BONCAP Chronic Formulary 1-Jan-15
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- Edmund Tucker
- 5 years ago
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1 BONCAP Chronic Formulary 1-Jan-15 KEY to Chronic Medicine Management Reimbursement Criteria: Quantity/dosage and duration of authorisation may vary - depending on the requested drug. Accepted Treatment - will be authorised without requesting additional clinical information (unless specific concerns e.g. unusual dose requests). Clinical Review - will be authorised if the drug history or co-morbidity clearly indicates that use of the drug is indicated in the specific patient. Clinical Motivation - specific clinical information required before reimbursement is considered. Specialist Script - will require a relevant specialist's prescription before reimbursement is considered. Specialist Motivation - will require a relevant specialist motivation before reimbursement is considered. Special Investigations (SI) - results of recent relevant tests required before reimbursement is considered. Therapeutic Class Nappi Ingredients Product Name Strength Form Reimbursement criteria Addison's disease Hydrocortisone COVOCORT 10MG TAB Accepted treatment Fludrocortisone FLORINEF ACETATE 0.1MG TAB Accepted treatment Asthma Inhaled B2 agonists Salbutamol ASTHAVENT 300D ECOHALER CFC FREE INH Accepted treatment Salbutamol ASTHAVENT DP CPS Accepted treatment Salbutamol ASTHAVENT ECOHALER 200DOSE INH Accepted treatment Salbutamol VENTEZE CFC FREE 200 DOSE INH Accepted treatment Long acting B2 agonists Formoterol FORATEC DP CAPS CPS Clinical review Formoterol FORATEC HFA 120DOSE INH Clinical review Inhaled corticosteroids Beclomethasone BECEZE INHALER COMPLETE 100MCG INH Accepted treatment Beclomethasone BECLATE INHALER 100MCG INH Accepted treatment Beclomethasone BECLATE MCG INH Accepted treatment Beclomethasone BECEZE DOSE 50MCG INH Accepted treatment Beclomethasone BECLATE INHALER 50MCG INH Accepted treatment Budesonide BUDEFLAM CFC FREE 300 DOSE INH 100MCG INH Accepted treatment Budesonide PULMICORT 100 TURB (200 DOSE) 100MCG ATH Accepted treatment Budesonide BUDEFLAM CFC FREE 200MCG 300 DOSE INH 200MCG INH Accepted treatment Budesonide PULMICORT 200 TURB (200 DOSE) 200MCG ATH Accepted treatment Budesonide INFLAMMIDE NOVOLIZER COMPLETE 100DOSE 400MCG INH Accepted treatment Budesonide INFLAMMIDE NOVOLIZER REFILL 100DOSE 400MCG REF Accepted treatment Budesonide BUDEFLAM DP CAPS CAP Accepted treatment Budesonide INFLAMMIDE 200 NOVOLIZER COMPL INH Accepted treatment Budesonide INFLAMMIDE 200 NOVOLIZER REFIL INH Accepted treatment Oral xanthines Theophylline SANDOZ THEOPHYLLINE ANHYDROUS 200MG SRT Clinical review Theophylline SANDOZ THEOPHYLLINE ANHYDROUS MG SRT Clinical review Theophylline THEOPHEN SYR Clinical review Oral corticosteroids Prednisolone LENISOLONE 5MG TAB Specialist script Prednisolone CAPSOID 5MG TAB Specialist script Prednisone PANAFCORT 5MG TAB Specialist script Prednisone BE-TABS PREDNISONE 5MG TAB Specialist script Devices DP HALER DEVICE UNI Accepted treatment Bipolar Mood Disorder Mood stabilisers Carbamazepine SANDOZ CARBAMAZEPINE CR MG SRT Accepted treatment Carbamazepine TEGRETOL CR 200MG SRT Accepted treatment Carbamazepine SANDOZ CARBAMAZIPINE CR MG SRT Accepted treatment Carbamazepine TEGRETOL CR 400MG SRT Accepted treatment Carbamazepine TEGRETOL S 100MG/5ML SUS Accepted treatment Carbamazepine DEGRANOL 200MG TAB Accepted treatment Carbamazepine SANDOZ CARBAMAZEPINE 200MG TAB Accepted treatment Carbamazepine ZEPTOL 200MG TAB Accepted treatment Lamotrigine DYNA-LAMOTRIGINE 100MG TAB Accepted treatment Lamotrigine LAMIDUS 100MG TAB Accepted treatment Lamotrigine LAMITOR 100MG TAB Accepted treatment Lamotrigine SANDOZ LAMOTRIGINE MG TAB Accepted treatment Lamotrigine DYNA-LAMOTRIGINE 200MG TAB Accepted treatment Lamotrigine LAMIDUS 200MG TAB Accepted treatment Lamotrigine SANDOZ LAMOTRIGINE 200MG TAB Accepted treatment Lamotrigine DYNA-LAMOTRIGINE 25MG TAB Accepted treatment Lamotrigine EPITEC 25MG 25MG TAB Accepted treatment Lamotrigine LAMITOR 25MG TAB Accepted treatment Lamotrigine SANDOZ LAMOTRIGINE 25 25MG TAB Accepted treatment Lamotrigine DYNA-LAMOTRIGINE 50MG TAB Accepted treatment Lamotrigine LAMIDUS 50MG TAB Accepted treatment Lamotrigine LAMITOR 50MG TAB Accepted treatment Lamotrigine SANDOZ LAMOTRIGINE 50 50MG TAB Accepted treatment Lithium CAMCOLIT 250MG TAB Accepted treatment Lithium CAMCOLIT 400MG TAB Accepted treatment Lithium QUILONUM RETARD 450MG TAB Accepted treatment Valproic acid CONVULEX 150MG CAP Accepted treatment Valproic acid CONVULEX 300MG CAP Accepted treatment Valproic acid CONVULEX 500MG CAP Accepted treatment Valproic acid EPILIZINE CR 200MG SRT Accepted treatment Valproic acid NAVALPRO CR 200MG SRT Accepted treatment Valproic acid EPILIZINE CR 300MG SRT Accepted treatment Valproic acid NAVALPRO CR 300MG SRT Accepted treatment Valproic acid VANAPRO 300MG SRT Accepted treatment Valproic acid EPILIZINE CR 500MG SRT Accepted treatment Valproic acid NAVALPRO CR 500MG SRT Accepted treatment Valproic acid VANAPRO 500MG SRT Accepted treatment Valproic acid EPILIM SUGAR FREE 200MG SYR Accepted treatment Valproic acid CONVULEX 50MG/ML SYR Accepted treatment Valproic acid EPILIM CRUSHABLE 100 MG TAB Accepted treatment Antipsychotic agents Chlorpromazine LARGACTIL 100MG TAB Accepted treatment Chlorpromazine LARGACTIL 25MG TAB Accepted treatment Clozapine ASPEN CLOZAPINE 100MG TAB Accepted treatment Clozapine CLOMENT 100MG TAB Accepted treatment (clinical motivation required for low cost option) Clozapine ASPEN CLOZAPINE 25MG TAB Accepted treatment Clozapine CLOMENT 25MG TAB Accepted treatment (clinical motivation required for low cost option) Flupentixol FLUANXOL DEPOT 1ML 20MG INJ Accepted treatment Fluphenazine MODECATE PLUS SYRINGE 1ML 25MG/ML INJ Accepted treatment Haloperidol SERENACE 0.5MG CAP Accepted treatment Haloperidol SANDOZ HALOPERIDOL MG TAB Accepted treatment Haloperidol GULF HALOPERIDOL 5MG TAB Accepted treatment Haloperidol SANDOZ HALOPERIDOL 5 5MG TAB Accepted treatment Quetiapine DOPAQUEL 100MG TAB Accepted treatment (clinical motivation required for low cost option) Quetiapine DOPAQUEL 200MG TAB Accepted treatment (clinical motivation required for low cost option) Quetiapine DOPAQUEL 25MG TAB Accepted treatment (clinical motivation required for low cost option) Quetiapine DOPAQUEL 300MG TAB Accepted treatment (clinical motivation required for low cost option) Quetiapine MYLAN QUETIAPINE 100MG TAB Accepted treatment (clinical motivation required for low cost option) Quetiapine MYLAN QUETIAPINE 200MG TAB Accepted treatment (clinical motivation required for low cost option) Quetiapine MYLAN QUETIAPINE 25MG TAB Accepted treatment (clinical motivation required for low cost option) Quetiapine MYLAN QUETIAPINE 300MG TAB Accepted treatment (clinical motivation required for low cost option) Quetiapine PSYQUET 100MG TAB Accepted treatment (clinical motivation required for low cost option) Quetiapine PSYQUET 200MG TAB Accepted treatment (clinical motivation required for low cost option) Quetiapine PSYQUET 25MG TAB Accepted treatment (clinical motivation required for low cost option) Quetiapine PSYQUET 300MG TAB Accepted treatment (clinical motivation required for low cost option) Quetiapine QUETOSER 100MG TAB Accepted treatment (clinical motivation required for low cost option) Quetiapine QUETOSER 200MG TAB Accepted treatment (clinical motivation required for low cost option) Quetiapine QUETOSER 25MG TAB Accepted treatment (clinical motivation required for low cost option) Quetiapine QUETOSER 300MG TAB Accepted treatment (clinical motivation required for low cost option) Quetiapine SIZONORM 100MG TAB Accepted treatment (clinical motivation required for low cost option) Quetiapine SIZONORM 200MG TAB Accepted treatment (clinical motivation required for low cost option) Quetiapine SIZONORM 25MG TAB Accepted treatment (clinical motivation required for low cost option)
2 Quetiapine SIZONORM 300MG TAB Accepted treatment (clinical motivation required for low cost option) Risperidone RISPERDAL ORAL 1mg/ml SYR Accepted treatment (clinical motivation required for low cost option) Risperidone AUROPIDONE 0.5MG TAB Accepted treatment (clinical motivation required for low cost option) Risperidone PERIDA 0.5MG TAB Accepted treatment (clinical motivation required for low cost option) Risperidone RISNIA 0.5MG TAB Accepted treatment (clinical motivation required for low cost option) Risperidone RISPACOR 0.5MG TAB Accepted treatment (clinical motivation required for low cost option) Risperidone SCHIZOROL 0.5MG TAB Accepted treatment (clinical motivation required for low cost option) Risperidone ZOXADON 0.5MG TAB Accepted treatment (clinical motivation required for low cost option) Risperidone PERIDA 1MG TAB Accepted treatment (clinical motivation required for low cost option) Risperidone PERIZAL 1MG TAB Accepted treatment (clinical motivation required for low cost option) Risperidone RISNIA 1MG TAB Accepted treatment (clinical motivation required for low cost option) Risperidone RISPACOR 1MG TAB Accepted treatment (clinical motivation required for low cost option) Risperidone RISPEVON 1MG TAB Accepted treatment (clinical motivation required for low cost option) Risperidone SCHIZOROL 1MG TAB Accepted treatment (clinical motivation required for low cost option) Risperidone ZOXADON 1MG TAB Accepted treatment (clinical motivation required for low cost option) Risperidone AUROPIDONE 2MG TAB Accepted treatment (clinical motivation required for low cost option) Risperidone PERIZAL 2MG TAB Accepted treatment (clinical motivation required for low cost option) Risperidone RISNIA 2MG TAB Accepted treatment (clinical motivation required for low cost option) Risperidone RISPACOR 2MG TAB Accepted treatment (clinical motivation required for low cost option) Risperidone RISPEVON 2MG TAB Accepted treatment (clinical motivation required for low cost option) Risperidone SCHIZOROL 2MG TAB Accepted treatment (clinical motivation required for low cost option) Risperidone ZOXADON 2MG TAB Accepted treatment (clinical motivation required for low cost option) Risperidone AUROPIDONE 3MG TAB Accepted treatment (clinical motivation required for low cost option) Risperidone PERIZAL 3MG TAB Accepted treatment (clinical motivation required for low cost option) Risperidone RISNIA 3MG TAB Accepted treatment (clinical motivation required for low cost option) Risperidone RISPACOR 3MG TAB Accepted treatment (clinical motivation required for low cost option) Risperidone RISPEVON 3MG TAB Accepted treatment (clinical motivation required for low cost option) Risperidone ASPEN RISPERIDONE 4MG TAB Accepted treatment (clinical motivation required for low cost option) Risperidone AUROPERDAL 4MG TAB Accepted treatment (clinical motivation required for low cost option) Risperidone AUROPIDONE 4MG TAB Accepted treatment (clinical motivation required for low cost option) Risperidone RISPACOR 4MG TAB Accepted treatment (clinical motivation required for low cost option) Risperidone RISPONZ 4MG TAB Accepted treatment (clinical motivation required for low cost option) Risperidone DRL RISPERIDONE 1MG TAB Accepted treatment (clinical motivation required for low cost option) Risperidone RISPONZ 1MG TAB Accepted treatment (clinical motivation required for low cost option) Risperidone RISPONZ 2MG TAB Accepted treatment (clinical motivation required for low cost option) Risperidone DRL RISPERIDONE 3MG TAB Accepted treatment (clinical motivation required for low cost option) Risperidone RISPERIDONE HEXAL 3MG TAB Accepted treatment (clinical motivation required