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Preferred Brand Name Drug List
Preferred Brand Name Drugs (BCBSVT/TVHP Tier 2)
Updated 2-01-2013 (Effective 3-01-2013)
Drugs marked with an asterisk (*) are not covered under Catamount Blue.
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A ABILIFY ACIPHEX ACTONEL AGENERASE ALINIA ALPHAGAN P ANDROGEL APRISO AXIRON BD INSULIN SYRINGES BENICAR BYETTA BYDUREON CRESTOR CYMBALTA DETROL LA DUAC CS KIT DULERA ELMIRON ESTRADERM GOLYTELY INNOPRAN XL JANUVIA JEVTANA KYPROLIS LANTUS LETARIS MIGRANAL |
N NOVOFINE (syringes & needles) PLAN B PROAIR PROAIR HFA PRODIGY (syringes & needles) SEREVENT SEREVENT DISKUS SUBOXONE SL FILM # SYLATRON SYMBICORT SYNVISC (All Formulations) TRACLEER TRADJENTA TRAVATAN Z TRIZIVIR TYKERB VEPESID VYVANSE XIFAXAN (550 mg) YERVOY ZOLADEX ZYTIGA |
