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supplies subject to quantity limits are indicated on our drug Formulary, available at kp.org/formulary. You may also contact Member Services for more information.  Not all drugs are available through mail order. Examples of drugs that cannot be mailed include controlled substances as determined by state and/or federal regulations, drugs that require special handling, and drugs affected by temperature. Outpatient Prescription Drugs and Supplies Exclusions  Any packaging, such as blister or bubble repacking, other than the dispensing pharmacy’s standard packaging.  Brand-Name Drugs for which a Generic Drug is available, unless approved. Refer to the “Prior Authorization and Step Therapy Prescribing Criteria” section.  Drugs prescribed for an indication if FDA has determined that use of that drug for that indication is contraindicated.  Drugs prescribed for an indication if the FDA has not approved the drug for that indication, except that this exclusion does not apply if Kaiser’s Regional Formulary and Therapeutics Committee determines that the drug is recognized as effective for that use (i) in one of the standard reference compendia, or (ii) in the majority of relevant peer-reviewed medical literature, or (iii) by the Secretary of the U.S. Department of Health and Human Services.  Drugs and supplies ordered from the Mail-Order Pharmacy to addresses outside of Oregon or Washington.  Drugs and supplies that are available without a prescription, even if the nonprescription item is in a different form or different strength (or both), except that this exclusion does not apply to non- prescription drugs or supplies described in the “Covered Drugs and Supplies” section.  Drugs, biological products, and devices that the FDA has not approved.  Drugs prescribed for fertility treatment.  Drugs used for the treatment or prevention of sexual dysfunction disorders.  Drugs used in weight management.  Drugs used to enhance athletic performance.  Extemporaneously compounded drugs, unless the formulation is approved by our Regional Formulary and Therapeutics Committee.  Internally implanted time-release drugs, except that internally implanted time-release contraceptive drugs are covered.  Nutritional supplements.  Replacement of drugs and supplies due to loss, damage, or carelessness. 29. Preventive Care Services We cover a variety of preventive care Services, which are Services to keep you healthy or to prevent illness, and are not intended to diagnose or treat a current or ongoing illness, injury, sign or symptom of a disease, or condition. Preventive care Services include:  Services recommended by, and rated A or B by, the U.S. Preventive Services Task Force (USPSTF). You can access the list of preventive care Services at EWCLGDED1983ACT0124 63 WAPEBB-CL-ACT

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