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Prescription Drug List - Ambetter from Peachstate

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Prescription Drug List - Ambetter from Peachstate

PREFERRED DRUG LIST The Ambetter from Peach State Health Plan Preferred Drug List is a guide to available ... TRAVATAN Z 2 Drug Name Tier QLL ST PA naphazoline 1

http://ambetter.pshpgeorgia.com/files/2014/01/GA-Short-Formulary_FINAL_1.3.2014.pdf

Date added: April 10, 2014 - Views: 1

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The Behavioral Health Drug List - Arizona...

Arizona Department of Health Services/ Division of Behavioral Health Services Behavioral Health Drug List 1 Last Revised: 04/22/2015 Effective Date of Revision: 06/01 ...

http://www.azdhs.gov/bhs/documents/drug-list-prior-authorization-guidelines/drug-list.pdf

Date added: January 3, 2014 - Views: 1

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National List of Essential Medicines of India 2011

Prof. S.K. Sharma, Head, Department of Medicine, All India Institute of Medical Sciences, New Delhi ... reduces development of drug resistance. The list

http://www.aiims.edu/aiims/departments/pharmacology/National%20List%20of%20Essential%20Medicines%20India%202011.pdf

Date added: November 2, 2011 - Views: 48

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Medicaid Preferred Drug List(pdf) - Illinois

Preferred Drug List Illinois Medicaid July 1, 2014 Changes are highlighted in blue and marked with an asterisk (*) ***For drugs not found on this list, go to the drug ...

http://www.hfs.illinois.gov/assets/pdl.pdf

Date added: November 22, 2011 - Views: 52

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Download Prescription Program Anthem Blue Cross...

Prescription Program Drug List/Formulary — To be used by members who have a tiered drug plan. MBCEBRO-11 Effective 07/10 Anthem Blue Cross and Blue Shield

https://www.anthem.com/shared/noapplication/f1/s0/t0/pw_ad094060.pdf

Date added: July 29, 2015 - Views: 1

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2014 Express Scripts Preferred Drug List

THIS DOCUMENT LIST IS EFFECTIVE JANUARY 1, 2014 THROUGH DECEMBER 31, 2014. THIS LIST IS SUBJECT TO CHANGE. You can get more information and updates to this document ...

https://member.express-scripts.com/images/pdf/2014preferreddruglist.pdf

Date added: December 9, 2013 - Views: 21

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Generic Drug Formulary - Stop & Shop

7/17/09 nadolol 20mg tab 90 nadolol 40mg tab 90 naproxen 375mg tab 180 naproxen 500mg tab 180 natal care plus tabs mltivitmn 90 neo/poly/dexa ophth oint 10.5

http://images.stopandshop.com/media/pharmacy/generic_drugs_sns_20091112.pdf

Date added: November 12, 2011 - Views: 22

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Preferred Drug List - Absolute Total Care

Absolute Total Care Introduction (4-2012) Page 1 of 6 Page 1 of 6 Absolute Total Care Pharmacy Program . Absolute Total Care covers prescription drugs and certain ...

http://www.absolutetotalcare.com/files/2012/04/PDL-Updated-04-2012.pdf

Date added: April 29, 2013 - Views: 2

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DRUG FORMULARY - Health Alliance

INTRODUCTION This is the 2014 Health Alliance Drug Formulary. In order to assist members and providers in choosing covered prescription drugs for

https://www.healthalliance.org/media/HAMP_formulary.pdf

Date added: December 5, 2012 - Views: 11

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2014 Formulary ( List of Covered Drugs)

iii What is the Blue Cross Medicare Advantage Formulary? A formulary is a list of covered drugs selected by Blue Cross Medicare Advantage in consultation with a team

http://www.bcbsil.com/medicare/pdf/il_mapd_druglist_2014.pdf

Date added: December 8, 2013 - Views: 11

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Prescription Drug List By Tier - Caremark

Tufts Health Plan Drug List Key Terms Formulary A formulary is a list of prescription medications developed by a committee of practicing physicians and

http://formularysearch.caremark.com/formularypdf/TuftsByTier_0.pdf

Date added: November 13, 2012 - Views: 43

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STANDARD TREATMENT GUIDELINES AND ESSENTIAL DRUGS ...

