Claritin

Med Percent Health Care Percent Year Contractor Change Consultant Change 1998 8, 617 1999 6, 939 11.27% , 961 2000 8, 328 23.35% 6, 989 80.34% 2001 9, 111 13.73% 8, 446 20.84 ; % 2002 9, 472 0.05% , 222 62.91 ; % 2003 5, 236 18.79% , 004 67.67 ; % 2004 4, 086 3.63% 2005 1, 095 5.70% 2006 8, 313 4.27% Totals , 231, 197 4, 622 Table 12. Medical Contractor and Health Care Consultant costs since 1998. New Adult Detention Center The opening of the new Adult Detention Center in January 2000 was followed by a 33 percent increase in the average daily Jail population. Added space and a.
SALEM, Ore. -- Gov. Ted Kulongoski signed a new law Tuesday morning in Portland that makes Oregon the first state in the nation to require a doctor's prescription for cold and allergy medicines that contain pseudoephedrine -- the key ingredient in the illicit manufacture of methamphetamine. Kulongoski, a strong supporter who has called the measure the major step in the fight against the methamphetamine epidemic, held a ceremonial bill signing at the offices of the Oregon Partnership, a group that works to combat substance abuse. A second ceremonial signing was slated in the afternoon in Eugene. The anti-meth bill won overwhelming approval in both the Oregon House and Senate in recent weeks despite complaints from some Oregonians who were angry about the idea of having to obtain prescriptions for such common drugs as Sudafed and Claritn D. One key lawmaker who pushed the bill has dismissed opposit nt te e "ii lu . i State Rep. Wayne Krieger said other cold and allergy medicines come in versions that contain phenylephrine, an alternative to pseudoephedrine which works just as well for most consumers and can't be converted into highly addictive methamphetamine. The Gold Beach Republican also said some drug companies are moving to reformulate their cold and allergy medicines so they don't contain pseudoephedrine. " this bill going to be an inconvenience for some peoIs pe Y salt o e K percent of l? e, i si.But te " e people will find out that the other products are just as good, and they will buy them off te h l" Under the new law, the Oregon Board of Pharmacy will have until next July to implement the prescription requirement. Gary Schnabel, the board's executive director, said the rule could be put into effect sooner than that -- possibly within three months. Once the rules are in place, consumers who want a cold or allergy medicine containing pseudoephedrine will be required to contact their doctor for a prescription. Patients will be allowed as many as five refills in a sixmonth period, Schnabel said. Tom Holt, executive director of the Oregon State Pharmacy Association, said his members support the new regulation.

Preparing your Claim Form: Complete Section 1. Complete Section 3: OTC PRODUCT NAME: Indicate the name of each product purchased e.g., Tylenol, Claditin ; DATE OF PURCHASE: Indicate the date each product was purchased AMOUNT SUBMITTED: Indicate the amount paid for each product SALES TAX: Indicate appropriate state sales tax where applicable TOTAL AMOUNT SUBMITTED: Indicate the total amount of reimbursement requested including any applicable state sales tax.

