Changes to covered medicines
There are recent changes to our formulary list, also called a preferred drug list (see box). The changes found in this list will be added to our Drug Formulary list at horizonNJhealth.com/covered_drugs. This list includes an explanation and listing of step therapy, quantity/age limitations and drugs that require prior authorization (approval). Paper copies are available upon request. Here is a list of recent changes:
|
Here is a list of recent changes: Covered Change Description |
Brand (Generic) Drug Name |
Alternatives (if applicable) |
|
Covered |
Insulin Lispro Kwikpen 75/25 |
— |
|
Covered |
Focalin XR (dexmethylphenidate ER) |
— |
|
Covered |
Onfi (clobazam) tablets |
— |
|
Covered |
Otovel (ciprofloxacin/fluocinolone) |
— |
|
Covered |
Jelmyto (mitomycin) |
— |
|
Covered |
Koselugo (selumetinib) |
— |
|
Covered |
Tabrecta (capmatinib) |
— |
|
Covered |
Retevmo (selpercatinib) |
— |
|
Covered |
Rhinocort Allergy (budesonide) |
— |
|
Covered |
Lyrica Solution (pregabalin) |
— |
|
Covered |
Lunesta (eszopiclone) |
— |
|
Covered |
Ambien CR (zolpidem ER) |
— |
|
Covered |
Rapaflo (silodosin) |
— |
|
Covered |
Micardis (telmisartan) |
— |
|
Covered |
Tricor 48mg (fenofibrate) |
— |
|
Covered |
Avsola (infliximab-axxq) |
— |
|
Covered |
Evrysdi (risdiplam) |
— |
|
Covered |
Oriahnn (elagolix, estradiol, and norethindrone acetate) |
— |
|
Covered |
Enspryng (satralizumab-mwge) |
— |
|
Covered |
Dojolvi (triheptanoin) |
— |
|
Not Covered |
Cipro HC (ciprofloxacin/hydrocortisone) |
generic Ciprodex |
|
Not Covered |
Cortisporin (neomycin/polymixin/hydrocortisone) suspension |
generic Cortisporin solutionn |
Please talk with your Primary Care Provider (PCP) about these changes. If your PCP decides that, for medical reasons, you must take a drug that is not on the formulary list or needs pre-approval, including a brand name medication exception, he or she can call us and ask for special permission (prior authorization) for you to get the drug. Please note that Horizon NJ Health maximum days supply limit is 30 days.