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UNC Pharmacy Assistance Program Fomulary

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UNC Pharmacy Assistance Program Fomulary

WebPharmacy Assistance Program Formulary. This document contains information about the medications covered by UNC Health Care’s Pharmacy Assistance Program (PAP), a …

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UNC Health Network Health Plan

WebHow to Use This Document What is the UNC H eal th Network Health Plan (NHP) f ormulary? The UNC Health NHP formulary is a list of prescri p tion medication s that are

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UNC Health Network Health Plan

WebUNC Health Network Health Plan. UNC Health Network Health Plan. Effective Date: Jan 1, 2018. Last Updated: Dec 25, 2023.

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Friday Health Plans 2020

WebFriday Health Plans 2020 2021 Drug Lookup. Please click on the link below for coverage on or after 1/1/2021 Friday Health Plans 2021

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Caterpillar Open Formulary

WebWelcome to the Caterpillar Prescription Drug Benefit Search Tool. This search tool applies to certain production hourly Retirees in a plan administered by UnitedHealthcare. Central …

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Friday Health Plans 2021

WebFriday Health 2022. Please view Friday Health's webpage to access pharmacy benefit information. Friday Health Plans 2021. Effective Date: Jan 1, 2021. …

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SAN FRANCISCO HEALTH PLAN MEDI-CAL FORMULARY

WebEffective Date: Jul 1, 2021. Last Updated: Dec 9, 2021. Cookie Settings

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Alliant Precision Formulary 2022

WebWelcome. Please click here to see Alliant formulary for 2023. Alliant Precision Formulary 2022. Effective Date: Jan 1, 2022. Last Updated: Dec 14, 2022.

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SAN FRANCISCO HEALTH PLAN HEALTHY WORKERS

WebWAKEFULNESS-PROMOTING AGENTS. ANTI-INFECTIVE AGENTS. 1ST GENERATION CEPHALOSPORIN ANTIBIOTICS. 2ND GENERATION CEPHALOSPORIN …

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Prior Authorization Drug List

WebDrug Class Drugs Requiring Prior Authorization ANTILIPEMIC AGENTS, MISCELLANEOUS -- Continued NEXLETOL NEXLIZET VASCEPA ANTIMALARIALS ARAKODA …

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HSA Preventive Drug List

WebANTIDEPRESSANTS bupropion hcl sr 150 mg tablet (ndc: 00591354360) bupropion hcl sr 150 mg tablet (ndc: 00591354376) bupropion hcl sr 150 mg tablet (ndc: 43598086360)

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MAGELLAN Rx PRECISION FORMULARY

WebMAGELLAN Rx PRECISION FORMULARY. Please visit https://magellanrx.com/member/documents/ for the latest formulary information. This …

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Ingham Health Plan

WebANTIFUNGALS (SKIN AND MUCOUS MEMBRANE) ALLYLAMINES (SKIN AND MUCOUS MEMBRANE) ANTIFULGALS (SKIN, MUCOUS MEMBRANE),MISC. AZOLES (SKIN …

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Alliant Precision Formulary 2023

WebAlliant Precision Formulary 2023. Please click here to see Alliant formulary for 2024

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GLOBALHEALTH PRECISION STATE

WebEffective Date: Jan 1, 2018. Last Updated: Dec 20, 2023. Cookie Settings

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Caterpillar Closed Formulary

WebWelcome to the Caterpillar Drug Formulary. This formulary applies to active Employees and certain Retirees that are covered by the prescription drug benefit …

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Quantity Limit Drug List

WebANALGESICS AND ANTIPYRETICS SUBOXONE (2 MG-0.5 MG, 8 MG-2 MG) 3 / day SUBOXONE (4 MG-1 MG, 12 MG-3 MG) 2 / day SUBSYS 12 / day TENCON 6 / day …

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DRUGS THAT REQUIRE A PRIOR AUTHORIZATION

WebD-PENAMINE. D.H.E.45 DALFAMPRIDINE ER DALIRESP DANYELZA DARZALEX DARZALEX FASPRO DAURISMO DAYBUE DEFERASIROX DEFERIPRONE …

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