BLUE - Formulary
RED - Non Formulary

Table of Contents Index Policy Information

Formulary Index

Numbers A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

fa-cyanocobalamine-pyridoxine (VITAMINS & MINERALS & RELATED PRODUCTS)

FABB (VITAMINS & MINERALS & RELATED PRODUCTS)

FAC-X (VITAMINS & MINERALS & RELATED PRODUCTS)

FACTIVE (QUINOLONES)

factor ix complex (human) (HEMOSTATICS)

factor viia, recomb (bhk cells (HEMOSTATICS)

factor viii (antihemophl fctr) (HEMOSTATICS)

famciclovir (OTHER ANTIVIRAL DRUGS)

FAMOTIDINE (ANTIULCER DRUGS)

FAMOTIDINE (Not Covered, OTC Equivalent available) (ANTIULCER DRUGS)

FAMVIR (OTHER ANTIVIRAL DRUGS)

FANSIDAR (PLASMODICIDES)

FARESTON (ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS)

FAST TAKE (DIABETIC SUPPLIES)

fat emulsions (VITAMINS & MINERALS & RELATED PRODUCTS)

FAZACLO (ANTIPSYCHOTIC DRUGS)

fe c (PRENATAL VITAMINS)

fe/vit b comp/vit b12/liver (INJECTABLE VITAMINS)

FEIBA VH IMMUNO (HEMOSTATICS)

felbamate (OTHER ANTICONVULSANTS)

FELBATOL (OTHER ANTICONVULSANTS)

FELDENE (requires trial of OTC NSAID) (NON-STEROIDAL ANTIINFLAMMATORY AGENTS)

felodipine (CALCIUM ANTAGONISTS)

felodipine er (CALCIUM ANTAGONISTS)

FEM PH (OB/GYN TOPICAL ANTIINFECTIVES)

FEMALE SELF CATHETER (MEDICAL (MISCELLANEOUS) SUPPLIES)

FEMARA (ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS)

FEMCON FE (CONTRACEPTIVES)

FEMHRT (ESTROGEN/PROGESTIN COMBINATIONS)

FEMRING (ESTROGEN DRUGS)

FEMTABS (VITAMINS & MINERALS & RELATED PRODUCTS)

FEMTRACE (ESTROGEN DRUGS)

fenofibrate (HYPOLIPOPROTEINEMICS)

fenofibric acid (HYPOLIPOPROTEINEMICS)

FENOGLIDE (HYPOLIPOPROTEINEMICS)

fenoldopam mesylate (OTHER ANTIHYPERTENSIVES)

fenoprofen (NON-STEROIDAL ANTIINFLAMMATORY AGENTS)

FENOPROFEN CALCIUM (requires trial of OTC NSAID) (NON-STEROIDAL ANTIINFLAMMATORY AGENTS)

fentanyl (CLASS II NARCOTICS)

fentanyl citrate (CLASS II NARCOTICS)

FENTORA (CLASS II NARCOTICS)

FEROCON (VITAMINS & MINERALS & RELATED PRODUCTS)

FEROTRIN (VITAMINS & MINERALS & RELATED PRODUCTS)

FEROTRINSIC (VITAMINS & MINERALS & RELATED PRODUCTS)

FERRALET 90 (VITAMINS & MINERALS & RELATED PRODUCTS)

FERRAPLUS 90 (VITAMINS & MINERALS & RELATED PRODUCTS)

FERREX 150 FORTE (VITAMINS & MINERALS & RELATED PRODUCTS)

FERREX 150 FORTE PLUS (VITAMINS & MINERALS & RELATED PRODUCTS)

FERREX 28 (VITAMINS & MINERALS & RELATED PRODUCTS)

FERRLECIT (VITAMINS & MINERALS & RELATED PRODUCTS)

FERRO-PLEX HEMATINIC (VITAMINS & MINERALS & RELATED PRODUCTS)

FERROCITE PLUS (VITAMINS & MINERALS & RELATED PRODUCTS)

FERROFLEX 150 FORTE (VITAMINS & MINERALS & RELATED PRODUCTS)

FERROGELS FORTE (VITAMINS & MINERALS & RELATED PRODUCTS)

FERROVITE (VITAMINS & MINERALS & RELATED PRODUCTS)

FERROVITE FA (VITAMINS & MINERALS & RELATED PRODUCTS)

FERROVITE FORTE (VITAMINS & MINERALS & RELATED PRODUCTS)

