COVERSYL 5 3,730 PERINDOPRIL COVERSYL PERINDOPRIL COVERSYL PLUS 4,125 PERINDOPRIL+INDAPAMIDE غير متوفر CLEXANE ,010 ENOXAPARIN

Size: px
Start display at page:

Download "COVERSYL 5 3,730 PERINDOPRIL COVERSYL PERINDOPRIL COVERSYL PLUS 4,125 PERINDOPRIL+INDAPAMIDE غير متوفر CLEXANE ,010 ENOXAPARIN"

Transcription

1 مالحظات التركيب العلمي السعر الدواء األجنبي SERETIDE-500 7,425 FLUTICASONE+ SALMETEROL SERETIDE-100 4,265 FLUTICASONE+ SALMETEROL ATROVENT INHALER 1,970 IPRATROPIUM IMURAN 2,500 AZATHIOPRINE VENTOLIN DISKUS 610 SALBUTAMOL SULPHATE METHOTREXAT 2,190 METHOTREXAT 2.5 AVODART TM 1,775 DUTASTERIDE SYMBICORT ,680 FORMOTEROL+BUDESONIDE SYMBICORT ,080 FORMOTEROL+BUDESONIDE AVAMYS 2,275 FLUTICASONE FUROATE COVERAM-5/5 9,550 COVERAM-5/10 1,730 COVERAM-10/5 12,760 COVERAM-10/10 2,400 PERINDOPRIL+AMLODIPINE BESYLATE PERINDOPRIL+AMLODIPINE BESYLATE PERINDOPRIL+AMLODIPINE BESYLATE PERINDOPRIL+AMLODIPINE BESYLATE COVERAM-10/10 4,900 COLECALCIFEROL GENTEAL 650 HYPROMELLOSE BETALOC-50 3,210 METOPROLOL SUCCINATE BETALOC-100 5,390 METOPROLOL SUCCINATE ONGLYZA-2.5 TAB 10,595 SAXAGLIPTIN ONGLYZA-5 TAB 20,130 SAXAGLIPTIN RHINOCORT AQUA 2,985 BUDESONIDE DEPAKINE-CHRONO CTD TAB. 3,205 SODIUM VALPROATE DEPAKINE 2,900 SODIUM VALPROATE COVERSYL 5 3,730 PERINDOPRIL COVERSYL PERINDOPRIL COVERSYL PLUS 4,125 PERINDOPRIL+INDAPAMIDE CLEXANE ,080 ENOXAPARIN CLEXANE ,195 ENOXAPARIN CLEXANE ,010 ENOXAPARIN CLEXANE ,130 ENOXAPARIN BRONCHICUM 1,800 PRIMULA ROOT FLUID EXTRACT+THYM غير مغطى DAIVOBET GEL. 13,305 BETAMETHASONE + CALCIPOTRIOL DAIVOBET 7,985 BETAMETHASONE + CALCIPOTRIOL

2 مالحظات التركيب العلمي السعر الدواء األجنبي MINIRIN NASAL SPRAY 7,970 DESMOPRESSIN MINIRIN MELT-60 13,000 DESMOPRESSIN MINIRIN MELT ,235 DESMOPRESSIN ONBREZ 14,610 INDACATEROL METRAN INJ. 3,610 MECOBALAMIN FRAXIPARINE NADROPARINE CALCIUM INNOHEP ,585 TINZAPARIN INNOHEP ,180 TINZAPARIN INNOHEP ,235 TINZAPARIN INNOHEP ,005 TINZAPARIN INNOHEP ,185 TINZAPARIN MIACALCIC-50 I.U AMP 9,070 CALCITONIN MIACALCIC 100 I.U AMP 8,695 CALCITONIN MIACALCIC 200 NS 25,915 CALCITONIN AZARAM TAB. 5,745 AZATHIOPRINE ENOXAPARIN-4000/0.4 ML 2,545 ENOXAPARINE ENOXAN-6000/0.6 ML 2,530 ENOXAPARINE ENOXAN-4000/0.4 ML 2,425 ENOXAPARINE FUCITHALMIC EYE DROPS 1,720 FUSIDIC ACID FUCIDIN H CREAM 2,995 HYDROCORTISONE + FUSIDATE SAFERON AMP 6,150 IRON DEXTRAN ARIXTRA-2.5 INJ. 1,650 FONDAPARINUX EPOTIN-4000 I.U 6,500 ERYTHROPOIETIN-HUMAN CINNAPOIETIN_ 2000 IU 3,665 ERYTHROPOIETIN-HUMAN CINNAPOIETIN_ 4000 IU 8,020 ERYTHROPOIETIN-HUMAN CINNAPOIETIN_ IU 15,845 ERYTHROPOIETIN-HUMAN ERYKINE I.U SYRING 7,865 ERYTHROPOIETIN-HUMAN EVISTA TAB 3,500 RALOXIFENE FLIXOTIDE EVOHALER 250 2,925 FLUTICASONE FUROATE FOSBAIT-250 TAB 8,300 LANTHANUM CARBONATE FOSBAIT-500 TAB 14,385 LANTHANUM CARBONATE IPRAVENT INHALER 515 IPRATROPIUM BROMIDE LETRAX TAB 8,975 LETROZOLE NITRODERM TTS-10 3,595 NITROGLYCERIN NITRODERM TTS-5 3,230 NITROGLYCERIN PENTSA ENEMA 8,490 MISALAZINE PENTASA SACHET 1 G 25,460 MISALAZINE PENTASA SACHET 2G 53,890 MISALAZINE

