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

Nappi Name Action Status Rules
425085 DRESSING TEGADERM ISLAND Non-F Excluded Excluded - Medicinal dressings
425088 DRESSING TEGADERM ISLAND Non-F Excluded Excluded - Medicinal dressings
425089 DRESSING TEGADERM ISLAND Non-F Excluded Excluded - Medicinal dressings
425091 DRESSING TEGADERM ISLAND Non-F Excluded Excluded - Medicinal dressings
425092 DRESSING TEGADERM TRANSPA Non-F Excluded Excluded - Medicinal dressings
400698 DRESSING TELFA ISLAND STE Non-F Excluded Excluded - Non formulary item
422784 DRESSING TELFLO STERILE 5 Non-F Excluded Excluded - Non formulary item
432595 DRESSING TRANSPARENT FILM Non-F Excluded Excluded - Medicinal dressings
432600 DRESSING TRANSPARENT FILM Non-F Excluded Excluded - Medicinal dressings
419025 DRESSING TRANSPARENT TEGA Non-F Excluded Excluded - Medicinal dressings
422725 DRESSING TRAY POWDER-FREE Non-F Excluded Excluded - Medicinal dressings
425730 DRESSING TRAY SMALL NETCA Non-F Excluded Excluded - Medicinal dressings
432823 DRESSING WOUND AEROFILM C Non-F Excluded Excluded - Medicinal dressings
426076 DRESSING WOUND BIOPATCH ( Non-F Excluded Excluded - Medicinal dressings
432616 DRESSING WOUND PADS PLAIN Non-F Excluded Excluded - Medicinal dressings
432617 DRESSING WOUND PADS PLAIN Non-F Excluded Excluded - Medicinal dressings
432619 DRESSING WOUND PADS PLAIN Non-F Excluded Excluded - Medicinal dressings
423427 DRESSING WOUND PROPAD NON Non-F Excluded Excluded - Non formulary item
423430 DRESSING WOUND PROPAD NON Non-F Excluded Excluded - Non formulary item
423431 DRESSING WOUND PROPAD STE Non-F Excluded Excluded - Non formulary item
423433 DRESSING WOUND PROPAD STE Non-F Excluded Excluded - Non formulary item
424673 DRESSING WOUND STRIP 4CM Non-F Excluded Excluded - Medicinal dressings
799440 DRILIX 30mg./5ml. ml. Syrup Allow Acute - no application Price limitation & limited to 4 fills per year
700455 DRINASAL SYRUP Allow Acute - no application Price limitation & 4 fills per year
721360 DRISTAN Allow Acute - no application Price limitation & limited to 4 fills per year
820857 DRISTAN COLD ND Allow Acute - no application Price limitation & limited to 4 fills per year
783870 DRISTAN L/L MET. 15ML Allow Acute - no application Limited to 1 unit & 4 fills per year
721387 DRISTAN L/L NASAL 15ML SPRAY Allow Acute - no application Limited to 1 unit & 4 fills per year
791377 DRIXINE Allow Acute - no application Price limitation & limited to 4 fills per year
791385 DRIXINE Allow Acute - no application Price limitation & limited to 4 fills per year
721433 DRIXINE NASAL ADULT 10ML DROPS CEF Acute - no application Limited to 1 unit & 4 fills per year
783226 DRIXINE NASAL MENTH 20ML Excl Excluded Excluded
721425 DRIXINE NASAL PAED 10ML Allow Acute - no application Limited to 1 unit & 4 fills per year
721441 DRIXINE NASAL REG 20ML SPRAY ADULT CEF Acute - no application Limited to 1 unit & 4 fills per year
814199 DRIXINE PUMP SPRAY A 10M Allow Acute - no application Limited to 1 unit & 4 fills per year
721484 DRIXINE PUMP SPRAY P 10M Allow Acute - no application Limited to 1 unit & 4 fills per year
721468 DRIXORA Allow Acute - no application Price limitation & limited to 4 fills per year
721476 DRIXORA Allow Acute - no application Price limitation & limited to 4 fills per year
704699 DRL-OMEPRAZOLE 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.
704700 DRL-OMEPRAZOLE 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.
844756 DROPERTEEL E Excluded Excluded - Patent homeopathic medicine.
817856 DS-24 Allow Acute - no application Limited to 30 capsules per month & 9 fills
842443 DT VAX 0.5ML SINGLE DOSE Allow Acute - no application Price limitation. Limited to 1 unit per year
721514 DTIC 200mg. vials Inject. 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)
823694 DTP MERIEUX PAED 10dose vial Inject. Vaccine Allow Acute - no application Price limitation. Limited to 1 unit per year
825158 DTP MERIEUX PAED 1Dose syringe Inject. Syringe Allow Acute - no application Price limitation. Limited to 1 unit per year
889048 DTPA Excl Excluded Excluded - Diagnostics
886657 DTPA COMPLEX 130503 VIALS Excl Excluded Excluded - Diagnostics
721867 D-TUSSIN CEF Acute - no application Price limitation & limited to 4 fills per year.
703846 DUKORAL Allow Acute - no application Price limitation. Limited to 1 unit per year
3101 - 3150 of 9613 Medicine's

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