| Document Date: 2014-07-09 12:49:55
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Company Humana / Express Scripts / / IndustryTerm improved healthcare outcomes / / MedicalCondition certain oral cancer / B End Stage Renal Disease / disease / diseases / / MedicalTreatment Botox / drug therapies / / Organization Medicare / / / Product Humira / Synagis / methocarbamol / carisoprodol / Remodulin / Tazorac / Serostim / Humatrope / Gleevec / Rituxan / Aranesp / promethazine / Neupogen / modafinil / linezolid / Zorbtive / Zonegran / chorionic gonadotropin / Actiq / Neulasta / zonisamide / Remicade / Retin-A / Topamax / Lupron / peginterferon / Nuvigil / Tracleer / hydroxyzine / Rebif / Betaseron / Avonex / Regranex / Letairis / Tykerb / Norditropin / Revatio / corticotropin / Fentora / naloxone / Orencia / Suboxone / Kineret / Somavert / Lidoderm / Reclast / Sprycel / Enbrel / Copaxone / Nutropin / Ziana / Tev-Tropin / chlorzoxazone / Nexavar / Testosterone / Saizen / Tasigna / lidocaine / Forteo / Pegasys / Eligard / Anadrol / diclofenac sodium / Boniva / Oxandrin / Vfend / Zyvox / Genotropin / Myobloc / fentanyl / Arcalyst / Solaraze / Xolair / Tysabri / Acthar / Omnitrope / mitoxantrone / Sutent / Provigil / Thalomid / Tarceva / / Technology Pharmacogenomic / /
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2014 Prior Authorization for OPERS, Medicare Members Prior Authorization Drug (If the drug you take is on this list, Express Scripts will check to make sure it meets your plan’s conditions for coverage.) Brand Name