Chronic Illness Benefit medicine list (formulary) 2018

Transcription

1 Chronic Illness Benefit medicine list (formulary) 2018 Who we are Glencore Medical Scheme (referred to as 'the Scheme"), registration number 1253, 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 of the Scheme. 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 medicines when we make these changes. The Chronic Illness Benefit (CIB) is managed by the Glencore Medical 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. Glencore Medical Scheme and Discovery Health (Pty) Ltd reserve the right to change the benefit at any time. You can call us on or visit for more information.

2 About some of the terms we use in this document There may be some terms we refer to in the document that you may not be familiar with. Here are the meanings of these terms. Terminology Benefit year Prescribed Minimum Benefit (PMB) conditions Chronic Disease List (CDL) Medicine class Active ingredient Description A benefit year refers to the benefits a member is entitled to during a calendar year, that is to say 1 January to 31 December. This medicine list (formulary) is applicable for 2018 only. In terms of the Medical Schemes Act of 1998 (Act number 131 of 1998) and its regulations, all medical schemes have to cover the costs related to the diagnosis, treatment and care of any life-threatening emergency medical condition, a defined set of 270 diagnoses and 27 chronic conditions. These conditions and their treatments are known as the Prescribed Minimum Benefits (PMB). All medical schemes in South Africa have to include the Prescribed Minimum Benefits in the health plans they offer to their members. There are, however, certain requirements that a member must meet before he or she can benefit from the Prescribed Minimum Benefits. The three requirements are: The condition must be part of the list of defined PMB conditions The treatment needed must match the treatments in the defined benefits on the PMB list Members must use the scheme s designated healthcare service providers. A defined list of chronic conditions we cover according to the Prescribed Minimum Benefits. This describes medicines that have similar chemical structures or similar therapeutic effects. This is the main substance in a medicine that is responsible for the clinical action on a human body. Page 2 of 25 01/2018

3 Chronic Illness Benefit The Prescribed Minimum Benefits (PMB) medicine list The PMB medicine list applies to Glencore Medical Scheme for the 2018 benefit year. Prescribed Minimum Addison s disease Asthma Systemic Corticosteroids: Hydrocortisone Systemic Corticosteroids: Mineralocorticoids Adrenergics: Long acting - Formoterol Adrenergics: Long acting - Salmeterol Adrenergics: Short acting - Salbutamol Anti-asthmatics: Leukotriene receptor antagonists Anti-asthmatics: Systemic xanthines Formoterol and Budesonide Formoterol and Mometasone Inhaled anticholinergics: Ipratropium bromide Hydrocortisone Covocort 10mg Fludrocortisone Florinef acetate 0.1mg Formoterol Foratec HFA 120 dose 12mcg/1dose Salmeterol Serevent accuhaler 60 dose 50mcg Serevent CFC free 120 dose 25mcg Salbutamol Asthavent ecohaler 200 dose 100mcg Venteze CFC free 200 dose 100mcg Montelukast Lumont 4mg; Monteflo Sintair Topraz 4mg; 4mg; 4mg; Theophylline Sandoz Theophylline anhydrous 200mg; 300mg Formoterol and Budesonide Formoterol and Mometasone Symbicord turbohaler 60 dose Symbicord turbohaler 120 dose Vannair 120 dose Dulera 120 dose 160/4.5mcg; 320/9mcg 160/4.5mcg 80/4.5mcg; 160/4.5mcg 100/5mcg; 200/5mcg Ipratropium bromide Atrovent HFA 200 dose 20mcg Ipvent HFA 200 dose 40mcg/1dose Inhaled Glucocorticoids Beclomethasone Beceze CFC free 200 dose 100mcg Beclate 200 dose 100mcg; 200mcg Budesonide Budeflam HFA 300 dose 100mcg; 200mcg Inflammide novolizer complete 200 dose Inflammide novolizer complete 100 dose Inflammide novolizer refill 200 dose Inflammide novolizer refill 100 dose Pulmicort turbuhaler 200 dose 200mcg 400mcg 200mcg 400mcg 100mcg; 200mcg Ciclesonide Ciclovent 60 dose 80mcg; 160mcg Fluticasone Flixotide CFC free 50mcg; 125mcg; 250mcg 120 dose Mometasone Asmanex twisthaler 30 dose 200mcg/1dose; 400mcg/1dose Asmanex twisthaler 60 dose 200mcg/1dose; 400mcg/1dose Page 3 of 25 01/2018

4 Asthma Nasal Corticosteroids Beclomethasone Beclate aquanase 150 dose 50mcg Bipolar mood disorder Clenil aqueous 200 dose 50mcg Fluticasone Flomist 120 dose 50mcg Flonase 120 dose 50mcg Salmeterol and Fluticasone Salmeterol and Fluticasone Foxair accuhaler 50/100; 50/250; 50/ dose Surgical item Inhaler device Dp haler device Systemic Corticosteroids: Prednisone Anti-depressants: SSRI s Anti-epileptics: Carboxamide derivatives Anti-epileptics: Fatty acid derivatives Anti-epileptics: Other agents Sereflo HFA 120 dose 25/50; 25/125; 25/250 Sereflo HFA synchrobreathe 120 dose 25/50; 25/125; 25/250 Spacer Glaxohaler Prednisone Be-Tabs Prednisone Panafcort Trolic Citalopram Adco-Talomil Arrow Citalopram Bio Citalopram Cilate Escitalopram Accord Escitalopram 10mg; Zitolex Zytomil 10mg; 10mg; Fluoxetine Deprozan Fluoxetine Actor Prolax Ranflocs Sertraline Dyna Sertraline Serdep Serlife Carbamazepine Degranol 200mg Tegretol CR Zeptol 200mg; 400mg 200mg Valproic acid Convulex 150mg Convulex syrup Epilim crushable Epilim sugar-free syrup Epilizine CR Eprolep CR Navalpro CR Valeptic CR 250mg/5ml 200mg/5ml 200mg; 300mg; 500mg 200mg; 300mg; 500mg 200mg; 300mg; 500mg 300mg; 500mg Lamotrigine Dyna-Lamotrigine 2; ; 200mg Epitec Girotec Lamidus Lamitor 2; ; 200mg ; 200mg 50mg 2; ; 200mg Page 4 of 25 01/2018

