad 91-day oral tablet 0.1-0.02 & 0.01 mg, 3 H 0.15-0.03 &0.01 mg levonorgest-eth estrad 91-day oral tablet 0.15-0.03 mg 2 H levonorgestrel oral tablet 1.5 mg 1 H levonorgestrel-ethinyl estrad oral tablet 0.1-20 mg-mcg, 0.15-30 1 H mg-mcg levonorgestrel-ethinyl estrad oral tablet 90-20 mcg 3 H levonorg-eth estrad triphasic oral tablet 50-30/75-40/ 125-30 1 H mcg levonorgestrel-ethinyl estrad (Levora 0.15/30 (28) Oral Tablet 1 H 0.15-30 Mg-Mcg) levonorgestrel-ethinyl estrad (Lillow Oral Tablet 0.15-30 Mg- 1 H Mcg) LO LOESTRIN FE ORAL TABLET 1 MG-10 MCG / 10 MCG 3 H (norethin-eth estrad-fe biphas) LOESTRIN 1.5/30 (21) ORAL TABLET 1.5-30 MG-MCG 4 (norethindrone acet-ethinyl est) LOESTRIN 1/20 (21) ORAL TABLET 1-20 MG-MCG 4 (norethindrone acet-ethinyl est) LOESTRIN FE 1.5/30 ORAL TABLET 1.5-30 MG-MCG 4 (norethin ace-eth estrad-fe) LOESTRIN FE 1/20 ORAL TABLET 1-20 MG-MCG (norethin 4 ace-eth estrad-fe) levonorgest-eth estrad 91-day (Lojaimiess Oral Tablet 0.1-0.02 3 H & 0.01 Mg) drospirenone-ethinyl estradiol (Loryna Oral Tablet 3-0.02 Mg) 3 LOSEASONIQUE ORAL TABLET 0.1-0.02 & 0.01 MG 4 (levonorgest-eth estrad 91-day) norgestrel-ethinyl estradiol (Low-Ogestrel Oral Tablet 0.3-30 1 H Mg-Mcg) drospirenone-ethinyl estradiol (Lo-Zumandimine Oral Tablet 3- 3 0.02 Mg) levonorgestrel-ethinyl estrad (Lutera Oral Tablet 0.1-20 Mg- 1 H Mcg) norethindrone (Lyza Oral Tablet 0.35 Mg) 1 H marlissa oral tablet 0.15-30 mg-mcg 1 H norethin ace-eth estrad-fe (Melodetta 24 Fe Oral Tablet 4 H Chewable 1-20 Mg-Mcg(24))

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 175 Coverage Requirements & Prescription Drug Name Drug Tier Limits norethin ace-eth estrad-fe (Mibelas 24 Fe Oral Tablet Chewable 4 H 1-20 Mg-Mcg(24)) norethindrone acet-ethinyl est (Microgestin 1.5/30 Oral Tablet 2 H 1.5-30 Mg-Mcg) norethindrone acet-ethinyl est (Microgestin 1/20 Oral Tablet 1- 2 H 20 Mg-Mcg) norethin ace-eth estrad-fe (Microgestin Fe 1.5/30 Oral Tablet 1 H 1.5-30 Mg-Mcg) norethin ace-eth estrad-fe (Microgestin Fe 1/20 Oral Tablet 1-20 1 H Mg-Mcg) norgestimate-eth estradiol (Mili Oral Tablet 0.25-35 Mg-Mcg) 1 H MIRCETTE ORAL TABLET 0.15-0.02/0.01 MG (21/5) 4 H (desogestrel-ethinyl estradiol) norgestimate-eth estradiol (Mono-Linyah Oral Tablet 0.25-35 1 H Mg-Mcg) NATAZIA ORAL TABLET 3/2-2/2-3/1 MG (estradiol valerate- 2 H dienogest) norethindrone-eth estradiol (Necon 0.5/35 (28) Oral Tablet 0.5- 1 H 35 Mg-Mcg) drospirenone-ethinyl estradiol (Nikki Oral Tablet 3-0.02 Mg) 3 norethindrone (Nora-Be Oral Tablet 0.35 Mg) 1 H norethin ace-eth estrad-fe oral tablet 1-20 mg-mcg(24) 3 H norethin ace-eth estrad-fe oral tablet 1-20 mg-mcg, 1.5-30 mg- 1 H mcg norethin ace-eth estrad-fe oral tablet chewable 1-20 mg- 4 H mcg(24) norethindrone acet-ethinyl est oral tablet 1-20 mg-mcg, 1.5-30 2 H mg-mcg norethindrone oral tablet 0.35 mg 1 H norethin-eth estradiol-fe oral tablet chewable 0.4-35 mg-mcg 3 H norethin-eth estradiol-fe oral tablet chewable 0.8-25 mg-mcg 4 H norgestimate-eth estradiol oral tablet 0.25-35 mg-mcg 1 H norgestimate-ethinyl estradiol triphasic oral tablet 2 H 0.18/0.215/0.25 mg-25 mcg norgestimate-ethinyl estradiol triphasic oral tablet 1 H 0.18/0.215/0.25 mg-35 mcg norethindrone (Norlyda Oral Tablet 0.35 Mg) 1 H

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 176 Coverage Requirements & Prescription Drug Name Drug Tier Limits norethindrone (Norlyroc Oral Tablet 0.35 Mg) 1 H norethindrone-eth estradiol (Nortrel 0.5/35 (28) Oral Tablet 0.5- 1 H 35 Mg-Mcg) norethindrone-eth estradiol (Nortrel 1/35 (21) Oral Tablet 1-35 1 H Mg-Mcg) norethindrone-eth estradiol (Nortrel 1/35 (28) Oral Tablet 1-35 1 H Mg-Mcg) norethin-eth estrad triphasic (Nortrel 7/7/7 Oral Tablet 1 H 0.5/0.75/1-35 Mg-Mcg) NUVARING VAGINAL RING 0.12-0.015 MG/24HR 1 H (etonogestrel-ethinyl estradiol) drospirenone-ethinyl estradiol (Ocella Oral Tablet 3-0.03 Mg) 3 ogestrel oral tablet 0.5-50 mg-mcg 2 H levonorgestrel-ethinyl estrad (Orsythia Oral Tablet 0.1-20 Mg- 1 H Mcg) ORTHO MICRONOR ORAL TABLET 0.35 MG (norethindrone) 4 ORTHO-NOVUM 7/7/7 (28) ORAL TABLET 0.5/0.75/1-35 MG- 4 MCG (norethin-eth estrad triphasic) norethindrone-eth estradiol (Philith Oral Tablet 0.4-35 Mg-Mcg) 2 H desogestrel-ethinyl estradiol (Pimtrea Oral Tablet 0.15- 2 H 0.02/0.01 Mg (21/5)) norethindrone-eth estradiol (Pirmella 1/35 Oral Tablet 1-35 Mg- 1 H Mcg) norethin-eth estrad triphasic (Pirmella 7/7/7 Oral Tablet 1 H 0.5/0.75/1-35 Mg-Mcg) PLAN B ONE-STEP ORAL TABLET 1.5 MG (levonorgestrel) 1 levonorgestrel-ethinyl estrad (Portia-28 Oral Tablet 0.15-30 Mg- 1 H Mcg) norgestimate-eth estradiol (Previfem Oral Tablet 0.25-35 Mg- 1 H Mcg) desogestrel-ethinyl estradiol (Reclipsen Oral Tablet 0.15-30 Mg- 1 H Mcg) levonorgest-eth estrad 91-day (Rivelsa Oral Tablet 42-21-21-7 4 H Days) SEASONIQUE ORAL TABLET 0.15-0.03 &0.01 MG 4 (levonorgest-eth estrad 91-day) levonorgest-eth estrad 91-day (Setlakin Oral Tablet 0.15-0.03 2 H Mg)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 177 Coverage Requirements & Prescription Drug Name Drug Tier Limits norethindrone (Sharobel Oral Tablet 0.35 Mg) 1 H desogestrel-ethinyl estradiol (Simliya Oral Tablet 0.15-0.02/0.01 2 H Mg (21/5)) levonorgest-eth estrad 91-day (Simpesse Oral Tablet 0.15-0.03 3 H &0.01 Mg) SLYND ORAL TABLET 4 MG (drospirenone) 4 PA; ST norgestimate-eth estradiol (Sprintec 28 Oral Tablet 0.25-35 Mg- 1 H Mcg) levonorgestrel-ethinyl estrad (Sronyx Oral Tablet 0.1-20 Mg- 1 H Mcg) drospirenone-ethinyl estradiol (Syeda Oral Tablet 3-0.03 Mg) 3 norethin ace-eth estrad-fe (Tarina 24 Fe Oral Tablet 1-20 Mg- 3 H Mcg(24)) norethin ace-eth estrad-fe (Tarina Fe 1/20 Eq Oral Tablet 1-20 1 H Mg-Mcg) norethin ace-eth estrad-fe (Tarina Fe 1/20 Oral Tablet 1-20 Mg- 1 H Mcg) TAYTULLA ORAL CAPSULE 1-20 MG-MCG(24) (norethin ace- 4 H eth estrad-fe) norethindron-ethinyl estrad-fe (Tilia Fe Oral Tablet 1-20/1-30/1- 3 H 35 Mg-Mcg) norgestim-eth estrad triphasic (Tri Femynor Oral Tablet 1 H 0.18/0.215/0.25 Mg-35 Mcg) norgestim-eth estrad triphasic (Tri-Estarylla Oral Tablet 1 H 0.18/0.215/0.25 Mg-35 Mcg) norethindron-ethinyl estrad-fe (Tri-Legest Fe Oral Tablet 1-20/1- 3 H 30/1-35 Mg-Mcg) norgestim-eth estrad triphasic (Tri-Linyah Oral Tablet 1 H 0.18/0.215/0.25 Mg-35 Mcg) norgestim-eth estrad triphasic (Tri-Lo-Estarylla Oral Tablet 2 H 0.18/0.215/0.25 Mg-25 Mcg) norgestim-eth estrad triphasic (Tri-Lo-Marzia Oral Tablet 2 H 0.18/0.215/0.25 Mg-25 Mcg) norgestim-eth estrad triphasic (Tri-Lo-Mili Oral Tablet 2 H 0.18/0.215/0.25 Mg-25 Mcg) norgestim-eth estrad triphasic (Tri-Lo-Sprintec Oral Tablet 2 H 0.18/0.215/0.25 Mg-25 Mcg)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 178 Coverage Requirements & Prescription Drug Name Drug Tier Limits norgestim-eth estrad triphasic (Tri-Mili Oral Tablet 1 H 0.18/0.215/0.25 Mg-35 Mcg) norgestim-eth estrad triphasic (Tri-Previfem Oral Tablet 1 H 0.18/0.215/0.25 Mg-35 Mcg) norgestim-eth estrad triphasic (Tri-Sprintec Oral Tablet 1 H 0.18/0.215/0.25 Mg-35 Mcg) levonorg-eth estrad triphasic (Trivora (28) Oral Tablet 50-30/75- 1 H 40/ 125-30 Mcg) norgestim-eth estrad triphasic (Tri-Vylibra Lo Oral Tablet 2 H 0.18/0.215/0.25 Mg-25 Mcg) norgestim-eth estrad triphasic (Tri-Vylibra Oral Tablet 1 H 0.18/0.215/0.25 Mg-35 Mcg) norethindrone (Tulana Oral Tablet 0.35 Mg) 1 H drospiren-eth estrad-levomefol (Tydemy Oral Tablet 3-0.03- 4 H 0.451 Mg) desogestrel-ethinyl estradiol (Velivet Oral Tablet 0.1/0.125/0.15 1 H -0.025 Mg) levonorgestrel-ethinyl estrad (Vienva Oral Tablet 0.1-20 Mg- 1 H Mcg) viorele oral tablet 0.15-0.02/0.01 mg (21/5) 2 H desogestrel-ethinyl estradiol (Volnea Oral Tablet 0.15-0.02/0.01 2 H Mg (21/5)) norethindrone-eth estradiol (Vyfemla Oral Tablet 0.4-35 Mg- 2 H Mcg) norgestimate-eth estradiol (Vylibra Oral Tablet 0.25-35 Mg-Mcg) 1 H norethindrone-eth estradiol (Wera Oral Tablet 0.5-35 Mg-Mcg) 1 H norethin-eth estradiol-fe (Wymzya Fe Oral Tablet Chewable 0.4- 3 H 35 Mg-Mcg) xulane transdermal patch weekly 150-35 mcg/24hr 3 H YASMIN 28 ORAL TABLET 3-0.03 MG (drospirenone-ethinyl 2 H estradiol) YAZ ORAL TABLET 3-0.02 MG (drospirenone-ethinyl estradiol) 2 H drospirenone-ethinyl estradiol (Zarah Oral Tablet 3-0.03 Mg) 3 ethynodiol diac-eth estradiol (Zovia 1/35E (28) Oral Tablet 1-35 1 H Mg-Mcg) drospirenone-ethinyl estradiol (Zumandimine Oral Tablet 3-0.03 3 Mg)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 179 Coverage Requirements & Prescription Drug Name Drug Tier Limits DIPEPTIDYL PEPTIDASE-4(DPP-4) INHIBITORS - Drugs for Diabetes GLYXAMBI ORAL TABLET 10-5 MG, 25-5 MG (empagliflozin- 2 ST; SL (1 tablet per day) linagliptin) JANUMET ORAL TABLET 50-1000 MG, 50-500 MG (sitagliptin- 4 ST; SL (2 tablets per day) metformin hcl) JANUMET XR ORAL TABLET EXTENDED RELEASE 24 4 ST; SL (1 tablet per day) HOUR 100-1000 MG, 50-500 MG (sitagliptin-metformin hcl) JANUMET XR ORAL TABLET EXTENDED RELEASE 24 4 ST; SL (2 tablets per day) HOUR 50-1000 MG (sitagliptin-metformin hcl) JANUVIA ORAL TABLET 100 MG, 25 MG, 50 MG (sitagliptin ST; SL (31 tablets per 31 4 phosphate) days) JENTADUETO ORAL TABLET 2.5-1000 MG, 2.5-500 MG, 2.5- 2 SL (2 tablets per day) 850 MG (linagliptin-metformin hcl) JENTADUETO XR ORAL TABLET EXTENDED RELEASE 24 2 SL (2 tablets per day) HOUR 2.5-1000 MG (linagliptin-metformin hcl) JENTADUETO XR ORAL TABLET EXTENDED RELEASE 24 2 SL (1 tablet per day) HOUR 5-1000 MG (linagliptin-metformin hcl) KAZANO ORAL TABLET 12.5-1000 MG, 12.5-500 MG 2 SL (2 tablets per day) (alogliptin-metformin hcl) KOMBIGLYZE XR ORAL TABLET EXTENDED RELEASE 24 2 SL (62 tablets per month) HOUR 2.5-1000 MG (saxagliptin-metformin) KOMBIGLYZE XR ORAL TABLET EXTENDED RELEASE 24 2 SL (31 tablets per month) HOUR 5-1000 MG, 5-500 MG (saxagliptin-metformin) NESINA ORAL TABLET 12.5 MG, 25 MG, 6.25 MG (alogliptin 2 SL (1 tablet per day) benzoate) ONGLYZA ORAL TABLET 2.5 MG, 5 MG (saxagliptin hcl) 2 SL (1 tablet per day) OSENI ORAL TABLET 12.5-15 MG, 12.5-30 MG, 12.5-45 MG, 2 SL (1 tablet per day) 25-15 MG, 25-30 MG, 25-45 MG (alogliptin-pioglitazone) TRADJENTA ORAL TABLET 5 MG (linagliptin) 2 SL (1 tablet per day) ESTROGEN AGONIST-ANTAGONISTS - Drugs for Women DUAVEE ORAL TABLET 0.45-20 MG (conj estrogens- 3 SL (1 tablet per day) bazedoxifene) FARESTON ORAL TABLET 60 MG (toremifene citrate) 4 OSPHENA ORAL TABLET 60 MG (ospemifene) 3 PA; SL (1 tablet per day) raloxifene hcl oral tablet 60 mg 2 H tamoxifen citrate oral tablet 10 mg 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 180 Coverage Requirements & Prescription Drug Name Drug Tier Limits tamoxifen citrate oral tablet 20 mg 1 H-PA toremifene citrate oral tablet 60 mg 2 ESTROGENS - Drugs for Women ACTIVELLA ORAL TABLET 1-0.5 MG (estradiol-norethindrone 4 acet) ALORA TRANSDERMAL PATCH TWICE WEEKLY 0.025 SL (8 patches (1 box) per 28 MG/24HR, 0.05 MG/24HR, 0.075 MG/24HR, 0.1 MG/24HR 3 days) (estradiol) estradiol-norethindrone acet (Amabelz Oral Tablet 0.5-0.1 Mg, 2 1-0.5 Mg) ANGELIQ ORAL TABLET 0.25-0.5 MG, 0.5-1 MG 3 (drospirenone-estradiol) BIJUVA ORAL CAPSULE 1-100 MG (estradiol-) 3 CLIMARA PRO TRANSDERMAL PATCH WEEKLY 0.045- 3 SL (4 patches per month) 0.015 MG/DAY (estradiol-levonorgestrel) COMBIPATCH TRANSDERMAL PATCH TWICE WEEKLY 0.05-0.14 MG/DAY, 0.05-0.25 MG/DAY (estradiol-norethindrone 3 SL (8 patches per 28 days) acet) est estrogens-methyltest (Covaryx Hs Oral Tablet 0.625-1.25 1 Mg) est estrogens-methyltest (Covaryx Oral Tablet 1.25-2.5 Mg) 1 DELESTROGEN INTRAMUSCULAR OIL 10 MG/ML, 20 4 MG/ML, 40 MG/ML (estradiol valerate) DEPO-ESTRADIOL INTRAMUSCULAR OIL 5 MG/ML (estradiol 3 cypionate) DIVIGEL TRANSDERMAL GEL 0.25 MG/0.25GM, 0.5 MG/0.5GM, 0.75 MG/0.75GM, 1 MG/GM, 1.25 MG/1.25GM 3 (estradiol) DUAVEE ORAL TABLET 0.45-20 MG (conj estrogens- 3 SL (1 tablet per day) bazedoxifene) est estrogens-methyltest (Eemt Hs Oral Tablet 0.625-1.25 Mg) 1 est estrogens-methyltest (Eemt Oral Tablet 1.25-2.5 Mg) 1 ELESTRIN TRANSDERMAL GEL 0.52 MG/0.87 GM (0.06%) 3 (estradiol) est estrogens-methyltest ds oral tablet 1.25-2.5 mg 1 est estrogens-methyltest hs oral tablet 0.625-1.25 mg 1 est estrogens-methyltest oral tablet 1.25-2.5 mg 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 181 Coverage Requirements & Prescription Drug Name Drug Tier Limits ESTRACE ORAL TABLET 0.5 MG, 1 MG, 2 MG (estradiol) 4 ESTRACE VAGINAL CREAM 0.1 MG/GM (estradiol) 3 estradiol oral tablet 0.5 mg, 1 mg, 2 mg 1 estradiol transdermal patch twice weekly 0.025 mg/24hr, 0.0375 SL (8 patches (1 box) per 28 2 mg/24hr, 0.05 mg/24hr, 0.075 mg/24hr, 0.1 mg/24hr days) estradiol transdermal patch weekly 0.025 mg/24hr, 0.0375 SL (4 patches (1 carton) per mg/24hr, 0.05 mg/24hr, 0.06 mg/24hr, 0.075 mg/24hr, 0.1 1 28 days) mg/24hr estradiol vaginal tablet 10 mcg 2 estradiol valerate intramuscular oil 20 mg/ml, 40 mg/ml 1 estradiol-norethindrone acet oral tablet 0.5-0.1 mg, 1-0.5 mg 2 ESTRING VAGINAL RING 2 MG (estradiol) 2 SL (1 ring per 90 days) ESTROGEL TRANSDERMAL GEL 0.75 MG/1.25 GM (0.06%) SL (50 grams (1 box) per 3 (estradiol) month) EVAMIST TRANSDERMAL SOLUTION 1.53 MG/SPRAY 2 (estradiol) FEMHRT LOW DOSE ORAL TABLET 0.5-2.5 MG-MCG 3 (norethindrone-eth estradiol) FEMRING VAGINAL RING 0.05 MG/24HR, 0.1 MG/24HR 3 SL (1 ring per 3 months) (estradiol acetate) norethindrone-eth estradiol (Fyavolv Oral Tablet 0.5-2.5 Mg- 3 Mcg, 1-5 Mg-Mcg) IMVEXXY MAINTENANCE PACK VAGINAL INSERT 10 MCG, 3 SL (0.65 insert per day) 4 MCG (estradiol) IMVEXXY STARTER PACK VAGINAL INSERT 10 MCG, 4 3 SL (0.65 insert per day) MCG (estradiol) norethindrone-eth estradiol (Jinteli Oral Tablet 1-5 Mg-Mcg) 3 estradiol-norethindrone acet (Lopreeza Oral Tablet 1-0.5 Mg) 2 MENEST ORAL TABLET 0.3 MG, 0.625 MG, 1.25 MG 3 (esterified estrogens) MENOSTAR TRANSDERMAL PATCH WEEKLY 14 SL (4 patches (1 carton) per 3 MCG/24HR (estradiol) 28 days) estradiol-norethindrone acet (Mimvey Oral Tablet 1-0.5 Mg) 2 norethindrone-eth estradiol oral tablet 0.5-2.5 mg-mcg, 1-5 mg- 3 mcg PREFEST ORAL TABLET 1/1-0.09 MG (15/15) (estradiol- 2 norgestimate)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 182 Coverage Requirements & Prescription Drug Name Drug Tier Limits PREMARIN ORAL TABLET 0.3 MG, 0.45 MG, 0.625 MG, 0.9 3 MG, 1.25 MG (estrogens conjugated) PREMARIN VAGINAL CREAM 0.625 MG/GM (estrogens, 3 conjugated) PREMPHASE ORAL TABLET 0.625-5 MG (conj estrog- 3 medroxyprogest ace) PREMPRO ORAL TABLET 0.3-1.5 MG, 0.45-1.5 MG, 0.625-2.5 3 MG, 0.625-5 MG (conj estrog-medroxyprogest ace) VIVELLE-DOT TRANSDERMAL PATCH TWICE WEEKLY SL (8 patches (1 box) per 28 0.025 MG/24HR, 0.0375 MG/24HR, 0.05 MG/24HR, 0.075 2 days) MG/24HR, 0.1 MG/24HR (estradiol) estradiol (Yuvafem Vaginal Tablet 10 Mcg) 2 GLYCOGENOLYTIC AGENTS - Hormones BAQSIMI ONE PACK NASAL POWDER 3 MG/DOSE SL (2 intranasal devices per 2 (glucagon) prescription) BAQSIMI TWO PACK NASAL POWDER 3 MG/DOSE SL (2 intranasal devices per 2 (glucagon) prescription) GLUCAGEN HYPOKIT INJECTION SOLUTION SL (2 devices per 2 RECONSTITUTED 1 MG (glucagon hcl (rdna)) prescription) GLUCAGON EMERGENCY KIT INJECTION KIT 1 MG SL (2 devices per 2 (glucagon (rdna)) prescription) GLUCAGON EMERGENCY KIT INJECTION SOLUTION 2 RECONSTITUTED 1 MG/ML (glucagon hcl) GVOKE PFS SUBCUTANEOUS SOLUTION PREFILLED SL (2 syringes per 2 SYRINGE 0.5 MG/0.1ML, 1 MG/0.2ML (glucagon) prescription) GONADOTROPINS - Hormones ELIGARD SUBCUTANEOUS KIT 22.5 MG (leuprolide acetate 3 PA (3 month)) ELIGARD SUBCUTANEOUS KIT 30 MG (leuprolide acetate (4 3 PA month)) ELIGARD SUBCUTANEOUS KIT 45 MG (leuprolide acetate (6 3 PA month)) ELIGARD SUBCUTANEOUS KIT 7.5 MG (leuprolide acetate) 3 PA leuprolide acetate injection kit 1 mg/0.2ml 1 PA SYNAREL NASAL SOLUTION 2 MG/ML (nafarelin acetate) 2

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 183 Coverage Requirements & Prescription Drug Name Drug Tier Limits GONADOTROPINS AND ANTIGONADOTROPINS - Hormones ELIGARD SUBCUTANEOUS KIT 22.5 MG (leuprolide acetate 3 PA (3 month)) ELIGARD SUBCUTANEOUS KIT 30 MG (leuprolide acetate (4 3 PA month)) ELIGARD SUBCUTANEOUS KIT 45 MG (leuprolide acetate (6 3 PA month)) ELIGARD SUBCUTANEOUS KIT 7.5 MG (leuprolide acetate) 3 PA leuprolide acetate injection kit 1 mg/0.2ml 1 PA SYNAREL NASAL SOLUTION 2 MG/ML (nafarelin acetate) 2 INCRETIN MIMETICS - Drugs for Diabetes ADLYXIN STARTER PACK SUBCUTANEOUS PEN- 4 ST; SL (6 ml per year) INJECTOR KIT 10 & 20 MCG/0.2ML (lixisenatide) ADLYXIN SUBCUTANEOUS SOLUTION PEN-INJECTOR 20 4 ST; SL (6 ml per month) MCG/0.2ML (lixisenatide) BYDUREON BCISE AUTOINJECTOR SUBCUTANEOUS 2 ST; SL (3.4 ml per month) AUTO-INJECTOR 2 MG/0.85ML (exenatide) BYDUREON SUBCUTANEOUS PEN-INJECTOR 2 MG 2 ST; SL (4 pens per 23 days) (exenatide) BYETTA 10 MCG PEN SUBCUTANEOUS SOLUTION PEN- ST; SL (2.4 mL (one pen) per 2 INJECTOR 10 MCG/0.04ML (exenatide) prescription) BYETTA 5 MCG PEN SUBCUTANEOUS SOLUTION PEN- ST; SL (1.2 mL (one pen) per 2 INJECTOR 5 MCG/0.02ML (exenatide) prescription) OZEMPIC SUBCUTANEOUS SOLUTION PEN-INJECTOR 2 2 ST; SL (1.5 mL per 21 days) MG/1.5ML (semaglutide) OZEMPIC SUBCUTANEOUS SOLUTION PEN-INJECTOR 2 2 ST; SL (9 ml per 3 months) MG/1.5ML (semaglutide) RYBELSUS ORAL TABLET 14 MG, 3 MG, 7 MG (semaglutide) 2 ST; SL (1 tablet per day) SAXENDA SUBCUTANEOUS SOLUTION PEN-INJECTOR 18 3 PA MG/3ML (liraglutide -) SOLIQUA SUBCUTANEOUS SOLUTION PEN-INJECTOR 100- 2 SL (18 ml per month) 33 UNT-MCG/ML (insulin glargine-lixisenatide) TRULICITY SUBCUTANEOUS SOLUTION PEN-INJECTOR 2 ST; SL (2 ml per month) 0.75 MG/0.5ML, 1.5 MG/0.5ML (dulaglutide) VICTOZA SOLUTION PEN-INJECTOR 18 MG/3ML ST; SL (6 ml (2 pens) per 2 SUBCUTANEOUS 18 MG/3ML (liraglutide) month)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 184 Coverage Requirements & Prescription Drug Name Drug Tier Limits VICTOZA SOLUTION PEN-INJECTOR 18 MG/3ML ST; SL (6 ml (2 pens) per 3 SUBCUTANEOUS 18 MG/3ML (liraglutide) month) - Drugs for Diabetes BASAGLAR KWIKPEN SUBCUTANEOUS SOLUTION PEN- 1 SL (75 ml per prescription) INJECTOR 100 UNIT/ML (insulin glargine) HUMALOG KWIKPEN SUBCUTANEOUS SOLUTION PEN- 2 SL (75 ml per prescription) INJECTOR 100 UNIT/ML (insulin lispro) HUMALOG KWIKPEN SUBCUTANEOUS SOLUTION PEN- SL (75 ml (25 pens) per 2 INJECTOR 200 UNIT/ML (insulin lispro) prescription) HUMALOG MIX 50/50 KWIKPEN SUBCUTANEOUS SUSPENSION PEN-INJECTOR (50-50) 100 UNIT/ML (insulin 2 SL (75 ml per prescription) lispro prot & lispro) HUMALOG MIX 50/50 VIAL SUBCUTANEOUS SUSPENSION 1 SL (70 ml per prescription) (50-50) 100 UNIT/ML (insulin lispro prot & lispro) HUMALOG MIX 75/25 KWIKPEN SUBCUTANEOUS SUSPENSION PEN-INJECTOR (75-25) 100 UNIT/ML (insulin 2 SL (75 ml per prescription) lispro prot & lispro) HUMALOG MIX 75/25 VIAL SUBCUTANEOUS SUSPENSION 1 SL (70 ml per prescription) (75-25) 100 UNIT/ML (insulin lispro prot & lispro) HUMALOG SUBCUTANEOUS SOLUTION 100 UNIT/ML 1 SL (70 ml per prescription) (insulin lispro) HUMALOG SUBCUTANEOUS SOLUTION CARTRIDGE 100 2 SL (75 ml per prescription) UNIT/ML (insulin lispro) HUMALOG U-100 JUNIOR KWIKPEN SUBCUTANEOUS 2 SL (75 ml per prescription) SOLUTION PEN-INJECTOR 100 UNIT/ML (insulin lispro) HUMULIN 70/30 KWIKPEN SUBCUTANEOUS SUSPENSION PEN-INJECTOR (70-30) 100 UNIT/ML (insulin nph isophane & 2 SL (75 ml per prescription) regular) HUMULIN 70/30 VIAL SUBCUTANEOUS SUSPENSION (70- 1 SL (70 ml per prescription) 30) 100 UNIT/ML (insulin nph isophane & regular) HUMULIN N KWIKPEN SUBCUTANEOUS SUSPENSION 2 SL (75 ml per prescription) PEN-INJECTOR 100 UNIT/ML (insulin nph human (isophane)) HUMULIN N VIAL SUBCUTANEOUS SUSPENSION 100 1 SL (70 ml per prescription) UNIT/ML (insulin nph human (isophane)) HUMULIN R U-500 KWIKPEN SUBCUTANEOUS SOLUTION 2 SL (75 mL per prescription) PEN-INJECTOR 500 UNIT/ML (insulin regular human) HUMULIN R U-500 VIAL (CONCENTRATED) SUBCUTANEOUS SOLUTION 500 UNIT/ML (insulin regular 1 SL (80 ml per prescription) human)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 185 Coverage Requirements & Prescription Drug Name Drug Tier Limits HUMULIN R VIAL INJECTION SOLUTION 100 UNIT/ML 1 SL (70 ml per prescription) (insulin regular human) INSULIN LISPRO JUNIOR KWIKPEN SUBCUTANEOUS 2 SL (75 ml per prescription) SOLUTION PEN-INJECTOR 100 UNIT/ML INSULIN LISPRO PROT & LISPRO SUBCUTANEOUS 2 SL (75 ml per prescription) SUSPENSION PEN-INJECTOR (75-25) 100 UNIT/ML LEVEMIR U-100 FLEXTOUCH SUBCUTANEOUS SOLUTION 3 SL (75 ml per prescription) PEN-INJECTOR 100 UNIT/ML (insulin detemir) LEVEMIR U-100 VIAL SUBCUTANEOUS SOLUTION 100 3 SL (70 ml per prescription) UNIT/ML (insulin detemir) SOLIQUA SUBCUTANEOUS SOLUTION PEN-INJECTOR 100- 2 SL (18 ml per month) 33 UNT-MCG/ML (insulin glargine-lixisenatide) TRESIBA FLEXTOUCH SUBCUTANEOUS SOLUTION PEN- 2 SL (75 ml per prescription) INJECTOR 100 UNIT/ML, 200 UNIT/ML (insulin degludec) TRESIBA SUBCUTANEOUS SOLUTION 100 UNIT/ML (insulin 2 SL (70 ml per prescription) degludec) INTERMEDIATE-ACTING INSULINS - Drugs for Diabetes HUMALOG MIX 50/50 KWIKPEN SUBCUTANEOUS SUSPENSION PEN-INJECTOR (50-50) 100 UNIT/ML (insulin 2 SL (75 ml per prescription) lispro prot & lispro) HUMALOG MIX 50/50 VIAL SUBCUTANEOUS SUSPENSION 1 SL (70 ml per prescription) (50-50) 100 UNIT/ML (insulin lispro prot & lispro) HUMALOG MIX 75/25 KWIKPEN SUBCUTANEOUS SUSPENSION PEN-INJECTOR (75-25) 100 UNIT/ML (insulin 2 SL (75 ml per prescription) lispro prot & lispro) HUMALOG MIX 75/25 VIAL SUBCUTANEOUS SUSPENSION 1 SL (70 ml per prescription) (75-25) 100 UNIT/ML (insulin lispro prot & lispro) HUMULIN 70/30 KWIKPEN SUBCUTANEOUS SUSPENSION PEN-INJECTOR (70-30) 100 UNIT/ML (insulin nph isophane & 2 SL (75 ml per prescription) regular) HUMULIN 70/30 VIAL SUBCUTANEOUS SUSPENSION (70- 1 SL (70 ml per prescription) 30) 100 UNIT/ML (insulin nph isophane & regular) HUMULIN N KWIKPEN SUBCUTANEOUS SUSPENSION 2 SL (75 ml per prescription) PEN-INJECTOR 100 UNIT/ML (insulin nph human (isophane)) HUMULIN N VIAL SUBCUTANEOUS SUSPENSION 100 1 SL (70 ml per prescription) UNIT/ML (insulin nph human (isophane)) INSULIN LISPRO PROT & LISPRO SUBCUTANEOUS 2 SL (75 ml per prescription) SUSPENSION PEN-INJECTOR (75-25) 100 UNIT/ML

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 186 Coverage Requirements & Prescription Drug Name Drug Tier Limits LEPTINS - Hormones MYALEPT SUBCUTANEOUS SOLUTION RECONSTITUTED 3 PA; SL (1 vial per day); SP 11.3 MG (metreleptin) LONG-ACTING INSULINS - Drugs for Diabetes BASAGLAR KWIKPEN SUBCUTANEOUS SOLUTION PEN- 1 SL (75 ml per prescription) INJECTOR 100 UNIT/ML (insulin glargine) LEVEMIR U-100 FLEXTOUCH SUBCUTANEOUS SOLUTION 3 SL (75 ml per prescription) PEN-INJECTOR 100 UNIT/ML (insulin detemir) LEVEMIR U-100 VIAL SUBCUTANEOUS SOLUTION 100 3 SL (70 ml per prescription) UNIT/ML (insulin detemir) SOLIQUA SUBCUTANEOUS SOLUTION PEN-INJECTOR 100- 2 SL (18 ml per month) 33 UNT-MCG/ML (insulin glargine-lixisenatide) TRESIBA FLEXTOUCH SUBCUTANEOUS SOLUTION PEN- 2 SL (75 ml per prescription) INJECTOR 100 UNIT/ML, 200 UNIT/ML (insulin degludec) TRESIBA SUBCUTANEOUS SOLUTION 100 UNIT/ML (insulin 2 SL (70 ml per prescription) degludec) MEGLITINIDES - Drugs for Diabetes nateglinide oral tablet 120 mg, 60 mg 2 SL (3 tablets per day) repaglinide oral tablet 0.5 mg, 1 mg 2 SL (4 tablets per day) repaglinide oral tablet 2 mg 2 SL (8 tablets per day) STARLIX ORAL TABLET 120 MG, 60 MG (nateglinide) 4 SL (3 tablets per day) PARATHYROID AGENTS - Drugs for Bones FORTEO SUBCUTANEOUS SOLUTION PEN-INJECTOR 600 3 PA; SP MCG/2.4ML (teriparatide (recombinant)) NATPARA SUBCUTANEOUS CARTRIDGE 100 MCG, 25 PA; SL (2 cartridges per 4 MCG, 50 MCG, 75 MCG (parathyroid hormone (recomb)) month); SP TYMLOS SUBCUTANEOUS SOLUTION PEN-INJECTOR 3120 3 PA; SP MCG/1.56ML (abaloparatide) PARATHYROID AND ANTIPARATHYROID AGENTS - Drugs for Bones calcitonin (salmon) nasal solution 200 unit/act 2 FORTEO SUBCUTANEOUS SOLUTION PEN-INJECTOR 600 3 PA; SP MCG/2.4ML (teriparatide (recombinant)) MIACALCIN INJECTION SOLUTION 200 UNIT/ML (calcitonin 3 (salmon)) NATPARA SUBCUTANEOUS CARTRIDGE 100 MCG, 25 PA; SL (2 cartridges per 4 MCG, 50 MCG, 75 MCG (parathyroid hormone (recomb)) month); SP

