not required

General Pharmaceutical Benefits

Additions

Addition – Item

9157Y CINACALCET, cinacalcet 30 mg tablet, 28 (Pharmacor Cinacalcet)
9158B CINACALCET, cinacalcet 60 mg tablet, 28 (Pharmacor Cinacalcet)
9159C CINACALCET, cinacalcet 90 mg tablet, 28 (Pharmacor Cinacalcet)
11890T LEVODOPA + CARBIDOPA, levodopa 200 mg + carbidopa 50 mg modified release tablet, 60 (Sinemet CR Prolonged-Release Tablets)
11884L LISDEXAMFETAMINE, lisdexamfetamine dimesilate 20 mg capsule, 30 (Vyvanse)
11898F LISDEXAMFETAMINE, lisdexamfetamine dimesilate 40 mg capsule, 30 (Vyvanse)
11897E LISDEXAMFETAMINE, lisdexamfetamine dimesilate 60 mg capsule, 30 (Vyvanse)
11892X TIOTROPIUM, tiotropium 13 microgram powder for inhalation, 30 capsules (Braltus)

Addition – Brand

1209P Ciprofloxacin GH, HQCIPROFLOXACIN, ciprofloxacin 500 mg tablet, 14
8220P NOUMED CITALOPRAM, VOCITALOPRAM, citalopram 20 mg tablet, 28
8703C NOUMED CITALOPRAM, VOCITALOPRAM, citalopram 40 mg tablet, 28
2275R BTC Clopidogrel, JBCLOPIDOGREL, clopidogrel 75 mg tablet, 28
2275R Clopidogrel APOTEX, GXCLOPIDOGREL, clopidogrel 75 mg tablet, 28
9354H BTC Clopidogrel, JBCLOPIDOGREL, clopidogrel 75 mg tablet, 28
9354H Clopidogrel APOTEX, GXCLOPIDOGREL, clopidogrel 75 mg tablet, 28
2711Q Doxsig, RWDOXYCYCLINE, doxycycline 50 mg tablet, 25
10392Y Ezetimibe/Atorvastatin GH 10/10, GQEZETIMIBE + ATORVASTATIN, ezetimibe 10 mg + atorvastatin 10 mg tablet, 30
10393B Ezetimibe/Atorvastatin GH 10/20, GQEZETIMIBE + ATORVASTATIN, ezetimibe 10 mg + atorvastatin 20 mg tablet, 30
10377E Ezetimibe/Atorvastatin GH 10/40, GQEZETIMIBE + ATORVASTATIN, ezetimibe 10 mg + atorvastatin 40 mg tablet, 30
10376D Ezetimibe/Atorvastatin GH 10/80, GQEZETIMIBE + ATORVASTATIN, ezetimibe 10 mg + atorvastatin 80 mg tablet, 30
9483D EZETORIN, RWEZETIMIBE + SIMVASTATIN, ezetimibe 10 mg + simvastatin 10 mg tablet, 30
9484E EZETORIN, RWEZETIMIBE + SIMVASTATIN, ezetimibe 10 mg + simvastatin 20 mg tablet, 30
8881K EZETORIN, RWEZETIMIBE + SIMVASTATIN, ezetimibe 10 mg + simvastatin 40 mg tablet, 30
8882L EZETORIN, RWEZETIMIBE + SIMVASTATIN, ezetimibe 10 mg + simvastatin 80 mg tablet, 30
9023X Fenofibrate Sandoz, SZFENOFIBRATE, fenofibrate 145 mg tablet, 30
9247Q Fenofibrate Sandoz, SZFENOFIBRATE, fenofibrate 145 mg tablet, 30
8420E MEDSURGE HYDROMORPHONE 2 mg/1 mL, DZHYDROMORPHONE, hydromorphone hydrochloride 2 mg/mL injection, 5 x 1 mL ampoules
8421F MEDSURGE HYDROMORPHONE HP 10 mg/1 mL, DZHYDROMORPHONE, hydromorphone hydrochloride 10 mg/mL injection, 5 x 1 mL ampoules
8654L NOUMED LEVETIRACETAM, VOLEVETIRACETAM, levetiracetam 250 mg tablet, 60
8655M NOUMED LEVETIRACETAM, VOLEVETIRACETAM, levetiracetam 500 mg tablet, 60
8656N NOUMED LEVETIRACETAM, VOLEVETIRACETAM, levetiracetam 1 g tablet, 60
8612G APOHEALTH Macrogol with Electrolytes, GXMACROGOL-3350 + SODIUM CHLORIDE + BICARBONATE + POTASSIUM CHLORIDE, macrogol-3350 13.125 g + sodium chloride 350.7 mg + sodium bicarbonate 178.5 mg + potassium chloride 46.6 mg powder for oral liquid, 30 sachets
8650G Mycophenolate GH, GQMYCOPHENOLATE, mycophenolate mofetil 500 mg tablet, 50

Addition – Equivalence Indicator

10392Y Atozet, MKEZETIMIBE + ATORVASTATIN, ezetimibe 10 mg + atorvastatin 10 mg tablet, 30
10393B Atozet, MKEZETIMIBE + ATORVASTATIN, ezetimibe 10 mg + atorvastatin 20 mg tablet, 30
10377E Atozet, MKEZETIMIBE + ATORVASTATIN, ezetimibe 10 mg + atorvastatin 40 mg tablet, 30
10376D Atozet, MKEZETIMIBE + ATORVASTATIN, ezetimibe 10 mg + atorvastatin 80 mg tablet, 30
8626B Spiriva, BYTIOTROPIUM, tiotropium 18 microgram powder for inhalation, 30 capsules

Addition – Note

11663W LEVODOPA + CARBIDOPA, levodopa 200 mg + carbidopa 50 mg modified release tablet, 100 (Carbidopa and Levodopa Extended-release Tablets)
1255C LEVODOPA + CARBIDOPA, levodopa 200 mg + carbidopa 50 mg modified release tablet, 100 (Sinemet CR)
8626B TIOTROPIUM, tiotropium 18 microgram powder for inhalation, 30 capsules (Spiriva)

