| Document Date: 2014-04-18 17:22:51
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Facility Ointment Ointment Bar / / IndustryTerm preferred products / pharmaceutical / / MedicalCondition Robitussin Pediatric Cough / Cough Liquid Triaminic Cough / 200mg/5ml Tussin Mucous Relief Guaifenesin AC Cough / MS / / MedicalTreatment Dialysis / / Person Magnesium Chloride SR / Max Rescon / Sol Ferrous Sulfate Ferrous Sulfate / / Position Refresh PM / / Product Contac / Various Chewable Tablet / Nix / Bacitracin / Loratadine / Acetaminophen / Tablet Tablet/Suspension Tablet / Liquid Tablet Tablet / Miconazole / Tablet Tablet / Benadryl / Delsym / Zyrtec / Imodium A-D / Ibuprofen / Lotrimin AF / Sodium Chloride / Micatin 2% Cream Monistat Various Chewable Tablet / Clotrimazole / Clemastine Fumarate / Monistat / Tylenol / Mycelex / Solution Cream Liquid Liquid Syrup Suspension Capsule / Tavist / Gyne-Lotrimin / Neosporin / Ammonium Lactate / Polysporin / Permethrin / Dimetapp / Motrin / Nicorette / Tablet Allbee Plus Vitamin C Tablet / Claritin / Hydrocortisone / Ointment Suspension / Tablet Extended Release Tablet Tablet Tablet / Lamisil AT / Zyrtec-D 12 Hour / Triaminic / Zaditor / Nicotine / Wash Liquid Liquid Liquid Capsule / Ketotifen Fumarate / Solution Capsule / / Technology Dialysis / /
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MS Medicaid Covered Over-the-Counter (OTC) Drugs Effective September 1, 2011 Medicaid covers these over-the-counter (OTC) drugs pursuant to a written/verbal/electronic prescription. Covered OTC products must be manufactu