Browse by Changes
Summary of Changes – 1 October 2025
Page last updated: 1 October 2025
Previous versions of the Summary of Changes are available in PDF in the Publications Archive.
- Prescriber Bag
- Additions
- Deletions
- Alterations
- Supply Only
- Advance Notices
- Palliative Care
- Highly Specialised Drugs Program (Private Hospital)
- Highly Specialised Drugs Program (Public Hospital)
- Highly Specialised Drugs Program (Community Access)
- Repatriation Pharmaceutical Benefits
- Growth Hormone Program
- IVF Program
- Efficient Funding of Chemotherapy (Private Hospital)
- Efficient Funding of Chemotherapy (Public Hospital)
- Related Pharmaceutical Benefits for Public Hospital use
Prescriber Bag
Alterations
Alteration – Authorised Prescriber
From | To | ||
3489P | METHOXYFLURANE, methoxyflurane 99.9% (999 mg/g) inhalation solution, 3 mL bottle (Penthrox (Combination Pack)) | M | M,N |
10213M | PHYTOMENADIONE, phytomenadione 10 mg/mL injection, 5 x 1 mL ampoules (Konakion MM) | M | M,N |
General Pharmaceutical Benefits
Additions
Addition – Item
15049C | CAPIVASERTIB, capivasertib 160 mg tablet, 64 (Truqap) |
15059N | CAPIVASERTIB, capivasertib 200 mg tablet, 64 (Truqap) |
15056K | DABRAFENIB, dabrafenib 50 mg capsule, 120 (Tafinlar) |
15055J | DABRAFENIB, dabrafenib 75 mg capsule, 120 (Tafinlar) |
15054H | ESTETROL + DROSPIRENONE, estetrol 14.2 mg + drospirenone 3 mg tablet [24] (&) inert substance tablet [4], 3 x 28 (Nextstellis) |
15050D | ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes (Erelzi) |
15047Y | FAMOTIDINE, famotidine 20 mg tablet, 60 (Ausfam 20) |
15061Q | FAMOTIDINE, famotidine 40 mg tablet, 30 (Ausfam 40) |
15052F | LUMASIRAN, Lumasiran 94.5 mg/0.5 mL injection, 0.5 mL vial (Oxlumo) |
15060P | LUMASIRAN, Lumasiran 94.5 mg/0.5 mL injection, 0.5 mL vial (Oxlumo) |
15062R | TIMOLOL, timolol 0.5% eye drops, 2.5 mL (Timoptol XE) |
15048B | TIMOLOL, timolol 0.5% eye drops, 5 mL (Timoptol) |
15051E | TRAMETINIB, trametinib 500 microgram tablet, 30 (Mekinist) |
15057L | TRAMETINIB, trametinib 2 mg tablet, 30 (Mekinist) |
Addition – Brand
2698B | Abiraterone MedTas, TN – ABIRATERONE, abiraterone acetate 250 mg tablet, 120 |
11206T | Abiraterone MedTas, TN – ABIRATERONE, abiraterone acetate 500 mg tablet, 60 |
13575L | Progout Viatris, AL – ALLOPURINOL, allopurinol 300 mg tablet, 60 |
2604C | Progout Viatris, AL – ALLOPURINOL, allopurinol 300 mg tablet, 60 |
8844L | BIVALIRUDIN MEDSURGE, DZ – BIVALIRUDIN, bivalirudin 250 mg injection, 1 vial |
12041R | Bufomix EASYHALER 200/6, OX – BUDESONIDE + FORMOTEROL, budesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 120 actuations |
12093L | Bufomix EASYHALER 200/6, OX – BUDESONIDE + FORMOTEROL, budesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 120 actuations |
14365C | Bufomix EASYHALER 200/6, OX – BUDESONIDE + FORMOTEROL, budesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 120 actuations |
14439Y | Bufomix EASYHALER 200/6, OX – BUDESONIDE + FORMOTEROL, budesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 120 actuations |
8625Y | Bufomix EASYHALER 200/6, OX – BUDESONIDE + FORMOTEROL, budesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 120 actuations |
9155W | Blooms The Chemist Duloxetine, BG – DULOXETINE, duloxetine 30 mg enteric capsule, 28 |
14712H | Blooms The Chemist Duloxetine, BG – DULOXETINE, duloxetine 60 mg enteric capsule, 28 |
9156X | Blooms The Chemist Duloxetine, BG – DULOXETINE, duloxetine 60 mg enteric capsule, 28 |
14416R | LoxaLate, AF – ESCITALOPRAM, escitalopram 20 mg tablet, 28 |
9433L | LoxaLate, AF – ESCITALOPRAM, escitalopram 20 mg tablet, 28 |
11202N | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices |
11215G | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices |
11218K | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices |
11221N | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices |
13687J | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices |
13697X | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices |
13708L | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices |
13774Y | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices |
14852Q | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices |
1964J | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices |
3447K | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices |
3450N | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices |
9455P | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices |
9456Q | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices |
9457R | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices |
9458T | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices |
9459W | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices |
9460X | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices |
9461Y | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices |
9462B | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices |
11211C | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes |
11216H | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes |
11217J | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes |
11225T | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes |
13698Y | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes |
13707K | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes |
13733T | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes |
13751R | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes |
1963H | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes |
3446J | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes |
3449M | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes |
9085E | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes |
9086F | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes |
9087G | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes |
9088H | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes |
9089J | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes |
9090K | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes |
9091L | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes |
9431J | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes |
8671J | Cipla Ipratropium, LR – IPRATROPIUM, ipratropium bromide monohydrate 21 microgram/actuation inhalation, 200 actuations |
14034P | Levetiracetam Viatris, MQ – LEVETIRACETAM, levetiracetam 500 mg tablet, 60 |
8655M | Levetiracetam Viatris, MQ – LEVETIRACETAM, levetiracetam 500 mg tablet, 60 |
13487W | MEZTAS, TN – MESALAZINE, mesalazine 1.2 g modified release tablet, 60 |
9353G | MEZTAS, TN – MESALAZINE, mesalazine 1.2 g modified release tablet, 60 |
13899M | Metformin Lupin XR, GQ – METFORMIN, metformin hydrochloride 500 mg modified release tablet, 120 |
9435N | Metformin Lupin XR, GQ – METFORMIN, metformin hydrochloride 500 mg modified release tablet, 120 |
13847T | Metformin Lupin XR, GQ – METFORMIN, metformin hydrochloride 1 g modified release tablet, 60 |
3439B | Metformin Lupin XR, GQ – METFORMIN, metformin hydrochloride 1 g modified release tablet, 60 |
13568D | NEBIVOLOL-WGR, WG – NEBIVOLOL, nebivolol 1.25 mg tablet, 28 |
9316H | NEBIVOLOL-WGR, WG – NEBIVOLOL, nebivolol 1.25 mg tablet, 28 |
13510C | NEBIVOLOL-WGR, WG – NEBIVOLOL, nebivolol 5 mg tablet, 28 |
9311C | NEBIVOLOL-WGR, WG – NEBIVOLOL, nebivolol 5 mg tablet, 28 |
13441K | NEBIVOLOL-WGR, WG – NEBIVOLOL, nebivolol 10 mg tablet, 28 |
9312D | NEBIVOLOL-WGR, WG – NEBIVOLOL, nebivolol 10 mg tablet, 28 |
9466F | RIVAXIB, MQ – RIVAROXABAN, rivaroxaban 10 mg tablet, 15 |
9469J | RIVAXIB, MQ – RIVAROXABAN, rivaroxaban 10 mg tablet, 15 |
14696L | Vancomycin Juno, XT – VANCOMYCIN, vancomycin 500 mg injection, 1 vial |
3130R | Vancomycin Juno, XT – VANCOMYCIN, vancomycin 500 mg injection, 1 vial |
3131T | Vancomycin Juno, XT – VANCOMYCIN, vancomycin 500 mg injection, 1 vial |
3323X | Vancomycin Juno, XT – VANCOMYCIN, vancomycin 500 mg injection, 1 vial |
14704X | Vancomycin Juno, XT – VANCOMYCIN, vancomycin 1 g injection, 1 vial |
2269K | Vancomycin Juno, XT – VANCOMYCIN, vancomycin 1 g injection, 1 vial |
2270L | Vancomycin Juno, XT – VANCOMYCIN, vancomycin 1 g injection, 1 vial |
5083M | Vancomycin Juno, XT – VANCOMYCIN, vancomycin 1 g injection, 1 vial |
Addition – Equivalence Indicator
8844L | BIVALIRUDIN ARX, XT – BIVALIRUDIN, bivalirudin 250 mg injection, 1 vial |
14852Q | Nepexto, GQ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices |
8671J | Atrovent, BY – IPRATROPIUM, ipratropium bromide monohydrate 21 microgram/actuation inhalation, 200 actuations |
14696L | Vancomycin Viatris, AL – VANCOMYCIN, vancomycin 500 mg injection, 1 vial |
