Browse by Changes

General Pharmaceutical Benefits

Additions

Addition – Item

11056X CERITINIB, ceritinib 150 mg capsule, 3 x 50 (Zykadia)
11027J GLYCERYL TRINITRATE, glyceryl trinitrate 300 microgram sublingual tablet, 100 (Nitrostat)
11051P GLYCERYL TRINITRATE, glyceryl trinitrate 300 microgram sublingual tablet, 100 (Nitrostat) (Dental)
11032P IXEKIZUMAB, ixekizumab 80 mg/mL injection, 2 x 1 mL injection devices (Taltz)
11033Q IXEKIZUMAB, ixekizumab 80 mg/mL injection, 2 x 1 mL injection devices (Taltz)
11034R OLAPARIB, olaparib 50 mg capsule, 4 x 112 (Lynparza)
11050N OLAPARIB, olaparib 50 mg capsule, 4 x 112 (Lynparza)
11037X PEGINTERFERON ALFA-2A, peginterferon alfa-2a 180 microgram/0.5 mL injection, 4 x 0.5 mL syringes (Pegasys)
11049M SODIUM CHLORIDE + POTASSIUM CHLORIDE + GLUCOSE MONOHYDRATE + CITRIC ACID, sodium chloride 470 mg + potassium chloride 300 mg + glucose monohydrate 3.56 g + sodium acid citrate 530 mg powder for oral liquid, 10 x 4.9 g sachets (Repalyte New Formulation, restore O.R.S.)
11043F TIOTROPIUM, tiotropium 2.5 microgram/actuation inhalation solution, 60 actuations (Spiriva Respimat)

