Formulary and Therapeutic Interchanges

4th Quarter, 2021 (updated December 6, 2021)

Heritage Health - Nebraska Total Care

Suggested Interchanges
Class	Non-Preferred	Preferred Alternatives
Anticonvulsants	Lamictal* Lyrica*	Lamotrigine Gabapentin Pregabalin
Antipsychotic/ Antimanic Agents	Latuda Vraylar Saphris*	Aripiprazole Olanzapine Risperidone Abilify Maintena Aristada Rexulti Invega Sustenna Invega Trinza Asenapine
Antiasthmatic/ Bronchodilator Agents	Albuterol HFA Ventolin HFA ProAir Respiclick ProAir Digihaler Proventil HFA Airduo Digihaler Breo Ellipta Trelegy Ellipta Wixela Inhub	Proair HFA Advair Diskus Advair HFA Dulera Symbicort
Antidiabetics	Basaglar Toujeo Tresiba Semglee Novolin Admelog Apidra Fiasp Lyumjev	Lantus Levemir Humulin Insulin aspart Insulin lispro
Antidepressants	Fetzima	Venlafaxine Duloxetine
ADHD/ Anti-Narcolepsy/ Anti-Obesity/ Anorexiants	Strattera* Clonidine ER Intuniv ER Adhansia XR Aptensio XR Adzenys XR Jornay PM Ritalin	Atomoxetine Guanfacine ER Concerta Dexmethylphenidate Focalin XR Quillichew ER Chewtab Vyvanse
Dermatologicals	Dupixent Pimecrolimus Tacrolimus	Elidel Eucrisa
Antipsoriatics	Soriatane* Methoxsalen	Acitretin
Cardiovascular Agents	Adempas Letairis Opsumit Sildenafil (suspension)* Uptravi Tracleer (tablets for suspension)	Ambrisentan Sildenafil (tablet) Tadalafil Tracleer (tablet) Tyvaso Inhalation Ventavis Inhalation
Antimigraine Agents	Aimovig Cafergot Cambia Emgality 100 mg syringe Ergomar Migergot Migranal Nurtec ODT Reyvow	Ajovy Emgality 120 mg/mL pen, syringe Ubrelvy

*This brand product has a generic equivalent recommended as an alternative.