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 drug list changes effective July 1, 2024
Drug Name
Description of Change
Cost-effective Alternative
Alrex 0.2% eye drops
No longer covered
loteprednol 0.2% eye drops
Emflaza tablets
No longer covered
deflazacort tablets
Forteo 600 mcg/2.4 mL pens
No longer covered
teriparatide 600 mcg/2.4 mL pens
Rectiv 0.4% ointment
No longer covered
nitroglycerin 0.4% ointment
Risperdal Consta vials
No longer covered
risperidone extended-release vials
For GAIP plans
Drug list changes for GAIP plans are listed below. While changes are infrequent, please refer to your plan benefits for details.
Preferred B3 drug list changes effective April 1, 2024
Drug Name
Description of Change
Cost-effective Alternative
No changes
NA
NA