FOR LONG TERM CORTICOSTEROIDS ONLY FOR SEVERE PERSISTENT ASTHMA (MOTIVATION REQUIRED FROM SPECIALIST)

NEDGROUP TRADITIONAL, COMPREHENSIVE AND PLATINUM PLANS A clinically relevant motivation is required when prescribing any product which does not appear on this list. Chronic application forms must accompany all first-time applications. All applications MUST include valid ICD10 codes. Risk Equalisation Fund criteria must be met. The formulary is subject to regular review. SCRIPTPHARM RISK MANAGEMENT reserves the right to update and change the formulary when new information becomes available or when new medicines are released. PLEASE TAKE NOTE OF THE FOLLOWING: Oxygen will only be considered for bronchiectasis and COPD in severe, advanced disease. For diabetic patients, the following limits apply. Please provide a motivation if a higher quantity is required. Lancets Max 30 per month allowed Glucose Monitoring Strip Max 50 per month allowed Needles Max 30 per month allowed Insulin syringes will only be considered on motivation. Pensets or penfills are recommended. Inteferons for Multiple Sclerosis will only be considered upon receipt of a clinically relevant motivation including history of therapy and expanded disability status scale report (EDSS) Treatment for hyperlipidaemia is subject to criteria for lipid-lowering therapy being met. Assessment required completed Risk Evaluation report as well as diagnostic and latest lipograms including LDL cholesterol levels. CONDITION/ICD-10 MAJOR DRUG CLASS GENERIC NAME TRADE NAMES NAPPI TRADE NAMES NAPPI ADDISON'S DISEASE E27.1 CORTICOSTEROIDS HYDROCORTISONE COVOCORT 716693 CORTICOSTEROIDS FLUDROCORTISONE, 0.1MG FLORINEF 0.1MG 726540 CORTICOSTEROIDS PREDNISONE BE-TABS PREDNISONE 788783 CORTICOSTEROIDS PREDNISONE TROLIC 818267 PANAFCORT 752304 POTASSIUM SUPPLEMENTS POTASSIUM CHLORIDE 600MG PLENISH K 600MG 755753 ASPIRIN 100MG MYOPRIN 721258 BAYER ASPIRIN CARDIO 100MG 862304 FOR LONG TERM CORTICOSTERIOD USE LOOP DIURETICS FUROSEMIDE 20MG AUSTELL FUROSEMIDE 20MG 707421 LOOP DIURETICS FUROSEMIDE 40MG MYLAN FUROSEMIDE 40MG 857769 SANDOZ FUROSEMIDE 731668 ASTHMA J45 APPARATUS AEROCHAMBER AEROCHAMBER ADULT 589209 APPARATUS AEROCHAMBER AEROCHAMBER CHILD 589217 APPARATUS AEROCHAMBER AEROCHAMBER NEONATE 589225 APPARATUS AEROCHAMBER GLAXOHALER SPACER DEVICE 666720 APPARATUS AEROCHAMBER HUF PUF KIT 125137 APPARATUS AEROCHAMBER ZEROSTAT SPACER 454299 CORTICOSTEROIDS PREDNISONE BE-TABS PREDNISONE 788783 ONLY FOR SEVERE PERSISTENT ASTHMA (MOTIVATION FROM SPECIALIST) CORTICOSTEROIDS PREDNISONE TROLIC 818267 PANAFCORT 752304 CORTICOSTEROIDS PREDNISOLONE 1/5ML ASPELONE 714552 ONLY FOR SEVERE PERSISTENT ASTHMA (MOTIVATION FROM SPECIALIST) FENOTEROL 100MCG BEROTEC 100 HFA 200 DOSE 706544 SALBUTAMOL SULPHATE 100MCG ASTHAVENT 300DOSE ECOHALER 700715 LIMITED TO 3 INHALERS PER YEAR IF NO INHALED STEROID 1

SALBUTAMOL SULPHATE 100MCG ASTHAVENT 200D ECOHALER SALBUTAMOL SULPHATE 2MG VENTEZE 2MG 775398 SALBUTAMOL SULPHATE 4MG VENTEZE 4MG 775401 SALBUTAMOL SULPHATE 2MG/5ML SALMETEROL XINAFOATE 50MCG VENTEZE 2MG/5ML 775452 SEREVENT ACCUHALER 60 DOSE 849332 VENTEZE CFC FREE 200 DOSE 711213 818496 LIMITED TO 3 INHALERS PER YEAR IF NO INHALED STEROID SALMETEROL XINAFOATE 25MCG SEREVENT 120 DOSE INHALER 787302 SALMETEROL FLUTICAZONE SALMETEROL FLUTICAZONE SALMETEROL FLUTICAZONE FOXAIR 25/50MCG 120 DOSE INH FOXAIR 25/125MCG 120 DOSE INH FOXAIR 25/250MCG 120 DOSE INH 715752 715753 715754 SEREFLO 25/50MCG SYNCHROBREATHER 120 DOSE INH SEREFLO 25/125MCG SYNCHROBREATHER 120 DOSE INH SEREFLO 25/250MCG SYNCHOBREATHER 120 DOSE INH 721412 721413 721414 SALMETEROL 50UG/FLUTICASONE 100UG FOXAIR 50/100MCG 60 BLISTERS 715009 SALMETEROL 50UG/FLUTICASONE 250UG FOXAIR 50/250MCG 60 BLISTERS 715008 SALMETEROL 50UG/FLUTICASONE 500UG FOXAIR 50/250MCG 60 BLISTERS 715007 BUDESONIDE 160 / FORMOTEROL 4.5MCG SYMBICORD 60 DOSE 700172 BUDESONIDE 160 / FORMOTEROL 4.5MCG SYMBICORD 120 DOSE 700173 VANNAIR 160/4.5MCG 720219 BUDESONIDE 320 / FORMOTEROL 9MCG SYMBICORD 60 DOSE 705984 BUDESONIDE 80 / FORMOTEROL 4.5MCG SYMBICORD 120 DOSE 705986 VANNAIR 80/4.5MCG 720218 BECLOMETHASONE 100UG BECLATE 100UG 819638 BECLOMETHASONE 200UG BECLATE 200UG 820083 BECLOMETHASONE 50UG BECLATE 50UG 819611 BUDESONIDE 100UG BUDEFLAM 100UG 300 DOSE 897462 BUDESONIDE 100UG BUDEFLAM 200 MG 300 DOSE 897469 BUDEFLAM DP INH CAP 704176 BUDESONIDE 200UG BUDESONIDE 200UG BUDESONIDE 400UG FLUTICASONE 50MCG FLUTICASONE 125MCG FLUTICASONE 250MCG PULMICORT TURBOHALER 200MCG 200D PULMICORT TURBOHALER 100MCG 200D PULMICORT TURBOHALER 400MCG 200D FLIXOTIDE 50 CFC FREE 120 DOSE INHALER FLIXOTIDE 125 CFC FREE 120 DOSE INHALER FLIXOTIDE 250 CFC FREE 120 DOSE INHALER 791423 791431 823791 703275 897752 897759 FLUTICASONE 50MCG FLIXOTIDE 50 MCG ACCUHALER 60 DOSE 808445 FLUTICASONE 100MCG FLIXOTIDE 100 MCG ACCUHALER 60 DOSE 818453 FLUTICASONE 250MCG FLIXOTIDE 250 MCG ACCUHALER 60 DOSE 818461 2

LABA METHYLXANTHINE METHYLXANTHINE LEUKOTRIENE RECEPTOR ANTAGONISTS LEUKOTRIENE RECEPTOR ANTAGONISTS FLUTICASONE 500MCG CICLESONIDE 160MCG CICLESONIDE 80MCG FORMOTEROL 12MCG THEOPHYLLINE 200MG THEOPHYLLINE 300MG FLIXOTIDE 500MCG ACCUHALER 60 DOSE 818488 CICLOVENT 160MCG 60 DOSE 721620 CICLOVENT 80MCG 60 DOSE 721621 FORATEC HFA 120DOSE SANDOZ THEOPHYLLINE 200MG SANDOZ THEOPHYLLINE 300MG 710307 788368 THEOPLUS 200MG 783005 788376 THEOPLUS 300MG 783013 MONTELUKAST 4MG MONTE-AIR 4MG 717468 SINTAIR 4MG 718604 MONTELUKAST MONTE-AIR 717469 SINTAIR 718605 PULMONOLOGIST MOTIVATION PULMONOLOGIST MOTIVATION LEUKOTRIENE RECEPTOR ANTAGONISTS INHALED ANTICHOLINERGICS MONTELUKAST MONTE-AIR 717470 SINTAIR 718606 IPRATROPIUM BROMIDE IPRATROPIUM-ALBUTEROL AEROSOL 18-103 MCG/ACT (20-120MCG/ACT) IPRATROPIUM BROMIDE 40MCG/ FENOTEROL 100MCG IPVENT 40MCG INH 300DOSE DUOLIN HFA 200 DOSE INHALER 704681 718698 DUOVENT HFA 707882 PULMONOLOGIST MOTIVATION BIPOLAR DEPRESSION F31 ANTI-EPILEPTIC VALPROIC ACID 150MG CONVULEX 150MG 715980 ANTI-EPILEPTIC VALPROIC ACID 300MG CONVULEX 300MG 715999 ANTI-EPILEPTIC VALPROIC ACID 500MG CONVULEX 500MG 781568 ANTI-EPILEPTIC VALPROIC ACID 250MG/ 5ML CONVULEX SUSPENSION 781541 ANTI-EPILEPTIC SODIUM VALPROATE EPILIM 200MG/5ML LIQUID 780545 ANTI-EPILEPTIC SODIUM VALPROATE EPILIZINE CR 200MG 718274 EPROLEP CR 200MG 721460 ANTI-EPILEPTIC SODIUM VALPROATE EPILIZINE CR 300MG 718275 EPROLEP CR 300MG 720762 ANTI-EPILEPTIC SODIUM VALPROATE EPILIZINE CR 500MG 718276 EPROLEP CR 500MG 721055 ANTI-EPILEPTIC SODIUM VALPROATE EPILIM CRUSHABLE 100MG 821578 ANTI-EPILEPTIC CARBAMAZEPINE 200MG DEGRANOL 200MG 712493 ANTI-EPILEPTIC CARBAMAZEPINE 200MG SANDOZ CARBAMAZEPINE CR 705597 TEGRETOL CR 200MG 779652 ANTI-EPILEPTIC CARBAMAZEPINE 400MG SANDOZ CARBAMAZEPINE CR 705602 TEGRETOL CR 400MG 779660 ANTI-EPILEPTIC LAMOTRIGINE 2 EPITEC 2 TABS 704379 ANTI-EPILEPTIC LAMOTRIGINE 50MG EPITEC 50MG TABS 704380 LAMIDUS 50MG 710885 ANTI-EPILEPTIC LAMOTRIGINE 100MG EPITEC 100MG TABS 704381 LAMIDUS 100MG 710887 ANTI-EPILEPTIC LAMOTRIGINE 200MG EPITEC 200MG TABS 704382 LAMIDUS 200MG 710888 ATYPICAL ANTIPSYCHOTIC OLANZAPINE 2. OLAWIN 2. 721385 OLEXAR 2. 715657 PSYCH MOTIVATION ATYPICAL ANTIPSYCHOTIC OLANZAPINE OLAWIN 721388 OLEXAR 715658 PSYCH MOTIVATION ATYPICAL ANTIPSYCHOTIC OLANZAPINE OLAWIN 721389 OLEXAR 715659 PSYCH MOTIVATION ATYPICAL ANTIPSYCHOTIC QUETIAPINE 2 MYLAN QUETIAPINE 2 716050 DOPAQUEL 2 716050 ATYPICAL ANTIPSYCHOTIC QUETIAPINE 100MG MYLAN QUETIAPINE 100MG 716051 DOPAQUEL 100MG 716051 ATYPICAL ANTIPSYCHOTIC QUETIAPINE 200MG MYLAN QUETIAPINE 200MG 716052 DOPAQUEL 200MG 716052 ATYPICAL ANTIPSYCHOTIC QUETIAPINE 300MG MYLAN QUETIAPINE 300MG 716053 DOPAQUEL 300MG 716053 BENZAMIDES SULPIRIDE 50MG ESPIRIDE 819654 PSYCH MOTIVATION 3

