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    PATIENT INFORMATION LEAFLET Carvedilol 3.125mg, 6.25mg, 12.5mg and 25mg Tablets Read all of this leaflet carefully before you start using this medicine because it contains important information for you. You may need to read it again  If you have any further questions, ask your doctor or pharmacist  This medicine has been prescribed for you only. It may harm them, even if their signs of illness are the same as yours.  If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. What is in this leaflet: 1 2 3 1 What Carvedilol is and what it is used for What you need to know before you take Carvedilol How to take Carvedilol What Carvedilol is and what it is used for Carvedilol belongs to a group of medicines called betablockers and works by slowing down the activity of the heart. It does this by blocking tiny areas called receptors, which stops the heart from receiving messages sent by some nerves. As a result, the heart beats more slowly and with less force. The pressure of blood within the  blood vessels is reduced and it is easier for the heart to pump blood around the body. Because the heart is using less energy, it also helps to reduce chest pain. A.) It is a list of FDA-approved brand-name and generic medications currently covered by a health insurance company, although inclusion does not necessarily guarantee coverage. Generic drugs contain the same active ingredients, but at a much lower price. A.) Clinically Equivalent drugs are drugs determined to have the same effect as more expensive drugs. A.) While Anthem makes every effort to provide an exhaustive drug coverage list, some drugs may not be currently covered. Brokers are much easier to reach and will work to solve your problems and answer your questions. For example, drugs used for cosmetic purposes may not be covered. (erythromycin ethylsuccinate)* EC-Naprosyn (naproxen EC)* Econopred Plus 1% Eye Drops (prednisolone)* Effexor (velafaxine)* Effexor XR (velafaxine ER)† Effient Efudex (fluorouracil)* Eldepryl (selegiline)* Elidel Elimite (permethrin)* Elixophyllin (theophylline syrup)* Elocon (mometasone)* Emcyt Empirin w/Cod (asa/codeine)* Emtriva Endal HD (phenyleph hcl/hydrocod bit/cp)* Entex PSE (guaifenesin/pseudoephedrine)* Entocort EC Epifrin (epinephrine HCl)* Epipen, JR Epivir Eryc (erythromycin base)* Erycette 2% Pledgets (erythromycin)* Eryderm 2% Topical Solution (erythromycin)* Erymax 2% Topical Solution (erythromycin)* Ery Ped 200 Susp (erythromycin ethylsuccinate)* Esgic (acetaminophen/caffeine/butalb)* Eskalith, CR (lithium)* Estrace (estradiol)* Estraderm Estring Ethmozine Eulexin (flutamide)* Evamist Evista Evoxac Exelon (rivastgmine)† Exforge, HCTFamvir (famciclovir)* Fansidar Fast Take Product Line Fazo Clo ODT Felbatol Feldene (piroxicam)* Femara† Fem HRT Fibricor (fenofibric acid)* Finacea Fioricet (APAP/caffeine/butalbital)* Fiorinal (aspirin/caffeine/butalbital)* Fiorinal w/Codeine (butalbital compound w/codeine)* Flagyl (metronidazole)* Flexeril (cyclobenzaprine)* Flomax (tamsulosin)† Flonase (fluticasone)* Florinef (fludrocortisone)* Flovent HFA Floxin Otic (ofloxacin)* Floxin tablet (ofloxacin)* Fluoroplex fluvoxamine FML Forte FML Liquifilm (fluorometholone)* Folate (folic acid)* Foradil Fosamax (alendronate)* Fosamax Solution Fosrenol Furadantin Furoxone Fuzeon Glucophage XR (metformin ER)* Glucotrol XL (glipizide XL)* Glucovance (glyburide/metformin)* Glynase Pres Tab (glyburide micronized)* Glyset Golytely Solution (PEG– electrolyte for solution)* Granulex (trypsin/balsam peru/castor oil)* Gynodiol (estradiol)*Humulin R, N, 50/50, 70/30 Hycodan Syrup (hydrocodone w/homatropine)* Hydrea (hydroxyurea)* hydrochlorothiazide Hytone (hydrocortisone 2.5% cream, ointment, lotion)* Hytrin (terazosin)* Hyzaar (losartan/hctz)*Ilotycin (erythromycin)* Imdur (isosorbide mononitrate)* Imitrex (sumatriptan tab & inj)* Imitrex Nasal Spray Imodium (loperamide)* Imuran (azathioprine)* Inderal (propranolol)* Inderal LA (propranolol la)* Inderide (propranolol/HCTZ)* Indocin, SR (indomethacin, SR)* Inflamase Mild, Forte (prednisolone)* Intal Inhaler Intal Solution (cromolyn)* Invirase ISMO (isosorbide mononitrate)* isoniazid Isoptin, SR (verapamil, SR)* Isopto Atropine (atropine sulfate)* Isopto Carpine (pilocarpine HCl)* Isopto Homatropine (homatropine)* isosorbide dinitrate Jalyn Janumet Januvia K-Lor (potassium chloride 20m Eq)* K-Lyte CL (potassium bicar/chloride 25m Eq) K-Phos K-Phos Neutral (phospha 250)* K-Tab (potassium chloride sr)* Kaletra Kayexalate (sodium polystyrene sulfonate)* Keflex (cephalexin)* Lamictal chewables 2mg Lamictal chewables 5 & 25mg (lamotrigine)* Lamictal tabs (lamotrigine) Lamisil tablet (terbinafine)* Lanoxin Lanoxicaps Lantus Lariam (mefloquine)* Lasix (furosemide)* leflunimide leucovorin Leukeran Leukine Levaquin Levbid (hyoscyamine)* Levemir Levlen (levonorgestrel & ethinyl estradiol)* Levo-Dromoran (levorphanol tartrate)* levora Levothroid Levoxyl Levsin (hyoscyamine)* Levsinex (hyoscyamine)* Lexapro Lexiva Lialda Librium (chlordiazepoxide)* Lidex, E (fluocinonide)* Lidoderm Limbitrol DS (amitriptyline/chlordiazepoxide)* Lioresal (baclofen)* Lipitor Lithobid (lithium)* Lo/Ovral (low-ogestrel)* Lodine (etodolac)* Lodine XL (etodolac ER)* Loestrin FE (microgestin 1-20, 1.5/30)* Lomotil (diphenoxylate/atropine sulfate) Loniten (minoxidil)* Lopid (gemfibrozil)* Lopressor (metoprolol)* Lopressor HCT (metoprolol/HCTZ)* Loprox gel (ciclopirox)* Loprox Shampoo (ciclopirox)† Lorcet (hydrocodone/apap)* Lortab (hydrocodone/apap)* Lotemax Lotensin (benazepril)* Lotensin HCT (benazepril HCTZ)* Lotrel 2.5/10, 5/10, 5/20 & 10/20 (amlodipine/benazepril)* Lorel 5/40 & 10/40mg Lotrisone (clotrimazole/betamethasone)* Lovaza Lovenox (enoxaparin)* Loxitane (loxapine)* Lozol (indapamide)* Lufyllin (dyphylline)* Lupron (leuprolide)* Lumigan Luride (sodium flouride)*Macrobid (nitrofurantoin mono)* Macrodantin (nitrofurantoin)* Marinol (dronabinol)* Materna (multi-vitamins w/folic acid)* Matulane Mavik (trandolapril)* Maxalt, MLT Maxidex Maxitrol (neomycin/polymyxin/dexamethasone)* Maxzide (triamterene/HCTZ)* Mebaral (mephobarbital)* Meclomen (meclofenamate)* Medrol 4mg, 8mg (methylprednisolone)* Medrol 2 mg, 16mg, 32mg Megace (megestrol)* Mellaril (thioridazine)* Menest meperidine w/promethazine Mephyton Mepron Mestinon timespan Metaglip (glipizide/metformin)* methyclothiazide Metro Cream (metronidazole)* Metro Gel