* most common strength dispensed for bcbsm members ** brand‑name cost based on average wholesale price obtained from various data sources (december 2012) (bcbsm top 25 brand name drugs with available generic ....
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the drug formulary can also be accessed at directprovider.com. *generic/generic available not all dosage forms are available generically (pa) prior authorization required drug formulary vista medicaid alphabetical list 2013.