FLORIDA MEDICAID BRAND DRUG PREFERRED LIST*
Brand Name Generic Name
Adderall XR dextroamphetamine/amphetamine
Advair Diskus for inhalation fluticasone/salmeterol diskus
Aggrenox capsules aspirin/dipyridamole
Alkeran tablets melphalan
Amicar tablets and solution aminocaproic acid
Androgel gel pack/pump** testosterone
Apriso capsules mesalamine
Aptensio XR methylphenidate ER
Avita cream 0.025% tretinoin cream
Azactam vials aztreonam
Bicnu vials carmustine
Biltricide tablets praziquantel
Butrans patch** buprenorphine transdermal
Cellcept suspension mycophenolate mofetil Cipro suspension (250mg/5ml & 500mg/5ml) ciprofloxacin
Concerta methylphenidate
Copaxone syringes 20mg glatiramer accetate/Glatopa
Derma-Smoothe-FS oil fluocinolone 0.01% oil
Dermotic ear drops fluocinolone 0.01% otic
Diclegis tablets doxylamine - pyridoxine
Differin cream and lotion adapalene
erythromycin ethylsuccinate E.E.S. 200mg/5ml suspension suspension
Elidel 1% cream pimecrolimus
Exelon patch rivastigmine transdermal
Firazyr syringes* icatibant
Firvanq solution 50mg/ml vancomycin solution 50mg/ml
Finacea GEL 15% azelaic acid
Focalin XR capsules dexmethylphenidate hcl
Glyset tablets miglitol
Humalog vial insulin lispro vial
Humalog Mix Pen insulin lispro protamine mix Kitabis Pak* tobramycin pak
Lamictal Dose Pak and Lamictal ODT tabs lamotrigine dose pak and ODT tabs
Lescol capsules / Lescol XL tablets** fluvastatin ER
Letairis tablets** ambrisentan
Lialda 1.2g tablets** mesalamine 1.2 g
Lotemax 0.5% drops loteprednol 0.5% drops
Mephyton tablets phytonadione tablets
Micardis and Micardis HCT tablets** telmisartan and telmisartan HCT
Natroba suspension spinosad
Nexium packets esomeprazole packets
Norvir tablets ritonavir tablets
Novolog/Novolog Mix insulin insulin aspart
Prevacid ODT lansoprazole ODT
Proair and Proventil HFA Inhalers albuterol sulfate HFA inhalers
Protopic ointment tacrolimus
Ranexa ER tablets ranolazine ER
Rapamune solution sirolimus solution Relpax tablets** eletriptan
Renvela Powder Packet sevelamer carbonate powder pack
Retin-A cream tretinoin cream
Rozerem tablets ramelteon tablets
Suboxone Film** buprenorphine/naloxone film
Symbicort HFA budesonide/formoterol
Symbyax capsules** olanzapine/fluoxetine
Tasmar tablets** tolcapone
Tobradex drops suspension tobramycin/dexamethasone
Tracleer tablets** bosentan
Transderm Scop patches** scopolamine
Travatan Z eye drops travoprost
Tribenzor tablets** olmesasartan-amlodipine-HCTZ
Trizivir tablets* abacavir/zidovudine/lamivudine
Vagifem tablets estradiol
Valstar vials valrubicin
Xeloda tablets capecitabine Xopenex HFA** levalbuterol HFA
Zavesca capsules miglustat
Ziagen solution* abacavir
Zovirax ointment and cream acyclovir ointment and cream
Zytiga tablets abiraterone acetate
*Drugs on the list have both, brand and generic formulations. When prescribed to Florida Medicaid recipients, the brand name formulation must be dispensed. ** Brand and generic formulations are NON-Preferred – Prior authorization required. If criteria is met, brand formulation will be approved. Drugs without ** do not require prior authorization.