| Drugs when used for anorexia, weight loss, weight gain |
Xenical |
| Drugs when used to promote fertility |
Only when used for non-fertility treatment as described under specific state criteria |
| Drugs when used for cosmetic purposes or hair growth |
Accutane only |
| Drugs when used for the symptomatic relief of cough and colds |
None |
| Prescription vitamins and mineral products |
Vitamins A preparations; E preparations; Geriatric Vitamin preparations; B preparations; C preparations; D preparations; pediatric vitamin preparations; Folic Acid preparations; Niacin preparations; Vitamin K preparations; Vitamin B12 preparations; Vitamin B6 preparations; Magnesium salt replacement; Vitamin B1 preparations; Multivitamin preparations; Calcium replacement, Urinary PH modifiers (Phosphorus) |
| Nonprescription drugs (Over-the-Counter) |
Limited drugs in these therapeutic classes: Sodium Chloride Inhalation Agents; Contraceptives, Topical; Urinary pH modifiers; Antihistamines (Diphenhydramine); 2nd Generation Antihistamine Decongestion Combo; |
| Barbiturates |
All |
| Benzodiazepines |
All |
| Smoking Cessation |
Promote smoking cessation as described under specific criteria |