Products added:

• Cosopt PF
• Dexferrum
• Erivedge
• Feraheme
• Ferrlecit
• Infed
• Inlyta
• Jakafi
• Levocarnitine prescription
• Nulecit
• Venofer

Products now requiring prior authorization:

• Brilinta
• Lazanda
• Onfi
• Sabril*
• Subsys

Products now requiring step care:

• Janumet XR — 30 tablets per 30 days (50/500 mg and 100/1000 mg) or
  60 tablets per 30 days (50/1000 mg)
• Jentadueto — 60 tablets per 30 days

Products removed:

• Lifescan OneTouch blood glucose meters
• Lifescan OneTouch blood glucose test strips

* Provided through Caremark

We update our Preferred Drug List quarterly. Download our Preferred Drug List and
pharmacy prior authorization forms.