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[PDF File]Prescription Drug List By Tier
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Over-The-Counter Drugs (OTC) When a medication with the same active ingredient or a modified version of an active ingredient that is therapeutically equivalent, becomes available over-the-counter, Tufts Health Plan may exclude coverage of the specific medication or all of the prescription drugs in the class. For more information, please call our
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[PDF File]Alternative Generic Drugs
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Alternative Generic Drugs Drugs Not Available As A Generic Possible Alternatives On The Recommended Drug List Cutivate Betamethasone valerate 0.1% (BETA-VAL), Desoximetasone (TOPICORT LP), Fluocinolone
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BCBSIL Health Insurance Marketplace 5 Tier Drug List December 2019 (2018 Plan Year) III Coverage considerations Most prescription drug benefit plans provide coverage for up to a 30-day supply of medication, with some exceptions. Your plan may also provide coverage for up to a 90-day supply of maintenance medications.
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[PDF File]Basic Drug List - Blue Cross Blue Shield of Oklahoma
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Prescription products that have over-the-counter (OTC) equivalents may not be covered. Drugs that are not FDA- approved for self-administration may be available through your medical benefit. Blue Cross and Blue Shield of Oklahoma October 2018 Basic Drug List II How to use this list Generic drugs are shown in lower-case boldface type. Most generic drugs are followed by a reference brand drug in ...
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