Agent Guide | Short Term Care
ManhattanLife
LIMITED BENEFITS
MEDICATION
CONDITION
DECLINE
Bicalutamide
Prostate CA
Y
Breo
COPD/Asthma
Y
Bumex
Fluid Retention/CHF
Busulfan Carbidopa Carvedilol
Leukemia
Y Y
Parkinson's Disease
CHF/High Blood Pressure
Y
Casodex CellCept
Prostate CA
Y
Transplant Anti-Rejection/Lupus
Y
Chlorambucil
Leukemia
Y
Chlordiazepoxide Chlorpromazine
Anxiety/Alcoholism
Y Y
Schizophrenia
Dry Eyes/Organ Transplant Rejection/RA/ Psoriasis/Nephrotic Syndrome
Ciclosporin
Clonazepam Clopidogrel
Seizures/Panic Disorder
Y Y Y Y
Prevent Blood Clot/Stroke
Clozapine
Schizophrenia Schizophrenia
Clozaril
Cogentin
Parkinson's Disease Alzheimer's Disease
Cognex
y
Combivent
COPD
Y
Comtan
Parkinson's Disease
Copaxone
MS (injection)
Y Y
Coreg
CHF/High Blood Pressure
Cyclophospha-mide
Cancer
Y
Dry Eyes/Organ Transplant Rejection/RA/ Psoriasis/Nephrotic Syndrome
Cyclosporine
Cytoxan
Cancer
Y
Daclatasvir
Hepatitis C Hepatitis C
Y Y
Daklinza
Anemia in pts w/Chronic Renal Failure & CA Chemotherapy
Darbepoetin Alfa
Y
Darunavir Diazepam
HIV
Y
Anxiety/Alcohol Withdrawal/Muscle Spasms
Y
AGT-STC 0125
14
Made with FlippingBook. PDF to flipbook with ease