Care Management Resources Carelink Health Plans, Inc. Coventry Health Care plans Coventry Health and Life Insurance Company Group Health Plan, Inc. Member Drug Formulary HealthAmerica Pennsylvania, Inc. HealthAssurance Pennsylvania, Inc. Alphabetical Listing 2005 PersonalCare Insurance of Illinois, Inc. Southern Health Services, Inc. WellPath Select, Inc.
Claritin* (Requires Doctor’s Prescription)
Please Note: This is not meant to be a complete list of the drugs covered under your plan. Not all dosage forms of the drugs listed above are covered. Brand names are listed for informational reference. Under some circumstances, formulary drugs may be excluded from your plan (for example, oral contraceptives). We periodically review our Drug Formulary listing. This is the most current list at the time of printing and is subject to
Not all dosage forms are available generically
change. Some medications may require prior authorization or have quantity limits. Please consult with your Prescription Drug Plan Customer Service Representative for any questions about your coverage or for more
Please Note: This is not meant to be a complete list of the drugs covered under your plan. Not all dosage forms of the drugs listed above are covered. Brand names are listed for informational reference. Under some circumstances, formulary drugs may be excluded from your plan (for example, oral contraceptives). We periodically review our Drug Formulary listing. This is the most current list at the time of printing and is subject to
Not all dosage forms are available generically
change. Some medications may require prior authorization or have quantity limits. Please consult with your Prescription Drug Plan Customer Service Representative for any questions about your coverage or for more
ranitidine* (Gel & efferdose non-form)
Please Note: This is not meant to be a complete list of the drugs covered under your plan. Not all dosage forms of the drugs listed above are covered. Brand names are listed for informational reference. Under some circumstances, formulary drugs may be excluded from your plan (for example, oral contraceptives). We periodically review our Drug Formulary listing. This is the most current list at the time of printing and is subject to
Not all dosage forms are available generically
change. Some medications may require prior authorization or have quantity limits. Please consult with your Prescription Drug Plan Customer Service Representative for any questions about your coverage or for more
Zantac* (Gel caps & efferdose non-form)
For more updated information, visit our web site at: Please Note: This is not meant to be a complete list of the drugs covered under your plan. Not all dosage forms of the drugs listed above are covered. Brand names are listed for informational reference. Under some circumstances, formulary drugs may be excluded from your plan (for example, oral contraceptives). We periodically review our Drug Formulary listing. This is the most current list at the time of printing and is subject to
Not all dosage forms are available generically
change. Some medications may require prior authorization or have quantity limits. Please consult with your Prescription Drug Plan Customer Service Representative for any questions about your coverage or for more
CHATS – COMMUNITY & HOME ASSISTANCE TO SENIORS POLICIES & PROCEDURES NUMBER: 9-A-10 Revised April 2, 2013 NEEDLE STICK/SHARPS INJURY PREVENTION AND TREATMENT PURPOSE: To minimize the risk of exposure to blood borne pathogens that may lead to adverse health effects for any client, staff, support worker, or volunteer who may be receiving or delivering services, or