Addition – Brand

8717T APO-Aripiprazole, TXARIPIPRAZOLE, aripiprazole 10 mg tablet, 30
8717T Tevaripiprazole, TBARIPIPRAZOLE, aripiprazole 10 mg tablet, 30
8718W APO-Aripiprazole, TXARIPIPRAZOLE, aripiprazole 15 mg tablet, 30
8718W Tevaripiprazole, TBARIPIPRAZOLE, aripiprazole 15 mg tablet, 30
8719X APO-Aripiprazole, TXARIPIPRAZOLE, aripiprazole 20 mg tablet, 30
8719X Tevaripiprazole, TBARIPIPRAZOLE, aripiprazole 20 mg tablet, 30
8720Y APO-Aripiprazole, TXARIPIPRAZOLE, aripiprazole 30 mg tablet, 30
8720Y Tevaripiprazole, TBARIPIPRAZOLE, aripiprazole 30 mg tablet, 30
1081X Atenolol Amneal, EFATENOLOL, atenolol 50 mg tablet, 30
9092M ATOMERRA, RWATOMOXETINE, atomoxetine 10 mg capsule, 28
9093N ATOMERRA, RWATOMOXETINE, atomoxetine 18 mg capsule, 28
9094P ATOMERRA, RWATOMOXETINE, atomoxetine 25 mg capsule, 28
9095Q ATOMERRA, RWATOMOXETINE, atomoxetine 40 mg capsule, 28
9096R ATOMERRA, RWATOMOXETINE, atomoxetine 60 mg capsule, 28
9289X ATOMERRA, RWATOMOXETINE, atomoxetine 80 mg capsule, 28
9290Y ATOMERRA, RWATOMOXETINE, atomoxetine 100 mg capsule, 28
9494Q Calcipotriol/Betamethasone Sandoz 50/500, SZCALCIPOTRIOL + BETAMETHASONE DIPROPIONATE, calcipotriol 0.005% + betamethasone (as dipropionate) 0.05% ointment, 30 g
1269T ANTERONE 50, RWCYPROTERONE, cyproterone acetate 50 mg tablet, 20
1270W ANTERONE 50, RWCYPROTERONE, cyproterone acetate 50 mg tablet, 50
8019C ANTERONE 100, RWCYPROTERONE, cyproterone acetate 100 mg tablet, 50
10241B DESVEN, RWDESVENLAFAXINE, desvenlafaxine 50 mg modified release tablet, 28
10231L DESVEN, RWDESVENLAFAXINE, desvenlafaxine 100 mg modified release tablet, 28
5542Q DORZOLAMIDE/TIMOLOL AN 20/5, EADORZOLAMIDE + TIMOLOL, dorzolamide 2% + timolol 0.5% eye drops, 5 mL (Optometrical)
8567X DORZOLAMIDE/TIMOLOL AN 20/5, EADORZOLAMIDE + TIMOLOL, dorzolamide 2% + timolol 0.5% eye drops, 5 mL
8879H Eplerenone AN, EAEPLERENONE, eplerenone 25 mg tablet, 30
8880J Eplerenone AN, EAEPLERENONE, eplerenone 50 mg tablet, 30
1459T Nitrostat, PFGLYCERYL TRINITRATE, glyceryl trinitrate 600 microgram sublingual tablet, 100
5108W Nitrostat, PFGLYCERYL TRINITRATE, glyceryl trinitrate 600 microgram sublingual tablet, 100 (Dental)
8532C INDAPAMIDE AN SR, EAINDAPAMIDE, indapamide hemihydrate 1.5 mg modified release tablet, 90
8246B Irbesartan AMNEAL, EFIRBESARTAN, irbesartan 75 mg tablet, 30
8247C Irbesartan AMNEAL, EFIRBESARTAN, irbesartan 150 mg tablet, 30
8248D Irbesartan AMNEAL, EFIRBESARTAN, irbesartan 300 mg tablet, 30
8404H Irbesartan HCTZ AMNEAL, EFIRBESARTAN + HYDROCHLOROTHIAZIDE, irbesartan 150 mg + hydrochlorothiazide 12.5 mg tablet, 30
8405J Irbesartan HCTZ AMNEAL, EFIRBESARTAN + HYDROCHLOROTHIAZIDE, irbesartan 300 mg + hydrochlorothiazide 12.5 mg tablet, 30
2136K Irbesartan HCTZ AMNEAL, EFIRBESARTAN + HYDROCHLOROTHIAZIDE, irbesartan 300 mg + hydrochlorothiazide 25 mg tablet, 30
2848X Lamotrigine GH, GQLAMOTRIGINE, lamotrigine 25 mg tablet, 56
2849Y Lamotrigine GH, GQLAMOTRIGINE, lamotrigine 50 mg tablet, 56
2850B Lamotrigine GH, GQLAMOTRIGINE, lamotrigine 100 mg tablet, 56
2851C Lamotrigine GH, GQLAMOTRIGINE, lamotrigine 200 mg tablet, 56
5553G Latanoprost/timolol AN 50/5, EALATANOPROST + TIMOLOL, latanoprost 0.005% + timolol 0.5% eye drops, 2.5 mL (Optometrical)
8895E Latanoprost/timolol AN 50/5, EALATANOPROST + TIMOLOL, latanoprost 0.005% + timolol 0.5% eye drops, 2.5 mL
3418X SIMIPEX XR, RWPRAMIPEXOLE, pramipexole hydrochloride monohydrate 375 microgram modified release tablet, 30
3419Y SIMIPEX XR, RWPRAMIPEXOLE, pramipexole hydrochloride monohydrate 750 microgram modified release tablet, 30
3420B SIMIPEX XR, RWPRAMIPEXOLE, pramipexole hydrochloride monohydrate 1.5 mg modified release tablet, 30
5143Q SIMIPEX XR, RWPRAMIPEXOLE, pramipexole hydrochloride monohydrate 2.25 mg modified release tablet, 30
3421C SIMIPEX XR, RWPRAMIPEXOLE, pramipexole hydrochloride monohydrate 3 mg modified release tablet, 30
5145T SIMIPEX XR, RWPRAMIPEXOLE, pramipexole hydrochloride monohydrate 3.75 mg modified release tablet, 30
3422D SIMIPEX XR, RWPRAMIPEXOLE, pramipexole hydrochloride monohydrate 4.5 mg modified release tablet, 30
8580N Quetiapine AN, EAQUETIAPINE, quetiapine 300 mg tablet, 60
1968N ACQUIN, RFQUINAPRIL, quinapril 5 mg tablet, 30
8646C Pacrolim, AFTACROLIMUS, tacrolimus 500 microgram capsule, 100
8647D Pacrolim, AFTACROLIMUS, tacrolimus 1 mg capsule, 100
8648E Pacrolim, AFTACROLIMUS, tacrolimus 5 mg capsule, 50

Addition – Equivalence Indicator

9494Q Daivobet, LOCALCIPOTRIOL + BETAMETHASONE DIPROPIONATE, calcipotriol 0.005% + betamethasone (as dipropionate) 0.05% ointment, 30 g