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 187 Coverage Requirements & Prescription Drug Name Drug Tier Limits TYMLOS SUBCUTANEOUS SOLUTION PEN-INJECTOR 3120 3 PA; SP MCG/1.56ML (abaloparatide) PITUITARY - Hormones PA; ST; SL (20 ml per 24 ACTHAR INJECTION GEL 80 UNIT/ML (corticotropin) 4 days); SP DDAVP INJECTION SOLUTION 4 MCG/ML (desmopressin 4 acetate) DDAVP NASAL SOLUTION 0.01 % (desmopressin acetate 4 spray) DDAVP ORAL TABLET 0.1 MG, 0.2 MG (desmopressin 4 acetate) DDAVP RHINAL TUBE NASAL SOLUTION 0.01 % 3 (desmopressin ace refrigerated) desmopressin ace spray refrig nasal solution 0.01 % 1 desmopressin acetate injection solution 4 mcg/ml 1 desmopressin acetate oral tablet 0.1 mg, 0.2 mg 1 desmopressin acetate spray nasal solution 0.01 % 1 NOCDURNA SUBLINGUAL TABLET SUBLINGUAL 27.7 MCG, 3 PA; SL (1 tablet per day) 55.3 MCG (desmopressin acetate) NUTROPIN AQ NUSPIN 10 SUBCUTANEOUS SOLUTION 10 PA; SL (18 ml (9 cartridges) 2 MG/2ML (somatropin) per month); SP NUTROPIN AQ NUSPIN 20 SUBCUTANEOUS SOLUTION 20 PA; SL (10 ml (5 cartridges) 2 MG/2ML (somatropin) per month); SP NUTROPIN AQ NUSPIN 5 SUBCUTANEOUS SOLUTION 5 PA; SL (36 ml (18 cartridges) 2 MG/2ML (somatropin) per month); SP SEROSTIM SUBCUTANEOUS SOLUTION RECONSTITUTED 4 PA; SL (1 tablet per day); SP 4 MG, 5 MG, 6 MG (somatropin (non-refrigerated)) STIMATE NASAL SOLUTION 1.5 MG/ML (desmopressin 3 acetate) ZORBTIVE SUBCUTANEOUS SOLUTION RECONSTITUTED 3 PA; SL (1 tablet per day); SP 8.8 MG (somatropin (non-refrigerated)) PROGESTINS - Drugs for Women ACTIVELLA ORAL TABLET 1-0.5 MG (estradiol-norethindrone 4 acet) estradiol-norethindrone acet (Amabelz Oral Tablet 0.5-0.1 Mg, 2 1-0.5 Mg) ANGELIQ ORAL TABLET 0.25-0.5 MG, 0.5-1 MG 3 (drospirenone-estradiol)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 188 Coverage Requirements & Prescription Drug Name Drug Tier Limits AYGESTIN ORAL TABLET 5 MG (norethindrone acetate) 4 BIJUVA ORAL CAPSULE 1-100 MG (estradiol-progesterone) 3 COMBIPATCH TRANSDERMAL PATCH TWICE WEEKLY 0.05-0.14 MG/DAY, 0.05-0.25 MG/DAY (estradiol-norethindrone 3 SL (8 patches per 28 days) acet) CRINONE VAGINAL GEL 4 % (progesterone) 4 ST CRINONE VAGINAL GEL 8 % (progesterone) 4 PA; ST DEPO-PROVERA INTRAMUSCULAR SUSPENSION 150 4 SL (5 ml per year) MG/ML (medroxyprogesterone acetate) DEPO-PROVERA INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE 150 MG/ML (medroxyprogesterone 4 acetate) DEPO-SUBQ PROVERA 104 SUBCUTANEOUS SUSPENSION PREFILLED SYRINGE 104 MG/0.65ML 2 SL (3.25 ml per year); H (medroxyprogesterone acetate) ENDOMETRIN VAGINAL INSERT 100 MG (progesterone) 2 PA estradiol-norethindrone acet oral tablet 0.5-0.1 mg, 1-0.5 mg 2 FEMHRT LOW DOSE ORAL TABLET 0.5-2.5 MG-MCG 3 (norethindrone-eth estradiol) norethindrone-eth estradiol (Fyavolv Oral Tablet 0.5-2.5 Mg- 3 Mcg, 1-5 Mg-Mcg) norethindrone-eth estradiol (Jinteli Oral Tablet 1-5 Mg-Mcg) 3 estradiol-norethindrone acet (Lopreeza Oral Tablet 1-0.5 Mg) 2 medroxyprogesterone acetate intramuscular suspension 150 1 SL (5 ml per year); H mg/ml medroxyprogesterone acetate intramuscular suspension 1 H prefilled syringe 150 mg/ml medroxyprogesterone acetate oral tablet 10 mg, 2.5 mg, 5 mg 1 MEGACE ES ORAL SUSPENSION 625 MG/5ML (megestrol 4 acetate) megestrol acetate oral suspension 40 mg/ml 1 megestrol acetate oral suspension 625 mg/5ml 3 megestrol acetate oral tablet 20 mg, 40 mg 1 estradiol-norethindrone acet (Mimvey Oral Tablet 1-0.5 Mg) 2 norethindrone acetate oral tablet 5 mg 1 norethindrone-eth estradiol oral tablet 0.5-2.5 mg-mcg, 1-5 mg- 3 mcg

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 189 Coverage Requirements & Prescription Drug Name Drug Tier Limits progesterone intramuscular oil 50 mg/ml 1 progesterone micronized oral capsule 100 mg, 200 mg 2 PROVERA ORAL TABLET 10 MG, 2.5 MG, 5 MG 4 (medroxyprogesterone acetate) SLYND ORAL TABLET 4 MG (drospirenone) 4 PA; ST RAPID-ACTING INSULINS - Drugs for Diabetes HUMALOG KWIKPEN SUBCUTANEOUS SOLUTION PEN- 2 SL (75 ml per prescription) INJECTOR 100 UNIT/ML (insulin lispro) HUMALOG KWIKPEN SUBCUTANEOUS SOLUTION PEN- SL (75 ml (25 pens) per 2 INJECTOR 200 UNIT/ML (insulin lispro) prescription) HUMALOG MIX 50/50 KWIKPEN SUBCUTANEOUS SUSPENSION PEN-INJECTOR (50-50) 100 UNIT/ML (insulin 2 SL (75 ml per prescription) lispro prot & lispro) HUMALOG MIX 50/50 VIAL SUBCUTANEOUS SUSPENSION 1 SL (70 ml per prescription) (50-50) 100 UNIT/ML (insulin lispro prot & lispro) HUMALOG MIX 75/25 KWIKPEN SUBCUTANEOUS SUSPENSION PEN-INJECTOR (75-25) 100 UNIT/ML (insulin 2 SL (75 ml per prescription) lispro prot & lispro) HUMALOG MIX 75/25 VIAL SUBCUTANEOUS SUSPENSION 1 SL (70 ml per prescription) (75-25) 100 UNIT/ML (insulin lispro prot & lispro) HUMALOG SUBCUTANEOUS SOLUTION 100 UNIT/ML 1 SL (70 ml per prescription) (insulin lispro) HUMALOG SUBCUTANEOUS SOLUTION CARTRIDGE 100 2 SL (75 ml per prescription) UNIT/ML (insulin lispro) HUMALOG U-100 JUNIOR KWIKPEN SUBCUTANEOUS 2 SL (75 ml per prescription) SOLUTION PEN-INJECTOR 100 UNIT/ML (insulin lispro) INSULIN LISPRO JUNIOR KWIKPEN SUBCUTANEOUS 2 SL (75 ml per prescription) SOLUTION PEN-INJECTOR 100 UNIT/ML INSULIN LISPRO PROT & LISPRO SUBCUTANEOUS 2 SL (75 ml per prescription) SUSPENSION PEN-INJECTOR (75-25) 100 UNIT/ML SHORT-ACTING INSULINS - Drugs for Diabetes HUMULIN 70/30 KWIKPEN SUBCUTANEOUS SUSPENSION PEN-INJECTOR (70-30) 100 UNIT/ML (insulin nph isophane & 2 SL (75 ml per prescription) regular) HUMULIN 70/30 VIAL SUBCUTANEOUS SUSPENSION (70- 1 SL (70 ml per prescription) 30) 100 UNIT/ML (insulin nph isophane & regular) HUMULIN R U-500 KWIKPEN SUBCUTANEOUS SOLUTION 2 SL (75 mL per prescription) PEN-INJECTOR 500 UNIT/ML (insulin regular human)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 190 Coverage Requirements & Prescription Drug Name Drug Tier Limits HUMULIN R U-500 VIAL (CONCENTRATED) SUBCUTANEOUS SOLUTION 500 UNIT/ML (insulin regular 1 SL (80 ml per prescription) human) HUMULIN R VIAL INJECTION SOLUTION 100 UNIT/ML 1 SL (70 ml per prescription) (insulin regular human) SODIUM-GLUC COTRANSPORT 2 (SGLT2) INHIB - Drugs for Diabetes GLYXAMBI ORAL TABLET 10-5 MG, 25-5 MG (empagliflozin- 2 ST; SL (1 tablet per day) linagliptin) INVOKAMET ORAL TABLET 150-1000 MG, 150-500 MG, 50- 2 SL (2 tablets per day) 1000 MG, 50-500 MG (canagliflozin-metformin hcl) INVOKAMET XR ORAL TABLET EXTENDED RELEASE 24 HOUR 150-1000 MG, 150-500 MG, 50-1000 MG, 50-500 MG 2 SL (2 tablets per day) (canagliflozin-metformin hcl) INVOKANA ORAL TABLET 100 MG, 300 MG (canagliflozin) 2 ST; SL (1 tablet per day) ST; SL (30 tablets per JARDIANCE ORAL TABLET 10 MG, 25 MG (empagliflozin) 2 month) SYNJARDY ORAL TABLET 12.5-1000 MG, 12.5-500 MG, 5- 2 SL (2 tablets per day) 1000 MG, 5-500 MG (empagliflozin-metformin hcl) SYNJARDY XR ORAL TABLET EXTENDED RELEASE 24 2 SL (1 tablet per day) HOUR 10-1000 MG, 25-1000 MG (empagliflozin-metformin hcl) SYNJARDY XR ORAL TABLET EXTENDED RELEASE 24 2 SL (2 tablets per day) HOUR 12.5-1000 MG, 5-1000 MG (empagliflozin-metformin hcl) SOMATOSTATIN AGONISTS - Hormones octreotide acetate injection solution 100 mcg/ml, 1000 mcg/ml, 1 PA 200 mcg/ml, 50 mcg/ml, 500 mcg/ml SIGNIFOR SUBCUTANEOUS SOLUTION 0.3 MG/ML, 0.6 PA; SL (2 ampules per day); 2 MG/ML, 0.9 MG/ML (pasireotide diaspartate) SP SOMATULINE DEPOT SUBCUTANEOUS SOLUTION 120 4 SP MG/0.5ML, 60 MG/0.2ML, 90 MG/0.3ML (lanreotide acetate) SOMATOTROPIN AGONISTS - Hormones EGRIFTA SUBCUTANEOUS SOLUTION RECONSTITUTED 1 4 PA; SP MG (tesamorelin acetate) EGRIFTA SV SUBCUTANEOUS SOLUTION 4 RECONSTITUTED 2 MG (tesamorelin acetate) INCRELEX SUBCUTANEOUS SOLUTION 40 MG/4ML PA; SL (52 vials per month); 2 () SP

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 191 Coverage Requirements & Prescription Drug Name Drug Tier Limits SOMATOTROPIN ANTAGONISTS - Hormones SOMAVERT SUBCUTANEOUS SOLUTION RECONSTITUTED 3 PA; SL (1 vial per day); SP 10 MG, 15 MG, 20 MG, 25 MG, 30 MG (pegvisomant) SULFONYLUREAS - Drugs for Diabetes AMARYL ORAL TABLET 1 MG, 2 MG, 4 MG (glimepiride) 4 DUETACT ORAL TABLET 30-2 MG, 30-4 MG (pioglitazone hcl- 3 SL (1 tablet per day) glimepiride) glimepiride oral tablet 1 mg, 2 mg, 4 mg 1 glipizide er oral tablet extended release 24 hour 10 mg, 2.5 mg, 1 5 mg glipizide oral tablet 10 mg, 5 mg 1 glipizide xl oral tablet extended release 24 hour 10 mg, 2.5 mg, 1 5 mg glipizide-metformin hcl oral tablet 2.5-250 mg, 2.5-500 mg, 5- 2 500 mg GLUCOTROL ORAL TABLET 10 MG, 5 MG (glipizide) 4 GLUCOTROL XL ORAL TABLET EXTENDED RELEASE 24 4 HOUR 10 MG, 2.5 MG, 5 MG (glipizide) GLUCOVANCE ORAL TABLET 5-500 MG (glyburide- 4 metformin) glyburide micronized oral tablet 1.5 mg, 3 mg, 6 mg 1 glyburide oral tablet 1.25 mg, 2.5 mg, 5 mg 1 glyburide-metformin oral tablet 1.25-250 mg, 2.5-500 mg, 5-500 1 mg GLYNASE ORAL TABLET 1.5 MG (glyburide micronized) 3 GLYNASE ORAL TABLET 3 MG, 6 MG (glyburide micronized) 4 pioglitazone hcl-glimepiride oral tablet 30-2 mg, 30-4 mg 1 SL (1 tablet per day) tolbutamide oral tablet 500 mg 1 THIAZOLIDINEDIONES - Drugs for Diabetes ACTOPLUS MET ORAL TABLET 15-500 MG, 15-850 MG 4 SL (3 tablets per day) (pioglitazone hcl-metformin hcl) AVANDIA ORAL TABLET 2 MG, 4 MG (rosiglitazone maleate) 3 SL (2 tablets per day) DUETACT ORAL TABLET 30-2 MG, 30-4 MG (pioglitazone hcl- 3 SL (1 tablet per day) glimepiride) OSENI ORAL TABLET 12.5-15 MG, 12.5-30 MG, 12.5-45 MG, 2 SL (1 tablet per day) 25-15 MG, 25-30 MG, 25-45 MG (alogliptin-pioglitazone)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 192 Coverage Requirements & Prescription Drug Name Drug Tier Limits pioglitazone hcl oral tablet 15 mg, 30 mg, 45 mg 1 SL (1 tablet per day) pioglitazone hcl-glimepiride oral tablet 30-2 mg, 30-4 mg 1 SL (1 tablet per day) pioglitazone hcl-metformin hcl oral tablet 15-500 mg, 15-850 mg 2 SL (3 tablets per day) THYROID AGENTS - Drugs for the Thyroid ARMOUR THYROID ORAL TABLET 120 MG, 15 MG, 180 MG, 3 240 MG, 30 MG, 300 MG, 60 MG, 90 MG (thyroid) sodium (Euthyrox Oral Tablet 100 Mcg, 112 Mcg, 125 Mcg, 137 Mcg, 150 Mcg, 175 Mcg, 200 Mcg, 25 Mcg, 50 1 Mcg, 75 Mcg, 88 Mcg) levothyroxine sodium (Levo-T Oral Tablet 100 Mcg, 112 Mcg, 125 Mcg, 137 Mcg, 150 Mcg, 175 Mcg, 200 Mcg, 25 Mcg, 300 1 Mcg, 50 Mcg, 75 Mcg, 88 Mcg) levothyroxine sodium oral tablet 100 mcg, 112 mcg, 125 mcg, 137 mcg, 150 mcg, 175 mcg, 200 mcg, 25 mcg, 300 mcg, 50 1 mcg, 75 mcg, 88 mcg levothyroxine sodium (Levoxyl Oral Tablet 100 Mcg, 112 Mcg, 125 Mcg, 137 Mcg, 150 Mcg, 175 Mcg, 200 Mcg, 25 Mcg, 50 2 Mcg, 75 Mcg, 88 Mcg) liothyronine sodium oral tablet 25 mcg, 5 mcg, 50 mcg 2 NATURE-THROID ORAL TABLET 113.75 MG, 130 MG, 146.25 MG, 16.25 MG, 162.5 MG, 195 MG, 260 MG, 32.5 MG, 325 3 MG, 48.75 MG, 65 MG, 81.25 MG, 97.5 MG (thyroid) np thyroid oral tablet 120 mg, 15 mg, 30 mg, 60 mg, 90 mg 1 SYNTHROID ORAL TABLET 100 MCG, 112 MCG, 125 MCG, 137 MCG, 150 MCG, 175 MCG, 200 MCG, 25 MCG, 300 MCG, 2 50 MCG, 75 MCG, 88 MCG (levothyroxine sodium) thyroid oral tablet 120 mg, 15 mg, 30 mg, 60 mg, 90 mg 1 TIROSINT-SOL ORAL SOLUTION 100 MCG/ML, 112 MCG/ML, 125 MCG/ML, 13 MCG/ML, 137 MCG/ML, 150 MCG/ML, 175 4 PA MCG/ML, 200 MCG/ML, 25 MCG/ML, 50 MCG/ML, 75 MCG/ML, 88 MCG/ML (levothyroxine sodium) levothyroxine sodium (Unithroid Oral Tablet 100 Mcg, 112 Mcg, 125 Mcg, 137 Mcg, 150 Mcg, 175 Mcg, 200 Mcg, 25 Mcg, 300 1 Mcg, 50 Mcg, 75 Mcg, 88 Mcg) WESTHROID ORAL TABLET 130 MG, 195 MG, 32.5 MG, 65 3 MG, 97.5 MG (thyroid) WP THYROID ORAL TABLET 113.75 MG, 130 MG, 16.25 MG, 3 32.5 MG, 48.75 MG, 65 MG, 81.25 MG, 97.5 MG (thyroid)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 193 Coverage Requirements & Prescription Drug Name Drug Tier Limits MISCELLANEOUS THERAPEUTIC AGENTS 5-ALPHA-REDUCTASE INHIBITORS dutasteride oral capsule 0.5 mg 3 finasteride oral tablet 5 mg 1 PROSCAR ORAL TABLET 5 MG (finasteride) 4 DETERRENTS - Drugs for Alcohol Dependence ANTABUSE ORAL TABLET 250 MG, 500 MG (disulfiram) 4 disulfiram oral tablet 250 mg, 500 mg 1 naltrexone hcl oral tablet 50 mg 1 ANTIDOTES - Drugs for Overdose or Poisoning BAQSIMI ONE PACK NASAL POWDER 3 MG/DOSE SL (2 intranasal devices per 2 (glucagon) prescription) BAQSIMI TWO PACK NASAL POWDER 3 MG/DOSE SL (2 intranasal devices per 2 (glucagon) prescription) CHEMET ORAL CAPSULE 100 MG (succimer) 2 EVZIO INJECTION SOLUTION AUTO-INJECTOR 2 MG/0.4ML PA; SL (0.8 ml per 4 (naloxone hcl) prescription) FOSRENOL ORAL PACKET 1000 MG, 750 MG (lanthanum 3 carbonate) GLUCAGEN HYPOKIT INJECTION SOLUTION SL (2 devices per 2 RECONSTITUTED 1 MG (glucagon hcl (rdna)) prescription) GLUCAGON EMERGENCY KIT INJECTION KIT 1 MG SL (2 devices per 2 (glucagon (rdna)) prescription) GLUCAGON EMERGENCY KIT INJECTION SOLUTION 2 RECONSTITUTED 1 MG/ML (glucagon hcl) GVOKE PFS SUBCUTANEOUS SOLUTION PREFILLED SL (2 syringes per 2 SYRINGE 0.5 MG/0.1ML, 1 MG/0.2ML (glucagon) prescription) IODINE STRONG ORAL SOLUTION 5 % 2 sodium polystyrene sulfonate (Kionex Oral Suspension 15 1 Gm/60Ml) lanthanum carbonate oral tablet chewable 1000 mg, 500 mg, 3 750 mg leucovorin calcium oral tablet 10 mg, 15 mg, 25 mg, 5 mg 1 SL (5 tablets per MEPHYTON ORAL TABLET 5 MG (phytonadione) 4 prescription) naloxone hcl injection solution 0.4 mg/ml, 4 mg/10ml 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 194 Coverage Requirements & Prescription Drug Name Drug Tier Limits NALOXONE HCL INJECTION SOLUTION AUTO-INJECTOR 2 PA; SL (0.8 ml per 4 MG/0.4ML prescription) naloxone hcl injection solution cartridge 0.4 mg/ml 1 naloxone hcl injection solution prefilled syringe 2 mg/2ml 1 SL (2 auto-injectors per NARCAN NASAL LIQUID 4 MG/0.1ML (naloxone hcl) 2 prescription) SL (5 tablets per phytonadione oral tablet 5 mg 3 prescription) RADIOGARDASE ORAL CAPSULE 0.5 GM (prussian blue 3 insoluble) RENAGEL ORAL TABLET 800 MG (sevelamer hcl) 4 RENVELA ORAL PACKET 0.8 GM, 2.4 GM (sevelamer 4 carbonate) sevelamer carbonate oral packet 0.8 gm, 2.4 gm 2 sevelamer carbonate oral tablet 800 mg 2 sevelamer hcl oral tablet 400 mg, 800 mg 3 sodium polystyrene sulfonate oral powder 1 sodium polystyrene sulfonate oral suspension 15 gm/60ml 1 sodium polystyrene sulfonate rectal suspension 30 gm/120ml, 1 50 gm/200ml sodium polystyrene sulfonate (Sps Oral Suspension 15 1 Gm/60Ml) SSKI ORAL SOLUTION 1 GM/ML (potassium iodide 3 (expectorant)) SL (20 packets per VISTOGARD ORAL PACKET 10 GM (uridine triacetate) 2 prescription) ANTIGOUT AGENTS - Drugs for Gout allopurinol oral tablet 100 mg, 300 mg 1 colchicine-probenecid oral tablet 0.5-500 mg 1 EC-NAPROSYN ORAL TABLET DELAYED RELEASE 375 MG 3 (naproxen) ec-naproxen oral tablet delayed release 375 mg, 500 mg 1 febuxostat oral tablet 40 mg, 80 mg 3 ST; SL (1 tablet per day) INDOCIN ORAL SUSPENSION 25 MG/5ML (indomethacin) 3 INDOCIN RECTAL SUPPOSITORY 50 MG (indomethacin) 3 indomethacin er oral capsule extended release 75 mg 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 195 Coverage Requirements & Prescription Drug Name Drug Tier Limits indomethacin oral capsule 25 mg, 50 mg 1 MITIGARE ORAL CAPSULE 0.6 MG (colchicine) 2 NAPROSYN ORAL SUSPENSION 125 MG/5ML (naproxen) 4 PA naproxen dr oral tablet delayed release 375 mg, 500 mg 1 naproxen oral suspension 125 mg/5ml 1 PA naproxen oral tablet 250 mg, 375 mg, 500 mg 1 naproxen sodium oral tablet 275 mg, 550 mg 1 probenecid oral tablet 500 mg 1 ZYLOPRIM ORAL TABLET 100 MG, 300 MG (allopurinol) 4 ANTISENSE OLIGONUCLEOTIDES TEGSEDI SUBCUTANEOUS SOLUTION PREFILLED 2 PA; SL (0.22 ml per day); SP SYRINGE 284 MG/1.5ML (inotersen sodium) BONE ANABOLIC AGENTS FORTEO SUBCUTANEOUS SOLUTION PEN-INJECTOR 600 3 PA; SP MCG/2.4ML (teriparatide (recombinant)) NATPARA SUBCUTANEOUS CARTRIDGE 100 MCG, 25 PA; SL (2 cartridges per 4 MCG, 50 MCG, 75 MCG (parathyroid hormone (recomb)) month); SP TYMLOS SUBCUTANEOUS SOLUTION PEN-INJECTOR 3120 3 PA; SP MCG/1.56ML (abaloparatide) BONE RESORPTION INHIBITORS - Drugs for Bone Loss ACTONEL ORAL TABLET 150 MG (risedronate sodium) 4 SL (1 tablet per month) ACTONEL ORAL TABLET 30 MG, 5 MG (risedronate sodium) 4 ACTONEL ORAL TABLET 35 MG (risedronate sodium) 4 SL (4 tablets per 28 days) alendronate sodium oral solution 70 mg/75ml 1 alendronate sodium oral tablet 10 mg, 35 mg, 5 mg, 70 mg 1 BONIVA ORAL TABLET 150 MG (ibandronate sodium) 4 calcitonin (salmon) nasal solution 200 unit/act 2 FOSAMAX ORAL TABLET 70 MG (alendronate sodium) 4 FOSAMAX PLUS D ORAL TABLET 70-2800 MG-UNIT, 70- 3 5600 MG-UNIT (alendronate-) ibandronate sodium oral tablet 150 mg 2 MIACALCIN INJECTION SOLUTION 200 UNIT/ML (calcitonin 3 (salmon)) raloxifene hcl oral tablet 60 mg 2 H risedronate sodium oral tablet 150 mg 3 SL (1 tablet per month)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 196 Coverage Requirements & Prescription Drug Name Drug Tier Limits risedronate sodium oral tablet 30 mg, 5 mg 3 risedronate sodium oral tablet 35 mg 3 SL (4 tablets per 28 days) CARIOSTATIC AGENTS - Vitamins and Fluoride adc/f (0.5mg/ml) oral solution 0.5 mg/ml 1 (Cavarest Dental Gel 1.1 %) 1 sodium fluoride (Clinpro 5000 Dental Paste 1.1 %) 1 sodium fluoride (Denta 5000 Plus Dental Cream 1.1 %) 1 sodium fluoride (Dentagel Dental Gel 1.1 %) 1 FLORIVA ORAL LIQUID 0.25-400 MG-UNIT/ML (sodium 3 fluoride-vitamin d) FLORIVA PLUS ORAL SOLUTION 0.25 MG/ML (pediatric 3 multivitamins-fl) FLUORABON ORAL SOLUTION 0.55 (0.25 F) MG/0.6ML 2 H (sodium fluoride) sodium fluoride (Fluoridex Dental Paste 1.1 %) 1 sod fluoride-potassium (Fluoridex Sensitivity Relief 1 Dental Paste 1.1-5 %) fluoritab oral solution 0.275 (0.125 f) mg/drop 1 H fluoritab oral tablet chewable 1.1 (0.5 f) mg, 2.2 (1 f) mg 1 H FLURA-DROPS ORAL SOLUTION 0.55 (0.25 F) MG/DROP 3 H (sodium fluoride) sodium fluoride (Ludent Oral Tablet Chewable 0.55 (0.25 F) Mg, 1 H 1.1 (0.5 F) Mg, 2.2 (1 F) Mg) multi-vit/iron/fluoride oral solution 0.25-10 mg/ml 1 multivitamin/fluoride oral solution 0.25 mg/ml, 0.5 mg/ml 1 multi-vitamin/fluoride oral solution 0.25 mg/ml, 0.5 mg/ml 1 multivitamin/fluoride oral tablet chewable 0.25 mg, 0.5 mg, 1 mg 1 multivitamin/fluoride/iron oral solution 0.25-10 mg/ml 1 multi-vitamin/fluoride/iron oral solution 0.25-10 mg/ml 1 multivitamins/fluoride oral tablet chewable 0.5 mg 1 pediatric multivitamins-fl (Mvc-Fluoride Oral Tablet Chewable 1 0.25 Mg, 0.5 Mg, 1 Mg) NAFRINSE DAILY/NEUTRAL MOUTH/THROAT SOLUTION 2 RECONSTITUTED 0.05 % (sodium fluoride) neutral sodium fluoride mouth/throat solution 0.2 % 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 197 Coverage Requirements & Prescription Drug Name Drug Tier Limits POLY-VI-FLOR ORAL SUSPENSION 0.25 MG/ML (pediatric 3 multivitamins-fl) POLY-VI-FLOR ORAL TABLET CHEWABLE 0.25 MG, 0.5 MG, 3 1 MG (pediatric multivitamins-fl) POLY-VI-FLOR/IRON ORAL SUSPENSION 0.25-7 MG/ML 3 (ped multivitamins-fl-iron) POLY-VI-FLOR/IRON ORAL TABLET CHEWABLE 0.5-10 MG 3 (ped multivitamins-fl-iron) PREVIDENT 5000 BOOSTER PLUS DENTAL PASTE 1.1 % 3 (sodium fluoride) PREVIDENT 5000 DRY MOUTH DENTAL GEL 1.1 % (sodium 4 fluoride) PREVIDENT 5000 ENAMEL PROTECT DENTAL PASTE 1.1-5 3 % (sod fluoride-potassium nitrate) PREVIDENT 5000 ORTHO DEFENSE DENTAL PASTE 1.1 % 3 (sodium fluoride) PREVIDENT 5000 PLUS DENTAL CREAM 1.1 % (sodium 4 fluoride) PREVIDENT 5000 SENSITIVE DENTAL PASTE 1.1-5 % (sod 3 fluoride-potassium nitrate) PREVIDENT DENTAL GEL 1.1 % (sodium fluoride) 4 PREVIDENT MOUTH/THROAT SOLUTION 0.2 % (sodium 3 fluoride) QUFLORA PEDIATRIC ORAL SOLUTION 0.25 MG/ML, 0.5 3 MG/ML (pediatric multivitamins-fl) QUFLORA PEDIATRIC ORAL TABLET CHEWABLE 0.25 MG, 3 0.5 MG, 1 MG (pediatric multivitamins-fl) sf 5000 plus dental cream 1.1 % 1 sf dental gel 1.1 % 1 sodium fluoride 5000 plus dental cream 1.1 % 1 sodium fluoride 5000 ppm dental cream 1.1 % 1 sodium fluoride dental cream 1.1 % 1 sodium fluoride dental gel 1.1 % 1 sodium fluoride oral solution 1.1 (0.5 f) mg/ml 1 H sodium fluoride oral tablet 1.1 (0.5 f) mg, 2.2 (1 f) mg 1 sodium fluoride oral tablet chewable 0.55 (0.25 f) mg, 1.1 (0.5 f) 1 H mg, 2.2 (1 f) mg

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 198 Coverage Requirements & Prescription Drug Name Drug Tier Limits TRI-VI-FLOR ORAL SUSPENSION 0.25 MG/ML, 0.5 MG/ML 3 (ped vit a-c-d-methylfolate-fl) TRI-VI-FLORO ORAL SUSPENSION 0.25 MG/ML, 0.5 MG/ML 3 tri-vitamin/fluoride oral solution 0.25 mg/ml, 0.5 mg/ml 1 tri-vite/fluoride oral solution 0.25 mg/ml, 0.5 mg/ml 1 vitamins acd-fluoride oral solution 0.25 mg/ml 1 COMPLEMENT INHIBITORS BERINERT INTRAVENOUS KIT 500 UNIT (c1 esterase PA; SL (4 vials per 2 inhibitor (human)) prescription); SP FIRAZYR SUBCUTANEOUS SOLUTION 30 MG/3ML (icatibant PA; SL (9 ml (3 syringes) per 4 acetate) prescription); SP HAEGARDA SUBCUTANEOUS SOLUTION RECONSTITUTED PA; SL (11 vials per month); 2 2000 UNIT, 3000 UNIT (c1 esterase inhibitor (human)) SP RUCONEST INTRAVENOUS SOLUTION RECONSTITUTED PA; SL (4 vials per 4 2100 UNIT (c1 esterase inhibitor (recomb)) prescription); SP TAKHZYRO SUBCUTANEOUS SOLUTION 300 MG/2ML PA; SL (0.075 ml per day); 2 (lanadelumab-flyo) SP DISEASE-MODIFYING ANTIRHEUMATIC AGENTS - Drugs for ACTEMRA ACTPEN SUBCUTANEOUS SOLUTION AUTO- 3 SL (3.6 ml per 21 days); SP INJECTOR 162 MG/0.9ML (tocilizumab) ACTEMRA SUBCUTANEOUS SOLUTION PREFILLED PA; ST; SL (4 syringes (3.6 3 SYRINGE 162 MG/0.9ML (tocilizumab) ml) per month); SP ARAVA ORAL TABLET 10 MG, 20 MG (leflunomide) 4 AZASAN ORAL TABLET 100 MG, 75 MG (azathioprine) 3 azathioprine oral tablet 50 mg 1 AZULFIDINE EN-TABS ORAL TABLET DELAYED RELEASE 4 500 MG (sulfasalazine) AZULFIDINE ORAL TABLET 500 MG (sulfasalazine) 4 CIMZIA PREFILLED KIT SUBCUTANEOUS KIT 2 X 200 PA; SL (1 kit per 21 days); 2 MG/ML (certolizumab pegol) SP CIMZIA STARTER KIT SUBCUTANEOUS KIT 6 X 200 MG/ML PA; SL (6 mL per 365 days); 2 (certolizumab pegol) SP CUPRIMINE ORAL CAPSULE 250 MG (penicillamine) 4 SP cyclosporine modified oral capsule 100 mg, 25 mg, 50 mg 1 cyclosporine modified oral solution 100 mg/ml 1 cyclosporine oral capsule 100 mg, 25 mg 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 199 Coverage Requirements & Prescription Drug Name Drug Tier Limits DEPEN TITRATABS ORAL TABLET 250 MG (penicillamine) 2 SP ENBREL MINI SUBCUTANEOUS SOLUTION CARTRIDGE 50 PA; ST; SL (0.15mg/ml per 4 MG/ML (etanercept) day); SP ENBREL SUBCUTANEOUS SOLUTION PREFILLED PA; ST; SL (0.15mg/ml per 4 SYRINGE 25 MG/0.5ML, 50 MG/ML (etanercept) day); SP ENBREL SUBCUTANEOUS SOLUTION RECONSTITUTED 25 PA; ST; SL (0.29mg per 4 MG (etanercept) day); SP ENBREL SURECLICK SUBCUTANEOUS SOLUTION AUTO- PA; ST; SL (0.15mg/ml per 4 INJECTOR 50 MG/ML (etanercept) day); SP cyclosporine modified (Gengraf Oral Capsule 100 Mg, 25 Mg) 1 cyclosporine modified (Gengraf Oral Solution 100 Mg/Ml) 1 HUMIRA PEDIATRIC CROHNS START SUBCUTANEOUS PA; SL (3 syringes per year); 2 PREFILLED SYRINGE KIT 80 MG/0.8ML (adalimumab) SP HUMIRA PEN SUBCUTANEOUS PEN-INJECTOR KIT 40 PA; SL (2 pens per month); 2 MG/0.4ML (adalimumab) SP HUMIRA PEN SUBCUTANEOUS PEN-INJECTOR KIT 40 PA; SL (2 syringes per 2 MG/0.8ML (adalimumab) month); SP HUMIRA PEN-CD/UC/HS STARTER SUBCUTANEOUS PEN- PA; SL (6 pens (1 kit) per 2 INJECTOR KIT 40 MG/0.8ML (adalimumab) year); SP HUMIRA PEN-CD/UC/HS STARTER SUBCUTANEOUS PEN- 2 PA; SL (3 pens per year); SP INJECTOR KIT 80 MG/0.8ML (adalimumab) HUMIRA PEN-PS/UV/ADOL HS START SUBCUTANEOUS PA; SL (4 pens (1 kit) per 2 PEN-INJECTOR KIT 40 MG/0.8ML (adalimumab) year); SP HUMIRA PEN-PS/UV/ADOL HS START SUBCUTANEOUS PEN-INJECTOR KIT 80 MG/0.8ML & 40MG/0.4ML 2 PA; SL (3 pens per year); SP (adalimumab) HUMIRA SUBCUTANEOUS PREFILLED SYRINGE KIT 10 PA; SL (2 syringes per MG/0.1ML, 10 MG/0.2ML, 20 MG/0.2ML, 20 MG/0.4ML, 40 2 month); SP MG/0.4ML (adalimumab) HUMIRA SUBCUTANEOUS PREFILLED SYRINGE KIT 40 PA; SL (2 syringes per 2 MG/0.8ML (adalimumab) month) hydroxychloroquine sulfate oral tablet 200 mg 1 SL (30 tablets per 90 days) KEVZARA SUBCUTANEOUS SOLUTION AUTO-INJECTOR PA; ST; SL (2.28 ml per 4 150 MG/1.14ML, 200 MG/1.14ML (sarilumab) month); SP KEVZARA SUBCUTANEOUS SOLUTION PREFILLED PA; ST; SL (2.28 ml per 4 SYRINGE 150 MG/1.14ML, 200 MG/1.14ML (sarilumab) month); SP KINERET SUBCUTANEOUS SOLUTION PREFILLED PA; SL (0.67 ml (1 syringe) 3 SYRINGE 100 MG/0.67ML (anakinra) per day); SP

