Notification of Product Changes (NOPC) forms, Containered Trade Product Pack (CTPP) codes and Pharmacodes

Transcription

1 28 February 2017 TENDER RESULTS PHARMAC has resolved to award tenders for Sole Subsidised Supply Status and Status for some products included in the 2015/16 Invitation to Tender, d 6 November 2015 and the 2016/17 Invitation to Tender, d 3 November Some of the pharmaceuticals that will be delisted when the period of Sole Subsidised Supply/ Status commences may be subject to existing listing contracts with PHARMAC. Suppliers of pharmaceuticals that are subject to such contracts should continue to supply their pharmaceuticals under those contracts. PHARMAC will continue to subsidise those pharmaceuticals accordingly until such time as those pharmaceuticals are delisted. Notification of Product Changes (NOPC) forms, Containered Trade Product Pack (CTPP) codes and Pharmacodes Please note that for any changes (price change, size change, new listing etc) to be effective in the Pharmaceutical Schedule (including Section H), suppliers are required to notify any changes to PHARMAC and the Pharmacy Guild of New Zealand by 4pm on the 12 th of the month prior to the of subsidy change. More information and NOPC forms can be found on our website Suppliers are required to ensure that a Pharmacode has been obtained from the Pharmacy Guild of New Zealand ( and that a CTPP code has been obtained from the New Zealand Universal List of Medicines ( Pharmacodes and CTPP codes must be provided to PHARMAC by the 5 th of the month prior to the of listing, or 10 business days following the market notification (whichever is earliest). PHARMAC cannot list a product (and pharmacies cannot claim) without the correct Pharmacode. A Page 1 of 15

2 2015/16 Tender Sole Subsidised Supply Status or Status applies until 30 June 2019 Hospital pharmaceutical tenders Section H of the Pharmaceutical Schedule 1. Tenders awarded to pharmaceuticals where no brand is listed. The decisions were as follows: Chemical name Pack Price Listing Status Noradrenaline Inj 1 mg per ml, 4 ml ampoule; 10 $ Noradrenaline BNM (Boucher) 2016/17 Tender Sole Subsidised Supply Status or Status applies until 30 June 2020 Community pharmaceutical tenders Section B of the Pharmaceutical Schedule 2. Tenders awarded to currently listed pharmaceuticals where no other brand is listed. The decisions were as follows: Chemical name Acetazolamide Tab 250 mg; 100 tablets, bottle subsidy (and price) New subsidy (and price) Sole supply brand (Supplier) Date of subsidy change Sole Subsidised Supply $17.03 $17.03 Diamox (Arrow) Acitretin Cap 10 mg; 60 tablets, blister $17.86 $17.86 Novatretin (Douglas) Acitretin Cap 25 mg; 60 tablets, blister $41.36 $41.36 Novatretin (Douglas) Amlodipine Tab 2.5 mg; 100 tablets, bottle $2.21 $1.72 Apo Amlodipine Amlodipine Tab 5 mg; 250 tablets, bottle $5.04 $3.33 Apo Amlodipine Amlodipine Tab 10 mg; 250 tablets, bottle $7.21 $4.40 Apo Amlodipine Amorolfine Nail soln 5%; 5 ml OP bottle $19.95 $15.95 MycoNail (AFT) Amoxicillin Inj 250 mg vial; 10 vials $10.67 $10.67 Ibiamox (Douglas) A Page 2 of 15

