Comparative Psychotropic Medication Formularies (Partial)     

Sacramento County Medi-Cal Plans                                           

Best information available to acmepsych.com as of Apr. 14, 2008.  There is no guarantee of accuracy and errors almost certainly exist.  Medication formularies frequently change without warning. User assumes all risk related to use of information contained herein.          

Formulary Archives
	Generic Name		Brand(s) include	Medi-Cal (Straight)	Blue Cross Medi-Cal		HealthNet Medi-Cal	Kaiser Medi-Cal	Molina Medi-Cal	WHA Medi-Cal	Sac. County
Stimulants
	methylphenidate		Concerta	no	yes		yes	yes	no	yes	no
	mixed amphetamine salts		Adderall XR	yes	yes		yes	yes	yes	yes	no
	methylphenidate		Focalin XR	yes	-		-	-	-	-	-
	methylphenidate		Metadate CD	no	no		yes	no	yes	yes	no
	mixed amphetamine salts		Adderall	yes	yes		yes	yes	yes	-no	no
	methylphenidate		Ritalin LA	-	-		-	-	yes	-	-
	methylphenidate		Ritalin	yes	yes		yes	yes	yes	yes	no
	methylphenidate		Ritalin SR	-	-		yes	yes	-	-	-
	dextroamphtamine		Dexedrine	yes	yes		yes	yes	yes	yes	no
	dextroamphetamine		Dexedrine Spansule	-	yes			yes	yes	-	-
	methylpheidate		Focalin	yes	no		no	no	no	no	no
	lisdexamfetamine		Vyvanse	yes	-		yes	-		-	-
SNRI's
	atomoxetine		Strattera	no	yes		no	yes	yes	no	yes
Antipsychotics, Second Generation
	aripiperazole		Abilify	yes	yes*		yes*	yes*	yes*	yes*	yes
	ziprasidone		Geodon	yes	yes*		yes*	yes*	yes*	yes*	yes
	quetiapine		Seroquel	yes	yes*		yes*	yes*	yes*	yes*	yes
	respiridone		Risperdal	yes	yes*		yes*	yes*	yes*	yes*	yes
	olazapine		Zyprexa	yes	yes*		yes*	yes*	yes*	yes*	yes
	aripiperazole		Abilify Disk Melt	-	-		-	-	-	-	yes
	olanzapine		Zyprexa Zydis	-	-		-	-	-	-	no
	risperidone		Risperdal Consta	yes	yes*		yes*	yes*	yes*	yes*	yes
	risperidone		Risperdal M-tab	-	-		-	-	-	-	no
	paliperidone		Invega	-	-		-	-	-	-	no
Antipsychotics, First Generation				Medi-Cal	Blue Cross		HealthNet	Kaiser	Molina	WHA	Sac Co.
	haloperidol		Haldol	yes	yes*		yes*	yes*	yes*	yes*	yes
	fluphenazine		Prolixin	yes	yes*		yes*	yes*	yes*	yes*	yes
	thiothixene		Navane	yes	yes*		yes*	yes*	yes*	yes*	-
	perphenazine		Trilifon	yes	yes*		yes*	yes*	yes*	yes*	yes
	molindone		Moban	yes	yes*		yes*	yes*	yes*	yes*	-
	mesoridizine		Serentil	yes	yes*		yes*	yes*	yes*	yes*	-
	chlorpromazine		Thorazine	yes	yes*		yes*	yes*	yes*	yes*	yes
	thioridizine		Mellaril	yes	yes*		yes*	yes*	yes*	yes*	-
	clozapine		Clozaril	yes	yes*		yes*	yes*	yes*	yes*	yes
	pimozide		Orap	yes	yes*		yes*	yes*	yes*	yes*	-
	trifluoperazine		Stelazine	yes	yes*		yes*	yes*	yes*	yes*	-
	loxapine		Loxitane	yes	yes*		yes*	yes*	yes*	yes*	-
Adrenergic Agents
	guanfacine		Tenex	yes	yes		no	yes	no	yes	yes
	clonidine		Catapres	yes	yes		yes	yes	yes	yes	yes
SSRI Antidepressants
	escitalopram		Lexapro	yes	yes		yes	yes	no	no	no
	fluoxetine		Prozac	yes	yes		yes	yes	yes	yes	yes
	citalopram		Celexa	no	no		yes	yes	yes	yes	yes
	sertraline		Zoloft	yes	yes		yes	yes	yes	yes	yes
	fluvoxamine		Luvox	yes	yes		yes	yes	no	no	no
	paroxetine		Paxil CR	yes	yes		yes	-	no	no	no
	fluoxetine		Prozac weekly	-	yes		-	-	yes	-	-
	paroxetine		Paxil	yes	yes		yes	yes	yes	yes	yes
	paroxetine		Paxil syrup	yes	yes			no	yes	-	-
SSRI/SNRI Antidepressants				Medi-Cal	Blue Cross		HealthNet	Kaiser	Molina	WHA	Sac Co.
	venlafaxine		Effexor	no	yes		no	yes	yes	no	yes
	venlafaxine		Effexor XR	yes	yes		no	yes	yes	no	yes
	duloxetine		Cymbalta	yes	no		no	no	no	no	yes
Miscellaneous Antidepressants
	bupropion		Wellbutrin	yes	yes		yes	yes	yes	yes	yes
	bupropion		Wellbutrin SR	yes	yes		no	yes	yes	yes	yes
	bupropion		Wellbutrin XR	yes	yes		yes	yes	no	no	yes
	trazodone		Desyrel	yes	yes		yes	yes	yes	yes	yes
	mirtazapine		Remeron	yes	yes		yes	yes	yes	yes	yes
	olanzapine/fluoxetine		Symbyax	yes	yes*		yes*	yes*	yes*	yes*	no
Tricyclic Antidepressants
	imipramine		Tofranil	yes	yes		yes	yes	yes	yes	yes
	amitriptylene		Elavil	yes	yes		yes	yes	yes	yes	yes
	clomipramine		Anafranil	yes	yes		yes	yes	yes	yes	no
	desipramine		Norpramin	yes	yes		yes	yes	yes	yes	yes
	doxepin		Sinequan	yes	yes		yes	yes	yes	yes	no
	nortriptylene		Pamelor	yes	yes		yes	yes	yes	yes	yes
Antianxiety Agents				Medi-Cal	Blue Cross		HealthNet	Kaiser	Molina	WHA	Sac Co.
	lorazepam		Ativan	yes	yes		yes	yes	yes	yes	yes
	diazepam		Valium	yes			yes	yes			yes
	buspirone		Buspar	yes	yes		yes	yes	yes	yes	yes
	clonzepam		Klonopin	yes	yes		no	yes	yes	yes	yes
	alprazolam		Xanax	-	yes		yes	yes	yes	yes	no
	chlordiazepoxide		Librium	-				yes			yes
Hypnotics
	ramelteon		Rozerem	yes	no		no	no	no	no	no
	zolpidem		Ambien