City Of Austin Drug List - AustinTexas.gov
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City Of Austin Drug List (This is intended to be a partial listing of those medications that are often the most commonly prescribed.) January 2021 Please consider talking to your doctor about prescribing preferred medications, which may help reduce your out-of-pocket costs. This list may help guide you and your doctor in selecting an appropriate medication for you. Introduction Blue Cross and Blue Shield of Texas (BCBSTX) is pleased to present the 2021 Drug List. This is a list of preferred drugs which includes brand drugs and a partial listing of generic drugs. Members are encouraged to show this list to their physicians and pharmacists. Physicians are encouraged to prescribe drugs on this list, when right for the member. However, decisions regarding therapy and treatment are always between members and their physician. Drug List updates – This list is regularly updated as generic drugs become available and changes take place in the pharmaceuticals market. For the most up-to-date information, visit myprime.com or bcbstx.com and log in to Blue Access for MembersSM (BAMSM) or call the number on your ID card. Physicians can access the list from the provider portal at bcbstx.com. How drugs are selected Drugs on this list are selected based on the recommendations of a committee made up of physicians and pharmacists from throughout the country and reviews drugs regulated by the U.S. Food and Drug Administration (FDA). Drugs are selected based on safety, efficacy, cost and how they compare to other drugs currently on the list. How member payment is determined This list shows prescription drug products in tiers. Generally, each drug is placed into one of up to three member payment tiers: Preferred Generic (Tier 1), Preferred Brand (Tier 2), Non-Preferred Brand (Tier 3). Non-Preferred Brand or Non- Preferred Specialty drugs are not listed in this document. To verify your payment amount for a drug, visit MyPrime.com and log in or call the number on your ID card. Your pharmacy benefit includes coverage for many prescription drugs, although some exclusions may apply. For example, drugs indicated for cosmetic purposes, e.g., Propecia, for hair growth, may not be covered. Prescription products that have over-the-counter (OTC) equivalents may not be covered. Drugs that are not FDA- approved for self-administration may be available through your medical benefit. How to use this list Generic drugs are shown in regular type. Example: Atorvastatin Preferred brand drugs are listed in bold-face type. Example: Januvia Non-preferred brands are not listed. This list is not meant to be an exhaustive list of all drugs covered. Please refer to myprime.com to find specific information about your coverage. Also please note: Drugs that need a health care provider to administer them and are often given to you in a hospital, doctor’s office or other health care setting may be covered under your medical benefit. Some types of these drugs are contraceptive implants and chemo infusions. If you are taking or are prescribed a drug that is not on this drug list, call the number on your ID card to see if the drug may be covered. 1
