2013 Formulary (List of Covered Drugs) - Advantage Peach State ...

methazolamide tablet 50mg .................................................................................................................................128methenamine hippurate tablet 1gm ........................................................................................................................10methimazole tablet 10mg .....................................................................................................................................119methimazole tablet 5mg .......................................................................................................................................119methitest tablet 10mg ...........................................................................................................................................110methocarbamol tablet 500mg ...............................................................................................................................135methocarbamol tablet 750mg ...............................................................................................................................135methotrexate sodium injection 1gm .....................................................................................................................120methotrexate sodium injection 25mg/ml .............................................................................................................120methotrexate tablet 2.5mg ....................................................................................................................................120methscopolamine bromide tablet 2.5mg ................................................................................................................99methyclothiazide tablet 5mg ..................................................................................................................................89methyldopa tablet 250mg .......................................................................................................................................78methyldopa tablet 500mg .......................................................................................................................................78methyldopa/hydrochlorothiazide tablet 15mg; 250mg ..........................................................................................78methyldopa/hydrochlorothiazide tablet 25mg; 250mg ..........................................................................................78methyldopate hcl injection 250mg/5ml .................................................................................................................78methylergonovine maleate tablet 0.2mg ..............................................................................................................125methylphenidate hcl cd capsule extended release 10mg ........................................................................................94methylphenidate hcl cd capsule extended release 50mg ........................................................................................94methylphenidate hcl cd capsule extended release 60mg ........................................................................................94methylphenidate hcl er tablet extended release 20mg ...........................................................................................94methylphenidate hcl tablet 10mg ...........................................................................................................................94methylphenidate hcl tablet 20mg ...........................................................................................................................94methylphenidate hcl tablet 5mg .............................................................................................................................94methylprednisolone acetate injection 40mg/ml ...................................................................................................107methylprednisolone acetate injection 80mg/ml ...................................................................................................107methylprednisolone dose pack tablet 4mg ...........................................................................................................107methylprednisolone sodiumsuccinate injection 125mg .......................................................................................107methylprednisolone sodiumsuccinate injection 1gm ...........................................................................................107methylprednisolone sodiumsuccinate injection 40mg .........................................................................................107methylprednisolone tablet 16mg ..........................................................................................................................107methylprednisolone tablet 32mg ..........................................................................................................................107methylprednisolone tablet 4mg ............................................................................................................................123methylprednisolone tablet 8mg ............................................................................................................................107metipranolol solution 0.3% ..................................................................................................................................128metoclopramide hcl injection 5mg/ml .................................................................................................................100metoclopramide hcl solution 5mg/5ml ................................................................................................................100metoclopramide hcl tablet 10mg ..........................................................................................................................100metoclopramide hcl tablet 5mg ............................................................................................................................100metolazone tablet 10mg .........................................................................................................................................89metolazone tablet 2.5mg ........................................................................................................................................89metolazone tablet 5mg ...........................................................................................................................................89metoprolol succinate er tablet extended release 24 hour 100mg ...........................................................................83metoprolol succinate er tablet extended release 24 hour 200mg ...........................................................................83metoprolol succinate er tablet extended release 24 hour 25mg .............................................................................83metoprolol succinate er tablet extended release 24 hour 50mg .............................................................................83metoprolol tartrate injection 1mg/ml .....................................................................................................................83metoprolol tartrate tablet 100mg ............................................................................................................................83metoprolol tartrate tablet 25mg ..............................................................................................................................83182