O

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.


O
ocella (Yasmin)
octreotide acetate, RD
ofloxacin otic/ophthalmic soln (Floxin Otic, Ocuflox)
ofloxacin tabs (Floxin)
ogestrel (Ovral)
omeprazole (Prilosec), QL
omeprazole OTC (Prilosec OTC), QL
OMNITROPE PA, RD
ondansetron (Zofran)
ONE TOUCH BASIC
ONE TOUCH FAST TAKE
ONE TOUCH SURESTEP
ONE TOUCH ULTRA
ONE TOUCH ULTRA 2
ONE TOUCH ULTRA SMART
opium tincture
opium/belladonna suppositories
ORACIT
ORAP
orphenadrine citrate (Norflex)
orphenadrine/aspirin/caffeine (Norgesic/Forte) 
ORTHO EVRA patch
ORTHO TRI-CYLCEN LO
OSMOGLYN 
OVRETTE
oxandrolone (Oxandrin)
oxaprozin (Daypro)
oxazepam (Serax)
oxcarbazepine (Trileptal)
OXSORALEN-ULTRA
oxybutynin (Ditropan)
oxybutynin XL (Ditropan XL)
oxycodone (Roxicodone, Oxyfast)
oxycodone extended release (Oxycontin), QL
oxycodone/acetaminophen (Percocet, Tylox)
oxycodone/aspirin (Percodan)
oxycodone/ibuprofen (Combunox)
OXYCONTIN, QL


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