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Prescriber Bag

Additions

Addition – Brand

3496B Salbutamol Cipla, LRSALBUTAMOL, salbutamol 2.5 mg/2.5 mL inhalation solution, 30 x 2.5 mL ampoules
3497C Salbutamol Cipla, LRSALBUTAMOL, salbutamol 5 mg/2.5 mL inhalation solution, 30 x 2.5 mL ampoules
 

General Pharmaceutical Benefits

Additions

Addition – Item

11652G ACICLOVIR, aciclovir 3% eye ointment, 4.5 g (AciVision)
11654J ACICLOVIR, aciclovir 3% eye ointment, 4.5 g (AciVision)
11653H AMINO ACID FORMULA WITH VITAMINS, MINERALS AND LONG CHAIN POLYUNSATURATED FATTY ACIDS WITHOUT PHENYLALANINE, amino acid formula with vitamins, minerals and long chain polyunsaturated fatty acids without phenylalanine powder for oral liquid, 400 g (PKU Start)
11663W LEVODOPA + CARBIDOPA, levodopa 200 mg + carbidopa 50 mg modified release tablet, 100 (Carbidopa and Levodopa Extended-release Tablets)
11655K LEVODOPA + CARBIDOPA, levodopa 250 mg + carbidopa 25 mg tablet, 100 (Carbidopa and Levodopa Tablets, USP)
11662T RILUZOLE, riluzole 50 mg/10 mL oral liquid, 300 mL (Teglutik)
11656L SAFINAMIDE, safinamide 50 mg tablet, 30 (Xadago)
11666B SAFINAMIDE, safinamide 100 mg tablet, 30 (Xadago)
11658N SOFOSBUVIR + VELPATASVIR + VOXILAPREVIR, sofosbuvir 400 mg + velpatasvir 100 mg + voxilaprevir 100 mg tablet, 28 (Vosevi)

Addition – Brand

8879H APO-Eplerenone, TXEPLERENONE, eplerenone 25 mg tablet, 30
8880J APO-Eplerenone, TXEPLERENONE, eplerenone 50 mg tablet, 30
8399C Pantoprazole APOTEX, TYPANTOPRAZOLE, pantoprazole 20 mg enteric tablet, 30
8007K Pantoprazole APOTEX, TYPANTOPRAZOLE, pantoprazole 40 mg enteric tablet, 30
8008L Pantoprazole APOTEX, TYPANTOPRAZOLE, pantoprazole 40 mg enteric tablet, 30
8787L APO-Risperidone, TXRISPERIDONE, risperidone 500 microgram tablet, 60
8869T APO-Risperidone, TXRISPERIDONE, risperidone 500 microgram tablet, 60
2000G Salbutamol Cipla, LRSALBUTAMOL, salbutamol 2.5 mg/2.5 mL inhalation solution, 30 x 2.5 mL ampoules
2001H Salbutamol Cipla, LRSALBUTAMOL, salbutamol 5 mg/2.5 mL inhalation solution, 30 x 2.5 mL ampoules

Addition – Equivalence Indicator

1002R Zovirax, GKACICLOVIR, aciclovir 3% eye ointment, 4.5 g
5501M Zovirax, GKACICLOVIR, aciclovir 3% eye ointment, 4.5 g
1255C Sinemet CR, MKLEVODOPA + CARBIDOPA, levodopa 200 mg + carbidopa 50 mg modified release tablet, 100
1245M Sinemet, MKLEVODOPA + CARBIDOPA, levodopa 250 mg + carbidopa 25 mg tablet, 100

Addition – Note

10822N AMINO ACID FORMULA WITH FAT, CARBOHYDRATE, VITAMINS, MINERALS AND LONG CHAIN POLYUNSATURATED FATTY ACIDS WITHOUT PHENYLALANINE AND SUPPLEMENTED WITH DOCOSAHEXAENOIC ACID, amino acid formula with fat, carbohydrate, vitamins, minerals and long chain polyunsaturated fatty acids without phenylalanine and supplemented with docosahexaenoic acid oral liquid, 20 x 500 mL bottles (PKU Baby)

Addition – Restriction

9171Q NILOTINIB, nilotinib 200 mg capsule, 120 (Tasigna)

Deletions

Deletion – Brand

8362D Xeloda, ROCAPECITABINE, capecitabine 500 mg tablet, 120
3162K Ranzepam, RADIAZEPAM, diazepam 5 mg tablet, 50
5072Y Ranzepam, RADIAZEPAM, diazepam 5 mg tablet, 50
1978D Ulcaid, RARANITIDINE, ranitidine 150 mg tablet, 60
8165R Topiramate GH, GQTOPIRAMATE, topiramate 100 mg tablet, 60
9368C APO-Valsartan, TXVALSARTAN, valsartan 40 mg tablet, 28
9369D APO-Valsartan, TXVALSARTAN, valsartan 80 mg tablet, 28
9370E APO-Valsartan, TXVALSARTAN, valsartan 160 mg tablet, 28
9371F APO-Valsartan, TXVALSARTAN, valsartan 320 mg tablet, 28

Deletion – Equivalence Indicator

9368C Diovan, NVVALSARTAN, valsartan 40 mg tablet, 28
9369D Diovan, NVVALSARTAN, valsartan 80 mg tablet, 28
9370E Diovan, NVVALSARTAN, valsartan 160 mg tablet, 28
9371F Diovan, NVVALSARTAN, valsartan 320 mg tablet, 28

