Nappi Name Action Status Rules
700949 LAMICTIN 25 VP STARTER PK TABLETS CEF Reject / Chronic Step & Price limitation. Considered if in combination with conventional anticonvulsants.Telephonic motivation for special indications.
805513 LAMICTIN 50 50mg. TABLETS CEF Reject / Chronic Step: Chronic if in combination with conventional anticonvulsants.Telephonic motivation for special indications, provider please phone 0861 114 611. Price limitation.
700954 LAMICTIN 50 NVP STARTER P TABLETS CEF Reject / Chronic Step: Chronic if in combination with conventional anticonvulsants.Telephonic motivation for special indications, provider please phone 0861 114 611. Price limitation.
813907 LAMICTIN P100 DISPERS 100mg. DISP TABLETS CEF Reject / Chronic Step: Chronic if in combination with conventional anticonvulsants.Telephonic motivation for special indications, provider please phone 0861 114 611
704533 LAMICTIN P2 CEF Reject / Chronic Step: Chronic if in combination with conventional anticonvulsants.Telephonic motivation for special indications, provider please phone 0861 114 611
891716 LAMICTIN P200 CEF Reject / Chronic Step: Chronic if in combination with conventional anticonvulsants.Telephonic motivation for special indications, provider please phone 0861 114 611
813893 LAMICTIN P25 DISPERS 25mg. DISP TABLETS CEF Reject / Chronic Step: Chronic if in combination with conventional anticonvulsants.Telephonic motivation for special indications, provider please phone 0861 114 611. Price limitation.
813885 LAMICTIN P5 DISPERS 5mg. DISP TABLETS CEF Reject / Chronic Step: Chronic if in combination with conventional anticonvulsants.Telephonic motivation for special indications, provider please phone 0861 114 611
891708 LAMICTIN P50 CEF Reject / Chronic Step: Chronic if in combination with conventional anticonvulsants.Telephonic motivation for special indications, provider please phone 0861 114 611
792705 LAMISIL 1% g.tube Cream CREAM CEF Acute - no application Price limitation & limited to 1 fill per year
842087 LAMISIL 125mg. TABLETS Non-F Reject Pre authorisation required. Cost-effective alternatives available on the automated list
792713 LAMISIL 250mg. Calendar TABLETS Non-F Reject Pre authorisation required. Cost-effective alternatives available on the automated list
880892 LAMISIL DERM GEL GEL DERM. CEF Acute - no application Price limitation & limited to 1 fill per year
703033 LAMISIL SPRAY 15ML Allow Acute - no application Price limitation & 1 fill per year
836486 LAMISIL TOP 1% ml. Spray Soln. Allow Acute - no application Price limitation & limited to 1 fill per year
704488 LAMITOR 100mg TABLETS CEF Reject / Chronic Step: Chronic if in combination with conventional anticonvulsants.Telephonic motivation for special indications, provider please phone 0861 114 611
704486 LAMITOR 25mg TABLETS CEF Reject / Chronic Step: Chronic if in combination with conventional anticonvulsants.Telephonic motivation for special indications, provider please phone 0861 114 611. Price limitation.
704487 LAMITOR 50mg TABLETS CEF Reject / Chronic Step & Price limitation. Considered if in combination with conventional anticonvulsants.Telephonic motivation for special indications.
704041 LAMIVIR ORAL SOL 50ML/5ML CEF-Apply Reject/ PreAuth Register on DM programme. Pre-authorisation required. Submit pathology reports and HIV form to fax (012) 673 5549.
