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

Nappi Name Action Status Rules
867861 HR-ENALAPRIL 20mg. Tablets Allow Chronic - no application Price limitation & limited to 30 tablets per fill.
867845 HR-ENALAPRIL 5mg. Tablets Allow Chronic - no application Price limitation & limited to 30 tablets per fill.
731439 HRF Excl Excluded Excluded - Infertility products
825794 HUMAJECT 30/70 3ml. x3ml. INJECT. PEN DIS CEF Chronic - no application Price limitation per fill. Increased dosages may be motivated telephonically by prescribing doctor of pharmacy.
825786 HUMAJECT N 3ml. x3ml.pen Pen Disp SUSPENSION CEF Chronic - no application Price limitation per fill. Increased dosages may be motivated telephonically by prescribing doctor of pharmacy.
833126 HUMAJECT R 3ml. x3ml. INJECT. PEN DIS CEF Chronic - no application Price limitation per fill. Increased dosages may be motivated telephonically by prescribing doctor of pharmacy.
862355 HUMALOG CARTRIDGE Allow Chronic - no application Price limitation per fill. Increased dosages may be motivated telephonically by prescribing doctor of pharmacy.
819476 HUMALOG CARTRIDGE 100iu/ml. x1.5ml. Cart. SUSPENSION CEF Chronic - no application Price limitation per fill. Increased dosages may be motivated telephonically by prescribing doctor of pharmacy.
853445 HUMALOG DISP PEN PEN PREFILL DIS CEF Chronic - no application Price limitation per fill. Increased dosages may be motivated telephonically by prescribing doctor of pharmacy.
861782 HUMALOG MIX 25 CARTRIDGE INJECT. CART. CEF Chronic - no application Price limitation per fill. Increased dosages may be motivated telephonically by prescribing doctor of pharmacy.
853461 HUMALOG MIX 25 DISP PEN PEN PREFILL DIS CEF Chronic - no application Price limitation per fill. Increased dosages may be motivated telephonically by prescribing doctor of pharmacy.
853437 HUMALOG MIX 25 VIAL 100i.u./ml x10ml.vial Soln. SOLN. INJECT. CEF Chronic - no application Price limitation per fill. Increased dosages may be motivated telephonically by prescribing doctor of pharmacy.
819468 HUMALOG VIAL 100iu/ml. x10ml. INJECT. VIAL CEF Chronic - no application Price limitation per fill. Increased dosages may be motivated telephonically by prescribing doctor of pharmacy.
833142 HUMALOG/HUMAJECT SUSPENSION CEF Chronic - no application Price limitation per fill. Increased dosages may be motivated telephonically by prescribing doctor of pharmacy.
703328 HUMAN SERUM ALBUMIN 100ML Excl Excluded Excluded.
703322 HUMAN SERUM ALBUMIN 50ML Excl Excluded Excluded.
531305 HUMAPEN ERGO TEAL INSU DE Allow Reject / Chronic Step: Only allowed with insulin & quantity limitation. No application
784826 HUMATROPE 16iu vial Inject. /Powder Excl Excluded Excluded - Growth Hormones
860557 HUMATROPE 18iu vial Inject. /Powder Excl Excluded Excluded - Growth Hormones
866660 HUMATROPE 36iu vial. Inject. /Powder Excl Excluded Excluded - Growth Hormones
731498 HUMATROPE 4iu vial Inject. /Powder Excl Excluded Excluded - Growth Hormones
731536 HUMEGON FSH 75IU 75iu FSH + 10amp. Ampoules Excl Excluded Excluded - Infertility products
431636 HUMIDAIR 2LT Non-F Excluded Non formulary item. See specific scheme benefits and apply on form 2100 where applicable
425299 HUMIDIFER AQUAMIST NO BOT Non-F Excluded Non formulary item. See specific scheme benefits and apply on form 2100 where applicable
431509 HUMIDIFICATION FISHER & P Non-F Excluded Non formulary item. See specific scheme benefits and apply on form 2100 where applicable
431510 HUMIDIFICATION FISHER & P Non-F Excluded Non formulary item. See specific scheme benefits and apply on form 2100 where applicable
