Approved PDL List
Approved PDL List
Approved PDL List
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DRUG CLASSPREFERREDGENERIC/OTCPREFERREDBRANDNON-PREFERREDBRANDESTROGENS All covered products COMBIPATCH ACTIVELLACOMBINATIONCLIMARA PRO**FEMHRTORTHO-PREFESTPREFESTPREMPHASEPREMPRO* Denotes genericavailable in at least onedosage form or strengthDrug name denotes alldosage forms andstrengths** Will be reviewedwhen eligible for <strong>PDL</strong>inclusionUpdated 4/15/04
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