3 Chemical name subsidy (and price) New subsidy (and price) Sole supply brand (Supplier) Date of subsidy change Sole Subsidised Supply Amoxicillin Inj 500 mg vial; 10 vials $12.41 $12.41 Ibiamox (Douglas) Amoxicillin Inj 1 g vial; 10 vials $17.29 $17.29 Ibiamox (Douglas) Amoxicillin with clavulanic acid Tab 500 mg with clavulanic acid 125 mg; 20 tablets, blister $1.95 $1.88 Augmentin (GlaxoSmithKline) 1 August November 2017 Atropine sulphate Eye drops 1%; 15 ml OP bottle $17.36 $17.36 Atropt (Aspen) Benzylpenicillin sodium [Penicillin G] Betahistine di Bupropion Inj 600 mg (1 million units) vial; 10 vials $10.35 $10.35 Sandoz (Novartis) Tab 16 mg; 84 tablets, blister $4.95 $2.89 Vergo 16 (Mylan) Tab modified release 150 mg; 30 tablets, blister $11.00 $11.00 Zyban (GlaxoSmithKline) 1 April July 2017 Calcipotriol Oint 50 mcg per g; 100 g OP tube $45.00 $45.00 Daivonex (Leo Pharma) 1 May August 2017 Cefazolin Inj 500 mg vial; 5 vials $3.99 $3.39 AFT (AFT) Cefazolin Inj 1 g vial; 5 vials $3.38 $3.29 AFT (AFT) Ciprofloxacin Tab 250 mg; 28 tablets, blister $1.75 $1.45 Cipflox (Mylan) Ciprofloxacin Tab 500 mg; 28 tablets, blister $2.00 $1.99 Cipflox (Mylan) Ciprofloxacin Tab 750 mg; 28 tablets, blister $3.75 $3.15 Cipflox (Mylan) Cyproterone acetate with ethinyloestradiol Tab 2 mg with ethinyloestradiol 35 mcg and 7 inert tablets; 168 tablets, blister $5.36 $4.67 Ginet (Rex Medical) Darunavir Tab 400 mg; 60 tablets, bottle $ $ Prezista (Janssen Cilag) 1 April July 2017 Darunavir Tab 600 mg; 60 tablets, bottle $1, $ Prezista (Janssen Cilag) 1 April July 2017 Docusate sodium Tab 50 mg; 100 tablets, bottle $2.31 $2.31 Coloxyl (Aspen) Docusate sodium Donepezil Tab 120 mg; 100 tablets, bottle Tab 5 mg; 90 tablets, blister $5.48 $4.34 $3.13 $3.13 Coloxyl (Aspen) Donepezil Rex (Rex Medical) A Page 3 of 15

4 Chemical name Donepezil subsidy (and price) New subsidy (and price) Tab 10 mg; 90 tablets, blister $10.51 $6.64 Sole supply brand (Supplier) Donepezil Rex (Rex Medical) Date of subsidy change Sole Subsidised Supply Doxazosin Tab 2 mg; 500 tablets, bottle $6.75 $6.75 Apo Doxazosin Doxazosin Tab 4 mg; 500 tablets, bottle $9.67 $9.09 Apo Doxazosin Fusidic acid Tab 250 mg; 12 tablets, blister $34.50 $34.50 Fucidin (Leo Pharma) 1 April July 2017 Gliclazide Tab 80 mg; 500 tablets, bottle $11.50 $10.29 Glizide (Mylan) Glycerol Liquid; 500 ml, bottle $3.71 $3.28 healthe Glycerol BP (Jaychem) Hydrocortisone Powder; 25 g bottle $59.50 $49.95 ABM (ABM) Hydrocortisone and paraffin liquid and lanolin Isosorbide mononitrate Lotn 1% with paraffin liquid 15.9% and lanolin 0.6%; 250 ml, bottle Tab long acting 60 mg; 90 tablets, blister $10.57 $10.57 DP Lotion HC (Douglas) $8.49 $8.29 Duride (Mylan) Ketoconazole Shampoo 2%; 100 ml OP bottle $2.99 $2.99 Sebizole (Douglas) Lopinavir with ritonavir Tab 200 mg with ritonavir 50 mg; 120 tablets, bottle $ $ Kaletra (AbbVie) Losartan potassium Tab 12.5 mg; 84 tablets, blister $1.55 $1.39 Losartan Actavis 1 September December 2017 Losartan potassium Tab 25 mg; 84 tablets, blister $1.90 $1.63 Losartan Actavis 1 September December 2017 Losartan potassium Tab 50 mg; 84 tablets, blister $2.25 $2.00 Losartan Actavis 1 September December 2017 Losartan potassium Tab 100 mg; 84 tablets, blister $2.60 $2.31 Losartan Actavis 1 September December 2017 Magnesium sulphate Inj 2 mmol per ml, 5 ml ampoule; 10 Methotrexate Inj 100 mg per ml, 50 ml vial; 1 vial $99.99 $79.99 Miconazole nitrate Vaginal crm 2% with applicator; 40 g OP tube $12.65 $10.21 DBL (Pfizer) Methotrexate Ebewe (Novartis) $3.95 $3.88 Micreme (Mylan) Morphine sulphate Tab immediate release 10 mg; 10 $2.80 $2.80 Sevredol (MundiPharma) A Page 4 of 15

