UHA Health Insurance. Drug Name Generic Name PA Program Disease State Submit PA or Call; Abraxane: Paclitaxel Protein-Bound acne agents, topical ‡ angiotensin modulator combinations anticonvulsants, cont. (step therapy category) amlodipine / benazepril (oral) lamotrigine tablet (ir) (not er) (oral) Drugs that are Not Covered* *Please check member benefit documentation to determine inclusion in the Drugs Not Covered program. †Alternatives may be covered or available for purchase Over The Counter (OTC). CATEGORY. FINISHED PRODUCTS. Alzheimer’s Disease Donepezil Tablets 5/10mg Galantamine Hydrobromide ER Capsule 8/16/24mg Adult doses for migraine and headache treatments including barbiturates, ergot alkaloids, and NSAIDs. Preferred Drug List/Prior Authorization List Updated January 2012 - The updated list is from the November 2, 2011 P&T Committee Meeting. District of Columbia Department of Health Care Finance Pharmacy Preferred Drug List (PDL) Effective January 2, 2019 Non-preferred medications require prior authorization Page 2 of 21 The Department of Health and Community Services provides a leadership role in health and community services programs and policy development for the province. GLAXOSMITHKLINE Patient Assistance Program. Patient assistance programs (PAPs) are programs created by drug companies, such as GLAXOSMITHKLINE, to offer free or low cost drugs to individuals who are unable to pay for their medication. Academia.edu is a platform for academics to share research papers.