COMPREHENSIVE PMB FORMULARY 1-Dec-16

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1 COMPREHENSIVE PMB FORMULARY 1-Dec-16 Depending on the specific scheme option, products included on this chronic medicines formulary will not attract a co-payment if authorised by Chronic Medicine Management for a disease on the CDL and obtained from the Designated Service Provider (where applicable). Reimbursement will however be subject to the Chronic Medicine Management clinical guidelines and protocols and the Medicine Price List (MPL). Please Note: Products in red are preferred formulary drugs (drugs of choice) and include information on reimbursement criteria. Products not in red i.e. products in black (non-preferred formulary drugs) are also reimbursed on the comprehensive options without a co-payment, subject to reimbursement criteria, available funds and benefit design. However, all new treatments should, wherever possible, be commenced with preferred agents. Not only are these medicines generally the most cost-effective in their class, but they are also reimbursed unlimited on all options. Where members have non-pmb benefits and/or where there are compelling indications, alternative agents for the treatment of CDL (Chronic Disease List) illnesses may be considered for pre-authorisation. KEY to Chronic Medicine Management Reimbursement Criteria for use of preferred formulary drugs: Quantity/dosage and duration of authorisation may vary - depending on the requested drug. Accepted Treatment - will be authorised without requesting additional clinical information (unless specific concerns e.g. unusual dose requests). Clinical Review - will be authorised if the drug history or co-morbidity clearly indicates that use of the drug is indicated in the specific patient. Clinical Motivation - specific clinical information required before reimbursement is considered Specialist Script - will require a relevant specialist's prescription before reimbursement is considered Specialist Motivation - will require a relevant specialist motivation before reimbursement is considered Special Investigations (SI) - results of recent relevant tests required before reimbursement is considered * : these agents are only available on more comprehensive options Nappi code Drug Name Active Ingredient Strength Drug Form Chronic Medicine Management Reimbursement Criteria for preferred formulary drugs Asthma Inhaled B2 agonists ASTHAVENT 200 DS Salbutamol 100MCG INH Accepted treatment ASTHAVENT 300 DOSE Salbutamol 100MCG INH Accepted treatment ASTHAVENT 300D ECOHALER CFC FREE Salbutamol 100MCG INH Accepted treatment ASTHAVENT DP Salbutamol 200MCG CPS BEROTEC HFA 200 DOSE Fenoterol 100MCG INH BRICANYL TURBOHALER Terbutaline 0.5MG INH BRICANYL 100 DOSE Terbutaline.5MG/1DOSE TBH COMBIVENT MDI Salbutamol and other drugs for obstructive airway diseases 20MCG/100MCG INH DUOLIN HFA 200DOSE Salbutamol and other drugs for obstructive airway diseases INH DUOVENT HFA 200DOSE aminophylline 50MCG/20MCG INH VENTEZE COMPLETE Salbutamol 100MCG INH Accepted treatment VENTEZE CFC FREE 200 DOSE Salbutamol 100MCG INH Accepted treatment VENTIMAX CFC FREE 200 DOSE Salbutamol 100MCG INH Accepted treatment VENTOLIN INHALER 200 CFC FREE Salbutamol 100MCG INH Accepted treatment Long acting B2 agonists FORADIL DRY Formoterol 12MCG CPS Clinical Review FORATEC DP CAPS Formoterol 12MCG CAP Clinical Review FORATEC HFA 120DOSE Formoterol 12MCG INH Clinical Review OXIS TURBUHALER Formoterol 9MCG INH Clinical Review SEREVENT ACCUHALER Salmeterol 50MCG INH SEREVENT CFC-FREE 120DOSE Salmeterol 25MCG INH SEREVENT INHAL(120) Salmeterol 25MCG INH SEREVENT INHAL(60) Salmeterol 25MCG INH Inhaled corticosteroids ALVESCO 160MCG 120 DOSE Ciclesonide 160MCG INH ALVESCO 160MCG 60 DOSE Ciclesonide 160MCG INH ALVESCO 80MCG 60 DOSE Ciclesonide 80MCG INH ASMANEX TWISTHALER 30 DOSE Mometasone 200MCG/1DOSE TBH ASMANEX TWISTHALER 30 DOSE Mometasone 400MCG/1DOSE TBH ASMANEX TWISTHALER 60 DOSE Mometasone 200MCG/1DOSE TBH

2 ASMANEX TWISTHALER 60 DOSE Mometasone 400MCG/1DOSE TBH BECEZE INHALER COMPLETE Beclomethasone 100MCG INH Accepted treatment BECEZE DOSE Beclomethasone 50MCG INH Accepted treatment BECLATE INHALER Beclomethasone 100MCG INH Accepted treatment BECLATE INHALER Beclomethasone 200MCG INH Accepted treatment BECLATE INHALER Beclomethasone 50MCG INH Accepted treatment BUDEFLAM CFC FREE 200MCG 300 DOSE INH Budesonide 200MCG INH Accepted treatment BUDEFLAM CFC FREE 300 DOSE INH Budesonide 100MCG INH Accepted treatment BUDEFLAM DP CAPS Budesonide 200MCG CAP Accepted treatment CICLOVENT 120 DOSE Ciclesonide 160MCG INH CICLOVENT 120 DOSES Ciclesonide 80MCG INH CICLOVENT 60 DOSE Ciclesonide 160MCG INH CICLOVENT 60 DOSE Ciclesonide 80MCG INH FLIXOTIDE ACCUHALER Fluticasone 100MCG CAP FLIXOTIDE ACCUHALER Fluticasone 250MCG CAP FLIXOTIDE ACCUHALER Fluticasone 500MCG CAP FLIXOTIDE ACCUHALER Fluticasone 50MCG CAP FLIXOTIDE 50 CFC FREE 120 ACT Fluticasone 50MCG INH FLIXOTIDE CFC FREE (120 ACT) Fluticasone 125MCG INH FLIXOTIDE CFC FREE (120 ACT) Fluticasone 250MCG INH FOXAIR 50/100 ACCUHALER Salmeterol/Fluticasone combinations INH Accepted treatment FOXAIR 50/250 ACCUHALER Salmeterol/Fluticasone combinations INH Accepted treatment FOXAIR 50/500 ACCUHALER Salmeterol/Fluticasone combinations INH Accepted treatment FOXAIR 25/ DOSE Salmeterol and other anti-asthmatics 25MCG/125MCG INH Accepted treatment FOXAIR 25/ DOSE Salmeterol and other anti-asthmatics 25MCG/250MCG INH Accepted treatment FOXAIR 25/ DOSE Salmeterol and other anti-asthmatics 25MCG/50MCG INH Accepted treatment INFLAMMIDE AEROSOL COMPLETE (MAC) Budesonide 100MCG INH Accepted treatment INFLAMMIDE AEROSOL COMPLETE (MAC) Budesonide 200MCG INH Accepted treatment INFLAMMIDE AEROSOL COMPLETE (MAC) Budesonide 50MCG INH Accepted treatment INFLAMMIDE 200 NOVOLIZE REFIL Budesonide 200MCG REF Accepted treatment INFLAMMIDE 200 NOVOLIZER COMPL Budesonide 200MCG INH Accepted treatment INFLAMMIDE NOVOLIZER COMPLETE 100DOSE Budesonide 400MCG INH Accepted treatment INFLAMMIDE NOVOLIZER REFILL 100DOSE Budesonide 400MCG REF Accepted treatment PULMICORT 100 TURB (200 DOSE) Budesonide 100MCG ATH Accepted treatment PULMICORT 200 TURB (200 DOSE) Budesonide 200MCG ATH Accepted treatment PULMICORT TURB (100 DOSE) Budesonide 400MCG ATH SEREFLO 25/125 HFA 120 DOSE Salmeterol/Fluticasone combinations 25MCG/125MCG INH Accepted treatment SEREFLO 25/250 HFA 120 DOSE Salmeterol/Fluticasone combinations 25MCG/250MCG INH Accepted treatment SEREFLO 25/50 HFA 120 DOSE Salmeterol/Fluticasone combinations 25MCG/50MCG INH Accepted treatment SERETIDE 120 DOSE Salmeterol/Fluticasone combinations 25MCG/125MCG INH Accepted treatment SERETIDE 120 DOSE Salmeterol/Fluticasone combinations 25MCG/250MCG INH Accepted treatment SERETIDE 25/ DOSE Salmeterol/Fluticasone combinations 25MCG/50MCG INH Accepted treatment SERETIDE 50/100 ACCUHALER Salmeterol/Fluticasone combinations 50MCG/100MCG INH Accepted treatment SERETIDE 50/250 ACCUHALER Salmeterol/Fluticasone combinations 50MCG/250MCG INH Accepted treatment SERETIDE 50/500 ACCUHALER Salmeterol/Fluticasone combinations 50MCG/500MCG INH Accepted treatment SYMBICORD TURBO 120 DOSE Formoterol/Budesonide 4.5MCG/160MCG INH SYMBICORD 320/9MCG PER INHALATION Formutoterol and other anti- asthmatics 9MCG/320MCG INH SYMBICORD TURBO 60 DOSE Formoterol/Budesonide 4.5MCG/160MCG INH SYMBICORD 80/4.5MCG PER INHALATION Formutoterol and other anti- asthmatics 4.5MCG/80MCG INH VANNAIR 160/4.5MCG PER INHALATION 120 DO formoterol and budesonide 4.5MCG/160MCG INH VANNAIR 80/4.5MCG PER INHALATION 120 DOS formoterol and budesonide 4.5MCG/80MCG INH Oral Xanthines CHRONOPHYLLIN Theophylline 250MG CAP EUPHYLLIN RETARD Theophylline 250MG SRT MICROPHYLLIN Theophylline 125MG SRC MICROPHYLLIN Theophylline 250MG SRC NUELIN Theophylline 125MG TAB NUELIN LIQUID Theophylline 25MG/5ML SYR