for low cost option) Risperidone RISPONZ 3MG TAB Accepted treatment (clinical motivation required for low cost option) Sulpiride BIO-SULPIRIDE 200MG TAB Accepted treatment Trifluoperazine STELAZINE 1MG TAB Accepted treatment Trifluoperazine STELAZINE 5MG TAB Accepted treatment Zuclopenthixol CLOPIXOL DEPOT 200MG INJ Accepted treatment Zuclopenthixol CLOPIXOL ACUPHASE 50MG INJ Accepted treatment Antidepressants Amitriptyline GULF AMITRIPTYLINE 25MG TAB Accepted treatment Amitriptyline SANDOZ AMITRIPTYLINE HCL 25MG TAB Accepted treatment Amitriptyline TREPILINE 10MG TAB Accepted treatment Amitriptyline TREPILINE 25MG TAB Accepted treatment Citalopram ARROW CITALOPRAM 20MG TAB Accepted treatment Citalopram ARROW CITALOPRAM 40MG TAB Accepted treatment Citalopram AURO-CITALOPRAM 20MG TAB Accepted treatment Citalopram AUSTELL-CITALOPRAM 10MG TAB Accepted treatment Citalopram AUSTELL-CITALOPRAM 20MG TAB Accepted treatment Citalopram AUSTELL-CITALOPRAM 40MG TAB Accepted treatment Citalopram BIO CITALOPRAM 20MG TAB Accepted treatment Citalopram CILATE 20MG TAB Accepted treatment Citalopram CILORAM 20MG TAB Accepted treatment Citalopram CITALOHEXAL 20MG TAB Accepted treatment Citalopram CITALOPRAM ACTOR 20MG TAB Accepted treatment Citalopram CITALOPRAM-WINTHROP 20MG TAB Accepted treatment Citalopram DEPRAMIL 40MG TAB Accepted treatment Citalopram DRL CITALOPRAM 40MG TAB Accepted treatment Citalopram GLENMARK CITALOPRAM 20MG TAB Accepted treatment Citalopram TALOMIL 20MG TAB Accepted treatment Fluoxetine A-LENNON FLUOXETINE 20MG CAP Accepted treatment Fluoxetine DEPROZAN 20MG CAP Accepted treatment Fluoxetine FLUOXETINE ACTOR 20MG CAP Accepted treatment Fluoxetine PROLAX 20MG CAP Accepted treatment Fluoxetine RANFLOCS 20MG CAP Accepted treatment Fluoxetine REZAK 20MG CAP Accepted treatment Fluoxetine ZYDUS FLUOXETINE 20MG CAP Accepted treatment Imipramine ETHIPRAMINE 10MG TAB Accepted treatment Imipramine ETHIPRAMINE 25MG TAB Accepted treatment Bronchiectasis Amoxicillin ADCO-AMOXYCILLIN 250MG CAP Accepted treatment Amoxicillin ALLMOX 250MG CAP Accepted treatment Amoxicillin AMOCILLIN 250MG CAP Accepted treatment Amoxicillin AMOXICAP MG CAP Accepted treatment Amoxicillin AMYN 250MG CAP Accepted treatment Amoxicillin AURO-AMOXYCILLIN 250MG CAP Accepted treatment Amoxicillin AUSTELL-AMOXICILLIN 250MG CAP Accepted treatment Amoxicillin BETAMOX MG CAP Accepted treatment Amoxicillin IPCAMOX 250MG CAP Accepted treatment Amoxicillin MOXYMAX MG CAP Accepted treatment Amoxicillin MOXYPEN 250MG CAP Accepted treatment Amoxicillin PROMOXIL 250MG CAP Accepted treatment Amoxicillin YOMAX 250MG CAP Accepted treatment Amoxicillin ADCO-AMOXYCILLIN 500MG CAP Accepted treatment Amoxicillin ALLMOX 500MG CAP Accepted treatment Amoxicillin AMYN 500MG CAP Accepted treatment Amoxicillin AURO-AMOXYCILLIN 500MG CAP Accepted treatment Amoxicillin BETAMOX MG CAP Accepted treatment Amoxicillin MOXYPEN 500MG CAP Accepted treatment Amoxicillin PROMOXIL 500MG CAP Accepted treatment Amoxicillin RANMOXY MG CAP Accepted treatment Amoxicillin YOMAX 500MG CAP Accepted treatment Amoxicillin ZALOXY 250MG CAP Accepted treatment Amoxicillin AUSTELL-AMOXICILLIN 500MG CAP Accepted treatment Amoxicillin ZALOXY 500MG CAP Accepted treatment Amoxicillin MOXYMAX MG TAB Accepted treatment Doxycycline A-LENNON DOXYCYCLINE HCL 100MG CAP Accepted treatment Doxycycline CYCLIDOX 100MG CAP Accepted treatment Doxycycline DOXYCYL 100MG CAP Accepted treatment Doxycycline DOXYTET 100MG CAP Accepted treatment Doxycycline DOXYCYL 50MG CAP Accepted treatment Doxycycline DUMOXIN 50 50MG CAP Accepted treatment Doxycycline DOXITAB 100MG TAB Accepted treatment Sulfamethoxazole and trimethop COZOLE 480MG TAB Accepted treatment Sulfamethoxazole and trimethop LAGATRIM 480MG TAB Accepted treatment Sulfamethoxazole and trimethop NUCOTRIM 480MG TAB Accepted treatment Sulfamethoxazole and trimethop PURBAC ADULT 480MG TAB Accepted treatment Sulfamethoxazole and trimethop TRIMETHOX 480MG TAB Accepted treatment Sulfamethoxazole and trimethop TRIXAZOLE 480MG TAB Accepted treatment Sulfamethoxazole and trimethop PURBAC DS 960MG TAB Accepted treatment Sulfamethoxazole and trimethop SANDOZ CO-TRIMOXAZOLE MG TAB Accepted treatment Sulfamethoxazole and trimethop CASICOT 480MG TAB Accepted treatment Sulfamethoxazole and trimethop ILVITRIM 480MG TAB Accepted treatment Sulfamethoxazole and trimethop MICRO CO-TRIMOXAZOLE 480MG TAB Accepted treatment
3 Chronic obstructive Pulmonary disease Inhaled B2 agonists Salbutamol ASTHAVENT DP CPS Accepted treatment Salbutamol ASTHAVENT 300 DOSE INH Accepted treatment Salbutamol ASTHAVENT 300D ECOHALER CFC FREE INH Accepted treatment Salbutamol VENTEZE CFC FREE 200 DOSE INH Accepted treatment Inhaled corticosteroids Beclomethasone BECEZE INHALER COMPLETE 100MCG INH Special investigations (SI) Beclomethasone BECLATE INHALER 100MCG INH Special investigations (SI) Beclomethasone BECLATE MCG INH Special investigations (SI) Beclomethasone BECEZE DOSE 50MCG INH Special investigations (SI) Beclomethasone BECLATE INHALER 50MCG INH Special investigations (SI) Budesonide PULMICORT 100 TURB (200 DOSE) 100MCG ATH Special investigations (SI) Budesonide PULMICORT 200 TURB (200 DOSE) 200MCG ATH Special investigations (SI) Budesonide BUDEFLAM DP CAPS CAP Special investigations (SI) Budesonide BUDEFLAM CFC FREE 300 DOSE INH 100MCG INH Special investigations (SI) Budesonide BUDEFLAM CFC FREE 200MCG 300 DOSE INH 200MCG INH Special investigations (SI) Budesonide INFLAMMIDE NOVOLIZER COMPLETE 100DOSE 400MCG INH Special investigations (SI) Budesonide INFLAMMIDE 200 NOVOLIZER COMPL INH Special investigations (SI) Budesonide INFLAMMIDE 200 NOVOLIZER REFIL INH Special investigations (SI) Budesonide INFLAMMIDE NOVOLIZER REFILL 100DOSE 400MCG REF Special investigations (SI) Anticholinergic inhalers Ipratropium bromide