| Document Date: 2014-12-16 11:12:14
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City New York / / Company Catamaran / / Facility Pharmacy Help Desk / WellCare Pharmacy / / IndustryTerm gas relief / mL solution / / MedicalTreatment Adjunctive Therapies / enema / / Organization WellCare Pharmacy & Therapeutics Committee / PDL Alternative / WellCare of New York Medicaid / New York Medicaid / / Product CELEBREX / meloxicam / sodium bicarbonate / calcium acetate / olanzapine / ELMIRON / nor-qd / ZYVOX / doxycycline / risperidone / doxycycline hyclate / ECHO / Saline Laxatives mL suspension / ISENTRESS / ENG State Approved MMDDYYYY WellCare 201X ST_XX_XX Job Number REMOVALS FROM THE PDL LATUDA tablets / ER tablets / ranitidine / BYETTA / omeprazole / GENERLAC / zovia 1/50E / promethazine / PDL SENNA tablets / riomet / SUTENT / testosterone / / Technology CAD / /
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UPDATE New York Medicaid Preferred Drug List November 18, 2014 Dear Provider: