Enfin disponible en France, grâce à une étonnante formule Europe, 100% naturelle, vous pouvez maintenant dire stop à vos problèmes d’impuissance et à vos troubles de la virilité. Cette formule révolutionnaire agit comme un véritable achat levitra naturel. Ses résultats sont immédiats, sans aucun effet secondaire et vos érections sont durables, quelque soit votre âge. Même si vous avez plus de 50 ans !

Microsoft word - trustplus.formulary 2004.07.01 wcaduet.doc

BRAND GENERIC BRAND
ANTIHISTAMINE / DECONGESTANTS
Other Anti-Infectives. . . . . . . . . . . . . . . . . . . . . .
Trust Plus
Pharmacy Benefit Consultants
EXPECTORANT AND COUGH PRODUCTS---------
July 2004
Antifungal Agents. . . . . . . . . . . . . . . . . . . . . . . . . .
INTRODUCTION
Promethazine/Codeine or DM generics only This condensed formulary is designed to serve as Promethazine/Phenylephrine generics only a reference guide and assist in the selection of Promethazine/Phenylephrine/ generics only cost-effective pharmaceutical products. The formulary is not intended to be a substitute for Triprolidine/Pseudoephedrine/ generics only your clinical knowledge and judgment. In all ANTIVIRALS ---------------------------------------------------
cases, the prescriber is expected to select NASAL CORTICOSTEROIDS ----------------------------
appropriate drug therapy for the individual patient Committee will regularly review the formulary to ensure it meets the needs of both patients and NASAL ANTIHISTAMINES --------------------------------
providers. Thank you in advance for your OTHER NASAL AGENTS ---------------------------------
ANTI-INFECTIVE AGENTS (ORAL)
ANTIDIABETIC AGENTS
Presently, all drugs specifically indicated for the ANTHELMINTICS --------------------------------------------
treatment of HIV and its opportunistic infections are INSULINS ------------------------------------------------------
Rapid-Acting Insulins . . . . . . . . . . . . . . . . . . . . . . .
ANTIBIOTICS--------------------------------------------------
ANTINEOPLASTIC AND IMMUNOSUPPRESSIVE
Cephalosporins. . . . . . . . . . . . . . . . . . . . . . . . . . . .
All oral FDA-approved antineoplastic and immunosuppressive agents are on Formulary. Coverage is determined by the member’s Plan. Intermediate-Acting Insulins . . . . . . . . . . . . . . . . .
AUTONOMIC & CENTRAL NERVOUS SYSTEM
Macrolides . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ALZHEIMER’S AGENTS -----------------------------------
Erythromycin Ethylsuccinate generic/Eryped ANALGESICS, NARCOTIC -------------------------------
Long-Acting Insulins . . . . . . . . . . . . . . . . . . . . . . . .
Penicillins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ORAL --------------------------------------------------------------
Quinolones . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Sulfonamides . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Tetracyclines . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
OTHER ANTIDIABETIC AGENTS ------------------------
BRAND GENERIC BRAND GENERIC BRAND
ANTI-ADRENERGIC BLOCKERS – CENTRALLY
ACTING -------------------------------------------------------------
Propoxyphene/APAP 325mg gen/Darvocet N-50 ANALGESICS, NONSTEROIDAL ANTI-
INFLAMMATORY ------------------------------------------
MIGRAINE AGENTS------------------------------------------
ANTI-ADRENERGIC BLOCKERS – PERIPHERALLY
ACTING-------------------------------------------------------------
ANTIARRHYTHMICS ------------------------------------------
OBSESSIVE COMPULSIVE DISORDER AGENTS---
PSYCHOTHERAPEUTIC AGENTS -----------------------
Antidepressants . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ANALGESICS, SALICYLATES --------------------------
ANTICONVULSANTS -------------------------------------
ANTICOAGULANTS/ANTITHROMBOTICS ------------
ANTILIPEMICS ---------------------------------------------------
Antimanic Agent . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Antipsychotic Agents . . . . . . . . . . . . . . . . . . . . . . . .
ANTIPARKINSON AGENTS ------------------------------
CALCIUM CHANNEL BLOCKERS -------------------------
COMBINATION ANTIHYPERTENSIVES ------------------
CARDIOVASCULAR AGENTS
ANXIOLYTICS, SEDATIVES, AND HYPNOTICS
