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

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按英文字母排列的藥物表Drug NameDrug NotesDrug NameDrug NotesTierTierclotrimazole troche 30 cyproheptadine syrup 15 diazepam tab 9clotrimazole/24 cyproheptadine tab 15 DIAZEPAM/ DIASTAT 10betamethasone creamCYSTADANE POWDER 27 RECTAL GELclotrimazole/24 CYSTAGON CAP 28 DIBENZYLINE CAP 15betamethasone lotioncytarabine inj. 17 diclofenac ec tab 7clozapine tab 19diclofenac ophth soln. 32DCOARTEM TAB 17diclofenac potassium tab 7dacarbazine inj. 18codeine sulfate tab 8diclofenac XR tab 7DACOGEN INJ. 17co-gesic tab 8dicloxacillin cap 32danazol cap 9colchicine/ probenecid tab 28didanosine cap 20dantrolene cap 30COLCRYS TAB 28diflorasone cream 25DAPSONE TAB 16colestipol granule 15diflorasone oint 25DAPTACEL INJ. 34colestipol tab 15diflunisal tab 8DARAPRIM TAB 17colistimethate inj. 16digoxin inj. 22daunorubicin hcl inj. 18colocort enema 9digoxin oral soln 22DECAVAC INJ. 34COMBIGAN SOLN 31digoxin tab 22demeclocycline tab 33COMBIVENT INHALER 10dihydroergotamine inj. 29DEMSER CAP 15COMBIVENT10DILANTIN CAP 11RESPIMATDENAVIR CREAM 25DILANTIN INFATAB 11DEPEN TITRATABS 21COMETRIQ PACK 18dilt-cd cap 22DEPO-PROVERA INJ 18COMPLERA TAB 20diltiazem CD cap 22desipramine tab 12compro suppository 20diltiazem ER cap 22desmopressin inj. 27COMTAN TAB 19diltiazem hcl inj. 22desmopressin nasal spray 27COMVAX INJ. 35diltiazem inj. 22desmopressin tab 27constulose soln. 29diltiazem tab 22desonide cream 25COPAXONE KIT 33dilt-xr cap 22desonide lotion 25CORTIFOAM AEROSOL 9DIOVAN HCT TAB 16desonide oint. 25cortisone tab 24DIOVAN TAB 15desoximetasone cream 25CREON CAP 26diphenhydramine cap 14desoximetasone gel 25CRESTOR TAB 15diphenhydramine inj. 14desoximetasone oint 25CRIXIVAN CAP 20diphenoxylate/ atropine 13DESOXIMETASONE 25cromolyn neb 9liquidOINT.cromolyn sodium ophth 32diphenoxylate/ atropine 13dexamethasone conc. 24soln.tabcromoyln sodium oraldexamethasone elixir 2427dipyridamole tab 28solutiondexamethasone inj. 24disulfiram tab 33dexamethasone sodium 32cryselle-28 tab 23divalproex dr tab 11phosphate ophth solnCUBICIN INJ. 16divalproex ER tab 11dexamethasone tab 24cyclafem tab 23divalproex sprinkle cap 11DEXILANT CAP 34cyclophosphamide tab 17DOCETAXEL INJ. 18dexmethylphenidate tab 7cyclosporine cap 21donepezil odt tab 33dexrazoxane inj. 18cyclosporine inj. 21donepezil tab 33dextroamphetamine er cap 7cyclosporine modified cap 21DORIBAX INJ. 16cyclosporine modifieddextroamphetamine tab 721dorzolamide ophth soln. 32soln.dextrose inj. 31dorzolamide/ timolol ophth 31dextrose/ sodium chlorideCYMBALTA CAP 20MG,3012soln.inj.60MGDOVONEX CREAM 24DIAZEPAM INTENSOL 9CYMBALTA CAP 30MG 12DIAZEPAM SOLN. 939
