CareFirst Prescription Drug Program

Sample Notes Page - CareFirst BlueCross BlueShield

Members & Visitors

Print
Close

Prescription Drug Detail

Brand Name

Brand Tier

Generic Name

Generic Tier

LESCOL XL

(Tier 3)

Not
Available

Not
Available

Prior Authorization Required: No

Quantity Limit: No

Category: High cholesterol drugs (antilipemics)

Maintenance Drug: Yes

Notes: Removed from formulary 12-03. Use preferred generic lovastatin or preferred brands Lipitor, Pravachol.

Attachments:

Search Preferred Drug List (Formulary) Again

Print
Close

HIPAA
Report Fraud
Privacy Statement
Site Map
Site Survey

Serving Maryland, the District of Columbia and portions of Virginia. CareFirst BlueCross BlueShield is the shared
business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueChoice, Inc.,
an affiliate company, also offers health benefit products and services on this site.

CareFirst BlueCross BlueShield and CareFirst BlueChoice, Inc. are independent licensees of the Blue Cross and Blue Shield Association.

® Registered trademark of the Blue Cross and Blue Shield Association. ®' Registered trademark of CareFirst of Maryland, Inc.

This site is best viewed in IE 7.0 or IE 8.0 or Firefox 3.0.