Deletions

Deletion – Item

8118G ALPRAZOLAM, alprazolam 2 mg tablet, 50 (Alprax 2, GenRx Alprazolam, Kalma 2)
1559C BROMOCRIPTINE, bromocriptine 2.5 mg tablet, 60 (Kripton 2.5)
3106L GLUCOSE AND KETONE INDICATOR URINE, glucose and ketone indicator urine diagnostic strip, 50 (Keto-Diabur- Test 5000)
8289G INTERFERON BETA-1A, interferon beta-1a 6 million units (30 microgram) injection [4 vials] (&) inert substance diluent [4 x 1.1 mL syringes], 1 pack (Avonex)
10636T PEGINTERFERON ALFA-2A (&) RIBAVIRIN, peginterferon alfa-2a 180 microgram/0.5 mL injection [4 x 0.5 mL syringes] (&) ribavirin 200 mg tablet [140 tablets], 1 pack (Pegasys RBV)
10634Q PEGINTERFERON ALFA-2A (&) RIBAVIRIN, peginterferon alfa-2a 180 microgram/0.5 mL injection [4 x 0.5 mL syringes] (&) ribavirin 200 mg tablet [168 tablets], 1 pack (Pegasys RBV)

Deletion – Brand

1444B Kripton 2.5, AFBROMOCRIPTINE, bromocriptine 2.5 mg tablet, 30
1785Y Hospira Ceftriaxone, PFCEFTRIAXONE, ceftriaxone 2 g injection, 1 vial
2655R Cephalexin generichealth, GQCEPHALEXIN, cephalexin 250 mg capsule, 20
3058Y Cephalexin generichealth, GQCEPHALEXIN, cephalexin 250 mg capsule, 20
3317N Cephalexin generichealth, GQCEPHALEXIN, cephalexin 250 mg capsule, 20 (Dental)
2848X Lamotrigine generichealth, GQLAMOTRIGINE, lamotrigine 25 mg tablet, 56
2849Y Lamotrigine generichealth, GQLAMOTRIGINE, lamotrigine 50 mg tablet, 56
2850B Lamotrigine generichealth, GQLAMOTRIGINE, lamotrigine 100 mg tablet, 56
2851C Lamotrigine generichealth, GQLAMOTRIGINE, lamotrigine 200 mg tablet, 56
1801T Glucophage, MQMETFORMIN, metformin hydrochloride 850 mg tablet, 60
3050M Ozapace, RAPERINDOPRIL, perindopril erbumine 2 mg tablet, 30
3051N Ozapace, RAPERINDOPRIL, perindopril erbumine 4 mg tablet, 30
8704D Ozapace, RAPERINDOPRIL, perindopril erbumine 8 mg tablet, 30
8456C Seronia 25, RFQUETIAPINE, quetiapine 25 mg tablet, 60
8507R Prabez, AFRABEPRAZOLE, rabeprazole sodium 10 mg enteric tablet, 28
8508T Prabez, AFRABEPRAZOLE, rabeprazole sodium 20 mg enteric tablet, 30
8509W Prabez, AFRABEPRAZOLE, rabeprazole sodium 20 mg enteric tablet, 30
8470T Prilace 10, RWRAMIPRIL, ramipril 10 mg capsule, 30
1945J Prilace 2.5, RWRAMIPRIL, ramipril 2.5 mg tablet, 30
1946K Prilace 5, RWRAMIPRIL, ramipril 5 mg tablet, 30
2055E Ulcyte, AFSUCRALFATE, sucralfate 1 g tablet, 120
8144P Sumagran Aspen 50, RWSUMATRIPTAN, SUMATRIPTAN Tablet 50 mg (as succinate), 2
5480K Valnir, OWVALACICLOVIR, valaciclovir 500 mg tablet, 30
8064K Valnir, OWVALACICLOVIR, valaciclovir 500 mg tablet, 42
8133C Valnir, OWVALACICLOVIR, valaciclovir 500 mg tablet, 10
8134D Valnir, OWVALACICLOVIR, valaciclovir 500 mg tablet, 30

Deletion – Equivalence Indicator

1443Y Parlodel, SZBROMOCRIPTINE, bromocriptine 2.5 mg tablet, 30
1444B Parlodel, SZBROMOCRIPTINE, bromocriptine 2.5 mg tablet, 30
2055E Carafate, ASSUCRALFATE, sucralfate 1 g tablet, 120

Alterations

Alteration – Restriction

The following items have additions, deletions or alterations to restrictions, notes and/or cautions.