Coverage considerations Drug coverage may be limited to recommendations based on FDA-approved labeling and recognized evidence- based or clinical practice guidelines. Specialty drugs Specialty drugs are used in the treatment of medical conditions such as hepatitis, hemophilia, multiple sclerosis and rheumatoid arthritis. Specialty drugs may be oral, topical or injectable medications that can either be self- administered or administered by a health care professional. For a current list of specialty medications, visit myprime.com or bcbstx.com and log in to Blue Access for Members. Prior Authorization (PA): Your benefit plan may require prior authorization for certain drugs. This means that your doctor will need to submit a prior authorization request for coverage of these medications, and the request will need to be approved, before the medication may be covered under your plan. For the medications listed in this document, if a prior authorization is commonly required, it will generally be noted next to the medication with a (PA) reference beside the name. Step Therapy (ST): Your benefit plan may include a step therapy program. This means you may need to try another proven, cost-effective medication before coverage may be available for the drug included in the program. Many brand drugs have less-expensive generic or brand alternatives that might be an option for you. For the medications listed in this document, if a step therapy is commonly required, it will generally be noted next to the medication it will generally be noted next to the medication with a (ST) reference beside the name. Remember, medication decisions are between you and your doctor. Only you and your doctor can determine which medication is right for you. Discuss any questions or concerns you have about medications you are taking or are prescribed with your doctor. BCBSTX does not provide health care services and, therefore, cannot guarantee any results or outcomes. 2
Drug Name Tier Anti-Infectives: Viral Infections including Hepatitis Anti-Infectives: Antibiotics Amoxicillin Capsule, Chewable Acyclovir Ointment 1 1 Tablet Acyclovir Tablet 1 Amoxicillin/Potassium Clavulanate Baraclude Soln 2 1 Dovato 2 Chewable Tablet, Tablet Epclusa (PA) 2 Azithromycin Tablet 1 Famciclovir Tablet 1 Cefadroxil Capsule, Tablet 1 Harvoni (PA) 2 Cefdinir Capsule 1 Juluca 2 Cefixime Suspension 1 Mavyret (PA) 2 Cefprozil Tablet 1 Oseltamivir Capsule 1 Cefuroxime Tablet 1 Pegasys (PA) 2 Cephalexin Capsule 1 Solvaldi (PA) 2 Ciprofloxacin Tablet 1 Ribavirin (PA) 1 Clarithromycin Tablet 