5 Bipolar mood disorder Anti-psychotics: Clozapine Anti-psychotics: Lithium Anti-psychotics: Olanzapine Clozapine Aspen Clozapine 2; Cloment 2; Lithium Camcolit 250mg; 400mg Olanzapine Olawin Olawin oradispersible Olexar Prexolan ODT Redilanz Zylena Anti-psychotics: Phenothiazines with aliphatic side-chain Anti-psychotics: Quetiapine Chlorpromazine Largactil 2; Quetiapine Dopaquel 2; ; 200mg; 300mg Mylan Quetiapine 2; ; 200mg; 300mg Psyquet 2; ; 200mg; 300mg Quetiapine Biotech 2; ; 200mg; 300mg Quetoser Serez Spec Quetiapine 2; ; 200mg; 300mg 2; ; 200mg; 300mg 2; ; 200mg; 300mg Anti-psychotics: Thioxanthene derivatives Flupenthixol Fluanxol 0.; 1mg Fluanxol depot 1ml Fluanxol depot 2ml Zuclopenthixol Clopixol 2mg; 10mg Clopixol depot 200mg Other anti-psychotics Risperidone Perizal 0.; 1mg; 2mg; 3mg Risnia Rispacor Rispevon Zoxadon 0.; 1mg; 2mg; 3mg 0.; 1mg; 2mg; 3mg 1mg; 2mg; 3mg; 4mg 0.; 1mg; 2mg; 3mg; 4mg Bronchiectasis Adrenergics: Short acting - Salbutamol Inhaled anticholinergics: Ipratropium bromide Systemic Corticosteroids: Prednisone Salbutamol Asthavent ecohaler 200 dose 100mcg Venteze CFC free 200 dose 100mcg Ipratropium bromide Atrovent HFA 200 dose 20mcg Ipvent HFA 200 dose 40mcg/1dose Prednisone Be-Tabs Prednisone Panafcort Trolic Cardiac failure ACE inhibitors and diuretics Enalapril and diuretics Enap co 20/12. Pharmapress co 20/12. Lisinopril and diuretics Adco-Zetomax co 10/12.; 20/12. Lisinopril co Unicorn Lisoretic Lisozide Zestoretic 10/12.; 20/12. 10/12.; 20/12. 10/12.; 20/12. 10/12.; 20/12. Perindopril and diuretics Bioprexum Plus 10/2. Page 5 of 25 01/2018

6 Cardiac failure ACE inhibitors and diuretics Perindopril and diuretics Ciplasyl Plus 4/1.2 ACE inhibitors: Plain Pearinda Plus Perindopril co Unicorn Prexum Plus Vectoryl Plus 4/1.2 4/1.2 5/1.2 4/1.2 Captopril Adco-Captomax 2; 50mg Bio-Captopril Mylan Captopril 2 2; 50mg Enalapril Alapren ; Enalapril Biotech Enalapril Unicorn Envas Hypace ; 10mg; Lisinopril Austell-Lisinopril 10mg; Sinopren ; Perindopril Ciplasyl 4mg; 8mg Pearinda Perindopril Unicorn Prexum Ran-Perindopril Spec-Perindopril 4mg; 8mg 4mg; 8mg 4mg 4mg; 8mg Quinapril Accumax 10mg; Alpha and Beta blocking agents Carvedilol Aspen Carvedilol 6.2; 12.; 2 Angiotensin II antagonists: Combinations Angiotensin II antagonists: Plain Arteriolar smooth muscle agents: Hydrazinophthalazine derivatives Beta blocking agents: Selective Carloc Carvedilol Unicorn Carvetrend Vediblok 6.2; 12.; 2 6.2; 12.; 2 6.2; 12.; 2 6.2; 12.; 2 Losartan and diuretics Hytenza co 50/12. Losaar Plus Losacar co Losartan co Unicorn Netrasol co Zartan co 50/12.; 100/2 50/12. 50/12.; 100/2 50/12.; 100/2 50/12.; 100/2 Valsartan and diuretics Dynaval co 80/12.; 160/12.; 160/2 Irbesartan Dynarb 150mg; 300mg Losartan Ciplazar Losartan Unicorn Spec-Losartan Zartan Hydralazine Hyperphen 10mg; 50mg Sandoz Hydralazine 2 Bisoprolol Adco-Bisocor Betacor Bilocor Page 6 of 25 01/2018

7 Cardiac failure Beta blocking agents: Selective Bisoprolol Bislo Bisoprolol Unichem Bisoprolol Unicorn Bisoprolol Zydus Mylan Bisoprolol Retocar Ziapro Cardiac glycosides: Digoxin Digoxin Lanoxin 0.062; 0.2 Lanoxin paediatric/geriatric syrup 0.0/1ml High-ceiling diuretics Furosemide Dino-Retic Diuresix Furobe Mylan Furosemide Low-ceiling diuretics: Thiazides, plain Low-ceiling diuretics: excluding Thiazides Hydrochlorothiazide Hexazide 2 Ridaq 12. Indapamide Cipla-Indapamide 2. Daptril 2. Mylan Indapamide 2. Potassium sparing agents Spironolactone Aldactone 2 Sandoz Spironolactone Spiractin 2 2 Potassium supplements Potassium chloride Plenish K 600mg Potassium Chloride Unicorn Sandoz K-600 Ultipot 600mg 600mg 600mg Vasodilators in cardiac disease: Organic nitrates Glyceryl trinitrate Angised 0. Isosorbide dinitrate Isordil 30mg Sandoz Isosorbide dinitrate Isosorbide mononitrate Elantan Elantan LA Monicor SR 50mg 60mg Influenza vaccines Influenza, purified antigen Influvac 0.5ml Pneumococcus vaccines Pneumococcus, purified polysaccharides antigen Vaxigrip single dose 0.5ml pre-filled Imovax pneumo 23 Cardiomyopathy ACE inhibitors and diuretics Enalapril and diuretics Enap co 20/12. Pharmapress co 20/12. Lisinopril and diuretics Adco-Zetomax co 10/12.; 20/12. Lisinopril co Unicorn Lisoretic Lisozide Zestoretic 10/12.; 20/12. 10/12.; 20/12. 10/12.; 20/12. 10/12.; 20/12. Perindopril and diuretics Bioprexum Plus 10/2. Ciplasyl Plus 4/1.2 Page 7 of 25 01/2018

