Microsoft word - 2010 pdl template 100110_rev111010.doc

Preferred Drug List for 2010
effective 10/1/10

The BlueCross BlueShield of Tennessee Preferred Drug List (PDL) is a list of therapeutically sound, cost-effective drugs. The PDL does not
indicate a limitation in drug coverage, but is provided to encourage use of certain drugs within the therapeutic drug classes listed. Please note that different copayment levels may apply to generic, preferred brand name and elective (non-preferred) brand name drugs. Allergy/Asthma/Cough &
Antihistamines
Antihypertensives
ACE Inhibitors
Asthma Drugs (oral)
Angiotensin II
Antifungal
Beta-Agonist Inhalers
Beta-Blockers
Antiviral (Herpes only)
Combination-Inhalers
Vaginal Preparations
Corticosteroid-Inhalers
Calcium Channel Blockers
Corticosteroid-Nasal
Other Antihypertensives
Antineoplastics and
Immunosuppressants
Cough and Cold Preparations
Antilipidemics and HMG-CoA
Reductase Inhibitors
Cardiovascular Drugs
Antiarrhythmics
Anti-infectives
Antibiotics (oral)
Bullet items are preferred brand drugs, all others are generics. This list is subject to change throughout the year. Please call Customer Service at the phone number listed on your BlueCross BlueShield of Tennessee member ID card or visit our Web site at bcbst.com for the most up-to-date information. (11.10) Preferred Drug List for 2010
effective 10/1/10
Psychostimulants
Diuretics
Tranquilizers
Glaucoma
Dermatologicals
Central Nervous System
Miscellaneous Eye or Ear
Antianxiety
clotrimazole/betamethasone desoximetasone polymyxin B/neomycin/hydrocortisone otic Gastrointestinal Agents
Antidepressants
H2 Antagonists
Other GI Agents
Diabetes
Blood Glucose Strips
Diabetic Drugs
Antiseizure Drugs
Proton Pump Inhibitors
Hepatitis C
Hormone Replacement
Androgen
Parkinson’s Disease Drugs
Estrogens (oral)
Bullet items are preferred brand drugs, all others are generics. This list is subject to change throughout the year. Please call Customer Service at the phone number listed on your BlueCross BlueShield of Tennessee member ID card or visit our Web site at bcbst.com for the most up-to-date information. (11.10) Preferred Drug List for 2010
effective 10/1/10
Migraine / Pain
Thyroid Medications
Estrogens (patch)
Migraine Drugs
Urologic Disorders
Estrogen Combinations
Estrogen (vaginal)
Miscellaneous
Progesterone
Moderate to Severe Pain
Oral Contraceptives*
Vitamins (prescription
Monophasic
Rheumatology
Note: members may have a
Biphasic
Disclaimer: Changes in drug
Triphasic
Osteoporosis/Bone
Diseases
Progestin
alendronate plus OTC Vitamin D calcitonin-salmon
Other Contraceptives*
Platelet Aggregation
Inhibitors

Bullet items are preferred brand drugs, all others are generics. This list is subject to change throughout the year. Please call Customer Service at the phone number listed on your BlueCross BlueShield of Tennessee member ID card or visit our Web site at bcbst.com for the most up-to-date information. (11.10)

Source: http://www.coverkids.com/webforms/coverkidspreferreddruglistfor2010.pdf

Microsoft word - 12-7-09hsmins.doc

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Department of community health sciences

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