5 Chemical name subsidy (and price) New subsidy (and price) Sole supply brand (Supplier) Date of subsidy change Sole Subsidised Supply tablets, blister Morphine sulphate Naltrexone Olanzapine Olanzapine Tab immediate release 20 mg; 10 tablets, blister $5.52 $5.52 Sevredol (MundiPharma) Tab 50 mg; 30 tablets, blister $ $ Naltraccord Tab orodispersible 5 mg; 28 tablets, blister Tab orodispersible 10 mg; 28 tablets, blister $1.75 $1.25 Zypine ODT (Mylan) $3.05 $2.05 Zypine ODT (Mylan) Olanzapine Tab 2.5 mg; 28 tablets blister $0.75 $0.64 Zypine (Mylan) Olanzapine Tab 5 mg; 28 tablets, blister $1.65 $1.15 Zypine (Mylan) Olanzapine Tab 10 mg; 28 tablets, blister $2.55 $1.65 Zypine (Mylan) Oxazepam Tab 10 mg; 100 tablets, bottle $6.17 $6.17 Ox Pam (Douglas) Oxazepam Tab 15 mg; 100 tablets, bottle $8.53 $8.53 Ox Pam (Douglas) Pamidronate disodium Pamidronate disodium Pamidronate disodium Paracetamol with codeine Inj 3 mg per ml, 10 ml vial; 1 vial $6.80 $5.98 Pamisol (Pfizer) Inj 6 mg per ml, 10 ml vial; 1 vial $13.20 $15.02 Pamisol (Pfizer) Inj 9 mg per ml, 10 ml vial; 1 vial $19.20 $17.05 Pamisol (Pfizer) Tab paracetamol 500 mg with codeine phosphate 8 mg; 1,000 tablets, blister $21.06 $18.21 Paracetamol + Codeine (Relieve) (Mylan) Perindopril Tab 2 mg; 30 tablets, blister $3.75 $3.75 Apo Perindopril Perindopril Tab 4 mg; 30 tablets, blister $4.80 $4.80 Apo Perindopril Pethidine Inj 50 mg per ml, 1 ml ampoule; 5 $5.51 $4.98 DBL Pethidine Hydrochloride (Pfizer) Pethidine Inj 50 mg per ml, 2 ml ampoule; 5 $5.83 $5.12 DBL Pethidine A Page 5 of 15

