Nappi Name Action Status Rules
836656 AREDIA 15mg. + Solv vial Inject. Non-F Reject/ PreAuth Specialist initiated only. Pre Auth for Oncology benefits. Obtain application form by dialling Fax on Demand Service from fax machine (Form no. 2004)
840254 AREDIA 60mg. + Solv vial Inject. Non-F Reject/ PreAuth Specialist initiated only. Pre Auth for Oncology benefits. Obtain application form by dialling Fax on Demand Service from fax machine (Form no. 2004)
836532 AREDIA 90mg. + Solv vial Inject. Non-F Reject/ PreAuth Specialist initiated only. Pre Auth for Oncology benefits. Obtain application form by dialling Fax on Demand Service from fax machine (Form no. 2004)
807796 ARELIX 3mg. Tablets Allow Chronic - no application Price limitation.
807818 ARELIX 6mg. Tablets Allow Chronic - no application Price limitation.
704482 AREM 5mg. Tablets Allow Acute - no application For short term use only, limited to 14 days supply & 6 fills per year
891418 ARGEAL Excl Excluded Excluded - Moisturizers
837334 ARICEPT 10mg. Tablets Excl Excluded Excluded, alzheimer's disease.
837326 ARICEPT 5mg. Tablets Excl Excluded Excluded, alzheimer's disease.
824224 ARIMIDEX 1mg. Tablets Non-F Reject/ PreAuth Specialist initiated only. Pre Auth for Oncology benefits. Obtain application form by dialling Fax on Demand Service from fax machine (Form no. 2004)
847631 ARNICA D6 E Excluded Excluded - Patent homeopathic medicine.
843903 ARNICA D6 (ALPHEN) E Excluded Excluded - Patent homeopathic medicine.
702123 ARNICAMILL SOOTHING GEL E Excluded Excluded - Patent homeopathic medicine.
826243 AROLA ROSE BALM Excl Excluded Excluded - Moisturizers
700482 AROMASIN 25mg. Tablets Non-F Reject/ PreAuth Specialist initiated only. Pre Auth for Oncology benefits. Obtain application form by dialling Fax on Demand Service from fax machine (Form no. 2004)
791571 AROPAX 20 20mg. Tablets CEF Chronic/MAC - no application MAC: Price limitation on all SSRI's. Quantity limited to 60/month. Preferred product is fluoxetine generic.
703219 AROPAX 30 CEF Chronic/MAC - no application MAC: Price limitation on all SSRI's. Quantity limited to 60/month. Preferred product is fluoxetine generic.
704646 AROPAX CR CEF Chronic/MAC - no application MAC: Price limitation on all SSRI's. Quantity limited to 60/month. Preferred product is fluoxetine generic.
704647 AROPAX CR CEF Chronic/MAC - no application MAC: Price limitation on all SSRI's. Quantity limited to 60/month. Preferred product is fluoxetine generic.
704652 AROVIT ****i.u/2ml. x2ml.amp Inject. Non-F Reject Rejected - Motivation for special indications only may be considered
704601 AROVIT SC ****i.u. Tablets Chew Non-F Reject Rejected - Motivation for special indications only may be considered
706672 ARROW METFORMIN 500mg CEF Chronic - no application Price limitation.
706673 ARROW METFORMIN 850mg CEF Chronic - no application Price limitation.
707089 Arrow simvastatin 10mg CEF Chronic - no application Price limitation applicable on all statins & limited to 30 per month. Simvastatin 20 mg generic preferred for familial hypercholesterolaemia due to cost.
707090 Arrow simvastatin 20mg CEF Chronic - no application Price limitation applicable on all statins & limited to 30 per month. Simvastatin 20 mg generic preferred for familial hypercholesterolaemia due to cost.
707091 Arrow simvastatin 40mg CEF Chronic - no application Price limitation applicable on all statins & limited to 30 per month. Simvastatin 20 mg generic preferred for familial hypercholesterolaemia due to cost.
844217 ARSURANEEL E Excluded Excluded - Patent homeopathic medicine.
704679 ARTANE 2mg. TABLETS CEF Chronic - no application To be initiated by a specialist. No application
896555 ARTEMESIA ANNUA 15G E Excluded Excluded - Patent homeopathic medicine.
704741 ARTHREXIN 100mg. SUPPS. CEF Acute - no application Price limitation & limited to 2 fills per year
704725 ARTHREXIN 25mg. CAPSULES CEF Acute - no application Price limitation, limited to 30 capsules & 4 fills per year. Doctor to apply telephonically for longterm use. Tel nr 0861 147 741
704733 ARTHREXIN 50mg. CAPSULES CEF Acute - no application Price limitation, limited to 20 capsules & 4 fills per year. Doctor to apply telephonically for longterm use.
847305 ARTHROFLEX E Excluded Excluded - Patent homeopathic medicine.
813044 ARTHROTEC 50mg. TABLETS CEF Acute - no application Price limitation, limited to 20 tablets & 6 fills per year. Telephonic motivation for certain conditions to be considered on chronic.
869805 ARTHROTEC 75mg. TABLETS CEF Acute - no application Price limitation, limited to 20 tablets & 6 fills per year. Telephonic motivation for certain conditions to be considered on chronic.
703515 ARYCOR 100 TABLETS Allow Chronic - no application To be initiated by a specialist. No application
703513 ARYCOR 200 TABLETS Allow Chronic - no application To be initiated by a specialist. No application
824127 ASACOL 2g./50ml. x50ml. Enema Allow Chronic - no application To be initiated by a specialist. No application
783668 ASACOL 400mg. Tablets Allow Chronic - no application To be initiated by a specialist. No application
824135 ASACOL 500mg. Supps. Allow Chronic - no application To be initiated by a specialist. No application
704830 ASALEN Allow Acute - no application Price limitation & limited to 4 fills per year
883485 ASARUM & SCUTE GRANULE E Excluded Excluded - Patent homeopathic medicine.
839302 ASASANTIN RETARD 200(25)mg. CAPSULES CEF-Apply Reject/ PreAuth Motivation for special indications will be considered. Diagnosis to be motivated telephonically.
704857 ASCABIOL EMULSION Allow Acute - no application Price limitation. Limited to 100ml & 3 fills per year
811394 ASCENCIA (GLUC ELITE) Allow Reject / Chronic Step therapy: Allowed with insulin and oral diabetes tablets. Type 2 diabetes - limited to 150 per year on chronic
702674 ASCENSIA CONFIRM METER Non-F Excluded Non formulary item. See specific scheme benefits and apply on form 2100 where applicable
701259 ASCENSIA ENTRUST METER Non-F Excluded Non formulary item. See specific scheme benefits and apply on form 2100 where applicable
701260 ASCENSIA ENTRUST TEST STR Allow Reject / Chronic Step therapy: Allowed with insulin and oral diabetes tablets. Type 2 diabetes - limited to 150 per year on chronic
808849 ASCORBIC ACID Non-F Reject Excluded - Registered single vitamins
877492 ASCORBIC ACID Non-F Reject Excluded - Registered single vitamins
801 - 850 of 9613 Medicine's

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