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Drug Changes

Here you will find a listing of the drugs that have been changed on our drug list (formulary) for the indicated plan year.

Zepatier TABLET 50-100 MG ORAL


Post Date:
1/24/2020
Effective Date:
1/24/2020
Type of Change:
Drug removed
Reason Changed:
Oregon Health Authority Risk Corridor changes

Betamethasone Dipropionate Cream 0.05 % External


Post Date:
9/14/2020
Effective Date:
9/15/2020
Type of Change:
Utilization management added
Reason Changed:
Quantity limit updated

Betamethasone Dipropionate Ointment 0.05 % External


Post Date:
9/14/2020
Effective Date:
9/15/2020
Type of Change:
Utilization management added
Reason Changed:
Quantity limit updated

Xopenex HFA Aerosol 45 MCG/ACT Inhalation


Post Date:
9/14/2020
Effective Date:
9/15/2020
Type of Change:
Drug removed
Reason Changed:
Generic therapeutically equivalent product available

NovoLOG FlexPen Solution Pen-Injector 100 UNIT/ML Subcutaneous


Post Date:
9/14/2020
Effective Date:
9/15/2020
Type of Change:
Drug removed
Reason Changed:
Generic therapeutically equivalent product available

NovoLOG PenFill Solution Cartridge 100 UNIT/ML Subcutaneous


Post Date:
9/14/2020
Effective Date:
9/15/2020
Type of Change:
Drug removed
Reason Changed:
Generic therapeutically equivalent product available

NovoLOG Solution 100 UNIT/ML Subcutaneous


Post Date:
9/14/2020
Effective Date:
9/15/2020
Type of Change:
Drug removed
Reason Changed:
Generic therapeutically equivalent product available

ProAir HFA Aerosol Solution 108 (90 Base) MCG/ACT Inhalation


Post Date:
9/14/2020
Effective Date:
9/15/2020
Type of Change:
Drug removed
Reason Changed:
Generic therapeutically equivalent product available

ProAir RespiClick Aerosol Powder Breath Activated 108 (90 Base) MCG/ACT Inhalation


Post Date:
9/14/2020
Effective Date:
9/15/2020
Type of Change:
Drug removed
Reason Changed:
Generic therapeutically equivalent product available