Capital Health Plan

Commercial Member Quantity Limits 2007

Prescription Quantity Limits

  • Proton Pump Inhibitors
  • Boniva
  • Combunox
  • Erectile Dysfunction Agents
  • Glucagon Emergency Kit
  • Nuvaring
  • Ortho Evra
  • Relenza
  • Tamiflu, Tamiflu Suspension
  • Toradol
  • Valtrex
  • Sarafem
  • Sedatives
  • Migraine Agents
  • Celebrex
  • Anzemet
  • Emend
  • Glucometers and strips
  • Kytril
  • Vagifem
  • Zofran








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