AQUARIUM SCHEDULE - POLMED
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AQUARIUM
AQUARIUM
ANNEXURE B1 Reference in this Annexure and the following
Annexures to the term:
PREVIOUSLY
KNOWN AS THE
LOWER PLAN E ‘Polmed rate’ shall mean: 2006 NHRPL + inflationary figure (i.e. the
2006 base tariff increased by the inflationary amounts); and
E ‘Agreed tariff’ shall mean: The rate negotiated by and on behalf of the
Scheme with one or more providers/groups.
AQUARIUM SCHEDULE
Benefits for services outside the Republic of
South Africa (RSA)
SCHEDULE OF BENEFITS WITH EFFECT
FROM 1 JANUARY 2016
Subject to the provisions contained in these Rules, The Scheme does not grant benefits for services rendered outside the
including all Annexures, members making monthly borders of the RSA. A claim for such services will, however, be considered
if the benefit category and limitations applicable in the RSA can be
contributions at the rates specified in Annexure B3 shall be
determined. The benefit will be paid according to the Polmed rate.
entitled to the benefits as set out below, with due regard However, it remains the responsibility of the member to acquire insurance
to the provisions in the Act and Regulations in respect of cover when travelling outside the borders of the RSA.
prescribed minimum benefits (PMBs).
GENERAL RULES countries. (Travel documents must be any claims reviewed will not be paid
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submitted as proof.) from the chronic medicine benefit,
Payment in respect of over-the-counter but from the acute medicine benefit
In hospital 90 days from birth, Scheme Rule 7.1.2
(OTC), acute and chronic medicine will if benefits exist. This only applies to
shall apply.
All admissions (hospitals and day clinics) be limited to the medicine reference authorisations that are not on-going
must be pre-authorised; otherwise a price. This is the maximum allowed cost and have an expiry date.
Benefits shall also be granted if the
penalty of R5 000 may be imposed if no and may be based on either generic
child is stillborn.
pre-authorisation is obtained. or ‘formulary’ reference pricing. The The Scheme shall only consider claims
balance of the cost needs to be funded for medicines prescribed by a person
In the case of emergency, the Scheme Dental procedures by the member. legally entitled to prescribe medicine
must be notified within 48 hours or on All dental procedures performed in and which is dispensed by such a
the first working day after admission. hospital require pre-authorisation. Pre-authorisation is required for items person or a registered pharmacist.
The dentist’s costs for procedures funded from the chronic medication
Pre-authorisation will be managed that are normally done in a doctor’s benefit. Pre-authorisation is based Flu vaccines and vaccines for children
under the auspices of managed rooms, when performed in hospital, on evidence-based medicine (EBM) under six years of age are obtainable
healthcare. The appropriate facility has shall be reimbursed from the out-of- principles and the funding guidelines without prescription.
to be used to perform a procedure, hospital (OOH) benefit, subject to the of the Scheme. Once predefined
based on the clinical requirements, availability of funds. The hospital and criteria are met, an authorisation will be Specialist referral
as well as the expertise of the doctor anaesthetist’s costs for non-PMB dental granted for the diagnosed conditions.
All Polmed beneficiaries need to be
doing the procedure. procedures performed in hospital will Beneficiaries will have access to
referred to specialists by a general
be reimbursed from the overall non- a group (’basket’) of medicines
practitioner (GP). The beneficiary or
Benefits for private or semi-private PMB benefit, subject to the availability appropriate for the management of
the referring GP is required to obtain a
rooms are excluded unless they are of funds. their particular conditions/diseases
referral number, which can be obtained
motivated and approved prior to for which they are registered. There is
from the Scheme. The Scheme will
admission upon the basis of clinical Specialised radiology no need for a beneficiary to apply for
impose a co-payment of up to R1 000
need. a new authorisation if the treatment
Pre-authorisation is required for all if the member consults a specialist
prescribed by the doctor changes
scans, failing which the Scheme may without the referral. The co-payment
Medicine prescribed during and the medicines are included
impose a co-payment up to R1 000 per will be payable by the member to the
hospitalisation forms part of the in the condition-specific medicine
procedure. In the case of emergency specialist and is not refundable by the
hospital benefits. basket. Updates to the authorisation
the Scheme must be notified within Scheme.
will be required for newly diagnosed
48 hours or on the first working day of
Medicine prescribed during conditions for the beneficiary.