IPVENT HFA 200 DOSE 40MCG/1DOSE INH Accepted treatment Oral xanthines Theophylline SANDOZ THEOPHYLLINE ANHYDROUS 200MG SRT Accepted treatment Theophylline SANDOZ THEOPHYLLINE ANHYDROUS MG SRT Accepted treatment Oral corticosteroids Prednisolone CAPSOID 5MG TAB Special investigations (SI) Prednisolone LENISOLONE 5MG TAB Special investigations (SI) Prednisone BE-TABS PREDNISONE 5MG TAB Special investigations (SI) Prednisone PANAFCORT 5MG TAB Special investigations (SI) Influenza vaccine Influenza inactivated whole virus FLUVAX PRE-FILLED SYRINGE 0.5ML VAC Accepted treatment Influenza inactivated whole virus INFLUVAC 0.5ML VAC Accepted treatment Influenza inactivated whole virus VAXIGRIP SINGLE DOSE VAC Accepted treatment Devices DP HALER DEVICE UNI Accepted treatment Cardiac failure/cardiomyopathy Anticoagulants Warfarin CIPLA WARFARIN 1MG 1MG TAB Accepted treatment Warfarin CIPLA WARFARIN 5MG 5MG TAB Accepted treatment Warfarin WARFARIN 5MG TAB Accepted treatment Diuretics Furosemide MERCK FUROSEMIDE 40 MG TAB Accepted treatment Furosemide BEURISES 40MG TAB Accepted treatment Furosemide DINO-RETIC 40MG TAB Accepted treatment Furosemide SANDOZ FUROSEMIDE 40 40MG TAB Accepted treatment Hydrochlorothiazide RIDAQ 12.5MG 12.5MG TAB Accepted treatment Hydrochlorothiazide HEXAZIDE 25MG TAB Accepted treatment Hydrochlorothiazide RIDAQ 25MG 25MG TAB Accepted treatment Hydrochlorothiazide and potassiuurirex-k TAB Accepted treatment Hydrochlorothiazide and potassiudezretic 5MG/50MG 50MG/5MG TAB Accepted treatment Hydrochlorothiazide and potassiuadco-retic TAB Accepted treatment Hydrochlorothiazide and potassiuamiloretic TAB Accepted treatment Hydrochlorothiazide and potassiubetaretic TAB Accepted treatment Hydrochlorothiazide and potassiuspec-co-amiloride 50MG/5MG TAB Accepted treatment Indapamide CIPLA-INDAPAMIDE 2.5MG TAB Accepted treatment Indapamide DAPTRIL 2.5MG TAB Accepted treatment Indapamide MERCK-INDAPAMIDE 2.5MG TAB Accepted treatment Spironolactone ALDACTONE 25MG TAB Accepted treatment Spironolactone SANDOZ SPIRONOLACTONE 25 25MG TAB Accepted treatment Spironolactone SPIRACTIN 25MG TAB Accepted treatment Potassium supplementation Potassium chloride PLENISH K 600MG TAB Accepted treatment Potassium chloride POTASSIUM CHLORIDE UNICORN 600MG TAB Accepted treatment Potassium chloride SANDOZ K MG TAB Accepted treatment Potassium chloride SLOW-K 600MG TAB Accepted treatment Potassium chloride ULTIPOT 600MG SRT Accepted treatment ACE inhibitors Captopril CAPTOHEXAL 12.5MG TAB Accepted treatment Captopril CAPTOMAX 25MG TAB Accepted treatment Captopril MERCK CAPTOPRIL 25MG TAB Accepted treatment Captopril SANDOZ-CAPTOPRIL 25MG 25MG TAB Accepted treatment Captopril CAPTOMAX 50MG TAB Accepted treatment Captopril MERCK-CAPTOPRIL 50MG TAB Accepted treatment Enalapril ADCO-ENALAPRIL 10MG 10MG TAB Accepted treatment Enalapril ALAPREN 10 10MG TAB Accepted treatment Enalapril CIPLATEC 10 10MG TAB Accepted treatment Enalapril ENAP 10MG 10MG TAB Accepted treatment Enalapril ENVAS 10MG TAB Accepted treatment Enalapril HR-ENALAPRIL 10 10MG TAB Accepted treatment Enalapril PHARMAPRESS 10MG TAB Accepted treatment Enalapril ADCO-ENALAPRIL 20MG 20MG TAB Accepted treatment Enalapril ALAPREN 20 20MG TAB Accepted treatment Enalapril CIPLATEC 20MG 20MG TAB Accepted treatment Enalapril ENAP 20MG 20MG TAB Accepted treatment Enalapril HR-ENALAPRIL 20 20MG TAB Accepted treatment Enalapril PHARMAPRESS 20MG TAB Accepted treatment Enalapril ALAPREN 5 5MG TAB Accepted treatment Enalapril CIPLATEC 5 5MG TAB Accepted treatment Enalapril ENAP 5MG 5MG TAB Accepted treatment Enalapril ENVAS 5MG TAB Accepted treatment Enalapril HR-ENALAPRIL 5 5MG TAB Accepted treatment Enalapril PHARMAPRESS 5MG TAB Accepted treatment Lisinopril AUSTELL-LISINOPRIL 10MG TAB Accepted treatment Lisinopril HEXAL LISINOPRIL 10MG TAB Accepted treatment Lisinopril LIZRO (WAS AURO-LISINOPRIL) 10MG TAB Accepted treatment Lisinopril SINOPREN 10 10MG TAB Accepted treatment Lisinopril ZEMAX 10MG TAB Accepted treatment Lisinopril ZESTRIL 10MG TAB Accepted treatment Lisinopril ZETOMAX (ZESTOMAX) 10MG TAB Accepted treatment Lisinopril APEX-LISINOPRIL 20MG TAB Accepted treatment Lisinopril LIZRO(WAS AURO-LISINOPRIL) 20MG TAB Accepted treatment Lisinopril SINOPREN 20 20MG TAB Accepted treatment Lisinopril ZESTRIL 20MG TAB Accepted treatment Lisinopril ZETOMAX (ZESTOMAX) 20MG TAB Accepted treatment Lisinopril HEXAL LISINOPRIL 5MG TAB Accepted treatment Lisinopril LIZRO (WAS AURO-LISINOPRIL) 5MG TAB Accepted treatment Lisinopril LYSIN 5MG TAB Accepted treatment Lisinopril SINOPREN 5 5MG TAB Accepted treatment Lisinopril ZEMAX 5MG TAB Accepted treatment Lisinopril ZESTRIL 5MG TAB Accepted treatment Lisinopril ZETOMAX (ZESTOMAX) 5MG TAB Accepted treatment Lisinopril AUSTELL-LISINOPRIL 20MG TAB Accepted treatment ACE inhibitors and diuretic combinations Enalapril and diuretics PHARMAPRESS CO 10MG/12.5MG TAB Accepted treatment Enalapril and diuretics CO-RENITEC 20MG/12.5MG TAB Accepted treatment Enalapril and diuretics ENAP-CO 20MG/12.5MG TAB Accepted treatment Lisinopril and diuretics HEXAL-LISINOPRIL CO 10 10MG/12.5MG TAB Accepted treatment Lisinopril and diuretics LISINOPRIL CO UNICORN 10MG/12.5MG 10MG/12.5MG TAB Accepted treatment Lisinopril and diuretics LISINOZIDE 10MG/12.5MG TAB Accepted treatment Lisinopril and diuretics ZESTORETIC 10MG/12.5MG TAB Accepted treatment Lisinopril and diuretics LISORETIC 10/12,5 10MG/12.5MG TAB Accepted treatment Lisinopril and diuretics LISINOPRIL CO UNICORN 20MG/12.5MG 20MG/12.5MG TAB Accepted treatment Lisinopril and diuretics ZESTORETIC 20MG/12.5MG TAB Accepted treatment Lisinopril and diuretics LISORETIC 20/12,5 20MG/12.5MG TAB Accepted treatment Lisinopril and diuretics LISOZIDE 10MG/12.5MG 10MG/12.5MG TAB Accepted treatment Lisinopril and diuretics ZETOMAX CO 10/ MG/12.5MG TAB Accepted treatment Lisinopril and diuretics HEXAL LISINOPRIL CO 20 20MG/12.5MG TAB Accepted treatment
