Oncology supportive medicine list formulary
|
|
|
- Joy Brown
- 6 years ago
- Views:
Transcription
1 Oncology supportive medicine list formulary Disclaimer The Bankmed Special Care Oncology Programme is governed by the Bankmed Medical Scheme Rules. The use of the benefits and programmes associated with the Special Care Oncology Programme is subject to specific conditions and rules. Members must ensure that they are familiar with these rules and conditions. The scheme rules are available on The medicines listed in the oncology medicine list (formulary) apply across all health plans unless otherwise stated. Any instruction or advice we provide regarding medicines and the management of the member s condition is intended as a supplement to, and not a substitute for, the knowledge, expertise, skill and judgement of the member s doctor, pharmacist or other healthcare professional. Bankmed Medical Scheme reserves the right to change the benefit at any time. We will, however, communicate any changes to the way we pay medicines when we make these. The updated version of this document is available on our website at all times. Who we are Bankmed Medical Scheme (referred to as the Scheme ), registration number This is a non-profit organisation, registered with the Council for Medical Schemes. Discovery Health (Pty) Ltd (referred to as the administrator ) is a separate company and an authorised financial services provider (registration number 1997/013480/07). Discovery Health is responsible for the administration of Bankmed Medical Scheme.
2 Reflux Probitor 20mg CAP Omeprazole Reflux Cimetidine 100mg/2mL INJ Cimetidine 100mg/ml 2ml Reflux Pharma-q 200mg/2mL INJ Cimetidine cimetidine ampoule 2ml Reflux Bio-cimetidine 200mg TAB Cimetidine Reflux Cimlok 200mg TAB Cimetidine Reflux Adco-cimetidine 200mg TAB Cimetidine Reflux Secadine 200mg TAB Cimetidine Reflux Lenamet 400mg TAB Cimetidine Reflux Adco-cimetidine 400mg TAB Cimetidine Reflux Cimlok 400mg TAB Cimetidine Reflux Secadine 400mg TAB Cimetidine Reflux Bio-cimetidine 400mg TAB Cimetidine Reflux Austac 150mg TAB Ranitidine Reflux Cpl alliance 150mg TAB Ranitidine ranitidine Reflux Gulf ranitidine 150mg TAB Ranitidine Reflux Ranitidine 150mg TAB Ranitidine biotech Reflux R-loc 50mg/2mL INJ Ranitidine Reflux Cpl alliance 300mg TAB Ranitidine ranitidine Reflux Austac 300mg TAB Ranitidine Reflux Ranit 300mg TAB Ranitidine Reflux Histak 300mg TAB Ranitidine Reflux Gulf ranitidine 300mg TAB Ranitidine Reflux Nozer 20mg CAP Omeprazole Reflux Lokit 20mg CAP Omeprazole Reflux Sandoz 20mg CAP Omeprazole omeprazole Reflux Adco-roznal 30mg CAP Lansoprazole Reflux Lancap 30mg CAP Lansoprazole Grantryl 3mg/3ml INJ Granisetron Ampoule 3ml Grantryl 1mg/1ml INJ Granisetron Ampoule 1ml Emend combi Aprepitant pack (1 x 125mg cap & 2 x 80mg cap) Emistop 4mg/2ml INJ Granisetron ampoule 2ml Emistop 8mg/4ml INJ Granisetron ampoule 4ml Clomax 10mg TAB Metoclopramide Adco-contromet 10mg TAB Metoclopramide Setin 10mg TAB Metoclopramide Bio metoclopramide 10mg TAB Metoclopramide
3 Metoclopramide amp st111 2ml 5mg/1mL INJ Metoclopramide Pharma-q 5mg/1mL INJ Metoclopramide metoclopramide ampoule 2ml Alepet ampoule 4mg/2mL INJ Ondansetron 2ml Mylan 4mg/2mL INJ Ondansetron ondansetron Danset ampoule 4mg/2mL INJ Ondansetron 2ml Vomiz ampoule 4mg/2mL INJ Ondansetron 2ml Ondansetron 4mg/2mL INJ Ondansetron fresenius ampoule Alepet ampoule 8mg/4mL INJ Ondansetron 4ml Mylan 8mg/4mL INJ Ondansetron ondansetron Danset ampoule 8mg/4mL INJ Ondansetron 4ml Ondansetron 8mg/4mL INJ Ondansetron fresenius ampoule Ciplaondansetron 4mg TAB Ondansetron Zofer 4mg TAB Ondansetron Mylan 4mg TAB Ondansetron ondansetron Vomiz 4mg TAB Ondansetron Ciplaondansetron 8mg TAB Ondansetron Zofer 8mg TAB Ondansetron Mylan 8mg TAB Ondansetron ondansetron Vomiz 8mg TAB Ondansetron Granitril vial 1ml 1mg/1mL INJ Granisetron Adcogranisetron ampoule 1ml 1mg/1mL INJ Granisetron Granisetron teva 1mg/1mL INJ Granisetron Granisetron teva 3mg/3mL INJ Granisetron 3 *** Onicit vial 5ml 50mcg/1mL INJ Palonosetron **** Emend ** 125mg CAP Aprepitant Emend ** 80mg CAP Aprepitant
4 Nauzine 50mg TAB Cyclizine Covamet 50mg TAB Cyclizine Stemetil 25mg SUP Prochlorperazine Stemetil 1ml 12,5mg/1mL INJ Prochlorperazine Scripto-metic 5mg TAB Prochlorperazine Warfarin * 5mg TAB Warfarin Cipla Warfarin * 1mg TAB Warfarin Heparin sodium fresenius ampoule 1ml * 1000u/1mL INJ Heparin Heparin sodium 1000u/1mL INJ Heparin fresenius vial 5ml * Heparin sod 5000u/1mL INJ Heparin 1ml-fresenius * Amdocin 25mg CAP Indometacin Oxycontin 10mg SRT Oxycodone Oxycontin 20mg SRT Oxycodone Oxycontin 5mg SRT Oxycodone Arthrexin 100mg SUP Indometacin Methocaps 25mg CAP Indometacin Betacin 25mg CAP Indometacin Gulf 25mg CAP Indometacin indomethacin Mylan diclofenac 25mg TAB Diclofenac Sandoz diclofenac 25mg TAB Diclofenac A-lennon 25mg TAB Diclofenac diclofenac Diclofenac 25mg TAB Diclofenac biotech A-lennon 50mg TAB Diclofenac diclofenac Mylan diclofenac 50mg TAB Diclofenac Ibucine (was 200mg TAB Ibuprofen Ibumax) Ibunate 200mg TAB Ibuprofen Betaprofen 200mg TAB Ibuprofen Ibusor 200mg TAB Ibuprofen Bren 400mg TAB Ibuprofen