the treatment of the patient. (This co-payment is not applicable to
hospitalisation to take out (TTO) will Medication that is not included in the
the following specialities/disciplines:
be paid to a maximum of seven days’ baskets may be available through an
supply or a rand value equivalent Medication exception management process, for
Gynaecologists, psychiatrists,
oncologists, ophthalmologists,
to it per beneficiary per admission, The chronic medication benefit shall be which a medicine-specific authorisation
nephrologists [chronic dialysis], dental
except for anticoagulants post-surgery subject to registration on the Chronic may be granted; this process requires
specialists, pathology, radiology and
and oncology medication, which will Medicine Management Programme for motivation from the treating service
supplementary/allied health services.)
be subject to the relevant managed those conditions which are managed provider and will be reviewed based
The Scheme will allow two specialist
healthcare programme. and chronic medication rules will apply. on the exceptional needs of the
visits per beneficiary per year without
Payment will be restricted to one beneficiary.
the requirement of a GP referral to cater
Maternity: The costs incurred in respect month’s supply in all cases for acute
for those who clinically require annual
of a new-born baby shall be regarded and chronic medicine, except where the The member needs to re-apply for
and/or bi-annual specialist visits.
as part of the mother’s cost for the member submits proof that more than an authorisation at least one month
first 90 days after birth. If the child one month’s supply is necessary, e.g. prior to expiry of an existing chronic
However, the Scheme will not cover
is registered on the Scheme within due to travel arrangements to foreign medicine authorisation, failing which
the cost of the hearing aid if there is
no referral from one of the following
DEFINITION OF TERMS
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providers: GP, ear, nose and throat
Examples of designated service
(ENT) specialist, paediatrician, physician
providers (where applicable) are:
or neurologist.
E cancer (oncology) network
Co-payment orthodontic treatment, removal of
impacted teeth, and maxillofacial
E general practitioner (GP) A co-payment is an amount payable
Ex gratia benefit surgery. All specialised dentistry
network by the member to the service
services and procedures must be
The Scheme may, at the discretion E hospital network provider at the point of service. This
pre-authorised, failing which the
of the Board of Trustees, grant an ex E optometrist (visual) network includes all the costs in excess of
Scheme will impose a co-payment
gratia payment upon written application E psycho-social network those agreed upon with the service
of R500.
from members as per the Rules of the E renal (kidney) network provider or in excess of what would
Scheme. E specialist network. be paid according to approved
treatments. A co-payment would not Registration for chronic
Pro rata benefits be applicable in the event of a life- medication
threatening injury or an emergency. Polmed provides for a specific
The maximum annual benefits referred Designated GP provider list of chronic conditions that are
to in this schedule shall be calculated
from 1 January to 31 December each
(network GP) Medicine reference price funded from the chronic medicine
Members are allowed two visits to a This is the reference pricing system benefit (i.e. through a benefit that is
year, based on the services rendered
GP who is not part of the network per applied by the Scheme; it may be separate from the acute medication
during that year and shall be subject to
beneficiary per annum for emergency derived based on either generic benefit). Polmed requires members
pro rata apportionment calculated from
or out-of-town situations. Co-payments or ‘formulary’ reference pricing. to apply for authorisation via the
the member’s date of admission to the
shall apply once the maximum out-of- This pricing system refers to the Chronic Medicine Management
Scheme to the end of that financial year.
network consultations are exceeded. maximum price that Polmed will pay Programme to access this chronic
for a particular medication. Should a medication benefit. Members will
Designated service provider receive a letter by post or e-mail
(out-of-network rule) Designated pharmacy network reference price be set for a generic
or therapeutic class of medication, indicating whether their application
Polmed has appointed healthcare Polmed has appointed service was successful or not. If successful,
patients are entitled to make use of
providers (or a group of providers) as providers for the provision of chronic the beneficiary will be issued with
any medication within this pricing
designated service providers (DSPs) for medication. The Scheme utilises the a disease-specific authorisation,
limit, but will be required to make a
diagnosis, treatment and care in respect courier pharmacies as the primary which will allow access to a range of
co-payment on medication priced
of one or more prescribed minimum service provider, with retail pharmacies medicines that are referred to as the
above the reference pricing limit.
benefit (PMB) conditions. Where the providing secondary support for disease authorisation basket.
