1199SEIU HIP VIP® Medicare Plan

Exceptions to HIP's formulary

• Non-sedating Anti histamine (e.g. Allegra Clarinex and Zyrtec)
• Anti- wrinkle agents
• Cosmetic hair removal products
• Hair growth stimulants
• Infertility medications

• Erectile dysfunctions agents (e.g. Viagra, Cialis, Levitra)
• Diet Aids (e.g. Xenical, Adepex P, Meridia)

*Dependent on member's coverage

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