Compare clarinex and claritin To either the treatment arm or the control group. Subjects not surviving the prehospital phase were excluded from the study. Animals in the treatment arm were resuscitated with two 20 ml kg boluses of normal saline, followed by rapid infusion of pentaspan until their blood pressure returned to baseline. Control group animals were monitored, but no fluids were given. The primary endpoint of this study was blood loss, which was evaluated postmortem. Secondary endpoints of hematocrit, urine output, rate of blood loss, central venous and arterial blood pressure and mortality were also collected. RESULTS: In the moderate trauma group, blood loss in the resuscitated group was 1255 ml + - 655 ; versus 346 ml + -145 ; in the control. For the severe trauma group, blood loss in the resuscitated group was 1802 ml + -426 ; versus 567 ml + -173 ; in the control. Rate of blood loss was higher in the treatment groups, as was urine output. Hematocrit was much lower in the resuscitated groups. There was a slight trend towards survival in the control groups, but no statistically significant difference. CONCLUSIONS: In this model of moderate and severe blunt trauma, fluid resuscitation significantly increased blood loss. 032 The effectiveness of inhaled corticosteroids in the treatment of acute asthma in the emergency department: a meta-analysis. Edmonds ml, Camargo CA Jr, Pollack CV, Rowe BH. University of Alberta, Edmonton, Alta. OBJECTIVES: Inhaled corticosteroid ICS ; use in asthma is increasing, and research suggests ICS and systemic corticosteroids CS ; should be considered different treatments. This systematic review was designed to determine the benefit of ICS for acute asthma in the emergency department ED ; . METHODS: Randomised controlled trials RCTs ; were identified using the Cochrane Collaboration's Airways Review Group database, hand searching, bibliographies, pharmaceutical company and author contact. Studies in which an ICS was compared to placebo or any CS were considered. Relevance, inclusion and study quality were assessed independently by 2 reviewers. Trials were combined using odds ratios OR ; or weighted mean differences WMD ; . RESULTS: From 396 identified references, 17 potentially relevant articles were identified and 7 were included. Six of the trials were published after 1994; overall, study quality was high. The trials were small, with the largest involving 111 patients. Four trials included only adults and 3 included only children. The severity of asthmatics included in the studies varied widely, as did the ICS and dose used. Two studies compared ICS to CS, 2 studies compared ICS plus CS to CS, and 3 studies compared ICS alone vs. placebo. Various outcome measures were used, including pulmonary function tests, clinical scores, admission rates and incidence of adverse side effects. Despite the marked differences in study characteristics, preliminary results suggest a homogeneous decrease in admissions in the group treated with ICS OR 0.45, 95% CI 0.26, 0.76 ; . CONCLUSIONS: Recent interest in the use of ICS in the ED has led to a number of small studies with disparate study characteristics. Individually, studies have not demonstrated a clear benefit with addition of ICS to standard therapy; however, pooled analyses suggest a beneficial effect of ICS. To clarify this issue, a large randomised controlled trial of ICS use in the ED is needed. 