8 Cardiomyopathy ACE inhibitors and diuretics Perindopril and diuretics Pearinda Plus 4/1.2 ACE inhibitors: Plain Perindopril co Unicorn Prexum Plus Vectoryl Plus 4/1.2 5/1.2 4/1.2 Captopril Adco-Captomax 2; 50mg Bio-Captopril Mylan Captopril 2 2; 50mg Enalapril Alapren ; Enalapril Biotech Enalapril Unicorn Envas Hypace ; 10mg; Lisinopril Austell-Lisinopril 10mg; Sinopren ; Perindopril Ciplasyl 4mg; 8mg Pearinda Perindopril Unicorn Prexum Ran-Perindopril Spec-Perindopril 4mg; 8mg 4mg; 8mg 4mg 4mg; 8mg Quinapril Accumax 10mg; Alpha and Beta blocking agents Carvedilol Aspen Carvedilol 6.2; 12.; 2 Angiotensin II antagonists: Combinations Angiotensin II antagonists: Plain Anti-thrombotic agents: Vitamin K antagonists Arteriolar smooth muscle agents: Hydrazinophthalazine derivatives Carloc Carvedilol Unicorn Carvetrend Vediblok 6.2; 12.; 2 6.2; 12.; 2 6.2; 12.; 2 6.2; 12.; 2 Losartan and diuretics Hytenza co 50/12. Losaar Plus Losacar co Losartan co Unicorn Netrasol co Zartan co 50/12.; 100/2 50/12. 50/12.; 100/2 50/12.; 100/2 50/12.; 100/2 Valsartan and diuretics Dynaval co 80/12.; 160/12.; 160/2 Irbesartan Dynarb 150mg; 300mg Losartan Ciplazar Losartan Unicorn Spec-Losartan Zartan Warfarin Cipla-Warfarin 1mg; Hydralazine Hyperphen 10mg; 50mg Sandoz Hydralazine Aspirin Acetylsalicylic acid Myoprin 2 Page 8 of 25 01/2018

9 Cardiomyopathy Beta blocking agents: Selective Bisoprolol Adco-Bisocor Betacor Bilocor Bislo Bisoprolol Unichem Bisoprolol Unicorn Bisoprolol Zydus Mylan Bisoprolol Retocar Cardiac glycosides: Digoxin Ziapro Digoxin Lanoxin 0.062; 0.2 Lanoxin paediatric/geriatric syrup 0.0/1ml High-ceiling diuretics Furosemide Dino-Retic Diuresix Furobe Mylan Furosemide Low-ceiling diuretics: Thiazides, plain Low-ceiling diuretics: excluding Thiazides Hydrochlorothiazide Hexazide 2 Ridaq 12. Indapamide Cipla-Indapamide 2. Daptril 2. Mylan Indapamide 2. Potassium sparing agents Spironolactone Aldactone 2 Sandoz Spironolactone Spiractin 2 2 Potassium supplements Potassium chloride Plenish K 600mg Potassium Chloride Unicorn Sandoz K-600 Ultipot 600mg 600mg 600mg Vasodilators in cardiac disease: Organic nitrates Glyceryl trinitrate Angised 0. Isosorbide dinitrate Isordil 30mg Sandoz Isosorbide dinitrate Isosorbide mononitrate Elantan Elantan LA Monicor SR 50mg 60mg Influenza vaccines Influenza, purified antigen Influvac 0.5ml Vaxigrip single dose 0.5ml pre-filled Pneumococcus vaccines Pneumococcus, purified polysaccharides antigen Imovax pneumo 23 Chronic obstructive pulmonary disease (COPD) Adrenergics: Long acting - Formoterol Adrenergics: Short acting Salbutamol Adrenergics: Ultra long acting - Indacaterol Anti-asthmatics: Systemic xanthines Formoterol Foratec HFA 120 dose 12mcg/1dose Salbutamol Asthavent ecohaler 200 dose 100mcg Venteze CFC free 200 dose 100mcg Indacaterol Onbrez breezhaler 150mcg Theophylline Sandoz Theophylline anhydrous 200mg; 300mg Page 9 of 25 01/2018

10 Chronic obstructive pulmonary disease (COPD) Chronic renal disease Formoterol and Budesonide Formoterol and Mometasone Inhaled anticholinergics: Glycopyrronium bromide Inhaled anticholinergics: Ipratropium bromide Inhaled anticholinergics: Tiotropium bromide Salbutamol and Ipratropium bromide Formoterol and Budesonide Formoterol and Mometasone Glycopyrronium bromide Symbicord turbohaler 60 dose Symbicord turbohaler 120 dose Vannair 120 dose Dulera 120 dose Seebri breezhaler (30 caps & inhaler) 160/4.5mcg; 320/9mcg 160/4.5mcg 80/4.5mcg; 160/4.5mcg 100/5mcg; 200/5mcg Ipratropium bromide Atrovent HFA 200 dose 20mcg Ipvent HFA 200 dose 40mcg/1dose Tiotropium bromide Forvent (refill) 18mcg Salbutamol and Ipratropium bromide Duolin HFA 200 dose Salmeterol and Fluticasone Salmeterol and Fluticasone Foxair accuhaler 50/100; 50/250; 50/ dose Surgical item: Oxygen concentrator Systemic Corticosteroids: Prednisone Oxygen Sereflo HFA 120 dose 25/50; 25/125; 25/250 Sereflo HFA synchrobreathe 120 dose 25/50; 25/125; 25/250 Dummy NAPPI for oxygen Prednisone Be-Tabs Prednisone Panafcort Trolic Influenza vaccines Influenza, purified antigen Influvac 0.5ml Vaxigrip single dose 0.5ml pre-filled ACE inhibitors and diuretics Enalapril and diuretics Enap co 20/12. ACE inhibitors: Plain Pharmapress co 20/12. Lisinopril and diuretics Adco-Zetomax co 10/12.; 20/12. Lisinopril co Unicorn Lisoretic Lisozide Zestoretic 10/12.; 20/12. 10/12.; 20/12. 10/12.; 20/12. 10/12.; 20/12. Perindopril and diuretics Bioprexum Plus 10/2. Ciplasyl Plus Pearinda Plus Perindopril co Unicorn Prexum Plus Vectoryl Plus 4/1.2 4/1.2 4/1.2 5/1.2 4/1.2 Captopril Adco-Captomax 2; 50mg Bio-Captopril Mylan Captopril 2 2; 50mg Enalapril Alapren ; Enalapril Biotech Enalapril Unicorn ; 10mg; Page 10 of 25 01/2018