BUTYREPHENONES HALOPERIDOL 1. SANDOZ HALOPERIDOL 1. 730335 BUTYREPHENONES HALOPERIDOL SANDOZ HALOPERIDOL 730327 BUTYREPHENONES HALOPERIDOL 0. SERENACE 0. 763411 LITHIUM LITHIUM CARBONATE 250MG CAMCOLIT 250MG 712078 LITHIUM LITHIUM CARBONATE 400MG CAMCOLIT 400MG 712086 MAOI MOCLOBEMIDE 150MG DEPNIL 897213 MAOI MOCLOBEMIDE 300MG DEPNIL 702008 PHENOTHIAZINES CHLORPROMAZINE 100MG LARGACTIL 100MG 735884 PHENOTHIAZINES CHLORPROMAZINE 2 LARGACTIL 2 735868 PHENOTHIAZINES CHLORPROMAZINE 50MG LARGACTIL 50MG 735876 SSRI CITALOPRAM 20MG TALOMIL 20MG 702769 CILATE 20MG 707888 SSRI ESCITALOPRAM LEXAMIL 710303 ZYTOMIL 715402 2ND LINE AGENT SSRI ESCITALOPRAM 20MG LEXAMIL 20MG 710304 ZYTOMIL 20MG 715403 2ND LINE AGENT SSRI FLUOXETINE 20MG RANFLOCS 20MG 700686 NUZAK 20MG 840653 1ST LINE AGENT SSRI FLUOXETINE HCI 20MG CAP LORIEN 20MG CAPS 821063 LORIEN 20MG TABS 700877 SSRI PAROXETINE 20MG SERRAPRESS 20MG 705122 XET 20MG 705633 SSRI SERTRALINE 50MG DYNA-SERTRALINE 50MG 719972 SERLIFE 50MG 703132 SSRI SERTRALINE 100MG DYNA-SERTRALINE 100MG 719973 SERLIFE 100MG 703999 SNRI VENLAFAXINE HCL 37. ODIVEN 37. 710972 SNRI VENLAFAXINE HCL 37. VENLOR XR 37.5 706399 VENLAFAXINE ADCO XR 37. 719402 SNRI VENLAFAXINE HCL 7 VENLOR XR 7 706402 VENLAFAXINE ADCO XR 7 719403 SNRI VENLAFAXINE HCL 150MG VENLOR XR 150MG 706404 VENLAFAXINE ADCO XR 150MG 719405 OTHER MIRTAZAPINE 1 MYLAN-MIRTAZAPINE 1 710802 MIRADEP 1 721209 OTHER TRICYCLIC ANTIDEPRESSANTS TRICYCLIC ANTIDEPRESSANTS TRICYCLIC ANTIDEPRESSANTS MIRTAZAPINE 30MG MYLAN-MIRTAZAPINE 30MG DOTHIEPIN 2 THADEN 2 800198 DOTHIEPIN 7 THADEN 7 800201 710803 MIRADEP 30MG 721210 AMITRIPTYLINE 2 TREPILINE 2 771996 GULF AMITRIPRYLINE 718746 ANTI-CHOLINERGIC ORPHENADRINE 50MG DISIPAL 50MG 720542 BETA-RECEPTOR PROPRANOLOL HCL INDOBLOK 806552 PRODOROL 787167 BETA-RECEPTOR PROPRANOLOL HCL 40MG INDOBLOK 40MG 806560 PRODOROL 40MG 787175 ATYPICAL ANTIPSYCHOTIC RISPERIDONE 0. ZOXADON 0. 711511 RISPIDE 0. 723314 ATYPICAL ANTIPSYCHOTIC RISPERIDONE 1MG ZOXADON 1MG 711512 RISPIDE 1MG 723315 ATYPICAL ANTIPSYCHOTIC RISPERIDONE 2MG ZOXADON 2MG 711513 RISPIDE 2MG 723316 ATYPICAL ANTIPSYCHOTIC RISPERIDONE 3MG ZOXADON 3MG 721750 ATYPICAL ANTIPSYCHOTIC RISPERIDONE 4MG ZOXADON 4MG 721752 IN COMBINATION WITH ANTIPSYCHOTIC FOR DRUG- INDUCED DYSKINESIAS IN COMBINATION WITH ANTIPSYCHOTIC FOR DRUG- INDUCED DYSKINESIAS IN COMBINATION WITH ANTIPSYCHOTIC FOR DRUG- INDUCED DYSKINESIAS MOTIVATION. MOTIVATION. MOTIVATION. MOTIVATION. MOTIVATION. OTHER BUPROPION 150MG WELLBUTRIN XL 150MG 704070 OTHER BUPROPION 300MG WELLBUTRIN XL 300MG 711009 4

BRONCHIECTASIS J47 ANTIBIOTICS AMOXYCILLIN 500MG MOXYPEN 744697 ANTIBIOTICS DOXYCYCLINE 100MG DOXYCYL 100 MG 809667 ANTIBIOTICS DOXYCYCLINE 50MG DOXYCYL 50MG 808407 ANTIBIOTICS ANTIBIOTICS AZITHROMYCIN TAB 500MG TRIMETHOPRIM- SULFAMETHOXAZOLE 80/400 SANDOZ AZITHROMYCIN 500MG TABS 707852 ANTIBIOTICS OXYTETRACYCLINE HCL 250MG OXYPAN 250MG 751987 CORTICOSTEROIDS PREDNISONE DUROBAC 480MG 721751 PURBAC ADULT 758248 BE-TABS PREDNISONE 788783 CORTICOSTEROIDS PREDNISONE TROLIC 818267 PANAFCORT 752304 INHALED ANTI CHOLINERGICS / BETA 2- AGONIST IPRATROPIUM BROMIDE 40MCG/ FENOTEROL 100MCG IPRATROPIUM-ALBUTEROL AEROSOL 18-103 MCG/ACT (20-120MCG/ACT) FORMOTEROL FUMERATE SALMETEROL XINAFOATE 50MCG SALMETEROL XINAFOATE 25MCG INHALED ANTI CHOLINERGICS DUOVENT HFA 707882 DUOLIN HFA 200 DOSE INHALER FORATEC HFA 120DOSE SEREVENT ACCUHALER 60 DOSE SEREVENT 120 DOSE INHALER 718698 710307 818496 787302 IPRATROPIUM BROMIDE 40UG IPVENT-40 300DOSE 704681 SALBUTAMOL SULPHATE 100MCG SALBUTAMOL SULPHATE 100MCG FENOTEROL 100MCG ASTHAVENT 300DOSE ECOHALER ASTHAVENT 200D ECOHALER BEROTEC 100 HFA 200 DOSE 700715 849332 VENTEZE CFC FREE 200 DOSE 711213 706544 METHYLXANTHINE THEOPHYLLINE 200MG THEOPLUS 200MG 783005 METHYLXANTHINE THEOPHYLLINE 300MG THEOPLUS 300MG 783013 SANDOZ THEOPHYLLINE 200MG SANDOZ THEOPHYLLINE 300MG 788368 788376 LIMITED TO 3 INHALERS PER YEAR IF NO INHALED STEROID LIMITED TO 3 INHALERS PER YEAR IF NO INHALED STEROID CARDIAC FAILURE I50 ACE ENALAPRIL ALAPREN 881481 ENAP 891279 ACE ENALAPRIL 20MG ALAPREN 20MG 881503 ACE ENALAPRIL ALAPREN 886835 ENALAPRIL / HYDROCHLORTHIAZIDE ENAP CO 20MG/12. 891287 ACE PERINDOPRIL 4MG PREXUM 4MG 703541 VECTORYL 4MG 710297 ACE PERINDOPRIL 4MG PREXUM 720387 ACE PERINDOPRIL 8MG PEARINDA 8MG 714528 VECTORYL 8MG 710925 ACE PERINDOPRIL PREXUM 714646 ACE COMBINATION PERINDOPRIL 2,/INDAPAMIDE 0.62 PREXUM 2.5 PLUS 721507 PERINDOPRIL 4MG/INDAPAMIDE 1.2 PREXUM PLUS 704929 VECTORYL PLUS 710298 PERINDOPRIL 4MG/INDAPAMIDE PREXUM PLUS 5/12.5 1.2 MG 720388 PERINDOPRIL /INDAPAMIDE BIOPREXUM 2. 10/2. 721508 PERINDOPRIL /AMLODIPINE COVERAM 10/ 719853 PERINDOPRIL /AMLODIPINE COVERAM 10/ 719854 PERINDOPRIL /AMLODIPINE COVERAM 5/ 719852 PERINDOPRIL /AMLODIPINE COVERAM 5/ 719855 ACE CAPTOPRIL 12. CAPTOHEXAL 12. 837628 ACE CAPTOPRIL 2 MYLAN-CAPTOPRIL 2 852619 ACE CAPTOPRIL 50MG MYLAN-CAPTOPRIL 50MG 899429 CAPTOPRIL/HYDROCHLORTHIAZID CAPTORETIC E 50/2 841137 ACE LISINOPRIL SINOPREN 700691 ZEMAX 703646 ACE LISINOPRIL SINOPREN 700692 AUSTELL LISINOPRIL 712598 ACE LISINOPRIL 20MG SINOPREN 20MG 700694 AUSTELL LISINOPRIL 20MG 708189 5

