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Prescriber Bag

Deletions

Deletion – Item

3496B SALBUTAMOL, salbutamol 2.5 mg/2.5 mL inhalation solution, 30 x 2.5 mL ampoules (Salbutamol Cipla)

General Pharmaceutical Benefits

Additions

Addition – Item

15282H DESMOPRESSIN, desmopressin acetate 10 microgram/actuation nasal spray, 50 actuations (Desmomed)
15333B DESMOPRESSIN, desmopressin acetate 10 microgram/actuation nasal spray, 50 actuations (Desmomed)
15313Y DESMOPRESSIN, Desmopressin 120 microgram sublingual tablet, 30 (Desmopressin ADVZ)
15323L DESMOPRESSIN, Desmopressin 120 microgram sublingual tablet, 30 (Desmopressin ADVZ)
15291T DESMOPRESSIN, Desmopressin 240 microgram sublingual tablet, 30 (Desmopressin ADVZ)
15312X DESMOPRESSIN, Desmopressin 240 microgram sublingual tablet, 30 (Desmopressin ADVZ)
15300G ELRANATAMAB, Elranatamab 44 mg/1.1 mL injection, 1.1 mL vial (Elrexfio)
15293X ELRANATAMAB, Elranatamab 76 mg/1.9 mL injection, 1.9 mL vial (Elrexfio)
15278D FEDRATINIB, Fedratinib 100 mg capsule, 120 (Inrebic)
15279E FEDRATINIB, Fedratinib 100 mg capsule, 120 (Inrebic)
15295B GARADACIMAB, garadacimab 200 mg/1.2 mL injection, 1.2 mL pen device (Andembry)
15305M GARADACIMAB, garadacimab 200 mg/1.2 mL injection, 1.2 mL pen device (Andembry)
15317E GARADACIMAB, garadacimab 200 mg/1.2 mL injection, 1.2 mL pen device (Andembry)
15332Y GARADACIMAB, garadacimab 200 mg/1.2 mL injection, 1.2 mL pen device (Andembry)
15289Q GIVOSIRAN, givosiran 189 mg/mL injection, 1 mL vial (Givlaari)
15272T POLYETHYLENE GLYCOL-400 + PROPYLENE GLYCOL, polyethylene glycol-400 0.4% + propylene glycol 0.3% eye drops, 28 x 0.8 mL unit doses (Systane)
15320H POLYETHYLENE GLYCOL-400 + PROPYLENE GLYCOL, polyethylene glycol-400 0.4% + propylene glycol 0.3% eye drops, 28 x 0.8 mL unit doses (Systane)
15326P POLYETHYLENE GLYCOL-400 + PROPYLENE GLYCOL, polyethylene glycol-400 0.4% + propylene glycol 0.3% eye drops, 28 x 0.8 mL unit doses (Systane)
15280F REPOTRECTINIB, repotrectinib 40 mg capsule, 120 (Augtyro)
15288P REPOTRECTINIB, repotrectinib 160 mg capsule, 60 (Augtyro)
15311W SEMAGLUTIDE, semaglutide 0.68 mg/mL injection, 1 x 3 mL pen device (Ozempic)
15322K SEMAGLUTIDE, semaglutide 1.34 mg/mL injection, 1 x 3 mL pen device (Ozempic)

Addition – Brand

12183F Cipla Beclometasone/Formoterol 100/6, LR – BECLOMETASONE + FORMOTEROL, beclometasone dipropionate 100 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation inhalation, 120 actuations
14376P Cipla Beclometasone/Formoterol 100/6, LR – BECLOMETASONE + FORMOTEROL, beclometasone dipropionate 100 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation inhalation, 120 actuations
13205B Cipla Beclometasone/Formoterol 200/6, LR – BECLOMETASONE + FORMOTEROL, beclometasone dipropionate 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation inhalation, 120 actuations
14538E Cipla Beclometasone/Formoterol 200/6, LR – BECLOMETASONE + FORMOTEROL, beclometasone dipropionate 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation inhalation, 120 actuations
11694L LACOMED, DZ – LACOSAMIDE, lacosamide 10 mg/mL oral liquid, 200 mL
12628P LACOMED, DZ – LACOSAMIDE, lacosamide 10 mg/mL oral liquid, 200 mL
14013M LACOMED, DZ – LACOSAMIDE, lacosamide 10 mg/mL oral liquid, 200 mL
14048J LACOMED, DZ – LACOSAMIDE, lacosamide 10 mg/mL oral liquid, 200 mL
10293R LACOMED, DZ – LACOSAMIDE, lacosamide 50 mg tablet, 14
12626M LACOMED, DZ – LACOSAMIDE, lacosamide 50 mg tablet, 14
14011K LACOMED, DZ – LACOSAMIDE, lacosamide 50 mg tablet, 14
14049K LACOMED, DZ – LACOSAMIDE, lacosamide 50 mg tablet, 14
9333F LACOMED, DZ – LACOSAMIDE, lacosamide 50 mg tablet, 14
12633X LACOMED, DZ – LACOSAMIDE, lacosamide 100 mg tablet, 14
12634Y LACOMED, DZ – LACOSAMIDE, lacosamide 100 mg tablet, 56
13839J LACOMED, DZ – LACOSAMIDE, lacosamide 100 mg tablet, 56
13867W LACOMED, DZ – LACOSAMIDE, lacosamide 100 mg tablet, 56
9334G LACOMED, DZ – LACOSAMIDE, lacosamide 100 mg tablet, 14
9335H LACOMED, DZ – LACOSAMIDE, lacosamide 100 mg tablet, 56
12627N LACOMED, DZ – LACOSAMIDE, lacosamide 150 mg tablet, 56
12649R LACOMED, DZ – LACOSAMIDE, lacosamide 150 mg tablet, 14
13838H LACOMED, DZ – LACOSAMIDE, lacosamide 150 mg tablet, 56
14053P LACOMED, DZ – LACOSAMIDE, lacosamide 150 mg tablet, 56
9336J LACOMED, DZ – LACOSAMIDE, lacosamide 150 mg tablet, 14
9337K LACOMED, DZ – LACOSAMIDE, lacosamide 150 mg tablet, 56
12658F LACOMED, DZ – LACOSAMIDE, lacosamide 200 mg tablet, 56
13949E LACOMED, DZ – LACOSAMIDE, lacosamide 200 mg tablet, 56
13951G LACOMED, DZ – LACOSAMIDE, lacosamide 200 mg tablet, 56
9338L LACOMED, DZ – LACOSAMIDE, lacosamide 200 mg tablet, 56
10792B GLENMARK MOMETASONE Alcohol Free, JM – MOMETASONE, mometasone furoate 0.1% cream, 15 g
10809X GLENMARK MOMETASONE Alcohol Free, JM – MOMETASONE, mometasone furoate 0.1% cream, 15 g
10815F GLENMARK MOMETASONE Alcohol Free, JM – MOMETASONE, mometasone furoate 0.1% cream, 15 g
10818J GLENMARK MOMETASONE Alcohol Free, JM – MOMETASONE, mometasone furoate 0.1% cream, 15 g
10827W GLENMARK MOMETASONE Alcohol Free, JM – MOMETASONE, mometasone furoate 0.1% cream, 15 g
1913Q GLENMARK MOMETASONE Alcohol Free, JM – MOMETASONE, mometasone furoate 0.1% cream, 15 g
10791Y GLENMARK MOMETASONE, JM – MOMETASONE, mometasone furoate 0.1% ointment, 15 g
10793C GLENMARK MOMETASONE, JM – MOMETASONE, mometasone furoate 0.1% ointment, 15 g
10812C GLENMARK MOMETASONE, JM – MOMETASONE, mometasone furoate 0.1% ointment, 15 g
10814E GLENMARK MOMETASONE, JM – MOMETASONE, mometasone furoate 0.1% ointment, 15 g
10828X GLENMARK MOMETASONE, JM – MOMETASONE, mometasone furoate 0.1% ointment, 15 g
1915T GLENMARK MOMETASONE, JM – MOMETASONE, mometasone furoate 0.1% ointment, 15 g
13568D Nebivolol Viatris, AL – NEBIVOLOL, nebivolol 1.25 mg tablet, 28
9316H Nebivolol Viatris, AL – NEBIVOLOL, nebivolol 1.25 mg tablet, 28
1595Y Ondansetron VTRS, AF – ONDANSETRON, ondansetron 8 mg tablet, 10
5473C Ondansetron ODT VTRS, MQ – ONDANSETRON, ondansetron 8 mg orally disintegrating tablet, 10
8225X Ondansetron VTRS, AF – ONDANSETRON, ondansetron 8 mg tablet, 4
2893G Prochlorperazine Viatris, AF – PROCHLORPERAZINE, prochlorperazine maleate 5 mg tablet, 25
5205Y Prochlorperazine Viatris, AF – PROCHLORPERAZINE, prochlorperazine maleate 5 mg tablet, 25
14730G Progesterone ADVZ 100, BZ – PROGESTERONE, progesterone 100 mg capsule, 30
14733K Progesterone ADVZ 100, BZ – PROGESTERONE, progesterone 100 mg capsule, 30
12598C Progesterone BNM 200, BZ – PROGESTERONE, progesterone 200 mg pessary, 42
14502G Rabeprazole Viatris, AF – RABEPRAZOLE, rabeprazole sodium 10 mg enteric tablet, 28
8507R Rabeprazole Viatris, AF – RABEPRAZOLE, rabeprazole sodium 10 mg enteric tablet, 28
11633G XAREMED, DZ – RIVAROXABAN, rivaroxaban 10 mg tablet, 30
13521P XAREMED, DZ – RIVAROXABAN, rivaroxaban 10 mg tablet, 30
9466F XAREMED, DZ – RIVAROXABAN, rivaroxaban 10 mg tablet, 15
9467G XAREMED, DZ – RIVAROXABAN, rivaroxaban 10 mg tablet, 30
9469J XAREMED, DZ – RIVAROXABAN, rivaroxaban 10 mg tablet, 15
13463N XAREMED, DZ – RIVAROXABAN, rivaroxaban 15 mg tablet, 28
2160Q XAREMED, DZ – RIVAROXABAN, rivaroxaban 15 mg tablet, 42
2691P XAREMED, DZ – RIVAROXABAN, rivaroxaban 15 mg tablet, 28
13462M XAREMED, DZ – RIVAROXABAN, rivaroxaban 20 mg tablet, 28
2268J XAREMED, DZ – RIVAROXABAN, rivaroxaban 20 mg tablet, 28
11656L ARX-Safinamide, XT – SAFINAMIDE, safinamide 50 mg tablet, 30
11656L XAFIMED, DZ – SAFINAMIDE, safinamide 50 mg tablet, 30
14391K ARX-Safinamide, XT – SAFINAMIDE, safinamide 50 mg tablet, 30
14391K XAFIMED, DZ – SAFINAMIDE, safinamide 50 mg tablet, 30
11666B ARX-Safinamide, XT – SAFINAMIDE, safinamide 100 mg tablet, 30
11666B XAFIMED, DZ – SAFINAMIDE, safinamide 100 mg tablet, 30
14528P ARX-Safinamide, XT – SAFINAMIDE, safinamide 100 mg tablet, 30
14528P XAFIMED, DZ – SAFINAMIDE, safinamide 100 mg tablet, 30

Addition – Equivalence Indicator

12183F Fostair, EU – BECLOMETASONE + FORMOTEROL, beclometasone dipropionate 100 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation inhalation, 120 actuations
14376P Fostair, EU – BECLOMETASONE + FORMOTEROL, beclometasone dipropionate 100 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation inhalation, 120 actuations
13205B Fostair 200/6, EU – BECLOMETASONE + FORMOTEROL, beclometasone dipropionate 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation inhalation, 120 actuations
14538E Fostair 200/6, EU – BECLOMETASONE + FORMOTEROL, beclometasone dipropionate 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation inhalation, 120 actuations
14004C Minirin Melt, FP – DESMOPRESSIN, desmopressin 120 microgram sublingual wafer, 30
9398P Minirin Melt, FP – DESMOPRESSIN, desmopressin 120 microgram sublingual wafer, 30
13890C Minirin Melt, FP – DESMOPRESSIN, desmopressin 240 microgram sublingual wafer, 30
8975J Minirin Melt, FP – DESMOPRESSIN, desmopressin 240 microgram sublingual wafer, 30
11694L Vimpat, UC – LACOSAMIDE, lacosamide 10 mg/mL oral liquid, 200 mL
12628P Vimpat, UC – LACOSAMIDE, lacosamide 10 mg/mL oral liquid, 200 mL
14013M Vimpat, UC – LACOSAMIDE, lacosamide 10 mg/mL oral liquid, 200 mL
14048J Vimpat, UC – LACOSAMIDE, lacosamide 10 mg/mL oral liquid, 200 mL
14730G Prometrium, HB – PROGESTERONE, progesterone 100 mg capsule, 30
14733K Prometrium, HB – PROGESTERONE, progesterone 100 mg capsule, 30
12598C Utrogestan, HB – PROGESTERONE, progesterone 200 mg pessary, 42
11656L Xadago, IX – SAFINAMIDE, safinamide 50 mg tablet, 30
14391K Xadago, IX – SAFINAMIDE, safinamide 50 mg tablet, 30
11666B Xadago, IX – SAFINAMIDE, safinamide 100 mg tablet, 30
14528P Xadago, IX – SAFINAMIDE, safinamide 100 mg tablet, 30

Addition – Note

15128F ARIPIPRAZOLE, aripiprazole 300 mg modified release injection [1 chamber] (&) inert substance diluent [1.2 mL chamber], 1 dual chamber syringe (Abilify Maintena)
15122X ARIPIPRAZOLE, aripiprazole 400 mg modified release injection [1 chamber] (&) inert substance diluent [1.6 mL chamber], 1 dual chamber syringe (Abilify Maintena)
14004C DESMOPRESSIN, desmopressin 120 microgram sublingual wafer, 30 (Minirin Melt)
9398P DESMOPRESSIN, desmopressin 120 microgram sublingual wafer, 30 (Minirin Melt)
13890C DESMOPRESSIN, desmopressin 240 microgram sublingual wafer, 30 (Minirin Melt)
8975J DESMOPRESSIN, desmopressin 240 microgram sublingual wafer, 30 (Minirin Melt)
8449Q PERINDOPRIL + INDAPAMIDE, perindopril erbumine 4 mg + indapamide hemihydrate 1.25 mg tablet, 30 (APO-Perindopril/Indapamide, GenRx Perindopril/ Indapamide 4/1.25, Idaprex Combi 4/1.25, PERINDOPRIL/INDAPAMIDE-WGR 4/1.25, PERISYL COMBI 4/1.25)
13476G PERINDOPRIL + INDAPAMIDE, perindopril erbumine 4 mg + indapamide hemihydrate 1.25 mg tablet, 30 (APO-Perindopril/Indapamide, GenRx Perindopril/ Indapamide 4/1.25, Idaprex Combi 4/1.25, PERINDOPRIL/INDAPAMIDE-WGR 4/1.25, PERISYL COMBI 4/1.25)
2845R PERINDOPRIL + INDAPAMIDE, perindopril arginine 5 mg + indapamide hemihydrate 1.25 mg tablet, 30 (Coversyl Plus 5mg/1.25mg, Prexum Combi 5/1.25)
13506W PERINDOPRIL + INDAPAMIDE, perindopril arginine 5 mg + indapamide hemihydrate 1.25 mg tablet, 30 (Coversyl Plus 5mg/1.25mg, Prexum Combi 5/1.25)
9481B VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 320 mg + hydrochlorothiazide 12.5 mg tablet, 28 (Co-Diovan 320/12.5, Dilart HCT 320/12.5)
13517K VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 320 mg + hydrochlorothiazide 12.5 mg tablet, 28 (Co-Diovan 320/12.5, Dilart HCT 320/12.5)
9482C VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 320 mg + hydrochlorothiazide 25 mg tablet, 28 (Co-Diovan 320/25, Dilart HCT 320/25)
13455E VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 320 mg + hydrochlorothiazide 25 mg tablet, 28 (Co-Diovan 320/25, Dilart HCT 320/25)