6 Chemical name subsidy (and price) New subsidy (and price) Sole supply brand (Supplier) Hydrochloride (Pfizer) Date of subsidy change Sole Subsidised Supply Poloxamer Oral drops 10%; 30 ml OP bottle $3.78 $3.78 Coloxyl (Aspen) Prednisone Tab 1 mg; 500 tablets, bottle $10.68 $10.68 Apo Prednisone 1 April July 2017 Prednisone Tab 2.5 mg; 500 tablets, bottle $12.09 $12.09 Apo Prednisone 1 April July 2017 Prednisone Tab 5 mg; 500 tablets, bottle $11.09 $11.09 Apo Prednisone 1 April July 2017 Prednisone Tab 20 mg; 500 tablets, bottle $29.03 $29.03 Apo Prednisone 1 April July 2017 Procaine penicillin Inj 1.5 g in 3.4 ml syringe; 5 prefilled syringes $ $ Cilicaine (Aspen) Quetiapine Tab 25 mg; 90 tablets, blister $2.10 $1.79 Quetapel (Mylan) Quetiapine Tab 100 mg; 90 tablets, blister $4.20 $3.45 Quetapel (Mylan) Quetiapine Tab 200 mg; 90 tablets, blister $7.20 $5.75 Quetapel (Mylan) Quetiapine Tab 300 mg; 90 tablets, blister $12.00 $9.60 Quetapel (Mylan) Rifampicin Rifampicin Rifampicin Rizatriptan Cap 150 mg; 100 tablets, blister Cap 300 mg; 100 tablets, blister Oral liq 100 mg per 5 ml; 60 ml bottle Tab orodispersible 10 mg; 30 tablets, blister Sulphadiazine silver Crm 1%; 50 g OP tube $12.30 $10.80 $55.75 $55.75 Rifadin (Sanofi) $ $ Rifadin (Sanofi) $12.00 $12.00 Rifadin (Sanofi) $8.10 $5.26 Rizamelt (Mylan) Flamazine (Smith and Nephew) 1 June September 2017 Temazepam Tab 10 mg; 25 tablets, blister $1.27 $1.27 Normison (Aspen) Testosterone cypionate Inj long acting 100 mg per ml, 10 ml vial; 1 vial $76.50 $76.50 Depo Testosterone (Pfizer) Timolol Eye drops 0.25%; 5 ml OP bottle $1.45 $1.43 Arrow Timolol Timolol Eye drops 0.5%; 5 ml OP bottle $1.45 $1.43 Arrow Timolol A Page 6 of 15

7 Chemical name Tramadol Ursodeoxycholic acid Cap 50 mg; 100 capsules, blister subsidy (and price) New subsidy (and price) $2.50 $2.25 Paste 0.1%; 5 g OP tube $5.33 $5.33 Inj 10 mg per ml, 1 ml ampoule; 5 Inj 40 mg per ml, 1 ml ampoule; 5 Sole supply brand (Supplier) Arrow Tramadol Kenalog in Orabase (Aspen) Date of subsidy change Sole Subsidised Supply $20.80 $20.80 Kenacort A 10 (Aspen) $51.10 $51.10 Kenacort A 40 (Aspen) Crm 0.02%; 100 g OP tube $6.30 $6.30 Aristocort (Aspen) Oint 0.02%; 100 g OP tube $6.35 $6.35 Aristocort (Aspen) Cap 250 mg; 100 capsules, blister $53.40 $37.95 Ursosan (ABM) Vancomycin Inj 500 mg vial; 1 vial $2.64 $2.37 Mylan (Mylan) Zidovudine [AZT] with lamivudine Tab 300 mg with lamivudine 150 mg; 60 tablets, bottle $44.00 $33.00 Alphapharm (Mylan) Hospital pharmaceutical tenders Section H of the Pharmaceutical Schedule 3. Tenders awarded to currently listed pharmaceuticals where no other brand is listed. The decisions were as follows: Chemical Name Acetazolamide Tab 250 mg; 100 tablets, bottle price Acitretin Cap 10 mg; 60 capsules, blister $17.86 $17.86 A Page 7 of 15 Listing Status $17.03 $17.03 Diamox (Arrow) Novatretin (Douglas) Acitretin Cap 25 mg; 60 capsules, blister $41.36 $41.36 Novatretin