ACE ACE LISINOPRIL /HYDROCHLOROTHIAZIDE 12. LISINOPRIL 20MG/HYDROCHLOROTHIAZIDE 12. ADCO ZETOMAX-CO 10/12. ADCO ZETOMAX-CO 20/12. 704597 704598 ACE RAMIPRIL 2. RAMPIL 2. 705427 ACE RAMIPRIL RAMPIL 705428 ACE RAMIPRIL RAMPIL 705429 ACE QUINAPRIL QUINAGEN 708981 ACE QUINAPRIL ACCUMAX 708119 ACE QUINAPRIL 20MG ACCUMAX 20MG 708120 ACE ACE QUINAPRIL /HYDROCHLORTHIAZIDE 12. QUINAPRIL 20MG/HYDROCHLORTHIAZIDE 12. ACCUMAX CO 10/12. ACCUMAX CO 20/12. 708116 708118 HEXAL-LISINOPRIL CO 10/12. HEXAL-LISINOPRIL CO 20/12. 704703 704704 ALPHA + BETA BLOCKER CARVEDILOL 12. CARLOC 12. 700168 CARVETREND 12. 704671 ALPHA + BETA BLOCKER CARVEDILOL 6.2 CARLOC 6.2 705459 CARVETREND 6.2 704670 ALPHA + BETA BLOCKER CARVEDILOL 2 CARLOC 2 897117 CARVETREND 2 704672 ALDOSTERONE ANTAGONIST SPIRONOLACTONE 25 SPIRACTIN 765910 CARDIAC GLYCOSIDES DIGOXIN LANOXIN 0.062 735760 CARDIAC GLYCOSIDES DIGOXIN LANOXIN 0.2 735752 ANTICOAGULANT WARFARIN CIPLA-WARFARIN 709905 ` BETA- ATENOLOL 50MG TENOPRESS 50MG 705874 BIO-ATENOLOL 50MG 826898 BETA- ATENOLOL 100MG TENOPRESS 100MG 705873 BIO-ATENOLOL 100MG 826901 BETA- BISOPROLOL BISLO 719154 BILOCOR 704372 BETA- BISOPROLOL BISLO 719155 BILOCOR 704373 BETA-/DIURETIC BETA-/DIURETIC BETA-/DIURETIC BETA-/DIURETIC BETA-/DIURETIC DIRECT ACTING VASODILATORS DIRECT ACTING VASODILATORS BISOPROLOL 2./HYDROCHLOROTHIAZIDE 6.2 BISOPROLOL /HYDROCHLOROTHIAZIDE 6.2 BISOPROLOL /HYDROCHLOROTHIAZIDE 6.2 ATENOLOL 100MG/CHLORTHALIDONE 2 ATENOLOL 50MG/CHLORTHALIDONE 12. BISOZYD CO 2./6.2 BISOZYD CO /6.2 TENCHLOR 786217 TENCHLOR-HS 807591 HYDRALAZINE HYPERPHEN 731714 HYDRALAZINE 50MG HYPERPHEN 50MG 731722 718082 BILOCOR CO 2./6.2 719200 718086 BILOCOR CO /6.2 719201 BILOCOR CO /6.2 719202 LOOP DIURETICS TORASEMIDE UNAT 820385 MOTIVATION LOOP DIURETICS TORASEMIDE 2. UNAT 2. 820369 MOTIVATION LOOP DIURETICS TORASEMIDE UNAT 820377 MOTIVATION LOOP DIURETICS FUROSEMIDE 40MG MYLAN FUROSEMIDE 40MG 857769 SANDOZ FUROSEMIDE 731668 LOOP DIURETICS FUROSEMIDE 20MG AUSTELL FUROSEMIDE 20MG 707421 NITRATES FUROSEMIDE 20MG ISORDIL 734381 NITRATES ISOSORBIDE DINITRATE 30MG ISORDIL 30MG 734403 NITRATES ISOSORBIDE DINITRATE ISORDIL 734411 NITRATES NITRATES ISOSORBIDE MONONITRATE 20MG ISOSORBIDE DINITRATE 40MG ISMO 20MG 734055 ISORDIL TEMBID 40MG 734438 ORGANIC NITRATES IVABRADINE CORALAN 710620 ORGANIC NITRATES IVABRADINE 7. CORALAN 7. 710621 ASPIRIN 81MG ECOTRIN 81MG 823481 CARDIOLOGIST PRESCRIPTION CARDIOLOGIST PRESCRIPTION ASPIRIN 300MG BAYER ASPIRIN 300MG 706930 ASPIRIN 100MG MYOPRIN 721258 BAYER ASPIRIN CARDIO 100MG 862304 6

POTASSIUM SUPPLEMENTS POTASSIUM CHLORIDE 600MG PLENISH K 600MG 755753 IF >120, DOCUMENTED EVIDENCE OF HYPOKALAEMIA MUST BE PROVIDED DIURETIC-THIAZIDE HYDROCHLOROTHIAZIDE 12. RIDAQ 12. 710437 DIURETIC-THIAZIDE HYDROCHLOROTHIAZIDE 2 HEXAZIDE 890470 RIDAQ 2 880949 DIURETIC-THIAZIDE LOW CEILING DIURETICS LOW CEILING DIURETICS (ARBS) (ARBS) ARB ARB (ARBS) (ARBS) ARB ARB HYDROCHLORTHIAZIDE/AMILORID SPEC -CO - AMILORIDE 706531 AMILORETIC 50MG/ 702803 E 50/ INDAPAMIDE INDAPAMIDE AMLODIPINE DYNA-INDAPAMIDE SR 1. MYLAN-INDAPAMIDE 2. GULF AMLODIPINE 716962 703329 CIPLA- INDAPAMIDE 710313 712954 CIPLAVASC 708152 AMLODIPINE AMTAS 713971 LOMANOR 708352 VERAPAMIL 240 SR VERAHEXAL 240 SR 700071 VERAPAMIL 40MG VASOMIL 40MG 774944 VERAPAMIL 80MG VASOMIL 80MG 774952 NIFEDIPINE SR 20MG NIFEDALAT 20 SR TAB 829501 CIPALAT RETARD 20MG 864153 NIFEDIPINE SR 30MG CIPALAT XR 30MG 723283 FEDALOC SR 30MG 711682 NIFEDIPINE SR 60MG CIPALAT XR 60MG 723284 FEDALOC SR 60MG 711714 LOSARTAN 50MG CIPLAZAR 50MG 716643 ZARTAN 50MG 709225 LOSARTAN 100MG CIPLAZAR 100MG 716644 ZARTAN 100MG 709964 LOSARTAN 100MG/ HYDROCHLOROTHIZIDE 2 LOSARTAN 50MG/ HYDROCHLOROTHIZIDE 2 LOSAAR PLUS 100/2 LOSAAR PLUS 50/12. 715857 ZARTAN CO 100MG/2 715857 715856 ZARTAN CO 50MG/2 715816 VALSARTAN 80MG TAREG 80MG 705060 DIOLO 80MG 717034 VALSARTAN 160MG TAREG 160MG 704696 DIOLO 160MG 717035 VALSARTAN 80MG/ HYDROCHLOROTHIZIDE 12. VALSARTAN 160MG/ HYDROCHLOROTHIZIDE 2 CO-TAREG 80MG/12. CO-ZOMEVEK 160MG/2 705068 DIOLO CO 80MG/12. 718607 715560 DIOLO CO 160MG/12. 718608 CARDIOMYOPATHY I42 ACE ENALAPRIL ALAPREN 881481 ACE ENALAPRIL 20MG ALAPREN 20MG 881503 ACE ENALAPRIL ALAPREN 886835 ENALAPRIL / HYDROCHLORTHIAZIDE ENAP CO 20MG/12. 891287 ACE PERINDOPRIL 4MG PREXUM 4MG 703541 VECTORYL 4MG 710297 ACE PERINDOPRIL 4MG PREXUM 720387 ACE PERINDOPRIL 8MG PEARINDA 8MG 714528 VECTORYL 8MG 710925 ACE PERINDOPRIL PREXUM 714646 ACE COMBINATION PERINDOPRIL 2,/INDAPAMIDE 0.62 PREXUM 2.5 PLUS 721507 PERINDOPRIL 4MG/INDAPAMIDE 1.2 PREXUM PLUS 704929 VECTORYL PLUS 710298 PERINDOPRIL 4MG/INDAPAMIDE PREXUM PLUS 5/12.5 1.2 MG 720388 PERINDOPRIL /INDAPAMIDE BIOPREXUM 2. 10/2. 721508 7

PERINDOPRIL /AMLODIPINE COVERAM 10/ 719853 PERINDOPRIL /AMLODIPINE COVERAM 10/ 719854 PERINDOPRIL /AMLODIPINE COVERAM 5/ 719852 PERINDOPRIL /AMLODIPINE COVERAM 5/ 719855 ACE CAPTOPRIL 12. CAPTOHEXAL 12. 837628 ACE ACE CAPTOPRIL 2 CAPTOPRIL 50MG CAPTOPRIL/HYDROCHLORTHIAZID E MYLAN-CAPTOPRIL 2 MYLAN-CAPTOPRIL 50MG CAPTORETIC 50/2 852619 899429 841137 ACE LISINOPRIL SINOPREN 700691 ZEMAX 703646 ACE LISINOPRIL SINOPREN 700692 AUSTELL LISINOPRIL 712598 ACE LISINOPRIL 20MG SINOPREN 20MG 700694 AUSTELL LISINOPRIL 20MG 708189 ACE ACE LISINOPRIL /HYDROCHLOROTHIAZIDE 12. LISINOPRIL 20MG/HYDROCHLOROTHIAZIDE 12. ADCO ZETOMAX-CO 10/12. ADCO ZETOMAX-CO 20/12. 704597 704598 ACE RAMIPRIL 2. RAMPIL 2. 705427 ACE RAMIPRIL RAMPIL 705428 ACE RAMIPRIL RAMPIL 705429 ACE QUINAPRIL QUINAGEN 708981 ACE QUINAPRIL ACCUMAX 708119 ACE QUINAPRIL 20MG ACCUMAX 20MG 708120 ACE ACE (ARBS) (ARBS) ARB ARB (ARBS) (ARBS) ARB ARB QUINAPRIL /HYDROCHLORTHIAZIDE 12. QUINAPRIL 20MG/HYDROCHLORTHIAZIDE 12. ACCUMAX CO 10/12. ACCUMAX CO 20/12. 708116 708118 HEXAL-LISINOPRIL CO 10/12. HEXAL-LISINOPRIL CO 20/12. 704703 704704 LOSARTAN 50MG CIPLAZAR 50MG 716643 ZARTAN 50MG 709225 LOSARTAN 100MG CIPLAZAR 100MG 716644 ZARTAN 100MG 709964 LOSARTAN 100MG/ HYDROCHLOROTHIZIDE 2 LOSARTAN 50MG/ HYDROCHLOROTHIZIDE 2 LOSAAR PLUS 100/2 LOSAAR PLUS 50/12. 715857 ZARTAN CO 100MG/2 715857 715856 ZARTAN CO 50MG/2 715816 VALSARTAN 80MG TAREG 80MG 705060 DIOLO 80MG 717034 VALSARTAN 160MG TAREG 160MG 704696 DIOLO 160MG 717035 VALSARTAN 80MG/ HYDROCHLOROTHIZIDE 12. VALSARTAN 160MG/ HYDROCHLOROTHIZIDE 2 CO-TAREG 80MG/12. CO-ZOMEVEK 160MG/2 705068 DIOLO CO 80MG/12. 718607 715560 DIOLO CO 160MG/12. 718608 ALPHA + BETA BLOCKER CARVEDILOL 12. CARLOC 12. 700168 CARVETREND 12. 704671 ALPHA + BETA BLOCKER CARVEDILOL 6.2 CARLOC 6.2 705459 CARVETREND 6.2 704670 ALPHA + BETA BLOCKER CARVEDILOL 2 CARLOC 2 897117 CARVETREND 2 704672 ALDOSTERONE ANTAGONIST SPIRONOLACTONE 25 SPIRACTIN 765910 CARDIAC GLYCOSIDES DIGOXIN LANOXIN 0.062 735760 CARDIAC GLYCOSIDES DIGOXIN LANOXIN 0.2 735752 ANTICOAGULANT WARFARIN CIPLA-WARFARIN 709905 BETA- ATENOLOL 50MG TENOPRESS 50MG 705874 BIO-ATENOLOL 50MG 826898 BETA- ATENOLOL 100MG TENOPRESS 100MG 705873 BIO-ATENOLOL 100MG 826901 BETA- BISOPROLOL BISLO 719154 BILOCOR 704372 BETA- BISOPROLOL BISLO 719155 BILOCOR 704373 8