033 Meeting the educational needs of off-service residents rotating through the emergency department: comparing resident needs to educational outcome. Carter AJE, McCauley WA. University of Western Ontario, London, Ont. ANTIRETROVIRALS NRTIs- abacavir Ziagen ; , abacavir lamivudine Epzicom ; , abacavir lamivudine zidovudine Trizivir ; , didanosine ddI, Videx ; , emtricitabine Emtriva ; , lamivudine Epivir, 3TC ; , lamivudine zidovudine Combivir ; , stavudine d4T, Zerit ; , tenofovir Viread ; , tenofovir emtricitabine Truvada ; , zalcitabine ddC, Hivid ; , zidovudine AZT, Retrovir ; . PIs- amprenavir Agenerase ; , atazanavir Reyataz ; , fos-amprenavir calcium Lexiva ; , indinavir Crixivan ; , lopinavir ritonavir Kaletra ; , nelfinavir Viracept ; , ritonavir Norvir ; , saquinavir Invirase ; . NNRTIsdelavirdine Rescriptor ; , efavirenz Sustiva ; , nevirapine Viramune ; . Entry Inhibitors- enfuvertide Fuzeon ; . OI DRUGS PHS "A1 OI"s- acyclovir Zovirax ; , amphotericin B Fungizone ; , azithromycin Zithromax ; , clarithromycin Biaxin ; , clindamycin Cleocin ; , famciclovir Famvir ; , fluconazole Diflucan ; , foscarnet Foscavir ; , ganciclovir Cytovene ; , isoniazid INH ; , itraconazole Sporanox ; , leucovorin, pentamidine NebuPent, Pentam ; , probenecid, pyrazinamide PZA ; , pyrimethamine Daraprim ; , ribavirin * , rifabutin Mycobutin ; , rifampin Rifadin ; , sulfadiazine, TMP SMX Septra ; , valacyclovir Valtrex ; , valganciclovir Valcyte ; . Other OIs- amikacin Amikin ; , amoxicillin Trimox ; , amoxicillin clavulanate Augmentin ; , atovaquone Mepron ; , capreomycin Capastat ; , ceftriaxone Rocephin ; , ciprofloxacin Cipro ; , clofaximine Lamprene ; , clotrimazole Lotrimin, Mycelex ; , cycloserine Sermycin ; , dapsone, doxycycline Vibramycin ; , econazole nitrate Spetazole ; , epoetin alfa Procrit ; , erythromycin base PCE ; , ethambutol Myambutol ; , ethionamide Trecator SC ; , filgrastin Neupogen ; , interferon alfa-2a & alfa2b * , IVIG Gamimune-N, Gammagard ; , kanamycin Kantrex ; , ketoconazole Nizoral ; , metronidazole Flagyl ; , nystatin Mycostatin ; , ofloxacin Floxin ; , para aminosalicyclic acid Paser ; , peg-interferon alfa-2a * , peg-interferon alfa-2b & ribavirin Peg-Intron Rebetol ; * , penicillin G benzathine Bicillin LA ; , triple sulfa. TREATMENTS FOR METABOLIC DISORDERS Wasting- megestrol acetate Megace ; . ALL OTHERS acetaminophen Tylenol ; , albuterol Proventil ; , amytriptyline Elavil ; , antacids Mylanta, Maalox ; , betamethasone dipropionate Diprolene ; , betamethasone clotrimazole cream Lotrisone ; , capsaicin Zostrix ; , cefadroxil Duricef ; , cetirizine Zyrtec ; , clindamycin vaginal cream Cleocin ; , clotrimazole vaginal cream Gyne-Lotrimin ; , cold cream generic ; , controlled-release iron with vitamin C & B-complex, diphenhydramine Benadryl ; , fenofibrate, flurbiprofen Ansaid ; , fluoxetine Prozac ; , guaifenesin oxtriphyline Brondelate ; , guaifenesin phenylephrine Albatussin SR, NN ; , hydrocortisone cream, hydroxyzine pamoate, imiquimod Aldara ; , Ionil-T shampoo, ketaconazole shampoo, Ku-Zyme amylase, cellullase, lipase, protease ; , lanzoprazole Prevacid ; , lidocaine HCI Emla Cream, Xylocaine ; , lindane shampoo, lotion, loperamide Imodium ; , loratidine Claririn ; , metronidazole vaginal cream Metrogel ; , mometasone Elocon ; , multivitamins, piridoxine, podophyllin, pseudoephedrine triprolidine Actifed ; , ranitidine Zantac ; , sertraline HCI Zoloft ; , spectomycin Trobicin ; , sterile water, sucralfate Carafate ; , syrup vehicle, terconazole vaginal cream Terazol ; , triamicinolone Kenalog ; , trichloroacetic acid, triple antibiotic ointment, vitamins and minerals Albafort, Alba-Lybe, ferrous sulfate, folic acid, Iberet folic, Nervidox, Piridoxina, Tia-Doce, Unicap. With continued use of haart, managing metabolic abnormalities will be important and pulmicort.

