1052532-overview Br400 The above information is provided for general informational and educational purposes only. The following is a list of the most commonly prescribed drugs. KHC makes no claims on the use, efficacy, or safety of the drugs contained herein. If you log out, you will be required to enter your username and password the next time you visit. This Formulary Drug List for State, Education, and Local Government Employees (“Drug Formulary”) lists drugs we cover. Benefit designs may vary with respect to drug coverage, quantity limits, days supply and prior authorization. 0000002449 00000 n Benefit designs may vary with respect to drug coverage, quantity limits, days supply and prior authorization. /Resources <> %PDF-1.5 %���� The Drug List may not include all drugs covered by your prescription drug benefit. Drugs Compare formulary status to other drugs in the same class. The formulary is the list of drugs included in your prescription plan. 0000001876 00000 n 0000003414 00000 n }��O���j����ç�\���,�E�+���p��M��o?������݇���|���Z��_�|�������.���W/����߸��~����w�?������:����������o~p����\]���{(�gڜ�e����^�oU7!0��(��Ƣ�� iȐ!x{^���6��!�������cF����B��3!=�c�;&D�X�BGq�Y+P�� https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9yZWZlcmVuY2UubWVkc2NhcGUuY29tL2RydWcvY2VmYWNsb3ItMzQyNDk0 2002 3 0 obj
drug list CoverKids SM Preferred Formulary The list of prescription drugs your health plan covers A Preferred Drug List is a list of drugs chosen by Mercy Care and a team of doctors and pharmacists. 0000003168 00000 n endobj stream 0000008847 00000 n 0000002277 00000 n 0000004188 00000 n 419 0 obj <>stream PREMIUM FORMULARY DRUG LIST Cefaclor Nallpen/Dextrose Cephalexin Penicillin G Potassium IN Iso-osmotic The Optum Drug List is a guide identifying generic, preferred brand name, and non-preferred brand name medicines within select therapeutic categories. Drugs Not Covered by the 1199SEIU Benefit Funds Cosmetic Drugs Non-sedating Antihistamines /Type /Page It will be expensive and there may be cheaper drugs that work in a similar fashion. 2002 /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] Individual plans may vary Please confirm that you would like to log out of Medscape.
<> /Parent 2 0 R 0000002782 00000 n Mercy Care will generally cover drugs listed in our Preferred Drug List as long as they are medically necessary. 0000190696 00000 n 0000002618 00000 n 0000011754 00000 n
cefaclor capsules cefuroxime tabs cefaclor suspension Ceftin ... 2020 TennCare Preferred Drug List (PDL) | Page 7 Preferred Drugs Non-Preferred Drugs II. In addition to using this list, you are encouraged to ask your doctor to prescribe generic drugs whenever appropriate. Prescriptions must also be filled at a Mercy Care network pharmacy, and other plan rules must be followed.
Information was in effect at the time of printing and may be subject to change. <> Virginia Medicaid’s Preferred Drug List (PDL) Common Core Formulary 2/1/2019 8 | P a g e Preferred Agents Non-Preferred Agents SA Criteria Cephalosporins, Oral Second Generation Cephalosporins LENGTH OF AUTHORIZATIONS: Date of service only; no refills. %PDF-1.7 %���� This formulary is subject to change throughout the year and plan exclusions may override this list. v LB*P�� � ����ʠ���2�ɄQ��(d~@��W���9�)�A�)�Q��:�d����̍�f���F)0}`����Q ��%� |`6�3���iF �9��,o��L�K�!TY'@� ٖ.� h�bb�``b``Ń3� ���ţ� )( endobj 1976451-overview Acetaminophen w/ Codeine >> Contact the applicable plan The Drug List may not include all drugs covered by your prescription drug benefit.
/Tabs /S NATIONAL FORMULARY DRUG LIST Penicillin G Procaine Cedax Penicillin G Sodium Cefaclor The Catamaran Drug List is a guide identifying generic, preferred brand-name, and non-preferred brand name medicines within select therapeutic categories. /MediaBox [0 0 612 792]
The list is not all-inclusive and does not guarantee coverage. �g�8s�����z�e|���1���z��� �� b#��.a��!=j�� v��}r���� >���Ja�'��Ҽ�^*��0�)�Cy�y:�y%���?��U+����o�����.q/?gv���� 2002 cefaclor-342494 h�b```b``=�������A��X�����������_�Z�h����� k?/��R����%���9�15/ �l` Inclusion on the list does not guarantee coverage. Reimbursable Drug List by Therapeutic Category* Effective 9/1/2020 Disclaimer: This listing is intended to inform patients and providers of the drugs that are reimbursable under Kidney Health Care (KHC). 0000009754 00000 n 2010 trailer Generic It explains what Tier a drug is in and any restrictions for each drug. informational and educational purposes only. Tier 2. 380 40 4 0 obj Cefaclor, USP, is a semisynthetic cephalosporin antibiotic for oral administration. All Rights Reserved
Medscape prescription drug monographs are based on FDA-approved labeling information, unless otherwise noted, combined with additional data derived from primary medical literature. The list is not all-inclusive and does not guarantee coverage. endstream endobj 418 0 obj <>/Filter/FlateDecode/Index[15 365]/Length 35/Size 380/Type/XRef/W[1 1 1]>>stream
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