Summary of Changes - 1 November 2026
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Prescriber Bag
Additions
Addition – Item
| 13828T | SALBUTAMOL, salbutamol 2.5 mg/2.5 mL inhalation solution, 20 x 2.5 mL ampoules (PMS-SALBUTAMOL (Canada)) |
Advance Notices
1 January 2027
Deletion – Brand
| 3486L | BenPen, SZ – BENZYLPENICILLIN, benzylpenicillin 600 mg injection, 1 vial |
General Pharmaceutical Benefits
Additions
Addition – Item
| 14726C | ACARBOSE, acarbose 50 mg tablet, 90 (Acarbose 50 mg tablets (Morningside Healthcare, UK)) |
| 14735M | ACARBOSE, acarbose 50 mg tablet, 90 (Acarbose 50 mg tablets (Morningside Healthcare, UK)) |
| 14722W | ACARBOSE, acarbose 100 mg tablet, 90 (Acarbose 100 mg tablets (Morningside Healthcare, UK)) |
| 14734L | ACARBOSE, acarbose 100 mg tablet, 90 (Acarbose 100 mg tablets (Morningside Healthcare, UK)) |
| 15548H | ADALIMUMAB, Adalimumab 20 mg/0.2 mL injection, 0.2 mL syringe (Amgevita) |
| 15550K | ADALIMUMAB, Adalimumab 20 mg/0.2 mL injection, 0.2 mL syringe (Amgevita) |
| 15557T | ADALIMUMAB, Adalimumab 20 mg/0.2 mL injection, 0.2 mL syringe (Amgevita) |
| 15558W | ADALIMUMAB, Adalimumab 20 mg/0.2 mL injection, 0.2 mL syringe (Amgevita) |
| 15563D | ADALIMUMAB, Adalimumab 20 mg/0.2 mL injection, 0.2 mL syringe (Amgevita) |
| 15564E | ADALIMUMAB, Adalimumab 20 mg/0.2 mL injection, 0.2 mL syringe (Amgevita) |
| 15565F | ADALIMUMAB, Adalimumab 20 mg/0.2 mL injection, 0.2 mL syringe (Amgevita) |
| 15566G | ADALIMUMAB, Adalimumab 20 mg/0.2 mL injection, 0.2 mL syringe (Amgevita) |
| 15567H | ADALIMUMAB, Adalimumab 20 mg/0.2 mL injection, 0.2 mL syringe (Amgevita) |
| 15572N | ADALIMUMAB, Adalimumab 20 mg/0.2 mL injection, 0.2 mL syringe (Amgevita) |
| 15573P | ADALIMUMAB, Adalimumab 20 mg/0.2 mL injection, 0.2 mL syringe (Amgevita) |
| 15575R | ADALIMUMAB, Adalimumab 20 mg/0.2 mL injection, 0.2 mL syringe (Amgevita) |
| 15583E | ADALIMUMAB, Adalimumab 20 mg/0.2 mL injection, 0.2 mL syringe (Amgevita) |
| 15584F | ADALIMUMAB, Adalimumab 20 mg/0.2 mL injection, 0.2 mL syringe (Amgevita) |
| 15590M | ADALIMUMAB, Adalimumab 20 mg/0.2 mL injection, 0.2 mL syringe (Amgevita) |
| 15591N | ADALIMUMAB, Adalimumab 20 mg/0.2 mL injection, 0.2 mL syringe (Amgevita) |
| 15560Y | ALBENDAZOLE, albendazole 400 mg tablet, 60 (Albendazole (Micro Labs, Germany)) |
| 15592P | EVOLOCUMAB, evolocumab 140 mg/mL injection, 1 mL pen device (Repatha) |
| 15599B | EVOLOCUMAB, evolocumab 140 mg/mL injection, 1 mL pen device (Repatha) |
| 13821K | SALBUTAMOL, salbutamol 2.5 mg/2.5 mL inhalation solution, 20 x 2.5 mL ampoules (PMS-SALBUTAMOL (Canada)) |
Addition – Brand
| 2698B | ABURA, VM – ABIRATERONE, abiraterone acetate 250 mg tablet, 120 |
| 11206T | ABURA, VM – ABIRATERONE, abiraterone acetate 500 mg tablet, 60 |
| 12340L | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 12342N | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 12345R | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 12347W | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 12358K | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 12362P | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 12363Q | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 12373F | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 12375H | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 12376J | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 12377K | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 12381P | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 12383R | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 12389C | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 12390D | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 12411F | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 12412G | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 12414J | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 12425Y | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 12428D | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 12429E | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 12432H | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 12433J | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 12446C | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 12454L | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 13211H | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 13214L | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 13215M | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 13221W | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 13223Y | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 13224B | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 13225C | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 13226D | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 13227E | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 13230H | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 13691N | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 13703F | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 13764K | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 14221L | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 14234E | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 14242N | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 14272E | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 14973C | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 15031D | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 15038L | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 15146E | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 15153M | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 15159W | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 12360M | Amgevita, AN – ADALIMUMAB, adalimumab 80 mg/0.8 mL injection, 0.8 mL pen device |
| 12374G | Amgevita, AN – ADALIMUMAB, adalimumab 80 mg/0.8 mL injection, 0.8 mL pen device |
| 12419P | Amgevita, AN – ADALIMUMAB, adalimumab 80 mg/0.8 mL injection, 0.8 mL pen device |
| 12426B | Amgevita, AN – ADALIMUMAB, adalimumab 80 mg/0.8 mL injection, 0.8 mL pen device |
| 12447D | Amgevita, AN – ADALIMUMAB, adalimumab 80 mg/0.8 mL injection, 0.8 mL pen device |
| 12448E | Amgevita, AN – ADALIMUMAB, adalimumab 80 mg/0.8 mL injection, 0.8 mL pen device |
| 12449F | Amgevita, AN – ADALIMUMAB, adalimumab 80 mg/0.8 mL injection, 0.8 mL pen device |
| 12450G | Amgevita, AN – ADALIMUMAB, adalimumab 80 mg/0.8 mL injection, 0.8 mL pen device |
| 14587R | Amgevita, AN – ADALIMUMAB, adalimumab 80 mg/0.8 mL injection, 0.8 mL pen device |
| 1354G | MSN Dasatinib, VM – DASATINIB, dasatinib 20 mg tablet, 60 |
| 9125G | MSN Dasatinib, VM – DASATINIB, dasatinib 20 mg tablet, 60 |
| 12869H | MSN Dasatinib, VM – DASATINIB, dasatinib 20 mg tablet, 60 |
| 1381Q | MSN Dasatinib, VM – DASATINIB, dasatinib 50 mg tablet, 60 |
| 9126H | MSN Dasatinib, VM – DASATINIB, dasatinib 50 mg tablet, 60 |
| 12843Y | MSN Dasatinib, VM – DASATINIB, dasatinib 50 mg tablet, 60 |
| 1415L | MSN Dasatinib, VM – DASATINIB, dasatinib 70 mg tablet, 60 |
| 9127J | MSN Dasatinib, VM – DASATINIB, dasatinib 70 mg tablet, 60 |
| 12890K | MSN Dasatinib, VM – DASATINIB, dasatinib 70 mg tablet, 60 |
| 1416M | MSN Dasatinib, VM – DASATINIB, dasatinib 100 mg tablet, 30 |
| 9343R | MSN Dasatinib, VM – DASATINIB, dasatinib 100 mg tablet, 30 |
| 12889J | MSN Dasatinib, VM – DASATINIB, dasatinib 100 mg tablet, 30 |
| 8879H | Eplerenone Viatris, AL – EPLERENONE, eplerenone 25 mg tablet, 30 |
| 13590G | Eplerenone Viatris, AL – EPLERENONE, eplerenone 25 mg tablet, 30 |
| 8757X | Ezetimibe Viatris, MQ – EZETIMIBE, ezetimibe 10 mg tablet, 30 |
| 13440J | Ezetimibe Viatris, MQ – EZETIMIBE, ezetimibe 10 mg tablet, 30 |
| 3439B | Diaformin Viatris XR, VY – METFORMIN, metformin hydrochloride 1 g modified release tablet, 60 |
| 13847T | Diaformin Viatris XR, VY – METFORMIN, metformin hydrochloride 1 g modified release tablet, 60 |
| 1692C | Fudantin, NB – NITROFURANTOIN, nitrofurantoin 50 mg capsule, 30 |
| 1693D | Fudantin, NB – NITROFURANTOIN, nitrofurantoin 100 mg capsule, 30 |
| 8224W | Ondansetron VTRS, AF – ONDANSETRON, ondansetron 4 mg tablet, 4 |
| 12192Q | Rivaroxaban Sandoz, SZ – RIVAROXABAN, rivaroxaban 2.5 mg tablet, 60 |
| 12197Y | Rivaroxaban Sandoz, SZ – RIVAROXABAN, rivaroxaban 2.5 mg tablet, 60 |
| 13366L | Rivaroxaban Sandoz, SZ – RIVAROXABAN, rivaroxaban 2.5 mg tablet, 60 |
| 9467G | Blooms The Chemist Rivaroxaban, BG – RIVAROXABAN, rivaroxaban 10 mg tablet, 30 |
| 11633G | Blooms The Chemist Rivaroxaban, BG – RIVAROXABAN, rivaroxaban 10 mg tablet, 30 |
| 13521P | Blooms The Chemist Rivaroxaban, BG – RIVAROXABAN, rivaroxaban 10 mg tablet, 30 |
| 2691P | Blooms The Chemist Rivaroxaban, BG – RIVAROXABAN, rivaroxaban 15 mg tablet, 28 |
| 13463N | Blooms The Chemist Rivaroxaban, BG – RIVAROXABAN, rivaroxaban 15 mg tablet, 28 |
| 2160Q | Blooms The Chemist Rivaroxaban, BG – RIVAROXABAN, rivaroxaban 15 mg tablet, 42 |
| 2268J | Blooms The Chemist Rivaroxaban, BG – RIVAROXABAN, rivaroxaban 20 mg tablet, 28 |
| 13462M | Blooms The Chemist Rivaroxaban, BG – RIVAROXABAN, rivaroxaban 20 mg tablet, 28 |
| 11123K | MSN-SACUBITRIL/VALSARTAN, VM – SACUBITRIL + VALSARTAN, sacubitril 24.3 mg + valsartan 25.7 mg tablet, 56 |
| 13570F | MSN-SACUBITRIL/VALSARTAN, VM – SACUBITRIL + VALSARTAN, sacubitril 24.3 mg + valsartan 25.7 mg tablet, 56 |
| 11131W | MSN-SACUBITRIL/VALSARTAN, VM – SACUBITRIL + VALSARTAN, sacubitril 48.6 mg + valsartan 51.4 mg tablet, 56 |
| 13511D | MSN-SACUBITRIL/VALSARTAN, VM – SACUBITRIL + VALSARTAN, sacubitril 48.6 mg + valsartan 51.4 mg tablet, 56 |
| 11122J | MSN-SACUBITRIL/VALSARTAN, VM – SACUBITRIL + VALSARTAN, sacubitril 97.2 mg + valsartan 102.8 mg tablet, 56 |
| 13445P | MSN-SACUBITRIL/VALSARTAN, VM – SACUBITRIL + VALSARTAN, sacubitril 97.2 mg + valsartan 102.8 mg tablet, 56 |
| 2142R | Sevelamer Waymade, IX – SEVELAMER, sevelamer hydrochloride 800 mg tablet, 180 |
| 13934J | Sevelamer Waymade, IX – SEVELAMER, sevelamer hydrochloride 800 mg tablet, 180 |
| 10090C | ARX-Sitagliptin/Metformin XR 50/1000, XT – SITAGLIPTIN + METFORMIN, sitagliptin 50 mg + metformin hydrochloride 1 g modified release tablet, 56 |
| 13990H | ARX-Sitagliptin/Metformin XR 50/1000, XT – SITAGLIPTIN + METFORMIN, sitagliptin 50 mg + metformin hydrochloride 1 g modified release tablet, 56 |
