Nappi Name Action Status Rules
702448 IMMUNE COMPLEX E Excluded Excluded - Patent homeopathic medicine.
701058 IMMUNO-FIT E Excluded Excluded - Patent homeopathic medicine.
881627 IMMUNOGUARD SYRUP E Excluded Excluded - Patent homeopathic medicine.
876240 IMMUNOLIX E Excluded Excluded - Patent homeopathic medicine.
891898 IMMUVITKIDS E Excluded Excluded - Patent homeopathic medicine.
732486 IMODIUM 2mg. Tablets Allow Acute - no application Price limitation. Limited to 6 tablets & 3 fills per year
807761 IMODIUM CAPS 2mg. Capsules Allow Acute - no application Price limitation. Limited to 6 tablets & 3 fills per year
703518 IMODIUM MELT Allow Acute - no application Price limitation. Limited to 6 tablets & 3 fills per year
848840 IMODIUM PLUS Allow Acute - no application Price limitation, 10 tablets per fill & 4 fills per year.
732478 IMODIUM Syrup Allow Acute - no application Price limitation. Limited to 50ml & age check not below age 4 years
732494 IMOVANE 7.5mg. Tablets Allow Acute - no application Price limitation, limited to 14 days supply & 6 fills per year
807214 IMOVAX MEN A+C SINGLE Allow Acute - no application Price limitation. Limited to 1 unit per year
836699 IMOVAX PNEUMO 23 1Dose Syringe Inject. Pref. Allow Acute - no application Price limitation. Limited to 1 unit per year
876259 IMPULIX E Excluded Excluded - Patent homeopathic medicine.
703122 IMUNO-ACTIVE Excl Excluded Excluded - Patent medicine
734454 IMUPREL Excl Excluded Excluded, injections included in consultation fee
732516 IMURAN 50mg. Tablets CEF-Apply Reject/ PreAuth Motivations for special indications only will be considered.
732524 IMURAN 50mg. vial INJECT. CEF-Apply Reject/ PreAuth Motivations for special indications only will be considered.
796255 INADINE 5X5CM POV/IOD.NON Non-F Excluded Excluded - Medicinal dressings
796263 INADINE 9.5X9.5CM POV.IO Non-F Excluded Excluded - Medicinal dressings
732540 INAPSIN 2.5mg./ml. x2ml.amp Inject. Excl Excluded Excluded, injections included in consultation fee
784494 INCIL VK SYRUP Allow Acute - no application Price limitation - limited to 100ml & 3 fills per 3 months
839531 INDALIX 2.5mg. Tablets Allow Chronic - no application Price limitation
732567 INDERAL 10mg. Tablets Allow Chronic - no application Price limitation.
732575 INDERAL 40mg. Tablets Allow Chronic - no application Price limitation.
732605 INDERAL LA 160mg. Capsules Allow Chronic - no application Price limitation & limited to 28 capsules per fill
732648 INDERAL LA 80mg. Capsules Allow Chronic - no application Price limitation & limited to 28 capsules per fill
840955 INDERMIL 0.5G TISSUE ADHE Non-F Excluded Excluded - Non formulary item
806552 INDOBLOK 10 TABLETS Allow Chronic - no application Price limitation.
806560 INDOBLOK 40 TABLETS Allow Chronic - no application Price limitation.
732702 INDOCID 1% g. Gel Allow Acute - no application Price limitation & limited to 1 fill per year
732672 INDOCID 100mg. Supps. Allow Acute Price limitation & 2 fills per year
732656 INDOCID 25mg. Capsules Allow 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
732680 INDOCID R 75mg. Capsules Allow Acute - no application Price limitation, limited to 10 capsules & 4 fills per year. Doctor to apply telephonically for longterm use.
701154 INFACARE SOYA 1 350G E Excluded Excluded - Patent homeopathic medicine.
701168 INFACARE SOYA 1 900G E Excluded Excluded - Patent homeopathic medicine.
701162 INFACARE SOYA 2 350G E Excluded Excluded - Patent homeopathic medicine.
700773 INFANRIX DTPA HB 0,5ML PR Allow Acute - no application Price limitation. Limited to 1 unit per year
703994 INFANRIX PRE FILLED SYRIN Allow Acute - no application Price limitation. Limited to 1 unit per year
854808 INFANTIFLORA Excl Excluded Excluded - Intestinal Flora
881791 INFANTIFORTE Excl Excluded Excluded - Intestinal Flora
732745 INFAPAIN CEF Acute - no application Price limitation. Limited to 100ml & 6 fills per year.
732753 INFAPAIN FORTE CEF Acute - no application Price limitation. Limited to 100ml & 6 fills per year.
792527 INFLA BAN 75mg. x3ml.amp. INJECT. Excl Excluded Excluded, injections included in consultation fee
825735 INFLA BAN SR 100mg. TABLETS CEF Acute - no application Price limitation, limited to 10 tablets & 4 fills per year. Doctor to apply telephonically for longterm use.
702475 INFLACOR 100 CAPSULES CEF Chronic/MAC - no application MAC: Price limitation & limited to 60 capsules per month. Budesonide/beclomethasone generic MDI is preferred.
702478 INFLACOR 200 CAPSULES CEF Chronic - no application Price limitation & limited to 1 unit per month. Payment limited to budesonide generic MDI.
702480 INFLACOR 400 CAPSULES CEF Chronic/MAC - no application MAC: Price limitation & limited to 60 capsules per month. Budesonide/beclomethasone generic MDI is preferred.
839329 INFLAMMIDE 100 MAC 100mcg. Aerosol Met.Comp CEF Chronic - no application Price limitation & limited to 1 unit per month. Payment limited to budesonide generic MDI.
839353 INFLAMMIDE 100 SYSTEM 100mcg.+ Aeroch Inhalation Sys. CEF Chronic - no application Price limitation & limited to 1 unit per month. Payment limited to budesonide generic MDI.
4501 - 4550 of 9613 Medicine's

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