Drug Namedoxazosin tab 1mg, 2mg,4mgdoxazosin tab 8mg 15doxepin conc. 12doxepine cap 12DOXIL INJ. 17doxorubicin inj. 18doxycycline cap 33doxycycline hyclate cap 33doxycycline hyclate inj. 33doxycycline hyclate tab 33doxycycline monohydrate 33tab 50mg, 75mg, 150mgdronabinol cap 14DROXIA CAP 28DUETACT TAB 13EE.E.S. GRANULES 29e.e.s. tab 29econazole nitrate cream 24EDURANT TAB 20EFFIENT TAB 28ELAPRASE INJ. 27ELIDEL CREAM 25ELIPHOS TAB 28ELITEK INJ. 19ELLA 23ELMIRON CAP 28ELOXATIN INJ 18ELSPAR INJ. 18EMCYT CAP 17EMEND CAP 125MG 14EMEND CAP 40MG 14EMEND CAP 80MG 14EMEND PACK 14emoquette tab 23EMSAM PATCH 11EMTRIVA CAP 20EMTRIVA SOLN. 20enalapril tab 15enalapril/ hctz tab 16ENBREL INJ. 8endocet tab 8endodan tab 8ENGERIX-B INJ. 35enoxaparin inj. 10enpresse-28 tab 23enulose soln. 28按英文字母排列的藥物表DrugTier15Notesepinastine ophth soln. 32epinephrine inj. 10EPIPEN INJ. 35EPIPEN JR INJ. 35epirubicin inj. 18epitol tab 11EPIVIR HBV SOLN. 20EPIVIR HBV TAB 20EPIVIR SOLN. 20eplerenone tab 16EPOGEN INJ. 28EPZICOM TAB 20ERBITUX INJ. 18ergoloid mesylate tab 33ERIVEDGE CAP 18errin tab 23ery-pad 24ERYPED SUSP. 29ERY-TAB 29ERYTHROCIN29LACTOBIONATE INJ.ERYTHROCIN29STEARATE TABerythromycin gel 24erythromycin ophth oint. 315mg/ gmerythromycin soln. 24erythromycin tab 29erythromycin/ benzoyl 24peroxide gelescitalopram tab 12estazolam tab 29ESTRACE VAGINAL 35CREAMestradiol patch 27estradiol tab 27estradiol valerate inj. 27estradiol/ norethindrone 27tabestropipate tab 27ethambutol tab 17ethosuximide cap 11ethosuximide soln. 11etidronate disodium tab 26etodolac cap 7etodolac ER tab 7etodolac tab 7etoposide inj. 1940Drug NameDrugTierNotesEURAX CREAM 26EURAX LOTION 26EVISTA TAB 27EVOXAC CAP 30EXELON PATCH 33EXELON SOLN. 33exemestane tab 17EXFORGE HCT TAB 16EXFORGE TAB 16EXJADE TAB 13EXTAVIA INJ. 33FFABRAZYME INJ. 27famciclovir tab 125mg 21famciclovir tab 250mg 21famciclovir tab 500mg 21famotidine inj. 34famotidine susp. 34famotidine tab 34famotidine/ nacl inj. 34FANAPT TAB 19FANAPT TITRATION 19PACKFARESTON TAB 17FASLODEX INJ. 18FAZACLO TAB 19felbamate susp. 11felbamate tab 11felodipine tab 22fenofibrate cap 15fenofibrate tab 15fenoprofen tab 7fentanyl lollipop 8fentanyl patch 8FINACEA GEL 26finasteride tab 28FIRMAGON INJ. 18flavoxate tab 34flecainide tab 9FLOVENT DISKUS 10FLOVENT HFA10INHALERfluconazole susp. 14fluconazole tab 14fluconazole/ dextrose inj. 14flucytosine cap 14fludarabine inj. 17fludrocortisone tab 24
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 38 and 39: Drug NameAPRISO CAP 28APTIVUS CAP 2
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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