Deletions

Deletion – Item

11027J GLYCERYL TRINITRATE, glyceryl trinitrate 300 microgram sublingual tablet, 100 (Nitrostat)
11051P GLYCERYL TRINITRATE, glyceryl trinitrate 300 microgram sublingual tablet, 100 (Nitrostat)
1937Y RANITIDINE, ranitidine 150 mg effervescent tablet, 30 (Zantac)

Deletion – Brand

9012H APO-Alendronate Plus D3 70 mg/70 mcg, TXALENDRONATE + COLECALCIFEROL, alendronate 70 mg + colecalciferol 70 microgram (2800 units) tablet, 4
9183H APO-Alendronate Plus D3 70 mg/140 mcg, TXALENDRONATE + COLECALCIFEROL, alendronate 70 mg + colecalciferol 140 microgram (5600 units) tablet, 4
2600W APO-Allopurinol, TXALLOPURINOL, allopurinol 100 mg tablet, 200
2604C APO-Allopurinol, TXALLOPURINOL, allopurinol 300 mg tablet, 60
2343H GenRx Amiodarone, GXAMIODARONE, amiodarone hydrochloride 200 mg tablet, 30
2751T Chem mart Amlodipine, CHAMLODIPINE, amlodipine 5 mg tablet, 30
2751T Terry White Chemists Amlodipine, TWAMLODIPINE, amlodipine 5 mg tablet, 30
2752W Chem mart Amlodipine, CHAMLODIPINE, amlodipine 10 mg tablet, 30
2752W Terry White Chemists Amlodipine, TWAMLODIPINE, amlodipine 10 mg tablet, 30
8200N Chem mart Azithromycin, CHAZITHROMYCIN, azithromycin 500 mg tablet, 2
8200N Terry White Chemists Azithromycin, TWAZITHROMYCIN, azithromycin 500 mg tablet, 2
8336R Chem mart Azithromycin, CHAZITHROMYCIN, azithromycin 500 mg tablet, 2
8336R Terry White Chemists Azithromycin, TWAZITHROMYCIN, azithromycin 500 mg tablet, 2
2729P GenRx Baclofen, GXBACLOFEN, baclofen 10 mg tablet, 100
2730Q GenRx Baclofen, GXBACLOFEN, baclofen 25 mg tablet, 100
8604W Chem mart Bisoprolol, CHBISOPROLOL, bisoprolol fumarate 2.5 mg tablet, 28
8604W Terry White Chemists Bisoprolol, TWBISOPROLOL, bisoprolol fumarate 2.5 mg tablet, 28
8605X Chem mart Bisoprolol, CHBISOPROLOL, bisoprolol fumarate 5 mg tablet, 28
8605X Terry White Chemists Bisoprolol, TWBISOPROLOL, bisoprolol fumarate 5 mg tablet, 28
8606Y Chem mart Bisoprolol, CHBISOPROLOL, bisoprolol fumarate 10 mg tablet, 28
8606Y Terry White Chemists Bisoprolol, TWBISOPROLOL, bisoprolol fumarate 10 mg tablet, 28
8439E Chem mart Celecoxib, CHCELECOXIB, celecoxib 100 mg capsule, 60
8439E Terry White Chemists Celecoxib, TWCELECOXIB, celecoxib 100 mg capsule, 60
8440F Chem mart Celecoxib, CHCELECOXIB, celecoxib 200 mg capsule, 30
8440F Terry White Chemists Celecoxib, TWCELECOXIB, celecoxib 200 mg capsule, 30
8318T APO-Clarithromycin, TXCLARITHROMYCIN, clarithromycin 250 mg tablet, 14
8358X Chem mart Clopidogrel, CHCLOPIDOGREL, clopidogrel 75 mg tablet, 28
8358X Terry White Chemists Clopidogrel, TWCLOPIDOGREL, clopidogrel 75 mg tablet, 28
9317J Chem mart Clopidogrel, CHCLOPIDOGREL, clopidogrel 75 mg tablet, 28
9317J Terry White Chemists Clopidogrel, TWCLOPIDOGREL, clopidogrel 75 mg tablet, 28
9106G GenRx Doxycycline, GXDOXYCYCLINE, doxycycline 50 mg tablet, 25
10781K GenRx Doxycycline, GXDOXYCYCLINE, doxycycline 100 mg tablet, 7
1800R GenRx Doxycycline, GXDOXYCYCLINE, doxycycline 100 mg tablet, 21
5082L GenRx Doxycycline, GXDOXYCYCLINE, doxycycline 100 mg tablet, 7
9105F GenRx Doxycycline, GXDOXYCYCLINE, doxycycline 100 mg tablet, 7
9107H GenRx Doxycycline, GXDOXYCYCLINE, doxycycline 100 mg tablet, 7
9155W Chem mart Duloxetine, CHDULOXETINE, duloxetine 30 mg enteric capsule, 28
9155W Terry White Chemists Duloxetine, TWDULOXETINE, duloxetine 30 mg enteric capsule, 28
9156X Chem mart Duloxetine, CHDULOXETINE, duloxetine 60 mg enteric capsule, 28
9156X Terry White Chemists Duloxetine, TWDULOXETINE, duloxetine 60 mg enteric capsule, 28
8700X Escitalopram-DRLA, RZESCITALOPRAM, escitalopram 10 mg tablet, 28
8701Y Escitalopram-DRLA, RZESCITALOPRAM, escitalopram 20 mg tablet, 28
2487X Famotidine Sandoz, SZFAMOTIDINE, famotidine 20 mg tablet, 60
2488Y Famotidine Sandoz, SZFAMOTIDINE, famotidine 40 mg tablet, 30
1434L Chem mart Fluoxetine, CHFLUOXETINE, fluoxetine 20 mg capsule, 28
1434L GenRx Fluoxetine, GXFLUOXETINE, fluoxetine 20 mg capsule, 28
1434L Terry White Chemists Fluoxetine, TWFLUOXETINE, fluoxetine 20 mg capsule, 28
2414C Chem mart Frusemide, CHFUROSEMIDE (FRUSEMIDE), furosemide (frusemide) 20 mg tablet, 100
2414C Terry White Chemists Frusemide, TWFUROSEMIDE (FRUSEMIDE), furosemide (frusemide) 20 mg tablet, 100
2412Y Chem mart Frusemide, CHFUROSEMIDE (FRUSEMIDE), furosemide (frusemide) 40 mg tablet, 100
2412Y Terry White Chemists Frusemide, TWFUROSEMIDE (FRUSEMIDE), furosemide (frusemide) 40 mg tablet, 100
1834M GenRx Gabapentin, GXGABAPENTIN, gabapentin 300 mg capsule, 100
1835N GenRx Gabapentin, GXGABAPENTIN, gabapentin 400 mg capsule, 100
8559L GenRx Gabapentin, GXGABAPENTIN, gabapentin 600 mg tablet, 100
8389M GenRx Gabapentin, GXGABAPENTIN, gabapentin 800 mg tablet, 100
2449X GenRx Gliclazide, GXGLICLAZIDE, gliclazide 80 mg tablet, 100
1459T Nitrostat, PFGLYCERYL TRINITRATE, glyceryl trinitrate 600 microgram sublingual tablet, 100
5108W Nitrostat, PFGLYCERYL TRINITRATE, glyceryl trinitrate 600 microgram sublingual tablet, 100
8246B Chem mart Irbesartan, CHIRBESARTAN, irbesartan 75 mg tablet, 30
8246B Terry White Chemists Irbesartan, TWIRBESARTAN, irbesartan 75 mg tablet, 30
8247C Chem mart Irbesartan, CHIRBESARTAN, irbesartan 150 mg tablet, 30
8247C Terry White Chemists Irbesartan, TWIRBESARTAN, irbesartan 150 mg tablet, 30
8248D Chem mart Irbesartan, CHIRBESARTAN, irbesartan 300 mg tablet, 30
8248D Terry White Chemists Irbesartan, TWIRBESARTAN, irbesartan 300 mg tablet, 30
8404H Chem mart Irbesartan HCTZ, CHIRBESARTAN + HYDROCHLOROTHIAZIDE, irbesartan 150 mg + hydrochlorothiazide 12.5 mg tablet, 30
8404H Terry White Chemists Irbesartan HCTZ, TWIRBESARTAN + HYDROCHLOROTHIAZIDE, irbesartan 150 mg + hydrochlorothiazide 12.5 mg tablet, 30