Metro Gel Vaginal (metronidazole vag)* Metrolotion (metronidazole lot)* Mevacor (lovastatin)* Mexitil (mexiletine)* Micro-K (potassium chloride)* Micronase (glyburide)* Microzide (hydrochlorothiazide caps)* Midamor (amiloride)* Midrin (isometh/dichlphen/APAP)* Minipress (prazosin)* Minocin Capsule (minocycline)* Mintezol Miralax (glycolax)* Mirapex (pramipexole)* Mircette (kariva)* Mobic (meloxicam)* Modicon (ethinyl estradiol/norethindrone)* Monistat-Derm (miconazole nitrate)* Monodox (doxycycline monohydrate)* Monoket (isosorbide mononitrate)* Monopril (fosinopril)* Motrin (ibuprofen)* MS Contin (morphine SR)* MSIR (morphine sulfate)* Mucomyst (acetylcysteine)* Myambutol (ethambutol)* Mycobutin Mycolog II (nystatin/triamcinolone)* Mycostatin (nystatin)* Mydriacyl (tropicamide)* Myleran Mysoline (primidone)*Naldecon (decongestabs)* Nalfon 600mg (fenoprofen)* Namenda Naprosyn (naproxen)* Nardil Nasarel (flunisolide)* Nasonex Natafort (prenatal vitamin)* Natalins (prenatal multivitamins and minerals/iron/fa)* Navane (thiothixene)* Nebupent necon Neo Decadron (neomycin/dexamethasone)* neomycin Neoral Neosporin soln (neomycin/polymyxin/gramicidin)* Neosporin oint (neomycin/polymyxin/bacitracin)* Neo Synephrine (phenylephrine)* Neptazane (methazolamide)* Neurontin (gabapentin)* Neurontin Soln Nexium Niaspan Niferex-150 Forte (iron/B12/folic acid)* Nilandron Nitro-Bid (nitroglycerin SR)* Nitro-Dur Nitrol (nitroglycerin ointment)* Nitrolingual spray Nitrostat (nitroglycerin)* Nizoral (ketoconazole)* Noctec (chloral hydrate)* Nolvadex (tamoxifen)* Nor-QD (norethindrone)* Nordette (levora)* Norflex (orphenadrine)* Norgesic (orphenadrine cpd)* Norgesic Forte (orphenadrine cpd Forte)* Norinyl (necon)* Normodyne (labetalol)* Norpace (disopyramide)* Norpace CR 100mg Norpace CR 150mg (disopyramide CR 150mg)* Norpramin (desipramine)* nortriptyline Norvasc (amlodipine)* Norvir Novafed A (pseudo-ephedrine hcl/chlor-mal)* Nu Lev (neosol)* Nuvigil Nystatin Ocufen (flurbiprofen sodium)* Ocuflox (ofloxacin)* Ocupress (carteolol hcl)* Oforta Ogen (estropipate)* Omnicef (cefdinir)* Omnipen (ampicillin)* One Touch Product Line Onglyza Opticrom (cromolyn)* Optivar^ (azelastine)* Orencia* Ortho-Cept (apri, reclipsen)* Ortho-Est (estropipate)* Ortho Evra Ortho-Novum (necon)* Ortho Tri-Cyclen (tri-nessa)* Ortho Tri-Cyclen Lo Orudis (ketoprofen)* Oruvail (ketoprofen SA)* Ovral (ogestrel)* Oxy Contin (oxycodone ER)Pamelor (nortriptyline)* Pancrease Panoxyl, AQ (benzoyl peroxide)* Parafon Forte (chlorzoxazone)* Paregoric Parlodel Tab (bromocriptine)* Parnate (tranylcypromine)* Pataday Patanol Paxil (paroxetine)* Paxil CR (paroxetine SR)* Pediapred (prednisolone sodium prosphate)* Pediazole (erythromycin/sulfisoxazole)* Pentam (pentamidine isethionate)* Pentasa Pepcid (famotidine)* Percocet (oxycodone/APAP)* Percodan (oxycodone/aspirin)* Perforomist Peridex (chlorhexidine gluconate)* Periostat (doxycycline)* Persantine (dipyridamole)* Phenergan DM (promethazine/dextromethorphan)* Phenergan VC syrup (promethazine/phenylephrine)* Phenergan/Codeine (promethazine/codeine)* Phenergan (promethazine)* Phenergan VC/Codeine (phenylephrine/promethazine/codeine)* phenobarbital Phoslo (calcium acetate)* Pilocar (pilocarpine