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

Nappi Name Action Status Rules
722952 ELTROXIN 100mcg. TABLETS CEF Chronic - no application Price limitation. Limited to 100 tablets per 3 months
722944 ELTROXIN 50mcg. TABLETS CEF Chronic - no application Price limitation. Limited to 100 tablets per 3 months
703144 ELUGEL E Excluded Excluded - Patent homeopathic medicine.
891248 ELUTION Excl Excluded Excluded - Moisturizers
891449 EMADINE 5ML Non-F Reject Cost-effective alternatives available on the automated list
723002 EMDALEN 70mg. Tablets Non-F Reject Rejected, alternative first line therapy available.
705302 EMEND CAPS 125 MG Excl Excluded Alternative therapy available on the formulary. Apply for oncology benefits. Obtain application form by dialling Fax on Demand Service from fax machine (Form no. 2004)
705301 EMEND CAPS 80 MG Excl Excluded Alternative therapy available on the formulary. Apply for oncology benefits. Obtain application form by dialling Fax on Demand Service from fax machine (Form no. 2004)
705303 EMEND COMBI PACK Excl Excluded Alternative therapy available on the formulary. Apply for oncology benefits. Obtain application form by dialling Fax on Demand Service from fax machine (Form no. 2004)
723037 EMETROL Allow Acute - no application Price limitation. Limited to 100ml & 3 fills per year
784346 EMEX Allow Acute - no application Price limitation. Limited to 100ml & 3 fills per year
811521 EMITEX 12.5mg./5ml. ml. Syrup Allow Acute - no application Price limitation & limited to 50ml per fill
811513 EMITEX 50mg. Tablets Allow Acute - no application Price limitation & limited to 10 tablets.
826367 EMLA 5% 25mg. x5g.tubes CREAM Allow Acute - no application Limited to 25 per fill & 2 fills per year
840106 EMLA 5% PATCH Allow Acute - no application Limited to 1 unit per fill & 2 fills per year
723088 EMPACOD CEF Acute - no application Price limitation. Limited to 20 tablets & 6 fills per year.
819697 EMPAPED PAED 125mg. SUPPS. Allow Acute - no application Price limitation. Limited to 10 supps per fill.
819700 EMPAPED PAED 250mg. SUPPS. Allow Acute - no application Price limitation. Limited to 10 supps per fill.
723126 EMPRAZIL A Allow Acute - no application Price limitation & limited to 4 fills per year
837830 EMTHEXATE RTU 1000-40 40M 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)
828157 EMTHEXATE RTU 5000-200 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)
825557 EMTHEXATE RTU 500-20 20ML 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)
825565 EMTHEXATE RTU 50-2 2ML 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)
826464 EMULS ACRIFLAVINE Excl Excluded Excluded - Patent medicine
865478 EMULS ACRIFLAVINE Excl Excluded Excluded - Patent medicine
896160 EMULS ACRIFLAVINE Excl Excluded Excluded - Patent medicine
810711 EMULS ACRIFLAVINE BP Excl Excluded Excluded - Patent medicine
868353 EMULSIFYING BASE (ALPHEN) Excl Excluded Excluded - Moisturizers
848255 EMULSIFYING BASE 2:2:3 GMS OIN Excl Excluded Excluded - Moisturizers
868361 EMULSIFYING OINTMENT (ALP Excl Excluded Excluded - Moisturizers
784885 EMULSIFYING WAX Excl Excluded Excluded - Moisturizers
893688 EMULSIFYING WAX Excl Excluded Excluded - Moisturizers
723169 EMVIT Excl Excluded Excluded - Patent medicine
702716 EMVITA 1 E Excluded Excluded - Patent homeopathic medicine.
702746 EMVITA 2 E Excluded Excluded - Patent homeopathic medicine.
701903 EMVITA 26 E Excluded Excluded - Patent homeopathic medicine.
702747 EMVITA 3 E Excluded Excluded - Patent homeopathic medicine.
702699 EMVITA 6 E Excluded Excluded - Patent homeopathic medicine.
789887 EMVIT-M Excl Excluded Excluded - Patent medicine
891771 EMZACLEAR ACNE LOTION Allow Acute - no application Price limitation & limited to 4 fills per year.
706046 ENABLEX 15mg Non-F Reject TCA or Oxybutin generic is preferred and on the automated list
706045 ENABLEX 7,5mg Non-F Reject TCA or Oxybutin generic is preferred and on the automated list
891279 ENAP 10 Allow Chronic - no application Price limitation & limited to 30 tablets per fill.
891280 ENAP 20mg. Tablets Allow Chronic - no application Price limitation & limited to 30 tablets per fill.
891272 ENAP 5mg. Tablets Allow Chronic - no application Price limitation & limited to 30 tablets per fill.
891287 ENAP CO TABLETS Allow Chronic - no application Price limitation.
702509 ENBREL PF SRY S/USE VIAL Excl Excluded Excluded - betaferon & immunemodulators.
723231 ENCEPHABOL Excl Excluded Excluded, no exceptions.
779873 ENDCOL CO LINCTUS CEF Acute - no application Price limitation & 4 fills per year
723258 ENDCOL COLD AND FLU Allow Acute - no application Price limitation & limited to 4 fills per year
3301 - 3350 of 9613 Medicine's

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