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Pharmacy Benefit Policies
 

 

Document Name:Document Number:
Coordination of Benefits - Medicare Part D Planspel.rx.COO.500
Insulins - Preferredpel.rx.PRE.700
Mandatory Generic Reimbursement (MGR) for Brand Drugspel.rx.MAN.600
OxyContin (Oxycodone HCI Controlled Release)pel.rx.OXY.600
QUEST Emergency Refillspel.rx.QUE.700
Refill Too Soon Editpel.rx.REF.800
RESTASIS® Quantity Limitpel.rx.RES.500
Solodyn Step Therapypel.rx.SOL.100
Specialty Pharmaciespel.ph.SPE.500
 

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