Wyoming Medicaid Office of Pharmacy Services State Maximum Allowable Cost (SMAC) List as of August 12, 2009 Effective Generic Name SMAC Price
ACEBUTOLOL HCL ORAL CAPSULE (HARD, SOFT, ETC.) 400MG"
ACETAMINOPHEN ORAL TABLET, CHEWABLE 80MG"
ACETAMINOPHEN RECTAL SUPPOSITORY, RECTAL 325MG"
ALBUTEROL SULFATE INHALATION SOLUTION, NON-ORAL 5MG/ML"
Wyoming Medicaid Office of Pharmacy Services State Maximum Allowable Cost (SMAC) List as of August 12, 2009 Effective Generic Name SMAC Price
AMLODIPINE BESYLATE/BENAZEPRIL HCL ORAL CAPSULE (HARD, SOFT, ETC.) 10MG-20MG"
AMLODIPINE BESYLATE/BENAZEPRIL HCL ORAL CAPSULE (HARD, SOFT, ETC.) 2.5MG-10MG"
AMLODIPINE BESYLATE/BENAZEPRIL HCL ORAL CAPSULE (HARD, SOFT, ETC.) 5-10MG"
AMLODIPINE BESYLATE/BENAZEPRIL HCL ORAL CAPSULE (HARD, SOFT, ETC.) 5MG-20MG"
Wyoming Medicaid Office of Pharmacy Services State Maximum Allowable Cost (SMAC) List as of August 12, 2009 Effective Generic Name SMAC Price
ANAGRELIDE HCL ORAL CAPSULE (HARD, SOFT, ETC.) 1MG"
AZITHROMYCIN ORAL SUSPENSION, RECONSTITUTED, ORAL (ML) 100MG/5ML"
AZITHROMYCIN ORAL SUSPENSION, RECONSTITUTED, ORAL (ML) 200MG/5ML"
Wyoming Medicaid Office of Pharmacy Services State Maximum Allowable Cost (SMAC) List as of August 12, 2009 Effective Generic Name SMAC Price
BENZONATATE ORAL CAPSULE (HARD, SOFT, ETC.) 200MG"
BENZOYL PEROXIDE TOPICAL CLEANSER (GM) 10%
BENZOYL PEROXIDE TOPICAL CLEANSER (GM) 5%
Wyoming Medicaid Office of Pharmacy Services State Maximum Allowable Cost (SMAC) List as of August 12, 2009 Effective Generic Name SMAC Price
BUPROPION HCL ORAL TABLET, SUSTAINED RELEASE 24HR 150MG"
BUPROPION HCL ORAL TABLET, SUSTAINED RELEASE 24HR 300MG"
BUTALBITAL/ACETAMINOPHEN/CAFFEINE ORAL TABLET 50-500-40
BUTALBITAL/CAF/APAP/COD 50/40/325/30 MG CAP
CAPTOPRIL/HYDROCHLOROTHIAZIDE 50/25 MG TAB
Wyoming Medicaid Office of Pharmacy Services State Maximum Allowable Cost (SMAC) List as of August 12, 2009 Effective Generic Name SMAC Price
CEFDINIR ORAL CAPSULE (HARD, SOFT, ETC.) 300MG"
CEFDINIR ORAL SUSPENSION, RECONSTITUTED, ORAL (ML) 125MG/5ML"
CEFDINIR ORAL SUSPENSION, RECONSTITUTED, ORAL (ML) 250MG/5ML"
CEFTRIAXONE SODIUM INJECTION VIAL (SDV,MDV OR ADDITIVE) (EA) 1G"
CEFTRIAXONE SODIUM INJECTION VIAL (SDV,MDV OR ADDITIVE) (EA) 250MG"
CEFTRIAXONE SODIUM INJECTION VIAL (SDV,MDV OR ADDITIVE) (EA) 500MG"
Wyoming Medicaid Office of Pharmacy Services State Maximum Allowable Cost (SMAC) List as of August 12, 2009 Effective Generic Name SMAC Price Wyoming Medicaid Office of Pharmacy Services State Maximum Allowable Cost (SMAC) List as of August 12, 2009 Effective Generic Name SMAC Price Wyoming Medicaid Office of Pharmacy Services State Maximum Allowable Cost (SMAC) List as of August 12, 2009 Effective Generic Name SMAC Price
