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Prescriber Bag

Additions

Addition – Brand

13801J Extencilline Benzathine Benzylpenicillin (France), YO – BENZATHINE BENZYLPENICILLIN, benzathine benzylpenicillin 1.2 million units powder for injection [1 vial] (&) inert substance diluent [5 mL vial], 1 pack
12222G UREMIDE 20, AF – FUROSEMIDE, furosemide 20 mg tablet, 50

Addition – Equivalence Indicator

12222G Frusemix-M, TY – FUROSEMIDE, furosemide 20 mg tablet, 50

Alterations

Alteration – Note

11755Q BENZATHINE BENZYLPENICILLIN, benzathine benzylpenicillin tetrahydrate 1.2 million units (1016.6 mg)/2.3 mL injection, 10 x 2.3 mL syringes (Bicillin L-A)
13801J BENZATHINE BENZYLPENICILLIN, benzathine benzylpenicillin 1.2 million units powder for injection [1 vial] (&) inert substance diluent [5 mL vial], 1 pack (Benzylpenicillin Benzathine (Brancaster Pharma, UK), Extencilline Benzathine Benzylpenicillin (France))

Advance Notices

1 July 2024

Deletion – Brand

13801J Benzylpenicillin Benzathine (Brancaster Pharma, UK), OJ – BENZATHINE BENZYLPENICILLIN, benzathine benzylpenicillin 1.2 million units powder for injection [1 vial] (&) inert substance diluent [5 mL vial], 1 pack
 
All items are moving to Supply Only

General Pharmaceutical Benefits

Additions

Addition – Item

14151T BUDESONIDE + FORMOTEROL, budesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 60 actuations (Bufomix Easyhaler 200/6)
14159F BUDESONIDE + FORMOTEROL, budesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 60 actuations (Bufomix Easyhaler 200/6)
14166N BUDESONIDE + FORMOTEROL, budesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 60 actuations (Bufomix Easyhaler 200/6)
14150R DULAGLUTIDE, dulaglutide 1.5 mg/0.5 mL injection, 4 x 0.5 mL pen devices (Trulicity)
14152W INCLISIRAN, inclisiran 284 mg/1.5 mL injection, 1.5 mL syringe (Leqvio)
14160G MEDROXYPROGESTERONE, medroxyprogesterone acetate 150 mg/mL injection, 1 mL syringe (Depo-Provera)
14162J OSIMERTINIB, osimertinib 40 mg tablet, 30 (Tagrisso)
14168Q OSIMERTINIB, osimertinib 80 mg tablet, 30 (Tagrisso)
14146M SECUKINUMAB, secukinumab 150 mg/mL injection, 2 x 1 mL pen devices (Cosentyx)
14154Y SECUKINUMAB, secukinumab 150 mg/mL injection, 2 x 1 mL pen devices (Cosentyx)
14161H SECUKINUMAB, secukinumab 150 mg/mL injection, 2 x 1 mL pen devices (Cosentyx)
14164L SECUKINUMAB, secukinumab 150 mg/mL injection, 2 x 1 mL pen devices (Cosentyx)
14149Q SEMAGLUTIDE, semaglutide 1.34 mg/mL injection, 1 x 1.5 mL pen device (Ozempic)
14163K SEMAGLUTIDE, semaglutide 1.34 mg/mL injection, 1 x 3 mL pen device (Ozempic)

Addition – Brand

13790T Extencilline Benzathine Benzylpenicillin (France), YO – BENZATHINE BENZYLPENICILLIN, benzathine benzylpenicillin 1.2 million units powder for injection [1 vial] (&) inert substance diluent [5 mL vial], 1 pack
13816E Extencilline Benzathine Benzylpenicillin (France), YO – BENZATHINE BENZYLPENICILLIN, benzathine benzylpenicillin 1.2 million units powder for injection [1 vial] (&) inert substance diluent [5 mL vial], 1 pack
13258T Bufomix Easyhaler 400/12, OX – BUDESONIDE + FORMOTEROL, budesonide 400 microgram/actuation + formoterol fumarate dihydrate 12 microgram/actuation powder for inhalation, 60 actuations
5096F DICLOXACILLIN VIATRIS 250, MQ – DICLOXACILLIN, dicloxacillin 250 mg capsule, 24
8121K DICLOXACILLIN VIATRIS 250, MQ – DICLOXACILLIN, dicloxacillin 250 mg capsule, 24
8762E Estradiol Transdermal System (Sandoz, USA), HX – ESTRADIOL, estradiol 37.5 microgram/24 hours patch, 8
8764G Estradiol Transdermal System (Sandoz, USA), HX – ESTRADIOL, estradiol 75 microgram/24 hours patch, 8
8765H Estradiol Transdermal System (Sandoz, USA), HX – ESTRADIOL, estradiol 100 microgram/24 hours patch, 8
13473D UREMIDE 20, AF – FUROSEMIDE, furosemide 20 mg tablet, 100
13501N UREMIDE 20, AF – FUROSEMIDE, furosemide 20 mg tablet, 50
1810G UREMIDE 20, AF – FUROSEMIDE, furosemide 20 mg tablet, 50
2414C UREMIDE 20, AF – FUROSEMIDE, furosemide 20 mg tablet, 100
1622J ARX-Methotrexate, XT – METHOTREXATE, methotrexate 2.5 mg tablet, 30
1623K ARX-Methotrexate, XT – METHOTREXATE, methotrexate 10 mg tablet, 50
2272N ARX-Methotrexate, XT – METHOTREXATE, methotrexate 10 mg tablet, 15
8187X APO-OLANZAPINE, TX – OLANZAPINE, olanzapine 10 mg tablet, 28
1594X Ondansetron Tablets Viatris, AL – ONDANSETRON, ondansetron 4 mg tablet, 10
8224W Ondansetron Tablets Viatris, AL – ONDANSETRON, ondansetron 4 mg tablet, 4
1595Y Ondansetron Tablets Viatris, AL – ONDANSETRON, ondansetron 8 mg tablet, 10
5471Y Ondansetron ODT Viatris, AL – ONDANSETRON, ondansetron 8 mg orally disintegrating tablet, 4
5473C Ondansetron ODT Viatris, AL – ONDANSETRON, ondansetron 8 mg orally disintegrating tablet, 10
8225X Ondansetron Tablets Viatris, AL – ONDANSETRON, ondansetron 8 mg tablet, 4
13494F Perindopril Arginine Sandoz, SZ – PERINDOPRIL, perindopril arginine 2.5 mg tablet, 30
9006B Perindopril Arginine Sandoz, SZ – PERINDOPRIL, perindopril arginine 2.5 mg tablet, 30
13585B Perindopril Arginine Sandoz, SZ – PERINDOPRIL, perindopril arginine 5 mg tablet, 30
9007C Perindopril Arginine Sandoz, SZ – PERINDOPRIL, perindopril arginine 5 mg tablet, 30
13555K Perindopril Arginine Sandoz, SZ – PERINDOPRIL, perindopril arginine 10 mg tablet, 30
9008D Perindopril Arginine Sandoz, SZ – PERINDOPRIL, perindopril arginine 10 mg tablet, 30
9202H Quetiapine Sandoz XR, SZ – QUETIAPINE, quetiapine 50 mg modified release tablet, 60
5458G Quetiapine Sandoz XR, SZ – QUETIAPINE, quetiapine 150 mg modified release tablet, 60
9203J Quetiapine Sandoz XR, SZ – QUETIAPINE, quetiapine 200 mg modified release tablet, 60
9204K Quetiapine Sandoz XR, SZ – QUETIAPINE, quetiapine 300 mg modified release tablet, 60
9205L Quetiapine Sandoz XR, SZ – QUETIAPINE, quetiapine 400 mg modified release tablet, 60
13466R Ramipril Viatris, AL – RAMIPRIL, ramipril 2.5 mg tablet, 30
1945J Ramipril Viatris, AL – RAMIPRIL, ramipril 2.5 mg tablet, 30
13586C APO-ROSUVASTATIN, TX – ROSUVASTATIN, rosuvastatin 10 mg tablet, 30
2628H APO-ROSUVASTATIN, TX – ROSUVASTATIN, rosuvastatin 10 mg tablet, 30
8144P IMIGRAN MIGRAINE, AS – SUMATRIPTAN, sumatriptan 50 mg tablet, 2
10205D Testosterone ADVZ 1000, BZ – TESTOSTERONE UNDECANOATE, testosterone undecanoate 1 g/4 mL modified release injection, 4 mL vial

Addition – Equivalence Indicator

8762E Estradot 37.5, SZ – ESTRADIOL, estradiol 37.5 microgram/24 hours patch, 8
8764G Estradot 75, SZ – ESTRADIOL, estradiol 75 microgram/24 hours patch, 8
8765H Estradot 100, SZ – ESTRADIOL, estradiol 100 microgram/24 hours patch, 8
10205D Reandron 1000, BN – TESTOSTERONE UNDECANOATE, testosterone undecanoate 1 g/4 mL modified release injection, 4 mL vial

Addition – Note

13221W ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices (Adalicip, Yuflyma)
12330Y ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices (Amgevita, Hadlima, Hyrimoz, Idacio)
3118D MEDROXYPROGESTERONE, medroxyprogesterone acetate 150 mg/mL injection, 1 mL vial (Depo-Provera, Depo-Ralovera)

