About HealthSpring
Medicare Advantage
Medicaid
Providers
Agents
Investor Relations
Press Room
Careers
Employee Log-in
Privacy Practices
Page last updated on 3/26/2012
Text Size:
Questions? Call Now.
General Form
- (For all drugs that are not listed below)
Aciphex
(Non-Formulary)
Aminosyn
Anzemet
Aranesp
Arixtra
Atgam
Buprenorphine
Byetta
Celebrex
Clinisol
Emend
Enbrel
Engerix B
Epogen
Forteo
Fragmin
Freamine
Genotropin
Granisetron
Humatrope
Humira
Incivek
Infergen
Innohep
Invega
Invega Sustenna
Lovenox
Neulasta
Neupogen
Nexium
(greater than 30 tablets per month)
Norditropin
Nutropin
Omeprazole
(greater than 30 tablets per month)
Ondansetron
Orencia
OxyContin
Pantoprazole
(greater than 30 tablets per month)
Pegasys
Premasol
Prevacid
(Non-Formulary)
Procrit
Prolia (Denosumab)
Promethazine IV
Prosol
Protonix
(Non-Formulary)
Provigil
Rebetol
Recombivax
Remicade
Ribasphere
Ribavirin
Saizen
Serostim
Suboxone
Subutex
Symlin
Travasol
Victrelis
Vivaglobin
Xarelto
Zorbtive
