| Document Date: 2014-02-09 16:52:36
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Company Express Scripts / / Facility Lupron Lupron Depot Lupron Depot / / Position S/D Nabi-HB / / Product Cosmegen / Pamidronate Disodium / Synagis / Leucovorin Calcium / Zenapax / Reclast / Leuprolide Acetate / Serostim / Tobi / Sandostatin LAR / Neupogen / Lupron Depot / Zorbtive / Arixtra / Cytoxan / Visudyne / Cytarabine / Copegus / Gonal-F / Supprelin LA / Somatuline Depot / Vinblastine Sulfate / Cyclophosphamide / Ribavirin / Trelstar Depot / Bleomycin Sulfate / Forteo / Chorionic Gonadotropin / Gonal-F RFF / 8-Mop / Macugen / Boniva / Abraxane / DTIC-Dome / Octreotide Acetate / Norditropin Nordiflex / Deferoxamine Mesylate / Fludarabine Phosphate / Vincristine Sulfate / Vinorelbine Tartrate / Lucentis / Xolair / Actimmune / Methotrexate Sodium / Acthar / Intron A / Fabrazyme / Cetrotide / Letairis / Neumega / Botox Cosmetic / Revatio / Lupron Depot-PED / Desmopressin Acetate / Idamycin PFS / Tobramycin / Adrucil / /
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Specialty Drug List by Disease State ANTICOAGULANT Arixtra Enoxaparin Sodium Fondaparinux