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2014 Prior Authorization for OPERS, Non-Medicare Prior Authorization Drug (If the drug you take is on this list, Express Scripts will check to make sure it meets your plan’s conditions for coverage.) Abstral
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Document Date: 2014-01-21 10:53:06


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City

Dysport / /

Company

Express Scripts / /

Event

FDA Phase / /

Organization

Medicare / /

Product

hydroxyprogesterone caproate / ketoprofen / Advair HFA / diclofenac sodium / Solaraze / Advair Diskus / Symbicort / Kineret / Somavert / Tev-Tropin / Provigil / Retin-A / fentanyl / flurbiprofen / Generic Name Afinitor® / /

Technology

Pharmacogenomic / ado / /

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