|
The formulary list was last updated on 09/01/07, please be advised the information listed may not reflect the most current data and may be updated at any time without notice.
Please call HNE Member Services at (413) 787-4000 or
(800) 310-2835 for assistance.
|
Alphabetic Listing Tier 1
|
Tier 1 - Generic Drug Listing
Approved by the U.S. Food and Drug Administration (FDA), Generic Drugs (Tier 1) contain the same active ingredients as brand name drugs, are just as safe and effective, and usually cost less. HNE encourages the dispensing of generic drugs whenever possible. You pay the lowest copayment for generic drugs.
This list is representative only. If you think that your drug is available as a generic product, please contact your physician or local pharmacist.
NOTE: The contents of this Formulary are subject to change at any time without member notification.
The formulary is fully reviewed annually and as necessary throughout the year.
**Indicates a medication with a Limit/PA or Step Therapy, please click limitations link above.
A
| AA-HC Otic |
| Accupril |
| Accutane |
| acetaminophen-caffeine-dihydrocodeine (eq- Panlor |
| Achromycin-V |
| Aci-Jel Vaginal |
| Actigall |
| Adalat |
| Adalat CC |
| Adderall |
| Adoxa |
| AK- Atropine |
| Ak- Dex |
| albuterol |
| albuterol ER (eq = volspire) |
| Albuterol/Ipratropium (eg=DuoNeb) |
| Aldactazide |
| Aldactone |
| Aldomet |
| Aldomet |
| Alesse |
| Alphagan |
| amantadine |
| Amaryl |
| Amicar |
| Amicar Syrup |
| aminophylline |
| AmLactin |
| amlodipine (eq=Norvasc) |
| Amnesteem |
| Amoxil |
| Anafranil |
| Anaprox |
| Anaprox DS |
| Ansaid |
| Antabuse |
| Anthra-Derm |
| Anthralin (eq=Drithrocreme HP) |
| Anturane |
| Anusol HC Suppositories |
| Apresoline |
| Apri |
| Aralen Phosphate |
| Aranelle |
| Arava |
| Aristocort |
| Artane |
| Asendin |
| Atarax |
| Ativan |
| Augmentin |
| Augmentin Chew |
| Auralgan Otic |
| Aurolate |
| Aviane |
| Axid |
| Aygestin |
| azithromycin (eq-zithromax) |
| Azulfidine |
back to top
B
| Bactrim |
| Bactrim DS |
| Balziva 28 (eq=Ovcon 35) |
| Beepen VK |
| belladona alkaloids/phenobarbital (eq-Donnatal) |
| Benadryl |
| Benemid |
| Bentyl |
| Benzamycin |
| benzoyl peroxide/ urea (eq= Zoderm) |
| benzoyl peroxide/aloe (eq=Benzliq) |
| Betagan Liquifilm |
| betamethasome dipropionate lotion (eq=Diprolene) |
| Betapace |
| Betapace |
| Betoptic |
| Biaxin |
| Bicitra |
| Bleph- 10 |
| Blocadren |
| Brethine |
| Bromfenex |
| Budeprion SR |
| Bumex |
| Buproban |
| bupropion (eq=Wellbutrin) |
| bupropion SR (eq=Wellbutrin SR) |
| Buspar |
back to top
C
| Cafergot Suppository |
| Calan |
| Calan SR |
| Calciferol |
| Camila |
| Capoten |
| Capozide |
| Carafate |
| carbachol (eq= Isopto Carbachol, Carbastat, Carbop |
| carbamazepine |
| Cardene |
| Cardizem |
| Cardizem CD |
| Cardizem SR |
| carteolol (eq=Ocupres) |
| Cartia XT |
| Cataflam |
| Catapres Oral |
| Ceclor |
| CeeNU |
| cefdinir (eq= Omnicef) |
