Prescription Drug Information

Recent Changes to Our Drug Lists

These changes are effective September 1, 2010. Our comprehensive PacificSource Drug List PDF is updated monthly. For more information about our drug lists, please see our Prescription Drug Lists Web page.

Additions

• Arzerra (covered under the medical benefit and is a specialty drug)
• Effient (tier 2 on the PDL, tier 3 on the VDL)
• Oforta (tier 3 on the PDL and VDL, specialty drug)
• Vpriv (requires preauthorization, specialty drug covered under medical plans)
• Zuplenz (tier 3 on the PDL and VDL, quantity limit of #20 in 30 days)  
• See the PacificSource Drug List PDF.

Changes

• Amerge (generics are available)
• Differin (tier 3 on VDL)
• Methylin Soln (generics are available) 
• See the PacificSource Drug List PDF.

Deletions

• Flomax (generics have been available 6 months)
• Triaz (generics have been available 6 months)
• Ultrase (removed from the market)
• Ultrase MT (removed from the market)
• Viokase (removed from the market)
• See the PacificSource Drug List PDF.

Preauthorization Additions, Changes, and Deletions

• Vpriv (requires preauthorization, specialty drug covered under medical plans)
• See the PacificSource Drug List PDF.

Flu Vaccination Coverage

Our flu vaccination page has information about your coverage for seasonal and H1N1 flu vaccination, as well as general information about the flu.

Drug News from WebMD^®

• Possible Increased Risk of Bone Fractures With Certain Antacid Drugs. There is a possible increased risk of fractures of the hip, wrist, and spine if you take certain drugs for heartburn, acid reflux, or ulcers, warns the Food and Drug Administration (FDA).
• New Morning-After Pill Ella Wins FDA Approval. The FDA has approved Ella, a new morning-after contraceptive pill effective for up to five days after unprotected sex or contraceptive failure.
• FDA Warns Lamictal Can Cause Meningitis. The FDA warned today that the prescription drug Lamictal, which is used to treat seizures and bipolar disorder, can cause aseptic meningitis.
• FDA: Evamist Exposure Risky for Children. Doctors should advise women who use Evamist spray to prevent children from coming into contact with their medicated skin to avoid possible adverse events such as premature puberty for girls and enlarged breasts for boys, according to the FDA.

Quick Links

PacificSource Drug List—Our comprehensive list includes:

• PacificSource PDL (Preferred Drug List) 
• PacificSource VDL (Value Drug List)
• Alternatives for nonpreferred drugs
• Preauthorization list—Prescription drugs that require preauthorization
• CVS Caremark Specialty Pharmacy Services (for specialty and biotech drugs used to treat chronic or genetic disorders)
• Step Therapy list

Incentive Drug List 

Prescription drug claim form