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1199SEIU HIP VIP® Medicare Plan

Exceptions to HIP's formulary

Exclusion
  • Non-sedating Anti histamine (e.g. Allegra Clarinex and Zyrtec)
  • Anti- wrinkle agents
  • Cosmetic hair removal products
  • Hair growth stimulants
  • Infertility medications
Drugs available with Prior Authorization *
  • Erectile dysfunctions agents (e.g. Viagra, Cialis, Levitra)
  • Diet Aids (e.g. Xenical, Adepex P, Meridia)

*Dependent on member's coverage

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Last Modified 10/2/2007.
Certain benefit changes required by health reform may or may not apply to you, depending on your plan. Get more info.