Preferred Drug List 2013 Standard Formulary with ... - Express Scripts

SUMAVEL DOSEPRO 5.1.2SUPRAX 2.1.1SUPREP 9.6SURESTEP 18.1SURE‐T 18SUSTIVA 2.5.1syeda 13.7SYMBICORT 15.1.3SYMBYAX 5.8.1.1SYMBYAX 5.8.1.1SYMLINPEN 8.1.4SYNAGIS 10SYNTHROID 8.4.1TACLONEX 6.8tacrolimus 3TAMIFLU 2.5.2tamoxifen citrate 3tamsulosin hcl 16.1.4TARKA 4.5.6TAZORAC 6.8TEGRETOL XR 5.4.1TEGRETOL XR 5.4.1TEKAMLO 4.5.6TEKTURNA 4.5.6TEKTURNA HCT 4.5.6temazepam 5.2.2terazosin hcl 4.5.1terbinafine hcl 2.3terconazole 2.4.1TESTIM 13.3testosterone cypionate 13.3tetracycline hcl 2.1.7TEVETEN 4.5.4.2TEVETEN HCT 4.5.4.2TEV‐TROPIN 10.2.4THALOMID 17.2theophylline 15.1.2theophylline anhydrous 15.1.2thioridazine hcl 5.8thiothixene 5.8TIKOSYN 4.7.5tilia fe 13.7timolol maleate 4.4timolol maleate 14.5TIMOPTIC OCUDOSE 14.5tinidazole 2.7.5tizanidine hcl 11.3.1TOBI 2.8.2TOBRADEX 14.3TOBRADEX ST 14.3tobramycin sulfate 2.8.2tobramycin‐dexamethasone 14.3tolterodine tartrate 16.1.1TOPAMAX 5.4.7topiramate 5.4.7TOPROL XL 4.4torsemide 4.3.1TOVIAZ 16.1.1TRACLEER 4.6.3TRADJENTA 8.1.5.2tramadol hcl/er 5.1.1tramadol hclacetaminophen5.1.1trandolapril 4.5.4.1TRANSDERM‐SCOP 5.6tranylcypromine sulfate 5.5.2TRAVATAN Z 14.5trazodone hcl 5.5.1.4tretinoin 3tretinoin 6.3tretinoin 6.9.2TREXIMET 5.1.2triamcinolone acetonide 6.1triamcinolone acetonide 7.2triamcinolone acetonide 7.3triamterene‐hctz 4.3.3triamterenehydrochlorothiazid4.3.3triazolam 5.2.2TRIBENZOR 4.5.6TRICOR 4.8.1trifluoperazine hcl 5.8trifluridine 14.1.2TRIGLIDE 4.8.1trihexyphenidyl hcl 5.7.1tri‐legest fe 13.7TRILIPIX 4.8.1trilyte with flavor packets 9.6trimethoprim 2.1.8trinessa 13.7tri‐previfem 13.7tri‐sprintec 13.7trivora‐28 13.7TRUE2GO BLOOD GLUCOSE 18.1SYSTEMTRUERESULT BLOOD 18.1GLUCOSE SYSTMTRUETEST TEST STRIPS 18.1TRUETRACK SMART SYSTEM 18.1TRUETRACK TEST STRIP 18.1TRUVADA 2.5.1TUDORZA PRESSAIR 15.1.3TUSSICAPS 15.3TUSSIONEX 15.3TWYNSTA 4.5.6TYKERB 3ULESFIA 6.9.3ULORIC 11.2ULTRAVATE PAC 6.1ursodiol 9.6VAGIFEM 13.4valacyclovir 2.5.2