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General Pharmaceutical Benefits

Additions

Addition – Item

15354D ACALABRUTINIB, acalabrutinib 100 mg tablet, 56 (CALQUENCE)
15356F ACALABRUTINIB, acalabrutinib 100 mg tablet, 56 (CALQUENCE)
15360K ACALABRUTINIB, acalabrutinib 100 mg tablet, 56 (CALQUENCE)
15359J ADRENALINE (EPINEPHRINE), adrenaline (epinephrine) 150 microgram/0.15 mL injection, 0.15 mL pen device (Jext Jnr)
15355E ADRENALINE (EPINEPHRINE), adrenaline (epinephrine) 300 microgram/0.3 mL injection, 0.3 mL pen device (Jext)
15361L VENETOCLAX, venetoclax 10 mg tablet [14] (&) venetoclax 50 mg tablet [7] (&) venetoclax 100 mg tablet [7] (&) venetoclax 100 mg tablet [14], 1 pack (Venclexta)
15357G VENETOCLAX, venetoclax 100 mg tablet, 120 (Venclexta)
15358H VENETOCLAX, venetoclax 100 mg tablet, 120 (Venclexta)

Addition – Brand

14711G Mila, NBDROSPIRENONE + ETHINYLESTRADIOL, drospirenone 3 mg + ethinylestradiol 30 microgram tablet [21] (&) inert substance tablet [7], 28
14725B Mila, NBDROSPIRENONE + ETHINYLESTRADIOL, drospirenone 3 mg + ethinylestradiol 30 microgram tablet [21] (&) inert substance tablet [7], 3 x 28
10445R Febexic, CRFEBUXOSTAT, febuxostat 80 mg tablet, 28
13519M Febexic, CRFEBUXOSTAT, febuxostat 80 mg tablet, 28
10104T FERIVO, XTFERRIC CARBOXYMALTOSE, iron (as ferric carboxymaltose) 500 mg/10 mL injection, 10 mL vial
10104T Ferric Carboxymaltose-Teva, TBFERRIC CARBOXYMALTOSE, iron (as ferric carboxymaltose) 500 mg/10 mL injection, 10 mL vial
10104T Ferrive, AFFERRIC CARBOXYMALTOSE, iron (as ferric carboxymaltose) 500 mg/10 mL injection, 10 mL vial
11702X FERIVO, XTFERRIC CARBOXYMALTOSE, iron (as ferric carboxymaltose) 1 g/20 mL injection, 20 mL vial
11702X Ferric Carboxymaltose-Teva, TBFERRIC CARBOXYMALTOSE, iron (as ferric carboxymaltose) 1 g/20 mL injection, 20 mL vial
11702X Ferrive, AFFERRIC CARBOXYMALTOSE, iron (as ferric carboxymaltose) 1 g/20 mL injection, 20 mL vial
14740T Gliclazide Sandoz MR, SZGLICLAZIDE, gliclazide 30 mg modified release tablet, 100
8535F Gliclazide Sandoz MR, SZGLICLAZIDE, gliclazide 30 mg modified release tablet, 100
10211K ARZESTRA, LJMIFEPRISTONE (&) MISOPROSTOL, mifepristone 200 mg tablet [1] (&) misoprostol 200 microgram tablet [4], 1 pack
2122Q Morphine Phebra, FFMORPHINE, morphine hydrochloride trihydrate 2 mg/mL oral liquid, 200 mL
5237P Morphine Phebra, FFMORPHINE, morphine hydrochloride trihydrate 2 mg/mL oral liquid, 200 mL
2123R Morphine Phebra, FFMORPHINE, morphine hydrochloride trihydrate 5 mg/mL oral liquid, 200 mL
5238Q Morphine Phebra, FFMORPHINE, morphine hydrochloride trihydrate 5 mg/mL oral liquid, 200 mL
10460M POSMED, DZPOSACONAZOLE, posaconazole 100 mg modified release tablet, 24
13524T Pharmacor Ticagrelor, CRTICAGRELOR, ticagrelor 90 mg tablet, 56
13524T Ticagrelor Dr.Reddy's, RZTICAGRELOR, ticagrelor 90 mg tablet, 56
13524T Ticagrelor Lupin, GQTICAGRELOR, ticagrelor 90 mg tablet, 56
13524T Ticagrelor Viatris, AFTICAGRELOR, ticagrelor 90 mg tablet, 56
13524T Tirela, NBTICAGRELOR, ticagrelor 90 mg tablet, 56
1418P Pharmacor Ticagrelor, CRTICAGRELOR, ticagrelor 90 mg tablet, 56
1418P Ticagrelor Dr.Reddy's, RZTICAGRELOR, ticagrelor 90 mg tablet, 56
1418P Ticagrelor Lupin, GQTICAGRELOR, ticagrelor 90 mg tablet, 56
1418P Ticagrelor Viatris, AFTICAGRELOR, ticagrelor 90 mg tablet, 56
1418P Tirela, NBTICAGRELOR, ticagrelor 90 mg tablet, 56
1279H TIMOEYE, DZTIMOLOL, timolol 0.5% eye drops, 5 mL
15048B TIMOEYE, DZTIMOLOL, timolol 0.5% eye drops, 5 mL
5548B TIMOEYE, DZTIMOLOL, timolol 0.5% eye drops, 5 mL
13554J Trandolapril Viatris, ALTRANDOLAPRIL, trandolapril 500 microgram capsule, 28
2791X Trandolapril Viatris, ALTRANDOLAPRIL, trandolapril 500 microgram capsule, 28
13429T Trandolapril Viatris, ALTRANDOLAPRIL, trandolapril 1 mg capsule, 28
2792Y Trandolapril Viatris, ALTRANDOLAPRIL, trandolapril 1 mg capsule, 28
13403K Trandolapril Viatris, ALTRANDOLAPRIL, trandolapril 2 mg capsule, 28
2793B Trandolapril Viatris, ALTRANDOLAPRIL, trandolapril 2 mg capsule, 28
13467T Trandolapril Viatris, ALTRANDOLAPRIL, trandolapril 4 mg capsule, 28
8758Y Trandolapril Viatris, ALTRANDOLAPRIL, trandolapril 4 mg capsule, 28

