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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
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sacrosidase (OTHER GI DRUGS) SAFETY SYRINGE WITH SHIELD (DIABETIC SUPPLIES) SAIZEN (PAR) (GROWTH HORMONES AND RELATED DRUGS) SAL-TROPINE (ANTISPASMODICS/DRUGS AFFECT GI MOTILITY) SALAGEN (DRUGS AFFECTING THE THROAT AND MOUTH) SALEX (ANTIPSORIASIS AND ANTIECZEMA DRUGS) SALICEPT (DRUGS AFFECTING THE THROAT AND MOUTH) SALICEPT (DRUGS AFFECTING THE THROAT AND MOUTH) SALICYLIC ACID (KERATOLYTIC DRUGS) SALICYLIC ACID (ANTIPSORIASIS AND ANTIECZEMA DRUGS) saline flush (ELECTROLYTES, IRRIGATING SOLUTIONS, ETC.) SALITOP (ANTIPSORIASIS AND ANTIECZEMA DRUGS) SALKERA (ANTIPSORIASIS AND ANTIECZEMA DRUGS) salmeterol (BETA-2 ADRENERGIC DRUGS) salmeterol/fluticasone (OTHER DRUGS FOR ASTHMA) salsalate (SALICYLATES AND RELATED DRUGS) salsalate (SALICYLATES AND RELATED DRUGS) SANCTURA (ANTICHOLINERGIC ANTISPASMODICS) SANCTURA XR (ANTICHOLINERGIC ANTISPASMODICS) SANDIMMUNE (PAR) (ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS) SANDOSTATIN (ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS) SANDOSTATIN LAR (ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS) SANTYL (TOPICAL DERMATOLOGICAL DRUGS) saquinavir mesylate (ANTIRETROVIRALS & PROTEASE INH) SARAFEM (SELECTIVE SEROTONIN REUPTAKE INHIBITORS) SCALP TREATMENT (ANTIPSORIASIS AND ANTIECZEMA DRUGS) SCOPACE (ANTISPASMODICS/DRUGS AFFECT GI MOTILITY) SCOPOHIST (ANTIHISTAMINE/DECONGESTANT COMBINATIONS) SCOPOHIST-PE (ANTIHISTAMINE/DECONGESTANT COMBINATIONS) scopolamine (ANTISPASMODICS/DRUGS AFFECT GI MOTILITY) scopolamine (OTHER OPHTHALMIC DRUGS) SCOPOLAMINE HYDROBROMIDE (ANTISPASMODICS/DRUGS AFFECT GI MOTILITY) SEASONALE (CONTRACEPTIVES) SEASONIQUE (CONTRACEPTIVES) SEB-PREV (ANTIPSORIASIS AND ANTIECZEMA DRUGS) SEB-PREV (ANTIPSORIASIS AND ANTIECZEMA DRUGS) SECONAL SODIUM (SEDATIVE/HYPNOTIC DRUGS) SECTRAL (BETA-ADRENERGIC ANTAGONIST DRUGS) sedapap (DRUGS TO PREVENT AND TREAT HEADACHES) SELECT-OB (PRENATAL VITAMINS) selegiline (OTHER ANTIPARKINSON DRUGS) selegiline hcl (OTHER ANTIPARKINSON DRUGS) selenium (ELECTROLYTES, IRRIGATING SOLUTIONS, ETC.) selenium (ELECTROLYTES, IRRIGATING SOLUTIONS, ETC.) selenium sulfide (ANTIPSORIASIS AND ANTIECZEMA DRUGS) selenium sulfide (ANTIPSORIASIS AND ANTIECZEMA DRUGS) SELENIUM SULFIDE (ANTIPSORIASIS AND ANTIECZEMA DRUGS) SELENOS (ANTIPSORIASIS AND ANTIECZEMA DRUGS) SELFEMRA (SELECTIVE SEROTONIN REUPTAKE INHIBITORS) SELSEB (ANTIPSORIASIS AND ANTIECZEMA DRUGS) SELZENTRY (ANTIRETROVIRALS & PROTEASE INH) SEMPREX-D (ANTIHISTAMINE/DECONGESTANT