Nappi Name Action Status Rules
705758 AUSTELL-METFORMIN 850 MG CEF Chronic - no application Price limitation.
705752 AUSTELL-RAMIPRIL 1.25 MG CEF Chronic/MAC - no application MAC: Price & quantity limitation. Preferred product is perindopril 4mg.
705753 AUSTELL-RAMIPRIL 2.5 MG CEF Chronic/MAC - no application MAC: Price & quantity limitation. Preferred product is perindopril 4mg.
705755 AUSTELL-RAMIPRIL CAP 10MG CEF Chronic/MAC - no application MAC: Price & quantity limitation. Preferred product is perindopril 4mg.
705754 AUSTELL-RAMIPRIL CAP 5 MG CEF Chronic/MAC - no application MAC: Price & quantity limitation. Preferred product is perindopril 4mg.
705464 AUSTELL-SIMVASTATIN 10 MG 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.
705467 AUSTELL-SIMVASTATIN 40 MG 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.
673358 AUTO LANCET DEVICE Non-F Excluded Non formulary item. See specific scheme benefits and apply on form 2100 where applicable
405620 AUTOCLIX Non-F Excluded Non formulary item. See specific scheme benefits and apply on form 2100 where applicable
627550 AUTOCLIX LANCETS Allow Reject / Chronic Step therapy: Allowed with insulin and oral diabetes tablets. Type 2 diabetes - limited to 150 per year on chronic
405655 AUTOLET PLATFORMS Allow Reject / Chronic Step therapy: Allowed with insulin and oral diabetes tablets. Type 2 diabetes - limited to 150 per year on chronic
405663 AUTOLET SET 2790 Non-F Excluded Non formulary item. See specific scheme benefits and apply on form 2100 where applicable
532010 AUTOLET YELLOW 2797 Allow Reject / Chronic Step therapy: Allowed with insulin and oral diabetes tablets. Type 2 diabetes - limited to 150 per year on chronic
705853 AUTRIN Excl Reject
899496 AVANDIA 2mg. Tablets CEF-Apply Reject/ PreAuth Rejected as first line therapy. Alternative therapy is available, gliclazide and metformin are preferred. Motivation for special indications will be considered.
899499 AVANDIA 4mg. Tablets CEF-Apply Reject/ PreAuth Rejected as first line therapy. Alternative therapy is available, gliclazide and metformin are preferred. Motivation for special indications will be considered.
706042 AVASTIN Excl Excluded Excluded - not on the reimbursed protocol - unacceptable benefit/cost ratio
706041 AVASTIN 25mg/ml Excl Excluded Excluded - not on the reimbursed protocol - unacceptable benefit/cost ratio
848905 AVAXIM 1dose x0.5ml. Inject INJECT. VACCINE CEF Acute - no application Limited to 1 unit per year
700513 AVAXIM PF/SYR 80 0,5ML INJECTION CEF Acute - no application Limited to 1 unit per year
881988 AVELON 400mg. Tablets F/C Allow Reject / Acute - Step on first line - limited to 5 tablets
898511 AVELON IV SOLUTION FOR IN Excl Excluded Excluded, injections included in consultation fee
703202 AVODART Excl Excluded Excluded, no exceptions.
706043 AVOMINE 25mg. Tablets Allow Acute - no application Price limitation. Limited to 10 tablets & 3 fills per year
848166 AVONEX 30mcg. x1ml.vials Inject. Excl Excluded Excluded - betaferon & immunemodulators.
704221 AVRE PALLID TABLETS E Excluded Excluded - Patent homeopathic medicine.
899422 AXIM E-Z CAT Excl Excluded Excluded - Diagnostics
898523 AXIM E-Z-HD GI CUPS 340G Excl Excluded Excluded - Diagnostics
899414 AXIM E-Z-PAQUE 250G Excl Excluded Excluded - Diagnostics
898167 AXIM POLIBAR ACB ENEMA KI Excl Excluded Excluded - Diagnostics
700220 AXIM POLIBAR PLUS EZ ENEM Allow Acute - no application Price limitation. Limited to 1 unit & 4 fills per year
846120 AZACTAM Excl Excluded Excluded, injections included in consultation fee
701252 AZAMUN 50mg. Tablets CEF-Apply Reject/ PreAuth Motivations for special indications only will be considered.
706108 AZAPRESS 50mg. TABLETS CEF-Apply Reject/ PreAuth Motivations for special indications only will be considered.
789771 AZOMID 250mg. TABLETS CEF Chronic - no application
701523 AZOPTIC 5ML EYE SUSPENSION Allow Acute - no application Price limitation. Limited to 1 unit per fill & 2 fills per year
823252 AZOR Allow Acute - no application Price limitation.
823260 AZOR 1mg. TABLETS CEF Acute - no application Price limitation & limited to 30 tablets per month
823244 AZOR TABLETS CEF Acute - no application Price limitation & limited to 30 tablets per month
831778 AZOSTIX Allow Reject / Chronic Step therapy: Allowed with insulin and oral diabetes tablets. Type 2 diabetes - limited to 150 per year on chronic
703751 B COMPLEX Excl Excluded Excluded, unregistered vitamins.
706213 B E EXPECTORANT CEF Acute - no application Price limitation & limited to 4 fills per year
869414 B&F ALFALFA HERBAL TINCTU E Excluded Excluded - Patent homeopathic medicine.
892840 B&F ANGELICA ESSENTIAL OI E Excluded Excluded - Patent homeopathic medicine.
871702 B&F APHRODITES PREMIX OIL E Excluded Excluded - Patent homeopathic medicine.
871710 B&F AROMACARE PREMIX OILS E Excluded Excluded - Patent homeopathic medicine.
871826 B&F AROMATHERAPIST BLEND E Excluded Excluded - Patent homeopathic medicine.
869422 B&F BORAGE HERBAL TINCTUR E Excluded Excluded - Patent homeopathic medicine.
892847 B&F BUCHU ESSENTIAL OILS E Excluded Excluded - Patent homeopathic medicine.
869430 B&F BUCHU HERBAL TINCTURE E Excluded Excluded - Patent homeopathic medicine.
1001 - 1050 of 9613 Medicine's

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