| This formulary listing is intended for the use 
                          and application to those plans subject to the AultCare Formulary.  This formulary does not apply to those plans not 
                          governed by the formulary. Refer to your "AultCare Prescription 
                          Drug Program" brochure to see if the formulary applies to your 
                          plan.  If there are additional questions, please 
                          call the AultCare Service Center at (800) 344-8858. 
 Click here for the 2013 AultCare Formulary
 Click here for the 2013 AultCare Formulary - Numbered by Tier
 
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