P

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.


P
PANRETIN
pantoprazole, ST, QL 
papaverine capsules
paromomycin (Humatin)
paroxetine (Paxil)
paroxetine ext rel (Paxil CR)
PATADAY
PATANOL 
PEDIOTIC
peg 3350/electrolyte solution (Colyte, Golytely)
peg 3350 powder/packets (Miralax)
PEGANONE
PEGASYS, RD
pemoline (Cylert)
penicillin (Veetids)
pentazocine/naloxone (Talwin NX)
pentoxifylline extended-release (Trental)
permethrin cream, 5% (Elimite)
perphenazine
phenazopyridine (Pyridium)
phenobarbital
phenylephrine oral (Phenyl-T, Nasop)
phenylephrine hcl nasal (Neo-Synephrine)
phenylephrine/acetaminophen/chlorpheniramine/phenyltoloxamine (Norel SR, Trital SR)
phenylephrine/brompheniramine (Tanabid DA)
phenylephrine/carbetapentane (Levall-12)
phenylephrine/carbetapentane/methscopolamine (Drymax)
phenylephrine/chlorpheniramine (Dallergy drops)
phenylephrine/dihydrocodeine/chlorpheniramine (Novahistine DH)
phenytoin sodium extended (Dilantin, Phenytek)
PHOSPHOLINE IODIDE
pilocarpine (Isopto Carpine, Salagen)
PILOPINE H.S.
pindolol (Visken)
piroxicam (Feldene)
PLAVIX, QL
PODOCON-25
podofilox solution (Condylox)
polyethylene glycol 3350 (Miralax)
POLY-PRED 
potassium aminobenzoate (Potaba)
potassium bicarbonate (K-lyte)
potassium chloride liquid/tablets/caps (Kaochlor S-F, Klor-Con, K-Dur, Micro-K) 
potassium citrate soln/tablets (Polycitra-K, Urocit-K)
potassium gluconate liquid (Kaon)
potassium/sodium citrate soln (Polycitra-LC)
potassium/sodium phosphate (Uro-Kp-neutral)
portia (Nordette)
pramoxine 1% gel (Pramegel)
pramoxine/chloroxylenol (Pramotic)
pramoxine/chloroxylenol/zinc (Zinotic)
PRANDIN
pravastatin (Pravachol)
prazosin (Minipress)
PRED MILD
prednicarbate cream/oint (Dermatop)
prednisolone (Prelone)
prednisolone acetate (Pred Forte)
prednisolone sodium phosphate (Inflamase Forte, Inflamase Mild)
prednisone (Deltasone)
PREMARIN
PREMPHASE
PREMPRO
prenatal plus
prenatal Rx
prenatal vitamins (all generic formulations)
PREVACID, QL, ST
PREVACID Solutab, QL, ST
PREVACID NAPRAPAC, QL, ST
previfem (Ortho-Cyclen)
PREVPAC, QL
PREZISTA
PRISTIQ, QL, ST
PRIFTIN 
PRIMAQUINE
primidone (Mysoline)
PROAIR HFA
probenecid 
procainamide extended-release (Pronestyl SR)
PROCANBID
PROCHIEVE
prochlorperazine (Compazine)
PROCRIT, PA, RD
PROCTOFOAM-HC
progesterone in oil
PROMACTA, PA, RD
promethazine (Phenergan)
promethazine/codeine (Phenergan w/Codeine)
promethazine/phenylephrine/codeine (Phenergan VC w/Codeine)
PROMETRIUM
propafenone (Rythmol)
propantheline (Pro-Banthine)
propoxyphene hcl (Darvon)
propoxyphene napsylate/acetaminophen (Darvocet-N)
propoxyphene/acetaminophen 65/650 (Wygesic)
propoxyphene/aspirin/caffine (Darvon compound-65)
propranolol (Inderal, Inderal LA)
propranolol/hydrochlorothiazide (Inderide)
PROPYLTHIOURACIL
PROSTIGMIN
PROTOPIC, QL
protriptyline (Vivactil)
pseudoephedrine/brompheniramine (Brovex PD)
pseudoephedrine/brompheniramine/codeine (CPB WC)
pseudoephedrine/brompheniramine/dextromethorphan (Dallergy DM, PBM Allergy)
pseudoephedrine/carbetapentane (Respi-Tann)
pseudoephedrine/carbetapentane/pseudoephedrine (Exall-D)
pseudoephedrine/chlorpheniramine (Accuhist)
pseudoephedrine/dexchlorpheniramine (Sutan, Allerdur)
pseudoephedrine/dexchlorpheniramine/methscopolamine (D-Hist D, Durahist D)
pseudoephedrine/triprolidine (Zymine-D, Tripohist)
PULMICORT turbohaler/nebs
PULMOZYME, RD
pyrazinamide
pyrilamine/phenyltoloxamine /pheniramine (Poly-hist)


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