| Document Date: 2013-09-29 21:30:42
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Company HP / / Currency USD / / Facility Select Care Drugs Network Pharmacy / Pharmacy Directory / Specialty Drugs Network Pharmacy / Preferred Generic Drugs Network Pharmacy / Preferred Brand Drugs Network Pharmacy / Non-Preferred Brand Drugs Network Pharmacy / Non-Preferred Generic Drugs Network Pharmacy / / Holiday Thanksgiving / Christmas / / IndustryTerm pharmacy network / / MedicalCondition CareMore ESRD / / Organization Food and Drug Administration / HMO SNP / Medicare / MO PAR / / Person MO MO / MO MO MO / MO MO QLL / MO MO MO QLL / MO MO MO MO / MO QLL / / / Position physician / prescribing physician / Governor / / Product sorine / fosphenytoin sodium / mesna / oxybutynin chloride / VESICARE / methylprednisolone / gentak / leucovorin calcium / procainamide hcl / primidone / ofloxacin / trimethoprim / dexamethasone / VIGAMOX / prednisolone sodium phosphate / HUMALOG / divalproex sodium / carbamazepine / fludrocortisone acetate / dexamethasone sodium phosphate / flecainide acetate / polymyxin b sulfate / clonazepam / CELONTIN / ELITEK / ethosuximide / DETROL LA / erythromycin / KEPIVANCE / neo-polycin / MESNEX / diazepam / bacitracin / TIKOSYN / dexrazoxane / phenytoin / pacerone / NATACYN / methylprednisolone acetate / tobramycin sulfate / prednisolone / cortisone acetate / tolterodine / EQUETRO / amifostine / quinidine gluconate / DILANTIN / gabapentin / lidocaine / prednisone / gentamicin sulfate / ciprofloxacin / prednisone intensol / phenytoin sodium / hydrocortisone / ACTHAR / quinidine sulfate / epitol / / Technology SNP / / URL www.medicare.gov / www.caremore.com / /
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2014 Formulary (List of Covered Drugs) CareMore Value Plus (HMO), CareMore Breathe (HMO SNP), CareMore ESRD (HMO SNP), CareMore Heart (HMO SNP), CareMore Reliance (HMO SNP) and CareMore Touch (HMO SNP)