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To order additional copies, please call Massachusetts Medical

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Xxxxxx Analgesics Xxxxxx (Non-narcotic/Non-opiate)<br />

Name AETNA BCBSMA BMCHP FCHP HPHC HNE NHP NTWK MAHLTH THP<br />

MEFENAMIC ACID X* X* X X X X PA PA X<br />

MELOXICAM X* DL* X X PA PA X X X X<br />

NABUMETONE FE X* X X X X X X X X<br />

NAPROXEN X* X* X X X X X X X X<br />

NAPROXEN [Naprosyn] X NC PA X NC PA X<br />

NAPROXEN CR [Naprelan] X NC X NC PA NC<br />

NAPROXEN sODIUM X* X* X X X X X X X X<br />

NAPROXEN sODIUM [Anaprox] X X PA X NC PA X<br />

OXAPROzIN FE X* X X X X X X X X<br />

PIROXICAM X* X* X X X X X X X X<br />

sALsALATE X* X* X X X X X X X X<br />

sULINDAC X* X* X X X X X X X X<br />

TOLMETIN FE X* X X X X X X X X<br />

TRAMADOL HCL X* X* X X X X X X X X<br />

TRAMADOL [Ultram] FE NC X NC PA X<br />

TRAMADOL ER X* X* X NC PA X<br />

TRAMADOL ER [Ultram ER] FE sT NC PA X NC PA NC<br />

TRAMADOL/ACETAMINOPHEN X* X* X X X X X X PA X<br />

TRAMADOL/ACETAMINOPHEN FE NC X NC PA X<br />

[Ultracet]<br />

Anticonvulsants<br />

ACETAzOLAMIDE X* X* X X X X X X X X<br />

CARBAMAzEPINE X* X* X X X X X X X X<br />

CARBAMAzEPINE<br />

[Carbatrol]<br />

X X* X X X X X X X<br />

CARBAMAzEPINE<br />

[Equetro]<br />

FE NC X X X X<br />

CARBAMAzEPINE [Tegretol] X X PA X X NC PA X<br />

CARBAMAzEPINE<br />

[Tegretol XR]<br />

X X* X X X X NC X X X<br />

CARBAMAzEPINE XR X X* X X X X<br />

CLONAzEPAM X* X* X X X X X X X X<br />

CLONAzEPAM orally disintegrating<br />

tablet<br />

X* X* X X X X NC PA X<br />

5

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