Chronic Illness Benefit medicine list (formulary) 2017

Transcription

1 Chronic Illness Benefit medicine list (formulary) 2017 Who we are The Malcor Medical Aid Scheme (referred to as the Scheme ), registration number 1547, is the medical scheme that you a member of. This is a non-profit organisation, registered with the Council for Medical Schemes. Discovery Health (Pty) Ltd (referred to as the administrator ) is a separate company and an authorised financial services provider (registration number 1997/013480/07). We take care of the administration of your membership for the Scheme. Contact us You can call us on or visit for more information. Important information you need to know We may change the information contained in this document from time to time. We will communicate any changes to the way we pay medicine when we make these changes. The Chronic Illness Benefit (CIB) is determined by the Malcor Medical Aid Scheme Rules. The use of the benefits and programmes linked with the Chronic Illness Benefit are subject to specific conditions and rules. Members must make sure that they know these rules and conditions. Any instructions or advice on medicines and the management of the member s condition are intended to add to, and not replace, the knowledge, expertise, skill and judgement of the member s doctor, pharmacist or other healthcare professional. Malcor Medical Aid Scheme reserves the right to change the benefit at any time.

2 You need to apply for cover The Chronic Illness Benefit application form needs to be completed by the member and the doctor. This fully completed form, including any supporting tests that are required (detailed in the application form), must be submitted to Malcor Medical Aid Scheme for review. Submission details are on the application form. If the condition is approved, cover only applies from the date of approval. Explanation of terms Benefit year A benefit year refers to the benefits you are entitled to during a calendar year, 1 January to 31 December. This medicine list (formulary) is applicable for 2017 only. Prescribed Minimum Benefit (PMB) conditions The Prescribed Minimum Benefit Chronic Disease List is a list of conditions which all medical schemes need to cover on all the plans they offer to their members. This cover includes funding for the diagnosis, treatment and ongoing care for the listed conditions. Only claims for procedures and consultations listed in the Prescribed Minimum Benefit (PMB) treatment guidelines will be paid from the Chronic Illness Benefit. These are prorated based on the date of approval of your chronic condition. Chronic Disease List (CDL) The Chronic Disease List (CDL) specifies medication and treatment for the 26 chronic conditions that are covered in this section of the PMBs. Medicine class This describes medicines that have similar chemical structures or similar therapeutic effects. Active ingredient This is the main substance in a medicine that is responsible for the clinical action on a human body. Scheme Rate for medicine The Maximum Medical Aid Price (MMAP ) is the rate that applies to all approved chronic medicine. In the absence of MMAP, the approved chronic medicine will be refunded to a maximum of the Single Exit Price (SEP) plus the Dis-Chem dispensing fee. All other charges in excess of these approved rates will be for your own pocket.

3 Chronic Illness Benefit 2017 The Prescribed Minimum Benefits (PMB) medicine list for Plan A, B and C Prescribed Minimum Addison s disease Asthma Systemic Corticosteroids: Fludrocortisone Florinef acetate 0.1mg Mineralocorticoids Systemic Corticosteroids: Hydrocortisone Covocort 10mg Hydrocortisone Systemic Corticosteroids: Methylprednisolone Medrol 4mg; 16mg Methylprednisolone Systemic Corticosteroids: Prednisone Meticorten Prednisone Pulmison Adrenergics: Formoterol Foratec HFA 120 dose 12mcg/1dose Long acting - Formoterol Oxis turbhaler 60 dose 9mcg Adrenergics: Salmeterol Serevent accuhaler 60 dose 50mcg Long acting - Salmeterol Serevent CFC free 120 dose 25mcg Adrenergics: Fenoterol Berotec HFA 200 dose Short acting - Fenoterol 100mcg Adrenergics: Salbutamol Asthavent ecohaler 200 dose 100mcg Short acting - Salbutamol Asthavent ecohaler 300 dose 100mcg Venteze CFC free 200 dose 100mcg Ventolin accuhaler 60 dose 200mcg Ventolin inhaler CFC free 200 dose 100mcg Anti-asthmatics: Theophylline Euphyllin retard 2 Systemic xanthines Nuelin sa 2 Sandoz Theophylline anhydrous 200mg; 300mg Theoplus 200mg; 300mg Uniphyl 400mg Formoterol and Budesonide Formoterol and Symbicord turbohaler 60 dose 160/4.5mcg; 320/9mcg Budesonide Symbicord turbohaler 120 dose 80/4.5mcg Symbicord turbohaler 120 dose 160/4.5mcg Vannair 120 dose 80/4.5mcg; 160/4.5mcg Inhaled anticholinergics: Ipratropium bromide Atrovent HFA 200 dose 20mcg Ipratropium bromide Ipvent HFA 200 dose 40mcg/1dose Inhaled Glucocorticoids Beclomethasone Beceze CFC free 200 dose 100mcg Beclate 200 dose 50mcg Beclate 200 dose 100mcg; 200mcg Qvar autohaler 200 dose 100mcg Qvar press and breath 200 dose 100mcg Budesonide Budeflam HFA 300dose 100mcg; 200mcg Inflammide novolizer complete 200 dose 200mcg Inflammide novolizer complete 100 dose 400mcg Inflammide novolizer refill 200 dose 200mcg Inflammide novolizer refill 100 dose 400mcg Pulmicort turbuhaler 200 dose 100mcg; 200mcg

4 Asthma Inhaled Glucocorticoids Ciclesonide Alvesco 60 dose 80mcg; 160mcg Alvesco 120 dose 160mcg Ciclovent 60 dose 80mcg; 160mcg Fluticasone Flixotide accuhaler 60 dose 50mcg; 100mcg; 250mcg Flixotide CFC free 120 dose 50mcg; 125mcg; 250mcg Mometasone Asmanex twisthaler 60 dose 200mcg/1dose; 400mcg/1dose Leukotriene receptor antagonists Montelukast Belair 10mg Kulair 4mg; Monte-air 4mg; Singulair 4mg; Sintair 10mg Sintrine Topraz 4mg; Nasal Corticosteroids Beclomethasone Beclate aquanase 150 dose 50mcg Clenil aqueous 200 dose 50mcg Fluticasone Flonase 120 dose 50mcg Bipolar mood disorder Salmeterol and Fluticasone Salmeterol and Fluticasone Foxair accuhaler 60 dose 50/100; 50/250; 50/500 Foxair inhaler 120 dose 25/50; 25/125; 25/250 Sereflo HFA 120 dose 25/50; 25/125; 25/250 Seretide inhaler 120 dose 25/50; 25/125; 25/250 Seretide accuhaler 60 dose 50/100; 50/250; 50/500 Duolin respules (solution for inhalation) Salbutamol and Ipratropium Salbutamol and Ipratropium bromide Surgical item Inhaler device Dp haler device Spacer Glaxohaler Systemic Corticosteroids: Hydrocortisone Covocort 10mg Hydrocortisone Systemic Corticosteroids: Methylprednisolone Medrol 4mg Methylprednisolone Systemic Corticosteroids: Prednisone Be-Tabs Prednisone Prednisone Meticorten Panafcort Pulmison Trolic Anti-depressants: Citalopram Adco-Talomil SSRI's Arrow Citalopram 40mg Austell-Citalopram Bio Citalopram Cilift Cipramil

5 Bipolar mood disorder Anti-depressants: SSRI s Anti-depressants: Tricyclics Anti-depressants: Monoamine oxidase A inhibitors Citalopram Citalopram-Winthrop Depramil ; 40mg Escitalopram Accord Escitalopram 10mg; Aspen Escitalopram 10mg Cipralex 10mg; Citraz Escitalopram Be-Tabs 10mg Lexamil ; Mylan Escitalopram 10mg Zitolex 10mg; Zytomil 10mg; Fluoxetine Deprozan Fluoxetine Actor Lilly-Fluoxetine Lorien Nuzak Prolax Prozac Ranflocs Sandoz Fluoxetine Paroxetine Aropax Aropax CR Paxil Sertraline Dyna Sertraline Serdep Serlife Sertra Zoloft Amitryptyline Trepiline Clomipramine Anafranil Dosulepin Thaden ; 7 Imipramine Ethipramine Tofranil Moclobemide Depnil 300mg

