BCBSM Maintenance Drug List |
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DRUGS WHICH CAN BE DISPENSED IN 200-UNIT QUANTITIES, OR A 34-DAY SUPPLY, WHICHEVER IS GREATER |
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EFFECTIVE 1/1/2004 |
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BRAND NAME |
GENERIC NAME |
Armour Thyroid |
Thyroid |
Cytomel |
Liothyronine Sodium |
Dilantin |
Phenytoin Sodium |
IHN |
Isoniazid |
Levothroid/ Synthroid |
Levothyroxine Sodium |
Mysoline |
Primidone |
PAS |
Para-Aminosalicylic Acid |
PTU |
Propylthiouracil |