Physician and Pharmacist Reference Guide Preferred Choice
The CVS Caremark Preferred Choice 3-Tier Formulary, formerly the PharmaCare Preferred Choice 3-Tier Formulary, is a guide within select therapeutic categories for clients, plan participants and health care providers. Generics should be considered the first line of prescribing. If there is no generic available, there may be more than one brand-name medicine to treat a condition. These preferred brand-name medicines are listed to help identify products that are clinically appropriate and cost-effective. Generics listed in therapeutic categories are for representational purposes only. This is not an all-inclusive list. This list represents brand products in CAPS, branded generics in upper- and lowercase Italics, and generic products in lowercase italics. HEALTH CARE PROVIDER THERAPEUTIC CATEGORIES
Your patient is covered under a prescription benefit plan administered by
CVS Caremark. As a way to help manage health care costs, authorize generic
substitution whenever possible. If you believe a brand-name product is necessary,consider prescribing a brand name on this list.
Please note:
● Generics should be considered the first line of prescribing.
Autonomic and Central Nervous System Agents
● This drug list represents a summary of prescription coverage. It is not inclusive
● The plan participant’s specific prescription benefit plan may have a different
copay1 for specific products on the list.
● Unless specifically indicated, drug list products will include all dosage forms.
● Log in to www.caremark.com to check coverage and copay information for PLAN PARTICIPANT
Your benefit plan provides you with a prescription benefit program administered by
CVS Caremark. Ask your doctor to consider prescribing, when medically appropriate,
a preferred medicine from this list. Take this list along when you or a covered family
Please note:
● Your specific prescription benefit plan design may not cover certain categories,
regardless of their appearance in this document.
● For specific information regarding your prescription benefit coverage and copay
information, please visit www.caremark.com or contact a CVS Caremark Customer
● CVS Caremark may contact your doctor after receiving your prescription to
request consideration of a drug list product or generic equivalent. This may result
in your doctor prescribing, when medically appropriate, a different brand-name
product or generic equivalent in place of your original prescription.
Your specific prescription benefit plan design may not cover certain categories, regardless of their appearance in this document.
For specific information, visit www.caremark.com or contact a CVS Caremark Customer Care representative. ANTIDIABETIC AGENTS ANTITUSSIVE SULFONAMIDES ANTINEOPLASTIC ANALGESICS, SALICYLATES INSULINS COMBINATIONS Generally, self-administered single source brand drugs RAPID-ACTING INSULINS TETRACYCLINES indicated for the treatment ANTICONVULSANTS of cancer are formulary. AUTONOMIC AND CENTRAL NERVOUS SYSTEM AGENTS OTHER ANTI-INFECTIVES INTERMEDIATE-ACTING ALZHEIMER’S AGENTS INSULINS ANALGESICS, NARCOTIC NASAL CORTICOSTEROIDS LONG-ACTING INSULINS NASAL ANTIHISTAMINES ANTIFUNGAL AGENTS ANTI-INFECTIVE AGENTS ANTIPARKINSON AGENTS ANTHELMINTICS ANTIBIOTICS ANTIVIRALS CEPHALOSPORINS ANALGESICS, NON-NARCOTIC OTHER DIABETIC AGENTS MACROLIDES ANALGESICS, ALLERGY, NONSTEROIDAL COUGH & COLD ANTI-INFLAMMATORY ANXIOLYTICS, SEDATIVES, ANTIHISTAMINE/ AND HYPNOTICS DECONGESTANTS PENICILLINS QUINOLONES Generally, self-administered single source brand drugs indicated for the treatment of HIV are formulary.
