For ISHIP plans
Drug list changes for ISHIP plans are listed below. While changes are infrequent, please refer to your plan benefits for details.
M4 Formulary drug list changes
Effective April 1, 2025
| Drug name | Description of change | Generic or more cost-effective option |
|---|---|---|
| isotretinoin capsules (select NDCs) | No longer covered | Accutane, Amnesteem, Claravis, Zenatane |
| MIPLYFFA CAPSULES | No longer covered | AQNEURSA PACKETS |
| PONVORY TABLETS | No longer covered | fingolimod capsules, dimethyl fumarate capsules |
| SPRYCEL TABLETS | No longer covered | dasatinib tablets |
Effective March 1, 2025
No changes
Effective February 1, 2025
No changes
For GAIP plans
Drug list changes for GAIP plans are listed below. While changes are infrequent, please refer to your plan benefits for details.
B3 Formulary drug list changes
Effective April 1, 2025
| Drug name | Description of change | Generic or more cost-effective option |
|---|---|---|
| ANALPRAM-HC 2.5 %-1 % CREAM | Moving to Tier 3 | hydrocortisone-pramoxine 2.5%-1% cream |
| SPRYCEL TABLETS | Moving to Tier 3 | dasatinib tablets |
Effective March 1, 2025
No changes
Effective February 1, 2025
No changes