Q quetiapine (except 150mg) QULIPTA QVAR REDIHALER R rabeprazole delayed-release tablets RADICAVA ORS [SP] RAGWITEK raloxifene ramipril REBIF [INJ] [SP] RECTIV RELISTOR [INJ] REPATHA [INJ] RESTASIS MULTIDOSE RETACRIT [INJ] [SP] REZDIFFRA [SP] RHAPSIDO RINVOQ ER, RINVOQ LQ [SP] risperidone RUCONEST [INJ] [SP] RUXIENCE [INJ] [SP] RYBELSUS RYDAPT [SP] RYKINDO [INJ] S SCEMBLIX [SP] SELARSDI [INJ] [SP] SEMGLEE (YFGN) [INJ] sertraline SEVENFACT [INJ] [SP] sildenafil SIMLANDI [INJ] [SP] SIMPONI 100MG (for Ulcerative Colitis only) [INJ] [SP] rizatriptan roflumilast ropinirole rosuvastatin ROZLYTREK [SP] SKYRIZI [INJ] [SP] sodium oxybate [SP] solifenacin SOLIQUA [INJ] SOLOSEC SOMATULINE DEPOT [INJ] [SP] SOMAVERT [INJ] [SP] SOTYKTU [SP] SPIRIVA RESPIMAT spironolactone SPRAVATO [SP] STIOLTO RESPIMAT STIVARGA [SP] STRENSIQ [INJ] [SP] STRIVERDI RESPIMAT SUBLOCADE [INJ] [SP] sucralfate sulfamethoxazole/trimethoprim sumatriptan SUNOSI SUPPRELIN LA [SP] SYMFI [SP] SYMPROIC SYMTUZA [SP] SYNJARDY, SYNJARDY XR T simvastatin SKYLA [SP]
NURTEC ODT nystatin nystatin topical O OCREVUS, OCREVUS ZUNOVO [INJ] [SP] ODACTRA olanzapine olmesartan olmesartan/hctz omega-3 acid ethyl esters omeprazole delayed-release OMNIPOD 5: KITS, PODS OMNIPOD DASH: KITS, PODS OMNITROPE [INJ] [SP] OMVOH [INJ] [SP] ondansetron odt 4mg, 8mg tablets ondansetron solution, tablets ODEFSEY [SP] ODOMZO [SP] ofloxacin OGIVRI [INJ] [SP] ORIAHNN ORILISSA ORTHOVISC [INJ] [SP] oseltamivir OTEZLA, OTEZLA XR [SP] OVIDREL [INJ] [SP] oxcarbazepine oxybutynin ext-release oxycodone capsules, uncoated tablets oxycodone/acetaminophen OZEMPIC [INJ] OZEMPIC TABLETS P PANCREAZE pantoprazole delayed-release paroxetine hcl PAXLOVID penicillin v potassium PENTASA 250MG CAPSULES pioglitazone PIQRAY [SP] PLEGRIDY [INJ] [SP] polymyxin/trimethoprim eye solution potassium chloride ext-release pramipexole pravastatin PRECISION XTRA: PHEBURANE [SP] PHESGO [INJ] [SP] PIFELTRO [SP] METERS, TEST STRIPS, B-KETONE STRIPS [OTC] prednisolone acetate eye suspension prednisolone sodium phosphate OPSUMIT [SP] OPSYNVI [SP] ORALAIR [SP]
TAFINLAR [SP] TAGRISSO [SP] TAKHZYRO [INJ] [SP] TALICIA
VARUBI VASCEPA VELSIPITY [SP] VELTASSA VEMLIDY venlafaxine
