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Microsoft Word - WV PDL eff[removed]09_2009 3_FINAL
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Document Date: 2010-12-03 12:25:59


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Company

COGNEX / EXELON / /

Event

FDA Phase / /

IndustryTerm

requested non-preferred product / chemical entities / treatment of nausea and vomiting associated with cancer / /

MedicalCondition

injury / cancer / Parkinsonism / seizure disorder / unnecessary breakthrough pain / seizure / vomiting / AIDS / tinea pedis / strain / nausea / tinea / tinea capitis / chronic pain therapy / MS / Acne / post-herpetic neuralgia / tinea corporis / documented allergy / pityriasis / tinea cruris / /

MedicalTreatment

chemotherapy / /

Organization

BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA THERAPEUTIC DRUG CLASS ANTIMIGRAINE AGENTS / BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA THERAPEUTIC DRUG CLASS PREFERRED AGENTS NON-PREFERRED AGENTS ANALGESICS / BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA THERAPEUTIC DRUG CLASS ANTICOAGULANTS / BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA THERAPEUTIC DRUG CLASS PREFERRED AGENTS ANTIDEPRESSANTS / BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA THERAPEUTIC DRUG CLASS ANALGESICS / BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA THERAPEUTIC DRUG CLASS ANTIFUNGALS / BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA THERAPEUTIC DRUG CLASS PREFERRED AGENTS ALZHEIMER’S AGENTS NON-PREFERRED AGENTS CHOLINESTERASE INHIBITORS ARICEPT / BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA THERAPEUTIC DRUG CLASS PREFERRED AGENTS ANTIEMETICS / BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA THERAPEUTIC DRUG CLASS PREFERRED AGENTS NON-PREFERRED AGENTS ACNE AGENTS / BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA THERAPEUTIC DRUG CLASS PREFERRED AGENTS / /

Product

GRIS-PEG / AZILECT / topiramate / VUSION / loratadine / DEPAKOTE ER / LOVENOX / sumatriptan / SARAFEM / acetaminophen / DARVON / PRINZIDE / LUVOX / PARCOPA / itraconazole / DURAGESIC / ANZEMET / ZYRTEC / EMLA / NEURONTIN / EVOCLIN / DIFLUCAN / AMERGE / escitalopram / promethazine / FROVA / VICOPROFEN / ZESTRIL / EFFEXOR XR / ERTACZO / AZOR / ANDROGEL / COMTAN / MENTAX / TYLENOL / CYMBALTA / ciclopirox / ZOMIG / CLARITIN-D / OPANA / zonisamide / MYCOLOG / WELLBUTRIN XL / IMITREX / TALWIN NX / clonazepam / ethosuximide / PEXEVA / erythromycin / KYTRIL / tretinoin / KLONOPIN / BENZACLIN / CAPOTEN / RAZADYNE ER / KADIAN / losartan / rivastigmine / UNIVASC / FENTORA / REQUIP / NAFTIN / diazepam / KLARON / fluoxetine / phenytoin / telmisartan / LIDODERM / ZOFRAN / VOLTAREN / PENLAC / DEPAKENE / Keppra / CELEXA / ELDEPRYL / lisinopril / ZOFRAN ODT / DUAC / ibuprofen / PERCOCET / LOTENSIN HCT / ANCOBON / PRINIVIL / TEKTURNA HCT / lamotrigine / DILANTIN / AKNE-MYCIN / TESTIM / ROXICET / gabapentin / GABITRIL / quinapril / VASERETIC / lidocaine / REMERON / sulfacetamide sodium / ACEON / PEGANONE / VFEND / LOPROX / PAXIL / CEREBYX / FRAGMIN / fentanyl / MAVIK / COGENTIN / captopril / SINEMET / ALTACE / EXELON / AVITA / trandolapril / KEMADRIN / ZELAPAR / HYZAAR / DARVOCET / ARICEPT / NIZORAL / naproxen sodium / LAMICTAL / DEMEROL / venlafaxine / LOTREL / EFFEXOR / granisetron / mirtazapine / WELLBUTRIN SR / AVINZA / ZESTORETIC / CARBATROL / SPORANOX / valsartan / TAZORAC / irbesartan / miconazole / primidone / ULTRAM / BENZAMYCIN PAK / FIORINAL / PHENYTEK / MYSOLINE / COGNEX / clotrimazole / DESYREL / CLEOCIN / ARIXTRA / TASMAR / ZONEGRAN / LOTENSIN / STALEVO / MIRAPEX / FIORICET / ULTRAM ER / carbamazepine / MYCELEX / LOTRISONE / ZOLOFT / triamcinolone / CESAMET / ACTIQ / TARKA / PROZAC / RAZADYNE / VASOTEC / RETIN-A / CELONTIN / TOPAMAX / TEVETEN / EXFORGE / ANDRODERM / SEMPREX-D / XYZAL / XOLEGEL / divalproex / ACZONE / EXELDERM / VICODIN / MARINOL / CLARINEX / ATACAND / fluconazole / MONOPRIL / LUVOX CR / dapsone / PAXIL CR / AVAPRO / WELLBUTRIN / ORAMORPH SR / LORTAB / sodium sulfacetamide / EMSAM / naloxone / AZELEX / MYCOSTATIN / DIOVAN / MS CONTIN / CAPOZIDE / OPANA ER / LEXXEL / ramipril / COMBUNOX / TEGRETOL / ZYDONE / ACCUPRIL / ALAVERT / OXISTAT / DIASTAT / EQUETRO / LEXAPRO / COZAAR / NOXAFIL / PERCODAN / xylocaine / ACCURETIC / FELBATOL / ULTRACET / ZIANA / PRISTIQ / INNOHEP / testosterone / BENICAR / NAMENDA / butalbital / valproic acid / griseofulvin / UNIRETIC / donepezil / ARICEPT ODT / TAVIST / nystatin / ketoconazole / oxcarbazepine / LYRICA / ALLEGRA / DIFFERIN / SYNERA / AXERT / SPECTAZOLE / RELPAX / TRILEPTAL / felodipine / MICARDIS / MAXALT / fexofenadine / LAMISIL / Tekturna / CLARITIN / OXYCONTIN / hydrocortisone / FLECTOR / ZARONTIN / EPITOL / TALACEN / DEPAKOTE / ondansetron / AVALIDE / DILAUDID / ACE / Oxistat cream / ACE INHIBITORS Flector patches / /

ProgrammingLanguage

EC / /

Region

WEST VIRGINIA / /

Technology

chemotherapy / /

URL

http /

SocialTag