Nappi Name Action Status Rules
717207 CYTOSAR 100mg. x5ml.vial Inject. 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)
717215 CYTOSAR 500mg. x10ml.vial Inject. 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)
782416 CYTOTEC 200mcg. Tablets Allow Acute - no application Price limitation & limited to 30 tablets & 3 fills per year
831948 CYTUR TEST Excl Excluded Excluded - Diagnostics
890841 DACARBAZINE FAULDING VIAL 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)
821519 DACEF Allow Reject / Acute Step on first line & price limitation
829781 DACEF Allow Reject / Acute Step on first line
829803 DACEF Allow Reject / Acute Step on first line
717266 DAKTACORT Allow Acute - no application Price limitation & limited to 2 fills per year
717274 DAKTARIN 20mg./g g. Cream Allow Acute - no application Price limitation & limited to 1 fill per year
717320 DAKTARIN IV 10mg./ml. x20ml.amp INJECTION Excl Excluded Excluded, injections included in consultation fee
835307 DAKTARIN ORAL 20mg./g. g. Gel GEL CEF Acute - no application Limited to 1 unit per fill & 2 fills per year
717347 DALACIN C 150mg. Capsules Allow Reject / Acute Step on first line & Price limitation. Limited to 20 & 3 fills per 3 months
717355 DALACIN C 600mg./ml. x4ml.amp Inject. Excl Excluded Excluded, injections included in consultation fee
828718 DALACIN T 10mg./ml. ml. LOTION Allow Acute - no application Price limitation & limited to 4 fills per year.
835757 DALACIN T TOPICAL SOLN. Allow Acute - no application Price limitation & limited to 4 fills per year.
832340 DALACIN VC 20mg./g g.tube Vag. CREAM VAG. CEF Acute - no application Price limitation. Limited to 1 unit & 4 fills per year
717398 DALMADORM 15mg. Capsules Allow Acute - no application For short term use only, limited to 14 days supply & 6 fills per year
717401 DALMADORM 30mg. Capsules Allow Acute - no application For short term use only, limited to 14 days supply & 6 fills per year
883504 DANG GUI & MORINDA E Excluded Excluded - Patent homeopathic medicine.
893940 DANOGEN 100mg. CAPSULES Non-F Reject/ PreAuth Rejected as first line therapy for endometriosis - more cost effective alternatives available.
893943 DANOGEN 200mg. CAPSULES Non-F Reject/ PreAuth Rejected as first line therapy for endometriosis - more cost effective alternatives available.
402204 DANSAC DUO SOFT WAFERS 54 Non-F Reject See particular scheme benefit for stoma products. Apply where applicable
837040 DANSAC SKIN LOTION Non-F Reject See particular scheme benefit for stoma products. Apply where applicable
427411 DANSAC SOFTPASTE OS/DN/77 Non-F Reject See particular scheme benefit for stoma products. Apply where applicable
717428 DANTRIUM 25mg. Capsules Allow Acute - no application Limited to 30 tablets & 2 fills per year
717444 DANTRIUM IV Excl Excluded Excluded, injections included in consultation fee
706703 DANTRON 8mg Tablets Non-F Reject/ PreAuth Pre-authorisation required. Pre Auth for Oncology benefits. Obtain application form by dialling Fax on Demand Service from fax machine (Form no. 2004)
704858 DANTRON TAB 4MG Non-F Reject/ PreAuth Pre-authorisation required. Pre Auth for Oncology benefits. Obtain application form by dialling Fax on Demand Service from fax machine (Form no. 2004)
717452 DAONIL 5mg. Tablets Allow Chronic - no application Price limitation.
819417 DAPAMAX 2.5mg. TABLETS CEF Chronic - no application Price limitation
717460 DAPSONE 100mg. TABLETS CEF Acute - no application Price limitation.
833045 DAPTRIL 2.5mg. Tablets Allow Chronic - no application Price limitation
717533 DARALIX SYRUP Allow Acute - no application Price limitation. Limited to 100ml & 3 fill per year
799157 DARAMAL 150mg. TABLETS Allow Acute - no application Malaria prophylaxis available on acute, limited to 1 fill per year. No application
799149 DARAMAL S 37.5mg./5ml. ml. Syrup Allow Acute - no application Malaria prophylaxis available on acute, limited to 1 fill per year. No application
849952 DAROL EVE PRIM OIL Excl Excluded Excluded - Evening Primrose Oil
717541 DAROMIDE Excl Excluded Excluded - Patent medicine
717711 DARROW-LIQ LIQUID CEF Acute - no application Limited to 1 per fill & 6 fills
896527 DARROWS 1/2 & 5% GLUCOSE Excl Excluded Excluded, injections included in consultation fee
896535 DARROWS 1/2 & 5% GLUCOSE Excl Excluded Excluded, injections included in consultation fee
896539 DARROWS 1/2 & 5% GLUCOSE Excl Excluded Excluded, injections included in consultation fee
845817 DARROWS 1/2 & DEXT 5% 100 Excl Excluded Excluded, injections included in consultation fee
845795 DARROWS 1/2 & DEXT 5% 200 Excl Excluded Excluded, injections included in consultation fee
845809 DARROWS 1/2 & DEXT 5% 500 Excl Excluded Excluded, injections included in consultation fee
801348 DARROWS 1/2 5% DEXT 1000M Excl Excluded Excluded, injections included in consultation fee
801372 DARROWS 1/2 5% DEXT 200ML Excl Excluded Excluded, injections included in consultation fee
801364 DARROWS 1/2 5% DEXT 500ML Excl Excluded Excluded, injections included in consultation fee
717738 DAUNOBLASTIN 20mg. Inject. 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)
703639 DDAVP TABLETS CEF-Apply Reject/ PreAuth Specialist initiated only. Considered for special indications only. Apply telephonically for pre-auth
2601 - 2650 of 9613 Medicine's

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