Addition – Equivalence Indicator

10445R Adenuric, FKFEBUXOSTAT, febuxostat 80 mg tablet, 28
13519M Adenuric, FKFEBUXOSTAT, febuxostat 80 mg tablet, 28
10104T Ferinject, XW – FERRIC CARBOXYMALTOSE, iron (as ferric carboxymaltose) 500 mg/10 mL injection, 10 mL vial
11702X Ferinject, XW – FERRIC CARBOXYMALTOSE, iron (as ferric carboxymaltose) 1 g/20 mL injection, 20 mL vial
10211K MS-2 Step, XHMIFEPRISTONE (&) MISOPROSTOL, mifepristone 200 mg tablet [1] (&) misoprostol 200 microgram tablet [4], 1 pack
2122Q Ordine 2, XTMORPHINE, morphine hydrochloride trihydrate 2 mg/mL oral liquid, 200 mL
5237P Ordine 2, XTMORPHINE, morphine hydrochloride trihydrate 2 mg/mL oral liquid, 200 mL
2123R Ordine 5, XTMORPHINE, morphine hydrochloride trihydrate 5 mg/mL oral liquid, 200 mL
5238Q Ordine 5, XTMORPHINE, morphine hydrochloride trihydrate 5 mg/mL oral liquid, 200 mL
1279H Timoptol, MFTIMOLOL, timolol 0.5% eye drops, 5 mL
15048B Timoptol, MFTIMOLOL, timolol 0.5% eye drops, 5 mL
5548B Timoptol, MFTIMOLOL, timolol 0.5% eye drops, 5 mL

Addition – Note

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

 

Deletions

Deletion – Item

15069D CLOPIDOGREL, clopidogrel 75 mg tablet, 28 (Clopidogrel 75 mg (Zentiva, UK))
15075K CLOPIDOGREL, clopidogrel 75 mg tablet, 28 (Clopidogrel 75 mg (Zentiva, UK))
14861E METHYLPHENIDATE, methylphenidate hydrochloride 18 mg modified release tablet, 30 (Concerta (Switzerland))
14874W METHYLPHENIDATE, methylphenidate hydrochloride 27 mg modified release tablet, 30 (Concerta (Switzerland))
14858B METHYLPHENIDATE, methylphenidate hydrochloride 36 mg modified release tablet, 30 (Concerta (Switzerland))
14853R METHYLPHENIDATE, methylphenidate hydrochloride 54 mg modified release tablet, 30 (Concerta (Switzerland))
15024R PRAZOSIN, prazosin 2 mg capsule, 100 (Prazosin Hydrochloride Capsules, USP 2 mg (Novitium Pharma, USA))
15044T PRAZOSIN, prazosin 2 mg capsule, 100 (Prazosin Hydrochloride Capsules, USP 2 mg (Novitium Pharma, USA))

Deletion – Brand

14408H Chemists' Own Macrogol with Electrolytes, RWMACROGOL-3350 + SODIUM CHLORIDE + BICARBONATE + POTASSIUM CHLORIDE, macrogol-3350 13.125 g + sodium chloride 350.7 mg + sodium bicarbonate 178.5 mg + potassium chloride 46.6 mg powder for oral liquid, 30 sachets
8612G Chemists' Own Macrogol with Electrolytes, RWMACROGOL-3350 + SODIUM CHLORIDE + BICARBONATE + POTASSIUM CHLORIDE, macrogol-3350 13.125 g + sodium chloride 350.7 mg + sodium bicarbonate 178.5 mg + potassium chloride 46.6 mg powder for oral liquid, 30 sachets
13582W Tritace 1.25 mg, SWRAMIPRIL, ramipril 1.25 mg tablet, 30
1944H Tritace 1.25 mg, SWRAMIPRIL, ramipril 1.25 mg tablet, 30

 

Deletion – Equivalence Indicator

14844G Ozempic, NOSEMAGLUTIDE, semaglutide 0.68 mg/mL injection, 1 x 3 mL pen device
14846J Ozempic, NOSEMAGLUTIDE, semaglutide 0.68 mg/mL injection, 1 x 3 mL pen device

Deletion – Note

13400G PRAZOSIN, prazosin 2 mg tablet, 100 (APO-Prazosin, Minipress)
1480X PRAZOSIN, prazosin 2 mg tablet, 100 (APO-Prazosin, Minipress)
14844G SEMAGLUTIDE, semaglutide 0.68 mg/mL injection, 1 x 3 mL pen device (Ozempic)
14846J SEMAGLUTIDE, semaglutide 0.68 mg/mL injection, 1 x 3 mL pen device (Ozempic)

Alterations

Alteration – Item Description

From
15337F GLYCOPYRRONIUM, Glycopyrronium bromide 1% cream, 50 g (Axhidrox)
To
15337F GLYCOPYRRONIUM, Glycopyrronium 2.2 mg/actuation cream, 124 actuations (Axhidrox)

