A. HEALTH BENEFITS
(4) PRESCRIPTION DRUGS
· Benefits excluded
–medications dispensed in a hospital (including take home drugs), 11-0126, 11-0137
· Benefits Provided , CA-130
· Copay and Deductibles:, CA-130
·
Dosage limits-override, 02-006
·
Human growth hormone, 84-041
·
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