8405J Chem mart Irbesartan HCTZ, CHIRBESARTAN + HYDROCHLOROTHIAZIDE, irbesartan 300 mg + hydrochlorothiazide 12.5 mg tablet, 30
8405J Terry White Chemists Irbesartan HCTZ, TWIRBESARTAN + HYDROCHLOROTHIAZIDE, irbesartan 300 mg + hydrochlorothiazide 12.5 mg tablet, 30
2136K Chem mart Irbesartan HCTZ, CHIRBESARTAN + HYDROCHLOROTHIAZIDE, irbesartan 300 mg + hydrochlorothiazide 25 mg tablet, 30
2136K Terry White Chemists Irbesartan HCTZ, TWIRBESARTAN + HYDROCHLOROTHIAZIDE, irbesartan 300 mg + hydrochlorothiazide 25 mg tablet, 30
1558B Chem mart Isosorbide Mononitrate, CHISOSORBIDE MONONITRATE, isosorbide mononitrate 60 mg modified release tablet, 30
1558B Terry White Chemists Isosorbide Mononitrate, TWISOSORBIDE MONONITRATE, isosorbide mononitrate 60 mg modified release tablet, 30
8534E APO-Lercanidipine, TXLERCANIDIPINE, lercanidipine hydrochloride 10 mg tablet, 28
8534E Blooms the Chemist Lercanidipine, IBLERCANIDIPINE, lercanidipine hydrochloride 10 mg tablet, 28
8679T APO-Lercanidipine, TXLERCANIDIPINE, lercanidipine hydrochloride 20 mg tablet, 28
8679T Blooms the Chemist Lercanidipine, IBLERCANIDIPINE, lercanidipine hydrochloride 20 mg tablet, 28
9435N Chem mart Metformin XR 500, CHMETFORMIN, metformin hydrochloride 500 mg modified release tablet, 120
9435N Terry White Chemists Metformin XR 500, TWMETFORMIN, metformin hydrochloride 500 mg modified release tablet, 120
3439B Chem mart Metformin XR 1000, CHMETFORMIN, metformin hydrochloride 1 g modified release tablet, 60
3439B Terry White Chemists Metformin XR 1000, TWMETFORMIN, metformin hydrochloride 1 g modified release tablet, 60
8003F GenRx Moclobemide, GXMOCLOBEMIDE, moclobemide 300 mg tablet, 60
3381Y Olanzapine ODT-DRLA, RZOLANZAPINE, olanzapine 5 mg orally disintegrating tablet, 28
3382B Olanzapine ODT-DRLA, RZOLANZAPINE, olanzapine 10 mg orally disintegrating tablet, 28
8399C APOTEX-Pantoprazole, GXPANTOPRAZOLE, pantoprazole 20 mg enteric tablet, 30
8399C Pantofast 20, RZPANTOPRAZOLE, pantoprazole 20 mg enteric tablet, 30
11681T APOTEX-Pantoprazole, GXPANTOPRAZOLE, pantoprazole 40 mg enteric tablet, 30
8007K APOTEX-Pantoprazole, GXPANTOPRAZOLE, pantoprazole 40 mg enteric tablet, 30
8008L APOTEX-Pantoprazole, GXPANTOPRAZOLE, pantoprazole 40 mg enteric tablet, 30
2242B GenRx Paroxetine, GXPAROXETINE, paroxetine 20 mg tablet, 30
1897W GenRx Piroxicam, GXPIROXICAM, piroxicam 10 mg capsule, 50
5203W GenRx Piroxicam, GXPIROXICAM, piroxicam 10 mg capsule, 50
1898X GenRx Piroxicam, GXPIROXICAM, piroxicam 20 mg capsule, 25
5204X GenRx Piroxicam, GXPIROXICAM, piroxicam 20 mg capsule, 25
2348N APO-Pregabalin, TXPREGABALIN, pregabalin 25 mg capsule, 56
2348N Blooms The Chemist Pregabalin, IBPREGABALIN, pregabalin 25 mg capsule, 56
2335X APO-Pregabalin, TXPREGABALIN, pregabalin 75 mg capsule, 56
2335X Blooms The Chemist Pregabalin, IBPREGABALIN, pregabalin 75 mg capsule, 56
2355Y APO-Pregabalin, TXPREGABALIN, pregabalin 150 mg capsule, 56
2355Y Blooms The Chemist Pregabalin, IBPREGABALIN, pregabalin 150 mg capsule, 56
2363J APO-Pregabalin, TXPREGABALIN, pregabalin 300 mg capsule, 56
2363J Blooms The Chemist Pregabalin, IBPREGABALIN, pregabalin 300 mg capsule, 56
8507R Rabeprazole-DRLA, RZRABEPRAZOLE, rabeprazole sodium 10 mg enteric tablet, 28
11670F Chem mart Rabeprazole, CHRABEPRAZOLE, rabeprazole sodium 20 mg enteric tablet, 30
11670F Rabeprazole-DRLA, RZRABEPRAZOLE, rabeprazole sodium 20 mg enteric tablet, 30
11670F Terry White Chemists Rabeprazole, TWRABEPRAZOLE, rabeprazole sodium 20 mg enteric tablet, 30
8508T Chem mart Rabeprazole, CHRABEPRAZOLE, rabeprazole sodium 20 mg enteric tablet, 30
8508T Rabeprazole-DRLA, RZRABEPRAZOLE, rabeprazole sodium 20 mg enteric tablet, 30
8508T Terry White Chemists Rabeprazole, TWRABEPRAZOLE, rabeprazole sodium 20 mg enteric tablet, 30
8509W Chem mart Rabeprazole, CHRABEPRAZOLE, rabeprazole sodium 20 mg enteric tablet, 30
8509W Rabeprazole-DRLA, RZRABEPRAZOLE, rabeprazole sodium 20 mg enteric tablet, 30
8509W Terry White Chemists Rabeprazole, TWRABEPRAZOLE, rabeprazole sodium 20 mg enteric tablet, 30
1978D Chem mart Ranitidine, CHRANITIDINE, ranitidine 150 mg tablet, 60
1978D Terry White Chemists Ranitidine, TWRANITIDINE, ranitidine 150 mg tablet, 60
1977C Chem mart Ranitidine, CHRANITIDINE, ranitidine 300 mg tablet, 30
1977C Terry White Chemists Ranitidine, TWRANITIDINE, ranitidine 300 mg tablet, 30
2590H Rosuvastatin-DRLA, RIROSUVASTATIN, rosuvastatin 5 mg tablet, 30
2606E Rosuvastatin-DRLA, RIROSUVASTATIN, rosuvastatin 5 mg tablet, 30
2584B Rosuvastatin-DRLA, RIROSUVASTATIN, rosuvastatin 10 mg tablet, 30
2628H Rosuvastatin-DRLA, RIROSUVASTATIN, rosuvastatin 10 mg tablet, 30
2574L Rosuvastatin-DRLA, RIROSUVASTATIN, rosuvastatin 20 mg tablet, 30
2609H Rosuvastatin-DRLA, RIROSUVASTATIN, rosuvastatin 20 mg tablet, 30
2594M Rosuvastatin-DRLA, RIROSUVASTATIN, rosuvastatin 40 mg tablet, 30
2636R Rosuvastatin-DRLA, RIROSUVASTATIN, rosuvastatin 40 mg tablet, 30
2236Q Chem mart Sertraline, CHSERTRALINE, sertraline 50 mg tablet, 30
2236Q Terry White Chemists Sertraline, TWSERTRALINE, sertraline 50 mg tablet, 30
2237R Chem mart Sertraline, CHSERTRALINE, sertraline 100 mg tablet, 30
2237R Terry White Chemists Sertraline, TWSERTRALINE, sertraline 100 mg tablet, 30
2285G GenRx Terbinafine, GXTERBINAFINE, terbinafine 250 mg tablet, 42
2804N GenRx Terbinafine, GXTERBINAFINE, terbinafine 250 mg tablet, 42
8301X Chem mart Venlafaxine XR, CHVENLAFAXINE, venlafaxine 75 mg modified release capsule, 28
8301X Terry White Chemists Venlafaxine XR, TWVENLAFAXINE, venlafaxine 75 mg modified release capsule, 28
8302Y Chem mart Venlafaxine XR, CHVENLAFAXINE, venlafaxine 150 mg modified release capsule, 28
8302Y Terry White Chemists Venlafaxine XR, TWVENLAFAXINE, venlafaxine 150 mg modified release capsule, 28