HCl)* pindolol Plan B 0.75mg (levonorgestrel)* Plan B 1.5mg Plaquenil (hydroxychloroquine)* Plavix Plexion SCT Plexion TS (sulfacet sod w/sulfur10/5%)* Poly-Vi-Flor (multi-vitamins w/fluoride)* Polycitra (potassium citrate-citric acid)* Polycitra-K (Pot. Citrates w/citric acid)* Polysporin (bacitracin zinc/polymyxin B)* Polytrim (polymyxin B/trimethoprim)* Potaba Tab (aminobenzoate tab)* potassium chloride Pramosone 1% cream only, lotion, oint Prandin Pravachol (pravastatin)* Precose (acarbose)* Pred Forte 1% (prednisolone)* prednisone Pred Mild 0.12% Prelone (prednisolone)* Premarin oral, vaginal cream Premphase Prempro Prenate Advance (prenatal w/docusate, iron, folic acid)* Prenate Elite Prenate Ultra (multi-vitamins w/folic acid)* Prevacid^ (lansoprazole)* Prevident (sodium fluoride)* Priftin Prilosec^ (omeprazole)* Primaquine Prinivil (lisinopril)* Prinzide (lisinopril/hctz)* Pristiq Pro Amatine (midodrine)* Pro Air HFA Pro-Banthine (propantheline)* probenecid Procanbid Procardia (nifedipine)* Procardia XL (nifedipine ER)* Proctocort (hydrocortisone)* Proctocream-HC (hemorhoidal cream)* Profasi 10,000 (chorionic gonadotropin)* Prograf (tacrolimus) Prolixin (fluphenazine)* Proloprim (trimethoprim)* Prometrium Pronestyl, SR (procainamide, SR)* Propine (dipivefrin HCl)* propylthiouracil Proscar (finasteride)* Protonix^ (pantoprazole)* Protopic Proventil HFA Proventil, Tab, Syrup (albuterol)* Provera (medroxy-progesterone)* Prozac (fluoxetine)* Psorcon (diflorasone diacetate)* Pulmicort Respules Purinethol (mercaptopurine)* pyrazinamide Pyridium (phenazopyridine)*Ranexa Razadyne, ER (galantamine, sr)* Rebetol (ribavirin)* Reglan (metoclopramide)* Relafen (nabumetone)* Remeron, Sol Tab (mirtazapine)* Remicade* Renagel Renvela tab Requip* (ropinirole) Rescriptor Restasis Restoril (temazepam)* Retin-A Cream (tretinoin)* Retin-A Gel (tretinoin)* Retin-A Micro Retrovir (zidovudine) Revia (naltrexone hcl)* Reyataz Rheumatrex Tablets (methotrexate tablets)* Ridaura Rifadin (rifampin)* Rifamate Rifater Rilutek Risperdal (risperidone)* Risperdal Consta Risperdal ODT, M-tab (risperidone)* Ritalin, SR (methylphenidate, SR)* RMS Supp (morphine)* Robaxin (methocarbamol)* Rocaltrol (calcitriol 0.25, 0.5 mg caps)* Rondec DM syrup (pseudoephed/bromphen-DM 45-4-15)* Rondec, TR (pseudoephedrine/carbinoxamine)* Roxicodone (oxycodone)* Rynatan (chlorphen/pyrilamine/phenylephrine)* Rynatuss tablets, pediatric susp (phenyleph- ephed-cpd w/carbetapentane)* Rythmol (propafenone)*Salagen (pilocarpine)* Sanctura (trospium)* Sandimmune* Sandostatin (octreotide acetate)* Savella Seasonale (jolessa, quasense)* Sectral (acebutolol)* Selsun (selenium sulfide)* Septra, DS (sulfamethoxazole/trimethoprim, DS)* Serax (oxazepam)* Serevent Diskus Serophene (clomiphene)* Seroquel, XR Silvadene (silver sulfadiazine)* Sinemet (carbidopa/levodopa)* Sinemet CR (carbidopa/levodopa CR)* Sinequan (doxepin)* Singulair Skelaxin (metaxolone)† Slo-Bid (theophylline)* Slo-Phyllin 80 Syrup (theophylline anhydrosl)* Sodium Sulamyd (sulfacetamide solution)* Solaquin Forte (hydroquinone)* Soma (carisoprodol)* Somavert Somophyllin (aminophylline)* Sonata (zaleplon)* Sorbitrate (isosorbide dinitrate)* Spectazole (econazole)* Spectracef (cefditoren)* Spiriva Sporanox (itraconazole)* Stadol N. K.)