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If used in excess or incorrectly, some
medications are potentially harmful.
We help provide safeguards by setting
coverage on certain medications
based on dosing guidelines for a
30-day period established by the
drug’s manufacturer and approved by
the Food and Drug Administration.
Prescriptions included in the Responsible
Rx Program have maximum
quantities allowed for the time
frame specified for one copayment.
Medications recently added to the
program are:
| Medication | Maximum quantity per period |
Effective 12/15/05
Relpax |
1 pack of 40 mg or
2 packs of 20 mg/1 month |
Effective 12/20/05
Tamiflu
Relenza |
10 capsules/6 months
20 disks/6 months |
Effective 04/10/06
Anzemet
Emend
Kytril
Zofran, Zofran ODT |
700 mg/1 month
445 mg/21 days
14 mg/1 month
168 mg/1 month |
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