Risperdal perseris
[DOCX File]Louisiana Department of Health
https://info.5y1.org/risperdal-perseris_1_0978a6.html
Louisiana Medicaid – Medications Requiring ICD–10 Diagnosis Codes. Generic – Brand Examples. Diagnosis Description. ICD–10 Codes. ADHD/Narcolepsy – Stimulants and Relate
[DOCX File]Adenosine Receptor Antagonist - Northwest Pharmacy Services
https://info.5y1.org/risperdal-perseris_1_14aca8.html
PERSERIS. NON PREFERRED. RISPERDAL RISPERDAL CONSTA RISPERDAL M-TAB DISINTEGRATING. Butyrophenones. GENERIC. haloperidol haloperidol decanoate haloperidol …
[DOCX File]Standard ISNP 1-Tier CY21
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PERSERIS SUBCUTANEOUS PREFILLED SYRINGE 120 MG, 90 MG. 1. ST2. quetiapine fumarate er oral tablet extended release 24 hour 150 mg, 200 mg, 300 mg ... REXULTI ORAL TABLET 0.25 MG, 0.5 MG, 1 MG, 2 MG, 3 MG, 4 MG. 1. ST2; QL (30 per 30 days) RISPERDAL …
[DOCX File]GB Clear Springs-Enhanced PDP 5T 2021 CMP
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Sep 04, 2020 · Below is a list of abbreviations that may appear on the following pages in the Requirements/Limits column that tells you if there are any special requirements for coverage of your …
The Commonwealth of Massachusetts
Risperidone (Risperdal Consta®) Risperidone ER (Perseris®) Long Acting Injectable Medication for Substance Use Disorders. Naltrexone (Vivitrol ®) Prescriber Assessment. Prescribers must regularly …
[DOCX File]CY2021 ProRx PDP 5T Benchmark_21479
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PERSERIS SUBCUTANEOUS PREFILLED SYRINGE 120 MG, 90 MG. 4. MO. quetiapine fumarate er oral tablet extended release 24 hour. 150 mg, 200 mg, 300 mg, 400 mg, 50 mg. 4. MO. ... RISPERDAL …
[DOCX File]Department of Health | State of Louisiana
https://info.5y1.org/risperdal-perseris_1_a36b0d.html
Jul 30, 2020 · Antipsychotics Applies to FFS and All MCOs for Aripiprazole (Aristada® Initio®) and Risperidone (Perseris®) as of 1/9/19. All Other Antipsychotics as of 10/1/19.Secuado® as of …
[DOCX File]Clear Springs - MAPD 2021 Comp
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PERSERIS. 5. MO; QL (1 per 28 days) phenelzine. 3. MO. pimozide. 4. MO. protriptyline. 4. MO. quetiapine oral tablet. 2. MO. quetiapine oral tablet extended release 24 hr ... RISPERDAL CONSTA INTRAMUSCULAR SUSPENSION,EXTENDED REL RECON 12.5 MG/2 ML, 25 MG/2 ML. 4. MO; QL (2 per 28 days) RISPERDAL …
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