3 مالحظات التركيب العلمي السعر الدواء األجنبي PENTASA SUPP. 18,945 MISALAZINE PENTASA 100 TAB. 19,910 MISALAZINE RHEUMASTOP 520 DICLOFENAC DIETHYLAMMONIUM TIOVA INHALER 2,530 TIOTROPIUM XAMIOL SCALP GEL 5,310 CALCIPOTRIOL + BETAMETHASONE AS VALERATE BOLGRE SACHET 1,800 IRON ACETYL-TRANSFERASE SYNACTHEN DEPOT AMP. 1,190 TETRACOSACTID CUTENOX-40 SYRING 1,840 ENOXAPARIN CUTENOX-60 SYRING 2,685 ENOXAPARIN CUTENOX-80 SYRING 3,230 ENOXAPARIN ESPOGEN PREFILLED ,215 ERYTHROPOITIN RISEK 3,945 OMEPRAZOLE LOMAC 2,050 OMEPRAZOLE BUDENASE AQ NASAL SPRAY 1,775 BUDESONIDE SITCOM TAB 4,165 EUPHORBIA PROSTATA EXTRACT بديله الوطني غير متوافر حاليا INSULINE ACTRAPED VIAL 6,200 rdna HUMAN INSULIN بديله الوطني غير متوافر حاليا INSULINE ACTRAPED PENFILL 13,395 rdna HUMAN INSULIN NOVORAPID VIAL 6,935 INSULIN ASPART rdna NOVORAPID PENFILL 21,125 INSULIN ASPART rdna NOVORAPID FLEXPEN 8,965 INSULIN ASPART rdna NOVOMIX 30 PENFILL 24,190 INSULIN ASPART+PROTAMINE- CRYSTALLISED INSULIN ASPART بديله الوطني غير متوافر حاليا NOVOMIX 30 FLEXPEN 3,800 INSULIN ASPART+PROTAMINE- CRYSTALLISED INSULIN ASPART بديله الوطني غير متوافر حاليا JUSLINE N VIAL 4,000 ISOPHANE HUMAN INSULIN بديله الوطني غير متوافر حاليا JUSLINE R VIAL 4,000 rdna HUMAN INSULIN بديله الوطني غير متوافر حاليا LANTUS SOLOSTAR PEN 46,360 INSULIN GLARGINE LEVEMIR FLEXPEN 37,560 INSULIN DETEMIR HUMALOG MIX 25 CART 10,580 INSULIN LISPRO+INSULIN LISPRO PROTAMINE HUMALOG MIX 50 CART 10,580 INSULIN LISPRO+INSULIN LISPRO PROTAMINE VITA D ,365 COLECALCIFEROL بديله الوطني غير متوافر حاليا INSULATARD HM VIAL 6,200 ISOPHANE HUMAN INSULIN بديله الوطني غير متوافر حاليا INSULATARD HM PENFILL 13,395 ISOPHANE HUMAN INSULIN بديله الوطني غير متوافر حاليا MIANIN-50 I.U AMP. 9,700 CALCITONIN SEROFLO-250 INHALER 3,040 FLUTICASONE+ SALMETEROL

4

5

6

7

8

9

Short-acting insulins. Biphasic insulins. Intermediate- and long-acting insulins

Short-acting insulins. Biphasic insulins. Intermediate- and long-acting insulins Recommended Insulin Products This guideline states the Gloucestershire Joint Formulary recommended, first choice insulin products. The intention is to support the choice of treatment for new patients,

More information

Calgary Long Term Care Formulary

Calgary Long Term Care Formulary Page 1 of 10 Calgary Long Term Care Formulary Pharmacy & Therapeutics November 2018 Highlights https://www.albertahealthservices.ca/info/page4071.aspx Page 2 of 10 Contents November 2018... 3 Formulary

More information

Calgary Long Term Care Formulary

Calgary Long Term Care Formulary Page 1 of 14 Calgary Long Term Care Formulary Pharmacy & Therapeutics Highlights https://www.albertahealthservices.ca/info/page4071.aspx Page 2 of 14 Contents... 3 Formulary Changes (Additions, Changes,

More information

Alameda Alliance for Health Pharmacy & Therapeutics (P&T) Committee Decisions

Alameda Alliance for Health Pharmacy & Therapeutics (P&T) Committee Decisions Alameda Alliance for Health FORMULARY UPDATE Effective: April 21, 2017. Drugs notated with an * have an undetermined implementation date Alameda Alliance for Health Pharmacy & Therapeutics (P&T) Committee

More information

NIT 97 - APPROVED DRUG LIST

NIT 97 - APPROVED DRUG LIST 1 EDL0422 Name of the and Strength Chlorine based compound NADCC Tablets 75 mg With Available Chloroine 45 mg BIS* 1 pack of 1000 tablets VAT 440748 71.0000 74.5500 ADHISH INDUSTRIES 2 120092 Cloxacillin

More information

Step Therapy Requirements

Step Therapy Requirements An Independent Licensee of the Blue Cross and Blue Shield Association Step Therapy Requirements Effective: 05/01/2018 Updated 4/2018 H0302_2_2014 CMS Accepted 05/05/2014 1 BETA-BLOCKERS BYSTOLIC 10 MG

More information

Step Therapy Requirements

Step Therapy Requirements An Independent Licensee of the Blue Cross and Blue Shield Association Step Therapy Requirements Effective: 12/01/2017 Updated 11/2017 H0302_2_2014 CMS Accepted 05/05/2014 1 ABILIFY Abilify 10 mg tablet

More information

Insulin Prior Authorization with optional Quantity Limit Program Summary

Insulin Prior Authorization with optional Quantity Limit Program Summary Insulin Prior Authorization with optional Quantity Limit Program Summary 1-13,16-19, 20 FDA LABELED INDICATIONS Rapid-Acting Insulins Humalog (insulin lispro) NovoLog (insulin aspart) Apidra (insulin glulisine)

More information

Advance Notification of Amendments to the March 2017 Drug Tariff

Advance Notification of Amendments to the March 2017 Drug Tariff Advance Notification of Amendments to the March 2017 Drug Tariff ADDITIONS Part I - Drugs And Preparations Special Container Drug Qty Price Acetylcysteine 600mg capsules 30 39.95 A Caffeine citrate 50mg/5ml

More information

TABLE OF CONTENTS (Click on a link below to view the section.)

