Anthem National Direct Drug List 3-Tier with Split Generic Tier GASTRO-INTESTINAL AGENTS
Anthem National Direct Drug List 4-Tier GASTRO-INTESTINAL AGENTS
Anthem National Direct Drug List 5-Tier GASTRO-INTESTINAL AGENTS
Anthem Essential Drug List 3-Tier with Split Generic Tier - GASTRO-INTESTINAL AGENTS
Anthem Essential Drug List 4-Tier with Split Generic Tier - GASTRO-INTESTINAL AGENTS
Anthem Essential Drug List 5-Tier with Split Generic Tier - GASTRO-INTESTINAL AGENTS
Cigna
Value
Prescription
Drug List -
(1602)
Florida Blue Generic Choices Medication Guide
GASTRO-INTESTINAL AGENTS - January 2020
Florida Blue NetResults: A Series Medication Guide
GASTRO-INTESTINAL AGENTS - October 2020
Florida Blue Open Medication Guide for GASTRO-INTESTINAL AGENTS - October 2020
Humana Fully Integrated (HMO D-SNP)
Humana Injectable Drugs & Biologics Step Therapy Requirement for Medicare Advantage Plans (Jan. 13, 2021)
Independence Blue
Specialty Pharmacy Drugs: Select Drug Program & Value Formularies
Independence Blue
Non-Formulary Drug Formulary Alternatives - October 1, 2020
Independence Blue
Premium Formulary Step Therapy
July 1, 2020
Independence Blue
SELECT FORMULARY Tier 3 Value Formulary - Skin and Mucous Membrane Agents
Independence Blue
SELECT FORMULARY Tier 4 Value Formulary - Skin & Mucous Membrane Agents
Independence Blue
SELECT FORMULARY Tier 5 Value Formulary - Skin & Mucous Membrane Agents
Independent Health Pharmacy Benefit Dimensions 5 Tier Drug Formulary
South Carolina Blues Step Therapy
United Healthcare Clinical Program Drug Step Therapy - Commercial
United
Healthcare Cancer Therapy Pathways Program
UHC MEDICARE ADVANTAGE (MEDICARE PART B) STEP THERAPY PROGRAM
Copyright 2006-2023 Automated Clinical Guidelines, LLC. All rights reserved.
Home Contact FAQ
Account