Claritin make will Chairman and CEO of Bristol-Myers Squibb, Charles A. Heimbold Jr., made , 890, 918 in 2001, not counting his , 095, 611 worth of unexercised stock options. The chairman of Wyeth made , 521, 011, exclusive of his , 629, 459 in stock options. And so on.[14] If 1980 was a watershed year for the pharmaceutical industry, 2000 may very well turn out to have been another onethe year things began to go wrong. As the booming economy of the late 1990s turned sour, many successful businesses found themselves in trouble. And as tax revenues dropped, state governments also found themselves in trouble. In one respect, the pharmaceutical industry is well protected against the downturn, since it has so much wealth and power. But in another respect, it is peculiarly vulnerable, since it depends on employer-sponsored insurance and state-run Medicaid programs for much of its revenues. When employers and states are in trouble, so is big pharma. And sure enough, in just the past couple of years, employers and the private health insurers with whom they contract have started to push back against drug costs. Most big managed care plans now bargain for steep price discounts. Most have also instituted three-tiered coverage for prescription drugsfull coverage for generic drugs, partial coverage for useful brand-name drugs, and no coverage for expensive drugs that offer no added benefit over cheaper ones. These lists of preferred drugs are called formularies, and they are an increasingly important method for containing drug costs. Big pharma is feeling the effects of these measures, although not surprisingly, it has become adept at manipulating the systemmainly by inducing doctors or health plans to put expensive, brand-name drugs on formularies. State governments, too, are looking for ways to cut their drug costs. Some state legislatures are drafting measures that would permit them to regulate prescription drug prices for state employees, Medicaid recipients, and the uninsured. Like managed care plans, they are creating formularies of preferred drugs. The industry is fighting these effortsmainly with its legions of lobbyists and lawyers. It fought the state of Maine all the way to the US Supreme Court, which in 2003 upheld Maine's right to bargain with drug companies for lower prices, while leaving open the details. But that war has just begun, and it promises to go on for years and get very ugly. Recently the public has shown signs of being fed up. The fact that Americans pay much more for prescription drugs than Europeans and Canadians is now widely known. An estimated one to two million Americans buy their medicines from Canadian drugstores over the Internet, despite the fact that in 1987, in response to heavy industry lobbying, a compliant Congress had made it illegal for anyone other than manufacturers to import prescription drugs from other countries.[15] In addition, there is a brisk traffic in bus trips for people in border states, particularly the elderly, to travel to Canada or Mexico to buy prescription drugs. Their resentment is palpable, and they constitute a powerful voter blocka fact not lost on Congress or state legislatures. The industry faces other, less familiar problems. It happens that, by chance, some of the top-selling drugs with combined sales of around billion a yearare scheduled to go off patent within a few years of one another.[16] This drop over the cliff began in 2001, with the expiration of Eli Lilly's patent on its blockbuster antidepressant Prozac. In the same year, AstraZeneca lost its patent on Prilosec, the original "purple pill" for heartburn, which at its peak brought in a stunning billion a year. BristolMyers Squibb lost its best-selling diabetes drug, Glucophage. The unusual cluster of expirations will continue for another couple of years. While it represents a huge loss to the industry as a whole, for some companies it's a disaster. Schering-Plough's blockbuster allergy drug, Claritin, brought in fully a third of that company's revenues before its patent expired in 2002.[17] Clariitn is now sold over the counter for much less than its prescription price. So far, the company has been unable to make up for. Claritin cream The pain is a localized 'band' of pain. It can be anywhere on your body, depending on which nerve is affected. The pain can range from mild to severe. You may have a constant dull, burning, or gnawing pain. In addition, or instead of this, you may have sharp and stabbing pains that come and go. The affected area of skin is usually tender. A rash appears 2-3 days after the pain begins. Red blotches appear that quickly develop into itchy blisters. The rash looks like chickenpox, but only appears on the band of skin supplied by the affected nerve. New blisters may appear for up to a week. They dry up, form scabs, and gradually fade away. Slight scarring may occur where the blisters had been and medrol. Infections can enter the bone through an open fracture, blood transmission, or an adjacent infection. Osteomyelitis Usually Sudden onset of pain Blood cultures or Infection of bone Staphylococcus and fever over wound culture of marrow and bone aureus; bacteria affected bone; infection site can already exist malaise in bloodstream or can enter at open fracture site.