3130R | Vancomycin Viatris, AL – VANCOMYCIN, vancomycin 500 mg injection, 1 vial |
3131T | Vancomycin Viatris, AL – VANCOMYCIN, vancomycin 500 mg injection, 1 vial |
3323X | Vancomycin Viatris, AL – VANCOMYCIN, vancomycin 500 mg injection, 1 vial |
14704X | Vancomycin Viatris, AL – VANCOMYCIN, vancomycin 1 g injection, 1 vial |
2269K | Vancomycin Viatris, AL – VANCOMYCIN, vancomycin 1 g injection, 1 vial |
2270L | Vancomycin Viatris, AL – VANCOMYCIN, vancomycin 1 g injection, 1 vial |
5083M | Vancomycin Viatris, AL – VANCOMYCIN, vancomycin 1 g injection, 1 vial |
Addition – Restriction
8779C | ETANERCEPT, etanercept 25 mg injection [4 vials] (&) inert substance diluent [4 x 1 mL syringes], 1 pack (Enbrel) |
9456Q | ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices (Brenzys, Enbrel, Erelzi, Nepexto) |
9086F | ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes (Brenzys, Enbrel, Erelzi) |
Deletions
Deletion – Item
13740E | MORPHINE, morphine sulfate 10 mg/5 mL oral solution, 300 mL (Morphine Oral Solution (Martindale Pharma) 10 mg/5 mL) |
13750Q | MORPHINE, morphine sulfate 10 mg/5 mL oral solution, 100 mL (Morphine Oral Solution (Martindale Pharma) 10 mg/5 mL) |
13756B | MORPHINE, morphine sulfate 10 mg/5 mL oral solution, 300 mL (Morphine Oral Solution (Martindale Pharma) 10 mg/5 mL) |
13761G | MORPHINE, morphine sulfate 10 mg/5 mL oral solution, 100 mL (Morphine Oral Solution (Martindale Pharma) 10 mg/5 mL) |
14611B | TIMOLOL, timolol 0.5% eye drops, 2.5 mL (Timoptol-LA 0.5 % (Santen Oy, Finland)) |
14634F | TIMOLOL, timolol 0.5% eye drops, 2.5 mL (Timoptol-LA 0.5 % (Santen Oy, Finland)) |
14649B | TIMOLOL, timolol 0.5% eye drops, 5 mL (Timolol (Brown & Burk, UK)) |
14657K | TIMOLOL, timolol 0.5% eye drops, 5 mL (Timolol (Brown & Burk, UK)) |
Deletion – Brand
13358C | NOUMED ALLOPURINOL, VO – ALLOPURINOL, allopurinol 100 mg tablet, 200 |
2600W | NOUMED ALLOPURINOL, VO – ALLOPURINOL, allopurinol 100 mg tablet, 200 |
13532F | NOUMED AMLODIPINE, VO – AMLODIPINE, amlodipine 5 mg tablet, 30 |
2751T | NOUMED AMLODIPINE, VO – AMLODIPINE, amlodipine 5 mg tablet, 30 |
13562T | NOUMED AMLODIPINE, VO – AMLODIPINE, amlodipine 10 mg tablet, 30 |
2752W | NOUMED AMLODIPINE, VO – AMLODIPINE, amlodipine 10 mg tablet, 30 |
1886G | NOUMED AMOXICILLIN, VO – AMOXICILLIN, amoxicillin 125 mg/5 mL powder for oral liquid, 100 mL |
3302T | NOUMED AMOXICILLIN, VO – AMOXICILLIN, amoxicillin 125 mg/5 mL powder for oral liquid, 100 mL |
13419G | NOUMED BISOPROLOL, VO – BISOPROLOL, bisoprolol fumarate 2.5 mg tablet, 28 |
8604W | NOUMED BISOPROLOL, VO – BISOPROLOL, bisoprolol fumarate 2.5 mg tablet, 28 |
13443M | NOUMED BISOPROLOL, VO – BISOPROLOL, bisoprolol fumarate 5 mg tablet, 28 |
8605X | NOUMED BISOPROLOL, VO – BISOPROLOL, bisoprolol fumarate 5 mg tablet, 28 |
13444N | NOUMED BISOPROLOL, VO – BISOPROLOL, bisoprolol fumarate 10 mg tablet, 28 |
8606Y | NOUMED BISOPROLOL, VO – BISOPROLOL, bisoprolol fumarate 10 mg tablet, 28 |
13391T | NOUMED CANDESARTAN/HCT, VO – CANDESARTAN + HYDROCHLOROTHIAZIDE, candesartan cilexetil 16 mg + hydrochlorothiazide 12.5 mg tablet, 30 |
8504N | NOUMED CANDESARTAN/HCT, VO – CANDESARTAN + HYDROCHLOROTHIAZIDE, candesartan cilexetil 16 mg + hydrochlorothiazide 12.5 mg tablet, 30 |
13452B | NOUMED CANDESARTAN/HCT, VO – CANDESARTAN + HYDROCHLOROTHIAZIDE, candesartan cilexetil 32 mg + hydrochlorothiazide 12.5 mg tablet, 30 |
9314F | NOUMED CANDESARTAN/HCT, VO – CANDESARTAN + HYDROCHLOROTHIAZIDE, candesartan cilexetil 32 mg + hydrochlorothiazide 12.5 mg tablet, 30 |
13392W | NOUMED CANDESARTAN/HCT, VO – CANDESARTAN + HYDROCHLOROTHIAZIDE, candesartan cilexetil 32 mg + hydrochlorothiazide 25 mg tablet, 30 |
9315G | NOUMED CANDESARTAN/HCT, VO – CANDESARTAN + HYDROCHLOROTHIAZIDE, candesartan cilexetil 32 mg + hydrochlorothiazide 25 mg tablet, 30 |
10778G | NOUMED CEFALEXIN, VO – CEFALEXIN, cefalexin 500 mg capsule, 20 |
11934D | NOUMED CEFALEXIN, VO – CEFALEXIN, cefalexin 500 mg capsule, 20 |
3119E | NOUMED CEFALEXIN, VO – CEFALEXIN, cefalexin 500 mg capsule, 20 |
3318P | NOUMED CEFALEXIN, VO – CEFALEXIN, cefalexin 500 mg capsule, 20 |
1209P | NOUMED CIPROFLOXACIN, VO – CIPROFLOXACIN, ciprofloxacin 500 mg tablet, 14 |
1210Q | NOUMED CIPROFLOXACIN, VO – CIPROFLOXACIN, ciprofloxacin 750 mg tablet, 14 |
14490P | NOUMED CITALOPRAM, VO – CITALOPRAM, citalopram 20 mg tablet, 28 |
8220P | NOUMED CITALOPRAM, VO – CITALOPRAM, citalopram 20 mg tablet, 28 |
14518D | NOUMED CITALOPRAM, VO – CITALOPRAM, citalopram 40 mg tablet, 28 |
8703C | NOUMED CITALOPRAM, VO – CITALOPRAM, citalopram 40 mg tablet, 28 |
8762E | Estradiol Transdermal System (Sandoz, USA), HX – ESTRADIOL, estradiol 37.5 microgram/24 hours patch, 8 |
8765H | Estradiol Transdermal System (Sandoz, USA), HX – ESTRADIOL, estradiol 100 microgram/24 hours patch, 8 |
1475P | Fluconazole APOTEX, GX – FLUCONAZOLE, fluconazole 200 mg capsule, 28 |
13435D | Noumed Irbesartan, VO – IRBESARTAN, irbesartan 75 mg tablet, 30 |
8246B | Noumed Irbesartan, VO – IRBESARTAN, irbesartan 75 mg tablet, 30 |
13380F | Noumed Irbesartan, VO – IRBESARTAN, irbesartan 150 mg tablet, 30 |
8247C | Noumed Irbesartan, VO – IRBESARTAN, irbesartan 150 mg tablet, 30 |
13564X | Noumed Irbesartan, VO – IRBESARTAN, irbesartan 300 mg tablet, 30 |
8248D | Noumed Irbesartan, VO – IRBESARTAN, irbesartan 300 mg tablet, 30 |
14526M | Montelukast APOTEX, GX – MONTELUKAST, montelukast 4 mg chewable tablet, 28 |
8627C | Montelukast APOTEX, GX – MONTELUKAST, montelukast 4 mg chewable tablet, 28 |
14553Y | Montelukast APOTEX, GX – MONTELUKAST, montelukast 5 mg chewable tablet, 28 |
8628D | Montelukast APOTEX, GX – MONTELUKAST, montelukast 5 mg chewable tablet, 28 |
8185T | Olanzapine APOTEX, GX – OLANZAPINE, olanzapine 5 mg tablet, 28 |
13964Y | Olmesartan/Amlodipine 40/5 APOTEX, TX – OLMESARTAN + AMLODIPINE, olmesartan medoxomil 40 mg + amlodipine 5 mg tablet, 30 |
5293N | Olmesartan/Amlodipine 40/5 APOTEX, TX – OLMESARTAN + AMLODIPINE, olmesartan medoxomil 40 mg + amlodipine 5 mg tablet, 30 |
5470X | Ondansetron Mylan ODT, AF – ONDANSETRON, ondansetron 4 mg orally disintegrating tablet, 4 |
5472B | Ondansetron Mylan ODT, AF – ONDANSETRON, ondansetron 4 mg orally disintegrating tablet, 10 |
14501F | NOUMED PANTOPRAZOLE, VO – PANTOPRAZOLE, pantoprazole 20 mg enteric tablet, 30 |
8399C | NOUMED PANTOPRAZOLE, VO – PANTOPRAZOLE, pantoprazole 20 mg enteric tablet, 30 |
11877D | NOUMED RISPERIDONE, VO – RISPERIDONE, risperidone 1 mg tablet, 60 |
11879F | NOUMED RISPERIDONE, VO – RISPERIDONE, risperidone 1 mg tablet, 60 |
3169T | NOUMED RISPERIDONE, VO – RISPERIDONE, risperidone 1 mg tablet, 60 |
8789N | NOUMED RISPERIDONE, VO – RISPERIDONE, risperidone 1 mg tablet, 60 |
3170W | NOUMED RISPERIDONE, VO – RISPERIDONE, risperidone 2 mg tablet, 60 |
9079W | NOUMED RISPERIDONE, VO – RISPERIDONE, risperidone 2 mg tablet, 60 |
3171X | NOUMED RISPERIDONE, VO – RISPERIDONE, risperidone 3 mg tablet, 60 |
3172Y | NOUMED RISPERIDONE, VO – RISPERIDONE, risperidone 4 mg tablet, 60 |
Deletion – Equivalence Indicator
8762E | Estradot 37.5, SZ – ESTRADIOL, estradiol 37.5 microgram/24 hours patch, 8 |
8765H | Estradot 100, SZ – ESTRADIOL, estradiol 100 microgram/24 hours patch, 8 |
2122Q | Ordine 2, XT – MORPHINE, morphine hydrochloride trihydrate 2 mg/mL oral liquid, 200 mL |
5237P | Ordine 2, XT – MORPHINE, morphine hydrochloride trihydrate 2 mg/mL oral liquid, 200 mL |
1926J | Timoptol XE, MF – TIMOLOL, timolol 0.5% eye drops, 2.5 mL |
5550D | Timoptol XE, MF – TIMOLOL, timolol 0.5% eye drops, 2.5 mL |
1279H | Timoptol, MF – TIMOLOL, timolol 0.5% eye drops, 5 mL |
5548B | Timoptol, MF – TIMOLOL, timolol 0.5% eye drops, 5 mL |
Deletion – Note
2122Q | MORPHINE, morphine hydrochloride trihydrate 2 mg/mL oral liquid, 200 mL (Ordine 2) |
5237P | MORPHINE, morphine hydrochloride trihydrate 2 mg/mL oral liquid, 200 mL (Ordine 2) |
1926J | TIMOLOL, timolol 0.5% eye drops, 2.5 mL (Timoptol XE) |
5550D | TIMOLOL, timolol 0.5% eye drops, 2.5 mL (Timoptol XE) |
1279H | TIMOLOL, timolol 0.5% eye drops, 5 mL (Timoptol) |
5548B | TIMOLOL, timolol 0.5% eye drops, 5 mL (Timoptol) |
10066T | TOBRAMYCIN, tobramycin 28 mg powder for inhalation, 224 capsules (TOBI podhaler) |
10074F | TOBRAMYCIN, tobramycin 28 mg powder for inhalation, 224 capsules (TOBI podhaler) |
13965B | TOBRAMYCIN, tobramycin 28 mg powder for inhalation, 224 capsules (TOBI podhaler) |
Deletion – Restriction
13687J | ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices (Brenzys, Erelzi, Nepexto) |
13698Y | ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes (Brenzys, Erelzi) |