Deletions

Deletion – Brand

13858J Arimidex, AP – ANASTROZOLE, anastrozole 1 mg tablet, 30
8179L Arimidex, AP – ANASTROZOLE, anastrozole 1 mg tablet, 30
8315P Omegapharm Pty Ltd, OE – CEFEPIME, cefepime 1 g injection, 1 vial
8316Q Omegapharm Pty Ltd, OE – CEFEPIME, cefepime 2 g injection, 1 vial
12114N Ceftriaxone Alphapharm, AF – CEFTRIAXONE, ceftriaxone 1 g injection, 10 vials
1788D Ceftriaxone Alphapharm, AF – CEFTRIAXONE, ceftriaxone 1 g injection, 5 vials
1357K Dosulepin Mylan, AL – DOSULEPIN (DOTHIEPIN), dosulepin (dothiepin) hydrochloride 25 mg capsule, 50
13369P Enalapril generichealth, GQ – ENALAPRIL, enalapril maleate 5 mg tablet, 30
1370D Enalapril generichealth, GQ – ENALAPRIL, enalapril maleate 5 mg tablet, 30
13465Q Enalapril generichealth, GQ – ENALAPRIL, enalapril maleate 10 mg tablet, 30
1368B Enalapril generichealth, GQ – ENALAPRIL, enalapril maleate 10 mg tablet, 30
14000W Noumed Mycophenolate, VO – MYCOPHENOLATE, mycophenolate mofetil 500 mg tablet, 50
8650G Noumed Mycophenolate, VO – MYCOPHENOLATE, mycophenolate mofetil 500 mg tablet, 50
8370M ARX-NALTREXONE, XT – NALTREXONE, naltrexone hydrochloride 50 mg tablet, 30
13568D Nebivolol Viatris, AL – NEBIVOLOL, nebivolol 1.25 mg tablet, 28
9316H Nebivolol Viatris, AL – NEBIVOLOL, nebivolol 1.25 mg tablet, 28
13441K Nebivolol Viatris, AL – NEBIVOLOL, nebivolol 10 mg tablet, 28
9312D Nebivolol Viatris, AL – NEBIVOLOL, nebivolol 10 mg tablet, 28
13921Q NOUMED PIOGLITAZONE, VO – PIOGLITAZONE, pioglitazone 30 mg tablet, 28
13921Q Pioglitazone Sandoz, SZ – PIOGLITAZONE, pioglitazone 30 mg tablet, 28
8695P NOUMED PIOGLITAZONE, VO – PIOGLITAZONE, pioglitazone 30 mg tablet, 28
8695P Pioglitazone Sandoz, SZ – PIOGLITAZONE, pioglitazone 30 mg tablet, 28
14057W NOUMED PIOGLITAZONE, VO – PIOGLITAZONE, pioglitazone 45 mg tablet, 28
14057W Pioglitazone Sandoz, SZ – PIOGLITAZONE, pioglitazone 45 mg tablet, 28
8696Q NOUMED PIOGLITAZONE, VO – PIOGLITAZONE, pioglitazone 45 mg tablet, 28
8696Q Pioglitazone Sandoz, SZ – PIOGLITAZONE, pioglitazone 45 mg tablet, 28
13406N Noumed Rosuvastatin, VO – ROSUVASTATIN, rosuvastatin 5 mg tablet, 30
2606E Noumed Rosuvastatin, VO – ROSUVASTATIN, rosuvastatin 5 mg tablet, 30
13586C Noumed Rosuvastatin, VO – ROSUVASTATIN, rosuvastatin 10 mg tablet, 30
2628H Noumed Rosuvastatin, VO – ROSUVASTATIN, rosuvastatin 10 mg tablet, 30
13588E Noumed Rosuvastatin, VO – ROSUVASTATIN, rosuvastatin 20 mg tablet, 30
2574L Noumed Rosuvastatin, VO – ROSUVASTATIN, rosuvastatin 20 mg tablet, 30
13589F Noumed Rosuvastatin, VO – ROSUVASTATIN, rosuvastatin 40 mg tablet, 30
2594M Noumed Rosuvastatin, VO – ROSUVASTATIN, rosuvastatin 40 mg tablet, 30
5480K NOUMED VALACICLOVIR, VO – VALACICLOVIR, valaciclovir 500 mg tablet, 30
8134D NOUMED VALACICLOVIR, VO – VALACICLOVIR, valaciclovir 500 mg tablet, 30

Deletion – Equivalence Indicator

8315P Cefepime Kabi, PK – CEFEPIME, cefepime 1 g injection, 1 vial
8316Q Cefepime Kabi, PK – CEFEPIME, cefepime 2 g injection, 1 vial
8370M Naltrexone GH, GQ – NALTREXONE, naltrexone hydrochloride 50 mg tablet, 30

Deletion – Note

14101E INCLISIRAN, inclisiran 284 mg/1.5 mL injection, 1.5 mL syringe (Leqvio)
13252L LENVATINIB, lenvatinib 4 mg capsule, 30 (Lenvima)
13253M LENVATINIB, lenvatinib 10 mg capsule, 30 (Lenvima)
13269J OZANIMOD, ozanimod 920 microgram capsule, 28 (Zeposia)
11416W PEGINTERFERON ALFA-2A, peginterferon alfa-2a 135 microgram/0.5 mL injection, 4 x 0.5 mL syringes (Pegasys)
11037X PEGINTERFERON ALFA-2A, peginterferon alfa-2a 180 microgram/0.5 mL injection, 4 x 0.5 mL syringes (Pegasys)
13898L PIOGLITAZONE, pioglitazone 15 mg tablet, 28 (APOTEX-Pioglitazone, Acpio 15, Actaze, Actos, Vexazone)
8694N PIOGLITAZONE, pioglitazone 15 mg tablet, 28 (APOTEX-Pioglitazone, Acpio 15, Actaze, Actos, Vexazone)
13921Q PIOGLITAZONE, pioglitazone 30 mg tablet, 28 (APOTEX-Pioglitazone, Acpio 30, Actaze, Actos, Vexazone)
8695P PIOGLITAZONE, pioglitazone 30 mg tablet, 28 (APOTEX-Pioglitazone, Acpio 30, Actaze, Actos, Vexazone)
14057W PIOGLITAZONE, pioglitazone 45 mg tablet, 28 (APOTEX-Pioglitazone, Acpio 45, Actaze, Actos, Vexazone)
8696Q PIOGLITAZONE, pioglitazone 45 mg tablet, 28 (APOTEX-Pioglitazone, Acpio 45, Actaze, Actos, Vexazone)
13241X RUXOLITINIB, ruxolitinib 5 mg tablet, 56 (Jakavi)
13235N RUXOLITINIB, ruxolitinib 10 mg tablet, 56 (Jakavi)
13250J UPADACITINIB, upadacitinib 15 mg modified release tablet, 28 (Rinvoq)
13249H UPADACITINIB, upadacitinib 30 mg modified release tablet, 28 (Rinvoq)
13261Y USTEKINUMAB, ustekinumab 90 mg/mL injection, 1 mL syringe (Stelara)
13275Q VOSORITIDE, vosoritide 400 microgram injection [10 vials] (&) inert substance diluent [10 x 0.5 mL syringes], 1 pack (Voxzogo)
13274P VOSORITIDE, vosoritide 560 microgram injection [10 vials] (&) inert substance diluent [10 x 0.7 mL syringes], 1 pack (Voxzogo)
13270K VOSORITIDE, vosoritide 1.2 mg injection [10 vials] (&) inert substance diluent [10 x 0.6 mL syringes], 1 pack (Voxzogo)

Deletion – Restriction

13252L LENVATINIB, lenvatinib 4 mg capsule, 30 (Lenvima)
13253M LENVATINIB, lenvatinib 10 mg capsule, 30 (Lenvima)
13269J OZANIMOD, ozanimod 920 microgram capsule, 28 (Zeposia)
13241X RUXOLITINIB, ruxolitinib 5 mg tablet, 56 (Jakavi)
13235N RUXOLITINIB, ruxolitinib 10 mg tablet, 56 (Jakavi)
13250J UPADACITINIB, upadacitinib 15 mg modified release tablet, 28 (Rinvoq)
13249H UPADACITINIB, upadacitinib 30 mg modified release tablet, 28 (Rinvoq)
13261Y USTEKINUMAB, ustekinumab 90 mg/mL injection, 1 mL syringe (Stelara)
13275Q VOSORITIDE, vosoritide 400 microgram injection [10 vials] (&) inert substance diluent [10 x 0.5 mL syringes], 1 pack (Voxzogo)
13274P VOSORITIDE, vosoritide 560 microgram injection [10 vials] (&) inert substance diluent [10 x 0.7 mL syringes], 1 pack (Voxzogo)
13270K VOSORITIDE, vosoritide 1.2 mg injection [10 vials] (&) inert substance diluent [10 x 0.6 mL syringes], 1 pack (Voxzogo)

Alterations

Alteration – Authorised Prescriber

From To
11269D EMPAGLIFLOZIN + LINAGLIPTIN, empagliflozin 10 mg + linagliptin 5 mg tablet, 30 (Glyxambi) M M,N
11303X EMPAGLIFLOZIN + LINAGLIPTIN, empagliflozin 25 mg + linagliptin 5 mg tablet, 30 (Glyxambi) M M,N
11286B SAXAGLIPTIN + DAPAGLIFLOZIN, saxagliptin 5 mg + dapagliflozin 10 mg tablet, 28 (Qtern 5/10) M M,N