Deletion – Note

11264W GEFITINIB, gefitinib 250 mg tablet, 30 (Iressa)
8769M GEFITINIB, gefitinib 250 mg tablet, 30 (Iressa)

Deletion – Caution

8697R ADRENALINE (EPINEPHRINE), adrenaline (epinephrine) 150 microgram/0.3 mL injection, 0.3 mL pen device (Adrenaline Jr Mylan, EpiPen Jr.)
8698T ADRENALINE (EPINEPHRINE), adrenaline (epinephrine) 300 microgram/0.3 mL injection, 0.3 mL pen device (Adrenaline Mylan, EpiPen)

Alterations

Alteration – Item Description

From
5502N CARBOMER-974, carbomer-974 0.3% eye gel, 30 x 500 mg unit doses (Poly Gel)
To
5502N CARBOMER-974P, carbomer-974P 0.3% eye gel, 30 x 500 mg unit doses (Poly Gel)
From
8514D CARBOMER-974, carbomer-974 0.3% eye gel, 30 x 500 mg unit doses (Poly Gel)
To
8514D CARBOMER-974P, carbomer-974P 0.3% eye gel, 30 x 500 mg unit doses (Poly Gel)
From
10104T IRON, iron (as ferric carboxymaltose) 500 mg/10 mL injection, 1 x 10 mL vial (Ferinject)
To
10104T FERRIC CARBOXYMALTOSE, iron (as ferric carboxymaltose) 500 mg/10 mL injection, 10 mL vial (Ferinject)
From
2765M HALOPERIDOL DECANOATE, haloperidol (as decanoate) 50 mg/mL injection, 5 x 1 mL vials (Haldol decanoate)
To
2765M HALOPERIDOL DECANOATE, haloperidol (as decanoate) 50 mg/mL injection, 5 x 1 mL ampoules (Haldol decanoate)
From
10250L SUCROFERRIC OXYHYDROXIDE, iron (as sucroferric oxyhydroxide) 500 mg tablet: chewable, 90 (Velphoro)
To
10250L IRON, sucroferric oxyhydroxide 2.5 g (iron 500 mg) chewable tablet, 90 (Velphoro)
From
10797G PARACETAMOL, paracetamol 665 mg tablet: modified release, 192 (Osteomol 665 Paracetamol)
To
10797G PARACETAMOL, paracetamol 665 mg modified release tablet, 192 (Osteomol 665 Paracetamol)
From
10218T PEGINTERFERON BETA-1A, peginterferon beta-1a 63 microgram/0.5 mL injection [0.5 mL injection device] (&) peginterferon beta-1a 94 microgram/0.5 mL injection [0.5 mL injection device], 1 pack (Plegridy)
To
10218T PEGINTERFERON BETA-1A, peginterferon beta-1a 63 microgram/0.5 mL injection [0.5 mL pen device] (&) peginterferon beta-1a 94 microgram/0.5 mL injection [0.5 mL pen device], 1 pack (Plegridy)

Alteration – Note

11068M ABATACEPT, abatacept 125 mg/mL injection, 4 x 1 mL syringes (Orencia ClickJect)
11092T ABATACEPT, abatacept 125 mg/mL injection, 4 x 1 mL syringes (Orencia ClickJect)
1220F ABATACEPT, abatacept 125 mg/mL injection, 4 x 1 mL syringes (Orencia)
1221G ABATACEPT, abatacept 125 mg/mL injection, 4 x 1 mL syringes (Orencia)
8737W ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Humira)
8741C ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Humira)
9099X ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL cartridges (Humira)
9100Y ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL cartridges (Humira)
10922W ARMODAFINIL, armodafinil 50 mg tablet, 30 (Nuvigil)
10912H ARMODAFINIL, armodafinil 150 mg tablet, 30 (Nuvigil)
10919Q ARMODAFINIL, armodafinil 250 mg tablet, 30 (Nuvigil)
11437Y BARICITINIB, baricitinib 2 mg tablet, 28 (Olumiant)
11442F BARICITINIB, baricitinib 2 mg tablet, 28 (Olumiant)
11443G BARICITINIB, baricitinib 4 mg tablet, 28 (Olumiant)
11447L BARICITINIB, baricitinib 4 mg tablet, 28 (Olumiant)
10892G CERTOLIZUMAB PEGOL, certolizumab pegol 200 mg/mL injection, 2 x 1 mL syringes (Cimzia)
10905Y CERTOLIZUMAB PEGOL, certolizumab pegol 200 mg/mL injection, 2 x 1 mL syringes (Cimzia)
3425G CERTOLIZUMAB PEGOL, certolizumab pegol 200 mg/mL injection, 2 x 1 mL syringes (Cimzia)
11321W CERTOLIZUMAB PEGOL, certolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices (Cimzia)
11322X CERTOLIZUMAB PEGOL, certolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices (Cimzia)
11325C CERTOLIZUMAB PEGOL, certolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices (Cimzia)
11197H ETANERCEPT, etanercept 25 mg injection [4 vials] (&) inert substance diluent [4 x 1 mL syringes], 1 pack (Enbrel)
8637N ETANERCEPT, etanercept 25 mg injection [4 vials] (&) inert substance diluent [4 x 1 mL syringes], 1 pack (Enbrel)
8638P ETANERCEPT, etanercept 25 mg injection [4 vials] (&) inert substance diluent [4 x 1 mL syringes], 1 pack (Enbrel)
11218K ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices (Brenzys)
11220M ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices (Enbrel)
9459W ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices (Brenzys, Enbrel)
9460X ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices (Brenzys, Enbrel)
11211C ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes (Brenzys)
11219L ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes (Enbrel)
9089J ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes (Brenzys, Enbrel)
9090K ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes (Brenzys, Enbrel)
11372M GOLIMUMAB, golimumab 50 mg/0.5 mL injection, 0.5 mL pen device (Simponi)
11375Q GOLIMUMAB, golimumab 50 mg/0.5 mL injection, 0.5 mL pen device (Simponi)
3426H GOLIMUMAB, golimumab 50 mg/0.5 mL injection, 0.5 mL syringe (Simponi)
3428K GOLIMUMAB, golimumab 50 mg/0.5 mL injection, 0.5 mL syringe (Simponi)
8816B MODAFINIL, modafinil 100 mg tablet, 60 (APO-Modafinil, Modafin, Modafinil AN, Modafinil Mylan, Modafinil Sandoz, Modavigil)
10951J TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL syringes (Actemra Subcutaneous Injection)
10954M TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL syringes (Actemra Subcutaneous Injection)
11565Q TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL pen devices (Actemra ACTPen)
11567T TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL pen devices (Actemra ACTPen)
10511F TOFACITINIB, tofacitinib 5 mg tablet, 56 (Xeljanz)
10517M TOFACITINIB, tofacitinib 5 mg tablet, 56 (Xeljanz)