11 Chronic renal disease ACE inhibitors: Plain Enalapril Envas Hypace Lisinopril Austell-Lisinopril 10mg; Sinopren ; Perindopril Ciplasyl 4mg; 8mg Pearinda Perindopril Unicorn Prexum Ran-Perindopril 4mg; 8mg 4mg; 8mg 4mg Spec-Perindopril 4mg; 8mg Quinapril Accumax 10mg; Angiotensin II antagonists: Combinations Losartan and diuretics Hytenza co 50/12. Losaar Plus 50/12.; 100/2 Losacar co Losartan co Unicorn Netrasol co Zartan co 50/12. 50/12.; 100/2 50/12.; 100/2 50/12.; 100/2 Valsartan and diuretics Dynaval co 80/12.; 160/12.; 160/2 Angiotensin II antagonists: Plain Irbesartan Dynarb 150mg; 300mg Losartan Ciplazar Losartan Unicorn Spec-Losartan Zartan Calcium supplements Calcium carbonate B-cal Folic acid and derivatives Folic acid Be-Tabs Folic acid Folic acid 0. Hepatitis B Vaccine Hepatitis B, purified antigen Engerix-b (new) monodose 1ml Euvax b vial 1ml 20mcg/1ml 20mcg/1ml Heberbio hbv sgl dose 1ml adult 20mcg/1ml Iron in combination with folic acid Ferrous fumarate Pregamal Iron, parenteral preparations Iron, parenteral preparations Cosmofer ampoule 2ml Equifer ampoule 5ml 50mg/1ml /5ml Rautevene ampoule 5ml /5ml Sucrofer 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 Aranesp pre-filled syringe 0.3ml Aranesp pre-filled syringe 0.4ml Aranesp pre-filled syringe 0.5ml Aranesp pre-filled syringe 0.3ml 20mcg/0.5ml 30mcg/0.3ml 40mcg/0.4ml 50mcg/0.5ml 60mcg/0.3ml Erythropoietin Eprex pre-fill 2000U/0.5ml Eprex pre-fill Recormon pre-filled syringe 4000U/0.4ml 500U/0.3ml Page 11 of 25 01/2018

12 Chronic renal disease Coronary artery disease Other anti-anaemic preparations Erythropoietin Recormon pre-filled syringe 2000U/0.3ml Methoxy polyethylene glycol-epoetin beta Recormon pre-filled syringe Repotin ampoule 1ml Repotin ampoule 1ml Mircera pre-filled syringe 0.3ml Mircera pre-filled syringe 0.3ml Mircera pre-filled syringe 0.3ml Mircera pre-filled syringe 0.3ml Mircera pre-filled syringe 0.3ml Mircera pre-filled syringe 0.3ml Mircera pre-filled syringe 0.3ml Mircera pre-filled syringe 0.3ml 4000U/0.3ml 2000U 4000U 30mcg/0.3ml 50mcg/0.3ml 75mcg/0.3ml 100mcg/0.3ml 120mcg/0.3ml 150mcg/0.3ml 200mcg/0.3ml 250mcg/0.3ml Vitamin D and analogues Alfacalcidol One alpha 0.25mcg; 1mcg Anti-thrombotic Agents: Clopidogrel Clopidogrel Clopidogrel 75 Biotech 7 Closolve Pharma Dynamics Clopidogrel Plagrol Aspirin Acetylsalicylic acid Myoprin Beta blocking agents: Non-selective Beta blocking agents: Selective Selective calcium channel blockers with direct cardiac effects Selective calcium channel blockers with mainly vascular effects Vasodilators in cardiac disease: Organic nitrates Propranolol Inderal 10mg Indoblok Purbloka 10mg; Atenolol B-Block Bio-Atenolol Gulf Atenolol Tenopress Zetenol Diltiazem Adco-Zildem 60mg Adco-Zildem SR 180mg; 2 Verapamil Vasomil ; 80mg Verahexal SR 2 Amlodipine Amtas Austell-Amlodipine Calbloc Ciplavasc Gulf Amlodipine Lomanor Pendine Pharma Dynamics Amlodipine besylate Felodipine Felodipine-Hexal Plendil 2.; Nifedipine Cipalat Retard Glyceryl trinitrate Angised 0. Isosorbide dinitrate Isordil 30mg Page 12 of 25 01/2018

13 Coronary artery disease Vasodilators in cardiac disease: Organic nitrates Isosorbide dinitrate Sandoz Isosorbide dinitrate Isosorbide mononitrate Elantan Elantan LA Monicor SR Crohn s disease Folic acid and derivatives Folic acid Be-Tabs Folic acid Diabetes insipidus Diabetes mellitus Type 1 Intestinal anti-inflammatories: Aminosalicylic acid and similar agents Intestinal anti-inflammatories: Corticosteroids Other immunosuppressive agents: Azathioprine Other immunosuppressive agents: Methotrexate Systemic Corticosteroids: Prednisone Posterior pituitary hormones: Vasopressin and analogues Fast-acting Insulins Intermediate-acting or long-acting combined with fast-acting Insulins (Biphasic) Intermediate-acting Insulins Long-acting Insulins Folic acid 50mg 60mg 0. Mesalazine Asacol 400mg; 800mg Mezavant Pentasa Salofalk 1200mg 500mg; 1000mg 1000mg Olsalazine Dipentum 250mg Sulfasalazine Salazopyrin 500mg Budesonide Salazopyrin EN Entocord enema 500mg Azathioprine Azamun 50mg Azathioprine PCH 50mg Methotrexate Abitrexate 2. Methotrexate 2. Prednisone Be-Tabs Prednisone Panafcort Trolic Desmopressin Ddavp 0.1mg; 0.2mg Insulin Glulisine Insulin Human Insulin Lispro Insulin Aspart Insulin Human Insulin Lispro Insulin Human Insulin Detemir Insulin Glargine Ddavp nasal spray 5ml Apidra - cartridge 3ml Biosulin r - cartridge 3ml Humulin r - cartridge 3ml; vial 10ml 0.1mg/1ml Humalog - cartridge 3ml; kwikpen 3ml; vial 10ml Novomix 30 - flexpen 3ml Actraphane hm(ge) - 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; kwikpen 3ml; vial 10ml Humalog mix 50 - cartridge 3ml; kwikpen 3ml Biosulin l - cartridge 3ml Biosulin n - cartridge 3ml Humulin n - cartridge 3ml; kwikpen 3ml; vial 10ml Levemir - prefilled cartridge 3ml Basaglar - cartridge 3ml; pre-filled pen 3ml Optisulin - cartridge 3ml; pen 3ml Aspirin Acetylsalicylic acid Myoprin Page 13 of 25 01/2018