1926J | TIMOLOL, timolol 0.5% eye drops, 2.5 mL (Timoptol XE) |
1279H | TIMOLOL, timolol 0.5% eye drops, 5 mL (Timoptol) |
Alterations
Alteration – Item Description
From | |
3093T | HYDROXYCARBAMIDE (HYDROXYUREA), hydroxycarbamide (hydroxyurea) 500 mg capsule, 100 (HYDROXYCARBAMIDE MEDSURGE, Hydrea) |
To | |
3093T | HYDROXYCARBAMIDE, hydroxycarbamide (hydroxyurea) 500 mg capsule, 100 (HYDROXYCARBAMIDE MEDSURGE, Hydrea) |
From | |
1109J | TRIHEXYPHENIDYL (BENZHEXOL), trihexyphenidyl (benzhexol) hydrochloride 2 mg tablet, 200 (Artane) |
To | |
1109J | TRIHEXYPHENIDYL, trihexyphenidyl (benzhexol) hydrochloride 2 mg tablet, 200 (Artane) |
From | |
1110K | TRIHEXYPHENIDYL (BENZHEXOL), trihexyphenidyl (benzhexol) hydrochloride 5 mg tablet, 200 (Artane) |
To | |
1110K | TRIHEXYPHENIDYL, trihexyphenidyl (benzhexol) hydrochloride 5 mg tablet, 200 (Artane) |
Alteration – Authorised Prescriber
From | To | ||
2019G | ACITRETIN, acitretin 10 mg capsule, 100 (Neotigason, ZETIN) | M | M,N |
2020H | ACITRETIN, acitretin 25 mg capsule, 100 (Neotigason, ZETIN) | M | M,N |
12218C | APREMILAST, apremilast 10 mg tablet [4] (&) apremilast 20 mg tablet [4] (&) apremilast 30 mg tablet [19], 27 (Otezla) | M | M,N |
12223H | APREMILAST, apremilast 30 mg tablet, 56 (Otezla) | M | M,N |
9092M | ATOMOXETINE, atomoxetine 10 mg capsule, 28 (APO-Atomoxetine, Atomoxetine Sandoz) | M | M,N |
9093N | ATOMOXETINE, atomoxetine 18 mg capsule, 28 (APO-Atomoxetine, Atomoxetine Sandoz) | M | M,N |
9094P | ATOMOXETINE, atomoxetine 25 mg capsule, 28 (APO-Atomoxetine, Atomoxetine Sandoz) | M | M,N |
9095Q | ATOMOXETINE, atomoxetine 40 mg capsule, 28 (APO-Atomoxetine, Atomoxetine Sandoz) | M | M,N |
9096R | ATOMOXETINE, atomoxetine 60 mg capsule, 28 (APO-Atomoxetine, Atomoxetine Sandoz) | M | M,N |
9289X | ATOMOXETINE, atomoxetine 80 mg capsule, 28 (APO-Atomoxetine, Atomoxetine Sandoz) | M | M,N |
9290Y | ATOMOXETINE, atomoxetine 100 mg capsule, 28 (APO-Atomoxetine, Atomoxetine Sandoz) | M | M,N |
10119N | BETAINE, betaine 1 g/g powder for oral liquid, 180 g (Cystadane) | M | M,N |
10046R | BIMATOPROST, bimatoprost 0.03% eye drops, 30 x 0.4 mL ampoules (Lumigan PF) | M | M,N |
14422C | BIMATOPROST, bimatoprost 0.03% eye drops, 30 x 0.4 mL ampoules (Lumigan PF) | M,O | M,N,O |
14315K | BIMATOPROST, bimatoprost 0.03% eye drops, 3 mL (BIMATOPROST-WGR, Bimatoprost Sandoz, Bimprozt, Bimtop, Lumigan) | M,O | M,N,O |
8620Q | BIMATOPROST, bimatoprost 0.03% eye drops, 3 mL (BIMATOPROST-WGR, Bimatoprost Sandoz, Bimprozt, Bimtop, Lumigan) | M | M,N |
10107Y | BIMATOPROST + TIMOLOL, bimatoprost 0.03% + timolol 0.5% eye drops, 30 x 0.4 mL ampoules (GANfort PF 0.3/5) | M | M,N |
14317M | BIMATOPROST + TIMOLOL, bimatoprost 0.03% + timolol 0.5% eye drops, 3 mL (Ganfort 0.3/5) | M,O | M,N,O |
14351H | BIMATOPROST + TIMOLOL, bimatoprost 0.03% + timolol 0.5% eye drops, 30 x 0.4 mL ampoules (GANfort PF 0.3/5) | M,O | M,N,O |
9464D | BIMATOPROST + TIMOLOL, bimatoprost 0.03% + timolol 0.5% eye drops, 3 mL (Ganfort 0.3/5) | M | M,N |
14496Y | BRIMONIDINE, brimonidine tartrate 0.15% eye drops, 5 mL (Alphagan P 1.5) | M,O | M,N,O |
5298W | BRIMONIDINE, brimonidine tartrate 0.15% eye drops, 5 mL (Alphagan P 1.5) | M | M,N |
14497B | BRIMONIDINE, brimonidine tartrate 0.2% eye drops, 5 mL (Alphagan, Enidin) | M,O | M,N,O |
8351M | BRIMONIDINE, brimonidine tartrate 0.2% eye drops, 5 mL (Alphagan, Enidin) | M | M,N |
14491Q | BRIMONIDINE + TIMOLOL, brimonidine tartrate 0.2% + timolol 0.5% eye drops, 5 mL (Combigan) | M,O | M,N,O |
8826M | BRIMONIDINE + TIMOLOL, brimonidine tartrate 0.2% + timolol 0.5% eye drops, 5 mL (Combigan) | M | M,N |
14321R | BRINZOLAMIDE, brinzolamide 1% eye drops, 5 mL (Azopt, BrinzoQuin) | M,O | M,N,O |
8483L | BRINZOLAMIDE, brinzolamide 1% eye drops, 5 mL (Azopt, BrinzoQuin) | M | M,N |
10536M | BRINZOLAMIDE + BRIMONIDINE, brinzolamide 1% + brimonidine tartrate 0.2% eye drops, 5 mL (Simbrinza 1%/0.2%) | M | M,N |
14423D | BRINZOLAMIDE + BRIMONIDINE, brinzolamide 1% + brimonidine tartrate 0.2% eye drops, 5 mL (Simbrinza 1%/0.2%) | M,O | M,N,O |
14495X | BRINZOLAMIDE + TIMOLOL, brinzolamide 1% + timolol 0.5% eye drops, 5 mL (Azarga) | M,O | M,N,O |
3438Y | BRINZOLAMIDE + TIMOLOL, brinzolamide 1% + timolol 0.5% eye drops, 5 mL (Azarga) | M | M,N |
12987M | BUDESONIDE, budesonide 500 microgram orally disintegrating tablet, 60 (Jorveza) | M | M,N |
13719C | BUDESONIDE, budesonide 500 microgram orally disintegrating tablet, 60 (Jorveza) | M | M,N |
12982G | BUDESONIDE, budesonide 1 mg orally disintegrating tablet, 60 (Jorveza) | M | M,N |
13711P | BUDESONIDE, budesonide 1 mg orally disintegrating tablet, 60 (Jorveza) | M | M,N |
2655R | CEFALEXIN, cefalexin 250 mg capsule, 20 (APO-Cephalexin, Ibilex 250, Keflex) | M | M,N |
10778G | CEFALEXIN, cefalexin 500 mg capsule, 20 (APO-Cephalexin, Blooms The Chemist Cefalexin, CEPHALEXIN-WGR, Cefalexin Sandoz, Cephalex 500, Cephalexin generichealth, Ibilex 500, Keflex, ) | M | M,N |
13643C | CEFUROXIME, cefuroxime 125 mg/5 mL powder for oral liquid, 70 mL (Zinnat (UK)) | M | M,N |
11227X | CEFUROXIME, cefuroxime 250 mg tablet, 20 (Pharmacor Cefuroxime, Zinnat) | M | M,N |
13999T | CICLOSPORIN, ciclosporin 10 mg capsule, 60 (Neoral 10) | M | M,N |
8657P | CICLOSPORIN, ciclosporin 10 mg capsule, 60 (Neoral 10) | M | M,N |
13883Q | CICLOSPORIN, ciclosporin 25 mg capsule, 30 (APO-Ciclosporin, CICLOSPORIN-WGR, Neoral 25) | M | M,N |
8658Q | CICLOSPORIN, ciclosporin 25 mg capsule, 30 (APO-Ciclosporin, CICLOSPORIN-WGR, Neoral 25) | M | M,N |
13910D | CICLOSPORIN, ciclosporin 50 mg capsule, 30 (APO-Ciclosporin, CICLOSPORIN-WGR, Neoral 50) | M | M,N |
8659R | CICLOSPORIN, ciclosporin 50 mg capsule, 30 (APO-Ciclosporin, CICLOSPORIN-WGR, Neoral 50) | M | M,N |
13911E | CICLOSPORIN, ciclosporin 100 mg capsule, 30 (APO-Ciclosporin, CICLOSPORIN-WGR, Neoral 100) | M | M,N |
8660T | CICLOSPORIN, ciclosporin 100 mg capsule, 30 (APO-Ciclosporin, CICLOSPORIN-WGR, Neoral 100) | M | M,N |
14001X | CICLOSPORIN, ciclosporin 100 mg/mL oral liquid, 50 mL (Neoral) | M | M,N |
8661W | CICLOSPORIN, ciclosporin 100 mg/mL oral liquid, 50 mL (Neoral) | M | M,N |
1217C | CIPROFLOXACIN, ciprofloxacin 0.3% eye drops, 5 mL (CiloQuin, Ciloxan) | M | M,N |
14832P | CLOBETASOL, clobetasol propionate 0.05% cream, 30 g (Xobet) | M | M,N |
14808J | CLOBETASOL, clobetasol propionate 0.05% ointment, 30 g (Xobet) | M | M,N |
10080M | CLOBETASOL, clobetasol propionate 0.05% shampoo, 125 mL (Clobex) | M | M,N |
1269T | CYPROTERONE, cyproterone acetate 50 mg tablet, 20 (ANTERONE 50, Cyproterone Sandoz) | M | M,N |
1270W | CYPROTERONE, cyproterone acetate 50 mg tablet, 50 (ANTERONE 50, Androcur, Cyproterone Sandoz) | M | M,N |
13925X | CYPROTERONE, cyproterone acetate 50 mg tablet, 20 (ANTERONE 50, Cyproterone Sandoz) | M | M,N |
14023C | CYPROTERONE, cyproterone acetate 50 mg tablet, 50 (ANTERONE 50, Androcur, Cyproterone Sandoz) | M | M,N |
14022B | CYPROTERONE, cyproterone acetate 100 mg tablet, 50 (ANTERONE 100, Androcur-100, Cyproterone Sandoz) | M | M,N |
8019C | CYPROTERONE, cyproterone acetate 100 mg tablet, 50 (ANTERONE 100, Androcur-100, Cyproterone Sandoz) | M | M,N |
13649J | DEUCRAVACITINIB, deucravacitinib 6 mg tablet, 28 (Sotyktu) | M | M,N |
14524K | DORZOLAMIDE, dorzolamide 2% eye drops, 5 mL (Trusamide, Trusopt) | M,O | M,N,O |
8488R | DORZOLAMIDE, dorzolamide 2% eye drops, 5 mL (Trusamide, Trusopt) | M | M,N |
14386E | DORZOLAMIDE + TIMOLOL, dorzolamide 2% + timolol 0.5% eye drops, 5 mL (Cosdor, Cosopt, Vizo-PF Dorzolatim) | M,O | M,N,O |
8567X | DORZOLAMIDE + TIMOLOL, dorzolamide 2% + timolol 0.5% eye drops, 5 mL (Cosdor, Cosopt, Vizo-PF Dorzolatim) | M | M,N |
10777F | DOXYCYCLINE, doxycycline 100 mg modified release capsule, 7 (Doryx, Mayne Pharma Doxycycline) | M | M,N |
14443E | DOXYCYCLINE, doxycycline 100 mg modified release capsule, 7 (Doryx, Mayne Pharma Doxycycline) | M | M,N |
10779H | DOXYCYCLINE, doxycycline 100 mg tablet, 7 (APX-Doxycycline, DOXYCYCLINE-WGR, Doxsig, Doxylin 100) | M | M,N |
10781K | DOXYCYCLINE, doxycycline 100 mg tablet, 7 (Doxycycline Sandoz) | M | M,N |
14480D | DOXYCYCLINE, doxycycline 100 mg tablet, 7 (APX-Doxycycline, DOXYCYCLINE-WGR, Doxsig, Doxylin 100) | M | M,N |
14511R | DOXYCYCLINE, doxycycline 100 mg tablet, 7 (Doxycycline Sandoz) | M | M,N |
10780J | ERYTHROMYCIN, erythromycin 250 mg enteric capsule, 25 (Mayne Pharma Erythromycin) | M | M,N |
14409J | ERYTHROMYCIN, erythromycin 250 mg enteric capsule, 25 (Mayne Pharma Erythromycin) | M | M,N |
10958R | EVOLOCUMAB, evolocumab 140 mg/mL injection, 1 mL pen device (Repatha) | M | M,N |
