| Document Date: 2014-07-03 12:10:59
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Company EXELON / Express Scripts / / MedicalCondition HBV / / Organization Paramount Member Service / FDA / / Person Antiretroviral Antiviral Antiviral Antiviral Antiviral / Gastrointestinal Antiviral / / / Position physician / / Product TAMIFLU / NOVOLOG / HUMIRA / ALPHAGAN P / THYROLAR / VENTOLIN HFA / ESTRACE / VIDEX / JANUMET / LEVOXYL / ASACOL / TRIZIVIR / INTELENCE / BYETTA / NORVIR / NEORAL / VIGAMOX / ACTOPLUS MET / CLEOCIN / ARIXTRA / SUSTIVA / GLUCAGON / NOVOLIN / TRUVADA / PREMPHASE / EVISTA / ANDROGEL / VALCYTE / LIALDA / CARAFATE / GENGRAF / LANTUS / CRESTOR / LANOXICAPS / SPIRIVA / VIVELLE-DOT / LEVEMIR / CELONTIN / RELENZA / ADVICOR / ATROVENT HFA / PREMARIN / EPIVIR / DETROL LA / ZETIA / AVELOX / SYMBICORT / AZOPT / REBIF / SEREVENT / ZIAGEN / AVONEX / FLOVENT HFA / NORDITROPIN / EPZICOM / CORTIFOAM / AVODART / MENEST / PULMICORT FLEXHALER / LEXIVA / CELEBREX / CATAPRES-TTS / LANOXIN / ORENCIA / CHANTIX / DIOVAN / COMBIVENT / CUPRIMINE / PENTASA / SANDIMMUNE / PREZISTA / COUMADIN / VIRACEPT / MEPRON / ENBREL / HELIDAC / DIASTAT / NORPACE CR / TRAVATAN Z / HUMALOG MIX / PATANOL / PROAIR HFA / NUTROPIN / CIPRODEX / NASONEX / ALREX / ORTHO TRI-CYCLEN LO / VIRAMUNE / ACTONEL / PULMICORT / PREMPRO / BETOPTIC / LYRICA / ISENTRESS / VIREAD / KALETRA / LOTEMAX / MESTINON / JANUVIA / BACTROBAN / ATRIPLA / EXELON / HUMULIN R / SELZENTRY / TOBRADEX / OMNITROPE / DENAVIR / RENVELA / REYATAZ / METADATE CD / / URL www.paramounthealthcare.com / www.express-scripts.com / /
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2014 Preferred Brand Drug List Generic drugs are no longer listed but are covered at the lowest copay if they met the FDA definition for generic drug. When a preferred brand drug becomes generically available, the brand