CareFirst Prescription Drug Program

Sample Notes Page - CareFirst BlueCross BlueShield

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Prescription Drug Database

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Category

Blood

Cancer Drugs-Other (Antineoplastics)

Cancer Drugs -Oral (Antineoplastics)

Central Nervous System

Chest pain & heart disease

Diabetes & high blood sugar

Diseases

ENT (Ear/Nose/Throat)

Eye

anti-inflammatory drops

combination eye infection drops

combination infection drops

eye infection drops

Brand Name (Tier 3): BLEPH-10

Generic Name (Tier 1): sodium sulfacetamide

Brand Name (Tier 3): CILOXAN

Generic Name (Tier 1): ciprofloxacin

Brand Name (Tier 3): NEOSPORIN

Generic Name (Tier 1): polymyxin/neomycin/gramicidin sol.

Brand Name (Tier 3): OCUFLOX

Generic Name (Tier 1): ofloxacin

Brand Name (Tier 3): POLYSPORIN

Generic Name (Tier 1): polymyxin b/bacitracin

Brand Name (Tier 3): POLYTRIM

Generic Name (Tier 1): polymyxin b/trimethoprim

Brand Name (Tier 3): TOBREX

Generic Name (Tier 1): tobramycin drops

Brand Name (Tier 2): VIGAMOX

Generic Not Available

Brand Name (Tier 3): VIROPTIC

Generic Name (Tier 1): trifluridine

Glaucoma drugs

miscellaneous drugs

Heart rhythm disorders

High blood pressure & heart disease

High cholesterol drugs (antilipemics)

HIV & AIDS

Hormones

Immune system

Infections

Mental health

Miscellaneous drugs

Muscle relaxers

Narcolepsy

OB-GYN

Pain management (analgesics)

Pain management (Cox 2)

Respiratory problems

Skin

Steroids (oral anti-inflammatory drugs)

Stomach & Digestive disorders

Substance abuse

Supplements

Urology

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Serving Maryland, the District of Columbia and portions of Virginia. CareFirst BlueCross BlueShield is the shared
business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueChoice, Inc.,
an affiliate company, also offers health benefit products and services on this site.

CareFirst BlueCross BlueShield and CareFirst BlueChoice, Inc. are independent licensees of the Blue Cross and Blue Shield Association.

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