1 Valacyclovir Tablet 1 Clindamycin Capsule 1 Valganciclovir 1 Doxycycline Hyclate 50, 100 mg 1 Vosevi (PA) 2 Capsule, Tablet Cancer Doxycycline Monohydrate 50, 100 1 abiraterone Tablet 1 mg Capsule Metronidazole Tablet 1 Actimmune 2 Minocycline Capsule 1 Ayvakit 2 Moxifloxacin Tablet 1 Bicalutamide 1 Nitrofurantoin Capsule 1 Bosulif 2 Nitrofurantoin Macrocrystal Cotellic 2 1 Capsule Cyclophosphamide Capsule 2 Ofloxacin Otic Solution 1 Emcyt 2 Ofloxacin Tablet 1 Erleada 2 Penicillin V Potassium Tablet 1 Erivedge 2 Sulfamethoxazole-Trimethoprim Erlotinib 1 1 Tablet Everolimus 1 Anti-Infectives: Fungal Infections Hydroxyurea Capsule 1 Ibrance 2 Econazole Cream 1 Imantinib Tablet 1 Fluconazole Tablet 1 Kisqali 2 Itraconazole Capsule 1 Leucovorin Calcium Tablet 1 Ketoconazole Cream 1 Mekinist 2 Nystatin Cream, Ointment 1 Mercaptopurine Tablet 1 Terbinafine Tablet 1 Mesnex 2 Myleran 2 3
Nexavar 2 Carvedilol 1 Piqray 2 Chlorthalidone 1 Purixan 2 Clonidine Tablet 1 Rydapt 2 Diltiazem 24 Hour CD 1 Sprycel 2 Diltiazem Sustained-Release 1 Sutent 2 Capsule Sylarton 2 Diltiazem Sustained-Release 1 Tablet Tabloid 2 Doxazosin 1 Tafinlar 2 Enalapril 1 Talzenna 2 Furosemide 1 Tasigna 2 Guanfacine 1 toremifene citrate Tablet 1 Hydralazine 1 Trexall 2 Hydrochlorothiazide 1 Verzenio 2 Irbesartan 1 Vitraki 2 Innopran XL 2 Votrient 2 Labetalol 1 Xalkori 2 Lisinopril 1 Xtandi 2 Lisinopril-Hydrochlorothiazide 1 Yonsa 2 Losartan 1 Zelboraf 2 Losartan-Hydrochlorothiazide 1 Cardiovascular/Heart Disease: Coagulation Therapy Metoprolol Succinate Extended- 1 Release 50, 100, 200 mg Brilinta 2 Clopidogrel 1 Metoprolol Tartrate 25, 50, 100 mg 1 Eliquis 2 Nadolol 1 Enoxaparin Sodium 1 Nifedipine Extended-Release 1 Warfarin Sodium 1 Olmesartan 1 Xarelto 2 Olmesartan-Hydrochlorothiazide 1 Heart and Circulatory Disease: High Blood Pressure Propranolol Extended-Release 1 Capsule Amlodipine 1 Propranolol Tablet 1 Amlodipine-Benazepril 1 Quinapril 1 Amlodipine-Valsartan 1 Ramipril 1 Atenolol 1 Spironolactone 1 Atenolol-Chlorthalidone 1 Telmisartan 1 Benazepril 1 Telmisartan-Hydrochlorothiazide 1 Benazepril-Hydrochlorothiazide 1 Terazosin 1 Bisoprolol 1 Triamterene-Hydrochlorothiazide 1 Bisoprolol-Hydrochlorothiazide 1 Valsartan 1 Cartia XT 1 4
Valsartan-Hydrochlorothiazide 1 Dextroamphetamine Sulfate 1 Verapamil 1 Immediate-Release Tablet Verapamil Sustained-Release 1 Guanfacine Extended-Release 1 Methylphenidate Extended- Cardiovascular/Heart Disease: High 1 Release Cholesterol Methylphenidate HCl ER osmotic 1 Atorvastatin 1 release colesevelam packet 1 Methylphenidate Immediate- 1 Release Tablet Ezetimibe Tablet 1 Vyvanse 2 Ezetimibe/Simvastatin 1 Fenofibrate 54, 160 mg Tablet 1 Central Nervous System: Depression Fluvastatin Extended-Release 1 Amitriptyline Tablet 1 Tablet Bupropion Extended-Release Gemfibrozil 1 1 Tablet Lovastatin 1 Bupropion Sustained-Release Nexletol 2 1 Tablet Niacin