| Drugs when used for anorexia, weight loss, weight gain |
Xenical with prior authorization |
| Drugs when used to promote fertility |
None |
| Drugs when used for cosmetic purposes or hair growth |
None |
| Drugs when used for the symptomatic relief of cough and colds |
Products containing a cough suppressant only. Prior authorization required for clients 21 and over. |
| Prescription vitamins and mineral products |
All, except prenatal vitamins and minerals. Preauthorization required for all products except vitamin D. |
| Nonprescription drugs (Over-the-Counter) |
Non-prescription drugs are covered except insulin. All OTC medications require preauthorization except aspirin. |
| Barbiturates |
All |
| Benzodiazepines |
All |
| Smoking Cessation |
- |