3 NUELIN SA 250 Theophylline 250MG TAB PHYLLOCONTIN Aminophylline 225MG SRT PULMOPHYLLIN SR 300 Theophylline 300MG SRT Clinical Review ROLAB-THEOPHYLLINE ANHYDROUS Theophylline 200MG SRT Clinical Review ROLAB-THEOPHYLLINE ANHYDROUS Theophylline 300MG SRT Clinical Review THEOPHEN Theophylline SYR Clinical Review THEOPLUS Theophylline 200MG SRT THEOPLUS Theophylline 300MG SRT UNIPHYL Theophylline 400MG SRT UNIPHYL Theophylline 600MG SRT Oral Corticosteroids ADCO PREDNISOLONE Prednisolone 15MG/5ML LIQ Specialist script ASPELONE Prednisolone 15MG/5ML LIQ Specialist script CAPSOID Prednisolone 5MG TAB Specialist script LENISOLONE Prednisolone 5MG TAB Specialist script METICORTEN Prednisone 50MG TAB METICORTEN Prednisone 5MG TAB PANAFCORT Prednisone 5MG TAB Specialist script PREDNISONE (BE-TABS) Prednisone 5MG TAB Specialist script PREFLAM Prednisolone 15MG/5ML SYR Specialist script PRELONE Prednisolone 5MG TAB PRELONE Prednisolone 15MG/5ML SYR Specialist script PULMISON ORAL SOLUTION Prednisone 5MG/1ML SYR Specialist script PULMISON TABS Prednisone 20MG TAB TROLIC Prednisone 5MG TAB Specialist script Addison's disease Oral Corticosteroids COVOCORT Hydrocortisone 10MG TAB Accepted treatment FLORINEF ACETATE Fludrocortisone 0.1MG TAB Accepted treatment Bipolar Mood Disorder Mood Stabilizers ASPEN LAMOTRIGINE 100MG Lamotrigine 100MG TAB Accepted treatment ASPEN LAMOTRIGINE 25MG Lamotrigine 25MG TAB Accepted treatment ASPEN LAMOTRIGINE 50MG Lamotrigine 50MG TAB Accepted treatment AUSTELL-LAMOTRIGINE Lamotrigine 100MG TAB Accepted treatment AUSTELL-LAMOTRIGINE Lamotrigine 200MG TAB Accepted treatment AUSTELL-LAMOTRIGINE Lamotrigine 25MG TAB Accepted treatment AUSTELL-LAMOTRIGINE Lamotrigine 50MG TAB Accepted treatment CAMCOLIT Lithium 250MG TAB Accepted treatment CAMCOLIT Lithium 400MG TAB Accepted treatment CONVULEX Valproic acid 150MG CAP Accepted treatment CONVULEX Valproic acid 250MG/5ML SYR Accepted treatment CONVULEX Valproic acid 300MG CAP Accepted treatment CONVULEX Valproic acid 500MG CAP Accepted treatment DEGRANOL Carbamazepine 200MG TAB Accepted treatment DYNA-LAMOTRIGINE Lamotrigine 100MG TAB Accepted treatment DYNA-LAMOTRIGINE Lamotrigine 200MG TAB Accepted treatment DYNA-LAMOTRIGINE Lamotrigine 25MG TAB Accepted treatment DYNA-LAMOTRIGINE Lamotrigine 50MG TAB Accepted treatment EPILIM CR Valproic acid 200MG SRT Accepted treatment EPILIM CR Valproic acid 300MG SRT Accepted treatment EPILIM CR Valproic acid 500MG SRT Accepted treatment EPILIM CRUSHABLE Valproic acid 100MG TAB Accepted treatment EPILIM SUGAR FREE Valproic acid 200MG/5ML SYR Accepted treatment EPILIZINE CR Valproic acid 200MG SRT Accepted treatment EPILIZINE CR Valproic acid 300MG SRT Accepted treatment

