Microsoft word - rx advantage - 2012.doc

OTHER ESTROGEN
MISCELLANEOUS
PRODUCTS
PULMONARY AGENTS
OPHTHALMIC
GLAUCOMA
OPHTHALMIC TOPICAL
PRENATAL VITAMINS
ANTIVIRALS
OTHER OPHTHALMIC
PROGESTINS
PULMONARY AGENTS
Xanthines
BETA AGONIST INHALERS
RESPIRATORY,
ALLERGY, COUGH
Inhaled Corticosteroids
ANTIHISTAMINES/
ANTI-ALLERGENICS
Intranasal Steroids
UROLOGICAL
MEDICATIONS
OPHTHALMIC TOPICAL
OBSTETRICAL AND
ANTICHOLINERGICS/
ANTIBACTERIAL
GYNECOLOGICAL
ANTISPASMODICS
ANDROGENS
BENIGN PROSTATIC
CONTRACEPTIVES
BETA AGONIST ORAL
HYPERTROPHY
x Advantage
MISCELLANEOUS
ANTI-TUSSIVE
UROLOGICALS
COMBINATIONS
DECONGESTANTS/
2012 Edition
ANTIHISTAMINES
OPHTHALMIC
OTHER GENITOURINARY
ANTIHISTAMINES
PRODUCTS
OPHTHALMIC
ANTI-INFECTIVES/
CORTICOSTEROID
Drug List Details:
The following list by drug category contains both brand and generic drugs that are available to members of the PRAM Rx Advantage Prescription Plan. The BRAND name drugs (listed in all CAPS) and generic drugs (listed in lower case) are available at a copay up to the monthly maximum benefit of the plan. All drugs not contained on this list are not eligible for the copay benefit, however are eligible at our discounted rate. Please refer to your benefit materials for Limitations and Exclusions; Quantity Limits per copay may apply to certain medications. This list ESTROGEN PATCHES
is continually evaluated and changes can occur at any time. Please contact our pharmacy administrator, RxEDO Inc., to confirm the most current drug list. We encourage you to share this EXPECTORANT
list with your physician at the time of your treatment. COMBINATIONS
ESTROGEN/ PROGESTIN
COMBINATIONS
Oxytocics
You can access this list via the member portal at: www.rxedo.com OPHTHALMIC
CORTICOSTEROID
ORAL ESTROGENS
LEUKOTRIENE MODIFIERS
ANTI-INFECTIVE
ANTI-INFECTIVE -
ANTIPARKINSONS
DRUGS TO PREVENT AND
ANTIBIOTICS
SPECIALIZED INDICATIONS
TREAT GOUT
Cephalosporins
ALPHA BLOCKERS
DRUGS AFFECTING THE
DIURETICS
THROAT AND MOUTH
DERMATOLOGICALS
MUSCLE RELAXANTS/
ANTI-ACNE
ANTISPASMODICS
Erythromycins & Other
ANGIOTENSIN RECEPTOR
OTHER GASTROINTESTINAL
BLOCKERS
Macrolides
ANTIPSYCHOTICS
ANTINEOPLASTIC/
ENDOCRINE
ANTIARRHYTHMICS
IMMUNOSUPPRESANTS
ANTIPSORIASIS
MEDICATIONS
ADRENAL CORTICOSTEROID
OTHER DERMATOLOGICAL
DIURETIC COMBINATIONS
Penicillins
CORTICOSTEROIDS
ANTI-TUBERCULAR
BETA-ADRENERGIC
OTHER CNS/ AUTONOMIC
ANTAGONISTS
ANTIVIRALS
ANTIVERTIGO/ ANTIEMETICS
ANTIDIABETIC AGENTS
PROTON PUMP INHIBITORS
ANALGESICS, NON-STEROIDAL
PSYCHOTHERAPEUTIC
Quinolones
ANTI-INFLAMMATORY
Antidepressants
MISCELLANEOUS
PRODUCTS
OTHER ANTI-INFECTIVES
Sulfonamides
NUTRITION,
BLOOD MODIFIERS,
ELECTROLYTES
DRUGS AND VITAMINS
Tetracyclines
AFFECTING COAGULATION
ANXIOLYTICS, SEDATIVES
AND HYPNOTICS
CALCIUM CHANNEL
BLOCKERS
DRUGS TO TREAT
ANTIFUNGALS
OSTEOPOROSIS
FLUORIDE PRODUCTS
TOPICAL ANTIBACTERIAL
ANTICONVULSANTS
THYROID AND
POTASSIUM
TOPICAL ANTIFUNGALS
ANTIHYPERTENSIVES
ANTI-THYROID
SUPPLEMENTS
VITAMINS/ MINERALS
AUTONOMIC AND
EAR, NOSE, AND
ANTIFUNGALS (VAGINAL)
CENTRAL NERVOUS
THROAT MEDICATIONS propylthiouracil (generic)
CARDIAC GLYCOSIDES
DRUGS AFFECTING THE EAR
ANALGESICS, ANTIMIGRAINAL
CNS STIMULANTS
CARDIOVASCULAR
ACE INHIBITORS
GASTROINTESTINAL
OTHER CARDIOVASCULAR
ANTISPASMODICS
CHOLESTEROL-LOWERING
ANTIHELMINICS
ANALGESICS, NARCOTIC
VASODILATING

Source: http://www.benefitx-change.net/media/1128/RxEdoRx%20Advantage%20-%202012-01-20-12.pdf

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