COMBINATIONS) SENILEZOL (VITAMINS & MINERALS & RELATED PRODUCTS) SENOPHYLLINE (OTHER DRUGS FOR ASTHMA) SENSIPAR (OTHER ENDOCRINE DRUGS) SENSORCAINE (LOCAL ANESTHETICS) SENSORCAINE WITH EPINEPHRINE (LOCAL ANESTHETICS) SEPTRA (SULFONAMIDES) SEPTRA DS (SULFONAMIDES) SERADEX (ANTITUSSIVE AND EXPECTORANT DRUGS) SERADEX-LA (ANTIHISTAMINE/DECONGESTANT COMBINATIONS) SEREVENT DISKUS (BETA-2 ADRENERGIC DRUGS) SEROMYCIN (ANTITUBERCULOSIS DRUGS) serophene (OVULATORY STIMULANTS) SEROQUEL (PAR covered if prescribed by psychiatrist) (ANTIPSYCHOTIC DRUGS) SEROQUEL XR (PAR covered if prescribed by psychiatrist) (ANTIPSYCHOTIC DRUGS) sertraline (SELECTIVE SEROTONIN REUPTAKE INHIBITORS) sertraline hcl (SELECTIVE SEROTONIN REUPTAKE INHIBITORS) SERVIRA (ANTISPASMODICS/DRUGS AFFECT GI MOTILITY) sevelamer (BLOOD DETOXICANTS) sevelamer carbonate (BLOOD DETOXICANTS) SF (FLUORIDE PRODUCTS) SF 5000 PLUS (FLUORIDE PRODUCTS) SIDEROL (INJECTABLE VITAMINS) SIDEROL (VITAMINS & MINERALS & RELATED PRODUCTS) SIDESTREAM (MEDICAL (MISCELLANEOUS) SUPPLIES) sildec (ANTIHISTAMINE/DECONGESTANT COMBINATIONS) SILDEC PE-DM (ANTITUSSIVE AND EXPECTORANT DRUGS) SILDEC-DM (ANTITUSSIVE AND EXPECTORANT DRUGS) SILHOUETTE (MEDICAL (MISCELLANEOUS) SUPPLIES) SILVADENE (TOPICAL ANTIBACTERIAL DRUGS) silver nitrate (TOPICAL DERMATOLOGICAL DRUGS) silver nitrate (TOPICAL DERMATOLOGICAL DRUGS) SILVER NITRATE APPLICATOR (TOPICAL DERMATOLOGICAL DRUGS) silver sulfadiazine (TOPICAL ANTIBACTERIAL DRUGS) silver sulfadiazine (TOPICAL ANTIBACTERIAL DRUGS) SIMCOR (HMG-COA COMBINATIONS) SIMETHICONE (PHARMACEUTICAL NECESSITIES) SIMUC-DM (ANTITUSSIVE AND EXPECTORANT DRUGS) simvastatin (HMG-COA REDUCTASE INHIBITORS) simvastatin (HMG-COA REDUCTASE INHIBITORS) SINA-12X (ANTITUSSIVE AND EXPECTORANT DRUGS) sincalide (DIAGNOSTIC PRODUCTS) SINEMET 10-100 (OTHER ANTIPARKINSON DRUGS) SINEMET 25-100 (OTHER ANTIPARKINSON DRUGS) SINEMET 25-250 (OTHER ANTIPARKINSON DRUGS) SINEMET CR (OTHER ANTIPARKINSON DRUGS) SINGULAIR (LEUKOTRIENE MODIFIERS) SINGULAIR (requires trial of non-sedating antihistamine & nasal corticosteroid or asthma medication) (LEUKOTRIENE MODIFIERS) SINUSTAR (MEDICAL (MISCELLANEOUS) SUPPLIES) SINUTUSS DM (ANTITUSSIVE AND EXPECTORANT DRUGS) SINUVENT PE (ANTITUSSIVE AND EXPECTORANT DRUGS) sirolimus (ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS) SITREX PD (ANTIHISTAMINE/DECONGESTANT COMBINATIONS) SKELAXIN (CNS MUSCLE RELAXANTS) SKELID (OTHER ENDOCRINE DRUGS) sod ferric gluc complex/sucr (VITAMINS & MINERALS & RELATED PRODUCTS) SOD SULFACETAMIDE-SULFUR WASH (ANTIACNE DRUGS) sodium acetate (ELECTROLYTES, IRRIGATING