6 Bipolar mood disorder Other anti-depressants: Augmenters - Trazodone Other anti-depressants: NDRI s Other anti-depressants: Noradrenergic and specific serotonergic agents Other anti-depressants: SNRI s Anti-epileptics: Carboxamide derivatives Anti-epileptics: Fatty acid derivatives Anti-epileptics: Hydantoin derivatives Anti-epileptics: Other agents Trazodone Aspen Trazodone Molipaxin Bupropion Wellbutrin SR 1 Wellbutrin XL 1; 300mg Mirtazapine Adco-Mirteron 1; 30mg Mylan Mirtazapine 30mg Remeron 1 Sandoz Mirtazapine 1 Duloxetine Cymbalta 60mg Cymgen 30mg; 60mg Yelate 60mg Venlafaxine Efexor XR 7; 1 Venlafaxine Adco 7 Venlor XR 37.; 7; 1 Carbamazepine Degranol 200mg Tegretol 200mg Tegretol CR 200mg; 400mg Zeptol 200mg Valproic acid Convulex 1 Convulex 300mg; 500mg Convulex syrup 2/5ml Epilim CR 200mg; 300mg; 500mg Epilim crushable Epilim sugar-free syrup 200mg/5ml Epilizine CR 200mg; 300mg; 500mg Eprolep CR 200mg; 300mg; 500mg Navalpro CR 200mg; 300mg; 500mg Valeptic CR 300mg; 500mg Phenytoin Epanutin Lamotrigine Aspen Lamotrigine Dyna-Lamotrigine ; ; 200mg Epitec ; ; 200mg Lamictin ; ; 200mg Lamictin p25 Lamidus Lamitor ; ; 200mg Levetiracetam Redilev 2; 500mg Topiramate Epimate 200mg

7 Bipolar mood disorder Anti-epileptics: Other agents Anti-psychotics: Benzamides Anti-psychotics: Butyrophenone derivatives Anti-psychotics: Clozapine Anti-psychotics: Lithium Anti-psychotics: Olanzapine Anti-psychotics: Phenothiazines with aliphatic side-chain Anti-psychotics: Quetiapine Topiramate Topalex ; Topamax ; Topamax SC sprinkle Toplep ; Sulpiride Espiride Haloperidol Serenace 0. Clozapine Aspen Clozapine ; Cloment ; Lithium Camcolit 2; 400mg Quilonum retard 4 Olanzapine Olawin Olawin oradispersible Olexar 2. Olexar 10mg Prexolan Prexolan odt Zylena Zyprexa Zyprexa velotab Chlorpromazine Largactil ; Quetiapine Dopaquel ; ; 200mg; 300mg Kizofrin ; ; 200mg; 300mg Mylan Quetiapine ; ; 200mg; 300mg Psyquet ; ; 200mg; 300mg Quetiapine Biotech ; ; 200mg; 300mg Quetoser ; ; 200mg; 300mg Serez ; ; 200mg; 300mg Seroquel ; ; 200mg; 300mg Seroquel XR ; 1; 200mg Sizonorm ; ; 200mg; 300mg Spec Quetiapine ; ; 200mg; 300mg Truvalin ; ; 200mg; 300mg Anti-psychotics: Flupenthixol Fluanxol 0.; 1mg Thioxanthene derivatives Fluanxol depot 1ml Fluanxol depot 2ml 40mg Zuclopenthixol Clopixol 2mg; 10mg Clopixol depot 200mg Other anti-psychotics Risperidone Aspen Risperidone 0.; 3mg Perizal 0.; 1mg; 2mg; 3mg Risnia 0.; 1mg; 2mg; 3mg Rispacor 0.; 1mg; 2mg; 3mg Risperdal syrup 1mg/1ml Risperdal 2mg

8 Bipolar mood disorder Other anti-psychotics Risperidone Risperidone Hexal 2mg Risperlet 0.; 1mg; 2mg Rispevon 3mg; 4mg Risponz 1mg; 2mg; 3mg; 4mg Schizorol 0. Zoxadon 0.; 1mg; 2mg Bronchiectasis Adrenergics: Formoterol Oxis turbhaler 60 dose 9mcg Long acting - Formoterol Adrenergics: Salbutamol Asthavent ecohaler 200 dose 100mcg Short acting - Salbutamol Asthavent ecohaler CFC free 300 dose 100mcg Venteze CFC free 200 dose 100mcg Ventolin accuhaler 60 dose 200mcg Ventolin inhaler CFC free 200 dose 100mcg Adrenergics: Fenoterol Berotec HFA 200 dose 100mcg Short acting - Fenoterol Formoterol and Budesonide Formoterol and Symbicord turbohaler 120 dose 80/4.5mcg; 160/4.5mcg Budesonide Inhaled anticholinergics: Ipratropium bromide Atrovent HFA 200 dose 20mcg Ipratropium bromide Ipvent HFA 200 dose 40mcg/1dose Inhaled Glucocorticoids Beclomethasone Beclate 200 dose 50mcg Qvar autohaler 200 dose 100mcg Qvar press and breath 200 dose 100mcg Ciclesonide Alvesco 120 dose 160mcg Alvesco 60 dose 80mcg; 160mcg Fluticasone Flixotide accuhaler 60 dose 50mcg; 100mcg; 250mcg Flixotide CFC free 120 dose 50mcg; 125mcg; 250mcg Mometesone Asmanex twisthaler 60 dose 200mcg/1dose; 400mcg/1dose Salbutamol and Ipratropium bromide Salbutamol and Ipratropium bromide Duolin respules (solution for inhalation) Salmeterol and Fluticasone Salmeterol and Foxair inhaler 120 dose 25/50; 25/125; 25/250 Fluticasone Seretide inhaler 120 dose 25/50; 25/125; 25/250 Seretide accuhaler 60 dose 50/100; 50/250; 50/500 Systemic Corticosteroids: Hydrocortisone Covocort 10mg Hydrocortisone Systemic Corticosteroids: Methylprednisolone Medrol 4mg; 16mg Methylprednisolone Systemic Corticosteroids: Prednisone Be-Tabs Prednisone Prednisone Meticorten Panafcort Pulmison Trolic Cardiac failure ACE inhibitors and diuretics Captopril and diuretics Zapto-co 50/

9 Cardiac failure ACE inhibitors and diuretics Cilazapril and diuretics Inhibace Plus 5/12. Enalapril and diuretics Co-Renitec 20/12. Enap co 20/12. Pharmapress co 20/12. Lisinopril and diuretics Adco-Zetomax co 10/12.; 20/12. Hexal-Lisinopril co 20/12. Lisinopril co Unicorn 10/12. Lisoretic 10/12.; 20/12. Lisozide 10/12.; 20/12. Zestoretic 10/12.; 20/12. Perindopril and Ariprel Plus 4/1. diuretics Bioprexum Plus 10/2. Ciplasyl Plus 4/1. Coversyl Plus 4/1. Pearinda Plus 4/1. Perindopril co Unicorn 4/1. Preterax 2/0.6 Prexum Plus 4/1.; 5/1. Spec-Perindopril Plus 2/0.6 Vectoryl Plus 4/1. Quinapril and diuretics Accumax co 10/12.; 20/12. Accuretic 10/12. Adco-Quinaretic 10/12.; 20/12. ACE inhibitors and calcium Ramipril and Felodipine Tri-plen 2.5/2. channel blockers Tri-plen forte 5/ Trandolapril and Tarka 180/2mg Verapamil ACE inhibitors: Captopril Adco-Captomax ; Plain Bio-Captopril Capace Captohexal 12.; Mylan Captopril ; Sandoz Captopril Zapto

10 Cardiac failure ACE inhibitors: Plain Cilazapril Inhibace Enalapril Alapren ; Ciplatec Enalapril Unicorn 10mg; Envas Pharmapress ; Renitec ; Lisinopril Adco-Zetomax ; Austell-Lisinopril 2. Austell-Lisinopril 10mg; Cipla Lisinopril (was Zemax) 10mg Hexal-Lisinopril ; Lizro Lysin Sinopren ; Zemax Zestril Perindopril Cipla-Perindopril 4mg; 8mg Ciplasyl 4mg Ciplasyl 8mg Coversyl 4mg; 10mg Pearinda 4mg; 8mg Perindopril Unicorn 4mg; 8mg Peristar 4mg; 8mg (Only N Option Plus) Prexum 4mg; Ran-Perindopril 4mg Spec-Perindopril 4mg; 8mg Vectoryl 4mg; 8mg Quinapril Accumax 10mg; Accupril 10mg; ; 40mg Ramipril Ramipril Hexal Ramiwin 2.; Rampil 2. Tritace 2. Trandolapril Mavik (was Gopten) 2mg

