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Medication Lists & Forms

For Retirees that are currently on the MDC National Choice for MDC formulary, see the lists below for lists and forms for your Medicare Medical Benefit Drugs that require a Prior Authorization.

For Retirees that are currently on the MDC National Choice for MDC formulary, see the lists below for Lists and Forms for your Medicare Medical Benefit Drugs that require a Prior Authorization.

(These lists are searchable by clicking Edit and Find, once you have opened the document.)