Alteration – Restriction

11068M ABATACEPT, abatacept 125 mg/mL injection, 4 x 1 mL syringes (Orencia ClickJect)
11092T ABATACEPT, abatacept 125 mg/mL injection, 4 x 1 mL syringes (Orencia ClickJect)
1220F ABATACEPT, abatacept 125 mg/mL injection, 4 x 1 mL syringes (Orencia)
1221G ABATACEPT, abatacept 125 mg/mL injection, 4 x 1 mL syringes (Orencia)
8737W ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Humira)
8741C ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Humira)
9099X ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL cartridges (Humira)
9100Y ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL cartridges (Humira)
8697R ADRENALINE (EPINEPHRINE), adrenaline (epinephrine) 150 microgram/0.3 mL injection, 0.3 mL pen device (Adrenaline Jr Mylan, EpiPen Jr.)
8698T ADRENALINE (EPINEPHRINE), adrenaline (epinephrine) 300 microgram/0.3 mL injection, 0.3 mL pen device (Adrenaline Mylan, EpiPen)
10922W ARMODAFINIL, armodafinil 50 mg tablet, 30 (Nuvigil)
10912H ARMODAFINIL, armodafinil 150 mg tablet, 30 (Nuvigil)
10919Q ARMODAFINIL, armodafinil 250 mg tablet, 30 (Nuvigil)
11437Y BARICITINIB, baricitinib 2 mg tablet, 28 (Olumiant)
11442F BARICITINIB, baricitinib 2 mg tablet, 28 (Olumiant)
11443G BARICITINIB, baricitinib 4 mg tablet, 28 (Olumiant)
11447L BARICITINIB, baricitinib 4 mg tablet, 28 (Olumiant)
10892G CERTOLIZUMAB PEGOL, certolizumab pegol 200 mg/mL injection, 2 x 1 mL syringes (Cimzia)
10905Y CERTOLIZUMAB PEGOL, certolizumab pegol 200 mg/mL injection, 2 x 1 mL syringes (Cimzia)
3425G CERTOLIZUMAB PEGOL, certolizumab pegol 200 mg/mL injection, 2 x 1 mL syringes (Cimzia)
11321W CERTOLIZUMAB PEGOL, certolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices (Cimzia)
11322X CERTOLIZUMAB PEGOL, certolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices (Cimzia)
11325C CERTOLIZUMAB PEGOL, certolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices (Cimzia)
11197H ETANERCEPT, etanercept 25 mg injection [4 vials] (&) inert substance diluent [4 x 1 mL syringes], 1 pack (Enbrel)
8637N ETANERCEPT, etanercept 25 mg injection [4 vials] (&) inert substance diluent [4 x 1 mL syringes], 1 pack (Enbrel)
8638P ETANERCEPT, etanercept 25 mg injection [4 vials] (&) inert substance diluent [4 x 1 mL syringes], 1 pack (Enbrel)
11220M ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices (Enbrel)
9459W ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices (Brenzys, Enbrel)
9460X ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices (Brenzys, Enbrel)
11219L ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes (Enbrel)
9089J ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes (Brenzys, Enbrel)
9090K ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes (Brenzys, Enbrel)
11372M GOLIMUMAB, golimumab 50 mg/0.5 mL injection, 0.5 mL pen device (Simponi)
11375Q GOLIMUMAB, golimumab 50 mg/0.5 mL injection, 0.5 mL pen device (Simponi)
3426H GOLIMUMAB, golimumab 50 mg/0.5 mL injection, 0.5 mL syringe (Simponi)
3428K GOLIMUMAB, golimumab 50 mg/0.5 mL injection, 0.5 mL syringe (Simponi)
11614G GUSELKUMAB, guselkumab 100 mg/mL injection, 1 mL syringe (Tremfya)
10918P IMATINIB, imatinib 100 mg capsule, 60 (CIPLA IMATINIB ADULT, Glivanib, IMATINIB AN, IMATINIB-DRLA, Imatinib GH, Imatinib-APOTEX)
10940T IMATINIB, imatinib 100 mg capsule, 60 (CIPLA IMATINIB ADULT, Glivanib, IMATINIB AN, IMATINIB-DRLA, Imatinib GH, Imatinib-APOTEX)
10921T IMATINIB, imatinib 400 mg capsule, 30 (CIPLA IMATINIB ADULT, Glivanib, IMATINIB AN, IMATINIB-DRLA, Imatinib GH, Imatinib-APOTEX)
10939R IMATINIB, imatinib 400 mg capsule, 30 (CIPLA IMATINIB ADULT, Glivanib, IMATINIB AN, IMATINIB-DRLA, Imatinib GH, Imatinib-APOTEX)
9176Y IMATINIB, imatinib 100 mg tablet, 60 (Glivec, IMATINIB RBX, Imatinib-Teva)
9178C IMATINIB, imatinib 100 mg tablet, 60 (Glivec, IMATINIB RBX)
9177B IMATINIB, imatinib 400 mg tablet, 30 (Glivec, IMATINIB RBX, Imatinib-Teva)
9179D IMATINIB, imatinib 400 mg tablet, 30 (Glivec, IMATINIB RBX)
8816B MODAFINIL, modafinil 100 mg tablet, 60 (APO-Modafinil, Modafin, Modafinil AN, Modafinil Mylan, Modafinil Sandoz, Modavigil)
8664B RILUZOLE, riluzole 50 mg tablet, 56 (APO-Riluzole, Pharmacor Riluzole, Rilutek, Riluzole Sandoz)
11613F TILDRAKIZUMAB, tildrakizumab 100 mg/mL injection, 1 mL syringe (Ilumya)
10951J TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL syringes (Actemra Subcutaneous Injection)
10954M TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL syringes (Actemra Subcutaneous Injection)
11565Q TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL pen devices (Actemra ACTPen)
11567T TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL pen devices (Actemra ACTPen)
10511F TOFACITINIB, tofacitinib 5 mg tablet, 56 (Xeljanz)
10517M TOFACITINIB, tofacitinib 5 mg tablet, 56 (Xeljanz)
11624T VENETOCLAX, venetoclax 10 mg tablet, 14 (Venclexta)
11648C VENETOCLAX, venetoclax 50 mg tablet, 7 (Venclexta)

