The Catamaran™ Preferred Drug List (PDL) is a guide identifying preferred medicines within select therapeutic
categories. The PDL is an abbreviated drug list which includes the most commonly prescribed Tier 1 and Tier 2
medicines. Tier 1 drugs are listed in lowercase italics and Tier 2 drugs are listed in CAPS. This listing is revised
periodical y as new drugs and new prescribing information becomes available. It is recommended that you bring this
list of medications when you visit a physician or other healthcare provider.
Please visitfor a ful listing of the Advantage Formulary. You may also contact Catamaran
Member Services at 1-877-629-3123 with questions about plan benefits such as cost sharing and plan limitations.
fluconazole, itraconazole, ketoconazole,
atenolol, carvedilol, metoprolol,
clobetasol, halobetasol, hydrocortisone
amlodipine, diltiazem ER, nifedipine ER,
amoxicil in, amoxicil in/clavulanate,
isosorbide dinitrate, nitroglycerin
ciprofloxacin, ciprofloxacin ER, levofloxacin
lisinopril-hct, trandolapril-verapamil,
levonorgestrel, medroxyprogesterone
atorvastatin, lovastatin, pravastatin,
estradiol, estradiol-norethindrone acetate
testosterone cypionate, testosterone
fosinopril, lisinopril, quinapril, ramipril
pioglitazone, pioglitazone-metformin
irbesartan, losartan, losartan-hct,
adapalene, clindamycin, tretinoin
Formulary Disclaimer: Coverage and cost share for some drugs may be limited to specific dosage forms and/or strengths. The benefit design determines what is covered and the applicable co-payment. The medications listed on this formulary are subject to change pursuant to the formulary management activities of Catamaran. The presence of a medication on this formulary list does not guarantee coverage. Catamaran Preferred Drug List – Effective January 1, 2013
01182013 TK 2012 Catamaran Inc. Al rights reserved. Catamaran is a registered trademark of Catamaran Inc.
clozapine, olanzapine, quetiapine,
divalproex, gabapentin, lamotrigine,
methylphenidate, methylphenidate ER
citalopram, escitalopram, fluoxetine,
paroxetine, paroxetine ER, sertraline
betaxolol, brimonidine, latanoprost
glimiperide, glipizide, glipizide ER
ciprofloxacin, ofloxacin, tobramycin
lansoprazole, omeprazole, pantoprazole
cromolyn sodium, diclofenac sodium,
alendronate, ibandronate,FOSAMAX PLUS D
oxybutynin, oxybutynin ER, tolterodine
Source: http://www.hr.virginia.edu/uploads/documents/media/CatamaranPreferredDrugList.pdf
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