The fundamental principle of any
Scheme has appointed a DSP and the those members who prefer personal
reference pricing system is that it
interaction. Where the member
member voluntarily chooses to use an
chooses to use an alternative provider,
does not restrict a member’s choice Enrolment on the Disease
alternative provider, all costs in excess of medicine, but instead limits Management Programme
of the agreed rate will be for the cost of the member shall be liable for a co-
the amount that will be paid for it. Members will be identified and
the member and must be paid directly payment of 20% of the costs that must
Accessibility of products within the contacted in order to enrol on the
to the provider by the member. be paid directly to the provider by the
reference price groups is taken into Disease Management Programme.
member.
account when defining the group. The Disease Management
You can access the list of providers at
You can access the list of providers at Programme aims to ensure that
www.polmed.co.za, on your cell phone
www.polmed.co.za, on your cell phone Specialised dentistry members receive health information,
via the mobile site or request it via the
via the mobile site or request it via the Specialised dentistry refers to guidance and management of
Client Service Department.
Client Service Department. services that are not defined as basic their conditions, at the same
E Pharmacy (medicine) DSP dentistry. These include periodontal time improving compliance to
surgery, crowns and bridges, implant treatment prescribed by the medical
procedures, inlays, indirect veneers, practitioner. Members who are
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registered on the programme Basic dentistry
receive a treatment plan (care plan)
Basic dentistry refers to procedures
which lists authorised medical
that are used mainly for the Benefit design This option provides for benefits
services, such as consultations, blood
detection, prevention and treatment to be provided only in appointed
tests and radiological tests related to
of oral diseases of the teeth designated service provider (DSP)
the management of their conditions.
and gums. These include the hospitals
alleviation of pain and sepsis, the
The claims data for chronic
repair of tooth structures by direct It also provides a reasonable level
medication, consultations and
restorations/fillings and replacement of out-of-hospital (day-to-day) care
hospital admissions is used to
of missing teeth by plastic dentures.
identify the members that are
This option is intended to provide
eligible for enrolment on the
Other procedures that fall under the for the needs of families who have
programme. Members are also
category are: little healthcare needs or whose
encouraged to register themselves
chronic conditions are under control
on the programme.
E consultations
This option is not intended for
E fluoride treatment and fissure
GENERAL BENEFIT RULES
members who require medical
sealants
assistance on a regular basis, or
E non-surgical removal of teeth
who are concerned about having
E cleaning of teeth, including
extensive access to health benefits
non-surgical management of
gum disease Pre-authorisation, Where the benefit is subject to
E root canal treatment. referrals, protocols pre-authorisation, referral by
and management by a designated service provider
programmes (DSP) or general practitioner (GP),
adherence to established protocols
or enrolment upon a managed care
Disclaimer: In the programme, members’ attention is
event of a dispute drawn to the fact that there may be
the registered rules no benefit at all or a much reduced
of POLMED will benefit if the pre-authorisation,
apply. referral by a DSP or GP, adherence
to established protocols or
enrolment upon a managed care
programme is not complied with (a
co-payment may be applied)
The pre-authorisation, referral
by a DSP or GP, adherence to
established protocols or enrolment
upon a managed care programme
is stipulated in order to best care for
the member and his/her family and
to protect the funds of the Scheme
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Dentistry (conservative and 100% of Polmed rate
restorative)
Limits are per annum Unless there is a specific indication Dentist’s costs for all non-PMB
GENERAL BENEFIT RULES to the contrary, all benefit amounts procedures will be reimbursed from
and limits are annual the out-of-hospital (OOH) benefit
Statutory prescribed There is no overall annual limit for
