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Coverage Changes

Wellmark Drug List

Effective January 1, 2006, eight brand-name drugs will move from Tier 2 to Tier 3 on the Wellmark Drug List. Tier 3 drugs have a higher copayment or coinsurance.

Wellmark moved the medications to Tier 3 because generic equivalents are now available. Members who have filled a prescription for one of the medications listed below during the past three months were sent letters about the change.

The table below lists the medications moving to Tier 3, as well as their generic equivalents.

Brand Name Drugs Moving to Tier 3 Generic Equivalent*
Arava leflunomide
Augmentin (200 & 400 suspension; 200 & 400 chewable; 500 & 875 tablet) amoxicillin/clavulanate
Augmentin ES-600 amoxicillin/clavulanate
Biaxin clarithromycin
DDAVP desmopressin acetate
Purinethol mercaptopurine
Zithromax (tablets) azithromycin

One other drug, Uroxatral, is also moving from Tier 2 to Tier 3 on the Wellmark Drug List. This drug does not have a generic equivalent; however, there are other therapeutic alternatives available.

* A generic equivalent is a medication that contains the same active ingredient at the same dose and formulation as the brand name drug.

Please refer to the Wellmark Drug List for drug tier information.

 


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Wellmark Blue Cross and Blue Shield is an Independent Licensee of the Blue Cross and Blue Shield Association doing business in Iowa and South Dakota. Blue Cross®, Blue Shield®, and the Cross® and Shield® symbols are registered marks of the Blue Cross and Blue Shield Association, an Association of Independent Blue Cross and Blue Shield Plans.


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