BVIPA 2004 Formulary

  Medication PacifiCare (Cost per Month) Aetna Cigna RMHP United Anthem
ACE Inhibitors captopril/HCTZ captopril/HCTZ captopril/HCTZ captopril/HCTZ captopril/HCTZ captopril/HCTZ captopril/HCTZ
  lisinopril/HCTZ lisinopril/HCTZ ($10-$40) lisinopril/HCTZ lisinopril/HCTZ lisinopril/HCTZ lisinopril/HCTZ lisinopril/HCTZ
  enalapril/HCTZ   enalapril/HCTZ enalapril/HCTZ enalapril/HCTZ enalapril/HCTZ enalapril/HCTZ
  moexipril/Uniretic moexipril/Uniretic ($10-$40) moexipril moexipril/Uniretic moexipril/Uniretic   moexipril/Uniretic
  Lotensin/HCT Lotensin/HCT   Lotensin/HCT 3rd Tier   Lotensin/HCT
  Mavik     Mavik 3rd Tier    
  Accupril/retic     Accupril/retic 3rd Tier Accupril/retic Accupril/retic
  fosinopril/Monopril HCT   fosinopril fosinopril fosinopril/Monopril HCT    
  Altace   Altace Altace Altace Altace  
Angiotensin Benicar NF Preferred     3rd Tier Benicar  
Receptor Avapro/Avalide       3rd Tier   Avapro/Avalide
Blockers Diovan/HCT NF Preferred Diovan/HCT Diovan/HCT 3rd Tier Diovan/HCT Diovan/HCT
  Atacand/HCT       3rd Tier    
  Cozaar/Hyzaar   Cozaar/Hyzaar Cozaar/Hyzaar Cozaar/Hyzaar Cozaar/Hyzaar  
Antibiotics (2nd Line) Zithromax Zithromax Zithromax Zithromax Zithromax Zithromax Zithromax
1st Line Generic Levaquin     Levaquin Levaquin Levaquin  
are formulary! Augmentin/ES/XR Augmentin/ES/XR Augmentin/ES/XR Augmentin/ES Augmentin/ES Augmentin/ES/XR Augmentin/ES/XR
  cefuroxime   cefuroxime cefuroxime cefuroxime cefuroxime  
  Cipro Cipro Cipro Cipro Cipro Cipro Cipro/XR
  Tequin       Tequin    
  Avelox Avelox Avelox   3rd Tier    
  Cefzil Cefzil   Cefzil Cefzil Cefzil Cefzil
  Biaxin/XL Biaxin/XL Biaxin/XL Biaxin/XL Biaxin/XL Biaxin/XL  
  Lorabid   Lorabid        
  Cedax   Cedax        


PacifiCare (Cost per Month) Aetna Cigna RMHP United Anthem
Antidepressants fluoxetine fluoxetine ($10/10&20mg cap) fluoxetine fluoxetine fluoxetine fluoxetine fluoxetine
    ($60/40mg caps)          
  Lexapro Lexapro ($70/20mg tab)     Lexapro   Lexapro
  Celexa       Celexa Celexa Celexa
  paroxetine/CR paroxetine/CR ($50-60) paroxetine/CR paroxetine/CR paroxetine/CR paroxetine/CR paroxetine/CR
  Paxil CR       Not Covered 4/15/04    
  Zoloft   Zoloft Zoloft 3rd Tier Zoloft Zoloft
  Serzone     Serzone 3rd Tier Serzone  
  bupropion/SR bupropion/SR bupropion/SR bupropion/SR/XL bupropion/SR bupropion/SR bupropion/SR
  Effexor/XR Effexor/XR Effexor XR only Effexor/XR Effexor/XR Effexor/XR Effexor/XR
Antihistamines Zyrtec/D       3rd Tier Zyrtec/D  
  Clarinex Clarinex ($70-$80)     Not Covered Clarinex  
  Allegra/D Allegra ($70-$80)     3rd Tier    