CYANOCOBALAMIN INJECTION VIAL (SDV,MDV OR ADDITIVE) (ML) 1000MCG/ML"
DEXTROMETHORPHAN HBR/PROMETHAZINE HCL ORAL SYRUP 15-6.25/5
Wyoming Medicaid Office of Pharmacy Services State Maximum Allowable Cost (SMAC) List as of August 12, 2009 Effective Generic Name SMAC Price
DICLOFENAC SODIUM ORAL TABLET, DELAYED RELEASE (ENTERIC COATED) 50MG"
DICLOFENAC SODIUM ORAL TABLET, DELAYED RELEASE (ENTERIC COATED) 75MG"
Wyoming Medicaid Office of Pharmacy Services State Maximum Allowable Cost (SMAC) List as of August 12, 2009 Effective Generic Name SMAC Price
DIVALPROEX SODIUM ORAL TABLET, SUSTAINED RELEASE 24HR 250MG"
DIVALPROEX SODIUM ORAL TABLET, SUSTAINED RELEASE 24HR 500MG"
Wyoming Medicaid Office of Pharmacy Services State Maximum Allowable Cost (SMAC) List as of August 12, 2009 Effective Generic Name SMAC Price
ETH E/NOR 30/40/30MCG-0.05/.075/.125MG TAB
Wyoming Medicaid Office of Pharmacy Services State Maximum Allowable Cost (SMAC) List as of August 12, 2009 Effective Generic Name SMAC Price
FENTANYL TRANSDERMAL PATCH, TRANSDERMAL 72 HOURS 100MCG/HR"
FENTANYL TRANSDERMAL PATCH, TRANSDERMAL 72 HOURS 50MCG/HR"
Wyoming Medicaid Office of Pharmacy Services State Maximum Allowable Cost (SMAC) List as of August 12, 2009 Effective Generic Name SMAC Price
FLUTICASONE PROPIONATE NASAL SPRAY, SUSPENSION 50MCG"
FOSINOPRIL-HYDROCHLOROTHIAZIDE 20/12.5 MG
Wyoming Medicaid Office of Pharmacy Services State Maximum Allowable Cost (SMAC) List as of August 12, 2009 Effective Generic Name SMAC Price Wyoming Medicaid Office of Pharmacy Services State Maximum Allowable Cost (SMAC) List as of August 12, 2009 Effective Generic Name SMAC Price
HYDROCODONE BIT/ACETAMINOPHEN ORAL TABLET 10MG-650MG
HYDROCODONE BIT/ACETAMINOPHEN ORAL TABLET 2.5-500MG
HYDROCODONE BIT/ACETAMINOPHEN ORAL TABLET 7.5-650MG
Wyoming Medicaid Office of Pharmacy Services State Maximum Allowable Cost (SMAC) List as of August 12, 2009 Effective Generic Name SMAC Price
HYDROMORPHONE HCL/PF INJECTION VIAL (SDV,MDV OR ADDITIVE) (ML) 10MG/ML"
HYDROXYCHLOROQUINE SULFATE ORAL TABLET 200MG
HYDROXYZINE PAMOATE ORAL CAPSULE (HARD, SOFT, ETC.) 100MG"
Wyoming Medicaid Office of Pharmacy Services State Maximum Allowable Cost (SMAC) List as of August 12, 2009 Effective Generic Name SMAC Price
ISOTRETINOIN ORAL CAPSULE (HARD, SOFT, ETC.) 10MG"
ISOTRETINOIN ORAL CAPSULE (HARD, SOFT, ETC.) 20MG"
ISOTRETINOIN ORAL CAPSULE (HARD, SOFT, ETC.) 40MG"
Wyoming Medicaid Office of Pharmacy Services State Maximum Allowable Cost (SMAC) List as of August 12, 2009 Effective Generic Name SMAC Price
