MISSISSIPPI MEDICAID 10 November Provider Synergies, L.L.C. MSM P&T COMMITTEE MEETING Page 1 of 7
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1 ABBOTT LABS. HUMIRA (INJECTION) CYTOKINE AND CAM ANTAGONISTS ACORDA THERAPEU ZANAFLEX CAPSULES (ORAL) SKELETAL MUSCLE RELAXANTS ACTAVIS KADIAN (ORAL) ANALGESICS, NARCOTICS LONG ALLERGAN INC. ACZONE (TOPICAL) ACNE AGENTS, TOPICAL ALLERGAN INC. AZELEX (TOPICAL) ACNE AGENTS, TOPICAL ALLERGAN INC. TAZORAC (TOPICAL) ACNE AGENTS, TOPICAL AMGEN ENBREL (INJECTION) CYTOKINE AND CAM ANTAGONISTS AMGEN KINERET (INJECTION) CYTOKINE AND CAM ANTAGONISTS ANESTA AG AMRIX (ORAL) SKELETAL MUSCLE RELAXANTS AQUA PHARMACEUT CORDRAN (TOPICAL) STEROIDS, TOPICAL MEDIUM AR SCIENTIFIC COLCRYS (ORAL) ANTIHYPERURICEMICS ASTELLAS PHARMA AMEVIVE (INJECTION) CYTOKINE AND CAM ANTAGONISTS ASTELLAS PHARMA PROTOPIC (TOPICAL) ATOPIC DERMATITIS AVIDAS PHARMACE SCALACORT DK (TOPICAL) STEROIDS, TOPICAL LOW AXCAN PHARMA US SCANDISHAKE (ORAL) NUTRITIONALS, CALORIC AGENTS BERGEN BRUNSWIG NUTRITIONAL DRINK (ORAL) NUTRITIONALS, CALORIC AGENTS BERGEN BRUNSWIG NUTRITIONAL SUPPLEMENT (ORAL) NUTRITIONALS, CALORIC AGENTS BERGEN BRUNSWIG NUTRITIONAL SUPPLEMENT PLUS (ORAL) NUTRITIONALS, CALORIC AGENTS BIONEXUS, LTD NUTRIVIR (ORAL) NUTRITIONALS, CALORIC AGENTS BIONEXUS, LTD NUTRIVIR-NSA (ORAL) NUTRITIONALS, CALORIC AGENTS BRISTOL-MYERS SQUIBB ORENCIA (INJECTION) CYTOKINE AND CAM ANTAGONISTS CENTOCOR REMICADE (INJECTION) CYTOKINE AND CAM ANTAGONISTS CENTOCOR SIMPONI (INJECTION) CYTOKINE AND CAM ANTAGONISTS CEPHALON,INC. FENTORA (BUCCAL) ANALGESICS, NARCOTICS SHORT CHAIN DRUG CONS COMPLETE NUTRITION (ORAL) NUTRITIONALS, CALORIC AGENTS CHAIN DRUG CONS COMPLETE NUTRITION PLUS (ORAL) NUTRITIONALS, CALORIC AGENTS CONNETICS CORP EVOCLIN (TOPICAL) ACNE AGENTS, TOPICAL CORIA LABORATOR AKNE-MYCIN (TOPICAL) ACNE AGENTS, TOPICAL CORIA LABORATOR ATRALIN (TOPICAL) ACNE AGENTS, TOPICAL CORIA LABORATOR CLODERM (TOPICAL) STEROIDS, TOPICAL MEDIUM CURA PHARM ALBUMAX (ORAL) NUTRITIONALS, CALORIC AGENTS CVS LIQUID NUTRITION (ORAL) NUTRITIONALS, CALORIC AGENTS CVS LIQUID NUTRITION PLUS (ORAL) NUTRITIONALS, CALORIC AGENTS CVS NUTRITION PLUS (ORAL) NUTRITIONALS, CALORIC AGENTS DUSA CLINDAREACH (TOPICAL) ACNE AGENTS, TOPICAL Provider Synergies, L.L.C. MSM P&T COMMITTEE MEETING Page 1 of 7
2 ENDO OPANA (ORAL) ANALGESICS, NARCOTICS SHORT ENDO OPANA ER (ORAL) ANALGESICS, NARCOTICS LONG ENDO PHARM INC. LIDODERM (TOPICAL) ANALGESICS/ANESTHETICS, TOPICAL ENDO PHARM INC. VOLTAREN (TOPICAL) ANALGESICS/ANESTHETICS, TOPICAL EQUALINE VITAMI NUTRITIONAL DRINK (ORAL) NUTRITIONALS, CALORIC AGENTS FERNDALE LAB. CLINAC BPO (TOPICAL) ACNE AGENTS, TOPICAL GALDERMA CAPEX SHAMPOO (TOPICAL) STEROIDS, TOPICAL LOW GALDERMA CLINDAGEL (TOPICAL) ACNE AGENTS, TOPICAL GALDERMA CLOBEX (TOPICAL) STEROIDS, TOPICAL VERY HIGH GALDERMA DIFFERIN (TOPICAL) ACNE AGENTS, TOPICAL GALDERMA EPIDUO (TOPICAL) ACNE AGENTS, TOPICAL GALEA LIFE SCIE NUTRAPLETE (ORAL) NUTRITIONALS, CALORIC AGENTS GLOBAL HEALTH LIQUACEL (ORAL) NUTRITIONALS, CALORIC AGENTS GLOBAL HEALTH PROCEL (ORAL) NUTRITIONALS, CALORIC AGENTS GOOD NEIGHBOR NUTRITIONAL DRINK (ORAL) NUTRITIONALS, CALORIC AGENTS HAWTHORN PHARM REPREXAIN (ORAL) ANALGESICS, NARCOTICS SHORT HAWTHORN PHARM ZACLIR (TOPICAL) ACNE AGENTS, TOPICAL HAWTHORN PHARM ZAMICET (ORAL) ANALGESICS, NARCOTICS SHORT HILL DERM DERMA-SMOOTHE-FS (TOPICAL) STEROIDS, TOPICAL LOW J&J CONS PROD HYDROCORTISONE OTC (TOPICAL) STEROIDS, TOPICAL LOW JANSSEN PHARM. NUCYNTA (ORAL) ANALGESICS, NARCOTICS SHORT JARROW FORM GLYCEMIC BALANCE (ORAL) NUTRITIONALS, CALORIC AGENTS JSJ PHARMACEUTI CNL 8 (TOPICAL) ANTIFUNGALS, TOPICAL JSJ PHARMACEUTI INOVA (TOPICAL) ACNE AGENTS, TOPICAL JSJ PHARMACEUTI MOMEXIN (TOPICAL) STEROIDS, TOPICAL MEDIUM LEADER COMPLETE NUTRITION (ORAL) NUTRITIONALS, CALORIC AGENTS LEADER COMPLETE NUTRITION PLUS (ORAL) NUTRITIONALS, CALORIC AGENTS LONGS DRUG STOR LIQUID NUTRITION (ORAL) NUTRITIONALS, CALORIC AGENTS LONGS DRUG STOR LIQUID NUTRITION PLUS (ORAL) NUTRITIONALS, CALORIC AGENTS MAGNO-HUMPHRIES PROTEIN POWDER (ORAL) NUTRITIONALS, CALORIC AGENTS MAJOR PHARM. PROTEIN POWDER (ORAL) NUTRITIONALS, CALORIC AGENTS MASON DISTRIB. PROTEIN POWDER (ORAL) NUTRITIONALS, CALORIC AGENTS MCKESSON DRUG NUTRITIONAL LIQUID (ORAL) NUTRITIONALS, CALORIC AGENTS MCKESSON DRUG NUTRITIONAL PLUS LIQUID (ORAL) NUTRITIONALS, CALORIC AGENTS MCKESSON DRUG NUTRITIONAL SUPPLEMENT (ORAL) NUTRITIONALS, CALORIC AGENTS Provider Synergies, L.L.C. MSM P&T COMMITTEE MEETING Page 2 of 7
3 MCKESSON DRUG NUTRITIONAL SUPPLEMENT PLUS (ORAL) NUTRITIONALS, CALORIC AGENTS MEDA SOMA 250 MG (ORAL) SKELETAL MUSCLE RELAXANTS MEDICINE SHOP NUTRITIONAL SUPPLEMENT (ORAL) NUTRITIONALS, CALORIC AGENTS MEDICIS DERM LOPROX SHAMPOO (TOPICAL) ANTIFUNGALS, TOPICAL MEDICIS DERM VANOS (TOPICAL) STEROIDS, TOPICAL HIGH MEDICIS DERM ZIANA (TOPICAL) ACNE AGENTS, TOPICAL MEDTRITION/NATI HOT COCOA (ORAL) NUTRITIONALS, CALORIC AGENTS MEDTRITION/NATI HYFIBER (ORAL) NUTRITIONALS, CALORIC AGENTS MEDTRITION/NATI PROSOURCE (ORAL) NUTRITIONALS, CALORIC AGENTS MERCK & CO. EMEND (ORAL) ANTIEMETICS MERZ NAFTIN (TOPICAL) ANTIFUNGALS, TOPICAL MJ NUTRITIONAL PORTAGEN (ORAL) NUTRITIONALS, CALORIC AGENTS MONARCH AVINZA (ORAL) ANALGESICS, NARCOTICS LONG MONARCH FLECTOR (TOPICAL) ANALGESICS/ANESTHETICS, TOPICAL MONARCH PHRM SKELAXIN (ORAL) SKELETAL MUSCLE RELAXANTS MYLAN PHARMACEUTICALS MENTAX (TOPICAL) ANTIFUNGALS, TOPICAL NAT'L VIT. CO. MUSCLE BUILD UP (ORAL) NUTRITIONALS, CALORIC AGENTS NAT'L VIT. CO. PROTEIN POWDER (ORAL) NUTRITIONALS, CALORIC AGENTS NAT'L VIT. CO. ULTIMATE PROTEIN MIX (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO ADDITIONS (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO BOOST (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO BOOST HIGH PROTEIN (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO BOOST PLUS (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO BOOST SMOOTHIE (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO BOOST WITH BENEFIBER (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO CARNATION INSTANT BREAKFAST (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO COMPLEAT MODIFIED FORMULA (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO COMPLEAT PEDIATRIC (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO COMPLEAT TUBE FEEDING (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO FIBERSOURCE (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO FIBERSOURCE HN (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO IMPACT TUBE FEEDING (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO ISOSOURCE (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO ISOSOURCE 1.5 CAL (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO ISOSOURCE 1.5 CAL TUBE FEED (ORAL) NUTRITIONALS, CALORIC AGENTS Provider Synergies, L.L.C. MSM P&T COMMITTEE MEETING Page 3 of 7
4 NESTLE NUTRITIO ISOSOURCE HN (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO ISOSOURCE HN TUBE FEEDING (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO ISOSOURCE VHN (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO NOVASOURCE PULMONARY (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO NOVASOURCE RENAL (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO NUTRAMENT (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO NUTREN (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO NUTREN 1.0 WITH FIBER (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO NUTREN 1.5 (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO NUTREN 1.5 FIBER (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO NUTREN 2.0 (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO NUTREN JUNIOR (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO NUTREN JUNIOR FIBER (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO NUTRIHEAL (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO PEPTAMEN (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO PEPTAMEN 1.5 (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO PEPTAMEN AF (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO PEPTAMEN JUNIOR (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO PEPTAMEN JUNIOR FIBER (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO PEPTAMEN-PREBIO1 (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO PEPTINEX 1.0 (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO PEPTINEX 1.5 (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO PROBALANCE (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO REPLETE (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO REPLETE WITH FIBER (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO RESOURCE 2.0 (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO RESOURCE ARGINAID (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO RESOURCE BENECALORIE (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO RESOURCE BENEPROTEIN (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO RESOURCE BREEZE (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO RESOURCE JUST FOR KIDS (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO RESOURCE JUST FOR KIDS W-FIBER (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO RESOURCE WITH FIBER (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO TOLEREX (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO TRAUMACAL (ORAL) NUTRITIONALS, CALORIC AGENTS Provider Synergies, L.L.C. MSM P&T COMMITTEE MEETING Page 4 of 7
