Prescriber Bag

Advance Notices

1 December 2025

Deletion – Brand

3488N DBL Promethazine Hydrochloride, PFPROMETHAZINE, promethazine hydrochloride 50 mg/2 mL injection, 5 x 2 mL ampoules

General Pharmaceutical Benefits

Additions

Addition – Item

15097N BREXPIPRAZOLE, brexpiprazole 500 microgram tablet, 30 (Rexulti)
15069D CLOPIDOGREL, clopidogrel 75 mg tablet, 28 (Clopidogrel 75 mg (Zentiva, UK))
15075K CLOPIDOGREL, clopidogrel 75 mg tablet, 28 (Clopidogrel 75 mg (Zentiva, UK))
15076L CLOPIDOGREL, clopidogrel 75 mg tablet, 30 (Clopidogrel Tablets, USP 75 mg (Novadoz, USA))
15081R CLOPIDOGREL, clopidogrel 75 mg tablet, 30 (Clopidogrel Tablets, USP 75 mg (Aurobindo, USA))
15085Y CLOPIDOGREL, clopidogrel 75 mg tablet, 30 (Clopidogrel Tablets, USP 75 mg (Aurobindo, USA))
15086B CLOPIDOGREL, clopidogrel 75 mg tablet, 30 (Clopidogrel Tablets, USP 75 mg (Novadoz, USA))
15071F DARATUMUMAB, daratumumab 1.8 g/15 mL injection, 15 mL vial (Darzalex SC)
15082T DARATUMUMAB, daratumumab 1.8 g/15 mL injection, 15 mL vial (Darzalex SC)
15088D DARATUMUMAB, daratumumab 1.8 g/15 mL injection, 15 mL vial (Darzalex SC)
15084X ELAFIBRANOR, Elafibranor 80 mg tablet, 30 (Iqirvo)
15089E ELAFIBRANOR, Elafibranor 80 mg tablet, 30 (Iqirvo)
15107D ELAFIBRANOR, Elafibranor 80 mg tablet, 30 (Iqirvo)
15074J ETONOGESTREL + ETHINYLESTRADIOL, etonogestrel 120 microgram/24 hours + ethinylestradiol 15 microgram/24 hours vaginal drug delivery system, 3 rings (NuvaRing)
15064W IPTACOPAN, Iptacopan 200 mg capsule, 56 (Fabhalta)
15109F METHYLPHENIDATE, methylphenidate hydrochloride 10 mg modified release capsule, 30 (Ritalin LA 10 mg (Switzerland))
15101T METHYLPHENIDATE, methylphenidate hydrochloride 20 mg modified release capsule, 30 (Ritalin LA 20 mg (Switzerland))
15070E METHYLPHENIDATE, methylphenidate hydrochloride 30 mg modified release capsule, 100 (Ritalin LA 30 mg (Switzerland))
15099Q METHYLPHENIDATE, methylphenidate hydrochloride 30 mg modified release capsule, 30 (Ritalin LA 30 mg (Switzerland))
15100R METHYLPHENIDATE, methylphenidate hydrochloride 40 mg modified release capsule, 30 (Ritalin LA 40 mg (Switzerland))
15087C PALOVAROTENE, palovarotene 10 mg capsule, 28 (Sohonos)

Addition – Brand

9318K PHARMACOR DABIGATRAN, CRDABIGATRAN, dabigatran etexilate 75 mg capsule, 10
9320M PHARMACOR DABIGATRAN, CRDABIGATRAN, dabigatran etexilate 75 mg capsule, 60
9322P PHARMACOR DABIGATRAN, CRDABIGATRAN, dabigatran etexilate 75 mg capsule, 10
13280Y Rythmodan (UK), YODISOPYRAMIDE, disopyramide 100 mg capsule, 84
2387P Methylphenidate Sandoz XR, SZMETHYLPHENIDATE, methylphenidate hydrochloride 18 mg modified release tablet, 30
2172H Methylphenidate Sandoz XR, SZMETHYLPHENIDATE, methylphenidate hydrochloride 27 mg modified release tablet, 30
2388Q Methylphenidate Sandoz XR, SZMETHYLPHENIDATE, methylphenidate hydrochloride 36 mg modified release tablet, 30
2432B Methylphenidate Sandoz XR, SZMETHYLPHENIDATE, methylphenidate hydrochloride 54 mg modified release tablet, 30
10090C Sitagliptin/Metformin XR Mylan, ALSITAGLIPTIN + METFORMIN, sitagliptin 50 mg + metformin hydrochloride 1 g modified release tablet, 56
13990H Sitagliptin/Metformin XR Mylan, ALSITAGLIPTIN + METFORMIN, sitagliptin 50 mg + metformin hydrochloride 1 g modified release tablet, 56
10089B Sitagliptin/Metformin XR Mylan, ALSITAGLIPTIN + METFORMIN, sitagliptin 100 mg + metformin hydrochloride 1 g modified release tablet, 28
14031L Sitagliptin/Metformin XR Mylan, ALSITAGLIPTIN + METFORMIN, sitagliptin 100 mg + metformin hydrochloride 1 g modified release tablet, 28
13483P ARX-Telmisartan/Amlodipine, XTTELMISARTAN + AMLODIPINE, telmisartan 40 mg + amlodipine 5 mg tablet, 28
8978M ARX-Telmisartan/Amlodipine, XTTELMISARTAN + AMLODIPINE, telmisartan 40 mg + amlodipine 5 mg tablet, 28
13515H ARX-Telmisartan/Amlodipine, XTTELMISARTAN + AMLODIPINE, telmisartan 40 mg + amlodipine 10 mg tablet, 28
8979N ARX-Telmisartan/Amlodipine, XTTELMISARTAN + AMLODIPINE, telmisartan 40 mg + amlodipine 10 mg tablet, 28
13450X ARX-Telmisartan/Amlodipine, XTTELMISARTAN + AMLODIPINE, telmisartan 80 mg + amlodipine 5 mg tablet, 28
8980P ARX-Telmisartan/Amlodipine, XTTELMISARTAN + AMLODIPINE, telmisartan 80 mg + amlodipine 5 mg tablet, 28
13451Y ARX-Telmisartan/Amlodipine, XTTELMISARTAN + AMLODIPINE, telmisartan 80 mg + amlodipine 10 mg tablet, 28
8981Q ARX-Telmisartan/Amlodipine, XTTELMISARTAN + AMLODIPINE, telmisartan 80 mg + amlodipine 10 mg tablet, 28

Addition – Equivalence Indicator

9318K Pradaxa, BYDABIGATRAN, dabigatran etexilate 75 mg capsule, 10
9322P Pradaxa, BYDABIGATRAN, dabigatran etexilate 75 mg capsule, 10

Addition – Note

14852Q ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices (Erelzi, Nepexto)
15050D ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes (Erelzi)
2283E METHYLPHENIDATE, methylphenidate hydrochloride 40 mg modified release capsule, 30 (Ritalin LA, Rubifen LA)

Deletions

Deletion – Item

14869N AZITHROMYCIN, azithromycin 500 mg tablet, 3 (Azithromycin Tablets, USP 500 mg (Precision Dose, USA))
14870P AZITHROMYCIN, azithromycin 500 mg tablet, 3 (Azithromycin Tablets, USP 500 mg (Precision Dose, USA))
14731H ESTRADIOL + NORETHISTERONE ACETATE, estradiol 50 microgram/24 hours + norethisterone acetate 250 microgram/24 hours patch, 8 (ESTALIS 250/50 (Canada))
14739R ESTRADIOL + NORETHISTERONE ACETATE, estradiol 50 microgram/24 hours + norethisterone acetate 250 microgram/24 hours patch, 8 (ESTALIS 250/50 (Canada))
14727D ESTRADIOL + NORETHISTERONE ACETATE, estradiol 50 microgram/24 hours + norethisterone acetate 140 microgram/24 hours patch, 8 (ESTALIS 140/50 (Canada))
14728E ESTRADIOL + NORETHISTERONE ACETATE, estradiol 50 microgram/24 hours + norethisterone acetate 140 microgram/24 hours patch, 8 (ESTALIS 140/50 (Canada))
13127X ETHOSUXIMIDE, ethosuximide 250 mg capsule, 56 (Ethosuximide Essential Generics (UK))

