Study Medications (Selected from Clinic X 2003 Sample Medications Log)*
| Name Brand Medication | Formulary Status | General Pharmacy Index 4 Category |
|---|---|---|
| Aciphex | B tier brand | Proton pump inhibitors |
| Actonel | B tier brand—maintenance benefit | Calcium regulators |
| Allegra | B tier brand | Antihistamine-non-sedating |
| Amaryl | B tier brand—maintenance benefit | Sulfonylureas |
| Augmentin | B tier brand | Penicillin combinations |
| Avandia | C tier non-preferred | Insulin-sensitizing agents |
| Avelox | C tier non-preferred | Fluoroquinolones |
| Clarinex | Not listed | Antihistamine-non-sedating |
| Cozaar | B tier brand—maintenance benefit | Angiotensin II receptor antagonists |
| Detrol La | C tier non-preferred | Urinary antispasmodics |
| Ditropan Xl | Not listed | Urinary antispasmodics |
| Elidel | Not listed | Immunomodulating agents—dermatitis |
| Imitrex | B tier brand | Serotonin agonists |
| Lexapro | Unlisted | Selective serotonin reuptake inhibitors |
| Maxalt | B tier brand | Serotonin agonists |
| Nasacort | B tier brand | Nasal steroids |
| Nexium | Not listed | Proton pump inhibitors |
| Oxytrol | Not listed | Urinary antispasmodics |
| Paxil | B tier brand | Selective serotonin reuptake inhibitors |
| Protonix | B tier brand | Proton pump inhibitors |
| Toprol Xl | B tier brand—maintenance benefit | Beta blockers cardioselective |
| Valtrex | C tier non-preferred | Herpes agents |
| Vioxx | C tier non-preferred | Nonsteroidal anti-inflammatory drugs |
| Wellbutrin | Unlisted (SR is listed) | Miscellaneous antidepressants |
| Zocor | B tier brand—maintenance benefit | HMG CoA reductase inhibitors |
* Formulary Scott & White Health Plan (SWHP) preference in descending order: (1) A tier = non-name brand generic; (2) B tier—maintenance benefit = specific name brand with quantity discounts for SWHP pharmacies; (3) B tier = specific name brand; (4) C tier = non-preferred name brand; (5) unlisted.