Agent Guide | Short Term Care
ManhattanLife
LIMITED BENEFITS
MEDICATION
CONDITION
DECLINE
Selzentry
HIV
Y
Schizophrenia/Bipolar Disorder/Major Depression
Seroquel
Y
Simeprevir
Hepatitis C
Y
Sinemet
Parkinson's Disease
Sofosbuvir
Hepatitis C Hepatitis C
Y Y Y
Sovaldi
Spironolactone
High Blood Pressure/CHF/Edema
Tacrine
Alzheimer's Disease
Y
Tacrolimus Tamoxifen
Prevent Organ Transplant Rejection
Y
Cancer Cancer
Y Y
Tarceva Tasmar Tegretol
Parkinson's Disease
Seizures/Bipolar Disorder
Y
Tetrabenazine
Huntington's Disease/Chorea
Y
Thorazine Tolcapone
Schizophrenia
Y
Parkinson's Disease
Trexall Valium Vasotec Xeloda
Cancer/RA
Anxiety/Alcohol Withdraw/Muscle Spasm
Y Y
CHF/High Blood Pressure
Colon/Breast CA
Y Y
Xenazine Zaroxolyn
Huntington's Disease/Chorea
Fluid Retention/CHF
Y Y Y Y Y
Zestril
CHF/High Blood Pressure
Ziprasidone
Schizophrenia/Bipolar Disorder
Zoloft
Panic Disorder/Depression/PTSD
Zyprexa
Schizophrenia/Bipolar Disorder
Zytiga
Cancer
Y
Medications/Therapeutic Use Reference Want instant access to this medication list on your phone? Scan this QR!
AGT-STC 0125
18
Made with FlippingBook. PDF to flipbook with ease