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(erythromycin ethylsuccinate)* EC-Naprosyn (naproxen EC)* Econopred Plus 1% Eye Drops (prednisolone)* Effexor (velafaxine)* Effexor XR (velafaxine ER)† Effient Efudex (fluorouracil)* Eldepryl (selegiline)* Elidel Elimite (permethrin)* Elixophyllin (theophylline syrup)* Elocon (mometasone)* Emcyt Empirin w/Cod (asa/codeine)* Emtriva Endal HD (phenyleph hcl/hydrocod bit/cp)* Entex PSE (guaifenesin/pseudoephedrine)* Entocort EC Epifrin (epinephrine HCl)* Epipen, JR Epivir Eryc (erythromycin base)* Erycette 2% Pledgets (erythromycin)* Eryderm 2% Topical Solution (erythromycin)* Erymax 2% Topical Solution (erythromycin)* Ery Ped 200 Susp (erythromycin ethylsuccinate)* Esgic (acetaminophen/caffeine/butalb)* Eskalith, CR (lithium)* Estrace (estradiol)* Estraderm Estring Ethmozine Eulexin (flutamide)* Evamist Evista Evoxac Exelon (rivastgmine)† Exforge, HCTFamvir (famciclovir)* Fansidar Fast Take Product Line Fazo Clo ODT Felbatol Feldene (piroxicam)* Femara† Fem HRT Fibricor (fenofibric 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After the generic drug becomes available and notification requirements are met, this brand-name drug will become non-formulary/Tier 3 or may no longer be covered by your prescription drug plan. Or, you can compare individual Virginia medical insurance plans from providers like Anthem Blue Cross Blue Shield. You should talk to your doctor about getting a medication that is on the drug formulary. Check with If you've got health insurance questions, we've got answers. This list may change often, and at any time without notice. The inclusion of a particular drug on the formulary is not a guarantee of coverage. S.)* Starlix (nateglinide) Stelazine (trifluoperazine)* Strattera Suboxone SL tab, SL film Subutex (buprenorphine)* Sular 20, 30 & 40mg (nisoldipine)* Sular 8.5, 17, 25.5 & 34mg Sulfacet-R (sodium sulfacetamide/sulfur)* Sultrin (triple sulfa)* Sustiva Symbicort Symbyax Symlin Symmetrel (amantadine)* Synalar (fluocinolone acetonide)* Synthroid (levothyroxine)Tagamet (cimetidine)* Talacen (pentazocine/apap)* Talwin NX (pentazocine nx)* Tambocor (flecainide)* Tarka (trandolapril/verapamil)* Tavist syrup, 2.68mg tabs (clemastine fumarate)* Tazorac Tegretol (carbamazepine) Tegretol XR (carbamazepine ER) Tekturna, HCT Temodar† Temovate (clobetasol)* Tenex (guanfacine)* Tenoretic (atenolol/chlorthalidone)* Tenormin (atenolol)* Terazol (terconazole)* Teslac Tessalon Perles (benzonatate)* Testim Theo-24 Theochron (theophylline)* Thorazine Tab (chlorpromazine tab)* Ticlid (ticlopidine)* Tigan (trimethobenzamide)* Tilade Timoptic (timololophthalmic)* Timoptic XE (timolol)* Tobi Tobradex oint. (tobramycin/dexamethasone)* Tobrex Soln (tobramycin)* Tofranil (imipramine)* Tolectin (tolmetin)* Topamax Topicort (desoximetasone)* Toprol XL (metoprolol)* Toradol (ketorolac tromethamine)* Toviaz Trandate (labetalol)* Transderm-Scop Tranxene (clorazepate)* Trental (pentoxifylline)* Treximet Tricor (fenofibrate)* Tri Leven (levo norgestrel)* Tri-Vi-Flor (triple vitamins w/fluoride)* Tridesilon (desonide)* Trilafon (perphenazine)* Trileptal (oxcarbazepine)* Trilipix Trimox (amoxicillin)* Trimpex (trimethoprim)* Trinsicon (iron/intrinsic factor/B12)* Triphasil (trivora)* Trizivir Trusopt (dorzolamide)* Tussi-12 (phenyleph/chlorphen/carbeta)* Tussi-Organidin NR (guaifenesin/codeine)* Tussi-Organidin NR DM (guaifenesin/dextromethorphan)* Tussi Caps Tussionex Pennkinetic ER Twinject Tylenol w/Cod (codeine/APAP)* Tylox (oxycodone w/acetaminophen)* Tympagesic (pramoxine/hc/chloroxylenol)*Univasc (moexipril)* Urecholine (bethanechol)* Urised (meth/salicylate/atropine/hyos benzoic)* Urocit-K (potassium citrate)* Urogesic Blue (methenamine/hyosc-meth blue/sod biphos-phenyl sal)* Uroxatral V-Cillin K (penicillin V. The Anthem prescription drug formulary list is designed to help Anthem's customers determine which drugs are covered under their health plan. All health insurance plan prices remain the same whether you buy direct from an insurance company or utilize a broker. The following is the current (2011) Anthem Blue Cross Blue Shield Drug Formulary List.

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