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Any new branded medication will automatically be assigned to the highest copay tier until reviewed by the committee. While extensive, this is not an exhaustive list of all available medications and this list is subject to change. The most current formulary status for individual medications is available on our Web site at bcbskc . If you require additional information or clarification, contact the Clinical Pharmacy Unit of Blue Cross and Blue Shield of Kansas City. Please be aware that as new products are released and post-marketing information on existing therapies becomes available, changes in the Prescription Drug List status second tier to third tier ; may occur. The committee may also implement prior authorization or other utilization management processes as deemed necessary. Physician and pharmacy providers will be notified of any such changes via newsletter and direct mailings. Drug Utilization Management Prior Authorization Due to concerns with appropriate use, certain medications or classes of medications may require prior authorization. Your physician will need to submit a written request for coverage consideration. Blue Cross and Blue Shield of Kansas City has provided prior authorization forms to our physicians for this purpose. HOW TO REACH US Blue Cross and Blue Shield of Kansas City Pharmacy Services P.O. Box 419169 Kansas City, MO 64141-2735 816 ; 395-2176 or 800-228-1436 816 ; 502-4915 FAX bcbskc, because snorting zanaflex. 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ALPHABETICAL LISTING OF DRUGS TRI-NORINYL 28 TRIPEDIA TRIPHASIL 28 trivora 28 TRIZIVIR TRUSOPT TRUVADA TWINJECT TWINRIX TYPHIM VI TYPHOID VI U ULTRACET ULTRAM ULTRAM ER ULTRASE MT ; ULTRAVATE UNIRETIC urea URECHOLINE UROCIT-K UROCIT-K 10 UROXATRAL URSO URSO FORTE ursodiol V VAGIFEM VALCYTE valproate valproic acid VALTREX VANCOCIN vancomycin inj. VANTIN VAQTA VARIVAX VASERETIC VASOTEC velivet VELOSEF venlafaxine 15 10 7 VENOGLOBULIN 16 VENTAVIS 18 VENTOLIN HFA 18 VERAMYST 18 verapamil 13 verapamil er 13 verapamil sr 13 VERDESO 13 VERELAN 13 VERELAN 13 VERMOX 9 VESANOID 9 VESICARE 14 VEXOL 17 VFEND 8 VIBRAMYCIN CAP 7 VIBRAMYCIN SUSPENSION 7 VIDEX EC 10 VIDEX SOLUTION 10 VIGAMOX 17 VIOKASE 14 VIRACEPT 10 VIRAMUNE 10 VIRAZOLE 10 VIREAD 10 VISTARIL 8 VISTID 10 VIVACTIL 8 VIVAGLOBULIN 16 VIVELLE 15 VIVELLE-DOT 15 VIVOTIF BERNA 16 VOLTAREN OPHTH. 17 VYTORIN 13 W warfarin WELCHOL WELLBUTRIN WELLBUTRIN SR WELLBUTRIN XL WELLBUTRIN XL 300MG 11 13 XALATAN XIBROM XIFAXAN XOLAIR XOPENEX XOPENEX HFA XYREM Y YASMIN 28 YAZ YODOXIN Z ZANAFLEX ZANTAC SYRUP ZANTAC TAB ZARONTIN ZAROXOLYN ZAVESCA ZELAPAR ZELNORM ZEMAIRA ZEMPLAR ZERIT ZESTORETIC ZESTRIL ZETIA ZIAC ZIAGEN ZIANA zidovudine ZITHROMAX ZMAX SUSPENSION ZODERM ZOFRAN ZOFRAN ODT ZOLADEX ZOLINZA ZOLOFT zolpidem ZOMIG 18 14 and alesse.
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