14 Diabetes mellitus Type 1 Blood glucose monitoring agents Glucose strips Accu-chek active strips Accu chek instant strips Caresens n glucose test strips 29g Fora diamond blood glucose strips Freestyle optium glucose test strips Glucocheck strips 50 s Glucoplus Glucoplus provider strips Glucose test strips easymax On-call plus ez strips Onetouch select plus test strips Onetouch select test strips Test blood glucose strip clicks bionime gs550 Surgical item Lancets Lancets 50's Lancets blood collection needles loris Lancet fora collection needles sterile 3 Lancets solus v2 Lancets unilet sterile 28g Lancets unilet sterile 28g 4cm x 6cm x 7 On-call lancets glucose Needles 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 insulin pen bd microfine 30g 8mm Needle insulin pen bd microfine 31g 5mm Needle insulin pen bd microfine tw 32g 4mm Needle novofine Syringes Needle accufine insulin pen 8 x 30g Diabetes mellitus Type 2 Biguanides Syringe insulin 1.0ml with 27g needle Syringe insulin bd microfine 0.3ml 30g 8mm demi Syringe insulin bd microfine 1ml 9g 12.7mm Syringe insulin bd microfine 1ml 30g 8mm Metformin Accord Metformin 500mg; 850mg Apex-Metformin 500mg Arrow Metformin Austell-Metformin Bigsens Diaformin Diaformin forte Diamin Diaphage Gluconorm 500mg; 850mg 500mg; 850mg 500mg; 850mg; 1000mg 500mg 850mg 500mg; 850mg 500mg; 850mg; 1000mg 500mg; 850mg Page 14 of 25 01/2018

15 Diabetes mellitus Type 2 Biguanides Metformin Mengen 500mg; 850mg; 1000mg Metchek 500mg; 850mg Fast-acting Insulins Insulin Glulisine Insulin Human Metforal Metformin Alkem Metored Metphage Mylan Metformin Romidab Sandoz Metformin Sandoz Metformin FCT Apidra - cartridge 3ml Biosulin r - cartridge 3ml 500mg; 850mg 500mg; 850mg 500mg; 850mg; 1000mg 500mg; 850mg 500mg; 850mg; 1000mg 500mg; 850mg; 1000mg 500mg 500mg; 850mg Humulin r - cartridge 3ml; vial 10ml Intermediate-acting or long-acting combined with fast-acting Insulins (Biphasic) Intermediate-acting Insulins Long-acting Insulins Insulin Lispro Insulin Aspart Insulin Human Insulin Lispro Insulin Human Insulin Detemir Insulin Glargine Humalog - cartridge 3ml; kwikpen 3ml; vial 10ml Novomix 30 - flexpen 3ml Actraphane hm(ge) - 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; kwikpen 3ml; vial 10ml Humalog mix 50 - cartridge 3ml; kwikpen 3ml Biosulin l - cartridge 3ml Biosulin n - cartridge 3ml Humulin n - cartridge 3ml; kwikpen 3ml; vial 10ml Levemir - prefilled cartridge 3ml Basaglar - cartridge 3ml; pre-filled pen 3ml Optisulin - cartridge 3ml; pen 3ml Other, excluding Insulins: Exanatide Sulfonamides, urea derivatives Exanatide Byetta disposable pen 1.2ml 5mcg/1dose 60 dose Byetta disposable pen 2.4ml 10mcg/1dose 60 dose Glibenclamide Bio-Glibenclamide Diacare Glycomin Gliclazide Adco-Glucomed 80mg Austell-Gliclazide Diaglucide Diaglucide MR Diaran MR Dyna Gliclazide SR Gliclazide Unicorn MR Glycron Glygard Mylan Gliclazide 80mg 80mg 60mg 30mg 30mg 30mg 80mg 80mg 80mg Page 15 of 25 01/2018

16 Diabetes mellitus Type 2 Sulfonamides, urea derivatives Thiazolidinediones Gliclazide Sandoz Gliclazide 80mg Pioglitazone Accord Pioglitazone 1; 30mg; 4 Cipla-Pioglitazone 1; 30mg Aspirin Acetylsalicylic acid Myoprin Blood glucose monitoring agents Glucose strips Accu-chek active strips Accu chek instant strips Caresens n glucose test strips 29g Fora diamond blood glucose strips Freestyle optium glucose test strips Glucocheck strips 50 s Glucoplus Glucoplus provider strips Glucose test strips easymax On-call plus ez strips Onetouch select plus test strips Onetouch select test strips Test blood glucose strip clicks bionime gs550 Dipeptidyl peptidase inhibitors: Saxagliptin Saxagliptin Onglyza 2.; Surgical item Lancets Lancets 50's Lancets blood collection needles loris Lancet fora collection needles sterile 3 Lancets solus v2 Lancets unilet sterile 28g Lancets unilet sterile 28g 4cm x 6cm x 7 On-call lancets glucose Needles 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 insulin pen bd microfine 30g 8mm Needle insulin pen bd microfine 31g 5mm Needle insulin pen bd microfine tw 32g 4mm Needle novofine Syringes Needle accufine insulin pen 8 x 30g Dysrhythmia Anti-arrhythmics: class Ic Anti-arrhythmics: class III - Amiodarone Syringe insulin 1.0ml with 27g needle Syringe insulin bd microfine 0.3ml 30g 8mm demi Syringe insulin bd microfine 1ml 9g 12.7mm Syringe insulin bd microfine 1ml 30g 8mm Flecainide Tambocor Tambocor CR ; 200mg Propafenone Rythmol 150mg; 300mg Amiodarone Arycor ; 200mg Bio-Amiodarone 200mg Page 16 of 25 01/2018