11 Cardiac failure Alpha and Beta blocking agents Carvedilol Aspen Carvedilol 12. Carloc 6.; 12.; Carvedilol Unicorn 6.; 12.; Carvedilol-Hexal Carvetrend 6.; 12.; Dilatrend 6.; 12.; Vediblok 6.; 12.; Angiotensin II antagonists: Candesartan and Atacand Plus 16/12. Combinations diuretics Candepres Plus 16/12. Mylacand Plus 16/12. Irbesartan and diuretics Co-Irbewin 150/12.; 300/12. Losartan and diuretics Cozaar Comp 50/12. Fortzaar 100/ Hytenza co 50/12.; 100/12. Lohype forte Plus 100/ Losaar Plus 50/12.; 100/ Losacar co 50/12. Losartan co Unicorn 50/12.; 100/ Lozaan co 50/12.; 100/ Netrasol co 50/12.; 100/ Sartoc-co 50/12.; 100/ Zartan co 50/12. Zartan co 100/ Telmisartan and Twynsta 40/10mg; 80/; 80/10mg Amlodipine Telmisartan and Co-Micardis 80/12.; 80/ diuretics Co-Pritor 40/12.; 80/12. Valsartan and Exforge 5/160mg; 10/160mg Amlodipine Valsartan, Amlodipine Co Exforge 5/160/12.; 5/160/ and Hydrochlorothiazide 10/160/12.; 10/160/ Valsartan and diuretics Co-Diovan 80/12.; 160/12.; 3/12.; 320/ Co-Migroben 160/12. Co-Tareg 80/12.; 160/12. Co-Tareg Plus 160/ Co-Zomevek 80/12.; 160/12.; 160/ Diolo co 80/12. Dynaval co 80/12.; 160/12.; 160/

12 Medicine class Active ingredient Medicine name and strength Cardiac failure Angiotensin II antagonists: Plain Arteriolar smooth muscle agents: Hydrazinophthalazine derivatives Beta blocking agents: Selective Candesartan Atacand 8mg; 16mg; 32mg Mylacand 8mg; 16mg Irbesartan Aprovel 1 Dynarb 1; 300mg Irbewin 1; 300mg Irtanel 300mg Losartan Austell Losartan Cipla-Losartan Ciplazar Cozaar Hytenza Losartan Unicorn Losartan-Winthrop Renicard Spec-Losartan Zartan Telmisartan Micardis 40mg; 80mg Pritor 40mg; 80mg Valsartan Diovan 80mg; 160mg Migroben 80mg; 160mg Tareg 80mg; 160mg Valsartan Unicorn 160mg Zomevek 80mg; 160mg Hydralazine Hyperphen 10mg; Sandoz Hydralazine Acebutolol Sectral ; 200mg Atenolol Adco-Atenolol Hexa-blok Ten-bloka Tenormin Bisoprolol Adco-Bisocor Betacor Bilocor

13 Medicine class Active ingredient Medicine name and strength Cardiac failure Beta blocking agents: Bisoprolol Bislo Selective Bisoprolol Unicorn Bisoprolol Zydus Cardicor 2.; Concor Mylan Bisoprolol Retocar Ziapro Nebivolol Nebilet Cardiac glycosides: Digoxin Lanoxin 0.06; 0. Digoxin Lanoxin paed syrup 0.0/1ml Purgoxin 0. High-ceiling diuretics Bumetanide Burinex 1mg Furosemide Austell-Furosemide 40mg Dino-Retic 40mg Diuresix 40mg Furobe 40mg Lasix ; 40mg; 80mg Lasix retard 60mg Mylan Furosemide 40mg Puresis 40mg Sandoz Furosemide 40mg Torasemide Unat 2.; Low-ceiling diuretics: Hydrochlorothiazide Hexazide Thiazides, plain Ridaq 12. Ridaq Low-ceiling diuretics: Indapamide Adco-Dapamax 2. excluding Thiazides Cipla-Indapamide 2. Daptril 2. Dyna Indapamide SR 1. Hydro-less 2. Mylan Indapamide 2. Natrilix SR 1. Sandoz Indapamide 2. Potassium sparing agents Eplerenone Inspra Spironolactone Aldactone Sandoz Spironolactone Spiractin Spiractin Potassium supplements Potassium chloride Plenish K 600mg Potassium Chloride Unicorn 600mg Sandoz K mg

14 Cardiac failure Potassium supplements Potassium chloride Slow-K 600mg Ultipot 600mg Vasodilators in cardiac disease: Glyceryl trinitrate Angised 0. Organic nitrates Nitrolingual spray 200 dose 0.4mg Isosorbide dinitrate Isordil sublingual Isordil 30mg Sandoz Isosorbide dinitrate Isosorbide mononitrate Elantan Elantan LA Imdur 60mg Ismo Monicor SR 60mg Influenza vaccines Influenza, purified antigen Influvac 0.5ml Vaxigrip single dose 0.5ml pre-filled Pneumococcus vaccines Pneumococcus, Imovax pneumo 23 purified polysaccharides antigen Cardiomyopathy ACE inhibitors and diuretics Captopril and diuretics Zapto-co 50/ Cilazapril and diuretics Inhibace Plus 5/12. Enalapril and diuretics Co-Renitec 20/12. Enap co 20/12. Pharmapress co 20/12. Lisinopril and diuretics Adco-Zetomax co 10/12.; 20/12. Hexal-Lisinopril co 20/12. Lisinopril co Unicorn 10/12. Lisoretic 10/12.; 20/12. Lisozide 10/12.; 20/12. Zestoretic 10/12.; 20/12. Perindopril and Ariprel Plus 4/1. diuretics Bioprexum Plus 10/2. Ciplasyl Plus 4/1. Coversyl Plus 4/1. Pearinda Plus 4/1. Perindopril co Unicorn 4/1. Preterax 2/0.6 Prexum Plus 4/1.; 5/1. Spec-Perindopril Plus 2/0.6 Vectoryl Plus 4/1.

15 Cardiomyopathy ACE inhibitors and diuretics Quinapril and diuretics Accumax co 10/12.; 20/12. Accuretic 10/12. Adco-Quinaretic 10/12.; 20/12. ACE inhibitors and calcium Ramipril and Felodipine Tri-plen 2.5/2. channel blockers Tri-plen forte 5/ Trandolapril and Tarka 180/2mg Verapamil ACE inhibitors: Captopril Adco-Captomax ; Plain Bio-Captopril Capace Captohexal 12.; Mylan Captopril ; Sandoz Captopril Zapto Cilazapril Inhibace Enalapril Alapren ; Ciplatec Enalapril Unicorn 10mg; Envas Pharmapress ; Renitec ; Lisinopril Adco-Zetomax ; Austell Lisinopril 2. Austell-Lisinopril 10mg; Cipla Lisinopril (was Zemax) 10mg Hexal-Lisinopril ; Lizro Lysin Sinopren ; Zemax Zestril Perindopril Cipla-Perindopril 4mg; 8mg Ciplasyl 4mg Ciplasyl 8mg Coversyl 4mg; 10mg Pearinda 4mg; 8mg

16 Cardiomyopathy ACE inhibitors: Perindopril Perindopril Unicorn 4mg; 8mg Plain Peristar 4mg; 8mg Prexum 4mg; Ran-Perindopril 4mg Spec-Perindopril 4mg; 8mg Vectoryl 4mg; 8mg Quinapril Accumax 10mg; Accupril 10mg; ; 40mg Ramipril Ramipril Hexal Ramiwin 2.; Rampil 2. Tritace 2. Trandolapril Mavik (was Gopten) 2mg Alpha and Beta blocking agents Carvedilol Aspen Carvedilol 12. Carloc 6.; 12.; Carvedilol Unicorn 6.; 12.; Carvedilol-Hexal Carvetrend 6.; 12.; Dilatrend 6.; 12.; Vediblok 6.; 12.; Analgesics: Paracetamol Panado 500mg Paracetamol Angiotensin II antagonists: Combinations Candesartan and Atacand Plus 16/12. diuretics Candepres Plus 16/12. Mylacand Plus 16/12. Irbesartan and diuretics Co-Irbewin 150/12.; 300/12. Losartan and diuretics Cozaar Comp 50/12. Fortzaar 100/ Hytenza co 50/12.; 100/ Lohype forte Plus 100/ Losaar Plus 50/12.; 100/ Losacar co 50/12. Losartan co Unicorn 50/12.; 100/ Lozaan co 50/12.; 100/ Netrasol co 50/12.; 100/ Sartoc-co 50/12.; 100/

17 Cardiomyopathy Angiotensin II antagonists: Combinations Angiotensin II antagonists: Plain Losartan and diuretics Zartan co 50/12. Zartan co 100/ Telmisartan and Twynsta 40/10mg; 80/; 80/10mg Amlodipine Telmisartan and Co-Micardis 80/12.; 80/ diuretics Co-Pritor 40/12.; 80/12. Valsartan and Exforge 5/160mg; 10/160mg Amlodipine Valsartan, Amlodipine Co Exforge 5/160/12.; 5/160/ and Hydrochlorothiazide 10/160/12.; 10/160/ Valsartan and diuretics Co-Diovan 80/12.; 160/12.; 320/12.; 320/ Co-Migroben 160/12. Co-Tareg 80/12.; 160/12. Co-Tareg Plus 160/ Co-Zomevek 80/12.; 160/12.; 160/ Diolo co 80/12. Dynaval co 80/12.; 160/12.; 160/ Candesartan Atacand 8mg; 16mg; 32mg Mylacand 8mg; 16mg Irbesartan Aprovel 1 Dynarb 1; 300mg Irbewin 1; 300mg Irtanel 300mg Losartan Austell Losartan Cipla-Losartan Ciplazar Cozaar Hytenza Losartan Unicorn Losartan-Winthrop Renicard Spec-Losartan Zartan