Addition – Caution

8477E

ENALAPRIL + HYDROCHLOROTHIAZIDE, enalapril maleate 20 mg + hydrochlorothiazide 6 mg tablet, 30 (Enalapril/HCT Sandoz, Renitec Plus 20/6)

13439H

ENALAPRIL + HYDROCHLOROTHIAZIDE, enalapril maleate 20 mg + hydrochlorothiazide 6 mg tablet, 30 (Enalapril/HCT Sandoz, Renitec Plus 20/6)

8879H

EPLERENONE, eplerenone 25 mg tablet, 30 (APO-Eplerenone, ESPLER, Inpler, Inspra)

13590G

EPLERENONE, eplerenone 25 mg tablet, 30 (APO-Eplerenone, ESPLER, Inpler, Inspra)

8880J

EPLERENONE, eplerenone 50 mg tablet, 30 (APO-Eplerenone, ESPLER, Inpler, Inspra)

13379E

EPLERENONE, eplerenone 50 mg tablet, 30 (APO-Eplerenone, ESPLER, Inpler, Inspra)

9144G

LERCANIDIPINE + ENALAPRIL, lercanidipine hydrochloride 10 mg + enalapril maleate 10 mg tablet, 28 (Zan-Extra 10/10)

13507X

LERCANIDIPINE + ENALAPRIL, lercanidipine hydrochloride 10 mg + enalapril maleate 10 mg tablet, 28 (Zan-Extra 10/10)

9145H

LERCANIDIPINE + ENALAPRIL, lercanidipine hydrochloride 10 mg + enalapril maleate 20 mg tablet, 28 (Zan-Extra 10/20)

13477H

LERCANIDIPINE + ENALAPRIL, lercanidipine hydrochloride 10 mg + enalapril maleate 20 mg tablet, 28 (Zan-Extra 10/20)

9346X

PERINDOPRIL + AMLODIPINE, perindopril arginine 5 mg + amlodipine 5 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 5/5, APX-Perindopril Arginine/Amlodipine 5/5, Coveram 5/5, Perindopril Arginine/Amlodipine-WGR 5/5, Reaptan 5/5)

13508Y

PERINDOPRIL + AMLODIPINE, perindopril arginine 5 mg + amlodipine 5 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 5/5, APX-Perindopril Arginine/Amlodipine 5/5, Coveram 5/5, Perindopril Arginine/Amlodipine-WGR 5/5, Reaptan 5/5)

9347Y

PERINDOPRIL + AMLODIPINE, perindopril arginine 5 mg + amlodipine 10 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 5/10, APX-Perindopril Arginine/Amlodipine 5/10, Coveram 5/10, Perindopril Arginine/Amlodipine-WGR 5/10, Reaptan 5/10)

13381G

PERINDOPRIL + AMLODIPINE, perindopril arginine 5 mg + amlodipine 10 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 5/10, APX-Perindopril Arginine/Amlodipine 5/10, Coveram 5/10, Perindopril Arginine/Amlodipine-WGR 5/10, Reaptan 5/10)

9348B

PERINDOPRIL + AMLODIPINE, perindopril arginine 10 mg + amlodipine 5 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 10/5, APX-Perindopril Arginine/Amlodipine 10/5, Coveram 10/5, Perindopril Arginine/Amlodipine-WGR 10/5, Reaptan 10/5)

13478J

PERINDOPRIL + AMLODIPINE, perindopril arginine 10 mg + amlodipine 5 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 10/5, APX-Perindopril Arginine/Amlodipine 10/5, Coveram 10/5, Perindopril Arginine/Amlodipine-WGR 10/5, Reaptan 10/5)

9349C

PERINDOPRIL + AMLODIPINE, perindopril arginine 10 mg + amlodipine 10 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 10/10, APX-Perindopril Arginine/Amlodipine 10/10, Coveram 10/10, Perindopril Arginine/Amlodipine-WGR 10/10, Reaptan 10/10)

13382H

PERINDOPRIL + AMLODIPINE, perindopril arginine 10 mg + amlodipine 10 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 10/10, APX-Perindopril Arginine/Amlodipine 10/10, Coveram 10/10, Perindopril Arginine/Amlodipine-WGR 10/10, Reaptan 10/10)

8449Q

PERINDOPRIL + INDAPAMIDE, perindopril erbumine 4 mg + indapamide hemihydrate 1.25 mg tablet, 30 (APO-Perindopril/Indapamide, GenRx Perindopril/ Indapamide 4/1.25, Idaprex Combi 4/1.25, PERINDOPRIL/INDAPAMIDE-WGR 4/1.25, PERISYL COMBI 4/1.25)

13476G

PERINDOPRIL + INDAPAMIDE, perindopril erbumine 4 mg + indapamide hemihydrate 1.25 mg tablet, 30 (APO-Perindopril/Indapamide, GenRx Perindopril/ Indapamide 4/1.25, Idaprex Combi 4/1.25, PERINDOPRIL/INDAPAMIDE-WGR 4/1.25, PERISYL COMBI 4/1.25)

2845R

PERINDOPRIL + INDAPAMIDE, perindopril arginine 5 mg + indapamide hemihydrate 1.25 mg tablet, 30 (Coversyl Plus 5mg/1.25mg, Prexum Combi 5/1.25)

13506W

PERINDOPRIL + INDAPAMIDE, perindopril arginine 5 mg + indapamide hemihydrate 1.25 mg tablet, 30 (Coversyl Plus 5mg/1.25mg, Prexum Combi 5/1.25)

2629J

RAMIPRIL + FELODIPINE, ramipril 5 mg + felodipine 5 mg modified release tablet, 30 (Triasyn 5.0/5.0)

13534H

RAMIPRIL + FELODIPINE, ramipril 5 mg + felodipine 5 mg modified release tablet, 30 (Triasyn 5.0/5.0)

9387C

TRANDOLAPRIL + VERAPAMIL, trandolapril 2 mg + verapamil hydrochloride 180 mg modified release tablet, 28 (Tarka 2/180)

13594L

TRANDOLAPRIL + VERAPAMIL, trandolapril 2 mg + verapamil hydrochloride 180 mg modified release tablet, 28 (Tarka 2/180)

2857J

TRANDOLAPRIL + VERAPAMIL, trandolapril 4 mg + verapamil hydrochloride 240 mg modified release tablet, 28 (Tarka 4/240)

13591H

TRANDOLAPRIL + VERAPAMIL, trandolapril 4 mg + verapamil hydrochloride 240 mg modified release tablet, 28 (Tarka 4/240)

Deletions

Deletion – Item

14722W ACARBOSE, acarbose 100 mg tablet, 90 (Acarbose 100 mg tablets (Morningside, UK))
14734L ACARBOSE, acarbose 100 mg tablet, 90 (Acarbose 100 mg tablets (Morningside, UK))
1302M DICLOFENAC, diclofenac sodium 100 mg suppository, 20 (Voltaren 100)
5079H DICLOFENAC, diclofenac sodium 100 mg suppository, 20 (Voltaren 100)
8729K GRANISETRON, granisetron 3 mg/3 mL injection, 3 mL ampoule (Kytril)
8730L GRANISETRON, granisetron 3 mg/3 mL injection, 3 mL ampoule (Kytril)
13148B PHENELZINE, phenelzine 15 mg tablet, 60 (Nardil (Canada))
13982X QUINAGOLIDE, quinagolide 75 microgram tablet, 30 (Norprolac)
8822H QUINAGOLIDE, quinagolide 75 microgram tablet, 30 (Norprolac)

Deletion – Brand

10022L Erlotinib APOTEX, TX – ERLOTINIB, erlotinib 25 mg tablet, 30
10028T Erlotinib APOTEX, TX – ERLOTINIB, erlotinib 25 mg tablet, 30
11263T Erlotinib APOTEX, TX – ERLOTINIB, erlotinib 25 mg tablet, 30
13442L EzSimva GH 10/20, GQ – EZETIMIBE + SIMVASTATIN, ezetimibe 10 mg + simvastatin 20 mg tablet, 30
9484E EzSimva GH 10/20, GQ – EZETIMIBE + SIMVASTATIN, ezetimibe 10 mg + simvastatin 20 mg tablet, 30
13595M EzSimva GH 10/80, GQ – EZETIMIBE + SIMVASTATIN, ezetimibe 10 mg + simvastatin 80 mg tablet, 30
8882L EzSimva GH 10/80, GQ – EZETIMIBE + SIMVASTATIN, ezetimibe 10 mg + simvastatin 80 mg tablet, 30
11107N Emend IV, MK – FOSAPREPITANT, fosaprepitant 150 mg injection, 1 vial
14453Q LATANOPROST-WGR, WG – LATANOPROST, latanoprost 0.005% eye drops, 2.5 mL
5552F LATANOPROST-WGR, WG – LATANOPROST, latanoprost 0.005% eye drops, 2.5 mL
8243W LATANOPROST-WGR, WG – LATANOPROST, latanoprost 0.005% eye drops, 2.5 mL
13404L Perindo, AF – PERINDOPRIL, perindopril erbumine 2 mg tablet, 30
3050M Perindo, AF – PERINDOPRIL, perindopril erbumine 2 mg tablet, 30
13371R Perindo, AF – PERINDOPRIL, perindopril erbumine 4 mg tablet, 30
3051N Perindo, AF – PERINDOPRIL, perindopril erbumine 4 mg tablet, 30
13372T Perindo, AF – PERINDOPRIL, perindopril erbumine 8 mg tablet, 30
8704D Perindo, AF – PERINDOPRIL, perindopril erbumine 8 mg tablet, 30
13476G Perindo Combi 4/1.25, AF – PERINDOPRIL + INDAPAMIDE, perindopril erbumine 4 mg + indapamide hemihydrate 1.25 mg tablet, 30
8449Q Perindo Combi 4/1.25, AF – PERINDOPRIL + INDAPAMIDE, perindopril erbumine 4 mg + indapamide hemihydrate 1.25 mg tablet, 30

Deletion – Note

13869Y ACARBOSE, acarbose 100 mg tablet, 90 (Acarbose Viatris, GLYBOSAY)
8189B ACARBOSE, acarbose 100 mg tablet, 90 (Acarbose Viatris, GLYBOSAY)

