He is currently a licensed CPA specializing in real estate development and accounting. documents in the last year, 28 For nearly nine million United States veterans, the Veterans Health Administration plays a critical role in helping them get the health care they need. Editorial Disclosure: Editorial content on Veteran.com may include opinions. MbM is an excellent benefit for CHAMPVA beneficiaries because there is no annual deductible, no cost share, and prescriptions are delivered directly to their home. The real reason the pharmacy is not filling the prescription, is that insurance does not have the medication on their formulary. documents in the last year, 480 CHAMPVA payment methodology [Fact sheet]. Call in your refill request using the 24-hour, automated refill phone line at 8883701699. visit VeteransCrisisLine.net for more resources. Highest customer reviews on one of the most highly-trusted product review platforms. The Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) is a healthcare plan for certain dependents of veterans. Medicare would be the primary payer for your services and prescriptions, and CHAMPVA would pick up your copayments and coinsurance amounts. Text in PDFs may be blacked out, typed in, and erased using the editor. If you, your spouse, and potentially children meet the above requirements, you can apply for CHAMPVA health insurance by submitting the following forms: However, you only need to submit the second form if the CHAMPVA applicant currently has another type of health insurance coverage (e.g. Also, if applying for a spouse, please include the date of marriage on the application. Some drugs, such as over-the-counter medications, are not covered by CHAMPVA. 01/18/2023, 202 Learn more here. Medications included in the CHAMPVA pharmacy policy. You can also choose to enroll in additional Medicare parts, such as: The best option for you will depend on your personal needs and budget. Youll want to select a plan that includes: You can also search for premiums in your price range and those with out-of-pocket costs you can manage. Eligibility is determined by the VHA Office of Integrated Veteran Care, not Meds by Mail. The site is secure. Lets take a look at what CHAMPVA is, who may qualify, and how it works together with Medicare. Business, Open the form in the feature-rich online editor by clicking on. A .gov website belongs to an official government organization in the United States. Yes, you can track the delivery of your prescription through your Advanced or Premium My HealtheVet account. legal research should verify their results against an official edition of NOTE: No cost share requirement exists for hospice, services received at VA facilities, or medications obtained through the Meds by Mail program. CHAMPVA has two types of out-of-pocket costs: 1) An outpatient deductible ($50 per person up to $100 per family per calendar year). However, if they have a disability caused by their service, their family may be able to enroll in CHAMPVA. CHAMPVA falls into this category. Be sure to notify the VHA Office of Integrated Veteran Care (VHA IVC) of any changes in your other health insurance coverage. This site uses cookies to enhance site navigation and personalize your experience. The President of the United States issues other types of documents, including but not limited to; memoranda, notices, determinations, letters, messages, and orders. Learn how your. 12/29/2021 at 8:45 am. offers a preview of documents scheduled to appear in the next day's Eligibility can be impacted by changes such as marriage, divorce from the sponsor, or eligibility for Medicare or TRICARE. Does my Rite Aid pharmacy deliver prescriptions? To access the menus on this page please perform the following steps. You can refill, review, and track your prescriptions online. the current document as it appeared on Public Inspection on Your MbM Servicing Center can help you with: The VHA Office of Integrated Veteran Care can help you with: Yes. have hearing loss, Dexcom G6 Continuous Glucose Monitoring Transmitter, Dexcom G6 Continuous Glucose Monitoring Sensor, Freestyle Libre 14 Day Continuous Glucose Monitoring Sensor, Glucose