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Drug Changes

Here you will find a listing of the drugs that have been changed on our drug list (formulary) for the indicated plan year.

EPINEPHrine Solution Auto-Injector 0.15 MG/0.15ML Injection


Post Date:
3/11/2022
Effective Date:
3/15/2022
Type of Change:
Utilization management added
Reason Changed:
Quantity limit updated

EPINEPHrine Solution Auto-Injector 0.3 MG/0.3ML Injection


Post Date:
3/11/2022
Effective Date:
3/15/2022
Type of Change:
Utilization management added
Reason Changed:
Quantity limit updated