Deletion – Restriction

9375K AMLODIPINE + VALSARTAN, amlodipine 5 mg + valsartan 80 mg tablet, 28 (Amlodipine/Valsartan Novartis 5/80, Exforge 5/80)
9376L AMLODIPINE + VALSARTAN, amlodipine 5 mg + valsartan 160 mg tablet, 28 (Amlodipine/Valsartan Novartis 5/160, Exforge 5/160)
5459H AMLODIPINE + VALSARTAN, amlodipine 5 mg + valsartan 320 mg tablet, 28 (Amlodipine/Valsartan Novartis 5/320, Exforge 5/320)
9377M AMLODIPINE + VALSARTAN, amlodipine 10 mg + valsartan 160 mg tablet, 28 (Amlodipine/Valsartan Novartis 10/160, Exforge 10/160)
5460J AMLODIPINE + VALSARTAN, amlodipine 10 mg + valsartan 320 mg tablet, 28 (Amlodipine/Valsartan Novartis 10/320, Exforge 10/320)
8504N CANDESARTAN + HYDROCHLOROTHIAZIDE, candesartan cilexetil 16 mg + hydrochlorothiazide 12.5 mg tablet, 30 (APO-Candesartan HCTZ 16/12.5, Adesan HCT 16/12.5, Atacand Plus 16/12.5, BTC Candesartan HCT, CANDESAN COMBI 16/12.5, CANDESARTAN HCTZ-WGR 16/12.5, Candesartan/HCT Sandoz)
9314F CANDESARTAN + HYDROCHLOROTHIAZIDE, candesartan cilexetil 32 mg + hydrochlorothiazide 12.5 mg tablet, 30 (APO-Candesartan HCTZ 32/12.5, Adesan HCT 32/12.5, Atacand Plus 32/12.5, BTC Candesartan HCT, CANDESAN COMBI 32/12.5, CANDESARTAN HCTZ-WGR 32/12.5, Candesartan/HCT Sandoz)
9315G CANDESARTAN + HYDROCHLOROTHIAZIDE, candesartan cilexetil 32 mg + hydrochlorothiazide 25 mg tablet, 30 (APO-Candesartan HCTZ 32/25, Adesan HCT 32/25, Atacand Plus 32/25, BTC Candesartan HCT, CANDESAN COMBI 32/25, CANDESARTAN HCTZ-WGR 32/25, Candesartan/HCT Sandoz)
14755N DABRAFENIB, dabrafenib 50 mg capsule, 120 (Tafinlar)
14778T DABRAFENIB, dabrafenib 50 mg capsule, 120 (Tafinlar)
14754M DABRAFENIB, dabrafenib 75 mg capsule, 120 (Tafinlar)
14757Q DABRAFENIB, dabrafenib 75 mg capsule, 120 (Tafinlar)
14753L DABRAFENIB, dabrafenib 10 mg dispersible tablet, 2 x 210 (Tafinlar)
14773M DABRAFENIB, dabrafenib 10 mg dispersible tablet, 2 x 210 (Tafinlar)
8624X EPROSARTAN + HYDROCHLOROTHIAZIDE, eprosartan 600 mg + hydrochlorothiazide 12.5 mg tablet, 28 (Teveten Plus 600/12.5)
8404H IRBESARTAN + HYDROCHLOROTHIAZIDE, irbesartan 150 mg + hydrochlorothiazide 12.5 mg tablet, 30 (APO-Irbesartan HCTZ, AVSARTAN HCT 150/12.5, Abisart HCTZ 150/12.5, Avapro HCT 150/12.5, IRBESARTAN HCTZ-WGR 150/12.5, Irbesartan/HCT Sandoz, Karvezide 150/12.5)
8405J IRBESARTAN + HYDROCHLOROTHIAZIDE, irbesartan 300 mg + hydrochlorothiazide 12.5 mg tablet, 30 (APO-Irbesartan HCTZ, AVSARTAN HCT 300/12.5, Abisart HCTZ 300/12.5, Avapro HCT 300/12.5, IRBESARTAN HCTZ-WGR 300/12.5, Irbesartan/HCT Sandoz, Karvezide 300/12.5)
2136K IRBESARTAN + HYDROCHLOROTHIAZIDE, irbesartan 300 mg + hydrochlorothiazide 25 mg tablet, 30 (APO-Irbesartan HCTZ, AVSARTAN HCT 300/25, Abisart HCTZ 300/25, Avapro HCT 300/25, IRBESARTAN HCTZ-WGR 300/25, Irbesartan/HCT Sandoz, Karvezide 300/25)
9144G LERCANIDIPINE + ENALAPRIL, lercanidipine hydrochloride 10 mg + enalapril maleate 10 mg tablet, 28 (Zan-Extra 10/10)
9145H LERCANIDIPINE + ENALAPRIL, lercanidipine hydrochloride 10 mg + enalapril maleate 20 mg tablet, 28 (Zan-Extra 10/20)
5292M OLMESARTAN + AMLODIPINE, olmesartan medoxomil 20 mg + amlodipine 5 mg tablet, 30 (APO-OLMESARTAN/AMLODIPINE 20/5, OLMEKAR, OLMESARTAN AMLODIPINE-WGR 20/5, Olmesartan/Amlodipine - MYL 20/5, Olmesartan/Amlodipine Sandoz, Pharmacor Olmesartan Amlodipine 20/5, Sevikar 20/5)
5293N OLMESARTAN + AMLODIPINE, olmesartan medoxomil 40 mg + amlodipine 5 mg tablet, 30 (APO-OLMESARTAN/AMLODIPINE 40/5, OLMEKAR, OLMESARTAN AMLODIPINE-WGR 40/5, Olmesartan/Amlodipine - MYL 40/5, Olmesartan/Amlodipine Sandoz, Pharmacor Olmesartan Amlodipine 40/5, Sevikar 40/5)
5294P OLMESARTAN + AMLODIPINE, olmesartan medoxomil 40 mg + amlodipine 10 mg tablet, 30 (APO-OLMESARTAN/AMLODIPINE 40/10, OLMEKAR, OLMESARTAN AMLODIPINE-WGR 40/10, Olmesartan/Amlodipine - MYL 40/10, Olmesartan/Amlodipine Sandoz, Pharmacor Olmesartan Amlodipine 40/10, Sevikar 40/10)
2161R OLMESARTAN + HYDROCHLOROTHIAZIDE, olmesartan medoxomil 20 mg + hydrochlorothiazide 12.5 mg tablet, 30 (APO-Olmesartan/HCTZ 20/12.5, APX-Olmesartan/HCTZ, OLMERTAN COMBI 20/12.5, OLMESARTAN HCTZ-WGR 20/12.5, Olmesartan HCT - MYL 20/12.5, Olmesartan/HCT Sandoz, Olmetec Plus, Pharmacor Olmesartan HCTZ 20/12.5)
2166B OLMESARTAN + HYDROCHLOROTHIAZIDE, olmesartan medoxomil 40 mg + hydrochlorothiazide 12.5 mg tablet, 30 (APO-Olmesartan/HCTZ 40/12.5, APX-Olmesartan/HCTZ, OLMERTAN COMBI 40/12.5, OLMESARTAN HCTZ-WGR 40/12.5, Olmesartan HCT - MYL 40/12.5, Olmesartan/HCT Sandoz, Olmetec Plus, Pharmacor Olmesartan HCTZ 40/12.5)
2170F OLMESARTAN + HYDROCHLOROTHIAZIDE, olmesartan medoxomil 40 mg + hydrochlorothiazide 25 mg tablet, 30 (APO-Olmesartan/HCTZ 40/25, APX-Olmesartan/HCTZ, OLMERTAN COMBI 40/25, OLMESARTAN HCTZ-WGR 40/25, Olmesartan HCT - MYL 40/25, Olmesartan/HCT Sandoz, Olmetec Plus, Pharmacor Olmesartan HCTZ 40/25)
9346X PERINDOPRIL + AMLODIPINE, perindopril arginine 5 mg + amlodipine 5 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 5/5, APX-Perindopril Arginine/Amlodipine 5/5, Coveram 5/5, Perindopril Arginine/Amlodipine-WGR 5/5, Reaptan 5/5)
9347Y PERINDOPRIL + AMLODIPINE, perindopril arginine 5 mg + amlodipine 10 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 5/10, APX-Perindopril Arginine/Amlodipine 5/10, Coveram 5/10, Perindopril Arginine/Amlodipine-WGR 5/10, Reaptan 5/10)
9348B PERINDOPRIL + AMLODIPINE, perindopril arginine 10 mg + amlodipine 5 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 10/5, APX-Perindopril Arginine/Amlodipine 10/5, Coveram 10/5, Perindopril Arginine/Amlodipine-WGR 10/5, Reaptan 10/5)
9349C PERINDOPRIL + AMLODIPINE, perindopril arginine 10 mg + amlodipine 10 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 10/10, APX-Perindopril Arginine/Amlodipine 10/10, Coveram 10/10, Perindopril Arginine/Amlodipine-WGR 10/10, Reaptan 10/10)
8449Q PERINDOPRIL + INDAPAMIDE, perindopril erbumine 4 mg + indapamide hemihydrate 1.25 mg tablet, 30 (APO-Perindopril/Indapamide, GenRx Perindopril/ Indapamide 4/1.25, Idaprex Combi 4/1.25, PERINDOPRIL/INDAPAMIDE-WGR 4/1.25, PERISYL COMBI 4/1.25)
2845R PERINDOPRIL + INDAPAMIDE, perindopril arginine 5 mg + indapamide hemihydrate 1.25 mg tablet, 30 (Coversyl Plus 5mg/1.25mg, Prexum Combi 5/1.25)
2629J RAMIPRIL + FELODIPINE, ramipril 5 mg + felodipine 5 mg modified release tablet, 30 (Triasyn 5.0/5.0)
8978M TELMISARTAN + AMLODIPINE, telmisartan 40 mg + amlodipine 5 mg tablet, 28 (ARX-Telmisartan/Amlodipine, Telmisartan/Amlodipine Viatris)
8979N TELMISARTAN + AMLODIPINE, telmisartan 40 mg + amlodipine 10 mg tablet, 28 (ARX-Telmisartan/Amlodipine, Telmisartan/Amlodipine Viatris)
8980P TELMISARTAN + AMLODIPINE, telmisartan 80 mg + amlodipine 5 mg tablet, 28 (ARX-Telmisartan/Amlodipine, Telmisartan/Amlodipine Viatris)
8981Q TELMISARTAN + AMLODIPINE, telmisartan 80 mg + amlodipine 10 mg tablet, 28 (ARX-Telmisartan/Amlodipine, Telmisartan/Amlodipine Viatris)
8622T TELMISARTAN + HYDROCHLOROTHIAZIDE, telmisartan 40 mg + hydrochlorothiazide 12.5 mg tablet, 28 (APO-Telmisartan HCTZ 40/12.5, Micardis Plus 40/12.5 mg, Mizart HCT 40/12.5 mg, TELMISARTAN HCTZ-WGR 40/12.5, Telmisartan/HCT Sandoz, Teltartan HCT 40/12.5)
8623W TELMISARTAN + HYDROCHLOROTHIAZIDE, telmisartan 80 mg + hydrochlorothiazide 12.5 mg tablet, 28 (APO-Telmisartan HCTZ 80/12.5, Micardis Plus 80/12.5 mg, Mizart HCT 80/12.5 mg, TELMISARTAN HCTZ-WGR 80/12.5, Telmisartan/HCT Sandoz, Teltartan HCT 80/12.5)
9381R TELMISARTAN + HYDROCHLOROTHIAZIDE, telmisartan 80 mg + hydrochlorothiazide 25 mg tablet, 28 (APO-Telmisartan HCTZ 80/25, Micardis Plus 80/25 mg, Mizart HCT 80/25 mg, TELMISARTAN HCTZ-WGR 80/25, Telmisartan/HCT Sandoz, Teltartan HCT 80/25)
9387C TRANDOLAPRIL + VERAPAMIL, trandolapril 2 mg + verapamil hydrochloride 180 mg modified release tablet, 28 (Tarka 2/180)
2857J TRANDOLAPRIL + VERAPAMIL, trandolapril 4 mg + verapamil hydrochloride 240 mg modified release tablet, 28 (Tarka 4/240)
9372G VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 80 mg + hydrochlorothiazide 12.5 mg tablet, 28 (Co-Diovan 80/12.5, Dilart HCT 80/12.5)
9373H VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 160 mg + hydrochlorothiazide 12.5 mg tablet, 28 (Co-Diovan 160/12.5, Dilart HCT 160/12.5)
9374J VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 160 mg + hydrochlorothiazide 25 mg tablet, 28 (Co-Diovan 160/25, Dilart HCT 160/25)
9481B VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 320 mg + hydrochlorothiazide 12.5 mg tablet, 28 (Co-Diovan 320/12.5, Dilart HCT 320/12.5)
9482C VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 320 mg + hydrochlorothiazide 25 mg tablet, 28 (Co-Diovan 320/25, Dilart HCT 320/25)

Alterations

Alteration – Brand Name

From
8262W Enojaxect, CR – ENOXAPARIN SODIUM, enoxaparin sodium 60 mg/0.6 mL injection, 10 x 0.6 mL syringes
To
8262W Enoxaject, CR – ENOXAPARIN SODIUM, enoxaparin sodium 60 mg/0.6 mL injection, 10 x 0.6 mL syringes
From
8640R Enojaxect, CR – ENOXAPARIN SODIUM, enoxaparin sodium 60 mg/0.6 mL injection, 10 x 0.6 mL syringes
To
8640R Enoxaject, CR – ENOXAPARIN SODIUM, enoxaparin sodium 60 mg/0.6 mL injection, 10 x 0.6 mL syringes

Alteration – Authorised Prescriber

From To
14743Y MOMELOTINIB, Momelotinib 100 mg tablet, 30 (Omjjara) M M,N
14744B MOMELOTINIB, Momelotinib 150 mg tablet, 30 (Omjjara) M M,N
14770J MOMELOTINIB, Momelotinib 200 mg tablet, 30 (Omjjara) M M,N
10616R RUXOLITINIB, ruxolitinib 5 mg tablet, 56 (Jakavi) M M,N
10927D RUXOLITINIB, ruxolitinib 10 mg tablet, 56 (Jakavi) M M,N
10615Q RUXOLITINIB, ruxolitinib 15 mg tablet, 56 (Jakavi) M M,N
10617T RUXOLITINIB, ruxolitinib 20 mg tablet, 56 (Jakavi) M M,N

Alteration – Note

12458Q DESMOPRESSIN, desmopressin acetate 10 microgram/actuation nasal spray, 50 actuations (Desmopressin Nasal Spray USP (Apotex))
12459R DESMOPRESSIN, desmopressin acetate 10 microgram/actuation nasal spray, 50 actuations (Desmopressin Nasal Spray USP (Apotex))
8711L DESMOPRESSIN, desmopressin acetate 10 microgram/actuation nasal spray, 60 actuations (Minirin Nasal Spray)
8712M DESMOPRESSIN, desmopressin acetate 10 microgram/actuation nasal spray, 60 actuations (Minirin Nasal Spray)
11138F VORINOSTAT, vorinostat 100 mg capsule, 120 (Zolinza)