9425C ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Humira)
9426D ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL cartridges (Humira)
9427E ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Humira)
9428F ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL cartridges (Humira)
2130D ALPRAZOLAM, alprazolam 250 microgram tablet, 50 (Alprax 0.25, Kalma 0.25)
2131E ALPRAZOLAM, alprazolam 500 microgram tablet, 50 (Alprax 0.5, Kalma 0.5)
2132F ALPRAZOLAM, alprazolam 1 mg tablet, 50 (Alprax 1, GenRx Alprazolam, Kalma 1)
1443Y BROMOCRIPTINE, bromocriptine 2.5 mg tablet, 30 (Parlodel)
1354G DASATINIB, dasatinib 20 mg tablet, 60 (Sprycel)
1381Q DASATINIB, dasatinib 50 mg tablet, 60 (Sprycel)
1415L DASATINIB, dasatinib 70 mg tablet, 60 (Sprycel)
1416M DASATINIB, dasatinib 100 mg tablet, 30 (Sprycel)
2478K DASATINIB, dasatinib 20 mg tablet, 60 (Sprycel)
2482P DASATINIB, dasatinib 50 mg tablet, 60 (Sprycel)
2485T DASATINIB, dasatinib 70 mg tablet, 60 (Sprycel)
9342Q DASATINIB, dasatinib 100 mg tablet, 30 (Sprycel)
9037P ETANERCEPT, etanercept 25 mg injection [4 vials] (&) inert substance diluent [4 x 1 mL syringes], 1 pack (Enbrel)
9091L ETANERCEPT, ETANERCEPT Injections 50 mg in 1 mL single use pre-filled syringes, 4, 1 (Enbrel)
9429G ETANERCEPT, etanercept 25 mg injection [4 vials] (&) inert substance diluent [4 x 1 mL syringes], 1 pack (Enbrel)
9431J ETANERCEPT, ETANERCEPT Injections 50 mg in 1 mL single use pre-filled syringes, 4, 1 (Enbrel)
9461Y ETANERCEPT, ETANERCEPT Injection 50 mg in 1 mL single use auto-injector, 4, 1 (Enbrel)
9462B ETANERCEPT, ETANERCEPT Injection 50 mg in 1 mL single use auto-injector, 4, 1 (Enbrel)
10915L IMATINIB, imatinib 100 mg capsule, 60 (IMATINIB-DRLA, Imatinib-APOTEX)
10916M IMATINIB, imatinib 400 mg capsule, 30 (IMATINIB-DRLA, Imatinib-APOTEX)
9113P IMATINIB, imatinib 100 mg tablet, 60 (Glivec, IMATINIB RBX, Imatinib-Teva)
9114Q IMATINIB, imatinib 400 mg tablet, 30 (Glivec, IMATINIB RBX, Imatinib-Teva)
8630F MILK PROTEIN AND FAT FORMULA WITH VITAMINS AND MINERALS CARBOHYDRATE FREE, milk protein and fat formula with vitamins and minerals carbohydrate free powder for oral liquid, 225 g (Carbohydrate Free Mixture)
1309X NILOTINIB, NILOTINIB Capsule 150 mg (as hydrochloride monohydrate), 120 (Tasigna)
9171Q NILOTINIB, NILOTINIB Capsule 200 mg (as hydrochloride monohydrate), 120 (Tasigna)
10425Q SECUKINUMAB, secukinumab 150 mg/mL injection, 2 x 1 mL injection devices (Cosentyx)
10494H SECUKINUMAB, secukinumab 150 mg/mL injection, 2 x 1 mL injection devices (Cosentyx)
10910F SECUKINUMAB, secukinumab 150 mg/mL injection, 2 x 1 mL injection devices (Cosentyx)
8577K SOY PROTEIN AND FAT FORMULA WITH VITAMINS AND MINERALS CARBOHYDRATE FREE, soy protein and fat formula with vitamins and minerals carbohydrate free oral liquid, 384 mL can (RCF)
10382K TRAMETINIB, trametinib 2 mg tablet, 30 (Mekinist)
10385N TRAMETINIB, trametinib 500 microgram tablet, 30 (Mekinist)
10403M TRAMETINIB, trametinib 500 microgram tablet, 30 (Mekinist)
10405P TRAMETINIB, trametinib 2 mg tablet, 30 (Mekinist)
9304Q USTEKINUMAB, ustekinumab 45 mg/0.5 mL injection, 0.5 mL vial (Stelara)
9305R USTEKINUMAB, ustekinumab 45 mg/0.5 mL injection, 0.5 mL vial (Stelara)

