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PA = Prior Authorization ;  QL = Quantity Limit ;   ST = Step Therapy

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NetworkCares Pharmacy Formulary - nppdrugplans.com
1. ZYVOX 600 MG TABLET   25% or 33%* --
NetworkCares Pharmacy Formulary - nppdrugplans.com
2. ZYVOX 200 MG/100 ML IV SOLN   25% or 33%* --
NetworkCares Pharmacy Formulary - nppdrugplans.com
3. ZYVOX 100 MG/5 ML SUSPENSION   25% or 33%* --
NetworkCares Pharmacy Formulary - nppdrugplans.com
4. ZYRTEC 1 MG/ML SYRUP   $48.00 $144.00 ST
NetworkCares Pharmacy Formulary - nppdrugplans.com
5. ZYPREXA ZYDIS 5 MG TABLET   $48.00 $144.00
NetworkCares Pharmacy Formulary - nppdrugplans.com
6. ZYPREXA ZYDIS 20 MG TABLET   $48.00 $144.00
NetworkCares Pharmacy Formulary - nppdrugplans.com
7. ZYPREXA ZYDIS 15 MG TAB   $48.00 $144.00
NetworkCares Pharmacy Formulary - nppdrugplans.com
8. ZYPREXA ZYDIS 10 MG TABLET   $48.00 $144.00
NetworkCares Pharmacy Formulary - nppdrugplans.com
9. ZYPREXA 7.5 MG TABLET   $24.00 $62.50
NetworkCares Pharmacy Formulary - nppdrugplans.com
10. ZYPREXA 5 MG TABLET   $24.00 $62.50
NetworkCares Pharmacy Formulary - nppdrugplans.com
11. ZYPREXA 20 MG TABLET   $24.00 $62.50
NetworkCares Pharmacy Formulary - nppdrugplans.com
12. ZYPREXA 2.5 MG TABLET   $24.00 $62.50
NetworkCares Pharmacy Formulary - nppdrugplans.com
13. ZYPREXA 15 MG TABLET   $24.00 $62.50
NetworkCares Pharmacy Formulary - nppdrugplans.com
14. ZYPREXA 10 MG VIAL   $24.00 $62.50
NetworkCares Pharmacy Formulary - nppdrugplans.com
15. ZYPREXA 10 MG TABLET   $24.00 $62.50
NetworkCares Pharmacy Formulary - nppdrugplans.com
16. ZYMAR 0.3% EYE DROPS   $48.00 $144.00
NetworkCares Pharmacy Formulary - nppdrugplans.com
17. ZYLOPRIM 300 MG TABLET   $48.00 $144.00
NetworkCares Pharmacy Formulary - nppdrugplans.com
18. ZYLOPRIM 100 MG TABLET   $48.00 $144.00
NetworkCares Pharmacy Formulary - nppdrugplans.com
19. ZYLET EYE DROPS   $48.00 $144.00
NetworkCares Pharmacy Formulary - nppdrugplans.com
20. ZYFLO CR 600 MG TB12   $48.00 $144.00 ST
NetworkCares Pharmacy Formulary - nppdrugplans.com
21. ZYDONE 7.5/400 MG TABLET   $48.00 $144.00
NetworkCares Pharmacy Formulary - nppdrugplans.com
22. ZYDONE 5/400 MG TABLET   $48.00 $144.00
NetworkCares Pharmacy Formulary - nppdrugplans.com
23. ZYDONE 10/400 MG TABLET   $48.00 $144.00
NetworkCares Pharmacy Formulary - nppdrugplans.com
24. ZYBAN 150 MG TABLET SA   $48.00 $144.00
NetworkCares Pharmacy Formulary - nppdrugplans.com
25. ZOVIRAX 800 MG TABLET   $48.00 $144.00
NetworkCares Pharmacy Formulary - nppdrugplans.com
26. ZOVIRAX 5% OINTMENT   $24.00 $62.50
NetworkCares Pharmacy Formulary - nppdrugplans.com
27. ZOVIRAX 5% CREAM   $24.00 $62.50
NetworkCares Pharmacy Formulary - nppdrugplans.com
28. ZOVIRAX 400 MG TABLET   $48.00 $144.00
NetworkCares Pharmacy Formulary - nppdrugplans.com
29. ZOVIRAX 200 MG/5 ML SUSP   $48.00 $144.00
NetworkCares Pharmacy Formulary - nppdrugplans.com
30. ZOVIRAX 200 MG CAPSULE   $48.00 $144.00

Search Results » :
1-30 of 5989 record(s) » Page 1

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Search Drug Name:  
                 Search Tip
Drugs Alphabetically:
«   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    »

Legend:
PA = Prior Authorization ;  QL = Quantity Limit ;   ST = Step Therapy
 
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Site Last Updated November 18, 2008