| Document Date: 2014-12-05 12:10:37
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MedicalCondition BPH / CROHN’s AGENTS ULCERATIVE COLITIS / STERIODS (Topical) ULCERATIVE COLITIS / / Organization P&T Committee / DOM / Mississippi Division of Medicaid Preferred Drug List Changes P&T Meeting Date / / Person CAM ANTAGONISTS CYTOKINE / / Position Executive Director / / Product venlafaxine / pioglitazone / ENTOCORT EC / PREVPAC / ZANTAC / VESICARE / topiramate / AZELEX / olanzapine / ALVESCO / phenytoin / cephalexin / sumatriptan / NEVANAC / irbesartan / NEXIUM / TAZORAC / ER tablets / FLOVENT Diskus / ranitidine / Concerta / HELIDAC / clobetasol propionate / metronidazole / DUAC / ARANESP / CLOBEX / DILANTIN / amoxicillin / NASONEX / PRISTIQ / TEMOVATE / tamsulosin / famotidine / BENICAR / testosterone / ribavirin / flunisolide / ANDROGEL / donepezil / STROMECTOL / calcium acetate / clopidogrel / ERYGEL / lansoprazole / PLAVIX / GENOTROPIN / WELLBUTRIN XL / nadolol / ULTRAVATE / STRIANT / GEODON / IMITREX / PAXIL / RANEXA / clarithromycin / erythromycin / SUPRAX / FLOMAX / ER capsules / tretinoin / PYLERA / NUTROPIN AQ / OMNITROPE / TOPAMAX Sprinkle / PEPCID / pantoprazole / FLOVENT HFA / ARICEPT / AVODART / fluocinonide / ZYPREXA / cefaclor / / ProgrammingLanguage BETA / EC / / Technology DOM / / URL http /
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Mississippi Division Of Medicaid Preferred Drug List Changes P&T Meeting Date: October 21, 2014 PDL Changes Effective Date: January 1, 2015 The following changes will be made to the Preferred Drug List (PDL), effective J