17 Dysrhythmia Anti-arrhythmics: class III - Amiodarone Anti-thrombotic agents: Vitamin K antagonists Amiodarone Hexarone ; 200mg Warfarin Cipla-Warfarin 1mg; Aspirin Acetylsalicylic acid Myoprin Beta blocking agents: Non-selective Propranolol Inderal 10mg Indoblok 10mg; Purbloka Sotalol Sotahexal 80mg; 160mg Beta blocking agents: Selective Atenolol B-Block Bio-Atenolol Gulf Atenolol Tenopress Zetenol Epilepsy Cardiac glycosides: Digoxin Selective calcium channel blockers with direct cardiac effects Anti-epileptics: Benzodiazepine derivatives Anti-epileptics: Carboxamide derivatives Digoxin Lanoxin 0.062; 0.2 Lanoxin paediatric/geriatric syrup 0.0/1ml Verapamil Vasomil ; 80mg Verahexal SR 2 Clonazepam Clonam 0.; 2mg Rivotril 0.; 2mg Carbamazepine Degranol 200mg Tegretol CR 200mg; 400mg Zeptol 200mg Anti-epileptics: Fatty acid derivatives Valproic acid Convulex 150mg Convulex syrup 250mg/5ml Epilim crushable Epilim sugar-free syrup Epilizine CR Eprolep CR Navalpro CR Valeptic CR 200mg/5ml 200mg; 300mg; 500mg 200mg; 300mg; 500mg 200mg; 300mg; 500mg 300mg; 500mg Anti-epileptics: Hydantoin derivatives Anti-epileptics: Other agents Phenytoin Phenytoin sod Lamotrigine Dyna-Lamotrigine 2; ; 200mg Epitec 2; ; 200mg Girotec Lamidus Lamitor ; 200mg 50mg 2; ; 200mg Topiramate Epitoz 2; Anti-epileptics: Barbiturates and derivatives Phenobarbital Lethyl 30mg Sedabarb 30mg Folic acid and derivatives Folic acid Be-Tabs Folic acid Folic acid 0. Glaucoma Anti-glaucoma agents: Carbonic anhydrase inhibitors Dorzolamide Glaucopress 5ml 2% Trusopt 5ml owi 2% Page 17 of 25 01/2018

18 Glaucoma Anti-glaucoma agents: Prostaglandin analogues Bimatoprost Lumigan 0.01% Latanoprost Atana 2.5ml 50mcg/1ml Spersatan 2.5ml Xalatan 2.5ml 50mcg/1ml 50mcg/1ml Travoprost Travatan 2.5ml 0.004% Anti-glaucoma agents: Sympathomimetics Anti-glaucoma Beta blocking agents: Timolol Anti-glaucoma Beta blocking agents: Timolol, combinations Brimonidine Alphagan purite 5ml 1./1ml Brimoct 5ml 2mg/1ml Timolol Glaucosan 5ml 0.5% Occumol 5ml 0.5% Timolol, combinations Azarga 5ml Co-Atana 2.5ml Combigan 5ml 2mg/ Haemophilia Analgesics: Paracetamol Cosopt 5ml 0.5% Duotrav 2.5ml Ganfort 3ml Glaumide-co 5ml Glauopt co 5ml Xalacom 2.5ml Paracetamol Adco-Napamol 500mg Adco-Prolief 500mg Cetapon Painogesic 500mg 500mg Anti-fibrinolytics: Tranexamic acid Tranexamic Acid Medwich 500mg Amino acids Blood coagulation factors Coagulation factor IX Haemosolvex IX 500U Coagulation factor VIII Haemosolvate VIII 300U; 500U; 1000U Hyperlipidaemia Posterior pituitary hormones: Vasopressin and analogues Lipid modifying agents: Fibrates Lipid modifying agents: Statins Desmopressin Ddavp 0.1mg; 0.2mg Ddavp nasal spray 5ml 0.1mg/1ml Bezafibrate Dyna-Bezafibrate SR 400mg Sandoz Bezafibrate 400mg Atorvastatin Adco Atorvastatin 10mg; ; Aspavor 10mg; ; ; 80mg Astor ; 80mg Atolip Atorvastatin Unicorn Dynator Lestavor Lipogen Vastor 10mg; ; ; 80mg 10mg; ; ; 80mg 10mg; ; ; 80mg 10mg; ; ; 80mg 10mg; ; ; 80mg Simvastatin Adco-Simvastatin 10mg; ; Aspen Simvastatin Austell-Simvastatin Choleste Cipla-Simvastatin 10mg; ; 10mg; ; ; 10mg; ; Page 18 of 25 01/2018

