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Preferred Drug List - Anthem

Preferred Drug List Effective May 1, 2017. Table of Contents Analgesics .. 1. Anesthetics .. 1. Antibiotics and Antivirals .. 1. Antineoplastics/Immunosuppressants 2. Cardiovascular Agents 2. Central Nervous System Agents . 3. Dermatologicals .. 4. Eyes, Ears, Nose, Mouth and Throat .. 4. Endocrine Agents 5. Gastrointestinal Agents .. 5. Blood Modifiers, Nutritionals and Electrolytes .. 6. OB/GYN . 6. Respiratory Agents . 7. Skeletal Muscle Relaxants .. 7. Urologicals .. 8. Immunologicals, Vaccines and Biotechnology Drugs 8. Smoking Cessation . 8. Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc., independent licensee of the Blue Cross and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Express Scripts, Inc. is a separate company that provides pharmacy services and pharmacy benefit management services on behalf of health plan members.

clonidine tablets . OPT. guanabenz . guanfacine . OPT. methyldopa . methyldopa/hctz . ANTIADRENERGICS – PERIPHERALLY ACTING doxazosin . prazosin . terazosin . HMG CO A REDUCTASE INHIBITORS (STATINS) ... metoclopramide . Anthem Blue Cross and Blue Shield Preferred Drug List 5/1/2017 Page 4 of 8

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