8 Chemical Name Alfentanil Inj 0.5 mg per ml, 2 ml ampoule; 10 price $39.07 $34.38 Amlodipine Tab 2.5 mg; 100 tablets, bottle $2.21 $1.72 Amlodipine Tab 5 mg; 250 tablets, bottle $5.04 $3.33 Amlodipine Tab 10 mg; 250 tablets, bottle $7.21 $4.40 (Douglas) Hameln (Max Health) Apo Amlodipine Apo Amlodipine Apo Amlodipine A Page 8 of 15 Listing Status Amorolfine Nail soln 5%; 5 ml bottle $19.95 $15.95 MycoNail (AFT) Amoxicillin Inj 250 mg vial; 10 vials $10.67 $10.67 Ibiamox (Douglas) Amoxicillin Inj 500 mg vial; 10 vials $12.41 $12.41 Ibiamox (Douglas) Amoxicillin Inj 1 g vial; 10 vials $17.29 $17.29 Ibiamox (Douglas) Amoxicillin with clavulanic acid Tab 500 mg with clavulanic acid 125 mg; 20 tablets, blister $1.95 $1.88 Augmentin (GlaxoSmithKline) 1% 1 August October 2017 Atropine sulphate Eye drops 1%; 15 ml bottle $17.36 $17.36 Atropt (Aspen) Benzylpenicillin sodium [Penicillin G] Betahistine di Bupivacaine Bupivacaine Bupropion Inj 600 mg (1 million units) vial; 10 vials $10.35 $10.35 Sandoz (Novartis) Tab 16 mg; 84 tablets, blister $4.95 $2.89 Vergo 16 (Mylan) Inj 2.5 mg per ml, 100 ml bag; 5 bags Inj 5 mg per ml, 4 ml ampoule; 5 Tab modified release 150 mg; 30 tablets, blister $ $ Marcain (Aspen) $50.00 $50.00 $11.00 $11.00 Calcipotriol Oint 50 mcg per g; 100 g tube $45.00 $45.00 Marcain Isobaric (Aspen) Zyban (GlaxoSmithKline) Daivonex (Leo Pharma) 1% 1 May July 2017 Cefazolin Inj 500 mg vial; 5 vials $3.99 $3.39 AFT (AFT) Cefazolin Inj 1 g vial; 5 vials $3.38 $3.29 AFT (AFT)

9 Chemical Name price Cefotaxime Inj 1 g vial; 10 vials $17.10 $14.60 DBL Cefotaxime (Pfizer) A Page 9 of 15 Listing Status Ciprofloxacin Tab 250 mg; 28 tablets blister $1.75 $1.45 Cipflox (Mylan) Ciprofloxacin Tab 500 mg; 28 tablets, blister $2.00 $1.99 Cipflox (Mylan) Ciprofloxacin Tab 750 mg; 28 tablets, blister $3.75 $3.15 Cipflox (Mylan) Cyproterone acetate with ethinyloestradiol Tab 2 mg with ethinyloestradiol 35 mcg and 7 inert tablets; 168 tablets, blister Darunavir Tab 400 mg; 60 tablets, bottle $ $ Darunavir Tab 600 mg; 60 tablets, bottle $1, $ $5.36 $4.67 Ginet (Rex Medical) Prezista (Janssen Cilag) Prezista (Janssen Cilag) Dexmedetomidine Inj 100 mcg per ml, 2 ml vial; 5 vial $ $ Precedex (Pfizer) Docusate sodium Tab 50 mg; 100 tablets, bottle $2.31 $2.31 Coloxyl (Aspen) Docusate sodium Donepezil Donepezil Tab 120 mg; 100 tablets, bottle Tab 5 mg; 90 tablets, blister $5.48 $4.34 Tab 10 mg; 90 tablets, blister $10.51 $6.64 Doxazosin Tab 2 mg; 500 tablets, bottle $6.75 $6.75 Doxazosin Tab 4 mg; 500 tablets, bottle $9.67 $9.09 Fusidic acid Tab 250 mg; 12 tablets, blister $34.50 $34.50 $3.13 $3.13 Coloxyl (Aspen) Donepezil REX (Rex Medical) Donepezil REX (Rex Medical) Apo Doxazosin Apo Doxazosin Fucidin (Leo Pharma) Gliclazide Tab 80 mg; 500 tablets, bottle $11.50 $10.29 Glizide (Mylan) Hydrocortisone Powder; 25 g bottle $59.50 $49.95 ABM (ABM) Hydrocortisone and paraffin liquid and Lotn 1% with paraffin liquid 15.9% and lanolin 0.6%; 250 ml bottle $10.57 $10.57 DP Lotion HC (Douglas)

