| Document Date: 2014-11-12 10:36:49
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City ALBUTEROL / Tier / CERISA / / Company 10ML 2 ABILIFY 3 ST ADULT ASA / 3M / CAPACET CAP 2 BUFFERIN 2 CAPITAL / ARMOUR / CVS / DIHYDROCOD/ CAP ASA / FLUOR / GM / / Currency PEN / SYP / IRR / / MedicalCondition HBV / HOUR ALLERGY / / Organization CYANIDE ANTI KIT PKG UNIT / National Aeronautics and Space Administration / / Person SOL OP / / Position physician / / Product BAL / DEXFERRUM / CARBOPLATIN / COLISTIMETHATE / CEPHALEXIN / ACETAMINOPHEN / CISPLATIN / ASACOL / FLUPHENAZINE / EURAX / EC-NAPROSYN / FARESTON / BETHANECHOL CHLORIDE / BYETTA / ABACAVIR SULFATE / CARDIZEM LA / FLUTAMIDE / CO-GESIC / ALKERAN / CEFTRIAXONE SODIUM / ACETYLCYSTEINE / CYCLOSPORINE / BALSALAZIDE DISODIUM / CEFUROXIME SODIUM / BLEPHAMIDE S.O.P / NALOXONE HCL / CYTARABINE / ALFENTANIL / BICALUTAMIDE / ALENDRONATE SODIUM / CEENU / DIURIL / DIVALPROEX SODIUM / AMLODIPINE BESYLATE / CLEMASTINE FUMARATE / CHOLESTYRAMINE LIGHT / ETODOLAC / EXEMESTANE / ETOMIDATE / DESONIDE / DEXTROSE / CICLOPIROX / FLUDROCORTISONE ACETATE / CRESTOR / CHLORPROPAMIDE / ELMIRON / ERYTHROMYCIN STEARATE / CEFUROXIME AXETIL / AMPICILLIN / DANAZOL / CLONAZEPAM / ESTRADIOL VALERATE / CEFOXITIN / ESCITALOPRAM OXALATE / ETHOSUXIMIDE / ANECTINE / ATROVENT HFA / ALLOPURINOL / ERYTHROMYCIN / CIMETIDINE / MOTRIN / ACETAZOLAMIDE / BETAXOLOL / ELIDEL / AMICAR / EPZICOM / NORETHINDRONE ACETATE / CARDENE SR / CEFOTETAN / AVODART / ANASTROZOLE / ADRUCIL / ELIXOPHYLLIN / AMBISOME / CLORAZEPATE DIPOTASSIUM / FLUPHENAZINE HCL / ADALAT CC / DIAZEPAM / CEFAZOLIN SODIUM / BETIMOL / BACITRACIN / FLUOXETINE / CLOZAPINE / DEXRAZOXANE / CEFDINIR / COMBIVENT / FENTANYL CITRATE / SULFISOXAZOLE / DIFLUNISAL / CUPRIMINE / DONEPEZIL HYDROCHLORIDE / ERY-TAB / FLOVENT DISKUS / CEDAX / METHYLTESTOSTERONE / CLOBETASOL PROPIONATE / DESOXIMETASONE / CITALOPRAM HYDROBROMIDE / BACLOFEN / DISOPYRAMIDE PHOSPHATE / DIGOXIN / AMPHOTEC / AMOXAPINE / AMIKACIN SULFATE / ACETAZOLAMIDE SODIUM / FLOXURIDINE / DILANTIN / AMOXICILLIN / CALCIUM CHLORIDE / CIPRODEX / ENLON / CHLORZOXAZONE / CONSTULOSE / FAMOTIDINE / BALZIVA / FAMCICLOVIR / CARAC / EPINEPHRINE / CORLOPAM / ESTROPIPATE / BACTOCILL / ACETIC ACID / CHLORHEXIDINE GLUCONATE / ERYTHROMYCIN ETHYLSUCCINATE / ECONAZOLE NITRATE / DICLOFENAC POTASSIUM / CABERGOLINE / EPIPEN / ABILIFY / CAMILA / ALPRAZOLAM / CALCIPOTRIENE / FENTANYL / CAPTOPRIL / FLURBIPROFEN / AZATHIOPRINE / ESTERIFIED ESTROGENS / DIDANOSINE / BUSPIRONE HCL / CIPROFLOXACIN / ATRIPLA / ALDACTAZIDE / CARVEDILOL / ATENOLOL / BETAMETHASONE VALERATE / DOXAZOSIN MESYLATE / CLIMARA PRO / A-METHAPRED / DESMOPRESSIN