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EFFECTIVE AUGUST 1, 2011. Drug Tier Notes ANALGESICS COX-2 INHIBITORS CELEBREX CAP 100MG 3 PA CELEBREX CAP 200MG 3 PA CELEBREX CAP 400MG 3 PA CELEBREX CAP 50MG 3 PA GOUT allopurinol sodium for inj 500 mg 2 allopurinol tab 100 mg 1 allopurinol tab 300 mg 1 colchicine w/ probenecid tab 0.5-500 mg 2 COLCRYS TAB 0.6MG 3 QL (60 tabs / 25 days) probenecid tab 500 mg … ................
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