2020

PLAN
INFORMATION


Formulary changes – Choice PlanHelp

 

The formulary may change at any time. You will receive notice when necessary.


Effective date: 2020-04-01
Drug affected: RANITIDINE HCL, SYRUP, 15 MG/ML
This drug has been removed from the market. more...
Effective date: 2020-04-01
Drug affected: RANITIDINE HCL, CAPSULE, 150 MG
This drug has been removed from the market. more...
Effective date: 2020-04-01
Drug affected: RANITIDINE HCL, TABLET, 150 MG
This drug has been removed from the market. more...
Effective date: 2020-04-01
Drug affected: RANITIDINE HCL, VIAL (ML), 25 MG/ML
This drug has been removed from the market. more...
Effective date: 2020-04-01
Drug affected: RANITIDINE HCL, CAPSULE, 300 MG
This drug has been removed from the market. more...
Effective date: 2020-04-01
Drug affected: RANITIDINE HCL, TABLET, 300 MG
This drug has been removed from the market. more...
Effective date: 2020-04-01
Drug affected: RANITIDINE HCL, VIAL (ML), 50 MG/2 ML
This drug has been removed from the market. more...
Effective date: 2020-04-01
Drug affected: ZANTAC, TABLET, 150 MG
This drug has been removed from the market. more...
Effective date: 2020-04-01
Drug affected: ZANTAC, VIAL (ML), 25 MG/ML
This drug has been removed from the market. more...
Effective date: 2020-04-01
Drug affected: ZANTAC, TABLET, 300 MG
This drug has been removed from the market. more...
Effective date: 2020-04-01
Drug affected: ZANTAC, VIAL (ML), 50 MG/2 ML
This drug has been removed from the market. more...
Effective date: 2020-02-01
Drug affected: TRAVATAN Z, DROPS, 0.004 %
This brand-name drug has been removed from the formulary. more...

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