Deletion – Note

5556K CARMELLOSE SODIUM + GLYCEROL, carmellose sodium 0.5% + glycerol 0.9% eye drops, 15 mL (Optive)
9355J CARMELLOSE SODIUM + GLYCEROL, carmellose sodium 0.5% + glycerol 0.9% eye drops, 15 mL (Optive)
9356K CARMELLOSE SODIUM + GLYCEROL, carmellose sodium 0.5% + glycerol 0.9% eye drops, 15 mL (Optive)
1978D RANITIDINE, ranitidine 150 mg tablet, 60 (APO-Ranitidine, Ausran, , Rani 2, Ranitidine AN, Ranitidine GH, Ranitidine Sandoz, , Zantac)
10087X SAPROPTERIN, sapropterin dihydrochloride 100 mg soluble tablet, 30 (Kuvan)

Alterations

Alteration – Item Description

From
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 (restore O.R.S.)
To
11049M SODIUM CHLORIDE + POTASSIUM CHLORIDE + GLUCOSE MONOHYDRATE + CITRIC ACID, sodium chloride 470 mg + potassium chloride 300 mg (potassium 4 mmol) + glucose monohydrate 3.56 g + sodium acid citrate 530 mg powder for oral liquid, 10 x 4.9 g sachets (restore O.R.S.)
From
3196F 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 (O.R.S., restore O.R.S.)
To
3196F SODIUM CHLORIDE + POTASSIUM CHLORIDE + GLUCOSE MONOHYDRATE + CITRIC ACID, sodium chloride 470 mg + potassium chloride 300 mg (potassium 4 mmol) + glucose monohydrate 3.56 g + sodium acid citrate 530 mg powder for oral liquid, 10 x 4.9 g sachets (O.R.S., restore O.R.S.)