Alteration – Manufacturer Code

From To
9454N OxytrolOXYBUTYNIN, oxybutynin 3.9 mg/24 hours patch, 8 GN TT
8481J ActonelRISEDRONATE, risedronate sodium 5 mg tablet, 28 UA TT
8482K ActonelRISEDRONATE, risedronate sodium 30 mg tablet, 28 UA TT
8972F Actonel ECRISEDRONATE, risedronate sodium 35 mg enteric tablet, 4 UA TT
9391G ATELVIA ONCE-A-MONTHRISEDRONATE, risedronate sodium 150 mg tablet, 1 GN TU
9391G Actonel Once-a-MonthRISEDRONATE, risedronate sodium 150 mg tablet, 1 UA TT

Advance Notices

1 May 2019

Deletion – Brand

8727H XP Maxamum, SBAMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE, amino acid formula with vitamins and minerals without phenylalanine powder for oral liquid, 30 x 50 g sachets
2347M Phlexy-10 Drink Mix, SBAMINO ACID FORMULA WITHOUT PHENYLALANINE, amino acid formula without phenylalanine powder for oral liquid, 30 x 20 g sachets
8554F Phlexy-10, SBAMINO ACID FORMULA WITHOUT PHENYLALANINE, amino acid formula without phenylalanine 500 mg capsule, 200
1210Q Cifran, RACIPROFLOXACIN, ciprofloxacin 750 mg tablet, 14
8132B Bonefos, BNCLODRONATE, clodronate sodium 400 mg capsule, 100
8265B Bonefos 800 mg, BNCLODRONATE, clodronate sodium 800 mg tablet, 60
2850B Lamotrigine generichealth, HQLAMOTRIGINE, lamotrigine 100 mg tablet, 56
2851C Lamotrigine generichealth, HQLAMOTRIGINE, lamotrigine 200 mg tablet, 56
8679T Lercanidipine GH, GQLERCANIDIPINE, lercanidipine hydrochloride 20 mg tablet, 28
1037N Olanzapine generichealth 5, GQOLANZAPINE, olanzapine 5 mg tablet, 28
1042W Olanzapine generichealth 10, GQOLANZAPINE, olanzapine 10 mg tablet, 28
11034R Lynparza, APOLAPARIB, olaparib 50 mg capsule, 4 x 112
8399C Pantoprazole GH, GQPANTOPRAZOLE, pantoprazole 20 mg enteric tablet, 30
5527X Vistil, AEPOLYVINYL ALCOHOL, polyvinyl alcohol 1.4% eye drops, 15 mL
5528Y Vistil Forte, AEPOLYVINYL ALCOHOL, polyvinyl alcohol 3% eye drops, 15 mL
8831T Vistil, AEPOLYVINYL ALCOHOL, polyvinyl alcohol 1.4% eye drops, 15 mL
8832W Vistil Forte, AEPOLYVINYL ALCOHOL, polyvinyl alcohol 3% eye drops, 15 mL
9221H Vistil, AEPOLYVINYL ALCOHOL, polyvinyl alcohol 1.4% eye drops, 15 mL
9223K Vistil Forte, AEPOLYVINYL ALCOHOL, polyvinyl alcohol 3% eye drops, 15 mL
5261X Roxithromycin GH, GQROXITHROMYCIN, roxithromycin 300 mg tablet, 5
8016X Roxithromycin GH, GQROXITHROMYCIN, roxithromycin 300 mg tablet, 5