19 Hyperlipidaemia Hypertension Lipid modifying agents: Statins ACE inhibitors and calcium channel blockers Simvastatin Simvacor Zysim 10mg; Perindopril and Amlodipine Coveram 5/; 10/; 5/10mg; 10/10mg ACE inhibitors and diuretics Enalapril and diuretics Enap co 20/12. ACE inhibitors: Plain Pharmapress co 20/12. Lisinopril and diuretics Adco-Zetomax co 10/12.; 20/12. Lisinopril co Unicorn Lisoretic Lisozide Zestoretic 10/12.; 20/12. 10/12.; 20/12. 10/12.; 20/12. 10/12.; 20/12. Perindopril and diuretics Bioprexum Plus 10/2. Ciplasyl Plus Pearinda Plus Perindopril co Unicorn Prexum Plus Vectoryl Plus 4/1.2 4/1.2 4/1.2 5/1.2 4/1.2 Captopril Adco-Captomax 2; 50mg Bio-Captopril Mylan Captopril 2 2; 50mg Enalapril Alapren ; Enalapril Biotech Enalapril Unicorn Envas Hypace ; 10mg; Lisinopril Austell-Lisinopril 10mg; Sinopren ; Perindopril Ciplasyl 4mg; 8mg Pearinda Perindopril Unicorn Prexum Ran-Perindopril Spec-Perindopril 4mg; 8mg 4mg; 8mg 4mg 4mg; 8mg Quinapril Accumax 10mg; Alpha and Beta blocking agents Carvedilol Aspen Carvedilol 6.2; 12.; 2 Angiotensin II antagonists: Combinations Carloc Carvedilol Unicorn Carvetrend Vediblok 6.2; 12.; 2 6.2; 12.; 2 6.2; 12.; 2 6.2; 12.; 2 Losartan and diuretics Hytenza co 50/12. Losaar Plus Losacar co Losartan co Unicorn Netrasol co Zartan co 50/12.; 100/2 50/12. 50/12.; 100/2 50/12.; 100/2 50/12.; 100/2 Page 19 of 25 01/2018

20 Hypertension Angiotensin II antagonists: Combinations Angiotensin II antagonists: Plain Valsartan and diuretics Dynaval co 80/12.; 160/12.; 160/2 Irbesartan Dynarb 150mg; 300mg Losartan Ciplazar Losartan Unicorn Spec-Losartan Zartan Anti-adrenergic agents: Alpha-adrenoreceptor antagonists Anti-adrenergic agents: Methyldopa Anti-adrenergic agents: Rauwolfia alkaloids Arteriolar smooth muscle agents: Hydrazinophthalazine derivatives Beta blocking agents: Non-selective Doxazosin Cardugen 1mg; 4mg Methyldopa Hypotone 250mg Mylan Methyldopa 250mg Reserpine Reserpine 0.2 Hydralazine Hyperphen 10mg; 50mg Sandoz Hydralazine 2 Propranolol Inderal 10mg Indoblok 10mg; Purbloka Beta blocking agents: Selective Atenolol B-Block Bio-Atenolol Gulf Atenolol Tenopress Zetenol High-ceiling diuretics Furosemide Dino-Retic Diuresix Furobe Mylan Furosemide Low-ceiling diuretics: Thiazides, plain Low-ceiling diuretics: excluding Thiazides Hydrochlorothiazide Hexazide 2 Ridaq 12. Indapamide Cipla-Indapamide 2. Daptril 2. Mylan Indapamide 2. Potassium sparing agents Spironolactone Aldactone 2 Sandoz Spironolactone Spiractin 2 2 Potassium supplements Potassium chloride Plenish K 600mg Potassium Chloride Unicorn Sandoz K-600 Ultipot 600mg 600mg 600mg Selective calcium channel blockers with direct cardiac effects Diltiazem Adco-Zildem 60mg Adco-Zildem SR 180mg; 2 Verapamil Vasomil ; 80mg Verahexal SR 2 Selective calcium channel blockers with mainly vascular effects Amlodipine Amtas Austell-Amlodipine Page 20 of 25 01/2018

21 Hypertension Selective calcium channel blockers with mainly vascular effects Amlodipine Calbloc Ciplavasc Gulf Amlodipine Lomanor Pendine Pharma Dynamics Amlodipine besylate Felodipine Felodipine-Hexal Plendil 2.; Nifedipine Cipalat Retard Hypothyroidism Thyroid hormones Levothyroxine sodium Euthyrox 25mcg; 50mcg; 100mcg Multiple sclerosis Anti-depressants: Tricyclics Amitriptyline Gulf Amitriptyline 2 Sandoz Amitriptyline 2 Trepiline 10mg Drugs for urinary frequency and incontinence Oxybutynin Lenditro Mylan Oxybutynin Oxyrest Interferons Interferon beta-1a Avonex pre-filled syringe 0.5ml 30mcg/0.5ml Rebif 22 pre-filled syringe 0.5ml 22mcg/0.5ml Rebif 22 rebidose pre-filled pen 0.5ml 22mcg/0.5ml Rebif 44 pre-filled syringe 0.5ml 44mcg/0.5ml Rebif 44 rebidose pre-filled pen 0.5ml 44mcg/0.5ml Interferon beta-1b Betaferon pre-filled syringe 1ml U/1ml Muscle relaxants: Other centrally acting agents Systemic Corticosteroids: Prednisone Baclofen Bio-Baclofen 10mg Teva Baclofen 10mg Prednisone Be-Tabs Prednisone Panafcort Trolic Parkinson's disease Anticholinergic agents: Biperiden Akineton 2mg Tertiary amines Dopamine agonists Pramipexole Mylan Pramipexole 0.12; 0.2; 1mg Oxpola Pramex 0.12; 0.2; 1mg 0.12; 0.2; 1mg Ropinirole Accord Ropinirole 0.2;0.; 1mg; 2mg; Requip 0.2; 0.; 1mg; 2mg; Dopaminergic agents: Adamantane derivatives Amantadine Symadin Levodopa and decarboxylase inhibitor Levodopa and decarboxylase inhibitor Sinemet Teva Carbi-Levo 25/; 25/250mg 25/; 25/250mg Rheumatoid arthritis Anti-inflammatory agents: Acetic acid derivatives and related substances Diclofenac Adco-Diclofenac 50mg A-Lennon Diclofenac 2; 50mg Diclofenac Biotech 2 Mylan Diclofenac 2; 50mg Page 21 of 25 01/2018