Deletion – Brand

14349F Esipram, CFESCITALOPRAM, escitalopram 10 mg tablet, 28
14519E Esipram, CFESCITALOPRAM, escitalopram 10 mg tablet, 28
8700X Esipram, CFESCITALOPRAM, escitalopram 10 mg tablet, 28
9432K Esipram, CFESCITALOPRAM, escitalopram 10 mg tablet, 28
14415Q Esipram, CFESCITALOPRAM, escitalopram 20 mg tablet, 28
14416R Esipram, CFESCITALOPRAM, escitalopram 20 mg tablet, 28
8701Y Esipram, CFESCITALOPRAM, escitalopram 20 mg tablet, 28
9433L Esipram, CFESCITALOPRAM, escitalopram 20 mg tablet, 28
8559L Gabapentin APOTEX, TYGABAPENTIN, gabapentin 600 mg tablet, 100
10916M Imatinib-APOTEX, TXIMATINIB, imatinib 400 mg capsule, 30
10917N Imatinib-APOTEX, TXIMATINIB, imatinib 400 mg capsule, 30
10921T Imatinib-APOTEX, TXIMATINIB, imatinib 400 mg capsule, 30
10925B Imatinib-APOTEX, TXIMATINIB, imatinib 400 mg capsule, 30
10933K Imatinib-APOTEX, TXIMATINIB, imatinib 400 mg capsule, 30
10935M Imatinib-APOTEX, TXIMATINIB, imatinib 400 mg capsule, 30
10939R Imatinib-APOTEX, TXIMATINIB, imatinib 400 mg capsule, 30
11756R Imatinib-APOTEX, TXIMATINIB, imatinib 400 mg capsule, 30
11763D Imatinib-APOTEX, TXIMATINIB, imatinib 400 mg capsule, 30
11764E Imatinib-APOTEX, TXIMATINIB, imatinib 400 mg capsule, 30
11771M Imatinib-APOTEX, TXIMATINIB, imatinib 400 mg capsule, 30
11772N Imatinib-APOTEX, TXIMATINIB, imatinib 400 mg capsule, 30
11779Y Imatinib-APOTEX, TXIMATINIB, imatinib 400 mg capsule, 30
11870R Imatinib-APOTEX, TXIMATINIB, imatinib 400 mg capsule, 30
12681K Imatinib-APOTEX, TXIMATINIB, imatinib 400 mg capsule, 30
12711B Imatinib-APOTEX, TXIMATINIB, imatinib 400 mg capsule, 30
12723P Imatinib-APOTEX, TXIMATINIB, imatinib 400 mg capsule, 30
12754G Imatinib-APOTEX, TXIMATINIB, imatinib 400 mg capsule, 30
14501F Pantoprazole APOTEX, TYPANTOPRAZOLE, pantoprazole 20 mg enteric tablet, 30
8399C Pantoprazole APOTEX, TYPANTOPRAZOLE, pantoprazole 20 mg enteric tablet, 30
13921Q APOTEX-Pioglitazone, TXPIOGLITAZONE, pioglitazone 30 mg tablet, 28
8695P APOTEX-Pioglitazone, TXPIOGLITAZONE, pioglitazone 30 mg tablet, 28
5469W Champix, PFVARENICLINE, varenicline 1 mg tablet, 56
9129L Champix, PFVARENICLINE, varenicline 1 mg tablet, 56
9128K Champix, PFVARENICLINE, varenicline 500 microgram tablet [11] (&) varenicline 1 mg tablet [42], 53

Deletion – Equivalence Indicator

14336M Estalis continuous 50/250, SZESTRADIOL + NORETHISTERONE ACETATE, estradiol 50 microgram/24 hours + norethisterone acetate 250 microgram/24 hours patch, 8
8428N Estalis continuous 50/250, SZESTRADIOL + NORETHISTERONE ACETATE, estradiol 50 microgram/24 hours + norethisterone acetate 250 microgram/24 hours patch, 8
13902Q Estalis continuous 50/140, SZESTRADIOL + NORETHISTERONE ACETATE, estradiol 50 microgram/24 hours + norethisterone acetate 140 microgram/24 hours patch, 8
8427M Estalis continuous 50/140, SZESTRADIOL + NORETHISTERONE ACETATE, estradiol 50 microgram/24 hours + norethisterone acetate 140 microgram/24 hours patch, 8
11703Y ZARONTIN, IXETHOSUXIMIDE, ethosuximide 250 mg capsule, 100

Deletion – Note

14626T AFLIBERCEPT, aflibercept 8 mg/0.07 mL injection, 0.07 mL vial (Eylea)
8200N AZITHROMYCIN, azithromycin 500 mg tablet, 2 (APO-Azithromycin, AZITHROMYCIN-WGR, Azithromycin Sandoz, Azithromycin Viatris, ZITHRO, Zithromax)
8336R AZITHROMYCIN, azithromycin 500 mg tablet, 2 (APO-Azithromycin, AZITHROMYCIN-WGR, Azithromycin Sandoz, Azithromycin Viatris, ZITHRO, Zithromax)
14336M ESTRADIOL + NORETHISTERONE ACETATE, estradiol 50 microgram/24 hours + norethisterone acetate 250 microgram/24 hours patch, 8 (Estalis continuous 50/250)
8428N ESTRADIOL + NORETHISTERONE ACETATE, estradiol 50 microgram/24 hours + norethisterone acetate 250 microgram/24 hours patch, 8 (Estalis continuous 50/250)
13902Q ESTRADIOL + NORETHISTERONE ACETATE, estradiol 50 microgram/24 hours + norethisterone acetate 140 microgram/24 hours patch, 8 (Estalis continuous 50/140)
8427M ESTRADIOL + NORETHISTERONE ACETATE, estradiol 50 microgram/24 hours + norethisterone acetate 140 microgram/24 hours patch, 8 (Estalis continuous 50/140)
11703Y ETHOSUXIMIDE, ethosuximide 250 mg capsule, 100 (ZARONTIN)

Deletion – Restriction

14626T AFLIBERCEPT, aflibercept 8 mg/0.07 mL injection, 0.07 mL vial (Eylea)

Alterations

Alteration – Item Description

From
10124W ACLIDINIUM, aclidinium 322 microgram/actuation inhalation: powder for, 60 actuations (Bretaris Genuair)
To
10124W ACLIDINIUM, aclidinium 322 microgram/actuation powder for inhalation, 60 actuations (Bretaris Genuair)
From
14539F ACLIDINIUM, aclidinium 322 microgram/actuation inhalation: powder for, 60 actuations (Bretaris Genuair)
To
14539F ACLIDINIUM, aclidinium 322 microgram/actuation powder for inhalation, 60 actuations (Bretaris Genuair)
From
14790K ARIPIPRAZOLE, aripiprazole 720 mg/2.4 mL modified release injection, 2.4 mL syringe (Abilify Asimtufii)
To
14790K ARIPIPRAZOLE, Aripiprazole 720 mg/2.4 mL modified release injection, 2.4 mL syringe (Abilify Asimtufii)
From
14824F ARIPIPRAZOLE, aripiprazole 960 mg/3.2 mL modified release injection, 3.2 mL syringe (Abilify Asimtufii)
To
14824F ARIPIPRAZOLE, Aripiprazole 960 mg/3.2 mL modified release injection, 3.2 mL syringe (Abilify Asimtufii)
From
14693H SELPERCATINIB, selpercatinib 40 mg capsule, 56 (Retevmo)
To
14693H SELPERCATINIB, Selpercatinib 40 mg capsule, 56 (Retevmo)
From
10089B SITAGLIPTIN + METFORMIN, sitagliptin 100 mg + metformin hydrochloride 1 g tablet: modified release, 28 (Janumet XR, Sitagliptin/Metformin Sandoz XR, Sitagliptin/Metformin XR Mylan)
To
10089B SITAGLIPTIN + METFORMIN, sitagliptin 100 mg + metformin hydrochloride 1 g modified release tablet, 28 (Janumet XR, Sitagliptin/Metformin Sandoz XR, Sitagliptin/Metformin XR Mylan)
From
14031L SITAGLIPTIN + METFORMIN, sitagliptin 100 mg + metformin hydrochloride 1 g tablet: modified release, 28 (Janumet XR, Sitagliptin/Metformin Sandoz XR, Sitagliptin/Metformin XR Mylan)
To
14031L SITAGLIPTIN + METFORMIN, sitagliptin 100 mg + metformin hydrochloride 1 g modified release tablet, 28 (Janumet XR, Sitagliptin/Metformin Sandoz XR, Sitagliptin/Metformin XR Mylan)
From
14685X TALAZOPARIB, talazoparib 100 microgram capsule, 30 (Talzenna)
To
14685X TALAZOPARIB, Talazoparib 100 microgram capsule, 30 (Talzenna)
From
14690E TALAZOPARIB, talazoparib 350 microgram capsule, 30 (Talzenna)
To
14690E TALAZOPARIB, Talazoparib 350 microgram capsule, 30 (Talzenna)
From
14683T TALAZOPARIB, talazoparib 500 microgram capsule, 30 (Talzenna)
To
14683T TALAZOPARIB, Talazoparib 500 microgram capsule, 30 (Talzenna)
From
10187E UMECLIDINIUM, umeclidinium 62.5 microgram/actuation inhalation: powder for, 30 actuations (Incruse Ellipta)
To
10187E UMECLIDINIUM, umeclidinium 62.5 microgram powder for inhalation, 30 actuations (Incruse Ellipta)
From
14389H UMECLIDINIUM, umeclidinium 62.5 microgram/actuation inhalation: powder for, 30 actuations (Incruse Ellipta)
To
14389H UMECLIDINIUM, umeclidinium 62.5 microgram powder for inhalation, 30 actuations (Incruse Ellipta)
From
14716M URSODEOXYCHOLIC ACID, ursodeoxycholic acid 500 mg capsule, 100 (Ursodox GH)
To
14716M URSODEOXYCHOLIC ACID, Ursodeoxycholic acid 500 mg capsule, 100 (Ursodox GH)

Alteration – Authorised Prescriber

From To
8292K CEFUROXIME, cefuroxime 250 mg tablet, 14 (Pharmacor Cefuroxime) M M,N

