Wellcare Otc List
Preferred Drug List (List of Covered Drugs) WellCare of Georgia, Inc. ... WellCare Health Plan Georgia Preferred Drug List COMPOUND W MAXIMUM STRENGTH17% GEL OTC-Covered w/Rx
WMCXXXXXXXX ©WellCare 2008 FL02805_STW_OTC_ENG_FL_11_07 ANALGESICS 1 ADVIL TABS IBUPROFEN 200MG FC CAPLETS 50 $5.00 2 ALEVE CAPLETS NAPROXEN SODIUM 220MG CAPLETS 50 $7.00 3 BAYER ASPIRIN ASPIRIN 325MG ... Your family can get up to $25 worth of approved OTC items per month. This is the list of items you can ...
OH011888_CAD_LTR_ENG ©WellCare 2010 OH_01_10 31446 Dear Member: We would like to thank you for the ... • OTC products —we will no longer offer the $10-per-month over-the-counter items ... * This is not a complete list of covered vision services.
2011 Florida Medicaid Comprehensive Preferred Drug List (List of Covered Drugs) WellCare of Florida 00 Please read: ... Class Product Name Strengths Form Coverage Detail WellCare Health Plan Florida Medicaid Preferred Drug List ferrex 150 150MG CAPS OTC-Covered w/Rx ferrex 150 forte 25MCG/ 1MG/ 150MG CAPS ...
H3328 FC 10077 CMS Approved 08202010 2011 OVER-THE-COUNTER (OTC) LIST Eligible Over-the-Counter (OTC) Expenses include medicines or products that alleviate or treat injuries or illness for you.
... (OTC) medications and ... you'll find a list of products that you may order from us or buy at a store. ... 39700 WellCare is a Coordinated Care Plan with a Medicare Advantage contract.
The Preferred Drug List can be found on our Web site at http://georgia.wellcare.com . Any changes to the list of pharmaceuticals & applicable pharmaceutical management procedures are communicated to providers at least annually via the following: ... (OTC) Medications The following Over-the-Counter ...
1oz $4.000.5oz $6.002010 Medicaid OTC Product List. ID # Generic Comparable Brand Description Quantity Price 2010 Medicaid OTC Product List 35 Hydrocortisone 1% Maximum Strength Cream Cortaid® Cream
Class Product Name Strengths Form Coverage Detail ANTIHISTAMINES 1st Gen Ethanolamines diphenhydramine hcl 50MG, 25MG CAPS, TABS OTC-Covered w/Rx 1st Gen Phenothiazines promethazine hcl 50MG, 25MG, 12.5MG, 6.25MG/5ML, 25MG/ML TABS, SYRP, SUPP, SOLN promethazine hcl plain 6.25MG/5ML SYRP ...
Updated 4-16-08 Wellcare of Georgia Preferred Drug List 2008 PDL subject to change WellCare of Georgia Preferred Drug List Cost Index Quality Indicator Quantity ... Generic Name Brand Name Update Wellcare Health Plans, Inc. - Georgia OTC OTC -COVERED w/RX Psyllium METAMUCIL GENITOURINARY AGENTS ...
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