Alteration – Manufacturer Code

From To
8048N ReoProABCIXIMAB, abciximab 10 mg/5 mL injection, 5 mL vial LY JC
2946C Phosphate SandozPHOSPHORUS, phosphorus 500 mg effervescent tablet, 100 NV PL

Alteration – Maximum Quantity

From To
2130D ALPRAZOLAM, alprazolam 250 microgram tablet, 50 (Alprax 0.25, Kalma 0.25) 1 0.2
2131E ALPRAZOLAM, alprazolam 500 microgram tablet, 50 (Alprax 0.5, Kalma 0.5) 1 0.2
2132F ALPRAZOLAM, alprazolam 1 mg tablet, 50 (Alprax 1, GenRx Alprazolam, Kalma 1) 1 0.2

Alteration – Number of Repeats

From To
2132F ALPRAZOLAM, alprazolam 1 mg tablet, 50 (Alprax 1, GenRx Alprazolam, Kalma 1) 2 0

Advance Notices

1 April 2017

Deletion – Brand

1788D Max Pharma Ceftriaxone, GQCEFTRIAXONE, CEFTRIAXONE Powder for injection 1 g, 5
10789W E.E.S. 400 Filmtab, GHERYTHROMYCIN ETHYLSUCCINATE, erythromycin (as ethylsuccinate) 400 mg tablet, 25
2750R E.E.S. 400 Filmtab, GHERYTHROMYCIN ETHYLSUCCINATE, erythromycin (as ethylsuccinate) 400 mg tablet, 25
3336N E.E.S. 400 Filmtab, GHERYTHROMYCIN ETHYLSUCCINATE, erythromycin (as ethylsuccinate) 400 mg tablet, 25 (Dental)

1 May 2017

Deletion – Brand

2646G XLYS, LOW TRY Maxamaid, SBAMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT LYSINE AND LOW IN TRYPTOPHAN, amino acid formula with vitamins and minerals without lysine and low in tryptophan powder for oral liquid, 500 g
8328H XMET Maxamaid, SBAMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT METHIONINE, amino acid formula with vitamins and minerals without methionine powder for oral liquid, 500 g
8059E XMTVI Maxamaid, SBAMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT METHIONINE, THREONINE AND VALINE AND LOW IN ISOLEUCINE, amino acid formula with vitamins and minerals without methionine, threonine and valine and low in isoleucine powder for oral liquid, 500 g
8446M XPhen, Tyr Maxamaid, SBAMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE AND TYROSINE, amino acid formula with vitamins and minerals without phenylalanine and tyrosine powder for oral liquid, 500 g
8260R MSUD Maxamaid, SBAMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT VALINE, LEUCINE AND ISOLEUCINE, amino acid formula with vitamins and minerals without valine, leucine and isoleucine powder for oral liquid, 500 g

Highly Specialised Drugs Program (Private Hospital)

Additions

Addition – Item

11036W LENALIDOMIDE, lenalidomide 5 mg capsule, 21 (Revlimid)
11063G LENALIDOMIDE, lenalidomide 10 mg capsule, 21 (Revlimid)
11042E LENALIDOMIDE, lenalidomide 15 mg capsule, 21 (Revlimid)
11055W LENALIDOMIDE, lenalidomide 25 mg capsule, 21 (Revlimid)
11044G PEGINTERFERON ALFA-2A, peginterferon alfa-2a 180 microgram/0.5 mL injection, 4 x 0.5 mL syringes (Pegasys)
11031N RIOCIGUAT, riociguat 500 microgram tablet, 42 (Adempas)
11058B RIOCIGUAT, riociguat 500 microgram tablet, 84 (Adempas)
11028K RIOCIGUAT, riociguat 1 mg tablet, 42 (Adempas)
11060D RIOCIGUAT, riociguat 1 mg tablet, 84 (Adempas)
11046J RIOCIGUAT, riociguat 1.5 mg tablet, 42 (Adempas)
11061E RIOCIGUAT, riociguat 1.5 mg tablet, 84 (Adempas)
11030M RIOCIGUAT, riociguat 2 mg tablet, 84 (Adempas)
11045H RIOCIGUAT, riociguat 2 mg tablet, 42 (Adempas)
11035T RIOCIGUAT, riociguat 2.5 mg tablet, 84 (Adempas)
11052Q RIOCIGUAT, riociguat 2.5 mg tablet, 42 (Adempas)

Addition – Brand

6328C Pacrolim, AFTACROLIMUS, tacrolimus 500 microgram capsule, 100
6216E Pacrolim, AFTACROLIMUS, tacrolimus 1 mg capsule, 100
6217F Pacrolim, AFTACROLIMUS, tacrolimus 5 mg capsule, 50

