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F




PA = Prior Authorization is required; QL = Quantity limits apply; ST = Step Therapy applies; 
RD = Specialty Formulary, please refer to Specialty Pharmacy Program section for additional information;
OTC = Over-the-counter Product, may be covered if a prescription is written, and it is filled at a retail or mailorder pharmacy

Medications written in all CAPITAL letters are Brand names.
Medications written in all lower case letters are available generically. The brand name is listed in parenthesis for reference only.


F
famciclovir tablets (Famvir), QL
famotidine 40mg tabs (Pepcid)
FANSIDAR
FARESTON
FELBATOL
felodipine (Plendil)
FEMARA
FEMHRT
fenofibrate (Tricor, Lofibra)
fenofibric acid (Fibricor)
fenoprofen (Nalfon)
fentanyl lollipop (Actiq), PA, QL
fentanyl transdermal (Duragesic), QL
FINACEA
FINACEA PLUS
finasteride (Proscar)
FIRST-PROGESTERONE SUPP
FLAREX
flavoxate (Uripas)
flecainide (Tambocor)
FLOMAX
FLOVENT
fluconazole (Diflucan)
fludrocortisone acetate (Florinef)
flunisolide (Nasalide, Nasarel)
fluocinolone acetonide cream/oint/solution, (Synalar) 
fluocinonide cream/oint/gel/soln (Lidex)
fluoride with multivitamin with or without iron (Poly-Vi-Flor, Tri-Vi-Flor, Vi-Daylin Plus Iron, with ADC)
fluorometholone (FML)
fluorouracil (Efudex)
fluoxetine (Prozac, Sarafem)
fluoxymesterone (Androxy)
fluphenazine decanoate
fluphenazine hcl
flurazepam (Dalmane)
flurbiprofen (Ansaid)
flutamide (Eulexin)
fluticasone nasal spray (Flonase)
fluticasone propionate cream/oint (Cutivate)
fluvoxamine (Luvox)
FML-S
FOCALIN XR
folic acid
folic acid/multivitamin (Vicon Forte)
folic acid/niacinamide/Cu/Zn (Nicomide)
folic acid/vitamin B complex (Nephrocaps, Diatx Zn)
FOLLISTIM AQ, RD, reproductive specialists only 
FORADIL
FORTEO, PA, QL, RD
FOSAMAX PLUS D, QL
fosinopril (Monopril)
fosinopril/hydrochlorothiazide (Monopril HCT)
FRAGMIN
furosemide (Lasix)
FUROXONE
FUZEON, PA, RD


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