BETA-/DIURETIC BETA-/DIURETIC BETA-/DIURETIC BETA-/DIURETIC BISOPROLOL 2./HYDROCHLOROTHIAZIDE 6.2 BISOPROLOL /HYDROCHLOROTHIAZIDE 6.2 BISOPROLOL /HYDROCHLOROTHIAZIDE 6.2 ATENOLOL 100MG/CHLORTHALIDONE 2 BISOZYD CO 2./6.2 BISOZYD CO /6.2 TENCHLOR 786217 718082 BILOCOR CO 2./6.2 719200 718086 BILOCOR CO /6.2 719201 BILOCOR CO /6.2 719202 BETA-/DIURETIC DIRECT ACTING VASODILATORS DIRECT ACTING VASODILATORS ATENOLOL 50MG/CHLORTHALIDONE 12. TENCHLOR-HS 807591 HYDRALAZINE HYPERPHEN 731714 HYDRALAZINE 50MG HYPERPHEN 50MG 731722 LOOP DIURETICS TORASEMIDE UNAT 820385 MOTIVATION LOOP DIURETICS TORASEMIDE 2. UNAT 2. 820369 MOTIVATION LOOP DIURETICS TORASEMIDE UNAT 820377 MOTIVATION LOOP DIURETICS FUROSEMIDE 40MG MYLAN FUROSEMIDE 40MG 857769 SANDOZ FUROSEMIDE 731668 LOOP DIURETICS FUROSEMIDE 20MG AUSTELL FUROSEMIDE 20MG 707421 LOW CEILING DIURETICS INDAPAMIDE DYNA-INDAPAMIDE SR 1. 716962 LOW CEILING DIURETICS INDAPAMIDE MYLAN-INDAPAMIDE 2. 703329 CIPLA- INDAPAMIDE 2. 710313 NITRATES ISOSORBIDE DINITRATE ISORDIL 734381 NITRATES ISOSORBIDE DINITRATE 30MG ISORDIL 30MG 734403 NITRATES ISOSORBIDE DINITRATE ISORDIL 734411 NITRATES NITRATES ISOSORBIDE MONONITRATE 20MG ISOSORBIDE DINITRATE 40MG ISMO 20MG 734055 ISORDIL TEMBID 40MG 734438 ASPIRIN 81MG ECOTRIN 81MG 823481 ASPIRIN 300MG BAYER ASPIRIN 300MG 706930 ASPIRIN 100MG MYOPRIN 721258 BAYER ASPIRIN CARDIO 100MG 862304 ANTICOAGULANT WARFARIN CIPLA-WARFARIN 709905 POTASSIUM SUPPLEMENTS POTASSIUM CHLORIDE 600MG PLENISH K 600MG 755753 DIURETIC-THIAZIDE HYDROCHLOROTHIAZIDE 12. RIDAQ 12. 710437 IF >120, DOCUMENTED EVIDENCE OF HYPOKALAEMIA MUST BE PROVIDED DIURETIC-THIAZIDE HYDROCHLOROTHIAZIDE 2 HEXAZIDE 890470 RIDAQ 2 880949 DIURETIC-THIAZIDE HYDROCHLORTHIAZIDE/AMILORID SPEC -CO - AMILORIDE 706531 AMILORETIC 50MG/ 702803 E 50/ CHRONIC RENAL DISEASE N03 ACE ENALAPRIL ALAPREN 881481 N05 ACE ENALAPRIL 20MG ALAPREN 20MG 881503 N11 ACE ENALAPRIL ALAPREN 886835 N18 ENALAPRIL / HYDROCHLORTHIAZIDE ENAP CO 20MG/12. N19 ACE PERINDOPRIL 4MG PREXUM 4MG 703541 VECTORYL 4MG 710297 891287 ACE PERINDOPRIL 4MG PREXUM 720387 ACE PERINDOPRIL 8MG PEARINDA 8MG 714528 VECTORYL 8MG 710925 ACE PERINDOPRIL PREXUM 714646 ACE COMBINATION PERINDOPRIL 2,/INDAPAMIDE 0.62 PREXUM 2.5 PLUS 721507 PERINDOPRIL 4MG/INDAPAMIDE 1.2 PERINDOPRIL 4MG/INDAPAMIDE 1.2 PREXUM PLUS 704929 VECTORYL PLUS 710298 PREXUM PLUS 5/1.25 MG 720388 9

PERINDOPRIL /INDAPAMIDE BIOPREXUM 2. 10/2. 721508 PERINDOPRIL /AMLODIPINE COVERAM 10/ 719853 PERINDOPRIL /AMLODIPINE COVERAM 10/ 719854 PERINDOPRIL /AMLODIPINE COVERAM 5/ 719852 PERINDOPRIL /AMLODIPINE COVERAM 5/ 719855 ACE CAPTOPRIL 12. CAPTOHEXAL 12. 837628 ACE ACE CAPTOPRIL 2 CAPTOPRIL 50MG CAPTOPRIL/HYDROCHLORTHIAZID E MYLAN-CAPTOPRIL 2 MYLAN-CAPTOPRIL 50MG CAPTORETIC 50/2 852619 899429 841137 ACE LISINOPRIL SINOPREN 700691 ZEMAX 703646 ACE LISINOPRIL SINOPREN 700692 AUSTELL LISINOPRIL 712598 ACE LISINOPRIL 20MG SINOPREN 20MG 700694 AUSTELL LISINOPRIL 20MG 708189 ACE ACE LISINOPRIL /HYDROCHLOROTHIAZIDE 12. LISINOPRIL 20MG/HYDROCHLOROTHIAZIDE 12. ADCO ZETOMAX-CO 10/12. ADCO ZETOMAX-CO 20/12. 704597 704598 ACE RAMIPRIL 2. RAMPIL 2. 705427 ACE RAMIPRIL RAMPIL 705428 ACE RAMIPRIL RAMPIL 705429 ACE QUINAPRIL QUINAGEN 708981 ACE QUINAPRIL ACCUMAX 708119 ACE QUINAPRIL 20MG ACCUMAX 20MG 708120 ACE ACE (ARBS) (ARBS) ARB ARB (ARBS) (ARBS) ARB ARB QUINAPRIL /HYDROCHLORTHIAZIDE 12. QUINAPRIL 20MG/HYDROCHLORTHIAZIDE 12. ACCUMAX CO 10/12. ACCUMAX CO 20/12. 708116 708118 HEXAL-LISINOPRIL CO 10/12. HEXAL-LISINOPRIL CO 20/12. 704703 704704 LOSARTAN 50MG CIPLAZAR 50MG 716643 ZARTAN 50MG 709225 LOSARTAN 100MG CIPLAZAR 100MG 716644 ZARTAN 100MG 709964 LOSARTAN 100MG/ HYDROCHLOROTHIZIDE 2 LOSARTAN 50MG/ HYDROCHLOROTHIZIDE 2 LOSAAR PLUS 100/2 LOSAAR PLUS 50/12. 715857 ZARTAN CO 100MG/2 715857 715856 ZARTAN CO 50MG/2 715816 VALSARTAN 80MG TAREG 80MG 705060 DIOLO 80MG 717034 VALSARTAN 160MG TAREG 160MG 704696 DIOLO 160MG 717035 VALSARTAN 80MG/ HYDROCHLOROTHIZIDE 12. VALSARTAN 160MG/ HYDROCHLOROTHIZIDE 2 CO-TAREG 80MG/12. CO-ZOMEVEK 160MG/2 705068 DIOLO CO 80MG/12. 718607 715560 DIOLO CO 160MG/12. 718608 ALDOSTERONE ANTAGONIST SPIRONOLACTONE 2 SPIRACTIN 2 765910 BETA- ATENOLOL 50MG TENOPRESS 50MG 705874 BIO-ATENOLOL 50MG 826898 BETA- ATENOLOL 100MG TENOPRESS 100MG 705873 BIO-ATENOLOL 100MG 826901 BETA-/DIURETIC BETA-/DIURETIC ATENOLOL 100MG/CHLORTHALIDONE 2 ATENOLOL 50MG/CHLORTHALIDONE 12. TENCHLOR 100MG/2 TENCHLOR HS 50MG/12. 786217 807591 BETA-RECEPTOR PROPRANOLOL HCL INDOBLOK 806552 PRODOROL 787167 10

