17 October 2003 TO: PHARMACEUTICAL SUPPLIERS CONSULTATION ON TENDER OF CERTAIN PHARMACEUTICALS AND REQUESTS FOR PROPOSALS

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1 Level 14, Cigna House, 17 October Mercer Street P O Box , Wellington NEW ZEALAND Phone Fax TO: PHARMACEUTICAL SUPPLIERS CONSULTATION ON TENDER OF CERTAIN PHARMACEUTICALS AND REQUESTS FOR PROPOSALS PHARMAC is consulting on tendering for supply of certain pharmaceuticals to DHB Hospitals. The list of potential hospital line items is appended to this letter as Schedule One. You have already had an opportunity to comment on the proposed tender process and community product list. We now ask for comments on the proposed hospital list. It is envisaged that the community and hospital tenders will again be run as one process. We seek comments on the approach outlined in the following pages, in particular the following: the actual or potential clinical implications of awarding Hospital Supply Status (as defined in Section H of the Pharmaceutical Schedule) to the pharmaceuticals listed in Schedule One; what the appropriate DV Limit for each product would be where a 0% DV Limit is considered clinically unacceptable; and any contractual constraints or patent protection that could mean that PHARMAC could only tender or implement the results of a tender after 31 December PHARMAC is currently consulting with DHB Hospitals, medical groups and other interested parties with respect to the proposed product list. All feedback received by the deadline will be considered by the Tender Medical Evaluation Sub-committee of PTAC prior to consideration by the PHARMAC Board. Consultation on tendering for certain pharmaceuticals In accordance with PHARMAC s objective of securing for eligible people in need of pharmaceuticals, the best health outcomes that are reasonably achievable from pharmaceutical treatment and from within the amount of funding provided, PHARMAC is consulting on tendering for Hospital Supply Status of certain pharmaceuticals listed in Schedule One of this document. Schedule One lists the Line Items for which we are consulting on tendering for supply to DHB Hospitals. Products are listed alphabetically by chemical, form and strength. The PHARMAC Board will set DV Limits once all medical feedback is received and the Tender Medical Evaluation Sub-committee of PTAC and the Hospital Pharmaceutical Advisory Committee have considered this information. Responses to consultation The closing date for responses to consultation is 5pm, 7 November R #75126

2 Please direct any queries you may have to Matthew Perkins ( Ph: ) at PHARMAC. Yours sincerely Sarah Schmitt Manager, Hospital Pharmaceuticals R #75126

3 SCHEDULE ONE: POSSIBLE PRODUCTS FOR TENDER FOR SOLE SUPPLY Choice of products selected This Schedule lists the line items for which PHARMAC wishes to consult on entering into hospital tender arrangements. PHARMAC welcomes any comments you may have with regard to the inclusion of these Line Items in a tender for hospital supply. Patents Products that are known by PHARMAC to be on patent will not be included in the final tender list. However, PHARMAC does not guarantee the accuracy of patent expiry information. Suppliers remain responsible for ensuring they do not infringe patents. Suppliers are responsible for their own independent assessment of the information and must decide for themselves whether or not to make an investment and on what terms. Explanation of terms, symbols and abbreviations Most terms and abbreviations used are self explanatory: Tab means tablet; Cap means capsule, liq means liquid, L/A means long acting; Inj means injection, suppos means suppository, grans mean granules and OP means original pack to be dispensed. R #75126

