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Ql report - avmed 2014 - eff 3-1-14.xlsx

There are Quantity Limits set by AvMed Medicare Choice and AvMed Medicare Choice Select for the drugs listed below. AvMed Medicare Choice and AvMed Medicare Choice Select will provide coverage only up to the limits specified in the chart below. If you require a greater quantity than what is specified, then you, your appointed representative, or your prescriber can request a review by calling AvMed at 1-800-452-8633, 24 hours a day. Customer Service is available in English and other languages. TTY/TDD users should call 1-800-955-8771 or 711. QUANTITY LIMIT MEDICATIONS
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
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Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
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Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
BESYLATE/BENAZEPRIL HYDROCHLORIDEAMLODIPINE BESYLATE/BENAZEPRIL HYDROCHLORIDEAMLODIPINE BESYLATE/BENAZEPRIL HYDROCHLORIDEAMLODIPINE BESYLATE/BENAZEPRIL HYDROCHLORIDEAMPHETAMINE/DEXTROA CAPSULE EXTENDED ORAL AMPHETAMINE/DEXTROA CAPSULE EXTENDED ORAL AMPHETAMINE/DEXTROA CAPSULE EXTENDED ORAL AMPHETAMINE/DEXTROA CAPSULE EXTENDED ORAL Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
AMPHETAMINE/DEXTROA CAPSULE EXTENDED ORAL AMPHETAMINE/DEXTROA CAPSULE EXTENDED ORAL Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
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Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
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Quantity Limit Quantity Limit
Drug Name
Dosage Form
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Route of Admin
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Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
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Drug Name
Dosage Form
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Route of Admin
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Drug Name
Dosage Form
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Route of Admin
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Drug Name
Dosage Form
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Route of Admin
CILEXETIL/HYDROCHLOROTHIAZIDECANDESARTAN CILEXETIL/HYDROCHLOROTHIAZIDECANDESARTAN Tier Level
Quantity Limit Quantity Limit
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Dosage Form
Strength
Route of Admin
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Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
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Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
HCLDEXMETHYLPHENIDATE CAPSULE EXTENDED ORAL Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
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Route of Admin
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Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
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Quantity Limit Quantity Limit
Drug Name
Dosage Form
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Route of Admin
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Quantity Limit Quantity Limit
Drug Name
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Strength
Route of Admin
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Quantity Limit Quantity Limit
Drug Name
Dosage Form
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Route of Admin
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Quantity Limit Quantity Limit
Drug Name
Dosage Form
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Route of Admin
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Drug Name
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Route of Admin
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Drug Name
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Route of Admin
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Drug Name
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Route of Admin
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Quantity Limit Quantity Limit
Drug Name
Dosage Form
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Route of Admin
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Drug Name
Dosage Form
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Route of Admin
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Quantity Limit Quantity Limit
Drug Name
Dosage Form
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Route of Admin
BITARTRATE/ACETAMINOPHENHYDROCODONE/ACETAM TABLET Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
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Quantity Limit Quantity Limit
Drug Name
Dosage Form
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Route of Admin
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Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
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Quantity Limit Quantity Limit
Drug Name
Dosage Form
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Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
METHYLPHENIDATE HCL CAPSULE EXTENDED ORAL METHYLPHENIDATE HCL CAPSULE EXTENDED ORAL METHYLPHENIDATE HCL CAPSULE EXTENDED ORAL Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
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Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
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Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
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Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin
ZOLPIDEM TARTRATE ER TABLET EXTENDED ORAL ZOLPIDEM TARTRATE ER TABLET EXTENDED ORAL Tier Level
Quantity Limit Quantity Limit
Drug Name
Dosage Form
Strength
Route of Admin

Source: http://qa.avmed.org/pdf/unsecure/PML/MAPD_Quantity_Limit_Information_2014.pdf

Equine balanced veterinary care: acupuncture and manipulative therapy

Equine Balanced Veterinary Care: Acupuncture and Manipulative Therapy Barbara Wiborg DVM Gastric (Stomach) Ulcer Fact Sheet for the Horse What are gastric ulcers? Gastric, or stomach, ulcers result from the breakdown of the stomach, or in some cases, intestinal, lining from the production of gastric acids. These acids are imperative to proper digestion, but sometimes if horses are eith

Microsoft word - rlb.doc

RANI LAXMI BAI GOVT. HOSPITAL RAJAJIPURAM LUCKNOW LIST OF MEDICINE BY PURCHASE COMMITTY DISTRICT BOARD w.e.f. 1St April 2009 to 27th August 2009 . NAME OF ITEM QUANTITY 13 /05 / 2009 TAB CEFIXIME 100mg 14 / 05 2009 LUXATIVE ANAEMA 2000 X 30ml 14 / 05 2009 TAB CINNERAZINE 25 mg 21 / 05 2009 OINT. PIROXGEL 23 / 05 2009 TAB ROSIGLITOZONE 2mg

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