News
Notice - Pharmacy Medication Coverage Changes
Date: 03/06/17
There have been recent updates to the Preferred Drug List on medications that will no longer be covered. Members were mailed a letter informing them of this change as well.
Effective April 1, 2017, Coordinated Care will no longer be covering selected medications. Members were mailed a letter informing them of this change (please see below). If you have any questions or concerns, please contact the Coordinated Care Pharmacy Department at 1-877-644-4613 Ext. 69622.
Thank you for your cooperation and continuing to help us serve our members with high quality care.
Medication no Longer Covered |
Preferred Alternate Medication |
Wellbutrin Tablet XL (Valeant Brand) |
Bupropion XL generic (except from Valeant) |
Ciprodex Suspension 0.3-0.1% |
Ofloxacin Otic Solution 0.3% |
Pentasa Capsule 500mg |
Delzicol |
Cuprimine Capsule 250mg |
Depen |
Clindamycin Phosphate/Benzoyl Peroxide Gel 1-5% |
Clindamycin Phosphate 1% Gel & Benzoyl Peroxide Gel 5% |
Absorica 10mg, 20mg, & 40mg Capsules (brand) |
Isotretinoin Capsule (generic) |
Clindagel Gel 1% |
Clindamycin Gel (generic) |
Neupogen Injection |
Zarxio (with PA restriction) |
Bismatrol Suspension 262/15ml |
Bismuth Subsalicylate Suspension 525mg/15ml |
Kaopectate Suspension 262/15ml |
Bismuth Subsalicylate Suspension 525mg/15ml |
Pepto-Bismol Suspension 262/15 ml |
Bismuth Subsalicylate Suspension 525mg/15ml |
Sooth Suspension 262/15ml |
Bismuth Subsalicylate Suspension 525mg/15ml |
Stomach Relief Suspension 262/15 ml |
Bismuth Subsalicylate Suspension 525mg/15ml |