Agent Guide | Short Term Care
ManhattanLife
LIMITED BENEFITS
MEDICATION
CONDITION
DECLINE
Olysio
Hepatitis C
Y Y
Peg-Intron
Hepatitis C (injection)
Pembrolizumab
Lung Cancer
Y
Permax
Parkinson's Disease
Perphenazine
Schizophrenia
Y Y Y
Plaquenil
RA/Lupus
Plavix
Prevent Blood Clot/Stroke
Pramipexole
RLS/Parkinson's Disease
Prezista Proair Procrit Prograf Prolixin Prozac
HIV
Y
Asthma/COPD
Y
Anemia in pts w/Renal Failure, HIV, CA
Prevent Organ Transplant Rejection
Y Y Y Y
Schizophrenia/Psychosis
Panic Disorder/Depression
Pulmicort
Asthma/COPD
Acute Lymphocytic Leukemia/Ulcerative Colitis/Crohn’s
Purinethol
Y
Quetiapine Ramipril Razadyne
Bipolar Disorder/Schizophrenia
Y Y
CHF/High Blood Pressure
Alzheimer's Disease
Y
Rebif
MS
Y
Reminyl Requip
Alzheimer's Disease
Y
RLS/Parkinson's Disease
Rheumatrex
Cancer/RA
Y
Rilutek Riluzole
ALS ALS
Y Y Y Y
Risperdal
Schizophrenia/Bipolar Disorder Schizophrenia/Bipolar Disorder
Risperidone Rivastigmine
Alzheimer's Disease
Y Y Y Y
Ropinirole
RLS/Parkinson's Disease
Sacubitril/ Valsartan
Chronic Heart Failure
Selegiline
Depression/Parkinson's Disease
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AGT-STC 0125
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