Extended-Release Tablet 1 Bupropion Tablet 1 Omega-3-Acid Ethyl Esters Citalopram Tablet 1 1 Capsule Desvenlafaxine Extended-Release Pravastatin 1 1 Tablet Repatha (PA) 2 Doxepin 1 Rosuvastatin 1 Duloxetine Capsule 1 Simvastatin 1 Escitalopram Tablet 1 Fluoxetine Capsule 1 Cardiovascular/Heart Disease: Other Fluvoxamine Tablet 1 Amiodarone 1 Mirtazapine Tablet 1 Digoxin 1 Nortriptyline Capsule 1 Entresto 2 Paroxetine Tablet 1 Flecainide 1 Sertraline Tablet 1 Isosorbide Mononitrate ER 1 Trazodone Tablet 1 Multaq 2 Venlafaxine Extended-Release 1 Nitroglycerin Sublingual Tablet 1 Capsule Opsumit (PA) 2 Venlafaxine Tablet 1 Sotalol 1 Central Nervous System: Migraine tadalafil Tablet 1 Acetaminophen/Butalbital/Caffeine 1 325 mg/50 mg/40 mg Central Nervous System: Hyperactivity Aimovig (PA) 2 Amphetamine Salt Combo 1 Eletriptan 1 Atomoxetine 1 Emgality (PA) 2 Dexmethylphenidate Immediate- Frovatriptan 1 1 Release Tablet Naratriptan 1 Dextroamphetamine-Amphetamine Rizatriptan ODT, Tablet 1 1 Immediate-Release Tablet 5
Sumatriptan Nasal Spray 1 Ziprasidone Capsule 1 Sumatriptan Succinate Tablet, 1 Central Nervous System: Injection Sedatives/Hypnotics Central Nervous System: Multiple Sclerosis Belsomra 2 Aubagio (PA) 2 Eszopiclone Tablet Avonex (PA) 2 Temazepam Capsule 1 Betaseron (PA) 2 Triazolam Tablet 1 Copaxone (PA) 2 Zaleplon Capsule 1 dimethyl fumerate capsule DR 1 Zolpidem Immediate-Release 1 Tablet Gilenya (PA) 2 Mavenclad (PA) 2 Central Nervous System: Seizure Mayzent (PA) 2 Disorders Plegridy (PA) 2 Carbamazepine Extended-Release 1 Rebif (PA) 2 Capsule, Tablet Zeposia 2 Carbamazepine Immediate- 1 Release Tablet Central Nervous System: Other Celontin 2 Alprazolam Extended-Release Clonazepam Tablet 1 1 Tablet Diastat 2 Alprazolam Tablet 1 Dilantin Extended 30mg 2 Aripiprazole Tablet 1 Diazepam Tablet 1 Armodafinil 1 Divalproex Delayed-Release Tablet 1 Buspirone Tablet 1 Divalproex Extended-Release Carbidopa-Levodopa 1 1 Tablet Diazepam Tablet 1 Epidiolex (PA) 2 Donepezil ODT, 5, 10 mg Tablet 1 Gabapentin Capsule, Tablet 1 Lithium Capsule 1 Lamotrigine Immediate-Release 1 Lorazepam Tablet 1 Tablet Memantine 1 Levetiracetam Extended-Release 1 Modafinil Tablet 1 Tablet Naloxone Vial 1 Levetiracetam Immediate-Release 1 Tablet Narcan Nasal Spray 2 Lyrica 2 Olanzapine Tablet 1 Oxcarbazepine Tablet 1 Pramipexole Tablet 1 Phenytoin Capsule, Suspension 1 Sunosi 2 Pregabalin 1 Quetiapine Extended-Release 1 Topiramate Immediate-Release Tablet 1 Tablet Quetiapine Immediate-Release 1 vigabatrin Tablet 1 Tablet Risperidone Tablet 1 Zonisamide Capsule 1 Ropinirole Tablet 1 Dermatology Tolcapone 1 azelaic acid 1 6