| 10089B | ARX-Sitagliptin/Metformin XR 100/1000, XT – SITAGLIPTIN + METFORMIN, sitagliptin 100 mg + metformin hydrochloride 1 g modified release tablet, 28 |
| 14031L | ARX-Sitagliptin/Metformin XR 100/1000, XT – SITAGLIPTIN + METFORMIN, sitagliptin 100 mg + metformin hydrochloride 1 g modified release tablet, 28 |
| 2180R | ARX-TRANEXAMIC ACID, XT – TRANEXAMIC ACID, tranexamic acid 500 mg tablet, 100 |
Addition – Equivalence Indicator
Addition – Note
| 13955L | ACARBOSE, acarbose 50 mg tablet, 90 (Acarbose Viatris, GLYBOSAY) |
| 8189B | ACARBOSE, acarbose 100 mg tablet, 90 (Acarbose Viatris, GLYBOSAY) |
| 13869Y | ACARBOSE, acarbose 100 mg tablet, 90 (Acarbose Viatris, GLYBOSAY) |
| 8459F | ALBENDAZOLE, albendazole 400 mg tablet, 60 (Eskazole) |
| 11130T | SALBUTAMOL, salbutamol 2.5 mg/2.5 mL inhalation solution, 20 x 2.5 mL ampoules (Ventolin Nebules) |
Deletions
Deletion – Item
| 13110B | GLATIRAMER ACETATE, glatiramer acetate 40 mg/mL injection, 12 x 1 mL pen devices (Copaxone) |
| 14793N | PRAZOSIN, prazosin 1 mg capsule, 100 (Prazosin Hydrochloride Capsules, USP 1 mg (Novitium Pharma, USA)) |
| 14834R | PRAZOSIN, prazosin 1 mg capsule, 100 (Prazosin Hydrochloride Capsules, USP 1 mg (Novitium Pharma, USA)) |
Deletion – Brand
| 8720Y | ARIPIPRAZOLE-WGR, WG – ARIPIPRAZOLE, aripiprazole 30 mg tablet, 30 |
| 8888T | Mobic, BY – MELOXICAM, meloxicam 15 mg capsule, 30 |
| 3381Y | OLANZAPINE ODT-WGR, WG – OLANZAPINE, olanzapine 5 mg orally disintegrating tablet, 28 |
| 3384D | OLANZAPINE ODT-WGR, WG – OLANZAPINE, olanzapine 15 mg orally disintegrating tablet, 28 |
Deletion – Note
Deletion – Restriction
| 15064W | IPTACOPAN, Iptacopan 200 mg capsule, 56 (Fabhalta) |
Supply Only
Supply Only – Period Commencing
| 15084X | ELAFIBRANOR, Elafibranor 80 mg tablet, 30 (Iqirvo) |
Supply Only – Period Ending
| 8200N | AZITHROMYCIN, azithromycin 500 mg tablet, 2 (APO-Azithromycin, Azithromycin Sandoz, Azithromycin Viatris, AZITHROMYCIN-WGR, ZITHRO, Zithromax) |
| 9031H | MICONAZOLE, miconazole 2% solution, 30 mL (Daktarin Tincture) |
Advance Notices
1 December 2026
Deletion – Item
| 8678R | Phlexy-10, SB – AMINO ACID FORMULA WITHOUT PHENYLALANINE, amino acid formula without phenylalanine 1 g tablet, 75 |
| 8746H | Easiphen, SB – AMINO ACID FORMULA WITH VITAMINS AND MINERALS WITHOUT PHENYLALANINE, amino acid formula with vitamins and minerals without phenylalanine oral liquid, 18 x 250 mL |
| 15071F | Darzalex SC, JC – DARATUMUMAB, daratumumab 1.8 g/15 mL injection, 15 mL vial |
| 5491B | Teveten, GO – EPROSARTAN, eprosartan 600 mg tablet, 28 |
| 8447N | Teveten, GO – EPROSARTAN, eprosartan 600 mg tablet, 28 |
| 13861M | Teveten, GO – EPROSARTAN, eprosartan 600 mg tablet, 28 |
| 13912F | Teveten, GO – EPROSARTAN, eprosartan 600 mg tablet, 28 |
| 8624X | Teveten Plus 600/12.5, GO – EPROSARTAN + HYDROCHLOROTHIAZIDE, eprosartan 600 mg + hydrochlorothiazide 12.5 mg tablet, 28 |
| 14337N | Teveten Plus 600/12.5, GO – EPROSARTAN + HYDROCHLOROTHIAZIDE, eprosartan 600 mg + hydrochlorothiazide 12.5 mg tablet, 28 |
| 2939Q | Daonil, SW – GLIBENCLAMIDE, glibenclamide 5 mg tablet, 100 |
| 13868X | Daonil, SW – GLIBENCLAMIDE, glibenclamide 5 mg tablet, 100 |
| 11844J | PKU GMPro LQ, SB – GLYCOMACROPEPTIDE FORMULA WITH DOCOSAHEXAENOIC ACID AND LOW PHENYLALANINE, glycomacropeptide formula with docosahexaenoic acid and low phenylalanine oral liquid, 18 x 250 mL cartons |
| 12911M | Imatab, JU – IMATINIB, imatinib 600 mg tablet, 30 |
| 12912N | Imatab, JU – IMATINIB, imatinib 600 mg tablet, 30 |
| 12919Y | Imatab, JU – IMATINIB, imatinib 600 mg tablet, 30 |
| 12920B | Imatab, JU – IMATINIB, imatinib 600 mg tablet, 30 |
| 12923E | Imatab, JU – IMATINIB, imatinib 600 mg tablet, 30 |
| 12926H | Imatab, JU – IMATINIB, imatinib 600 mg tablet, 30 |
| 12927J | Imatab, JU – IMATINIB, imatinib 600 mg tablet, 30 |
| 12935T | Imatab, JU – IMATINIB, imatinib 600 mg tablet, 30 |
| 1166J | Amdipharm Mercury (Australia) Pty Limited, GH – PHENOXYBENZAMINE, phenoxybenzamine hydrochloride 10 mg capsule, 30 |
| 1034K | Bricanyl, AP – TERBUTALINE, terbutaline sulfate 500 microgram/mL injection, 5 x 1 mL ampoules |
Deletion – Brand
| 2698B | Zytiga, JC – ABIRATERONE, abiraterone acetate 250 mg tablet, 120 |
| 11206T | Zytiga, JC – ABIRATERONE, abiraterone acetate 500 mg tablet, 60 |
| 1886G | Amoxil, AS – AMOXICILLIN, amoxicillin 125 mg/5 mL powder for oral liquid, 100 mL |
| 3302T | Amoxil, AS – AMOXICILLIN, amoxicillin 125 mg/5 mL powder for oral liquid, 100 mL |
| 8508T | Rabeprazole Mylan, AF – RABEPRAZOLE, rabeprazole sodium 20 mg enteric tablet, 30 |
| 8509W | Rabeprazole Mylan, AF – RABEPRAZOLE, rabeprazole sodium 20 mg enteric tablet, 30 |
| 11670F | Rabeprazole Mylan, AF – RABEPRAZOLE, rabeprazole sodium 20 mg enteric tablet, 30 |
| 12286P | Rabeprazole Mylan, AF – RABEPRAZOLE, rabeprazole sodium 20 mg enteric tablet, 30 |
| 14396Q | Rabeprazole Mylan, AF – RABEPRAZOLE, rabeprazole sodium 20 mg enteric tablet, 30 |
| 14433P | Rabeprazole Mylan, AF – RABEPRAZOLE, rabeprazole sodium 20 mg enteric tablet, 30 |
| 14463F | Rabeprazole Mylan, AF – RABEPRAZOLE, rabeprazole sodium 20 mg enteric tablet, 30 |
| 11856B | Sevelamer Lupin, GQ – SEVELAMER, sevelamer carbonate 800 mg tablet, 180 |
| 14027G | Sevelamer Lupin, GQ – SEVELAMER, sevelamer carbonate 800 mg tablet, 180 |
| 3113W | VANCOR, CR – VANCOMYCIN, vancomycin 125 mg capsule, 20 |
| 3114X | VANCOR, CR – VANCOMYCIN, vancomycin 250 mg capsule, 20 |
1 January 2027
Deletion – Item
| 11937G | Braftovi, FB – ENCORAFENIB, encorafenib 50 mg capsule, 28 |
| 11954E | Braftovi, FB – ENCORAFENIB, encorafenib 50 mg capsule, 28 |
| 9040T | Levemir Penfill, NO – INSULIN DETEMIR, insulin detemir 100 units/mL injection, 5 x 3 mL cartridges |
| 12236B | Levemir FlexPen, NF – INSULIN DETEMIR, insulin detemir 100 units/mL injection, 5 x 3 mL pen devices |
Deletion – Brand
| 2518M | Aprepitant APOTEX, TX – APREPITANT, aprepitant 165 mg capsule, 1 |
| 1775K | BenPen, SZ – BENZYLPENICILLIN, benzylpenicillin 600 mg injection, 1 vial |
| 3398W | BenPen, SZ – BENZYLPENICILLIN, benzylpenicillin 600 mg injection, 1 vial |
| 8094B | Calutex, AS – BICALUTAMIDE, bicalutamide 50 mg tablet, 28 |
| 8480H | Vasocardol CD, AV – DILTIAZEM, diltiazem hydrochloride 360 mg modified release capsule, 30 |
| 14565N | Vasocardol CD, AV – DILTIAZEM, diltiazem hydrochloride 360 mg modified release capsule, 30 |
| 1761Q | Protaphane Penfill 3 mL, NO – INSULIN ISOPHANE HUMAN, insulin isophane human 100 units/mL injection, 5 x 3 mL cartridges |
| 1762R | Actrapid Penfill 3 mL, NO – INSULIN NEUTRAL HUMAN, insulin neutral human 100 units/mL injection, 5 x 3 mL cartridges |
| 2237R | Sertraline generichealth, GQ – SERTRALINE, sertraline 100 mg tablet, 30 |
| 8837D | Sertraline generichealth, GQ – SERTRALINE, sertraline 100 mg tablet, 30 |
| 14404D | Sertraline generichealth, GQ – SERTRALINE, sertraline 100 mg tablet, 30 |
| 14506L | Sertraline generichealth, GQ – SERTRALINE, sertraline 100 mg tablet, 30 |
1 February 2027
Deletion – Brand
| 8887R | Mobic, BY – MELOXICAM, meloxicam 7.5 mg capsule, 30 |
| 1215Y | Paracetamol/Codeine GH 500/30, GQ – PARACETAMOL + CODEINE, paracetamol 500 mg + codeine phosphate hemihydrate 30 mg tablet, 20 |
| 3316M | Paracetamol/Codeine GH 500/30, GQ – PARACETAMOL + CODEINE, paracetamol 500 mg + codeine phosphate hemihydrate 30 mg tablet, 20 |
| 12022R | Paracetamol/Codeine GH 500/30, GQ – PARACETAMOL + CODEINE, paracetamol 500 mg + codeine phosphate hemihydrate 30 mg tablet, 20 |
| 12066C | Paracetamol/Codeine GH 500/30, GQ – PARACETAMOL + CODEINE, paracetamol 500 mg + codeine phosphate hemihydrate 30 mg tablet, 20 |
Highly Specialised Drugs Program (Private Hospital)
Additions
Addition – Item
| 15556R | ADALIMUMAB, Adalimumab 20 mg/0.2 mL injection, 0.2 mL syringe (Amgevita) |
| 15585G | ADALIMUMAB, Adalimumab 20 mg/0.2 mL injection, 0.2 mL syringe (Amgevita) |
| 15597X | ADALIMUMAB, Adalimumab 20 mg/0.2 mL injection, 0.2 mL syringe (Amgevita) |
| 15622F | CICLOSPORIN, ciclosporin 10 mg capsule, 60 (Neoral 10) |
| 15666M | CICLOSPORIN, ciclosporin 25 mg capsule, 30 (APO-Ciclosporin, CICLOSPORIN-WGR, Neoral 25) |
| 15634W | CICLOSPORIN, ciclosporin 50 mg capsule, 30 (APO-Ciclosporin, CICLOSPORIN-WGR, Neoral 50) |
| 15663J | CICLOSPORIN, ciclosporin 100 mg capsule, 30 (APO-Ciclosporin, CICLOSPORIN-WGR, Neoral 100) |
| 15623G | CICLOSPORIN, ciclosporin 100 mg/mL oral liquid, 50 mL (Neoral) |
| 15620D | ELEXACAFTOR + TEZACAFTOR + IVACAFTOR (&) IVACAFTOR, elexacaftor 50 mg + tezacaftor 25 mg + ivacaftor 37.5 mg tablet [56] (&) ivacaftor 75 mg tablet [28], 84 (Trikafta) |
| 15656B | ELEXACAFTOR + TEZACAFTOR + IVACAFTOR (&) IVACAFTOR, elexacaftor 80 mg + tezacaftor 40 mg + ivacaftor 60 mg granules [28] (&) ivacaftor 59.5 mg granules [28], 56 (Trikafta) |
| 15646L | ELEXACAFTOR + TEZACAFTOR + IVACAFTOR (&) IVACAFTOR, elexacaftor 100 mg + tezacaftor 50 mg + ivacaftor 75 mg tablet [56] (&) ivacaftor 150 mg tablet [28], 84 (Trikafta) |
| 15671T | ELEXACAFTOR + TEZACAFTOR + IVACAFTOR (&) IVACAFTOR, elexacaftor 100 mg + tezacaftor 50 mg + ivacaftor 75 mg granules [28] (&) ivacaftor 75 mg granules [28], 56 (Trikafta) |
| 15613R | IVACAFTOR, ivacaftor 25 mg granules, 56 sachets (Kalydeco) |
| 15614T | IVACAFTOR, ivacaftor 25 mg granules, 56 sachets (Kalydeco) |
| 15662H | IVACAFTOR, ivacaftor 50 mg granules, 56 sachets (Kalydeco) |
| 15680G | IVACAFTOR, ivacaftor 50 mg granules, 56 sachets (Kalydeco) |
| 15650Q | IVACAFTOR, ivacaftor 75 mg granules, 56 sachets (Kalydeco) |
| 15660F | IVACAFTOR, ivacaftor 75 mg granules, 56 sachets (Kalydeco) |
| 15621E | IVACAFTOR, ivacaftor 150 mg tablet, 56 (Kalydeco) |
| 15631Q | IVACAFTOR, ivacaftor 150 mg tablet, 56 (Kalydeco) |
| 15678E | LANREOTIDE, lanreotide 60 mg/0.5 mL injection, 0.5 mL syringe (Mytolac, Somatuline Autogel) |
| 15608L | LANREOTIDE, lanreotide 90 mg/0.5 mL injection, 0.5 mL syringe (Mytolac, Somatuline Autogel) |
| 15637B | LANREOTIDE, lanreotide 120 mg/0.5 mL injection, 0.5 mL syringe (Mytolac, Somatuline Autogel) |
| 15643H | LUMACAFTOR + IVACAFTOR, lumacaftor 75 mg + ivacaftor 94 mg granules, 56 sachets (Orkambi) |
| 15633T | LUMACAFTOR + IVACAFTOR, lumacaftor 100 mg + ivacaftor 125 mg granules, 56 sachets (Orkambi) |
| 15676C | LUMACAFTOR + IVACAFTOR, lumacaftor 100 mg + ivacaftor 125 mg tablet, 112 (Orkambi) |
| 15664K | LUMACAFTOR + IVACAFTOR, lumacaftor 150 mg + ivacaftor 188 mg granules, 56 sachets (Orkambi) |