The Standard Treatment Guidelines and Essential Drugs List for ... The concept of an essential drugs list is a cornerstone of the National Drug Policy and an ...

http://apps.who.int/medicinedocs/documents/s16194e/s16194e.pdf

Date added: November 27, 2012 - Views: 1

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2015 Health Choice Arizona Formulary

A Formulary / Preferred Drug List (PDL) is a list of drugs chosen by Health Choice Arizona and a team of doctors and pharmacists.

https://www.healthchoiceaz.com/docs/formulary.pdf

Date added: August 3, 2015 - Views: 1

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4 10Riesbeck’s Pharmacy Reward Club

Generic Medication List $4/$10Riesbeck’s Pharmacy Reward Club Medication Name/ Strength/Dosage Form 30 ... Oral Contraceptive List Medication Name/ Strength/Dosage ...

http://www.riesbeckfoods.com/docs/Pharmacy/rx_list.pdf

Date added: July 26, 2013 - Views: 1

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Maintenance Drug List - Express Scripts

Maintenance Drug List Below is a listing of approved Maintenance Drugs. ... HCmaintenance drug list for members_reformatted.xls Author: dmlarse Created Date:

https://member.express-scripts.com/images/pdf/mahMaintenanceDrugList.pdf

Date added: August 21, 2013 - Views: 1

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PEEHIP Maintenance Drug List

are covered under the maintenance drug benefit of your PEEHIP medical plan: Blood Glucose Test Strips; Injection Devices; Insulin Syringe/Needle U-100; Insulin Pen ...

http://www.rsa-al.gov/uploads/files/Maintenance_List.pdf

Date added: April 5, 2014 - Views: 2

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Retail Prescription Program Drug List Revised...

Check out the Retail Prescription Program Drug List. Price matters, new men's health category, convenience, free home delivery

http://i.walmart.com/i/if/hmp/fusion/genericdruglist.pdf

Date added: August 31, 2011 - Views: 171

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Florida Blue Medication Guide July 2015 - BCBSFL

Medication list ..... II . Pharmacy benefit programs ... The drug formulary is regularly updated. Please visit www.FloridaBlue.com

http://www.bcbsfl.com/DocumentLibrary/Providers/Content/MedGuide.pdf

Date added: October 19, 2011 - Views: 29

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FEP 5 Tier Rx Drug Formulary (607) Standard Option...

5 INTRODUCTION FEP is pleased to provide the 2015 FEP 5 Tier Rx Drug Formulary as a useful reference for drug product selection. The drugs on the FEP 5 Tier Rx Drug ...

https://www.caremark.com/portal/asset/z6500_drug_list.pdf

Date added: August 3, 2015 - Views: 1

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Alphabetical Formulary List - Kmart - Deals on...

Version: 4/27/09 Alphabetical Formulary List Drug Quantity Price Drug Quantity Price Pilocarpine 2% Ophthalmic Solution 45 $10 Salsalate 750mg Tablet 180 $15

http://www.kmart.com/ue/home/kmrx.Alphabetical_Prescriptions.pdf

Date added: November 18, 2011 - Views: 56

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Update on Iowa Medicaid’s Preferred Drug List

Update on Iowa Medicaid’s Preferred Drug List Michael Flaum, MD Iowa Consortium for Mental Health University of Iowa Carver College of Medicine

http://www.healthcare.uiowa.edu/icmh/documents/PDLupdate.pdf

Date added: March 21, 2012 - Views: 15

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Generic Maintenance Drug List

drug name requirements doxercalciferol cap 1 mcg doxercalciferol cap 2.5 mcg paricalcitol cap 1 mcg paricalcitol cap 2 mcg paricalcitol cap 4 mcg

http://www.meritusaz.com/sites/default/files/Generic%20Maintenance%20Drug%20List.pdf

Date added: April 7, 2015 - Views: 1

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CIGNA-HEALTHSPRING COMPREHENSIVE DRUG LIST

A2 Note to existing customers: This drug list has changed since last year. Please review this document to make sure that it still contains the drugs you take.

http://www.cigna.com/iwov-resources/medicare-2015/docs/formulary-ea-pdp-a.pdf?WT.z_nav=medicare%2Fpart-d%2Fdrug-list-formulary%3BBody%3BComplete%20Drug%20List%20for%20Cigna-HealthSpring%20Rx%20Secure

Date added: August 3, 2015 - Views: 1

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Wellmark Drug List

Take This lisT wiTh you each Time you visiT a docTor. ask For GeNeric druGs wheNever PossiBle. This condensed version of the Wellmark Drug List includes some of the ...

http://pharmacy.wellmark.com/docs/WellmarkPDL2011.pdf

Date added: November 2, 2011 - Views: 10

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Value-Priced Medication list - Welcome to...