Alteration – Note

13365K CLOPIDOGREL, clopidogrel 75 mg tablet, 28 (CLOPIDOGREL-WGR, Clovix 75, Plidogrel)
13399F CLOPIDOGREL, clopidogrel 75 mg tablet, 28 (Blooms Clopidogrel, Clopidogrel Lupin, Clopidogrel Sandoz Pharma, Clopidogrel Winthrop, Iscover, Piax, Plavicor 75)
8358X CLOPIDOGREL, clopidogrel 75 mg tablet, 28 (Blooms Clopidogrel, Clopidogrel Lupin, Clopidogrel Sandoz Pharma, Clopidogrel Winthrop, Iscover, Piax, Plavicor 75)
9354H CLOPIDOGREL, clopidogrel 75 mg tablet, 28 (CLOPIDOGREL-WGR, Clovix 75, Plidogrel)
12550M INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL syringe (Remsima SC)
12552P INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL syringe (Remsima SC)
12553Q INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL syringe (Remsima SC)
12554R INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL pen device (Remsima SC)
12555T INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL syringe (Remsima SC)
12560C INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL pen device (Remsima SC)
12566J INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL pen device (Remsima SC)
12567K INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL pen device (Remsima SC)
12584H INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL pen device (Remsima SC)
12586K INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL syringe (Remsima SC)
12587L INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL pen device (Remsima SC)
12597B INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL syringe (Remsima SC)
13047Q INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL syringe (Remsima SC)
13048R INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL pen device (Remsima SC)
13050W INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL syringe (Remsima SC)
13054C INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL pen device (Remsima SC)
13060J INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL pen device (Remsima SC)
13069W INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL syringe (Remsima SC)
13073C INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL syringe (Remsima SC)
13076F INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL pen device (Remsima SC)
3440C METHYLPHENIDATE, methylphenidate hydrochloride 10 mg modified release capsule, 30 (Ritalin LA, Rubifen LA)
15026W METHYLPHENIDATE, methylphenidate hydrochloride 10 mg modified release capsule, 30 (Methylphenidate Orifarm 10 mg (Sweden))
2276T METHYLPHENIDATE, methylphenidate hydrochloride 20 mg modified release capsule, 30 (Ritalin LA, Rubifen LA)
15016H METHYLPHENIDATE, methylphenidate hydrochloride 20 mg modified release capsule, 30 (Methylphenidate Orifarm 20 mg (Sweden))
2280B METHYLPHENIDATE, methylphenidate hydrochloride 30 mg modified release capsule, 30 (Ritalin LA, Rubifen LA)
15046X METHYLPHENIDATE, methylphenidate hydrochloride 30 mg modified release capsule, 30 (Methylphenidate Orifarm 30 mg (Sweden))
12623J OBETICHOLIC ACID, obeticholic acid 5 mg tablet, 30 (Ocaliva)
12630R OBETICHOLIC ACID, obeticholic acid 5 mg tablet, 30 (Ocaliva)
12640G OBETICHOLIC ACID, obeticholic acid 10 mg tablet, 30 (Ocaliva)
11436X PERAMPANEL, perampanel 2 mg tablet, 7 (Fycompa)

Alteration – Caution

13999T CICLOSPORIN, ciclosporin 10 mg capsule, 60 (Neoral 10)
8657P CICLOSPORIN, ciclosporin 10 mg capsule, 60 (Neoral 10)
13883Q CICLOSPORIN, ciclosporin 25 mg capsule, 30 (APO-Ciclosporin, CICLOSPORIN-WGR, Neoral 25)
8658Q CICLOSPORIN, ciclosporin 25 mg capsule, 30 (APO-Ciclosporin, CICLOSPORIN-WGR, Neoral 25)
13910D CICLOSPORIN, ciclosporin 50 mg capsule, 30 (APO-Ciclosporin, CICLOSPORIN-WGR, Neoral 50)
8659R CICLOSPORIN, ciclosporin 50 mg capsule, 30 (APO-Ciclosporin, CICLOSPORIN-WGR, Neoral 50)
13911E CICLOSPORIN, ciclosporin 100 mg capsule, 30 (APO-Ciclosporin, CICLOSPORIN-WGR, Neoral 100)
8660T CICLOSPORIN, ciclosporin 100 mg capsule, 30 (APO-Ciclosporin, CICLOSPORIN-WGR, Neoral 100)
14001X CICLOSPORIN, ciclosporin 100 mg/mL oral liquid, 50 mL (Neoral)
8661W CICLOSPORIN, ciclosporin 100 mg/mL oral liquid, 50 mL (Neoral)
13884R MYCOPHENOLATE, mycophenolate mofetil 250 mg capsule, 100 (APO-Mycophenolate, Mycophenolate Sandoz, Pharmacor Mycophenolate 250)
8649F MYCOPHENOLATE, mycophenolate mofetil 250 mg capsule, 100 (APO-Mycophenolate, Mycophenolate Sandoz, Pharmacor Mycophenolate 250)
14071N MYCOPHENOLATE, mycophenolate mofetil 1 g/5 mL powder for oral liquid, 165 mL (CellCept, Pharmacor Mycophenolate)
8651H MYCOPHENOLATE, mycophenolate mofetil 1 g/5 mL powder for oral liquid, 165 mL (CellCept, Pharmacor Mycophenolate)
13856G MYCOPHENOLATE, mycophenolate 180 mg enteric tablet, 120 (Mycophenolic Acid ARX, Myfortic)
2150E MYCOPHENOLATE, mycophenolate 180 mg enteric tablet, 120 (Mycophenolic Acid ARX, Myfortic)
13938N MYCOPHENOLATE, mycophenolate 360 mg enteric tablet, 120 (MYCOTEX, Mycophenolic Acid ARX, Myfortic)
2193K MYCOPHENOLATE, mycophenolate 360 mg enteric tablet, 120 (MYCOTEX, Mycophenolic Acid ARX, Myfortic)
14000W MYCOPHENOLATE, mycophenolate mofetil 500 mg tablet, 50 (ARX-MYCOPHENOLATE, Ceptolate, Mycophenolate GH, Mycophenolate Sandoz, Pharmacor Mycophenolate 500)
8650G MYCOPHENOLATE, mycophenolate mofetil 500 mg tablet, 50 (ARX-MYCOPHENOLATE, Ceptolate, Mycophenolate GH, Mycophenolate Sandoz, Pharmacor Mycophenolate 500)