Alteration – Brand Name

From
8558K Enoxaject, CRENOXAPARIN SODIUM, enoxaparin sodium 20 mg/0.2 mL injection, 10 x 0.2 mL syringes
To
8558K Enoxaject Safety-Lock, CRENOXAPARIN SODIUM, enoxaparin sodium 20 mg/0.2 mL injection, 10 x 0.2 mL syringes
From
8716R Enoxaject, CRENOXAPARIN SODIUM, enoxaparin sodium 20 mg/0.2 mL injection, 10 x 0.2 mL syringes
To
8716R Enoxaject Safety-Lock, CRENOXAPARIN SODIUM, enoxaparin sodium 20 mg/0.2 mL injection, 10 x 0.2 mL syringes
From
8510X Enoxaject, CRENOXAPARIN SODIUM, enoxaparin sodium 40 mg/0.4 mL injection, 10 x 0.4 mL syringes
To
8510X Enoxaject Safety-Lock, CRENOXAPARIN SODIUM, enoxaparin sodium 40 mg/0.4 mL injection, 10 x 0.4 mL syringes
From
8639Q Enoxaject, CRENOXAPARIN SODIUM, enoxaparin sodium 40 mg/0.4 mL injection, 10 x 0.4 mL syringes
To
8639Q Enoxaject Safety-Lock, CRENOXAPARIN SODIUM, enoxaparin sodium 40 mg/0.4 mL injection, 10 x 0.4 mL syringes
From
8262W Enoxaject, CRENOXAPARIN SODIUM, enoxaparin sodium 60 mg/0.6 mL injection, 10 x 0.6 mL syringes
To
8262W Enoxaject Safety-Lock, CRENOXAPARIN SODIUM, enoxaparin sodium 60 mg/0.6 mL injection, 10 x 0.6 mL syringes
From
8640R Enoxaject, CRENOXAPARIN SODIUM, enoxaparin sodium 60 mg/0.6 mL injection, 10 x 0.6 mL syringes
To
8640R Enoxaject Safety-Lock, CRENOXAPARIN SODIUM, enoxaparin sodium 60 mg/0.6 mL injection, 10 x 0.6 mL syringes
From
5434B Enoxaject, CRENOXAPARIN SODIUM, enoxaparin sodium 80 mg/0.8 mL injection, 10 x 0.8 mL syringes
To
5434B Enoxaject Safety-Lock, CRENOXAPARIN SODIUM, enoxaparin sodium 80 mg/0.8 mL injection, 10 x 0.8 mL syringes
From
8263X Enoxaject, CRENOXAPARIN SODIUM, enoxaparin sodium 80 mg/0.8 mL injection, 10 x 0.8 mL syringes
To
8263X Enoxaject Safety-Lock, CRENOXAPARIN SODIUM, enoxaparin sodium 80 mg/0.8 mL injection, 10 x 0.8 mL syringes
From
5435C Enoxaject, CRENOXAPARIN SODIUM, enoxaparin sodium 100 mg/mL injection, 10 x 1 mL syringes
To
5435C Enoxaject Safety-Lock, CRENOXAPARIN SODIUM, enoxaparin sodium 100 mg/mL injection, 10 x 1 mL syringes
From
8264Y Enoxaject, CRENOXAPARIN SODIUM, enoxaparin sodium 100 mg/mL injection, 10 x 1 mL syringes
To
8264Y Enoxaject Safety-Lock, CRENOXAPARIN SODIUM, enoxaparin sodium 100 mg/mL injection, 10 x 1 mL syringes
From
13688K Enoxaject, CRENOXAPARIN SODIUM, enoxaparin sodium 120 mg/0.8 mL injection, 10 x 0.8 mL syringes
To
13688K Enoxaject Safety-Lock, CRENOXAPARIN SODIUM, enoxaparin sodium 120 mg/0.8 mL injection, 10 x 0.8 mL syringes
From
13710N Enoxaject, CRENOXAPARIN SODIUM, enoxaparin sodium 120 mg/0.8 mL injection, 10 x 0.8 mL syringes
To
13710N Enoxaject Safety-Lock, CRENOXAPARIN SODIUM, enoxaparin sodium 120 mg/0.8 mL injection, 10 x 0.8 mL syringes
From
13717Y Enoxaject, CRENOXAPARIN SODIUM, enoxaparin sodium 150 mg/mL injection, 10 x 1 mL syringes
To
13717Y Enoxaject Safety-Lock, CRENOXAPARIN SODIUM, enoxaparin sodium 150 mg/mL injection, 10 x 1 mL syringes
From
13729N Enoxaject, CRENOXAPARIN SODIUM, enoxaparin sodium 150 mg/mL injection, 10 x 1 mL syringes
To
13729N Enoxaject Safety-Lock, CRENOXAPARIN SODIUM, enoxaparin sodium 150 mg/mL injection, 10 x 1 mL syringes

Alteration – Note

12342N ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices (Hadlima, Humira, Hyrimoz, Yuflyma)
12364R ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (Hadlima, Humira, Hyrimoz, Yuflyma)
12377K ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices (Hadlima, Humira, Hyrimoz, Yuflyma)
12399N ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (Hadlima, Humira, Hyrimoz, Yuflyma)
12421R ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (Hadlima, Humira, Hyrimoz, Yuflyma)
12422T ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (Hadlima, Humira, Hyrimoz, Yuflyma)
12425Y ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices (Hadlima, Humira, Hyrimoz, Yuflyma)
12428D ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices (Hadlima, Humira, Hyrimoz, Yuflyma)
5281Y ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Amgevita, Hadlima, Hyrimoz)
5282B ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices (Abrilada, Amgevita, Hadlima, Hyrimoz)
5283C ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Amgevita, Hadlima, Hyrimoz)
5284D ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices (Abrilada, Amgevita, Hadlima, Hyrimoz)
9425C ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Amgevita, Hadlima, Hyrimoz)
9426D ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices (Abrilada, Amgevita, Hadlima, Hyrimoz)
9427E ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Amgevita, Hadlima, Hyrimoz)
9428F ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices (Abrilada, Amgevita, Hadlima, Hyrimoz)
12394H ADALIMUMAB, adalimumab 80 mg/0.8 mL injection, 0.8 mL syringe (Humira, Yuflyma)
12447D ADALIMUMAB, adalimumab 80 mg/0.8 mL injection, 0.8 mL pen device (Humira, Hyrimoz, Yuflyma)
15336E FRUQUINTINIB, fruquintinib 1 mg capsule, 21 (Fruzaqla)
15344N FRUQUINTINIB, fruquintinib 5 mg capsule, 21 (Fruzaqla)
11614G GUSELKUMAB, guselkumab 100 mg/mL injection, 1 x 1 mL syringe (Tremfya)
11032P IXEKIZUMAB, ixekizumab 80 mg/mL injection, 2 x 1 mL pen devices (Taltz)
11033Q IXEKIZUMAB, ixekizumab 80 mg/mL injection, 2 x 1 mL pen devices (Taltz)
10425Q SECUKINUMAB, secukinumab 150 mg/mL injection, 2 x 1 mL pen devices (Cosentyx)
10910F SECUKINUMAB, secukinumab 150 mg/mL injection, 2 x 1 mL pen devices (Cosentyx)
14972B SECUKINUMAB, Secukinumab 300 mg/2 mL injection, 2 mL pen device (Cosentyx)
15028Y SECUKINUMAB, Secukinumab 300 mg/2 mL injection, 2 mL pen device (Cosentyx)
11613F TILDRAKIZUMAB, tildrakizumab 100 mg/mL injection, 1 mL syringe (Ilumya)
11616J TILDRAKIZUMAB, tildrakizumab 100 mg/mL injection, 1 mL syringe (Ilumya)
11725D TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL pen devices (Actemra ACTPen)
11730J TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL syringes (Actemra Subcutaneous Injection)
11741Y TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL syringes (Actemra Subcutaneous Injection)
11750K TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL pen devices (Actemra ACTPen)
12761P TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL pen devices (Actemra ACTPen)
12762Q TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL syringes (Actemra Subcutaneous Injection)
12767Y TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL pen devices (Actemra ACTPen)
12768B TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL syringes (Actemra Subcutaneous Injection)
12792G TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL pen devices (Actemra ACTPen)
12806B TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL syringes (Actemra Subcutaneous Injection)