1 June 2019

Deletion – Brand

2518M Emend, MKAPREPITANT, aprepitant 165 mg capsule, 1
3138E Clindamycin-Link, LICLINDAMYCIN, clindamycin 150 mg capsule, 24
5057E Clindamycin-Link, LICLINDAMYCIN, clindamycin 150 mg capsule, 24
9164H Cystine 500, VFCYSTINE WITH CARBOHYDRATE, cystine with carbohydrate containing 500 mg cystine oral liquid: powder for, 30 x 4 g sachets
1280J Hydrene 25/50, AFHYDROCHLOROTHIAZIDE + TRIAMTERENE, hydrochlorothiazide 25 mg + triamterene 50 mg tablet, 100
5132D Dilaudid, MFHYDROMORPHONE, hydromorphone hydrochloride 1 mg/mL oral liquid, 473 mL
8424J Dilaudid, MFHYDROMORPHONE, hydromorphone hydrochloride 1 mg/mL oral liquid, 473 mL

1 July 2019

Deletion – Brand

8048N ReoPro, JCABCIXIMAB, abciximab 10 mg/5 mL injection, 5 mL vial
2738D XP Maxamaid, SBAMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE, amino acid formula with vitamins and minerals without phenylalanine powder for oral liquid, 500 g
8726G Copaxone, TBGLATIRAMER ACETATE, glatiramer acetate 20 mg/mL injection, 28 x 1 mL syringes
9059T Avandamet, GKROSIGLITAZONE + METFORMIN, rosiglitazone 2 mg + metformin hydrochloride 500 mg tablet, 56
9060W Avandamet, GKROSIGLITAZONE + METFORMIN, rosiglitazone 2 mg + metformin hydrochloride 1 g tablet, 56
9061X Avandamet, GKROSIGLITAZONE + METFORMIN, rosiglitazone 4 mg + metformin hydrochloride 500 mg tablet, 56
9062Y Avandamet, GKROSIGLITAZONE + METFORMIN, rosiglitazone 4 mg + metformin hydrochloride 1 g tablet, 56

1 August 2019

Deletion – Brand

2946C Phosphate Sandoz, FFPHOSPHORUS, phosphorus 500 mg effervescent tablet, 100

1 September 2019

Deletion – Brand

1923F MMA/PA cooler 15, VFAMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT METHIONINE, THREONINE AND VALINE AND LOW IN ISOLEUCINE, amino acid formula with vitamins and minerals without methionine, threonine and valine and low in isoleucine oral liquid, 30 x 130 mL pouches
1711C Hypurin Isophane, ASINSULIN ISOPHANE BOVINE, insulin isophane bovine 100 units/mL injection, 1 x 10 mL vial
1713E Hypurin Neutral, ASINSULIN NEUTRAL BOVINE, insulin neutral bovine 100 units/mL injection, 1 x 10 mL vial

1 October 2019

Deletion – Brand

2544X Akineton, GHBIPERIDEN, biperiden hydrochloride 2 mg tablet, 100

1 December 2019

Deletion – Brand

1002R Zovirax, GKACICLOVIR, aciclovir 3% eye ointment, 4.5 g
5501M Zovirax, GKACICLOVIR, aciclovir 3% eye ointment, 4.5 g

1 January 2020

Deletion – Brand

8362D Capecitabine Apotex, TXCAPECITABINE, capecitabine 500 mg tablet, 120

Palliative Care

Deletions

Deletion – Brand

5356X Ranzepam, RADIAZEPAM, diazepam 5 mg tablet, 50

Alterations

Alteration – Item Description

From
10796F PARACETAMOL, paracetamol 665 mg tablet: modified release, 192 (Osteomol 665 Paracetamol)
To
10796F PARACETAMOL, paracetamol 665 mg modified release tablet, 192 (Osteomol 665 Paracetamol)
 

Highly Specialised Drugs Program (Private Hospital)

Additions

Addition – Item

11659P SOFOSBUVIR + VELPATASVIR + VOXILAPREVIR, sofosbuvir 400 mg + velpatasvir 100 mg + voxilaprevir 100 mg tablet, 28 (Vosevi)

Alterations

Alteration – Item Description

From
10230K SUCROFERRIC OXYHYDROXIDE, iron (as sucroferric oxyhydroxide) 500 mg tablet: chewable, 90 (Velphoro)
To
10230K IRON, sucroferric oxyhydroxide 2.5 g (iron 500 mg) chewable tablet, 90 (Velphoro)