Sensor Freestyle Libre 2 Glucose Monitoring Sensor, Guardian (3) Mmt-7020a Continuous Glucose Monitoring Sensor, Insulin Pen Needles ((31g,5mm) (32g,6mm)), Insulin Syringes ((0.3ml,30g) (0.5ml,31g) (1ml,31g)), Abilify (Aripiprazole): tablets and injection, Acetasol HC (acetic acid/hydrocortisone): ear solution, ActoplusMET (metformin/pioglitazone): tablets, Aggrenox (aspirin/dipyridamole): capsules, AK-Poly-Bac (bacitracin/polmyxin): eye ointment, Aldactazide (hydrochlorothiazide/spironolactone): tablets, Altavera (ethinyl estradiol/levonorgestrel): tablets, Alyacen (ethinyl estradiol/norethindrone): tablets, Anoro Ellipta (umeclidinium/vilanterol): inhaler, Apri (desogestrel/ethinyl estradiol): tablets, Armour Thyroid (dessicated thyroid): tablets, Arthrotec (diclofenac/misoprostol): tablets, AtacandHCT (candesartan/hydrochlorothiazide): tablets, Atripla (efavirenz/emtricitabine/tenofovir): tablets, Atrove (ipratropium): inhaler, nasal spray, AvaproHCT (hydrochlorothiazide/irbesartan): tablets, Aygestin (norethindrone acetate): tablets, Ayuna (ethinyl estradiol/levonorgestrel): tablets, Bactrim (sulfamethoxazole/trimethoprim): tablets, oral suspension, Baraclude (entecavir): tablets, oral solution, Benicar HCT (hydrochlorothiazide/olmesartan): tablets, Bentyl (dicyclomine): tablets, capsules, oral solution, Beta-Val (betamethasone valerate): cream, ointment, lotion, topical aerosol, Bevespi Aerosphere (formoterol/glycopyrronium): inhaler, Biktarvy (bictegravir/emtricitabine/tenvofir alaf): tablets, Breo Ellipta (fluticasone/vilanterol): inhaler, Breztri (budesonide/glycopyrrolate/fomoterol): inhaler, Brovana (arformoterol)*: inhalation solution, Caduet (amlodipine/atorvastatin): tablets, Calquence (acalabrutinib): tablets, capsules, Camrese (ethinyl estradiol/levonorgestrel): tablets, Carafate (sucralfate): tablets, oral suspension, Caverject Impluse (alprostadil)*: injection, Celexa (citalopram): tablets, oral solution, Cellcept (mycophenolate): tablets, capsules, Ciclodan (ciclopirox): cream, topical solution, Ciprodex (ciprofloxacin/dexamethasone): ear suspension, Climara (estradiol (once weekly patch)): topical patch, Clobex (clobetasol): lotion, topical spray, topical solution, topical shampoo, Col-Benemid (colchicine/probenecid): tablets, Combigan (brimonidine/timolol): eye drops, Combipatch (estradiol/norethindrone)*: topical patch, Combivent (albuterol/ipratropium): inhaler, Combivir (lamivudine/zidovudine): tablets, Compro (prochlorperazine): rectal suppository, tablets, capsules, Cordran tape (flurandrenolide tape): tape, Cortisporin (hydrocortisone/neomycin/polymyxin): ear ointment, ear suspension, Covaryx (estrogen, esterified/methyltestosterone): tablets, Cryselle (ethinyl estradiol/norgestrel): tablets, Dasetta (ethinyl estradiol/norethindrone): tablets, DDAVP (desmopressin): nasal spray*, tablets, Depakene (valproic): capsules, oral syrup, Depakote (divalproex acid): tablets, capsules, Dermazene (hydrocortisone/iodoquinol): cream, Descovy (emtricitabine/tenofovir alafenamide): tablets, Desowen (desonide): cream, ointment, lotion, Diamox (acetazolamide): tablets, capsules, Dilantin (phenytoin): capsules, chewable tablets, oral suspension, Diovan HCT (hydrochlorothiazide/valsartan): tablets, Diprolene (betamethasone dipropionate): cream, ointment, gel, lotion, Dovato (dolutegravir/lamivudine): tablets, Dovonex (calcipotriene): cream, topical solution, Drysol (aluminum chloride hexahydrate): deodorant, Duoneb (albuterol/ipratropium): inhalation solution, Dymista (azelastine/fluticasone): nasal spray, Edarbyclor (azilartan/chlorthalidone): tablets, Eemt (estrogen, esterified/methyltestosterone): tablets, Efudex (fluorouracil): cream, topical solution, Elifemme (ethinyl estradiol/levonorgestrel): tablets, Elinest (ethinyl estradiol/norgestrel): tablets, Emoquette (desogestrel/ethinyl estradiol): tablets, Enpresse (ethinyl estradiol/levonorgestrel): tablets, Enskyce (desogestrel/ethinyl estradiol): tablets, Epclusa (sofosbuvir/velpatasvir): tablets, Epivir (lamivudine): tablets, oral solution, Eskalith (lithium carbonate): tablets, capsules, Estratest H.S. The mailing address for CHAMPVA is: PO Box 469063 Denver, CO 