minimum benefits PMBs/life-threatening emergencies The hospital and anaesthetist’s costs
(PMBs) will be reimbursed from the overall
non-PMB limit
Tariff 100% of Polmed rate or agreed
tariff or at cost for involuntary Emergency medical assistance 100% of agreed tariff
access to PMBs Netcare 911 (082 911) is the DSP
Chronic kidney dialysis 100% of agreed tariff at DSP
National Renal Care (NRC) and
Fresenius Medical Care are
preferred providers
IN-HOSPITAL BENEFITS
Mental health 100% of Polmed rate or at cost for
PMBs
Annual overall in-hospital limit Non-PMB admissions will be subject Annual limit of 21 days per
In-hospital benefits are subject to to an overall limit of R200 000 per beneficiary
the Scheme’s relevant managed family
healthcare programmes and Limited to a maximum of three days’
includes the application of R8 000 co-payment for admission to hospitalisation for beneficiaries
treatment protocols, case a non-DSP hospital admitted by a GP or a specialist
management and pre-authorisation; physician
IN-HOSPITAL BENEFITS
a R5 000 penalty may be imposed if No co-payment if the procedure is
no pre-authorisation is obtained performed in a DSP and/or a day Additional hospitalisation to
clinic be motivated by the medical
Subject to PMBs, i.e. no limit in case practitioner
of life-threatening emergencies or
Medication: Non-PMB 100% of Polmed rate
for PMB conditions
specialist drug limit, Pre-authorisation required
e.g. biologicals
Subject to applicable tariff, i.e. 100%
Specialised medicine sub-limit of
of Polmed rate or agreed tariff or at
R69 430 per family
cost for involuntary access to PMBs
Oncology (chemotherapy and 100% of agreed tariff at DSP
radiotherapy)
Limited to R231 578 per beneficiary
Independent Clinical Oncology per annum; includes MRI/CT or PET
Network (ICON) is the DSP scans related to oncologyAQUARIUM
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Organ and tissue transplants 100% of agreed tariff at DSP or at Annual overall out-of-hospital M0 – R7 865
cost for PMBs (OOH) limit M1 – R9 529
M2 – R11 575
Subject to clinical guidelines used in Benefits shall not exceed the M3 – R12 349
State facilities amount set out in the table M4 + – R14 151
Unlimited radiology and PMBs shall first accrue towards the
pathology for organ transplant and total benefit, but are not subject to
immunosuppressants limit
Pathology Service will be linked to hospital
In appropriate cases the limit for
pre-authorisation
medical appliances shall not accrue
Physiotherapy Service will be linked to hospital towards this limit
OVERALL OUT-OF-HOSPITAL BENEFITS
pre-authorisation
Out-of-hospital benefits are subject
Prostheses (internal and 100% of Polmed rate to:
external) • protocols and clinical guidelines
IN-HOSPITAL BENEFITS
Subject to pre-authorisation and • PMBs
approved product list • the applicable tariff, i.e. 100% of
Polmed rate or agreed tariff or at
Limited to R57 240 per beneficiary cost for involuntary PMB access
Refractive surgery No benefit Dentistry (conservative and 100% of Polmed rate
restorative)
Subject to the OOH limit and
General practitioners (GPs) 100% of agreed tariff at DSP, 100%
includes dentist’s costs for in-
of Polmed rate at non-DSP or at
hospital, non-PMB procedures
cost for involuntary PMB access
Specialists 100% of agreed tariff at DSP, 100% Routine consultation, scale and
of Polmed rate for non-DSP or at polish are limited to two annual
cost for involuntary PMB access check-ups per beneficiary
Anaesthetists 150% of Polmed rate or at cost for Oral hygiene instructions are limited
PMBs to once in 12 months per beneficiaryAQUARIUM
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General practitioners (GPs) 100% of agreed tariff at DSP or at Pathology M0 – R2 767
POLMED has a GP network cost for involuntary PMB access M1 – R4 092
M2 – R4 950
The limit for consultations shall M3 – R6 127
accrue towards the OOH limit M4 + – R7 590
Subject to maximum numbers of The defined limit per family will
visits/consultations per family per apply for any pathology service
annum, as follows: done out of hospital
M0 – 8
M1 – 12 Physiotherapy 100% of Polmed rate
M2 – 15
M3 – 18 Annual limit of R2 141 per family
OVERALL OUT-OF-HOSPITAL BENEFITS
OVERALL OUT-OF-HOSPITAL BENEFITS
M4 + – 22
Subject to the OOH limit
Medication (acute) 100% of Polmed rate
Social worker 100% of Polmed rate
Annual limit of R8 544 per family
Annual limit of R2 020 per family
Subject to the OOH limit and the
medicine reference price Subject to the OOH limit
