Search the list of FDA-approved drugs and coverage for each by entering a drug name below. Please review your benefit plan for full details. • Compare medication pricing and options. • Compare medication pricing and options. Visit your plan’s website on your member ID card to: • Find a participating retail pharmacy by ZIP code. We realize that this formulary may not include every drug from every manufacturer. administered by OptumRx® 2019 Comprehensive Formulary (List of Covered Drugs) PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN This formulary was updated on September 28, 2018, and is a complete list of drugs covered by our plan. About this formulary Where differences between this formulary and your benefit plan exist, the benefit plan documents rule. • Compare medication pricing and options. 2019 Your Prescription Drug List/Formulary Effective July 1, 2019 For a complete list of covered drugs or if you have questions: • Call a customer care representative toll-free at (855) 828-9834 (TTY 711). Effective April 15, 2019, UnitedHealthcare Community Plan of New Jersey will implement system enhancements to improve the submission of Medicaid pharmacy claims when the patient has a … Your 2018 Formulary OptumRx 1 Effective January 1, 2018 Premium Select Choice. To create the list, OptumRx ® is guided by the Pharmacy and Therapeutics Committee. Your 2020 Formulary For the most current list of covered medications or if you have questions: Call the number on your member ID card. • Look up possible lower-cost medication alternatives. • Look up possible lower-cost medication alternatives. About this formulary Where differences between this formulary and your benefit plan exist, the benefit plan documents rule. Your 2020 Formulary For the most current list of covered medications or if you have questions: Call the number on your member ID card. Your 2019 Formulary For the most current list of covered medications or if you have questions: Call the number on your member ID card. 2 Your Formulary This Formulary outlines the most commonly prescribed medications from your plan’s complete pharmacy benefit coverage list, also known as a Prescription Drug List (PDL). To create the list, OptumRx ® is guided by the Pharmacy and Therapeutics Committee. DOWNLOAD PDF Visit your plan’s website on your member ID card to: • Find a participating retail pharmacy by ZIP code. • Compare medication pricing and options. Note to existing members: This formulary has … Your 2019 Formulary For the most current list of covered medications or if you have questions: Call the number on your member ID card. It describes your primary Medicare Part D Benefit and explains how to get the prescription drug you need. • Look up possible lower-cost medication alternatives. If you need Bimatoprost Outpatient Formulary Brands Available Lumigan Outpatient Dosage Forms Solution, ophthalmic: Lumigan: 0.01% (5 mL) [contains benzalkonium chloride] Bisacodyl Outpatient Dosage Forms Tablet, enteric coated, oral: 5 mg Bisoprolol Outpatient Dosage Forms Tablet, oral, as fumarate: 5 mg, 10 mg optumrx.com Lumigan® (bimatoprost) — First-Time Generic •On February 23, 2015, Lupin announced the FDA approval of its AT-rated generic to Allergan’s Lumigan (bimatoprost) 0.03% ophthalmic solution, for the reduction of elevated intraocular pressure in patients with open angle glaucoma or ocular hypertension. 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