| 15653W | LUMACAFTOR + IVACAFTOR, lumacaftor 200 mg + ivacaftor 125 mg tablet, 112 (Orkambi) |
| 15673X | MYCOPHENOLATE, mycophenolate 180 mg enteric tablet, 120 (Mycophenolic Acid ARX, Myfortic) |
| 15674Y | MYCOPHENOLATE, mycophenolate 360 mg enteric tablet, 120 (Mycophenolic Acid ARX, MYCOTEX, Myfortic) |
| 15628M | OCTREOTIDE, octreotide 50 microgram/mL injection, 5 x 1 mL ampoules (Octreotide (SUN), Octreotide GH, Sandostatin 0.05) |
| 15610N | OCTREOTIDE, octreotide 100 microgram/mL injection, 5 x 1 mL ampoules (Octreotide (SUN), Octreotide GH, Sandostatin 0.1) |
| 15648N | OCTREOTIDE, octreotide 500 microgram/mL injection, 5 x 1 mL ampoules (Octreotide (SUN), Octreotide GH, Sandostatin 0.5) |
| 15629N | OCTREOTIDE, octreotide 10 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (Sandostatin LAR) |
| 15649P | OCTREOTIDE, octreotide 20 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (Sandostatin LAR) |
| 15639D | OCTREOTIDE, octreotide 30 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (Sandostatin LAR) |
| 15568J | TEPROTUMUMAB, Teprotumumab 500 mg injection, 1 vial (Tepezza) |
| 15605H | TEPROTUMUMAB, Teprotumumab 500 mg injection, 1 vial (Tepezza) |
| 15606J | TEZACAFTOR + IVACAFTOR (&) IVACAFTOR, tezacaftor 100 mg + ivacaftor 150 mg tablet [28] (&) ivacaftor 150 mg tablet [28], 56 (Symdeko) |
| 15635X | TEZACAFTOR + IVACAFTOR (&) IVACAFTOR, tezacaftor 100 mg + ivacaftor 150 mg tablet [28] (&) ivacaftor 150 mg tablet [28], 56 (Symdeko) |
Addition – Brand
| 12335F | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 13229G | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 15142Y | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 11496C | Deferasirox FCT MSN, VM – DEFERASIROX, deferasirox 360 mg tablet, 30 |
| 11511W | Deferasirox FCT MSN, VM – DEFERASIROX, deferasirox 360 mg tablet, 30 |
| 11547R | Deferasirox FCT MSN, VM – DEFERASIROX, deferasirox 360 mg tablet, 30 |
| 9620H | Sevelamer Waymade, IX – SEVELAMER, sevelamer hydrochloride 800 mg tablet, 180 |
Deletions
Deletion – Restriction
| 13266F | ELEXACAFTOR + TEZACAFTOR + IVACAFTOR (&) IVACAFTOR, elexacaftor 50 mg + tezacaftor 25 mg + ivacaftor 37.5 mg tablet [56] (&) ivacaftor 75 mg tablet [28], 84 (Trikafta) |
| 14279M | ELEXACAFTOR + TEZACAFTOR + IVACAFTOR (&) IVACAFTOR, elexacaftor 80 mg + tezacaftor 40 mg + ivacaftor 60 mg granules [28] (&) ivacaftor 59.5 mg granules [28], 56 (Trikafta) |
| 12938Y | ELEXACAFTOR + TEZACAFTOR + IVACAFTOR (&) IVACAFTOR, elexacaftor 100 mg + tezacaftor 50 mg + ivacaftor 75 mg tablet [56] (&) ivacaftor 150 mg tablet [28], 84 (Trikafta) |
| 14147N | IVACAFTOR, ivacaftor 25 mg granules, 56 sachets (Kalydeco) |
| 14165M | IVACAFTOR, ivacaftor 25 mg granules, 56 sachets (Kalydeco) |
| 11097C | IVACAFTOR, ivacaftor 50 mg granules, 56 sachets (Kalydeco) |
| 14158E | IVACAFTOR, ivacaftor 50 mg granules, 56 sachets (Kalydeco) |
| 11109Q | IVACAFTOR, ivacaftor 75 mg granules, 56 sachets (Kalydeco) |
| 14157D | IVACAFTOR, ivacaftor 75 mg granules, 56 sachets (Kalydeco) |
| 10175M | IVACAFTOR, ivacaftor 150 mg tablet, 56 (Kalydeco) |
| 14169R | IVACAFTOR, ivacaftor 150 mg tablet, 56 (Kalydeco) |
| 6423C | LANREOTIDE, lanreotide 60 mg/0.5 mL injection, 0.5 mL syringe (Mytolac, Somatuline Autogel) |
| 6424D | LANREOTIDE, lanreotide 90 mg/0.5 mL injection, 0.5 mL syringe (Mytolac, Somatuline Autogel) |
| 6425E | LANREOTIDE, lanreotide 120 mg/0.5 mL injection, 0.5 mL syringe (Mytolac, Somatuline Autogel) |
| 13795C | LUMACAFTOR + IVACAFTOR, lumacaftor 75 mg + ivacaftor 94 mg granules, 56 sachets (Orkambi) |
| 11464J | LUMACAFTOR + IVACAFTOR, lumacaftor 100 mg + ivacaftor 125 mg tablet, 112 (Orkambi) |
| 11841F | LUMACAFTOR + IVACAFTOR, lumacaftor 100 mg + ivacaftor 125 mg granules, 56 sachets (Orkambi) |
| 11848N | LUMACAFTOR + IVACAFTOR, lumacaftor 150 mg + ivacaftor 188 mg granules, 56 sachets (Orkambi) |
| 11463H | LUMACAFTOR + IVACAFTOR, lumacaftor 200 mg + ivacaftor 125 mg tablet, 112 (Orkambi) |
| 6369F | MYCOPHENOLATE, mycophenolate 180 mg enteric tablet, 120 (Mycophenolic Acid ARX, Myfortic) |
| 6370G | MYCOPHENOLATE, mycophenolate 360 mg enteric tablet, 120 (Mycophenolic Acid ARX, MYCOTEX, Myfortic) |
| 6227R | OCTREOTIDE, octreotide 50 microgram/mL injection, 5 x 1 mL ampoules (Octreotide (SUN), Octreotide GH, Sandostatin 0.05) |
| 6228T | OCTREOTIDE, octreotide 100 microgram/mL injection, 5 x 1 mL ampoules (Octreotide (SUN), Octreotide GH, Sandostatin 0.1) |
| 6229W | OCTREOTIDE, octreotide 500 microgram/mL injection, 5 x 1 mL ampoules (Octreotide (SUN), Octreotide GH, Sandostatin 0.5) |
| 10566D | OCTREOTIDE, octreotide 10 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (Sandostatin LAR) |
| 10549F | OCTREOTIDE, octreotide 20 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (Sandostatin LAR) |
| 10558Q | OCTREOTIDE, octreotide 30 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (Sandostatin LAR) |
| 11833T | TEZACAFTOR + IVACAFTOR (&) IVACAFTOR, tezacaftor 100 mg + ivacaftor 150 mg tablet [28] (&) ivacaftor 150 mg tablet [28], 56 (Symdeko) |
| 11834W | TEZACAFTOR + IVACAFTOR (&) IVACAFTOR, tezacaftor 100 mg + ivacaftor 150 mg tablet [28] (&) ivacaftor 150 mg tablet [28], 56 (Symdeko) |
Alterations
Alteration – Authorised Prescriber
| From | To | ||
|---|---|---|---|
| 6109M | CICLOSPORIN, ciclosporin 50 mg/mL injection, 10 x 1 mL ampoules (Sandimmun) | M | M,N |
| 11545P | DEFERASIROX, deferasirox 90 mg tablet, 30 (DEFERAMED, Deferasirox ARX, Deferasirox Sandoz, DEFERASIROX-TEVA, Eferas, Jadenu, Pharmacor Deferasirox FC) | M | M,N |
| 11548T | DEFERASIROX, deferasirox 90 mg tablet, 30 (DEFERAMED, Deferasirox ARX, Deferasirox Sandoz, DEFERASIROX-TEVA, Eferas, Jadenu, Pharmacor Deferasirox FC) | M | M,N |
| 11558H | DEFERASIROX, deferasirox 90 mg tablet, 30 (DEFERAMED, Deferasirox ARX, Deferasirox Sandoz, DEFERASIROX-TEVA, Eferas, Jadenu, Pharmacor Deferasirox FC) | M | M,N |
| 6499C | DEFERASIROX, deferasirox 125 mg dispersible tablet, 28 (Deferasirox Juno) | M | M,N |
| 11236J | DEFERASIROX, deferasirox 125 mg dispersible tablet, 28 (Deferasirox Juno) | M | M,N |
| 11241P | DEFERASIROX, deferasirox 125 mg dispersible tablet, 28 (Deferasirox Juno) | M | M,N |
| 11510T | DEFERASIROX, deferasirox 180 mg tablet, 30 (DEFERAMED, Deferasirox ARX, Deferasirox Sandoz, DEFERASIROX-TEVA, Eferas, Jadenu, Pharmacor Deferasirox FC) | M | M,N |
| 11546Q | DEFERASIROX, deferasirox 180 mg tablet, 30 (DEFERAMED, Deferasirox ARX, Deferasirox Sandoz, DEFERASIROX-TEVA, Eferas, Jadenu, Pharmacor Deferasirox FC) | M | M,N |
| 11557G | DEFERASIROX, deferasirox 180 mg tablet, 30 (DEFERAMED, Deferasirox ARX, Deferasirox Sandoz, DEFERASIROX-TEVA, Eferas, Jadenu, Pharmacor Deferasirox FC) | M | M,N |
| 6500D | DEFERASIROX, deferasirox 250 mg dispersible tablet, 28 (Deferasirox Juno) | M | M,N |
| 11238L | DEFERASIROX, deferasirox 250 mg dispersible tablet, 28 (Deferasirox Juno) | M | M,N |
| 11244T | DEFERASIROX, deferasirox 250 mg dispersible tablet, 28 (Deferasirox Juno) | M | M,N |
| 11496C | DEFERASIROX, deferasirox 360 mg tablet, 30 (DEFERAMED, Deferasirox ARX, Deferasirox Sandoz, DEFERASIROX-TEVA, Eferas, Jadenu, Pharmacor Deferasirox FC) | M | M,N |
| 11511W | DEFERASIROX, deferasirox 360 mg tablet, 30 (DEFERAMED, Deferasirox ARX, Deferasirox Sandoz, DEFERASIROX-TEVA, Eferas, Jadenu, Pharmacor Deferasirox FC) | M | M,N |
| 11547R | DEFERASIROX, deferasirox 360 mg tablet, 30 (DEFERAMED, Deferasirox ARX, Deferasirox Sandoz, DEFERASIROX-TEVA, Eferas, Jadenu, Pharmacor Deferasirox FC) | M | M,N |
| 9600G | DEFERASIROX, deferasirox 500 mg dispersible tablet, 28 (Deferasirox Juno, Pharmacor Deferasirox) | M | M,N |
| 11232E | DEFERASIROX, deferasirox 500 mg dispersible tablet, 28 (Deferasirox Juno, Pharmacor Deferasirox) | M | M,N |
| 11243R | DEFERASIROX, deferasirox 500 mg dispersible tablet, 28 (Deferasirox Juno, Pharmacor Deferasirox) | M | M,N |
| 9638G | DEFERIPRONE, deferiprone 100 mg/mL oral liquid, 250 mL (Ferriprox) | M | M,N |
| 6416Q | DEFERIPRONE, deferiprone 500 mg tablet, 100 (Ferriprox) | M | M,N |
| 11724C | DEFERIPRONE, deferiprone 1 g tablet, 50 (Ferriprox) | M | M,N |
| 6113R | DESFERRIOXAMINE, desferrioxamine mesilate 500 mg injection, 10 vials (DBL Desferrioxamine Mesilate) | M | M,N |
| 6270B | DESFERRIOXAMINE, desferrioxamine mesilate 2 g injection, 1 vial (DBL Desferrioxamine Mesilate) | M | M,N |
| 6120D | DORNASE ALFA, dornase alfa 2.5 mg/2.5 mL inhalation solution, 30 x 2.5 mL ampoules (Pulmozyme) | M | M,N |
| 6459Y | EVEROLIMUS, everolimus 250 microgram tablet, 60 (Certican, Everocan) | M | M,N |
| 6460B | EVEROLIMUS, everolimus 500 microgram tablet, 60 (Certican, Everocan) | M | M,N |
| 6461C | EVEROLIMUS, everolimus 750 microgram tablet, 60 (Certican, Everocan) | M | M,N |
| 9582H | EVEROLIMUS, everolimus 1 mg tablet, 60 (Certican, Everocan) | M | M,N |
| 5830W | FILGRASTIM, filgrastim 120 microgram/0.2 mL injection, 10 x 0.2 mL syringes (Nivestim) | M | M,N |
| 2747N | FILGRASTIM, filgrastim 300 microgram/0.5 mL injection, 5 x 0.5 mL syringes (Zarzio) | M | M,N |
| 6291D | FILGRASTIM, filgrastim 300 microgram/0.5 mL injection, 10 x 0.5 mL syringes (Nivestim) | M | M,N |
| 2733W | FILGRASTIM, filgrastim 480 microgram/0.5 mL injection, 5 x 0.5 mL syringes (Zarzio) | M | M,N |
| 6292E | FILGRASTIM, filgrastim 480 microgram/0.5 mL injection, 10 x 0.5 mL syringes (Nivestim) | M | M,N |
| 11527Q | LANREOTIDE, lanreotide 120 mg/0.5 mL injection, 0.5 mL syringe (Mytolac, Somatuline Autogel) | M | M,N |
| 2008Q | MANNITOL, mannitol 40 mg powder for inhalation, 280 capsules (Bronchitol) | M | M,N |
| 11518F | MIDOSTAURIN, midostaurin 25 mg capsule, 112 (Rydapt) | M | M,N |
| 6208R | MYCOPHENOLATE, mycophenolate mofetil 250 mg capsule, 100 (APO-Mycophenolate, Mycophenolate Sandoz, Pharmacor Mycophenolate 250) | M | M,N |
| 6209T | MYCOPHENOLATE, mycophenolate mofetil 500 mg tablet, 50 (ARX-MYCOPHENOLATE, Ceptolate, Mycophenolate GH, Mycophenolate Sandoz, Pharmacor Mycophenolate 500) | M | M,N |
| 6364Y | MYCOPHENOLATE, mycophenolate mofetil 1 g/5 mL powder for oral liquid, 165 mL (CellCept, Pharmacor Mycophenolate) | M | M,N |
| 11894B | OCTREOTIDE, octreotide 30 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (Sandostatin LAR) | M | M,N |
| 6363X | PEGFILGRASTIM, pegfilgrastim 6 mg/0.6 mL injection, 0.6 mL syringe (Pelgraz, Ziextenzo) | M | M,N |
