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 

10 WASH   (ANTIPSORIASIS AND ANTIECZEMA DRUGS)

10PEH-400GFN   (ANTITUSSIVE AND EXPECTORANT DRUGS)

10PEH-400GFN-20DM   (ANTITUSSIVE AND EXPECTORANT DRUGS)

40PSE-400GFN   (ANTITUSSIVE AND EXPECTORANT DRUGS)

60PSE-400GFN-20DM   (ANTITUSSIVE AND EXPECTORANT DRUGS)

8-MOP   (ORAL DERMATOLOGICAL DRUGS)

 

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