11977J | EVOLOCUMAB, evolocumab 140 mg/mL injection, 1 mL pen device (Repatha) | M | M,N |
10788T | FLUCLOXACILLIN, flucloxacillin 500 mg capsule, 24 (Flopen Viatris, Flopen, Staphylex 500) | M | M,N |
11452R | GUANFACINE, guanfacine 1 mg modified release tablet, 28 (Intuniv) | M | M,N |
11451Q | GUANFACINE, guanfacine 2 mg modified release tablet, 28 (Intuniv) | M | M,N |
11440D | GUANFACINE, guanfacine 3 mg modified release tablet, 28 (Intuniv) | M | M,N |
11441E | GUANFACINE, guanfacine 4 mg modified release tablet, 28 (Intuniv) | M | M,N |
2637T | IMIQUIMOD, imiquimod 5% cream, 2 x 2 g (Aldara Pump) | M | M,N |
2546B | IMIQUIMOD, imiquimod 5% cream, 12 x 250 mg sachets (APO-Imiquimod, Aldara) | M | M,N |
11716P | ISOTRETINOIN, isotretinoin 5 mg capsule, 60 (Oratane) | M | M,N |
2591J | ISOTRETINOIN, isotretinoin 10 mg capsule, 60 (APO-Isotretinoin, Dermatane, ISOTRETINOIN-WGR, Isotretinoin GX, Isotretinoin Lupin, Oratane) | M | M,N |
11621P | ISOTRETINOIN, isotretinoin 20 mg capsule, 30 (Isotretinoin Dr.Reddy's, Roaccutane) | M | M,N |
2592K | ISOTRETINOIN, isotretinoin 20 mg capsule, 60 (APO-Isotretinoin, Dermatane, ISOTRETINOIN-WGR, Isotretinoin Dr.Reddy's, Isotretinoin GX, Isotretinoin Lupin, Oratane, Pharmacor Isotretinoin) | M | M,N |
11921K | ISOTRETINOIN, isotretinoin 30 mg capsule, 60 (Oratane) | M | M,N |
2549E | ISOTRETINOIN, isotretinoin 40 mg capsule, 30 (Dermatane, Oratane) | M | M,N |
14453Q | LATANOPROST, latanoprost 0.005% eye drops, 2.5 mL (APO-Latanoprost, LATANOPROST-WGR, Latanoprost Sandoz, Xalaprost, Xalatan) | M,O | M,N,O |
8243W | LATANOPROST, latanoprost 0.005% eye drops, 2.5 mL (APO-Latanoprost, LATANOPROST-WGR, Latanoprost Sandoz, Xalaprost, Xalatan) | M | M,N |
14350G | LATANOPROST + TIMOLOL, latanoprost 0.005% + timolol 0.5% eye drops, 2.5 mL (APO-Latanoprost/Timolol 0.05/5, Xalacom, Xalamol 50/5) | M,O | M,N,O |
8895E | LATANOPROST + TIMOLOL, latanoprost 0.005% + timolol 0.5% eye drops, 2.5 mL (APO-Latanoprost/Timolol 0.05/5, Xalacom, Xalamol 50/5) | M | M,N |
13940Q | LEFLUNOMIDE, leflunomide 10 mg tablet, 30 (APO-LEFLUNOMIDE, Arava, Ataris 10, LEFLUNOMIDE-WGR, Leflunomide Sandoz, Leflunomide generichealth, Lunava 10) | M | M,N |
14068K | LEFLUNOMIDE, leflunomide 10 mg tablet, 30 (APO-LEFLUNOMIDE, Arava, Ataris 10, LEFLUNOMIDE-WGR, Leflunomide Sandoz, Leflunomide generichealth) | M | M,N |
5449T | LEFLUNOMIDE, leflunomide 10 mg tablet, 30 (APO-LEFLUNOMIDE, Arava, Ataris 10, LEFLUNOMIDE-WGR, Leflunomide Sandoz, Leflunomide generichealth) | M | M,N |
8374R | LEFLUNOMIDE, leflunomide 10 mg tablet, 30 (APO-LEFLUNOMIDE, Arava, Ataris 10, LEFLUNOMIDE-WGR, Leflunomide Sandoz, Leflunomide generichealth, Lunava 10) | M | M,N |
13998R | LEFLUNOMIDE, leflunomide 20 mg tablet, 30 (APO-LEFLUNOMIDE, Arava, Ataris 20, LEFLUNOMIDE-WGR, Leflunomide Sandoz, Leflunomide generichealth) | M | M,N |
14069L | LEFLUNOMIDE, leflunomide 20 mg tablet, 30 (APO-LEFLUNOMIDE, Arava, Ataris 20, LEFLUNOMIDE-WGR, Leflunomide Sandoz, Leflunomide generichealth, Lunava 20) | M | M,N |
5450W | LEFLUNOMIDE, leflunomide 20 mg tablet, 30 (APO-LEFLUNOMIDE, Arava, Ataris 20, LEFLUNOMIDE-WGR, Leflunomide Sandoz, Leflunomide generichealth) | M | M,N |
8375T | LEFLUNOMIDE, leflunomide 20 mg tablet, 30 (APO-LEFLUNOMIDE, Arava, Ataris 20, LEFLUNOMIDE-WGR, Leflunomide Sandoz, Leflunomide generichealth, Lunava 20) | M | M,N |
13928C | MEDROXYPROGESTERONE, medroxyprogesterone acetate 10 mg tablet, 100 (Provera, Ralovera) | M | M,N |
2722G | MEDROXYPROGESTERONE, medroxyprogesterone acetate 10 mg tablet, 100 (Provera, Ralovera) | M | M,N |
10214N | MERCAPTOPURINE, mercaptopurine monohydrate 20 mg/mL oral liquid, 100 mL (Allmercap) | M | M,N |
1598D | MERCAPTOPURINE, mercaptopurine monohydrate 50 mg tablet, 25 (MERCAPTOPURINE-LINK, Purinethol) | M | M,N |
14091P | METHOTREXATE, methotrexate 7.5 mg/0.15 mL injection, 0.15 mL syringe (Trexject) | M | M,N |
14089M | METHOTREXATE, methotrexate 10 mg/0.2 mL injection, 0.2 mL syringe (Trexject) | M | M,N |
14102F | METHOTREXATE, methotrexate 15 mg/0.3 mL injection, 0.3 mL syringe (Trexject) | M | M,N |
14097Y | METHOTREXATE, methotrexate 20 mg/0.4 mL injection, 0.4 mL syringe (Trexject) | M | M,N |
14103G | METHOTREXATE, methotrexate 25 mg/0.5 mL injection, 0.5 mL syringe (Trexject) | M | M,N |
13884R | MYCOPHENOLATE, mycophenolate mofetil 250 mg capsule, 100 (APO-Mycophenolate, Mycophenolate Sandoz, Pharmacor Mycophenolate 250) | M | M,N |
8649F | MYCOPHENOLATE, mycophenolate mofetil 250 mg capsule, 100 (APO-Mycophenolate, Mycophenolate Sandoz, Pharmacor Mycophenolate 250) | M | M,N |
14071N | MYCOPHENOLATE, mycophenolate mofetil 1 g/5 mL powder for oral liquid, 165 mL (CellCept, Pharmacor Mycophenolate) | M | M,N |
8651H | MYCOPHENOLATE, mycophenolate mofetil 1 g/5 mL powder for oral liquid, 165 mL (CellCept, Pharmacor Mycophenolate) | M | M,N |
13856G | MYCOPHENOLATE, mycophenolate 180 mg enteric tablet, 120 (Mycophenolic Acid ARX, Myfortic) | M | M,N |
2150E | MYCOPHENOLATE, mycophenolate 180 mg enteric tablet, 120 (Mycophenolic Acid ARX, Myfortic) | M | M,N |
13938N | MYCOPHENOLATE, mycophenolate 360 mg enteric tablet, 120 (MYCOTEX, Mycophenolic Acid ARX, Myfortic) | M | M,N |
2193K | MYCOPHENOLATE, mycophenolate 360 mg enteric tablet, 120 (MYCOTEX, Mycophenolic Acid ARX, Myfortic) | M | M,N |
14000W | MYCOPHENOLATE, mycophenolate mofetil 500 mg tablet, 50 (ARX-MYCOPHENOLATE, Ceptolate, Mycophenolate GH, Mycophenolate Sandoz, Pharmacor Mycophenolate 500) | M | M,N |
8650G | MYCOPHENOLATE, mycophenolate mofetil 500 mg tablet, 50 (ARX-MYCOPHENOLATE, Ceptolate, Mycophenolate GH, Mycophenolate Sandoz, Pharmacor Mycophenolate 500) | M | M,N |
11100F | NINTEDANIB, nintedanib 100 mg capsule, 60 (Ofev) | M | M,N |
12967L | NINTEDANIB, nintedanib 100 mg capsule, 60 (Ofev) | M | M,N |
11106M | NINTEDANIB, nintedanib 150 mg capsule, 60 (Ofev) | M | M,N |
12953R | NINTEDANIB, nintedanib 150 mg capsule, 60 (Ofev) | M | M,N |
8383F | OFLOXACIN, ofloxacin 0.3% eye drops, 5 mL (Ocuflox) | M | M,N |
14355M | PILOCARPINE, pilocarpine hydrochloride 1% eye drops, 15 mL (Isopto Carpine) | M,O | M,N,O |
2595N | PILOCARPINE, pilocarpine hydrochloride 1% eye drops, 15 mL (Isopto Carpine) | M | M,N |
14523J | PILOCARPINE, pilocarpine hydrochloride 2% eye drops, 15 mL (Isopto Carpine) | M,O | M,N,O |
2596P | PILOCARPINE, pilocarpine hydrochloride 2% eye drops, 15 mL (Isopto Carpine) | M | M,N |
14550T | PILOCARPINE, pilocarpine hydrochloride 4% eye drops, 15 mL (Isopto Carpine) | M,O | M,N,O |
2598R | PILOCARPINE, pilocarpine hydrochloride 4% eye drops, 15 mL (Isopto Carpine) | M | M,N |
8802G | PIMECROLIMUS, pimecrolimus 1% cream, 15 g (Elidel) | M | M,N |
11406H | PIRFENIDONE, pirfenidone 267 mg tablet, 90 (ARX-Pirfenidone, Pirfenidet, Pirfenidone Ameda, Pirfenidone Dr.Reddy's, Pirfenidone Sandoz) | M | M,N |
11410M | PIRFENIDONE, pirfenidone 801 mg tablet, 90 (ARX-Pirfenidone, Pirfenidet, Pirfenidone Ameda, Pirfenidone Dr.Reddy's, Pirfenidone Sandoz) | M | M,N |
10001J | RIFAXIMIN, rifaximin 550 mg tablet, 56 (Xifaxan) | M | M,N |
14327C | ROTIGOTINE, rotigotine 2 mg/24 hours patch, 28 (Neupro) | M | M,N |
2385M | ROTIGOTINE, rotigotine 2 mg/24 hours patch, 28 (Neupro) | M | M,N |
14326B | ROTIGOTINE, rotigotine 4 mg/24 hours patch, 28 (Neupro) | M | M,N |
2384L | ROTIGOTINE, rotigotine 4 mg/24 hours patch, 28 (Neupro) | M | M,N |
14431M | ROTIGOTINE, rotigotine 6 mg/24 hours patch, 28 (Neupro) | M | M,N |
2410W | ROTIGOTINE, rotigotine 6 mg/24 hours patch, 28 (Neupro) | M | M,N |
11140H | ROTIGOTINE, rotigotine 8 mg/24 hours patch, 28 (Neupro) | M | M,N |
14359R | ROTIGOTINE, rotigotine 8 mg/24 hours patch, 28 (Neupro) | M | M,N |
10378F | TESTOSTERONE, testosterone 5% (50 mg/mL) cream, 50 mL (AndroForte 5) | M | M,N |
14563L | TESTOSTERONE, testosterone 5% (50 mg/mL) cream, 50 mL (AndroForte 5) | M | M,N |
10380H | TESTOSTERONE, testosterone 1% (12.5 mg/actuation) gel, 2 x 60 actuations (Testogel) | M | M,N |
13924W | TESTOSTERONE, testosterone 1% (12.5 mg/actuation) gel, 2 x 60 actuations (Testogel) | M | M,N |
11740X | TESTOSTERONE, testosterone 2% (23 mg/actuation) gel, 56 actuations (Testavan) | M | M,N |
14025E | TESTOSTERONE, testosterone 2% (23 mg/actuation) gel, 56 actuations (Testavan) | M | M,N |
13983Y | TESTOSTERONE, testosterone 1% (50 mg/5 g) gel, 30 x 5 g sachets (Testogel) | M | M,N |
8830R | TESTOSTERONE, testosterone 1% (50 mg/5 g) gel, 30 x 5 g sachets (Testogel) | M | M,N |
10205D | TESTOSTERONE UNDECANOATE, testosterone undecanoate 1 g/4 mL modified release injection, 4 mL vial (Gonadron, REJUNON 1000, Reandron 1000, Testosterone ADVZ 1000) | M | M,N |