Betamethasone Dipropionate Triamcinolone Acetonide Cream, 1 0.05% Augmented Lotion, 1 Lotion, Ointment Ointment Valchlor 2 Betamethasone Dipropionate Zyclara 2 1 0.05% Cream, Ointment Calcipotriene/Betamethasone Diabetes: Blood Glucose Monitoring 1 Ointment Carac (PA) 2 Test Strips - Ascencia Breeze 2, 2 Contour, Contour 2 Ciclopirox Cream, Gel, Lotion, 1 Diabetes: Insulin Solution Claravis 1 Fiasp 2 Clindamycin 1.2%/Benzoyl Humulin R-500 2 1 Peroxide 5% Gel Lantus 2 Clindamycin Gel 1 Lantus Solostar 2 Clindamycin Lotion, Solution, Levemir FlexTouch 2 1 Swabs Levemir Vials 2 Clobetasol Propionate Cream, Novolin Vials (all formulations) 2 1 Ointment, Solution Clotrimazole-Betamethasone Novolog FlexPen (all formulations) 2 1 Cream Novolog Vials (all formulations) 2 Clotrimazole-Betamethasone 1 Soliqua 2 Lotion Toujeo Solostar and Max Desonide 0.05% Cream, Lotion, 2 1 Solostar Ointment Desoximetasone Cream, Gel, Tresiba Flextouch 2 1 Xultophy 2 Ointment Diflorasone Diacetate 0.05% Diabetes: Non-Insulin 1 Cream, Ointment Flouroplex 2 Baqsimi 2 Fluocinolone Cream, Oil, Ointment, Glimepiride 1 1 Glipizide 1 Solution Fluocinonide 0.05% Cream 1 Glipizide Extended-Release 1 Halobetasol Ointment 1 Glyburide 1 Hydrocortisone 2.5% Cream, Glyxambi 2 1 Ointment Gvoke Hypopen 2 Imiquimod 5% Cream 1 Invokamet 2 Metronidazole 0.75% Topical Gel 1 Invokamet XR 2 Mometasone Furoate Cream, Invokana 2 1 Lotion, Ointment Janumet 2 Mupirocin Ointment 1 Januvia 2 pimecrolimus cream 1% 1 Jardiance 2 Soolantra 2 Metformin 1 Tacrolimus Ointment 1 Metformin Extended-Release Tazorac 2 1 Tablet Tretinoin Cream 1 Pioglitazone 1 7
Synjardy 2 Eye Conditions: Glaucoma Synjardy XR 2 Trulicity (ST) 2 Alphagan P 0.1% 2 Victoza (ST) 2 Azopt 2 Latanoprost 0.005% Ophthalmic Endocrine: Growth Hormone (PA) 1 Solution Increlex (PA) 2 Lumigan 2 Norditropin (PA) 2 Simbrinza 2 Endocrine: Other Timolol Maleate 0.25%, 0.5% 1 Calcitriol Capsule 1 Ophthalmic Solution Desmopressin Tablet 1 travoprost ophth solution 1 Dexamethasone Tablet 1 Gastrointestinal: Acid Suppression Methylprednisolone Tablet 1 Prenisolone Oral Solution 1 Pantoprazole Tablet 1 Prednisone Tablet 1 Rabeprazole Tablet 1 Endocrine: Thyroid Hormone Gastrointestinal: Nausea/Vomiting Replacement Aprepitant Capsule 1 Levothyroxine Sodium Tablet 1 Emend Suspension 2 Liothyronine Sodium Tablet 1 Ondansetron 1 Methimazole Tablet 1 Ondansetron ODT 1 NP Thyroid Tablet 1 Scopolamine Transdermal Patch 1 Eye Conditions: Miscellaneous Gastrointestinal: Other Azelastine ophth soln 1 Chenodal 2 Cromolyn Sodium 1 Creon 2 Ketorolac ophth soln 1 Diphenoxylate-Atropine Tablet 1 Olopatadine ophth soln 1 Hyoscyamine Tablet 1 Pazeo 2 mesalamine tab, suppository 1 Prednisone ophth susp 1 Metoclopramide Tablet 1 Zylet 2 Polyethylene Glycol 3350 1 Eye Conditions: Anti-infectives Sulfasalazine Tablet 1 Bacitracin 2 Symproic 2 Erythromycin 0.5% Ophthalmic Trulance 2 1 Ointment Velphoro 2 Gentamicin Ophthalmic Ointment, Viberzi 2 1 Solution Zenpep 2 Natacyn 2 Gout Moxifloxacin Ophthalmic Solution 1 Allopurinol Tablet 1 Ofloxacin 0.3% Ophthalmic 1 Mitigare 2 Solution HIV/AIDS Tobramycin/Dexamethasone 0.3%- 1 Abacavir-Lamivudine 1 0.1% Ophthalmic Suspension Atripla 2 Tobramycin Ophthalmic Solution 1 8
