Drugs: Contract Drugs List Part 1 – Prescription Drugs (N ...

A Treatment Authorization Request (TAR) is required for the third supply of up to 12 months of the same product requested within a year. Tablets 0.4 mg – 35 mcg Tablets from 21 tablet packet ea. Tablets from 28 tablet packet ea. 0.5 mg – 35 mcg Tablets from 21 tablet packet ea. Tablets from 28 tablet packet ea ................
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