80246-9063 What Is The Phone Number For CHAMPVA Customer Service? program in the spring semester sho. References to third-party products, rates and offers may change without notice. documents in the last year, 117 Beneficiaries of Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) who are eligible to use Meds by Mail (MbM), can now use My Health e Vet's Pharmacy feature to refill, review, and track VA prescription refills online. They may identify themselves as a CHAMPVA Beneficiary, VA Patient or Veteran in any combination (i.e., all three, one of these, or any combination thereof). The best part of Meds By Mail is that there is NO cost share or co-pay. USLegal has been awarded the TopTenREVIEWS Gold Award 9 years in a row as the most comprehensive and helpful online legal forms services on the market today. Create a free account and use the web to keep track of professional documents. The same rules apply to Medicare Part D. CHAMPVA will pick up your copayments on all covered prescriptions. 10 Veterans Benefits You May Not Know About, Medal of Honor: Benefits, History and Facts, Veterans Employment and Training Service (VETS), Security Clearance Jobs After the Military, Unemployment Compensation for Ex-servicemembers (UCX), Military Spouse Career Advancement (MyCAA) Scholarship Program, Monthly Housing Allowance (MHA) for the GI Bill, Civilian Health and Medical Program (CHAMPVA) Benefits, Civilian Health and Medical Program of the Department of Veterans Affairs, Check your VA home loan eligibility with today's top lenders, Types of Insurance Military Families May Need, Service-Disabled Veterans Insurance (S-DVI), 2023 Retired Military and Annuitant Pay Dates, 2023 Reserve and National Guard Drill Pay, 100% Permanent and Total Disability Ratings, Social Security Disability (SSDI) Benefits for Veterans, Is permanently and totally disabled (P&T) because of an adjudicated service-connected disability, or, Died as a result of an adjudicated service-connected disability or who at the time of death was rated P&T, or. Unauthorized use includes gaining unauthorized data access, changing data, harming the system or its data, or misusing the system. Enter your email for updates and we'll send them straight to your inbox! Select your file from the documents list and pick your export method. Depending on your circumstances, these might include: Youll also need to send in information about any other insurance plan you currently have. Youll receive a CHAMPVA card in the mail if your application is approved. corresponding official PDF file on govinfo.gov. SUPPLEMENTARY INFORMATION: Section 17.110 of title 38, CFR, governs copayments for medications that VA provides to Veterans. Office of Accountability & Whistleblower Protection, Training - Exposure - Experience (TEE) Tournament, Permission and Referencing PBM-MAP Documents, Opioid Overdose Education & Naloxone Distribution, War Related Illness & Injury Study Center, Clinical Trainees (Academic Affiliations), VA National Formulary by Class November 2022, VA National Formulary Changes November 2022, VA Urgent/Emergent FormularyDecember 2022, VA National Formulary Changes by Month 10-98 TO 11-22, VA National Formulary Changes 10-98 TO 11-22, National Drug File Support Group Guidelines, National Formulary Frequently Asked Questions, List of Medications at Lower Copayment Rate Under 38 CFR 17.110(b)(iv), Call TTY if you METHOXSALEN CAP DE820 ANTHRALIN CALCIPOTRIENE 0.005% COAL TAR EMULSION,TOP SOAP/DETERGENT . After that time, you will receive a package from the VA including the beneficiarys CHAMPVA ID card and informational material. on With pdfFiller, you can send it out securely and get signatures in just a few clicks. documents in the last year, 1487 By signing in, you agree to only use information you have legal authority to view and use. Select Add New from your Dashboard and import a file into the system by uploading it from your device or importing it via the cloud, online, or internal mail. documents in the last year, 12 To find out if your medication is available, call your MbM servicing center. You have CHAMPVA and a Medicare Advantage plan that includes Part D coverage. In