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 200 Coverage Requirements & Prescription Drug Name Drug Tier Limits leflunomide oral tablet 10 mg, 20 mg 1 methotrexate oral tablet 2.5 mg 1 methotrexate sodium (pf) injection solution 1 gm/40ml, 250 1 mg/10ml, 50 mg/2ml methotrexate sodium injection solution 250 mg/10ml, 50 mg/2ml 1 methotrexate sodium injection solution reconstituted 1 gm 1 methotrexate sodium oral tablet 2.5 mg 1 OLUMIANT ORAL TABLET 1 MG (baricitinib) 2 PA OLUMIANT ORAL TABLET 2 MG (baricitinib) 2 PA; SL (1 tablet per day); SP ORENCIA CLICKJECT SUBCUTANEOUS SOLUTION AUTO- PA; ST; SL (4 auto-injectors 3 INJECTOR 125 MG/ML (abatacept) per month); SP ORENCIA SUBCUTANEOUS SOLUTION PREFILLED PA; ST; SL (4 syringes per 3 SYRINGE 125 MG/ML (abatacept) month); SP ORENCIA SUBCUTANEOUS SOLUTION PREFILLED 3 PA; ST; SP SYRINGE 50 MG/0.4ML, 87.5 MG/0.7ML (abatacept) PA; SL (2 tablets per day); OTEZLA ORAL TABLET 30 MG (apremilast) 2 SP OTEZLA ORAL TABLET THERAPY PACK 10 & 20 & 30 MG PA; SL (55 tablets (one 2 (apremilast) starter pack) per year); SP penicillamine oral capsule 250 mg 4 SP penicillamine oral tablet 250 mg 2 SP RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR 10 ST; SL (0.8 ml (4 auto- 4 MG/0.2ML (methotrexate (anti-rheumatic)) injectors) per month) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR ST; SL (1 ml (4 auto- 4 12.5 MG/0.25ML (methotrexate (anti-rheumatic)) injectors) per month) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR 15 ST; SL (1.2 ml (4 auto- 4 MG/0.3ML (methotrexate (anti-rheumatic)) injectors) per month) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR ST; SL (1.4 ml (4 auto- 4 17.5 MG/0.35ML (methotrexate (anti-rheumatic)) injectors) per month) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR 20 ST; SL (1.6 ml (4 auto- 4 MG/0.4ML (methotrexate (anti-rheumatic)) injectors) per month) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR ST; SL (1.8 ml (4 auto- 4 22.5 MG/0.45ML (methotrexate (anti-rheumatic)) injectors) per month) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR 25 ST; SL (2 ml (4 auto- 4 MG/0.5ML (methotrexate (anti-rheumatic)) injectors) per month) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR 30 ST; SL (2.4 ml (4 auto- 4 MG/0.6ML (methotrexate (anti-rheumatic)) injectors) per month)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 201 Coverage Requirements & Prescription Drug Name Drug Tier Limits RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR 7.5 ST; SL (0.6 ml (4 auto- 4 MG/0.15ML (methotrexate (anti-rheumatic)) injectors) per month) RIDAURA ORAL CAPSULE 3 MG (auranofin) 3 SP RINVOQ ORAL TABLET EXTENDED RELEASE 24 HOUR 15 2 PA; SL (1 tablet per day); SP MG (upadacitinib) SANDIMMUNE ORAL SOLUTION 100 MG/ML (cyclosporine) 4 SIMPONI SUBCUTANEOUS SOLUTION AUTO-INJECTOR PA; SL (1 syringe per 21 2 100 MG/ML (golimumab) days); SP SIMPONI SUBCUTANEOUS SOLUTION AUTO-INJECTOR 50 PA; SL (0.5 ml (1 syringe) 2 MG/0.5ML (golimumab) per month); SP SIMPONI SUBCUTANEOUS SOLUTION PREFILLED PA; SL (1 syringe per 21 2 SYRINGE 100 MG/ML (golimumab) days); SP SIMPONI SUBCUTANEOUS SOLUTION PREFILLED PA; SL (0.5 ml (1 syringe) 2 SYRINGE 50 MG/0.5ML (golimumab) per month); SP STELARA SUBCUTANEOUS SOLUTION 45 MG/0.5ML 2 PA; SP (ustekinumab) STELARA SUBCUTANEOUS SOLUTION PREFILLED PA; SL (0.5 ml (1 prefilled 2 SYRINGE 45 MG/0.5ML (ustekinumab) syringe) per 3 months); SP STELARA SUBCUTANEOUS SOLUTION PREFILLED PA; SL (1 ml (1 prefilled 2 SYRINGE 90 MG/ML (ustekinumab) syringe) per 3 months); SP sulfasalazine oral tablet 500 mg 1 sulfasalazine oral tablet delayed release 500 mg 1 TREXALL ORAL TABLET 10 MG, 15 MG, 5 MG, 7.5 MG 2 (methotrexate sodium) XATMEP ORAL SOLUTION 2.5 MG/ML (methotrexate) 4 PA; SL (4 ml per day) PA; ST; SL (2 tablets per XELJANZ ORAL TABLET 10 MG, 5 MG (tofacitinib citrate) 2 day); SP XELJANZ XR ORAL TABLET EXTENDED RELEASE 24 HOUR PA; ST; SL (1 tablet per day); 2 11 MG (tofacitinib citrate) SP XELJANZ XR ORAL TABLET EXTENDED RELEASE 24 HOUR 2 PA; ST 22 MG (tofacitinib citrate) GONADOTROPIN-RELEASING HORMONE ANTAGNTS - Hormones FIRMAGON (240 MG DOSE) SUBCUTANEOUS SOLUTION 3 SP RECONSTITUTED 120 MG/VIAL (degarelix acetate) FIRMAGON SUBCUTANEOUS SOLUTION RECONSTITUTED 3 SP 80 MG (degarelix acetate)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 202 Coverage Requirements & Prescription Drug Name Drug Tier Limits IMMUNOMODULATORY AGENTS - DRUGS FOR THE IMMUNE SYSTEM ACTEMRA ACTPEN SUBCUTANEOUS SOLUTION AUTO- 3 SL (3.6 ml per 21 days); SP INJECTOR 162 MG/0.9ML (tocilizumab) ACTEMRA SUBCUTANEOUS SOLUTION PREFILLED PA; ST; SL (4 syringes (3.6 3 SYRINGE 162 MG/0.9ML (tocilizumab) ml) per month); SP ACTIMMUNE SUBCUTANEOUS SOLUTION 2000000 PA; SL (6.5 ml (13 vials) per 2 UNIT/0.5ML (interferon gamma-1b) month); SP ARAVA ORAL TABLET 10 MG, 20 MG (leflunomide) 4 AUBAGIO ORAL TABLET 14 MG, 7 MG (teriflunomide) 3 PA; SL (1 tablet per day) AVONEX PEN INTRAMUSCULAR AUTO-INJECTOR KIT 30 PA; SL (4 pens (1 box) per 2 MCG/0.5ML (interferon beta-1a) month); SP AVONEX PREFILLED INTRAMUSCULAR PREFILLED PA; SL (4 syringes (1 box) 2 SYRINGE KIT 30 MCG/0.5ML (interferon beta-1a) per month); SP AZASAN ORAL TABLET 100 MG, 75 MG (azathioprine) 3 azathioprine oral tablet 50 mg 1 AZULFIDINE EN-TABS ORAL TABLET DELAYED RELEASE 4 500 MG (sulfasalazine) AZULFIDINE ORAL TABLET 500 MG (sulfasalazine) 4 BETASERON SUBCUTANEOUS KIT 0.3 MG (interferon beta- 2 PA; SL (15 vials per month) 1b) CIMZIA PREFILLED KIT SUBCUTANEOUS KIT 2 X 200 PA; SL (1 kit per 21 days); 2 MG/ML (certolizumab pegol) SP CIMZIA STARTER KIT SUBCUTANEOUS KIT 6 X 200 MG/ML PA; SL (6 mL per 365 days); 2 (certolizumab pegol) SP cyclosporine modified oral capsule 100 mg, 25 mg, 50 mg 1 cyclosporine modified oral solution 100 mg/ml 1 cyclosporine oral capsule 100 mg, 25 mg 1 ENBREL MINI SUBCUTANEOUS SOLUTION CARTRIDGE 50 PA; ST; SL (0.15mg/ml per 4 MG/ML (etanercept) day); SP ENBREL SUBCUTANEOUS SOLUTION PREFILLED PA; ST; SL (0.15mg/ml per 4 SYRINGE 25 MG/0.5ML, 50 MG/ML (etanercept) day); SP ENBREL SUBCUTANEOUS SOLUTION RECONSTITUTED 25 PA; ST; SL (0.29mg per 4 MG (etanercept) day); SP ENBREL SURECLICK SUBCUTANEOUS SOLUTION AUTO- PA; ST; SL (0.15mg/ml per 4 INJECTOR 50 MG/ML (etanercept) day); SP cyclosporine modified (Gengraf Oral Capsule 100 Mg, 25 Mg) 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 203 Coverage Requirements & Prescription Drug Name Drug Tier Limits cyclosporine modified (Gengraf Oral Solution 100 Mg/Ml) 1 GILENYA ORAL CAPSULE 0.25 MG (fingolimod hcl) 3 GILENYA ORAL CAPSULE 0.5 MG (fingolimod hcl) 3 PA; SL (1 capsule per day) glatiramer acetate subcutaneous solution prefilled syringe 20 2 PA; SL (30 ml per month) mg/ml glatiramer acetate subcutaneous solution prefilled syringe 40 2 PA; SL (12 ml per 21 days) mg/ml glatiramer acetate (Glatopa Subcutaneous Solution Prefilled 4 PA; SL (30 ml per month) Syringe 20 Mg/Ml) glatiramer acetate (Glatopa Subcutaneous Solution Prefilled 4 PA; SL (12 ml per 21 days) Syringe 40 Mg/Ml) HUMIRA PEDIATRIC CROHNS START SUBCUTANEOUS PA; SL (3 syringes per year); 2 PREFILLED SYRINGE KIT 80 MG/0.8ML (adalimumab) SP HUMIRA PEDIATRIC CROHNS START SUBCUTANEOUS PREFILLED SYRINGE KIT 80 MG/0.8ML & 40MG/0.4ML 2 PA; SL (2 kits per year); SP (adalimumab) HUMIRA PEN SUBCUTANEOUS PEN-INJECTOR KIT 40 PA; SL (2 pens per month); 2 MG/0.4ML (adalimumab) SP HUMIRA PEN SUBCUTANEOUS PEN-INJECTOR KIT 40 PA; SL (2 syringes per 2 MG/0.8ML (adalimumab) month); SP HUMIRA PEN-CD/UC/HS STARTER SUBCUTANEOUS PEN- PA; SL (6 pens (1 kit) per 2 INJECTOR KIT 40 MG/0.8ML (adalimumab) year); SP HUMIRA PEN-CD/UC/HS STARTER SUBCUTANEOUS PEN- 2 PA; SL (3 pens per year); SP INJECTOR KIT 80 MG/0.8ML (adalimumab) HUMIRA PEN-PS/UV/ADOL HS START SUBCUTANEOUS PA; SL (4 pens (1 kit) per 2 PEN-INJECTOR KIT 40 MG/0.8ML (adalimumab) year); SP HUMIRA PEN-PS/UV/ADOL HS START SUBCUTANEOUS PEN-INJECTOR KIT 80 MG/0.8ML & 40MG/0.4ML 2 PA; SL (3 pens per year); SP (adalimumab) HUMIRA SUBCUTANEOUS PREFILLED SYRINGE KIT 10 PA; SL (2 syringes per MG/0.1ML, 10 MG/0.2ML, 20 MG/0.2ML, 20 MG/0.4ML, 40 2 month); SP MG/0.4ML (adalimumab) HUMIRA SUBCUTANEOUS PREFILLED SYRINGE KIT 40 PA; SL (2 syringes per 2 MG/0.8ML (adalimumab) month) hydroxychloroquine sulfate oral tablet 200 mg 1 SL (30 tablets per 90 days) INTRON A INJECTION SOLUTION 10000000 UNIT/ML, 4 PA; SP 6000000 UNIT/ML (interferon alfa-2b)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 204 Coverage Requirements & Prescription Drug Name Drug Tier Limits INTRON A INJECTION SOLUTION RECONSTITUTED 10000000 UNIT, 18000000 UNIT, 50000000 UNIT (interferon 4 PA; SP alfa-2b) KEVZARA SUBCUTANEOUS SOLUTION AUTO-INJECTOR PA; ST; SL (2.28 ml per 4 150 MG/1.14ML, 200 MG/1.14ML (sarilumab) month); SP KEVZARA SUBCUTANEOUS SOLUTION PREFILLED PA; ST; SL (2.28 ml per 4 SYRINGE 150 MG/1.14ML, 200 MG/1.14ML (sarilumab) month); SP KINERET SUBCUTANEOUS SOLUTION PREFILLED PA; SL (0.67 ml (1 syringe) 3 SYRINGE 100 MG/0.67ML (anakinra) per day); SP leflunomide oral tablet 10 mg, 20 mg 1 MAYZENT ORAL TABLET 0.25 MG (siponimod fumarate) 3 PA; SL (4 tablets per day) MAYZENT ORAL TABLET 2 MG (siponimod fumarate) 3 PA; SL (1 tablet per day) MAYZENT STARTER PACK ORAL TABLET THERAPY PACK PA; SL (12 tablets per 365 3 0.25 MG (siponimod fumarate) days) methotrexate oral tablet 2.5 mg 1 methotrexate sodium (pf) injection solution 1 gm/40ml, 250 1 mg/10ml, 50 mg/2ml methotrexate sodium injection solution 250 mg/10ml, 50 mg/2ml 1 methotrexate sodium injection solution reconstituted 1 gm 1 methotrexate sodium oral tablet 2.5 mg 1 OLUMIANT ORAL TABLET 1 MG (baricitinib) 2 PA OLUMIANT ORAL TABLET 2 MG (baricitinib) 2 PA; SL (1 tablet per day); SP ORENCIA CLICKJECT SUBCUTANEOUS SOLUTION AUTO- PA; ST; SL (4 auto-injectors 3 INJECTOR 125 MG/ML (abatacept) per month); SP ORENCIA SUBCUTANEOUS SOLUTION PREFILLED PA; ST; SL (4 syringes per 3 SYRINGE 125 MG/ML (abatacept) month); SP ORENCIA SUBCUTANEOUS SOLUTION PREFILLED 3 PA; ST; SP SYRINGE 50 MG/0.4ML, 87.5 MG/0.7ML (abatacept) PA; SL (2 tablets per day); OTEZLA ORAL TABLET 30 MG (apremilast) 2 SP OTEZLA ORAL TABLET THERAPY PACK 10 & 20 & 30 MG PA; SL (55 tablets (one 2 (apremilast) starter pack) per year); SP PLEGRIDY STARTER PACK SUBCUTANEOUS SOLUTION 3 PA; SL (1 ml per year); SP PEN-INJECTOR 63 & 94 MCG/0.5ML (peginterferon beta-1a) PLEGRIDY STARTER PACK SUBCUTANEOUS SOLUTION PREFILLED SYRINGE 63 & 94 MCG/0.5ML (peginterferon 3 PA; SL (1 ml per year); SP beta-1a)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 205 Coverage Requirements & Prescription Drug Name Drug Tier Limits PLEGRIDY SUBCUTANEOUS SOLUTION PEN-INJECTOR 3 PA; SL (1 ml per month); SP 125 MCG/0.5ML (peginterferon beta-1a) PLEGRIDY SUBCUTANEOUS SOLUTION PREFILLED 3 PA; SL (1 ml per month); SP SYRINGE 125 MCG/0.5ML (peginterferon beta-1a) POMALYST ORAL CAPSULE 1 MG, 2 MG, 3 MG, 4 MG PA; SL (21 capsules per 3 (pomalidomide) prescription); SP; CM RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR 10 ST; SL (0.8 ml (4 auto- 4 MG/0.2ML (methotrexate (anti-rheumatic)) injectors) per month) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR ST; SL (1 ml (4 auto- 4 12.5 MG/0.25ML (methotrexate (anti-rheumatic)) injectors) per month) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR 15 ST; SL (1.2 ml (4 auto- 4 MG/0.3ML (methotrexate (anti-rheumatic)) injectors) per month) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR ST; SL (1.4 ml (4 auto- 4 17.5 MG/0.35ML (methotrexate (anti-rheumatic)) injectors) per month) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR 20 ST; SL (1.6 ml (4 auto- 4 MG/0.4ML (methotrexate (anti-rheumatic)) injectors) per month) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR ST; SL (1.8 ml (4 auto- 4 22.5 MG/0.45ML (methotrexate (anti-rheumatic)) injectors) per month) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR 25 ST; SL (2 ml (4 auto- 4 MG/0.5ML (methotrexate (anti-rheumatic)) injectors) per month) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR 30 ST; SL (2.4 ml (4 auto- 4 MG/0.6ML (methotrexate (anti-rheumatic)) injectors) per month) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR 7.5 ST; SL (0.6 ml (4 auto- 4 MG/0.15ML (methotrexate (anti-rheumatic)) injectors) per month) REBIF REBIDOSE SUBCUTANEOUS SOLUTION AUTO- PA; ST; SL (6 ml (12 4 INJECTOR 22 MCG/0.5ML, 44 MCG/0.5ML (interferon beta-1a) syringes) per month); SP REBIF REBIDOSE TITRATION PACK SUBCUTANEOUS PA; ST; SL (4.2 mL (1 pack) SOLUTION AUTO-INJECTOR 6X8.8 & 6X22 MCG (interferon 4 per year); SP beta-1a) REBIF SUBCUTANEOUS SOLUTION PREFILLED SYRINGE PA; ST; SL (6 ml (12 4 22 MCG/0.5ML, 44 MCG/0.5ML (interferon beta-1a) syringes) per month); SP REBIF TITRATION PACK SUBCUTANEOUS SOLUTION PA; ST; SL (4.2 ml (1 pack) 4 PREFILLED SYRINGE 6X8.8 & 6X22 MCG (interferon beta-1a) per year); SP REVLIMID ORAL CAPSULE 10 MG, 2.5 MG, 5 MG PA; SL (28 capsules per 2 (lenalidomide) prescription); SP; CM REVLIMID ORAL CAPSULE 15 MG, 20 MG, 25 MG PA; SL (21 capsules per 2 (lenalidomide) prescription); SP; CM RIDAURA ORAL CAPSULE 3 MG (auranofin) 3 SP

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 206 Coverage Requirements & Prescription Drug Name Drug Tier Limits RINVOQ ORAL TABLET EXTENDED RELEASE 24 HOUR 15 2 PA; SL (1 tablet per day); SP MG (upadacitinib) SANDIMMUNE ORAL SOLUTION 100 MG/ML (cyclosporine) 4 SIMPONI SUBCUTANEOUS SOLUTION AUTO-INJECTOR PA; SL (1 syringe per 21 2 100 MG/ML (golimumab) days); SP SIMPONI SUBCUTANEOUS SOLUTION AUTO-INJECTOR 50 PA; SL (0.5 ml (1 syringe) 2 MG/0.5ML (golimumab) per month); SP SIMPONI SUBCUTANEOUS SOLUTION PREFILLED PA; SL (1 syringe per 21 2 SYRINGE 100 MG/ML (golimumab) days); SP SIMPONI SUBCUTANEOUS SOLUTION PREFILLED PA; SL (0.5 ml (1 syringe) 2 SYRINGE 50 MG/0.5ML (golimumab) per month); SP STELARA SUBCUTANEOUS SOLUTION 45 MG/0.5ML 2 PA; SP (ustekinumab) STELARA SUBCUTANEOUS SOLUTION PREFILLED PA; SL (0.5 ml (1 prefilled 2 SYRINGE 45 MG/0.5ML (ustekinumab) syringe) per 3 months); SP STELARA SUBCUTANEOUS SOLUTION PREFILLED PA; SL (1 ml (1 prefilled 2 SYRINGE 90 MG/ML (ustekinumab) syringe) per 3 months); SP sulfasalazine oral tablet 500 mg 1 sulfasalazine oral tablet delayed release 500 mg 1 PA; SL (60 capsules (1 TECFIDERA ORAL 120 & 240 MG (dimethyl fumarate) 2 starter pack) per 365 days) TECFIDERA ORAL CAPSULE DELAYED RELEASE 120 MG PA; SL (56 capsules per 2 (dimethyl fumarate) year) TECFIDERA ORAL CAPSULE DELAYED RELEASE 240 MG 2 PA; SL (2 capsules per day) (dimethyl fumarate) PA; SL (28 capsules per THALOMID ORAL CAPSULE 100 MG, 50 MG (thalidomide) 2 prescription); SP; CM PA; SL (56 capsules per THALOMID ORAL CAPSULE 150 MG, 200 MG (thalidomide) 2 prescription); SP; CM TREXALL ORAL TABLET 10 MG, 15 MG, 5 MG, 7.5 MG 2 (methotrexate sodium) XATMEP ORAL SOLUTION 2.5 MG/ML (methotrexate) 4 PA; SL (4 ml per day) PA; ST; SL (2 tablets per XELJANZ ORAL TABLET 10 MG, 5 MG (tofacitinib citrate) 2 day); SP XELJANZ XR ORAL TABLET EXTENDED RELEASE 24 HOUR PA; ST; SL (1 tablet per day); 2 11 MG (tofacitinib citrate) SP XELJANZ XR ORAL TABLET EXTENDED RELEASE 24 HOUR 2 PA; ST 22 MG (tofacitinib citrate)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 207 Coverage Requirements & Prescription Drug Name Drug Tier Limits IMMUNOSUPPRESSIVE AGENTS - Drugs for Transplant AZASAN ORAL TABLET 100 MG, 75 MG (azathioprine) 3 azathioprine oral tablet 50 mg 1 BENLYSTA SUBCUTANEOUS SOLUTION AUTO-INJECTOR 2 PA; SL (4 ml per month); SP 200 MG/ML (belimumab) BENLYSTA SUBCUTANEOUS SOLUTION PREFILLED 2 PA; SL (4 ml per month); SP SYRINGE 200 MG/ML (belimumab) cyclophosphamide oral capsule 25 mg, 50 mg 2 cyclosporine modified oral capsule 100 mg, 25 mg, 50 mg 1 cyclosporine modified oral solution 100 mg/ml 1 cyclosporine oral capsule 100 mg, 25 mg 1 ST; SL (30 grams per ELIDEL EXTERNAL CREAM 1 % (pimecrolimus) 4 prescription) everolimus oral tablet 0.25 mg, 0.5 mg, 0.75 mg 3 cyclosporine modified (Gengraf Oral Capsule 100 Mg, 25 Mg) 1 cyclosporine modified (Gengraf Oral Solution 100 Mg/Ml) 1 MAVENCLAD (10 TABS) ORAL TABLET THERAPY PACK 10 PA; ST; SL (40 tablets per 3 MG (cladribine) 720 days) MAVENCLAD (4 TABS) ORAL TABLET THERAPY PACK 10 PA; ST; SL (40 tablets per 3 MG (cladribine) 720 days) MAVENCLAD (5 TABS) ORAL TABLET THERAPY PACK 10 PA; ST; SL (40 tablets per 3 MG (cladribine) 720 days) MAVENCLAD (6 TABS) ORAL TABLET THERAPY PACK 10 PA; ST; SL (40 tablets per 3 MG (cladribine) 720 days) MAVENCLAD (7 TABS) ORAL TABLET THERAPY PACK 10 PA; ST; SL (40 tablets per 3 MG (cladribine) 720 days) MAVENCLAD (8 TABS) ORAL TABLET THERAPY PACK 10 PA; ST; SL (40 tablets per 3 MG (cladribine) 720 days) MAVENCLAD (9 TABS) ORAL TABLET THERAPY PACK 10 PA; ST; SL (40 tablets per 3 MG (cladribine) 720 days) mercaptopurine oral tablet 50 mg 1 methotrexate oral tablet 2.5 mg 1 methotrexate sodium (pf) injection solution 1 gm/40ml, 250 1 mg/10ml, 50 mg/2ml methotrexate sodium injection solution 250 mg/10ml, 50 mg/2ml 1 methotrexate sodium injection solution reconstituted 1 gm 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 208 Coverage Requirements & Prescription Drug Name Drug Tier Limits methotrexate sodium oral tablet 2.5 mg 1 mycophenolate mofetil oral capsule 250 mg 1 mycophenolate mofetil oral suspension reconstituted 200 mg/ml 1 mycophenolate mofetil oral tablet 500 mg 1 mycophenolate sodium oral tablet delayed release 180 mg, 360 2 mg ST; SL (30 grams per pimecrolimus external cream 1 % 3 prescription) PROGRAF ORAL CAPSULE 0.5 MG, 1 MG, 5 MG () 4 PROGRAF ORAL PACKET 0.2 MG, 1 MG (tacrolimus) 4 PA PURIXAN ORAL SUSPENSION 2000 MG/100ML 4 PA; SP (mercaptopurine) RAPAMUNE ORAL SOLUTION 1 MG/ML () 4 RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR 10 ST; SL (0.8 ml (4 auto- 4 MG/0.2ML (methotrexate (anti-rheumatic)) injectors) per month) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR ST; SL (1 ml (4 auto- 4 12.5 MG/0.25ML (methotrexate (anti-rheumatic)) injectors) per month) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR 15 ST; SL (1.2 ml (4 auto- 4 MG/0.3ML (methotrexate (anti-rheumatic)) injectors) per month) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR ST; SL (1.4 ml (4 auto- 4 17.5 MG/0.35ML (methotrexate (anti-rheumatic)) injectors) per month) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR 20 ST; SL (1.6 ml (4 auto- 4 MG/0.4ML (methotrexate (anti-rheumatic)) injectors) per month) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR ST; SL (1.8 ml (4 auto- 4 22.5 MG/0.45ML (methotrexate (anti-rheumatic)) injectors) per month) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR 25 ST; SL (2 ml (4 auto- 4 MG/0.5ML (methotrexate (anti-rheumatic)) injectors) per month) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR 30 ST; SL (2.4 ml (4 auto- 4 MG/0.6ML (methotrexate (anti-rheumatic)) injectors) per month) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR 7.5 ST; SL (0.6 ml (4 auto- 4 MG/0.15ML (methotrexate (anti-rheumatic)) injectors) per month) SANDIMMUNE ORAL SOLUTION 100 MG/ML (cyclosporine) 4 sirolimus oral solution 1 mg/ml 2 sirolimus oral tablet 0.5 mg, 1 mg, 2 mg 1 tacrolimus oral capsule 0.5 mg, 1 mg, 5 mg 1 TREXALL ORAL TABLET 10 MG, 15 MG, 5 MG, 7.5 MG 2 (methotrexate sodium)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 209 Coverage Requirements & Prescription Drug Name Drug Tier Limits XATMEP ORAL SOLUTION 2.5 MG/ML (methotrexate) 4 PA; SL (4 ml per day) ZORTRESS ORAL TABLET 0.25 MG, 0.5 MG, 0.75 MG 4 (everolimus) ZORTRESS ORAL TABLET 1 MG (everolimus) 3 OTHER MISCELLANEOUS THERAPEUTIC AGENTS acetylcysteine inhalation solution 10 %, 20 % 1 aminobenzoate potassium oral packet 2 gm 1 amino acids (Aminoreliefrms Oral Capsule) 1 ARCALYST SUBCUTANEOUS SOLUTION RECONSTITUTED PA; SL (4 syringes per 2 220 MG (rilonacept) month); SP CARDIOVID PLUS ORAL CAPSULE (dha-epa-vit b6-b12-folic 3 acid) CARNITOR ORAL SOLUTION 1 GM/10ML (levocarnitine) 4 CARNITOR ORAL TABLET 330 MG (levocarnitine) 4 CARNITOR SF ORAL SOLUTION 1 GM/10ML (levocarnitine) 4 CERDELGA ORAL CAPSULE 84 MG (eliglustat tartrate) 2 PA; SP cinacalcet hcl oral tablet 30 mg, 60 mg, 90 mg 3 PA CYSTADANE ORAL POWDER (betaine) 2 SP CYSTAGON ORAL CAPSULE 150 MG, 50 MG (cysteamine 2 SP bitartrate) PA; SL (2 tablets per day); dalfampridine er oral tablet extended release 12 hour 10 mg 2 SP DEMSER ORAL CAPSULE 250 MG (metyrosine) 3 ENDARI ORAL PACKET 5 GM (glutamine (sickle cell)) 4 PA; SL (6 packets per day) EVOTAZ ORAL TABLET 300-150 MG (atazanavir-cobicistat) 2 PA; ST; SL (8 tablets per FIRDAPSE ORAL TABLET 10 MG (amifampridine phosphate) 4 day); SP PA; SL (14 capsules per 21 GALAFOLD ORAL CAPSULE 123 MG (migalastat hcl) 4 days); SP GRASTEK SUBLINGUAL TABLET SUBLINGUAL 2800 BAU 4 PA; SL (1 tablet per day) (timothy grass pollen allergen) PA; SL (16 packets per day); KUVAN ORAL PACKET 100 MG (sapropterin dihydrochloride) 2 SP PA; SL (4 packets per day); KUVAN ORAL PACKET 500 MG (sapropterin dihydrochloride) 2 SP

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 210 Coverage Requirements & Prescription Drug Name Drug Tier Limits KUVAN ORAL TABLET SOLUBLE 100 MG (sapropterin PA; SL (16 tablets per day); 2 dihydrochloride) SP levocarnitine oral solution 1 gm/10ml 1 levocarnitine oral tablet 330 mg 1 levocarnitine sf oral solution 1 gm/10ml 1 miglustat oral capsule 100 mg 3 n-acetyl-l-cysteine oral capsule 600 mg 1 NICADAN ORAL TABLET (multiple vitamins-minerals) 3 NICAZEL FORTE ORAL TABLET (multiple vitamins-minerals) 3 NICAZEL ORAL TABLET (multiple vitamins-minerals) 3 NITYR ORAL TABLET 10 MG, 2 MG, 5 MG (nitisinone) 2 PA; SP octreotide acetate injection solution 100 mcg/ml, 1000 mcg/ml, 1 PA 200 mcg/ml, 50 mcg/ml, 500 mcg/ml ORALAIR ADULT SAMPLE KIT SUBLINGUAL TABLET 4 PA; SL (1 tablet per day) SUBLINGUAL 300 IR (grass mix pollens allergen ext) ORALAIR ADULT STARTER PACK SUBLINGUAL TABLET 4 PA; SL (1 tablet per day) SUBLINGUAL 300 IR (grass mix pollens allergen ext) ORALAIR CHILDRENS SAMPLE KIT SUBLINGUAL THERAPY 3 PACK 3 X 100 IR & 6 X 300 IR (grass mix pollens allergen ext) ORALAIR CHILDRENS STARTER PACK SUBLINGUAL 4 PA; SL (3 tablets per year) TABLET SUBLINGUAL 100 IR (grass mix pollens allergen ext) ORALAIR SUBLINGUAL TABLET SUBLINGUAL 300 IR (grass 4 PA; SL (1 tablet per day) mix pollens allergen ext) POTABA ORAL CAPSULE 500 MG (potassium 4 aminobenzoate) PREZCOBIX ORAL TABLET 800-150 MG (darunavir-cobicistat) 2 PROCYSBI ORAL CAPSULE DELAYED RELEASE 25 MG, 75 4 PA; ST; SP MG (cysteamine bitartrate) PROCYSBI ORAL PACKET 300 MG, 75 MG (cysteamine 4 bitartrate) RAGWITEK SUBLINGUAL TABLET SUBLINGUAL 12 AMB A 4 PA; SL (1 tablet per day) 1-U (short ragweed pollen ext) PA; SL (10 tablets per day); RUZURGI ORAL TABLET 10 MG (amifampridine) 2 SP SENSIPAR ORAL TABLET 30 MG, 60 MG, 90 MG (cinacalcet 4 PA hcl)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 211 Coverage Requirements & Prescription Drug Name Drug Tier Limits SYMTUZA ORAL TABLET 800-150-200-10 MG (darun-cobic- 3 SL (1 tablet per day) emtricit-tenofaf) THIOLA EC ORAL TABLET DELAYED RELEASE 100 MG, 300 3 SP MG (tiopronin) THIOLA ORAL TABLET 100 MG (tiopronin) 3 SP TYBOST ORAL TABLET 150 MG (cobicistat) 2 PA; SL (30 packets per XURIDEN ORAL PACKET 2 GM (uridine triacetate) 2 prescription); SP PROTECTIVE AGENTS ELMIRON ORAL CAPSULE 100 MG (pentosan polysulfate 2 sodium) MESNEX ORAL TABLET 400 MG (mesna) 3 SP; CM OXYTOCICS - Drugs for Women OXYTOCICS - Drugs for Women CERVIDIL VAGINAL INSERT 10 MG (dinoprostone) 3 methylergonovine maleate (Methergine Oral Tablet 0.2 Mg) 1 SL (28 tablets per year) methylergonovine maleate oral tablet 0.2 mg 1 SL (28 tablets per year) PREPIDIL VAGINAL GEL 0.5 MG/3GM (dinoprostone) 3 PROSTIN E2 VAGINAL SUPPOSITORY 20 MG (dinoprostone) 3 PHARMACEUTICAL AIDS PHARMACEUTICAL AIDS benzoin compound external tincture 1 BENZOIN EXTERNAL TINCTURE 3 COPASIL EXTERNAL GEL (scar treatment products) 3 PA external solution 10 % 1 FORMALDEHYDE EXTERNAL SOLUTION 37 % 3 L-ISOLEUCINE POWDER 3 PA monsels ferric subsulfate external solution 1 TURPENTINE EXTERNAL SPIRIT 3 RESPIRATORY TRACT AGENTS - Drugs for the Lungs ALPHA AND BETA ADRENERGIC AGONIST(RESPR) - Drugs for /COPD pseudoeph-bromphen-dm (Bromfed Dm Oral Syrup 30-2-10 1 Mg/5Ml)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 212 Coverage Requirements & Prescription Drug Name Drug Tier Limits epinephrine solution auto-injector 0.15 mg/0.3ml injection 0.15 SL (4 injections per 2 mg/0.3ml prescription) epinephrine solution auto-injector 0.3 mg/0.3ml injection 0.3 SL (2 injections per 2 mg/0.3ml prescription) pseudoephedrine-bromphen-dm oral syrup 30-2-10 mg/5ml 1 SEMPREX-D ORAL CAPSULE 8-60 MG (acrivastine- 3 pseudoephedrine) SYMJEPI INJECTION SOLUTION PREFILLED SYRINGE 0.15 2 SL (2 pens per prescription) MG/0.3ML, 0.3 MG/0.3ML (epinephrine) ANTICHOLINERGIC AGENTS (RESPIR.TRACT) - Drugs for Asthma/COPD ANORO ELLIPTA INHALATION AEROSOL POWDER BREATH ACTIVATED 62.5-25 MCG/INH (umeclidinium- 3 SL (2 blisters per day) vilanterol) ATROVENT HFA INHALATION AEROSOL SOLUTION 17 3 SL (0.87 grams per day) MCG/ACT (ipratropium bromide hfa) COMBIVENT RESPIMAT INHALATION AEROSOL SOLUTION 3 SL (0.28 grams per day) 20-100 MCG/ACT (ipratropium-albuterol) diphenoxylate-atropine oral liquid 2.5-0.025 mg/5ml 1 diphenoxylate-atropine oral tablet 2.5-0.025 mg 1 INCRUSE ELLIPTA INHALATION AEROSOL POWDER 2 SL (1 blister per day) BREATH ACTIVATED 62.5 MCG/INH (umeclidinium bromide) ipratropium bromide inhalation solution 0.02 % 1 ipratropium-albuterol inhalation solution 0.5-2.5 (3) mg/3ml 2 LOMOTIL ORAL TABLET 2.5-0.025 MG (diphenoxylate- 4 atropine) SPIRIVA HANDIHALER INHALATION CAPSULE 18 MCG 2 SL (1 capsule per day) (tiotropium bromide monohydrate) SPIRIVA RESPIMAT INHALATION AEROSOL SOLUTION 1.25 2 SL (0.15 grams per day) MCG/ACT, 2.5 MCG/ACT (tiotropium bromide monohydrate) TRELEGY ELLIPTA INHALATION AEROSOL POWDER BREATH ACTIVATED 100-62.5-25 MCG/INH (fluticasone- 3 SL (2 blisters per day) umeclidin-vilant) ANTIFIBROTIC AGENTS - Drugs for the Lungs PA; SL (9 capsules per day); ESBRIET ORAL CAPSULE 267 MG (pirfenidone) 2 SP PA; SL (9 tablets per day); ESBRIET ORAL TABLET 267 MG (pirfenidone) 2 SP

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 213 Coverage Requirements & Prescription Drug Name Drug Tier Limits PA; SL (3 tablets per day); ESBRIET ORAL TABLET 801 MG (pirfenidone) 2 SP PA; SL (2 capsules per day); OFEV ORAL CAPSULE 100 MG, 150 MG ( esylate) 4 SP ANTITUSSIVES - Drugs for and Cold benzonatate oral capsule 100 mg, 200 mg 1 pseudoeph-bromphen-dm (Bromfed Dm Oral Syrup 30-2-10 1 Mg/5Ml) codeine sulfate oral tablet 30 mg, 60 mg 1 GILTUSS TR ORAL TABLET 10-28-388 MG (phenylephrine- 3 dm-gg) guaiatussin ac oral syrup 100-10 mg/5ml 1 guaifenesin ac oral syrup 100-10 mg/5ml 1 hydrocodone polst-cpm polst er oral suspension extended 3 PA; SL (360 ml per month) release 10-8 mg/5ml PA; SL (120 mL per hydrocodone-homatropine oral syrup 5-1.5 mg/5ml 1 prescription and 360 ml per month) hydrocodone-homatropine oral tablet 5-1.5 mg 1 PA PA; SL (120 mL per hydromet oral syrup 5-1.5 mg/5ml 1 prescription and 360 ml per month) NEOTUSS PLUS ORAL LIQUID 7.5-4-30 MG/5ML 3 (phenylephrine-chlorphen-dm) NUEDEXTA ORAL CAPSULE 20-10 MG (dextromethorphan- 2 PA quinidine) promethazine-codeine oral solution 6.25-10 mg/5ml 1 PA; SL (360 ml per month) promethazine-codeine oral syrup 6.25-10 mg/5ml 1 PA; SL (360 ml per month) promethazine-dm oral syrup 6.25-15 mg/5ml 1 promethazine-phenyleph-codeine oral syrup 6.25-5-10 mg/5ml 1 PA; SL (360 ml per month) pseudoephedrine-bromphen-dm oral syrup 30-2-10 mg/5ml 1 TESSALON PERLES ORAL CAPSULE 100 MG (benzonatate) 4 PA; SL (10 capsules per TUSSICAPS ORAL CAPSULE EXTENDED RELEASE 12 3 prescription and 30 capsules HOUR 10-8 MG (hydrocod polst-chlorphen polst) per month) virtussin ac w/alc oral liquid 100-10 mg/5ml 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 214 Coverage Requirements & Prescription Drug Name Drug Tier Limits CYSTIC FIBROSIS (CFTR) CORRECTORS - Drugs for the Lungs ORKAMBI ORAL PACKET 100-125 MG, 150-188 MG PA; SL (2 packets per day); 2 (lumacaftor-ivacaftor) SP ORKAMBI ORAL TABLET 100-125 MG, 200-125 MG PA; SL (4 tablets per day); 2 (lumacaftor-ivacaftor) SP SYMDEKO ORAL TABLET THERAPY PACK 100-150 & 150 PA; SL (2 tablets per day); 2 MG (tezacaftor-ivacaftor) SP SYMDEKO ORAL TABLET THERAPY PACK 50-75 & 75 MG 2 PA; SL (2 tablets per day) (tezacaftor-ivacaftor) TRIKAFTA ORAL TABLET THERAPY PACK 100-50-75 & 150 PA; SL (3 tablets per day); 2 MG (elexacaftor-tezacaftor-ivacaft) SP CYSTIC FIBROSIS (CFTR) POTENTIATORS - Drugs for the Lungs PA; SL (2 packets per day); KALYDECO ORAL PACKET 25 MG, 50 MG, 75 MG (ivacaftor) 2 SP PA; SL (2 tablets per day); KALYDECO ORAL TABLET 150 MG (ivacaftor) 2 SP ORKAMBI ORAL PACKET 100-125 MG, 150-188 MG PA; SL (2 packets per day); 2 (lumacaftor-ivacaftor) SP ORKAMBI ORAL TABLET 100-125 MG, 200-125 MG PA; SL (4 tablets per day); 2 (lumacaftor-ivacaftor) SP SYMDEKO ORAL TABLET THERAPY PACK 100-150 & 150 PA; SL (2 tablets per day); 2 MG (tezacaftor-ivacaftor) SP SYMDEKO ORAL TABLET THERAPY PACK 50-75 & 75 MG 2 PA; SL (2 tablets per day) (tezacaftor-ivacaftor) TRIKAFTA ORAL TABLET THERAPY PACK 100-50-75 & 150 PA; SL (3 tablets per day); 2 MG (elexacaftor-tezacaftor-ivacaft) SP EXPECTORANTS - Drugs for the Lungs GILPHEX TR ORAL TABLET 10-388 MG (phenylephrine- 3 guaifenesin) GILTUSS TR ORAL TABLET 10-28-388 MG (phenylephrine- 3 dm-gg) guaiatussin ac oral syrup 100-10 mg/5ml 1 guaifenesin ac oral syrup 100-10 mg/5ml 1 IODINE STRONG ORAL SOLUTION 5 % 2 SSKI ORAL SOLUTION 1 GM/ML (potassium iodide 3 (expectorant))