* Vagifem Valcyte tabs Valisone (betamethasone valerate)* Valium (diazepam)* Valtrex (valacyclovir)† Vantin (cefpodoxime)* Vaseretic (enalapril/hydrochlorothiazide)* Vasocidin (sulfacetamide sodium-prednisolone ophth sol.)* Vasocon (naphazoline)* Vasotec (enalapril)* Veltin Venlafaxine ER (velafaxine er)† Vepesid (etoposide)* Veramyst Verelan (verapamil SR)* Vermox (mebendazole)* VESIcare Vibramycin (doxycycline)* Vicodin (hydrocodone/APAP)* Vicodin E. (hydrocodone/apap)* Videx Videx EC (didanosine)* Vigamox Viokase Viracept Viramune Viread Viroptic (trifluridine)* Vistaril (hydroxyzine pamoate)* Vivelle Vivelle Dot Voltaren Gel Voltaren Ophth (diclofenac sodium)* Voltaren, XR (diclofenac, ER)* Vosol (acetic acid)* Vosol HC (acetic acid/hydrocortisone)* Vyvanse Yasmin (ocella)* Yaz (gianvi)† Yodoxin Yocon (yohimbine)* Zanaflex (tizanidine)* Zantac (ranitidine)* Zarontin (ethosuximide)* Zaroxolyn (metolazone)* Zebeta (bisoprolol)* Zegerid^ (omeprazole/bicarb)* Zenate (multi-vitamins w/folic acid)* Zephrex LA (pseudo-ephedrine/guaifenesin)* Zerit (stavudine)* Zestril (lisinopril)* Zestoretic (lisinopril/hctz)* Zetacet (sulfacetsod w/sulfur 10/5%)* Ziac (bisoprolol/HCTZ)* Ziagen Zithromax (azithromycin)* Zocor (simvastatin)* Zofran (ondansetron)* Zoloft (sertraline)* Zomig, ZMT Zonegran (zonisamide)* Zortress zovia Zovirax Cap (acyclovir)* Zovirax Oint Zylet Zyloprim (allopurinol)* Zyprexa – A generic equivalent of this drug has become available or will be available soon. Anthem may cover only certain clinically equivalent drugs to further reduce your health care costs. If drug is not on the drug formulary (list), you must pay the copayment for the non-formulary drug. For the latest Anthem Blue Cross drug formulary information, check with A/T/S Topical Solution (erythromycin)* Abilify Acanya Accu-Check product line Accutane (isotretinoin)* Aceon (perindopril)* Aci-Jel Jelly (acetic acid vaginal)* Actigall (ursodiol)* Activella 0.1-0.5 Activella 1.0-0.5 (estradiol/norethindrone)* Actonel Acto Plus Met, XR Actos Acular, LS (ketorolac)* Akne-Mycin Adalat CC (nifedipine ER)* Adderall (amphetamine/dextroamphetamine)* Adderall XR (amphetamine/dextroamphetamine^#) Advair Advicor Agenerase Akne-Mycin Albalon (naphazoline)* Aldactazide (spironolactone/HCTZ)* Aldactone (spironolactone)* Aldara† Aldomet (methyldopa)* Aldoril (methyldopa/HCTZ)* Alesse (aviane)* Alkeran Allegra (fexofenadine)* Allegra D^ (fexofenadine/PSE 12hr)* Alphagan, P (brimonidine)* Altace (ramipril)* Altabax Alupent (metaproterenol)* Amaryl (glimepiride)* Ambien (zolpidem)* Amerge (naratriptan)* Amevive* Amicar (aminocaproic acid)* amitriptyline amitriptyline/perphenazine Amoxil (amoxicillin)* Anafranil (clomipramine)* Analpram HC lotion Anaprox, DS (naproxen sodium, DS)* Androderm Androgel Anexsia (hydrocodone/APAP)* Ansaid (flurbiprofen)* Antabuse Antivert (meclizine)* Anturane (sulfinpyrazone)* Anusol HC 25mg Suppositories (hydrocortisone)* Apresazide (hydralazine/HCTZ)* Apresoline (hydralazine)* apri Arava (leflunomide)* Aricept Arimidex (anastrozole)† Aristocort Topical (triamcinolone-acetonide)* Armour Thyroid Aromasin† Artane (trihexyphenidyl)* Asacol, HD