TABLE OF CONTENTS (Click on a link below to view the section.) Follow the links below to access the complete formularies for Plans: Health Plan Acne Allergy Allergic Anaphylactic Reaction Allergic Conjunctivitis Allergic Rhinitis Asthma Atopic Dermatitis Behavioral

More information

Dose. Route. Units. Given. Dose. Route. Units. Given

Dose. Route. Units. Given. Dose. Route. Units. Given Chapter 4 Respiratory Andrew Stanton SALBUTAMOL (in acute asthma) 5 in acute asthma Nebulised (driven by oxygen not air) 4 6 hourly In acute severe asthma not responding to initial treatment or in life-threatening

More information

Oregon Health Plan prescription benefit updates

Oregon Health Plan prescription benefit updates Oregon Health Plan prescription benefit updates EOCCO s prescription program is a pharmacy benefit that offers members a choice of safe and effective medication treatments. The program also helps you save

More information

PHARMACISTS INTERACTIVE EDUCATION CASE STUDIES

PHARMACISTS INTERACTIVE EDUCATION CASE STUDIES PHARMACISTS INTERACTIVE EDUCATION CASE STUDIES Disclaimer: The information in this document is not a substitute for clinical judgment in the care of a particular patient. CADTH is not liable for any damages

More information

Drug Effectiveness Review Project Summary Report Long acting Insulins

Drug Effectiveness Review Project Summary Report Long acting Insulins Copyright 2012 Oregon State University. All Rights Reserved Drug Use Research & Management Program Oregon State University, 500 Summer Street NE, E35 Salem, Oregon 97301-1079 Phone 503-947-5220 Fax 503-947-1119

More information

PHARMACISTS INTERACTIVE EDUCATION CASE STUDIES

PHARMACISTS INTERACTIVE EDUCATION CASE STUDIES PHARMACISTS INTERACTIVE EDUCATION CASE STUDIES Disclaimer: The information in this document is not a substitute for clinical judgment in the care of a particular patient. CADTH is not liable for any damages

More information

What the Pill Looks Like. How it Works. Slows carbohydrate absorption. Reduces amount of sugar made by the liver. Increases release of insulin

What the Pill Looks Like. How it Works. Slows carbohydrate absorption. Reduces amount of sugar made by the liver. Increases release of insulin Diabetes s Oral s - Pills These are some of the pills that are currently available in Canada to treat diabetes. Each medication has benefits and side effects you should be aware of. Your diabetes team

More information

1 ( concentrated electrolytes ) ก

1 ( concentrated electrolytes ) ก ก ก HAD 1 ( concentrated electrolytes ) ก ก ก ( ) ก ก ก ก 2 ก ก ก (Patient care unit) ก ก ก ก ( Hemodialysis ) ก ก ก ก ก ก stock card ก ก ( High Alert Drug (HAD)) ก ก ก ก (Pharmacy and Therapeutic Committee

More information

DT Description Price Category Price change Percentage BNF 1.2 Mebeverine 135mg tablets (100) 759 M %

DT Description Price Category Price change Percentage BNF 1.2 Mebeverine 135mg tablets (100) 759 M % June 2016 On 13th May, the DH announced that there would be reductions to Category M prices from June until September. http://psnc.org.uk/our-news/contractor-notice-category-m-price-reduction/ This has

More information

Respiratory Inhalers. Identification Guide Version 3

Respiratory Inhalers. Identification Guide Version 3 Respiratory Inhalers Identification Guide Version 3 This booklet has been prepared by NHSGGC Medicines Information. Endorsed by NHSGGC Respiratory Managed Clinical Network, February 2017. Designed by Medical

More information

TABLE OF CONTENTS (Click on a link below to view the section.)

TABLE OF CONTENTS (Click on a link below to view the section.) Follow the links below to access the complete formularies for Plans: Buckeye Health Plan Acne Allergy Allergic Anaphylactic Reaction Allergic Conjunctivitis Allergic Rhinitis Asthma Atopic Dermatitis Behavioral

More information

DT Description Price Category Price change Percentage BNF 1.2 Mebeverine 135mg tablets (100) 702 M %

DT Description Price Category Price change Percentage BNF 1.2 Mebeverine 135mg tablets (100) 702 M % December 16 No Category M changes so the reductions imposed in May which were only supposed to last until September continue As in November, most changes are Category A lines with a few Category C. Significant

More information

Release of the 2013/14 Invitation to Tender

Release of the 2013/14 Invitation to Tender 07 November 2013 Release of the 2013/14 Invitation to Tender The 2013/14 Invitation to Tender (2013/14 ITT) has been distributed today via the electronic tender (etender) system. If you do not receive

More information

ONLINE SUPPLEMENTARY APPENDIX. Webtable 1: Survey facilities random sampling

ONLINE SUPPLEMENTARY APPENDIX. Webtable 1: Survey facilities random sampling ONLINE SUPPLEMENTARY APPENDIX Webtable 1: Survey facilities random sampling Delhi, also known as the National Capital Territory (NCT) of Delhi, is divided into total 11 districts namely New Delhi, North

More information

Guide to Inhaled Treatment Choices

Guide to Inhaled Treatment Choices Guide to Inhaled Treatment Choices Note: this is guidance only, it is important to consider which device is best suited to the patient. This may NOT be the first line choice (but should be on the joint

More information

Guide to Inhaled Treatment Choices

Guide to Inhaled Treatment Choices Guide to Inhaled Treatment Choices Note: this is guidance only, it is important to consider which device is best suited to the patient. This may NOT be the first line choice (but should be on the joint

More information

Plan Year CCHP Senior Program (HMO) Step Therapy Criteria (ST)

Plan Year CCHP Senior Program (HMO) Step Therapy Criteria (ST) Plan Year 2016 CCHP Senior Program (HMO) Step Therapy Criteria (ST) Step Therapy: In some cases, CCHP Senior Program (HMO) requires you to first try certain drugs to treat your medical condition before

More information

12:00 Autonomic Drugs 12:00. Autonomic Drugs

12:00 Autonomic Drugs 12:00. Autonomic Drugs Autonomic Drugs Autonomic Drugs 12:04 PARASYMPATHOMIMETIC (CHOLINERGIC) AGENTS PILOCARPINE HCL 5 MG ORAL TABLET 00002216345 SALAGEN 1.4298 PYRIDOSTIGMINE BROMIDE 60 MG ORAL TABLET 00000869961 MESTINON

More information

LIST OF DRUGS / MEDICINES ITEMS FOR THE YEAR (Non-Prequalified Items) A: Injection Antimicrobials Sr. No.