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 215 Coverage Requirements & Prescription Drug Name Drug Tier Limits virtussin ac w/alc oral liquid 100-10 mg/5ml 1 FIRST GENERATION ANTIHIST.(RESPIR TRACT) - Drugs for Allergy pseudoeph-bromphen-dm (Bromfed Dm Oral Syrup 30-2-10 1 Mg/5Ml) brompheniramine tannate oral tablet chewable 12 mg 1 carbinoxamine maleate oral solution 4 mg/5ml 1 carbinoxamine maleate oral tablet 4 mg 1 clemastine fumarate oral tablet 2.68 mg 1 cyproheptadine hcl oral syrup 2 mg/5ml 1 cyproheptadine hcl oral tablet 4 mg 1 DICOPANOL FUSEPAQ ORAL SUSPENSION 3 PA RECONSTITUTED 5 MG/ML (diphenhydramine hcl) diphen oral elixir 12.5 mg/5ml 1 diphenhydramine hcl oral elixir 12.5 mg/5ml 1 duraxin oral capsule 300-200-20 mg 1 hydrocodone polst-cpm polst er oral suspension extended 3 PA; SL (360 ml per month) release 10-8 mg/5ml NEOTUSS PLUS ORAL LIQUID 7.5-4-30 MG/5ML 3 (phenylephrine-chlorphen-dm) promethazine hcl oral solution 6.25 mg/5ml 1 promethazine hcl oral syrup 6.25 mg/5ml 1 promethazine hcl oral tablet 12.5 mg, 25 mg, 50 mg 1 promethazine-codeine oral solution 6.25-10 mg/5ml 1 PA; SL (360 ml per month) promethazine-codeine oral syrup 6.25-10 mg/5ml 1 PA; SL (360 ml per month) promethazine-dm oral syrup 6.25-15 mg/5ml 1 promethazine-phenyleph-codeine oral syrup 6.25-5-10 mg/5ml 1 PA; SL (360 ml per month) promethazine-phenylephrine oral syrup 6.25-5 mg/5ml 1 pseudoephedrine-bromphen-dm oral syrup 30-2-10 mg/5ml 1 PA; SL (10 capsules per TUSSICAPS ORAL CAPSULE EXTENDED RELEASE 12 3 prescription and 30 capsules HOUR 10-8 MG (hydrocod polst-chlorphen polst) per month) ANTAGONISTS - Drugs for Inflammation DUPIXENT SUBCUTANEOUS SOLUTION PREFILLED PA; ST; SL (2 syringes per 4 SYRINGE 200 MG/1.14ML, 300 MG/2ML (dupilumab) month); SP

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 216 Coverage Requirements & Prescription Drug Name Drug Tier Limits FASENRA PEN SUBCUTANEOUS SOLUTION AUTO- 4 PA INJECTOR 30 MG/ML (benralizumab) NUCALA SUBCUTANEOUS SOLUTION AUTO-INJECTOR 100 PA; SL (0.035 mL per day); 4 MG/ML (mepolizumab) SP NUCALA SUBCUTANEOUS SOLUTION PREFILLED PA; SL (0.035 mL per day); 4 SYRINGE 100 MG/ML (mepolizumab) SP LEUKOTRIENE MODIFIERS - Drugs for Inflammation ACCOLATE ORAL TABLET 10 MG, 20 MG () 4 montelukast sodium oral packet 4 mg 2 montelukast sodium oral tablet 10 mg 1 montelukast sodium oral tablet chewable 4 mg, 5 mg 1 SINGULAIR ORAL PACKET 4 MG (montelukast sodium) 3 zafirlukast oral tablet 10 mg, 20 mg 1 zileuton er oral tablet extended release 12 hour 600 mg 3 ST ZYFLO ORAL TABLET 600 MG (zileuton) 4 ST MAST-CELL STABILIZERS - Drugs for Inflammation ALOCRIL OPHTHALMIC SOLUTION 2 % (nedocromil sodium) 3 cromolyn sodium inhalation nebulization solution 20 mg/2ml 1 cromolyn sodium ophthalmic solution 4 % 1 cromolyn sodium oral concentrate 100 mg/5ml 1 GASTROCROM ORAL CONCENTRATE 100 MG/5ML 4 (cromolyn sodium) MUCOLYTIC AGENTS - Drugs for the Lungs acetylcysteine inhalation solution 10 %, 20 % 1 PULMOZYME INHALATION SOLUTION 1 MG/ML (dornase 2 PA; SL (5 ml per day); SP alfa) NASAL PREPARATIONS () - Drugs for Inflammation flunisolide nasal solution 25 mcg/act (0.025%) 3 SL (16 grams (1 bottle) per fluticasone propionate nasal suspension 50 mcg/act 2 prescription) ZETONNA NASAL AEROSOL SOLUTION 37 MCG/ACT SL (6.1 grams per 3 (ciclesonide) prescription)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 217 Coverage Requirements & Prescription Drug Name Drug Tier Limits ORALLY INHALED PREPARATIONS (STEROIDS) - Drugs for Inflammation ADVAIR DISKUS INHALATION AEROSOL POWDER BREATH ACTIVATED 100-50 MCG/DOSE, 250-50 MCG/DOSE, 500-50 3 SL (2 blisters per day) MCG/DOSE (fluticasone-salmeterol) ADVAIR HFA INHALATION AEROSOL 115-21 MCG/ACT, 230- 3 SL (0.4 grams per day) 21 MCG/ACT, 45-21 MCG/ACT (fluticasone-salmeterol) ALVESCO INHALATION AEROSOL SOLUTION 160 MCG/ACT 1 SL (12.2 grams per month) (ciclesonide) ALVESCO INHALATION AEROSOL SOLUTION 80 MCG/ACT 1 SL (6.1 grams per month) (ciclesonide) ARNUITY ELLIPTA INHALATION AEROSOL POWDER BREATH ACTIVATED 100 MCG/ACT, 200 MCG/ACT 3 SL (1 blister per day) (fluticasone furoate) ARNUITY ELLIPTA INHALATION AEROSOL POWDER 3 SL (1 packet per day) BREATH ACTIVATED 50 MCG/ACT (fluticasone furoate) ASMANEX (120 METERED DOSES) INHALATION AEROSOL POWDER BREATH ACTIVATED 220 MCG/INH (mometasone 1 SL (1 box per 24 days) furoate) ASMANEX (14 METERED DOSES) INHALATION AEROSOL POWDER BREATH ACTIVATED 220 MCG/INH (mometasone 1 SL (1 box per 24 days) furoate) ASMANEX (30 METERED DOSES) INHALATION AEROSOL POWDER BREATH ACTIVATED 110 MCG/INH, 220 MCG/INH 1 SL (1 box per 24 days) (mometasone furoate) ASMANEX (60 METERED DOSES) INHALATION AEROSOL POWDER BREATH ACTIVATED 220 MCG/INH (mometasone 1 SL (1 box per 24 days) furoate) ASMANEX (7 METERED DOSES) INHALATION AEROSOL POWDER BREATH ACTIVATED 110 MCG/INH (mometasone 1 SL (1 box per 24 days) furoate) ASMANEX HFA INHALATION AEROSOL 100 MCG/ACT, 200 SL (13 grams (1 box) per 1 MCG/ACT (mometasone furoate) month) ASMANEX HFA INHALATION AEROSOL 50 MCG/ACT 1 (mometasone furoate) BREO ELLIPTA INHALATION AEROSOL POWDER BREATH 3 SL (2 inhalers per day) ACTIVATED 100-25 MCG/INH (fluticasone furoate-vilanterol) BREO ELLIPTA INHALATION AEROSOL POWDER BREATH 3 SL (2 blisters per day) ACTIVATED 200-25 MCG/INH (fluticasone furoate-vilanterol)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 218 Coverage Requirements & Prescription Drug Name Drug Tier Limits SL (120 ml (2 boxes) per 30 budesonide inhalation suspension 0.25 mg/2ml, 0.5 mg/2ml 2 days) SL (60 ml (1 box) per 30 budesonide inhalation suspension 1 mg/2ml 2 days) FLOVENT DISKUS INHALATION AEROSOL POWDER BREATH ACTIVATED 100 MCG/BLIST, 50 MCG/BLIST 3 SL (2 packages per day) (fluticasone propionate (inhal)) FLOVENT DISKUS INHALATION AEROSOL POWDER BREATH ACTIVATED 250 MCG/BLIST (fluticasone propionate 3 SL (4 packages per day) (inhal)) FLOVENT HFA INHALATION AEROSOL 110 MCG/ACT, 44 3 SL (1 inhaler per month) MCG/ACT (fluticasone propionate hfa) FLOVENT HFA INHALATION AEROSOL 220 MCG/ACT 3 SL (2 inhalers per month) (fluticasone propionate hfa) FLUTICASONE-SALMETEROL INHALATION AEROSOL POWDER BREATH ACTIVATED 113-14 MCG/ACT, 232-14 2 SL (0.04 mcg per day) MCG/ACT, 55-14 MCG/ACT PULMICORT FLEXHALER INHALATION AEROSOL POWDER ST; SL (2 inhalers per BREATH ACTIVATED 180 MCG/ACT, 90 MCG/ACT 4 month) (budesonide) QVAR REDIHALER INHALATION AEROSOL BREATH ACTIVATED 40 MCG/ACT, 80 MCG/ACT (beclomethasone 1 diprop hfa) SYMBICORT INHALATION AEROSOL 160-4.5 MCG/ACT, 80- 3 SL (0.34 grams per day) 4.5 MCG/ACT (budesonide-formoterol fumarate) TRELEGY ELLIPTA INHALATION AEROSOL POWDER BREATH ACTIVATED 100-62.5-25 MCG/INH (fluticasone- 3 SL (2 blisters per day) umeclidin-vilant) PHOSPHODIESTERASE TYPE 4 INHIBITORS - Drugs for the Lungs DALIRESP ORAL TABLET 250 MCG (roflumilast) 3 PA; SL (31 tablets per year) DALIRESP ORAL TABLET 500 MCG (roflumilast) 3 PA; SL (1 tablet per day) SECOND GENERATION ANTIHIST(RESPIR TRACT) - Drugs for Allergy levocetirizine dihydrochloride oral solution 2.5 mg/5ml 3 levocetirizine dihydrochloride oral tablet 5 mg 1 SEMPREX-D ORAL CAPSULE 8-60 MG (acrivastine- 3 pseudoephedrine)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 219 Coverage Requirements & Prescription Drug Name Drug Tier Limits SELECT.BETA-2-ADRENERGIC AGONIST(RESPIR) - Drugs for Asthma/COPD ADVAIR DISKUS INHALATION AEROSOL POWDER BREATH ACTIVATED 100-50 MCG/DOSE, 250-50 MCG/DOSE, 500-50 3 SL (2 blisters per day) MCG/DOSE (fluticasone-salmeterol) ADVAIR HFA INHALATION AEROSOL 115-21 MCG/ACT, 230- 3 SL (0.4 grams per day) 21 MCG/ACT, 45-21 MCG/ACT (fluticasone-salmeterol) albuterol sulfate er oral tablet extended release 12 hour 4 mg, 8 1 mg albuterol sulfate hfa aerosol solution 108 (90 base) mcg/act 1 inhalation 108 (90 base) mcg/act albuterol sulfate hfa aerosol solution 108 (90 base) mcg/act SL (8.5 grams per 3 inhalation 108 (90 base) mcg/act prescription) ALBUTEROL SULFATE HFA AEROSOL SOLUTION 108 (90 SL (6.7 grams per 3 BASE) MCG/ACT INHALATION 108 (90 BASE) MCG/ACT prescription) albuterol sulfate inhalation nebulization solution (2.5 mg/3ml) 0.083%, (5 mg/ml) 0.5%, 0.63 mg/3ml, 1.25 mg/3ml, 2.5 1 mg/0.5ml albuterol sulfate oral syrup 2 mg/5ml 1 albuterol sulfate oral tablet 2 mg, 4 mg 1 ANORO ELLIPTA INHALATION AEROSOL POWDER BREATH ACTIVATED 62.5-25 MCG/INH (umeclidinium- 3 SL (2 blisters per day) vilanterol) ARCAPTA NEOHALER INHALATION CAPSULE 75 MCG 3 SL (1 capsule per day) (indacaterol maleate) BEVESPI AEROSPHERE INHALATION AEROSOL 9-4.8 2 SL (0.36 grams per day) MCG/ACT (glycopyrrolate-formoterol) BREO ELLIPTA INHALATION AEROSOL POWDER BREATH 3 SL (2 inhalers per day) ACTIVATED 100-25 MCG/INH (fluticasone furoate-vilanterol) BREO ELLIPTA INHALATION AEROSOL POWDER BREATH 3 SL (2 blisters per day) ACTIVATED 200-25 MCG/INH (fluticasone furoate-vilanterol) BROVANA INHALATION NEBULIZATION SOLUTION 15 3 SL (2 nebules per day) MCG/2ML (arformoterol tartrate) COMBIVENT RESPIMAT INHALATION AEROSOL SOLUTION 3 SL (0.28 grams per day) 20-100 MCG/ACT (ipratropium-albuterol) FLUTICASONE-SALMETEROL INHALATION AEROSOL POWDER BREATH ACTIVATED 113-14 MCG/ACT, 232-14 2 SL (0.04 mcg per day) MCG/ACT, 55-14 MCG/ACT ipratropium-albuterol inhalation solution 0.5-2.5 (3) mg/3ml 2

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 220 Coverage Requirements & Prescription Drug Name Drug Tier Limits levalbuterol hcl inhalation nebulization solution 0.31 mg/3ml, 3 SL (90 ml per prescription) 0.63 mg/3ml, 1.25 mg/3ml levalbuterol hcl inhalation nebulization solution 1.25 mg/0.5ml 3 SL (30 vials per prescription) SL (15 grams per LEVALBUTEROL HFA INHALATION AEROSOL 45 MCG/ACT 3 prescription) metaproterenol sulfate oral syrup 10 mg/5ml 1 PERFOROMIST INHALATION NEBULIZATION SOLUTION 20 3 SL (2 vials per day) MCG/2ML (formoterol fumarate) PROAIR HFA INHALATION AEROSOL SOLUTION 108 (90 SL (8.5 grams per 3 BASE) MCG/ACT (albuterol sulfate) prescription) PROAIR RESPICLICK INHALATION AEROSOL POWDER SL (1 inhaler per BREATH ACTIVATED 108 (90 BASE) MCG/ACT (albuterol 3 prescription) sulfate) PROVENTIL HFA INHALATION AEROSOL SOLUTION 108 (90 SL (6.7 grams per 3 BASE) MCG/ACT (albuterol sulfate) prescription) SEREVENT DISKUS INHALATION AEROSOL POWDER 3 SL (2 blisters per day) BREATH ACTIVATED 50 MCG/DOSE (salmeterol xinafoate) STRIVERDI RESPIMAT INHALATION AEROSOL SOLUTION 2 SL (0.14 grams per day) 2.5 MCG/ACT (olodaterol hcl) SYMBICORT INHALATION AEROSOL 160-4.5 MCG/ACT, 80- 3 SL (0.34 grams per day) 4.5 MCG/ACT (budesonide-formoterol fumarate) terbutaline sulfate oral tablet 2.5 mg, 5 mg 1 TRELEGY ELLIPTA INHALATION AEROSOL POWDER BREATH ACTIVATED 100-62.5-25 MCG/INH (fluticasone- 3 SL (2 blisters per day) umeclidin-vilant) VENTOLIN HFA INHALATION AEROSOL SOLUTION 108 (90 SL (18 grams per 2 BASE) MCG/ACT (albuterol sulfate) prescription) XOPENEX HFA INHALATION AEROSOL 45 MCG/ACT SL (15 grams per 3 (levalbuterol tartrate) prescription) VASODILATING AGENTS (RESPIRATORY TRACT) - Drugs for the Lungs ADEMPAS ORAL TABLET 0.5 MG, 1 MG, 1.5 MG, 2 MG, 2.5 PA; SL (3 tablets per day); 2 MG (riociguat) SP PA; SL (2 tablets per day); tadalafil (pah) (Alyq Oral Tablet 20 Mg) 3 SP ambrisentan oral tablet 10 mg, 5 mg 2 PA; SL (1 tablet per day); SP PA; SL (2 tablets per day); bosentan oral tablet 125 mg, 62.5 mg 2 SP

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 221 Coverage Requirements & Prescription Drug Name Drug Tier Limits LETAIRIS ORAL TABLET 10 MG, 5 MG (ambrisentan) 4 PA; SL (1 tablet per day); SP OPSUMIT ORAL TABLET 10 MG (macitentan) 2 PA; SL (1 tablet per day); SP ORENITRAM ORAL TABLET EXTENDED RELEASE 0.125 PA; SL (6 tablets per day); 4 MG, 0.25 MG, 1 MG, 2.5 MG, 5 MG (treprostinil diolamine) SP REVATIO ORAL SUSPENSION RECONSTITUTED 10 MG/ML PA; SL (186 ml per month); 4 (sildenafil citrate) SP PA; SL (186 ml per month); sildenafil citrate oral suspension reconstituted 10 mg/ml 3 SP sildenafil citrate oral tablet 20 mg 1 SL (0.5 tablet per day) PA; SL (2 tablets per day); tadalafil (pah) oral tablet 20 mg 3 SP PA; SL (2 tablets per day); TRACLEER ORAL TABLET 125 MG, 62.5 MG (bosentan) 2 SP TRACLEER ORAL TABLET SOLUBLE 32 MG (bosentan) 2 PA; SP TYVASO INHALATION SOLUTION 0.6 MG/ML (treprostinil) 2 PA TYVASO REFILL INHALATION SOLUTION 0.6 MG/ML 2 PA (treprostinil) TYVASO STARTER INHALATION SOLUTION 0.6 MG/ML 2 PA (treprostinil) UPTRAVI ORAL TABLET 1000 MCG, 1200 MCG, 1400 MCG, PA; SL (2 tablets per day); 1600 MCG, 200 MCG, 400 MCG, 600 MCG, 800 MCG 4 SP (selexipag) UPTRAVI ORAL TABLET THERAPY PACK 200 & 800 MCG PA; SL (200 tablets per 4 (selexipag) year); SP VENTAVIS INHALATION SOLUTION 10 MCG/ML, 20 MCG/ML 2 PA; SP (iloprost) XANTHINE DERIVATIVES - Drugs for Asthma/COPD ELIXOPHYLLIN ORAL ELIXIR 80 MG/15ML (theophylline) 3 THEO-24 ORAL CAPSULE EXTENDED RELEASE 24 HOUR 3 100 MG, 200 MG, 300 MG, 400 MG (theophylline) theophylline er oral tablet extended release 12 hour 300 mg, 1 450 mg theophylline er oral tablet extended release 24 hour 400 mg, 1 600 mg theophylline oral solution 80 mg/15ml 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 222 Coverage Requirements & Prescription Drug Name Drug Tier Limits SKIN AND MUCOUS MEMBRANE AGENTS - Drugs for the Skin ANTIBACTERIALS (SKIN, MUCOUS MEMBRANE) - Drugs for the Skin SL (60 grams per ACZONE EXTERNAL GEL 5 % (dapsone) 4 prescription) SL (60 grams per ACZONE EXTERNAL GEL 7.5 % (dapsone) 3 prescription) SL (15 grams per ALTABAX EXTERNAL OINTMENT 1 % (retapamulin) 3 prescription) BENZAMYCIN EXTERNAL GEL 5-3 % (benzoyl peroxide- SL (23.3 grams per 2 erythromycin) prescription) SL (23.3 grams per benzoyl peroxide-erythromycin external gel 5-3 % 1 prescription) SL (22 grams per CENTANY EXTERNAL OINTMENT 2 % (mupirocin) 4 prescription) CLEOCIN VAGINAL CREAM 2 % (clindamycin phosphate) 4 CLEOCIN VAGINAL SUPPOSITORY 100 MG (clindamycin 2 phosphate) SL (30 grams (1 tube) per CLEOCIN-T EXTERNAL GEL 1 % (clindamycin phosphate) 4 prescription) CLEOCIN-T EXTERNAL LOTION 1 % (clindamycin phosphate) 4 clindamycin phosphate (Clindacin Etz External Swab 1 %) 1 clindamycin phosphate (Clindacin-P External Swab 1 %) 1 SL (1 bottle (45 grams) per clindamycin phos-benzoyl perox external gel 1.2-5 % 3 month) clindamycin phosphate external foam 1 % 3 SL (30 grams (1 tube) per clindamycin phosphate external gel 1 % 3 prescription) clindamycin phosphate external lotion 1 % 3 clindamycin phosphate external solution 1 % 1 SL (30 ml per prescription) clindamycin phosphate external swab 1 % 1 clindamycin phosphate vaginal cream 2 % 2 CLINDESSE VAGINAL CREAM 2 % (clindamycin phosphate (1 2 dose)) CORTISPORIN EXTERNAL CREAM 3.5-10000-0.5 (neomycin- 2 polymyxin-hc)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 223 Coverage Requirements & Prescription Drug Name Drug Tier Limits CORTISPORIN EXTERNAL OINTMENT 1 % (bacit-poly-neo 3 hc) SL (60 grams per dapsone gel 7.5 % external 7.5 % 1 prescription) ery external pad 2 % 1 ERYGEL EXTERNAL GEL 2 % (erythromycin) 3 erythromycin external gel 2 % 1 erythromycin external solution 2 % 1 EVOCLIN EXTERNAL FOAM 1 % (clindamycin phosphate) 4 gentamicin sulfate external cream 0.1 % 1 gentamicin sulfate external ointment 0.1 % 1 METROCREAM EXTERNAL CREAM 0.75 % (metronidazole) 4 METROLOTION EXTERNAL LOTION 0.75 % (metronidazole) 4 metronidazole external cream 0.75 % 1 metronidazole external gel 0.75 % 1 metronidazole external lotion 0.75 % 1 metronidazole vaginal gel 0.75 % 2 SL (15 grams per mupirocin calcium external cream 2 % 3 prescription) SL (22 grams per mupirocin external ointment 2 % 1 prescription) SL (1 bottle (45 grams) per clindamycin-benzoyl per (refr) (Neuac External Gel 1.2-5 %) 3 month) metronidazole (Rosadan External Cream 0.75 %) 1 metronidazole (Rosadan External Gel 0.75 %) 1 metronidazole (Vandazole Vaginal Gel 0.75 %) 2 XEPI EXTERNAL CREAM 1 % (ozenoxacin) 3 SL (30 g per prescription) ANTIFULGALS (SKIN, MUCOUS MEMBRANE),MISC - Drugs for the Skin exoderm external lotion 25-1 % 1 ANTI-INFLAMMATORY AGENTS (SKIN, MUCOUS) - Drugs for the Skin ALA SCALP EXTERNAL LOTION 2 % (hydrocortisone) 4 ala-cort external cream 2.5 % 1 alclometasone dipropionate external cream 0.05 % 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 224 Coverage Requirements & Prescription Drug Name Drug Tier Limits alclometasone dipropionate external ointment 0.05 % 1 amcinonide external cream 0.1 % 3 amcinonide external lotion 0.1 % 3 amcinonide external ointment 0.1 % 1 ANALPRAM HC EXTERNAL CREAM 2.5-1 % (hydrocortisone 4 ace-pramoxine) ANALPRAM HC SINGLES EXTERNAL CREAM 2.5-1 % 4 (hydrocortisone ace-pramoxine) ANALPRAM-HC EXTERNAL CREAM 1-1 % (hydrocortisone 4 ace-pramoxine) ANALPRAM-HC EXTERNAL LOTION 2.5-1 % (hydrocortisone 3 ace-pramoxine) anucort-hc rectal suppository 25 mg 2 ANUSOL-HC EXTERNAL CREAM 2.5 % (hydrocortisone) 4 APEXICON E EXTERNAL CREAM 0.05 % (diflorasone diacet SL (30 grams per 2 emoll base) prescription) ST; SL (60 ml per fluticasone propionate (Beser External Lotion 0.05 %) 3 prescription) betamethasone dipropionate aug external cream 0.05 % 1 betamethasone dipropionate aug external gel 0.05 % 1 betamethasone dipropionate aug external lotion 0.05 % 3 betamethasone dipropionate aug external ointment 0.05 % 3 betamethasone dipropionate external cream 0.05 % 2 betamethasone dipropionate external lotion 0.05 % 1 betamethasone dipropionate external ointment 0.05 % 2 betamethasone valerate external cream 0.1 % 1 betamethasone valerate external lotion 0.1 % 1 betamethasone valerate external ointment 0.1 % 1 SL (60 grams per calcipotriene-betameth diprop external ointment 0.005-0.064 % 3 prescription) CAPEX EXTERNAL SHAMPOO 0.01 % (fluocinolone 2 acetonide) SL (15 grams per clobetasol prop emollient base external cream 0.05 % 2 prescription) SL (15 grams per clobetasol propionate e external cream 0.05 % 2 prescription)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 225 Coverage Requirements & Prescription Drug Name Drug Tier Limits SL (15 grams per clobetasol propionate external cream 0.05 % 2 prescription) SL (15 grams per clobetasol propionate external gel 0.05 % 2 prescription) clobetasol propionate external liquid 0.05 % 1 SL (59 ml per prescription) SL (15 grams per clobetasol propionate external ointment 0.05 % 2 prescription) clobetasol propionate external solution 0.05 % 1 SL (25 ml per prescription) ST; SL (45 grams per clocortolone pivalate external cream 0.1 % 3 prescription) SL (15 grams per -betamethasone external cream 1-0.05 % 1 prescription) clotrimazole-betamethasone external lotion 1-0.05 % 1 hydrocortisone (Colocort Rectal Enema 100 Mg/60Ml) 1 CORDRAN EXTERNAL OINTMENT 0.05 % (flurandrenolide) 4 ST SL (1 packet per CORDRAN EXTERNAL TAPE 4 MCG/SQCM (flurandrenolide) 3 prescription) CORTENEMA RECTAL ENEMA 100 MG/60ML 4 (hydrocortisone) CORTIFOAM EXTERNAL FOAM 10 % (hydrocortisone acetate) 2 CORTISPORIN EXTERNAL CREAM 3.5-10000-0.5 (neomycin- 2 polymyxin-hc) CORTISPORIN EXTERNAL OINTMENT 1 % (bacit-poly-neo 3 hc) CUTIVATE EXTERNAL LOTION 0.05 % (fluticasone ST; SL (60 ml per 3 propionate) prescription) DERMA-SMOOTHE/FS BODY EXTERNAL OIL 0.01 % SL (118.28 ml per 4 (fluocinolone acetonide) prescription) DERMA-SMOOTHE/FS SCALP EXTERNAL OIL 0.01 % 4 (fluocinolone acetonide) ST; SL (60 grams per DESONATE EXTERNAL GEL 0.05 % (desonide) 3 prescription) SL (15 grams per desonide external cream 0.05 % 3 prescription) desonide external lotion 0.05 % 3 SL (60 ml per prescription) SL (15 grams per desonide external ointment 0.05 % 3 prescription)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 226 Coverage Requirements & Prescription Drug Name Drug Tier Limits SL (15 grams per DESOWEN EXTERNAL CREAM 0.05 % (desonide) 3 prescription) SL (15 grams per desoximetasone external cream 0.05 %, 0.25 % 1 prescription) SL (15 grams per desoximetasone external gel 0.05 % 3 prescription) SL (60 grams per desoximetasone external ointment 0.05 % 3 prescription) SL (15 grams per desoximetasone external ointment 0.25 % 3 prescription) SL (30 grams per diflorasone diacetate external cream 0.05 % 3 prescription) DIPROLENE AF EXTERNAL CREAM 0.05 % (betamethasone 4 dipropionate aug) DIPROLENE EXTERNAL OINTMENT 0.05 % (betamethasone 4 dipropionate aug) enovarx-ibuprofen external cream 10 % 1 PA enovarx-naproxen external cream 10 % 1 PA ENSTILAR EXTERNAL FOAM 0.005-0.064 % (calcipotriene- SL (60 grams per 4 betameth diprop) prescription) EPIFOAM EXTERNAL FOAM 1-1 % (pramoxine-hc) 2 ST; SL (60 grams per EUCRISA EXTERNAL OINTMENT 2 % (crisaborole) 3 prescription) SL (118.28 ml per fluocinolone acetonide body external oil 0.01 % 3 prescription) SL (15 grams per fluocinolone acetonide external cream 0.01 %, 0.025 % 3 prescription) SL (15 grams per fluocinolone acetonide external ointment 0.025 % 2 prescription) fluocinolone acetonide external solution 0.01 % 3 SL (60 ml per prescription) fluocinolone acetonide scalp external oil 0.01 % 3 fluocinonide emulsified base external cream 0.05 % 1 fluocinonide external cream 0.05 % 1 fluocinonide external gel 0.05 % 1 fluocinonide external ointment 0.05 % 1 fluocinonide external solution 0.05 % 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 227 Coverage Requirements & Prescription Drug Name Drug Tier Limits ST; SL (120 ml per flurandrenolide external cream 0.05 % 3 prescription) ST; SL (120 ml per flurandrenolide external lotion 0.05 % 3 prescription) flurandrenolide external ointment 0.05 % 3 ST fluticasone propionate external cream 0.05 % 1 ST; SL (60 ml per fluticasone propionate external lotion 0.05 % 3 prescription) fluticasone propionate external ointment 0.005 % 1 FROTEK EXTERNAL CREAM 10 % (ketoprofen) 3 PA ST; SL (30 grams per halcinonide external cream 0.1 % 3 prescription) SL (15 grams per halobetasol propionate external cream 0.05 % 2 prescription) SL (15 grams per halobetasol propionate external ointment 0.05 % 2 prescription) ST; SL (30 grams per HALOG EXTERNAL CREAM 0.1 % (halcinonide) 4 prescription) ST; SL (30 grams per HALOG EXTERNAL OINTMENT 0.1 % (halcinonide) 3 prescription) hydrocortisone acetate (Hemmorex-Hc Rectal Suppository 25 2 Mg) hemorrhoidal-hc rectal suppository 25 mg 2 hydrocortisone (perianal) external cream 1 %, 2.5 % 1 hydrocortisone ace-pramoxine external cream 1-1 %, 2.5-1 % 1 hydrocortisone acetate rectal suppository 25 mg, 30 mg 2 hydrocortisone butyrate external cream 0.1 % 1 hydrocortisone butyrate external ointment 0.1 % 1 hydrocortisone butyrate external solution 0.1 % 1 hydrocortisone external cream 2.5 % 1 hydrocortisone external lotion 2.5 % 1 hydrocortisone external ointment 1 %, 2.5 % 1 hydrocortisone rectal enema 100 mg/60ml 1 SL (15 grams per hydrocortisone valerate external cream 0.2 % 3 prescription)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 228 Coverage Requirements & Prescription Drug Name Drug Tier Limits SL (15 grams per hydrocortisone valerate external ointment 0.2 % 3 prescription) hydrocort-pramoxine (perianal) external cream 2.5-1 % 1 LOCOID EXTERNAL CREAM 0.1 % (hydrocortisone butyrate) 4 LOCOID EXTERNAL SOLUTION 0.1 % (hydrocortisone 4 butyrate) mometasone furoate external cream 0.1 % 1 mometasone furoate external ointment 0.1 % 1 mometasone furoate external solution 0.1 % 1 ST; SL (120 ml per flurandrenolide (Nolix External Cream 0.05 %) 3 prescription) ST; SL (120 ml per flurandrenolide (Nolix External Lotion 0.05 %) 3 prescription) NUCORT EXTERNAL LOTION 2 % (hydrocortisone acetate) 3 acetonide (Oralone Mouth/Throat Paste 0.1 %) 1 PANDEL EXTERNAL CREAM 0.1 % (hydrocortisone probutate) 3 pramosone external cream 1-1 % 1 PRAMOSONE EXTERNAL CREAM 1-2.5 % (pramoxine-hc) 3 PRAMOSONE EXTERNAL LOTION 1-1 %, 1-2.5 % 2 (pramoxine-hc) PRAMOSONE EXTERNAL OINTMENT 1-1 % (pramoxine-hc) 2 PRAMOSONE EXTERNAL OINTMENT 1-2.5 % (pramoxine-hc) 4 prednicarbate external cream 0.1 % 1 prednicarbate external ointment 0.1 % 1 PROCTOFOAM HC EXTERNAL FOAM 1-1 % (hydrocortisone 2 ace-pramoxine) hydrocortisone (Procto-Med Hc External Cream 2.5 %) 1 hydrocortisone (Procto-Pak External Cream 1 %) 1 hydrocortisone (Proctosol Hc External Cream 2.5 %) 1 hydrocortisone (Proctozone-Hc External Cream 2.5 %) 1 SL (30 grams per PSORCON EXTERNAL CREAM 0.05 % 3 prescription) SCALACORT DK EXTERNAL KIT 2 & 2-2 % (hc & sal acid- 3 sulfur & shampoo) TACLONEX EXTERNAL SUSPENSION 0.005-0.064 % SL (60 grams per 3 (calcipotriene-betameth diprop) prescription)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 229 Coverage Requirements & Prescription Drug Name Drug Tier Limits TEMOVATE EXTERNAL CREAM 0.05 % (clobetasol SL (15 grams per 4 propionate) prescription) TEMOVATE EXTERNAL OINTMENT 0.05 % (clobetasol SL (15 grams per 4 propionate) prescription) TEXACORT EXTERNAL SOLUTION 2.5 % (hydrocortisone) 2 TOPICORT EXTERNAL CREAM 0.05 %, 0.25 % SL (15 grams per 4 (desoximetasone) prescription) SL (15 grams per TOPICORT EXTERNAL GEL 0.05 % (desoximetasone) 4 prescription) SL (60 grams per TOPICORT EXTERNAL OINTMENT 0.05 % (desoximetasone) 4 prescription) SL (15 grams per TOPICORT EXTERNAL OINTMENT 0.25 % (desoximetasone) 4 prescription) SL (63 grams per triamcinolone acetonide external aerosol solution 0.147 mg/gm 2 prescription) triamcinolone acetonide external cream 0.025 %, 0.1 % 1 SL (15 grams per triamcinolone acetonide external cream 0.5 % 1 prescription) triamcinolone acetonide external lotion 0.025 %, 0.1 % 1 triamcinolone acetonide external ointment 0.025 %, 0.1 %, 0.5 1 % triamcinolone acetonide mouth/throat paste 0.1 % 1 triamcinolone acetonide (Triderm External Cream 0.1 %) 1 SL (15 grams per triamcinolone acetonide (Triderm External Cream 0.5 %) 1 prescription) SL (15 grams per TRIDESILON EXTERNAL CREAM 0.05 % (desonide) 3 prescription) ANTI-INFLAMMATORY AGENTS, MISC (SKIN) - Drugs for the Skin ST; SL (60 grams per EUCRISA EXTERNAL OINTMENT 2 % (crisaborole) 3 prescription) ANTIPRURITICS AND LOCAL ANESTHETICS - Drugs for the Skin ANALPRAM HC EXTERNAL CREAM 2.5-1 % (hydrocortisone 4 ace-pramoxine) ANALPRAM HC SINGLES EXTERNAL CREAM 2.5-1 % 4 (hydrocortisone ace-pramoxine)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 230 Coverage Requirements & Prescription Drug Name Drug Tier Limits ANALPRAM-HC EXTERNAL CREAM 1-1 % (hydrocortisone 4 ace-pramoxine) ANALPRAM-HC EXTERNAL LOTION 2.5-1 % (hydrocortisone 3 ace-pramoxine) PA; SL (45 grams per doxepin hcl external cream 5 % 1 prescription) enovarx-lidocaine hcl external cream 10 %, 5 % 1 PA EPIFOAM EXTERNAL FOAM 1-1 % (pramoxine-hc) 2 hydrocortisone ace-pramoxine external cream 1-1 %, 2.5-1 % 1 hydrocort-pramoxine (perianal) external cream 2.5-1 % 1 lets kit 1 PA lidocaine external ointment 5 % 2 SL (1.19 grams per day) lidocaine external patch 5 % 3 PA; SL (3 patches per day) lidocaine hcl external solution 4 % 1 lidocaine hcl mouth/throat solution 4 % 1 lidocaine-prilocaine cream 2.5-2.5 % external 2.5-2.5 % 1 lidocaine-prilocaine cream 2.5-2.5 % external 2.5-2.5 % 1 PA LIDOPIN EXTERNAL CREAM 3.25 % 4 LIDTOPIC MAX EXTERNAL CREAM 10 % (lidocaine hcl) 3 PA hcl (Phenazo Oral Tablet 200 Mg) 1 phenazopyridine hcl oral tablet 100 mg, 200 mg 1 pramosone external cream 1-1 % 1 PRAMOSONE EXTERNAL CREAM 1-2.5 % (pramoxine-hc) 3 PRAMOSONE EXTERNAL LOTION 1-1 %, 1-2.5 % 2 (pramoxine-hc) PRAMOSONE EXTERNAL OINTMENT 1-1 % (pramoxine-hc) 2 PRAMOSONE EXTERNAL OINTMENT 1-2.5 % (pramoxine-hc) 4 pramoxine hcl (Pramox External Gel 1 %) 1 PROCTOFOAM HC EXTERNAL FOAM 1-1 % (hydrocortisone 2 ace-pramoxine) PA; SL (45 grams per PRUDOXIN EXTERNAL CREAM 5 % (doxepin hcl (antipruritic)) 4 prescription) PYRIDIUM ORAL TABLET 100 MG, 200 MG (phenazopyridine 3 hcl) SYNVEXIA TC EXTERNAL CREAM 4-1 % 4

