EXHIBIT_L-7_Draft_High_Cost_Medicaitons_List_(Aug_08 _2013).pdf

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TRICARE Pharmacy Program, Fourth Generation (TPharm4)
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EXHIBIT_L-7 Draft High Cost Medicaitons List (Aug 08 2013)

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Exhibit L-7 Draft High Cost Drug Medication List

1. Ezetimibe

2. Memantine

3. Tiotropium Bromide

4. Mometasone Furoate

5. Fluticasone/Salmeterol

6. Sildenafil citrate

7. Levalbuterol

8. Aripiprazole

9. Esomeprazole

10. Eszoplicone

11. Duloxetine

12. Insulin Aspart

13. Rifaximin

14. Ezetimibe/Simvastatin

15. Solifenacin

16. Testosterone

17. Insulin Glargine

18. Rabeprazole

19. Sitagliptin

20. Ipratropium/Albuterol Sulfate

21. Tolterodine

22. Celecoxib

23. Mesalamine

24. Niacin

25. Rosuvastatin

26. Fenofibrate

27. Eletriptan

28. Budesonide/formoterol

29. Teriparatide

30. Armodafinil

31. Sevelamer

32. Dabigatran

33. Valsartan

34. Estradiol Cream

35. Quetiapine

36. Bimatoprost

37. Liraglutide

38. Rizatriptan

39. Rivastigmine

40. Beclomethasone dipropionate

41. Aspirin/Dipyridamole

High Cost Medications include brand name formulations for the above listed generic. This list is subject to change.

File details come from the government source that posted it. Updated .