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2019 Commercial 3 Tier Formulary

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Antihistamine DrugsAnti-Infective AgentsAntineoplastic AgentsAntitoxins,Immune Glob,Toxoids,VaccinesAutonomic DrugsBlood Formation, Coagulation, ThrombosisCardiovascular DrugsCentral Nervous System AgentsContraceptives (E.G. Foams, Devices)DevicesDiagnostic AgentsElectrolytic, Caloric, And Water BalanceEnzymesEye, Ear, Nose And Throat (Eent) Preps.Gastrointestinal DrugsGold CompoundsHeavy Metal AntagonistsHormones And Synthetic SubstitutesMiscellaneous Therapeutic AgentsOxytocicsPharmaceutical AidsRespiratory Tract AgentsSkin And Mucous Membrane AgentsSmooth Muscle RelaxantsVitamins
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Formulary Effective Date: 09/01/2019
Updated:
09/2019
CMS Version:
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