New Zealand Pharmaceutical Schedule

Transcription

1 Pharmaceutical Management Agency Update New Zealand Pharmaceutical Schedule Effective 1 March 2010 Cumulative for January, February and March 2010 Section H cumulative for December 2009, January, February and March 2010

2 Contents Summary of PHARMAC decisions effective 1 March New multivitamin subsidised... 4 Ursodeoxycholic acid widened access... 4 Close Control diclofenac sodium and prazosin hydrochloride... 4 Crotamiton cream now fully subsidised... 5 Stelazine tablets now registered... 5 Nicotine replacement therapy and access exemption... 5 Cost Brand Source claimed prescriptions... 6 Arrow-metformin delay in delisting... 6 Tender News... 7 Looking Forward... 7 Sole Subsidised Supply products cumulative to March New Listings Changes to Restrictions Changes to Subsidy and Manufacturer s Price Changes to General Rules Changes to Sole Subsidised Supply Changes to Section E Part I Delisted Items Items to be Delisted Section H changes to Part II Section H changes to Part IV Index

3 Summary of Pharmac decisions effective 1 MARCH 2010 New listings (pages 17-18) Vitamins (Vitabdeck) cap (fat soluble vitamins A, D, E, K) Special Authority retail pharmacy Crotamiton (Itch-Soothe) crm 10% - only on a prescription and not in combination Chlorhexidine gluconate (healthe) handrub 1% with ethanol 70% - subsidy by endorsement not more than 500 ml per month Pregnancy tests hcg urine (Innovacon hcg One Step Pregnancy Test Device) cassette only on a PSO, up to 200 test available on a PSO Influenza vaccine (Influvac) inj Hospital pharmacy [Xpharm] Megestrol acetate (Apo-Megestrol) tab 160 mg Retail pharmacy-specialist Changes to restrictions (pages 20-22) Ursodeoxycholic acid (Actigall) cap 300 mg amended Special Authority criteria Diltiazem hydrochloride (Cardizam CD) cap long-acting 120 mg amended presentation description Nicotine (Habitrol and Nicotinell) gum 2 mg and 4 mg (fruit and mint) maximum per dispensing can not be waived via Access Exemption criteria Nicotine (Habitrol) lozenge 1 mg and 2 mg maximum per dispensing can not be waived via Access Exemption criteria Nicotine (Habitrol) patch 7 mg, 14 mg and 21 mg maximum per dispensing can not be waived via Access Exemption criteria Influenza vaccine (Fluvax, Fluarix, Influvac and Vaxigrip) inj amended access criteria Trifluoperazine hydrochloride (Stelazine) tab 1 mg, 2 mg and 5 mg removal of Section 29 criteria Decreased subsidy (page 25) Paracetamol with codeine (Codalgin) tab paracetamol 500 mg with codeine phosphate 8 mg Increased subsidy (page 25) Sulphasalazine tab 500 mg (Salazopyrin) and tab EC 500 mg (Salazyprin EN) Apomorphine hydrochloride (Apomine) inj 10 mg per ml, 2 ml Lithium carbonate (Priadel) tab long-acting 400 mg Lorazepam (Ativan) tab 1 mg and 2.5 mg 3

4 4 Pharmaceutical Schedule - Update News New multivitamin subsidised A new multivitamin supplement will be subsidised from 1 March Vitabdeck is a fat soluble vitamin capsule containing vitamins A, D, E and K. It will be subsidised under Special Authority criteria for patients with cystic fibrosis with pancreatic insufficiency and for children with liver disease or short gut syndrome. Ursodeoxycholic acid widened access Access will be widened for ursodeoxycholic acid 300 mg capsules from 1 March The Special Authority criteria will be amended to include cholestasis of pregnancy. Close Control diclofenac sodium and prazosin hydrochloride There are currently four formulations where pharmacists can initiate Close Control monthly dispensing due to out-of-stock situations diclofenac sodium tablets longacting 75 mg and 100 mg, and prazosin hydrochloride tablets 1 mg and 2 mg. Diclofenac sodium tablets long-acting 75 mg and 100 mg have been on Close Control since 11 September Alternate brands have been listed but stock levels remain tight. Please continue to dispense prescriptions for these formulations monthly and annotate the prescription Close Control. Prazosin hydrochloride tablets 1 mg and 2 mg have only recently gone onto Close Control dispensing. PHARMAC is continuing to monitor the levels of these products in the distribution chain. We will notify pharmacy via fax of the end date of Close Control for any of these products.

5 Pharmaceutical Schedule - Update News 5 Crotamiton cream now fully subsidised From 1 March 2010 the Itch-Soothe brand of crotamiton cream 10% will be listed fully subsidised. This new brand is fully subsidised while the other brand listed, Eurax, incurs a manufacturers surcharge. The Eurax brand will be reference priced from 1 May 2010 and will be delisted on 1 August Stelazine tablets now registered Stelazine (trifluoperazine hydrochloride) tab 1 mg, 2 mg and 5 mg has been approved by the Minister of Health for distribution within New Zealand. This brand of trifluoperazine hydrochloride has been supplied under Section 29 of the Medicines Act since early 2007; however, this restriction no longer applies. Nicotine replacement therapy and access exemption As you are aware, Nicotine Replacement Therapy (NRT) became funded on the presentation of either a prescription or a Quit Card from 1 September This enabled practitioners, but not Quit Card Providers, to write a prescription for subsidised NRT as an alternative to the Quit Cards. Quit Card providers can continue to provide subsidised NRT via Quit Cards. There appears to be some confusion around the stat or all-at-once dispensing rules for NRT. Eight weeks stat supply of NRT cannot be supplied under Access Exemption Criteria. We are amending the restrictions for NRT to clarify that the maximum numbers per dispensing can not be waived via the Access Exemption Criteria.

6 6 Pharmaceutical Schedule - Update News Cost Brand Source claimed prescriptions The way Cost Brand Source of Supply (CBS) medicines are claimed on prescriptions will change from 1 March Pharmacists can either remain with their current process of annotating the prescription with the cost, brand and source of supply or choose to switch to the new method of claiming with this information. Pharmacists will be able to attach a copy of the purchase invoice to the prescription instead of annotating the prescription with the cost, brand and source of supply. The electronic claiming system remains unchanged. Where CBS is indicated against a medicine in the Pharmaceutical Schedule, or if the item is an Exceptional Circumstances medicine not listed in the Pharmaceutical Schedule, the amount claimed should match the invoice price (exclusive of GST). Please be aware that details of the purchase may be subject to audit by Audit and Compliance. All purchase invoices must be kept. Arrow-Metformin - delay in delisting Following an agreement between Arrow Pharmaceuticals and Apotex New Zealand, the delisting of the Arrow-Metformin brand of metformin 500 mg and 850 mg immediaterelease tablets will be delayed by one month from 1 April 2010 to 1 May Sole Supply Status will apply to Apotex's brand of metformin 500 mg and 850 mg immediate-release tablets from 1 May 2010.

