Nappi Name Action Status Rules
701106 ADCO-INDOMETHACIN 25mg. CAPSULES CEF Acute - no application Price limitation, limited to 30 capsules & 4 fills per year. Doctor to apply telephonically for longterm use. Tel nr 0861 147 741
824666 ADCO-INDOMETHACIN GEL Allow Acute - no application Price limitation & limited to 1 fill per year
878715 ADCO-KETOTIFEN 1.38mg./5ml. ml. Syrup A & S/Free Allow Acute - no application Price limitation. Limited to 200 ML & 6 fills per year
894289 ADCO-KIDDIPAYNE CEF Acute - no application Price limitation. Limited to 100ml & 6 fills per year.
827304 ADCO-LINCTOPENT Excl Excluded Excluded - Inconclusive benefit/risk ratio
878707 ADCO-LIQUILAX 3.3g./5ml. ml. SYRUP CEF Acute - no application Price limitation.
811467 ADCO-LOPERAMIDE 1mg./5ml. ml. SYRUP CEF Acute - no application Price limitation. Limited to 50ml & age check not below age 4 years
792071 ADCO-LOPERAMIDE 2mg. TABLETS CEF Acute - no application Price limitation. Limited to 6 tablets & 3 fills per year
791172 ADCO-LOTEN 100mg. Tablets Allow Chronic- no application Price limitation.
883102 ADCO-MEFENAMIC ACID 250MG CAPSULES Allow Acute - no application Price limitation, limited to 20 capsules & 4 fills per year.
875643 ADCO-MEFENAMIC ACID SUSP. Allow Acute - no application Price limitation, limited to 200ml & 6 fills per year.
742872 ADCO-METRONIDAZOLE 200mg. Tablets Allow Acute - no application Price limitation. Limited to 20 tablets
701076 ADCO-METRONIDAZOLE 400mg. TABLETS CEF Acute - no application Price limitation. Limited to 10 tablets
701494 ADCO-MOCLOBEMIDE 150MG TABLETS Allow Chronic - no application Price limitation
701496 ADCO-MOCLOBEMIDE TAB300MG Allow Chronic - no application Price limitation
785245 ADCO-NAPROXEN 250mg. TABLETS CEF Acute - no application Price limitation, limited to 20 tablets & 4 fills per year. Doctor to apply telephonically for longterm use.
703217 ADCO-OFLOXACIN Allow Reject / Acute - Step on first line & limited to 10 tablets
703218 ADCO-OFLOXACIN Allow Reject / Acute - Step on first line & limited to 10 tablets
703543 ADCO-OMEPRAZOLE 20mg Allow Acute - no application Price limitation, also limited to 30 tablets & 3 fills per year on all PPI's. Not considered for chronic benefits, disease not on the chronic disease list.
894281 ADCO-PARACETAMOL SYRUP CEF Acute - no application Price limitation. Limited to 100ml per fill
894282 ADCO-PAYNE CEF Acute - no application Price limitation. Limited to 20 tablets & 6 fills per year
754803 ADCO-PHENOBARB VITALET ELIXIR Allow Chronic - no application Price limitation.
785253 ADCO-PIROXICAM 10mg. CAPSULES CEF Acute - no application Price limitation, limited to 10 capsules & 4 fills per year. Doctor to apply telephonically for longterm use.
785261 ADCO-PIROXICAM 20mg. CAPSULES CEF Acute - no application Price limitation, limited to 10 capsules & 4 fills per year. Doctor to apply telephonically for longterm use.
701130 ADCO-QUININE DIHYDROCHL 300mg. x1ml. Inject. Excl Excluded Excluded, injections included in consultation fee
780618 ADCO-RETIC 5mg. TABLETS CEF Chronic - no application Price limitation
701276 ADCO-SIMVASTATIN 10mg TABLETS CEF Chronic - no application Price limitation applicable on all statins & limited to 30 per month. Simvastatin 20 mg generic preferred for familial hypercholesterolaemia due to cost.
701279 ADCO-SIMVASTATIN 20mg. TABLETS CEF Chronic - no application Price limitation applicable on all statins & limited to 30 per month. Simvastatin 20 mg generic preferred for familial hypercholesterolaemia due to cost.
701281 ADCO-SIMVASTATIN 40mg TABLETS CEF Chronic - no application Price limitation applicable on all statins & limited to 30 per month. Simvastatin 20 mg generic preferred for familial hypercholesterolaemia due to cost.
791148 ADCO-SINAL CO Allow Acute - no application Price limitation & limited to 4 fills per year
820059 ADCO-SODASOL EFF Allow Acute - no application Price & Quantity limitations
705371 ADCO-SPORAZOLE 100MG Allow Acute - no application Price limitation. Limited to 4 capsule & 3 fills per year
705371 ADCO-SPOROZOLE CAPS 100MG Allow Acute - no application Price limitation. Limited to 4 capsule & 3 fills per year
796964 ADCO-SUFEDRIN 30mg./5ml. ml. Syrup Allow Acute - no application Price limitation & 4 fills per year
796972 ADCO-SUFEDRIN 60mg. Tablets Allow Acute - no application Price limitation & limited to 4 fills per year
791113 ADCO-SULINDAC 200mg. Tablets Allow Acute - no application Price limitation, limited to 20 tablets & 4 fills per year.
806226 ADCO-TUSSEND SYRUP Allow Acute - no application Price limitation & 4 fills per year
704656 ADCO-WORMEX Allow Acute - no application Price limitation. Limited to 10 tablets & 2 fills per year
703064 ADCO-WORMEX 100mg./5ml Susp. SUSP. CEF Acute - no application Price limitation. Limited to 30ml & 2 fills per year
703063 ADCO-WORMEX 100mg. TABLETS CEF Acute - no application Price limitation. Limited to 6 tablets & 2 fills per year
703809 ADCO-ZOLPIDEM HEMITARTRAT TABLETS CEF Acute - no application Price limitation, limited to 14 days supply & 6 fills per year
843784 ADDITIVA CALCIUM + VITAMI Excl Excluded Excluded - Patent medicine
843725 ADDITIVA MULTIVIT +MINERA Excl Excluded Excluded - Patent medicine
843768 ADDITIVA MULTIVIT +MINERA Excl Excluded Excluded - Patent medicine
843776 ADDITIVA VITAMIN B COMPLE Excl Excluded Excluded - Patent medicine
843741 ADDITIVA VITAMIN C PINK G Excl Excluded Excluded - Patent medicine
843733 ADDITIVA VITAMIN C RED OR Excl Excluded Excluded - Patent medicine
818259 ADENOCOR IV 6mg./2ml. x2ml.vial Inject. IV Excl Excluded Excluded, injections included in consultation fee
422937 ADHESIVE BANDAGES ORTHOFI Non-F Excluded Excluded - Non formulary item
422938 ADHESIVE BANDAGES ORTHOFI Non-F Excluded Excluded - Non formulary item
251 - 300 of 9613 Medicine's

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