| Drugs when used for anorexia, weight loss, weight gain |
None |
| 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 |
All |
| Prescription vitamins and mineral products |
Restricted to prenatal vitamins and fluoride preparations |
| Nonprescription drugs (Over-the-Counter) |
None |
| Barbiturates |
All |
| Benzodiazepines |
All |
| Smoking Cessation |
Restricted to generic bupropion 150 mg, and varenicline. (See details in State Plan). |
| Vaccines available though Vaccines for Children program |
Excluded |
| Agents when used for the treatment of sexual or erectile dysfunction |
Excluded |