Deletions

Deletion – Item

6394M PEGINTERFERON ALFA-2A (&) RIBAVIRIN, peginterferon alfa-2a 180 microgram/0.5 mL injection [4 x 0.5 mL syringes] (&) ribavirin 200 mg tablet [112 tablets], 1 pack (Pegasys RBV)
10674T PEGINTERFERON ALFA-2A (&) RIBAVIRIN, peginterferon alfa-2a 180 microgram/0.5 mL injection [4 x 0.5 mL syringes] (&) ribavirin 200 mg tablet [140 tablets], 1 pack (Pegasys RBV)
6395N PEGINTERFERON ALFA-2A (&) RIBAVIRIN, peginterferon alfa-2a 180 microgram/0.5 mL injection [4 x 0.5 mL syringes] (&) ribavirin 200 mg tablet [140 tablets], 1 pack (Pegasys RBV)
10662E PEGINTERFERON ALFA-2A (&) RIBAVIRIN, peginterferon alfa-2a 180 microgram/0.5 mL injection [4 x 0.5 mL syringes] (&) ribavirin 200 mg tablet [168 tablets], 1 pack (Pegasys RBV)
6392K PEGINTERFERON ALFA-2A (&) RIBAVIRIN, peginterferon alfa-2a 135 microgram/0.5 mL injection [4 x 0.5 mL syringes] (&) ribavirin 200 mg tablet [168 tablets], 1 pack (Pegasys RBV)
6396P PEGINTERFERON ALFA-2A (&) RIBAVIRIN, peginterferon alfa-2a 180 microgram/0.5 mL injection [4 x 0.5 mL syringes] (&) ribavirin 200 mg tablet [168 tablets], 1 pack (Pegasys RBV)
10197Q SIMEPREVIR, simeprevir sodium 150 mg capsule, 7 (Olysio)

Deletion – Brand

6280M Zelitrex, RFVALACICLOVIR, valaciclovir 500 mg tablet, 100

Alterations

Alteration – Restriction

The following items have additions, deletions or alterations to restrictions, notes and/or cautions.

9648T AMBRISENTAN, ambrisentan 5 mg tablet, 30 (Volibris)
9649W AMBRISENTAN, ambrisentan 10 mg tablet, 30 (Volibris)
6429J BOSENTAN, bosentan 62.5 mg tablet, 60 (Tracleer)
6430K BOSENTAN, bosentan 125 mg tablet, 60 (Tracleer)
5827Q ELTROMBOPAG, eltrombopag 25 mg tablet, 28 (Revolade)
5828R ELTROMBOPAG, eltrombopag 50 mg tablet, 28 (Revolade)
10111E EPOPROSTENOL, epoprostenol 500 microgram injection, 1 vial (Veletri)
10129D EPOPROSTENOL, epoprostenol 1.5 mg injection, 1 vial (Veletri)
5036C EPOPROSTENOL, EPOPROSTENOL SODIUM Powder for I.V. infusion 500 micrograms (base) infusion administration set, 1 (Flolan Kit)
5042J EPOPROSTENOL, EPOPROSTENOL SODIUM Powder for I.V. infusion 1.5 mg (base) infusion administration set, 1 (Flolan Kit)
1082Y FILGRASTIM, filgrastim 300 microgram/0.5 mL injection, 10 x 0.5 mL syringes (TevaGrastim)
1113N FILGRASTIM, filgrastim 480 microgram/0.8 mL injection, 10 x 0.8 mL syringes (TevaGrastim)
2733W FILGRASTIM, filgrastim 480 microgram/0.5 mL injection, 5 x 0.5 mL syringes (Zarzio)
2747N FILGRASTIM, filgrastim 300 microgram/0.5 mL injection, 5 x 0.5 mL syringes (Zarzio)
6126K FILGRASTIM, filgrastim 300 microgram/mL injection, 10 x 1 mL vials (Neupogen)
6127L FILGRASTIM, filgrastim 480 microgram/1.6 mL injection, 10 x 1.6 mL vials (Neupogen)
6291D FILGRASTIM, filgrastim 300 microgram/0.5 mL injection, 10 x 0.5 mL syringes (Neupogen)
6292E FILGRASTIM, filgrastim 480 microgram/0.5 mL injection, 10 x 0.5 mL syringes (Neupogen)
9693E FILGRASTIM, filgrastim 300 microgram/0.5 mL injection, 10 x 0.5 mL syringes (Nivestim)
9695G FILGRASTIM, filgrastim 480 microgram/0.5 mL injection, 10 x 0.5 mL syringes (Nivestim)
6456T ILOPROST, iloprost 20 microgram/2 mL inhalation solution, 30 x 2 mL ampoules (Ventavis)
9617E INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Remicade)
10134J MACITENTAN, macitentan 10 mg tablet, 30 (Opsumit)
10956P OMALIZUMAB, omalizumab 75 mg/0.5 mL injection, 0.5 mL syringe (Xolair)
10968G OMALIZUMAB, omalizumab 150 mg/mL injection, 1 mL syringe (Xolair)
9697J ROMIPLOSTIM, romiplostim 250 microgram injection, 1 vial (Nplate)
9699L ROMIPLOSTIM, romiplostim 500 microgram injection, 1 vial (Nplate)
9605M SILDENAFIL, sildenafil 20 mg tablet, 90 (APO-Sildenafil PHT, Revatio, SILDENAFIL-DRx, Sildenafil AN PHT 20, Sildenafil Sandoz PHT 20)
1304P TADALAFIL, tadalafil 20 mg tablet, 56 (Adcirca)