22 Rheumatoid arthritis Anti-inflammatory agents: Acetic acid derivatives and related substances Diclofenac Panamor AT 50mg Indomethacin Betacin 2 Gulf Indomethacin 2 Methocaps 2 Anti-inflammatory agents: Coxibs Anti-inflammatory agents: Oxicams Celecoxib Coxleon ; 200mg Meloxicam Adco-Meloxicam 1 Coxflam 7. Flexocam Medoxicam Zydus-Meloxicam 7. Piroxicam Pyrocaps Roxifen Anti-inflammatory agents: Propionic acid derivatives Ibuprofen Betaprofen 200mg Betaprofen FC 400mg Bren Ibucine Ibunate 400mg 200mg; 400mg 200mg Ranfen 400mg Naproxen Mylan Naproxen 250mg Naproscript 250mg Anti-rheumatic agents: Chloroquine Chloroquine Plasmoquine 200mg Folic acid and derivatives Folic acid Be-Tabs Folic acid Folic acid 0. Intestinal anti-inflammatories: Aminosalicylic acid and similar agents Other immunosuppressive agents: Azathioprine Other immunosuppressive agents: Methotrexate Systemic Corticosteroids: Prednisone Sulfasalazine Salazopyrin 500mg Salazopyrin EN 500mg Azathioprine Azamun 50mg Azathioprine PCH 50mg Methotrexate Abitrexate 2. Methotrexate 2. Prednisone Be-Tabs Prednisone Panafcort Trolic Schizophrenia Anti-depressants: SSRI s Citalopram Adco-Talomil Arrow Citalopram Bio Citalopram Cilate Escitalopram Accord Escitalopram 10mg; Zitolex Zytomil 10mg; 10mg; Fluoxetine Deprozan Fluoxetine Actor Prolax Page 22 of 25 01/2018

23 Schizophrenia Anti-depressants: SSRI s Fluoxetine Ranflocs Sertraline Dyna Sertraline Serdep Anti-epileptics: Carboxamide derivatives Serlife Carbamazepine Degranol 200mg Tegretol CR 200mg; 400mg Zeptol 200mg Anti-psychotics: Clozapine Anti-psychotics: Olanzapine Clozapine Aspen Clozapine 2; Cloment 2; Olanzapine Olawin Olawin oradispersible Olexar Prexolan ODT Redilanz Zylena Anti-psychotics: Phenothiazines with aliphatic sidechain Anti-psychotics: Quetiapine Chlorpromazine Largactil 2; Quetiapine Dopaquel 2; ; 200mg; 300mg Mylan Quetiapine 2; ; 200mg; 300mg Psyquet 2; ; 200mg; 300mg Quetiapine Biotech 2; ; 200mg; 300mg Quetoser Serez Spec Quetiapine 2; ; 200mg; 300mg 2; ; 200mg; 300mg 2; ; 200mg; 300mg Anti-psychotics: Thioxanthene derivatives Flupenthixol Fluanxol 0.; 1mg Fluanxol depot 1ml Fluanxol depot 2ml Zuclopenthixol Clopixol 2mg; 10mg Clopixol depot 200mg Other anti-psychotics Risperidone Perizal 0.; 1mg; 2mg; 3mg Risnia Rispacor Rispevon 0.; 1mg; 2mg; 3mg 0.; 1mg; 2mg; 3mg 1mg; 2mg; 3mg; 4mg Systemic lupus erythematosus (SLE) Anti-inflammatory agents: Acetic acid derivatives and related substances Zoxadon 0.; 1mg; 2mg; 3mg; 4mg Diclofenac Adco-Diclofenac 50mg A-Lennon Diclofenac 2; 50mg Diclofenac Biotech 2 Mylan Diclofenac Panamor AT 2; 50mg 50mg Indomethacin Betacin 2 Gulf Indomethacin 2 Anti-inflammatory agents: Coxibs Anti-inflammatory agents: Oxicams Methocaps 2 Celecoxib Coxleon ; 200mg Meloxicam Adco-Meloxicam 1 Page 23 of 25 01/2018

24 Systemic lupus erythematosus (SLE) Anti-inflammatory agents: Oxicams Meloxicam Coxflam 7. Flexocam 7. Medoxicam Zydus-Meloxicam Piroxicam Pyrocaps Roxifen Anti-inflammatory agents: Propionic acid derivatives Ibuprofen Betaprofen 200mg Betaprofen FC 400mg Bren Ibucine Ibunate Ranfen 400mg 200mg; 400mg 200mg 400mg Naproxen Mylan Naproxen 250mg Naproscript 250mg Anti-rheumatic agents: Chloroquine Anti-thrombotic agents: Vitamin K antagonists Chloroquine Plasmoquine 200mg Warfarin Cipla-Warfarin 1mg; Aspirin Acetylsalicylic acid Myoprin Emolients and protectives: Zinc products Zinc ointment bp Zinc products Folic acid and derivatives Folic acid Be-Tabs Folic acid Folic acid 0. Other immunosuppressive agents: Azathioprine Other immunosuppressive agents: Methotrexate Systemic Corticosteroids: Prednisone Azathioprine Azamun 50mg Azathioprine PCH 50mg Methotrexate Abitrexate 2. Methotrexate 2. Prednisone Be-Tabs Prednisone Panafcort Trolic Topical Corticosteroids: Group III Betamethasone Repivate cream 0.1% Topivate cream 0.1% Vari-Betamethasone cream 0.1% Ulcerative colitis Folic acid and derivatives Folic acid Be-Tabs Folic acid Folic acid 0. Intestinal anti-inflammatories: Aminosalicylic acid and similar agents Mesalazine Asacol 400mg; 800mg Mezavant 1200mg Pentasa 500mg; 1000mg Salofalk 1000mg Olsalazine Dipentum 250mg Sulfasalazine Salazopyrin 500mg Salazopyrin EN 500mg Intestinal anti-inflammatories: Corticosteroids Budesonide Entocord enema Other immunosuppressive agents: Azathioprine Azathioprine Azamun 50mg Azathioprine PCH 50mg Page 24 of 25 01/2018

25 Ulcerative colitis Other immunosuppressive agents: Methotrexate Systemic Corticosteroids: Prednisone Methotrexate Abitrexate 2. Methotrexate 2. Prednisone Be-Tabs Prednisone Panafcort Trolic Complaints process You may lodge a complaint or query with Glencore Medical Scheme directly on or address a complaint in writing to the Principal Officer at the Scheme s registered address. Should your complaint remain unresolved, you may lodge a formal dispute by following the Glencore Medical Scheme internal disputes process. You may, as a last resort, approach the Council for Medical Schemes for assistance. Council for Medical Schemes Complaints Unit, Block A, Eco Glades 2 Office Park, 420 Witch-Hazel Avenue, Eco Park, Centurion, 0157 / / complaints@medicalschemes.com/ Page 25 of 25 01/2018