Patients with Crohn disease, one of three patients with ulcerative colitis, and three of nine children with autism, were positive. Controls were all negative. The sequences obtained from the patients with Crohn's disease shared the characteristics with wild-strain virus. The sequences obtained from the patients with ulcerative colitis and children with autism were consistent with being vaccine strains. The results were concordant with the exposure history of the patients. Persistence of measles virus was confirmed in PBMC in some patients with chronic intestinal inflammation. Knivsberg, A. M., K. L. Reichelt, et al. 2002 ; . "A randomised, controlled study of dietary intervention in autistic syndromes." Nutr Neurosci 5 4 ; : 251-61. Impaired social interaction, communication and imaginative skills characterize autistic syndromes. In these syndromes urinary peptide abnormalities, derived from gluten, gliadin, and casein, are reported. They reflect processes with opioid effect. The aim of this single blind study was to evaluate effect of gluten and casein-free diet for children with autistic syndromes and urinary peptide abnormalities. A randomly selected diet and control group with 10 children in each group participated. Observations and tests were done before and after a period of 1 year. The development for the group of children on diet was significantly better than for the controls. Knivsberg, A. M., K. L. Reichelt, et al. 2001 ; . "Reports on dietary intervention in autistic disorders." Nutr Neurosci 4 1 ; : 25-37. Autism is a developmental disorder for which no cure currently exists. Gluten and or casein free diet has been implemented to reduce autistic behaviour, in addition to special education, since early in the eighties. Over the last twelve years various studies on this dietary intervention have been published in addition to anecdotal, parental reports. The scientific studies include both groups of participants as well as single cases, and beneficial results are reported in all, but one study. While some studies are based on urinary peptide abnormalities, others are not. The reported results are, however, more or less identical; reduction of autistic behaviour, increased social and communicative skills, and reappearance of autistic traits after the diet has been broken. Knivsberg, A. M., K. L. Reichelt, et al. 1995 ; . "Autistic symptoms and diet: a follow-up study." Scand J Ed Research 39: 223-236. Kuddo, T. and K. B. Nelson 2003 ; . "How common are gastrointestinal disorders in children with autism?" Curr Opin Pediatr 15 3 ; : 339-43. We could identify no report that describes the prevalence of gastrointestinal disorders in a representative group of children with a diagnosis of autism compared with appropriate controls. Thus, we found no evidence upon which to base a confident conclusion as to whether gastrointestinal symptoms are more common in children with than without autism. However, the frequency of and alavert. Given the broad range of therapeutic classes that showed high utilization growth in 2004, it is unlikely that any single factor accounts for the rebound in the rate of growth. Utilization growth is the result of a complex interplay of market forces that shape what doctors prescribe and patients use. The forces at play in 2004 included: New drugs. Although the rate of new drug approvals has declined in recent years, 20 drugs with large potential markets continue to be introduced each year. The new medications approved during 2004 are shown in Table 1. Many of these new drugs were significant drivers of utilization growth within their therapeutic class. New indications. As the drug pipeline for new medications has slowed, manufacturers have focused increasingly on new indications for current products as a means of expanding their markets. Although there may have been some prior off-label use of a product for the new indication, FDA approval permits manufacturers to advertise the indication to physicians and consumers. Some of the principal new indications approved during 2004 are shown in Table 2. All of these drugs contributed to utilization growth within their therapeutic class in 2004. Drug advertising. In 2001, pharmaceutical companies spent .1 billion to market their products through physician samples, physician detailing, direct-to-consumer DTC ; advertising, and ads in professional journals.23 Approximately .7 billion of this was spent on DTC ads in television, radio, and print media. Spending on DTC advertising has been growing rapidly and is expected to exceed .5 billion in 2004.24 DTC promotions play a significant role in stimulating sales of new and existing drugs, although they tend to