BETA-RECEPTOR PROPRANOLOL HCL 40MG INDOBLOK 40MG 806560 PRODOROL 40MG 787175 - LONG ACTING VERAPAMIL 240 SR VERAHEXAL 240 SR 700071 RAVAMAL SR 240MG 819573 NIFEDIPINE SR 20MG NIFEDALAT 20 SR TAB 829501 CIPALAT RETARD 20MG 864153 NIFEDIPINE SR 30MG CIPALAT XR 30MG 723283 FEDALOC SR 30MG 711682 NIFEDIPINE SR 60MG CIPALAT XR 60MG 723284 FEDALOC SR 60MG 711714 VERAPAMIL 40MG VASOMIL 40MG 774944 VERAPAMIL 80MG VASOMIL 80MG 774952 DILTIAZEM 60MG ZILDEM 60MG 822213 DILTIAZEM 90MG ZILDEM 90MG 824364 DILTIAZEM SR 180MG ZILDEM SR 180MG 839183 DILTIAZEM SR 240MG ZILDEM SR 240MG 839191 CALCIUM SUPPLEMENTS CALCIUM CARBONATE 500MG ENO TUMS CHEW 703359 CALCIFEROL CALCIFEROL MINERALS AND VITAMIN D MINERALS AND VITAMIN D CALCIFEROL 5 000U/ML CALCIFEROL 50 000IU ALFACALCIDOL 0.25MCG ALFACALCIDOL 1MCG CALCIFEROL OILY SOLUTION 5000U/ML LENNON STRONG CALCIFEROL ONE ALPHA 0.25MCG CAP ONE ALPHA 1MCG CAP 711853 711640 750654 750662 HAEMATINICS ERYTHROPOIETIN REPOTIN 2000IU 839264 HAEMATINICS ERYTHROPOIETIN REPOTIN 4000IU 839272 HAEMATINICS ERYTHROPOIETIN RECORMON IRON SUPPLEMENTS IRON SUPPLEMENTS IRON SUPPLEMENTS CHELATING LOOP DIURETICS IRON(III)-HYDROXIDE SUCROSE COMPLEX IRON POLYMALTOSE 50MG FERROUS-FUMARATE 200MG; FOLIC ACID 100UG CALCIUM ACETATE ANHYDROUS FUROSEMIDE 40MG NUMEROU S VENOFER 873276 FERRIMED IRON POLYMALTOSE 50MG CAPSULE 725927 PREGAMAL 756571 PHOSPHOSORB 660MG MYLAN FUROSEMIDE 40MG 718735 857769 SANDOZ FUROSEMIDE 731668 DIALYSIS BENEFIT - MEDSCHEME OR ONECARE DIALYSIS BENEFIT - MEDSCHEME OR ONECARE DIALYSIS BENEFIT - MEDSCHEME OR ONECARE DIALYSIS BENEFIT - MEDSCHEME OR ONECARE MOTIVATION AND HAEMOGLOBIN LEVELS - FORWARD TO ONECARE/MEDSCHEME LOOP DIURETICS FUROSEMIDE 20MG AUSTELL FUROSEMIDE 20MG 707421 DIURETIC-THIAZIDE HYDROCHLOROTHIAZIDE 12. RIDAQ 12. 710437 DIURETIC-THIAZIDE HYDROCHLOROTHIAZIDE 2 HEXAZIDE 890470 RIDAQ 2 880949 DIURETIC-THIAZIDE HYDROCHLORTHIAZIDE/AMILORID SPEC -CO - AMILORIDE 706531 AMILORETIC 50MG/ 702803 E 50/ POTASSIUM SUPPLEMENTS POTASSIUM CHLORIDE 600MG PLENISH K 600MG 755753 VITAMINS ALFACALCIDOL CAP 0.25 MCG ONE ALPHA 0.25MCG CAPS 750654 VITAMINS ALFACALCIDOL CAP 1 MCG ONE ALPHA 1MCG CAPS 750662 VITAMINS FOLIC ACID FOLIC ACID 711922 BE-TABS FOLIC 810967 IF >120, DOCUMENTED EVIDENCE OF HYPOKALAEMIA MUST BE PROVIDED CHRONIC OBSTRUCTIVE PULMONARY DISEASE J43 CORTICOSTEROIDS PREDNISONE J44 BE-TABS PREDNISONE 788783 CORTICOSTEROIDS PREDNISONE TROLIC 818267 PANAFCORT 752304 INHALED ANTI CHOLINERGICS IPRATROPIUM BROMIDE 40UG IPVENT-40 300DOSE 704681 SALBUTAMOL 200UG ASTHAVENT DP 878219 FENOTEROL 100MCG BEROTEC 100 HFA 200 DOSE 706544 11

SALBUTAMOL 200UG CYBUTOL 200UG 894397 SALBUTAMOL 400UG CYBUTOL 400UG 894400 SALBUTAMOL SULPHATE 100MCG ASTHAVENT 300DOSE ECOHALER 700715 LIMITED TO 3 INHALERS PER YEAR IF NO INHALED STEROID ADRENERGICS SALBUTAMOL SULPHATE 100MCG FORMOTEROL FUMARATE BUDESONIDE/FORMOTEROL ASTHAVENT 200D ECOHALER FORATEC HFA 12MCG 120 DOSE SYMBICORD 80/4.5MCG 849332 VENTEZE CFC FREE 200 DOSE 711213 710307 705986 VANNAIR 80/4.5MCG 720218 LIMITED TO 3 INHALERS PER YEAR IF NO INHALED STEROID ADRENERGICS BUDESONIDE/FORMOTEROL SYMBICORD 160/4.5MCG 60DOSE 700172 ADRENERGICS ADRENERGICS BUDESONIDE/FORMOTEROL BUDESONIDE/FORMOTEROL SALMETEROL FLUTICAZONE SALMETEROL FLUTICAZONE SALMETEROL FLUTICAZONE SYMBICORD 160/4.5MCG 120DOSE SYMBICORD 320/9MCG FOXAIR 25/50MCG 120 DOSE INH FOXAIR 25/125MCG 120 DOSE INH FOXAIR 25/250MCG 120 DOSE INH 700172 VANNAIR 160/4.5MCG 720219 705984 715752 715753 715754 SEREFLO 25/50MCG SYNCHROBREATHER 120 DOSE INH SEREFLO 25/125MCG SYNCHROBREATHER 120 DOSE INH SEREFLO 25/250MCG SYNCHOBREATHER 120 DOSE INH 721412 721413 721414 SALMETEROL 50UG/FLUTICASONE 100UG FOXAIR 50/100MCG 60 BLISTERS 715009 SALMETEROL 50UG/FLUTICASONE 250UG SALMETEROL 50UG/FLUTICASONE 500UG FLUTICASONE 50MCG FLUTICASONE 125MCG FLUTICASONE 250MCG FOXAIR 50/250MCG 60 BLISTERS FOXAIR 50/250MCG 60 BLISTERS FLIXOTIDE 50 CFC FREE 120 DOSE FLIXOTIDE 125 CFC FREE 120 DOSE INHALER FLIXOTIDE 250 CFC FREE 120 DOSE INHALER 715008 715007 703275 897752 897759 MOTIVATION, INCLUDING MOTIVATION, INCLUDING. FEV1<50 POST BRONCHODILATOR FLUTICASONE 50MCG FLIXOTIDE 50 MCG ACCUHALER 60 DOSE 808445 FLUTICASONE 100MCG FLIXOTIDE 100 MCG ACCUHALER 60 DOSE 818453 FLUTICASONE 250MCG FLIXOTIDE 250 MCG ACCUHALER 60 DOSE 818461 FLUTICASONE 500MCG FLIXOTIDE 500MCG ACCUHALER 60 DOSE 818488 ANTICHOLINERGICS ANTICHOLINERGICS CICLESONIDE 160MCG CICLESONIDE 80MCG IPRATROPIUM BROM. 20UG; SALBUTAMOL SULPH. TO SALBUTAMOL 100UG/MET.DOS. TIOTROPIUM 18MCG TIOTROPIUM 18MCG BECLOMETHASONE DIPROPIONATE 100MCG BECLOMETHASONE DIPROPIONATE 200MCG BUDESONIDE 100UG BUDESONIDE 200UG CICLOVENT 160MCG 60 DOSE 721620 CICLOVENT 80MCG 60 DOSE 721621 DUOLIN RESPULES 703983 FORVENT HANDIHALER FORVENT 18MCG INH CAPS REFILL BECLATE 100MCG INHALER BECLATE 200MCG INHALER BUDEFLAM HFA 100MCG 300DOSE BUDEFLAM HFA 200MCG 300DOSE 714167 714152 819638 820083 897462 897469 FOR STAGE LL & LLL COPD ONLY. SCRIPT FROM PULMONOLOGIST OR SPECIALIST PHYSICIAN FOR STAGE LL & LLL COPD ONLY. SCRIPT FROM PULMONOLOGIST OR SPECIALIST PHYSICIAN FOR STAGE LL & LLL COPD ONLY. SCRIPT FROM PULMONOLOGIST OR SPECIALIST PHYSICIAN FOR STAGE LL & LLL COPD ONLY. SCRIPT FROM PULMONOLOGIST OR SPECIALIST PHYSICIAN 12

METHYLXANTHINE METHYLXANTHINE BUDESONIDE 200UG BUDESONIDE 200UG BUDESONIDE 200UG BUDESONIDE 400UG THEOPHYLLINE 200MG THEOPHYLLINE 300MG BUDEFLAM DP 200MCG INH CAPS PULMICORT TURBOHALER 200MCG 200D PULMICORT TURBOHALER 100MCG 200D PULMICORT TURBOHALER 400MCG 200D SANDOZ THEOPHYLLINE 200MG SANDOZ THEOPHYLLINE 300MG 704176 791423 791431 823791 POTASSIUM SUPPLEMENTS POTASSIUM CHLORIDE 600MG PLENISH K 600MG 755753 IPRATROPIUM-ALBUTEROL AEROSOL 18-103 MCG/ACT (20-120MCG/ACT) IPRATROPIUM BROMIDE 40MCG/ FENOTEROL 100MCG DUOLIN HFA 200 DOSE INHALER 788368 THEOPLUS 200MG 783005 788376 THEOPLUS 300MG 783013 718698 DUOVENT HFA 707882 FOR LONG TERM ORAL CORTICOSTEROID TREATMENT CORONARY ARTERY DISEASE I20 ANTICOAGULANT WARFARIN CIPLA-WARFARIN 709905 I25 BETA BLOCKER PROPRANOLOL INDOBLOK 806552 PRODOROL 787167 BETA BLOCKER PROPRANOLOL 40MG INDOBLOK 40MG 806560 PRODOROL 40MG 787175 BETA- ATENOLOL 50MG TENOPRESS 50MG 705874 BIO-ATENOLOL 50MG 826898 BETA- ATENOLOL 100MG TENOPRESS 100MG 705873 BIO-ATENOLOL 100MG 826901 BETA- BISOPROLOL BISLO 719154 BILOCOR 704372 BETA- BISOPROLOL BISLO 719155 BILOCOR 704373 BETA-/DIURETIC BETA-/DIURETIC BETA-/DIURETIC BETA-/DIURETIC BISOPROLOL 2./HYDROCHLOROTHIAZIDE 6.2 BISOPROLOL /HYDROCHLOROTHIAZIDE 6.2 BISOPROLOL /HYDROCHLOROTHIAZIDE 6.2 ATENOLOL 100MG/CHLORTHALIDONE 2 BISOZYD CO 2./6.2 BISOZYD CO /6.2 TENCHLOR 100MG/2 718082 BILOCOR CO 2./6.2 719200 718086 BILOCOR CO /6.2 719201 786217 BILOCOR CO /6.2 719202 BETA-/DIURETIC DIURETIC-THIAZIDE ATENOLOL 50MG/CHLORTHALIDONE 12. TENCHLOR HS 50MG/12. 807591 HYDROCHLORTHIAZIDE/AMILORID SPEC -CO - AMILORIDE 706531 AMILORETIC 50MG/ 702803 E 50/ ALPHA + BETA BLOCKER CARVEDILOL 12. CARLOC 12. 700168 CARVETREND 12. 704671 ALPHA + BETA BLOCKER CARVEDILOL 6.2 CARLOC 6.2 705459 CARVETREND 6.2 704670 ALPHA + BETA BLOCKER CARVEDILOL 2 CARLOC 2 897117 CARVETREND 2 704672 NIFEDIPINE SR 20MG NIFEDALAT 20 SR TAB 829501 CIPALAT RETARD 20MG 864153 NIFEDIPINE SR 30MG CIPALAT XR 30MG 723283 FEDALOC SR 30MG 711682 NIFEDIPINE SR 60MG CIPALAT XR 60MG 723284 FEDALOC SR 60MG 711714 BLOCKER AMLODIPINE AMTAS 713971 LOMANOR 708352 GULF AMLODIPINE AMLODIPINE BLOCKER 712954 LOMANOR 708353 VERAPAMIL 240 SR VERAHEXAL 240 SR 700071 CALCICARD SR 240MG 813354 VERAPAMIL 40MG VASOMIL 40MG 774944 VERAPAMIL 80MG VASOMIL 80MG 774952 DILTIAZEM 60MG ZILDEM 60MG 822213 DILTIAZEM 90MG ZILDEM 90MG 824364 DILTIAZEM SR 180MG ZILDEM SR 180MG 839183 DILTIAZEM SR 240MG ZILDEM SR 240MG 839191 FELODIPINE-HEXAL FELODIPINE 703902 FELODIPINE-HEXAL FELODIPINE 703221 13

