PEHP has chosen specific prescription drugs and specialty medications to require pre-authorization. These medications were chosen due to their high potential for safety issues, adverse reactions, contraindications, misuse, opportunity to use first line therapy, or cost.
To obtain pre-authorization, your physician must contact PEHP's Customer Service. The provider will be directed to PEHP's or Medco's pharmacy pre-authorization phone line.
| Drug name |
Administrator |
Physician pre-authorization phone number |
Member inquiry phone number |
| Abraxane |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Actimmune |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Actiq |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Adagen |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Adcirca |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Adderall, XR (After age 18) |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Afinitor |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Aldurazyme |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Alferon-N |
Medco |
(800) 753-2851 |
(800) 903-4725 |
| Alimta |
PEHP Pharmacy |
(801) 366-7555 |
(801) 765-7347 |
| Ambien CR |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Amevive |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Amitiza |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Amphetamine Salt (After age 18) |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Androderm |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Androgel |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Anzemet |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Anzemet |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Anzemet Inj. |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Apokyn |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Aralast |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Aranesp |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Arcalyst |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Arranon |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Avastin |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Avonex |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Beconase AQ |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Betaseron |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Bexxar |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Boniva IV |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Byetta |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Carimune |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Cerezyme |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Chantix |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Cimzia |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Concerta |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Copaxone |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Copegus |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Crinone |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Cymbalta |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Cytogam |
PEHP Case Management |
(801) 366-7555 |
(800) 765-7347 |
| D.H.E. |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Dacogen |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Daytrana (After age 18) |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| DDAVP Nasal spray (Under age 18) |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| DDAVP Tablets (Under age 18) |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Degarelix |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Delatestryl |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Depotestosterone |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Desmopressin Nasal spray (Under age 19) |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Desmopressin Tablets (Under age 19) |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Dexedrine (After age 18) |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Dexmethylphenidate (After ate 18) |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Dextroamphetamine (After age 18) |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Dextrostat (After age 18) |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Differin (After age 27) |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Differin PAD (After age 27) |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Differin Solution (After age 27) |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Dihydroergotamine |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Doral |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Dronabinol |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Elaprase |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Enbrel |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Epogen |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Epoprostenol |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Erbitux |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Fabrazyme |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Fentanyl Citrate Lozenge |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Fentora |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Feraheme |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Ferrlecit |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Firmagon |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Flebogamma |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Flolan |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Flonase (Brand name only) |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Focalin, XR (After age 18) |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Forteo |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Fuzeon |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Gamastan S/D |
PEHP Case Management |
(801) 366-7555 |
(800) 765-7347 |
| Gamimune |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Gammagard |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Gammar-IV |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Gamunex |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Genotropin |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Gleevec |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Herceptin |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| HP Acthar Gel |
PEHP Case Management |
(801) 366-7555 |
(800) 765-7347 |
| Humatrope |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Humira |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Hycamptin Capsules |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Hycamptin IV |
PEHP Case Management |
(801) 366-7555 |
(800) 765-7347 |
| Immune Globulin IV |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Increlex (Under age 22) |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| INFeD |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Infergen |
Medco |
(800) 753-2851 |
(800) 903-4725 |
| Intelence |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Intron-A |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Intuniv |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Invega |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Iplex |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Iressa |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Itraconazole |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| IV Iron |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Iveegam |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Ixempra |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Kineret |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Kuvan |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Kytril |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Lamisil |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Letairis |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Leukine |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Leuprolide |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Lotronex |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Lucentis |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Lunesta |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Lupron, Depot |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Macugen |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Marinol |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Metadate CD |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Methylin ER (After age 18) |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Methylphenidate, SR (After age 18) |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Mitoxantrone |
PEHP Case Management |
(801) 366-7555 |
(800) 765-7347 |
| Myozyme |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Naglazyme |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Nasacort AQ |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Nasalide |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Nasarel (Brand name only) |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Nebcin |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Neulasta |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Neumega |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Neupogen |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Nexavar |
PEHP Pharmacy |
(8010 366-7555 |
(800) 765-7347 |
| Nicotrol Inhaler and Spray |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Norditropin |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Novantrone |
PEHP Case Management |
(801) 366-7555 |
(800) 765-7347 |
| Novarel |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Noxafil |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Nplate |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Nutropin |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Nuvigil |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Octagam |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Octreotide |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Omnaris |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Omnitrope |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Ondansetron |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Onsolis |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Opana |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Opana ER |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Orencia |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Oxycontin |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Panglobulin |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Panretin Gel |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Peg-Intron |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Pegasys |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Polygam |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Pregnyl |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Prevacid |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Prialt |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Prilosec (Brand name only) |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Pristiq |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Privigen |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Procheive |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Procrit |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Profasi HP |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Prolastin |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Proleukin |
PEHP Case Management |
(801) 366-7555 |
(800) 765-7347 |
| Promacta |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Provigil |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Pulmozyme |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Ranexa |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Rebetol |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Rebif |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Reclast |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Relistor |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Remicade |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Remodulin |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Restoril (7.5 mg and 22.5 mg) |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Retin-A (After age 27) |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Retin-A Liquid (After age 27) |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Retin-A Micro (After age 27) |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Revatio |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Revlimid |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Rhinocort AQ |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Ribapak |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Ribasphere |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Ribavirin |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Ritalin, LA, SR (After age 18) |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7647 |
| Rituxan |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Roferon-A |
Medco |
(800) 753-2851 |
(800) 903-4725 |
| Rozerem |
PEHP Pharmacy |
(801) 366-7555 |
(800) 365-7347 |
| Sabril |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Saizen |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Samsca |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Sancuso Patch |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Sandostatin, LAR |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Selzentry |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Serostim |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Simponi |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Soliris |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Somatuline |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Somavert |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Sonata |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Sporanox |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Sprycel |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Stimate Nasal Spray (Under age 19) |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Strattera (After age 18) |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Striant |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Supprelin LA |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Sutent |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Synagis |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Tarceva |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Tasigna |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Tazorac (After age 27) |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Temodar |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Terbinafine |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Testim |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Testopel |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Testosterone Cypionate |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Testosterone Enthanate |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Tev Tropin |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Thalomid |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Tobi |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Torisel |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Treanda |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Trelstar LA, Depot |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Tretinoin (After age 27) |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Tykerb |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Tyvaso |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Uloric |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Vantas |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Vectibix |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Velcade |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Venofer |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Venoglobulin S |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Ventavis |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Veramyst |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Viadur |
PEHP Pharmacy |
(801)366-7555 |
(800) 765-7347 |
| Vidaza |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Vivaglobin |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Vivitrol, M |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Voltaren Gel |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Vyvanse (After age 18) |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Wellbutrin SR, XL (Brand name only) |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Xeloda |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Xenazine |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Xolair |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Xyrem |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Zegerid |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Zemaira |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Zetia |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Zevalin |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Zofran |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Zolinza |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Zometa INJ |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
| Zorbtive |
PEHP Pharmacy |
(801) 366-7555 |
(800) 765-7347 |