18 Cardiomyopathy Angiotensin II antagonists: Plain Anti-thrombotic agents: Vitamin K antagonists Arteriolar smooth muscle agents: Hydrazinophthalazine derivatives Telmisartan Micardis 40mg; 80mg Pritor 40mg; 80mg Valsartan Diovan 80mg; 160mg Migroben 80mg; 160mg Tareg 80mg; 160mg Valsartan Unicorn 160mg Zomevek 80mg; 160mg Warfarin Cipla-Warfarin 1mg; Warfarin Hydralazine Hyperphen 10mg; Sandoz Hydralazine Aspirin Acetylsalicylic acid Bayer Aspirin 300mg Bayer Aspirin cardio Disprin 300mg Disprin cardiocare (was Disprin cv) Disprin melts (was Disprin cv) 300mg Ecotrin 81mg Myoprin Soluspirin (was aspirin soluble) 300mg Beta blocking agents: Acebutolol Sectral ; 200mg Selective Atenolol Adco-Atenolol Hexa-blok Ten-bloka Tenormin Bisoprolol Adco-Bisocor Betacor Bilocor Bislo Bisoprolol Unicorn Bisoprolol Zydus Cardicor 2.; Concor Mylan Bisoprolol Retocar Ziapro Nebivolol Nebilet

19 Cardiomyopathy Cardiac glycosides: Digoxin Lanoxin 0.06; 0. Digoxin Lanoxin paed syrup 0.0/1ml Purgoxin 0. High-ceiling diuretics Bumetanide Burinex 1mg Furosemide Austell-Furosemide 40mg Dino-Retic 40mg Diuresix 40mg Furobe 40mg Lasix ; 40mg; 80mg Lasix retard 60mg Mylan Furosemide 40mg Puresis 40mg Sandoz Furosemide 40mg Torasemide Unat 2.; Low-ceiling diuretics: Hydrochlorothiazide Hexazide Thiazides, plain Ridaq 12. Ridaq Low-ceiling diuretics: Indapamide Adco-Dapamax 2. excluding Thiazides Cipla-Indapamide 2. Daptril 2. Dyna Indapamide SR 1. Hydro-less 2. Mylan Indapamide 2. Natrilix SR 1. Sandoz Indapamide 2. Potassium sparing agents Eplerenone Inspra Spironolactone Aldactone Sandoz Spironolactone Spiractin Spiractin Potassium supplements Potassium chloride Plenish K 600mg Potassium Chloride Unicorn 600mg Sandoz K mg Slow-K 600mg Ultipot 600mg Vasodilators in cardiac disease: Glyceryl trinitrate Angised 0. Organic nitrates Nitrolingual spray 200 dose 0.4mg Isosorbide dinitrate Isordil 30mg Isordil sublingual Sandoz Isosorbide dinitrate Isosorbide mononitrate Elantan

20 Cardiomyopathy Chronic obstructive pulmonary disease (COPD) Vasodilators in cardiac disease: Organic nitrates Influenza vaccines Pneumococcus vaccines Adrenergics: Long acting - Formoterol Adrenergics: Long acting - Salmeterol Adrenergics : Short Acting - Fenoterol Adrenergics: Short acting - Salbutamol Adrenergics: Ultra long acting - Indacaterol Anti-asthmatics: Systemic xanthines Isosorbide mononitrate Elantan LA Imdur 60mg Ismo Monicor SR 60mg Influenza, purified Influvac 0.5ml antigen Vaxigrip single dose 0.5ml pre-filled Pneumococcus, Imovax pneumo 23 purified polysaccharides antigen Formoterol Foratec HFA 120 dose 12mcg/1dose Oxis turbuhaler 60 dose 9mcg Salmeterol Serevent CFC free 120 dose 25mcg Fenoterol Berotec HFA 200 dose 100mcg Salbutamol Asthavent ecohaler 200 dose 100mcg Asthavent ecohaler CFC free 300 dose 100mcg Venteze CFC free 200 dose 100mcg Ventolin accuhaler 60 dose 200mcg Ventolin Inhaler 200 CFC free 100mcg Indacaterol Onbrez breezhaler 150mcg Theophylline Euphyllin retard 2 Nuelin sa 2 Sandoz Theophylline anhydrous 200mg; 300mg Theoplus 200mg; 300mg Uniphyl 400mg Inhaled anticholinergics: Ipratropium bromide Atrovent HFA 200 dose 20mcg Ipratropium bromide Ipvent HFA 200 dose 40mcg/1dose Inhaled anticholinergics: Tiotropium bromide Forvent (refill) 18mcg Tiotropium bromide Spiriva (refill) 18mcg Inhaled Glucocorticoids Beclometasone Beclate 200 dose 50mcg Qvar autohaler 200 dose 100mcg Qvar press and breath 200 dose 100mcg Budesonide Budeflam HFA 300 dose 200mcg Inflammide novolizer refill 100 dose 400mcg Ciclesonide Alvesco 120 dose 160mcg Alvesco 60 dose 80mcg; 160mcg Fluticasone Flixotide accuhaler 60 dose 50mcg; 100mcg; 250mcg Flixotide CFC free 120 dose 50mcg; 125mcg; 250mcg

21 Chronic obstructive pulmonary disease (COPD) Inhaled Glucocorticoids Mometasone Asmanex twisthaler 60 dose 200mcg/1dose; 400mcg/1dose Fenoterol and Ipratropium bromide Fenoterol and Ipratropium bromide Duovent HFA Formoterol and Budesonide Formoterol and Symbicord 120 dose Budesonide Symbicord turbohaler 60 dose Symbicord turbohaler 120 dose Vannair 120 dose Salbutamol and Ipratropium bromide Salmetrol and Fluticasone Surgical item: Oxygen concentrator Systemic Corticosteroids: Hydrocortisone Systemic Corticosteroids: Methylprednisolone Systemic Corticosteroids: Prednisone Influenza vaccines Salbutamol and Ipratropium bromide Salmetrol and Fluticasone Oxygen 200 dose 80/4.5mcg 160/4.5mcg; 320/9mcg 160mcg/4.5mcg 80/4.5mcg; 160/4.5mcg Duolin HFA 200 dose Duolin respules (solution for inhalation) Foxair 120 dose 25/50; 25/125; 25/250 Foxair accuhaler 60 dose 50/100; 50/250; 50/500 Sereflo HFA 120 dose 25/50; 25/125; 25/250 Seretide 120 dose 25/50; 25/125; 25/250 Seretide accuhaler 60 dose 50/100; 50/250; 50/500 Oxygen concentrator rental Hydrocortisone Covocort 10mg Methylprednisolone Medrol 4mg; 16mg Prednisone Be-Tabs Prednisone Meticorten Panafcort Pulmison Trolic Influenza, purified Influvac 0.5ml antigen Vaxigrip single dose 0.5ml pre-filled Chronic renal disease ACE inhibitors and diuretics Captopril and diuretics Zapto-co 50/ Cilazapril and diuretics Inhibace Plus 5/12. Enalapril and diuretics Co-Renitec 20/12. Enap co 20/12. Pharmapress co 20/12. Lisinopril and diuretics Adco-Zetomax co 10/12.; 20/12. Hexal-Lisinopril co 20/12. Lisinopril co Unicorn 10/12. Lisoretic 10/12.; 20/12. Lisozide 10/12.; 20/12. Zestoretic 10/12.; 20/12. Perindopril and Ariprel Plus 4/1. diuretics Bioprexum Plus 10/2.

