5-Tier Preferred Drug List - Health Plan of Nevada

Alphabetical IndexDrug Name PDL Section Drug Name PDL Sectionraloxifene 6-Jraltegravir 1-Iramelteon 4-Cramipril 3-FRANEXA 3-Mranitidine 7-Dranolazine 3-MRAPAFLO 8-DRAPAMUNE 2-BRAPTIVA 13-HRAZADYNE 4-FRAZADYNE ER 4-FREBETOL 1-HREBETRON 13-DREBIF 13-EReclipsen 6-Drefaximin 1-LREGLAN 7-HREGRANEX 5-IRELAFEN 9-CRELENZA 1-HRELION 6-GRELISTOR 7-HRELPAX 9-EREMERON 4-BREMERON SOLTABS 4-BRENACIDIN 8-DRENAGEL 7-HRENVELA 7-Hrepaglinide 6-Frepaglinide-metformin 6-FREPREXAIN 9-BREQUIP 4-HREQUIP XL 14-ARESCRIPTOR 1-Ireserpine 3-HRESTASIS 11-HRESTORIL 4-Cretapamuln 5-CRETIN-A 5-BRETIN-A MICRO 14-ARETIN-A PUMP 14-ARETROVIR 1-IREVATIO 3-HREVIA 9-BREVLIMID 2-AREYATAZ 1-IRHINOCORT AQUA 12-Bribavirin 1-HRIDAURA 9-Drifabutin 1-FRIFADIN 1-FRIFAMATE 1-Frifampin 1-FRIFATER 1-Frilonacept 13-Irilpivirine 1-IRILUTEK 9-Hriluzole 9-Hrimantadine 1-Hrimexolone ophth 11-CRIOMET 6-Frisedronate 14-Arisedronate 6-Jrisedronate-calcium 6-JRISPERDAL 4-DRISPERDAL M 4-Drisperidone 4-DRITALIN 4-ERITALIN LA 4-ERITALIN SR 4-Eritonavir 1-Irivaroxaban 10-Drivastigmine 4-Frizatriptan 9-EROBAXIN 9-GROBAXISAL 9-GROBINUL 7-CROBINUL FORTE 7-CROCALTROL 10-A795-Tier Drug Benefit Guide 09/01/13