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BLUE - Formulary
RED - Non Formulary

Table of Contents     Index     Policy Information

 

Formulary Index

Numbers  A  B  C  D  E  F  G  H  I  J  K  L  M  N  O  P  Q  R  S  T  U  V  W  X  Y  Z 

X-VIATE   (TOPICAL DERMATOLOGICAL DRUGS)

XALATAN   (ANTIGLAUCOMA DRUGS)

XANAX   (ANXIOLYTICS)

XANAX XR   (ANXIOLYTICS)

XCLAIR   (TOPICAL DERMATOLOGICAL DRUGS)

XELODA   (ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS)

XENADERM   (TOPICAL DERMATOLOGICAL DRUGS)

XENAZINE   (OTHER CNS/AUTONOMIC DRUGS)

XENICAL   (OTHER WEIGHT LOSS PRODUCTS)

XERAC AC   (TOPICAL DERMATOLOGICAL DRUGS)

XEROFORM PETROLATUM DRESSING   (MEDICAL (MISCELLANEOUS) SUPPLIES)

XIBROM   (OTHER OPHTHALMIC DRUGS)

XIFAXAN   (OTHER ANTIINFECTIVE DRUGS)

XIRATUSS   (ANTITUSSIVE AND EXPECTORANT DRUGS)

XODOL 10-300   (CLASS III NARCOTICS)

XODOL 5-300   (CLASS III NARCOTICS)

XODOL 7.5-300   (CLASS III NARCOTICS)

XOLEGEL   (OTHER TOPICAL ANTIFUNGALS)

XOLOX   (CLASS II NARCOTICS)

XOPENEX   (BETA-2 ADRENERGIC DRUGS)

XOPENEX HFA   (BETA-2 ADRENERGIC DRUGS)

XYLAREX   (NUTRITIONAL/SUPPLEMENT PRODUCTS)

XYLOCAINE   (LOCAL ANESTHETICS)

XYLOCAINE   (TOPICAL ANESTHETICS)

XYLOCAINE   (DRUGS AFFECTING THE THROAT AND MOUTH)

XYLOCAINE WITH EPINEPHRINE   (LOCAL ANESTHETICS)

XYLOCAINE-MPF   (LOCAL ANESTHETICS)

XYNTHA   (HEMOSTATICS)

XYREM   (OTHER CNS/AUTONOMIC DRUGS)

XYZAL   (ANTIHISTAMINES)

 

Formulary Date: 10/21/2009    Update Date: 10/26/2009    V1.3.0