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

ONE TOUCH BASIC SYSTEMKIT. ................... 65ONE TOUCH CLUBLANCETS. ............. 66ONE TOUCH COMBOPACK ................. 66ONE TOUCH DELICA 30GLANCETS. ............. 66ONE TOUCH DELICA 33GLANCETS. ............. 66ONE TOUCH PROFILESYSTEM KT ............ 66ONE TOUCH SURESOFTLANCING DEV ......... 66ONE TOUCH TEST STRIPS 66ONE TOUCH ULTRA 2GLUCOSE SYST ....... 66ONE TOUCH ULTRACONTROL SOLN. ...... 66ONE TOUCH ULTRALINKSYSTEM ............... 66ONE TOUCH ULTRAMINIMETER ................ 66ONE TOUCH ULTRA SMARTMETER ................ 66ONE TOUCH ULTRASOFTLANCETS. ............. 66ONE TOUCH ULTRA SYSTEMKIT. ................... 66ONE TOUCH ULTRA TESTSTRIPS. ............... 66ONE TOUCH VERIO HIGHCNTRL SOL ........... 66ONE TOUCH VERIO IQMETER ................ 66ONE TOUCH VERIO MIDCNTRL SOLN .......... 66ONE TOUCH VERIO TESTSTRIP ................. 66ONFI ................... 27ONGLYZA. .............. 44ONTAK. ................. 18OPIUM TINCTURE ....... 24ORAP. .................. 21ORENCIA 125 MG/MLSYRINGE. ............. 18ORENCIA 250 MG VIAL .. 18ORFADIN ............... 40orphenadrine citrate injection 76orphenadrine citrate tabletsustained action. ........ 76orphenadrine compound ... 76orphenadrine compoundforte. .................. 76ORSINI INSUL SYR U100 0.5ML. ................... 66ORSINI INSUL SYR U100 1ML. ................... 66orsythia ................. 84ORTHO EVRA ........... 84OSMOPREP ............ 46oxacillin 1 gm/ 50 ml inj .... 13oxacillin 1 gm vial ......... 13oxacillin 2 gm/ 50 ml inj .... 13oxacillin 2 gm add-vantage vl, -2gm vial. ................ 13oxacillin 10 gm vial ........ 13oxaliplatin 50 mg/10 ml vial . 18oxaliplatin 100 mg/20 ml vial 18oxaliplatin 100 mg vial ..... 18oxandrolone tablet ........ 83oxaprozin . . . . . . . . . . . . . . . . 78oxazepam. ............... 23oxcarbazepine ............ 23oxybutynin chloride er. ..... 95oxybutynin chloride syrup,-tablet ................. 95oxycodone-acetaminophen . 24oxycodone concentrate .... 24oxycodone hcl ............ 24oxycodone hclacetaminophen.......... 24oxycodone hcl-aspirin. ..... 24oxycodone hcl-ibuprofen ... 24OXYCONTIN 10 MG TABLET,-15 MG TABLET, -20 MGTABLET, -30 MG TABLET, -40MG TABLET. ........... 24OXYCONTIN 60 MGTABLET. ............... 24OXYCONTIN 80 MGTABLET. ............... 24oxymorphone hcl er tablet .. 24oxymorphone hcl tablet .... 24oxytocin injection. ......... 89Ppacerone . . . . . . . . . . . . . . . . 34paclitaxel 100 mg/16.7 ml vial,-30 mg/5 ml vial ......... 18paclitaxel 300 mg/50 ml vial 18palgic ................... 92pamidronate ............. 45PANCREAZE ............ 46PANCRELIPASE 5,000. ... 46PANRETIN .............. 39pantoprazole sodium ...... 47pantoprazole sodium vial ... 47parcaine. ................ 91paregoric ................ 45paromomycin sulfate capsule 7paroxetine cr 12.5 mg tablet,-cr 37.5 mg tablet, -er 37.5 mgtablet. ................. 30paroxetine cr 25 mg tablet. . 30paroxetine hcl 10 mg tablet, -40mg tablet. .............. 30paroxetine hcl 20 mg tablet, -30mg tablet. .............. 30PASER................... 9PAXIL ORAL SUSP ....... 30PC SUPER THIN 30GLANCETS. ............. 66PC UNIFINE PENTIPS 6MMNEEDLE. .............. 66PC UNIFINE PENTIPS 8MMNEEDLE. .............. 66PC UNIFINE PENTIPS 12MMNEEDLE. .............. 66PC UNIFINE PENTIPS31GX3/16 ............. 66PEDIARIX ............... 49pedi-dri. ................. 12PEDVAXHIB ............. 49peg-3350 and electrolytes. . 46peg 3350-electrolyte ...... 46peg-3350 with flavor packs . 46PEGANONE. ............ 26PEGASYS 180 MCG/0.5 MLSYRINGE. ............. 50PEGASYS 180 MCG/MLVIAL. .................. 50PEGASYS PROCLICK 135MCG/0.5 .............. 50117