| Document Date: 2014-11-26 16:01:35
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MedicalCondition Abilify Maintena Adefovir dipivoxil Apriso Abilify Discmelt Aerospan Allegra Allergy / HBV / / MedicalTreatment Antibiotics / / Person Allegra Allergy Susp / Allegra Allergy / / Position General / / Product Pioglitazone / Diazepam / Naloxone / Olanzapine / fluoxetine / Methylin / Oxaprozin / Natacyn / Tricor / Irbesartan / Garamycin / Kynamro (subQ)* Xarelto* Baraclude / Tobi / Zyrtec / Fluocinolone acetonide / Copaxone / Escitalopram / Daypro / Nasacort AQ / Humalog mix / Ilotycin / Omnaris / Novolin / Namenda / Symbyax / glimepiride / Evista / Niacin / Nicoderm CQ / Humulin / Lidocaine / Donepezil / Fortamet / Trilipix Tudorza Pressair Vascepa* Viibryd Dose Pack Voriconazole suspension / Gatifloxacin / Vivitrol / Lantus / Ciclopirox / Humulin 70/30 pen / Hepsera / Betaseron Breo Ellipta Buprenorphine / Nystatin / Levemir / Abilify / Lamivudine / Allegra / Fenofibrate / Repaglinide / Nicorette / Fexofenadine / Rebif / Betaseron / Feldene / Rapamune / Niaspan / Renvela / Pulmicort Flexhaler / Tobramycin / Baraclude / / Technology CRM / /
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Synopsis of PDL Update – [removed]Medications MOVED or ADDED to Preferred Status: Medications MOVED or ADDED to NON-Preferred Status: Abilify Maintena