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 231 Coverage Requirements & Prescription Drug Name Drug Tier Limits PA; SL (45 grams per ZONALON EXTERNAL CREAM 5 % (doxepin hcl (antipruritic)) 4 prescription) ANTIVIRALS (SKIN AND MUCOUS MEMBRANE) - Drugs for the Skin PA; ST; SL (15 grams per acyclovir external ointment 5 % 4 prescription) ASTRINGENTS - Drugs for the Skin DRYSOL EXTERNAL SOLUTION 20 % (aluminum chloride) 4 AZOLES (SKIN AND MUCOUS MEMBRANE) - Drugs for the Skin clotrimazole mouth/throat lozenge 10 mg 1 clotrimazole mouth/throat troche 10 mg 1 SL (15 grams per clotrimazole-betamethasone external cream 1-0.05 % 1 prescription) clotrimazole-betamethasone external lotion 1-0.05 % 1 SL (15 grams per econazole nitrate external cream 1 % 2 prescription) EXELDERM EXTERNAL CREAM 1 % (sulconazole nitrate) 3 EXELDERM EXTERNAL SOLUTION 1 % (sulconazole nitrate) 3 SL (50 grams per EXTINA EXTERNAL FOAM 2 % (ketoconazole) 4 prescription) GYNAZOLE-1 VAGINAL CREAM 2 % (butoconazole nitrate (1 3 dose)) JUBLIA EXTERNAL SOLUTION 10 % (efinaconazole) 4 PA; ST; SL (4 ml per month) SL (30 grams per ketoconazole external cream 2 % 1 prescription) SL (50 grams per ketoconazole external foam 2 % 3 prescription) ketoconazole external shampoo 2 % 1 SL (50 grams per ketoconazole (Ketodan External Foam 2 %) 3 prescription) 3 vaginal suppository 200 mg 1 NIZORAL EXTERNAL SHAMPOO 2 % (ketoconazole) 4 ORAVIG BUCCAL TABLET 50 MG (miconazole) 3 PA; SL (30 grams per oxiconazole nitrate external cream 1 % 3 prescription)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 232 Coverage Requirements & Prescription Drug Name Drug Tier Limits PA; SL (30 grams per OXISTAT EXTERNAL CREAM 1 % (oxiconazole nitrate) 4 prescription) SULCONAZOLE NITRATE EXTERNAL CREAM 1 % 3 SULCONAZOLE NITRATE EXTERNAL SOLUTION 1 % 3 vaginal cream 0.4 %, 0.8 % 1 terconazole vaginal suppository 80 mg 1 XOLEGEL EXTERNAL GEL 2 % (ketoconazole) 3 BASIC OINTMENTS AND PROTECTANTS - Drugs for the Skin benzoin compound external tincture 1 HALUCORT EXTERNAL GEL (dermatological products, misc.) 3 MEDERMA SPF 30 EXTERNAL CREAM (scar treatment 3 PA products) BENZYLAMINES (SKIN AND MUCOUS MEMBRANE) - Drugs for the Skin MENTAX EXTERNAL CREAM 1 % (butenafine hcl) 3 CELL STIMULANTS AND PROLIFERANTS - Drugs for the Skin PA; SL (30 grams per REGRANEX EXTERNAL GEL 0.01 % (becaplermin) 2 prescription) PA; SL (20 grams per tretinoin external cream 0.025 %, 0.05 %, 0.1 % 3 prescription) CORTICOSTEROIDS (SKIN, MUCOUS MEMBRANE) - Drugs for the Skin ALA SCALP EXTERNAL LOTION 2 % (hydrocortisone) 4 ala-cort external cream 2.5 % 1 alclometasone dipropionate external cream 0.05 % 1 alclometasone dipropionate external ointment 0.05 % 1 amcinonide external cream 0.1 % 3 amcinonide external lotion 0.1 % 3 amcinonide external ointment 0.1 % 1 ANALPRAM HC EXTERNAL CREAM 2.5-1 % (hydrocortisone 4 ace-pramoxine) ANALPRAM HC SINGLES EXTERNAL CREAM 2.5-1 % 4 (hydrocortisone ace-pramoxine)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 233 Coverage Requirements & Prescription Drug Name Drug Tier Limits ANALPRAM-HC EXTERNAL CREAM 1-1 % (hydrocortisone 4 ace-pramoxine) ANALPRAM-HC EXTERNAL LOTION 2.5-1 % (hydrocortisone 3 ace-pramoxine) anucort-hc rectal suppository 25 mg 2 ANUSOL-HC EXTERNAL CREAM 2.5 % (hydrocortisone) 4 APEXICON E EXTERNAL CREAM 0.05 % (diflorasone diacet SL (30 grams per 2 emoll base) prescription) ST; SL (60 ml per fluticasone propionate (Beser External Lotion 0.05 %) 3 prescription) betamethasone dipropionate aug external cream 0.05 % 1 betamethasone dipropionate aug external gel 0.05 % 1 betamethasone dipropionate aug external lotion 0.05 % 3 betamethasone dipropionate aug external ointment 0.05 % 3 betamethasone dipropionate external cream 0.05 % 2 betamethasone dipropionate external lotion 0.05 % 1 betamethasone dipropionate external ointment 0.05 % 2 betamethasone valerate external cream 0.1 % 1 betamethasone valerate external lotion 0.1 % 1 betamethasone valerate external ointment 0.1 % 1 SL (60 grams per calcipotriene-betameth diprop external ointment 0.005-0.064 % 3 prescription) CAPEX EXTERNAL SHAMPOO 0.01 % (fluocinolone 2 acetonide) SL (15 grams per clobetasol prop emollient base external cream 0.05 % 2 prescription) SL (15 grams per clobetasol propionate e external cream 0.05 % 2 prescription) SL (15 grams per clobetasol propionate external cream 0.05 % 2 prescription) SL (15 grams per clobetasol propionate external gel 0.05 % 2 prescription) clobetasol propionate external liquid 0.05 % 1 SL (59 ml per prescription) SL (15 grams per clobetasol propionate external ointment 0.05 % 2 prescription) clobetasol propionate external solution 0.05 % 1 SL (25 ml per prescription)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 234 Coverage Requirements & Prescription Drug Name Drug Tier Limits ST; SL (45 grams per clocortolone pivalate external cream 0.1 % 3 prescription) SL (15 grams per clotrimazole-betamethasone external cream 1-0.05 % 1 prescription) clotrimazole-betamethasone external lotion 1-0.05 % 1 hydrocortisone (Colocort Rectal Enema 100 Mg/60Ml) 1 CORDRAN EXTERNAL OINTMENT 0.05 % (flurandrenolide) 4 ST SL (1 packet per CORDRAN EXTERNAL TAPE 4 MCG/SQCM (flurandrenolide) 3 prescription) CORTENEMA RECTAL ENEMA 100 MG/60ML 4 (hydrocortisone) CORTIFOAM EXTERNAL FOAM 10 % (hydrocortisone acetate) 2 CORTISPORIN EXTERNAL CREAM 3.5-10000-0.5 (neomycin- 2 polymyxin-hc) CORTISPORIN EXTERNAL OINTMENT 1 % (bacit-poly-neo 3 hc) CUTIVATE EXTERNAL LOTION 0.05 % (fluticasone ST; SL (60 ml per 3 propionate) prescription) DERMA-SMOOTHE/FS BODY EXTERNAL OIL 0.01 % SL (118.28 ml per 4 (fluocinolone acetonide) prescription) DERMA-SMOOTHE/FS SCALP EXTERNAL OIL 0.01 % 4 (fluocinolone acetonide) hydrocortisone-iodoquinol (Dermazene External Cream 1-1 %) 1 ST; SL (60 grams per DESONATE EXTERNAL GEL 0.05 % (desonide) 3 prescription) SL (15 grams per desonide external cream 0.05 % 3 prescription) desonide external lotion 0.05 % 3 SL (60 ml per prescription) SL (15 grams per desonide external ointment 0.05 % 3 prescription) SL (15 grams per DESOWEN EXTERNAL CREAM 0.05 % (desonide) 3 prescription) SL (15 grams per desoximetasone external cream 0.05 %, 0.25 % 1 prescription) SL (15 grams per desoximetasone external gel 0.05 % 3 prescription) SL (60 grams per desoximetasone external ointment 0.05 % 3 prescription)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 235 Coverage Requirements & Prescription Drug Name Drug Tier Limits SL (15 grams per desoximetasone external ointment 0.25 % 3 prescription) SL (30 grams per diflorasone diacetate external cream 0.05 % 3 prescription) DIPROLENE AF EXTERNAL CREAM 0.05 % (betamethasone 4 dipropionate aug) DIPROLENE EXTERNAL OINTMENT 0.05 % (betamethasone 4 dipropionate aug) ENSTILAR EXTERNAL FOAM 0.005-0.064 % (calcipotriene- SL (60 grams per 4 betameth diprop) prescription) EPIFOAM EXTERNAL FOAM 1-1 % (pramoxine-hc) 2 SL (118.28 ml per fluocinolone acetonide body external oil 0.01 % 3 prescription) SL (15 grams per fluocinolone acetonide external cream 0.01 %, 0.025 % 3 prescription) SL (15 grams per fluocinolone acetonide external ointment 0.025 % 2 prescription) fluocinolone acetonide external solution 0.01 % 3 SL (60 ml per prescription) fluocinolone acetonide scalp external oil 0.01 % 3 fluocinonide emulsified base external cream 0.05 % 1 fluocinonide external cream 0.05 % 1 fluocinonide external gel 0.05 % 1 fluocinonide external ointment 0.05 % 1 fluocinonide external solution 0.05 % 1 ST; SL (120 ml per flurandrenolide external cream 0.05 % 3 prescription) ST; SL (120 ml per flurandrenolide external lotion 0.05 % 3 prescription) flurandrenolide external ointment 0.05 % 3 ST fluticasone propionate external cream 0.05 % 1 ST; SL (60 ml per fluticasone propionate external lotion 0.05 % 3 prescription) fluticasone propionate external ointment 0.005 % 1 ST; SL (30 grams per halcinonide external cream 0.1 % 3 prescription) SL (15 grams per halobetasol propionate external cream 0.05 % 2 prescription)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 236 Coverage Requirements & Prescription Drug Name Drug Tier Limits SL (15 grams per halobetasol propionate external ointment 0.05 % 2 prescription) ST; SL (30 grams per HALOG EXTERNAL CREAM 0.1 % (halcinonide) 4 prescription) ST; SL (30 grams per HALOG EXTERNAL OINTMENT 0.1 % (halcinonide) 3 prescription) hydrocortisone acetate (Hemmorex-Hc Rectal Suppository 25 2 Mg) hydrocortisone (perianal) external cream 1 %, 2.5 % 1 hydrocortisone ace-pramoxine external cream 1-1 %, 2.5-1 % 1 hydrocortisone acetate rectal suppository 25 mg, 30 mg 2 hydrocortisone butyrate external cream 0.1 % 1 hydrocortisone butyrate external ointment 0.1 % 1 hydrocortisone butyrate external solution 0.1 % 1 hydrocortisone external cream 2.5 % 1 hydrocortisone external lotion 2.5 % 1 hydrocortisone external ointment 1 %, 2.5 % 1 hydrocortisone rectal enema 100 mg/60ml 1 SL (15 grams per hydrocortisone valerate external cream 0.2 % 3 prescription) SL (15 grams per hydrocortisone valerate external ointment 0.2 % 3 prescription) hydrocortisone-iodoquinol external cream 1-1 % 1 hydrocort-pramoxine (perianal) external cream 2.5-1 % 1 LOCOID EXTERNAL CREAM 0.1 % (hydrocortisone butyrate) 4 LOCOID EXTERNAL SOLUTION 0.1 % (hydrocortisone 4 butyrate) mometasone furoate external cream 0.1 % 1 mometasone furoate external ointment 0.1 % 1 mometasone furoate external solution 0.1 % 1 ST; SL (120 ml per flurandrenolide (Nolix External Cream 0.05 %) 3 prescription) ST; SL (120 ml per flurandrenolide (Nolix External Lotion 0.05 %) 3 prescription) NUCORT EXTERNAL LOTION 2 % (hydrocortisone acetate) 3 triamcinolone acetonide (Oralone Mouth/Throat Paste 0.1 %) 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 237 Coverage Requirements & Prescription Drug Name Drug Tier Limits PANDEL EXTERNAL CREAM 0.1 % (hydrocortisone probutate) 3 pramosone external cream 1-1 % 1 PRAMOSONE EXTERNAL CREAM 1-2.5 % (pramoxine-hc) 3 PRAMOSONE EXTERNAL LOTION 1-1 %, 1-2.5 % 2 (pramoxine-hc) PRAMOSONE EXTERNAL OINTMENT 1-1 % (pramoxine-hc) 2 PRAMOSONE EXTERNAL OINTMENT 1-2.5 % (pramoxine-hc) 4 prednicarbate external cream 0.1 % 1 prednicarbate external ointment 0.1 % 1 PROCTOFOAM HC EXTERNAL FOAM 1-1 % (hydrocortisone 2 ace-pramoxine) hydrocortisone (Procto-Med Hc External Cream 2.5 %) 1 hydrocortisone (Procto-Pak External Cream 1 %) 1 hydrocortisone (Proctosol Hc External Cream 2.5 %) 1 hydrocortisone (Proctozone-Hc External Cream 2.5 %) 1 SL (30 grams per PSORCON EXTERNAL CREAM 0.05 % 3 prescription) SCALACORT DK EXTERNAL KIT 2 & 2-2 % (hc & sal acid- 3 sulfur & shampoo) TACLONEX EXTERNAL SUSPENSION 0.005-0.064 % SL (60 grams per 3 (calcipotriene-betameth diprop) prescription) TEMOVATE EXTERNAL CREAM 0.05 % (clobetasol SL (15 grams per 4 propionate) prescription) TEMOVATE EXTERNAL OINTMENT 0.05 % (clobetasol SL (15 grams per 4 propionate) prescription) TEXACORT EXTERNAL SOLUTION 2.5 % (hydrocortisone) 2 TOPICORT EXTERNAL CREAM 0.05 %, 0.25 % SL (15 grams per 4 (desoximetasone) prescription) SL (15 grams per TOPICORT EXTERNAL GEL 0.05 % (desoximetasone) 4 prescription) SL (60 grams per TOPICORT EXTERNAL OINTMENT 0.05 % (desoximetasone) 4 prescription) SL (15 grams per TOPICORT EXTERNAL OINTMENT 0.25 % (desoximetasone) 4 prescription) SL (63 grams per triamcinolone acetonide external aerosol solution 0.147 mg/gm 2 prescription) triamcinolone acetonide external cream 0.025 %, 0.1 % 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 238 Coverage Requirements & Prescription Drug Name Drug Tier Limits SL (15 grams per triamcinolone acetonide external cream 0.5 % 1 prescription) triamcinolone acetonide external lotion 0.025 %, 0.1 % 1 triamcinolone acetonide external ointment 0.025 %, 0.1 %, 0.5 1 % triamcinolone acetonide mouth/throat paste 0.1 % 1 triamcinolone acetonide (Triderm External Cream 0.1 %) 1 SL (15 grams per triamcinolone acetonide (Triderm External Cream 0.5 %) 1 prescription) SL (15 grams per TRIDESILON EXTERNAL CREAM 0.05 % (desonide) 3 prescription) HYDROXYPYRIDONES (SKIN, MUCOUS MEMBRANE) - Drugs for the Skin ciclopirox (Ciclodan External Solution 8 %) 1 ciclopirox external gel 0.77 % 1 ciclopirox external shampoo 1 % 2 ciclopirox external solution 8 % 1 ciclopirox olamine external cream 0.77 % 1 ciclopirox olamine external suspension 0.77 % 1 KERATOLYTIC AGENTS - Drugs for the Skin silver nitrate-pot nitrate (Arzol Silver Nit Applicators External 75- 1 25 %) sulfacetamide sodium-sulfur (Avar Cleanser External Emulsion 1 10-5 %) sulfacetamide sodium-sulfur (Avar-E Emollient External Cream 3 10-5 %) sulfacetamide sodium-sulfur (Avar-E Green External Cream 10- 3 5 %) AVAR-E LS EXTERNAL CREAM 10-2 % (sulfacetamide 3 sodium-sulfur) BENZIQ WASH EXTERNAL LIQUID 5.25 % (benzoyl peroxide) 4 bp 10-1 external emulsion 10-1 % 1 bp cleansing wash external emulsion 10-4 % 1 urea (Cerovel External Lotion 40 %) 1 SL (1 bottle (45 grams) per clindamycin phos-benzoyl perox external gel 1.2-5 % 3 month)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 239 Coverage Requirements & Prescription Drug Name Drug Tier Limits GORDOFILM EXTERNAL SOLUTION 16.7-16.7 % (salicylic 2 acid-lactic acid) grafco silver nit applicator external 75-25 % 1 HYDRO 40 EXTERNAL FOAM 40 % (urea) 3 INOVA 4/1 ACNE CONTROL THERAPY EXTERNAL KIT 4 & 1 3 & 5 % (benzoyl perox-salicyl ac-vit e) INOVA 8/2 ACNE CONTROL THERAPY EXTERNAL KIT 8 & 2 3 & 5 % (benzoyl perox-salicyl ac-vit e) INOVA EXTERNAL KIT 4 & 5 %, 8 & 5 % (benzoyl peroxide- 3 vitamin e) LATRIX XM EXTERNAL EMULSION 45 % (urea in zn undecyl- 2 lactic acid) SL (1 bottle (45 grams) per clindamycin-benzoyl per (refr) (Neuac External Gel 1.2-5 %) 3 month) external cream 6 % 1 salicylic acid external lotion 6 % 1 salicylic acid external solution 26 % 1 salimez external cream 6 % 1 SALVAX DUO PLUS EXTERNAL KIT 6 & 35 % (salicylic acid- 3 urea in lactac) silver nitrate external solution 10 % 1 sss 10-5 external cream 10-5 % 1 sss 10-5 external foam 10-5 % 1 sulfacetamide sodium-sulfur external cream 10-2 %, 10-5 % 1 sulfacetamide sodium-sulfur external emulsion 10-5 % 1 sulfacetamide sodium-sulfur external liquid 9-4 %, 9-4.5 % 1 sulfacetamide sodium-sulfur external lotion 10-5 % 1 sulfacetamide sodium-sulfur external pad 10-4 % 1 sulfacetamide sodium-sulfur external suspension 10-5 % 1 sulfacetamide-sulfur in urea external emulsion 10-5 % 1 SUMAXIN EXTERNAL PAD 10-4 % (sulfacetamide sodium- 4 sulfur) SUMAXIN WASH EXTERNAL LIQUID 9-4 % (sulfacetamide 3 sodium-sulfur) urea external cream 40 %, 45 % 1 urea external lotion 40 % 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 240 Coverage Requirements & Prescription Drug Name Drug Tier Limits urea nail external gel 45 % 1 ZACARE EXTERNAL KIT 4 & 0.2 %, 8 & 0.2 % (benzoyl 3 peroxide-hyaluronate) zaclir cleansing external lotion 8 % 1 KERATOPLASTIC AGENTS - Drugs for the Skin COAL TAR EXTERNAL SOLUTION 20 % 3 LOCAL ANTI-INFECTIVES, MISCELLANEOUS - Drugs for the Skin ALCOHOL PREP PADS PAD , 70 % 3 sulfacetamide sodium-sulfur (Avar Cleanser External Emulsion 1 10-5 %) sulfacetamide sodium-sulfur (Avar-E Emollient External Cream 3 10-5 %) sulfacetamide sodium-sulfur (Avar-E Green External Cream 10- 3 5 %) AVAR-E LS EXTERNAL CREAM 10-2 % (sulfacetamide 3 sodium-sulfur) BENZALKONIUM CHLORIDE EXTERNAL SOLUTION 2 benzalkonium chloride external solution 50 % 1 bp 10-1 external emulsion 10-1 % 1 bp cleansing wash external emulsion 10-4 % 1 hydrocortisone-iodoquinol (Dermazene External Cream 1-1 %) 1 FEM PH VAGINAL GEL 0.9-0.025 % (acetic acid-oxyquinoline) 4 hydrocortisone-iodoquinol external cream 1-1 % 1 iodine tincture external tincture 2 % 1 KLARON EXTERNAL LOTION 10 % (sulfacetamide sodium 4 (acne)) mafenide acetate external packet 5 % 3 OVACE PLUS EXTERNAL CREAM 10 % (sulfacetamide 3 sodium) OVACE PLUS EXTERNAL SHAMPOO 10 % (sulfacetamide 3 sodium) OVACE PLUS WASH EXTERNAL GEL 10 % (sulfacetamide 3 sodium) OVACE PLUS WASH EXTERNAL LIQUID 10 % (sulfacetamide 4 sodium)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 241 Coverage Requirements & Prescription Drug Name Drug Tier Limits OVACE WASH EXTERNAL LIQUID 10 % (sulfacetamide 4 sodium) selenium external lotion 2.5 % 1 selenium sulfide external shampoo 2.25 % 4 SILVADENE EXTERNAL CREAM 1 % (silver sulfadiazine) 4 silver nitrate external solution 0.5 %, 25 %, 50 % 1 silver sulfadiazine external cream 1 % 1 sodium sulfacetamide external shampoo 10 % 1 sodium sulfacetamide wash liquid 10 % external 10 % 1 SODIUM SULFACETAMIDE WASH LIQUID 10 % EXTERNAL 3 10 % silver sulfadiazine (Ssd External Cream 1 %) 1 sss 10-5 external cream 10-5 % 1 sss 10-5 external foam 10-5 % 1 sulfacetamide sodium (acne) external lotion 10 % 1 sulfacetamide sodium external gel 10 % (cleans) 1 sulfacetamide sodium external liquid 10 % 1 sulfacetamide sodium-sulfur external cream 10-2 %, 10-5 % 1 sulfacetamide sodium-sulfur external emulsion 10-5 % 1 sulfacetamide sodium-sulfur external liquid 9-4 %, 9-4.5 % 1 sulfacetamide sodium-sulfur external lotion 10-5 % 1 sulfacetamide sodium-sulfur external pad 10-4 % 1 sulfacetamide sodium-sulfur external suspension 10-5 % 1 sulfacetamide-sulfur in urea external emulsion 10-5 % 1 SULFAMYLON EXTERNAL CREAM 85 MG/GM (mafenide 3 acetate) SULFAMYLON EXTERNAL PACKET 5 % (mafenide acetate) 4 SUMAXIN EXTERNAL PAD 10-4 % (sulfacetamide sodium- 4 sulfur) SUMAXIN WASH EXTERNAL LIQUID 9-4 % (sulfacetamide 3 sodium-sulfur) NONSTEROIDAL ANTI-INFLAMMAT.AGENTS(SKIN) - Drugs for the Skin diclofenac sodium transdermal gel 1 % 2

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 242 Coverage Requirements & Prescription Drug Name Drug Tier Limits PA; SL (100 grams per diclofenac sodium transdermal gel 3 % 3 prescription) enovarx-ibuprofen external cream 10 % 1 PA enovarx-naproxen external cream 10 % 1 PA FROTEK EXTERNAL CREAM 10 % (ketoprofen) 3 PA VOLTAREN TRANSDERMAL GEL 1 % (diclofenac sodium) 2 OXABOROLES - Drugs for the Skin KERYDIN EXTERNAL SOLUTION 5 % (tavaborole) 4 PA; ST; SL (4 ml per month) PIGMENTING AGENTS - Drugs for the Skin methoxsalen rapid oral capsule 10 mg 1 OXSORALEN ULTRA ORAL CAPSULE 10 MG (methoxsalen 3 rapid) POLYENES (SKIN AND MUCOUS MEMBRANE) - Drugs for the Skin nystatin (Nyamyc External Powder 100000 Unit/Gm) 1 nystatin external cream 100000 unit/gm 1 nystatin external ointment 100000 unit/gm 1 nystatin external powder 100000 unit/gm 1 nystatin (Nystop External Powder 100000 Unit/Gm) 1 SCABICIDES AND PEDICULICIDES - Drugs for the Skin crotan external lotion 10 % 2 ELIMITE EXTERNAL CREAM 5 % () 4 lindane external shampoo 1 % 1 SL (60 ml per prescription) malathion external lotion 0.5 % 1 OVIDE EXTERNAL LOTION 0.5 % (malathion) 4 permethrin external cream 5 % 1 SL (117 grams (1 bottle) per SKLICE EXTERNAL LOTION 0.5 % (ivermectin) 4 prescription) spinosad external suspension 0.9 % 3 SKIN AND MUCOUS MEMBRANE AGENTS, MISC. - Drugs for the Skin acitretin oral capsule 10 mg, 17.5 mg, 25 mg 1 SL (60 grams per ACZONE EXTERNAL GEL 5 % (dapsone) 4 prescription)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 243 Coverage Requirements & Prescription Drug Name Drug Tier Limits SL (60 grams per ACZONE EXTERNAL GEL 7.5 % (dapsone) 3 prescription) SL (12 packets per ALDARA EXTERNAL CREAM 5 % (imiquimod) 4 prescription) AMELUZ EXTERNAL GEL 10 % (aminolevulinic acid hcl) 3 isotretinoin (Amnesteem Oral Capsule 10 Mg, 20 Mg, 40 Mg) 2 ARTISS EXTERNAL SOLUTION (fibrin sealant component) 3 azelaic acid external gel 15 % 3 SL (30 grams per AZELEX EXTERNAL CREAM 20 % (azelaic acid) 3 prescription) balsam peru-castor oil external ointment 1 BENZOIN EXTERNAL TINCTURE 3 SL (60 grams per calcipotriene external cream 0.005 % 2 prescription) calcipotriene external ointment 0.005 % 2 calcipotriene external solution 0.005 % 1 SL (60 mL per prescription) SL (60 grams per calcipotriene-betameth diprop external ointment 0.005-0.064 % 3 prescription) calcipotriene (Calcitrene External Ointment 0.005 %) 3 SL (100 grams per calcitriol external ointment 3 mcg/gm 1 prescription) CARAC EXTERNAL CREAM 0.5 % (fluorouracil) 2 isotretinoin (Claravis Oral Capsule 10 Mg, 20 Mg, 30 Mg, 40 2 Mg) CONDYLOX EXTERNAL GEL 0.5 % (podofilox) 3 COSENTYX (300 MG DOSE) SUBCUTANEOUS SOLUTION PA; ST; SL (2 ml (2 Pens) 3 PREFILLED SYRINGE 150 MG/ML (secukinumab) per month); SP COSENTYX 150 MG/ML SUBCUTANEOUS SOLUTION PA; ST; SL (2 ml (2 Pens) 3 PREFILLED SYRINGE 150 MG/ML (secukinumab) per month); SP COSENTYX SENSOREADY (300 MG) SUBCUTANEOUS PA; ST; SL (2 ml (2 Pens) 3 SOLUTION AUTO-INJECTOR 150 MG/ML (secukinumab) per month); SP COSENTYX SENSOREADY PEN SUBCUTANEOUS PA; ST; SL (2 ml (2 Pens) 3 SOLUTION AUTO-INJECTOR 150 MG/ML (secukinumab) per month); SP SL (60 grams per dapsone gel 7.5 % external 7.5 % 1 prescription) DEBACTEROL MOUTH/THROAT SOLUTION 30-50 % (sulfuric 2 acid-sulf phenolics)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 244 Coverage Requirements & Prescription Drug Name Drug Tier Limits diclofenac sodium transdermal gel 1 % 2 PA; SL (100 grams per diclofenac sodium transdermal gel 3 % 3 prescription) SL (60 grams per DOVONEX EXTERNAL CREAM 0.005 % (calcipotriene) 4 prescription) DUPIXENT SUBCUTANEOUS SOLUTION PREFILLED PA; ST; SL (2 syringes per 4 SYRINGE 200 MG/1.14ML, 300 MG/2ML (dupilumab) month); SP EFUDEX EXTERNAL CREAM 5 % (fluorouracil) 4 ST; SL (30 grams per ELIDEL EXTERNAL CREAM 1 % (pimecrolimus) 4 prescription) ENBREL MINI SUBCUTANEOUS SOLUTION CARTRIDGE 50 PA; ST; SL (0.15mg/ml per 4 MG/ML (etanercept) day); SP ENBREL SUBCUTANEOUS SOLUTION PREFILLED PA; ST; SL (0.15mg/ml per 4 SYRINGE 25 MG/0.5ML, 50 MG/ML (etanercept) day); SP ENBREL SUBCUTANEOUS SOLUTION RECONSTITUTED 25 PA; ST; SL (0.29mg per 4 MG (etanercept) day); SP ENBREL SURECLICK SUBCUTANEOUS SOLUTION AUTO- PA; ST; SL (0.15mg/ml per 4 INJECTOR 50 MG/ML (etanercept) day); SP enovarx-baclofen external cream 1 % 1 PA enovarx-cyclobenzaprine hcl transdermal cream 20 mg/gm 1 PA ENSTILAR EXTERNAL FOAM 0.005-0.064 % (calcipotriene- SL (60 grams per 4 betameth diprop) prescription) FINACEA EXTERNAL FOAM 15 % (azelaic acid) 4 FINACEA EXTERNAL GEL 15 % (azelaic acid) 4 FIRST-MOUTHWASH BLM MOUTH/THROAT SUSPENSION 3 PA (dph-lido-alhydr-mghydr-simeth) FLUOROPLEX EXTERNAL CREAM 1 % (fluorouracil) 4 FLUOROURACIL EXTERNAL CREAM 0.5 % 4 fluorouracil external cream 5 % 1 fluorouracil external solution 2 %, 5 % 1 formaldehyde external solution 10 % 1 HUMIRA PEDIATRIC CROHNS START SUBCUTANEOUS PA; SL (3 syringes per year); 2 PREFILLED SYRINGE KIT 80 MG/0.8ML (adalimumab) SP HUMIRA PEN SUBCUTANEOUS PEN-INJECTOR KIT 40 PA; SL (2 pens per month); 2 MG/0.4ML (adalimumab) SP HUMIRA PEN SUBCUTANEOUS PEN-INJECTOR KIT 40 PA; SL (2 syringes per 2 MG/0.8ML (adalimumab) month); SP

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 245 Coverage Requirements & Prescription Drug Name Drug Tier Limits HUMIRA PEN-CD/UC/HS STARTER SUBCUTANEOUS PEN- PA; SL (6 pens (1 kit) per 2 INJECTOR KIT 40 MG/0.8ML (adalimumab) year); SP HUMIRA PEN-CD/UC/HS STARTER SUBCUTANEOUS PEN- 2 PA; SL (3 pens per year); SP INJECTOR KIT 80 MG/0.8ML (adalimumab) HUMIRA PEN-PS/UV/ADOL HS START SUBCUTANEOUS PA; SL (4 pens (1 kit) per 2 PEN-INJECTOR KIT 40 MG/0.8ML (adalimumab) year); SP HUMIRA PEN-PS/UV/ADOL HS START SUBCUTANEOUS PEN-INJECTOR KIT 80 MG/0.8ML & 40MG/0.4ML 2 PA; SL (3 pens per year); SP (adalimumab) HUMIRA SUBCUTANEOUS PREFILLED SYRINGE KIT 10 PA; SL (2 syringes per MG/0.1ML, 10 MG/0.2ML, 20 MG/0.2ML, 20 MG/0.4ML, 40 2 month); SP MG/0.4ML (adalimumab) HUMIRA SUBCUTANEOUS PREFILLED SYRINGE KIT 40 PA; SL (2 syringes per 2 MG/0.8ML (adalimumab) month) SL (12 packets per imiquimod external cream 5 % 1 prescription) isotretinoin oral capsule 10 mg, 20 mg, 30 mg, 40 mg 2 ST; SL (45 grams per ivermectin external cream 1 % 3 prescription) LEVULAN KERASTICK EXTERNAL SOLUTION 3 RECONSTITUTED 20 % (aminolevulinic acid hcl) MEDROX-RX EXTERNAL OINTMENT 0.05-7-20 % (capsaicin- 3 -methyl sal) SL (30 grams per MIRVASO EXTERNAL GEL 0.33 % (brimonidine tartrate) 4 prescription) isotretinoin (Myorisan Oral Capsule 10 Mg, 20 Mg, 30 Mg, 40 2 Mg) NEURAPTINE EXTERNAL CREAM 10 % (gabapentin) 3 PA PA; SL (2 tablets per day); OTEZLA ORAL TABLET 30 MG (apremilast) 2 SP OTEZLA ORAL TABLET THERAPY PACK 10 & 20 & 30 MG PA; SL (55 tablets (one 2 (apremilast) starter pack) per year); SP PANRETIN EXTERNAL GEL 0.1 % (alitretinoin) 3 PICATO EXTERNAL GEL 0.015 % (ingenol mebutate) 3 SL (3 grams per prescription) SL (1 carton (2 tubes) per PICATO EXTERNAL GEL 0.05 % (ingenol mebutate) 3 prescription) ST; SL (30 grams per pimecrolimus external cream 1 % 3 prescription)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 246 Coverage Requirements & Prescription Drug Name Drug Tier Limits podocon external solution 25 % 1 podofilox external solution 0.5 % 1 PYROGALLIC ACID EXTERNAL OINTMENT 25-2 % 2 RECTIV RECTAL OINTMENT 0.4 % (nitroglycerin) 3 SL (30 grams per month) PA; SL (30 grams per REGRANEX EXTERNAL GEL 0.01 % (becaplermin) 2 prescription) PA; SL (30 grams per RHOFADE EXTERNAL CREAM 1 % (oxymetazoline hcl) 4 prescription) SL (60 grams per SANTYL EXTERNAL OINTMENT 250 UNIT/GM (collagenase) 3 prescription) SKYRIZI (150 MG DOSE) SUBCUTANEOUS PREFILLED PA; SL (1 box per 3 months); 2 SYRINGE KIT 75 MG/0.83ML (risankizumab-rzaa) SP ST; SL (45 grams per SOOLANTRA EXTERNAL CREAM 1 % (ivermectin) 4 prescription) SORIATANE ORAL CAPSULE 10 MG, 25 MG (acitretin) 4 STELARA SUBCUTANEOUS SOLUTION 45 MG/0.5ML 2 PA; SP (ustekinumab) STELARA SUBCUTANEOUS SOLUTION PREFILLED PA; SL (0.5 ml (1 prefilled 2 SYRINGE 45 MG/0.5ML (ustekinumab) syringe) per 3 months); SP STELARA SUBCUTANEOUS SOLUTION PREFILLED PA; SL (1 ml (1 prefilled 2 SYRINGE 90 MG/ML (ustekinumab) syringe) per 3 months); SP TACLONEX EXTERNAL SUSPENSION 0.005-0.064 % SL (60 grams per 3 (calcipotriene-betameth diprop) prescription) ST; SL (30 grams per tacrolimus external ointment 0.03 %, 0.1 % 2 prescription) SL (60 grams per TARGRETIN EXTERNAL GEL 1 % (bexarotene) 3 prescription); SP PA; SL (30 grams per TAZORAC EXTERNAL CREAM 0.05 %, 0.1 % (tazarotene) 4 prescription) PA; SL (30 grams per TAZORAC EXTERNAL GEL 0.05 %, 0.1 % (tazarotene) 4 prescription) TISSEEL EXTERNAL KIT 10 ML, 2 ML, 4 ML (fibrin sealant 3 component) TISSEEL EXTERNAL SOLUTION (fibrin sealant component) 3 TREMFYA SUBCUTANEOUS SOLUTION PEN-INJECTOR 100 PA; SL (1 ml per 42 days); 2 MG/ML (guselkumab) SP TREMFYA SUBCUTANEOUS SOLUTION PREFILLED PA; SL (2 ml per 2 months); 2 SYRINGE 100 MG/ML (guselkumab) SP

