Important information for Hennepin Health SNBC plan members who joined April 1, 2025.
Hennepin Health is making a change to its drug formulary for Q4 2025. This change applies to Hennepin Health-PMAP, Hennepin Health-MNCare and Hennepin Health-SNBC members. Members who are directly impacted will receive notification of the changes. The updated full drug formulary is available on the website. A printed copy can be obtained by calling Provider Services at 612-596-1036 (select option #2).
• Voriconazole tablet • Paxlovid tab dose pack • Bisoprolol HCTZ • Coreg CR • Nebivolo • Propranolol/HCTZ • Trulicity • Eucrisa • Exelon (transderm) • Fesoterodine ER (oral) • Myrbetriq (oral) • Albuterol HFA (generic AND authorized generic of Proair HFA) • Albuterol HFA (generic of Proventil HFA)
• Corgard • Pindolol • Boniva • Etidronate disodium • Augmentin XR • Keflex (oral) • Tudorza Pressair • Symjepi • Bydureon Bcise • Byetta pens • Lovaza • Exelon capsules • Namenda XR • Coumadin • Ditropan XL (oral) • Enablex (oral) • Adalat CC • Calan • Calan SR • Jesduvroq • Ciprofloxacin ER (oral)
• Quinapril • Arikayce • Diflucan tablet • Oravig • Vfend tablet • Vfend suspension • Voriconazole suspension • Naftifine cream • Bystolic • Binosto • Tezruly • Augmentin 125 suspension • Augmentin ES- 600 suspension • Umeclidinium- vilanterol Ellipta • Neffy spray • Exenatide pen • Ebglyss • Nemluvio • Zoryve foam • Tryngolza • Toviaz • Detrol LA (oral) • Mirabegron ER (oral) • Lyumjev Tempo Pen U-100
• Bisoprolol HCTZ • Coreg CR • Nebivolo • Propranolol/HCTZ • Trulicity • Exelon (transderm) • Fesoterodine ER (oral) • Albuterol HFA (generic AND authorized generic of Proair HFA) • Albuterol HFA (generic of Proventil HFA)
• Voriconazole tablet • Paxlovid tab dose pack • Coreg CR • Tudorza Pressair • Symjepi • Exelon (Transderm) • Fesoterodine ER (oral) • Myrbetriq (oral) • Albuterol HFA (generic AND authorized generic of Proair HFA) • Albuterol HFA (generic of Proventil HFA) • Amphetamine/dextroamphetamine ER cap