LIST OF DRUGS / MEDICINES ITEMS FOR THE YEAR (Non-Prequalified Items) A: Injection Antimicrobials Sr. No. LIST OF DRUGS / MEDICINES ITEMS FOR THE YEAR 2017-2018 (Non-Prequalified Items) A: Injection Antimicrobials Sr. 1 Amphotericin B vial of 50mg with wfi individually packed in carton with 2 Artemether 80mg/ml

More information

THERAPEUTIC AREA NAME STRENGTH DOSAGE FORM

THERAPEUTIC AREA NAME STRENGTH DOSAGE FORM Value Based Tier Drugs are selected for the management of Asthma, Diabetes, Hypertension and Hyperlipidemia. These drugs are covered at no charge or at a reduced cost share. Medications are under continual

More information

OFFERâ S INJECTABLES

OFFERâ S INJECTABLES A B Page 6 7 8 9 0 C 6 7 Page 8 9 0 D E Page 6 7 8 9 F Page 6 7 8 9 G H Page 6 7 8 9 I 6 7 Page 6 8 9 0 J 6 7 Page 7 K 6 7 8 9 L Page 8 6 7 8 9 0 Page 9 6 7 8 9 0 Page 0 OFFERâ S INJECTABLES Alimentary

More information

UPLB-S , SUPPLY AND DELIVERY OF DRUGS AND MEDICINES TECHNICAL SPECIFICATION FOR THE PUBLIC BIDDING OF: OPENING OF BIDS:

UPLB-S , SUPPLY AND DELIVERY OF DRUGS AND MEDICINES TECHNICAL SPECIFICATION FOR THE PUBLIC BIDDING OF: OPENING OF BIDS: 1 1 0.3 Sodium Chloride with 5% Dextrose in 1000 ml in plastic bottle 2 0.3 Sodium Chloride With 5% Dextrose In 500 ml In Plastic Bottle 3 0.9 Sodium Chloride with 5% Dextrose 1000 ml in plastic bottle

More information

TABLE OF CONTENTS (Click on a link below to view the section.)

TABLE OF CONTENTS (Click on a link below to view the section.) Follow the links below to access the complete formularies for Plans: Health Plan Acne Allergy Allergic Anaphylactic Reaction Allergic Conjunctivitis Allergic Rhinitis Asthma Atopic Dermatitis Behavioral

More information

2014 Quantity Limits (QL) Criteria

2014 Quantity Limits (QL) Criteria 2014 Quantity Limits (QL) Criteria Certain drugs covered through your EmblemHealth Medicare HMO/PPO Medicare Plan are covered for only a limited quantity. We do this to ensure compliance with the US Food

More information

2015 Chinese Community Health Plan Senior Program (HMO) Step Therapy Criteria Last Updated 11/1/2015

2015 Chinese Community Health Plan Senior Program (HMO) Step Therapy Criteria Last Updated 11/1/2015 2015 Chinese Community Health Plan Senior Program (HMO) Step Therapy Last Updated 11/1/2015 APLENZIN TAB 174MG, 348MG, 522MG Step Therapy requires trial of bupropion SR or bupropion XL in previous 180

More information

Drug Schedule For RC 143

Drug Schedule For RC 143 S.No. NO. NAME and DESCRIPTION Unit Turnover EMD DRUGS FOR RESPIRATORY SALBUTAMOL TAB - Each Tab to SYSTEM 1 30a contain:salbutamol 2mg. 1 tab 9600000 100000 200000 SALBUTAMOL TAB - Each Tab to 2 30b contain:salbutamol

More information

What is shelf life of lantus

What is shelf life of lantus What is shelf life of lantus Search 6-6-2011 I've been told Lantus looses some of it's effectiveness after 30. Levemir has a 42 day shelf life after opening. 5 Reasons to Join Diabetic Connect;. Lantus

More information

Step Therapy Criteria (Criteria for Step Therapy-2 [ST-2] Drugs)

Step Therapy Criteria (Criteria for Step Therapy-2 [ST-2] Drugs) CareAdvantage CMC 2018 Formulary Supplement II (List of Covered Drugs) Step Therapy Criteria (Criteria for Step Therapy-2 [ST-2] Drugs) Formulary ID: 00018157 Formulary Version:11 19 CMS Approved: 08/21/2018

More information

20:00. Blood Formulation, Coagulation and Thrombosis. 20:00 Blood Formulation, Coagulation and Thrombosis

20:00. Blood Formulation, Coagulation and Thrombosis. 20:00 Blood Formulation, Coagulation and Thrombosis Blood Formulation, Coagulation and Thrombosis Blood Formulation, Coagulation and Thrombosis 20:04.04 ANTIANEMIA DRUGS (IRON PREPARATIONS) IRON DEXTRAN COMPLEX 50 MG / ML INJECTION 00002205963 DEXIRON LPI

More information

THERAPEUTIC AREA NAME STRENGTH DOSAGE FORM

THERAPEUTIC AREA NAME STRENGTH DOSAGE FORM Value Based Tier Drugs are selected for the management of Asthma, Diabetes, Hypertension and Hyperlipidemia. These drugs are covered at no charge or at a reduced cost share. Medications are under continual

More information

Chapter 6: Endocrine System

Chapter 6: Endocrine System Chapter 6: Endocrine System 6.1.1 Insulins Consult BNF for full details. Refer to Sheffield Guidelines on Diabetes: http://nww.sheffield.nhs.uk/publichealth/diabetes.php Insulin can be initiated in primary

More information

Drug Schedule For RC 143(A)