TALTZ [INJ] [SP] TALZENNA [SP] tamoxifen tamsulosin ext-release TANDEM MOBI CARTRIDGE, KIT, SYSTEM TANDEM T:SLIM CARTRIDGE, KIT TAVALISSE [SP] TECHLITE LANCETS [OTC] telmisartan terazosin terconazole vaginal teriflunomide [SP] teriparatide [INJ] [SP] testosterone cypionate [INJ] TEZSPIRE [INJ] [SP] thyroid pork (except 16.25mg, 32.5mg, 65mg, 97.5mg, 130mg) timolol maleate eye solution tiotropium powder inhaler tizanidine tablets TOBI PODHALER [SP] tobramycin eye solution tobramycin/dexamethasone eye suspension topiramate ext-release topiramate tablets torsemide TOUJEO [INJ] tramadol 50mg, 100mg trazodone TRELEGY ELLIPTA TREMFYA [INJ] [SP] treprostinil [INJ] [SP] TRESIBA [INJ] tretinoin topical triamcinolone topical triamterene/hctz TRIJARDY XR TRIPTODUR [INJ] [SP] TRIUMEQ [SP] TRIVIDIA METERS: TRUE METRIX AIR, TRUE METRIX, TRUE METRIX GO [OTC] TRIVIDIA TEST STRIPS: TRUE METRIX [OTC] TRUEPLUS LANCETS [OTC] TRULANCE TRULICITY [INJ]
venlafaxine ext-release verapamil ext-release VERQUVO VERZENIO [SP] VGO VIBERZI vilazodone VIOKACE VITRAKVI [SP] VIVITROL [INJ] [SP] VIZIMPRO [SP] VOSEVI [SP] VOYDEYA [SP] VOYXACT [INJ] [SP] VTAMA VUMERITY [SP] VYNDAMAX [SP] VYNDAQEL [SP] W warfarin WEGOVY HD [INJ]
WEGOVY PENS [INJ] WEGOVY TABLETS X XACIATO XALKORI [SP] XARELTO XDEMVY [SP] XELJANZ, XELJANZ SOLUTION, XELJANZ XR [SP] XHANCE XIFAXAN XIIDRA XOLAIR [INJ] [SP] XTANDI [SP] XYNTHA, XYNTHA SOLOFUSE [INJ] [SP] XYOSTED [INJ] XYWAV [SP] Y
YESINTEK [INJ] [SP] YEZTUGO [INJ] [SP] YEZTUGO [SP] YONSA [SP] YUPELRI YUTREPIA [SP] Z ZELBORAF [SP] ZEMAIRA [INJ] [SP] ZENPEP ZEPATIER [SP] ZEPBOUND PEN [INJ] ZEPOSIA [SP] ZIEXTENZO [INJ] [SP]
TRUQAP [SP] TWIIST: KITS
TYENNE [INJ] [SP] TYMLOS [INJ] [SP] TYRUKO [INJ] [SP] TYSABRI [INJ] [SP] TYVASO, TYVASO DPI [SP] U UBRELVY UPTRAVI TABLETS [SP] USTEKINUMAB-TTWE (by Quallent) [INJ] [SP] UZEDY [INJ] V valacyclovir valsartan tablets valsartan/hctz VALTOCO VANRAFIA [SP] varenicline
prednisone pregabalin
PREGNYL [INJ] [SP] PREMARIN CREAM prenatal vitamins PROCRIT [INJ] [SP]
ZIRABEV [INJ] [SP] zolpidem ext-release zolpidem tablets, sl tablets ZOMIG 2.5MG NASAL ZORYVE 0.05%, 0.15% CREAM ZTLIDO ZUBSOLV ZURZUVAE [SP] ZYKADIA [SP] ZYMFENTRA [INJ] [SP]
progesterone micronized PROLASTIN C [INJ] [SP] promethazine promethazine/dextromethorphan propranolol propranolol ext-release
TABRECTA [SP] tacrolimus topical tadalafil
Go to express-scripts.com/2026drugs for a full list of prescription drug list exclusions with their covered alternatives or log on to compare medication prices. Costs for covered alternatives may vary. THIS DOCUMENT LIST IS EFFECTIVE JANUARY 1, 2026, THROUGH DECEMBER 31, 2026. THIS LIST IS SUBJECT TO CHANGE. You can find more information at express-scripts.com.
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CRP1678902 #1702 NP-A PRMT22157-26 (07/01/2026)
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