5 NESTLE NUTRITIO VIVONEX PEDIATRIC (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO VIVONEX PLUS (ORAL) NUTRITIONALS, CALORIC AGENTS NESTLE NUTRITIO VIVONEX T.E.N. (ORAL) NUTRITIONALS, CALORIC AGENTS NOVARTIS ELIDEL (TOPICAL) ATOPIC DERMATITIS NOVARTIS MED NU BOOST (ORAL) NUTRITIONALS, CALORIC AGENTS NOVARTIS MED NU ISOCAL (ORAL) NUTRITIONALS, CALORIC AGENTS NOVARTIS NUT RESOURCE 2.0 (ORAL) NUTRITIONALS, CALORIC AGENTS NOVARTIS NUT RESOURCE BENECALORIE (ORAL) NUTRITIONALS, CALORIC AGENTS NOVARTIS NUT RESOURCE BENEPROTEIN (ORAL) NUTRITIONALS, CALORIC AGENTS NOVARTIS NUT RESOURCE JUST FOR KIDS (ORAL) NUTRITIONALS, CALORIC AGENTS NUTRA/BALANCE NUTRA-PRO (ORAL) NUTRITIONALS, CALORIC AGENTS NUTRA/BALANCE RE-GEN (ORAL) NUTRITIONALS, CALORIC AGENTS NUTRICIA DUOCAL (ORAL) NUTRITIONALS, CALORIC AGENTS NUTRICIA EO28 SPLASH (ORAL) NUTRITIONALS, CALORIC AGENTS NUTRICIA MONOGEN (ORAL) NUTRITIONALS, CALORIC AGENTS NUTRICIA PHLEXY-VITS (ORAL) NUTRITIONALS, CALORIC AGENTS NUTRICIA POLYCAL (ORAL) NUTRITIONALS, CALORIC AGENTS NUTRICIA PROTIFAR (ORAL) NUTRITIONALS, CALORIC AGENTS OMJPI ERTACZO (TOPICAL) ANTIFUNGALS, TOPICAL OMJPI RETIN-A MICRO (TOPICAL) ACNE AGENTS, TOPICAL OMJPI ULTRAM ER (ORAL) ANALGESICS, NARCOTICS LONG ONSET THERAPEUT CLARIFOAM EF (TOPICAL) ACNE AGENTS, TOPICAL PAN AMERICAN PANLOR DC (ORAL) ANALGESICS, NARCOTICS SHORT PBM PHARMA. A-SOY (ORAL) NUTRITIONALS, CALORIC AGENTS PBM PHARMA. BRIGHT BEGINNINGS (ORAL) NUTRITIONALS, CALORIC AGENTS PBM PHARMA. BRIGHT BEGINNINGS SOY (ORAL) NUTRITIONALS, CALORIC AGENTS PFIZER US PHARM ARTHROTEC (ORAL) NSAIDS PFIZER US PHARM CELEBREX (ORAL) NSAIDS PHARMADERM CUTIVATE (TOPICAL) STEROIDS, TOPICAL MEDIUM PHARMADERM OXISTAT (TOPICAL) ANTIFUNGALS, TOPICAL PROSTRAKAN INC. SANCUSO (TRANSDERMAL) ANTIEMETICS PURDUE PHARMA OXYCONTIN (ORAL) ANALGESICS, NARCOTICS LONG PURDUE PHARMA L DILAUDID LIQUID (ORAL) ANALGESICS, NARCOTICS SHORT PURDUE PHARMA L RYZOLT (ORAL) ANALGESICS, NARCOTICS LONG RANBAXY BRAND D EURAX (TOPICAL) ANTIPARASITICS, TOPICAL Provider Synergies, L.L.C. MSM P&T COMMITTEE MEETING Page 5 of 7
6 RANBAXY BRAND D HALOG (TOPICAL) STEROIDS, TOPICAL HIGH RANBAXY BRAND D KENALOG AEROSOL (TOPICAL) STEROIDS, TOPICAL HIGH RANBAXY BRAND D ULTRAVATE (TOPICAL) STEROIDS, TOPICAL VERY HIGH RITE AID CORP. BALANCED NUTRITIONAL (ORAL) NUTRITIONALS, CALORIC AGENTS RITE AID CORP. NUTRITIONAL DRINK (ORAL) NUTRITIONALS, CALORIC AGENTS ROSS LABS. ALITRAQ (ORAL) NUTRITIONALS, CALORIC AGENTS ROSS LABS. ENSURE (ORAL) NUTRITIONALS, CALORIC AGENTS ROSS LABS. ENSURE ENLIVE (ORAL) NUTRITIONALS, CALORIC AGENTS ROSS LABS. ENSURE HIGH PROTEIN (ORAL) NUTRITIONALS, CALORIC AGENTS ROSS LABS. ENSURE LIQUID (ORAL) NUTRITIONALS, CALORIC AGENTS ROSS LABS. ENSURE PLUS (ORAL) NUTRITIONALS, CALORIC AGENTS ROSS LABS. ENSURE POWDER (ORAL) NUTRITIONALS, CALORIC AGENTS ROSS LABS. ENSURE WITH