Primary/Preferred Drug List
The CVS Caremark Primary/Preferred Drug List is a guide within select therapeutic categories for clients, plan participants and health care providers. Generics should be considered the first line of prescribing. If there is no generic available, there may be more than one brand-name medicine to treat a condition. These preferred brand-name medicines are listed to help identify products that are clinically appropriate and cost-effective. Generics listed in therapeutic categories are for representational purposes only. This is not an all-inclusive list. This list represents brand products in CAPS, branded generics in upper- and lowercase Italics, and generic products in lowercase italics. PLAN PARTICIPANT HEALTH CARE PROVIDER
Your benefit plan provides you with a prescription benefit program
Your patient is covered under a prescription benefit plan administered
administered by CVS Caremark. Ask your doctor to consider prescribing,
by CVS Caremark. As a way to help manage health care costs, authorize
when medically appropriate, a preferred medicine from this list. Take this
generic substitution whenever possible. If you believe a brand-name
list along when you or a covered family member sees a doctor.
product is necessary, consider prescribing a brand name on this list.
Please note: Please note:
● Your specific prescription benefit plan design may not cover certain
● Generics should be considered the first line of prescribing.
categories, regardless of their appearance in this document.
● This drug list represents a summary of prescription coverage. It is
● For specific information regarding your prescription benefit coverage
not inclusive and does not guarantee coverage.
and copay1 information, please visit www.caremark.com or contact a
● The plan participant’s specific prescription benefit plan may have
CVS Caremark Customer Care representative.
a different copay for specific products on the list.
● CVS Caremark may contact your doctor after receiving your prescription
● Unless specifically indicated, drug list products will include all
to request consideration of a drug list product or generic equivalent.
This may result in your doctor prescribing, when medically appropriate,a different brand-name product or generic equivalent in place of your
● Log in to www.caremark.com to check coverage and copay
information for a specific medicine.
● Any brand drug for which a generic product becomes available may be
ANTI-INFECTIVES § MISCELLANEOUS § ACE INHIBITOR/ § FIBRATES CALCIUM CHANNEL ANTIBACTERIALS DIURETIC COMBINATIONS BLOCKER/ANTILIPEMIC COMBINATIONS § CEPHALOSPORINS § ANTIFUNGALS § HMG-CoA REDUCTASE § DIGITALIS GLYCOSIDES INHIBITORS § DIURETICS § ERYTHROMYCINS/ MACROLIDES ANTIVIRALS § ACE INHIBITOR/CALCIUM CHANNEL BLOCKERS § HERPES AGENTS NIACINS/COMBINATIONS ANGIOTENSIN II § INFLUENZA AGENTS RECEPTOR ANTAGONISTS/ § FLUOROQUINOLONES COMBINATIONS § BETA-BLOCKERS CENTRAL NERVOUS CARDIOVASCULAR ANTILIPEMICS ANTIDEPRESSANTS § PENICILLINS § ACE INHIBITORS § BILE ACID RESINS § MISCELLANEOUS AGENTS CHOLESTEROL ABSORPTION § CALCIUM CHANNEL INHIBITORS § TETRACYCLINES BLOCKERS nifedipine ext-relverapamil ext-rel
Your specific prescription benefit plan design may not cover certain categories, regardless of their appearance in this document.