Alteration – Note

9621J ABATACEPT, abatacept 250 mg injection, 1 vial (Orencia)
11483J INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Renflexis)
11487N INFLIXIMAB, infliximab 100 mg injection, 1 vial (Remicade)
6397Q INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Remicade, Renflexis)
9611W RITUXIMAB, rituximab 500 mg/50 mL injection, 50 mL vial (Mabthera)
9671B TOCILIZUMAB, tocilizumab 80 mg/4 mL injection, 4 mL vial (Actemra)
9672C TOCILIZUMAB, tocilizumab 200 mg/10 mL injection, 10 mL vial (Actemra)
9673D TOCILIZUMAB, tocilizumab 400 mg/20 mL injection, 20 mL vial (Actemra)

Alteration – Restriction

9621J ABATACEPT, abatacept 250 mg injection, 1 vial (Orencia)
5830W FILGRASTIM, filgrastim 120 microgram/0.2 mL injection, 10 x 0.2 mL syringes (Nivestim)
1082Y FILGRASTIM, filgrastim 300 microgram/0.5 mL injection, 10 x 0.5 mL syringes (TevaGrastim)
2747N FILGRASTIM, filgrastim 300 microgram/0.5 mL injection, 5 x 0.5 mL syringes (Zarzio)
6291D FILGRASTIM, filgrastim 300 microgram/0.5 mL injection, 10 x 0.5 mL syringes (Neupogen)
9693E FILGRASTIM, filgrastim 300 microgram/0.5 mL injection, 10 x 0.5 mL syringes (Nivestim)
6126K FILGRASTIM, filgrastim 300 microgram/mL injection, 10 x 1 mL vials (Neupogen)
2733W FILGRASTIM, filgrastim 480 microgram/0.5 mL injection, 5 x 0.5 mL syringes (Zarzio)
6292E FILGRASTIM, filgrastim 480 microgram/0.5 mL injection, 10 x 0.5 mL syringes (Neupogen)
9695G FILGRASTIM, filgrastim 480 microgram/0.5 mL injection, 10 x 0.5 mL syringes (Nivestim)
1113N FILGRASTIM, filgrastim 480 microgram/0.8 mL injection, 10 x 0.8 mL syringes (TevaGrastim)
6127L FILGRASTIM, filgrastim 480 microgram/1.6 mL injection, 10 x 1.6 mL vials (Neupogen)
11483J INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Renflexis)
11487N INFLIXIMAB, infliximab 100 mg injection, 1 vial (Remicade)
6397Q INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Remicade, Renflexis)
9611W RITUXIMAB, rituximab 500 mg/50 mL injection, 50 mL vial (Mabthera)
9671B TOCILIZUMAB, tocilizumab 80 mg/4 mL injection, 4 mL vial (Actemra)
9672C TOCILIZUMAB, tocilizumab 200 mg/10 mL injection, 10 mL vial (Actemra)
9673D TOCILIZUMAB, tocilizumab 400 mg/20 mL injection, 20 mL vial (Actemra)

Alteration – Restriction Level

From To
5830W FILGRASTIM, filgrastim 120 microgram/0.2 mL injection, 10 x 0.2 mL syringes (Nivestim) authority-required streamlined
1082Y FILGRASTIM, filgrastim 300 microgram/0.5 mL injection, 10 x 0.5 mL syringes (TevaGrastim) authority-required streamlined
2747N FILGRASTIM, filgrastim 300 microgram/0.5 mL injection, 5 x 0.5 mL syringes (Zarzio) authority-required streamlined
6291D FILGRASTIM, filgrastim 300 microgram/0.5 mL injection, 10 x 0.5 mL syringes (Neupogen) authority-required streamlined
9693E FILGRASTIM, filgrastim 300 microgram/0.5 mL injection, 10 x 0.5 mL syringes (Nivestim) authority-required streamlined
6126K FILGRASTIM, filgrastim 300 microgram/mL injection, 10 x 1 mL vials (Neupogen) authority-required streamlined
2733W FILGRASTIM, filgrastim 480 microgram/0.5 mL injection, 5 x 0.5 mL syringes (Zarzio) authority-required streamlined
6292E FILGRASTIM, filgrastim 480 microgram/0.5 mL injection, 10 x 0.5 mL syringes (Neupogen) authority-required streamlined
9695G FILGRASTIM, filgrastim 480 microgram/0.5 mL injection, 10 x 0.5 mL syringes (Nivestim) authority-required streamlined
1113N FILGRASTIM, filgrastim 480 microgram/0.8 mL injection, 10 x 0.8 mL syringes (TevaGrastim) authority-required streamlined
6127L FILGRASTIM, filgrastim 480 microgram/1.6 mL injection, 10 x 1.6 mL vials (Neupogen) authority-required streamlined

Advance Notices

1 May 2019

Deletion – Brand

11232E Exjade, NVDEFERASIROX, deferasirox 500 mg dispersible tablet, 28
11236J Exjade, NVDEFERASIROX, deferasirox 125 mg dispersible tablet, 28
11238L Exjade, NVDEFERASIROX, deferasirox 250 mg dispersible tablet, 28
11241P Exjade, NVDEFERASIROX, deferasirox 125 mg dispersible tablet, 28
11243R Exjade, NVDEFERASIROX, deferasirox 500 mg dispersible tablet, 28
11244T Exjade, NVDEFERASIROX, deferasirox 250 mg dispersible tablet, 28
6499C Exjade, NVDEFERASIROX, deferasirox 125 mg dispersible tablet, 28
6500D Exjade, NVDEFERASIROX, deferasirox 250 mg dispersible tablet, 28
9600G Exjade, NVDEFERASIROX, deferasirox 500 mg dispersible tablet, 28