Highly Specialised Drugs Program (Public Hospital)

Additions

Addition – Item

11029L LENALIDOMIDE, lenalidomide 5 mg capsule, 21 (Revlimid)
11064H LENALIDOMIDE, lenalidomide 10 mg capsule, 21 (Revlimid)
11062F LENALIDOMIDE, lenalidomide 15 mg capsule, 21 (Revlimid)
11041D LENALIDOMIDE, lenalidomide 25 mg capsule, 21 (Revlimid)
11026H PEGINTERFERON ALFA-2A, peginterferon alfa-2a 180 microgram/0.5 mL injection, 4 x 0.5 mL syringes (Pegasys)
11040C RIOCIGUAT, riociguat 500 microgram tablet, 42 (Adempas)
11059C RIOCIGUAT, riociguat 500 microgram tablet, 84 (Adempas)
11053R RIOCIGUAT, riociguat 1 mg tablet, 84 (Adempas)
11054T RIOCIGUAT, riociguat 1 mg tablet, 42 (Adempas)
11047K RIOCIGUAT, riociguat 1.5 mg tablet, 42 (Adempas)
11048L RIOCIGUAT, riociguat 1.5 mg tablet, 84 (Adempas)
11038Y RIOCIGUAT, riociguat 2 mg tablet, 42 (Adempas)
11039B RIOCIGUAT, riociguat 2 mg tablet, 84 (Adempas)
11024F RIOCIGUAT, riociguat 2.5 mg tablet, 84 (Adempas)
11057Y RIOCIGUAT, riociguat 2.5 mg tablet, 42 (Adempas)

Addition – Brand

9558C Pacrolim, AFTACROLIMUS, tacrolimus 500 microgram capsule, 100
9560E Pacrolim, AFTACROLIMUS, tacrolimus 1 mg capsule, 100
9561F Pacrolim, AFTACROLIMUS, tacrolimus 5 mg capsule, 50

Deletions

Deletion – Item

9525H PEGINTERFERON ALFA-2A (&) RIBAVIRIN, peginterferon alfa-2a 180 microgram/0.5 mL injection [4 x 0.5 mL syringes] (&) ribavirin 200 mg tablet [112 tablets], 1 pack (Pegasys RBV)
10664G PEGINTERFERON ALFA-2A (&) RIBAVIRIN, peginterferon alfa-2a 180 microgram/0.5 mL injection [4 x 0.5 mL syringes] (&) ribavirin 200 mg tablet [140 tablets], 1 pack (Pegasys RBV)
9526J PEGINTERFERON ALFA-2A (&) RIBAVIRIN, peginterferon alfa-2a 180 microgram/0.5 mL injection [4 x 0.5 mL syringes] (&) ribavirin 200 mg tablet [140 tablets], 1 pack (Pegasys RBV)
10655T PEGINTERFERON ALFA-2A (&) RIBAVIRIN, peginterferon alfa-2a 180 microgram/0.5 mL injection [4 x 0.5 mL syringes] (&) ribavirin 200 mg tablet [168 tablets], 1 pack (Pegasys RBV)
9524G PEGINTERFERON ALFA-2A (&) RIBAVIRIN, peginterferon alfa-2a 135 microgram/0.5 mL injection [4 x 0.5 mL syringes] (&) ribavirin 200 mg tablet [168 tablets], 1 pack (Pegasys RBV)
9527K PEGINTERFERON ALFA-2A (&) RIBAVIRIN, peginterferon alfa-2a 180 microgram/0.5 mL injection [4 x 0.5 mL syringes] (&) ribavirin 200 mg tablet [168 tablets], 1 pack (Pegasys RBV)
10200W SIMEPREVIR, simeprevir sodium 150 mg capsule, 7 (Olysio)

Deletion – Brand

9568N Zelitrex, RFVALACICLOVIR, valaciclovir 500 mg tablet, 100

Alterations

Alteration – Restriction

The following items have additions, deletions or alterations to restrictions, notes and/or cautions.