Asendin (amoxapine)* Asmanex Astelin (azelastine)† Astepro Atarax (hydroxyzine HCL)* Ativan (lorazepam)* Atrovent HFA Atrovent (ipatropiumbromide)* Augmentin, XR (amoxicillin/clavulanic acid)* Auralgan (antipyrine/benzocaine)* Avandamet Avandaryl Avandia Avinza Avodart Axid (nizatidine)* Aygestin (norethindrone)* Azasan Aza Site Azilect Azopt Azulfidine, Entabs (sulfasalazine, EC)*Bactrim DS (Sulfamethoxazole/trimethoprim, DS)* Bactroban Baraclude Benadryl (diphenhydramine 50mg)* Bentyl (dicyclomine)* Benzac, AC, W (benzoyl peroxide)* Benzaclin (benxoyl peroxide/clindamycin)* Benzagel, Wash (benzoyl peroxide)* Benzamycin (benzoyl peroxide/erythromycin)* Betagan (levobunolol)* Betimol Betoptic S Biaxin, XL (clarithromycin, er)* Bicitra (sodium citrate & citric acid)* Bi Dil Bleph-10 (sulfacetamide-sodium solution)* Blephamide Brethine (terbutaline)* Bumex (bumetanide)* Buspar (buspirone)* Byetta Cafergot Canasa Cardizem, CD, LA, SR (diltiazem)* Casodex (bicalutamide)* Catapres, TTS (clonidine)* Colazol colchicine Colyte (polyethylene glycol-electrolyte solution)* Combi Patch Combipres (clonidine/chlorthalidone)* Combivent Combivir Compazine Supp 25mg (prochlorperazine supp 25mg)* Compazine Tab (prochlorperazine)* Comtan Concerta Condylox Solution (podofilox solution)* Cordarone (amiodarone)* Coreg (carvedilol)* Coreg CR Corgard (nadolol)* Cortef (hydrocortisone)* Cortenema (hydrocortisone enema)* Cortifoam Cortisporin Ophth (bacitracin - polymyxin/neomycin- hc opth oint)* Cortisporin Otic (neomycin/polymixin/hydrocortisone)* Cosopt (dorzolamide/timolol)* Coumadin (warfarin) Cozaar (losartan)* Creon Crestor Crixivan Crolom (cromolyn sodium)* Cuprimine Cyclocort (amcinonide)* Cyclogyl (cyclopentolate)* Cylert (pemoline)* Cymbalta cyproheptadine Cytomel (liothyronine)* Cytotec (misoprostol)* Cytovene (ganciclovir)* Cytoxan (cyclophosphamide)* Cytra-2, Cytra-3 Cytra-KDalmane (flurazepam)* Danocrine (danazol)* Dantrium (dantrolene)* Dapsone Daraprim Darvocet-N (propoxyphene/APAP)* Darvon Compound (propoxyphene/aspirin/caffeine)* Daypro (oxaprozin)* DDAVP (desmopressin acetate)* Decadron (dexamethasone)* Deconamine S. (chlorpheniramine/pseudoephedrine)* Demadex (torsemide)* Demerol (meperidine)* Demulen 28 day (ethinyl estradiol/ethynodiol diacetate-zovia)* Depakene (valproic acid)* Depakote (divalproex) Depakote ER Depo-Provera 150mg (medroxyprogesterone)* Derma-Smoothe/FS Desogen (apri)* Desowen Cream (desonide)* Desoxyn (methamphetamine)* Desquam, E, X (benzoyl peroxide)* Desyrel (trazodone)* Detrol, LA Dexedrine, CR (dextroamphetamine)* Dextrostat (dextroamphetamine)* Diabeta (glyburide)* Diamox (acetazolamide)* Diastat† Dibenzyline Differin (adapalene)† Diflucan (fluconazole)* diflunisal Dilacor XR (diltiazem CR)* Dilantin (phenytoin) Dilaudid (hydromorphone)* diltia XT Diovan Diovan HCT Diprolene Ointment (betamet diprop/ prop gyl)* Diprosone (betamethasone dipropionate)* Disalcid (salsalate)* Ditropan (oxybutynin)* Dolophine (methadone)* Domeboro (acetic acid/aluminum acetate)* Donnatal (belladonna/phenobarbital)* Dostinex (cabergoline)* Dovonex cream Dovonex soln (calcipotriene)* Duac CS Duetact Dulera Duragesic (fentanyl)* Duratuss G (guaifenesin SR)* Duricef