| 9748C | SIROLIMUS, sirolimus 500 microgram tablet, 100 (Rapamune) | M | M,N |
| 6436R | SIROLIMUS, sirolimus 1 mg tablet, 100 (Rapamune) | M | M,N |
| 6437T | SIROLIMUS, sirolimus 1 mg/mL oral liquid, 60 mL (Rapamune) | M | M,N |
| 6457W | SIROLIMUS, sirolimus 2 mg tablet, 100 (Rapamune) | M | M,N |
| 6328C | TACROLIMUS, tacrolimus 500 microgram capsule, 100 (Pacrolim, Pharmacor Tacrolimus 0.5, Prograf, Tacrograf, Tacrolimus Sandoz) | M | M,N |
| 9681M | TACROLIMUS, tacrolimus 500 microgram modified release capsule, 30 (ADVAGRAF XL, Tacrolimus XR Sandoz) | M | M,N |
| 10875J | TACROLIMUS, tacrolimus 750 microgram capsule, 100 (Tacrolimus Sandoz) | M | M,N |
| 6216E | TACROLIMUS, tacrolimus 1 mg capsule, 100 (Pacrolim, Pharmacor Tacrolimus 1, Prograf, Tacrograf, Tacrolimus Sandoz) | M | M,N |
| 9682N | TACROLIMUS, tacrolimus 1 mg modified release capsule, 60 (ADVAGRAF XL, Tacrolimus XR Sandoz) | M | M,N |
| 10879N | TACROLIMUS, tacrolimus 2 mg capsule, 100 (Tacrolimus Sandoz) | M | M,N |
| 11920J | TACROLIMUS, tacrolimus 3 mg modified release capsule, 50 (ADVAGRAF XL, Tacrolimus XR Sandoz) | M | M,N |
| 6217F | TACROLIMUS, tacrolimus 5 mg capsule, 50 (Pharmacor Tacrolimus 5, Prograf, Tacrograf, Tacrolimus Sandoz) | M | M,N |
| 9683P | TACROLIMUS, tacrolimus 5 mg modified release capsule, 30 (ADVAGRAF XL, Tacrolimus XR Sandoz) | M | M,N |
| 9675F | VALGANCICLOVIR, valganciclovir 50 mg/mL powder for oral liquid, 100 mL (Valcyte) | M | M,N |
| 6357N | VALGANCICLOVIR, valganciclovir 450 mg tablet, 60 (Valganciclovir Sandoz, Valganciclovir Viatris) | M | M,N |
| 13772W | ZOLEDRONIC ACID, zoledronic acid 4 mg/5 mL injection, 5 mL vial (DEZTRON, Zoledronate-DRLA 4, Zoledronic Acid Accord) | M | M,N |
Alteration – Restriction
| 6232B | CICLOSPORIN, ciclosporin 10 mg capsule, 60 (Neoral 10) |
| 6352H | CICLOSPORIN, ciclosporin 25 mg capsule, 30 (APO-Ciclosporin, CICLOSPORIN-WGR, Neoral 25) |
| 6353J | CICLOSPORIN, ciclosporin 50 mg capsule, 30 (APO-Ciclosporin, CICLOSPORIN-WGR, Neoral 50) |
| 6109M | CICLOSPORIN, ciclosporin 50 mg/mL injection, 10 x 1 mL ampoules (Sandimmun) |
| 6354K | CICLOSPORIN, ciclosporin 100 mg capsule, 30 (APO-Ciclosporin, CICLOSPORIN-WGR, Neoral 100) |
| 6125J | CICLOSPORIN, ciclosporin 100 mg/mL oral liquid, 50 mL (Neoral) |
| 11545P | DEFERASIROX, deferasirox 90 mg tablet, 30 (DEFERAMED, Deferasirox ARX, Deferasirox Sandoz, DEFERASIROX-TEVA, Eferas, Jadenu, Pharmacor Deferasirox FC) |
| 11548T | DEFERASIROX, deferasirox 90 mg tablet, 30 (DEFERAMED, Deferasirox ARX, Deferasirox Sandoz, DEFERASIROX-TEVA, Eferas, Jadenu, Pharmacor Deferasirox FC) |
| 11558H | DEFERASIROX, deferasirox 90 mg tablet, 30 (DEFERAMED, Deferasirox ARX, Deferasirox Sandoz, DEFERASIROX-TEVA, Eferas, Jadenu, Pharmacor Deferasirox FC) |
| 6499C | DEFERASIROX, deferasirox 125 mg dispersible tablet, 28 (Deferasirox Juno) |
| 11236J | DEFERASIROX, deferasirox 125 mg dispersible tablet, 28 (Deferasirox Juno) |
| 11241P | DEFERASIROX, deferasirox 125 mg dispersible tablet, 28 (Deferasirox Juno) |
| 11510T | DEFERASIROX, deferasirox 180 mg tablet, 30 (DEFERAMED, Deferasirox ARX, Deferasirox Sandoz, DEFERASIROX-TEVA, Eferas, Jadenu, Pharmacor Deferasirox FC) |
| 11546Q | DEFERASIROX, deferasirox 180 mg tablet, 30 (DEFERAMED, Deferasirox ARX, Deferasirox Sandoz, DEFERASIROX-TEVA, Eferas, Jadenu, Pharmacor Deferasirox FC) |
| 11557G | DEFERASIROX, deferasirox 180 mg tablet, 30 (DEFERAMED, Deferasirox ARX, Deferasirox Sandoz, DEFERASIROX-TEVA, Eferas, Jadenu, Pharmacor Deferasirox FC) |
| 6500D | DEFERASIROX, deferasirox 250 mg dispersible tablet, 28 (Deferasirox Juno) |
| 11238L | DEFERASIROX, deferasirox 250 mg dispersible tablet, 28 (Deferasirox Juno) |
| 11244T | DEFERASIROX, deferasirox 250 mg dispersible tablet, 28 (Deferasirox Juno) |
| 11496C | DEFERASIROX, deferasirox 360 mg tablet, 30 (DEFERAMED, Deferasirox ARX, Deferasirox FCT MSN, Deferasirox Sandoz, DEFERASIROX-TEVA, Eferas, Jadenu, Pharmacor Deferasirox FC) |
| 11511W | DEFERASIROX, deferasirox 360 mg tablet, 30 (DEFERAMED, Deferasirox ARX, Deferasirox FCT MSN, Deferasirox Sandoz, DEFERASIROX-TEVA, Eferas, Jadenu, Pharmacor Deferasirox FC) |
| 11547R | DEFERASIROX, deferasirox 360 mg tablet, 30 (DEFERAMED, Deferasirox ARX, Deferasirox FCT MSN, Deferasirox Sandoz, DEFERASIROX-TEVA, Eferas, Jadenu, Pharmacor Deferasirox FC) |
| 9600G | DEFERASIROX, deferasirox 500 mg dispersible tablet, 28 (Deferasirox Juno, Pharmacor Deferasirox) |
| 11232E | DEFERASIROX, deferasirox 500 mg dispersible tablet, 28 (Deferasirox Juno, Pharmacor Deferasirox) |
| 11243R | DEFERASIROX, deferasirox 500 mg dispersible tablet, 28 (Deferasirox Juno, Pharmacor Deferasirox) |
| 9638G | DEFERIPRONE, deferiprone 100 mg/mL oral liquid, 250 mL (Ferriprox) |
| 6416Q | DEFERIPRONE, deferiprone 500 mg tablet, 100 (Ferriprox) |
| 11724C | DEFERIPRONE, deferiprone 1 g tablet, 50 (Ferriprox) |
| 6113R | DESFERRIOXAMINE, desferrioxamine mesilate 500 mg injection, 10 vials (DBL Desferrioxamine Mesilate) |
| 6270B | DESFERRIOXAMINE, desferrioxamine mesilate 2 g injection, 1 vial (DBL Desferrioxamine Mesilate) |
| 6120D | DORNASE ALFA, dornase alfa 2.5 mg/2.5 mL inhalation solution, 30 x 2.5 mL ampoules (Pulmozyme) |
| 14280N | ELEXACAFTOR + TEZACAFTOR + IVACAFTOR (&) IVACAFTOR, elexacaftor 100 mg + tezacaftor 50 mg + ivacaftor 75 mg granules [28] (&) ivacaftor 75 mg granules [28], 56 (Trikafta) |
| 6459Y | EVEROLIMUS, everolimus 250 microgram tablet, 60 (Certican, Everocan) |
| 6460B | EVEROLIMUS, everolimus 500 microgram tablet, 60 (Certican, Everocan) |
| 6461C | EVEROLIMUS, everolimus 750 microgram tablet, 60 (Certican, Everocan) |
| 9582H | EVEROLIMUS, everolimus 1 mg tablet, 60 (Certican, Everocan) |
| 5830W | FILGRASTIM, filgrastim 120 microgram/0.2 mL injection, 10 x 0.2 mL syringes (Nivestim) |
| 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 (Nivestim) |
| 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 (Nivestim) |
| 11527Q | LANREOTIDE, lanreotide 120 mg/0.5 mL injection, 0.5 mL syringe (Mytolac, Somatuline Autogel) |
| 2008Q | MANNITOL, mannitol 40 mg powder for inhalation, 280 capsules (Bronchitol) |
| 15508F | MEPOLIZUMAB, mepolizumab 100 mg/mL injection, 1 mL pen device (Nucala) |
| 11518F | MIDOSTAURIN, midostaurin 25 mg capsule, 112 (Rydapt) |
| 6208R | MYCOPHENOLATE, mycophenolate mofetil 250 mg capsule, 100 (APO-Mycophenolate, Mycophenolate Sandoz, Pharmacor Mycophenolate 250) |
| 6209T | MYCOPHENOLATE, mycophenolate mofetil 500 mg tablet, 50 (ARX-MYCOPHENOLATE, Ceptolate, Mycophenolate GH, Mycophenolate Sandoz, Pharmacor Mycophenolate 500) |
| 6364Y | MYCOPHENOLATE, mycophenolate mofetil 1 g/5 mL powder for oral liquid, 165 mL (CellCept, Pharmacor Mycophenolate) |
| 11894B | OCTREOTIDE, octreotide 30 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (Sandostatin LAR) |
| 6363X | PEGFILGRASTIM, pegfilgrastim 6 mg/0.6 mL injection, 0.6 mL syringe (Pelgraz, Ziextenzo) |
| 9748C | SIROLIMUS, sirolimus 500 microgram tablet, 100 (Rapamune) |
| 6436R | SIROLIMUS, sirolimus 1 mg tablet, 100 (Rapamune) |
| 6437T | SIROLIMUS, sirolimus 1 mg/mL oral liquid, 60 mL (Rapamune) |
| 6457W | SIROLIMUS, sirolimus 2 mg tablet, 100 (Rapamune) |
| 6328C | TACROLIMUS, tacrolimus 500 microgram capsule, 100 (Pacrolim, Pharmacor Tacrolimus 0.5, Prograf, Tacrograf, Tacrolimus Sandoz) |
| 9681M | TACROLIMUS, tacrolimus 500 microgram modified release capsule, 30 (ADVAGRAF XL, Tacrolimus XR Sandoz) |
| 10875J | TACROLIMUS, tacrolimus 750 microgram capsule, 100 (Tacrolimus Sandoz) |
| 6216E | TACROLIMUS, tacrolimus 1 mg capsule, 100 (Pacrolim, Pharmacor Tacrolimus 1, Prograf, Tacrograf, Tacrolimus Sandoz) |
| 9682N | TACROLIMUS, tacrolimus 1 mg modified release capsule, 60 (ADVAGRAF XL, Tacrolimus XR Sandoz) |
| 10879N | TACROLIMUS, tacrolimus 2 mg capsule, 100 (Tacrolimus Sandoz) |
| 11920J | TACROLIMUS, tacrolimus 3 mg modified release capsule, 50 (ADVAGRAF XL, Tacrolimus XR Sandoz) |
| 6217F | TACROLIMUS, tacrolimus 5 mg capsule, 50 (Pharmacor Tacrolimus 5, Prograf, Tacrograf, Tacrolimus Sandoz) |
| 9683P | TACROLIMUS, tacrolimus 5 mg modified release capsule, 30 (ADVAGRAF XL, Tacrolimus XR Sandoz) |
| 9675F | VALGANCICLOVIR, valganciclovir 50 mg/mL powder for oral liquid, 100 mL (Valcyte) |
| 6357N | VALGANCICLOVIR, valganciclovir 450 mg tablet, 60 (Valganciclovir Sandoz, Valganciclovir Viatris) |
| 13772W | ZOLEDRONIC ACID, zoledronic acid 4 mg/5 mL injection, 5 mL vial (DEZTRON, Zoledronate-DRLA 4, Zoledronic Acid Accord) |
Advance Notices
1 December 2026
Deletion – Item
| 6109M | Sandimmun, NV – CICLOSPORIN, ciclosporin 50 mg/mL injection, 10 x 1 mL ampoules |
| 6205N | Eprex 3000, JC – EPOETIN ALFA, epoetin alfa 3000 units/0.3 mL injection, 6 x 0.3 mL syringes |
| 6206P | Eprex 4000, JC – EPOETIN ALFA, epoetin alfa 4000 units/0.4 mL injection, 6 x 0.4 mL syringes |
| 6204M | Eprex 2000, JC – EPOETIN ALFA, epoetin alfa 2000 units/0.5 mL injection, 6 x 0.5 mL syringes |
| 6251B | Eprex 1000, JC – EPOETIN ALFA, epoetin alfa 1000 units/0.5 mL injection, 6 x 0.5 mL syringes |
| 6302Q | Eprex 5000, JC – EPOETIN ALFA, epoetin alfa 5000 units/0.5 mL injection, 6 x 0.5 mL syringes |
| 6434P | Eprex 20,000, JC – EPOETIN ALFA, epoetin alfa 20 000 units/0.5 mL injection, 6 x 0.5 mL syringes |
| 6303R | Eprex 6000, JC – EPOETIN ALFA, epoetin alfa 6000 units/0.6 mL injection, 6 x 0.6 mL syringes |
| 6305W | Eprex 8000, JC – EPOETIN ALFA, epoetin alfa 8000 units/0.8 mL injection, 6 x 0.8 mL syringes |
| 6339P | Eprex 40,000, JC – EPOETIN ALFA, epoetin alfa 40 000 units/mL injection, 1 mL syringe |
| 6207Q | Eprex 10000, JC – EPOETIN ALFA, epoetin alfa 10 000 units/mL injection, 6 x 1 mL syringes |
Deletion – Brand
| 11838C | Sevelamer Lupin, GQ – SEVELAMER, sevelamer carbonate 800 mg tablet, 180 |
1 February 2027
Deletion – Brand
Highly Specialised Drugs Program (Public Hospital)
Additions
Addition – Item
| 15549J | ADALIMUMAB, Adalimumab 20 mg/0.2 mL injection, 0.2 mL syringe (Amgevita) |
| 15555Q | ADALIMUMAB, Adalimumab 20 mg/0.2 mL injection, 0.2 mL syringe (Amgevita) |
| 15571M | ADALIMUMAB, Adalimumab 20 mg/0.2 mL injection, 0.2 mL syringe (Amgevita) |
| 15632R | CICLOSPORIN, ciclosporin 10 mg capsule, 60 (Neoral 10) |
| 15665L | CICLOSPORIN, ciclosporin 25 mg capsule, 30 (APO-Ciclosporin, CICLOSPORIN-WGR, Neoral 25) |
