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Wellbutrin Over The Counter Equivalent 2018

Prescription Program Drug List/Formulary — To Be Used By
Some drugs on this tier may have been evaluated to be less cost-effective than equivalent drugs on of the drug relative to other drugs in the same therapeutic class; the availability of overthe-counter Wellbutrin, SR Wellbutrin XL DO, QL . Winstrol PA … Doc Retrieval

Custom Formulary Quick Guide For Members
(g) — Drug is available as generic equivalent but is listed by its brand-name (QL) — Quantity limits may apply (s) — Specialty drug (OTC) — Overthe-counter product may be covered as Tier 1 (generic) Wellbutrin, SR, XL (g) Zoloft (g) Tier 2 — Formulary (preferred) Brand … Doc Retrieval

2012 Prescription Drug Formulary
Medications with an overthe-counter equivalent are not a covered benefit. Parnate Wellbutrin/SR/XL 2 Drug Category TIER 1 TIER 2 TIER 3 MEDICAL (M) The lowest copay choice and usually includes The mid-range copay … Document Retrieval

Medical Exception/Precertification* Fax This Form To: 1-800 …
Please note: loratadine (CLARITIN/CLARITIN D) & cetirizine (ZYRTEC/ZYRTEC D) will not be covered – an overthe-counter (OTC) equivalent is available WELLBUTRIN/SR/XL Generic Brand CELEXA Generic Brand CYMBALTA … Fetch Content

Prescription Drug Program Cost-Saving Tips Maximize Your …
equivalent Citalopram $236.16. Coinsurance for a 90-day supply of its 12 hour acting Wellbutrin SR into the 24 hour acting Wellbutrin XL. $113.08 Protonix OVERTHE-COUNTER (OTC) MEDICATIONS. Is there an OTC medication … Doc Viewer

Custom Formulary Member Quick Guide May 2011
Depending on your drug benefit, select overthe-counter products be required (g) — Drug is available as generic equivalent but is listed by its brand-name (QL) — Quantity limits may apply (s) — Specialty drug (OTC) — Overthe-counter Tofranil, PM (g) Venlafaxine ER (g) Vivactil (g) Wellbutrin … View Doc

COVERAGE FOR TOBACCO – USE CESSATION TREATMENTS
Bupropion SR Pill Zyban®, Wellbutrin® Prescription Nicotine Replacement Therapy Prescription and Overthe-Counter Tobacco Cessation Medications* pack of cigarettes sold.4 • Neonatal health care costs related to smoking are equivalent to $704 for each … Read Full Source

2012 Prescription Drug Formulary
Medications with a n overthe-counter equivalent are not a covered benefit. maprotiline Parnate Wellbutrin/SR/XL Paxil/CR 2 Drug Category TIER 1 TIER 2 TIER 3 MEDICAL (M) … Retrieve Doc

Coverage For Tobacco Use Cessation Treatments
Bupropion SR Pill : Zyban®, Wellbutrin® Prescription Cover both prescription and overthe-counter nicotine replacement medication and bupropion Neonatal health care costs related to smoking are equivalent to $704 for each maternal smoker. … Retrieve Here

UnitedHealthcare & Affiliated Companies
Overthe-Counter & Therapeutically Equivalent Medications 24 Hour (Wellbutrin XL) + Maprotiline HCl (Ludiomil) + Mirtazapine (Remeron) + Mirtazapine Dispersible Tablet TIER 1 … Fetch Doc

April 2011, Volume 4, Issue 2 – Quantity Limits On Proton …
equivalent. PA is required for the brand, unless a particular brand and generic drug names, overthe-counter (OTC) generic (Wellbutrin XL) Change in PA status; requires PA for … Read Full Source

2007 Mutual Of Omaha equivalent Becomes Available For A Brand …
Wellbutrin SR (QL) (G) Antivertigo and Antiemetic for Prior Authorization Required; (QL) stands for Quantity Limit and OTC stands for overthe-counter equivalent becomes available for a brand name drug on formulary, the brand … Doc Retrieval

Your Personal Prescription Benefit Program A Convenient Pull …
Your plan covers prescription medication and some overthe-counter products designed to control or Therapy, Wellbutrin XL Tab 150mg, Budeprion XL Tab 150mg, Wellbutrin SR Tab 150mg, Wellbutrin SR ** When a generic equivalent is available, but the pharmacy dispenses the brand-name medication for … Read More

Over the Counter Equivalent Exclusion Program
Over the Counter Equivalent Exclusion Program The prescription brand and generic drugs in the two left columns below may not be covered under your active ingredient(s) that is available over the counter (OTC). These OTC options are listed in the third column below. … Document Retrieval

Your Personal Prescription Benefit Program A Convenient Pull …
Your plan covers prescription medication and some overthe-counter products designed to eliminate Therapy, Xolair, Wellbutrin and its generics. * Your plan may have coverage limits, be subject to equivalent instructions, you will pay the generic copayment plus the difference in cost between … Fetch This Document

Formulary Quick Guide For Members
Between a brand-name drug and its generic equivalent. Wellbutrin, SR Wellbutrin XL 300mg Zoloft Cardiovascular Cardiovascular cost of other services or supplies • Drugs for which there are overthe-counter equivalents in both … Document Viewer

Health Net Recommended Drug List Medi-Cal
OVERTHE-COUNTER MEDICATIONS FOR HEALTH NET MED-CAL…………………………………5 What is the difference between a generic equivalent and a generic alternative? G Buproprion WELLBUTRIN, SR, XL G Citalopram CELEXA … Read Full Source

Blue Cross And Blue Shield Of Florida Healthy Kids Medication …
Covered OverThe-Counter (Otc) Products . . . . . . . . . . . . . . . . . . 3 . • Is therapeutically equivalent and can be expected to have the same clinical effect and safety bupropion ext-release – 12 hr (Wellbutrin SR … Document Viewer

Effexor XR Extended-Release Capsules
Capsules contain venlafaxine hydrochloride equivalent to 37.5 mg, 75 mg, or prescription or overthe-counter drugs, including herbal preparations and nutritional … Fetch Document

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