many cases, youll need to pay out of pocket for any services you receive from an out-of-network provider. documents in the last year, 90 VHA Office of Integrated Veteran Care: 800-733-83878:05 a.m. to 7:30 p.m. (ET), MondayFriday. Doxazosin Mesylate Tablet. Be sure to have your Social Security number and prescription numbers available. https://www.va.gov/COMMUNITYCARE/revenue_ops/copays.asp The VA offers a free, convenient, and secure service through MMed's By Mail program to qualified individuals with spinal cord injuries or brain damage which . Select Add New from your Dashboard and import a file into the system by uploading it from your device or importing it via the cloud, online, or internal mail. NOTE: No deductible requirement exists for inpatient hospital services, ambulatory surgical centers, psychiatric partial hospitalization programs, hospice, services provided through VA facilities, or for medication received through the Meds by Mail program. va.gov/COMMUNITYCARE/docs/pubfiles/factsheets/FactSheet_01-13.pdf, va.gov/COMMUNITYCARE/programs/dependents/champva/champva_eligibility.asp, va.gov/COMMUNITYCARE/docs/pubfiles/factsheets/FactSheet_01-04.pdf#, medicare.gov/supplements-other-insurance/how-medicare-works-with-other-insurance, va.gov/COMMUNITYCARE/docs/pubfiles/factsheets/FactSheet_01-03.pdf, va.gov/COMMUNITYCARE/docs/pubfiles/factsheets/FactSheet_01-12.pdf, medicare.gov/your-medicare-costs/medicare-costs-at-a-glance. Veterans Crisis Line: CHAMPVA provides healthcare coverage for qualifying dependents of some U.S. military veterans. Dental benefits are limited. Description of champva medication list 2022 Marsha T. Julio Art Scholarship Application Purpose: To provide scholarship assistance for female Art students, honoring Marsha Julio as an accomplished artist, student of nature, and exuberant lover Fill & Sign Online, Print, Email, Fax, or Download Get Form Form Popularity champva formulary 2021 For additional information, please refer toFact Sheet 01-03: Instructions for CHAMPVA Applicants. In addition, beneficiaries are responsible for 100% of the prescription cost until an annual $50 individual or $100 family deductible is satisfied. Meds by Mail Prescription Order Form, VA Form 10-0426. 2) A cost share up to 25% of the catastrophic medical treatment cap (up to $3,000 per calendar year). Mail:VHA Office of Community CareCHAMPVA EligibilityPO Box 469028Denver, CO 80246-9028. To register for a My HealtheVet account, CHAMPVA beneficiaries should start with the 'Register' button at the top right of the Home Page. verifying your identity. deductibles, co-pays, etc.) You can apply for CHAMPVA at any time. An official website of the United States government. If the eligible sponsor is the spouse of another eligible sponsor, both may now be eligible for CHAMPVA benefits. New apps for Veterans and Health Care Professionals. Tier 1 medication means a multi-source medication that has been identified using the process described in paragraph (b)(2) of this section. publication in the future. Fortunately, a low-cost option exists for the spouses of some disabled veterans: CHAMPVA. These can be useful This is a list of specialty medications that Optum Specialty Pharmacy can provide or facilitate access and is subject to change. Call our MyVA411 main information line for help at Not less than once per year, VA will identify a subset of multi-source medications as Tier 1 medications. As a CHAMPVA beneficiary, the program will cover health services and supplies when the VA determines that they were A) medically necessary, and B) received from an authorized provider. CHAMPVA beneficiaries can visit the home page www.myhealth.va.gov to register for a My HealtheVet account. You do not need to stop this additional coverage to apply for and use CHAMPVA. National Formulary Frequently Asked Questions. Brand name medications are limited as Meds by Mail promotes generic medications. This is the maximum out-of-pocket expense a family can incur for CHAMPVA-covered services and supplies in a calendar year. An eligiblesponsor may be entitled to receive medical care through the VA health care system based on his or her own veteran