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Preferred Drug List Changes – 4th Quarter 2017

Date: 08/24/17

The list below details the Preferred Drug List (PDL) changes for the 4th quarter of 2017. The California Health & Wellness Pharmacy Therapeutics (P&T) Committee reviews the PDL quarterly to determine placement of medications on the drug list any limitations to coverage. The P&T Committee consists of practicing physicians, pharmacists other health care professionals.

Drug Name

PDL Status

Comments

Empagliflozin (Jardiance) 10mg, 25mg tab

Add to PDL 9/1/2017

Add to PDL with PA requirement & Quantity Limit 1 tab/day

Mebendazole (Emverm) 100mg chew tab

Add to PDL 9/1/2017

Add to PDL with PA requirement & Quantity Limit 1 tab/treatment

Pneumococcal, Conjugated, 13-Valent (Prevnar 13) vaccine

Change Age Limit

9/1/2017

Change AL to limit to   > 19 yrs

Pneumococcal, Non-Conjugated, 23-Valent (Pneumovax 23) vaccine

Change Age Limit

9/1/2017

Change AL to limit to   > 19 yrs

Desmopressin Acetate 0.1mg, 0.2mg tab

Change Quantity Limit

9/1/2017

Change Quantity Limit to 6 tab/day  

Meningococcal Polysaccharide Diphtheria Conjugate (Menactra) vaccine

Remove Quantity Limit 9/1/2017

Remove Quantity Limit

Meningococcal Polysaccharide (Menomune) vaccine

Remove Quantity Limit 9/1/2017

Remove Quantity Limit

Alogliptin 6.25mg, 12.5mg, 25mg tab

Add PA Requirement 10/1/2017

Add PA Requirement

Alogliptin/Metformin 2.5mg/500mg, 2.5mg/1000mg tab

Add PA Requirement 10/1/2017

Add PA Requirement

Alogliptin/Pioglitazone 12.5/15, 12.5/30, 25/15, 25/30, 25mg/45mg tab

Add PA Requirement 10/1/2017

Add PA Requirement

Linagliptin (Tradjenta) 5mg tab

Add PA Requirement 10/1/2017

Add PA Requirement

Linagliptin/Metformin (Jentadueto) 2.5mg/500mg, 2.5mg/850mg, 2.5mg/1000mg tab

Add PA Requirement 10/1/2017

Add PA Requirement

Sitagliptin (Januvia) 25mg, 50mg, 100mg tab

Remove from PDL 10/1/2017

Remove from PDL. Alternatives on PDL with PA requirement

Transition from Lantus to Basaglar

On July 1st 2017, Lantus (Insulin Glargine), was removed from the California Health and Wellness Preferred Drug List (PDL).

  • Basaglar, a “similar” Insulin Glargine product, is now the preferred long acting insulin.
  • Although Basaglar is not a generic for Lantus and cannot be substituted without provider approval, it is considered “similar to Lantus to scientifically justify reliance”. Two (2) clinical trials were conducted by Eli Lilly (the maker of Basaglar) that established the drug’s safety and efficacy.
  • The following link is to the FDA news release

Opana ER Removal from Market

On July 6th 2017 Endo Pharmaceuticals agreed to remove Opana ER (oxymorphone extended release tablets) from the market after a June 8th 2017 request by the FDA

  • The FDA decision was based on post marketing data that indicated increased abuse potential and “concern that the benefits of the drug may no longer outweigh its risks.” Opioid misuse and abuse as a public health crisis was cited as one of the reasons leading up to the FDA request for removal.
  • Physicians who have prescribed Opana ER should contact their patients as soon as possible to discuss alternative treatment options. Pharmacies should contact their drug wholesalers in regards to return of unused product.
  • Please read the FDA's Press Release and Endo's Press Release for more information.

Reminder: Zolpidem Dosing Recommendations

The FDA’s 2013 Safety Communication recommends lower initial doses for zolpidem products due to the risk of next-morning driving impairment.

  • Women: 5mg for zolpidem immediate-release (Ambien®); 6.25mg for zolpidem extended-release (Ambien CR®)
  • Men: 5mg or 10mg zolpidem immediate-release (Ambien®); 6.25mg or 12.5mg for zolpidem extended-release (Ambien CR®)

Please use the lowest dose effective for the patient, learn more here.