1 June 2019

Deletion – Brand

1082Y TevaGrastim, TBFILGRASTIM, filgrastim 300 microgram/0.5 mL injection, 10 x 0.5 mL syringes
1113N TevaGrastim, TBFILGRASTIM, filgrastim 480 microgram/0.8 mL injection, 10 x 0.8 mL syringes

Highly Specialised Drugs Program (Public Hospital)

Additions

Addition – Item

11665Y SOFOSBUVIR + VELPATASVIR + VOXILAPREVIR, sofosbuvir 400 mg + velpatasvir 100 mg + voxilaprevir 100 mg tablet, 28 (Vosevi)

Alterations

Alteration – Item Description

From
10233N SUCROFERRIC OXYHYDROXIDE, iron (as sucroferric oxyhydroxide) 500 mg tablet: chewable, 90 (Velphoro)
To
10233N IRON, sucroferric oxyhydroxide 2.5 g (iron 500 mg) chewable tablet, 90 (Velphoro)

Alteration – Note

5605B ABATACEPT, abatacept 250 mg injection, 1 vial (Orencia)
11481G INFLIXIMAB, infliximab 100 mg injection, 1 vial (Remicade)
11490R INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Renflexis)
5757B INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Remicade, Renflexis)
9544H RITUXIMAB, rituximab 500 mg/50 mL injection, 50 mL vial (Mabthera)
9657G TOCILIZUMAB, tocilizumab 80 mg/4 mL injection, 4 mL vial (Actemra)
9658H TOCILIZUMAB, tocilizumab 200 mg/10 mL injection, 10 mL vial (Actemra)
9659J TOCILIZUMAB, tocilizumab 400 mg/20 mL injection, 20 mL vial (Actemra)

Alteration – Restriction

5605B ABATACEPT, abatacept 250 mg injection, 1 vial (Orencia)
1123D FILGRASTIM, filgrastim 300 microgram/0.5 mL injection, 10 x 0.5 mL syringes (TevaGrastim)
5742F FILGRASTIM, filgrastim 300 microgram/0.5 mL injection, 10 x 0.5 mL syringes (Neupogen)
5741E FILGRASTIM, filgrastim 300 microgram/mL injection, 10 x 1 mL vials (Neupogen)
5744H FILGRASTIM, filgrastim 480 microgram/0.5 mL injection, 10 x 0.5 mL syringes (Neupogen)
1126G FILGRASTIM, filgrastim 480 microgram/0.8 mL injection, 10 x 0.8 mL syringes (TevaGrastim)
5743G FILGRASTIM, filgrastim 480 microgram/1.6 mL injection, 10 x 1.6 mL vials (Neupogen)
11481G INFLIXIMAB, infliximab 100 mg injection, 1 vial (Remicade)
11490R INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Renflexis)
5757B INFLIXIMAB, infliximab 100 mg injection, 1 vial (Inflectra, Remicade, Renflexis)
9544H RITUXIMAB, rituximab 500 mg/50 mL injection, 50 mL vial (Mabthera)
9657G TOCILIZUMAB, tocilizumab 80 mg/4 mL injection, 4 mL vial (Actemra)
9658H TOCILIZUMAB, tocilizumab 200 mg/10 mL injection, 10 mL vial (Actemra)
9659J TOCILIZUMAB, tocilizumab 400 mg/20 mL injection, 20 mL vial (Actemra)

Advance Notices

1 May 2019

Deletion – Brand

11231D Exjade, NVDEFERASIROX, deferasirox 500 mg dispersible tablet, 28
11234G Exjade, NVDEFERASIROX, deferasirox 500 mg dispersible tablet, 28
11235H Exjade, NVDEFERASIROX, deferasirox 125 mg dispersible tablet, 28
11239M Exjade, NVDEFERASIROX, deferasirox 250 mg dispersible tablet, 28
11240N Exjade, NVDEFERASIROX, deferasirox 250 mg dispersible tablet, 28
11247Y Exjade, NVDEFERASIROX, deferasirox 125 mg dispersible tablet, 28
5654N Exjade, NVDEFERASIROX, deferasirox 125 mg dispersible tablet, 28
5655P Exjade, NVDEFERASIROX, deferasirox 250 mg dispersible tablet, 28
5656Q Exjade, NVDEFERASIROX, deferasirox 500 mg dispersible tablet, 28

1 June 2019

Deletion – Brand

1123D TevaGrastim, TBFILGRASTIM, filgrastim 300 microgram/0.5 mL injection, 10 x 0.5 mL syringes
1126G TevaGrastim, TBFILGRASTIM, filgrastim 480 microgram/0.8 mL injection, 10 x 0.8 mL syringes

Highly Specialised Drugs Program (Community Access)

Additions

Addition – Item

11657M ATAZANAVIR, atazanavir 300 mg capsule, 60 (Atazanavir Mylan)