| 15642G | CICLOSPORIN, ciclosporin 50 mg capsule, 30 (APO-Ciclosporin, CICLOSPORIN-WGR, Neoral 50) |
| 15677D | CICLOSPORIN, ciclosporin 100 mg capsule, 30 (APO-Ciclosporin, CICLOSPORIN-WGR, Neoral 100) |
| 15654X | CICLOSPORIN, ciclosporin 100 mg/mL oral liquid, 50 mL (Neoral) |
| 15611P | ELEXACAFTOR + TEZACAFTOR + IVACAFTOR (&) IVACAFTOR, elexacaftor 50 mg + tezacaftor 25 mg + ivacaftor 37.5 mg tablet [56] (&) ivacaftor 75 mg tablet [28], 84 (Trikafta) |
| 15626K | ELEXACAFTOR + TEZACAFTOR + IVACAFTOR (&) IVACAFTOR, elexacaftor 80 mg + tezacaftor 40 mg + ivacaftor 60 mg granules [28] (&) ivacaftor 59.5 mg granules [28], 56 (Trikafta) |
| 15625J | ELEXACAFTOR + TEZACAFTOR + IVACAFTOR (&) IVACAFTOR, elexacaftor 100 mg + tezacaftor 50 mg + ivacaftor 75 mg tablet [56] (&) ivacaftor 150 mg tablet [28], 84 (Trikafta) |
| 15657C | ELEXACAFTOR + TEZACAFTOR + IVACAFTOR (&) IVACAFTOR, elexacaftor 100 mg + tezacaftor 50 mg + ivacaftor 75 mg granules [28] (&) ivacaftor 75 mg granules [28], 56 (Trikafta) |
| 15615W | IVACAFTOR, ivacaftor 25 mg granules, 56 sachets (Kalydeco) |
| 15616X | IVACAFTOR, ivacaftor 25 mg granules, 56 sachets (Kalydeco) |
| 15661G | IVACAFTOR, ivacaftor 50 mg granules, 56 sachets (Kalydeco) |
| 15682J | IVACAFTOR, ivacaftor 50 mg granules, 56 sachets (Kalydeco) |
| 15640E | IVACAFTOR, ivacaftor 75 mg granules, 56 sachets (Kalydeco) |
| 15675B | IVACAFTOR, ivacaftor 75 mg granules, 56 sachets (Kalydeco) |
| 15612Q | IVACAFTOR, ivacaftor 150 mg tablet, 56 (Kalydeco) |
| 15630P | IVACAFTOR, ivacaftor 150 mg tablet, 56 (Kalydeco) |
| 15645K | LANREOTIDE, lanreotide 60 mg/0.5 mL injection, 0.5 mL syringe (Mytolac, Somatuline Autogel) |
| 15624H | LANREOTIDE, lanreotide 90 mg/0.5 mL injection, 0.5 mL syringe (Mytolac, Somatuline Autogel) |
| 15607K | LANREOTIDE, lanreotide 120 mg/0.5 mL injection, 0.5 mL syringe (Mytolac, Somatuline Autogel) |
| 15644J | LUMACAFTOR + IVACAFTOR, lumacaftor 75 mg + ivacaftor 94 mg granules, 56 sachets (Orkambi) |
| 15617Y | LUMACAFTOR + IVACAFTOR, lumacaftor 100 mg + ivacaftor 125 mg tablet, 112 (Orkambi) |
| 15641F | LUMACAFTOR + IVACAFTOR, lumacaftor 100 mg + ivacaftor 125 mg granules, 56 sachets (Orkambi) |
| 15652T | LUMACAFTOR + IVACAFTOR, lumacaftor 150 mg + ivacaftor 188 mg granules, 56 sachets (Orkambi) |
| 15618B | LUMACAFTOR + IVACAFTOR, lumacaftor 200 mg + ivacaftor 125 mg tablet, 112 (Orkambi) |
| 15681H | MYCOPHENOLATE, mycophenolate 180 mg enteric tablet, 120 (Mycophenolic Acid ARX, Myfortic) |
| 15651R | MYCOPHENOLATE, mycophenolate 360 mg enteric tablet, 120 (Mycophenolic Acid ARX, MYCOTEX, Myfortic) |
| 15670R | OCTREOTIDE, octreotide 50 microgram/mL injection, 5 x 1 mL ampoules (Octreotide (SUN), Octreotide GH, Sandostatin 0.05) |
| 15638C | OCTREOTIDE, octreotide 100 microgram/mL injection, 5 x 1 mL ampoules (Octreotide (SUN), Octreotide GH, Sandostatin 0.1) |
| 15672W | OCTREOTIDE, octreotide 500 microgram/mL injection, 5 x 1 mL ampoules (Octreotide (SUN), Octreotide GH, Sandostatin 0.5) |
| 15627L | OCTREOTIDE, octreotide 10 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (Sandostatin LAR) |
| 15658D | OCTREOTIDE, octreotide 20 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (Sandostatin LAR) |
| 15647M | OCTREOTIDE, octreotide 30 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (Sandostatin LAR) |
| 15559X | ONASEMNOGENE ABEPARVOVEC, Onasemnogene abeparvovec 20 trillion vector genomes/mL injection [5.5 mL vial] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [9 x 8.3 mL vials], 1 pack (Zolgensma) |
| 15594R | ONASEMNOGENE ABEPARVOVEC, Onasemnogene abeparvovec 20 trillion vector genomes/mL injection [5.5 mL vial] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [9 x 8.3 mL vials], 1 pack (Zolgensma) |
| 15570L | ONASEMNOGENE ABEPARVOVEC, Onasemnogene abeparvovec 20 trillion vector genomes/mL injection [5.5 mL vial] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [10 x 8.3 mL vials], 1 pack (Zolgensma) |
| 15600C | ONASEMNOGENE ABEPARVOVEC, Onasemnogene abeparvovec 20 trillion vector genomes/mL injection [5.5 mL vial] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [10 x 8.3 mL vials], 1 pack (Zolgensma) |
| 15586H | ONASEMNOGENE ABEPARVOVEC, Onasemnogene abeparvovec 20 trillion vector genomes/mL injection [5.5 mL vial] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [11 x 8.3 mL vials], 1 pack (Zolgensma) |
| 15595T | ONASEMNOGENE ABEPARVOVEC, Onasemnogene abeparvovec 20 trillion vector genomes/mL injection [5.5 mL vial] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [11 x 8.3 mL vials], 1 pack (Zolgensma) |
| 15561B | ONASEMNOGENE ABEPARVOVEC, Onasemnogene abeparvovec 20 trillion vector genomes/mL injection [5.5 mL vial] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [12 x 8.3 mL vials], 1 pack (Zolgensma) |
| 15596W | ONASEMNOGENE ABEPARVOVEC, Onasemnogene abeparvovec 20 trillion vector genomes/mL injection [5.5 mL vial] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [12 x 8.3 mL vials], 1 pack (Zolgensma) |
| 15582D | ONASEMNOGENE ABEPARVOVEC, Onasemnogene abeparvovec 20 trillion vector genomes/mL injection [5.5 mL vial] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [13 x 8.3 mL vials], 1 pack (Zolgensma) |
| 15589L | ONASEMNOGENE ABEPARVOVEC, Onasemnogene abeparvovec 20 trillion vector genomes/mL injection [5.5 mL vial] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [13 x 8.3 mL vials], 1 pack (Zolgensma) |
| 15551L | 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 x 8.3 mL vials], 1 pack (Zolgensma) |
| 15580B | 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 x 8.3 mL vials], 1 pack (Zolgensma) |
| 15544D | ONASEMNOGENE ABEPARVOVEC, Onasemnogene abeparvovec 20 trillion vector genomes/mL injection [2 x 5.5 mL vials] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [9 x 8.3 mL vials], 1 pack (Zolgensma) |
| 15547G | ONASEMNOGENE ABEPARVOVEC, Onasemnogene abeparvovec 20 trillion vector genomes/mL injection [2 x 5.5 mL vials] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [9 x 8.3 mL vials], 1 pack (Zolgensma) |
| 15562C | ONASEMNOGENE ABEPARVOVEC, Onasemnogene abeparvovec 20 trillion vector genomes/mL injection [2 x 5.5 mL vials] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [10 x 8.3 mL vials], 1 pack (Zolgensma) |
| 15598Y | ONASEMNOGENE ABEPARVOVEC, Onasemnogene abeparvovec 20 trillion vector genomes/mL injection [2 x 5.5 mL vials] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [10 x 8.3 mL vials], 1 pack (Zolgensma) |
| 15546F | ONASEMNOGENE ABEPARVOVEC, Onasemnogene abeparvovec 20 trillion vector genomes/mL injection [2 x 5.5 mL vials] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [11 x 8.3 mL vials], 1 pack (Zolgensma) |
| 15581C | ONASEMNOGENE ABEPARVOVEC, Onasemnogene abeparvovec 20 trillion vector genomes/mL injection [2 x 5.5 mL vials] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [11 x 8.3 mL vials], 1 pack (Zolgensma) |
| 15579Y | ONASEMNOGENE ABEPARVOVEC, Onasemnogene abeparvovec 20 trillion vector genomes/mL injection [2 x 5.5 mL vials] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [12 x 8.3 mL vials], 1 pack (Zolgensma) |
| 15587J | ONASEMNOGENE ABEPARVOVEC, Onasemnogene abeparvovec 20 trillion vector genomes/mL injection [2 x 5.5 mL vials] (&) onasemnogene abeparvovec 20 trillion vector genomes/mL injection [12 x 8.3 mL vials], 1 pack (Zolgensma) |
| 15552M | ONASEMNOGENE ABEPARVOVEC, Onasemnogene abeparvovec 20 trillion vector genomes/mL injection, 10 x 8.3 mL vials (Zolgensma) |
| 15554P | ONASEMNOGENE ABEPARVOVEC, Onasemnogene abeparvovec 20 trillion vector genomes/mL injection, 10 x 8.3 mL vials (Zolgensma) |
| 15577W | ONASEMNOGENE ABEPARVOVEC, Onasemnogene abeparvovec 20 trillion vector genomes/mL injection, 11 x 8.3 mL vials (Zolgensma) |
| 15588K | ONASEMNOGENE ABEPARVOVEC, Onasemnogene abeparvovec 20 trillion vector genomes/mL injection, 11 x 8.3 mL vials (Zolgensma) |
| 15601D | ONASEMNOGENE ABEPARVOVEC, Onasemnogene abeparvovec 20 trillion vector genomes/mL injection, 12 x 8.3 mL vials (Zolgensma) |
| 15602E | ONASEMNOGENE ABEPARVOVEC, Onasemnogene abeparvovec 20 trillion vector genomes/mL injection, 12 x 8.3 mL vials (Zolgensma) |
| 15578X | ONASEMNOGENE ABEPARVOVEC, Onasemnogene abeparvovec 20 trillion vector genomes/mL injection, 13 x 8.3 mL vials (Zolgensma) |
| 15604G | ONASEMNOGENE ABEPARVOVEC, Onasemnogene abeparvovec 20 trillion vector genomes/mL injection, 13 x 8.3 mL vials (Zolgensma) |
| 15545E | ONASEMNOGENE ABEPARVOVEC, Onasemnogene abeparvovec 20 trillion vector genomes/mL injection, 14 x 8.3 mL vials (Zolgensma) |
| 15553N | ONASEMNOGENE ABEPARVOVEC, Onasemnogene abeparvovec 20 trillion vector genomes/mL injection, 14 x 8.3 mL vials (Zolgensma) |
| 15569K | TEPROTUMUMAB, Teprotumumab 500 mg injection, 1 vial (Tepezza) |
| 15593Q | TEPROTUMUMAB, Teprotumumab 500 mg injection, 1 vial (Tepezza) |
| 15655Y | TEZACAFTOR + IVACAFTOR (&) IVACAFTOR, tezacaftor 100 mg + ivacaftor 150 mg tablet [28] (&) ivacaftor 150 mg tablet [28], 56 (Symdeko) |
| 15667N | TEZACAFTOR + IVACAFTOR (&) IVACAFTOR, tezacaftor 100 mg + ivacaftor 150 mg tablet [28] (&) ivacaftor 150 mg tablet [28], 56 (Symdeko) |
Addition – Brand
| 12444Y | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 13212J | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 15138R | Amgevita, AN – ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices |
| 11533B | Deferasirox FCT MSN, VM – DEFERASIROX, deferasirox 360 mg tablet, 30 |
| 11536E | Deferasirox FCT MSN, VM – DEFERASIROX, deferasirox 360 mg tablet, 30 |
| 11555E | Deferasirox FCT MSN, VM – DEFERASIROX, deferasirox 360 mg tablet, 30 |
| 9546K | Sevelamer Waymade, IX – SEVELAMER, sevelamer hydrochloride 800 mg tablet, 180 |
Deletions
Deletion – Restriction
| 13276R | ELEXACAFTOR + TEZACAFTOR + IVACAFTOR (&) IVACAFTOR, elexacaftor 50 mg + tezacaftor 25 mg + ivacaftor 37.5 mg tablet [56] (&) ivacaftor 75 mg tablet [28], 84 (Trikafta) |
| 14227T | ELEXACAFTOR + TEZACAFTOR + IVACAFTOR (&) IVACAFTOR, elexacaftor 80 mg + tezacaftor 40 mg + ivacaftor 60 mg granules [28] (&) ivacaftor 59.5 mg granules [28], 56 (Trikafta) |
| 12936W | ELEXACAFTOR + TEZACAFTOR + IVACAFTOR (&) IVACAFTOR, elexacaftor 100 mg + tezacaftor 50 mg + ivacaftor 75 mg tablet [56] (&) ivacaftor 150 mg tablet [28], 84 (Trikafta) |
| 14155B | IVACAFTOR, ivacaftor 25 mg granules, 56 sachets (Kalydeco) |