FEXMID (CNS MUSCLE RELAXANTS)

FEXOFENADINE HCL (ANTIHISTAMINES)

FEXOFENADINE HCL (Not covered for MAHP members) (ANTIHISTAMINES)

filgrastim (MYELOID STIMULANTS)

FINACEA (ANTIACNE DRUGS)

FINACEA PLUS (ANTIACNE DRUGS)

finasteride (OTHER GENITOURINARY PRODUCTS)

FIORICET (DRUGS TO PREVENT AND TREAT HEADACHES)

FIORICET WITH CODEINE (DRUGS TO PREVENT AND TREAT HEADACHES)

FIORINAL (DRUGS TO PREVENT AND TREAT HEADACHES)

FIORINAL WITH CODEINE #3 (DRUGS TO PREVENT AND TREAT HEADACHES)

FIRMAGON (ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS)

FIRST-HYDROCORTISONE (TOPICAL CORTICOSTEROID DRUGS)

FIRST-MOUTHWASH BLM (DRUGS AFFECTING THE THROAT AND MOUTH)

FIRST-PROGESTERONE VGS 100 (PROGESTIN DRUGS)

FIRST-PROGESTERONE VGS 200 (PROGESTIN DRUGS)

FIRST-PROGESTERONE VGS 25 (PROGESTIN DRUGS)

FIRST-PROGESTERONE VGS 400 (PROGESTIN DRUGS)

FIRST-PROGESTERONE VGS 50 (PROGESTIN DRUGS)

FIRST-TESTOSTERONE (ANDROGEN DRUGS)

FIRST-TESTOSTERONE MC (ANDROGEN DRUGS)

FLAGYL (TRICHOMONOCIDES)

FLAGYL ER (TRICHOMONOCIDES)

FLAREX (OPHTHALMIC CORTICOSTEROID DRUGS)

flavoring agent (PHARMACEUTICAL NECESSITIES)

flavoxate (ANTICHOLINERGIC ANTISPASMODICS)

flavoxate hcl (ANTICHOLINERGIC ANTISPASMODICS)

FLEBOGAMMA (IMMUNOLOGICALS AND VACCINES)

flecainide (CLASS 1C)

flecainide acetate (CLASS 1C)

FLECTOR (TOPICAL ANTI-INFLAMMATORY DRUGS)

FLEXERIL (CNS MUSCLE RELAXANTS)

FLEXTRA PLUS (ANALGESICS)

FLEXTRA-650 (ANALGESICS)

FLEXTRA-DS (ANALGESICS)

FLOLAN (OTHER VASODILATING DRUGS)

FLOMAX (OTHER GENITOURINARY PRODUCTS)

FLONASE (DRUGS AFFECTING THE NOSE)

FLOVENT DISKUS (OTHER DRUGS FOR ASTHMA)

FLOVENT HFA (OTHER DRUGS FOR ASTHMA)

FLOXIN (DRUGS AFFECTING THE EAR)

floxuridine (ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS)

FLUARIX (IMMUNOLOGICALS AND VACCINES)

FLUCAINE (OTHER OPHTHALMIC DRUGS)

fluconazole (ORAL ANTIFUNGAL DRUGS)

fluconazole in dextrose (PARENTERAL ANTIFUNGALS)

fluconazole in saline (PARENTERAL ANTIFUNGALS)

fluconazole/dextrose-water (PARENTERAL ANTIFUNGALS)

fluconazole/sodium chloride (PARENTERAL ANTIFUNGALS)

FLUDARA (ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS)

FLUDARABINE PHOSPHATE (ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS)

fludarabine phosphate (ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS)

fludrocortisone (MINERALOCORTICOID DRUGS)

fludrocortisone acetate (MINERALOCORTICOID DRUGS)

FLULAVAL (IMMUNOLOGICALS AND VACCINES)

FLUMADINE (OTHER ANTIVIRAL DRUGS)

flumazenil (OTHER CNS/AUTONOMIC DRUGS)

FLUMIST (IMMUNOLOGICALS AND VACCINES)

flunisolide (DRUGS AFFECTING THE NOSE)

fluocinolone acetonide (TOPICAL CORTICOSTEROID DRUGS)

fluocinonide (TOPICAL CORTICOSTEROID DRUGS)

fluocinonide emollient (TOPICAL CORTICOSTEROID DRUGS)

fluocinonide-e (TOPICAL CORTICOSTEROID DRUGS)

fluor-a-day (FLUORIDE PRODUCTS)