| cefpodoxime (eq=Vantin) |
| Ceftin |
| Cefzil |
| Cesia |
| Chemstrip-K |
| Chlortrimeton |
| Chronulac |
| cilostazol (eq= Pletal) |
| Ciloxin |
| Cipro |
| ciprofloxacin XR (eq=Cipro XR) |
| citalopram (eq=Celexa) |
| Claravis |
| Clarithromycin XL (eq= Biaxin XL) |
| Cleocin |
| Cleocin T |
| Cleocin vaginal cream |
| Clinoril |
| clozapine (eq=Clozaril) |
| Codeine |
| Cogentin |
| ColBenemid |
| Colchicine |
| Colestipol (eq=Colestid) |
| Combipres |
| Compazine |
| Compazine Suppository |
| Copegus |
| Cordarone |
| Corgard |
| Cortenema |
| Cortisporin Otic |
| Cotrim |
| Cotrim DS |
| Coumadin |
| cromolyn sodium eye drop |
| Cryselle |
| Cyanocobalamin |
| Cyclessa |
| Cycrin |
| Cylert |
| Cytotec |
| Cytovene, oral |
| Cytoxan |
back to top
D
| D.H.E. 45 |
| Dalmane |
| Danocrine |
| Dapsone |
| Darvocet N-100 |
| Darvocet N-50 |
| Darvon |
| Daypro |
| DDAVP Nasal Spray |
| DDAVP Tablets |
| Decadron |
| Delta-Cortef |
| Deltasone |
| Demerol |
| Demulen 1/35 |
| Depakene |
| DesOwen |
| DesOwen lotion |
| Desyrel |
| dexamethasone (eq=Decadron or Ak-Dex) |
| Dexasporin or Maxitrol |
| Dexedrine |
| Dexedrine Spansule |
| dexmethylphenidate (eq=Focalin) |
| Diabeta |
| Diabinese |
| Diamox |
| diclofenac |
| Didronel |
| Diflucan |
| Dilacor XR |
| Dilantin |
| Dilantin 125 |
| Dilaudid |
| Diprolene gel |
| Diprosone |
| dipyridamole (eq= persantine) |
| Disalcid |
| Ditropan |
| Dolobid |
| Dolophine |
| Dostinex |
| doxazosin (eq=Cardura) |
| doxycycline monohydrate (Eq-Doryx) |
| Doxycycline monohydrate(eq=Adoxa) |
| Duac 1-5% gel |
| Duphalac |
| Duradrin |
| Duratuss G |
| Duricef |
| Dyazide |
| Dycill |
| Dymelor |
| Dynacin |
back to top
E
| Elavil |
| Eldepryl |
| Elimite |
| Elocon |
| Emla |
| Enpresse |
| Entex LA |
| Entex Liquid |
| eq=Cortisporin Ophthalmic |
| Errin |
| Erygel |
| Erymax |
| Erythrocin |
| Esgic |
| Esidrix |
| Eskalith |
| Eskalith CR |
| Estrace |
| estradiol transdermal (eq-climara) |
| Eulexin |
back to top
F
| Feldene |
| Fenesin |
| fentanyl lozenge (eq=actiq) |
| fexofenadine (eq= Allegra) |
| Fioricet |
| Fioricet w/Codeine |
| Fiorinal |
| Fiorinal w/Codeine |
| Flagyl |
| Flexeril |
| Flonase |
| Florinef |
| Floxin |
| fluoxetine (eq=Prozac) |
| flurorometholone (eq= FML, fluor-op) |
| flurouracil, topical (eq=Efudex) |
| fluvoxamine (eq=Luvox) |
| Fulvicin P/G |
| Furadantin |
back to top
G
| Gantrisin |
| Gelkam |
| gentamycin drops (eq=Garamycin) |
| Glucophage |
| Glucophage XR |
| Glucotrol |
| Glucotrol XL |
| Glucovance |
| Glynase Prestab |
| Gris-PEG |
| Guiatuss DAC |
| Guiatuss-AC |
| Gyne-Lotrimin |
back to top
H
| Halcion |
| Haldol |
| hep-lock |
| Hiprex |
| Humatin |
| Humibid LA |
| Hycodan |
| Hydrea |
| hydrocortisone (eq=Cortef) |
| Hydrodiuril |
| Hygroton |
back to top
I
| Ilosone |
| Ilotycin |
| Imuran |
| Inderal |
| Inderide |
| Indocin |
| Indocin SR |
| INH |
| Intal neb solution |
| Ipratropium neb solution |
| Isoptin |
| Isoptin SR |
