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The Catamaran™ Preferred Drug List (PDL) is a guide identifying preferred medicines within select therapeutic categories. The PDL is an abbreviated drug list which includes the most commonly prescribed Tier 1 and Tier 2 medicines. Tier 1 drugs are listed in lowercase italics and Tier 2 drugs are listed in CAPS. This listing is revised periodical y as new drugs and new prescribing information becomes available. It is recommended that you bring this list of medications when you visit a physician or other healthcare provider. Please visitfor a ful listing of the Advantage Formulary. You may also contact Catamaran Member Services at 1-877-629-3123 with questions about plan benefits such as cost sharing and plan limitations. fluconazole, itraconazole, ketoconazole, atenolol, carvedilol, metoprolol, clobetasol, halobetasol, hydrocortisone amlodipine, diltiazem ER, nifedipine ER, amoxicil in, amoxicil in/clavulanate, isosorbide dinitrate, nitroglycerin ciprofloxacin, ciprofloxacin ER, levofloxacin lisinopril-hct, trandolapril-verapamil, levonorgestrel, medroxyprogesterone atorvastatin, lovastatin, pravastatin, estradiol, estradiol-norethindrone acetate testosterone cypionate, testosterone fosinopril, lisinopril, quinapril, ramipril pioglitazone, pioglitazone-metformin irbesartan, losartan, losartan-hct, adapalene, clindamycin, tretinoin Formulary Disclaimer: Coverage and cost share for some drugs may be limited to specific dosage forms and/or strengths. The benefit design determines what is covered and the applicable co-payment. The medications listed on this formulary are subject to change pursuant to the formulary management activities of Catamaran. The presence of a medication on this formulary list does not guarantee coverage. Catamaran Preferred Drug List – Effective January 1, 2013 01182013 TK 2012 Catamaran Inc. Al rights reserved. Catamaran is a registered trademark of Catamaran Inc. clozapine, olanzapine, quetiapine, divalproex, gabapentin, lamotrigine, methylphenidate, methylphenidate ER citalopram, escitalopram, fluoxetine, paroxetine, paroxetine ER, sertraline betaxolol, brimonidine, latanoprost glimiperide, glipizide, glipizide ER ciprofloxacin, ofloxacin, tobramycin lansoprazole, omeprazole, pantoprazole cromolyn sodium, diclofenac sodium, alendronate, ibandronate,FOSAMAX PLUS D oxybutynin, oxybutynin ER, tolterodine
Formulary Disclaimer: Coverage and cost share for some drugs may be limited to specific dosage forms and/or strengths. The benefit design determines what is
covered and the applicable co-payment. The medications listed on this formulary are subject to change pursuant to the formulary management activities of
Catamaran. The presence of a medication on this formulary list does not guarantee coverage.

Catamaran Preferred Drug List – Effective January 1, 2013
01182013 TK 2012 Catamaran Inc. Al rights reserved. Catamaran is a registered trademark of Catamaran Inc.

Source: http://www.hr.virginia.edu/uploads/documents/media/CatamaranPreferredDrugList.pdf