Alteration – Restriction

12132M AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe (Eylea)
12141B AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe (Eylea)
12152N AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe (Eylea)
11991D AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL vial (Eylea)
12131L AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL vial (Eylea)
2168D AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL vial (Eylea)
15207J AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe (Afqlir)
15213Q AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe (Afqlir)
15217X AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe (Afqlir)
13421J AMLODIPINE + VALSARTAN, amlodipine 5 mg + valsartan 80 mg tablet, 28 (Amlodipine/Valsartan Novartis 5/80, Exforge 5/80)
13516J AMLODIPINE + VALSARTAN, amlodipine 5 mg + valsartan 160 mg tablet, 28 (Amlodipine/Valsartan Novartis 5/160, Exforge 5/160)
13604B AMLODIPINE + VALSARTAN, amlodipine 5 mg + valsartan 320 mg tablet, 28 (Amlodipine/Valsartan Novartis 5/320, Exforge 5/320)
13454D AMLODIPINE + VALSARTAN, amlodipine 10 mg + valsartan 160 mg tablet, 28 (Amlodipine/Valsartan Novartis 10/160, Exforge 10/160)
13389Q AMLODIPINE + VALSARTAN, amlodipine 10 mg + valsartan 320 mg tablet, 28 (Amlodipine/Valsartan Novartis 10/320, Exforge 10/320)
10922W ARMODAFINIL, armodafinil 50 mg tablet, 30 (Nuvigil)
10912H ARMODAFINIL, armodafinil 150 mg tablet, 30 (Nuvigil)
10919Q ARMODAFINIL, armodafinil 250 mg tablet, 30 (Nuvigil)
13260X ASCIMINIB, asciminib 40 mg tablet, 60 (Scemblix)
14247W ATEZOLIZUMAB, atezolizumab 1.875 g/15 mL injection, 15 mL vial (Tecentriq SC)
14248X ATEZOLIZUMAB, atezolizumab 1.875 g/15 mL injection, 15 mL vial (Tecentriq SC)
14266W ATEZOLIZUMAB, atezolizumab 1.875 g/15 mL injection, 15 mL vial (Tecentriq SC)
13624C AZACITIDINE, azacitidine 300 mg tablet, 7 (Onureg)
12667Q BROLUCIZUMAB, brolucizumab 6 mg/0.05 mL intraocular injection, 0.05 mL syringe (Beovu)
13391T CANDESARTAN + HYDROCHLOROTHIAZIDE, candesartan cilexetil 16 mg + hydrochlorothiazide 12.5 mg tablet, 30 (APO-Candesartan HCTZ 16/12.5, Adesan HCT 16/12.5, Atacand Plus 16/12.5, BTC Candesartan HCT, CANDESAN COMBI 16/12.5, CANDESARTAN HCTZ-WGR 16/12.5, Candesartan/HCT Sandoz)
13452B CANDESARTAN + HYDROCHLOROTHIAZIDE, candesartan cilexetil 32 mg + hydrochlorothiazide 12.5 mg tablet, 30 (APO-Candesartan HCTZ 32/12.5, Adesan HCT 32/12.5, Atacand Plus 32/12.5, BTC Candesartan HCT, CANDESAN COMBI 32/12.5, CANDESARTAN HCTZ-WGR 32/12.5, Candesartan/HCT Sandoz)
13392W CANDESARTAN + HYDROCHLOROTHIAZIDE, candesartan cilexetil 32 mg + hydrochlorothiazide 25 mg tablet, 30 (APO-Candesartan HCTZ 32/25, Adesan HCT 32/25, Atacand Plus 32/25, BTC Candesartan HCT, CANDESAN COMBI 32/25, CANDESARTAN HCTZ-WGR 32/25, Candesartan/HCT Sandoz)
12063X CERTOLIZUMAB PEGOL, certolizumab pegol 200 mg/mL injection, 2 x 1 mL syringes (Cimzia)
12027B CERTOLIZUMAB PEGOL, certolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices (Cimzia)
13106T DAPAGLIFLOZIN, dapagliflozin 10 mg tablet, 28 (Forxiga)
13202W DARATUMUMAB, daratumumab 1.8 g/15 mL injection, 15 mL vial (Darzalex SC)
13133F DECITABINE + CEDAZURIDINE, decitabine 35 mg + cedazuridine 100 mg tablet, 5 (Inqovi 35/100)
11469P DEXAMETHASONE, dexamethasone 700 microgram implant, 1 (Ozurdex)
13439H ENALAPRIL + HYDROCHLOROTHIAZIDE, enalapril maleate 20 mg + hydrochlorothiazide 6 mg tablet, 30 (Enalapril/HCT Sandoz, Renitec Plus 20/6)
13590G EPLERENONE, eplerenone 25 mg tablet, 30 (APO-Eplerenone, ESPLER, Inpler, Inspra)
8879H EPLERENONE, eplerenone 25 mg tablet, 30 (APO-Eplerenone, ESPLER, Inpler, Inspra)
13379E EPLERENONE, eplerenone 50 mg tablet, 30 (APO-Eplerenone, ESPLER, Inpler, Inspra)
8880J EPLERENONE, eplerenone 50 mg tablet, 30 (APO-Eplerenone, ESPLER, Inpler, Inspra)
14337N EPROSARTAN + HYDROCHLOROTHIAZIDE, eprosartan 600 mg + hydrochlorothiazide 12.5 mg tablet, 28 (Teveten Plus 600/12.5)
11538G GOLIMUMAB, golimumab 50 mg/0.5 mL injection, 0.5 mL pen device (Simponi)
11560K GOLIMUMAB, golimumab 50 mg/0.5 mL injection, 0.5 mL syringe (Simponi)
13572H IRBESARTAN + HYDROCHLOROTHIAZIDE, irbesartan 150 mg + hydrochlorothiazide 12.5 mg tablet, 30 (APO-Irbesartan HCTZ, AVSARTAN HCT 150/12.5, Abisart HCTZ 150/12.5, Avapro HCT 150/12.5, IRBESARTAN HCTZ-WGR 150/12.5, Irbesartan/HCT Sandoz, Karvezide 150/12.5)
13545X IRBESARTAN + HYDROCHLOROTHIAZIDE, irbesartan 300 mg + hydrochlorothiazide 12.5 mg tablet, 30 (APO-Irbesartan HCTZ, AVSARTAN HCT 300/12.5, Abisart HCTZ 300/12.5, Avapro HCT 300/12.5, IRBESARTAN HCTZ-WGR 300/12.5, Irbesartan/HCT Sandoz, Karvezide 300/12.5)
13446Q IRBESARTAN + HYDROCHLOROTHIAZIDE, irbesartan 300 mg + hydrochlorothiazide 25 mg tablet, 30 (APO-Irbesartan HCTZ, AVSARTAN HCT 300/25, Abisart HCTZ 300/25, Avapro HCT 300/25, IRBESARTAN HCTZ-WGR 300/25, Irbesartan/HCT Sandoz, Karvezide 300/25)
12790E LANADELUMAB, lanadelumab 300 mg/2 mL injection, 2 mL syringe (Takhzyro)
9148L LAPATINIB, lapatinib 250 mg tablet, 70 (Tykerb)
13029R LAROTRECTINIB, larotrectinib 25 mg capsule, 56 (Vitrakvi)
13031W LAROTRECTINIB, larotrectinib 100 mg capsule, 56 (Vitrakvi)
13281B LAROTRECTINIB, larotrectinib 20 mg/mL oral liquid, 2 x 50 mL (Vitrakvi)
13507X LERCANIDIPINE + ENALAPRIL, lercanidipine hydrochloride 10 mg + enalapril maleate 10 mg tablet, 28 (Zan-Extra 10/10)
13477H LERCANIDIPINE + ENALAPRIL, lercanidipine hydrochloride 10 mg + enalapril maleate 20 mg tablet, 28 (Zan-Extra 10/20)
14408H MACROGOL-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 (APO-MACROGOL plus ELECTROLYTES, APOHEALTH Macrogol with Electrolytes, Chemists' Own Constipation Relief with electrolytes, Chemists' Own Macrogol with Electrolytes, Macrovic)
8612G MACROGOL-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 (APO-MACROGOL plus ELECTROLYTES, APOHEALTH Macrogol with Electrolytes, Chemists' Own Constipation Relief with electrolytes, Chemists' Own Macrogol with Electrolytes, Macrovic)
14135Y MAVACAMTEN, mavacamten 2.5 mg capsule, 28 (Camzyos)
14117B MAVACAMTEN, mavacamten 5 mg capsule, 28 (Camzyos)
14743Y MOMELOTINIB, Momelotinib 100 mg tablet, 30 (Omjjara)
14744B MOMELOTINIB, Momelotinib 150 mg tablet, 30 (Omjjara)
14770J MOMELOTINIB, Momelotinib 200 mg tablet, 30 (Omjjara)
13449W OLMESARTAN + AMLODIPINE, olmesartan medoxomil 20 mg + amlodipine 5 mg tablet, 30 (APO-OLMESARTAN/AMLODIPINE 20/5, OLMEKAR, OLMESARTAN AMLODIPINE-WGR 20/5, Olmesartan/Amlodipine - MYL 20/5, Olmesartan/Amlodipine Sandoz, Pharmacor Olmesartan Amlodipine 20/5, Sevikar 20/5)
13964Y OLMESARTAN + AMLODIPINE, olmesartan medoxomil 40 mg + amlodipine 5 mg tablet, 30 (APO-OLMESARTAN/AMLODIPINE 40/5, OLMEKAR, OLMESARTAN AMLODIPINE-WGR 40/5, Olmesartan/Amlodipine - MYL 40/5, Olmesartan/Amlodipine Sandoz, Pharmacor Olmesartan Amlodipine 40/5, Sevikar 40/5)
13943W OLMESARTAN + AMLODIPINE, olmesartan medoxomil 40 mg + amlodipine 10 mg tablet, 30 (APO-OLMESARTAN/AMLODIPINE 40/10, OLMEKAR, OLMESARTAN AMLODIPINE-WGR 40/10, Olmesartan/Amlodipine - MYL 40/10, Olmesartan/Amlodipine Sandoz, Pharmacor Olmesartan Amlodipine 40/10, Sevikar 40/10)
13447R OLMESARTAN + HYDROCHLOROTHIAZIDE, olmesartan medoxomil 20 mg + hydrochlorothiazide 12.5 mg tablet, 30 (APO-Olmesartan/HCTZ 20/12.5, APX-Olmesartan/HCTZ, OLMERTAN COMBI 20/12.5, OLMESARTAN HCTZ-WGR 20/12.5, Olmesartan HCT - MYL 20/12.5, Olmesartan/HCT Sandoz, Olmetec Plus, Pharmacor Olmesartan HCTZ 20/12.5)
13601W OLMESARTAN + HYDROCHLOROTHIAZIDE, olmesartan medoxomil 40 mg + hydrochlorothiazide 12.5 mg tablet, 30 (APO-Olmesartan/HCTZ 40/12.5, APX-Olmesartan/HCTZ, OLMERTAN COMBI 40/12.5, OLMESARTAN HCTZ-WGR 40/12.5, Olmesartan HCT - MYL 40/12.5, Olmesartan/HCT Sandoz, Olmetec Plus, Pharmacor Olmesartan HCTZ 40/12.5)
13602X OLMESARTAN + HYDROCHLOROTHIAZIDE, olmesartan medoxomil 40 mg + hydrochlorothiazide 25 mg tablet, 30 (APO-Olmesartan/HCTZ 40/25, APX-Olmesartan/HCTZ, OLMERTAN COMBI 40/25, OLMESARTAN HCTZ-WGR 40/25, Olmesartan HCT - MYL 40/25, Olmesartan/HCT Sandoz, Olmetec Plus, Pharmacor Olmesartan HCTZ 40/25)
13508Y PERINDOPRIL + AMLODIPINE, perindopril arginine 5 mg + amlodipine 5 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 5/5, APX-Perindopril Arginine/Amlodipine 5/5, Coveram 5/5, Perindopril Arginine/Amlodipine-WGR 5/5, Reaptan 5/5)
13381G PERINDOPRIL + AMLODIPINE, perindopril arginine 5 mg + amlodipine 10 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 5/10, APX-Perindopril Arginine/Amlodipine 5/10, Coveram 5/10, Perindopril Arginine/Amlodipine-WGR 5/10, Reaptan 5/10)
13478J PERINDOPRIL + AMLODIPINE, perindopril arginine 10 mg + amlodipine 5 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 10/5, APX-Perindopril Arginine/Amlodipine 10/5, Coveram 10/5, Perindopril Arginine/Amlodipine-WGR 10/5, Reaptan 10/5)
13382H PERINDOPRIL + AMLODIPINE, perindopril arginine 10 mg + amlodipine 10 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 10/10, APX-Perindopril Arginine/Amlodipine 10/10, Coveram 10/10, Perindopril Arginine/Amlodipine-WGR 10/10, Reaptan 10/10)
13476G PERINDOPRIL + INDAPAMIDE, perindopril erbumine 4 mg + indapamide hemihydrate 1.25 mg tablet, 30 (APO-Perindopril/Indapamide, GenRx Perindopril/ Indapamide 4/1.25, Idaprex Combi 4/1.25, PERINDOPRIL/INDAPAMIDE-WGR 4/1.25, PERISYL COMBI 4/1.25, )
13506W PERINDOPRIL + INDAPAMIDE, perindopril arginine 5 mg + indapamide hemihydrate 1.25 mg tablet, 30 (Coversyl Plus 5mg/1.25mg, Prexum Combi 5/1.25)
13534H RAMIPRIL + FELODIPINE, ramipril 5 mg + felodipine 5 mg modified release tablet, 30 (Triasyn 5.0/5.0)
10138N RANIBIZUMAB, ranibizumab 1.65 mg/0.165 mL injection, 0.165 mL syringe (Lucentis)
11480F RANIBIZUMAB, ranibizumab 1.65 mg/0.165 mL injection, 0.165 mL syringe (Lucentis)
11975G RANIBIZUMAB, ranibizumab 1.65 mg/0.165 mL injection, 0.165 mL syringe (Lucentis)
11471R RANIBIZUMAB, ranibizumab 2.3 mg/0.23 mL injection, 0.23 mL vial (Lucentis)
11981N RANIBIZUMAB, ranibizumab 2.3 mg/0.23 mL injection, 0.23 mL vial (Lucentis)
1382R RANIBIZUMAB, ranibizumab 2.3 mg/0.23 mL injection, 0.23 mL vial (Lucentis)
10616R RUXOLITINIB, ruxolitinib 5 mg tablet, 56 (Jakavi)
10927D RUXOLITINIB, ruxolitinib 10 mg tablet, 56 (Jakavi)
10615Q RUXOLITINIB, ruxolitinib 15 mg tablet, 56 (Jakavi)
10617T RUXOLITINIB, ruxolitinib 20 mg tablet, 56 (Jakavi)
11123K SACUBITRIL + VALSARTAN, sacubitril 24.3 mg + valsartan 25.7 mg tablet, 56 (Entresto, Omtralo, Pharmacor Sacubitril/Valsartan, SACUBITRIL/VALSARTAN-WGR, Sacubitril/Valsartan Alphapharm, Sacubitril/Valsartan Lupin 24/26, Valtresto)
13570F SACUBITRIL + VALSARTAN, sacubitril 24.3 mg + valsartan 25.7 mg tablet, 56 (Entresto, Omtralo, Pharmacor Sacubitril/Valsartan, SACUBITRIL/VALSARTAN-WGR, Sacubitril/Valsartan Alphapharm, Sacubitril/Valsartan Lupin 24/26, Valtresto)
11131W SACUBITRIL + VALSARTAN, sacubitril 48.6 mg + valsartan 51.4 mg tablet, 56 (Entresto, Omtralo, Pharmacor Sacubitril/Valsartan, SACUBITRIL/VALSARTAN-WGR, Sacubitril/Valsartan Alphapharm, Sacubitril/Valsartan Lupin 49/51, Valtresto)
13511D SACUBITRIL + VALSARTAN, sacubitril 48.6 mg + valsartan 51.4 mg tablet, 56 (Entresto, Omtralo, Pharmacor Sacubitril/Valsartan, SACUBITRIL/VALSARTAN-WGR, Sacubitril/Valsartan Alphapharm, Sacubitril/Valsartan Lupin 49/51, Valtresto)
11122J SACUBITRIL + VALSARTAN, sacubitril 97.2 mg + valsartan 102.8 mg tablet, 56 (Entresto, Omtralo, Pharmacor Sacubitril/Valsartan, SACUBITRIL/VALSARTAN-WGR, Sacubitril/Valsartan Alphapharm, Sacubitril/Valsartan Lupin 97/103, Valtresto)
13445P SACUBITRIL + VALSARTAN, sacubitril 97.2 mg + valsartan 102.8 mg tablet, 56 (Entresto, Omtralo, Pharmacor Sacubitril/Valsartan, SACUBITRIL/VALSARTAN-WGR, Sacubitril/Valsartan Alphapharm, Sacubitril/Valsartan Lupin 97/103, Valtresto)
12321L SECUKINUMAB, secukinumab 150 mg/mL injection, 1 mL pen device (Cosentyx)
11304Y SONIDEGIB, sonidegib 200 mg capsule, 30 (Odomzo)
14100D TAFAMIDIS, tafamidis 61 mg capsule, 30 (Vyndamax)
13483P TELMISARTAN + AMLODIPINE, telmisartan 40 mg + amlodipine 5 mg tablet, 28 (ARX-Telmisartan/Amlodipine, Telmisartan/Amlodipine Viatris)
13515H TELMISARTAN + AMLODIPINE, telmisartan 40 mg + amlodipine 10 mg tablet, 28 (ARX-Telmisartan/Amlodipine, Telmisartan/Amlodipine Viatris)
13450X TELMISARTAN + AMLODIPINE, telmisartan 80 mg + amlodipine 5 mg tablet, 28 (ARX-Telmisartan/Amlodipine, Telmisartan/Amlodipine Viatris)
13451Y TELMISARTAN + AMLODIPINE, telmisartan 80 mg + amlodipine 10 mg tablet, 28 (ARX-Telmisartan/Amlodipine, Telmisartan/Amlodipine Viatris)
13546Y TELMISARTAN + HYDROCHLOROTHIAZIDE, telmisartan 40 mg + hydrochlorothiazide 12.5 mg tablet, 28 (APO-Telmisartan HCTZ 40/12.5, Micardis Plus 40/12.5 mg, Mizart HCT 40/12.5 mg, TELMISARTAN HCTZ-WGR 40/12.5, Telmisartan/HCT Sandoz, Teltartan HCT 40/12.5)
13574K TELMISARTAN + HYDROCHLOROTHIAZIDE, telmisartan 80 mg + hydrochlorothiazide 12.5 mg tablet, 28 (APO-Telmisartan HCTZ 80/12.5, Micardis Plus 80/12.5 mg, Mizart HCT 80/12.5 mg, TELMISARTAN HCTZ-WGR 80/12.5, Telmisartan/HCT Sandoz, Teltartan HCT 80/12.5)
13607E TELMISARTAN + HYDROCHLOROTHIAZIDE, telmisartan 80 mg + hydrochlorothiazide 25 mg tablet, 28 (APO-Telmisartan HCTZ 80/25, Micardis Plus 80/25 mg, Mizart HCT 80/25 mg, TELMISARTAN HCTZ-WGR 80/25, Telmisartan/HCT Sandoz, Teltartan HCT 80/25)
13594L TRANDOLAPRIL + VERAPAMIL, trandolapril 2 mg + verapamil hydrochloride 180 mg modified release tablet, 28 (Tarka 2/180)
13591H TRANDOLAPRIL + VERAPAMIL, trandolapril 4 mg + verapamil hydrochloride 240 mg modified release tablet, 28 (Tarka 4/240)
13350P UPADACITINIB, upadacitinib 15 mg modified release tablet, 28 (Rinvoq)
13393X VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 80 mg + hydrochlorothiazide 12.5 mg tablet, 28 (Co-Diovan 80/12.5, Dilart HCT 80/12.5)
13606D VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 160 mg + hydrochlorothiazide 12.5 mg tablet, 28 (Co-Diovan 160/12.5, Dilart HCT 160/12.5)
13453C VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 160 mg + hydrochlorothiazide 25 mg tablet, 28 (Co-Diovan 160/25, Dilart HCT 160/25)
13517K VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 320 mg + hydrochlorothiazide 12.5 mg tablet, 28 (Co-Diovan 320/12.5, Dilart HCT 320/12.5)
9481B VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 320 mg + hydrochlorothiazide 12.5 mg tablet, 28 (Co-Diovan 320/12.5, Dilart HCT 320/12.5)
13455E VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 320 mg + hydrochlorothiazide 25 mg tablet, 28 (Co-Diovan 320/25, Dilart HCT 320/25)
9482C VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 320 mg + hydrochlorothiazide 25 mg tablet, 28 (Co-Diovan 320/25, Dilart HCT 320/25)
11070P VISMODEGIB, vismodegib 150 mg capsule, 28 (Erivedge)
11138F VORINOSTAT, vorinostat 100 mg capsule, 120 (Zolinza)
11141J VORINOSTAT, vorinostat 100 mg capsule, 120 (Zolinza)

