Selection

Results

Brand Name Generic Name	Therapeutic Class Sub-Class	Dose/Strength	Status	Notes & Restrictions
FLOMAX 0.4 MG CAPSULE tamsulosin 0.4 mg capsuleGenitourinary Agents Genitourinary Agents, Miscellaneous	Genitourinary Agents Genitourinary Agents, Miscellaneous	CAPSULE 0.4 mg
TAMSULOSIN 0.4 MG CAPSULE Genitourinary Agents Genitourinary Agents, Miscellaneous	Genitourinary Agents Genitourinary Agents, Miscellaneous	CAPSULE 0.4 mg

Definition of Status

Icon	Status	Definition
	Preferred Generic	Low Cost Generics
	Generic	High Cost Generics
	Preferred Brand	Preferred Brand Drugs and Higher Cost Generics
	Non-Preferred Drug	Non-Preferred Brand and Generic Drugs
	Specialty	Very High Cost Brand and Generic Drugs
	Non-Formulary	Non-Formulary

Definition of Restrictions

Icon	Restriction	Definition
	Additional Coverage Information	Additional coverage information is available for medicines marked with this symbol.
	BvD	Medicines marked with this symbol will be reviewed to determine whether coverage is under your Part B or Part D benefits. This drug may be covered under Medicare Part B or Part D depending upon the circumstances. Information may need to be submitted describing the use and setting of the drug to make the determination.
	BvD Only	Medicines marked with this symbol will be reviewed only to determine whether coverage is under your Part B or Part D benefits. This drug may be covered under Medicare Part B or Part D depending upon the circumstances. Information may need to be submitted describing the use and setting of the drug to make the determination.
	Limited Access Pharmacy	Medicines marked with this symbol identify medicines that may be available only at certain pharmacies.  For more information see your pharmacy directory or call Member Services.
	Non-Mail Order Drug	Medicines marked with symbol are not eligible for a 90-day mail order supply through your mail order benefit.
	Prior Authorization	Medicines marked with this symbol require prior authorization.  This means that you or your doctor will need to request approval from HealthPartners if you want your medicine to be covered by your pharmacy benefits.
	Prior Authorization - New Starts	Medicines marked with this symbol require prior authorization.  This means that you or your doctor will need to request approval from HealthPartners if you want your medicine to be covered by your pharmacy benefits.
	Quantity Limit	Medicines marked with this symbol have a quantity limit. This means HealthPartners limits the amount of the medicine that you'll receive each time you fill your prescription. The quantity limit may be less than the days supply listed in your contract.
	Step Therapy	Medicines marked with this symbol require step therapy. This means HealthPartners will cover this medicine if you've already tried one or more other medicines on the formulary.  If you haven't tried the other medicine(s) first, you or your doctor will need to request approval from HealthPartners before this medicine will be covered by your pharmacy benefit.