NITRATES GLYCERYL TRINTARATE 0. ANGISED 703605 NITRATES NITRATES ISOSORBIDE MONONITRATE 60MG ISOSORBIDE DINITRATE SPRAY MONICOR SR 710251 DINOSPRAY 1.2/DOSE 701500 NITRATES ISOSORBIDE DINITRATE ISORDIL 734381 NITRATES ISOSORBIDE DINITRATE 30MG ISORDIL 30MG 734403 NITRATES ISOSORBIDE DINITRATE ISORDIL 734411 NITRATES NITRATES ISOSORBIDE MONONITRATE 20MG ISOSORBIDE DINITRATE 40MG ISMO 20MG 734055 ISORDIL TEMBID 40MG 734438 ORGANIC NITRATES IVABRADINE CORALAN 710620 ORGANIC NITRATES IVABRADINE 7. CORALAN 7. 710621 ASPIRIN 300MG BAYER ASPIRIN 300MG 706930 CARDIOLOGIST PRESCRIPTION CARDIOLOGIST PRESCRIPTION ASPIRIN 100MG MYOPRIN 721258 BAYER ASPIRIN CARDIO 100MG 862304 ASPIRIN 81MG ECOTRIN 81MG 823481 INHIBITOR DIPYRIDAMOLE 100MG PLATO 100MG 720526 INHIBITOR DIPYRIDAMOLE 2 PLATO 2 755656 CLOPIDOGREL 7 PLAGROL 711423 DETAILED CLINICAL MOTIVATION WITH STENT TYPES AND DATES AND HISTORY OF THERAPY ASPIRIN 100MG BAYER ASPIRIN CARDIO 100MG 862304 FIBRATES (STATINS) (STATINS) (STATINS) BEZAFIBRATE 400MG SIMVASTATIN SIMVASTATIN 20MG SIMVASTATIN 40MG DYNA-BEZAFIBRATE 400MG ADCO SIMVASTATIN ADCO SIMVASTATIN 20MG ADCO SIMVASTATIN 40MG 710122 701276 AUSTELL SIMVASTATIN 705464 701279 AUSTELL SIMVASTATIN 20MG 705465 701281 AUSTELL SIMVASTATIN 40MG 705467 FROM CARDIOLOGIST/SPECIALIST PHYSICIAN.NEED TO BE LOADED UNDER HYPERLIPIDAEMIA FROM CARDIOLOGIST/SPECIALIST PHYSICIAN.NEED TO BE LOADED UNDER HYPERLIPIDAEMIA FROM CARDIOLOGIST/SPECIALIST PHYSICIAN.NEED TO BE LOADED UNDER HYPERLIPIDAEMIA FROM CARDIOLOGIST/SPECIALIST PHYSICIAN.NEED TO BE LOADED UNDER HYPERLIPIDAEMIA CROHN'S DISEASE K50 AMINOSALICYLATES MESALAZINE 400MG TAB ASACOL 400MG 783668 AMINOSALICYLATES MESALAZINE 2G/50ML ENEMA ASACOL ENEMA 824127 AMINOSALICYLATES MESALAZINE 500MG SUPPS ASACOL SUPPS 824135 AMINOSALICYLATES MESALAZINE 500MG TAB PENTASA 500MG 890775 AMINOSALICYLATES MESALAZINE 800MG TAB ASACOL 800MG TABS 709076 AMINOSALICYLATES OLSALAZINE 250MG DIPENTUM 250MG 792519 AMINOSALICYLATES SULPHASALAZINE 500MG SALAZOPYRIN 500MG 762008 AMINOSALICYLATES SULPHASALAZINE 500MG SALAZOPYRIN EN 500 762016 OTHERS BUDESONIDE 2.3MG ENTOCORD 2,3MG ENEMA 824593 MOTIVATION - 14

OTHERS BUDESONIDE 3MG ENTOCORD 3MG CAP 838896 ANTIBIOTICS ANTIBIOTICS METRONIDAZOLE 200MG METRONIDAZOLE 400MG ADCO- METRONIDAZOLE 200MG ADCO- METRONIDAZOLE 400MG 742872 701076 ANTIBIOTICS CIPROFLOXACIN 250MG CIPROL 704777 DYNAFLOC 250 700516 ANTIBIOTICS CIPROFLOXACIN 500MG CIPROL 704775 DYNAFLOC 500 700518 ANTIBIOTICS CIPROFLOXACIN 750MG CIFLOC 750MG 893963 CORTICOSTEROIDS PREDNISOLONE LENISOLONE 800155 CAPSOID 814407 CYTOSTATIC METHOTREXATE 2.5 CORTICOSTEROIDS PREDNISONE METHOTREXATE 2. BE-TABS PREDNISONE 742465 788783 CORTICOSTEROIDS PREDNISONE TROLIC 818267 PANAFCORT 752304 IMMUNOSUPPRESSIVE AZATHIOPRINE 50MG AZAMUN 50MG 701252 VITAMINS FOLIC ACID FOLIC ACID 711922 BE-TABS FOLIC 810967 POTASSIUM SUPPLEMENTS POTASSIUM CHLORIDE 600MG PLENISH K 600MG 755753 MOTIVATION - FOR LONG TERM ORAL CORTICOSTEROID TREATMENT DIABETES INSIPIDUS E23.2 ANTI-DIURETICS DESMOPRESSIN ANTI-DIURETICS DESMOPRESSIN DDAVP INTRANASAL SOL 0.1MG/ML DDAVP NASAL SPRAY 0.1MG/ML 717746 837555 ANTI-DIURETICS DESMOPRESSIN TAB DDAVP 0.1MG 837563 ANTI-DIURETICS DESMOPRESSIN TAB DDAVP 0.2MG 703639 DIABETES MELLITUS 1 E10 ANTI-HYPOGLYCAEMIC AGENT DIABETIC CONSUMABLES DIABETIC CONSUMABLES INJECTION GLUCAGEN - HYPOKIT 821365 LANCETS LANCETS ACCU-CHECK PRO LANCETS ACCU-CHECK SOFTCLIX LANCETS 616091 616102 DIABETIC CONSUMABLES LANCETS MICROLET LANCETS 508771 DIABETIC CONSUMABLES NEEDLES NOVOFINE NEEDLES 458317 DIABETIC CONSUMABLES DIABETIC CONSUMABLES DIABETIC CONSUMABLES DIABETIC CONSUMABLES DIABETIC CONSUMABLES DIABETIC CONSUMABLES NEEDLES STRIPS STRIPS STRIPS STRIPS STRIPS BD MICROFINE NEEDLES 463822 ACCU-CHECK ADVANTAGE STRIP 891500 ACCUTREND GLUCOSE STRIPS 831743 ASCENSIA ELITE TS (GLUCOMETER) 811394 ASCENSIA ENTRUST TEST STRIPS ASCENSIA GLUCODI ESPRIT 701260 890752 DIABETIC CONSUMABLES STRIPS GLUCOSTIX COASTAL 831980 DIABETIC CONSUMABLES STRIPS GLUCOSTIX HIGH ALTITUDE 831999 DIABETIC CONSUMABLES STRIPS HAEMO-GLUCOTEST 832014 DIABETIC CONSUMABLES STRIPS KETO-DIASTIX 50'S 832203 DIABETIC CONSUMABLES DIABETIC CONSUMABLES DIABETIC CONSUMABLES STRIPS STRIPS STRIPS MEDISENSE OPTIMUM PLUS MEDISENSE PRECISION PLUS ELECTRODES ONE TOUCH ULTRA TEST STRIPS 892998 847887 702690 DIABETIC CONSUMABLES STRIPS ONE TOUCH HORIZON TEST STRIPS 704130 15

DIABETIC CONSUMABLES STRIPS BIPHASIC BIPHASIC HOMEMED BLOOD GLUCOSE STRIPS INSU ACTAPHANE HM(GE) 3.0ML INSU ACTRAPHANE HM(GE) 10ML VIAL 460628 816213 733512 FAST ACTING INSU APIDRA 3.0ML CARTRIDGE 706039 MOTIVATION WITH TREATMENT HISTORY FAST ACTING INSU APIDRA I OPTISET PENSET 3ML 710367 MOTIVATION WITH TREATMENT HISTORY FAST ACTING INSU APIDRA SOLOSTAR 709861 MOTIVATION WITH TREATMENT HISTORY FAST ACTING INSU APIDRA 10ML VIAL 706040 MOTIVATION WITH TREATMENT HISTORY FAST ACTING NOVORAPID FLEXPEN 3ML PREFILLED DEVICE PENSET 897767 FAST ACTING NOVORAPID FLEXPEN 3ML SOLUTION FOR INJ. PENFILL 897775 FAST ACTING NOVORAPID VIAL 10ML 707927 NOVOMIX 30 FLEXPEN 3ML PF DEVICE 702086 NOVOMIX 30 PENFILL 3ML PF DEVICE 702089 - RAPID ACTING HUMALOG 10ML VIAL 819468 - RAPID ACTING HUMALOG CARTRIDGE 3ML 862355 - RAPID ACTING HUMALOG PEN 3ML DISPOSABLE 853445 PREMIXED BIPHASIC HUMALOG MIX 25 10ML VIAL 853437 PREMIXED BIPHASIC HUMALOG MIX 25 CARTRIDGE 3 ML 861782 PREMIXED BIPHASIC HUMALOG MIX 25 DISP PEN 3 ML 853461 PREMIXED BIPHASIC HUMALOG MIX 50 CARTRIDGE 3ML 705074 GLARGINE OPTISULIN CARTRIDGE 100IU/ML 723474 BASAGLAR CARTRIDGE 100IU/ML 722456 GLARGINE OPTISULIN PEN 100 IU/ML 721502 BASAGLAR PEN 100IU/ML 722454 DETEMIR LEVEMIR FLEXPEN PREFILLED 3ML 705312 MOTIVATION WITH TREATMENT HISTORY DETEMIR LEVEMIR PREFILLED CARTRIDGE 3ML 705313 MOTIVATION WITH TREATMENT HISTORY ISOPHANE - INTERMEDIATE ISOPHANE - INTERMEDIATE HUMULIN N VIAL 10ML HUMULIN N CARTRIDGE 3ML 733458 863556 BIOSULIN N 3ML CART 712768 ISOPHANE - INTERMEDIATE HUMULIN N PEN 3ML DISPOSABLE 853453 PREMIXED BIPHASIC PREMIXED BIPHASIC PREMIXED BIPHASIC - SHORT ACTING - SHORT ACTING INTERMEDIATE TO LONG ACTING HUMULIN 30/70 10ML VIAL HUMULIN 30/70 CARTRIDGE 3ML HUMULIN 30/70 DISPOSABLE PENS 3ML HUMULIN R 10ML VIAL HUMULIN R 3ML CARTRIDGE INSU PROTAPHANE FLEXPEN 3ML PF DEVICE 783811 863572 BIOSULIN 30/70 3ML CART 712770 704456 733431 863564 BIOSULIN R 3ML CARTRIDGE 712767 700183 16