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 247 Coverage Requirements & Prescription Drug Name Drug Tier Limits TRI-CHLOR EXTERNAL LIQUID 80 % (trichloroacetic acid) 2 VALCHLOR EXTERNAL GEL 0.016 % (mechlorethamine hcl PA; SL (120 grams per 2 (topical)) prescription); SP VENELEX EXTERNAL OINTMENT (balsam peru-castor oil) 3 SL (30 grams per VEREGEN EXTERNAL OINTMENT 15 % (sinecatechins) 3 prescription) VOLTAREN TRANSDERMAL GEL 1 % (diclofenac sodium) 2 isotretinoin (Zenatane Oral Capsule 10 Mg, 20 Mg, 30 Mg, 40 2 Mg) SMOOTH MUSCLE RELAXANTS - Drugs to Relax Muscles ANTIMUSCARINICS - Drugs for the Urinary System DITROPAN XL ORAL TABLET EXTENDED RELEASE 24 3 HOUR 10 MG, 5 MG (oxybutynin chloride) flavoxate hcl oral tablet 100 mg 1 oxybutynin chloride er oral tablet extended release 24 hour 10 2 mg, 15 mg, 5 mg oxybutynin chloride oral syrup 5 mg/5ml 1 oxybutynin chloride oral tablet 5 mg 1 TOVIAZ ORAL TABLET EXTENDED RELEASE 24 HOUR 4 3 MG, 8 MG (fesoterodine fumarate) RESPIRATORY SMOOTH MUSCLE RELAXANTS - Drugs for Lungs ELIXOPHYLLIN ORAL ELIXIR 80 MG/15ML (theophylline) 3 THEO-24 ORAL CAPSULE EXTENDED RELEASE 24 HOUR 3 100 MG, 200 MG, 300 MG, 400 MG (theophylline) theophylline er oral tablet extended release 12 hour 300 mg, 1 450 mg theophylline er oral tablet extended release 24 hour 400 mg, 1 600 mg theophylline oral solution 80 mg/15ml 1 VITAMINS MULTIVITAMIN PREPARATIONS adc/f (0.5mg/ml) oral solution 0.5 mg/ml 1 BACMIN ORAL TABLET (multiple vitamins-minerals) 3 biocel oral tablet 1 b-plex plus oral tablet 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 248 Coverage Requirements & Prescription Drug Name Drug Tier Limits corvita oral tablet 1.25 mg 1 ELITE-OB ORAL TABLET 50-1.25 MG (prenatal vit-iron 3 carbonyl-fa) ENBRACE HR ORAL CAPSULE (prenat vit-fe gly cys-fa- 3 omega) FLORIVA PLUS ORAL SOLUTION 0.25 MG/ML (pediatric 3 multivitamins-fl) FORTAVIT ORAL CAPSULE (multiple vitamins-minerals) 3 M-NATAL PLUS ORAL TABLET 27-1 MG 3 multi-vit/iron/fluoride oral solution 0.25-10 mg/ml 1 multivitamin/fluoride oral solution 0.25 mg/ml, 0.5 mg/ml 1 multi-vitamin/fluoride oral solution 0.25 mg/ml, 0.5 mg/ml 1 multivitamin/fluoride oral tablet chewable 0.25 mg, 0.5 mg, 1 mg 1 multivitamin/fluoride/iron oral solution 0.25-10 mg/ml 1 multi-vitamin/fluoride/iron oral solution 0.25-10 mg/ml 1 multivitamins/fluoride oral tablet chewable 0.5 mg 1 pediatric multivitamins-fl (Mvc-Fluoride Oral Tablet Chewable 1 0.25 Mg, 0.5 Mg, 1 Mg) NEOVITE ORAL TABLET 3 NESTABS ORAL TABLET 32-1 MG (prenat-fe bisgly-fa-w/o vit 3 a) NUTRICAP ORAL TABLET (multiple vitamins-minerals) 3 OCUVEL ORAL CAPSULE 0.5 MG (multiple vitamins-minerals- 3 fa) ONEVITE ORAL TABLET 1 MG 3 pnv prenatal plus multivit+dha oral 27-1 & 312 mg 1 POLY-VI-FLOR ORAL SUSPENSION 0.25 MG/ML (pediatric 3 multivitamins-fl) POLY-VI-FLOR ORAL TABLET CHEWABLE 0.25 MG, 0.5 MG, 3 1 MG (pediatric multivitamins-fl) POLY-VI-FLOR/IRON ORAL SUSPENSION 0.25-7 MG/ML 3 (ped multivitamins-fl-iron) POLY-VI-FLOR/IRON ORAL TABLET CHEWABLE 0.5-10 MG 3 (ped multivitamins-fl-iron) PRENAISSANCE ORAL CAPSULE 29-1.25-325 MG 2

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 249 Coverage Requirements & Prescription Drug Name Drug Tier Limits PRENATA ORAL TABLET CHEWABLE 29-1 MG (prenatal w/o 3 a vit-fe fum-fa) prenatal oral tablet 27-1 mg 1 prenatal plus iron oral tablet 29-1 mg 1 PRENATE DHA ORAL CAPSULE 18-0.6-0.4-300 MG (prenat- 3 feasp-meth-fa-dha w/o a) PRENATE ELITE ORAL TABLET 20-0.6-0.4 MG (prenatal- 3 feaspgly-methylfol-fa) PRENATE ENHANCE ORAL CAPSULE 28-0.6-0.4-400 MG 3 (prenat w/o a-fe-methfol-fa-dha) PRENATE ESSENTIAL ORAL CAPSULE 18-0.6-0.4-300 MG 3 (prenat-feasp-meth-fa-dha w/o a) PRENATE MINI ORAL CAPSULE 18-0.6-0.4-350 MG (prenat- 3 fecbn-feasp-meth-fa-dha) PRENATE ORAL TABLET CHEWABLE 0.6-0.4 MG (prenat mv- 3 min-methylfolate-fa) PRENATE PIXIE ORAL CAPSULE 10-0.6-0.4-200 MG (prenat- 3 feasp-meth-fa-dha w/o a) PRENATE RESTORE ORAL CAPSULE 27-0.6-0.4-400 MG 3 (prenat w/o a-fe-methfol-fa-dha) PRIMACARE ORAL CAPSULE 30-1-470 MG (pren-fe-meth-fa- 3 omeg w/o a) QUFLORA PEDIATRIC ORAL SOLUTION 0.25 MG/ML, 0.5 3 MG/ML (pediatric multivitamins-fl) QUFLORA PEDIATRIC ORAL TABLET CHEWABLE 0.25 MG, 3 0.5 MG, 1 MG (pediatric multivitamins-fl) RELNATE DHA ORAL CAPSULE 28-1-200 MG 3 REMEDIENT ORAL CAPSULE 1 MG (multiple vitamins- 3 minerals-fa) REQ 49+ ORAL TABLET (multiple vitamins-minerals) 3 SELECT-OB ORAL TABLET CHEWABLE 29-1 MG (prenatal 4 vit-fe psac cmplx-fa) STROVITE FORTE ORAL SYRUP (multiple vitamins-minerals- 2 fa) STROVITE FORTE ORAL TABLET (multiple vitamins-minerals) 4 STROVITE ONE ORAL TABLET (multiple vitamins-minerals) 3 support oral liquid 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 250 Coverage Requirements & Prescription Drug Name Drug Tier Limits TRICARE PRENATAL DHA ONE ORAL CAPSULE 27-1-500 3 MG (prenatal-fefum-fa-dss-fish oil) trinate oral tablet 1 TRI-VI-FLOR ORAL SUSPENSION 0.25 MG/ML, 0.5 MG/ML 3 (ped vit a-c-d-methylfolate-fl) TRI-VI-FLORO ORAL SUSPENSION 0.25 MG/ML, 0.5 MG/ML 3 tri-vitamin/fluoride oral solution 0.25 mg/ml, 0.5 mg/ml 1 tri-vite/fluoride oral solution 0.25 mg/ml, 0.5 mg/ml 1 UDAMIN SP ORAL TABLET 1 MG (multiple vitamins-minerals- 3 fa) v-c forte oral capsule 1 multiple vitamins-minerals (Vic-Forte Oral Capsule) 1 multiple vitamins-minerals (Vita S Forte Oral Tablet) 1 multiple vitamins-minerals (Vitacel Oral Tablet) 1 VITAFOL FE+ ORAL CAPSULE 90-0.6-0.4-200 MG (prenat-fe 3 poly-methfol-fa-dha) VITAFOL-OB+DHA ORAL 65-1 & 250 MG (prenatal mv-min-fe 3 fum-fa-dha) vitamins acd-fluoride oral solution 0.25 mg/ml 1 vp-pnv-dha oral capsule 28-1-215.8 mg 1 VITAMIN A adc/f (0.5mg/ml) oral solution 0.5 mg/ml 1 tri-vitamin/fluoride oral solution 0.25 mg/ml, 0.5 mg/ml 1 tri-vite/fluoride oral solution 0.25 mg/ml, 0.5 mg/ml 1 vitamins acd-fluoride oral solution 0.25 mg/ml 1 VITAMIN B COMPLEX BACMIN ORAL TABLET (multiple vitamins-minerals) 3 biocel oral tablet 1 CITRANATAL BLOOM ORAL TABLET 90-1 MG (prenatal-dss- 3 fecb-fegl-fa) corvita oral tablet 1.25 mg 1 cyanocobalamin injection solution 1000 mcg/ml 1 DIALYVITE SUPREME D ORAL TABLET 3 MG (multiple 3 vitamins-minerals-fa) ELITE-OB ORAL TABLET 50-1.25 MG (prenatal vit-iron 3 carbonyl-fa)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 251 Coverage Requirements & Prescription Drug Name Drug Tier Limits ENBRACE HR ORAL CAPSULE (prenat vit-fe gly cys-fa- 3 omega) FALESSA ORAL KIT 20-1-0.1 MCG-MG (levonorgestrel-eth 4 H estrad & fa) folic acid oral tablet 1 mg 1 hematinic/folic acid oral tablet 324-1 mg 1 ferrous fumarate-folic acid (Hemocyte-F Oral Tablet 324-1 Mg) 1 M-NATAL PLUS ORAL TABLET 27-1 MG 3 NASCOBAL NASAL SOLUTION 500 MCG/0.1ML 3 (cyanocobalamin) NEOVITE ORAL TABLET 3 NESTABS ORAL TABLET 32-1 MG (prenat-fe bisgly-fa-w/o vit 3 a) NICADAN ORAL TABLET (multiple vitamins-minerals) 3 NICAZEL FORTE ORAL TABLET (multiple vitamins-minerals) 3 NICAZEL ORAL TABLET (multiple vitamins-minerals) 3 NUTRICAP ORAL TABLET (multiple vitamins-minerals) 3 OCUVEL ORAL CAPSULE 0.5 MG (multiple vitamins-minerals- 3 fa) ONEVITE ORAL TABLET 1 MG 3 pnv prenatal plus multivit+dha oral 27-1 & 312 mg 1 PRENAISSANCE ORAL CAPSULE 29-1.25-325 MG 2 PRENATA ORAL TABLET CHEWABLE 29-1 MG (prenatal w/o 3 a vit-fe fum-fa) prenatal oral tablet 27-1 mg 1 prenatal plus iron oral tablet 29-1 mg 1 PRENATE DHA ORAL CAPSULE 18-0.6-0.4-300 MG (prenat- 3 feasp-meth-fa-dha w/o a) PRENATE ELITE ORAL TABLET 20-0.6-0.4 MG (prenatal- 3 feaspgly-methylfol-fa) PRENATE ENHANCE ORAL CAPSULE 28-0.6-0.4-400 MG 3 (prenat w/o a-fe-methfol-fa-dha) PRENATE ESSENTIAL ORAL CAPSULE 18-0.6-0.4-300 MG 3 (prenat-feasp-meth-fa-dha w/o a) PRENATE MINI ORAL CAPSULE 18-0.6-0.4-350 MG (prenat- 3 fecbn-feasp-meth-fa-dha)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 252 Coverage Requirements & Prescription Drug Name Drug Tier Limits PRENATE ORAL TABLET CHEWABLE 0.6-0.4 MG (prenat mv- 3 min-methylfolate-fa) PRENATE PIXIE ORAL CAPSULE 10-0.6-0.4-200 MG (prenat- 3 feasp-meth-fa-dha w/o a) PRENATE RESTORE ORAL CAPSULE 27-0.6-0.4-400 MG 3 (prenat w/o a-fe-methfol-fa-dha) PRIMACARE ORAL CAPSULE 30-1-470 MG (pren-fe-meth-fa- 3 omeg w/o a) RELNATE DHA ORAL CAPSULE 28-1-200 MG 3 REMEDIENT ORAL CAPSULE 1 MG (multiple vitamins- 3 minerals-fa) SELECT-OB ORAL TABLET CHEWABLE 29-1 MG (prenatal 4 vit-fe psac cmplx-fa) SIDEROL ORAL TABLET (multiple vitamins-minerals) 3 STROVITE FORTE ORAL SYRUP (multiple vitamins-minerals- 2 fa) STROVITE FORTE ORAL TABLET (multiple vitamins-minerals) 4 STROVITE ONE ORAL TABLET (multiple vitamins-minerals) 3 SYNAGEX ORAL CAPSULE 1.25 MG (multiple vitamins- 3 minerals-fa) TRICARE PRENATAL DHA ONE ORAL CAPSULE 27-1-500 3 MG (prenatal-fefum-fa-dss-fish oil) trinate oral tablet 1 UDAMIN SP ORAL TABLET 1 MG (multiple vitamins-minerals- 3 fa) v-c forte oral capsule 1 multiple vitamins-minerals (Vic-Forte Oral Capsule) 1 multiple vitamins-minerals (Vita S Forte Oral Tablet) 1 multiple vitamins-minerals (Vitacel Oral Tablet) 1 VITAFOL FE+ ORAL CAPSULE 90-0.6-0.4-200 MG (prenat-fe 3 poly-methfol-fa-dha) VITAFOL-OB+DHA ORAL 65-1 & 250 MG (prenatal mv-min-fe 3 fum-fa-dha) vp-pnv-dha oral capsule 28-1-215.8 mg 1 VITAMIN C adc/f (0.5mg/ml) oral solution 0.5 mg/ml 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 253 Coverage Requirements & Prescription Drug Name Drug Tier Limits CITRANATAL BLOOM ORAL TABLET 90-1 MG (prenatal-dss- 3 fecb-fegl-fa) OCUVEL ORAL CAPSULE 0.5 MG (multiple vitamins-minerals- 3 fa) SIDEROL ORAL TABLET (multiple vitamins-minerals) 3 tri-vitamin/fluoride oral solution 0.25 mg/ml, 0.5 mg/ml 1 tri-vite/fluoride oral solution 0.25 mg/ml, 0.5 mg/ml 1 vitamins acd-fluoride oral solution 0.25 mg/ml 1 VITAMIN D adc/f (0.5mg/ml) oral solution 0.5 mg/ml 1 calcitriol oral capsule 0.25 mcg, 0.5 mcg 1 calcitriol oral solution 1 mcg/ml 1 DIALYVITE SUPREME D ORAL TABLET 3 MG (multiple 3 vitamins-minerals-fa) doxercalciferol oral capsule 0.5 mcg, 1 mcg, 2.5 mcg 1 DRISDOL ORAL CAPSULE 1.25 MG (50000 UT) 4 (ergocalciferol) ERGOCAL ORAL CAPSULE 62.5 MCG (2500 UT) 3 ergocalciferol oral capsule 1.25 mg (50000 ut) 1 FLORIVA ORAL LIQUID 0.25-400 MG-UNIT/ML (sodium 3 fluoride-vitamin d) FOSAMAX PLUS D ORAL TABLET 70-2800 MG-UNIT, 70- 3 5600 MG-UNIT (alendronate-cholecalciferol) paricalcitol oral capsule 1 mcg, 2 mcg, 4 mcg 1 ROCALTROL ORAL CAPSULE 0.25 MCG, 0.5 MCG (calcitriol) 4 ROCALTROL ORAL SOLUTION 1 MCG/ML (calcitriol) 4 STROVITE ONE ORAL TABLET (multiple vitamins-minerals) 3 tri-vitamin/fluoride oral solution 0.25 mg/ml, 0.5 mg/ml 1 tri-vite/fluoride oral solution 0.25 mg/ml, 0.5 mg/ml 1 vitamin d (ergocalciferol) oral capsule 1.25 mg (50000 ut) 1 vitamins acd-fluoride oral solution 0.25 mg/ml 1 ZEMPLAR ORAL CAPSULE 1 MCG, 2 MCG (paricalcitol) 4 VITAMIN E OCUVEL ORAL CAPSULE 0.5 MG (multiple vitamins-minerals- 3 fa)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 254 Coverage Requirements & Prescription Drug Name Drug Tier Limits WHEAT GERM OIL ORAL OIL 3 VITAMIN K ACTIVITY SL (5 tablets per MEPHYTON ORAL TABLET 5 MG (phytonadione) 4 prescription) SL (5 tablets per phytonadione oral tablet 5 mg 3 prescription)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 255 Index of Drugs abacavir sulfate...... 23 adc/f (0.5mg/ml) ALOMIDE...... 147 abacavir sulfate-lamivudine...... 23 ...... 197, 248, 251, 253, 254 ALORA...... 181 abacavir-lamivudine- ADDERALL XR...... 96 alosetron hcl...... 157 zidovudine...... 23 ADDYI...... 115 ALPHAGAN P...... 147 acamprosate calcium...... 115 adefovir dipivoxil...... 27 ALPHANATE/VWF acarbose...... 167 ADEMPAS...... 93, 221 COMPLEX/HUMAN...... 58 ACCOLATE...... 217 ADIPEX-P...... 96 ALPHANINE SD...... 58 ACCU-CHEK AVIVA...... 134 ADLYXIN...... 184 alprazolam...... 113 ACCU-CHEK COMPACT ADLYXIN STARTER PACK.... 184 alprazolam er...... 113 PLUS CONTROL...... 134 ADRENALIN...... 156 alprazolam intensol...... 113 ACCU-CHEK FASTCLIX ADVAIR DISKUS alprazolam xr...... 113 LANCET KIT...... 134 ...... 51, 163, 218, 220 ALPROLIX...... 58 ACCU-CHEK GUIDE ADVAIR HFA.... 52, 163, 218, 220 ALREX...... 151 CONTROL...... 134 ADVATE...... 58 ALTABAX...... 223 ACCU-CHEK MULTICLIX AFINITOR...... 32 Altacaine...... 155 LANCET DEVICE KIT...... 134 AFINITOR DISPERZ...... 32 ALTACE...... 67, 68 ACCU-CHEK SMARTVIEW Afirmelle...... 170 Altafrin...... 156 CONTROL...... 134 AFLURIA QUADRIVALENT...... 43 Altavera...... 170 ACCU-CHEK SOFTCLIX AFSTYLA...... 58 ALUNBRIG...... 33 LANCET DEVICE KIT...... 134 AGGRENOX...... 63, 93, 129 ALVESCO...... 163, 218 ACCUPRIL...... 67, 68 AGRYLIN...... 64 alyacen 1/35...... 170 ACCURETIC...... 67, 68, 91, 144 AIMOVIG...... 106, 114 alyacen 7/7/7...... 170 ACD-A NOCLOT-50...... 54 ak-poly-bac...... 148 Alyq...... 90, 221 acebutolol hcl.... 53, 70, 71, 80, 86 AKTEN...... 154 Amabelz...... 181, 188 acetaminophen-codeine....97, 119 AKYNZEO...... 156, 161 amantadine hcl...... 14, 96 acetaminophen-codeine #2 ALA SCALP...... 224, 233 AMARYL...... 192 ...... 97, 119 ala-cort...... 224, 233 ambrisentan...... 93, 221 acetaminophen-codeine #3 albendazole...... 15 amcinonide...... 225, 233 ...... 97, 119 ALBENZA...... 16 AMELUZ...... 244 acetaminophen-codeine #4 albuterol sulfate...... 52, 220 AMERGE...... 130 ...... 97, 119 albuterol sulfate er...... 52, 220 Amethia...... 170 acetazolamide...... 78, 141, 151 albuterol sulfate hfa...... 52, 220 Amethia Lo...... 170 acetazolamide er...... 78, 141, 151 ALBUTEROL SULFATE HFA Amethyst...... 170 acetic acid...... 153 ...... 52, 220 AMICAR...... 58 acetylcysteine...... 210, 217 ALCAINE...... 155 amiloride hcl...... 90, 142 acitretin...... 243 alclometasone dipropionate amiloride-hydrochlorothiazide ACTEMRA...... 199, 203 ...... 224, 225, 233 ...... 90, 91, 142, 144 ACTEMRA ACTPEN...... 199, 203 ALCOHOL PREP PADS...... 241 aminobenzoate potassium...... 210 ACTHAR...... 138, 188 ALDACTAZIDE aminocaproic acid...... 58 ACTHIB...... 43 ...... 88, 90, 91, 142, 144 Aminoreliefrms...... 210 ACTIGALL...... 159 ALDACTONE...... 88, 90, 142 amiodarone hcl...... 82 ACTIMMUNE...... 203 ALDARA...... 244 AMITIZA...... 158 ACTIVELLA...... 181, 188 ALECENSA...... 32 amitriptyline hcl...... 132 ACTONEL...... 196 alendronate sodium...... 196 amlodipine besylate ACTOPLUS MET...... 169, 192 ALFERON N...... 26, 32 ...... 74, 83, 84, 86, 93 ACULAR...... 154 alfuzosin hcl er...... 51 amlodipine besylate-benazepril ACULAR LS...... 154 ALINIA...... 17 hcl...... 67, 68, 74, 83, 84, 86, 93 acyclovir...... 27, 232 aliskiren fumarate...... 91 amlodipine besylate-valsartan ACZONE...... 223, 243, 244 ALKERAN...... 33 ...... 65, 66, 75, 83, 84, 86, 93 ADACEL...... 42 allopurinol...... 195 Amnesteem...... 244 ADALAT CC...... 74, 83, 84, 86, 93 almotriptan malate...... 130 amoxapine...... 132 ADASUVE...... 108 ALOCRIL...... 147, 217 amoxicillin...... 15

256 amoxicillin-potassium ARTISS...... 244 AVONEX PREFILLED...... 203 clavulanate...... 15 Arzol Silver Nit Applicators...... 239 AYGESTIN...... 189 AMPHETAMINE ER...... 96 Ascomp-Codeine Ayuna...... 171 amphetamine- ...... 106, 111, 119, 127, 129 AYVAKIT...... 33 dextroamphetamine...... 96 Ashlyna...... 170 AZASAN...... 199, 203, 208 ampicillin...... 15 ASMANEX (120 METERED AZASITE...... 148 ANADROL-50...... 167 DOSES)...... 164, 218 azathioprine...... 199, 203, 208 anagrelide hcl...... 64 ASMANEX (14 METERED azelaic acid...... 244 ANALPRAM HC...... 225, 230, 233 DOSES)...... 164, 218 azelastine hcl...... 147 ANALPRAM HC SINGLES ASMANEX (30 METERED AZELEX...... 244 ...... 225, 230, 233 DOSES)...... 164, 218 azithromycin...... 28 ANALPRAM-HC...... 225, 231, 234 ASMANEX (60 METERED AZOPT...... 151 ANASPAZ...... 45 DOSES)...... 164, 218 AZULFIDINE..... 30, 157, 199, 203 anastrozole...... 33, 168 ASMANEX (7 METERED AZULFIDINE EN-TABS ANCOBON...... 29 DOSES)...... 164, 218 ...... 30, 157, 199, 203 ANDRODERM...... 167 ASMANEX HFA...... 164, 218 Azurette...... 171 ANGELIQ...... 181, 188 aspirin-dipyridamole er 63, 93, 129 bacitracin...... 148 ANNOVERA...... 170 ATACAND...... 65, 66 bacitracin-polymyxin b...... 148 ANORO ELLIPTA46, 52, 213, 220 ATACAND HCT.... 65, 66, 91, 144 bacitra-neomycin-polymyxin-hc ANTABUSE...... 194 atazanavir sulfate...... 25 ...... 148, 151 anticoagulant cit dext soln a atenolol...... 53, 70, 71, 80 baclofen...... 49 ...... 54, 140 atenolol-chlorthalidone BACMIN...... 62, 248, 251 ANTICOAGULANT SODIUM ...... 53, 70, 71, 80, 93, 146 BACTRIM...... 30 CITRATE...... 54, 139 atomoxetine hcl...... 115 BACTRIM DS...... 30 anucort-hc...... 225, 234 atorvastatin calcium...... 85 BALCOLTRA...... 171 ANUSOL-HC...... 225, 234 atovaquone...... 17 balsalazide disodium...... 157 ANZEMET...... 156 atovaquone-proguanil hcl...... 16 balsam peru-castor oil...... 244 apap-caff-dihydrocodeine ATRIPLA...... 22, 23 BALVERSA...... 33 ...... 97, 119, 127 atropine sulfate...... 155 Balziva...... 171 APEXICON E...... 225, 234 ATROVENT HFA...... 46, 213 BANZEL...... 99 APOKYN...... 119 AUBAGIO...... 203 BAQSIMI ONE PACK..... 183, 194 apraclonidine hcl...... 154 Aubra...... 171 BAQSIMI TWO PACK.....183, 194 aprepitant...... 161 Aubra Eq...... 171 BARACLUDE...... 27 Apri...... 170 Aurovela 1.5/30...... 171 BASAGLAR KWIKPEN... 185, 187 APRISO...... 157 Aurovela 1/20...... 171 BAXDELA...... 29 APTIOM...... 99 Aurovela 24 Fe...... 171 Bekyree...... 171 APTIVUS...... 25 Aurovela Fe 1.5/30...... 171 BELBUCA...... 124 ARAKODA...... 16 Aurovela Fe 1/20...... 171 belladonna alkaloids-opium.... 119 Aranelle...... 170 AURYXIA...... 141 BELSOMRA...... 108 ARANESP (ALBUMIN FREE) AUSTEDO...... 115, 133 benazepril hcl...... 67, 68 ...... 56, 57 AUTOLET II CLINISAFE...... 135 benazepril-hydrochlorothiazide ARAVA...... 199, 203 AUTOLET LANCING DEVICE 135 ...... 67, 68, 91, 145 ARCALYST...... 210 AVALIDE...... 65, 66, 91, 144 BENEFIX...... 58 ARCAPTA NEOHALER.... 52, 220 AVANDIA...... 192 BENLYSTA...... 208 ARICEPT...... 50 AVAPRO...... 65, 66 BENZALKONIUM CHLORIDE 241 ARIKAYCE...... 15 Avar Cleanser...... 239, 241 benzalkonium chloride...... 241 aripiprazole...... 103, 104, 109 Avar-E Emollient...... 239, 241 BENZAMYCIN...... 223 ARIXTRA...... 54, 55, 56 Avar-E Green...... 239, 241 BENZHYDROCODONE- armodafinil...... 133 AVAR-E LS...... 239, 241 ACETAMINOPHEN...... 97, 120 ARMOUR THYROID...... 193 Aviane...... 171 BENZIQ WASH...... 239 ARNUITY ELLIPTA...... 164, 218 avidoxy...... 31 BENZNIDAZOLE...... 17 AROMASIN...... 33, 168 AVIDOXY DK...... 31 BENZOIN...... 212, 244 ARTHROTEC...... 125, 162 AVONEX PEN...... 203 benzoin compound...... 212, 233

257 benzonatate...... 214 BRILINTA...... 64 calcium acetate (phos binder) benzoyl peroxide-erythromycin brimonidine tartrate...... 147 ...... 141, 143 ...... 223 BRIVIACT...... 99 calcium-folic acid plus d...... 143 benzphetamine hcl...... 96 Bromfed Dm...... 44, 212, 214, 216 CALQUENCE...... 33 benztropine mesylate...... 47, 99 bromocriptine mesylate...... 117 Camila...... 171 BERINERT...... 199 brompheniramine tannate Camrese...... 171 Beser...... 225, 234 ...... 12, 13, 216 Camrese Lo...... 171 BESIVANCE...... 148 BROVANA...... 52, 220 candesartan cilexetil...... 65, 66 BETADINE OPHTHALMIC BRUKINSA...... 33 candesartan cilexetil-hctz PREP...... 153 budesonide...... 164, 219 ...... 65, 66, 91, 145 betamethasone dipropionate bumetanide...... 88, 141 CAPEX...... 225, 234 ...... 225, 234 BUNAVAIL...... 124 CAPRELSA...... 33 betamethasone dipropionate Bupap...... 97, 111 captopril...... 67, 68 aug...... 225, 234 BUPHENYL...... 140 captopril-hydrochlorothiazide betamethasone valerate. 225, 234 buprenorphine hcl...... 124 ...... 67, 68, 91, 145 BETAPACE AF buprenorphine hcl-naloxone CARAC...... 33, 244 ...... 49, 70, 71, 81, 82, 86 hcl...... 124 CARAFATE...... 162 BETASERON...... 203 bupropion hcl...... 103 CARBAGLU...... 140 betaxolol hcl bupropion hcl er (smoking det)103 carbamazepine...... 99, 104 ...... 53, 70, 71, 81, 86, 150 bupropion hcl er (sr)...... 103 carbamazepine er...... 99, 104 bethanechol chloride...... 50 bupropion hcl er (xl)...... 103 CARBATROL...... 100, 104 BETHKIS...... 15 buspirone hcl...... 108 carbidopa...... 115 BETIMOL...... 150 butalbital-acetaminophen..97, 111 carbidopa-levodopa...... 116 BETOPTIC-S...... 150 butalbital-apap-caff-cod carbidopa-levodopa er...... 116 BEVESPI AEROSPHERE ...... 97, 106, 111, 120, 127 carbidopa-levodopa- ...... 46, 52, 220 butalbital-apap-caffeine entacapone...... 115, 116 BEVYXXA...... 56 ...... 97, 106, 111, 127 carbinoxamine maleate.....12, 216 BEXSERO...... 43 butalbital-asa-caff-codeine CARDIOVID PLUS...... 210 bicalutamide...... 33 ...... 106, 111, 120, 127, 129 CARDURA...... 50, 64, 65, 86 BIDIL...... 85, 89 butalbital-aspirin-caffeine CARDURA XL...... 50, 64, 65, 86 BIJUVA...... 181, 189 ...... 64, 106, 111, 127, 129 CARETOUCH BIKTARVY...... 22, 23 butorphanol tartrate...... 125 LANCING/EJECTOR...... 135 BILTRICIDE...... 16 BYDUREON...... 184 carisoprodol...... 48 biocel...... 248, 251 BYDUREON BCISE carisoprodol-aspirin...... 48, 129 bisoprolol fumarate. 53, 70, 71, 81 AUTOINJECTOR...... 184 carisoprodol-aspirin-codeine bisoprolol-hydrochlorothiazide BYETTA 10 MCG PEN...... 184 ...... 48, 120, 129 ...... 53, 70, 72, 81, 91, 145 BYETTA 5 MCG PEN...... 184 CARNITOR...... 210 BLEPH-10...... 148 BYSTOLIC...... 49, 70 CARNITOR SF...... 210 BLEPHAMIDE...... 148 cabergoline...... 117 CAROSPIR...... 88, 90, 142 BLEPHAMIDE S.O.P...... 148 CABLIVI...... 55 carteolol hcl...... 150 Blisovi 24 Fe...... 171 CABOMETYX...... 33 Cartia Xt...... 73, 75, 76, 77, 82, 93 Blisovi Fe 1.5/30...... 171 CAFERGOT...... 50, 106 carvedilol.....49, 51, 64, 70, 81, 86 Blisovi Fe 1/20...... 171 caffeine citrate...... 127 cascara sagrada...... 158 BONIVA...... 196 CALAN SR.. 73, 75, 76, 77, 82, 93 CASODEX...... 33 BOOSTRIX...... 42 calcipotriene...... 244 CATAPRES...... 45, 79 bosentan...... 93, 221 calcipotriene-betameth diprop CATAPRES-TTS-1...... 45, 79 BOSULIF...... 33 ...... 225, 234, 244 CATAPRES-TTS-2...... 45, 79 bp 10-1...... 239, 241 calcitonin (salmon).. 168, 187, 196 CATAPRES-TTS-3...... 45, 79 bp cleansing wash...... 239, 241 Calcitrene...... 244 Cavarest...... 197 b-plex plus...... 62, 248 calcitriol...... 244, 254 CAVERJECT...... 93 BRAFTOVI...... 33 calcium acetate...... 141 CAVERJECT IMPULSE...... 93 BREO ELLIPTA 52, 164, 218, 220 CAYA...... 134 briellyn...... 171 CAYSTON...... 27

258 Caziant...... 171 CIMZIA PREFILLED KIT colestipol hcl...... 73 cefaclor...... 14 ...... 159, 199, 203 colistimethate sodium (cba)...... 29 cefaclor er...... 14 CIMZIA STARTER KIT Colocort...... 226, 235 cefadroxil...... 13 ...... 159, 199, 203 COLY-MYCIN M...... 29 cefdinir...... 14 cinacalcet hcl...... 168, 210 COLY-MYCIN S...... 148 cefditoren pivoxil...... 14 CIPRO...... 17, 29 COMBIGAN...... 147, 150 cefixime...... 14 CIPRO HC...... 148, 151 COMBIPATCH...... 181, 189 cefpodoxime proxetil...... 14 CIPRODEX...... 148, 152 COMBIVENT RESPIMAT cefprozil...... 14 ciprofloxacin hcl...... 17, 29, 148 ...... 46, 52, 213, 220 cefuroxime axetil...... 14 citalopram hydrobromide...... 131 COMBIVIR...... 23 celecoxib...... 116 CITRANATAL BLOOM COMETRIQ (100 MG DAILY CELONTIN...... 132 ...... 62, 251, 254 DOSE)...... 33 CENTANY...... 223 Claravis...... 244 COMETRIQ (140 MG DAILY cephalexin...... 13 clarithromycin...... 18, 28 DOSE)...... 33 CEQUR SIMPLICITY 2U...... 135 clarithromycin er...... 17, 28 COMETRIQ (60 MG DAILY CERDELGA...... 210 clemastine fumarate...... 12, 216 DOSE)...... 34 Cerovel...... 239 CLENPIQ...... 158 COMPLERA...... 22, 23 CERVIDIL...... 212 CLEOCIN...... 26, 223 Compro...... 127, 157 CETRAXAL...... 148 CLEOCIN-T...... 223 COMTAN...... 115 cevimeline hcl...... 50 CLIMARA PRO...... 181 CONCERTA...... 127 CHANTIX...... 48 Clindacin Etz...... 223 CONDYLOX...... 244 CHANTIX CONTINUING Clindacin-P...... 223 constulose...... 140 MONTH PAK...... 48 clindamycin hcl...... 26 CONTOUR CONTROL...... 135 CHANTIX STARTING MONTH clindamycin palmitate hcl...... 26 CONTOUR NEXT CONTROL.135 PAK...... 48 clindamycin phos-benzoyl CONTOUR NEXT MONITOR. 135 Chateal...... 172 perox...... 223, 239 CONTOUR NEXT TEST...... 138 Chateal Eq...... 172 clindamycin phosphate...... 223 CONTRAVE...... 99 CHEMET...... 163, 194 CLINDESSE...... 223 COPASIL...... 212 CHEMSTRIP UGK...... 139 Clinpro 5000...... 197 COPIKTRA...... 34 CHENODAL...... 159 clobazam...... 112, 113 CORDRAN...... 226, 235 chlordiazepoxide hcl...... 113 clobetasol prop emollient base COREG...... 49, 51, 64, 70, 81, 87 chlordiazepoxide-amitriptyline ...... 225, 234 CORGARD...... 49, 70, 72, 81 ...... 113, 132 clobetasol propionate...... 226, 234 CORIFACT...... 58 chlordiazepoxide-clidinium 46, 113 clobetasol propionate e...225, 234 CORLANOR...... 78 chlorhexidine gluconate...... 153 clocortolone pivalate...... 226, 235 CORTANE-B...... 152 chloroquine phosphate...... 16 clomipramine hcl...... 132 CORTEF...... 164 chlorothiazide...... 91, 145 clonazepam...... 112, 113 CORTENEMA...... 226, 235 chlorpromazine hcl...... 126 clonidine...... 45, 79 CORTIFOAM...... 226, 235 chlorthalidone...... 93, 146 clonidine hcl...... 45, 79 cortisone acetate...... 164 chlorzoxazone...... 48 clopidogrel bisulfate...... 64 CORTISPORIN CHOLBAM...... 159 clorazepate dipotassium. 112, 113 ...... 223, 224, 226, 235 cholestyramine...... 73 clotrimazole...... 232 CORTROSYN...... 138 cholestyramine light...... 73 clotrimazole-betamethasone corvita...... 249, 251 choline-mag trisalicylate...... 129 ...... 226, 232, 235 COSENTYX (300 MG DOSE).244 Ciclodan...... 239 clozapine...... 109 COSENTYX 150 MG/ML...... 244 ciclopirox...... 239 CLOZARIL...... 109 COSENTYX SENSOREADY ciclopirox olamine...... 239 COAGADEX...... 58 (300 MG)...... 244 cilostazol...... 64, 90 COAL TAR...... 241 COSENTYX SENSOREADY CILOXAN...... 148 COARTEM...... 16 PEN...... 244 CIMDUO...... 23 codeine sulfate...... 120, 214 COSOPT...... 151 cimetidine...... 161 colchicine-probenecid..... 146, 195 cosyntropin...... 138 cimetidine hcl...... 161 COLESTID...... 73 COUMADIN...... 55 COLESTID FLAVORED...... 73 Covaryx...... 167, 181

259 Covaryx Hs...... 167, 181 demeclocycline hcl...... 31 DIASTAT PEDIATRIC.....112, 113 COZAAR...... 65, 66 DEMSER...... 210 diazepam...... 112, 113 CREON...... 159 Denta 5000 Plus...... 197 Diazepam Intensol...... 112, 113 CRESEMBA...... 18 Dentagel...... 197 diazoxide...... 168 CRINONE...... 189 DEPAKOTE...... 100, 104, 106 diclofenac potassium...... 125 CRIXIVAN...... 25 DEPAKOTE ER...... 100, 104, 106 diclofenac sodium cromolyn sodium...... 147, 217 DEPAKOTE SPRINKLES ...... 34, 125, 154, 242, 243, 245 crotan...... 243 ...... 100, 104, 106 diclofenac sodium er...... 125 Cryselle-28...... 172 DEPEN TITRATABS...... 163, 200 diclofenac-misoprostol.... 125, 162 CUPRIMINE...... 163, 199 DEPO-ESTRADIOL...... 181 dicloxacillin sodium...... 29 CUTIVATE...... 226, 235 DEPO-PROVERA...... 189 DICOPANOL FUSEPAQ...12, 216 CUVPOSA...... 46 DEPO-SUBQ PROVERA 104.189 dicyclomine hcl...... 46 cyanocobalamin...... 251 DEPO-TESTOSTERONE...... 167 didanosine...... 23 Cyclafem 1/35...... 172 DERMA-SMOOTHE/FS BODY diethylpropion hcl...... 96 Cyclafem 7/7/7...... 172 ...... 226, 235 diethylpropion hcl er...... 96 cyclobenzaprine hcl...... 48 DERMA-SMOOTHE/FS DIFICID...... 28 CYCLOGYL...... 155 SCALP...... 226, 235 diflorasone diacetate...... 227, 236 CYCLOMYDRIL...... 155 Dermazene...... 235, 241 DIFLUCAN...... 19 cyclopentolate hcl...... 155 DERMOTIC...... 152 diflunisal...... 125 cyclophosphamide...... 34, 208 DESCOVY...... 23 Digitek...... 69, 79 cycloserine...... 18 desipramine hcl...... 132 Digox...... 69, 79 CYCLOSET...... 117 desmopressin ace spray refrig digoxin...... 69, 79 cyclosporine...... 199, 203, 208 ...... 58, 188 dihydroergotamine mesylate cyclosporine modified desmopressin acetate...... 58, 188 ...... 50, 106 ...... 199, 203, 208 desmopressin acetate spray... 188 DILANTIN...... 80, 118 cyproheptadine hcl...... 12, 216 desogestrel-ethinyl estradiol... 172 DILANTIN INFATABS...... 80, 118 Cyred...... 172 DESONATE...... 226, 235 DILATRATE-SR...... 89 Cyred Eq...... 172 desonide...... 226, 235 DILAUDID...... 120 CYSTADANE...... 210 DESOWEN...... 227, 235 diltiazem hcl 74, 75, 77, 78, 82, 94 CYSTAGON...... 210 desoximetasone...... 227, 235, 236 diltiazem hcl er CYSTARAN...... 154 DESOXYN...... 96 ...... 74, 75, 77, 78, 82, 94 CYTOTEC...... 162 desvenlafaxine succinate er....129 diltiazem hcl er beads cytra k crystals...... 139 dexamethasone...... 164, 165 ...... 73, 75, 76, 77, 82, 93 dalfampridine er...... 210 dexamethasone intensol...... 164 diltiazem hcl er coated beads DALIRESP...... 219 dexamethasone sodium ...... 73, 75, 76, 77, 82, 93, 94 danazol...... 167 phosphate...... 152 dilt-xr...... 74, 75, 77, 78, 83, 94 DANTRIUM...... 49 DEXCOM G4 / G5 / G6 DIPENTUM...... 157 dantrolene sodium...... 49 RECEIVER, TRANSMITTER, diphen...... 12, 216 dapsone...... 17, 224, 244 SENSOR (INCLUDING diphenhydramine hcl...... 12, 216 DARAPRIM...... 16 PLATINUM, PLATINUM diphenoxylate-atropine Dasetta 1/35...... 172 PEDIATRIC)...... 135 ...... 46, 156, 213 Dasetta 7/7/7...... 172 DEXILANT...... 162 DIPROLENE...... 227, 236 DAURISMO...... 34 dexmethylphenidate hcl...... 127 DIPROLENE AF...... 227, 236 DAYPRO...... 125 dexmethylphenidate hcl er...... 127 dipyridamole...... 64, 94 Daysee...... 172 Dexpak 10 Day...... 165 disopyramide phosphate...... 80 DDAVP...... 58, 188 Dexpak 13 Day...... 165 disulfiram...... 194 DDAVP RHINAL TUBE.....58, 188 Dexpak 6 Day...... 165 DITROPAN XL...... 248 DEBACTEROL...... 244 DEXTENZA...... 152 DIURIL...... 91, 145 Deblitane...... 172 dextroamphetamine sulfate...... 97 divalproex sodium... 100, 104, 107 deferasirox...... 163 dextroamphetamine sulfate er.. 97 divalproex sodium er DELESTROGEN...... 181 DIACOMIT...... 100 ...... 100, 104, 107 DELSTRIGO...... 22, 23 DIALYVITE SUPREME D251, 254 DIVIGEL...... 181 Delyla...... 172 DIASTAT ACUDIAL...... 112, 113 dofetilide...... 82

