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

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Drug NameAPRISO CAP 28APTIVUS CAP 20APTIVUS SOLN. 20ARALAST NP INJ. 33aranelle tab 23ARCALYST INJ. 7ARRANON INJ 18ARZERRA CONC. 18ascomp/ codeine cap 8ASMANEX INHALER 10atenolol tab 22atenolol/ chlorthalidone 16tabATGAM INJ 21atorvastatin tab 15atovaquone/ proguanil tab 17ATRIPLA TAB 20atropine inj. 34ATROVENT HFA10INHALERaugmented betamethasone 25creamaugmented betamethasone 25lotionaugmented betamethasone 25ointAVANDAMET TAB 12AVANDARYL TAB 13AVANDIA TAB 2MG, 134MGAVANDIA TAB 8MG 13AVASTIN INJ. 18AVELOX ABC PACK 27AVELOX INJ. 27AVELOX TAB 27aviane tab 23AVODART CAP 28AVONEX KIT 33AVONEX PREFILL KIT 33AXIRON SOLN. 9AZASITE OPHTH SOLN. 31azathioprine inj. 21azathioprine tab 21azelastine nasal spray 30azelastine ophth soln. 32AZILECT TAB 19azithromycin inj. 29按英文字母排列的藥物表DrugTierNotesDrug Nameazithromycin susp. 100mg/ 295mlazithromycin susp. 200mg/ 295mlazithromycin tab 250mg 29azithromycin tab 500mg 29azithromycin tab 600mg 29aztreonam inj. 16Bbaciim inj. 16BACITRACIN INJ 16bacitracin ophth oint. 31bacitracin/ polymyxin B 31ophth oint.baclofen tab 30balsalazide cap 28balziva tab 23BANZEL SUSP. 11BANZEL TAB 11BARACLUDE SOLN. 21BARACLUDE TAB 21B-D INSULIN SYRINGE 29benazepril tab 15benazepril/ hctz tab 16benztropine inj. 19benztropine tab 19betamethasone dip lotion 25betamethasone25dipropionate creambetamethasone25dipropionate oint.betamethasone valerate 25creambetamethasone valerate 25foambetamethasone valerate 25lotionbetamethasone valerate 25ointBETASERON INJ. 33betaxolol ophth soln. 31betaxolol tab 22betaxolol tab 20mg 22bethanechol tab 34bicalutamide tab 17BICNU INJ. 17bisoprolol tab 22bisoprolol/ hctz tab 1637Drug NotesTierbleomycin sulfate inj. 17BONIVA 26BOOSTRIX INJ. 34BOSULIF TAB 18BOTOX INJ 31briellyn tab 23BRILINTA TAB 28brimonidine ophth soln. 31bromfenac ophth soln. 32bromocriptine cap 19bromocriptine mesylate tab 19budeprion tab sr 11budesonide EC cap 23budesonide susp. 10bumetanide inj. 26bumetanide tab 26BUPHENYL POWDER 27BUPHENYL TAB 27buprenorphine inj. 8buprenorphine sl tab 8buproban tab 33bupropion sr tab 11bupropion tab 11buspirone tab 9BUSULFEX INJ. 18butalbital/ apap/ caffeine/ 8codeine capBUTISOL SOD ELX 28BUTISOL SOD TAB 29butorphanol inj. 8butorphanol soln. 8BYDUREON 13BYETTA INJ. 13Ccabergoline tab 27calcipotriene cream 24calcipotriene oint. 24calcipotriene soln. 24calcitonin nasal spray 26calcitriol cap 27calcitriol inj. 27calcitriol soln. 27calcium acetate cap 28camila tab 23CAMPATH INJ. 17CAMPRAL TAB 33CANASA28SUPPOSITORY
按英文字母排列的藥物表Drug NameDrug NotesDrug NameDrug NotesTierTierCANCIDAS INJ. 14 cefuroxime tab 23 ciprofloxacin IV soln. 27candesartan/ hctz tab 16 CELEBREX CAP 7 ciprofloxacin ophth soln. 31CAPASTAT INJ. 17 CELLCEPT IV INJ 21 ciprofloxacin tab 27CAPRELSA TAB 17 CELLCEPT SUSP. 21 cisplatin inj. 18captopril tab 15 CELONTIN CAP 11 citalopram soln. 12captopril/ hctz tab 16 cephalexin cap 22 citalopram tab 12CARAFATE SUSP. 34 cephalexin susp 22 claravis cap 24carbamazepine chew tab 11 cephalexin tab 23 clarithromycin ER tab 29carbamazepine ER cap 11 CEREZYME INJ. 28 clarithromycin susp. 29carbamazepine ER tab 11 