Even when particular non-formulary agents usually are not generally out there at navy remedy services, they are going to be made available to eligible covered beneficiaries through the non-formulary special approval process as noted on this paragraph when there is a valid medical necessity to be used of the non-formulary pharmaceutical agent. Pharmacy and Therapeutics Committee determinations. Determinations of the Pharmacy and Therapeutics Committee are by majority vote and recorded in minutes of Committee meetings.

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Removal of enamel and tooth fragments in order to deal with and restore facial trauma ensuing from an accidental injury. Intraoral abscesses which lengthen beyond the dental alveolus. Cosmetic, reconstructive, or plastic surgical procedures which might be justified primarily on the premise of a psychological or psychiatric need. For purposes of CHAMPUS, dental congenital anomalies similar to absent tooth buds or malocclusion specifically are excluded.

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