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Blood Disorder
Caloric Undernutrition
Chronic Lung Or Breathing Passage Problem
Cold Symptoms
Collagen Vascular Disease
Condition Resulting From A Defective Immune System
Disease Affecting The Body's Metabolism
Disease Of The Heart And Blood Vessels
Disease Of The Urinary Tract
Disorder Of Nerve
Disorder Of Nervous System
Disorder Of Reproductive System
Disorder Of Respiratory System
Disorder Of The Digestive System
Disorder Of The Endocrine Glands
Ear Problem
Eye Disorder
Fever
Infection
Inflammation Of The Serous Membranes In The Body
Inflammatory Disorder
Injury
Injury To A Mucous Membrane
Lung Disease
Muscle Or Bone Disorder
Neuropsychiatric Disorder
Not Feeling Well
Nutritional Disorder
Other Over-The-Counter Drugs
Other Prescription Drugs
Overdose
Pain
Patient Demographics
Pregnancy
Procedure
Reaction Due To An Allergen
Recent Operation
Skin Condition
Slow Drug Elimination By Kidney
Tumor
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Terms of Use
Formulary Id:
20210419
Formulary Effective Date:
11/30/2021
Updated:
11/2021
CMS Approval Date:
04/19/2021
CMS Version:
1
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