Alteration – Restriction

11349H BRIVARACETAM, brivaracetam 10 mg/mL oral liquid, 300 mL (Briviact)
11358T BRIVARACETAM, brivaracetam 10 mg/mL oral liquid, 300 mL (Briviact)
11327E BRIVARACETAM, brivaracetam 25 mg tablet, 56 (Briviact)
11328F BRIVARACETAM, brivaracetam 25 mg tablet, 56 (Briviact)
11334M BRIVARACETAM, brivaracetam 50 mg tablet, 56 (Briviact)
11338R BRIVARACETAM, brivaracetam 50 mg tablet, 56 (Briviact)
11350J BRIVARACETAM, brivaracetam 75 mg tablet, 56 (Briviact)
11356Q BRIVARACETAM, brivaracetam 75 mg tablet, 56 (Briviact)
11339T BRIVARACETAM, brivaracetam 100 mg tablet, 56 (Briviact)
11357R BRIVARACETAM, brivaracetam 100 mg tablet, 56 (Briviact)
12467E CANNABIDIOL, cannabidiol 100 mg/mL oral liquid, 100 mL (Epidyolex)
13277T CANNABIDIOL, cannabidiol 100 mg/mL oral liquid, 100 mL (Epidyolex)
15049C CAPIVASERTIB, capivasertib 160 mg tablet, 64 (Truqap)
15059N CAPIVASERTIB, capivasertib 200 mg tablet, 64 (Truqap)
12683M DARATUMUMAB, daratumumab 1.8 g/15 mL injection, 15 mL vial (Darzalex SC)
14092Q EMPAGLIFLOZIN, empagliflozin 10 mg tablet, 30 (Jardiance)
11591C EVEROLIMUS, everolimus 2 mg dispersible tablet, 30 (Afinitor)
11607X EVEROLIMUS, everolimus 2 mg dispersible tablet, 30 (Afinitor)
11599L EVEROLIMUS, everolimus 3 mg dispersible tablet, 30 (Afinitor)
11608Y EVEROLIMUS, everolimus 3 mg dispersible tablet, 30 (Afinitor)
11592D EVEROLIMUS, everolimus 5 mg dispersible tablet, 30 (Afinitor)
11598K EVEROLIMUS, everolimus 5 mg dispersible tablet, 30 (Afinitor)
14833Q FENFLURAMINE, fenfluramine hydrochloride 2.2 mg/mL oral liquid, 360 mL (Fintepla)
8505P GABAPENTIN, gabapentin 100 mg capsule, 100 (APX-Gabapentin, GAPENTIN, Gabacor, Neurontin, Nupentin 100)
1834M GABAPENTIN, gabapentin 300 mg capsule, 100 (APX-Gabapentin, GABAPENTIN-WGR, GAPENTIN, Gabacor, Gabapentin Sandoz, Neurontin, Nupentin 300)
1835N GABAPENTIN, gabapentin 400 mg capsule, 100 (APX-Gabapentin, GABAPENTIN-WGR, GAPENTIN, Gabacor, Gabapentin Sandoz, Neurontin, Nupentin 400)
8559L GABAPENTIN, gabapentin 600 mg tablet, 100 (APX-GABAPENTIN, GAPENTIN, , Neurontin, Pharmacor Gabapentin 600)
8389M GABAPENTIN, gabapentin 800 mg tablet, 100 (GAPENTIN, Gabapentin APOTEX, Neurontin, Pharmacor Gabapentin 800)
12550M INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL syringe (Remsima SC)
12552P INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL syringe (Remsima SC)
12553Q INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL syringe (Remsima SC)
12554R INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL pen device (Remsima SC)
12555T INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL syringe (Remsima SC)
12560C INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL pen device (Remsima SC)
12566J INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL pen device (Remsima SC)
12567K INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL pen device (Remsima SC)
12584H INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL pen device (Remsima SC)
12586K INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL syringe (Remsima SC)
12587L INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL pen device (Remsima SC)
12597B INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL syringe (Remsima SC)
13047Q INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL syringe (Remsima SC)
13048R INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL pen device (Remsima SC)
13050W INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL syringe (Remsima SC)
13054C INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL pen device (Remsima SC)
13060J INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL pen device (Remsima SC)
13069W INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL syringe (Remsima SC)
13073C INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL syringe (Remsima SC)
13076F INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL pen device (Remsima SC)
11694L LACOSAMIDE, lacosamide 10 mg/mL oral liquid, 200 mL (Vimpat)
12628P LACOSAMIDE, lacosamide 10 mg/mL oral liquid, 200 mL (Vimpat)
14013M LACOSAMIDE, lacosamide 10 mg/mL oral liquid, 200 mL (Vimpat)
14048J LACOSAMIDE, lacosamide 10 mg/mL oral liquid, 200 mL (Vimpat)
10293R LACOSAMIDE, lacosamide 50 mg tablet, 14 (Lacosam, Lacosamide ARX, Lacosamide Lupin, Lacosamide Sandoz, Vimcosa, Vimpat)
12626M LACOSAMIDE, lacosamide 50 mg tablet, 14 (Lacosam, Lacosamide ARX, Lacosamide Lupin, Lacosamide Sandoz, Vimcosa, Vimpat)
14011K LACOSAMIDE, lacosamide 50 mg tablet, 14 (Lacosam, Lacosamide ARX, Lacosamide Lupin, Lacosamide Sandoz, Vimcosa, Vimpat)
14049K LACOSAMIDE, lacosamide 50 mg tablet, 14 (Lacosam, Lacosamide ARX, Lacosamide Lupin, Lacosamide Sandoz, Vimcosa, Vimpat)
9333F LACOSAMIDE, lacosamide 50 mg tablet, 14 (Lacosam, Lacosamide ARX, Lacosamide Lupin, Lacosamide Sandoz, Vimcosa, Vimpat)
12633X LACOSAMIDE, lacosamide 100 mg tablet, 14 (Lacosamide Sandoz, Vimcosa, Vimpat)
12634Y LACOSAMIDE, lacosamide 100 mg tablet, 56 (Lacosam, Lacosamide ARX, Lacosamide Lupin, Lacosamide Sandoz, Vimcosa, Vimpat)
13839J LACOSAMIDE, lacosamide 100 mg tablet, 56 (Lacosam, Lacosamide ARX, Lacosamide Lupin, Lacosamide Sandoz, Vimcosa, Vimpat)
13867W LACOSAMIDE, lacosamide 100 mg tablet, 56 (Lacosam, Lacosamide ARX, Lacosamide Lupin, Lacosamide Sandoz, Vimcosa, Vimpat)
9334G LACOSAMIDE, lacosamide 100 mg tablet, 14 (Lacosamide Sandoz, Vimcosa, Vimpat)
9335H LACOSAMIDE, lacosamide 100 mg tablet, 56 (Lacosam, Lacosamide ARX, Lacosamide Lupin, Lacosamide Sandoz, Vimcosa, Vimpat)
12627N LACOSAMIDE, lacosamide 150 mg tablet, 56 (Lacosam, Lacosamide ARX, Lacosamide Lupin, Lacosamide Sandoz, Vimcosa, Vimpat)
12649R LACOSAMIDE, lacosamide 150 mg tablet, 14 (Vimcosa, Vimpat)
13838H LACOSAMIDE, lacosamide 150 mg tablet, 56 (Lacosam, Lacosamide ARX, Lacosamide Lupin, Lacosamide Sandoz, Vimcosa, Vimpat)
14053P LACOSAMIDE, lacosamide 150 mg tablet, 56 (Lacosam, Lacosamide ARX, Lacosamide Lupin, Lacosamide Sandoz, Vimcosa, Vimpat)
9336J LACOSAMIDE, lacosamide 150 mg tablet, 14 (Vimcosa, Vimpat)
9337K LACOSAMIDE, lacosamide 150 mg tablet, 56 (Lacosam, Lacosamide ARX, Lacosamide Lupin, Lacosamide Sandoz, Vimcosa, Vimpat)
12658F LACOSAMIDE, lacosamide 200 mg tablet, 56 (Lacosam, Lacosamide ARX, Lacosamide Lupin, Lacosamide Sandoz, Vimcosa, Vimpat)
13949E LACOSAMIDE, lacosamide 200 mg tablet, 56 (Lacosam, Lacosamide ARX, Lacosamide Lupin, Lacosamide Sandoz, Vimcosa, Vimpat)
13951G LACOSAMIDE, lacosamide 200 mg tablet, 56 (Lacosam, Lacosamide ARX, Lacosamide Lupin, Lacosamide Sandoz, Vimcosa, Vimpat)
9338L LACOSAMIDE, lacosamide 200 mg tablet, 56 (Lacosam, Lacosamide ARX, Lacosamide Lupin, Lacosamide Sandoz, Vimcosa, Vimpat)
14047H LAMOTRIGINE, lamotrigine 5 mg tablet, 56 (Lamictal)
8063J LAMOTRIGINE, lamotrigine 5 mg tablet, 56 (Lamictal)
13842M LAMOTRIGINE, lamotrigine 25 mg tablet, 56 (APX-Lamotrigine, LAMITAN, LAMOTRIGINE-WGR, Lamictal, Lamotrigine GH, Logem, Reedos 25, Sandoz Lamotrigine)
2848X LAMOTRIGINE, lamotrigine 25 mg tablet, 56 (APX-Lamotrigine, LAMITAN, LAMOTRIGINE-WGR, Lamictal, Lamotrigine GH, Logem, Reedos 25, Sandoz Lamotrigine)
13975M LAMOTRIGINE, lamotrigine 50 mg tablet, 56 (APX-Lamotrigine, LAMITAN, LAMOTRIGINE-WGR, Lamictal, Lamotrigine GH, Logem, Reedos 50, Sandoz Lamotrigine)
2849Y LAMOTRIGINE, lamotrigine 50 mg tablet, 56 (APX-Lamotrigine, LAMITAN, LAMOTRIGINE-WGR, Lamictal, Lamotrigine GH, Logem, Reedos 50, Sandoz Lamotrigine)
14052N LAMOTRIGINE, lamotrigine 100 mg tablet, 56 (APX-Lamotrigine, LAMITAN, LAMOTRIGINE-WGR, Lamictal, Lamotrigine GH, Logem, Reedos 100, Sandoz Lamotrigine)
2850B LAMOTRIGINE, lamotrigine 100 mg tablet, 56 (APX-Lamotrigine, LAMITAN, LAMOTRIGINE-WGR, Lamictal, Lamotrigine GH, Logem, Reedos 100, Sandoz Lamotrigine)
13843N LAMOTRIGINE, lamotrigine 200 mg tablet, 56 (APX-Lamotrigine, LAMITAN, LAMOTRIGINE-WGR, Lamictal, Lamotrigine GH, Logem, Reedos 200, Sandoz Lamotrigine)
2851C LAMOTRIGINE, lamotrigine 200 mg tablet, 56 (APX-Lamotrigine, LAMITAN, LAMOTRIGINE-WGR, Lamictal, Lamotrigine GH, Logem, Reedos 200, Sandoz Lamotrigine)
11638M LENVATINIB, lenvatinib 4 mg capsule, 30 (Lenvima)
13993L LEVETIRACETAM, levetiracetam 100 mg/mL oral liquid, 300 mL (APO-Levetiracetam, Keppra, Kerron, Levetiracetam GH, Levetiracetam-AFT)
9169N LEVETIRACETAM, levetiracetam 100 mg/mL oral liquid, 300 mL (APO-Levetiracetam, Keppra, Kerron, Levetiracetam GH, Levetiracetam-AFT)
13992K LEVETIRACETAM, levetiracetam 250 mg tablet, 60 (APO-Levetiracetam, Keppra, LEVETIRACETAM-WGR, Levactam, Levetiracetam GH, Levetiracetam SZ, Levetiracetam Viatris, Levi 250, NOUMED LEVETIRACETAM)
8654L LEVETIRACETAM, levetiracetam 250 mg tablet, 60 (APO-Levetiracetam, Keppra, LEVETIRACETAM-WGR, Levactam, Levetiracetam GH, Levetiracetam SZ, Levetiracetam Viatris, Levi 250, NOUMED LEVETIRACETAM)
14034P LEVETIRACETAM, levetiracetam 500 mg tablet, 60 (APO-Levetiracetam, Keppra, LEVETIRACETAM-WGR, Levactam, Levetiracetam GH, Levetiracetam Mylan, Levetiracetam SZ, Levetiracetam Viatris, Levi 500, NOUMED LEVETIRACETAM)
8655M LEVETIRACETAM, levetiracetam 500 mg tablet, 60 (APO-Levetiracetam, Keppra, LEVETIRACETAM-WGR, Levactam, Levetiracetam GH, Levetiracetam Mylan, Levetiracetam SZ, Levetiracetam Viatris, Levi 500, NOUMED LEVETIRACETAM)
13937M LEVETIRACETAM, levetiracetam 1 g tablet, 60 (APO-Levetiracetam, Keppra, LEVETIRACETAM-WGR, Levactam, Levetiracetam GH, Levetiracetam SZ, Levetiracetam Viatris, Levi 1000, NOUMED LEVETIRACETAM)
8656N LEVETIRACETAM, levetiracetam 1 g tablet, 60 (APO-Levetiracetam, Keppra, LEVETIRACETAM-WGR, Levactam, Levetiracetam GH, Levetiracetam SZ, Levetiracetam Viatris, Levi 1000, NOUMED LEVETIRACETAM)
15060P LUMASIRAN, Lumasiran 94.5 mg/0.5 mL injection, 0.5 mL vial (Oxlumo)
14573B MIGALASTAT, migalastat 123 mg capsule, 14 (Galafold)
12623J OBETICHOLIC ACID, obeticholic acid 5 mg tablet, 30 (Ocaliva)
12630R OBETICHOLIC ACID, obeticholic acid 5 mg tablet, 30 (Ocaliva)
12640G OBETICHOLIC ACID, obeticholic acid 10 mg tablet, 30 (Ocaliva)
13936L OXCARBAZEPINE, oxcarbazepine 60 mg/mL oral liquid, 250 mL (Trileptal)
8588B OXCARBAZEPINE, oxcarbazepine 60 mg/mL oral liquid, 250 mL (Trileptal)
14562K OXCARBAZEPINE, oxcarbazepine 150 mg tablet, 100 (Trileptal)
8584T OXCARBAZEPINE, oxcarbazepine 150 mg tablet, 100 (Trileptal)
14033N OXCARBAZEPINE, oxcarbazepine 300 mg tablet, 100 (Trileptal)
8585W OXCARBAZEPINE, oxcarbazepine 300 mg tablet, 100 (Trileptal)
13935K OXCARBAZEPINE, oxcarbazepine 600 mg tablet, 100 (Trileptal)
8586X OXCARBAZEPINE, oxcarbazepine 600 mg tablet, 100 (Trileptal)
10157N PERAMPANEL, perampanel 2 mg tablet, 7 (Fycompa)
11436X PERAMPANEL, perampanel 2 mg tablet, 7 (Fycompa)
10162W PERAMPANEL, perampanel 4 mg tablet, 28 (Fycompa)
13948D PERAMPANEL, perampanel 4 mg tablet, 28 (Fycompa)
10163X PERAMPANEL, perampanel 6 mg tablet, 28 (Fycompa)
14010J PERAMPANEL, perampanel 6 mg tablet, 28 (Fycompa)
10160R PERAMPANEL, perampanel 8 mg tablet, 28 (Fycompa)
13970G PERAMPANEL, perampanel 8 mg tablet, 28 (Fycompa)
10151G PERAMPANEL, perampanel 10 mg tablet, 28 (Fycompa)
13914H PERAMPANEL, perampanel 10 mg tablet, 28 (Fycompa)
10159Q PERAMPANEL, perampanel 12 mg tablet, 28 (Fycompa)
13865R PERAMPANEL, perampanel 12 mg tablet, 28 (Fycompa)
9380Q SORAFENIB, sorafenib 200 mg tablet, 60 (Nexavar)
12103B STIRIPENTOL, stiripentol 250 mg capsule, 60 (Diacomit)
12107F STIRIPENTOL, stiripentol 500 mg capsule, 60 (Diacomit)
12106E STIRIPENTOL, stiripentol 250 mg powder for oral liquid, 60 sachets (Diacomit)
12088F STIRIPENTOL, stiripentol 500 mg powder for oral liquid, 60 sachets (Diacomit)
13892E TIAGABINE, tiagabine 5 mg tablet, 50 (Gabitril)
8221Q TIAGABINE, tiagabine 5 mg tablet, 50 (Gabitril)
13947C TIAGABINE, tiagabine 10 mg tablet, 50 (Gabitril)
8222R TIAGABINE, tiagabine 10 mg tablet, 50 (Gabitril)
13893F TIAGABINE, tiagabine 15 mg tablet, 50 (Gabitril)
8223T TIAGABINE, tiagabine 15 mg tablet, 50 (Gabitril)
14063E TOPIRAMATE, topiramate 15 mg capsule, 60 (Topamax Sprinkle)
8371N TOPIRAMATE, topiramate 15 mg capsule, 60 (Topamax Sprinkle)
13905W TOPIRAMATE, topiramate 25 mg capsule, 60 (Topamax Sprinkle)
8372P TOPIRAMATE, topiramate 25 mg capsule, 60 (Topamax Sprinkle)
13878K TOPIRAMATE, topiramate 50 mg capsule, 60 (Topamax Sprinkle)
8520K TOPIRAMATE, topiramate 50 mg capsule, 60 (Topamax Sprinkle)
13969F TOPIRAMATE, topiramate 25 mg tablet, 60 (APO-Topiramate, Epiramax 25, RBX Topiramate, TOPIRAMATE-WGR, Tamate, Topiramate Sandoz)
8163P TOPIRAMATE, topiramate 25 mg tablet, 60 (APO-Topiramate, Epiramax 25, RBX Topiramate, TOPIRAMATE-WGR, Tamate, Topiramate Sandoz)
13913G TOPIRAMATE, topiramate 50 mg tablet, 60 (APO-Topiramate, Epiramax 50, RBX Topiramate, TOPIRAMATE-WGR, Tamate, Topiramate Sandoz)
8164Q TOPIRAMATE, topiramate 50 mg tablet, 60 (APO-Topiramate, Epiramax 50, RBX Topiramate, TOPIRAMATE-WGR, Tamate, Topiramate Sandoz)
14008G TOPIRAMATE, topiramate 100 mg tablet, 60 (APO-Topiramate, Epiramax 100, RBX Topiramate, TOPIRAMATE-WGR, Tamate, Topiramate Sandoz)
8165R TOPIRAMATE, topiramate 100 mg tablet, 60 (APO-Topiramate, Epiramax 100, RBX Topiramate, TOPIRAMATE-WGR, Tamate, Topiramate Sandoz)
14009H TOPIRAMATE, topiramate 200 mg tablet, 60 (APO-Topiramate, Epiramax 200, RBX Topiramate, TOPIRAMATE-WGR, Tamate, Topiramate Sandoz)
8166T TOPIRAMATE, topiramate 200 mg tablet, 60 (APO-Topiramate, Epiramax 200, RBX Topiramate, TOPIRAMATE-WGR, Tamate, Topiramate Sandoz)
13974L VIGABATRIN, vigabatrin 500 mg powder for oral liquid, 60 sachets (Sabril)
2668K VIGABATRIN, vigabatrin 500 mg powder for oral liquid, 60 sachets (Sabril)
13919N VIGABATRIN, vigabatrin 500 mg tablet, 100 (Sabril)
2667J VIGABATRIN, vigabatrin 500 mg tablet, 100 (Sabril)
13853D ZONISAMIDE, zonisamide 25 mg capsule, 56 (Zonegran)
9388D ZONISAMIDE, zonisamide 25 mg capsule, 56 (Zonegran)
13988F ZONISAMIDE, zonisamide 50 mg capsule, 56 (Zonegran)
9389E ZONISAMIDE, zonisamide 50 mg capsule, 56 (Zonegran)
13854E ZONISAMIDE, zonisamide 100 mg capsule, 56 (Zonegran)
9390F ZONISAMIDE, zonisamide 100 mg capsule, 56 (Zonegran)