Alteration – Note

12414J ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices (Adalicip, Humira, Yuflyma)
12454L ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices (Adalicip, Humira, Yuflyma)
12356H ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices (Amgevita, Hadlima, Hyrimoz, Idacio)
12369B ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices (Amgevita, Hadlima, Hyrimoz, Idacio)
12408C ADALIMUMAB, adalimumab 80 mg/0.8 mL injection, 0.8 mL syringe (Humira)
12448E ADALIMUMAB, adalimumab 80 mg/0.8 mL injection, 0.8 mL pen device (Humira)
12450G ADALIMUMAB, adalimumab 80 mg/0.8 mL injection, 0.8 mL pen device (Humira)
12524E ADALIMUMAB, adalimumab 80 mg/0.8 mL injection, 0.8 mL syringe (Humira)
13897K ALOGLIPTIN, alogliptin 6.25 mg tablet, 28 (Nesina)
2944Y ALOGLIPTIN, alogliptin 6.25 mg tablet, 28 (Nesina)
13977P ALOGLIPTIN, alogliptin 12.5 mg tablet, 28 (Nesina)
2933J ALOGLIPTIN, alogliptin 12.5 mg tablet, 28 (Nesina)
13953J ALOGLIPTIN, alogliptin 25 mg tablet, 28 (Nesina)
2986E ALOGLIPTIN, alogliptin 25 mg tablet, 28 (Nesina)
10035E ALOGLIPTIN + METFORMIN, alogliptin 12.5 mg + metformin hydrochloride 1 g tablet, 56 (Nesina Met 12.5/1000)
13989G ALOGLIPTIN + METFORMIN, alogliptin 12.5 mg + metformin hydrochloride 1 g tablet, 56 (Nesina Met 12.5/1000)
10033C ALOGLIPTIN + METFORMIN, alogliptin 12.5 mg + metformin hydrochloride 500 mg tablet, 56 (Nesina Met 12.5/500)
14062D ALOGLIPTIN + METFORMIN, alogliptin 12.5 mg + metformin hydrochloride 500 mg tablet, 56 (Nesina Met 12.5/500)
10032B ALOGLIPTIN + METFORMIN, alogliptin 12.5 mg + metformin hydrochloride 850 mg tablet, 56 (Nesina Met 12.5/850)
14061C ALOGLIPTIN + METFORMIN, alogliptin 12.5 mg + metformin hydrochloride 850 mg tablet, 56 (Nesina Met 12.5/850)
2267H BENZATHINE BENZYLPENICILLIN, benzathine benzylpenicillin tetrahydrate 1.2 million units (1016.6 mg)/2.3 mL injection, 10 x 2.3 mL syringes (Bicillin L-A)
5027N BENZATHINE BENZYLPENICILLIN, benzathine benzylpenicillin tetrahydrate 1.2 million units (1016.6 mg)/2.3 mL injection, 10 x 2.3 mL syringes (Bicillin L-A)
13790T BENZATHINE BENZYLPENICILLIN, benzathine benzylpenicillin 1.2 million units powder for injection [1 vial] (&) inert substance diluent [5 mL vial], 1 pack (Benzylpenicillin Benzathine (Brancaster Pharma, UK), Extencilline Benzathine Benzylpenicillin (France))
13816E BENZATHINE BENZYLPENICILLIN, benzathine benzylpenicillin 1.2 million units powder for injection [1 vial] (&) inert substance diluent [5 mL vial], 1 pack (Benzylpenicillin Benzathine (Brancaster Pharma, UK), Extencilline Benzathine Benzylpenicillin (France))
10011X DAPAGLIFLOZIN, dapagliflozin 10 mg tablet, 28 (Forxiga)
13844P DAPAGLIFLOZIN, dapagliflozin 10 mg tablet, 28 (Forxiga)
10510E DAPAGLIFLOZIN + METFORMIN, dapagliflozin 5 mg + metformin hydrochloride 1 g modified release tablet, 56 (Xigduo XR 5/1000)
13851B DAPAGLIFLOZIN + METFORMIN, dapagliflozin 5 mg + metformin hydrochloride 1 g modified release tablet, 56 (Xigduo XR 5/1000)
10516L DAPAGLIFLOZIN + METFORMIN, dapagliflozin 10 mg + metformin hydrochloride 500 mg modified release tablet, 28 (Xigduo XR 10/500)
14028H DAPAGLIFLOZIN + METFORMIN, dapagliflozin 10 mg + metformin hydrochloride 500 mg modified release tablet, 28 (Xigduo XR 10/500)
10515K DAPAGLIFLOZIN + METFORMIN, dapagliflozin 10 mg + metformin hydrochloride 1 g modified release tablet, 28 (Xigduo XR 10/1000)
13875G DAPAGLIFLOZIN + METFORMIN, dapagliflozin 10 mg + metformin hydrochloride 1 g modified release tablet, 28 (Xigduo XR 10/1000)
11364D DULAGLUTIDE, dulaglutide 1.5 mg/0.5 mL injection, 4 x 0.5 mL pen devices (Trulicity)
10206E EMPAGLIFLOZIN, empagliflozin 10 mg tablet, 30 (Jardiance)
13845Q EMPAGLIFLOZIN, empagliflozin 10 mg tablet, 30 (Jardiance)
10202Y EMPAGLIFLOZIN, empagliflozin 25 mg tablet, 30 (Jardiance)
13920P EMPAGLIFLOZIN, empagliflozin 25 mg tablet, 30 (Jardiance)
11269D EMPAGLIFLOZIN + LINAGLIPTIN, empagliflozin 10 mg + linagliptin 5 mg tablet, 30 (Glyxambi)
13904T EMPAGLIFLOZIN + LINAGLIPTIN, empagliflozin 10 mg + linagliptin 5 mg tablet, 30 (Glyxambi)
11303X EMPAGLIFLOZIN + LINAGLIPTIN, empagliflozin 25 mg + linagliptin 5 mg tablet, 30 (Glyxambi)
13958P EMPAGLIFLOZIN + LINAGLIPTIN, empagliflozin 25 mg + linagliptin 5 mg tablet, 30 (Glyxambi)
10627H EMPAGLIFLOZIN + METFORMIN, empagliflozin 5 mg + metformin hydrochloride 1 g tablet, 60 (Jardiamet 5 mg/1000 mg)
13852C EMPAGLIFLOZIN + METFORMIN, empagliflozin 5 mg + metformin hydrochloride 1 g tablet, 60 (Jardiamet 5 mg/1000 mg)
10626G EMPAGLIFLOZIN + METFORMIN, empagliflozin 5 mg + metformin hydrochloride 500 mg tablet, 60 (Jardiamet 5 mg/500 mg)
14029J EMPAGLIFLOZIN + METFORMIN, empagliflozin 5 mg + metformin hydrochloride 500 mg tablet, 60 (Jardiamet 5 mg/500 mg)
10677Y EMPAGLIFLOZIN + METFORMIN, empagliflozin 12.5 mg + metformin hydrochloride 1 g tablet, 60 (Jardiamet 12.5 mg/1000 mg)
13987E EMPAGLIFLOZIN + METFORMIN, empagliflozin 12.5 mg + metformin hydrochloride 1 g tablet, 60 (Jardiamet 12.5 mg/1000 mg)
10633P EMPAGLIFLOZIN + METFORMIN, empagliflozin 12.5 mg + metformin hydrochloride 500 mg tablet, 60 (Jardiamet 12.5 mg/500 mg)
13903R EMPAGLIFLOZIN + METFORMIN, empagliflozin 12.5 mg + metformin hydrochloride 500 mg tablet, 60 (Jardiamet 12.5 mg/500 mg)
14087K INCLISIRAN, inclisiran 284 mg/1.5 mL injection, 1.5 mL syringe (Leqvio)
13954K LINAGLIPTIN, linagliptin 5 mg tablet, 30 (Trajenta)
3387G LINAGLIPTIN, linagliptin 5 mg tablet, 30 (Trajenta)
10038H LINAGLIPTIN + METFORMIN, linagliptin 2.5 mg + metformin hydrochloride 500 mg tablet, 60 (Trajentamet)
13959Q LINAGLIPTIN + METFORMIN, linagliptin 2.5 mg + metformin hydrochloride 500 mg tablet, 60 (Trajentamet)
10045Q LINAGLIPTIN + METFORMIN, linagliptin 2.5 mg + metformin hydrochloride 850 mg tablet, 60 (Trajentamet)
14065G LINAGLIPTIN + METFORMIN, linagliptin 2.5 mg + metformin hydrochloride 850 mg tablet, 60 (Trajentamet)
10044P LINAGLIPTIN + METFORMIN, linagliptin 2.5 mg + metformin hydrochloride 1 g tablet, 60 (Trajentamet)
13879L LINAGLIPTIN + METFORMIN, linagliptin 2.5 mg + metformin hydrochloride 1 g tablet, 60 (Trajentamet)
11620N OSIMERTINIB, osimertinib 40 mg tablet, 30 (Tagrisso)
12233W OSIMERTINIB, osimertinib 40 mg tablet, 30 (Tagrisso)
11622Q OSIMERTINIB, osimertinib 80 mg tablet, 30 (Tagrisso)
12232T OSIMERTINIB, osimertinib 80 mg tablet, 30 (Tagrisso)
10128C SAXAGLIPTIN, saxagliptin 2.5 mg tablet, 28 (Onglyza)
13895H SAXAGLIPTIN, saxagliptin 2.5 mg tablet, 28 (Onglyza)
13923T SAXAGLIPTIN, saxagliptin 5 mg tablet, 28 (Onglyza)
8983T SAXAGLIPTIN, saxagliptin 5 mg tablet, 28 (Onglyza)
11286B SAXAGLIPTIN + DAPAGLIFLOZIN, saxagliptin 5 mg + dapagliflozin 10 mg tablet, 28 (Qtern 5/10)
13855F SAXAGLIPTIN + DAPAGLIFLOZIN, saxagliptin 5 mg + dapagliflozin 10 mg tablet, 28 (Qtern 5/10)
10048W SAXAGLIPTIN + METFORMIN, saxagliptin 2.5 mg + metformin hydrochloride 1 g modified release tablet, 56 (Kombiglyze XR 2.5/1000)
13880M SAXAGLIPTIN + METFORMIN, saxagliptin 2.5 mg + metformin hydrochloride 1 g modified release tablet, 56 (Kombiglyze XR 2.5/1000)
10055F SAXAGLIPTIN + METFORMIN, saxagliptin 5 mg + metformin hydrochloride 500 mg modified release tablet, 28 (Kombiglyze XR 5/500)
14030K SAXAGLIPTIN + METFORMIN, saxagliptin 5 mg + metformin hydrochloride 500 mg modified release tablet, 28 (Kombiglyze XR 5/500)
10051B SAXAGLIPTIN + METFORMIN, saxagliptin 5 mg + metformin hydrochloride 1 g modified release tablet, 28 (Kombiglyze XR 5/1000)
13876H SAXAGLIPTIN + METFORMIN, saxagliptin 5 mg + metformin hydrochloride 1 g modified release tablet, 28 (Kombiglyze XR 5/1000)
12080T SEMAGLUTIDE, semaglutide 1.34 mg/mL injection, 1 x 1.5 mL pen device (Ozempic)
12075M SEMAGLUTIDE, semaglutide 1.34 mg/mL injection, 1 x 3 mL pen device (Ozempic)
14021Y SITAGLIPTIN, sitagliptin 25 mg tablet, 28 (Januvia, Sitagliptin Lupin, Sitagliptin SUN, Sitagliptin Sandoz Pharma, Sitaglo, Xelevia)
9180E SITAGLIPTIN, sitagliptin 25 mg tablet, 28 (Januvia, Sitagliptin Lupin, Sitagliptin SUN, Sitagliptin Sandoz Pharma, Sitaglo, Xelevia)
14058X SITAGLIPTIN, sitagliptin 50 mg tablet, 28 (Januvia, Sitagliptin Lupin, Sitagliptin SUN, Sitagliptin Sandoz Pharma, Sitaglo, Xelevia)
9181F SITAGLIPTIN, sitagliptin 50 mg tablet, 28 (Januvia, Sitagliptin Lupin, Sitagliptin SUN, Sitagliptin Sandoz Pharma, Sitaglo, Xelevia)
13871C SITAGLIPTIN, sitagliptin 100 mg tablet, 28 (Januvia, Sitagliptin Lupin, Sitagliptin SUN, Sitagliptin Sandoz Pharma, Sitaglo, Xelevia)
9182G SITAGLIPTIN, sitagliptin 100 mg tablet, 28 (Januvia, Sitagliptin Lupin, Sitagliptin SUN, Sitagliptin Sandoz Pharma, Sitaglo, Xelevia)
13994M SITAGLIPTIN + METFORMIN, sitagliptin 50 mg + metformin hydrochloride 500 mg tablet, 56 (Janumet, SITAGLIPTIN/METFORMIN 50/500 SUN, Sitagliptin/Metformin Sandoz, Velmetia)
9449H SITAGLIPTIN + METFORMIN, sitagliptin 50 mg + metformin hydrochloride 500 mg tablet, 56 (Janumet, SITAGLIPTIN/METFORMIN 50/500 SUN, Sitagliptin/Metformin Sandoz, Velmetia)
14064F SITAGLIPTIN + METFORMIN, sitagliptin 50 mg + metformin hydrochloride 850 mg tablet, 56 (Janumet, SITAGLIPTIN/METFORMIN 50/850 SUN, Sitagliptin/Metformin Sandoz, Velmetia)
9450J SITAGLIPTIN + METFORMIN, sitagliptin 50 mg + metformin hydrochloride 850 mg tablet, 56 (Janumet, SITAGLIPTIN/METFORMIN 50/850 SUN, Sitagliptin/Metformin Sandoz, Velmetia)
10090C SITAGLIPTIN + METFORMIN, sitagliptin 50 mg + metformin hydrochloride 1 g modified release tablet, 56 (Janumet XR, Sitagliptin/Metformin Sandoz XR)
13990H SITAGLIPTIN + METFORMIN, sitagliptin 50 mg + metformin hydrochloride 1 g modified release tablet, 56 (Janumet XR, Sitagliptin/Metformin Sandoz XR)
14035Q SITAGLIPTIN + METFORMIN, sitagliptin 50 mg + metformin hydrochloride 1 g tablet, 56 (Janumet, SITAGLIPTIN/METFORMIN 50/1000 SUN, Sitagliptin/Metformin Sandoz, Velmetia)
9451K SITAGLIPTIN + METFORMIN, sitagliptin 50 mg + metformin hydrochloride 1 g tablet, 56 (Janumet, SITAGLIPTIN/METFORMIN 50/1000 SUN, Sitagliptin/Metformin Sandoz, Velmetia)
10089B SITAGLIPTIN + METFORMIN, sitagliptin 100 mg + metformin hydrochloride 1 g tablet: modified release, 28 (Janumet XR, Sitagliptin/Metformin Sandoz XR)
14031L SITAGLIPTIN + METFORMIN, sitagliptin 100 mg + metformin hydrochloride 1 g tablet: modified release, 28 (Janumet XR, Sitagliptin/Metformin Sandoz XR)
13846R VILDAGLIPTIN, vildagliptin 50 mg tablet, 60 (Galvus)
3415R VILDAGLIPTIN, vildagliptin 50 mg tablet, 60 (Galvus)
13877J VILDAGLIPTIN + METFORMIN, vildagliptin 50 mg + metformin hydrochloride 500 mg tablet, 60 (Galvumet 50/500)
5474D VILDAGLIPTIN + METFORMIN, vildagliptin 50 mg + metformin hydrochloride 500 mg tablet, 60 (Galvumet 50/500)
13991J VILDAGLIPTIN + METFORMIN, vildagliptin 50 mg + metformin hydrochloride 850 mg tablet, 60 (Galvumet 50/850)
5475E VILDAGLIPTIN + METFORMIN, vildagliptin 50 mg + metformin hydrochloride 850 mg tablet, 60 (Galvumet 50/850)
14032M VILDAGLIPTIN + METFORMIN, vildagliptin 50 mg + metformin hydrochloride 1 g tablet, 60 (Galvumet 50/1000)
5476F VILDAGLIPTIN + METFORMIN, vildagliptin 50 mg + metformin hydrochloride 1 g tablet, 60 (Galvumet 50/1000)