ALDOSTERONE ANTAGONISTS -------------------------
ANGIOTENSIN II ANTAGONISTS -------------------------
ANGIOTENSIN CONVERTING ENZYME INHIBITORS
DIURETICS -------------------------------------------------------
CEREBRAL STIMULANTS --------------------------------
ANTI-ADRENERGIC AGENTS – BETA-BLOCKERS --
Methylphenidate CD/ER/LA Metadate CD/ER/ DMARDS --------------------------------------------------------
VASODILATORS -------------------------------------------------
BRAND GENERIC BRAND GENERIC BRAND
ANTIBIOTICS -----------------------------------------------------
ANTISPASMODIC/ GI MOTILITY ----------------------------
CONTRACEPTIVES
ANTIVIRALS ------------------------------------------------------
MONOPHASIC --------------------------------------------------
FUNGICIDES ------------------------------------------------------
ANTIULCER -------------------------------------------------------
TOPICAL ANTI-INFLAMMATORY AGENTS -------------
Low Potency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
BOWEL EVACUANTS ------------------------------------------
DIGESTANTS -----------------------------------------------------
Intermediate Potency . . . . . . . . . . . . . . . . . . . . . . . . .
OTHER GI PRODUCTS ----------------------------------------
BI-PHASIC ---------------------------------------------------------
High Potency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TRI-PHASIC -------------------------------------------------------
GOUT AGENTS
Highest Potency . . . . . . . . . . . . . . . . . . . . . . . . . . . .
HORMONES
OTHER DERMATOLOGICALS ------------------------------
PROGESTIN ONLY ----------------------------------------------
ANDROGENS ----------------------------------------------------
EMERGENCY CONTRACEPTION --------------------------
ANTIESTROGENS/ANTIANDROGENS -------------------
CONTRACEPTIVE DEVICES ---------------------------------
ESTROGENS --------------------------------------------------
CORTICOSTEROIDS
Methoxsalen Lotion/Capsule Oxsoralen/Ultra Prednisolone Tablets/Liquid generics only DIAGNOSTICS
DERMATOLOGICALS
ACNE ----------------------------------------------------------------
ESTROGEN AND ANDROGEN COMBINATIONS
GASTROINTESTINAL AGENTS
ESTROGEN AND PROGESTERONE
COMBINATIONS -----------------------------------------------
Sodium sulfacetamide/Sulfur generic/Plexion/TS ANTIEMETIC/ ANTIVERTIGO --------------------------------
BRAND GENERIC BRAND GENERIC BRAND
ANTI-INFLAMMATORY AGENTS ---------------------------
SKELETAL MUSCLE RELAXANTS
FERTILITY REGULATORS -----------------------------------
BETA-BLOCKERS ----------------------------------------------
GROWTH HORMONE ------------------------------------------
THYROID AND ANTITHYROID AGENTS
PROGESTINS -----------------------------------------------------
VASOCONSTRICTORS ----------------------------------------
MISCELLANEOUS OPHTHALMIC AGENTS ------------
OSTEOPOROSIS AGENTS
SELECTIVE RECEPTOR MODULATORS ----------------
URINARY AGENTS
IMMUNOLOGIC AGENTS
Oxybutynin Transdermal/XL Oxytrol/Ditropan XL VAGINAL PREPARATIONS
ANTI-INFECTIVE AND ANTI-INFLAMMATORY
COMBINATIONS -------------------------------------------------
IMPOTENCE AGENTS
RESPIRATORY/ASTHMA
OPHTHALMICS
ANTI-ASTHMATIC AGENTS ---------------------------------
MISCELLANEOUS AGENTS
Antileukotrienes . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ANTI-ALLERGIC AGENTS ------------------------------------
Corticosteroids . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ANTI-GLAUCOMA AGENTS----------------------------------
Sympathomimetics . . . . . . . . . . . . . . . . . . . . . . . . .
ANTI-INFECTIVE/ANTIVIRAL AGENTS -------------------
Xanthine Derivatives . . . . . . . . . . . . . . . . . . . . . . . .
OTHER RESPIRATORY/ASTHMA AGENTS ------------
ANTI-INFECTIVE AND ANTI-INFLAMMATORY
COMBINATIONS -------------------------------------------------
Administered on behalf of HealthTrans by:
WellPoint Pharmacy Management
8407 Fallbrook Avenue / West Hills, CA 91304 WellPoint Pharmacy Management is a Registered Mark of WellPoint Health Networks Inc. Services provided by Professional Claim Services Inc. doing business as WellPoint

Source: http://www.trustplus.net/files/TrustPlus.Formulary.pdf

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