Prescription Drug Information and News

Our PacificSource Drug Lists are updated monthly.
Learn more about our PacificSource Drug Lists >  

Our drug lists are available in a searchable online format. Find a Drug >   

Non-FDA Approved Compounding Agents

A compounded medication is when a pharmacist combines multiple ingredients together. Compounded claims often use what we called "bulk powders." These powders act as a mixing agent/congealing agent to hold the finished product together. These ingredients may not always be approved by the Food and Drug Administration (FDA), thus may not have been reviewed for safety and efficacy. To ensure you are taking medications proven to be safe and effective, beginning August 1, 2017, the non-FDA approved ingredients will be removed from coverage on your plan.

Examples of common non-FDA approved agents:

  • Cellulose (bulk) powder
  • Alcohol, usp 95%
  • Cream base
  • Fatty acid base
  • Gelatin capsules (empty)
  • Hypromellose (bulk) powder
  • Hormone cream base
  • Propylene glycol liquid
  • Thyroid powder
  • Silica gel
  • Stevia (bulk) powder
  • Vitamin E acetate (bulk) liquid

See the non-FDA approved bulk powder agents for the full list >

Preferred Drug List (PDL) Changes

September 2017. The following changes to the drug list are effective September 22, 2017:

Formulary Additions 

  • Tazarotene cream 0.1% add Tier 1
  • Zileuton ER add Tier 1
  • Roweepra add Tier 1
  • Kevzara add Tier 3, SP with medical necessity preauthorization
  • MorphaBond ER add Tier 3 with medical necessity preauthorization
  • Isentress HD add Tier 2 with quantity limit 

Preauthorization Update

  • Epogen, Procrit, Aranesp remove preauthorization

 See the PacificSource Drug Lists page for the current drug list. 

August 2017. The following changes to the drug list are effective August 22, 2017:

Formulary Additions 

  • Desvenlafaxine ER add Tier 1
  • Restasis Multidose add Tier 3 with medical necessity preauthorization
  • AirDuo RespiClick add Tier 3 with medical necessity preauthorization
  • Fluticasone-Salmeterol add Tier 1 with medical necessity preauthorization
  • Esbriet add Tier 3, SP with medical necessity preauthorization
  • Ingrezza add Tier 3, SP with medical necessity preauthorization
  • Alunbrig add Tier 3, SP with preauthorization
  • Rydapt add Tier 3, SP with preauthorization
  • Tymlos add Tier 3, SP with preauthorization
  • Xadago add Tier 3, medical necessity preauthorization
  • Kisqali-Femara therapy pack add Tier 3, SP with medical necessity preauthorization
  • Xatmep add Tier 3, medical necessity preauthorization 

 See the PacificSource Drug Lists page for the current drug list.

 

State-based Drug List (ID, MT, OR) Changes

September 2017. The following changes to the drug list are effective September 22, 2017:

Formulary Additions 

  • Tazarotene cream 0.1% add Tier 1 with preauthorization
  • Zileuton ER add Tier 4
  • Roweepra add Tier 1
  • Fayosim and Rivelsa add Tier 0
  • Isentress HD at Tier 2 with quantity limit 

Removed from Formulary

  • Tazorac 0.1%; consider Tazarotene cream 0.1%
  • Zyflo CR; consider Zileuton ER

Preauthorization Update

  • Procrit, Aranesp remove preauthorization

See the PacificSource Drug Lists page for the current drug list. 

August 2017. The following changes to the drug list are effective August 22, 2017:

Formulary Additions

  • Desvenlafaxine ER add Tier 1
  • Norethin Ace-Eth Estrad FE and Mibelas 24 Fe add Tier 0
  • Alunbrig add Tier 4 with preauthorization
  • Rydapt add Tier 3 with preauthorization
  • Tymlos add Tier 4 with preauthorization 

Removed from Formulary

  • Pristiq; consider Desvenlafaxine ER 
  • Minastrin 24 Fe; consider Norethin Ace-Eth Estrad FE and Mibelas 24 Fe  

Step Therapy Update

  • Oxycontin add step therapy

Quantity Limit Update

  • Qvar, Flovent HFA update quantity limit
  • Duloxetine add quantity limit

See the PacificSource Drug Lists page for the current drug list.

“Partial Fill” Lets a Patient Test a New Prescription

As you know, some drugs not only have a high cost, but have side effects that make them hard to tolerate for long-term use. Beginning February 22, 2016, these medications will be dispensed in a limited amount, on the first fill only, for half the normal copay. This “partial fill” will act as a trial period to see if the patient is able to successfully take the drug. 

A week into the first fill, a Caremark Specialty Care Team pharmacist or nurse will contact the patient. They will check on side effects and see if the patient was able to tolerate the drug. The Care Team will also answer questions and concerns about the treatment. If the trial period is a success, the patient will continue the drug. After this initial trial, all future fills will be for the full amount. 

On our drug lists, partial-fill drugs are identified by “Partial Fill” in the Restrictions column.

Partial-fill drugs include:

  • Afinitor
  • Bosulif
  • Erivedge
  • Gleevec
  • Inlyta
  • Jakafi
  • Nexavar
  • Odomzo
  • Sprycel
  • Sutent
  • Tafinlar
  • Tarceva
  • Targretin
  • Tasigna
  • Votrient
  • Xalkori
  • Xtandi
  • Zolinza
  • Zykadia
  • Zytiga

Preauthorization and Step Therapy Drug Lists with Criteria

Our Preauthorization Policies and Step Therapy Policies documents contain lists of drugs that require preauthorization or that are Step Therapy drugs, as well as their criteria. These two documents replace the one-page "PDL/VDL Preauthorization and Step Therapy Drug Lists" document. You may also use Preauthorization Policies to access our coverage rules for compound medications.

Flu and Pertussis Vaccination Coverage

Our flu vaccination page now includes information about your coverage for whooping cough (pertussis), as well as seasonal flu vaccination and general information.

Consumer Updates from the FDA

Quick Links

PacificSource Drug Lists—our comprehensive drug list page

Preventive Drug List

Incentive Drug List

Prescription drug claim form

Prescription Drug Preauthorization Request (Fax)

InTouch for Members

Are you a Medicare or Medicaid member?

If so, we have a website just for you!

Cool Tools for Managing Your Rx

On the CVS Caremark® website, you'll find tools to help you track pharmacy expenses, save on drug costs, manage your prescriptions, and more. Register by using the member ID number and group code on your ID card. To start, visit Caremark.com.

Why Choose Generics?

Generic prescription medicines are safe, effective, and a good value. Save money by using them instead of brand name drugs whenever possible.

Questions?

Contact our Pharmacy Services Department:

  • Phone: (541) 225-3784
  • Toll-free: (844) 877-4803
  • Email: Use our online Contact Us form
Last updated 8/22/2017