PacifiCare (Cost per Month) Aetna Cigna RMHP United Anthem
Asthma/COPD albuterol albuterol ($10-$20) albuterol albuterol albuterol albuterol albuterol
  Atrovent Atrovent Atrovent Atrovent Atrovent Atrovent Atrovent
  Combivent Combivent ($60) Combivent Combivent Combivent   Combivent
  Foradil   Foradil   Foradil Foradil  
  Maxair Maxair Maxair Maxair 3rd Tier   Maxair
  Serevent Serevent ($90-$100) Serevent Serevent Serevent Serevent Serevent
  Advair Advair (stp tx) Advair Advair Advair Advair Advair
  QVAR QVAR ($60-$80)   QVAR 3rd Tier    
  Flovent/Rotadisk Flovent ($60-$80) Flovent/Rotadisk Flovent/Rotadisk Flovent/Rotadisk Flovent/Rotadisk Flovent/Rotadisk
  Aerobid/M     Aerobid/M 3rd Tier    
  Azmacort     Azmacort 3rd Tier Azmacort Azmacort
  Pulmicort   Pulmicort Res Pulmicort Pulmicort (Respules 3rd Tier) Pulmicort Res/Turbo Pulmicort
  Accolate Accolate   Accolate Accolate   Accolate
  Proventil HFA   Proventil HFA        
  Singulair Singulair ($70-$90) Singulair Singulair Singulair Singulair Singulair


PacifiCare (Cost per Month) Aetna Cigna RMHP United Anthem
Calcium Channel Verapamil ER, CR, SR Verapamil ER, CR, SR ($20) Verapamil ER, CR, SR Verapamil ER, CR, SR Verapamil ER, CR, SR Verapamil ER, CR, SR Verapamil ER, CR, SR
  nicardipine/SR nicardipine/SR nicardipine nicardipine 3rd Tier   nicardipine/SR
  Sular Sular     3rd Tier    
  diltiazem CD/CR/ER/XT diltiazem SR 12hr/XT 24hr ($60-$80) diltiazem CD/CR/ER/XT diltiazem CD/CR/ER/XT diltiazem CD/CR/ER/XT diltiazem CD/CR/ER/XT diltiazem CD/CR/ER/XT
  Plendil Plendil   Plendil 3rd Tier    
  nifedipine CR/ER nifedipine CR ($60-$80) nifedipine CR/ER nifedipine CR/ER nifedipine CR/ER nifedipine ER nifedipine CR/ER
  Norvasc   Norvasc Norvasc Norvasc Norvasc Norvasc
  Tiazac   taztia XT Tiazac diltiazem    
Cardiac Lexxel       Lexxel    
Combinations Tarka     Tarka Tarka    
  Lotrel   Lotrel Lotrel Lotrel    
Dementia Aricept   Aricept Aricept Aricept Aricept Aricept
  Exelon   Exelon   Exelon   Exelon
  Reminyl       Reminyl   Reminyl


PacifiCare (Cost per Month) Aetna Cigna RMHP United Anthem
Diabetes glipizida/ER glipizida ($10-$20) glipizida/ER glipizida/ER glipizida/ER glipizida/ER glipizida/ER
  glyburide glyburide ($40-$50) glyburide glyburide glyburide glyburide glyburide
  Amaryl       Amaryl Amaryl Amaryl
  metformin/ER 500 mg metformin ($140) metformin/ER metformin metformin metformin metformin/ER
  Metaglip   Metaglip   3rd Tier   Metaglip
  Glucophage XR/Vance Glucophage Glucovance   metformin XR Gluco XR/Vance Glucophage XR/Vance
  Avandia Avandia ($130-$140) Avandia Avandia 3rd Tier Avandia Avandia
  Avandamet   Avandamet Avandamet 3rd Tier   Avandamet
  Actos   Actos   Actos Actos Actos
  Insulin (R,N,L,NPH) Humulin Humulin Humulin/Novolin Humulin Humulin/Novolin Humulin
  Lantus Lantus   Lantus Lantus Lantus Lantus
  Humalog/Novolog Humalog Humalog Humalog/Novolog Humalog Humalog/Novolog Humalog
  Prandin   Prandin        
  Starlix   Starlix        
  Glucose Meter Fast Take, Sure Step, Ultra One Touch, Precision Accuchek Unknown Unknown Fast Take, One Touch, Accuchek


