L.A. Care Covered Drug Formulary (pdf)

Commercial FormularyENDOCRINE DISORDER - OTHERAntidiuretic And Vasopressor HormonesT1 desmopressin DDAVP(nonrefrigerated)T3 desmopressin acetate DDAVP(AMPUL)(15MCG/ML)T1 desmopressin DDAVP(AMPUL)acetate(4MCG/ML)T2 desmopressin acetate DDAVP(SOLUTION)T1 desmopressin DDAVP(TAB)acetateT1 desmopressin DESMOPRESSINacetateACETATET3 desmopressin acetate STIMATEAntineoplastic Lhrh(gnrh) Agonist,pituitarySuppr.T4 leuprolide acetateT4 leuprolide acetateELIGARDLEUPROLIDEACETATEBone Formation Stim. Agents - ParathyroidHormoneT4 teriparatide FORTEO QLBone Resorption Inhibitor & CalciumCombinationsT2 risedronatesod/calcium carbACTONEL WITHCALCIUMBone Resorption Inhibitor & Vitamin DCombinationsT2 alendronatesodium/vitamin d3Bone Resorption InhibitorsFOSAMAX PLUS DQL, STT3 alendronate sodium BINOSTO QL, STT2 alendronate sodium FOSAMAX(SOLUTIO QLN)T1 alendronate sodium FOSAMAX(TAB)T3 calcitonin,salmon,synt FORTICALheticT1 calcitonin,salmon,sy MIACALCIN(SPRAY/PntheticUMP)T3 calcitonin,salmon,synt MIACALCIN(VIAL)heticT1 etidronate disodium DIDRONELT1 ibandronate sodium BONIVA(TAB)(150MG)T3 ibandronate sodium BONIVA(TAB)(2.5 MG)QL, STT2 raloxifene hcl EVISTA QLT3 risedronate sodium ACTONEL(TAB)(150 QL, STMG)T3 risedronate sodium ACTONEL(TAB)(30MG)QL, STT3 risedronate sodium ACTONEL(TAB)(35 QL, STMG)T3 risedronate sodium ACTONEL(TAB)(5 QL, STMG)T2 risedronate sodium ACTONEL(TAB)(75 STMG)T3 risedronate sodium ATELVIA QL, STT3 tiludronate disodium SKELIDCalcimimetic,parathyroid Calcium EnhancerT4 cinacalcet hclSENSIPARGrowth Hormone Receptor AntagonistsT4 pegvisomantSOMAVERTGrowth Hormone Releasing Hormone (ghrh)& AnalogsT4 tesamorelin acetate EGRIFTA PAGrowth HormonesT4 somatropin GENOTROPIN PAT4 somatropin HUMATROPE PAT4 somatropin NORDITROPIN PAT4 somatropinNORDITROPIN PAFLEXPROT4 somatropinNORDITROPIN PANORDIFLEXT4 somatropin NUTROPIN PAT4 somatropin NUTROPIN AQ PAT4 somatropinNUTROPIN AQ PANUSPINT4 somatropin OMNITROPE PAT4 somatropin SAIZEN PAT4 somatropin SEROSTIM PAT4 somatropin TEV-TROPIN PAT4 somatropin ZORBTIVE PAHyperparathyroid Tx Agents - Vitamin DAnalog-typeT3 doxercalciferolT2 paricalcitolHECTOROLZEMPLARInsulin-like Growth Factor-1 (igf-1)HormonesT4 mecasermin INCRELEX PALhrh(gnrh) Agonist Analog PituitarySuppressantsT3 histrelin acT4 histrelin acT4 nafarelin acetateSUPPRELINVANTASSYNARELLhrh(gnrh) Antagonist,pituitary SuppressantAgentsT4 cetrorelix acetateT4 ganirelix acetateCETROTIDEGANIRELIX ACETATEPage 31 of 91