Alteration – Restriction Level

From To
12552P INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL syringe (Remsima SC) authority-required streamlined
12553Q INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL syringe (Remsima SC) authority-required streamlined
12554R INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL pen device (Remsima SC) authority-required streamlined
12560C INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL pen device (Remsima SC) authority-required streamlined
12586K INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL syringe (Remsima SC) authority-required streamlined
12587L INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL pen device (Remsima SC) authority-required streamlined
13047Q INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL syringe (Remsima SC) authority-required streamlined
13048R INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL pen device (Remsima SC) authority-required streamlined
13050W INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL syringe (Remsima SC) authority-required streamlined
13054C INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL pen device (Remsima SC) authority-required streamlined
13060J INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL pen device (Remsima SC) authority-required streamlined
13069W INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL syringe (Remsima SC) authority-required streamlined
13073C INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL syringe (Remsima SC) authority-required streamlined
13076F INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL pen device (Remsima SC) authority-required streamlined
14047H LAMOTRIGINE, lamotrigine 5 mg tablet, 56 (Lamictal) streamlined restricted
8063J LAMOTRIGINE, lamotrigine 5 mg tablet, 56 (Lamictal) streamlined restricted
13842M LAMOTRIGINE, lamotrigine 25 mg tablet, 56 (APX-Lamotrigine, LAMITAN, LAMOTRIGINE-WGR, Lamictal, Lamotrigine GH, Logem, Reedos 25, Sandoz Lamotrigine) streamlined restricted
2848X LAMOTRIGINE, lamotrigine 25 mg tablet, 56 (APX-Lamotrigine, LAMITAN, LAMOTRIGINE-WGR, Lamictal, Lamotrigine GH, Logem, Reedos 25, Sandoz Lamotrigine) streamlined restricted
13975M LAMOTRIGINE, lamotrigine 50 mg tablet, 56 (APX-Lamotrigine, LAMITAN, LAMOTRIGINE-WGR, Lamictal, Lamotrigine GH, Logem, Reedos 50, Sandoz Lamotrigine) streamlined restricted
2849Y LAMOTRIGINE, lamotrigine 50 mg tablet, 56 (APX-Lamotrigine, LAMITAN, LAMOTRIGINE-WGR, Lamictal, Lamotrigine GH, Logem, Reedos 50, Sandoz Lamotrigine) streamlined restricted
14052N LAMOTRIGINE, lamotrigine 100 mg tablet, 56 (APX-Lamotrigine, LAMITAN, LAMOTRIGINE-WGR, Lamictal, Lamotrigine GH, Logem, Reedos 100, Sandoz Lamotrigine) streamlined restricted
2850B LAMOTRIGINE, lamotrigine 100 mg tablet, 56 (APX-Lamotrigine, LAMITAN, LAMOTRIGINE-WGR, Lamictal, Lamotrigine GH, Logem, Reedos 100, Sandoz Lamotrigine) streamlined restricted
13843N LAMOTRIGINE, lamotrigine 200 mg tablet, 56 (APX-Lamotrigine, LAMITAN, LAMOTRIGINE-WGR, Lamictal, Lamotrigine GH, Logem, Reedos 200, Sandoz Lamotrigine) streamlined restricted
2851C LAMOTRIGINE, lamotrigine 200 mg tablet, 56 (APX-Lamotrigine, LAMITAN, LAMOTRIGINE-WGR, Lamictal, Lamotrigine GH, Logem, Reedos 200, Sandoz Lamotrigine) streamlined restricted
13993L LEVETIRACETAM, levetiracetam 100 mg/mL oral liquid, 300 mL (APO-Levetiracetam, Keppra, Kerron, Levetiracetam GH, Levetiracetam-AFT) streamlined restricted
9169N LEVETIRACETAM, levetiracetam 100 mg/mL oral liquid, 300 mL (APO-Levetiracetam, Keppra, Kerron, Levetiracetam GH, Levetiracetam-AFT) streamlined restricted
13992K LEVETIRACETAM, levetiracetam 250 mg tablet, 60 (APO-Levetiracetam, Keppra, LEVETIRACETAM-WGR, Levactam, Levetiracetam GH, Levetiracetam SZ, Levetiracetam Viatris, Levi 250, NOUMED LEVETIRACETAM) streamlined restricted
8654L LEVETIRACETAM, levetiracetam 250 mg tablet, 60 (APO-Levetiracetam, Keppra, LEVETIRACETAM-WGR, Levactam, Levetiracetam GH, Levetiracetam SZ, Levetiracetam Viatris, Levi 250, NOUMED LEVETIRACETAM) streamlined restricted
14034P LEVETIRACETAM, levetiracetam 500 mg tablet, 60 (APO-Levetiracetam, Keppra, LEVETIRACETAM-WGR, Levactam, Levetiracetam GH, Levetiracetam Mylan, Levetiracetam SZ, Levetiracetam Viatris, Levi 500, NOUMED LEVETIRACETAM) streamlined restricted
8655M LEVETIRACETAM, levetiracetam 500 mg tablet, 60 (APO-Levetiracetam, Keppra, LEVETIRACETAM-WGR, Levactam, Levetiracetam GH, Levetiracetam Mylan, Levetiracetam SZ, Levetiracetam Viatris, Levi 500, NOUMED LEVETIRACETAM) streamlined restricted
13937M LEVETIRACETAM, levetiracetam 1 g tablet, 60 (APO-Levetiracetam, Keppra, LEVETIRACETAM-WGR, Levactam, Levetiracetam GH, Levetiracetam SZ, Levetiracetam Viatris, Levi 1000, NOUMED LEVETIRACETAM) streamlined restricted
8656N LEVETIRACETAM, levetiracetam 1 g tablet, 60 (APO-Levetiracetam, Keppra, LEVETIRACETAM-WGR, Levactam, Levetiracetam GH, Levetiracetam SZ, Levetiracetam Viatris, Levi 1000, NOUMED LEVETIRACETAM) streamlined restricted