Alteration – Restriction

11684Y ABATACEPT, abatacept 125 mg/mL injection, 4 x 1 mL pen devices (Orencia ClickJect)
11693K ABATACEPT, abatacept 125 mg/mL injection, 4 x 1 mL pen devices (Orencia ClickJect)
1220F ABATACEPT, abatacept 125 mg/mL injection, 4 x 1 mL syringes (Orencia)
1221G ABATACEPT, abatacept 125 mg/mL injection, 4 x 1 mL syringes (Orencia)
13810W ACALABRUTINIB, acalabrutinib 100 mg tablet, 56 (CALQUENCE)
12342N ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices (Hadlima, Humira, Hyrimoz, Yuflyma)
12364R ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (Hadlima, Humira, Hyrimoz, Yuflyma)
12377K ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices (Hadlima, Humira, Hyrimoz, Yuflyma)
12390D ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices (Hadlima, Humira, Hyrimoz, Yuflyma)
12399N ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (Hadlima, Humira, Hyrimoz, Yuflyma)
12400P ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (Hadlima, Humira, Hyrimoz, Yuflyma)
12421R ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (Hadlima, Humira, Hyrimoz, Yuflyma)
12422T ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (Hadlima, Humira, Hyrimoz, Yuflyma)
12425Y ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices (Hadlima, Humira, Hyrimoz, Yuflyma)
12428D ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices (Hadlima, Humira, Hyrimoz, Yuflyma)
12429E ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL pen devices (Hadlima, Humira, Hyrimoz, Yuflyma)
12430F ADALIMUMAB, adalimumab 40 mg/0.4 mL injection, 2 x 0.4 mL syringes (Hadlima, Humira, Hyrimoz, Yuflyma)
5281Y ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Amgevita, Hadlima, Hyrimoz)
5282B ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices (Abrilada, Amgevita, Hadlima, Hyrimoz)
5283C ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Amgevita, Hadlima, Hyrimoz)
5284D ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices (Abrilada, Amgevita, Hadlima, Hyrimoz)
8737W ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Amgevita, Hadlima, Hyrimoz)
8741C ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Amgevita, Hadlima, Hyrimoz)
9099X ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices (Abrilada, Amgevita, Hadlima, Hyrimoz)
9100Y ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices (Abrilada, Amgevita, Hadlima, Hyrimoz)
9425C ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Amgevita, Hadlima, Hyrimoz)
9426D ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices (Abrilada, Amgevita, Hadlima, Hyrimoz)
9427E ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL syringes (Amgevita, Hadlima, Hyrimoz)
9428F ADALIMUMAB, adalimumab 40 mg/0.8 mL injection, 2 x 0.8 mL pen devices (Abrilada, Amgevita, Hadlima, Hyrimoz)
12394H ADALIMUMAB, adalimumab 80 mg/0.8 mL injection, 0.8 mL syringe (Humira, Yuflyma)
12447D ADALIMUMAB, adalimumab 80 mg/0.8 mL injection, 0.8 mL pen device (Humira, Hyrimoz, Yuflyma)
11437Y BARICITINIB, baricitinib 2 mg tablet, 28 (Olumiant)
11442F BARICITINIB, baricitinib 2 mg tablet, 28 (Olumiant)
11443G BARICITINIB, baricitinib 4 mg tablet, 28 (Olumiant)
11447L BARICITINIB, baricitinib 4 mg tablet, 28 (Olumiant)
10905Y CERTOLIZUMAB PEGOL, certolizumab pegol 200 mg/mL injection, 2 x 1 mL syringes (Cimzia)
3425G CERTOLIZUMAB PEGOL, certolizumab pegol 200 mg/mL injection, 2 x 1 mL syringes (Cimzia)
11322X CERTOLIZUMAB PEGOL, certolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices (Cimzia)
11325C CERTOLIZUMAB PEGOL, certolizumab pegol 200 mg/mL injection, 2 x 1 mL pen devices (Cimzia)
13106T DAPAGLIFLOZIN, dapagliflozin 10 mg tablet, 28 (Forxiga)
15257B DAPAGLIFLOZIN, dapagliflozin 10 mg tablet, 28 (Forxiga)
15300G ELRANATAMAB, Elranatamab 44 mg/1.1 mL injection, 1.1 mL vial (Elrexfio)
14092Q EMPAGLIFLOZIN, empagliflozin 10 mg tablet, 30 (Jardiance)
15253T EMPAGLIFLOZIN, empagliflozin 10 mg tablet, 30 (Jardiance)
12469G GALCANEZUMAB, galcanezumab 120 mg/mL injection, 1 mL pen device (Emgality)
12478R GALCANEZUMAB, galcanezumab 120 mg/mL injection, 1 mL pen device (Emgality)
11372M GOLIMUMAB, golimumab 50 mg/0.5 mL injection, 0.5 mL pen device (Simponi)
11375Q GOLIMUMAB, golimumab 50 mg/0.5 mL injection, 0.5 mL pen device (Simponi)
3426H GOLIMUMAB, golimumab 50 mg/0.5 mL injection, 0.5 mL syringe (Simponi)
3428K GOLIMUMAB, golimumab 50 mg/0.5 mL injection, 0.5 mL syringe (Simponi)
11614G GUSELKUMAB, guselkumab 100 mg/mL injection, 1 x 1 mL syringe (Tremfya)
12576X INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL syringe (Remsima SC)
12577Y INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL pen device (Remsima SC)
13062L INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL pen device (Remsima SC)
13067R INFLIXIMAB, infliximab 120 mg/mL injection, 1 mL syringe (Remsima SC)
11032P IXEKIZUMAB, ixekizumab 80 mg/mL injection, 2 x 1 mL pen devices (Taltz)
11033Q IXEKIZUMAB, ixekizumab 80 mg/mL injection, 2 x 1 mL pen devices (Taltz)
14135Y MAVACAMTEN, mavacamten 2.5 mg capsule, 28 (Camzyos)
14117B MAVACAMTEN, mavacamten 5 mg capsule, 28 (Camzyos)
14137C MAVACAMTEN, mavacamten 10 mg capsule, 28 (Camzyos)
14139E MAVACAMTEN, mavacamten 15 mg capsule, 28 (Camzyos)
14111Q RISANKIZUMAB, risankizumab 150 mg/mL injection, 1 mL pen device (Skyrizi)
14142H RISANKIZUMAB, risankizumab 150 mg/mL injection, 1 mL pen device (Skyrizi)
10425Q SECUKINUMAB, secukinumab 150 mg/mL injection, 2 x 1 mL pen devices (Cosentyx)
10910F SECUKINUMAB, secukinumab 150 mg/mL injection, 2 x 1 mL pen devices (Cosentyx)
14972B SECUKINUMAB, Secukinumab 300 mg/2 mL injection, 2 mL pen device (Cosentyx)
15028Y SECUKINUMAB, Secukinumab 300 mg/2 mL injection, 2 mL pen device (Cosentyx)
11613F TILDRAKIZUMAB, tildrakizumab 100 mg/mL injection, 1 mL syringe (Ilumya)
11616J TILDRAKIZUMAB, tildrakizumab 100 mg/mL injection, 1 mL syringe (Ilumya)
10951J TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL syringes (Actemra Subcutaneous Injection)
10954M TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL syringes (Actemra Subcutaneous Injection)
11565Q TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL pen devices (Actemra ACTPen)
11567T TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL pen devices (Actemra ACTPen)
11725D TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL pen devices (Actemra ACTPen)
11730J TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL syringes (Actemra Subcutaneous Injection)
11741Y TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL syringes (Actemra Subcutaneous Injection)
11750K TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL pen devices (Actemra ACTPen)
12761P TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL pen devices (Actemra ACTPen)
12762Q TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL syringes (Actemra Subcutaneous Injection)
12767Y TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL pen devices (Actemra ACTPen)
12768B TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL syringes (Actemra Subcutaneous Injection)
12792G TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL pen devices (Actemra ACTPen)
12806B TOCILIZUMAB, tocilizumab 162 mg/0.9 mL injection, 4 x 0.9 mL syringes (Actemra Subcutaneous Injection)
10511F TOFACITINIB, tofacitinib 5 mg tablet, 56 (Xeljanz)
10517M TOFACITINIB, tofacitinib 5 mg tablet, 56 (Xeljanz)
11979L UPADACITINIB, upadacitinib 15 mg modified release tablet, 28 (Rinvoq)
11989B UPADACITINIB, upadacitinib 15 mg modified release tablet, 28 (Rinvoq)
12188L VENETOCLAX, venetoclax 10 mg tablet [14] (&) venetoclax 50 mg tablet [7] (&) venetoclax 100 mg tablet [7] (&) venetoclax 100 mg tablet [14], 1 pack (Venclexta)
12199C VENETOCLAX, venetoclax 100 mg tablet, 120 (Venclexta)
12205J VENETOCLAX, venetoclax 100 mg tablet, 120 (Venclexta)