5 Betaprofen fc 400mg TAB Ibuprofen Ibucine (was 400mg TAB Ibuprofen Ibumax) Ranfen 400mg TAB Ibuprofen Ibupain forte 460mg CAP Ibuprofen, combinations Gen-payne CAP Ibuprofen, combinations Dentopain forte CAP Ibuprofen, combinations Mybulen CAP Ibuprofen, combinations Ibupain forte blister pack CAP Ibuprofen, combinations Morphine hcl bp PDR Morphine - Allied Srm rhotard 100mg SRT Morphine Srm rhotard 10mg SRT Morphine Mylan morphine 15mg/1mL INJ Morphine Srm rhotard 30mg SRT Morphine Srm rhotard 60mg SRT Morphine Df mg TAB Dihydrocodeine Omnopon 1mlfresenius 20 20mg/1mL INJ Morphine, combinations Pharma-q 25mg/1mL INJ Pethidine pethidine ampoule 1ml Pharma-q 50mg/1mL INJ Pethidine pethidine ampoule 1ml Pethidine hcl 50mg/1mL INJ Pethidine 1ml-fresenius Temgesic 0,2mg TAB Buprenorphine sublingual Oxynorm 5mg CAP Oxycodone Oxynorm 10mg CAP Oxycodone Oxynorm 20mg CAP Oxycodone Dolotram 100mg INJ Tramadol Tramazac 100mg/2mL INJ Tramadol Tramaspen amp 100mg/2mL INJ Tramadol 2ml Domadol 50mg CAP Tramadol Dolotram 50mg CAP Tramadol Austell-tramadol 50mg CAP Tramadol
6 Tramazac 50mg CAP Tramadol ogesic 500mg TAB Paracetam Cetapon 500mg TAB Paracetamol Adco-prolief 500mg TAB Paracetamol Adco-napamol 500mg TAB Paracetamol Antalgic 500mg TAB Paracetamol Nucopain Nucopain TAB TAB Paracetamol, combinations combinations with psycholeptics with psycholeptics Adco-salterpyn TAB Paracetamol, combinations with psycholeptics Depression Ethipramine 25mg TAB Imipramine Depression Sandoz 25mg TAB Amitriptyline amitriptyline Depression Gulf 25mg TAB Amitriptyline amitriptyline Depression Venlafaxine 150mg SCR Venlafaxine unicorn xr Depression Venlafaxine 75mg SCR Venlafaxine unicorn xr Depression Fluoxetine actor 20mg CAP Fluoxetine Depression A-lennon 20mg CAP Fluoxetine fluoxetine Depression Ranflocs 20mg CAP Fluoxetine Depression Prolax 20mg CAP Fluoxetine Depression Deprozan 20mg CAP Fluoxetine Depression Efegen xr 150mg SRC Venlafaxine Depression Odiven 37,5mg TAB Venlafaxine Depression Efegen xr 75mg SRC Venlafaxine Depression Odiven 75mg TAB Venlafaxine Constipation Anlac 3300mg/5mL SYR Lactulose Constipation Aculax 3,3g/5mL SYR Lactulose Constipation Adco-liquilax 3300mg/5mL SYR Lactulose Constipation Lacson 3300mg/5mL SYR Lactulose Constipation Laxette 3300mg/5mL SYR Lactulose Diarrhoea Norimode 2mg TAB Loperamide Diarrhoea Adco-prodium 2mg TAB Loperamide Epilepsy Rivotril 0,5mg TAB Clonazepam Epilepsy Rivotril 2mg TAB Clonazepam Epilepsy Degranol 200mg TAB Carbamazepine Epilepsy Sandoz 200mg SRT Carbamazepine carbamazepine cr Epilepsy Sandoz 400mg SRT Carbamazepine carbamazepine cr Epilepsy Zeptol 200mg TAB Carbamazepine Epilepsy Convulex 150mg CAP Valproic acid Epilepsy Convulex 250mg/5mL SYR Valproic acid Epilepsy Epilim crushable 100mg TAB Valproic acid Epilepsy Epilim sugar 200mg/5mL SYR Valproic acid free Epilepsy Epilizine cr 200mg SRT Valproic acid
7 Epilepsy Epilizine cr 300mg SRT Valproic acid Epilepsy Epilizine cr 500mg SRT Valproic acid Epilepsy Navalpro cr 200mg SRT Valproic acid Epilepsy Navalpro cr 300mg SRT Valproic acid Epilepsy Navalpro cr 500mg SRT Valproic acid Epilepsy Vanapro 300mg SRT Valproic acid Epilepsy Vanapro 500mg SRT Valproic acid Epilepsy Phenytoin sod 100mg TAB Phenytoin Epilepsy Dynalamotrigine 100mg TAB Lamotrigine Epilepsy Dynalamotrigine 200mg TAB Lamotrigine Epilepsy Dynalamotrigine 25mg TAB Lamotrigine Epilepsy Dynalamotrigine 50mg TAB Lamotrigine Epilepsy Epitec 100mg TAB Lamotrigine Epilepsy Epitec 200mg TAB Lamotrigine Epilepsy Epitec 25mg TAB Lamotrigine Epilepsy Epitec 50mg TAB Lamotrigine Epilepsy Lamidus 100mg TAB Lamotrigine Epilepsy Lamidus 200mg TAB Lamotrigine Epilepsy Lamidus 50mg TAB Lamotrigine Epilepsy Epitoz 100mg TAB Topiramate Epilepsy Epitoz 25mg TAB Topiramate Epilepsy Epitoz 50mg TAB Topiramate Epilepsy Sandoz 200mg TAB Topiramate topiramate Epilepsy Sandoz 50mg TAB Topiramate topiramate Epilepsy Epimate 200mg TAB Topiramate Epilepsy Lethyl 30mg TAB Phenobarbital Epilepsy Sedabarb 30mg TAB Phenobarbital * We fund anticoagulation as listed on all Bankmed Plans on approved treatment plans, if certain clinical entry criteria are met. **Emend We fund Emend on all Bankmed plans if certain clinical entry criteria are met. (A single dose of a 5-HT3 antagonist, dexamethasone and an aprepitant with selected highly emetogenic agents only.) ***Granisetron (on approved treatment plans) We fund Granisetron on all Bankmed plans. This is how we will fund Granisetron on approved treatment plans: NAPPI code Product name Strength Frequency Granisetron teva 3ml 3mg/3ml 1 per 3 days ****Onicit We fund Onicit on all Bankmed plans. We fund Onicit where we have approved treatment. Because the registered recommendations state that repeat dosages within seven days are not recommended, we will fund one dose every seven days.