10 Chemical Name lanolin Isosorbide mononitrate Tab long acting 60 mg; 90 tablets, blister price A Page 10 of 15 Listing Status $8.49 $8.29 Duride (Mylan) Ketoconazole Shampoo 2%; 100 ml bottle $2.99 $2.99 Sebizole (Douglas) Lidocaine [lignocaine] with adrenaline and tetracaine Lopinavir with ritonavir Soln 4% with adrenaline 0.1% and tetracaine 0.5%, 5 ml syringe; 1 prefilled syringe Tab 200 mg with ritonavir 50 mg; 120 tablets, bottle Losartan potassium Tab 12.5 mg; 84 tablets, blister $1.55 $1.39 Losartan potassium Tab 25 mg; 84 tablets, blister $1.90 $1.63 Losartan potassium Tab 50 mg; 84 tablets, blister $2.25 $2.00 Losartan potassium Tab 100 mg; 84 tablets, blister $2.60 $2.31 Magnesium sulphate Inj 2 mmol per ml, 5 ml ampoule; 10 Methotrexate Inj 100 mg per ml, 50 ml vial; 1 vial $99.99 $79.99 Miconazole nitrate Morphine sulphate Morphine sulphate Naltrexone Vaginal crm 2% with applicator; 40 g tube Tab immediate release 10 mg; 10 tablets, blister Tab immediate release 20 mg; 10 blister $17.50 $17.50 Topicaine (Biomed) $ $ Kaletra (AbbVie) Losartan Actavis Losartan Actavis Losartan Actavis Losartan Actavis 1% 1 September November % 1 September November % 1 September November % 1 September November 2017 $12.65 $10.21 DBL (Pfizer) Methotrexate Ebewe (Novartis) $3.95 $3.88 Micreme (Mylan) $2.80 $2.80 $5.52 $5.52 Tab 50 mg; 30 blister $ $ Sevredol (MundiPharma) Sevredol (MundiPharma) Naltraccord

11 Chemical Name price A Page 11 of 15 Listing Status Olanzapine Tab 2.5 mg; 28 tablets, blister $0.75 $0.64 Zypine (Mylan) Olanzapine Tab 5 mg; 28 tablets, blister $1.65 $1.15 Zypine (Mylan) Olanzapine Tab 10 mg; 28 tablets, blister $2.55 $1.65 Zypine (Mylan) Olanzapine Olanzapine Tab orodispersible 5 mg; 28 tablets, blister Tab orodispersible 10 mg; 28 tablets, blister $1.75 $1.25 Zypine ODT (Mylan) $3.05 $2.05 Zypine ODT (Mylan) Oxazepam Tab 10 mg; 100 tablets, bottle $6.17 $6.17 Ox Pam (Douglas) Oxazepam Tab 15 mg; 100 tablets, bottle $8.53 $8.53 Ox Pam (Douglas) Pamidronate disodium Pamidronate disodium Pamidronate disodium Inj 3 mg per ml, 10 ml vial; 1 vial $6.80 $5.98 Pamisol (Pfizer) Inj 6 mg per ml, 10 ml vial; 1 vial $13.20 $15.02 Pamisol (Pfizer) Inj 9 mg per ml, 10 ml vial; 1 vial $19.20 $17.05 Pamisol (Pfizer) Perindopril Tab 2 mg; 30 tablets, blister $3.75 $3.75 Perindopril Tab 4 mg; 30 tablets, blister $4.80 $4.80 Pethidine Pethidine Inj 50 mg per ml, 1 ml ampoule; 5 Inj 50 mg per ml, 2 ml ampoule; 5 $5.51 $4.98 $5.83 $5.12 Apo Perindopril Apo Perindopril DBL Pethidine Hydrochloride (Pfizer) DBL Pethidine Hydrochloride (Pfizer) Poloxamer Oral drops 10%; 30 ml bottle $3.78 $3.78 Coloxyl (Aspen) Prednisone Tab 1 mg; 500 tablets, bottle $10.68 $10.68 Prednisone Tab 2.5 mg; 500 tablets, bottle $12.09 $12.09 Apo Prednisone Apo Prednisone

