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

ESTRACE VAGINALPRODUCTS. ........... 85estradiol adh. patch ....... 85estradiol-norethindroneacetat ................. 85estradiol tablet ........... 85estradiol valerate injection . . 85estropipate .............. 85ethambutol hcl. ............ 9ethosuximide capsule, -syrup 30etidronate disodium ....... 44etodolac capsule, -tablet, -tabletsustained action. ........ 77ETOPOPHOS ........... 16etoposide injection ........ 16EURAX ................. 38EVENCARE CONTROLSOLUTION ............ 58EVENCARE G2 CONTROLSOLUTION ............ 58EVENCARE G3 CONTROLSOLUTION ............ 58EVISTA. ................. 44EVOLUTION CONTROL SOLNNORMAL . . . . . . . . . . . . . . 58EXEL HYPO NEEDLE26GX0.5. .............. 58EXEL HYPO NEEDLE26GX1.5. .............. 58EXEL HYPO NEEDLE27GX0.5. .............. 58EXEL INS SYR U100 1 ML28GX1/2 .............. 58EXEL INSULIN PENNEEDLE. .............. 59EXEL INSULIN SYRINGE 27G-1 ML .................. 59EXEL INSULIN SYRN 27G-1/2ML. ................... 59EXEL INSUL PEN NEEDLES8MM .................. 58EXEL INSUL SYR 0.5 ML28GX1/2 .............. 59EXELON ADH. PATCH,-SOLUTION ............ 20EXEL U100 0.3 ML29GX1/2 .............. 59EXEL U100 0.3 ML30GX5/16 ............. 59EXEL U100 0.5 ML28GX1/2 .............. 59EXEL U100 0.5 ML29GX1/2 .............. 59EXEL U100 0.5 ML30GX5/16 ............. 59EXEL U100 1 ML30GX5/16 ............. 59EXEL U100 INS SYR 1 ML29GX1/2 .............. 59exemestane .............. 16EXFORGE .............. 35EXFORGE HCT .......... 35EXJADE 125 MG TABLET . 40EXJADE 250 MG TABLET, -500MG TABLET. ........... 40E-ZJECT COLOR 32GLANCETS. ............. 59E-ZJECT COLOR 33GLANCETS. ............. 59E-Z JECT COLOREDLANCETS. ............. 59E-Z JECT LANCETS ...... 59E-Z JECT SUPER THINLANCETS. ............. 59E-ZJECT THIN LANCETS .. 59EZ-LETS LANCETS 23G .. 59EZ SMART BLOOD GLUCOSELANCETS. ............. 59EZ SMART HIGH CONTROLSOLUTION ............ 59EZ SMART LOW CONTROLSOLUTION ............ 59EZ SMART NORMALCONTROL SOLN. ...... 59FFABRAZYME 35 MG VIAL . 44famciclovir 125 mg tablet, -500mg tablet. .............. 11famciclovir 250 mg tablet .. 11famotidine injection. ....... 46famotidine oral susp ....... 46famotidine tablet .......... 46FANAPT. ................ 21FARESTON .............. 16FASLODEX .............. 16FAST TAKE MONITORINGSYSTEM ............... 59FAST TAKE TEST STRIPS . 59FAZACLO ............... 21fe c ..................... 86felbamate. ............... 27felodipine er. ............. 32FEMHRT 0.5 MG-2.5 MCGTABLET. ............... 85fem ph .................. 85fenofibrate ............... 33fenoprofen calcium tablet. .. 77fentanyl ................. 24fentanyl 0.05 mg/ml ampul, -0.05mg/ml syringe, -0.05 mg/mlvial, -1 mg/20 ml vial, -100mcg/2 ml vial, -250 mcg/5 mlvial .................... 24fentanyl 2,500 mcg/50 mlvial .................... 24fentanyl citrate lozenge. .... 24FERRIPROX. ............ 40fexofenadine hcl .......... 92FIFTY50 ALCOHOL PREPPADS ................. 59FIFTY50 GLUCOSECONTROL SOLN. ...... 59FIFTY50 INS SYR 1 ML31GX5/16 ............. 59FIFTY50 INSULIN SYRINGE0.3 ML ................ 59FIFTY50 INSULIN SYRINGE0.5 ML ................ 59FIFTY50 PEN 31G X 3/16NEEDLE. .............. 59FIFTY50 PEN 31G X 5/16NEEDLE. .............. 59FIFTY50 SAFETY SEAL 30GLANCET ............... 59FIFTY50 SAFETY SEAL 32GLANCET ............... 59finasteride 5mg tablet. ..... 95FINE 30 UNIVERSAL 30GLANCETS. ............. 59FINGERSTIX LANCETS ... 59FIRAZYR ................ 48FIRMAGON ............. 16flavoxate hcl. ............. 95106