BLUE - Formulary
RED - Non Formulary

Table of Contents Index Policy Information

Formulary Index

Numbers A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Z-COF 12DM (ANTITUSSIVE AND EXPECTORANT DRUGS)

Z-COF 8 DM (ANTITUSSIVE AND EXPECTORANT DRUGS)

Z-DEX (ANTITUSSIVE AND EXPECTORANT DRUGS)

Z-DEX SYRUP (ANTITUSSIVE AND EXPECTORANT DRUGS)

Z-TUSS AC (ANTITUSSIVE AND EXPECTORANT DRUGS)

Z-TUSS DM (ANTITUSSIVE AND EXPECTORANT DRUGS)

ZACARE (ANTIACNE DRUGS)

ZACLIR (ANTIACNE DRUGS)

zaleplon (SEDATIVE/HYPNOTIC DRUGS)

ZAMICET (CLASS III NARCOTICS)

ZANAFLEX (PAR) (covered only if prescribed by Neurology and Rehab) (Use generic first) (DIRECT MUSCLE RELAXANTS)

ZANOSAR (ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS)

ZANTAC (ANTIULCER DRUGS)

ZANTAC 25 (ANTIULCER DRUGS)

ZARONTIN (SUCCINIMIDES)

ZAROXOLYN (THIAZIDE AND RELATED DRUGS)

ZAVESCA (OTHER ENDOCRINE DRUGS)

ZAZOLE (VAGINAL ANTIFUNGALS)

ZEBETA (BETA-ADRENERGIC ANTAGONIST DRUGS)

ZEBUTAL (DRUGS TO PREVENT AND TREAT HEADACHES)

ZEGERID (PROTON PUMP INHIBITORS)

ZELAPAR (OTHER ANTIPARKINSON DRUGS)

ZEMPLAR (THERAPEUTIC VITAMINS & MINERALS)

ZENCHENT (CONTRACEPTIVES)

ZENIEVA (TOPICAL DERMATOLOGICAL DRUGS)

ZERIT (ANTIRETROVIRALS & PROTEASE INH)

ZERLOR (CLASS III NARCOTICS)

ZERVALX (THERAPEUTIC VITAMINS & MINERALS)

ZESTORETIC (OTHER ANTIHYPERTENSIVES)

ZESTRIL (ANGIOTENSIN CONVERTING ENZYME INHIBITORS)

ZETACET (ANTIACNE DRUGS)

ZETIA (HYPOLIPOPROTEINEMICS)

ZGESIC (ANALGESICS)

ZIAC (OTHER ANTIHYPERTENSIVES)

ZIAGEN (ANTIRETROVIRALS & PROTEASE INH)

ZIANA (ANTIACNE DRUGS)

zidovudine (ANTIRETROVIRALS & PROTEASE INH)

zidovudine/lamivudine/abacavir (ANTIRETROVIRALS & PROTEASE INH)

ZINACEF (CEPHALOSPORINS)

ZINACEF IN ISO-OSMOTIC WATER (CEPHALOSPORINS)

ZINACEF ISO-OSMOTIC DEXTROSE (CEPHALOSPORINS)

zinc chloride (ELECTROLYTES, IRRIGATING SOLUTIONS, ETC.)

zinc cl/b-caine/cetylpyrd cl (DRUGS AFFECTING THE THROAT AND MOUTH)

ZINC PYRITHIONE (PHARMACEUTICAL NECESSITIES)

zinc sulfate (ELECTROLYTES, IRRIGATING SOLUTIONS, ETC.)

ZINC SULFATE (ELECTROLYTES, IRRIGATING SOLUTIONS, ETC.)

ZINCATE (ELECTROLYTES, IRRIGATING SOLUTIONS, ETC.)

