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Member Notice: Preferred Drug List Updates

Date: 08/20/18

Sunrise, Florida

Dear Member,

Starting on July 1st, 2018, there will be changes to the Preferred Drug List (PDL). Drugs on this list may need a prior authorization, which means you need approval from Sunshine Health before you fill your drug. Some drugs may need step therapy, which means you must try one drug first before you can try another drug. Other drugs are not on the list because they are not a preferred option.

Name of Drugs

  • Carafate Tablet (Oral)*   
  • Cinvanti (IV)
  • Clindamycin (Vaginal)
  • Dyanavel XR (Oral)
  • Menest (Oral)
  • Methyldopa/HCTZ (Oral)
  • Methylphenidate ER (Concerta) (AG) (Oral)
  • Methylphenidate ER (Concerta) (Oral)
  • Methylprednisolone 16mg Tablet (Oral)
  • Methylprednisolone 8mg Tablet (Oral)
  • Metronidazole (Vaginal)
  • Metronidazole Lotion (Topical)
  • Olopatadine (AG) (Nasal)
  • Olopatadine (Nasal)
  • Oxsoralen-Ultra (Oral)
  • PNV #19/IRON PS&HEME/FOLIC/DHA (Oral)
  • Promethazine 50 mg (Rectal)
  • Provida DHA (Oral)
  • Ranitidine (Injection)
  • Soriatane (Oral)*
  • Suprax Suspension (Oral)*
  • Viibryd Dose Pack (Oral)
  • Zetia (Oral)*

*Generic alternative covered

Explanation of changes

  • Removed from PDL – Prior authorization needed

If you are affected by these changes, please talk to your doctor. This should not conflict with your doctor’s advice. Only your doctor can decide which drugs are right for you. Your doctor may change to a preferred drug or if your doctor wants you to stay on the same drug, he/she will need to send more information to Sunshine Health.

If you have questions, please call Sunshine Health Member Services at 1-866-796-0530 (TDD/TTY 1-800-955-8770). Our staff is here Monday through Friday from 8 a.m. to 8 p.m. We are closed on state holidays.