Alteration – Manufacturer Code

From To
10104T FerinjectFERRIC CARBOXYMALTOSE, iron (as ferric carboxymaltose) 500 mg/10 mL injection, 10 mL vial CS XW
11702X FerinjectFERRIC CARBOXYMALTOSE, iron (as ferric carboxymaltose) 1 g/20 mL injection, 20 mL vial CS XW
14730G PrometriumPROGESTERONE, progesterone 100 mg capsule, 30 HB XW
14733K PrometriumPROGESTERONE, progesterone 100 mg capsule, 30 HB XW
15152L RitosaTERIPARATIDE, teriparatide 250 microgram/mL injection, 2.4 mL cartridge RA XT
15188J RitosaTERIPARATIDE, teriparatide 250 microgram/mL injection, 2.4 mL cartridge RA XT

Alteration – Number of Repeats

From To
1512N HYDROXYCHLOROQUINE, hydroxychloroquine sulfate 200 mg tablet, 100 (APO- Hydroxychloroquine, Hequinel, Hydroxychloroquine GH, Plaquenil) 1 3
11276L TENOFOVIR DISOPROXIL + EMTRICITABINE, tenofovir disoproxil fumarate 300 mg + emtricitabine 200 mg tablet, 30 (CIPLA TENOFOVIR + EMTRICITABINE 300/200, TENOFOVIR/EMTRICITABINE 300/200 APX, TENOFOVIR/EMTRICITABINE 300/200 ARX, Tenofovir/Emtricitabine Sandoz Pharma 300/200) 2 5
11296M TENOFOVIR DISOPROXIL + EMTRICITABINE, tenofovir disoproxil maleate 300 mg + emtricitabine 200 mg tablet, 30 (Tenofovir Disoproxil Emtricitabine Viatris 300/200) 2 5
12542D TENOFOVIR DISOPROXIL + EMTRICITABINE, tenofovir disoproxil succinate 301 mg + emtricitabine 200 mg tablet, 30 (Tenofovir/Emtricitabine Sandoz 301/200) 2 5

Supply Only

Supply Only - Period Commencing

15169J METHYLPHENIDATE, methylphenidate hydrochloride 27 mg modified release tablet, 30 (Atenza (Spain))
15198X METHYLPHENIDATE, methylphenidate hydrochloride 54 mg modified release tablet, 30 (Atenza (Spain))

