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 >   

Preferred Drug List (PDL) Changes

February 2018. The following changes to the drug list are effective February 22, 2018:

Formulary Additions

  • Vosevi tablet add Tier 3 with SP, preauthorization and quantity limit
  • Mavyret tablet add Tier 3 with SP, preauthorization and quantity limit 
  • Benznidazole tablet add Tier 2 with quantity limit and age restriction
  • Baxdela tablet add Tier 3 with and medical necessity preauthorization 
  • Symproic tablet add Tier 3 with medical necessity preauthorization 
  • Verzenio tablet add Tier 3 with SP, preauthorization and quantity limit
  • CaroSpir Suspension add Tier 3 with medical necessity preauthorization
  • Shingrix vaccine add Tier 0 with age restriction
  • Calquence capsule add Tier 3 with preauthorization and quantity limit
  • Briviact tablet add Tier 3 with medical necessity preauthorization 

Preauthorization Update

  • Methadone Intensol, Methadose solution, Methadose sugar free solution, Methadone solution 10mg/ml, Zepatier tablet, Epclusa tablet, Vogelxo pump gel, Vogelxo gel, add medical necessity preauthorization
  • Entresto tablet remove preauthorization 

Quantity Limit Update

  • Dolophine tablets, Methadone tablets, Methadone solution update quantity limit
  • Methadose 40mg solutab, Methadone 40mg soluble tablet, Entresto tablet add quantity limit

Tier Update 

  • Methadone Intensol, Effient tablet, Vagifem tablet, Zepatier tablet, Epclusa tablet, Vogelxo gel, Vogelxo pump gel with Tier update

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

January 2018. The following changes to the drug list are effective January 22, 2018:

Formulary Additions

  • Vigabatrin Powder Pack 500 mg add Tier 1 with preauthorization
  • Adapalene-Benzoyl Peroxide Gel 0.1-2.5% add Tier 1 
  • Prasugrel tablet add Tier 1 
  • Estradiol, Yuvafem Vaginal tablet add Tier 1 
  • Zytiga add Tier 3, SP, with preauthorization 
  • Pertzye add Tier 3 with medical necessity preauthorization
  • Tremfya add Tier 3, SP, medical necessity preauthorization, and quantity limit
  • Desvenlafaxine succinate ER 25mg tablet add Tier 1 with quantity limit 

Preauthorization Update

  • Fluticasone-Salmeterol Aerosol Powder Inhaler remove medical necessity preauthorization 

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

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

February: All States

February 2018. The following changes to the drug list are effective February 22, 2018:

Formulary Additions

  • Vosevi tablet add Tier 4 with SP, preauthorization and quantity limit
  • Mavyret tablet add Tier 4 with SP, preauthorization and quantity limit 
  • Benznidazole tablet add Tier 2 with quantity limit and age restriction
  • Verzenio tablet add Tier 4 with SP, preauthorization and quantity limit
  • Shingrix vaccine add Tier 0 with age restriction
  • Calquence capsule add Tier 4 with SP, preauthorization and quantity limit

Preauthorization Update

  • Entresto tablet remove preauthorization 

Quantity Limit Update

  • Methadone tablet update quantity limit
  • Ibrance capsule, Entresto tablet add quantity limit 

Removed from Formulary

  • Strattera capsule; consider atomoxetine capsule
  • Relpax tablet; consider eletriptan, sumatriptan
  • Vigamox ophthalmic solution; consider moxifloxacin 0.5% solution, ciprofloxacin 0.3% solution, ofloxacin 0.3% solution 
  • Methadone solutab, Methadose solutab; consider methadone tablet, methadone solution
  • Lialda tablet; consider mesalamine delayed release 1.2gm tablet
  • Pataday 0.2% solution; consider olopatadine solution 0.2%, olopatadine solution 0.1%, azelastine solution 0.05%
  • Renvela tablet; consider sevelamer tablet
  • Epiduo gel; consider adapalene-benzoyl peroxide gel 0.1-2.5%
  • Effient tablet; consider prasugrel tablet
  • Butrans patch; consider buprenorphine patch
  • Axiron solution; consider testosterone gel, testosterone cypionate injection
  • Zurampic tablet; consider allopurinol table, colchicine 
  • Cancidas, Zepatier tablet, Epclusa tablet 

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

January: All States

January 2018. The following changes to the drug list are effective January 22, 2018:  

Formulary Addition

  • Vigabatrin Powder Pack 500 mg add Tier 4 with preauthorization
  • Adapalene-Benzoyl Peroxide Gel 0.1-2.5% add Tier 1 
  • Prasugrel tablet add Tier 1
  • Desvenlafaxine succinate ER 25 mg tablet add Tier 1 with step therapy
  • Zytiga add Tier 4, SP with preauthorization
  • Fluticasone-Salmeterol Aerosol Powder Inhaler add Tier 1

Removed from Formulary

  • Sabril packet; consider vigabatrin powder packet 

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

January: All States

January 2018. The following changes to the drug list are effective January 1, 2018:

Formulary Addition

The following medications will be added to your plan’s list of covered drugs (formulary) and will be changing from medical coverage to prescription coverage. 

  • Mononine, Koate-DVI, Kogenate FS, Kogenate FS Bio-Set, Helixate FS, Monoclate-P, Humate-P, Hemofil M, Advate, Alphanate/VWF, NovoSeven RT, Xyntha, Xyntha Solofuse, AlphaNine SD, Corifact, Rixubis, Tretten, Alprolix, Eloctate, Obizur, Feiba, Novoeight, Ixinity, Nuwiq, Adynovate, Idelvion, Kovaltry, Wilate, Afstyla, Vonvendi, Benefix, Koate 
  • Cinryze, Berinert, Ruconest

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

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 >

“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 1/19/2018