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

NILANDRON ............ 18nimodipine ............... 32nisoldipine ............... 33nitro-bid . . . . . . . . . . . . . . . . . 34nitrofurantoin macrocrystalcapsule ................ 14nitrofurantoin mono-macro. . 14nitrofurantoin oral susp. .... 14nitroglycerin in d5w ....... 34nitroglycerin injection ...... 34nitroglycerin patch ........ 34NITROSTAT. ............. 34nizatidine ................ 46nora-be. ................. 89NORDIPEN 5 DELIVERYSYSTEM ............... 65NORDIPEN 15 DELIVERYSYSTEM ............... 65norepinephrine bitartrate ... 35norethindrone ............ 89norethindrone acetate tablet 89norethindrone-ethin estradiol 84norgestimate-ethinylestradiol ............... 84norgestrel-ethiny estra ..... 84normal saline flush ........ 80NORM-JECT 1 MLSYRINGE. ............. 65NORMOSOL-M ANDDEXTROSE ............ 80NORMOSOL-R .......... 80NORMOSOL-R ANDDEXTROSE ............ 80NORMOSOL-R PH 7.4 .... 80nortrel. .................. 84nortriptyline hcl capsule,-solution ............... 29NORVIR. ................. 8NOVA MAX GLUCOSECONTROL SOLN. ...... 65NOVAMAX PLUS GLU-KETCTRL SOLN. ........... 65novarel injection .......... 89NOVA SAFETY 23GLANCETS. ............. 65NOVA SAFETY LANCETS28G. .................. 65NOVA SUREFLEXLANCETS. ............. 65NOVA SUREFLEX THINLANCETS. ............. 65NOVOFINE 30G X 1/3NEEDLES ............. 65NOVOFINE 30 NEEDLES . 65NOVOFINE 32G NEEDLES 65NOVOFINE AUTOCOVER 30GNEEDLE. .............. 65NOVOLIN 70-30 ......... 43NOVOLIN N ............. 43NOVOLIN R ............. 43NOVOLOG .............. 43NOVOLOG MIX 70-30 .... 43NOVOPEN 3 INSULINDEVICE ............... 65NOVOPEN 3 PENMATEDEVICE ............... 65NOVOPEN JR INSULINDEVICE ............... 65NOVOTWIST NEEDLE 30G8MM .................. 65NOVOTWIST NEEDLE 32G5MM .................. 65NOXAFIL ................ 10NPLATE ................. 49NUEDEXTA. ............. 29NULOJIX . . . . . . . . . . . . . . . . 18nutrilyte ................. 80nutrilyte ii . . . . . . . . . . . . . . . . 80nutri-tab ob .............. 86nutri-tab ob + dha. ........ 86NUTROPIN. ............. 47NUTROPIN AQ .......... 47NUTROPIN AQ NUSPIN .. 47nyamyc. ................. 12nystatin. .............. 10, 12nystatin-triamcinolone. ..... 14nystatin vaginal products ... 15nystop .................. 12Oob-natal one ............. 86ocella . . . . . . . . . . . . . . . . . . . 84OCTAGAM .............. 49octreotide acet 50 mcg/ml amp,-acet 50 mcg/ml syr, -acet 50mcg/ml vial, -acet 100 mcg/ml amp, -acet 100 mcg/ml syr,-acet 100 mcg/ml vl. ..... 18octreotide acet 200 mcg/ml vl,-acet 500 mcg/ml amp, -acet500 mcg/ml syr, -acet 500mcg/ml vl, -1,000 mcg/mlvial .................... 18ofloxacin ophth drops. ..... 91ofloxacin otic drops. ....... 41ofloxacin tablet ........... 13ogestrel ................. 84olanzapine 20 mg tablet. ... 21olanzapine-fluoxetine hcl ... 21olanzapine injection, -2.5 mgtablet, -5 mg tablet, -7.5 mgtablet, -10 mg tablet, -15 mgtablet. ................. 21olanzapine odt. ........... 21omeprazole dr 10 mg capsule,-dr 40 mg capsule ....... 47omeprazole dr 20 mgcapsule ................ 47omeprazole-sodiumbicarbonate ............ 47ON CALL 30G LANCET ... 65ON CALL PLUS 30GLANCET ............... 65ON CALL PLUS CONTROLSOLUTION ............ 65ON CALL VIVID CONTROLSOLUTION ............ 65ONCASPAR ............. 18ondansetron 40 mg/20 ml vial,-4 mg/2 ml syr, -4 mg/2 mlampule ................ 22ondansetron hcl 4 mg/2 mlvial .................... 22ondansetron hcl 4 mg tablet, -8mg tablet. .............. 22ondansetron hcl 24 mgtablet. ................. 22ondansetron hcl in dextrose. 22ondansetron hcl solution ... 22ondansetron in sodiumchloride ................ 22ondansetron odt .......... 22116