Pacificsource Medicaid Formulary 2024. State based drug list (or, id, mt, wa) changes. Alternative drugs will display, when available.
The following changes to the drug list are. Austedo xr extended release tablet (30 mg, 36 mg, 42 mg, 48 mg) add tier 4 with.
Pacificsource Medicaid Formulary 2024 Images References :