C

PA = Prior Authorization is required; QL = Quantity limits apply; ST = Step Therapy applies; 
RD = Specialty Drug, 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.


C 
CAFERGOT suppositories
caffeine citrate (Cafcit) 
caffeine/mg sal/acetamin/p-tlox (Cafgesic Forte, Durabac Forte)
calcipotriene solution (Dovonex soln)
calcitonin, salmon nasal spray (Miacalcin)
calcitriol (Rocaltrol)
calcium acetate  (Phoslo)
camila (Ortho Micronor, Nor-Q-D)
CAMPRAL
CANASA
CAPITROL
captopril (Capoten)
captopril/hydrochlorothiazide (Capozide)
CARAC
carbamazepine (Tegretol)
carbamazepine XR (Tegretol XR)
CARBATROL
carbetapentane/guaifenasin/pseudoephedrine (Exall-D)
carbidopa/levodopa (Sinemet)
carbidopa/levodopa extended-release (Sinemet CR)
carbidopa/levodopa dissolving tablets (Parcopa) 
carisoprodol (Soma)
carteolol (Ocupress)
carvedilol (Coreg)
CAVERJECT, QL
CEENU
cefaclor (Ceclor)
cefadroxil (Duricef)
cefdinir (Omnicef)
cefditoren (Spectracef)
cefepime (Maxipime)
cefpodoxime (Vantin)
cefprozil (Cefzil)
CEFTIN suspension
cefuroxime (Ceftin)
CELEBREX, ST
CELONTIN
cephalexin (Keflex)
CERUMENEX
cesia (Cyclessa)
CETROTIDE, RD, reproductive specialists only
CHANTIX, QL 
CHEMET 
CHEMSTRIP BG
CHEMSTRIP K
CHEMSTRIP UG
CHEMSTRIP UGK
chloral hydrate
chlordiazepoxide (Librium)
chlordiazepoxide/clidinium (Librax)
chlorhexadine gluconate (Peridex)
CHLOROPTIC
chloroquine phosphate (Aralen)
chlorothiazide (Diuril)
chloroxylenol/pramoxine otic (Pramotic)
chloroxylenol/pramoxine/zinc (Zinotic)
chlorpheniramine/dextromethorphan/pseudoephedrine
chlorpheniramine/methscopolamine (Allerx DF, Respivent DF)
chlorpheniramine/methscopolamine/phenylephrine (Drymax)
chlorpheniramine/pseudoephedrine (Deconamine SR)
chlorpromazine tablets/inj (Thorazine)
chlorthalidone (Hygroton)
chlorzoxazone (Parafon Forte DSC)
cholestyramine (Questran, Questran Light)
choline magnesium trisalicylate (Trilisate)
chorionic gonadoptropin (Novarel), RD, reproductive specialists only
ciclopirox lotion/shampoo/suspension (Loprox)
ciclopirox nail laquer (Penlac, CNL 8 Kit), PA
cilostazol (Pletal)
cimetidine (Tagamet)
CIMZIA, RD, PA
CINRYZE, PA, RD
CIPRODEX
ciprofloxacin tabs/opthtalmic soln (Cipro, Ciloxan)
citalopram (Celexa)
clarithromycin (Biaxin, Biaxin XL)
clemastine (Tavist)
CLEOCIN vaginal
clindamycin capsules(Cleocin)
clindamycin 1% topical soln/gels/lotion (Cleocin T)
clindamycin/benzoyl peroxide (Benzaclin, Duac)
clobetasol cream/oint/foam/gel/soln (Temovate, Olux)
CLOBEX lotion/shampoo/spray, dermatologists only
clomiphene (Clomid, Serophene)
clomipramine (Anafranil)
clonazepam (Klonopin)
clonidine patches (Catapres-TTS) QL
clonidine tabs (Catapres)
clonidine/chlorthalidone (Combipres, Clorpres)
clorazepate (Tranxene)
clotrimazole (Mycelex)
clotrimazole/betamethasone cream/lotion (Lotrisone)
clozapine (Clozaril)
codeine sulfate
codeine/acetaminophen (Tylenol #2/3/4)
codeine/aspirin (Empirin #2/3/4)
codeine/brompheniramine/pseudoephedrine
codeine/guaifenesin (Pro-Clear caps, Robitussin AC)
colchicine
colchicine/probenecid (Col-Probenecid)
COLCRYS
colestipol (Colestid)
colistimethate (Coly-mycin), RD
COMBIPATCH
COMBIVENT
COMBIVIR, QL-first fill only 
COMTAN
CONCERTA
CONDYLOX gel
COPAXONE, RD
CORTIFOAM 
COZAAR, ST
CREON DR
CRESTOR
CRINONE
CRIXIVAN
cromolyn sodium (Crolom, Intal)
cryselle (Lo/Ovral-28)
CUPRIMINE
cyanocobalamin tablets (Vit B12)
cyclobenzaprine (Flexeril)
cyclopentolate (Cyclogyl)
cyclophosphamide (Cytoxan)
cycloserine
cyclosporine (Neoral)
cyclosporine (Sandimmune)
CYMBALTA, ST
cyproheptadine (Periactin)
CYTADREN


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