Drug Search Main Content

2020 New Hampshire Select Drug List

Search by medication name for up-to-date drug information, including the benefit tier your drugs are on, as well as applicable clinical edits such as prior authorization or step therapy requirements.

You can also view the full drug list here.  (Some pages of this document are intentionally left blank.)

Your coverage has limitations and exclusions, which means that some drugs on this list may not be covered, depending on your plan’s design. To find out more, please refer to your Certificate/Evidence of Coverage or your Summary Plan Description.

To our providers: Click here to initiate an electronic prior authorization (ePA) request.


Alphabetical Search Skip to Brand & Generic Search

Brand & Generic Name Search

   

Therapeutic Class Search Skip to Footer

*ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS**ALLERGENIC EXTRACTS/BIOLOGICALS MISC**ALTERNATIVE MEDICINES**AMEBICIDES**AMINOGLYCOSIDES**ANALGESICS - ANTI-INFLAMMATORY**ANALGESICS - NONNARCOTIC**ANALGESICS - OPIOID**ANDROGENS-ANABOLIC**ANORECTAL AGENTS**ANTACIDS**ANTHELMINTICS**ANTIANGINAL AGENTS**ANTIANXIETY AGENTS**ANTIARRHYTHMICS**ANTIASTHMATIC AND BRONCHODILATOR AGENTS**ANTICOAGULANTS**ANTICONVULSANTS**ANTIDEPRESSANTS**ANTIDIABETICS**ANTIDIARRHEAL/PROBIOTIC AGENTS**ANTIDIARRHEALS**ANTIDOTES AND SPECIFIC ANTAGONISTS**ANTIDOTES**ANTIEMETICS**ANTIFUNGALS**ANTIHISTAMINES**ANTIHYPERLIPIDEMICS**ANTIHYPERTENSIVES**ANTI-INFECTIVE AGENTS - MISC.**ANTIMALARIALS**ANTIMYASTHENIC AGENTS**ANTIMYASTHENIC/CHOLINERGIC AGENTS**ANTIMYCOBACTERIAL AGENTS**ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES**ANTIPARKINSON AGENTS**ANTIPARKINSON AND RELATED THERAPY AGENTS**ANTIPSYCHOTICS/ANTIMANIC AGENTS**ANTISEPTICS & DISINFECTANTS**ANTIVIRALS**ASSORTED CLASSES**BETA BLOCKERS**BIOLOGICALS MISC**CALCIUM CHANNEL BLOCKERS**CARDIOTONICS**CARDIOVASCULAR AGENTS - MISC.**CEPHALOSPORINS**CHEMICALS**CONTRACEPTIVES**CORTICOSTEROIDS**COUGH/COLD/ALLERGY**DERMATOLOGICALS**DIAGNOSTIC PRODUCTS**DIETARY PRODUCTS/DIETARY MANAGEMENT PRODUCTS**DIGESTIVE AIDS**DIURETICS**ENDOCRINE AND METABOLIC AGENTS - MISC.**ESTROGENS**FLUOROQUINOLONES**GASTROINTESTINAL AGENTS - MISC.**GENERAL ANESTHETICS**GENITOURINARY AGENTS - MISCELLANEOUS**GOUT AGENTS**HEMATOLOGICAL AGENTS - MISC.**HEMATOPOIETIC AGENTS**HEMOSTATICS**HYPNOTICS**HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS**LAXATIVES**LOCAL ANESTHETICS-PARENTERAL**MACROLIDES**MEDICAL DEVICES AND SUPPLIES**MEDICAL DEVICES**MIGRAINE PRODUCTS**MINERALS & ELECTROLYTES**MISCELLANEOUS THERAPEUTIC CLASSES**MOUTH/THROAT/DENTAL AGENTS**MULTIVITAMINS**MUSCULOSKELETAL THERAPY AGENTS**NASAL AGENTS - SYSTEMIC AND TOPICAL**NEUROMUSCULAR AGENTS**NUTRIENTS**OPHTHALMIC AGENTS**OTIC AGENTS**OXYTOCICS**PASSIVE IMMUNIZING AGENTS**PASSIVE IMMUNIZING AND TREATMENT AGENTS**PENICILLINS**PHARMACEUTICAL ADJUVANTS**PROGESTINS**PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.**RESPIRATORY AGENTS - MISC.**SULFONAMIDES**TETRACYCLINES**THYROID AGENTS**TOXOIDS**ULCER DRUGS**ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS**URINARY ANTI-INFECTIVES**URINARY ANTISPASMODICS**VACCINES**VAGINAL PRODUCTS**VASOPRESSORS**VITAMINS*
©1997-2019 Managed Markets Insight and Technology, LLC. All Rights Reserved | Terms of Use
Formulary Id: 00000000
Formulary Effective Date: 01/01/2020
Updated:
10/2019

Top of Page