Group Health Medicare Advantage Prescription Drug Plan Formulary
prescribed by a Group Health Permanente (GHP) or a GHC contracted provider, filled at a GHC network... darbepoetin alfa in albumn sol Non-Preferred...
Blue Cross and Blue Shield of North Carolina 2007 Medicare ...
Tier 3 includes medications which are typically prescribed by a specialist,h ave unique uses,or... cromolyn sodium sol. 1. PA. o. ipratropium bromide sol...
Alpha Envision Formulary.xls
Envision’s Preferred Drug List (PDL) is a list of commonly prescribed drugs eligible for... electrolyte sol'n/peg's. 1. GRIFULVIN V. griseofulvin microsize...
Blue Cross and Blue Shield of North Carolina Medicare Prescription ...
Tier 3 includes medications which are typically prescribed by a specialist,... cytra-3. 1. cytra-k. 1. mhp-a. 1. potassium citrate/citric acid...
2003 Express Scripts National Preferred Alpha Formulary List (1Q-03)
Following is a list of the commonly prescribed drugs... oxycodone hcl 5mg/5ml sol. oxycodone w/acetaminophen. oxycodone w/aspirin. oxycodone-acetaminophen...
MassHealth Drug List
Cytra-3 (potassium citrate/sodium citrate/citric acid)... Please list all other medications currently prescribed for the member for this indication...
