2026 Express Scripts National Preferred Formulary

Drug Class

Excluded Medications

Preferred Alternatives

RESPIRATORY (continued) Idiopathic Pulmonary Fibrosis Agents

pirfenidone 267mg capsules or tablets, pirfenidone 801mg tablets, OFEV DUPIXENT, FASENRA, NUCALA, TEZSPIRE, XOLAIR LAMA/LABAs: ANORO ELLIPTA, STIOLTO RESPIMAT LAMAs: tiotropium inhaler, INCRUSE ELLIPTA, SPIRIVA RESPIMAT LABAs: formoterol inhalation solution, STRIVERDI RESPIMAT ICS/LABAs: budesonide/formoterol, fluticasone/salmeterol inhalation powder, ADVAIR HFA, BREO ELLIPTA, DULERA

PIRFENIDONE 534MG TABLETS

Immunological Agents for Asthma

CINQAIR

Inhaled Phosphodiesterase (PDE)-3 & PDE-4 Inhibitors

OHTUVAYRE

Leukotriene Pathway Inhibitors

zileuton er, ZYFLO

montelukast, zafirlukast STRIVERDI RESPIMAT

Long-Acting Beta Agonist Inhalers SEREVENT DISKUS

Long-Acting Muscarinic Antagonist Inhalers Long-Acting Muscarinic Antagonist/ Long-Acting Beta-Agonist Combination Inhalers

tiotropium powder inhaler, INCRUSE ELLIPTA, SPIRIVA RESPIMAT

TUDORZA PRESSAIR

BEVESPI AEROSPHERE, DUAKLIR PRESSAIR, UMECLIDINIUM/VILANTEROL ALVESCO, ARMONAIR DIGIHALER, ARNUITY ELLIPTA, FLOVENT DISKUS, FLOVENT HFA, FLUTICASONE PROPIONATE DISKUS, FLUTICASONE PROPIONATE HFA, PULMICORT FLEXHALER AIRDUO RESPICLICK, FLUTICASONE/SALMETEROL DPI, FLUTICASONE/SALMETEROL HFA, FLUTICASONE/VILANTEROL ALBUTEROL SULFATE HFA (by Prasco), LEVALBUTEROL HFA, PROAIR DIGIHALER, PROAIR RESPICLICK, VENTOLIN HFA, XOPENEX HFA

ANORO ELLIPTA, STIOLTO RESPIMAT

Pulmonary Anti-Inflammatory Inhalers

ASMANEX HFA, ASMANEX TWISTHALER, QVAR REDIHALER

budesonide/formoterol, fluticasone/salmeterol inhalation powder, ADVAIR HFA, BREO ELLIPTA, DULERA

Pulmonary Anti-Inflammatory/ Beta-Agonist Combination Inhalers

albuterol sulfate hfa (all manufacturers covered except Prasco)

Short-Acting Beta 2 -Agonist Inhalers

MISCELLANEOUS AGENTS Allergen Immunotherapy

Coverage may be approved for the treatment of Peanut Allergy under certain conditions.

PALFORZIA

ENTADFI TEZRULY

finasteride 5mg plus tadalafil 5mg

Benign Prostatic Hyperplasia Agents

terazosin

DYSPORT, MYOBLOC Migraine - AIMOVIG, AJOVY, EMGALITY, QULIPTA Hyperhidrosis - Over-the-Counter aluminum chloride containing products

BOTOX

Botulinum Toxin Products

DAXXIFY, XEOMIN

DYSPORT, MYOBLOC ENSPRYNG, EPYSQLI

Complement Inhibitors

BKEMV, PIASKY, SOLIRIS, ULTOMIRIS

budesonide suspension made into a slurry or suspension and swallowed (not inhaled)

Eosinophilic Esophagitis Agents

EOHILIA

(continued)

© 2025 Evernorth Health Services. All rights reserved. All trademarks are the property of their respective owners.

CRP1386903A 204612 EXCL-NPF-26 (08/08/2025)

Page 16

Made with FlippingBook. PDF to flipbook with ease