| Opioids ER - Step Therapy with MME Limit and Post Limit Policy |
| Opioids IR - 3-Day Acute Pain Duration Limit for 19 and Under with MME Limit and Post Limit Policy |
| Opioids IR - 3-Day APAP-ASA-IBU Combo Products - Acute Pain Duration Limit for 19 and Under Policy |
| Opioids IR - 7-Day Acute Pain Duration Limit with MME Limit and Post Limit Policy |
| Opioids IR - 7-Day APAP-ASA-IBU Combo Products - Acute Pain Duration Limit Policy |
| Opioids IR - APAP-ASA-IBU Combo Products Limit Policy |