8 This is how we will fund Onicit on approved treatment plans: NAPPI code Product name Strength Frequency Onicit vial 5ml 50mcg/1ml 1 every 7 days *** Special approval required with quantity restrictions applied for the below NAPPI code Product name Strength Frequency Grantryl ampoule 3mg/3mL 1 every 7 days 3ml Kytril iv 3ml 1mg/1mL 1 every 7 days Emend combi pack (1 1 every 7 days x 125mg cap & 2 x 80mg cap) Venlafaxine unicorn 150mg Maximum of 30 tabs per Gen Grouper xr Venlafaxine unicorn xr 75mg Maximum of 30 tabs per Gen Grouper Other anti-emetic treatments not listed We will consider funding an alternate anti-emetic Zamanon on appeal if the patient experiences asthenia or any other side effect from their anti-emetic. Contact us Kindly contact (0800 BANKMED) or us on oncology@bankmed.co.za Complaints process You may lodge a complaint or query with Bankmed Medical Scheme directly on 0800 BANKMED ( ) or address a complaint in writing directly to the Principal Officer. Should your complaint remain unresolved, you may lodge a formal dispute by following Bankmed Medical Scheme s internal disputes process. Members, who wish to approach the Council for Medical Schemes for assistance, may do so in writing to: Council for Medical Schemes Complaints Unit, Block A, Eco Glades 2 Office Park, 420 Witch-Hazel Avenue, Eco Park, Centurion, 0157 or via at complaints@medicalschemes.com. Customer Care Centre: /website Bankmed Medical Scheme. Registration number: Administered by Discovery Health (Pty) Ltd, registration number 1997/013480/07. An authorised financial services provider.
Oncology supportive medicine list (formulary) 2016
Oncology supportive medicine list (formulary) 2016 Who we are Glencore Medical Scheme (referred to as 'the Scheme"), registration number 1253, is a non-profit organisation, registered with the Council
WitsMed: HIV Supportive Formulary 2017
WitsMed: HIV Supportive Formulary 2017 Who we are WitsMed (referred to as the Scheme ), registration number 1282, is the medical scheme that you are a member of. This is a non-profit organisation, registered
2017 HIV supportive medicine list (formulary)
2017 HIV supportive medicine list (formulary) This document lists the supportive medicines that are on the medicine list (formulary) of the HIVCare Programme for 2017. Disclaimer The information contained
HIV Programme. Overview. About some of the terms we use in this document
HIV Programme Overview This document gives you information about the Bankmed HIV Programme. It explains your cover for hospital admissions related to HIV and AIDS and how we pay for HIV medication. We
YES = formulary NO = non-formulary NO BENEFIT = excluded. Beat4 Beat1 Beat 3 Pace2 Beat2 Pace1 Pace3 Pace4 A NO BENEFIT SANDOZ AMITRIPTYLINE 25
Benefits are subject to the following: Pre-authorisation Bestmed guidelines Bestmed protocols Mediscor Reference Price (MRP) This price represents the reasonable price in the market place for a particular
HIVCare Programme 2017
HIVCare Programme 2017 Who we are LA Health Medical Scheme (referred to as 'the Scheme"), registration number 1145, is a non-profit organisation, registered with the Council for Medical Schemes. Discovery
Oncology Programme 2017
Oncology Programme 2017 Who we are Remedi Medical Aid Scheme (referred to as 'the Scheme"), registration number 1430, is a non-profit organisation, registered with the Council for Medical Schemes. Discovery
Dental and Oral Benefit
Dental and Oral Benefit - 2018 Who we are The Malcor Medical Aid Scheme (referred to as the Scheme ), registration number 1547, is the medical scheme that you are a member of. This is a non-profit organisation,
YES = formulary NO = non-formulary NO BENEFIT = excluded
Benefits are subject to the following: Pre-authorisation Bestmed guidelines Bestmed protocols Mediscor Reference Price (MRP) This price represents the reasonable price in the market place for a particular
Oncology Benefit 2018
Oncology Benefit 2018 Who we are LA Health Medical Scheme (referred to as the Scheme ), registration number 1145, is a non-profit organisation, registered with the Council for Medical Schemes. Discovery
Dental and Oral Benefit 2018
Dental and Oral Benefit 2018 Who we are Remedi Medical Aid Scheme (referred to as 'the Scheme"), registration number 1430, is a non-profit organisation, registered with the Council for Medical Schemes.