Supply Only - Period Ending

5298W BRIMONIDINE, brimonidine tartrate 0.15% eye drops, 5 mL (Alphagan P 1.5)
5563T BRIMONIDINE, brimonidine tartrate 0.15% eye drops, 5 mL (Alphagan P 1.5)
14496Y BRIMONIDINE, brimonidine tartrate 0.15% eye drops, 5 mL (Alphagan P 1.5)
14931W DROSPIRENONE, drospirenone 4 mg tablet [24] (&) inert substance tablet [4], 3 x 28 (Slinda)
12080T SEMAGLUTIDE, semaglutide 1.34 mg/mL injection, 1 x 1.5 mL pen device (Ozempic)
14149Q SEMAGLUTIDE, semaglutide 1.34 mg/mL injection, 1 x 1.5 mL pen device (Ozempic)
5545W SOY LECITHIN + TOCOPHEROL + VITAMIN A, soy lecithin 1% + tocopherol 0.002% + vitamin A palmitate 0.025% spray, 100 actuations (tearsagain)
9448G SOY LECITHIN + TOCOPHEROL + VITAMIN A, soy lecithin 1% + tocopherol 0.002% + vitamin A palmitate 0.025% spray, 100 actuations (tearsagain)
14426G SOY LECITHIN + TOCOPHEROL + VITAMIN A, soy lecithin 1% + tocopherol 0.002% + vitamin A palmitate 0.025% spray, 100 actuations (tearsagain)
14323W TIOTROPIUM, tiotropium 2.5 microgram/actuation inhalation solution, 60 actuations (Spiriva Respimat)
14499D TIOTROPIUM, tiotropium 2.5 microgram/actuation inhalation solution, 60 actuations (Spiriva Respimat)
14531T TIOTROPIUM, tiotropium 2.5 microgram/actuation inhalation solution, 60 actuations (Spiriva Respimat)
14530R TIOTROPIUM + OLODATEROL, tiotropium 2.5 microgram/actuation + olodaterol 2.5 microgram/actuation inhalation solution, 60 actuations (Spiolto Respimat)
8216K TOREMIFENE, toremifene 60 mg tablet, 30 (Fareston)
13859K TOREMIFENE, toremifene 60 mg tablet, 30 (Fareston)

 

Advance Notices

1 July 2026

Deletion – Brand

14315K Bimtop, AFBIMATOPROST, bimatoprost 0.03% eye drops, 3 mL
5551E Bimtop, AFBIMATOPROST, bimatoprost 0.03% eye drops, 3 mL
8620Q Bimtop, AFBIMATOPROST, bimatoprost 0.03% eye drops, 3 mL
8362D Capecitabine Sandoz, SZCAPECITABINE, capecitabine 500 mg tablet, 120
13385L EzSimva GH 10/10, GQEZETIMIBE + SIMVASTATIN, ezetimibe 10 mg + simvastatin 10 mg tablet, 30
9483D EzSimva GH 10/10, GQEZETIMIBE + SIMVASTATIN, ezetimibe 10 mg + simvastatin 10 mg tablet, 30
8887R Meloxicam Sandoz, SZMELOXICAM, meloxicam 7.5 mg capsule, 30
8888T Meloxicam Sandoz, SZMELOXICAM, meloxicam 15 mg capsule, 30
13371R Idaprex 4, SZPERINDOPRIL, perindopril erbumine 4 mg tablet, 30
13372T Idaprex 8, SZPERINDOPRIL, perindopril erbumine 8 mg tablet, 30
13404L Idaprex 2, SZPERINDOPRIL, perindopril erbumine 2 mg tablet, 30
3050M Idaprex 2, SZPERINDOPRIL, perindopril erbumine 2 mg tablet, 30
3051N Idaprex 4, SZPERINDOPRIL, perindopril erbumine 4 mg tablet, 30
8704D Idaprex 8, SZPERINDOPRIL, perindopril erbumine 8 mg tablet, 30
13476G Idaprex Combi 4/1.25, SZPERINDOPRIL + INDAPAMIDE, perindopril erbumine 4 mg + indapamide hemihydrate 1.25 mg tablet, 30
8449Q Idaprex Combi 4/1.25, SZPERINDOPRIL + INDAPAMIDE, perindopril erbumine 4 mg + indapamide hemihydrate 1.25 mg tablet, 30
14458Y Rasagiline Sandoz, SZRASAGILINE, rasagiline 1 mg tablet, 30
1952R Rasagiline Sandoz, SZRASAGILINE, rasagiline 1 mg tablet, 30
13877J ARX-Vildagliptin/Metformin 50/500, XTVILDAGLIPTIN + METFORMIN, vildagliptin 50 mg + metformin hydrochloride 500 mg tablet, 60
5474D ARX-Vildagliptin/Metformin 50/500, XTVILDAGLIPTIN + METFORMIN, vildagliptin 50 mg + metformin hydrochloride 500 mg tablet, 60

1 August 2026

Deletion – Item

14514X Qvar 100 Autohaler, ILBECLOMETASONE, beclometasone dipropionate 100 microgram/actuation breath activated inhalation, 200 actuations
8409N Qvar 100 Autohaler, ILBECLOMETASONE, beclometasone dipropionate 100 microgram/actuation breath activated inhalation, 200 actuations
1610R Leucovorin Calcium (Pfizer Australia Pty Ltd), PFFOLINIC ACID, folinic acid 50 mg/5 mL injection, 10 x 5 mL ampoules
14371J Minitran 5, ILGLYCERYL TRINITRATE, glyceryl trinitrate 5 mg/24 hours patch, 30
8027L Minitran 5, ILGLYCERYL TRINITRATE, glyceryl trinitrate 5 mg/24 hours patch, 30
8084L Humalog, LYINSULIN LISPRO, insulin lispro 100 units/mL injection, 1 x 10 mL vial
1426C Humulin 30/70, LYINSULIN NEUTRAL HUMAN + INSULIN ISOPHANE HUMAN, insulin neutral human 30 units/mL + insulin isophane human 70 units/mL injection, 10 mL vial
9031H Daktarin Tincture, JTMICONAZOLE, miconazole 2% solution, 30 mL

Deletion – Brand

3094W Keflex, ASCEFALEXIN, cefalexin 125 mg/5 mL powder for oral liquid, 100 mL
3319Q Keflex, ASCEFALEXIN, cefalexin 125 mg/5 mL powder for oral liquid, 100 mL
1533Q Humulin NPH, LYINSULIN ISOPHANE HUMAN, insulin isophane human 100 units/mL injection, 1 x 10 mL vial
1531N Humulin R, LYINSULIN NEUTRAL HUMAN, insulin neutral human 100 units/mL injection, 1 x 10 mL vial
3382B OLANZAPINE ODT-WGR, WGOLANZAPINE, olanzapine 10 mg orally disintegrating tablet, 28
8380C Temodal, MKTEMOZOLOMIDE, temozolomide 100 mg capsule, 5
8821G Temodal, MKTEMOZOLOMIDE, temozolomide 100 mg capsule, 5
9361Q Temodal, MKTEMOZOLOMIDE, temozolomide 140 mg capsule, 5
9362R Temodal, MKTEMOZOLOMIDE, temozolomide 140 mg capsule, 5