4 Angiotensin receptor blockers Losartan AURO LOSARTAN 100MG TAB Accepted treatment Losartan AUSTELL LOSARTAN 100MG TAB Accepted treatment Losartan HYTENZA 100MG TAB Accepted treatment Losartan LOSARTAN UNICORN 100MG TAB Accepted treatment Losartan SPEC-LOSARTAN 100MG TAB Accepted treatment Losartan ZARTAN 100MG 100MG TAB Accepted treatment Losartan AURO LOSARTAN 50MG TAB Accepted treatment Losartan AUSTELL LOSARTAN 50MG TAB Accepted treatment Losartan HYTENZA 50MG TAB Accepted treatment Losartan LOSARTAN UNICORN 50MG TAB Accepted treatment Losartan LOSARTAN-WINTHROP 50MG TAB Accepted treatment Losartan RENICARD 50MG TAB Accepted treatment Losartan SPEC-LOSARTAN 50MG TAB Accepted treatment Losartan LOS-ARB 50MG TAB Accepted treatment Losartan LOZAAN 100MG TAB Accepted treatment Losartan LOZAAN 50MG TAB Accepted treatment Angiotensin receptor blockers and diuretic Losartan and diuretics HYTENZA CO 100MG/25MG 100MG/25MG TAB Accepted treatment Losartan and diuretics LOSAAR PLUS 100MG/25MG 100MG/25MG TAB Accepted treatment Losartan and diuretics LOSARTAN CO UNICORN 100MG/25MG 100MG/25MG TAB Accepted treatment Losartan and diuretics NETRASOL CO 100/25MG 100MG/25MG TAB Accepted treatment Losartan and diuretics ZARTAN CO 100MG/25MG 100MG/25MG TAB Accepted treatment Losartan and diuretics AUSTELL LOSARTAN CO 50MG/12.5MG 50MG/12.5MG TAB Accepted treatment Losartan and diuretics HYTENZA CO 50MG/12.5MG 50MG/12.5MG TAB Accepted treatment Losartan and diuretics LOSAAR PLUS 50MG/12.5MG 50MG/12.5MG TAB Accepted treatment Losartan and diuretics LOSACAR CO 50MG/12,5MG 50MG/12.5MG TAB Accepted treatment Losartan and diuretics LOSARTAN CO UNICORN 50MG/12.5MG 50MG/12.5MG TAB Accepted treatment Losartan and diuretics NETRASOL CO 50/12.5MG 50MG/12.5MG TAB Accepted treatment Beta-blockers Atenolol BIO-ATENOLOL (WAS IVAX-ATENOLOL) 100MG TAB Accepted treatment Atenolol GULF ATENOLOL 100MG TAB Accepted treatment Atenolol SANDOZ ATENOLOL 100MG TAB Accepted treatment Atenolol TENOPRESS 100MG TAB Accepted treatment Atenolol ZETENOL 100MG TAB Accepted treatment Atenolol TENOPRESS 25MG TAB Accepted treatment Atenolol BIO-ATENOLOL (WAS NORTAN-ATENOLOL) 50MG TAB Accepted treatment Atenolol GULF ATENOLOL 50MG TAB Accepted treatment Atenolol SANDOZ ATENOLOL 50MG TAB Accepted treatment Atenolol ZETENOL 50MG TAB Accepted treatment Atenolol B-BLOCK 100MG TAB Accepted treatment Atenolol B-BLOCK 50MG TAB Accepted treatment Atenolol TENOPRESS 50MG TAB Accepted treatment Propranolol INDOBLOK 10MG TAB Accepted treatment Propranolol PRODOROL 10MG TAB Accepted treatment Propranolol PURBLOKA 10MG TAB Accepted treatment Propranolol INDOBLOK 40 40MG TAB Accepted treatment Propranolol PRODOROL 40MG TAB Accepted treatment Propranolol PURBLOKA 40MG TAB Accepted treatment Alpha-beta blockers Carvedilol CARVEDILOL UNICORN 12.5MG TAB Accepted treatment Carvedilol CARVETREND 12.5MG 12.5MG TAB Accepted treatment Carvedilol VEDIBLOK 12.5MG TAB Accepted treatment Carvedilol CARVEDILOL UNICORN 25MG TAB Accepted treatment Carvedilol CARVETREND 25MG 25MG TAB Accepted treatment Carvedilol VEDIBLOK 25MG TAB Accepted treatment Beta-blocker and diuretic combinations Atenolol and other diuretics TENCHLOR HS 50MG TAB Accepted treatment Atenolol and other diuretics TENCHLOR 100MG TAB Accepted treatment Cardiac glycosides Digoxin LANOXIN PAED 0.05MG/ML SYR Accepted treatment Digoxin LANOXIN PAED MG TAB Accepted treatment Digoxin LANOXIN 0.25MG TAB Accepted treatment Digoxin PURGOXIN 0.25MG TAB Accepted treatment Vaccines Pneumococcal vaccine Pneumococcus purified polysacc IMOVAX PNEUMO 23 VAC Accepted treatment Influenza vaccine Influenza inactivated whole virus FLUVAX PRE-FILLED SYRINGE 0.5ML VAC Accepted treatment Influenza inactivated whole virus INFLUVAC 0.5ML VAC Accepted treatment Influenza inactivated whole virus VAXIGRIP SINGLE DOSE VAC Accepted treatment Chronic renal disease For diuretics and antihypertensives refer to Calcium Calcium products > 300MG B-CAL CHU Accepted treatment Calcium carbonate ENO TUMS ASSORTED FRUIT FLAVOURS 500MG CHU Accepted treatment Calcium carbonate ENO TUMS ORANGE FLAVOUR ROLLPAC 500MG CHU Accepted treatment Calcium carbonate ENO TUMS PEPPERMINT FLAVOUR ROLLPAC 500MG CHU Accepted treatment Vitamin D Ergocalciferol CALCIFEROL i.u. TAB Accepted treatment Ergocalciferol CALCIFEROL OILY 15ML 15ML DRP Accepted treatment Alfacalcidol ONE ALPHA DROPS 20ML DRP Accepted treatment Alfacalcidol ONE ALPHA (014050) 0.25MCG CAP Accepted treatment Alfacalcidol ONE ALPHA (014052) 1MCG CAP Accepted treatment Calcitriol ROCALTROL 0.25MCG CAP Accepted treatment Oral iron and folic acid supplementation Ferrous sulphate SYR FERRI PHOS CO MLS Accepted treatment Ferrous sulphate FERROUS SULPHATE 30MG TAB Accepted treatment Ferrous sulfate BODY BALANCE FERROUS SULPHATE 75MG TAB Accepted treatment Ferrous sulfate FERROUS SULPHATE 75MG TAB Accepted treatment Folic acid FOLIC ACID.5MG TAB Accepted treatment Folic acid FOLIC ACID 5MG TAB Accepted treatment Folic acid AHA FOLIC ACID 5MG TAB Accepted treatment Folic acid BE-TABS FOLIC ACID 5MG TAB Accepted treatment Ferrous sulphate EGOLI FERROUS SULPHATE 30MG TAB Accepted treatment Ferrous sulphate GULF FERROUS SULPHATE COMPOUND TAB Accepted treatment Parenteral iron preparations Iron trivalent, parenteral preparaferrimed 2ML 50MG/ML INJ Special investigations (SI) Saccharated iron oxide VENOFER 5X5ML AMP AMP Special investigations (SI) Ferric oxide dextran complex COSMOFER AMPOULE 2ML INJ Special investigations (SI) Iron, parenteral preparations ZYPIRON 5ML VIAL 20MG/1ML INJ Special investigations (SI) Iron, parenteral preparations RAUTEVENE SOLUTION FOR INJECTION AMPOULE 100MG/5ML INJ Special investigations (SI) Iron, parenteral preparations SUCROFER 5ML 