430696 HUMIDIFIER 02 THERAPY Non-F Excluded Non formulary item. See specific scheme benefits and apply on form 2100 where applicable
430697 HUMIDIFIER 02 THERAPY Non-F Excluded Non formulary item. See specific scheme benefits and apply on form 2100 where applicable
425301 HUMIDIFIER AQUAMIST PLUS Non-F Excluded Non formulary item. See specific scheme benefits and apply on form 2100 where applicable
426223 HUMIDIFIER CONNECTOR TO O Non-F Excluded Non formulary item. See specific scheme benefits and apply on form 2100 where applicable
428231 HUMIDIFIER HYGROVENT DOME Non-F Excluded Non formulary item. See specific scheme benefits and apply on form 2100 where applicable
425512 HUMIDIFIER OXYGEN THERAPY Non-F Excluded Non formulary item. See specific scheme benefits and apply on form 2100 where applicable
426225 HUMIDIFIER PREFILLED WATE Non-F Excluded Non formulary item. See specific scheme benefits and apply on form 2100 where applicable
426226 HUMIDIFIER PREFILLED WATE Non-F Excluded Non formulary item. See specific scheme benefits and apply on form 2100 where applicable
705335 HUMIRA INJ 40 MG/0.8ML Excl Excluded Non-Formulary item
425304 HUMODIFIER AQUAFLOW PLUS Non-F Excluded Non formulary item. See specific scheme benefits and apply on form 2100 where applicable
425302 HUMODIFIER AQUAMIST NO BO Non-F Excluded Non formulary item. See specific scheme benefits and apply on form 2100 where applicable
863572 HUMULIN 30/70 CART Allow Chronic - no application Price limitation per fill. Increased dosages may be motivated telephonically by prescribing doctor of pharmacy.
787523 HUMULIN 30/70 CART SUSPENSION Allow Chronic - no application Price limitation per fill. Increased dosages may be motivated telephonically by prescribing doctor of pharmacy.
783811 HUMULIN 30/70 VIAL Allow Chronic - no application Price limitation per fill. Increased dosages may be motivated telephonically by prescribing doctor of pharmacy.
733520 HUMULIN L VIAL 100iu x10ml.vial /Inject. SUSP. /INJECT. CEF Chronic - no application Price limitation per fill. Increased dosages may be motivated telephonically by prescribing doctor of pharmacy.
787507 HUMULIN N CART 100iu x1.5ml. SUSPENSION CEF Chronic - no application Price limitation per fill. Increased dosages may be motivated telephonically by prescribing doctor of pharmacy.
863556 HUMULIN N CART 100iu x3ml. /Inject. SUSP. /INJECT. CEF Chronic - no application Price limitation per fill. Increased dosages may be motivated telephonically by prescribing doctor of pharmacy.
853453 HUMULIN N DISP PEN PEN PREFILL DIS CEF Chronic - no application Price limitation per fill. Increased dosages may be motivated telephonically by prescribing doctor of pharmacy.
733458 HUMULIN N VIAL 100iu x10ml.vial /Inject. SUSP. /INJECT. CEF Chronic - no application Price limitation per fill. Increased dosages may be motivated telephonically by prescribing doctor of pharmacy.
787493 HUMULIN R SOL CART 100iu x1.5ml. Soln. /Inject. Allow Chronic - no application Price limitation per fill. Increased dosages may be motivated telephonically by prescribing doctor of pharmacy.
863564 HUMULIN R SOL CART 100iu x3ml. Soln. /Inject. Allow Chronic - no application Price limitation per fill. Increased dosages may be motivated telephonically by prescribing doctor of pharmacy.
733431 HUMULIN R SOL VIAL 100iu x10ml.vial Soln. /Inject. Allow Chronic - no application Price limitation per fill. Increased dosages may be motivated telephonically by prescribing doctor of pharmacy.
701624 HUO XUE TONG MAI PIAN(SAL E Excluded Excluded - Patent homeopathic medicine.
731560 HYALASE 1500iu amps Inject. Excl Excluded Excluded - Surgicals for in hospital use only.
4351 - 4400 of 9613 Medicine's

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