Alteration – Restriction

12454L ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices (Adalicip, Humira, Yuflyma)
12356H ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices (Amgevita, Hadlima, Hyrimoz, Idacio)
12450G ADALIMUMAB, adalimumab 80 mg/0.8 mL injection, 0.8 mL pen device (Humira)
12524E ADALIMUMAB, adalimumab 80 mg/0.8 mL injection, 0.8 mL syringe (Humira)
13897K ALOGLIPTIN, alogliptin 6.25 mg tablet, 28 (Nesina)
2944Y ALOGLIPTIN, alogliptin 6.25 mg tablet, 28 (Nesina)
13977P ALOGLIPTIN, alogliptin 12.5 mg tablet, 28 (Nesina)
2933J ALOGLIPTIN, alogliptin 12.5 mg tablet, 28 (Nesina)
13953J ALOGLIPTIN, alogliptin 25 mg tablet, 28 (Nesina)
2986E ALOGLIPTIN, alogliptin 25 mg tablet, 28 (Nesina)
10035E ALOGLIPTIN + METFORMIN, alogliptin 12.5 mg + metformin hydrochloride 1 g tablet, 56 (Nesina Met 12.5/1000)
13989G ALOGLIPTIN + METFORMIN, alogliptin 12.5 mg + metformin hydrochloride 1 g tablet, 56 (Nesina Met 12.5/1000)
10033C ALOGLIPTIN + METFORMIN, alogliptin 12.5 mg + metformin hydrochloride 500 mg tablet, 56 (Nesina Met 12.5/500)
14062D ALOGLIPTIN + METFORMIN, alogliptin 12.5 mg + metformin hydrochloride 500 mg tablet, 56 (Nesina Met 12.5/500)
10032B ALOGLIPTIN + METFORMIN, alogliptin 12.5 mg + metformin hydrochloride 850 mg tablet, 56 (Nesina Met 12.5/850)
14061C ALOGLIPTIN + METFORMIN, alogliptin 12.5 mg + metformin hydrochloride 850 mg tablet, 56 (Nesina Met 12.5/850)
12218C APREMILAST, apremilast 10 mg tablet [4] (&) apremilast 20 mg tablet [4] (&) apremilast 30 mg tablet [19], 27 (Otezla)
12223H APREMILAST, apremilast 30 mg tablet, 56 (Otezla)
10011X DAPAGLIFLOZIN, dapagliflozin 10 mg tablet, 28 (Forxiga)
13844P DAPAGLIFLOZIN, dapagliflozin 10 mg tablet, 28 (Forxiga)
10510E DAPAGLIFLOZIN + METFORMIN, dapagliflozin 5 mg + metformin hydrochloride 1 g modified release tablet, 56 (Xigduo XR 5/1000)
13851B DAPAGLIFLOZIN + METFORMIN, dapagliflozin 5 mg + metformin hydrochloride 1 g modified release tablet, 56 (Xigduo XR 5/1000)
10516L DAPAGLIFLOZIN + METFORMIN, dapagliflozin 10 mg + metformin hydrochloride 500 mg modified release tablet, 28 (Xigduo XR 10/500)
14028H DAPAGLIFLOZIN + METFORMIN, dapagliflozin 10 mg + metformin hydrochloride 500 mg modified release tablet, 28 (Xigduo XR 10/500)
10515K DAPAGLIFLOZIN + METFORMIN, dapagliflozin 10 mg + metformin hydrochloride 1 g modified release tablet, 28 (Xigduo XR 10/1000)
13875G DAPAGLIFLOZIN + METFORMIN, dapagliflozin 10 mg + metformin hydrochloride 1 g modified release tablet, 28 (Xigduo XR 10/1000)
13649J DEUCRAVACITINIB, deucravacitinib 6 mg tablet, 28 (Sotyktu)
11364D DULAGLUTIDE, dulaglutide 1.5 mg/0.5 mL injection, 4 x 0.5 mL pen devices (Trulicity)
10206E EMPAGLIFLOZIN, empagliflozin 10 mg tablet, 30 (Jardiance)
13845Q EMPAGLIFLOZIN, empagliflozin 10 mg tablet, 30 (Jardiance)
10202Y EMPAGLIFLOZIN, empagliflozin 25 mg tablet, 30 (Jardiance)
13920P EMPAGLIFLOZIN, empagliflozin 25 mg tablet, 30 (Jardiance)
11269D EMPAGLIFLOZIN + LINAGLIPTIN, empagliflozin 10 mg + linagliptin 5 mg tablet, 30 (Glyxambi)
13904T EMPAGLIFLOZIN + LINAGLIPTIN, empagliflozin 10 mg + linagliptin 5 mg tablet, 30 (Glyxambi)
11303X EMPAGLIFLOZIN + LINAGLIPTIN, empagliflozin 25 mg + linagliptin 5 mg tablet, 30 (Glyxambi)
13958P EMPAGLIFLOZIN + LINAGLIPTIN, empagliflozin 25 mg + linagliptin 5 mg tablet, 30 (Glyxambi)
10627H EMPAGLIFLOZIN + METFORMIN, empagliflozin 5 mg + metformin hydrochloride 1 g tablet, 60 (Jardiamet 5 mg/1000 mg)
13852C EMPAGLIFLOZIN + METFORMIN, empagliflozin 5 mg + metformin hydrochloride 1 g tablet, 60 (Jardiamet 5 mg/1000 mg)
10626G EMPAGLIFLOZIN + METFORMIN, empagliflozin 5 mg + metformin hydrochloride 500 mg tablet, 60 (Jardiamet 5 mg/500 mg)
14029J EMPAGLIFLOZIN + METFORMIN, empagliflozin 5 mg + metformin hydrochloride 500 mg tablet, 60 (Jardiamet 5 mg/500 mg)
10677Y EMPAGLIFLOZIN + METFORMIN, empagliflozin 12.5 mg + metformin hydrochloride 1 g tablet, 60 (Jardiamet 12.5 mg/1000 mg)
13987E EMPAGLIFLOZIN + METFORMIN, empagliflozin 12.5 mg + metformin hydrochloride 1 g tablet, 60 (Jardiamet 12.5 mg/1000 mg)
10633P EMPAGLIFLOZIN + METFORMIN, empagliflozin 12.5 mg + metformin hydrochloride 500 mg tablet, 60 (Jardiamet 12.5 mg/500 mg)
13903R EMPAGLIFLOZIN + METFORMIN, empagliflozin 12.5 mg + metformin hydrochloride 500 mg tablet, 60 (Jardiamet 12.5 mg/500 mg)
14101E INCLISIRAN, inclisiran 284 mg/1.5 mL injection, 1.5 mL syringe (Leqvio)
13954K LINAGLIPTIN, linagliptin 5 mg tablet, 30 (Trajenta)
3387G LINAGLIPTIN, linagliptin 5 mg tablet, 30 (Trajenta)
10038H LINAGLIPTIN + METFORMIN, linagliptin 2.5 mg + metformin hydrochloride 500 mg tablet, 60 (Trajentamet)
13959Q LINAGLIPTIN + METFORMIN, linagliptin 2.5 mg + metformin hydrochloride 500 mg tablet, 60 (Trajentamet)
10045Q LINAGLIPTIN + METFORMIN, linagliptin 2.5 mg + metformin hydrochloride 850 mg tablet, 60 (Trajentamet)
14065G LINAGLIPTIN + METFORMIN, linagliptin 2.5 mg + metformin hydrochloride 850 mg tablet, 60 (Trajentamet)
10044P LINAGLIPTIN + METFORMIN, linagliptin 2.5 mg + metformin hydrochloride 1 g tablet, 60 (Trajentamet)
13879L LINAGLIPTIN + METFORMIN, linagliptin 2.5 mg + metformin hydrochloride 1 g tablet, 60 (Trajentamet)
11620N OSIMERTINIB, osimertinib 40 mg tablet, 30 (Tagrisso)
12233W OSIMERTINIB, osimertinib 40 mg tablet, 30 (Tagrisso)
11622Q OSIMERTINIB, osimertinib 80 mg tablet, 30 (Tagrisso)
12232T OSIMERTINIB, osimertinib 80 mg tablet, 30 (Tagrisso)
13898L PIOGLITAZONE, pioglitazone 15 mg tablet, 28 (APOTEX-Pioglitazone, Acpio 15, Actaze, Actos, Vexazone)
8694N PIOGLITAZONE, pioglitazone 15 mg tablet, 28 (APOTEX-Pioglitazone, Acpio 15, Actaze, Actos, Vexazone)
13921Q PIOGLITAZONE, pioglitazone 30 mg tablet, 28 (APOTEX-Pioglitazone, Acpio 30, Actaze, Actos, Vexazone)
8695P PIOGLITAZONE, pioglitazone 30 mg tablet, 28 (APOTEX-Pioglitazone, Acpio 30, Actaze, Actos, Vexazone)
14057W PIOGLITAZONE, pioglitazone 45 mg tablet, 28 (APOTEX-Pioglitazone, Acpio 45, Actaze, Actos, Vexazone)
8696Q PIOGLITAZONE, pioglitazone 45 mg tablet, 28 (APOTEX-Pioglitazone, Acpio 45, Actaze, Actos, Vexazone)
10128C SAXAGLIPTIN, saxagliptin 2.5 mg tablet, 28 (Onglyza)
13895H SAXAGLIPTIN, saxagliptin 2.5 mg tablet, 28 (Onglyza)
13923T SAXAGLIPTIN, saxagliptin 5 mg tablet, 28 (Onglyza)
8983T SAXAGLIPTIN, saxagliptin 5 mg tablet, 28 (Onglyza)