260 DOLOPHINE...... 120 EGRIFTA SV...... 191 EPCLUSA...... 20, 21 donepezil hcl...... 50 ELESTRIN...... 181 EPIDIOLEX...... 100 DOPTELET...... 57 eletriptan hydrobromide...... 130 EPIFOAM...... 227, 231, 236 DORAL...... 113 ELIDEL...... 208, 245 epinephrine...... 44, 213 DORZOLAMIDE HCL...... 151 ELIGARD...... 34, 183, 184 Epitol...... 100, 104 dorzolamide hcl...... 151 ELIMITE...... 243 EPIVIR...... 24 dorzolamide hcl-timolol mal.... 151 Elinest...... 172 EPIVIR HBV...... 24 DOVATO...... 22, 23 ELIQUIS...... 56 eplerenone...... 88, 90 DOVONEX...... 245 ELIQUIS DVT/PE STARTER EQUETRO...... 100, 104 doxazosin mesylate 50, 64, 65, 87 PACK...... 56 ERGOCAL...... 254 doxepin hcl...... 132, 133, 231 ELITE-OB...... 62, 249, 251 ergocalciferol...... 254 doxercalciferol...... 254 ELIXOPHYLLIN 85, 141, 222, 248 ergoloid mesylates...... 50 doxycycline hyclate...... 31, 148 ELLA...... 172 ERGOMAR...... 50, 107 doxycycline monohydrate...... 31 ELMIRON...... 212 ergotamine-caffeine...... 50, 107 DRISDOL...... 254 ELOCTATE...... 59 ERIVEDGE...... 34 DRIZALMA SPRINKLE... 117, 129 EMCYT...... 34 ERLEADA...... 34 dronabinol...... 157 EMEND...... 161 erlotinib hcl...... 34 drospiren-eth estrad-levomefol172 EMEND TRI-PACK...... 161 Errin...... 172 drospirenone-ethinyl estradiol.172 EMGALITY...... 107, 114 ery...... 224 DROXIA...... 34 EMGALITY (300 MG DOSE).. 114 ERYGEL...... 224 DRYSOL...... 232 Emoquette...... 172 ERYPED 200...... 19, 26 DUAVEE...... 180, 181 EMSAM...... 118 ERYPED 400...... 19, 26 DUETACT...... 192 EMTRIVA...... 24 Ery-Tab...... 20, 26 duloxetine hcl...... 117, 129 EMVERM...... 16 ERYTHROCIN STEARATE 20, 26 DUOPA...... 116 enalapril maleate...... 67, 68 erythromycin...... 20, 27, 148, 224 DUPIXENT...... 216, 245 enalapril-hydrochlorothiazide erythromycin base...... 20, 27 duraxin...... 12, 97, 216 ...... 67, 68, 91, 145 erythromycin ethylsuccinate 20, 27 DUREZOL...... 152 ENBRACE HR...... 62, 249, 252 ESBRIET...... 213, 214 dutasteride...... 194 ENBREL...... 200, 203, 245 escitalopram oxalate...... 131 DYAZIDE...... 90, 91, 142, 145 ENBREL MINI...... 200, 203, 245 Esgic...... 97, 107, 111, 127 DYRENIUM...... 90, 143 ENBREL SURECLICK ESGIC...... 97, 107, 111, 127 E.E.S. GRANULES...... 19, 26 ...... 200, 203, 245 esomeprazole magnesium...... 162 EASIVENT...... 135 ENDARI...... 160, 210 est estrogens-methyltest.167, 181 EASYMAX CONTROL...... 135 Endocet...... 97, 120 est estrogens-methyltest ds EASYPLUS BLOOD ENDOMETRIN...... 189 ...... 167, 181 GLUCOSE TEST...... 138 ENGERIX-B...... 43 est estrogens-methyltest hs EC-NAPROSYN...... 125, 195 ENLITE GLUCOSE SENSOR.135 ...... 167, 181 ec-naproxen...... 125, 195 enovarx-amitriptyline...... 133 Estarylla...... 173 econazole nitrate...... 232 enovarx-baclofen...... 245 estazolam...... 113 EDARBI...... 65, 66 enovarx-cyclobenzaprine hcl.. 245 ESTRACE...... 182 EDARBYCLOR..... 65, 66, 93, 146 enovarx-ibuprofen...... 227, 243 estradiol...... 182 EDECRIN...... 88, 141 enovarx-lidocaine hcl...... 231 estradiol valerate...... 182 EDEX...... 94 enovarx-naproxen...... 227, 243 estradiol-norethindrone acet ed-spaz...... 46 enoxaparin sodium...... 61 ...... 182, 189 EDURANT...... 22 Enpresse-28...... 172 ESTRING...... 182 Eemt...... 167, 181 Enskyce...... 172 ESTROGEL...... 182 Eemt Hs...... 167, 181 ENSTILAR...... 227, 236, 245 ESTROSTEP FE...... 173 efavirenz...... 22 entacapone...... 115 eszopiclone...... 108 EFFER-K...... 143 entecavir...... 27 ethacrynic acid...... 88, 141 Effer-K...... 143 ENTEREG...... 160 ethambutol hcl...... 18 EFUDEX...... 34, 245 ENTRESTO...... 66, 91 ethosuximide...... 132 EGATEN...... 16 enulose...... 140 ethynodiol diac-eth estradiol... 173 EGRIFTA...... 191 EPANED...... 67, 68 etodolac...... 125

261 etodolac er...... 125 FIRMAGON...... 35, 168, 202 flurbiprofen sodium...... 154 etoposide...... 34 FIRMAGON (240 MG DOSE) flutamide...... 35 EUCRISA...... 227, 230 ...... 34, 168, 202 fluticasone propionate Euthyrox...... 193 FIRST-LANSOPRAZOLE...... 162 ...... 152, 217, 228, 236 EVAMIST...... 182 FIRST-MOUTHWASH BLM.... 245 FLUTICASONE- everolimus...... 34, 208 FIRST-OMEPRAZOLE...... 162 SALMETEROL..52, 165, 219, 220 EVOCLIN...... 224 FIRVANQ...... 20 fluvastatin sodium...... 86 EVOTAZ...... 25, 210 Flac...... 152 fluvastatin sodium er...... 86 EVOXAC...... 50 FLAGYL...... 14, 17 fluvoxamine maleate...... 131 EVZIO...... 124, 194 FLAREX...... 152 fluvoxamine maleate er...... 131 EXELDERM...... 232 flavoxate hcl...... 248 FLUZONE HIGH-DOSE...... 43 exemestane...... 34, 168 flecainide acetate...... 80 FLUZONE QUADRIVALENT.... 43 exoderm...... 224 FLEXICHAMBER ADULT FML...... 152 exotic-hc...... 152 MASK/SMALL...... 135 FML FORTE...... 152 EXTINA...... 232 FLEXICHAMBER CHILD FML LIQUIFILM...... 152 EZALLOR SPRINKLE...... 86 MASK/LARGE...... 135 FOCALIN...... 128 ezetimibe...... 79 FLEXICHAMBER CHILD folic acid...... 252 ezetimibe-simvastatin...... 80, 86 MASK/SMALL...... 135 fondaparinux sodium...... 55, 56 FALESSA...... 252 FLOLIPID...... 86 FORANE...... 118 Falmina...... 173 FLORIVA...... 197, 254 formaldehyde...... 212, 245 famciclovir...... 27 FLORIVA PLUS...... 197, 249 FORMALDEHYDE...... 212 famotidine...... 161 FLOVENT DISKUS...... 165, 219 FORTAVIT...... 62, 249 FANAPT...... 109 FLOVENT HFA...... 165, 219 FORTEO...... 187, 196 FANAPT TITRATION PACK... 109 FLUAD...... 43 FORTISCARE CONTROL...... 135 FARESTON...... 34, 180 FLUARIX QUADRIVALENT...... 43 FOSAMAX...... 196 FARYDAK...... 34 fluconazole...... 19 FOSAMAX PLUS D...... 196, 254 FASENRA PEN...... 217 flucytosine...... 29 fosamprenavir calcium...... 25 Fayosim...... 173 fludrocortisone acetate...... 165 fosinopril sodium...... 67, 68 febuxostat...... 195 FLULAVAL QUADRIVALENT... 43 fosinopril sodium-hctz FEIBA...... 59 flunisolide...... 152, 217 ...... 67, 69, 91, 145 felbamate...... 100 fluocinolone acetonide FOSRENOL...... 141, 194 FELBATOL...... 100 ...... 152, 227, 236 FRAGMIN...... 61 FELDENE...... 125 fluocinolone acetonide body FREESTYLE LIBRE 14 DAY felodipine er...... 75, 83, 84, 87, 94 ...... 227, 236 READER...... 135 FEM PH...... 241 fluocinolone acetonide scalp FREESTYLE LIBRE 14 DAY FEMHRT LOW DOSE.....182, 189 ...... 227, 236 SENSOR...... 136 FEMRING...... 182 fluocinonide...... 227, 236 FREESTYLE LIBRE READER 136 Femynor...... 173 fluocinonide emulsified base FREESTYLE LIBRE SENSOR fenofibrate...... 85 ...... 227, 236 SYSTEM...... 136 fentanyl...... 120 FLUORABON...... 197 FROTEK...... 228, 243 fentanyl citrate...... 120 Fluoridex...... 197 FROVA...... 130 FERRIPROX...... 163 Fluoridex Sensitivity Relief...... 197 frovatriptan succinate...... 130 FETZIMA...... 129 fluoritab...... 197 furosemide...... 88, 141 FETZIMA TITRATION...... 129 fluorometholone...... 152 FUZEON...... 22 FEXMID...... 48 FLUOROPLEX...... 35, 245 Fyavolv...... 182, 189 FINACEA...... 245 FLUOROURACIL...... 35, 245 FYCOMPA...... 100 finasteride...... 194 fluorouracil...... 35, 245 gabapentin...... 98, 100 FIORICET...... 98, 107, 111, 128 fluoxetine hcl...... 131 GABITRIL...... 100 FIORINAL. 64, 107, 111, 128, 129 fluphenazine hcl...... 127 GALAFOLD...... 210 FIORINAL/CODEINE #3 FLURA-DROPS...... 197 galantamine hydrobromide...... 50 ...... 107, 111, 120, 128, 129 flurandrenolide...... 228, 236 galantamine hydrobromide er... 50 FIRAZYR...... 199 flurazepam hcl...... 113 GALZIN...... 163 FIRDAPSE...... 210 flurbiprofen...... 126 GARDASIL 9...... 43

262 GASTROCROM...... 217 GUARDIAN CONNECT HUMIRA PEDIATRIC gatifloxacin...... 148 TRANSMITTER...... 136 CROHNS START GATTEX...... 160 GUARDIAN LINK 3 ...... 160, 200, 204, 245 gavilyte-c...... 158 TRANSMITTER...... 136 HUMIRA PEN. 160, 200, 204, 245 Gavilyte-G...... 158 GVOKE PFS...... 183, 194 HUMIRA PEN-CD/UC/HS Gavilyte-H...... 158 GYNAZOLE-1...... 232 STARTER...... 160, 200, 204, 246 Gavilyte-N With Flavor Pack... 158 HAEGARDA...... 199 HUMIRA PEN-PS/UV/ADOL GELFILM...... 154 Hailey 1.5/30...... 173 HS START...... 160, 200, 204, 246 gemfibrozil...... 85 Hailey 24 Fe...... 173 HUMULIN 70/30 KWIKPEN generlac...... 140 halcinonide...... 228, 236 ...... 185, 186, 190 Gengraf...... 200, 203, 204, 208 HALCION...... 113 HUMULIN 70/30 VIAL gentak...... 148 halobetasol propionate ...... 185, 186, 190 gentamicin sulfate...... 148, 224 ...... 228, 236, 237 HUMULIN N KWIKPEN.. 185, 186 GENVOYA...... 22, 24 HALOG...... 228, 237 HUMULIN N VIAL...... 185, 186 Gianvi...... 173 haloperidol...... 114 HUMULIN R U-500 KWIKPEN GILENYA...... 204 haloperidol lactate...... 114 ...... 185, 190 GILOTRIF...... 35 HALUCORT...... 233 HUMULIN R U-500 VIAL GILPHEX TR...... 45, 215 HARVONI...... 20, 21 (CONCENTRATED)...... 185, 191 GILTUSS TR...... 45, 214, 215 HAVRIX...... 43 HUMULIN R VIAL...... 186, 191 glatiramer acetate...... 204 Heather...... 173 HYCAMTIN...... 35 Glatopa...... 204 hematinic/folic acid...... 62, 252 hydralazine hcl...... 85 GLEOSTINE...... 35 HEMLIBRA...... 59 HYDREA...... 35 glimepiride...... 192 Hemmorex-Hc...... 228, 237 HYDRO 40...... 240 glipizide...... 192 Hemocyte-F...... 62, 252 hydrochlorothiazide.....91, 92, 145 glipizide er...... 192 HEMOFIL M...... 59 hydrocodone bitartrate er...... 120 glipizide xl...... 192 hemorrhoidal-hc...... 228 hydrocodone polst-cpm polst glipizide-metformin hcl.... 169, 192 heparin lock flush...... 61, 136 er...... 13, 120, 214, 216 GLUCAGEN HYPOKIT... 183, 194 heparin sodium (porcine).... 61, 62 hydrocodone-acetaminophen GLUCAGON EMERGENCY heparin sodium (porcine) pf...... 62 ...... 98, 120 KIT...... 183, 194 heparin sodium lock flush. 62, 136 hydrocodone-homatropine GLUCOTROL...... 192 HEPLISAV-B...... 43 ...... 46, 120, 121, 214 GLUCOTROL XL...... 192 HEPSERA...... 28 hydrocodone-ibuprofen... 121, 126 GLUCOVANCE...... 169, 192 HETLIOZ...... 108 hydrocortisone...... 165, 228, 237 GLUTARALDEHYDE...... 139 HIBERIX...... 43 hydrocortisone (perianal) 228, 237 glyburide...... 192 HIPREX...... 31 hydrocortisone ace-pramoxine glyburide micronized...... 192 homatropaire...... 155 ...... 228, 231, 237 glyburide-metformin...... 169, 192 HUMALOG...... 185, 190 hydrocortisone acetate....228, 237 glycopyrrolate...... 46 HUMALOG KWIKPEN.... 185, 190 hydrocortisone butyrate.. 228, 237 GLYNASE...... 192 HUMALOG MIX 50/50 hydrocortisone valerate GLYSET...... 167 KWIKPEN...... 185, 186, 190 ...... 228, 229, 237 GLYXAMBI...... 180, 191 HUMALOG MIX 50/50 VIAL hydrocortisone-acetic acid GOLYTELY...... 158 ...... 185, 186, 190 ...... 152, 153 GORDOFILM...... 240 HUMALOG MIX 75/25 hydrocortisone-iodoquinol grafco silver nit applicator...... 240 KWIKPEN...... 185, 186, 190 ...... 237, 241 granisetron hcl...... 156 HUMALOG MIX 75/25 VIAL hydrocort-pramoxine (perianal) GRASTEK...... 42, 210 ...... 185, 186, 190 ...... 229, 231, 237 griseofulvin microsize...... 16 HUMALOG U-100 JUNIOR hydromet...... 46, 121, 214 griseofulvin ultramicrosize...... 16 KWIKPEN...... 185, 190 hydromorphone hcl...... 121 guaiatussin ac...... 120, 214, 215 HUMATE-P...... 59 hydromorphone hcl er...... 121 guaifenesin ac...... 120, 214, 215 HUMIRA...... 160, 200, 204, 246 hydroxychloroquine sulfate guanfacine hcl...... 79, 115 ...... 16, 200, 204 guanfacine hcl er...... 79, 115 hydroxyurea...... 35 GUANIDINE HCL...... 51 hydroxyzine hcl...... 13, 108

263 hydroxyzine pamoate...... 13, 108 INSULIN PEN NEEDLES...... 136 JIVI...... 59 hyophen...... 31 INSULIN SYRINGES...... 136 Jolessa...... 173 hyoscyamine sulfate...... 46 INTELENCE...... 23 JUBLIA...... 232 hyoscyamine sulfate er...... 46 INTRAROSA...... 165 Juleber...... 173 hyoscyamine sulfate sl...... 46 INTRON A...... 26, 36, 204, 205 JULUCA...... 22, 23 hyosyne...... 46 Introvale...... 173 Junel 1.5/30...... 173 HYPERSAL...... 136, 143 INVELTYS...... 152 Junel 1/20...... 173 HYPOCYN...... 136 INVIRASE...... 25 Junel Fe 1.5/30...... 173 HYZAAR...... 65, 66, 92, 145 INVOKAMET...... 169, 191 Junel Fe 1/20...... 174 ibandronate sodium...... 196 INVOKAMET XR...... 169, 191 Junel Fe 24...... 174 IBRANCE...... 35 INVOKANA...... 191 JUXTAPID...... 69 Ibu...... 126 IODINE STRONG JYNARQUE...... 146 ibuprofen...... 126 ...... 16, 169, 194, 215 Kaitlib Fe...... 174 ICLUSIG...... 35 iodine tincture...... 241 KALETRA...... 25 IDELVION...... 59 IOPIDINE...... 154 Kalliga...... 174 IDHIFA...... 35 IPOL...... 43 KALYDECO...... 215 imatinib mesylate...... 35 ipratropium bromide.. 47, 154, 213 KAPSPARGO SPRINKLE IMBRUVICA...... 35 ipratropium-albuterol ...... 53, 70, 72, 81 imipramine hcl...... 133 ...... 47, 52, 213, 220 Kariva...... 174 imipramine pamoate...... 133 irbesartan...... 65, 66 KATERZIA...... 75, 83, 84, 87, 94 imiquimod...... 246 irbesartan-hydrochlorothiazide KAZANO...... 169, 180 IMITREX...... 130 ...... 65, 66, 92, 145 KEFLEX...... 13 IMPAVIDO...... 17 IRESSA...... 36 Kelnor 1/35...... 174 IMVEXXY MAINTENANCE ISENTRESS...... 22 Kelnor 1/50...... 174 PACK...... 182 ISENTRESS HD...... 22 KEPPRA...... 100 IMVEXXY STARTER PACK... 182 Isibloom...... 173 KEPPRA XR...... 100 INBRIJA...... 116 isoflurane...... 118 KERYDIN...... 243 Incassia...... 173 isoniazid...... 18 ketoconazole...... 19, 232 INCRELEX...... 191 ISOPTO CARPINE...... 155 Ketodan...... 232 INCRUSE ELLIPTA...... 47, 213 ISORDIL TITRADOSE...... 89 KETONE TEST...... 139 indapamide...... 93, 146 isosorbide dinitrate...... 89 ketoprofen...... 126 INDERAL XL isosorbide mononitrate...... 89 ketoprofen er...... 126 ...... 49, 70, 72, 81, 87, 107 isosorbide mononitrate er...... 89 ketorolac tromethamine.. 126, 154 INDOCIN...... 126, 195 isotretinoin...... 246 KETOSTIX...... 139 indomethacin...... 126, 196 isoxsuprine hcl...... 94 KEVEYIS...... 151 indomethacin er...... 126, 195 isradipine...... 75, 83, 84, 87, 94 KEVZARA...... 200, 205 INGREZZA...... 115, 133 ISTALOL...... 151 KINERET...... 200, 205 INLYTA...... 36 itraconazole...... 19 Kionex...... 142, 194 INNOPRAN XL ivermectin...... 16, 246 KISQALI (200 MG DOSE)...... 36 ...... 49, 70, 72, 81, 87, 107 JADENU...... 163 KISQALI (400 MG DOSE)...... 36 INOVA...... 240 JADENU SPRINKLE...... 163 KISQALI (600 MG DOSE)...... 36 INOVA 4/1 ACNE CONTROL Jaimiess...... 173 KISQALI FEMARA (400 MG THERAPY...... 240 JAKAFI...... 36 DOSE)...... 36, 168 INOVA 8/2 ACNE CONTROL Jantoven...... 55 KISQALI FEMARA (600 MG THERAPY...... 240 JANUMET...... 169, 180 DOSE)...... 36, 168 INREBIC...... 36 JANUMET XR...... 169, 180 KISQALI FEMARA(200 MG INSPIREASE RESERVOIR JANUVIA...... 180 DOSE)...... 36, 168 BAGS...... 136 JARDIANCE...... 191 KLARON...... 241 INSPRA...... 88, 90 Jasmiel...... 173 Klor-Con...... 143 INSULIN LISPRO JUNIOR Jencycla...... 173 Klor-Con 10...... 143 KWIKPEN...... 186, 190 JENTADUETO...... 169, 180 Klor-Con M10...... 143 INSULIN LISPRO PROT & JENTADUETO XR...... 169, 180 KLOR-CON M15...... 143 LISPRO...... 186, 190 Jinteli...... 182, 189 Klor-Con M20...... 143

264 Klor-Con Sprinkle...... 143 L-CYSTINE...... 140 levothyroxine sodium...... 193 Klor-Con/Ef...... 143 LEDIPASVIR-SOFOSBUVIR Levoxyl...... 193 KOATE...... 59 ...... 20, 21 LEVSIN...... 47 KOATE-DVI...... 59 Leena...... 174 LEVSIN/SL...... 47 KOGENATE FS...... 59 leflunomide...... 201, 205 LEVULAN KERASTICK...... 246 KOMBIGLYZE XR...169, 170, 180 LENVIMA (10 MG DAILY LEXIVA...... 25 KORLYM...... 168 DOSE)...... 36 LIALDA...... 157 KOVALTRY...... 59 LENVIMA (12 MG DAILY lidocaine...... 231 K-PHOS...... 139 DOSE)...... 36 lidocaine hcl...... 155, 231 K-PHOS NO 2...... 139 LENVIMA (14 MG DAILY lidocaine hcl urethral/mucosal.155 K-PHOS-NEUTRAL...... 139 DOSE)...... 36 lidocaine viscous hcl...... 155 K-Prime...... 143 LENVIMA (18 MG DAILY lidocaine-prilocaine...... 231 KRINTAFEL...... 16 DOSE)...... 36 LIDOPIN...... 231 KRISTALOSE...... 140 LENVIMA (20 MG DAILY LIDTOPIC MAX...... 231 K-TAB...... 143 DOSE)...... 37 Lillow...... 175 Kurvelo...... 174 LENVIMA (24 MG DAILY lindane...... 243 KUVAN...... 210, 211 DOSE)...... 37 linezolid...... 29 labetalol hcl LENVIMA (4 MG DAILY LINZESS...... 160 ...... 49, 51, 64, 65, 70, 72, 81 DOSE)...... 37 liothyronine sodium...... 193 LACRISERT...... 154 LENVIMA (8 MG DAILY lisinopril...... 67, 69 lactulose...... 140 DOSE)...... 37 lisinopril-hydrochlorothiazide lactulose encephalopathy...... 140 Lessina...... 174 ...... 67, 69, 92, 145 LAMICTAL...... 101, 104 LETAIRIS...... 94, 222 L-ISOLEUCINE...... 212 LAMICTAL ODT...... 101, 104 letrozole...... 37, 168 lithium...... 105 LAMICTAL STARTER.....101, 104 lets...... 231 lithium carbonate...... 105 LAMICTAL XR...... 101 leucovorin calcium...... 194 lithium carbonate er...... 105 lamivudine...... 24 LEUKERAN...... 37 LITHOBID...... 105 lamivudine-zidovudine...... 24 LEUKINE...... 57 LITHOSTAT...... 140 lamotrigine...... 101, 104, 105 leuprolide acetate...... 37, 183, 184 LO LOESTRIN FE...... 175 lamotrigine er...... 101 levalbuterol hcl...... 52, 221 LOCOID...... 229, 237 lamotrigine starter kit-blue LEVALBUTEROL HFA...... 53, 221 LOESTRIN 1.5/30 (21)...... 175 ...... 101, 105 LEVAQUIN...... 18, 30 LOESTRIN 1/20 (21)...... 175 lamotrigine starter kit-green LEVBID...... 47 LOESTRIN FE 1.5/30...... 175 ...... 101, 105 LEVEMIR U-100 FLEXTOUCH LOESTRIN FE 1/20...... 175 lamotrigine starter kit-orange ...... 186, 187 Lojaimiess...... 175 ...... 101, 105 LEVEMIR U-100 VIAL.....186, 187 LOKELMA...... 142 LANCETS...... 136 levetiracetam...... 101 LOMAIRA...... 96 LANOXIN...... 69, 79 levetiracetam er...... 101 LOMOTIL...... 47, 156, 213 lansoprazole...... 162 levobunolol hcl...... 151 LONSURF...... 37 lanthanum carbonate...... 141, 194 levocarnitine...... 211 LOPID...... 85 Larin 1.5/30...... 174 levocarnitine sf...... 211 lopinavir-ritonavir...... 25 Larin 1/20...... 174 levocetirizine dihydrochloride Lopreeza...... 182, 189 Larin 24 Fe...... 174 ...... 13, 219 LOPRESSOR...... 54, 71, 72, 81 Larin Fe 1.5/30...... 174 levofloxacin...... 18, 30, 149 LOPRESSOR HCT Larin Fe 1/20...... 174 Levonest...... 174 ...... 54, 70, 72, 81, 92, 145 Larissia...... 174 levonorgest-eth est & eth est.. 174 lorazepam...... 112, 113 LASIX...... 88, 141 levonorgest-eth estrad 91-day 175 Lorazepam Intensol...... 112, 113 LASTACAFT...... 148 levonorgestrel...... 175 LORBRENA...... 37 latanoprost...... 155 levonorgestrel-ethinyl estrad...175 Lorcet...... 98, 121 LATRIX XM...... 240 levonorg-eth estrad triphasic...175 Lorcet Hd...... 98, 121 LATUDA...... 109 Levora 0.15/30 (28)...... 175 Lorcet Plus...... 98, 121 Layolis Fe...... 174 levorphanol tartrate...... 121 LORTAB...... 98, 121 LAZANDA...... 121 Levo-T...... 193 Loryna...... 175

265 losartan potassium...... 65, 66 meclofenamate sodium...... 126 methscopolamine bromide...... 47 losartan potassium-hctz MEDERMA SPF 30...... 233 methyl salicylate...... 129 ...... 66, 67, 92, 145 MEDROL...... 165 methyldopa...... 45, 79 LOSEASONIQUE...... 175 MEDROX-RX...... 246 methyldopa- LOTEMAX...... 152 medroxyprogesterone acetate 189 hydrochlorothiazide LOTEMAX SM...... 152 mefenamic acid...... 126 ...... 45, 79, 92, 145 LOTENSIN...... 68, 69 mefloquine hcl...... 16 methylergonovine maleate...... 212 LOTENSIN HCT....67, 69, 92, 145 MEGACE ES...... 37, 189 METHYLIN...... 128 loteprednol etabonate...... 152 megestrol acetate...... 37, 189 methylphenidate hcl...... 128 LOTREL...... 68, 69, 75, 84, 87, 94 MEKINIST...... 37 methylphenidate hcl er...... 128 lovastatin...... 86 MEKTOVI...... 37 methylphenidate hcl er (cd).....128 Low-Ogestrel...... 175 Melodetta 24 Fe...... 175 methylphenidate hcl er (la)...... 128 loxapine succinate...... 108 meloxicam...... 126 methylprednisolone...... 165 Lo-Zumandimine...... 175 melphalan...... 37 methyltestosterone...... 167 LUCEMYRA...... 45 memantine hcl...... 116 metoclopramide hcl...... 161 Ludent...... 197 MENACTRA...... 44 metolazone...... 93, 146 LUMIGAN...... 155 MENEST...... 182 metoprolol succinate er Lutera...... 175 MENOSTAR...... 182 ...... 54, 71, 72, 81 LYNPARZA...... 37 MENTAX...... 233 metoprolol tartrate...54, 71, 72, 81 LYRICA...... 98, 101, 117 MENVEO...... 44 metoprolol-hydrochlorothiazide Lysiplex Plus...... 141 meperidine hcl...... 121 ...... 54, 71, 72, 81, 92, 145 LYSODREN...... 37 MEPHYTON...... 194, 255 METROCREAM...... 224 LYSTEDA...... 59 meprobamate...... 108 METROLOTION...... 224 Lyza...... 175 mercaptopurine...... 37, 208 metronidazole...... 15, 17, 224 MACROBID...... 31 mesalamine...... 157 mexiletine hcl...... 80 MACRODANTIN...... 31 mesalamine-cleanser...... 157 MIACALCIN...... 168, 187, 196 mafenide acetate...... 241 MESNEX...... 212 Mibelas 24 Fe...... 176 MAGNEBIND 400...... 142 MESTINON...... 51 miconazole 3...... 232 MALARONE...... 16 Metadate Er...... 128 Microgestin 1.5/30...... 176 malathion...... 243 metaproterenol sulfate...... 53, 221 Microgestin 1/20...... 176 maprotiline hcl...... 133 metaxalone...... 48 Microgestin Fe 1.5/30...... 176 marlissa...... 175 metformin hcl...... 170 Microgestin Fe 1/20...... 176 MARPLAN...... 118 METFORMIN HCL...... 170 MICROLET NEXT LANCING MASK VORTEX...... 136 metformin hcl er...... 170 DEVICE...... 136 MATULANE...... 37 methadone hcl...... 121 midazolam hcl...... 114 Matzim La... 74, 75, 77, 78, 83, 94 Methadone Hcl Intensol...... 121 midodrine hcl...... 45 MAVENCLAD (10 TABS)...... 208 methadose...... 122 MIGERGOT...... 50, 107 MAVENCLAD (4 TABS)...... 208 Methadose...... 122 miglitol...... 167 MAVENCLAD (5 TABS)...... 208 methadose sugar-free...... 122 miglustat...... 211 MAVENCLAD (6 TABS)...... 208 methamphetamine hcl...... 97 Mili...... 176 MAVENCLAD (7 TABS)...... 208 methazolamide...... 151 MILLIPRED...... 165 MAVENCLAD (8 TABS)...... 208 methenamine hippurate...... 31 MILLIPRED DP...... 165 MAVENCLAD (9 TABS)...... 208 methenamine mandelate...... 31 Mimvey...... 182, 189 MAVYRET...... 21 Methergine...... 212 mineral oil heavy...... 158 MAXICOMFORT SYR 27G X methimazole...... 169 MINIPRESS...... 50, 64, 65 1/2"...... 136 METHITEST...... 167 Minitran...... 89 MAXIDEX...... 152 methocarbamol...... 48 minocycline hcl...... 31 MAXITROL...... 149, 152, 153 methotrexate..... 37, 201, 205, 208 minoxidil...... 85 MAXZIDE...... 90, 92, 143, 145 methotrexate sodium MIRAPEX...... 119 MAXZIDE-25...... 90, 92, 143, 145 ...... 37, 38, 201, 205, 208, 209 MIRCETTE...... 176 MAYZENT...... 205 methotrexate sodium (pf) mirtazapine...... 103 MAYZENT STARTER PACK.. 205 ...... 37, 201, 205, 208 MIRVASO...... 246 me/naphos/mb/hyo1...... 31 methoxsalen rapid...... 243 misoprostol...... 162

266 MITIGARE...... 196 nadolol...... 49, 71, 72, 81 niacor...... 70 MITOSOL...... 150 NAFRINSE DAILY/NEUTRAL.197 NIASPAN...... 70 M-M-R II...... 44 naloxone hcl...... 124, 194, 195 NICADAN...... 211, 252 M-NATAL PLUS 62, 143, 249, 252 NALOXONE HCL...... 124, 195 nicardipine hcl...... 75, 84, 87, 94 MOBIC...... 126 naltrexone hcl...... 124, 194 NICAZEL...... 211, 252 modafinil...... 133 NAMENDA...... 116 NICAZEL FORTE...... 211, 252 moexipril hcl...... 68, 69 NAMENDA TITRATION PAK..116 NICORETTE...... 48 molindone hcl...... 108 NAPROSYN...... 126, 196 nicotine polacrilex...... 48 mometasone furoate...... 229, 237 naproxen...... 126, 196 nicotine step 1...... 48 Mondoxyne Nl...... 31 naproxen dr...... 126, 196 nicotine step 2...... 48 Mono-Linyah...... 176 naproxen sodium...... 126, 196 nicotine step 3...... 48 MONONINE...... 59 naratriptan hcl...... 130 NICOTROL...... 48 monsels ferric subsulfate.. 59, 212 NARCAN...... 124, 195 NICOTROL NS...... 48 montelukast sodium...... 217 NARDIL...... 119 nifedipine...... 75, 84, 85, 87, 94 MONUROL...... 31 NASCOBAL...... 252 nifedipine er...... 75, 84, 87, 94 Morgidox...... 31 NATACYN...... 150 nifedipine er osmotic release morphine sulfate...... 122 NATAZIA...... 176 ...... 75, 84, 85, 87, 94 morphine sulfate (concentrate)122 nateglinide...... 187 Nikki...... 176 morphine sulfate er...... 122 NATPARA...... 187, 196 nilutamide...... 38 morphine sulfate er beads...... 122 NATURE-THROID...... 193 nimodipine...... 75, 84, 85, 87, 94 MOTEGRITY...... 161 NAYZILAM...... 112, 114 NINLARO...... 38 MOVIPREP...... 158 NEBUPENT...... 17 nisoldipine er.....75, 84, 85, 87, 94 MOXEZA...... 149 Nebusal...... 137, 144 NITRO-BID...... 89 moxifloxacin hcl...... 18, 30, 149 NEBUSAL...... 137, 144 NITRO-DUR...... 89 moxifloxacin hcl (2x day)...... 149 Necon 0.5/35 (28)...... 176 nitrofurantoin...... 32 MOZOBIL...... 57 nefazodone hcl...... 132 nitrofurantoin macrocrystal...... 31 MS CONTIN...... 122 neomycin sulfate...... 15 nitrofurantoin monohydrate MUCOSITISRX...... 137 neomycin-bacitracin zn- macrocrystals...... 32 MULPLETA...... 57 polymyx...... 149 nitroglycerin...... 89 MULTAQ...... 82 neomycin-polymyxin-dexameth NITROMIST...... 89 multi-vit/iron/fluoride..62, 197, 249 ...... 149, 153 NITROSTAT...... 89 multivitamin/fluoride...... 197, 249 neomycin-polymyxin- nitro-time...... 89 multi-vitamin/fluoride...... 197, 249 gramicidin...... 149 NITYR...... 211 multivitamin/fluoride/iron neomycin-polymyxin-hc.. 149, 153 nizatidine...... 161 ...... 62, 197, 249 Neo-Polycin...... 149 NIZORAL...... 232 multi-vitamin/fluoride/iron Neo-Polycin Hc...... 149, 153 NOCDURNA...... 59, 188 ...... 62, 197, 249 NEOTUSS PLUS 13, 45, 214, 216 Nolix...... 229, 237 multivitamins/fluoride...... 197, 249 NEOVITE...... 249, 252 Nora-Be...... 176 mupirocin...... 224 NERLYNX...... 38 NORCO...... 98, 122 mupirocin calcium...... 224 NESINA...... 180 norethin ace-eth estrad-fe...... 176 MUSE...... 94 NESTABS...... 62, 144, 249, 252 norethindrone...... 176 Mvc-Fluoride...... 197, 249 Neuac...... 224, 240 norethindrone acetate...... 189 MYALEPT...... 187 NEULASTA...... 57 norethindrone acet-ethinyl est.176 MYAMBUTOL...... 18 NEUPRO...... 119 norethindrone-eth estradiol MYCOBUTIN...... 18, 30 NEURAPTINE...... 246 ...... 182, 189 mycophenolate mofetil...... 209 NEURONTIN...... 98, 101, 102 norethin-eth estradiol-fe...... 176 mycophenolate sodium...... 209 neutral sodium fluoride...... 197 norgestimate-eth estradiol...... 176 MYLERAN...... 38 NEVANAC...... 154 norgestimate-ethinyl estradiol Myorisan...... 246 nevirapine...... 23 triphasic...... 176 MYSOLINE...... 110 NEXAVAR...... 38 Norlyda...... 176 MYTESI...... 156 NEXIUM...... 162 Norlyroc...... 177 nabumetone...... 126 niacin (antihyperlipidemic)...... 70 NORPACE...... 80 n-acetyl-l-cysteine...... 211 niacin er (antihyperlipidemic).... 70 NORPACE CR...... 80