Addition – Brand

10349Q Atazanavir Mylan, AFATAZANAVIR, atazanavir 200 mg capsule, 60

Addition – Equivalence Indicator

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

Addition – Note

10321F ATAZANAVIR, atazanavir 300 mg capsule, 30 (Reyataz)

Alterations

Alteration – Item Description

From
10279B ENTECAVIR, entecavir monohydrate 500 microgram tablet, 30 (Baraclude, ENTAC, ENTECAVIR RBX, ENTECLUDE, Entecavir APOTEX, Entecavir Amneal, Entecavir GH, Entecavir Mylan, Entecavir Sandoz)
To
10279B ENTECAVIR, entecavir 500 microgram tablet, 30 (Baraclude, ENTAC, ENTECAVIR RBX, ENTECLUDE, Entecavir APOTEX, Entecavir Amneal, Entecavir GH, Entecavir Mylan, Entecavir Sandoz)
From
10353X ENTECAVIR, entecavir monohydrate 1 mg tablet, 30 (Baraclude, ENTAC, ENTECAVIR RBX, ENTECLUDE, Entecavir APOTEX, Entecavir Amneal, Entecavir GH, Entecavir Mylan, Entecavir Sandoz)
To
10353X ENTECAVIR, entecavir 1 mg tablet, 30 (Baraclude, ENTAC, ENTECAVIR RBX, ENTECLUDE, Entecavir APOTEX, Entecavir Amneal, Entecavir GH, Entecavir Mylan, Entecavir Sandoz)

Advance Notices

1 January 2020

Deletion – Brand

10357D Abacavir/Lamivudine 600/300 APOTEX, TXABACAVIR + LAMIVUDINE, abacavir 600 mg + lamivudine 300 mg tablet, 30

Growth Hormone Program

Additions

Addition – Item

11650E SOMATROPIN, somatropin 10 mg/2 mL injection, 2 mL cartridge (NutropinAq)

IVF Program

Additions

Addition – Item

11667C FOLLITROPIN ALFA + LUTROPIN ALFA, follitropin alfa 900 units (65.52 microgram)/1.44 mL + lutropin alfa 450 units/1.44 mL injection, 1.44 mL pen device (Pergoveris)

Repatriation Pharmaceutical Benefits

Alterations

Alteration – Item Description

From
4518T GELATIN + PECTIN + CARMELLOSE SODIUM, carmellose sodium 16.7% + gelatin 16.7% + pectin 16.7% oromucosal paste, 5 g (Orabase)
To
4518T GELATIN + PECTIN + CARMELLOSE SODIUM, gelatin 16.7% + pectin 16.7% + carmellose sodium 16.7% paste, 5 g (Orabase)

Alteration – Manufacturer Code

From To
4443W ActonelRISEDRONATE, risedronate sodium 5 mg tablet, 28 UA TT
2191H Actonel ECRISEDRONATE, risedronate sodium 35 mg enteric tablet, 4 UA TT

Advance Notices

1 May 2019

Deletion – Brand

4010C Sandoz Nail Repair, SZAMOROLFINE, amorolfine 5% application, 5 mL
 

Efficient Funding of Chemotherapy (Private Hospital)

Additions

Addition – Item

11651F BRENTUXIMAB VEDOTIN,
brentuximab vedotin 50 mg injection, 1 vial (Adcetris)
11661R BRENTUXIMAB VEDOTIN,
brentuximab vedotin 50 mg injection, 1 vial (Adcetris)

Deletions

Deletion – Brand

7231N Epirubicin SZ, HXEPIRUBICIN, epirubicin hydrochloride 50 mg/25 mL injection, 25 mL vial

Deletion – Note

10069Y PANITUMUMAB,
panitumumab 100 mg/5 mL injection, 5 mL vial (Vectibix);
panitumumab 400 mg/20 mL injection, 20 mL vial (Vectibix)

Advance Notices

1 September 2019

Deletion – Brand

10237T Arzerra, NVOFATUMUMAB, ofatumumab 1 g/50 mL injection, 50 mL vial
10239X Arzerra, NVOFATUMUMAB, ofatumumab 1 g/50 mL injection, 50 mL vial
10240Y Arzerra, NVOFATUMUMAB, ofatumumab 100 mg/5 mL injection, 3 x 5 mL vials
 

Efficient Funding of Chemotherapy (Public Hospital)

Additions

Addition – Item

11660Q BRENTUXIMAB VEDOTIN,
brentuximab vedotin 50 mg injection, 1 vial (Adcetris)
11664X BRENTUXIMAB VEDOTIN,
brentuximab vedotin 50 mg injection, 1 vial (Adcetris)

Deletions

Deletion – Brand

4375G Epirubicin SZ, HXEPIRUBICIN, epirubicin hydrochloride 50 mg/25 mL injection, 25 mL vial

Advance Notices

1 September 2019

Deletion – Brand

10236R Arzerra, NVOFATUMUMAB, ofatumumab 1 g/50 mL injection, 50 mL vial
10249K Arzerra, NVOFATUMUMAB, ofatumumab 100 mg/5 mL injection, 3 x 5 mL vials
10252N Arzerra, NVOFATUMUMAB, ofatumumab 1 g/50 mL injection, 50 mL vial
 

Related Pharmaceutical Benefits for Public Hospital use

Advance Notices

1 June 2019

Deletion – Brand

2550F Emend, MKAPREPITANT, aprepitant 165 mg capsule, 1