Alteration – Authorised Prescriber

From To
10087X SAPROPTERIN, sapropterin dihydrochloride 100 mg soluble tablet, 30 (Kuvan) M M,N

Alteration – Note

10486X LISDEXAMFETAMINE, lisdexamfetamine dimesilate 30 mg capsule, 30 (Vyvanse)
10474G LISDEXAMFETAMINE, lisdexamfetamine dimesilate 50 mg capsule, 30 (Vyvanse)
10492F LISDEXAMFETAMINE, lisdexamfetamine dimesilate 70 mg capsule, 30 (Vyvanse)
10086W SAPROPTERIN, sapropterin dihydrochloride 100 mg soluble tablet, 30 (Kuvan)

Alteration – Restriction

9355J CARMELLOSE SODIUM + GLYCEROL, carmellose sodium 0.5% + glycerol 0.9% eye drops, 15 mL (Optive)
10086W SAPROPTERIN, sapropterin dihydrochloride 100 mg soluble tablet, 30 (Kuvan)
10087X SAPROPTERIN, sapropterin dihydrochloride 100 mg soluble tablet, 30 (Kuvan)

Alteration – Manufacturer Code

From To
8092X FamvirFAMCICLOVIR, famciclovir 125 mg tablet, 40 HX IX
2274Q FamvirFAMCICLOVIR, famciclovir 250 mg tablet, 20 HX IX
8002E FamvirFAMCICLOVIR, famciclovir 250 mg tablet, 21 HX IX
8217L FamvirFAMCICLOVIR, famciclovir 250 mg tablet, 56 HX IX
8896F FamvirFAMCICLOVIR, famciclovir 500 mg tablet, 56 HX IX
8897G FamvirFAMCICLOVIR, famciclovir 500 mg tablet, 30 HX IX

Advance Notices

1 March 2020

Deletion – Brand

1886G Amoxycillin Sandoz, SZAMOXICILLIN, amoxicillin 125 mg/5 mL powder for oral liquid, 100 mL
3302T Amoxycillin Sandoz, SZAMOXICILLIN, amoxicillin 125 mg/5 mL powder for oral liquid, 100 mL
1257E Cefazolin Sandoz, SZCEFAZOLIN, cefazolin 1 g injection, 10 vials
5478H Cefazolin Sandoz, SZCEFAZOLIN, cefazolin 1 g injection, 10 vials
1784X Ceftriaxone Sandoz, SZCEFTRIAXONE, ceftriaxone 1 g injection, 1 vial
8318T Clarihexal, HXCLARITHROMYCIN, clarithromycin 250 mg tablet, 14
10605E Hospira Pty Limited, PFFLUCLOXACILLIN, flucloxacillin 1 g injection, 10 vials
10609J Hospira Pty Limited, PFFLUCLOXACILLIN, flucloxacillin 1 g injection, 10 vials
8174F Voxam, SZFLUVOXAMINE, fluvoxamine maleate 100 mg tablet, 30
8512B Voxam, SZFLUVOXAMINE, fluvoxamine maleate 50 mg tablet, 30
8812T Calcium Folinate Ebewe, SZFOLINIC ACID, folinic acid 100 mg/10 mL injection, 10 mL vial
9041W Calcium Folinate Ebewe, SZFOLINIC ACID, folinic acid 300 mg/30 mL injection, 30 mL vial

1 April 2020

Deletion – Brand

1465D Simplotan, FZTINIDAZOLE, tinidazole 500 mg tablet, 4

1 July 2020

Deletion – Brand

9039R Lantus SoloStar, AVINSULIN GLARGINE, insulin glargine 100 units/mL injection, 5 x 3 mL cartridges
9039R Lantus, SWINSULIN GLARGINE, insulin glargine 100 units/mL injection, 5 x 3 mL cartridges
not required

Palliative Care

Additions

Addition – Brand

5389P APOHEALTH Macrogol with Electrolytes, GXMACROGOL-3350 + SODIUM CHLORIDE + BICARBONATE + POTASSIUM CHLORIDE, macrogol-3350 13.125 g + sodium chloride 350.7 mg + sodium bicarbonate 178.5 mg + potassium chloride 46.6 mg powder for oral liquid, 30 sachets
not required

Highly Specialised Drugs Program (Private Hospital)

Additions

Addition – Item

11891W CINACALCET, cinacalcet 30 mg tablet, 28 (Pharmacor Cinacalcet)
9625N CINACALCET, cinacalcet 30 mg tablet, 28 (Pharmacor Cinacalcet)
11889R CINACALCET, cinacalcet 60 mg tablet, 28 (Pharmacor Cinacalcet)
9626P CINACALCET, cinacalcet 60 mg tablet, 28 (Pharmacor Cinacalcet)
11888Q CINACALCET, cinacalcet 90 mg tablet, 28 (Pharmacor Cinacalcet)
9627Q CINACALCET, cinacalcet 90 mg tablet, 28 (Pharmacor Cinacalcet)
11894B OCTREOTIDE, octreotide 30 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (Sandostatin LAR)

Addition – Brand

10111E EPOPROSTENOL SUN, RAEPOPROSTENOL, epoprostenol 500 microgram injection, 1 vial
10129D EPOPROSTENOL SUN, RAEPOPROSTENOL, epoprostenol 1.5 mg injection, 1 vial
6209T Mycophenolate GH, GQMYCOPHENOLATE, mycophenolate mofetil 500 mg tablet, 50
10583B Truxima, EWRITUXIMAB, rituximab 100 mg/10 mL injection, 2 x 10 mL vials
11810N Truxima, EWRITUXIMAB, rituximab 100 mg/10 mL injection, 2 x 10 mL vials
10576P Truxima, EWRITUXIMAB, rituximab 500 mg/50 mL injection, 50 mL vial
11790M Truxima, EWRITUXIMAB, rituximab 500 mg/50 mL injection, 50 mL vial
11804G Truxima, EWRITUXIMAB, rituximab 500 mg/50 mL injection, 50 mL vial
9611W Truxima, EWRITUXIMAB, rituximab 500 mg/50 mL injection, 50 mL vial
9605M SILDATIO PHT, RWSILDENAFIL, sildenafil 20 mg tablet, 90