22 Chronic renal disease ACE inhibitors and diuretics Perindopril and Ciplasyl Plus 4/1. diuretics Coversyl Plus 4/1. Pearinda Plus 4/1. Perindopril co Unicorn 4/1. Preterax 2/0.6 Prexum Plus 4/1.; 5/1. Spec-Perindopril Plus 2/0.6 Vectoryl Plus 4/1. Quinapril and diuretics Accumax co 10/12.; 20/12. Accuretic 10/12. Adco-Quinaretic 10/12.; 20/12. ACE inhibitors and calcium Ramipril and Felodipine Tri-plen 2.5/2. channel blockers Tri-plen forte 5/ Trandolapril and Tarka 180/2mg Verapamil ACE inhibitors: Captopril Adco-Captomax ; Plain Bio-Captopril Capace Captohexal 12.; Mylan Captopril ; Sandoz Captopril Zapto Cilazapril Inhibace Enalapril Alapren ; Ciplatec Enalapril Unicorn 10mg; Envas Pharmapress ; Renitec ; Lisinopril Adco-Zetomax ; Austell Lisinopril 2. Austell-Lisinopril 10mg; Cipla Lisinopril (was Zemax) 10mg Hexal-Lisinopril ; Lizro

23 Chronic renal disease ACE inhibitors: Plain Angiotensin II antagonists: Combinations Lisinopril Lysin Sinopren ; Zemax Zestril Perindopril Cipla-Perindopril 4mg; 8mg Ciplasyl 4mg Ciplasyl 8mg Coversyl 4mg; 10mg Pearinda 4mg; 8mg Perindopril Unicorn 4mg; 8mg Peristar 4mg; 8mg Prexum 4mg; Ran-Perindopril 4mg Spec-Perindopril 4mg; 8mg Vectoryl 4mg; 8mg Quinapril Accupril 10mg; ; 40mg Accumax 10mg; Ramipril Ramipril Hexal Ramiwin 2.; Rampil 2. Tritace 2. Trandolapril Mavik (was Gopten) 2mg Candesartan and Atacand Plus 16/12. diuretics Candepres Plus 16/12. Mylacand Plus 16/12. Irbesartan and diuretics Co-Irbewin 150/12.; 300/12. Losartan and diuretics Cozaar Comp 50/12. Fortzaar 100/ Hytenza co 50/12.; 100/ Lohype forte Plus 100/ Losaar Plus 50/12.; 100/ Losacar co 50/12. Losartan co Unicorn 50/12.; 100/ Lozaan co 50/12.; 100/

24 Chronic renal disease Angiotensin II antagonists: Combinations Angiotensin II antagonists: Plain Losartan and diuretics Netrasol co 50/12.; 100/ Sartoc-co 50/12.; 100/ Zartan co 50/12. Zartan co 100/ Telmisartan and Twynsta 40/10mg; 80/; 80/10mg Amlodipine Telmisartan and Co-Micardis 80/12.; 80/ diuretics Co-Pritor 40/12.; 80/12. Valsartan and Exforge 5/160mg; 10/160mg Amlodipine Valsartan, Amlodipine Co Exforge 5/160/12.; 5/160/; and Hydrochlorothiazide 10/160/12.; 10/160/ Valsartan and diuretics Co-Diovan 80/12.; 160/12.; 320/12.; 320/ Co-Migroben 160/12. Co-Tareg 80/12.; 160/12. Co-Tareg Plus 160/ Co-Zomevek 80/12.; 160/12.; 160/ Diolo co 80/12. Dynaval co 80/12.; 160/12.; 160/ Candesartan Atacand 8mg; 16mg; 32mg Mylacand 8mg; 16mg Irbesartan Aprovel 1 Dynarb 1; 300mg Irbewin 1; 300mg Irtanel 300mg Losartan Austell Losartan Cipla-Losartan Ciplazar Cozaar Hytenza Losartan Unicorn Losartan-Winthrop Renicard Spec-Losartan

25 Chronic renal disease Angiotensin II antagonists: Plain Losartan Zartan Telmisartan Micardis 40mg; 80mg Pritor 40mg; 80mg Valsartan Diovan 80mg; 160mg Migroben 80mg; 160mg Tareg 80mg; 160mg Valsartan Unicorn 160mg Zomevek 80mg; 160mg Calcium supplements Calcium carbonate B-cal Caltrate mint 300mg Eno tums assorted fruit flavours Eno tums orange flavour Folic acid and derivatives Folic acid Be-Tabs Folic acid Folic acid 0. Folic acid Iron in combination with folic Ferrous fumarate Pregamal acid Iron, parenteral preparations Iron, parenteral Cosmofer ampoule 2ml /1ml preparations Cosmofer ampoule 10ml /1ml Rautevene ampoule 5ml /5ml Sucrofer 5ml /1ml Venofer ampoule 5ml /1ml Zypiron vial 5ml /1ml Other anti-anaemic preparations Darbepoetin Alfa Aranesp pre-filled syringe 0.4ml 10mcg/0.4ml Aranesp pre-filled syringe 0.5ml 20mcg/0.5ml Aranesp pre-filled syringe 0.3ml 30mcg/0.3ml Aranesp pre-filled syringe 0.4ml 40mcg/0.4ml Aranesp pre-filled syringe 0.5ml 50mcg/0.5ml Aranesp pre-filled syringe 0.3ml 60mcg/0.3ml Erythropoietin Eprex pre-fill 2000U/0.5ml Eprex pre-fill 4000U/0.4ml Recormon pre-filled syringe 500U/0.3ml Recormon pre-filled syringe 2000U/0.3ml Recormon pre-filled syringe 4000U/0.3ml Repotin 1ml 2000IU Repotin 1ml 4000IU Methoxy polyethyleneglycol-epoetin Mircera pre-filled syringe 0.3ml 30mcg/0.3ml beta Mircera pre-filled syringe 0.3ml 50mcg/0.3ml Mircera pre-filled syringe 0.3ml 75mcg/0.3ml Mircera pre-filled syringe 0.3ml 100mcg/0.3ml Mircera pre-filled syringe 0.3ml 120mcg/0.3ml Mircera pre-filled syringe 0.3ml 150mcg/0.3ml Mircera pre-filled syringe 0.3ml 200mcg/0.3ml Mircera pre-filled syringe 0.3ml 250mcg/0.3ml Vitamin D and analogues Alfacalcidol One alpha 0.25mcg; 1mcg Coronary artery disease Alpha and Beta Blocking agents Carvedilol Aspen Carvedilol 12.

26 Coronary artery disease Alpha and Beta Blocking agents Carvedilol Carloc 6.; 12.; Carvedilol-Hexal Carvetrend Dilatrend 6.; 12.; Analgesics: Paracetamol Panado 500mg Paracetamol Aspirin Acetylsalicylic acid Bayer Aspirin 300mg Disprin 300mg Disprin melts (was Disprin cv) 300mg Myoprin Soluspirin (was aspirin soluble) 300mg Beta blocking agents: Propranolol Inderal 10mg Non-selective Purbloka 10mg; 40mg Beta blocking agents: Acebutolol Sectral ; 200mg Selective Atenolol Adco-Atenolol B-Block Bio-Atenolol Gulf Atenolol Gulf Atenolol Hexa-blok Ten-bloka Tenopress Tenormin Zetenol Bisoprolol Adco-Bisocor Betacor Bilocor Bislo 10mg Bisohexal Bisoprolol Unicorn Cardicor 2.; Concor Nebivolol Nebilet Selective calcium channel Diltiazem Adco-Zildem 60mg blockers with direct cardiac Adco-Zildem SR 180mg; 240mg effects Verapamil Isoptin 40mg Isoptin SR 240mg

27 Coronary artery disease Selective calcium channel blockers with direct cardiac effects Selective calcium channel blockers with mainly vascular effects Vasodilators in cardiac disease: Organic nitrates Verapamil Ravamil SR 240mg Vasomil 40mg; 80mg Verahexal SR 240mg Amlodipine Almadin Amlate Amloc Amlosyn Amtas Amtas 10mg Austell-Amlodipine Calbloc Ciplavasc Ciplavasc 10mg Gulf Amlodipine Keysal 10mg Klodip Lomanor Norvasc Pendine Pharma Dynamics Amlodipine besylate Felodipine Felodipine-Hexal Plendil 2.; Nifedipine Adalat XL ; 30mg; 60mg Adco-Vascard SR Adco-Vascard SR 30mg Cipalat Retard Fedaloc SR 30mg; 60mg Gitsalat 30mg Macorel SR 60mg Lercanidipine Zanidip 10mg; Glyceryl trinitrate Angised 0. Nitrolingual spray 200 dose 0.4mg Isosorbide dinitrate Isordil sublingual Isordil 30mg Sandoz Isosorbide dinitrate Isosorbide mononitrate Elantan Elantan LA Imdur 60mg