We will only fund Prescribed Minimum Benefit claims should your condition be approved on the Chronic Illness Benefit
Treatment Baskets for CDL 08 Overview The Prescribed Minimum Benefit Chronic Disease List is a list of conditions which all medical schemes need to on all the plans they offer to their members. This includes
YES = formulary NO = non-formulary NO BENEFIT = excluded. Beat4 Beat1 Beat 3 Pace2 Beat2 Pace1 Pace3 Pace4 A NO BENEFIT SANDOZ AMITRIPTYLINE 25
Benefits are subject to the following: Pre-authorisation Bestmed guidelines Bestmed protocols Mediscor Reference Price (MRP) This price represents the reasonable price in the market place for a particular
GINETTE TABS ORATANE 10MG MEDITRIM 480MG AUSTELL CETIRIZINE 10MG
SCRIPTPHARM RISK MANAGEMENT CHRONIC MEDICINE FORMULARY NEDGROUP SAVINGS PLAN CHRONIC CONDITIONS ACNE (Cystic Nodular ONLY) Acne L70.1 Acne 21 beige tabs: Cyproterone acetate 2mg; ethinylestradiol 0.035mg
Cover for MRI and CT scans
Cover for MRI and CT scans 2018 Overview An MRI (magnetic resonance imaging) scan produces detailed two- or three-dimensional images of organs inside the body, for example the spine or brain. A CT (computed
GINETTE TABS MEDITRIM 480MG. Anti-Histamines Cetirizine dihydrochloride 10mg tab AUSTELL CETIRIZINE 10MG
SCRIPTPHARM RISK MANAGEMENT CHRONIC MEDICINE FORMULARY Nedgroup Traditional, Traditional plus and Platinum non-pmb Formulary CHRONIC CONDITIONS ACNE (Cystic Nodular ONLY) Acne 21 beige tabs: Cyproterone
GUIDELINES FOR ANTIEMETIC USE IN ONCOLOGY SUMMARY CLASSIFICATION
GUIDELINES FOR ANTIEMETIC USE IN ONCOLOGY SUMMARY More than half of all cancer patients experience nausea or vomiting during the course of their treatment. If nausea or vomiting becomes severe enough,
Prescribed Minimum Benefit Treatment Baskets for Chronic Disease Baskets of Care 2018
Prescribed Minimum Benefit Treatment Baskets for Chronic Disease Baskets of Care 08 Who we are SAB Medical Aid (the Scheme), registration number 09, is the medical scheme. This is a nonprofit organisation,
Prescribed Minimum Benefit Treatment Baskets- 2018
Prescribed Minimum Benefit Treatment Baskets- 08 Who we are The Malcor Medical Aid Scheme (referred to as the Scheme ), registration number 57, is the medical scheme that you a member of. This is a non-profit
Chapter 4 ~ Central nervous system
Chapter 4 ~ Central Nervous System: General Section 1 of 6 Chapter 4 ~ Central nervous system 4.1 Hypnotics and anxiolytics 4.1.1 Hypnotics CHLORAL HYDRATE CLOMETHIAZOLE NITRAZEPAM TEMAZEPAM TRICLOFOS
Medicines Formulary BNF Section 4 Central Nervous System
Medicines BNF Section 4 4.1 Hypnotics and anxiolytics Chloral Hydrate 500mg/5ml Solution Clomethiazole 192mg Capsules Lormetazepam Tablets Melatonin Capsules Nitrazepam Suspension Nitrazepam Tablets Temazepam
Prescribed Minimum Benefit Treatment Baskets 2018
Prescribed Minimum Benefit Treatment Baskets 08 Who are Glencore Medical Scheme (referred to as 'the Scheme"), registration number 5, is a non-profit organisation, registered with the Council for Medical
GINETTE TABS. Acne Isotretinoin 20mg ORATANE 20MG MEDITRIM 480MG. Tetracyclines Doxycycline HCl 100mg CYCLIDOX 100MG
SCRIPTPHARM RISK MANAGEMENT CHRONIC MEDICINE FORMULARY Nedgroup Traditional, Comprehensive and Platinum non-pmb Formulary CHRONIC CONDITIONS ACNE (Cystic Nodular ONLY) Acne 21 beige tabs: Cyproterone acetate
Oncology Programme 2017
Oncology Programme 2017 Your cover for cancer treatment in 2017 Overview This document explains how Discovery Health Medical Scheme the Scheme covers you for cancer treatment on DiscoveryCare s Oncology
SCRIPTPHARM RISK MANAGEMENT CHRONIC MEDICINE FORMULARY Nedgroup Traditional, Comprehensive and Platinum non-pmb Formulary
SCRIPTPHARM RISK MANAGEMENT CHRONIC MEDICINE FORMULARY Nedgroup Traditional, Comprehensive and Platinum non-pmb Formulary CONDITION/ICD- 10 MAJOR DRUG CLASS GENERIC NAME TRADE NAMES NAPPI TRADE NAMES NAPPI
Injection Dosage Calculations
INJECTIONS: QUIZ 3 Injection Dosage Calculations 1. A child is ordered 9 mg of gentamicin by IM. Stock ampoules contain 20 mg in 2 ml. What volume is needed for the injection? a. 0.9 ml b. 0.5 ml c. 2.2
Mid Essex Locality Guideline for Management of Adult Acute and Chronic Non-Cancer Pain in Primary care
Guideline for Management of Adult Acute and Chronic Non-Cancer Pain in Primary care If possible patients should be assessed using a simple visual analogue scale VAS to determine the most appropriate stage
Prescribed Minimum Benefit Treatment Baskets 2018