Alteration – Restriction Level

From To
9375K AMLODIPINE + VALSARTAN, amlodipine 5 mg + valsartan 80 mg tablet, 28 (Amlodipine/Valsartan Novartis 5/80, Exforge 5/80) restricted unrestricted
9376L AMLODIPINE + VALSARTAN, amlodipine 5 mg + valsartan 160 mg tablet, 28 (Amlodipine/Valsartan Novartis 5/160, Exforge 5/160) restricted unrestricted
5459H AMLODIPINE + VALSARTAN, amlodipine 5 mg + valsartan 320 mg tablet, 28 (Amlodipine/Valsartan Novartis 5/320, Exforge 5/320) restricted unrestricted
9377M AMLODIPINE + VALSARTAN, amlodipine 10 mg + valsartan 160 mg tablet, 28 (Amlodipine/Valsartan Novartis 10/160, Exforge 10/160) restricted unrestricted
5460J AMLODIPINE + VALSARTAN, amlodipine 10 mg + valsartan 320 mg tablet, 28 (Amlodipine/Valsartan Novartis 10/320, Exforge 10/320) restricted unrestricted
8504N CANDESARTAN + HYDROCHLOROTHIAZIDE, candesartan cilexetil 16 mg + hydrochlorothiazide 12.5 mg tablet, 30 (APO-Candesartan HCTZ 16/12.5, Adesan HCT 16/12.5, Atacand Plus 16/12.5, BTC Candesartan HCT, CANDESAN COMBI 16/12.5, CANDESARTAN HCTZ-WGR 16/12.5, Candesartan/HCT Sandoz) restricted unrestricted
9314F CANDESARTAN + HYDROCHLOROTHIAZIDE, candesartan cilexetil 32 mg + hydrochlorothiazide 12.5 mg tablet, 30 (APO-Candesartan HCTZ 32/12.5, Adesan HCT 32/12.5, Atacand Plus 32/12.5, BTC Candesartan HCT, CANDESAN COMBI 32/12.5, CANDESARTAN HCTZ-WGR 32/12.5, Candesartan/HCT Sandoz) restricted unrestricted
9315G CANDESARTAN + HYDROCHLOROTHIAZIDE, candesartan cilexetil 32 mg + hydrochlorothiazide 25 mg tablet, 30 (APO-Candesartan HCTZ 32/25, Adesan HCT 32/25, Atacand Plus 32/25, BTC Candesartan HCT, CANDESAN COMBI 32/25, CANDESARTAN HCTZ-WGR 32/25, Candesartan/HCT Sandoz) restricted unrestricted
8477E ENALAPRIL + HYDROCHLOROTHIAZIDE, enalapril maleate 20 mg + hydrochlorothiazide 6 mg tablet, 30 (Enalapril/HCT Sandoz, Renitec Plus 20/6) restricted unrestricted
8624X EPROSARTAN + HYDROCHLOROTHIAZIDE, eprosartan 600 mg + hydrochlorothiazide 12.5 mg tablet, 28 (Teveten Plus 600/12.5) restricted unrestricted
8404H IRBESARTAN + HYDROCHLOROTHIAZIDE, irbesartan 150 mg + hydrochlorothiazide 12.5 mg tablet, 30 (APO-Irbesartan HCTZ, AVSARTAN HCT 150/12.5, Abisart HCTZ 150/12.5, Avapro HCT 150/12.5, IRBESARTAN HCTZ-WGR 150/12.5, Irbesartan/HCT Sandoz, Karvezide 150/12.5) restricted unrestricted
8405J IRBESARTAN + HYDROCHLOROTHIAZIDE, irbesartan 300 mg + hydrochlorothiazide 12.5 mg tablet, 30 (APO-Irbesartan HCTZ, AVSARTAN HCT 300/12.5, Abisart HCTZ 300/12.5, Avapro HCT 300/12.5, IRBESARTAN HCTZ-WGR 300/12.5, Irbesartan/HCT Sandoz, Karvezide 300/12.5) restricted unrestricted
2136K IRBESARTAN + HYDROCHLOROTHIAZIDE, irbesartan 300 mg + hydrochlorothiazide 25 mg tablet, 30 (APO-Irbesartan HCTZ, AVSARTAN HCT 300/25, Abisart HCTZ 300/25, Avapro HCT 300/25, IRBESARTAN HCTZ-WGR 300/25, Irbesartan/HCT Sandoz, Karvezide 300/25) restricted unrestricted
9144G LERCANIDIPINE + ENALAPRIL, lercanidipine hydrochloride 10 mg + enalapril maleate 10 mg tablet, 28 (Zan-Extra 10/10) restricted unrestricted
9145H LERCANIDIPINE + ENALAPRIL, lercanidipine hydrochloride 10 mg + enalapril maleate 20 mg tablet, 28 (Zan-Extra 10/20) restricted unrestricted
14408H MACROGOL-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 (APO-MACROGOL plus ELECTROLYTES, APOHEALTH Macrogol with Electrolytes, Chemists' Own Constipation Relief with electrolytes, Chemists' Own Macrogol with Electrolytes, Macrovic) restricted streamlined
8612G MACROGOL-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 (APO-MACROGOL plus ELECTROLYTES, APOHEALTH Macrogol with Electrolytes, Chemists' Own Constipation Relief with electrolytes, Chemists' Own Macrogol with Electrolytes, Macrovic) restricted streamlined
5292M OLMESARTAN + AMLODIPINE, olmesartan medoxomil 20 mg + amlodipine 5 mg tablet, 30 (APO-OLMESARTAN/AMLODIPINE 20/5, OLMEKAR, OLMESARTAN AMLODIPINE-WGR 20/5, Olmesartan/Amlodipine - MYL 20/5, Olmesartan/Amlodipine Sandoz, Pharmacor Olmesartan Amlodipine 20/5, Sevikar 20/5) restricted unrestricted
5293N OLMESARTAN + AMLODIPINE, olmesartan medoxomil 40 mg + amlodipine 5 mg tablet, 30 (APO-OLMESARTAN/AMLODIPINE 40/5, OLMEKAR, OLMESARTAN AMLODIPINE-WGR 40/5, Olmesartan/Amlodipine - MYL 40/5, Olmesartan/Amlodipine Sandoz, Pharmacor Olmesartan Amlodipine 40/5, Sevikar 40/5) restricted unrestricted
5294P OLMESARTAN + AMLODIPINE, olmesartan medoxomil 40 mg + amlodipine 10 mg tablet, 30 (APO-OLMESARTAN/AMLODIPINE 40/10, OLMEKAR, OLMESARTAN AMLODIPINE-WGR 40/10, Olmesartan/Amlodipine - MYL 40/10, Olmesartan/Amlodipine Sandoz, Pharmacor Olmesartan Amlodipine 40/10, Sevikar 40/10) restricted unrestricted
2161R OLMESARTAN + HYDROCHLOROTHIAZIDE, olmesartan medoxomil 20 mg + hydrochlorothiazide 12.5 mg tablet, 30 (APO-Olmesartan/HCTZ 20/12.5, APX-Olmesartan/HCTZ, OLMERTAN COMBI 20/12.5, OLMESARTAN HCTZ-WGR 20/12.5, Olmesartan HCT - MYL 20/12.5, Olmesartan/HCT Sandoz, Olmetec Plus, Pharmacor Olmesartan HCTZ 20/12.5) restricted unrestricted
2166B OLMESARTAN + HYDROCHLOROTHIAZIDE, olmesartan medoxomil 40 mg + hydrochlorothiazide 12.5 mg tablet, 30 (APO-Olmesartan/HCTZ 40/12.5, APX-Olmesartan/HCTZ, OLMERTAN COMBI 40/12.5, OLMESARTAN HCTZ-WGR 40/12.5, Olmesartan HCT - MYL 40/12.5, Olmesartan/HCT Sandoz, Olmetec Plus, Pharmacor Olmesartan HCTZ 40/12.5) restricted unrestricted
2170F OLMESARTAN + HYDROCHLOROTHIAZIDE, olmesartan medoxomil 40 mg + hydrochlorothiazide 25 mg tablet, 30 (APO-Olmesartan/HCTZ 40/25, APX-Olmesartan/HCTZ, OLMERTAN COMBI 40/25, OLMESARTAN HCTZ-WGR 40/25, Olmesartan HCT - MYL 40/25, Olmesartan/HCT Sandoz, Olmetec Plus, Pharmacor Olmesartan HCTZ 40/25) restricted unrestricted
9346X PERINDOPRIL + AMLODIPINE, perindopril arginine 5 mg + amlodipine 5 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 5/5, APX-Perindopril Arginine/Amlodipine 5/5, Coveram 5/5, Perindopril Arginine/Amlodipine-WGR 5/5, Reaptan 5/5) restricted unrestricted
9347Y PERINDOPRIL + AMLODIPINE, perindopril arginine 5 mg + amlodipine 10 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 5/10, APX-Perindopril Arginine/Amlodipine 5/10, Coveram 5/10, Perindopril Arginine/Amlodipine-WGR 5/10, Reaptan 5/10) restricted unrestricted
9348B PERINDOPRIL + AMLODIPINE, perindopril arginine 10 mg + amlodipine 5 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 10/5, APX-Perindopril Arginine/Amlodipine 10/5, Coveram 10/5, Perindopril Arginine/Amlodipine-WGR 10/5, Reaptan 10/5) restricted unrestricted
9349C PERINDOPRIL + AMLODIPINE, perindopril arginine 10 mg + amlodipine 10 mg tablet, 30 (APO-Perindopril Arginine/Amlodipine 10/10, APX-Perindopril Arginine/Amlodipine 10/10, Coveram 10/10, Perindopril Arginine/Amlodipine-WGR 10/10, Reaptan 10/10) restricted unrestricted
8449Q PERINDOPRIL + INDAPAMIDE, perindopril erbumine 4 mg + indapamide hemihydrate 1.25 mg tablet, 30 (APO-Perindopril/Indapamide, GenRx Perindopril/ Indapamide 4/1.25, Idaprex Combi 4/1.25, PERINDOPRIL/INDAPAMIDE-WGR 4/1.25, PERISYL COMBI 4/1.25, ) restricted unrestricted
2845R PERINDOPRIL + INDAPAMIDE, perindopril arginine 5 mg + indapamide hemihydrate 1.25 mg tablet, 30 (Coversyl Plus 5mg/1.25mg, Prexum Combi 5/1.25) restricted unrestricted
2629J RAMIPRIL + FELODIPINE, ramipril 5 mg + felodipine 5 mg modified release tablet, 30 (Triasyn 5.0/5.0) restricted unrestricted
8978M TELMISARTAN + AMLODIPINE, telmisartan 40 mg + amlodipine 5 mg tablet, 28 (ARX-Telmisartan/Amlodipine, Telmisartan/Amlodipine Viatris) restricted unrestricted
8979N TELMISARTAN + AMLODIPINE, telmisartan 40 mg + amlodipine 10 mg tablet, 28 (ARX-Telmisartan/Amlodipine, Telmisartan/Amlodipine Viatris) restricted unrestricted
8980P TELMISARTAN + AMLODIPINE, telmisartan 80 mg + amlodipine 5 mg tablet, 28 (ARX-Telmisartan/Amlodipine, Telmisartan/Amlodipine Viatris) restricted unrestricted
8981Q TELMISARTAN + AMLODIPINE, telmisartan 80 mg + amlodipine 10 mg tablet, 28 (ARX-Telmisartan/Amlodipine, Telmisartan/Amlodipine Viatris) restricted unrestricted
8622T TELMISARTAN + HYDROCHLOROTHIAZIDE, telmisartan 40 mg + hydrochlorothiazide 12.5 mg tablet, 28 (APO-Telmisartan HCTZ 40/12.5, Micardis Plus 40/12.5 mg, Mizart HCT 40/12.5 mg, TELMISARTAN HCTZ-WGR 40/12.5, Telmisartan/HCT Sandoz, Teltartan HCT 40/12.5) restricted unrestricted
8623W TELMISARTAN + HYDROCHLOROTHIAZIDE, telmisartan 80 mg + hydrochlorothiazide 12.5 mg tablet, 28 (APO-Telmisartan HCTZ 80/12.5, Micardis Plus 80/12.5 mg, Mizart HCT 80/12.5 mg, TELMISARTAN HCTZ-WGR 80/12.5, Telmisartan/HCT Sandoz, Teltartan HCT 80/12.5) restricted unrestricted
9381R TELMISARTAN + HYDROCHLOROTHIAZIDE, telmisartan 80 mg + hydrochlorothiazide 25 mg tablet, 28 (APO-Telmisartan HCTZ 80/25, Micardis Plus 80/25 mg, Mizart HCT 80/25 mg, TELMISARTAN HCTZ-WGR 80/25, Telmisartan/HCT Sandoz, Teltartan HCT 80/25) restricted unrestricted
9387C TRANDOLAPRIL + VERAPAMIL, trandolapril 2 mg + verapamil hydrochloride 180 mg modified release tablet, 28 (Tarka 2/180) restricted unrestricted
2857J TRANDOLAPRIL + VERAPAMIL, trandolapril 4 mg + verapamil hydrochloride 240 mg modified release tablet, 28 (Tarka 4/240) restricted unrestricted
9372G VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 80 mg + hydrochlorothiazide 12.5 mg tablet, 28 (Co-Diovan 80/12.5, Dilart HCT 80/12.5) restricted unrestricted
9373H VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 160 mg + hydrochlorothiazide 12.5 mg tablet, 28 (Co-Diovan 160/12.5, Dilart HCT 160/12.5) restricted unrestricted
9374J VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 160 mg + hydrochlorothiazide 25 mg tablet, 28 (Co-Diovan 160/25, Dilart HCT 160/25) restricted unrestricted
9481B VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 320 mg + hydrochlorothiazide 12.5 mg tablet, 28 (Co-Diovan 320/12.5, Dilart HCT 320/12.5) restricted unrestricted
9482C VALSARTAN + HYDROCHLOROTHIAZIDE, valsartan 320 mg + hydrochlorothiazide 25 mg tablet, 28 (Co-Diovan 320/25, Dilart HCT 320/25) restricted unrestricted

