| Lidocaine Combinations Topical Limit Policy 1329 H 09 2020 |
| Lidocaine Combinations Topical Limit Policy 1329 H 09 2020 |
| Lidocaine Combinations Topical Post Limit PA Policy 1330 J 09… |
| Lidocaine Combinations Topical Post Limit PA Policy 1330 J 09… |
| Lidocaine Combinations Topical Post Limit PA Policy 1330 J 09… |
| Lidocaine Combinations Topical Post Limit PA Policy 1330 J 09… |
| Locoid (Brand Only) |
| Lokara (Brand Only) |
| Luxiq (Brand Only) |
| Lynparza |
| Macugen |
| Metadate CD |
| Methadone |
| Methylin |
| Methylphenidate |
| Methylphenidate NCSHP C10389 C 11 2019 |
| Micort HC (Brand Only) |
| miglustat-Zavesca |
| Migranal |
| MS Contin |
