The following is a list of the most commonly prescribed drugs. It represents an abbreviatedversion of the drug list (formulary) that is at the core of your prescription-drug benefit plan. The list is not all-inclusive and does not guarantee coverage. In addition to using this list,you are encouraged to ask your doctor to prescribe generic drugs whenever appropriate. PLEASE NOTE: The symbol * next to a drug signifies that it is subject to nonformulary status 2012 Express Scripts when a generic is available throughout the year. Not all the drugs listed are covered by all prescription-drug benefit programs; check your benefit materials for the specific drugs National Preferred Formulary covered and the copayments for your prescription-drug benefit program. For specific questions about your coverage, please call the phone number printed on your ID card. A B D G C H O E M I P J F K N L THIS DOCUMENT LIST IS EFFECTIVE JANUARY 1, 2012 THROUGH DECEMBER 31, 2012. THIS LIST IS SUBJECT TO CHANGE. You can get more information and updates to this document at our website at www.express-scripts.com. 2012 Express Scripts, Inc. #393 NP-A WO OC All Rights Reserved PRMT22163-12 (08/05/11) Examples of Nonformulary Medications With Selected Formulary Alternatives
The following is a list of some nonformulary brand-name medications with examples of selected alternatives that are on the formulary.
Column 1 lists examples of nonformulary medications.
Column 2 lists some alternatives that can be prescribed. Nonformulary Formulary Alternative Nonformulary Formulary Alternative Q R
MAXAIR AUTOHALER ProAir HFA, Ventolin HFA
U V S W X Z
The symbol [INJ] next to a drug name indicates that the drug is available in injectable form only. For the member: Generic medications contain the same active ingredients as their corresponding brand-name medications, although T
they may look different in color or shape. They have been FDA-approved under strict standards. For the physician: Please prescribe preferred products and allow generic substitutions when medically appropriate. Thank you.
Brand-name drugs are listed in CAPITAL letters. Generic drugs are listed in lower case letters. THIS DOCUMENT LIST IS EFFECTIVE JANUARY 1, 2012 THROUGH DECEMBER 31, 2012. THIS LIST IS SUBJECT TO CHANGE. You can get more information and updates to this document at our website at www.express-scripts.com. 2012 Express Scripts, Inc. #393 NP-A WO OC All Rights Reserved PRMT22163-12 (08/05/11)
T O N Y W I G H T G A L L E R Y 845 West Washington Boulevard | Chicago 60607 | t. 312.492.7261 | [email protected] Dannielle Tegeder American, b. 1971 Lives and works in New York EDUCATION MFA School of the Art Institute of Chicago BFA State University of New York at Purchase Amsterdam School of Fine Arts, The Netherlands Arrangements to Ward Off Accidents, Priska C. Juschka Fine
Richard Kirkland August 2011 The role of palm oil in a sustainable dairy industry This is the second of four articles looking at issues relating to the sustainability and use of palm oil in the dairy industry. The articles are covering the following topics : 1. Palm oil in a sustainable world 2. Efficient milk production and role of fat 3. Saturated fats in milk 4. UK’s first fat