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

venlafaxine hcl ............ 28venlafaxine hcl er 37.5 mg cap,-75 mg cap, -37.5 mg tab, -75mg tab. ................ 28venlafaxine hcl er 150 mg cap,-150 mg tab ............ 28VENLAFAXINE HCL ER 225MG TAB (BRAND) ...... 28venlafaxine hcl er 225 mg tab(generic) ............... 28VENTAVIS ............... 36verapamil er 120 mg tablet, -180mg tablet, -240 mg tablet . 33verapamil er pm. .......... 33verapamil hcl capsule sustainedaction, -tablet, -er 120 mgtablet, -er 240 mg tablet .. 33verapamil injection ........ 33veripred 20 .............. 42vestura .................. 85VFEND SUSPENSION. ... 10VH INS SYR 0.5 ML29GX1/2 .............. 75VH INS SYR 1 ML 29GX1/2 75VIBATIV 250 MG VIAL. .... 11VIBATIV 750 MG VIAL. .... 11VICTORY HIGH-LOWCONTROL SOLN. ...... 75VICTOZA 2-PAK .......... 42VICTOZA 3-PAK .......... 42VICTRELIS ............... 8VIDAZA ................. 19VIDEX ................... 8VIIBRYD 10 MG TABLET,-20 MG TABLET, -40 MGTABLET. ............... 30VIIBRYD TITRATION PACK 30VIMPAT INJECTION. ...... 27VIMPAT SOLUTION,-TABLET ............... 27vinacal .................. 88vinate az. ................ 88vinate az extra ............ 88vinate c. ................. 88vinate calcium . . . . . . . . . . . . 88vinate care ............... 88vinate gt ................. 88vinate ic ................. 88vinate ii. ................. 88vinate-m ................. 88vinate one ............... 88vinate pn care ............ 88vinate ultra ............... 88vinblastine ............... 19vincasar pfs .............. 19vincristine. ............... 19vinorelbine ............... 19viorele. .................. 85VIRACEPT 625 MG TABLET 8VIRACEPT POWDER, -250 MGTABLET. ................ 8VIRAMUNE ORAL SUSP ... 8VIRAMUNE XR. ........... 8VIREAD .................. 8virt-bal dha. .............. 88virt-pn ................... 88virt-pn dha ............... 88VISICOL ................ 47vitafol-ob ................ 88vitafol-pn ................ 88VITALET 23 GAUGELANCET ............... 75VITALET PRO LANCETS. .. 75VITALET PRO PLUSLANCETS. ............. 75VITALET THIN 26GAUGELANCET ............... 75vitaspire ................. 88vitazol ................... 37vol-nate ................. 88vol-plus. ................. 88vol-tab rx ................ 88VORAXAZE. ............. 19voriconazole. ............. 12voriconazole 50 mg tablet . . 10voriconazole 200 mg tablet . 10VOTRIENT. .............. 19vp-ch-pnv ................ 88vp-era ob plus ............ 88vp-ggr-b6. ............... 88VUMON. ................ 19WWALGREENS LANCETS .. 75WALGREENS THINLANCETS. ............. 75WALGREENS ULTRA THINLANCETS. ............. 75warfarin sodium tablet ..... 82WAVESENSE CONTROLSOLN NORMAL ........ 76WDMEDIC INS SYR 1 ML30GX5/16 ............. 76WD MEDIC SYR 0.3 ML30GX5/16 ............. 76WD MEDIC SYR 0.5 ML29GX1/2 .............. 76WD MEDIC SYR 0.5 ML30GX5/16 ............. 76WD MEDIC SYR 1 ML29GX1/2 .............. 76WDMEDIC SYRING 0.3 ML29GX1/2 .............. 76WEBCOL ALCOHOLPREPS ................ 76WELCHOL .............. 33W & F 26G LANCETS. .... 75W & F COLORED 21GLANCETS. ............. 75W&F COLORED LANCETS 75W&F THIN LANCETS ..... 75XXALKORI. ............... 19XARELTO ............... 82XELODA ................ 19XENAZINE .............. 29XEOMIN ................ 76XGEVA. ................. 45XOLAIR ................. 94XOPENEX. .............. 93XPRES CONTROL SOLUTIONNORMAL . . . . . . . . . . . . . . 76XTANDI ................. 19x-viate. .................. 40XYREM ................. 29YYERVOY ................ 19YF-VAX ................. 49Zzafirlukast. ............... 94zaleplon ................. 29ZALTRAP ................ 19zamicet. ................. 25128