20MG/1ML INJ Special investigations (SI) Erythropoetin Erythropoietin RECORMON 500 IU/0.3ML 500IU INJ Special investigations (SI) Erythropoietin RECORMON 2000 PRE-FILLED SYRINGE 2000IU INJ Special investigations (SI) Erythropoietin EPREX PREFILLED 2000U/.5ML INJ Special investigations (SI) Erythropoietin RECORMON 4000 IU/0.3ML 4000IU/.3ML INJ Special investigations (SI) Erythropoietin EPREX PREFILLED 4000U/.4ML INJ Special investigations (SI) Coronary artery disease Antiplatelet agents Acetylsalicylic acid ASPIRIN TEVA 80MG DSP Accepted treatment Acetylsalicylic acid SOLUSPIRIN (WAS ASPIRIN SOLUBLE) 300MG EFT Accepted treatment Acetylsalicylic acid ASPIRIN 300MG TAB Accepted treatment Acetylsalicylic acid DR DU TOITS PAIN EXPELLER 300MG TAB Accepted treatment Acetylsalicylic acid GULF ASPIRIN 300MG TAB Accepted treatment Nitrates Glyceryl trinitrate ANGISED 0.5MG TAB Accepted treatment Isosorbide dinitrate SANDOZ ISOSORBIDE DINITRATE 10 10MG TAB Accepted treatment Isosorbide dinitrate SANDOZ ISOSORBIDE DINITRATE 5 5MG TAB Accepted treatment Isosorbide mononitrate ELANTAN 20MG TAB Accepted treatment Beta-blockers Atenolol BIO-ATENOLOL (WAS IVAX-ATENOLOL) 100MG TAB Accepted treatment Atenolol GULF ATENOLOL 100MG TAB Accepted treatment Atenolol SANDOZ ATENOLOL 100MG TAB Accepted treatment Atenolol TENOPRESS 100MG TAB Accepted treatment Atenolol ZETENOL 100MG TAB Accepted treatment Atenolol TENOPRESS 25MG TAB Accepted treatment Atenolol BIO-ATENOLOL (WAS NORTAN-ATENOLOL) 50MG TAB Accepted treatment Atenolol GULF ATENOLOL 50MG TAB Accepted treatment Atenolol SANDOZ ATENOLOL 50MG TAB Accepted treatment Atenolol ZETENOL 50MG TAB Accepted treatment Atenolol B-BLOCK 100MG TAB Accepted treatment
5 Atenolol B-BLOCK 50MG TAB Accepted treatment Atenolol TENOPRESS 50MG TAB Accepted treatment Propranolol INDOBLOK 10MG TAB Accepted treatment Propranolol PRODOROL 10MG TAB Accepted treatment Propranolol PURBLOKA 10MG TAB Accepted treatment Propranolol INDOBLOK 40 40MG TAB Accepted treatment Propranolol PRODOROL 40MG TAB Accepted treatment Propranolol PURBLOKA 40MG TAB Accepted treatment Calcium channel antagonists Amlodipine ALMADIN 10MG TAB Accepted treatment Amlodipine AMTAS 10MG TAB Accepted treatment Amlodipine AURO-AMLODIPINE 10MG TAB Accepted treatment Amlodipine AUSTELL-AMLODIPINE 10MG TAB Accepted treatment Amlodipine GULF AMLODIPINE 10MG TAB Accepted treatment Amlodipine KEYSAL 10MG TAB Accepted treatment Amlodipine ALMADIN 5MG TAB Accepted treatment Amlodipine AMTAS 5MG TAB Accepted treatment Amlodipine AURO-AMLODIPINE 5MG TAB Accepted treatment Amlodipine GULF AMLODIPINE 5MG TAB Accepted treatment Amlodipine INDO AMLODIPINE 5MG TAB Accepted treatment Amlodipine KEYSAL 5MG TAB Accepted treatment Amlodipine KLODIP 5MG TAB Accepted treatment Amlodipine AMLODAC 10MG TAB Accepted treatment Amlodipine CALBLOC 10MG TAB Accepted treatment Amlodipine CIPLAVASC 10MG TAB Accepted treatment Amlodipine CORVADIL 10MG TAB Accepted treatment Amlodipine CPL ALLIANCE AMLODIPINE 10MG TAB Accepted treatment Amlodipine LOMANOR 10MG TAB Accepted treatment Amlodipine PHARMA DYNAMICS AMLODIPINE BESYLATE 10MG TAB Accepted treatment Amlodipine AMLATE 5MG TAB Accepted treatment Amlodipine AMLODAC 5MG TAB Accepted treatment Amlodipine AUSTELL-AMLODIPINE 5MG TAB Accepted treatment Amlodipine CALBLOC 5MG TAB Accepted treatment Amlodipine CIPLAVASC 5MG TAB Accepted treatment Amlodipine CORVADIL 5MG TAB Accepted treatment Amlodipine LOMANOR 5MG TAB Accepted treatment Amlodipine PHARMA DYNAMICS AMLODIPINE BESYLATE 5MG TAB Accepted treatment Diltiazem ZILDEM 180MG SRC Accepted treatment Diltiazem ZILDEM 240MG SRC Accepted treatment Diltiazem ZILDEM 60 MG TAB Accepted treatment Diltiazem ZILDEM 90 BD 90 MG TAB Accepted treatment Nifedipine NIFEDALAT 20 SR 20 MG SRT Accepted treatment Nifedipine ADCO-VASCARD SR 20MG TAB Accepted treatment Nifedipine CIPALAT RETARD 20MG TAB Accepted treatment Verapamil VERAHEXAL 240 SR 240MG SRT Accepted treatment Verapamil VASOMIL 40MG TAB Accepted treatment Verapamil VASOMIL 80MG TAB Accepted treatment Crohn's disease Aminosalicylic acid preparations Sulfasalazine SALAZOPYRIN 500MG TAB Accepted treatment Sulfasalazine SALAZOPYRIN E.N. 500MG ECT Accepted treatment Immunosuppressants Azathioprine AZAMUN 50MG TAB Accepted treatment Azathioprine AZAPRESS 50MG TAB Accepted treatment Azathioprine AZATHIOPRINE PCH 50MG TAB Accepted treatment Azathioprine ZAPRINE 50MG 50MG TAB Accepted treatment Methotrexate Methotrexate EMTHEXATE 2.5MG TAB Accepted treatment Methotrexate METHOTREXATE 2.5MG TAB Accepted treatment Methotrexate ABITREXATE-2ML 50MG INJ Accepted treatment Methotrexate ABITREXATE-20ML 500MG INJ Accepted treatment Steroid preparations (oral) Prednisolone LENISOLONE 5MG TAB Accepted treatment Prednisone BE-TABS PREDNISONE 5MG TAB Accepted treatment Prednisone PANAFCORT 5MG TAB Accepted treatment Steroid preparations (enemas) Budesonide ENTOCORD ENEMAS 2.3MG ENE Accepted treatment Diabetes Mellitus Type 1 Insulin Insulin (human) INSU ACTRAPH HMGE 10ML VIAL 100IU/1ML INJ Accepted treatment Insulin glulisine INSU APIDRA 100IU/1ML INJ Accepted treatment Insulin glulisine INSU APIDRA SOLOSTAR DISPOSABLE PENS 3ML 100IU/1ML INJ Accepted treatment Insulin (human) INSU BIOSULIN CARTRIDGE 3ML 100IU/1ML INJ Accepted treatment Insulin (human) INSU BIOSULIN L CARTRIDGE 3ML 100IU/1ML INJ Accepted treatment Insulin (human) INSU BIOSULIN N CARTRIDGE 3ML 100IU/1ML INJ Accepted treatment Insulin (human) INSU BIOSULIN R CARTRIDGE 3ML 100IU/1ML INJ Accepted treatment Insulin lispro INSU HUMALOG 100IU/1ML INJ Accepted treatment Insulin lispro INSU HUMALOG INJ 3.0ML CART 100IU/1ML INJ Accepted treatment Insulin lispro INSU HUMALOG KWIKPEN (WAS MIRIO PEN) 100IU/1ML INJ Accepted treatment Insulin lispro INSU HUMALOG MIX 25 10ML 100IU/1ML INJ Accepted treatment Insulin