Alteration – Manufacturer Code

From To
15206H Afqlir – AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe SZ ZE
15207J Afqlir – AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe SZ ZE
15213Q Afqlir – AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe SZ ZE
15214R Afqlir – AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe SZ ZE
15215T Afqlir – AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe SZ ZE
15217X Afqlir – AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe SZ ZE
15218Y Afqlir – AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe SZ ZE
15219B Afqlir – AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe SZ ZE
13929D Dutasteride/Tamsulosin Viatris 500/400 – DUTASTERIDE + TAMSULOSIN, dutasteride 500 microgram + tamsulosin hydrochloride 400 microgram modified release capsule, 30 HF AF
5490Y Dutasteride/Tamsulosin Viatris 500/400 – DUTASTERIDE + TAMSULOSIN, dutasteride 500 microgram + tamsulosin hydrochloride 400 microgram modified release capsule, 30 HF AF

Supply Only

Supply Only - Period Commencing

8408M

BECLOMETASONE, beclometasone dipropionate 50 microgram/actuation breath activated inhalation, 200 actuations (Qvar 50 Autohaler)

14378R

BECLOMETASONE, beclometasone dipropionate 50 microgram/actuation breath activated inhalation, 200 actuations (Qvar 50 Autohaler)

11245W

GLYCOMACROPEPTIDE FORMULA WITH DOCOSAHEXAENOIC ACID AND LOW PHENYLALANINE, glycomacropeptide formula with docosahexaenoic acid and low phenylalanine powder for oral liquid, 30 x 27 g sachets (PKU Sphere15)

9224L

INSULIN GLULISINE, insulin glulisine 100 units/mL injection, 1 x 10 mL vial (Apidra)

2530E

LINCOMYCIN, lincomycin 600 mg/2 mL injection, 5 x 2 mL vials (Lincocin)

5144R

LINCOMYCIN, lincomycin 600 mg/2 mL injection, 5 x 2 mL vials (Lincocin)

2481N

OXYCODONE, oxycodone 30 mg suppository, 12 (Proladone)

5194J

OXYCODONE, oxycodone 30 mg suppository, 12 (Proladone)

2000G

SALBUTAMOL, salbutamol 2.5 mg/2.5 mL inhalation solution, 30 x 2.5 mL ampoules (Salbutamol Cipla)

Supply Only

Supply Only - Period Ending

 

11204Q

ETANERCEPT, etanercept 25 mg injection [4 vials] (&) inert substance diluent [4 x 1 mL syringes], 1 pack (Enbrel)

11207W

ETANERCEPT, etanercept 25 mg injection [4 vials] (&) inert substance diluent [4 x 1 mL syringes], 1 pack (Enbrel)

11223Q

ETANERCEPT, etanercept 25 mg injection [4 vials] (&) inert substance diluent [4 x 1 mL syringes], 1 pack (Enbrel)

11196G

ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes (Brenzys, Enbrel)

11198J

ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices (Brenzys, Enbrel, Nepexto)

11201M

ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices (Brenzys, Enbrel, Nepexto)

11208X

ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes (Brenzys, Enbrel)

11222P

ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices (Brenzys, Enbrel, Nepexto)

11224R

ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes (Brenzys, Enbrel)

Advance Notices

1 May 2026

Deletion – Brand

8594H AMISULPRIDE-WGR, WG – AMISULPRIDE, amisulpride 100 mg tablet, 30
10414D Eliquis, BQ – APIXABAN, apixaban 5 mg tablet, 28
8318T NOUMED CLARITHROMYCIN, VO – CLARITHROMYCIN, clarithromycin 250 mg tablet, 14
12458Q Desmopressin Nasal Spray USP (Apotex), DZ – DESMOPRESSIN, desmopressin acetate 10 microgram/actuation nasal spray, 50 actuations
12459R Desmopressin Nasal Spray USP (Apotex), DZ – DESMOPRESSIN, desmopressin acetate 10 microgram/actuation nasal spray, 50 actuations
13280Y Rythmodan (Canada), OJ – DISOPYRAMIDE, disopyramide 100 mg capsule, 84
13469X Fenofibrate Cipla, LR – FENOFIBRATE, fenofibrate 48 mg tablet, 60
9022W Fenofibrate Cipla, LR – FENOFIBRATE, fenofibrate 48 mg tablet, 60
10416F GLATIRAMER ACETATE-TEVA, EV – GLATIRAMER ACETATE, glatiramer acetate 40 mg/mL injection, 12 x 1 mL syringes
15003P Methylphenidate Orifarm 60 mg (Denmark), DZ – METHYLPHENIDATE, methylphenidate hydrochloride 60 mg modified release capsule, 30
15016H Methylphenidate Orifarm 20 mg (Sweden), DZ – METHYLPHENIDATE, methylphenidate hydrochloride 20 mg modified release capsule, 30
15026W Methylphenidate Orifarm 10 mg (Sweden), DZ – METHYLPHENIDATE, methylphenidate hydrochloride 10 mg modified release capsule, 30
15046X Methylphenidate Orifarm 30 mg (Sweden), DZ – METHYLPHENIDATE, methylphenidate hydrochloride 30 mg modified release capsule, 30
14473R NOUMED MIRTAZAPINE, VO – MIRTAZAPINE, mirtazapine 30 mg tablet, 30
8513C NOUMED MIRTAZAPINE, VO – MIRTAZAPINE, mirtazapine 30 mg tablet, 30
14854T Pediapharm Naproxen Suspension 25 mg/mL (Medexus Pharma, Canada), KQ – NAPROXEN, naproxen 125 mg/5 mL oral liquid, 474 mL
13898L Actos, GQ – PIOGLITAZONE, pioglitazone 15 mg tablet, 28
14057W Actos, GQ – PIOGLITAZONE, pioglitazone 45 mg tablet, 28
8694N Actos, GQ – PIOGLITAZONE, pioglitazone 15 mg tablet, 28
8696Q Actos, GQ – PIOGLITAZONE, pioglitazone 45 mg tablet, 28
14458Y RASAGILINE-WGR, WG – RASAGILINE, rasagiline 1 mg tablet, 30
1952R RASAGILINE-WGR, WG – RASAGILINE, rasagiline 1 mg tablet, 30
2285G NOUMED TERBINAFINE, VO – TERBINAFINE, terbinafine 250 mg tablet, 42
2804N NOUMED TERBINAFINE, VO – TERBINAFINE, terbinafine 250 mg tablet, 42
9009E Navelbine, FB – VINORELBINE, vinorelbine 20 mg capsule, 1
9010F Navelbine, FB – VINORELBINE, vinorelbine 30 mg capsule, 1

1 June 2026

Deletion – Brand

14408H Chemists' Own Macrogol with Electrolytes, RW – MACROGOL-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 Chemists' Own Macrogol with Electrolytes, RW – MACROGOL-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

Palliative Care

Advance Notices

1 May 2026

Deletion – Brand

14867L Pediapharm Naproxen Suspension 25 mg/mL (Medexus Pharma, Canada), KQ – NAPROXEN, naproxen 125 mg/5 mL oral liquid, 474 mL

1 June 2026

Deletion – Brand

5389P Chemists' Own Macrogol with Electrolytes, RW – MACROGOL-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

15274X RISDIPLAM, risdiplam 5 mg tablet, 28 (Evrysdi)
15290R RISDIPLAM, risdiplam 5 mg tablet, 28 (Evrysdi)
15296C RISDIPLAM, risdiplam 5 mg tablet, 28 (Evrysdi)
15298E RISDIPLAM, risdiplam 5 mg tablet, 28 (Evrysdi)
15308Q RISDIPLAM, risdiplam 5 mg tablet, 28 (Evrysdi)
15321J RISDIPLAM, risdiplam 5 mg tablet, 28 (Evrysdi)
15328R RISDIPLAM, risdiplam 5 mg tablet, 28 (Evrysdi)
15285L ZILUCOPLAN, Zilucoplan 16.6 mg/0.416 mL injection, 28 x 0.416 mL syringes (Zilbrysq)
15302J ZILUCOPLAN, Zilucoplan 16.6 mg/0.416 mL injection, 28 x 0.416 mL syringes (Zilbrysq)
15304L ZILUCOPLAN, Zilucoplan 23 mg/0.574 mL injection, 28 x 0.574 mL syringes (Zilbrysq)
15315C ZILUCOPLAN, Zilucoplan 23 mg/0.574 mL injection, 28 x 0.574 mL syringes (Zilbrysq)
15284K ZILUCOPLAN, Zilucoplan 32.4 mg/0.81 mL injection, 28 x 0.81 mL syringes (Zilbrysq)
15294Y ZILUCOPLAN, Zilucoplan 32.4 mg/0.81 mL injection, 28 x 0.81 mL syringes (Zilbrysq)

Addition – Brand

12138W SILDENAFIL PHT ARX, XT – SILDENAFIL, sildenafil 20 mg tablet, 90
9605M SILDENAFIL PHT ARX, XT – SILDENAFIL, sildenafil 20 mg tablet, 90

Deletions

Deletion – Brand

10417G Pomalyst, BQ – POMALIDOMIDE, pomalidomide 3 mg capsule, 21
12668R Pomalyst, BQ – POMALIDOMIDE, pomalidomide 3 mg capsule, 14
10386P Pomalyst, BQ – POMALIDOMIDE, pomalidomide 4 mg capsule, 21
12661J Pomalyst, BQ – POMALIDOMIDE, pomalidomide 4 mg capsule, 14

Deletion – Note

14771K RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris)
14776Q RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris)

Deletion – Restriction

14771K RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris)
14776Q RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris)

Alterations

Alteration – Note

13813B POMALIDOMIDE, pomalidomide 1 mg capsule, 14 (Pomolide)
13814C POMALIDOMIDE, pomalidomide 1 mg capsule, 21 (Pomalidomide Sandoz, Pomolide)
13811X POMALIDOMIDE, pomalidomide 2 mg capsule, 21 (Pomalidomide Sandoz, Pomolide)
13812Y POMALIDOMIDE, pomalidomide 2 mg capsule, 14 (Pomolide)
10417G POMALIDOMIDE, pomalidomide 3 mg capsule, 21 (Pomalidomide Sandoz, , Pomolide)
12668R POMALIDOMIDE, pomalidomide 3 mg capsule, 14 (Pomalidomide Sandoz, , Pomolide)
10386P POMALIDOMIDE, pomalidomide 4 mg capsule, 21 (Pomalidomide Sandoz, , Pomolide)
12661J POMALIDOMIDE, pomalidomide 4 mg capsule, 14 (Pomalidomide Sandoz, , Pomolide)
15234T RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris)
15235W RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris)
15263H RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris)
15254W RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris)
15259D RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris)
15264J RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris)