Addition – Equivalence Indicator

10111E Veletri, JCEPOPROSTENOL, epoprostenol 500 microgram injection, 1 vial
11069N Flolan, GKEPOPROSTENOL, epoprostenol 500 microgram injection [1 vial] (&) inert substance diluent [2 x 50 mL vials], 1 pack
10129D Veletri, JCEPOPROSTENOL, epoprostenol 1.5 mg injection, 1 vial
11082G Flolan, GKEPOPROSTENOL, epoprostenol 1.5 mg injection [1 vial] (&) inert substance diluent [2 x 50 mL vials], 1 pack
11810N Riximyo, SZRITUXIMAB, rituximab 100 mg/10 mL injection, 2 x 10 mL vials
11790M Riximyo, SZRITUXIMAB, rituximab 500 mg/50 mL injection, 50 mL vial
11804G Riximyo, SZRITUXIMAB, rituximab 500 mg/50 mL injection, 50 mL vial

Addition – Note

10111E EPOPROSTENOL, epoprostenol 500 microgram injection, 1 vial (EPOPROSTENOL SUN, Veletri)
11069N EPOPROSTENOL, epoprostenol 500 microgram injection [1 vial] (&) inert substance diluent [2 x 50 mL vials], 1 pack (Flolan)
10129D EPOPROSTENOL, epoprostenol 1.5 mg injection, 1 vial (EPOPROSTENOL SUN, Veletri)
11082G EPOPROSTENOL, epoprostenol 1.5 mg injection [1 vial] (&) inert substance diluent [2 x 50 mL vials], 1 pack (Flolan)

Deletions

Deletion – Brand

6429J BOSENTAN-DRLA, RZBOSENTAN, bosentan 62.5 mg tablet, 60
6430K BOSENTAN-DRLA, RZBOSENTAN, bosentan 125 mg tablet, 60
9605M SILDENAFIL-DRx, RZSILDENAFIL, sildenafil 20 mg tablet, 90

Deletion – Note

11527Q LANREOTIDE, lanreotide 120 mg/0.5 mL injection, 0.5 mL syringe (Somatuline Autogel)

Alterations

Alteration – Item Description

From
11097C IVACAFTOR, ivacaftor 50 mg granules, 4 x 14 sachets (Kalydeco)
To
11097C IVACAFTOR, ivacaftor 50 mg granules, 56 sachets (Kalydeco)
From
11109Q IVACAFTOR, ivacaftor 75 mg granules, 4 x 14 sachets (Kalydeco)
To
11109Q IVACAFTOR, ivacaftor 75 mg granules, 56 sachets (Kalydeco)

Alteration – Note

10583B RITUXIMAB, rituximab 100 mg/10 mL injection, 2 x 10 mL vials (Mabthera, Riximyo, Truxima)
10576P RITUXIMAB, rituximab 500 mg/50 mL injection, 50 mL vial (Mabthera, Riximyo, Truxima)
9611W RITUXIMAB, rituximab 500 mg/50 mL injection, 50 mL vial (Mabthera, Riximyo, Truxima)

Alteration – Restriction

11527Q LANREOTIDE, lanreotide 120 mg/0.5 mL injection, 0.5 mL syringe (Somatuline Autogel)
11833T TEZACAFTOR + IVACAFTOR (&) IVACAFTOR, tezacaftor 100 mg + ivacaftor 150 mg tablet [28] (&) ivacaftor 150 mg tablet [28], 56 (Symdeko)

Advance Notices

1 March 2020

Deletion – Brand

6227R Hospira Pty Limited, PFOCTREOTIDE, octreotide 50 microgram/mL injection, 5 x 1 mL ampoules
6228T Hospira Pty Limited, PFOCTREOTIDE, octreotide 100 microgram/mL injection, 5 x 1 mL ampoules
6229W Hospira Pty Limited, PFOCTREOTIDE, octreotide 500 microgram/mL injection, 5 x 1 mL ampoules
not required

Highly Specialised Drugs Program (Public Hospital)

Additions

Addition – Item

11887P CINACALCET, cinacalcet 30 mg tablet, 28 (Pharmacor Cinacalcet)
5621W CINACALCET, cinacalcet 30 mg tablet, 28 (Pharmacor Cinacalcet)
11886N CINACALCET, cinacalcet 60 mg tablet, 28 (Pharmacor Cinacalcet)
5622X CINACALCET, cinacalcet 60 mg tablet, 28 (Pharmacor Cinacalcet)
11885M CINACALCET, cinacalcet 90 mg tablet, 28 (Pharmacor Cinacalcet)
5623Y CINACALCET, cinacalcet 90 mg tablet, 28 (Pharmacor Cinacalcet)
11893Y OCTREOTIDE, octreotide 30 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (Sandostatin LAR)

Addition – Brand

10130E EPOPROSTENOL SUN, RAEPOPROSTENOL, epoprostenol 500 microgram injection, 1 vial
10117L EPOPROSTENOL SUN, RAEPOPROSTENOL, epoprostenol 1.5 mg injection, 1 vial
9502D Mycophenolate GH, GQMYCOPHENOLATE, mycophenolate mofetil 500 mg tablet, 50
10591K Truxima, EWRITUXIMAB, rituximab 100 mg/10 mL injection, 2 x 10 mL vials
11813R Truxima, EWRITUXIMAB, rituximab 100 mg/10 mL injection, 2 x 10 mL vials
10593M Truxima, EWRITUXIMAB, rituximab 500 mg/50 mL injection, 50 mL vial
11800C Truxima, EWRITUXIMAB, rituximab 500 mg/50 mL injection, 50 mL vial
11805H Truxima, EWRITUXIMAB, rituximab 500 mg/50 mL injection, 50 mL vial
9544H Truxima, EWRITUXIMAB, rituximab 500 mg/50 mL injection, 50 mL vial
9547L SILDATIO PHT, RWSILDENAFIL, sildenafil 20 mg tablet, 90