7 Tender News Sole Subsidised Supply changes effective 1 April 2010 Chemical Name Presentation; Pack size Sole Subsidised Supply brand (and supplier) Amoxycillin clavulanate Amoxycillin clavulanate Cyproterone acetate with ethinyloestradiol Grans for oral liq amoxycillin 125 mg with potassium clavulanate mg per 5 ml; 100 ml Grans for oral liq amoxycillin 250 mg with potassium clavulanate 62.5 mg per 5 ml; 100 ml Tab 2 mg with ethinyloestradiol 35 µg and 7 inert tabs; 84 tab Curam (Sandoz) Curam (Sandoz) Ginet 84 (Rex) Etidronate disodium Tab 200 mg; 100 tab Arrow-Etidronate (Arrow) Mometasone furoate Crm 0.1%; 15 g OP & 45 g OP m-mometasone (Multichem) Mometasone furoate Oint 0.1%; 15 g OP & 45 g OP m-mometasone (Multichem) Tropisetron Cap 5 mg; 5 cap Navoban (Novartis) Looking Forward This section is designed to alert both pharmacists and prescribers to possible future changes to the Pharmaceutical Schedule. It may also assist pharmacists, distributors and wholesalers to manage stock levels. Possible decisions for implementation 1 April 2010 Alendronate for osteoporosis amended Special Authority criteria Ambrisentan (Volibris) tab 5 mg and 10 mg new listing Special Authority Hospital pharmacy [HP1] Bisacodyl (Dulcolax) suppos 5 mg subsidy increase to match price Bisacodyl (Dulcolax) suppos 10 mg new listing Letrozole (Femara) tab 2.5 mg subsidy decrease Prednisolone acetate eye drops 0.12% (Pred Mild) and 1% (Pred Forte) price decrease to match subsidy Topiramate (Arrow-Topiramate) tab 25 mg, 50 mg, 100 mg and 200 mg new listing Decision for implementation 1 July 2010 Metoprolol succinate (AFT-Metoprolol CR and Betaloc CR) tab long-acting mg, 47.5 mg, 95 mg and 190 mg subsidy decrease 7

8 Sole Subsidised Supply Products cumulative to March 2010 Generic Name Presentation Brand Name Expiry Date* Acarbose Tab 50 mg & 100 mg Glucobay 2012 Acetazolamide Tab 250 mg Diamox Allopurinol Tab 100 mg & 300 mg Apo-Allopurinol Alprazolam Tab 250 µg, 500 µg & 1 mg Arrow-Alprazolam 2010 Amantadine hydrochloride Cap 100 mg Symmetrel Amlodipine Tab 5 mg & 10 mg Apo-Amlodipine Amoxycillin Amoxycillin clavulanate Drops 125 mg per 1.25 ml Inj 250 mg, 500 mg & 1 g Cap 250 mg & 500 mg Tab amoxycillin 500 mg with potassium clavulanate 125 mg Ospamox Paediatric Drops Ibiamox Apo-Amoxi 2010 Synermox Aqueous cream Crm 500 g AFT Aspirin Tab dispersible 300 mg Tab 100 mg Ethics Aspirin Ethics Aspirin EC Atenolol Tab 50 mg & 100 mg Pacific Atenolol 2012 Atropine sulphate Inj 600 µg, 1 ml AstraZeneca 2012 Azithromycin Tab 500 mg Arrow-Azithromycin 2012 Baclofen Tab 10 mg Pacifen 2012 Benzylpenicillin sodium (Penicillin G) 2010 Inj 1 mega u Sandoz Betamethasone valerate Scalp app 0.1% Beta Scalp 2012 Bezafibrate Tab 200 mg Fibalip Bicalutamide Tab 50 mg Bicalox Bisacodyl Tab 5 mg Lax-Tabs 2010 Brimonidine tartrate Eye drops 0.2% AFT Bupivicaine hydrochloride Inj 0.5%, 4 ml Marcain Isobaric 2010 Inj 0.5%, 8% glucose, 4 ml Marcain Heavy Calamine Crm, aqueous, BP Lotn, BP healthe API Calcitonin Inj 100 iu per ml, 1 ml Miacalcic Calcium Tab eff 1 g Calsource Calcium folinate Inj 50 mg Calcium Folinate Ebewe Captopril Tab 12.5 mg, 25 mg & 50 mg Apo-Captopril 2010 Cefaclor monohydrate Cap 250 mg Ranbaxy-Cefaclor 2010 Grans for oral liq 125 mg per 5 ml Ranbaxy-Cefaclor Cefazolin sodium Inj 500 mg & 1 g Hospira Cefuroxime sodium Inj 750 mg & 1.5 g Zinacef *Expiry date of the Sole Subsidised Supply period is 30 June of the year indicated unless otherwise stated. Please note that Sole Subsidised Supply may have been awarded for a wider scope than just those presentation(s) listed in the above table.

9 Sole Subsidised Supply Products cumulative to March 2010 Generic Name Presentation Brand Name Expiry Date* Cephalexin monohydrate Grans for oral liq 125 mg per 5 ml Grans for oral liq 250 mg per 5 ml Cefalexin Sandoz Cefalexin Sandoz Cetomacrogol Crm BP PSM 2010 Cetirizine hydrochloride Tab 10 mg Zetop Oral liq 1 mg per ml Cetirizine-AFT Chloramphenicol Eye oint 1% Chlorsig 2012 Chlorhexidine gluconate Soln 4% Orion Ciclopiroxolamine Nail soln 8% Batrafen 2012 Ciprofloxacin Tab 250 mg, 500 mg & 750 mg Rex Medical Citalopram Tab 20 mg Arrow-Citalopram Clarithromycin Tab 250 mg Klamycin 2010 Grans for oral liq 125 mg per 5 ml Klacid Clobetasol propionate Crm 0.05% Oint 0.05% Scalp app 0.05% Dermol Dermol Dermol Clonazepam Tab 500 µg & 2 mg Paxam Clonidine TDDS 2.5 mg, 100 µg per day TDDS 5 mg, 200 µg per day TDDS 7.5 mg, 300 µg per day Catapres-TTS-1 Catapres-TTS-2 Catapres-TTS Clonidine hydrochloride Inj 150 µg per ml, 1 ml Tab 25 µg Tab 150 µg Clotrimazole Crm 1% Vaginal crm 1% with applicator(s) Vaginal crm 2% with applicators(s) Catapres Dixarit Catapres Clomazol Clomazol Clomazol Codeine phosphate Tab 15 mg, 30 mg & 60 mg PSM 2010 Colchicine Tab 500 μg Colgout 2010 Colestipol hydrochloride Sach 5 g Colestid 2010 Colistin sulphomethate Inj 150 mg Colistin-Link 2010 Compound electrolytes Powder for soln for oral use Enerlyte 2010 Cyclizine hydrochloride Tab 50 mg Nausicalm 2012 Cyclophosphamide Tab 50 mg Cycloblastin 2010 Cyproterone acetate Tab 50 mg & 100 mg Siterone 2012 Desferrioxamine mesylate Inj 500 mg Mayne 2010 Desmopressin Nasal spray 10 µg per dose Desmopressin-PH&T Dexamphetamine sulphate Tab 5 mg PSM 2010 Dextrose Inj 50%, 10 ml Biomed *Expiry date of the Sole Subsidised Supply period is 30 June of the year indicated unless otherwise stated. Please note that Sole Subsidised Supply may have been awarded for a wider scope than just those presentation(s) listed in the above table. 9