Drug Schedule For RC 143(A) DRUGS FOR RESPIRATORY SALBUTAMOL TAB - Each Tab to SYSTEM 1 30a contain:salbutamol 2mg. 1 tab 9600000 100000 200000 SALBUTAMOL TAB - Each Tab to 2 30b contain:salbutamol 4 mg. 1 tab 8000000 80000 160000

More information

THE COPD PRESCRIBING TOOL

THE COPD PRESCRIBING TOOL THE COPD PRESCRIBING TOOL Revised edition, 2017 www.bpac.org.nz/copd CLASSIFICATION The COPD prescribing tool This tool provides pharmacological treatment options for patients with COPD based on their

More information

YES = formulary NO = non-formulary NO BENEFIT = excluded. Beat4 Beat1 Beat 3 Pace2 Beat2 Pace1 Pace3 Pace4 B BECLOMETHASONE BECEZE 50MCG INHALER

YES = formulary NO = non-formulary NO BENEFIT = excluded. Beat4 Beat1 Beat 3 Pace2 Beat2 Pace1 Pace3 Pace4 B BECLOMETHASONE BECEZE 50MCG INHALER Benefits are subject to the following: Pre-authorisation Bestmed guidelines Bestmed protocols Mediscor Reference Price (MRP) This price represents the reasonable price in the market place for a particular

More information

AETNA BETTER HEALTH January 2017 Formulary Change(s)

AETNA BETTER HEALTH January 2017 Formulary Change(s) AETNA BETTER HEALTH January 2017 Formulary Change(s) The following updates will be made to the Aetna Better Health of MI formulary on March 1, 2017 Drug Name, Strength, Dosage Form ALFUZOSIN HCL ER 10

More information

Alprazolam 0.25mg, 0.5mg, 1mg tablets

Alprazolam 0.25mg, 0.5mg, 1mg tablets Presbyterian Senior Care (HMO) / Presbyterian MediCare PPO Quantity Limits Effective November 1, 2014 For the most recent list of drugs or other questions, please contact the Presbyterian Customer Service

More information

Ministry of Health. BC Chronic Disease and Selected Procedure Case Definitions. Chronic Disease Information Working Group. Date Created: June 29, 2015

Ministry of Health. BC Chronic Disease and Selected Procedure Case Definitions. Chronic Disease Information Working Group. Date Created: June 29, 2015 Ministry of Health BC Chronic Disease and Selected Procedure Case Definitions Author: Chronic Disease Information Working Group Date Created: June 29, 2015 Last Updated: February 01, 2018 Version: Email:

More information

2018 GRS Premier Step Therapy Document. September 2018 Y0114_18_33177_I_010

2018 GRS Premier Step Therapy Document. September 2018 Y0114_18_33177_I_010 2018 GRS Premier Step Therapy Document September 2018 Aggrenox Y0114_18_33177_I_010 AGGRENOX 25 MG-200 MG CAPSULE, EXTENDED RELEASE aspirin 25 mg-dipyridamole 200 mg capsule,ext.release 12 hr multiphase

More information

AETNA BETTER HEALTH January 2017 Formulary Change(s)

AETNA BETTER HEALTH January 2017 Formulary Change(s) AETNA BETTER HEALTH January 2017 Formulary Change(s) The following updates will be made to the Aetna Better Health of MI formulary on February 1, 2017 Drug Name, Strength, Dosage Form IVERMECTIN 3 MG TABLET

More information

DATE OF PRE-BID CONFERENCE: DEADLINE OF SUBMISSION OF BIDS: OPENING OF BIDS:

DATE OF PRE-BID CONFERENCE: DEADLINE OF SUBMISSION OF BIDS: OPENING OF BIDS: UHS FC: 8703417 Dr. Marilyn Reaño 1 1 0.3 Sodium Chloride with 5% Dextrose in 1000 ml in plastic 120 btl 70.00 8,400.00 2 0.3 Sodium Chloride With 5% Dextrose In 500 ml In Plastic 240 btl 70.00 16,800.00

More information

TABLE OF CONTENTS (Click on a link below to view the section.)

TABLE OF CONTENTS (Click on a link below to view the section.) Follow the links below to access the complete formularies for Plans: Health Plan Acne Allergy Allergic Anaphylactic Reaction Allergic Conjunctivitis Allergic Rhinitis Asthma Atopic Dermatitis Behavioral

More information

DT Description Price Category Price change

DT Description Price Category Price change Tariff T Watch October 2014 Readers are no doubt aware of this quarter's bad news for primary care prescribing allocations: NHS England has d the remuneration mechanism for community pharmacies gaining

More information

3. Cardiovascular Disease?

3. Cardiovascular Disease? Swiss recommendations 2016 Swiss Society of Endocrinology and Diabetology 1. Deficiency? Basal Premixed- Basal + GLP-1 RA (Xultophy ) or Basal Bolus 2. egfr < 30 ml/min? 3. Cardiovascular Disease? 4. Heart

More information

Information for Patients

Information for Patients Information for Patients Guidance for Diabetic Persons having an OGD or Bronchoscopy This guidance is provided to assist with your preparation for your endoscopic procedure. If you feel unclear about how

More information

REGISTRATION ASSESSMENT SITTINGS Part 2 example questions

REGISTRATION ASSESSMENT SITTINGS Part 2 example questions Notes RGISTRTION SSSSMNT SITTINGS 2018 Part 2 example questions 1. For questions 1-20 there are five options,,,, and. For questions 21-30 there are eight options,,,,,, F, G and H. hoose only one of the

More information

Quarterly pharmacy formulary change notice

Quarterly pharmacy formulary change notice Provider update Quarterly pharmacy formulary change notice Summary: The formulary changes listed in the table below were reviewed and approved at our first-quarter 2018, Pharmacy and Therapeutics Committee

More information

Steris Healthcare. We Steris Healthcare are foremost trader of highly effective range of Pharmaceutical Tablets and Pharmaceutical Capsules.

