| Document Date: 2014-08-12 14:20:12
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Company IAC / / / IndustryTerm HIV therapy / chemical entity / topical solution / particular chemical entity / treatment of a mental illness / given manufacturer / / MedicalCondition HIV / oropharyngeal candidiasis / BPH / mental illness / Influenza / Mental Disorders / / MedicalTreatment ORAL CONTRACEPTIVES / / Organization American Psychiatric Association / DUR Board / FDA / Health Care Finance Administration / / / Position verapamil ER PM / / Product Tamiflu / Procardia / Vusion / sumatriptan / Lopressor HCT / Ocuflox / Terazol / Prinzide / Valtrex / itraconazole / trimethoprim / ofloxacin / Corzide / Diflucan / Vigamox / Amerge / Frova / Cardizem / Zestril / Gynazole / Ertaczo / Lotrimin / Azor / minoxidil / Minipress / Mentax / gentamicin / tioconazole / ciclopirox / Zomig / Abreva / nadolol / Levatol / Imitrex / Lopressor / Metrogel / Sular / Cortisporin / erythromycin / terconazole / Clindesse / Maxitrol / betaxolol / Zylet / Betapace AF / losartan / Cardene SR / Univasc / Atacand HCT / Antitussive / Naftin / Procardia XL / Adalat CC / bacitracin / Biaxin XL / cefdinir / telmisartan / Dilacor XR / Coreg CR / prednisolone / Penlac / lisinopril / Cedax / metronidazole / Lotensin HCT / Tekturna HCT / Prinivil / Tobrex / Ciprodex / Copegus / Micardis HCT / ribavirin / famciclovir / quinapril / Vaseretic / Pegasys / Coly-Mycin S / Aceon / Cardura XL / Factive / Poly-Pred / Vfend / Norvasc / Rebetol / Zovirax / Loprox / Cipro / flumadine / Mavik / pindolol / captopril / ciprofloxacin / Suprax / Altace / trandolapril / Tenormin / carvedilol / atenolol / Hyzaar / Nizoral / Corgard / Lotrel / Noroxin / Inderal / Ketek / Biaxin / Zestoretic / Betapace / Sporanox / valsartan / irbesartan / miconazole / dexamethasone / clotrimazole / Cipro XR / acyclovir / Cleocin / Lotensin / Coreg / Hytrin / Zithromax / metoprolol succinate / Zmax / Monistat / Zebeta / Gyne-Lotrimin / Tarka / Pegintron / Vandazole / Vasotec / Relenza / Verelan / Famvir / Ziac / Extina / Teveten / Exforge / clarithromycin / Xolegel / Avelox / nifedipine / Exelderm / Teveten HCT / Lamisil AT / Atacand / fluconazole / Cardura / Avapro / tobramycin / Sectral / levofloxacin / Diovan HCT / Bystolic / Diovan / Capozide / Spectracef / Natacyn / ramipril / Benicar HCT / Calan / Kerlone / Inderal LA / Verelan PM / Isradipine / azithromycin / Accupril / Oxistat / Cozaar / nimodipine / Noxafil / Accuretic / Benicar / Tenoretic / Uniretic / Oral Tablets / Inspra / Trandate / Ciloxan / nystatin / ketoconazole / chlorthalidone / Cipro HC / Neosporin / spironolactone / Caduet / Polytrim / Azasite / Axert / Levaquin / Relpax / felodipine / Micardis / Maxalt / Tekturna / Lamisil / Pred-G / Tobradex / valacyclovir / Tiazac / InnoPran XL / hydrocortisone / Isoptin SR / Denavir / Avalide / Dutoprol / Vagistat / / ProgrammingLanguage ABC / / ProvinceOrState Pennsylvania / / PublishedMedium the Drug Utilization Review / / Technology ANTI-INFECTIVES / Alpha / Antibodies / / URL http /
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Indiana Medicaid Preferred Drug List (PDL) Catamaran Call Center For prior authorization requests, claims processing issues or questions about the PDL, please contact Catamaran at[removed]Or fax the prior authorizat