stimulate sales across a therapeutic class, not just sales of the advertised drug itself.23 A recent study found that a 10% increase in DTC advertising in a therapeutic class was associated with a 1% increase in drug sales in the class.23 During the period of the study 1999 to 2000 ; , it was estimated that about 12% of drug trend could be attributed to DTC advertising. Clinical practice changes. A major clinical practice change driving utilization is the expanding use of multipledrug treatments for high cholesterol, hypertension, diabetes, and many other conditions. For example, cholesterol treatment guidelines were updated in 2004 to recommend more aggressive lipid-lowering therapy in patients with moderate-to-high risk of heart disease.7 Achieving more aggressive targets may require the use of multiple medications in some patients. The accelerated use of lipid-lowering therapies in 2004 may be due in part to the initial impact of these guidelines on clinical practice. Similarly, the accelerated use of antihypertensive therapies may demonstrate more aggressive treatment of hypertension under clinical guidelines issued in 2003.8 These guidelines endorsed the use of two or more antihypertensives in many patients when needed to achieve blood pressure control. Disease prevalence. Increased prevalence and improved diagnosis have probably contributed to utilization growth in some therapeutic classes. The epidemic of obesity in the United States has accelerated the prevalence and treatment of diabetes, which is reflected in the steady utilization growth for diabetes medications.9, 25 For age-related conditions, such as osteoporosis and hypertension, prevalence is likely to increase as the population distribution shifts to older age groups. For other conditions, such as asthma and diabetes, prevalence has been increasing across a broad range of age groups for more than 20 years.9, 26 OTC conversions. Unlike 2003, there were no large OTC conversions during 2004 to offset the rapid utilization growth in other areas. The OTC conversion of the Claeitin product line in late 2002 triggered a sharp decline in the utilization of prescription allergy medications in 2003. However, this was largely a one-time effect, with little carryover impact on trend in 2004. Market withdrawals. Following the market withdrawal of Vioxx in late September 2004, the utilization of nonnarcotic pain relievers declined somewhat, due in part to more general concerns about the safety of COX-2 inhibitors Figure 10 ; . However, most Vioxx users shifted to alternative products, so the Vioxx withdrawal had only a small net effect on utilization in 2004. Generic Drug Name Category Anorexiants weight loss drugs Compounded drugs used for an indication or route of administration not approved by the FDA including, but not limited to, topical Neurontin and topical calcium channel blockers ; Compounded drugs for which an FDA approved drug is available in the prescribed strength and dosage form Compounded hormones not approved by the FDA * Compounded injectable erectile dysfunction drugs. Trimix, prostagladins & others ; Compounded prescriptions utilizing powders. [Exceptions: polystyrene sulfonate Kayexalate ; , salicylic acid, nystatin, caffeine] Cosmetic drugs DHEA Dental drugs Dietary supplements Nebulized solutions compounded from powder eg. triamcinolone ; Over the counter medications see 7. OTC Medications for details ; Prescription drugs for which an equivalent is available over the counter eg. Claritin ; Covered OTC drugs are listed in paragraph 7 below and clarinex.
The Most Common Allergy Medications to avoid Allegra Claritin Allegra D Claritin D Benadryl Zyrtec Clarinex Clarinex D Zyrtec D Allerx MAO Inhibitors. Must be off for 5 days prior to testing and then be off permanently. Cannot be given adrenaline or it will provoke hypertensive crisis. Eutonyl Pargyline ; Matulane Procarbazine ; Eutron Pargyline & Methyclothiazine ; Nardil Phenelzine ; Flroxone Furzaolidone ; Parnate Tranyleypromine ; Antihistamine Decongestant Preparations. Should be off. Omit for 7 days prior to testing. Actifed Deconamine Nisaval Astelin nasal Ritalin Advil Cold Sinus Dimetapp Nolahist spray Robistussin CF Allegra, Allegra D Dimetane Nolamine Optivar eye Rondec Benadryl Dramamine Novahistine drops Ru-tuss Chlorpheniramine Isoclor Optimine Excedrin Rynatan Chor-Trimeton Kronofed PBZ Tavist I, Tavist D Clarinex Marax Periactin Tylenol Cold Sinus Claritin, Claritin D Myidyl Polaramine Zyrtec Comhist Naldecon Poly-histine Diphenhydramine Nalex Tylenol Please refrain from taking all cold medications, nose drops and sprays, cough medications, cough drops and other antihistamines in any form. H2 Antagonists Anti-Nausea Medications. Should be off for 5 days prior to testing. Tagamet Cimetidine ; Atarax Zantac Ranitidine ; Vistaril Zatiden Ketotifen ; Meclazine Phenergan or any like medication. Sources: 1. American Academy of Allergy Asthma & Immunology. "How to Help Your Allergies and Asthma." 