1926J | TIMOLOL, timolol 0.5% eye drops, 2.5 mL (Timoptol XE) | M | M,N |
1279H | TIMOLOL, timolol 0.5% eye drops, 5 mL (Timoptol) | M | M,N |
10066T | TOBRAMYCIN, tobramycin 28 mg powder for inhalation, 224 capsules (TOBI podhaler) | M | M,N |
10074F | TOBRAMYCIN, tobramycin 28 mg powder for inhalation, 224 capsules (TOBI podhaler) | M | M,N |
13965B | TOBRAMYCIN, tobramycin 28 mg powder for inhalation, 224 capsules (TOBI podhaler) | M | M,N |
14006E | TOBRAMYCIN, tobramycin 300 mg/5 mL inhalation solution, 56 x 5 mL ampoules (TOBRAMYCIN SUN, Tobi, Tobramycin WKT) | M | M,N |
5442K | TOBRAMYCIN, tobramycin 300 mg/5 mL inhalation solution, 56 x 5 mL ampoules (TOBRAMYCIN SUN, Tobi, Tobramycin WKT) | M | M,N |
14549R | TRAVOPROST, travoprost 0.004% eye drops, 2.5 mL (Travatan) | M,O | M,N,O |
8597L | TRAVOPROST, travoprost 0.004% eye drops, 2.5 mL (Travatan) | M | M,N |
14316L | TRAVOPROST + TIMOLOL, travoprost 0.004% + timolol 0.5% eye drops, 2.5 mL (Duotrav) | M,O | M,N,O |
9057Q | TRAVOPROST + TIMOLOL, travoprost 0.004% + timolol 0.5% eye drops, 2.5 mL (Duotrav) | M | M,N |
10784N | TRIMETHOPRIM + SULFAMETHOXAZOLE, trimethoprim 160 mg + sulfamethoxazole 800 mg tablet, 10 (Bactrim DS, Resprim Forte, Septrin Forte) | M | M,N |
3113W | VANCOMYCIN, vancomycin 125 mg capsule, 20 (Vancocin, Vancomycin BNM 125mg) | M | M,N |
3114X | VANCOMYCIN, vancomycin 250 mg capsule, 20 (Vancocin, Vancomycin BNM 250mg) | M | M,N |
Alteration – Note
12153P | AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe (Eylea) |
10505X | AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL vial (Eylea) |
14635G | AFLIBERCEPT, aflibercept 8 mg/0.07 mL injection, 0.07 mL vial (Eylea) |
11273H | BUDESONIDE + FORMOTEROL, budesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 120 actuations (DuoResp Spiromax) |
12029D | BUDESONIDE + FORMOTEROL, budesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 120 actuations (DuoResp Spiromax) |
12041R | BUDESONIDE + FORMOTEROL, budesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 120 actuations (Bufomix EASYHALER 200/6, Rilast TURBUHALER 200/6, Symbicort Turbuhaler 200/6) |
14434Q | BUDESONIDE + FORMOTEROL, budesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 120 actuations (DuoResp Spiromax) |
14439Y | BUDESONIDE + FORMOTEROL, budesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 120 actuations (Bufomix EASYHALER 200/6, Rilast TURBUHALER 200/6, Symbicort Turbuhaler 200/6) |
8625Y | BUDESONIDE + FORMOTEROL, budesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 120 actuations (Bufomix EASYHALER 200/6, Rilast TURBUHALER 200/6, Symbicort Turbuhaler 200/6) |
10943Y | DEXAMETHASONE, dexamethasone 700 microgram implant, 1 (Ozurdex) |
13687J | ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices (Brenzys, Erelzi, Nepexto) |
13698Y | ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes (Brenzys, Erelzi) |
14789J | FARICIMAB, faricimab 6 mg/0.05 mL intraocular injection, 0.05 mL syringe (Vabysmo) |
13177M | FARICIMAB, faricimab 6 mg/0.05 mL intraocular injection, 0.05 mL vial (Vabysmo) |
2637T | IMIQUIMOD, imiquimod 5% cream, 2 x 2 g (Aldara Pump) |
2546B | IMIQUIMOD, imiquimod 5% cream, 12 x 250 mg sachets (APO-Imiquimod, Aldara) |
10374B | RANIBIZUMAB, ranibizumab 1.65 mg/0.165 mL injection, 0.165 mL syringe (Lucentis) |
13134G | RANIBIZUMAB, ranibizumab 1.65 mg/0.165 mL injection, 0.165 mL syringe (Lucentis) |
10373Y | RANIBIZUMAB, ranibizumab 2.3 mg/0.23 mL injection, 0.23 mL vial (Lucentis) |
13165X | RANIBIZUMAB, ranibizumab 2.3 mg/0.23 mL injection, 0.23 mL vial (Lucentis) |
Alteration – Restriction
2019G | ACITRETIN, acitretin 10 mg capsule, 100 (Neotigason, ZETIN) |
2020H | ACITRETIN, acitretin 25 mg capsule, 100 (Neotigason, ZETIN) |
12153P | AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL syringe (Eylea) |
10505X | AFLIBERCEPT, aflibercept 2 mg/0.05 mL injection, 0.05 mL vial (Eylea) |
14635G | AFLIBERCEPT, aflibercept 8 mg/0.07 mL injection, 0.07 mL vial (Eylea) |
12218C | APREMILAST, apremilast 10 mg tablet [4] (&) apremilast 20 mg tablet [4] (&) apremilast 30 mg tablet [19], 27 (Otezla) |
12223H | APREMILAST, apremilast 30 mg tablet, 56 (Otezla) |
14266W | ATEZOLIZUMAB, atezolizumab 1.875 g/15 mL injection, 15 mL vial (Tecentriq SC) |
10107Y | BIMATOPROST + TIMOLOL, bimatoprost 0.03% + timolol 0.5% eye drops, 30 x 0.4 mL ampoules (GANfort PF 0.3/5) |
10536M | BRINZOLAMIDE + BRIMONIDINE, brinzolamide 1% + brimonidine tartrate 0.2% eye drops, 5 mL (Simbrinza 1%/0.2%) |
12987M | BUDESONIDE, budesonide 500 microgram orally disintegrating tablet, 60 (Jorveza) |
13719C | BUDESONIDE, budesonide 500 microgram orally disintegrating tablet, 60 (Jorveza) |
12982G | BUDESONIDE, budesonide 1 mg orally disintegrating tablet, 60 (Jorveza) |
13711P | BUDESONIDE, budesonide 1 mg orally disintegrating tablet, 60 (Jorveza) |
10778G | CEFALEXIN, cefalexin 500 mg capsule, 20 (APO-Cephalexin, Blooms The Chemist Cefalexin, CEPHALEXIN-WGR, Cefalexin Sandoz, Cephalex 500, Cephalexin generichealth, Ibilex 500, Keflex, ) |
10080M | CLOBETASOL, clobetasol propionate 0.05% shampoo, 125 mL (Clobex) |
13649J | DEUCRAVACITINIB, deucravacitinib 6 mg tablet, 28 (Sotyktu) |
10943Y | DEXAMETHASONE, dexamethasone 700 microgram implant, 1 (Ozurdex) |
9035M | ETANERCEPT, etanercept 25 mg injection [4 vials] (&) inert substance diluent [4 x 1 mL syringes], 1 pack (Enbrel) |
9036N | ETANERCEPT, etanercept 25 mg injection [4 vials] (&) inert substance diluent [4 x 1 mL syringes], 1 pack (Enbrel) |
9429G | ETANERCEPT, etanercept 25 mg injection [4 vials] (&) inert substance diluent [4 x 1 mL syringes], 1 pack (Enbrel) |
9457R | ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices (Brenzys, Enbrel, Erelzi, Nepexto) |
9458T | ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices (Brenzys, Enbrel, Erelzi, Nepexto) |
9462B | ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices (Brenzys, Enbrel, Erelzi, Nepexto) |
9087G | ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes (Brenzys, Enbrel, Erelzi) |
9088H | ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes (Brenzys, Enbrel, Erelzi) |
9431J | ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes (Brenzys, Enbrel, Erelzi) |
10958R | EVOLOCUMAB, evolocumab 140 mg/mL injection, 1 mL pen device (Repatha) |
11977J | EVOLOCUMAB, evolocumab 140 mg/mL injection, 1 mL pen device (Repatha) |
14789J | FARICIMAB, faricimab 6 mg/0.05 mL intraocular injection, 0.05 mL syringe (Vabysmo) |
13177M | FARICIMAB, faricimab 6 mg/0.05 mL intraocular injection, 0.05 mL vial (Vabysmo) |
10788T | FLUCLOXACILLIN, flucloxacillin 500 mg capsule, 24 (Flopen Viatris, Flopen, Staphylex 500) |
11716P | ISOTRETINOIN, isotretinoin 5 mg capsule, 60 (Oratane) |
2591J | ISOTRETINOIN, isotretinoin 10 mg capsule, 60 (APO-Isotretinoin, Dermatane, ISOTRETINOIN-WGR, Isotretinoin GX, Isotretinoin Lupin, Oratane) |
11621P | ISOTRETINOIN, isotretinoin 20 mg capsule, 30 (Isotretinoin Dr.Reddy's, Roaccutane) |
2592K | ISOTRETINOIN, isotretinoin 20 mg capsule, 60 (APO-Isotretinoin, Dermatane, ISOTRETINOIN-WGR, Isotretinoin Dr.Reddy's, Isotretinoin GX, Isotretinoin Lupin, Oratane, Pharmacor Isotretinoin) |
11921K | ISOTRETINOIN, isotretinoin 30 mg capsule, 60 (Oratane) |
2549E | ISOTRETINOIN, isotretinoin 40 mg capsule, 30 (Dermatane, Oratane) |
11100F | NINTEDANIB, nintedanib 100 mg capsule, 60 (Ofev) |
12967L | NINTEDANIB, nintedanib 100 mg capsule, 60 (Ofev) |
11106M | NINTEDANIB, nintedanib 150 mg capsule, 60 (Ofev) |
12953R | NINTEDANIB, nintedanib 150 mg capsule, 60 (Ofev) |
11406H | PIRFENIDONE, pirfenidone 267 mg tablet, 90 (ARX-Pirfenidone, Pirfenidet, Pirfenidone Ameda, Pirfenidone Dr.Reddy's, Pirfenidone Sandoz) |
11410M | PIRFENIDONE, pirfenidone 801 mg tablet, 90 (ARX-Pirfenidone, Pirfenidet, Pirfenidone Ameda, Pirfenidone Dr.Reddy's, Pirfenidone Sandoz) |
10374B | RANIBIZUMAB, ranibizumab 1.65 mg/0.165 mL injection, 0.165 mL syringe (Lucentis) |
13134G | RANIBIZUMAB, ranibizumab 1.65 mg/0.165 mL injection, 0.165 mL syringe (Lucentis) |
10373Y | RANIBIZUMAB, ranibizumab 2.3 mg/0.23 mL injection, 0.23 mL vial (Lucentis) |
13165X | RANIBIZUMAB, ranibizumab 2.3 mg/0.23 mL injection, 0.23 mL vial (Lucentis) |
14327C | ROTIGOTINE, rotigotine 2 mg/24 hours patch, 28 (Neupro) |
2385M | ROTIGOTINE, rotigotine 2 mg/24 hours patch, 28 (Neupro) |
14326B | ROTIGOTINE, rotigotine 4 mg/24 hours patch, 28 (Neupro) |
2384L | ROTIGOTINE, rotigotine 4 mg/24 hours patch, 28 (Neupro) |
14431M | ROTIGOTINE, rotigotine 6 mg/24 hours patch, 28 (Neupro) |
2410W | ROTIGOTINE, rotigotine 6 mg/24 hours patch, 28 (Neupro) |
11140H | ROTIGOTINE, rotigotine 8 mg/24 hours patch, 28 (Neupro) |