| 14156C | IVACAFTOR, ivacaftor 25 mg granules, 56 sachets (Kalydeco) |
| 11105L | IVACAFTOR, ivacaftor 50 mg granules, 56 sachets (Kalydeco) |
| 14148P | IVACAFTOR, ivacaftor 50 mg granules, 56 sachets (Kalydeco) |
| 11098D | IVACAFTOR, ivacaftor 75 mg granules, 56 sachets (Kalydeco) |
| 14167P | IVACAFTOR, ivacaftor 75 mg granules, 56 sachets (Kalydeco) |
| 10170G | IVACAFTOR, ivacaftor 150 mg tablet, 56 (Kalydeco) |
| 14153X | IVACAFTOR, ivacaftor 150 mg tablet, 56 (Kalydeco) |
| 5777C | LANREOTIDE, lanreotide 60 mg/0.5 mL injection, 0.5 mL syringe (Mytolac, Somatuline Autogel) |
| 5778D | LANREOTIDE, lanreotide 90 mg/0.5 mL injection, 0.5 mL syringe (Mytolac, Somatuline Autogel) |
| 5779E | LANREOTIDE, lanreotide 120 mg/0.5 mL injection, 0.5 mL syringe (Mytolac, Somatuline Autogel) |
| 13798F | LUMACAFTOR + IVACAFTOR, lumacaftor 75 mg + ivacaftor 94 mg granules, 56 sachets (Orkambi) |
| 11465K | LUMACAFTOR + IVACAFTOR, lumacaftor 100 mg + ivacaftor 125 mg tablet, 112 (Orkambi) |
| 11866M | LUMACAFTOR + IVACAFTOR, lumacaftor 100 mg + ivacaftor 125 mg granules, 56 sachets (Orkambi) |
| 11851R | LUMACAFTOR + IVACAFTOR, lumacaftor 150 mg + ivacaftor 188 mg granules, 56 sachets (Orkambi) |
| 11466L | LUMACAFTOR + IVACAFTOR, lumacaftor 200 mg + ivacaftor 125 mg tablet, 112 (Orkambi) |
| 9503E | MYCOPHENOLATE, mycophenolate 180 mg enteric tablet, 120 (Mycophenolic Acid ARX, Myfortic) |
| 9504F | MYCOPHENOLATE, mycophenolate 360 mg enteric tablet, 120 (Mycophenolic Acid ARX, MYCOTEX, Myfortic) |
| 9508K | OCTREOTIDE, octreotide 50 microgram/mL injection, 5 x 1 mL ampoules (Octreotide (SUN), Octreotide GH, Sandostatin 0.05) |
| 9509L | OCTREOTIDE, octreotide 100 microgram/mL injection, 5 x 1 mL ampoules (Octreotide (SUN), Octreotide GH, Sandostatin 0.1) |
| 9510M | OCTREOTIDE, octreotide 500 microgram/mL injection, 5 x 1 mL ampoules (Octreotide (SUN), Octreotide GH, Sandostatin 0.5) |
| 10543X | OCTREOTIDE, octreotide 10 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (Sandostatin LAR) |
| 10533J | OCTREOTIDE, octreotide 20 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (Sandostatin LAR) |
| 10550G | OCTREOTIDE, octreotide 30 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (Sandostatin LAR) |
| 11854X | TEZACAFTOR + IVACAFTOR (&) IVACAFTOR, tezacaftor 100 mg + ivacaftor 150 mg tablet [28] (&) ivacaftor 150 mg tablet [28], 56 (Symdeko) |
| 11863J | TEZACAFTOR + IVACAFTOR (&) IVACAFTOR, tezacaftor 100 mg + ivacaftor 150 mg tablet [28] (&) ivacaftor 150 mg tablet [28], 56 (Symdeko) |
Alterations
Alteration – Authorised Prescriber
| From | To | ||
|---|---|---|---|
| 5631J | CICLOSPORIN, ciclosporin 50 mg/mL injection, 10 x 1 mL ampoules (Sandimmun) | M | M,N |
| 11499F | DEFERASIROX, deferasirox 90 mg tablet, 30 (DEFERAMED, Deferasirox ARX, Deferasirox Sandoz, DEFERASIROX-TEVA, Eferas, Jadenu, Pharmacor Deferasirox FC) | M | M,N |
| 11519G | DEFERASIROX, deferasirox 90 mg tablet, 30 (DEFERAMED, Deferasirox ARX, Deferasirox Sandoz, DEFERASIROX-TEVA, Eferas, Jadenu, Pharmacor Deferasirox FC) | M | M,N |
| 11534C | DEFERASIROX, deferasirox 90 mg tablet, 30 (DEFERAMED, Deferasirox ARX, Deferasirox Sandoz, DEFERASIROX-TEVA, Eferas, Jadenu, Pharmacor Deferasirox FC) | M | M,N |
| 5654N | DEFERASIROX, deferasirox 125 mg dispersible tablet, 28 (Deferasirox Juno) | M | M,N |
| 11235H | DEFERASIROX, deferasirox 125 mg dispersible tablet, 28 (Deferasirox Juno) | M | M,N |
| 11247Y | DEFERASIROX, deferasirox 125 mg dispersible tablet, 28 (Deferasirox Juno) | M | M,N |
| 11500G | DEFERASIROX, deferasirox 180 mg tablet, 30 (DEFERAMED, Deferasirox ARX, Deferasirox Sandoz, DEFERASIROX-TEVA, Eferas, Jadenu, Pharmacor Deferasirox FC) | M | M,N |
| 11535D | DEFERASIROX, deferasirox 180 mg tablet, 30 (DEFERAMED, Deferasirox ARX, Deferasirox Sandoz, DEFERASIROX-TEVA, Eferas, Jadenu, Pharmacor Deferasirox FC) | M | M,N |
| 11556F | DEFERASIROX, deferasirox 180 mg tablet, 30 (DEFERAMED, Deferasirox ARX, Deferasirox Sandoz, DEFERASIROX-TEVA, Eferas, Jadenu, Pharmacor Deferasirox FC) | M | M,N |
| 5655P | DEFERASIROX, deferasirox 250 mg dispersible tablet, 28 (Deferasirox Juno) | M | M,N |
| 11239M | DEFERASIROX, deferasirox 250 mg dispersible tablet, 28 (Deferasirox Juno) | M | M,N |
| 11240N | DEFERASIROX, deferasirox 250 mg dispersible tablet, 28 (Deferasirox Juno) | M | M,N |
| 11533B | DEFERASIROX, deferasirox 360 mg tablet, 30 (DEFERAMED, Deferasirox ARX, Deferasirox Sandoz, DEFERASIROX-TEVA, Eferas, Jadenu, Pharmacor Deferasirox FC) | M | M,N |
| 11536E | DEFERASIROX, deferasirox 360 mg tablet, 30 (DEFERAMED, Deferasirox ARX, Deferasirox Sandoz, DEFERASIROX-TEVA, Eferas, Jadenu, Pharmacor Deferasirox FC) | M | M,N |
| 11555E | DEFERASIROX, deferasirox 360 mg tablet, 30 (DEFERAMED, Deferasirox ARX, Deferasirox Sandoz, DEFERASIROX-TEVA, Eferas, Jadenu, Pharmacor Deferasirox FC) | M | M,N |
| 5656Q | DEFERASIROX, deferasirox 500 mg dispersible tablet, 28 (Deferasirox Juno, Pharmacor Deferasirox) | M | M,N |
| 11231D | DEFERASIROX, deferasirox 500 mg dispersible tablet, 28 (Deferasirox Juno, Pharmacor Deferasirox) | M | M,N |
| 11234G | DEFERASIROX, deferasirox 500 mg dispersible tablet, 28 (Deferasirox Juno, Pharmacor Deferasirox) | M | M,N |
| 5658T | DEFERIPRONE, deferiprone 100 mg/mL oral liquid, 250 mL (Ferriprox) | M | M,N |
| 5657R | DEFERIPRONE, deferiprone 500 mg tablet, 100 (Ferriprox) | M | M,N |
| 11747G | DEFERIPRONE, deferiprone 1 g tablet, 50 (Ferriprox) | M | M,N |
| 5662B | DESFERRIOXAMINE, desferrioxamine mesilate 500 mg injection, 10 vials (DBL Desferrioxamine Mesilate) | M | M,N |
| 5661Y | DESFERRIOXAMINE, desferrioxamine mesilate 2 g injection, 1 vial (DBL Desferrioxamine Mesilate) | M | M,N |
| 5704F | DORNASE ALFA, dornase alfa 2.5 mg/2.5 mL inhalation solution, 30 x 2.5 mL ampoules (Pulmozyme) | M | M,N |
| 5738B | EVEROLIMUS, everolimus 250 microgram tablet, 60 (Certican, Everocan) | M | M,N |
| 5739C | EVEROLIMUS, everolimus 500 microgram tablet, 60 (Certican, Everocan) | M | M,N |
| 5740D | EVEROLIMUS, everolimus 750 microgram tablet, 60 (Certican, Everocan) | M | M,N |
| 5737Y | EVEROLIMUS, everolimus 1 mg tablet, 60 (Certican, Everocan) | M | M,N |
| 5829T | FILGRASTIM, filgrastim 120 microgram/0.2 mL injection, 10 x 0.2 mL syringes (Nivestim) | M | M,N |
| 2758E | FILGRASTIM, filgrastim 300 microgram/0.5 mL injection, 5 x 0.5 mL syringes (Zarzio) | M | M,N |
| 5742F | FILGRASTIM, filgrastim 300 microgram/0.5 mL injection, 10 x 0.5 mL syringes (Nivestim) | M | M,N |
| 2783L | FILGRASTIM, filgrastim 480 microgram/0.5 mL injection, 5 x 0.5 mL syringes (Zarzio) | M | M,N |
| 5744H | FILGRASTIM, filgrastim 480 microgram/0.5 mL injection, 10 x 0.5 mL syringes (Nivestim) | M | M,N |
| 11513Y | LANREOTIDE, lanreotide 120 mg/0.5 mL injection, 0.5 mL syringe (Mytolac, Somatuline Autogel) | M | M,N |
| 2015C | MANNITOL, mannitol 40 mg powder for inhalation, 280 capsules (Bronchitol) | M | M,N |
| 11505M | MIDOSTAURIN, midostaurin 25 mg capsule, 112 (Rydapt) | M | M,N |
| 9501C | MYCOPHENOLATE, mycophenolate mofetil 250 mg capsule, 100 (APO-Mycophenolate, Mycophenolate Sandoz, Pharmacor Mycophenolate 250) | M | M,N |
| 9502D | MYCOPHENOLATE, mycophenolate mofetil 500 mg tablet, 50 (ARX-MYCOPHENOLATE, Ceptolate, Mycophenolate GH, Mycophenolate Sandoz, Pharmacor Mycophenolate 500) | M | M,N |
| 9500B | MYCOPHENOLATE, mycophenolate mofetil 1 g/5 mL powder for oral liquid, 165 mL (CellCept, Pharmacor Mycophenolate) | M | M,N |
| 11893Y | OCTREOTIDE, octreotide 30 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (Sandostatin LAR) | M | M,N |
| 9514R | PEGFILGRASTIM, pegfilgrastim 6 mg/0.6 mL injection, 0.6 mL syringe (Pelgraz, Ziextenzo) | M | M,N |
| 9747B | SIROLIMUS, sirolimus 500 microgram tablet, 100 (Rapamune) | M | M,N |
| 9549N | SIROLIMUS, sirolimus 1 mg tablet, 100 (Rapamune) | M | M,N |
| 9550P | SIROLIMUS, sirolimus 1 mg/mL oral liquid, 60 mL (Rapamune) | M | M,N |
| 9548M | SIROLIMUS, sirolimus 2 mg tablet, 100 (Rapamune) | M | M,N |
| 9558C | TACROLIMUS, tacrolimus 500 microgram capsule, 100 (Pacrolim, Pharmacor Tacrolimus 0.5, Prograf, Tacrograf, Tacrolimus Sandoz) | M | M,N |
| 9664P | TACROLIMUS, tacrolimus 500 microgram modified release capsule, 30 (ADVAGRAF XL, Tacrolimus XR Sandoz) | M | M,N |
| 10859M | TACROLIMUS, tacrolimus 750 microgram capsule, 100 (Tacrolimus Sandoz) | M | M,N |
| 9560E | TACROLIMUS, tacrolimus 1 mg capsule, 100 (Pacrolim, Pharmacor Tacrolimus 1, Prograf, Tacrograf, Tacrolimus Sandoz) | M | M,N |
| 9665Q | TACROLIMUS, tacrolimus 1 mg modified release capsule, 60 (ADVAGRAF XL, Tacrolimus XR Sandoz) | M | M,N |
| 10860N | TACROLIMUS, tacrolimus 2 mg capsule, 100 (Tacrolimus Sandoz) | M | M,N |
| 11907Q | TACROLIMUS, tacrolimus 3 mg modified release capsule, 50 (ADVAGRAF XL, Tacrolimus XR Sandoz) | M | M,N |
| 9561F | TACROLIMUS, tacrolimus 5 mg capsule, 50 (Pharmacor Tacrolimus 5, Prograf, Tacrograf, Tacrolimus Sandoz) | M | M,N |
| 9666R | TACROLIMUS, tacrolimus 5 mg modified release capsule, 30 (ADVAGRAF XL, Tacrolimus XR Sandoz) | M | M,N |
| 9655E | VALGANCICLOVIR, valganciclovir 50 mg/mL powder for oral liquid, 100 mL (Valcyte) | M | M,N |
| 9569P | VALGANCICLOVIR, valganciclovir 450 mg tablet, 60 (Valganciclovir Sandoz, Valganciclovir Viatris) | M | M,N |
| 13773X | ZOLEDRONIC ACID, zoledronic acid 4 mg/5 mL injection, 5 mL vial (DEZTRON, Zoledronate-DRLA 4, Zoledronic Acid Accord) | M | M,N |
Alteration – Note
| 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) |
| 13671M | 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) |
| 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) |
| 13670L | 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) |
| 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) |
| 13672N | 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) |
| 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) |
| 13680B | 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) |
| 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) |
| 13677W | 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) |
| 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) |
| 13662C | 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) |
| 13666G | 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) |
| 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) |
| 13663D | 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) |