INTERMEDIATE TO LONG ACTING INSU PROTAPHANE HM(GE) 10ML VIAL 733482 ASPIRIN 300MG BAYER ASPIRIN 300MG 706930 ASPIRIN 100MG MYOPRIN 721258 BAYER ASPIRIN CARDIO 100MG 862304 ASPIRIN 100MG ECOTRIN 81MG 823481 DIABETES MELLITUS TYPE 2 E11 BIGUANIDES METFORMIN 850 MG ACCORD METFORMIN 850MG 714426 DIAPHAGE 850MG 719785 BIGUANIDES METFORMIN 500MG ACCORD METFORMIN 500MG BIGUANIDES METFORMIN 1000MG BIGSENS 1000MG 709172 BIGUANIDES BIGUANIDES BIGUANIDES METFORMIN 500MG METFORMIN 750MG METFORMIN 1000MG METFORMIN/GLIBENCLAMIDE GLUCOPHAGE XR 500MG GLUCOPHAGE XR 750MG GLUCOPHAGE XR 1000MG GLUCOVANCE 250/1.25 714427 DIAPHAGE 500MG 719784 710196 720925 720926 701109 METFORMIN/GLIBENCLAMIDE GLUCOVANCE 500/2.5 701111 METFORMIN/GLIBENCLAMIDE GLUCOVANCE 500/5 701112 MYLAN METFORMIN 1000MG 721443 SULPHONYLUREAS GLIBENCLAMIDE BIO-GLIBENCLAMIDE 827053 SULPHONYLUREAS SULPHONYLUREAS SULPHONYLUREAS SULPHONYLUREAS SULPHONYLUREAS SULPHONYLUREAS GLIMEPIRIDE 1MG GLIMEPIRIDE 2MG GLIMEPIRIDE 4MG GLICLAZIDE 80MG GLICLAZIDE 30MG MR GLICLAZIDE 60MG MR MYLAN GLIMEPIRIDE 1MG MYLAN GLIMEPIRIDE 2MG AUSTELL GLIMEPIRIDE 4MG SANDOZ GLICLAZIDE 80MG DIAGLUCIDE 30MG MR DIAGLUCIDE 60MG MR 709984 SULPHONUR 1MG 710904 709985 SULPHONUR 2MG 710905 717078 SULPHONUR 4MG 710906 834866 DIAGLUCIDE 80MG 868906 714582 718247 THIAZOLIDINEDIONES PIOGLITAZONE CIPLA PIOGLITAZONE 30MG 707981 MOTIVATION WITH TREATMENT HISTORY THIAZOLIDINEDIONES PIOGLITAZONE CIPLA PIOGLITAZONE 1 707974 MOTIVATION WITH TREATMENT HISTORY ASPIRIN 300MG BAYER ASPIRIN 300MG 706930 ACETYLSALICYLIC ASPIRIN 100MG MYOPRIN 721258 ACETYLSALICYLIC ASPIRIN ECOTRIN 81MG 823481 BAYER ASPIRIN CARDIO 100MG 862304 DYSRHYTHMIA I47 ANTI-ARRHYTHMIC AMIODARONE 100MG HEXARONE 100MG 863157 ARYCOR 100MG 703515 I48 ANTI-ARRHYTHMIC AMIODARONE 200MG BIO-AMIODARONE 200MG 707851 ANTI-ARRHYTHMIC PROPAFENONE 150MG RHYTHMOL 150MG 784869 ANTI-ARRHYTHMIC PROPAFENONE 300MG RHYTHMOL 300MG 784877 ANTI-ARRHYTHMIC DISOPYRAMIDE 100MG RYTHMODAN 100MG 761826 ANTI-ARRHYTHMIC DISOPYRAMIDE 250MG RYTHMODAN RETARD 250MG 761842 BETA- SOTALOL 160MG SOTAHEXAL 160MG 828009 BETA- SOTALOL 80MG SOTAHEXAL 80MG 827991 CARDIAC GLYCOSIDES DIGOXIN LANOXIN 0.062 735760 CARDIAC GLYCOSIDES DIGOXIN LANOXIN 0.2 735752 ANTICOAGULANT WARFARIN CIPLA-WARFARIN 709905 BETA- PROPRANOLOL INDOBLOK 806552 PRODOROL 787167 BETA- PROPRANOLOL 40MG INDOBLOK 40MG 806560 PRODOROL 40MG 787175 BETA- BISOPROLOL BISLO 719154 BILOCOR 704372 BETA- BISOPROLOL BISLO 719155 BILOCOR 704373 17

BETA-/DIURETIC BETA-/DIURETIC BETA-/DIURETIC BISOPROLOL 2./HYDROCHLOROTHIAZIDE 6.2 BISOPROLOL /HYDROCHLOROTHIAZIDE 6.2 BISOPROLOL /HYDROCHLOROTHIAZIDE 6.2 BISOZYD CO 2./6.2 BISOZYD CO /6.2 718082 BILOCOR CO 2./6.2 719200 718086 BILOCOR CO /6.2 719201 BILOCOR CO /6.2 719202 BETA- ATENOLOL 50MG TENOPRESS 50MG 705874 BIO-ATENOLOL 50MG 826898 BETA- ATENOLOL 100MG TENOPRESS 100MG 705873 BIO-ATENOLOL 100MG 826901 ALPHA + BETA BLOCKER CARVEDILOL 12. CARLOC 12. 700168 CARVETREND 12. 704671 ALPHA + BETA BLOCKER CARVEDILOL 6.2 CARLOC 6.2 705459 CARVETREND 6.2 704670 ALPHA + BETA BLOCKER CARVEDILOL 2 CARLOC 2 897117 CARVETREND 2 704672 BETA-/DIURETIC ATENOLOL 100MG/CHLORTHALIDONE 2 TENCHLOR 100MG/2 786217 BETA-/DIURETIC ATENOLOL 50MG/CHLORTHALIDONE 12. TENCHLOR HS 50MG/12. 807591 VERAPAMIL 240 SR VERAHEXAL 240 SR 700071 RAVAMIL 240MG 819573 VERAPAMIL 40MG VASOMIL 40MG 774944 VERAPAMIL 80MG VASOMIL 80MG 774952 DILTIAZEM 60MG ZILDEM 60MG 822213 DILTIAZEM 90MG ZILDEM 90MG 824364 DILTIAZEM SR 180 ZILDEM SR 180MG 839183 DILTIAZEM SR 240 ZILDEM SR 240MG 839191 ASPIRIN 300MG BAYER ASPIRIN 300MG 706930 ASPIRIN 100MG MYOPRIN 721258 BAYER ASPIRIN CARDIO 100MG 862304 ASPIRIN 81MG ECOTRIN 81MG 823481 INHIBITOR DIPYRIDAMOLE 100MG PLATO 100MG 720526 INHIBITOR DIPYRIDAMOLE 2 PLATO 2 755656 EPILEPSY G40 ANTI-EPILEPTIC VALPROIC ACID 150MG CONVULEX 150MG 715980 G41 ANTI-EPILEPTIC VALPROIC ACID 300MG CONVULEX 300MG 715999 ANTI-EPILEPTIC VALPROIC ACID 500MG CONVULEX 500MG 781568 ANTI-EPILEPTIC VALPROIC ACID 250MG/ 5ML CONVULEX SUSPENSION 781541 ANTI-EPILEPTIC SODIUM VALPROATE 100MG EPILIM CRUSHABLE 100MG 821578 ANTI-EPILEPTIC SODIUM VALPROATE 200MG EPILIZINE CR 200MG 718274 EPROLEP CR 200MG 721460 ANTI-EPILEPTIC SODIUM VALPROATE 300MG EPILIZINE CR 300MG 718275 EPROLEP CR 300MG 720762 ANTI-EPILEPTIC SODIUM VALPROATE 500MG EPILIZINE CR 500MG 718276 EPROLEP CR 500MG 721055 ANTI-EPILEPTIC SODIUM VALPROATE 200MG/5ML EPILIM SUGAR FREE 780545 ANTI-EPILEPTIC LAMOTRIGINE 2 EPITEC 2 TABS 704379 ANTI-EPILEPTIC LAMOTRIGINE 50MG EPITEC 50MG TABS 704380 LAMIDUS 50MG 710885 ANTI-EPILEPTIC LAMOTRIGINE 100MG EPITEC 100MG TABS 704381 LAMIDUS 50MG 710885 ANTI-EPILEPTIC LAMOTRIGINE 200MG EPITEC 200MG TABS 704382 LAMIDUS 50MG 710885 ANTI-EPILEPTIC PHENOBARBITONE 30MG SEDABARB 30MG 814946 ANTI-EPILEPTIC PHENYTOIN 100MG PHENYTOIN SOD 754870 ANTI-EPILEPTIC ANTI-EPILEPTIC PHENYTOIN 12/5ML SUSP PHENYTOIN SODIUM 50MG EPANUTIN 12/5ML EPANUTIN INFATABS 50MG 723533 723568 18