Steris Healthcare. We Steris Healthcare are foremost trader of highly effective range of Pharmaceutical Tablets and Pharmaceutical Capsules. +91-8042968885 Steris Healthcare https://www.indiamart.com/sterishealthcare/ We Steris Healthcare are foremost trader of highly effective range of Pharmaceutical Tablets and Pharmaceutical Capsules. About

More information

INSULIN OVERVIEW. Type Brand Name Onset Peak Duration Role in glucose management Page Rapid-Acting lispro min. 3-5 hrs min.

INSULIN OVERVIEW. Type Brand Name Onset Peak Duration Role in glucose management Page Rapid-Acting lispro min. 3-5 hrs min. INSULIN OVERVIEW Type Brand Name Onset Peak Duration Role in glucose management Page Rapid-Acting lispro Humalog 15-30 min 30-90 min 3-5 hrs aspart glulisine Short-Acting Regular insulin NovoLog Apidra

More information

Report generated from BNF provided by FormularyComplete (www.pharmpress.com). Accessed Formulary Status. TA Number. Section.

Report generated from BNF provided by FormularyComplete (www.pharmpress.com). Accessed Formulary Status. TA Number. Section. Report generated from BNF provided by FormularyComplete (www.pharmpress.com). Accessed 16 02 2017 Title Formulary Status Section TA Number TA Link Annotation ACLIDINIUM BROMIDE bronchodilators ADRENALINE/EPINEPHRINE

More information

Better Living with Obstructive Pulmonary Disease A Patient Guide

Better Living with Obstructive Pulmonary Disease A Patient Guide Better Living with Obstructive Pulmonary Disease A Patient Guide Second Edition November 2012 Queensland Health a Better Living with Chronic Obstructive Pulmonary Disease A Patient Guide is a joint project

More information

Approved by TAC Order to be given within 1 month-date

Approved by TAC Order to be given within 1 month-date Approved by TAC Order to be given within 1 month-date 01.10.2018 Sr.No 1 TAB DICLOFENAC 50 MG 2 CEFOTAXIM 500 INJET 3 Inj. Ceftriaxone 500mg Vial 4 Promethazine Inj.25 mg/ml 2 ml Amp 5 Inj. Diclofenac

More information

Quarterly pharmacy formulary change notice

Quarterly pharmacy formulary change notice Quarterly pharmacy formulary change notice Provider update Summary: Effective August 1, 2018, the preferred formulary changes detailed in the table below will apply to District of Columbia Healthy Families

More information

Pharmaceutical Management Agency. Section H Update. for Hospital. Pharmaceuticals. Effective 1 August 2018

Pharmaceutical Management Agency. Section H Update. for Hospital. Pharmaceuticals. Effective 1 August 2018 Pharmaceutical Management Agency Section H Update for Hospital Pharmaceuticals Effective 1 August 2018 Contents Summary of decisions effective 1 August 2018... 3 Section H changes to Part II... 8 Index...

More information

Drugs That Require Step Therapy (ST) Step Therapy Medications

Drugs That Require Step Therapy (ST) Step Therapy Medications Drugs That Require Step Therapy (ST) In some cases, BlueShield of Northeastern New York requires you to first try certain drugs to treat your medical condition before we will cover another drug for that

More information

Inhalers containing CFCs. CFC-free inhalers

Inhalers containing CFCs. CFC-free inhalers Propellants used in medical metered dose inhalers and aerosol-based breath activated devices in New Zealand August to October 2002 (most recent period for which data is available) (February 2003) Inhalers

More information

2018 AlohaCare Advantage Plus Formulary (HMO SNP) Drugs with Step Therapy Requirements

2018 AlohaCare Advantage Plus Formulary (HMO SNP) Drugs with Step Therapy Requirements 2018 AlohaCare Advantage Plus Formulary (HMO SNP) Drugs with Step Therapy Requirements AlohaCare requires you to first try one drug to treat your medical condition before we will cover another drug for

More information

COMMERCIAL APIs. S. No Molecule Name Therapeutic Category USDMF EDMF CEP IH

COMMERCIAL APIs. S. No Molecule Name Therapeutic Category USDMF EDMF CEP IH 1 Abacavir Sulphate Antiretroviral - * - 2 Abiraterone Acetate Oncology - - - 3 Albendazole Anti-infective - - - 4 Albuterol Sulphate Respiratory - - 5 Alendronate Sodium Trihydrate Metabolic Disorder

More information

2019 GRS Premier Step Therapy Document

2019 GRS Premier Step Therapy Document Aggrenox 2019 GRS Premier Step Therapy Document AGGRENOX 25 MG-200 MG CAPSULE, EXTENDED RELEASE aspirin 25 mg-dipyridamole 200 mg capsule,ext.release 12 hr multiphase drug may be given. Step 1 Drug(s):

More information

While there is around a 3% increase shown in costs for Category M lines, I think this is due to the inclusion of more lines in Category M.

While there is around a 3% increase shown in costs for Category M lines, I think this is due to the inclusion of more lines in Category M. April 2018 The usual quarterly of Category M prices Another set of similar comments as I made in January: significant increases in many lines which have been subject to price concessions but even more

More information

YES = formulary NO = non-formulary NO BENEFIT = excluded

YES = formulary NO = non-formulary NO BENEFIT = excluded Benefits are subject to the following: Pre-authorisation Bestmed guidelines Bestmed protocols Mediscor Reference Price (MRP) This price represents the reasonable price in the market place for a particular

More information

Our patients need the below listed medications, which we do not have available.

