MaineCare Preferred Drug List
2003
CATEGORY PREFERRED
ACE INHIBITORS SEE GENERICS
ANTIBACTERIALS GENERICS
ZITHROMAX
VANTIN
TEQUIN
CIPRO
ANTIDEPRESSANTS CELEXA
SERZONE
FLUOXETINE
PAXIL (NOT CR)
REMERON
WELLBUTRIN SR
ANTIHISTAMINES GENERICS
ALLEGRA (PA)
ZYRTEC (PA)
OTC LORATIDINE (package size 48)
ARB/ARB-DIURETIC MICARDIS
COZAAR
TEVETEN
DIOVAN
MICARDIS HCT
HYZAAR
DIOVAN HCT
BETA BLOCKERS GENERICS
CALCIUM CHANNEL BLOCKERS TIAZAC (DILTIAZEM)
(LONG ACTING FORMS) VERAPAMIL SR/XR
SULAR
ADALAT CC (NIFEDIPINE)
PLENDIL
NORVASC
H2 BLOCKERS CIMETIDINE
FAMOTIDINE
RANITIDINE
HYPOGLYCEMICS AMARYL
GLUCOTROL NL
PRECOSE
MaineCare Preferred Drug List
2003
CATEGORY PREFERRED
HYPOGLYCEMICS PRANDIN
INHALED STEROIDS VANCERIL (NOT DS)
AZMACORT
BECLOVENT
MIGRAINE AXERT (QL)
AMERGE (QL)
IMITREX (QL)
NASAL STEROIDS BECONASE
BECONASE AQ
FLONASE
NASACORT AQ
NSAIDS/COX 2 INHIBITORS GENERICS
VIOXX (PA)
PO CONTRACEPTIVES DESOGEN
NECON
MODICON
NELOVA
ALESSE 28
LO-OVRAL
MIRCETTE
ORTHOCEPT
ORTHO NOVUM
ORTHO NOVUM 7/7/7,10/11
ZOVIA
ORTHO-CYCLEN
ORTHO-TRICYCLEN
TRI-PHASIL 28
LOESTRIN FE 1.5
PROTON PUMP INHIBITORS PROTONIX
PREVACID
STATINS LESCOL
ZOCOR
LIPITOR