Author: CSRA
Effective April 1, 2018, North Carolina Medicaid will make the following changes to the Medicaid and NC Health Choice Preferred Drug List (PDL):
Analgesics
- Opioids
- Long-Acting
- Kadian moved to preferred
- Morphine sulfate ER (generic for Kadian) remains non-preferred
- Long-Acting
Anticonvulsants
- Second Generation
- Sabril Powder Pack moved to preferred
- vigabatrin (generic for Sabril) powder pack moved to non-preferred
Anti-infectives
- Systemic Antivirals
- Herpes Treatment
- Zovirax Ointment moved to preferred
- Herpes Treatment
- Hepatitis B
- Epivir HBV remains preferred
- lamivudine HBV (generic for Epivir) moved to non-preferred
- Antibiotics
- Quinolones
- Avelox moved to non-preferred.
- moxifloxacin (generic for Avelox) moved to preferred
- Quinolones
Behavioral Health
- Antidepressants
- Other
- Desvenlafaxine ER (generic for Pristiq) moved to preferred
- Pristiq remains non-preferred
- Other
- Antipsychotics
- Atypical oral
- Invega moved to non-preferred
- Paliperidone (generic for Invega) moved to preferred
- FazaClo moved to preferred
- Clozapine ODT (generic for FazaClo) moved to non-preferred
- Atypical oral
Cardiovascular
- Platelet Inhibitors
- Effient moved to non-preferred
- prasugrel (generic for Effient Tablet) moved to preferred
Hematologic
- Anticoagulant
- Injectable
- Lovenox syringe/vial moved to non-preferred
- enoxaparin (generic for Lovenox) syringe/vial moved to preferred
- Injectable
Gastrointestinal
- Ulcerative Colitis
- Lialda moved to preferred
- mesalamine (generic for Lialda) moved to non-preferred
Ophthalmic
- Allergic Conjunctivitis
- Pataday ophthalmic drops moved to preferred
- olopatadine (generic for Pataday) ophthalmic drops moved to non-preferred
Respiratory
- Intranasal Rhinitis Agents
- Astepro nasal spray moved to preferred
- azelastine (generic for Astepro) nasal spray moved to non-preferred
Topical
- Acne Agents
- Epiduo gel moved to preferred
- Benzaclin gel moved to non-preferred
- Clindamycin-benzoyl peroxide (generic for Benzaclin) gel moved to preferred
- Psoriasis
- Dovonex cream moved to preferred
- calcipotriene (generic for Dovonex) cream moved to non-preferred
- Steroids
- Very High Potency
- Clobex shampoo moved to preferred
- clobetasol (generic for Clobex) shampoo moved to non-preferred
- Low Potency
- Derma-Smoothe FS Scalp and Body Oil moved to non-preferred
- Fluocinolone scalp/body oil (generic for Derma-Smoothe FS scalp/body oil) moved to preferred
- Very High Potency
- Miscellaneous Topicals
- Vivelle-Dot moved to non-preferred
- Estradiol patch (generic for Vivelle-Dot) moved to preferred
CSRA 1-800-688-6696