267 NORPRAMIN...... 133 olanzapine...... 105, 109 orphenadrine citrate er...... 54 NORTHERA...... 44, 45 olanzapine-fluoxetine hcl 110, 131 orphenadrine-aspirin-caffeine Nortrel 0.5/35 (28)...... 177 olmesartan medoxomil...... 66, 67 ...... 54, 129 Nortrel 1/35 (21)...... 177 olmesartan medoxomil-hctz Orsythia...... 177 Nortrel 1/35 (28)...... 177 ...... 66, 67, 92, 145 ORTHO MICRONOR...... 177 Nortrel 7/7/7...... 177 olopatadine hcl...... 148 ORTHO-NOVUM 7/7/7 (28).... 177 nortriptyline hcl...... 133 OLUMIANT...... 201, 205 oscimin...... 47 NORVIR...... 25 OMECLAMOX-PAK.... 15, 28, 162 oscimin sr...... 47 NOVOEIGHT...... 60 omega-3-acid ethyl esters...... 70 oseltamivir phosphate...... 27 NOVOFINE AUTOCOVER omeprazole...... 162 OSENI...... 180, 192 PEN NEEDLE...... 137 OMEPRAZOLE+SYRSPEND OSMOPREP...... 158 NOVOFINE PEN NEEDLE..... 137 SF ALKA...... 162 OSPHENA...... 180 NOVOFINE PLUS PEN ondansetron hcl...... 156 OTEZLA...... 201, 205, 246 NEEDLE...... 137 ondansetron odt...... 156 OTICIN HC NR...... 153 NOVOPEN ECHO...... 137 ONETOUCH DELICA OVACE PLUS...... 241 NOVOSEVEN RT...... 60 LANCING DEV...... 137 OVACE PLUS WASH...... 241 NOVOTWIST PEN NEEDLE.. 137 ONETOUCH DELICA PLUS OVACE WASH...... 242 NOXAFIL...... 19 LANCING...... 137 OVIDE...... 243 np thyroid...... 193 ONETOUCH ULTRA 2...... 137 oxandrolone...... 167 NUBEQA...... 38 ONETOUCH ULTRA BLUE oxaprozin...... 126 NUCALA...... 217 TEST STRIPS...... 138 oxazepam...... 114 NUCORT...... 229, 237 ONETOUCH ULTRA MINI...... 137 oxcarbazepine...... 102 NUCYNTA...... 122 ONETOUCH VERIO...... 137, 139 OXERVATE...... 154 NUCYNTA ER...... 122 ONETOUCH VERIO FLEX oxiconazole nitrate...... 232 NUEDEXTA...... 116, 214 SYSTEM KIT W/DEVICE...... 137 OXISTAT...... 233 Nulev...... 47 ONETOUCH VERIO IQ OXSORALEN ULTRA...... 243 NULYTELY WITH FLAVOR SYSTEM...... 137 oxybutynin chloride...... 248 PACKS...... 158 ONETOUCH VERIO SYNC oxybutynin chloride er...... 248 NUPLAZID...... 109 SYSTEM KIT W/DEVICE...... 137 oxycodone hcl...... 122, 123 NUTRICAP...... 62, 249, 252 ONEVITE...... 249, 252 oxycodone-acetaminophen NUTRIDOX...... 31 ONFI...... 112, 114 ...... 98, 123 NUTROPIN AQ NUSPIN 10... 188 ONGLYZA...... 180 oxycodone-aspirin...... 123, 129 NUTROPIN AQ NUSPIN 20... 188 OPANA...... 122 oxycodone-ibuprofen...... 123, 126 NUTROPIN AQ NUSPIN 5..... 188 opium...... 122, 156 oxymorphone hcl...... 123 NUVAIL...... 137 OPSUMIT...... 94, 222 oxymorphone hcl er...... 123 NUVARING...... 177 ORACIT...... 139 OZEMPIC...... 184 NUWIQ...... 60 ORALAIR...... 42, 211 OZOBAX...... 49 NUZYRA...... 15 ORALAIR ADULT SAMPLE Pacerone...... 82 Nyamyc...... 243 KIT...... 42, 211 paliperidone er...... 110 NYMALIZE...... 75, 84, 85, 87, 94 ORALAIR ADULT STARTER PALYNZIQ...... 147 nystatin...... 29, 243 PACK...... 42, 211 PAMELOR...... 133 Nystop...... 243 ORALAIR CHILDRENS PANCREAZE...... 159 OCALIVA...... 160 SAMPLE KIT...... 42, 211 PANDEL...... 229, 238 Ocella...... 177 ORALAIR CHILDRENS PANRETIN...... 38, 246 octreotide acetate...... 191, 211 STARTER PACK...... 42, 211 pantoprazole sodium...... 162 OCUFLOX...... 149 Oralone...... 229, 237 paricalcitol...... 254 OCUVEL...... 249, 252, 254 ORAPRED ODT...... 166 PARNATE...... 119 ODACTRA...... 42 ORAVIG...... 232 Paroex...... 154 ODEFSEY...... 23, 24 ORENCIA...... 201, 205 paromomycin sulfate...... 15 ODOMZO...... 38 ORENCIA CLICKJECT... 201, 205 paroxetine hcl...... 131 OFEV...... 214 ORENITRAM...... 94, 222 paroxetine hcl er...... 131 ofloxacin...... 30, 149 ORILISSA...... 168 PASER...... 18 ogestrel...... 177 ORKAMBI...... 215 PATANASE...... 148

268 PAXIL...... 131, 132 pimecrolimus...... 209, 246 pravastatin sodium...... 86 PAXIL CR...... 131 pimozide...... 108 praziquantel...... 16 PEDIAPRED...... 166 Pimtrea...... 177 prazosin hcl...... 50, 64, 65 PEDVAX HIB...... 44 pindolol...... 49, 71, 72, 81, 87 PRECISION XTRA KETONE..137 peg 3350-kcl-na bicarb-nacl....158 pioglitazone hcl...... 193 PRECOSE...... 167 peg-3350/electrolytes...... 158 pioglitazone hcl-glimepiride PRED FORTE...... 153 PEGANONE...... 118 ...... 192, 193 PRED MILD...... 153 PEGASYS...... 26 pioglitazone hcl-metformin hcl PRED-G...... 149, 153 PEGASYS PROCLICK...... 26 ...... 170, 193 PRED-G S.O.P...... 149, 153 PEGINTRON...... 26 PIQRAY (200 MG DAILY prednicarbate...... 229, 238 Peg-Prep...... 158 DOSE)...... 38 prednisolone...... 166 penicillamine...... 163, 201 PIQRAY (250 MG DAILY prednisolone acetate...... 153 penicillin v potassium...... 27 DOSE)...... 38 prednisolone sodium pentamidine isethionate...... 17 PIQRAY (300 MG DAILY phosphate...... 153, 166 pentazocine-naloxone hcl...... 125 DOSE)...... 38 prednisone...... 166 pentoxifylline er...... 57 Pirmella 1/35...... 177 prednisone intensol...... 166 PERFOROMIST...... 53, 221 Pirmella 7/7/7...... 177 PREFEST...... 182 PERIDEX...... 154 piroxicam...... 126 pregabalin...... 98, 102, 117 perindopril erbumine...... 68, 69 PLAN B ONE-STEP...... 177 PREMARIN...... 183 Periogard...... 154 PLEGRIDY...... 206 PREMPHASE...... 183 permethrin...... 243 PLEGRIDY STARTER PACK. 205 PREMPRO...... 183 perphenazine...... 127 PLENVU...... 158 PRENAISSANCE perphenazine-amitriptyline PNEUMOVAX 23...... 44 ...... 62, 144, 158, 249, 252 ...... 127, 133 pnv prenatal plus multivit+dha PRENATA...... 62, 250, 252 PERTZYE...... 159 ...... 62, 249, 252 prenatal...... 62, 144, 250, 252 Phenadoz...... 12, 108 podocon...... 247 prenatal plus iron Phenazo...... 231 podofilox...... 247 ...... 62, 144, 250, 252 phenazopyridine hcl...... 231 Polycin...... 149 PRENATE...... 144, 250, 253 phendimetrazine tartrate...... 96 polymyxin b-trimethoprim...... 149 PRENATE DHA...... 62, 250, 252 phendimetrazine tartrate er...... 96 POLYTRIM...... 149 PRENATE ELITE...... 63, 250, 252 phenelzine sulfate...... 119 POLY-VI-FLOR...... 198, 249 PRENATE ENHANCE phenobarbital...... 110, 111 POLY-VI-FLOR/IRON ...... 63, 250, 252 phenoxybenzamine hcl...... 50, 87 ...... 62, 198, 249 PRENATE ESSENTIAL phentermine hcl...... 96 POMALYST...... 38, 206 ...... 63, 250, 252 phenylephrine hcl...... 156 Portia-28...... 177 PRENATE MINI...... 63, 250, 252 PHENYTEK...... 80, 118 posaconazole...... 19 PRENATE PIXIE...... 63, 250, 253 phenytoin...... 80, 118 pot bicarb-pot chloride...... 144 PRENATE RESTORE Phenytoin Infatabs...... 80, 118 POTABA...... 211 ...... 63, 250, 253 phenytoin sodium extended potassium bicarbonate...... 144 PREPIDIL...... 212 ...... 80, 118 potassium chloride...... 144 PREPOPIK...... 159 Philith...... 177 potassium chloride crys er...... 144 PRETOMANID...... 18 PHOSLYRA...... 142 potassium chloride er...... 144 PREVACID SOLUTAB...... 163 Phospha 250 Neutral...... 139 potassium citrate er...... 140 Prevalite...... 73 Phosphasal...... 32 potassium citrate-citric acid.....140 PREVIDENT...... 198 PHOSPHOLINE IODIDE...... 155 PRADAXA...... 56 PREVIDENT 5000 BOOSTER phosphorous...... 139 PRALUENT...... 89 PLUS...... 198 Phospho-Trin 250 Neutral...... 139 pramipexole dihydrochloride... 119 PREVIDENT 5000 DRY PHOTREXA-PHOTREXA pramosone...... 229, 231, 238 MOUTH...... 198 VISCOUS KIT...... 154 PRAMOSONE...... 229, 231, 238 PREVIDENT 5000 ENAMEL phytonadione...... 195, 255 PRAMOTIC...... 154, 155 PROTECT...... 198 PICATO...... 38, 246 Pramox...... 231 PREVIDENT 5000 ORTHO PIFELTRO...... 23 prasugrel hcl...... 64 DEFENSE...... 198 pilocarpine hcl...... 51, 155 PRAVACHOL...... 86 PREVIDENT 5000 PLUS...... 198

269 PREVIDENT 5000 SENSITIVE propranolol hcl er RASUVO ...... 198 ...... 49, 71, 72, 81, 87, 107 ...... 38, 39, 201, 202, 206, 209 Previfem...... 177 propranolol-hctz RAVICTI...... 140 PREVNAR 13...... 44 ...... 49, 71, 72, 81, 92, 145 RAZADYNE...... 51 PREVYMIS...... 18, 28 propylthiouracil...... 169 RAZADYNE ER...... 51 PREZCOBIX...... 25, 211 PROSCAR...... 194 REBIF...... 206 PREZISTA...... 25 PROSTIN E2...... 212 REBIF REBIDOSE...... 206 PRIFTIN...... 18, 30 protriptyline hcl...... 133 REBIF REBIDOSE PRIMACARE...... 63, 250, 253 PROVENTIL HFA...... 53, 221 TITRATION PACK...... 206 primaquine phosphate...... 16 PROVERA...... 190 REBIF TITRATION PACK...... 206 primidone...... 111 PRUDOXIN...... 231 Reclipsen...... 177 PRIMSOL...... 32 pseudoephedrine-bromphen- RECOMBINATE...... 60 PRINIVIL...... 68, 69 dm...... 45, 213, 214, 216 RECOMBIVAX HB...... 44 PROAIR HFA...... 53, 221 PSORCON...... 229, 238 RECOTHROM...... 60 PROAIR RESPICLICK...... 53, 221 PULMICORT FLEXHALER RECOTHROM SPRAY KIT...... 60 probenecid...... 146, 196 ...... 166, 219 RECTIV...... 247 PROCARDIA.....75, 84, 85, 87, 95 Pulmosal...... 137, 144 REGLAN...... 162 PROCARDIA XL76, 84, 85, 87, 95 PULMOZYME...... 147, 217 REGRANEX...... 233, 247 Procentra...... 97 PURIXAN...... 38, 209 RELENZA DISKHALER...... 27 prochlorperazine...... 127, 157 PYLERA....15, 16, 17, 29, 31, 158 RELION ULTIMA TEST...... 139 prochlorperazine maleate127, 157 pyrazinamide...... 18 RELISTOR...... 160 PROCTOFOAM HC 229, 231, 238 PYRIDIUM...... 231 RELNATE DHA...... 63, 250, 253 Procto-Med Hc...... 229, 238 pyridostigmine bromide...... 51 REMEDIENT...... 63, 250, 253 Procto-Pak...... 229, 238 pyridostigmine bromide er...... 51 REMERON...... 103 Proctosol Hc...... 229, 238 pyrimethamine...... 16 REMERON SOLTAB...... 103 Proctozone-Hc...... 229, 238 PYROGALLIC ACID...... 247 RENAGEL...... 142, 195 PROCYSBI...... 211 QBRELIS...... 68, 69 RENVELA...... 142, 195 PROFILNINE...... 60 QSYMIA...... 96, 102 repaglinide...... 187 PROFILNINE SD...... 60 QUALAQUIN...... 16 REPATHA...... 89 progesterone...... 190 quazepam...... 114 REPATHA PUSHTRONEX progesterone micronized...... 190 QUESTRAN...... 73 SYSTEM...... 89 PROGLYCEM...... 168 QUESTRAN LIGHT...... 73 REPATHA SURECLICK...... 89 PROGRAF...... 209 quetiapine fumarate...... 105, 110 REQ 49+...... 250 PROMACTA...... 57 quetiapine fumarate er.... 105, 110 RESTASIS...... 154 promethazine hcl...... 12, 108, 216 QUFLORA PEDIATRIC.. 198, 250 RESTORIL...... 114 promethazine-codeine quinapril hcl...... 68, 69 RETACRIT...... 57 ...... 123, 214, 216 quinapril-hydrochlorothiazide RETROVIR...... 24 promethazine-dm...... 12, 214, 216 ...... 68, 69, 92, 146 REVATIO...... 90, 222 promethazine-phenyleph- quinidine gluconate er...... 16, 80 REVLIMID...... 39, 206 codeine...... 12, 45, 123, 214, 216 quinidine sulfate...... 17, 80 REXULTI...... 110 promethazine-phenylephrine quinine sulfate...... 17 REYATAZ...... 25 ...... 12, 45, 216 QVAR REDIHALER...... 166, 219 RHOFADE...... 247 Promethegan...... 13, 108 rabeprazole sodium...... 163 RHOPRESSA...... 150, 156 promethegan...... 13, 108 RADIOGARDASE...... 141, 195 ribavirin...... 28 PROMISEB...... 137 RAGWITEK...... 42, 211 RIDAURA...... 163, 202, 206 propafenone hcl...... 80 raloxifene hcl...... 180, 196 rifabutin...... 18, 30 propafenone hcl er...... 80 ramelteon...... 108 RIFADIN...... 18, 30 propantheline bromide...... 47 ramipril...... 68, 69 RIFAMATE...... 18, 30 proparacaine hcl...... 155 ranolazine er...... 79 rifampin...... 18, 30 propranolol hcl RAPAMUNE...... 209 RIFATER...... 18, 30 ...... 49, 71, 72, 81, 87, 107 rasagiline mesylate...... 118, 119 RILUTEK...... 116 riluzole...... 116 rimantadine hcl...... 14

270 RINVOQ...... 202, 207 SELZENTRY...... 22 SOLIQUA...... 184, 186, 187 RIOMET...... 170 SEMPREX-D...... 13, 45, 213, 219 SOLOSEC...... 17 RIOMET ER...... 170 SENSIPAR...... 168, 211 SOMA...... 48 risedronate sodium...... 196, 197 SEREVENT DISKUS...... 53, 221 SOMATULINE DEPOT...... 191 risperidone...... 105, 110 SEROSTIM...... 188 SOMAVERT...... 192 RITALIN...... 128 sertraline hcl...... 132 SOOLANTRA...... 247 ritonavir...... 25 Setlakin...... 177 SORIATANE...... 247 rivastigmine...... 51 sevelamer carbonate...... 142, 195 sotalol hcl...... 49, 71, 72, 82, 87 rivastigmine tartrate...... 51 sevelamer hcl...... 142, 195 sotalol hcl (af) Rivelsa...... 177 sevoflurane...... 118 ...... 49, 71, 72, 81, 82, 87 RIXUBIS...... 60 sf...... 198 SOTYLIZE...... 49, 71, 72, 82, 87 rizatriptan benzoate...... 130 sf 5000 plus...... 198 SOVALDI...... 21 ROBAXIN-750...... 48 SFROWASA...... 157 SPECTRACEF...... 14 ROCALTROL...... 254 Sharobel...... 178 spinosad...... 243 ROCKLATAN...... 150, 155, 156 SHARPS CONTAINER...... 137 SPIRIVA HANDIHALER....47, 213 ropinirole hcl...... 119 SHINGRIX...... 44 SPIRIVA RESPIMAT...... 47, 213 Rosadan...... 224 SIDEROL...... 63, 253, 254 spironolactone...... 88, 90, 143 rosuvastatin calcium...... 86 SIGNIFOR...... 191 spironolactone-hctz ROWASA...... 157 sildenafil citrate...... 90, 222 ...... 88, 89, 90, 92, 143, 146 Roweepra...... 102 silodosin...... 51 SPORANOX...... 19 Roweepra Xr...... 102 SILVADENE...... 242 SPORANOX PULSEPAK...... 19 ROXICODONE...... 123 silver nitrate...... 240, 242 SPRAVATO (56 MG DOSE)... 103 ROZEREM...... 109 silver sulfadiazine...... 242 SPRAVATO (84 MG DOSE)... 103 ROZLYTREK...... 39 Simliya...... 178 Sprintec 28...... 178 RUBRACA...... 39 Simpesse...... 178 SPRIX...... 126 RUCONEST...... 199 SIMPONI...... 160, 161, 202, 207 SPRYCEL...... 39 RUZURGI...... 211 simvastatin...... 86 Sps...... 142, 195 RYBELSUS...... 184 SINEMET...... 116 Sronyx...... 178 RYDAPT...... 39 SINGULAIR...... 217 Ssd...... 242 RYTHMOL SR...... 80 sirolimus...... 209 SSKI...... 16, 169, 195, 215 SABRIL...... 102 SIRTURO...... 18 sss 10-5...... 240, 242 SALAGEN...... 51 SIVEXTRO...... 29 STALEVO 100...... 115, 116 salicylic acid...... 240 SKLICE...... 243 STALEVO 125...... 115, 117 salimez...... 240 SKYRIZI (150 MG DOSE)...... 247 STALEVO 150...... 115, 117 salsalate...... 129 SLYND...... 178, 190 STALEVO 200...... 115, 117 SALVAX DUO PLUS...... 240 sod citrate-citric acid...... 140 STALEVO 50...... 115, 117 SAMSCA...... 146 SODIUM BICARBONATE STALEVO 75...... 115, 117 SANDIMMUNE...... 202, 207, 209 ...... 140, 156 STARLIX...... 187 SANTYL...... 247 sodium chloride...... 138, 144 stavudine...... 24 SAPHRIS...... 105, 110 sodium fluoride...... 198 STELARA...... 202, 207, 247 SAVAYSA...... 56 sodium fluoride 5000 plus...... 198 STENDRA...... 90 SAVELLA...... 117, 130 sodium fluoride 5000 ppm...... 198 STIMATE...... 60, 188 SAVELLA TITRATION PACK sodium hyaluronate...... 138 STIVARGA...... 39 ...... 118, 130 sodium phenylbutyrate...... 140 STRENSIQ...... 147 SAXENDA...... 184 sodium polystyrene sulfonate STRIANT...... 167 SCALACORT DK...... 229, 238 ...... 142, 195 STRIBILD...... 22, 24 scopolamine...... 157 sodium sulfacetamide...... 242 STRIVERDI RESPIMAT... 53, 221 SEASONIQUE...... 177 sodium sulfacetamide wash....242 STROMECTOL...... 16 SECONAL...... 111 SODIUM SULFACETAMIDE STROVITE FORTE...63, 250, 253 SEEBRI NEOHALER...... 47 WASH...... 242 STROVITE ONE..... 250, 253, 254 SELECT-OB...... 63, 250, 253 SOFOSBUVIR-VELPATASVIR SUBOXONE...... 125 selegiline hcl...... 118, 119 ...... 20, 21 Subvenite...... 102, 105 selenium sulfide...... 242 SOF-SENSOR...... 138

271 Subvenite Starter Kit-Blue SYMLINPEN 60...... 167 tencon...... 98, 111 ...... 102, 105 SYMPROIC...... 161 TENIVAC...... 42 Subvenite Starter Kit-Green SYMTUZA...... 24, 25, 28, 212 tenofovir disoproxil fumarate.....24 ...... 102, 106 SYNAGEX...... 253 terazosin hcl...... 50, 64, 65, 88 Subvenite Starter Kit-Orange SYNAPRYN FUSEPAQ...... 123 terbinafine hcl...... 14 ...... 102, 106 SYNAREL...... 183, 184 terbutaline sulfate...... 53, 221 SUCRAID...... 147 SYNDROS...... 157 terconazole...... 233 sucralfate...... 162 SYNJARDY...... 170, 191 Terrell...... 118 SULAR...... 76, 84, 85, 88, 95 SYNJARDY XR...... 170, 191 TESSALON PERLES...... 214 SULCONAZOLE NITRATE.....233 SYNRIBO...... 39 TESTIM...... 167 sulfacetamide sodium SYNTHROID...... 193 testosterone cypionate...... 167 ...... 149, 150, 242 SYNVEXIA TC...... 231 testosterone enanthate...... 168 sulfacetamide sodium (acne).. 242 SYPRINE...... 163 tetrabenazine...... 116, 133 sulfacetamide sodium-sulfur TABLOID...... 39 tetracaine hcl...... 155 ...... 240, 242 TACLONEX...... 229, 238, 247 tetracycline hcl...... 31 sulfacetamide-prednisolone.... 150 tacrolimus...... 209, 247 TEXACORT...... 230, 238 sulfacetamide-sulfur in urea tadalafil...... 90 THALOMID...... 207 ...... 240, 242 tadalafil (pah)...... 90, 222 THEO-24...... 85, 141, 222, 248 sulfadiazine...... 30 TAFINLAR...... 39 theophylline...... 85, 141, 222, 248 sulfamethoxazole-trimethoprim.30 TAGRISSO...... 40 theophylline er...85, 141, 222, 248 SULFAMYLON...... 242 TAKHZYRO...... 199 THIOLA...... 212 sulfasalazine..... 30, 157, 202, 207 TALZENNA...... 40 THIOLA EC...... 212 Sulfatrim Pediatric...... 30 tamoxifen citrate...... 40, 180, 181 thioridazine hcl...... 127 sulindac...... 126 tamsulosin hcl...... 51 thiothixene...... 132 sumatriptan...... 130 TAPAZOLE...... 169 THROMBIN-JMI...... 60 sumatriptan succinate...... 130 TAPERDEX 12-DAY...... 166 THROMBIN-JMI EPISTAXIS.... 60 sumatriptan succinate refill..... 130 Taperdex 6-Day...... 166 thyroid...... 193 SUMAXIN...... 240, 242 TAPERDEX 7-DAY...... 166 Tiadylt Er.....74, 76, 77, 78, 83, 95 SUMAXIN WASH...... 240, 242 TARCEVA...... 40 tiagabine hcl...... 102 SUNOSI...... 133 TARGRETIN...... 40, 247 TIAZAC...... 74, 76, 77, 78, 83, 95 support...... 250 Tarina 24 Fe...... 178 TIBSOVO...... 40 SUPRAX...... 14 Tarina Fe 1/20...... 178 TIGAN...... 157 SUPREP BOWEL PREP KIT..159 Tarina Fe 1/20 Eq...... 178 TIGLUTIK...... 116 SURESTEP PRO HIGH TARKA...... 68, 69, 74, 76, 78, 95 TIKOSYN...... 82 GLUCOSE...... 138 Taron-Crystals...... 140 Tilia Fe...... 178 SURESTEP PRO LOW TASIGNA...... 40 timolol maleate GLUCOSE...... 138 TAVALISSE...... 55 ...... 49, 71, 72, 82, 88, 107, 151 SURESTEP PRO NORMAL TAYTULLA...... 178 TIMOPTIC...... 151 GLUCOSE...... 138 TAZORAC...... 247 TIMOPTIC OCUDOSE...... 151 SUSTIVA...... 23 Taztia Xt...... 74, 76, 77, 78, 83, 95 TIMOPTIC-XE...... 151 SUTENT...... 39 TAZVERIK...... 40 tinidazole...... 17 Syeda...... 178 TECFIDERA...... 207 TIROSINT-SOL...... 193 SYLATRON...... 26, 39 TEGRETOL...... 102, 106 TISSEEL...... 247 SYMAX DUOTAB...... 47 TEGRETOL-XR...... 102, 106 TIVICAY...... 22 Symax-Sl...... 47 TEGSEDI...... 196 tizanidine hcl...... 48 Symax-Sr...... 47 TEKTURNA...... 91 TOBI PODHALER...... 15 SYMBICORT.....53, 166, 219, 221 TEKTURNA HCT...... 91, 92, 146 TOBRADEX...... 150, 153 SYMBYAX...... 110, 132 telmisartan...... 66, 67 tobramycin...... 150 SYMDEKO...... 215 telmisartan-hctz.....66, 67, 92, 146 tobramycin-dexamethasone SYMFI...... 23, 24 temazepam...... 114 ...... 150, 153 SYMFI LO...... 23, 24 TEMODAR...... 40 TOBREX...... 150 SYMJEPI...... 45, 213 TEMOVATE...... 230, 238 tolbutamide...... 192 SYMLINPEN 120...... 167 temozolomide...... 40 tolcapone...... 115

272 tolmetin sodium...... 126 trifluridine...... 150 ULTRACET...... 99, 107, 123 TOPAMAX...... 102 trihexyphenidyl hcl...... 47, 48, 99 ULTRAM...... 123 TOPAMAX SPRINKLE...... 102 TRIKAFTA...... 215 UNISTRIP CONTROL...... 138 TOPICORT...... 230, 238 Tri-Legest Fe...... 178 Unithroid...... 193 topiramate...... 102 TRILEPTAL...... 102, 103 UPTRAVI...... 95, 222 TOPROL XL...... 54, 71, 72, 82 Tri-Linyah...... 178 urea...... 240 toremifene citrate...... 40, 181 Tri-Lo-Estarylla...... 178 urea nail...... 241 torsemide...... 88, 141 Tri-Lo-Marzia...... 178 URECHOLINE...... 51 TOVIAZ...... 248 Tri-Lo-Mili...... 178 Urelle...... 32 TRACLEER...... 95, 222 Tri-Lo-Sprintec...... 178 Uretron D/S...... 32 TRADJENTA...... 180 Trilyte...... 159 Uribel...... 32 tramadol hcl...... 123 trimethobenzamide hcl...... 157 URIMAR-T...... 32 tramadol hcl er...... 123 trimethoprim...... 32 urin ds...... 32 tramadol-acetaminophen Tri-Mili...... 179 URO-458...... 32 ...... 98, 107, 123 trimipramine maleate...... 133 UROCIT-K 10...... 140 trandolapril...... 68, 69 trinate...... 63, 144, 251, 253 UROCIT-K 15...... 140 trandolapril-verapamil hcl er TRINTELLIX...... 132 UROCIT-K 5...... 140 ...... 68, 69, 74, 76, 78, 95 Tri-Previfem...... 179 UROGESIC-BLUE...... 32 tranexamic acid...... 60 Tri-Sprintec...... 179 uro-mp...... 32 TRANSDERM SCOP (1.5 MG) TRIUMEQ...... 22, 24 UROXATRAL...... 51 ...... 157 TRI-VI-FLOR...... 199, 251 URSO 250...... 159 TRANSDERM-SCOP (1.5 MG) TRI-VI-FLORO...... 199, 251 URSO FORTE...... 159 ...... 157 tri-vitamin/fluoride....199, 251, 254 ursodiol...... 159 TRANXENE-T...... 112, 114 tri-vite/fluoride...... 199, 251, 254 Uryl...... 32 tranylcypromine sulfate...... 119 Trivora (28)...... 179 Ustell...... 32 TRAVATAN Z...... 155 Tri-Vylibra...... 179 uticap...... 32 travoprost (bak free)...... 155 Tri-Vylibra Lo...... 179 Utira-C...... 32 trazodone hcl...... 132 TRIZIVIR...... 24 Utrona-C...... 32 TRECATOR...... 18 TRUE METRIX LEVEL 1...... 138 valacyclovir hcl...... 28 TRELEGY ELLIPTA TRUE METRIX LEVEL 2...... 138 VALCHLOR...... 40, 248 ...... 47, 53, 166, 213, 219, 221 TRUE METRIX LEVEL 3...... 138 VALCYTE...... 28 TREMFYA...... 247 TRULANCE...... 161 valganciclovir hcl...... 28 TRESIBA...... 186, 187 TRULICITY...... 184 valproic acid...... 103, 106, 107 TRESIBA FLEXTOUCH..186, 187 TRUMENBA...... 44 valsartan...... 66, 67 tretinoin...... 40, 233 TRUSOPT...... 151 valsartan-hydrochlorothiazide TRETTEN...... 60 TRUVADA...... 24 ...... 66, 67, 92, 146 TREXALL...... 40, 202, 207, 209 Tulana...... 179 VALTOCO 10 MG DOSE 112, 114 TREZIX...... 99, 123, 128 TURALIO...... 40 VALTOCO 15 MG DOSE 112, 114 Tri Femynor...... 178 TURPENTINE...... 212 VALTOCO 20 MG DOSE 112, 114 triamcinolone acetonide TUSSICAPS...... 13, 123, 214, 216 VALTOCO 5 MG DOSE..112, 114 ...... 230, 238, 239 TWINRIX...... 44 Vanatol Lq...... 99, 108, 111, 128 triamterene...... 90, 143 TYBOST...... 212 Vanatol S...... 99, 108, 111, 128 triamterene-hctz.. 91, 92, 143, 146 Tydemy...... 179 VANCOCIN...... 20 triazolam...... 114 TYKERB...... 40 VANCOCIN HCL...... 20 TRICARE PRENATAL DHA TYLENOL WITH CODEINE #3 vancomycin hcl...... 20 ONE...... 63, 159, 251, 253 ...... 99, 123 Vandazole...... 224 TRI-CHLOR...... 248 TYMLOS...... 187, 188, 196 VAQTA...... 44 TRICITRASOL...... 54, 140 TYVASO...... 95, 222 vardenafil hcl...... 90 tricitrates...... 140 TYVASO REFILL...... 95, 222 VARIVAX...... 44 Triderm...... 230, 239 TYVASO STARTER...... 95, 222 VASCEPA...... 70 TRIDESILON...... 230, 239 UCERIS...... 166 v-c forte...... 251, 253 Tri-Estarylla...... 178 UDAMIN SP...... 251, 253 VECAMYL...... 88 trifluoperazine hcl...... 127 ULTANE...... 118 Velivet...... 179

273 VELPHORO...... 142 VIVELLE-DOT...... 183 XPOVIO (100 MG ONCE VELTASSA...... 142 VIZIMPRO...... 41 WEEKLY)...... 41 VEMLIDY...... 28 Volnea...... 179 XPOVIO (60 MG ONCE VENCLEXTA...... 40 VOLTAREN...... 126, 243, 248 WEEKLY)...... 41 VENCLEXTA STARTING VONVENDI...... 60 XPOVIO (80 MG ONCE PACK...... 41 voriconazole...... 19 WEEKLY)...... 41 VENELEX...... 248 VOSEVI...... 21 XPOVIO (80 MG TWICE venlafaxine hcl...... 130 VOTRIENT...... 41 WEEKLY)...... 41 venlafaxine hcl er...... 130 vp-pnv-dha...... 63, 251, 253 XTAMPZA ER...... 123, 124 VENTAVIS...... 95, 222 VRAYLAR...... 110 XTANDI...... 41 VENTOLIN HFA...... 53, 221 Vtol Lq...... 99, 108, 111, 128 xulane...... 179 verapamil hcl Vyfemla...... 179 XURIDEN...... 212 ...... 74, 76, 77, 78, 83, 96 VYLEESI...... 116 XYNTHA...... 61 verapamil hcl er Vylibra...... 179 XYNTHA SOLOFUSE...... 61 ...... 74, 76, 77, 78, 83, 95 VYNDAMAX...... 79 XYREM...... 116 VEREGEN...... 248 VYNDAQEL...... 79 YASMIN 28...... 179 VERELAN... 74, 76, 77, 78, 83, 96 VYVANSE...... 97 YAZ...... 179 VERELAN PM WAKIX...... 133 YUPELRI...... 47 ...... 74, 76, 77, 78, 83, 96 warfarin sodium...... 55 Yuvafem...... 183 VERZENIO...... 41 WELCHOL...... 73, 168 ZACARE...... 241 VFEND...... 19 Wera...... 179 zaclir cleansing...... 241 VIBERZI...... 161 WESTHROID...... 193 zafirlukast...... 217 VIBRAMYCIN...... 31 WHEAT GERM OIL...... 255 zaleplon...... 109 Vic-Forte...... 251, 253 WIDE-SEAL DIAPHRAGM 60 134 ZANAFLEX...... 48 VICTOZA...... 184, 185 WIDE-SEAL DIAPHRAGM 65 134 Zarah...... 179 VIEKIRA PAK...... 21, 25 WIDE-SEAL DIAPHRAGM 70 134 ZARONTIN...... 132 Vienva...... 179 WIDE-SEAL DIAPHRAGM 75 134 ZARXIO...... 57 vigabatrin...... 103 WIDE-SEAL DIAPHRAGM 80 134 Zebutal...... 99, 108, 111, 128 Vigadrone...... 103 WIDE-SEAL DIAPHRAGM 85 134 ZEJULA...... 41 VIIBRYD...... 132 WIDE-SEAL DIAPHRAGM 90 134 ZELAPAR...... 118, 119 VIIBRYD STARTER PACK..... 132 WIDE-SEAL DIAPHRAGM 95 134 ZELBORAF...... 41 Vilamit Mb...... 32 WILATE...... 61 ZELNORM...... 161, 162 Vilevev Mb...... 32 WP THYROID...... 193 ZEMPLAR...... 254 VIMPAT...... 103 Wymzya Fe...... 179 Zenatane...... 248 VIOKACE...... 159 XALKORI...... 41 ZENPEP...... 159 viorele...... 179 XARELTO...... 56 ZEPATIER...... 21 VIRACEPT...... 26 XARELTO STARTER PACK.....56 ZETONNA...... 153, 217 VIRAMUNE...... 23 XATMEP...... 41, 202, 207, 210 ZIAC....54, 71, 72, 73, 82, 92, 146 VIRAZOLE...... 28 XELJANZ...... 202, 207 ZIAGEN...... 24, 25 VIREAD...... 24 XELJANZ XR...... 202, 207 zidovudine...... 25 virt-phos 250 neutral...... 139 XELODA...... 41 zileuton er...... 217 virtussin ac w/alc.....123, 214, 216 XELPROS...... 155 ZIOPTAN...... 155 VISTARIL...... 13, 109 XENICAL...... 161 ziprasidone hcl...... 106, 110 VISTOGARD...... 195 XENLETA...... 29 ZIRGAN...... 150 Vita S Forte...... 63, 251, 253 XEPI...... 224 ZITHROMAX...... 28, 29 Vitacel...... 251, 253 XERMELO...... 156 ZITHROMAX TRI-PAK...... 29 VITAFOL FE+...... 63, 251, 253 XIFAXAN...... 30 ZITHROMAX Z-PAK...... 29 VITAFOL-OB+DHA XIIDRA...... 154 ZOCOR...... 86 ...... 63, 144, 251, 253 XOFLUZA (40 MG DOSE)...... 18 ZOFRAN...... 156 vitamin d (ergocalciferol)...... 254 XOFLUZA (80 MG DOSE)...... 18 ZOHYDRO ER...... 124 vitamins acd-fluoride XOLEGEL...... 233 ZOLINZA...... 42 ...... 199, 251, 254 XOPENEX HFA...... 53, 221 zolmitriptan...... 131 VITRAKVI...... 41 XOSPATA...... 41 zolpidem tartrate...... 109

274 ZOLPIMIST...... 109 ZOMIG...... 131 ZOMIG ZMT...... 131 ZONALON...... 232 ZONEGRAN...... 103 zonisamide...... 103 ZONTIVITY...... 64 ZORBTIVE...... 188 ZORTRESS...... 210 ZOSTAVAX...... 44 Zovia 1/35E (28)...... 179 ZOVIRAX...... 28 ZUBSOLV...... 125 Zumandimine...... 179 ZYDELIG...... 42 ZYFLO...... 217 ZYKADIA...... 42 ZYLET...... 150, 153 ZYLOPRIM...... 196 ZYMAXID...... 150 ZYTIGA...... 42 ZYVOX...... 29

275