MediSource Formulary October 2013 FINAL

available through Reliance RX, Walgreens Specialty Phar macy, Accredo and/or certain participating retail pharmacies, unless otherwise noted as limited distribution Formulary Symbols ‡ - Specialty Drug, Limited distribution may apply. + - Maintenance drug, a 90-day supply may be prescribed and dispensed. QL – Quantity Limit applies ................
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