Your specific prescription benefit plan design may not cover certain categories, regardless of their appearance in this document. For specific information, visit www.caremark.com or contact
a CVS Caremark Customer Care representative. CEREBRAL STIMULANTS ANTIMANIC AGENTS CENTRALLY ACTING COMBINATION CONTRACEPTIVES ANTIHYPERTENSIVES EE = ethinyl estradiol ME = mestranol ANTIPSYCHOTIC AGENTS MONOPHASIC PERIPHERALLY ACTING ANTIARRHYTHMICS MIGRAINE AGENTS CARDIOVASCULAR DIRECT RENIN INHIBITORS ANTICOAGULANTS/ ANTITHROMBOTICS ALDOSTERONE DIURETICS ANTAGONISTS OBSESSIVE-COMPULSIVE ANGIOTENSIN II DISORDER AGENTS ANTAGONISTS PSYCHOTHERAPEUTIC ANTILIPEMICS ANTIDEPRESSANTS ANGIOTENSIN CONVERTING ENZYME INHIBITORS BIPHASIC PULMONARY HYPERTENSION TRIPHASIC VASODILATORS ANTI-ADRENERGIC BETA-ADRENERGIC BLOCKERS CALCIUM CHANNEL BLOCKERS OTHER CARDIOVASCULAR
Your specific prescription benefit plan design may not cover certain categories, regardless of their appearance in this document. For specific information, visit www.caremark.com or contact
a CVS Caremark Customer Care representative. EXTENDED CYCLE TOPICAL ANTI- DIAGNOSTICS HEMATOPOIETIC IMMUNOLOGIC AGENTS INFLAMMATORY AGENTS GROWTH FACTORS LOW POTENCY CONTINUOUS GASTROINTESTINAL PROGESTIN ONLY HORMONES INTERMEDIATE POTENCY ANTISPASMODIC/ ANDROGENS GI MOTILITY IMMUNOSUPPRESSIVE EMERGENCY ANTIESTROGENS/ CONTRACEPTION ANTIANDROGENS CONTRACEPTIVE DEVICES ANTIULCER ESTROGENS CORTICOSTEROIDS HIGH POTENCY OPHTHALMICS ANTI-ALLERGIC AGENTS BOWEL EVACUANTS DERMATOLOGICALS HIGHEST POTENCY DIGESTANTS ESTROGEN AND ANTI-GLAUCOMA AGENTS PROGESTERONE COMBINATIONS OTHER GI PRODUCTS DERMATOLOGICALS PROGESTINS ANALGESICS ANTI-INFECTIVE/ ANTIVIRAL AGENTS ANTIBIOTICS SELECTIVE RECEPTOR MODULATORS FUNGICIDES GOUT AGENTS
Your specific prescription benefit plan design may not cover certain categories, regardless of their appearance in this document. For specific information, visit www.caremark.com or contact
a CVS Caremark Customer Care representative. ANTI-INFECTIVE AND OSTEOPOROSIS AGENTS ANTI-ASTHMATIC AGENTS SKELETAL MUSCLE VAGINAL PREPARATIONS ANTI-INFLAMMATORY RELAXANTS ANTILEUKOTRIENES COMBINATIONS CORTICOSTEROIDS VITAMINS ANTI-INFECTIVE AND ANTI-INFLAMMATORY VITAMIN D/ANALOGUES COMBINATIONS SYMPATHOMIMETICS THYROID AND MISCELLANEOUS ANTI-INFLAMMATORY ANTITHYROID AGENTS XANTHINE DERIVATIVES PHOSPHATE BINDER OTHER RESPIRATORY/ URINARY AGENTS ASTHMA AGENTS BETA-BLOCKERS RESPIRATORY/ASTHMA ANAPHYLAXIS TREATMENT AGENTS FOR YOUR INFORMATION: Generics should be considered the first line of prescribing. This drug list represents a summary of prescription coverage. It is not inclusive and does not guarantee
coverage. Specific prescription benefit plan design may not cover certain categories, regardless of their appearance in this document. The plan participant’s prescription benefit plan may have a
different copay for specific products on the list. Unless specifically indicated, drug list products will include all dosage forms. This list represents brand products in CAPS, branded generics in upper-
and lowercase Italics, and generic products in lowercase italics. Generics listed in therapeutic categories are for representational purposes only. This is not an all-inclusive list. Listed products may beavailable generically in certain strengths or dosage forms. Dosage forms on this list will be consistent with the category and use where listed. This is not a complete list of all formulary products. Any
brand-name drug for which a generic product becomes available may be designated as a nonformulary product. Log in to www.caremark.com to check coverage and copay information for a
1 Copayment, copay or coinsurance means the amount a plan participant is required to pay for a prescription in accordance with a Plan, which may be a deductible, a percentage of the prescription
price, a fixed amount or other charge, with the balance, if any, paid by a Plan. Your privacy is important to us. Our employees are trained regarding the appropriate way to handle your private health information.
CVS Caremark may receive rebates, discounts and service fees from pharmaceutical manufacturers for certain listed products.
This document contains references to brand-name prescription drugs that are trademarks or registered trademarks of pharmaceutical
manufacturers that are not affiliated with CVS Caremark.
Listed products are for informational purposes only and are not intended to replace the clinical judgment of the prescriber.
2009 Caremark. All rights reserved. CMK-PC PHYS/PHAR REF-0709
www.caremark.com
Maya Liv Petersen 1351 Guerrero St., San Francisco, CA 94110 EDUCATION: M.D., University of California, San Francisco School of Medicine Ph.D. in Biostatistics, University of California, Berkeley Advising: Prof. Mark van der Laan, Prof. Art Reingold M.S. in Health and Medical Sciences, University of California, Berkeley AWARDS/FELLOWSHIPS: Howard Hughes Medical Institute Pre-D
Sicherheitsdatenblatt gemäß 1907/2006/EG, Artikel 31 ABSCHNITT 1: Bezeichnung des Stoffs bzw. des Gemischs und des Unternehmens · Erstellungsdatum/Erstausgabe: 01.02.2012 · 1.1 Produktidentifikator · Handelsname: IBK 2012 · 1.2 Relevante identifizierte Verwendungen des Stoffs oder Gemischs und Verwendungen, von denen abgeraten wird keine Daten verfügb