Formulary and Therapeutic Interchanges

3rd Quarter, 2022 (updated October 24, 2022)

Heritage Health - Nebraska Total Care

Suggested Interchanges
Class	Non-Preferred	Preferred Alternatives
ANTIDIABETICS	Basaglar, Insulin Glar, Toujeo Max, Toujeo Solo Admelog Solo Novolog Rybelsus	Lantus, Lantus Solos Humalog, Humalog Jr, Humalog Kwik, Insulin Lisp, Insulin Lispro Kwik Insulin Aspart, Insulin Aspart Kwik Ozempic*
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	Dexmethylphenidate ER, Focalin Adhansia Xr, Aptensio Xr, Jornay Pm, Quillichew, Quillivant Amphet/dextr, Mydayis Strattera Intuniv	Dexmethylphenidate, Focalin Xr Concerta, Methylin, Methylphenidate, Quillichew, Adderall, Adderall Xr Atomoxetine Guanfacine
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	Budes/formot, Proair Respi, Proventil, Ventolin Hfa Flutic/salme, Wixela Inhub Fluticas Hfa Budesonide	Symbicort Albuterol Advair Disku, Advair Hfa Spiriva Flovent Hfa Pulmicort
ANTIDEPRESSANTS	Forfivo Xl, Trintellix Desvenlafaxine Viibryd	Bupropion Hcl Fluoxetine Venlafaxine Escitalopram
GASTROINTESTINAL AGENTS - MISC.	Delzicol, Mesalamine, Pentasa Cimzia Prefl, Cimzia Start Lubiprostone Sevelamer	Apriso, Lialda, Canasa Amitiza Renvela

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