Caps/Tabs (cefadroxil)* Dyazide (triamterene/HCTZ)* Dynacin (minocycline)* Dynapen (dicloxacillin)*E. After the generic drug becomes available and notification requirements are met, this brand-name drug will become non-formulary/Tier 3 or may no longer be covered by your prescription drug plan. Or, you can compare individual Virginia medical insurance plans from providers like Anthem Blue Cross Blue Shield. You should talk to your doctor about getting a medication that is on the drug formulary. Check with If you've got health insurance questions, we've got answers. This list may change often, and at any time without notice. The inclusion of a particular drug on the formulary is not a guarantee of coverage. S.)* Starlix (nateglinide) Stelazine (trifluoperazine)* Strattera Suboxone SL tab, SL film Subutex (buprenorphine)* Sular 20, 30 & 40mg (nisoldipine)* Sular 8.5, 17, 25.5 & 34mg Sulfacet-R (sodium sulfacetamide/sulfur)* Sultrin (triple sulfa)* Sustiva Symbicort Symbyax Symlin Symmetrel (amantadine)* Synalar (fluocinolone acetonide)* Synthroid (levothyroxine)Tagamet (cimetidine)* Talacen (pentazocine/apap)* Talwin NX (pentazocine nx)* Tambocor (flecainide)* Tarka (trandolapril/verapamil)* Tavist syrup, 2.68mg tabs (clemastine fumarate)* Tazorac Tegretol (carbamazepine) Tegretol XR (carbamazepine ER) Tekturna, HCT Temodar† Temovate (clobetasol)* Tenex (guanfacine)* Tenoretic (atenolol/chlorthalidone)* Tenormin (atenolol)* Terazol (terconazole)* Teslac Tessalon Perles (benzonatate)* Testim Theo-24 Theochron (theophylline)* Thorazine Tab (chlorpromazine tab)* Ticlid (ticlopidine)* Tigan (trimethobenzamide)* Tilade Timoptic (timololophthalmic)* Timoptic XE (timolol)* Tobi Tobradex oint. (tobramycin/dexamethasone)* Tobrex Soln (tobramycin)* Tofranil (imipramine)* Tolectin (tolmetin)* Topamax Topicort (desoximetasone)* Toprol XL (metoprolol)* Toradol (ketorolac tromethamine)* Toviaz Trandate (labetalol)* Transderm-Scop Tranxene (clorazepate)* Trental (pentoxifylline)* Treximet Tricor (fenofibrate)* Tri Leven (levo norgestrel)* Tri-Vi-Flor (triple vitamins w/fluoride)* Tridesilon (desonide)* Trilafon (perphenazine)* Trileptal (oxcarbazepine)* Trilipix Trimox (amoxicillin)* Trimpex (trimethoprim)* Trinsicon (iron/intrinsic factor/B12)* Triphasil (trivora)* Trizivir Trusopt (dorzolamide)* Tussi-12 (phenyleph/chlorphen/carbeta)* Tussi-Organidin NR (guaifenesin/codeine)* Tussi-Organidin NR DM (guaifenesin/dextromethorphan)* Tussi Caps Tussionex Pennkinetic ER Twinject Tylenol w/Cod (codeine/APAP)* Tylox (oxycodone w/acetaminophen)* Tympagesic (pramoxine/hc/chloroxylenol)*Univasc (moexipril)* Urecholine (bethanechol)* Urised (meth/salicylate/atropine/hyos benzoic)* Urocit-K (potassium citrate)* Urogesic Blue (methenamine/hyosc-meth blue/sod biphos-phenyl sal)* Uroxatral V-Cillin K (penicillin V. The Anthem prescription drug formulary list is designed to help Anthem's customers determine which drugs are covered under their health plan. All health insurance plan prices remain the same whether you buy direct from an insurance company or utilize a broker. The following is the current (2011) Anthem Blue Cross Blue Shield Drug Formulary List.

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