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

GAMASTAN S-D. ......... 48GAMMAGARD LIQUID. ... 48GAMMAGARD S-D ....... 48GAMUNEX .............. 49GAMUNEX-C ............ 49ganciclovir injection ....... 11garamycin ophth drops. .... 91GARDASIL .............. 49gavilyte-c ................ 46gavilyte-g ................ 46gavilyte-n ................ 46GE100 CONTROL SOLUTIONNORMAL . . . . . . . . . . . . . . 60gemcitabine 1 gram/26.3 mlvl ..................... 17gemcitabine 200 mg/5.26 ml vl,-200 mg vial ............ 17gemcitabine hcl 1 gram vial,-2 gram/52.6 ml vl, -2 gramvial .................... 17gemfibrozil tablet. ......... 33generlac. ................ 78gengraf. ................. 17gentak .................. 91gentamicin. ............... 7gentamicin 3 mg/gm eye oint,-ophth drops. ........... 91gentamicin sulfate cream, -0.1%ointment ............... 14gentex ade. .............. 86GENTLE-LET GP 26GLANCETS. ............. 60GENTLE-LET GP 28GLANCETS. ............. 60GENTLE-LET G.P.LANCETS. ............. 60GENTLE-LET SAFETYLANCETS. ............. 60GEODON INJECTION .... 21gianvi ................... 83gildagia ................. 83gildess fe ................ 83GILENYA. ............... 40GLASSIA. ............... 95GLEEVEC ............... 17glimepiride ............... 43glipizide er ............... 43glipizide-metformin ........ 43glipizide tablet ............ 43glipizide xl ............... 43GLUCAGEN. ............ 42GLUCAGON EMERGENCYKIT. ................... 42GLUCOCARD 01 CONTROLSOLUTION ............ 60GLUCOCARD EXPRESSIONCNTRL SLN. ........... 60GLUCOCARD X-METERCONTROL SOLN. ...... 60GLUCOCOM 30GLANCETS. ............. 60GLUCOCOM 33GLANCETS. ............. 60GLUCOCOM CONTROLSOLUTION ............ 60GLUCOCOM LANCETS28G. .................. 60GLUCOLAB CONTROL SOLNNORMAL . . . . . . . . . . . . . . 60GLUCOLAB CONTROLSOLUTION HIGH. ...... 60GLUCOLAB CONTROLSOLUTION LOW ....... 60GLUCOPRO INSULIN SYR 0.5ML. ................... 60GLUCOPRO INSULIN SYR 1ML. ................... 60GLUCOPRO INSULIN SYRU100 1 ML. ............ 60GLUCOPRO INSUL SYR U1000.3 ML ................ 60GLUCOPRO INSUL SYR U1000.5 ML ................ 60GLUCOPRO SYRINGE U1001 ML .................. 60GLUCOPRO U100 INSUL SYR0.3 ML ................ 60GLUCOSE CONTROL SOLNNORMAL . . . . . . . . . . . . . . 60GLUCOSE CONTROLSOLUTION ............ 60GLUCOSOURCELANCETS. ............. 60glyburide-metformin hcl .... 43glyburide micronized. ...... 43glyburide tablet ........... 43glycine .................. 95glycopyrrolate injection,-tablet ................. 46GNP ALCOHOL PREPSWABS ............... 60GNP ALCOHOL SWAB ... 60GNP CLICKFINE 31G X 1/4NDL. .................. 60GNP CLICKFINE 31G X 5/16NDL. .................. 60GNP CLICKFINE PEN NDL31GX1/4 .............. 60GNP CLICKFINE PEN NDL31GX5/16 ............. 60GNP INSULIN SYR 1 ML31GX5/16 ............. 60GNP INSUL SYR 0.3 ML31GX5/16 ............. 60GNP INSUL SYR 0.5 ML31GX5/16 ............. 60GNP LANCETS .......... 60GNP MICRO THIN 33GLANCETS. ............. 60GNP SUPER THINLANCETS. ............. 60GNP THIN LANCETS ..... 60GNP ULTRA COMFORT 0.5ML SYR ............... 60GNP ULTRA COMFORT 1 MLSYRINGE. ............. 60GNP ULTRA COMFORT 3/10ML SYR ............... 61granisetron hcl 0.1 mg/ml vial, -4mg/4 ml vial ............ 22granisetron hcl 1 mg/ml vial. 22granisetron hcl tablet ...... 22granisol ................. 22griseofulvin micro tablet .... 10griseofulvin oral susp ...... 10griseofulvin ultra tablet ..... 10guanfacine hcl. ........... 33guanidine hcl ............. 29HHAEMOLANCE LANCET .. 61HAEMOLANCE PLUSLANCET ............... 61108