"Compounded Medications Not Covered
The following compounded preparations are examples of preparations that the GlobalHealth
Pharmacy and Therapeutics Committee considers to be experimental and/or investigational
because there is inadequate evidence in the peer-reviewed published medical literature of their
effectiveness. This list is not all inclusive and other compounded medications may also be
considered not covered after prior authorization review.
• Nebulized anti-infectives, nasal administration for the treatment of Sinusitis
• Implantable estradiol pellets
• Bioidentical hormones
• Topical verapamil
• Topical ketamine
• Topical flubiprofen
• Topical ketoprofen
• Topical lidocaine
• Topical testosterone
• Topical estrogen" quoted from 2016 Preferred Formulary - GlobalHealth
https://www.globalhealth.com/docs/member/.../2016DrugFormularyState.p...
2016 Preferred. Formulary. Formulary Drug List. For State, Education, and. Local
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