Descovy 2 Men’s Health: Testosterone Therapy Genvoya 2 Intelence 2 Danazol 1 Isentress 2 Methyltestosterone Capsule 1 Kaletra Tablet 2 Testosterone Gel 1 Lamivudine-Zidovudine 1 Testosterone Cypionate Injection 1 Lopinavir-Ritonavir Oral Solution 1 Miscellaneous Nevirapine 1 Anastrozole Tablet 1 Norvir 2 Aranesp 2 Odefsey 2 Benzonatate Capsule 1 Prezista 2 Chlorhexidine Gluconate 1 Symfi 2 Chlorpheniramine/Hydrocodone/ 1 Symflo 2 Pseudoephedrine Solution Tivicay 2 Epinephrine soln auto-injector 1 Truvada 2 Fuphila (PA) 2 Viex 2 Granix (PA) 2 Viread 2 Hydrocodone/Chlorpheniramine 1 Suspension Inflammatory Conditions: Rheumatoid Kalydeco (PA) 2 Arthritis, Crohn’s Disease, Psoriasis, Letrozole 1 Ulcerative Colitis Neulasta (PA) 2 Neupogen (PA) 2 Actemra (PA) 2 Phenazopyridine 1 Enbrel (PA) 2 Procrit (PA) 2 Cosentyx (PA) 2 Promethazine/Codeine 1 Humira (PA) 2 Promethazine/Dextromethorphan 1 Hydroxychloroquine Sulfate 1 Pulmozyme (PA) 2 Leflunomide 1 Sevelamer 1 Methotrexate Tablet 1 Zarxio (PA) 2 Otezla (PA) 2 Ziextenzo 2 Rinvoq (PA) 2 Skyrizi (PA) 2 Musculoskeletal: Muscle Spasms Stelara (PA) 2 Baclofen Tablet 1 Xeljanxz, Xeljanz XR 2 Carisoprodol 350 mg Tablet 1 Men’s Health: Prostate Cyclobenzaprine 1 Metaxalone Tablet 1 Alfuzosin Tablet 1 Methocarbamol Tablet 1 Doxazosin Tablet 1 Tizanidine Tablet 1 Dutasteride Capsule 1 Finasteride Tablet 1 Musculoskeletal: Pain Relief (These drugs Tamsulosin Capsule 1 may fall under our Opioid Abuse Potential Program) Terazosin Capsule, Tablet 1 Acetaminophen/Codeine Tablet 1 9
Belbuca 2 Levocetirizine Tablet 1 Celecoxib 1 Promethazine Tablet 1 Diclofenac Tablet 1 Respiratory: Asthma/COPD Etodolac Capsule 1 Advair Diskus/HFA 1 Fentanyl 12, 25, 50, 75, 100 mcg 1 Albuterol HFA, Nebulizer 1 Patch Fentanyl Citrate Lozenge 1 Anoro Ellipta 1 Hydrocodone/Acetaminophen Arnuity Ellipta 1 1 5/325, 7.5/325, 10/325 mg Tablet Asmanex TwistHaler, HFA 1 Hydrocodone/Ibuprofen Tablet 1 Breo Ellipta 1 Hydromorphone Immediate- Budesonide Nebs 1 1 Release Tablet Combivent Respimat 2 Indomethacin Capsule 1 Dulera 1 Ketorolac Tablet 1 Flovent Diskus/HFA 1 Meloxicam Tablet 1 Fluticasone/Salmeterol RespiClick 1 Methadone Tablet, Oral Solution, Incruse Ellipta 1 1 Concentrate Solution Ipratropium Nebs 1 Morphine Sulfate Extended- Ipratropium-Albuterol Nebs 1 1 Release Tablet Montelukast 1 Morphine Sulfate Oral Solution 1 QVAR 1 Nabumetone Tablet 1 Serevent Diskus 1 Oxycodone/Acetaminophen 5/325, 1 Spiriva Handihaler/Respimat 1 7.5/325, 10/325 mg Tablet Stiolto 1 Oxycodone Tablet 1 Striverdi Respimat 1 Tramadol-Acetaminophen 1 Symbicort 1 Tramadol Immediate-Release 1 Trelegy Ellipta 1 Tablet Ventolin HFA 1 Tramadol Sustained-Release 1 Tablet Respiratory: Pulmonary Arterial Trezix 1 Hypertension Xtampza ER 2 Ambrisentan 1 Overactive Bladder Opsumit (PA) 2 Dicyclomine Tablet 1 Sildenafil Tablet 1 Oxybutynin Extended-Release tadalafil Tablet 1 1 Tablet Uptravi (PA) 2 Oxybutynin Tablet 1 Vyndaqel 2 Solifenacin 1 Transplant Respiratory: Allergies Azathioprine Tablet 1 Azelastine 0.1% Nasal Spray 1 Cyclosporine Modified Capsule 1 Cyproheptadine Tablet 1 Mycophenolate Capsule, 1 Suspension Fluticasone Nasal Spray 1 Mycophenolic Acid Tablet 1 Hydroxyzine Capsule, Tablet 1 Sirolimus Tablet 1 10
