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MTUS Drug List Inclusion of Sorted Tabs for Exempt/Non‐Exempt, Special Fill, and Peri‐Op Discussion for P&T Committee January 23, 2019 1

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Page 1: MTUS Drug List - dwc.ca.gov · recommendation the coruition to be treated and to assure Fopet phase of care use. ExemptiNon£xempt "E*ernpt" indicates drug mag be prescribed/dispensed

MTUS Drug ListInclusion of Sorted Tabs for

Exempt/Non‐Exempt, Special Fill, and Peri‐Op

Discussion for P&T CommitteeJanuary 23, 2019

1

Page 2: MTUS Drug List - dwc.ca.gov · recommendation the coruition to be treated and to assure Fopet phase of care use. ExemptiNon£xempt "E*ernpt" indicates drug mag be prescribed/dispensed

2

Page 3: MTUS Drug List - dwc.ca.gov · recommendation the coruition to be treated and to assure Fopet phase of care use. ExemptiNon£xempt "E*ernpt" indicates drug mag be prescribed/dispensed

3

Page 4: MTUS Drug List - dwc.ca.gov · recommendation the coruition to be treated and to assure Fopet phase of care use. ExemptiNon£xempt "E*ernpt" indicates drug mag be prescribed/dispensed

4

Page 5: MTUS Drug List - dwc.ca.gov · recommendation the coruition to be treated and to assure Fopet phase of care use. ExemptiNon£xempt "E*ernpt" indicates drug mag be prescribed/dispensed

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Page 6: MTUS Drug List - dwc.ca.gov · recommendation the coruition to be treated and to assure Fopet phase of care use. ExemptiNon£xempt "E*ernpt" indicates drug mag be prescribed/dispensed

6

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