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Pharmacy formulary updates


Changes have been made to the UPMC for Kids pharmacy formulary for 2008. We regularly update the formulary to include clinically safe and cost-effective medications. For the most current list of covered medications, refer to the updated UPMC for Kids Pharmacy Benefit Guide, or visit the UPMC for Kids website.

Drug Class Brand Name
Generic Name
2007 Formulary Status January 2008 Formulary Status
Drugs for Allergic Rhinitis
 
Nasonex
Mometasone
Formulary
Non-Formulary
Drugs for Immunodeficiency
 
IVIG
Intravenous Immune Globulin
Medical Benefit
Formulary (Prior Authorization)
Drugs for Psychiatric Conditions
 
Seroquel
Quetiapine
Formulary
Formulary (Prior Authorization 200mg or less)
Effexor XR
Venlafaxine
Formulary
Formulary (Step Therapy)
Lexapro
Escitalopram
Formulary
Formulary (Step Therapy)
Drugs for Growth Hormone Deficiency
 
Nutropin
Somatropin Nutropin AQ
Formulary (Prior Authorization)
Non-Formulary
Genotropin
Somatropin
Formulary (Prior Authorization)
Non-Formulary
Saizen
Somatropin
Formulary (Prior Authorization)
Non-Formulary
Blood Glucose Monitoring Products
 
Bayer Blood Glucose Products (Ascensia)
 
Non-Formulary
Formulary

 


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