High-Investment Carve-Out Drug List Covered Compounding Products NDC Drug List Over-the-Counter (OTC) Drugs Maintenance drugs requiring 90-day refills Metabolic Formulas List Metabolic Nutrition and Nutritional Product Medical Policy Preferred Diabetic Supply Listing - Effective 8.12.23 Specialty Drug List (SDL) Covered Buprenorphine Products Access Plan Coverage List