4 Abacavir Sulphate Abciximab Acetic Acid Acetylcholine Acetylcysteine Adenosine Adrenaline Albendazole Alfentanil Alprostadil Amethocaine Tab 300 mg Inj 2 mg per ml, 5 ml Soln 3% Soln 5% Inj 10 mg per ml, 2 ml Inj 200 mg per ml, 10 ml Inj 3 mg per ml, 2 ml Inj 1 in 1000, 1 ml Inj 1 mg per ml Tab 200 mg Inj 0.5 mg per ml, 2 ml Inj 500 mcg per ml Gel 4% Minims 1% Amikacin Sulphate Aminocaproic Acid Amiodarone Amoxycillin Anagrelide Aprotinin Aspaginase Aspirin Azithromycin Aztreonam Baclofen Inj 250 mg per ml, 2ml Inj 250 mg per ml, 20 ml Inj 50 mg per ml, 3 ml Cap 250 mg Cap 500 mg Tab 0.5 mg Inj 10,000,000 iu per ml, 50 ml Inj 10,000 iu Tab EC 100 mg Tab 500 mg Barium Sulphate Inj 2 mg per ml, 5 ml Enema 94% Beclomethasone Dipropionate Aerosol inhaler, 250 mcg per dose, breath activated Benoxinate Minims 0.4% Benzalkonium with Panthenol Crm 500ug with 50 mg panthenol per g Betamethasone Sodium Phosphate with Betamethasone Acetate Inj 3.9 mg with betamethasone acetate 3 mg per ml, 1ml Bisacodyl Budesonide Buserelin Acetate Caffeine Citrate Calciferol Calcitriol Suppos 10 mg Powder for inhalation, 200 mcg per dose Powder for inhalation, 400 mcg per dose Inj 1 mg per ml, 5.5 ml 10 mg per ml, 2.5 ml Tab 50,000 iu Cap 0.25 mcg Cap 0.5 mcg Calcium Carbonate Tab 1.25g Calcium Chloride Calcium Folinate Inj 10%, 10 ml Inj 50 mg Calcium Gluconate Inj 10%, 10 ml Calcium Polystyrene Sulphonate Powder Carbamazepine Carboplatin Carboprost Carvedilol Caspofungin Oral liq 100 mg per 5 ml Tab 200 mg Inj 10 mg per ml, 15 ml Inj 10 mg per ml, 45 ml Inj 250 mcg per ml Tab 6.25 mg Inj 5 mg per ml, 10 ml Cefaclor Monohydrate Cefamandole Cap 250 mg Cefamandole Nafate Page 1 of 7

5 Cefepime Cefotaxime Cefotetan Inj 2 g Inj 2 g Cefoxitin Sodium Cefpirome Charcoal Inj 2 g Chloramphenicol Chlorhexidine 50 g per 300 ml Eye oint 1% Crm 1% Obstetric Soln 0.05% Soln 0.1% Soln 2% Soln 20% Chlorhexidine Gluconate Handrub 0.5% with ethanol 70% Soln 4% Chlorhexidine with Cetrimide Soln 0.015% with 0.15% cetrimide Chlorhexidine with Isopropyl Alcohol Cidofovir Cilazapril Ciprofoxacin Cisplatin Clarithromycin Clindamycin Clonidine 0.5% in 70% alcohol Inj 75 mg per ml, 5 ml Tab 0.5 mg Tab 2.5 mg Tab 5 mg Inj 2 mg per ml, 100 ml Oral liq 250 mg per 5 ml Oral liq 500 mg per 5 ml Inj 1 mg per ml, 50 ml Tab 250 mg Cap 150 mg Inj 140 mg per ml, 4 ml Inj 150 mcg per ml, 1 ml Clonidine Transdermal delivery system 2.5 mg, 100 mcg per day Clopidogrel Cocaine Tab 75 mg Soln 4% Codeine Phosphate Tab 30 mg Tab 60 mg Colistin Sulphomethate Co-trimoxazole Inj 150 mg Inj, 96 mg per ml, 5 ml Cyclizine Hydrochloride Tab 50 mg Cyclizine Lactate Inj 50 mg per ml, 1 ml Cyclopentolate Hydrochloride Eye drops 1% Cyclophosphamide Cyproterone Acetate Cytarabine Dacarbazine Dantrolene Daunorubicin Inj 100 mg per ml, 3 ml 100 mg per ml, 10 ml 100 mg per ml, 20 ml 100 mg per ml, 5 ml Inj 200 mg Inj 20 mg Desferrioxamine Inj 5 mg per ml, 5 ml Desferrioxamine Mesylate Desflurane Liq Desipramine Hydrochloride Desmopressin Dexamethasone Tab 25 mg Inj 15 mcg per ml Inj 4 mcg per ml, 1 ml Oral liq 2 mcg per ml, 5 ml Tab 4 mg Dexamethasone Sodium Phosphate Inj 4 mg per ml, 1 ml Inj 4 mg per ml, 2 ml Page 2 of 7

