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Choice Plan - Express Scripts

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dextrose 5%/nacl 0.2% ........................................ 25dextrose 5%/nacl 0.225% .................................... 25dextrose 5%/nacl 0.33% ...................................... 25dextrose 5%/nacl 0.45% ...................................... 25dextrose 5%/nacl 0.9% ........................................ 25dextrose 5%/potassium chloride 0.15% .............. 40diazepam ........................................................ 10, 15diazepam intensol ................................................ 15DIBENZYLINE ................................................... 19diclofenac potassium ........................................... 14diclofenac sodium ................................................ 36diclofenac sodium dr ............................................ 14diclofenac sodium er ............................................ 14diclofenac sodium/misoprostol ............................ 14dicloxacillin sodium ............................................... 6dicyclomine hcl .................................................... 29didanosine .............................................................. 1DIFFERIN ........................................................... 23DIFICID ................................................................. 4diflorasone diacetate ........................................... 24diflunisal .............................................................. 14digoxin ................................................................. 21dihydroergotamine mesylate ................................ 11DILANTIN .......................................................... 10DILANTIN INFATABS ...................................... 10DILAUDID .......................................................... 12DILAUDID-5 ...................................................... 12DILAUDID-HP ................................................... 12dilt-cd ................................................................... 19diltiazem cd .......................................................... 19diltiazem hcl ......................................................... 19diltiazem hcl er .................................................... 19dilt-xr ................................................................... 19DIOVAN .............................................................. 19DIOVAN HCT ..................................................... 19DIPENTUM ......................................................... 30disopyramide phosphate ...................................... 18disulfiram ............................................................. 25divalproex sodium ................................................ 10divalproex sodium dr ........................................... 10divalproex sodium er ........................................... 10DIVIGEL ............................................................. 34DOCEFREZ ........................................................... 7docetaxel ................................................................ 7donepezil hcl ........................................................ 11dorzolamide hcl ................................................... 36dorzolamide hcl/timolol maleate ......................... 36doxazosin mesylate .............................................. 19doxepin hcl ........................................................... 15DOXIL ................................................................... 7doxorubicin hcl ...................................................... 7doxycycline hyclate ................................................ 6doxycycline hyclate dr ........................................... 6doxycycline monohydrate ...................................... 6dronabinol............................................................ 30drospirenone/ethinyl estradiol ............................. 34DROXIA ................................................................ 7DUETACT ........................................................... 26DULERA ............................................................. 38duramorph ........................................................... 12DUREZOL ........................................................... 36Ee.e.s. 400 ................................................................ 4E.E.S. GRANULES ............................................... 4econazole nitrate .................................................. 23EDECRIN ............................................................ 19EDURANT ............................................................ 1EFFIENT ............................................................. 21ELIDEL ............................................................... 22eliphos .................................................................. 40ELIQUIS .............................................................. 21ELITEK ................................................................. 6ELIXOPHYLLIN ................................................ 38ELLA ................................................................... 34ELLENCE .............................................................. 7ELMIRON ........................................................... 40ELOXATIN ........................................................... 7ELSPAR ................................................................ 7EMCYT ................................................................. 7EMEND ............................................................... 30emoquette ............................................................. 34EMSAM ............................................................... 15EMTRIVA ............................................................. 1ENABLEX ........................................................... 39enalapril maleate ................................................. 1947

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