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Molina Healthcare of Idaho

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Therapeutic Class Search Skip to Footer

  • *Analgesics - Anti-Inflammatory*
  • *Analgesics - Nonnarcotic*
  • *Antiemetics*
  • *Antihistamines*
  • *Antineoplastics And Adjunctive Therapies*
  • *Contraceptives*
  • *Dermatologicals*
  • *Endocrine And Metabolic Agents - Misc.*
  • *Hematopoietic Agents*
  • *Macrolides*
  • *Minerals & Electrolytes*
  • *Multivitamins*
  • *Nasal Agents - Systemic And Topical*
  • *Ophthalmic Agents*
  • *Psychotherapeutic And Neurological Agents - Misc.*
  • *Ulcer Drugs/Antispasmodics/Anticholinergics*
  • *Vitamins*
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Formulary Id: 22170
Formulary Effective Date: 01/01/2026
Updated:
02/2026
CMS Approval Date:
07/01/2023
CMS Version:
1

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