12 Chemical Name price Prednisone Tab 5 mg; 500 tablets, bottle $11.09 $11.09 Prednisone Tab 20 mg; 500 tablets, bottle $29.03 $29.03 Procaine penicillin Inj 1.5 g in 3.4 ml syringe; 5 prefilled syringes Apo Prednisone Apo Prednisone A Page 12 of 15 Listing Status $ $ Cilicaine (Aspen) Quetiapine Tab 25 mg; 90 tablets, blister $2.10 $1.79 Quetapel (Mylan) 1% 1 May October 2017 Quetiapine Tab 100 mg; 90 tablets, blister $4.20 $3.45 Quetapel (Mylan) Quetiapine Tab 200 mg; 90 tablets, blister $7.20 $5.75 Quetapel (Mylan) Quetiapine Tab 300 mg; 90 tablets, blister $12.00 $9.60 Quetapel (Mylan) Rifampicin Rifampicin Rifampicin Cap 150 mg; 100 capsules, blister Cap 300 mg; 100 capsules, blister Oral liq 100 mg per 5 ml; 60 ml bottle $55.75 $55.75 Rifadin (Sanofi) $ $ Rifadin (Sanofi) $12.00 $12.00 Rifadin (Sanofi) Rifampicin Inj 600 mg vial; 1 vial $ $ Rifadin (Sanofi) Rizatriptan Tab orodispersible 10 mg; 30 tablets, blister Sulphadiazine silver Crm 1%; 50 g tube $12.30 $10.80 $8.10 $5.26 Rizamelt (Mylan) Flamazine (Smith and Nephew) Temazepam Tab 10 mg; 25 tablets, blister $1.27 $1.27 Normison (Aspen) Testosterone cypionate Inj long acting 100 mg per ml, 10 ml vial; 1 vial $76.50 $76.50 Timolol Eye drops 0.25%; 5 ml bottle $1.45 $1.43 Timolol Eye drops 0.5%; 5 ml bottle $1.45 $1.43 Tramadol Cap 50 mg; 100 capsules, blister $2.50 $2.25 Depo Testosterone (Pfizer) Arrow Timolol Arrow Timolol Arrow Tramadol