status. To qualify for CHAMPVA, you cannot also be eligible for TRICARE. Any doctor that is affiliated with a hospital that accepts Medicare has no choice in the matter, they too must also accept ChampVA. Want 30+ Military / Veteran Discounts to use today? Youll need to send in an application along with documents that prove your eligibility. The information on this website may assist you in making personal decisions about insurance, but it is not intended to provide advice regarding the purchase or use of any insurance or insurance products. The content on Veteran.com is produced by Three Creeks Media, its partners, affiliates and contractors, any opinions or statements on Veteran.com should not be attributed to the Dept. Acetylcysteine: inhalation solution Aciphex (rabeprazole): tablets Actemra (tocilizumab)*: injection Actonel (risedronate): tablets Actoplus MET (metformin/pioglitazone): tablets Actos (pioglitazone): tablets Acular (ketorolac): eye drops Aczone (dapsone): gel Adalat CC (nifedipine): tablets Adrenalin (epinephrine): injection Please switch auto forms mode to off. Please allow seven to 10 days to receive your medication. Since 2001, CHAMPVA beneficiaries have been able to use their coverage after turning age 65. This means that, if civilian providers accept one of these plans, theyll likely also accept patients with CHAMPVA coverage. Healthline Media does not recommend or endorse any third parties that may transact the business of insurance. You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links. 25% of CHAMPVA allowable amount. qualified responders for confidential help. What Are the Advantages and Disadvantages of Medicare Advantage Plans? Medications marked by an astrisk must be refrigerated and cannot be shipped to a PO Box; a physical street address is needed. Many Veterans qualify for cost-free health care and/or medications based on: Receipt of a Purple Heart. documents in the last year, 37 on Before sending your application, please ensure the application is signed and dated. The Public Inspection page This means Medicare will be the first to pay the cost of any service you receive, then CHAMPVA will pay the rest. A good way to find a pharmacy that participates in the SXC network, is to visit their website athttps://vahac.rxportal.sxc.com. This repetition of headings to form internal navigation links Its important to note that CHAMPVA wont pay for the cost of your Part B premium. By signing in, you confirm that you understand the following: Unauthorized use of this system is prohibited and may result in criminal, civil, or administrative penalties. But, to significantly speed up the process, you should also include copies (not originals) of the following documents. CHAMPVA Meds by Mail (MbM) - Option A relates to internal VA enhancements - Option B for DoD-like approach - See ahead for additional discussion 8. . VA National Formulary. Federal Register issue. MbM is an excellent benefit for CHAMPVA beneficiaries because there is no . We avoid using tertiary references. CHAMPVA, My HealtheVet and Online Prescriptions, manage your VA prescription refills online. Enjoy smart fillable fields and interactivity. on FederalRegister.gov As a result, you save hours (if not days or weeks) and get rid of extra costs. The program offers a robust pharmacy benefit, paying 75% of the allowable charge at any pharmacy for prescription medication. documents in the last year, 534 My Account, Forms in have hearing loss. For example, service members who leave active duty under certain conditions might not qualify for TRICARE. MORE: Check your VA home loan eligibility with today's top lenders. Information from your device can be used to personalize your ad experience. No tables, rankings or lists are fully comprehensive and do not include all companies or available products. on For PC3/Choice providers with concerns, please first contact Health Net and TriWest directly. It covers vision benefits for diabetes patients only. You need to enroll in original Medicare (parts A and B) to keep your CHAMPVA coverage. If you are a beneficiary in the Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) and are eligible to use Meds