Care Choices Plan Approval Forms
Antifungals
Contraceptives
COX II Selective NSAIDs
Fertility Agents
Long Acting Stimulants
Provigil
Non-Sedating Antihistamines
Request for Override of Non-covered Medication
Testosterone
Weight Loss
Zelnorm
Zyvox
Curascript™ Pharmacy Specialty Drugs Enrollment Forms
Botox
Depo Provera
Erythropoietin
Fabrazyme
Forteo
Fuzeon
Miscellaneous Form
Growth Hormone
HCV
Hyaluronic Acid
Immune Globulin (IVIG)
Lupron
MS
Neupogen and Neulasta
Novantrone (multiple sclerosis)
Psoriasis
Remicade (Crohn's)
Rheumatoid Arthritis
Serostim
Synagis
Xolair