4 EPILIZINE CR Valproic acid 500MG SRT Accepted treatment EPROLEP CR 200 Valproic acid 200MG SRT Accepted treatment EPROLEP CR 300 Valproic acid 300MG SRT Accepted treatment EPROLEP CR 500 Valproic acid 500MG SRT Accepted treatment EPITEC 100MG Lamotrigine 100MG TAB Accepted treatment EPITEC 200MG Lamotrigine 200MG TAB Accepted treatment EPITEC 25MG Lamotrigine 25MG TAB Accepted treatment EPITEC 50MG Lamotrigine 50MG TAB Accepted treatment LAMEPTIL Lamotrigine 100MG TAB Accepted treatment LAMEPTIL Lamotrigine 200MG TAB Accepted treatment LAMEPTIL Lamotrigine 25MG TAB Accepted treatment LAMEPTIL Lamotrigine 50MG TAB Accepted treatment LAMICTIN Lamotrigine 100MG TAB Accepted treatment LAMICTIN Lamotrigine 200MG TAB Accepted treatment LAMICTIN Lamotrigine 25MG TAB Accepted treatment LAMICTIN Lamotrigine 50MG TAB Accepted treatment LAMICTIN P100 Lamotrigine 100MG DSP Accepted treatment LAMICTIN P2 Lamotrigine 2MG DSP Accepted treatment LAMICTIN P200 Lamotrigine 200MG DSP Accepted treatment LAMICTIN P25 Lamotrigine 25MG DSP Accepted treatment LAMICTIN P5 Lamotrigine 5MG DSP Accepted treatment LAMICTIN P50 Lamotrigine 50MG DSP Accepted treatment LAMIDUS Lamotrigine 100MG TAB Accepted treatment LAMIDUS Lamotrigine 200MG TAB Accepted treatment LAMIDUS Lamotrigine 50MG TAB Accepted treatment LAMITOR Lamotrigine 100MG TAB Accepted treatment LAMITOR Lamotrigine 25MG TAB Accepted treatment LAMITOR Lamotrigine 50MG TAB Accepted treatment LAMITOR Lamotrigine 200MG TAB Accepted treatment NAVALPRO CR Valproic acid 200MG SRT Accepted treatment NAVALPRO CR Valproic acid 300MG SRT Accepted treatment NAVALPRO CR Valproic acid 500MG SRT Accepted treatment VANAPRO Valproic acid 300MG SRT Accepted treatment VANAPRO Valproic acid 500MG SRT Accepted treatment QUILONUM RETARD Lithium 450MG TAB Accepted treatment ROLAB-CARBAMAZEPINE Carbamazepine 200MG TAB Accepted treatment SANDOZ CARBAMAZEPINE CR200 Carbamazepine 200MG SRT Accepted treatment SANDOZ CARBAMAZIPINE CR400 Carbamazepine 400MG SRT Accepted treatment SANDOZ LAMOTRIGINE Lamotrigine 100MG TAB Accepted treatment SANDOZ LAMOTRIGINE Lamotrigine 200MG TAB Accepted treatment SANDOZ LAMOTRIGINE Lamotrigine 25MG TAB Accepted treatment SANDOZ LAMOTRIGINE Lamotrigine 50MG TAB Accepted treatment TEGRETOL Carbamazepine 200MG TAB TEGRETOL CR Carbamazepine 200MG SRT Accepted treatment TEGRETOL CR Carbamazepine 400MG SRT Accepted treatment TEGRETOL S Carbamazepine 100MG/5ML SUS Accepted treatment ZEPTOL Carbamazepine 200MG TAB Accepted treatment Antipsychotic agents ADCO OLANZAPINE Olanzapine 2.5MG TAB ADCO OLANZAPINE Olanzapine 5MG TAB ADCO OLANZAPINE Olanzapine 10MG TAB ZYLENA Olanzapine 10MG TAB ZYLENA Olanzapine 5MG TAB ABILIFY 5MG Aripiprazole 5MG TAB ABILIFY 10MG Aripiprazole 10MG TAB ABILIFY 15MG Aripiprazole 15MG TAB ABILIFY 30MG Aripiprazole 30MG TAB ASPEN CLOZAPINE Clozapine 100MG TAB Accepted treatment (clinical motivation for low-cost options)

5 ASPEN CLOZAPINE Clozapine 25MG TAB Accepted treatment (clinical motivation for low-cost options) ASPEN RISPERIDONE Risperidone 0.5MG TAB Accepted treatment (clinical motivation for low-cost options) ASPEN RISPERIDONE Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options) ASPEN RISPERIDONE Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options) ASPEN RISPERIDONE Risperidone 3MG TAB Accepted treatment (clinical motivation for low-cost options) ASPEN RISPERIDONE Risperidone 4MG TAB Accepted treatment (clinical motivation for low-cost options) AUROPERDAL Risperidone.5MG TAB Accepted treatment (clinical motivation for low-cost options) AUROPERDAL Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options) AUROPERDAL Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options) AUROPERDAL Risperidone 3MG TAB Accepted treatment (clinical motivation for low-cost options) AUROPERDAL Risperidone 4MG TAB Accepted treatment (clinical motivation for low-cost options) AUROPIDONE Risperidone 0.5MG TAB Accepted treatment (clinical motivation for low-cost options) AUROPIDONE Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options) AUROPIDONE Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options) AUROPIDONE Risperidone 3MG TAB Accepted treatment (clinical motivation for low-cost options) AUROPIDONE Risperidone 4MG TAB Accepted treatment (clinical motivation for low-cost options) BIO-SULPIRIDE Sulpiride 200MG TAB Accepted treatment CLOMENT Clozapine 100MG TAB Accepted treatment (clinical motivation for low-cost options) CLOMENT Clozapine 25MG TAB Accepted treatment (clinical motivation for low-cost options) CLOPIXOL Zuclopenthixol 10MG TAB CLOPIXOL Zuclopenthixol 2MG TAB CLOPIXOL DEPOT Zuclopenthixol 200MG/1ML INJS Accepted treatment CLOZAPINE-HEXAL Clozapine 25MG TAB Accepted treatment (clinical motivation for low-cost options) DOPAQUEL Quetiapine 100MG TAB Accepted treatment (clinical motivation for low-cost options) DOPAQUEL Quetiapine 200MG TAB Accepted treatment (clinical motivation for low-cost options) DOPAQUEL Quetiapine 25MG TAB Accepted treatment (clinical motivation for low-cost options) DOPAQUEL Quetiapine 300MG TAB Accepted treatment (clinical motivation for low-cost options) DRL RISPERIDONE Risperidone 0.5MG TAB Accepted treatment (clinical motivation for low-cost options) DRL RISPERIDONE Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options) DRL RISPERIDONE Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options) DRL RISPERIDONE Risperidone 3MG TAB Accepted treatment (clinical motivation for low-cost options) FLUANXOL Flupentixol.5MG TAB FLUANXOL Flupentixol 1MG TAB FLUANXOL DEPOT 1ML Flupentixol 20MG/1ML INJS Accepted treatment GEODON Ziprasidone 20MG CAP GEODON Ziprasidone 40MG CAP GEODON Ziprasidone 60MG CAP GEODON Ziprasidone 80MG CAP GULF HALOPERIDOL Haloperidol 5MG TAB Accepted treatment INVEGA Paliperidone 3MG SRT INVEGA Paliperidone 6MG SRT INVEGA Paliperidone 9MG SRT LANAZYP Olanzapine 10MG TAB LANAZYP Olanzapine 2.5MG TAB LANAZYP Olanzapine 5MG TAB LARGACTIL Chlorpromazine 100MG TAB Accepted treatment LARGACTIL Chlorpromazine 25MG TAB Accepted treatment LARGACTIL Chlorpromazine 50MG TAB Accepted treatment LEPONEX Clozapine 100MG TAB Accepted treatment (clinical motivation for low-cost options) LEPONEX Clozapine 25MG TAB Accepted treatment (clinical motivation for low-cost options) MYLAN OLANZAPINE Olanzapine 10MG TAB MYLAN OLANZAPINE Olanzapine 2.5MG TAB MYLAN OLANZAPINE Olanzapine 5MG TAB MYLAN QUETIAPINE Quetiapine 100MG TAB Accepted treatment (clinical motivation for low-cost options) MYLAN QUETIAPINE Quetiapine 200MG TAB Accepted treatment (clinical motivation for low-cost options) MYLAN QUETIAPINE Quetiapine 25MG TAB Accepted treatment (clinical motivation for low-cost options) MYLAN QUETIAPINE Quetiapine 300MG TAB Accepted treatment (clinical motivation for low-cost options) MYLAN RISPERIDONE Risperidone 0.5MG TAB Accepted treatment (clinical motivation for low-cost options)