Our patients need the below listed medications, which we do not have available. The Metropolitan Community Clinic at Hellinikon provides FREE medical assistance to the UNEMPLOYED and POOR civilians with NO SOCIAL SECURITY or with very little income. So many have asked us lately, what

More information

8/13/2016. Insulin Basics. Rapid-Acting Insulin Analogs. Current Insulin Products and Pens. Basal Insulin Analogs. History of Insulin Therapy

8/13/2016. Insulin Basics. Rapid-Acting Insulin Analogs. Current Insulin Products and Pens. Basal Insulin Analogs. History of Insulin Therapy Insulin Basics Anabolic hormone involved in metabolism Following carbohydrate ingestion insulin release is stimulated Suppresses hepatic glucose production Stimulates peripheral glucose uptake Commercially-available

More information

Commercial insulin immunoassays fail to detect commonly prescribed insulin analogues

Commercial insulin immunoassays fail to detect commonly prescribed insulin analogues Commercial insulin immunoassays fail to detect commonly prescribed insulin analogues Ceri Parfitt Trainee Clinical Scientist Blood Sciences Department Royal Devon and Exeter NHS Foundation Trust November

More information

Drug Use Criteria: Exogenous Insulin Products

Drug Use Criteria: Exogenous Insulin Products Texas Vendor Program Use Criteria: Exogenous Products Publication History 1. Developed June 2017. Notes: Information on indications for use or diagnosis is assumed to be unavailable. All criteria may be

More information

DT Description Price Category Price change Percentage

DT Description Price Category Price change Percentage June 2017 A slight inflationary pressure in most CCGs from mainly Category A increases. Significant price increases: Most of low concern although those involving the less frequently used tamoxifen strengths

More information

INHALERS for COPD INTRODUCTION. Types of inhalers. Inhaler technique. MDIs for COPD WET AEROSOLS. Dr Christopher Worsnop

INHALERS for COPD INTRODUCTION. Types of inhalers. Inhaler technique. MDIs for COPD WET AEROSOLS. Dr Christopher Worsnop INHALERS for COPD Dr Christopher Worsnop Department of Respiratory Medicine Austin Hospital INTRODUCTION Most drugs for COPD are given via inhalers. This reduces the dose that needs to be given and delivers

More information

COPD Medications Coverage Summary Non-Insured Health Benefits Coverage SABA Bricanyl turbuhaler Yes Yes

COPD Medications Coverage Summary Non-Insured Health Benefits Coverage SABA Bricanyl turbuhaler Yes Yes COPD Medications Coverage Summary Drug Non-Insured Health Benefits Coverage SABA Bricanyl turbuhaler Yes Yes Ventolin MDI + generics Yes Yes Ventolin Diskus NO NO Yukon Pharmacare/Chronic Disease Program

More information

Collaborative Practice Agreement

Collaborative Practice Agreement Collaborative Practice Agreement [community pharmacy name] [address] [phone number] [physician practice] [address] [phone number] Effective: [date] Expiration: [date] 1 Table of Contents 1.0 Introduction...4

More information

Aetna Better Health of Illinois Medicaid Formulary Updates

Aetna Better Health of Illinois Medicaid Formulary Updates October 2017 o DOXYLAMINE SUCCINATE 25mg-QL o DULOXETINE CAP 40MG DR-QL o GUANFACIN ER TABS (all strengths)-ql o TOBRAMYCIN NEBU SOLUTION- PA August 2017 Aetna Better Health of Illinois Medicaid 2017 Formulary

More information

BREEZHALER. Medications available: Onbrez (indacaterol maleate) Seebri (glycopyrronium bromide) Ultibro (glycopyrronium bromide/ (indacaterol maleate)

BREEZHALER. Medications available: Onbrez (indacaterol maleate) Seebri (glycopyrronium bromide) Ultibro (glycopyrronium bromide/ (indacaterol maleate) Medications available: Onbrez (indacaterol maleate) Seebri (glycopyrronium bromide) Ultibro (glycopyrronium bromide/ (indacaterol maleate) BREEZHALER Please date initial after you have directly observed

More information

CHRONIC OBSTRUCTIVE PULMONARY DISEASE

CHRONIC OBSTRUCTIVE PULMONARY DISEASE CHRONIC OBSTRUCTIVE PULMONARY DISEASE INCIDENCE UP TO 380,000 PEOPLE IN IRELAND HSE FIGURES 110,000 DIAGNOSED AND 200,000 UNDIAGNOSED. AFFECTS MORE MEN THAN WOMEN BUT RATES ARE RISING 1500 DEATHS PER YEAR

More information

BREEZHALER. Medications available: Onbrez (indacaterol maleate) Seebri (glycopyrronium bromide) Ultibro (glycopyrronium bromide/ (indacaterol maleate)

BREEZHALER. Medications available: Onbrez (indacaterol maleate) Seebri (glycopyrronium bromide) Ultibro (glycopyrronium bromide/ (indacaterol maleate) Medications available: Onbrez (indacaterol maleate) Seebri (glycopyrronium bromide) Ultibro (glycopyrronium bromide/ (indacaterol maleate) BREEZHALER Please date initial after you have directly observed

More information

BREEZHALER. Medications available: Onbrez (indacaterol maleate) Seebri (glycopyrronium bromide) Ultibro (glycopyrronium bromide/ (indacaterol maleate)

BREEZHALER. Medications available: Onbrez (indacaterol maleate) Seebri (glycopyrronium bromide) Ultibro (glycopyrronium bromide/ (indacaterol maleate) Medications available: Onbrez (indacaterol maleate) Seebri (glycopyrronium bromide) Ultibro (glycopyrronium bromide/ (indacaterol maleate) BREEZHALER Please date initial after you have directly observed

More information

ADMELOG, NOVOLIN, NOVOLOG, and FIASP

ADMELOG, NOVOLIN, NOVOLOG, and FIASP ADMELOG, NOVOLIN, NOVOLOG, and FIASP Coverage for services, procedures, medical devices and drugs are dependent upon benefit eligibility as outlined in the member's specific benefit plan. This Pharmacy

More information

ALPHA BLOCKERS. Products Affected Step 1: Details. Step 2: Rapaflo 4 mg capsule Rapaflo 8 mg capsule

ALPHA BLOCKERS. Products Affected Step 1: Details. Step 2: Rapaflo 4 mg capsule Rapaflo 8 mg capsule CHRISTUS Health Plan Generations (HMO) CHRISTUS Health Plan Generations Plus (HMO) 2018 Premier Performance Standard Step Therapy PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT SOME OF THE DRUGS