5607D AMBRISENTAN, ambrisentan 5 mg tablet, 30 (Volibris)
5608E AMBRISENTAN, ambrisentan 10 mg tablet, 30 (Volibris)
5618Q BOSENTAN, bosentan 62.5 mg tablet, 60 (Tracleer)
5619R BOSENTAN, bosentan 125 mg tablet, 60 (Tracleer)
5825N ELTROMBOPAG, eltrombopag 25 mg tablet, 28 (Revolade)
5826P ELTROMBOPAG, eltrombopag 50 mg tablet, 28 (Revolade)
10117L EPOPROSTENOL, epoprostenol 1.5 mg injection, 1 vial (Veletri)
10130E EPOPROSTENOL, epoprostenol 500 microgram injection, 1 vial (Veletri)
5030R EPOPROSTENOL, EPOPROSTENOL SODIUM Powder for I.V. infusion 500 micrograms (base) infusion administration set, 1 (Flolan Kit)
5035B EPOPROSTENOL, EPOPROSTENOL SODIUM Powder for I.V. infusion 1.5 mg (base) infusion administration set, 1 (Flolan Kit)
5751Q ILOPROST, iloprost 20 microgram/2 mL inhalation solution, 30 x 2 mL ampoules (Ventavis)
5758C INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Remicade)
10136L MACITENTAN, macitentan 10 mg tablet, 30 (Opsumit)
10967F OMALIZUMAB, omalizumab 75 mg/0.5 mL injection, 0.5 mL syringe (Xolair)
10973M OMALIZUMAB, omalizumab 150 mg/mL injection, 1 mL syringe (Xolair)
9696H ROMIPLOSTIM, romiplostim 250 microgram injection, 1 vial (Nplate)
9698K ROMIPLOSTIM, romiplostim 500 microgram injection, 1 vial (Nplate)
9547L SILDENAFIL, sildenafil 20 mg tablet, 90 (APO-Sildenafil PHT, Revatio, SILDENAFIL-DRx, Sildenafil AN PHT 20, Sildenafil Sandoz PHT 20)
1308W TADALAFIL, tadalafil 20 mg tablet, 56 (Adcirca)

Repatriation Pharmaceutical Benefits

Alterations

Alteration – Item Description

From
4004R CLOTRIMAZOLE, clotrimazole 1% vaginal cream, 20 g (Clonea); clotrimazole 1% vaginal cream, 20 g (Pharmacy Action Anti-Fungal Cream)
To
4004R CLOTRIMAZOLE, clotrimazole 1% cream, 20 g (Clonea); clotrimazole 1% cream, 20 g (Pharmacy Action Anti-Fungal Cream)
 

Efficient Funding of Chemotherapy (Private Hospital)

Additions

Addition – Brand

7255W Pemetrexed Accord, ODPEMETREXED, pemetrexed 100 mg injection, 1 vial
7255W Pemetrexed Accord, ODPEMETREXED, pemetrexed 500 mg injection, 1 vial
7255W Pemetrexed Accord, ODPEMETREXED, pemetrexed 1 g injection, 1 vial

Alterations

Alteration – Manufacturer Code

From To
7255W Pemetrexed MYXPEMETREXED, pemetrexed 1 g injection, 1 vial YN OC

Efficient Funding of Chemotherapy (Public Hospital)

Additions

Addition – Brand

4600D Pemetrexed Accord, ODPEMETREXED, pemetrexed 100 mg injection, 1 vial
4600D Pemetrexed Accord, ODPEMETREXED, pemetrexed 500 mg injection, 1 vial
4600D Pemetrexed Accord, ODPEMETREXED, pemetrexed 1 g injection, 1 vial

Alterations

Alteration – Manufacturer Code

From To
4600D Pemetrexed MYXPEMETREXED, pemetrexed 1 g injection, 1 vial YN OC