6 MYLAN RISPERIDONE Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options) MYLAN RISPERIDONE Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options) MODECATE 1ML Fluphenazine 25MG/1ML INJS Accepted treatment MODECATE+SYRINGE 1ML Fluphenazine 25MG/1ML INJS Accepted treatment OLEANZ Olanzapine 10MG TAB OLEANZ Olanzapine 2.5MG TAB OLEANZ Olanzapine 5MG TAB OLEANZ RAPITAB Olanzapine 10MG MLT OLEANZ RAPITAB Olanzapine 5MG MLT OLEXAR Olanzapine 10MG TAB OLEXAR Olanzapine 2.5MG TAB OLEXAR Olanzapine 5MG TAB OLAWIN Olanzapine 10MG TAB OLAWIN Olanzapine 2.5MG TAB OLAWIN Olanzapine 5MG TAB OLAWIN ORADISPERSIBLE Olanzapine 10MG MLT OLAWIN ORADISPERSIBLE Olanzapine 5MG MLT KIZOFRIN Quetiapine 200MG TAB Accepted treatment (clinical motivation for low-cost options) KIZOFRIN Quetiapine 25MG TAB Accepted treatment (clinical motivation for low-cost options) KIZOFRIN Quetiapine 100MG TAB Accepted treatment (clinical motivation for low-cost options) KIZOFRIN Quetiapine 300MG TAB Accepted treatment (clinical motivation for low-cost options) QUETIAPINE BIOTECH Quetiapine 100MG TAB Accepted treatment (clinical motivation for low-cost options) QUETIAPINE BIOTECH Quetiapine 200MG TAB Accepted treatment (clinical motivation for low-cost options) QUETIAPINE BIOTECH Quetiapine 25MG TAB Accepted treatment (clinical motivation for low-cost options) QUETIAPINE BIOTECH Quetiapine 300MG TAB Accepted treatment (clinical motivation for low-cost options) SPEC QUETIAPINE Quetiapine 100MG TAB Accepted treatment (clinical motivation for low-cost options) SPEC QUETIAPINE Quetiapine 150MG TAB Accepted treatment (clinical motivation for low-cost options) SPEC QUETIAPINE Quetiapine 200MG TAB Accepted treatment (clinical motivation for low-cost options) SPEC QUETIAPINE Quetiapine 25MG TAB Accepted treatment (clinical motivation for low-cost options) SPEC QUETIAPINE Quetiapine 300MG TAB Accepted treatment (clinical motivation for low-cost options) ORAP Pimozide 1MG TAB ORAP Pimozide 4MG TAB PERIZAL Risperidone 0.5MG TAB Accepted treatment (clinical motivation for low-cost options) PERIZAL Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options) PERIZAL Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options) PERIZAL Risperidone 3MG TAB Accepted treatment (clinical motivation for low-cost options) PERIDA Risperidone.5MG TAB Accepted treatment (clinical motivation for low-cost options) PERIDA Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options) PREXOLAN ODT Olanzapine 10MG MLT PREXOLAN ODT Olanzapine 5MG MLT PREXOLAN Olanzapine 10MG TAB PREXOLAN Olanzapine 2.5MG TAB PREXOLAN Olanzapine 5MG TAB PSYQUET Quetiapine 100MG TAB Accepted treatment (clinical motivation for low-cost options) PSYQUET Quetiapine 200MG TAB Accepted treatment (clinical motivation for low-cost options) PSYQUET Quetiapine 25MG TAB Accepted treatment (clinical motivation for low-cost options) PSYQUET Quetiapine 300MG TAB Accepted treatment (clinical motivation for low-cost options) QUETOSER Quetiapine 100MG TAB Accepted treatment (clinical motivation for low-cost options) QUETOSER Quetiapine 200MG TAB Accepted treatment (clinical motivation for low-cost options) QUETOSER Quetiapine 25MG TAB Accepted treatment (clinical motivation for low-cost options) QUETOSER Quetiapine 300MG TAB Accepted treatment (clinical motivation for low-cost options) REDILANZ Olanzapine 10MG TAB REDILANZ Olanzapine 2.5MG TAB REDILANZ Olanzapine 5MG TAB RISNIA Risperidone.5MG TAB Accepted treatment (clinical motivation for low-cost options) RISNIA Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options) RISNIA Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options) RISNIA Risperidone 3MG TAB Accepted treatment (clinical motivation for low-cost options)

7 RISPACOR Risperidone 0.5MG TAB Accepted treatment (clinical motivation for low-cost options) RISPACOR Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options) RISPACOR Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options) RISPACOR Risperidone 3MG TAB Accepted treatment (clinical motivation for low-cost options) RISPACOR Risperidone 4MG TAB Accepted treatment (clinical motivation for low-cost options) RISPERDAL Risperidone 0.5MG TAB Accepted treatment (clinical motivation for low-cost options) RISPERDAL Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options) RISPERDAL Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options) RISPERDAL Risperidone 3MG TAB Accepted treatment (clinical motivation for low-cost options) RISPERDAL CONSTA Risperidone 25MG VIAL Specialist motivation RISPERDAL CONSTA Risperidone 37.5MG VIAL Specialist motivation RISPERDAL CONSTA Risperidone 50MG VIAL Specialist motivation RISPERIDONE HEXAL Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options) RISPERIDONE HEXAL Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options) RISPERIDONE HEXAL Risperidone 3MG TAB Accepted treatment (clinical motivation for low-cost options) RISPERLET Risperidone 0.5MG TAB Accepted treatment (clinical motivation for low-cost options) RISPERLET Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options) RISPERLET Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options) RISPEVON Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options) RISPEVON Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options) RISPEVON Risperidone 3MG TAB Accepted treatment (clinical motivation for low-cost options) RISPEVON Risperidone 4MG TAB Accepted treatment (clinical motivation for low-cost options) RISPONZ Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options) RISPONZ Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options) RISPONZ Risperidone 3MG TAB Accepted treatment (clinical motivation for low-cost options) RISPONZ Risperidone 4MG TAB Accepted treatment (clinical motivation for low-cost options) ROLAB-HALOPERIDOL Haloperidol 1.5MG TAB Accepted treatment ROLAB-HALOPERIDOL Haloperidol 5MG TAB Accepted treatment SCHIZOROL Risperidone 0.5MG TAB Accepted treatment (clinical motivation for low-cost options) SCHIZOROL Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options) SCHIZOROL Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options) SERENACE Haloperidol 0.5MG CAP Accepted treatment SERENACE Haloperidol 1.5MG TAB Accepted treatment SERENACE Haloperidol 10MG TAB Accepted treatment SERENACE Haloperidol 5MG TAB Accepted treatment SEREZ Quetiapine 100MG TAB Accepted treatment (clinical motivation for low-cost options) SEREZ Quetiapine 200MG TAB Accepted treatment (clinical motivation for low-cost options) SEREZ Quetiapine 25MG TAB Accepted treatment (clinical motivation for low-cost options) SEREZ Quetiapine 300MG TAB Accepted treatment (clinical motivation for low-cost options) SEROQUEL Quetiapine 100MG TAB Accepted treatment (clinical motivation for low-cost options) SEROQUEL Quetiapine 200MG TAB Accepted treatment (clinical motivation for low-cost options) SEROQUEL Quetiapine 25MG TAB Accepted treatment (clinical motivation for low-cost options) SEROQUEL Quetiapine 300MG TAB Accepted treatment (clinical motivation for low-cost options) SEROQUEL XR Quetiapine 50MG SRT SEROQUEL XR Quetiapine 150MG SRT SEROQUEL XR Quetiapine 200MG SRT SEROQUEL XR Quetiapine 300MG SRT SEROQUEL XR Quetiapine 400MG SRT SIZONORM Quetiapine 100MG TAB Accepted treatment (clinical motivation for low-cost options) SIZONORM Quetiapine 200MG TAB Accepted treatment (clinical motivation for low-cost options) SIZONORM Quetiapine 25MG TAB Accepted treatment (clinical motivation for low-cost options) SIZONORM Quetiapine 300MG TAB Accepted treatment (clinical motivation for low-cost options) SOLIAN Amisulpride 200MG TAB SOLIAN Amisulpride 50MG TAB STELAZINE Trifluoperazine 1MG TAB Accepted treatment STELAZINE Trifluoperazine 5MG TAB Accepted treatment TRUVALIN Quetiapine 100MG TAB Accepted treatment (clinical motivation for low-cost options) TRUVALIN Quetiapine 200MG TAB Accepted treatment (clinical motivation for low-cost options)