Prescribed Minimum Benefit Treatment Baskets 08 Who we are LA Health Medical Scheme (referred to as 'the Scheme ), registration number 5, is a non-profit organisation, registered with the Council for Medical
Riesbeck's Pharmacy Reward Club Generic Medication List September 2017
Drug Category Allergy, Cold & Flu Antibiotic Treatments Arthritis & Pain Riesbeck's Benzonatate 100mg cap 14 42 Diphenhydramine HCl Cap 50 MG 30 90 Diphenhydramine HCl Liquid 12.5 MG/5ML 720ml 2160ml Hydroxyzine
Approximate Cost for Patients
Insurance Coverage for Prescriptions Medications that enhance control of pain and symptoms may be costly if patients do not have insurance. In Ontario, the Ontario Drug Benefit (ODB) Program covers prescriptions
Ontario Drug Benefit Formulary/Comparative Drug Index
Ministry of Health and Long-Term Care Ontario Drug Benefit Formulary/Comparative Drug Index Edition 43 Summary of Changes December 2018 Effective December 21, 2018 Drug Programs Policy and Strategy Branch
OFFERâ S INJECTABLES
A B Page 6 7 8 9 0 C 6 7 Page 8 9 0 D E Page 6 7 8 9 F Page 6 7 8 9 G H Page 6 7 8 9 I 6 7 Page 6 8 9 0 J 6 7 Page 7 K 6 7 8 9 L Page 8 6 7 8 9 0 Page 9 6 7 8 9 0 Page 0 OFFERâ S INJECTABLES Alimentary
Riesbeck's Pharmacy Reward Club Generic Medication List February 2018 $4 30 Day Supply
Allergy, Cold & Flu Antibiotic Treatments Arthritis & Pain Benzonatate 100mg cap 14 42 Diphenhydramine HCl Cap 50 MG 30 90 Diphenhydramine HCl Inj 50MG/ML 1 3 Diphenhydramine HCl Liquid 12.5 MG/5ML 720ml
tablet/capsule Paracetamol 500mg
Formulary Item Restrictions and/or Advice Non-opioid analgesics + compound analgesic preparations Aspirin 75mg dispersible Aspirin 300mg dispersible Aspirin 300mg Aspirin 75mg EC Paracetamol 500mg / Paracetamol
Riesbeck's Pharmacy Reward Club Generic Medication List October 2017
Allergy, Cold & Flu Antibiotic Treatments Arthritis & Pain Benzonatate 100mg cap 14 42 Diphenhydramine HCl Cap 50 MG 30 90 Diphenhydramine HCl Inj 50MG/ML 1 3 Diphenhydramine HCl Liquid 12.5 MG/5ML 720ml
Palliative Care Drug Plan (Plan P) Formulary List of drugs PharmaCare covers
Palliative Care Drug Plan (Plan P) Formulary List of drugs PharmaCare covers This formulary is current as of February 11, 2010. Important Notes: Pharmacists must submit a claim on PharmaNet at the time
Generic (Brand) Strength & Dosage form Fml Limit Cost per Rx Notes 5-HT3 Antagonists
MEDICATION COVERAGE POLICY PHARMACY AND THERAPEUTICS ADVISORY COMMITTEE POLICY Nausea LAST REVIEW 9/11/2018 THERAPEUTIC CLASS Gastrointestinal Disorders REVIEW HISTORY 12/16, 11/15, 11/07 LOB AFFECTED
Pip Description Item Size EAN ACETAZOLAMIDE TABS 250MG ADENOSINE INJECTION 30MG/10ML MPI 10ML
Pip Description Item Size EAN 112-6895 ACETAZOLAMIDE TABS 250MG 112 5060010283911 118-7376 ADENOSINE INJECTION 30MG/10ML MPI 10ML 6 5099602996281 118-7384 ADENOSINE INJECTION 3MG/ 1ML MPI 2ML 6 5099602996274
Pip Description Item Size EAN 6999 DELTASTAB INJ 25MG/1ML APRESOLINE AMP 20MG AUREOCORT OINT 15G
Pip Description Item Size EAN 6999 DELTASTAB INJ 25MG/1ML 10 5021730017613 15859 APRESOLINE AMP 20MG 5 5021730005740 21717 AUREOCORT OINT 15G 5021691164753 29033 SLOW TRASICOR TAB 160MG 28 5060064170410
Pain relief to take home after your surgery
Pain relief to take home after your surgery Information for patients from the Department of Anaesthesia This factsheet explains: About pain and pain relief at home after surgery. Which pain relief drugs
Release of the 2017/18 Invitation to Tender
2 November 2017 Release of the 2017/18 Invitation to Tender The 2017/18 Invitation to Tender (2017/18 ITT) has been distributed today. If you have already registered your e-mail address with PHARMAC s
Cigna Drug and Biologic Coverage Policy
Cigna Drug and Biologic Coverage Policy Subject Antiemetic Therapy Table of Contents Coverage Policy... 1 General Background... 6 Coding/Billing Information... 8 References... 8 Effective Date... 1/1/2018
Ontario Drug Benefit Formulary/Comparative Drug Index
Ministry of Health and Long-Term Care Ontario Drug Benefit Formulary/Comparative Drug Index Edition 42 Summary of Changes July 2016 Effective July 28, 2016 Drug Programs Policy and Strategy Branch Ontario
Motohealth Custom Chronic Medicine Formulary
Motohealth Custom Chronic Medicine Formulary 2018 Chronic application forms must accompany all first-time applications. All applications MUST include valid ICD10 codes. Risk Equalisation Fund criteria
BENEFIT CHANGES TO NBPDP
Bulletin #789 June 15, 2010 BENEFIT CHANGES TO NBPDP This update to the New Brunswick Prescription Drug Program (NBPDP) Formulary is effective June 15, 2010. Included in this bulletin: Regular Benefit
SCHEDULE 2 THE SERVICES