10 Sole Subsidised Supply Products cumulative to March 2010 Generic Name Presentation Brand Name Expiry Date* Dextrose with electrolytes Oral soln with electrolytes Pedialyte Plain Pedialyte Bubblegum Pedialyte Fruit Diclofenac sodium Diltiazem hydrochloride Tab EC 25 mg & 50 mg Eye drops 1 mg per ml Inj 25 mg per ml, 3 ml Suppos 12.5 mg, 25 mg, 50 mg & 100 mg Tab 30 mg & 60 mg Cap long-acting 120 mg, 180 mg & 240 mg Diclohexal Voltaren Ophtha Voltaren Voltaren Dilzem Cardizem CD Dipyridamole Tab long-acting 150 mg Pytazen SR Doxazosin mesylate Tab 2 mg & 4 mg Apo-Doxazosin 2010 Emulsifying ointment Oint BP AFT Enoxaparin sodium Inj 20 mg, 40 mg, 60 mg, 80 mg, 100 Clexane 2012 (low molecular weight heparin) mg, 120 mg & 150 mg Entacapone Tab 200 mg Comtan 2012 Erythromycin ethyl succinate Tab 400 mg Grans for oral liq 200 mg per 5 ml Grans for oral liq 400 mg per 5 ml E-Mycin E-Mycin E-Mycin Ethinyloestradiol Tab 10 µg NZ Medical and Scientific Ethinyloestradiol with norethisterone Felodipine Tab 35 μg with norethisterone 500 μg Tab 35 μg with norethisterone 1 mg Tab 35 μg with norethisterone 1 mg and 7 inert tab Tab long-acting 5 mg Tab long-acting 10 mg Brevinor 21 Brevinor 1/21 Brevinor 1/28 Felo 5 ER Felo 10 ER 2012 Ferrous sulphate Oral liq 150 mg per 5 ml Ferodan 2010 Finasteride Tab 5 mg Fintral Flucloxacillin sodium Grans for oral liq 125 mg per 5 ml Grans for oral liq 250 mg per 5 ml Inj 250 mg, 500 mg & 1 g AFT AFT Flucloxin 2012 Fluconazole Cap 50 mg, 150 mg & 200 mg Pacific Fludarabine phosphate Fluocortolone caproate with fluocortolone pivalate and cinchocaine Inj 50 mg Tab 10 mg Oint 950 µg, with fluocortolone pivalate 920 µg, and cinchocaine hydrochloride 5 mg per g Suppos 630 µg, with fluocortolone pivalate 610 µg, and cinchocaine hydrochloride 1 mg Fludara Fludara Oral Ultraproct Ultraproct *Expiry date of the Sole Subsidised Supply period is 30 June of the year indicated unless otherwise stated. Please note that Sole Subsidised Supply may have been awarded for a wider scope than just those presentation(s) listed in the above table.

11 Sole Subsidised Supply Products cumulative to March 2010 Generic Name Presentation Brand Name Expiry Date* Fluoromethalone Eye drops 0.1% FML 2012 Fluoxetine hydrochloride Cap 20 mg Fluox 2010 Tab disp 20 mg, scored Fluox Fluticasone propionate Metered aqueous nasal spray, 50 µg per dose Flixonase Hayfever & Allergy 31/1/13 Furosemide Tab 40 mg Diurin Fusidic acid Crm 2% Foban 2010 Oint 2% Foban Gabapentin Cap 100 mg, 300 mg & 400 mg Nupentin 31/7/12 Gentamicin sulphate Inj 40 mg per ml, 2 ml Pfizer 2012 Gliclazide Tab 80 mg Apo-Gliclazide Glipizide Tab 5 mg Minidiab Glyceryl trinitrate Tab 600 µg Oral pump spray 400 µg per dose TDDS 5 mg & 10 mg Haloperidol Oral liq 2 mg per ml Tab 500 µg, 1.5 mg & 5 mg Hydrocortisone Tab 5 mg & 20 mg Powder Crm 1% Hydrocortisone acetate Rectal foam 10%, CFC-free (14 applications) Lycinate Nitrolingual Pumpspray Nitroderm TTS Serenace Serenace Douglas ABM PSM Colifoam 2012 Hydrocortisone butyrate Scalp lotn 0.1% Locoid 2010 Hydrocortisone with wool fat and mineral oil Lotn 1% with wool fat hydrous 3% and mineral oil DP Lotn HC Hydroxychloroquine sulphate Tab 200 mg Plaquenil 2012 Hypromellose Eye drops 0.5% Methopt Hysocine N-butylbromide Inj 20 mg, 1 ml Buscopan Tab 20 mg Gastrosoothe Ibuprofen Tab 200 mg Oral liq 100 mg per 5 ml Ipratropium bromide Aqueous nasal spray, 0.03% Nebuliser soln, 250 μg per ml, 1 ml Nebuliser soln, 250 μg per ml, 2 ml Ethics Ibuprofen Fenpaed Apo-Ipravent Ipratripium Steri-Neb Ipratripium Steri-Neb Iron polymaltose Inj 50 mg per ml, 2 ml Ferrum H Isotretinoin Cap 10 mg & 20 mg Oratane 2012 Itraconazole Cap 100 mg Sporanox 2010 Ketoconazole Shampoo 2% Sebizole Lactulose Oral liq 10 g per 15 ml Duphalac 2010 *Expiry date of the Sole Subsidised Supply period is 30 June of the year indicated unless otherwise stated. Please note that Sole Subsidised Supply may have been awarded for a wider scope than just those presentation(s) listed in the above table. 11

12 Sole Subsidised Supply Products cumulative to March 2010 Generic Name Presentation Brand Name Expiry Date* Latanoprost Eye drops 50 µg per ml Hysite 2012 Levobunolol Eye drops 0.25% & 0.5% Betagan 2010 Lignocaine hydrochloride Inj 0.5%, 5 ml Inj 1%, 5 ml Inj 1%, 20 ml Lignocaine with prilocaine Crm 2.5% with prilocaine 2.5%; 30 g OP Crm 2.5% with prilocaine 2.5%; 5 g Xylocaine Xylocaine Xylocaine EMLA EMLA Lisinopril Tab 5 mg, 10 mg & 20 mg Arrow-Lisinopril 2012 Loperamide hydrochloride Tab 2 mg Nodia 2010 Loratadine Tab 10 mg Oral liq 1 mg per ml Loraclear Hayfever Relief Lorapaed 2010 Malathion Liq 0.5% Shampoo 1% Derbac M A-Lices Mask for Spacer Device Device Foremount Child s Silicone Mask /9/11 Mebendazole Tab 100 mg De-Worm Mebeverine hydrochloride Tab 135 mg Colofac Medroxyprogesterone acetate Tab 2.5 mg, 5 mg, 10 mg, 100 mg & 200 mg Provera 2010 Mesalazine Enema 1 g per 100 ml Pentasa 2012 Methadone hydrochloride Methotrexate Oral liq 2 mg per ml Oral liq 5 mg per ml Oral liq 10 mg per ml Tab 5 mg Tab 2.5 mg & 10 mg Inj 100 mg per ml, 10 ml Inj 100 mg per ml, 50 ml Biodone Biodone Forte Biodone Extra Forte Methatabs Methoblastin Methotrexate Ebewe Methotrexate Ebewe Methyldopa Tab 125 mg, 250 mg & 500 mg Prodopa Methylprednisolone Tab 4 mg & 100 mg Medrol 2012 Methylprednisolone acetate Inj 40 mg per ml, 1 ml Depo-Medrol Methylprednisolone acetate with lignocaine Methylprednisolone sodium succinate Inj 40 mg per ml with lignocaine 1 ml Inj 40 mg per ml, 1 ml Inj 62.5 mg per ml, 2 ml Inj 500 mg Inj 1 g Depo-Medrol with Lidocaine Solu-Medrol Solu-Medrol Solu-Medrol Solu-Medrol Metoclopramide hydrochloride Inj 5 mg per ml, 2 ml Pfizer Miconazole nitrate Crm 2% Multichem *Expiry date of the Sole Subsidised Supply period is 30 June of the year indicated unless otherwise stated. Please note that Sole Subsidised Supply may have been awarded for a wider scope than just those presentation(s) listed in the above table.

