Antacid, H2 Antagonists

• Antacids (Proton Pump Inhibitors and Histamine-2 Receptor Antagonists) - Oct 01, 2020
• Proton Pump Inhibitor/Histamine-2 Receptor Antagonist Scan - May 25, 2017
• Proton Pump Inhibitor/Histamine-2 Receptor Antagonists Class Update - Mar 26, 2015
• Drug Class Review: Proton Pump Inhibitors (PPIs) and Histamine-2 Antagonists (H2A) - Jan 31, 2013

Y = preferred
N = non-preferred. Non-preferred drugs listed as N but without clinical drug use criteria are subject to the Non-Preferred Drugs in Select PDL Classes prior authorization criteria. New drugs will be listed as N until reviewed by the P&T Committee and are subject to the New Drug Policy.
V = voluntary non-preferred. Non-preferred mental health drugs are listed as V and prior authorization is not required.
Null (i.e. blank) = indicates the class or specific drug has not been reviewed for PDL placement.