13.07.2015 Views

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

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

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

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

ELIDEL ................. 39ELIGARD ............... 16eliphos .................. 83ELITEK. ................. 16elite-ob. ................. 86elite-ob 400. ............. 86elite ob dha .............. 86ELITE-THIN INS SYR 0.5CC 58ELITE-THIN INSULIN SYR1CC .................. 58ELITE-THIN INSUL SYR0.3CC. ................ 58ELITE-THIN INSUL SYR0.5CC. ................ 58ELITE-THIN INSUL SYR1/2CC. ................ 58ELITE-THIN INSUL SYR1CC .................. 58ELLA ................... 83ELSPAR................. 16EMBRACE GLUC CONTROLSOLN LOW ............ 58EMCYT ................. 16EMEND 40 MG CAPSULE,-125 MG CAPSULE ..... 22EMEND 80 MG CAPSULE 22EMEND INJECTION ...... 22EMEND TRIFOLD PACK .. 22emoquette ............... 83EMSAM ................. 26EMTRIVA. ................ 8ENABLEX . . . . . . . . . . . . . . . 95enalaprilat ............... 31enalapril-hydrochlorothiazide 35enalapril maleate tablet .... 31ENBREL 25 MG/0.5 MLSYRINGE, -50 MG/MLSURECLICK SYR. ...... 16ENBREL 25 MG KIT ...... 16ENBREL 50 MG/MLSYRINGE. ............. 16endocet ................. 24endodan. ................ 24ENGERIX-B ............. 48enoxaparin 30 mg/0.3 ml syr 81enoxaparin 40 mg/0.4 ml syr 81enoxaparin 60 mg/0.6 ml syr 81enoxaparin 80 mg/0.8 ml syr 81enoxaparin 100 mg/ml syr .. 81enoxaparin 120 mg/0.8 mlsyr .................... 81enoxaparin 150 mg/ml syr .. 81enoxaparin 300 mg/3 ml vial 81enpresse ................ 83entacapone .............. 28enulose ................. 78ENVISION CONTROL SOLNHIGH ................. 58ENVISION CONTROL SOLNLOW .................. 58ENVISION CONTROL SOLNNORMAL . . . . . . . . . . . . . . 58epiflur ................... 81epinastine hcl ............ 91epinephrine 0.1 mg/ml syringe,-1 mg/ml ampul, -1 mg/mlvial .................... 94EPINEPHRINE 0.15 MGAUTO-INJCT, -0.3 MG AUTO-INJECT ................ 94EPIPEN ................. 94EPIPEN JR .............. 94epirubicin ................ 16epitol ................... 23EPIVIR HBV ............. 11EPIVIR SOLUTION ........ 8eplerenone. .............. 36EPOGEN 2,000 UNITS/MLVIAL, -3,000 UNITS/ML VIAL,-4,000 UNITS/ML VIAL,-20,000 UNITS/2 ML VIAL,-20,000 UNITS/ML VIAL . 48EPOGEN 10,000 UNITS/MLVIAL. .................. 48epoprostenol sodium ...... 36eprosartan mesylate ....... 31EPZICOM ................ 8EQL COLOR LANCETS ... 58EQL INS SYR 0.3 ML29GX1/2 .............. 58EQL INS SYR 0.3 ML30GX5/16 ............. 58EQL INS SYR 0.5 ML29GX1/2 .............. 58EQL INS SYR 0.5 ML30GX5/16 ............. 58EQL INS SYR 1 ML29GX1/2 .............. 58EQL INSULIN 0.3 MLSYRINGE. ............. 58EQL INSULIN 0.5 MLSYRINGE. ............. 58EQL INSULIN 1 MLSYRINGE. ............. 58EQL INSULIN SYR 1 ML29GX1/2 .............. 58EQL INSULIN SYR 1 ML30GX5/16 ............. 58EQL INSULIN SYR 1 ML31GX5/16 ............. 58EQL INSUL SYR 0.3 ML31GX5/16 ............. 58EQL INSUL SYR 0.5 ML31GX5/16 ............. 58EQL LANCETS THIN. ..... 58EQL PEN 8MM 31G X 5/16NEEDLE. .............. 58EQL PEN NEEDLE 6MM31G. .................. 58EQL SUPER THINLANCETS. ............. 58ERBITUX. ............... 16ergoloid mesylates tablet ... 40ERIVEDGE .............. 16errin .................... 89ery. ..................... 37ery-tab ................... 9erythrocin stearate ......... 9ERYTHROCIN VIAL FORINJECTION ............. 9erythromycin-benzoylperoxide ............... 37erythromycin e.c. cap, -tablet. 9erythromycin ethylsuccinatetablet. .................. 9erythromycin gel, -soln, top,-swabs, applicators ...... 37erythromycin oint. ......... 91erythromycin-sulfisoxazole .. 14escitalopram oxalate solution 30escitalopram oxalate tablet . 30estazolam. ............... 29105

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!