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Formulary and Therapeutic Interchanges

3rd Quarter, 2023 (updated August 2, 2023)

Heritage Health - Nebraska Total Care 

Pharmacy Services – Suggested Interchanges
ClassNon-PreferredPreferred Alternatives
ANTIDIABETICSBasaglar, Toujeo Max, Toujeo Solo, Admelog Solo, RybelsusInsulin Glargine, Insulin Lisp, Insulin Lispro Kwik, Insulin
Aspart, Insulin Aspart Kwik, Ozempic*
ADHD/ANTI-NARCOLEPSY/ANTI-BESITY/ANOREXIANTSFocalin XR, Focalin,  Adhansia Xr, Aptensio XR, Jornay PM,
Quillivant, Amphet/dextr, Mydayis, Strattera, Intuniv
Dexmethylphenidate,
Dexmethylphenidate ER, Concerta, Methylin, Methylphenidate, Quillichew, Adderall,
Adderall XR, Atomoxetine, Guanfacine, Qelbree
ANTIASTHMATIC AND BRONCHODILATOR AGENTSBudes/formot, Proair Respi, Flutic/salme, Wixela Inhub,
Fluticas HFA, Budesonide
Symbicort, Ventolin HFA, Proventil HFA, Advair Diskus,
Advair HFA, Spiriva, Flovent HFA, Pulmicort
ANTIDEPRESSANTSForfivo Xl, Trintellix, Desvenlafaxine,
Viibryd
Bupropion Hcl, Fluoxetine, Venlafaxine,
Escitalopram
GASTROINTESTINAL AGENTS - MISC.Delzicol, Canasa,
Pentasa, Cimzia, Lubiprostone, Sevelamer
Apriso, Lialda, Mesalamine,
Amitiza, Renvela

*This brand product has a generic equivalent recommended as an alternative.
*May require Prior Authorization
Abbreviations: ER = extended-release, XR = extended-release