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Essential Rx Drug List - Health Net
NOTE: To search online for a drug on this list, you may click “Ctrl” and “F” on your ... Includes most generic drugs and some low cost preferred brand name drugs ...
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Custom Drug List - BCBSM.com
Tier 1A: Preferred Generics — lower generic drug copay. This tier includes ... Tier 4: Preferred Specialty — lower specialty drug cost sharing. Specialty ..... ST. PA. BCBSM. Trade name. Generic name. BCN. BCBSM/BCN. Albenza. 2. 2. 2. ▫.
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Additionally, when a brand-name medication becomes available as a generic, the ... the PDL .3 Each Tier is assigned a cost,* which is determined .... also be submitted online by logging into www .optumrx .com >. Healthcare .... Albenza. Alinia. SL. Biltricide. NebuPent. Stromectol. Tier 3. Flagyl ER Tablet. Tinidazole ...
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outpatient formulary force base wright-patterson air
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High-Cost Generic Drugs — Implications for Patients and
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Kaiser Permanente comprehensive formulary - Kaiser Permanentes
In California, Kaiser Permanente is an HMO plan and a Cost plan with a ..... (e.g., ALBENZA) and generic drugs are listed in lower-case italics (e.g., amoxicillin). ... mail-order service online at kp.org/refill or by phone or mobile app, which may ...
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Advantage Choice Pharmacy Benefit Guide - UPMC Health Plan
Nov 1, 2016 ... name medications. Advantage Choice requires you to use a generic version ... These drugs can be high-cost medications and .... To request refills, you may order online or over the telephone. ..... ALBENZA ORAL TABLET. 2.
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Blue Cross and Blue Shield of Minnesota GenRx Drug - MyPrime
drugs. Brand name drugs are on the GenRx formulary only when a generic drug is not available to treat a specific medical ... safe, effective and they may cost less than brand name drugs. Members .... Formulary Exceptions online at providers. bluecrossmn.com in the Forms section. ..... ALBENZA – albendazole tab 200 mg. 2.
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2015 PDL - CareSource
Oct 1, 2015 ... To find a network pharmacy, use our online Find a Pharmacy tool. Just4Me may also cover ... interchange. Generic drugs usually cost less than their brand-name equivalents. ...... ALBENZA TAB 200MG. 3. BILTRICIDE TAB ...
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Metoprolol 25 Mg For Anxiety | Official Online Pharmacy
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Chewable tablets - World Health Organization
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Express Scripts Medicare (PDP) 2016 Formulary
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2016 Comprehensive Formulary - Aetna Medicare
Nov 1, 2016 ... Generally, generic drugs cost less than brand-name ... We have posted online documents that explain our prior authorization ... the plan's formulary, the lower cost-sharing drug or additional ...... ALBENZA. 4. MO. ALINIA. 4.
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BCBSND Formulary - Blue Cross Blue Shield of North Dakota
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CATALYST RX ADVANTAGE FORMULARY
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2016 Drug Formulary | Large Group - Group Health
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largegroup-tier1and2-formulary.pdf

CDPHP Commercial Clinical Formulary-1 2016
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2016 Comprehensive Formulary - Colorado PERA
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Fast Facts July edition - HealthPartners
Jul 1, 2016 ... current by updating your information online using our Provider Data ... in-home telemonitoring for risk management at no cost to the patient. ..... Emverm is being reintroduced as a brand medication after generic mebendazole ... Albendazole ( Albenza) remains on formulary with new prior authorization ...
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