2. American Academy of Allergy, Asthma & Immunology. "Patients & Consumers Center: Tips to Remember: Prevention of Allergies and Asthma in Children." 3. American Academy of Allergy, Asthma & Immunology. "Patients & Consumers Center: Tips to Remember: Outdoor Allergens and periactin. Spouses of patients with grade III or IV malignant glioma. 18 years or older. These drugs, which were on the market before 2002, came under the pmprb's jurisdiction in 2002 with the issuance of a patent and entocort. Berth-Jones Coulson Eds ; . Treatment of Dermatological Disease. Harcourt Health Sciences. London. 2002. The following expenses are eligible for reimbursement through a Health Care Reimbursement Account. To be eligible, the practitioner who provides these services must be certified or licensed when required by the laws regulating his or her profession. Documentation of the date the expense was incurred such as a receipt must accompany the reimbursement request. Effective January 1, 2004 and based on a recent IRS revenue ruling, expenses associated with certain over-the-counter non-prescription drugs are eligible for reimbursement. Among the newly eligible medications are allergy medicines, pain relievers, antacids, cold remedies and flu remedies. All forms of these medications e.g., tablet, liquid, capsule, drops ; are eligible and include generic and store or name brand. Also included are drugs which were recently made available over-the-counter and no longer require a prescription such as Claritin and Prilosec. Expenses must be for treatment of an existing disease or to prevent a disease that is likely to occur if the medication is not taken. They do not include toiletries and cosmetics, vitamins and dietary supplements or herbal remedies. * Expenses must be accompanied by a doctor's certification specifying the medical condition and treatement needed, and how the treatment will alleviate the condition * Effective January 1, 2004 Acupuncture Air conditioners * Alcohol treatment Allergy medicines e.g., Claritin, Loratadine ; * Artificial limbs teeth Automobile equipment to assist a person who is physically disabled Birth control pills Braille reading materials Car modification for use of a person with a disability Child birth preparation classes Chiropractic care Co-insurance amounts you pay copays ; Cold medicines, cough syrups Contact lenses and related expenses such as saline solution and enzyme cleaners Copays for prescription drugs, including birth control pills and insulin Cost of guide dogs for the visually or hearing impaired Cost of a note-taker for a hearing impaired child in school Crutches Deductibles and copays for health care and dental expenses Dental care, including orthodontia and implant expenses unless it is for cosmetic purposes ; Diabetic supplies Diagnostic tests Doctor's fees Doctor's office visits Drug addiction treatment Eye exams Eyeglasses Hearing aid exams, hearing aids, and supplies Heartburn medications * Hospital services Infertility treatment Insulin, syringes, test strips and bits In vitro fertilization Lab fees Laser eye surgery Medically necessary mattresses and boards * Mental health or substance abuse expenses Nursing services October 13, 2003 Optometrist fees Orthopedic shoes inserts Other health care expenses not reimbursed by insurance Pain relievers e.g., acetaminophen, ibuprofen, Tylenol, etc ; * Physician examinations Prescription drugs Psychiatrist psychologist fees Psychoanalysis unless required of students in psychoanalytic training institutions ; Periodontal fees Radial Keratomy, RPK or LASIK eye surgery Radiation treatments Remedial reading * Rental of medical equipment Routine physical exams Smoking cessation programs or related drugs excluding overthe-counter treatments ; Special devices, such as a tape recorder and typewriter, for persons who are visually impaired Speech therapy Sterilization surgery Surgery Therapy for mental nervous disorders Topical antibiotics e.g., Bacitracin ; * Topical steroids e.g., Hydrocortisone cream ; * Transplants of organs Travel allowance lodging for out-of-town medical care Vaccinations Water fluoridation devices * Weight reduction programs for physician-diagnosed obesity Well baby and well child care Wheelchairs Whirlpool baths * Wigs for hair loss due to any disease * X-rays and zaditor.

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