Tier 2 cover - Health Plan of Nevada

Alphabetical Index
Drug Name PDL Section Drug Name PDL Section
buprenorphine naloxone 9-B
bupropion 4-B
bupropion SR 4-B
bupropion SR 14-A
bupropion XL 4-B
BUSPAR 4-A
buspirone 4-A
busulfan 2-A
butorphanol 9-B
BYETTA 6-J
BYSTOLIC 3-C
caberoline 6-J
CADUET 14-A
CAFERGOT 9-E
CALAN 3-D
CALAN SR 3-D
CALCIFEROL 10-A
calcipotriene 5-F
calcitonin 6-J
calcitonin (salmon) nasal 6-J
calcitriol 10-A
calcitriol ointment 5-F
calcium acetate (phosphate binder) 7-H
CAMBRIA 14-A
Camila 6-D
CANASA 7-H
CAPOTEN 3-F
CAPOZIDE 3-I
captopril 3-F
captopril-HCTZ 3-I
CARAFATE 7-C
carbamazepine 4-G
carbamazepine SR 4-G
CARBATROL 4-G
carbidopa-levodopa 4-H
carbidopa-levodopa CR 4-H
carbinoxamine-PSE 12-C
carbinoxamine-PSE-DM 12-C
cardec DM 12-C
CARDENE 3-D
CARDIZEM 3-D
CARDIZEM SR 3-D
CARDURA 3-H
carisoprodol 9-G
carisoprodol-ASA 9-G
carisoprodol-ASA-codeine 9-G
CARMOL 40 5-I
CARMOL SCALP 5-I
CARNITOR 6-J
CARNITOR 6-J
carteolol ophth 11-B
cartia XT 3-D
carvedilol 3-C
carvedilol 14-A
CASODEX 2-A
CATAFLAM 9-C
CATAPRES 3-H
CATAPRES-TTS 3-H
CAYSTON 1-A
CECLOR 1-B
CECLOR CD 1-B
CEENU 2-A
cefaclor 1-B
cefaclor ER 1-B
cefadroxil 1-B
cefdinir 1-B
cefpodoxime 1-B
cefprozil 1-B
CEFTIN 1-B
cefuroxime 1-B
CEFZIL 1-B
CELEXA 4-B
CELLCEPT 2-B
CENESTIN 6-C
CENTANY AT 14-A
cephalexin 1-B
cephradine 1-B
certolizumab pegol 13-H
cetirizine 14-A
chloral hydrate 4-C
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2-Tier (closed) Drug Benefit Guide 01/04/12