LAMOTRIGINE ORAL TABLET, DISPERSIBLE 25MG"
LAMOTRIGINE ORAL TABLET, DISPERSIBLE 5MG"
LEVETIRACETAM ORAL SOLUTION, ORAL 100MG/ML"
LEVONORGESTREL-ETH ESTRA ORAL TABLET 0.1-0.02
Wyoming Medicaid Office of Pharmacy Services State Maximum Allowable Cost (SMAC) List as of August 12, 2009 Effective Generic Name SMAC Price Wyoming Medicaid Office of Pharmacy Services State Maximum Allowable Cost (SMAC) List as of August 12, 2009 Effective Generic Name SMAC Price Wyoming Medicaid Office of Pharmacy Services State Maximum Allowable Cost (SMAC) List as of August 12, 2009 Effective Generic Name SMAC Price
MICONAZOLE NITRATE VAGINAL CREAM WITH APPLICATOR 2%
MIRTAZAPINE ORAL TABLET, RAPID DISSOLVE 15MG"
MIRTAZAPINE ORAL TABLET, RAPID DISSOLVE 45MG"
Wyoming Medicaid Office of Pharmacy Services State Maximum Allowable Cost (SMAC) List as of August 12, 2009 Effective Generic Name SMAC Price
MORPHINE SULFATE ORAL TABLET, SUSTAINED ACTION 200MG"
NICOTINE TRANSDERMAL PATCH, TRANSDERMAL 24 HOURS 14MG/24HR"
NICOTINE TRANSDERMAL PATCH, TRANSDERMAL 24 HOURS 21MG/24HR"
NICOTINE TRANSDERMAL PATCH, TRANSDERMAL 24 HOURS 7MG/24HR"
Wyoming Medicaid Office of Pharmacy Services State Maximum Allowable Cost (SMAC) List as of August 12, 2009 Effective Generic Name SMAC Price
NITROFURANTOIN MACROCRYSTAL ORAL CAPSULE (HARD, SOFT, ETC.) 100MG"
NITROFURANTOIN MACROCRYSTAL ORAL CAPSULE (HARD, SOFT, ETC.) 50MG"
NORETHINDRONE-ETHINYL ESTRADIOL ORAL TABLET 0.4-0.035
NORGESTIMATE-ETHINYL ESTRADIOL ORAL TABLET 0.25-0.035
NORGESTIMATE-ETHINYL ESTRADIOL ORAL TABLET 7DAYSX3 28
NORGESTREL-ETHINYL ESTRADIOL ORAL TABLET 0.3-0.03MG
Wyoming Medicaid Office of Pharmacy Services State Maximum Allowable Cost (SMAC) List as of August 12, 2009 Effective Generic Name SMAC Price
OMEPRAZOLE ORAL CAPSULE,DELAYED RELEASE (ENTERIC COATED) 40MG"
ONDANSETRON ORAL TABLET, RAPID DISSOLVE 4MG"
ONDANSETRON ORAL TABLET, RAPID DISSOLVE 8MG"
OXYBUTYNIN CHLORIDE ORAL TABLET, SR OSMOTIC PUSH 24HR 10MG"
OXYBUTYNIN CHLORIDE ORAL TABLET, SR OSMOTIC PUSH 24HR 15MG"
OXYBUTYNIN CHLORIDE ORAL TABLET, SR OSMOTIC PUSH 24HR 5MG"
OXYCODONE HCL/ACETAMINOPHEN ORAL TABLET 7.5-500MG
Wyoming Medicaid Office of Pharmacy Services State Maximum Allowable Cost (SMAC) List as of August 12, 2009 Effective Generic Name SMAC Price
PAROXETINE HCL ORAL TABLET, SUSTAINED RELEASE 24HR 12.5MG"
PAROXETINE HCL ORAL TABLET, SUSTAINED RELEASE 24HR 25MG"
PENTAZOCINE HCL/NALOXONE HCL 50-0.5MG TAB
PHENYTOIN SODIUM EXTENDED ORAL CAPSULE (HARD, SOFT, ETC.) 100MG"
PIPERONYL BUTOXIDE/PYRETHRINS TOPICAL SHAMPOO 3-0.3%
PIPERONYL BUTOXIDE/PYRETHRINS TOPICAL SHAMPOO 4%-0.33%