| 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) |
| 13669K | 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) |
| 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) |
| 13682D | 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) |
| 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) |
| 13683E | 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) |
| 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) |
| 13681C | 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) |
| 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) |
| 13679Y | 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) |
| 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) |
| 13668J | 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) |
| 12957Y | ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection, 2 x 8.3 mL vials (Zolgensma) |
| 13674Q | ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection, 2 x 8.3 mL vials (Zolgensma) |
| 12961E | ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection, 3 x 8.3 mL vials (Zolgensma) |
| 13678X | 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) |
| 13665F | 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) |
| 13667H | 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) |
| 13664E | 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) |
| 13675R | 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) |
| 13673P | 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) |
| 13676T | ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection, 9 x 8.3 mL vials (Zolgensma) |
Alteration – Restriction
| 5632K | CICLOSPORIN, ciclosporin 10 mg capsule, 60 (Neoral 10) |
| 5634M | CICLOSPORIN, ciclosporin 25 mg capsule, 30 (APO-Ciclosporin, CICLOSPORIN-WGR, Neoral 25) |
| 5635N | CICLOSPORIN, ciclosporin 50 mg capsule, 30 (APO-Ciclosporin, CICLOSPORIN-WGR, Neoral 50) |
| 5631J | CICLOSPORIN, ciclosporin 50 mg/mL injection, 10 x 1 mL ampoules (Sandimmun) |
| 5636P | CICLOSPORIN, ciclosporin 100 mg capsule, 30 (APO-Ciclosporin, CICLOSPORIN-WGR, Neoral 100) |
| 5633L | CICLOSPORIN, ciclosporin 100 mg/mL oral liquid, 50 mL (Neoral) |
| 11499F | DEFERASIROX, deferasirox 90 mg tablet, 30 (DEFERAMED, Deferasirox ARX, Deferasirox Sandoz, DEFERASIROX-TEVA, Eferas, Jadenu, Pharmacor Deferasirox FC) |
| 11519G | DEFERASIROX, deferasirox 90 mg tablet, 30 (DEFERAMED, Deferasirox ARX, Deferasirox Sandoz, DEFERASIROX-TEVA, Eferas, Jadenu, Pharmacor Deferasirox FC) |
| 11534C | DEFERASIROX, deferasirox 90 mg tablet, 30 (DEFERAMED, Deferasirox ARX, Deferasirox Sandoz, DEFERASIROX-TEVA, Eferas, Jadenu, Pharmacor Deferasirox FC) |
| 5654N | DEFERASIROX, deferasirox 125 mg dispersible tablet, 28 (Deferasirox Juno) |
| 11235H | DEFERASIROX, deferasirox 125 mg dispersible tablet, 28 (Deferasirox Juno) |
| 11247Y | DEFERASIROX, deferasirox 125 mg dispersible tablet, 28 (Deferasirox Juno) |
| 11500G | DEFERASIROX, deferasirox 180 mg tablet, 30 (DEFERAMED, Deferasirox ARX, Deferasirox Sandoz, DEFERASIROX-TEVA, Eferas, Jadenu, Pharmacor Deferasirox FC) |
| 11535D | DEFERASIROX, deferasirox 180 mg tablet, 30 (DEFERAMED, Deferasirox ARX, Deferasirox Sandoz, DEFERASIROX-TEVA, Eferas, Jadenu, Pharmacor Deferasirox FC) |
| 11556F | DEFERASIROX, deferasirox 180 mg tablet, 30 (DEFERAMED, Deferasirox ARX, Deferasirox Sandoz, DEFERASIROX-TEVA, Eferas, Jadenu, Pharmacor Deferasirox FC) |
| 5655P | DEFERASIROX, deferasirox 250 mg dispersible tablet, 28 (Deferasirox Juno) |
| 11239M | DEFERASIROX, deferasirox 250 mg dispersible tablet, 28 (Deferasirox Juno) |
| 11240N | DEFERASIROX, deferasirox 250 mg dispersible tablet, 28 (Deferasirox Juno) |
| 11533B | DEFERASIROX, deferasirox 360 mg tablet, 30 (DEFERAMED, Deferasirox ARX, Deferasirox FCT MSN, Deferasirox Sandoz, DEFERASIROX-TEVA, Eferas, Jadenu, Pharmacor Deferasirox FC) |
| 11536E | DEFERASIROX, deferasirox 360 mg tablet, 30 (DEFERAMED, Deferasirox ARX, Deferasirox FCT MSN, Deferasirox Sandoz, DEFERASIROX-TEVA, Eferas, Jadenu, Pharmacor Deferasirox FC) |
| 11555E | DEFERASIROX, deferasirox 360 mg tablet, 30 (DEFERAMED, Deferasirox ARX, Deferasirox FCT MSN, Deferasirox Sandoz, DEFERASIROX-TEVA, Eferas, Jadenu, Pharmacor Deferasirox FC) |
| 5656Q | DEFERASIROX, deferasirox 500 mg dispersible tablet, 28 (Deferasirox Juno, Pharmacor Deferasirox) |
| 11231D | DEFERASIROX, deferasirox 500 mg dispersible tablet, 28 (Deferasirox Juno, Pharmacor Deferasirox) |
| 11234G | DEFERASIROX, deferasirox 500 mg dispersible tablet, 28 (Deferasirox Juno, Pharmacor Deferasirox) |
| 5658T | DEFERIPRONE, deferiprone 100 mg/mL oral liquid, 250 mL (Ferriprox) |
| 5657R | DEFERIPRONE, deferiprone 500 mg tablet, 100 (Ferriprox) |
| 11747G | DEFERIPRONE, deferiprone 1 g tablet, 50 (Ferriprox) |
| 5662B | DESFERRIOXAMINE, desferrioxamine mesilate 500 mg injection, 10 vials (DBL Desferrioxamine Mesilate) |
| 5661Y | DESFERRIOXAMINE, desferrioxamine mesilate 2 g injection, 1 vial (DBL Desferrioxamine Mesilate) |
| 5704F | DORNASE ALFA, dornase alfa 2.5 mg/2.5 mL inhalation solution, 30 x 2.5 mL ampoules (Pulmozyme) |
| 14228W | ELEXACAFTOR + TEZACAFTOR + IVACAFTOR (&) IVACAFTOR, elexacaftor 100 mg + tezacaftor 50 mg + ivacaftor 75 mg granules [28] (&) ivacaftor 75 mg granules [28], 56 (Trikafta) |
| 5738B | EVEROLIMUS, everolimus 250 microgram tablet, 60 (Certican, Everocan) |
| 5739C | EVEROLIMUS, everolimus 500 microgram tablet, 60 (Certican, Everocan) |
| 5740D | EVEROLIMUS, everolimus 750 microgram tablet, 60 (Certican, Everocan) |
| 5737Y | EVEROLIMUS, everolimus 1 mg tablet, 60 (Certican, Everocan) |
| 5829T | FILGRASTIM, filgrastim 120 microgram/0.2 mL injection, 10 x 0.2 mL syringes (Nivestim) |
| 2758E | FILGRASTIM, filgrastim 300 microgram/0.5 mL injection, 5 x 0.5 mL syringes (Zarzio) |
| 5742F | FILGRASTIM, filgrastim 300 microgram/0.5 mL injection, 10 x 0.5 mL syringes (Nivestim) |
| 2783L | FILGRASTIM, filgrastim 480 microgram/0.5 mL injection, 5 x 0.5 mL syringes (Zarzio) |
| 5744H | FILGRASTIM, filgrastim 480 microgram/0.5 mL injection, 10 x 0.5 mL syringes (Nivestim) |
| 11513Y | LANREOTIDE, lanreotide 120 mg/0.5 mL injection, 0.5 mL syringe (Mytolac, Somatuline Autogel) |
| 2015C | MANNITOL, mannitol 40 mg powder for inhalation, 280 capsules (Bronchitol) |
| 15511J | MEPOLIZUMAB, mepolizumab 100 mg/mL injection, 1 mL pen device (Nucala) |
| 11505M | MIDOSTAURIN, midostaurin 25 mg capsule, 112 (Rydapt) |
| 9501C | MYCOPHENOLATE, mycophenolate mofetil 250 mg capsule, 100 (APO-Mycophenolate, Mycophenolate Sandoz, Pharmacor Mycophenolate 250) |
| 9502D | MYCOPHENOLATE, mycophenolate mofetil 500 mg tablet, 50 (ARX-MYCOPHENOLATE, Ceptolate, Mycophenolate GH, Mycophenolate Sandoz, Pharmacor Mycophenolate 500) |
| 9500B | MYCOPHENOLATE, mycophenolate mofetil 1 g/5 mL powder for oral liquid, 165 mL (CellCept, Pharmacor Mycophenolate) |
| 11893Y | OCTREOTIDE, octreotide 30 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (Sandostatin LAR) |
| 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) |
| 13671M | 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) |
| 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) |
| 13670L | 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) |
| 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) |
| 13672N | 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) |
| 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) |
| 13680B | 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) |
| 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) |
| 13677W | 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) |
| 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) |
| 13662C | 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) |
| 13666G | 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) |
| 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) |
| 13663D | 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) |
| 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) |
| 13669K | 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) |
| 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) |
| 13682D | 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) |
| 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) |
| 13683E | 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) |
| 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) |
| 13681C | 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) |
| 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) |
| 13679Y | 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) |
| 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) |
| 13668J | 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) |
| 12957Y | ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection, 2 x 8.3 mL vials (Zolgensma) |
| 13674Q | ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection, 2 x 8.3 mL vials (Zolgensma) |
| 12961E | ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection, 3 x 8.3 mL vials (Zolgensma) |
| 13678X | 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) |
| 13665F | 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) |
| 13667H | 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) |
| 13664E | 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) |
| 13675R | 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) |
| 13673P | 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) |
| 13676T | ONASEMNOGENE ABEPARVOVEC, onasemnogene abeparvovec 20 trillion vector genomes/mL injection, 9 x 8.3 mL vials (Zolgensma) |
| 9514R | PEGFILGRASTIM, pegfilgrastim 6 mg/0.6 mL injection, 0.6 mL syringe (Pelgraz, Ziextenzo) |
| 9747B | SIROLIMUS, sirolimus 500 microgram tablet, 100 (Rapamune) |
| 9549N | SIROLIMUS, sirolimus 1 mg tablet, 100 (Rapamune) |
| 9550P | SIROLIMUS, sirolimus 1 mg/mL oral liquid, 60 mL (Rapamune) |
| 9548M | SIROLIMUS, sirolimus 2 mg tablet, 100 (Rapamune) |
| 9558C | TACROLIMUS, tacrolimus 500 microgram capsule, 100 (Pacrolim, Pharmacor Tacrolimus 0.5, Prograf, Tacrograf, Tacrolimus Sandoz) |
| 9664P | TACROLIMUS, tacrolimus 500 microgram modified release capsule, 30 (ADVAGRAF XL, Tacrolimus XR Sandoz) |
| 10859M | TACROLIMUS, tacrolimus 750 microgram capsule, 100 (Tacrolimus Sandoz) |
| 9560E | TACROLIMUS, tacrolimus 1 mg capsule, 100 (Pacrolim, Pharmacor Tacrolimus 1, Prograf, Tacrograf, Tacrolimus Sandoz) |