13 Sole Subsidised Supply Products cumulative to March 2010 Generic Name Presentation Brand Name Expiry Date* Morphine hydrochloride Oral liq 1 mg per ml Oral liq 2 mg per ml Oral liq 5 mg per ml Oral liq 10 mg per ml Morphine sulphate Tab immediate release 10 mg & 20 mg Inj 10 mg per ml, 1 ml Inj 30 mg per ml, 1 ml RA-Morph RA-Morph RA-Morph RA-Morph Sevredol Mayne Mayne Nadolol Tab 40 mg & 80 mg Apo-Nadolol 2010 Naltrexone hydrochloride Tab 50 mg ReVia 2010 Naproxen Tab 250 mg Noflam Tab 500 mg Noflam 500 Naproxen sodium Tab 275 mg Sonaflam 2010 Neostigmine Inj 2.5 mg per ml, 1 ml AstraZeneca 2010 Nevirapine Oral suspension 10 mg per ml Tab 200 mg Viramune Suspension Viramune 2012 Nicotine Patch 7 mg, 14 mg & 21 mg Lozenge 1 mg & 2 mg Gum 2 mg & 4 mg (Fruit) Gum 2 mg & 4 mg (Mint) Norethisterone Tab 350 µg Tab 5 mg Habitrol Habitrol Habitrol Habitrol Noriday 28 Primolut N Nortriptyline hydrochloride Tab 10 mg & 25 mg Norpress Nystatin Omeprazole Ondansetron Oxybutynin Oxycodone hydrochloride Oxytocin Pamidronate disodium Oral liq 100,000 u per ml, 24 ml OP Cap 500,000 u Tab 500,000 u Cap 10 mg, 20 mg & 40 mg Inj 40 mg Tab 4 mg & 8 mg Tab disp 4 mg & 8 mg Tab 5 mg Oral liq 5 mg per 5 ml Inj 10 mg per ml, 1 ml & 2 ml Oral liq 5 mg per 5 ml Inj 5 iu per ml, 1 ml Inj 10 iu per ml, 1 ml Inj 5 iu with ergometrine maleate 500 µg per ml, 1 ml Inj 3 mg per ml, 5 ml Inj 3 mg per ml, 10 ml Inj 6 mg per ml, 10 ml Nilstat Nilstat Nilstat Dr Reddy s Omeprazole Dr Reddy s Omeprazole Zofran Zofran Zydis Apo-Oxybutynin Apo-Oxybutynin OxyNorm OxyNorm Syntocinon Syntocinon Syntometrine Pamisol Pamisol Pamisol *Expiry date of the Sole Subsidised Supply period is 30 June of the year indicated unless otherwise stated. Please note that Sole Subsidised Supply may have been awarded for a wider scope than just those presentation(s) listed in the above table. 13

14 Sole Subsidised Supply Products cumulative to March 2010 Generic Name Presentation Brand Name Expiry Date* Pantoprazole Paracetamol Paraffin liquid with soft white paraffin Inj 40 mg Tab 20 mg & 40 mg Tab 500 mg Oral liq 120 mg per 5 ml Oral liq 250 mg per 5 ml Pantocid IV Dr Reddy s Pantoprazole Pharmacare Paracare Junior Paracare Double Strength 2010 Eye oint with soft white paraffin Lacri-Lube 2010 Paroxetine hydrochloride Tab 20 mg Loxamine 2010 Peak Flow Meter Low range and Normal range Breath-Alert 30/9/11 Pegylated interferon alpha-2a Inj 135 µg prefilled syringe Pegasys 31/12/12 Inj 180 µg prefilled syringe Inj 135 µg prefilled syringe x 4 with ribavirin tab 200 mg x 112 Inj 135 µg prefilled syringe x 4 with ribavirin tab 200 mg x 168 Inj 180 µg prefilled syringe x 4 with ribavirin tab 200 mg x 112 Inj 180 µg prefilled syringe x 4 with ribavirin tab 200 mg x 168 Pegasys Pegasys RBV Combination Pack Pegasys RBV Combination Pack Pegasys RBV Combination Pack Pegasys RBV Combination Pack Pergolide Tab 0.25 mg & 1 mg Permax Phenoxymethylpenicillin (Penicillin V) Grans for oral liq 125 mg per 5 ml Grans for oral liq 250 mg per 5 ml Cap potassium salt 250 mg & 500 mg AFT AFT Cilicaine VK Phenylephrine hydrochloride Eye drops 0.12% Prefrin 2010 Pioglitazone Tab 15 mg, 30 mg & 45 mg Pizaccord 2012 Poloxamer Oral drops 10% Coloxyl Polyvinyl alcohol Eye drops 1.4% Vistil Eye drops 3% Vistil Forte Potassium chloride Tab long-acting 600 mg Span-K 2012 Prazosin hydrochloride Tab 1 mg, 2 mg & 5 mg Apo-Prazo 2010 Prednisone Tab 1 mg, 2.5 mg, 5 mg & 20 mg Apo-Prednisone Prednisone sodium phosphate Oral liq 5 mg per ml Redipred 2012 Procaine penicillin Inj 1.5 mega u Cilicaine Promethazine Tab 10 mg & 25 mg Allersoothe Quinapril Tab 5 mg, 10 mg & 20 mg Accupril Quinapril with hydroclorothiazide Tab 10 mg with hydroclorothiazide 12.5 mg Tab 20 mg with hydroclorothiazide 12.5 mg Accuretic 10 Accuretic 20 Quinine sulphate Tab 300 mg Q *Expiry date of the Sole Subsidised Supply period is 30 June of the year indicated unless otherwise stated. Please note that Sole Subsidised Supply may have been awarded for a wider scope than just those presentation(s) listed in the above table.

