Nappi Name Action Status Rules
819581 CIPROBAY IV 200ML Infusion INFUSION Excl Excluded Excluded, injections included in consultation fee
702981 CIPROBAY XR 500 Allow Acute - no application Limited to 3 tablets & 3 fills per year
705589 CIPROBAY XR TABS 1000 MG Allow Acute - no application Limited to 3 tablets & 3 fills per year
703043 CIPROGEN Allow Acute - no application Price limitation. Limited to 10 tablets.
703045 CIPROGEN TABLETS CEF Acute - no application Price limitation. Limited to 10 tablets.
701778 CIPRO-HEXAL TABLETS CEF Acute - no application Price limitation. Limited to 10 tablets.
701780 CIPRO-HEXAL TABLETS CEF Acute - no application Price limitation. Limited to 10 tablets.
701782 CIPRO-HEXAL TABLETS CEF Acute - no application Price limitation. Limited to 10 tablets.
703140 CISPLATIN-FAULDING 10ML V CEF-Apply 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)
703164 CISPLATIN-FAULDING 50ML V CEF-Apply 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)
704331 CITALOHEXAL 20 TABLETS CEF Chronic/MAC - no application MAC: Price limitation on all SSRI's. Quantity limited to 60/month. Preferred product is fluoxetine generic.
826731 CITRI CALMAG Excl Excluded Excluded - Dietary calcium should be optimised. Motivations for special indications only will be considered.
700177 CITRIC ACID Excl Excluded Excluded - Galenicals
700779 CITRO-BAR GLYCERINE SOAP Excl Excluded Excluded - Soap, scrubs, cleanser
714534 CITROCIT EFF 865mg./5g. g. Granules Allow Acute - no application Price limitation & limited to 4 fills per year
700776 CITRO-CREAM Excl Excluded Excluded - Moisturizers
892017 CITRONELLA ESSENTIAL OIL E Excluded Excluded - Patent homeopathic medicine.
821837 CITRO-SODA Allow Acute - no application Price & Quantity limitations
832588 CITRO-SODA Allow Acute - no application Price & Quantity limitations
813311 CITRO-SODA EFF ORANGE Allow Acute - no application Price & Quantity limitations
809942 CITRO-SODA ORANGE Allow Acute - no application Price & Quantity limitations
704032 CLACEE TAB 250MG Allow Reject / Acute Step on first line & Price limitation - limited to 10 tablets.
704033 CLACEE TAB 500MG Allow Reject / Acute Step on first line & Price limitation - limited to 10 tablets.
714577 CLAFORAN 1g. vial Inject. Excl Excluded Excluded, injections included in consultation fee
714569 CLAFORAN 500mg. vial Inject. Excl Excluded Excluded, injections included in consultation fee
842516 CLAMENTIN 250(125)mg. Tablets Allow Acute - no application Price limitation & 3 fills per 3 months
889709 CLAMENTIN IV Excl Excluded Excluded, injections included in consultation fee
889702 CLAMENTIN IV INJECT. Excl Excluded Excluded, injections included in consultation fee
842524 CLAMENTIN S 125(31.25)mg/5ml ml. Susp. Allow Acute - no application Price limitation & 3 fills per 3 months
842532 CLAMENTIN SF SUSP Allow Acute - no application Price limitation & 3 fills per 3 months
706758 Clarihexal 125 P Allow Reject / Acute Step on first line & Price limitation
706759 Clarihexal 250 P Allow Reject / Acute Step on first line & Price limitation
702159 CLARINESE Allow Acute - no application Price limitation, limited to 10 tablets & 3 fills per year
785113 CLARITYNE 10mg. Tablets Allow Acute - no application Price limitation, limited to 10 tablets & 3 fills per year
789291 CLARITYNE 5mg./5ml. ml. Syrup Allow Acute - no application Price limitation. Limited to 150ml & 3 fills per year
789542 CLARITYNE D Allow Acute - no application Price limitation & limited to 4 fills per year
882437 CLARITYNE D OD Allow Acute - no application Price limitation & limited to 4 fills per year
831522 CLARITYNE EFF 10mg. Tablets Eff Allow Acute - no application Price limitation, limited to 10 tablets & 3 fills per year
862002 CLARITYNE REDITAB 10mg. Reditabs Allow Acute - no application Price limitation, limited to 10 tablets & 3 fills per year
873489 CLAVUMOX 375(125)mg. Tablets Allow Acute - no application Price limitation & 3 fills per 3 months
873500 CLAVUMOX SF SUSP Allow Acute - no application Price limitation & 3 fills per 3 months
873497 CLAVUMOX SUSP Allow Acute - no application Price limitation & 3 fills per 3 months
847690 CLEAN 'N CLEAR E Excluded Excluded - Patent homeopathic medicine.
424533 CLEANSING TUPFER CUTISORB Non-F Excluded Excluded - Non formulary item
803081 CLEAR COUGH (DPH) CEF Acute - no application Price limitation & limited to 4 fills per year
894251 CLEARASIL FACE WASH Excl Excluded Excluded - Soap, scrubs, cleanser
897937 CLENIL AQ NASAL 50mcg. Spray Aqueous AQ NASAL CEF Chronic - no application Price limitation applicable on all nasal corticosteroids & limited to 1 per month. Preferred product budesonide/beclomethasone generic nasal spray.
796131 CLEOCIN CEF Acute - no application Price limitation & limited to 4 fills per year.
707095 Clexane 0.2ml 20mg Non-F Reject Excluded, injections included in consultation fee
851167 CLEXANE 100mg. Inject. Non-F Reject Excluded, injections included in consultation fee
2201 - 2250 of 9613 Medicine's

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