Rods – Prescription Drugs

A. HEALTH BENEFITS

(4) PRESCRIPTION DRUGS

· Allergy medication,93-029

· Benefits excluded

–medication dispensed by physician,78-116, 81-057

–medication experimental in nature,81-504, 84-123, 88-445

–medically reasonable and necessary,88-099, 88-256, 88-293, 93-090, CA-072, 11-0065

–obesity treatment, 78-104, 78-296, 88-293

–medications dispensed in a hospital (including take home drugs), 11-0126, 11-0137

–infertility, 16-0001

· Benefits Provided , CA-130

· Copay and Deductibles:, CA-130

. Coal Act formulary:, CA-132

· Dosage limits-override, 02-006

· Estrogens/progestogens, 88-202, 88-445, 16-0001

· Formulary drug program with surcharge, 98-013, 98-014, 02-002, CA-056, 93-098, CA-072, 07-0050, CA-130

· Generic vs. brand name,93-079, 93-098, CA-072

· Human growth hormone, 84-041

· Infant formula, 78-126, 78-227, 84-408

· Liquid nutrient,88-103, 88-313

Medically necessary, 16-0001

· Non-prescription drugs/ over the counter, 81-021, 81-561, 84-098, 84-502, 84-504, 11-0137

· Payment of initial prescriptions,78-013

· Pregnancy /ovulation assisting medication, 93-026

· Refills beyond the initial six month prescription, 88-099

· Transdermal nicotine patches,88-578

· Viagra, CA-055, 98-024, CA-097