6 Dexamethasone with Framycetin and Gramcidin Dextrose Ear/eye drops 500 ug with framycetin sulphate 5 mg and gramcidin 50 ug per ml Inj 50%, 10 ml Dextrose with Electrolytes Diazepam Dinoprostone Soln with electrolytes Soln with electrolytes 1000 ml Inj 5 mg per ml, 2 ml Tab 5 mg Gel 1 mg Gel 2 mg Pessary 1 mg Pessary 2 mg Diphemanil Methylsulphate Dipyridamole Docetaxel Powder 2% Cap long acting 150 mg Inj 10 mg per ml, 2 ml Inj 10 mg per ml, 8 ml Docusate Sodium with Sennosides Tab 50 mg with total sennosides 8 mg Donepezil Hydrochloride Dopamine Droperidol Efavirenz Ephedrine Epirubicin Eptifibatide Tab 5 mg Inj 40 mg per ml, 5 ml Inj 2.5 mg per ml, 1 ml Inj 5 mg per ml, 2 ml Cap 200 mg Tab 600 mg Inj 30 mg per ml Inj 2 mg per ml, 2 ml Inj 2 mg per ml, 25 ml Inj 2 mg per ml, 10 ml Erythromycin Stearate Erythropoietin Inj 750 ug per ml, 100 ml Tab 250 mg Inj 10,000 iu, pre-filled syringe Inj 2,000 iu, pre-filled syringe Inj 3,000 iu, pre-filled syringe Inj 4,000 iu, pre-filled syringe Erythropoietin Erythropoietin Alpha Esmolol Ethanol Ethyl Alcohol Ethyl Chloride Etoposide Fentanyl Inj 5,000 iu, pre-filled syringe Inj 6,000 iu, pre-filled syringe Inj human recombinant 1,000 u pre-filled syringe Inj human recombinant 10,000 u, pre-filled syringe Inj 1 mg per ml, 10 ml Inj 250 mg per ml, 10 ml Spray 70% Gel 61.5% Spray Cap 50 mg Ferrous Sulphate Filgrastim Flucloxacillin Fludarabine Flumazenil Flunitrazepam Fluorescein Fluorouracil Inj 20 mg per ml, 5 ml Patches 2.5 mg Patches 5 mg Tab long-acting 325 mg Inj 500 ug per 1.67 ml Cap 500 mg Inj 12 g Inj 4 g Inj 8 g Inj 1 mg Inj 100 ug per ml, 5 ml Inj 2 mg Inj 10% Inj 25 mg per ml, 10 ml Inj 25 mg per ml, 100 ml Inj 25 mg per ml, 20 ml Inj 50 mg per ml, 10 ml Inj 50 mg per ml, 20 ml Inj 50 mg per ml, 5 ml Inj 50 mg per ml, 50 ml Fluphenazine Decanoate Inj 100 mg per ml, 1 ml Page 3 of 7

7 Flurbiprofen Fluticasone Folinic Acid Eye drops 0.03% Framycetin Sulphate Frusemide Fusidic Acid Gelofusine Gemcitabine Gemeprost Aerosol 250 mcg per dose Aerosol inhaler 125 mcg per dose Inj 10 mg per ml, 5 ml Inj 7.5 mg per ml, 2 ml Ear/Eye oint 0.5% Infusion 10 mg per ml, 25 ml Inj 10 mg per ml, 2 ml sodium fusidate per 10 ml Inf 4%, 500 ml Inj 200 mg Pessary 1 mg Gentamicin Sulphate Glutaraldehyde Inj 10 mg per ml, 2 ml Soln 2% Glyceryl Trinitrate Glycine Glycopyrrolate Goserelin Acetate Heparin Sodium Inj 1 mg per ml, 5 ml Inj 1 mg per ml, 50 ml Inf 1.5%, 2000 ml Inj 200 mcg per ml Inj 10.8 mg Inj 3.6 mg Heparinised Saline Hydrocortisone Inj 1,000 iu per ml, 35 ml Inj 1,000 iu per ml, 5 ml Inj 25,000 iu per ml, 0.2 ml Inj 25,000 iu per ml, 5 ml Inj 5,000 iu per ml, 5 ml Inj 100 iu per ml, 5 ml Inj 50 mg per ml, 2 ml Hydrocortisone with Cinchocaine Oint 5 mg with cinchocaine hydrochloride 5 mg per g Hyoscine N-Butylbromide Inj 20 mg 1 ml Idarubicin Ifosfamide Indinavir Cap 10 mg Inj 2 g Iodine in Alcohol Iohexol Cap 400 mg Ipratropium Bromide Irinotecan Iron-sucrose complex Isoprenaline Soln 1% in 70% alcohol Inj 300 mg per ml, 100 ml Inj 300 mg perml, 20 ml Inj 300 mg perml, 50 ml Aerosol inhaler, 20 mcg per dose Nebuliser soln, 500 mcg per 2 ml Inj 20 mg per ml, 2 ml Inj 20 mg per ml, 5 ml Inj 20 mg per ml, 5 ml Inj 200 mcg per ml, 5 ml Isoprenaline Hydrochloride Itraconazole Ketamine Labetalol Lactulose Lamivudine Lamotrigine Lanolin Leflunomide Leuprorelin Inj 200 mcg per ml, 1 ml Cap 100 mg Inj 100 mg per ml, 2 ml Inj 5 mg per ml, 20 ml Oral liq 10 g per 15 ml Tab 100mg Tab 150 mg Tab dispersible 100 mg Lotn anhydrous Inj mg Inj 3.75 mg Levodopa with Carbidopa Levo-Noradrenaline Lignocaine Tab long-acting 200 mg with 50 mg carbidopa Inj 1 mg per ml, 2 ml Gel 20 g Page 4 of 7

