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Pharmaceuticals policy / Drugs / Combination drugs / Xyrem / Over-the-counter drug / Prescription medication / Clindamycin/tretinoin / Pharmaceutical drug / Minoxidil / Medicine / Pharmacology / Chemistry


South Dakota State Employee Benefits Program Non-Covered Products under Pharmacy Benefits  Adasuve®  Aptiom®  Aricept® 23mg (only 23mg)
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Document Date: 2014-10-22 11:40:28

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File Size: 360,30 KB

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Company

HP / CVS Caremark / /

Facility

Pharmacy Benefits / /

MedicalCondition

BPH / Erectile Dysfunction / /

MedicalTreatment

oral contraceptives / Emergency Contraception / Dietary Supplements / /

/

Product

minoxidil / Fortamet / Propecia / Cialis / vitamin D / Ketek / NutreStore / Voltaren / Oracea / Rogaine / Solage / Vaniqa / Xyrem / Avage / Ziana / folic acid / Aricept / Solodyn / Benoquin / Renova / niacin / /

ProvinceOrState

South Dakota / /

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