Tier 2 cover - Health Plan of Nevada

Alphabetical Index
Drug Name PDL Section Drug Name PDL Section
CONDYLOX 5-I
CONZIP 14-A
COPAXONE 13-E
CORDARONE 3-E
COREG 3-C
COREG CR 14-A
CORGARD 3-C
CORTEF 6-A
corticotropin 13-I
cortisone acetate 6-A
CORTISPORIN CREAM 5-C
CORTISPORIN OINTMENT 5-C
CORTISPORIN OPHTH 11-C
CORTISPORIN otic 11-I
CORTONE 6-A
CORZIDE 3-I
COSOPT 11-B
COTAZYM 7-G
COUMADIN 10-D
COZAAR 3-G
CREON 7-G
CRIXIVAN 1-I
CROLOM ophth 11-H
cromolyn sodium inhaler 12-D
cromolyn sodium nebulizer 12-D
cromolyn sodium ophth 11-H
CUPRIMINE 9-D
CUTIVATE 5-H
cyanocobalamin inj 10-C
cyclobenzaprine 9-G
CYCLOGYL 11-E
cyclopentolate ophth 11-E
cyclophosphamide 2-A
cyclosporine 2-B
cyclosporine modified 2-B
CYLERT 4-F
cyproheptadine 12-A
CYTOMEL 6-I
CYTOTEC 7-C
CYTOVENE 1-H
CYTOXAN 2-A
DALMANE 4-C
dalteparin sodium 13-A
danazol 6-B
DANOCRINE 6-B
DANTRIUM 9-G
dantrolene 9-G
dapsone 1-L
DAPSONE 1-L
DARAPRIM 1-J
darbepoetin alpha 13-C
darifenacin 8-B
DARVOCET N 9-B
DARVON 9-B
DAYPRO 9-C
DDAVP 6-J
DECADRON 6-A
DECADRON ophth 11-C
DECONAMINE 12-C
deferasirox 9-D
DELOS 14-A
DEMADEX 3-J
DEMEROL 9-B
DEPAKENE 4-G
DEPAKOTE 4-G
DEPAKOTE ER 9-E
DEPEN 9-D
DERMATOP 5-H
desipramine 4-B
desloratadine 14-A
desmopressin (nasal) 6-J
desmopressin (oral) 6-J
desonide 5-H
desonide 14-A
DESONIL 14-A
DESOWEN 5-H
desoximetasone 5-H
DESOXYN 4-E
DESYREL 4-B
DETROL LA 14-A
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2-Tier (closed) Drug Benefit Guide 01/04/12