8 TRUVALIN Quetiapine 25MG TAB Accepted treatment (clinical motivation for low-cost options) TRUVALIN Quetiapine 300MG TAB Accepted treatment (clinical motivation for low-cost options) XEPLION PREFILLED SYRINGE 0.5ML Paliperidone 50MG/.5ML INJ Specialist motivation XEPLION PREFILLED SYRINGE 0.75ML Paliperidone 75MG/.75ML INJ Specialist motivation XEPLION PREFILLED SYRINGE 1.5ML Paliperidone 150MG/1.5ML INJ Specialist motivation XEPLION PREFILLED SYRINGE 1ML Paliperidone 100MG/1ML INJ Specialist motivation ZOXADON Risperidone 0.5MG TAB Accepted treatment (clinical motivation for low-cost options) ZOXADON Risperidone 1MG TAB Accepted treatment (clinical motivation for low-cost options) ZOXADON Risperidone 2MG TAB Accepted treatment (clinical motivation for low-cost options) ZOXADON Risperidone 3MG TAB Accepted treatment (clinical motivation for low-cost options) ZOXADON Risperidone 4MG TAB Accepted treatment (clinical motivation for low-cost options) ZYPREXA Olanzapine 10MG TAB ZYPREXA Olanzapine 2.5MG TAB ZYPREXA Olanzapine 5MG TAB Antidepressants ADCO-PAROXETINE Paroxetine 20MG TAB A-LENNON FLUOXETINE Fluoxetine 20MG CAP Accepted treatment AROPAX Paroxetine 20MG TAB AROPAX 30 Paroxetine 30MG TAB AROPAX CR Paroxetine 12.5MG SRT AROPAX CR Paroxetine 25MG SRT ARROW CITALOPRAM Citalopram 20MG TAB Accepted treatment ARROW CITALOPRAM Citalopram 40MG TAB Accepted treatment AURO-CITALOPRAM Citalopram 20MG TAB Accepted treatment AURO PAROXETINE Paroxetine 20MG TAB AUSTELL-CITALOPRAM Citalopram 10MG TAB Accepted treatment AUSTELL-CITALOPRAM Citalopram 20MG TAB Accepted treatment AUSTELL-CITALOPRAM Citalopram 40MG TAB Accepted treatment AUSTELL-PAROXETINE Paroxetine 20MG TAB AUSTELL-PAROXETINE Paroxetine 30MG TAB BIO CITALOPRAM Citalopram 20MG TAB Accepted treatment CILATE Citalopram 20MG TAB Accepted treatment CILIFT Citalopram 20MG TAB Accepted treatment CILORAM Citalopram 20MG TAB Accepted treatment CIPRAMIL Citalopram 20MG TAB Accepted treatment CITALOHEXAL Citalopram 20MG TAB Accepted treatment CITALOPRAM ACTOR Citalopram 20MG TAB Accepted treatment CITALOPRAM-WINTHROP Citalopram 20MG TAB Accepted treatment CITALOPRAM-WINTHROP Citalopram 40MG TAB Accepted treatment DEPAROC Paroxetine 20MG TAB DEPRAMIL 20MG Citalopram 20MG TAB Accepted treatment DEPRAMIL Citalopram 40MG TAB Accepted treatment DEPROZAN Fluoxetine 20MG CAP Accepted treatment DRL CITALOPRAM Citalopram 20MG TAB Accepted treatment DRL CITALOPRAM Citalopram 40MG TAB Accepted treatment ETHIPRAMINE Imipramine 10MG TAB Accepted treatment ETHIPRAMINE Imipramine 25MG TAB Accepted treatment FLUOXETINE ACTOR Fluoxetine 20MG CAP Accepted treatment GLENMARK CITALOPRAM Citalopram 20MG TAB Accepted treatment GULF AMITRIPTYLINE Amitriptyline 25MG TAB Accepted treatment HEXAL-PAROXETINE Paroxetine 20MG TAB LANTANON Mianserin 10MG TAB LANTANON Mianserin 30MG TAB LILLY-FLUOXETINE Fluoxetine 20MG CAP Accepted treatment LORIEN Fluoxetine 20MG CAP Accepted treatment LORIEN 20MG Fluoxetine 20MG TAB Accepted treatment NUZAK Fluoxetine 20MG CAP Accepted treatment PARAX 20 Paroxetine 20MG TAB

9 PAROXETINE UNICORN Paroxetine 20MG TAB MERCK-CITALOPRAM 20 Citalopram 20MG TAB Accepted treatment PAXIL 20 Paroxetine 20MG TAB PROHEXAL Fluoxetine 20MG CAP Accepted treatment PROHEXAL 20T Fluoxetine 20MG DSP Accepted treatment PROHEXAL 40T Fluoxetine 40MG DSP Accepted treatment PROLAX Fluoxetine 20MG CAP Accepted treatment PROTHIADEN Dothiepin 25MG CAP Accepted treatment PROZAC Fluoxetine 20MG TAB Accepted treatment PROZAC 20 Fluoxetine 20MG CAP Accepted treatment RANFLOCS Fluoxetine 20MG CAP Accepted treatment REZAK Fluoxetine 20MG CAP Accepted treatment ROLAB-AMITRIPTYLINE HCL Amitriptyline 25MG TAB Accepted treatment ROLAB-FLUOXETINE Fluoxetine 20MG CAP Accepted treatment SANDOZ CITALOPRAM Citalopram 20MG TAB Accepted treatment SANDOZ PAROXETINE Paroxetine 20MG TAB SERRAPRESS 20 Paroxetine 20MG TAB SIMAYLA CITALOPRAM Citalopram 20MG TAB Accepted treatment TALOMIL Citalopram 20MG TAB Accepted treatment TEXINE Paroxetine 20MG TAB THADEN Dothiepin 25MG CAP Accepted treatment THADEN Dothiepin 75MG TAB Accepted treatment TOFRANIL Imipramine 10MG TAB Accepted treatment TOFRANIL Imipramine 25MG TAB Accepted treatment TREPILINE Amitriptyline 10MG TAB Accepted treatment TREPILINE Amitriptyline 25MG TAB Accepted treatment TRIZAC Fluoxetine 20MG CAP Accepted treatment TRYPTANOL Amitriptyline 25MG TAB Accepted treatment XET 20MG Paroxetine 20MG TAB ZYDUS FLUOXETINE Fluoxetine 20MG CAP Accepted treatment ZYDUS-PAROXETINE Paroxetine 20MG TAB Bronchiectasis Antibiotic therapy will be evaluated on an individual basis Chronic Obstructive Pulmonary Disease Inhaled B2 agonists ASTHAVENT 200 DS Salbutamol 100MCG INH Accepted treatment ASTHAVENT 300 DOSE Salbutamol 100MCG INH Accepted treatment ASTHAVENT 300D ECOHALER CFC FREE Salbutamol 100MCG INH Accepted treatment ASTHAVENT DP Salbutamol 200MCG CPS BEROTEC HFA 200 DOSE Fenoterol 100MCG INH BRICANYL TURBOHALER Terbutaline 0.5MG INH BRICANYL 100 DOSE Terbutaline.5MG/1DOSE TBH COMBIVENT MDI Salbutamol and other drugs for obstructive airway diseases 20MCG/100MCG INH DUOLIN HFA 200DOSE Salbutamol and other drugs for obstructive airway diseases INH DUOVENT HFA 200DOSE Fenoterol and ipratropium bromide 50MCG/20MCG INH VENTEZE COMPLETE Salbutamol 100MCG INH Accepted treatment VENTEZE CFC FREE 200 DOSE Salbutamol 100MCG INH Accepted treatment VENTIMAX CFC FREE 200 DOSE Salbutamol 100MCG INH Accepted treatment VENTOLIN INHALER 200 CFC FREE Salbutamol 100MCG INH Accepted treatment Long acting B2 agonists FORADIL DRY Formoterol 12MCG CPS FORATEC DP CAPS Formoterol 12MCG CAP FORATEC HFA 120DOSE Formoterol 12MCG INH ONBREZ BREEZHALER (30 CAPS & INHALER) Indacaterol KIT OXIS TURBUHALER Formoterol 9MCG INH SEREVENT ACCUHALER Salmeterol 50MCG INH

