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Formulary and Therapeutic Interchanges

3rd Quarter 2024

Heritage Health - Nebraska Total Care 

Pharmacy Services – Suggested Interchanges
ClassNon-PreferredPreferred Alternatives
Antidiabetics
Basaglar, Toujeo Max, Toujeo Solo, Admelog Solo, Mounjaro, Rybelsus
Insulin Glargine, 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, Concerta, Methylin, Methylphenidate, Quillichew, Quillivant, Atomoxetine, Guanfacine, Qelbree
Antiasthmatic and Bronchodilator Agents
Budesonide/ formoterol, Proair Respiclick, Fluticasone/ salmeterol, Wixela Inhub, Budesonide
Symbicort, Albuterol HFA, Advair Diskus, Advair HFA, Spiriva, Pulmicort
Antidepressants
Forfivo Xl, Trintellix, Desvenlafaxine,
Vilazodone
Bupropion Hcl, Fluoxetine, Venlafaxine, Escitalopram
Gastrointestinal Agents - Misc.
Canasa, Lubiprostone, Sevelamer
Apriso, Lialda, dexlansoprazole, Amitiza, Renvela

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