2009

Covered medications - online drug formulary


Helpful information about medications and our online drug formulary

Choose whether you have an individual plan or a Medicare group plan
Choose “individual” if you have enrolled in Fallon Senior Plan directly thorough FCHP or if you are a prospect. Choose “group” if you receive your benefits through your or your spouse’s current or former employer.

2009 formulary

2010 formulary
 

Download printable versions of the formularies

 

Individual

 
 

Group

 

Please note: This represents the Fallon Senior Plan prescription drug formulary, and it is subject to change at any time.

Formulary changes

The following table includes all notices of changes to the 2009 Fallon Senior Plan formulary. Please click on the drug name to view a PDF with information regarding each change.

Drug name

Date of notice

Effective date

Reason for change

Nicotine DIS 7MG/24HR 4/1/09 6/1/09

Product no longer available

Nicotine DIS 14MG/24HR 4/1/09 6/1/09 Product no longer available
Nicotine DIS 21MG/24HR 4/1/09 6/1/09 Product no longer available
Nitroglycerine 2.5MG Cap

3/27/09

 6/1/09 Product not covered under Medicare Part D
Nitroglycerine 9MG Cap

3/27/09

 6/1/09 Product not covered under Medicare Part D
Benzonatate 100MG Cap

3/27/09

 6/1/09 Product not covered under Medicare Part D
Mephyton 5MG Tab

3/27/09

 6/1/09 Product not covered under Medicare Part D

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