SCHEDULE 2 THE SERVICES A. Service Specifications Mandatory headings 1 4: mandatory but detail for local determination and agreement Optional headings 5-7: optional to use, detail for local determination
Supply should only occur if requesting signature is on approved list held by the issuing pharmacy
Trust Approved Drugs List March 2016 The following is the list of drugs that are approved by the EEAST Medicines Management Group for use by EEAST clinical staff. Pharmacies are advised that this is the
Berkshire West Area Prescribing Committee Guidance
Guideline Name Berkshire West Area Prescribing Committee Guidance Date of Issue: September 2015 Review Date: September 2017 Date taken to APC: 2 nd September 2015 Date Ratified by GP MOC: Guidelines for
CADTH COMMON DRUG REVIEW Pharmacoeconomic Review Report
CADTH COMMON DRUG REVIEW Pharmacoeconomic Review Report Netupitant/Palonosetron 300 mg/0.5 mg (Akynzeo) (Purdue Pharma) Indication: In combination with dexamethasone, once-percycle treatment for the prevention
TRANSPARENCY COMMITTEE OPINION. 31 January Date of marketing authorisation: 22 March 2005 (centralised marketing authorisation)
The legally binding text is the original French version TRANSPARENCY COMMITTEE OPINION 31 January 2007 ALOXI 250 µg solution for injection B/1 CIP 375,482-8 Applicant: THERABEL LUCIEN PHARMA palonosetron
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE 1 Guideline title SCOPE Neuropathic pain pharmacological management: the pharmacological management of neuropathic pain in adults in non-specialist
2017 Bankmed Personal Health Assessment (PHA) and HIV/AIDS Counselling and Testing (HCT) Provider Manual
2017 Bankmed Personal Health Assessment (PHA) and HIV/AIDS Counselling and Testing (HCT) Provider Manual Bankmed Personal Health Assessment and HIV/AIDS Counselling and Testing Handbook 2017 The World
BJF Acute Pain Team Formulary Group
Title Analgesia Guidelines for Acute Pain Management (Adults) in BGH Document Type Issue no Clinical guideline Clinical Governance Support Team Use Issue date April 2013 Review date April 2015 Distribution
Cover for dental treatment
Cover for dental treatment 2018 Overview This document explains the cover for dental treatment. It gives you details about how Discovery Health Medical Scheme defines and pays for dental treatment both
Home Delivery Prescription Program Drug List
Home Delivery Prescription Program Drug List Low-cost prescriptions, right in your mailbox. Now you can have your generic prescriptions mailed right to your home, no matter where you live. Because we think
BC Cancer Agency & Canadian Cancer Society Financial Support Drug Program (FSDP) for Cancer Patients. Drug Benefit List. Updated August 1, 2017
BC Cancer Agency & Canadian Cancer Society Financial Support Drug Program (FSDP) for Cancer Patients Drug Benefit List Updated August 1, 2017 The FSDP will operate following rules established by the BC
Special Generic Drug Pricing Program
FREE PICK-UP & DELIVERY Flu-Shots Specialty prescription Compounding Wellness center providing health screenings for hypertension and diabetes $3 Special Generic Prescription Drug Program only offered
Professionalism & Service with Great Prices
Acyclovir Capsules 200mg Viruses 30 90 Albuterol Syrup 2mg/5ml Asthma 120 360 Albuterol Sulfate Solution 0.05% * Asthma ----- ----- 20 60 Albuterol Sulfate Solution 0.083% Asthma ----- ----- 75 225 Alendronate
ANTI COLD / ANTI ALLERGIC / ANTI-ASTHMATICS GIT PRODUCTS
SR. NO 1 ANTI COLD / ANTI ALLERGIC / ANTI-ASTHMATICS Paracetamol 500 mg, Phenylephrine HCL 5 mg With Chlorpheniramine Maleate 2 mg & Caffeine 30 mg Tablets 2 Salbutamol Tablets BP 2 mg 3 Salbutamol Tablets
Alaska Medicaid 90 Day** Generic Prescription Medication List
1 ACYCLOVIR 200 MG CAPSULE BUPROPION HCL 150 MG TAB ER 24H ACYCLOVIR 200 MG/5ML BUPROPION HCL 150 MG TABLET ER ACYCLOVIR 400 MG TABLET BUPROPION HCL 150 MG TABLET ER ACYCLOVIR 800 MG TABLET BUPROPION HCL
BACKGROUND Measuring renal function :
A GUIDE TO USE OF COMMON PALLIATIVE CARE DRUGS IN RENAL IMPAIRMENT These guidelines bring together information and recommendations from the Palliative Care formulary (PCF5 ) BACKGROUND Measuring renal
TennCare Program TN MAC Price Change List As of: 03/30/2017
1 TN List Run : 03/30/17 Old PRAZOSIN HCL 5 MG CAPSULE ORAL 03/29/2017 1.11209 1.12560 ( 1.2) CAPTOPRIL 12.5 MG TABLET ORAL 07/07/2015 1.07191 1.10416 ( 2.9) ISOSORBIDE DINITRATE 5 MG TABLET ORAL 03/29/2017
Home Delivery Prescription Program Drug List
Home Delivery Prescription Program Drug List Low-cost prescriptions, right in your mailbox. Now you can have your generic prescriptions mailed right to your home, no matter where you live. Because we think