10 SEREVENT CFC-FREE 120DOSE Salmeterol 25MCG INH SEREVENT INHAL(120) Salmeterol 25MCG INH SEREVENT INHAL(60) Salmeterol 25MCG INH Inhaled corticosteroids ALVESCO 160MCG 120 DOSE Ciclesonide 160MCG INH ALVESCO 160MCG 60 DOSE Ciclesonide 160MCG INH ALVESCO 80MCG 60 DOSE Ciclesonide 80MCG INH ASMANEX TWISTHALER 30 DOSE Mometasone 200MCG/1DOSE TBH ASMANEX TWISTHALER 30 DOSE Mometasone 400MCG/1DOSE TBH ASMANEX TWISTHALER 60 DOSE Mometasone 200MCG/1DOSE TBH ASMANEX TWISTHALER 60 DOSE Mometasone 400MCG/1DOSE TBH BECEZE INHALER COMPLETE Beclomethasone 100MCG INH Special Investigations (SI) BECEZE DOSE Beclomethasone 50MCG INH Special Investigations (SI) BECLATE INHALER Beclomethasone 100MCG INH Special Investigations (SI) BECLATE INHALER Beclomethasone 200MCG INH Special Investigations (SI) BECLATE INHALER Beclomethasone 50MCG INH Special Investigations (SI) BUDEFLAM CFC FREE 200MCG 300 DOSE INH Budesonide 200MCG INH Special Investigations (SI) BUDEFLAM CFC FREE 300 DOSE INH Budesonide 100MCG INH Special Investigations (SI) BUDEFLAM DP CAPS Budesonide 200MCG CAP Special Investigations (SI) CICLOVENT 120 DOSE Ciclesonide 160MCG INH CICLOVENT 120 DOSES Ciclesonide 80MCG INH CICLOVENT 60 DOSE Ciclesonide 160MCG INH CICLOVENT 60 DOSE Ciclesonide 80MCG INH FLIXOTIDE ACCUHALER Fluticasone 100MCG CAP FLIXOTIDE ACCUHALER Fluticasone 250MCG CAP FLIXOTIDE ACCUHALER Fluticasone 500MCG CAP FLIXOTIDE ACCUHALER Fluticasone 50MCG CAP FLIXOTIDE 50 CFC FREE 120 ACT Fluticasone 50MCG INH FLIXOTIDE CFC FREE (120 ACT) Fluticasone 125MCG INH FLIXOTIDE CFC FREE (120 ACT) Fluticasone 250MCG INH FOXAIR 50/100 ACCUHALER Salmeterol/Fluticasone combinations INH Special Investigations (SI) FOXAIR 50/250 ACCUHALER Salmeterol/Fluticasone combinations INH Special Investigations (SI) FOXAIR 50/500 ACCUHALER Salmeterol/Fluticasone combinations INH Special Investigations (SI) FOXAIR 25/ DOSE Salmeterol and other anti-asthmatics 25MCG/125MCG INH Special Investigations (SI) FOXAIR 25/ DOSE Salmeterol and other anti-asthmatics 25MCG/250MCG INH Special Investigations (SI) FOXAIR 25/ DOSE Salmeterol and other anti-asthmatics 25MCG/50MCG INH Special Investigations (SI) INFLAMMIDE AEROSOL COMPLETE (MAC) Budesonide 100MCG INH Special Investigations (SI) INFLAMMIDE AEROSOL COMPLETE (MAC) Budesonide 200MCG INH Special Investigations (SI) INFLAMMIDE AEROSOL COMPLETE (MAC) Budesonide 50MCG INH Special Investigations (SI) INFLAMMIDE 200 NOVOLIZE REFIL Budesonide 200MCG REF Special Investigations (SI) INFLAMMIDE 200 NOVOLIZER COMPL Budesonide 200MCG INH Special Investigations (SI) INFLAMMIDE NOVOLIZER COMPLETE 100DOSE Budesonide 400MCG INH Special Investigations (SI) INFLAMMIDE NOVOLIZER REFILL 100DOSE Budesonide 400MCG REF Special Investigations (SI) PULMICORT 100 TURB (200 DOSE) Budesonide 100MCG ATH Special Investigations (SI) PULMICORT 200 TURB (200 DOSE) Budesonide 200MCG ATH Special Investigations (SI) PULMICORT TURB (100 DOSE) Budesonide 400MCG ATH SEREFLO 25/125 HFA 120 DOSE Salmeterol/Fluticasone combinations 25MCG/125MCG INH Special Investigations (SI) SEREFLO 25/250 HFA 120 DOSE Salmeterol/Fluticasone combinations 25MCG/250MCG INH Special Investigations (SI) SEREFLO 25/50 HFA 120 DOSE Salmeterol/Fluticasone combinations 25MCG/50MCG INH Special Investigations (SI) SERETIDE 120 DOSE Salmeterol/Fluticasone combinations 25MCG/125MCG INH Special Investigations (SI) SERETIDE 120 DOSE Salmeterol/Fluticasone combinations 25MCG/250MCG INH Special Investigations (SI) SERETIDE 25/ DOSE Salmeterol/Fluticasone combinations 25MCG/50MCG INH Special Investigations (SI) SERETIDE 50/100 ACCUHALER Salmeterol/Fluticasone combinations 50MCG/100MCG INH Special Investigations (SI) SERETIDE 50/250 ACCUHALER Salmeterol/Fluticasone combinations 50MCG/250MCG INH Special Investigations (SI) SERETIDE 50/500 ACCUHALER Salmeterol/Fluticasone combinations 50MCG/500MCG INH Special Investigations (SI) SYMBICORD TURBO 120 DOSE Formoterol/Budesonide 4.5MCG/160MCG INH SYMBICORD 320/9MCG PER INHALATION Formutoterol and other anti- asthmatics 9MCG/320MCG INH SYMBICORD TURBO 60 DOSE Formoterol/Budesonide 4.5MCG/160MCG INH