PacifiCare (Cost per Month) Aetna Cigna RMHP United Anthem
Genitourinary oxybutynin oxybutynin oxybutynin oxybutynin oxybutynin oxybutynin oxybutynin
  Detrol/LA   Detrol/LA   Detrol/LA   Detrol/LA
  Oxytrol   Oxytrol        
  Ditropan XL Ditropan XL   Ditropan XL Ditropan XL Ditropan XL  
GI cimetidine cimetidine cimetidine cimetidine cimetidine cimetidine cimetidine
  ranitidine ranitidine tabs ranitidine ranitidine ranitidine tabs ranitidine ranitidine
  famotidine   famotidine famotidine famotidine famotidine famotidine
  Protonix Protonix (PA 8 wks) ($80/40mg tabs)   Protonix (PA) Protonix Protonix Protonix
  omeprazole omeprazole ($70/40mg rx tabs) omeprazole (10&40) omeprazole (PA) omeprazole (NOT 20mg)    
  Aciphex Aciphex (PA 8 wks) ($110/20mg tabs) Aciphex   3rd Tier Aciphex  
  Prevacid   Prevacid Prevacid (PA) 3rd Tier    
  Nexium       Not Covered Nexium  
Lipids gemfibrozil gemfibrozil ($20) gemfibrozil gemfibrozil gemfibrozil gemfibrozil gemfibrozil
  lovastatin lovastatin ($30/40mg tab) lovastatin lovastatin lovastatin lovastatin lovastatin
  Niaspan Niaspan Niaspan Niaspan Niaspan Niaspan  
  Advicor Advicor Advicor   3rd Tier    
  Lescol/XL   Lescol/XL Lescol/XL 3rd Tier    
  Zetia       3rd Tier   Zetia
  Crestor       3rd Tier    
  fenofibrate Tricor Tricor Tricor fenofibrate Tricor  
  Lipitor       Lipitor Lipitor Lipitor
  Pravachol Pravachol ($110-120/40,80 mg tabs)     Pravachol Pravachol Pravachol
  Welchol   Welchol        
  Zocor Zocor ($110-$120/20,40,80 mg tabs) Zocor Zocor 3rd Tier Zocor  


PacifiCare (Cost per Month) Aetna Cigna RMHP United Anthem
Migraines Axert       3rd Tier Axert  
  Zomig/ZMT Zomig/ZMT   Zomig/ZMT 3rd Tier Zomig/ZMT Zomig/ZMT
  Relpax       3rd Tier    
  Maxalt/MLT   Maxalt/MLT   Maxalt/MLT Maxalt/MLT  
  Imitrex Imitrex tablets Imitrex Imitrex Imitrex Imitrex Imitrex
  Amerge   Amerge   3rd Tier    
Nasal Steriods flunisolide flunisolide flunisolide flunisolide flunisolide   flunisolide
  Nasacort/AQ       Nasacort/AQ   Nasacort/AQ
  Flonase Flonase Flonase Flonase Flonase 2nd Tier 4/1/04 Flonase Flonase
  Rhinocort/AQ Rhinocort/AQ   Rhinocort/AQ Rhinocort/AQ Rhinocort/AQ  
  Nasonex Nasonex Nasonex   Nasonex (2-12yrs) Nasonex Nasonex
NSAIDS/COX2s generics generics ($10-$30) generics generics generics generics generics
  Vioxx   Vioxx (PA)   3rd Tier    
  Bextra       3rd Tier    
  Celebrex NF Preferred     3rd Tier   Celebrex (step tx)
Osteoporosis/ estradiol estradiol ($10-$20) estradiol estradiol estradiol estradiol estradiol
Women's Health estropipate estropipate ($10-$20) estropipate estropipate estropipate estropipate estropipate
  Menest Menest ($20) Menest Menest Menest Menest Menest
  Cenestin   Cenestin   Cenestin   Cenestin
  Premarin Premarin ($30-$40)   Premarin Premarin Premarin Premarin
  Evista NF Preferred Evista Evista Evista Evista Evista
  Actonel NF Preferred Actonel   Actonel Actonel  
  Estraderm Estraderm ($30-$40) Estraderm        
  Ortho-Prefest   Ortho-Prefest        
  Vivelle Vivelle ($30-$40) Vivelle        
  Fosamax   Fosamax Fosamax Fosamax Fosamax Fosamax


PacifiCare (Cost per Month) Aetna Cigna RMHP United Anthem

Last Updated on 4/29/2004

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