by Mail (MbM), My HealtheVet's Pharmacy feature is available for you to use. The following tips will help you fill in Champva Meds By Mail Medication List easily and quickly: Our platform enables you to take the entire process of submitting legal forms online. You can learn more about how we ensure our content is accurate and current by reading our. documents in the last year, 675 You can shop for plans in your area on the Medicare website and compare prices, networks, and covered services before you commit to a plan. (estrogen, esterified/methyltestosterone): tablets, Exelon (rivastigmine): capsules, topical patch, ExforgeHCT (amlodipine/hydrochlorothiazide/valsartan): tablets, Femhrt Lo (ethinyl estradiol/norethindrone): tablets, Femynor (ethinyl estradiol/norgestimate): tablets, Fioricet with Codeine (codeine/acetminophen/butalbital/caffeine): capsules, Fiorinal (aspirin/butalbital/caffine): capsules, FML Forte (fluorometholone): eye suspension, Fyavolv (ethinyl estradiol/norethindrone): tablets, Genvoya (elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide): tablets, Glucovance (glyburide/metformin): tablets, Golytely (colon electrolyte lavage): powder, Haldol (haloperidol): tablets, oral solution, injection, Hyzaar (hydrochlorothiazide/losartan): tablets, Imdur ER (isosorbide mononitrate): tablets, Imitrex (sumatriptan): tablets, nasal spray, injection, Insed (midazolam nasal spray): nasal spray, Invega Sustenna (paliperidone): injection, Isibloom (desogestrel/ethinyl estradiol): tablets, Janumet XR (metformin/sitagliptan): tablets, Jasmiel (ethinyl estradiol/drospirenone): tablets, Jentadueto (linagliptan/metformin): tablets, Jolessa (ethinyl estradiol/levonorgestrel): tablets, Juluca (dolutegravir/rilpivirine): tablets, Junel (ethinyl estradiol/norethindrone): tablets, Kenalog (triamcinolone): cream, ointment, lotion, topical aerosol, oral paste, Keppra (levetiracetam): tablets, oral solution, Kombiglyze XR (metformin/saxagliptan): tablets, Kurvelo (ethinyl estradiol/levonorgestrel): tablets, Lamictal (lamotrigine): tablets, chewable tablets, Levonest (ethinyl estradiol/levonorgestrel): tablets, Levora (ethinyl estradiol/levonorgestrel): tablets, Lidex (fluocinonide): cream, ointment, gel, oral solution, Lillow (ethinyl estradiol/levonorgestrel): tablets, Lo Ovral (ethinyl estradiol/norgestrel): tablets, Locoid (hydrocortisone butyrate): cream, ointment, lotion, Loestrin (ethinyl estradiol/norethindrone): tablets, Lokelma (sodium zirconium cyclosilicate): powder, Lo-Loestrin (ethinyl estradiol/norethindrone): tablets, Loprox (ciclopirox): cream, topical shampoo, topical suspension, Loryna (ethinyl estradiol/drospirenone): tablets, Lotrisone (betamethasone/clotrimazole): cream, lotion, Low-Ogestrel (ethinyl estradiol/norgestrel): tablets, Lutera (ethinyl estradiol/levonorgestrel): tablets, Marlissa (ethinyl estradiol/levonorgestrel): tablets, Mavyret (glecaprevir/pibrentasvir): tablets, Maxitrol (dexamethasone/neomycin/polymyxin): eye suspension, eye ointment, Maxzide (hydrochlorothiazide/triamterine): tablets, Megace (megestrol): tablets, oral suspension, Miacalcin (calcitonin): nasal spray*, injection, MicardisHCT (hydrochlorothiazide/telmisartan): tablets, Microgestin (ethinyl estradiol/norethindrone): tablets, Microzide (hydrochlorothiazide): capsules, Migranal (dihydroergotamine): nasal spray, Moduretic (amiloride/hydrochlorothiazide): tablets, Monoket (isosorbide mononitrate): tablets, Moviprep (colon electrolyte lavage): powder, Muse (alprostadil)*: urethral suppository, Neo-Ploycin (bacitracin/neomycin/polymyxin): eye ointment, Neo-Polycin-HC (bacitracin/hydrocortisone/neomycin/polymyxin): eye ointment, Nephro-vite (renal multivitamin): tablets, Neurontin (gabapentin): tablets, capsules, oral solution*, Nitrostat (nitroglycerin): sublingual tablet, Norditropin flexpro (somatropin)*: injection, Nortrel (ethinyl estradiol/norethindrone): tablets, Nuedexta (dextromethorphan/quinidine): capsules, Nulytely (colon electrolyte lavage): powder, Nuvaring (ethinyl estradiol/etonogestrel)*: vaginal ring, Ocella (ethinyl estradiol/drospirenone): tablets, Odefsey (emtricitabine/rilpivirine/tenofovir alaf): tablets, Ortho