CCHP Senior Select Program (HMO SNP) 東華智選(HMO SNP)計劃

任3 頁 第(LD): 這 房何 殊 求 限 , 參 本 。 約 注 特 要PROGESTINS或medroxyprogesterone制 請 閱 冊 特 藥tab 1藥 物 名 稱藥 物等 級特 殊MEGACE ES SUSP. 2norethindrone tab 1要 求progesterone cap 1PSYCHOTHERAPEUTIC ANDNEUROLOGICAL AGENTS - MISC.AGENTS FOR CHEMICAL DEPENDENCYCAMPRAL TAB 2disulfiram tab 1ANTI-CATAPLECTIC AGENTSXYREM SOLN.2ANTIDEMENTIA AGENTSdonepezil odt tab 1donepezil tab 1LDEXELON PATCH2 STEXELON SOLN.2 STgalantamine ER cap 1galantamine soln. 1galantamine tab 1NAMENDA SOLN. 2NAMENDA TAB 2NAMENDA TITRATION PACK 2rivastigmine tab 1COMBINATION PSYCHOTHERAPEUTICSchlordiazepoxide/ amitriptyline tab 1perphenazine/ amitriptyline tab 1FIBROMYALGIA AGENTSSAVELLA TABSAVELLA TITRATION PACK22QL=68Tabs/34DaysQL=1Kits/34DaysMOVEMENT DISORDER DRUG THERAPYXENAZINE TAB2 LD PAMULTIPLE SCLEROSIS AGENTSAMPYRA TAB2 LD PAAVONEX KIT2AVONEX PREFILL KITBETASERON INJ.22PA QL=4Syringes/28 DaysPA QL=4Injections/28 DaysPAQL=15Injections/30 DaysCOPAXONE KITEXTAVIA INJ.只 能 在 某 些 藥 房 提 供 。 些 藥 物 名 稱GILENYA CAPREBIF INJ.REBIF INJ. TITRATION PACK2222藥 物等 級2PA QL=1Kits/30DaysPAQL=15Injections/30 DaysPAPAQL=16Injections/35 Days特 殊要 求PA QL=3Kits/28DaysTYSABRI INJ.2 LD PAPSEUDOBULBAR AFFECT (PBA) AGENTSNUEDEXTA CAP2 PAPSYCHOTHERAPEUTIC ANDNEUROLOGICAL AGENTS - MISC.ergoloid mesylate tab 1ORAP TAB 2SMOKING DETERRENTSbuproban tab 1CHANTIX PAK 2CHANTIX TAB 2NICOTROL INHALER 2NICOTROL NS SPRAY 2RESPIRATORY AGENTS - MISC.ALPHA-PROTEINASE INHIBITOR (HUMAN)ARALAST NP INJ.2PROLASTIN INJ.2CYSTIC FIBROSIS AGENTSKALYDECO TAB2PULMOZYME SOLN.2SULFONAMIDESSULFONAMIDESSULFADIAZINE TAB 1TETRACYCLINESTETRACYCLINESdemeclocycline tab 1doxycycline cap 1doxycycline hyclate cap 1doxycycline hyclate inj. 1doxycycline hyclate tab 1doxycycline monohydrate tab 50mg, 175mg, 150mgminocycline cap 1minocycline er tab 1LD PALD PAPAPA意 =33