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...Washington state department of labor and industries outpatient formulary the following is a list drugs therapeutic classes or class codes their status on l i s may change from time to reflect pharmacy therapeutics committee recommendations administrative changes please note this an drug many not included be appropriate in other settings such as inpatient surgery emergency room clinics offices are covered when billed appropriately listed do guarantee coverage subject policy appropriateness for accepted conditions depends approved indication followed allowed pa prior authorization required d denied that evidence based preferred provisions interchange program see prescription additional information exceptions page january tcc description beclomethasone dipropionate mdi qvar redihaler asthma copd budesonide nebulizer suspension bm glucocorticoids orally inhaled generics only fluticasone propionate dpi flovent diskus hfa albuterol sulfate solution beta adrenergic agents short bw acting leva...