[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-288921-105":53,"doc-detail-288921-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","guided-drug-list-medication-alternatives","Guided Drug List - Medication Alternatives","","Guided Drug List provides a formulary of FDA-approved prescription medications based on an evidence review process covering effectiveness, safety, therapeutic class similarity, and affordability. The list contains preferred alternatives for medications not included, while specific exclusions and limitations may apply. Members can search the complete list through carelonrx.com under Prescription Benefits and access dosage, strength options, and restrictions. For non-listed drugs, prior authorization may be required, with tools available online and guidance via pharmacy member services.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/guided-drug-list-medication-alternatives/288921/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/guided-drug-list-medication-alternatives/288921.png","ImageObject",442,249,{"name":88,"@type":89},"Paura","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-06","2026-09-17",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",7,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What is the Guided Drug List?","Question",{"text":109,"@type":110},"It is an open drug list (formulary) of prescription medications approved by the U.S. Food and Drug Administration (FDA), reviewed through a Pharmacy and Therapeutics (P&T) process.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"How are medications chosen for inclusion on the list?",{"text":114,"@type":110},"Medications are reviewed for effectiveness, safety, similarity within their therapeutic class, and affordability.",{"name":116,"@type":107,"acceptedAnswer":117},"What should members do if a medication is not on the Guided Drug List?",{"text":118,"@type":110},"Members and their doctors can request an exception through prior authorization (preapproval). Doctors may submit it by calling Member Services or using the online tools to download and submit the form, including electronic submission for quicker processing.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},288921,1790269100,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":136,"language":137,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":138,"faqs":139,"seo_title":140,"seo_description":61,"update_tm":141,"read_time":47},13056712833777,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","Guided Drug List  \nMedication Alternatives  \nThe Guided 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 Guided Drug List is an open drug list or formulary, with some closed drug classes. The list includes a broad 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 Guided 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 Guided 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 Guided Drug List?  \nThere may be times when a member’s drug isn’t on the Guided 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. A00835MUEENCRX_current Rev. 1/1/2023  \nDrug Class  \nAllergic Reaction Treatment  \nAmyotrophic Lateral Sclerosis (ALS) Anesthetics-topical  \nAntibiotics-topical Anti-Cataplectic Anticoagulants  \nAnticonvulsants  \nAntidepressants  \nAntidementia  \nAntihistamineophthalmic  \nAntihistamine-oral  \nAntihypertensiveAngiotensin II Receptor Antagonists AntihypertensiveAntiadrenergic Antihypertensive-Loop Diuretics  \nAntihypertensive Combinations  \nAnti-infective-otic combinations Antiretrovirals  \nAntirheumatic Antimetabolites  \nAntispasmodics  \nAntiviral-oral  \nMedications not on the Guided Drug List  \nAdrenalin, Symjepi  \nExservan, Radicava inj  \nLidocaine-Tetracaine, Pliaglis, Synera, Ztlido  \nmupirocin cream Xywav  \nPradaxa (Brand and Generic), Savaysa  \nEprontia, 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,  \nZerviate  \nCarbinoxamine 6mg Tablet, dexchlorpheniramine syrup, Ryvent  \nEdarbi  \nNexiclon XR (Brand and Generic)  \nSoaanz  \nEdarbyclor  \nCipro HC  \nComplera, Prezcobix  \nOtrexup, Reditrex  \nDartisla ODT  \nSitavig  \nPreferred alternatives  \nAuvi-Q, epinephrine auto-injector  \nRadicava Suspension, riluzole tab, Tiglutik, See Medical Benefit  \nlidocaine pad 5%, lidocaine-prilocaine 2  \n2.5%-2.5% mupirocin ointment Xyrem  \nEliquis, Xarelto  \nlamotrigine tablet/ODT/ER, topiramate, zonisamide  \ncitalopram tablet, duloxetine, escitalopram, paroxetine","cbCaiaXSydJisRVM","https://ap.wps.com/l/cbCaiaXSydJisRVM","pdf",474030,13,"English","# Guided Drug List Overview\n## Criteria Used for Drug Inclusion\n## Preferred Alternatives When a Drug Is Not Listed\n## How Members Can View and Search the List\n## Prior Authorization for Exceptions\n## Managing Benefit Coverage Changes\n# Drug Classes and Examples","[{\"question\":\"What is the Guided Drug List?\",\"answer\":\"It is an open drug list (formulary) of prescription medications approved by the U.S. Food and Drug Administration (FDA), reviewed through a Pharmacy and Therapeutics (P\\u0026T) process.\"},{\"question\":\"How are medications chosen for inclusion on the list?\",\"answer\":\"Medications are reviewed for effectiveness, safety, similarity within their therapeutic class, and affordability.\"},{\"question\":\"What should members do if a medication is not on the Guided Drug List?\",\"answer\":\"Members and their doctors can request an exception through prior authorization (preapproval). Doctors may submit it by calling Member Services or using the online tools to download and submit the form, including electronic submission for quicker processing.\"}]","Guided Drug List - Medication Alternatives | PDF",1789634222]