28 Coronary artery disease Vasodilators in cardiac disease: Isosorbide mononitrate Ismo Organic nitrates Monicor SR 60mg Crohn s disease Folic acid and derivatives Folic acid Be-Tabs Folic acid Folic acid 0. Folic acid Intestinal anti-inflammatories: Mesalazine Asacol 400mg; 500mg; 800mg Aminosalicylic acid and similar Mezavant 1200mg agents Pentasa 500mg; 1000mg Salofalk 1000mg Olsalazine Dipentum 2 Sulfasalazine Salazopyrin 500mg Salazopyrin EN 500mg Intestinal anti-inflammatories: Corticosteroids Budesonide Entocord enema Entocord 3mg Other immuno- Azathioprine Azamun suppressive agents: Azapress Azathioprine Azathioprine PCH Imuran Other immuno- Methotrexate Abitrexate 2. suppressive agents: Methotrexate 2. Methotrexate Systemic Corticosteroids: Hydrocortisone Covocort 10mg Hydrocortisone Systemic Corticosteroids: Methylprednisolone Medrol 4mg; 16mg Methylprednisolone Systemic Corticosteroids: Prednisone Be-Tabs Prednisone Prednisone Meticorten Panafcort Pulmison Trolic Diabetes insipidus Posterior pituitary hormones: Desmopressin Ddavp 0.1mg; 0.2mg Vasopressin and analogues Ddavp nasal spray 5ml 0.1mg/1ml Diabetes mellitus Type 1 Anti-diabetic agents: Fast acting Insulins Anti-diabetic agents: Intermediate or long acting combined with fast acting Insulins (Biphasic) Insulin Aspart Insulin Glulisine Insulin Human Insulin Lispro Insulin Aspart Insulin Human Insulin Lispro Novorapid - flexpen 3ml; vial 10ml Apidra - vial 10ml Biosulin r - cartridge 3ml Humulin r - cartridge 3ml; vial 10ml Humalog - cartridge 3ml; kwikpen 3ml; vial 10ml Novomix 30 - flexpen 3ml; penfill 3ml Actraphane hm(ge) - flexpen 3ml; penset 3ml; vial 10ml Biosulin cartridge 3ml Humulin 30/70 - cartridge 3ml; kwikpen 3ml; vial 10ml Insuman comb 30/70 - cartridge 3ml Humalog mix 25 - cartridge 3ml; vial 10ml Humalog mix 25 - kwikpen 3ml Humalog mix 50 - cartridge 3ml Humalog mix 50 - kwikpen 3ml

29 Diabetes mellitus Type 1 Diabetes mellitus Type 2 Anti-diabetic agents: Intermediate acting Insulins Anti-diabetic agents: Long acting Insulins Insulin Human Insulin Detemir Insulin Glargine Biosulin l - cartridge 3ml Biosulin n - cartridge 3ml Humulin n - cartridge 3ml; kwikpen 3ml; vial 10ml Protaphane - flexpen 3ml Levemir - flexpen 3ml; cartridge 3ml Basaglar cartridge 3ml Basaglar pre-filled pen 3ml Lantus - cartridge 3ml; vial 10ml Lantus solostar disposable pen 3ml Aspirin Acetylsalicylic acid Myoprin Blood glucose monitoring agents Glucose strips Accu-chek active strips Accu-chek active glucose control Accu chek performa blood glucose strips Ascensia elite strips Ascensia entrust test strips Caresens n test strips 29g Contour plus glucose strips Contour ts glucose strips Fora diamond blood glucose strips Freestyle optium glucose test strips Glucocheck strips 50s Glucoplus Glucoplus provider strips Glucose test strips easymax On-call plus ez strips Onetouch select test strips Onetouch ultra test Test strips onetouch select plus Test strips v2 solus Surgical item Lancets Lancets 50's Lancets blood collection needles loris Lancets solus v2 Needles BD microfine pen needle 32g 4mm BD microfine pen needle 31g 5mm BD microfine pen needle 30g 8mm Droplet pen needle 12mm x 29g Droplet pen needle 10mm x 29g Droplet pen needle 8mm x 31g Droplet pen needle 6mm x 31g Droplet pen needle 6mm x 32g Needle novofine Syringes BD microfine 0.3ml insulin syringe 30g 8mm BD microfine 1ml insulin syringe 30g 8mm BD microfine 1ml insulin syringe 29g 12mm Needle accufine insulin pen 8 x 30g Syringe insulin 1.0ml with 27g needle Anti-diabetic agents: Biguanides Metformin Accord Metformin 500mg; 8 Apex-Metformin 500mg

30 Diabetes mellitus Type 2 Anti-diabetic agents: Biguanides Anti-diabetic agents: Fast acting Insulins Anti-diabetic agents: Intermediate or long acting combined with fast acting Insulins (Biphasic) Anti-diabetic agents: Intermediate acting Insulins Anti-diabetic agents: Long acting Insulins Metformin Arrow Metformin 500mg; 8 Austell-Metformin 500mg; 8 Bigsens 500mg; 8; 1000mg Diaformin 500mg Diaformin forte 8 Diamin 500mg; 8 Diaphage 500mg; 8; 1000mg Gluconorm 500mg; 8 Glucophage 500mg; 1000mg Glucophage forte 8 Glucophage XR 500mg Mengen 500mg; 8; 1000mg Metchek 500mg; 8 Metforal 500mg; 8 Metformin Alkem 500mg; 8 Metored 500mg; 8; 1000mg Metphage 500mg; 8 Mylan Metformin 500mg; 8 Romidab 500mg; 8; 1000mg Sandoz Metformin 500mg Sandoz metformin 8 Sandoz Metformin FCT 500mg; 8 Insulin Aspart Novorapid - flexpen 3ml; vial 10ml Insulin Glulisine Apidra - vial 10ml Insulin Human Biosulin r - cartridge 3ml Humulin r - cartridge 3ml; vial 10ml Insulin Lispro Humalog - cartridge 3ml; kwikpen 3ml; vial 10ml Insulin Aspart Novomix 30 - flexpen 3ml; penfill 3ml Insulin Human Actraphane hm(ge) - flexpen 3ml; penset 3ml; vial 10ml Biosulin cartridge 3ml Humulin 30/70 - cartridge 3ml; kwikpen 3ml; vial 10ml Insuman comb 30/70 - cartridge 3ml Insulin Lispro Humalog mix 25 - cartridge 3ml; vial 10ml Humalog mix 25 - kwikpen 3ml Humalog mix 50 - cartridge 3ml Humalog mix 50 - kwikpen 3ml Insulin Human Biosulin l - cartridge 3ml Biosulin n - cartridge 3ml Humulin n - cartridge 3ml; kwikpen 3ml; vial 10ml Protaphane - flexpen 3ml Insulin Detemir Levemir - flexpen 3ml; cartridge 3ml Insulin Glargine Basaglar cartridge 3ml Basaglar pre-filled pen 3ml Lantus - cartridge 3ml; vial 10ml Lantus solostar disposable pen 3ml

31 Diabetes mellitus Type 2 Anti-diabetic Agents: Oral drug combinations Anti-diabetic Agents, Other, excluding insulins: Repalglinide Anti-diabetic agents: Sulfonamides, urea derivatives Metformin and Janumet 50/8; 50/1000mg Sitagliptin Metformin and Glucovance 250/1.; 500/2.; 500/ Sulfonamides Metformin and Galvus met 50/8; 50/1000mg Vildagliptin Repaglinide Novonorm 1mg Glibenclamide Bio-Glibenclamide Diacare Glycomin Sandoz Glibenclamide Gliclazide Adco-Glucomed 80mg Austell-Gliclazide 80mg Diaglucide 80mg Diaglucide MR 30mg Diaglucide MR 60mg Diamicron MR 30mg; 60mg Diaran MR 30mg Dyna Gliclazide SR 30mg Gliclazide Unicorn MR 30mg Glycron 80mg Glygard 80mg Mylan Gliclazide 80mg Sandoz Gliclazide 80mg Glimepiride Accord Glimepiride 4mg Amaryl 2mg; 4mg Glamaryl 1mg; 2mg; 4mg Sulphonur 1mg; 4mg Anti-diabetic agents: Pioglitazone Accord Pioglitazone 1; 30mg; 4 Thiazolidinediones Actos 1; 30mg Cipla-Pioglitazone 1; 30mg Aspirin Acetylsalicylic acid Myoprin Blood glucose monitoring agents Glucose strips Accu-chek active strips Accu-chek active glucose control Accu chek performa blood glucose strips Ascensia elite strips Ascensia entrust test strips Caresens n test strips 29g Contour plus glucose strips Contour ts glucose strips Fora diamond blood glucose strips Freestyle optium glucose test strips Glucocheck strips 50s Glucoplus Glucoplus provider strips Glucose test strips easymax