14359R | ROTIGOTINE, rotigotine 8 mg/24 hours patch, 28 (Neupro) |
10066T | TOBRAMYCIN, tobramycin 28 mg powder for inhalation, 224 capsules (TOBI podhaler) |
10074F | TOBRAMYCIN, tobramycin 28 mg powder for inhalation, 224 capsules (TOBI podhaler) |
13965B | TOBRAMYCIN, tobramycin 28 mg powder for inhalation, 224 capsules (TOBI podhaler) |
14006E | TOBRAMYCIN, tobramycin 300 mg/5 mL inhalation solution, 56 x 5 mL ampoules (TOBRAMYCIN SUN, Tobi, Tobramycin WKT) |
5442K | TOBRAMYCIN, tobramycin 300 mg/5 mL inhalation solution, 56 x 5 mL ampoules (TOBRAMYCIN SUN, Tobi, Tobramycin WKT) |
Alteration – Manufacturer Code
From | To | ||
8439E | Celebrex – CELECOXIB, celecoxib 100 mg capsule, 60 | UJ | GO |
8440F | Celebrex – CELECOXIB, celecoxib 200 mg capsule, 30 | UJ | GO |
5290K | Relpax – ELETRIPTAN, eletriptan 40 mg tablet, 4 | UJ | GO |
5291L | Relpax – ELETRIPTAN, eletriptan 80 mg tablet, 4 | UJ | GO |
13590G | Inspra – EPLERENONE, eplerenone 25 mg tablet, 30 | UJ | GO |
8879H | Inspra – EPLERENONE, eplerenone 25 mg tablet, 30 | UJ | GO |
13379E | Inspra – EPLERENONE, eplerenone 50 mg tablet, 30 | UJ | GO |
8880J | Inspra – EPLERENONE, eplerenone 50 mg tablet, 30 | UJ | GO |
13872D | Progynova – ESTRADIOL, estradiol valerate 1 mg tablet, 56 | BN | GH |
1663M | Progynova – ESTRADIOL, estradiol valerate 1 mg tablet, 56 | BN | GH |
13980T | Progynova – ESTRADIOL, estradiol valerate 2 mg tablet, 56 | BN | GH |
1664N | Progynova – ESTRADIOL, estradiol valerate 2 mg tablet, 56 | BN | GH |
8389M | Neurontin – GABAPENTIN, gabapentin 800 mg tablet, 100 | UJ | GO |
14015P | Dilantin Sodium – PHENYTOIN, phenytoin sodium 30 mg capsule, 200 | UJ | GO |
1873N | Dilantin Sodium – PHENYTOIN, phenytoin sodium 30 mg capsule, 200 | UJ | GO |
13972J | Dilantin Sodium – PHENYTOIN, phenytoin sodium 100 mg capsule, 200 | UJ | GO |
1874P | Dilantin Sodium – PHENYTOIN, phenytoin sodium 100 mg capsule, 200 | UJ | GO |
13841L | Dilantin – PHENYTOIN, phenytoin 30 mg/5 mL oral liquid, 500 mL | UJ | GO |
2692Q | Dilantin – PHENYTOIN, phenytoin 30 mg/5 mL oral liquid, 500 mL | UJ | GO |
1249R | Dilantin Infatabs – PHENYTOIN, phenytoin 50 mg chewable tablet, 200 | UJ | GO |
13894G | Dilantin Infatabs – PHENYTOIN, phenytoin 50 mg chewable tablet, 200 | UJ | GO |
2348N | Lyrica – PREGABALIN, pregabalin 25 mg capsule, 56 | UJ | GO |
2335X | Lyrica – PREGABALIN, pregabalin 75 mg capsule, 56 | UJ | GO |
2355Y | Lyrica – PREGABALIN, pregabalin 150 mg capsule, 56 | UJ | GO |
2363J | Lyrica – PREGABALIN, pregabalin 300 mg capsule, 56 | UJ | GO |
14400X | Zoloft – SERTRALINE, sertraline 50 mg tablet, 30 | UJ | GO |
14403C | Zoloft – SERTRALINE, sertraline 50 mg tablet, 30 | UJ | GO |
2236Q | Zoloft – SERTRALINE, sertraline 50 mg tablet, 30 | UJ | GO |
8836C | Zoloft – SERTRALINE, sertraline 50 mg tablet, 30 | UJ | GO |
14404D | Zoloft – SERTRALINE, sertraline 100 mg tablet, 30 | UJ | GO |
14506L | Zoloft – SERTRALINE, sertraline 100 mg tablet, 30 | UJ | GO |
2237R | Zoloft – SERTRALINE, sertraline 100 mg tablet, 30 | UJ | GO |
8837D | Zoloft – SERTRALINE, sertraline 100 mg tablet, 30 | UJ | GO |
8868R | Efexor-XR – VENLAFAXINE, venlafaxine 37.5 mg modified release capsule, 28 | UJ | GO |
14472Q | Efexor-XR – VENLAFAXINE, venlafaxine 75 mg modified release capsule, 28 | UJ | GO |
8301X | Efexor-XR – VENLAFAXINE, venlafaxine 75 mg modified release capsule, 28 | UJ | GO |
14402B | Efexor-XR – VENLAFAXINE, venlafaxine 150 mg modified release capsule, 28 | UJ | GO |
8302Y | Efexor-XR – VENLAFAXINE, venlafaxine 150 mg modified release capsule, 28 | UJ | GO |
9070J | Zeldox – ZIPRASIDONE, ziprasidone 20 mg capsule, 60 | UJ | GO |
9071K | Zeldox – ZIPRASIDONE, ziprasidone 40 mg capsule, 60 | UJ | GO |
9072L | Zeldox – ZIPRASIDONE, ziprasidone 60 mg capsule, 60 | UJ | GO |
9073M | Zeldox – ZIPRASIDONE, ziprasidone 80 mg capsule, 60 | UJ | GO |
Supply Only
Supply Only - Period Commencing
11204Q | ETANERCEPT, etanercept 25 mg injection [4 vials] (&) inert substance diluent [4 x 1 mL syringes], 1 pack (Enbrel) |
11207W | ETANERCEPT, etanercept 25 mg injection [4 vials] (&) inert substance diluent [4 x 1 mL syringes], 1 pack (Enbrel) |
11223Q | ETANERCEPT, etanercept 25 mg injection [4 vials] (&) inert substance diluent [4 x 1 mL syringes], 1 pack (Enbrel) |
11198J | ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices (Brenzys, Enbrel, Nepexto) |
11201M | ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices (Brenzys, Enbrel, Nepexto) |
11222P | ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices (Brenzys, Enbrel, Nepexto) |
11196G | ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes (Brenzys, Enbrel) |
11208X | ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes (Brenzys, Enbrel) |
11224R | ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes (Brenzys, Enbrel) |
Supply Only - Period Ending
14478B | GLYCERYL TRINITRATE, glyceryl trinitrate 10 mg/24 hours patch, 30 (Minitran 10) |
8028M | GLYCERYL TRINITRATE, glyceryl trinitrate 10 mg/24 hours patch, 30 (Minitran 10) |
1590Q | KETOPROFEN, ketoprofen 200 mg modified release capsule, 28 (Orudis SR 200) |
5136H | KETOPROFEN, ketoprofen 200 mg modified release capsule, 28 (Orudis SR 200) |
1747Y | PARACETAMOL, paracetamol 24 mg/mL oral liquid, 100 mL (Panamax) |
3348F | PARACETAMOL, paracetamol 24 mg/mL oral liquid, 100 mL (Panamax) |
13563W | RAMIPRIL + FELODIPINE, ramipril 2.5 mg + felodipine 2.5 mg modified release tablet, 30 (Triasyn 2.5/2.5) |
2626F | RAMIPRIL + FELODIPINE, ramipril 2.5 mg + felodipine 2.5 mg modified release tablet, 30 (Triasyn 2.5/2.5) |
Advance Notices
1 November 2025
Deletion – Brand
14869N | Azithromycin Tablets, USP 500 mg (Precision Dose, USA), RQ – AZITHROMYCIN, azithromycin 500 mg tablet, 3 |
14870P | Azithromycin Tablets, USP 500 mg (Precision Dose, USA), RQ – AZITHROMYCIN, azithromycin 500 mg tablet, 3 |
14349F | Esipram, CF – ESCITALOPRAM, escitalopram 10 mg tablet, 28 |
14415Q | Esipram, CF – ESCITALOPRAM, escitalopram 20 mg tablet, 28 |
14416R | Esipram, CF – ESCITALOPRAM, escitalopram 20 mg tablet, 28 |
14519E | Esipram, CF – ESCITALOPRAM, escitalopram 10 mg tablet, 28 |
8700X | Esipram, CF – ESCITALOPRAM, escitalopram 10 mg tablet, 28 |
8701Y | Esipram, CF – ESCITALOPRAM, escitalopram 20 mg tablet, 28 |
9432K | Esipram, CF – ESCITALOPRAM, escitalopram 10 mg tablet, 28 |
9433L | Esipram, CF – ESCITALOPRAM, escitalopram 20 mg tablet, 28 |
14727D | ESTALIS 140/50 (Canada), DZ – ESTRADIOL + NORETHISTERONE ACETATE, estradiol 50 microgram/24 hours + norethisterone acetate 140 microgram/24 hours patch, 8 |
14728E | ESTALIS 140/50 (Canada), DZ – ESTRADIOL + NORETHISTERONE ACETATE, estradiol 50 microgram/24 hours + norethisterone acetate 140 microgram/24 hours patch, 8 |
14731H | ESTALIS 250/50 (Canada), DZ – ESTRADIOL + NORETHISTERONE ACETATE, estradiol 50 microgram/24 hours + norethisterone acetate 250 microgram/24 hours patch, 8 |
14739R | ESTALIS 250/50 (Canada), DZ – ESTRADIOL + NORETHISTERONE ACETATE, estradiol 50 microgram/24 hours + norethisterone acetate 250 microgram/24 hours patch, 8 |
13127X | Ethosuximide Essential Generics (UK), IX – ETHOSUXIMIDE, ethosuximide 250 mg capsule, 56 |
8559L | Gabapentin APOTEX, TY – GABAPENTIN, gabapentin 600 mg tablet, 100 |
10916M | Imatinib-APOTEX, TX – IMATINIB, imatinib 400 mg capsule, 30 |
10917N | Imatinib-APOTEX, TX – IMATINIB, imatinib 400 mg capsule, 30 |
10921T | Imatinib-APOTEX, TX – IMATINIB, imatinib 400 mg capsule, 30 |
10925B | Imatinib-APOTEX, TX – IMATINIB, imatinib 400 mg capsule, 30 |
10933K | Imatinib-APOTEX, TX – IMATINIB, imatinib 400 mg capsule, 30 |
10935M | Imatinib-APOTEX, TX – IMATINIB, imatinib 400 mg capsule, 30 |
10939R | Imatinib-APOTEX, TX – IMATINIB, imatinib 400 mg capsule, 30 |
11756R | Imatinib-APOTEX, TX – IMATINIB, imatinib 400 mg capsule, 30 |
11763D | Imatinib-APOTEX, TX – IMATINIB, imatinib 400 mg capsule, 30 |
11764E | Imatinib-APOTEX, TX – IMATINIB, imatinib 400 mg capsule, 30 |
11771M | Imatinib-APOTEX, TX – IMATINIB, imatinib 400 mg capsule, 30 |
11772N | Imatinib-APOTEX, TX – IMATINIB, imatinib 400 mg capsule, 30 |
11779Y | Imatinib-APOTEX, TX – IMATINIB, imatinib 400 mg capsule, 30 |
11870R | Imatinib-APOTEX, TX – IMATINIB, imatinib 400 mg capsule, 30 |
12681K | Imatinib-APOTEX, TX – IMATINIB, imatinib 400 mg capsule, 30 |
12711B | Imatinib-APOTEX, TX – IMATINIB, imatinib 400 mg capsule, 30 |
12723P | Imatinib-APOTEX, TX – IMATINIB, imatinib 400 mg capsule, 30 |
12754G | Imatinib-APOTEX, TX – IMATINIB, imatinib 400 mg capsule, 30 |
14501F | Pantoprazole APOTEX, TY – PANTOPRAZOLE, pantoprazole 20 mg enteric tablet, 30 |
