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Peroxide
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581	BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA THERAPEUTIC PREFERRED AGENTS Add to Reading List Source URL: www.dhhr.wv.gov Language: English - Date: 2010-12-03 12:25:59 Morphinans Combination drugs Anti-acne preparations Ketones Alcohols Benzoyl peroxide Hydrochlorothiazide Clindamycin Tramadol Chemistry Organic chemistry Pharmacology
582	BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA This is not an all-inclusive list of available covered drugs and includes only managed categories. Refer to cover p Add to Reading List Source URL: www.dhhr.wv.gov Language: English - Date: 2014-09-10 09:48:24 Anti-acne preparations Alcohols Phenols Combination drugs Clindamycin Tramadol Sulfacetamide/sulfur Benzoyl peroxide Codeine Chemistry Organic chemistry Morphinans
583	BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA THERAPEUTIC PREFERRED AGENTS Add to Reading List Source URL: www.dhhr.wv.gov Language: English - Date: 2010-12-03 12:25:58 Morphinans Combination drugs Anti-acne preparations Ketones Amines Sulfacetamide/sulfur Hydrochlorothiazide Benzoyl peroxide Clindamycin Chemistry Organic chemistry Pharmacology
584	BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA This is not an all-inclusive list of available covered drugs and includes only managed categories. Refer to cover p Add to Reading List Source URL: www.dhhr.wv.gov Language: English - Date: 2013-03-26 15:57:39 Anti-acne preparations Alcohols Phenols Ketones Tramadol Benzoyl peroxide Clindamycin Codeine Hydrocodone Chemistry Organic chemistry Morphinans
585	BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA This is not an all-inclusive list of available covered drugs and includes only managed categories. Refer to cover p Add to Reading List Source URL: www.dhhr.wv.gov Language: English - Date: 2011-03-04 15:52:11 Morphinans Anti-acne preparations Alcohols Phenols Combination drugs Tramadol Benzoyl peroxide Sulfacetamide/sulfur Codeine Chemistry Organic chemistry Medicine
586	BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA This is not an all-inclusive list of available covered drugs and includes only managed categories. Refer to cover p Add to Reading List Source URL: www.dhhr.wv.gov Language: English - Date: 2011-12-02 13:25:27 Phenols Alcohols Anti-acne preparations Euphoriants Tramadol Benzoyl peroxide Tapentadol Hydromorphone Codeine Chemistry Organic chemistry Morphinans
587	BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA This is not an all-inclusive list of available covered drugs and includes only managed categories. Refer to cover p Add to Reading List Source URL: www.dhhr.wv.gov Language: English - Date: 2012-09-26 09:31:08 Phenols Alcohols Anti-acne preparations Euphoriants Tramadol Benzoyl peroxide Tapentadol Hydromorphone Sulfacetamide/sulfur Chemistry Organic chemistry Morphinans
588	BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA This is not an all-inclusive list of available covered drugs and includes only managed categories. Refer to cover p Add to Reading List Source URL: www.dhhr.wv.gov Language: English - Date: 2012-12-10 10:30:37 Morphinans Phenols Alcohols Ketones Tramadol Benzoyl peroxide Clindamycin Sulfacetamide/sulfur Codeine Chemistry Organic chemistry Anti-acne preparations
589	Department of Vermont Health Access Pharmacy Benefit Management Program VERMONT PREFERRED DRUG LIST and Add to Reading List Source URL: dvha.vermont.gov Language: English - Date: 2014-10-27 09:27:45 Pharmacology Clindamycin Adapalene Benzoyl peroxide Sulfacetamide/sulfur Sulfacetamide Acne vulgaris Benzamycin Doxycycline Anti-acne preparations Medicine Chemistry
590	BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA This is not an all-inclusive list of available covered drugs and includes only managed categories. Refer to cover p Add to Reading List Source URL: www.dhhr.wv.gov Language: English - Date: 2012-09-26 09:31:11 Alcohols Phenols Anti-acne preparations Euphoriants Tramadol Benzoyl peroxide Codeine Hydromorphone Clindamycin Chemistry Organic chemistry Morphinans

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