Medication (over-the-counter 100% of Polmed rate Specialists 100% of agreed tariff at DSP or at
Referral is not necessary for cost for involuntary PMB access
[OTC])
Annual limit of R850 per family gynaecologists, psychiatrists,
oncologists, ophthalmologists, The limit for consultations shall
Subject to the OOH limit; shared nephrologists (dialysis), dental accrue towards the OOH limit
limit with acute medication specialists and supplementary/allied
health services (excluding audiology Limited to four visits per beneficiary
Audiology 100% of Polmed rate services) and eight visits per family per
annum
Subject to the OOH limit
Subject to referral by a GP (two
Subject to referral by GP, ear, specialist visits per beneficiary
nose and throat (ENT) specialist, without GP referral allowed)
paediatrician, physician or
neurologist R1 000 co-payment if no referral is
obtained
Occupational and speech PMBs only
therapy
Benefit first accrues to the OOH
limitAllied health services and No benefit Appliances (medical and Medical Annual limit of
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alternative healthcare surgical) assistive R2 406 per family
providers (continued) devices and includes
Includes biokineticists, medical devices in/
chiropractors, dieticians, out of hospital
homeopaths, chiropodists,
podiatrists, reflexologists, Dentistry (specialised) No benefit except for PMBs
naturopaths, orthoptists, osteopaths Pre-authorisation required
Only covers specialised dental
and therapeutic massage therapists
procedures done in/out of hospital
that meet PMB criteria
Benefit is subject to clinically
appropriate services Maternity benefits, including 100% of agreed tariff at DSP, 100%
home birth of Polmed rate at non-DSP or at
Appliances (medical and 100% of Polmed rate and subject to:
Pre-authorisation required and cost for involuntary PMB access
surgical)
Blood No limit treatment protocols apply
Pre-authorisation is required for the
transfusions The limit for consultations shall not
supply of oxygen
accrue towards the OOH limit
STAND- ALONE BENEFITS
STAND-ALONE BENEFITS
Hearing aids R10 102 per
All costs for maintenance are a hearing aid or The benefit shall include three
Scheme exclusion R20 076 per specialist consultations per
beneficiary per set beneficiary per pregnancy
Members must be referred for every three years
audiology services for hearing aids
Nebuliser R1 145 per family Home birth is limited to R12 868 per
to be reimbursed
once every four beneficiary per annum
years
Annual limit of R3 604 for ultrasound
Glucometer R1 145 per family scans per family; limited to two 2D
once every four scans per pregnancy
years
Benefits relating to more than two
CPAP R8 183 per family
antenatal ultrasound scans and
machine once every four
amniocenteses after 32 weeks
years
of pregnancy are subject to pre-
Wheelchair R10 695 per authorisation
(non- beneficiary once
Maxillofacial No benefit except for PMBs
motorised) every three years
Pre-authorisation required
Wheelchair R30 676 per Surgical removal of impacted teeth
(motorised) beneficiary once is covered subject to overall non-
every three years PMB limit
Insulin Paid from the
delivery hospital benefit up
devices to the mean price
and urine of three quotations
cathetersAQUARIUM
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Chronic medication refers to No benefit except for PMBs Optical OR CONTACT LENSES
non-PMB conditions (continued)
Subject to the medicine reference Contact lenses to the value of R580
Subject to prior application and/or price
registration of the condition Contact lens re-examination to
a maximum cost of R210 per
Approved PMB-CDL conditions are consultation
not subject to a limit
Non-PPN provider would be:
Designated service providers:
Courier pharmacies: Medipost and One consultation limited to a
Pharmacy Direct maximum cost of R325
Retail pharmacies: Clicks and AND EITHER SPECTACLES
MediRite
R580 towards a frame and/or lens
Optical The benefit per beneficiary (per enhancements
STAND-ALONE BENEFITS
STAND-ALONE BENEFITS
Includes frames, lenses and eye 24-month benefit cycle) at a PPN
examinations provider would be: WITH EITHER
The eye examination is per One composite consultation, One pair of clear Aquity single-
beneficiary every two years (unless inclusive of refraction, tonometry vision lenses, limited to R150 per
prior approval for clinical indication and visual field screening; collection lens, or one pair of clear Aquity
has been obtained) of blood pressure, glucose and bifocal lenses, limited to R325,