1 September 2026

Deletion – Item

14493T Poly Visc, IQPARAFFIN, paraffin 1 g/g eye ointment, 2 x 3.5 g
1750D Poly Visc, IQPARAFFIN, paraffin 1 g/g eye ointment, 2 x 3.5 g
5522P Poly Visc, IQPARAFFIN, paraffin 1 g/g eye ointment, 2 x 3.5 g

Deletion – Brand

11998L Amoxil, ASAMOXICILLIN, amoxicillin 250 mg capsule, 20
1884E Amoxil, ASAMOXICILLIN, amoxicillin 250 mg capsule, 20
3301R Amoxil, ASAMOXICILLIN, amoxicillin 250 mg capsule, 20
13921Q Actos, GQPIOGLITAZONE, pioglitazone 30 mg tablet, 28
8695P Actos, GQPIOGLITAZONE, pioglitazone 30 mg tablet, 28

Palliative Care

Additions

Addition – Brand

12549L Morphine Phebra, FFMORPHINE, morphine hydrochloride trihydrate 5 mg/mL oral liquid, 200 mL

Addition – Equivalence Indicator

12549L Ordine 5, XTMORPHINE, morphine hydrochloride trihydrate 5 mg/mL oral liquid, 200 mL

Deletions

Deletion – Brand

5389P Chemists' Own Macrogol with Electrolytes, RWMACROGOL-3350 + SODIUM CHLORIDE + BICARBONATE + POTASSIUM CHLORIDE, macrogol-3350 13.125 g + sodium chloride 350.7 mg + sodium bicarbonate 178.5 mg + potassium chloride 46.6 mg powder for oral liquid, 30 sachets

Highly Specialised Drugs Program (Private Hospital)

Advance Notices

1 July 2026

Deletion – Item

6480C NeoRecormon, ROEPOETIN BETA, epoetin beta 2000 units/0.3 mL injection, 6 x 0.3 mL syringes
6481D NeoRecormon, ROEPOETIN BETA, epoetin beta 3000 units/0.3 mL injection, 6 x 0.3 mL syringes
6482E NeoRecormon, ROEPOETIN BETA, epoetin beta 4000 units/0.3 mL injection, 6 x 0.3 mL syringes
6483F NeoRecormon, ROEPOETIN BETA, epoetin beta 5000 units/0.3 mL injection, 6 x 0.3 mL syringes
6484G NeoRecormon, ROEPOETIN BETA, epoetin beta 6000 units/0.3 mL injection, 6 x 0.3 mL syringes
6485H NeoRecormon, ROEPOETIN BETA, epoetin beta 10 000 units/0.6 mL injection, 6 x 0.6 mL syringes
14177E Octreotide Acetate Omega (Canada), GQOCTREOTIDE, octreotide 100 microgram/mL injection, 5 x 1 mL vials
14201K Octreotide Acetate Omega (Canada), GQOCTREOTIDE, octreotide 500 microgram/mL injection, 5 x 1 mL vials
14213C Octreotide Acetate Omega (Canada), GQOCTREOTIDE, octreotide 50 microgram/mL injection, 5 x 1 mL vials

Deletion – Brand

12784W AZACITIDINE EUGIA, YGAZACITIDINE, azacitidine 100 mg injection, 1 vial
12784W Azacitidine Sandoz, SZAZACITIDINE, azacitidine 100 mg injection, 1 vial
13033Y AZACITIDINE EUGIA, YGAZACITIDINE, azacitidine 100 mg injection, 1 vial
13033Y Azacitidine Sandoz, SZAZACITIDINE, azacitidine 100 mg injection, 1 vial
13038F AZACITIDINE EUGIA, YGAZACITIDINE, azacitidine 100 mg injection, 1 vial
13038F Azacitidine Sandoz, SZAZACITIDINE, azacitidine 100 mg injection, 1 vial
13039G AZACITIDINE EUGIA, YGAZACITIDINE, azacitidine 100 mg injection, 1 vial
13039G Azacitidine Sandoz, SZAZACITIDINE, azacitidine 100 mg injection, 1 vial
13040H AZACITIDINE EUGIA, YGAZACITIDINE, azacitidine 100 mg injection, 1 vial
13040H Azacitidine Sandoz, SZAZACITIDINE, azacitidine 100 mg injection, 1 vial
6100C AZACITIDINE EUGIA, YGAZACITIDINE, azacitidine 100 mg injection, 1 vial
6100C Azacitidine Sandoz, SZAZACITIDINE, azacitidine 100 mg injection, 1 vial
6138C AZACITIDINE EUGIA, YGAZACITIDINE, azacitidine 100 mg injection, 1 vial
6138C Azacitidine Sandoz, SZAZACITIDINE, azacitidine 100 mg injection, 1 vial

1 August 2026

Deletion – Item

14296K Onpattro, WMPATISIRAN, patisiran 10 mg/5 mL injection, 5 mL vial

Deletion – Brand

12201E Cipla Ambrisentan, ZUAMBRISENTAN, ambrisentan 5 mg tablet, 30
9648T Cipla Ambrisentan, ZUAMBRISENTAN, ambrisentan 5 mg tablet, 30

Highly Specialised Drugs Program (Public Hospital)

Advance Notices

1 July 2026

Deletion – Item

5724G NeoRecormon, ROEPOETIN BETA, epoetin beta 2000 units/0.3 mL injection, 6 x 0.3 mL syringes
5725H NeoRecormon, ROEPOETIN BETA, epoetin beta 3000 units/0.3 mL injection, 6 x 0.3 mL syringes
5726J NeoRecormon, ROEPOETIN BETA, epoetin beta 4000 units/0.3 mL injection, 6 x 0.3 mL syringes
5727K NeoRecormon, ROEPOETIN BETA, epoetin beta 5000 units/0.3 mL injection, 6 x 0.3 mL syringes
5728L NeoRecormon, ROEPOETIN BETA, epoetin beta 6000 units/0.3 mL injection, 6 x 0.3 mL syringes
5729M NeoRecormon, ROEPOETIN BETA, epoetin beta 10 000 units/0.6 mL injection, 6 x 0.6 mL syringes
14178F Octreotide Acetate Omega (Canada), GQOCTREOTIDE, octreotide 50 microgram/mL injection, 5 x 1 mL vials
14218H Octreotide Acetate Omega (Canada), GQOCTREOTIDE, octreotide 500 microgram/mL injection, 5 x 1 mL vials
14219J Octreotide Acetate Omega (Canada), GQOCTREOTIDE, octreotide 100 microgram/mL injection, 5 x 1 mL vials

