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

CAREONE UNIFINE PENTIP8MM 31G. ............. 55CAREONE UNIFINE PNTP12MM 29G ............ 55CARESENS CONTROLSOLUTION ............ 55carisoprodol-aspirin ....... 76carisoprodol-aspirin-codeine 76carisoprodol compound .... 76carisoprodol compoundcodeine................ 76carisoprodol tablet ........ 76carteolol hcl. ............. 90cartia xt ................. 32carvedilol ................ 32cavan-alpha kit ........... 86cavan-ec sod dha ......... 86cavan-heme ob ........... 86cavan one omega . . . . . . . . . 86CAYSTON ............... 10caziant .................. 83CEENU . . . . . . . . . . . . . . . . . 15cefaclor .................. 9cefaclor er . . . . . . . . . . . . . . . . 9cefadroxil ................. 9cefazolin. ................. 9cefdinir ................... 9cefepime ................. 9cefotaxime ................ 9cefotetan . . . . . . . . . . . . . . . . . 9cefoxitin .................. 9cefpodoxime proxetil. ....... 9cefprozil .................. 9ceftazidime ............... 9ceftriaxone ................ 9cefuroxime ................ 9cefuroxime axetil ........... 9cefuroxime sodium ......... 9CELEBREX. ............. 77CELLCEPT INJECTION ... 16CELLCEPT ORAL SUSP .. 16CELONTIN .............. 30cephalexin ................ 9CEREZYME ............. 44cerubidine ............... 16CERVARIX .............. 48cesia. ................... 83cetirizine hcl. ............. 92cevimeline hcl ............ 41CHANTIX. ............... 30CHEMET. ............... 40chloramphenicol sodsuccinate .............. 10chlordiazepoxide-amitriptyline 28chlordiazepoxide hcl ....... 23chlorhexidine gluconate dental/mucous membrn products 41chloroprocaine hcl ......... 7chloroquine phosphate tablet 13chlorothiazide ............ 36chlorothiazide sodium. ..... 36chlorpromazine hcl injection. 21chlorpromazine hcl tablet ... 21chlorpropamide ........... 43chlorthalidone ............ 36chlorzoxazone ............ 76cholestyramine ........... 33cholestyramine light ....... 33choline mag trisalicylate .... 78chorionic gonadotropininjection ............... 89ciclodan ................. 12ciclopirox . . . . . . . . . . . . . . . . 12cidofovir vial. ............. 11cilostazol ................ 78cimetidine injection. ....... 46cimetidine solution, -tablet .. 46CINRYZE ............... 48CIPRODEX. ............. 41ciprofloxacin-d5w injection . 13ciprofloxacin er ........... 13ciprofloxacin hcl ophth drops 91ciprofloxacin injection ...... 13ciprofloxacin tablet ........ 13cisplatin ................. 16citalopram hbr solution. .... 30citalopram hbr tablet. ...... 30cladribine ................ 16claravis. ................. 38clarithromycin er .......... 12clarithromycin suspension,-tablet ................. 12clemastine fumarate syrup,-tablet ................. 92clenia emulsion ........... 37CLEOCIN 100 MG VAGINALOVULE . . . . . . . . . . . . . . . . 85CLEVER CHEK 30GLANCETS. ............. 56CLEVER CHEK CONTROLSOLUTION ............ 56CLEVER CHEK ULTRA THINLANCETS. ............. 56CLICKFINE 31G X 1/4NEEDLES ............. 56CLICKFINE 31G X 5/16NEEDLES ............. 56CLICKFINE UNIVERSAL 31G X1/4. ................... 56CLICKFINE UNIVERSAL31GX5/16 ............. 56CLIMARA PRO. .......... 85clinda-benzoyl perox 1-5%gel .................... 37clindacin p ............... 37clindamycin-benzoyl peroxgel .................... 37clindamycin-d5w .......... 10clindamycin hcl capsule .... 10clindamycin injection ...... 10clindamycin palmitate hcl ... 10clindamycin phos-benzoylperox .................. 37clindamycin phosphate foam(non-contraceptive), -gel,-lotion, -soln, top, -swabs,applicators ............. 37clindamycin phosphate vaginalproducts ............... 85CLINIMIX 2.75%-5%SOLUTION, -4.25%-20%SOLUTION, -4.25%-25%SOLUTION, -4.25%-5%SOLUTION, -5%-15%SOLUTION, -5%-20%SOLUTION, -5%-25%SOLUTION ............ 79CLINIMIX 4.25%-10%SOLUTION ............ 79101