Nappi Name Action Status Rules
700310 LANTUS 1000IU/10ML CEF Chronic/MAC - no application MAC: Price limitation & quantity limitation applicable per fill. Preferred product conventional long-acting insulin due to benefit/cost ratio.
700308 LANTUS 300IU/3ML CEF Chronic/MAC - no application MAC: Price limitation & quantity limitation applicable per fill. Preferred product conventional long-acting insulin due to benefit/cost ratio.
701783 LANTUS 300IU/3ML O/TEST DISP PEN CEF Chronic/MAC - no application MAC: Price limitation & quantity limitation applicable per fill. Preferred product conventional long-acting insulin due to benefit/cost ratio.
735825 LANVIS 40mg. Tablets 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)
831425 LANZOR 15mg. Capsules Allow Acute - no application Preferred product omeprazole generic. Price limitation, also limited to 30 tablets & 3 fills per year on all PPI's. Not considered for chronic benefits, disease not on the chronic disease list.
793752 LANZOR 30mg. Capsules Allow Acute - no application Preferred product omeprazole generic. Price limitation, also limited to 30 tablets & 3 fills per year on all PPI's. Not considered for chronic benefits, disease not on the chronic disease list.
703141 LANZOR HB Allow Acute - no application Preferred product omeprazole generic. Price limitation, also limited to 30 tablets & 3 fills per year on all PPI's. Not considered for chronic benefits, disease not on the chronic disease list.
817317 LAPIDAR NO.9 E Excluded Excluded - Patent homeopathic medicine.
735833 LARGACTIL SYRUP CEF Chronic - no application Price limitation.
735884 LARGACTIL 100mg. TABLETS CEF Chronic - no application Price limitation.
735914 LARGACTIL 2.5% x2ml.amp Inject. Excl Excluded Excluded, injections included in consultation fee
735868 LARGACTIL 25mg. TABLETS CEF Chronic - no application Price limitation.
735876 LARGACTIL 50mg. TABLETS CEF Chronic - no application Price limitation.
797677 LARIAM 250mg. Tablets Allow Acute - no application Malaria prophylaxis available on acute, limited to 1 fill per year.
736007 LASIX 10mg./ml. x25ml.amp Inject. Excl Excluded Excluded, injections included in consultation fee
735981 LASIX 10mg./ml. x2ml.amp Inject. Excl Excluded Excluded, injections included in consultation fee
735930 LASIX 20mg. Tablets Allow Chronic - no application Price limitation.
735949 LASIX 40mg. Tablets Allow Chronic - no application Price limitation.
735957 LASIX 500mg. TABLETS Excl Excluded Expensive item - Generic furosemide 40mg tablets available
780839 LASIX 80mg. Tablets Allow Chronic - no application Price limitation & limited to 30 tablets per fill.
839515 LASIX ORAL 10mg./ml. ml. Soln. Oral SOLN. ORAL CEF Chronic - no application Price limitation.
735973 LASIX RETARD 60mg. Capsules Non-F Reject Pre-authorisation required. Generic furosemide 40mg tablets available on the automated chronic list
736031 LASPAR 10000iu vial Inject. 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)
701915 LATENSIN 6X E Excluded Excluded - Patent homeopathic medicine.
700092 LAURA 10 Allow Acute - no application Price limitation, limited to 10 tablets & 3 fills per year
866415 LAVAND BODY M Excl Excluded Excluded - Moisturizers
866431 LAVAND NIPPLE Excl Excluded Excluded - Moisturizers
866458 LAVAND VARIGO Excl Excluded Excluded - Moisturizers
866466 LAVAND VERGATURE A STRETC Excl Excluded Excluded - Moisturizers
892025 LAVENDER ESSENTIAL OIL E Excluded Excluded - Patent homeopathic medicine.
817309 LAXETTE 3.3g./5ml. ml. Susp. Allow Acute - no application Price limitation.
700167 LAXETTE DRY (10G) SACHETS Allow Acute - no application Price limitation & limited to 10 per month
849413 LCC PEPPERMINT COUGH MIXT Allow Acute - no application Price limitation & limited to 4 fills per year.
701886 LEAF E Excluded Excluded - Patent homeopathic medicine.
837466 LEANOR Excl Excluded Excluded - Slimming products
787191 LECTRO SOLUTION CEF Acute - no application Price limitation. Limited to 100ml per fill & 6 fills
736163 LEDERCORT DIACET. 25mg./ml. x5ml.amp Inject. Excl Excluded Excluded, injections included in consultation fee
736155 LEDERSPAN 20mg./ml. x5ml.vial Inject. Excl Excluded Excluded, injections included in consultation fee
785849 LEGALON 70 Excl Excluded Excluded, no exceptions.
892027 LEMON GRASS ESSENTIAL OIL E Excluded Excluded - Patent homeopathic medicine.
854506 LEMON LITE COMPLEXION Excl Excluded Excluded - Moisturizers
856282 LEMON LITE COMPLEXION Excl Excluded Excluded - Moisturizers
830089 LEN VK 125mg./5ml. ml. Susp. Allow Acute - no application Price limitation - limited to 100ml & 3 fills per 3 months
736635 LEN VK 250mg. Tablets Allow Acute - no application Price limitation - limited to 20 tablets & 3 fills per 3 months
887034 LENACLOR Allow Reject / Acute Step on first line & Price limitation.
886986 LENACLOR 125P Allow Reject / Acute Step on first line & Price limitation.
886994 LENACLOR 250P Allow Reject / Acute Step on first line & Price limitation.
887011 LENACLOR BD 187 Allow Reject / Acute Step on first line & Price limitation.
887018 LENACLOR BD FORTE Allow Reject / Acute Step on first line & Price limitation.
887026 LENACLOR CAPSULES Allow Reject / Acute Step on first line & Price limitation.
4901 - 4950 of 9613 Medicine's

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