Tacrolimus Capsule 1 ethynodiol diacetate & ethinyl 1 estradiol Vitamins/Electrolytes Falmina 2 Fluoride 1 Femynor 2 Folic Acid 1 Gianvi 2 Klor-Con M10 1 Gildagia 2 Klor-Con M20 1 Gildess 2 Potassium Chloride 1 Gildess 24 Fe 2 Potassium Citrate 1 Gildess Fe 2 Isibloom 2 Women’s Health: Contraceptives (Generic contraceptives may process at $0 Juleber 2 depending on your plan) Junel 2 Junel Fe 2 Altavera 2 Junel Fe 24 2 Alyacen 2 Kaitlib Fe 2 Apri 2 Kariva 2 Aranelle 2 Kelnor 1/35, 1/50 2 Aubra 2 Kimidess 2 Aviane 2 Kurvelo 2 Azurette 2 Larin 2 Balziva 2 Larin 24 Fe 2 Bekyree 2 Larin Fe 2 Blisovi 24 Fe 2 Larissia 2 Blisovi Fe 2 Layolis Fe 2 Briellyn 2 Leena 2 Caziant 2 Lessina 2 Chateal 2 Levonest 2 Cryselle 2 levonorgestrel & ethinyl estradiol 1 Cyclafem 2 levonorgestrel-eth estra tab 0.05- Cyred 2 1 30/ Dasetta 2 Levora 2 Delyla 2 Lillow 2 desogest-eth estrad & eth estrad Lomedia 24 Fe 2 1 tab Loryna 2 desogestrel & ethinyl estradiol tab 1 Low-Ogestrel 2 drospirenone-ethinyl estradiol 1 Lutera 2 drospirenone-ethinyl 1 Marlissa 2 estradlevomefolate Melodetta 24 Fe 2 Elinest 2 Mibelas 24 Fe 2 Emoquette 2 Microgestin 2 Enpresse 2 Microgestin 24 Fe 2 Enskyce 2 Microgestin Fe 2 Estarylla 2 11
Mili 2 Tri-Vylibra 2 Mono-Linyah 2 Tydemy 2 Mononessa 2 Velivet 2 Myzilra 2 Vestura 2 Necon 0.5/35, 1/35, 7/7/7 2 Vienva 2 Nikki 2 Viorele 2 norethindrone & ethinyl estradiol 1 Vyfemla 2 norethindrone & ethinyl estradiol + Vylibra 2 1 fe Wera 2 norethindrone ace & ethinyl Wymzya Fe 2 1 estradiol Zarah 2 norethindrone ac-ethinyl estradfe 1 Zenchent 2 norethindrone-eth estradiol 1 Zenchent Fe 2 norgestimate & ethinyl estradiol tab 1 Zovia 2 Nortrel 2 Ocella 2 Women’s Health: Hormone Replacement Orsythia 2 Combipatch 2 Philith 2 Divigel 2 Pimtrea 2 Duavee 2 Pirmella 2 Estradiol Patch 1 Portia 2 Estradiol Tablet 1 Previfem 2 Estring 2 Rajani 2 Reclipsen 2 Estrogen/Methyltestosterone Tablet 1 Sprintec 2 Medroxyprogesterone 1 Sronyx 2 Premarin 2 Syeda 2 Premphase 2 Tarina Fe 2 Prempro 2 Tilia Fe 2 Tri Femynor 2 Progesterone Micronized Capsule 1 Tri-Estarylla 2 Vivelle-Dot 1 Tri-Legest Fe 2 Women's Health: Other Tri-Linyah 2 Tri-Lo-Estarylla 2 Alendronate Sodium Tablet 1 Tri-Lo-Marzia 2 Ibandronate Tablet 1 Tri-Lo-Sprintec 2 nitisinone 1 Tri-Mili 2 Nityr (PA) 2 Trinessa 2 Raloxifene Tablet 1 Trinessa Lo 2 Risedronate Sodium Tablet 1 Tri-Previfem 2 Strensiq (PA) 2 Tri-Sprintec 2 Tymlos (PA) 2 Trivora 2 12
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