Addition – Equivalence Indicator

10130E Veletri, JCEPOPROSTENOL, epoprostenol 500 microgram injection, 1 vial
11090Q Flolan, GKEPOPROSTENOL, epoprostenol 500 microgram injection [1 vial] (&) inert substance diluent [2 x 50 mL vials], 1 pack
10117L Veletri, JCEPOPROSTENOL, epoprostenol 1.5 mg injection, 1 vial
11065J Flolan, GKEPOPROSTENOL, epoprostenol 1.5 mg injection [1 vial] (&) inert substance diluent [2 x 50 mL vials], 1 pack
11813R Riximyo, SZRITUXIMAB, rituximab 100 mg/10 mL injection, 2 x 10 mL vials
11800C Riximyo, SZRITUXIMAB, rituximab 500 mg/50 mL injection, 50 mL vial
11805H Riximyo, SZRITUXIMAB, rituximab 500 mg/50 mL injection, 50 mL vial

Addition – Note

10130E EPOPROSTENOL, epoprostenol 500 microgram injection, 1 vial (EPOPROSTENOL SUN, Veletri)
11090Q EPOPROSTENOL, epoprostenol 500 microgram injection [1 vial] (&) inert substance diluent [2 x 50 mL vials], 1 pack (Flolan)
10117L EPOPROSTENOL, epoprostenol 1.5 mg injection, 1 vial (EPOPROSTENOL SUN, Veletri)
11065J EPOPROSTENOL, epoprostenol 1.5 mg injection [1 vial] (&) inert substance diluent [2 x 50 mL vials], 1 pack (Flolan)

Deletions

Deletion – Brand

5618Q BOSENTAN-DRLA, RZBOSENTAN, bosentan 62.5 mg tablet, 60
5619R BOSENTAN-DRLA, RZBOSENTAN, bosentan 125 mg tablet, 60
9547L SILDENAFIL-DRx, RZSILDENAFIL, sildenafil 20 mg tablet, 90

Deletion – Note

11513Y LANREOTIDE, lanreotide 120 mg/0.5 mL injection, 0.5 mL syringe (Somatuline Autogel)

Alterations

Alteration – Item Description

From
11105L IVACAFTOR, ivacaftor 50 mg granules, 4 x 14 sachets (Kalydeco)
To
11105L IVACAFTOR, ivacaftor 50 mg granules, 56 sachets (Kalydeco)
From
11098D IVACAFTOR, ivacaftor 75 mg granules, 4 x 14 sachets (Kalydeco)
To
11098D IVACAFTOR, ivacaftor 75 mg granules, 56 sachets (Kalydeco)

Alteration – Note

10591K RITUXIMAB, rituximab 100 mg/10 mL injection, 2 x 10 mL vials (Mabthera, Riximyo, Truxima)
10593M RITUXIMAB, rituximab 500 mg/50 mL injection, 50 mL vial (Mabthera, Riximyo, Truxima)
9544H RITUXIMAB, rituximab 500 mg/50 mL injection, 50 mL vial (Mabthera, Riximyo, Truxima)

Alteration – Restriction

11513Y LANREOTIDE, lanreotide 120 mg/0.5 mL injection, 0.5 mL syringe (Somatuline Autogel)
11863J TEZACAFTOR + IVACAFTOR (&) IVACAFTOR, tezacaftor 100 mg + ivacaftor 150 mg tablet [28] (&) ivacaftor 150 mg tablet [28], 56 (Symdeko)

Advance Notices

1 March 2020

Deletion – Brand

9508K Hospira Pty Limited, PFOCTREOTIDE, octreotide 50 microgram/mL injection, 5 x 1 mL ampoules
9509L Hospira Pty Limited, PFOCTREOTIDE, octreotide 100 microgram/mL injection, 5 x 1 mL ampoules
9510M Hospira Pty Limited, PFOCTREOTIDE, octreotide 500 microgram/mL injection, 5 x 1 mL ampoules
not requiredno delete brands this monthno add brands this month

Highly Specialised Drugs Program (Community Access)

Additions

Addition – Item

11896D OCTREOTIDE, octreotide 30 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (Sandostatin LAR)

Deletions

Deletion – Note

11736Q LANREOTIDE, lanreotide 120 mg/0.5 mL injection, 0.5 mL syringe (Somatuline Autogel)

Alterations

Alteration – Restriction

11736Q LANREOTIDE, lanreotide 120 mg/0.5 mL injection, 0.5 mL syringe (Somatuline Autogel)

Advance Notices

1 March 2020

Deletion – Brand

10307L Stribild, GITENOFOVIR + EMTRICITABINE + ELVITEGRAVIR + COBICISTAT, tenofovir disoproxil fumarate 300 mg + emtricitabine 200 mg + elvitegravir 150 mg + cobicistat 150 mg tablet, 30
10314W Eviplera, GITENOFOVIR + EMTRICITABINE + RILPIVIRINE, tenofovir disoproxil fumarate 300 mg + emtricitabine 200 mg + rilpivirine 25 mg tablet, 30

1 April 2020

Deletion – Brand

10276W Reyataz, BQATAZANAVIR, atazanavir 150 mg capsule, 60
not required

Growth Hormone Program

Additions

Addition – Item

11895C SOMATROPIN, somatropin 5 mg/1.5 mL injection, 1.5 mL cartridge (Norditropin FlexPro)

Alterations

Alteration – Restriction

11493X SOMATROPIN, SOMATROPIN (Recombinant human growth hormone) Powder for injection 5 mg (15 i.u.) with diluent in pre-filled pen (with preservative), 1 (Genotropin GoQuick)
11495B SOMATROPIN, SOMATROPIN (Recombinant human growth hormone) Powder for injection 12 mg (36 i.u.) with diluent in pre-filled pen (with preservative), 1 (Genotropin GoQuick)
11650E SOMATROPIN, somatropin 10 mg/2 mL injection, 2 mL cartridge (NutropinAq)

