Drug lists a thru z
[PDF File]Level 1 and 2 Medication List 8.27 - AZBlue
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Level 1 Generic and Level 2 Medication List 8/27/19 . The medications listed in blue are available at the Level 1 copayment (the lowest cost sharing amount) and the
[PDF File]2019 Pfizer Zero Cost Prescription Drug List
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2019 Pfizer Zero Cost Prescription Drug List This list highlights the Pfizer prescription drugs that are covered at 100 percent when dispensed through a pharmacy under Pfizer-sponsored prescription drug coverage for eligible participants. To ensure 100 percent coverage, remember to fill your prescription at a network pharmacy.
[PDF File]Over the counter drug list - Aetna Medicaid
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aetna better health® over the counter (otc) product list all otc products require a prescription note: certain products on this list may have quantity limits (qll), step therapy, or prior
[PDF File]Getting to know your Prescription Drug List - uhc
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The Prescription Drug List (PDL) contains the most commonly prescribed medications on your pharmacy plan. Drugs are listed by common categories or classes and placed in tiers that represent the cost you pay. This makes it easier for you and your doctor to find other options to help you save money. Getting to know your Prescription Drug List
[PDF File]Your 2016 Prescription Drug List - HR Landing Page
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Your 2016 Prescription Drug List OptumRx | optumrx.com 1 Effective January 1, 2016. 2 Your Prescription Drug List This Prescription Drug List (PDL) outlines the most commonly prescribed medications from your plan’s complete pharmacy benefit coverage list, also known as a formulary. A formulary identifies the drugs available for certain conditions and organizes them into cost levels, also ...
[PDF File]Your 2017 Four-Tier Prescription Drug List
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Your 2017 Four-Tier Prescription Drug List effective January 1, 2017 Please read: This document contains information about commonly prescribed medications. For additional information: Call the toll-free member phone number on your health plan ID card. Visit myuhc.com® • Locate a …
[PDF File]Basic Drug List
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Basic Drug List Please consider talking to your doctor about prescribing preferred medications, which may help reduce your out-of-pocket costs. This list may help guide you and your doctor in selecting an appropriate medication for you. The drug list is regularly updated. Please visit myprime.com or bcbsil.com for the most up-to-date information.
[PDF File]Prescription Drug List By Tier - Caremark
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prescription for a Tier 1, Tier 2, or Tier 3 drug (as defined below); however, there may be instances when only a Tier 3 drug is appropriate, which will require a higher copayment. To help maintain affordability in the pharmacy benefit, we encourage the use of cost-effective drugs and preferred brand names through the three-tier program. This ...
[PDF File]3 TIER RECOMMENDED DRUG LIST BRAND NAME DRUGS WITH ...
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3 TIER RECOMMENDED DRUG LIST BRAND NAME DRUGS WITH GENERICS AVAILABLE ARE ITALICIZED AND LISTED FOR REFERENCE ONLY The 3-Tier Recommended Drug List (RDL) has been designed to provide Health Net members with important information about covered medications, their copayment tier, and alternative medications within a therapeutic class. Medications ...
[PDF File]Optima Health Community Care Non-Part D and Over the ...
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Optima Health Community Care Non-Part D and Over the Counter Medicaid Covered Drugs Label Name OTC/RX Requirements/Limits FOLIC ACID TAB 1MG RX * VITAMIN D CAP 50000UNT RX * Label Name OTC/RX Requirements/Limits 12 HR NASAL SPR 0.05% OTC * 1-DAY 6.5% OIN MONISTAT OTC * 24 HR NASAL SPR ALLERGY OTC *
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