Transcription of Paramount Advantage™ Preferred Drug List
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Paramount Advantage™ Preferred Drug List
Paramount advantage Preferred drug List (04/01/2017) INTRODUCTION .. 4 NOTICE OF NONDISCRIMINATION AND ACCESSIBILITY: DISCRIMINATION IS AGAINST THE LAW .. 4 HOW TO SEARCH THIS DOCUMENT .. 5 PREFACE .. 5 PHARMACY AND THERAPEUTICS COMMITTEE .. 5 drug LIST PRODUCT DESCRIPTIONS .. 5 GENERIC SUBSTITUTION .. 6 PLAN 6 PRIOR AUTHORIZATION .. 6 QUANTITY LIMITATIONS .. 6 STEP THERAPY .. 7 LEGEND .. 7 NOTICE .. 7 8 NSAIDs .. 8 NSAIDs, TOPICAL .. 8 COX-2 INHIBITORS .. 8 GOUT .. 8 OPIOID ANALGESICS .. 8 NON-OPIOID ANALGESICS .. 9 ANTI-INFECTIVES .. 9 ANTIBACTERIALS .. 10 ANTIFUNGALS .. 10 ANTIMALARIALS .. 11 ANTIRETROVIRAL AGENTS .. 11 ANTITUBERCULAR AGENTS .. 11 12 MISCELLANEOUS .. 12 ANTINEOPLASTIC AGENTS .. 13 ALKYLATING AGENTS .. 13 ANTIMETABOLITES.
If you believe that Paramount has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability or sex, you can file a grievance.
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