| Document Date: 2013-04-19 12:00:31
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Company PROZAC WEEKLY / / Facility The SHPO Pharmacy / IHN-CCO Pharmacy / / IndustryTerm appropriate and cost-effective products / preferred drug products / drug manufacturer / informational tool / / MedicalTreatment ANTIBIOTICS / RESPIRATORY THERAPY / / Organization P&T Committee / IHN-CCO P&T Committee / IHN-CCO / FDA / InterCommunity Health Network Coordinated Care Organization / / Person TABLET SUBLINGUAL / MG TABLET / / / Position physician / / Product Venlafaxine / EFFEXOR / Mirtazapine / LOXITANE / DEPAKOTE ER / ASENDIN / ORAP / LIMBITROL / Fluphenazine / LIBRITABS / Fluvoxamine Maleate / INVEGA / LUVOX / Haloperidol / PROLIXIN ENANTHATE / MARPLAN / NAVANE / TABLET / Loxapine Succinate / 5MG TABLET / Modafinil / SERAX / Loxapine / MOBAN / STELAZINE / DROPERIDOL / Carbamazepine / CYMBALTA / Meprobamate / Valproate Sodium / VITAMIN K / VITAMIN D / HALDOL / Tranylcypromine Sulfate / Risperidone / Escitalopram Oxalate / 50MG TABLET / PEXEVA / Trifluoperazine Hcl / BUSPAR / NUVIGIL / THORAZINE / Divalproex / Haloperidol Lactate / Trimipramine Maleate / PROLIXIN DECANOATE / LOXITANE IM / NARDIL / PROZAC WEEKLY / LIBRAX CAPSULE / DIZAC / PAXIL CR / Clorazepate Dipotassium / Fluphenazine Hcl / SPARINE / Diazepam / EMSAM / PARNATE / Haloperidol Decanoate / Olanzapine / Clozapine / Fluoxetine / Oxazepam / LITHIUM CITRATE / LIBRIUM / ESKALITH / DEPACON / EQUETRO / SERENTIL / Citalopram Hydrobromide / LEXAPRO / Amoxapine / EQUANIL / Lamotrigine / ANAFRANIL / 15MG TABLET / PRISTIQ / 10MG TABLET / Thiothixene / SYMBYAX / 25MG TABLET / SURMONTIL / STRATTERA / Lorazepam / REMERON / SEROQUEL / ATIVAN / 400MG TABLET / ABILIFY / GEODON / ALPRAZOLAM / RISPERDAL CONSTA / ELAVIL / Buspirone Hcl / Lithium Carbonate / PROVIGIL / PAXIPAM / PROLIXIN / CLOZARIL / LAMICTAL / / ProgrammingLanguage BETA / ML / / ProvinceOrState Oregon / / Technology ALPHA / ANTI-INFECTIVES / /
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InterCommunity Health Network Coordinated Care Organization (IHN-CCO) FORMULARY List of Covered Drugs for 2013