Deletion – Brand

12771E AZACITIDINE EUGIA, YGAZACITIDINE, azacitidine 100 mg injection, 1 vial
12771E Azacitidine Sandoz, SZAZACITIDINE, azacitidine 100 mg injection, 1 vial
13028Q AZACITIDINE EUGIA, YGAZACITIDINE, azacitidine 100 mg injection, 1 vial
13028Q Azacitidine Sandoz, SZAZACITIDINE, azacitidine 100 mg injection, 1 vial
13036D AZACITIDINE EUGIA, YGAZACITIDINE, azacitidine 100 mg injection, 1 vial
13036D Azacitidine Sandoz, SZAZACITIDINE, azacitidine 100 mg injection, 1 vial
13042K AZACITIDINE EUGIA, YGAZACITIDINE, azacitidine 100 mg injection, 1 vial
13042K Azacitidine Sandoz, SZAZACITIDINE, azacitidine 100 mg injection, 1 vial
13044M AZACITIDINE EUGIA, YGAZACITIDINE, azacitidine 100 mg injection, 1 vial
13044M Azacitidine Sandoz, SZAZACITIDINE, azacitidine 100 mg injection, 1 vial
9597D AZACITIDINE EUGIA, YGAZACITIDINE, azacitidine 100 mg injection, 1 vial
9597D Azacitidine Sandoz, SZAZACITIDINE, azacitidine 100 mg injection, 1 vial
9598E AZACITIDINE EUGIA, YGAZACITIDINE, azacitidine 100 mg injection, 1 vial
9598E Azacitidine Sandoz, SZAZACITIDINE, azacitidine 100 mg injection, 1 vial

1 August 2026

Deletion – Item

14264R Onpattro, WMPATISIRAN, patisiran 10 mg/5 mL injection, 5 mL vial

Deletion – Brand

12212R Cipla Ambrisentan, ZUAMBRISENTAN, ambrisentan 5 mg tablet, 30
5607D Cipla Ambrisentan, ZUAMBRISENTAN, ambrisentan 5 mg tablet, 30
 

Efficient Funding of Chemotherapy (Private Hospital)

Additions

Addition – Brand

7246J Gemcitabine Irem, KSGEMCITABINE, gemcitabine 1 g/26.3 mL injection, 26.3 mL vial
7246J Gemcitabine Irem, KSGEMCITABINE, gemcitabine 2 g/52.6 mL injection, 52.6 mL vial

Alterations

Alteration – Note

11115B BLINATUMOMAB,
blinatumomab 38.5 microgram injection [1 vial] (&) inert substance solution [10 mL vial], 1 pack (Blincyto)
11119F BLINATUMOMAB,
blinatumomab 38.5 microgram injection [1 vial] (&) inert substance solution [10 mL vial], 1 pack (Blincyto)

Alteration – Restriction

11115B BLINATUMOMAB,
blinatumomab 38.5 microgram injection [1 vial] (&) inert substance solution [10 mL vial], 1 pack (Blincyto)
11116C BLINATUMOMAB,
blinatumomab 38.5 microgram injection [1 vial] (&) inert substance solution [10 mL vial], 1 pack (Blincyto)
11119F BLINATUMOMAB,
blinatumomab 38.5 microgram injection [1 vial] (&) inert substance solution [10 mL vial], 1 pack (Blincyto)
11867N BLINATUMOMAB,
blinatumomab 38.5 microgram injection [1 vial] (&) inert substance solution [10 mL vial], 1 pack (Blincyto)
12193R OBINUTUZUMAB,
obinutuzumab 1 g/40 mL injection, 40 mL vial (Gazyva)
13793Y OBINUTUZUMAB,
obinutuzumab 1 g/40 mL injection, 40 mL vial (Gazyva)

Advance Notices

1 September 2026

Deletion – Brand

7253R Oxaliplatin SUN, RAOXALIPLATIN, oxaliplatin 200 mg/40 mL injection, 40 mL vial

Efficient Funding of Chemotherapy (Public Hospital)

Additions

Addition – Brand

4439P Gemcitabine Irem, KSGEMCITABINE, gemcitabine 1 g/26.3 mL injection, 26.3 mL vial
4439P Gemcitabine Irem, KSGEMCITABINE, gemcitabine 2 g/52.6 mL injection, 52.6 mL vial

Alterations

Alteration – Note

11117D BLINATUMOMAB,
blinatumomab 38.5 microgram injection [1 vial] (&) inert substance solution [10 mL vial], 1 pack (Blincyto)
11120G BLINATUMOMAB,
blinatumomab 38.5 microgram injection [1 vial] (&) inert substance solution [10 mL vial], 1 pack (Blincyto)

Alteration – Restriction

11117D BLINATUMOMAB,
blinatumomab 38.5 microgram injection [1 vial] (&) inert substance solution [10 mL vial], 1 pack (Blincyto)
11118E BLINATUMOMAB,
blinatumomab 38.5 microgram injection [1 vial] (&) inert substance solution [10 mL vial], 1 pack (Blincyto)
11120G BLINATUMOMAB,
blinatumomab 38.5 microgram injection [1 vial] (&) inert substance solution [10 mL vial], 1 pack (Blincyto)
11850Q BLINATUMOMAB,
blinatumomab 38.5 microgram injection [1 vial] (&) inert substance solution [10 mL vial], 1 pack (Blincyto)
12204H OBINUTUZUMAB,
obinutuzumab 1 g/40 mL injection, 40 mL vial (Gazyva)
13787P OBINUTUZUMAB,
obinutuzumab 1 g/40 mL injection, 40 mL vial (Gazyva)

Advance Notices

1 September 2026

Deletion – Brand

4542C Oxaliplatin SUN, RAOXALIPLATIN, oxaliplatin 200 mg/40 mL injection, 40 mL vial

Related Pharmaceutical Benefits for Public Hospital use

Alterations

Alteration – Restriction

15301H ELRANATAMAB, Elranatamab 44 mg/1.1 mL injection, 1.1 mL vial (Elrexfio)

Advance Notices

1 August 2026

Deletion – Brand

1899Y Leucovorin Calcium (Pfizer Australia Pty Ltd), PFFOLINIC ACID, folinic acid 50 mg/5 mL injection, 10 x 5 mL ampoules