SOLUTIONS, ETC.) sodium acetate (ELECTROLYTES, IRRIGATING SOLUTIONS, ETC.) sodium bicarbonate (ELECTROLYTES, IRRIGATING SOLUTIONS, ETC.) sodium bicarbonate (ELECTROLYTES, IRRIGATING SOLUTIONS, ETC.) sodium biphosphate (ELECTROLYTES, IRRIGATING SOLUTIONS, ETC.) SODIUM CHLORIDE (ELECTROLYTES, IRRIGATING SOLUTIONS, ETC.) sodium chloride (ELECTROLYTES, IRRIGATING SOLUTIONS, ETC.) sodium chloride (OTHER DRUGS FOR ASTHMA) sodium chloride (OTHER DRUGS FOR ASTHMA) SODIUM CHLORIDE (OTHER DRUGS FOR ASTHMA) sodium citrate & citric acid (POTASSIUM SUPPLEMENTS) sodium citrate/citric acid (POTASSIUM SUPPLEMENTS) sodium fluoride (FLUORIDE PRODUCTS) sodium fluoride (FLUORIDE PRODUCTS) SODIUM FLUORIDE (FLUORIDE PRODUCTS) SODIUM HYALURONATE (TOPICAL DERMATOLOGICAL DRUGS) sodium hyaluronate (OTHER OPHTHALMIC DRUGS) sodium morrhuate (MISCELLANEOUS DRUGS) sodium oxybate (OTHER CNS/AUTONOMIC DRUGS) sodium phosphate (ELECTROLYTES, IRRIGATING SOLUTIONS, ETC.) sodium polystyrene sulfonate (POTASSIUM REMOVING RESINS) sodium polystyrene sulfonate (POTASSIUM REMOVING RESINS) SODIUM SULFA-SULFUR-MERATAN (ANTIACNE DRUGS) SODIUM SULFACETAMIDE (ANTIACNE DRUGS) sodium sulfacetamide-sulfur (ANTIACNE DRUGS) SODIUM SULFACETAMIDE-SULFUR (ANTIACNE DRUGS) sodium thiosulfate (DIAGNOSTIC PRODUCTS) sodium thiosulfate (DIAGNOSTIC PRODUCTS) SOF-SENSOR (DIAGNOSTIC PRODUCTS) SOF-SET (MEDICAL (MISCELLANEOUS) SUPPLIES) SOF-SET MICRO (MEDICAL (MISCELLANEOUS) SUPPLIES) SOF-TACT (DIABETIC SUPPLIES) SOLAGE (TOPICAL DERMATOLOGICAL DRUGS) SOLAQUIN FORTE (TOPICAL DERMATOLOGICAL DRUGS) SOLARAZE (TOPICAL DERMATOLOGICAL DRUGS) solia (CONTRACEPTIVES) SOLODYN (TETRACYCLINES) SOLOTUSS (ANTITUSSIVE AND EXPECTORANT DRUGS) SOLU-CORTEF (GLUCOCORTICOID DRUGS) SOLU-MEDROL (GLUCOCORTICOID DRUGS) SOLUCLENZ RX (ANTIACNE DRUGS) SOMA 350mg Only (250mg not covered) (CNS MUSCLE RELAXANTS) somatropin (GROWTH HORMONES AND RELATED DRUGS) SOMNOTE (SEDATIVE/HYPNOTIC DRUGS) SONAHIST (ANTIHISTAMINE/DECONGESTANT COMBINATIONS) SONAHIST DM (ANTITUSSIVE AND EXPECTORANT DRUGS) SONATA (For members under the age of 60 requires trial of generic benzodiazepine) (SEDATIVE/HYPNOTIC DRUGS) SORBUTUSS (ANTITUSSIVE AND EXPECTORANT DRUGS) SORIATANE CK (ANTIPSORIASIS AND ANTIECZEMA DRUGS) sorine (OTHER ANTIARRHYTHMICS) sotalol (OTHER ANTIARRHYTHMICS) sotalol (OTHER ANTIARRHYTHMICS) sotalol af (OTHER ANTIARRHYTHMICS) sotret (ACCUTANES) SPACOL (ANTISPASMODICS/DRUGS AFFECT GI MOTILITY) spacol i.d. (ANTISPASMODICS/DRUGS AFFECT GI MOTILITY) SPACOL T-S (ANTISPASMODICS/DRUGS AFFECT GI MOTILITY) SPECTRACEF (CEPHALOSPORINS) SPECTRAGEL (MEDICAL (MISCELLANEOUS) SUPPLIES) SPEED TRAUMA FORMULA (HERBAL PRODUCTS) SPIRIVA (OTHER DRUGS FOR ASTHMA) spironolactone (POTASSIUM SPARING DIURETICS) spironolactone (POTASSIUM SPARING DIURETICS) spironolactone-hctz (POTASSIUM SPARING DIURETICS) spironolactone/hctz (POTASSIUM SPARING DIURETICS) SPORANOX (PAR) (ORAL ANTIFUNGAL DRUGS) SPRAY AND STRETCH (TOPICAL ANESTHETICS) sprintec (CONTRACEPTIVES) SPRYCEL (ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS) sps (POTASSIUM REMOVING RESINS) SRONYX (CONTRACEPTIVES) ssd (TOPICAL ANTIBACTERIAL DRUGS) ssd af (TOPICAL ANTIBACTERIAL DRUGS) SSKI (ANTITUSSIVE AND EXPECTORANT DRUGS) STAFLEX (ANALGESICS) stagesic (CLASS III NARCOTICS) STAHIST (ANTIHISTAMINE/DECONGESTANT COMBINATIONS) STALEVO 100 (OTHER ANTIPARKINSON DRUGS) STALEVO 150 (OTHER ANTIPARKINSON DRUGS) STALEVO 200 (OTHER ANTIPARKINSON DRUGS) STALEVO 50 (OTHER ANTIPARKINSON DRUGS) STANIMAX (FLUORIDE PRODUCTS) STANNOUS FLUORIDE (FLUORIDE PRODUCTS) STARLIX (ORAL HYPOGLYCEMICS & COMBOS) stavudine (ANTIRETROVIRALS & PROTEASE INH) STAVZOR (VALPROIC ACID AND DERIVATIVES) STERAPRED (GLUCOCORTICOID DRUGS) STERAPRED DS (GLUCOCORTICOID DRUGS) STIMATE (PAR) (OTHER ENDOCRINE DRUGS) STRATTERA (PAR) (OTHER DRUGS FOR ADHD) streptomycin (ANTITUBERCULOSIS DRUGS) STREPTOMYCIN SULFATE (ANTITUBERCULOSIS DRUGS) streptozocin (ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS) STRIANT (ANDROGEN DRUGS) STROMECTOL (ANTHELMINTICS) strong iodine (THYROID SUPPLEMENTS) STROVITE (VITAMINS & MINERALS & RELATED PRODUCTS) STROVITE ADVANCE (VITAMINS & MINERALS & RELATED PRODUCTS) STROVITE ADVANCE + D (VITAMINS & MINERALS & RELATED PRODUCTS) STROVITE FORTE (VITAMINS & MINERALS & RELATED PRODUCTS) STROVITE PLUS (VITAMINS & MINERALS & RELATED PRODUCTS) SU-TUSS DM (ANTITUSSIVE AND EXPECTORANT DRUGS) sublimaze (CLASS II NARCOTICS) SUBOXONE (CLASS III NARCOTICS) SUBUTEX (CLASS III NARCOTICS) succinylcholine (DIRECT MUSCLE RELAXANTS) SUCLOR (ANTIHISTAMINE/DECONGESTANT COMBINATIONS) SUCRAID (OTHER GI DRUGS) sucralfate (OTHER ANTIULCER DRUGS) sucralfate (OTHER ANTIULCER DRUGS) SUDAHIST (ANTIHISTAMINE/DECONGESTANT COMBINATIONS) SUDAL (ANTITUSSIVE AND EXPECTORANT DRUGS) SUDAL 12 (ANTIHISTAMINE/DECONGESTANT COMBINATIONS) SUDAL-12 (ANTIHISTAMINE/DECONGESTANT COMBINATIONS) SUDATRATE (DECONGESTANTS) SULAR (CALCIUM ANTAGONISTS) sulconazole nitrate (OTHER TOPICAL ANTIFUNGALS) sulfac (OPHTHALMIC TOPICAL ANTIBACTERIAL DRUGS) sulfacetamide sod/sulfur/ure (ANTIACNE DRUGS) sulfacetamide sodium (ANTIPSORIASIS AND ANTIECZEMA DRUGS) sulfacetamide sodium (ANTIPSORIASIS AND ANTIECZEMA DRUGS) sulfacetamide sodium (OPHTHALMIC