lispro INSU HUMALOG MIX 25 CART 3ML 100IU/1ML INJ Accepted treatment Insulin lispro INSU HUMALOG MIX 50 CART 100IU/1ML INJ Accepted treatment Insulin (human) INSU HUMULIN 30/70 10ML VIAL 100IU/1ML INJ Accepted treatment Insulin (human) INSU HUMULIN 30/70 3ML 100IU/1ML INJ Accepted treatment Insulin (human) INSU HUMULIN 30/70 PEN 3ML DISP 100IU/1ML INJ Accepted treatment Insulin (human) INSU HUMULIN N 10ML VIAL 100IU/1ML INJ Accepted treatment Insulin (human) INSU HUMULIN N 3.0ML CART 5 100IU/1ML INJ Accepted treatment Insulin (human) INSU HUMULIN N PEN 3ML 100IU/1ML INJ Accepted treatment Insulin (human) INSU HUMULIN R 10ML VIAL 100IU/1ML INJ Accepted treatment Insulin (human) INSU HUMULIN R 3.0ML CARTRIDGE 100IU/1ML INJ Accepted treatment Insulin (human) INSU INSUMAN COMB 30/70 PEN 3ML 100IU/1ML INJ Accepted treatment Insulin aspart INSU NOVORAPID 10ML 100IU/1ML INJ Accepted treatment Insulin aspart INSU NOVORAPID 3ML SOLUTION FOR I 100IU/1ML INJ Accepted treatment Insulin (human) INSU PROTAPH HMGE 10 ML VIAL 100IU/1ML INJ Accepted treatment Appliances Diabetic strips, needles, syringes and Diagnostic agents payable by PBMACCU CHECK ACTIVE MIC STRIPS 8CM X 4.5CM STR Clinical review Diagnostic agents payable by PBMACCU CHEK PERFORMA BLOOD GLUCOSE STRIPS STR Clinical review Diagnostic agents payable by PBMACCU CHEK PERFORMA BLOOD GLUCOSE STRIPS STR Clinical review Diagnostic agents payable by PBMBLOODPLASMA CONTOUR PLUS STRIPS ZZZ Clinical review Diagnostic agents payable by PBMBLOODPLASMA NOVICHECK STRIPS ZZZ Clinical review Diagnostic agents payable by PBMCARESENS II/POP TEST STRIP 29G STR Clinical review Diagnostic agents payable by PBMCARESENS N TEST STRIPS 29G ZZZ Clinical review Diagnostic agents payable by PBMGLUCOCHECK STRIPS 50S STR Clinical review Diagnostic agents payable by PBMGLUCOLAB AUTO CODING STRIPS X 65MM STR Clinical review Diagnostic agents payable by PBMGLUCOPLUS PRO TEST STRIPS STR Clinical review Diagnostic agents payable by PBMGLUCOPLUS TEST STRIPS STR Clinical review Diagnostic agents payable by PBMGLUCOSE BLOOD TEST STRIPS DIAMOND STR Clinical review Diagnostic agents payable by PBMGLUCOSE METER STRIPS SELF MONITORING ZZZ Clinical review Diagnostic agents payable by PBMGLUCOSE STRIPS LABSTIX OK MATCH 50 ZZZ Clinical review Diagnostic agents payable by PBMGLUCOSE TEST STRIPS EASYMAX CLICKS ZZZ Clinical review Diagnostic agents payable by PBMGLUCOSE TEST STRIPS FREE STYLE OPTIUM ZZZ Clinical review Diagnostic agents payable by PBMGLUCOSE TEST STRIPS GLUCO LEADER ZZZ Clinical review Diagnostic agents payable by PBMGLUCOSE TEST STRIPS H FREE STYLE OPTIUM ZZZ Clinical review Diagnostic agents payable by PBMGLUCOSE TEST STRIPS OPTIMA ZZZ Clinical review Diagnostic agents payable by PBMGLUCOSE TESTS STRIPS FREE STYLE 50'S ZZZ Clinical review Diagnostic agents payable by PBMLANCET BIONIME STERILE DISPOSABLE 39 X 1 ZZZ Clinical review Diagnostic agents payable by PBMLANCETS EASYMAX ZZZ Clinical review Diagnostic agents payable by PBMON-CALL PLUS EZ STRIPS (ALL SIZES) STR Clinical review Diagnostic agents payable by PBMONE TOUCH SELECT TEST STRIPS STR Clinical review Diagnostic agents payable by PBMSYRINGE INSULIN 1ML WITH NEEDLE 27G ZZZ Clinical review Diagnostic agents payable by PBMTEST STRIPS ON CALL GLUCOSE TEST STRIPS STR Clinical review Diagnostic agents payable by PBMTEST STRIPS V2 SOLUS ZZZ Clinical review Non-therapeutic auxiliary producbd MICROFINE PEN NEEDLE TW 32G 4MM ZZZ Clinical review Non-therapeutic auxiliary producdroplet PEN NEEDLE 8MM X 31G NED Clinical review
6 Non-therapeutic auxiliary producinsulin SYRINGE 29G 1ML SNG Clinical review Non-therapeutic auxiliary producinsulin SYRINGE BD MICROFINE DEMI NEEDLE SNG Clinical review Non-therapeutic auxiliary produclancet ON CALL PLUS RAPID DEVICE 5.5CM X ZZZ Clinical review Non-therapeutic auxiliary produclancet THIN ABBOTT 50'S ZZZ Clinical review Non-therapeutic auxiliary produclancets ZZZ Clinical review Non-therapeutic auxiliary produclancets BLOOD GLUCOSE ZZZ Clinical review Non-therapeutic auxiliary producmicrofine PEN NDL 30G 8MM NED Clinical review Non-therapeutic auxiliary producmicrofine PEN NEEDLE 29G 12.7MM NED Clinical review Non-therapeutic auxiliary producneedle BD PEN 31G X 5MM ZZZ Clinical review Non-therapeutic auxiliary producneedle HYPODERMIC NOVOTWIST 30G X 8MM ZZZ Clinical review Non-therapeutic auxiliary producneedle HYPODERMIC NOVOTWIST 32G X 5MM ZZZ Clinical review Non-therapeutic auxiliary producneedle PEN BD MICROFINE 31G 5M ZZZ Clinical review Non-therapeutic auxiliary producneedle UNILET EXELITE LL ZZZ Clinical review Non-therapeutic auxiliary producon-call LANCETS GLUCOSE STRIPS ZZZ Clinical review Non-therapeutic auxiliary producsyringe 01ML WITH 12.77MM INSULIN NDL SNG Clinical review Non-therapeutic auxiliary producunifine PENTIPS 31G X 8MM ZZZ Clinical review Non-therapeutic auxiliary producyspsomed PEN INSULIN DELIVERY DEVICE SNG Clinical review Other non-therapeutic auxiliary pnovofine NEEDLES NED Clinical review Other non-therapeutic auxiliary pone TOUCH ULTRA SOFT LANCET ZZZ Clinical review Other non-therapeutic auxiliary psyringe INSULIN NEEDLE 29G SNG Clinical review Other non-therapeutic auxiliary pbd MICROFINE 0.5ML INSULIN SYRINGE 29G 1 ZZZ Clinical review Other non-therapeutic auxiliary p'bd MICROFINE 1ML INSULIN SYRINGE 29G 12 ZZZ Clinical review Other non-therapeutic auxiliary pbd MICROFINE 1ML INSULIN SYRINGE 30G 8MM ZZZ Clinical review Other non-therapeutic auxiliary pbd MICROFINE PEN NEEDLE 30G 8MM ZZZ Clinical review Other non-therapeutic auxiliary phumapen LUXURA INSULIN DELIVERY DEVICE SNG Clinical review Other non-therapeutic auxiliary pinsulin SYRINGE 8MM SNG Clinical review Other non-therapeutic auxiliary plancets SOLUS V2 ZZZ Clinical review Other non-therapeutic auxiliary pmicrolet LANCETS ZZZ Clinical