Alteration – Manufacturer Code

From To
13427Q DuoPlidogrelCLOPIDOGREL + ASPIRIN, clopidogrel 75 mg + aspirin 100 mg tablet, 30 GZ XT
9296G DuoPlidogrelCLOPIDOGREL + ASPIRIN, clopidogrel 75 mg + aspirin 100 mg tablet, 30 GZ XT
11662T TeglutikRILUZOLE, riluzole 50 mg/10 mL oral liquid, 300 mL CS JW
14429K TeglutikRILUZOLE, riluzole 50 mg/10 mL oral liquid, 300 mL CS JW

Supply Only

Supply Only - Period Commencing

10189G TRIGLYCERIDES LONG CHAIN WITH GLUCOSE POLYMER, triglycerides long chain with glucose polymer oral liquid, 27 x 200 mL cartons (Sno-Pro)

Supply Only - Period Ending

12643K

AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS, TRACE ELEMENTS AND MEDIUM CHAIN TRIGLYCERIDES, amino acid formula with fat, carbohydrate, vitamins, minerals, trace elements and medium chain triglycerides powder for oral liquid, 800 g (Essential Care Jr)

12650T

AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS, TRACE ELEMENTS AND MEDIUM CHAIN TRIGLYCERIDES, amino acid formula with fat, carbohydrate, vitamins, minerals, trace elements and medium chain triglycerides powder for oral liquid, 800 g (Essential Care Jr)

14425F

BETAXOLOL, betaxolol 0.5% eye drops, 5 mL (Betoptic)

2825Q

BETAXOLOL, betaxolol 0.5% eye drops, 5 mL (Betoptic)

5544T

BETAXOLOL, betaxolol 0.5% eye drops, 5 mL (Betoptic)

12160B

SIPONIMOD, siponimod 250 microgram tablet, 120 (Mayzent)

8527T TENECTEPLASE, tenecteplase 50 mg injection [1 vial] (&) inert substance diluent [10 mL syringe], 1 pack (Metalyse)

Advance Notices

1 December 2025

Deletion – Brand

10399H Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
10412B Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
10419J Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
10944B Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
10960W Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
12325Q Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
12326R Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
12327T Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
12331B Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
12333D Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
12365T Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
12366W Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
12367X Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
12387Y Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
12416L Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
12434K Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
12437N Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
12438P Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
13721E Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
13722F Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
13744J Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
14222M Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
14223N Abrilada, PFADALIMUMAB, adalimumab 20 mg/0.4 mL injection, 2 x 0.4 mL syringes
14243P Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
14251C Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
14252D Abrilada, PFADALIMUMAB, adalimumab 20 mg/0.4 mL injection, 2 x 0.4 mL syringes
14253E Abrilada, PFADALIMUMAB, adalimumab 20 mg/0.4 mL injection, 2 x 0.4 mL syringes
14273F Abrilada, PFADALIMUMAB, adalimumab 20 mg/0.4 mL injection, 2 x 0.4 mL syringes
14274G Abrilada, PFADALIMUMAB, adalimumab 20 mg/0.4 mL injection, 2 x 0.4 mL syringes
14283R Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
14294H Abrilada, PFADALIMUMAB, adalimumab 20 mg/0.4 mL injection, 2 x 0.4 mL syringes
14295J Abrilada, PFADALIMUMAB, adalimumab 20 mg/0.4 mL injection, 2 x 0.4 mL syringes
14750H Abrilada, PFADALIMUMAB, adalimumab 20 mg/0.4 mL injection, 2 x 0.4 mL syringes
14751J Abrilada, PFADALIMUMAB, adalimumab 20 mg/0.4 mL injection, 2 x 0.4 mL syringes
14764C Abrilada, PFADALIMUMAB, adalimumab 20 mg/0.4 mL injection, 2 x 0.4 mL syringes
14777R Abrilada, PFADALIMUMAB, adalimumab 20 mg/0.4 mL injection, 2 x 0.4 mL syringes
14958G Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
14974D Abrilada, PFADALIMUMAB, adalimumab 20 mg/0.4 mL injection, 2 x 0.4 mL syringes
14984P Abrilada, PFADALIMUMAB, adalimumab 20 mg/0.4 mL injection, 2 x 0.4 mL syringes
15008X Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
15020M Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
15040N Abrilada, PFADALIMUMAB, adalimumab 20 mg/0.4 mL injection, 2 x 0.4 mL syringes
5281Y Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
5283C Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
8737W Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
8741C Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
8963R Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
8964T Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
9033K Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
9034L Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
9077R Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
9078T Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
9188N Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
9189P Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
9425C Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
9427E Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
1062X Uro-Carb, YNBETHANECHOL, bethanechol chloride 10 mg tablet, 100
9318K Pradaxa, BYDABIGATRAN, dabigatran etexilate 75 mg capsule, 10
9322P Pradaxa, BYDABIGATRAN, dabigatran etexilate 75 mg capsule, 10
10014C Erlotinib APOTEX, TXERLOTINIB, erlotinib 150 mg tablet, 30
10025P Erlotinib APOTEX, TXERLOTINIB, erlotinib 150 mg tablet, 30
11259N Erlotinib APOTEX, TXERLOTINIB, erlotinib 150 mg tablet, 30
1525G Flucil, ASFLUCLOXACILLIN, flucloxacillin 1 g injection, 5 vials
5095E Flucil, ASFLUCLOXACILLIN, flucloxacillin 1 g injection, 5 vials
1434L Fluoxetine APOTEX, TYFLUOXETINE, fluoxetine 20 mg capsule, 28
14548Q Fluoxetine APOTEX, TYFLUOXETINE, fluoxetine 20 mg capsule, 28
14408H Molaxole, XTMACROGOL-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
8612G Molaxole, XTMACROGOL-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
13943W Olmesartan/Amlodipine 40/10 APOTEX, TXOLMESARTAN + AMLODIPINE, olmesartan medoxomil 40 mg + amlodipine 10 mg tablet, 30
5294P Olmesartan/Amlodipine 40/10 APOTEX, TXOLMESARTAN + AMLODIPINE, olmesartan medoxomil 40 mg + amlodipine 10 mg tablet, 30
8461H Pamisol, PFPAMIDRONATE DISODIUM, pamidronate disodium 15 mg/5 mL injection, 5 mL vial
8462J Pamisol, PFPAMIDRONATE DISODIUM, pamidronate disodium 30 mg/10 mL injection, 10 mL vial
14057W APOTEX-Pioglitazone, TXPIOGLITAZONE, pioglitazone 45 mg tablet, 28
8696Q APOTEX-Pioglitazone, TXPIOGLITAZONE, pioglitazone 45 mg tablet, 28
1948M DBL Promethazine Hydrochloride, PFPROMETHAZINE, promethazine hydrochloride 50 mg/2 mL injection, 5 x 2 mL ampoules
3374N DBL Promethazine Hydrochloride, PFPROMETHAZINE, promethazine hydrochloride 50 mg/2 mL injection, 5 x 2 mL ampoules
11670F Pariet, JCRABEPRAZOLE, rabeprazole sodium 20 mg enteric tablet, 30
12286P Pariet, JCRABEPRAZOLE, rabeprazole sodium 20 mg enteric tablet, 30
14396Q Pariet, JCRABEPRAZOLE, rabeprazole sodium 20 mg enteric tablet, 30
14433P Pariet, JCRABEPRAZOLE, rabeprazole sodium 20 mg enteric tablet, 30
14463F Pariet, JCRABEPRAZOLE, rabeprazole sodium 20 mg enteric tablet, 30
14502G Pariet, JCRABEPRAZOLE, rabeprazole sodium 10 mg enteric tablet, 28
8507R Pariet, JCRABEPRAZOLE, rabeprazole sodium 10 mg enteric tablet, 28
8508T Pariet, JCRABEPRAZOLE, rabeprazole sodium 20 mg enteric tablet, 30
8509W Pariet, JCRABEPRAZOLE, rabeprazole sodium 20 mg enteric tablet, 30
11869Q NOUMED RISPERIDONE, VORISPERIDONE, risperidone 500 microgram tablet, 60
11881H NOUMED RISPERIDONE, VORISPERIDONE, risperidone 500 microgram tablet, 60
8787L NOUMED RISPERIDONE, VORISPERIDONE, risperidone 500 microgram tablet, 60
8869T NOUMED RISPERIDONE, VORISPERIDONE, risperidone 500 microgram tablet, 60
10551H Rizatriptan ODT APOTEX, GXRIZATRIPTAN, rizatriptan 10 mg orally disintegrating tablet, 2
9479X Flamazine, SNSILVER SULFADIAZINE, silver sulfadiazine 1% cream, 50 g
14426G tearsagain, RBSOY LECITHIN + TOCOPHEROL + VITAMIN A, soy lecithin 1% + tocopherol 0.002% + vitamin A palmitate 0.025% spray, 100 actuations
5545W tearsagain, RBSOY LECITHIN + TOCOPHEROL + VITAMIN A, soy lecithin 1% + tocopherol 0.002% + vitamin A palmitate 0.025% spray, 100 actuations
9448G tearsagain, RBSOY LECITHIN + TOCOPHEROL + VITAMIN A, soy lecithin 1% + tocopherol 0.002% + vitamin A palmitate 0.025% spray, 100 actuations
14006E Tobramycin WKT, JUTOBRAMYCIN, tobramycin 300 mg/5 mL inhalation solution, 56 x 5 mL ampoules
5442K Tobramycin WKT, JUTOBRAMYCIN, tobramycin 300 mg/5 mL inhalation solution, 56 x 5 mL ampoules
13859K Fareston, OXTOREMIFENE, toremifene 60 mg tablet, 30
8216K Fareston, OXTOREMIFENE, toremifene 60 mg tablet, 30

