| Document Date: 2014-04-18 17:22:42
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Facility Ointment Ointment Bar / / IndustryTerm preferred products / pharmaceutical / / MedicalCondition Robitussin Pediatric Cough / nausea / Cough Liquid Triaminic Cough / vomiting / MS / / MedicalTreatment Dialysis / / Person Magnesium Chloride SR / Max Rescon / / Position Refresh PM / / Product Tablet Powder Tablet / Contac / Various Chewable Tablet / Nix / Bacitracin / Loratadine / Acetaminophen / Liquid Tablet Tablet / Miconazole / Tablet Tablet / Benadryl / Liquid Suppository Tablet Tablet/Suspension Tablet / Delsym / Zyrtec / Imodium A-D / Ibuprofen / Lotrimin AF / Sodium Chloride / Clotrimazole / Syrup Extended Release Tablet / Fer-In-Sol Tablet / Clemastine Fumarate / Monistat / Nasal Solution Tablet / Tylenol / Mycelex / Solution Cream Liquid Liquid Syrup Suspension Capsule / Tavist / Tablet Extended Release Tablet Tablet Tablet Tablet / Gyne-Lotrimin / Neosporin / Doxylamine Succinate / Unisom / Ammonium Lactate / Polysporin / Permethrin / Dimetapp / Nicorette / Motrin / Claritin / Hydrocortisone / Lamisil AT / Tablet Suspension / 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 October 1, 2013 Medicaid covers these over-the-counter (OTC) drugs pursuant to a written/verbal/electronic prescription. Covered OTC products must be manufacture