review Other non-therapeutic auxiliary pneedle BD PEN 31G 8MM SNG Clinical review Other non-therapeutic auxiliary pneedle INSUPEN 30G X 8MM ZZZ Clinical review Other non-therapeutic auxiliary pneedle INSUPEN 31G X 5MM ZZZ Clinical review Other non-therapeutic auxiliary pneedle INSUPEN 32G X 4MM ZZZ Clinical review Other non-therapeutic auxiliary psyringe INSULIN BD 0.3ML 8MM 30G ZZZ Clinical review Other non-therapeutic auxiliary psyringe INSULIN BD 0.5ML 8MM 30G ZZZ Clinical review Other non-therapeutic auxilliary GLUCO PLUS LANCETS ZZZ Clinical review Other non-therapeutic auxilliary GLUCOLAB GLUCOCHECK LANCETS ZZZ Clinical review Other non-therapeutic auxilliary LANCETS UNILET STERILE 28G 4CM X 6CM X 7 ZZZ Clinical review Other non-therapeutic auxilliary NEEDLE ACCUFINE INSULIN PEN 12 X29G ZZZ Clinical review Other non-therapeutic auxilliary NEEDLE ACCUFINE INSULIN PEN 6 X 31G ZZZ Clinical review Other non-therapeutic auxilliary NEEDLE ACCUFINE INSULIN PEN 8 X 30G ZZZ Clinical review Other non-therapeutic auxilliary STRIPS TESTING GLUCOLEADER YASEE ZZZ Clinical review Diabetes Mellitus Type 2 Biguanides Metformin ACCORD METFORMIN 500MG TAB Accepted treatment Metformin DIAFORMIN 500MG TAB Accepted treatment Metformin DIAMIN 500MG TAB Accepted treatment Metformin DIAPHAGE 500MG TAB Accepted treatment Metformin GLUCONORM 500MG TAB Accepted treatment Metformin MENGEN (WAS AURO-METFORMIN) 500MG TAB Accepted treatment Metformin METCHEK 500MG TAB Accepted treatment Metformin METFORMIN ALKEM 500MG TAB Accepted treatment Metformin METPHAGE 500MG TAB Accepted treatment Metformin MYLAN METFORMIN 500MG TAB Accepted treatment Metformin SANDOZ METFORMIN HCL MG TAB Accepted treatment Metformin SANDOZ METFORMIN HCL 500 FC 500MG TAB Accepted treatment Metformin METFORAL MG TAB Accepted treatment Metformin ACCORD METFORMIN 850MG TAB Accepted treatment Metformin DIAFORMIN FORTE 850MG TAB Accepted treatment Metformin DIAMIN 850MG TAB Accepted treatment Metformin DIAPHAGE 850MG TAB Accepted treatment Metformin GLUCONORM 850MG TAB Accepted treatment Metformin INDO METFORMIN FC 850MG TAB Accepted treatment Metformin MENGEN (WAS AURO-METFORMIN) 850MG TAB Accepted treatment Metformin MERCK-METFORMIN 850MG TAB Accepted treatment Metformin METCHEK 850MG TAB Accepted treatment Metformin METFORAL 850MG 850MG TAB Accepted treatment Metformin METFORMIN ALKEM 850MG TAB Accepted treatment Metformin METORED 850MG TAB Accepted treatment Metformin METPHAGE 850MG TAB Accepted treatment Metformin SANDOZ-METFORMIN 850MG 850MG TAB Accepted treatment Metformin SANDOZ-METFORMIN FC 850MG 850MG TAB Accepted treatment Metformin ARROW METFORMIN 500MG TAB Accepted treatment Metformin BIGSENS 500MG TAB Accepted treatment Metformin INDO METFORMIN FC 500MG TAB Accepted treatment Metformin METORED 500MG TAB Accepted treatment Metformin ARROW METFORMIN 850MG TAB Accepted treatment Metformin AUSTELL-METFORMIN 850MG 850MG TAB Accepted treatment Metformin BIGSENS 850MG TAB Accepted treatment Sulphonylureas Glibenclamide BIO-GLIBENCLAMIDE 5MG TAB Accepted treatment Glibenclamide DIACARE 5MG TAB Accepted treatment Glibenclamide GLYCOMIN 5MG TAB Accepted treatment Glibenclamide SANDOZ GLIBENCLAMIDE 5 5MG TAB Accepted treatment Gliclazide ARROW GLICLAZIDE 80MG TAB Accepted treatment Gliclazide DIAGLUCIDE 80MG TAB Accepted treatment Gliclazide DIAGLUMED 80MG TAB Accepted treatment Gliclazide GLUCOMED 80MG TAB Accepted treatment Gliclazide GLYCRON 80MG TAB Accepted treatment Gliclazide GLYGARD 80MG TAB Accepted treatment Gliclazide MERCK-GLICLAZIDE 80MG TAB Accepted treatment Gliclazide SANDOZ GLICLAZIDE 80 80MG TAB Accepted treatment Gliclazide AUSTELL-GLICLAZIDE 80MG TAB Accepted treatment Thiazolidines Pioglitazone ACCORD PIOGLITAZONE 15MG TAB specialist motivation/si Pioglitazone ACCORD PIOGLITAZONE 30MG TAB specialist motivation/si Pioglitazone ACCORD PIOGLITAZONE 45MG TAB specialist motivation/si Pioglitazone CIPLA PIOGLITAZONE 15 15MG TAB specialist motivation/si Pioglitazone CIPLA PIOGLITAZONE 30 30MG TAB specialist motivation/si Insulin Insulin (human) INSU ACTRAPH HMGE 10ML VIAL 100IU/1ML INJ Accepted treatment Insulin glulisine INSU APIDRA 100IU/1ML INJ Accepted treatment Insulin glulisine INSU APIDRA SOLOSTAR DISPOSABLE PENS 3ML 100IU/1ML INJ Accepted treatment Insulin (human) INSU BIOSULIN CARTRIDGE 3ML 100IU/1ML INJ Accepted treatment Insulin (human) INSU BIOSULIN L CARTRIDGE 3ML 100IU/1ML INJ Accepted treatment Insulin (human) INSU BIOSULIN N CARTRIDGE 3ML 100IU/1ML INJ Accepted treatment Insulin (human) INSU BIOSULIN R CARTRIDGE 3ML 100IU/1ML INJ Accepted treatment Insulin lispro INSU HUMALOG 100IU/1ML INJ Accepted treatment Insulin lispro INSU HUMALOG INJ 3.0ML CART 100IU/1ML INJ Accepted treatment Insulin lispro INSU HUMALOG MIX 25 10ML 100IU/1ML INJ Accepted treatment Insulin lispro INSU HUMALOG MIX 25 CART 3ML 100IU/1ML INJ Accepted treatment Insulin lispro INSU HUMALOG MIX 50 CART 100IU/1ML INJ Accepted treatment Insulin (human) INSU HUMULIN 30/70 10ML VIAL 100IU/1ML INJ Accepted treatment Insulin (human) INSU HUMULIN 30/70 3ML 100IU/1ML INJ Accepted treatment Insulin (human) INSU HUMULIN 30/70 PEN 3ML DISP 100IU/1ML INJ Accepted treatment Insulin (human) INSU HUMULIN N 10ML VIAL 100IU/1ML INJ Accepted treatment Insulin (human) INSU HUMULIN N 3.0ML CART 5 100IU/1ML INJ Accepted treatment Insulin (human) INSU HUMULIN N PEN 3ML 100IU/1ML INJ Accepted treatment Insulin (human) INSU HUMULIN R 10ML VIAL 100IU/1ML INJ Accepted treatment Insulin (human) INSU HUMULIN R 3.0ML CARTRIDGE 100IU/1ML INJ Accepted treatment Insulin (human) INSU INSUMAN COMB 30/70 PEN 3ML 100IU/1ML INJ Accepted treatment Insulin lispro INSU MIRIO PEN HUMALOG 100IU/1ML INJ Accepted treatment
Restrictive Formulary. RESTRICTIVE PMB FORMULARY Effective 1 June 2010
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