32 Diabetes mellitus Type 2 Blood glucose monitoring agents Glucose strips On-call plus ez strips Onetouch select test strips Onetouch ultra test Test strips onetouch select plus Test strips v2 solus Dipeptidyl peptidase inhibitors: Vildagliptin Galvus Vildagliptin Surgical item Lancets Lancets 50's Lancets blood collection needles loris Lancets solus v2 Needles BD microfine pen needle 32g 4mm BD microfine pen needle 31g 5mm BD microfine pen needle 30g 8mm Droplet pen needle 12mm x 29g Droplet pen needle 10mm x 29g Droplet pen needle 8mm x 31g Droplet pen needle 6mm x 31g Droplet pen needle 6mm x 32g Needle novofine Syringes BD microfine 0.3ml insulin syringe 30g 8mm BD microfine 1ml insulin syringe 30g 8mm BD microfine 1ml insulin syringe 29g 12mm Needle accufine insulin pen 8 x 30g Syringe insulin 1.0ml with 27g needle Dysrhythmia Alpha and Beta Blocking agents Carvedilol Aspen Carvedilol 12. Carloc 6.; 12.; Carvedilol-Hexal Dilatrend 6.; 12.; Analgesics: Paracetamol Panado 500mg Paracetamol Anti-arrhythmics: Disopyramide Rythmodan class Ia Anti-arrhythmics: Flecainide Tambocor class Ic Tambocor CR ; 200mg Propafenone Rythmol 1; 300mg Anti-arrhythmics: Amiodarone Arycor ; 200mg class III - Amiodarone Bio-Amiodarone 200mg Hexarone ; 200mg Anti-thrombotic agents: Warfarin Cipla-Warfarin 1mg; Vitamin K antagonists Warfarin Aspirin Acetylsalicylic acid Bayer Aspirin 300mg Bayer Aspirin cardio Disprin 300mg Disprin cardiocare (was Disprin cv) Disprin melts (was Disprin cv) 300mg Ecotrin 81mg Myoprin

33 Dysrhythmia Aspirin Acetylsalicylic acid Soluspirin (was aspirin soluble) 300mg Beta blocking agents: Propranolol Inderal 10mg Non-selective Purbloka 10mg; 40mg Sotalol Sotahexal 80mg; 160mg Beta blocking agents: Acebutolol Sectral ; 200mg Selective Atenolol Adco-Atenolol B-Block Bio-Atenolol Gulf Atenolol Gulf Atenolol Hexa-blok Ten-bloka Tenopress Tenormin Zetenol Bisoprolol Adco-Bisocor Betacor Bilocor Bislo 10mg Bisohexal Bisoprolol Unicorn Cardicor 2.; Concor Nebivolol Nebilet Cardiac glycosides: Digoxin Lanoxin 0.06; 0. Digoxin Lanoxin paed syrup 0.0/1ml Purgoxin 0. Selective calcium channel Verapamil Isoptin 40mg blockers with direct cardiac effects Isoptin SR 240mg Ravamil SR 240mg Vasomil 40mg; 80mg Verahexal SR 240mg Epilepsy Anti-epileptics: Phenobarbital Lethyl 30mg Barbiturates and derivatives Sedabarb 30mg Primidone Mysoline 2 Anti-epileptics: Clonazepam Clonam 0.; 2mg Benzodiazepine derivatives Rivotril 0.; 2mg Anti-epileptics: Carbamazepine Degranol 200mg Carboxamide derivatives Tegretol 200mg Tegretol CR 200mg; 400mg

34 Epilepsy Glaucoma Anti-epileptics: Carboxamide derivatives Anti-epileptics: Fatty acid derivatives Anti-epileptics: Hydantoin derivatives Anti-epileptics: Other agents Carbamazepine Zeptol 200mg Oxcarbazepine Mylan Oxcarbazepine 600mg Trileptal FCT 600mg Valproic acid Convulex 1 Convulex 300mg; 500mg Convulex syrup 2/5ml Epilim crushable Epilim CR 200mg; 300mg; 500mg Epilim sugar-free syrup 200mg/5ml Epilizine CR 200mg; 300mg; 500mg Eprolep CR 200mg; 300mg; 500mg Navalpro CR 200mg; 300mg; 500mg Valeptic CR 300mg; 500mg Phenytoin Epanutin Phenytoin sod Gabapentin Epleptin 300mg Neurontin 300mg Lamotrigine Aspen Lamotrigine Dyna-Lamotrigine ; ; 200mg Epitec ; ; 200mg Lamictin ; ; 200mg Lamictin p25 Lamidus Lamitor ; ; 200mg Levetiracetam Keppra 2 Redilev 2; 500mg Topiramate Epitoz ; Topalex ; Topamax ; Topamax SC sprinkle Toplep ; Ethosuximide Zarontin 2/5ml Anti-epileptics: Succinimide derivatives Folic acid and derivatives Folic acid Be-Tabs Folic acid Folic acid 0. Anti-glaucoma agents: Acetazolamide Azomid 2 Carbonic anhydrase inhibitors Diamox 2 Brinzolamide Azoptic 5ml 1% Dorzolamide Glaucopress 5ml 2% Trusopt 5ml owi 2%

35 Glaucoma Haemophilia Anti-glaucoma agents: Prostaglandin analogues Anti-glaucoma Agents: Parasympathomimetics Anti-glaucoma agents: Sympathomimetics Anti-glaucoma Beta blocking agents: Betaxolol Anti-glaucoma Beta blocking agents: Levobunolol Anti-glaucoma Beta blocking agents: Timolol Anti-glaucoma Beta blocking agents: Timolol, combinations Analgesics: Paracetamol Bimatoprost Lumigan 0.01% Lumigan 3ml 0.03% Latanoprost Atana 2.5ml 50mcg/1ml Ocuprost 3ml 50mcg/1ml Xalatan 2.5ml 50mcg/1ml Travoprost Travatan 2.5ml 0.004% Pilocarpine Isopto Carpine 15ml 1% Brimonidine Alphagan purite 5ml 1./1ml Brimoct 5ml 2mg/1ml Betaxolol Betoptic 5ml Betoptic S 5ml 0.25% Levobunolol Betagan 7.5ml 0.5% Timolol Glaucosan 5ml 0.5% Nyogel eye gel 5g 0.1% Occumol 5ml 0.5% Timoptol 5ml 0.5% Timoptol-xe 2.5ml 0.25%; 0.5% Timolol, combinations Azarga 5ml Combigan 5ml 2mg/ Cosopt 5ml 0.5% Duotrav 2.5ml Ganfort 3ml Glaumide-co 5ml Xalacom 2.5ml Paracetamol Adco-Napamol 500mg Adco-Prolief 500mg Cetapon 500mg Painogesic 500mg Panado 500mg Tranexamic acid Tranexamic Acid Medwich 500mg Anti-fibrinolytics: Amino acids Blood coagulation factors Coagulation factor IX Haemosolvex IX 500U Coagulation factor VIII Haemosolvate VIII 300U; 500U; 1000U Posterior pituitary hormones: Desmopressin Ddavp 0.1mg; 0.2mg Vasopressin and analogues Ddavp nasal spray 5ml 0.1mg/1ml Hyperlipidaemia Aspirin Acetylsalicylic acid Bayer Aspirin 300mg Bayer Aspirin cardio Disprin 300mg Disprin cardiocare (was Disprin cv) Ecotrin 81mg Myoprin (Only Plan A and Plan B Soluspirin (was aspirin soluble) 300mg

36 Hyperlipidaemia Lipid modifying agents: Bezafibrate Bezalip retard 400mg Fibrates Dyna-Bezafibrate SR 400mg Sandoz Bezafibrate 400mg Fenofibrate Lipanthyl 200mg Gemfibrozil Lopid 600mg Lipid modifying agents: Atorvastatin Adco Atorvastatin 10mg; ; 40mg Statins Aspavor 10mg; ; 40mg; 80mg Astor 10mg; Astor 40mg; 80mg Atolip 10mg; ; 40mg; 80mg Atorvastatin Unicorn 10mg; ; 40mg Atorvastatin Winthrop 10mg; ; 40mg Dynator 40mg; 80mg Lestavor 10mg; ; 40mg; 80mg Lipitor 10mg; ; 40mg; 80mg Lipogen 10mg; ; 40mg Fluvastatin Lescol ; 40mg Lescol XL 80mg Vaticol XL 80mg Lovastatin Lovachol ; 40mg Pravastatin Aspen Pravastatin ; 40mg Colite Rosuvastatin Crestor ; ; 40mg Rosvator ; 40mg Storwin 10mg; ; 40mg Vusor ; Zuvamor 10mg; ; 40mg Simvastatin Adco-Simvastatin 10mg; ; 40mg Arrow Simvastatin 10mg; Aspen Simvastatin 10mg; ; 40mg Austell-Simvastatin 10mg; ; 40mg Choleste ; 40mg Cipla-Simvastatin 10mg; ; 40mg Cipla-Simvastatin 80mg Simvacor 40mg Simvotin 10mg; Zocor 10mg; Zysim 10mg; ; 40mg Other lipid modifying agents Ezetimibe Ezetrol 10mg