ACETATE / TIMOLOL MALEATE / DEMEROL / BARACLUDE / DOXY 100 / CALCITRIOL / CLINDAMYCIN PHOSPHATE / FLUTICASONE PROPIONATE / DICLOXACILLIN SODIUM / EMTRIVA / ETHRANE / ZIDOVUDINE / DIFLORASONE DIACETATE / BLEPHAMIDE / APTIVUS / ALPROSTADIL / DEXTROAMPHETAMINE SULFATE / EMEND / CARISOPRODOL / CEFTIN / BIDIL / FLUOCINOLONE ACETONIDE / ABELCET / DEXAMETHASONE / ESTAZOLAM / ALORA / SODIUM CHLORIDE / CLADRIBINE / FINASTERIDE / CLOTRIMAZOLE / ACYCLOVIR / CLEOCIN / CYCLOPHOSPHAMIDE / CROMOLYN SODIUM / FLUNISOLIDE / BISOPROLOL FUMARATE / CARTIA XT / DROPERIDOL / FLUOCINONIDE EMULSIFIED BASE / CARBAMAZEPINE / CLORPRES / ALINIA / CARAFATE / ATRACURIUM BESYLATE / BENZONATATE / DILTZAC / CALCIUM ACETATE / DEXAMETHASONE SODIUM PHOSPHATE / DANTROLENE SODIUM / FLECAINIDE ACETATE / ERYGEL / CEFADROXIL / ENULOSE / ALOPRIM / BROMOCRIPTINE MESYLATE / DOXYCYCLINE / ENALAPRILAT / CELONTIN / BENZTROPINE MESYLATE / E.E.S / EPIVIR / CLARITHROMYCIN / AVELOX / ACTOS / ATROPINE SULFATE / AMINOCAPROIC ACID / AZOPT / ALCLOMETASONE DIPROPIONATE / ATACAND / FLUCONAZOLE / CELLCEPT / FLOVENT HFA / DAPSONE / AVAPRO / FLUOCINONIDE / BRIMONIDINE TARTRATE / CEFACLOR / CRIXIVAN / CELEBREX / CEFTAZIDIME / AMPICILLIN SODIUM / CANASA / COSYNTROPIN / CHANTIX / COMPRO / DIOVAN / BUMETANIDE / FLURBIPROFEN SODIUM / FLUOROPLEX / ESTRADIOL / CEFPODOXIME PROXETIL / CORTISONE ACETATE / AMCINONIDE / AMPHOTERICIN B / ACETASOL HC / AZITHROMYCIN / DIASTAT / EQUETRO / DEPO-PROVERA / ARANELLE / AMIFOSTINE / CHLOROTHIAZIDE / A-HYDROCORT / FOLIC ACID / BUPIVACAINE / DISULFIRAM / BUTALBITAL / CEFPROZIL / CARBOCAINE / CILOSTAZOL / INH / CANDESARTAN CILEXETIL / ATIVAN / DICLOFENAC SODIUM / CORMAX / DIPYRIDAMOLE / AMINOPHYLLINE / LANSOPRAZOLE / ABACAVIR / FENOPROFEN CALCIUM / CILOXAN / CLARAVIS / CHLORTHALIDONE / CAFFEINE CITRATE / CEFOTAXIME / FENOLDOPAM MESYLATE / DOXYCYCLINE HYCLATE / LAMIVUDINE / ATROPINE / DIFFERIN / AXERT / FLUDARABINE PHOSPHATE / BETAMETHASONE DIPROPIONATE / CELESTONE / ACYCLOVIR SODIUM / BUTORPHANOL TARTRATE / FENOFIBRATE / FLUOROURACIL / AGGRENOX / FELODIPINE / FLUMAZENIL / FEXOFENADINE / CYANOCOBALAMIN / BACTROBAN / CLOPIDOGREL BISULFATE / ADENOSINE / CHLOROQUINE PHOSPHATE / ENALAPRIL MALEATE / MISOPROSTOL / CHOLESTYRAMINE / DENAVIR / DACARBAZINE / EPITOL / HYDROCHLOROTHIAZIDE / CEFTRIAXONE / ALLEGRA-D 12 HOUR / / ProgrammingLanguage ML / / RadioStation WASH 2 / / Technology AERO / /
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Paramount Insurance Company Individual Exchange and Essential Formularies Preferred Drug List This document should be used as a general reference for what drugs the plan may cover, however, this document does not guarant