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Formulary and Therapeutic Interchanges

1st Quarter, 2023 (updated March 9, 2023)

Heritage Health - Nebraska Total Care 

Suggested Interchanges
Class Non-Preferred Preferred Alternatives
ANTIDIABETICS Basaglar, Insulin Glar, Toujeo Max, Toujeo Solo, Admelog Solo, Rybelsus Lantus, Lantus Solo Humalog, Humalog Jr, Humalog Kwik, Insulin Lisp, Insulin Lispro Kwik Insulin Aspart, Insulin Aspart Kwik Ozempic*
ADHD/ANTI-NARCOLEPSY/ANTI-BESITY/ANOREXIANTS Focalin 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 AGENTS Budes/formot, Proair Respi, Flutic/salme, Wixela Inhub, Fluticas HFA, Budesonide
Symbicort, Ventolin HFA, Proventil HFA, Advair Diskus, 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.
*May require Prior Authorization
Abbreviations: ER = extended-release, XR = extended-release