More information

Respiratory Health. Asthma and COPD

Respiratory Health. Asthma and COPD Respiratory Health Asthma and COPD Definition of asthma Working definition by AAH 2014: Chronic lung disease Can be controlled not cured Large variation in lung function Large variation in respiratory

More information

Release of the 2017/18 Invitation to Tender

Release of the 2017/18 Invitation to Tender 2 November 2017 Release of the 2017/18 Invitation to Tender The 2017/18 Invitation to Tender (2017/18 ITT) has been distributed today. If you have already registered your e-mail address with PHARMAC s

More information

OTC PRODUCTS. 4 Gama Benzene HCL 0.1% + Proflavine Hermisulphate 0.1% + Cetrimide 0.45% Cream

OTC PRODUCTS. 4 Gama Benzene HCL 0.1% + Proflavine Hermisulphate 0.1% + Cetrimide 0.45% Cream OTC PRODUCTS SR. No. COMPOSITION Allantoin 0.2% + Dimethicone 1% + Urea 10% + Propylene Glycol 5% + Glyserine 5% + 1 Light Liquid Paraffin 8% Cream (FOOT CREAM) 2 Aquous Cream 3 Cetrimide 0.5% + Chlorhexidine

More information

Endocrine disorders. 1. Diabetes mellitus. Contents:

Endocrine disorders. 1. Diabetes mellitus. Contents: Endocrine disorders Medicines Formulary Contents: 1. Diabetes mellitus 1 2. Hypoglycaemia 4 3. Diabetic ketoacidosis 4 4. Surgery managing blood glucose for diabetic patients 5 5. Hypothyroidism 5 6. Hyperthyroidism

More information

Drug Schedule For RC 146(A)

Drug Schedule For RC 146(A) S.No. NO. NAME and DESCRIPTION Unit Turnover EMD Performance DRUGS ACTING ON GENITO URINARY NALIDIXIC ACID TAB - Each tab to contain: Nalidixic SYSTEM 1 104 Acid 500 mg. 1 tab 1000000 10000 20000 2 FLAVOXATE

More information

BEDFORDSHIRE AND LUTON JOINT PRESCRIBING COMMITTEE (JPC)

BEDFORDSHIRE AND LUTON JOINT PRESCRIBING COMMITTEE (JPC) BEDFORDSHIRE AND LUTON JOINT PRESCRIBING COMMITTEE (JPC) June 2017 Review: June 2020 (earlier if required see recommendations) Bulletin 255: Insulin aspart New Formulation - Fiasp JPC Recommendations:

More information

Quarterly pharmacy formulary change

Quarterly pharmacy formulary change Medi-Cal Managed Care L. A. Care Major Risk Medical Insurance Program Provider Bulletin The formulary changes listed in the table below were reviewed and approved at our first-quarter 2018 Pharmacy and

More information

CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) TREATMENT GUIDELINES

CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) TREATMENT GUIDELINES CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) TREATMENT GUIDELINES Document Description Document Type Service Application Version Guidelines All healthcare professionals(hcps) caring for patients with asthma

More information

2018 Step Therapy (ST) Criteria

2018 Step Therapy (ST) Criteria 2018 Step Therapy (ST) Some drugs require step therapy pre-approval. This means that your doctor must have you first try a different drug to treat your medical condition before we will cover a drug that

More information

PRINCIPLES OF INSULIN THERAPY

PRINCIPLES OF INSULIN THERAPY 08 PRINCIPLES OF INSULIN THERAPY 8.1 GENERAL PRINCIPLES 8.1.1 Indications of Insulin Therapy The classical type 1 diabetes mellitus and LADA cases Hyperglycemic emergencies (DKA, HHS) Some cases of type

More information

NIT165 - RECEIVED PRICE DETAIL. Quantity in Unit/SKU. Company Name. Abbott Healthcare Private Ltd.

NIT165 - RECEIVED PRICE DETAIL. Quantity in Unit/SKU. Company Name. Abbott Healthcare Private Ltd. S C I Total 1 120003 Acenocoumarol/Nicoumalone Tablet 2 mg 10 x 10 15,000 223.33 6 6 26.7996 250.1296 2 120016 Amitriptyle Tab. IP - 25 mg 10X10 4,120 Micron Pharmaceuticals 27.9 12 3.348 31.248 3 120030

More information

Insulin glulisine (Apidra) for type 1 diabetes mellitus in adolescents and children

Insulin glulisine (Apidra) for type 1 diabetes mellitus in adolescents and children Insulin glulisine (Apidra) for type 1 diabetes mellitus in adolescents and children December 2008 This technology summary is based on information available at the time of research and a limited literature

More information

6.1 - Drugs used in Diabetes Also see SIGN 116: Management of Diabetes,

6.1 - Drugs used in Diabetes Also see SIGN 116: Management of Diabetes, 1 6. Endocrine System 6.1 - Drugs used in Diabetes Also see SIGN 116: Management of Diabetes, 2010 http://www.sign.ac.uk/guidelines/fulltext/116 Insulin Prescribing Guidance in Type 2 Diabetes http://www.fifeadtc.scot.nhs.uk/media/6978/insulin-prescribing-in-type-2-diabetes.pdf

More information

Clinical Guidelines. Management of adult patients with diabetes undergoing endoscopic procedures

Clinical Guidelines. Management of adult patients with diabetes undergoing endoscopic procedures Clinical Guidelines Management of adult patients with diabetes undergoing endoscopic s Document Detail Document type Clinical Guideline Management of adult Patients with diabetes Undergoing Document name

More information

Sample. Affix patient label within this box.

Sample. Affix patient label within this box. Instructions for completing orders Complete pages 1-3 for General Inpatient Orders. All pathway compatible orders (indicated by ) within the General Inpatient Orders will be followed automatically. Optional

More information

DIABETES INDICATIONS FOR INSULIN

DIABETES INDICATIONS FOR INSULIN DIABETES INDICATIONS FOR INSULIN 1 Introduce the likely need for insulin in the future early on as part of patient education Emphasise that it is the pancreas that fails not the patient Assess if greater

More information