Value-Priced Medication list ... (cont.) antifungal Drug Name Fluconazole 50mg Tabs Fluconazole 150mg Tabs ... See your Walgreens pharmacist for more ...

http://www.walgreens.com/images/psc/pdf/11AF0034_National_30_90day_85x11a.pdf

Date added: November 29, 2011 - Views: 17

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1199SEIU Preferred Drug List (PDL)

1199SEIU Preferred Drug List (PDL) Please take this guide with you the next time you visit your doctor. © 2015 Express Scripts Holding Company. All Rights Reserved.

http://1199seiubenefits.org/wp-content/uploads/2010/12/Preferred-Drug-List.pdf

Date added: April 13, 2012 - Views: 7

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Retail Prescription Program Drug List Revised...

Retail prescription program drug list and plan features for the Wal-Mart pharmacy. Price savings, convenience and free home delivery. Category list of type of drug ...

http://i.walmartimages.com/i/if/hmp/fusion/customer_list.pdf

Date added: August 31, 2011 - Views: 336

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July 2015 COMMONLY PRESCRIBED PREFERRED DRUGS

July 2015 COMMONLY PRESCRIBED PREFERRED DRUGS . This list is a sample of commonly prescribed generic and preferred brand drugs for groups currently using the 2015 ...

http://www.bcbstx.com/pdf/druglist.pdf

Date added: August 16, 2013 - Views: 71

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ISMP’s List of ConfusedDrug Names T

his list of confused drug names, ... Drug Name Confused Drug Name IDArubicin DAUNOrubicin IDArubicin DOXOrubicin Inderal Adderall indinavir Denavir inFLIXimab riTUXimab

https://www.ismp.org/Tools/confuseddrugnames.pdf

Date added: June 10, 2013 - Views: 1

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MedImpact Preferred Drug List

What is CMDP’s Preferred Drug List (PDL)? The preferred drug list (also sometimes called a formulary) is a list of drugs preferred by CMDP. When your doctor

https://www.azdes.gov/InternetFiles/InternetProgrammaticForms/pdf/CSO-1199A.pdf

Date added: April 27, 2015 - Views: 1

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July 2015 ScripNet Workers' Compensation Drug List

Your specific prescription benefit plan design may not cover certain products or categories, regardless of their appearance in this document. Visit our website at www ...

http://www.scripnet.com/Formulary.pdf

Date added: March 27, 2014 - Views: 1

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Illinois Medicaid Preferred Drug List - Governor...

Preferred Drug List Illinois Medicaid July 1, 2015 Changes are highlighted in blue and marked with an asterisk (*) ***For drugs not found on this list, go to the drug ...

http://www2.illinois.gov/hfs/SiteCollectionDocuments/pdl.pdf

Date added: September 20, 2012 - Views: 12

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Part D Drugs/Part D Excluded Drugs

Part D Drugs/Part D Excluded Drugs This table provides Part D coverage clarifications for specific products/drugs/drug categories in accordance

http://www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovContra/downloads/PartDDrugsPartDExcludedDrugs.pdf

Date added: November 28, 2012 - Views: 8

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Division of Developmental Disabilities Fee For...

Page 1 Janice K. Brewer Governor Clarence H. Carter Director Division of Developmental Disabilities Fee-For-Service Program Drug List (DL) INTRODUCTION

https://www.azdes.gov/uploadedFiles/Developmental_Disabilities/medimpact_ddd_formulary.pdf

Date added: December 27, 2012 - Views: 3

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Health Care Reform Preventive Drug List - AZBlue -...

FOR INTERNAL USE ONLY Page 1 of 3 July 27, 2012 Health Care Reform Preventive Drug List . The Affordable Care Act (ACA) requires private insurers to cover certain ...

https://www.azblue.com/~/media/azblue/files/pharmacy%20forms%20mastery%20directory/group/other%20forms%20and%20resources/health%20care%20reform%20preventive%20drug%20list.pdf

Date added: May 23, 2015 - Views: 1

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Preferred Drug List - NYS Medicaid Pharmacy Prior...

Revised: June 25, 2015 NYS Medicaid Fee-For-Service Preferred Drug List 1 = Preferred as of 6/25/2015 2 = Non-preferred as of 6/25/2015 3 Preferred Drugs Non ...

https://newyork.fhsc.com/downloads/providers/NYRx_PDP_PDL.pdf

Date added: December 16, 2011 - Views: 51

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BCBSIL Drug Formulary List - Blue Cross & Blue...

I Blue Cross and Blue Shield of Illinois January 2014 Drug Formulary Introduction Blue Cross and Blue Shield of Illinois is pleased to present the 2014 Drug ...

http://www.bcbsil.com/rx/pdf/formulary.pdf

Date added: October 30, 2012 - Views: 32

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Meridian Prime (HMO) 2014 Formulary List of...

