Bardzo tanie apteki z dostawą w całej Polsce kupic levitra i ogromny wybór pigułek.

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Introduction
· Due to restricted space, only a summarised version of active ingredients can be published.
· The formulary focuses on cost-effective medicine use and therefore will be particularly useful for members on low benefit options.
· Where appropriate, please prescribe generics to avoid or limit generic co-payments or out of pocket expenses/ to the patient.
· Motivations may be considered for additional drugs/items not on the formulary, or the patient does not respond, Purpose of the Go for Green formulary
· The formulary was designed as communication tool to give the busy practitioner some indication of the likelyhood of payment.
· Allows patients to receive rational, effective treatment at an affordable cost, without compromising care.
· To ensure utilisation in line with Evidence Based Medicine (EBM) principles.
Please note:
Only items marked withMot needs pre-authorisation for the following options: Optimum, Basic A and Classic options. Forms available by dialling 082 239 2815 from any tone-dialling fax
machine - Form 3300 or contact General Practitioner Line: 0861 000 402 or Pharmacist Line: 0861 000 412
Pharmacists :
Please use the ICD10 code of Z76.8 to claim for Pharmacist Advised Therapy benefits.
Classic & Optimum: Any medication that is schedule one or two can be claimed as an OTC by any Pharmacy provider. The PAT medicine limit is R120.00. ☻Green light means go as the medicine item marked is available with very few electronic checks and requirements to be met. Generic, quantity and ‘’refill- too-soon’ checks apply.
Yellow light means slow down, as there are more electronic checks and requirements to be met such as the above plus (1) clinical step therapy algorithms of more cost effective items to be
used first, and (2) therapeutic pricing where the patient needs to pay in the difference between the more expensive non-formulary prescribed item and the formulary item
Red light means that the medicine item is not on the formulary and you need to stop if you want to avoid out of pocket expenses for the patient. Patients who prefer this item are likely to
incur a extra Maximum Allowed Co-payment.
No entry. Items marked like this may be prescribed, but the medical scheme will never pay for this medicine item – the patient needs to fund it him/herself. Some reasons for this could be that
the specific medicine item falls outside of the scope of the Scheme Rules, or it may not adhere to Evidence Based Medicine.
‘=Means that there are generic equivalents available. Please remember to still check their prices to ensure you pay as little as possible for the same medicine
‘≈’ Means that there are alternatives available on the green list that have a similar effect that is more cost-effective.
T Means it needs to adhere to a specific clinical protocol, such as second line therapy (once an alternative first line item has been used in the recent past), OR it will only be funded if initiated by s specialist.
$ Indicates a certain MAC co-payment for that item which will lead to out of pocket expenses to the patient.
F Indicates a specific fill limitation per period for that item.
sed Therapy
Active ingredient
Formulation
linical rules
Guideline
for lower
ANTIHISTAMINES
Pharmaceutical Benefit Management (Pty) Ltd sed Therapy
Active ingredient
Formulation
linical rules
Guideline
for lower
Guideline f
ANTI-NAUSIA
CARDIO VASCULAR
Pharmaceutical Benefit Management (Pty) Ltd sed Therapy
Active ingredient
Formulation
linical rules
Guideline
for lower
Guideline f
Pharmaceutical Benefit Management (Pty) Ltd sed Therapy
