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... Name Drug Requirements/ Drug Name Drug Requirements/ Tier Limits Tier Limits fentanyl patch 12 mcg/hr 1 QL hydrocodone-acetaminophen 1 QL (generic of DURAGESIC) tab ...
Terms matched: 1 - Score: 299 - 06 Jun 2017 - URL: https://www.pebtf.org/Uploads/Publications/1496735741.pdf
... 855-887-6668 All other reviews: OR, WA Program Annapolis Junction, MD 20701 844-420-6672 ... phone numbers and resources...12 Tells you how to get in touch ...
Terms matched: 2 - Score: 235 - 13 Mar 2017 - URL: https://www.pebtf.org/Uploads/Publications/1489416078.pdf
... to Benefits.... 11 1.24 Workers' Compensation.... 12 1.25 Veterans Administration Claims.... 12 1.26 Payments Made In Error ...
Terms matched: 1 - Score: 197 - 23 May 2017 - URL: https://www.pebtf.org/Uploads/Publications/1495554387.pdf
... Limit) Anti-Migraine (quantities accumulate across the class) Alsuma Injection (sumatriptan) 12 units (6 mL) 36 units (18 mL) Yes Amerge ( ...
Terms matched: 1 - Score: 91 - 04 Jan 2016 - URL: https://www.pebtf.org/Uploads/Publications/1451914460.pdf
... ... 91 Section 11: Vision Plan.... 99 Section 12: Dental Plan.... 103 Section 13: Hearing Aid Benefit ...
Terms matched: 1 - Score: 77 - 23 May 2017 - URL: https://www.pebtf.org/Uploads/Publications/1495527767.pdf
... full-time employee or permanent part-time employee (working 50% or more) for the 12 months preceding separation from commonwealth employment in a PEBTF eligible position; and Was ...
Terms matched: 1 - Score: 77 - 23 May 2017 - URL: https://www.pebtf.org/Uploads/Publications/1495554411.pdf
... full-time employee or permanent part-time employee (working 50% or more) for the 12 months preceding separation from commonwealth employment in a PEBTF eligible position; and Was ...
Terms matched: 1 - Score: 77 - 22 May 2017 - URL: https://www.pebtf.org/PDF/REHP_Handbook.pdf
... PEBTF: CHOICE PPO Coverage Period: 1/1 /2017 � 12/31/2017 Summary of Benefits and Coverage: What this Plan Covers& ...
Terms matched: 1 - Score: 77 - 25 Jan 2017 - URL: https://www.pebtf.org/PDF/Choice%20PPO%20SBC%20Active%202017.pdf
... ... 91 Section 11: Vision Plan.... 99 Section 12: Dental Plan.... 103 Section 13: Hearing Aid Benefit ...
Terms matched: 1 - Score: 77 - 22 May 2017 - URL: https://www.pebtf.org/PDF/SPD.pdf
... PEBTF: BASIC PPO Coverage Period: 1/1 /2017 � 12/31/2017 Summary of Benefits and Coverage: What this Plan Covers& ...
Terms matched: 1 - Score: 77 - 25 Jan 2017 - URL: https://www.pebtf.org/PDF/Basic%20PPO%20SBC%20Active%202017.pdf