FLUOR-A-DAY (FLUORIDE PRODUCTS)

FLUORABON (FLUORIDE PRODUCTS)

FLUORABON BASIC (VITAMINS & MINERALS & RELATED PRODUCTS)

FLUORESCEIN-BENOXINATE (OTHER OPHTHALMIC DRUGS)

FLUORESCEIN-PROPARACAINE HCL (OTHER OPHTHALMIC DRUGS)

FLUORETS (DIAGNOSTIC PRODUCTS)

FLUORIDEX DAILY DEFENSE (FLUORIDE PRODUCTS)

FLUORIDEX SENSITIVITY RELIEF (FLUORIDE PRODUCTS)

fluoritab (FLUORIDE PRODUCTS)

fluorometholone (OPHTHALMIC CORTICOSTEROID DRUGS)

FLUOROPLEX (TOPICAL DERMATOLOGICAL DRUGS)

fluorouracil (ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS)

fluorouracil (TOPICAL DERMATOLOGICAL DRUGS)

fluoxetine (SELECTIVE SEROTONIN REUPTAKE INHIBITORS)

fluoxetine hcl (SELECTIVE SEROTONIN REUPTAKE INHIBITORS)

fluoxymesterone (ANDROGEN DRUGS)

fluphenazine decanoate (ANTIPSYCHOTIC DRUGS)

fluphenazine hcl (ANTIPSYCHOTIC DRUGS)

FLURA (FLUORIDE PRODUCTS)

FLURA-DROPS (FLUORIDE PRODUCTS)

FLURA-TAB (FLUORIDE PRODUCTS)

FLURATE (OTHER OPHTHALMIC DRUGS)

flurazepam (SEDATIVE/HYPNOTIC DRUGS)

flurazepam hcl (SEDATIVE/HYPNOTIC DRUGS)

flurbiprofen (NON-STEROIDAL ANTIINFLAMMATORY AGENTS)

flurbiprofen (OTHER OPHTHALMIC DRUGS)

FLURBIPROFEN (requires trial of OTC NSAID) (NON-STEROIDAL ANTIINFLAMMATORY AGENTS)

flurbiprofen sodium (OTHER OPHTHALMIC DRUGS)

FLURESS (OTHER OPHTHALMIC DRUGS)

FLUTABS (ANTITUSSIVE AND EXPECTORANT DRUGS)

flutamide (ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS)

fluticasone propionate (TOPICAL CORTICOSTEROID DRUGS)

fluticasone propionate (DRUGS AFFECTING THE NOSE)

fluticasone propionate (OTHER DRUGS FOR ASTHMA)

FLUTTER (MEDICAL (MISCELLANEOUS) SUPPLIES)

FLUVIRIN (IMMUNOLOGICALS AND VACCINES)

fluvoxamine (SELECTIVE SEROTONIN REUPTAKE INHIBITORS)

fluvoxamine maleate (SELECTIVE SEROTONIN REUPTAKE INHIBITORS)

FLUZONE (IMMUNOLOGICALS AND VACCINES)

FML (OPHTHALMIC CORTICOSTEROID DRUGS)

FML FORTE (OPHTHALMIC CORTICOSTEROID DRUGS)

FML S.O.P. (OPHTHALMIC CORTICOSTEROID DRUGS)

FOCALIN (CNS STIMULANT DRUGS)

FOCALIN XR (CNS STIMULANT DRUGS)

folbalin plus (VITAMINS & MINERALS & RELATED PRODUCTS)

folbecal (PRENATAL VITAMINS)

folbee (VITAMINS & MINERALS & RELATED PRODUCTS)

FOLBEE PLUS (VITAMINS & MINERALS & RELATED PRODUCTS)

FOLBEE PLUS CZ (VITAMINS & MINERALS & RELATED PRODUCTS)

folbic (VITAMINS & MINERALS & RELATED PRODUCTS)

folcaps (VITAMINS & MINERALS & RELATED PRODUCTS)

FOLCAPS CARE ONE (PRENATAL VITAMINS)

FOLGARD OS (VITAMINS & MINERALS & RELATED PRODUCTS)

FOLGARD RX (VITAMINS & MINERALS & RELATED PRODUCTS)

folic acid (THERAPEUTIC VITAMINS & MINERALS)

folinatal plus b (PRENATAL VITAMINS)

