2-Tier Open Preferred Drug List - Health Plan of Nevada

Alphabetical IndexDrug Name PDL Section Drug Name PDL SectionVIBRATABS 1-DVICODIN 9-BVICODIN ES 9-BVICODIN HP 9-BVICOPROFEN 9-BVICTOZA 6-JVICTRELIS 13-DVIDEX EC 1-Ivigabatrin 4-GVIGAMOX 11-AVIIBRYD 4-Bvilazodone 4-BVIMOVO 14-AVIMPAT 4-GVIOKASE 7-GVIRACEPT 1-IVIRAMUNE 1-IVIRAMUNE XR 1-IVIREAD 1-IVIROPTIC 11-AVISCOUS LIDOCAINE 11-JVISICOL 7-AVISKEN 3-CVISTARIL 4-AVIVACTIL 4-BVIVELLE 6-CVIVELLE DOT 6-CVIVITROL 9-BVOLTAREN 9-CVOLTAREN GEL 5-HVOLTAREN ophth 11-HVOLTAREN ophth gel 11-HVOLTAREN XR 9-Cvoriconazole 1-Gvorinostat 2-AVOSOL-HC 11-IVOSPIRE ER 12-DVOTRIENT 2-AVUSION 1-GVYTORIN 3-LVYVANSE 4-Ewarfarin 10-DWELCHOL 3-LWELLBUTRIN 4-BWELLBUTRIN SR 4-BWELLBUTRIN XL 4-BWELLCOVORIN 2-AWESTCORT 5-HWESTHROID-P 11-DXALATAN 6-IXALKORI 2-AXANAX 4-AXANAX XR 4-AXARELTO 10-DXELJANZ 2-AXELODA 13-HXENADERM 5-IXENAZINE 4-FXERAC-AC 5-IXERESE 14-AXIBROM 11-HXIFAXAN 1-LXOPENEX 12-DXYLOCAINE 5-IXYREM 4-EXYZAL 14-AYASMIN 6-DYAZ 6-DYODOXIN 1-LZADITOR 14-AZADITOR OTC 14-Azafirlukast 12-Dzalcitabine 1-Izaleplon 4-CZAMICET 9-BZANAFLEX 9-Gzanamivir 1-HZANTAC 7-DZARAH 6-DZARONTIN 4-G83 2-Tier (open) Drug Benefit Guide 09/01/13