555982 LANCET BLOOD AUTO SAFETY Allow Reject / Chronic Step therapy: Allowed with insulin and oral diabetes tablets. Type 2 diabetes - limited to 150 per year on chronic
461010 LANCET BLOOD HAEMO HL500 Allow Reject / Chronic Step therapy: Allowed with insulin and oral diabetes tablets. Type 2 diabetes - limited to 150 per year on chronic
411094 LANCET BLOOD MONOLET-2.5M Allow Reject / Chronic Step therapy: Allowed with insulin and oral diabetes tablets. Type 2 diabetes - limited to 150 per year on chronic
559116 LANCET BLOOD STERILE 0310 Allow Reject / Chronic Step therapy: Allowed with insulin and oral diabetes tablets. Type 2 diabetes - limited to 150 per year on chronic
560939 LANCET BLOOD STERILE PA 2 Allow Reject / Chronic Step therapy: Allowed with insulin and oral diabetes tablets. Type 2 diabetes - limited to 150 per year on chronic
482936 LANCET HAEMOLANCE Allow Reject / Chronic Step therapy: Allowed with insulin and oral diabetes tablets. Type 2 diabetes - limited to 150 per year on chronic
407928 LANCETS 01M61 Allow Reject / Chronic Step therapy: Allowed with insulin and oral diabetes tablets. Type 2 diabetes - limited to 150 per year on chronic
572587 LANCETS BLOOD BL1002 Allow Reject / Chronic Step therapy: Allowed with insulin and oral diabetes tablets. Type 2 diabetes - limited to 150 per year on chronic
572973 LANCETS BLOOD LETTING 690 Allow Reject / Chronic Step therapy: Allowed with insulin and oral diabetes tablets. Type 2 diabetes - limited to 150 per year on chronic
572976 LANCETS BLOOD PLASTIC 690 Allow Reject / Chronic Step therapy: Allowed with insulin and oral diabetes tablets. Type 2 diabetes - limited to 150 per year on chronic
422442 LANCETS BLOOD SOLOFIX Allow Reject / Chronic Step therapy: Allowed with insulin and oral diabetes tablets. Type 2 diabetes - limited to 150 per year on chronic
595993 LANCETS BLOOD STERILE 200 Allow Reject / Chronic Step therapy: Allowed with insulin and oral diabetes tablets. Type 2 diabetes - limited to 150 per year on chronic
556303 LANCETS FINE POINT 642279/80 EA ZZZ Allow Reject / Chronic Step therapy: Allowed with insulin and oral diabetes tablets. Type 2 diabetes - limited to 150 per year on chronic
535129 LANCETS FREESTYLE 100 130 Allow Reject / Chronic Step therapy: Allowed with insulin and oral diabetes tablets. Type 2 diabetes - limited to 150 per year on chronic
533869 LANCETS SAFETY HEMOCUE 13 Allow Reject / Chronic Step therapy: Allowed with insulin and oral diabetes tablets. Type 2 diabetes - limited to 150 per year on chronic
462026 LANCETS SURELITE BASIC CH Allow Reject / Chronic Step therapy: Allowed with insulin and oral diabetes tablets. Type 2 diabetes - limited to 150 per year on chronic
462023 LANCETS SURELITE BASIC SU Allow Reject / Chronic Step therapy: Allowed with insulin and oral diabetes tablets. Type 2 diabetes - limited to 150 per year on chronic
462015 LANCETS SURELITE CHARGEAB Allow Reject / Chronic Step therapy: Allowed with insulin and oral diabetes tablets. Type 2 diabetes - limited to 150 per year on chronic
462018 LANCETS SURELITE SUR0021 Allow Reject / Chronic Step therapy: Allowed with insulin and oral diabetes tablets. Type 2 diabetes - limited to 150 per year on chronic
701852 LANOLIN ANHYDROUS Excl Excluded Excluded - Moisturizers
701173 LANOLIN HYDROUS Excl Excluded Excluded - Moisturizers
735779 LANOXIN Injection 0.5mg/2ml INJECT. Excl Excluded Excluded, injections included in consultation fee
735744 LANOXIN PAED/GERIATIC ELIXIR CEF Chronic - no application Price limitation.
735760 LANOXIN PAED/GERIATIC TABLETS CEF Chronic - no application Price limitation.
735752 LANOXIN Tabs Allow Chronic - no application Price limitation.
860794 LANSINOH Excl Excluded Excluded - Moisturizers
704753 Lansoloc 15mg Allow Acute - no application Price limitation. Available on acute limited to 7 capsules & 3 fills per year - Cost effective omeprazole generic considered for chronic benefits on application if submitted with an available baseline gastroscopy report.
704754 Lansoloc 30mg Allow Acute - no application Price limitation. Available on acute limited to 7 capsules & 3 fills per year - Cost effective omeprazole generic considered for chronic benefits on application if submitted with an available baseline gastroscopy report.
704752 Lansoloc OTC 15mg Allow Acute - no application Price limitation. Available on acute limited to 7 capsules & 3 fills per year - Cost effective omeprazole generic considered for chronic benefits on application if submitted with an available baseline gastroscopy report.
735795 LANTANON 10mg. Tablets Allow Chronic- no application Price limitation.
735817 LANTANON 30mg. Tablets Allow Chronic- no application Price limitation.
4851 - 4900 of 9613 Medicine's

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