11 SYMBICORD 80/4.5MCG PER INHALATION Formutoterol and other anti- asthmatics 4.5MCG/80MCG INH VANNAIR 160/4.5MCG PER INHALATION 120 DO formoterol and budesonide 4.5MCG/160MCG INH VANNAIR 80/4.5MCG PER INHALATION 120 DOS formoterol and budesonide 4.5MCG/80MCG INH Anticholinergic inhalers (short acting) ATROVENT HFA 200 DOSE Ipratropium bromide 20MCG INH Accepted treatment IPVENT HFA 200 DOSE Ipratropium bromide 40MCG/1DOSE INH Accepted treatment Oral Xanthines CHRONOPHYLLIN Theophylline 250MG CAP EUPHYLLIN RETARD Theophylline 250MG SRT MICROPHYLLIN Theophylline 125MG SRC MICROPHYLLIN Theophylline 250MG SRC NUELIN Theophylline 125MG TAB NUELIN SA 250 Theophylline 250MG TAB PHYLLOCONTIN Aminophylline 225MG SRT PULMOPHYLLIN SR 300 Theophylline 300MG SRT Accepted treatment ROLAB-THEOPHYLLINE ANHYDROUS Theophylline 200MG SRT Accepted treatment ROLAB-THEOPHYLLINE ANHYDROUS Theophylline 300MG SRT Accepted treatment THEOPLUS Theophylline 200MG SRT THEOPLUS Theophylline 300MG SRT UNIPHYL Theophylline 400MG SRT UNIPHYL Theophylline 600MG SRT Oral Corticosteroids CAPSOID Prednisolone 5MG TAB Special Investigations (SI) LENISOLONE Prednisolone 5MG TAB Special Investigations (SI) METICORTEN Prednisone 50MG TAB METICORTEN Prednisone 5MG TAB PANAFCORT Prednisone 5MG TAB PREDNISONE (BE-TABS) Prednisone 5MG TAB Special Investigations (SI) PRELONE Prednisolone 5MG TAB PULMISON TABS Prednisone 20MG TAB TROLIC Prednisone 5MG TAB Special Investigations (SI) Cardiac failure/ Cardiomyopathy Anticoagulants WARFARIN Warfarin 5MG TAB Accepted treatment CIPLA WARFARIN 1MG Warfarin 1MG TAB Accepted treatment CIPLA-WARFARIN Warfarin 3MG TAB Accepted treatment CIPLA WARFARIN 5MG Warfarin 5MG TAB Accepted treatment Diuretics ADCO-RETIC Hydrochlorothiazide and potassium-sparing agents 5MG/50MG TAB Accepted treatment ALDACTONE Spironolactone 100MG TAB ALDACTONE Spironolactone 25MG APP Accepted treatment AMILORETIC Hydrochlorothiazide and potassium-sparing agents 50MG/5MG TAB Accepted treatment AMILORETIC HS Hydrochlorothiazide and potassium-sparing agents 2.5MG/25MG TAB Accepted treatment ARELIX Piretanide 3MG TAB ARELIX Piretanide 6MG TAB AUSTELL-FUROSEMIDE Furosemide 40MG TAB Accepted treatment AUSTELL-FUROSEMIDE Furosemide 20MG TAB Accepted treatment BETARETIC Hydrochlorothiazide and potassium-sparing agents 5MG/50MG TAB Accepted treatment BEURISES Furosemide 40MG TAB Accepted treatment BURINEX Bumetanide 1MG TAB BURINEX K Bumetanide and potassium TAB CATEXAN 2.5MG Indapamide 2.5MG TAB Accepted treatment CIPLA-INDAPAMIDE Indapamide 2.5MG TAB Accepted treatment DAPAMAX Indapamide 2.5MG TAB Accepted treatment DAPTRIL Indapamide 2.5MG TAB Accepted treatment DEZRETIC 5MG/50MG Hydrochlorothiazide and potassium-sparing agents 50MG/5MG TAB Accepted treatment DINO-RETIC Furosemide 40MG TAB Accepted treatment

12 DIURESIX Furosemide 40MG TAB Accepted treatment DYAZIDE Hydrochlorothiazide and potassium-sparing agents 25MG/50MG TAB Accepted treatment DYNA INDAPAMIDE SR Indapamide 1.5MG SRT HEXAZIDE Hydrochlorothiazide 25MG TAB Accepted treatment HYDRO-LESS Indapamide 2.5MG TAB Accepted treatment LASIX Furosemide 20MG TAB LASIX Furosemide 40MG TAB LASIX Furosemide 500MG TAB LASIX ORAL Furosemide 10MG/1ML SLN Clinical review MYLAN FUROSEMIDE Furosemide 40MG TAB Accepted treatment MYLAN-INDAPAMIDE Indapamide 2.5MG TAB Accepted treatment MODURETIC Hydrochlorothiazide and potassium-sparing agents 5MG/50MG TAB Accepted treatment NATRILIX Indapamide 2.5MG TAB Accepted treatment NATRILIX SR Indapamide 1.5MG SRT PURESIS Furosemide 40MG TAB RENEZIDE Hydrochlorothiazide and potassium-sparing agents 25MG/50MG TAB Accepted treatment RIDAQ Hydrochlorothiazide 25MG TAB Accepted treatment RIDAQ Hydrochlorothiazide 12.5MG TAB Accepted treatment ROLAB-AMILORIDE HCL/HYDROCHLOROTHIAZIDE Hydrochlorothiazide and potassium-sparing agents 5MG/50MG TAB Accepted treatment ROLAB-FUROSEMIDE Furosemide 40MG TAB Accepted treatment ROLAB-INDAPAMIDE Indapamide 2.5MG TAB Accepted treatment ROLAB-SPIRONOLACTONE Spironolactone 25MG TAB Accepted treatment SPEC-CO-AMILORIDE Hydrochlorothiazide and potassium-sparing agents 50MG/5MG TAB Accepted treatment SPIRACTIN Spironolactone 100MG TAB SPIRACTIN Spironolactone 25MG TAB Accepted treatment TORAHEXAL Torasemide 10MG TAB TORAHEXAL Torasemide 2.5MG TAB TORAHEXAL Torasemide 5MG TAB UNAT Torasemide 2.5MG TAB UNAT Torasemide 5MG TAB UNAT Torasemide 10MG TAB URIREX-K Hydrochlorothiazide and potassium TAB Accepted treatment Potassium supplementation KLOREF Potassium chloride 500MG EEF PLENISH K Potassium chloride 600MG TAB Accepted treatment POTASSIUM CHLORIDE UNICORN Potassium chloride 600MG TAB Accepted treatment SANDOZ K-600 Potassium chloride 600MG TAB Accepted treatment SLOW-K Potassium chloride 600MG TAB Accepted treatment ULTIPOT Potassium chloride 600MG TAB Accepted treatment SWISS-KAL SR Potassium chloride SRT ACE inhibitors ACCUMAX Quinapril 10MG TAB Accepted treatment ACCUMAX Quinapril 20MG TAB Accepted treatment ACCUPRIL Quinapril 5MG TAB ACCUPRIL Quinapril 10MG TAB Accepted treatment ACCUPRIL Quinapril 20MG TAB Accepted treatment ACCUPRIL Quinapril 40MG TAB ACESYL Perindopril 4MG TAB BIO-CAPTOPRIL Captopril 25MG TAB Accepted treatment ACTI-PREX (GLENMARK PERINDOPRIL) Perindopril 4MG TAB AUSTELL ENALAPRIL Enalapril 10MG TAB Accepted treatment AUSTELL ENALAPRIL Enalapril 20MG TAB Accepted treatment AUSTELL ENALAPRIL Enalapril 5MG TAB Accepted treatment ADCO-ENALAPRIL 10MG Enalapril 10MG TAB Accepted treatment ADCO-ENALAPRIL 20MG Enalapril 20MG TAB Accepted treatment ALAPREN 10 Enalapril 10MG TAB Accepted treatment ALAPREN 20 Enalapril 20MG TAB Accepted treatment ALAPREN 5 Enalapril 5MG TAB Accepted treatment

