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

DRUG NAME1 2 3 4 SUGGESTED PREFFERED ALTERNATIVESRENVELA XCHAPTER 13: OBSTETRICAL & GYNECOLOGICAL MEDICATIONS13.1.1 PRENATAL VITAMINSNEEVO DHA X generic Rx prenatal vitamansPREFERA OB X hemenatal ob tabsPREFERA‐OB ONE X prenatal mv & min capsulePREFERA‐OB PLUS DHA X hemenatal ob+dha combo pkPRENATE DHA X generic Rx prenatal vitamansPRENATE ELITE X generic Rx prenatal vitamansPRENATE ESSENTIAL X generic Rx prenatal vitamans13.1.2 SPECIALIZED OB/GYN DRUGSleuprolide acetate PA Xnovarel XCETROTIDE XGANIRELIX ACETATE XLUPRON DEPOT PA X ELIGARD, TRELSTAROVIDREL X ch.gonadotrpin,novarel13.1.3 OB/GYN TOPICAL ANTIINFECTIVESclindamycin phosphate Xmetronidazole Xvandazole X13.2 OVULATORY STIMULANTSclomiphene citrate XBRAVELLE X GONAL‐F/RFFFOLLISTIM AQ X GONAL‐F/RFFGONAL‐F/RFF X13.3 ANDROGEN DRUGStestosterone cypionate XANDRODERM XANDROGEL XAXIRON XFORTESTA X ANDRODERM, ANDROGEL, AXIRONSTRIANT X ANDRODERM, ANDROGEL, AXIRONTESTIM X ANDRODERM, ANDROGEL, AXIRON13.4 ESTROGEN DRUGSestradiol Xestrogen & methyltestosterone Xestrogen‐methyltestosterone Xestropipate XCENESTIN XDIVIGEL XELESTRIN X estradiol ptch, DIVIGEL, EVAMISTENJUVIA XESTRACE X VAGIFEMTIER