TRICARE for Life Pharmacy Pilot Drug List

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TFL Pharmacy Pilot Drug List (Excel)

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A
ACCOLATE
ACCUPRIL
ACCURETIC
ACEON
ACTIVELLA
ACTONEL
ACTOPLUS MET
ACTOPLUS MET XR
ACTOS
ADALAT CC
ADVAIR DISKUS
ADVAIR HFA
AGGRENOX
AGRYLIN
ALDACTAZIDE
ALDACTONE
ALORA
ALPHAGAN P
ALTACE
AMARYL
AMTURNIDE
ANAPROX
ANAPROX DS
ANGELIQ
ANTARA
APIDRA
APIDRA SOLOSTAR
APRISO
ARANESP
ARICEPT
ARICEPT ODT
ARIXTRA
ARMOUR THYROID
ATACAND
ATACAND HCT
ATROVENT HFA
AVALIDE
AVAPRO
AVONEX ADMINISTRATION PACK
AVONEX PEN
AYGESTIN
AZILECT
AZOR
AZULFIDINE
B
BENICAR
BENICAR HCT
BETAGAN
BETAPACE
BETAPACE AF
BETASERON
BETOPTIC S
BIDIL
BONIVA
BRILINTA
BROVANA
BYDUREON
BYETTA
C
CADUET
CALAN
CALAN SR
CANASA
CARAFATE
CARDIZEM
CARDIZEM CD
CARDURA
CARNITOR
CATAPRES
CATAPRES-TTS
CELEBREX
CELEXA
CENESTIN
CLIMARA
CLIMARA PRO
CLORPRES
COLESTID
COMBIGAN
COMBIPATCH
COMTAN
COPEGUS
CORDARONE
COREG
COREG CR
CORGARD
CORTEF
CORZIDE
COSOPT
COSOPT PF
COZAAR
CRESTOR
CYCLOGYL
CYCLOMYDRIL
CYTOMEL
CYTOTEC
D
DANTRIUM
DAPSONE
DAYPRO
DDAVP
DELZICOL
DEMADEX
DETROL
DETROL LA
DIABETA
DIAMOX SEQUELS
DILATRATE-SR
DIOVAN
DIOVAN HCT
DIPENTUM
DITROPAN XL
DIURIL
DIVIGEL
DUETACT
DUTOPROL
DYAZIDE
DYRENIUM
E
EC-NAPROSYN
EDARBI
EDARBYCLOR
EDECRIN
EFFER-K
EFFEXOR XR
EFFIENT
ELDEPRYL
ELESTRIN
ELIGARD
ELIQUIS
ENJUVIA
EPOGEN
ESTRACE
ESTRING
ESTROGEL
EVISTA
EVOXAC
EXELON
EXFORGE
EXFORGE HCT
F
FELDENE
FEMHRT
FEMRING
FENOGLIDE
FIBRICOR
FLOMAX
FLOVENT DISKUS
FLOVENT HFA
FORADIL
FORTEO
FOSAMAX
FOSAMAX PLUS D
FRAGMIN
G
GLEEVEC
GLUCOPHAGE
GLUCOPHAGE XR
GLUCOTROL
GLUCOTROL XL
GLUCOVANCE
GLYNASE
GLYSET
H
HECTOROL
HUMALOG
HUMALOG MIX 50-50
HUMALOG MIX 75-25
HUMIRA
HUMULIN 70/30 KWIKPEN
HUMULIN 70-30
HUMULIN N
HUMULIN N KWIKPEN
HYZAAR
I
INDERAL LA
INNOPRAN XL
INSPRA
INTRON A
IOPIDINE
ISOPTO ATROPINE
ISOPTO CARPINE
ISORDIL
J
JANUMET
JANUMET XR
JANUVIA
JENTADUETO
K
KLOR-CON
KRISTALOSE
K-TAB
L
LANOXIN
LANTUS
LANTUS SOLOSTAR
LASIX
LESCOL
LEUKINE
LEVATOL
LEVEMIR