TOPICAL ANTIBACTERIAL DRUGS) sulfacetamide sodium (OPHTHALMIC TOPICAL ANTIBACTERIAL DRUGS) sulfacetamide-prednisolone (OPHTHALMIC ANTIINFECTIVE/CORTICOSTEROIDS) sulfacetamide/prednis sp (OPHTHALMIC ANTIINFECTIVE/CORTICOSTEROIDS) sulfacetamide/prednisolone ac (OPHTHALMIC ANTIINFECTIVE/CORTICOSTEROIDS) sulfacetamide/sulfur (ANTIACNE DRUGS) SULFADIAZINE (SULFONAMIDES) sulfamethoxazole-trimethoprim (SULFONAMIDES) sulfamethoxazole/trimethoprim (SULFONAMIDES) sulfamide (OPHTHALMIC TOPICAL ANTIBACTERIAL DRUGS) SULFAMYLON (TOPICAL ANTIBACTERIAL DRUGS) sulfanilamide (OB/GYN TOPICAL ANTIINFECTIVES) sulfasalazine (OTHER GI DRUGS) sulfasalazine (OTHER GI DRUGS) sulfasalazine dr (OTHER GI DRUGS) sulfatol (ANTIACNE DRUGS) SULFATOL (ANTIACNE DRUGS) sulfatol-m (ANTIACNE DRUGS) sulfatrim (SULFONAMIDES) sulfazine (OTHER GI DRUGS) sulfazine ec (OTHER GI DRUGS) sulfisoxazole acetyl (SULFONAMIDES) sulfuric acid/sulf phenol (DRUGS AFFECTING THE THROAT AND MOUTH) sulindac (NON-STEROIDAL ANTIINFLAMMATORY AGENTS) SULINDAC (requires trial of OTC NSAID) (NON-STEROIDAL ANTIINFLAMMATORY AGENTS) SUNRISE COMPRESSOR-NEBULIZER (MEDICAL (MISCELLANEOUS) SUPPLIES) SUPERVITE (VITAMINS & MINERALS & RELATED PRODUCTS) SUPHERA (ANTIACNE DRUGS) SUPPORT-500 (VITAMINS & MINERALS & RELATED PRODUCTS) SUPRAX (CEPHALOSPORINS) SURE-T (MEDICAL (MISCELLANEOUS) SUPPLIES) SURESTEP (DIABETIC SUPPLIES) SURGICEL (HEMOSTATICS) SURGIFOAM (HEMOSTATICS) SURMONTIL (TERTIARY AMINES) SUSTIVA (ANTIRETROVIRALS & PROTEASE INH) SUTAN (ANTITUSSIVE AND EXPECTORANT DRUGS) SUTAN-DM (ANTITUSSIVE AND EXPECTORANT DRUGS) SUTENT (ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS) SUTTAR-2 (ANTITUSSIVE AND EXPECTORANT DRUGS) SUTTAR-SF (ANTITUSSIVE AND EXPECTORANT DRUGS) symax (ANTISPASMODICS/DRUGS AFFECT GI MOTILITY) SYMAX DUOTAB (ANTISPASMODICS/DRUGS AFFECT GI MOTILITY) symax-sl (ANTISPASMODICS/DRUGS AFFECT GI MOTILITY) SYMAX-SR (ANTISPASMODICS/DRUGS AFFECT GI MOTILITY) SYMBICORT (OTHER DRUGS FOR ASTHMA) SYMBYAX (PSYCHOTHERAPEUTIC COMBINATIONS) SYMLIN (AMYLIN ANALOGUES) SYMLINPEN 120 (AMYLIN ANALOGUES) SYMLINPEN 60 (AMYLIN ANALOGUES) SYMPAK (ANTIHISTAMINE/DECONGESTANT COMBINATIONS) SYMPAK DM (ANTITUSSIVE AND EXPECTORANT DRUGS) SYMPAK PDX (ANTIHISTAMINE/DECONGESTANT COMBINATIONS) SYNAGIS (IMMUNOLOGICALS AND VACCINES) SYNALGOS-DC (CLASS III NARCOTICS) SYNAREL (PAR) (SPECIALIZED OB/GYN DRUGS) SYNERA (TOPICAL ANESTHETICS) SYNTHROID (THYROID SUPPLEMENTS) SYNVISC (OTHER DRUGS FOR ARTHRITIS) SYPRINE (OTHER DRUGS FOR ARTHRITIS) syrex (ELECTROLYTES, IRRIGATING SOLUTIONS, ETC.) |
Formulary Date: 10/07/2008 Update Date: 10/09/2008 V1.3.0