FIBER (ORAL) NUTRITIONALS, CALORIC AGENTS ROSS LABS. HI-CAL (ORAL) NUTRITIONALS, CALORIC AGENTS ROSS LABS. JEVITY (ORAL) NUTRITIONALS, CALORIC AGENTS ROSS LABS. JUVEN (ORAL) NUTRITIONALS, CALORIC AGENTS ROSS LABS. NUTRIFOCUS (ORAL) NUTRITIONALS, CALORIC AGENTS ROSS LABS. OPTIMENTAL (ORAL) NUTRITIONALS, CALORIC AGENTS ROSS LABS. OSMOLITE (ORAL) NUTRITIONALS, CALORIC AGENTS ROSS LABS. OSMOLITE 1.2 CAL (ORAL) NUTRITIONALS, CALORIC AGENTS ROSS LABS. PEDIASURE (ORAL) NUTRITIONALS, CALORIC AGENTS ROSS LABS. PEDIASURE WITH FIBER (ORAL) NUTRITIONALS, CALORIC AGENTS ROSS LABS. PIVOT 1.5 CAL (ORAL) NUTRITIONALS, CALORIC AGENTS ROSS LABS. POLYCOSE (ORAL) NUTRITIONALS, CALORIC AGENTS ROSS LABS. PROMOD (ORAL) NUTRITIONALS, CALORIC AGENTS ROSS LABS. PROMOTE (ORAL) NUTRITIONALS, CALORIC AGENTS ROSS LABS. PROMOTE WITH FIBER (ORAL) NUTRITIONALS, CALORIC AGENTS ROSS LABS. PROSURE (ORAL) NUTRITIONALS, CALORIC AGENTS ROSS LABS. SIMILAC ORGANIC (ORAL) NUTRITIONALS, CALORIC AGENTS ROSS LABS. TWOCAL HN (ORAL) NUTRITIONALS, CALORIC AGENTS ROSS LABS. VITAL HIGH NITROGEN (ORAL) NUTRITIONALS, CALORIC AGENTS ROSS LABS. VITAL JR (ORAL) NUTRITIONALS, CALORIC AGENTS SANOFI-AVENTIS ANZEMET (ORAL) ANTIEMETICS SANOFI-AVENTIS BENZACLIN (TOPICAL) ACNE AGENTS, TOPICAL SCIELE PHARMA I ULESFIA (TOPICAL) ANTIPARASITICS, TOPICAL Provider Synergies, L.L.C. MSM P&T COMMITTEE MEETING Page 6 of 7
7 SEVEN OAKS BENSAL HP (TOPICAL) ANTIFUNGALS, TOPICAL SKINMEDICA DESONATE (TOPICAL) STEROIDS, TOPICAL LOW STIEFEL VUSION (TOPICAL) ANTIFUNGALS, TOPICAL STIEFEL XOLEGEL (TOPICAL) ANTIFUNGALS, TOPICAL STIEFEL LABS. DUAC (TOPICAL) ACNE AGENTS, TOPICAL STIEFEL LABS. EXTINA (TOPICAL) ANTIFUNGALS, TOPICAL STIEFEL LABS. LUXIQ (TOPICAL) STEROIDS, TOPICAL MEDIUM STIEFEL LABS. OLUX-E (TOPICAL) STEROIDS, TOPICAL VERY HIGH STIEFEL LABS. OLUX-OLUX-E (TOPICAL) STEROIDS, TOPICAL VERY HIGH STIEFEL LABS. VERDESO (TOPICAL) STEROIDS, TOPICAL LOW SUNMARK NUTRI-DRINK (ORAL) NUTRITIONALS, CALORIC AGENTS TAKEDA PHARM ULORIC (ORAL) ANTIHYPERURICEMICS TRIAX PHARMACEU LOCOID LIPOCREAM (TOPICAL) STEROIDS, TOPICAL MEDIUM UCB PHARMA CIMZIA (INJECTION) CYTOKINE AND CAM ANTAGONISTS VALEANT ACANYA (TOPICAL) ACNE AGENTS, TOPICAL VALEANT CESAMET (ORAL) ANTIEMETICS VALU-RITE PHARM NUTRITIONAL LIQUID (ORAL) NUTRITIONALS, CALORIC AGENTS VALU-RITE PHARM NUTRITIONAL PLUS LIQUID (ORAL) NUTRITIONALS, CALORIC AGENTS VICTORY PHARMA FEXMID (ORAL) SKELETAL MUSCLE RELAXANTS VITAFLO VITAJOULE (ORAL) NUTRITIONALS, CALORIC AGENTS WALGREEN CO. NUTRITIONAL DRINK (ORAL) NUTRITIONALS, CALORIC AGENTS WALGREEN CO. PEDIATRIC DRINK (ORAL) NUTRITIONALS, CALORIC AGENTS WAL-MART STORES NUTRITIONAL SHAKE (ORAL) NUTRITIONALS, CALORIC AGENTS WAL-MART STORES NUTRITIONAL SHAKE PLUS (ORAL) NUTRITIONALS, CALORIC AGENTS WATSON CORDRAN TAPE (TOPICAL) STEROIDS, TOPICAL MEDIUM WRASER PHARMA NUOX (TOPICAL) ACNE AGENTS, TOPICAL XANODYNE PHARM DARVON-N (ORAL) ANALGESICS, NARCOTICS SHORT XANODYNE PHARM ZIPSOR (ORAL) NSAIDS Provider Synergies, L.L.C. MSM P&T COMMITTEE MEETING Page 7 of 7
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