8399C | Pantoprazole APOTEX, TY – PANTOPRAZOLE, pantoprazole 20 mg enteric tablet, 30 |
13921Q | APOTEX-Pioglitazone, TX – PIOGLITAZONE, pioglitazone 30 mg tablet, 28 |
8695P | APOTEX-Pioglitazone, TX – PIOGLITAZONE, pioglitazone 30 mg tablet, 28 |
10189G | Sno-Pro, SB – TRIGLYCERIDES LONG CHAIN WITH GLUCOSE POLYMER, triglycerides long chain with glucose polymer oral liquid, 27 x 200 mL cartons |
5469W | Champix, PF – VARENICLINE, varenicline 1 mg tablet, 56 |
9128K | Champix, PF – VARENICLINE, varenicline 500 microgram tablet [11] (&) varenicline 1 mg tablet [42], 53 |
9129L | Champix, PF – VARENICLINE, varenicline 1 mg tablet, 56 |
1 December 2025
Deletion – Brand
10014C | Erlotinib APOTEX, TX – ERLOTINIB, erlotinib 150 mg tablet, 30 |
10025P | Erlotinib APOTEX, TX – ERLOTINIB, erlotinib 150 mg tablet, 30 |
11259N | Erlotinib APOTEX, TX – ERLOTINIB, erlotinib 150 mg tablet, 30 |
1434L | Fluoxetine APOTEX, TY – FLUOXETINE, fluoxetine 20 mg capsule, 28 |
14548Q | Fluoxetine APOTEX, TY – FLUOXETINE, fluoxetine 20 mg capsule, 28 |
13943W | Olmesartan/Amlodipine 40/10 APOTEX, TX – OLMESARTAN + AMLODIPINE, olmesartan medoxomil 40 mg + amlodipine 10 mg tablet, 30 |
5294P | Olmesartan/Amlodipine 40/10 APOTEX, TX – OLMESARTAN + AMLODIPINE, olmesartan medoxomil 40 mg + amlodipine 10 mg tablet, 30 |
14057W | APOTEX-Pioglitazone, TX – PIOGLITAZONE, pioglitazone 45 mg tablet, 28 |
8696Q | APOTEX-Pioglitazone, TX – PIOGLITAZONE, pioglitazone 45 mg tablet, 28 |
11670F | Pariet, JC – RABEPRAZOLE, rabeprazole sodium 20 mg enteric tablet, 30 |
12286P | Pariet, JC – RABEPRAZOLE, rabeprazole sodium 20 mg enteric tablet, 30 |
14396Q | Pariet, JC – RABEPRAZOLE, rabeprazole sodium 20 mg enteric tablet, 30 |
14433P | Pariet, JC – RABEPRAZOLE, rabeprazole sodium 20 mg enteric tablet, 30 |
14463F | Pariet, JC – RABEPRAZOLE, rabeprazole sodium 20 mg enteric tablet, 30 |
14502G | Pariet, JC – RABEPRAZOLE, rabeprazole sodium 10 mg enteric tablet, 28 |
8507R | Pariet, JC – RABEPRAZOLE, rabeprazole sodium 10 mg enteric tablet, 28 |
8508T | Pariet, JC – RABEPRAZOLE, rabeprazole sodium 20 mg enteric tablet, 30 |
8509W | Pariet, JC – RABEPRAZOLE, rabeprazole sodium 20 mg enteric tablet, 30 |
11869Q | NOUMED RISPERIDONE, VO – RISPERIDONE, risperidone 500 microgram tablet, 60 |
11881H | NOUMED RISPERIDONE, VO – RISPERIDONE, risperidone 500 microgram tablet, 60 |
8787L | NOUMED RISPERIDONE, VO – RISPERIDONE, risperidone 500 microgram tablet, 60 |
8869T | NOUMED RISPERIDONE, VO – RISPERIDONE, risperidone 500 microgram tablet, 60 |
10551H | Rizatriptan ODT APOTEX, GX – RIZATRIPTAN, rizatriptan 10 mg orally disintegrating tablet, 2 |
1 January 2026
Deletion – Brand
11941L | AlphaClav Duo, AF – AMOXICILLIN + CLAVULANIC ACID, amoxicillin 500 mg + clavulanic acid 125 mg tablet, 10 |
1891M | AlphaClav Duo, AF – AMOXICILLIN + CLAVULANIC ACID, amoxicillin 500 mg + clavulanic acid 125 mg tablet, 10 |
5008N | AlphaClav Duo, AF – AMOXICILLIN + CLAVULANIC ACID, amoxicillin 500 mg + clavulanic acid 125 mg tablet, 10 |
Palliative Care
Deletions
Deletion – Item
13741F | MORPHINE, morphine sulfate 10 mg/5 mL oral solution, 300 mL (Morphine Oral Solution (Martindale Pharma) 10 mg/5 mL) |
13742G | MORPHINE, morphine sulfate 10 mg/5 mL oral solution, 100 mL (Morphine Oral Solution (Martindale Pharma) 10 mg/5 mL) |
Highly Specialised Drugs Program (Private Hospital)
Additions
Addition – Brand
13326J | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices |
9641K | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices |
13332Q | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes |
9615C | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes |
Alterations
Alteration – Note
13099K | SELINEXOR, selinexor 20 mg tablet, 16 (Xpovio) |
13103P | SELINEXOR, selinexor 20 mg tablet, 20 (Xpovio) |
13105R | SELINEXOR, selinexor 20 mg tablet, 32 (Xpovio) |
Alteration – Restriction
6367D | ETANERCEPT, etanercept 25 mg injection [4 vials] (&) inert substance diluent [4 x 1 mL syringes], 1 pack (Enbrel) |
9641K | ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices (Enbrel, Erelzi, Nepexto) |
9615C | ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes (Enbrel, Erelzi) |
10956P | OMALIZUMAB, omalizumab 75 mg/0.5 mL injection, 0.5 mL syringe (Omlyclo, Xolair) |
10968G | OMALIZUMAB, omalizumab 150 mg/mL injection, 1 mL syringe (Omlyclo) |
Alteration – Manufacturer Code
From | To | ||
12138W | Revatio – SILDENAFIL, sildenafil 20 mg tablet, 90 | UJ | GO |
9605M | Revatio – SILDENAFIL, sildenafil 20 mg tablet, 90 | UJ | GO |
Highly Specialised Drugs Program (Public Hospital)
Additions
Addition – Brand
13319B | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices |
5735W | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices |
13308K | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes |
5733R | Erelzi, SZ – ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes |
Alterations
Alteration – Note
13085Q | SELINEXOR, selinexor 20 mg tablet, 16 (Xpovio) |
13086R | SELINEXOR, selinexor 20 mg tablet, 20 (Xpovio) |
13104Q | SELINEXOR, selinexor 20 mg tablet, 32 (Xpovio) |
Alteration – Restriction
5734T | ETANERCEPT, etanercept 25 mg injection [4 vials] (&) inert substance diluent [4 x 1 mL syringes], 1 pack (Enbrel) |
5735W | ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL pen devices (Enbrel, Erelzi, Nepexto) |
5733R | ETANERCEPT, etanercept 50 mg/mL injection, 4 x 1 mL syringes (Enbrel, Erelzi) |
10967F | OMALIZUMAB, omalizumab 75 mg/0.5 mL injection, 0.5 mL syringe (Omlyclo, Xolair) |
10973M | OMALIZUMAB, omalizumab 150 mg/mL injection, 1 mL syringe (Omlyclo) |
Alteration – Manufacturer Code
From | To | ||
12144E | Revatio – SILDENAFIL, sildenafil 20 mg tablet, 90 | UJ | GO |
9547L | Revatio – SILDENAFIL, sildenafil 20 mg tablet, 90 | UJ | GO |
Highly Specialised Drugs Program (Community Access)
Deletions
Deletion – Brand
10357D | Kivexa, VI – ABACAVIR + LAMIVUDINE, abacavir 600 mg + lamivudine 300 mg tablet, 30 |
10348P | Lamivudine Alphapharm, AF – LAMIVUDINE, lamivudine 150 mg tablet, 60 |
Deletion – Equivalence Indicator
10357D | Abacavir/Lamivudine Viatris, AL – ABACAVIR + LAMIVUDINE, abacavir 600 mg + lamivudine 300 mg tablet, 30 |
Supply Only
Supply Only - Period Ending
10290N | ADEFOVIR, adefovir dipivoxil 10 mg tablet, 30 (APO-Adefovir) |
10303G | NEVIRAPINE, nevirapine 400 mg modified release tablet, 30 (Viramune XR) |
Growth Hormone Program
Alterations
Alteration – Restriction
10891F | SOMATROPIN, somatropin 400 microgram injection [1 chamber] (&) inert substance diluent [0.25 mL chamber], 7 dual chamber syringes (Genotropin MiniQuick) |
10902T | SOMATROPIN, somatropin 400 microgram injection [1 chamber] (&) inert substance diluent [0.25 mL chamber], 7 dual chamber syringes (Genotropin MiniQuick) |
10908D | SOMATROPIN, somatropin 400 microgram injection [1 chamber] (&) inert substance diluent [0.25 mL chamber], 7 dual chamber syringes (Genotropin MiniQuick) |
10456H | SOMATROPIN, somatropin 600 microgram injection [1 chamber] (&) inert substance diluent [0.25 mL chamber], 7 dual chamber syringes (Genotropin MiniQuick) |
10477K | SOMATROPIN, somatropin 600 microgram injection [1 chamber] (&) inert substance diluent [0.25 mL chamber], 7 dual chamber syringes (Genotropin MiniQuick) |
9628R | SOMATROPIN, somatropin 600 microgram injection [1 chamber] (&) inert substance diluent [0.25 mL chamber], 7 dual chamber syringes (Genotropin MiniQuick) |
10463Q | SOMATROPIN, somatropin 800 microgram injection [1 chamber] (&) inert substance diluent [0.25 mL chamber], 7 dual chamber syringes (Genotropin MiniQuick) |
10479M | SOMATROPIN, somatropin 800 microgram injection [1 chamber] (&) inert substance diluent [0.25 mL chamber], 7 dual chamber syringes (Genotropin MiniQuick) |
6313G | SOMATROPIN, somatropin 800 microgram injection [1 chamber] (&) inert substance diluent [0.25 mL chamber], 7 dual chamber syringes (Genotropin MiniQuick) |
10430Y | SOMATROPIN, somatropin 1 mg injection [1 chamber] (&) inert substance diluent [0.25 mL chamber], 7 dual chamber syringes (Genotropin MiniQuick) |
10480N | SOMATROPIN, somatropin 1 mg injection [1 chamber] (&) inert substance diluent [0.25 mL chamber], 7 dual chamber syringes (Genotropin MiniQuick) |
6314H | SOMATROPIN, somatropin 1 mg injection [1 chamber] (&) inert substance diluent [0.25 mL chamber], 7 dual chamber syringes (Genotropin MiniQuick) |
10453E | SOMATROPIN, somatropin 1.2 mg injection [1 chamber] (&) inert substance diluent [0.25 mL chamber], 7 dual chamber syringes (Genotropin MiniQuick) |