FOLITAB 500 (VITAMINS & MINERALS & RELATED PRODUCTS)

FOLLISTIM AQ (OVULATORY STIMULANTS)

follitropin alpha, recomb (OVULATORY STIMULANTS)

follitropin beta, recomb (OVULATORY STIMULANTS)

FOLPACE RX (VITAMINS & MINERALS & RELATED PRODUCTS)

FOLPLEX (VITAMINS & MINERALS & RELATED PRODUCTS)

folplex 2.2 (VITAMINS & MINERALS & RELATED PRODUCTS)

FOLTABS (PRENATAL VITAMINS)

FOLTABS 90 PLUS DHA (PRENATAL VITAMINS)

FOLTABS PRENATAL PLUS DHA (PRENATAL VITAMINS)

FOLTRATE (VITAMINS & MINERALS & RELATED PRODUCTS)

FOLTRIN (VITAMINS & MINERALS & RELATED PRODUCTS)

FOLTX (VITAMINS & MINERALS & RELATED PRODUCTS)

fondaparinux sodium (INJECTABLE ANTICOAGULANTS)

FORADIL (BETA-2 ADRENERGIC DRUGS)

FORMA-RAY (KERATOLYTIC DRUGS)

FORMADON (KERATOLYTIC DRUGS)

FORMALAZ (KERATOLYTIC DRUGS)

FORMALDEHYDE (KERATOLYTIC DRUGS)

formoterol fumarate (BETA-2 ADRENERGIC DRUGS)

FORMULA B PLUS (VITAMINS & MINERALS & RELATED PRODUCTS)

FORTAMET (ORAL HYPOGLYCEMICS & COMBOS)

FORTAVIT (VITAMINS & MINERALS & RELATED PRODUCTS)

FORTAZ (CEPHALOSPORINS)

FORTAZ IN ISO-OSMOTIC DEXTROSE (CEPHALOSPORINS)

FORTEO (OTHER ENDOCRINE DRUGS)

fortical (OTHER ENDOCRINE DRUGS)

FOSAMAX (OTHER ENDOCRINE DRUGS)

FOSAMAX (Q) (OTHER ENDOCRINE DRUGS)

FOSAMAX PLUS D (OTHER ENDOCRINE DRUGS)

fosamprenavir calcium (ANTIRETROVIRALS & PROTEASE INH)

foscarnet (OTHER ANTIVIRAL DRUGS)

foscarnet sodium (OTHER ANTIVIRAL DRUGS)

fosfomycin tromethamine (URINARY ANTIINFECTIVES)

fosinopril (ANGIOTENSIN CONVERTING ENZYME INHIBITORS)

fosinopril sodium (ANGIOTENSIN CONVERTING ENZYME INHIBITORS)

fosinopril-hydrochlorothiazide (OTHER ANTIHYPERTENSIVES)

fosinopril/hctz (OTHER ANTIHYPERTENSIVES)

FOSRENOL (BLOOD DETOXICANTS)

FOSTEUM (NUTRITIONAL/SUPPLEMENT PRODUCTS)

FRAGMIN (INJECTABLE ANTICOAGULANTS)

FREAMINE III (ELECTROLYTES, IRRIGATING SOLUTIONS, ETC.)

FREESTYLE FLASH SYSTEM (DIABETIC SUPPLIES)

FREESTYLE FREEDOM (DIABETIC SUPPLIES)

FREESTYLE FREEDOM LITE (DIABETIC SUPPLIES)

FREESTYLE LITE METER (DIABETIC SUPPLIES)

FREESTYLE LITE STRIPS (DIABETIC SUPPLIES)

FREESTYLE SIDEKICK II (DIABETIC SUPPLIES)

FREESTYLE SYSTEM (DIABETIC SUPPLIES)

FREESTYLE TEST STRIPS (DIABETIC SUPPLIES)

FRENADOL (SALICYLATES AND RELATED DRUGS)

FRESHKOTE (OTHER OPHTHALMIC DRUGS)

FROVA (DRUGS TO PREVENT AND TREAT HEADACHES)

fudr (ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS)

FUMATINIC (VITAMINS & MINERALS & RELATED PRODUCTS)

FURADANTIN (URINARY ANTIINFECTIVES)

furosemide (LOOP DIURETICS)

FUZEON (ANTIRETROVIRALS & PROTEASE INH)

Formulary Date: 10/21/2009 Update Date: 10/26/2009 V1.3.0