Alunbrig Tablet Therapy Pack 90 & 180 NF 1+ PA2 Formulary Enhancement N/A MG Oral Atazanavir Sulfate CAPSULE 150 MG NF 1 Formulary Enhancement N/A Oral Atazanavir Sulfate CAPSULE 200 MG NF 1 Formulary Enhancement N/A Oral Atazanavir Sulfate CAPSULE 300 MG NF 1 Formulary Enhancement N/A Oral Calcipotriene CREAM 0.005 % NF 1 Formulary Enhancement N/A EXTERNAL Calcipotriene OINTMENT 0.005 % NF 1 Formulary Enhancement N/A EXTERNAL Carvedilol Phosphate ER CAPSULE EXTENDED RELEASE 24 HOUR 10 NF 1 Formulary Enhancement N/A MG Oral Carvedilol Phosphate ER CAPSULE EXTENDED RELEASE 24 HOUR 20 NF 1 Formulary Enhancement N/A MG Oral Carvedilol Phosphate ER CAPSULE EXTENDED RELEASE 24 HOUR 40 NF 1 Formulary Enhancement N/A MG Oral Doripenem SOLUTION RECONSTITUTED 500 MG NF 1 Formulary Enhancement N/A Intravenous Eliquis Starter Pack TABLET 5 MG NF 1 Formulary Enhancement N/A Oral Enskyce TABLET 0.15-30 MG-MCG NF 1 Formulary Enhancement N/A ORAL Estradiol CREAM 0.1 MG/GM Vaginal NF 1 Formulary Enhancement N/A
Alunbrig Tablet Therapy Pack 90 & 180 MG Oral NF 1+ PA2 Formulary Enhancement N/A Atazanavir Sulfate CAPSULE 150 MG Oral NF 1 Formulary Enhancement N/A Atazanavir Sulfate CAPSULE 200 MG Oral NF 1 Formulary Enhancement N/A Atazanavir Sulfate CAPSULE 300 MG Oral NF 1 Formulary Enhancement N/A Calcipotriene CREAM 0.005 % EXTERNAL NF 1 Formulary Enhancement N/A Calcipotriene OINTMENT 0.005 % EXTERNAL NF 1 Formulary Enhancement N/A Carvedilol Phosphate ER CAPSULE EXTENDED RELEASE 24 HOUR 10 MG Oral NF 1 Formulary Enhancement N/A Carvedilol Phosphate ER CAPSULE EXTENDED RELEASE 24 HOUR 20 MG Oral NF 1 Formulary Enhancement N/A Carvedilol Phosphate ER CAPSULE EXTENDED RELEASE 24 HOUR 40 MG Oral NF 1 Formulary Enhancement N/A Doripenem SOLUTION RECONSTITUTED 500 MG Intravenous NF 1 Formulary Enhancement N/A Eliquis Starter Pack TABLET 5 MG Oral NF 1 Formulary Enhancement N/A Enskyce TABLET 0.15-30 MG-MCG ORAL NF 1 Formulary Enhancement N/A Estradiol CREAM 0.1 MG/GM Vaginal NF 1 Formulary Enhancement N/A
AgeWell-1-Tier_2018_Addendum_Eff_08012018.docx