loratadine claritin safe during pregnancy
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Over-the-counter (OTC) versions of the nonsedating antihistamine (NSA) Claritin (loratadine) are on the drug store shelves, and many health insurers have changed their formularies as a result. Schering-Plough’s decision to move Claritin out of the prescription marketplace was one of the top formulary developments in 2002.
One of the biggest concerns voiced by opponents of the OTC move was that the OTC price would be higher than the typical drug benefit copayment, thereby limiting access for some consumers. In fact, WellPoint’s original assertion that competition would result in lower OTC prices appears to be on target.
Figure 21. Current Formulary Status * of Claritin, Other NSAs, at Selected MCOs Managed Care Organization Claritin Aetna, Inc. Excludes all brand-name NSAs in favor of OTC products or generic Rx products. Alameda Alliance for Health Considers OTC products as first line of therapy. Anthem, Inc. Nonformulary BCBS of Florida 3-tiered formulary Preferred brand BCBS of Georgia BlueChoice HMO Nonformulary BCBS of North Carolina Nonformulary BCBS of Wisconsin Rx products with OTC equivalents are not covered. Blue Shield of California All NSAs are nonformulary. Preferred alternatives are nasal steroids. CareFirst Blue Cross Blue Shield Nonformulary CalOptima Nonformulary CIGNA HealthCare Nonformulary ConnectiCare Nonformulary Coventry/Wellpath Formulary with age and quantity limits. Family Health Plan Not listed Florida Medicaid Formulary Horizon BCBS of New Jersey Nonformulary Humana Web site advertises OTC availability of Claritin and Alavert, with referral to online coupons. Independence Blue Cross Nonformulary Kaiser Permanente Formulary PacifiCare of Colorado HMO/POS Nonformulary Premera Blue Cross Tier 3 Regence BlueShield of Iowa NSAs are nonformulary. OTC Claritin listed as preferred alternative. Regence BlueShield of Washington Nonformulary Tufts Health Plan Nonformulary UHP Healthcare Nonformulary UnitedHealthcare Nonformulary Managed Care Organization Clarinex Aetna, Inc. Excludes all brand-name NSAs in favor of OTC products or generic Rx products. Alameda Alliance for Health Considers OTC products as first line of therapy. Anthem, Inc. Nonformulary BCBS of Florida 3-tiered formulary Nonpreferred BCBS of Georgia BlueChoice HMO Nonformulary BCBS of North Carolina Tier 3′ BCBS of Wisconsin Tier 3 with quantity limits Blue Shield of California All NSAs are nonformulary. Preferred alternatives are nasal steroids. CareFirst Blue Cross Blue Shield Tier 3 CalOptima Nonformulary CIGNA HealthCare Tier 3 ConnectiCare Tier 3 Coventry/Wellpath Nonformulary Family Health Plan Formulary Florida Medicaid Formulary Horizon BCBS of New Jersey Nonformulary Humana Web site advertises OTC availability of Claritin and Alavert, with referral to online coupons. Independence Blue Cross Formulary with PAR Kaiser Permanente Nonformulary PacifiCare of Colorado HMO/POS Formulary Premera Blue Cross Tier 3 Regence BlueShield of Iowa NSAs are nonformulary. OTC Claritin listed as preferred alternative. Regence BlueShield of Washington Nonformulary Tufts Health Plan Nonformulary UHP Healthcare Formulary UnitedHealthcare Formulary with quantity limits Managed Care Organization Zyrtec Aetna, Inc. Excludes all brand-name NSAs in favor of OTC products or generic Rx products. Alameda Alliance for Health Considers OTC products as first line of therapy. Anthem, Inc. Nonformulary BCBS of Florida 3-tiered formulary Preferred brand BCBS of Georgia BlueChoice HMO Nonformulary BCBS of North Carolina Tier 3 BCBS of Wisconsin Tier 2 Blue Shield of California All NSAs are nonformulary. Preferred alternatives are nasal steroids. CareFirst Blue Cross Blue Shield Tier 3 CalOptima Formulary CIGNA HealthCare Tier 3 ConnectiCare Tier 3 Coventry/Wellpath Nonformulary Family Health Plan Nonformulary FloClaritin breast feeding
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