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

disulfiram ................ 29divalproex sodium ......... 31divalproex sodium er. ...... 31dobutamine hcl ........... 35dobutamine hcl in dextrose . 35DOCEFREZ . . . . . . . . . . . . . 16docetaxel 20 mg/ml vial .... 16docetaxel 80 mg/8 ml vial, -80mg/4 ml vial ............ 16docetaxel 160 mg/16 ml vial, -20mg/2 ml vial, -20 mg/0.5 mlvial, -80 mg/2 ml vial ..... 16donepezil hcl ............. 20dopamine hcl in 5% dextrose 35dopamine hcl injection ..... 35DORIBAX VIAL. .......... 10dorzolamide hcl. .......... 90dorzolamide-timolol. ....... 90doxazosin mesylate 1 mg tab 36doxazosin mesylate 2 mg tab, -4mg tab, -8 mg tab ....... 36doxepin hcl capsule,-solution ............... 30DOXIL .................. 16doxorubicin .............. 16doxycycline hyclate 20 mgtab .................... 41doxycycline hyclate capsule, -e.c.cap, -e.c. tab, -100 mg tab 14doxycycline hyclate injection 14doxycycline monohydrate. .. 14DRITHOCREME HP ...... 37DR LANCET ............. 57dronabinol 2.5 mg capsule, -5mg capsule. ............ 22dronabinol 10 mg capsule .. 22droperidol injection. ........ 7DROPLET 30G LANCETS . 57drospirenone-eth estradiol .. 83DR SUPER THIN 30GLANCETS. ............. 57DRUG MART THINLANCETS. ............. 57DRUG MART ULTRACOMFORT SYR ........ 57DRUG MART ULTRA THINLANCETS. ............. 57DR ULTRA THIN LANCET . 57DR UNIFINE PENTIPS 6MMNDL. .................. 57DR UNIFINE PENTIPS 8MMNDL. .................. 57DR UNIFINE PENTIPS 12MMNDL. .................. 57DULERA ................ 94DUO-CARE CONTROLSOLUTION ............ 57duramorph 0.5mg/ml ampul,-1mg/ml ampul .......... 24duramorph 5mg/10ml ampul,-10mg/10ml ampul ...... 24dylix .................... 93DYSPORT ............... 76EEASY CHECK CONTROLSOLN HIGH ........... 57EASY CHECK CONTROLSOLN LOW ............ 57EASY COMFORT 0.3 MLSYRINGE. ............. 57EASY COMFORT 0.5 MLSYRINGE. ............. 57EASY COMFORT 30GLANCETS. ............. 57EASY COMFORT INSULIN 1ML SYR ............... 57EASYMAX HIGH CONTROLSOLN . . . . . . . . . . . . . . . . . 57EASYMAX LOW CONTROLSOLN . . . . . . . . . . . . . . . . . 57EASYMAX NORMALCONTROL SOLN. ...... 57EASY TALK CONTROL SOLNLOW .................. 57EASY TALK HIGH CONTROLSOLN . . . . . . . . . . . . . . . . . 57EASY TEST II LANCETS ... 57EASY TEST LANCETS .... 57EASY TOUCH 0.3 ML SYR30GX1/2 .............. 57EASY TOUCH 0.5 ML SYR27GX1/2 .............. 57EASY TOUCH 0.5 ML SYR30GX1/2 .............. 57EASY TOUCH 1 ML SYR27GX1/2 .............. 57EASY TOUCH 1 ML SYR30GX1/2 .............. 57EASY TOUCH ALCOHOL 70%PADS ................. 57EASY TOUCH CONTROLSOLUTION ............ 57EASY-TOUCH INS 1 ML31GX5/16 ............. 57EASY TOUCH INSULIN SYR0.3 ML ................ 57EASY TOUCH INSULIN SYR0.5 ML ................ 57EASY TOUCH INSULIN SYR 1ML. ................... 57EASY TOUCH LANCETS . . 57EASY TOUCH PEN NDL32GX1/4 .............. 57EASY TOUCH PEN NDL32GX3/16 ............. 57EASY TOUCH PEN NEEDLE29G. .................. 57EASY TOUCH PEN NEEDLE31G. .................. 57EASY TOUCH PEN NEEDLE31GX3/16 ............. 57EASY TRAK CONTROL SOLNHIGH ................. 57EASY TRAK CONTROL SOLNNORMAL . . . . . . . . . . . . . . 57ECLIPSE CONTROL SOLNNORMAL . . . . . . . . . . . . . . 57ECLIPSE CONTROLSOLUTION HIGH. ...... 58ECLIPSE CONTROLSOLUTION LOW ....... 58econazole nitrate. ......... 12EDURANT. ............... 8effer-k 25 meq tablet eff. ... 82EFFIENT ................ 78ELELYSO. ............... 44ELEMENT CONTROL SOLNNORMAL . . . . . . . . . . . . . . 58ELEMENT CONTROLSOLUTION HIGH. ...... 58ELEMENT CONTROLSOLUTION LOW ....... 58ELEMENT PLUS CONTROLSOLUTION ............ 58104