11286B SAXAGLIPTIN + DAPAGLIFLOZIN, saxagliptin 5 mg + dapagliflozin 10 mg tablet, 28 (Qtern 5/10)
13855F SAXAGLIPTIN + DAPAGLIFLOZIN, saxagliptin 5 mg + dapagliflozin 10 mg tablet, 28 (Qtern 5/10)
10048W SAXAGLIPTIN + METFORMIN, saxagliptin 2.5 mg + metformin hydrochloride 1 g modified release tablet, 56 (Kombiglyze XR 2.5/1000)
13880M SAXAGLIPTIN + METFORMIN, saxagliptin 2.5 mg + metformin hydrochloride 1 g modified release tablet, 56 (Kombiglyze XR 2.5/1000)
10055F SAXAGLIPTIN + METFORMIN, saxagliptin 5 mg + metformin hydrochloride 500 mg modified release tablet, 28 (Kombiglyze XR 5/500)
14030K SAXAGLIPTIN + METFORMIN, saxagliptin 5 mg + metformin hydrochloride 500 mg modified release tablet, 28 (Kombiglyze XR 5/500)
10051B SAXAGLIPTIN + METFORMIN, saxagliptin 5 mg + metformin hydrochloride 1 g modified release tablet, 28 (Kombiglyze XR 5/1000)
13876H SAXAGLIPTIN + METFORMIN, saxagliptin 5 mg + metformin hydrochloride 1 g modified release tablet, 28 (Kombiglyze XR 5/1000)
12080T SEMAGLUTIDE, semaglutide 1.34 mg/mL injection, 1 x 1.5 mL pen device (Ozempic)
12075M SEMAGLUTIDE, semaglutide 1.34 mg/mL injection, 1 x 3 mL pen device (Ozempic)
14021Y SITAGLIPTIN, sitagliptin 25 mg tablet, 28 (Januvia, Sitagliptin Lupin, Sitagliptin SUN, Sitagliptin Sandoz Pharma, Sitaglo, Xelevia)
9180E SITAGLIPTIN, sitagliptin 25 mg tablet, 28 (Januvia, Sitagliptin Lupin, Sitagliptin SUN, Sitagliptin Sandoz Pharma, Sitaglo, Xelevia)
14058X SITAGLIPTIN, sitagliptin 50 mg tablet, 28 (Januvia, Sitagliptin Lupin, Sitagliptin SUN, Sitagliptin Sandoz Pharma, Sitaglo, Xelevia)
9181F SITAGLIPTIN, sitagliptin 50 mg tablet, 28 (Januvia, Sitagliptin Lupin, Sitagliptin SUN, Sitagliptin Sandoz Pharma, Sitaglo, Xelevia)
13871C SITAGLIPTIN, sitagliptin 100 mg tablet, 28 (Januvia, Sitagliptin Lupin, Sitagliptin SUN, Sitagliptin Sandoz Pharma, Sitaglo, Xelevia)
9182G SITAGLIPTIN, sitagliptin 100 mg tablet, 28 (Januvia, Sitagliptin Lupin, Sitagliptin SUN, Sitagliptin Sandoz Pharma, Sitaglo, Xelevia)
13994M SITAGLIPTIN + METFORMIN, sitagliptin 50 mg + metformin hydrochloride 500 mg tablet, 56 (Janumet, SITAGLIPTIN/METFORMIN 50/500 SUN, Sitagliptin/Metformin Sandoz, Velmetia)
9449H SITAGLIPTIN + METFORMIN, sitagliptin 50 mg + metformin hydrochloride 500 mg tablet, 56 (Janumet, SITAGLIPTIN/METFORMIN 50/500 SUN, Sitagliptin/Metformin Sandoz, Velmetia)
14064F SITAGLIPTIN + METFORMIN, sitagliptin 50 mg + metformin hydrochloride 850 mg tablet, 56 (Janumet, SITAGLIPTIN/METFORMIN 50/850 SUN, Sitagliptin/Metformin Sandoz, Velmetia)
9450J SITAGLIPTIN + METFORMIN, sitagliptin 50 mg + metformin hydrochloride 850 mg tablet, 56 (Janumet, SITAGLIPTIN/METFORMIN 50/850 SUN, Sitagliptin/Metformin Sandoz, Velmetia)
10090C SITAGLIPTIN + METFORMIN, sitagliptin 50 mg + metformin hydrochloride 1 g modified release tablet, 56 (Janumet XR, Sitagliptin/Metformin Sandoz XR)
13990H SITAGLIPTIN + METFORMIN, sitagliptin 50 mg + metformin hydrochloride 1 g modified release tablet, 56 (Janumet XR, Sitagliptin/Metformin Sandoz XR)
14035Q SITAGLIPTIN + METFORMIN, sitagliptin 50 mg + metformin hydrochloride 1 g tablet, 56 (Janumet, SITAGLIPTIN/METFORMIN 50/1000 SUN, Sitagliptin/Metformin Sandoz, Velmetia)
9451K SITAGLIPTIN + METFORMIN, sitagliptin 50 mg + metformin hydrochloride 1 g tablet, 56 (Janumet, SITAGLIPTIN/METFORMIN 50/1000 SUN, Sitagliptin/Metformin Sandoz, Velmetia)
10089B SITAGLIPTIN + METFORMIN, sitagliptin 100 mg + metformin hydrochloride 1 g tablet: modified release, 28 (Janumet XR, Sitagliptin/Metformin Sandoz XR)
14031L SITAGLIPTIN + METFORMIN, sitagliptin 100 mg + metformin hydrochloride 1 g tablet: modified release, 28 (Janumet XR, Sitagliptin/Metformin Sandoz XR)
14100D TAFAMIDIS, tafamidis 61 mg capsule, 30 (Vyndamax)
13846R VILDAGLIPTIN, vildagliptin 50 mg tablet, 60 (Galvus)
3415R VILDAGLIPTIN, vildagliptin 50 mg tablet, 60 (Galvus)
13877J VILDAGLIPTIN + METFORMIN, vildagliptin 50 mg + metformin hydrochloride 500 mg tablet, 60 (Galvumet 50/500)
5474D VILDAGLIPTIN + METFORMIN, vildagliptin 50 mg + metformin hydrochloride 500 mg tablet, 60 (Galvumet 50/500)
13991J VILDAGLIPTIN + METFORMIN, vildagliptin 50 mg + metformin hydrochloride 850 mg tablet, 60 (Galvumet 50/850)
5475E VILDAGLIPTIN + METFORMIN, vildagliptin 50 mg + metformin hydrochloride 850 mg tablet, 60 (Galvumet 50/850)
14032M VILDAGLIPTIN + METFORMIN, vildagliptin 50 mg + metformin hydrochloride 1 g tablet, 60 (Galvumet 50/1000)
5476F VILDAGLIPTIN + METFORMIN, vildagliptin 50 mg + metformin hydrochloride 1 g tablet, 60 (Galvumet 50/1000)

Alteration – Restriction Level

From To
11364D DULAGLUTIDE, dulaglutide 1.5 mg/0.5 mL injection, 4 x 0.5 mL pen devices (Trulicity) streamlined authority-required
13898L PIOGLITAZONE, pioglitazone 15 mg tablet, 28 (APOTEX-Pioglitazone, Acpio 15, Actaze, Actos, Vexazone) streamlined restricted
8694N PIOGLITAZONE, pioglitazone 15 mg tablet, 28 (APOTEX-Pioglitazone, Acpio 15, Actaze, Actos, Vexazone) streamlined restricted
13921Q PIOGLITAZONE, pioglitazone 30 mg tablet, 28 (APOTEX-Pioglitazone, Acpio 30, Actaze, Actos, Vexazone) streamlined restricted
8695P PIOGLITAZONE, pioglitazone 30 mg tablet, 28 (APOTEX-Pioglitazone, Acpio 30, Actaze, Actos, Vexazone) streamlined restricted
14057W PIOGLITAZONE, pioglitazone 45 mg tablet, 28 (APOTEX-Pioglitazone, Acpio 45, Actaze, Actos, Vexazone) streamlined restricted
8696Q PIOGLITAZONE, pioglitazone 45 mg tablet, 28 (APOTEX-Pioglitazone, Acpio 45, Actaze, Actos, Vexazone) streamlined restricted
12080T SEMAGLUTIDE, semaglutide 1.34 mg/mL injection, 1 x 1.5 mL pen device (Ozempic) streamlined authority-required
12075M SEMAGLUTIDE, semaglutide 1.34 mg/mL injection, 1 x 3 mL pen device (Ozempic) streamlined authority-required

Alteration – Manufacturer Code

From To
14006E Tobramycin WKT – TOBRAMYCIN, tobramycin 300 mg/5 mL inhalation solution, 56 x 5 mL ampoules LI JU
5442K Tobramycin WKT – TOBRAMYCIN, tobramycin 300 mg/5 mL inhalation solution, 56 x 5 mL ampoules LI JU

Alteration – Number of Repeats

From To
13891D TERIPARATIDE, teriparatide 250 microgram/mL injection, 2.4 mL cartridge (Terrosa) 5 2

Supply Only

When a product is deleted from the Schedule it may be available under Supply Only rules. Supply Only items/brands are available on the Schedule for dispensing but not for prescribing, usually for a period of up to 12 months from when it is deleted.

