| Document Date: 2014-03-11 11:58:22
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Company Anthem Insurance Companies Inc. / HP / / Facility National Pharmacy / PA Tev-Tropin PA Thalomid PA Tobi Topotecan Trelstar Depot / / IndustryTerm body oil / health plan web site / scalp oil / / MedicalCondition HBV / complex / chronic conditions / / MedicalTreatment oral contraceptives / enema / / Organization U.S. Food and Drug Administration / Blue Cross Association / / Person Diflorasone Diflunisal Digoxin / Dorzolamide / Ella Elmiron Ergomar Estring Femtrace / Edurant Eliphos Emtriva Entacapone Epipen / Jr. / / / Position physician / / Product Sorine / Tamiflu / Azilect / Probenecid / Cephalexin / acetaminophen / Sumatriptan / Vagifem / Lysodren / Fluphenazine / Itraconazole / Methazolamide / Ofloxacin / Apokyn / Gleevec / Flutamide / Infergen / Aranesp / Humalog / Daraprim / Glimepiride / Evista / Androgel / Minoxidil / Exemestane / Desonide / Ciclopirox / Lantus / Zolinza / Xeloda / Elmiron / Spiriva / Neulasta / Mupirocin / Cefuroxime Axetil / Primaquine / Remicade / Nadolol / Torsemide / Clonazepam / Protopic / Ethosuximide / Levothroid / Allopurinol / Erythromycin / Cimetidine / Albuterol / Acetazolamide / Tretinoin / Symbicort / Metipranolol / Betaxolol / Indomethacin / Tykerb / Pulmozyme / Soriatane / Finacea / Pulmicort Flexhaler / Diazepam / Fosamax Plus D / Clozapine / Tikosyn / Orencia / Lithium citrate / Lovaza / Phenytoin / Xopenex HFA / Kineret / Diflunisal / Voltaren / Ery-Tab / Prednisolone / Tobi / Sprycel / Theophylline / Cedax / Droxia / methyltestosterone / Metronidazole / Ibuprofen / Nitro-Bid / Buphenyl / Hydrocortisone acetate / Baclofen / Tyzeka / Sensipar / Digoxin / Lamotrigine / Amoxicillin / Pentoxifylline / Vyvanse / Nexavar / Gabapentin / Ribavirin / Thiothixene / Quinapril / Nevirapine / Maxair / Pegasys / Estropipate / acetic acid / Altabax / Estring / Peganone / Cabergoline / Epipen / Abilify / Alprazolam / Isentress / Prednisone / Revlimid / Didanosine / Kaletra / Trandolapril / Tysabri / Selzentry / Betamethasone valerate / Glucagen / Niaspan / Isosorbide mononitrate / Metoclopramide / Tarceva / Phospholine iodide / Zaleplon / Venlafaxine / Potassium chloride / Humira / Emtriva / Mirtazapine / Orap / Morphine sulfate / Edecrin / Trizivir / Intelence / Valsartan / Oracea / Irbesartan / Leukeran / Penicillin / Dexamethasone / Norvir / Halobetasol propionate / Hydrocortisone valerate / Clotrimazole / Acyclovir / Ipratropium bromide / Ridaura / Sustiva / Mycobutin / Novolin / Cyclophosphamide / Truvada / Cartia XT / Carbamazepine / Meloxicam / Afeditab CR / Methimazole / triamcinolone / Benzonatate / Cesamet / Cefadroxil / Propylthiouracil / Doxycycline / Relenza / Alomide / Gemfibrozil / Premarin / Epivir / Clarithromycin / Divalproex / Omeprazole / Nifedipine / Isoniazid / Rifampin / Rebif / Nitrofurantoin / Fluconazole / Unithroid / Levocarnitine / Flovent HFA / Cefaclor / Tobramycin / Lexiva / Crixivan / Moviprep / Lanoxin / Levofloxacin / Olanzapine / Glipizide / Ramipril / Estradiol / Femtrace / Acetasol HC / Enbrel / Letrozole / Amnesteem / Sucralfate / Novolog Mix / Methscopolamine bromide / Loestrin Fe / sulfadiazine / Kuvan / Folic acid / Disulfiram / Cefprozil / Strattera / Stromectol / Clopidogrel / Pulmicort / Dipyridamole / Methyclothiazide / Lansoprazole / Abacavir / Nystatin / Ketoconazole / Claravis / Spironolactone / Ventavis / Lumigan / Fluorouracil / Veregen / Furosemide / Indapamide / Valacyclovir / Intron A / Hydrocortisone / Oxsoralen-Ultra / Sulfamethoxazole / Sutent / Lithium carbonate / Lovastatin / Quinidine sulfate / Renvela / Hydrochlorothiazide / Epitol / Thalomid / Ondansetron / Hycamtin / Methylprednisolone / Topiramate / Ventolin HFA / Orfadin / Lindane / Hydroxyurea / Klor-Con / Fareston / Hydroxyzine pamoate / Prednicarbate / trimethoprim / Rituxan / Amevive / Alkeran / Vigamox / Escitalopram / Simvastatin / Cyclosporine / Promethazine / Campral / What / Loxapine / CeeNU / Premphase / Hepsera / Erythromycin stearate / Zonisamide / Fortical / Arestin / Danazol / Permethrin / Nitroglycerin / Terconazole / Hydroxyzine / Elidel / Avonex / Letairis / Losartan / Epzicom / Rivastigmine / Welchol / Isosorbide dinitrate / Asmanex Twisthaler / Bacitracin / Fluoxetine / Pyrazinamide / Cefdinir / sulfisoxazole / Cuprimine / Etoposide / Garamycin / Tolbutamide / Nuvaring / Viracept / Lisinopril / Hexalen / Sodium polystyrene sulfonate / Desoximetasone / Emcyt / Migranal / Hydrocortisone butyrate / Amoxapine / Potassium citrate / Tev-Tropin / Chlorzoxazone / Roxicet / Famotidine / Oxandrolone / Famciclovir / Ortho Tri-cyclen Lo / Trelstar Depot / Tasigna / Forteo / Lidocaine / Sulfacetamide sodium / Erythromycin ethylsuccinate / Actonel / Panretin / Ergomar / Trelstar / Zyvox / Amitiza / Theochron / Methyldopa / Calcipotriene / Prochlorperazine / Metadate ER / Fentanyl / Azathioprine / Mebendazole / Ciprofloxacin / Suprax / Atripla / Dibenzyline / Nabumetone / Atenolol / Syprine / Baraclude / Selenium sulfide / zidovudine / Motofen / Aptivus / Levoxyl / Remodulin / Taztia XT / Haloperidol / Primidone / Ranitidine / Mefloquine / Leflunomide / Myleran / Finasteride / Alocril / Temodar / Lidocaine viscous / Rescriptor / Visicol / Cantil / Chemet / Flunisolide / Latanoprost / Sulfasalazine / Gengraf / Alinia / Proventil / Calcium acetate / Promethazine VC / Nitrostat / Vivelle-Dot / Risperidone / Levemir / Mercaptopurine / Pegintron / Biltricide / Aczone / Naproxen / Vicodin / Serevent / Podofilox / Restasis / Rapamune / Rifater / Tyzine / Dapsone / Focalin XR / Fluocinonide / Invirase / Sodium sulfacetamide / Lacrisert / Nilandron / Pataday / Fuzeon / Lodosyn / Alamast / Levonorgestrel / Humulin N / Prezista / Osmoprep / Reclast / Amcinonide / Azithromycin / Flovent / Travatan Z / Humalog Mix / Patanol / Proair HFA / Loestrin 24 Fe / Namenda / Butalbital / Griseofulvin / Ortho Evra / Cilostazol / Advair Diskus / Aminophylline / Prempro / Chlorthalidone / Glyburide / Oxcarbazepine / Doxycycline hyclate / atropine / Perphenazine / Ammonium lactate / Viread / Betamethasone dipropionate / Fenofibrate / Aggrenox / Lotemax / Felodipine / Lactulose / Pred-G / Matulane / Misoprostol / Reyataz / Stavudine / / ProvinceOrState California / / PublishedMedium the Select Drug List review / /
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Select Drug List 4 Tier Formulary 40627CAMENABC  Effective[removed]40627CAMENABC Select Drug List 4 Tier Part 2 BK 11 13