| Isordil |
| Isordil SL |
| Isordil Tembid |
| isosorbide mononitrate (eq= Imdur) |
| itraconazole (eq=Sporanox) |
back to top
J
| Jantoven |
| Jolessa 0.15 mg/0.03 mg (eq= Seasonique) |
| Junel |
back to top
K
| Kaon-Cl |
| Kariva |
| Kay Ciel |
| Kayexalate Suspension |
| Keflex |
| Kelnor 1/35 |
| Kenalog |
| Kenalog in Orabase |
| Keralac |
| ketotifen (eq-zaditor) |
| Klonopin |
| Klor-Con |
| Kwell |
back to top
L
| lamotrigine chewable |
| Lanoxin |
| Lariam |
| Lasix |
| Lessina |
| Leucovorin |
| Levbid |
| Levora |
| Levoxyl |
| Levsin |
| Levsin SL |
| Levsinex Timecaps |
| Librium |
| Lidex |
| Lidocaine-hydorcortisone gel |
| Lioresal |
| Liquicet |
| Lithobid |
| Lithonate |
| Lithotab |
| Locoid |
| Lodine |
| Lodine XL |
| Loestrin FE 1.5/30 |
| Loestrin FE 1/20 |
| Lofibra |
| Lomotil |
| Loniten |
| Lo-Ovral |
| Lopid |
| Lopressor |
| Loprox |
| Lotensin |
| Lotrimin |
| lovastatin (eq=Mevacor) |
| Loxitane |
| Lozol |
| Ludiomil |
| Luminal |
| Luride |
| Lynox |
back to top
M
| Macrobid |
| Macrodantin |
| Macrodantin 100mg |
| Macrodantin 25mg |
| Macrodantin 50mg |
| Maxzide |
| Maxzide-25MG |
| Mebaral |
| meclizine |
| Meclomen |
| Medrol |
| Mefenamic acid (eq=Ponstel) |
| Megace |
| Mellaril |
| meloxicam (eq-Mobic) |
| Mestinon |
| Metadate ER |
| Metaglip |
| metaproterenol neb soln |
| Methotrexate |
| Methotrexate |
| Methscopolamine bromide (eq= Pamine) |
| Meticorten |
| metipranolol (eq=Optipranolol) |
| metoprolol XL (eq= Toprol XL) |
| Metrogel |
| MetroLotion |
| Mexetil |
| Miacalcin |
| Microgestin FE 1.5/30 |
| Microgestin FE 1/20 |
| Micronase |
| Midrin |
| Minipres |
| Minipress |
| Minocycline |
| Mircette |
| Moduretic |
| Mononessa |
| Monopril |
| Motrin |
| MS Contin |
| MSIR |
| Mycolog II 30gm |
| Mycostatin |
| Mysoline |
back to top
N
| Nalfon |
| Naphcon Forte |
| Naprosyn |
| Navane |
| Necon 7/7/7 |
| Neomycin |
| Neptazane |
| Neurontin |
| Neutra-Phos |
| Niacor RX |
| Nilstat |
| nimodipine (eq=Nimotop) |
| Nitrek |
| Nitro-Dur |
| nitroglycerin paste (eq= nitrobid) |
| nitrogylcerin SL (eq=Nitrostat) |
| Nizoral |
| Noctec |
| Nolvadex |
| Nora-Be |
| Norgesic |
| Norgesic Forte |
| Norinyl 1+ 35 |
| Norinyl 1+50 |
| Normodyne |
| Norpace |
| Norpace CR |
| Norpramin |
| NorQD |
| Nortrel |
| Nortrel 7/7/7 |
| Nystatin |
back to top
O
| Ocufen |
| Ocuflox |
| Ogen |
| omeprazole (eq=Prilosec) |
| Omnipen |
| ondansetron HCI (injectable) (eq=Zofran) |
| Ondansetron HCL (eq=Zofran) |
| Oramorph SR |
| Orasone |
| Orudis |
| Oruvail |
| Oscion (eq=Triaz) |
| Ovace |
| Oxandrolone (eq=Oxandrin) |
| Oxybutynin XL (eq= ditropan XL) |
back to top
P
| Pamelor |
| Parlodel |
| paroxetine (eq=Paxil) |
| PBZ |
| Pediapred |
| Pediazole |
| PEG (eq-golytely) |
| Pepcid |
| Percocet |
| Periactin |
| PerioGard Oral Rinse |
| Permax |
| Phenergan |
| Phenergan w/Codeine |
| Phenobarbital |
| Phos-Flur Rinse |
| Phrenilin |
| pilocarpine (eq=Pilocar, Isoptocarpine) |
| Plaquenil |
