Nappi Name Action Status Rules
847909 HYCAMTIN 5ML 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)
863076 HYDRA BABY SHAMPOO Excl Excluded Excluded - Moisturizers
843199 HYDRA BATH OIL Excl Excluded Excluded - Moisturizers
890663 HYDRA FACE MASK Excl Excluded Excluded - Moisturizers
814334 HYDRA PLUS CREAM Excl Excluded Excluded - Moisturizers
824380 HYDRA VIT E CREAM Excl Excluded Excluded - Moisturizers
875392 HYDRA VIT E OIL Excl Excluded Excluded - Moisturizers
889250 HYDRABIS CREAM Excl Excluded Excluded - Moisturizers
702592 HYDRASTIS CALENDULA 10G E Excluded Excluded - Patent homeopathic medicine.
827827 HYDRATION AQUA BATH OIL SLN MLS SLN Excl Excluded Excluded - Moisturizers
826723 HYDRATION MOISTURISING CREAM GMS CRE Excl Excluded Excluded - Moisturizers
731706 HYDREA 500mg. Capsules 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)
729981 HYDROCARE PROTEIN REMOVE Excl Excluded Excluded, contact lens preparations.
730017 HYDROCARE PROTEIN REMOVE Excl Excluded Excluded, contact lens preparations.
842435 HYDROCORTISONE ACETATE powder Excl Excluded Excluded - Patent medicine
779687 HYDROL POWDER Allow Acute - no application Limited to 5 per fill & 6 fills
822825 HYDROLESS 2.5mg. Tablets Allow Chronic - no application Price limitation
731625 HYDROQUINONE Excl Excluded Excluded - Patent medicine
702445 HYDROXYMAX E Excluded Excluded - Patent homeopathic medicine.
731919 HYGROTON 50mg. TABLETS CEF Chronic - no application Price limitation.
731951 HYOSPASMOL 10mg. TABLETS CEF Acute - no application Price limitation & limited to 3 fills per year
731943 HYOSPASMOL 20mg./ml. x1ml.amp Sml.Vol INJECT. SML.VOL Excl Excluded Excluded, injections included in consultation fee
707213 Hyospasmol 5mg/5mL CEF Acute - no application Price limitation & limited to 3 fills per year
862622 HYPACE 5mg. Tabs Allow Chronic - no application Price limitation & limited to 30 tablets per fill.
701143 HYPERGEL Excl Excluded Excluded - Moisturizers
731722 HYPERPHEN 50mg. Tablets Allow Chronic - no application Price limitation.
732036 HYPNOMIDATE 2mg./ml. x10ml. Inject. Excl Excluded Excluded, injections included in consultation fee
822876 HYPO-A MOISTURISER SENSIT Excl Excluded Excluded - Moisturizers
714062 HYPOMIDE 250mg. TABLETS Allow Chronic/PMB Price limitation.
876070 HYPOTEARS PLUS 10ML Allow Acute - no application Limited to 1 unit per month & age check > 60 years
866849 HYPOTEARS PLUS SDU 0.4ML Allow Acute - no application Limited to 1 unit per month & age check > 60 years
732060 HYPOTEN 100mg. vial Inject./Powder Excl Excluded Excluded, injections included in consultation fee
732052 HY-PO-TONE 250mg. TABLETS CEF Chronic - no application Price limitation.
732079 HY-PO-TONE 500mg. TABLETS Allow Chronic - no application Price limitation.
810207 HYTRIN 10mg. Tablets CEF Reject/Chronic Step & Price limitation: Rejected as monotherapy. Chronic only as fourth line anti-hypertensive agent after a diuretic/ beta-blocker/ACE-inhibitor/CCB.
806358 HYTRIN 1mg. Tablets CEF Reject/Chronic Step & Price limitation. Rejected as monotherapy. Considered on chronic as fourth line anti-hypertensive agent after a diuretic/ beta-blocker/ACE-inhibitor/CCB.
806366 HYTRIN 2mg. Tablets CEF Reject/Chronic Step & Price limitation: Rejected as monotherapy. Chronic only as fourth line anti-hypertensive agent after a diuretic/ beta-blocker/ACE-inhibitor/CCB.
806374 HYTRIN 5mg. Tablets CEF Reject/Chronic Step & Price limitation: Rejected as monotherapy. Chronic only as fourth line anti-hypertensive agent after a diuretic/ beta-blocker/ACE-inhibitor/CCB.
825948 HYTRIN BPH STARTER PACK Excl Reject Rejected - doxazosin generic to be considered for special indications only.
783625 I GLO 15ML Excl Excluded Excluded - Patent medicine
703072 I-123 MIBG Excl Excluded Excluded - Diagnostics
704160 I-123 MIBG 10MCI Excl Excluded Excluded - Diagnostics
704157 I-123 MIBG 1MCI Excl Excluded Excluded - Diagnostics
704158 I-123 MIBG 2MCI Excl Excluded Excluded - Diagnostics
704159 I-123 MIBG 3MCI Excl Excluded Excluded - Diagnostics
704151 I-123 SODIUM IODIDE 0.5MC Excl Excluded Excluded - Diagnostics
704156 I-123 SODIUM IODIDE 10MCI Excl Excluded Excluded - Diagnostics
704152 I-123 SODIUM IODIDE 2MCI Excl Excluded Excluded - Diagnostics
704153 I-123 SODIUM IODIDE 3MCI Excl Excluded Excluded - Diagnostics
704155 I-123 SODIUM IODIDE 9MCI Excl Excluded Excluded - Diagnostics
4401 - 4450 of 9613 Medicine's

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