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

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NetworkCares Pharmacy Formulary - nppdrugplans.com
1. "ACTIQ 1,200 MCG LOZENGE"   $24.00 $62.50
NetworkCares Pharmacy Formulary - nppdrugplans.com
2. "ACTIQ 1,600 MCG LOZENGE"   $24.00 $62.50
NetworkCares Pharmacy Formulary - nppdrugplans.com
3. "ADRENALIN 1:1,000 NASAL SOLN"   $48.00 $144.00
NetworkCares Pharmacy Formulary - nppdrugplans.com
4. "ADVICOR 1,000 MG/20 MG TABLET"   $48.00 $144.00 ST
NetworkCares Pharmacy Formulary - nppdrugplans.com
5. "ARALAST 1,000 MG VIAL"   25% or 33%* --
NetworkCares Pharmacy Formulary - nppdrugplans.com
6. "AUGMENTIN XR 1,000-62.5 TAB"   $48.00 $144.00
NetworkCares Pharmacy Formulary - nppdrugplans.com
7. "AVANDAMET 2 MG/1,000 MG TAB"   $24.00 $62.50 ST
NetworkCares Pharmacy Formulary - nppdrugplans.com
8. "AVANDAMET 4 MG/1,000 MG TABLET"   $24.00 $62.50 ST
NetworkCares Pharmacy Formulary - nppdrugplans.com
9. "AVANDARYL 2 MG,8 MG TABS"   $48.00 $144.00 ST
NetworkCares Pharmacy Formulary - nppdrugplans.com
10. "AVANDARYL 4 MG,8 MG TABS"   $48.00 $144.00 ST
NetworkCares Pharmacy Formulary - nppdrugplans.com NetworkCares Pharmacy Formulary - nppdrugplans.com NetworkCares Pharmacy Formulary - nppdrugplans.com
13. "BICILLIN LA 1,200,000 UNITS"   $48.00 $144.00
NetworkCares Pharmacy Formulary - nppdrugplans.com
14. "BICILLIN LA 2,400,000 UNITS"   $48.00 $144.00
NetworkCares Pharmacy Formulary - nppdrugplans.com
15. "BICILLIN LA 600,000 UNIT/ML TB"   $48.00 $144.00
NetworkCares Pharmacy Formulary - nppdrugplans.com
16. "BIO-STATIN 1,000,000 UNITS CAP"   $48.00 $144.00
NetworkCares Pharmacy Formulary - nppdrugplans.com
17. "BIO-STATIN 500,000 UNITS CAP"   $48.00 $144.00
NetworkCares Pharmacy Formulary - nppdrugplans.com
18. "CANASA 1,000 MG SUPPOSITORY"   $24.00 $62.50
NetworkCares Pharmacy Formulary - nppdrugplans.com
19. "CHORIONIC GONAD 10,000 UNIT VL"   $48.00 $144.00
NetworkCares Pharmacy Formulary - nppdrugplans.com
20. "CIPRO XR 1,000 MG TABLET"   $48.00 $144.00
NetworkCares Pharmacy Formulary - nppdrugplans.com NetworkCares Pharmacy Formulary - nppdrugplans.com NetworkCares Pharmacy Formulary - nppdrugplans.com
23. "COMBIGAN 0.2 %,0.5 % SOLN"   $48.00 $144.00
NetworkCares Pharmacy Formulary - nppdrugplans.com NetworkCares Pharmacy Formulary - nppdrugplans.com
25. "ELSPAR 10,000 UNITS VIAL"   $24.00 $62.50
NetworkCares Pharmacy Formulary - nppdrugplans.com
26. "ELSPAR 10,000 UNITS VIAL"   $24.00 $62.50
NetworkCares Pharmacy Formulary - nppdrugplans.com
27. "EPOGEN 10,000 UNITS/ML VIAL"   25% or 33%* -- PA
NetworkCares Pharmacy Formulary - nppdrugplans.com
28. "EPOGEN 2,000 UNITS/ML VIAL"   $24.00 $62.50 "QL,PA"
NetworkCares Pharmacy Formulary - nppdrugplans.com
29. "EPOGEN 20,000 UNITS/ML VIAL"   25% or 33%* -- PA
NetworkCares Pharmacy Formulary - nppdrugplans.com
30. "EPOGEN 3,000 UNITS/ML VIAL"   $24.00 $62.50 "QL,PA"

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

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Top | Next | Last 

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