Drugs that are Not Covered - Florida Blue

generic for Fentora) Fentora buccal tablets . Ferriprox Twice-a-Day tablets . Fexmid tablets . Fibricor tablets . Finacea foam . Fioricet capsules and tablets . Fioricet with Codeine capsules . Fiorinal capsules . Fiorinal with Codeine capsules . Firazyr injection . Firdapse tablets . Flector topical patches . Flomax capsules . Flonase nasal spray

  Florida, Blue, Florida blue, Fentora

STANDARD OPTION - Caremark

FENTORA, SUBSYS levorphanol‡ hydromorphone, morphine, oxycodone, tramadol (except 100mg tab), DILAUDID, NUCYNTA, OPANA, ROXICODONE tramadol 100 mg tabs ‡, CONZIP tramadol (except 100 mg tabs), tramadol ext-rel, tramadol/acetaminophen, ULTRAM, ULTRAM ER PAIN MEDICATIONS TOPICAL ZTLIDO‡ lidocaine cream, lidocaine gel,

  Caremark, Fentora

Drug Fact Sheet: Fentanyl

tablets (Fentora®), sublingual tablets (Abstral®), sublingual sprays (Subsys®), nasal sprays (Lazanda®), transdermal patches (Duragesic®), and injectable formulations. Clandestinely produced fentanyl is encountered either as a powder or in counterfeit tablets and is Fentanyl

  Fentora

Oral Dosage Forms That Should Not Be Crushed 2016

Fentora (fentaNYL) Tablet Note: buccal tablet; swallow whole Feosol (ferrous sulfate) Tablet Enteric-coated (b) Feratab (ferrous sulfate) Tablet Enteric-coated (b) Fergon (ferrous gluconate) Tablet Enteric-coated Fero-Grad 500 mg (combination) Tablet Slow -release Ferro-Sequels (combination) Tablet Slow -release ...

  Fentora

2022 Premium Standard Formulary - OptumRx

2022 Premium Standard Formulary Effective January 1, 2022 For the most current list of covered medications or if you have questions: Call the number on your member ID card.

Preferred Drug List (PDL)

• With the exception of the “Branded Drugs Classified as Generics” list, TennCare is a mandatory generic program in accordanc e with state law (TCA 53 -10-205).