| 9665Q | TACROLIMUS, tacrolimus 1 mg modified release capsule, 60 (ADVAGRAF XL, Tacrolimus XR Sandoz) |
| 10860N | TACROLIMUS, tacrolimus 2 mg capsule, 100 (Tacrolimus Sandoz) |
| 11907Q | TACROLIMUS, tacrolimus 3 mg modified release capsule, 50 (ADVAGRAF XL, Tacrolimus XR Sandoz) |
| 9561F | TACROLIMUS, tacrolimus 5 mg capsule, 50 (Pharmacor Tacrolimus 5, Prograf, Tacrograf, Tacrolimus Sandoz) |
| 9666R | TACROLIMUS, tacrolimus 5 mg modified release capsule, 30 (ADVAGRAF XL, Tacrolimus XR Sandoz) |
| 9655E | VALGANCICLOVIR, valganciclovir 50 mg/mL powder for oral liquid, 100 mL (Valcyte) |
| 9569P | VALGANCICLOVIR, valganciclovir 450 mg tablet, 60 (Valganciclovir Sandoz, Valganciclovir Viatris) |
| 13773X | ZOLEDRONIC ACID, zoledronic acid 4 mg/5 mL injection, 5 mL vial (DEZTRON, Zoledronate-DRLA 4, Zoledronic Acid Accord) |
Advance Notices
1 December 2026
Deletion – Item
| 5631J | Sandimmun, NV – CICLOSPORIN, ciclosporin 50 mg/mL injection, 10 x 1 mL ampoules |
| 5720C | Eprex 3000, JC – EPOETIN ALFA, epoetin alfa 3000 units/0.3 mL injection, 6 x 0.3 mL syringes |
| 5721D | Eprex 4000, JC – EPOETIN ALFA, epoetin alfa 4000 units/0.4 mL injection, 6 x 0.4 mL syringes |
| 5713Q | Eprex 20,000, JC – EPOETIN ALFA, epoetin alfa 20 000 units/0.5 mL injection, 6 x 0.5 mL syringes |
| 5714R | Eprex 1000, JC – EPOETIN ALFA, epoetin alfa 1000 units/0.5 mL injection, 6 x 0.5 mL syringes |
| 5715T | Eprex 5000, JC – EPOETIN ALFA, epoetin alfa 5000 units/0.5 mL injection, 6 x 0.5 mL syringes |
| 5719B | Eprex 2000, JC – EPOETIN ALFA, epoetin alfa 2000 units/0.5 mL injection, 6 x 0.5 mL syringes |
| 5716W | Eprex 6000, JC – EPOETIN ALFA, epoetin alfa 6000 units/0.6 mL injection, 6 x 0.6 mL syringes |
| 5717X | Eprex 8000, JC – EPOETIN ALFA, epoetin alfa 8000 units/0.8 mL injection, 6 x 0.8 mL syringes |
| 5718Y | Eprex 40,000, JC – EPOETIN ALFA, epoetin alfa 40 000 units/mL injection, 1 mL syringe |
| 5722E | Eprex 10000, JC – EPOETIN ALFA, epoetin alfa 10 000 units/mL injection, 6 x 1 mL syringes |
Deletion – Brand
| 11855Y | Sevelamer Lupin, GQ – SEVELAMER, sevelamer carbonate 800 mg tablet, 180 |
1 February 2027
Deletion – Brand
Highly Specialised Drugs Program (Community Access)
Additions
Addition – Item
| 15668P | LANREOTIDE, lanreotide 60 mg/0.5 mL injection, 0.5 mL syringe (Mytolac, Somatuline Autogel) |
| 15636Y | LANREOTIDE, lanreotide 90 mg/0.5 mL injection, 0.5 mL syringe (Mytolac, Somatuline Autogel) |
| 15619C | LANREOTIDE, lanreotide 120 mg/0.5 mL injection, 0.5 mL syringe (Mytolac, Somatuline Autogel) |
| 15679F | LANREOTIDE, lanreotide 120 mg/0.5 mL injection, 0.5 mL syringe (Mytolac, Somatuline Autogel) |
| 15609M | OCTREOTIDE, octreotide 10 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (Sandostatin LAR) |
| 15659E | OCTREOTIDE, octreotide 20 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (Sandostatin LAR) |
| 15669Q | OCTREOTIDE, octreotide 30 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (Sandostatin LAR) |
Deletions
Deletion – Restriction
| 11315M | LANREOTIDE, lanreotide 60 mg/0.5 mL injection, 0.5 mL syringe (Mytolac, Somatuline Autogel) |
| 11316N | LANREOTIDE, lanreotide 90 mg/0.5 mL injection, 0.5 mL syringe (Mytolac, Somatuline Autogel) |
| 11289E | LANREOTIDE, lanreotide 120 mg/0.5 mL injection, 0.5 mL syringe (Mytolac, Somatuline Autogel) |
| 11736Q | LANREOTIDE, lanreotide 120 mg/0.5 mL injection, 0.5 mL syringe (Mytolac, Somatuline Autogel) |
| 11501H | OCTREOTIDE, octreotide 10 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (Sandostatin LAR) |
| 11537F | OCTREOTIDE, octreotide 20 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (Sandostatin LAR) |
| 11512X | OCTREOTIDE, octreotide 30 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (Sandostatin LAR) |
Alterations
Alteration – Authorised Prescriber
| From | To | ||
|---|---|---|---|
| 10289M | CLOZAPINE, clozapine 25 mg tablet, 100 (Clopine 25, Clozaril 25, Clozitor) | M | M,N |
| 10302F | CLOZAPINE, clozapine 50 mg tablet, 100 (Clopine 50, Clozitor) | M | M,N |
| 10341G | CLOZAPINE, clozapine 50 mg/mL oral liquid, 100 mL (Clopine Suspension) | M | M,N |
| 11422E | CLOZAPINE, clozapine 50 mg/mL oral liquid, 100 mL (Versacloz) | M | M,N |
| 10358E | CLOZAPINE, clozapine 100 mg tablet, 100 (Clopine 100, Clozaril 100, Clozitor) | M | M,N |
| 10288L | CLOZAPINE, clozapine 200 mg tablet, 100 (Clopine 200, Clozitor) | M | M,N |
| 11896D | OCTREOTIDE, octreotide 30 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (Sandostatin LAR) | M | M,N |
Alteration – Restriction
| 10289M | CLOZAPINE, clozapine 25 mg tablet, 100 (Clopine 25, Clozaril 25, Clozitor) |
| 10302F | CLOZAPINE, clozapine 50 mg tablet, 100 (Clopine 50, Clozitor) |
| 10341G | CLOZAPINE, clozapine 50 mg/mL oral liquid, 100 mL (Clopine Suspension) |
| 11422E | CLOZAPINE, clozapine 50 mg/mL oral liquid, 100 mL (Versacloz) |
| 10358E | CLOZAPINE, clozapine 100 mg tablet, 100 (Clopine 100, Clozaril 100, Clozitor) |
| 10288L | CLOZAPINE, clozapine 200 mg tablet, 100 (Clopine 200, Clozitor) |
| 11896D | OCTREOTIDE, octreotide 30 mg modified release injection [1 vial] (&) inert substance diluent [2 mL syringe], 1 pack (Sandostatin LAR) |
Advance Notices
1 January 2027
Deletion – Item
1 February 2027
Deletion – Item
| 10319D | Viramune, BY – NEVIRAPINE, nevirapine 10 mg/mL oral liquid, 240 mL |
Botulinum Toxin Program
Additions
Addition – Item
| 15574Q | INCOBOTULINUMTOXINA, incobotulinumtoxinA 100 units injection, 1 vial (Xeomin) |
Repatriation Pharmaceutical Benefits
Advance Notices
1 December 2026
Deletion – Item
| 4434J | Aci-Jel, CU – ACETIC ACID + OXYQUINOLINE + RICINOLEIC ACID, acetic acid 0.94% + oxyquinoline sulfate 0.025% + ricinoleic acid 0.75% vaginal gel, 100 g |
| 10017F | Allevyn Life 66801067, SN – DRESSING FOAM WITH SILICONE, dressing foam with silicone 10.3 cm x 10.3 cm dressing, 10 |
| 10029W | Allevyn Life 66801068, SN – DRESSING FOAM WITH SILICONE, dressing foam with silicone 12.9 cm x 12.9 cm dressing, 10 |
| 10023M | Allevyn Life 66801069, SN – DRESSING FOAM WITH SILICONE, dressing foam with silicone 15.4 cm x 15.4 cm dressing, 10 |
| 10021K | Allevyn Life 66801070, SN – DRESSING FOAM WITH SILICONE, dressing foam with silicone 21 cm x 21 cm dressing, 10 |
| 10586E | Petrus Pharmaceuticals Pty Ltd, PP – GLYCEROL, glycerol 700 mg suppository, 12 |
| 10596Q | Petrus Pharmaceuticals Pty Ltd, PP – GLYCEROL, glycerol 1.4 g suppository, 12 |
| 4246L | Petrus Pharmaceuticals Pty Ltd, PP – GLYCEROL, glycerol 2.8 g suppository, 12 |
| 4306P | Lubri-Gel, PP – LUBRICATING AGENT, lubricating agent gel, 100 g |
Efficient Funding of Chemotherapy (Private Hospital)
Additions
Addition – Item
| 15603F | CYCLOPHOSPHAMIDE, cyclophosphamide 1 g injection, 1 vial (Cyclophosphamide (Seacross Pharmaceuticals, UK)); cyclophosphamide 2 g injection, 1 vial (Cyclophosphamide (Seacross Pharmaceuticals, UK)) |
Alterations
Alteration – Note
| 15080Q | BRENTUXIMAB VEDOTIN, brentuximab vedotin 50 mg injection, 1 vial (Adcetris) |
Alteration – Restriction
Alteration – Maximum Amount
| From | To | ||
|---|---|---|---|
| 15080Q | BRENTUXIMAB VEDOTIN, brentuximab vedotin 50 mg injection, 1 vial (Adcetris) |
120 | 180 |
Advance Notices
1 December 2026
Deletion – Item
| 12219D | DBL Bortezomib, PF – BORTEZOMIB, bortezomib 3 mg injection, 1 vial |
| 15093J | Darzalex, JC – DARATUMUMAB, daratumumab 100 mg/5 mL injection, 5 mL vial |
| 15093J | Darzalex, JC – DARATUMUMAB, daratumumab 400 mg/20 mL injection, 20 mL vial |
| 7233Q | Fludarabine Ebewe, SZ – FLUDARABINE, fludarabine phosphate 50 mg/2 mL injection, 5 x 2 mL vials |
| 7260D | Hycamtin, SZ – TOPOTECAN, topotecan 4 mg injection, 5 vials |
| 7264H | Kanjinti, XT – TRASTUZUMAB, trastuzumab 420 mg injection, 1 vial |
| 7265J | Kanjinti, XT – TRASTUZUMAB, trastuzumab 420 mg injection, 1 vial |
| 7266K | Kanjinti, XT – TRASTUZUMAB, trastuzumab 420 mg injection, 1 vial |
| 7267L | Kanjinti, XT – TRASTUZUMAB, trastuzumab 420 mg injection, 1 vial |
| 10383L | Kanjinti, XT – TRASTUZUMAB, trastuzumab 420 mg injection, 1 vial |
| 10402L | Kanjinti, XT – TRASTUZUMAB, trastuzumab 420 mg injection, 1 vial |
| 10589H | Kanjinti, XT – TRASTUZUMAB, trastuzumab 420 mg injection, 1 vial |
| 10597R | Kanjinti, XT – TRASTUZUMAB, trastuzumab 420 mg injection, 1 vial |
Efficient Funding of Chemotherapy (Public Hospital)
Additions
Addition – Item
| 15576T | CYCLOPHOSPHAMIDE, cyclophosphamide 1 g injection, 1 vial (Cyclophosphamide (Seacross Pharmaceuticals, UK)); cyclophosphamide 2 g injection, 1 vial (Cyclophosphamide (Seacross Pharmaceuticals, UK)) |
Alterations
Alteration – Note
| 15098P | BRENTUXIMAB VEDOTIN, brentuximab vedotin 50 mg injection, 1 vial (Adcetris) |
Alteration – Restriction
Alteration – Maximum Amount
| From | To | ||
|---|---|---|---|
| 15098P | BRENTUXIMAB VEDOTIN, brentuximab vedotin 50 mg injection, 1 vial (Adcetris) |
120 | 180 |
Advance Notices
1 December 2026
Deletion – Item
| 12227M | DBL Bortezomib, PF – BORTEZOMIB, bortezomib 3 mg injection, 1 vial |
| 15065X | Darzalex, JC – DARATUMUMAB, daratumumab 100 mg/5 mL injection, 5 mL vial |
| 15065X | Darzalex, JC – DARATUMUMAB, daratumumab 400 mg/20 mL injection, 20 mL vial |
| 4393F | Fludarabine Ebewe, SZ – FLUDARABINE, fludarabine phosphate 50 mg/2 mL injection, 5 x 2 mL vials |
| 4617B | Hycamtin, SZ – TOPOTECAN, topotecan 4 mg injection, 5 vials |
| 4632T | Kanjinti, XT – TRASTUZUMAB, trastuzumab 420 mg injection, 1 vial |
| 4639E | Kanjinti, XT – TRASTUZUMAB, trastuzumab 420 mg injection, 1 vial |
| 4650R | Kanjinti, XT – TRASTUZUMAB, trastuzumab 420 mg injection, 1 vial |
| 4703M | Kanjinti, XT – TRASTUZUMAB, trastuzumab 420 mg injection, 1 vial |
| 10391X | Kanjinti, XT – TRASTUZUMAB, trastuzumab 420 mg injection, 1 vial |
| 10401K | Kanjinti, XT – TRASTUZUMAB, trastuzumab 420 mg injection, 1 vial |
| 10581X | Kanjinti, XT – TRASTUZUMAB, trastuzumab 420 mg injection, 1 vial |
| 10588G | Kanjinti, XT – TRASTUZUMAB, trastuzumab 420 mg injection, 1 vial |
Related Pharmaceutical Benefits for Public Hospital use
Additions
Addition – Brand
| 5967C | Ondansetron VTRS, AF – ONDANSETRON, ondansetron 4 mg tablet, 4 |
Advance Notices
1 December 2026
Deletion – Item
| 15092H | Darzalex SC, JC – DARATUMUMAB, daratumumab 1.8 g/15 mL injection, 15 mL vial |
1 January 2027
Deletion – Brand
| 2550F | Aprepitant APOTEX, TX – APREPITANT, aprepitant 165 mg capsule, 1 |
Last updated
1 November 2026