| Document Date: 2014-09-10 16:18:41
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Company DEXCOM / / Person Lotronex / / / Position pharmacist / physician / Patient-Physician / / Product testosterone cypionate / fluticasone propionate / potassium chloride / selenium sulfide / ALPHAGAN P / HYCAMTIN / diflorasone diacetate / cephalexin / Levoxyl / acetaminophen / fluphenazine / haloperidol / fluocinolone acetonide / halobetasol propionate / RETIN-A MICRO / Lotronex / prednisolone acetate / ALKERAN / hydrocortisone valerate / CLOBEX / DS / prednisolone sodium phosphate / lidocaine viscous / calcitonin-salmon / medroxyprogesterone acetate / cromolyn sodium / TRUVADA / divalproex sodium / NOVOLIN N / Low-Ogestrel / polyethylene glycol / VALCYTE / sodium bicarbonate / ADVAIR HFA / methimazole / temazepam / calcium acetate / dexamethasone sodium phosphate / VITAMIN D / AZASAN / propylthiouracil / cefadroxil / NEULASTA / erythromycin stearate / TARKA / cefuroxime axetil / NOVOLIN R / VIVELLE-DOT / mercaptopurine / danazol / BETOPTIC S / estradiol valerate / EPIPEN JR / LOCOID LIPOCREAM / nitroglycerin / ZETIA / TRACLEER / NUVIGIL / albuterol / acetazolamide / AZOPT / nitrofurantoin / levocarnitine / FLOVENT HFA / norethindrone acetate / NORDITROPIN / WELCHOL / PULMICORT FLEXHALER / isosorbide dinitrate / tobramycin / CELEBREX / SEROQUEL XR / CANASA / albuterol sulfate / megestrol acetate / FUZEON / fentanyl citrate / OPANA ER / COREG CR / BENICAR HCT / leuprolide acetate / FLOVENT DISKUS / NUVARING / clobetasol propionate / XYREM / metronidazole / testosterone enanthate / NOVOLOG MIX / hydrocortisone acetate / baclofen / TRAVATAN Z / hydrocortisone butyrate / TEKTURNA HCT / PROAIR HFA / potassium citrate / LOESTRIN FE / CIPRODEX / KUVAN / Folic Acid / ribavirin / TRANSDERM SCOP / ZOLADEX / famciclovir / valproic acid / epinephrine / ORTHO TRI-CYCLEN LO / nevirapine / lidocaine / DAYTRANA / acetic acid / erythromycin ethylsuccinate / diclofenac sodium / clopidogrel / dipyridamole / lansoprazole / magnesium sulfate / abacavir / cabergoline / lamivudine / doxycycline hyclate / ammonium lactate / fentanyl / triamcinolone acetonide / betamethasone dipropionate / fluorouracil / RX / TEKTURNA / phenytoin sodium / HUMULIN R / valacyclovir / INTRON A / OXSORALEN-ULTRA / sulfamethoxazole / misoprostol / SUTENT / lithium carbonate / betamethasone valerate / isosorbide mononitrate / THALOMID / timolol maleate / naproxen sodium / BARACLUDE / / ProvinceOrState Kansas / / Technology ALPHA / ADC / CRM / ANTI-INFECTIVES / / URL http /
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Kansas State Group Health Insurance Program Member Preferred Drug List 2014