10457J | SOMATROPIN, somatropin 1.2 mg injection [1 chamber] (&) inert substance diluent [0.25 mL chamber], 7 dual chamber syringes (Genotropin MiniQuick) |
6315J | SOMATROPIN, somatropin 1.2 mg injection [1 chamber] (&) inert substance diluent [0.25 mL chamber], 7 dual chamber syringes (Genotropin MiniQuick) |
10434E | SOMATROPIN, somatropin 1.4 mg injection [1 chamber] (&) inert substance diluent [0.25 mL chamber], 7 dual chamber syringes (Genotropin MiniQuick) |
10488B | SOMATROPIN, somatropin 1.4 mg injection [1 chamber] (&) inert substance diluent [0.25 mL chamber], 7 dual chamber syringes (Genotropin MiniQuick) |
6316K | SOMATROPIN, somatropin 1.4 mg injection [1 chamber] (&) inert substance diluent [0.25 mL chamber], 7 dual chamber syringes (Genotropin MiniQuick) |
10454F | SOMATROPIN, somatropin 1.6 mg injection [1 chamber] (&) inert substance diluent [0.25 mL chamber], 7 dual chamber syringes (Genotropin MiniQuick) |
10498M | SOMATROPIN, somatropin 1.6 mg injection [1 chamber] (&) inert substance diluent [0.25 mL chamber], 7 dual chamber syringes (Genotropin MiniQuick) |
6317L | SOMATROPIN, somatropin 1.6 mg injection [1 chamber] (&) inert substance diluent [0.25 mL chamber], 7 dual chamber syringes (Genotropin MiniQuick) |
10500P | SOMATROPIN, somatropin 1.8 mg injection [1 chamber] (&) inert substance diluent [0.25 mL chamber], 7 dual chamber syringes (Genotropin MiniQuick) |
10501Q | SOMATROPIN, somatropin 1.8 mg injection [1 chamber] (&) inert substance diluent [0.25 mL chamber], 7 dual chamber syringes (Genotropin MiniQuick) |
6318M | SOMATROPIN, somatropin 1.8 mg injection [1 chamber] (&) inert substance diluent [0.25 mL chamber], 7 dual chamber syringes (Genotropin MiniQuick) |
10428W | SOMATROPIN, somatropin 2 mg injection [1 chamber] (&) inert substance diluent [0.25 mL chamber], 7 dual chamber syringes (Genotropin MiniQuick) |
10472E | SOMATROPIN, somatropin 2 mg injection [1 chamber] (&) inert substance diluent [0.25 mL chamber], 7 dual chamber syringes (Genotropin MiniQuick) |
6319N | SOMATROPIN, somatropin 2 mg injection [1 chamber] (&) inert substance diluent [0.25 mL chamber], 7 dual chamber syringes (Genotropin MiniQuick) |
10435F | SOMATROPIN, somatropin 5 mg injection [1 chamber] (&) inert substance diluent [1 mL chamber], 1 dual chamber pen device (Genotropin GoQuick) |
10443P | SOMATROPIN, somatropin 5 mg injection [1 chamber] (&) inert substance diluent [1 mL chamber], 1 dual chamber pen device (Genotropin GoQuick) |
9585L | SOMATROPIN, somatropin 5 mg injection [1 chamber] (&) inert substance diluent [1 mL chamber], 1 dual chamber pen device (Genotropin GoQuick) |
10426R | SOMATROPIN, somatropin 12 mg injection [1 chamber] (&) inert substance diluent [1 mL chamber], 1 dual chamber pen device (Genotropin GoQuick) |
10431B | SOMATROPIN, somatropin 12 mg injection [1 chamber] (&) inert substance diluent [1 mL chamber], 1 dual chamber pen device (Genotropin GoQuick) |
9586M | SOMATROPIN, somatropin 12 mg injection [1 chamber] (&) inert substance diluent [1 mL chamber], 1 dual chamber pen device (Genotropin GoQuick) |
10427T | SOMATROPIN, somatropin 5 mg/1.5 mL injection, 1.5 mL cartridge (Scitropin A) |
10432C | SOMATROPIN, somatropin 5 mg/1.5 mL injection, 1.5 mL cartridge (Norditropin FlexPro) |
10467X | SOMATROPIN, somatropin 5 mg/1.5 mL injection, 1.5 mL cartridge (Norditropin FlexPro) |
10484T | SOMATROPIN, somatropin 5 mg/1.5 mL injection, 1.5 mL cartridge (Scitropin A) |
10507B | SOMATROPIN, somatropin 5 mg/1.5 mL injection, 1.5 mL cartridge (Omnitrope Surepal 5) |
10512G | SOMATROPIN, somatropin 5 mg/1.5 mL injection, 1.5 mL cartridge (Omnitrope Surepal 5) |
10518N | SOMATROPIN, somatropin 5 mg/1.5 mL injection, 1.5 mL cartridge (Omnitrope Surepal 5) |
5818F | SOMATROPIN, somatropin 5 mg/1.5 mL injection, 1.5 mL cartridge (Norditropin FlexPro) |
6476W | SOMATROPIN, somatropin 5 mg/1.5 mL injection, 1.5 mL cartridge (Scitropin A) |
10458K | SOMATROPIN, somatropin 6 mg/1.03 mL injection, 1.03 mL cartridge (Saizen) |
10462P | SOMATROPIN, somatropin 6 mg/1.03 mL injection, 1.03 mL cartridge (Saizen) |
5822K | SOMATROPIN, somatropin 6 mg/1.03 mL injection, 1.03 mL cartridge (Saizen) |
10441M | SOMATROPIN, somatropin 10 mg/1.5 mL injection, 1.5 mL cartridge (SciTropin A) |
10451C | SOMATROPIN, somatropin 10 mg/1.5 mL injection, 1.5 mL cartridge (Norditropin FlexPro) |
10481P | SOMATROPIN, somatropin 10 mg/1.5 mL injection, 1.5 mL cartridge (SciTropin A) |
10496K | SOMATROPIN, somatropin 10 mg/1.5 mL injection, 1.5 mL cartridge (Norditropin FlexPro) |
10506Y | SOMATROPIN, somatropin 10 mg/1.5 mL injection, 1.5 mL cartridge (Omnitrope Surepal 10) |
10514J | SOMATROPIN, somatropin 10 mg/1.5 mL injection, 1.5 mL cartridge (Omnitrope Surepal 10) |
10519P | SOMATROPIN, somatropin 10 mg/1.5 mL injection, 1.5 mL cartridge (Omnitrope Surepal 10) |
5819G | SOMATROPIN, somatropin 10 mg/1.5 mL injection, 1.5 mL cartridge (Norditropin FlexPro) |
6311E | SOMATROPIN, somatropin 10 mg/1.5 mL injection, 1.5 mL cartridge (SciTropin A) |
10483R | SOMATROPIN, somatropin 12 mg/1.5 mL injection, 1.5 mL cartridge (Saizen) |
10495J | SOMATROPIN, somatropin 12 mg/1.5 mL injection, 1.5 mL cartridge (Saizen) |
5824M | SOMATROPIN, somatropin 12 mg/1.5 mL injection, 1.5 mL cartridge (Saizen) |
10446T | SOMATROPIN, somatropin 15 mg/1.5 mL injection, 1.5 mL cartridge (Omnitrope Surepal 15) |
10449Y | SOMATROPIN, somatropin 15 mg/1.5 mL injection, 1.5 mL cartridge (Norditropin FlexPro) |
10485W | SOMATROPIN, somatropin 15 mg/1.5 mL injection, 1.5 mL cartridge (Omnitrope Surepal 15) |
10489C | SOMATROPIN, somatropin 15 mg/1.5 mL injection, 1.5 mL cartridge (Norditropin FlexPro) |
10490D | SOMATROPIN, somatropin 15 mg/1.5 mL injection, 1.5 mL cartridge (Omnitrope Surepal 15) |
5820H | SOMATROPIN, somatropin 15 mg/1.5 mL injection, 1.5 mL cartridge (Norditropin FlexPro) |
10442N | SOMATROPIN, somatropin 20 mg/2.5 mL injection, 2.5 mL cartridge (Saizen) |
10497L | SOMATROPIN, somatropin 20 mg/2.5 mL injection, 2.5 mL cartridge (Saizen) |
3388H | SOMATROPIN, somatropin 20 mg/2.5 mL injection, 2.5 mL cartridge (Saizen) |
IVF Program
Alterations
Alteration – Manufacturer Code
From | To | ||
9583J | Orgalutran – GANIRELIX, ganirelix 250 microgram/0.5 mL injection, 0.5 mL syringe | OQ | AF |
9584K | Orgalutran – GANIRELIX, ganirelix 250 microgram/0.5 mL injection, 5 x 0.5 mL syringes | OQ | AF |
Repatriation Pharmaceutical Benefits
Alterations
Alteration – Manufacturer Code
From | To | ||
4595W | Neurontin – GABAPENTIN, gabapentin 800 mg tablet, 100 | UJ | GO |
Efficient Funding of Chemotherapy (Private Hospital)
Additions
Addition – Brand
10763L | BENDAMUSTINE HYDROCHLORIDE MEDSURGE, DZ – BENDAMUSTINE, bendamustine hydrochloride 25 mg injection, 1 vial |
10763L | BENDAMUSTINE HYDROCHLORIDE MEDSURGE, DZ – BENDAMUSTINE, bendamustine hydrochloride 100 mg injection, 1 vial |
7253R | OXALIPLATIN BAXTER, BX – OXALIPLATIN, oxaliplatin 100 mg/20 mL injection, 20 mL vial |
Alterations
Alteration – Restriction
11792P |
ATEZOLIZUMAB, atezolizumab 1.2 g/20 mL injection, 20 mL vial (Tecentriq) |
13160P |
CEMIPLIMAB, cemiplimab 350 mg/7 mL injection, 7 mL vial (Libtayo) |
12315E |
NIVOLUMAB, nivolumab 40 mg/4 mL injection, 4 mL vial (Opdivo); nivolumab 100 mg/10 mL injection, 10 mL vial (Opdivo) |
11492W |
PEMBROLIZUMAB, pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda) |
12121Y |
PEMBROLIZUMAB, pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda) |
Efficient Funding of Chemotherapy (Public Hospital)
Additions
Addition – Brand
10760H | BENDAMUSTINE HYDROCHLORIDE MEDSURGE, DZ – BENDAMUSTINE, bendamustine hydrochloride 25 mg injection, 1 vial |
10760H | BENDAMUSTINE HYDROCHLORIDE MEDSURGE, DZ – BENDAMUSTINE, bendamustine hydrochloride 100 mg injection, 1 vial |
4542C | OXALIPLATIN BAXTER, BX – OXALIPLATIN, oxaliplatin 100 mg/20 mL injection, 20 mL vial |
Alterations
Alteration – Restriction
11807K |
ATEZOLIZUMAB, atezolizumab 1.2 g/20 mL injection, 20 mL vial (Tecentriq) |
13169D |
CEMIPLIMAB, cemiplimab 350 mg/7 mL injection, 7 mL vial (Libtayo) |
12323N |
NIVOLUMAB, nivolumab 40 mg/4 mL injection, 4 mL vial (Opdivo); nivolumab 100 mg/10 mL injection, 10 mL vial (Opdivo) |
11494Y |
PEMBROLIZUMAB, pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda) |
12119W |
PEMBROLIZUMAB, pembrolizumab 100 mg/4 mL injection, 4 mL vial (Keytruda) |
Related Pharmaceutical Benefits for Public Hospital use
Deletions
Deletion – Brand
5857G | Ondansetron Mylan ODT, AF – ONDANSETRON, ondansetron 4 mg orally disintegrating tablet, 4 |
Alterations
Alteration – Restriction
14298M | ATEZOLIZUMAB, atezolizumab 1.875 g/15 mL injection, 15 mL vial (Tecentriq SC) |