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

PREFERRED PLUS SYRINGE0.5 ML ................ 67PREFERRED PLUS SYRINGE1 ML .................. 67PREFERRED PLUS THINLANCETS. ............. 67PREFPLS INS SYR 1 ML30GX5/16 ............. 67PREF PLUS SYR 0.5 ML30GX5/16 ............. 67PREF PLUS SYRING 1 ML29GX1/2 .............. 67PREMARIN INJECTION . . . 85PREMARIN TABLET, -VAGINALPRODUCTS. ........... 85prenafirst ................ 86prenaissance. ............ 87prenaissance balance. ..... 87prenaissance next. ........ 87prenaissance plus. ........ 87prenaplus. ............... 87prenatabs fa ............. 87prenatabs rx. ............. 87prenatal 19 .............. 87prenatal ad. .............. 87prenatal low iron .......... 87prenatal plus ............. 87prenatal-u. ............... 87prenate plus. ............. 87PREP EASE ALCOHOLPADS ................. 67PRESSURE ACTIVATED 21GLANCETS. ............. 67PRESSURE ACTIVATED 28GLANCETS. ............. 67PRESTIGE GLUCOSECONTROL. ............ 67prevalite ................. 33previfem ................. 84PREVNAR 13 ............ 49PREZISTA 75 MG TABLET,-800MG TABLET, -100MGSUSP .................. 8PREZISTA 150 MG TABLET,-400 MG TABLET, -600 MGTABLET. ................ 8PRIFTIN. ................. 9PRIMAQUINE. ........... 13primidone tablet .......... 27PRISTIQ ER ............. 28pr natal 400. ............. 86pr natal 400 ec ........... 86pr natal 430. ............. 86pr natal 430 ec ........... 86PROAIR HFA ............ 93probenecid .............. 77probenecid-colchicine ..... 77procainamide hcl injection .. 31prochlorperazine edisylateinjection ............... 22prochlorperazine maleaterectal .................. 22prochlorperazine maleatetablet. ................. 22PROCRIT 2,000 UNITS/ML VIAL, -3,000 UNITS/MLVIAL, -4,000 UNITS/ML VIAL,-10,000 UNITS/ML VIAL . 49PROCRIT 20,000 UNITS/MLVIAL, -40,000 UNITS/MLVIAL. .................. 49procto-pak ............... 46proctosol-hc ............. 46proctozone-hc ............ 47PRODIGY CONTROLSOLUTION ............ 67PRODIGY CONTROLSOLUTION LOW ....... 67PRODIGY INS SYR 1ML28GX1/2 .............. 67PRODIGY MINI PEN NDL31GX3/16 ............. 67PRODIGY PEN NEEDLE29GX1/2 .............. 67PRODIGY PEN NEEDLE31GX5/16 ............. 67PRODIGY PRESSUREACTIVATED 28G. ....... 67PRODIGY PRESSURE ACTIVELANCET ............... 67PRODIGY SAFETYLANCETS. ............. 67PRODIGY SYRNG 0.5 ML31GX5/16 ............. 67PRODIGY SYRNG 1 ML29GX1/2 .............. 67PRODIGY SYRNGE 0.3ML31GX5/16 ............. 67PRODIGY TWIST TOP 28GLANCET ............... 67progesterone capsule, -oil 50mg/ml vl ............... 89progesterone oil 50 mg/ml vl 89PROGLYCEM. ........... 42PROGRAF INJECTION. ... 18PROLASTIN C . . . . . . . . . . . 95PROLEUKIN. ............ 50PROLIA ................. 45PROMACTA ............. 49promethazine hcl injection .. 92promethazine hcl rectal .... 22promethazine hcl syrup,-tablet ................. 92promethazine vc .......... 92promethegan ............. 22propafenone hcl .......... 31propantheline bromide tablet 46proparacaine hcl ophthdrops. ................. 91propranolol hcl capsulesustained action, -tablet .. 32propranolol hcl injection. ... 32propranolol hcl solution .... 32propranololhydrochlorothiazid....... 35propylthiouracil tablet ...... 41PROQUAD .............. 49PROSTIGMIN ........... 29PROTOPIC .............. 39protriptyline hcl . . . . . . . . . . . 29PROVENTIL HFA ......... 93prudoxin ................. 39PSS SELECT GPLANCETS. ............. 67PSS SELECT SAFETYLANCETS. ............. 67PUB INS SYRIN 0.3 ML30GX1/2 .............. 67PUB INS SYRINGE 1 ML30GX1/2 .............. 67PUB INSULIN SYR 1 ML31GX5/16 ............. 67119