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Analgesics
Anesthetics
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Antibacterials
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Cardiovascular Agents
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Dental And Oral Agents
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Electrolytes/Minerals/Metals/Vitamins
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Genetic Or Enzyme Disorder: Replacement, Modifiers, Treatment
Genitourinary Agents
Hormonal Agents, Stimulant/ Replacement/ Modifying (Adrenal)
Hormonal Agents, Stimulant/ Replacement/ Modifying (Sex Hormones/ Modifiers)
Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
Hormonal Agents, Suppressant (Pituitary)
Hormonal Agents, Suppressant (Thyroid)
Immunological Agents
Inflammatory Bowel Disease Agents
Metabolic Bone Disease Agents
Miscellaneous
Ophthalmic Agents
Otic Agents
Respiratory Tract Agents
Skeletal Muscle Relaxants
Sleep Disorder Agents
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Terms of Use
Formulary Id:
20161
Formulary Effective Date:
12/01/2020
Updated:
11/2020
CMS Approval Date:
11/24/2020
CMS Version:
17
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