Alteration – Restriction

9621J ABATACEPT, abatacept 250 mg injection, 1 vial (Orencia)
12201E AMBRISENTAN, ambrisentan 5 mg tablet, 30 (Ambrisentan Viatris, Cipla Ambrisentan, PULMORIS, Volibris)
9648T AMBRISENTAN, ambrisentan 5 mg tablet, 30 (Ambrisentan Viatris, Cipla Ambrisentan, PULMORIS, Volibris)
12180C AMBRISENTAN, ambrisentan 10 mg tablet, 30 (Ambrisentan Viatris, Cipla Ambrisentan, PULMORIS, Volibris)
9649W AMBRISENTAN, ambrisentan 10 mg tablet, 30 (Ambrisentan Viatris, Cipla Ambrisentan, PULMORIS, Volibris)
14189T ANIFROLUMAB, anifrolumab 300 mg/2 mL injection, 2 mL vial (Saphnelo)
13317X AVATROMBOPAG, avatrombopag 20 mg tablet, 30 (Doptelet)
11996J BENRALIZUMAB, benralizumab 30 mg/mL injection, 1 mL pen device (Fasenra Pen)
12148J BOSENTAN, bosentan 62.5 mg tablet, 60 (BOSENTAN DR.REDDY'S, Bosentan APO, Bosentan RBX)
6429J BOSENTAN, bosentan 62.5 mg tablet, 60 (BOSENTAN DR.REDDY'S, Bosentan APO, Bosentan RBX)
12146G BOSENTAN, bosentan 125 mg tablet, 60 (BOSENTAN DR.REDDY'S, Bosentan APO, Bosentan GH, Bosentan Mylan, Bosentan RBX, Bosentan Viatris)
6430K BOSENTAN, bosentan 125 mg tablet, 60 (BOSENTAN DR.REDDY'S, Bosentan APO, Bosentan GH, Bosentan Mylan, Bosentan RBX, Bosentan Viatris)
12316F DUPILUMAB, dupilumab 200 mg/1.14 mL injection, 2 x 1.14 mL syringes (Dupixent)
12294C DUPILUMAB, dupilumab 300 mg/2 mL injection, 2 x 2 mL syringes (Dupixent)
12310X DUPILUMAB, dupilumab 300 mg/2 mL injection, 2 x 2 mL syringes (Dupixent)
14115X ELTROMBOPAG, eltrombopag 25 mg tablet, 28 (Revolade)
5827Q ELTROMBOPAG, eltrombopag 25 mg tablet, 28 (Revolade)
14107L ELTROMBOPAG, eltrombopag 50 mg tablet, 28 (Revolade)
5828R ELTROMBOPAG, eltrombopag 50 mg tablet, 28 (Revolade)
10111E EPOPROSTENOL, epoprostenol 500 microgram injection, 1 vial (Veletri)
10129D EPOPROSTENOL, epoprostenol 1.5 mg injection, 1 vial (Veletri)
6456T ILOPROST, iloprost 20 microgram/2 mL inhalation solution, 30 x 2 mL ampoules (Ventavis)
10184B INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis)
11399Y INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis)
11412P INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis)
11489Q INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis)
11498E INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis)
11590B INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis)
6397Q INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis)
6448J INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis)
6496X INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis)
9613Y INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis)
9617E INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis)
9674E INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis)
10134J MACITENTAN, macitentan 10 mg tablet, 30 (Opsumit)
12135Q MACITENTAN, macitentan 10 mg tablet, 30 (Opsumit)
12052H MEPOLIZUMAB, mepolizumab 100 mg/mL injection, 1 mL pen device (Nucala)
13242Y MEPOLIZUMAB, mepolizumab 100 mg/mL injection, 1 mL pen device (Nucala)
13786N RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris)
13791W RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris)
15234T RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris)
15235W RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris)
15263H RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris)
13784L RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris)
13802K RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris)
15254W RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris)
15259D RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris)
15264J RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris)
11009K RIOCIGUAT, riociguat 500 microgram tablet, 42 (Adempas)
11031N RIOCIGUAT, riociguat 500 microgram tablet, 42 (Adempas)
10990K RIOCIGUAT, riociguat 1 mg tablet, 42 (Adempas)
11028K RIOCIGUAT, riociguat 1 mg tablet, 42 (Adempas)
10974N RIOCIGUAT, riociguat 1.5 mg tablet, 42 (Adempas)
11046J RIOCIGUAT, riociguat 1.5 mg tablet, 42 (Adempas)
11012N RIOCIGUAT, riociguat 2 mg tablet, 42 (Adempas)
11045H RIOCIGUAT, riociguat 2 mg tablet, 42 (Adempas)
10985E RIOCIGUAT, riociguat 2.5 mg tablet, 42 (Adempas)
11052Q RIOCIGUAT, riociguat 2.5 mg tablet, 42 (Adempas)
12959C RISDIPLAM, risdiplam 750 microgram/mL powder for oral liquid, 80 mL (Evrysdi)
13632L RISDIPLAM, risdiplam 750 microgram/mL powder for oral liquid, 80 mL (Evrysdi)
13639W RISDIPLAM, risdiplam 750 microgram/mL powder for oral liquid, 80 mL (Evrysdi)
9697J ROMIPLOSTIM, romiplostim 250 microgram injection, 1 vial (Nplate)
9699L ROMIPLOSTIM, romiplostim 500 microgram injection, 1 vial (Nplate)
12138W SILDENAFIL, sildenafil 20 mg tablet, 90 (SILDATIO PHT, SILDENAFIL PHT ARX, Sildenafil PHT APOTEX, Sildenafil Sandoz PHT 20)
9605M SILDENAFIL, sildenafil 20 mg tablet, 90 (SILDATIO PHT, SILDENAFIL PHT ARX, Sildenafil PHT APOTEX, Sildenafil Sandoz PHT 20)
11795T TEDUGLUTIDE, teduglutide 5 mg injection [28 vials] (&) inert substance diluent [28 x 0.5 mL syringes], 1 pack (Revestive)
11806J TEDUGLUTIDE, teduglutide 5 mg injection [28 vials] (&) inert substance diluent [28 x 0.5 mL syringes], 1 pack (Revestive)
10073E TOCILIZUMAB, tocilizumab 80 mg/4 mL injection, 4 mL vial (Actemra)
12787B TOCILIZUMAB, tocilizumab 80 mg/4 mL injection, 4 mL vial (Actemra)
12811G TOCILIZUMAB, tocilizumab 80 mg/4 mL injection, 4 mL vial (Actemra)
9671B TOCILIZUMAB, tocilizumab 80 mg/4 mL injection, 4 mL vial (Actemra)
10071C TOCILIZUMAB, tocilizumab 200 mg/10 mL injection, 10 mL vial (Actemra)
12766X TOCILIZUMAB, tocilizumab 200 mg/10 mL injection, 10 mL vial (Actemra)
12795K TOCILIZUMAB, tocilizumab 200 mg/10 mL injection, 10 mL vial (Actemra)
9672C TOCILIZUMAB, tocilizumab 200 mg/10 mL injection, 10 mL vial (Actemra)
10078K TOCILIZUMAB, tocilizumab 400 mg/20 mL injection, 20 mL vial (Actemra)
12805Y TOCILIZUMAB, tocilizumab 400 mg/20 mL injection, 20 mL vial (Actemra)
12810F TOCILIZUMAB, tocilizumab 400 mg/20 mL injection, 20 mL vial (Actemra)
9673D TOCILIZUMAB, tocilizumab 400 mg/20 mL injection, 20 mL vial (Actemra)

Supply Only

Supply Only – Period Commencing

14804E

EDARAVONE, edaravone 30 mg/20 mL injection, 10 x 20 mL ampoules (Radicava)

Advance Notices

1 May 2026

Deletion – Brand

12146G Bosentan Mylan, AF – BOSENTAN, bosentan 125 mg tablet, 60
6430K Bosentan Mylan, AF – BOSENTAN, bosentan 125 mg tablet, 60
10549F Octreotide Depot, TB – OCTREOTIDE, octreotide 20 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack
10558Q Octreotide Depot, TB – OCTREOTIDE, octreotide 30 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack
10566D Octreotide Depot, TB – OCTREOTIDE, octreotide 10 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack
11894B Octreotide Depot, TB – OCTREOTIDE, octreotide 30 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack

Highly Specialised Drugs Program (Public Hospital)

Additions

Addition – Item

15273W RISDIPLAM, risdiplam 5 mg tablet, 28 (Evrysdi)
15275Y RISDIPLAM, risdiplam 5 mg tablet, 28 (Evrysdi)
15281G RISDIPLAM, risdiplam 5 mg tablet, 28 (Evrysdi)
15297D RISDIPLAM, risdiplam 5 mg tablet, 28 (Evrysdi)
15309R RISDIPLAM, risdiplam 5 mg tablet, 28 (Evrysdi)
15310T RISDIPLAM, risdiplam 5 mg tablet, 28 (Evrysdi)
15327Q RISDIPLAM, risdiplam 5 mg tablet, 28 (Evrysdi)
15276B ZILUCOPLAN, Zilucoplan 16.6 mg/0.416 mL injection, 28 x 0.416 mL syringes (Zilbrysq)
15316D ZILUCOPLAN, Zilucoplan 16.6 mg/0.416 mL injection, 28 x 0.416 mL syringes (Zilbrysq)
15286M ZILUCOPLAN, Zilucoplan 23 mg/0.574 mL injection, 28 x 0.574 mL syringes (Zilbrysq)
15303K ZILUCOPLAN, Zilucoplan 23 mg/0.574 mL injection, 28 x 0.574 mL syringes (Zilbrysq)
15287N ZILUCOPLAN, Zilucoplan 32.4 mg/0.81 mL injection, 28 x 0.81 mL syringes (Zilbrysq)
15325N ZILUCOPLAN, Zilucoplan 32.4 mg/0.81 mL injection, 28 x 0.81 mL syringes (Zilbrysq)

Addition – Brand

12144E SILDENAFIL PHT ARX, XT – SILDENAFIL, sildenafil 20 mg tablet, 90
9547L SILDENAFIL PHT ARX, XT – SILDENAFIL, sildenafil 20 mg tablet, 90

Deletion – Brand

10406Q Pomalyst, BQ – POMALIDOMIDE, pomalidomide 3 mg capsule, 21
12666P Pomalyst, BQ – POMALIDOMIDE, pomalidomide 3 mg capsule, 14
10387Q Pomalyst, BQ – POMALIDOMIDE, pomalidomide 4 mg capsule, 21
12665N Pomalyst, BQ – POMALIDOMIDE, pomalidomide 4 mg capsule, 14

Deletion – Note

14784D RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris)
14758R RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris)

Deletion – Restriction

14784D RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris)
14758R RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris)

Alterations

Alteration – Note

13794B POMALIDOMIDE, pomalidomide 1 mg capsule, 14 (Pomolide)
13803L POMALIDOMIDE, pomalidomide 1 mg capsule, 21 (Pomalidomide Sandoz, Pomolide)
13788Q POMALIDOMIDE, pomalidomide 2 mg capsule, 21 (Pomalidomide Sandoz, Pomolide)
13815D POMALIDOMIDE, pomalidomide 2 mg capsule, 14 (Pomolide)
10406Q POMALIDOMIDE, pomalidomide 3 mg capsule, 21 (Pomalidomide Sandoz, , Pomolide)
12666P POMALIDOMIDE, pomalidomide 3 mg capsule, 14 (Pomalidomide Sandoz, , Pomolide)
10387Q POMALIDOMIDE, pomalidomide 4 mg capsule, 21 (Pomalidomide Sandoz, , Pomolide)
12665N POMALIDOMIDE, pomalidomide 4 mg capsule, 14 (Pomalidomide Sandoz, , Pomolide)
15244H RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris)
15245J RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris)
15255X RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris)
15225H RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris)
15246K RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris)
15258C RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris)

Alteration – Restriction

5605B ABATACEPT, abatacept 250 mg injection, 1 vial (Orencia)
12212R AMBRISENTAN, ambrisentan 5 mg tablet, 30 (Ambrisentan Viatris, Cipla Ambrisentan, PULMORIS, Volibris)
5607D AMBRISENTAN, ambrisentan 5 mg tablet, 30 (Ambrisentan Viatris, Cipla Ambrisentan, PULMORIS, Volibris)
12186J AMBRISENTAN, ambrisentan 10 mg tablet, 30 (Ambrisentan Viatris, Cipla Ambrisentan, PULMORIS, Volibris)
5608E AMBRISENTAN, ambrisentan 10 mg tablet, 30 (Ambrisentan Viatris, Cipla Ambrisentan, PULMORIS, Volibris)
14195D ANIFROLUMAB, anifrolumab 300 mg/2 mL injection, 2 mL vial (Saphnelo)
13313Q AVATROMBOPAG, avatrombopag 20 mg tablet, 30 (Doptelet)
11995H BENRALIZUMAB, benralizumab 30 mg/mL injection, 1 mL pen device (Fasenra Pen)
12145F BOSENTAN, bosentan 62.5 mg tablet, 60 (BOSENTAN DR.REDDY'S, Bosentan APO, Bosentan RBX)
5618Q BOSENTAN, bosentan 62.5 mg tablet, 60 (BOSENTAN DR.REDDY'S, Bosentan APO, Bosentan RBX)
12149K BOSENTAN, bosentan 125 mg tablet, 60 (BOSENTAN DR.REDDY'S, Bosentan APO, Bosentan GH, Bosentan Mylan, Bosentan RBX, Bosentan Viatris)
5619R BOSENTAN, bosentan 125 mg tablet, 60 (BOSENTAN DR.REDDY'S, Bosentan APO, Bosentan GH, Bosentan Mylan, Bosentan RBX, Bosentan Viatris)
12318H DUPILUMAB, dupilumab 200 mg/1.14 mL injection, 2 x 1.14 mL syringes (Dupixent)
12293B DUPILUMAB, dupilumab 300 mg/2 mL injection, 2 x 2 mL syringes (Dupixent)
12302L DUPILUMAB, dupilumab 300 mg/2 mL injection, 2 x 2 mL syringes (Dupixent)
14144K ELTROMBOPAG, eltrombopag 25 mg tablet, 28 (Revolade)
5825N ELTROMBOPAG, eltrombopag 25 mg tablet, 28 (Revolade)
14121F ELTROMBOPAG, eltrombopag 50 mg tablet, 28 (Revolade)
5826P ELTROMBOPAG, eltrombopag 50 mg tablet, 28 (Revolade)
10130E EPOPROSTENOL, epoprostenol 500 microgram injection, 1 vial (Veletri)
10117L EPOPROSTENOL, epoprostenol 1.5 mg injection, 1 vial (Veletri)
5751Q ILOPROST, iloprost 20 microgram/2 mL inhalation solution, 30 x 2 mL ampoules (Ventavis)
10196P INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis)
11389K INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis)
11424G INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis)
11482H INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis)
11497D INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis)
11606W INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis)
5753T INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis)
5754W INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis)
5756Y INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis)
5757B INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis)
5758C INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis)
9654D INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Ixifi, Remicade, Remsima, Renflexis)
10136L MACITENTAN, macitentan 10 mg tablet, 30 (Opsumit)
12147H MACITENTAN, macitentan 10 mg tablet, 30 (Opsumit)
12064Y MEPOLIZUMAB, mepolizumab 100 mg/mL injection, 1 mL pen device (Nucala)
13237Q MEPOLIZUMAB, mepolizumab 100 mg/mL injection, 1 mL pen device (Nucala)
12942E ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection [5.5 mL vial] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [4 x 8.3 mL vials], 1 pack (Zolgensma)
12951P ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection [5.5 mL vial] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [2 x 8.3 mL vials], 1 pack (Zolgensma)
12956X ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection [5.5 mL vial] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [7 x 8.3 mL vials], 1 pack (Zolgensma)
12964H ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection [5.5 mL vial] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [8 x 8.3 mL vials], 1 pack (Zolgensma)
12975X ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection [5.5 mL vial] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [6 x 8.3 mL vials], 1 pack (Zolgensma)
12976Y ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection [5.5 mL vial] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [5 x 8.3 mL vials], 1 pack (Zolgensma)
12977B ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection [5.5 mL vial] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [3 x 8.3 mL vials], 1 pack (Zolgensma)
12940C ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection [2 x 5.5 mL vials] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [3 x 8.3 mL vials], 1 pack (Zolgensma)
12941D ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection [2 x 5.5 mL vials] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [6 x 8.3 mL vials], 1 pack (Zolgensma)
12950N ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection [2 x 5.5 mL vials] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [4 x 8.3 mL vials], 1 pack (Zolgensma)
12952Q ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection [2 x 5.5 mL vials] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [7 x 8.3 mL vials], 1 pack (Zolgensma)
12955W ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection [2 x 5.5 mL vials] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [8.3 mL vial], 1 pack (Zolgensma)
12957Y ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection, 2 x 8.3 mL vials (Zolgensma)
12958B ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection [2 x 5.5 mL vials] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [2 x 8.3 mL vials], 1 pack (Zolgensma)
12963G ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection [2 x 5.5 mL vials] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [5 x 8.3 mL vials], 1 pack (Zolgensma)
12961E ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection, 3 x 8.3 mL vials (Zolgensma)
12971Q ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection, 4 x 8.3 mL vials (Zolgensma)
12962F ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection, 5 x 8.3 mL vials (Zolgensma)
12973T ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection, 6 x 8.3 mL vials (Zolgensma)
12954T ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection, 7 x 8.3 mL vials (Zolgensma)
12974W ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection, 8 x 8.3 mL vials (Zolgensma)
12949M ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection, 9 x 8.3 mL vials (Zolgensma)
13785M RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris)
13808R RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris)
15244H RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris)
15245J RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris)
15255X RAVULIZUMAB, ravulizumab 300 mg/3 mL injection, 3 mL vial (Ultomiris)
13797E RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris)
13809T RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris)
15225H RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris)
15246K RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris)
15258C RAVULIZUMAB, ravulizumab 1.1 g/11 mL injection, 11 mL vial (Ultomiris)
11001B RIOCIGUAT, riociguat 500 microgram tablet, 42 (Adempas)
11040C RIOCIGUAT, riociguat 500 microgram tablet, 42 (Adempas)
10976Q RIOCIGUAT, riociguat 1 mg tablet, 42 (Adempas)
11054T RIOCIGUAT, riociguat 1 mg tablet, 42 (Adempas)
10989J RIOCIGUAT, riociguat 1.5 mg tablet, 42 (Adempas)
11047K RIOCIGUAT, riociguat 1.5 mg tablet, 42 (Adempas)
10984D RIOCIGUAT, riociguat 2 mg tablet, 42 (Adempas)
11038Y RIOCIGUAT, riociguat 2 mg tablet, 42 (Adempas)
11002C RIOCIGUAT, riociguat 2.5 mg tablet, 42 (Adempas)
11057Y RIOCIGUAT, riociguat 2.5 mg tablet, 42 (Adempas)
12943F RISDIPLAM, risdiplam 750 microgram/mL powder for oral liquid, 80 mL (Evrysdi)
13633M RISDIPLAM, risdiplam 750 microgram/mL powder for oral liquid, 80 mL (Evrysdi)
13654P RISDIPLAM, risdiplam 750 microgram/mL powder for oral liquid, 80 mL (Evrysdi)
9696H ROMIPLOSTIM, romiplostim 250 microgram injection, 1 vial (Nplate)
9698K ROMIPLOSTIM, romiplostim 500 microgram injection, 1 vial (Nplate)
12144E SILDENAFIL, sildenafil 20 mg tablet, 90 (SILDATIO PHT, SILDENAFIL PHT ARX, Sildenafil PHT APOTEX, Sildenafil Sandoz PHT 20)
9547L SILDENAFIL, sildenafil 20 mg tablet, 90 (SILDATIO PHT, SILDENAFIL PHT ARX, Sildenafil PHT APOTEX, Sildenafil Sandoz PHT 20)
11793Q TEDUGLUTIDE, teduglutide 5 mg injection [28 vials] (&) inert substance diluent [28 x 0.5 mL syringes], 1 pack (Revestive)
11794R TEDUGLUTIDE, teduglutide 5 mg injection [28 vials] (&) inert substance diluent [28 x 0.5 mL syringes], 1 pack (Revestive)
10081N TOCILIZUMAB, tocilizumab 80 mg/4 mL injection, 4 mL vial (Actemra)
12775J TOCILIZUMAB, tocilizumab 80 mg/4 mL injection, 4 mL vial (Actemra)
12794J TOCILIZUMAB, tocilizumab 80 mg/4 mL injection, 4 mL vial (Actemra)
9657G TOCILIZUMAB, tocilizumab 80 mg/4 mL injection, 4 mL vial (Actemra)
10058J TOCILIZUMAB, tocilizumab 200 mg/10 mL injection, 10 mL vial (Actemra)
12791F TOCILIZUMAB, tocilizumab 200 mg/10 mL injection, 10 mL vial (Actemra)
12796L TOCILIZUMAB, tocilizumab 200 mg/10 mL injection, 10 mL vial (Actemra)
9658H TOCILIZUMAB, tocilizumab 200 mg/10 mL injection, 10 mL vial (Actemra)
10072D TOCILIZUMAB, tocilizumab 400 mg/20 mL injection, 20 mL vial (Actemra)
12763R TOCILIZUMAB, tocilizumab 400 mg/20 mL injection, 20 mL vial (Actemra)
12802T TOCILIZUMAB, tocilizumab 400 mg/20 mL injection, 20 mL vial (Actemra)
9659J TOCILIZUMAB, tocilizumab 400 mg/20 mL injection, 20 mL vial (Actemra)