For specific information, visit www.caremark.com or contact a CVS Caremark Customer Care representative. § SELECTIVE SEROTONIN INCRETIN MIMETIC § TRIPHASIC GENITOURINARY LEUKOTRIENE RECEPTOR REUPTAKE INHIBITORS ANTAGONISTS § BENIGN PROSTATIC § EXTENDED CYCLE HYPERPLASIA INSULINS NASAL ANTIHISTAMINES CONTINUOUS § NASAL STEROIDS § SEROTONIN § URINARY TRANSDERMAL NOREPINEPHRINE ANTISPASMODICS REUPTAKE INHIBITORS INSULIN SENSITIZERS (SNRIs) 2 STEROID/BETA AGONISTS INSULIN SENSITIZER/ BIGUANIDE ESTROGENS COMBINATIONS STEROID INHALANTS § HYPNOTICS, INSULIN SENSITIZER/ NONBENZODIAZEPINES SULFONYLUREA COMBINATIONS § TRANSDERMAL, HEMATOLOGIC MIGRAINE MEGLITINIDES ESTROGENS § ANTICOAGULANTS § SELECTIVE SEROTONIN DERMATOLOGY AGONISTS § SULFONYLUREAS RESPIRATORY § ORAL ESTROGEN/ ANAPHYLAXIS PROGESTINS SELECTIVE SEROTONIN § SULFONYLUREA/ TREATMENT AGENTS AGONIST/NONSTEROIDAL BIGUANIDE ANTI-INFLAMMATORY COMBINATIONS DRUG (NSAID) § ANTICHOLINERGICS COMBINATIONS SUPPLIES § PROGESTINS § ANTICHOLINERGIC/ ENDOCRINE AND BETA AGONISTS METABOLIC SELECTIVE ESTROGEN OPHTHALMIC RECEPTOR MODULATORS ANDROGENS § BETA-BLOCKERS, NONSELECTIVE CALCIUM REGULATORS § THYROID SUPPLEMENTS § ANTIHISTAMINES, ANTIDIABETICS § BISPHOSPHONATES NONSEDATING BETA-BLOCKERS, § BIGUANIDES SELECTIVE GASTROINTESTINAL § ANTIHISTAMINE/ DECONGESTANTS 2 RECEPTOR PROSTAGLANDINS DIPEPTIDYL PEPTIDASE-4 § CALCITONINS ANTAGONISTS (DPP-4) INHIBITORS PARATHYROID HORMONES BETA AGONISTS § PROTON PUMP § SHORT ACTING § SYMPATHOMIMETICS DIPEPTIDYL PEPTIDASE-4 INHIBITORS CONTRACEPTIVES (DPP-4) INHIBITOR/ § MONOPHASIC BIGUANIDE COMBINATIONS LONG ACTING
Your specific prescription benefit plan design may not cover certain categories, regardless of their appearance in this document. For specific information, visit www.caremark.com or contact
a CVS Caremark Customer Care representative. QUICK REFERENCE DRUG LIST
Your specific prescription benefit plan design may not cover certain categories, regardless of their appearance in this document. For specific information, visit www.caremark.com or contact
a CVS Caremark Customer Care representative. PREFERRED ALTERNATIVES LIST DRUG NAME PREFERRED ALTERNATIVE(S)* DRUG NAME PREFERRED ALTERNATIVE(S)* estradiol, CLIMARA, ESTRADERM, VIVELLE-DOT
estradiol, CLIMARA, ESTRADERM, VIVELLE-DOT
estradiol, CLIMARA, ESTRADERM, VIVELLE-DOT
pravastatin, simvastatin, CRESTOR, LIPITOR
clindamycin solution, erythromycin solutionestradiol-norethindrone, PREMPHASE, PREMPRO
estradiol, estropipate, ENJUVIA, PREMARIN
estradiol-norethindrone, PREMPHASE, PREMPRO
ACCU-CHEK STRIPS AND KITS4, ONETOUCH STRIPS
ACCU-CHEK STRIPS AND KITS4, ONETOUCH STRIPS
clindamycin solution, erythromycin solution, estradiol, estropipate, ENJUVIA, PREMARIN
erythromycin-benzoyl peroxide, tretinoin, BENZACLIN,
estradiol, CLIMARA, ESTRADERM, VIVELLE-DOT
DIFFERIN, DUAC CS, RETIN-A MICRO, ZIANA
clindamycin solution, erythromycin solution, erythromycin-benzoyl peroxide, tretinoin, BENZACLIN,
DIFFERIN, DUAC CS, RETIN-A MICRO, ZIANA
citalopram, fluoxetine, paroxetine, paroxetine ext-rel, clindamycin solution, erythromycin solution, erythromycin-benzoyl peroxide, tretinoin, BENZACLIN, DIFFERIN, DUAC CS, RETIN-A MICRO, ZIANA
ACCU-CHEK STRIPS AND KITS4, ONETOUCH STRIPS AND KITS4
clindamycin solution, erythromycin solution, erythromycin-benzoyl peroxide, tretinoin, BENZACLIN,
estradiol-norethindrone, PREMPHASE, PREMPRO
DIFFERIN, DUAC CS, RETIN-A MICRO, ZIANA
doxazosin, terazosin, FLOMAX
doxazosin, terazosin, FLOMAX
estradiol, estropipate, ENJUVIA, PREMARIN
clindamycin solution, erythromycin solution, erythromycin-benzoyl peroxide, tretinoin, BENZACLIN, DIFFERIN, DUAC CS, RETIN-A MICRO, ZIANA
* The preferred alternative products in this list are a broad representation within therapeutic categories of available treatment options and do not necessarily represent clinical equivalency.