8 Lignocaine Inj 10%, 50 ml Lignocaine and Adrenaline Inj 2%, 2.2 ml Lignocaine with Chlorhexidine Gel 2% with 0.05% chlorhexidine Lignocaine with Prilocaine Patch 2.5% Lignocaine with Prilocaine Hydrochloride Linezolid Crm 2.5% with prilocaine hydrochloride 2.5% Inj 2 mg per ml, 300 ml Tab 600 mg Lithium Carbonate lodixanol Loratidine Lorazepam Cap 250 mg Inj 270 mg per ml, 100 ml Inj 270 mg per ml, 50 ml Magnesium Sulphate Inj 4 mg per ml, 1 ml Inj 49.3%, 5 ml Medroxyprogesterone Acetate Meropenem Mesalazine Mesna Inj 150 mg per ml 1 ml Metaraminol Tartrate Tab long-acting 500 mg Inj 100 mg per ml, 10 ml Inj 10 mg per ml, 1 ml Methacholine Chloride Methohexital Sodium Methotrexate Methylene Blue Nebuliser soln 100 mg, 10 ml vial Methylprednisolone Inj 20 mg, 2 ml vial Inj 10 mg per ml, 10 ml Inj 40 mg per ml Metoprolol Succinate Metoprolol Tartrate Metronidazole Tab long-acting 47.5 mg Inj 1 mg per ml 5 ml Suppos 1 g Miconazole Nitrate Mifepristone Milrinone Mitozantrone Monoxidil Moxifloxacin Nelfinavir Powder 2% Tab 200 mg Inj 1 mg per ml, 10 ml Inj 2 mg per ml, 10 ml Inj 400 mg Tab 250 mg Netilmicin Sulphate Nevirapine Nimodipine Norfloxacin Oily Phenol Oxaliplatin Oxandrolone Oxypentifylline Oxytocin Inj 100 mg per ml, 1.5 ml Tab 200 mg Inj 0.2 mg per ml, 50 ml Tab 30 mg Tab 400 mg Inj 5%, 5 ml Inj 100 mg Inj 50 mg Tab 2.5 mg Tab 400 mg Inj 10 iu per ml, 1 ml Inj 5 iu with ergometrine maleate 500 ug per ml, 1 ml Palivizumab Inj 100 mg Papaverine Hydrochloride Paracetamol Paraffin Pentamidine Inj 12 mg per ml, 10 ml Tab 500 mg Liquid White soft Yellow soft Inj 300 mg Pethidine Hydrochloride Inf 5 mg per ml, 100 ml Inj 10 mg per ml, 50 ml Inj 5 mg per ml, 10 ml Page 5 of 7

