W-X-Y-Z

PA = Prior Authorization is required; QL = Quantity limits apply; ST = Step Therapy applies; 
RD = Specialty Formulary, please refer to Specialty Pharmacy Program section for additional information;
OTC = Over-the-counter Product, may be covered if a prescription is written, and it is filled at a retail or mailorder pharmacy

Medications written in all CAPITAL letters are Brand names.
Medications written in all lower case letters are available generically. The brand name is listed in parenthesis for reference only.


W
warfarin (Coumadin) 


X
XALATAN
XELODA, RD
XENAZINE, PA, RD
XOLAIR, PA, RD
XYREM, RD


Y
YAZ
YODOXIN


Z 
zaleplon (Sonata)
zenchent (Ovcon-35) 
ZETIA
ZIAGEN
ziduvudine (Retrovir)
ZOLINZA, RD
zolpidem (Ambien)
zonisamide (Zonegran)
zovia 1/35E (Demulen 1/35)
zovia 1/50E (Demulen 1/50)
ZOVIRAX oint
ZYPREXA
ZYVOX, PA


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