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2022 Comprehensive Formulary

Oct 01, 2021 · 2022 Comprehensive Formulary (List of Covered Drugs) Notes: Blue Cross and Blue Shield of North Carolina is a PDP plan with a Medicare contract. Enrollment in Blue Cross and Blue Shield of North Carolina depends on contract renewal. HPMS Approved Formulary Files Submission ID 22170, Version Number 7 Y0079_10174_C_PA 09072021 U3348d, 9/21

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