1 January 2026

Deletion – Brand

11941L AlphaClav Duo, AFAMOXICILLIN + CLAVULANIC ACID, amoxicillin 500 mg + clavulanic acid 125 mg tablet, 10
1891M AlphaClav Duo, AFAMOXICILLIN + CLAVULANIC ACID, amoxicillin 500 mg + clavulanic acid 125 mg tablet, 10
5008N AlphaClav Duo, AFAMOXICILLIN + CLAVULANIC ACID, amoxicillin 500 mg + clavulanic acid 125 mg tablet, 10
14496Y Alphagan P 1.5, VEBRIMONIDINE, brimonidine tartrate 0.15% eye drops, 5 mL
5298W Alphagan P 1.5, VEBRIMONIDINE, brimonidine tartrate 0.15% eye drops, 5 mL
5563T Alphagan P 1.5, VEBRIMONIDINE, brimonidine tartrate 0.15% eye drops, 5 mL

1 February 2026

Deletion – Brand

13562T Amlodipine APOTEX, GXAMLODIPINE, amlodipine 10 mg tablet, 30
2752W Amlodipine APOTEX, GXAMLODIPINE, amlodipine 10 mg tablet, 30
13558N Lescol XL, NVFLUVASTATIN, fluvastatin 80 mg modified release tablet, 28
2863Q Lescol XL, NVFLUVASTATIN, fluvastatin 80 mg modified release tablet, 28
11872W Risperdal, JCRISPERIDONE, risperidone 500 microgram tablet, 20
11873X Risperdal, JCRISPERIDONE, risperidone 500 microgram tablet, 20
11877D Risperdal, JCRISPERIDONE, risperidone 1 mg tablet, 60
11879F Risperdal, JCRISPERIDONE, risperidone 1 mg tablet, 60
1842Y Risperdal, JCRISPERIDONE, risperidone 500 microgram tablet, 20
1846E Risperdal, JCRISPERIDONE, risperidone 500 microgram tablet, 20
3169T Risperdal, JCRISPERIDONE, risperidone 1 mg tablet, 60
3170W Risperdal, JCRISPERIDONE, risperidone 2 mg tablet, 60
3171X Risperdal, JCRISPERIDONE, risperidone 3 mg tablet, 60
3172Y Risperdal, JCRISPERIDONE, risperidone 4 mg tablet, 60
8789N Risperdal, JCRISPERIDONE, risperidone 1 mg tablet, 60
9079W Risperdal, JCRISPERIDONE, risperidone 2 mg tablet, 60
11286B Qtern 5/10, APSAXAGLIPTIN + DAPAGLIFLOZIN, saxagliptin 5 mg + dapagliflozin 10 mg tablet, 28
13855F Qtern 5/10, APSAXAGLIPTIN + DAPAGLIFLOZIN, saxagliptin 5 mg + dapagliflozin 10 mg tablet, 28
13450X Pritor/Amlodipine, FITELMISARTAN + AMLODIPINE, telmisartan 80 mg + amlodipine 5 mg tablet, 28
13450X Twynsta, BYTELMISARTAN + AMLODIPINE, telmisartan 80 mg + amlodipine 5 mg tablet, 28
13451Y Pritor/Amlodipine, FITELMISARTAN + AMLODIPINE, telmisartan 80 mg + amlodipine 10 mg tablet, 28
13451Y Twynsta, BYTELMISARTAN + AMLODIPINE, telmisartan 80 mg + amlodipine 10 mg tablet, 28
13483P Pritor/Amlodipine, FITELMISARTAN + AMLODIPINE, telmisartan 40 mg + amlodipine 5 mg tablet, 28
13483P Twynsta, BYTELMISARTAN + AMLODIPINE, telmisartan 40 mg + amlodipine 5 mg tablet, 28
13515H Pritor/Amlodipine, FITELMISARTAN + AMLODIPINE, telmisartan 40 mg + amlodipine 10 mg tablet, 28
13515H Twynsta, BYTELMISARTAN + AMLODIPINE, telmisartan 40 mg + amlodipine 10 mg tablet, 28
8978M Pritor/Amlodipine, FITELMISARTAN + AMLODIPINE, telmisartan 40 mg + amlodipine 5 mg tablet, 28
8978M Twynsta, BYTELMISARTAN + AMLODIPINE, telmisartan 40 mg + amlodipine 5 mg tablet, 28
8979N Pritor/Amlodipine, FITELMISARTAN + AMLODIPINE, telmisartan 40 mg + amlodipine 10 mg tablet, 28
8979N Twynsta, BYTELMISARTAN + AMLODIPINE, telmisartan 40 mg + amlodipine 10 mg tablet, 28
8980P Pritor/Amlodipine, FITELMISARTAN + AMLODIPINE, telmisartan 80 mg + amlodipine 5 mg tablet, 28
8980P Twynsta, BYTELMISARTAN + AMLODIPINE, telmisartan 80 mg + amlodipine 5 mg tablet, 28
8981Q Pritor/Amlodipine, FITELMISARTAN + AMLODIPINE, telmisartan 80 mg + amlodipine 10 mg tablet, 28
8981Q Twynsta, BYTELMISARTAN + AMLODIPINE, telmisartan 80 mg + amlodipine 10 mg tablet, 28
2285G Lamisil (Novartis Pharmaceuticals Australia Pty Limited), NVTERBINAFINE, terbinafine 250 mg tablet, 42
2804N Lamisil (Novartis Pharmaceuticals Australia Pty Limited), NVTERBINAFINE, terbinafine 250 mg tablet, 42

Palliative Care

Advance Notices

1 December 2025

Deletion – Brand

5389P Molaxole, XTMACROGOL-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

Highly Specialised Drugs Program (Private Hospital)

Additions

Addition – Item

15103X LENALIDOMIDE, lenalidomide 5 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Revlimid)
15079P LENALIDOMIDE, lenalidomide 10 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Revlimid)
15073H LENALIDOMIDE, lenalidomide 15 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Revlimid)
15105B LENALIDOMIDE, lenalidomide 20 mg capsule, 21 (Lenalide, Lenalidomide Sandoz)
15096M LENALIDOMIDE, lenalidomide 25 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Revlimid)

Addition – Brand

10057H Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
10057H Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
10184B Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
10184B Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
11396T Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
11396T Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
11399Y Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
11399Y Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
11412P Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
11412P Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
11432Q Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
11432Q Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
11445J Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
11445J Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
11450P Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
11450P Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
11483J Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
11483J Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
11488P Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
11488P Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
11489Q Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
11489Q Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
11498E Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
11498E Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
11515C Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
11515C Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
11590B Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
11590B Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
11595G Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
11595G Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
11796W Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
11796W Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
11797X Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
11797X Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
13700C Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
13700C Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
13724H Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
13724H Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
13778E Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
13778E Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
6397Q Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
6397Q Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
6448J Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
6448J Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
6496X Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
6496X Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
9612X Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
9612X Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
9613Y Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
9613Y Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
9617E Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
9617E Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
9674E Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
9674E Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial

Alterations

Alteration – Restriction

12864C ECULIZUMAB, eculizumab 300 mg/30 mL injection, 30 mL vial (Soliris)
12896R ECULIZUMAB, eculizumab 300 mg/30 mL injection, 30 mL vial (Soliris)
12899X ECULIZUMAB, eculizumab 300 mg/30 mL injection, 30 mL vial (Soliris)
13191G PEGCETACOPLAN, pegcetacoplan 1.08 g/20 mL injection, 20 mL vial (Empaveli)
13196M PEGCETACOPLAN, pegcetacoplan 1.08 g/20 mL injection, 20 mL vial (Empaveli)
13197N PEGCETACOPLAN, pegcetacoplan 1.08 g/20 mL injection, 20 mL vial (Empaveli)
12841W RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris)
12895Q RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris)
12897T RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris)
12901B RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris)