Substitution of Supply Only items/brands with products flagged as “equivalent for substitution” still apply as specified in the Schedule at the time the script was written.

Further information on Supply Only arrangements is available at https://www.pbs.gov.au/browse/medicine-listing/supply-only

Supply Only Commencing 1 June 2023

1263L BISACODYL, bisacodyl 10 mg/5 mL enema, 25 x 5 mL (Bisalax)
11291G DAPAGLIFLOZIN, dapagliflozin 10 mg tablet, 28 (Forxiga)
11300R DAPAGLIFLOZIN + METFORMIN, dapagliflozin 5 mg + metformin hydrochloride 1 g modified release tablet, 56 (Xigduo XR 5/1000)
11270E DAPAGLIFLOZIN + METFORMIN, dapagliflozin 10 mg + metformin hydrochloride 500 mg modified release tablet, 28 (Xigduo XR 10/500)
11313K DAPAGLIFLOZIN + METFORMIN, dapagliflozin 10 mg + metformin hydrochloride 1 g modified release tablet, 28 (Xigduo XR 10/1000)
11314L EMPAGLIFLOZIN, empagliflozin 10 mg tablet, 30 (Jardiance)
11281R EMPAGLIFLOZIN, empagliflozin 25 mg tablet, 30 (Jardiance)
11310G EMPAGLIFLOZIN + LINAGLIPTIN, empagliflozin 10 mg + linagliptin 5 mg tablet, 30 (Glyxambi)
11298P EMPAGLIFLOZIN + LINAGLIPTIN, empagliflozin 25 mg + linagliptin 5 mg tablet, 30 (Glyxambi)
10649L EMPAGLIFLOZIN + METFORMIN, empagliflozin 5 mg + metformin hydrochloride 1 g tablet, 60 (Jardiamet 5 mg/1000 mg)
10650M EMPAGLIFLOZIN + METFORMIN, empagliflozin 5 mg + metformin hydrochloride 500 mg tablet, 60 (Jardiamet 5 mg/500 mg)
10640B EMPAGLIFLOZIN + METFORMIN, empagliflozin 12.5 mg + metformin hydrochloride 1 g tablet, 60 (Jardiamet 12.5 mg/1000 mg)
10639Y EMPAGLIFLOZIN + METFORMIN, empagliflozin 12.5 mg + metformin hydrochloride 500 mg tablet, 60 (Jardiamet 12.5 mg/500 mg)
9024Y KETOCONAZOLE, ketoconazole 2% cream, 30 g (Nizoral 2% Cream)
11280Q LINAGLIPTIN, linagliptin 5 mg tablet, 30 (Trajenta)
11274J LINAGLIPTIN + METFORMIN, linagliptin 2.5 mg + metformin hydrochloride 500 mg tablet, 60 (Trajentamet)
11294K LINAGLIPTIN + METFORMIN, linagliptin 2.5 mg + metformin hydrochloride 850 mg tablet, 60 (Trajentamet)
11282T LINAGLIPTIN + METFORMIN, linagliptin 2.5 mg + metformin hydrochloride 1 g tablet, 60 (Trajentamet)
11292H SAXAGLIPTIN, saxagliptin 2.5 mg tablet, 28 (Onglyza)
11311H SAXAGLIPTIN, saxagliptin 5 mg tablet, 28 (Onglyza)
11305B SAXAGLIPTIN + DAPAGLIFLOZIN, saxagliptin 5 mg + dapagliflozin 10 mg tablet, 28 (Qtern 5/10)
11285Y SAXAGLIPTIN + METFORMIN, saxagliptin 2.5 mg + metformin hydrochloride 1 g modified release tablet, 56 (Kombiglyze XR 2.5/1000)
11312J SAXAGLIPTIN + METFORMIN, saxagliptin 5 mg + metformin hydrochloride 500 mg modified release tablet, 28 (Kombiglyze XR 5/500)
11299Q SAXAGLIPTIN + METFORMIN, saxagliptin 5 mg + metformin hydrochloride 1 g modified release tablet, 28 (Kombiglyze XR 5/1000)
11572C SITAGLIPTIN, sitagliptin 25 mg tablet, 28 (Januvia, Sitagliptin Lupin, Sitagliptin SUN, Sitagliptin Sandoz Pharma, Sitaglo, Xelevia)
11573D SITAGLIPTIN, sitagliptin 50 mg tablet, 28 (Januvia, Sitagliptin Lupin, Sitagliptin SUN, Sitagliptin Sandoz Pharma, Sitaglo, Xelevia)
11576G SITAGLIPTIN, sitagliptin 100 mg tablet, 28 (Januvia, Sitagliptin Lupin, Sitagliptin SUN, Sitagliptin Sandoz Pharma, Sitaglo, Xelevia)
11586T SITAGLIPTIN + METFORMIN, sitagliptin 50 mg + metformin hydrochloride 500 mg tablet, 56 (Janumet, SITAGLIPTIN/METFORMIN 50/500 SUN, Sitagliptin/Metformin Sandoz, Velmetia)
11582N SITAGLIPTIN + METFORMIN, sitagliptin 50 mg + metformin hydrochloride 850 mg tablet, 56 (Janumet, SITAGLIPTIN/METFORMIN 50/850 SUN, Sitagliptin/Metformin Sandoz, Velmetia)
11574E SITAGLIPTIN + METFORMIN, sitagliptin 50 mg + metformin hydrochloride 1 g tablet, 56 (Janumet, SITAGLIPTIN/METFORMIN 50/1000 SUN, Sitagliptin/Metformin Sandoz, Velmetia)
11580L SITAGLIPTIN + METFORMIN, sitagliptin 50 mg + metformin hydrochloride 1 g modified release tablet, 56 (Janumet XR, Sitagliptin/Metformin Sandoz XR)
11566R SITAGLIPTIN + METFORMIN, sitagliptin 100 mg + metformin hydrochloride 1 g tablet: modified release, 28 (Janumet XR, Sitagliptin/Metformin Sandoz XR)

 

Advance Notices

1 July 2024

Deletion – Brand

12117R Calquence, AP – ACALABRUTINIB, acalabrutinib 100 mg capsule, 56
12826C Calquence, AP – ACALABRUTINIB, acalabrutinib 100 mg capsule, 56
13179P Amoxicillin and clavulanate potassium tablets, USP 875 mg/125 mg (Aurobindo - Medsurge), DZ – AMOXICILLIN + CLAVULANIC ACID, amoxicillin 875 mg + clavulanic acid 125 mg tablet, 20
13190F Amoxicillin and clavulanate potassium tablets, USP 875 mg/125 mg (Aurobindo - Medsurge), DZ – AMOXICILLIN + CLAVULANIC ACID, amoxicillin 875 mg + clavulanic acid 125 mg tablet, 20
13194K Amoxicillin and clavulanate potassium tablets, USP 875 mg/125 mg (Aurobindo - Medsurge), DZ – AMOXICILLIN + CLAVULANIC ACID, amoxicillin 875 mg + clavulanic acid 125 mg tablet, 20
13694R Amoxicillin and clavulanate potassium for oral suspension, USP 400 mg/57 mg per 5 mL (Aurobindo), DZ – AMOXICILLIN + CLAVULANIC ACID, amoxicillin 400 mg/5 mL + clavulanic acid 57 mg/5 mL powder for oral liquid, 50 mL
13728M Amoxicillin and clavulanate potassium for oral suspension, USP 400 mg/57 mg per 5 mL (Aurobindo), DZ – AMOXICILLIN + CLAVULANIC ACID, amoxicillin 400 mg/5 mL + clavulanic acid 57 mg/5 mL powder for oral liquid, 50 mL
8717T Aripic Aripiprazole, LR – ARIPIPRAZOLE, aripiprazole 10 mg tablet, 30
13468W Atorvastatin GH, GQ – ATORVASTATIN, atorvastatin 40 mg tablet, 30
13495G Atorvastatin GH, GQ – ATORVASTATIN, atorvastatin 10 mg tablet, 30
8213G Atorvastatin GH, GQ – ATORVASTATIN, atorvastatin 10 mg tablet, 30
8215J Atorvastatin GH, GQ – ATORVASTATIN, atorvastatin 40 mg tablet, 30
13790T Benzylpenicillin Benzathine (Brancaster Pharma, UK), OJ – BENZATHINE BENZYLPENICILLIN, benzathine benzylpenicillin 1.2 million units powder for injection [1 vial] (&) inert substance diluent [5 mL vial], 1 pack
13816E Benzylpenicillin Benzathine (Brancaster Pharma, UK), OJ – BENZATHINE BENZYLPENICILLIN, benzathine benzylpenicillin 1.2 million units powder for injection [1 vial] (&) inert substance diluent [5 mL vial], 1 pack
13436E NOUMED CANDESARTAN, VO – CANDESARTAN, candesartan cilexetil 8 mg tablet, 30
13438G NOUMED CANDESARTAN, VO – CANDESARTAN, candesartan cilexetil 32 mg tablet, 30
13565Y NOUMED CANDESARTAN, VO – CANDESARTAN, candesartan cilexetil 16 mg tablet, 30
13592J NOUMED CANDESARTAN, VO – CANDESARTAN, candesartan cilexetil 4 mg tablet, 30
8295N NOUMED CANDESARTAN, VO – CANDESARTAN, candesartan cilexetil 4 mg tablet, 30
8296P NOUMED CANDESARTAN, VO – CANDESARTAN, candesartan cilexetil 8 mg tablet, 30
8297Q NOUMED CANDESARTAN, VO – CANDESARTAN, candesartan cilexetil 16 mg tablet, 30
8889W NOUMED CANDESARTAN, VO – CANDESARTAN, candesartan cilexetil 32 mg tablet, 30
11169W Ceftriaxone Alphapharm, AF – CEFTRIAXONE, ceftriaxone 2 g injection, 5 vials
12112L Ceftriaxone Alphapharm, AF – CEFTRIAXONE, ceftriaxone 2 g injection, 10 vials
3138E Clindamycin BNM, BZ – CLINDAMYCIN, clindamycin 150 mg capsule, 24
5057E Clindamycin BNM, BZ – CLINDAMYCIN, clindamycin 150 mg capsule, 24
3118D Depo-Ralovera, FZ – MEDROXYPROGESTERONE, medroxyprogesterone acetate 150 mg/mL injection, 1 mL vial
13282C Penopen, QY – PHENOXYMETHYLPENICILLIN, phenoxymethylpenicillin 250 mg/5 mL powder for oral liquid, 100 mL
13291M Penopen, QY – PHENOXYMETHYLPENICILLIN, phenoxymethylpenicillin 250 mg/5 mL powder for oral liquid, 100 mL
11993F Roximycin, AF – ROXITHROMYCIN, roxithromycin 300 mg tablet, 5
12001P Roximycin, AF – ROXITHROMYCIN, roxithromycin 150 mg tablet, 10
1760P Roximycin, AF – ROXITHROMYCIN, roxithromycin 150 mg tablet, 10
5260W Roximycin, AF – ROXITHROMYCIN, roxithromycin 150 mg tablet, 10
5261X Roximycin, AF – ROXITHROMYCIN, roxithromycin 300 mg tablet, 5
8016X Roximycin, AF – ROXITHROMYCIN, roxithromycin 300 mg tablet, 5
12670W Terrosa, FX – TERIPARATIDE, teriparatide 250 microgram/mL injection, 2.4 mL cartridge
13891D Terrosa, FX – TERIPARATIDE, teriparatide 250 microgram/mL injection, 2.4 mL cartridge
13913G NOUMED TOPIRAMATE, VO – TOPIRAMATE, topiramate 50 mg tablet, 60
13969F NOUMED TOPIRAMATE, VO – TOPIRAMATE, topiramate 25 mg tablet, 60
14008G NOUMED TOPIRAMATE, VO – TOPIRAMATE, topiramate 100 mg tablet, 60
14009H NOUMED TOPIRAMATE, VO – TOPIRAMATE, topiramate 200 mg tablet, 60
8163P NOUMED TOPIRAMATE, VO – TOPIRAMATE, topiramate 25 mg tablet, 60
8164Q NOUMED TOPIRAMATE, VO – TOPIRAMATE, topiramate 50 mg tablet, 60
8165R NOUMED TOPIRAMATE, VO – TOPIRAMATE, topiramate 100 mg tablet, 60
8166T NOUMED TOPIRAMATE, VO – TOPIRAMATE, topiramate 200 mg tablet, 60
13341E APO-Varenicline (Canada), XT – VARENICLINE, varenicline 500 microgram tablet, 56

