L.A. Care Covered Drug Formulary (pdf)
L.A. Care Covered Drug Formulary (pdf)
L.A. Care Covered Drug Formulary (pdf)
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Commercial <strong>Formulary</strong>T2 lipase/protease/amylasPANCREASE MT-20eT2 lipase/protease/amylasPANCREASE MT-4eT3 lipase/protease/amylasPANCREAZEeT3 lipase/protease/amylasPANCRECARB MS-16eT2 lipase/protease/amylasPANCRECARB MS-4eT2 lipase/protease/amylasPANCRECARB MS-8eT2 lipase/protease/amylasPANCRELIPASE ECeT2 lipase/protease/amylasPANGESTYME CN 10eT2 lipase/protease/amylasPANGESTYME CN 20eT2 lipase/protease/amylasPANGESTYME ECeT2 lipase/protease/amylasPANGESTYME MT 16eT2 lipase/protease/amylasPANGESTYME UL 12eT2 lipase/protease/amylasPANGESTYME UL 18eT2 lipase/protease/amylasPANGESTYME UL 20eT3 lipase/protease/amylasPERTZYEeT2 lipase/protease/amylasPLARETASE 8000eT2 lipase/protease/amylasULTRASEeT2 lipase/protease/amylasULTRASE MT 12eT2 lipase/protease/amylasULTRASE MT 18eT2 lipase/protease/amylasULTRASE MT 20eT3 lipase/protease/amylasULTRESAeT3 lipase/protease/amylasVIOKACEeT2 lipase/protease/amylasVIOKASEeT2 lipase/protease/amylasZENPEP(CAP DR)(10-e34-55K)T2 lipase/protease/amylasZENPEP(CAP DR)(15-e51-82K)T2 lipase/protease/amylasZENPEP(CAP DR)(20-e68-109K)T2 lipase/protease/amylasZENPEP(CAP DR)(25-e85-136K)T2 lipase/protease/amylasZENPEP(CAPeDR)(3K-10K-16K)T1 lipase/protease/amyl ZENPEP(CAPaseDR)(5K-17K-27K)T3 pancreatinENZYMAXUPPER GASTROINTESTINALDISORDERS - SPASTIC DISEASEAnticholinergics/antispasmodicsT1 dicyclomine hclT1 dicyclomine hclBENTYLDICYCLOMINE HCLAnticholinergics/microorganismsCombinationsT3 methscpbr/la/s.thm/l.para/bifBelladonna AlkaloidsPAMINE FQT1 atropine sulfate SAL-TROPINET3 belladonna alkaloids SPACOLT3 belladonnaBARBIDONNAalkaloids/phenobarbT1 belladonnaSPASMOLINalkaloids/phenobarbT3 hyoscDIGEX NFsul/phenyltoloxaminecitT3 hyoscGASTRINEX NFsul/phenyltoloxaminecitT1 hyoscyamine HYOSCYAMINET2 hyoscyamine sulfate CYSTOSPAZ-MT2 hyoscyamine sulfate HYOSCYAMINESULFATE(CAP ER12H)T1 hyoscyamine sulfate HYOSCYAMINESULFATE(DROPS)T1 hyoscyamine sulfate HYOSCYAMINESULFATE(ELIXIR)T1 hyoscyamine sulfate HYOSCYAMINESULFATE(TAB ER12H)T1 hyoscyamine sulfate HYOSCYAMINESULFATE(TABMPHASE)T1 hyoscyamine sulfate HYOSCYAMINESULFATE(TAB RDPDIS)T1 hyoscyamine sulfate HYOSCYAMINESULFATE(TAB SUBL)T1 hyoscyamine sulfate HYOSCYAMINESULFATE(TAB)T3 hyoscyamine sulfate SYMAX DUOTABT1 methscopolamine PAMINEbromideT1 methscopolamine PAMINE FORTEbromideT1 phenobarb/hyoscy/at BELLADONNAropine/scopPHENOBARBITALT2 phenobarb/hyoscy/atro DONNATALpine/scopEmeticsT1 ipecacIPECACPage 52 of 91
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