LEXAPRO
LIALDA
LIPITOR
LIPOFEN
LODOSYN
LOFIBRA
LOPRESSOR HCT
LOTENSIN
LOTENSIN HCT
LOTREL
LOTRONEX
LOVAZA
LOVENOX
LUFYLLIN
LUMIGAN
LUPRON DEPOT
LUPRON DEPOT-PED
LUVOX CR
M
MARPLAN
MAVIK
MAXZIDE
MENEST
MENOSTAR
MESTINON
MICARDIS
MICARDIS HCT
MICROZIDE
MINIPRESS
MINITRAN
MINIVELLE
MIRAPEX
MIRAPEX ER
MOBIC
MULTAQ
MYDRIACYL
N
NALFON
NAMENDA
NAPROSYN
NARDIL
NASCOBAL
NEPTAZANE
NEULASTA
NEUMEGA
NEUPOGEN
NEUPRO
NEXIUM RX
NIASPAN
NITRO-DUR
NORDITROPIN FLEXPRO
NORPACE
NORPACE CR
NORVASC
NOVOLIN 70-30
NOVOLIN N
NOVOLOG
NOVOLOG FLEXPEN
NOVOLOG MIX 70-30
NUTROPIN
NUTROPIN AQ
NUTROPIN AQ NUSPIN
O
P
PARNATE
PAXIL
PEGASYS
PEG-INTRON
PEG-INTRON REDIPEN
PEPCID
PERSANTINE
PEXEVA
PHOSPHOLINE IODIDE
PLAQUENIL
PLAVIX
PLETAL
POTABA
PRADAXA
PRANDIMET
PRANDIN
PRAVACHOL
PRECOSE
PREFEST
PREMARIN
PREMPHASE
PREMPRO
PRILOSEC OTC
PRILOSEC RX
PRIMAQUINE
PRINIVIL
PROCARDIA
PROCARDIA XL
PROCRIT
PROGLYCEM
PROMETRIUM
PROSCAR
PROTONIX
PROVERA
PROZAC
PULMICORT
PULMOZYME
Q
QUESTRAN
QUESTRAN LIGHT
R
RANEXA
RAZADYNE
RAZADYNE ER
REBETOL
REBIF
REQUIP
REQUIP XL
RESTASIS
RIOMET
ROCALTROL
RYTHMOL
RYTHMOL SR
S
SAIZEN
SANCTURA
SANCTURA XR
SANDOSTATIN
SECTRAL
SEREVENT DISKUS
SIMCOR
SINEMET
SINEMET CR
SINGULAIR
SPIRIVA
SPRYCEL
STALEVO
STARLIX
STIMATE
SUTENT
SYMLINPEN 120
SYMLINPEN 60
SYNTHROID
T
TAPAZOLE
TARCEVA
TARGRETIN
TARKA
TASMAR
TEKTURNA
TEKTURNA HCT
TEMODAR
TENORETIC
TENORMIN
TEVETEN
TEVETEN HCT
TIAZAC
TIMOPTIC
TIMOPTIC-XE
TIROSINT
TOBI
TRADJENTA
TRELSTAR LA
TRICOR
TRIGLIDE
TRILIPIX
TRUSOPT
TUDORZA PRESSAIR
TWYNSTA
U
ULORIC
UNIRETIC
UNIVASC
UROCIT-K
UROXATRAL
URSO
URSO FORTE
V
VAGIFEM
VASERETIC
VASOTEC
VENLAFAXINE HCL ER BRAND
VESICARE
VIAGRA
VICTOZA
VIMOVO
VIVELLE-DOT
VOLTAREN
VOLTAREN-XR
VOSPIRE ER
VYTORIN
W
WELLBUTRIN
WELLBUTRIN SR
WELLBUTRIN XL
X
XALATAN
XARELTO
XELODA
Y
Z
ZANAFLEX
ZANTAC RX
ZAROXOLYN
ZELAPAR
ZEMPLAR
ZESTORETIC
ZESTRIL
ZETIA
ZIAC
ZOCOR
ZOLOFT
ZYLOPRIM

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Last updated 11/5/14

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