Your specific prescription benefit plan design may not cover certain products, regardless of their appearance in this document. For specific information, visit www.caremark.com or contact
a CVS Caremark Customer Care representative. DRUG NAME PREFERRED ALTERNATIVE(S)* DRUG NAME PREFERRED ALTERNATIVE(S)*
ACCU-CHEK STRIPS AND KITS4, ONETOUCH STRIPS
ACCU-CHEK STRIPS AND KITS4, ONETOUCH STRIPS
doxazosin, terazosin, FLOMAX
clindamycin solution, erythromycin solution, clindamycin solution, erythromycin solution, erythromycin-benzoyl peroxide, tretinoin, BENZACLIN,
erythromycin-benzoyl peroxide, tretinoin, BENZACLIN,
DIFFERIN, DUAC CS, RETIN-A MICRO, ZIANA
DIFFERIN, DUAC CS, RETIN-A MICRO, ZIANA
* The preferred alternative products in this list are a broad representation within therapeutic categories of available treatment options and do not necessarily represent clinical equivalency. FOR YOUR INFORMATION: Generics should be considered the first line of prescribing. This drug list represents a summary of prescription coverage. It is not inclusive and does not guarantee
coverage. Any brand drug for which a generic product becomes available may be designated as a non-preferred product. Specific prescription benefit plan design may not cover certain categories,
regardless of their appearance in this document. The plan participant’s prescription benefit plan may have a different copay for specific products on the list. Unless specifically indicated, drug list
products will include all dosage forms. This list represents brand products in CAPS, branded generics in upper- and lowercase Italics, and generic products in lowercase italics. Generics listed intherapeutic categories are for representational purposes only. This is not an all-inclusive list. Listed products may be available generically in certain strengths or dosage forms. Dosage forms on this list
will be consistent with the category and use where listed. Log in to www.caremark.com to check coverage and copay information for a specific medicine.
§ Generics are available in this class and should be considered the first line of prescribing.
1 Copayment, copay or coinsurance means the amount a plan participant is required to pay for a prescription in accordance with a Plan, which may be a deductible, a percentage of the prescription
price, a fixed amount or other charge, with the balance, if any, paid by a Plan.
2 Indicates the proposed mechanism of action, based on the American Psychiatric Association Summary of Treatment Recommendations. 3 Higher copays may apply depending on the plan participant’s specific prescription benefit plan. Log in to www.caremark.com to find the copay under a specific plan. 4 An Accu-Chek or OneTouch blood glucose meter will be provided at no charge by the manufacturer to those individuals currently using a meter other than Accu-Chek or OneTouch. For more
information on how to obtain a blood glucose meter, call toll-free: 1-800-588-4456. Plan participants must have CVS Caremark Mail Service Pharmacy benefits to qualify. Your privacy is important to us. Our employees are trained regarding the appropriate way to handle your private health information.
CVS Caremark may receive rebates, discounts and service fees from pharmaceutical manufacturers for certain listed products.
This document contains references to brand-name prescription drugs that are trademarks or registered trademarks of pharmaceutical
manufacturers that are not affiliated with CVS Caremark.
Listed products are for informational purposes only and are not intended to replace the clinical judgment of the prescriber.
2010 Caremark, L.L.C. All rights reserved. 15044-1-0110
www.caremark.com
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Primary/Preferred Drug List
DRUG NAME