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• Hyaluronan or derivative for intra-articular injection • Hyperbaric oxygen therapy (pressurized oxygen to treat certain kinds of wounds and illnesses) • Implantation or application of electric stimulator devices – selected: gastric (stomach), spinal cord, sacral nerve (a specific nerve that affects bladder and bowel function),
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www.premera.comiii immediately remove the drug from our formulary and provide notice to members who take the drug. Other changes. We may make other changes that affect members currently taking a drug.
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