Skip to Main Content

Formulary and Therapeutic Interchanges

3rd Quarter 2025

Heritage Health - Nebraska Total Care 

Pharmacy Services – Suggested Interchanges

Class

Non-preferred

Alternative

ANTIDIABETICS

Basaglar, Toujeo Solostar, Admelog Solo, Mounjaro, Rybelsus

Insulin Lisp, Insulin Lispro Kwik, Insulin Aspart, Insulin Aspart Kwik, Trulicity,* Ozempic*

STIMULANTS AND RELATED ADHD DRUGS

Focalin XR, Focalin, Adhansia Xr, Aptensio XR, Jornay PM, Mydayis, Strattera, Intuniv

Dexmethylphenidate, Dexmethylphenidate ER, Amphetamine salt combination ER, Methylphenidate, Atomoxetine, Guanfacine, Qelbree

ANTIASTHMATIC AND BRONCHODILATOR AGENTS

Budesonide/ formoterol, Proair Respiclick, Fluticasone/ salmeterol, Wixela, Inhub, Budesonide

Fluticasone HFA, Albuterol HFA, Advair Diskus, Advair HFA, Combivent

ANTIDEPRESSANTS

Aplenzin, Trintellix, Fetzima, Spravato

Bupropion Hcl, Lurasidone, Desvenlafaxine, Escitalopram, Vilazodone

GASTROINTESTINAL AGENTS - MISC.

 Canasa, Dexilant, Amitiza,

Apriso, Lialda, Esomeprazole, Lubiprostone

*May require Prior Authorization
Abbreviations: ER = extended-release, XR = extended-release