13 Chemical Name Ursodeoxycholic acid price Paste 0.1%; 5 g tube $5.33 $5.33 Kenalog in Orabase (Aspen) Listing Status Crm 0.02%; 100 g tube $6.30 $6.30 Aristocort (Aspen) Oint 0.02%; 100 g tube $6.35 $6.35 Aristocort (Aspen) Inj 10 mg per ml, 1 ml ampoule; 5 Inj 40 mg per ml, 1 ml ampoule; 5 Cap 250 mg; 100 capsules, blister $20.80 $20.80 $51.70 $51.10 Kenacort A 10 (Aspen) Kenacort A 40 (Aspen) $53.40 $37.95 Ursosan (ABM) Vancomycin Inj 500 mg vial; 1 vial $2.64 $2.37 Mylan (Mylan) Zidovudine [AZT] with lamivudine Tab 300 mg with lamivudine 150 mg; 60 tablets, bottle $44.00 $33.00 Alphapharm (Mylan) 4. Tenders awarded to pharmaceuticals where at least one other brand is listed. The decisions were as follows: Chemical Name price Listing Status affected by delisting Remifentanil Inj 1 mg vial; 5 vials $10.00 $13.95 Remifentanil AFT (AFT) 1% 1 August October 2017 Ultiva (GSK) Remifentanil Inj 2 mg vial; 5 vials $18.00 $19.95 Remifentanil AFT (AFT) 1% 1 August October 2017 Ultiva (GSK) Glycerol Liquid; 500 ml bottle N/A $3.28 healthe Glycerol BP Liquid (Jaychem) Paracetamol with codeine Tab paracetamol 500 mg with codeine phosphate 8 mg; 1,000 tablets, blister N/A $18.21 Paracetamol + Codeine (Relieve) (Mylan) ABM (ABM), 2,000 ml bottle Relieve (Mylan) 100 tablets, blister A Page 13 of 15

14 Tender declines - Products where no tender is to be awarded for Sole Subsidised Supply Status or Status PHARMAC has resolved not to award tenders for Sole Subsidised Supply Status or Status for the following products listed in the 2016/17 Invitation to Tender, d 3 November 2016: Invitation to Tender Chemical Name Line Item Chemical Name Line Item Amphotericin B Inj 50 mg (non liposomal) Loteprednol etabonate Eye drops 0.5% ( size 5 ml or less) Atovaquone with proguanil Atovaquone with proguanil Tab 250 mg with proguanil 100 mg Tab 62.5mg with proguanil 25 mg (Paediatric) Nifedipine Nifedipine Cap 5 mg Baclofen Tab 10 mg Nitrazepam Tab 5 mg Tab long acting 20 mg Brimonidine Gel 0.5% Norfloxacin Tab 400 mg Calcitonin Demeclocycline Demeclocycline Flucytosine Haloperidol decanoate Haloperidol decanoate Imipenem with cilastatin Iron polymaltose Inj 100 iu per ml, 1 ml Cap 150 mg Cap 300 mg Cap 500 mg Inj 100 mg per ml, 1 ml ampoule Inj 50 mg per ml, 1 ml ampoule Inj 500 mg with cilastatin 500 mg Inj 50 mg per ml, 2 ml Paraffin liquid with wool fat liquid 2a 2a 2a 2b 2b 2b 2b Eye oint 3% with wool fat liq 3% Inj 135 mcg Inj 135 mcg with ribavirin Inj 180 mcg with ribavirin Inj 50 mcg Inj 80 mcg Inj 100 mcg inj 120 mcg A Page 14 of 15

15 Chemical Name Line Item Chemical Name Line Item 2b 2b with ribavirin 2b with ribavirin 2b with ribavirin 2b with ribavirin 2b with ribavirin Inj 150 mcg Penicillamine Tab 250 mg Inj 50 mcg with ribavirin Primidone Tab 25 mg Inj 80 mcg with ribavirin Primidone Tab 50 mg Inj 100 mcg with ribavirin Quinine di Inj 600 mg Inj 120 mcg with ribavirin Quinine sulphate Tab 300 mg Inj 150 mcg with ribavirin Sodium nitroprusside Urinary Ketone Test strip Sumatriptan Nasal spray Penicillamine Tab 125 mg Ticarcillin with clavulanic acid Inj 3 g with clavulanic acid 0.1 mg vial For products included in the 2014/15, 2015/16 and 2016/17 Invitation to Tender where no announcement has yet been made, either a decision is still pending or is provisional, subject to the product gaining market approval and being available to supply, and subject to PHARMAC Board (or its delegate) approval. We will keep you informed of any ups regarding such tender products as decisions are made. If you have any queries regarding this notification, please contact PHARMAC on A Page 15 of 15