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2021 Commercial 3 Tier Formulary
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Antihistamine Drugs
Anti-Infective Agents
Antineoplastic Agents
Antitoxins,Immune Glob,Toxoids,Vaccines
Autonomic Drugs
Blood Formation, Coagulation, Thrombosis
Cardiovascular Drugs
Central Nervous System Agents
Devices
Diagnostic Agents
Electrolytic, Caloric, And Water Balance
Enzymes
Eye, Ear, Nose And Throat (Eent) Preps.
Gastrointestinal Drugs
Gold Compounds
Heavy Metal Antagonists
Hormones And Synthetic Substitutes
Miscellaneous Therapeutic Agents
Nonhormonal Contraceptives
Oxytocics
Pharmaceutical Aids
Respiratory Tract Agents
Skin And Mucous Membrane Agents
Smooth Muscle Relaxants
Vitamins
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Terms of Use
Formulary Effective Date:
11/01/2021
Updated:
12/2021
CMS Approval Date:
09/24/2021
CMS Version:
4
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