Pathfinder - ABCDE list of Medicine (Ordered by name)
 
 
Search: Name Nappi

Nappi Name Action Status Rules
699683 DEPEND BE SURE 192411 Excl Excluded Excluded - Patent medicine
402436 DEPEND FITTED GARMENT 190143 EA ZZZ Excl Excluded Excluded - Patent medicine
461841 DEPEND LGE 010890 120-150cm Briefs Excl Excluded Excluded - Patent medicine
699675 DEPEND MODERATE 710717 Excl Excluded Excluded - Patent medicine
430580 DEPEND POISE 195865 265x80mm Pads Extra Excl Excluded Excluded - Patent medicine
897213 DEPNIL 150mg. Tablets Allow Chronic - no application Price limitation
702008 DEPNIL 300 TABLETS Allow Chronic - no application Price limitation
718408 DEPO MEDROL 40mg./ml. x1ml. INJECT. Excl Excluded Excluded, injections included in consultation fee
718475 DEPO MEDROL 40mg./ml. x2ml.vial INJECT. Excl Excluded Excluded, injections included in consultation fee
718483 DEPO MEDROL 40mg./ml. x5ml.vial Inject. Excl Excluded Excluded, injections included in consultation fee
718416 DEPO MEDROL 80mg./ml. x1ml. INJECT. Excl Excluded Excluded, injections included in consultation fee
718440 DEPO PROVERA 150mg./1ml. x1ml. Inject. CEF-Apply Excluded Excluded, injections included in consultation fee
808237 DEPO PROVERA 150mg./ml. x1ml. INJECTION E Excluded Excluded, injections included in consultation fee
718548 DEPO TESTOSTERONE 100mg. x10ml.vial Inject. Excl Excluded Excluded, anabolic steroids & testosterone.
718467 DEPOTRONE 100mg./ml. x2ml. Inject. Excl Excluded Excluded, anabolic steroids & testosterone.
704328 DEPRAMIL CEF Chronic/MAC - no application MAC: Price limitation on all SSRI's. Quantity limited to 60/month. Preferred product is fluoxetine generic.
894303 DEPROZAN 20mg. CAPSULES CEF Chronic - no application Price limitation on all SSRI's & limited to 60/month. Preferred product is fluoxetine generic.
718602 DEPURAN CAPSULES Allow Acute - no application Price limitation. Limited to 20 capsules per month
717606 DEQUA-COFF CEF Acute - no application Price limitation & limited to 4 fills per year
718610 DEQUADIN Allow Acute - no application Price limitation & 3 fills per year
718629 DEQUADIN MOUTH 10ML Allow Acute - no application Price limitation. Limited to 1 unit & 1 fill per year
717932 DEQUA-FLU Allow Acute - no application Price limitation & limited to 4 fills per year
718645 DEQUAMED Allow Acute - no application Price limitation & 3 fills per year
410239 DERMABOND ADHESIVE WOUD C Non-F Excluded Excluded - Non formulary item
582565 DERM-A-BUFF REG Excl Excluded Excluded - Soap, scrubs, cleanser
703663 DERMACLEARECZ Excl Excluded Excluded - Soap, scrubs, cleanser
863130 DERMACLENS SKIN CLEANER Excl Excluded Excluded - Moisturizers
704094 DERMACYN WOUND CARE SOLUT Excl Excluded Excluded - Soap, scrubs, cleanser
788716 DERMADINE 25g. Allow Acute - no application Price limitation. Limited to 1 unit & 3 fills per year
799688 DERMADINE GARGLE GARGLE Allow Acute - no application Price limitation & limited to 2 fills per year
891175 DERMALIBOUR & OAT MILK Excl Excluded Excluded - Moisturizers
842494 DERMAMIST Excl Excluded Excluded - Moisturizers
836257 DERM-A-SOOTH LOTION Excl Excluded Excluded - Moisturizers
832685 DERMASTINE BODY LOTION Excl Excluded Excluded - Moisturizers
839000 DERMASTINE C VIT A Excl Excluded Excluded - Moisturizers
849197 DERMASTINE FACE CREAM 2% Excl Excluded Excluded - Moisturizers
878685 DERMASTINE FACE CREAM 3% Excl Excluded Excluded - Moisturizers
700595 DERMAZOLE Allow Acute - no application Price limitation & limited to 1 fill per year
428094 DERMICEL TAPE 100MM X5M 999108 ROL ZZZ Non-F Excluded Excluded - Non formulary item
458603 DERMITAPE HYPO-ALLERG 25M Non-F Excluded Excluded - Non formulary item
874167 DERMOPAL BLEMISH CREAM Excl Excluded Excluded - Moisturizers
874132 DERMOPAL FACIAL CLEANSER Excl Excluded Excluded - Moisturizers
874140 DERMOPAL FACIAL CLEANSER Excl Excluded Excluded - Moisturizers
874124 DERMOPAL MOISTURISER Excl Excluded Excluded - Moisturizers
718718 DERMOVATE Allow Acute - no application Price limitation & limited to 3 fills per year. Considered for chronic benefits for certain conditions.
718726 DERMOVATE Allow Acute - no application Price limitation & limited to 3 fills per year. Considered for chronic benefits for certain conditions.
824216 DERMOVATE SCALP SCALP APPLIC. Allow Acute - no application Price limitation & limited to 3 fills per year. Considered for chronic benefits for certain conditions.
702044 DESELEX Allow Acute - no application Price limitation. Limited to 150ml & 3 fills per year
898658 DESELEX 5mg. Tablets Allow Acute - no application Price limitation. Limited to 10 tablets & 3 fills per year
718998 DESERIL 1mg. Tablets Non-F Excluded Excluded - cost effective first line alternatives available on the automated list.
2701 - 2750 of 9613 Medicine's

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