1 August 2024

Deletion – Brand

8357W Acamprosate Mylan, AL – ACAMPROSATE, acamprosate calcium 333 mg enteric tablet, 180
13955L Acarbose Mylan, AF – ACARBOSE, acarbose 50 mg tablet, 90
8188Y Acarbose Mylan, AF – ACARBOSE, acarbose 50 mg tablet, 90
12115P Cephazolin Alphapharm, AF – CEFAZOLIN, cefazolin 2 g injection, 10 vials
12118T Cephazolin Alphapharm, AF – CEFAZOLIN, cefazolin 2 g injection, 10 vials
9159C Cinacalcet Mylan, AF – CINACALCET, cinacalcet 90 mg tablet, 28
13884R CellCept, RO – MYCOPHENOLATE, mycophenolate mofetil 250 mg capsule, 100
14000W CellCept, RO – MYCOPHENOLATE, mycophenolate mofetil 500 mg tablet, 50
8649F CellCept, RO – MYCOPHENOLATE, mycophenolate mofetil 250 mg capsule, 100
8650G CellCept, RO – MYCOPHENOLATE, mycophenolate mofetil 500 mg tablet, 50
2335X Cipla Pregabalin, LR – PREGABALIN, pregabalin 75 mg capsule, 56
2348N Cipla Pregabalin, LR – PREGABALIN, pregabalin 25 mg capsule, 56
2363J Cipla Pregabalin, LR – PREGABALIN, pregabalin 300 mg capsule, 56

1 September 2024

Deletion – Brand

11933C AlphaClav Duo Forte, AF – AMOXICILLIN + CLAVULANIC ACID, amoxicillin 875 mg + clavulanic acid 125 mg tablet, 10
5006L AlphaClav Duo Forte, AF – AMOXICILLIN + CLAVULANIC ACID, amoxicillin 875 mg + clavulanic acid 125 mg tablet, 10
8254K AlphaClav Duo Forte, AF – AMOXICILLIN + CLAVULANIC ACID, amoxicillin 875 mg + clavulanic acid 125 mg tablet, 10
 

Highly Specialised Drugs Program (Private Hospital)

Additions

Addition – Item

14147N IVACAFTOR, ivacaftor 25 mg granules, 56 sachets (Kalydeco)
14165M IVACAFTOR, ivacaftor 25 mg granules, 56 sachets (Kalydeco)
14158E IVACAFTOR, ivacaftor 50 mg granules, 56 sachets (Kalydeco)
14157D IVACAFTOR, ivacaftor 75 mg granules, 56 sachets (Kalydeco)
14169R IVACAFTOR, ivacaftor 150 mg tablet, 56 (Kalydeco)

Addition – Brand

12784W AZACITIDINE EUGIA, YG – AZACITIDINE, azacitidine 100 mg injection, 1 vial
13033Y AZACITIDINE EUGIA, YG – AZACITIDINE, azacitidine 100 mg injection, 1 vial
13038F AZACITIDINE EUGIA, YG – AZACITIDINE, azacitidine 100 mg injection, 1 vial
13039G AZACITIDINE EUGIA, YG – AZACITIDINE, azacitidine 100 mg injection, 1 vial
13040H AZACITIDINE EUGIA, YG – AZACITIDINE, azacitidine 100 mg injection, 1 vial
6100C AZACITIDINE EUGIA, YG – AZACITIDINE, azacitidine 100 mg injection, 1 vial
6138C AZACITIDINE EUGIA, YG – AZACITIDINE, azacitidine 100 mg injection, 1 vial
10084R PLERIXAFOR EUGIA, YG – PLERIXAFOR, plerixafor 24 mg/1.2 mL injection, 1.2 mL vial

Deletions

Deletion – Brand

12201E Ambrisentan Mylan, AF – AMBRISENTAN, ambrisentan 5 mg tablet, 30
9648T Ambrisentan Mylan, AF – AMBRISENTAN, ambrisentan 5 mg tablet, 30
12139X Tracleer, JC – BOSENTAN, bosentan 62.5 mg tablet, 60
12143D Tracleer, JC – BOSENTAN, bosentan 62.5 mg tablet, 60
12148J Tracleer, JC – BOSENTAN, bosentan 62.5 mg tablet, 60
6429J Tracleer, JC – BOSENTAN, bosentan 62.5 mg tablet, 60
12146G Tracleer, JC – BOSENTAN, bosentan 125 mg tablet, 60
6430K Tracleer, JC – BOSENTAN, bosentan 125 mg tablet, 60
6209T Noumed Mycophenolate, VO – MYCOPHENOLATE, mycophenolate mofetil 500 mg tablet, 50

Deletion – Note

13242Y MEPOLIZUMAB, mepolizumab 100 mg/mL injection, 1 mL pen device (Nucala)
6439X PEGINTERFERON ALFA-2A, peginterferon alfa-2a 135 microgram/0.5 mL injection, 4 x 0.5 mL syringes (Pegasys)
6449K PEGINTERFERON ALFA-2A, peginterferon alfa-2a 180 microgram/0.5 mL injection, 4 x 0.5 mL syringes (Pegasys)
10084R PLERIXAFOR, plerixafor 24 mg/1.2 mL injection, 1.2 mL vial (Mozobil, PLERIXAFOR EUGIA, Plerixafor ARX)
13244C RUXOLITINIB, ruxolitinib 5 mg tablet, 56 (Jakavi)
13231J RUXOLITINIB, ruxolitinib 10 mg tablet, 56 (Jakavi)

Deletion – Restriction

13242Y MEPOLIZUMAB, mepolizumab 100 mg/mL injection, 1 mL pen device (Nucala)
13244C RUXOLITINIB, ruxolitinib 5 mg tablet, 56 (Jakavi)
13231J RUXOLITINIB, ruxolitinib 10 mg tablet, 56 (Jakavi)

Alterations

Alteration – Note

11097C IVACAFTOR, ivacaftor 50 mg granules, 56 sachets (Kalydeco)
11109Q IVACAFTOR, ivacaftor 75 mg granules, 56 sachets (Kalydeco)
10175M IVACAFTOR, ivacaftor 150 mg tablet, 56 (Kalydeco)
11009K RIOCIGUAT, riociguat 500 microgram tablet, 42 (Adempas)
10990K RIOCIGUAT, riociguat 1 mg tablet, 42 (Adempas)
10974N RIOCIGUAT, riociguat 1.5 mg tablet, 42 (Adempas)
11012N RIOCIGUAT, riociguat 2 mg tablet, 42 (Adempas)
10985E RIOCIGUAT, riociguat 2.5 mg tablet, 42 (Adempas)

Alteration – Restriction

6232B CICLOSPORIN, ciclosporin 10 mg capsule, 60 (Neoral 10)
6352H CICLOSPORIN, ciclosporin 25 mg capsule, 30 (APO-Ciclosporin, Cyclosporin Sandoz, Neoral 25)
6353J CICLOSPORIN, ciclosporin 50 mg capsule, 30 (APO-Ciclosporin, Cyclosporin Sandoz, Neoral 50)
6354K CICLOSPORIN, ciclosporin 100 mg capsule, 30 (APO-Ciclosporin, Cyclosporin Sandoz, Neoral 100)
6125J CICLOSPORIN, ciclosporin 100 mg/mL oral liquid, 50 mL (Neoral)
11097C IVACAFTOR, ivacaftor 50 mg granules, 56 sachets (Kalydeco)
11109Q IVACAFTOR, ivacaftor 75 mg granules, 56 sachets (Kalydeco)
10175M IVACAFTOR, ivacaftor 150 mg tablet, 56 (Kalydeco)
11009K RIOCIGUAT, riociguat 500 microgram tablet, 42 (Adempas)
10990K RIOCIGUAT, riociguat 1 mg tablet, 42 (Adempas)
10974N RIOCIGUAT, riociguat 1.5 mg tablet, 42 (Adempas)
11012N RIOCIGUAT, riociguat 2 mg tablet, 42 (Adempas)
10985E RIOCIGUAT, riociguat 2.5 mg tablet, 42 (Adempas)

Advance Notices

1 August 2024

Deletion – Brand

12146G Bosentan Cipla, LR – BOSENTAN, bosentan 125 mg tablet, 60
6430K Bosentan Cipla, LR – BOSENTAN, bosentan 125 mg tablet, 60
11888Q Cinacalcet Mylan, AF – CINACALCET, cinacalcet 90 mg tablet, 28
9627Q Cinacalcet Mylan, AF – CINACALCET, cinacalcet 90 mg tablet, 28
6208R CellCept, RO – MYCOPHENOLATE, mycophenolate mofetil 250 mg capsule, 100
6209T CellCept, RO – MYCOPHENOLATE, mycophenolate mofetil 500 mg tablet, 50
 

