Inflammatory Bowel Disease

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PDL Status Values

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.

To request a Prior Authorization, please use this form.

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Generic Name Brand Name Form PDL
Status
Current Drug Use Criteria Carveout
‐ Bill FFS
New Drug Evaluation & Updates
budesonide BUDESONIDE EC CAPDR - ER Y   N  
mesalamine MESALAMINE ER CAP ER 24H Y   N  
mesalamine CANASA SUPP.RECT Y   N  
mesalamine MESALAMINE TABLET DR Y   N  
sulfasalazine AZULFIDINE TABLET Y   N  
sulfasalazine SULFASALAZINE TABLET DR Y   N  
budesonide BUDESONIDE FOAM/APPL N   N  
mesalamine MESALAMINE DR CAP(DRTAB) N   N  
mesalamine PENTASA CAPSULE ER N   N  
mesalamine SFROWASA ENEMA N   N  
mesalamine MESALAMINE ENEMA N   N  
mesalamine w/cleansing wipes ROWASA ENEMA KIT N   N