Download Alert for Zomig-ZMT®: As of August 1, 2013, Zomig

Alert for Zomig-ZMT®:
As of August 1, 2013, Zomig-ZMT® orally disintegrating tablets and Zomig® tablets will no longer be part of the Plan’s preferred drug list
(Express Scripts’ formulary), due to the availability of a generic equivalent. As a result, this medication will be more expensive. If you
continue to purchase this medication on or after August 1, 2013 you will pay a higher non-preferred brand name copayment, subject to the
below-mentioned ancillary charge if you request the brand name.
Below is an illustration of the cost difference in the brand name non-formulary and the lower cost generic alternative:
Drug Type
Generic medication
Non-preferred brand name or
(non-formulary drug)
Drug Name
Zolmitriptan orally
disintegrating tablet
Zolmitriptan tablet
Zomig-ZMT® orally
disintegrating tablet
Zomig® tablet
Copayment for up to a 34-day supply at a network
pharmacy after you meet your deductible
$5
50% of the medication cost
Minimum copayment: $50
Maximum copayment: $150
For more details on the Citigroup Prescription Drug Plan benefit, visit Citi Benefits Online at www.citibenefitsonline.com, select “What’s Covered?,” followed by
“Health Care” then “Prescription drugs” and “Prescription drug benefits at a glance”.
The newly available generic preferred medication is a safe, effective alternative to your current medication and will cost less than the one
you’re currently taking. We realize only you and your doctor can decide which medications are right for you. If you have used Zomig ® or
Zomig-ZMT® in the past 5 months you will receive a communication in the mail with more information.