15 Sole Subsidised Supply Products cumulative to March 2010 Generic Name Presentation Brand Name Expiry Date* Ranitidine hydrochloride Oral liq 150 mg per 10 ml Peptisoothe 2010 Rifabutin Cap 150 mg Mycobutin 2010 Ropinirole hydrochloride Tab 0.25 mg, 1 mg, 2 mg and 5 mg Ropin 2010 Roxithromycin Tab 150 mg & 300 mg Arrow- Roxithromycin Salbutamol Salbutamol with ipratropium bromide Nebuliser soln, 1 mg per ml, 2.5 ml Nebuliser soln, 2 mg per ml, 2.5 ml Oral liq 2 mg per 5 ml Nebuliser soln, 2.5 mg with ipratopium bromide 0.5 mg per vial, 2.5 ml Asthalin Asthalin Salapin Duolin 2012 Selegiline hydrochloride Tab 5 mg Apo-Selegiline 2012 Simvastatin Tab 10 mg Tab 20 mg Tab 40 mg Tab 80 mg Arrow-Simva 10 mg Arrow-Simva 20 mg Arrow-Simva 40 mg Arrow-Simva 80 mg Sodium citro-tartrate Grans eff 4 g sachets Ural 2010 Sodium cromoglycate Nasal spray, 4% Rex 2012 Sotalol Tab 80 mg & 160 mg Mylan 2012 Spacer Device 230 ml Space Chamber 30/9/11 Syrup (pharmaceutical grade) Liq Midwest 2010 Tar with triethanolamine lauryl sulphate and fluorescein Soln 2.3% Pinetarsol Temazepam Tab 10 mg Normison Terazosin hydrochloride Tab 2 mg & 5 mg Apo-Terazosin 2010 Terbinafine Tab 250 mg Apo-Terbinafine Testosterone cypionate Inj long-acting 100 mg per ml, 10 ml Depo-Testosterone Tetracosactrin Inj 250 µg Inj 1 mg per ml, 1 ml Timolol maleate Tab 10 mg Eye drops 0.25% & 0.5% Triamcinolone acetonide Crm 0.02% Oint 0.02% Inj 40 mg per ml, 1 ml 0.1% in Dental Paste USP Synacthen Synacthen Depot Apo-Timol Apo-Timop Aristocort Aristocort Kenacort-A40 Oracort 2012 Trimethoprim Tab 300 mg TMP Ursodeoxycholic acid Cap 300 mg Actigall Vancomycin hydrochloride Inj 50 mg per ml, 10 ml Pacific Zinc and castor oil Oint BP PSM Zinc sulphate Cap 220 mg Zincaps *Expiry date of the Sole Subsidised Supply period is 30 June of the year indicated unless otherwise stated. Please note that Sole Subsidised Supply may have been awarded for a wider scope than just those presentation(s) listed in the above table. 15

16 Sole Subsidised Supply Products cumulative to March 2010 Generic Name Presentation Brand Name Expiry Date* Zopiclone Tab 7.5 mg Apo-Zopiclone March changes in bold 16 *Expiry date of the Sole Subsidised Supply period is 30 June of the year indicated unless otherwise stated. Please note that Sole Subsidised Supply may have been awarded for a wider scope than just those presentation(s) listed in the above table.

17 Check your Schedule for full details Subsidy Brand or Schedule page ref (Mnfr s price) Generic Mnfr $ Per fully subsidised New Listings Effective 1 March VITAMINS Cap (fat soluble vitamins A, D, E, K) Special Authority see SA1002 Retail pharmacy Vitabdeck SA1002 Special Authority for Subsidy Initial Application from any relevant practitioner. Approvals valid without further renewal unless notified for applications meeting the following criteria: Either: 1. Patient has cystic fibrosis with pancreatic insufficiency; or 2. Patient is an infant or child with liver disease or short gut syndrome. 60 CROTAMITON a) Only on a prescription b) Not in combination Crm 10% g OP Itch-Soothe 63 CHLORHEXIDINE GLUCONATE - Subsidy by endorsement a) No more than 500 ml per month b) Only if prescribed for a dialysis patient and the prescription is endorsed accordingly Handrub 1% with ethanol 70% ml healthe 73 PREGNANCY TESTS - HCG URINE Only on a PSO Cassette Up to 200 test available on a PSO test OP Innovacon hcg One Step Pregnancy Test Device 99 INFLUENZA VACCINE Hospital pharmacy [Xpharm] A) is available between 1 March and 30 June each year for patients who meet the following criteria, as set by the Ministry of Health: a) all people 65 years of age and over; b) people under 65 years of age with: i) the following cardiovascular disease: 1) ischaemic heart disease, 2) congestive heart disease, 3) rheumatic heart disease, 4) congenital heart disease, or 5) cerebo-vascular disease; ii) the following chronic respiratory disease: 1) asthma, if on a regular preventative therapy, or 2) other chronic respiratory disease with impaired lung function; iii) diabetes; iv) chronic renal disease; v) any cancer, excluding basal and squamous skin cancers if not invasive; vi) the following other conditions: a) autoimmune disease, b) immune suppression, c) HIV, d) transplant recipients, e) neuromuscular and CNS diseases, f) haemoglobinopathies, or g) children on long term aspirin. c) people under 65 years of age who are: continued... Three months supply may be dispensed at one time if endorsed certified exemption by the prescriber. Three months or six months, as applicable, dispensed all-at-once 17

18 Check your Schedule for full details Subsidy Brand or Schedule page ref (Mnfr s price) Generic Mnfr $ Per fully subsidised New Listings - effective 1 March 2010 (continued) continued... i) pregnant; or ii) morbidly obese d) children under the age of 5 who are enrolled with an Access Primary Health Organisation The following conditions are excluded from funding: a) asthma not requiring regular preventative therapy, b) hypertension and/or dyslipidaemia without evidence of end-organ disease, B) Doctors are the only Contractors entitled to claim payment from the Funder for the supply of influenza vaccine to patients eligible under the above criteria for subsidised immunisation and they may only do so in respect of the influenza vaccine listed in the Pharmaceutical Schedule. C) Individual DHBs may fund patients over and above the above criteria. The claiming process for these additional patients should be determined between the DHB and Contractor. D) Influenza Vaccine does not fall within the definition Community Pharmaceutical as it is not funded directly from the Pharmaceutical Budget. Pharmacists are unable to claim for the dispensing of influenza vaccine from the Funder. Inj Influvac 146 MEGESTROL ACETATE Retail pharmacy-specialist Tab 160 mg Apo-Megestrol Effective 1 February BLOOD GLUCOSE DIAGNOSTIC TEST METER Subsidy by endorsement a) Maximum of 1 meter per prescription b) 1) A diagnostic blood glucose test meter is subsidised for patients who begin insulin or sulphonylurea therapy after 1 March 2005 or is prescribed for a pregnant woman with diabetes. 2) Only one meter per patient. No further prescriptions will be subsidised. The prescription must be endorsed accordingly. Meter On Call Advanced 31 BLOOD GLUCOSE DIAGNOSTIC TEST STRIP The number of test strips available on a prescription is restricted to 50 unless: 1) Prescribed with insulin or a sulphonylurea but are on a different prescription and the prescription is endorsed accordingly; or 2) Prescribed on the same prescription as insulin or a sulphonylurea in which case the prescription is deemed to be endorsed; or 3) Prescribed for a pregnant woman with diabetes and endorsed accordingly. Blood glucose test strips 50 and lancets OP On Call Advanced 119 SUMATRIPTAN Tab 50 mg Arrow-Sumatriptan Tab 100 mg Arrow-Sumatriptan 125 RISPERIDONE Tab 0.5 mg Apo-Risperidone Tab 1 mg Apo-Risperidone Dr Reddy s Risperidone Tab 2 mg Apo-Risperidone Dr Reddy s Risperidone continued... Patients pay a manufacturer s surcharge when the Manufacturer s Price is greater than the Subsidy 18 S29 Unapproved medicine supplied under Section 29 safety cap reimbursed Sole Subsidised Supply

