%PDF-1.7
%
1 0 obj
<>
endobj
2 0 obj
<>stream
BLUE SHIELD PROMISE CAL MEDICONNECT PLAN (MEDICARE-MEDICAID PLAN) – 2022 LIST OF COVERED DRUGS (FORMULARY)
endstream
endobj
3 0 obj
<>/XObject<>>>/Length 1968/BBox[0 0 612 792]>>stream
HWmk#7_V4z8B-.pRҗgFҮY_ȻѼ<3Ju]lw+ܐW!#,֟V|3"DlZ0
/9=\?~Ҳ`BN&eA+*Fkv7[ h+R;&9({9U~vMdG:M)mEOt/k~횉q~N(בV
kp;/:B5G&%>C^'zb4Mp(x]{Yq$%tf6E AɤL,=h6sEq7QpI`sCdK*[GcO털#4 ^)QF+kv3|<-ImkYJRDT
esQL8~2z0P7U)? +X,xhKM3/\4:[J3];M>y|AْèPKLEs"͋wus3w~2MID
S ׆S-]VQR\=*h7a1 '3gk=2<8u݃-uAKʸ.}6430%7] Ty7Һ}^z^FvDoJ#p
X KOivGt9Dژv[UZR4^%O5&r~A|L5GXjV\QaBRbb$sPk!J*Lpp$l
ws+oR7}7>3BEaYE+Kcj q5Aw:S
k6S*n(AS=Z9HHafcJ]LbQ+
7w
(d(<*WUhƅZ'P7+ij;˽ؐ4,Iu6 4v:-b!h>Di
}K,,K09OI/W-!F0-{T&tݠkIMjŁrϝQY-Yb"wTĩї>(PhTK|V^ҁ
0y[w0Z-'PPa/!}%{L
;5NŗP<)lɵ8|Yͼٸ)~w}',1@.C D!7|p rۏn
AOJ#M5N!R&kX2ST瀢XȢ8aqH4LEIq\u!D̎#63plo^砨On:N(-t$+#viђukh:7
|DܕMU^lDe#sHnzHB(#2D@dzErFe&a&0vm _؆KlCD:y-⠞|NTx0Y٘Fzi"Cqy_b&&]=!8qur1ԃd|@1Wm~qgXkGVW?|t'ù䃲j&Uthkb5K`j/dlO :
endstream
endobj
12 0 obj
<>>>/StructParents 0/Parent 14 0 R/MediaBox[0 0 612 792]>>
endobj
13 0 obj
<>stream
x+r
2T0 BCss#\.@BLUЏH3TpW J^Z
endstream
endobj
14 0 obj
<>
endobj
25 0 obj
<>>>/Length 6333/BBox[0 0 612 792]>>stream
HWɊ$Wy C/Dn$
thZ-뙯摞VBUnng痃8ϯ+? KA_~=t0-:˗Blz7!D0/8ȸ(zwN/Ӗ,IYZ4K$UBO{^n e-9EО^D{MM[,{o)zcoJ`%B_ÍDh}kdyUYDn{7S^mxjZ5'El̾c ;OP(Y)b1"c .>әs?cQaXb_}4W-u̞V_Z0.IPL[m5YqШ,2&ZK}Tl&m'-hbK%K칶C2L/ґ=ϮȆ\/ȩO_eږǘR>Bv
~98$ܖ3$O?B(iϥqgl:֏g/lO?'(grc;KL9KrߗrcVJ2M4n+J EB:Qٹ}x
d.@X<}ί֞f:x3+m\>w(jme&1GiUS-=R]n߽Q=rhY7E,s}EqKzƤޓ-r0^abnMnFGں}FFO"
8ô0m/uzWZ.YSδTdAb'솼N*l{z(,-#[/1!,&N _t8EO˧~PNf`p$LWE]H$zB L^K(**aPW?pE&" eBBbie%=qYJU":Cwva#ZbAкQz
\l_SDkk(_T&R*L;T\ hUihS h|(wo+ƌoee(7̿KB&3C:=~-xXD $T@C`˩F9)Dbn/ter ]q8&l<-rߢj241[BADC. x`1KęA2:gj'
`
:4Outx.i%dvA)JU:HL8)gPR1"Y5GNuqX'3Lو!4ܪɕM+h,6WlX,"c wA-bCN3h֠%-&Z@a+l$qWkf60Pgg32JzhXsƥrh*N2**1BU.Rf^^RJ:^"1a_=|n泱I ^sE/`þ`SQa9fYpRry4~v?lo
Z)eSTCd Wĵy2&L[zӅu:*k6@d_V0h "O|4R
O^LPu9
A$u; -4aʤ!:e"
_xSSsr@QAc{пrҐM><%wHL'Lav߭QW^!cq|HVxT jNCp2Y6?'~x hf UCA[gZbj]ToڱyVHtIB ^M> !{҄hk
x[(}4OL۩֚Wr{`vF
2dH<2`j2~145ܱ