Micronor (norethindrone acetate): tablets, Ortho Tri-Cyclen Lo (ethinyl estradiol/norgestimate lo (tri-phasic)): tablets, Ortho Tri-Cyclen (ethinyl estradiol/norgestimate (tri-phasic)): tablets, Ortho-Cept (desogestrel/ethinyl estradiol): tablets, Ortho-Cyclen (ethinyl estradiol/norgestimate): tablets, Pegasys (peginterferon alfa-2a)*: injection, Perforomist (formoterol fumerate): inhalation solution, Phenergan (promethazine): tablets, rectal suppository*, Phexxi (lactic acid/citric acid/potassium bitartrate): gel, Plegridy (peginterferon beta-1a)*: injection, Polycin (bacitracin/polmyxin): eye ointment, Polytrim (polymyxin/trimethoprim): eye drops, Portia (ethinyl estradiol/levonorgestrel): tablets, Precare (prenatal vitamins FA: 1mg Fe: 29mg): chewable tablets, Prempro (estrogens (conjugated/equine)/medroxyprogesterone): tablets, Prenatal Plus (prenatal vitamins FA: 0.8mg Fe: 27mg): tablets, Prezcobix (cobicistat/darunavir): tablets, Proctofoam (hydrocortisone/pramoxine): topical foam, Pulmicort (budesonide): inhalation suspension, Pulmicort Flexhaler (budesonide): inhaler, Pulmozyme (dornase alfa)*: inhalation solution, Pylera (bismuth subcitrate potassium/metronidazole/tetracycline): capsules, Reclipsen (desogestrel/ethinyl estradiol): tablets, Rocklatan (latanoprost/netarsudil): eye drops, Seasonale (ethinyl estradiol/levonorgestrel): tablets, Semglee (insulin glargine-yfgn)*: injection, Simbrinza (brimonidine/brinzolamide): eye drops, Sodium chloride inhalation solution: inhalation solution, Solia (desogestrel/ethinyl estradiol): tablets, Somatulide Depot (lanreotide)*: injection, Sporanox (itraconazole): capsules, oral solution, Sronyx (ethinyl estradiol/levonorgestrel): tablets, Stalevo (carbidopa/levodopa/entacapone): tablets, Stiolto Respimat (olodaterol/tiotropium): inhaler, Stribild (elvitegravir/cobicistat/emtrcitabine/tenofo disop): tablets, Suprep (colon electrolyte lavage): powder, Symbicort (budesonide/formoterol): inhaler, Symmetrel (amantadine): tablets, capsules, oral syrup, Symtuza (darunavir/cobicistat/emtricitabine/tenofovir ala): tablets, Synalar (fluocinolone): cream, ointment, oral solution, Synjardy (empagliflozin/metformin): tablets, Taclonex (betamethasone/calcipotriene): ointment, topical suspension, Tegretol (carbamazepine): tablets, chewable tablets, oral suspension, Tenoretic (atenolol/chlorthalidone): tablets, Theo-24 (theophylline): tablets, capsules, Thorazine (chlorpromazine): injection, tablets, Tobradex (tobramycin/dexamethasone): eye ointment, eye suspension, Tobrex (tobramycin): eye ointment, eye drops, Topicort (desoximetasone): cream, gel, ointment, Transderm-Scop (scopolamine): topical patch, Trelegy (fluticasone/umeclidinium/vilanterol): inhaler, Tribenzor (amlodipine/hydrochlorothiazide/olmesartan): tablets, Tri-Estarylla (ethinyl estradiol/norgestimate (tri-phasic)): tablets, Tri-Linyah (ethinyl estradiol/norgestimate (tri-phasic)): tablets, Tri-Lo-Marzia (ethinyl estradiol/norgestimate lo (tri-phasic)): tablets, Tri-Lo-Sprintec (ethinyl estradiol/norgestimate lo (tri-phasic)): tablets, Tri-sprintec (ethinyl estradiol/norgestimate (tri-phasic)): tablets, Triumeq (abacavir/dolutegr/lamivudine): tablets, Trivora (ethinyl estradiol/levonorgestrel): tablets, Truvada (emtricitabine/tenofovir disoproxil fumerate): tablets, Tylenol #3 (codeine/acetaminophen): tablets, Velphoro (sucroferric oxyhydroxide): chewable tablets, Viekira (dasabuvir/ombitasvir/paritaprevir/ritonavir): tablets, Vimpat (lacosamide): tablets, oral solution, Viread (tenofovir disoproxil fumarate): tablets, Vosevi (sofosbuvir/velpatasvir/voxilaprevir): tablets, Westcort (hydrocortisone valerate): cream, ointment, Wixela Inhub (fluticasone/salmeterol): inhaler, Xopenex (levalbuterol): inhaler, inhalation solution, Yasmin (ethinyl estradiol/drospirenone): tablets, Yaz (ethinyl estradiol/drospirenone): tablets, Yupelri (revefenacin): inhalation solution, Zegrid (omeprazole/sodium bicarbonate): powder, Zestoretic (hydrochlorothiazide/lisinopril): tablets, Zomig (zolmitriptan): tablets, ODT, nasal spray, Zovirax (acyclovir): tablets, capsules, cream, ointment.

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