19 Check your Schedule for full details Subsidy Brand or Schedule page ref (Mnfr s price) Generic Mnfr $ Per fully subsidised New Listings - effective 1 February 2010 (continued) continued... Tab 3 mg Apo-Risperidone Dr Reddy s Risperidone Tab 4 mg Apo-Risperidone Dr Reddy s Risperidone Oral liq 1 mg per ml ml Apo-Risperidone 134 METHYLPHENIDATE HYDROCHLORIDE EXTENDED-RELEASE Special Authority see SA0924 Retail pharmacy Only on a controlled drug form Cap modified-release 10 mg Ritalin LA 144 DASATINIB Special Authority see SA0976 Tab 100 mg...6, Sprycel 146 LETROZOLE Tab 2.5 mg Letara 151 PROMETHAZINE HYDROCHLORIDE Oral liq 5 mg per 5 ml ml Promethazine Winthrop Elixir 155 FLUTICASONE PROPIONATE Metered aqueous nasal spray, 50 µg per dose Effective 1 January dose OP Flixonase Hayfever & Allergy 26 MESALAZINE Tab EC 500 mg Asamax 52 PINDOLOL Tab 5 mg Apo-Pindolol Tab 10 mg Apo-Pindolol Tab 15 mg Apo-Pindolol 59 SILVER SULPHADIAZINE Crm 1% g OP Flamazine a) Up to 250 g available on a PSO b) Not in combination 73 SOLIFENACIN SUCCINATE Special Authority see SA0998 Retail pharmacy Tab 5 mg Vesicare Tab 10 mg Vesicare SA0998 Special Authority for Subsidy Initial application from any relevant practitioner. Applications valid without further renewal unless notified for applications where the patient has overactive bladder and a documented intolerance of oxybutynin. 85 FLUCLOXACILLIN SODIUM Cap 250 mg Up to 30 cap available on a PSO AFT Cap 500 mg AFT 112 PARACETAMOL WITH CODEINE Tab paracetamol 500 mg with codeine phosphate 8 mg ParaCode Three months supply may be dispensed at one time if endorsed certified exemption by the prescriber. Three months or six months, as applicable, dispensed all-at-once 19

20 Check your Schedule for full details Subsidy Brand or Schedule page ref (Mnfr s price) Generic Mnfr $ Per fully subsidised Changes to Restrictions Effective 1 March URSODEOXYCHOLIC ACID Special Authority see SA Retail pharmacy Cap 300 mg Actigall SA Special Authority for Subsidy Initial application from any relevant practitioner. Approvals valid for 6 months for applications meeting the following criteria: Either 1. Patient diagnosed with cholestasis of pregnancy; or 2. Both: Primary biliary cirrhosis confirmed by antimitochondrial antibody titre (AMA) > 1:80, and raised cholestatic liver enzymes with or without raised serum IgM or, if AMA is negative, by liver biopsy; and Patient not requiring a liver transplant (bilirubin > 170umol/l; decompensated cirrhosis). Note: Liver biopsy is not usually required for diagnosis but is helpful to stage the disease. Renewal from any relevant practitioner. Approvals valid for 2 years where the treatment remains appropriate and the patient is benefiting from treatment. Note: Ursodeoxycholic acid Actigall is not an appropriate therapy for patients requiring a liver transplant (bilirubin > 170 micromol/l; decompensated cirrhosis). These patients should be referred to an appropriate transplant centre. Treatment failure doubling of serum bilirubin levels, absence of a significant decrease in ALP or ALT and AST, development of varices, ascites or encephalopathy, marked worsening of pruritus or fatigue, histological progression by two stages, or to cirrhosis, need for transplantation. 53 DILTIAZEM HYDROCHLORIDE Cap long-acting 120 mg (once per day) Cardizem CD 55 NICOTINE a) Maximum of 768 piece per prescription b) Maximum of 384 piece per dispensing c) For the avoidance of doubt Nicotine will not be funded Close Control in amounts less than 4 weeks. d) The maximum of 384 piece per dispensing cannot be waived via Access Exemption Criteria. Gum 2 mg (Fruit) OP Habitrol Nicotinell Gum 2 mg (Mint) OP Habitrol Nicotinell Gum 4 mg (Fruit) OP Habitrol Nicotinell Gum 4 mg (Mint) OP Habitrol Nicotinell 55 NICOTINE a) Maximum of 432 loz per prescription b) Maximum of 216 loz per dispensing c) For the avoidance of doubt Nicotine will not be funded Close Control in amounts less than 4 weeks. d) The maximum of 216 loz per dispensing cannot be waived via Access Exemption Criteria. Lozenge 1 mg OP Habitrol Lozenge 2 mg OP Habitrol Patients pay a manufacturer s surcharge when the Manufacturer s Price is greater than the Subsidy 20 S29 Unapproved medicine supplied under Section 29 safety cap reimbursed Sole Subsidised Supply

21 Check your Schedule for full details Subsidy Brand or Schedule page ref (Mnfr s price) Generic Mnfr $ Per fully subsidised Changes to Restrictions - effective 1 March 2010 (continued) 55 NICOTINE a) Maximum of 56 patch per prescription b) Maximum of 28 patch per dispensing c) For the avoidance of doubt Nicotine will not be funded Close Control in amounts less than 4 weeks. d) The maximum of 28 patch per dispensing cannot be waived via Access Exemption Criteria. Patch 7 mg OP Habitrol Patch 14 mg OP Habitrol Patch 21 mg OP Habitrol 99 INFLUENZA VACCINE Hospital pharmacy [Xpharm] A) is available between 1 March and 30 June each year for patients who meet the following criteria, as set by the Ministry of Health: a) all people 65 years of age and over; b) people under 65 years of age with: i) the following cardiovascular disease: 1) ischaemic heart disease, 2) congestive heart disease, 3) rheumatic heart disease, 4) congenital heart disease, or 5) cerebo-vascular disease; ii) the following chronic respiratory disease: 1) asthma, if on a regular preventative therapy, or 2) other chronic respiratory disease with impaired lung function; iii) diabetes; iv) chronic renal disease; v) any cancer, excluding basal and squamous skin cancers if not invasive; vi) the following other conditions: a) autoimmune disease, b) immune suppression, c) HIV, d) transplant recipients, e) neuromuscular and CNS diseases, f) haemoglobinopathies, or g) children on long term aspirin. c) people under 65 years of age who are: i) pregnant; or ii) morbidly obese d) children under the age of 5 who are enrolled with an Access Primary Health Organisation The following conditions are excluded from funding: a) asthma not requiring regular preventative therapy, b) hypertension and/or dyslipidaemia without evidence of end-organ disease. c) pregnancy in the absence of another risk factor. B) Doctors are the only Contractors entitled to claim payment from the Funder for the supply of influenza vaccine to patients eligible under the above criteria for subsidised immunisation and they may only do so in respect of the influenza vaccine listed in the Pharmaceutical Schedule. C) Individual DHBs may fund patients over and above the above criteria. The claiming process for these additional patients should be determined between the DHB and Contractor. D) Influenza Vaccine does not fall within the definition Community Pharmaceutical as it is not funded directly from the Pharmaceutical Budget. Pharmacists are unable to claim for the dispensing of influenza vaccine from the Funder. Three months supply may be dispensed at one time if endorsed certified exemption by the prescriber. continued... Three months or six months, as applicable, dispensed all-at-once 21