Advance Notices

1 December 2025

Deletion – Brand

12384T Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
14276J Abrilada, PFADALIMUMAB, adalimumab 20 mg/0.4 mL injection, 2 x 0.4 mL syringes
14285W Abrilada, PFADALIMUMAB, adalimumab 20 mg/0.4 mL injection, 2 x 0.4 mL syringes
9679K Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
6286W Pamisol, PFPAMIDRONATE DISODIUM, pamidronate disodium 15 mg/5 mL injection, 5 mL vial
6287X Pamisol, PFPAMIDRONATE DISODIUM, pamidronate disodium 30 mg/10 mL injection, 10 mL vial

Highly Specialised Drugs Program (Public Hospital)

Additions

Addition – Item

15106C LENALIDOMIDE, lenalidomide 5 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Revlimid)
15067B LENALIDOMIDE, lenalidomide 10 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Revlimid)
15078N LENALIDOMIDE, lenalidomide 15 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Revlimid)
15095L LENALIDOMIDE, lenalidomide 20 mg capsule, 21 (Lenalide, Lenalidomide Sandoz)
15104Y LENALIDOMIDE, lenalidomide 25 mg capsule, 21 (Lenalide, Lenalidomide Dr.Reddy's, Lenalidomide Sandoz, Lenalidomide Viatris, Revlimid)

Addition – Brand

10067W Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
10067W Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
10196P Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
10196P Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
11389K Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
11389K Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
11400B Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
11400B Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
11423F Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
11423F Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
11424G Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
11424G Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
11448M Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
11448M Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
11449N Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
11449N Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
11459D Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
11459D Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
11461F Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
11461F Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
11482H Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
11482H Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
11486M Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
11486M Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
11490R Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
11490R Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
11497D Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
11497D Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
11514B Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
11514B Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
11605T Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
11605T Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
11606W Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
11606W Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
13723G Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
13723G Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
13734W Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
13734W Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
13765L Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
13765L Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
5753T Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
5753T Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
5754W Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
5754W Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
5755X Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
5755X Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
5756Y Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
5756Y Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
5757B Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
5757B Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
5758C Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
5758C Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial
9654D Ixifi, FZINFLIXIMAB, infliximab 100 mg injection, 1 vial
9654D Remsima, EWINFLIXIMAB, infliximab 100 mg injection, 1 vial

Alterations

Alteration – Restriction

12840T ECULIZUMAB, eculizumab 300 mg/30 mL injection, 30 mL vial (Soliris)
12877R ECULIZUMAB, eculizumab 300 mg/30 mL injection, 30 mL vial (Soliris)
12900Y ECULIZUMAB, eculizumab 300 mg/30 mL injection, 30 mL vial (Soliris)
13175K PEGCETACOPLAN, pegcetacoplan 1.08 g/20 mL injection, 20 mL vial (Empaveli)
13180Q PEGCETACOPLAN, pegcetacoplan 1.08 g/20 mL injection, 20 mL vial (Empaveli)
13185Y PEGCETACOPLAN, pegcetacoplan 1.08 g/20 mL injection, 20 mL vial (Empaveli)
12884D RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris)
12898W RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris)
12856P RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris)
12883C RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris)

Advance Notices

1 December 2025

Deletion – Brand

12348X Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
14235F Abrilada, PFADALIMUMAB, adalimumab 20 mg/0.4 mL injection, 2 x 0.4 mL syringes
14286X Abrilada, PFADALIMUMAB, adalimumab 20 mg/0.4 mL injection, 2 x 0.4 mL syringes
9662M Abrilada, PFADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes
5667G Pamisol, PFPAMIDRONATE DISODIUM, pamidronate disodium 15 mg/5 mL injection, 5 mL vial
5668H Pamisol, PFPAMIDRONATE DISODIUM, pamidronate disodium 30 mg/10 mL injection, 10 mL vial

Highly Specialised Drugs Program (Community Access)

Advance Notices

1 January 2026

Deletion – Brand

10321F Reyataz, BQATAZANAVIR, atazanavir 300 mg capsule, 30
10349Q Reyataz, BQATAZANAVIR, atazanavir 200 mg capsule, 60

Repatriation Pharmaceutical Benefits

Advance Notices

1 February 2026

Deletion – Brand

4011D Lamisil (Novartis Pharmaceuticals Australia Pty Limited), NVTERBINAFINE, terbinafine 250 mg tablet, 42
 

Efficient Funding of Chemotherapy (Private Hospital)

Additions

Addition – Item

15080Q BRENTUXIMAB VEDOTIN,
brentuximab vedotin 50 mg injection, 1 vial (Adcetris)
15066Y DARATUMUMAB,
daratumumab 100 mg/5 mL injection, 5 mL vial (Darzalex);
daratumumab 400 mg/20 mL injection, 20 mL vial (Darzalex)
15093J DARATUMUMAB,
daratumumab 100 mg/5 mL injection, 5 mL vial (Darzalex);
daratumumab 400 mg/20 mL injection, 20 mL vial (Darzalex)
15094K DARATUMUMAB,
daratumumab 100 mg/5 mL injection, 5 mL vial (Darzalex);
daratumumab 400 mg/20 mL injection, 20 mL vial (Darzalex)
15068C DURVALUMAB,
durvalumab 120 mg/2.4 mL injection, 2.4 mL vial (Imfinzi);
durvalumab 500 mg/10 mL injection, 10 mL vial (Imfinzi)
15108E TREMELIMUMAB,
tremelimumab 300 mg/15 mL injection, 15 mL vial (Imjudo)

Alterations

Alteration – Note

11067L BRENTUXIMAB VEDOTIN,
brentuximab vedotin 50 mg injection, 1 vial (Adcetris)
11080E BRENTUXIMAB VEDOTIN,
brentuximab vedotin 50 mg injection, 1 vial (Adcetris)
11086L BRENTUXIMAB VEDOTIN,
brentuximab vedotin 50 mg injection, 1 vial (Adcetris)
11089P BRENTUXIMAB VEDOTIN,
brentuximab vedotin 50 mg injection, 1 vial (Adcetris)

Alteration – Restriction

11067L BRENTUXIMAB VEDOTIN,
brentuximab vedotin 50 mg injection, 1 vial (Adcetris)
11080E BRENTUXIMAB VEDOTIN,
brentuximab vedotin 50 mg injection, 1 vial (Adcetris)
11086L BRENTUXIMAB VEDOTIN,
brentuximab vedotin 50 mg injection, 1 vial (Adcetris)
11089P BRENTUXIMAB VEDOTIN,
brentuximab vedotin 50 mg injection, 1 vial (Adcetris)
12230Q DARATUMUMAB,
daratumumab 100 mg/5 mL injection, 5 mL vial (Darzalex);
daratumumab 400 mg/20 mL injection, 20 mL vial (Darzalex)

Efficient Funding of Chemotherapy (Public Hospital)

Additions

Addition – Item

15098P BRENTUXIMAB VEDOTIN,
brentuximab vedotin 50 mg injection, 1 vial (Adcetris)
15065X DARATUMUMAB,
daratumumab 100 mg/5 mL injection, 5 mL vial (Darzalex);
daratumumab 400 mg/20 mL injection, 20 mL vial (Darzalex)
15072G DARATUMUMAB,
daratumumab 100 mg/5 mL injection, 5 mL vial (Darzalex);
daratumumab 400 mg/20 mL injection, 20 mL vial (Darzalex)
15077M DARATUMUMAB,
daratumumab 100 mg/5 mL injection, 5 mL vial (Darzalex);
daratumumab 400 mg/20 mL injection, 20 mL vial (Darzalex)
15091G DURVALUMAB,
durvalumab 120 mg/2.4 mL injection, 2.4 mL vial (Imfinzi);
durvalumab 500 mg/10 mL injection, 10 mL vial (Imfinzi)
15090F TREMELIMUMAB,
tremelimumab 300 mg/15 mL injection, 15 mL vial (Imjudo)

Alterations

Alteration – Note

11073T BRENTUXIMAB VEDOTIN,
brentuximab vedotin 50 mg injection, 1 vial (Adcetris)
11079D BRENTUXIMAB VEDOTIN,
brentuximab vedotin 50 mg injection, 1 vial (Adcetris)
11087M BRENTUXIMAB VEDOTIN,
brentuximab vedotin 50 mg injection, 1 vial (Adcetris)
11096B BRENTUXIMAB VEDOTIN,
brentuximab vedotin 50 mg injection, 1 vial (Adcetris)

Alteration – Restriction

11073T BRENTUXIMAB VEDOTIN,
brentuximab vedotin 50 mg injection, 1 vial (Adcetris)
11079D BRENTUXIMAB VEDOTIN,
brentuximab vedotin 50 mg injection, 1 vial (Adcetris)
11087M BRENTUXIMAB VEDOTIN,
brentuximab vedotin 50 mg injection, 1 vial (Adcetris)
11096B BRENTUXIMAB VEDOTIN,
brentuximab vedotin 50 mg injection, 1 vial (Adcetris)
12228N DARATUMUMAB,
daratumumab 100 mg/5 mL injection, 5 mL vial (Darzalex);
daratumumab 400 mg/20 mL injection, 20 mL vial (Darzalex)

Related Pharmaceutical Benefits for Public Hospital use

Additions

Addition – Item

15083W DARATUMUMAB, daratumumab 1.8 g/15 mL injection, 15 mL vial (Darzalex SC)
15092H DARATUMUMAB, daratumumab 1.8 g/15 mL injection, 15 mL vial (Darzalex SC)
15102W DARATUMUMAB, daratumumab 1.8 g/15 mL injection, 15 mL vial (Darzalex SC)

Alterations

Alteration – Restriction

12746W DARATUMUMAB, daratumumab 1.8 g/15 mL injection, 15 mL vial (Darzalex SC)