Nappi Name Action Status Rules
409735 BANDAGE RXFIT F-120 ELAST Non-F Excluded Excluded - Non formulary item
424339 BANDAGE SPLINT ROYCE TECH Non-F Excluded Excluded - Non formulary item
409732 BANDAGE STERILIZED RXFIT Non-F Excluded Excluded - Non formulary item
409730 BANDAGE STERIZED RXFIT E- Non-F Excluded Excluded - Non formulary item
409729 BANDAGE STERIZED RXFIX E- Non-F Excluded Excluded - Non formulary item
426404 BANDAGE STUMP (ALL SIZES) Non-F Excluded Excluded - Non formulary item
426405 BANDAGE STUMP LARGE LONG Non-F Excluded Excluded - Non formulary item
426403 BANDAGE STUMP MEDIUM SHOR Non-F Excluded Excluded - Non formulary item
428401 BANDAGE SYNTHETIC RHENA C Non-F Excluded Excluded - Non formulary item
428405 BANDAGE SYNTHETIC RHENA C Non-F Excluded Excluded - Non formulary item
428407 BANDAGE SYNTHETIC RHENA C Non-F Excluded Excluded - Non formulary item
424396 BANDAGE TRAINGULAR CALICO Non-F Excluded Excluded - Non formulary item
424340 BANDAGE TRIANGULAR Non-F Excluded Excluded - Non formulary item
425807 BANDAGE TRIANGULAR Non-F Excluded Excluded - Non formulary item
424394 BANDAGE TRIANGULAR NON WO Non-F Excluded Excluded - Non formulary item
427542 BANDAGE TRIANGULAR NON-ST Non-F Excluded Excluded - Non formulary item
427544 BANDAGE TRIANGULAR NON-ST Non-F Excluded Excluded - Non formulary item
425157 BANDAGE TRIANGULAR UNHEMM Non-F Excluded Non formulary item. See specific scheme benefits and apply on form 2100 where applicable
426410 BANDAGE TUBE LARGE Non-F Excluded Excluded - Non formulary item
426409 BANDAGE TUBE MEDIUM Non-F Excluded Excluded - Non formulary item
426406 BANDAGE TUBE SMALL Non-F Excluded Excluded - Non formulary item
426411 BANDAGE TUBE X - LARGE Non-F Excluded Excluded - Non formulary item
424976 BANDAGE TUBULAR KNITTED S Non-F Excluded Excluded - Non formulary item
424979 BANDAGE TUBULAR KNITTED S Non-F Excluded Excluded - Non formulary item
422156 BANDAGE VISCOSE ORTHOPAED Non-F Excluded Non formulary item. See specific scheme benefits and apply on form 2100 where applicable
422238 BANDAGE VISCOSE ORTHOPAED Non-F Excluded Non formulary item. See specific scheme benefits and apply on form 2100 where applicable
422316 BANDAGE VISCOSE ORTHOPAED Non-F Excluded Non formulary item. See specific scheme benefits and apply on form 2100 where applicable
422317 BANDAGE VISCOSE ORTHOPAED Non-F Excluded Non formulary item. See specific scheme benefits and apply on form 2100 where applicable
401539 BANDAGES CONFORM DRESSING Non-F Excluded Excluded - Non formulary item
401541 BANDAGES CONFORM DRESSING Non-F Excluded Excluded - Non formulary item
401542 BANDAGES CONFORM DRESSING Non-F Excluded Excluded - Non formulary item
401543 BANDAGES CONFORM DRESSING Non-F Excluded Excluded - Non formulary item
428822 BANDAGES POLYESTER PRIMCA Non-F Excluded Excluded - Non formulary item
428838 BANDAGES POLYESTER PRIME- Non-F Excluded Excluded - Non formulary item
428818 BANDAGES POLYESTER PRIMEC Non-F Excluded Excluded - Non formulary item
428820 BANDAGES POLYESTER PRIMEC Non-F Excluded Excluded - Non formulary item
428821 BANDAGES POLYESTER PRIMEC Non-F Excluded Excluded - Non formulary item
428823 BANDAGES POLYESTER PRIMES Non-F Excluded Excluded - Non formulary item
428826 BANDAGES POLYESTER PRIMES Non-F Excluded Excluded - Non formulary item
428827 BANDAGES POLYESTER PRIMES Non-F Excluded Excluded - Non formulary item
428831 BANDAGES POLYESTER PRIMES Non-F Excluded Excluded - Non formulary item
428834 BANDAGES POLYESTER PRIMES Non-F Excluded Excluded - Non formulary item
428835 BANDAGES POLYESTER PRIMES Non-F Excluded Excluded - Non formulary item
428836 BANDAGES POLYESTER PRIMES Non-F Excluded Excluded - Non formulary item
428837 BANDAGES POLYESTER PRIMES Non-F Excluded Excluded - Non formulary item
428854 BANDAGES PRIMEPAD CAST PA Non-F Excluded Excluded - Non formulary item
428856 BANDAGES PRIMEPAD CAST PA Non-F Excluded Excluded - Non formulary item
428842 BANDAGES PRIMESPLINT ROLL Non-F Excluded Excluded - Non formulary item
428843 BANDAGES PRIMESPLINT ROLL Non-F Excluded Excluded - Non formulary item
428850 BANDAGES PRIMESPLINT ROLL Non-F Excluded Excluded - Non formulary item
1251 - 1300 of 9613 Medicine's

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