13 APEX-RAMIPRIL Ramipril 10MG CAP APEX-RAMIPRIL Ramipril 2.5MG CAP APEX-RAMIPRIL Ramipril 5MG CAP ARROW RAMIPRIL Ramipril 5MG TAB ARROW RAMIPRIL Ramipril 10MG TAB APEX-LISINOPRIL Lisinopril 20MG TAB Accepted treatment AURO-LISINOPRIL Lisinopril 10MG TAB Accepted treatment AURO-LISINOPRIL Lisinopril 20MG TAB Accepted treatment AURO-LISINOPRIL Lisinopril 5MG TAB Accepted treatment AURO PERINDOPRIL Perindopril 4MG TAB AURO PERINDOPRIL Perindopril 8MG TAB AUSTELL LISINOPRIL 2.5MG Lisinopril 2.5MG TAB Accepted treatment AUSTELL-LISINOPRIL Lisinopril 10MG TAB Accepted treatment AUSTELL LISINOPRIL 20MG Lisinopril 20MG TAB Accepted treatment AUSTELL-RAMIPRIL 1.25MG Ramipril 1.25MG CAP AUSTELL-RAMIPRIL 10MG Ramipril 10MG CAP AUSTELL-RAMIPRIL 2.5MG Ramipril 2.5MG CAP AUSTELL-RAMIPRIL 5MG Ramipril 5MG CAP BINDACE Perindopril 4MG TAB BINDACE Perindopril 8MG TAB CAPACE Captopril 25MG TAB Accepted treatment CAPTOHEXAL Captopril 12.5MG TAB Accepted treatment CAPTOHEXAL Captopril 25MG TAB Accepted treatment CAPTOHEXAL Captopril 50MG TAB Accepted treatment CAPTOMAX Captopril 25MG TAB Accepted treatment CAPTOMAX Captopril 50MG TAB Accepted treatment CIBACE Benazepril 10MG TAB CIPLA-PERINDOPRIL Perindopril 4MG TAB CIPLA-PERINDOPRIL Perindopril 8MG TAB CIPLASYL Perindopril 4MG TAB CIPLASYL Perindopril 8MG TAB CIPLATEC 10 Enalapril 10MG TAB Accepted treatment CIPLATEC 20MG Enalapril 20MG TAB Accepted treatment CIPLATEC 5 Enalapril 5MG TAB Accepted treatment COVERSYL Perindopril 4MG TAB COVERSYL Perindopril 10MG TAB ENAP 10MG Enalapril 10MG TAB Accepted treatment ENAP 20MG Enalapril 20MG TAB Accepted treatment ENAP 5MG Enalapril 5MG TAB Accepted treatment ENVAS Enalapril 10MG TAB Accepted treatment ENVAS Enalapril 5MG TAB Accepted treatment HEXAL-LISINOPRIL Lisinopril 10MG TAB Accepted treatment HEXAL-LISINOPRIL Lisinopril 20MG TAB Accepted treatment HEXAL-LISINOPRIL Lisinopril 5MG TAB Accepted treatment HR-ENALAPRIL 10 Enalapril 10MG TAB Accepted treatment HR-ENALAPRIL 20 Enalapril 20MG TAB Accepted treatment HR-ENALAPRIL 5 Enalapril 5MG TAB Accepted treatment HYPACE Enalapril 5MG TAB Accepted treatment INHIBACE Cilazapril 5MG TAB LYSIN Lisinopril 10MG TAB Accepted treatment LYSIN Lisinopril 5MG TAB Accepted treatment MAVIK (PREVIOUSLY GOPTEN) Trandolapril 2MG CAP MAVIK (PREVIOUSLY GOPTEN) Trandolapril 0.5MG CAP MYLAN CAPTOPRIL Captopril 25MG TAB Accepted treatment MYLAN-CAPTOPRIL Captopril 50MG TAB Accepted treatment MYLAN-FOSINOPRIL 10 Fosinopril 10MG TAB MYLAN-FOSINOPRIL 20 Fosinopril 20MG TAB MONOPRIL Fosinopril 10MG TAB

14 MONOPRIL Fosinopril 20MG TAB PEARINDA Perindopril 4MG TAB PEARINDA Perindopril 8MG TAB PERINDOPRIL UNICORN Perindopril 4MG TAB PERINDOPRIL UNICORN Perindopril 8MG TAB PERISTAR Perindopril 4MG TAB PERISTAR Perindopril 8MG TAB PHARMAPRESS Enalapril 5MG TAB Accepted treatment PHARMAPRESS Enalapril 10MG TAB Accepted treatment PHARMAPRESS Enalapril 20MG TAB Accepted treatment PREXUM Perindopril 4MG TAB PREXUM Perindopril 5MG TAB PREXUM Perindopril 10MG TAB QUINACE Quinapril 10MG TAB Accepted treatment QUINACE Quinapril 20MG TAB Accepted treatment QUINAGEN Quinapril 5MG TAB QUINAGEN Quinapril 10MG TAB Accepted treatment QUINAGEN Quinapril 20MG TAB Accepted treatment QUINAGEN Quinapril 40MG TAB QUINASPEN 10MG Quinapril 10MG TAB Accepted treatment QUINASPEN 20MG Quinapril 20MG TAB Accepted treatment RAMIPRIL HEXAL Ramipril 2.5MG TAB RAMIPRIL HEXAL Ramipril 5MG TAB RAMIWIN Ramipril 1.25MG CAP RAMIWIN Ramipril 2.5MG CAP RAMIWIN Ramipril 5MG CAP RAMPIL 1.25MG Ramipril 1.25MG CAP RAMPIL 10MG Ramipril 10MG CAP RAMPIL 2.5MG Ramipril 2.5MG CAP RAMPIL 5MG Ramipril 5MG CAP RAN-PERINDOPRIL Perindopril 4MG TAB RAN RAMIPRIL Ramipril 10MG CAP RENITEC Enalapril 10MG TAB Accepted treatment RENITEC Enalapril 2.5MG TAB Accepted treatment RENITEC Enalapril 20MG TAB Accepted treatment RENITEC Enalapril 5MG TAB Accepted treatment RETACE Ramipril 2.5MG TAB RETACE Ramipril 5MG TAB RILACE Ramipril 2.5MG CAP RILACE Ramipril 5MG CAP RILACE Ramipril 10MG CAP ROLAB-CAPTOPRIL Captopril 25MG TAB Accepted treatment ROLAB-CAPTOPRIL Captopril 50MG TAB Accepted treatment SIMAYLA LISINOPRIL Lisinopril 10MG TAB Accepted treatment SIMAYLA LISINOPRIL Lisinopril 20MG TAB Accepted treatment SIMAYLA RAMIPRIL Ramipril 10MG CAP SINOPREN 10 Lisinopril 10MG TAB Accepted treatment SINOPREN 20 Lisinopril 20MG TAB Accepted treatment SINOPREN 5 Lisinopril 5MG TAB Accepted treatment SPEC-PERINDOPRIL Perindopril 4MG TAB SPEC-PERINDOPRIL Perindopril 8MG TAB TRITACE Ramipril 1.25MG TAB TRITACE Ramipril 2.5MG TAB TRITACE Ramipril 5MG TAB TRITACE Ramipril 10MG CAP VECTORYL Perindopril 4MG TAB VECTORYL Perindopril 8MG TAB ZAPTO Captopril 25MG TAB Accepted treatment

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