HTML Preview The Complete Prescription Drug List (PDL) page number 1.
Table of Contents
Advantage Three-Tier
Your 2013 Prescription Drug List
Quick-Reference Guide
For the most current PDL updates, visit myuhc.com or call the toll-free member phone number on the back of your health plan ID card.
Created September, 2012. 2013 Prescription Drug List – Advantage Three-Tier 1/13
Anti-Infectives
Antibiotics .......................5
Antifungals ......................5
Antivirals .......................5
Cardiovascular/Heart Disease
Coagulation Therapy ..............5
High Blood Pressure ..............6
High Cholesterol .................6
Other ...........................7
Central Nervous System
Attention Deficit Disorder ..........7
Depression ......................7
Migraine ........................7
Multiple Sclerosis ................8
Sedatives/Hypnotics ..............8
Seizure Disorders ................8
Other ...........................8
Dermatology ...................9
Diabetes/Endocrine
Blood Glucose Monitoring .........9
Insulin ..........................9
Non-Insulin .....................10
Endocrine
Growth Hormone ................10
Other ..........................10
Eye Conditions
Allergies .......................10
Antibiotics ......................10
Glaucoma ......................11
Gastrointestinal
Acid Suppression ...............11
Nausea/Vomiting ................11
Other ..........................11
Men’s Health
Erectile Dysfunction ..............11
Prostate .......................12
Miscellaneous
Miscellaneous ..................12
Overactive Bladder ..............12
Musculoskeletal
Osteoporosis ...................12
Pain Relief .....................12
Rheumatoid Arthritis .............13
Other ..........................13
Respiratory
Asthma/COPD. . . . . . . . . . . . . . . . . .13
Nasal Allergies ..................14
Oral Allergies ...................14
Women’s Health
Contraceptives ..................14
Estrogen/Progesterone ...........15
Prenatal Vitamins ................15
Welcome to Your Prescription Drug List ....................................................................2
Frequently Asked Questions ..............................................................................2
Information About Tiers ...................................................................................2
Prescription Drug List .....................................................................................5
Additional Tier 3 drugs with a generic equivalent in Tier 1 ..................................................16
Index ...................................................................................................17