9 Pethidine Hydrochloride Phenobarbitone Phenol Phenoxybenzine Phenylephrine Inj 5 mg per ml, 50 ml Inj 50 mg per ml, 1 ml Inj 50 mg per ml, 2 ml Inj 200 mg Phytomenadione Piperacillin Inj 5% in almond oil Inj 50 mg per ml, 2 ml Minim eye drops 2.5% Inj 10 mg per ml, 0.2 ml Inj 2 g Inj 4 g Piperacillin with Tazobactam Inj 2 g with tazobactum 250 mg Inj 4 g with tazobactum 500 mg Polyethylene Glycol with Sodium Sulphate Powder Potassium Chloride Tab 548 mg (14 m eq ) with chloride 285 mg ( 8 m eq ) effervescent Tab long-acting 600 mg Potassium Dihydrogen Phosphate Povidone Iodine Inj 1 mmol per ml, 10 ml Alcohol skin preparation 10% Antiseptic Soln 10% Prednisolone Sodium Phosphate Prednisone Oral liq 5 mg per ml Tab 20 mg Prochlorperazine Suppos 25 mg Protamine Sulphate Inj 10 mg per ml, 5 ml Pyridostigmine Bromide Quinapril Tab long-acting 180 mg Tab 20 mg Tab 5 mg Ranitidine Hydrochloride Rasburicase Remifentanil Inj 25 mg per ml, 2 ml Inj 1.5 mg Inj 5 mg per ml Rifampicin Cap 300 mg Inj 600 mg Rocuronium Bromide Salbutamol Inj 10 mg per ml, 1 ml Inj 10 mg per ml, 5 ml Infusion 1 mg per ml, 5 ml Nebuliser soln, 1 mg per ml, 2.5 ml Nebuliser soln, 2 mg per ml, 2.5 ml Salbutamol with Ipratropium Bromide Aerosol inhaler, 100 mcg with ipratropium bromide 20 mcg per dose Nebuliser soln, 2.5 mg with ipratropium bromide 0.5 mg per 2.5 ml vial Salmeterol Saquinavir Sertraline Aerosal inhaler, 25 ug per dose Cap 200 mg Tab 50 mg Silver Sulphadiazine Simvastatin Sincalide Crm 1% Tab 20 mg Tab 40 mg Inj 5 mcg Sodium Acid Phosphate Enema 16% with sodium phosphate 8% Sodium and Meglumine Diatrizoate Inj 76%, 100 ml Inj 76%, 50 ml Sodium Bicarbonate Inj 8.4% 10 ml Sodium Citro-Tartrate Grans effervescent 4 g sachets Sodium Dichloroisocyanurate Sodium Hyaluronidate Tab effervescent 500 mg Inj 14 mg per ml Sodium Hypochlorite Soln Sodium Thiosulphate Teicoplanin Tenoxicam Inj 25%, 50 ml Inj 400 mg Inj 10 mg per ml, 4 ml Inj 20 mg Inj 20 mg per ml, 2 ml Page 6 of 7

10 Thiamine Thiopentone Inj 100 mg per ml, 2 ml Ticaracillin with Potassium Clavulanate Tirofiban Tobramycin Tranexamic Acid Tretinoin Inj 3 g with 100 mg potassium clavulanate Inj 250 mcg per ml, 50 ml Inj 40 mg per ml, 2 ml Inj 100 mg per ml, 5 ml Tab 500 mg Cap 10 mg Triamcinolone Acetonide Tropicamide Urokinase Ursodiol Inj 10 mg per ml, 1 ml Inj 10 mg per ml, 5 ml Inj 40 mg per ml, 1 ml Inj 40 mg per ml, 5 ml Eye drops 1% Minims 1% Inj 10,000 iu Inj 100,000 iu Inj 500,000 iu Cap 300 mg Vancomycin Hydrochloride Vasopressin Vecuronium Cap 125 mg Inj 50 mg per ml, 10 ml Inj 20 iu per ml Xylometazoline Nasal spray 0.1% Zidovudine with Lamivudine Zinc and Castor Oil Zopiclone Tab 300 mg with lamivudine 150 mg Oint Zuclopenthixol Tab 7.5 mg Inj 50 mg per ml, 2 ml Tab 25 mg Zuclopenthixol acetate Acuphase 50mg/ml injection Zuclopenthixol Decanoate Inj 200 mg per ml Inj 10 mg Vincristine Inj 1 mcg Vincristine Sulphate Inj 1 mg per ml, 2 ml Vinorelbine Inj 10 mg Inj 10 mg per ml, 5 ml Voriconzole Tab 200 mg Water for injection 100 ml 1000 ml Water for irrigation 1000 ml Page 7 of 7

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