| Plendil |
| Pletal |
| polycin-B (eq=Polysporin) |
| Polycitra |
| Polytrim |
| Portia |
| potassium chloride ext release (eq= (K-Dur) |
| pravastatin (eq=Pravachol) |
| Pred Forte |
| Prednicarbate |
| Prelone |
| Prenatal Vitamins, all generic products |
| Prevalite |
| Prilosec OTC |
| Primaquine |
| ProAmatine |
| Procan SR |
| ProcanBid |
| Procardia |
| Procardia XL |
| Prolixin |
| Pronestyl |
| Propine |
| propranolol LA (eq= Inderal LA) |
| Proscar |
| Provera |
| PTU |
| Purinethol |
| Pyridium |
back to top
Q
| Questran |
| Quinaglute |
| quinapril / hydrochlorothiazide (eq=Accuretic) |
| Quinidex |
| Quinine |
back to top
R
| Reglan |
| Relafen |
| Remeron |
| Reserpine |
| Restoril |
| Revia |
| Rheumatrex |
| Rheumatrex |
| Rifadin |
| Rilutek |
| Rimactane |
| rimantidine (eq- Flumadine) |
| Ritalin |
| Ritalin SR |
| RMS Suppositories |
| Robaxin |
| Rocaltrol |
| Roxicodone |
| Rythmol |
back to top
S
| salacylic acid (eq= Salex) |
| Seconal |
| Sectral |
| Selsun |
| Septra |
| Septra DS |
| Serax |
| Serophene |
| Serzone |
| Silvadene |
| simvastatin (eq-Zocor) |
| Sinemet |
| Sinemet CR |
| Sinequan |
| Slo-Bid Gyrocaps |
| Soma |
| Sotret |
| Spectazole |
| Sprintec |
| Stelazine |
| Stilphosterol |
| Sulfacet-R |
| Synalar |
| Syntocinon |
| Syringes, insulin |
back to top
T
| Tagamet |
| Tapazole |
| Tavist |
| Temovate |
| Tenex |
| Tenoretic |
| Tenormin |
| Terazol |
| terazosin (eq=Hytrin) |
| Terbinafine (eq=Lamisil) |
| Tessalon Perles |
| Theo 24 |
| Theo-Dur |
| Thorazine |
| Tiazac |
| Ticlid |
| Tigan |
| timolol |
| Timoptic-XE |
| tobramycin (eq= tobrex) |
| Tofranil |
| Tofranil -PM |
| Tolectin |
| Tolinase |
| Tonocard |
| Toradol |
| torsamide (eq=Demadex) |
| Trandate |
| trandolapril (eq=Mavik) |
| Tranxene |
| tranycypromine (Eq-parnate) |
| Trental |
| Trentinoin (eq= vesanoid) |
| trentinoin (eq=Retin-A) . |
| Tri Vi Flor |
| Triaz |
| Trilafon |
| Trilisate |
| trimipramine (eq=Surmontil) |
| Trimox |
| Trimpex |
| Tri-Nessa |
| Tri-Norinyl |
| Triphasil |
| triple antibiotic (eq=neosporin) |
| Tri-Sprintec |
| Trivora |
| Tylenol #2 |
| Tylenol #3 |
| Tylenol #4 |
| Tylenol with Codeine |
back to top
U
| Ultracet |
| Ultram |
| Ultravate |
| Uniphyl |
| Univasc |
| Urecholine |
| Urised |
| Urocit-K |
back to top
V
| Valisone |
| Valium |
| Vasotec |
| Velivet |
| venlafaxine (eq-effexor) |
| Verelan |
| Vermox |
| Vibramycin |
| Vicodin |
| Vicodin ES |
| Viroptic |
| Visken |
| Visqid |
| Vistaril |
| Vistaril |
| vistra (eq-Flextra) |
| Vitamin B |
| Vivactil |
| Volmax |
| Voltaren |
| Voltaren XR |
| Vytone |
back to top
W
| Westcort |
| Wigraine |
| Wytensin |
back to top
X
| Xanax |
| Xanax XR |
| Xylocaine Jelly |
| Xylocaine Viscous |
back to top
Y
back to top
Z
| Zantac |
| Zarontin |
| Zaroxolyn |
| Zebeta |
| Zestoretic |
| Zestril |
| Ziac |
| zolpidem (eq=Ambien) |
| Zonegran |
| Zovia 1/35 |
| Zovia 1/50 |
| Zovirax |
| Zyloprim |
back to top
|