Highly Specialised Drugs Program (Public Hospital)

Additions

Addition – Item

14155B IVACAFTOR, ivacaftor 25 mg granules, 56 sachets (Kalydeco)
14156C IVACAFTOR, ivacaftor 25 mg granules, 56 sachets (Kalydeco)
14148P IVACAFTOR, ivacaftor 50 mg granules, 56 sachets (Kalydeco)
14167P IVACAFTOR, ivacaftor 75 mg granules, 56 sachets (Kalydeco)
14153X IVACAFTOR, ivacaftor 150 mg tablet, 56 (Kalydeco)

Addition – Brand

12771E AZACITIDINE EUGIA, YG – AZACITIDINE, azacitidine 100 mg injection, 1 vial
13028Q AZACITIDINE EUGIA, YG – AZACITIDINE, azacitidine 100 mg injection, 1 vial
13036D AZACITIDINE EUGIA, YG – AZACITIDINE, azacitidine 100 mg injection, 1 vial
13042K AZACITIDINE EUGIA, YG – AZACITIDINE, azacitidine 100 mg injection, 1 vial
13044M AZACITIDINE EUGIA, YG – AZACITIDINE, azacitidine 100 mg injection, 1 vial
9597D AZACITIDINE EUGIA, YG – AZACITIDINE, azacitidine 100 mg injection, 1 vial
9598E AZACITIDINE EUGIA, YG – AZACITIDINE, azacitidine 100 mg injection, 1 vial
10083Q PLERIXAFOR EUGIA, YG – PLERIXAFOR, plerixafor 24 mg/1.2 mL injection, 1.2 mL vial

Deletions

Deletion – Brand

12212R Ambrisentan Mylan, AF – AMBRISENTAN, ambrisentan 5 mg tablet, 30
5607D Ambrisentan Mylan, AF – AMBRISENTAN, ambrisentan 5 mg tablet, 30
12134P Tracleer, JC – BOSENTAN, bosentan 62.5 mg tablet, 60
12140Y Tracleer, JC – BOSENTAN, bosentan 62.5 mg tablet, 60
12145F Tracleer, JC – BOSENTAN, bosentan 62.5 mg tablet, 60
5618Q Tracleer, JC – BOSENTAN, bosentan 62.5 mg tablet, 60
12149K Tracleer, JC – BOSENTAN, bosentan 125 mg tablet, 60
5619R Tracleer, JC – BOSENTAN, bosentan 125 mg tablet, 60
9502D Noumed Mycophenolate, VO – MYCOPHENOLATE, mycophenolate mofetil 500 mg tablet, 50

Deletion – Note

13237Q MEPOLIZUMAB, mepolizumab 100 mg/mL injection, 1 mL pen device (Nucala)
9515T PEGINTERFERON ALFA-2A, peginterferon alfa-2a 135 microgram/0.5 mL injection, 4 x 0.5 mL syringes (Pegasys)
9516W PEGINTERFERON ALFA-2A, peginterferon alfa-2a 180 microgram/0.5 mL injection, 4 x 0.5 mL syringes (Pegasys)
10083Q PLERIXAFOR, plerixafor 24 mg/1.2 mL injection, 1.2 mL vial (Mozobil, PLERIXAFOR EUGIA, Plerixafor ARX)
13238R RUXOLITINIB, ruxolitinib 5 mg tablet, 56 (Jakavi)
13245D RUXOLITINIB, ruxolitinib 10 mg tablet, 56 (Jakavi)

Deletion – Restriction

13237Q MEPOLIZUMAB, mepolizumab 100 mg/mL injection, 1 mL pen device (Nucala)
13238R RUXOLITINIB, ruxolitinib 5 mg tablet, 56 (Jakavi)
13245D RUXOLITINIB, ruxolitinib 10 mg tablet, 56 (Jakavi)

Alterations

Alteration – Note

11105L IVACAFTOR, ivacaftor 50 mg granules, 56 sachets (Kalydeco)
11098D IVACAFTOR, ivacaftor 75 mg granules, 56 sachets (Kalydeco)
10170G IVACAFTOR, ivacaftor 150 mg tablet, 56 (Kalydeco)
11001B RIOCIGUAT, riociguat 500 microgram tablet, 42 (Adempas)
10976Q RIOCIGUAT, riociguat 1 mg tablet, 42 (Adempas)
10989J RIOCIGUAT, riociguat 1.5 mg tablet, 42 (Adempas)
10984D RIOCIGUAT, riociguat 2 mg tablet, 42 (Adempas)
11002C RIOCIGUAT, riociguat 2.5 mg tablet, 42 (Adempas)

Alteration – Restriction

5632K CICLOSPORIN, ciclosporin 10 mg capsule, 60 (Neoral 10)
5634M CICLOSPORIN, ciclosporin 25 mg capsule, 30 (APO-Ciclosporin, Cyclosporin Sandoz, Neoral 25)
5635N CICLOSPORIN, ciclosporin 50 mg capsule, 30 (APO-Ciclosporin, Cyclosporin Sandoz, Neoral 50)
5636P CICLOSPORIN, ciclosporin 100 mg capsule, 30 (APO-Ciclosporin, Cyclosporin Sandoz, Neoral 100)
5633L CICLOSPORIN, ciclosporin 100 mg/mL oral liquid, 50 mL (Neoral)
11105L IVACAFTOR, ivacaftor 50 mg granules, 56 sachets (Kalydeco)
11098D IVACAFTOR, ivacaftor 75 mg granules, 56 sachets (Kalydeco)
10170G IVACAFTOR, ivacaftor 150 mg tablet, 56 (Kalydeco)
11001B RIOCIGUAT, riociguat 500 microgram tablet, 42 (Adempas)
10976Q RIOCIGUAT, riociguat 1 mg tablet, 42 (Adempas)
10989J RIOCIGUAT, riociguat 1.5 mg tablet, 42 (Adempas)
10984D RIOCIGUAT, riociguat 2 mg tablet, 42 (Adempas)
11002C RIOCIGUAT, riociguat 2.5 mg tablet, 42 (Adempas)

Advance Notices

1 August 2024

Deletion – Brand

12149K Bosentan Cipla, LR – BOSENTAN, bosentan 125 mg tablet, 60
5619R Bosentan Cipla, LR – BOSENTAN, bosentan 125 mg tablet, 60
11885M Cinacalcet Mylan, AF – CINACALCET, cinacalcet 90 mg tablet, 28
5623Y Cinacalcet Mylan, AF – CINACALCET, cinacalcet 90 mg tablet, 28
9501C CellCept, RO – MYCOPHENOLATE, mycophenolate mofetil 250 mg capsule, 100
9502D CellCept, RO – MYCOPHENOLATE, mycophenolate mofetil 500 mg tablet, 50
 

Highly Specialised Drugs Program (Community Access)

Deletions

Deletion – Brand

10284G Lamivudine 150 mg + Zidovudine 300 mg Alphapharm, AF – LAMIVUDINE + ZIDOVUDINE, lamivudine 150 mg + zidovudine 300 mg tablet, 60
 

Efficient Funding of Chemotherapy (Private Hospital)

Additions

Addition – Brand

12219D BORTEZOMIB EUGIA, YG – BORTEZOMIB, bortezomib 3.5 mg injection, 1 vial

Deletions

Deletion – Brand

12219D Velcade, JC – BORTEZOMIB, bortezomib 1 mg injection, 1 vial
12219D Velcade, JC – BORTEZOMIB, bortezomib 3 mg injection, 1 vial
12219D Velcade, JC – BORTEZOMIB, bortezomib 3.5 mg injection, 1 vial

Deletion – Note

10748Q NIVOLUMAB,
nivolumab 40 mg/4 mL injection, 4 mL vial (Opdivo);
nivolumab 100 mg/10 mL injection, 10 mL vial (Opdivo)
11532Y NIVOLUMAB,
nivolumab 40 mg/4 mL injection, 4 mL vial (Opdivo);
nivolumab 100 mg/10 mL injection, 10 mL vial (Opdivo)
13267G PEMBROLIZUMAB,
pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda)

Deletion – Restriction

10748Q NIVOLUMAB,
nivolumab 40 mg/4 mL injection, 4 mL vial (Opdivo);
nivolumab 100 mg/10 mL injection, 10 mL vial (Opdivo)
11532Y NIVOLUMAB,
nivolumab 40 mg/4 mL injection, 4 mL vial (Opdivo);
nivolumab 100 mg/10 mL injection, 10 mL vial (Opdivo)
13267G PEMBROLIZUMAB,
pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda)
 

Efficient Funding of Chemotherapy (Public Hospital)

Additions

Addition – Brand

12227M BORTEZOMIB EUGIA, YG – BORTEZOMIB, bortezomib 3.5 mg injection, 1 vial

Deletions

Deletion – Brand

12227M Velcade, JC – BORTEZOMIB, bortezomib 1 mg injection, 1 vial
12227M Velcade, JC – BORTEZOMIB, bortezomib 3 mg injection, 1 vial
12227M Velcade, JC – BORTEZOMIB, bortezomib 3.5 mg injection, 1 vial

Deletion – Note

10745M NIVOLUMAB,
nivolumab 40 mg/4 mL injection, 4 mL vial (Opdivo);
nivolumab 100 mg/10 mL injection, 10 mL vial (Opdivo)
11543M NIVOLUMAB,
nivolumab 40 mg/4 mL injection, 4 mL vial (Opdivo);
nivolumab 100 mg/10 mL injection, 10 mL vial (Opdivo)
13254N PEMBROLIZUMAB,
pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda)

Deletion – Restriction

10745M NIVOLUMAB,
nivolumab 40 mg/4 mL injection, 4 mL vial (Opdivo);
nivolumab 100 mg/10 mL injection, 10 mL vial (Opdivo)
11543M NIVOLUMAB,
nivolumab 40 mg/4 mL injection, 4 mL vial (Opdivo);
nivolumab 100 mg/10 mL injection, 10 mL vial (Opdivo)
13254N PEMBROLIZUMAB,
pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda)
 

Related Pharmaceutical Benefits for Public Hospital use

Additions

Addition – Brand

5967C Ondansetron Tablets Viatris, AL – ONDANSETRON, ondansetron 4 mg tablet, 4
5858H Ondansetron ODT Viatris, AL – ONDANSETRON, ondansetron 8 mg orally disintegrating tablet, 4
5968D Ondansetron Tablets Viatris, AL – ONDANSETRON, ondansetron 8 mg tablet, 4