Supply Only

Supply Only – Period Commencing

14805F

EDARAVONE, edaravone 30 mg/20 mL injection, 10 x 20 mL ampoules (Radicava)

Advance Notices

1 May 2026

Deletion – Brand

12149K Bosentan Mylan, AF – BOSENTAN, bosentan 125 mg tablet, 60
5619R Bosentan Mylan, AF – BOSENTAN, bosentan 125 mg tablet, 60
10533J Octreotide Depot, TB – OCTREOTIDE, octreotide 20 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack
10543X Octreotide Depot, TB – OCTREOTIDE, octreotide 10 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack
10550G Octreotide Depot, TB – OCTREOTIDE, octreotide 30 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack
11893Y Octreotide Depot, TB – OCTREOTIDE, octreotide 30 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack

Highly Specialised Drugs Program (Community Access)

Additions

Addition – Item

15334C EDARAVONE, edaravone 30 mg/20 mL injection, 10 x 20 mL ampoules (Radicava)

Deletions

Deletion – Brand

10310P Viread, GI – TENOFOVIR DISOPROXIL, tenofovir disoproxil fumarate 300 mg tablet, 30
11992E Viread, GI – TENOFOVIR DISOPROXIL, tenofovir disoproxil fumarate 300 mg tablet, 30

Advance Notices

1 May 2026

Deletion – Brand

11501H Octreotide Depot, TB – OCTREOTIDE, octreotide 10 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack
11512X Octreotide Depot, TB – OCTREOTIDE, octreotide 30 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack
11537F Octreotide Depot, TB – OCTREOTIDE, octreotide 20 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack
11896D Octreotide Depot, TB – OCTREOTIDE, octreotide 30 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack

Botulinum Toxin Program

Additions

Addition – Item

15307P INCOBOTULINUMTOXINA, incobotulinumtoxinA 100 units injection, 1 vial (Xeomin)
15319G INCOBOTULINUMTOXINA, incobotulinumtoxinA 100 units injection, 1 vial (Xeomin)

Growth Hormone Program

Alterations

Alteration – Restriction

13116H MECASERMIN, mecasermin 10 mg/mL injection, 4 mL vial (Increlex)
13119L SOMATROGON, somatrogon 24 mg/1.2 mL injection, 1.2 mL pen device (Ngenla)
13130C SOMATROGON, somatrogon 24 mg/1.2 mL injection, 1.2 mL pen device (Ngenla)
13120M SOMATROGON, somatrogon 60 mg/1.2 mL injection, 1.2 mL pen device (Ngenla)
13125T SOMATROGON, somatrogon 60 mg/1.2 mL injection, 1.2 mL pen device (Ngenla)

Alteration – Manufacturer Code

From To
13116H Increlex – MECASERMIN, mecasermin 10 mg/mL injection, 4 mL vial IS JW

IVF Program

Additions

Addition – Brand

10930G Progesterone BNM 200, BZ – PROGESTERONE, progesterone 200 mg pessary, 42

Addition – Equivalence Indicator

10930G Utrogestan, HB – PROGESTERONE, progesterone 200 mg pessary, 42

Repatriation Pharmaceutical Benefits

Alterations

Alteration – Manufacturer Code

From To
4452H Selsun – SELENIUM SULFIDE, selenium sulfide 2.5% shampoo, 125 mL DQ VZ

Advance Notices

1 May 2026

Deletion – Brand

10177P Colaxsen, AS – DOCUSATE + SENNOSIDE B, docusate sodium 50 mg + sennoside B 8 mg tablet, 90
 

Efficient Funding of Chemotherapy (Private Hospital)

Additions

Addition – Item

15283J DURVALUMAB,
durvalumab 120 mg/2.4 mL injection, 2.4 mL vial (Imfinzi);
durvalumab 500 mg/10 mL injection, 10 mL vial (Imfinzi)
15330W DURVALUMAB,
durvalumab 120 mg/2.4 mL injection, 2.4 mL vial (Imfinzi);
durvalumab 500 mg/10 mL injection, 10 mL vial (Imfinzi)
15277C MOGAMULIZUMAB,
mogamulizumab 20 mg/5 mL injection, 5 mL vial (POTELIGEO)
15306N MOGAMULIZUMAB,
mogamulizumab 20 mg/5 mL injection, 5 mL vial (POTELIGEO)
15210M PEMBROLIZUMAB,
pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda)
15299F PEMBROLIZUMAB,
pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda)
15335D PEMBROLIZUMAB,
pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda)

Addition – Note

11673J INOTUZUMAB OZOGAMICIN,
inotuzumab ozogamicin 1 mg injection, 1 vial (Besponsa)
 

 

Deletions

Deletion – Note

14260M NIVOLUMAB,
nivolumab 40 mg/4 mL injection, 4 mL vial (Opdivo);
nivolumab 100 mg/10 mL injection, 10 mL vial (Opdivo)

Alterations

Alteration – Note

11492W PEMBROLIZUMAB,
pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda)
12121Y PEMBROLIZUMAB,
pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda)
13114F PEMBROLIZUMAB,
pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda)
13645E PEMBROLIZUMAB,
pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda)

Alteration – Restriction

11940K ATEZOLIZUMAB,
atezolizumab 840 mg/14 mL injection, 14 mL vial (Tecentriq)
11309F ATEZOLIZUMAB,
atezolizumab 1.2 g/20 mL injection, 20 mL vial (Tecentriq)
11792P ATEZOLIZUMAB,
atezolizumab 1.2 g/20 mL injection, 20 mL vial (Tecentriq)
11927R ATEZOLIZUMAB,
atezolizumab 1.2 g/20 mL injection, 20 mL vial (Tecentriq)
10172J BRENTUXIMAB VEDOTIN,
brentuximab vedotin 50 mg injection, 1 vial (Adcetris)
11651F BRENTUXIMAB VEDOTIN,
brentuximab vedotin 50 mg injection, 1 vial (Adcetris)
12656D BRENTUXIMAB VEDOTIN,
brentuximab vedotin 50 mg injection, 1 vial (Adcetris)
13160P CEMIPLIMAB,
cemiplimab 350 mg/7 mL injection, 7 mL vial (Libtayo)
13779F DURVALUMAB,
durvalumab 120 mg/2.4 mL injection, 2.4 mL vial (Imfinzi);
durvalumab 500 mg/10 mL injection, 10 mL vial (Imfinzi)
11673J INOTUZUMAB OZOGAMICIN,
inotuzumab ozogamicin 1 mg injection, 1 vial (Besponsa)
14260M NIVOLUMAB,
nivolumab 40 mg/4 mL injection, 4 mL vial (Opdivo);
nivolumab 100 mg/10 mL injection, 10 mL vial (Opdivo)
11492W PEMBROLIZUMAB,
pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda)
12121Y PEMBROLIZUMAB,
pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda)
13114F PEMBROLIZUMAB,
pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda)
13267G PEMBROLIZUMAB,
pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda)
13645E PEMBROLIZUMAB,
pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda)

Alteration – Restriction Level

From To
14260M NIVOLUMAB,
nivolumab 40 mg/4 mL injection, 4 mL vial (Opdivo);
nivolumab 100 mg/10 mL injection, 10 mL vial (Opdivo) 		authority-required streamlined

Efficient Funding of Chemotherapy (Public Hospital)

Additions

Addition – Item

15292W DURVALUMAB,
durvalumab 120 mg/2.4 mL injection, 2.4 mL vial (Imfinzi);
durvalumab 500 mg/10 mL injection, 10 mL vial (Imfinzi)
15324M DURVALUMAB,
durvalumab 120 mg/2.4 mL injection, 2.4 mL vial (Imfinzi);
durvalumab 500 mg/10 mL injection, 10 mL vial (Imfinzi)
15271R MOGAMULIZUMAB,
mogamulizumab 20 mg/5 mL injection, 5 mL vial (POTELIGEO)
15318F MOGAMULIZUMAB,
mogamulizumab 20 mg/5 mL injection, 5 mL vial (POTELIGEO)
15208K PEMBROLIZUMAB,
pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda)
15314B PEMBROLIZUMAB,
pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda)
15329T PEMBROLIZUMAB,
pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda)

Addition – Note

11696N INOTUZUMAB OZOGAMICIN,
inotuzumab ozogamicin 1 mg injection, 1 vial (Besponsa)

Deletions

Deletion – Note

14231B NIVOLUMAB,
nivolumab 40 mg/4 mL injection, 4 mL vial (Opdivo);
nivolumab 100 mg/10 mL injection, 10 mL vial (Opdivo)

Alterations

Alteration – Note

11494Y PEMBROLIZUMAB,
pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda)
12119W PEMBROLIZUMAB,
pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda)
13131D PEMBROLIZUMAB,
pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda)
13635P PEMBROLIZUMAB,
pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda)

Alteration – Restriction

11931Y ATEZOLIZUMAB,
atezolizumab 840 mg/14 mL injection, 14 mL vial (Tecentriq)
11284X ATEZOLIZUMAB,
atezolizumab 1.2 g/20 mL injection, 20 mL vial (Tecentriq)
11807K ATEZOLIZUMAB,
atezolizumab 1.2 g/20 mL injection, 20 mL vial (Tecentriq)
11926Q ATEZOLIZUMAB,
atezolizumab 1.2 g/20 mL injection, 20 mL vial (Tecentriq)
10166C BRENTUXIMAB VEDOTIN,
brentuximab vedotin 50 mg injection, 1 vial (Adcetris)
11660Q BRENTUXIMAB VEDOTIN,
brentuximab vedotin 50 mg injection, 1 vial (Adcetris)
12646N BRENTUXIMAB VEDOTIN,
brentuximab vedotin 50 mg injection, 1 vial (Adcetris)
13169D CEMIPLIMAB,
cemiplimab 350 mg/7 mL injection, 7 mL vial (Libtayo)
13775B DURVALUMAB,
durvalumab 120 mg/2.4 mL injection, 2.4 mL vial (Imfinzi);
durvalumab 500 mg/10 mL injection, 10 mL vial (Imfinzi)
11696N INOTUZUMAB OZOGAMICIN,
inotuzumab ozogamicin 1 mg injection, 1 vial (Besponsa)
14231B NIVOLUMAB,
nivolumab 40 mg/4 mL injection, 4 mL vial (Opdivo);
nivolumab 100 mg/10 mL injection, 10 mL vial (Opdivo)
11494Y PEMBROLIZUMAB,
pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda)
12119W PEMBROLIZUMAB,
pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda)
13131D PEMBROLIZUMAB,
pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda)
13254N PEMBROLIZUMAB,
pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda)
13635P PEMBROLIZUMAB,
pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda)

Alteration – Restriction Level

From To
14231B NIVOLUMAB,
nivolumab 40 mg/4 mL injection, 4 mL vial (Opdivo);
nivolumab 100 mg/10 mL injection, 10 mL vial (Opdivo) 		authority-required streamlined

Related Pharmaceutical Benefits for Public Hospital use

Additions

Addition – Item

15301H ELRANATAMAB, Elranatamab 44 mg/1.1 mL injection, 1.1 mL vial (Elrexfio)
15331X ELRANATAMAB, Elranatamab 76 mg/1.9 mL injection, 1.9 mL vial (Elrexfio)

Addition – Brand

5968D Ondansetron VTRS, AF – ONDANSETRON, ondansetron 8 mg tablet, 4

Deletions

Deletion – Item

5899L GRANISETRON, granisetron 3 mg/3 mL injection, 3 mL ampoule (Kytril)

Deletion – Brand

11103J Emend IV, MK – FOSAPREPITANT, fosaprepitant 150 mg injection, 1 vial

Alterations

Alteration – Restriction

14250B ATEZOLIZUMAB, atezolizumab 1.875 g/15 mL injection, 15 mL vial (Tecentriq SC)
14289C ATEZOLIZUMAB, atezolizumab 1.875 g/15 mL injection, 15 mL vial (Tecentriq SC)
14298M ATEZOLIZUMAB, atezolizumab 1.875 g/15 mL injection, 15 mL vial (Tecentriq SC)
13201T DARATUMUMAB, daratumumab 1.8 g/15 mL injection, 15 mL vial (Darzalex SC)