Exclusions specific to prescription drugs Sample Clauses

Exclusions specific to prescription drugs. Furthermore, the exclusion extends to expenses incurred under the following circumstances: a) Medicines coded "Z" in the AQPP's list of prescription drugs. b) Products considered to be food substitutes, cosmetic substances, soaps, skin colour oils, epidermal emollients, shampoos and other substances for scalp treatment. c) Dietary substances or foods, products for obesity and weight control. d) Homeopathic medicines. e) Drugs administered primarily for preventive purposes. f) Products used to treat hair loss or wrinkles or any other treatment administered primarily for aesthetic purposes. g) Smoking cessation products not covered under the Public Prescription Drug Insurance Plan. h) Prescription drugs or substances used for the treatment of infertility or impotence not covered under the Public Prescription Drug Insurance Plan. i) Any substance used for the purpose of insemination, contraceptive and prophylactic jellies and foams. j) Drugs provided during a period of hospitalization. In addition, the Insurer may deny reimbursement of any drugs prescribed for a condition other than those listed in the manufacturer’s directions for use or not prescribed in accordance with current medical practice. The Insurer may, among other things, require a medical diagnosis and limit reimbursement to a reasonable maximum. Lastly, in the event of approval by Health Canada of new prescription drugs that may substantially affect the cost of the coverage, the Insurer reserves the right to exclude such prescription drugs if it does not appear on the list of prescription drugs of the Régie de l’assurance maladie du Québec or to change the premium starting on the approval date with the consent of the Policyholder.
Sample 1

Related to Exclusions specific to prescription drugs

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