2013 Medicare HMO Blue ValueRx/PlusRx Formulary - Blue Cross ...

aminophylline 250 mg/10 mlvl ..................... 93aminophylline tablet ....... 93AMINOSYN 3.5% IVSOLUTION, -7% IVSOLUTION, -10% IVSOLUTION ............ 79AMINOSYN 8.5% IVSOLUTION ............ 79AMINOSYN-HBC ........ 79AMINOSYN-HF .......... 79AMINOSYN II ............ 79AMINOSYN II 5% IN 25%DEXTROSE ............ 79AMINOSYN M ........... 79AMINOSYN-PF. .......... 79AMINOSYN-RF .......... 79AMINOSYN WITHELECTROLYTES. ....... 79amiodarone injection ...... 34amiodarone tablet. ........ 34AMITIZA. ................ 46amitriptyline hcl tablet. ..... 30amlodipine-atorvastatin .... 33amlodipine besylate 2.5 mg tab,-5 mg tab .............. 32amlodipine besylate 10 mgtab .................... 32amlodipine besylatebenazepril.............. 35ammonium lactate cream,-lotion ................. 39amnesteem .............. 38amoxapine ............... 29amoxicillin. ............... 13amoxicillin-clavulanate er ... 13amox tr-potassiumclavulanate ............. 13amphetamine salt combo. .. 25amphotericin b injection .... 12ampicillin injection. ........ 13ampicillin-sulbactam injection 13ampicillin trihydrate ........ 13AMPYRA ................ 40ANADROL-50. ........... 83anagrelide hcl ............ 15anastrozole tablet . . . . . . . . . 15androxy. ................. 83antipyrine-benzocaine. ..... 41ANTI-STICK INSULIN 0.5 MLSYR................... 53ANTI-STICK INSULIN 1 MLSYR................... 53APOKYN ................ 28apraclonidine hcl. ......... 90apri ..................... 83APRISO. ................ 46APTIVUS ................. 8ARALAST NP 500 MG VIAL 95aranelle ................. 83ARANESP 25 MCG/0.42 MLSYRING ............... 48ARANESP 25 MCG/ML VIAL,-40 MCG/ML VIAL, -60 MCG/ML VIAL ............... 48ARANESP 40 MCG/0.4 MLSYRINGE. ............. 48ARANESP 60 MCG/0.3 MLSYRINGE. ............. 48ARANESP 100 MCG/0.5 MLSYRINGE. ............. 48ARANESP 100 MCG/ML VIAL,-200 MCG/ML VIAL, -300MCG/ML VIAL, -500 MCG/1ML SYRINGE .......... 48ARANESP 150 MCG/0.3 MLSYRINGE. ............. 48ARANESP 150 MCG/0.75 MLVIAL. .................. 48ARANESP 200 MCG/0.4 MLSYRINGE. ............. 48ARANESP 300 MCG/0.6 MLSYRINGE. ............. 48arbinoxa ................. 92ARCALYST .............. 50ARCAPTA NEOHALER .... 93ARICEPT 23 MG TABLET . 20ARRANON .............. 15ARZERRA. .............. 15ASACOL ................ 46ASACOL HD ............ 46ASCENSIA AUTODISC CTRLSOLN . . . . . . . . . . . . . . . . . 53ascomp with codeine ...... 26ASSURE 3 CONTROLSOLUTION ............ 53ASSURE 4 CONTROLSOLUTION ............ 53ASSURE DOSE CONTROLSOLUTION ............ 53ASSURE HAEMOLANCE PLUS18G. .................. 53ASSURE HAEMOLANCE PLUS21G. .................. 53ASSURE HAEMOLANCE PLUS25G. .................. 53ASSURE HAEMOLANCE PLUSLANCETS. ............. 53ASSURE ID SYR 0.5 ML29GX1/2 .............. 53ASSURE ID SYR 1 ML29GX1/2 .............. 53ASSURE II CONTROLSOLUTION ............ 54ASSURE LANCE 25GLANCETS. ............. 54ASSURE LANCE MICROFLOW LANCET. ........ 54ASSURE PRO CONTROLSOLUTION ............ 54ASSURE ULTRA THINLANCETS. ............. 54atenolol-chlorthalidone ..... 35atenolol tablet . . . . . . . . . . . . 32AT-LAST LANCETS ....... 54atorvastatin calcium ....... 33atovaquone-proguanil hcl. .. 13ATRIPLA ................. 8atropine care ............. 91atropine sulfate injection ... 29atropine sulfate oint, -ophthdrops. ................. 91ATROVENT HFA. ......... 94AUBAGIO TABLET ....... 40aurodex ................. 41auroguard ............... 41AURORA HEALTHCARELANCETS. ............. 54AURORA PEN NEEDLE 6MM31G. .................. 54AURORA PEN NEEDLES 8MM31G. .................. 5498