ZINECARD (ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS)

ZINOTIC (DRUGS AFFECTING THE EAR)

ZINOTIC ES (DRUGS AFFECTING THE EAR)

ziprasidone (ANTIPSYCHOTIC DRUGS)

ZIPSOR (NON-STEROIDAL ANTIINFLAMMATORY AGENTS)

ZITHRANOL-RR (ANTIPSORIASIS AND ANTIECZEMA DRUGS)

ZITHROMAX (QL = 1 bottle/Rx; 6x250mg; 5x500mg; 10x600mg) (OTHER MACROLIDES)

ZITHROMAX TRI-PAK (OTHER MACROLIDES)

ZMAX (OTHER MACROLIDES)

ZMAX PEDIATRIC (OTHER MACROLIDES)

ZOCOR (Step Therapy - Requires trial of generic first) (HMG-COA REDUCTASE INHIBITORS)

ZODERM (ANTIACNE DRUGS)

ZOEY (MEDICAL (MISCELLANEOUS) SUPPLIES)

ZOFRAN (Q) (PAR) (ANTIVERTIGO AND ANTIEMETIC DRUGS)

ZOFRAN ODT (Q) (ANTIVERTIGO AND ANTIEMETIC DRUGS)

ZOLADEX (ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS)

zoledronic acid (OTHER ENDOCRINE DRUGS)

ZOLINZA (ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS)

zolmitriptan (DRUGS TO PREVENT AND TREAT HEADACHES)

ZOLOFT (requires trial of generic fluoxetine) (50mg not covered) (SELECTIVE SEROTONIN REUPTAKE INHIBITORS)

zolpidem (SEDATIVE/HYPNOTIC DRUGS)

zolpidem tartrate (SEDATIVE/HYPNOTIC DRUGS)

ZOMIG (QL= 6x2.5mg; 3x5mg) (DRUGS TO PREVENT AND TREAT HEADACHES)

ZOMIG ZMT (QL=6 tabs/Rx; 18 tabs/Month) (DRUGS TO PREVENT AND TREAT HEADACHES)

ZONALON (TOPICAL DERMATOLOGICAL DRUGS)

ZONEGRAN (OTHER ANTICONVULSANTS)

zonisamide (OTHER ANTICONVULSANTS)

ZORPRIN (SALICYLATES AND RELATED DRUGS)

ZOSYN (PENICILLINS)

ZOTEX (ANTITUSSIVE AND EXPECTORANT DRUGS)

ZOTEX 12 (ANTITUSSIVE AND EXPECTORANT DRUGS)

ZOTEX-12D (ANTITUSSIVE AND EXPECTORANT DRUGS)

ZOTEX-C (ANTITUSSIVE AND EXPECTORANT DRUGS)

ZOTEX-D (ANTITUSSIVE AND EXPECTORANT DRUGS)

ZOTEX-GP (ANTITUSSIVE AND EXPECTORANT DRUGS)

ZOTEX-PE (ANTIHISTAMINE/DECONGESTANT COMBINATIONS)

ZOTO-HC (DRUGS AFFECTING THE EAR)

zovia 1-35e (CONTRACEPTIVES)

zovia 1-50e (CONTRACEPTIVES)

ZOVIRAX (OTHER ANTIVIRAL DRUGS)

ZOVIRAX (TOPICAL ANTIVIRAL DRUGS)

ZYBAN (SMOKING CESSATION PRODUCTS)

ZYDONE (CLASS III NARCOTICS)

ZYFLO (LEUKOTRIENE MODIFIERS)

ZYFLO CR (LEUKOTRIENE MODIFIERS)

ZYLET (Tobradex) (OPHTHALMIC ANTIINFECTIVE/CORTICOSTEROIDS)

ZYLOPRIM (DRUGS TO PREVENT AND TREAT GOUT)

ZYMAR (OPHTHALMIC TOPICAL ANTIBACTERIAL DRUGS)

ZYMINE (ANTIHISTAMINES)

ZYMINE DXR (ANTIHISTAMINE/DECONGESTANT COMBINATIONS)

ZYMINE XR (ANTIHISTAMINES)

ZYMINE-D (ANTIHISTAMINE/DECONGESTANT COMBINATIONS)

ZYPRAM (OTHER GI DRUGS)

ZYPREXA (PAR-Coverd if prescribed by psychiatrist) (ANTIPSYCHOTIC DRUGS)

ZYPREXA ZYDIS (ANTIPSYCHOTIC DRUGS)

ZYVOX (OTHER ANTIINFECTIVE DRUGS)

Formulary Date: 10/21/2009 Update Date: 10/26/2009 V1.3.0