Repatriation Pharmaceutical Benefits

Deletions

Deletion – Brand

2194L APO-Alendronate Plus D3 70 mg/70 mcg, TXALENDRONATE + COLECALCIFEROL, alendronate 70 mg + colecalciferol 70 microgram (2800 units) tablet, 4
2224C APO-Alendronate Plus D3 70 mg/140 mcg, TXALENDRONATE + COLECALCIFEROL, alendronate 70 mg + colecalciferol 140 microgram (5600 units) tablet, 4
4115N Chem mart Azithromycin, CHAZITHROMYCIN, azithromycin 500 mg tablet, 3
4115N Terry White Chemists Azithromycin, TWAZITHROMYCIN, azithromycin 500 mg tablet, 3
4179Y Chem mart Clopidogrel, CHCLOPIDOGREL, clopidogrel 75 mg tablet, 28
4179Y Terry White Chemists Clopidogrel, TWCLOPIDOGREL, clopidogrel 75 mg tablet, 28
4303L Pharmacy Choice Finasteride, RIFINASTERIDE, finasteride 5 mg tablet, 28
4592Q GenRx Gabapentin, GXGABAPENTIN, gabapentin 300 mg capsule, 100
4593R GenRx Gabapentin, GXGABAPENTIN, gabapentin 400 mg capsule, 100
4594T GenRx Gabapentin, GXGABAPENTIN, gabapentin 600 mg tablet, 100
4595W GenRx Gabapentin, GXGABAPENTIN, gabapentin 800 mg tablet, 100
4011D GenRx Terbinafine, GXTERBINAFINE, terbinafine 250 mg tablet, 42
4522B Chem mart Zopiclone, CHZOPICLONE, zopiclone 7.5 mg tablet, 30
4522B Terry White Chemists Zopiclone, TWZOPICLONE, zopiclone 7.5 mg tablet, 30

Deletion – Equivalence Indicator

4303L Finpro, RZFINASTERIDE, finasteride 5 mg tablet, 28

Alterations

Alteration – Item Description

From
10574M 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 (restore O.R.S.)
To
10574M SODIUM CHLORIDE + POTASSIUM CHLORIDE + GLUCOSE MONOHYDRATE + CITRIC ACID, sodium chloride 470 mg + potassium chloride 300 mg (potassium 4 mmol) + glucose monohydrate 3.56 g + sodium acid citrate 530 mg powder for oral liquid, 10 x 4.9 g sachets (restore O.R.S.)

Advance Notices

1 March 2020

Deletion – Brand

4175R Zilarex, SZCETIRIZINE, cetirizine hydrochloride 10 mg tablet, 30
 
no additions this monthnot requiredno additions this month

Efficient Funding of Chemotherapy (Private Hospital)

Deletions

Deletion – Brand

7255W PEMETREXED-DRLA, RZPEMETREXED, pemetrexed 100 mg injection, 1 vial
7255W Pemetrexed DRLA, RZPEMETREXED, pemetrexed 500 mg injection, 1 vial

Advance Notices

1 March 2020

Deletion – Brand

7234R Fluorouracil Ebewe, SZFLUOROURACIL, fluorouracil 2.5 g/50 mL injection, 50 mL vial
7239B Fluorouracil Ebewe, SZFLUOROURACIL, fluorouracil 2.5 g/50 mL injection, 50 mL vial
7247K Idarubicin Ebewe, SZIDARUBICIN, idarubicin hydrochloride 10 mg/10 mL injection, 10 mL vial
7249M Hospira Pty Limited, PFIRINOTECAN, irinotecan hydrochloride trihydrate 500 mg/25 mL injection, 25 mL vial
7249M Hospira Pty Limited, PFIRINOTECAN, irinotecan hydrochloride trihydrate 100 mg/5 mL injection, 5 mL vial
7253R Oxaliplatin SZ, HXOXALIPLATIN, oxaliplatin 100 mg/20 mL injection, 20 mL vial
7254T Paclitaxel Ebewe, SZPACLITAXEL, paclitaxel 150 mg/25 mL injection, 25 mL vial
7254T Paclitaxel Ebewe, SZPACLITAXEL, paclitaxel 30 mg/5 mL injection, 5 x 5 mL vials
7255W DBL Pemetrexed, PFPEMETREXED, pemetrexed 500 mg injection, 1 vial
7255W DBL Pemetrexed, PFPEMETREXED, pemetrexed 100 mg injection, 1 vial
7255W DBL Pemetrexed, PFPEMETREXED, pemetrexed 1 g injection, 1 vial
not requiredno additions this monthno add brands this month

Efficient Funding of Chemotherapy (Public Hospital)

Deletions

Deletion – Brand

4600D PEMETREXED-DRLA, RZPEMETREXED, pemetrexed 100 mg injection, 1 vial
4600D Pemetrexed DRLA, RZPEMETREXED, pemetrexed 500 mg injection, 1 vial

Advance Notices

1 March 2020

Deletion – Brand

4394G Fluorouracil Ebewe, SZFLUOROURACIL, fluorouracil 2.5 g/50 mL injection, 50 mL vial
4431F Fluorouracil Ebewe, SZFLUOROURACIL, fluorouracil 2.5 g/50 mL injection, 50 mL vial
4440Q Idarubicin Ebewe, SZIDARUBICIN, idarubicin hydrochloride 10 mg/10 mL injection, 10 mL vial
4451G Hospira Pty Limited, PFIRINOTECAN, irinotecan hydrochloride trihydrate 500 mg/25 mL injection, 25 mL vial
4451G Hospira Pty Limited, PFIRINOTECAN, irinotecan hydrochloride trihydrate 100 mg/5 mL injection, 5 mL vial
4542C Oxaliplatin SZ, HXOXALIPLATIN, oxaliplatin 100 mg/20 mL injection, 20 mL vial
4567J Paclitaxel Ebewe, SZPACLITAXEL, paclitaxel 150 mg/25 mL injection, 25 mL vial
4567J Paclitaxel Ebewe, SZPACLITAXEL, paclitaxel 30 mg/5 mL injection, 5 x 5 mL vials
4600D DBL Pemetrexed, PFPEMETREXED, pemetrexed 500 mg injection, 1 vial
4600D DBL Pemetrexed, PFPEMETREXED, pemetrexed 100 mg injection, 1 vial
4600D DBL Pemetrexed, PFPEMETREXED, pemetrexed 1 g injection, 1 vial

Related Pharmaceutical Benefits for Public Hospital use

Advance Notices

1 March 2020

Deletion – Brand

5870Y Calcium Folinate Ebewe, SZFOLINIC ACID, folinic acid 300 mg/30 mL injection, 30 mL vial
5886T Calcium Folinate Ebewe, SZFOLINIC ACID, folinic acid 100 mg/10 mL injection, 10 mL vial