| Pathfinder - ABCDE list of Medicine (Ordered by name) |
| Nappi | Name | Action | Status | Rules |
| 891353 | COAPROVEL 150(12.5)mg. TABLETS | CEF- Apply | Reject/PreAuth | Rejected - Only considered as alternative to ACEI for hypertension when the latter elicits cough |
| 898597 | COAPROVEL 300(12.5)mg. TABLETS | CEF- Apply | Reject/PreAuth | Rejected - Only considered as alternative to ACEI for hypertension when the latter elicits cough |
| 876089 | COARTEM | Allow | Acute - no application | Limited to 1 fill per year |
| 784699 | COBALATEC 10ML 1000mcg./1ml. x10ml.vial Inject. M/Dose | Non-F | Reject | Rejected - Registered single vitamins |
| 784702 | COBALATEC 20ML | Non-F | Reject | Rejected - Registered single vitamins |
| 701325 | CO-BIOTIC | Excl | Excluded | Excluded - Intestinal Flora |
| 853208 | CO-BIOTIC | Excl | Excluded | Excluded - Intestinal Flora |
| 715018 | COCAINE HCL BP | Excl | Excluded | Excluded - Patent medicine |
| 715077 | COCILLANA COMP SYRUP | Allow | Acute - no application | Price limitation & limited to 4 fills per year |
| 897124 | CO-CODAMOL | CEF | Acute - no application | Price limitation. Limited to 20 tablets & 6 fills per year. |
| 797502 | COCYDAL 480mg. Tablets | Allow | Acute - no application | Price limitation. |
| 715166 | CODEF 7.5mg. ml. Syrup | CEF | Acute - no application | Price limitation & limited to 4 fills per year |
| 715123 | CODEINE PHOSPHATE 30mg. Tablets | Allow | Acute - no application | Price limitation - Limited to 20 tablets per fill & 1 fill per year on acute. Considered for major benefits for certain conditions. Apply telephonically. |
| 891894 | CO-DIOVAN 160(12.5)mg. Tablets | CEF- Apply | Reject/PreAuth | Rejected - Only considered as alternative to ACEI for hypertension when the latter elicits cough |
| 839884 | CO-DIOVAN 80(12.5)mg. Tablets | CEF- Apply | Reject/PreAuth | Rejected - Only considered as alternative to ACEI for hypertension when the latter elicits cough |
| 715174 | CODIS | CEF | Acute - no application | Price limitation. Limited to 20 tablets & 6 fills per year. |
| 715204 | CODOMILL | CEF | Acute - no application | Price limitation & limited to 4 fills per year |
| 703660 | CODOXOL | CEF | Acute - no application | Price limitation. Limited to 20 tablets & 6 fills per year. |
| 827177 | COFENDYL | Allow | Acute - no application | Price limitation & limited to 4 fills per year |
| 715247 | COFF-UP | CEF | Acute - no application | Price limitation & limited to 4 fills per year |
| 779814 | CO-FLEM 250mg./5ml. ml. Syrup | Excl | Excluded | Excluded - Inconclusive benefit/risk ratio |
| 782173 | CO-GEL | Allow | Acute - no application | Price limitation & limited to 6 fills per year |
| 781738 | CO-GESIC | CEF | Acute - no application | Price limitation. Limited to 20 tablets & 6 fills per year. |
| 715263 | COLCAPS | Allow | Acute - no application | Price limitation & limited to 4 fills per year |
| 819964 | COLCAPS C EFFERVESCENT | Allow | Acute - no application | Price limitation & limited to 4 fills per year |
| 715255 | COLCAPS CAPSULES | Allow | Acute - no application | Price limitation & limited to 4 fills per year |
| 715271 | COLCHICINE 0.5mg. TABLETS | CEF | Acute - no application | Limited to 24 tablets per fill & 3 fills per year |
| 715298 | COLCHICINE HOUDE 1mg. TABLETS | CEF | Acute - no application | Limited to 24 tablets per fill & 3 fills per year |
| 704332 | COLCLEER PAEDIATRIC SYRUP | Allow | Acute - no application | Price limitation & limited to 4 fills per year |
| 715301 | COLCLEER TABLETS | Allow | Acute - no application | Price limitation & limited to 4 fills per year |
| 700477 | COLD SORE EX | E | Excluded | Excluded - Patent homeopathic medicine. |
| 704414 | COLDNACEA FORTE | E | Excluded | Excluded - Patent homeopathic medicine. |
| 715360 | COLDVAC BERNA | Allow | Acute - no application | Price limitation. Limited to 1 unit per year |
| 807486 | COLDVICO | Allow | Acute - no application | Price limitation & limited to 4 fills per year |
| 814490 | COLDVICO | Allow | Acute - no application | Price limitation & limited to 4 fills per year |
| 427342 | COLLAR CERVICAL /CUFF NEC | Non-F | Excluded | Non formulary item. See specific scheme benefits and apply on form 2100 where applicable |
| 427339 | COLLAR CERVICAL NECK SOFT | Non-F | Excluded | Non formulary item. See specific scheme benefits and apply on form 2100 where applicable |
| 427340 | COLLAR CERVICAL NECK SOFT | Non-F | Excluded | Non formulary item. See specific scheme benefits and apply on form 2100 where applicable |
| 427341 | COLLAR CERVICAL NECK SOFT | Non-F | Excluded | Non formulary item. See specific scheme benefits and apply on form 2100 where applicable |
| 425155 | COLLAR 'N CUFF 4M | Non-F | Excluded | Non formulary item. See specific scheme benefits and apply on form 2100 where applicable |
| 424999 | COLLAR PHILADELPHIA (ALL | Non-F | Excluded | Non formulary item. See specific scheme benefits and apply on form 2100 where applicable |
| 886939 | COLLODION FLEXIBLE | Excl | Excluded | Excluded - Galenicals |
| 715468 | COLLODYNE | Allow | Acute - no application | Price limitation. |
| 701121 | COLO CLEANZ 150G | Allow | Acute - no application | Price limitation. Limited to 1 unit & 1 fill per year |
| 715476 | COLOFAC 135mg. Tablets | Excl | Excluded | Excluded - Inconclusive benefit/risk ratio |
| 861685 | COLON ECOLOGY SUPPLEMENT | Excl | Excluded | Excluded - Intestinal Flora |
| 402282 | COLOPLAST MC2002 OPEN TRA | Non-F | Reject | See particular scheme benefit for stoma products. Apply where applicable |
| 865443 | COLO-PREP 25.22G 25.22g. Sachets Powder | Allow | Acute - no application | Limited to 2 unit & 1 fill per year |
| 419429 | COLOSTOMY BAG CLOSED SYST | Non-F | Reject | See particular scheme benefit for stoma products. Apply where applicable |
| 419428 | COLOSTOMY BAG W/32MM HOLE | Non-F | Reject | See particular scheme benefit for stoma products. Apply where applicable |
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