No Rx coverage from insurance benefit or government assistance program e.g.: Medicaid, V.A., state assistance, etc. ; Rx benefit has been exhausted Medication is specifically not covered under Rx formulary and elavil.

Figure 3. Expression of L-selectin ligands on capillary and venular endothelium in controls Co ; and different inflammatory lung diseases. The y-axis represents the mean value of positively stained vessels per sample. The reactivities of anti-sLex mAbs 2F3, HECA-452 ; and antisulfated mAb MECA-79 ; were greater in all groups of inflammatory diseases. Compared with the control samples, the number of positive venules stained with all tested mAbs increased significantly only in bronchial asthma Ba ; * P 0.003, * P 0.0003, Dunn's test ; . Further, compared with the pooled group of the other inflammatory diseases, the expression of L-selectin ligands detected by these mAbs increased most in bronchial asthma * P 0.0001, Dunn's test ; . The minor increase of positive vessels in the other groups of inflammatory lung diseases was not significant. Cb, chronic bronchitis; Fa, fibrosing alveolitis; Gi, granulomatous inflammation. The y-error bars represent SEM. PRESCRIPTION DRUG POLICIES Outpatient medications: The Preferred Drug List applies only to prescription medications dispensed to outpatients by participating pharmacies. The Preferred Drug List does not apply to inpatient medications or to medications obtained from and or administered by a physician. Non-Prescription Medication OTC ; Policy Over-the-counter OTC ; products are not covered, but some are listed for informational purposes. When available, nonprescription products may be less costly to the patient than a covered product. ; Generally, if a prescription product is available in the identical strength, dosage form, and active ingredient s ; as an OTC product, the prescription product will not be covered unless an exception is made by the P&T committee. In these instances, physicians and pharmacists should refer members to the OTC equivalent product. If the member or physician insists on the prescription equivalent product, the member must pay the entire cost of the prescription. Generic Drug Policy Arnett Health Plan encourages generic substitution, whenever possible, to help reduce the member's out-of-pocket expense, plus help contain the overall cost of the member's prescription drug benefit. Drugs that have generic equivalents are covered at a generic reimbursement level, and should be prescribed and dispensed in the generic form. Maximum Allowable Cost MAC ; limits of reimbursement have been established for these drugs and are listed in the health plan MAC list. Providers are reminded of the following: 1. When generic substitution conflicts with state regulations or restrictions, the pharmacist must gain approval from the prescriber to use the generic equivalent. 2. If a member or a physician insists on the brand name product for a prescription or a medication included in the MAC list, the patient must pay the applicable copay plus the cost difference between the brand name product and the MAC amount ancillary charge and endep and salbutamol, for instance, sablutamol ratiopharm!

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