31![OFFICE OF THE ASSISTANT SECRETARY OF DEFENSE HEALTH AFFAIRS 7700 ARLINGTON BOULEVARD, SUITE 5101 FALLS CHURCH, VIRGINIA[removed]DEFENSE OFFICE OF THE ASSISTANT SECRETARY OF DEFENSE HEALTH AFFAIRS 7700 ARLINGTON BOULEVARD, SUITE 5101 FALLS CHURCH, VIRGINIA[removed]DEFENSE](https://www.pdfsearch.io/img/c1cfa63bea4dbf94cc33bccea2b3edb2.jpg) | Add to Reading ListSource URL: www.express-scripts.comLanguage: English - Date: 2014-10-21 16:40:03
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32![B.C. PharmaCare Drug Information Sheet for drug generic name (BRAND NAME) B.C. PharmaCare Drug Information Sheet for drug generic name (BRAND NAME)](https://www.pdfsearch.io/img/7593a6d7ba66953848ac446aeffe96fe.jpg) | Add to Reading ListSource URL: www.health.gov.bc.caLanguage: English - Date: 2014-11-20 14:47:49
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33![DRUGS Requiring Preauthorization The table below outlines the medications requiring a review by the Clinical Pharmacist, and if necessary, a Health Alliance Medical Director. If a provider wished for coverage of a drug d DRUGS Requiring Preauthorization The table below outlines the medications requiring a review by the Clinical Pharmacist, and if necessary, a Health Alliance Medical Director. If a provider wished for coverage of a drug d](https://www.pdfsearch.io/img/43e7d97aeda02375296555b4e72c142f.jpg) | Add to Reading ListSource URL: www.healthalliance.orgLanguage: English - Date: 2015-01-04 11:22:05
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34![B.C. PharmaCare Drug Information Sheet for canagliflozin (INVOKANA) B.C. PharmaCare Drug Information Sheet for canagliflozin (INVOKANA)](https://www.pdfsearch.io/img/efde92a885e43b414d47953772f97038.jpg) | Add to Reading ListSource URL: www.health.gov.bc.caLanguage: English - Date: 2014-11-20 14:47:51
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35![DRUGS Requiring Step-Therapy Step-Therapy (ST) If a drug is covered as a “step-therapy” medication, one or more “prerequisite” medications must be tried first before the step-therapy medication will be covered un DRUGS Requiring Step-Therapy Step-Therapy (ST) If a drug is covered as a “step-therapy” medication, one or more “prerequisite” medications must be tried first before the step-therapy medication will be covered un](https://www.pdfsearch.io/img/278b4cfaa631bd387d662a207d3bc172.jpg) | Add to Reading ListSource URL: www.healthalliance.orgLanguage: English - Date: 2015-01-04 15:01:24
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36![Diabetic Medications and Testing Supplies (Medicare) Drug Class Preferred Brand and Generic Examples Insulin Diabetic Medications and Testing Supplies (Medicare) Drug Class Preferred Brand and Generic Examples Insulin](https://www.pdfsearch.io/img/7999505982cd444943690c28659293d3.jpg) | Add to Reading ListSource URL: www.opers.orgLanguage: English - Date: 2014-01-21 10:29:46
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37![UTAH DEPARTMENT OF HEALTH, PRIOR AUTHORIZATION REQUEST FORM Dipeptidyl Peptidase IV (DPP-4) Inhibitors (alogliptin, linagliptin, saxagliptin, sitagliptin and combination products) Patient name:_________________________ UTAH DEPARTMENT OF HEALTH, PRIOR AUTHORIZATION REQUEST FORM Dipeptidyl Peptidase IV (DPP-4) Inhibitors (alogliptin, linagliptin, saxagliptin, sitagliptin and combination products) Patient name:_________________________](https://www.pdfsearch.io/img/4330021520ec1b9177b12bc5efb93578.jpg) | Add to Reading ListSource URL: medicaid.utah.govLanguage: English - Date: 2014-08-07 16:26:15
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38![Microsoft Word - DUR Committee Oct Agenda2.doc Microsoft Word - DUR Committee Oct Agenda2.doc](https://www.pdfsearch.io/img/18b23383214d35bcd1fbd80c647b3527.jpg) | Add to Reading ListSource URL: www.mainecarepdl.orgLanguage: English - Date: 2014-10-08 09:02:37
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39![Diabetic Medications and Testing Supplies (Non-Medicare) Drug Class Preferred Brand and Generic Examples Insulin Diabetic Medications and Testing Supplies (Non-Medicare) Drug Class Preferred Brand and Generic Examples Insulin](https://www.pdfsearch.io/img/b0f55123f94365148cf9e6ce1cc655b1.jpg) | Add to Reading ListSource URL: www.opers.orgLanguage: English - Date: 2014-01-21 10:30:35
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40![HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use JUVISYNC safely and effectively. See full prescribing information for JUVISYNC. JUVISYNC™ (sitagliptin and simvast HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use JUVISYNC safely and effectively. See full prescribing information for JUVISYNC. JUVISYNC™ (sitagliptin and simvast](https://www.pdfsearch.io/img/8d3a1f0b4af9d882b8e0a084f86975c3.jpg) | Add to Reading ListSource URL: www.merck.comLanguage: English - Date: 2014-03-03 17:25:35
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