POTASSIUM CHLORIDE ORAL LIQUID (ML) 20MEQ/15ML
POTASSIUM CHLORIDE ORAL LIQUID (ML) 40MEQ/15ML
Wyoming Medicaid Office of Pharmacy Services State Maximum Allowable Cost (SMAC) List as of August 12, 2009 Effective Generic Name SMAC Price Wyoming Medicaid Office of Pharmacy Services State Maximum Allowable Cost (SMAC) List as of August 12, 2009 Effective Generic Name SMAC Price
PROPRANOLOL/HYDROCHLOROTHIAZIDE 40/25 MG T
PROPRANOLOL/HYDROCHLOROTHIAZIDE 80/25 MG T
PSEUDOEPHEDRINE SULFATE/LORATADINE ORAL TABLET, SUSTAINED RELEASE 12HR
120-5MG"PSEUDOEPHEDRINE SULFATE/LORATADINE ORAL TABLET, SUSTAINED RELEASE 24HR
Wyoming Medicaid Office of Pharmacy Services State Maximum Allowable Cost (SMAC) List as of August 12, 2009 Effective Generic Name SMAC Price
RIBAVIRIN ORAL CAPSULE (HARD, SOFT, ETC.) 200MG"
Wyoming Medicaid Office of Pharmacy Services State Maximum Allowable Cost (SMAC) List as of August 12, 2009 Effective Generic Name SMAC Price
STAVUDINE ORAL CAPSULE (HARD, SOFT, ETC.) 15MG"
STAVUDINE ORAL CAPSULE (HARD, SOFT, ETC.) 20MG"
STAVUDINE ORAL CAPSULE (HARD, SOFT, ETC.) 30MG"
STAVUDINE ORAL CAPSULE (HARD, SOFT, ETC.) 40MG"
Wyoming Medicaid Office of Pharmacy Services State Maximum Allowable Cost (SMAC) List as of August 12, 2009 Effective Generic Name SMAC Price Wyoming Medicaid Office of Pharmacy Services State Maximum Allowable Cost (SMAC) List as of August 12, 2009 Effective Generic Name SMAC Price Wyoming Medicaid Office of Pharmacy Services State Maximum Allowable Cost (SMAC) List as of August 12, 2009 Effective Generic Name SMAC Price
VITAMIN B COMPLX NO.3/FOLIC ACID/ASCORBIC ACID/BIOTIN ORAL TABLET 1MG-60MG
ZALEPLON ORAL CAPSULE (HARD, SOFT, ETC.) 10MG"
ZALEPLON ORAL CAPSULE (HARD, SOFT, ETC.) 5MG"
ZONISAMIDE ORAL CAPSULE (HARD, SOFT, ETC.) 25MG"
ZONISAMIDE ORAL CAPSULE (HARD, SOFT, ETC.) 50MG"
1.1. Kishinev 1.2. Periphery 1.3. Comments At this event the music of different genres as love songs, pieces of operettas and composers could be heard. Charming musical pieces of such composers as Felix Mendelson- Bertoldi, Anton Rubinstein, Imre Kalman, J.Offenbach, S.Shapiro World Musical and S. Lobel were heard by a wide audience. Culture” Sergo Bengelsdorf narrated both emotionally an
2000 Centre Pointe Blvd Tallahassee, FL 32308 TRANSRECTAL ULTRASOUND AND BIOPSIES With local anesthsia ABOUT ANESTHESIA You will not be able to eat or drink anything after midnight the night before your surgery. This also includes candy, gum and tobacco products. If you normally take medications in the morning for your heart, blood pressure, thyroid or seizures, you may take thes