ANTI-EPILEPTIC CLONAZEPAM RIVOTRIL 0. 761079 SEVERE AND UNCONTROLLED EPILEPSY ONLY, NOT RESPONDING TO FIRST-LINE. SPECIALIST MOTIVATION ANTI-EPILEPTIC CLONAZEPAM RIVOTRIL 2./ML DROPS 835129 SEVERE AND UNCONTROLLED EPILEPSY ONLY, NOT RESPONDING TO FIRST-LINE. SPECIALIST MOTIVATION ANTI-EPILEPTIC CLONAZEPAM RIVOTRIL 2MG 761087 SEVERE AND UNCONTROLLED EPILEPSY ONLY, NOT RESPONDING TO FIRST-LINE. SPECIALIST MOTIVATION ANTI-EPILEPTIC CARBAMAZEPINE 100MG/ 5ML TEGRETOL SUSP 250ML 769401 ANTI-EPILEPTIC CARBAMAZEPINE 200MG DEGRANOL 200MG 712493 ANTI-EPILEPTIC CARBAMAZEPINE 200MG SANDOZ CARBAMAZEPINE CR 705597 TEGRETOL CR 200MG 779652 ANTI-EPILEPTIC CARBAMAZEPINE 400MG SANDOZ CARBAMAZEPINE CR 705602 TEGRETOL CR 400MG 779660 ANTI-EPILEPTIC GABAPENTIN 100MG EPIGAB 100MG 722865 NEUREXAL 100MG 708949 ANTI-EPILEPTIC GABAPENTIN 300MG EPIGAB 300MG 722866 NEUREXAL 300MG 708994 ANTI-EPILEPTIC GABAPENTIN 400MG EPIGAB 400MG 722867 NEUREXAL 400MG 708995 ANTI-EPILEPTIC TOPIRAMATE 1 TOPAMAX SC SPRINKLES 1 878014 SEVERE AND UNCONTROLLED EPILEPSY ONLY, NOT RESPONDING TO FIRST-LINE. SPECIALIST MOTIVATION ANTI-EPILEPTIC TOPIRAMATE 2 EPITOZ 2 710899 ANTI-EPILEPTIC TOPIRAMATE 50MG EPITOZ 50MG 710900 ANTI-EPILEPTIC TOPIRAMATE 100MG EPITOZ 100MG 719901 ANTI-EPILEPTIC OXCARBAZEPINE 300MG TRILEPTAL 300MG 892484 ANTI-EPILEPTIC OXCARBAZEPINE 600MG TRILEPTAL 600MG 892491 ANTI-EPILEPTIC ETHOSUXIMIDE 250MG/5ML ZARONTIN 250MG/5ML SYRUP 779105 VITAMINS FOLIC ACID FOLIC ACID 711922 BE-TABS FOLIC 810967 ANTI-EPILEPTIC LEVETIRACETAM 250MG EPIKEPP 250MG 721701 REDILEV 250MG 714662 ANTI-EPILEPTIC LEVETIRACETAM 500MG EPIKEPP 500MG 721702 REDILEV 500MG 714663 ANTI-EPILEPTIC LEVETIRACETAM 750MG EPIKEPP 750MG 721703 REDILEV 750MG 714664 SEVERE AND UNCONTROLLED EPILEPSY ONLY, NOT RESPONDING TO FIRST-LINE. SPECIALIST MOTIVATION SEVERE AND UNCONTROLLED EPILEPSY ONLY, NOT RESPONDING TO FIRST-LINE. SPECIALIST MOTIVATION SEVERE AND UNCONTROLLED EPILEPSY ONLY, NOT RESPONDING TO FIRST-LINE. SPECIALIST MOTIVATION SEVERE AND UNCONTROLLED EPILEPSY ONLY, NOT RESPONDING TO FIRST-LINE. SPECIALIST MOTIVATION SEVERE AND UNCONTROLLED EPILEPSY ONLY, NOT RESPONDING TO FIRST-LINE. SPECIALIST MOTIVATION SEVERE AND UNCONTROLLED EPILEPSY ONLY, NOT RESPONDING TO FIRST-LINE MOTIVATION FROM NEUROLOGIST, NEUROSURGEON OR PAEDIATRIC NEUROLOGIST ONLY. (INDICATED FOR SPECIFIC TYPES OF EPILEPSY AND ONLY FOR ADULTS AND CHILDREN > 16YRS). MOTIVATION FROM NEUROLOGIST, NEUROSURGEON OR PAEDIATRIC NEUROLOGIST ONLY. 19

GLAUCOMA H40 CARBONIC ANHYDRASE CARBONIC ANHYDRASE OPHTHALMICS -ALPHA-2- AGONIST OPHTHALMICS -BETA- OPHTHALMICS -BETA- OPHTHALMICS -BETA- OPHTHALMICS -BETA- OPHTHALMICS -BETA- OPTHALMICS -BETA- COMBINATION OPTHALMICS -BETA- COMBINATION OPHTHALMICS -BETA- OPHTHALMICS OPHTHALMICS - CARBONIC ANHYDRASE INHIBITOR OPHTHALMIC - MUSCARINIC AGONISTS OPHTHALMIC - MUSCARINIC AGONISTS OPHTHALMIC - MUSCARINIC AGONISTS OPHTHALMICS- PROSTAGLANDIN ANALOGUE OPHTHALMICS- PROSTAGLANDIN ANALOGUE OPTHALMICS- PROSTAGLANDIN ANALOGUE OPHTHALMICS - ACETAZOLAMIDE AZOMID 250MG 789771 BRINZOLAMIDE BRIMONIDINE TARTRATE AZOPTIC EYE SUSPENSION 1% ALPHAGAN PURITE 5ML 701523 709410 METIPRANOLOL 0.3% BETA-OPTHIOLE 0.3% 816728 METIPRANOLOL 0.6% BETA-OPTHIOLE 0.6% 816736 TIMOLOL /ML GLAUCOSAN 0.5% 821624 TIMOLOL 2./ML TIMOPTOL 0.25% 5ML DROPS 770833 BIMATOPROST 0.3MG/ML LUMIGAN 3ML 703666 BRINZOLAMIDE ; TIMOLOL /ML BIMATOPOST 0.3MG; TIMOLOL /ML DORZOLAMIDE 20MG; TIMOLOL /ML BRIMONIDINE TARTRATE 2MG; TIMOLOL /ML AZARGA 5ML 717260 GANFORT 3ML 714110 COSOPT 0.5% 5ML DRP COMBIGAN EYE DROPS 5ML 860379 709863 DORZOLAMIDE 20MG TRUSOPT SOLUTION 819832 PILOCARPINE /ML PILOCARPINE 20MG/ML PILOCARPINE 40MG/ML TRAVOPROST 40UG/ML ISOPTOCARPINE 1% - 15ML ISOPTOCARPINE 2%- 15ML ISOPTOCARPINE 4% - 15ML TRAVATAN EYE DROP SOLUTION 734284 734179 734195 702534 LANTANOPROST/TIMOLOL XALACOM 702983 CO-ATANA 2.5ML 722712 LANTANOPROST 1ML/50MCG XALATAN 833223 ATANA 50MCG/ML 720971 BRIMONIDINE TARTRATE- TIMOLOL MALEATE OPHTH SOLN 0.2-0.5% COMBIGAN 709863 OPHTHALMICS BETAXOLOL 0.50% BETOPTIC 5ML 708445 OPHTHALMICS BETAXOLOL 0.25% BETOPTIC S 0.25% 836052 MOTIVATION, INCLUDING HAEMOPHILIA D66 ANTI-DIURETICS DESMOPRESSIN D67 ANTI-DIURETICS DESMOPRESSIN DDAVP INTRANASAL SOL 0.1MG/ML DDAVP NASAL SPRAY 0.1MG/ML 717746 837555 ANTI-DIURETICS DESMOPRESSIN DDAVP 0.2MG 703639 ANTI-DIURETICS DESMOPRESSIN DDAVP 0.1MG 837563 COAGULANTS TRANEXAMIC ACID 500MG CYKLOKAPRON 500 717134 COAGULANTS COAGULANTS COAGULANTS COAGULANTS FACTOR VIII 300U FACTOR VIII 500U FACTOR VIII 1000U FACTOR IX 500U HAEMOSOLVATE FACTOR VIII HAEMOSOLVATE FACTOR VIII HAEMOSOLVATE FACTOR VIII HAEMOSOLVEX FACTOR IX 841560 800759 813648 800767 ANALGESICS PARACETAMOL 500MG NAPAMOL 500MG 745723 HAEMATOLOGIST HAEMATOLOGIST HAEMATOLOGIST HAEMATOLOGIST HAEMATOLOGIST HAEMATOLOGIST HAEMATOLOGIST HAEMATOLOGIST HYPERLIPIDAEMIA E78 FIBRATES BEZAFIBRATE 400MG DYNA-BEZAFIBRATE SR 400MG 710122 20

(STATINS) SIMVASTATIN ADCO SIMVASTATIN 701276 AUSTELL SIMVASTATIN 705464 (STATINS) SIMVASTATIN 20MG ADCO SIMVASTATIN 20MG 701279 AUSTELL SIMVASTATIN 20MG 705465 (STATINS) SIMVASTATIN 40MG ADCO SIMVASTATIN 40MG 701281 AUSTELL SIMVASTATIN 40MG 705467 (STATINS) (STATINS) (STATINS) (STATINS) ATORVASTATIN ASPAVOR 708121 ADCO ATORVASTATIN 718073 ATORVASTATIN 20MG ASPAVOR 20MG 708122 ADCO ATORVASTATIN 20MG 718074 ATORVASTATIN 40MG ASPAVOR 40MG 710912 ADCO ATORVASTATIN 40MG 718075 ATORVASTATIN 80MG LIPOGEN 80MG 714074 ASTOR 80MG 719189 CLINICAL MOTIVATION WITH TREATMENT HISTORY MUST BE SUBMITTED CLINICAL MOTIVATION WITH TREATMENT HISTORY MUST BE SUBMITTED CLINICAL MOTIVATION WITH TREATMENT HISTORY MUST BE SUBMITTED CLINICAL MOTIVATION WITH TREATMENT HISTORY MUST BE SUBMITTED (STATINS) ROSUVASTATIN 5 MG ROSVATOR TABS 719249 CLINICAL MOTIVATION WITH TREATMENT HISTORY MUST BE SUBMITTED (STATINS) ROSUVASTATIN 10 MG ROSVATOR TABS 719251 CLINICAL MOTIVATION WITH TREATMENT HISTORY MUST BE SUBMITTED (STATINS) ROSUVASTATIN 20 MG ROSVATOR 20MG TABS 719252 CLINICAL MOTIVATION WITH TREATMENT HISTORY MUST BE SUBMITTED (STATINS) ROSUVASTATIN 40 MG ROSVATOR 40MG TABS 719253 CLINICAL MOTIVATION WITH TREATMENT HISTORY MUST BE SUBMITTED (STATINS) ROSUVASTATIN CALCIUM TAB 5 MG ZUVAMOR TABS 723655 CLINICAL MOTIVATION WITH TREATMENT HISTORY MUST BE SUBMITTED (STATINS) ROSUVASTATIN 10 MG ZUVAMOR TABS 717520 CLINICAL MOTIVATION WITH TREATMENT HISTORY MUST BE SUBMITTED (STATINS) ROSUVASTATIN 20 MG ZUVAMOR 20MG TABS 717521 CLINICAL MOTIVATION WITH TREATMENT HISTORY MUST BE SUBMITTED (STATINS) ROSUVASTATIN 40 MG ZUVAMOR 40MG TABS 717522 CLINICAL MOTIVATION WITH TREATMENT HISTORY MUST BE SUBMITTED ASPIRIN 100MG MYOPRIN 721258 BAYER ASPIRIN CARDIO 100MG 862304 ASPIRIN 81MG ECOTRIN 81MG 823481 HYPERTENSION I10 ACE CAPTOPRIL 2 ACE ACE COMBINATION CAPTOPRIL 50MG CAPTOPRIL/HYDROCHLOROTHIAZI DE 50MG/2 MYLAN-CAPTOPRIL 2 MYLAN-CAPTOPRIL 50MG CAPTORETIC 50/2 852619 899429 841137 ACE ENALAPRIL ALAPREN 881481 ACE ENALAPRIL 20MG ALAPREN 20MG 881503 ACE ENALAPRIL ALAPREN 886835 ACE COMBINATION ENALAPRIL / HYDROCHLORTHIAZIDE ENAP CO 891287 ACE RAMIPRIL 2. RAMPIL 2. 705427 ACE RAMIPRIL RAMPIL 705428 ACE RAMIPRIL RAMPIL 705429 ACE PERINDOPRIL 4MG PREXUM 4MG 703541 VECTORYL 4MG 710297 ACE PERINDOPRIL 8MG PEARINDA 8MG 714528 VECTORYL 8MG 710925 ACE PERINDOPRIL 4MG PREXUM 720387 ACE PERINDOPRIL PREXUM 714646 21