cholesterol readings or multifocal clear Aquity lenses
Benefits are not pro rata, but covered up to the value of clear
calculated from the benefit service AND EITHER SPECTACLES bifocal lens limit
date
A PPN frame to the value of OR CONTACT LENSES
Each claim for lenses or frames R150 and R430 towards lens
must be submitted with the lens enhancements Contact lenses to the value of R580
prescription
OR Contact lens re-examination to
Benefits shall not be granted for a maximum cost of R210 per
contact lenses if the beneficiary has R580 towards the cost of any consultation
already received a pair of spectacles alternative frame and/or lens
in a two-year benefit cycle enhancements
Annual contact lens limit is specified WITH EITHER
Contact lens re-examination can be One pair of clear Aquity single-
claimed for in six-monthly intervals vision or clear Aquity bifocal lenses
or clear Aquity multifocal lenses
Preferred Provider Negotiators covered up to the value of clear
(PPN) is the preferred provider bifocal lens limit
networkAQUARIUM
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Preventative care (refer to 100% of Polmed rate or agreed tariff Radiology (specialised) 100% of agreed tariff or at cost for
STAND-ALONE BENEFITS
Annexure E) where applicable Pre-authorisation required PMBs
One wellness measure per year,
including: Early detection screening limited to Limited to R34 610 per family
• Blood pressure test periods specified in Annexure E
• Body mass index test Includes any specialised radiology
• Waist-to-hip ratio measurement Funded from the risk pool; the service done in/out of hospital
• Cholesterol screening (Z13.8) benefit shall not accrue to the OOH
• Glucose screening (Z13.1) limit Claims for PMBs first accrue towards
• Healthy diet counselling (Z71.3) the limit
• Risk assessment tests:
– Baby immunisation (as per Subject to a limit of two scans per
the Department of Health beneficiary per annum, except for
guidelines) PMBs
– Bone densitometry scan
– Circumcision
– Contraceptives (as per
STAND-ALONE BENEFITS
the Department of Health
guidelines)
– Dental screening (codes 8101,
8151 and 8102)
– Flu vaccine
– Glaucoma screening
– HIV tests
– Mammogram
– Pap smear
– Pneumococcal vaccine
– Prostate screening
– Psycho-social services ANNEXURE B2
Radiology (basic) 100% of agreed tariff or at cost for
i.e. black and white X-rays and soft PMBs
tissue ultrasounds
Limited to R4 950 per family CO-PAYMENTS
Includes any basic radiology done OUT OF NETWORK CO-PAYMENT
in/out of hospital
General practitioner (GP) Allows for two out-of-network consultations
Claims for PMBs first accrue towards
the limit Co-payment shall apply once maximum out-
of-network consultations are exceeded
Hospital R8 000
Pharmacy 20% of costsPulmonary diseases
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ANNEXURE B4 Asthma
COPD
Bronchiectasis
AQUARIUM: CHRONIC CONDITIONS Cystic fibrosis
Prescribed minimum benefits (PMBs), including chronic Psychiatric conditions
diagnostic treatment pairs (DTPs) Affective disorders (depression and
Chronic medication is payable from chronic medication benefits. Once bipolar mood disorder)
the benefit limit has been reached, it will be funded from the unlimited Schizophrenic disorders
PMB pool.
Special category conditions
Auto-immune disorder Gynaecological conditions HIV/AIDS
Tuberculosis
Systemic lupus erythematosis (SLE) Endometriosis
Organ transplantation
Menopausal treatment
Cardiovascular conditions Treatable cancers
Cardiac dysrhythmias Haematological conditions
As per PMB guidelines
Coronary artery disease Haemophilia
Cardiomyopathy Anaemia
Heart failure Idiopathic thrombocytopenic purpura Urological
Hypertension Megaloblastic anaemia conditions
Peripheral arterial disease Chronic renal failure
Thromboembolic disease Metabolic condition Benign prostatic
Valvular disease hypertrophy
Hyperlipidaemia
Nephrotic syndrome and
Endocrine conditions Musculoskeletal condition
glomerulonephritis
Addison’s disease Renal calculi
Rheumatic arthritis
Diabetes mellitus type I
Diabetes mellitus type II
Diabetes insipidus Neurological conditions
Hypo- and hyperthyroidism Epilepsy
Cushing’s disease Multiple sclerosis
Hyperprolactinaemia Parkinson’s disease
Polycystic ovaries Cerebrovascular incident
Primary hypogonadism Permanent spinal cord injuries
Gastro-intestinal conditions Ophthalmic condition
Crohn’s disease Glaucoma
Ulcerative colitis
Peptic ulcer disease (requires special
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