CERUBIDINE INJ. 18 clarithromycin tab 29carbamazepine susp. 11 CERVARIX INJ. 35 clemastine syrup 14carbamazepine tab 11 CESAMET CAP 14 clemastine tab 14carbidopa/ levodopa er tab 19 cetirizine syrup 14 CLINDACIN PACK 24carbidopa/ levodopa ODT 19 cevimeline cap 30 clindamycin cap 16tabCHANTIX PAK 33 clindamycin inj. 16carbidopa/ levodopa tab 19 CHANTIX TAB 33 clindamycin phosphate 24carbinoxamine tab 14 CHEMET CAP 13 foamcarboplatin inj. 17 chloramphenicol inj. 16 clindamycin phosphate gel 24CARIMUNE NF INJ. 32 chlordiazepoxide cap 9 clindamycin phosphate 24carisoprodol tab 30 chlordiazepoxide/33 lotioncarisoprodol/ aspirin tab 30 amitriptyline tabclindamycin phosphate 24carteolol ophth soln. 31 chlorhexidine gluconate 30 soln.cartia xt cap 22 soln.clindamycin phosphate 24carvedilol tab 22 chloroquine tab 17 swabCAYSTON 28 DAY 16 chlorothiazide inj. 26 clindamycin vaginal cream 35CEENU CAP 17 chlorothiazide tab 26 clindamycin/ benzoyl 24cefaclor cap 23 chlorpromazine inj. 20 peroxide gelcefaclor ER tab 23 chlorpromazine tab 20 CLINIMIX E INJ. 31cefadroxil cap 22 chlorthalidone tab 26 CLINIMIX INJ. 31cefadroxil susp. 22 chlorzoxazone tab 30 clinisol sf inj. 31cefadroxil tab 22 cholestyramine light 15 clobetasol e cream 25cefazolin inj. 22 powderclobetasol gel 25cefazolin/ d5w inj. 22 cholestyramine lite powder 15 clobetasol oint 25cefdinir cap 23 packetclobetasol propionate 25cefdinir susp. 23 chorionic gonadotropin 26 lotioncefepime inj. 23 inj.clobetasol propionate 25cefotaxime inj. 23 ciclopirox cream 24 shampooCEFOTETAN INJ. 23 ciclopirox gel 24 clobetasol soln. 25cefoxitin inj. 23 ciclopirox nail lacquer 24 clobetasol topical foam 25cefoxitin/ dextrose inj. 23 ciclopirox shampoo 24 clomipramine cap 12cefpodoxime susp. 23 ciclopirox soln. 24 clonazepam odt tab 10cefpodoxime tab 23 cilostazol tab 28 clonazepam tab 10cefprozil susp. 23 cimetidine inj. 34 clonidine patch 15cefprozil tab 23 cimetidine oral soln. 34 clonidine tab 15ceftazidime inj. 23 cimetidine tab 34 clopidogrel tab 28ceftazidime/ dextrose inj. 23 CIMZIA KIT 28 clorazepate tab 9ceftriaxone inj. 23 CIPRODEX OTIC SUSP. 32 clotrimazole cream 24cefuroxime inj. 23 ciprofloxacin er tab 27 clotrimazole soln. 2438
Page 1 and 2: Plan Year 2013CCHP Senior Select Pr
Page 3: 甚麼是東華智選 (HMO SN
Page 7 and 8: 東華智選 (HMO SNP) 計劃
Page 10 and 11: 任3 頁第(LD): 這房SUBOXONE S
Page 12 and 13: 任3 頁第求殊(LD): 這房ONF
Page 14 and 15: 任3 頁第(LD): 這房AVANDARYL
Page 16 and 17: 任3 頁第(LD): 這房promethazi
Page 18 and 19: 任3 頁第求殊(LD): 這房pol
Page 20 and 21: 任3 頁第(LD): 這房ZELBORAF T
Page 22 and 23: 任3 頁第(LD): 這房VIRACEPT T
Page 24 and 25: 任3 頁第(LD): 這房何特
Page 26 and 27: 任3 頁第特殊要求(LD): 這
Page 28 and 29: 任3 頁第(LD): 這房SOMAVERT I
Page 30 and 31: 任3 頁第(LD): 這房BUTISOL SO
Page 32 and 33: 任3 頁第(LD): 這房flunisolid
Page 34 and 35: 任3 頁第(LD): 這房何殊
Page 36 and 37: 任3 頁第(LD): 這房PEDVAX HIB
Page 40 and 41: 按英文字母排列的藥
Page 42 and 43: Drug NameDrugTierNotesDrug Nameflun
Page 44 and 45: Drug Namelessina-28 tab 23LETAIRIS
Page 46 and 47: Drug NameNORMOSOL/DEXTROSE INJ.NORM
Page 48 and 49: 按英文字母排列的藥
Page 50 and 51: Drug NameDrugTierTYZINE NASAL SOLN.

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

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