Nappi Name Action Status Rules
733806 IONIL T Non-F Reject/ PreAuth Motivations for special indications only will be considered.
784303 IONIL T PLUS SHAMPOO Non-F Reject/ PreAuth Motivations for special indications only will be considered.
833789 IOPIDINE 0.25ML Allow Acute - no application Price limitation.
825484 IOPIDINE 10ML Allow Acute - no application Price limitation.
815268 IPCAMOX 250mg. Capsules Allow Acute - no application Price limitation. Limited to 21 capsules per fill & 3 fills per 3 months
733849 IPRADOL SYRUP Allow Acute - no application Price limitation. Limited to 100ml per fill & 3 fills
733911 IPRADOL 25mcg. x10ml.amp Infusion INFUSION Excl Excluded Excluded, injections included in consultation fee
733938 IPRADOL 5mcg. x2ml.amp INJECT. Excl Excluded Excluded, injections included in consultation fee
733857 IPRADOL Tabs TABLETS Allow Acute - no application Price limitation, limited to 30 tablets & 3 fills per year
856916 IPVENT 40 40mcg./200 Dose INHALER CEF Chronic - no application Limited to 1 unit per month
704681 IPVENT-40 300 DOSE Allow Chronic - no application Limited to 1 unit per month
734012 IRUXOL MONO Allow Acute - no application Limited to 10g & 1 fill per year
734055 ISMO-20 20mg. Tablets Allow Chronic - no application Price limitation
702353 ISOFLAVONE EXTRACT E Excluded Excluded - Patent homeopathic medicine.
814695 ISOFOR Excl Excluded Excluded, injections included in consultation fee
791806 ISOKET 10ML Excl Excluded Excluded, injections included in consultation fee
791784 ISOKET 50mg. x50ml.vial Infusion Bottle Excl Excluded Excluded, injections included in consultation fee
734330 ISOPROPYL ALCOHOL Excl Excluded Excluded - Galenicals
848697 ISOPROPYL ALCOHOL Excl Excluded Excluded - Galenicals
892041 ISOPROPYL ALCOHOL Excl Excluded Excluded - Galenicals
734357 ISOPTIN 120mg. Dragees CEF Reject/Chronic Step, Price & quantity limitation : Rejected as monotherapy for hypertension. Chronic as third line agent in hypertension after a diuretic/ beta-blocker/ACE-inhibitor.
734136 ISOPTIN 2.5mg./ml. x2ml.amp Inject. Excl Excluded Excluded, injections included in consultation fee
734071 ISOPTIN 40mg. Dragees CEF Reject/Chronic Step, Price & quantity limitation : Rejected as monotherapy for hypertension. Chronic as third line agent in hypertension after a diuretic/ beta-blocker/ACE-inhibitor.
734101 ISOPTIN 80mg. Dragees CEF Reject/Chronic Step, Price & quantity limitation : Rejected as monotherapy for hypertension. Chronic as third line agent in hypertension after a diuretic/ beta-blocker/ACE-inhibitor.
734373 ISOPTIN SR 240mg. Tablets CEF Reject/Chronic Step, Price & quantity limitation : Rejected as monotherapy for hypertension. Chronic as third line agent in hypertension after a diuretic/ beta-blocker/ACE-inhibitor.
734276 ISOPTO ATROPINE 5ML 1% 10mg./ml. x5ml. Drops Ophth. DROPS OPHTH. CEF Acute - no application Limited to 1 unit per fill & 12 fills per year
734284 ISOPTO CARPINE 15ML 1% x15ml. SOLN. OPHTH. CEF Chronic - no application Limited to 1 unit per fill & 12 fills per year
734179 ISOPTO CARPINE 15ML 2% x15ml. SOLN. OPHTH. CEF Chronic - no application Limited to 1 unit per fill & 12 fills per year
734195 ISOPTO CARPINE 15ML 4% x15ml. SOLN. OPHTH. CEF Chronic - no application Limited to 1 unit per fill & 12 fills per year
734322 ISOPTO HOMATROPINE 5ML 2% x5ml. Soln. Ophth. Allow Acute - no application Limited to 1 unit per fill & 12 fills per year
734381 ISORDIL 10mg. Tablets Allow Chronic - no application Price limitation
734403 ISORDIL 30mg. Tablets Allow Chronic - no application Price limitation
734411 ISORDIL 5mg. Tablets Allow Chronic - no application Price limitation
734438 ISORDIL TEMBIDS 40mg. Tablets Allow Chronic - no application Price limitation.
821853 ISOTREX Allow Acute - no application Price limitation & limited to 4 fills per year.
854131 ISOVIST 240 10ML Excl Excluded Excluded - Diagnostics
806781 ISOVORIN 175mg. vial Inject. Non-F Excluded Excluded, injections included in consultation fee, apply for oncology benefits
806765 ISOVORIN 25mg. vial Inject. Non-F Excluded Excluded, injections included in consultation fee, apply for oncology benefits
846627 ISOVORIN RTU Non-F Excluded Excluded, injections included in consultation fee, apply for oncology benefits
846635 ISOVORIN RTU Non-F Excluded Excluded, injections included in consultation fee, apply for oncology benefits
703384 IVEDAL 10MG TABLETS CEF Acute - no application Price limitation, limited to 14 days supply & 6 fills per year
840742 IZACEF Excl Excluded Excluded, injections included in consultation fee
799971 IZACEF 500mg. x10ml.vial Inject. Excl Excluded Excluded, injections included in consultation fee
898016 JELONET 100X100MM(3/ENV)7 Non-F Excluded Excluded - Medicinal dressings
734616 JELONET J10 Non-F Excluded Excluded - Medicinal dressings
836389 JELONET N/INTERLEAVED J4 95mmx95mm pcs. Dressing Sterile Non-F Excluded Excluded - Medicinal dressings
836397 JELONET N/INTERLEAVED J5 95mmx95mm pcs. Dressing Sterile Non-F Excluded Excluded - Medicinal dressings
873357 JELONET NON I/L 100X100 Non-F Excluded Excluded - Medicinal dressings
873365 JELONET NON I/L 100X100 Non-F Excluded Excluded - Medicinal dressings
836427 JELONET PEEL PACK J7 100X Non-F Excluded Excluded - Medicinal dressings
4651 - 4700 of 9613 Medicine's

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