22 Check your Schedule for full details Subsidy Brand or Schedule page ref (Mnfr s price) Generic Mnfr $ Per fully subsidised Changes to Restrictions - effective 1 March 2010 (continued) continued... Inj Fluvax Fluarix Fluarix Influvac Vaxigrip 125 TRIFLUOPERAZINE HYDROCHLORIDE Tab 1 mg Stelazine S29 Tab 2 mg Stelazine S29 Tab 5 mg Stelazine S29 Effective 1 February PREGNANCY TESTS - HCG URINE Only on a PSO WSO Cassette Up to 200 test available on a PSO test OP MDS Quick Card Distributed by MDS Diagnostics, PO Box , Royal Oak, Auckland. Ph INFLUENZA VACCINE Hospital pharmacy [Xpharm] A) is available between 1 March and 30 June each year for patients who meet the following criteria, as set by the Ministry of Health: a) all people 65 years of age and over; b) people under 65 years of age with: i) the following cardiovascular disease: 1) ischaemic heart disease, 2) congestive heart disease, 3) rheumatic heart disease, 4) congenital heart disease, or 5) cerebo-vascular disease; ii) the following chronic respiratory disease: 1) asthma, if on a regular preventative therapy, or 2) other chronic respiratory disease with impaired lung function; iii) diabetes; iv) chronic renal disease; v) any cancer, excluding basal and squamous skin cancers if not invasive; vi) the following other conditions: a) autoimmune disease, b) immune suppression, c) HIV, d) transplant recipients, e) neuromuscular and CNS diseases, f) haemoglobinopathies, or g) children on long term aspirin. c) people under 65 years of age who are: (i) pregnant; or (ii) morbidly obese d) children under the age of 5 who are enrolled with an Access Primary Health Organisation The following conditions are excluded from funding: a) asthma not requiring regular preventative therapy, b) hypertension and/or dyslipidaemia without evidence of end-organ disease, c) pregnancy in the absence of another risk factor. Patients pay a manufacturer s surcharge when the Manufacturer s Price is greater than the Subsidy 22 continued... S29 Unapproved medicine supplied under Section 29 safety cap reimbursed Sole Subsidised Supply

23 Check your Schedule for full details Subsidy Brand or Schedule page ref (Mnfr s price) Generic Mnfr $ Per fully subsidised Changes to Restrictions - effective 1 February 2010 (continued) continued... B) Doctors are the only Contractors entitled to claim payment from the Funder for the supply of influenza vaccine to patients eligible under the above criteria for subsidised immunisation and they may only do so in respect of the influenza vaccine listed in the Pharmaceutical Schedule. C) Individual DHBs may fund patients over and above the above criteria. The claiming process for these additional patients should be determined between the DHB and Contractor. D) Influenza Vaccine does not fall within the definition Community Pharmaceutical as it is not funded directly from the Pharmaceutical Budget. Pharmacists are unable to claim for the dispensing of influenza vaccine from the Funder. Inj Fluvax Fluarix Fluarix Vaxigrip 146 EXEMESTANE Additional subsidy by Special Authority see SA1000 Retail pharmacy Tab 25 mg (175.00) Aromasin SA1000 Special Authority for Alternate Subsidy Initial Application from any relevant practitioner. Approvals valid for 5 years for applications meeting the following criteria: All of the following: 1. Patient is a postmenopausal woman; and 2. Patient has hormone receptor positive breast cancer; and 3. Any of the following 3.1 The patient was receiving funded exemestane prior to 1 February 2010; or 3.2 The patient has advanced breast cancer and a very clear history of intolerance to anastrozole or letrozole; or 3.3 The patient has advanced breast cancer and disease has progressed following treatment with anastrozole or letrozole. Renewal from any relevant practitioner. Approvals valid without further renewal unless notified where the treatment remains appropriate and the patient is benefitting from treatment. Note Repeat dispensings for Aromasin tab 25 mg will be fully subsidised where the initial dispensing was before 1 February Effective 1 January SOMATROPIN GROWTH HORMONE BIOSYNTHETIC HUMAN Special Authority see SA0755 Inj cartridge 16 iu per vial Genotropin 1, Genotropin Inj cartridge 36 iu per vial Genotropin 2, Genotropin 80 SOMATROPIN RECOMBINANT HUMAN GROWTH HORMONE Special Authority see SA0755 Inj 5 mg Norditropin SimpleXx 5 mg Inj 10 mg Norditropin SimpleXx 10 mg Inj 15 mg Norditropin SimpleXx 15 mg Three months supply may be dispensed at one time if endorsed certified exemption by the prescriber. Three months or six months, as applicable, dispensed all-at-once 23

24 Check your Schedule for full details Subsidy Brand or Schedule page ref (Mnfr s price) Generic Mnfr $ Per fully subsidised Changes to Restrictions - effective 1 January 2010 (continued) 149 CYCLOSPORIN A Hospital pharmacy [HP3] Cap 25 mg Neoral Cap 50 mg Neoral Cap 100 mg Neoral Oral liq 100 mg per ml ml OP Neoral Note change in chemical name from cyclosporin A to cyclosporin only. 179 ORAL FEED 1.5KCAL/ML Special Authority see SA0702 Hospital pharmacy [HP3] Liquid (coffee latte) ml OP Ensure Plus Patients pay a manufacturer s surcharge when the Manufacturer s Price is greater than the Subsidy 24 S29 Unapproved medicine supplied under Section 29 safety cap reimbursed Sole Subsidised Supply

25 Check your Schedule for full details Subsidy Brand or Schedule page ref (Mnfr s price) Generic Mnfr $ Per fully subsidised Changes to Subsidy and Manufacturer s Price Effective 1 March SULPHASALAZINE ( subsidy) Tab 500 mg Salazopyrin Tab EC 500 mg Salazopyrin EN 112 PARACETAMOL WITH CODEINE ( subsidy) Tab paracetamol 500 mg with codeine phosphate 8 mg (3.24) Codalgin 121 APOMORPHINE HYDROCHLORIDE ( subsidy) s Inj 10 mg per ml, 2 ml Apomine 124 LITHIUM CARBONATE ( subsidy) Tab long-acting 400 mg Priadel 127 LORAZEPAM Month Restriction ( subsidy) Tab 1 mg Ativan Safety cap for extemporaneously compounded oral liquid preparations. Tab 2.5 mg Ativan Safety cap for extemporaneously compounded oral liquid preparations. Effective 9 February DOCETAXEL PCT only Specialist Special Authority see SA0880 ( subsidy) Inj 1 mg for ECP mg Baxter Effective 1 February CALCITRIOL ( subsidy) Cap 0.25 µg Calcitriol-AFT Cap 0.5 µg Calcitriol-AFT 36 HYDROXOCOBALAMIN ( subsidy) Inj 1 mg per ml, 1 ml Up to 6 inj available on a PSO ABM Hydroxocobalamin 50 FLECAINIDE ACETATE Retail pharmacy Specialist ( subsidy) s Tab 50 mg Tambocor s Tab 100 mg Tambocor s Cap long-acting 100 mg Tambocor CR s Cap long-acting 200 mg Tambocor CR Inj 10 mg per ml, 15 ml Tambocor 52 METOPROLOL SUCCINATE ( subsidy) Tab long-acting mg Betaloc CR Tab long-acting 47.5 mg Betaloc CR Tab long-acting 95 mg Betaloc CR Tab long-acting 190 mg Betaloc CR Three months supply may be dispensed at one time if endorsed certified exemption by the prescriber. Three months or six months, as applicable, dispensed all-at-once 25

