Azasite
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Drugs that are Not Covered - Florida Blue
www.bcbsfl.comAzasite eye drops . azelastine 0.15% nasal spray . azelastine/fluticasone nasal spray . Azelex cream . Azilect tablets . azithromycin 1% eye drops . Azopt eye drops . Azor tablets . baclofen 5 mg tablets . Baclofen 2% in MaxDerm Base kit . Bactroban cream . Bafiertam capsules
Blue Cross Blue Shield and Blue Care Network Preferred ...
www.bcbsm.comAZASITE Ba citra n , Bl eph-10 Cil ox aM z Ocuflox, Polysporin, Polytrim, Quixin, T obre x, Vig amZy id AZELEX Be nza cl i , my Differi Dua Epiduo , Retin-A, Tazorac AZSTARYS Ad de ra l/XR* (b n BCN o y), Apte sio XR, Concerta, Focalin/XR, Metadate CD*, Methylin, Ritalin LA/SR *can be opened and sprinkled on applesauce
Brand Medicines Not Listed on Value Formulary
www.caremark.comAZASITE BESIVANCE CILOXAN OIN 0.3% OP bacitracin, ciprofloxacin, erythromycin, gentamicin, moxifloxacin, neomycin/polymyxin B/gramicidin, ofloxacin, polymyxin B/bacitracin, polymyxin B/trimethoprim, sulfacetamide, tobramycin Anti-infectives Topical Antifungals* JUBLIA itraconazole, terbinafine
CIGNA NATIONAL PREFERRED 3-TIER PRESCRIPTION DRUG …
www.cigna.comAZASITE erythromycin eye ointment latanoprost eye solution (PA) loteprednol eye drops loteprednol eye suspension moxifloxacin eye solution polymyxin/trimethoprim eye solution prednisolone eye suspension RESTASIS (PA, QL) timolol eye solution tobramycin eye solution tobramycin/dexamethasone
2021 Express Scripts National Preferred Formulary
www.express-scripts.comAZASITE azelastine nasal spray azithromycin AZOPT B baclofen BAFIERTAM BAQSIMI BARACLUDE SOLUTION BAXDELA BD AUTOSHIELD DUO NEEDLES BD ULTRAFINE INSULIN SYRINGES BD ULTRAFINE PEN NEEDLES BELBUCA benazepril benzonatate BETASERON [INJ] BEVESPI AEROSPHERE BIKTARVY bisoprolol/hctz blisovi fe BOSULIF …