Oakwood Healthcare Low Cost Drug List for OHSCare & BCN
Oakwood Healthcare Low Cost Drug List for OHSCare & BCN ACETAMINOPHEN-CODEINE ELIXIR Analgesic 240 720 ACYCLOVIR CAP 200MG Antiviral 30 90 AKTOB 0.3% EYE DROPS Miscellaneous 5 15 ALBUTEROL INH SOL 0.083%
Package Leaflet: Information for the User Zofran tablets 4 mg and 8 mg ondansetron (as hydrochloride dihydrate)
Novartis (logo) Package Leaflet: Information for the User Zofran tablets 4 mg and 8 mg ondansetron (as hydrochloride dihydrate) Read all of this leaflet carefully before you start taking this medicine
Clinical Policy: Dolasetron (Anzemet) Reference Number: ERX.NPA.83 Effective Date:
Clinical Policy: (Anzemet) Reference Number: ERX.NPA.83 Effective Date: 09.01.18 Last Review Date: 08.18 Revision Log See Important Reminder at the end of this policy for important regulatory and legal
Chronic Illness Benefit medicine list (formulary)
Chronic Illness Benefit medicine list (formulary) 2015 Chronic Illness Benefit 2015 Contents Page Explanation of terms 3 The Prescribed Minimum Benefits medicine list 4 Important information you need to
Medicines in Schedule 1 to the Medicine Regulations 1984 that reference the manufacturer s original pack
Medicines in Schedule 1 to the Medicine Regulations 1984 that reference the manufacturer s original pack Information paper for the Medicines Classification Committee Medsafe January 2018 1. Purpose The
Palliative Care Out-of-hours. A resource pack for West Dorset. Contents:
Palliative Care Out-of-hours. A resource pack for West Dorset Contents: Section 1 Supply of drugs DCH Pharmacy hours and arrangements How to contact a community pharmacist out of hours Palliative care
UPDATE B Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective October 01, 2008 SUMMARY OF CHANGES
UPDATE B Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective October 01, 2008 SUMMARY OF CHANGES TABLE OF CONTENTS Page New Multi-Source Drug(s) 2 Manufacturer Requested Discontinued
PREVENTION OF CHEMOTHERAPY INDUCED NAUSEA AND VOMITING IN ELDERLY CANCER PATIENTS JØRN HERRSTEDT, M.D. COPENHAGEN UNIVERSITY HOSPITAL HERLEV, DENMARK
PREVENTION OF CHEMOTHERAPY INDUCED NAUSEA AND VOMITING IN ELDERLY CANCER PATIENTS JØRN HERRSTEDT, M.D. COPENHAGEN UNIVERSITY HOSPITAL HERLEV, DENMARK HISTORY OF ANTIEMETICS 1979 A corticosteroid is superior
Zofran syrup contains a medicine called ondansetron. This belongs to a group of medicines called anti-emetics.
Package Leaflet: Information for the User Zofran 4 mg/5 ml Syrup Ondansetron Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.
5 MUSCULOSKELETAL SYSTEM
5 MUSCULOSKELETAL SYSTEM 5.01 NON-STEROIDAL ANTIILAMMATORY DRUGS (NSAIDS) *Acetylsalicylic Acid (Aspirin) Tab Soluble 300mg Diclofenac Sodium Tab 25mg, Supp 25mg, 50mg & 100mg (Voltaren) 300-900mg every
UPDATE AA Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective September 15, 2011 SUMMARY OF CHANGES
UPDATE AA Ontario Drug Benefit Formulary/Comparative Drug Index No. 41 Effective September 15, 2011 SUMMARY OF CHANGES TABLE OF CONTENTS Page New Single Source Drug(s) 2 New Multi-Source Drug(s) 3 Off
MEDICINES CONTROL COUNCIL
MEDICINES CONTROL COUNCIL NOTIFICATION OF REGISTRATION OF MEDICINES BY THE REGISTRAR IN TERMS OF SECTION 17 OF THE MEDICINES AND RELATED SUBSTANCES ACT, 1965 (ACT 101 OF 1965) 08/3.1.2/14 INGELHEIM A39/34/0605
MEDICINES CONTROL COUNCIL
Notification of of Medicines MEDICINES CONTROL COUNCIL NOTIFICATION OF REGISTRATION OF MEDICINES BY THE REGISTRAR IN TERMS OF SECTION 17 OF THE MEDICINES AND RELATED SUBSTANCES ACT, 1965 (ACT 101 OF 1965)
1 What Zofran Suppositories are and what they are used for
GlaxoSmithKline (logo) Package Leaflet: Information for the User Zofran 16 mg Suppositories ondansetron Read all of this leaflet carefully before you start using this medicine because it contains important
Package Leaflet: Information for the User Zotron 4mg/2ml (ή 8mg/4ml) Solution for Injection or Infusion ondansetron
Package Leaflet: Information for the User Zotron 4mg/2ml (ή 8mg/4ml) Solution for Injection or Infusion ondansetron Read all of this leaflet carefully before you start taking this medicine because it contains
MEDICINES CONTROL COUNCIL
MEDICINES CONTROL COUNCIL NOTIFICATION OF REGISTRATION OF MEDICINES BY THE REGISTRAR IN TERMS OF SECTION 17 OF THE MEDICINES AND RELATED SUBSTANCES ACT 101 OF 1965 Application Number Holder of registration
Clinical Policy: Netupitant and Palonosetron (Akynzeo) Reference Number: HIM.PA.113 Effective Date: Last Review Date: 05.