37 Hypertension ACE inhibitors and calcium Perindopril and Coveram 5/; 10/; 5/10mg; 10/10mg channel blockers Amlodipine Ramipril and Felodipine Tri-plen 2.5/2. Tri-plen forte 5/ Trandolapril and Tarka 180/2mg Verapamil ACE inhibitors and diuretics Captopril and diuretics Zapto-co 50/ Cilazapril and diuretics Inhibace Plus 5/12. Enalapril and diuretics Co-Renitec 20/12. Enap co 20/12. Pharmapress co 20/12. Lisinopril and diuretics Adco-Zetomax co 10/12.; 20/12. Hexal-Lisinopril co 20/12. Lisinopril co Unicorn 10/12. Lisoretic 10/12.; 20/12. Lisozide 10/12.; 20/12. Zestoretic 10/12.; 20/12. Perindopril and Ariprel Plus 4/1. diuretics Bioprexum Plus 10/2. Ciplasyl Plus 4/1. Coversyl Plus 4/1. Pearinda Plus 4/1. Perindopril co Unicorn 4/1. Preterax 2/0.6 Prexum Plus 4/1.; 5/1. Spec-Perindopril Plus 2/0.6 Vectoryl Plus 4/1. Quinapril and diuretics Accumax co 10/12.; 20/12. Accuretic 10/12. Adco-Quinaretic 10/12.; 20/12. ACE inhibitors: Captopril Adco-Captomax ; Plain Bio-Captopril Capace Captohexal 12.; Mylan Captopril ;

38 Hypertension ACE inhibitors: Plain Captopril Sandoz Captopril Zapto Cilazapril Inhibace Enalapril Alapren ; Ciplatec Enalapril Unicorn 10mg; Envas Pharmapress ; Renitec ; Lisinopril Adco-Zetomax ; Austell Lisinopril 2. Austell-Lisinopril 10mg; Cipla Lisinopril (was Zemax) 10mg Hexal-Lisinopril ; Lizro Lysin Sinopren ; Zemax Zestril Perindopril Cipla-Perindopril 4mg; 8mg Ciplasyl 4mg Ciplasyl 8mg Coversyl 4mg; 10mg Pearinda 4mg; 8mg Perindopril Unicorn 4mg; 8mg Peristar 4mg; 8mg Prexum 4mg; Ran-Perindopril 4mg Spec-Perindopril 4mg; 8mg Vectoryl 4mg; 8mg Quinapril Accumax 10mg; Accupril 10mg; ; 40mg Ramipril Ramipril Hexal Ramiwin 2.;

39 Hypertension ACE inhibitors: Ramipril Rampil 2. Plain Tritace 2. Trandolapril Mavik (was Gopten) 2mg Alpha and Beta blocking agents Carvedilol Aspen Carvedilol 12. Carloc 6.; 12.; Carvedilol Unicorn 6.; 12.; Carvedilol-Hexal Carvetrend 6.; 12.; Dilatrend 6.; 12.; Vediblok 6.; 12.; Angiotensin II antagonists: Combinations Candesartan and Atacand Plus 16/12. diuretics Candepres Plus 16/12. Mylacand Plus 16/12. Irbesartan and diuretics Co-Irbewin 150/12.; 300/12. Losartan and diuretics Cozaar Comp 50/12. Fortzaar 100/ Hytenza co 50/12.; 100/ Lohype forte Plus 100/ Losaar Plus 50/12.; 100/ Losacar co 50/12. Losartan co Unicorn 50/12.; 100/ Lozaan co 50/12.; 100/ Netrasol co 50/12.; 100/ Sartoc-co 50/12.; 100/ Zartan co 50/12. Zartan co 100/ Telmisartan and Twynsta 40/10mg; 80/; 80/10mg Amlodipine Telmisartan and Co-Micardis 80/12.; 80/ diuretics Co-Pritor 40/12.; 80/12. Valsartan and Exforge 5/160mg; 10/160mg Amlodipine Valsartan, Amlodipine Co Exforge 5/160/12.; 5/160/; and Hydrochlorothiazide 10/160/12.; 10/160/ Valsartan and diuretics Co-Diovan 80/12.; 160/12.; 320/12.; 320/ Co-Migroben 160/12. Co-Tareg 80/12.; 160/12.

40 Hypertension Angiotensin II antagonists: Combinations Angiotensin II antagonists: Plain Anti-adrenergic agents: Alpha-adrenoreceptor antagonists Anti-adrenergic agents: Imidazoline receptor agonists Valsartan and diuretics Co-Tareg Plus 160/ Co-Zomevek 80/12.; 160/12.; 160/ Diolo co 80/12. Dynaval co 80/12.; 160/12.; 160/ Candesartan Atacand 8mg; 16mg; 32mg Mylacand 8mg; 16mg Irbesartan Aprovel 1 Dynarb 1; 300mg Irbewin 1; 300mg Irtanel 300mg Losartan Austell Losartan Cipla-Losartan Ciplazar Cozaar Hytenza Losartan Unicorn Losartan-Winthrop Renicard Spec-Losartan Zartan Telmisartan Micardis 40mg; 80mg Pritor 40mg; 80mg Valsartan Diovan 80mg; 160mg Migroben 80mg; 160mg Tareg 80mg; 160mg Valsartan Unicorn 160mg Zomevek 80mg; 160mg Doxazosin Cardugen 1mg; 4mg Cardura XL 4mg; 8mg Carzin XL 4mg Prazosin Pratsiol 2mg Moxonidine Cynt 0.2mg; 0.4mg

41 Hypertension Anti-adrenergic agents: Imidazoline receptor agonists Anti-adrenergic agents: Methyldopa Anti-adrenergic agents: Rauwolfia alkaloids Arteriolar smooth muscle agents: Hydrazinophthalazine derivatives Arteriolar smooth muscle agents: Pyrimidine derivatives Beta blocking agents: Non-selective Beta blocking agents: Selective Beta blocking agents and other diuretics Beta blocking agents and thiazides Moxonidine Physiotens 0.2mg; 0.3mg Methyldopa Hypotone 2 Hypotone 500mg Mylan Methyldopa 2 Sandoz Methyldopa 2 Reserpine Reserpine 0. Hydralazine Hyperphen 10mg; Sandoz Hydralazine Minoxidil Loniten 10mg Propranolol Inderal 10mg Purbloka 10mg; 40mg Acebutolol Sectral ; 200mg Atenolol Adco-Atenolol B-Block Bio-Atenolol Gulf Atenolol Gulf Atenolol Hexa-blok Ten-bloka Tenopress Tenormin Zetenol Bisoprolol Adco-Bisocor Betacor Bilocor Bislo Bisohexal Bisoprolol Unicorn Cardicor 2.; Concor Nebivolol Nebilet Atenolol and other Tenchlor 100/ diuretics Tenoret 50 50/12. Bisoprolol and thiazides Bilocor co 2.5/6.; 5/6.; 10/6. Bisoprolol Hydrochlorothiazide Zydus 2.5/6.; 5/6.; 10/6. Ziabeta 2.5/6.; 5/6.; 10/6.

42 Hypertension Beta blocking agents and Bisoprolol and thiazides Ziak 2.5/6.; 5/6.; 10/6. thiazides Beta blocking agents, thiazides and other diuretics Timolol, thiazides and other diuretics Servatrin Diuretics and potassium sparing Hydrochlorothiazide Adco-retic 50/ agents in combination and potassium-sparing agents Amiloretic 50/ Amiloretic HS 25/2. Renezide 50/ High-ceiling diuretics Bumetanide Burinex 1mg Furosemide Austell-Furosemide 40mg Dino-Retic 40mg Diuresix 40mg Furobe 40mg Lasix ; 40mg; 80mg Lasix retard 60mg Mylan Furosemide 40mg Puresis 40mg Sandoz Furosemide 40mg Torasemide Unat 2.; Low-ceiling diuretics: Hydrochlorothiazide Hexazide Thiazides, plain Ridaq 12. Ridaq Low-ceiling diuretics: Indapamide Adco-Dapamax 2. excluding Thiazides Cipla-Indapamide 2. Daptril 2. Dyna Indapamide SR 1. Hydro-less 2. Mylan Indapamide 2. Natrilix SR 1. Sandoz Indapamide 2. Low-ceiling diuretics: Hydrochlorothiazide Urirex-k 50/300mg Thiazides and potassium in and potassium combination Potassium sparing agents Eplerenone Inspra Spironolactone Aldactone Sandoz Spironolactone Spiractin Spiractin Potassium supplements Potassium chloride Plenish K 600mg Potassium Chloride Unicorn 600mg Sandoz K mg Slow-K 600mg