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TRICARE’s $22 Drugs
DoD has moved these drugs to the so-called “third (nonformulary)
tier,” requiring a $22 copayment (vs. the normal $3 generic and $9
brand name). These drugs are still available for $9 if TRICARE
approves a doctor’s judgment that they are medically necessary.
|
Drug Class |
Nonformulary ($22) |
Formulary Alternatives ($9)
|
Effective |
| Acid reflux |
Nexium |
Aciphex, Prevacid,
Protonix, Zegerid |
July 17, 2005 |
|
Hypertension |
Teveten
Teveten HCT |
Atacand, Avapro, Benicar, Cozaar,
Diovan, Micardis
Atacand HCT, Avalide, Benicar HCT, Hyzaar, Diovan HCT, Micardis
HCT |
July 17 |
| Antifungals |
Ertaczo, Exelderm,
Loprox (Ciclopirox), Oxistat,
Spectazole (Econazole) |
Mentax, Naftin |
Aug. 17 |
|
Erectile dysfunction |
Cialis, Viagra |
Levitra |
Oct. 12 |
| Prostate
hypertrophy |
Flomax |
Uroxatral |
Feb. 15, 2006 |
|
ACE inhibitor/diuretic (blood pressure) |
Accuretic, Uniretic |
|
Feb. 15 |
ACE inhibitor
(blood pressure) |
Accupril, Aceon,
Altace,
Quinapril, Univasc |
Mavik |
Feb. 15 |
|
Calcium channel blocker (blood pressure) |
Cardene, Cardene SR,
Cardizem LA, Covera HS, DynaCirc, DynaCirc CR,
Norvasc, Verelan, Verelan PM |
Sular |
March 15 |
| Macrolide/ketolide
antibiotics |
Ketek, Zmax |
Biaxin, Zithromax
|
March 22 |
Nasal
corticosteroids |
Beconase AQ, Nasacort AQ, Rhinocort AQ |
Flonase, Nasarel, Nasonex |
April 19 |
| Alzheimer’s
disease medications |
Cognex |
Aricept, Exelon,
Razadyne |
April 19 |
|
Antidepressants |
Cymbalta, Lexapro, Paxil CR, Prozac Weekly, Sarafem, Wellbutrin
XL |
Celexa, Desyrel, Effexor, Effexor XR, Pexeva, Prozac, Remeron,
Wellbutrin, Wellbutrin SR, Zoloft |
July 19 |
|