Clinical Policy: (Akynzeo) Reference Number: HIM.PA.113 Effective Date: 05.01.17 Last Review Date: 05.18 Line of Business: HIM Revision Log See Important Reminder at the end of this policy for important
Package Leaflet: Information for the User Zofran Flexi-amp injection 2 mg/ml ondansetron (as hydrochloride dihydrate)
Novartis (logo) Package Leaflet: Information for the User Zofran Flexi-amp injection 2 mg/ml ondansetron (as hydrochloride dihydrate) Read all of this leaflet carefully before you start taking this medicine
Understanding your take home medications from the surgical ward. Information for Patients
Understanding your take home medications from the surgical ward Information for Patients i Information for Patients Please read this leaflet before taking the medications that have been prescribed for
Ontario Drug Benefit Formulary/Comparative Drug Index
Ministry of Health and Long-Term Care Ontario Drug Benefit Formulary/Comparative Drug Index Edition 42 Summary of Changes June 2017 Effective June 29, 2017 Drug Programs Policy and Strategy Branch Ontario
Treatment baskets for the Prescribed Minimum Benefit Chronic Disease List conditions
Treatment baskets for the Prescribed Minimum Benefit Chronic Disease List conditions 08 Treatment baskets for the Prescribed Minimum Benefit Chronic Disease List conditions Overview The Prescribed Minimum
NATIONAL PRESCRIBING INDICATORS DRUG BASKETS
NATIONAL PRESCRIBING INDICATORS 2014 2015 DRUG BASKETS INTRODUCTION The National Prescribing Indicators (NPIs) 2014 2015 were developed by the All Wales Prescribing Advisory Group (AWPAG), and underwent
What s New 2003? What new treatments? What have you discontinued? More information please!
What s New 2003? What new treatments? What have you discontinued? More information please! 1 What s New 2003? Submissions = 137 UK = 52 (38%) Doctors = 60% Nurses = 25% Pharmacists = 15% 2 What s New?
See Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: (Anzemet) Reference Number: CP.PMN.141 Effective Date: 09.01.06 Last Review Date: 08.18 Line of Business: Commercial, HIM, Medicaid Revision Log See Important Reminder at the end of this
Chronic Illness Benefit medicine list (formulary)
Chronic Illness Benefit medicine list (formulary) 2014 Chronic Illness Benefit 2014 Contents Page Explanation of terms 3 The Prescribed Minimum Benefits medicine list (for all plan types) 4 Important information
PRESCRIPTION SAVINGS CLUB FLAT- PRICED GENERIC DRUG LIST (EMDEON) Effective August 20, 2014
PRESCRIPTION SAVINGS CLUB FLAT- PRICED GENERIC DRUG LIST (EMDEON) Effective August 20, 2014 The Prescription Savings Club provides its members with significant savings on prescription medications. The
Zofran syrup contains a medicine called ondansetron. This belongs to a group of medicines called anti-emetics.
GlaxoSmithKline (logo) Package Leaflet: Information for the User Zofran 4 mg/5 ml Syrup Ondansetron Read all of this leaflet carefully before you start taking this medicine because it contains important
MRP Monthly Update MRP 12/2013
Monthly Update 12/2013 13/12/2013 Mediscor Reference Price - Notification Effective Date: 1 January 2014 Dear Vendors and Colleagues, The files for January 2014 are now available on our website: www.mediscor.net/mrp.html
90-Day Generic Drug Discount List Treatment Medication Strength Dose Quantity Price Allergy/Cold&Flu Benzonatate 100mg Tablet 42 $15.
90-Day Generic Drug Discount List Treatment Medication Strength Dose Quantity Price Allergy/Cold&Flu Benzonatate 100mg Tablet 42 $15.00 Allergy/Cold&Flu C-Phen Drops n/a Drops 90 $15.00 Allergy/Cold&Flu
Clinical Policy: Nabilone (Cesamet) Reference Number: ERX.NPA.35 Effective Date:
Clinical Policy: (Cesamet) Reference Number: ERX.NPA.35 Effective Date: 09.01.17 Last Review Date: 08.18 Revision Log See Important Reminder at the end of this policy for important regulatory and legal
See Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: (Cesamet) Reference Number: CP.PMN.160 Effective Date: 11.16.16 Last Review Date: 02.19 Line of Business: Commercial, Medicaid Revision Log See Important Reminder at the end of this policy
PHARMACY SERVICE ARRANGEMENTS FOR THE SUPPLY OF PALLIATIVE CARE SYRINGES AND MEDICINES FOR COMMUNITY PATIENTS
PHARMACY SERVICE ARRANGEMENTS FOR THE SUPPLY OF PALLIATIVE CARE SYRINGES AND MEDICINES FOR COMMUNITY PATIENTS The benefits of prefilled syringes for palliative care from the hospital pharmacy service In
CareCross Chronic Medicine Formulary
CareCross Chronic Medicine Formulary 2013 Chronic application forms must accompany all first-time applications. All applications MUST include valid ICD10 codes. Risk Equalisation Fund criteria must be
Zofran tablets contain a medicine called ondansetron. This belongs to a group of medicines called anti-emetics.
Package Leaflet: Information for the User Zofran 4 mg or 8 mg Film coated Tablets Ondansetron Read all of this leaflet carefully before you start taking this medicine because it contains important information
TENDER RESULTS. Notification of Product Changes (NOPC) forms and Pharmacodes. 28 February 2014
28 February 2014 TENDER RESULTS PHARMAC has resolved to award tenders for for Sole Subsidised Supply Status and Status for some products included in the Invitation to Tender, dated 07 November 2013. Some
APPENDIX T - Unit costs of anti-epileptic drugs for 2012 guideline
Drug name APPENDIX T - Unit costs of anti-epileptic drugs for 2012 guideline Unit costs and weighted average unit costs for drug used in the treatment of focal and generalised epilepsies Prescription Cost