Preferred Drug List 2013 Standard Formulary with ... - Express Scripts

DRUG NAMETIER1 2 3 4SUGGESTED PREFFERED ALTERNATIVES5.5.1.4 OTHER ANTIDEPRESSANTSbupropion hcl Xbupropion hcl sr Xbupropion xl Xmirtazapine Xtrazodone hcl Xvenlafaxine hcl Xvenlafaxine hcl er XVENLAFAXINE HCL ER ST X venlafax er(NOT UCB NDCS‐65580CYMBALTA PA XEFFEXOR XR ST X venlafax er(NOT UCB NDCS‐65580PRISTIQ ER ST XSAVELLA PA XWELLBUTRIN XL X bupropion xl5.5.2 MAO INHIBITORStranylcypromine sulfate X5.6 ANTIVERTIGO AND ANTIEMETIC DRUGSdronabinol Xgranisetron hcl Xmeclizine hcl Xondansetron hcl Xondansetron odt Xprochlorperazine maleate Xpromethazine hcl Xpromethegan XEMEND XSANCUSO XTRANSDERM‐SCOP X meclizineZUPLENZ X ondansetron odt5.7.1 ANTIPARKINSON ANTICHOLINERGIC DRUGSbenztropine mesylate Xtrihexyphenidyl hcl X5.7.2 OTHER ANTIPARKINSON DRUGSbromocriptine mesylate Xcarbidopa‐levodopa Xcarbidopa‐levodopa‐entacapone Xpramipexole dihydrochloride Xropinirole hcl XAZILECT XCOMTAN X entacaponeMIRAPEX X pramipexoleMIRAPEX ER XNEUPRO X pramipex,ropinir/er,MIRAPEX ERREQUIP XL X ropinirole er