Can the Formulary (drug list) ... drug that is covered by Meridian Health Plan. • You can ask Meridian Health Plan to make an exception and cover your drug.

http://www.medicaremeridian.com/pdf/mapd/mi/formulary/formulary.pdf

Date added: March 25, 2014 - Views: 1

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July 2015 Formulary Drug Removals

July 2015 Formulary Drug Removals Below is a list of medicines by drug class that have been removed from your plan’s formulary. If you continue using one of the drugs

http://www.caremark.com/portal/asset/Formulary_Exclusion_Drug_List.pdf

Date added: April 3, 2014 - Views: 1

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Acute Care Floor Nurses’ Guide: Intravenous Push...

4444Page 4 of 8 4/10/07 If medication is not approved for the IV push administration and alternative routes of administration are not available, approval for this ...

https://www.hosp.uky.edu/pharmacy/departpolicy/nursesguide/AcuteCare-IVP.pdf

Date added: July 15, 2015 - Views: 1

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Prior Authorization Guidelines

Prior Authorization Guidelines Brand Name Medications FDA Approved Indication: For adults, BHR has a diagnosis for which requested medication is an FDA approved ...

http://www.azdhs.gov/bhs/documents/drug-list-prior-authorization-guidelines/brand-medications.pdf

Date added: February 25, 2014 - Views: 1

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Advantage Formulary Preferred Drug List - J a n u...

Catamaran Preferred Drug List ... The Preferred Drug List may not include all drugs covered by your prescription drug benefit. Generic medicines are available

http://my.universworkplace.com/DZAPortal13/documents/Formulary_Catamaran.pdf

Date added: December 26, 2012 - Views: 7

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Home Delivery Prescription Program Drug List

† Prepackaged drugs are covered only in unit sizes specified on Mail Service Drug List. ... Drug List”) and through Walmart Mail Service ...

http://i.walmartimages.com/i/if/hmp/fusion/HomeDelivery.pdf

Date added: October 20, 2011 - Views: 124

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2015 Express Scripts National Preferred Formulary

(Preferred Drug List) For Georgia State Health Benefit Plan ... please call the Express Scripts phone number printed on your member ID card. oxybutynin ext-release

http://www.cherokee.k12.ga.us/employment/benefits/Docs/2015%20Express%20Scripts%20Preferred%20Drug%20List%20for%20BCBSGa%20and%20UHC.pdf

Date added: November 15, 2014 - Views: 1

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Standard Drug List - BCBSTX

Introduction . Blue Cross and Blue Shield of Texas (BCBSTX) is pleased to present the 2015 Drug List. This is a list of preferred drugs which includes Brand drugs and ...

http://www.bcbstx.com/pdf/rx/rx-list-std-tx-2015.pdf

Date added: July 3, 2015 - Views: 1

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AHCCCS Fee-For-Service Program Drug List (ADL)...

AHCCCS Fee-For-Service Program Drug List Table of Contents ANTIBIOTICS - QUINOLONES 18 ANTIBIOTICS - SULFONAMIDES 18 ANTIBIOTICS - TETRACYCLINES 18

http://www.azahcccs.gov/commercial/Downloads/PharmacyUpdates/FFSAHCCCSFORMULARY.pdf

Date added: November 29, 2012 - Views: 2

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Frequently Asked Questions: Coventry Health Care...

Your plan’s covered drug list, or formulary, can ... Coventry Medicare plans, part of the Aetna family, offer HMO, PPO and PDP plans with Medicare contracts.

http://coventry-medicare.coventryhealthcare.com/web/groups/public/@cvty_medicare_coventrymedicare/documents/webcontent/c069041.pdf

Date added: December 13, 2012 - Views: 2

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Controlled Substances - Alphabetical Order - July...

Controlled Substances - Alphabetical Order - DEA CSA SUBSTANCE NUMBER SCH NARC OTHER NAMES ... 3,4-Methylenedioxyamphetamine 7400 I N MDA, Love Drug

http://www.deadiversion.usdoj.gov/schedules/orangebook/c_cs_alpha.pdf

Date added: October 11, 2011 - Views: 194

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AHCCCS MINIMUM REQUIRED PRESCRIPTION DRUG LIST...

Special Requirements: QL: Quantity Limit PA: Prior Authorization ... AHCCCS MINIMUM REQUIRED PRESCRIPTION DRUG LIST EFFECTIVE JANUARY 1, 2013 Drug Class Drug Subgroup

http://www.azahcccs.gov/commercial/Downloads/PharmacyUpdates/AHCCCS_MRPDL_Effective_1-1-2013.pdf

Date added: February 18, 2013 - Views: 3