26 Check your Schedule for full details Subsidy Brand or Schedule page ref (Mnfr s price) Generic Mnfr $ Per fully subsidised Changes to Subsidy and Manufacturer's Price effective 1 February 2010 (continued) 56 SILDENAFIL Special Authority see SA0968 Hospital pharmacy [HP1] ( subsidy) Tab 25 mg Viagra Tab 100 mg Viagra 64 PERMETHRIN ( subsidy) Crm 5% g OP (4.20) Lyderm 65 CALCIPOTRIOL ( subsidy) Crm 50 µg per g g OP Daivonex g OP Daivonex Oint 50 µg per g g OP Daivonex g OP Daivonex Soln 50 µg per ml ml OP Daivonex ml OP Daivonex 81 GOSERELIN ACETATE Hospital pharmacy [HP3] ( subsidy) Inj 3.6 mg Zoladex Inj 10.8 mg Zoladex 119 SUMATRIPTAN ( subsidy) Tab 50 mg Arrow-Sumatriptan (12.00) Sumagran (22.00) Imigran Tab 100 mg Arrow-Sumatriptan (12.00) Sumagran (22.00) Imigran 120 PIZOTIFEN ( price) Tab 500 μg Sandomigran 140 DOCETAXEL PCT only Specialist Special Authority see SA0880 ( subsidy) Inj 1 mg for ECP mg Baxter 145 ANASTROZOLE ( subsidy) Tab 1 mg Arimidex 146 EXEMESTANE Additional subsidy by Special Authority see SA1000 Retail pharmacy ( subsidy) Tab 25 mg (175.00) Aromasin Effective 1 January METFORMIN HYDROCHLORIDE ( subsidy) Tab immediate-release 500 mg Arrow-Metformin Tab immediate-release 850 mg Arrow-Metformin 34 GLYCEROL ( subsidy) Suppos 3.6 g Only on a prescription PSM Patients pay a manufacturer s surcharge when the Manufacturer s Price is greater than the Subsidy 26 S29 Unapproved medicine supplied under Section 29 safety cap reimbursed Sole Subsidised Supply

27 Check your Schedule for full details Subsidy Brand or Schedule page ref (Mnfr s price) Generic Mnfr $ Per fully subsidised Changes to Subsidy and Manufacturer's Price effective 1 January 2010 (continued) 37 CHOLECALCIFEROL ( subsidy) Tab 1.25 mg (50,000 iu) Maximum of 12 tab per prescription Cal-d-Forte 39 FOLIC ACID ( subsidy) Tab 0.8 mg ,000 Apo-Folic Acid Tab 5 mg Apo-Folic Acid 62 HYDROCORTISONE BUTYRATE ( subsidy) Lipocream 0.1% g OP Locoid Lipocream g OP Locoid Lipocream Oint 0.1% g OP Locoid Milky emul 0.1% ml OP Locoid Crelo 62 HYDROCORTISONE WITH NATAMYCIN AND NEOMYCIN Only on a prescription ( subsidy) Crm 1% with natamycin 1% and neomycin sulphate 0.5% g OP Pimafucort Oint 1% with natamycin 1% and neomycin sulphate 0.5% g OP Pimafucort 62 MOMETASONE FUROATE ( subsidy) Crm 0.1% g OP Elocon g OP Elocon Oint 0.1% g OP Elocon g OP Elocon 64 WOOL FAT WITH MINERAL OIL Only on a prescription ( price) Lotn hydrous 3% with mineral oil ml OP (3.50) Hydroderm Lotion 66 HYDROCORTISONE BUTYRATE ( subsidy) Scalp lotn 0.1% ml OP Locoid 72 MEDROXYPROGESTERONE ACETATE ( subsidy) Inj 150 mg per ml, 1 ml syringe Up to 5 inj available on a PSO Depo-Provera 72 CYPROTERONE ACETATE WITH ETHINYLOESTRADIOL ( subsidy) Tab 2 mg with ethinyloestradiol 35 µg and 7 inert tabs (6.30) Estelle 35-ED 77 MEDROXYPROGESTERONE ACETATE Tab 2.5 mg ( subsidy) Provera Tab 5 mg ( subsidy) Provera Tab 10 mg ( subsidy) Provera 79 MEDROXYPROGESTERONE ACETATE ( subsidy) Tab 100 mg Retail pharmacy Specialist Provera Tab 200 mg Retail pharmacy Specialist Provera Three months supply may be dispensed at one time if endorsed certified exemption by the prescriber. Three months or six months, as applicable, dispensed all-at-once 27

28 Check your Schedule for full details Subsidy Brand or Schedule page ref (Mnfr s price) Generic Mnfr $ Per fully subsidised Changes to Subsidy and Manufacturer's Price effective 1 January 2010 (continued) 79 SOMATROPIN Special Authority see SA0755 ( subsidy) Inj cartridge 16 iu per vial Genotropin 1, Genotropin Inj cartridge 36 iu per vial Genotropin 2, Genotropin 81 CABERGOLINE ( subsidy) Tab 0.5 mg Maximum of 2 tab per prescription; can be waived by Special Authority see SA Dostinex Dostinex 84 AMOXYCILLIN CLAVULANATE ( subsidy) Grans for oral liq amoxycillin 125 mg with potassium clavulanate mg per 5 ml Up to 200 ml available on a PSO ml (2.75) Augmentin Grans for oral liq amoxycillin 250 mg with potassium clavulanate 62.5 mg per 5 ml Up to 200 ml available on a PSO ml (4.75) Augmentin 85 CLINDAMYCIN ( subsidy) Inj phosphate 150 mg per ml, 4 ml Retail pharmacy Specialist Dalacin C 87 ISONIAZID Retail pharmacy Specialist ( subsidy) No patient co-payment payable Tab 100 mg PSM 108 ETIDRONATE DISODIUM ( subsidy) Tab 200 mg (22.80) Didronel Etidrate 109 QUININE SULPHATE ( price) Tab 200 mg (17.20) Q 200 Safety cap for extemporaneously compounded oral liquid preparations. 111 CODEINE PHOSPHATE ( subsidy) Tab 15 mg PSM Tab 30 mg PSM Tab 60 mg PSM 113 PETHIDINE HYDROCHLORIDE ( subsidy) a) Only on a controlled drug form b) No patient co-payment payable Tab 50 mg PSM Tab 100 mg PSM Patients pay a manufacturer s surcharge when the Manufacturer s Price is greater than the Subsidy 28 S29 Unapproved medicine supplied under Section 29 safety cap reimbursed Sole Subsidised Supply