Preferred Drug List 2013 Standard Formulary with ... - Express Scripts

DRUG NAME1 2 3 4tramadol hcl/er Xtramadol hcl‐acetaminophen XTIERSUGGESTED PREFFERED ALTERNATIVES5.1.1.1 CLASS II NARCOTICSendocet Xfentanyl Xhydromorphone hcl Xmethadone hcl Xmorphine sulfate/er Xoxycodone hcl Xoxycodone‐acetaminophen Xoxymorphone hcl Xroxicet XABSTRAL XAVINZA X gen,NUCYN ER,OPANA ER,OXYCONTNEXALGO X gen,NUCYN ER,OPANA ER,OXYCONTNFENTORA XKADIAN X gen,NUCYN ER,OPANA ER,OXYCONTNLAZANDA X fentanyl citra,ABSTRAL,FENTORANUCYNTA/ER XONSOLIS X fentanyl citra,ABSTRAL,FENTORAOPANA X oxymorphoneOPANA ER XOXYCONTIN XSUBSYS X fentanyl citra,ABSTRAL,FENTORA5.1.1.2 CLASS III NARCOTICSacetaminophen‐codeine Xbuprenorphine hcl Xhydrocodone bit‐ibuprofen Xhydrocodone‐acetaminophen Xreprexain Xzamicet XBUTRANS XSUBOXONE X5.1.1.3 CLASS IV NARCOTICSbuprenorphine hcl X5.1.2 DRUGS TO PREVENT AND TREAT HEADACHESbutalbital compound‐codeine Xbutalbital‐aspirin‐caffeine Xnaratriptan hcl Xsumatriptan XAXERT ST X sumatriptan, RELPAX, ZOMIG/ZMTFROVA ST X sumatriptan, RELPAX, ZOMIG/ZMTIMITREX ST X sumatriptanMAXALT/MLT ST X sumatriptan, RELPAX, ZOMIG/ZMT