[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-283959-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-283959-en":127},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","advanced-drug-list-medication-alternatives","Advanced Drug List - Medication Alternatives","","Advanced Drug List provides an FDA-approved prescription formulary framework, reviewed through a Pharmacy and Therapeutics process that evaluates effectiveness, safety, therapeutic-class similarity, and affordability. The document explains that some drug classes may be closed and that medications not on the list may have preferred alternatives shown in included charts. It also outlines how members can view searchable drug lists on carelonrx.com, including dosage options and restrictions, and how doctors may request prior authorization or preapproval when a preferred alternative is not appropriate. Coverage can change without notice.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/advanced-drug-list-medication-alternatives/283959/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/advanced-drug-list-medication-alternatives/283959.png","ImageObject",442,249,{"name":42,"@type":43},"Chumphorn","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-22","2026-09-17",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",8,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What is the Advanced Drug List and how is it developed?","Question",{"text":63,"@type":64},"The Advanced Drug List is a prescription formulary approved by the FDA and reviewed through a Pharmacy and Therapeutics (P&T) process. The review considers effectiveness, safety, similarity within the therapeutic class, and affordability.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What should members do if their medication is not on the Advanced Drug List?",{"text":68,"@type":64},"If the covered alternative options are not right, doctors can submit a request for an exception. This uses a prior authorization (preapproval) process initiated by calling Member Services or by using tools on carelonrx.com.",{"name":70,"@type":61,"acceptedAnswer":71},"Where can members view the complete Advanced Drug List and related restrictions?",{"text":72,"@type":64},"Members can log in to carelonrx.com and choose Prescription Benefits to search the complete list. Dosage/strength options and restrictions such as quantity limits, prior authorization, or step therapy requirements are also available there.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},283959,1790983280,{"code":4,"msg":82,"data":83},"success",[84,89,94,99,104,109,113,118,123],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},12,"Resumes",80,"resumes",{"id":95,"doc_module":22,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},14,"Invoices",70,"invoices",{"id":100,"doc_module":22,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},15,"Posters",60,"posters",{"id":105,"doc_module":22,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},16,"Social Media",50,"social-media",{"id":110,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":111,"slug":112},17,40,"forms",{"id":114,"doc_module":22,"doc_module_name":25,"category_name":115,"show_sort_weight":116,"slug":117},18,"Letters",30,"letters",{"id":119,"doc_module":22,"doc_module_name":25,"category_name":120,"show_sort_weight":121,"slug":122},21,"Paper Templates",5,"papers-templates",{"id":124,"doc_module":22,"doc_module_name":25,"category_name":125,"show_sort_weight":4,"slug":126},158,"General","general-158",{"code":4,"msg":82,"data":128},{"doc_id":79,"user_id":129,"nickname":42,"user_avatar":130,"doc_module":22,"category_id":110,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":136,"language":137,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":138,"faqs":139,"seo_title":140,"seo_description":12,"update_tm":141,"read_time":121},2336475401981,"https://ap-avatar.wpscdn.com/avatar/22000c94efd8d5204d?x-image-process=image/resize,m_fixed,w_180,h_180&k=1786935347598174694","Advanced Drug List Medication Alternatives  \nThe Advanced Drug List is a list of prescription medications approved by the U. S. Food and Drug Administration (FDA) . We’ve reviewed these drugs through our Pharmacy and Therapeutics (P&T) Process, which considers a drug’s:  \n Effectiveness  \n Safety  \n Similarity to other drugs within a therapeutic class  \n Affordability  \nThe Advanced Drug List is an open drug list or formulary, with some closed drug classes. The list includes abroad range of drug choices. If a medication is not on the list, there are other high-quality, cost-effective choices, called preferred alternatives, that are.  \nMedications not included on the Advanced Drug List are shown on the chart included here, along with their preferred alternatives that are on the list. Please note, exclusions and limitations may apply. For details about what’s covered and what’s not, it’s best to check the Certificate/Evidence of Coverage or Summary Plan Description.  \nTo view and search the complete Advanced Drug List, members should log in at [carelonrx.com](carelonrx.com) and choose Prescription Benefits. Information on dosage/strength options and any restrictions such as quantity limits, prior authorization or step therapy requirements is available.  \nMembers can also call Pharmacy Member Services at the number on their member ID card or visit carelonrx. com.  \nWhat if a medication isn't on the Advanced Drug List?  \nThere may be times when a member’s drug isn’t on the Advanced Drug List. If the covered alternative options are not right for the member, doctors can submit a request for an exception. This process called prior authorization, also known as a preapproval requires doctors to call the Member Services number on the member’s ID card or log in at [carelonrx.com](carelonrx.com) and choose Tools & Resources to download and submit the prior authorization form. Doctors can also submit preapproval electronically, which requires less processing time and possible real-time approval so members can fill their prescriptions without delay.  \nFor the most up-to-date information, members should log in at [carelonrx.com](carelonrx.com) and choose Drug Lists and pharmacy tools.  \nThis list may change without notice which may affect your benefit coverage. To be sure your medication is covered under the PreventiveRx benefit, call the pharmacy member services number located on your ID card. A00836UEENCRX Rev. 1/1/2023  \nDrug class  \nAllergic Reaction Treatment  \nAmyotrophic Lateral Sclerosis (ALS) Anesthetics-topical  \nAntibiotics-topical Anti-Cataplectic Anticoagulants Anticonvulsants  \nAntidepressants  \nAntidementia  \nAntihistamineophthalmic  \nAntihistamine-oral  \nAntihypertensiveAntiadrenergic Antihypertensive-Loop Diuretics  \nAnti-infective-otic combinations Antineoplastic-BCR-ABL Kinase Inhibitors Antiretrovirals  \nAntispasmodics  \nAntiviral-oral  \nAttention deficit hyperactivity disorder (ADHD)  \nBenzodiazepines  \nMedications not on the Advanced Drug List  \nAuvi-Q, Symjepi  \nExservan, Radicava inj  \nLidocaine-Tetracaine, Pliaglis, Synera, Ztlido  \nmupirocin cream Xywav  \nPradaxa (Brand and Generic), Savaysa Eprontia, Lamictal ODT Kit, Lamictal XR Kit, Zonisade  \nCitalopram Capsule, Drizalma Sprinkle, Sertraline Capsule, venlafaxine er 37. 5mg, 75mg, 112 . 5mg, 150mg tablet, Viibryd (Brand and Generic)  \nAdlarity  \nAlocril, Alomide, Bepreve (Brand and Generic), olopatadine drop/soln, Zerviate  \nCarbinoxamine 6mg Tablet, Ryvent  \nNexiclon XR (Brand and Generic)  \nSoaanz  \nCipro HC  \nIclusig, Scemblix  \nComplera, Prezcobix  \nDartisla ODT  \nSitavig  \nAdhansia XR, Adzenys XR-ODT, Azstarys, Cotempla XR-ODT, Dyanavel XR, Desoxyn (Brand and Generic), Evekeo ODT, Jornay PM, Methylphenidate 72mg ER Tablet, Qelbree, Quillichew ER, Quillivant XR, Relexxii, Xelstrym  \nLoreev XR  \nPreferred alternatives  \nepinephrine auto-injector  \nRadicava Suspension, riluzole tab, Tiglutik, See Medical Benefit  \nlidocaine pad 5%, lidocaine-prilocaine 2  \n2.5%","cbCaiutqMXRyOFNl","https://ap.wps.com/l/cbCaiutqMXRyOFNl","pdf",471176,13,"English","# Overview of the Advanced Drug List\n## How the list is reviewed\n## Preferred alternatives when a medication is not on the list\n## How to view and search the drug list\n## Prior authorization and preapproval process\n## Drug classes and listed alternatives","[{\"question\":\"What is the Advanced Drug List and how is it developed?\",\"answer\":\"The Advanced Drug List is a prescription formulary approved by the FDA and reviewed through a Pharmacy and Therapeutics (P\\u0026T) process. The review considers effectiveness, safety, similarity within the therapeutic class, and affordability.\"},{\"question\":\"What should members do if their medication is not on the Advanced Drug List?\",\"answer\":\"If the covered alternative options are not right, doctors can submit a request for an exception. This uses a prior authorization (preapproval) process initiated by calling Member Services or by using tools on carelonrx.com.\"},{\"question\":\"Where can members view the complete Advanced Drug List and related restrictions?\",\"answer\":\"Members can log in to carelonrx.com and choose Prescription Benefits to search the complete list. Dosage/strength options and restrictions such as quantity limits, prior authorization, or step therapy requirements are also available there.\"}]","Advanced Drug List - Medication Alternatives | PDF",1789623479]