Active ingredient
Formulation
linical rules
Guideline
for lower
Guideline f
CHOLESTEROL LOWERING
COLD & FLU
COMBINATION TABLETS Paracetamol, Phenylephrine, COMBINATION TABLETS Caffeine anhydrous, Chlorpheniramine, ORAL Pharmaceutical Benefit Management (Pty) Ltd sed Therapy
Active ingredient
Formulation
linical rules
Guideline
for lower
Guideline f
COUGH & COLD
THEOPHEN ELIX /THEOPHYLLIN EXPECT / LINK DYNALEX / Chlorpheniramine Codeine phosphate, Phenylephrine salicylate Pharmaceutical Benefit Management (Pty) Ltd sed Therapy
Active ingredient
Formulation
linical rules
Guideline
for lower
Guideline f
EPHEDRINE, Cimicifugae tinc, Eucalyptus oil, Grindeliae tinc, Menthol, Pimpinellae tinc, Primulae tinc, Quebracho tinc, Saponin, Thymi tinc EAR NOSE & THROAT
SEPTADINE ORAL ANTISEPTIC / STERIDINE MOUTHWASH ANTIBIOTIC & CORTISONE BENZOCAINE, Chloramphenicol Pharmaceutical Benefit Management (Pty) Ltd sed Therapy
Active ingredient
Formulation
linical rules
Guideline
for lower
Guideline f
GASTRO INTESTINAL TRACT
BISMUTH SUBGALLATE, Balsam peru, Benzyl benzoate, Bismuth oxide, Bismuth subiodide, Boric acid, Pramoxine, Resorcinol, Zinc oxide peru, Benzyl benzoate, Bismuth oxide, TOP BISMUTH SUBGALLATE, Balsam peru, Benzyl benzoate, Bismuth oxide, Bismuth resorcinol compound, Bismuth subiodine, Boric acid, Zinc oxide MAYOGEL SUSP / SPASMOGEL / COMPU-GEL /DICYCLOMINE CO GEL / ACIDEX SUSPENSION ALUM HYDROXIDE GEL / AMPHOJEL / MIST ALUMINIUM HYD / ALUMINIUM HYDROXIDE GEL Yes ═ ≈
Pharmaceutical Benefit Management (Pty) Ltd sed Therapy
Active ingredient
Formulation
linical rules
Guideline
for lower
Guideline f
attapulgite, Aminopentamide, Bismuth ORAL LOPERASTAT ROLAB-LOPERAMIDE / CIPLA-LOPERAMIDE / HORMONES DIABETIC
Pharmaceutical Benefit Management (Pty) Ltd sed Therapy
Active ingredient
Formulation
linical rules
Guideline
for lower
Guideline f
HORMONES
Pharmaceutical Benefit Management (Pty) Ltd sed Therapy
Active ingredient
Formulation
linical rules
Guideline
for lower
Guideline f
INFECTIONS -CHRONIC
INFECTIONS
INFECTIONS - ANTIBIOTICS
Pharmaceutical Benefit Management (Pty) Ltd sed Therapy
Active ingredient
Formulation
linical rules
Guideline
for lower
Guideline f
INFECTIONS -ANTIFUNGAL
METABOLIC
MUSCULO SKELETAL
Pharmaceutical Benefit Management (Pty) Ltd sed Therapy
Active ingredient
Formulation
linical rules
Guideline
for lower
Guideline f
INZA / IBUMAX /RANFEN TAB / BETAPROFEN / ROLAB-IBUPROFEN / BREN TABS / IBUSOR TABS NEUROLOGY
═ ≈ Mot $ T
Pharmaceutical Benefit Management (Pty) Ltd sed Therapy
Active ingredient
Formulation
linical rules
Guideline
for lower
Guideline f
OPTHALMIC
PAINKILLERS
Pharmaceutical Benefit Management (Pty) Ltd sed Therapy
Active ingredient
Formulation
linical rules
Guideline
for lower
Guideline f
ALUMINIUM ACETYLSALICYLATE, Caffeine, Chlorphenoxamine, Codeine Phosphate, Paracetamol, Phenobarbitone, Vit C DOSTIL, FAMCOD, NITROCOD, PARACODOL, PARAN, ROCODIN, PSYCHIATRY
Pharmaceutical Benefit Management (Pty) Ltd sed Therapy
Active ingredient
Formulation
linical rules
Guideline
for lower
Guideline f
PULMONARY
Pharmaceutical Benefit Management (Pty) Ltd sed Therapy
Active ingredient
Formulation
linical rules
Guideline
for lower
Guideline f
Pharmaceutical Benefit Management (Pty) Ltd sed Therapy
Active ingredient
Formulation
linical rules
Guideline
for lower
Guideline f
Pharmaceutical Benefit Management (Pty) Ltd sed Therapy
Active ingredient
Formulation
linical rules
Guideline
for lower
Guideline f
VACCINES
VITAMINS MINERALS & ELECTROLYTES
Pharmaceutical Benefit Management (Pty) Ltd

Source: http://www.yaronanetwork.co.za/images/MOTO%20hEALTH%20CARE%20formulary.%2020080623.V3.pdf

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