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

Nappi Name Action Status Rules
839337 INFLAMMIDE 200 MAC 200mcg. AEROSOL MET.COM CEF Chronic - no application Price limitation & limited to 1 unit per month. Payment limited to budesonide generic MDI.
839345 INFLAMMIDE 200 SYSTEM 200mcg.+ Aeroch Inhalation Sys. CEF Chronic - no application Price limitation & limited to 1 unit per month. Payment limited to budesonide generic MDI.
839310 INFLAMMIDE 50 MAC 50mcg. AEROSOL MET.COM CEF Chronic - no application Price limitation. Limited to 1 unit per month
704021 INFLAMMIDE NOVO CMP200MCG CEF Chronic - no application Price limitation & limited to 1 unit per month. Payment limited to budesonide generic MDI.
704020 INFLAMMIDE NOVO REF200MCG INHALER CEF Chronic - no application Price limitation & limited to 1 unit per month. Payment limited to budesonide generic MDI.
879568 INFLANAZE AQ NASAL 50mcg./2OO Dose x10ml. Spray AQ NASAL CEF Chronic - no application Price limitation applicable on all nasal corticosteroids & limited to 1 per month. Preferred product budesonide/beclomethasone generic nasal spray.
732788 INFLAZONE 100mg. TABLETS CEF Acute - no application Price limitation, limited to 20 tablets & 6 fills per year. Telephonic motivation for certain conditions to be considered on chronic.
732796 INFLAZONE 200mg. TABLETS CEF Acute - no application Price limitation, limited to 20 tablets & 6 fills per year. Telephonic motivation for certain conditions to be considered on chronic.
876267 INFLULIX E Excluded Excluded - Patent homeopathic medicine.
732826 INFLUVAC 1Dose x0.5ml. Inject. Allow Acute - no application Price limitation. Limited to 1 unit per year
428900 INFUSION CATHETER WITH FL Non-F Excluded Non formulary item, apply with MAS dept
801216 INGRAMS CAMPHOR CREAM Excl Excluded Excluded - Moisturizers
827479 INGRAMS CAMPHOR CREAM Excl Excluded Excluded - Moisturizers
589950 INHALATOR INGELHEIM Excl Excluded Excluded - Non formulary item
701291 INHARMONY COLON CLEARBOOS E Excluded Excluded - Patent homeopathic medicine.
701299 INHARMONY MALE POTENCYBOO E Excluded Excluded - Patent homeopathic medicine.
701294 INHARMONY PMS RELIEFBOOST E Excluded Excluded - Patent homeopathic medicine.
701307 INHARMONY SUTHERLANDIA IM E Excluded Excluded - Patent homeopathic medicine.
792748 INHIBACE 2.5mg. Tablets CEF Chronic/MAC- no application MAC: Price limitation.
792756 INHIBACE 5mg. Tablets CEF Chronic/MAC- no application MAC: Price limitation.
815055 INHIBACE PLUS Allow Chronic - no application Price limitation & limited to 30 tablets per fill.
893665 INKOMFE NATURAL WONDER SO Excl Excluded Excluded - Soap, scrubs, cleanser
733024 INOXTET CAPSULES Allow Acute - no application Price limitation - limited to 60 capsules, 6 fills per year.
706121 INSPRA 25 mg Non-F Reject Rejected - Conventional diuretics are preferred and available on the automated chronic list.
706135 INSPRA 50 mg Non-F Reject Rejected - Conventional diuretics are preferred and available on the automated chronic list.
705074 INSU HUMALOG MIX 50 3ML C Allow Chronic - no application Price limitation per fill. Increased dosages may be motivated telephonically by prescribing doctor of pharmacy.
704456 INSU HUMULIN 30/70 PEN 3ML DISP Allow Chronic - no application Price limitation per fill. Increased dosages may be motivated telephonically by prescribing doctor of pharmacy.
704457 INSU HUMULIN R PEN 3ML DISP Allow Chronic - no application Price limitation per fill. Increased dosages may be motivated telephonically by prescribing doctor of pharmacy.
705313 INSU LEVEMIR 3ML CART Excl Excluded Preferred product conventional long-acting insulin due to benefit/cost ratio.
705312 INSU LEVEMIR 3ML FLEXPEN Excl Excluded Preferred product conventional long-acting insulin due to benefit/cost ratio.
700183 INSU PROTAPH FLEXPEN 3ML Allow Chronic - no application Price limitation per fill. Increased dosages may be motivated telephonically by prescribing doctor of pharmacy.
459292 INSUL SYRIN & NEEDLE STX Allow Reject / Chronic Step: Only allowed with insulin & quantity limitation. No application
634096 INSULIN SYR 01MLINSUL0007 Allow Reject / Chronic Step: Only allowed with insulin & quantity limitation. No application
449936 INSULIN SYRINGE 10M27 01M Allow Reject / Chronic Step: Only allowed with insulin & quantity limitation. No application
700485 INTEFLORA Excl Excluded Excluded - Intestinal Flora
733628 INTEFLORA Excl Excluded Excluded - Intestinal Flora
843539 INTEGRILIN 100ML Excl Excluded For hospital use
843520 INTEGRILIN 10ML Excl Excluded For hospital use
847828 INTERGEL ADHESION PREVENT Excl Excluded Excluded - Moisturizers
894606 INTERGEL ADHESION PREVENT Excl Excluded Excluded - Moisturizers
876275 INTESTALIX E Excluded Excluded - Patent homeopathic medicine.
854794 INTESTIFLORA Excl Excluded Excluded - Intestinal Flora
843504 INTRACEF STERILE POWDER Excl Excluded Excluded, injections included in consultation fee
843512 INTRACEF STERILE POWDER INJECT. Excl Excluded Excluded, injections included in consultation fee
731455 INTRAGAM IM IMMUNOGLOBUL Non-F Reject Excluded - Immunoglobulins
731463 INTRAGAM IM IMMUNOGLOBUL Non-F Reject Excluded - Immunoglobulins
803405 INTRAGLOBIN F IV Non-F Reject Excluded - Immunoglobulins
803413 INTRAGLOBIN F IV Non-F Reject Excluded - Immunoglobulins
805807 INTRAGLOBIN F IV Non-F Reject Excluded - Immunoglobulins
810304 INTRAGLOBIN F IV Non-F Reject Excluded - Immunoglobulins
4551 - 4600 of 9613 Medicine's

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