Drug Name Search Results | Formulary Search

Selection

Your plan may exclude certain drugs shown on the list.
Prior Authorization – Some drugs may need prior authorization to be covered. Others may be covered only for certain uses or have different limitations. Call the number on the back of your ID card if you have questions.

Therapeutic Class Search: endocrine/estrogens

59 drug(s) found

To view other medications in a therapeutic class, click any class hyperlink in your search results.

Results

Brand Name
Generic Name

Therapeutic Class
Sub-Class

Dose/Strength

Status

Notes & Restrictions

Climara Transdermal Patch Weekly 0.025 Mg/24 Hr
Endocrine
Estrogens

Icon	Status	Definition
	Tier 1	Tier 1 Generic Drugs: typically have the lowest member cost share.
	Tier 2	Tier 2 Generic and Brand Drugs: typically have a higher member cost share than Tier 1. Tier 2 is still mostly generic drugs with only very select categories of brands being included.
	Tier 3	Tier 3 Generic and Brand Drugs: typically have a higher member cost share than lower tiers. Tier 3 includes standard brands and some generic drugs.
	Tier 4	Tier 4 Generic and Brand Drugs: typically have the highest member cost share. Tier 4 includes brand and generic drugs and specialty medications.
	Non-formulary	Non-Formulary drugs are not on the Formulary drug list. Coverage is not provided for Prescription Drugs and Over-the-Counter Drugs not appearing on the Formulary drug list, unless an exception has been granted by the Plan pursuant to the Step Therapy Program.
	$0-Copay	$0- Copay
	Special Tier	Please see Note Icon of Specific Product for Detail
	Non-formulary	Non-Formulary drugs are not on the Formulary drug list. Coverage is not provided for Prescription Drugs and Over-the-Counter Drugs not appearing on the Formulary drug list, unless an exception has been granted by the Plan pursuant to the Step Therapy Program.

Icon	Restriction	Definition
	Benefit Exclusion	This medication may not be covered under your Plan. Contact Member Services for more information.
	Copay Armor	This medication is included in the Copay Armor program, administered by PillarRx. Manufacturer copay assistance may be available. Program applicability depends on your pharmacy benefit design and is subject to state regulations. Please call the number on the back of your member ID card for assistance.
	Day Supply Limit	Depending on member benefits, this medication may be limited to a 30, 31, or 34 day supply at retail and/or mail pharmacies. Select products available as prepackaged products that supply a day supply greater than this limit are exempt.
	Generic Indicator	Generic or Authorized Generic Medication. Authorized generic medications may take a brand cost-share.
	Market Watch	Coverage of this drug is subject to review by the plan and is based on Pharmacy policy. Select High-Cost Low-Value medications (HCLV), Prescription Drugs with an Over-the-Counter (OTC) Equivalent (RxOTC), and New to Market (NTM) products may be included in the Market Watch Program. Click the Market Watch icon next to the drug name for more details.
	Member Note	Please click next to medication for further details.
	Over The Counter	OTC product that may be covered and dispensed by an in-network pharmacy without a prescription if in accordance with State specific dispensing requirements.
	PM	Preventative Medication: May be available with a copay exception. Medications may be available to some members at no cost with a prescription.
	Prior Authorization	Coverage of this drug is subject to review by the plan and is based on Pharmacy policy.
	Quantity Limit	Limits the amount of drug that a beneficiary may receive in a certain period.
	Specialty Pharmacy	To assist in the management of select specialty medications, some pharmacy benefit designs require the use of a preferred specialty pharmacy. Please call the number on the back of your member ID card for assistance.
	Step Therapy	For a step therapy drug to be covered, the beneficiary will be first required to try another medication(s).

Drug Search Main Content

Selection

Results

Definition of Status

Definition of Restrictions